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HomeMy WebLinkAbout3505 CADILLAC AVE - Building PermitsCADIISAC AVEM E unit G-3 B-2268- Conn. Bldg. Unit G-3 P-2379- a/,v/4�PLBG. (B-2268) "E-2635- 9 EIEC. (B-2268) Unit G-3 I4-37537/aJaoJp1MEM. (B-2268) Unit G-3 3505 Int 8 - 177,388. B-8954 INP. ALTER. $1,200. io as -S3 (UNIT #G 3) 5 _ E-8986 T7, G-3 lo_/i-f'3 (B-8954) E-9178 OUTLETS ti...id '^4tilK?s-Y 52n" v..i'4�'m.J:Gi4i^ 3505 CADILLAC 1 e m B3196G 07,,7$-% G-3 — T.I. PC06-88s O J Wt q/ Fixtures, outlets, switches— / 1132176 s sm System repair BM -4/59855 PC#2472-905 41 _ Office T. I. �E-5986 Office T. I. (BM -459853//' y� (714) 754-5273 • Fax (714) 7544856 y 1 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ,lob Address: 3505 CADILLAC AV Suite: G003 Vicinity: SAINT BARNABES CHURCH. Parcel Nunmber: 13966107 BUILDING PERMIT Zoning: Applicant: MARTIN, DOUG Address: Phone: Zip: Owner: CAMBRIDGE PARK PARTNERS Address CORELANDIDONNER NEWPORT BEACH,CA P O BOX 9164 - Zip Contractor: DOUGLAS F. MARTIN GEN. CONT Address: - 17041 TWAIN LN',' Phone: 92658 - - Phone: 846-4668 HUNTINGTON BEACH, CA Zip: 92649 License:455714 Arch I Eng Address: Phone: Zip: _ License:- SCOPE OF PERMIT ,CONVERT EXIST WAREHOUSE TO SANCTUARY. REF: PC# 504-98A P. F, CONDITIONS ON PLANS REO 698-nn620 V PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/0911998 Issued: 05/06/1998 FEE SUMMARY Plan Check: $64.15 - Calc Valuation: $0.00 Permit: $394.75 Claimed Valuation: $30,000.00 Other: $0.00 Inspection: $0.00 r Total: $465.20 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: 0 Required: 0 NOTES: Left 0-0 Right - 0-0 Left 0-0 _ Right 0-0 Proposed: '0 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) 7645626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and win maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this Pernil is issued. My workers' compensation Insurance carder and policy number are: Cardec Policy Number: (This sectfon need not be completed if the pemlit fs valued at one hundred dollars (SIX) or less,) ❑ 1 certify that In the performthe 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 C mia, d agree that if I should bnomo s bject to the workers' compensation provisions of Section 700 of he Labor Code, I shall forthwith comply with these N ns. �j J Applicant Signature: Data:/`+y/ WARNING: FAILURE O S RE ' 00MPE;an0 J COVERAGE IS UNLAWFUL N SHAl1 SUBJECT AN EMPLOYER TO CR NAL P6dAs1TIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLIARE ($1 .000). INJfVDn1ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u provisions o hapter 9 mmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Uc. # Class # Contractor's Slgnatur . i Date: i CONSTRUCTION LENDING A ENCY: ❑ 1 hereby affirm that there Is a construction lending agency for the performance o1 the work for which this permit is issued. (Sec. 3097, CMI Code). Lender's Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: 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 Professlons 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 or she is licensed pursuant to the provisions of the Contractors Uconse 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).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not appy 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 sate. If, however, the building or Improvement is mid 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 appy to an owner of property who builds or Improves thereon, and who contracts for such project with a oontractor(s) license pursuant to the Contractors Uconse Laws.). ❑ 1 am exempt under sec. Business and Prolossions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers Lomas No. Expires: Verification of Ownershlp by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cemty that rw 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, Sac. 341, Title B, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safely, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit 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 exceptlons, that a Business Plan be filed with the Costa Mase 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 filo a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some oxceptions, requires registration with the Costa Mesa Fire Department by each business whichet 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 of compressed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Sect34 ion 255of the California Health and Safety Code provides that the Costs Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutelyhazardous materials with the Flre Department. .................................................................................................................................................................................................................................................................................... 4 If en RMPP ls presently required, has Section 25534 of the California Health end Safety Code been fully complied with.. ❑ Vss ❑ No ..........................................willappl...........futu....buil............................uire........................hich.................ject.. f thi....... plic.tlori.................................nstructi........... modification 5 Does or will the applicant or present or future building occupant a require for the work ontnh is the subject c this a plication epallo for such construction or modificotion from the South Coast Air Wellry Management District or from any other air pollution control district or agency? � Yes LJ No (Section 65850.2 of the CaHlomla Govemment Code requires that the requested information be furnished on applications for non-residential building permits). ................................................................ .. .. ................................................................................................................................................................................................................ 6 W II any part of the faclliy to be constructed under this permit be within 1000 feet from the outer boundares 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 If a permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑ No .................................................................................................................................................................................................................................................................................... 8 (If yes', attach certificate of compliance tram 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. store Data And/Or Authorized ApplIMM Date CODE 1. DAH gNTITIALS CggFj INSPEC71ONTYPE am gTRIAL$ 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 Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildingtOccupancy 244646 / CITY OF COSTA MESA BUILDING DIVISION J DEVELOPMENT SERVICES DEPARTMENT E98-00336 PERMIT PERMIT NUMBER `°r}axmw (714) 754-5273 Fax (714) 754-4856 ELECTRICAL PERMIT T7 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Status: ISSUED Suite No 0003 Applied: 05/06/1998 Vicinity: Issued: 05/06/1998 Parcel Nunmber: 13966107 Applicant:. MARTIN,.DOUG _ Address: ' - Phone: Zip Owner: CAMBRIDGE PARK PARTNERS Address CORELAND/DONNER NEWPORT BEACH CA Phone:. _ • -� - i P, O BOX 9164 _'-Zip. 92658 contractor: DOUGLAS F:. MARTIN CEN. CONT Address:17041 TWAIN LN Phone: 846-4668 HUNTINGTON BEACH, CA } Zip:92649� V Vr -'• Licceensef `455714, • ^ • `J Arch / Eng a Address: �,.,: ,yr;- _ �^-"b '_�,• - . Phone: Zip .License: -- ' SCOPEOF PERMIT MISC. ELEC. WORK FOR T.I. AT THE CHURCH. - 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 perm FOR INSPECTIONS CALL: (714) 754-5628 = FEE SUMMARY quantity l Quantity ' ISSUE FEE $22.00 Temp Di system / Lighting $0.00 0 ' Temp service test $0.00 Busway:/100 ft $0.00 10 Res. a/c package $0.00 Standing Section $0.00 0 , New Res (1-2 units) $0.00 0 Misc Electrical Equipment $0.00, 0 New Res (3+units) $0.00 0 `, Transformers up to 1 kva/kw $0.00 0 - Pool /Spa $0.00 0 ' - . t.........:..up to 10 kva/kw $0.00' 0 Lighting Fixts $58.35 79 " �.up to 50 kva/kw $0.00 0 " Recept Outlets $23.90 - 26 .....up 61 00,kva/kw - - $0.00 0 Switches $10.00 10-" ........ over 100kva/kw_- $0.00- 0 Non Res Appl $0.00 0, - . • '-Low Voltage Equipment. ` ' $0.00 " 0 Res Appl $0.00 0 ' "•� Low Volt Wiring System7.Ckt $0.00 ' ' 0 Service to 200a $0.00 0 - ' , Misc. Conduit $0.00 0' , Service to 1000a $0.00 0- -Misc. Conductor $0.00 0' Service over 1000a $0.00 0 Circus ( gen or ride) $0.00 ' 0 Motors to 1 hp $0.00 0 Circus (meth ride or lights) $0.00. 0 Motors to 10hp $0:00 0 - Christmas Tree Stantl-" - $0.00 0 Motors to 50hp $0.00 0 - _ 'Fireworks Stand - . - $0.00 0 Motors to 100hp $0.00 0 , . Other Electrical Fee t, $0.00 Motors over 1 00h $0.00 0 - Communication drops $0.00 0 - - Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $114.25 Intermed Pole $0.00 0 COMMENTS I SPECIAL CONDITIONS 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 perm FOR INSPECTIONS CALL: (714) 754-5628 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a carlificale of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance tamer and policy number are: Cartier: Policy Number. (This section need not be completed it the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in the pedormancey 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 Call 9frnTa, d agree that i1 hould be a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thes. Applicant Signature. Dat (e(/ WARNING: FAILURE TO SE E WORK PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER lU CRIMINAL PE TIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100.000). IN ABOTTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed and W ons 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. Lia p Class N Contractors Signature: Date' CONSTRUCTION LENDING AGEN ❑ 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: 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, prior 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).): ❑ 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 (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 o1 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 contractors) 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, Le. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certlty 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, Cellfomla Administrative Cade). ❑ 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: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII 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 form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomla 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 of compressed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant 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 an 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 pe plication arnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any pen of the facility to be constructed under this permit 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 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is regwired for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ 9as ❑ No .................................................................................................................................................................................................................................................................................... 8 (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. SI a Of 1- tote A Or Authonzed plicanl Date 00 11, INSPECTION TYPE ps¢ g1iIDA65 CODE INSPECTIONTYPE 2AM R♦1ITIA1$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing G� 200 Final Re -Root 210 Final Electrical[ 201 Final Block/Retaining 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/Occupancy 2"646 W •1 CITY OF COSTA MESA BUILDING DIVISION F _ DEVELOPMENT SERVICES DEPARTMENT M98-00151 �• PERMIT PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4656 MECHANICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Status: ISSUED Suite No 0003 Applied: 05/06/1998 Issued: 05/06/1998 Vicinity: Parcel Nunmber: 13966107- - - Applicant: CAMBRIDGE PARK PARTNERS $0.00 Address: .$0.00 Inst I Rep. Recess Wall Htr $0.00 Phone:_ $0.00 Refdg Sys >100 k BTU Zip: I . $0.00 Factory Fireplace $0.00 Owner. ARK"PARTNERS CAMBRIDGE PARK-PARTNERS- VAV Box $0.00 Vent Fan I Single Duct $0.00 Address: Address: CORELAND/DONNER Fire Dampers $0.00 NEWPORT BEACH,CA Phone: $0.00 Inst or Relocate Appl Vent P O BOX 9164, - Zip: 92658 Air Handlers < 10000cfm $0.00 Air Handlers > 10000cfm $0.00 Contractor: DOUGLAS F. MARTIN CEN. CONT Floor or Suspend Heater Address: 17041 TWAIN LN L, 0 3 To 15 hp $0.00 •� 15 to 30 hp's • Phone': 848&4668 0 ' 30 to 50 hp HUNTINGTON BEACH, CA -' Zip: 92649 Over 50 hp " License: 455714 0 Arch l Eng: Address: $0.00 -� Plan Check Fee Phone:. Reinspection Fee Zip: . TOTAL CALCULATED FEES " License: ISSUE FEE $22.00 Inst FAU <100 k BTU $0.00 Inst FAU >100 k BTU $0.00 Repair / Alt Cooling/Heat .$0.00 Inst I Rep. Recess Wall Htr $0.00 Refdg Sys <100 k BTU $0.00 Refdg Sys >100 k BTU $32.50 Gas Piping $0.00 Factory Fireplace $0.00 Hood w/Mech Exhaust $0.00 VAV Box $0.00 Vent Fan I Single Duct $0.00 Appliance $0.00 Fire Dampers $0.00 Smoke Dampers $0.00 Inst or Relocate Appl Vent $ao0 Air Handlers < 10000cfm $0.00 Air Handlers > 10000cfm $0.00 Floor Furnace $0.00 Floor or Suspend Heater $0.00 SCOPE OF PERMIT I, MISC. WORK FORT.I.. ATTHE CHURCH. - FEE SUMMARY Quantity Quantity Repair/ Alt Absorbtion Unit $0.00 0 ' Repair/ Alt Refrigeration Unit $0.00 0 Ventillation System $0.00 0 '. Evaporative Cooler $0.00 0 Commercial Incinerator $0.00 o - Domestic Incinerator $0.00 0 Compressors /'Absorption Systems Up to 3, hp / 100 k BTU - ,$0.00 0 .. 3 To 15 hp / 500 k BTU - - " $0.00 0 15 To 30 hp / 1,000 k BTU $0.00 0 30 To 50 hp 11,750 k BTU $0.00 0 Over 50 hp I Over 1,750 BTU $0.00 0 Boilers Up to 3 hp . $0.00 0 3 To 15 hp $0.00 0 15 to 30 hp's $0.00 0 ' 30 to 50 hp $0.00 0 Over 50 hp $0.00 0 Other Mechanical Fee Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $54.50 COMMENTS / SPECIAL -CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO 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) 7545626 AN DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affimt under penalty of perjury we of the following declarations: ❑ I have and will maintain a certificate of consent to sell -Insure for workers' compensation, es provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the tabor Code. for the performance of the work for which this permit is issued. My workers' compensation Insurance carder antl policy number are: Carder. Policy Number. (This section need not be completed ff the pemut is valued at we hundred dollars ($100) or less.) ❑ 1 certify that in the performan 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 Cel 100119, rid agree that hould bac a b t to the workers' compensation provisions of SeeW!700 of the Labor Code, I shall forthwith comply with (hese p ns. ..-�/�� Applicant Signature,, Deter/// WARNING: FAILURE SEB RKE MPENSATION COV GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO IMI NALMES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN Af�ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37080E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am license r provisions Chapter 9 (co ening with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LIc. N Class M Contractors Signal Data;,, CONSTRUCTION LENDING GENCY: ❑ 1 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). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby aHkm 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, prior 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 Professims 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensatlon, 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.). ❑ 1, 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby caddy that no excavation five (5) or more feet In depth Into which a person Is required to demand, will be made In connection with work authorized by this permit, and that no building structure, scaffolding, fablework, or demolitlon or dismantling thereof, will be more then Ihlrty-slx (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Cade). ❑ 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: Division of Industrial Safety Permit 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 Cade 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 Docs ar will the applicant or present or suture building occupant need to file a rogisuetion form for acutely hazardous metedals? ❑Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Coate 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 of compressed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No ((Sectlw 25534 of the California Health and Salary Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Depertment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .................................................................................................................................................................................................................................................................................... 4 II an 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 apermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ves U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any pen of the facility to be consiructetl uner this permit 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 If a ppeermit from the South Coast Air Quality Management District or other air pollution control district or agency is reGulred for the work which is the subject of this apps 'fion, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .................................... ........... ................................................................................................................................................................................................................... 8 (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 Emiss(ons. 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 dry 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. e Of Data r AndfOr ATthdRzod Applicant Date CODE L INSPECTION TYPE gAIE II1TITIAL9 CODE1 INSPECTION TYPEpA8 INUMS 1616 Fixed System Final Fire Prevention 206 Final Mechanical TI VQ o(p,'/E1 [S J_ 1268 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlockfRetaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final BuildingfOccupancy, 2ua4a CITY OF COSTA MESA BUILDING DIVISION / DEVELOPMENT SERVICES DEPARTMENT P98-00352 PERMIT I PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 PLUMBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 3505 CADILLAC.AV _- _ _ _ _ _ _ Status: ISSUED Suite No G003 �'' -.,.Applied: 05/06/1998 Issued: 05/06/1998 Vicinity: Parcel Nunmber: 13966107 - - - -- - - - - - - Applicant: CAMBRIDGE PARK PARTNERS - J AMT Address: _ $22.00 Laundry Tub / Washer - -Phone: - _ - $0.00 0 .. ._ Zip. $0.00 0 Owner: CAMBRIDGE PARK PARTNERS 0 Swimming Pool - - $0.00 0 Backflow Preventer $0.00 Address CORELAND/DONNER��- $0.00 0 ' NEWPORT BEACH,CA .` Phone:_ 0 Bathtub $0.00 P O BOX 9164 = Zip: 92658 Pressure Regulator -10.00 0 Urinal. ,. $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum, Brkr Bkflow(1.4) ', $0.00 contractor: DOUGLAS F. MARTIN CEN. CONT $0.00 0 Receptors" - $0.00 0 Vacuum Brkr Bkflow(5+) Address: 17041 17041 TWAIN LN Dental Units $0.00 - 0 r Phone:�846-4668 _ - _ '0 - Wash Basin - HUNTINGTON BEACH, CA �- 4:92649 ' 1 Dishwasher $0.00 - - License:455714 - $0.00. 0' :_ �_ Wash Basin Set $0.00 0 Drain, Floor '$0.00 0 '.Sewer Connect ,$0:00 0 ' Waste and Vent System $0.00 Arch/Eng: Drain, Rainwater $0.00 0 Address:.. - 0 - Water Closet (Toilet) - Phone: �- $0.00 0 Zip:- - $0.00 0 Water Heater / vent ' License: - Drinking Fountain 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) 7546626 A SCOPE OF PERMIT MISC. WORK FOR T.I. AT THE CHURCH. - - - FEE SUMMARY/ i AMT CITY, . AMT �_ QTY AMT QTY ISSUE FEE $22.00 Laundry Tub / Washer `-$0.00 -0 Sump Pump' $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool - - $0.00 0 Backflow Preventer $0.00 0 P -Trap $0.00 0 Trap Primer - $0.00 0 Bathtub $0.00 0 Pressure Regulator -10.00 0 Urinal. ,. $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum, Brkr Bkflow(1.4) ', $0.00 0 Connect (Ice,Soda,etc) $0.00 0 Receptors" - $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 - 0 r Septic Tank$0.00 �, - '0 - Wash Basin - $8.75 1 Dishwasher $0.00 0 <- , Sewer Cap,for Demo ' �- $0.00. 0' :_ �_ Wash Basin Set $0.00 0 Drain, Floor '$0.00 0 '.Sewer Connect ,$0:00 0 ' Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line ' - $0.00. 0 - Water Closet (Toilet) $0.00 0 Drain, Roof $0.00 0 Shower - - $0.00 0 Water Heater / vent $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re -pipe $0.00 0 Gas Earthquake Valve $0.00 - 0 Sink, Floor - $0.00 0 Water Service $0.00 0 Gas (14 outlets) $0.00 0 Sink, kitchen $0.00 0 'Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop -- $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) - ,$0.00 0'" - VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 ' TOTAL CALCULATED FEES: $30.75 - COMMENTS / SPECIAL CONDITIONS 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) 7546626 A DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declaration: ❑ 1 have and will maintain a certificate o1 consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for whi this permit is issued. My =work' nsurance car/lar and policy number are: Ceder:,,pp__., yt & _ / Policy Number/j:� (This s61 need not be completed If the permit Is valued of one hundred dollars ($100) or less.) ❑ 1 cer ity 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 CalBe 1 , nd agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these P Sb s. / Applicant Signature DaleA.o �E /AN WARNING: FAILURE TO SE WORK COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMNPL TIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOI.LARE ($100,010), IN AVDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3TO60F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under rovisions 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. Lic. a Class If Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: I hereby affirm that under penalty of penury 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, prior 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).): ❑ I, se 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 Cade: 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 bullds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Cade for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Vedficatlon o1 Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cehlfy 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, Tlde 8, California Administrative Coda). - ❑ 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: DIvlslon of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII 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 Masa 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 Mese 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 of compressed gas at standard temperature and pressure). .........................................................................l'u.r'.......................p.a.n......................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hezertlous materials)? ❑ Yes ❑ No (Sedlon 25534 of the Californiaa la Health and Safety Code provides that the Costa Mom Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutety hazardous materials with the Fire Department. .................................................................................................................................................................................................................................................................................... 4 If en RMPP Is presently required, has Section 256M of the California Health and Safety Code been fully compiled 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 plicatlon epernil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L] No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any part of the facility to be constructed under this permit 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 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is ratted for the work which Is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ ratted ❑ No ................................................................................................................................................................................................................................................................. 6 (If yes", attach cenificete of compllence from the eppropnete air pollution control officer). CERTIFICATE OF COMPLIANCE: I cortity 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 AUTHORIZAT10M 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, ure And/Or AuthONzed Applicant 7 Date 02FLL QISPECTIO 4 TYPE DATE DLOIALS CODE r INSPECTION QM WITALs 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 1L5LLq- 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Well 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/Occupenc/ 241649 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 00. �.3 P. Q. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenues- ttnitt tl has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Legal Description 139-661-14 (See reverse side for Metes and Bounds) Building Permit No BM459PA Electrical Permit No. R Ar%QAO; Plumbing Permit No._ Mechanical Permit No. HM 95965 Number of apartments and/or guest rooms ISSUED TO: O'Donnel Armstton & Partners 22Q1 Dupont, 0100 Irvine, CA 92715 Building Official Tonv C'de Baca by Date March 15, 1990 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-4e rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File Mlff ABOREU: 3505 CADILLAC AV UNIT: L'1 011 MAN: O'DONNEL ARMSTRONG b AOORM PARTNERS 2201 DUPONT 4100 IRVINE CA 92715 714)851-01.11 ' MMENOINEEN: RENGEL 6 CO. MB.ND.:C141.99 eoeRm. 393 EL CAMINO REAL. UM; TUSTIN CA 92680 PERNIAEC LOGE CONSTRUCTION (714)964-4361 AOOREU: 0521 AFTON CL U.S. CA 92646 UUNSEUC MC MCUUMMn =a=Wr1 MII p aDN fB honor dN Wm SWIM T4aa10l wesim s a me mmnm am prammns toes. ane ane Is 1 M" am anew. Ojai 049886 UAIFuO.:4948 af:B Dem.% F 2 sOrew WYMFRB'CMPBIAFiIUn UFfIAMTIRx: IMI l[wemmwllleMnma[eraketea WaNnn' Cpmomaallm mer 5ecrim 30YA. W. nun NO: � W. MIF. 0/01/90 mmpi STATE FUND 3 NONE m" Iv hmroy Imti. Lt amrlm ropy u d weh mo - Mmmp u.hbn. use. FNRImMPMxWMUM'LavFxMnxxlxaAM (IwammnmaM rommgmaUBepmamxNmehpmM RaholmMaU. somanW too th cert aUewrckl perrtAb WuM ISNl ml elmby YPoramhaMmmnrmaE to Lemma meRsta me WwaenWnpevaum Lrvn pl MMM: It eon MOW oris macloathen, war MUM Mowlam Samoa to we Wp Cm Wn geYiam6 a IM LA C . Am most IMMitn mmpy Arm stem pm m or Me Ai warm Ad Rome reNFm. COMIRURIM LFnama (Sway: Amory axrm Iw mem a a pwwNlmllm remaO mora ror IN penarma"e a iro wary, ror "him INS pND b ISM( (Swim LAI. W. 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MA m the MPA, am the O stmrnn x,WwmnhemmeMMsanlSePuona"a, w�insaana PmLwMMaama: ihefwl M-Suu LMme Law AM ml wyq w an omen M a properly Mn [uLUs An Impmwi lw .and Mn mu sees wM Wm IhBf$W or mmulA his w her mar mAmMm. wmided that MAIN empr"Umems we ror Intended or ahmm me Mare If. means Me mnebp m improremmt is sidemtNn ON war at wmmeom, OR Matter Air naw the aumm of Ant henna N nm Nm or impwva . for pomme of salol, I. as Pvnwal UU lamerty� eaUwNelymwaellnO Mtn llgrtiw mmfxtm tomnsNsttuSHm 734U. hsMs ❑ mO Raesshns(:oM. ik Canowlns'$Iam Uxrte Uw mw no awi to m armor a pm Ma ad as orimpraw l n d And WwBeachprpAm m for h Men a wmnaaass ebemn w uam to IN comet Mus Mom Uwe. I em aware and wpwl a INh swim's Omrwwnwn MFemme avow N pwaidm Io ma. ❑ I am oomph Fewer Rorlon: d R P. C. for am Maser Dam', Ower; I do Map mniN that 1 am Bowe( am umemwne me rmoaemems of wdsom Nmlm and Amer oma smuom Eras. zssss. and Zr5Ja we Oh l An my Mpre bi Pneupem VMB�tee (&*MR Mm to wmpn At eal slate mho and Me mMltmemb bra cermet for aonwurmn or nMmrallm amen tAa-HG ®®ap mamoomt oiw . ROMAIWl am irmim aDwauan N awn i how Mesa pmyhlms. . Dam: Mplim is I nvelry umtymNlNw RadlnU awl Elm mdsme Uvt me Wa mNmwh 1=14rwmrnmelyw IMyaomty nmmnasam ewemm nNmp maNWnpewwauCllMmdM /iNlWewpe pNtllNmym doer nlNaN mmlmem propend, for InswxUan PuTm mM: � � % ^Qt7 SI nature: mxers Llamas Pf Mocha sewmv B: ty,.N W,Ws—BuetlW; beerrC.Wa EmmnUrAi aenw—bNlum; INN—Pwemm', mMeemad—Aw CITY OF COSTA MESA BUILDING PERMIT PERMIT NO: BM 045905 PLAN CHECK NO:,02472-90 S 'CONSTRUCTION TYPE: PERMIT' TYPE: MEC STR JOB DESCRIPTION t OFFICE T.T. PERM NO: BM 045985 GOVT: N SUPP:'0 PURPOSE: ALT SQ FT: .2,323 CLAIM VALUE: 19,500.00 CALC-'VALUE:, 23,500.76 GROUP OCC: B-2 A COMMENTS: #ifkkkkkkkkkk##kkk#kkkk#kkkkk#k#M#kkk#kkrtkkk#'kkkkkk#YkkNIFRlfkk#kk#k%#k##k#####W## . 2. O N IN GS ERT ERQAUC IKA E M E N T S ------------ MAIN BUILDING ----------- ------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN •FRNTO FT IN REAR: FT IN LEFT: PT IN RGHT: FT IN• LEFT: FT IN RGHT:FT IN PARKING AEG' PROV: PARCEL: 139661.14 ZNE: PDC REF NO - PLANNING NOTES> INTERIOR ALTERATION FOR A COMPUTER PROCESSING UF.'FICE k###kiekif#1f kk kkif kk'1FkkkY#kklYkk##k!##kk#kM k3FR##kk T.lart#ie###k###if #lk M1FM#{FkiF,N 3f#M###if## .B . O E V P 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 IDDL.— - . pBUILDING APPROVEDf BY •�� y "DATE;2r ➢'DDT. T('➢'f TrlN 'EtC11FOAV. /5 ... �/YL�i/wn� TLTI'.•.1�7-91) kkrtkkkk#kk#k#kif#k#kk#k#kkifk##kkkk#kk#k##i'#k1�Ylkk##k#k#krtk#k#k##########%##keE#k#f LEGALIZATTON:N F F. E ;S U M,M A R YSTRUCTURRT;j'S F.GMF.FIT:Y BLDG PMT PLUMBING ELECTRIC 'MECHANIC" a^'FIRE'. SMIP/RES CRADT14C PERMIT 243.00 ' . 9.90SMIP/NON-RCS ' PLAN 157.95 -' '- 3.59 ISSUE FEE 15'.00 BUTLDING-DIV->, PERMIT ISSUE PLANrCHECKI ii `TOTAL e,PAID DOE •TOTALS ----> 255.53 15.00 157.95_ 0 428"48 428.48 ..00 REVENUE DIVISION Ti COLLECTED:QQ7Q°•Sj� OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC F114Ete,SMIP/TOT GRADING PLAN-CRECK 243.00 24.00 3.53 {4iaNifLlf 4'iF#k#k#k####kk#k#k##kklE#ik I ND 1V ID UA,L 'F E`EN DR!E K.K O WN I 'CYPE QTY D E 5 C R I T I O,•N ' C UNIT COST TOTAL COST SFC 2323 OFF -INT. ALTER TYPE V' -P] '-AVER 10.12 23,508.76 MEC 1" REPAIR/ALT HEATING° UN,II`%SYS Ne/CNTLS°i 9.00 9.00 END OF FEES ! A t 01 00053571-00053573 TOT 270.53 DATE: 02/07/90 TIME: 09:31 CONSTRUCTION AND PLANNING APPROVALS , Permit # r `Date Inspector POG_ d, SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1 2. Soil Pipe-Undrgrnd. '�' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .4:, Electrical Conduit-Undrgrnd: 55. Electrical Bonding `r 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Elecvical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE . '7. Footings 1 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 I I 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 - r 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 COP FIRE DEPT. REQUIREMENT APPROVALS Permit # 20.. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating" _ 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - _ 73. Undergrnd. Storage Tank 0Gas 0Oi1 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & MonocoatMar 75. Dry Chemical 27. Frame and Flashing- - - 76. Dry Standpipe - 28. Lathing & Siding ; _ " 77.. FIXED SYSTEM'FINAL 29. Insulation - S i% 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION ' 32. Electrical Power Meter -Final sv 80: FOOD CERTIFICATE ISSUED 33. Final Electric , �• Notes: 1^ 34. Final Heating & Air Conditioning - B 0- 35. Final Gas Pipe -Test - 1 36. Hood or Canopy •1 _ •� - 37. Final Factory Fireplace',. ' ' �• , -.38. Final Plumbing j.: �- ' 39. Water Service -Final- .. 40. Gas Service -Final • ' 9 -�� _ Z. �� _ 41. Solar Domestic-Firial' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • - - 45. Sound Attenuation 46. Handicap Regulations (for+(OC4� d 47. FINAL STRUCTURE & BUILDING i - 48. FINAL PLANNING 1 ' 49, Electric Release to Edison 1 . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - - P EBT,ADDREEE: 3505 CADILLAC AV - Uxlr. L7 OMER-e MOE: O'DONNEL ARMSTRONG & ADDAM: PARTNERS 2201 DUPONT #100 IRVINE CA 92.715 714)651-0111 xm.eE.: 014199 ul[m[NEINEm: RENGEL & CO, AEEwa: 333 EL CAMINO REAL UNIT: TUSTIN CA 92680 PERK L PRO -TECH ELECTRIC (714)737-1945 AEEREM' 1499 POMONA . F CORONA CA. 91720 LICEMOBOUw RDm RnON 1nmme drm ted am&enaE uMer PmMelme 01 CreaseraImmmendnp ends 6Wtion ]BL01 OI OMBNn a d w Buslras aq gpl¢mime Cp10, aN my Iicere:e k In mll Mn aN eX0E1. crier 035757 wham w:896893 MUM; C us: ,z - —7 — IO sipmhne: W�wmxEWWMKNU7MNN=WiT 9: Il(enam eareeeanmmnelrn.emmemauweare awon a`ioafwarten Idl[N xo.: `volb in le"N�e ' EIV. wn: 64/05/90 �aRPANR: LIBERTY MUTUAL 3 wired May Is emery mm w. ❑ amrm mW is flrydends s�bre My myy9np ode: 2 — '7 ElFxR10x M0AWw[FRB'1-0ePw6ARw OwIw11A: w6taxw �lrw4 m'rybdxMpmNbldamlugnelBlpNab:1 .] erect Is Ma kers U w of Ne NvrkbwNM mb wmb bmuo.l Nall m emphy arty Pdsw N ary rrarxr.a um Eerame staled 10 me WOhas' Pamprmtin Lm M fdBdfY. par: 9wamn: rLOTI[E: II, der meAfW the dmam i yen Nprea ew tthi Ntirt a les Nmam' [Oemensntlen praAdm Bi NB laEor ruse, nu main mmran NCY. wmm suds Pmtbo u eo �idf wu an aremm rawMe, mxaytis mm Ias O Ayer: reser dards um siren b e mwfmcmn Nmm awem mr tre Dennlmlim d me velli ro� wnbn this wmin bbWW (SeNm W. W. el. INE: r xbwFUSa: OMER BUILDER OPEC"TIBN: I hereby Man am l am MmOt from Me P UMM' State Licame Lav for the I MN recon near netnews. am Pmt=o. Epee: Nry [Ay 4m tMrsmonM neoThe aowlstiul,Ner, lnpmve, Us lim.w umu ll mWpr primmhs IUIOWe. arorWuea lM Wdemlt brden omutm nbisbnW dareemto ndNne UIlmneea and mlre Eased)) M dme cnmradM BiuLImmo Lea Icllepmla Uommnldnp Mmaecuon lmplwol Of s ul Ice alI rev and wiwbmebaeld Wfi me b eamd to aELb of Im re m Weiernurnal Amddaam Bt Sepbn t03T5DY am awlimnt for a wrMt }0ede me a04N0ae r4 a dlil plYlly 01 M more WIr We AYnORe Eglae IiYOI. 1. W owom d me Ixmem or mrwithwapm m Ter I ods "M. me me We worn. andft❑ drwmn is nd lMdmtlprmMtl mrsabL�]EN,BNband PmlmkmlCed' EM Wdrstwz'Srde lxemf law mm mt am m W owner as a Pmwm we nam in impm a teem. w who dames swe wod eNdmroea or mope as a her vas impbyeu. pmHM had aN Ilrymvemmu en M ImeNN Or WX Or sW If Wen F of Mi" or mmme bsob wneb<m emr d mmpetbn, and cam w9 ems N coram in P" a ala nen DM of immwe Tor the p0rpme in said. INa vaneraltre lNweRy� dnadlehelIyymmrWLLlp Wm Um Wnuaztde W was U me pm0d(SMion lase, Nrrsiness ❑ evrolus4e toae ie[mPddprn'$meIvJra lawenn mappryman oanerNpmplywwbWasuimemaumm� Ne encu mliNele far 9N wdX6 Wm a WnPdGdlal Nmme Nrrmn t0 me [�NIMItlY $lab LkPRe Ln). em iwYO 1*1 prom an leer WR 's mm m:oirmn sem be Praniki me. ❑ I am mamas Omer SwEm: B. A P. a. ten sue reazm. Mae r Tamer. I to Mr9w mn" test l am aware d ad moderated lthe ry MM Of gllboaft NUlm mtl Salary L'W SMi0re a55I5,'6m), and paranESIa me lMldmy or modalso Oavlant wU�wn ng{dNO mlrwetocampy wYnum ease OeEas ane me reWlmmenu mre load far sim. or mmuraxW tmm me w auam banapemem D�slnd. Revamml maslruawn weeNnlua are mmol xom trees waxelan. _ oar. nppemm: I hereby k and l Nen recta then WO =aN Slate teat and MOrmalbn b CM. lipreropy vil 9 lO me IN OA[ and mumy eraOlarm am mlelan Matllendasymmowmnddre awa®rearaodesm msabtomwrmrueadma+mnhwW wwerR• roi imlmsaon wmdm. f. Ede .LJc— Oned s L'nmu a same SerorM e: 161 wane-emwell lamarrase emomaneni tenor P[o- :I•me-awreni.: aomewmo-Aasere> CITY OFCOSTAMESA - BUILDING PERMIT PERM NO: E 045986 PERMIT NO: E 045986 PLAN CHECK NO: N .'GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT SOB DESCRIPTION OFFICE T.I. SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 / COMMENTS: RE: BM45985 PRIMARY BLDG, 15ERMIT. p' if Y%1ee[kiefifififi fifi Mk MM4kk kfi Mtf fikM kiFMMi[%k kYi[i[iF%IFMk kkieMrtiFMRM1[kiEMMMk M#Mk M1f k4k rtk fiiF if kAeFifNM Z O N I N G R E Q U I R E M F. N T S S E T B A C K S _ 1 ------------- MAIN BUILDING ------------ -- ----- ACCESSORY BUILDING --------- FRIT: FT IN REAR; FT IN 'FRNT: FT IN REAR: FT -IN LEFT: FT IN RGHT; FT IN. ,LEFT; FT IN BERT: FT IN PARKING REQ: PROV: PARCEL; 13966114 ME: REF NO: PLANNING; NOTES> > 4N k1FY aEY dOk fiof klFMef kY of it kY #'41f Nif Y. iFakYielFkiF4NMflaf if kick MifM#kkMkfi MY3EM iewk kaFikYMIfYM NiEaf YMkYieM 41E M D. E E L O P M E N T SLE.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: e M U, to ((�5 k skYish of iF4YYk N* I k to Iif so �ANfifiOfNMkiax.kiF F `A'k MM MMIEkkrtlElf%iF3fYie if lllYif Yff NafNk rtlFkM!FEFk X -M %MMIEia IFiE kIIkM Ffilffififik M4iFIf 3f MiEMYMef if aFlFMlfNMx %3tM3f%k 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 68.40 50% SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ----> 68.40 15.00 0.00 83.40 83.40 .00 REVENUE DIVISION TOTALS--> COLLECTED: 83.40 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 83.40 N kiFM%Mk.kkffiFYlFM%MkklFRXMkkiEM k%ifkY.iEk RiifkMafMiEM%fififi xfififififififi k%MA%kkka`FMk3EMif ifMMfi MMif Ykif! I N D I V I D U L F E LP 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 GLC 6 FIXTURES, LIGHTING lr ST 20 EA. .75 I 4.50 ELE 20 RECEPT/OUTLET - 1 ST 20 EA. .75 15.00 ELE 7 RECEPT/OUTLET ADDITIONAL EA, .45 3.15 ELE 11 RECEPT/SWITCH 1 ST 20 -EA, .75 8.25 ELE 1. SERVICES BELOW 600 V & 200— 1000 AMP 37.50 '37.50 END OF FEES ' 01 00053613-08053613 TOT '83.40 BBIE7 02/07/90 TIME: 13:18 - _ CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector POt.-- 6 SPA APPROVALS Permit # .Date - Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement I 3. Electrical Conduit OtilityUndrgrnd. 54. Forms .4 -Electrical Conduit-Undrgrnd-.,- .1 55. Electrical Bonding r 5: •Steel Reinforcement - - 56. Rough Plumbing & Pressure Test 6. ElectricalUFER: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 (�D' . Fencing & Access Approval -17. Rough Wiring Sign APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 9. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS . Permit # 20. Rough Factory Fireplace 21.. Ducts, in Structure •- - r . _ 70. Underground Hydro 22. Ducts, Ventilating .- 71. Product Piping 0 Gas ❑Oil 23 Gas Pipe -Rough & Test - 72. Underground Flush ' 24" Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing• i+ -' 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 3, 1, 0. FOOD CERTIFICATE ISSUED •- _ 33. Final Electric s,1 xev otes: 34. Firial 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 - F 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 - Applicant to RB In an macer except them within nervy border lines and pen all appropriate' declarations. CITY OF COSTA MESA PMIT TRACT NO. LOT NO. BL CONSTRUCTION PERMIT _ C — 7 1 3 Reinspection Fae ProjocF AddressC p Applicant's: Wiling Address 7f/!(/L/L—v illalizOI'c. Owneri Name SuIti CUi—U\ vM1on¢�?C��9n L71 TYPE OF CONSTRUCTION. NEW ADD ALTERATION REPAIR ' 1-1CONVERSION 13 DEMOLISH OOTHER DESCRIPTION OFWORN A.P. go 5 Main Bu $251 Address S7T�f� L.. A k/ ii4 1s 1 T B A C K TYPE OF PERMITaRADIrvG FOUNDgTION STRUCTUIIAL 1:1I� TENANT yatLECTRICAL 0 PLUMBING O MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO FT OCCUPANCY— CONSTRUCTION TYp VALUATIONS ZONE GRADINOCU.YDS. ACRES Front Arch/Eng, Li[¢ s¢No. Address Rear Right K sn p Con Vactoi s Neme hone Loh Addresslmaillnel City Lic✓ne¢No. ping. fulL Remarku Perking Req. LICENSED CONTRACTOR DECLARATION I hereby certify that 1 have read this application and state that the above tIsyyL� I hereby affirm that 1 am Ilexnsed under provisions of Charter 9 mommaneing With Hellon 70001 of DIVlllon 3 of the Bupneu and Mofesslons Code, and my license is in full farce and effect. /:f</ / ends Claes s r'i 511 ` OD[OQBOB BTU OIOD,goo BTL User of Buildi PLUMBING FEES _Planning Not --ppccTT��� qq//.. lam be. Bar Sink Showers Dau % RKERSICCOMPE�NSArTION DECLA Backflow Presenter ServiW Sink fleinspenion Fee $p$ Issue Fee :MP 0861 rev. 7/63 V1- Applicant; pink- Accounting; COPY affirm that I have a certificate of combat to HlHmure or a consulate of Workers' Compensation Insurance, ora cartilloca ropor thereof I Full 380-0, Lab. C.) /terv/ Backflow Irrigation Sewer Cap Policy No. COmpan `• w� RL eCertified copy is wherebrurniEM1eo. Bathtubs $ewe! LOan¢Cllpa AIntomd Calcium copy Is fMd With the city Building Division. ,is Applicant Clarifiers Beer Collection Cons[he EXEMPTION FRDM WORKERS' COMPENSATION DECLARATION 1I SO On nmd not be wmpleted if the :tis far one M1u VO ar Dishwasher - Cracking g Stls le<ertifv that in the performance lie work for Icn s pe a bsuad Drinking Fountains er k Dishcity wnail nota pl Y Y Person in n man fact to the ork�ipfa�a Sw o onforn' a Floor Orcins Data ff I9n [off NOTICE: 11, after making this p sudlOG t a Floor Sinks rHP r Workers' Compensation Provinces eof the Labor cc a, You in IS } with omply with such provlsians or this Permit shall be deemed r yoked. Gas Service OU nor Water Closet CONSTRUCTION LENDING AGENCY y of the work that for thereIs this permit Constructionlending Issued p(Se[Kon for 4,3099 fCIv.ansion C.I Inlerceptory 'Naar He Conger's Name Kitchen Sink Lbrindi Address Leve OWNER BUILDER DECLARATION 1 hereby affirm that lam exempt from the Contractor's License Law far LM1e wholly off not more than five hundred dollars (3500). - v..—... - - - Reinspection Fae $25 IswO Fes H1, as owner of the property or M employees.wlth wages as their sole m pfndsllpn Sell do the x rk, and the structure Is not Intended or vlforeo Sale le l CSI 7044, Business and. Woleeslonal Caere; The Contractor's Leaned Law does not apply to an owner of a property who builds or Improves thereon O who mod walk Imealrearrell through his Or mpio s provided that [n mprovements aro not Intended o offered for HIB. W. nawaver, the building or Improvement Is sold within one year of com- MECHANICAL Bailer Head or Type 1 0 Cdnopy Type l l ❑ Duct- Under Ground $251 patio, the owner will have the burden Of Proving M/she did nen build er ISI rove for ma purpose of 1410). r $ 3 Ouet- BtrucW rel Refrigeration System ruct the prro)ee[ 1$ectlon 70". contracting 6cltorsto owner p oursons Code: The Contractors Ucenm Law tlo s not apply to an owner of Prperty Who eullds Of ImproSO thereon, and Who Contracts lot such pmlecrs With a - Duct - Ventilating DOl00,OgB BTU X11 PUBLIC SERVICES REQUIREMENTS: 2vning APprook; By Application Approved Ry Application IHaeO Byy' ExImustSystem ❑ Mul[ipl9 ❑ System Repair/Alremli tractor(s) license pursuant to the Contract rY License Lawl. Finpl/Fact. Bit. ICBG $ ❑ 1 am exempt under Section B. A P. C. for this reason Data Owner Heating System B Ducting I hereby certify that 1 have read this application and state that the above tIsyyL� OF FEES SMIp $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING $ MICROFILM S �J '_ TOTALFEE $ _3. go OD[OQBOB BTU OIOD,goo BTL inlarmatlon L 1 agree in mmoly wlin all clay and county ordlharder and tate Ni role t build s[r tlen, and M1ereby ulhprize p a entativn oft Ry to the bevents n to pan prop 4,y io in.pee n p pea . endednal Dau % Drivers"Lcened or ss M $ 3 fleinspenion Fee $p$ Issue Fee :MP 0861 rev. 7/63 V1- Applicant; pink- Accounting; Goldenrod - Assessor - Fan A.U. switches 7551 IC/E'I/n" Park.Fees ELECTRICAL Transformer 01550 KW 0504, KW Mater pup m I Names Maar ❑over 100 amps Sub Panel Motors 0D1 HP 01 R - B FEES u� $ 3 Reinspection Fee $251 low Fine $ 3 FEES PUBLIC SERVICES REQUIREMENTS: 2vning APprook; By Application Approved Ry Application IHaeO Byy' Dote Dote Dat BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK SUMMARY $ If $ $ $ S $ S OF FEES SMIp $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING $ MICROFILM S �J '_ TOTALFEE $ _3. go - $ 3 Ah - CONSTRUCTION AND PLANNIN APPROVALS Permit# - Date Inspector SPA APPROVALS Permit# Date ' Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.r Electrical Conduit Utility-Uncirgrhd. 54. Forms 4.' Electrical Conduit: Undrgrnd. - 55. Electrical Bonding 5.1 Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.`Electrical�UFER Grnd. _ 57. APPROVAL TO COVER-GUNITE r 7. -Footings I - 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 r 62. Backwash & Receptor -Final 12.Sewer Cap 63: Heater & Vent -Final 13. Roof Drains J 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 ', - t • 73. Undergrnd. Storage Tank ❑Gas 0Oil 25. Roof Sheathing ,L 74. Overhead Hydro ' 26. T -Bar Ceiling (Structural) & Monocciat 75. •Dry Chemical 27. Frame and Flashing 76. cDry*Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing k I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat." 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FO9D CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning r 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. Special Requirements Completed 49. Electric Release to Edison - { 50. Gas Release to Southern California Gas Co .- 51. CERTIFICATE OF OCCUPANCY No. Date r } , , Applicant to Ra In an spaces except those within nave border linea and nen all appropriate declarations. Reinspect Fee $15 Reinspection Fee Boiler Duct - Under Ground FYr V) CITY OF COSTA MESA ONST UCTION PERMIT Project Address e. P MIT NO _ Sig q b TRACT NO. LOT NO. UNIT Hood or Type ❑ Canopy Type II ❑ - ��1H-'1CI�i1 �a�� Applicator's Mailing Address {—L_LJd/ tL 0A CI Owner's Name Pllpnes Address TYPE OF CONSTRUCTION J NEW LI ADD I ALTERATION LI REPAIR CONVERSION ❑DEMOLISH ❑OTHER DESCRIPTION OF WORK/USE OF SLOG. ❑ I am exempt under 5ectlhn 0. 6 P. C. for thlsreason A.P.# - BUILDING PERMIT PLAN CHECK PLUMBING PLAN ICHECK 25% ELECTRICAL PLAIN CK 50% MECHANICAL MECHANICAL PLAN CHECK 25% Heating SVstem & Ducting $ Mein Building: '— _ Accessory Building: Arch/Eng. License No. TYPE OF PERMhr�.{/, ��❑GRADING FOUNDATION STRUCTURAL ❑ TENANT LLY'E LECTRICAL O PLUMBING ❑ MECHANICAL OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY TYPE VALUATION$ Fire Dampers E T Front ns- Kszyt ._ Address p Rear $15 Cantrell Nam - G pbune64G-ZVD C RlBitt Issue Fee _ Address lmn 1-111 til t (eP-Gue� n' g Left 1�779e Na. Lir City LICENSED LICENSED WNTRwcTDR DECLARATION ZCONSTRUCTION 20NE OggDING CU. VOS. ACflFS Ping. Ret, 0 Parking flap./Prpvitl¢tl _ Remarkvslq (6 Planning Notes: I hereby affirm that I am licensed under provisions of Charter 9 (Commencing with section 70001 of Division 3 of the Business and Purfessiom Code, and my license is Into fo, lid efmct. -1l J IJ¢¢n lass Chile 1 -v S1gO0 [Q4-� PLUMBING FEES , FORKERS' COMPENSATION DECLARATION ereby affirm that 1 novas onsHic01e of COOem to self -Insure or a certificate Bar Sink Showers ELECTRICAL Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Translarmer ❑ 1550 KW ❑ 50+KW workers' Compensation Insurance, or a certified copy thereof (Section 3s0o. lab.�a lam, C.1QlINUq! PoIICy No: !Company�Ni�. Backflow Irrigation Sower Cap ce.Uned c pv Is neraev mrn¢ned. rI tlf�¢rL opus yMetl wi[n tM1e dlY gdpying pivl Bathtubs Sewer Connection Cooking Unit Meter 13up to ilio amps Ate =T/�XS m Clarifiers Solar Collarbone Dishwasher Meter Dover 100 amps. COMPENSATION EXEMPTION FROM WORKERS' COMPENSATION DECLARATION KERS' Iess�s Action need no[ be comoBled I1 bine permit Is for one hundred (SI001 or 1^ ll certify that in the performance of the work for which this Permit m it Is Issued 1 manner person as to became subject lire anotemploy . any Laws of % anyC,Ifio Workers' Com DishvRsher Solar Piping -Dryers OGas QElec[ric Bub Panel Drinking Fountins Solar Tank Fan 110-1a Motors 0-1 HP ❑1% 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 139-15 HE 1116 Date Signature NOTICE: Hp after making this shaped 0o, YOU should becomes'blect to the Workers' Compensation provisions f the labor Code. You must forthwith comply with such provisions or this permit shall be deemed reeked. Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closes Device Boxes Palo Light CONSTRUCTION LENDING AGENCY I hereby aflm lrthat there is a construction lending agency for the peromenG of the work /Or which this permit Is Issued (Second 3097 on. C.1 Langer's Name Interceptors Water Heater Outlets Range Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from Ne Contractor's License Law for the following reason (XCIIon 7031.5 Business and Professional Cade: Any city Or real waits reaa permit to construct, When. Improve. dem011sa or pair any structure. prior to qs Issuance,80 requires the applicant for such permB o file a II d statement that be/she is licensed pursuant to the Pro ane ^of Kitchen Sink Water Service " Switches Sign Lavatories Auto Wash Garbage DIspOWI Standing Sections P-T.rep laundry Trays Generator 130.5 KW 17615 KW Trash Compactor goof Drains CMF 0855-46. rev. 10/84 White Building: Canary Applicant; Pink -Accounting; Goldenrod - Anel Z O INN G D M T $ FEES Issue Fee I'll., Ly ofvnoterni'ban fivevhundred dollars l$5o.U1- .....- ._ - .... T, a r of he property 0 y employing with wages as thir sole ` ime` will no the rk, and pre structure Is not intended o offered for salevf See{ion 7044, Business an Professional Cade: The Contractor's License Law 0 does not apply to an owner of a property who UMIdS ar improves thereon. and who 00 h work Mifflowkersell a throw his Or her Own employees. provided that such improvements are not later ad or offered for sale II, however. the training Or Improvement Is said within One year Of of Station, the owner will have the burden Of proving heA S db not bulla or Its for me pure OH of See). ❑ 1, as owner of the property. am exclusively contracting with licensed mO- IT," tractors to Construct the project ($ef[len 7044, Business and Prote351ops Code: The Contractor's License Law d who contracts tem an of property who e� prows thereon, an projects Witt h Deodoruilon'insurance `should peg am aware than Drool of their Worker'sprovided m Reinspect Fee $15 Reinspection Fee Boiler Duct - Under Ground IANICAL Duct Structural Duct- Ventilating ExhaustSYSRm ❑ Multiple ❑ Hood or Type ❑ Canopy Type II ❑ - Flrepl/FaCI.011. ICBG# ❑ I am exempt under 5ectlhn 0. 6 P. C. for thlsreason Data Owner - BUILDING PERMIT PLAN CHECK PLUMBING PLAN ICHECK 25% ELECTRICAL PLAIN CK 50% MECHANICAL MECHANICAL PLAN CHECK 25% Heating SVstem & Ducting I batch y Cattily that I have read this application and state that the above inform etlon Is correct. I agree to Comply With all Ciy and county ordinances and to laws relating to building construction, and hereby authorize repre upon the aavemenlioned property for enbllv0 of rulelily to a h $ $ $ $ S —�_ $ System Repair/Alteration ❑6100,000 BTU 0100.0005111 Fire Dampers Inspection P �. Signatwre Daaa�—� Drivers' License or 55 4A RegistaN Reinap ton Fee $15 CMF 0855-46. rev. 10/84 White Building: Canary Applicant; Pink -Accounting; Goldenrod - Anel Z O INN G D M T $ FEES Issue Fee S 3 Reinspection Fee $ls Issue Fn $ IANICAL FEES DEVELOPMENT SERVICES REOUI REMENTS: Zoning Approved BY Building Approved BY _ Application Issued By essioLsolS ssississ Dote Da1:1b Bele Z Hood or Type ❑ Canopy Type II ❑ - Refrigeration System 1111100,000BTU 13100,WDBTU - BUILDING PERMIT PLAN CHECK PLUMBING PLAN ICHECK 25% ELECTRICAL PLAIN CK 50% MECHANICAL MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ S $ $ $ $ $ S SMIP PERMIT ENERGY P.C. GRADING MICROFILM TOTAL FEE $ $ $ $ S —�_ $ System Repair/Alteration Fire Dampers RegistaN Issue Fee $ 3 CONSTRUCTION AND'PLANNING APPROVALS Permit'# Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1 -Temporary Electrical( Service or Pole r 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. Fl uhdation 59. Gas Pipe, 0 Undrgrnd., Test 9. Wafer„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 I 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 1.5. Rough Electrical -Conduit Al66. Solar System -Final 16. Rough Electric Wiring Z . Fencing & Access Approval 17. Rough Wiring Sign : APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 9. 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 77. FIXED SYSTEM FINAL r 29. Insulation 78. FIRE PREV. FINAL i 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 'r 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final A0. FOOD CERTIFICATE ISSUED 33. Final Electric Z� tes: •�1 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 _ ti• 43.. Backflow Irrigation - '44.• Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE&BUILDING •-�' 48. Special Requirements Completed ��• r 419. -Electric Release to Edison - i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ,-•� APPucam to nn in all UrIon except mow within neavr borde/IMes and signal appropriate aeMVanpnz. 691y III/1//I: . CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. ' �y 9' - TRACT NO. LOT NO. .3 V UUs` Project Address I Applicant's Mailil�g )Ayslmea I'/IYCDO I52 - 'Po 7-=SS/S Comer's Neme.-�+-3 M1 Oe TYPE OF CONSTRU ION LJ NEW ❑ CONVERSION ❑ DEMOLISH DESCRIPTION OF WORIS Off.Aa'' m0 U LJ ADO ALTERATION REPAIR ❑ OTHER —--�,- of T' fPy=r't f'� n I a t0 i A.P. Zona ' S Main Building : Accessary Building: Z (t 'O \ 1 Addrea I �O 1 L 14e TYPE OF PEflMIT GRAOINGI-I FOUNDATION STRUCTURAL ❑ TENANT �ELECTRICA44 [_I PLUfre�BIND1 ❑ (p�+ECH(1wI•yCAL I� �,,//�� ❑ OTHER ee3kc-a*t Dy1 !� G[Ly OL1�-=YS PROJECT DESCRIPTION' SO. FT, OCCUPANCY CONSTRUCTION TYPE VALUATIONS ZONE GRAOINGC0.V05. ACRES L Remarks ayt� U%8 V E T' Front O N ArOh/Elg iTP� �S Licence NO. Address e - B A gBef 1 R C Right G Ch starNam �-5 Ur• hgne %7O'D74z 5 Left E Address lmeilingl 2 O r City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am IIwnSM Under provisions of Charter 9 (Commencing with section 70001 of Division 3 of the Business end Professions Code, and my license In full V and effect. mw0 uunN cl f 15- 3 11 Ping. R01.+ Park.Fees$ Parking Rep.JProWded Q U I llze of Building: g: R E PLUMBING FEEB Planning Nutlet: M Dam /a/i xx Signature Q� WORKERS'YOMPENSATIONDECIARATION Bar Sink Showers T Backflow Preventer Service Sink S weryaffirm that l Ina"a cnWinbofmnsertto ulf4nsure OracA011Gtr Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Irrigation Sewer Gp ELECTRICAL FEES ..e00, cab. C,1 J/..'R -A 3-l2 �bmwnv FU�n Policy Nn. eCemfiea copy is hereby furnished. Car SSlrrxOx<//eell //ee�� ljj�led wRn the cls B{kJ�e l�p (Vision /f DVN Aua�Applicant ^wDPy Bathtubs Sewer Connection Automatic Washer Construction Pole Sub. Transformer ❑ 15.50 KW ❑$G+KW Clarifiers - Solar Collectors E%EMPr110 N FROM WORKERS'COMpEN6ATIpN DECLARATION 1TssN%cllOn need not be Completed If the permit Is fur Ona hundred (41100) Or Dishwasher Solar Piping COOkiO Unit - - A Meer ❑Vp t0100 amps -' Drinking Fountains Solar Tank Dishwasher Meter Dover 100amps, segtoo thatIn the iperformanCo of ythe work for which this Permit Is issued I workers' Compensation Laws of CaIlfoMa,er as m became Subjected the Data Signature s Floor Drains - Swimming Paul ill Dryers OG9s ❑Electric ,Sub Panel _ NOTICE: N; after fang this Ceclandoq you ihOUld becomesublect to the Fiber Sinks Urinal Fan - - Motors ❑O-0 HP ❑l%- B - Workers' COmameaton provisions Of the Labor code, you mus forthwith Coply With Such provisions Or this. Permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closer' FAM, ' Inc. SOWr°❑94E HP❑1645+ - I Interceptors _ Water Heater Fixtures 'IMicmxeve I'etbyaHlrk that tfor here IS a constructon le IsaogJgency for he PeHnv0 ce he PermitKitchen Sink Water Service Device Boxes . Pole Light (antler's Name Censors Address' OWNERW.,DER DECIA RATION Lavata.ies Outlets Range ' 0 1 hereby affirm that I am pt from the, Contr CtOTY IJGries Law for the allOwlnW on (Section 7031.5 Business and Professional COOS: Any city or county hich requires a permit to construct, atter Improve, demolish or repair Issuanat ce, rpsuch Permit to IIeaturedpriortoo Its Ilmnsa0 the applisuanttot for ons of p-Tfe P - Switches. Sign Roof Drains GerbepeAisposal Standing Sections ' Generaror ❑65 KW ❑515 KW Them Compactor - the Contractor's License Use (Chapter 9 [commencing with Section Till of 'ONlsion 3 of the Business and Professions COPa)Ar than he/she IS exempt :herefrom and the bails for the alleged exemption. Any lolatrun of Suchen 7031.5 by any applicant Por a permit z blects-the applicant to chair allyofnot more than flop huntlred tlollar5155001. MRS. c t property o y emm0yees with wages their sole mPOn i loo Twill do the Work, and the structure IS not Iended or offered fo. le ISeatin 1044, Business d Professional Coda: Than Contractor's License Law does not apply aN y to an owner of a property who builds or Improves and h0 does h Work himserfAerd through his or her own employees. provided that such Improvements are not intended offered for M. u, however, me bulminp Improvement Is Sold within one year Of cam. piathol, the owner will have the burden Of proving he/she did not build Of Ise. werfor the Fl. flelm tl'mn Fee PB I$$5 issue Fee E 3 e'"Tu RginipeRien Fae E$5 (sun Fan $'3 MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zoning Amved By nss pp Application Approved By Date Application lsued By Data Boiler Hood Or Typal Elthereon, Canopy Type I ❑ Duct- Under Grountl Duct- EVuctuul - Refrigeration System as owner of the crestless, am exclusively Ventilating Rh licensee can uae0rste Construct the stoniest `fl alieon 1044, Business end PvofedlOns Code: The Contractor's LJmna Law 0 1 apply to an owner f. r perty. ho. builds or Imlamves thereon, and no cotracts for such pmleci with a con- IractCUR) license pursuant to the Contractor's License Law).PLAN ❑"ram exempt unser section B.9 P. C. for this reason Duct- Ventilating OG1C0,000 BTU ❑100,000 BTU BUILDING PERMIT CHELK PLUMBING PLANCHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK SUMMARY OF FEES - $ SMTP - $ $ - PERMIT IS ISSUANCE $ $ ENERGY P.C. $ $ O GRADING S $ MICROFILM $ —ply-✓� $ TOTAL FEE $ $ Exhaua System ❑ Muhiple ❑ System Repair/Altencion Firepl/Fact.04. ICBG+ Date - Owner Heating System &Owning vO1W,000 BTU 0100.00013 hereby Certify d that i have read this apRuuon and Vale that the shore enfo state lse tt: 1 gree to comply With all city and county Card Rental d tate taws rating to building construction, and hereby author ze repro- Notation of this scity t0 me about-mOeNoned pro it for tSignature 0 (p B3 Drivers' UunN or SSS Reinspection Fee Ea Issue Fee $ 3 CMF 086546 rev. 1/93 White- Bulleingl Canary- Applicant;Wnk - Accounting; GOldOnrou- ACOSSOr - -- '- - - - CONSTRUCTION AND PLANNING APPROVALS.-, .Permit #' E`119 E, .Date '' Inspector: POOL.. SPA _APPROVALS Permit - Date . Inspector I.. Temporary Electrical .Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. C+ 53. Steel Reinforcement 3. Electric ah Cond6il' Utility-Undrgrnd^ 54. Forms - • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding. 51 Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. ' ; ' - - 57.. APPROVAL TO COVE R -G UNITE - 7. Footings _58. Electrical Conduit-Undrgrnd. - �• B. Foundation i_: � _ i i _ 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. SeweriCap 63. Heater & Vent -Final y 13. Roof Drains.' . 'j - 64. Plumbing System' - Final ' 14. Rough,Plumbing ,-• - 65. Electrical -Final ,r 15. Rough Electrical -Conduit - 66. Solar System -Final 16. Rough Electric Wiring /0 - 67. Fencing & Access Approval • 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough -Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL q. .Rough Heating &-Air Condiiioning FIRE DEPT. REQUIREMENT APPROVALS Permit 4#- fflh�kough Factory Fireplace 21. Ducts, in Structure 21. , 70. Underground Hydro 22. Ducts, Ventilating .1 71. Product Piping O Gas O Oil 23. Gas Pipe -Rough & Test .�I 72. Underground Flush 24. Roof.Framing _ 73. Undergrnd. Storage Tank OGas OOil 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:.Ins ulation - 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 - /O//+ Notes: 34. Final; Heating & Air Conditioning- I r 35. Final Gas Pipe -Test' 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. Backf lows Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ( - 48. Special Requirements. Completed r I I I 49. Electric Release to Edison -; -- - -- - ' 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000227 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue #Cr3 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group _ Ti -7 Occupancy. Use of Building Offirb Rtti lrling Legal Description 1.3Q-171-14, 1�1. 29 (See reverse side for Metes and Bounds) Building Permit No. B-2268 Electrical Permit No. E-2635 Plumbing Permit No. P-2379 Mechanical Permit No. M-3753 Number of apartments —� and/or guest rooms —� ISSUED TO: Building Official ✓� — /`(2=\vT77N Caflltridge Park Partners by 1301 Dove St. 0760, Newport Beach, CA v' Date 9/ 9/dam This Certificate of Occupancy SHALL BE posted in a conspicuous place on the .premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/e3 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File APPnea p to ml In an $wads within heavy herder lines and sign uuPPro Pllala declarations. 'CITY OF COSTA MES,) "' ST MIT NO. 'ol ' N_ LOT NO. BLDG. NO. - - - - - CON$TRUCTION PERMIT /o� 8 G.3 ,(7 of TYPE TOF CONSTRUCTION II gp ONEW ❑ ADD ❑ ALTERATION ❑CNSION OVERODEMOLISH OTHER 077.9 1.11_ I/ 660$4_2 ' ZONING REGULATIONS ProiectAddressS$ f1111dC AVr31Oe Owner Phone Addrea -' Negai®REPAIR Arch/Eng. r4i .. �d_prt,Y, License No. 42 DESCRIPTION OF WORK p Ariz. 139-651-13.1 _ Z Adtlress _ TYPE OF PERMIT ,{./ ❑GRADING fy, FOUNDATION 0$TRUCTURHL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OMECHANICA ZONE I PLNG.REF,¢ SPT Ac ^ $IlO r(,L• 0_160 S&OIA'P01 NE Contreaor Phdne -Address LICENSED CONTRACTOR -0ECLAKAT N 1 hereby affirm thatu 1 am licensed der of Charter 91com- provisions TsectionRR encing with 7000) of Division 3' Of the Business and ❑ OTHER 1 �w' „y G Prolessons Code, and my license Is In full forceand effect. REARYAHu(TOPLI License Class A Ucensa NO. O/-TDT PROJECT PROJECT $GpIPTION E51C ���•r OCCUPANCY -7 CONSTRUCTION TYPE- PKG.SPACE REO. 592 STREETWIDTH qnl PROVIDED - 672 PARK FEES Date Signature WORKERS' COMPENSATION DECLARATION- I hereby affirm that 1 have a certificate Of consent to ro flmure Or a VALUATION Z77y„idna? ZONE ZONING APPROVED R GATE cu,HvocaN Of Workers' Compensation Insurance, or a callfled copy - GRADING'CV. YDS. ACRES SPECIAL CONDITIONS: /(Getst19�30QQ��:QrC.1. MCA y (.0{I1i{1Co'mpany 1''TPI-srls'inh-Tnlfght, L Certllletl copy Is hereby furnished. -- REMARKS: � WaD11ed copy Is filed with the city Building Division. a �J HOLD FOR SPECIAL REQUMEI'6FMC EXEMPTION FROM WORKERS' COMPENSATION DECLARATION .J sr'? motion need not be completed if the permit Is for one huntlred ' (((This 55 in _ ft"Pty ttlat the performance Of the Work for winch Ws Permit b Issued, I chall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Subject to the WIXkarS' Compensation Laws Of California. BATHTUBS SHOWERS _ QWI,LI-Vd IT So IT Date Signature NOTICE; If alter making this declaration,Yu should become subject TOILETS PURINALS - GENERATOR 0-I KW— KW t0 the Workers' Compensation Provisions OI the tabor Code, you must TRANSFORMER forthwith comply with such provisions OF this permit dull be deemed LAVATORIES DOUSCE LAVE APPLIANCE 10A0 KW_50+KW coked. - CONSTRUCTION LENDING AGENCY -KIT. SINKS OISHWASHERS� j MOTORS 0-1 HP -1-10 HE I hereby affirm that there Is a construction lending agency for the pen SERVICESINKS SUMPS UNC.SOLAR) 1050 HE�50+NP introduce of the work for wisch.IMs•permlt is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES - OUTLETS iSWITCHES Cera C')' \ Lancer's Mine lls"Sa9D3o >9aztY a - LCbtle/'s AddfMs _ KINKING FOUNTAINS GAS TUBE SIGHS - t Civil I hereby affirm that I am exempt from the Contractor's License Ldw'for IrviERCEpTONS �tCLARIFIERS:. q FOLE LIGHTS, "- SWIMMING POOL PTRgP - ction 7031.5 Business and'P essions Code: the following readsn Iyco Any City O' County When requires a permit t0 construct, alter, POLES METERED ISUB WATER SERVICE ALTERATION PANELS MAIN SUB Improve, demolish or repdp any structure, prior to its Issuance. also re- T Permit to file a.cigneetement that he gtaresthe applicant for 6A GAS SERVICE. ' SERVICE AMP Is llcamoni WrsuaN- to the provisions Of the Contractor's Licenses UW I�a3Pter 9 emorminfung' With Settlon. 7000)-of.'Olvldons3. Of the, ^OUTLETS - - WATER HEATERS BTU OUTPUT - - - NN..�' yens and Rdessions Code) or that.he'Is exempt therefrom and the @r�. , for the alleged a mytlrol Any initiation Of Sectio` 7031.5 by S "dpPTlo n[ 101 Meats He Cddt l0 all -per iltY Aefmlt poll 'i`not a than rine hummed otlars SEEM_ SEWER CONNECTIONS SOLAR TANK COLLECTORS ' eloes with wages as their ❑ I, as owner ol.the propCrty. or mym Vye sole commnmtloH; will do tha•wock, and1ee structure is not Intentle0 Or offered for sale. (Yction 7044: Business andProfessions Code: The SOLAR PIPING SYS. 1 - ISSUE FEE ' r 1 property Li as w o Conwhonector's cense Law does at ap ISSUE APPLICATION APPROVED BY DATE buildsorandply whoto o s, r!o at such Impdoes own employeeroves through aenarenot provides trial ms MECHANICAL, - )PLAN CHECK '�; SUMMA RV OF FEES Intended or offered for sale. H,.howeveq the building Or improvement is said within one year Of completion, me Owner Will navgthee burden f moving for did, t,bWIP prove for the purpose f le).. _ r- BUILDING: a • 'exchadvely' s HEATING SYSTEM' U-100,000 BTV PERMIT - E�6_ SMIP E ❑1, -at owner roi the property,'am contracting With ANDGUCTING licensed contractors t0 construct the prOUtt ($ectlOn 7046, Business 100,000+BTU - PLAN CHECK S PERMIT and PrOfasions Coder The GentractprS License Law does not apply t0 ISSUANCE E an owner of property whobuildsor Impression handed, and Who can. REFRIGERATION 0-100,000 BTU" PLUMBING $ tracts from Such projects with vaGIOUs) Ilwsned pursuant to SYSTEM - - GRADING $ the COnneCtorrs License Lawl. 100,000+BTU •11^, PLAN CHECK S ❑ 1 am axe m i under Section B.8 P. C. tat this BOILERS BTU • ELECTRICAL S E ream SYSTEM REPAIR, ALTERATION r.PLAN L CHECK E MICROFILMS TOTALFEE$ Dates"M�-" O MECHANICAL $ 'copes ar I herebyve d t l ve nth EXHAUST SYSTEM MULTIPLE LESS ADohereb AD. I mply all city d county ply Ian dll city lid Coit 'PLAN CHECK b LESS E.rolnaws. 1 t autuorlxe r Pona the bove reresrtto ter upon the above Honedpropern$Ignatu1FINAL REE $ ISSUE FEE ' CMF 086546 WMIe-EuRding: Cendry-APheana:Pnk-Aewuntingi Goldenrod-AMPOSSE ✓\ CONSTRUCTION AND PLANNING � --g� G�Y/ V N` 4. APPROVALS Permit # Date Inspector c POOL & SPA - - - - APPROVALS Permit # Date Inspecior- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Pipe 44. 44. Steel Reinforcement - -- - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Rei n orce' - to.;LS, y. 47. Rough Plumbing & Pressure Test 6. Electrical U ER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 0. 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51.- Backwash Lines P-Trap. Elndr rn 10. Structural Floor System SLa _a- a 8717 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54..- Heater & Vent-Final 13. Rough Plumbing - 14. Rough Electric-Conduit -,56..-Electrical-Final 15. Rough Electric-Wiring 57: -Solar System-Final - 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathing 3--6-got NOTES: 22. Frame and Flashing 6-.'1-Sam 23 M 23. Insulation (�,W4 _ _ -PL qs.f-c - /X _•'V 24. Lathing & Sidin S-� S B M S 2 a Q 25. Drywall Nailing _ _,A� 13 ry"\ 144 C 214 (- - 8 26. Plaster Brown Coat. _ 1. .-�. - x..• �a � 27. Electrical Power Meter-Final.9A Al2tL 28. Final Electric - 1 Nor a We :' r 29. Final Heating & Air Conditioning -qct •p 30. Final Gas Pipe-Test 2 e $ 31. Final Plumbing .,a(• / /R o 13 Q 32. 33. Water Service-Final Gas Service-Final _4 /24 a2- 34. Solar Domestic-Final 56-92 $5. Landscape S rinklin System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING t�- 39. Special Requirements Completed 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY - No i Date / '��✓G. /Ue .,hK Assistant le fill in all &pace[ within heavy border lines and sign all mmopnate declaration. R] CISTV OF COSTA MESA PERMIT NO/. TRACT NO. LOT NO. BL//��G. NO. - -- g(� CONSTRUCTION PERMIT �— is -j 2000' 2/I'I/BPS,. 23.76 fpYTa TYPE OF CONSTRUCTION [ NEW ❑ ADD ❑ ALTERATION OREFAIR MCONVERSION DEMOLISH ❑ OTHER pp ZONING REGULATIONS s' Projecl Address . — {ECRL V Owner (Y, to -AT Phon(e " AJEr¢6 Q T G0 /V -B. ArcFlEng. E License No. S DESCRIPTION OF WORK - AOtlrde L - ZONE PLNG.RgOl fnntractor KCyVO -, PFunE TYPEOFPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑TENANT.' ELECTRICAL OPLUMBING Ofifill ICA 5 T IC T. 1 VgRD yAlflu iipp ggVV1�L�ppI GNE PROF[RT� Address 'Z _ ray" LICENSED CONTRACTOR DECLARATION - I hereby aflrm that I am licensed under provisions of Charter (com- ❑ 1 T mencing with tion 7000) f Division3" 1 the Business d FFdtenlons Code, and my license 11 In full force and affect. OTHER REAR YARD (TO PILI /0 PROJECT DESCRIPTION LlGnzeCq/�� license ?c Sq' `T' OCCUPANCY—CONSTRUCTION TYPE PKG. SPACE REq. STREET WIDTH PROVIDED PARK FEES ����� Date1L�Z:ZiJ! Shptum - WORKERB' CDMPENSATION DECLARq' 10- - seef4O[unr a I !le!¢bY afllr W that 1 no,, a certllleate of n0 t VALUATION —ZONE ZONING APPROVED BY GATE a "`fleoto Of kers' Compen5atlan Insurance. ! ri Hled copy GRADING CU. YOS. ACRES SPECIAL CONDITIONS: 1 (Section 3800 told C.). ✓P Ce, :Y No. 4/ /SSZV/z/PymPenv /'m,, /A/G- ❑ Certified Copy is lureby lumished. REMARKS: .-'L-L 11Certlned Copy Is vied with the City Building Division. tl III EXEMPNON FROM WORKERS' COMPENSATION DECLARATION Section netl not be tomenta If the Permit Is for pan hundred 1This 1 EC& iliry M1at in the performance of the work for Which this permit Iissued.ississued.I Shall p Shapely any Person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation laws of California. BATHTUBS SHOWERS Pule Signature NOTICE: If after making this declaration, YouShouldbecome subject TOILETS _ URINALS GENERATOR 0.1 KW_ 1-10 KW to the Workers' Compensation provisions or the labor Code, you must TRANSFORMER forthwith comply with such provisions or this Permit all be deemed LAVATORIES DOUBLE LAVE APPLIANCE 10-50 KW— 50+KW " Weaken. KIT.SINKS DISHWASHERS MOTORS O -I HP_1-10 He CONSTRUCTION LENDING AGENCY I hereby at9rm that there of a wnstructlon lending agency for the par- SERVICE SINKS SUMPS (INC.SOLAR) IOdO HP 50+HP torment¢ of the work for which this Permit Is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES .,OUTLETS' SWITCHES Civ. C.). under& romp Lendol5 Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNERBUILDthat ER INTERCEPTORS CLARIFIERS POLE LIGHTS I wil,ampt gramme Comractal Liolor Law for SWIMMI NG POOL PTRAP tfle IOIIOWIng reason (YCIIOp 7031.5 BU[IO¢[5 and %Ofes[IOnS Code: Any city o county which requires a permit to Construct, alter, P LE METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB or any prioro re osigned toIRatament ts ance,als quires the ap.11ant fosh r Suchdearr ri tu111e Me .N, Is licensed Pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE H AM %IPSir `pte[ 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Aa less and RMasions Code) or that he ISexempt therefrom and the . for the alleged exemption. Any IONtion of authors 7031.5 by7/111 SEWER CONNECTIONS -F r3 any applicant for permit subjects thin applicant to a civil penalty jive bi of a than hundred dollars (il SOLAR TANK COLLECTORS El 1.as owneremployeesd with twlllproiM1tywoor hturel wag as thelir of rkmy the i cole.or offeredBusiness and Roteulonls Card; The holoaw dfractorT SOI -All PIPING SYS. ISSUE FEE s Lind( d ¢s44Otapply-[aownerroperty ework who builds o es thereon, and who does himself or ISSUE FEE APPLICATION APPROVED BY DATE through his own employees. Provided )hat SUCK Improvements are not MECHANICAL PIAN CHECK SUMMARY OF FEES Intended or offered for ala 11, however, the building or Improvement ssold within one year of completion. the owner will have the burden f proving he did not build or Improve for the purpose 01 le). HEATING SYSTEM 0� 100,000 BTU BUILDING PERMIT SMTP y E of the prosect m kdusirel contracting with ❑ 1, as owner y, a y AND DUCTING E IlcenHd coninC[ors to Construct the project (SA: IOM ]044, Business 100,000+BTU PLAN CHECK S 'PERMIT and ROleisbni Code! The Contractor's License Levy aces not apply to - ISSUANCE E owneran of property who builds Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E tracts fm Such-pro)ect5 with a Ctantraghar(S) limned pursuant r0' SYSTEM I GRADING' E the Contractor's License Law). 100,000+BTU PLAN CHECK E ❑lam exempt under acEipn B.B P. C. foribisBOILERS BTU ELECTRICAL Is31.,L'LLQ E SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE C PLAN HECK f MECHANICAL E - MICROFILM E NOTAL FEES LESS AD Dalen - Owner - Ihereby .cetify thata have readthisappilleallon and tate that the abOVe Information i correct. to c itis rill 't an wu t eat ca' Y n y PLANCHECK S VANCE PC E. le lO wnsu ohurine rdinancesandstate laic and eutioned the city to on boa tinned property for this city to tet on propeHy for " o e tion Sl9nalure pate 2-/O �FZ FINAL FEE E D/iver5' Licenm m ISSUE GEE CMF 0665-46 W'llte-Buildh o9:Unary-Applicanp Am k-AtmUnta9t Goldenrodd-Assessor CONSTRUCTION AND PLANNING - APPROVALS Permit # 2% Date _ POOL&SPA'- - - .. - --� �- ''' Irispector APPROVALS I Permit # - Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - -- - - - 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement -- - 3. Electrical Conduit Utility-Undrgrn - - 45. Forms - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - i5. Steelem orce _ - ,- 47. Rough Plumbing & Pressure -Test - 6. Electrical UFER Grn " '48. APPROVAL'TO COVER-GUNITE ` T 7. Footings - - - 49. Electrical Conduit-Undr rna +v 8. Foundation "- - - 50. -Gas.Pipe,_DUndr rn,Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Trap­P-Undrqrn 10. Structural Floor System .. 52. - APPROVAL TO DECK- - - -- ---- - -- - - - - - = • - - ' 11. Property Sewer Line & House Connection' 53. Backwash.& Receptor -Final .'• 12. Street Sewer Connection 54.. Heater & Vent -Final 13. Rough Plumbing - - --••- •--- - -- 14. Rough Electric -Conduit - - 56.' - Electrical-Firial - 15: Rough Electric -Wiring _ - - 57. Solar -System -Final 16. -.Ruugh Heating .& Air. Conditioning _ _ _ -_ • -Fencing &.Access Approval .. 17: Ducts in Structure T9. APPROVED FOR PLASTERING J3.- 19: 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing -- _- _ - _60. POOUSPA SYSTEMS FINAL --- - ° -• 21. 22. Roof Sheathing Frame and Flashing - NOTES:' - 23. _ Insulation .s-?-JftS"L 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27: Electrical Power Meter -Final 28. 28. .Final,Electric 29. • Final Heating & Air Conditioning _ - - 30. _ Final:Gas Pipe -Test _ 31 . Final Plumbing 32: Water Service -Final 33. Gas Service -Final. 34. Solar Domestic -Final 35. Landscape Sprinkling System ' ' 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - - 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY • No.- Date - - _- Applicant to RR in an spaces within Macy border Inez and sign an appropriate declarations. ' CITY OF COS� A MESA -' P MIT [-� TRACT NO. LOT NO. BLD , NO. CONSTRUCYION PERMIT: / — BZZ 01� - " T1fpE OF CONSTRUCTION 1t NEW ❑ADD❑ALTERATION 0. REPAIR 0 CONVERSION 0DEMOLISH - ❑ OTHER AN - �_,P, At b0975 "I,I20/B2 24AC . •l- - - A A - ,sni ZONING REGULATIONS �Pta"ece Aadreassy I AN iOWn¢! - PM1one- Addr¢ AN -Arch/Eng- - - - - Lcense No .. DESCRIPTION OF WORK _ .a.P.3 - --- 'ZONE ANN---'PLNG. PEF. Y{ -A AT tlress- - - - - -- - - _ ' - -TYPE.OF PERMIT' - 7 7 AN. A - ' ❑ GRHOING FOUNDATiOON -0 STRUCTURAL SE YCN D- ❑ TENANT O ELECTRICAL Ips'.LUMBING_OMECHANICA $&08PYIFFYIU NE - -- - ,.Adds - -- - - - - LICENS CONTRACTORO RATION 11 hereby affirmthat I am licensed tle p o ISIO [ I Charter 9 (0 f y3 I].OTHEIS I 1 " I 1 n 1 g Ith t1On 7000) DIVISIONSf �11p Bu�61ne d - Hf Ins COO 1 In full igp5p[Cgr> f IflEAR Yq'RO{TOP/L) '- _J/C - Cleaned{C-lass 'Etat PRUJECT DESCRIPTION - - SQ. FT._ - 'Pi SPACE REO �' �' PROVIDED? - Date g r - �L .. _ _. OCCUPANCY CONS TRUCTIONTVPE ._.__ 'STREET WIDTH' _ PgRK'FEE:E. WORKERSCOMPENSATIOND RATION-- / II M1 by affirm that 1 have a certificate Sent t XIf-Inure - VALUATION ZONE -� )ZONING-APPROV ED BV '^ - DATE i'Ifl N f W Lo Pe t 1 ante, or a Fill ! y Art- - ttaski�,�t' f(Sect b C.) GRADING CU Vp5 ACRES jSPECIAL'CONDIT[ONS _ Yrv. cb c Ni A AA Am Cert fietl py M1 by f nl h tl c Cardigan copy is f led with tM1 ity Builds g DI —REMARKS;,'! A. _ _ __ _ _ _ MPTION PROM-WORKERS'COMPE SATION OECLARATION Thisreaction need not be completed "f the permit 1 1 ResidentialA.A S i A.0 53001fy - -4 A. - ANAN that i th P f Ce of the work fo h h NA p rr It -Is Issued I shelf - of eMplOyany person In any -manner so as tObeclunine NitolheWorkers_ CampeQAtbn_ LAWS of Calfamla__'_ - 'PLUMBING PLAN CHECK ,-BATHTUBS - ' ELECTRICAL -" PLAN CHECK—'e—'I -- __ _ __ _ 'SHOWERS" - UAMIT iOate 99na1 We W tonu NOTICE: If after making this becoming, ou she 10 become sums t to the the Worker Compen3a[lan n�ihe Labor COtlq DILETS r. re URINALS'- - --- ' - - GENERATOR- - O-PKWN (TRANSFORMER 1-10WW - - - - sit, OlOvlelO05 you mu0' forthwith Comply comply With Such Proviate"S or this Permp Shall be deemed q - - L VgTORI a� OOUBLE-LAVS -- -l-_ -� APPLIANCE- -30.50 KW .-s -.��..' KW -- 50�y KW'- - - _�� - revoked. _ __ L ! --' -'�-AN -' CONSTRUCTION LENDING AGENCY KIT.SINKS -- --DISHWASHERS -- - - :MOTORS-----0-- ] HP^.1-10 HP -- - - IherebyaffirmthatthereISya construction lending aegency for the Par 'formance SERVICESINKSv - (INC. SOLAR( .1O60.HP 50 aHP LL Of the work for which thisPermit i O.(5 cllon 3097 .:SUMPS- W -. ' FLOOR'SININI'AN'"'FLOOR'DRAINY '- - 'FIXTURES^ --OUTLETS --SWITCHES`- (CAN. 0).- GI -- �'-- -- - - -^ - ----- - IN Agre 'a Name A' e' "—" "" Len09r5 Atldrol DRINKINGFOUNTAINS S - 'i GgS TUBE- IGN$- _ - OWNEWBUILDERIamexe INTERCEPTORS - CLARIFIERS '- - -- -' POLE LIGHTS - "� -- pt from actorY License t be2llowi affirm l amexempt7 from the romp Pconstruns LOOB: neimitynogre Business Code. 1quire SWIMMING POOL"�PTRAP- - - a Perste t Any mlY lY II' h t [ construct, county which POLES' METERED' UB - -WATER SERVICE"—"ALTERATION- PANELS -- MAIN - SUB -- 1 -p- -t T - Iw le tlem h soalter,re- o� e Such permit file ri Statement that he l_11consed p l t f n p u A - 'Gp55ERVICE^--�'OUTL'ETS" '- -- SERVICE- ---� -� - - gMtiAN A s o pto ursuant provisions Or the contractor LI 'lea' 1^�+peer 9 (commencing e ('Aeater 9 ]Sex of thereon 3 of iM1e KNOT or therefrom be- ns Cadet or mat he Is .-WpTER-HEATERS - BTU OUTPUT -- - - - - - - -- - - -' loa alleged ion a tion70.31.5 ratde alleged exemption. Anv he apon of Section 7031 s by - V" - --- ' SEWER"C�$1HBBT0105-- - V - S i { -- a aPPkore lar a e -c vll Penalty- c Of not More man hundred dolts s (SoK)l-Gnt-la hrOpe,t dollars (asr0) / SOLAR TANK -- COLLECTz01�5`'�'-- - -. - ---- -- _ _ ' Lfiveha mybmy Instead With wall their - ❑ o r'on, [Will do the work, sole nsirbn. Will OO me wq k and Ilse trucwre Is not Intended icnmo f [Sectionnode: Ther n 7044 Et Professio SOLAR PIPING SYS'." - ` ISSUE FEE - - COr Omfered ns e0Plysland License a Property _ - WhoPIPtlSdilmprowCthere0n.L and who does such -Work Ilmself or ISSUE FEE - -'"`---{I---' I .APPUCATION-APPROVED-BAN - _.DAl�_ through his own employees, Provided that such Improvements are not MECHANICAL PLAN cHisi - - --' -' - - ' SUMMARY OF FEES Intended or N f - "! tt, howevei the bungling or Improvement -h y f completion. the owner h the burden 1 m withas f p v 9 he CO I -b ild or Improve for th -p p 'of lel. HEATING SYSTEM 0.1(0000 BTV pERMDITG -E _Ownerin f [h p party, am excluewly contracting with AND DUCTING - - 1 SMTP E d contractors t contract Me project (Section 7090 Business IDopOo> BTU PLANCHECK E PERMIT O,Wfe[o -Core; Th -Contractor: License Law does not apply. to - _ __-' ISSUANCE S an owner f property n builds or improves thereon, and who on- REFRIGERATION 0-300.000 BTU PLUMBING $ tracts from. h.prolects.witti contradrins) hatureetl pursuant 10. .SYSTEM - - 1 �� - - 1 'GRADING S the Compactor's License LOW). 100,0005 BTU •PLAN CHECK i, -- -- -' _ - - -- .. EI-amexem Plunder Section-._•-'_-•.-B.69:Cfarthis _ ..--•_• --_. -. .- _ ^_-,1 ..1.. '. "' BOILERS BTU ELECTRICgI S A! A$ AN iessp. SV STEMREPAI R, ALTERATIONA. -PLAN CHECK Is 1•d v MICROFII'N ES I' _ '.TOTAL Dafen GwOer - - - MECHANICAtr$ -A--FEE$"•' herto 13 aOP� tion ane state that the over hereby carp al l have is Sit EYHAUST SYSTEM MULTIPLE -- I -. LESS AO-, mead Inlarmation is ovate 9re6 lo'c( ylu city and county PLAN CXECK •$- "VAN[E PC - Sc Fear n state la rolatltl92o Conslr Cllon, end hereby authering �Cltyl representat 1 to enter -upon -the above-memlo e - - t 7 t n Property f pro _ Sl9nat No __ FINAL FEE S2C�_ Driver Llcenieor 55; - ISSUE FEE .._ CMF 0065-06 White-BWlibriM Canary-AppllcanC pink -Accounting: CONSTRUCTION AND PLANNING. ._.- - - -Date "' Inspector APPROVALS Permit =# -�,.,__ POOL & SPA- APPROVALS Permit 4# ''` -" Date Inspector 1. Temporary Electrical Service or Pole 43. _ Pool & Equipment Location-- . 2. SoilPipe-Undrgrn' , y 44. Steel Reinforcement - - - - - ' - • - - -- .3.- -Electrical Conduit Utility-Undrgrn 45. Forms 4.. Electrical Conduit-Undrgrn _ 46. Electrical Bonding_: - - - - - - _5. SteelReinforce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn - 48. APPROVAL TO COVE R -G UN ITE-- - 7.- Footings 49. Electrical Conduit-Undr rn - 8.. -Foundation 50. •Gas Pipe, 0 Undr rn;-Test " ^''- "' '•^ -9. Water Pipe-Undrgrn.. - 51. Backwash Lines P -Trap.❑ Undr rr 10.-.Structural'Eloor.System .. 52. APPROVAL TODECK ll.-. Property -Sewer Line & House, Connection- - 53. Backwash & Receptor -Final' •' 12. - Street Sewer Connection_ - 54.- Heater & Vent -Final` 13. Rough Plumbing _ S 8' 14. Rough Electric -Conduit - - - - 56. Electrical -Final - 15. Rough Electric -Wiring '" - --•- - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - - encing & Access Approval - - 17-.- Ducts in Structure - - - "_ _ 9. _ APPROVED FOR PLASTERING 18: Ducts, Ventilating - 60. - - - POOL/SPA SYSIEMS FINAL ' ' - 19. Gas Pipe -Rough & Test - - -- -- - 20'r - Roof Framing - - - -- - - - - - - 21. Roof Sheathing- - - -- -- - - - '' NOTES: �s 1 -,. i r S =1 f'r7- 22. Frame and Flashing - - - - - - _ _ _ _-- -_ 23. Insulation -- - - - - - - 24. Lathing & Siding - 25. Drywall Nailing - - - - -- - 26. Plaster Brown Coat -- - - - 27. Electrical Power Meter -Final 28. Final Electric - -- - --- - - " 29. Final Heating & Air Conditioning 30. Final,Gas Pipe -Test 31. Final'Plumbing - -- - - - - 32: Water Service -Final 33.-- -Gas Service -Final - 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation- - - ' 37. Handicap Regulations - - -� - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed " 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY -- - No.- Date - - Y _ 3 all spaces withlmnSSYY border lines and sign CITU OF COSTA MESA" PERMIT NO: TRACT NO. LET NO. BLDG. NO.CONSTRUCTION PERMIT -3-_i P. TYPE OF CONSTRUCTION I XN.NEW''DADD. 'O ALTERATION 11 REPAIR 000NVERmON ❑DEMOLISH ? -'+ r _ � 66D3 - 6/n I /RP I I Project Address 1 dil C AVEI1l1B OwnerDmirroa- Phone IOL AddrOa - Suite' 760 Dove S . (]IOTMER ZONINGREGULATIONS - I. Arch+EndNB License Na. DESCRIPTION OF WORK . A.P. "- ZONE � PLNG. REF.--F- OYt Beach _ Adtlresi Commctor - - - ---lahol 9583 TYPE OF PERMIT - - "" " - -SETBACK '0,GAA6;NG 0 FOUNDATION F1 STRUCTURAL -_ _ 1El TENANT ❑ ELECTRICAL OPLUMBING SN4ECRA4IC :YANU 5Ip ��OBP ry _ - -Address YOYO Ave. -SO: El' MORYB- LICENSED CONTRACTOR DECLARATION - Under I hereby affirm int 1 am Ilmnsa der pravl irl of Charter 9( - ]000) 3 f- tae Q OTHER- RIGH In with Mellon I SUSIman; and wofesslons Is In lull form a REAR YARD (TO FL) coca, ane y hat effect.PROJECT 102 6 DESCRIPTION -` LIcs;w Class Ll�nsf'-No `-- PKG:SPACE REO.-' PROVIDED- - Oal,-'cr'sn/ea 99neture AklanSDf FT. _ -. STREET WIDTH - -'PARK FEE Is COMPENSATION -DECLARATION • OCCVPANLY_CONSTRVCTION TYPE_ ,WORKERS' by affirm that I new a Certificate of conunito 3e11-Insure`D a .VALUATION ZONE ZONING APPROV ED. BY. OgTE - II rllflote of Workers Compemption•hroa m, a -wM tlfiM PY _ - - - - - - - _ _ m ,thereof (Section 3900 Lab CA. GRAOING'CU.YDS. ACRES SPECIAL CONDITIONS. - -' -- REMARKS:^ifiCOPY - _ _ .•.• - - R116f160A FrPmnili =Sl(1P111[11 MIICY Na. aR C mpanY tV• D.Cortiffrod body iseeabY turnlsM1d. - is ibeCDivision. NPTION*FROM WORKERS' COMPENSATION DECLARATION Morian. neve not be campleled If uerme Is for one hundred, _ _ _ _ ( _ or IeS� _ _ _ _ _ _ _ _ _ _ li[er01 [ItY that nothreaerlornmembe work forveli a this Ips porn S Instead eM1ill n t emPmy Inv Son In my - 'f be Nrr PLUMBING :PLAN CHECK - ELECTRICAL PLAN CHECK- - SbaY subCempens leCl t0 iM1e Workers 1 n 1 H fp I W _ BATHTUBS SHOWERS- -SO, FT- f '• Date S/^n/A9 Slpnatun NOTICE: It after making this declaration,Should INCOMWSublect l0 the Workers' Compensation the Labor CO09, TOILETS f URINALS"" - - GENERATOR-- - 0-1 KW__ ?TRANSFORMER KW - - - provisions 0 YOU must foNhwlthcomplywithsuchPr"dol or this permit Shall be deemed LAVATORIES DOUBLELAVS APPLIANCE -1050 KW_ SO �KW - revoked. CONSTRUCTION LENDING AGENCY -KIT. SINKS "' DISHWASHERS -� MOTORS--' -0-1 HP---1:10"HP ' I hereby affirm that there Isa construction lending agency for the Dar- SERVICE SINKS • $UMP$ •"{INC..SOLARI -IOSO HP_- 50 a HP 'formal of the work for Which this permit is issued (Section 3091 .FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHESLenders civ. C -I. Name v4v r' - •' - �' h Ulnde - " - V, Address' -DRINKING FOUNTAINS'"'- - '- "GAS TUBE SIGNS "INTERCEPTORS CLARIFIERS• -. - POLE LIGHTS - OWNER BUILDER " e I am exempt fro 1 Hereby chum that 1 am exempt frpmane wntreaars License law m. SWIMMING POOL -PTPAP' �'� - POLES -METERED .SUB \hamllawlnpre o-(SettIOn 1031,5-BU51ne add PROSSIOns Cotler- Any City O County ANN! 'GOUlAt a permit to Construct, Iger, WATER SERVICE --- ALTERATION' PANELS -'MAIN- Improve, demolish or repair -any -structure; polo, to its Issuance, also G- quires the aplllunt for such permit to rile a signed statement that be -GASSERVICE - OUT - """ "SERVICE- - "---- '-' -AMP - - Is'lllanedpursuant tothe brovlslOns of th!'ConlractorY•l-homse law Of DIVISIrm 3 of the LUShogand (contraveningapter 9 Section Tls FYMesslOnd Codesa, that Mh examot therefrom and tM1! WATER HEATERS- OUTPUT: +,- -�- -- - _ basis for the alleged gx MMI(M.. Any violation of Section 1031.5 by any for a aOtS the-00111call a -civil -penalty -SEWER CONNECTIONS`of naDmrerntf five a more han llNh nit ed -SOLAR TANK COLLECTORScomp honored or 1. Si own ei a my employees'rvlth wager as their do the and structure notIntended AferedefortF lle.-W10 (Section 1044,, BusinessnandRotesion3 The SOLAR PIPING SVS. It 7- - -ISSUE FEE'"- - - --- Ucense. Law Coes n01 apply to an ow Of 6 property - - - - APPROVED wuntractor's ho bunts or Improves NbOon, d Who Ones iUCT w himself Or ISSUE FEE APPLICATION BY --- DATE - - through W5.own, mPlOyed, provided that such " o vements are not MECHANICAL PLAN CHECK _ 1 SUMMARY OF FEES ri Intended Or Offered for Ole, II, however, the buildln9 or Improvement In Sold within one year of COmpa<tlanithe Owner will have the burden _ - BUILDING - - - - - - 1 proving he did a1 build Improve for the SUUAC o of Sal- HEATING SYSTEM 0-]00,000 BTU PERMIT $ 'San I P'! 1. uf-the property, ami Cg es BUSIrAh AND DUCTING" -� ... 044, larxct (Section n4, Buslneas m construct me pro'ec[ (Secllon seoscan ns to Laratl04and lOO,OpO'a BTU (PLAN CHECK S PERMIT and Cod apply and wneetlbM cafe: The L uildis ori proves of Property who bullpa or Improves mer00n, end Who veli- .REFRIGERATION 0"00,000 BTU LPLUMBING b 155VANLE i - la rec�s fmm such'PARIUS'Wlth conlractogUAlarmOd Pursuant to SYSTEM---- - - - GRADING*- eCMractoPZUcenseLaW). 100,000+BTU PLANCHECK i - ❑IartexemptunderSection B. is P. C, for this BOILERS BTU ELECTRICAL $ rotation - SYSTEM REPAIR.ALTERAT,IDN EXHAUST SYSTEM MULTIPLE r MICROFILM $ PIANCHEC K' i -���� MECHANICAL' IS TOTAL'. FEE$ _ LESS AD->" Da16 OwN," I herMycarti+y that l have and this application and state that the above Inlaimal ion IS - t: "gree t0 -co ply II citydntl "mu ly PLANCHECK- IS - - _ "VANLE PC E_ ofOioOO n4 State law la}}}Jm??gpp"tOcom"'"11 and onerebvaumorize )[ily /h0 eve I , y,l,, r¢Dr[s¢ tel rp upon Mentioned sg z Ire ramioen D4 5/20/821 i FINAL FEE i DMe ?ssDE FEE -. - '- Drivers' Lica dr ss ge ..3 - CM F 0065.46 White-BWidlng;Canary-ApDIIUpti Pink Accounting? CONSTRUCTION AND PLANNING APPROVALS Permit # A_ )753 Date Inspector POOL & SPA. APPROVALS Permit # Date Inspector 1., Temporary Electrical Service or Pole 43. Pool & Equipment Location - _-2.Soil Pipe-Undrgrn 44. Steel Reinforcement - •- 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _Steet. Reinforce _ 47. Rough Plumbing & Pressure Test -- - -' _6. _ Electrical UFBR Grn 48. APPROVAL TO COVER-GUNITE 7. Footings - _ _ 49. Electrical Conduit-Undr rn -8. -Foundation. 50. •- Gas Pipe, ❑ Undr rn, Test 9. Water Pipe.Undrgrn - 51. Backwash Lines P-Trap,n 'r rn _10. Structural Floor System 52. APPROVAL TO DECK " - _ 11.. -Property Sewer Line & House Connection 53. Backwash & Receptor -Final ' 12- Street.Sewer Connection 54. Heater &Vent -Final 13. Rough Plumbing 14. Rough Electric -Conduit -- - -•56.' Electrical -Finch 15. Rough Electric -Wiring- 57. Solar System -Final 16. Rough Heating & Air Conditioning - - .. - Fencing & Access Approval 17: ' Ducts in Structure -' APPROVED FOR PLASTERING ' 18. 19. 20. Ducts, Ventilating- Gas Pipe -Rough &Test - Roof Framing -- -- - - - 60. POOL/SPA SYSTEMS FINAL -, ' 21. 22: Roof Sheathing- - Frame and Flashing - NOTES: 23. Insulation - 24. Lathing & Siding - - 25. Drywall Nailing 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final 28. Final Electric - - - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. - Final Plumbing 32. Water Service -Final -- -- - - -33: Gas Service -Final 34. Solar Domestic -Final 35. Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 1 - 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed 40. Electric Release to Edison A - 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY - NNo Date ' Applicant to nu in all spaces within heavy Indoor lines and Sign all PP.aPriate declarations. CITY OF COSTA MESAP RMIT NO. - - TRACT NO, LOT NO. BLDG. NO. - CONSTRUCTION PERMIT r" —2 TYPE OF CONSTRUCTION **NEW ❑ ADD ❑ ALTERATION REPAIR E) CONVERSION ❑DEMOLISH _ ❑OTHER r I q . . _ -. - -- 0602 6/01/822 IIoco-' - ZONING REGULATIONS' Project AddressCadillac Avenue .Owner riln^"Acii - Phone Address- 1301 cgriffe St., Suite 7600 ArchorEng NeWPOrt BeeCh r License No. DESCRIPTION OF WORK ,qp AtltlrEa _ - _ ZONE 'PLNGp.RgE1jFL.p¢�"NG- Obrdrenor The110B131Y' Inc. Pleon*283-9581 TYPEOFPERMIT- '" OGRADI NG ❑ FOUNDATION ❑ STRUCTURAL '- ❑ TENANT ❑ ELECTRICAL []PLUMBING EIMEDt/NIC BUILDING- SETBACK r9L1UF YARD - WI _ RgPE1RTY LINE " AddreY - '-El Monte LICENSED CONTRACTOR DECLARATION py off 1 flowntl der ISIOns Chart9 affirm am CrO Of (COM - with " tion ]000) 1 under =ands 3 1 the. Bu31n ed; d ❑OTHER. RIIGj{T Pratesslon5 COtle, and y I a 15 1 lull forc and .(1 t •REARYARD(TOP/L)Lice - . ..ys.w„��4/ PROJECT OE$CRIPTION !'-9O Gass r '. SO. FT. PKG. SPACE REO. - _ PROVIDED - /9n cat; e.4 .ls a f mte tg /Tn/RT/R� Signal r WORKERS' COMPENSATION DECLARATION-. _ OCCUPANCY—CONSTRUCTION TYPE ,STREET WIDTH PARK FEE 1 M1erMy affirm that I have a Certllloste Of consent 10 self41rsureOr a VALUATION ZONE . ZUNI NG -APPROVED BY' DATE Certificate OI Workers' Dendermonde Insurance, ora Certified copy GRADING CU:VDS. ACRES SPECIAL CONDITIONS. - - ' f(Section 3800, IJ4. C.). /NO.r'ro011AnAQA Company"" IPrnsnnnfTnAOmni TSr -- L.I Certified copy ll hereby lunighed. REMARKS: - - �(CeUllled copy 19 tiled with the cGy Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' [T015 Mellon need not be Completed If the Permit 15101 One hundred e 1$100) or less, 1 that In IM1e he rgggqqg555555��� M h ihlia ` 'PLUMBING '� - PLAN CHECK Ntlty perlorman work elm Imperial not BmPlOv any Dred In any be Subject to the WoMeRCOmped ti 5 t if1. _t;PLANCHECK BATHTUBS SHOWERS --',ELECTRILAC SQ.FT fors FT Dale �1911/H9 $Ipn01 We NOTICE: If error Makingthis declaration. y SM1OUld becomeSubject.TOILETS .URINALS' - GENERATOR- 0.1 KW 1-10 KW - t0 rho WOrke15' ConmanOtion Provisions OI the Labor Code, you must - - TRANSFORMER 11 r forthwith comply with such provisions or Ives pdrmll shall be deemed LAVATORIES DOUBLE LAVS' -'APPLIANCE —10-$0 KW_50+KW - evOketl.. -KIT. SINKS - DISHWASHERS MOTORS "" 0-1 HE'y1-10111` _ _ CONSTRUCTION LENDING AGENCY ',I hereby affirm that there is a Cnstruction lending agency for the per- SERVICE SINKS - - --- (INC.SOLAR) _IO-50HP 50+HP Romance of the work for which this Permit Is Issued (Section 3097 ,SUMPS- FLOOR SINKS"' -FLOOR DRAINS - 'FIXTURES OUTLETS SWITCHES - CIy'C'I' " " - LemI Name 'LBn08rY AtlOfaS OR I NKI NO FOUNTAI NS'--' -'GAS TUBE SIG NS - - - - IOherebyallrmttlEiafIIamaxempt rfrrom the Compete,% License Law for INTERCEPTORS -CLARIFIERS - ROLE LIGHTS - SWIMMING POOL -- PTRAP -- � MLES - the following ♦e ($action 7031.5 Business and Professional Cotte: Any city County which rpulros a permito Construct, alter, METERED U WATER SERVICE ALTERATION 'PANELS--- MAIN- SUB - - Improve. demolh or repair any structure, prior to its i ssunncgalso to. quires the aMdpOt for SUCK permit to file a Signed Statement that he GAS SERVICE - -OUTLETS SERVICE' - -AMP- - - IS licensed tOtN provisions of theContractor'sofa License3of aw hC&CE,9(Co nerrt with Divis the If{apter ^ ( men Iny a) Section v0801 1 Division 3 f the WATER HEATERS' BTU OUTPUTfor • - .L a d-hleged ns mptlo . thatSOMMOt actiono 031.5 be he violation .. ilfo ed Any by _3 sEWER CONNECTIONS -; - - ppllunthe permit sub. lets Penalty the a Icanl5101a� Civil Pen r ;1 t e t than hundred d SOLAR TANK - 'COLLECTORS' - - --- - -- rim employees wages ❑ n f n property, or my will do IM1e work, and IM1e t ndetr d rho Stee5 tUre URWe IS not Intendedtlhe COmpefor Cie. r OIIOM for d or OnS Cpro es Bapply antl __ _ _ _ _ SOLAR PIPING $Y$,- - /SSV E'FEE'who ices eSection no Owner OI License low does n apply [ owner property _ _ ISSUE FEE- - - gPPLICATtOKAPPROV ED BY — - DATE imspele who builds or Improves es or builds r rovded who does S M rover e are not his gown em es. ProvidedThat SUCM1 IntV! lOr dr Improvement _ lntandee m offered u.'11, M1owaver, the building or mpr ve Intended r Safe. If, however, Is cele within one year of completion, the owner 111 have the burden MECHANICAL PIAry CHECK T SUMMARY ,BUILDING OF FEES f proving he did not build Or Improve for the purptee o1 MIol. HEATING SYSTEM 0100,000 BTU - -- _ 01, as oral the Property, am xClusively,y, contracting with AND DUCTING .. PERMIT E SMIP $ licensed contractors to Construct The pro'D'^�SedlOn )Ova, Business 100,000 +BTU 'PLAN CHECK $ PERMIT. and PrOIpildhe Cotlo: The DOMnctor'$ LI Law does not apply.to •PLUMBING _ ISSUANCE 8 an owner I properly who builds Or Improves thereon, and who cont REFRIGERATION 0-100,000 BTU $ tracts from Such projects with a contractor(S) BGM44 pursuant t0 SYSTEM - 1 - tPLAN GRADING f the COntraCtOr'S License Law]. 100,000 aOTV CHECK S_•' Ip, ❑ I am exempt under Section' 'B:& -P, C:forthis- BOILERS BTV � ELECTRICALreaso$ "8 SYSTEM REPAIR. ALTERATIO N PLAN CHECK 8' _MICROFILMS Oaten Owner MECHANICAL $ TOTAL FEES I hereby mrtry that I have read this appllsoulon and stab that the above EXHAUST SYSTEM MULTIPLE 7 LESS AD - Information r corroc! I gran 0 comply Ith all City and county a PLANCHECK 8 VANCE PC $_ - ordlo00 nd t[00[B I➢wt 1010t1np 10 COOSIUU lOn.en iherebyp `• ) ' swnaYlnOtlZe lEpre58 tall 1 ihl' 11gl{ ler n the honed Propen f- ins ec(i plirpDo S 2O' B SlBnature \T O➢t0 - FINALFEE $-IZ.00 Drivers' ueense or Ss ISSVEFEE - CMF 086546 While-BUllolnp: CONSTRUCTION AND PLANNING APPROVALS Permit #1�2�' Date Inspector POOL & SPA APPROVALS Permit # - Date Inspector 1.° _Temporary Electrical Service or Pole '-. 43. Pool & Equipment Location - - 2. Soil Pipe -Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4.. .Electrical Conduit.Undrgrn 46. Electrical Bonding . 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. -Electrical UF ER Grn - 48. APPROVAL TO COVER-GUNITE - 7. Footings 49. Electrical Conduit-Undr rn B. .Foundation 50. Gas Pie ❑ Undr rn, Test ' 9.- Water Pipe-Undrgrn 51. Backwash Lines P-Trap.El Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK ` .11. Property Sewer Line.&. House Connection 53. Backwash & Receptor -Final - 12..- Street Sewer.Connection. - 54. Heater & Vent -Final . 13. Rough Plumbing _ - " 14. Rough Electric -Conduit -' - - 56. Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. - Rough Heating & Air Conditioning - - encing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing' Frame and Flashing NOTES: 23. Insulation - - 24. Lathing & Siding -- - - 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final - 28 Final Electric - 29. Final Heating & Air Conditioning - 30: Final Gas Pipe -Test - 31. Final Plumbing 32. Water Service -Final - - 33. Gas Service -Final 34. Solar Domestic -Final- " 35. - Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations k - 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed _ 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No. Date Applicant to fill In all (paces within heavy border lines and sign an appropriate CITY OF COSTA MESA P RMIT NO TRACT NO, LOT NO. BL G. NO. r7 CONSTRUCTION PERMIT -3 / 8- —o� TYPE OF CONSTRUCTION `Jctis FNEW ❑ADD [)ALTERATION- ❑ REPAIR C1 CONVERSION OpE�OLISH ❑OTHER _ _ i5 cvd6 j '0974 1/20/02 .24.00 r - - -- ZONING REGULATIONS Project Address -OWPhone -AddreM DESCRIPTION OF WORK A'P" N Arch/ling.-- Licionallho,fil rtls_ LONE ' PLNTG.. REF..* a 3 TYPE OF PERMIT allILDING SETBACK CIL ST. El GRADING ❑FOUNDATION 1-1 ❑TENANT 0 ELECTRICAL COMBING ❑MECHpNICA � PROVEIRTY LGNE ^ - Addraie LICENSED CONTRACTOR ECLAR ION licensed 1 hereby affirm lost I am under provisions of Charter 91cOm- Wg.with Bon 7000) DlWilon 3 of -the Business and ❑OTHER MT PrONSSIOU S COUP, aIJP y license IS In full fares Cq( REAR YARD ITO P/L)- • �M?2 PROJECT DESCRIPTION' Lldn i .s% License No.r6C.at{L.L '" 5_Q FT.•. rPKG: SPACE REO. -"- - "PROVIDED - �' IDdN-9-...tel-OZ z-���.�CT e�...'r...-_'. _ - OCCUPANCY - CONSTRUCTION TYPE _ STREET WIDTH - ARK FEE§ - - WORKCRS'COMPENSATION DECLARATION- /�/ Idher by affirm that I have d pontificalsof canN t t II-Insud r VALUATION ZONE - - IZONING APPROVED BY 'DATE - mBe[ate of Workers' compensation I rand S NRled.[ - _ NO CU VDS ACRES 'SPECIAL CONDITIONS. V. set (se O.Lab C.S.GRADI -C mean _ 'No. tlRd pyl herSbyfurnshWJ i REMARKS; jay aRwd CopyI nue With me div ewmn i - - - - -- -- -- - J•. EXEMTION FROM WORKERS' COMPENSATION DECLARATION r (TOR Section note not be completed If the permit Is for one hung ed - %100 Nv1. 1 dN.f drat In the the alk for this Permit Is T employ any N is ner an d, l sed y any perdu (many er d sed a I PLUMBING -T -PLAN CHECK - - ELECTRICAL- - PLAN CHECK' to the WorkenPCampenvtlOn laws of California. BATHTUBS -- SHOWERS -- -- -- PT --- - Dalt Slgnatum NOTICE: If alter making this declaration, YOU should become SOOled E URINAIS - 1 - GENERATOR- 0-1 KW- 1-10 KW - the WorkersowRXSudernselicin a must of the Labor ebedoeMO 'TRANSFORMER fOlthwlUlcomplyoviloniOrlNsPermltShollrovinces V DOVRLE LAVS- -1 APPLIANCE -10.50 KW-50.♦'KW 'KIT. INK pI5MWA5HER5 - MOTORS - ___0-1 HP -_-1-30 HE - COF45TRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction Ion agency for the per- SERVICE SINNS.y- -. SUMPS --- -- — - - rI1NC• SOLAR) _ IOSO.HP so ¢ HE Sing IOfmanCS of Ins work IOnwbkn this permit i Issued ($OCtlon 3097 } GLOOR SINKS -FLOOR DRAINS "l � -' tGlx. TURES-- OUTLETS -SWITCHI,LTndel'sAdcras I -K Lender's NamO 'DRINKING FOUNTAINS-- :1 - - - rGAS TUBE SIGNSI hebbR.BU'mhat Demeeemp INTERCEPTORS - - CLARIFIERS' -'--POLE LIGHTS -the IER ffr mShe Contractor's License Law far - SWIMMING POOL --- PHRAP -An -r POLES METERED'Impdds Jollowing.pasol-(SectIan]031.5. Buslnm and.Prolgeo,s Code: Ci y o ounty which requires a permit onstruc altdr, it math el repair any Structure. Prior te.lts ISludnd. she re-. WpTER SER VICE / --ALTERATION- ' ,PANELS - - MAIN .� - SUB - 4Y1185 Lha ap.11cent lar such Permit to file a Signed statement that Me GA$$ERVICE-' `"OUTLETS - SERVICE - - .-qMP�� Is.11dndifteusuant to the provisions of the ComncdrY License law Chapter B (commencing With Section 7000) of Division 3 of the WATER HEATERS-' BTU OUTPUT - - - - e PrmMslons Col ofthathe isexcmepl therefromand the 'Was and alleged ex ion. y vlWallon f Section 7031.5 by for I. _ subjects ticmoletl Ore r s lsso0ibdnt toa -Civil penalty-SEWER0. - not SOLAR TANK --'- COLLECTORS. - ❑ I, as owner Of the property: or my employees with wages as their Sale [Ompensstion, will do the Work, and the structure Is not Intended or Yard for Mrs. fS6IIOn 9090-6uNnea4'and Oofesslem Coda' The SOLAR PIPING SYS. "-- }- ISSUE FEE' Contracture Ucence Law does not Pply to an Owner or party ISSUE FEE -'- - - APPLICATION -APPROVED BY .DATE improves therproYldetl no Inas who or that sucrSlmp�ovementsUare not MECHANICAL PLAN CHECK - SUMMA RV OF FEES Intended or anerdd for Sale If, hOwa r, -me euumn r Impravamont Is told within and Year of completion, the owner will heave the but an Of proving no did not bulls or Imprnve for thd-pmpose of -sale).' - --' - - HEATI NO SYSTEM 0-300,000 BTU 'BUILDING _ _ IpERMIT E - - _ .. 'SMTP: $, L) -J. aLowiter el lha.prOPeltylam OXCIU51WIY d OOCBn9_Wllh, to ds AND DUCTING - _ •PLAN contradicts construct the prolan electron Business 100.000, BTU CHECK E PERMIT. and pro and Relesslons coca: not ucente law does mlapmyte /-� l^.r 'ISSI'IANCE E ' wne.comraaarx n Owner I Oroperty Who builds or Improves thereon. and Who con- REFRIGERATION 0.100.000 BTU _ rPLUMBING E tracts -from such projects w1th a contractors) liceened pursuant, to SYSTEMl _ GRADING E tJdu the Contractor's nLnw)- 100.000', BTU - PLAN CHECK ❑ l amexempt unOw-Sehim --B. BO.C. forges- ... c Ll - % BOILERS BTU S - Idro SYSTEM REPAIR,ALTERATION ,PLAN CHECK _ § MICROFILMS Palen Ownor MECHANICAL S TOTAL FEES - - I hereby corthyma,l have react this application and stale that the above InfOrmaulOn EXHAUST SYSTEM MULTIPLE PLAN CHECK -As AD VgNLE IS P[l. 1 dgIPP to ply Iln'dll city ant county PC 3 -- or t lndn[xSan ItT9 d a c ralructtoq and herebyathaIAS dClly reprM ntatl to ter 'upon the above entl ed or 1. r I pours. aa_ - v - FINAL FEE S Drives' Drlmrs' Llcanti or SS'Y ISSUE FEE -" CMF 0965-46 White-Building;Canary-AOPIIonIIRnk-Ac[ountldpt Goldenrod-ASXSSOr CONSTRUCTION AND PLANNIN/Gc�,��1 APPROVALS Permit # r?3 Date POOL & SPA i. Inspector .APPROVALS Permit # Date• -- Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - - 2. Soil Pipe -Un rgrn -. _. yy ___4T Steel Reinforcement . - - 3. Electrical Conduit.Utility-Undrgrn. _ 45. Forms _ 4. Electrical Conduit-Undrgrn _ _. _ - _ _ - - 46. Electrical Bonding - - - - - - - - . Steel Reinforce - 47. Rough Plumbing & Pressure Test - •• 6._. Electrical-UF.ER Grn - .. _ ,• 48. APPROVAL TO COVER-GUNITE 7.- . Footings 49. Electrical Conduit-Undr rn B. Foundation -- - - 50. Gas'Pipe, ❑ Undr fn) Test - ` -• 9. Water Pipe-Undrgrn---- - 51. Backwash Lines P-Trap,El Uhdrcirn .10... Structural Floor System - - 52. APPROVALTO DECK-- - --' I.I. Property Sewer Line .& House Connection. _ - - 53. Backwash & Receptor -Final ' -12. Street Sewer Connection 54. Heater & Vent -Final •�•-- 13. Rough Plumbing sf Z- 14. Rough Electric -Conduit '- - '56.- Electrical -Final - - 15. Rough Electric -Wiring ---- - - 57. Solar System -Final • 16. "Rough -Heating-& Air Conditioning -- - - - - -Fencing-& Access Approval - 17. Ducts, in Structure 59. APPROVED FOR PLASTERING - - 18. 19. ' 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing - - - - -- - -- _ -? - 60. - - POOL/SPA SYSTEMS FINAL - - 21. • 22.' Roof,Sheathing Frame and Flashing - - -- - - - - NOTES:CAW 1 ar• �-, _ . • 23: Insulation - - - - - - - - - - - 24. Lathing &Siding - - - - - - - --- • -- - - 25. Drywall Nailing -- - - - - - - - - - ' 26. Plaster Brown Coat - - - - - - 27. Electrical Power Meter -Final 28. Final Electric - - - - - - 29r Final+Heating & Air Conditioning 30. Final Gas Pipe -Test - - - --- ` - - - - 31. Final Plumbing- ' 32. Water Service -Final- ' 33. Gas Service -Final 34. Solar Domestic -Final ' 35. _ Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - • 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No' Date Applicant to fill In all .pant within heavy herder nasi and sign w appropriate decorations. CITV OF COSTA MESAPRRMIT NO. TRACT NO. LOT NO, BLDG. NO. -- • CONSTRUCTION PERMIT E -Y22.80 oa3 Q ggyy 8L7i�„ • . (i 190NP/� 1�92�' Project Address _fs r CA'D4L G' Ri/G- TYPE OF CONSTRUCTION ;.NEW ❑ ADD ❑ ALTERATION 1:1 REPAIR ❑CONVERSION ODEMOLISH - , Ownv pgeflerPhon¢ jA Addre Ste, 11 TONING REGULATIONS. Ateh)Ehg.' r Q License No. OTHER OESCRIPTION OF WORK - AF We - RElJF�L.ptF ZONE PLNTGp.9RT Address L S_ COmrector woe L C Phone +C O: TYPE Of PERMIT ❑GRADING O FOUNDATION 11 STRUCTURAL ❑T,ENANT WELECTRICAL PLUMBING OMECH/WIC gBUILDING I. 1 VgRO 5l PROPEYNLINE Address $ Z, TU' dw LICENSED CONTRACTOR DECLARATION Inns aby affirm that1 em Ilce and under provisions of Matteres9 % RIIG HT [(com- with tion 7000) f DWISIO 3 f the Basin d _ ❑OTHER HeIno lssslon[ Code, emit y license Is In full force antl effect. BEAR VgRD ITO P/LI t' PRPIECT DESCRIPTION' Ucense License Saar. $G' FT' OCCUPANCY—CONSTRUCTION TYPE PKG. SPACE RED. STREET WIDTH PROVIDED PARR FEES /p,���� - Da b.A.l-s-0¢LA=9gn our" • dL - WORKERS':OMPENSM1TION DEC" T 1 hereby afilrm that havea cerllflGtO OI o SBnI t ase Hinson Or d VALUATION— ZONE ZONING APPROVED BY GATE ¢Illllp[e el Work l' COmpanNNOn Insurance, at ertified COPY thereof(Saddon 3500, Lab. C.1./ GRADING LU. YOS. ACRES SPECIAL CONDITIONS: modify NoWle j?/ /CDYa / companyrQ g~As - /Na e4 - 4-❑CertllledcopylshereEyfurnished. L1 Cartifled! copy Is hereby furnished.- REMARKS: �ZZ ' O CONI110O ropy Is Thad With the City Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (inti Secret need not be completed B the Permit is ter One hundred •' flttooi or less . k ter Whim mit Issued,l I Shalt not employ any Person in en become e as t0 became PLUMBING PLAN CHECK ELECTRICAL PLAN .HECK object to the Workers Compensation Laws of Glllorrnle, BATHTUBS SHOWERS Date Signature NOTICE: If alter making this declaration, y u sni become subject TOILETS URINALS GENERATOR 03 KW_ 1-10 KW to the Workers' ComPonsatlon previsions Gl the Lab r Code, you must TRANSFORMER forthwith Com01y with [UCn provisions or this permit shall be deemed LAVATORIES OCUBLE LAVS APPLIANCE 1050 KW -50 ♦ NW used. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS -MOTORS 0-1 HP -1 10 NP y Per. Is Issued Ifor formed" herebyaOIrmthatthe there lw NconsMstion lending also SERVICE SINKS SUMPS ZINC. SOLAR) Io0 H 5 e 50 LHP Cron Gy. C.I. ) "I FLOOR SINK$ 'FLOOR DRAINS FIXTURES Z gOUTLETS' SWITCHES Q ♦ tinder's Name , Lendi Address DRINKING FOUNTAINS GASTUBE SIGNS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL PTRAP POLES ETgfiKQ SUB the following tea n (Mellon 7031.5 Business and Aoffealom Code: permit o WATER SERVICE ALTERATION AI PANELS MAIN SUB rto Its Iconstruct. mprove. dety molish oymwi:`any structure, :nce.zhed14°e- duties the ap,.IlGnl tot such Oermlt to file a shaped statement that no GAS SERVICE OUTLETS V SERVICE HE AMP s Is licensed WNuent to the provision$ 01 the Collector's License Law ICna^tm ^ lcpmmencing with Section 7000) f Division 3 f the WATER HEATERS BTU OUTPUT RJ 9 a e erwessiSea Code) or that fie Isexempt therefrom and the basis for me all"" o. mpuon. Any violation of section 7031.5 by SEWER CONNECTIONS 's L to a civil Penalty anyapplicantappot tt for a Permit Su jest%dollart eaooi �lica scant SOLAR TANK COLLECTORS 1. as owner of the property,Or lth es as that, Ole 0 TIO workman then truuctuees compensation,Will re is not intend" or offered for Sale. t 7044. and professions Code: The SOR PIPING SYS. LA ISSUE FEE .� CPnlncld Law tloapply owner ode ISSUE FEE APPLICATION APPROVED OV DATE who builds or Improves thamyon. and who doe[ Such Work himself Or ownresident at Such hirufavementS are not Intended MECHANICAL PLAN CHECK SUMMARY OF FEES ori for aid II,howeveri, the building or Improvement is Sola within one year BI completion, me owner will have the harden f p g he did of build r Improve for the purpose of ale). y HEATINGSYSTEM 0`100.00OBTD BUILDING PERMIT, § SMIP 5 ❑ 1! of the Properly, am xcluslifly contracting with AND DUCTING IO fishnet thecto project Business IOo,000's BTU PLAN CHECK 3 PERMIT andnS ofnsionS Code: e Ilton doesnotapply to and The Contractor's License Law 00, tp - ISSUANCE § waver of or rt cts-wither or lmmO and an and who can- REFRIGERATION 0-100,000 BTU PLUMBING f a such Projects -with a OO VdelerlS) lieesnnd' pursuant [p rls) funded SYSTEM - - GRADING § theLem [fie COOFa<[OIY LIC¢nY IdWL 100,000 I BTU PLAN CHECK § O l am exempt under Settlors B.6 P. -C. for this q��q��s��y� _ IS BOILERS BTU ELECTRICAL E�sda�r reason SYSTEM REPAIR, ALTERATION PLAN CHECK E MICROFILMS TOTAL FEE Daleno, '" - MECHANICAL fLESS Iharerythrtily that I move this Mulfhalbn and tate that the above EXHAUST SYSTEM MULTIPLE antl Is mt:ela 1 gree t0 Comply Iia all tl[y and county informationordinances PLAN CHECK f VANCE VANCE PC E_ M1erebyTn^M1orizd Ordlnangs end [tato laws relating to COO[[rUon mprartcoffes of this div to ant r u on the above Honed 'he for 1 11 n Sharpe �L �/� SO Sipna[urc to Z_'O,FZ FINAL FEE f�a Drivels' Lianln or S gh ISSUE FEE CMF0665-16 WNte-Building: Lynxry-Aup6canL Rnk-ACOOuri Goldenrod -Muss., CONSTRUCTION AND PLANNING s �Z(o tj Date Inspector APPROVALS Permit # � POOL & SPA , ' -- APPROVALS Permit # Date Inspector •... - 1. Temporary Electrical Service or Pole 43. Pool & Equipmant Location 2. Soil Pipe-Undrgrn- - - 44. Steel Reinforcement - 3__ Electrical Conduit Utility-Undrgrn - 45. Forms 4. _Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Rressure-Test -_ 6. Electrical UFER Grn -48. APPROVAL -TO COVER-GUNITE 7. Footings '49. Electrical Conduit-Undr rn 8.- Foundation- - 50. Gas Pipe, ❑Undr rn,Test 9.- Water Pipe-Undrgrn 51. Backwash Lines P-Tra Q ndr rn 10. Structural Floor System 52. APPROVAL TO DECK-- - - ---- • --- - • -- " 11. Propert Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - j • I54.. - - - Heater &Vent-Finab ' 13. --- Rough plumbing - - -- - - •- ' 14. Rough Electric -Conduit - - - - 56 • Electrical -Final '15. Rough Electric -Wiring ' - - ' - - 57.. Solar System -Final 16. Rough Heating &.Air Conditioning _ - _ encing & Access Approval . _17. Ducts in Structure _ - ; • APPROVED FOR PLASTERING - _18.. Ducts, Ventilating_ 60. POOL/SPA SYSTEMS F INAL • 19. Gas Pipe -Rough & Test- 20. Roof Framing 21. Roof Sheathing- ' NOTES: 22: Frame and Flashing - 23. .Insulation - - _ _ • '� •Zp, o _ 24: Lathing & Siding - 25. Drywall Nailing 26. Plaster Brown Coat _ ' 27. ElectiicaLPower Meter -Final �> ' - 28. Final Electric li 29. Final Heating & Air Conditioning - 30. _ Final Gas Pipe -Test. 31. Final Plumbing - ' 32: _Water Service -Final _ - 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System 36. Sound Attenuation - ' 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - - 41. Gas Release to Southern California Gas Co. - - - ' 42. CERTIFICATE OF OCCUPANCY No Date - r' Qaa67Applicant to fur M all$Oscar within V02VY border lined and %ran•11 appropriate dOWIP1110m. CITY OF COSTA MESA PER IT NO. TRACT NO. LOT NO. BLq NO. "' ' CONSTRUCTION PERMIT ,G. PM 81-380 7 Com'U2.9778 TYPE OF CONSTRUCTION 1 C t4EW ❑ ROES ❑ ALTERATION I / I B/82 5B3.BB Project Address 3505 Cadillac Ac7enue Owner Phone 759 Address 1301 pERMEB St, 476Q,0REPAIR L1 CONVERSION ODEMOLISH DOTTIER ZONING REGULATIONS ArcMEn9. [iimea-Peters License Nd. ¢ZB5 DESCRIPTION OF WORN A.M. Address 119 E. Alton Santa Ana TYPEOF PERMIT. L�� ZONE PLNG. a 'SETB 5 REFS ZE 80-160 P YLINE aLe l Ll Cnntienor Oltlrans Coristrvction Phdnd 576-897 Addrev 388 Monter Pd k CA ❑GRADING E/& -}''FOUNDATION STRUCTURAL O TENANT ❑ LECTRICAL ❑PLUMBING OMEGI,VMA Yq RD pyrNW LICENSED CONTRACTOR DECLARATION 1 hereby that I am licensed Charter 9(tom- allrm under Provinces of middle with battles )000) f OIvilion 3 t the Brenna' d , •r l F°' ❑OTHER IG T " FOIORIOn; Code, and mV IIGnse IS In full for" d Of1eC1. : REAR YARD (TO PIL .A 96393 PROJECT DESCRIPTION - License CUSS LIPenSe No, SQ. FT: OCCUPANCY -L CONSTRUCTION TYPE - PKG. SPACE REG. 592 'STREET WIDTHqnl PROVIDED 670 _ PAflKFEE$,. Dara Signature WORKERS' DECLARATION LO that I have M1amby affirm Inst 1 have a mrtifirata of consent to self-Insuu era VALUATION '� ONE ZONING gPPROVEOB DAT - - Ce:tI11G10 f Workers' Compensation ImUran". or d CaNllled COPY GRADING YDS. ACRES SPECIAL CONDITIONE: thereof (Mellen 3800, Lab. C.). rb11tY Nimel gI1 0<l OompanY Fm`^'wv 1ACIM _CU. _ - abNllletl copy is hereby furnished. "REMARKS: P'HOLD Cerufard COPY N BIeg with the city Building Division. FOR SPECIAL REQUIREMENY` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (This section need not he cammeted it the permit is for Ore hundred - Iflaor neuIfy that 1IC the Performance Of the Work. for which this permit is _ issmanner Ped. I shall not employ any person in any aer s0 to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the -Workers' CompenUtIon laws of Callfpmla. BATHTUBS SHOWERS Date Signature NOTICE: If after making this Inside ce, Y Should become Subject TOILETS' URINALS GENERATOR 01 KW HW to the Workers' Compensation provisions Of tae tabor Code. You must TRANSFORMER -1-10 forthwith comply with Such provldon5 or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10.50 KW_50+KW Finished. KIT. SINKS DISHWASHERS - MOTORS 0.1 He 1.10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction iendlngagencY for theper- SERVICESINKS _ SUMPS 'NNC.SOLARI 10.50 HP 50+HP (enhance Of for which this permit N Ended! (Secllon 3097 FLOOR SINKS FLOOR DRAINS, FIXTURES OUTLETS SWITCHES- •i. Or.es Wells Fargo Bank - � Lender's Name - - Lendor%gOtlrKs RRA Wide = i7seffGr USEbt'ATI' RCC 'DRINKING FOUNTAINS d 4 _ GASTUBESIGNS ' o-rom�nat am exempt lfrrom INTERCEPTORS CLARIFIERS POLE LICFITS 's ' II hemova to the Contractor's License Law 10, the following reason (Section 7031:5 Pudness and Professions Cadet 'requires SWIMMING POOL P,TRAP POLES METERED Any City Or 'county which a permit to Construct, alter„ WATER'SERVICE ALTERATION .. PANELS MAIN SUB Improve. demolish or repair any structure, prior to Its Iuance, also re- qulmi iliaappllGnt for to Mpermlt to -file a I9nrd stetemeet that he .GAS SERVICE OUTLETS l SERVICE AMP Ii Ilwnsed pursuant to the previsions of the Com,acto,R Llcenso Law ICbalptu 9 (commencing Iwith SpOlon 8000) of. pulsion 3 of the WATER HEATERS BTU OUTPUT B and RdPssions Code) Or that Me Is exempt lnorelrdm antl the, basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS any applicant for a permit subjects themedcanl to a civil Penally f net more than five nurni dollars ps00). SOLAR TANK.., •COLLECTORS ❑ I, as owner OI the Moral or my employees with wages as their ole Compensation, will do Ine'wolk. another Structure 19 not Intended "Compensation Or OlryeOd Ipr p1P. (Section 7044. Business and Prof ssl r s COMP Tne SOLAR PIPING SYS. - ISSUE FEE ra Conictoly License Law does nO1apply to an r f a OrOPwtY gpPLICATION APPROVED BY wne buims or Improvers thereon. and who does such work hlvmull or ;- ISSUE FEE 5 1 ' • " DATE through lits own employees. Intended that Such tmprdements are not' MECHANICAL .. .PL -An CHECK g ".• SUMMARY OF FEES Intended or offered eau. q however, the buhmnyy or Improvement B sold wM1ln One y 1 complletion• the owner will have the burden within 'Improve for (M1e I le). - Purpose of 1 proving ne, did not build HEATING SYSTEM 0-100.000 BTU ,Y ^ PERMIT $ 7 SMIP $ ❑ h as owner of the properly. a exclusively Contracting with ANO DUCTING contractors to construct the pro act (Section 700e. Business 100,000 ♦ BTU 'PLAN CHECK $ PERMIT and Ped and Relesslons Catla: The COntrdtlor'i Ll Cense law Spur net apply to - ISSUANCE IS OgrainProperty h0 on lids or improves thereon, and who con- REFRIGERATION 0-100,000 BTU r•a PLUMBING $ towner tracts Is t projects with a contracleg0 license perCmnt to SYSTEM - GRADING E the Contractor's License Law]. 100,0001 BTV_ r' PLAN CHECK E ❑ 1 am axe of under Section B. S P. C. for Inds BTV .ELECTRICAL E S BOILERS : C .PLAN CHECK $_ MICROFILM E ' reaeon Date SYSTEM REPAIR. ALTERATION_ TOTALFEEa MECHANICAL $- IheRbycerUl M1Ll ra reatll• ppliation and stale that the soon EXHAUST SYSTEM MULTIPLE LESS AD - Information - rest. I area comply with all city and county PLAN CHECK IS VANCEPC $- drdleanc dt $lav no 0Construction, and herebyautnorize _ repprea'loniths y anter Opens the she V mentioned ray n i FINAL FEE 5113• $Igo e $ Drivers' L: or 55 ISSUE FEE - - � - CMF 0565-e6 While -Building: nary- pPlGnl n -Accounting; GOldemod-Assessoe CONSTRUCTION AND PLANNING APPROVALS Permit # '� Date -. Inspector - -POOL&SPA- _ APPROVALS Permit # Date Inspector- - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe•Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orca�ng 47. Rough Plumbing& Pressure Test 6. Electrical UTE n Gr 48. APPROVAL TO COVER-GUNITE 7. Footings y n46> 49. Electrical Conduit-Undr rn 8. Foundation_ - 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe•Undrgrn 51. Backwash Lines P -Trap. ❑ n r rn 10. Structural Floor System tia i �� 9v 52. APPROVAL TO DECK 11. Property Sewer Line -& House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54.- Heater & Vent -Final 13. Rough Plumbing 55 Plumbino System- Final 14. Rough Electric -Conduit - 56. Electrical -Final '- 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing _ 2- NOTES: // 22. 22. Frame and Flash' ` g 23. Insulation _ rte_>S ff*p� 6f 5 /-/51- 8, 24. Lathing & Siding pi - 25. Drywall Nailing p } 26. Plaster Brown Coat 27. Electrical Power Meter -Final b 28. Final Electric 1- _ ,: (t/v r 29. Final Heating & Air Conditioning E 30. Final Gas Pipe -Test 31. Final Plumbing a- 32. Water Service -Final 33. Gas Service -Final -6-4 34. Solar Domestic,Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No • Date Applicant IB nu in all spaces exaept those within heavy border lines and sign an appropriate declarations. CITY OF COSTA MESA - RMIT NO. _ / LOT ND. BLo . CONSTRUCTION PERMIT FJ 6 e r, G. Project AMrm MI TYPE OF CONSTRUCTION U NEW DD ALTERATION REPgIft Applicant's Meilillp Atltlren ❑CONVERSION'❑DE0 ❑OTHER Owneisla e1 I�Pall. Phone DESCRIPTIONOFWORK o r asVlti _ Atldress TYPE OF PERMIT LJ GRADING LJ FOUNDATICN PISTRUCTU Splar Collectors Arch — Lha nu No. ❑ TENANT ❑ ELECTRICAL 0 PLUMBING O MECHANICAL Aass TY�-YY1EL/4 ❑ OTHER PROJECT DESCRIPTION SD. FT. OCCUPANCY CONSTRUCTIONTYPE VALUATION$ Co m M1one'I%2— hI 9 L Adtlrass lmailin9 I City License N°. ZONE GRADINGCU.VOS. ACRES - Remarks; (J ION DECLARATION G CONTRACTORthatIalicensed hereby under Charter 9Professions 1 hereby affirm that am Iision tl on°ar pmaisla$3 - with section nr n Carlo. def 3 1 a 8u3i0 tl PI°fasslOm CtltlB. a Floor Sinks n full a in geenppse iRsmSag rase aefmat: V- 89 rovldons of the Labor Cada muss lorMwlM PLUMBING - Nq `I_I_�-� u1f314 u r ^ ^u !yep nate Vp l W Bar Sink Showeal )pKERS• OMPENSATION DECLARATION ` BackO°w, Prwenbr Service Sink erpby alflrm that l have a certificate -of consent to sal}insure or a certificate Of Workers' CompenNtlon IOSYNOCe• OI i COII}I d COp'tj y IICfpDf�($ttjl,0 Of W Backflow irrigation _ Sevaer Cep Ch Lou. C.1 - j!./.�g ✓7-- 77 Money No. 22& $P3 Lampanv ertlfled copy is hereby }umisbed. Grtlile I flletl with the city By1101eg Ilslo rJ �! Wte /nivOAPPllwnl K� BMM1tubs Somr Connection - Clarifiers Splar Collectors E%EMPf ON EOM WOR KERS COMPENSATION OECLARATION lesz6 mcno° neW not be Cempbtm N me a ro Is mr one half red EJOO) Of Oi3AWasM1er Solar Piping. - Drinking Fountains Solar Tank 1 Certify that In than Performance fr the w Br for which this Permit is issued I Workers' Compen9obrpeLaws of Giifprma. to become subled to the Floor Drains Swimming Pool voi Date SNnatUM C - Workeri'compenUCIOngPthis eYOU Floor Sinks Urinal rovldons of the Labor Cada muss lorMwlM Gas Service Outlets Water CIOM comply with such Provisions or this oermlt shah be deemed revoked. CONSTRUCTION LENDING AGENCY Perking Rep.IProvid00 I Int¢rceP[ors Water Healer Iherpp the affvalrk tfor hat scall thlsnMmlt Ision e Issundineda(Seetlion or t309]riLlv.ance C.) Kitchen Ssnk ,Water Service Lender's Nam, Date 1 Drivers, Discus or 55 sF \CMF 0965-¢6 MI. Y183 Reinspection Fee 1 $g5 -Structural Firepl/Fact. Bit. ICBO•k ystem & Dustin One tuiFF 00) BTU ❑100rly for tipn Fee Accounting; Goldenrod - Assessor Issue Fee IANICAL Hood or Type 1 ❑ Canopy Typell ❑ t Belrigeration System n0-100.000BTU 0100 6741 107'4!77 9403P T S I Me in evading: Axessory tf tubing: c E From D T Meter Other 1 S amps N B A Rear Motors ❑OI HP OIX-S F.A.U. I N C Right Device Boxes G E Ping. Ref.'EI Park. Fees $ O U Perking Rep.IProvid00 I Ike of Bus Ming: R Planning Notes: M ELECTRICAL FEES Automatic Washer Construction PoIs Sub. Transformer O lSSDKW 50t KIN Cooking Unit Meter ❑up to 100 amps Dishwasher Meter Other 1 S amps Dryers ❑Gas• ❑Electric Bub Panel Fan Motors ❑OI HP OIX-S F.A.U. Inc. Solar 139.15 HP 016-15+ Fixtures :Microwave Device Boxes Pole Liahl on On Sign Garbage Disposal Standing Sections' Generator DOE KW CIE 15 KW Trash Compactor S3 fleinspmion Fee $25 Isue Fee $ 3 FEESxxxxxx PUBLIC SERVICES REX Aning Approved! By Application PuW.Bd By Application xa.e.Rv PEN! V :G to Data p • BUILDING PERMIT PLAN CHECK PLUMBING$ PLAN CHECK ELECTRICAL - PLAN CHECK MECHANICAL 1 PLAN CHECK $a MARV OF FEES $ SMIP $ PERMIT ISSUANCE $ ENERGYP.C. $ GRADING $ MICROFILM $ TOTALFEE $ $ $ $ $ $ $ ] sA _ •• 3�f, 32 $ 3 CONSTRUCTION AND PLA NI G , APPROVALS Permit# r� .5 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.'Electriml 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, 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. Plurribing'System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final .' 1.6. 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 OOiI 23. Gas Pipe-Rough &.Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocpat 75. Dry Chemical 27. Frame and Flashing 3 Q� 76. Dry Standpipe 28. Lathing &Siding A, I's• (015-1913 C049= 77. FIXED SYSTEM FINAL 29. Insulation :. 78. FIRE PREV. FINAL 30. Drywall Nailing O5 ,� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, i 79. FINAL INSPECTION 1'32. Electrical Power. Meier-Fina l 80. FOOD CERTIFICATE ISSUED 33. Final Electric 6 y -ff 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 Z5-njjf 48. Special Requirements Completed 49. Electric Release to Edison 1 - - - 50. Gas Release to Southern California.Gas OD f - 51. CERTIFICATE OF OCCUPANCY No. _ Date - ' Project Address ApPlksfm sMail ACdreu - 1 smv I IS vs rl� f. n Arch, 9. Address •� P'on Contractor's Name MFQ Phone Address (real rDtAN.0 NEvi7yoQT,BetF City License No. 03 4949 LICENSED CONTRACTOR DECLARATION I with ay section 70001 rm that IfaDivi3ob 3 under thepBusinesss AndCharter Profession$ Cotler and . cing my license is In full I and effect I,aease fila,. `�= i CA LWQs.'4a'6Oif" Dale I. % q' 9RKER5'COMPENSATION DECLARATION Araby affirm that I have a certificate of Consent to self -Insure o .a cerNslcate _. Workers' Compensation Insurance, or a Certified wpy thereof (Section 3900, Lab. C.) y Policy No. Company eCertified copy is hereby famished. Certified copy Is filed with the city Sulmmg Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This Section need pot be Completed It the permit Is for one hundred ($100) Or lI certify that In the performance of thmwOrN for w Ich this permit is Issued, I Bell not ploy y person In y an Oast ec blect to the Workers'Cgl=21=ifo Calllom Date Con nature oma sit NOTICE: hitter making ho declaration, you should become suhled to the Workers' Compensation proyeon5 f the Labor Code, you must forthwithO ply with such eprpms visions or this per it hall be deemed revoked. CONSTRUCTION LENDING AGENCY there by affirm that there Is a construction lending agency for the Performance or the work for 10ch this permit Is Issued (Settlor 3097 Civ. C.) Lenders Name Lenders Address OWNER BUILDER; DECLARATION 1 hereby aflhm that Ilam exempt from the CentraCtor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any City or anLinty which requires a permit to construct, alter, Improve, dendi or repair y structure, prlpLla Cs issuance, also requires me applicant for such Permit to da a signed statiqlarient that he/she Is licensed pursuant to the prdvirmon i of he Contractor's at ire Buiness and dimensions cions Codello inat he/she is exe Of pt stations and the basis ldr the alleged exemption. Any notation of exempt 83.5 by any applicant 10, a Permit subjects me applicant to civil enagy of not man than live hundred dollars Lasopt. I. as Owner of the properly m my employees with wages as their Sole Drives. CMF 8865-66. rev. 30/80 White . Building: auto be prodded awaretomea. B. A P.C. mr ibis reason antro fill In all Spades except maw Within heavy border lines ane sign HI apProprieae crania tons. , P�M1'Q6� `RACT NO. LOT NO. MECHANICAL FEE r Hood or Type I ❑ Canopy Typell ❑ plc )net -UnderGreund 3uct-Structural Refrigeration System I7G1GD0BO6TU ❑IC0,00GBTD luct- Ventilating ixhaustsysum ❑ Multiple ❑ System Repair/Alteration op JAN 26 1988 TYPE OF CIIONSTRUCTION NEW ADD ALTERATION REPAIR inkling System & Ducting ❑ 9ONVERSION O DEMOLISH ❑ OTHERA,p,p '� — Imiw_ $o y DESCR In ION OF WORK/USE OF 8 LOG. I53. oa SMIP S a'�O tel• I B Main Building: r, 3 4;piEMy Building: PLUMBING $ ISSUANCE $ TYPE FPERMIT GRAVING FOUNDATION STRUCTURAL $ Front $ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear S ❑ OTHER ' PLAN CHECK 5016 A MICROFILM $ MECHANICAL 'C Right $ PROJECT DESCRIPTION Sq. FT. OCCUPANCV S CON 5T RUCTION TVPE VALUATION$ ���U.mD 3 IRR ZONE'GRADING CV.YDS. ACRE ping, qe[ it Parking Req.lPrOvitl¢d Remarks: L g& 41 p'�2P' Planning Notes'. 3h, PLUMBING 'FEES aBar Sink Showers ELECTRICAL 9ackllow Pravemer Service Sink Automatic Washer Transformer ❑ 15"50 KW Construction Pole Sub. ❑ 50 ♦ KW $r Backflow Irrigation Serve Cap • Batfitubs Sewer Connection Cocking Unit Meter ❑up to IOOemps - Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps -Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel . Drinking Fountains Solar Tank Fan Molors❑0-1HP❑1%-B , Eloor Driums Swimming Pool wisps F.A.U. Inc. Solar 1341 HP L1 16 Floor Sinks Urinal Fixtures Microwave Gas Service lbutlets Water Closet Device Boxes Pole Light Interceptors ,Water Harter Outlets Range Kitchen Sink Water Service SwiicM1es Sign LavatoriesAuio'WasM1 Garbage Disposal Standing Sections P—Trap •;Laundry Trays Generator DO KW ❑5.15 KW Trash Compactor Roof Drains - - I" r Reinstallation Fee I $15 Issue Fee S 3 MECHANICAL FEE toiler Hood or Type I ❑ Canopy Typell ❑ plc )net -UnderGreund 3uct-Structural Refrigeration System I7G1GD0BO6TU ❑IC0,00GBTD luct- Ventilating ixhaustsysum ❑ Multiple ❑ System Repair/Alteration Firepl Fact. Bit. ICBG 0 Fire Dampers inkling System & Ducting RegistNs SUMMARY OF FEES IMF= I , I liethape pion Fee $15 I Issue Fre I S 3 Pink - Accounting; Goldell - asssuwr - Z O N G FEES DEVELOPMENT SERVICES RE 'p�ryyCF/N(T$ Zoning Approved By g Nom- plc G l�� is Building Approved By Date Application Issued Bi Data SUMMARY OF FEES BUILDING PERMIT S I53. oa SMIP S a'�O PLAN CHECK I PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 5016 S MICROFILM $ MECHANICAL IS TOTAL FEE $ I s PLAN CHECK 25% S CONSTRUCTION AND PLANNING 'APPROVALS Permit #41r Date Inspector POOL & SPA APPROVALS Permit# Date Inspector I . Temporary Electrical Service or Pole c 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, 0Undrgrnd., Test- ' 9. Water Pipe-Unbrgrnd. , 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 0Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoatt 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: aC.C. 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 -'- Ll =j 42. Backflow Preven[er ' 43' Backflow Irrigation . 4- 44, landscape Irrigation System 45: Sound Attenuation -+ 46. Handicap Regulations 471'FINALSTRUCTURE & BUILDING 2 .. -�;-" :-•` %�1 ' 48: Special Requirements Completed !i ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co `• ' 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant t0 fill In an [paws except [nese Within navy border neeund agn all appropriate declarations. 1885 12/21/87 57e0q lI CITYOFCOSTAMESA COf�$�T R�U/CTI NPER� CX�6 (r Project AtltlreR !p' Applicant's Mailing Address Ovner's Ne _iCPp ((Toto C Ei tA/ VP � phOOB ,$ n CS Address aSn PEflMIT NO. $ Valli_3 ACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIRGGG El CONVERSION 1:1 DEMOLISH 1:1 OTHER %� DESCRIPTION OF Mail BLDG. CGi.iC A,P.0 � ® Zone S Merin Penang: Accessory Building: AmhlEng. License No. Address TYPE OF PERMIT GRADING ❑ TENANT O ELECTRICAL OTHER FOUNOATION STRUCTURAL 0 PLUMBING ❑ MECHANICAL _ T Front - G 8 gear a N I A CID1 ' \ 1 Conlrecmr's Nam hp .Q PROJECT OESCgIPTION SO. FT. OCCUPArvfY'-�— CONSTRUCT ION TYPE P0sgaMEIl VALUATION$1pEdi2.— ZONE—GGRADINGCV.VOS. ACRE C Right N Address Imailin �, City No. LICENSEDCONTRACTOR DECLARATION MmbY affirm that 1 x licensed unser prwislons Of charter 91CammenGn9 with section 70001 Of Division 3 of the Business and Professions Conde. and my license is int lure& and effect. B I Left G R PIngiRei. Parking flog/Provided E Remarks' G, Y �� Planning Noted: M _ T 5. umnse erns rllune Wle Signature _ _ PLUMBING FEE$ Bar Sink SM1awers ELECTRICAL FEES �. 9RKER5'COMPEN5AT10N DECLARATION ereby affirm that I have a Certificate of consists to s IHn[u or a tMtlllUle amanm ', Beall Presenter Service Sink Automatic P/osGr Construction Pole Sub. Transtormer ❑ 1550 KW ❑GO+KW of workers' Compepia len msuraY Of copy thereof (Section 3800, Lah./ay) ^'] =2 a I"JI y ! Pal yNO. k,(_ ��/ companv la7 i� �) Backflow Irrigation Sewer Cop ,L_� cerptl¢d coasts hereby finelsned. LJ Ceftlflea COPY I filed within city ll Olvlslo a Bathtubs Sewer Connection Cooking Unit Meter ❑up to Imamps Date 1 -,Is EXEMPINCIA FR MWORKER$'COMPEI SwT10N pE M1R ION (TIUSUGUonneednotbacco feted lane permit is ee (y1D0I or less)_ o r ny parson to anynma workfor shalltlnot temiplloy the ash to becom subject to ine Workers' Compensation Laws of LBIIIem10. 'Clarifiers $plat C011Klofe Dishwasher Meier ❑Over lOJ amps Dishwasher Solar Piping Dryers []Gas ❑Electric Sub Panel DrinkingFountains Solar Tank Fan Motors ❑DI HP ❑ly+-8 Floor Drains Swimming Pool wlSpa F.A.U. Inc. Soler 09 15 Hie ❑1$-15* Data Signature NOTICE: If, anu Making tM[ declaration, YOU VyOUsd become $Object to the coomply with pucnt provisions or the GMmit shall bed youloevokea r Floor Sinks Urinal Fixtures MimawOve Gas Service Outlets Water Clae¢t DeYice Boxes Pole Light CONSTRUCTION LENDING AGENCY I hereby aflnrm that there Ise construction lending agency for the performance of the work for which this Permit Is Issued (Section 3097 Cie. G) Lander's Name Interceptors Water Healer Outlet[ flange Kitchen Sink Water Service Switches Sign Lender's Aedrns OWNER BUILDER DECLARATION hereby affl smo that 1 am exempt from the Contractor's License Law for tits to owlnW n (Section ]031.5 Business and Pmleulanal CooO: Any City o! O nW nim raeubes a cermd In construct alter Imarave, dam or CIF COY Sbudure, prior toles IssoOnq, alsorBgYbO iFe appliUnt IOC such ppr It is fila a signed statement [nal nahne Is Ilttnmd pursuant to the omvlslOn of Its Contractor i L some Law (Chapter 9 ([ommen<lo9 wenn $eCllnen ]000& rat sic IIIeRhOm ono t10a baslls0%or [N ale9eE exemptlon. AM1Y yblaslOn of SaC`lon 1031.$ at,any PPllmn' for • nrmll 3.018[[[ lh0 ippllpn[ I.Ivll �enalty of not moretnan lNe nunar0dtlellars (EsoOJ. apps I, a of me Provcerty a y 0 Ployees wltn loon sole mlyensae..arwm ea the rk, mdina snuctun is not Intanaatl o ogera0 orle (Section ]OaA, Business and PrOfesaanal Chao: Tn0 COnirador's UCepe Lew does not ipa'C la ad Owner of a area.ittl who aWlns or Improves "Green no who adess hwork nlmmu/he.ma inm.gn uor Gar own Yen, M."Und that s.a, ImU,.wm.nls are has intend, or o"wo'd for sale. IL however, ine ainkho Orr'dwment Is told whaled ane year OI Com- U.dMr the owner win mea the auraers of Proving he]3n0 ala not bulla Prior- P.....y, am oaducabeb almsol ling with umnse& for orakins t be purOou al cane). ❑ L as owner os in. I,at.rst0 construct me d pts 1 ger"].0 a, Bus"nnossi^e r Roleulani CW00: not Theeomracior's L¢ensea^ w E s n t Goal [0 1 property ^o builds proposes ere d who cp[racTs for sato projects with bactoL license Minoan o me canto toP3 Llaenot IoW). I em war than area I stir worpsr's Compensation insurance should de provident to m ❑ 1 am exempt under Section B. 4 P. C. for this reason Lavatories Auto -Wash Garbage Disposal Standing Sessions P—Trap Laundry Trays Generator ❑0.5 KW ❑615 KW Trash Compactor poet Oraine geinsplmian Fee E15 Issue Feb $3 gainspecsien Fee $15 Ina Fee S ] u MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: $pdirp Approved By toLe�L— Building Approved By Date p7 Application Issued By ' nate T-1 I Bailer Named Or Type I ❑ Canopy Type 1 ❑ Duet- Under Ground Duct SOucluml Refrigeration System Duct Ventilating ❑0.100,000 BTU ❑100,000 BTU SUM-?QAHY FEES E g111`nst.S �gMIT $ S6 V/J SMIP $ x[PAGTi t= 4 Vt s $ PERMIT S� 1npi�il4M�� ISSUANCE $ PIAN C ECK 25% sw ENERGY P.C. $ E �$ GRADING $ PIAN CHECK 50& $ i MICROFILM $ MECHANICAL $ •1 TOTAL FEE $ PLAN CHECK 25% $ �] , •D O Exhaust System ❑ Multiple ❑ System R¢peirlAlteration Firepl/Fact, Bit, ICBG 0 Fire Dampen Heating System & Ducting Registers ❑61l]QO110 BTU 0100,000 CMF Date owner Hereby cersfco trial I have read ibis mlcatl and tate that the move inmfmanoe 1. gtee to camp won Cuy ode Ca.dty oral mann dna nate Bows r let no to adlld1 ng cu ru Uo , snit hereby a tnorize pro- he tatives tin cit to ^ter the -mentioned property for blow: ion p r o S. rsNnn..e Date! /— Drivers' .cense or 55 Oe S5-aS, rev. 10184 A geinspe[Ilan tae $15 Issue Fee $g 3 oldenrod . Assessor p CONSTRUCTION AND PLANNING POOL &'SPA Is 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure'Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd, j 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 r 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # ✓ C 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil - 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑Oil a 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 't'-• ,� 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL v 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: �S NYC 34. Final Heating & Air Conditioning 0 2y0J 35. Final Gas Pipe -Test 36. Hood or Canopy Y1 37. Final Factory Fireplace i1 ` Ly f 38. Final Plumbing ' 39. Water Service -Final :. . U; ' 40. Gas Service -Final 41. Solar Domestic -Final` - 42. ,Backflow Preventer �, f - _ TJ,y t- 43. Backflow Irrigation .� � ��> I V LL, s • f 44.' Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations E,X P I R 47.'FINAL STRUCTURE & BUILDING - } 48: Special Requirements Completed 49: Electric Release to Edison 10 ,, (71 �\ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy borderlines and sign all appropriate beClaratlOM CITY OF COSTA MESA .C'C�ONS /RY I�'TI/�r(�TP N PER IT Pmjlt Address �di1��Ltit /I,�, F% �� P BMIT NO(y — ll I' 7 TRACT NO. 1W (0I- LOT NO, (", UNIT NO. Closet In er eptors Weer �Applicanl'skMilinl�q/5�jldd,eeyws yl� sal l !rte Ownef shlarm • 'e PholZ_?17_S l3 Atltlress See ) 0 A -n F1 TY PE OF CONSTRUCTION' NEW AOS �A LiE=TilON REPAIR EICONVERSION O OEIsl ❑ OTHER DERCRIPT,0N pF.QRK,.E.F,1-DG. LF.LL /' —1 Ill SIJ IA`lPA h1{Jo E W8ter A,p, S Lavatories Auto ArcM1f Eng. License No. Address TYPE�i ERMIT GRADING FOUNDATION STRUCTURAL TENANT 1] ELECTRICAL 0 PLUMBING 0 MECHANICAL 'OTHER T B A ry� Contractor's N __./1._>l �/ y���G,Z ��A�AL n. .� AEdresslm'I" gip$, -- PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY CONSTRUCTION TYPE VALUATIONS 'JJ R S /� Lary liven /✓ LICENSED CONTRACTOR DECLARATION 2ONE GRAOINGCU.YOS. ACRFC PIN Remarks: Plat 1 hereby affirm that I am Ilcemed Under provisions of Charter 9 (commencing with rection ]000) of Division 3 at the Business and FounslonsCo and Ref, I Parkirg RBa.Jpl Avl.Jwj - my license is In f force and of 2aypp(/p/) sing Notes: $ 3 5O Ucansa class i No— Date - Sig PLUMBING PLUMBING FEES PLANICHECK Sink Showers S YORKERS' COMPENSATION DE RATIONBar hereby affirm that lM1 certificate of consent to wiHnsurs 0%a canlflcate Backflow PrNenikf - Service Sink $ ELECTRICAL of Workers' Compensation Insurance, o certified COPY thereof ($action 3900, "b. C.) - ' ' BackflOwlmigniOn SCWer Cap ' Automatic Washer Construction Pole Sub. Tmr'sfosm_er 0-1550 Kee 0 50'+KIN Policy NO.' ComonIny e'Cadlfied COPY lS hereby f urnlshed. Cooking Unit Meter Oup to,100amps $ edN copy is filed wit h l he City O U1 Bing Division. Bathtubs Sewer Connection Meter Dover 100 amps PLAN CHECK 50% $ Clarifiers Solar Collectors Sub Panel EytApbliGnl im C EMRTIO .FROM WORKEtOMPENSATION OECLARATION I hereby of the Dealers Erone purpose or salol, 1, as owner OI rho properly, a tractorStO The Contractorrn '% License Law bullae Or Improver thereon, and Vacbrp�,lpnr8 Pursuant rtl the Prado heir Worker's ComOen ❑ am exempt under gill Data Owner IOUvers' ucens Or ssss CMF 0865-46, rev. 10/84 or earnetortthwith d m ked. tMyrformance 3091 Clv. <d Floor Sinks Uriml TL Gas Service Outlets Water Closet In er eptors Weer H¢etar Kimhen Sink' W8ter Service enes LaVat for the Lavatories Auto -Wash roof Drains Reinspection Fee '$15 Issue Fee $ 3 MECHANICAL FEE jailer - HOOd or Type 11 ❑ Type ❑ 1 property who Ouct V¢nrilating L1410C uch Prro�etls with a can- autobeprovidedrtolme Exlleust System❑ Multiple❑ System e.& P. C. for this reason I IFirepl/FEC\.811.1G80 $ I I Fire Di Hinting System &Ductirg I I Regish Reinspection Fee I $15 I I lad Fee I $ 3 -Accounting: GomehrAt - Assessor 0.152 3/27/05 0152 5ha1 64403 TL gal t Z _ Zone, 515 Issue Fast Nein Building o Accessory Buildirg: DEVELOPMENT SERVICES REQUIREMENTS: rant Zoning Approved By z 0 leer Data N Right 'Date N Loft G R Ref, I Parkirg RBa.Jpl Avl.Jwj - E sing Notes: $ 3 5O SMIP U M PLANICHECK $ 25.0$ S PLUMBING $ ELECTRICAL FEES Automatic Washer Construction Pole Sub. Tmr'sfosm_er 0-1550 Kee 0 50'+KIN - S Cooking Unit Meter Oup to,100amps $ GRADING Dishwasher Meter Dover 100 amps PLAN CHECK 50% $ Oryers ❑Gas ❑Electric Sub Panel �MEOHANICAL Fan Motors 061 HE 01 % B $ F.A.U. Inc. Soar 0915 HE 018-15+ Fixtures Microwave Device Boxes Pole Light f Outlets ,Range Switches Sign '/ Garbage Disposal ;BWnding Sections .l Generator 005 KW 0515 KW Trash Compactor Reinrpection Fee 515 Issue Fast S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By I Data Building Approved By 'Date �-45 Application Irewd By Data BONN RV Oj FEES BUIL%IING FEHMIT $ 3 5O SMIP PLANICHECK $ 25.0$ PERMIT PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. S ❑s ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM S �MEOHANICAL S TOTALFEE $ PLAN CHECK 25% $ f CONSTRUCTION AND PLANNING 'APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspp-ctnr 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. SteelReinforcement�• J 3.'Electrical Conduit .Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. ' ' 55. Electrical Bonding 5. Steel Reinforcement 56. RoJgh Plumbing & Pressure Test 6. ElectricalUFER,Gmd' 57..AP.PROVALTOOOVER-GUNITE ' 7. Footings 58., lectrical Conduit-Undrgrnd. 8. Foundation i-' f,. ! 59. Gas Pipe, 0 Undrgrnd., Test r 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 % t 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 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 000 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 PREY. 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 E X P IRE 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Date Sig 48. Special Requirements Completed 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all span exeepl thew within heavy border lines and Oen all appropriate CITY OF COSTA MESA QONSTR UCTION eeERMIT ,7e ren • x176 •••��•••- - --•••- �• �� Aoject Address 35n5 GD/ttAC7. AS G G C� MECHANICAL FEE Sub Panel ' , Boiler Hood Or Type ❑ Canopy Type l l ❑ - an Saw TYPE OF CONSTRUCTION NEW A ALTERATION REPAIR O CONVERSION El DEMOLISH MOTHER Applicant's Wiling Address "�h�i A�B�r F�•!r5 i Owneri Name Phone DESCRI PTION OF WORK/USE OF BLDG. Address as far Ile purpose of sal.). 11. I the property. am OKCIYSIVOIY Contracting with licensed Sen- tp°ractorstoconstructins OrolOCtlSectiopn 040, Business andrPrOfladconCOd0: The Contractor'% Lkense Law tl not apply l0 an f property who bunds o Improves thereon, and who contract& far such ancients Nn a C proefrol their workei s CumpeSCa\IOnminsuranceC4should be oaeed awarethat K S Duel -Structural Refrigeration System ❑OIGDWOBTU ❑100,0o08TU - ArcblErle. License No. After es TYPE OF PERMIT GRADING ❑ TENANT 0 ELECTRICAL OTHER PROJECT DESCRIPTION SQ. FT. C O N STRVCTION TYPE—'VALUATION$ El FOUNDATON/ STRUCTURAL ❑ PLUMBING % MECHANICAL OCCUPANCY p Contractor's Nam - Phpn$g..no-a�91/ Addres meilingl N 4AKa3Ee i tL TO�QO /v2r�nr� _ City Li[¢ns¢No. `"'4 ZONEGRAOINGCU.VDS. ACRES LICENSED CONTRACTOR DECLARATION ❑ I am exempt under SeOlon G. & P. C. for this reason Remarks 1 hereby affirm that I am licensed under provisions of Charter 9 (Commencing with Section 7000) e1 DIVlslan 3 of ins BUSlness and Professions Cede, and Registers my licenseis In full form and affect C l paleucens Cl - 'g u. �i (.V - PLUMBING FEES Bar Sink and late load bled to building tructt andmherebyputnorice pre, wneinspectio f IdSS .c I, enter upon In a tip ed property for ion pi Showers ORKERS' COMPENSATION DEG RATION ar hereby affirm that 1 have a earth of Consent to wfi4mure or a c dflmta of workers' Compensation Insurance, or a c¢rtdch COPY thereof Seethed 3800, Lab. V0/075695 FA�CA4EAo^ Pollc Na. COmpanY M7 Backflow Prevener - 0.einspeuTien FN Serviee Sink ' Backflow lrrigBtiDn � $eW¢r Cap' Voltill[d COPY I5 hereby furnishedteClt. IN rtI(led{p¢Yls filed with Cat e3 O"ar APPlIcirty, )Sion. S'� Bathtubs S¢Wer COnnQctidn ClariTrue Solar Collectors' EXE KERS'COM E%EheChad FROM WORKERS' TONro LAR ION Jean s udbn n va hat oe wmpletee a the rm0la for one hundred 19100 o I not that ployhanyy person In anyhmannrer for ash to becorrme Subject to the Workers Compensation saws of California. Dishwasher i Solar Piping Drinking Fountains Solar Tank Floor Drains + Swimming Pool w/Spa Gas! Signa urn P 'NOTICE: 11, afterking this declaration, add Should bece subject to the Workers' Compensation provisions f the Labor de, amyou must forthwith complywith Provisions or this permit hall be deemed evoked. voked. CONSTRUCTION LENDING AGENCY I hereby affirm that there I5 a construction lending agency for the m ormance of the w rk for Which this permit IS ISSued [Section 3U0 Civ. C.) Lender's Name Fiber Sinks Urinal Gas Service Outlets Wel¢r Clout InterCBptOfi Wath Hedter Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION hereby affirmam t from the ProfessionaltrahctmrsLafor the oreast[llons 7031.5 ss ond Co Undi tories Auto`Wash,o `\ 865.46, rev. 101" White - Building; Conary . APplimntl Plnk - ACcaunling; Goldenrod - ASHUOr A.P.# I Zane therefrom a T1.5 03e1tV of not mare thonnlive hundred dollla sOi§ ics)), he applicant l0 i CI VII r1, as owner of the property Or Y erellamyeas with wages their sole far now alt�r/lonll 7044, Business anah PffuRtional not Intended TheeContractorrs LICaOtt Law does not apply to an Owner Of a property w110 builds Of ImprOWS - - Reinspection Fee $15 Issue Fee S 3 MECHANICAL FEE Sub Panel ' , Boiler Hood Or Type ❑ Canopy Type l l ❑ - N emereen, and who CON Such Work himself/hersell Or through his or her own PIPN, provided that h Microsecond I are not Intended Or offeree for Sale. Jr.. however, a ulleln oImprovement Is told within one Year of Cam- plellan, the Owner will have Up human of pmvi0g he71M1e did not build or Im- C DUCT -under Ground N as far Ile purpose of sal.). 11. I the property. am OKCIYSIVOIY Contracting with licensed Sen- tp°ractorstoconstructins OrolOCtlSectiopn 040, Business andrPrOfladconCOd0: The Contractor'% Lkense Law tl not apply l0 an f property who bunds o Improves thereon, and who contract& far such ancients Nn a C proefrol their workei s CumpeSCa\IOnminsuranceC4should be oaeed awarethat K S Duel -Structural Refrigeration System ❑OIGDWOBTU ❑100,0o08TU - Duel- Ventilating E Exhaust System ❑ Multiple ❑ Sysmm RepeiNAlleralion �] he Firepl/Fec1.011. ICBO # Fire Damper T g ❑ I am exempt under SeOlon G. & P. C. for this reason Data Owner Heating System & Dueling, Registers -1- hereby certify Correct. that 1 nave read this aPpl' Ilgn dna tete that the show information S I agree to COMDIV With all City and county ordinances ❑0100 U00 BTU 0100,000 - and late load bled to building tructt andmherebyputnorice pre, wneinspectio f IdSS .c I, enter upon In a tip ed property for ion pi ' 0.einspeuTien FN $15 )saw Fee $/E � signs kve -3_?2 signature Drivers' License p.s , e - `\ 865.46, rev. 101" White - Building; Conary . APplimntl Plnk - ACcaunling; Goldenrod - ASHUOr A.P.# I Zane ELECTRICAL FEES S Main Building: Accessory Building: Cooking Unit Meter ❑up t0 100 Bar TFront Meter Driver IODemps p Sub Panel ' B. A Rear — N Inc. Roper 09-15 HIS ❑1615+ C Right - N Pole Lmht K S Left G R% Ping, Ref.# kParking Req./Provided E \ Planning Notes: he T g Disposal rr ❑OS KW 115.15 Reinspection Fee 1 $15 1 1 Indian Fan S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By ^ase Building Approved By — e� nate 1 SUMMARY OF FEES BUILDING PERMIT S SNIP S PLAN CHECK $ PERMIT�� PLUMBING $ ISSUANCE I $ PIAN CHECK 2596 $ ENERGY P.C. $ ELECTRICAL S GRADING IS PLAN CHECK 50% $ q#RCAOFILM S MECHANICAL IS TOTALFEE • $ '�•`� PLAN CHECK 25% $ 02"LE51 ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer .❑15-50 KW ❑ 50+KW Cooking Unit Meter ❑up t0 100 Bar Disbswsher Meter Driver IODemps Dryers ❑Gas ❑Electric Sub Panel ' Fan Meators ❑0I HP 01 %; 8 FAM. Inc. Roper 09-15 HIS ❑1615+ Fixtures - 'Microwave Device Boxes Pole Lmht Disposal rr ❑OS KW 115.15 Reinspection Fee 1 $15 1 1 Indian Fan S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By ^ase Building Approved By — e� nate 1 SUMMARY OF FEES BUILDING PERMIT S SNIP S PLAN CHECK $ PERMIT�� PLUMBING $ ISSUANCE I $ PIAN CHECK 2596 $ ENERGY P.C. $ ELECTRICAL S GRADING IS PLAN CHECK 50% $ q#RCAOFILM S MECHANICAL IS TOTALFEE • $ '�•`� PLAN CHECK 25% $ 02"LE51 ' CONSTRUCTION AND PLANNING APPROVALS 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, 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 IT Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning 2 FIRE DEPT. REQUIREMENT APPROVALS Permit# 20, Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating `% 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 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 i `- 45. Sound Attenuation r 46. Handicap Regulations 47. FINAL STRUCTURE & B12LDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date ' A. a Applicant to riled all spaces except those within heavy border lines and sign all appropriate declarations. ' t n, ' CITYOFCOSTAMESA CO STR11 TION PER IT Project Address a4 �� Applicant's Mailing AddressZ Owner's Nam �� IID! Owners L.I /Phne Address��94�el aL� RK•�sl PE TN TRA4246 CT NO. I602Z Log, �j UNIT NO S TYPE OF CONSTRUCTION NEIN I& ADD ALTERATION U REPAIR 000NVERSION ❑DEMOLISH QOTy@ER DESCRIPTION OF WORK/USE OF BLDG. /y -DD ser irate — i-3maL L N A.P. 9F '3 ''� 1- •'_ " zona J T� S Main Building: Accessory Building: ` 99o7� Rein spetion Fee §15 low Poo § 3 ArcM1lEng. /�i�L4 Licen¢N ?h TYPE OF PER GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL PROIECTOESCRIPTION Sd FT. OCCUPANCv CONSTRUCTION TYPE VA WATIONS �S0 so ZONE GRADINGCU.YDS. ACRES T Front Bailer 00 Address B R88r N Contractor's Namy'�g! g,PGl9arl Fo GOTHER Addresslmailing) Yny/6=QL•�LN�Gy"��YY� CI[,Licens¢No. Y ys LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed aOtler`prtaldons of Charter 9 (commencing with section 70001 of Division "3 of the Business ane Professions code, entl mylloe�nTse lam twitats���TAAA d N L :� /'tJ/y for -6 UseDate�y1Fye C Right Duct - Ventilating EeM1aurt SVztem 0 Multiple ❑ _ C v.'f�",_ SUM RYOF FEES -DA4LOING.PERMIT S SD SMTP S PLAN CHECK $ z'S'�'a PERMIT " PLUMBING , "$ ISSUANCE $ PLAN CHECK 25% S ENERGY P.C. S ELECTRICAL $ GRADING S PLAN CHECK 50% $ MICROFILM S MECHANICAL E TOTAL FEE $ PLAN CHECK 25% $' N' K § Le}[ G R Plflg. Ref. �} Parking Req.JPlOvitlM E Registers Remarks! - Planning Notes: D M - F 5 PLUMBING FEES 7-[--S lauB Fee $ 9 Goldenrod - Assessor CM F'6865467p rev. 10164 While IIII, -Accounting; Bar Bar Sink $hmus - ELECTRICAL 'FEES " "'ORKERS''C'OMPENSATIO�NSDECLA RATION Cechy affirm that l nave certUlt$tb of consent to selunm arr'mcete rthereof Workers' Compensation Insurance,eair a wNf160 COPY (Section 3800, Lab. C.) { Policy No.Company Certified Copy If hereby furnished. B mrtified Copy is filed with the city Building Division. To ApplWORKERS' Backflow Preventer Service5ink Automatic Washer Construction Pole Sub. Trandoimer 01530 KW '050+KW Backflow Irrigation Sewer Cap - Bathtubs -� Ensure Connection Cooking Unit Meter ❑Up to 100amps " EXEMPTION FROM W00.KERicant ENSATI N DECLARATION COMPENSATION tThlt Section nee of be Completed if the permit Is for one hundrd (S100) o est. r II certify that - the Performance of the work fon Width MI5 Per it IS NSUptl 1 Hall t employ parson m any ma neva Mvd to the Work 0 1 o Laws of Californla.C/ ��Ignstore Clarifiers Solar Collectors Dishwasher Meter ❑over. 100 amps pi5hN25hlr -. Solar Piping - Dryers OGas ❑Electric Sub Panel Drinking Fountains Solar Ten Fan Motors 061 1%-8 Floor Drains - Swim nB POO( w/5pa F.A.U. Inc. Bele 915 HP Ot6-15+� Date J (as become NOTI : It, of er adds Mli declenNp you Shirr tl Subject to tM Workers' Compensation Sir ions of in We Or-0Oee, you must forthwith Amply with Such prOvl510n5 or Ih If parm0 hall be deemed revoked. Floor Sinks - nal Fixtures M' Gas Service „Dutlene Waier Clout Device Boxes PON Li nI g CONSTRUCTION LENDING AGENCY 1 hereby affirm that there IS a conRNCtloo lending agency for the pastounding Of the work for wMch this permit Is Hearst (Section 3097 Civ. C.) 1ptQlCQp[Ora Y •:� Water Heater D Gondar'$ Name ut eta Barge illdol Gender's Address OWNER BUILDER DECLARATION I nOrebYefllrm that I am comes from the Critractor's Learned Law for the following reason (ground 7031.5 Business and Professional Code: Any city or eCounty which applies a Permit to Construct. alter, improve, demolish or nagIr nv nruawd, prior to Its Isswn[e, afro requires the applleam for Such�e n to Bed a Signed statement that name IS Ilanedd pursuant to the Prpvlalons of ::e ConlraCtar'S Llcon a law (Chapter a (eOmmencing with Section 7000) of 118 Is exempt erelfrom and lthe ba5i5 for he Business nthe alleged nd rexemptioons n Any Of al situation OI Section .031,5 sty any dpWlant fora pelmet Suin 'a the apPllcant 10 Civil hairy of not more 'ban lire mind dollars IS5o0). 1, as her a ine provpOOHv or y Spm "Ings win ages mob sole mpenuao0 w111 do me k, and the teunU s Is not Imandeti orof bad 'or sob "0CNOn 70sa; 9udness and Pro 'One' [ode: The Comracmr's ger ucenu uw styes not apply to an owner of a properly Coda emms or Impedes Ihe/aon` slid no deo h work himself/noel * or tnsou9n his Or her own Poy prorldetl thatSuch n improve men is am net Intanted or 0Oe east for is. II, n waver, Me buuaiog r Improwmam a SOIa wmm� ane veer of COm " eleu0n. the Owner arm ha re Me epmen of is dng lie/she deo not nUlm ar Ito- re for the ditto Met bre). I, as awno/ fine orooarty, am Cluslwly oneracnng Sinth licensee con- in z IraC[ON^d COnebYct Ido preleCl assll0n 7049, BUelo owner ofolpislOrls Code: The Cat m[ to r•5 ucan5o Law Is poly as fpro peny who bWIO5 Imp^ias to era Ono ntl was C ntr a ter Su[In prelrcb Illi d con- bdcMra�) a pursuant t tnd cart.$ ars 4censv law). am ewers that ( their w0r Ser a COmpenretIOn Insprance snouIn be provided tem O I' am exempt under section B. A P. C. for rots reason Kitchen Sink Water Service Switches Sign Lavatories yL[ . Auto -Wash Garbage Disporal Standing Sections ' P_Tvans - _ - Usunery Tay% Generator 00,4w'05-15 KW Trash Compactor Roof Drdns °Y Rein spetion Fee §15 low Poo § 3 Rainy ion Fee $15 law Fee S 3 MECHANICAL -FEES DEVELOPMENT SERVILE$ flEO 1st TS: _ B zCCq g APprpwtl By t' a �-:" r 6 �i B AOPmwd By Data I ep muetl By Dat Bailer ri Hood Or Type 1 lJ Canopy • Type I ❑ - E X I Duct- Under Ground Duct Structural Refrigara'io yalem Fit RlPia 061 OBTU ❑100,W0BTU stem Repair/AlbMlion a Duct - Ventilating EeM1aurt SVztem 0 Multiple ❑ _ C v.'f�",_ SUM RYOF FEES -DA4LOING.PERMIT S SD SMTP S PLAN CHECK $ z'S'�'a PERMIT " PLUMBING , "$ ISSUANCE $ PLAN CHECK 25% S ENERGY P.C. S ELECTRICAL $ GRADING S PLAN CHECK 50% $ MICROFILM S MECHANICAL E TOTAL FEE $ PLAN CHECK 25% $' FirepUFac'.BII. ICBO# Fire Dampers 'Date Owner Heating SyS[en SI Ducting ❑0.100,008 BTU ❑1 OBT Registers L I hereby sort 1 correct. I have read this application and slate that the above Information ls c L 1 agree to comply s Us all Clty ioe [Oonly Cargo O 1810 IioWS Ialln9 to nulltlin9 [dnsb flop, dno herebyaUlimtlee rapid. ntairn t tM1is c" ha sodveanenterned properly for inspection purpose - Signature Dears• uc.nse err ss Fee 515 7-[--S lauB Fee $ 9 Goldenrod - Assessor CM F'6865467p rev. 10164 While IIII, -Accounting; "- 11 CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POOL &SPA APPROVALS Permit# Date ,- IE sp�ctar n 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Cdnduit Utility-Undrgrnd. 54. Forms 4\ Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i r 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ; 1 7. Footings 58. Electrical Conduit-Undrgrnd. n 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 Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush , 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 011 25. Roof Sheathing - • �- �• 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing jo - 76. Dry Standpipe {=! 28. Lathing & Siding 77. FIXED SYSTEM FINAL f ' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing t+ 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- 1- 38. Final Plumbing • - 39. Water Service -Final 9 ._ .,• .. „„ - - +r 40. Gas Service -Final :r ' Al. Solar Domestic -Final t•• 42. Backflow Preventer 43. Backflow Irrigation d, •. p '44. Landscape Irrigation SystemCt{On5 '- Incam to InspE 45. Sound Attenuation f 46. Handicap Regulations Dat 47. FINAL STRUCTURE & BUILDING �r 48. Special Requirements Completed' 49. Electric Release to Edison ; 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill n an spaces except those within heavy border lines and sign all appropriate denarahom. I - g \ CITYOF COSTA MESA CONSTRUCTIONP RMIT Project Address CAoiuix' li F. 07 App lienn['s Mailing Address IDI l dress aK n Owners Nam[ 9 A Amreae t� ' 1�a MIT _�� 9 T�rACT NO. ;yet Lj�T NO� UNIT NO. PLUMBING TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR El CONVERSION 1:1 DEMOLISH C3OTHE O 5 PT NO WORK/}l$E OF RypG.. � rv"�n niu�vla til r/v . A.P. # ' s 1 B C K $ Mango ArcNEng. I LiC.nseN .L/ -L_ Addr[s9 J TYPP-EtOFPERMI GRADING FOUNDATIOONI STRUCTURAL 'L-1 TENAN7 ELECTRICAL ❑ PLUMBING y MECHANICAL - ❑ OTHER TTTTJJJPTI PROTECT DESCRIPTION 50. OCCUPAN11 pqqpYqApmy/1-- CGNSTRVCTION TYPE VALUATION E�ByL ZONE GRAOINGCU.VOS. ACRES— Front Rea /- Contractor's Nam aAr�PM1one Add 55lmailing) ,< L Cit License No.—. V LICENSED CONTRACTOR DECLARATION \I_MrebY affirm that I am licensed under pmvblons or Charter 9 (commencing Riynt L[fI Plrp. Ref. $ Remarks! //+ pC31 � s '2Z.?; _{ � 7 / Planning Nol anon;' foe Sake Elptiooll1044 dew:re's• License sew does not apoa t an thereon, and lip doesWOF create aY . Provided that Such In ll, however, me building O pr0Va }oove r the purpose willner have said)` eel ❑ I, a5 Owner of the property, reactors to construct ne oroioct Tree Contractor's Lline Se Law od InUllds Improye5 • , and bacSOrf1 license pursuant to rho Proof 1 IMIr WOfker'S Common ❑ f am exempt under auction— oat, Owner i- nermy n boy ria ^10rmIle Is els l elf a ^late IpWVYLAeIa a u^lal Intadves his l s t zmecuon Pop Slmnat nee Drivers' License or it w s•ISa gr!XI6NSIiot ig Wrm"Se floraleOW dr any vniailan of 6ec[I�on me iDPllCanI to a dull with section )000) of Oxides 3 of the Rusirmv; and Refreshens Conq and . ReinsMMi0n Fee my license Is In rperp and effect Ucamse C� Iasi I LI�� I 57 with wages as meh sole s nor Intended Or offeree ontractor s Date Signature PLUMBING $15 WORKERS' COMPENSATION DECLA TION ' hereby affirm that l have a certificate 0 consent to NlNnsure or a certificate Bar Sink $ROWCs Hood or Type I ❑ Canopy Type II ❑ ithrough his U her Own ended tiered for cWithinOno year Or corn. /she Iola not bulla or Int- • Compensation Insure ernoef copy thereof (section deoof uE5 0.) Backflow Service Sece Sink. Backflow Irrigation Sewn Cep - ELECTRICAL FEES P011cy No. Company Refrigeration System 00-100,WOBTU❑ff BCerluled coot' Is hereby furnish". Duct - Ventilating - -. Bathtubs $ewe! Confl¢ctY Exhaust System ❑ Multiple ❑ Certlfled copy Is filed with the city BUIMln9 Division. seLaw). I am award that IOUIO be provided to he Applicant - -- Clarifiers _ Solar Collectors E%EMPTION.FROM WORKERS' COMPENSATION DECLARATION B. It P. C. lot this reason (This section neon not Oe Carefu led II the phmlt IS for One hY rea(s1001 dr I certify that m sea cerformana or me cn t mu' sun a 1 soul t PIOY v person In rev s e to m to tFe W eke! n n1IM laws of Calif Na DaM �]= Spnatme Dishwasher SOIar Piping 9'-'. _ Drinking Fountains Solar Tank - Floor Drains SY+immirg Pool; endtate that the above y and County Odin 'NOTl�Offer making this declaration, you hould be f lett tv the Workers' Compensation proNslons of IM dr Code, you must forthwith Comply with soon PrOvIS or mN pI 11 man be ae6meo ked. CONSTRUCTION LENDING AGENCY I hereby affirm that there b a wmtrunlOn lending agency for me yerformance 1 the k for which this permit Is Issued (Section 309) Cly. C.) Landar's Hama Floor Sinks Urinal Gas SerVi[e Oullels WBIaf Glocal Inl¢rcepbrs Water H¢Mer Lendor'S Address / 1•. Kitchen Sink water servile Trash Coneaclpi ' OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor'S Upon, Law for the LevatOiieS Auto -Wash anon;' foe Sake Elptiooll1044 dew:re's• License sew does not apoa t an thereon, and lip doesWOF create aY . Provided that Such In ll, however, me building O pr0Va }oove r the purpose willner have said)` eel ❑ I, a5 Owner of the property, reactors to construct ne oroioct Tree Contractor's Lline Se Law od InUllds Improye5 • , and bacSOrf1 license pursuant to rho Proof 1 IMIr WOfker'S Common ❑ f am exempt under auction— oat, Owner i- nermy n boy ria ^10rmIle Is els l elf a ^late IpWVYLAeIa a u^lal Intadves his l s t zmecuon Pop Slmnat nee Drivers' License or it w s•ISa gr!XI6NSIiot ig Wrm"Se floraleOW dr any vniailan of 6ec[I�on me iDPllCanI to a dull _Roof. Drains ReinsMMi0n Fee $15 Issue Fee with wages as meh sole s nor Intended Or offeree ontractor s �--� Y who builds or Improved;MECHANICAL $15 G R Boiler Hood or Type I ❑ Canopy Type II ❑ ithrough his U her Own ended tiered for cWithinOno year Or corn. /she Iola not bulla or Int- O M T Duct- Under Ground acting with C OOn: osd sit property who such projects with a Can- mse ELECTRICAL FEES Duct Structural Refrigeration System 00-100,WOBTU❑ff Duct - Ventilating Exhaust System ❑ Multiple ❑ System Re it/Alleratii seLaw). I am award that IOUIO be provided to BUILDING PERMIT $ SUM�7AAliYAO ESkvl PLAN CHECK $ fYYOO bb PERMIT AS PLUMBING $ ISSUANCE PLAN CHECK 25%. $ ENERGY P.C. ELECTRICAL jS GRADING PLAIN CHECK 50% $ MICROFILM MECHANICAL. $ TOTALFEE PLAN HECK 35%' $ FirepllFxt Bit. ICED $ Fire Dampers B. It P. C. lot this reason 1f15 MlGpwave Heating System B Ducting ❑OICISOOO BTU ❑loo.ODD Felonies; endtate that the above y and County Odin Range I Reinspection Fee $15 OBiE Issue Fee I hereby utharrbe a pre. m bonedProperty for Trash Coneaclpi ' a CMF OB65-aa. rev. 10/8e White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electri Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispowl Generator 00.5 KW 05 6523 5%30/86 81.20 TL Accessary blooms: Z 0 �--� N $15 G R Parking Req./Provided - E gA4 O M T 'DEVELOPMENT SERV B Zoning Appeased Building Approved Is uBy Applications Issuee dd By d 8t' ELECTRICAL FEES E 1 ITS: _met Transformer ❑ 15-5OKW ❑50*KW Meter ❑up to 100 amps Meter ❑over l0oamps Sub Panel BUILDING PERMIT $ SUM�7AAliYAO ESkvl PLAN CHECK $ fYYOO bb PERMIT AS PLUMBING $ ISSUANCE PLAN CHECK 25%. $ ENERGY P.C. ELECTRICAL jS GRADING PLAIN CHECK 50% $ MICROFILM MECHANICAL. $ TOTALFEE PLAN HECK 35%' $ Motors ❑01 HE 01%.8 .70 _ .�L �•L� nc.Solar 0415 HP 0;6 15a 1f15 MlGpwave - Pole Light Range I Sign y Standing Sections Trash Coneaclpi ' S 3 1 �--� ReinWeetion Fee $15 IMue FFee$ 3 FEES 'DEVELOPMENT SERV B Zoning Appeased Building Approved Is uBy Applications Issuee dd By d 8t' OU E 1 ITS: _met Dale Oat O BUILDING PERMIT $ SUM�7AAliYAO ESkvl PLAN CHECK $ fYYOO bb PERMIT AS PLUMBING $ ISSUANCE PLAN CHECK 25%. $ ENERGY P.C. ELECTRICAL jS GRADING PLAIN CHECK 50% $ MICROFILM MECHANICAL. $ TOTALFEE PLAN HECK 35%' $ S S $ S S s .70 _ .�L �•L� 1f15 - $ 3 CONSTRUCTION AND PLANNING Date APPROVALS Permit # Inspector POO ;PA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Uridrgrnd. 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, 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. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 26. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -5 h & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-BarC_eiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �� L 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31l Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning $ 5' 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 - r 43. Backflow Irrigation •- s } 44. Landscape Irrigation System' t. 45. Sound Attenuation Ct1011S i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i ete 48. Special Requirements Completed � �! v 49. Electric Release to Edison 'v = 50. Gas Release to Southern California Gas Co.• -51. CERTIFICATE OF OCCUPANCY No. Date , 5931 5/23/E7 I Bnli Applicant to fill In an Spares exceed those within heavy border lines ane Ran all apomorlate di uaratlon5. CITYOFCOSTAMESA CONSTRU TIO PERPAIT ySi PE MIT NO TRACT NO. LOIN UNITNO. f iii—�07 .i 0 3 9 8 - Rroi�al A1ly.eae 3 ST7iiG��' G •3 AppluatruzMeiling/Atl rates I v WIlEDFCONSTRUCTIO_N/ NEW ADO ALTERATION REPAIn ,-fit vi"El CONVERSION EMOLISH OTHER AP, .(. Zona Owner's Name JJ_V-V phone � -/ SCRIPT OF WORK/USE OF 8L0G. Com -_('F• fid�5� S Main Builtling: Accessory Building: Address 01 v' �'T�ICy-V"pI3�� Arch/Eng. License No 9 TYPE OF PE RM4 GRADING FOUrvDAn Ory TRUCTURAL T Front 0 TENANT ELECTR I[AL ❑ PLUMBING ❑MECHANICAL N Address B Rear OTHER A I Ap Lon[ractoi s Nam Phone PROJECT C Right N Atltlress (mailing DESCRIPTION SG. FT. OCCUPANCY 'Ll. CONSTRUCTION TYPE VALUATIONS JgSI �� § Left City License No. - gg q / ZOrvE : eRADING CU.NDS. ACRES Ping. Ref, iF Parkin Req./ProvbM E CONTRACTOR DECLARATION 4CENSEO CONTRACTOR sedunrproO am licensed pro [I Sof Char I Standing Remarks; r $7 planning Notes : M with section ] Or ;Dlvlsi withsec ionaff7.00) 3 of the 3 OI Me and Pr Code, and kP of my nben3p lS l . frill for a erect. G' s ucenae I, �s •.:FEE$ - Dale Signature PWMBING R COMPENSATION OE nAoo Bar Sink Showers. ELECTRICAL FEES are by ate p/ sent to s¢IPi or ce hanka0holl CThat I'S oi section workers rompenaflpn mz a o a certu py tWr (secnon py 3800, lab. Backflow Prevelner Service Sink Automatic Washer Transformer ❑ 1550 KW _ Pp' No. Coupon Backflow Irrigation Sawa cap : Construction Pole Sub. ❑ 50+KW tri moo 15 her furhisnI CereJygE�fileu.whn ane <OVB n[ n Bathtubs Sewer Connection Cooking Unit Meter Club to 100 amp Dale !{f4[F( APPlicant EXEM t FROMFIN OMJP1kASATI& DEECe ARATION C10rifers' Spurr Detective - Dishwasher Meter ]over 10 ps I(inissecnan ossa not fie comoletee it ePermit is for one hundred ($IDB)or Dishwasher $alar Pi Ping Dryers ❑❑ Gas Electric certify that in the pertwmana of he work for which tnla Permit Is Issues. _ Sub Panel er Wna/l not employ any Dersan in y Insurer so a3 to become subject to the m Drinking Fountains Solar Tenk Fan Mot Ot HP 171'6 Workers' ompensation Laws of alifonr la -8 Date Signature Fluor Drains Swim gPoolw/Spa FA. U. Aid,Solar ❑9-15 HP❑1615+ NOTICE; If. after making this declaration, you should loscome Futeii to WorkersCompensation provisions of the Labor code, you must forthwith Floor Sinks pl Fixtures a teemed molly with Such provisions o this permit Shea mea r uokee. microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pp12 Lr Light I hereby affirm that Mew$S a constructed lening agency lar the rriormance Of the work for which this permit is issued (Section 30 9] CIV. C.) Interceptors Water Heater Outlpn flange Lancer's Name 'Lender's Address Kitchen Sink Water Service Switches - Sign - OWNER BUILDER bECLARATION - M1Bleny al0irm lnBt I dm exempt from the Contractor's License Law for the Omfasnonal 'or Lovatptles Auto Wash Garbage DISp0501 Standing Section lollowlnW r n l5ec[lon ]031.5 Bminess antl Coae: Any cfly frwty min rreq Wrn apermd to construct, alOar lmproro, demopsn or tapmr P_Trap Leuntlry Trays Generator❑ K6❑5-15 KW Trash COmpector y sVUQure, print to Its IssYaoce: also regUlr¢z t✓ta appllcanl for sato permit to fue a IgnM statement mat fie/she ue.nsea p rzuant Ip me provisions of Roof Dr 0 f �¢/zhe por /I io0t�d o1 Lnel Bu51ne45 antlnP!otesl4nos Coselloi inter is0axem-" /Iomyane [tM Win far tM alNgga exempt3oM1 Hny violaflon o} 5¢ccivil - LJ L as owner Ol,tne pmwonv or v employees wGM1 wages tnoh sole Reinspection Fee $15 11 Fee $ 3 cpm�en3abnn 'own do ma k, dna [fie structure !s not intended pl fared ]Oda, wofeRional Cpee: me contractors we Reinspen[mn Fee $15 Issue Fee $ 3 le {section Business dna Li[en5e Id�w Ooe5001 ipp1Y l0 ao owner of a propetly vaso bY11tl5 ar Improves thereon, b fib does ucn work mmsetl/nerse0 ur through not or her MECHANICAL, FEES DEVELOPMENT SERVICES REQUIREMENTS: 07 Elown emplOYees- prprieetl tM1ai s CM1 ImprOv¢mem3 drB not Intebd0d oflel¢d for improvement k Boller header Type 1 ❑ Zoning g Approved By Y sale. If, noweveq the bulltlln9 o sole within one year of cam- Canopy Type If pterion, m¢ owner will Have me hurtled of oYOving M1e/dna die not mile or mot Duct- Under Ground $ydding Approved B Ta e IS r tM1e pwpose of sale'. . CO \ratting IIM1 Issions COT Owne O the prep¢ tct Duet- structural Refrigeration Syrte App1i®tion IssVCd By aC]fFK /�'a/9,7 ] tra - Se tion 7044. Suitable and Code: nSir dceB aYOlett 11m C 00, U,OtO0,0006TU — - - - - - ' t I & no cal toat probes The L¢BPse Ww tloe not Scaly s owner Tuilds with DuctVentilating❑Of a SUMMARY DF FEES' IradOS awho is builds r �Pwves hereon, a e orad tont t such projects Im con - �7 Sb Proof os1 a rase puremnt ttl to n[rammrN maned Law).1 a re that Proof {their worker's tom tion' Insur hould be to me. Exhaust System ❑ Multiple ❑ S m RepaitAlteration • BUILDING PERMIT $ Sb 'SMTP $ PY000ea P AN CHECK $ PERMIT L1l am skewer under small B.a C. for this reason Firepl/Fact. Bit. ICBG A Fire Dampers 44 LtfiOt;O MBING $ ISSUANCE $ Date D net Heating System &Duch Register,PIAN ini CHECK 25% $ ENE ROY P. C. $ I hare tiy certify that n e read t oil na state that the above has is ❑oulaoxots 0,0000T IQ $ GRADING $ Inloral o Ity and County ordinances tate li Salim f fir tM1 �-ELECTRICAL and rate g Toa, and hreby Or m( It or a PLAN CHECK 5D% S MICROFILM $ Senlatives r to a ve- a boned o ty Inspection pure MECHANICAL $ B. D net TOTAL FEE $ p Signature ainspectidn Fe$ $15 Issue FeS $ 3 - PLAN CHECK 25% $ - Drivers'Urge or 55 CMF 0865-66, rev. 10/89 White- u no ao81y - ApD ICd 01: Pink Ac[oun[Ing: Gold¢mod - Assisi -CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1'. -'Temporary ElectricahService or Pole 52. Pool &Equipment Location i 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.. i 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK " 11. Property Sewer Line & House Connection62. 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 DEWREQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro , 22. Ducts, Ventilating . 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush I 24. Roof Framing 73: Undergrnd.Storage Tank _❑Gas 0Oil 25. Roof Sheathing / 1` 4. Overhead Hydro 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 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: i 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.. Backf low Irrigation-• ' 44. Landscape Irrigation System - •, .45. Sound Attenuation 46, Handicap Regulations EXPIRED 47, FI NAL STRUCTU RE & BUI LDI NG Incmpl .inspect• 48..Special Requirements Completed to 49. Electric Release to Edison 50. Gas Release to Southern California Gas On 51. CERTIFICATE OF OCCUPANCY No. Date f Address LsMAN voAIsau .mss t - s -,-1a I Ei nc Conlnctor'sName ti(K Lu w(ry[a'A"�la y1 Pho r21S Address mailing) asnr Lr1� Ca7011_a_Al O_-. (Iva City License NO d 00-7.1? LICENSED CONTRACTOR OECIARATION I thereby affirm that I am licensed under provisions of Chou, 9 (Co with Notion 7090) of Division 3 Of the Business and Professions my license is in h l force and QHI .; f DO UCense Class I<Bnse NO. Data signature WORKERS' COMPENSATION D RATION M1eroby dflllm that nave a cerNflca[e of consan to Soll-in5ur0 or a of Workers' Compensation Insurance, Or a nrtllled copy thereat 3000, Lab.0!'.06457 1 Posey No w G fDomwnr F/FWNrts ti.r iefor one hundred ($100) or Which o becomeec rout 15 subject Issued AS tto Its Name — Over yy that I have r earruch I agree a1sa[in9 [III0 III nl For SS p _ 10/84 White nm to fol In an spacer ¢isnot these within heavy border aboard sign all appropriate decimations PBR TNO� TRACT NO. -LOZII. PERMIT $ _ 0407.12/09/86 20013$ I'7 o--'T&5-343 � Exhaust System❑ Multiple 11 Alf Backflow P,reventer l ;Ls Fire Campers Automatic Washer Constructlon.Pele Sub. Tramrstrmer❑ 1550 KW'" 0 SOe KW TYPED NSTRUCTION NEW' ADO ALTERATION REPAIR Sewer Connection Heating System &Doering Cooking Unit Mater Out to 100 amps LLTGONV ERSION 11DEMOLISH C OTHER AP J6 P OR PTIONO ORKAJS OF BLD Solar Piping $ Ma in Building: - Accessmy Building: Drinking Fountains Solar Tank I Fen Motors [III HE 11151 Floor Drains ' E PLAN CHECK' 25% $ F.A.U. Inc.SOlar [IS -15 HE 016-16* Floor Sinks. TYPE OF PERMIT GRADING OUNDATu:G RUCTU RALr Goldenrod-Aemaar - Flenl 'Microwave - Gas Service Outlets p ❑ TENANT EYELEC7RICAL kn PLUMBING aMECHANICAL BA Raa! Interceptors Water Heater N OTHER Range 1:4 511 Kitchen Sink - Water Service Q Switches Sign C Right Garbage Disposal N PROJECT DESCRIPTION SOFT. OCCUpl - - Laundry Trays Generator ❑05 KW 115 15 KW Trash Compactor G CONSTRUCTIONTVPE VALUATION$ �y:2 11 $ Left _ _ ZONE GRADI NO CU. YES. ACRESR Ping. Ref. /((,ZcJ Perking Req.IPrbvidetl Reinspection FN E .Remarxr:M 1 Planning Notes: T 1 M f MECHANICAL FEES' 5 - PLUMBING FEES PERMIT $ �. I SMIP Bar Sink Showers Exhaust System❑ Multiple 11 sea ELECTRICAL .FEES Backflow P,reventer Servial -_ Fire Campers Automatic Washer Constructlon.Pele Sub. Tramrstrmer❑ 1550 KW'" 0 SOe KW ' Backflow Irrigation Sewer Cap" •Y. PERMIT ISSUANCE ENERGY P.C. Bathtubs Y, Sewer Connection Heating System &Doering Cooking Unit Mater Out to 100 amps Clarifiers Solar Collectors f 100,000 BTU 11100,0001371. Dishwasher, _ _Meier ❑over 1COamps Dishwasher - Solar Piping .1 Dryers []Gas ❑Electric Sub Panel Drinking Fountains Solar Tank I Fen Motors [III HE 11151 Floor Drains ' Swimming Pool wl PLAN CHECK' 25% $ F.A.U. Inc.SOlar [IS -15 HE 016-16* Floor Sinks. Urinal Goldenrod-Aemaar - Fixtures - 'Microwave - Gas Service Outlets Water Closet - Device Boxes Pole Light Interceptors Water Heater Outlets Range 1:4 511 Kitchen Sink - Water Service Q Switches Sign Lavatories l 'Auto -Wash Garbage Disposal „Standing Sections P -Trap - Laundry Trays Generator ❑05 KW 115 15 KW Trash Compactor Roof Drains' - Reinspection FN $15 Issue Fee $ 3 1 ReinMection Fee $15 Issue as a $3 MECHANICAL FEES' DEVELOPMENT SERVICES R UR Zoning ApEmrml By Building Approve tl By Application lend By_ E rr lJ./. i _ WYr'— ab 'Dasa ret �2�9• Boiler Hand or Type ❑ Canopy Typel l ❑ Duci - Under Ground Duct Structural ' 1Rsyelriperatbn System yw1011000 BTU 0100 OBTU Duct +Ventilating- ' SUM 'RY OF FEES IES! PERMIT $ �. I SMIP $ _ 7 Exhaust System❑ Multiple 11 System Repair/Alteration XfBIQLDING FIrepVFacl.Blt. ICBO* Fire Campers Inco 'Pitsac�`r�'r'r-CK ._ $,�3 PPLUMBING $ -AN CHHKK- Slss $ l�d� �0 PERMIT ISSUANCE ENERGY P.C. $ $ I Heating System &Doering Registers ;1 Olf _ 08t f 100,000 BTU 11100,0001371. `SIB ELECTRICAL $ PLAN CHECK 50941x. MECHANICAL If $ _[�c_.,lCL �_7['.a OHO —fd GRADING ' MICROFILM' TOTALFEE . IS $ $ .1 Reinspeotidn Fn $16 Issue Fee If 3 PLAN CHECK' 25% $ - Goldenrod-Aemaar - t -. CONSTRUCTION AND PLANNING 'SAPSDate ROVALS Permit # - Inspector PO •` SPA APPROVALS Permit # Date nspeetor _I mporary Electrical Service or Pole 52. Pool & Equipment Location 2. toil Pipe-Uridrgrnd. -- 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, O Undrgrnd., Test -9. Water Pipe-Undrg�nd. 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 72,�a, 67. Fencing & Access Approval 17. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING 18: Rough Electrical -T Bar Ceiling Z, 10 6� G 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 22r Ducts, Ventilating 1 71. Product Piping El Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. .Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil - 25. Roof,Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat y prd 75. Dry Chemical ... 27., Frame and Flashing iZ OG 76. Dry Standpipe - 28) Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation & Oit 78. FIRE PREY. FINAL 30. Drywall Nailing O�" HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �� _ Notes: lt 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 X46. Handicap Regulations ainsDeCtIOVIS 47. FINAL STRUCTURE & BUILDING b 48. Special Requirements Completed L%iE 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date / _ B16387� BLOCK "AZ $6364. - 3505 Cadillac Avenue PC d35 -84S _ BEMD394 ADD $12,000 B17712 SIGN PC#401-85A _G21273 WAREHOUSE $19,500.00 _ ,V -Z// 1,5-, 00-107A) (#0-107A) M I k 4 9 (o Z/g /ft 833725 wall sign 1,457.00 J CADIUAC AVENUE 3505 Unit A Lot 26 - B-2255- 91.1%1d.1. Come. Bldg. Unit A P-2366- V114p, PIRG. (B-2255) IE -2622-9/3/0- Fu .(2255) Unit A 107,004_ B-3604- trash enclosure A 7/a -71X3 E-5068- Elec.(Iights in walkway) �nh�/aY 3505 Cadillac Omplex R ( C-11904 INT. ALT. $84,000. (PC#125-84A) (BLDG. A) " B1g�2885 WALL SI(N $1,000. a3�8�i s M13716 MiSC UNIT' A 3505 Cadillac Avenue UNIT A B17712 SIGN $500 _ BM -20 374 Int, Alt. 1,000 00-107A) (#0-107A) - E21702 1IISC U'JIT A - // 919.3 CADIUAC AVENUE 3505 Unit A Lot 26 - B-2255- 91.1%1d.1. Come. Bldg. Unit A P-2366- V114p, PIRG. (B-2255) IE -2622-9/3/0- Fu .(2255) Unit A 107,004_ B-3604- trash enclosure A 7/a -71X3 E-5068- Elec.(Iights in walkway) �nh�/aY 3505 Cadillac Omplex R ( C-11904 INT. ALT. $84,000. (PC#125-84A) (BLDG. A) " B1g�2885 WALL SI(N $1,000. a3�8�i s M13716 MiSC UNIT' A 44 '`gyp Rrp q - CITY OF COSTA MESA - BUILDING DIVISION t DEVELOPMENT SERVICES DEPARTMENT +� PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: 3505 CADILLAC AV Suite: A Vicinity: UNIT A Parcel Number: 13966123 Applicant: MC FADDEN, MIKE Address: 2610 AVON ST. NEWPORT BEACH, CA UNIT A 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Zoning: ISSUED BY: Phone: (949) 5154315 Zip: 92663 Status: ISSUED Applied: 03/032000 Issued: 03/032000 Owner: CAMBRIDGE PARK PARTNERS Permit: Address CORELAND/DONNER - $0.00 SMIP Com: NEWPORT BEACH, CA - Phone: Inspection: $0.00 P O BOX 9164 Zip: 92658 Contractor: ,HARBOR CONTRACTORS Address: 2610 AVON ST. NEWPORT BEACH, CA Phone:- (949) 5154315 UNIT A Zip: 92663 License: 771289 _ Arch - Eng: Address: - Address:. Phone: Phone: -Zip: - - License: License: SCOPE OF PERMIT'. CUT Txl V WINDOW INTO EXISTING CONCRETE TILT -UP BUILDING FOR -AMERICAN ELECTRONICS RESOURCES, INC. -(BUILDING A). - -- Plan Check: $99.61 Permit: $153.25 SMIP Res: $0.00 SMIP Com: Other: $0.00 Inspection: $0.00 Total: $254.54 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 FEE SUMMARY Calc Valuation: $8,000.00 Claim Valuation: $8,000.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 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 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers compensadon Insurance, as required by section 3700 of the Labor Cade, for the perfor mance of the work for which this pqermit is issued. My worke�rs' ce..,m� �ensalzi�on Insurance canter and polity number are: Carder: S—I TT/!t'i F��L7 Policy Number: (This section need not be completed i/ the Permit is valued at one hundred dol/ars ($100) or less.) ❑ 1 certify that in the performanceA the wo 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 Califomi , d agr �teo d become subject to the workers' compensation provisions of Section 37� of the La{pr Code, I shag forthwith comply with these Prov' '� Applicant Signature: Date: o WARNING: FAILURE TO SE RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL`nE4 AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION WOO OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under p ' i s I Chapter 9 mending with Section 7000) of Division 3 of the Business end lesions Code, and my license is in full force and effect. Uc. N Class M Contractors Signature: if I I Date: 3 4 CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the pedonnance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 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, prior 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 Of 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 ($5DO).): ❑ 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 (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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ NO Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): 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 B, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safely, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Persil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII 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 teal 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 form 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 of compressed gas at standard temperature and pressure). 3 Does or will the applicant 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 tiling with the Fire Department of an RMPP by businesses Which are required to register acutely hazardous materials with the Fire Department. 4 It an RMPP is presently required, has SOction 25534 of the California Health and Safety Code been fully compiled 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 e a plicationSparing for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li Yes No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be Constructed under this permit 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 If a permit from the South Coast Air Quality Management 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 prescribed 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 all state law d city ordinances relating to building Construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described proPeny or spection p ses. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Iel s) D to Antl/Or tErAuthorized App (cent le CODE r. INSPECTION TYPE 2&1Y INTMALS CODE INSPECTION TYPE OATS IRr m LA j 1616 Fixed System Final Fire Prevention - 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final BlocktRetaining 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/Occupancy 6'—/2'0c) 2446-46 CMF 0865-46, y5v. 10/84 White - Building; Canary - Assailant; Pink - Accounting: Goldenrod - Assessor Applicant to fill In all spaces except those within heavy border lines and sign all appropriate °ecraratisi \ . 9010 6/23/85, l 3Ee 13 \ Tl. CITV.OFeASTA MESA C STRUCTIOIy%PERMIT . P`GN'.i.naa.x,C Sd O—/07% Applicant's Mailing tlrex� PE MIT NO /.�M EPV a037� TRACT NO. O O. r'3 DN IT , / 07 TYPE OF CONSTRUCTION NEW ADD ALTewAT1ON REPAIR (] CONVERSION 1:1 DEMOLISH ❑ OTHER A.R. s# — 1prq PJ) Z-'. PM1ene Owner -sting_ _ AddressSigel DESCRIPTIO F RK OF un 5 Main gWltlirp'. Aaessory Building: ArchlEng. Licence No. Add ress TY55,(PPERMIT - GRADING TENANT ELECTRICAL ❑-OTHER FOUNpATION STRDCTURAL PLUMBING 0 MECHANICAL T Front p BA R¢pr - N Connacm'P'� Atltlreulm•-a. �•�/9�Z rl0/_ City License No: _ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensee under pmval 5 f Charter i (rp}Itm@biln With Sadlon 7000) °1 DIv61an 3 °t the BusI and r[ Ede, e my license is in furl far a/1¢cl. .. PRQIECT DESCRIPTION sO. PL—,LQ7 OCCUPArvcY CONSTRUCTION TYPE ✓—H VALUATION$ In'%r%O� ZONE GRADINGCU.YDS. ACHES C Right N K. $ Left G R Plrrg. Ref. SY ParklnB Re .IPI°VILed E Remarks: 20 1 F Yet_` Planning Notes: M - T S I-COnit a, Date S11 tur0 _ PLUMBING FEES 1 r si ger Sink Showers ELECTRICAL FEES ^BOR RS COMPErvSA ION DEC RATION ready affirm teat l have is o lllc $mf con aft 1 among Orastill5still\ Backflow Preventer Service Sink - Autbmal Washer _ Construction Pole Sub_ intentional LI 15-50 KW ❑50!.KW - ,S rsN� workers' Compere tion Insur co, or a urbT toy thea I .a0o, Led. 1l1,ry0.5 POIICy 6�` Company Backflow Irrigation Sewer Cap Vq [Iliad copy her byful°ISned. ed with [See aty Nu Date AOPnonr Be[M1tubs Sewer Cdnnenion Looking Uni[ Meter Duff m 100 amps EXEM IO ROM\WO RK°Eq$•COMP $PT10 ECLARATIGN .ea n0 (This Section PIOnd ill permit is for one hundred (5100) Or less). certify that In the performance of t Wmin for sO which t is Per it is issued 1 workers' Compensation laws o1 California to ba bled to the Date Signature 'NOTICE: Clarifiers Solar Collectors Dishwasher Meter ❑rarer 100 amps DM1b1Ping Dishwasher $o9[Pi Dryers ❑Gas ❑Electric Sub Panel �:. ' - Dunking Fountains Solar Tank Fan Motors ❑0.1 HP 0 Floor DrainsSwimming Portal w/Spa 'm F.A,U. Inc Solar Og-15 HIS ❑16-150 It, aper making this tlons you .come sus left to Aa of Labor Cod workers' Cam such ipr provisions 1 Ind rmitSL°ae, you em t (revoked. empty with ErODINGs or tM1I9 xrTl[ hall OB deemed revoked. Floor Sinks Urinal Fixtures MiCroweve Gas Service outlets water CIOs@[ Device Boxes polo Light g ON CONSTRUCTION LENDING AGENCY hereby Work that there It ahis permit s issue agency ec for the performance Cry C.) of IM1e k for wnlcM1 this permit Is issued (Section 309] Clv. C.l Lender's Name Interceptors water HQa[ef Gu[IB[5 Range OWNER BUILDER DECLARATION exam ION OWNER BUILD lC ode Law for m° 1 hereby affirm that m 7031lDt from the Contractor Professional following reasons ISac51On 7031.5 Business tand, alter Prof@ prove LOO e: Any r mor ntvwhi¢e ra PermDce, to als irequirest a applicantmen Permit ane also requires tbar suM1 Permit tat to its that Ki[enen $ink Water Service Switched Sign O Lavatories Auto -Wash Garbage Disposal Standing Sections e P—Trap LeuMry Trays Generator 11 ]R5 KW ❑5`15 KW Trash Compactor' toy le a¢ or hes. suant tote pursuant to Contractor'sflcne° Licensn[baw Chapter (commencing With SectioProvisions0Of of y he Li w ad Profs 91 Ing with Section IS exempt l 1 the Business ane Meted exemption that n° n° us a p[ �yq islandsdna me Oasis mf [mea 1189¢0 exemption. Any Viola loss 1 Section Pool Grains' r " 3L5 b y applicant lOr permit blectz \See apPltOnt to dull Reins{Ngi°n' Fx E15 (sue fed E .ri Ratty olyact mere Inan live M1unarea aPllars (§5001. L�eI 1 [ha pmparlY ° y e plovees wen wages as neer sol °moanutloo lath dothe work, and [See structure is t intone ee afcerred for le IeRc(ian ]O<a, Buzinns Sea Professl°nal Coae: TM1 Conrtr t Y ucanSe usw awes not apat man owner of a p.opaltr who bapae dr Imvdowt emereon, tl whodoes n work nims¢a/nerseu a enmugn no; oor her own pleyea s, proved ed that tach pIOVOm¢n[t aro not Intentled Iferad fnr ale.If, nowoyer,G 1 h e d ulltlin9 ot"ImErowment is xla Ohm ane year d/ mm- p attend the n w111 M1ava the burtlan of Provinq M1e/YM1e 010 not build Or Int- Crow forth^epurPose at tate). ^ LJ 1of the property, am exduNvely contending wile licensee c ratesrests un ane pieta\ 11Section 7oaa, BusmefOi ahs POrofestlons Code: ree Contractor's Licence Law tl note pp1 t° an r 1 property who Paries o Improves maroon, and p m.acis for rvcn p,opds wen a cam tractoro5l licensepursuant to n n eQnva'to'r'i Llaesnffi Lew). Om w r that proof ff then War x°r•5 Com Uo Insuran mould be p.aaeeea tom ❑I am exempt under MCI — v.0. rortnls reason Reimposition Fee $15 Issw Fx $ 3 MECHANICAL FEES DEVELOPMENT SERVIC pED 1 NTS: C/ l 6 Zoning Approxrl 0y as Building ApDlov@d By at Appliotiss Inuad By Dat �i d , Boiler DucS llndar Ground Hood of Type I ❑ Canopy Type 11 ❑ Duct - Structural Dun Ventilating Refrigeration System ❑PI00,000 BTU ❑100,000 BTU SUMMARY OF FEES BUILDING PERMIT $ I`i. rJ6 SMTP $ PLAN CHECK $ 1I •�P PERMIT PLUMBING P E ISSUANCE $, PLAN CHECK 25% $ ENERGY P.C. $. ELECTRICAL E �Fa00 GRADING S' PLAN CHECK 50% $ 6O MICROFILM 1 $ MECHANICAL $ TOTAL FEE' $ PLAN CHECK 25% $ Exhaust System ❑ Multiple ❑ System Repair/Altamtion FirepilFact. Bit. I CROOI Fire Dampers Dae O Sea Heating System & Ducting 00.1 W,0010 BTU ❑100,000 a Registers I hereby certify that n a r atl tNz mat" a state that me above Ifarm A ren 5 come . l m m ¢ wh and county trema abet and $tate lows rola' B bullate em tru a hereby numorlae fame- named ws f ( II to eel 'me tionatl Property 1 inspect ion our DriversSignature Orivers'Li ° 5$ ReinsM"i%on Fine $15 Ixue Fee S 3 CMF 0865-46, y5v. 10/84 White - Building; Canary - Assailant; Pink - Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNING ,A PROVALS Permit Date Y Inspector POr SPA APPROVALS Permit # Date Inspector t1:"Te4orary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.,Electncal 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, ❑Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12: Sevv6 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 �l 67. Fencing & Access Approval 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 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 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 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. FfXED 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 f r: 5 Notes: 34. Final Heating & Air Conditioning q�y�r Cgo 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 iG 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Rlelease to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ' 4 Applicant to tin In all Ramada except I naw Within heavy border lines alid sign all appropriate declarations. CITY OF COSTA MESA ' • P IT NO. a TRPiT NO. LOT NO. BLO . CONSTRUCTION PERMIT"— iso .n�roo-z�. .and Project AWrees �a� oul reA TYU�" Applicant's Mail' Adtlr S - "XJ S as i TYPE OF CONSTRUCTION NEW AOD ALTERATION REPAIR ❑ CONVERSION ❑ DEMO [1 }Jkl'I 7NF�y� Bar Sink Showa 't A.P, qe IRKS •C MPENSATION DECLARATION seer affirm that l nave a certificates of consent to Solarium era Certlfiate of Workers' Compensation InsuranceOr a certified copy thereof (Section: send, un. a//O.S933/ sere P NO p nl OwnttS Neme d g Z- SS/S g�� �p�hoo Atitlran l hn.<<a rt�F Rw.h a1'IGs• 9 O DESCRIPTION OF WORK l.�'FA]C leaa•Vlybe.�9l $ E T B C. K $ Main 'TYIP-EI/O.f PERMIT GRADING FOUNDATION STRUCTURAL rLTTENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL PROECT DESCRIPTION SG.F OccppgrvcV _y [ON STRVCTION TYp VALUATIONS FIDnI Antillean, of A x' Licfnse�No. / C Addren S O f { �L Racer Comforts Names s5$ -WL n� G. Phone night G AWrm(ma"nn IO� P-•Taad S �1V`3 uW.FOtI Let Plan. Ret. Ian of $colon pQ City License No. cl ZONE G RADI NO CU. YDS. ACRES Remarks: Parking R Drinking Fountains Solar Tank LICENSED CONTRACTOR OECIA q 1 N I hereby affirm tine[ I am licensee onionsIons Cnarler 9 (commencing with section 7000) f Division 3 Of Buslnas tl R IISSiam Call, lap my license nfulbforeG and off St. �/ Use ral sl V LI se lhn I7-% MECHANICAL Use o1 Bu PLUMBING FEES Planning! \Ponay Wte 1 Sign noa,cn Bar Sink Showa 't IRKS •C MPENSATION DECLARATION seer affirm that l nave a certificates of consent to Solarium era Certlfiate of Workers' Compensation InsuranceOr a certified copy thereof (Section: send, un. a//O.S933/ sere P NO p nl Backflow Paunchier - Service Sink ` Roof Drains Backflow Irrigation Sewer Cap' - e urovkskons or role Grm Date nerapv lurnI neo Yee wlb tea at B yOlvism gP is Apppon aN-� BelM1lubi," �O Se rConnection ' - - Clarifiers Broker CAllecbn Ian of $colon (This setllo linenpS-C SENSATION DECLARATION et be completed If the Ise mit 11 for One a mod (3100) et- O ccertlly that In the performance of the work for which this "mail Is Issued I shall not employ y person i manner to s to bioma subject to the Workers' ompenYilon Laws of Pllfornia. pate denature DllbrwsblG l $plBr piping $35 law Fea Drinking Fountains Solar Tank as Mailor of sale Cee Fluor Drains Swimmin8 Pool wisps MECHANICAL Contract% NOTICE: If.oul r making this declaration, you should tarmoms subject to the Workers' Compensation provisions of the Labor Code, You must forthwith Comply With such provision$ or els Permit ^all w armed rearourad. CONSTRUCTION LENDING AGENCY p Iffat or thereIs this "mail nicleading {5ectlon 3097 CIS.ncis Isued agency t 1 Of etherebv affirm C.1 Floor Sinks Urinal Z Gas Service Outlets Water Clomt " es ori provenRoad sl' D her own e rofferear of come InterrePlors Water Heater of bund of lm- Kitchen Sink Water Service 2 Lavatories us Law for IS: Any Cityt of P -Trap noa,cn permit Roof Drains e urovkskons or 70001 e exempt she Ian of $colon Reinspection Fee $35 law Fea int to a ave as Mailor of sale Cee MECHANICAL Contract% Boiler Crim or Type Crimpy Type II es ori provenRoad sl' D her own e rofferear of come Duce Under Ground of bund of lm- Duct -Structural 1 Refrigeration System rowans Code L9Q1 W,000 Bru E Duct- Ventilating ai smite a can. Exhaust System O Multiple ❑ System Refil lter U lannoxempt under Y<tlon B. 8 P. C-br thh reason Firepilcyr BIL ICBG 0 nae owner - Heating System B Oucting sMow cert) o lot 1 nave a tins 001' tion antl tate that +lie spier � C3St 00,000 BTU ❑100,oOe BT nlorme[eon s . s ansa t o q wlVl all tltY antl county ortll e la r p e to bu if � siruaean, ane nerenv am la �eom- lMa+lvls o 1 ty [O et- aYP d the dome gMbnatl P few ty for nrpettlon r Ian Date signature Reinspamien Fee sn . Isr+se Fie Drown• LICenH Or 55 y CMF 086546 ren. 12/83 White - Bulging;Geary- Ambituns;Pink - ACCounting: GOIdOnmd- Atassor $3 $3 Cooking Unit o'ishwasher Drying OGS Fan 5927 3/13/94 •.L.:I. ,;; 1 .. a7 Zone jol Accessory Building: Z O N _ 1 N G E Perk.Feee $ - O U R E M N 5 .. ELECTRICAL FEES Outlets switches Garbage Dishoal Generator OG5 KW ROlnspectidn Fee ZOnirq APpro red Ry Building ApProWE By.. - Application lauW BY' -Z! BUILDING PERMIT $ PLAN CHECK d5'3$$ PLUMBING $ •PLAIN CHECK 2511i $ ELECTRICAL $' .PLAN CHECK 5094 S MECHANICAL- $ PI -All CHECK 35% $ Transformer U 15.50.KW O 50a KW Meter cup to IOOemps Meter laortly-er ICO amps Sub Panel Motors OU -1 HP Ol %, 8 Inc.Sola/09-15 His OIG-' Trash Cor laws Fee II' new 3—/3—S4 O^m e FEEL SHS gy IP 8 O PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ SC3�.6 ' :'C„ONSTRUCTION AND'PLANNING .> ;APPROVALS ., Permit# 6•'���J Date Inspector PO( . SPA' APPROVALS Permit# Date Inspector " 17. 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. SteelReinforcementt_ 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd.e 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Und;grnd. - 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 WiringWALL-C,Sy e C 67. Fencing & Access Approval - 171. Rough Wiring Sign- _ 68. APPROVED FOR PLASTERING 18. Roughbectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning tf�� `� FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure ' 70. Underground Hydro 22 -Ducts, Ventilating 71. Product Piping 0Gas EOil 123. Gas Pipe -Rough & Test 72. Underground Flush -24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 O 25., Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 8 75. Dry Chemical 27: Frame aand 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 t Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test! 36. Hood or Canopy i ' 37. Final Factory Fireplace xe 38. Fin' l.Plumbingt 39. Water. Service -Final •- C 40. Gas, Service -Final DY 41. Solar Domestii: Final 42. Backflow PreJenter, - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING r6 1 t 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF/OCCUPANCY- No. dW 37' Date'l c1�/ City of Costa Mesa /� Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. N G1 ,37 4 P.O. Box 1200 Costa Mesa. California The Building located at 3505 rirlilhtac tildinct "A" has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R2 Occupancy. Use of Building Office btlildiW Legal Description A.P.$139-661-23 fSee reverse side for Metes and Bounds) • t Building Permit No. (~11404 Electrical Permit No. ('x11904 Plumbing Permit No. G-11904 Mechanical Permit No. rr11904 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official /C`/� !L/ V7,fcE Cilattlbridae Park by/ ,/lY" 901 Dove St. 0260, Newort Bch, Ca. 92660 Date �PJ �//// �9lf% This Certificate of Occupancy SHALL BE posted in a conspicuous place on the pre(mises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File V Applicant to fill n all spaces within heavy border fast and Sign all appropriate declarations. , CITY OF COSTA MESAPEj;MIT NO. TRACT NO, LOT NO. BLDG. NO. CONSTRUCTION PERMIT ['''� TYPE OF CONSTRUCTION - A NEW" O ADp ❑ ALTERATION ❑REPAIR OCONVERSION ❑DEMOLISH OTHEq . e779 IUN6/32 142026 ' - - ZONING REGUL'ATION'S . Project Address 96roi 19w1scr Owner PM1one Atltlrers' p Arch/Eng.,al LironM No. DESCRIPTION OF WORK A'P' $ AddressMAr - ZONE PLNTGp. Contractor .a 60 01FIZ a IF Phone y ) TYPE OF PERMIT L] GRADIN ❑ FOUNDATION' ❑ STRUCTURAL []TENANT ELECTRICAL (]PLUMBING DMECHANIC SETBACK CIL al.pgpPERTY SLIEp VAgO gRVEF�L. �•Ad�q. LINE t _ Address - tel fecral r LICENSED CONTRACTOR DECLARATION 1 M1^Bby affirm that I am licensed der provlSIOns Of Charter 9(Con 1 ❑ T Ing with Section7000) Division 3 of the Bwln"S d Professon& Cd gd y In lull force tl ft t OTHER REARVARO(TOP/L) - Z��+' PROJECT DESCRIPTION ucen.ecucan.,se/ry SO. FT: '- __ OCCVPANCY_CONSTRUCTION TYPE PKG. SPACE RED. STREETWIDTH PROVIDED PARKFEEE H�/ �,LZ lass�cY/J A� Cafe+ WORKERS COMPENSATION DECLA AT N ._ on` thatLift t o1 tto SCINm e a hereby affirm IM1 acertificate ygLVHTION ZONE ZONING APPROVED BY DATE Brtlilmle- f -Warfare Compensation Insurance. r a erWmtl COPY - - 1' 'of(Sk 3800. Lab C) P, i, Zw:C CO' -GRAOINGCU.XOS. ACRES l SPECIAL CONDITIONS: 7•� 1 .y, /d9f%C/CcApRy "kr- A140. L ..ntltiea copy is hereby furnished. - ' REMARKS: �OO _ Y sap- 'C r �p 4.a. I a S-/ Certified copy is filed with the city Building Division. 1 J/� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - U L F L. LD• EThis Auction sed not he.tompleted If the Dermlt 1510r on<nundr<fl ! dLa.' / - s G'- o E1Bd1 las). e Ify that in the performance or the workforwhich thisPermit It Multi, sell t employ any person In Y toaccome _ PLUMBING ALAN CHECK ELECTRICAL _ PLAN CHEC1t subject the Workers' Compensation Laws of California. BATHT VBS - SHOWERSSO IOate r —signature FT NOTICE: 11 after making this declaration. yO should became subject TOILETS URINALS GENERATOR 0-1 KW_ 1-l0 KW t0 the WOfk8M Compensation provisions O( the Labor Code. YOU mug TRANSFORMER forthwith comply With such provisions or this permit shall be deemed LAVATORIES DOUBLECAVS - APPLIANCE -10-50 KW -50 t KW, CONSTRUCTION LENDING AGENCY T.$INKS•' OISMWASHERS MOTORS 0-1 HP_110 HP that here IS struthisctioimlending y SERVICE SINKS . SUMPS' - (INCo-$OLARj --10bO HP f 0 50 v'HP p^mabyCaotrm which Issuednc fort 309J • I—qz FLOOR SINKS �' � FLOOR DRAINS -FIXTURES -OUTLETS SWITCHES Z/ CI v. C.f.I Lender's Name Lanni Address DRINKING FOUNTAINS .GAS TUBE SIGNSOWNER II hereby affirmDER that II am eRRpt from the COMnctor'i License Law for INTERCEPTORS"' CLARIFIER$ POLE LIGHTS T " The 'following reason'(section 7031.SBusnums and Prof Send ns.Coder 'SWIMMING POOL -- PTRAP "" - n Any city only wM1ICM1 requires a permit t0 Conslru<t, enter. S M SV WATER SERVICE ALTERATION' PANELS MAIN SVB Improve, demolhb orrepor any Structure, prior' to its Issuance, also re- quires the apr Bunt for Such permit to fila a Signed Statement Has he GASSERVICE OUTLETSw SERVICE- - AMP, Is fo ni "recent W the provisions Of the COn VaC101h LlpnM Law LChaDt Sr 9 (commencing with Section 7000) of Division 3 of the _ WATER HEATERS -BTU OUTPUT - - - S fand Professions Gone) or that he Ise ssmoPtherebam'and the S or the alleged eFOm t5ou . Ally iflatIOn Of SeCtlan 7031.5 by - SEWER CONNECTIONS- pplicanoret[IIfor a pehrniundretl jestsdollatheYo civil penalty' _ not Ia SOO)Icant SOLAR TANK t ' COLLECTORS ❑ 1, as owner of the property, Br my employees with wages as their sole compensation, will Arrive work. and theJVucture tarot intended - tiered for sale. (section 7Onto BUsmess and Professions Cade: The _ 50LAR PIPING SYS ISSUE FEE - - does n t apply l0 an owneL 1 x property -- WontractocY.Llrense.Law who builds o w5 thereon, and Who do" such work himself OI - ISSUE FEE APPLICATION APPROVED BY DAT through his ownemployees, provided that such improvements are not mien ad or offered for sale. II, howeHry le bulldlnq I improvement IS sold within one year of COMmenona me owner all Ofthe burden MECHANICAL PLAN CHECK SUMMARY OF FEES f proving he tlId not build r Improve for the purpose 1 I¢). _ _ BUILDING G _ ❑ 1, s owner of the yl am exclusively contracting with HEATING SYSTEM 0-1130,000 BTV AND DUCTING _ E SMIP E - - - - licensed Contractors to constructthe project (Sacllon 7044, Business 100,000 c BTV PLAN CHECK $ PERMIT' antl-Professions Coda: The Contractor's License Law 006S not apply to - - 'ISSUANCE 3 owneran of who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING S property tracts from such projects with onb ctor(s) Irdasned pursuant to SYSTEM" "" — - GR_ADING -4 the Contractor's License Law). 100.0001 BTU PLAN CHECK E ' ❑ l am exempt under $edldn '- 8.6 P. C. for this BOILERS BTU ELECTRICAL E {�(](y J- l�-�Y E ate PLAN CHECK$ - MICROFILMS DOwer Deb SYSTEM REPAI R. ALTERATION MECHANICAL E TOTAL! FEE If I hereby certify that l have read this application and Rate that iris above EXHAUST SYSTEM MULTIPLE - LESS AD-' Inlorma[ion I Cacorrect.c agree to ply with all city d county PLAN CHECK �S VANCEPC s_—__ ordinances and Slate laws relating 10 construction and hereby aeuthodce , • .-s ' whimsenlalws'Ol this city to enter Don thbow Boea n p10p¢IlY for action put o $I9Oi[Ur¢ to z - FINAL FEE •4' Dilvers'Llcense Or ISSUEFEE - -' - - CMF 0865-e6 White-Building;Canary-Applicanp Hnk`ACcaunting; •I CONSTRUCTION AND PLANNING APPROVALS Permit # �� U Lp Date Inspector POOL & SPA _ -�' ' APPROVALS- - Permit # J" r -Date Inspector, • 1. Temporary Electrical Service or Pole 43. Pool & Equipment 'ocetion --- - --- - - - - - - - 2. Soil ipi n rgrn •' _ _ 44. Steel Reinforcemen -- - - - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn _ 46. _ Electrical Bonding- - - --- - 5. Steel em orce _ 47. Rough Plu , mbing & Pressure Test - 6. _Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings - - - 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn; Test 9. Water Plpe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrarn 10. Structural FloorSystem52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53.. Backwash & Recetur-Final ' _12. -Street Sewet Connection 54. Heater & Vent -Final 13. -Rough Plumbing*_ 55 Plumbino System - Final ' 14. Rough Electric -Conduit' ' • - w •56.' Electrical -Final -- - - 15. Rough Electric -Wiring - - - - - •-- : 57: - Solar System -Final .16. Rough Healing & Air Conditioning - 58. Fencing &'Access Approval 17. Ducts in Structure _ '_ APPROVED FOR PLASTERING 18. Ducts, Ventilating '60. - POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing- NOTES: '22.- Frame and Flashing 123. - Insulation • 24. Lathing & Siding 25. Drywall Nailing 26: Plaster Brown Coat 27. Electrical Power Meter -Final -' 28. Final Electric O- '- 29. Final Heating & Air Conditioning . - - - ; 30.- Final -Gas Pipe -Test _ 31.- Final Plumbing _ 32,. -Water Service -Final - 33. Gas Service -Final 34. Solarpomestic•Final- 35. Lands2gpe Sprinkling System 36. Sound Attenuation -' - 37. Handicap Regulations - 38. FINAL STRUCTURE&BUILDING • 39. Special, Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - -+ 42. CERTIFICATE OF OCCUPANCY -.No Date ' - -- - - Reinhart to fns In MI emcas except [nose within heavy border lines and Sign all spore plass declarations. 5234 6/20/85 IQ.i.e.` CITYOFCOSTAMESA COry STRUCTIOy.pERMIT SigMIT NO. E 3-38 ACT NQ LOT NO. UNIT NO. " -•' Gods :,p�.%r� a3�'.0 - .. Project Address -ase ApplicOwner'ant'sngA Applicant's NulingyyAdxatl{re I rep; TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR El CONVERSION DEMOLISH El OTHER A,P,# — 6 — Zone PQS Name ���� PM1On ��/L - //a OESCRIPTI -NOFW KIDS O S Main Building: Accessory Building: BLDG.. Address E _ 1 Arch/Eng. ;c4& Al _____N. 'TYPE OF PE RMIT GRADING LJ FOUNDATION STRUCTURAL T Front 0 ❑TENANT ELECTRICAL D PLUMBING ECHANICAL B RCal N Adorns El OTHER Contractor's Nam y Phone .� C Right N. - ' PR0.IECTDESCP PT nM S //_'i OCCUPANCY52 K. O Addresslmailingl CONSTRUCTION TYPED Y VAWATIONst ��C�• W S Left _ R a City License NO. ZONEPG RAOINO CU. YDS._ ACRES - Ping. qef. is : - PerklOg.R00./PIOVItled E LICENSED CONTRACTOR DECLARATION I hereby affirm that-, am'licensed under Prof' 1 Chart q • 0 a Ling Remarks: Planning Notes - with Section ]000) of Civilian 3 of the Bne an�! and M, T co rt my ordered Is In full toe and nei $ Ijcense Cl S U [sSm' signature PLUMBING FEES _ j WOR R COMPENSAT ION DEC RRIF N Bar Sink BM1Owera - ELECTRICAL FEES f are l hereby attion that [ern IT consent t s .msur¢ ate IF _ aIO of workers' Compensation Insurance,po cert : copy [nor Backflow PrevenIDr $civ ce Sink Aummatic eft0i- Transformer. � 15 50 KW — '3eOg, Cab. C.I�/a�r Parcyrvp. pan Backficury, lrgalon - SewerCp' Constru tan Pole Sub O50 KW ❑��tti ed pr her y r ins - Bathtubs - Sewer Connect Cook Unit Mete Elfin 100 mos B�eartif a with th crya a sol _ n8 r t 11 Clarifiers Solar 0011 fa} DaNwa 11 'Met- ❑ ve11D08mpa R MWORKERE COM $RTI oneh hundred 3etllon lie tl not be completed 11 eparmlt l undietl lilao) Or `Ehp Section Dishwasher $810( - 9 f Dryers OGas ElElecl(i[ Sub Panel f¢Ssla hecert by lea[ n theperformance f01 w lth MISS Permit Iz Issued 1 plan In so be t0 the . �. ' Drinking Fa me ns — '. an// rework Subject So m z Han not y person y and as ar Ta k V Fan Motors 00-0 HP ❑l%- 0 l Workers' Compensation Laws of California.manner Date Signature Fiber Door Swlmm gP Iw/Spa. F.A'U. Inc 5oWi09. 15 HE 111615+ NOTICE: If, after making His InCl rrath n, you Shaped became Subject to the Workers' Compensation Provisions of the Labor Code. You mus forthwith ' Floor Sinks Urinal /Q Fixtures Micrographs. reply with. such provisions r this permit snan be deemed yoked. aI CONSTRUCTION LENDING .AGENCY Gas Service Outlet Water Closet Device Boxes POIB Light I hereby affirm that there is a. construction -lending agency Far he raolmance of the ,work for Which this Parmlt Is Issued (Station 30 9] CIv. C.] IntelCep101e Water Heater Outlets Range I EC Lenders Name - Lender's Adores: ' Kitchen Sink Water Service1 Switches Sign g] OWNER BUILDER DECARATION' L - l M1ereOv affirm that l am Pt nam the Connector's License Law for the Lavemries"' - Auto.Wash - Garbage Disposal ; Standing SeCtimzg 1 reason ($action ]03].5 Buzlne a Professional Coate: Any [Ity or P- t011nwing u tv mm pones a permit w muamci, aper, improve, demonsn or repair P_T - Laundry Treys �Generator C105 KW 0515 Key Trash Compactor nY :nodose, isles to Its lssuan ISO lBq Ynn ins aDpllCini tdr such permR to the a signed LatOmenl [lid[ M1O/Sb¢ Is ICcoCnsed pu^Suanl to [M1e provBlohS1 Of _ Dyson, 3 Of the Buf ne5z a d PIOIeSSIOni Cad) [h t b /lie'ever _ l - therefrom ia^ [M1e 08:1510! ih¢dilleged eze pt A Y 1 1 tion pl $!afford I ]03i $ OY Y appllmnl (or permt s bl [ iM1 ppll[Jo[ LOcivil - men lays f`live[ mare than hve M1undr¢d Oallar (8500) S 3 LJT, a her of [lie Pravertvor Y a v Itn gas inelr sole ' pi pion Fee nspa $ 15 (nue Fea' ul i'lipea iIXCtion'i0a, Reinspection Else soul Fiat' S 3 ani Prafespanal coos: That Contraades p. ale Binesst MECHANICAL FEES - - LitBnu C)�w dOM1s dol apSuy Ia do ow r Ot a prOper[y wn0 builds ar Impolvn , DEVELOPMENT SERVICES EOUI EM 1 5: emereon, e w saes h w rk nlmvelf/liaison o tnrougn ms o her own Improvements - Boiler r - Hood o Type 1' El 1 ployaes, provbed tnsl zu M1 n t'InlBndee or Is arae Ol core- Canopy Type I O By Kq^ldi Y/ -N1J- s 10. 11, nawewr, me bundmg or Improvement sole wRnin year pl¢[I�q [neo n r wlll'Oave'.Ine burden of pmvin9 M1e/$M1e did nal OUltl Or Ire- � Duct. Under GfauO(I _ g jarovlll Building APpro•Rtl By Date 1 Date LO P�ra1 is amaplel_ •m - ownerof sen Iv to n I, as owner ing Ire lssion; Dun. Structural Refrigeration System - Applivtian issued By ct a projec, does Co ] Io to ane no pat roi ert Code; i son 7 construct U(M1e project does not who oro apply to n, n r 1 rwith Duct. Ventilating X0'100.000 BTV �100,0008TU OF FEES Cont Tn¢ Contractor's builds or O improv s,there law CO a and who [ liaise for such ImNse I a with a con SUMMARY (n 2.60 purheaeon, w). that - (swish pursuant m in Antro terra Inde Invuranm Exhaust System ❑ Multiple ❑ System gepelr/Alteration I L BUILDING PERMIT $ SMTP $ pmol cimnzd me fllpum be provided ea m their veneers': Com tion ova - PLAN CHECK $ I0 i PERMIT C Oil amexempt unser Xcu B.AP. C. forinhreason' Frepl/FacLBit. ICBO # Fire Dampers ISSUANCE PLUMBING S $ Date D a Heating System a ending Registers l+ PLAN CHECK 25% $ _ ENERGY P.C. $ l Hereby cerary [fiat na r adech Wim on e n A that the above onlayda t - ❑0100,IKq BTU 0100,00087, .._ ELECTRICAL $ �.(v•O GRADING $ inmrmd ion Is cor.en J a e 9 urmnlonas and 41a laws late �l buneio nsn io� ae man robs aumadze v - f PLAN CHECK 50%' $ 2•gO f MICROFILM $ 1 times p '[raiz' t v0 ha v honed prop b •- i MECHANICAL I TOTALFEE inspect Part $ IS signature Date peinsyvpiorn Fee $16 • Issue Fie 5 3 PLAN CHECK 25% $ 4.nn Dnva6' loan f 5$ 9z CMF 0865-46, rev. ]g/06 'White Bulltling: Canary - Applicant: Pink - Accountings Goldenrod - Asserse 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 r ' - 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, 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 Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro `22. Ducts„Ventilating 71. Product Piping ElGas 0Oil 23. Gas Pipe -,Rough & Test 72. Underground Flush 24: Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. -Dry Chemical 2'7. Frame and Flashing 76. Dry Standpipe 28'. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing (�q HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32: Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric '7 / RV Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hoodlor Canopy 37. Final Factory Fireplace 38. Final Plumbing; i 39. Water Service -Final , 40. Gas(Service-Final 41. Solat�Domestic-Final 42. Backflow Preve nter , 43. Backflow Irrigation• , 44. ,Landscape Irriqation System, , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING SS - 48. Special Requirements Completed i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co X51. CERTIFIC TE OF OCCUPAN Date � i 0 V 9 City of Costa Mesa �•� _ Development Services Department Building Safely Division CERTIFICATE OF OCCUPANCY " No. C �- P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac — 0-206A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Offitr_ Blda Legal Description 139-662-15 (See reverse side for Metes and Bounds) Building Permit No. RMR14;;A't Electrical Permit No. Plumbing Permit No. Mechanical Permit No. ISSUED TO: 01 rinnnpl l Rri rtham e 3505 Cadillac 0-110 rnai-A Mpaa. rA Q2A?A Number of apartments ,,//�� and/or guest rooms Building Official aL�// /,/, by This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. V CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File I COSTA MESA u I am exemp der suction — o to Owner 1 hereby 'ry that I have roan Orivars' I!- r155 - •eFoe�3 nv. 12/e3i White nato-decial 9279 '4/25184 24,`4 REPAIR A.P. s 3 _ •L l $ Maim Bui Mira: T Front R Hear I. Any viola{Ion of Sec9en a Aaarev ' TYPE IF CONSTRUCTION L IJ NEdd LJ ADD! u ALTERATION an projects wtta p- ihcon vy� ..1s- ♦ plioural Mail'+A u I I-LA.I/L 'aFl(fl IV.LHI IJLN\ Unit Owner's N me Ly[�SLve1_ -r�0 Si-im ❑ CONVERSION'D OE O ISH DOTHER DESCRIPTION OF WORK I 42Tn I aSd G1l�j (�(,[-G%��i TYPE OF PERMIT ORAOINe FOUrvDATION SU TRUWV Issue Fes, S 3 Address '�L2QYY11�� ArchlEn _ IcNO. Ad rule �= - MECHANICAL ❑�-t�TENANT 0 ELECTRICAL D pLUMGING D MECHANICAL LTOTHEp �Vlnhl A- W I nICense Domlector's Ne M1oneatJ PROJECT DESCRIPTION sq. FT. idl OCCUPANCY CONSTROCTIONTYP VALUATION$_ ZONE GRADINGCU.VDS. ACRES Aaarea3l mallOP% - Clty SEED NO. pemarku ' Try who bolor throuh nal' ar Improves rut Intended o offered for ad within one year of cum- he/she die net build or im. LICENSEDNO CONTRACTOR DEC ION \ I m licensed Under I Nreby efilrm Inst sDI licensed under Provisions Of Chador g (commencing with •s[tiOn J00% 1 OlvlilOn 3 O2 lM 9USIneu dna Prgl5510 ad and Refrigeration System (cense Is In toil 10 n Q 3 i PLUMBING 1'� - e Li CSon / lfZ7, — Bar Sink Showers WORKERS'COMPENSATION ITA ION Backflow Preventer Service Sink ' Zonirq Approved ey I hereby affirm that l have a certificated nowrittoweltmnsureoracertificate of Workers' Compensation Inzuraill or a certified oey thereof (Section Backflow Irrigation Sewn Cep eta all Lab.'`1 Tr� e/p�^� Polly loictl' 6 Company r I Certified copy is hereby furnished. Bathtubs Sexes Connection 94,1 Certified copy Is filed with the City Building Division. O it Applicant ClarifiersR Solar Collec[O EXEMPTION F ROM WORKERS' COMPENSATION DECLARATION (This section need not be completed N the permit is for one hundred ($1001 or Dishwasher Solar Piping recertify that In the performance Of the work for which this permit m t B Issued I not employ WorCompensation Laws of California.person in r oas th become elect flue Workers' ' Drinking Estimating Solar Tankshall Floor Drains Swimming Pool W/Spe Date Slguatul$ SUMMARY OF FEES Worker CompenutImT provi lona oilthe Law Code ¢you msu t forthwith - Floor Sinks ' 'Urinal Gas S9Nice Outlets Water Closet $ comply with rush provisions or this permit Shall be deemed revoked. $ CONSTRUCTION LENDING AGENCY I lll¢rCePlOii ' W818r Healer ' E twhichi this permit raise asued ((Section insPerformance. woat rk that of hereby arm C.C.1 Kitchen Sink Witter Service ,finder's Name $ Lander's Address OWNER OW LDER DECLARATION LNatone5 ' I hemby-alfirm^thaat I am C exempt nfrom the un ractm's, Llcemo Law for the p_Trao ' u I am exemp der suction — o to Owner 1 hereby 'ry that I have roan Orivars' I!- r155 - •eFoe�3 nv. 12/e3i White nato-decial 9279 '4/25184 24,`4 REPAIR A.P. s 3 _ •L l $ Maim Bui Mira: T Front R Hear I. Any viola{Ion of Sec9en Transformer LJ 1550 KW 0 50 a KW Duct- Ventilating _ Dasa an projects wtta p- ihcon 0 he appllvant to a civil . Reinstallation Fr $26' Issue Fes, S 3 sIs out Intended their olimeed - MECHANICAL FEE IColla: The contractor's Rate that toe about -, Boiler. Duet - Under Ground Hood Or Canopy Type I ' 0 Type II ❑ Try who bolor throuh nal' ar Improves rut Intended o offered for ad within one year of cum- he/she die net build or im. Duct-StrucWral Refrigeration System rtracting with licensed con- ness and Provisions Cade: Transformer LJ 1550 KW 0 50 a KW Duct- Ventilating _ Dasa an projects wtta p- ihcon Godshal her Exhaurt System L1Muhiple 01 System isesuch Lawl Sub Panel Firep1/Fal Bit. CBO go - B. A P. C. fur this rasion ' FAM, Inc, Solar 0415 HE 0IS- Heating Syavm Of Ducting 0&100.000. BTU 111 WlB Rate that toe about -, cand ity and county ordinances Pole Light no hereby authorize rhere- m.ntipn reee ro f ReinWwtion Fee neimv Oion FadNE 526 Pink - Accbunting; Goldenrod - Asuuor Ideal I. S 3 Ping. Park, Fres Notes: Automatic Washer Construction Pole Sub. Transformer LJ 1550 KW 0 50 a KW Cooking Unit Meter 0up to 100eri1Ps Godshal her Meter 0over 100amps.- Oryers OGas OElectric Sub Panel Fan' - Motors Oal His 01%-a FAM, Inc, Solar 0415 HE 0IS- Fixtures Microwave Device Boxes Pole Light N N E O U 1 E Switches I -sign, Garbage DiWml standing Sections Generator 005 KW 05.15 KW Trash Compactor ReinWwtion Fee Sts Issue Fee I $ 3 PUBLIC SERVICES REQUIREMENTS: V/ Zonirq Approved ey eta Building Approved Byote 94,1 f/ 9.f � Application lmW Gy SUMMARY OF FEES RUILOING PERMIT $ 19,-M SMIP $ e7•SQ PLAN CHECK E /('$% PERMIT PLUMBING $ ISSUANCE E PLAN CHECK 25% E ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM' $ MECHANICAL $ TOTALFEE $ PLAN CHECK 25% S i PLANNII L&SPA I,RpqTIONAND �. OVALS Permit # Date Inspector APPROVALS; Permit # '- Date' Inspector IN-, Temporary Electrical Service or Pole l 52: Pool & EquipmentLocation, - - :i2J Soil Pipe-Undrgrnd. {, _ 53. Steel Reinforcement - - �3. Electrical Conduit Utility-Undrgrnd. ;, 54. Forms.4. Electrical Conduit-Undrgrnd. - 55. Electrical -Bonding.--' 6'. 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, 0 Undrgrnd., Test? - - 9. Water Pipe-Undrgrnd. i 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 4'r 63. Heater &Vent -Final 13. Roof Drains j' 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'' •�"" j - "- - -' 1 " - 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 2210flucts, Ventilating 71. Product Piping 0Gas 00il 23. Gs Pipe -Rough & Test - 72. Underground Flush '24. Roof Framing 73.1 Undergrnd. Storage Tank 0 Gas "0'0i1 i .25. foof_Sheathing - 74. Overhead Hydro T-Bai Ceiling (Structural) & Monocoat 75. Dry Chemical '27. Frame and Flashing 76. Dry Standpipe i athing & Siding - 77. FIXED SYSTEM FINAL j9. Insulation - 78. FIRE PREV. FINAL S ,HEALTH X30. Drywall Nailing DEPT. REQUIREMENT 31. Plaster Brown Coat j 79. FINAL INSPECTION , 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE' ISSUED I - + 33. _Final Electric ,I _ Notes:' 34. Final`Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood'or Canopy' 37. Final Factory Fireplace 38. Final-Aumbing + F 39. Water=Service-Final •1i 40. Gas Ser'vice-Final' 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation �, �� '• 44. ,Landscape Irrigation System 45. Sound .Attenuation 46. Handicap Regulations t 47. FINAC'STRUCTURE & BUILDING I C t 48. Special Requirements Completed r 49. Electric Release to Edison r 50. Gas. Release to Southern California Gas Cb 51. CERTIFICATE -OF OCCUPANCY No.r ... _Date Applicant to fill In act spaces within heavy borne, lines ane sign allapproP,iate ee<lantiem. ,CITy OF COSTA MESA PERMIT NO. TRACT N - LO O.' BLDG. - y1g "- CONSTUCTIONPERMIT 'assa Ss PN 81-3�0 andr TYPE OF CONSTRUCTION' Mhow ❑ rl ❑ ALTERATION - 0REPAIR IT CONVERSI ON 0DEMOLISH ,1 0766'/18/82.1 r 1 - --. 460.49 " as PrEject Address 3505 Cadillac AVE011E' ' Owner &IMMMIUMBRIMM Phone Address [7]�552..-�551 N P+Ee l 1301 DSt. 760 Yt ove Q ZONING REGULATIONS ArchlEng. _$jn1ES-PEtPYS License No. 4285 OTHER DESLRIPTIDN OF WORK A.P. 1' 39-651-13.15.28 Addrel5 - 119 E. -Alton Ave. Santa Ana 5 e ZONE PD1 PLNG:REF.¢ ZE 80-16 Contractor OlrinanS 00nSt Wt1W1 - Phone 576-897 TYRE OF PERMIT ❑GRADING FOUNDATION py STRUCTURAL ❑ TENANT ❑ELECTRICAL OPLl1MBING ❑MECHMIICA SOEYARO lss Q' SIOEYA pgtf�I�p 1 G•Or ROPERT�LINE Address 388 [vin Park CA LICENSED CONTRACTOR DECLARATION 1 hereby affirm Of Rusinarter em licensed u000ron 3 and Rosins tl Ilan )my f Division 3 1 theforce ❑OTHER FIT RIGHT misfess \h seM1tl Of ss Code. and my license is In full b affect. REAP YA jai License Class A Licenu NO. 86393 Class No. PROIEGT DES@gJpT ON 7//I6i a4} CO:FT. - E RrozeXF PKG. SPACE RED. 592 _PROVIDED - Oat Signature - OCCUPANCYg=2LDNS75UCT,ION TYPE UN STREET WIDTH 50� ZONING APPROVEDB PARK FEET OATEN WORKERS'COMPENSATIONDECLARATION I hereby affirm that l hate acertificate Of consent to self insure ora VgLUAT10NJS22y_O DNE - t VNlfirat' f Workers' Compensation Insurance, r certified copy SPECIAL CONDITIONS: rereed (Sectlon 3900. US. C.). GRADING CU. YDS. ACRES - P • NI7P81 n059F7 company Pyrn t. TTIS]EI _ I ithied copy is hereby furnished. ',I, REMARKS _erur¢a copy B filen with the city Building Dla' - ' BOLD FOR SPECIAL -RLQUIREMENTt- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION eOtionlesneed not be completed If the permit Is for One hundretl jTIIS - _ that In the performance of the warriorwhich thu Tparml[ b Iss¢rtify ued I shall not employ any Pgson m Crso any ma to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Subject tothe Workers Compensation laws of GNfornla. BATHTUBS SHOWERS _UwE _ CHIDMUL Date Signatroe NOTICE: It after making this declaration. you Should become subject TOILETS URINALS - GENERATOR 0-1 Key 110 KYY to the Workers' Compensation provisions Of rho tabor Code. YOU FredTRANSFORMER forthwith COmPIY VNhi provisions or thispermit shall be deemed LAVATORIES DOUBLE LAV,S,F �T" _ APPLIANCE 10-50 KW -50 i KW Voketl. _ _ CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS - MOTORS 11-1HP-1-10 HE I hereby affirm that there 15a, conSUUttlOn landlo9 anal f00.IM1e sad- formance Of the wok for•wMch this is issued ISection.3097 esSERVICE SINKS SUMPS - - (INC. SOLAR) 1050 HP -50 y HE Civ. C.)., .,fA7yll5.Fargo Bank - Bank., 'FLOOR SINKS•-- FLOOR DRAINS.41 FIXTURES OUTLETS SWITCHES _ Lenders Name - - ' Under%Adtlress660 NewportEL1P0 _ DRINKI NO FOUNTAINS GAS TUBE SIGNS JINTERCEPTORS p, N CLARIFIERSi .1 1 , - - POLELIGHTS - OWNER BUILDER DECLARATION Iharebyafflrmthat-Ilam exempt from.tha Contractors LlUnsel ftir POOLS r P TRAP r" Y .POLES METERED - SUB the fOIIOwIng reason (Section 7031.5 Business and Professions Code:SWIMMING Any city o county Which nationals a permit to construct, ter. WATER SERVICE ALTERATION 'PANELS - MAIN SUB demolish Or repair any structure, prior to its ssuance, also re- QYPe3 11;< for t0 ilia a Signed statement that he applicant Such permlt Is licensed pursuant to the provisions 01 the Contractors License Ul -GASSERVICE OUTLETS SERVICE AMP (Chapter 9 Ic mencing with Section 7000) 01 Division 3 Of the WATER HEATERS BTU OUTPUT Business and HofessidnS Code) Or that he IS exempt therefrom and the b' - for the alleged exemption. Any wotatlon of Section 7031.5 by _ SEWER CONNECTIONS - • to a'eNll penalty t[M1for a Permit PmlOrt al dollars §Sa00jlcant SOLAR TANK COLLECTORS - -' - ❑ 1• a$ Owner O1 the property, Or my employees with wages as their solcompensation. will do The work, and the structure Is not intended Roo5 r offered for sale. (Section 7044, Business and oleal Code! The SOLAR PIPING SYS. ISSUE FEE Couracol License Law does pally loan owner of party _ APPLICATION APPROVED BYIse - DATE - - who no trips or impm"es thereon, and ho tloes Such work hlemell Or ISSUE FEE through MS Own employee$. prOVlded that Stith ImprOVem¢Ots are not MECHANICAL PLAN CHECK _ SUMMARY OF FEES Intended or Offered for Sale. If, however, the bultding or improvement 1st Sold within one year of completion. the Owner wkl have theb burden I _ proving he did not build r Improve for the purpOSe f le). HEATINGSYSTEM 0-100.00011i PERMIT BUILDING (/,T3 $ SMIP $ �• ❑ I, a Owner of the property, am exclusively contracting with SPo gryO DUCTING licensed tractors to construct the project [Section 7044, Business 100,0001 BTU PLAN CHECK $ PERMIT and Prol<sslons Code: The COntrac[or's License Law does not apply to ISSUANCE S an owner property who builds or Improves thereon, and Who COT REFRIGERATION 0-100.000 BTU PLUMBING $ tracts Jum mn[vaclwNl Ilcesnetl pursuant to SYSTEM ^'<, GRADING 8 Ike COnDac I'S UireosedL:wldn lOO,00018TU f., •(-,PLAN CHECK•$ ❑lam ¢xa cal under Section B. fi P. C. for this BOILERS BTU' ELECTRICNLrS PLAN CHECK $- $ MICROFILM n Iha SYSTEM REPAIR, ALTEflMULTI TOTAL FEES I hereby cerOi at l n earth application and state that the ahold EXHAUST SYSTEM MULTIPLE MECHANICAL 8 LESS AD. information act I•9ree mylu with all sly and Unty r COnSIY PLAN CHECK IS VANLEPC $_ Ordinaries eIla n Ctlo n. an where Y. authorize r equal l ny enter upon the bo tian¢tl property r ZFINAL FEE $ berate Orlve n'L Or 55 ISSUE FEE -'1-1 r•�CMF 0865.46 White -Building; Canary-APPIi inF Mnk-AL¢otiming Goldenrod -Assessor - CONSTRUCTION AND-PLANNING -. APPROVALS Permit # _ Date ` Inspector -' p POOL & SPA - - ` - - Date Inspector APPROVALS Permit # - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - Soil Pipe-Undrgrn - 44. Steel Reinforcement ' _ _3. Electrical Conduit _Utility-Undrgrn 45.. Forms 4. Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding ' 5. Steel em orce - q_SA Q 47. Rough Plumbing & Pressure Test 6. Electrical U_FER Grp 48. APPROVAL TO COVER-GUNITE 7. _ Footings 49. Electrical Conduit-Undr rn 8. -Foundations 50. Gas Pipe, ❑ Undr rn, Test 9. Water_ Pipe-Undrgrn 5 51. Backwash Lines P-Trap,❑ Undrarn 10. Structural Floor System 52. APPROVAL TO DECK 11. _PropeHy Sewer Line & HoLffe,Corinectio 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55, Plumbina System - Final 14. Rough Electric-Conduit - 56.. Electrical-Final - 15. Rough Electric-Wirinq 57. Solar System-Final 16. Rough-Heating & Air Conditioning . encing & Access Approval 17.- Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. . Roof Framing 21. Roof Sheathing - 6-A-S aL - _ NOTES: 22. Frame and Flashing 23. Insulation -,2 - ga, ,5-_ _ rx 7, 9 d 24. Lathing & Siding 25. Drywall Nailing _ Z _ _ ''t je> 26. Plaster Brown Coat _ 0 t 27. Electrical Power Meter-Final - 28. Final Electric 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final - 34. W Solar Domestic-Final Landscape S rinklin System '' i 36. 37. Sound Attenuation Handicap Regulations AW -Zur- 38. FINAL STRUCTURE & BUILDIN 39. Special Requirements Completed ZjO6L ' 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. - CERTIFICATE OF OCCUPANCY No Date - - Applicant to fill In all spaces w11Mn heavy bolder lines and Sign all apprObrlale declarations. CITU CF COSTA MESA P MIT Nb. TRACT NO. LOT NO. BLDG. NO. ' CONSTRUCTION PER MIT 3 O —t -dIRQ 26 all! 6287 5/24/8.2 24.48 T r Prajett Address 3505 Cadillac Ave. Bld A TYPE OF CONSTRUCTION - - - IRNEW O ADD O ALTERATION ' ❑ REPAIR rO CONVERSION ODEMOLISH ZONING REGULATIDN$ OOTHER ownB Phone ' 'Address t Ste. gEi'j ArchJEn - License No. sHiJlles-Peters DESCRIPTION OF WORK A'P'¢ _ Address $citta Ana 119 E. A1tOI1 •• " EONE PLNG. REF. Contractor - "Q I - Phone TYPE PERMIT. L.('7]J'tLC1NE - .SET A T _ _ _ _ AtlAreA - EI GRADING -�FOUNOHTION apI STRUCTURgL `IDE YAR JOTENANT: O ELECTRICAL' OPLUMBING OMECHANIC SEpF - LICENSED CONTRACTOR DECLARATION— 'Under d hereby affirm that 1 am licensed provisions Of charter 9 (dens. tion -]000)' 1'OIvlSIOn 3 1 _ p11CNT meeting With the BUSlnerss and Professions Ceee, and—my merit0 le In foil force a_ auen, OTHER' (REAR (TO P/L) ' PROJECT DESCRIPTION IRO License Class License No. PKG. SPACE R - PROVIOED:. SGI FT: OCCUPANCY�CONST.RUCTION.TYPE STREET WIDTH PARK FEE< Oat• signature WORKERS• COMPENSATION BECLARATION -- - 1 k apy affirm that 1 have a Certificate of consent to W114Murece a VALUATION '_-sine 8.w ZONE (ZONING APPROV DAT _ Certificate al Workers' Commuluthn InSYIinG. Or certified copy GRADING CU. YOS. ACRES SPECIAL CONDITIONS: an e 1(5ection 3800, Lab. C.). _ _ / Na. Company JSftllie i COPY IS M1OCbyFurnished. - '- REMARKS: - - •-- LIBonifieldcopy Is fit" with the city Building Dblslan. _ EXEMPTION FROM WORKERS• COMPENSATION DECLARATION - Thls s Cllon-neetl n01 be tomplelpe�if-tne Permit it for one hundred _ -. ._ _ - C -. 5 e _ _ _ __ _ 1 jE]co0o1 ofless infor _ r - -.- p PLUMBING c ' -PLAN CHECK 'ELECTRICAL PLAN CHECK Illy this l thelpnformance of lM1e�wofk which this permit i[ luue0 1 hall net employ any Peron In My manner so as to become t bon tothe workers Com lansauon uws of URmrma. BATHTUBS SHOWERSSO FT sn-'t Date 519nature I NOTICE: If after making this declaration.a Should became subject to the Worker' Compensation provisions a�the tabor Coda. YOU must TOILETS [, URINALS ,GENERATOR 0.1 KW_ 1-30 KW TRANSFORMER f0olt t11 COMMY With Such provisions or this permit Shall be 000r LAVATORIES DOUBLE LAYS APPLIANCE 1030 KW_55I KW i revoked. - - - - -- - - CONSTRUCTION LENDING AGENCY - KIT. SINKS DISHWASHERS MOTORS I O-1 Hp— His 1 herMy affirm that there Is a construction toothn9 agency for She per- SERVICE SINKS : SUMPS .(INC SOLAR)' •]030 NP_50 0 His - folmance o1 the work for which this Permit. is Issued (Section 3099 _ _ _ PLOOR SINK§ FLOOR DRAINS FCXTURES UVTLETS 'SWITCHES - - CIV. C.). Leeber'S.NdmO Lender% gddr6s ___ _ DRINKING FOUNTAINS GAS TUBE SIGNS- "" '4 OWNER BUILDER DECLARATION Ibemby affirm thatnI am exempt from the Conractor•S License Law for INTERCEPTORS CLARIFIERS I (POLE LIGHTS - __ - SWIMMING POOL PTRAP I - IM1e fallowing re (Sectlon 9031.5 Businessprof bsTons Coda: Any city r ounty which r00ulres a Patmlt _IO n $roti, alter, PO ES METERED UB n I- T WATER SERVICE ALTERATION PANELS MAIN, SUB' .:1 InsrO demolish Or repair any structure: prior toOt�salamnce. hao Fe res the ap4llwm for Such permit tO file a st UP Is the Liunse Law p(Com l to Me With r GAS SERVICE OVTLETS j 'SERVICE AMP hapten Section 01 Of UlVis 3 0l the Chapter 8 (Commanding e) r that gsols 1 therefrom or that 110 is examen[ tb0 _ _ _ _ - - „] 6, etre ne ed a .Cuda) 70and gee x nen. Any wouuon r yectian 9031s 0y Sectio, WATER HEATERS BTU OUTPUT _ _ SEWER CONNECTIONS I' - - " tx ti a partst subjeed cts t@S PmAam to civil Corona b`'"n0[Dmore bio Ck1. as owner of the property, or my emylOyeet wUn wages as their SOLAR TANK - COLLECTORS I $e-compeneatlOq will do the Work, and lh0 540(to01s not Intended u •'DATE Y offered for YID. (50CIIOn 7044. Business and frofossionS Coda: Tho SOLAR PIPING SYS. I ISSUE FEE ' Contractor's-Ucenxe Law chum not apply to an ow of a. property who bulMt or improves thereon. and who does Such M1lmself or ISSUE FEE APPLICATION APPROVED BY 1 --- -1.PI_AN tmou9h-NS own-empl59ees, prowa00 that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF, FEES-,. Intended Or offered far sale, 1, howemq the bU[Idln9 or Improvement Is Sold within one "t Of complletion, theat nor will none the burden 1 he Ole not build Improve For Ida purpose 1 1. - A _ BUILDING proving - HEATING SYSTEM 0-100,000 BTU s ��- E i 'SMIP r i- xtluslvel I s o nen "ol' Isla property; Perry; am Y donllanin9 Itb _,'PERMIT AND -DUCTING 'I - O -pLgN 1 IICensed Contractor$ 10 m truCt the pro Bot (Si 7044 Business IOQO➢01'S BTU r CHECK § T PERMIT' and Profemon5 Colo. The COOV OF ISOLiCanoe UW does nal'dpePl - -- - ISSUANCE $ a^O at 01 property who obirth r 1 prows (hereon, and w - REFRIGERATION 0-100.000 BTU -PLUMBING i ffads lrom'sucM1-projects IPo d _Doha- U(S) IlCesnetl our ua to _ SYSTEM 'I-" '- GRADING -f t A the PPntmdo5'S LICe05o Lew/ _ �- ` / IOQOOOt BTV J S ]• vIpLgNCHECKi amexempt Under Sectlp{t P frthis BOILERS BTU ' ELECTRICAL E $ / -SY$TEM'REPAIR,ALTERATION CHECK § - MICROFILM f- I Date - - Ow - TOTAL FEE { MECHANICAL .$ 'AD-.' them y¢ IfythallFeb On rosin a 5htetM eabow !Olco EXHAUST SYSTEM MULTIPLE LESS '�PCAN Into, alio C ret as or Nn all city a d c U tY $ OI¢ b CHECK i VANCE PL $ 1 ordl S no 1 In915 A Cetlo .ane ereb authorize ` 1 y ansa Ives ! scow. I to an also toned Siprone `r y ,FINAL FEE f signal s Drivers' or $5 � ISSUE GEE CMF O 6516 White -staining; Canary- ppliGOn:Rnk-ACCOunting: GOleemo0-Assessor CONSTRUCTION AND PLANNING' r �.�\r. \+' voq Date 3 Insp.ctor , APPROVALS Permit # - POOL & SPA Date - Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool &- Equipment Location i 2. SoilPipe-Undrgrn • . 4C -Steel Reinforcement - 1 - 31 Electrical Conduit•Utility-Urn -=\ 45. Forms - J 4: - Electrical Cohduit-Undrgrn �-� 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbin ' & Pressure Test -6, - Electrical UFE_R Grn 48. APPROVAUTO COVER-GUNITE Z. Footings,- - 49: Electrical Conduit-Undrrn _ _ 8. - Foundation. 50. Gas Pipe, ❑ Undr rn, Test ' 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.•❑ Undrarn 10. Structural Floor System 52. APPROVAL TO DECK - - ,,_ 11. - ;Property Sewer Line & House Connection 53. Backwash & Receptor -Final - 12. Street Sewer Connection - 54. Heater.& Vent -Final ' 13. Rough Plumbing - - - - - 14. Rough Electric -Conduit - - - 56. Electrical -Final 15. Rough Electric-Wiririg 57. Solar System -Final - - - ' 16. Rough Heating & Air Conditioning " - encing & Access Approval _ 17.. Ducts in structure 59. APPROVED FOR PLASTERING 18. ' 19. 20. Ducts, Ventilating _ Gas Pipe -Rough & Test _ Roof Framing 60. - POOL/SPA SYSTEMS FINAL - 21: 22. RoofSheathin' - Frame and Flashing NOTES: 23. Insulation - 24. Lathing & Siding 25. Drywall Nailing _ 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric - - - 29. Final Heating & Air Conditioning - .30. Final Gas Pipe -Test 31:. Final Plumbing 32. Water Service -Final - 33. Gas Service -Final 34. Solar Domestic -Final ' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING _ - 39. Special Requirements Completed 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date _ ApplICIPM10 fill n all spaces within heavy border l IraIrag and sign all appropriate decorations. 1•� CITY OE COSTA MESA P IT NO. TRACT NO, LOT NO. BLO . NO. 1 s �jyZSJr - - . CONSTRUCTION PERMIT �TYPE OF CONSTRUCTION r W NEW O ADO ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH 0OTHER [� ' - 0962 1/20/82 16,00 ZONING REGULATIONS .ProlactAtltlrss IL J Ownn y�'n one ,Address 0 Arun/Eno, License No, OESC RIPTION OF WORK ZONE - PLNG.. Fh.Ugr Addrich y COMeC[O' 7f TYPE OF PERMIT -' ❑GRADING 0 FOUNDATION ❑STRUCTURAL SET q VgRD - gI ROPEIRTVNLNE - - -- _ AtltlrOa ❑ TENANT Q ELECTRICAL JHPLUMStNG_ I, I]MECH 1C WIPE V _ - LICENSED CONTRALTO DECLARATION _ licensee Charter 9 I hereby afirm oot I am under prOVlslons of (cam- Ing 70001f ere Build IS D -0.13THER A RIOHIT e with section ofDivisio .3 Raresslens Code. Ian 1I a" IS In lull fore B It L ` • "BEAR YARD ITOP /LI - 1 Y PROJECT DESCRIPTION uuose Clan - _ U ease No. d.IN - - --SD. FT. " - "^-- PKG. SPACE RED. - 'PROVIDED, ' I-14- 1- Date Signature d _' OCCUPANCY'_ CONSTRUCTION TYPE _ _- _ ^ - STREET WIDTH PARK FEE .$ KONING-APPROVED BY �- - DATE - WORKERS' COMPENSATION DECLARATION .� I hereby affirm that I have a Cert Geta Of mnYnt to sall4n[Yfe Of a yALUATION "' ZONE sufanG Certificate of Workers' lbmpenLllen Irl, or d.cerDll bd.CerDll b copy -- "'- GRADING CU YDS. ACRES '�gPECIAC'CONDITIONS!"- - " mI (Secyp�r��ByO. LdD. CI (S •L{ertlfled copy Is hereby tum v.a REMARKS. r qCertified copy tiled win.city Building Claxton. ct EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - Thisection need not he complelM II the permit B for one hundred- 3$10 5eart r IeB� �J cal. I me n the pplay any Pal thew ay for ger W this perm \ s e 1 snail not em any person In any manner Se as 1e a -PLUMBING - '; PLHN'CHECK' - -" - - ELECTRICAL - - -� PLAN CHECK - - -ublecLto the WprkOR CDmpenH[IDn Laws of ClllfOlnle. I I Pubild -CO -BATHTUBS- '--SHOWERSUWI - ` Dae $Ignalure NOTICE If ester making this declaetlen. y Should "COMM eDlect r ..TOILETS.,, URINALS' - ' - r - - 'GENERATOR - 0.1 KW_ 1.10 KW - - \ to the Worker' Compensation provisions a1 the Labor Code you must ;TRANSFORMER V forthwith Comply with Such provinces el \nice perm man be deemed n \ LAVATORIES DOUBLE LAVE - - "APPLIANCE 10.50 KW�50+KW - revoked. - I - CONSTRUCTION LENDING AGENCY- KIT. SINKS - '�- 'DISHWASHERS -- - MOTORS - - 0-1 HP=1.10HP - t Ihereby affirm that there is a Construction lendinga9ancy far the per- formtnce el the work for which this permit IS Issued (Sectldn 309] SERVICESINKS� ..,SUMPS - - • - (INC'$DU1R1 .I 10-50 HP. SOJ. MP _ ' l Cry. CU. - •-' '- -FLOOFSINKS" FLOOR -DRAINS - - -' 'FIXTURES OUTLETS- $WrtCHES- - -- - Leneer'S Name r ' -ress - LenderR - ORINKI NO FOUNTAINS �' '-' - ^- +'- - - GAS TUBESIGNS --`- OR$ 'CLARIFIER$ �' —_ 'POLE LIGHTS- - - - UILDER DECLARATION ON- - 1 BWNER BUILD It COyA anOr'3 li I shornthat am tIOn-7 Imm t LeW ler 7 nib Romfort, Clto! the Palpating raAyO u SY sip e SWIMMING POO L-' -P TRAP SWIM ING - POLES' - - � METERED ' 'S B - ui,as a Phi o unity wain ppror to vin tract• altar, Any cityor county which WATER SERVIL$'-' ALTERATION - - - O �PgNELY- - MAIN SUB - - sai a ys structure, e- demONndie pub a nymitoilla signed i statement that the a for such permit a nth a senor Seemonnse he goFest D GAS SERVICE OUTLETS' '-' 'SERVICE- -- AMP "- IS II stunt pCommun the provisions of e!COna vs License Law , Ij'-rrypl r n (camm$to vile Steam )0001 01 Dlerefr 3 of the assand PrdOdla Coften. my the VTPUT- -WATER HEATERS ^--'BTU OUTPUT- --- - - f r the alleged olatexempllPoron 7031. fore Any Notation Of you ID3e5 byOf SEWER GWIHEOSJONS - 'Q- a Gm [o d CMI PonallY r it subjects c horn not than I thindredbdollars (4600). 'SOLAR TANK' "• COLLECTORS ..� m - - - - - -- ❑' 1, as owner Of the properly. or mYlmplOYees with wages as that, sold Compensation. Wlll do the work, and the structure Is not Initiated or offered for 91e. ($Dolph 7046. Business and PrOhMIG [ Cotle! The s ISSUE FEE- - -- - — - tWontactorY License Law does not pally to an owner of a properly r - ISSUE FEE - �" - . �, APPLICATION APPROVED BY GATE. ' M1O bunds o Improil thereon. and he does Such work Model f 0f theuyn Is own am F4 provided that such Improvements are bol _ " MECHANICAL PLAN CHECK _ I- "' SUMMARY OF FEES Intended 0r offered for vie. If, however, the building or Improvement B sold within Year of completion. the owner will non me burden - -- �BVILDING ,/- of proving id not build r Improve for the purpose o1 le). -- — - '� I, asowner OF the properly. am- exclusively Contracting le HEATING SYSTEM 0-100,000 BTU .PERMIT § SMIP a Ilcamead contractors to CoThenstruct UO proledt (Section 7064. Bushado ' AND DUCTING 100,000+BTU r PLAN CHECK g PERMIT Contractor'snotLaw does apply and Professioowner //�� ��yy�� ISSUANCE E property who DuldsorrimproeLicenstheeon. and con. or proper REFRIGERATION 0-100,000 BTU PLUMBING E tracts Tram -such -Nil With-a-contractor6) Ilcessned pursuant... SYSTEMC - GRADING g_• the contetel'S U"ne Laws. 100,000'+BTII _ _ "t PCgN CHECK E 0 rem exempt under Secllon^' - - B. S P. C: IortMs BOILERS BTU - 'ELECTRICAL 0 - E reason - - - -' - - - SYSTEM REPAIR. ALTERATION EXHAUST SVSTEM MULTIPLE - PLAIN CHECK E ,S.' 'MICROFIIN 5 TOTAL FEG i LE$5 qD- - ,Date Owns [ate tM1at the auore II'd [nils acomipply alone On ,Iran forma1.1 BlOelo'CO ply tln•dll ity antl lY PLANMECCHICK PLgNCHECK Vis. VgNtipCEnlyOrelaung to�mstructidn, ananelebyTe inonzeeials!;/ \o ler anon the thaw mlaneeD1Ver5g ,I. ISSUE FEE - CMF 006546 Write-Buieing; c nary-APOPICanU Plink-Acwunting; Goldenrod-Auessor CONSTRUCTION AND PLANNING APPROVALS Permit # 'JAG Date POOL & SPA- Inspector APPROVALS Permit # Date Inspector 1. __Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - - - •-- - - - 2. Soil.Pipe-.Un rgrn_ J T 'J.Zn- 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. -Electrical Conduit-Undrgrn - 46. Electrical Bonding - - - - - 5. tee , em orce 47. Rough Plurinbing & Pressure -Test -- - - --- - - - - 6. Electrical LIFER Grn _ 48. APPROVAL TO COVER'-GUNITE - - 7. Footings _ 49. Electrical Conduit-Undr rn 8. Foundation - _ - - 50. , Gas Pipe, El Undr rn, Test ' -9. - Water- Pipe-Undrgrn- - 51. Backwash Lines P-Trap.0"hW rn "- --- " 10. Structural Floor System - - 52. APPROVALTO DECK - - -'• -- -- - - 11. Property Sewer Line & House Connection - 53. Backwash & Receptor -Final - 12. Street Sewer Connection - - - - -54. Heater & Vent -Final -13. Rough Plumbing - a 14. Rout Electric -Conduit - ' 56.- -Electrical-Final - t 15. Rout Electric -Wiring - - - - - - 57. -Solar System -Final 16.- Rou h -Heating &-Air Conditioning - _ - - - - encing & Access Approval 17. Ducts, in Structure - - . APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating -• - Gas Pipe -Rough & Test - Roof Framing - - - -- - _ - 60. - - POOL/SPA SYSTEMS FINAL• 21. 22: Roof Sheathin t Frame and Flashing - ; • - - - - - - . _ NOTES: - 23. Insulation- - - - -- -- -- - - 24. Lathing & Siding - -- - •-- --- - - - ----- --- 25. Drywall Nailing - •. - - - - 26. Plaster Brown Coat - - - - 27. Electrical Power Meter -Final - - •' ` 28. Final Electric - - - -- - - - 29. Final Heating & Air Conditioning - - - - -- 30. Final Gas Pipe -Test - - - -- 31: Final Plumbing - 32. Water Service -Final - •L " ""J"` - - 33. Gas Service -Final -- - 34. Solar Domestic -Final 1 35. Landscape Sprinkling System - - - 36. Sound Attenuation _ 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No: Date ` f r I ApwiCAMtofill In til Spades'wahln heavy border lines and sign ell apProull declarations. l' 111TV OP`COSTAME$A E MIT NO. TRACT NO, [OT NO. - BLDG. NO ' 'gE0WRUCTIONPERMIT ek76a57 TYPE OF CONSTRUCTION 1$ NEW G ADO ❑ ALTERATION O N' REPAIR Q CONVER5IGEl DEMOL ISH I B7 0I DGy� � ,• 2/1 1/82 9.00 _ " Project Adorns S 5 O � of VE. -Owner [ 1fill • it a PNy"070 � )is Addr'G/�6%% '760 essSr. SU. AlY?. ❑ OTHER ZONING REGULATIONS ArONEng. LiCBMa NO. DESCRIPTION OF WORK A P ill,., ZONE PLNG. REF. ye " / r 6 S _ Asil s f) L TC el Contractor f,0e e6sldR =Ler_ Phdn k -B- O-' TYPE OF PERMIT O GRACING. !' ❑' FOUNDATION O STRUCTURAL ❑ TENANT gv ELECTRICAL OPLUMBING OMECHANIC SETBACK 5 rSI DE V TO gUILpwG PROPERTY LINE - AdtlfB55 j Y7 2 �.- [ [e lags /TYJi LICENSED CONTRACTOR MILCLARATION Under nder pros cns of Charier g (oom- at 1 am licensew Oy offirm that tion )000) 3 f the Basin--- and -, - ❑ OTHER RIGXT at o mens Ing with e I'raleaslam COna, d y abroad Is In fun force d effect. dy ae_/p - REAR VARD FPCIAL) Zi PROJECTDESCRIVTION- _ -- lJCan30 Llranse�C� SQ. FT. PKG. SPACE REO. PROVIDED DataJ.CSaS'.(3� Slgnalure'� q . ,r _ OCCUPANCY= CONSTRUCTION TYPE 'STREET WIDTH PARK FEE S DATE " WORKERS' COMPENSATION GECLAR TIL) .�N I hereby affirm that 1 hale a Certificate of consent to selHnsure Or a VALUATION ZONE ZONING APPROVED BY Certificate of Workers' Compensation laughed, Dr- certified COPY GRADING CU. VOS. ACRE$ SPECIAL CONDITIONS: .. "e nIlOom%41 %ND. EO. - No6r`liar r-JCGNOMI Y ND,LY Company .frtllladcOpYishereby - _ r REMARKS: �ZZ• i _ _ . ❑EMPTIOcopy filedwththe it W EXEMPTION FROM WORKERS' COMPENSATION DECLARATION O RK RSCITYMPENS TiOND ((TNIs sedlon need not 0a wmpbte0 it the permit Is tar one honored - - IECert1]1Y thetsin the, performance Of the work for which this permitts Issmtl, 1 shall not employ any parson In any manner So as to become PLUMBING- -' - PLAN CHECK ELECTRICALPLAN CHECK ' Subject l0 the Workers' C MMnUllOn laws Of Californi a. BATHTUBS SHOWERS �-SO FT -SO FT' Dale SlgnaWre NOTICE: If anter making this eKtiretlan, y on should become subject TOILETS URINALS - 'GENERATOR - 0.1 KW�1-10 TRANSFORMER KW to the Worker' Compensation visions of the Labor Code. You must forthwith comply with Such PrOvil Of this permit Shall be deemed LAVATORIES DOUBLE LAYS' APPLIANCE 30-50 K%_50 r KW revoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0-1 HP=1-10 HIS I hereby affirm that there is a construction lenOlrpagency for lne per formance of the work for which tole permit Is Count (SeCOOP 3097 SERVICE SINKSr SUMPS -' - (INC. SOLAR). 10 -50 -HP SO HP GV• C•)• FLOOR SINKS - FLOOR DRAINS - FIXTURES , OUTLETS'LSWITCHES LBndar5 Name _ Lender's Address DRINKING FOUNTAINS- - - GASTUBE SIGNS - '- INTERCEPTORS - CLARIFIERS - POLE LIGHTS' OWNER BUILDER DECLARATION - I hereby affirm that I am exempt Imre the Contractor% License Law for SWIMMING POOL PTRAIS POLES METERED UB the IMPOWIng-reason (Section 7031.5 Business and ROlesslons Cade: gnyr cC p ounly wM1ICM1 req ones a permit 10constrod, alleq WATER SERVICE "- ALTERATION PANELS "MAIN SUB ' rosI aao.11 has i ler SUlran ch pe rml It lD lite ar lstraitSbrallarl"ce. Isere- signed statement that he CU Is Mean Wis ua of tothe timid of the ContractoM UtOrrelaw GAS SERVICE OUTLETS SERVICE"- -' AMP lChade 9 it a ting i1M1 Section 7000) of Division 3 01 the WATER HEATERS BTU OUTPUT .O D lea and Onemptlon�rAoy Nlation mDtof �"InOm0315the tM1 getl by SEWER CONNECTIONS- a eh it t0 a civil penany EDIIS CIS the IIDrO tl for as r Bd ($SOOI,Gnt SOLAR TANK COLLECTORS -- - - ❑ 1, at Ownerofthe property. of My OMPIMMOS with wages as their SOIe Compensation, will d0 the work, and the structure is not intended of offered ler Case. (Section Business anSCoda: The _ _ SOLAR PIPING SVS. ISSUE FEE owner Contramor-1 Ucame Law tl OCnot apply 1 all 1 property ' ISSUE FEE -� --� Ir I APPLICATION APPROVED BN - DHTE- ' n0 bullas or imeprove& thereon, and o does such viork hlmsall or throUy Is awn playee3, provided that such ImprOVe_ ems are not MECHANICAL PLAN CHECK SUMMARY OF FEES mien Go r offered for tile. If. however, the building orimprovement Is sola within ane year of Completion. me owner will neve me burden r BUILDING - -- - - ' r praying he dm not bursa r Imprpw for inn tlwPOse Of sale)- HEATING SYSTEM 0-100,000 STU $ •SNIP S- ❑1-as-owincer of tM. IIM1-AND DUCTING ,PERMIT e0 LD MMUCtta ect (Section eons, geologies Ind yr Ice ($Law IOOA00 a BTU ,PLAN CHECK f he Conti ons Cod License Law does not to and projections Cptle: The Contractor d P 10 .. - ISSUANCE $RADING f of property who DftraCtOIndoor, end W00 tom an Owner weer of a improves ho O-IOD,OeO BTU rpLUMBING E Ith.a.contractogq Ilcasnfd pursuant to tracts Ith.a Sr's Dense SYSTEM - - SYSTEM GRADING E' Cfromontractor's U Cmexempt 100.000.)BTV ELAN CHECK $ ndergtawl. ❑ I am exempt Settlor' - B: j P. C. for this El SOI LEER BTU p� ELECTRICAL f "' - SYSTEM REPAIR, ALTERATION PLAN CHECK" j - MICROFILM S I FEE $1 Oaten owner "•MECHANICAC:S _ )hereby Rrlilythal l hale lead this appication and tate that the above EXHAUST SYSTEM MULTIPLE [ESS AD - ion IS Abreel. 1 agree lo' comply'with all City and =only' PLAN CHECK $ VANCEPC f= ordinances and slate laws catalog to Construction, and hereby a authorize ordinances repremntatham-Df -this city m ter' eon the have tined - -' property to atop our Z -/O -P2 FINAL FEE j_2- riverWIe Drivers' OnVeri'LiCanttO .,S ISSVEFEE-- ..I - - CMF 0855-I6' Wtlle-BUI�. I ny Pink-Mcounting: CONSTRUCTION AND PLANNING APPROVALS Permit # �u Date - InspectorpppROVALS- POOL & SPA *- "Permit Date Inspector 1. Temporary Electrical Service or Pole _ 43. Pool &Equipment Location" - - 2. i _Pipe -Un rgrn, - - _ _ 44. Steel Reinforcement - - - - - " 3. _.Electrical Conduit Utility-Undrgrn 45. Forms - -- -" - - - - 4. _Electrical Conduit-Undrgrn - 46. Electrical Bonding 5.. Steelern orce 47. Rough Plumbing & Pressure Test - 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings _ _ 49. Electrical Conduit-Undr rn - - 8.-. Foundation- 50. Gas Pipe, 0 Undr rn; Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra . ❑ Undrorh 10. _Structural Floor System 52. APPROVAL TO DECK 1.1.. Property Sewer Line & House -Connection 53. Backwash & Receptor -Final ' 1.2. Street Sewer Connection '' 54. Heater & Vent -Final -13. . Rough Plumbing. _ _ - - - - - -- 14. Rough Electric -Conduit - 56." "Electrical -Final 15. Rough Electric -Wiring .- -" - 57. Solar System -Final' - 16. Rough Heating &Air Conditioning encing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18: 19. .20. Ducts, Ventilating- Gas Pipe -Rough & Test Roof Framing _ 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing -- _ ' NOTES: _ 23. Insulation - - -- - - 24. lathing & Siding - -- -- - - - - - 25. Drywall Nailing - - 26: Plaster Brown Coat - - - 27. Electrical Power Meter -Final. - 28. -Final Electric 29. Final Heating & Air Conditioning - 30. Final'Gas Pipe -Test 31. -Final Plumbing 32. -Water-Service-Final - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape SpIrinkling System 36. Sound Attenuation - - 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUI4DING 39. Special. Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No- - Date L E ADDRMMBWLOINO: 3505 CADILLAC AV UNIT' A ONNERS NAPE IIO,ONN ACORELAND/DONNER FLOOD: AH -37 ADDRESS 4400 MACARTHUR BL #150 1 NEWPORT BEACH,CA 92660 SPL MULnm ADDRESS 251-1100 ARCIIRECTORIBIGOMER: RON.OR ENG.'S ADDRESS: LIC. NO.: UNIT: coxmAcroR9 NAME: EVANS ROOFING COMPANY INC (714)285-1180 CONTRACTORS MAJUIO 1101 E CHESTNUT ADDRESS SANTA ANA CA ueNa 610549 92701 uwr: LICENSED CONTRACTORS DECLARATION: I hereby Mim en under palty d perjuryam " I licWted under pradNans d Chapter 9 omm (osercig cash. TODD) of Dyeon 3 of the Budneas and Prdeasbns Code. And my Eoenes is as hN kroe and affect. CITY UC. NO, LIC. CLASS: LIC NO: �g 059277 C 39 j� 61 9AM09/97 Data: T/ -y — C% 7 wd Cma: �f % / u OWNER BUILDER DECLARATION: I hereby affirm under Penalty of Parj ry Chet I ane exempt ham the Cprwwore loans. Lew for Hs 'ntbw'ag, meson (Section 7031.5 Buanrs and Professional Cab: Arty cay or munry which recover a peonal to construct, eller, improv. voleh, or repair any swcturo, prior to nen esuence, step Muster the applicant for such perms Co fib a signed sWament that M a.M . lieaneed pureuent to the wovisioos of Na Contractor. License Law (Chapter 9 (coCmnanenS with Section 7000) of D"im 3 of the Business end Profession. Code] or lhat he a she is romp thsahan and IM basis for the eloped exemption. Any yklmion of Sadiron 7031.5 by any applkant for a perms s lbpcts the applicant to a OW penally d nal mea then IMa hundred dollen "D. ❑ I, as owner of the pmpeny or any, senpbyeee with wepea Is, their sob cpmpenaelion, will da the work, and tlm stnrdura'ns roe Wended or offered for "a(Section70,14. Business and Professions Cab: TM ConlmdanLioera law does not apply to an oamar of properly wM bolds or snprova thereon, and who does such week broseH or hersell or Nra gh he or her own employers, proridsd that such imprwewwa sea w intended or offered Ice sob. S, hors., lM building, or inwory ant a sold within one year of omr won, the owner4builder will have the bw n of proving M or she did w Mild or improve he the impose of sate). ❑ I, r orwr of the rop". am rdudvely contracting wdrh licensed convada. b conmud the poled (section 7044. Srbrs and Profession' Code: The Contractors Lomas Law does nappy, to an owner of pro mi who Milds or immvr and pthereon who comnscb fa each projects with a mnmaMel licensed Wn caw to the Contractors license dew). ❑ I am ramp under Sather: B. A P.C. M this mason: Dane: Owner: I do hereby taffy that I am .ware of and undaat.nd IM requirements of Cdlomb Health and Safety Code Sactior P5505, 85533, end 2553x, vol Net I or any Mum wilding oomp.nl will y wg net (circle one) need to campy with said slow oodr and the rogdrom.fift for a More for corstmcMnallgdlfiC.lnn hen the Air ue�ty a— emem Cietdd. Res essai mnprudion applications are rampt lrsm those Data: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby elbm under penalty of pewry one of the fo low'ng dederatione: ❑ 1 hav and wM maintain a canticles of consent 10 saffineura for wake a dnpensat on, as provided he by &action 37M of the labor Coda, to the padormence of the a la which this permit b herd. ❑ I hew and eil mainlan serryera' cpmpanrtkn Wmance, r eww,1 by Swim 37W of 1M Labor Code, ter the Parl e. d the X wok for which this perms te (rued. My waken' cpmpensawn i... carrier and pose, camber me: Carder: RTATR FUNn EXPIRES Policy Number: 07/01/98 (Ibis swim need rat be ownpblM d the ywmlis fa pre hu2AM plmla len.) ❑ I oedify Cho in IM Wormenca d IM wok fm whkh Ihie perms Ie issued, I chsll w wpby soy person In ry manor r r to becars subjed to the wakens' co nperaation Was of Caorna, end .area Nal E I shmld became subject to the waken' compoowsponprrovieb�}r of Sedan 37M of the labor Coda, I shell 1 xnh can h provbbr. Date: Applicad: C Weaning: Fall. b sac. worker.' compaywtlon mesrege b rola rl and shell artl)ect an employer or edrrehel ponew" and dyd Hca W to me hnndWd flowered ddh s ISIOODODA M addltlon ro she teat of compernsawM1 danWas as pmyMN for In S.H. 3706 of Ne Labor Cow, Interest, and money. fa. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of parley the there is a tondmdion lending agency for the podamroe of the work for which the parcel is issued (Section 3087, Civ, C). LENDER'S NAME: LENDER'S ADDRESS: I candy that 1 have road the application and dos That the above ntormetbn is caned, l earn to comply with ell City and cOUMy adtnenoea and awe was waling to building consdudi or had hereby authorize repreaenWlyee of the city to enter upon IM abuve-mwioned popery for inapoctim purposes. BOB AWALT / J / Print Dane: Sipneturo ofvm Oedapan ApPscanl/Cmuwa (5151460P) Whse-BuiMig 6 Salary: Gwen-Rlo; Cuury-Applicant; Pink -Revenue: Goldwyn d -h oaowr CITY OF COSTA MESA - BUILDING PERMIT Y> L� kd!*df df dE*�*Rtkkib dfk*iE dEk*Mif**dfM*iEa('i4*iE*dF dF 3E iE*1E iE IE 4t*dE dE*dE*dF iE iE yE dE iE RE iE it**9E at iE 4E iE dE*iE dE iF*dE oft �('�('*iE iE dEM D E V E_L 0 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: 1 APPLICATION I•SSUED BY: DATE: yg dF**dE dE**df 1E iEM lE iE iF if 1F*iE*Mk% *iF iFiE**dE iE*% *iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'LSEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 162.25 SMIP/NON—RES PLAN 1.95 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 164,20 0.00 0.00 164.20 164.20 .00 REVENUE DIVISION TOTALS--> COLLECTED: 164.20 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.25 1.95 iE***iE*iE i4 iE****iE iE lE iE iEkkfE**1E*iF*iE*iw***iE iE dE iE iE IE IE it it iE iE iE gE iF%IE iF iE iE iF iF iE iE iE iE iE*iF*iE iF iE iE iE iF**1E iE*iE i4 i4*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 SFC 9300 REROOF BY VALUE COMMERCIAL NOZONE 1.00 9,300.00 END OF FEES 88-84-1997/18:46 AM/1164.28 PERMITl:T084025 4 PERM NO: B 084027 PERMIT NO: B 084025 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STIR PURPOSE: OTH JOB DESCRIPTION : T/FF 6 REROOF W/BUILT-UP SQ FT: 9,300 CLAIM VALUE: 9,300.00 CALL -VALUE: 9,300.00 GROUP OCC: B / COMMENTS: REROOF 5900SF COMMERCIAL BUILDING **kdf df iE iE dE**dF dE*dE dF if*lFdf***dE!liF dE dE*iE**dE iE*iE dE oft iF oft dE*dE dE it dE dE it■iE it lEk*dE dE 4E*dE dF i4 dE*dE if *iF iE dE*741E iE iE dEiE if iF dE 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: 13966124 ZNE: REF NO: PLANNING NOTES> Y> L� kd!*df df dE*�*Rtkkib dfk*iE dEk*Mif**dfM*iEa('i4*iE*dF dF 3E iE*1E iE IE 4t*dE dE*dE*dF iE iE yE dE iE RE iE it**9E at iE 4E iE dE*iE dE iF*dE oft �('�('*iE iE dEM D E V E_L 0 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: 1 APPLICATION I•SSUED BY: DATE: yg dF**dE dE**df 1E iEM lE iE iF if 1F*iE*Mk% *iF iFiE**dE iE*% *iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'LSEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 162.25 SMIP/NON—RES PLAN 1.95 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 164,20 0.00 0.00 164.20 164.20 .00 REVENUE DIVISION TOTALS--> COLLECTED: 164.20 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.25 1.95 iE***iE*iE i4 iE****iE iE lE iE iEkkfE**1E*iF*iE*iw***iE iE dE iE iE IE IE it it iE iE iE gE iF%IE iF iE iE iF iF iE iE iE iE iE*iF*iE iF iE iE iE iF**1E iE*iE i4 i4*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 SFC 9300 REROOF BY VALUE COMMERCIAL NOZONE 1.00 9,300.00 END OF FEES 88-84-1997/18:46 AM/1164.28 PERMITl:T084025 CONSTRUCTION AND PLANNING - PO SPA APPROVALS -Permit# Date Inspector APPROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement - .3 Electrical Conduit Utility-Undr6rnd. -. 54, Forms -4 -Electrical Conduit-Undrgrnd. • 55. Electrical Bonding -S:,Sfeel Reinforcement 56. Rough Plumbing & Pressure Test t Electrical UFER-Grnd!. 57. APPROVAL TO COVER•GUNITE ' 7. Footings 58. Electrical ConduPf Undrgrnd. `. 8.. Foundation - - 59. Gas Pipe, O Un`c{Fg}nd., Test 9:•Water Pipe-Undrgrnd. - -60. Backwash Lines, P�rap, ❑ 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 74. Rough Plumbing - 65. Electrical -Final 15. Rough ElectricaCCon6uit 66. Solar System -Final 16. Rough Electric Wirings _ 67. Fencing & Acce55`Appr Oval `17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical=T Bar Ceiling- '69. POOL/SPA SYSTEMS FINAL ` 19. Rough Heatirig &Air-Conditionin9 FIRE DEPT. REQUIREMENT x r , APPROVALS ` Permit +___L 20. Rough Factory;Fireplace - ,: - D t•1 • 21. Ducts; in Structure'. y -,; ; -� ...`' . j 70. Undergrouno Hydro _ r 22. Ducts, Ventilating-- ,J� .: to '171. Prod uct�P;ping El Gas O' Oil 23. Gas Pipe -Rough & Test .: `� r 72. UndergVound Flush , 24. Roof•'Framing• .= _ �• •_ 25. Roof.Sheathing t. /I r 739 Undergrrid.Store.Tank [I Gas ❑Oil 74� overhead"Hydro,' , 26. T_Bar;Ceiling (Structural) & Monocoat _ 75.' Dry Chemical '-' '%: 27. Fram,eandFlashing i, 7&' dry Standpipe r -28. Lathing&-5idipg jj. = r"•'- ;_ ••� 77: FIXEDSYSTEM'FINAL 29. Insulation4 } 78: FIRE PREY, FINAL y •30. Drywall Nailing -HEALTH,DEPT. REQUIREMENT 31. Plaster Brown Coat_; ; if; 79r FINAL INSPECTION 1 -, ,• : , 32. Electrical;Power Meter•Final q 1; ( . 180..,F0OD CERTIFJCATE ISSUED • 33. Finai'Eleetric Notes: -� t- � 34. FinahHeating & Air Conditioning 35. Final Gas Pipe -Test -- $ `- t ' ,3 6. Hood or Canopy 37. Final Factory Fireplace .' r } 38. Final Plumbing _ --- 39. Water Service -Final c 40. Gas Service -Final :41. Solar Domestic•Final. '_ -• 1 . _ 42. Backflow Preventer- - 43. Backflow Irrigation • - - _ - 49. Landscape Irrigation'System _ a 45. Sound Attenuation - .•S " 46. Handicap Regulationt •• •' 47. FINAL STRUCTURE & BUI12DINGy/�7 48. FINAL PLANNING 1 49`. Electric Release to Edison , i - 56. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY' No. Date - 3505 Cadillac Avenue UNIT Bl .: JI CADILLAC 004 ./}S/yS� $30,000, AVIItiUE 3505 Unit B-1 Lot 25 - ! / E19278 METER (G19004) — B 34752 unit# B 107 — B-2256-7/"/3.,. CcMn. Bldg. 53,835. o► Unit B-1 - S657699 PC#2163-92 S _ P-2367-d/,f/j,y PLBG,(B-2256) . + _ UNIT B-2 7E-2623- qr,3/Si EIEC, (8-2256T - Unit B-1 - — B-3605- Trash Enclosure 8,800. ) 7/�71V 11 -Perimeter An 404 _ E60388 PC#4912-92 S _ UNIT N-4 /-a/-43 _ B 0965 PC444-93S _ Unit#N-4 — P60966Unit#N-4 _ (B60965) 4`o5ta MF CITY OF COSTA MESA > _ BUILDING DIVISION PERMIT N ER DEVELOPMENT SERVICES DEPARTMENT PERMIT B _00248 (714) 754-5273 Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3545 CADILLAC AV Status: ISSUED Suite: B Applied: 02/28/2000 Vicinity: Issued: 02/28/2000 Parcel Number: 13965127 Zoning: Applicant: GEORGE HANNA ISSUED BY: Address: .Phone: 714-633-8200 Zip. Owner: GUGASIAN, LEVON Address 17 RIDGELINE DR - '�� _ Phone: - NEWPORT BEACH, CA Zip: 92660 Contractor: '-,HANNA CONSTRUCTION 'Address: 1203 W SHELLY CT Phone: 714-633-8200 - ORANGE,CA Zip:,- 92868 License: 242846 Arch :, MVAARCHITECTURIE Eng: Address: - - � I I. ' Address: ' - Phone: Phone: ,Zip: "y- --License: C19344 - License: , SCOPE OF PERMIT MINOR OFFICE TI. FOR "ECLIPTEK".. FEE SUMMARY Plan Check: $54.11 - - Calc Valuation: $3,000.00 Permit: ; ' $83.25 — Claim Valuation: $3,000.00 SMIP Res: `,, , $0.00 SMIP Com' $063 Other: $0.00 Inspection: $0.00 Notal: $137.99 SETBACKS'. MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0' PARKING Existing: -0 NOTES: Rear 0-0 Rear 0-0 Required:0 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: - 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 �I y� DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My wgrkers' compensation Insurance carrier and policy number are: Carder: STJT T [ — C.1 d' -(d � Policy Number: � Q� -(' 6 COLI (t ::too 7J5� (This section need not be completed if the pernit is valued at one hundred dollars ($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 of Iifomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the' Siena. ©� Applicant SignallingDate: 62 WARNING: FAILU E T CURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOL I$100,000j, IN DDIO THE COST 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 under provisions of Chapter 9 (commencing with Sectio 000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # of �i Class # Contractor's Signature: / Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cotle), Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: 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, prior 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).): ❑ 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 (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.). ❑ 1, 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 contractors) 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 drivers license. ❑ Yes ❑ No Driver'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: Division of Industrial Safety Permit 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 form 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 feat of compressed gas at standard temperature and pressure). 3 Does or will the applicant 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 an 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 application a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feat from the out r boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Ith and Safety Code). ----_._..,._.....-..._----.-.._---.............................'---____..____----...-------------------....__......------- "-"'-__.___""'--------_--__._—....._._.._._.—.__—.._...._.—.—.__.__—__..—_------._..._ 7 It a permit from the South Coast Air duality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (It yes", attach certifwale 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. 1 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. Ignature Of Legal Owners)/ _ �Y Date G And/Of Authorized Applicant Date CODE N. INSPECTION TYPE 2610 INTRIAL CODE INSPECTIONTYPE p 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 Block/Retaining 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/Occupancy 0 �Zel 244616 CITY OF COSTA MESA T BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT �• PERMIT PERMIT NUMBER B98-01494 (714) 754.5273 Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: 6001 Applied: 08/19/1998 Vicinity: BUILDING B Issued: 08/19/1998 Parcel Nunmber: 13966122 Applicant: SANDOVAL, CHARLES Address: - - '� 'Phone: 714528-3073 -- _.Zip: - NPD COS kMESA 4550 KEARNY VILLA RD #212 iSAN�GOCA Phone: 92123 Contractor. EVA NS,ROOFINGCOMPANY INC ,A Address: 01101 E. C /H EST/ NUT Phone: Zoning: Owner: Address C PLANNING &>ZONINE SETBACKS",,' MAIN STRUCTURE`Front "0-0 Rear 00 Left 0-0 ACCESSORY Front 0-0.` Rear 0-0 Left 0.0 PARKING Existing: 0 Required: 0Proposed: 0 NOTES: .. " i i Right 0 0 , Right .0 -0 - 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 SANTA ANA CA i% Zip. 92701 - - License:" 610549 - Arch / Eng '. Address:' 11hone'" ZIP: License: SCOPE OF PERMIT :BUILDING'B%T/O EXIST ROOF AND INST 1 PLY CAP ,SHEET.. _ I FEE SUMMARY Plan Check: - $0.00 ;' � �"^,,.=-- ���:' Calc Valuation: $9,800.00 Permit: $162.25 _ _ — = Claim Valuation: ' $9,800.00 SMTP Res: $0.98 SMIP Com: $0.00 - Other: $0.00 Inspection: $0.00 Total: $163:23 PLANNING &>ZONINE SETBACKS",,' MAIN STRUCTURE`Front "0-0 Rear 00 Left 0-0 ACCESSORY Front 0-0.` Rear 0-0 Left 0.0 PARKING Existing: 0 Required: 0Proposed: 0 NOTES: .. " i i Right 0 0 , Right .0 -0 - 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 DECLARAVIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compe ation ywrance carrier and policy number are: q--� /� `] r v Cartier:' "�. - Policy Number. U IwO Y� (This section need not be completed if the permit Is valued atone hundred dollars ($100) or less.) ❑ I certify that in the Performa a of thfork for whlryrY is permit is issued, I sh no employ any person in any manner,so as to become subject to the workers' compensation laws of yto and Sier e that If I s out ecome bject to the orke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith these Prov si n'_ ,�9.��� Applicant Sign lure: Date: RN Al URE TO SECURE KERS' COMPENSATION COV GE ISI -AWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby allirn that I a nunder pre Ision of Chapt 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions Code, and my license Is In full cl. Lic. It Class 4 Contractor's na I D Date: 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), Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: 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, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pumuant 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 w111 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. - Expires: Verification of, Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, fatsework, 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: D!yision of Industrial Safety Permit Number: _HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certity 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). ................................................... ................................................................................................................................................................................................................ I................ 2 Does or will the applicant or present or future building occupant need to file a registration form 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 of compressed gas at standard temperature and pressure). .....................................................................................................pa.nt.n,e...........r'e.p....................................................................'nti................................1'y..................................... 3 Does or will the applicant 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 an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ............................. P.........................................................................................................J................................................................................................ I ......... 5 Does or will the applicant or resent or future buildingoccupant require for the work which is the subject of this a Iication a DDermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? a Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any part of the facility to be censtructetl under this permit 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 Cade). .................................................................................................................................................................................................................................................................................... 7 If a Permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ......................................................... ................................................................................................................................................................................................................... 8 (It yes", attach certificete 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. 1 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-clescribed property for inspection purposes. I agree not to occupy or allow ccupancy of any building authorized by this permit until final inspection. Sign ure OF L gelr(s) IPA IU OQ �L cant Date ORILL INSPECTION TYPE gATF INTIBAL5 LORE! INSPECTION TYPE BATE INTITIELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �/� 208 Final Plumbing 200 Final Re -Roof Z`ldJ! 210 Final Electrical 201 Final Block/Retaining Wall J� 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Rnal Demolition 250 Final Building/Occupancy 2a6.46 Applicant to fill In all spaces within heavy holds, lines and sign z0 appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. L T NO. BLDG. NO. CONSTRUCTION PERMIT a� s(p PM 81-380 �5 1 " 0767 I / I B/B2 2SBe 77 ProjectAddress I MC At TYPE OF CONSTRUCTION 1]NEW El ADD ❑ALTERATION •. Owner Pon Address 0760 TL BEPICII O REPAIR 000NV ERSI ON IDDEMOLISH 1301 Dove St. ❑ OTHER ZONING REGULATIONS ArchlEng. j iMS-PetELg License No. 4285 OEBC`IPTIONOFWORK J A'P'B - - ZONE PLNTGp. _ Address; 119 E. Altno.�n�. Dr. Santa ATI* Contractor Olts sOGstTTIT.•tion Plane 576- TYPE OF PERMIT s 5 T / gRElSF�. p¢�ry PROPEIRTYL�INE / AOOrds Box 308 Ym P OGRAOING .0 FOUNDATION ,STRUCTURAL• ❑ TENANT 0 ELECTRICAL OPLUMBING OMECHAP IC sLl YARD 5 p LICENSED CONTRACTOR DECLARATION I hereby affirm that I am higinseotl Under provisions of Charter 91con - ❑ RIGHT - Ing with lion 700D) f Division 3 f the Buslbe d Professions Code, one my license IS In full force aqgypn;-yCa (fen. OTHER REAR YARD ITO P/L) 8""9� RIjTI PROJECT DESCRIPTION License Man License NO. A' PKG. SPACE REG. PROVIDED Dale Signature s0' UT' OCCUPANCY�QNSPUCTION TYPE - - 5T REST WIDTHPc ZONING APPROVED B PARK FEES DATE WORKERS'COMPENSATIONDECLARATION hereby eillrm that 1 tease a Certificate of mount to xlHnsuna VALUATION a5133yy dYa ZONE - mtlflute Of Workers' Compemankin Insurance, or a e nifido COPY -f(Sq"1"6�:IC-). FY001CFIt $SNOB. r GRADING CU. YOS. ACRES SPECIAL CONDITIONS: If .y hip. -Company d COPY l3 thereby fureldh. - iertlOetherebyM REMARKS: G 9 0SzCmt Geu copy IS filed with me [By Building Dminon. • ' HOLD FOR SPECIAL REQUIREMENT` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION / - - (This Section mind not be Comolemil if the Permit Is far one hundred - - to,ya fee this - - - - say person Inhe Issued. I Sha IMnot y Palmer iso become PLUMBING 'PLAN CHECK ELECTRICAL - PLAN CHECK Sublen to the Workers' Compensation Laws of California. BATHTUBS SHOWERS tate Signature SO FT SO FT NOTICE: 11 after making this deCRURIOn,Should become Pladdet TOILETS URINALS GENERATOR 0.1 KW— 1-10 KW to the WOUv1M' COmpeONllOn prOYISIom aYthe Leber Code, you must TRANSFORMER lorlhwith comply with such provisions at this permit Shall be deemed LAVATORIES DOABLE LAV_5 • APPLIANCE 10-50 KW -50 s KW evoked. KIT. SINKS DISHWASHERS MOTORS 0.1 HP HE CONSTRUCTION LENDING AGENCY - -1-10 I hereby affirm that there is a construction lending agencyfor the per. alormance of the work for which the pe^r_m—it, Issued' ISOCtion 3097. SERVICE,SINK$ SUMPS ♦a c ` (INC. SOLAR) IO-SOHP 50+HP -IS Civ. C.), Wells Fargo Bank FLOOR SINKS FLOOR DRAINS C• FIXTURES OUTLETS SWITCHES Under' s Name ' � - ' Lender's AddressF6�ygxxt f`Fr- a N�'QI},l1"f ll !Fh DRINKING FOUNTAINS GAS TUBESIGNS a nINTERCEPTOR6, .CLARIFIER$ - . �"� 1, POLE LIGHTS OW BUILDER DECLARATION I Ob lhalM•am fmmi for an orPHOUS SWIMMING POOLTRApcon4c. • - - - 1•^r '' PVC UN •POLES METEREDsun usC ass a f I in ctioni IOns Co t11e 1011Owin9 rWson ($itllori ]0]1.5 Business d ROIM510nS COtle: Any ally $h COYrl1 T' wh tell raOI slas L Poland, to OIRRYCI. adds.. Issuance. WATER SERVICE ALTERATION PANELS MAIN SUB ImOrdve,'aa lsh or repa Iran its team. prior to its a ISO r- pubes te a as for such per It to lila a signed statement that Ile _ GAS SERVICE OUTLETS SERVICE - AMP III Ownsed D ought to in* rovISICA1 of IM1e Contractor's License Law 1 ptes 9 (Commencing till $actin o 7000) I Division 3 of the WATER HEATERS BTU OUTPUT t and ProlesSam Coca) or that he Is esoTt Ihmefmm add Ino relation i Section 7031.5 by a e9eg ahemlption. any } or man t t to - - nithat IirePehunt subjectsed 6a00)'rant a civil penalty SEWER CONNECTIONS at 0 1. a owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - so compensation, III ea the work, and IM1e structure Is not Intended or offered for Mle. (Spatial 7006, Business and Protessl Cade: The SOLAR PIPING SYS. ISSUE FEE ons Contractor's License Law does act apply to owner 1 propeNy , APPLICATION APPROVED BY DATE or Improves a aq ne ho piano Such work nlissell or who bullas he ISSUE FEE through his Own employees, prOi that such Improvements are not MECHANICAL PLAN CHECM � `• SUMMARY OF FEES intended or offered for sale. H, however• the hu0ainy r improvement Is sold within one year of completiaq.the Owner all have theP yoen I proving M1e old not build Or Improve for the purpose f Mae). •• _ BUILDING' ^ a9S- 3.77 ❑ I, Ile am ekcluslvely contracting with HEATING SYSTEM 0300.000 BTUs' _ PERMIT E SMTP -E a of properly, AND DUCTING I licensed Contractors to construct the project (Section 7044, Business 100,000 a BTU - s� PLAN CHECK 3 PERMIT and Pro re ions Code: TM1e Conlra[tor'S 1106m) Law 0005 not *poly 10 - -`f ISSUANCE E ownof aM1a builtlas or Improves thereon, and who con- REFRIGERATION 0300,000 BTU j PLUMBING E umooHy tracts f m Such Projects lin con actorls) ifpursuant 10 SYSTEM GRADING 3 the Cont actor's License LawL 1p0.0003BTV r..d L. < i C . ! PLAN CHECK E - ❑ 1 am empl under Sonlon B.8 P. C,1011Ms _ BOILERS BTU ELECTRICAL $ $ reaso SYSTEM REPAIR, ALTERATION PLAN CHECK 3 -MICROFILMS TOTAL FEES Oaten Owe a 4t E%HAUSTSYSTEM MULTIPLE MECHANICAL E LESSAPC toiCompl wthd ll ci y a d county nherat to Dly wltn all aoreMthS ant [aunty PECHANICK E VANCE 3pIlinsay a to construction and here yaulhorlae b0 epre[o n[er u0en cite ptlaneprop rPous.• 1mBCD•OFINAL FEE 3249.71 Signa SSUE FEEDrivegr CMF 006546 Whlle.BluddRegiUnary-Appllunp Rnk-ACmunling; Goldenrod -Alienor CONSTRUCTION AND PLANNING APPROVALS Permit# a`Z'S Date N . I Inspector POOL & SPA. '• - -- - - - - APPROVALS Permit # Date Inspector - - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn '4 . Steel Reinforcement - -- 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn • 46. Electrical Bonding Steel ein orce $ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑Undr rn, Test - 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. 13. -Street Sewer Connection Rough Plumbing 54. Heater & Vent -Final ' 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning - encing & Access Approval 17. Ducts in Structure T9. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing g , agrhn 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frameand Flashin �,g- �7v� NOTES: _ fo L� 23. Insulation -t K so _18'_ 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat -yg_ B A 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final ' 33. 34. 35. 36. 37. Gas Service -Final Solar Domestic -Final • Landscape S rinklin S stem Sound Attenuation Handicap Regulations 38. FINAL STRUCTURE &BUILDING 39. Special Requirements Completed g2: L� 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date APPHCI to lul in all spaces within heavy border onesane Sign an appropriate declarations. S - CIJY OF COSTA MESA - PE IT NO. TRACT NO. LOT NO. If 'BLDG. NO. CONSTRUCTION PERMIT �°-,,c.73 -r TYPE OF CONSTRUCTION WNEW Ll ADD L2 ALTERATION REPAIR �GONYEfl510N OOEMOLISM ❑ $COTe, 19.98 2/II/8_ 9025 a. ' ZONING REGULATIONS Pmled AWreR _ - 0 _ 0,4Z)/4/,t RYE Owner -aN - ` N, PsISI P�honPQ J$'{j Addron cal DoY oS6,.7an N -O- r 1 p ArcM1IEn9, License N0. OTHER _ OF WORK A.P. IF S / AddressDESCRIPTION / GTY/M ZONE PLNTGe. R9OEF�l. Contractor felieeDwovD -L .L' Phon05-I i _ TYPE OF PERMIT ❑ GRADING ❑'FOUNDATION ❑ STRUCTURAL '❑ TENANT ELECTRICAL OPLUMBING OMECHANIC SETBACK C/L ST. IO YARD 55E E V p•P�N PPOPERTV LINE �' Address Z,zf� / T 64P ir LICENSED CONTRACTOR DECLARATION licensed Charter 9 I h6V IW affirmthat I am under provisions of (mm- Iy )0001 1 Olvlii0 3 ! the BuslneN O ❑ OTHER RII�HT mal with Section Professions COtle,a�nO license Is In lull form one effect. cvK REARVAROITOPIL) my Z7Ys— PROJECT DESCRIPTION License Class Llwnsa No � iSQ. FT. OCCUPANCY—CONSTRUCTION TYPE PKC. SPACE REO. PROVIDED _ STREET WIDTH PARK PEE E ZONING APPROVED BY DATE Oil r/22/•FZ signature WORKERS' COMPENSATION OECLARAV10 1 hereby affirm that I nave a certificate of eb ant to YlHneurea VALUATION ZONE certificate ofWorkers' Compensation Insurance Or a cerlllletl COPY GRADING CU. VOS. ACRES SPECIAL CONDITIONS: Bref(oy Bad iO/fGfh/O7mpanY�`6NC/yT iNO-CC. Certified copy is hereby furnished. REMARKS: —Z'Z SL LI Cadillac COPY Is filed with the city Building Division - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This sisholion ane not be Completed D the permit Is for one hundred 1 1E[B IO�rY In the Mrformance or the work for wN[M1 this permit IS Shdt listed In anyhadmerCallforsoia. to become any Coiponon PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK IO Ml Wo% emploo of suldJaDate BATHTUBS SHOWERS Signature • SO FT So FT NOTICE: If altar making this declaration, you should become subject TOILETS L URINALS - GENERATOR 0.1 KW- 1-10 KW to the Worker%' Cf the Labor MUSL LIANCEMER forthwith Comply Witthi CIO provisions Or this petrol(snalerOvil be deemed LAVATORIES DOUBLELAVS APPOU I0-50 KW— 50♦KW revealed. KIT. SINKS DISHWASHERS MOTORS 0-1 HP HP CONSTRUCTION LENDING AGENCY -1-10 (criterion herebyaffirmthatthe Wthere in* par. for icons cllthis A tructin lendins$gone Is in 3097 SERVICE SINKS SUMPS (INC. SO LAR) 10-50 His So allo for ork iv. Clv.CC.I. FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS'LSWITCHES CYs Name _ LendOSY Address DRINKING FOUNTAINS GAS TUBE SIGNS INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION I hi affirm that I am exempt from too Contractor I LICMse Law for SWIMMING POOL PTRAP POLES METERED SUB a the lot owing reason (Section 7031.5 Business and Proledions Code: Any city r my which requires a permit t0 construct. error. WATER SERVICE ALTERATION PANELS MAIN SUB ImP V COMORO Or repair any structure. prior to its Issuance. also re- up,permit to filethe - GAS SERVICE OUTLETS SERVICE E AMPLong: aT, Is licensed orovicons of the Ormon IO 's License UW pursuant tort heh (CM1epter 9 (Cmencing With Section 7000) of Division 3 o1 the WATER HEATERS BTU OUTPUT " P"•e ss and ROmdessmw Cca) or that he is exempt therefrom and the for the alleged a eMMIOn. Any Violation Of Section 7031.5 by SEWER CONNECTIONS — cts to a clVll penally ppmleant for a permit subjeore rr 1j5a0pNlcant o In,, five hundred so SOLAR TANK COLLECTORS 1. as owner of Property.he or with at CC Intendees nb UsiemploSlrutlure is Mees le Compensation, will c orts d sCr o offered for Yale. (Section 7064, Dullness and oµl^aslons Code! The SOLAR PIPING SYS. ISSUE FEE HContractor'sLicense.tsw does not apply In an er of a yr rty, _ ISSUE FEE APPLICATION APPROVED BY DATE who builds or improves (humor. and Who does Such Work MTHrf Or throughhisown employees. WOVlded that such Improvers s are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offemd for sale. If. however, the bunding or Improvement s sold within Ono year 01 COMP1611On. inn Owner will have the f proving he 010 bulN Improve Lor M1e p p se f lel- HEATINGSYSTEM 0.300.000BTV BUILDING PERMIT - '- Of the em' O'I, a exclusively contracting with ANDDUCTING - b SMTP - $ construct 7044• fa con tinct iM1e prolo ( 100.000 ♦ BTU PLAN CHECK b PERMIT anensetlsContncrors Law U 10 and L GnsO Law Ueda not apply to The CuUIId5 ISSUANCE $ OIUCh rojcts buildsc improves thereon,anewhocon- an wner Of PF xgft: Or li hod REFRIGERATION 0.100,000 BTU PLUMBING f tracts from s$Ch projects Ih a coni ar(s) II[esnee pursuant IO SYSTEM GRADING f the Con Incense jaw) I00.000 BTU PLAN CHECK b�� ❑ I dm exempt uncles Section B. L P. C. for this exempt BOILERS BTU—LLD(1 ELEETRICAI- E E reason SYSTEM REPAIR. ALTERATION PLAN CHECK b MICROFILM$ TOTAL FEES Date Owner MECHANICAL E 1 hereby o rhfY that I have readthisapplication and tale that the above EXHAUST SYSTEM MULTIPLE LESS AD- Inlormallon Correct 1 gr to Comply With all City and County PLAN PLAN [HECK E VANCE PC 'Y_ and slate laws relating to construction an hereby uthority )Ie - representatives Of this City 10 ter pin above Mentioned properlY in tlion S. /O -QZ Signature Z'- Y _ FINAL FEE E cote Ortvers' License at '5 'ISSUE FEE - CMF 0865-46 white Building; onaty'APPIiCant,%Ok-ACCOuntingl Goldenrod-Asual - CONSTRUCTION AND PLANNING APPROVALS "- Permit # �.tiL �j Date Inspector POOL & SPA -- - -. APPROVALS - Permit # Date. Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - - 2._ SoilPipe-Undrgrn _ _ 44. Steel Reinforcement - - -3. Electrical Conduit Utility-Undrgrn-_ 45. Forms 4. _ Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel em orce _ 9 47. Rough Plumbing & Pressure Test ' -.6.. Electrical UFP_R Gr_n _ " 48. APPROVAL TO COVER-GUNITE 7. Footings _ '_ 49. ElectHcal Conduit-Undr rn .,. 8.-. Foundation _ _ _ 50. Gas Pipe, ❑ Undr rn, Test •• •t ' 9. Water_Pipe-UndrgPn_ _ _ 51. Backwash Lines P -Trap. 0 -Uhdrqrn•- 10. Structural Floor System _ 52. APPROVALTO DE'CK - - - 1.1. Property Sewer Line & House Connection 53. Backwash & Receptor -Final y..12.. -Street_Sewer Connection " _ 54. Heater & Vent -Final, 13. Rough Plumbing55. Plumbino System �Fihal 14. Rough Electric -Conduit - 56: Electrical -Final - - 15. Rough Electric -Wiring "- - - - 57. Solar System -Final. - - - 16.- Rough Heating &'Air Conditioning - encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing. 21. Roof Sheathing NOTES: 22. Frame and Flashin `=23: 'Insulation •' _ 24: Lathing .& Siding 25. Drywall Nailing 26. - Plaster Brown Coat - - 27. Electrical Power Meter -Final G 28. Final Electric 29. - Final Heating & Air Conditioning 30. F.inal,Gas Pipe -Test 31; Final Plumbing _ 32: Water Service•Final 33. Gas Service -Final - 34. Solar Domestic -Final" 35. Landscape Sprinkling System ' • 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed - - 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. - •' CERTIFICATE OF OCCUPANCY No.- Date Applicant o fill In all spaces within heavy earner finer and rpn all appropriate declaration. CITY OF COSTA MESA PRMITNO.- TRACT NO. LOT NO. BLDG. NO.. CONSTRUCTION PERMIT S(pOS PM 81-380 25 1 B-1 Project ASM5 Cadillac AVe. BM9. B-1 TYPE OF CONSTRUCTION not ® NEW ❑ ADO E) ALTERATION Owner Carrbridge Park Partners; Phone 752 Address 1301 Dove St., Ste. 760 NeellBCiREPAIR ❑CONVERSIIt' OOEMOLISM 90, FT, ❑ OTHER Arch/Eng, HiffiEi,]PGteTS Liberal NO. GENERATOR'-' DESCRIPTION OF WORK r11"AC'Iv 7R411nq Address R 5`Jnta Ana - TRANSFORMER Contractor - Phone - TYPE OF PERMIT APPLIANCE — AddOde - -- 13 GRADING ❑FOUNDATION ❑STRUCTURAL or He_110"Is O TENANT O ELECTRICAL OPLUMEINO OWCHAI LICENSED CONTRACTOR DECLARATION 50 NP_ I hereby affirm fret I am licensed under provisions of Charter 91pum. Fmnficiwife ser tion )000) of Division 3 of the B iness and feselonq Coda, and 1 y dtend Is In full lard and effect.. O OTHER = PROJECT DESCRIPTION _ - OUTLETS 'L came Class Umnse Ne. -' - -SO. Ff. _ Dele S19MWra f "S WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certlticale of consent to Llf.lnrure err a t otifl Oleo Worker' Compensation Insurance, r ertlfled Co OCCUPANCY �.r CW'TRUCTION TYPE VALUATION ay0_ ZONE _ thereat lBe_ctlen 3300, Lab. C.). GRADING CV.NO_S. ACRES _ Polity No. -Co mpenY O Certllied COPY is MrebY.furaKhed.. .. ❑ Certified COPY Is filed with the city Building Division. REMARKS: - - 100,000?BTV EXEMPTION FROM WORKERS' COMPENSATION DECLARATION PLAN CHECK (This Sakti a n need not be coTOlSe if the.tal Is for, one hundred PERMIT 1 O Ie51n I fw00r 111Y tbtl I the performance of the work for which this Permit Is Issued. 1 shall not employ any person In any Ranger ser as t0 become Ybpa toAhe�YaOrluev Comvwuti n Lall01 Calltornla. PLUMBING- , r PLAN CHECK - - -"" _ BATHTUBS SHOWERS iDala r Signature ' ISSUANCE E NOTICE: 11 eller mrking this declaration, Yo should beme.subjecl e "b r Code, you must to the Work Compensation PravBkmo df the w COPIY With Such provi0ons Or this permit Shall 60 O"Me0 TOILETS t.l URINALS LAVATORIES DOUBLE _AVS REFRIGERATION revoked.fouppWrIfth CONSTRUCTION LENDING AGENCY _ KIT SINKS DISHWASHERS BERVICE SINKS SUMPS 1 f (hereby affi els. construction bndlnq e9entY lochs poo- Address 6286 5/24/82 24.42 TLI REAR 1 PKG.SPACEREO. tic( - PROVIDED - 1 G2 WATER SERVICE i ALTERATION- - - PANEL$ - MAIN. - SUB -". GASSERVICE'-- OUTLETS - - �- -SERVICE-' ^'AMP' ' I WATER HEATERS ' 'BTU OUTPUT - - - ll SEWER CONNECTIONS' 1 SOLAR -TANK - -' COLLECTORS II Of ISSUE FEE APPLICATION APPROVED BY DATE not ELECTRICAL-"" '- PLAN CHECK',RACE 90, FT, FT GENERATOR'-' _tBIL Ol1_KW_ 1-10 HW--' -' TRANSFORMER _ S yOF FEES APPLIANCE — 1O 50 KW�50 'KW ! MOTORS or He_110"Is pU1LO1NO' (INC.SOLAR(- -10 50 NP_ 50 a HP FIXTURES -- OUTLETS SWITCHES - neemumc.euc ERMIT f "S WATER SERVICE i ALTERATION- - - PANEL$ - MAIN. - SUB -". GASSERVICE'-- OUTLETS - - �- -SERVICE-' ^'AMP' ' I WATER HEATERS ' 'BTU OUTPUT - - - ll SEWER CONNECTIONS' 1 SOLAR -TANK - -' COLLECTORS II Of ISSUE FEE APPLICATION APPROVED BY DATE not aQc� MECHANICAL PLAN CHECK _ S yOF FEES Ie). pU1LO1NO' with HEATING SYSTEM -ANODUCTING OQOD,OGO BTV ERMIT f "S SMTP: S eJ V Maine_ 100,000?BTV PLAN CHECK j PERMIT nn- ISSUANCE E to REFRIGERATION 0- (00,000 BTV PLUMBING f t SYSTEM GRADING b 100,000.#BTU f.F PLAN CHECK 5' this BOILERS BTU - ELECTRICAL i - S PLAN CHECK -S C LLM S ^ SYSTEM REPAIR, ALTERATION MECHANICAL -If --TOTAL +OTALMICR0 FEET o EXHAUST SYSTEM MULTIPLE - E LESSAD- VANCE PC E_ad chipPLANCHECK n - .����/ FINAL FEE f1gLLs ISSUE FEE- .. - _ 19: GOIdenrod-Ashmor CONSTRUCTION AND PLANNING APPROVALS Permit-#- �"3�ds Date Inspector POOL & SPA Date. Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location Soil ipe-Un rgrn _ 44. Steel Reinforcement - - - . 3..: Electrical Conduit Utility-Undrgrn 45. Forms ' :,-4. . Electrical Conduit-Undrgrn - 46. Electrical Bonding 5. Steel ern orce _ 47. Rough Plumbing & Pressure Test 6.• Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings ' _ _ _ 49. Electrical Conduit-Undr rn 8._ Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrgrn 10. Structural Floor System, 52. APPROVAL TO DECK - - - - - 11. P,ropecty, Sewer- Line &.House_C64nection 53. Backwash & Receptor -Final '2.. Street Sewer Connection 54. Heater & Vent -Final - 3.• Rough Plumbing _ _ _ - - 14. Rough Electric -Conduit - - - - 56.- Electrical -Final 15. Rough Electric -Wiring '- 57. Solar System -Final 16. -Rough Heating & Air Conditioning 5H., Fencing & Access Approval 17. Ducts. in Structurebbl. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe -Rough & Test -- 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - 21. Roof Sheathing-- - - 22. Frame and Flashing _ - NOTES_ _ 23. Insulation 24. Lathing & Siding_ 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final _ 28. Final Electric 9.- Final Heating & Air Conditioning _ 30. Final Gas Pipe -Test 31: _Final,Plumbing - - 32. Water Service -Final _ 33.. Gas Service -Final - - 34. Solar Domestic -Final 35. Landscape Sprinkling System' 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date assay— --Ommmmm • � Applies at lO RD m al spaces within heavy border lines and man all a ppropriafe eellaralong. . (— CITY OF COSTA MESA - P MIT NO - TRACT NO. OT No. a pG. rvO. .CONSTRUCT ION PERMIT (Y Key (�j—� 1 V(JpE OF CONSTRUCTION IIJNEW ❑A00 ❑ALTERATION .0 REPAIR D.CONVERSION OOE140LISX 's - e !c Cl _ . ,x09_63 I/20/8_2 - - ZONING REGULATIONS " IPMJW Address OWO On¢ �Addrm - -- -- - 'Arch/Eng.- -I[]OTHER OESCHIPTION OF WORK TYPE OF PERMIT„ - -._ _ _ _SETBACK ,r0 GRADINGEP FOUNDATION ❑5TRUCTURAL--.51- OTENANT-O ELECTRICALELUMBING OMECHANIC A'P'g5 air ZONE C�l_ ST.PROVEIRTV `-,PWTGo. gRsE�F�.•pry,ry CGNE LirenN No Address fill _ Addres- LICENSED CONTRACTOR -DECLARATION hereby Ilcenu0 C fez 9 1 axflrm IM1e[ am under prpvlsl ( 7000) -01 Dlvlflon 3 11ah B IneK O n• ❑OTHER'• - RIIGMTq ne,nq' wltM1 sectlen %olesslOm Code y le nee If In Tull 1 a �l1eD - iREAR -YARD ITC P/y'� p �a�F.00.yydd�� - PROJECT DESCRIPTION Users Cles ` IJc eNo.11CLY(Ga-�. _ ___ - SO. FT. _.. .._.. OCCUPPNCV�GONSTRVCTION TYPEo _ _ pKG.6PACE REG-RROVIOEO - STREETWIDTH - PARKFEES "ZONING WORKERS' COMPENSATION OECIARATION- WOR I hereby affirm that I have d CerllllpU of consent to selHnsum O LUATION ZONE APPROVED BY ' DATE - '•IfIcaps o/ WOfkwi- Compensation 1 Illetl rano Or�� -yg .. SPECIAL CONDITI Lou fI`�GyQ113b C1 /i/ GRADING CV YDS. ACRES 5 _- YNO. WCart III.OcopYlthereby fwlM1C �J_'-_ REMARKS erUBeO COPYI III ilh\h ctY BYIIOlOarws 0�^ EXEMPTION FROM WORKERS COMPENSATION DECLARATION' 5 - - This s9ttla aped not bO. Complexed If the. permit Iz lOr One hand M _ t e ) 1 1 $100) or law). �••• _ - I [IlY that Inthe perfarmi 1 thek 10 which lM1 pante 1 .issued. t I shall t employ any De In Y ma o t become -PLUMBING --r, PIZAN'CHECK' 7 ,ELECTRICAL - '" PLAIN CHECK ' z b1eci the Workers' Compensation Laws of California, `1_ _ _ _ _ - BATHTUBS SHOWERS' _ _ __ 1Fill __ �reo rDate —Signature NOTICE' It atter making this tlectiratlon, You Should become Subject _TOILETS•-� - -:URINALS --GENERATOR 0.1 KIM I-IOKW to the Workers' COMMMMtlOO provision 0/ the Labor Code. you must TRANSFORMER forthwith comply with such provisions Or this permit be deemed LAVATORIES - DOUBLE-LAVS - 'APPLIANCE" 10GD KW -50v KW - -- -ripark0ed._ z SI NKS"'" "" DISHWAEHERS- -- -' 'MOTORS 10 XP Oq-HP_1- - - - - - _� - --- ---KIT. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is 0 construction lending agency for per- SERVICE SINKS- rSUMPS-''"-- ~ -- - IINC..SOLAR). 1040 XP=50 HPC - lormance of the work tar which this permit Is issued (Section 3097 -'FLOOR SINKS-- - 'FLOOR DRAINS '• FIXTURES---'OUTLETS.-SWITCHES' Cly. C.). """ -'" '� -- '�" "'--- UniName - __ _anderY Address IL FOUNTAINS - "�" '1GAS TUBE SIGNS -�-- - -- -- -INTERCEPTORS - CLARIFIERS - -- POLE LIGHTS- OWNER,BUILOERDECLARATION ' -'"" "-" I hereby affirm that 1 am exempt from the Contractor's License Law for _ . SWIMMING PTRAP' "' --- '(POLES - _ "METERED - SU --5- the following eedsan-(Sectlen-7031.5'Butln sf'and-swdgfug ons Coes: elxy county a permit to construct, aneq -WATER3ERVICE ----ALTERATION" "(PANELS'--- MAIN--_- -SUB --- _--''-- pair a yrequires ,mo l ncepalace anystructure,116 apriorlo eel Iha[ lie pulres bpshunt for such 11th 0 statementthat aP, IInhorre Such OUTLETS WATER I- - "jSERVICE -'- _- -- AMP plreSv ontre omrs S sed Pursuant l0 oAslo , o ofRory License'Law- zBect on r^•a peer 9 (commanded with Section Jo001 OI Division 3 01 the red, ed vi 70 0) HEAT -BTU OUTPUT '• -- -- -- -- -- -- less andWlegednemtel or tIs and [he--WrgTER"HEATERS-- ationexemptaCtion 03L5 Any violation he alleged Any Section 0Pen by-su -SEWER fi IBlff _ --- afor ppli permp[lon. a ( dGyIICBn\-to d'CWII peO01lY applicant far a e hundred dollars (SS I. no_t More Than Ow hmead pir m eyM1s 13-f. ee owne of-ths, or my "SOL -AR TANK"' 'COLLECTORS - - - - - -'- - - -- - -- -- not i tendelr il.do the d th intended l w 0 do the wink and sor cored s a dstructureCoup; offered for icon ($botch ]oat, eaphers one h I C C the for le. - - ! - ISSUEFEE'- _ •" .- - - - 'DATE Ooet not [O en f property Coa[rdctorY 11Impro ISSUE FEEthroug- - -" -- APPLICATION APPROVED BY LICA - - - es t d who M1 'k M1 If or w00 builds or Improves shexe0n, and who Such lair 1 y .If, hided thatSuchcM1 i o t �a -PLAN -I intend g Improvement mendee or offered OI• owner will seI If, however, the 1 [he owne tle MECHANICAL CHECK.. (BUILDING-- SUMMARY OF FEED ]' If !010 withinY O plae[lOq t build improve /Or IM1e a1 sale) - 1 praying M1 dtl. OU/Oou REATINGSYSTEM 0 100,0OD BTU 1 'PERMIT - rI I,-41 owner of the gmsetly am kclusl ally Can Feeling with AND DUCTING - licensed contractors to cOnstfuct the project (Section JOae. Business 100,000 i BTU PLAN CHECK E !PERMIT end-Pagedi Code: The-Contractor's-Litema Law does not apply to, _ _._ __ _ ISSUANCE -Sr c �O an of property who budds or improves firewater and who COO. from REFRIGERATION O IOO,DUD BTU I •PLUMBING S hGRADING",E tracts such-Dmjects'With a ContractorUf-Ilcesned pursmm.t0 Si- -- - I - - - - _ -- � IM1e Contractor's License Lsw). ]00,000 GTV .'PLAN CHECK E •' _•-j5� ll 7 ❑'l am ekeme[ under Sechan'- - - --- 0.6 P. C.-for\his BOILERS STU ELECTRICAL. -S E r^ SYSTEM REPAIR, ALTERATION PLAN'LXECK- E MICROFItAr E 'TOTAL FEES Date Owner 'MECHANICAL f _ y cert ycat1 halt I area If this application and tele that the no ".I EXHAUST SYSTEM MULTIPLE /LENSED- Inlormallon y Orre 1. gree to ply w(I0 all antl u tY" t: I COpm ,PLAN CHECK E' - VANCE PC $_ -' ii owlnanu5 0 at laws welatingo Ging ion. ilio hewelp sUlnotl Ee - repress nla s)-citytoenter upon he-abov enll '• eox PrOpe(tY FINAL FEE E Orivers' cenwor 55 - ISSUE FEE CMF 0865-I6 While -Building; CaoaynAPOIICeOU Fink -Accounting; CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POOL & SPA Date Inspector APPROVALS. Permit + 1. - Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe- drgrn,`4 ;nT; 44. Steel Reinforcement 3. Electrical Conduit 45., Forms 4. Electrical Conduit-Undrgrn. 46. Electrical Bonding_. 5. Steel Reintorce 47. Rough Plumbing & Pressure Test --- .-6.- Electr[cal QFER Grn- 48. APPROVAUTO COVER--GUNITE -Footings_ _ _ _ -_- __ 49. Electrical Conduit-Undrgrn -8. _ Foundation -----50. Gas -Pipe, -0 Unclrgrn!•Test _-9. Water- Pipe�nclrirn 51. Backwash Lines E�K a"p UndirgeA 10. Structural Sys Tern loo 52. APPROVAL TO 11. Property -Sewer Line & House -Connection .53.- Backwash & Receptor -Final 12, -Street Sewer -Connection- 54. Heater & Vent -Final 13. Rough Plumbing 55- Plumbin d System - Final' 14. Rough Electric -Conduit =56.--Electrical-Final 15- Rough Electric -Wiring 57. 'Solar System -Final 16. --Rough Heating & Air Conditioning MT_._Fe_n­cing-& Access Approval 17. Ducts, -in Structure F9. -APPROVED FOR PLASTERING -18.- Ducts, -Ventilating 60. .. POO LISPA.SYSTEMS-F INAL, _. 1. - 19. Gas Pipe -Rough &Test 20: Roof Framing - -_ 21: Roof Sheathing - NOTES: 22. Frame and Flashing 23. -Insulation. 24. Lathing & Siding 251 Drywall Nailing n. r I, M Plaster Brown Coat 27! Electrical Power Meter -Final 28: - Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test N_ 31: Final,Plumbing- 32: Water Service -Final ;YP 011'- .33.- Gas Service -Final 34. Solar DomQstic'F ina I t 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE& BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. • 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fin In All rpi except trap¢ within heavy border lines and sign all appropriate decNrauons. CIT.•OF COSTA MESA CONSTRUCTION PERMIT.a. PERMIT O. Tfl _16 ovirw¢LACT NO. LOT N¢, UNI No, A. ? Project Address wes S Main no Applicant's Mailing Address 1 TYPE OF CONSTRUCTION NEW AOO ALTERATION REPAIR E bQ6n laity ❑ CONVERSION El DEMOLISH O OTHER T Front Owners Name leaddiA�--#—Phone -�—MT dA B Rear DESCRIPTION OF WORK EOF BLDG. Address 47 '�Ah-J �IiY ? 'd- e C Rigrt ArchlEng.IIp_Licena No. TYPE OF PERMIT cRwolrvG LJ FwrvowilON L-4-TTRUCTURAL.6fte UK Address ~vv r �/ A.A: - A [��� ❑ TENANT Q ELECTRICAL O PLVMDINO ❑MECHANICAL ST%a($/L( $ Le([ Contractors Name 0/i Phone ] OTHER Phan Ref. # Address(mailinO PROJECTCONSDEBCRIPTION SO. FT. OCCVPA V Planning CONSTRUCTION TYPE VALUATION$ City LicenseZONE—GRADING CU.VDS. ACRFc LICENSED ED CONON TRACTOR DECLARATION I M1eraOY affirm that 1 am IiCanHtl under DrOv15100501 Charter 9 (Commencing Remarks : [ N L . -9 1 a A, I1:... with section 7000) Of Division 3 of the Business and Rofesslana Cotla, an0 Lavetaries v license Is in mu force and effect. Um a Class License No. 5 r. E ekdemolish or repair ant ver Such Permit Root Drains DalSignature Meter Oup w 100 amps_ WORKERS' COMPENSATION OECIARATION ',herby dfflrm that I nave a CBltlflGta Of Consent to self4raure Or a cart f We Bar Sink Backflow art f Workers' Compensation Insurance, or a certified copy thereof (Section 3800. can. C.) Backflow lrr' Policy NO. Company eCertified COPY Is hereby furnished. • Certified copy is filed with the city Building Division. Bathtubs Gate Applicant Clarifiers EXEMPri FROM WORKERS' COMPENSATION DECLARATION lThlssectlon"need not be completed if the Permit is far one hundred 1;100) or 1¢551. I partilyy that i0 the Performances I tM1m work for which this permit Is issued I liar ss nabn l employ n Person In nv a s emm subject to tire' DlchrAihar' Drinking hot Wyrke{L Com{,pnseYoy.y zws Of CalllOrnl Work in Of MIS Of ' Float Drains Lir NOTI :Ih after king this papal you h I ecom 'tooOleCre to line Floorfinks Workers' COm"nM110n provelOns 1 IN LaaO! COOe. YOu t forthwith m sV With. Such provisions or this permit shall be tl tl v ked. comes Gas Service' CONSTRUCTION LENDING AGENCY I hereby of Nrk 'Qat there Is;.construction lending agency for the o rformanw of the war Which Is palmi[ Is Issued (Section 3091 CIA. CJ LCoder's. Ni Interceptors Tvi Address I lKitchoun Sink Et I am exempt under WI Driver' License or ss V )96546, ON. 5/6a S License Law for the Lavetaries nal Codes Any city or P -Trap ekdemolish or repair ant ver Such Permit Root Drains i¢n Sectiiopn 7000) of 1 :hat hointus IS exempt Meter Oup w 100 amps_ yaploi of Section plicant 10 a Civil e ReiuSWRwn FN $/5 :h wagestheir sale d intended h Offered were del rayems or strap e: • Boiler ' - lance his offered for Iman one year of com- icoldratb Ill or Im- Duct - Under Ground :mg with licensed can Duct - Structural ' ' and Professions code:. Duct. VmuIgIr g - negro f property who Exhaust System D Mul ipler m he I am provided aware that FirepllFxt. Bit. ICED se o P. C. for this reason .ELECTRICAL $ GRADING $ Heating System St Ducting std rat the;ewe DDI DOADO BTU 0IW.000 BT1 nomination Fee I $16 trod - Assessor Solar Collectors Solar Piping Solar Tank Swimming Pool Urinal Water Closet Water Heater Water Service - Laundry Iarea lane Fee IANICAL Hood or Type I D _ Canopy Type I I ❑ frigeration Systems :IQ1WO.WOOBTU 01OO,OIN)BT[ System Repair/Alteration - Firs Damper[ Ragislers Fen ELECTRICAL - FEES Automatic Washer Transformer 11 15-50 KIN Construction Pale Sub, D50+KW Cooking Unit Meter Oup w 100 amps_ Dishwasher Meter Dover 100amps Fen Motors 11111HP 121$ - 8 F A:U.' '" Ihd. Saldr 09-15 HP ❑16H 5+ Fixtures Mi oweva 'r Device Boxes Pole Light Outlets Ranee Standing Section. Trash Compactor Rainspection Fed I SI Iswa Fee $ 3 DEVELOPMENT SERVICESREDJ11pEMENTS: S 3 nirg.Approverl BY —U� Z S 4 HS Building Approved B 1/ bMiE9�✓� // - —Dan d-`lf-ff Application IMwd By ��T _ _ _ netp Q` FEES • SUMMAAY OF FIES 9BIBUILDING PERMIT $ 4 0 SMTP $ %b PLAN CHECK $��+� :PERMIT ',PLUMBING $ ISSUANCE $ `PLAN CHECK 25% $ ENERGY, P.C. E _ .ELECTRICAL $ GRADING $ 'ULAN CHECK 50% $ MICROFILM S ' MECHANICAL$ TOTALFEE $ �SP•!U PLAN CHECK 25% $ •� J 0100011268-00011270 TOT 66,75 E 3 41 DATEI 08/04/88 TIME: 10143 { CONSTRUCTION AND PLANNING `APPROVALS Permit# Date Inspector POG _ s SPA APPROVALS Permit # :.-' Date C r Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , I 2. Soil;pipe Uhdrgrnd. 53. Steel Reinforcement �. 3.1Electiical,Cooduit Utility-Undrgrnd. 54. Forms ` 4. IElecteica jCpn uit-Undrgrnd. 55. Electrical Bonding 6.Steer'RJ.eiAforcement 56. Rough Plumbing & Pressure Test 6- Hectrical dFFR Grnd. t 57. APPROVAL TO COVER-GUNITE 7:••Footings j '� _; 58. Electrical Conduit-Undrgrnd. 8..•Foriclation *. ' I 59. Gas Pipe, 0 Undrgrnd., Test • _ 9. wa,W Pipe-Uiitlrgrnd. �' 60. Backwash Lines, P -Trap, 0 Undrgrnd. --- 10;Structural Flopr System 61. APPROVAL TO DECK ' 11 .•Prdperty Sewq Line & House Connection 62. Backwash &Receptor -Final 12..ISP,w:e" Cap c 63. Heater & Vent -Final )13.`Roof Drains• 64. Plumbing System - Final . •14.,,Ro4h Plumbing .H 65. Electrical -Final 1.5. f ugh Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign •1, i 68. APPROVED FOR PLASTERING .18: Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 119. RoughFleating &Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace �..._ '21. Ducts, irk Structure wl 70. Underground Hydro 22. Ducts,Nentilating ^ - 71. Product Piping 0 Gas 0Oil , 23. Gas Pipe ;Rough &Fest `+ 72/•Underground Flush ' 24. Roof Framing ��� ,73. Undergrnd. Storage Tank 0 Gas El Oil 25. 'Roof Sheathing .a •• .74. Overhead Hydro .. 26. 'T -Bat Ceiling (Structural) &_f npcoat 75. Dry Chemical 0,.'Frameland Flashing 1- 76. Dry Standpipe 28. Lathing;& Siding 77. FIXED SYSTEM FINAL x-29. Insulation 78. FIRE PREV. FINAL 30. Drywall (ailing '' -i `. T HEALTH DEPT. REQUIREMENT 3t•. Plastd6rowh Coat 7 79. FINAL INSPECTION 32. Electrical Power Meter -Final , 80. FOOD CERTIFICATE ISSUED 33. Final Electric, _ Notes: 34. Final Heating& Air Conditioning ems+ 35. Final Gas Pipe -Test P i 36. Hood or Canopy ' 37. Final Factory Fireplace - 38. Final Plumbing ._ 39. Water,Service-Final I .40. Gas Service -Final , 41. Solar Domestic -Final, ' ._42. Backflow Preventer it j � n• 43. Backflow Irrigation' ` _• �/ 44. Landscapejlrrigation System r 45. Sound Attenuation 46. HandicaIP Regulations 47. FINAL STRUCTURE & BUILDING a 48. Sneclal Requirements Completed 49. Electric Release to Edison •. '� s' �, . Gas Release to Southern California Gas Co . CERTIFICATE OF OCCUPANCY No. Date b� ?'.• i ''• Applicant to Nn in a1paces except Inose within nae IF border If net and sit at appropriate declaralfo ns. t 3205 5/20/95 dg 0.7E Tl - - . _� 2i�TY OF'COSTAMESA CONSTRUCTIOjjtJI,�PERMIT Project.Addresf - •'Z"0 �/./ dJ P .8 �a PE IT NO (,NO o TRACT NO. LOT NO. �_� �cJ U T NO. 'v1_ .. ApPli•nYs MdilibJ�9/dyes T1 �. ryy aOwner'i Name l ,� !U��•�{ Phoneme/ Address TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR 0 CONVERSION ❑ DEMOLISH 0 OTHER CESCRIPtIONO�F�flK/USE OF BLOG�/` AF. S} I3 �( - a a Zone 001 1 E kyin Building:. Ameakery Building: _ Z ArchlEng. _ License No. Adtlfm TYPE OF PERMIT( GRAAn NDG LJ FOUNDATION STRUCTURAL ❑ TENANT ry ELECTRICAL 1a PLUMBING MECHANICAL ❑ T Front '0 I Reer N Contractor's Nam one q,lT Andres Ion= 'na /SF�P ✓Od 1/ _�.owiAa' �'/iC City Licensl NO. LICENSED CONTRACTOR DECLARATION A C Right - _I N •G 1!� V (� W OTHER - PROJECT DESCRIPTION SO. FT. OCCUPANCY CON STRUCTION TYPE VALUATIONS eLO.e/l/J ZONE GRAOINGCU.YDS. ACRE K $ Left Ping. Ref. $ Perking fleq.IPrpv!tl 1 E _/. Rani - Ir . Planning Notes: M .T $ / I hereby affirm that I am licensed under Orovlslo 1 Charter - with Paton 7000) Of Division 3 01 the BUS] s and Pole s dent all MY license is In lsell force an effect. % Ns� License Cla lose5 DataSignature WORK RS' OMPENSATION DEC Lp ATION I hereby affirm that l hale a ce7wle 'e of consent to self sure Ora if of Workers' Compensation hour cc. or a certified my tnerepce cl a 3400, ub. C3 relay No. Q.S Company SO &hereby fumisnseer 0 a with the city Bu - PLUMBING - FEES Bar Sink Showers q `EA ELECTRICAL 'FEES"0 Backflow Prevenrer Service Sink Washer Transformer ❑ 15-50 KW ❑ 50 f K W on Pole$ub.fled Backflow Irrigation sewer Cap Bathtubs Server Connection nit Meier ❑up to 100 amps wt Applicant E%E I0 FROM WORKERS' COMP SATIO ELLARATIONThisspi need not be COmploted Il ih mD ]s /or an hundred ($100) o.Disnsseshe[ asss) a c tifyy that m-thepBflOrmaneC Oft work for which th Omermli ISISSUsedWorlkersl•Compensation Laws Of California er o to be elect [o the Clarifiers-' $Olaf ColleCtora r Meter 0ove'f l OO amps $tiler Pi ping Ges'OEISC[IIO sub Panel Drinking Fountains Soler Tank MOmrsOpl HP❑i%.a Zpate Floor Dur swimming Po01 w/5pe Ine$ola09-15 He ❑1645+NOTICE: Signature If, miter m king this declaration, you Snoma become Subject to thin Workers• Compen tion provisions f the Labor OGae, you must forthwith Comply With With SUCK Provisions or this permit hall % deemed ked. CONSTRUCTION LENDING AGENCY I hereby off] rm that there 1s a sheen," n lending agent, fur the performance 1 the work for which this OOrmh Is Issued (Section 3097 Ca. C.) Lember'S Name Floor Sinks Urinal Microwave (P Gas Service Outlets Wafer Closer 06 pevica Boxes '" POI¢ LigM1t' Interceptors Water Harper Outlets Heel lrijiquol sender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am neemm from the Contractor's License sew for the following reason (Mellon 7031.5 Business and Professional Code: Any city or u tY Which requires a permit to construct, alter Improve, demolish or ropab any struture, pior to Its issuance• also requires the appbcant per such permit to file a Signed statement that he/ine is ICon ad oursuant to rhe provisions of w (Chapter 9 (<ommenclng Pito Section 7000j bl . the Contractor's UCOnsa seo Division 3 1 the Business and PrOfassions Code) that he Sne Is exempt there7031'5 byrom rnd e Yhapplitcantffor 0 Permit leged xSubjects the applthion. Any Yieldeanl to SectionIon of aCivil 1sell o1 not more than five hundred dollar: I$5o0j. a L�'1, as O ner of the prorperty or my employees with ages their s U ampansatlon will do the work, and the snuctum B t Intended or ogler" for le Isecfion 7544, Business d Professlonal Cade The Contractor's Lieensa Use awes not apply to an owner of a PrOSPITY nit builds or lmprOws thereon¢ a no apes n x levo nermlf through his or her own Provided that such work are not intended be hared lot m Ie. Ir however. the build In or Improvement IS Sold within One Year Of from section. the owner will have the burden of Oralog he/she did not bulla or Ine- ler me modern of mle). lJ I, as owner o1 the property. am axaudvely contracting with licensed COm H tractors o Construct the project (o CLIOn 7044, SmI00SS and PSOIaRIOOs Coca: The Contractors License sew d not poly to an owner of Property who bunds or Improves thereon, and whoa n is for feel) projects with a eon. [raaorls� IIcenM punualit to Ind[omra tops License owl. I am aware that proof their Workm's COmgUUx Insurance F uM he provided to m (31 am exempt under Section 0.4 P. C. for this reason kitchen Sink Water Service Switches / Sign < •9(F' Lavatories Auto-Wash Garbage Disposal' ! Standing Sections ,' P-Trap Laundry Trays Generator ❑0.5 KW 0545,NW Trash Com['eclor Com - Roof Drains to OF y Baneful ga Fee $15 IfUO FN S 3 _ Gl '; - Reinspae[ion Fee .615 - Issue Fair $ 3 - ' sees MECHANICAL FEES � nationalist DEVELOPMENT SERVICES REQUIREMENTS:: 1 /a Q� Zoning gpproved By - �if "IL•//tjA [a r Building ApPrOyM By assts Application Issued By '{D ^at 20 .. Boiler. Hood Or Type I ❑ Canopy TVP¢ I ❑ Duel - Under Ground Duct -Structural Refrigeration System Duct Ventilating ❑010Q000 BTU 0100,000 BTU r m r . : - SUM APV OF,FEES• '. BUILDING PERMIT $ 7q' OQ SMIP $ PLAN CHECK $: TI ��.Z(O PERMIT. PLUMBING*' r$ 1.3,00 ISSUANCE $ PLAN CHECK Y5%".$ -Z ENERGY ENERGY P.C. S ELECTRIC) L' $k Z6.•?10. GRADING S PLAN,CHECK Si $ 1 • • L0 ..• MICROFILM $ �x .l)0 f .7 p-s / MECHANICAL ! $ �7 �' TOTAL FEE •$ a9a• PLAN CHECK 25% $ 1 - Op r Exhaust System 0 Multiple ❑ System Re ys p pair/Alieratipn Firepl/Fact, DIC ICSO Fla Fire Dampers Data - e - �H�ejpting System Be Ducting Registers 9100.00D BTU 01 CUGOU BT s this a d a roar the above hereby Certify cerUl a that Ina r Old Information B C r 1. I a O COIOp al n ty .d County Ordln es she state laws relating 1 b ding c to and Copy authorize or itativvf 1 coli a on or n en[lonad prop Y nsina lbn purposes 5lenathn Date ✓ r Drivers' Licensee a Sr RelMpectlon Fee $15 Issue Fee $ 3 GOMenmd - AsOnsfor CMF 0065-46, rev. #84 White - BUllalrel Canary - APPI]Cantl Pink - Accounting: r CON6TRUCTION AND PLANNING • APPROVALS Permit# Date i Inspector POC 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. Pectr,ical Conduit-Undrgrnd. I 55. Electrical Bonding ' ' 5. (Steel Feinf6rcemenn d i 56. Rough Plumbing & Pressure Test 6..Electhcal LIFER Grnd. A 57. APPROVAL TO COVER-GUNITE - 7.'Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation ( % 59. Gas Pipe, O Undrgrnd., Test i 9. Water Pipe-Undrg nd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . - 11. PropertyiSewer Line'& House Connection 62. Backwash &Receptor-Final 12. Sewer Cap I 63. Heater & Vent-Final 13. Roof Drains 4 64. Plumbing System - Final 14. Rough Plumbing i co 70- [,iv 65. Electrical-Final X15. Gough Electrical-Conduit (g 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 lj 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20: Rough Factory Fireplace i 21. Ducts, in Structure 70. Underground Hydro 22., Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23., Gas Pipe-Rough & Test 72•. Underground Flush 24. Roof Frami6g 73. Undergrnd. Storage Tank OGas ❑Oil 25: Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 7 i6 75. Dry Chemical 27. Frame and Flashing f7�1 76. Dry Standpipe 28: Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 7 �y� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED 33. Final Electric N (o Zl j1 Notes: 34. Final Heating & Air Conditioning 6 ",sr 66 T ,& 35. Final Gas Pipe-Test 36. Hood or Canopy ZS 37. Final Factory Fireplace 38. Final Plumbing ubr 66"" .r i x, 0e 39. Water Service-Final - 40. Gas Service-Final I r 41. Solar Domestic-Final 42. Backflow Preve6ter i 86� 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound 'Attenuation 46. Handicap Regulations - h 47. FINAL STRUCTURE & BUILDING- 48. Special Requirements Completed 401 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 5.1. CERTIFIC TE OF OCCUPANCY n' No. Date /; v (/ City of Costa Mesa _ Development Services Department 'Building Safety Division CERTIFICATE OF OCCUPANCY No. 0 0113 l P. O. Bax 1200 Costa Mesa, California The Building located at 3505 CADMIAC UNIT OB -1 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group PL- Occupancy. Use of Building _OFFTCE Legal Description 119-661-22 (See reverse side for Metes and Bounds) Building Permit No 13r19004 Electrical Permit No. 6-19004 Plumbing Permit No. G-19004 Mechanical Permit No. r-1 CIO()A Number of apartments and/or guest rooms ISSUED TO: Building Official dam// X/, _16-4A CAMRRTD(W. PARTERS by _Y r C Uliiil Ate._ 3505 CADT7dAC AVE. 60-110, COSTA MEM, CA. Dare , 7 /tel �s This Certificate of Occupancy SHALL BE posted in a conspicuous place on the remises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 101546 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File i - Applicant to fill In all (pans except those within heavy border lines and sign all appropriate declaration$. ❑m, as owner of the property a y employees with ages their cele do the not IntendedC CITY OF COSTA MESA, CON$�UCTION'PEf"IT Pf�R,MIT NO. C a TRACT NO. LOT NO. UN NO MECHANICAL Sower Connection Pwlgut Address 2�C-1Ji1/Le�P /fin Cooking Unit Meter OUR to 100amps Soler Collectors Boiler �Applibn['e Meiling Atltlrss Applip rs M TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR 0 CONVERSION ❑ DEMOLISH ❑ OTHER Duct- Under Ground A.P. Fountains Soler Tank dd I1one Owner'OESCR IPTION OF WORK/USE OF BLDG. ins Swimming Pool wisps F A.U. Ind. Solar 09 15 HE 7] 15 Addres SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM 70TALFEE S :e Outlets Water Clean Firepl/Fact. Bit. (CBO # Device Boxes Pole Light Arch/Eng. License NO. TYPE OF PERMIT GRADING FOUNDATION STflUCTU RAL T ink Water Service Address 11 TENANT ELECTRICAL 0 PLUMBING ❑MECHANICAL B ❑6100p00 BTU STIL f—rGaurareper Disposal Standing Sections 1'OTN ER I Generator ❑D5 KIN ❑515 KW Trash Compactor (bnlnctp' N L/ Ph C Issue Fee / Address M^ Ing) �.�i"%ice ���4 wxC�� ilio PROJECT DESCRIPTION Sq. FT. OCCupwrvcv K. - Assessor 7 City License CONSTRUCTION TYPE VALUATION$ 5 \C ZONE ORAOING CU.y05. - ACRE Ping, Ref. LICENSED CONTRALTO R DECLARATION .hereby ion 7 that 1 am Iision 3 un the 8 lg ive or Charter Remarks: O Planning n$ section wool or Division 3 lir the a/e. u dna Pror a boa e my license Is In full rorc_nd a rect. uJi. or a Cerhped Copy Dat Applicant I hereby affirm that there is a construction cables agency for the performance of the work Ibr which this Permit Is Issued (Section 3091 CIV. C.) Lender's Name Loner's Awl OWNER BUILDER DECLARATION I hereby alflrm that I am exempt from the Contractors; License Saw for the lou nwliich psi i ices a permiiRo construct. altar. Improwl demolish Any city de r toicountystructure. prior to its Issuance, also reduims the applicant for such permit ge a signed Statement that lie/she Is licensed Pursuant to the Provisins Of the Contractor's a`t f the License (Chapter Prsssionss cane] or aha nee`inea is exem0001 pt erolrem add trio basis for the alleged exemption. Any viola Ion of Section 031.5 by afor SUl emalty of notmore than fin hundred d011ers($SOOltna apPRunt to a Age 4167 67o67eb ILa a T Zoe Perking Showers ❑m, as owner of the property a y employees with ages their cele do the not IntendedC ELECTRICAL Preventer Servce Sink I $15 Automd to Washer Transformer ❑ 1550 KN Construction Pole Sub. �50'KW Irrigation Sewer Cap MECHANICAL Sower Connection S1$ low Fee Cooking Unit Meter OUR to 100amps Soler Collectors Boiler Dishwasher Meter Weer 100 amps Ir Solar Piping Duct- Under Ground Dryers []Gas ❑Electric Sub Panel Fountains Soler Tank Refrigeration System ❑61GD ODB BTU CI100, Fan Motors 061 HP❑1 A-8 ins Swimming Pool wisps F A.U. Ind. Solar 09 15 HE 7] 15 is Urinal SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM 70TALFEE Fixtures Microwave :e Outlets Water Clean Firepl/Fact. Bit. (CBO # Device Boxes Pole Light )fs Water Heatar Outlets Range ink Water Service Switches Sign Auto -Wash ❑6100p00 BTU STIL f—rGaurareper Disposal Standing Sections Laundry Trays I Generator ❑D5 KIN ❑515 KW Trash Compactor $3 ❑m, as owner of the property a y employees with ages their cele do the not IntendedC ReingpOion Fee I $15 Ivue Fee MECHANICAL Reinspection Fee S1$ low Fee lar for Soction11 7044, Ustaness and! Protfessional3Coach ThContractors License LAW woes net apply to an Owner of a property who nmm3 Or IMPrOu"S htereen, and who does Stich k I lmsenthersaR^ trimYgn his or her own Afraid IYy� s, provided that such Improvements are t load Itor Offered for 9iI�On, the owner will Man rho burden provinsold � /sshehdld not tulle one year of r In$. ' �Oliar the purpose of sale). I, at owner of the property. am exclusively eo luraclure with licensee con. traclOntd construct the project sSectio 7044, Business And Professions Code: tThe ulles or Improved License eoq mi who consue not tractsto an owner of for Such P elecwth property t lie Boiler Hood or Type I ❑ �"OPY Typell ❑ - DEVELOPMENT SERVICER REDUIREMENTS: Zoning Approved By Building Approved By Application hued Bi Duct- Under Ground Dais Dab Data Duct -Structural Refrigeration System ❑61GD ODB BTU CI100, Duct -Ventilating Exhaust System ❑ Multiple ❑ System Repair/Ahav ation SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM 70TALFEE texts h; goods s pMei int to Copagctiuren41bs3e law). I am aware that r % penv bn n ee howd be promisee b ❑ 1 am exempt under section - /� N P. O for this reason a Firepl/Fact. Bit. (CBO # Fire Dampers Data Oynef% Heating System B Ducting Registers ❑6100p00 BTU STIL hereby certify that nay66 corms dept Moyind i e that the above Information IS COI C6 all Yeprb ply wl tl [ou , C a�lauy ty or and bb law:. iaimg.lm siding tons tm and by authorize re inspection ouroaIS C enter up he entionee pro I Slgnatum r� Drivers' UCenes o 55 i r Or If , Reinspection Fee $15 Issue Fee CMF 0365.46, rev, Ii white - punti rs; Disney . Applicant; sank - Accounting: Goldenrod - Assessor $3 Reinspection Fee S1$ low Fee FEES DEVELOPMENT SERVICER REDUIREMENTS: Zoning Approved By Building Approved By Application hued Bi gyL0 Dais Dab Data BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5036 MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ S $ ��' �� S S_ S $ SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM 70TALFEE $ $ S $ $ S $ 3 N G E D S FEES I S3 tPOOL CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector PA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 1 I 53. Steel Reinforcement , 3. Electrical Conduit 'Utility'-Undrgrnd. 7 1 54. Forms ' 4. Electrical Conduit -Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement I I 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings ( I - .58. Electrical Conduit-Undrgrnd. B. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd., I c I 60. Backwash Lines, P-Trap, 0 Undrgrnd. I ' 10. Structural Floor System 61. APPROVAL TO DECK 1.1. Property Sewer Line & House Connection62. 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 Conditiohing 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 OGas ❑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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 6 CADILIAC AVENUE 3505 Unit B-2 Lot 24 - B-2257- 9�dd�d> Corm. Bldg. 102,588. Unit B-2 P-2368- 81410- PLBG. (B-2257) E-2624- 7113111- =. (B-2257) Unit B-2 B-3606- Trash Enclosure �y 711*3 _ P-8657 MISC. /U -}i -d3 (B8649) (UNIT #B-2) _ B-8649 INP. ALT. $40,000. IU'ZP 3j (UNIT #B-2) 40-83 A E-8675 MM. /07ffTj (138649) (UNIT B-2) M 9001 Misc /0-9-7.8) ( B 8649) I 800. 0 AwM) CADILLAC AVENUE 3505 UNIT B-2 PRMECT,AOMESE& ON": OMERS NAME, 3505 CADILLAC AV B-2 ADDRESS, HAROLD BERAL 2201 DUPONT DRIVE SUITE 100 i ... IRVINE CA AROMENBINEER: 851-01 1 REB.XB.: ADDRESS: UN": PERMIUEF: RDDRFes: F.�14�(0/1y0yV(A`N'RE'BURENN (.(Gq14897-0969 IILFN5F0 [BXIRALINIDECEARFIIBN: Tnieb),alArm lM1ail am u unOe�prnvvcoi¢?fCF encaft wim SutlionINED el Dirvism 3 of the Buviam and Nebraskans Code, ash my a in lith farm m nett Cm :055 St LIC"628923 Cs'B mm: Sgam9 WORK RSCOMPEXSRIWXBECUMiION: IA:R aflirm (WIN nno Me or mmenl to sell iwm a a ceniX to of W"Xers' Comporsom Msurande. ora cubbiM easy MAN Sectbn M. WE. Q. POLICY NO.: MP. MIF: COMPANY: CerMm GUY is oreey lurched. ❑ linseed raw is him weft Me illy wbdlnC Divis'mn. Affskml .aFMPIIOp FI"M N➢R"RE'sAMPERMiION OFCMM110X: glneN ldM plopde iN clot oneougrN lClfM for IsenmrlM nae cedmmwnu mltbo wwhld wnUO via per lis uNd. her, set IN aq nmwly wmumweome soldier /1q1 e Woriu f/�,pe u�puy]�w)s d wlram'a. Dale: tC% ' ` , + [..Elpnawe: NOTICE. I1. after matin ISM deelaramn, ym sewn nem sub)zt to chert UVwsatin m isims of the Labor Cod:. You most whulN Npm"y wish sum pwsiws tllrrs permry yptl M deeM Named. CONSTRUCTION LENDING AGENCY: renby @num wunwe m a �utNdim Immnv seam Id Ire penorwlM dnne xaa ser which IRM seem is issued ISMIum 3097. Civ. D), LENDER: AODRfRB: OWNER eBNMR MCUUnM: I hereby affirm that I am eeampl Imm the CwFMN "' SINE DOOR Law for the IgbWm9 reaapn rSclion TOILS BusiiweaN Prolwsimal Gtle: Any For M county wenh repuirn a pemit to demanded. after, iwmva. NwlliN, or raptor ser Mmdme. pbr to IN Imar[e. aNd names IN as ml IM such perm to TIN a signed mattwm mer blew is eunsw punoant a the preisdom of the contractors Slate Leone Law (Chapter 9(=mmdnv with Suctim7 v) d Derry.n 3 o the Duamem and Producers Chad an tat EVEN is eumpl IOPrelmm and the basic for Me @Uvea emmpdm. Any Nolalien of Section Mets by any apMicam IN a permit around the appkentm a The p V of but miff than M: IwM hl dWM(SM as Owner d the procem ser e�rylMeM yeah wates a MAN sae mpeaallbn, .TIC m Me Mlk, ane IN O Ifis net MImMD OF uttered for sae l5ecum]Wa, Dnimbs vb Pmf Riwl Cradle : TOP Contxmr5' Note License Lax does That apply to m Owner of a pr nY wre bmlds Or amprowes Ilwem. Wtom does such w"Ir I ittreeN be thrmuvh his s her am enRtloyea. pmntMtl and such imVoee is and MN not �oleor aMW ran wy. D, Mwever the MJd too or Imerwem am@bob wtmn me yew o1 wouna "n. the uws,we ave Lie wmm d Oman hershe w nd bold or Imprown for IN purmm of wa.yy� tly z'm nomu ma EPnpee pe ler Cwnraws' Axle i'rnze izwem apt mnuuwsm Ellrmmcr rm proiam (Sectlm ttM eR th Eos and wwcmhaas for mm Proimts.ho drench( rig dame N MIOthenwaproce tom wads or improves fAMem Met NOW d mer Walker's Compri n i�rsuNme scum re Demes to mea C°mxws wE Liaise Law). l am aware p I am esempt under Semon: R. R N C. I" this reason: I do wrmy army Owl r am aware of and lee"Mnd the reauMn % a rairma Mann am Saar Code Saermm M506, 255GO, after 25531 and Not I or my future affidnp FecuWnl mlwid net IGNy we) need to cwnay"in acid state of and to reyumm is feea permit lot LAMMAJcall orimtifbadbn hen Man Ow y Managemwt Gavin. ReuhnU tom n gplbubM are Canso MON Thai provisims. — Gmy—geryn W: GWenrw—pW saor CITY OF COSTA MESA — SIGN PERMIT PERM NO: SH 05769 PERMIT NO: SB 057699 PLAN CHECK NO: 02163-92 S GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR SIG PURPOSE: OTH JOB DESCRIPTION NON ILLUM• CHANNEL LETTERS SQ FT: CLAIM VALUE: 300.00 CALL—VALUE; 300.00 GROUP OCC; B-2 / COMMENTS- "PYRAMID LABORATORIES" xxxxxxxxixxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx S I G N I N F O R M A T I O N DISTRICT• 3 TYPE: FOAM LETTER — WALL ILLUMINATION: NON CATEGORY: NEW DIMENSIONS• 1FT OOIN X 13FT OOIN AREA: 18.50SQFT LETTER HT: 12 STREET FRONTAGE 1: 712.80 STREET 1: CADILLAC AV STREET FRONTAGE 2: 0.00 STREET 2: PARCEL: 13966121 ZONE: PDI LOCATION > FRONT: X REAR: X BUSINESS NAME: PYRAMID LABORATORIES G, LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY 1850S FT OVERALL HEIGHT: OFT OIN THIS SITE 18..505 FT GROUND CLEARANCE: OFT. OIN ITEMS OF INFO 2 PLANTER AREA: O.00SQFT ITEMS FOR ACTIVITY• 2 BLDG SET BACK: 2OFT COPY VERBIAGE PYRAMID LABORATORIES — 2 SIGNS — ONE ON FRONT AND ONE ON REAR OF BUILDING e. D E V E L O P M E N T S E R V ZONING APPROVED BY BUILDING APPROVED BY E S R E APPLICATION ISSUED BY: k xxxxxxxxxxxxxxxxxxxxx% LEGALIZATION:N E E S U M M A R Y R E IQ E N T S DATE: DATE • 6 70/ i2 xxxxxxiAx xx STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 15.00 18.50 PLAN 9.75 SMIP/N50RES ISSUE FEE BUILDING—DIV—G, PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ----So 34.00 0.00 9.75 43.75 43.75 •00 REVENUE DIVISION TOTALS--> COLLECTED: 43.75 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 15.00 18.50 .50 9.75 xxxxxxxxMxxxxxxxxxxxxxxxxxxxxxxxxMxlPx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxiFx 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 ., b1!, �. - CT. CONRUION�AND PLANNING _ PO( -APPRO� 4LS Permit Date Inspector APPROVALS Permit Date Inspector 1'. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2', Soil Pipe-Undrgrnd. a 53. Steel Reinforcement 3 ElectWcal ConddiSAility-Uncirgrnd. 54. Forms 4 Electrical Condmt•Untlrgrnd. - 55. Electrical Bonding 5.; Steet Remforcemeltt� 56. Rough Plumbing &Pressure Test 6�ElectdcalUFER3Grrfd. 1 57. APPROVAL TO COVER-GUNITE - = 58. Electrical Conduit-Undrgrnd. -7.1Footings v. ` 8. Foundation - J- 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 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '._- -_ L Q X ... + APPROVALS ~^ Permit - - 20. 'Roup Factory Fireplace •'- -- S -• - -A _ 21. Ducts, in StruMurft., ;,-'�';r rte- ,t,•tY t70. Underground Hydro- , 22. D ucts. Ve'ntilgtmg�.' ,71. `P{oduct Piping❑Gas 0O'0 ' '' 23. Gas Pipe -Rough &`fe`st =sr � e 72, Flush_ � ,_ Underground 24.Roof'Framing• y- . g.g�•ODil , •Y T - T •T l J 25. Roof„51neathing _ - - '- - �, ' ' •74.,Overfiead•Hydro 26. T•Bar�Ceiling (Structural) & Monocoat -• [ r - � -75. 9ry Chemical 27. Frame and Flashing ' -_ -_ `" ` O`tv StaddPipe- ,76. 28. Lathing &Siding y 4, �'. - r . %�.? - �. 77. •F`IXED SYSTEM FljAL 29. Insulation. r` `•' _ t+. • : ...s::n;,' IRE PREV. FINAL. - 30. Drywall Nailing -- _ •-- _ _ _r T ': JHEALTH DEPT. REQUIREMENT ' 31. PlasterBrown.Coat, /i,FINALINSPECTION..• •32. Electrical.Power Meter Final >: 8 . FpOD CERTIFICATE ISSUED • n 33. EinatEleCtric T. �. ! .rn ote " 34. Final ?HeatingJ& Air Ccnditioningh .x � � - ; ••: .ti I 35. Einal Gas Pipd-Test 36. Hood�or _Canopy .. ` r v •. - - fJ7.'Final'FactoryFireplace I _ 38. ,Final•.Plumbmg a . r I _ r1 39. Water•Service-Final• `80. Gas Serrvice-Final 41. Solar Domestic -Final �,� �: :.� • = ru • n' T S T -••- - - � 42. Backflow Preventer -- " n .`, _ 43. Backflow Irrigation` 1##4. Landscape Irrigation System X15. Sound Attenuation'r • - ! - �' 'a c : os '46. Handicap. Re9Vlatin` 47..F,INALSTRUCTURE& UILDING J " '48.'FINALPLANNING' •• - v ,u , i 09. Elec; ric Release to Edison 4 '50. Gas Release to Southern California Gas Co { = - 51. CERTIFICATE OF OCCUPANCY 1. No. Date Applicant to IIII In all spaces except thew within heavy bender lines Ina syn all appreedeu declaration .'GONSiRUCTION `\ `. 1 CITY OF COSTA MESA .. PERMIT PERMIT NO. '' TRACT NO ... .LOT NO. - - _ - - - ' - s.5c70 -• - AppLOnt'a ALIIIng �A�dtlra� Project Address 3JP.l �'eA T�ppq�•*AC QnnafY Neme ' � �' �' Phonll� _/�'f/ abLE Atltl en - 'TYP�FIOPCONSTRUCT_ION, NEW ADO ALTERATION REPAIR - LJ CONVERSION ❑ DEMOL ^IsX O OTHER DESCRIPTION OF WORK «!" aq;L -' Cori u 4ts-A� REGULATIONS Unit — TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL URAL _ I1��{TENANT ELECTRICAL O PLUMBIrvO El LJ OTHER - - PROIELT DESCflIPT10N SD. FT. OCCUPA V /yy� i CONSTRUCTION TVP VALUATIONE .ky(-_ ZONA -L RAPDINGCU.VDS: ACR Fc A,P,M � - PONE - Dlsnnadler Motors ❑Ol HIS ()I" - cp A N/En. L✓/i AIV /tp2TZ9Amit centi Np.Cf6%FTi• 9 Add ep - PLUG. REF. sY; BUILDING _ '- Dryers OGaa ❑Electric' "";Ino.Solel'09-15 TO BPUILDYNG- ' REAR YARD (TO P/LI - yy� Contr¢lor em %' 'Fi"i��4�L.0!'X-S Phone `_/� �aw.1 J Address (T911ng)--C� � Ae- �uAV Li[Bn9 Np. LEFT gIpE VARD RIGHTSIDEVARD wl$Pa' -- Pli SPACE REO. WX PROVIDED _ LICENSCD CONTRACTOR DECLARATION Remarks: 3 STREET WIDTH PARK FEE 0 untirss Urinal P Fen i Microwave I tLI Ii IRA. Weser Closet. . 1 happy affirm that 1 am licensed under provisions of Charter,P Iwmmantln9 with xdlon ]does) pi Division 3 Of theBusinessand Ro my llunwg In full for an f1ecL ! -y� SPECIAL CONDITIONS: ' ,OutletsWaterSeruiw e . Levine Boi.Sign j Ns' IOutlet u' Standing Sections 1 u 1 am -amPI under eDate j Ftrial rOisoaelacrreta t. And Stale laws lah seselves 01 rola t' inspactor purpo Slgneturs P Drivers bot or ss CMF 006546 rev. 32/0: I CA ATIDN DECLARATION Ica a Cemaute of Consent to wlunwre or a wrtnluta Don ldsurabCit a Certified COPY thereof ISICtKn Company Cbvfurnlsmd. - 0 with the City Building Division, t HE muni forthwith arm dked.' tMW1 n 3091 CI - C.) � ir vgam io oft Se tion 'aPpit Sent to ivll . n ntva�eoa or offer" ff"do The Contractor's f nobuilds or Improves 1 [gh his or nor Pan ended or offered for thin one year of re did note fid or Ind. , hv.wnn learn sodcon- and1 r prof Property I c nm. I prniecfr wlie a who I' 6 V. C, for this heron r late that ohffive i thate� i d counts dm neby oumorise Facts. mmned property for �Arte 40 tr Plnk - Acmun[Ing; Go Preecnter-- - - Sewer Connection: •`^""•"^a°"e-. ••"•`•-""_-:`-""'••"•• - Irrigation Soler Lollecton� i Construction Pole i Sub Panel Saler Plot"Cocking Unit Sub Pole - l I i Soler Tank C• Dlsnnadler Motors ❑Ol HIS ()I" - '- Dryers OGaa ❑Electric' "";Ino.Solel'09-15 HP 01615+-' Swimming Pool wl$Pa' -- untirss Urinal P Fen i Microwave I tLI Ii IRA. Weser Closet. F.A.U. Pole Light a I _ : _. Water Harter - - - - _ Fikcdres ) �_.. Ronpe ,OutletsWaterSeruiw e . Levine Boi.Sign j Ns' IOutlet u' Standing Sections 1 ink- Swifthes Traefl Compactor Garbage.Disposal I - Gen retro 00.5 KW 05-15 KW P I f - Ins - d' - ' - Tmnsforme ❑15AOKW wIt -KW` RsinW ionF E16'' /05U+ Ra nlpeetl rdFe ?,616 C Meter cup to 100amps Inca Fae j'S 3 ! . t : - nk 1 ' . ` I I Fee:. I OS ]r b APProsNd BY m -Date 6 f e WILL Apvl ti n Acprp By ^ ••ere 3 . -`� AI ql A 1 Appl ruin IauM 6y. Dae • r I I n MECHANICAL I ar - I RefrigerationSystem I I „^f � r I d r'Ground I I ODLID0008TU 13100.0werru ; 1 E . SUMMARY OF FEES 1 BUILDING $I SMIP $ aso PLAN•CHECK 1 $. PERMIT 1 I 1 •PLUMBING i $ I ISSUANCE i E r (';PLAN CHECK' Cel i I GRADING 1 It ! lural 1 I SyaemRepalr/Attention q tlletng.-� ., _ ;. �. -,'( IYetem 11 Multiple 11- 1 I- rl / Ct. Bill. ICBG$ I �i sd r,E LECTRICAL; $I I J PUAN CHECK $I I E !MICROFILM $i intent &Gutting --I _r_T �._�._1 am BTU LlI 6,000 �- '- I y�MECHANICA L.o .$1 ',PLAN ''TOTAL FEET IE LES$ I Tllpel OI 1 Re mpsa:oR Fa '-,$15 Type I �1 1 - CN ECK . $' : ' 1 '. s4' V.i ADVANCED PC $ i 1 Imre Fee 4 $ ] j$ FEE : S �'CONSTRUCTION AND PLANNING- APPROVALS Permit # Date 171,s pector POOL & SPA, APPROVALS Permit 46 Date - Inspector 1' Temporary Electrical Service or Pole 52. Pool & Equipment Location it :Soil Pipe,,l)ncrig'-rrd. 53. Steel Reinforcement 1 Ele*ct'ri'cat'Fond Uit.p)tilitv-,LJndrgrnd.-- 54. Forms 4� EIq"Cd'. ihcaI.Co;iduit:UnjrdAn- 55. Electrical Bonding gieb 56.. Rough Plumbing.& Pressure Test 6. Eie'&,cai,!IJFER'Grnd: 57. APPROVAL TO COVER-GUNITE 7. 58. Electrical Conduit-Undrornrl. 0 8. Foundation lo" 59. Gas Pipe, 0 Undrgrnd., Test t. - ir' �drgr' 9. Wat fipe-U 60. Backwash Lines, P -Trap, 0 Undrgrnd. d0. Stdultur�al Fl6or,%sta`m 61. APPROVALTobECK 1 7 11. Property Sewkr Line &,House Cor)rke6iion 62. Backwash & Receptor -Final 12. Sewer -6p 63. Heater & Vent -Final . 13. #oof'Drains` 64. PI . umbing System - Final 14. 'Roughflumbi . ng f; 65. Electrical -Final ;j 15. Rough Electrical -Conduit 66. Solar System -Final '16: -'Rough Elect oWiring 67. Fencing & Access Approval 17. Rough Wiring Sign, 68. APPROVED FOR PLASTERING 18' Rough', blectricalT Sir Ceiling, 69. POOL/SPA SYSTEMS FINAL for, RougVi Hiiating & Air,Conditionifig FIRE DEPT. REQUIREMENT APPROVALS Permit 26. Rough Factory Fireplace 21."Ducts,,in Structure 70. Underground Hydro '22. qucts,.Ven�tilating,ix i 71. Product Piping 0 Gas 00il 23. Gas.'P ipkihough & Test 72. Underground Flush 24. 136o4ra"ming 73. Undergrnd. Storage Tank 0 Gas 0 Oil i,25. Roof.Weathing 74. Overhead Hydro 26., T -Ba r'6eiling'(Structural) & Monoroat 75. Dry Chemical 27: Frarri�d Flashing 76. Dry Standpipe 28. Lathihg4& Siding 77. FIXED SYSTEM FINAL 29.. Insulation mArIn. B'hl 78. FIRE PREY. FINAL 30,... Drywall Nailing Notes: 31�' Plaste�' Brown Coati," -7,,93 le*�iAr,4 NOVW441, Aldr A 32" Electrical Power Mqter-Final C 0a f Mu ):Xet "0 33. Final Electricr Iql/s XI^X To SA' 3. 34. Final Heating & Air Conditioning V I? N35. Final Gas Pipe-Teit e64e 36. Hood or Canopy 37. Final Factory Fireplace K ell, 38. Final Plumbing 39. Water Service-Final' S 40. Gas Service-Finil 41. Solar Dbmestic-Final LJ 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape. Irrigation System 45. Sound ,Attenuation„ 46. Handicap Regulations 47. FINAL STR UCTUR I E'& BUILDING IcArlo E21i 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANgY . 14 1 No Date L-/ FA City of Costa Mesa Development Services Department r Building Safety Division CERTIFICATE OF OCCUPANCY No.000253 P. O. Box 1200 Costa Mesa, California The Building located at 3505 rami llac_Avenue $B-2 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Gioup B-2 Occupancy. Use of Building zntpxior A]teration.R - Offim Legal Description 139-661-21 (See reverse side for Metes and Bounds) Building Permit No. F11-8649 Electrical Permit No. F.-6675 Plumbing Permit No. P-8657 Mechanical Permit No. M-9001 Ngmber of apartments -0- and/or guest rooms -0 ooms-0 ISSUED TO: Building Official � O'DotneU, Br9.fahan & PartoerBb✓� /"- ` 1301 Dove Street, Newport Beach, CA Dat 7/jam (%� This Certificate of Occupancy SHALL BE posted in a conspicuous placeonthe premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill in all spaen_esical those within heavy border lines and sign all appropriate declarations. _ •C1Y OF COSTA MESA pEN T 16/P--,, I TRAGE NO, __ 'LOT NO. BLDG. NU.'- - COf1STRUCT10N PERMITlO ' Project Address APpI¢am Malllhg AtlEseSs QQ' .�)) O lid's IN QI'ye mild-,orAeVl AAie phone 7,4Cl OSAS TYPE OF CONSTRUCTION LJ NEW ADO LJ ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER' DESCRIPTION OF WORK , 1 1 1 A.P. . S E T S A C S Main Building: Address / SO / ✓E 5 % • 1 _ TYPE 0 T PERMIT GRADING .FOUNDATION STRUCTURAL 'O TENANT 0 ELECTRICAL D PLUMBING ETIMiCHANCAL ❑ OTHER PROJECT OE$CRIPTION sO. F`T. OCCUPANCY CONSTRUCTION TVFE VALUATION$ ZONE GRADING CU. YDS. —'ACRES FLOOD. rC .OI//'JY1 ASSeC Cr .iOD SJ' AfCh/Eng. (�/ LiRna Na. Add ass S.40490eB yQc S7 OOntmet0 Name•�P• �/%/eC�y� PM1one -//�s� Rear ' Right Address x500 oa9A' A✓E1 E02ce/A Left rdeilingl Cit Licansa No 17P Ping. Ref.# LICENSED CONTRACTOR DECLARATION with Section affirm that 1 am Iision 3 of th pmNsions n CM1vtes B Ire and with section 1000) of Division 3 0! the Business and Professions COtle�antl my license Is In full 1pred all BINLlcyse GE q�O Il7 Date nsp�elay8 (C 6�3ZT•,_ �q{4 �r nJ�JCLCJay>! WORKER$•COMPEI new a N DECLARATION .r Workers' C [nae moa a Insurance, m consent m senananraer of fnnote OP 0, "ll. compensation insurance, o certiiled-copy [nereoM1)Sectionj Polis No. CJ f_ , r a Polley No. COTDidy eClarified copy Is hereby furnished. Clarified copy9z filed withh the ane City Building Division. Osla¢ ApPlignt Preventer ion Fee.: C Sale- If,�howe a vthe•building or improvement isleoie within one year at core- Trash Compel Duct- Under Ground Pietism. the Owner will haveAne burden of proving he del did not build or'Im- terthe purpose of:ale). Duct. Structural tP❑rae lion is Boaof uct the project Section) ioa4, Perot es ou Nodess ons souw emlds of `ImproveLeasing hrsom. Law who contracts lfar such a ojeaswiiProperty Who o41 Rif nspeCtinn Fee Ductventilating Isue Fair 1 Exhaust System ❑ Multiple 13 ' togsl license pursuant to the Cdnlreeor's IJGdnN Law). ❑.1 am exempt under Section D. a P. C. for this reason Coning Apploved By FlrepUFact. Blt ICRO'go Date - _ Owner F 4 new Heating System & Ducting 1 he`Informationmation Is eby tcoloeL that ll agreehave `ead M to COPIY With tions and all CITY and State Cou tY ordinances ❑0'100}1W BTU [1100,00ORT and state laws relating to building constmctl n, and hereby authorize pre- `,a y 6' sentallves Of this City to enter p aboye.mmn110ned pro IN for InscealPn purge Signature 1 C• Date 3 Drivers' Liwme or SS V SUMMARY OF FEES Rdimpention Fee $$5 CMF 086546 rev. 7183- White- Suiliing:Canary-ApPlicantl'Pink - ACCOuntingi GOldemsad-ASRI Sewer Cap Sewer Connection Solar Collessacm Solar Piping Soler Tank Swimming Pool w/Spa Issue Fiat $ 3 IANICAL FEE Hood Or Type I ❑ , Canatry Type If El iefrigeration System 70-100,0100131`u ❑lw,woBTU Issue Fee I $ 3 5364. 47.08/e3 30.00 TL Zone um 1 ! ELECTRICAL 'FEES Transformer 1115-50 KW El50+KW -' MdMete IP 100 amps Micry ave LJ05 KW LJ115 KW s' Generator LP Trash Compel i rn 3 o41 Rif nspeCtinn Fee $Z5 Isue Fair 1 $ 3 PUBLIC SERVICES REQUIREMENTS: Coning Apploved By new GpDlicNionrAPpnived By Date Gpplication Issued By `,a y 6' Da SUMMARY OF FEES ' BUILDING PERMIT '$ SMIP $ PLAN;CHECK $ PERMIT .' PLUMBING $ ISSUANCE $ �• PLAN CHECK , $ CIS ENERGY P.C. $ ELECTRICAL . $ GRADING $ PLAN CHECK ' $ MICROFILM $ _ MECHANICAL $ $ PLAN CHECK $ ,TOTALFEE - CONSTRUCTION AND PLANKJJJJJJ)))111G' ••`- ,'APPROVALS 'Permit # ! Date Inspector POOL & SPA APPROVALS Permit # Dater ' Inspector 1. Temporary Electrical Service or Pole! ia 52. Pool & Equipment Location i,,'2. Soil]Pipe�Undigrnd. % 53. Steel Reinforcement - 3.„'Eleciiical•Condu t�Utility-Undrgrnd", 54. Forms ' 4.Electrieal,Conduit-iJhAdrgrnd. 4y 55. Electrical Bonding 5.• Steel Reinforcement " ' 1 56. Rough Plumbing & Pressure Test lectrae1,Ua,ERGrrid. '" - 57.- APPROVAL TOCOVER-GUNITE 7.`Footing�� %• J `• ' ` -�! 58. Electrical. Conduit-Undrgrnd.-' _ .,e 8: `Foundation 1- <t 1 59.' -Gas Pipe, O Undrgrhd., Test • r�/ 9!^Water Pipe-Undrgrndfi ,i J 60. Backwash Lines, P -Trap; 0 Undrgrnd. i 10 -?Structural Floor System '' �� ' 61. APPROVAL TO DECK 11 0roperty Sewer Line'& House Connection .. J 62. Backwash &Receptor -Final 12.'SewetiCap j .. �i ^ ;• ��` 63. Heater & Vent -Final - `f 13. Roof Drains 64. Plumbing System - Final 14. Rougfi'Plumbing ,' ..� 65. Electrical -Final" 15. Rough Electrical'Conduit j - , SolarSystem-Final ,1,6. 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 O Gas []Oil A23. Gas Pipe -Rough & Test' '' f C72,,Underground Flush .24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 r 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. ,Laridscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations , , r 47. FINAL STRUCTURE&BUILDING - - 48. Special Requirements Completed i 49. Electric Release to Edison •- - ^ 50. 'Gas Release to'Southern California'Gas Co 1 51. CERTIFICAT E,OF,OCCUPANCY No. - " Date - •. r,' APallernl CITY OF COSTA MESA to fllm all spaces except these within heavy border lines, ad elan all appropriate declarations. PE T O. TRACT NO. LOT NO. BLIJq. jIl RUCTION PERMIT i0 5il 3/12/9_1 61.35 TI. Frei Atldrm �- 2 Applicant's Mailing Atld eA 6 R OAP E (fi . TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR �GDNYERSION ❑DEMOLISH ❑OTHER p:p, ya Zone Owners Name {�sQntY CONSZ phone Qat Adtlrese Arch/Eng. L NO. 1 Address RS I � CO.IdC. IrNs Contractor's Nam q y4a hdarve _6 �fl Address lmailingl ��+ I ,RP A' LTJ-L�$1rI City License No. 0 % DESCpi"PoN OF WORN _ " 5 Mein Building: Accessory Building: 2 TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑TENANT ELECTRICAL PLUMBING MECR ANICAL . ❑ OTHER - PROJECT DESCRIPTION Si FT. DCcuPArvcy CONSTRUCTION TYPE COP1*4 r 144 VALUATION$ ZONE ORADINGCUYDS� ACRES T Front O N B A Rear I I C Right g Left R E ii�.. Ping. Rel. ¢ Park.Fees S O LICENSED O Cm DECLARATION pemarks: Parking Req./Provid[d I I that I m licensed rev sedunder prosiness of CMrter 9 (Commenting hereby ionV7 that am Iitiba 3 of the cafe salon 9000) of Dlvizlon a of the Buzlness and Professions Code, and mJcenwnu ism lain eaod effect. s UcenseC No � Use of Building: q E PLUMBING FEE$ Planning Nates: .M E "Bar Si nk Show¢a N Date' Signature - WORKERS SCOMPENSATI DN DECLARATION Backflow Preventer -- - Service Sink T S erllrm that 1 have a Insuri nce of a cert m d. cop tere or oC (Suction 1 Workers' Compen]vtion Insurantt, o a certilietl copy thereof (Action f Workers' BackOow lriigation Server Cap ELECTRICAL FEES 3SO0' Lab. C -P ] 1A83 Company tENtro IN:6. Cy No. PP tl Certified cODY Is hereby furnished. Bemtuba $ewer Connection Aummetic Wisher Transformer ❑ 15-50 KW Corti ie copy rr liked with Ire lily But ng Date >_ Applicant (([� rN 0 50+ KW CGnarutt_Onpole Suh. Clarifiers -, • Solaf COIIN:Ipn j MPs1ON KERS'COMPENSgTI OECLA ATION- (ibis Yctlon naive Completed a rho permit is for one hundred (STOO) or Dishwasher "$blit PI Pllq Cooking Unit' j Meter Dupm 1DD'amps less). I Parlaoydnat In the performance of the work mi which this permit is issued. 1 workers' Comloeosatlon laws of California err o m become Subject to me Drinking Fountains Solar Tank Dishwasher ( Meter err 100 amps" Floor Drains Swimming Pool w/Spa Dryers OGes DEtectric Sub Panel Date chimature NOTICE: V;aftermaking this declaration, you should becomesubject to the Workers' CamYtlon provisions f the labor Code, you must forthwith le Comply with c^ provisions or this permit, stall be deemed picked. CONSTRUCTION LENDING AGENCY Floor Sinks, Urinal yr �•"TIME 06 Motors 00-1 HP OI'A-B - - - ' ' Gas Service outlets' Water Closet F.A.U. Inc. Solar 119 15 His ❑16-151 Interceptors _ Water Hester 'I Fixtures LMiVowdv¢ (5 Q I M1rtaby affirm that there is a Construction landing agency for the erformance Of the k for Which. this permit Is Issued (Section 3097 Cie. C.) Kitchen Sink Water Service Device Boxes Pole Light Lender's Name Lindh Address - OWNER BUILDERDECLARATIONh Levetode3 Outlets Range 1 hereby affirm that 1 am exempt from the Contractor's License Law for the Caucusiniriion b tstarssional deeLLoree county whch requires a permit construct, le. improve. demolish or repel, P-Trip Switches " Sign Roof Dreinz! Garbage Disposal Standing Sections tat he/she Is licenlsed pursuant to the forsuchy to the aaSigned Statement Issuance, of : _ pati r Generator X65 KW 05-15 KW Trash Cam 1 the CoMectar•s License Low ^Cnapter 9 (Commencing with Section 7000) of AWSIon 3' of the BUSInas3 d h01eSS10^S Cade) Or that he/She. Is exempt 1031from and the basis for the alleged exemption. Any viola Ion of cton 5 by any applicant for a permit subjects the applicant to cin Bnapy or not more than Rve hundred dollars (6500). 1, as owner of the prosperity or my employees with wages as their Able rn mpormallon will do the work add the Structure IS not intended dr Offered for YIB fighaloo 7044, Contrails d Profealonal Cade: The Contractor's License a does not appy` In an,owner of a properly who builds or Improves ereon, a WOO'a0es such work hlmssl/hersev or mrou to ms her own employees. provided that such ImprumiantS are not Inbntlad or offered for i one year of tom- le. N, ihowever,*own the will Po ng r burden of Pro Is sold he/she Yla vef fortheowner caul naw the burner al proving nee/She dltl not baud o. Im- j� rs propel. Rein Ron Fw apo $25 Issue Fee $ ? %V�N �s L• Reinspection Fee $25 lsue Fes $ 3 MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By ^are ppplieetioIt Approved By ^Bte�/_d 'ApvSauod lMuatl ay A/-\r-yl-Aa//�L1wf/J2 Boiler ". ar Type l ^^py Type II ❑ Canopy Duct- Under Ground ! Deal-$tfaamnl Refrigeration System .. LJ I, as to owner of the a Project se excltion 7 44, cordes; an calm licensee con- owner of Coee: Professions of who The Contractor's Leese Law Scealon7 apply besito .The S Or improv s thereon. L. a 3 s not apply b an c her f is with tracto of Improves mernt to ane who contracts for sato projects wl[h a con- r(s) license oder kk to me Contactor'[ License law). ❑lam exempt under Attlon B.&p. a. Cor tion reason 171 OD10D,000 BTU X100,1190 BTU Disci - Ventilating MMARY OF FEES BUILDING PERMIT $ $MIP $ _PLAN CHECK Ig PERMIT PLUMBING $ 'ISSUANCE $ PLAN CHECK $ ENERGY P.C. , $ : ELECTRICAL $ �/.90 GRADING . $ PLAN CHECK $ .. 1/J. dFl MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK � $ " ' Exhaurt System ❑ Multiple ❑ System Repair/Alteration Firepil/FacLBIt. ICRO•0 Date Owner 1 hereby certify othat 1 bare read this application and sale that he above information rls correct. I agree -to comply with an city and count ordinances and tate laws lat`ng too building construction, and hereby uthorze recre- ntives Of this ter u o r me bpve.menrtl neo proper .tor ISense!an purposes 1 Sense! Orlwrz'Ucelise or ss ,l - Heating System & Ducting ❑D10D,o00 BTU ❑100000 _ _ r - alit Rain ction Fee '525. Issue Foe $3 Goldenrod -Assessor -CMF 0965f5 rev: 7183 Wnpe'- Building; ca munilne: L•ONSTRUCTION AND PLANrjING-7POG. - 6 /� Date APPROVALS Permit +Z Inspector -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, O Undrgrnd., Test 9. Water Pipe-Und�gr d., 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 Rough Electric Wiring O S 83 C 67. Fencing &-Access Approval • - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 7o s CC 69. POOL/SPA SYSTEMS FINAL 9) 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 OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOil 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 /T 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning G - 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 t 43. Backflow Irrigation ` 44. Landscape Irrigation System 1 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - — Applicant d fin in an spaces e.dp\ reed with heavy eereer OnN and rN CITY OF COSTA MESA "' -' _ ' . 1 v ' E TRACT NO. LOT CONSTRUCTION PERMIT. - q(5 7 7 U Applidnt'i MeiliGAdd eN N. �� Ch • � �� 6 v AOFCONSTRUCTION NEW ADD LJ ALTERJ campy whin soon prowrlo tfwrmn mou no loom" rev„aea. CONSTRGCTION(LENDING AGENCY I hereby affirm that tiara b e pet NIOO lending agency for the p rformance of tell :W k for WMch this permit Js dssusid-Lga len• 309Y CIV. C) unear's' ry 'AddrW 1ZU1 Utril L•, OLC. I OU; IyeWDOLLIXaLLa.� _TY PE OF PERMIT GRADIN['. , ON ,STRUc Q TENANT [!]ELECTRICAL PLUMBINLVMBINO ®MECHANIC. r [•OTHER .: - I I- Address n .. L cO M No. - ' Contracted Name Davis AIL 1CGnd.-Inc. -Pnone634-1695'' K Kitchen Sink ,v. PROJECT DESCRIPTION SG.'Fi. OCCUPAN Addre55I1Mi11nPI ! SR As An111cantr0 438322. - - s 1 L ya[ . CONSTRUCITIO*rlNTYIPI VALUATION$ ' ZONE GRADINGCU.YDS:'ACRLichmented.I Lhhboby [CONTRACTOR DECLARATION s 111 pro alllrm lnel.l em 11 a under vlslem of •CM1aaei 9 jdmmentlnP ' wl\M1 CtlOn ]OOeI PL OI 5 ](y 3 of YSInew and Professions Cade, and•k mY 11CNId Is In full Ilea. I Iidn1 1 6"'YO dwiaAa4.'No.438322 RSmiN[r: !$1(I PE2Rllt B86(BI 1 : - PLUMBING; - F I , � D t Ber Server Cap. ORKENS' cOMPENS TION OEC RATION I ; eyafnrm hot I hadtlrl 1 'r ntto LlHnSureer tifimte 1 W iecei' Compensation Ins u, are ai tlfleB•'copy thereof (Section u BeCkf PW PNVmter __ _ SpNlr CPn CctldO�.. �'_ I - Backflow ingetdn Solar Callxtms n i MECHANICAL' 1 ; '- e uo. a PO C;No. B� 49 L comwnr bland Casual Tv _ BeMtuha 1 Solar Piping QLMetric <apy &nreby furnlshac.' I is ion, the owner -will have the burden of proving N/Slm it to not bulltl Or Iso- 6 Mass for me purpose Of Nle). •'- j 1, as owner 01 rho praparty, am exclusively contracting IN Ilunsd can - tractors to Construct the project (Rctllon 7064, Buslnes5 and Pror6fions code: -The Contrainer's' Ul t ll O\'apPl to an owner at properly who ', Inside Or Improves thereon, and ho cdntracis for such projects With a c thodi sl Intense pursuant to the Contractor's umnm saw): t ❑ Yam exempt under 5edlan POr this moralFirepl/Fact. r\Ige ed wtfa till ally Building Dlyl I 'vete �� Appn [Team A 'f` A T r (q re - Soler T-nk r _ 1 Dishwasher EXEMPTION' FROM WORKERS -COMPENSATION DECLARATION section need not be dmpin o N ma permit for one hundred ($liro) -DmNemr s _B ng Pool /Slee' Hiking Fountains ! Uunel Exhaust System L]ultiple M tThis v=Vv the; In [nit Per:Wnm ndonne Work for wmcn tm5 drmlus Iszmd, I campy whin soon prowrlo tfwrmn mou no loom" rev„aea. CONSTRGCTION(LENDING AGENCY I hereby affirm that tiara b e pet NIOO lending agency for the p rformance of tell :W k for WMch this permit Js dssusid-Lga len• 309Y CIV. C) unear's' ry Quo xrAce,y A. P:NZONE I t ceptors' -- K Kitchen Sink ,v. I y U Q'r Address I ' I ir OWNER. BUILDER DECLARATION - 1 - I hereby'affl that I 'pl1 Om Ohs CO 1Cto h Urging La for the. Ifoluawln9 reason (Sualon ]031 5 Business d Professional;Code AMY IIY [y which rpp Inez pn a mlbt constructm Iter Impmw deII n p I an t cture, / it of to I\a IN 'd Ise ilra theappll an\ fo n y 1\ to file fl9ned statelMnt that han Iceland pursuant t the P 1 f. theC tractor's Cloned Use (CheVter 9 (commandant with vol ]000) f v 1 o f the BUdMesa end PrwiculonS Code) 'th \ n n I pt o s 1 L ya[ •RIGHTSIDE YARD - P T P • ' 1 PROVIDED _� ! Roof DMIn9 j t F I , � r 1 Sn s -- I Re Sgct' Fie 1 t $p 'aa Sink' 1 •' i 1 _ Issue F' I s'6I f and mea bans for ma alle9ea exams I ares. f section �'$�..-uun115 a y pplldnt \OPa marmlt'suo t tM1 P011d t to Civil 1 LJ IWso/not more then ibe hundred dollars 19500). ( LmLa er f Ina prop rtv Y fiqoy 10 g their sola Leto c win do mew a m a rale nee intended offered for la ISecflan ]e44, Buzl a Prof NIOINI`Coda: The Contractors umn» saw odea not apply to an owner of a pruaeitrlwno outfits ar Improves . thereon, and 'wno does such work nimselfineoNf or thrmayn his or her own ample provided thasuch Improvements are' not Intended or off rmd mr Ie, lY however, the building or Improvement is said within one year of core- ' n i MECHANICAL' 1 ; '- Boder , — n 1 .- I Duct Under �Grodnd 2 Refrigeration Straws 7°.50ea.1 OaI OD [BTU �IIOU,pOd BTU' •� A' '. t is ion, the owner -will have the burden of proving N/Slm it to not bulltl Or Iso- 6 Mass for me purpose Of Nle). •'- j 1, as owner 01 rho praparty, am exclusively contracting IN Ilunsd can - tractors to Construct the project (Rctllon 7064, Buslnes5 and Pror6fions code: -The Contrainer's' Ul t ll O\'apPl to an owner at properly who ', Inside Or Improves thereon, and ho cdntracis for such projects With a c thodi sl Intense pursuant to the Contractor's umnm saw): t ❑ Yam exempt under 5edlan POr this moralFirepl/Fact. � Duct -Structural 1 , rz epeir System R /Alteia\ipn Dishwasher Duct - Ventilating QUP izoneVent r; 1ha.Saj !,I]g.15HP 01&15+ ; Exhaust System L]ultiple M I Microwave i I F.A.U. Bt ICBG •i / Data - owner' 1 1 11 H_ nndSy51� R Ducting l 1 ?100,OIJ0 BTU �1il" Vuu DA #585EFW048100 ` 'Sign. 1 I neralY nitrify that [-have ad this applicationa t t that the above I fOrmatlo ct 1 agre 10 comply with II ISY tl county programme tid st0te 1 Idling to Ingcalls tructio d hereby ithnrlae had Satires f t Rl Oltv't nes Pen ins b mentioned property r 1 Ind Bison Sipnel Yl D.Iv.d' a an ori 8 Standing Sections I E Type ,op tlol T' I nO 1 Be Ion, For : Garbage Disposal i ' I 30 Regisfeh $17.' S0 I lade Fee 1 GOICHNI d-!ASNzsol'" -'-' '�� � �'•' -- -� ' CMF 0565A6 red. -13]63 - White= BuildhilCa dry: APPIIdnC Pink-. Accounting; J08 # 86-220 ZONINQ REGULATIONS A. P:NZONE . PLNO. REF.s? BUILDING . TO BUILDING - LINE'' 'REAR YARD (TOP/L)PROPERTY LEFTSIDE YARD I •RIGHTSIDE YARD PKG.SPACE' RED. PROVIDED STREET WIDTH PARK FEE$ SPECIAL CONDITIONS: 1 I! Q _ ELECTRICAL A miral Witmer :Meter Upriser loo amps s ' Construction Pole Sub Panel' I .� Cooking Unit I Sub Pole j Dishwasher Motors 1161 HE 0188 - . Dryers OGes LIElxVia- 1ha.Saj !,I]g.15HP 01&15+ ; ". Fen.- I Microwave i I F.A.U. ladle Light ! / '.I Fixtures ' i 1Ranga r1 j ' Device Boxes 'Sign. 1 Outlets Standing Sections I E Switches 1 d Tram Compactor Garbage Disposal i i Gehadtm 00-5 KW 135-15 KIN j Transformer 1115-50 KW I( , ' 1 _ ❑50+KW; 1 I lRonspection Fee j $15' Molar pup to WOampa i Issue Fd. Zoning ApymP By waaalranow waser3 Date I : [ App11d11Pn ApPrewd BY a10 I Application Isued BY � w/1' ilO 1 "1' !f:1 --Dane ��F'�O _3 ' SUMMARY OF FEES I ! ! I 1 jBVILpING PERMIT $_ 1 SNIP t $ . ! 'PLAN CHECK $ PERMIT :. 'PLUMBING i $ 1 ISSUANCE! $ :PLAN CHECK' I $ GRADING I ELECTRICAL I $1 $ I ! MICROFILM 1 ` ! ,PLAN CHECK $ I $i - T6TAL!FEE1 E MECHANICAL $ :PLAN CHECK $ oZ S;a� LESS , ADVANCED PCI $'�g.q� I 1 1 I FINAL FEE I $ 76 !•J ? r CONSTRUCTION AND PLANNING � ` --Date iln`spector, : POO 14 �JPA • ". !: vQ `•,APPROVALS Peimit # ^ _ I - APPROVALS Permit9h'` _ -'Date Inspector _ .= ' `-�';1,!TemWrary Electrical Service,orPole [+ ' i= -- S -52:'Pool &Equipment Location , = �2. Soil Pipe-Undrgrnd: , �: _ t,, 53: -Steel'Reinforcement - - -' ' • ' r• I _ ,� 3 ;r 54.Forms;, •` '. (;` - �`{ 5..�ElectricalConduitUtilitv;Undrgrhdj,'r _ t �' 1' m.'Electrical Conduit-Undrgrnd >u 5 - : 55: Electrical Bonding T •-. . _- '5.+Steel Reinforcement ' - _ ' ' ". r ' 56. ;Rough Plumbing & Pressure Test ' 6.1 Electrical UFER,Grnd. I ' ° ' � _ : -57. -APPROVAL TO COVE R-GUNITE 7.IFootings ! o tm o' ' ; _ - 58-. 'Electrical Conduit-Undrarr+rl.,, - •,� 8.IFoundation 1 ' _-�" _ Io,;' I'_t 59.=Gas Pipe; Undrgrnd., Test :O 9.IWate'r Pipe=Undrgrnd. - y ., ,i s `60. Backwash?Lines; P-Trap, O-Iandrgrnd.: - • 10.ISiructural F oor System `.„ i - ..61. 'APPROVAL-TO DECK 11.,Proper y Sewer Line & House Connection. `� 62. Backwash & Receptor•Final. - 12.ISewer Cap' ='63.�Heater&VenYFinal. -. - 13.jRoof Drains 64..Plumbing System_} Final _ 14.1 Rough Plumbing i - - - 65. 'Electrical-Final- • . 15a•:RougFElectiical=Conduit"' - � i I -"T--''-' - - - -- - 66:�SolarSy. Final -- - - --- ,•�. 1 I. ,, I I 16.E Rou•h Electric Wiring .. ' ' 1- `_.1.- 9 9 ° �i' -' --', ' �5j; � `- :-' -1 � � _ 1- ' ' -- - ' 67. Fencirig,& Access-ADp oval - - - - -- - e I•,. n I • 1 I �17:;Ro ,gh Wiring Signer - i " " ;= _ 4_ - ` ', 68, "APPROVED'FOR PLASTERING I - 18. Rough•Electr csl-T.Ber Ceiling I� p I': i I ; : ' 69. POOL/SPA SYSTEMS FINAL 19 ", Rough Heating & Air�Conditioni ig i c i 'FIRE DEPT. REQUIREMENT J a t 1 (APPROVALS Permit A ,• 201E Rough Factory Fireplace 1' n I ! j I 21. Ducts, in-Structure `I I I I I 70. Underground Hydro ;,-22..Duct s;Veritihting_ ! �) I jl ': I I i I I 171. Product PipingOGas Cl Oil 1 i,. N, `'23?Gas Pipe-Rough & I .> 1 1 - 1i 11 I'-- I I 1 I 1 ' 72, Under round Flush 9 1 '24., Roof Framing I r l I �f i; ti I �.a I.1g I„ ! i • I .. I>• 73. Undergrnd: Storage Tank O•Gas ❑ Oil 2511 Roof Sheat_ , i y 'I% 1' 1 -74. Overhead Hydro ICag `26.,T-Bar Ceiling'(Structurall�& Moriocoat I vI I 1 '< ,' )76. Dry Chemical 27:, Frame and Flashing jI I� I' _ I' 128!! 1 • I I 76. Dry Standpipe - 'Lathing &,Siding _1 I li I ( si j FIXEDISYSTEM FINAL. I !k 1 177 -Z9: Insulation' s _'` I �� I{ j ( ! • 78. FIRE PREY. FINAL =' 30., Drywall Nail n9 !Notes: - 31 Plaster Brown Coat I- ' - k` Electrical Power;Meter-Final h { { . 1 i 1 33. +Final Electric I i �•_-( 4',...�.! �L�....1 �.. ' I 1 I 34. Final ,Heating:&.Air _Oonditioning d I' I .1:•C �I:' � yr II 35. FinalrGalsPipe-;Testi I ^ i jl I : i'� j I .. • - - i c _ 36. Hoodor'CanoPY;, • 37. FinaltFactory Fireplace' r 11 = I I ` i - - - I _ 38. Final:Plumbing 39. Water Service-Final I 11 1 1 40. Gas Service•Final I 41. Solarpomestic-Final 42. Backflow Preventers 43. Backflow Irrigation_ 44. Landscape 'Irrigaiion System I ''x'J-- 45. Sound^Attenuetion- - I 46. Handicap Regulations I ' ' �'I 1 •' - - -- 1 I 47. FINAL STRUCTURE &BUILDING 48. SpecialRequirementsCompleteii i I 1-I' i , 1 J I I o 1 T I I 1 49. Elect'r'ic!. t .Edison x x I r � I 50. Gas ReleasetoiSouthe'rnICafforniaGasCo I.. 51. CERTIFICATE OF OCCUPANCY ', ' _ _ �._y__ _ .1 ! _� J• - 1_ 1__ _ I' No I' I Date I I A PRWECT RRCRESS: OWNER'S RAZE: ADDRESS: uxN%B . ARCINENDiNEI, GORGY ENGINEERING REc.nD.: RC 4126 AOMat: 520 E. WILSON AV .220 GLENDALE CA 91206 it'RemEE: SWEEZER'S CONSTRUCTION (213)424-0594 >f MRHS: 481 W. WILLOW 103 LONG BEACH CA 90806 iD3Dat[ Buspedef IICENSECON7RrECOU aha Pml [Leb.AmiAir n[amuin 1101kdttina ti l"91Wmnmtil0 yiM Sxtun clay UC.:O SBgg amara La'518577 Bis Da@: —l— V1 s�rmmyre: _I�AaLef r9wamoeniNMarw alwR�aUa ai agn�Nmw lkrml lSeoml�nima Q. klrsenlm dlulsueara miniwlealvarxers IALICY m.: ERP. DAk: CMPANY: 7 perform tow is heresy rmmNa. O Cerdad mw a NO sale We my 8w%Am piwnt. Data AnoWm: ESEIG'EroNNi ORArm'tmwENulNNoaL WN: (m's x49m heel AlxtrvMluan me Non blrcmelaaaw Sfmlr NmL eery tole me penaMmem lee Mr err wlKelM peamrhout sesn Am ay mYp man In am mannered my to Brame smien m me warm [am rid taws at unlpma, r Am emp 9YX/— Dale. a 4I' r2 5pwure: NOTICE: A. after WU9 Ws Waraaorr, rim skW '�Id to int wr s "Km m at the Lune' Runde. you must orlMnN mmdy BNA Man Naifims R 1* mi "; be ftM afro a. CONETRUAION FENDING AGENCY: I oreW affirm that tort u a Cm M IeMinO aDmw lar Ne pMornum of the wrk Int whim this [emit Is Issued ISdim My. Ciy, Cl. UNDER: ADDRESS: OWNER CUILOLR DUUMaaN: I anon o irm test I am cxe freer IRA [ tm=m Slam LN O Law Ido the f b g Mem Ses'Wm Rami Nluneu aha Promotional Cape Any Gly of holy when required a Manor le=Mrael. Yler.impr dominlan, or repair aw Student. paid It is iuuaice. and rrywms the apaetml Ion Spurn permit m 1410 Sganm alateR OIMet Attend m daymea Pursuant in Ism provisions Of the Cdnrradra'Slam Limme Law(Chapter 9 lwmmendry vah$Cfgn 7DRA N oAison 3 OR me Rosiness and PMf"Nre Corel m err Anne Is erempt tMneom and the bass Int No ails m [tempi r A" maldin N Stamm 70315 try any Appeal for a cermlt WAAdq IM applicant to a"peaty of net Imre Ron arm hundred adtap ISRi s. as dater of the pro 10% or MY em (Areas wan wages AS tndn We mnWlw, 11 a Ine wall, add me ❑ onrim aary anisme erli11Ra mapeny ways bmu'nms of themoaesstherreonp1andd ii da 'such •A lvrl¢ iMersell As aLAry ro 0 no or net dwn emdomes. proem Int smA Improrelmnu are no Intended Or offered Int sale If. bwwer and board or IV mens is m�mm One ttar m mnnldion. Io amen ova Mane m [man of proving mrine Dao nd amid or imrre o i I, nee u¢a am comavqy comanng rile realm amtraclre to conium the project l&mm ifm, Ruslua ❑ and Pra"r'dentianns Tde: iX'e Camrdwi Slam Loam.Lewd®alt addles an mar at e. pm over berms or iteral slnnen nail Pmrom m mm went i co° 'dope`rsavol'omsureess aandullld be a�wdM u mnd cdnnai as'R� Limn harr. am "arm ❑ 1 a emmpl wM Sc : R. a P. C. Im am reason: Date. ommr: I do oras Relay that I pd aware m atm umr nd Ind rmdremm DI wtmia Nam am Salary Cale Sapid axe, 29530.w Fiddle am toe I or Any Ovule meted acumN Dal �ImdA amt nem as Banes wile aid amid mea as the hat nam ou N a arrear far mnsourim or mbaY.allon from the Au Q"ry W emma Deoid. Neadminl mnsWRten awtiOiMs Our mWt from mea pMisima. Dale: 1 mi erne ton I Kw Or Sohl CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05677 PERMIT NO: P 056771 PLAN CHECK NO; N GOVT,; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLO PURPOSE: ALT TOB DESCRIPTION COMMERCIAL INTERIOR -ALTERATIONS SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS; THE "PYRAMID LABORATORIES"/RE:956769 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 REQQ• PROV: PARCEL: 13966121 ZNE: REF NO: PLANNING NOTES> *****k*********k*k***k*kkkk**kk**kkkkkkkk*kkkk*kkkkk***kkkkkkkkk*kk******k*kkkk kk*kkk*k**k*k*kk*k**k*kkk*k**kk******k*kkkkk*Ni�F*3Fk kkkk kiEkkkkk****k**kk**kk k**kk D E V E L O P M E N T S E R V I C E R E Q U I R E M E N T S ZONING APPROVED BY n DATE: BUILDING APPROVED BY DATE: LEGALIZATION:N F E E SI BLDG PMT PLUMBING ELECTRIC PERMIT 122500 PLAN ISSUE FEE 3.00 ** k*AE k AS AS AS **************k**AS****k* M A R Y STRUCTURAL SEGMENT;N MECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK SHOWER TOTAL PAID DUE TOTALS ---- > 12.00 3.00 0.00 4 15.00 15.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 15.00 OVER/SHORT:00 SINKS, FLOOR BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/SOT GRADING PLAN—CHECK 15.00 *****k*********k*k***k*kkkk**kk**kkkkkkkk*kkkk*kkkkk***kkkkkkkkk*kk******k*kkkk 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 SHOWER 2,00 2,00 PLU 4 SINK BAR 2,00 8,00 PLU 1 SINKS, FLOOR 2,00 2.00 END OF FEES 04IE: �21_'. 7_ ... CONSTRtiCTIOP�pND PLANNING APPROVALS ermit # DateAPPROVALS [Inspector POC .SPADate Permit 1. Temporar lectrical Service qr 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 Reinforpement 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, O Undrgrnd., Test 19 : Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11, Property Sewer Line:& House Cpnnection 62. Backwash & Recep;or•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 X17. 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 O Gas qDII 23: Gas Pipe�Rough & Test - 72. Underground Flush 24. Roof Framing •73.' 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. Dry Standpipe 2B. Lathing & Siding •i 77. FIXED SYSTEM FINAL , 29. Insulation i ( 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 I ' ' Notes: 34. Final Heating & Air Conditioning r - 35. -Final Gas Pipe -Test ,36. Hood or Canopy 37. Final FaFtory Fireplace :38. Final Plumbing - 39. Water Service -Final ,40. Gas Service -Final ., z,, -41. Solar Domestic -Final �• - a 42. Backflow Preventer, 43. Backflow Irrigation 44. Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.•FINALPLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PRWfCT AG4RFSD: 3505 CADILLAC AV "r. B2 awxERSNAME: THE O'DONNELL GROUP ADDRESS: 99nI nnnvm ned 4 nn pncxrtNDEW GORGY ENGINEERING "F°'X°'RC 9126 ADOXEu: 520 E. WILSON AV '220 �RMmEGLENDALE CA 91206 E: ADDRESS: SWEEZER'S CONSTRUCTION (213)424-0594 y LONGS BEACHILLOW CA 90806 103 LILENSED CONTUMA DEC4UIIW; krtEy allimr IAaI l am 1[emm caber wmsMm DI Clupler 91Wmilenm0 "1N Sa4m iOLm of Dmow 3 in IN B en aN"M om CNv. an mygame b An fun form ane elm[l. Lan uc.: 05584 srAIE LIC_ 5SB57B Mae. A-131— swaskm WORxERVCMPENUTIONDECURAn°X: INnDyamrme Illuvea mUfiale olmNemm ulltinsmean mneicale of VkM1ers compendium Insurance Or a tumbled a" INmf ISedon M. Lae. tl. POLICY 410.: EXP. DAIS: COMPANY: 3 cnufm troy is Nro Imisaem. O carmba mor b filed worn the Only kiW g ueimn Dated OM4an1: I DMIICN ixMAWNfRE'WM1 the Wink far Lh1% N exam nem 11 e'm4*y ity pvmISM eta" ainj become AWW that in lNPWS Ire YgrxloOf UNMI cerrnil Mlwo IemplpY anY RxsmAam/maMermamNmme Catic m me 3 Or- fun Lara al Calimmv. IagY D n. M2- Sri ynLE: II. all" mN'm oris IY IS h yaw cam Assn to me worms a dtmemamn poaubro of me Laodr Drge, y9w UNDI W mmplY ltilM1 ewM1 pv.9ip6 or Itis cerml zlW be pemtE reroMe. With 015 Wm IEXXIX° AaEXLY: 7. Ce allilm Yul mere b a vaulmluw IeMYq aeemy M me pllormnm M 1N capes br wnsh ads WINrs iawn Isemim CWT. ar. L7. DRESS: AWXELf: OWXER LunXER DECL TWN:INrcbe house lest l Am tomer from IN LAnua=m Earle IXNb la"Ip IN iW ng forma NearMyWLVAIN. No Ona PglesVoml WEA: a e etr ae tfar wandmMao An migal,auer.ROWNmosNar nae t ( audwo pia m ie f OW am aesires me aflPDant tat srn Nlat ID Ips a upon Mademnl um none o cameo pursuant Io IN periLms Ol Ins Gvpxlpti ape lienee Lry IPsaeax 9lmmrnmsinp w+IM1 sa[Dan aOwl of Din4on a of me Rufiea an Pmleezbir a pap mpiWg y erNpl Il Ad a We pamme A ri Ip tN hlnIehplmum. MYalaWiun of $pliT 1R1t.s fry Any mpywil Air apernu fualxle Xle aWlianlm a [va PomItY of nm rte" len IN M1lneree aoWelL`W% I. IN Owner of IN pmdMy❑ my a musaua waga OWN es ther We a cenchum WE N me Wt Add IN el Mlure is rglnmene elle 1pl lw sa4l5am- n"a. Bu4Nu ane PemeabmiCne'. TNfAmrxM SumL Gmus Lary SON w her man n 10 ropve ifidesiEN tied Slash mINS mporefrems are notiMeneWee �pm�m for W ems. It, Iuneeimine d K of "patterns a sal whlii mm year of armldan. IN owner WW Ire me armed at pmria NOW, And nor ems or impr ed Ip he vwDm of shp). I, as nxnerm me pmpealY.am e.awslm Churg YAlmkemld amtaama m Wmmuct me pmlem($Clim np4, SwOm ❑ anEPmlmsioNCNe: 1M Cummmors Mate iEena Lax m"ml epprym mprmerd [([glry aha NJ pd improved; lhermx and woo Smooth; On such Projects Mtn a wmruansl fiEMN puts=[ to IN Coast Ode' Sade Lume Lawl.l am aware ncl preps m mew We Mi s Combustion uwmawe Wuld he carmen ID me. (] 1 am mempt under Semon: D. E P. L. fe IMs fJ ! I do Nary amity that I am swam m and w fSG the INANmeme OI Calimrdde,Xaml am Samly Cody Senons 25506, 25M. aN 25511 and lest l or anV lulmp "itlmp newpanlryr/w1RM��ii d�dpl jol War) Muss to eomaey rim said style circus and me re0uiremnls for a perm"for NnpruLlim prNdilimlbn lrpm Wily MwD tMrs11iu. ReudenNl mnslmelbn a inAIum are "Area from mese pmWiwa, Date: we=: sent. prvel's L[eme al WI l $a mNy tl 1&1 -aa WMIe-6mimg;Gran—Lee Enmaament GnvY—Mdiear: I'mr—mertnuw:pWenrol—Auer CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05677 PERMIT NO; E 056770 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: ALT JOB DESCRIPTION : COMMERCIAL INTERIOR ALTERATIONS SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES"/RE;B56769 kkkkkkkkkkkkkkMkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ PROV: PARCEL: 13966121 ZNE: REF NO: PLANNING N TES> kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk+rk«kkkkkkkkkkkklAlEkkkkkkkkkk klEkkiikkkkkkkkkkkkkkk LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC.MECHANIC FIRE SMIP/RES GRADING PERMIT 13 50. . SOS- SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 13.50 15.00 0.00 28.50 28.50 ,00 REVENUE DIVISION TOTALS--> COL'LECTEDi 28.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN—CHECK kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkNikkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkk I N D I V I D U A L' F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE it FI%TURES LIGHTI G '1' ST 20 EA. ,75 8.25 ELE 6 RECEPT/OGTLET a 41 ST 20 EA. 4,50 ELE 1 RE P//,,,/$ggWIy H� -1 ST 20 .75 EA. .75 ,75 �A�/�� lEND OF FEES Ci SCI. "'R CONSTRUCTION KND PLANNING - Date APPROVALS Permit # Inspector POL 1 SPA APPROVALS Permit# Date Inspector s 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. r 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd, 57. APPROVAL TO COVER•GUNJTE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, Cl 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. Hoof 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 a 70. Underground. Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 000 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd, Storage Tank Q Gas OOil ' 25. Roof Sheathing 74, Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashipg 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:A / L[Y_L21t CL�!?l f 2r hi a �� 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 j 51. CERTIFICATE OF OCCUPANCY No. Date Ew, PMdEV AWREU 3505 CADILLAC AV nwXER's NAME: THE O•DONNELL GROUP Almuss: 2201 DUPONT DR #100 UNIT: B2j aMxr DIDel R : GORGY AENGINEERING PEE'X0'r RC&14126 pDAEss: 520 E, WILSON AV 220 GLENDALE CA 91206 PERaIIrnE: SWEEZER'S CONSTRUCTION (213)424-0594 AO1pi 481 W. WILLOW 103 LONG BEACH CA 90806 IICENSEO MNTNCTRR BECLIRATiON: I haracy affirm Iain I am sensed enter pmviam& M LAaPler 9(wmmemhg will Sachin TOM M Wmn S at We Business and ftkMons LNl and my license is in III lora am new clmucc 055584,5 ^E^TIEa°. 5185 B 77 c Ael WAAKERSChimpaMMPENnalfif maanmUIIN: any IhemiOrbit ail )hallave cMmamM neem to aalnaea or a ani pea awmhan Ili N°A ENP. DATE: WNPAN": cwmd copy is Mary tmam. ❑ WWBM again, O fled rant IN dry, BONIN a m. WIe'. A{ptleMl I ManyN%ERda Weomm ad the Werk more ft, MIIU UW Is ml not emorkay ily PWWA a onermerOF as 10 v1m. IWpellll Farl nK pe��mmamwo i Werk for CW ar i'js esuetl. ISAall pwm hairy marker so to secant wp t YI IM wPWa!' LmryY, irk tm M comae. OOO...y}}}NN^yttt, .'2'C�""'//j 1- Nlua: a4. NOTICE. if, dull mdlYnA litheElCdrd110R yW fAWle dW pmd WApeI Ip IN wOM1ER' p¢nialNn aP$IM¢YI We l]Nr CWumo must ldlMmn Ra: whin sued lean tat t a hold allmil me Ee as ver a lency fr Wall thNCIION /FNmedaOENIY: 7. Cray G). NauAale is a WmlrvaWn leNiilp agency kale AerWINi[e al We wgk for wli[A llis {elmil is :Nese (521on 99]. fay. L1� LENDER: AOOREBC: MER npI MER ^ECIAMIIM: I harem alOm May l am vunpt lrwn Me Cu VMDFs Stale lwem Law kr lle WOMN re menden ]031.5 Brinm W PMMaimal COM: May My OI=* whi I Ms a peram 10 amsaum, east. Improve. Mmlisa, Or Iepair Mr suWure. one oris 4 aKe, she rWwa the appaGm kr a hpemml l0 lie a sWMslalemem IM Nobel 4li Nw Wrauanl to tR promians of the Gnuaclva'31are Lima Law(Chroter 9 lvomneoodurm mah Section 7M) or Whbn 3 of ft BAnm e MMMwmm Cada or hat eersle is oxempl ileal and me Laws For re a11e9ad ammo. Any Miller m seem 71111 by vry ammout for a permit Whtms the aWllrm to a dM Wnaay of ooh mom than an hummd dollars scalp, I. waxer of Ire pinpa�ryOa w my epistles with apes a th it We wmpenMim, T m ale red. am IM ❑ mukreawttnmdWOFC adlo- sale l5eep0n ]fw: 3uulms and Rdea9WL Pape: The Co MWI-Rau Lker LM Was NI a" IF An Fane of a"I who foam or lmW s mama. and who ams MIT work Runs% WII aIMWMI to or her axe ematr nm pro W IMt RNh tmmwemma am nM OtOd or oxeM for an 0 hMM IN NWpno or mKmn t is sad wnhn one War m aarearel the Owner will ave IM Nurdm of priming WNW die yet Wild of marginal IN, purpose of sale). I, as Manor of the PropelY.am(Witain ona " kemd roWns mraelorslo lmt the pra; Ieerion]l4a, Oanm ❑ aM vmlesuons tme Tb Comrktors' tito La 1pse Law aces m apply to an Mwm m mmem whr owes Nero" Md whe that proof 01 melp their por such Wd u'a CampwW fic areas shemldd k0 od@0 To G"1rMmR' Som lkenY laawf. am swam ❑ I am evemM uneu Sxlim'. B. a P. C. kr this radon: I do hands candy that ) am aware at and umeraaM the rNMMNM of Leliromla NUIN ant SGlew CMs Smlme 25505. 85530, and 255k and that l m em movie LWdmp Mttooam a1NWll net ("e we) need to comply w5k said slam affair am its requremams Ia a rrmu Its emarvmicn or mmunaum from IM Ail army MMapemem wtly. ^evdental WmfmxiW 40ntlms are exempt rom Neer wW u Pale' bill ready Nal l have read las ams n mdiamervand slate )awe mlaling wouiktnA Prom% Ia lespemkn affairs; Dale 3_31_42 Driver s Lana Or 5at113eaMr e: Mi when—Bwlmn9', art App aM: viva—Rovmee: comenmd—Anxi CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05676 PERMIT NO: B 056769 PLAN CHECK NO: 01144-92 S GOVT: N SUPP: N CONSTRUCTION TYPE: 5-N PERMIT TYPES SIR PURPOSE: ALT JOB DESCRIPTION COMMERCIAL INTERIOR ALTERATIONS SQ FT; 3,000 CLAIM VALUE: 3,000,00 CALC-VALUE: 3,000.00 GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES" Z O N I N G S E T B ACK 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 13966121 ZNE: MP REF NO: PLANNING N TES> INTERIOR ALTERATION FOR A RESEARCH AND DEVELOPMENT LAB. 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'�TS ZONING APPROVED BY I L igAi nATB r-zkl1f?n BUILDING APPROVED BY DATE: / APPLICATION ISSUED BY: ! DATEf/ 3 O. %%kk%%%%ie%%%%%If%%%%%%% A %%%%DATE LEGALIZATION:N F E E ,S U M M A R Y STRUCT,URAi SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC.• FIRE SMIPIRESf GRADING PERMIT 54.00 :, r� PLAN 35.10 a. .63 SMIP/NON-RES ISSUE FEE -� BUILDING -DIV-> PERMIT ISSUE PL1�% AN-CHECK'1 FTOTAL PAID DUE TOTALS ---- > 54.63 0.00 35,10 - !89.73 89.73 ,00 REVENUE DIVISION TOTALS--> COLVECTED: f" 1189.73 OVER/SHOAT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC "FIRE!, SMIP/TOT GRADING PLAN -CHECK 54.00 ;I Etas .63 35, 10 %%iEM k%%%'%%Y%jh%%%%if%kY%Y%iFM%%%rt%%%k%%%Y%k%• I N D I V I D U A Lf',F E Eri B:R'F/AA K D O W N TYPE QTY D E S C R I P T I�OI NUNIT COST TOTAL COST SFC 3000 ALTER BY VALUE COMMERCIAL N0204E 1.00 3,000,00 END OF FEES J Far � a fI aL / tot TM 7, ^ _ L 11 �lll-.0 I 1 CONSTRU-,TION 4.ND PLANNING Date APPROVALS Permit # Inspector PO . SPA APPROVALS Permit # Date Inspector t. Temporary Electrical Servicelor 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 b. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - e 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test r 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 Fireplace '" 21. Ducts, in Structure _ `70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0Gas 0Oil 23., Gas Pipe -Rough & Test 72. Underground Flush .. 24. Roof Framing - 73. Undergrnd. Storage Tank 0 Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashind 76. Dry Standpipe 28. Lathing & Siding- 1 77. FIXED SYSTEM FINAL 29. Insulation 1, 78. FIRE PREV. FINAL 30. Drywall Nailing. ' . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat j 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 Plumng 38. Final bi - _39. Water Service -Final lQfAeZ- C9t4 µ c -/_fes•- �`.��T - - ,�•/_!//� �! 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 1 44. Landscape Irrigation System - 45. Sound Attenuation ' . Handicap Regulations�- , 47. FINAL STRUCTURE & SUI LDING �% Y 6 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Ave. Unit B2 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a-2 Occupancy. Use of Building commercial Legal Description 139-661-21 (See reverse side for Metes and Bounds) Building Permit No B56995 Electrical Permit No. E56996 Plumbing Permit No. P56997 Mechanical Permit No. 1.157225 Number of apartments ISSUED TO: Building Official The O'Donnel Group 22U1 Dupont ur. vlvv by — Irvine, CA 9.2715 and/or guest rooms Tony C'De BAca Date May 29, 1992• This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File \. vROWER ADDRESS: 3505 CADILLAC AV DAM B2 WHER's NAME: THE O ff DONNELL GROUP AomEss: 2201 DUPONT DR 4100 IRVINE CA 92715 (714)851-0109 ARDNMXDINEER', GORGY ENGINEERING RED.No; RCE34126 ADDRESS: 520 E, WILSON AV UNm: 220 PEmiun', AMGNCCA 91206 ONSTRUCTION 14)897-0969 I.. ADDRESS: 15401 VAN BUREN MIDWAY CITY CA 9265 UCEN$tBWMRAeiDR KCUUTIOR: Inere"hernina a want ulorprori w CIG f9lmmmellony with &Cwn ]fU% of da'6ien 3 0l the Rm'vless aro PmlmeidL9 PAOe m license is In IW le Ee Lb a AEI. Cm 0559 A srAlE tit: 62892 ctAtt:] Rau: 'S ' — Sgnal•a:_ — r wORRERs' COMPERRAMN OECUM"OR: lnemoyanlrmtN MM ACM150110e pl 4owI to self-made or a wifime Of gate rs' Cdepmsaten ursuanci ora [ensued copy IMml(Station MM1. Lae. 4}. POLICY no: UP. Ii COMPM: 7 CeniXea of of herby lomlEMo. ❑ Ce led my b to ruin IN OR wwiw ONWm. Dale: np{b[ani: EzfxmpR DIDM WOPBEPC'9MPFNSINLM CBS AU Ift fee EomgelM nine ImA iabaR nmalp ft00 a1eu1. I corely that the penar n[enM mM for MUrrim o di ff maE nm elMlof on In am mamamasmMmlM SAMyM 0e Igoepp��Nn Laws of Calllamia. _/� Daae: �-�"`�= —/zi _. -t : 0 1 NUME: B. aMt menu Mrs nmambm, yen mmM *tame ronin M he Women Cammnmime prod OM of me UW Cane. you taut loahwm Eomoly and star pwOms be this Permit stall of abohm rased. whMMUruns ZION LENDING 4 MOffELlb 309P. Can Cf. lM1al lM1ne ie a mrGtlu[lOn lendnp aRnry tar me tMOrlNrp pl lite upk M tENocs: CHANGE OF CONTRACTOR ADOREnr REPLACES PERMIT B56769 DWNER BUILDER BECW TJON I hereby answer that l am memo(from tie ContractorsSAM Llsame ]LIN our me iNkMp relf (Section 7Di1.5 &SINES and Profe til tae: Any city of MUMU Wi uMures a oermit A tanmrml, All Om . dems iso, or rewir any StFMWR. Print to IF ldWnry. also rmabrs me amrnnt for sW cernM 10 Me a epred sutenml m hMhe is licensed MYPmtIP IMproavns thMe cmtrOM%SIAMLieeme Law IC N e 9lmmmeNU arse MWn. y Itilti,'I Us ]Wtha ardms aM WOP=t fofav)W INIMhMLs eaemlltt he m and IN of For for the MENU ]NI.S b/ any apllrmnt for a PUIM suhjeas IM amli[ant m a pN paWry el ml more man Xve MMred dtllen (55001. I, As offer OF IN Maturity OF myeplryein eYsoi h Mapes a One k mpem ileo. sW M vm the re and 1N 11sWaurehnM imemedmonerm lar $dl%ton la, euom55aM PrMessiomtode: matmuaaors'SWa llumal+u MdRa Mtiter a s AM, M an Owner N a pr ny wMaebobs w irryravw Menu, van M' a Mose such "m Nn¢ynMrult w through w emdwaes. m*W IMI sun imoraremede are rat intended Far Lamm our mB. B, *Meas IN bMIN or IorrmllNeonem is Sed mmwF tine year W MA leen, me owner 11 harm Me MMen M Pro ang NAME did reel mM OF Imorce a a ownerof the Mi am anumelYy[mmaim Yeah lensed m*Mmrs to Classifiedme prwt I1$Milan moa, &mess El 1, the Cml ms'$IAIOIC Lawdms mlaomMmoMMrWpdpcity Ao bU%ScrftmeslNmm and wM mnnats la ¢ucn Kd M with a WMGCWIel Martin Paauw to [he CmtIXtdrs Stale Il M Law), Iam aw8re Iran of Ince WrvIIe 5 C PeWIWA R WIM SWWd be am'Med 10 me. ❑ I am mems under $mita: R. a v t. la mN raring: Date: Near: 100 fil fatitylNt I am aware Of wM nnurewd IN rtltmremems dl MIfOF aIlmm aId Sidef fde$ &M ISSUE, II533, AM t553l aM lNtla anyluwre buiWtrp[mwm vnrvvMn (Urdu w )need to CW* MM said w4 codes amt*nenlimmmm fora perms(la[msuLLlrm or modllitMim from tM Rir trio MOWMORI Mitt.Residendal ollWruWim mplaWn are memo(from these P isims. mrvets Liend: Or Sol ell x: — 164146 Wnlei—Ou'llGreen—CWe Enlon:amenl: fBnwy—Mi am: Pane—Pavanue: Goldwrrod—My[mr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B OS69 PERMIT NO: B 056995 PLAN CHECK NO; N GOVT; N Dol N CONSTRUCTION TYPE; 5—N PERMIT TYPE; SIR PURPOSE; ALT JOB DESCRIPTION COMMERCIAL INTERIOR ALTERATIONS SQ FT: 3,000 CLAIM VALUE: 3,000.00 CALC—VALUE; 3,000.00 GROUP OCC: B-2 / COMMENTS: CHANGE OF CONTRACTOR/REPLACES B56769 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 4IFRNT; FT IN REAR; FT IN LEFT: ppFT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKINGGRNO�'ES> PROV; PARCEL: 13966121 ZNE; REF NO: 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 b`,—i age S ZONING APPROVED BY BUILDING APPROVED BY :e QT!f/✓IF _ _ DATE LEGALIZATION:N F E E S U M M A R Y STRUCTI AL)SEGM.ENT'i BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP�ES� GRADING PERMIT 54.00 SMIP/NO.1N ISSUE FEE .6`3 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL \ PAID DUE TOTALS ---- > 54,63 0,00 0,00 54,63 54.63 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54,63 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/'POT GRADING PLAN—CHECK 54,00 ,63 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 SFC 3000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 31000,00 END OF FEES A CONSTRUCTION AND PLANNING - APPROVALS Permit # Date Inspector POO. ;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-Undrgr_nd. 54. Forms 4. Electrical Conduit-Undrgrrid., 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, C1 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 ElectricakT 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 ❑Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ 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 _ 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 - - I 1 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 a' 51. CERTIFICATE OF OCCUPANCY No. Date PROiEg ADDRESS OWNER'S NME ADDRESS: . ARNIENGINEER B MORE$$ A PERMREE: air ADDRESS'. ucexasD CONTRACTOR OEeuRAngx: Ineredy anirm n am Bcensed under, pmrslonso *ter D (eammelrna rant sWlon ]0.91 01 Divslss $ of Ruumal ane Pmfavol Core also y ncense is in mu lttee a ed. DmL 0559[}8 ATE u�c.:6289 3 C Date: — I l � ' `� Sgnarurt: rL'10mrRKEREEoMPERSKION OEMUTwnNpy.m;Fvrodsaemim10aeelhayearenuiglie (a neem Calf inmrea Eamifoa almost KLICY NO.: OF a ser ESP. Oka NMFANY: ❑ CeNRea coal if Mlebylwrig ea, ❑ logged Caps, or teed wish ft illy bral p Auiffin. Oak: '7 Apml _ DEMFMNFRMWMER$'CMKNUTIONMt TER: If eadm Welk nm p¢¢m[IBtebA 039 Off ked me M1dMIW 141D7l w lead. IEmily lNt in ane pfhummed 0 the walk fu Mhh thin rmili iauee,l shalnof emplgy any o Many mannorW a m become hadvot o Ra wo i pe Laws of California.,Ppy/Ef. y care. $Mrumrg �.:. NOTICE: If, anor my inr k aearamn, yw ~ oadvi minden to the waxeli Cwnpense aomo n isiws ofIm "mor Cede. you mug lOrlhwiom Comply him Ruth plWklons or INs marst shay be seemed la Ahad A CONSTRUCTION LEMING AGENCY: ep[9y aflirm Wl mere is a [wohunion knalnq ryel[y Ih 1M petlormalrs al me wed Mr whish this offs t is ladled lCeotmu Y.9l. As til. LENDER: CHANGE OF CONTRACTOR ADDRESS: REPLACES PERMIT P36771 OWMER 1AI1MR MMUTION: I facts shim that l or eaampl Into the Wmlamn'sane LmWk Law for me slaying anew Seetan 10315 emuea and Fahssonal Code. Any M of caudy with requires a PitoCtion tFflof imi deal or Wan any grvcture, prior W es i uanC, al Fall this spite= its such perm) in fee a 9gned stahmmal mar Albshe is lllmsw and limitations Cism) or lhal werm15 ox m them mm and the basic for me all oumpibn.Any Vio4lim al9etionMl 5 b any Affected for a phmn sabNcls me apper to a� Carl cenalty 01 um moo man rave huedM dollars (So 1. ❑ nd ft snuhum6minten�dorDHOFtOraafule( Van ThINS at, BuCiRm"PofwsliwalCNesaTheCmlaabl Sun uwnm Live Fares not apFair po atoanOwner oda Academy who sake or hnlaoas lMFWD. Ford who hes such wi lirl¢enfheself OFg goal his a,ml ntes, mmmdnd that such ihproreMFM ale net Ilona OF aired or sole. n. Ipwever me Will OF iimpine o� noes so e,njhln we year of Companion. Ile owner will have me buNW of mooing helms die no Elia or Improve ❑ and yrohes9oIns Casks colicas Ren vacel'se LmaaWneges mil council ry iomalml Iwu'Ilaswm wowlN a�*a boom in cld1°uvesRlneam` al MO commas for Such proje la With a IOntmmrma lienee pursuant to rise CuntIXOR'9are ticom lnL l am Ahead That prom of Ihair dorem s Cmnpansaan romance should m povided to my ❑ a am exempt under senan: Or R F. c. Car this reason. Bate. Dymh: Int Which ceMN mal I Am aware of and wdemana the requirements of Caulurmaxnlm and Sslery Cgs Sl Zoar never, and zssx and lNu or am mlwe bi naupam ail lnm ladle one) need to comply with nm a= oda and me requimmenW fora pgmil ler consoucfwn or mWillcahon lmm this Nr every Management R9nd. RSNenhal croslrvNOn apfAoliore an meed hem mese ]nwlSC N. Dale. L. Iale Rig ami E I Diners I riche nr socia Semiuy x: 16i While-9uiang;Green— Ikanl: Rnk—governors! GOIMnme—A MW CITY OF COSTA MESA — BUILDING PERMIT 9 PERMIT NO: P 056997 PLAN CHECK NO; N GUal N 5 : N CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION COMMERCIAL INTERIOR ALTERATIONS SQ FT; CLAIM VALUE: CALL—VALUE; GROUP OCC: B-2 / COMMENTS: CHANGE OF CONTRACTOR/REPLACES J956771. 'eE.' � %kkMk%kkkkkN—keElF%krt%kRR%wk%k%kiE%3E%%kKkkkM kMM%%!f% %%%kk k k k %k%%itk%kk%kkk% 2. 0 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 LEFT: ApFT IN RGHT: FT PLANNINGKING RN6TESC, PROV; > D E V E L O P M E N T S ZONING APPROVED BY BUILDING APPROVED BY --------- ACCESSORY BUILDING --------- IN FRNT: FT IN REAR: FT IN IN LEFT: FT IN RIGHT: FT IN PARCEL: 13966121 ZNE; REF NO: V I C E S„ R E Q U I R E M E N T S DATE: DATE: APPLICATION ISSUED BY: DATE: _.Y143 ori 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 12.00 25Y SMIP/NON—RES PLAN ISSUE FEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 12,00 3,00 0,00 15,00 15.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 15,00 OVERISHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 15.00 71 00112`9G-0P1liE69 —'G T ".P.I Dill oisl�092 TI11E; ::rfl "r 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 SHOWER 2,00 2.00 PLU 4 SINK BAR 2,00 8,00 PLU 1 SINK�e FLOOR 2,00 2.00 END OF FEES 71 00112`9G-0P1liE69 —'G T ".P.I Dill oisl�092 TI11E; ::rfl "r CONSTRJCTIOhANO PLANNING APPROVALS Permit#.� Date Inspector POO. SPA APPROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole" 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. LYI&I( `L CAO 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, ❑ Undrgrnd., Test 9. 'Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 / 1�! �•7/(�'L J e 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 O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24'. Roof Framing - 73. Undergrnd. Storage Tank ❑Gas ❑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 Pipz-Test 36. Hood or Canopy z , 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 I !' 51. CERTIFICATE OF OCCUPANCY No. Date piu6iru ADDRExs: DINNER NAME: ADDRESS: AV uxlT: 132 GROUP 11100 fllllu�i—uG09 ARcxrtxxMEERI GORGY ENGINEERING REG,NC.RCE34126 ADDRESS: 52.0 E. WILSON AV NNn� 2.2.0 GLENDALE CA 91206 PERMMEE ANG CONSTRUCTION (714)897-0969 ADDRESS: 15401 VAN BUREN MIDWAY CITY //��%%����\\ CA 92655 LICFxRED fAXIRACIDR aFeuRAnOx: fAreby alDrmt licemeE An ton MLnaptTsfammemilq wryn Senior 7M al gMobn a 01 IN BmNm ISO RMeuOns Loh. aga1111a my Ina sof la Saw of Cha. Cnx ur. 5958 :Tart uc�:�2892' Cuss: POUCY xo: FSP. Dort: COMPANY: 7 Canned copy t hereby wrnini ❑ cenand ISM is and with uR airy BIAMIN Dm ne Dare: Amlicm: UM"IW FERWDRM MM7NetIIMa GCEURR1a]N: I tR an seal nN bey p twnatbbr C"DdINoloo bM, I sandy that In IN GllwrmaattN N¢w¢M for wAlEll lhx per Ixls dat; I hmb nate a "Pon In any lllNMl so as to tem e cogen to Ice wont Lomk atm ams Cambodia. Wla: Sipnawrc:Unfamamnip xoTtLE: u. aver nRtng has acler r n. vM snceia cemme sMNien w me WNyers Campemamn prensims 4Ire Labor CAN. ydu must bnMnGl comply SUM SUM PraKaiev or Me mmit aNu be OmmN reMM. MSTRUCTION MINDING AGENCY: I hereby affirm lNl mere he a Cwtmgim tenting apenay for DO cerwrmame d lb "a lot MUST this penal IY'lesmd (Ssollon GDy. Mv. LI. LENDER: CHANGE OF CONTRACTOR ANDRES: REPLACES PERMIT P56771. DWRER BUILDER MCLAM1Wx: I hereby, atNm that l am exem01 Tom me Contractors drum LLSOse Law for Ue wllaw ng that ISmtim NDl5Buneuand Protessimd Lade: My dry d munry MlpN repulm aperrril to ConsVMt, ilter.Imrore. demdkM1.bo repair any :hectare. prim Wits iewaiv9. also rmukea the applieanf ra sum PUTS to rtla a Si0ned statement that hYSN is OeeneM PursuantWNepMi51M50fine Ponueelpls'Stlte LiaMee ldw lLlRpkr9(EMnlnpxlry WnSSGm lLG01 u10'rvtipn9 Wthe undress and Prohnabow Whl or to n aS(aSUM Nerctrwn Me IM basis ler Ne AleDW exeMIM. MY *1of Sa MMe 5 B am app Mlot a cermo Subjects IN agaliWm 10 a qui pmelby of Me owe than (US M1wMM dopers(SIGNED t. M moat ai me promny mr a Mem 'm ape s their YOU Mnsaam, Moll of ee M, arra me O eWalued b lW PtMM m offered M Me l y�ai Minm Ola Prolesocral Vie: The Contactors Stale u6non am nor app?to an owner of property who WIN I moreover $hereon. and who con Such Mere nirreeRmersll at mmugh rex or her No ampwyeaa."Idod that much improvements arc ml enema or offered fur Sale. R. Answer the holding or �mptoeepAen� plan SMIDfn our year Of mmPOSSur the deme wall Aare late burden of PM109 nerve da ml heat a IMMve of read ❑ m'lprrde the eT`ire Conmachom l visuieieduLaweoo"clurWan owe of omamwmaai(aswimp01em'z•Biuereon and who mnvaels la such pounds wtlh a emvamurfsl IiR a MIAMI to the CMlraelpe' Slate UNISYS Uel I am aware that purl of mor Warner s Gmpenvllon InsuMee shodd M provided m AN. (3 1 am Owner uecer Decker B.S R L. ear NS reason: NIB: Caner: Iry heresy amlylhal l Not mare of and MdYmUrd lM regdrtmISt of Calmrxa Least and Safety Code Suchen 25f 2553J, and 25531 and that l or awe mere Widmg acmpwr vIllwaill nm ¢Irae one) need to co mly Me Mid dime Nodes ward ma rmAM1emems for a pernal Iw wRUunlon or mun kation from the Gr DuaNy Manwement Grind. M&dendal aMswcten algliutiens are weml from these p ns. Dana ' — L SUBMUM ume; 5 Liaame or social Secwip A: mal -46 Wmre—Bullhom: Gmor Iona PinY—Rwanue: GOlMrvo]—Nnenar CITY O COSTA MESA — BUILDING PERMIT PERM NO: M 05722.` PERMIT NO: M 057225 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC PURPOSE: OTH JOB DESCRIPTION COMMERCIAL INTERIOR ALTERATIONS SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC; B-2 / COMMENTS; RE:#B56995 4k44k#4k4##k#k±Ek#kk4kkkk%%k4%4#k#######kk%k###k%#kkkk#Nk%k#k###k#k####k#k4k#3ikk 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 REQQ• PROVE PARCEL: 13966121 ZNE: REF NO; PLANNING NOTES> ####k#44444444k#4kkkkk4kkMkkkk##kkkk#1pk 4kkkkkkk#kkkk4kk44444k4k###4444k#kkkk#kk 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; C�- APPLICATION ISSUED BY; DATE; kkk##4#4 kkk44444kk4kk4 kk444k44k# Tr%%'4 #kk444k44#4#4 M44k4#k44k444k4k#k444kkkk4444444444#4k44k4%444##4#%'#44444k44kk444.k LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING PERMIT 6250 54 SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 6,50 15,00 0.00 21,50 21,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 21,50 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21.50 k4 kkkk#)F#N4##kkkk4kk4444kkk#44M444 kkkk#kk44k'k44444#k4#kk44k44#449F4%%##k#4k#4#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 P T I O N UNIT COST TOTAL COST MEC 1 INST HOOD W/DUCTS EKED OF FEESEKHAUST 6.50 6.50 Adh CONSTRUCTION AND PLANNING APPROVALS _Permit 0- � _ Date Inspector POt.'PA APPROVALS Permit .+_ Date Inspector t , t. 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 i 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, 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 l 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 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 34. Final Heating & Air Conditioning s%�Q'L (•�/�, Notes: 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 YNOIEOS ADDRESS: 3505 CADILLAC AV ull B2 OWNER'S NMnE: THE O'DONNELL GROUP ADDRESS: 2201 DUPONT DR #100 IRVINE CA 92715 (714)851-0109 • ARCNIENGINUR: GORGY ENGINEERING REOMD.: RCE34126 ADDRESS: 520 E. WILSON AV END: 220 GLENDALE CA 91206 PERMIPEE: AMG CONSTRUCTION (714)897-0969 ADDRESS: 15401 VAN BUREN MIDWAY CITY CA 92655 LICENSED CONTRACTOR CMC TION: INrebma I under propeims ON Iallor 9 lcommendng With Section 70MI of (And 3 01 Ino Business am or Co a and Y ANSIa m lull rode an e 1. crtr aR' 055958�PATE 1 6289 3 CLASS: B pa@: I S' / l IIDnaWle: land oORKEM'CWPExsaa IDNDEECu PONN: liteen1 �saenioo MD. Led. RmlAaamAarsW maEDmsure waMnnaaeW mothers mpiresel ora unOiW my POLICY Na.: EES, CAFE: COMPANY: ❑ cennita ropy is Mreby mmisAN. ❑ CEniW copy A flied AAs the COY 9uilaing WSIM, Data: MOSt FMKMNEMM WORKERSCOMPENIMMNOECLWATION: 1sectimneed iwlh wnFklN e1M1e plrmY is IA am euN"IE10 m Wl' suAny that in performance ante wane for whah IN p mi Niaoea.Iehwu Art v"f p l Onm any mannerso M to amomr lYen a scow rrtp lith laws al Glifmia. Mare: � synw... Nonce 11, ale Maung dNs ded rnIM yon mould become Major 10 the WONars ermine non pmmvaM m.Ne Lmm ` cone, You must I"wiln tummy with such prw ll or ala permit ONE he dhmee fmW WMSTRUMIOM UNOINO AGENCY: M1ereoy Alf tMt there is a cominlMn IeMing epellry la the pulorngr¢e W 1.k wrck br whim this permit is *SOW finflun M97, Cl Ca LENDER: CHANGE OF CONTRACTOR ®DRESS: REPLACES PERMIT E56770 OWNER BUILDER DECLAMTION: I Mmby alllrm Nal l am exempt form led Cmlralws'Slate IXes Law far the fckworm rmmn reseniun usiness 7031.5 Band Protea nal Once: My City O1 carry enol requires requires a NOW ID Col WON IMmme. demolish or pair any Smewa. prim M its iaswoR. also requires the applcani per such permit to Ale a named statement that VSAM IS Menses Wrsuanl tWOn COW Of ION WS sharp Rlate052me UwlLE from al'Wg e" PUCM iO6ANt mi01 aW Gy 5by add Pmica ions apara mmdOf app to a cm Ana Ne ba an for Nealle fiveaempuon.nny maanm or sel4m lmts by am applaam mea perms aMjPCM IN appfloam to a eiwil lknelN of nm nerefAan five M1untlrta eoAam l35m1. 1. as p r f me prepeny my ampWpe� with ages -sat MET & cwryermaon. WE do IM1e work And ME ❑ pmima>SeA intenee0 wolferearlaraNe (]xl TON. ksmms and Prole0onW I IN CwnOapws' Bute Licerm Lary &as mol apply to an owner of a pea eM who builds or impowas tea am Who does spin m1. bi MDlVhemelf w Nrwgh Ws or ism her em losees. pmalde�that such lnmaemenM am not ASCII Or mMMd IN We N. hOw er fro budding w iu PF po`oaee o to A B6 we Me of con ton, the owner war Nye the burden m pmNM hO' eta Ml build w improve ❑ and PAd m essiornsioeR�piK'ecanuaeoel u�uonse ial: licensed oes mdnppy m Ono consumer om oroam poorest u erwinprmeBmerem and Wrm .pin ae8 lm sled pmiWS Wn a DOn Ma(S) license Wrsuanllw the Cu ntrz[fOrS' Sta4 LirE a Lawl. lam aware that pmol of their Wri a COMO Waon Insurance should ce Iff"ped to me. - ❑ I am neural under &Cies: B. a P. C. per INS fRm n. Dale Owner: I do berehy cemty that I am aware of am uMenuna has regOmmenn of Calil«ran Herl am Safery Code se tuns MIN. ill am 299 and that ler any handed budding wccreant All NO mode am)need to comply With said sett Codes and the raryinmenor Our permit Mr mnstr anon of mped mfon from the Air ouamy M onEmem DisnkL flead ndal mnsmuNmn a dconimi are eeempl from mese amended Data: Apphcay. I NrzbY Rdiry lhu lase read this Aplaidaton me stat that he above inf0r=Wn is wrest, l age m Crwpfy Wlln aK pry and county wOnanas END Vale laws Meting IS full mrslmnun no may autlmia mpndmAImircs N Me CA enter union Ne Awementimre] Ideal IN in Ion radial Date. Coil in Dew's License or social scurry x: III Wvee—Puaeraftsenn —.cono d1filromal. narv—otlicanL VnF—rwenua: summumm—Psseamr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; E 056996 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE JOB DESCRIPTION COMMERCIAL INTERIOR ALTERATIONS CLAIM VALUE: CALC—VALUE; R E N PERM NO; n theadepil NSU Y: PURPOSE: OTH SQ FT: GROUP OCC: B-2 / kkiE kiF#1F###k### ------------ MAIN BUILDING ---------- F E E S U M M --------- 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: 13966121 ZNE: REF NO: PLANNING N TES> ISSUE FEE Dir BUILDING—DSV—> k1Ek#kk#kkkk4#k###kkkk#k#k##'-kkkkifkk##Af kk#kk##kk#kilkk#it #iFiEk kkkM3tfFkkkkM#kR#kkk###k D E V E L O P M E N T 5 E.)lV I C E S R E Q U I R E M E N T S. ZONING APPROVED BY 0.00 28.50 28.50 DATE: REVENUE DIVISION TOTALS--> COLLECTED- 28,50 OVER/SHORT•00 BLDG PMT BUILDING APPROVED BY ll FIRE SMIP/TOT GRADING PLAN—CHECK DATE;, Mkk##kMkkM M#MMkMkkMMkkMkkk##k#k##.k dFkMkkMlFM k3L1,FM ked MBeMMMMMkkMM##MkkkM katM k#kkMkkkk 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 13.50 503 SMIP/NON—AES PLAN ISSUE FEE 15,00 BUILDING—DSV—> PERMIT ISSU. PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 13.50 15.0 0.00 28.50 28.50 .00 REVENUE DIVISION TOTALS--> COLLECTED- 28,50 OVER/SHORT•00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 28,50 I N D I V I D U A 1. 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 11 FIXTURES LIGHTING 1 ST 20 EA, 825 ELE 6 RECEPT/OOTLET 1 ST 20 .75 EA, ,75 4..50 ELE 1 RECEPT/SWITCH 1 ST 20 EA, ,75 .75 END OF FEES 0' 0311°"L7-0'^: 11dK,7 "- IATE: n.,; :`.fSi 1.,.r.. - CONSTfiJCTIC6,P-AND PLANNING - ,APPROVALS Permit Date 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 UFER 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, D 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. lar System -Final 16. Rough Electric Wiring fYl J` 7, Fencing & Access Approval 17. Rough Wiring Sign 6 APPROVED FOR PLASTERING s 1'8. Rough Electrical -T Bar Ceiling POOL/SPA SYSTEMS FINAL 'S3' 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 PREY. FINAL 30. Drywall Nailing ;�-"' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ', 79. FINAL INSPECTION 32. Electrical Power Meter -Final , FOOD CERTIFICATE ISSUED 33. Final Electric^ Z otes: 34. Final Heating & Air Conditioning 7/qZ L 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 Irriqation System F ,45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4B. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51'. CERTIFICATE OF OCCUPANCY No. Date fill in are spaces Within heavy border Imes and dgn all rperOl le dippilc nS. I CVY OFCOSTA MESA PEWIT NO.y TRACT NO. LOT NO. ISL[] NO. PERMIT[X �eR! -� CONSTRUCTION TYPE OF CONSTRUCTION jeT NEW ❑HOD CI ALTERATION []REPAIR ❑CONVERSION ❑DEMOLISH 94A -. � I98� 4 {/9¢z 9¢25 -- . Project Address ��C'G Owner ey ,t(, PAOn[ -)�/ Addrm -760 Br 3n/ y S .VU, .0101 BOTHER - - ZONING REGULATIONS ArcM1/Eng. Uc?s f p -Z License No. Ap IF DESCRIPTION OF WORK ACEre59 E, Itge r S .ZONE PLNG. REP. S' fgntraclor�(/ KGIO DY Lb _ ' Phordi TYPE OF PERMIT 13 GRADI NO 0 FOUNDATION ❑STRUCTURAL ELECTRICAL []PLUMBING OMEdANIC q[ i AND na 5pg a��PIvNUNE - Address 7. _ TEI erivel Frei LICENSED CONTRACTORDECLARATION❑TENANT I hereby affirm that I a Ilor eo der Provisions of Charter 9(Colo- Division 3 S the Business d ❑OTHER RIIGHTq manting IIR tion'7000j of FEAR YARD (TOPE f ) Profession& Code and y manse Is m full force and Dee. P / Z�sr PROJECT DESCRIPTION LI¢nse Ucen PKG, SPACE REO. PROVIDED _ Dat 519nTure. -I CONSTRONE TYPE OCCUPANCY—CONSTRUCTION STREET WIDTH ZONING APPROVED PARK FETE GATE WORKS IONOECLa T N' 1 hereby afllrm Inde I naoC a t0 SCiLmsme Of a effect et I new Of erate, VALUATION ZONE VALUATION O COmpensatlOn InSufan<0, O! d Certllle0 COPY nrtlflat 1 Compensation SPECIAL CONDITIONS: C (Saturn 3ROGi tab. C.). GftpO1NG CLL VOS. ACRES ,Nal3B0o, N /S'DV2y comwnv�Fa'A'/!r%ND. C-0,- e Copy - REMARKS; -Z, Z.s7 11CertifiedwpylsbeeebYtWn1enee. ❑ Certified copyO slier n.D the city BuildinCOMPENSATION EXEMRIOn FROM WORKERS COMPENSATION DECLARATION RK TION This ettlon sed not be [nmvlema if the permit B for one naalee ) r lex . 1`1000 SO ifthe peNOf TiOCe OI the Work for which 1M1IS permit IS SM101 Issued. 1 hall not employ any person In any partner to as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK bjent to the Workers Compensation Lowe Of Ca11}OTN. - BATHTUBS SHOWERS Cala Vandure NOTICE: 11 after making thus declaration, You should become.subiect TOILETS URINALS GENERATOR 04 KW_1-30 KVY t0 the WOrkeds' Comp[nsgion provislons of the Labor Code, you must forthwith comply with Such poselOni Or OM1B permit Shall be claimed LAVATORIES OOVBLE LAVS TRANSFORMER APPLIANCE 10-50 KW-50+KIN theseved. KIT. SINKS DISHWASHERS MOTORS 0.1 HR HE CONSTRUCTION LENDING AGENCY is -1-10 hereby fflthehat isagencyfo0nh30W SERVICE SINKS + SVMPS (INC. SOLAR) 1040 HE 50I HE there Which this Permit 15 influence w FLOOR SINKS FLOOR DRAINS FIXTURES I OUTLETS Z SWITCHES VS. C.I. Under'S Name Under'S Address _ DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION- INTERCEPTORS LLARIFIERS POLE LIGHTS I nereby affirm that 1 ameMmpt from the Contractor's I-Bacce U W for SWIMMING POOL PTRAP6W.No. -E Kula t ON .POLES METERED SUB the fol owing rea(Section 7031.5 Business and Professors Code: son Any city O county which requires a permit to OmArtut, alley, WATER SERV ICE ALTERATION [ PANELS MAIN SUB improve, demolish Of Ai any Structure. Prior to Its eflo nCiii re- Idust he dupraGand file thathe -' GAS SERVICE OUTLETS SERVICE Adult,00 ales ant lfor IIwnsM he provisions of the Contn CWr's Lleense Laws (CM1apier 9 (cdmmenfn9With Section 7000) Of Division 3 Of the WATER HEATERS RTU OUTPUT' " V ss Pre Rdesslons Cud¢nl orthathe isexempitherefmmand'the farthealleged seemo Any violation Of Section 7031.5 by for a-perml' subjects the umllant to a'Civil penalty " epplicanl I not more than five hundred dollars ($5p00). SEWER CONNECTIONS SOLAR TANK COLLECTORS roperty. or orkmy the yms; it wages nt as thrift zO L as owns of Sonproperty. ole compensation. will155uE or Offered tdr Sale. ISuCtion 7009, Sunni and POfesslono Code: The SOLAR PIPING SYS. FEE ' On owner ofs ty whractors Lomas LOW does 101 builds or improvestheon, and Wlhotdoes SUCH Work nlesselfl Or o B ISSUE FEE APPLICATION APPROVED BY - DATE - through his own employees, provided that such Improvements are nol Intended or offered for sae. n, however. the bwlam5 improvement MECHANICAL PLAN CHECK SUMMARY OF FEES IS Soldyear Completion, the owner wit ham the harden she UILDI BUILDING Plpvng did not bulla Improve for the purpose 1 lel. HEATING SYSTEM O -I OO.000 BTU E -SMTP $ 'D 1, as owner of the property, am exclusively contracting with AND DUCTING - _ -PLAN featured contractors to construct rhe prole[[ (Section 7006, Business and professions Code: The-Osuriel License UW does hot apply to 100.000+il CHECK $ PERMIT - ISSUANCE S owneran of property who builds or Improves tharern, and who colo REFRIGERATION 0400,000 BTU PLUMBINGE - MMtS from Such projects with' a-rontrattm(s) boosted pursuant to SYSTEM - - - GRADING S the COntractar`s License Haw). 100,000+BTU PLAN CHECK E ❑ I am clompt under Section - S. B P. C. for this BOILERS BTU ELECTRICAL $. E patch REPAIR, ALTERATION PLAN CHECK- $ 'MECHANICALS MICROFBM E; TOTALFEE E DateSYSTEM Owner e II hereby certify that l have application and state that the above EXHAUST SYSTEM MULTIPLE LESS Information eagree to Comply Ila all hely and County ^PLAN'CMECK' E VANCE PC ordinances and state laldw&totaling fO COn5UpC5IOn hand hereby eo - - _ - a above mentioned of this sty to ep p Property for i tllon purpo - Z-yD�Z 1 - FINAL FEE if Slpnatu,e OMe ISSUE FEE I Drivers' Limnu m 5 g SMF 0865 411 Vision 'Building; Canary-APPIKillS Pnk-ACCountln9: GoldenrodAssessor _ CONSTRUCTIOiN,AND PLANNING _ _ APPROVALS Permit E•'�'4�'y Date Inspector POOL & SPA APPROVALS- - Permit# -"- - Date ,-Inspector 1. _Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. Soil ipe-Undrgrn • ' • +' 44. Steel Reinforcement '_.. 3.. Electrical Conduit- Utility-Undrgrn _ -45. Forms •4. _Electrical Conduit-Undrgrn- _ _ _ _ _ 46. Electrical Bonding _ tee ein orce _ 47. Rough Plumbiri' & Pressure Test' 6. __Electrical UF_ER_ Grn _ - 48: APPROVAL TO COVER-GUNITE _ 7. Footings - 49. ElecVical Conduit-Undr rn - ,• - '' _B._ --9.- Foundation -_ __ _ Water Pipe-Undrgrn_ 50. 51. Gas Pipe, ❑ Uridr rn, Test Backwash Lines P-Trap,0 Undrqrn- 10.- Structural Floor. System 52. APPROVAL TO DECK - -- ---' • -- --- - - - - 11. _Property Sewer Line & HouseConnection 53. Backwash.& Receptor -Final ,_12._ Street -Sewer Connection54.. Heater &Ment -Fina!' " -,13.- Rough Plumbing _ __'Plumbinaystemnal .. - .- .._ 14. Rough Electric -Conduit - -- - - -- -- - - --56. Electrical -Final 15.- Rough Pli6Uic-Wiling "• "-- '- " - - - - - - -- 57. Solar_System-Final.°' 'rte "- - -' •� - - 16.- Rough Heating & Air -Conditioning - -.Fencing & .Access Approval 17! - Ducts, in .Structure = ' "' 'a- ' 5 APPROVED FOR PLASTERING - -18:& Ducts, Ventilating__ 60. POOL/SPASYS_TEMS FINAL - •-.,�-.. 19. Gas Pipe -Rough &Test - _ r 20:. Roof Framing 21. Roof Sheathing- - - '" '. .. -• , _NOTES: _ _ - 22. -Frame and -Flashing - - - _ %L23. Insulation 24. Lathing & Siding 25. Drywall,Nailing 26._ Plaster Brown Coat 1 4._ 27t_ Electrical.Power Meter -Final-' G - 28. Final'Electric - L. •' 29. Final,Heating & Air Conditioning 30. Final!Gas Pipe -Test 31. Final -Plumbing 32. -Water Service -Final _ - 33r -Gas Service -Final 34. Solar Domestic -Final '•' '' -- ! 35. Landscape Sprinkling System 36. Sound Attenuation 37. 'Handicap Regulations - - 38. FINAL STRUCTURE&BUILDING - - - • 39. Special Requirements Completed' - -- - - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - - -`- - i, 42. CERTIFICATE OF OCCUPANCY No. Date - -- - baream to Ins In all spaces within heavy border Ime$ and Sign all CITY OF COSTA MESA PERMIT NO. TRACT NO. LORD BLDG. NO. - - ' CONSTRUCTION PERMIT I.>W 81-380 24 TYPE OF CONSTRUCTION ❑NEW ❑ADO ❑ALTERATION 07fi8 1/1B/82 647_.68 - ' Protect Address 3505 CH 1 dC AVPI ui Owner Phone Addrea ❑REPAIR QCONVERSION ❑OEMOLISH (� OOTHER ZONING REGULATIONS ArchlEng. HiMS­PpptCXS License No. 4285 DESCRIPTION OF WORK119-1151-111 A.P. T 'AddreD� - N1 oppi ZONE _ NG. REF.e` Contractor 5]hlI1S COTIStT CtlOn Co?hdne 576-847 TYPE OF PERMITN'( t U , • ' FOUNDATION s,STRUCTRAI El GRADING CJIe ❑TENANT 0 ELECTRICAL OPLUMBING LIMECHANICATPRO SET ACK y �Q�' WV11NE y RD _ Addrea LICENSED CONTRACTOR DECLARATION I hereby affirm that I am fall antler prOVISILMS of Charter) (card. I El RIGHT w[iM1 tion 70001 1 DIVIPOn 3 Of the'BYSir d OTHER PrIn oiea�O S Coag, d y Rwnre Is In full forces b effect. REAR YA RD -0A 1 - R6"d4Y PROJECT DESCRIPTION LlcenseOlass O License No: SQ. Fr. .3N('R PRO. SPACE REO. 592 PROVIDED 670 - _ Date Signature OCCUPANCYET2LONSTRUCTION TYPE"Im-STREETWIDTH gnu PARK FEES WORKERS' COMPENSATION DECLARATION I hereby affirmthat 1 have a pariOI Consent to ulf-Insure or a VALUATION /elD S•ETZONE ZONING APPROVED B DATE _ n •• Dote 1 Worki COMedgmatlon Insurance, 0r a certified angry - SPECIAL CONDITIONS: If(Section 3800, L.0. C.). GRADING CV. YOS. ACRES I NO. 7 CompanyF*SdEERI plydigiat - SOFT Lpy IS hereby fUlOiShOd. - - REMARKS: - ' C' FOR SPECIAL RIUUINLI.ieca1p &erUlleO WRY is fled with the City Building CiVISIOL HOLD EXEMPTION FROM WORKERS' COMPENSATION DECLARATION L574i- Ydlon neetl not be Completed If in* permit Is for one hundred .. - - - jTNs $100+ Of ur _ t y I at perform nm of the work for which this Permit d Issued, hall t employ any person In Any Theater O 6e to become not Workers PLUMBING - PLAN'CHECK ELECTRICAL- PLAN CHECK Subject to the Compen[aNOn Laws Of lOrnla. l _ BATHTUBS SHOWERS UvatiSn Date Signature FT_ NOTICE: It aster king this declaration, you Should became &II TOILETS URINALS GENERATOR py KW�L10 KW Copaation pmvlRon[ at the Labor Orion, YOU mYSI to the Worker mrm forthwith Comply with Such provisions Or this cermlt shall be deer LAVATORIES DOUBLE Lei TRANSFORMER APPLIANCE 10.50 KW -50 a KW evoked. KIT. SINKS DISHWASHERS _ MOTORS' - 0.1 HP HP CONSTRUCTION LENDING AGENCY -1-10 ereby affirm that there It a CONlfuCtlOplaOmOgageoCY ler the per- SERVICE SINK$ $VMP$ (I NC. SOLAR) 10.50 His 50. HP IOfrllapG 015th¢ Work for which !Ms permlf IS i55 uedl t5eclion.e3097 ^M. - - ^ ^ • T --• FLOOR SINKS �'S FLOOR DRAINB Lit. ^,651 Vv FIXTURES OUTLETS SWITCHES - Civ. C.1.- We113 FdTDD mak' LeOdeYS Name LInO¢rlY Adonis' ,i DRINKING FOV NTAINS - - D , GASTUBESIGNS OWNER BUILDER DECLARATION I.. `% Ir INTERCEPTORS CLARIFIER`R.- y\ POLE LIGHTS ' ' - Y fnrmslhat l amexempt from the ContractorY'Llpense 4wJar; L.. - „5. SWIMMING POOL PTRAP POLES METERED U the lollowing •e n ISecOEn ]031.5 Business and.lanormI Cotle: Anycity Or county which reala permit to construct, alter, WATER SERVICE ALTERATION PANELS MAIN SUB IMF,ran,demolish Or reuir any SIRappearprior to is issuance, also re- for to file a signed statement that he th tIlse applicant Such permit I5 licensed pursuant t0 the wavisiOns of the Contra dor's Limn a Law GAS SERVILE OUTLETS SERVICE AMP ' (r-.pt'f 9 tcomm nCing with Section 7000) of DlWsion 3 of the WATER HEATERS BTU OUTPUT - O area ons m del or that he is exempt themlwm and the ass and alleged exe poen. Any violation of -moon 7031.5 by SEWER CONNECTIONS — apt -nor mloretman lisp hundred rSu jolters Ia applicant t0 all penalty 001. SOLAR TANK COLLECTORS ❑ I, as owner 01 the property. Of my employees with wages as their sol will do the rBusiness and theStructure offered for sees- ISISTOn 7044 and REfessons Code:: The SOLAR PIPING SYS. ISSUE FEE does lot nd apply Contractor's who ildsor improves thereon, holo an does Such wof a k h Tr Or ISSUE FEE .APPLICATION APPROVED OV DATE harlllhis OwnomplOtexir OFOr eO that save improvements are not MECHANICAL PLAN CHECK SUMMARY OFFEES Intended r offred for ale. H, however, the buildin r Improvement news B ante within dna r6ao m pompo0udn, m6 Owner wuP the burden f proving he did t build Improve for the purpose of Sale). o-100.000 BTU '�/�'�'���,. rr O I" s Owner Of IDG program%. am exclusively contracting with HEATING SYSTEM PERMITBUILDSeo SMIP 5 - IIMOsed contractors t0 Construct the prole0 (SBctlon 7044, Business AND DUCTING 100000 s BTU . PLAN CHECK $_ PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE S an owner of property Who bUlltla or Improver thereon" and who con- REFRIGERATION 0-100,000 BTV PLUMBING S from Such cts With con\fac1or15) IICBined pursuant 1 SYSTEM GRADING E ttracts his Contractor%Lcensee Law) 100.000+BTV . fs C-� ,� 5 PLAN CHECK 3 ❑ I am exam t under be on B.8 P: C. for \MiBOILERS BTU ELECTRICAL E S reason SYSTEM REPAI R, ALTERATION MICROFILM L PLANCHECK it TOTALFEES Or DateWtat I Mot l d[h a On slate ea00re EXHAUST SYSTEM MULTIPLE MECHANICAL S LESS - the t. y and nlOrcl. amply wilM1 all City and wunfy mply VANCE PLANCHECK S VANEPCwdlnlaws a De onstmenlOn anaMere yallthOriae a eprems t ter phn the boy memmned )Faml0 // 71 1'YSigna FINAL REE SDrive 55 ISSUE FEE - CONSTRUCTION AND PLANNING APPROVALS Permit # aas Date Inspector POOL & SPA , APPROVALS - Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn46. Electrical Bonding 5. Steel ein orce S'_ g_13M 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE ' 7. Footings - 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection' 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55, Plumb no System - Final 14. Rough Electric-Conduit - - 56. Electrical-Final 15. Rough EIectric-Wirinq 57. Solar System-Final - 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval 17: Ducts in Structure - _ APPROVED FOR PLASTERING ' 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL ' 19. Gas Pipe-Rough &Test _ 20. Roof Framing I:->__ 21. Roof Sheathing 6-2-Sa NOTES:: o /ot- j'e el 22. Frame and Flashing 23. Insulation ' 24. Lathing & Siding 6 _'a 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. 'Landscape Srinklin System 36. Sound Attenuation 37, Handicap Regulations 38. FINAL STRUCTURE &BUILDING 39. Special Requirements Completed O .J 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date snponeantto fill In all Spaces within heavy border lines and sign all appro Pilate declarations. CITY OF COSTA MESA- v MIT NO. ra TRACT NO. LOT NO. nL G. NO. ' /�' �f a -S 0964_ - - CONSTRUCTION PERMIT 3(o b 2 TYPE OF CONSTRUCTION NEW EJ ADO L3 ALTERATION ❑ REPAIR 0 CONVERSION O DEMO LISH - - (/20/82 13_.02 RojetYAOprm S / Owna PhoneI Addreas - O.T.S. ZONING REGULATIONS ArchlEn9. License No DESCRIPTION OF WORK IA.P.N y ZONE PLNiCra. R9IE1FL. dicer - r,2/3Phone 3 TVPEDFPERMIT ❑GRADING ❑ FOUNDATION - ❑STRUCTURAL r0'TENANTr.O ELECTRICAL' LUMBING OMECHANIC SET YggO 5 p y pSF�N F OnEI TYLGrvE - - - 'AtltlrRi - LICENSEO. ONTRACTOR I LARATI I hereby affirm IM1N I am lishar antler prONzlons o1 Charter 9,1%rm- y g11GHT with flan _]000) at 'OIVBIon 3, e1 Te�/�Be�uilne�is O' OTHER. -- - pIng �d �b�l, rofessions Code n0 MY 1 flee Is In lull Lre�LtY` REAR YARD (TD-P/LI- _ L/ PROJECT DESCRIPTION' Lluns CI s -- reset. - -PKG: _SO. FT. _ OCCUPANCY_ CONSTRUCTION TYPE _ $PACE REQ. STREET WIDTH - APPROVEDBY -PROVIDED' - PARK FEE EL- DATE - - - Data-� S WORKERS' COMPENSATION OECL RATION -w I'herebyaffirmthatlk a certificate of consent toollf4risureeia yALUATION ZONE r .ZONING (YrtINGte of Workers' COMPermatl0 1 foe W._ ertlfirf.w _ _ GRADING CO.VD9 gCRES _ : - SPECIAL CONDITIONS: - - - - -- lot ISO¢tI 0 lab. CJ y No. TAmpan LertlflM pY _-by- REMARKS. SCopy R filedwith the city Oi - E%EIPTION FROM WORKERS' COMPENSATION DECLARATION - - ,•- section need Rol be Completed f ma pelmll IS for one hundred - - - T ' ITlals i1op� or lea - tOrt ly note MAOI maO[e work to; this perm f - - - - — - Mat rs n I der to e Issued, s mail not employ y any peionn m any manner so as m bac .PLUMBING:., - PLAMCHECK - - - - ELECTRICAL - - PLAN CHECK Subject to the Workers COmO_em_dtlen La_w_a 0_f GIIIO_mp r -BATHTV BS' -SHOWERS - " r- -' I NOTByte ggthisd NOTICE: If after makln9lhls eecWratlPn, you should became su0iect taking TOILETS'- URINALS- - - GENERATOR-. o, Big KW to Its Worker Compensation provisions of the Labor Code, You. TRANSFORMER _ forthwith comply With such provisions Or this permit Tall se poll ranked. LAVATORIES DOUBLE LAYS 'APPLIANCE -1030 KW_50+,KW - -__ . ._ CONSTRUCTION LENDING AGENCY KIT. SINKS --OISHWASHERS- - - - -MOTORS bs HP ---1-10 'HP - - - - I hereby affirm that there is a construction lending dgantYlOr tbeoer- tarmancn of the work ler Which this permit Is Issued ISectlon 3097 SERVICESINK$ ,.)Tr .$UMP$- - -- - �IINe. SOLAR] lOdO HP Self HIL' _ _- -FLOOR SINKS----FLOOR-DRAINS 1 ^:-FIXTURES - OUTLETS -SWITCHES Vc.C.l. - - Leader I Name Lenders Fusioi- -' --" " DRINKING -FOUNTAINS 11� -- - -- GAS TUBE SIGNS-- - - INTERCEPTORS "CLARIPIERS - 'DOLE LIGHTS- - - --- - OWNER BUILDER DECLARATION. I hemby nm that exempt from the CWHO Sort License LOW liarTe.fat SWIMMING POOL' -PTRAP -- - PO LES - METERED SUB - owing redsn-(4tllon7031.S.Ousiness and ProfessionsCoder Any city o county Which requires a permit to OOIct, alter. WqT ERSERVICE ALTERATION -- - PANELS - -MAIN- - sue - loss VO eramph. or repairanyorutlufe, pHOf tel Its IRY9nCe. aNp e- Licatthat :uLifee ieit aPursluuaant toethe provision: Of the signed statement eftew. - 'GAS SERVICE 'OUTLETS _ - ..__. SERVICE - AMP (Chapter 9 (commencing with Section ]000) of Division 3 of the _WATER HEATERS-- BTU OUTPUT- -- - - - - '- - - - -- ' '- tl PrPloslons.Code) or.thal, he is exempt therefrom. and the a far t exemption. Any violation of Section ]031.5 by alleged SEWER L2NNEETSENS - w - - - - - - - applicant loot to a [lull. penally [than do11ar5 a Ilwehund etl ISSOOI orDot More SOLAR TANK COLLECTORS - - - - - - ' ere Owner 01 1N property, or my employees wild wages as their se compensation, cam de the and me wrtum 15 not IntendedThO for Yet. 44, B d 5a Ore: or olfer¢dYer' (Settler ]Oen, Bapply • ^ "�' F' N -I —ISSUE FEEWho ` Sty o an owner 1 property Cha Lica does not poly to o r Imps vo and who es such or n0 builds Or Improves Impr we - - ISSUE FEE "" "'�.' - gppLICATION�APPROVEO BY - - -.. DATE - employees, MOv such ant are not through his own ed provMed that such ImPgor MECHANICAL -- PLAN CHECK _ I - - SUMMARY OF FEES Trent- for via. improvement ve Is p offered for NI¢. V,-howxwr, the building Is sold within he thel sold 1 Of yearofIwm-or ofor Intoe twilltdW UK). I proving 'ho'tlitl'nOI tNld-or Impreve'tpn'tM DluDosa 1 Ie1� proving he HEATING SV STEM 0-100,000 BTU �BUILDING - - PERMIT S - - - - - State i ❑ L, as owner of the property, am xelusively co tracting IT ,AEA DUCTING - 'I ,- licensed contractors to construct the tube( ISeNon 7040, Buslmss 100,000+BTU PLAN CHECK i PERMIT - and PJOIHslons_ Cotler The Contractor's Licence Law does nota ply to _. _ ISSUANCE S towner of property who huiltla or ourselves thereon, and Who cons- REFRIGERATION 0.100,000 BTU 'PLUMBING 5 ' racts, Tram such orOlectl Witt a wmraCtor(O IlcNneO, pursuant to -SYSTEM _ _ - _ _ -GRADING S the ConlractOPS Uc¢me Law). 300.000+BTU PLANCHECK L , 0 1 am exempt under Sector B. & P. C. larmis BOILERS 4 - BTU. ELECTRICAL S - -- - - $ SYSTEM REPAIR, ALTERATION PLAN CHECK E TVTCROFILMS ' TOTALFEES rIs I Oaten Owner _ _ .MECHANICAL -S - ytn,t tion s Ihereby[erl (have read this application and sla ettat lnndbow EXHAUST MULTIPLE -LE55A0- informetlo Ys f. I grx 1p comely' with all city and County pLAN CHECK S- VANCE PC S_ - tirdlnarl[e fat le relaWloq to construction.fet eeehY aUrlhOslse -I _ represen a ire t 1 city enter upon or Proper n it poses. .. T -Z' FINAL FEE $ �w3.0 _ _ _ Sig _ .. _ _ _ _ O s'Clcense or 55 SSUE FEE _ ..__ �. CMFOS65-46 While-BYilding:Canary-AppllcanL Wnk-Accounlln9: CONSTRUCTION AND'PLANNIN APPROVALS Permit # ��� Date POOL & SPA e t - Inspector APPROVALS i Permit # Date" --Inspector 1. _ Temporary_ Electrical Service or Pole _ 43. Pool & Equipment Location- . SoilPipe-Undrgrn ,_ 57"-,4 a gZ 44. Steel Reinforcement - - - ,.-3. -Electrical. Conduit.Utility-Undrgrn __ 45. Forms - ---' '- 4. - Electrical-Conduit-Undrgrn.. - - - _ - 46. Electrical Bonding -� 5. Steel Reinforce orce _ 47. Rough Plumbing & Pressure Test' ..6. -Electrical UFER.Grn_ 48. APPROVALTOCOVER'-GUNITE- --- _". 7. - Footings 49. Electrical Conduit-Undi rn - - 8. Foundation - - - - 50: .Gas Pipe, ❑ Undr rn, Test 9. -Water Pipe-Undrgrn-_ 51. Backwash Lines P -Tran.❑) nd'r rn_- . 10. _.Structural Floor. System 52. APPROVAL TO DECK - _11. _ Property. Sewer. Line & House Connection _ - _ - - 53. -Backwash & Receptor -Final' ' • .12. - Street Sewer Connection _ -- ' - 54. Heater & Vent -Final ' 13.._ Rough.Plumbing _ - - -" - - -- 14. Rough Electric -Conduit - ' _ .56. "Electrical -Final - " " " 15. Rough Electric -Wiring '-' '-'57' -Solar System -Final • 16. Rough Heating &-Air Conditioning bb. Fencing & Access Approval • 17r Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing - -- - - '- - - - - 60. r - -- - - POOL/SPA SYSTEMS FINAL - - -' 21. 22. Roof Sheathing - Frame -and Flashing--- -- - - - - - - - - "NOTES: _ - • 23. Insulation - - - - - -- - - - - - -- --- - - ^' 24. Lathing & Siding - - - - - -- - - - - - - - - - 25. Drywall Nailing 26. Plaster Brown Coat - - - - -- - - - - 27. Electrical Power Meter -Final 28. Final Electric - -- - - - - - 29! Final -Heating & Air Conditioning 30. Final Gas Pipe -Test - - - - - -- - - _ - - t 31.. Final Plumbing 32. Water Service -Final - - - d-�-�$- --- --- "•`- """' - - ' 33. Gas Service -Final - - - 34. Solar Domestic -Final - - 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap. Regulations - - - --- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 1 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No - Date Applicant 10 D11 in 211 spaces within heavy baraar lines and Sign an appropriate declarations. CITY OF COSTA MESA PE MIT NO. TRACT NO. LOT NO. SLOG, NO. CONSTRUCTION PERMIT 3619 [ TYPE OF CONSTRUCTION I3[NEW ❑ ADO C ALTERATION ❑REPAIR CCONV EftSION OOEMOLISH 6265 5/24_/82 24._42 ' Project Address 3505 Cadillac Ave., Bldg. B-2 Owner e Par Partners Phone752-55!E Address 1301 Dove St., Ste. 760 N Bed ❑OTHER r ZONING REGULATIONS ARF/Eng.HiMS-PeterS LianM No. DESCRIPTION OF WORK AP's Address 119 E. Alton, 5allta A}Ia - ZONE" PLNG. REF.Contra¢ / - Q - PM16nh - TYPEOF,PERMIT - - - ❑GRADING" ❑ FOUNDATION Q -STRUCTURAL SETBACK T. �& 1 1 G E L• •ACJ!¢e[ Address � 0TENANT 0ELECTRICAL CPLUMBING E3MECHsVssCzg. Fa�rY Rp p y - LICENSED CONTRACTOR OECLARATION 1 hereby affirm teh6t 1 am licensed der provisions of Chahar 9 (com. -with tion 7000) 1 UDIN[lan 3 f the Business d OTHER IG T menchig Permanent Cade, and my license is In lull form and effect. .0 REnR YARD( _ .. toW4., 00�Lzzzzm PROJECT DESCRIPTION License Class Ummm No. PKC. SPACE REQ. YIDEO I "Signature SQ. FT. '. - Dal - OCCUPANCV_CarySTRVCTION TYPE _ STREETWIDTH ,: PARK FEES WORKERS' COMPENS DECLARATION '1 hereby alll m [hal have a Car[Illpte of consent l0 sell -Insure or a s have a ROOOO VALUATION ZONE ZONING APPgO DATE urtifiwte' of Workers' Compensation Insurance,_ r esillea ropy _ GRADINGCU.YDS. ACRES SPECIA ONO IOrvY ,thereof ISection 3800, Lao. C.). rY NO. COmany ShIAW Copy Is hereby formation. _ _ _ _ _ .REMARKS: l _- - U Certified COOy Is filed with the city Building DIVIs10M1 . EXEMPTION FROM WORKERS' COMPENSATION OECL'ARATION - - --- - + '11This section need not be completed If the permit Is for one hundred _ " ' "l - 1 11ce0dt lEal. III _ _ _ _ _ _ that mane Performance OI the work for Which this permit Is Issfy ued I shall t employ any Person In any manner sus as to become PLUMBING % - -" PLAN CHECK ELECTRICAL PLAN CHECK-- sublaclto the Workers. CompemaHbgedws bl Collfbria. _ _ BATHTUBS SHOWERS -sawhi LINU -go -'- I Date Signature FT 'NOTICE! If alter making this declaration. YOu Should become, subject TOILETS 1p_ �•. URINALS - - GENERATOR' 0-1 Buy 1-10 Hit to the Workers' Compensation provisions 01 th0 YbOr COtle, you must - TRANSFORMER torthwilh Comply with such Provisions or this Permit shall be tleemetl LAVATORIES DOUBLE LAYS-`" -- - APPLIANCE 10-50'KW�50+KW evoked. CONSTRUCTION LENDING AGENCY KIT. SINKS -" DISHWASHERS MOTORS 0'1 NP_3-30 HP --- 1 hereby aflhm that there Is a Construction lending agency for pen SERV ICE SINKS SUMPS - (INC. SOLAR). 1050 No 50+ HP - J fornki of the work for which this permit Is Issued (Section 3097 FLOOR SINKS - FLOOR DRAINS - - FIXTURES - - OUTLETS SWITCHES' Cie. C.). "- "' Lender's Name ILentle,%Address DRINKING FOUNTAINS" - GASTUBE SIGNS - OWNER BU1409RDECLARATION INTERCEPTORS - CLARIFIERS POLE LIGHTS' -- - - I l:efaby affirm that I am exempt hoot the Contractor's License Law for SWIMMING POOL � PIERS - - -uuwOIHUUIIUN - and [h0 following masa, (Section -7031.5 Business WOlesslons Odom Any city Or my which troops a permit construct, alter, POLES METERE WATER SERVICE " ALTERATION MAIN SUB _ Impoveaenr or repair any structure. prior to Its ssuance, also to quires seen to fileSigned triet Me aPurs —the GAS SERVICE -OUTLETS' - SERVICE PMP _ proW[Ions ofermit nten[ed ant to theCntractor% License Law- 1Cha jar 9 (commenting stn Section 70001 of Division 3 of the WATER HEATERS BTU OUTPUT - - - - gminen antl Ndtlsiam Code) Or that he Is exempt therefrom and rho lor the alleged examiner. Any violation Of Sisdon 7031.5 by 'SEW ER'CONNECTIONS forto'a civil Al a p rmithundsJbje le t opat mluntore i (f500�icant xCla'. -SOLAR TANK COLLECTORS - - — owner the0, my employeeswithis their as n of Oace a Stru15 noes oHemo tOr sales ISeCtlan Bminess and Nofesslons Code: The SOLAR PIPING SYS. - - - ISSUE FEE - mmEr Law y7044. who rhullas or Improves taleon. aes nd Whoro an owner of 0 00es Such Werk hl regally whoor ISSUE FEE APPLICATION APPROVED BY -- DATE- Me awn employees, provided that such Improvements are not _ MECHANICAL PLAN CHECK SU MARY OF FEES IrishP a or offered for sale. If, nes the bmldlng Or Improvement the Is spm Tamm one year of Completion. owner will haw the burden 1 proving he aid not build r Improve for the pulpa of IS). - HEATING SYSTEM 0.100.000 BTU BUILDING PERMIT $ ! S r SMIP �, 8 -r5� �. 1. df O re! Of me prOpeflY. �am exclusively cool aCling Ins ANDDUCTING Contractors ors to he orojecf {Sedlon 70r9g, BUslnas[ 100,000+BTU MILAN CHECK E PERMIT • a Conn and ProfO Rode; The COntta O!' Law d05a t dpI and ISSUANCE f� prGwsO con- an f of owparty who pUlltls or Improves mereon, a w o - wrim Of o mraclais li[esneo REFRIGERATION 0-100.000 BTU PLUMBING f - taCH IfOm such Wm ant .10 the CoNmcmr'sLomas Law), ��:_F r/lot SYSTEM 100,000+BTU - PLAN CHECK f ..GRADING 8 ❑lain Sett this - $ of OL under n\ BOILERS BTU ELECTRICAL f ream n SYSTEM REPAIR. ALTERATION PLANCHECK f MICROFILM S TOTAL FEEB' Dal 5 B One I In Shymirl Ytnatlhaven mBawP14at n Estate Ola M1e LbmO EXHAUST SYSTEM MULTIPLE MECHANICAL- S' ":LESS AD. Inf (Mallon Is sect 1 of pal all It and County ord dor d sial I to tr ' dna ene�bynae authorize PLAIN CHECK -B- - - VANCEPC S_ ' d ep eMntei of his C I 'ante o /Faire -above I Pro rIy_ If rP r IS O[-� .. FINAL FEE 8 Signal to Drleas or55 - �. ISSUE FEE - - CMF OIS&S-4S White-Building?fm06-APPIifanr;Rnk-ACwunting; GOMCMOCI-ASSESEA CONSTRUCTION AND PLANNING '' - " APPROVALS - ` ! ''+\': Permit # X13 � 6 Date Inspector POOL & SPA - - •� APPROVALS Permit # -+ Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Soil2. Pipe -Un rgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility,-Undrgrn.' 45.. Forms " - �4. Electrical. o duit-Undrgrn ' _ .� 46. Electrical Bonding - Steel e,n orce 47. Rough Plumbing& Pressure Test 6. Electrical U ER G 48. APPROVAL TO COVER-GUNITE 7. Footings _ _ _ ,-�+ 49. Electrical Conduit-Undr rn -8. Foundation - 50. Gas Pipe, ElUndr rn, Test 9. Water Pipe-Undrn gr 51. Backwash Lines P -Trap. C1ndr rn 10. Structural Floor System ,. 52. APPROVAL TO DECK . 11' property $ewer Une,&.House.Connection .53. Backwash & Receptor -Final - . 12. Street SewerConnection54. Heater &Vent -Final .13. Rough Plumbing;.r- _ 14. Rough Electric -Conduit -56. Electrical -Final 15. Rough Electric -Wiring - - "- 57. Solar System -Final ' 16. Rough Heating & Air Conditioning Fencing & Access Approval 17: Ducts in Structure, APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test + - Roof Framing - - 60... POOL/SPA SYSTEMS FINAL, 21. 22. Roof Sheathing- Frame and Flashing- - - NOTES: 23. Insulation 24. Lathing"& Siding 25. Drywall Nailing - - 26. Plaster Brown Coat 27. Electrical Power Meter -Final' - - 28. Final Electric" - - - 29. Final'Heating.& Air Conditioning 30. Final Gas Pipe -Test - 31: Final Plumbing - - - 32. Water Service -Final - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landsca e S rinklin System - 36. Sound Attenuation " 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison - - - -- 41. Gas Release to Southern California Gas Co. +• 42. CERTIFICATE OF OCCUPANCY No. No. Date CADMAC AVENUE - unit C B-2258- CCM. Bldg. Unit C P-2369- PIBG.(B-2258) E-2625- Mr. (B-2258) unit C B-3607- Trash Enclosure 71;71g) 3505 Lot 20 - 212,546. 800. 0/ 3505 Cadillac Avenue UNIT C I _ G-20343 t.t, 80,000 589-85 ��(#C) 7 n E-20459 Con. Sub. Pole C„ %/s/�� (G-20343) B 073059 COMMERCIAL T.I. — - _mm � I — E 74010 Unit: Bldg C M 74009 Unit: Bldg C 4",i /— - -5'7-ACU e T !/e e 2 %/ir BU/4,p/w(; fIA141- - 44 Ev 7 oe/ 41 /0///p ' dM B i,uc /o -.� -y s /D - 9/L Co,dD' TIOIJ1 4) C (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.9bILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Suite: C Vicinity: BLDG C PYRAMID LAB Primary Occ: B Eat450/ Office/ Bar<50 Parcel Number: 13966117 Applicant: GORGY, MEDHAT Address: 3505 CADILLAC AVENUE COSTA MESA, CA Cerner: GORGY, MEDHAT Address 3505 CADILLAC AVE #C - COSTA MESA, CA Contractor: Address: il Type of Construction: Zoning: Phone: 714435-9800 EXT 1600 ISSUED BY: Zip: 92626 Phone: Zip: 92627 Phone: License: Status: ISSUED Applied: 10/132005 Issued: 12282005 Arch : Eng: MOHEB S GORGY Address: Address: GORGY ENGINEERING INC Phone: GLENDALE, CA - Phone: •818-507-5747 • 1545 VICTORY BL STE 102 Zip: License: 91201 License: C53260 SCOPE OF PERMIT LEGALIZE EXISTING NON -PERMITTED 5 -TON ROOFTOP HVAC PACKAGE UNIT AT "PYRAMID LABORATORIES' IN BLDG C 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 suspendao 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) 7545626 244649 (WOO) FEE SUMMARY Plan Check: $90.51 Calc Valuation: $6,500.00 Permit: $139.25 Claim Valuation: $6,500.00 SMIP Res: $0.00 SMIP Com: $1.37 Other: $139.25 Inspection: $0.00 Total: $370.38 PLANNING 8 ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0.0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 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 suspendao 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) 7545626 244649 (WOO) DECLARATIONS JIM I nemby&ran under Pat OECLABe of 00 Isereby aMrm antler panelry of poqury me of Ne l0lkwirg tlederedam: ❑ I haw and will maintain a"Mflrew M bull an saff Iscraw fair wOMem' Pensetkn, As provided for by motion 3]W at the Labor Cal i Na Parlortnance of the work for wood Mk parmit is Issued. ❑ I have and wN mainldn mftm'canlwcadon lmumnm, 35 mpuired by s On WDOdp Laba(bm, for Me petldmdnm of Me work Far which Out Ma kkNeed. My workers'mp QUen Insumxe cm Mr and poetry number em: Carrier Pceok Number. MO Wallin need Indbe cay*Wif Mepermto,tiedetma hurshadd om(SIOD)aI ,) ._ IcenMy,deti In Vw of x301 deb worelarwNOs dek amVBIssue4lshall warmer inany menthe sOasa7x00esubjecol Labor Coca, ,mmporlalidn laws d Celilamle, and agree IM1e II I ahWltl becane augers rd, the woweK cwnpanaellon travelers d 6emim 3ID0 d the Labor Carle, stall fodhwiM Xq ��p111''ynM.tlp3e pravulOru WPANNO:FNLUPE TOSELURE WOFY.Ef6' EWUMAWFLL aND$W1115UBJECT MI EMPLOYER TO CRMIN PE TlE AND CML ni HP TO IXIE HMOD TICViIND LOw Rl xmM. IN ApMI1CN M THE L LifOMPENSiIIIXJ, DAMAGES Ass Fail No MR IN SECTOR 3736 OF THE LwOF1 O E, IM WU. AND ATTOPN EMS fEES. LICENSED CONTRACTORS DECLARATON: 1 hereby affirm Met 1 am scandal uM r peWbm 0f Chapter B (COmmamCing with Section ]000) d D'Melon 3 d the Business and PMeubm Cade, and my license Is In full lora and a w. Lk. a Class p Contractors signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a constmclion lending agency for IM1e performance OF the weer fa which Mil permit b Issued. (6x.309]. Civil Code). Landers Name: Lenmfa Address: Signature: Data; OWNER -BUILDER DBCLARATONS: I hereby e1Nm Mel a dor pemlry d penury Rai I am EXEMPT FROM TRE CONTRACTORS LICENSE LAW for the tdbwing reason (Sec. 70l Business ash Prafesdlons Code: Any city 0r manly which requires a m mit to mnswa, slier, impmve, mmdt h, or repel any eVudure, peor W its Issuance, aim tequ Ne applimm Ids sues permit b Idle a signed slaldrrant that he Or wile Is licensed pursuant to the pro lms d the Cmteddrs Dama Law (Chapter 9 (mmmencing wide Sackn ]Dooj d Divislm 3 d Via Business and Profesdons Cafe) or Mat he M She is exempt MCMrom antl the Beale for the Alleged exemption. My volalion d Sechan 7031.5 by any aacho nt tar a per subjects the applkanl In a civil poetry d rut more tote fiw hundred Idlers (5500).): ❑ I, m owner of pw propaM•or my employees wish wages as Meir sold ampomnkm WILL DO THE WORK, and the structure is not intended or offered for sale(Sec. ]OCs, Business SM PMessians Cods: TSB Cdntreatoe Lkeme Law does rw apply to an Owner OF prap0ny who buldc Or improves 1M1erxn, and who adds sacs work himself or hereall mshmogb his or her Own employees,pro that sues ImPMOMenle are not]awarded or Offered for sale. Ii, hdwew5the hui�np arimprewmanl is said wierin we yxraf comdetiren, Me oxim-4d, lder wN have the burden of proving Mat he Make did ml build or improve far purpose of sale.). ❑ t, as Owner of Me prapelry, am EXCLUSIVELY CONTRACTNG Yell LICENSED CONTRACTORS to construct the prdecl Sm ]OM, Business ad Probmkna Cattle The conitaclars Ucends Law does not apply 10 an Owner d pn 4 who builds or Improves thereon, and who control fa each matter with a commcmr(s) fa license paRnant to the Contractors license Laws.). �`.am aaempl abler sc. Basins and Pldessbns Cotle tar the raison: -- _ Signatbre`�" O O IBI^W p wd Jbirdi5year ❑ No Oriwl9 Uwme Na, . Eapyas; .pyl(y Verification d Ownership by (type al dmumanL i.e.- PM rly W d9 or used)::L DIVISION OF INDUSTRIAL SAFETY PEAMM CERTFICATON: ❑ I hereby, Randy that no excavation firm(5)or most feet in depth into whkd a person a e Wrel to demand, will be made In connecem with "NO RUMWM by this permit, and Mal 0 huiMing succeed, araMol0ing, lalsawow, or demditim a dismantling Imed, will be more than Until (36) feet high. (Chap. S2, Or 2, Art 2, SBE, Sol, Tills 8, Cdikmta Adminiahaive Cada). ❑ As owner-busMer, I will not employ anyone to ca work which would require a cal Imm MB Division d IMuettldl Saf l , as Owed above, unless sinner parson was a petmil to do such work tram she dimim. Signature: Date: Diffuse of Industrial SOMY Pamil Number: HAZARDOUS MATERW S AND EMISSIONS CERTFICATION: I W IO IM1e applbuse d present or NWre WlltlinB occupant need to Ilia antl molly a Business Plan for emergency response b miasma Or threatened M1k35e of a ha?AMa malerel ❑Yee ONO Section leds will 5 ofhashe Cadiforniawe l He Health end Safely t� requiM. va a SOM O uc mereeafsel a Business Plan be filed with the Cada Mass Fire DeaeneM by every Up MO cable feet gas gas at standarrd tm relure and prar a easure), equal In or greaerthan eweight W50D pounds, ai-evdume of 55 gallons, 2 DOas 2ll the of Me nt ourtmenlor lthand buildingemmpenimps 10 exceeereglal ilarWms to sa wily temN MAU Roe ❑Ya yCa wO (Section 25533 til Me CWibmk Hao and salary Code, with more aqua W Or greWree hen a a etier the Omla Meso a r sumeOf 5 by eeM. or 00s carol a any we time hes an t she a W Chomp ra xelaly M1em2Oas materials equal b a Breeder than a welpM1l of 500 peuntlf, or a ,lamed 55 BMlOm, or 200 cubk ixl d mmpredsetl pas a aMMerd ldmpoeture antl pressure). CWsdr II the IlmMd pedsn[orWare hu lGing a'LrgNM neetl to Pre _......_... ._.—__._........... 3 .._..___ ❑Yen ❑app prepare RMPP(Rlsh Management and Program utely M1aaardoW makaek)2 (Section 255M of the Cal]Iorce HI ash Safety Cade Provides that the Costa Mese Fire Dspanmanl may require the preparation, combination and filing wish the Fire ❑spaend OF an PMPP by buturesses whidl are requlred t0 register acutely hazardous melml with the Fire Depadmml. —il a ... g red, nes Section 25536 of Ne Cantonal Health end Safety Code been fully canpiieV whn9 O Yea �— El No ------- 4 II an RMPP le presently req ry 5 from tor he the a am At or predsnl a em a building r from al require ids MB work irol is Mit or age d this aBl yes apMII len sum c0nswnlon a madilloVm from IM1e SWIb Coate Du6Any Management Coda requires from any the regr pollution Wmrd district act ar agency? applications LI Yes IJ Nd (Sxl nn fi5&SD20I Me G011IOm a GOVBmm6nl CCtlB regYII981ha1 Ma regles100 MadeWormatlm m Imni3at On lbureu?tw nYRreelo0 building permits). B (it-Wy olid Me must telam muir untlae MMam25 Act I=01to CA swim artSla Comm. ❑Yes ❑Nn (ll'yea', thetad5ty must meet use regUbelTRnt d secOan2553M1 ash 62303d Me Cekfolrca Heeltn ane salary Cme). ] Ilea ca I f o- Me SWM Loam us elects d emgamse D4ad o DIM air Oxie a t 303 W or .... s d Y a ego eE to th wade welch Is the mbmcl at his applbat M1wa11 dMedictlowrm praxdhetl by CallFaMa Flemish add Safety Codes mm 623d3 heenmade? ❑Yes ❑Nd 6FS6 CERTIFICATE aMtm COMPLIANCE, Imierem thede parafty rpmm h01mar). mgardng Hezardaue Ma edals M EmM Ong, t antler penalty 0f perjury Me inlwma0on given above Is carred. agree to comply with all stale laws ash tlry orctinances Signature: Dam'. CERRF W OF COMPLLWCE ANO AMOR MON OF ETTRY: I certify under penalty of perjury that I draw mad the appfiali rn and slate that the lnl m the given b mn 1. I agree b mmpty with all store laws ash tidy adimnae Meting In butltllrg mmlmction, and aulmdze reprdmnlebm of Me City d Caere Mase to anter upon Me eboyeAemdb d property for Inspection purposes. I sated not to acwpy or allow d my OF any building aughol by MIs pomil until fines inspection. all CE ,S re Omeer(s79, Dam MWOr Authorized Applicenl Dae CODE P. MMCMNME gSiE IMm6L5 CODE NSPECGNPPE 011e N ALS 1616 Saadi System Final Fine Prevention 2116 Final Mechanical 1266 Pool Spm Final FOS Final Plumbing 200 Final Pascal 210 Final Eleancal 201 Fina lawynimuning Wall 212 Rnat Fine Prevention _ 202 Final Fecbry FIX Plains 220 Final Planning Approval 203 Final Sign 222 Final Site--74-m- 204 ite% /� 206 Feel NM~ 250 Final BulMlngrOccupenry /a/DFl T O (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 3505 CADILLAC AV Suite No C Vicinity: BLDG C PYRAMID LAB Parcel Nunmber: 13966117 Applicant: $0.00 Address: $0.00 Lighting Fixts $0.00 Recept Outlets 6A 4b Owner: GORGY, MEDHAT Address 3505 CADILLAC AVE #C COSTA MESA, CA Contractor: Dvini �AI(� Address: V"' Phone: 714-435-9800 EXT. 1600 Zip ° ?,t j Phone: Zip: 92627 Phone: Zip: License: Status: ISSUED Applied: 10/132005 Issued: 12282005 ISSUED BY: '- SCOPE OF PERMIT LEGALIZE EXISTING NON -PERMITTED 5 -TON ROOFTOP HVAC PACKAGE UNIT AT "PYRAMID LABORATORIES' IN BLDG C. REF: B05-01844 Quantity ISSUE FEE $23.50 Temp service test $0.00 Res. a/c package $0.00 New Res (1-2 units) $0.00 New Res (3+units) $0.00 Pool / Spa $0.00 Lighting Fixts $0.00 Recept Outlets $0.00 Switches $0.00 Non Res Appl $0.00 Res Appl $0.00 Service to 200a $0.00 Service to 1000a $0.00 Service over 1000a $0.00 Motors to 1 hp $0.00 Motors to 10hp $0.00 Motors to 50hp $0.00 Motors to 100hp $0.00 Motors over 100hp $0.00 Communication drops $0.00 Sub panel to 200a $0.00 Pole Light Pkg $0.00 Sign Circuits $0.00 Temp Pwr Pole $0.00 Intermed Pole $0.00 FEE SUMMARY Quantity Temp Dist System / Lighting $0.00 0 Busway /100 N $0.00 0 Standing Section $0.00 0 Misc Electrical Equipment $0.00 0 Transformers up to 1 kva/kw $0.00 0 ................up to 10 kva/kw $0.00 0 .................up to 50 kva/kw $0.00 0 .................up to 100 kva/kw $0.00 0 ..................over 100 kva/kw $0.00 0 Low Voltage Equipment $0.00 0 Low Volt Wiring System / Ckt $0.00 0 Misc. Conduit $18.20 1 Misc. Conductor $0.00 0 Circus ( gen or ride) $0.00 0 Circus (mech ride or lights) $0.00 0 Christmas Tree Stand $0.00 0 Fireworks Stand $0.00 0 Other Electrical Fee $0.00 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $41.70 COMMENTS / SPECIAL CONDITIONS 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. spended or abandoned for a,ppilod 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) 7545626 zwaae (aw) r/ DECLARATIONS WORKERS' COMPENSATON DECLARATION: I Anal affirm under penalty Of pedury one d the Oxidation imaOom: ❑ I have end will mwnreln a mmi6mte of n nl to selldmure for workers' compensation, as provided for by N011m 3700 Of Ne lumber Cotlei lot the Wanirenm of the wWk M which this pl Mll IS IN . ❑ I have Gnd will rndinlan wxkas'wmNiaenon ksurerce.n roMr bysxtico Othet rCare, brlW mdartnamredlhe workMwhlGr Mb mmlit Ytauer. My workers' mmpenembn Imu inns author Edea Mdity random ere: Ganem Policy Number: (Tied sacMw need not W compacted d me panni is valued at aro homrad d mpirmy or acv.) (�--1cartiy Thal In the Wro mane x the wri for whior his parent a issued, 10811 nm employ any person b any manner so as to become subject Y Me start �`.aonlNnsedm laws Of CeMomae, end agree Net 01 Mead become subjecl to the waera compensation provislms of Section mind of Ih019bm Code. Imain wM comply with mese Morranms. APG1Iun1 SI :: 19W:F-DIEQmg.I=N WMMMi!FNWRE Tp SFSURE WgO[EPa'p PEvea11 E0.IGE IS WJUWMNipHW1Ba61P MEMPI ERTOMN PENkT MDL1NLP1r@a1WMO MIIN D t1p=I, MONVT TOFOCIARANBaTgN,pMUfrEp/$payyrpEp F]RIry 9EClCN 3Jm OFTElABG1p�pE IMEREST.PND>TrgW[YifEES. LICENSED CONTRACTORS DECLARATION: I hereby amml that I am liceT under pmWtlms d CWpler B fmmmenxng with Sadlm TWO) of Dlvlakn 3 DI Me Bualna and Prafemims CWo, and myIlcence is In full force area eEed. Lot M Class a Cmaactoys Signore Dale: CONSTRUCTION LENDMO AGENCY: ❑ I hereby aElrm*at Plans as B co ftWm a itch* agency for Ma p ffp nm of lid work lot which this Nrmll-w i W.(Sec mwT, CIM Code). Lender's Name: Landal Address: Simmons: y Dade: OWNERAUIMER DECLARATIONS: I hereby When am underpenaty of penury Mat I am EXEMPT FROM TIRE CONTRACTORS LICENSE LAW for the foil Wreason(Sal 7031.5, Business and Pmlemlom Coca: My on/ or county which requires a pamil to comtmd. War, improve, MmdiM, or repair any munurs, poor to IN INmnce, atm requires the mal be such Nmol to flea a signed malemerd Met M or aid is f mid pureuent 10 the provlSlurs of Ma Cennw:taa Limine Law jChapter a (commending with Secam 7000) of DMxan 3 be tea Business and Not=(= Corm) Or that he or she b exempt therehom and Me bele fm to alleged exemption. Any violation of Section 71131.5 by any applicant lar a penrvt subjects Me appeal b a and penelry of not more Man rlw hundred ddlam (SSW) ): ❑ I, as minor x Me PMOnY. Or my amploymss with wagm my near Nle compemellco, WILL OO THE WORK, end the Mucture by not Mended or mend far We (Sec. 7064, Wa and PMesslms Code: The CmVadom UmnN taw Ems not espy to an owrer of propend who bulMs Or improves Ihemm, area who des such work hanseli m herng Or through he or Our own employee, provided that such Mprwemene are not Intended or Offered lar Nle. H, however, Me WhI ng or Ymmvemenl b sold wlNin ore ywardmmMetlen, rhe owmnbWrer damp naw dW bueaandproring that item Me dY mat WYM of knprbrebr gummed NYJ. ' ❑ as EXCLUSIVELYCONTRACTINGWITIR LICENSED CONTNACTORS b construct the project (Sa. Rol Business and Prxazsions of thenropporons 1,atlr: Thar aenN Me apply property wine buikawlmprovae thereon, and ono NnmaclatenucM1 pretest with Wmrexo(s) limn pumuantolhi Contraxos Lkmsetews.). .1 under sea. Suumms and nickel Code for this reason: �mnpt S gwEdOil OvmerlDwnfi more license ❑Yes ❑No OtlWl Liberal . Vetllkatlon al Ownerehp by (type x tlmpment, G. propend lax DN urtlmdg DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby Merely that no Excavation has (5) or maws fem In depth Into which a Mason is required to descend, will be made In metal with work autMdi by Gas permit, Gold that no Wilding eWdure, scaffolding. fmN , or demxitlon or dlsmMlling Marmot will be more than Mlrtyai (36) feet high. (Obey. 3.2. Gry 2. An 2, Sec. 341, nue S. Cm forma Adminlmraaae care). ❑ As owner -Wilder, I win rot employ anyone m do work which would require a permit tram to Olvelm Of marmtrbl Emery, as noted above, unions such person hes a permit to do such work from the division. Signature: Data', Division of I WmMal Smary Pemhit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or past or future building =upon[ reed W Ills and mrtry a Business Plan for emagamor response to release er threatened rOtOme of a hazardous mawheN ❑ Year ❑ No (Seclen 25505 d IW Cana ion Health rend Emory Coda requires, with Game o¢epliona, that a Business Pen be filed with to Cele Mme Fre Node t by mo busmenwhiOhesatanymelimedumparepo mad ware quantity x hanM malodor equal tour greeter man m weightd500monde, me volume d 55 gallons or 200 cubic look d com ressad gas at standaNtempennure and pressure). e...—_.__._..__.._.._.__._.._.._...._......_.._..._.._..._..._.._....._-._.._..._..._..._.._�a_.._..__..—..–..._.. — 2 DOW urwill Ma epplkanl or present Or lMure baltlirg omupanl reed tea llleeregisirmim bre loremkey heNkms melWelsi ❑Yes Lr ND (Sacon 25S n me Cahill eim Healtheaundd Safety withhaGams ecceptlma, requires regwtredon with Me Come Mese Fire Depanment by each ba which at am one hand a ry ry egWl to or greater Man a weight Of Snit pounds, or a whoa of 55 Mature, or 200 orbic bet of MMMONd gas at MandaN temperature and pmsmm). —i ...3 DOW par will thea lipniw or Nwre Wilding cams —••—_--..—...—...—..—••—•••—•••—•••--...—.---.-- pa%m nM prnl nand Yprepam en RMPP(RYk Management end Prevmtbn Progreso fur emley hB7Mtlou meleheY)i ❑Yes ❑No ((Section 255M of be C Ili amia I and Safety Cape prones mel Me CmY Mom Fire Mpnmanl mayy require the prope2lim. mnilimWn amid Lug with the Fire DBpartmmt d an RMPP by beak s"MM are required in ligature WtyNr hBmNous emulate wish tea FIre DepMmanr. <II erIRMPP Ypreeentty required. hem SeWm 25531xshe CaefomY H6elth end Selety Code been tiny mmpl'reo with9 ❑Vas 11 No .-_.__...... .._...-_..._...-_.... ___.._..._..._..._..._.._.. ._.._ -- —. won— n 5 Dam Or win she Warrant ani t or fuwm Willing Occupant means for the wok which a tea subject of this a pemOm Gael for such purammddm ow n1md0. 1i— Byes from ME South Coast Air GU llry Management CwlrG or from any ether air pollution control district or agaval LJ No (Section 65650.2 Of Me Cardona Gcwmmenl Code requires drum Me requcamd infornal W furxshed on app to 9for nm-nimiEernal bulk" pemdeJ. _._...._.._.._...__..._.�—..._..._..._._._._..._.._.._..._..-._.._..._.._...-_..._..._..Fill.._........_.._. herb t00S Val No IF a morbth 6 Wi'eny pan Ndhe fadst lO WCOneWCement akummers 0 huromine x Seciawt andeada Cochi (IIyes',theY end 62303xNe Cegla..... end Soley Cob). mmummelthemquearl Gnat Mr u MamppBemi1n10 or Mmr me n control retdet or agency w J II a parson them the DO rBp09 Ia ate woM whits b the subbcl of this f the Heal Coria Npllmeon, hew an d the dletlosurm prescnbetl b1CMtornb Health end Salary COY Sxtico 623%1 CNn matlei ❑Yea p ❑ No 6 W. flimrl. mlrD'nlil PeareaapolMlm he lnfmi GI undapper NCEI I messy mal under penelry x mdury Me Inlomnetkn given show Is Ganem. agree is comply with ml male laws end MY mxmnma RTIFICbM OF COMPLIANCE CERTIFICATE OF s MaPLIANCE; regeeaing HaNrldous MaYdms and Emission;. Sigmture; Dab: CENTIFICAM OF COMPLIANCE AND AUSHORG MON OF ENTRY: I comfy under "m ly x perjury That I have mad tots application and sus mel Me Yfmmwion gFwn Y combat. I agree to comply vsm all slate Was and my mdelamea relaMg to bulldog mnslmCllM, and al oke repre nlaM of Me Cly of Coad MON 10 enter upon tlm aboveAesmbetl progerB'for inspection purposes. l agree not b mtrpy or allow accumntY of my Wiltling authi by the f it until NW lY IJW. Sign Art Autimm dApplimnl ale COW A mPEITOH MEgAj[ IMUS gggjf NSPELTEXLYPE Maj{ 1f®1s 1616 Fixed System Frel Fire Pmverelon ME Final Macam pal 1266 Pool Spa Flood 209 front Plumbing �/( n� P7' 200 Final Re RNA 210 Final EYCIMJI P 201 Final BlmlORmmiarg Well 212 Final Flre Prawn4m 202 Fined Factory Fire Place 220 Final Planning Approval 203 Final Sign Y22 Final Site 204 Fine Dpmgec 250 Fiml RulMkglOccupanq (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 I -AIH UHIV t, GU51 A MtSA, UA UZbZC Job Address: 3505 CADILLAC AV Suite No C Vicinity: UNIT C PYRAMID LAB Parcel Number: 13966117 Applicant: GORGY, MEDHAT Address: 3505 CADILLAC AVENUE COSTA MESA, CA Owner: GORGY, MEDHAT Address: 3505 CADILLAC AVENUE Repair/ Alt Absorbtion Unit COSTA MESA, CA Contractor: OWNER -BUILDER Address: 0 MECHANICAL PERMIT - Phone: 714-435-9800- EXT 1600 Zip: 92626 Phone: 714435-9800 EXT1600 Zip: 92626 Phone: Zip: License: 000000 ISSUED BY: Status: ISSUED Applied: 04/192005 Issued: 12282005 SCOPE OF PERMIT LEGALIZE EXISTING NON -PERMITTED 5 -TON ROOFTOP HVAC PACKAGE UNIT AT "PYRAMID LABORATORIES' IN BLDG C. REF: B05-01844 FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/ Alt Absorbtion Unit $0.00 0 Inst FAU <100 k BTU $0.00 0 Repair/ Alt Refrigeration Unit $0.00 0 Inst FAU >100 k BTU $18.20 1 Ventillation System $0.00 0 Repair/ Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst / Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys <100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys >100 k BTU $0.00 0 Compressors / Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp / 500 k BTU $0.00 0 Hood w/Meth Exhaust $0.00 0 15 To 30 hp / 1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp 11,750 k BTU $0.00 0 Vent Fan / Single Duct $0.00 0 Over 50 hp / Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $27.15 1 Inst or Relocate Appi Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers < 10000cfm $10.65 1 30 to 50 hp $0.00 0 Air Handlers > 10000c m $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $79.50 Plan Check Fee $49.50 Reinspection Fee $0.00 TOTAL CALCULATED FEES $208.50 COMMENTS / SPECIAL CONDITIONS NOTICE:, The work authorized by this permit shall comply with aft 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 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 DECLARATIONS WORKERS' COMPENSATION DECLARATION: 1 her yaXinn under Penalty 0 pedury ores of the following declarations; ❑ Ihave and "In min amu to d consent to sell-Inwre M vendors' m Mnmtbm. Me provided for by Section 3700 d Me ladder Cola for Me performance pat Me Work lot which this permit l3lial ❑ 1have Ad Mralte by season 37M al esu tabor Coal for Me personnel of this woM far wwdM Mb us ConofMy bsued ae mucrawnnnllrnr ins rercaprarrie�rnenmamal wd Camber Policy Number. (Drha need nor be an wX Ma pe"nif f3 M4 of me Itlapiad"am (51N) w ow.) A. mray.Met ln.ihagedomar of Ma work for which that Camp Is Iseuad, I slap not employ any person In any mama co n to became still to Me workara' INm laws of California, And agree that If I Should b9eame Subject he the WAXI mnpenmtlm p ardsio H d SeeYm 3703 M Me le[p Came. I Al sp XMIM1 comply war Mese provisional -AjipaasnL5lpeNra: Data WYYB rFALVRE TO SECURE WONNE Cq.@ENSA nE6UNAWRL ANp 6yLLL SL61E4T M'EMPIAYEN TO deal K FFNALl1ES sad CML FINES UP TO ONE NU Da MJUSViO WIlARE13t W,WJI,WPDpIq SIOFC/,:ApN1yiKW, pVMOFSA9PXNIpEDPoRIN3ECNIX14lCBOF iXE V,CORCCOE, IxrptER, pNDAROPNEY$fEES. UCENSEO CONIAACTORS DECLARATION: I hereby adim Met 1 em licensed under provisions of Chapter 9 icammandir g with Scion 7000) ad plosions 3 d the B odes a am Pmleaa ens Coal and my license W In lug She and BXecl. LIC. N Clan A Cadradoms signature: Units: C0NSIRUCTION LENDING AGENCY: ❑ 1Moreby art" that them is a didemucgm landing agency lar the peacmeMO Of Ina wady for which MIS commit islowed (Sac. 3091, Child Cade). Lenders Ryna: Ie rad AWeem: Spiritual Dale: OMER•BUILDER DECLARATIONS: I neredy Mal al under prWEXEMPT FROM d Nbury Met I em EXEMFROM THE COH ACTORS LICENSE LAW for to Octal M n (Sac. 7031.5, Busbees am Prdn esslO CNS: Any city n county which requires a hermit to GOnsWeL When. Inmmva, aemtl . or romh n Wlma any structure. poor to its IseY, also rNuthe "PrN l kll r Such para to Iib a signed sfaeimed that he or ane b econed pursmnt a the provision d Ne CMlradors License Lew (Chapter 9 (cumnenal MI Seolon 70(0) d DMdm 301 be Bwloen and Probasior s Cade) or Mel he at she b "Imps therelrwn And the bash ler the Am90 exemption. Arty violation d Section 7031.5 by arch "phonon lar a im mit subjeats the applknf to a fish peMoUy, d not more ban five hundred deaths (5500).): {� I, as Owner d the property, or my employees ends wages as beer We compenuUon, WILL DO THE WORK, and the struoure is not intended or cohered lar deb (Sop. 701 Business and PMeaakns Cade: Tho Contractors Ucerae Lew does net Apply to an owner Of prdmrry who bullds or hardware thereon, and who does such was hlmaell or herself ar through his w her own ampMye S. provided had such imprwam is are ml thenad w offered for sate If, however, the sou ion" or Improvement is add wUMin one year d condolence, the ownre-WlkW wlfl have th0 hake" of proving that M or she did not Wad or Improve he purpose 0l Sale.). ❑ I, As owner Wine property. amEXCLUSIVELY CONTRACTWG WITH LICENSED CONTRACTORS to Cn5al me Parem(Sen. 70AA, Bnewas and PrMnsiwq Code: The cgmranda fkame Law does not apply to an ownor d Memory who builds or Morosm Memon, and who panel Its soon project with a conventions) kens, Wrsuant to the Contractors Lirenm Laws.). ❑ l em exempt under sea Be "a send PMO" Code for M6 reason: Mae ez =70vaMiW hyo' ❑Yes 0 N gNerb lltensS NO. EM`�It�3Y[�p y'j_ Venflclfien d Ownership yore d document. i.e. pfWariy tors big or dead): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ IMoreby cavity Mal m"cavation fee (5) as more feel in depth aM which apwson is regMel to dermad. well be made in mnoedkn wlh work mihorned by this pamil, and Ural not building slml spatial f esawork, As Manhattan or dismandrq Ihereoi, will W more than thirty-sh (36) feat high. (Chep. 3.2, Gm 2, An 2, Sac. N1, Toth S, CelXomia AdminiSUelive Coag). ❑ As owner -builder, I will not ampby Afford to do were whom wwH require a Moral iron the Ohmsipn o INIMnal Safety, as MM above, unless Much reason Moa a poreit to do such work hem the oNbrod. Slgnane: Dale: Drel of Imu areal Seely Pemd Number. HAZARDOUS MATERIALS AND EMISSIONS CERMFICATON: 1 Vote the Seaboard or present or future building acdmam need a Me and candy a Business Poen for emergency ammonn to release or Mremnad mlasm of a mazata e matomer, ❑ Yea ❑ No (Shen 25505 W Ma Celimand Numb and Safety Code requirn, win same exceptions, Mel A Business Plan be MW ween Me Cnb Mase Fire bpnmenl by every IMinesc which has BI any one time dudn9 a raponod ynr a quay d UzMdOUS m0tw4ds equal tomglnlar Iha" a Waipnh of 500 pmnoA. IX B vdume Ot $$ Ceiba, cubic feet Of _npeb gee At stmdard Iamnralure and pressure). or 200 cmren 2 Goes or will Me a replequikn lam for aceaty need IOome w prepare or and afety the Coma mMedelnt ❑Yes ❑ No Cfile (Sectionof the Ca Cod, with s rn ase aided: at any a Hoof adRM anaarewlon ht es hosardon Myedsls Sao to to or greater thires el W 500 ea. oorFlmvoAu eras g porn gellem, w 200 orbic int d nne time had hand quantity acutely 0 55 gallons, of 200 campremad gas el sendak mrsparslure and preterm). ..,,_______._ .... ..._._.—. _. .. 3 wJl lEl app Ikam o g occu meed to ._....—..._ . _..__. _. .. _.... .... Dresniwbt re building pen prepare RMPP (Risk Management and PmentlAn Propem loreNely hese do amaetlala)? 0Opeas yes ❑Yea ❑Npp (Sho n 25534 01 Me Celefomb Haoln and Safety Coda prowl that Me Case Men Department Depanant may require the preparation,n clliwtlon and filing with the Fire Dapsrtmenl of an RMPP by businesses which are headed to regbenabah hnMaous malerbte with Ne F(he Depenmanl. d Ilan RMPPlapreSmllytwo uired, Moor 10 V—upeMwnia Hefor and SMeNCNebe with? ❑Yn ❑No •—.•o constnuelor••_••_••.�— _5._..howor willth nplt fnuw2boMAgMe work which subjycof this rPmanlor Sufism �pfnmlbn apemg Iw such caminldlNxl or lnodHkaWn other ElsiMt aper Eyes Air District ciftom any other arapped•••—••• Imm IMo South Coast Air Omary management OIsiMPd Irom any err polis Wn oenad ir or appeal J (Sank" 65650.2 AS the Calllomb Government CW9 required rho[ MB requested Infomalon be lumehed On application for ran reodandal building pampa). .cuuMt r]e ntiuntl a pmltdevaM423(0het le ❑Yu ❑H0— 6 VVJ­(itleny panel the To Emust (it CaliforniaMoomthbhandesda Coali pl'yae', Me IadgN moat meet ten emliemnt of Stolons 2553a dna a23W of the CHeaXh nor safely Code). meet 7 X permit been Ne sdM Copal Nr da11ryry MenOgemenh LVaMq diner eu pMutlm wnf d abfna « egerc/ b moused for application. Move all of me disclosures preatTmed by Lelllomb HUIN eM Safety Coca Section 42303 been made? ❑ Yas ❑ the work which Ia t!e subled W this No .B Ulf ryes', aUAch ceNlkaledcanPliarge femiha Applopdele air lTdktkn condo dFNar) -'—'—_ ...—.._ CERTIFICATE OF COMPLIANCE: I ceNN that older penalty Of Padury ten LNomatlon given above b panel I agree a comply with ell shoe laws and city ordinances regarding Nna Materials; are Embelons. Signature: Daeo CERTIFICATE OF COMPLIANCE AND Al11HORVAMON OF ENTRY: I all under penalty of perjury Mal I have reed this epplcasm aM sloe that one InbrmMlon given Is comet. I agent to comply with all state BMJ and all Ordinances elating t0 bUININ OTnlmction, add somehow repreanta1N08 Of Me City of (r'0 % Mesa to enter upon the elwvodescddad prrpen LLspenl rpnn. I agree ndtoottupyoral occupancy of artybuiMvg euthndntl by MISperMl and freedliinspntbn. `IG /21OaI� 1"are Oi Lego nerts)'=,_a MNQ' Autinall Appleranl Date CODE f. INSPEC11111111 PATE MAU SSPE1 MPEMN TYPE 1616 Food SySMM Final Fire Prwvenllon 206 Final Mechanical "('T 1266 Pmt Spa Final 206 Final Plumbing P 200 FInaIRaROoi 210 Final Eladiiral _ 201 Fasl BkoWBeahenp Wall 212 Fear File Parent 202 Final Factory Flre Placa 220 FMef Planning Approved 203 Foal Sign 222 Fred Saw 2w Flats l Dersel 250 Frei BundinglOv.VoerNN . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 3505 CADILLAC AV Suite No C Vicinity: PARKING LOT Parcel Nunmber: 13966117 Applicant: RICHARD, HODGESON Address: 17150 NEWHO PE -St STE 704 FOUNTAIN VALLEY, CA PLUMBING PERMIT Phone: 714-726.6319 Zip: 92708 - Owner: GORGY;,MEDHAT- Address -3505 CADILL�AC AVE #C Phone: COSTA MESA, CA Zip: ,92627 Contractor: A T PLUMBING AND MECHANICAL Address: 17150 NEWHOPE ST_ STE 704 ' Phone: 714-241-9721 FOUNTAIN VALLEY, CA Zip: 92708 License: 762628 Status: ISSUED Applied: 03104/2005 Issued: 03/17/2005 ISSUED BY: r. SCOPE OF PERMIT UPGRADE LOW TO MEDIUM PRESSURE GAS PIPING TO HOOK UP NEW GENERATOR LOCATED IN THE PARKING LOT FOR "PYRAMID LABORATORIES" - 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) 7545626 2aas (avo) 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 50.00 Dishwasher $0.00 Drain, Floor .' 50.00 . 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 - Gas (Over 4 outlets) $0.00 Gas Repipe $9.80 Gas Service $0.00 Interceptors (Grease, Oil) S0.00 Interceptors (Sand Auto ) $0.00 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) 7545626 2aas (avo) FEE SUMMARY,;' QTY .-AMT,' QTY - AMT QTY Laundry Tub / Washer ._ $000. 0 Sump Pump $0.00 0 0 Landscape Irrigation $0.00 0 Swimming Pool' ' $0.00 0 0 P -Trap _. $0.00 0 Trap Primer -. $0.00 0 0 Pressure Regulator _ $0.00 0 Urinal $0.00 0 0 Process Piping (per 10 ft) $0.00.,,- 0 Vacuum Brkr Bkflow(1-4) $0.00 0 0 Receptors $0.00- 0...� ; - Vacuum Brkr Bkflow(5+) - $0.00 0 0- Septic Tank - S0.00 " -0 •` = Wash Basin $0.00 0 10 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 0'. - Sewer Connect $0.00 0 - = Waste and Vent System ; $0.00 0 0 Sewer Private Line $0.00 0 `� Water Closet (Toilet) = $0.00 0 0' - Shower $0.00 ,- 0 - - Water Healer /vent $0.00 0 0 - _ Sink, bar ' $0.00 0 ' - Water Piping (Inst or Rep.) $0.00 0 0 ; Sink, commercial $0.00 0 .. Water Re -pipe % $0.00 0 0 Sink, Floor $0.00 ` 0•`,, �, Water Service $0.00 0 -0 Sink, kitchen - $0.00 - .0 • = Water Softener $0.00 0 0 - Sink, service/mop - $0.00 0 -" ,-',-_OTHER $0.00 1 ,� `> Spa (private) �` - _ $0.00 0- i " -. VIOLATION $0.00 0 _ Spa (public) $0.00 1;. 0 % a� PLAN CHECK $0.00 0 - - - �' "- REINSPECTION $0.00 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) 7545626 2aas (avo) C x e WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the rk for which this permit is issued. FOX5 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. MVrs' c@mpense' Insure a carder and policy number ere: / ` C4fder: (R C Pol�'NOmber /CSL-�LlJ 7 �ri`hls sewhon need no4.s eted d the pe it is valued of one hundred dollars (8100) or less.) ❑ 1 certify that in tante of l ork for ich this permit is Issued, I shall not employ any person in any manner so as 1 became subject to the workers' compensation lntle, e t at I I should become subject to the workers'compensation provisionso1Secto700 of heLabor Code, I shall forthwith comply with then�1 A�-pllnam•S�nature: D to v Wj1RMN6 FAILURE TO SECURE WOR ERS' COMPENSATI EMO S UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTI 5 AND CML FINES UP TO ONE HUNDRED -THOUSAND DOLLARE(5100,000), INA ITIONTOTHECOST COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION Sm6 OF THE BOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensed u der pr vis ns of spier 9 (commencing with Section 7000) of Division the. urine seat Pr fessions C a, and my license is in full force an�f of cfll' )lese� .i Contractor' Signature: pate----- �i'' CONSTRUCTION LENDING AGE CY: ❑ 1 hereby affirn 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: 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, prior 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 o1 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 o1 not more than live 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 (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 appy 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver'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, TILIe 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: Division of Industrial Safety Permit 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 form 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 of compressed gas at standard temperature and pressure). ......................_............................................................................_...._......_...............................__........................................................................................................................................................................._.___....._.."—'.......__............ 3 Does or will the applicant 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 aJ plicalion appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 19 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential builtling permits). .................................................................. ...._......... ...._._.._._._......................................__......................._... .............................................................................................. .................................................. _................._................... _.......... 6 Will any part of the facility, to be constructed under this pernit 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 If a permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ........................................................................................................................................................................................................................................................................................................................................................... _............................. 8 (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: Dale: 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 ins §ction purposes. I agree not to occupy or allow Occupancy of any building authorized by this permit until final inspection. Aal 19 7 dA �Date�� •. CODE it, INSPECTIOd7p INTRIALS CODE! INSPECTION TYPE DAIS jNTIMyg 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -3-'2 3--05- . 200 Final Re-Rool 210 Final Electrical 201 Final Slock/Retaming 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/Occupancy (714) 754-5273 • Fax (714) 754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite No C Applied: 08/04/2004 Vicinity: C Issued: 09/24/2004 Parcel Nunmber: 13966117 Applicant: GORGY, MEDHAT ISSUED BY: Address: -' - - ' Phone: 714-435-9800X1600 , Zip: _ Owner: GORGY, MEDHA,T Address" ." 3505 CADILLAC AVE #C, - Phone: 714-435-9800 X1600 , . COSTA"MESA, CA - Zip: 92627 Contractor: OWNER -BUILDER Address:, - Phone: -' _ Zip: ._ - _ License: 000000 SCOPE OF PERMIT " INSTALL NEW STANDBY GENERATOR LOCATED ON PARKING LOT. 1 PARKING SPACES WILL BE LOST. TOTAL OF 649 SPACES LEFT_; 592 REQUIRED. .r _ . -FEE SUMMARY;i Quantity ,vim Quantity-' ISSUE FEE $23.50 Temp Dist System / Lighting -. $0.00 0, •. Temp service test -. $0.00Busway,/100 f1 -i' •$0.00 0,� -- Res. a/c package, $0.00 Standing Section , $0.00 -0 New Res (1-2 units) $0.00 0":'Mist Electrical Equipment ,$0.00 New Res 3+units) $0.00 0 �'`"•"'" •. Transformers up to 1 kva/kw '$0.00 " _�' 0 r Pool/Spa,, $0.00 0 :c..0p to 10 kva/kw '$0.00 0 / Lighting Fixts- 11,$0.00 0•`........._......up • 10 50 kva/kw.=._ ,$0.00 o,-' Recept Outlets $0.00. -- 0'- - ' ..:....:.........up to -100 kva/kw_ ,' $0:00 0- Switches z, /i $0.00 0 ..........over 100 kva/kw .. ' $0.00 0 Non Res Appl .� $0.00 `-; -'; AA 0 - : Low Voltage Equipment x'$0.00 0 Res Appl $0.00 , �0� _ ," - Low Volt Wiring System / Ckt, $0.00 ," 0 j Service to 200a -,i $0.00". Misc. Conduit- ., $0.00- , 0 " _ Service to 1000a '� �� $0.00", • 0 _' . Misc. Conductor. $0.00 � ,- 0 Service over 1000a .$0.00 0. - Circus ( gen or. ride) - $0.00 0 - Motors to the $0.00 0 - - Circus (mech ride or lights) $0.00-' ,- 0 Motors to 10hp 'x$0.00_ 0 Christmas Tree Stand , $0.001-, 0 Motors to 50hp $0.00--, �"` 0 1 ' Fireworks Stand - - $0.00 0 Motors to 100hp $0.00 - 0 � 'Other Electrical Fee $0.00 Motors over 100hp $0.00 - 6---- '_ - Communication drops $0.00 0 _ " Investigation Fee $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) / EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2446-46 terooi DECLARATIONS WORK3RS' COMPENSATION DECW ATION: - I hereby eNm wafer penalty d Pi one s Ne Miming dedamlons: ❑ IM1eve entl hill melnilnaualllute of mnsanl to sehlmurefor woMan'wmpenndan,nprpvltlM br by aeclial3)W dam la�orCMe, for lhapeaomanudNe work for which Nis bamil N IratM I have and Me maintain where' canunullon insural or Slogan by suction 37M of the labs Coda, far the pBrfarMKa of the work for union ink parch Is santl. My women' compensation lnwmlw carrier and Mel number are: .Calker. Porry turmoil _/This SWUMMa® net be wmpbled 11 duke Peral is mWat ole Mmdasd daeam($IW) or NSR) -40 ❑ I tidily MM In the perlormuseINMe work lorwhichihlspamIt Is Issued, l shell not em( anyperaon In enymannal astopsomesubjectlothe w"m' companaetlm laws of California, and agree mat H 1 Should became sublecl to IM woMON a0r wnsaiiw MOWelMa Of SMNn 37000 the Labor Coca, l shell lorti llh complyrwit Nese provisions. gPpWom biggrazi try_ 2 o WpgNINp: FAILUPE TO SW DREW ! OIAFENSAII 3V EI9 UN IFULMD 81NLL 6lIRIE4T AV EM ER TOC INAL pENLLTEe aNp CINE FINE$UP TOLNE XLNLREn TIICUSANp WLIARE RIW,p'yh,l p0 STOFL PEWATW, AaStil PPLVIOEOfCRIN3 nNnMOCIF IABCYI OLOE,IMEPFST, AND gTTIXiVET9 FEES. LICENSED CONTIUCTO DECL AnDN: Imreby aXhm DWie�lic naetluMer proneioneo M1eplerg(mmmanc MIM1 Secdanl WdMslon 3dihe Busine no PMeniwN Gone, and mwe yllwrw is In lull Iorw end MecbtY.'Y LCIass�Y Oontacloh'sSIgeir Dare: CONSTRUCTION LEN01 GAGENCY: ❑ I hamEy offim therm mclion Karl agency for the pea ann of the wary for which this parol is LsolISeo. 3097, CMI Che). Lantler's Name: Lender's Address: SigreWre: Dem: OMER-BUILDER DECLARATIONS: I hereby eMm that trader PoWty of pequry that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW Nr the following meson (Sec. 7031.5, Business and Professions Cade: Any bury or county which requires a perch M emnsnma, alter, Improve, demo( h, of repair any smclun. prior of its lasumm, also requires the applMsnl far such papal to file a steel Statement that he or she la IIumM pursuant W me pravialana of the C ramom Ucened Law (Chmtar 9lcwnmandng won daemon 7000) W DMSM 3 of OM advanced and Philadelphia Cade) or that he or She N exempt therefrom and the mala for Me ale ewd wondered. Any vidarwn d Section 7WL5 by any epplbane fm a pep Subjects the mppllunt to a dol Penalty Of not mon than five hundred dollars (SIS)i ❑ I. as Owner d the property, or my employees aim wages as thele sola eompensanot WILL DO THE WORK, and the structure l5 hit Infended or offered for =is fi3c 7044. Business and Profenions Code. The Democracy Uwrma Law dues nor apply to an owner d propsry who Wilda Or Improves thereon, and who does seen work himself or herself or through MS or bar own ampblims, pas d that Such Improvements are not Intended or Offered for sale. If, M1pwervel, the building or improvement N wXhin me year of completion. IM1e owner-bui di rwi11 have the burden of proving that he or she did not build or improve for purpose of sale.). 1 1, AS owner W the proporty, am EXCLUSIVELY COMRA NG WITH LICENSED CONTRACTORS to construct Me Project (Sec. 7044, Business eon Professional Code: no wmmMon Umme taw does not apply to an owner of properly who Well or Imyrovn Iberson, and who conedcm for such prolan with a mantra Plan) license punuenma the Contranem Mucks Laws.). ❑ annammm Wdersoo Business and ProNywkb9 Once for this renal: S gyre Z Owner ID weread bya ' a n [I No Create Comes No. Expbn:"ti o Vedfima of Oanarshlp by(lyper of dxu em Mf -s.- property tax bill or deed): / DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 mreby malty Net Me aur five (51 or more fast M depth Into which a Morgan Is requlred TO descend, won W made In connadlon with wary auffical by INS perm and rml no WIIOmg structure, scMdi ing, lalsewwk, or elemental or dismantling embed. MR m mon then thirtysix (36) fast high. (Chep. 32, Grp 2, An 2, Sac Sat, nu S, Callloma Adminielraliver Coda). ❑ As owner-bulMer, I MII net smpkry anyone to to work which would require a pemil Ion try DhASbn all Intlnlml MMry. as noted above, fail such MmOn has e comic to do such woad from Ne &arm. Signature. Dai: Division all Indust" Safety Permit Number'. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII the applarent or present or future building o wl bond to file and ceaify a Business Plan for amain response to release or IhreaWa retina of a M1csommous material? ❑Ver [3 No (Section 25505 of Me Cellmme HmMh and Safety Cape requires, with some eReption. Net a Business Plan m tiled with the Coast Mese Fire Depmmenl by Ovary basions which has at any one fime during a reponad year a quantity of haxerdoue materials equal to or greeter Men a weigh of 500 pounda, or a volume of 55 gallons, or 200 orbic feel Ol mmpressM gas at slantlar temPamura and pressure). 2 owill the antarpresantfutureey sediment nndtofile a (Section Stlin2ofthelthEnd SaftCa,with gem mammeban an had a qua�nry ofetlhue ateri equeWlong regOlalnelrloianl Npmia(rw aewwtety hhaezCaere eMouc dmenrrFire fDap[s}Yen nyo['J No n ro or meawphe pom, ire of 65 Poland,ar ae banks nasi W _ concerned gas at Signal temperature and prnaure). 3 Dodge or will the aplbent orprwsent in Muure Wilding=upenrneed to prepare an RMPP fil Menegemem one Prevemlon Program for sanely hnzaMous matoaIS�i ❑Yes ❑� Sanbn 255:36 d me Califoma Health and Safety Code swedes met Me Coate Mese Fire Depemmint may require Irk preparmon, udgiaatbb and filing wit IM1e Fire maM W an RMPP by businesses which an required to mglsfer acutely Paramount maWde with Me Fire Dmmunkiu. d If en RMPP iepresOmty repo firrod. hiss 5ectlpn 2553a dabs Ce0lwnie Heelt antl Salary Cape been NOy cumprWd Mlh7 0 -Yes ONO 5Owes or.will Meapglunt or p i or INure build —occ pant re Ire for the Mark which la the au —�— il perch M alydt wnamdiao or mgtligcallon tram lm South Coral Air Oul Management fall or from roller err pollution contra dattlomr�n L,I yow Sp No (Seomn 65050.2 Of to Ceefooa Government Cade reWos that Me assurance In10madon be enriched an fluctuations lot ran residential building pemim). e (11lFwypeadlh0 nasty nom uneraftermintof Wspemlib3 and40001nlhaolhe rxolbcunsoada school? Yn No QI yes', me ladlity must meal the requmment of Sediom 25531 end 62303 of t0 Osillome HOeI1M1 eon Selly Gme), 7 If a ermll from IM1e South Creel Air Wellry Mona ooWharf DlerdN w other alt pollmin mal distr1a1 or agency b re uli fol IM1e work which Is Me Subject Of tons epplPcation, mvs ell Of IM1e elsclosurea pollI by Callorris Heats and Safely Dobe Section 12303 been made? ❑19es ❑No B --Ili yea ab icedifirate.d pl-nos fmmt pprn I II t onwnml po ._....._.._.. .._..._..._._. ._..._..._..._. olfiwd. CERTIFICATE OF COMPLIANCE I mrfity, that thou penahy Of paqury the information given above is umm I agree to comply wish all anile Man and dry artllesmes ragartlirg HazprdoW MaleriaN and Emiraiwn. Slpname. Date' CEN7IRCAM OF COMPLIANCE AND M)1310RMATION OF ENTRY: I Canty under penalty of Mqury that I have mad this appmagon aM note that IM1e informallan given N asmcl. I agree to comply with all Stene laws and city ordinaries mlating or du lag construction, and machi es MpMonMtWas Of IM1e City of Costa Mees to anger upon the abmdeswlmd property fel inspection purpaes. l agree hit to occupy or allow Occupancy of any building sutmrized by this pamil until fime aromatic 9. v:oy mos) 'Date AntllOr'Au t "AMR),) gmur1 Mngcmk Tape aimOfiisD tabnu alnemml zaebLO it aldnailg4L liv!a'PLcmamF;p Hmsay , ? .ill d bashodfu IlAw OdT NP R 1616 HM System Faml Fire PmwMft 206 Fired Mwm (S2r5-S3.1 a A -cp nu mn),pnnt_innal 2W obn..... R .Wgaut xi x'Tow, 1110 Ehf.'^"• .•-am___....., ori Nlrrw 11 ?�7 apFinal PlumbNpaxa Vllsoif-ma lea Ilea_.:.----"` .'lords. -] •• - - 210 FlrW Elemncxl 3 - ; >r5r 10' p doodi l . got bas FInel.BbcMHeWnvg WaAiiw Vlgmoo "tom di Iw. l I 'Ihienm ad 212mfa Ftal,Fka:P,raseg11op1aNR A1ow pDl 1^* •^w•^ ^, .aNOrn-nmarprrul 202 31n'Flrul Fedbry'Fiie'Pleeaedf ni lluaa: liar i6vmgge lanil bort moi'aagini nispJoplOalullrfWi PiannmgrApprsiallsmiggslsnitbnoanoil o eniboiiwpm 1203 Flral Sign 222 Final Site BSB&Aal(Jel - 11a0 PAIDIT030RHI song --206�Flry1Vam0Mro - Z50�Fbal'BfitdlbyOEmpen`y (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3505 CADILLAC AV Suite No C Vicinity: FROM METER TO REAR OF BLDG Parcel Nunmber: 13966117 Applicant: GUYER, STEVE Address: 12091 DIANE ST Phone: (714)537-2222 GARDEN GROVE, CA Zip: 92640 Owner: CAMBRIDGE PARK PARTNERS Address CORELAND/DONNER NEWPORT BEACH, CA Phone: P O BOX 9164 Zip: 92658 Contractor: A -ALWAYS AVAILABLE PLUMBING Address: 12091 DIANE ST Arch / Eng : Address: GARDEN GROVE, CA Phone: (714) 537-2222 Zip: 92640 License: 704238 Phone: Zip: License: SCOPE OF PERMIT INSTALL NEW GAS LINE FOR "PYRAMID LABS' (UNIT C). QTY FEE SUMMARY AMT ISSUE FEE $23.50 Backflow irrigation $0.00 Backfiow 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) $6.15 Gas (Over 4 outlets) $0.00 Gas Repipe $0.00 Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P -Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 Status: ISSUED Applied: 06/26/2000 Issued: 06/26/2000 ISSUED BY: QTY AMT 0 Sump Pump $0.00 0 Swimming Pool $0.00 0 Trap Primer $0.00 0 Urinal " $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Vacuum Brkr Bkflow(S+) $0.00 0 Wash Basin $0.00 0 Wash Basin Set $0.00 0 Waste and Vent System $0.00 0 Water Closet (Toilet) $0.00 0 Water Heater / vent $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Water Re -pipe $0.00 0 Water Service $0.00 0 Water Softener $0.00 0 OTHER $0.00 0 VIOLATION $0.00 0 PLAN CHECK $0.00 REINSPECTION $0.00 COMMENTS / SPECIAL CONDITIONS TOTAL CALCULATED FEES: $29.65 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 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) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ] I have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers'compensation In�urence carder and policy number are: Cartier. 1' QlllliD /lprance n e..—e t� Policy Number: /J— O) O (This section need not be completed /t the permit /s valued at 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 Code, I shall forthwith comply with these % �7 , Applicant Signature: C /� Date: (�^ `©D WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS 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. Lic. 4 O Class n G-3 Contractors Signature: Date: (Q^Z6^Ub CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lander's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penally 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, prior 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 Cade) 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),): ❑ 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 (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 Lew 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver'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 live (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: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will (he 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 fee( 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 loan for acutely hazardous materials? ❑ Ves ❑ 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 of compressed gas at standard temperature and pressure). '--_... _.....__.. ........... ..................... --------------------------------------------------------......----......................................, .._---- ..-.....,........, .. ...... .. 3 Does or will the applicant 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 an 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 a Epemlit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (I1 "yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control distinct or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (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 slate laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORVATION 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. �..Fyignature Of Legal Owner(s) o ^ i 7%% z -(D CPO And/Or Authorized Applicant Date CODE r. INSPECTION TYPE QATE INrmALs CODE INSPECTION TYPE gin¢, IBTMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical r�Y1 1266 Pool Spa Final l 208 Final Plumbing {7 _xi • 0 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining 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/Occupancy 2446-46 � CITY OF COSTA MESA ,;.9 BUILDING DIVISION f DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUMBER B98-01496 (714) 754-5273 • Fax (714) 7544856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: Suite: Vicinity: Parcel Nunmber: Applicant: Address: 3505 CADILLAC AV C BLDG C 13966117 SANDOVAL, CHARLES Owner: CAM Address CORE Y.V tl� Contractor: EVAt Address: 01101 /SANE Status: ISSUED Applied: 08/19/1998 Issued: 08/19/1998 Zoning: '-�; .Phone: .7-14-528-3073-'---- Y��-" Zip:' - r Plan Check: $0.00 ICPARTNERS�� Permit: - Address d ` ,--Phone �� - Zip: 92658 -COMPANY INC Other:' x.,$0.00 Phone: 92701 -AroIn/Eng Plan Check: $0.00 Permit: - Address d „$0.00 SMIP Com' $2.31 v c PHo e 'n c - f,n Other:' x.,$0.00 / ; Zip: License: 7 � SCOPE OF PERMIT v T1O EXIST AND INST CAPSHEET AND PLY y - Inspection: Total. _$ SETBACKS- MAINSTRUCTURE,Front '0- 0 Rear ACCESSORY Front -6-'o Rear PARKING Existing: 0-`- Re uired: NOTES: FEE SUMMARY _ n f r o , 1 Left 00; 0-0 0, Proposed:. Left . 0-0 _Calc Valuation: : \$11,000.00 -Claim Valuation: $11,000.00 r !i Right 0 "0/ Right 0- 01- 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) 7545525 Plan Check: $0.00 Permit: $174.75 SMIP Res:,' „$0.00 SMIP Com' $2.31 Other:' x.,$0.00 Inspection: Total. _$ SETBACKS- MAINSTRUCTURE,Front '0- 0 Rear ACCESSORY Front -6-'o Rear PARKING Existing: 0-`- Re uired: NOTES: FEE SUMMARY _ n f r o , 1 Left 00; 0-0 0, Proposed:. Left . 0-0 _Calc Valuation: : \$11,000.00 -Claim Valuation: $11,000.00 r !i Right 0 "0/ Right 0- 01- 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) 7545525 13 DiEukaAnoims WORKERS' COMPENSATION DECLARATION: " thereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the coo for which this permit Is Issued. have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' on Insurance carder and policy number are: �•x-� Carrier: • Policy Number 0 /1d-9 7R —/ fj (This section need not be completed if the permit is valued atone hundred dollars ($100) or s.) ❑ 1 cenity that In the pedo nce oft work for is this permit Is Issued, I shat no employ any person in any manner so as to become subject to the workers' compensation laws Iifo rile, en a ree that If 1 sho become s bject to the w rker ' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith Ith these o ri . /y� pp" atur, Date: �� 16/ --I WARNING: FAILURE TO SECU ORKERS' OOMPENSATIg4 CO RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DOST 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 Iicens d under provision of Chapter commencing with Section 7000) ADIvIsIon 3 of the Business and Professions Code, and my license is In full force and a 'C. N Class M rectors sign 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). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: 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, prior 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).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors License Lew 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 o1 completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cade: 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 drivers license. ❑ Yes ❑ No Drivers 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 certity 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) feat high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Cade). ❑ 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: Division of Industrial Safety Permit 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 form for acutely hazardous materials? ❑Ves ❑ 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 hes on hand a quantity of acutely hazardous materiels 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). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant 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 an 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 pllcatlon appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? J Yes LJ No (Section 65850.2 of the Callfomia Government Code requires that the requested Information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ................................................................................................................................................................................................................................................................................... 7 If a permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Ves ❑ No .................................................................................................................................................................................................................................................................................... 8 (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 t 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 o a ow occupancy of any building authorized by this permit until final Inspection. Sig azure egal r �j /•Date !' picant Date `SK— QQgF_L INSPECTION TYPE DATE INTMA CODEI INSPECTIONTYPE QAIE Ui®AL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof /6 , L 210 Final Electrical 201 Final Block/Retaining 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 Bullding/Occupancy 244646 .:+..,•..♦��f'"i-v.^.u.�,,,'w/�.'w't"'^'r""`aa`�.�q:✓L�/h� :.m. ,: ,.. ;._.. -.. w�+w�ry+.a�Rev-+—^.•....�..--�.-�.w Sdi SAT of Costa 21)e5a 'Development Services, Division of Building and Safety mmw000rl CERTIFICATE OF OCCUPANCY This certificate is issued pursuant to the requirements of.;the pniform Building Code, Section 308 adopted by the City of Costa Mesa c11I I I Is_that.at-the nine of-its.issuance the building structure herein below described was inspected and �appr_ovedefor"occupanncy,asfollows, Building Address 3505 CADILLAC/,6VSNOE, BULWING C 'V��i1FBldg. Permit No. B ?7'3059 0 �R I Use Commercial P.. ✓t5`' ChJ Group B-2 TypeCo of nstructio"n V -N Fire,Zone�� l ` L Use Zone PDI Owner of Building Cambridge',1,7 Tark Partnere Tenant " FYRAM� LABORATORIES. INC." Address 4400 Mac Arthur: Blvd. Suite 150 Newoort Beachf��el 142660 ' REQUIRED TO BE PLACE in FFICIAL ItOtt� BUILDING OFFICIAL- Y� GCU� Plate' j te' t`\ G REQUIRED TO BE PLACE in .yADDRMS 1101LDIN0: 3505 CADILLAC AV DNT. BLG C aW1ERSNa1IIEIFg10'M":CAMBRIDGE PARK PRTNRS. FLOOD: AH -37 QD"EIRLC/O CORELAND DONNER 4400 MAC ARTHUR BL #150 IEWPOR-T'BEACH, CA 92660 (714)251-1100 ADPL. 110II10 AODRI5 ARCIIDECTORENGINEM MOHEB GORGY ( 818) 507-5747mNO= CE52360 ARGIL OR ENG'B ADDRESS: 600 W. BROADWAY UNf: 225 GLENDALE CA 91204 IwhnR cTORslM1i:E M G CONSTRUCTION CO. (818)507-5747 COKMACTORS MMISI6 600 BROADWAY ADDREss GLENDALE CA mw-. 698133 91204 uRIT: 225 LICENSED CONTRACTORS DECULRATION: I hereby a frm under parody d perjury that I we kcenaed under proyalces d Chaise, 9 (comm.., with Sanlon 7000) of Division 3 of Me Busirees end Prolssslons Code, east my license is in full faro end Med. CRY UC. NO.: 0 6 5 0 19 UC.cues:B UC.NO.: 698133 EXP: 05/96 Dae: I<_rvZ O LS�� Cosmetics, TW NER BUILDER DECLARATION: I hereby a fum under Penalty of P.*q Mal I can assmpl Iram the Contra se dew for the idwwq reepn (Badman 7031.5 Business and Professions Code: Any city or counry which reAdm a transit to construct, was, improve. .emd'Mh, or repair any structure, prix to its issuance, win reRuiree [he applicant he such permit to fie a signed stwereml that he a sha is licemed pursuant to the piovidons of the Conuedas Licanae Lew IChager 9 (wanmeain9 with Section 70001 of Deeen 3 of the Business and Professions Code] or tial M a she is pemq Ihanahom end the beads for the doped wemplion. My volmkm of Section 7041.5 by any ep howat for a Puma subjects the epgicent It a evil penalty of not more than Me hundred dollen ]f5(101). ❑ 1. se owner of the properly or my employees wM wages p thaw oder compensation, will do the vuM, end the uncture a ret intended moffe forode(Seamon7014,Badnessand PMpsbru Code: TheConlrodaaLlamaLewdapratm*lopbwnardpropend who builds or knwores thereon, and who does such work Names" w herself or through he or her over employees, provided Met such imProwments we not inladed m d es,1 for aeon f, hawever, the buildup or knprwunent is shin wlthin ons year of completion. this Mwmrbuidw will hive the burden of prwinq ha or and did not build a imProw la Me Puryoee of eW). ❑ I. m Mumu d the PrWaM. as eadarwly contracting wind Eeeneed contractors o mamud the paled (Section 7044. Businen met Pndas'vs Code: The Comrufse Lawyer Law doss no, apply a an Muer of property who holds or knproyes M.r.ot W arta a'ali,ett, it such woprfs wth a comedos(.) firomed pursued to the Camredon Liana Lew). ❑ I am ..or oder Section: a. a P.C., M the reps: Due: Owren I do hweb/ crdy that I we ewers d and ustwsurtd the r.Mdn.mlrp of California Health and Salary Cade Se utim PS'A6. 25544. end 25534, end that I a my future buidiw ooapam win / wN rat (done ars) need to comply wth said dee tactics and the mtuiramams b e mrmtlomm0udianamodifretionhanlMArTI yTi l.�vupament 0iurwa. Raddemil axmrudion eppirtliam en exempt from dome pronsions. Due: Apgwam: WORKER'S COMPENSATION DECLARATION: I hereby affirm ruder parody, of per*" me of the fallowing dedvatas: ❑ I have and wJ nne'vuen a eent'reta d assent to s NJ b woken' mmp,toten, = prwstad fa by Semon 3700 d Me Lebo Cocts. la the pwla,marca of Me wok Its which Iiiss peso a meed. ❑ I new end vel mdrmee Mrs• awpamerone, p neaeact by Section ad the Lobar Code, b tha padamenae d the M la whirl Me pe,mt u ®and. MY wakra' .' camps^aeriM^ imurerca erriar and p04cy numMr era: Carrier: Policy Number: (nie section msec not be compbred if Me pared is fan one hundred callers (SIMM or baa.) I catty thea in the pedormarce of the work M whih this perms is issued, I wall rot employ any person in try mpnw so as to become subject ro Me waders' compenptmon levee of California, arc agree that t 1 should become subject to the worlmn' compensation prows' % G ion1 3W1 <_ LaAC, I stall lothwith aom� � ' Dana: �F Wem/ng: Failure u ascuf, wokma compwa.don covwege /s unbwNl, way wall eurNct an wrploysr roc p uW dvll Rres W to one llardrsvl thousand dollen (S109 OODI, M .ltdldo. b IM coat of tongwwtbry Menages as prov/d.d for In $eadon 37M of Me Labor Code, Interest. and.Memey's fears. CONSTRUCTION LENDING AGENCY: I hereby dent under Primary .1 perjury that Ihere is e construction lending deny, for Me pedwmuce d IM M he whirl the pass is moed (Section 3097. Ci, C). LENDER'S NAME: LENDER'S ADOREW: I candy that I have road the epplwalon and use Mad the souse information is coved. I agree to comply with M oily and county adimrcee a d.We by ralweq 10 buddvq construction and thereby aulhdbe representatives d the dry roamer upon the abowtmanuio ed properly la inspectionM FDH A I— (S -o e 6 A P 'm I y G �� G� Dau: d / Sgnafum d Cwmd"11A nada (515146.WP) Whhe-Suildiq S Sdery: Green -Sb: Cemty-APpicad: Pdnk-Rewnue: Gddenrod-Npesa CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 073059 PERMIT NO: B 073059 PLAN CHECK NO: 02266-95 L GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION COMMERCIAL T.I. (OFFICE/LABORATORY) SQ FT: 15,000 CLAIM VALUE: 15,000.00 CALL—VALUE: 15,000.00 GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TENANT IMPROVEMENT ♦E * iE RE iE fE fE dE 5E iE RE RE RE 5E 1E 1E RE 1E iE iE df RE ♦E k iF 1f 9E iF iE if iE it RE iF iE RE RE * * dE iE RE iE RE iE RE 1E dE 1E RE jE iE RE iE * fE 5E * 9E iE RE iE dE 5E 1E 1E 1E 1E 1E iE RE RE iE iE iE dE 1E * 4E 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--------- —RES 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: 13966117 ZNE: PDI REF NO: DUE PLANNING NOTES> INTERIOR ALTERATION FOR PYRAMID LABORATORIES. NO ADDITIONAL .00 > FLOOR AREA -PROPOSED. 165.15 OVER/SHORT: .00 BLDG PMT ♦E ink 1E iE dE 5E 1E dE 4E 1E lE IE 1E iE Rf dE dE 1f iF iE IE iE iE 1E dE iE 1E iE 9E 9E df 1E * RE ink RE iE lE RE 4E iE RE ii RE fE 9E iE iE iE iE 1E lE 9E iE 1E 1E 1E 1E dE iE 1E 1E 9E fE RE RE 9E lE,iE iF * iE 9E RE 9E 1F 9E RE 9E D E V E L_0 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 3.15 ZONING APPROVED BY apa 1E iE 9E iE dE iE 5E 1E RE 5E RE 5E iE 1E 1E 1E dE dE dE fF lE dE 4E dE 5E ♦E * iE 9E 1E * 9F 5E * IF IE RE DATE: ty BUILDING APPROVED,BY : APPLICATION ISSUED BY: RE dE 4E 1E iE 5E 1E * RE lE lE RE * RE RE 1E 9E * 9E iE dF LEGALIZATION:N F E E S U M R Y BLDG PMT PLUMBING ELECTRIC1.MECHANIC PERMIT 162.00 DATE: DATE: W l3U/� iE DATE- DATE: E*iE7FiF, TF3F if *dE STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING SMIP/NON JUN 3 01995 D CITY OF MjTq MESA —RES PLAN 105.30 3.15 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 165,15 0.00 105•.30. 270.45 270.45 .00 REVENUE DIVISION TOTALS--> COLLECTED: 165.15 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.00 3.15 1E 1E dE 1E dE 9E ♦E 1E iE RE RE 9E iE 1E 1E lE iE iE 1E RE dE 1E 49E dE RE iF dE iE iE 5E RE 1E iE 9E iE dE iE 5E 1E RE 5E RE 5E iE 1E 1E 1E dE dE dE fF lE dE 4E dE 5E ♦E * iE 9E 1E * 9F 5E * IF IE RE fE RE RE dE 1EdE RE df iE 1F 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 SFC 15000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 15,000.00 END OF FEES JUN 3 01995 D CITY OF MjTq MESA 4. CO4NSTRUCTION AND PLANNING APPROVALS 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 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 t 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 I 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 0011 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Mdnoccat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 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 Meter -Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning(., ?X 9 Q .f6-6 c 35. Final Gas Pipe;Test -J ` 36. Hood or Canopy 37. Final Factory FireplaceC°or .. 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 W40F JAh. 47. FINAL STRUCTURE & BUILDING�T- 48. FINAL PLANNING Q .c•t 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co "~ C'3 51. CERTIFICATE OF OCCUPANCY No Date II ft E AODRESSOFSU Io: 3505 CADILLAC AV UNIT: BLG C WMERSNAMEIFKNDNN: CAMBRIDGE PARK PRTNRS. FLOOD: AH -37 ADDRESS C/o CORELAND DONNER 4400 MAC ARTHUR BL 5150 JEWPORT'BEACH, CA 92660 (714)251-1100 ARCHITECT OR ENGINEER: MOHEB GORGY (818)507-574-Axw.: CE52360 ARM OR ERG'S AGGRESS: 600 W. BROADWAY UNIT: 225 GLENDALE CA 91204 CONTRACTORS NAME: M G CONSTRUCTION CO. (818)507-5747 CONIRACTORSMAILDID 600 BROADWAY ADDRESS: GLENDALE CA uc.Na 698133 91204 Inc., 225 LICENSED CONTRACTORS DECLARATION: I MrWSM y an undr pred Ay park" thus 1 rn See urdsi pwhloe d CMplr P nmaWhp (cot"It 8=0 ]000) of Division 3 of Un Buenaes rd Pro nMan Code. a W my Dame Is In full force aim effect. CITY uc.NO.:065019 LIC. CLASS: B LIC.No.: 698133 EXP: 05/96 Gets: 8131 14 S Camedon `tisNER BUILDER DECLARATION: I hereby dfinn rotor prWy of prkay met I un aoampl Imre dm Lioems Lew la the 'bwkp mason (SW Mn ]0]13 Blniess rld Pmfwbs Code: AM city or county w" mpdrn • peret to oaabucl, atter, improve, emossh, «,spar amy strtoma, Dra M b hsuarKe, rho repuim the appBaM for suph permit w Be a *WM maino t dw M or she is Ibemed pursuant to the aombm of IM Cmredas Llama Lew lCMpar P (oommndnp with SWbn 7000) of Gb'sbn 3 of is Business and P, ions Cab] a tin M as sin h aosmp me ehom rtd the Mee far is ~ rnmpbn. AM vbhton of Section 7WIS by ry appliam for a perms sub* IM appfwtl too dui pruhy d cot mon IMn Me hundred ddhn IS50DD. . ❑ I,nownerdtheproprty emy employee dh wa0wn h.i esh mmpreaton, wBbtl»wo wtlesMaunh aitrdw ems, dlarad br eW ISeda1 ]Oce, Buehwa ob Pnlaeons Code: TM GmrWm llogths lewdoes rld epplyto m baed popomy; win mm a bnpwa trended r o who does such Y.mtk honed a tonal a taarVlt he a hr own one y . pm4dad the auto impaenWa as red iasMd a dhnd la seta. tl.Ilows,er, the buMip a inpwarnW a sok wehin ata Yar of avndd'dn. IM ownar-0u0dr wt9 Mve Ms buNrh d povvp M a eM did nos badd a'unpww la 11th popes d this). ❑ I. a owner d IM Popeny, m urireeely oorerWip wish licsruad tonbemn M «moat Ohs po]ea (SW inn ]Oath, Bausse erd Prdaabm Code: The ComrWm Liost Law doa not apply M n ovener of Impiety who bush or vrpwn Thereon and who comma. M euch projWa cash a mdrada(s) liamed pm uus to the Com lianas Low). ❑ 1 am aemPl u SWion: B. A P.C.. br Use sons r Dee: O.•nr: I b hereby caWy tlw I am eros of cid Ishdaheehd the apuramra of CaMaria llsstlh and Safety Cob Sedioro 25505.25533. aim 255.Ts, vet tw I or sty Mm diking oodgan whit / wD na (circle one) coed M e.,* cash sed cows coda she the rguirnems lar e prone taaomvWiona nMddrwionhmtM Ar�tyIAvieperiwu Gid W. Medrtlolomdmdbn appfaMman asomp Iron rima Povifiau. I Gets: Appfcna: WORKER'S COMPENSATION DECLARATION: I Ieeby olfim+ undr pem,ty, of Pietist, as of is following bdewimm: ❑ hon erhd veil meiaen s and' ie d mrmahi to this+raves la wpemMion. n pakad lar by 6auion 3]00 d IM Labor Gads, lathe pMamuuw of this wok la wNicA this prone is meed. ❑ I hon abet w mentaw waMn' mnpanrmi bre . n rsq r by SWbl3]00 d Nth Labra Cob, kis IM patio, e d tin work for which the permit is Mad. MY waken' ampensdkn ismrsnca aver, end Paltry munMr w: Ceres: Policy Number: (This swim need ml M combed i ds Psmo is b em, huMred dodars 111100/ or /aes) ❑ I aceim subject in tin the d tin wok lo Ism the Prma a, Hued. I e u ei eI ahoy arty peon In cry metre a la to become gond lD tin wades' cormrsr a hwth C CdI "I rm, moo use 1 1 shank bcahs ablW to the worYere' compmrbn Dm+eians SWion 3]00 d tin Labor Code. I slWl lonhweh campy weM1 ruse Persons. I. �l/ 3 I I S Appliwu: Wemlp:FaPun basun eadcwi.movi ,seen rovsiege h imleelul, end abet! r oyerla cdmMel P.M. ems civil Ilea cop he ort d IM hhohdrsuad dollen IMAGING In eW/Wb fin cal l o/ rorrywaybm darrsyss a pmvldad for In Sndm 3rd of me Leeor Cob, In1raL end holo Ys /vee. CONSTRUCTION LENDING AGENCY: I herby df u Pmeay of parp q that IM e e eonens,m lending pansy for the "domwoo d the work for Which the memo a Hued (Senion 30117. civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cenify the I hese reed this epplCeion cid ode that the a information is cared. I pone to comply weh all city and aunty odimmoes sin dee hes related to MDdiq cmdrudion ab Mreby edhorbe hipmee 11.0. of this dy to M. upon the ebovamWhoned POCely LSI (5151 46.WP) Whee-Buikuq A Selety: Gremn Rle: Csosy-Appiant; Nnk-Reeves; Odde moo sysmmr CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 074010 PLAN CHECK NO: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE JOB DESCRIPTION : COMMERCIAL T.I. (OFFICE/LABORATORY) CLAIM VALUE: CALC-VALUE: PERM NO: E 074010 GOVT: N SUPP: Y PURPOSE: OTH SQ FT: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TI /RE: B73059 6 E73060 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: 13966117 ZNE: REF NO: PLANNING NOTES> iE iE iE fE * yE * * dE )f yf * if iE 1f if * 1E 3f-iF iE 1f if if iE iF jf iE ie yF if if i! iE ie,if iE if ik yE iE iE )E )! iE -0E iE if iE 1E 5E yE iE dE dE iE iE fE iE yE')E if iE 4F a(-* ♦E 4E 10 iF iF iE if iE ik 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 APPLICATION ISSUED BY: LEGALIZATION:N F E,E'/ S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 29.75 503 PLAN ISSUE FEE 4.50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 29.75 4.50 0.00 DATE: _ DATE: ��df ik dE ♦E iE ** * iE iE �iE ib iE iE STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON-RES TOTAL PAID DUE 34.25 34.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 34.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 34,25 iP iF i6lE IP 1E 1E * IF iE iF iE 1f iF iF * if if iF lE 1E * ♦E * * * * * 11E If !E iE IE IE * * * dE iE 1E if IE IE ii iF iF yE iE ik if iP yF iP * iE iF 1E iE 1E iE 4 ♦E ♦E 1F ik iE iE iE ih iE iE * iE iF 1f i(iE * ♦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 ELE 5 RECEPT/OUTLET 1 ST 20 EA. .75 3.75 ELE 5 NON -RES APPLIANCE NOT OVER 1.0 HP 3.00 15.00 ELE 1 SUB -PANEL 11.00 11.00 END OF FEES 011 00189373-00189371 -r#Dt-r 3{,25 DATE: 09/31/95 T HIE: 09:17 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PG... _ & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locationvl F 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 t 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe.Undrgrnd. 60. Backwash Lines, P -Trap, 0 Lindrgrnd. 10. Structural Floor System ff 61. APPROVAL TO DECK 11. Property Sewer Line & House Cohhection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final r r 13. Roof Drains , 64. Plumbing System -Final \ 14. Rough Plumbing o 65. Electrical -Final 15, Rough Electrical -Conduit 66. Solar System -Final v 16. Rough Electric Wiring 67. Fencing & Access Approval "- 17. Rough Wiring Sign S. APPROVED FOR PLASTERING �- .v 18, Rough Electrical -T Bar Ceiling 7V16 � 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 0Oil 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 33. Final Electric 34. Final Heating & Air. Conditioning �B�r// /} p1-_ 81". -ODD CERTIFICATE ISSUED otes: 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 Cc 51. CERTIFICATE OF OCCUPANCY No Date 711 m MORM01'aBMtIIDA •3505 CADILLAC AV UNIT.BLG C OwNERSNAYEIFpIOMN: CAMBRIDGE PARK PRTNRS. FLOOD: AH -37 ADDRFss: C /O CORELAND DONNER 4400 MAC ARTHUR BL #150 IEWPORT'BEACH, CA 92660 (714)251-1100 APPL. NAILING ADDRESS: ARCIIDECTORvmmR: MOHEB GORGY ( 818) 507-574711CN0v CE52360 jUlCtL •$ Ams' 600 W. BROADWAY Um. 225 GLENDALE CA 91204 coxmACTORSUff-' M G CONSTRUCTION CO. (818)507-5747 COMACTMUNUND 600 BROADWAY ADDRE59: GLENDALE CA mNo_ 698133 91204 uNT: 225 LICENSED CONTRACTORS DECLARATION: I haoby allies underm pekd y prm opo Ic jay NI eneM r Pr un Ovbbne d Chaaar S (.names, with Section 7Go0) d Dit+Ccn 3 d ftBuvnn eaan Prdesatans Cab. aan my Doormatu M M opo"affect. CRYLIC.N0,065019 uc.cLAss: B LIC.NO.: 698133 EXP: 05/96 Data 3 x 1 9 C.. OWNER BUILDER DECLARATION: I hensby affirm leder paaaky of paroy Non m I . connote Nom IM Can a law la the 1dlowip neem (Section Ml3 BoeMaa ad Paotm iunC Cods: Arty cry or o." which nits. a Prmb to prwmct. apo. bvpa", Lemdeh. a mpei fry et,ctuat. Prior Io b b.. alao raedrm tM applicant fa ami Pamir 10 Rb a eignan aWement GW M a BM b lieeneea pumaM to tln poviabn of Na Carmaaaa Li . law [Chapter S (0ommanvp with Section yoo0) of Di4'si0n 3 d tM Busmen mrd Pldeaso Cobh or time M or aM is exempt Iherehan and text basis for Na atbgan exemption. My vbletion of Section. 7031.5 by airy applicant for a pane wlbiects IM apptcant to a ci peroby of not mm then two huMrM dolens psoon. I. as owner of IM pnprty m my amployya wbh wages mthei aeb mnpiee5on. wNdo dw work red Ne Cuudtva is nd'mtlendad or offaredbr sale (Sr3cn 701, Bvvwsand Pmlmebu Cab: TM Contract. Linnse Lawdon not applytoan owwtl pmpetry wM Mab or ma Ihaa o%and wla does suctt � hbnesff or henel or Nymph No or her own mWoyw, prw ties ado impwementa. mt Waded m a farad for eats. ff. Itoaever. IM buldvp or .0oaanaN b add aDhat me Y. of compldion. Ns owner -0 W hero tM bird. of aovirp M or ahs did not Meld or inpron for the aep0ae of ads). I. n ovmr of IM Woo". am mcim sly Conuaebp tyle Dowd 0araamC to.Inw 0n poiw (Sad. 7041. Bwiaaa rd Prdanm ioCab: TM C.mn. L'a Law dply does not apw an ower d property M y alto m ktprrwm Thereon aan who Cmtrew for axit projects wmh a mnracta(el Icemad p.uera to the Canractara ldoema Lav). ❑ 1 am m.pl under Sector: B. A P.C.. to, Ona .seam: n.... rw.... � 1. ,I Ido Melly Canty Nr I eon awe dW nResCtad tlr reRlnlrnetes d Catffmda Ilaalh uta SofiNy Code Swiom 25.505. 21St), and fav, art tlW I a er0' IW. bugduq ompp xiO l wD ata Iamb m.l need to tyrant wih eek web mates end tM nadrrnantl o a pamOlmwatrpevna modifimlohamtMAi3aTl .apemen D'etrict. Reddemel mrmructi0n appkxtbm re rtemah.thms I+mise Dote: Mpboad: WORKER'S COMPENSATION DECWIATION: I heaby alfa,n uanr pana4Y of PrNaY acct of Ne IOAowkp dadrmbm; Ihave fort wit meinrona of fm wNco eatlLaureowakan'rompeMmo.es povked lm by Section 3NOtlIM Lobar Cana, for tM pdamama d tln woo la wNch thio pamR is uCWd. [3 1neves art wont matd.a wore• P Pasaian iauraca.esnx;mad by Section 3700 d" labor Coda. otM pedormarae of IM wok la w dus pane at masa. My waken' oonlPanamion kauranea wrier end poky n.br fro: cadet Pcfay Nuabr: I7hia nai0n aeaa not CePanprW iw Pami b o ata&.d d cbdeva IStool or AmJ ® I Paney Dsu to I ff I 0n pdarmerr a d IM wok o whl INC pamm b {mead. I Nee red roPl m fry prom N arty monis ya la to became subject to IM wakes' mm4er.IIM M leesv d CeI korka, man yrm NR anut be_xarn wbjact M waken' cemllanaato Pmdacrw dgsedbn 370o a Lahr Cane. pwV aynpy wy �^ Dae: � � O � / � Applicant:MLI/7L/✓i/� iv. Wkv: Fw" to Cecura aorrC•canpan w.. royrpC ICt *WA4 and alawla last an aaplo al pCfWtlm osW Clvll JIM. W a"htndrod fWuoard dation ($104=1 N aAyltiOn to Ne Cif of rolMmestbR darrrat as m pfodbd b, In Section 3]05 at fey Lebec Cob, Idres1, ad armmry'o lees. CDNSTRUCRON LENDING AGENCY: I Mpby atfra alar penalty of PwW GW tMn'a f nation! xa a o D» poaona. of IM work o yd j IM Paoml at is ad (Section 3087. CN. C). LENDER'S NAME: LENDER'S ADDRESS: I Caney Ihm I hero ted Nle appiCalian aryl Rya tial the above vaofmaion is Canty.I agate to camphy wbh a nor and ooumy adinenroC and 1W f lawn reMng to buidN porauuctioa and hereby nodwita repeserdmioea of Iib dly 10 ender upon tM abw. memoad IaaPeny 1m impaction guesses. i t I � O le C�/ M/f%C� Pnsa Nam/e Oma: O y sgnaturs a Owner/ rad (5151 46WP) Whhs-Buikkp A Safety: Grea­Fle: Cenar"ppkcanl; Pmkiie m; Ookemod-Asamw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 073060 PERMIT NO: E 073060 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION COMMERCIAL T.I. (OFFICE/LABORATORY) SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TI /RE: B73059 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: 13966117 ZNE: REF NO: PLANNING NOTES> SMIP/NON—RES PLAN ISSUE FEE > BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK iEiEititaE♦EiEiflElEiE♦E**ikikikiE*iEiFiEiEdEikiE*36Rf*dEdFREiertikREitif*iEREik*ikiEREiFikdFiEiEiEiE**iEiEifiEiEiEiEaE1f♦Eif1E*itlE*iE****kik TOTALS ---- > 9.75 15.00 0.00 24.75 24.75 .00 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:�F� DATE: 3 a aE Rf df*iE*RF ik dE iE iE dE*aE it iE ik at aE lE dk ib iFiF'iFiFii'iF3Fii4dE lE kRf lE of if iE it aE LEGALIZATION:N F E E r S U M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.75 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 9.75 15.00 0.00 24.75 24.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 24.75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24.75 *kit ab aE of iE*kifkklEk♦E dE if aE aE iElEiEk**ft*iE♦EkiEk♦fkif30iE iE ik ib iE i(-iE ak it itrtat fkklE it kiE*k*iE*k♦F iE iEk*lt if ♦F aE ab it aE dE it it it it tit* 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 4 FIXTURES LIGHTING 1 ST 20 EA. .75 3.00 ELE 9 RECEPT/SNITCH 1 ST 20 EA. .75 6.75 END OF FEES 30 dUN 1995 CRY Of COSTA MESA A 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 1 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. 1 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, ❑ 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 I 66. Solar System -Final 16. Rough Electric Wiring I 67. Fencing & Access Approval 17, Rough Wiring Sign ;. APPROVED FOR PLASTERING - 18. Rough Electrical -T Bar Ceiling 169. 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.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 77. FIXED SYSTEM FINAL 29. Insulgtiori 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32, Electrical Power Meter•Final 80. F D CERTIFICATE ISSUED 33. Final Electric B 34. Final Heating & Air Conditioning 35. Final Gas Pipe7Test 36. Hood or Canopy 37, Final Factory Fireplace 38. Final Plumbing 39, Water Service -Fina( - 40. Gas Service -Final 41, Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 3 46. Handicap Regulations r S CD 47. FINAL STRUCTURE & BUILDING p N 48. FINAL PLANNING y a 49. Electric Release to Edison c 50. Gas Release to Southern California Gas Co r_ .- 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESAOp9ML11P1G 3505 CADILLAC AV UNIT: BLG C OWNDTB NAME IF 10401YN' CAMBRIDGE PARK PRTNR$. FLOOD: AH -37 Omm C/O CORELAND DONNER h 4400 MAC ARTHUR BL 4150 EWPORT BEACH, CA 92660 (714)251-1100 ADPL. MADIG ADDRESS: WHITECTORDMM: MOHEB GORGY ( 818) 507-5747MNa CE52360 MR. OR DIG$ AOORE59: 600 W. BROADWAY Wer: 225 GLENDALE CA 91204 co mwroisli M G CONSTRUCTION CO. (818)507-5747 w ACIORSMA11010 600 BROADWAY AOimm. GLENDALE CA uONa 698133 91204 IMT: 225 LICENSED CONTRACTORS DECLARATION: I hereby aRam under pwW, of parpry OW I am Gonad under prvma. d Chap.9 (mmmerwrp wih Sedion 7000)d Divsion 3d da Busbass and Proleeaiorm Code,W M Room is in force and affect. CRY UC. NO, 06�5019 UC.CLA55: B UC.NO.: 6981/333 EXP: 05/96 Dam: h' 9,�/ Corcoia. TWNER BUILDER DECLARATION: 1 hereby affwn u penalty of mrW IMt I am emmpl ham IM Care la tla Afowihp vena (Section 7031.5 Bubm•s W Prdaoara Code: Am dy or mutly aNsh tpdra a penia to mraNmn, ebw. Impure. demolish, .,.p& wry eaucturs, prior to b s mumce. abo macre• the awp for wch Pemd to Ma a eipad.ba w cat M w she s limna.d mrsumt to tM worsiom of IM Carmaom Limnos Law Ichapw 9 (oxit dn9 w Swim 7()0()) of Maim 3 of IM Blnkas• W Prolessions Cool or Nal M or sits is a pl IMreham and IM lens la Ne allemd mwnplm. AM violation of Section 7W 1.5 by dry appnew for a mrmb •u*m IM applicayl to a or d penally of nal more then two hundred dollars (SSOOD. ❑ I, as owrtsr of the wopMym M.010 ses Mh aagm as Ihei vole mmperm5m, to t ats wnrk. and the Matra s ml Wwhdsd or offered for sW(SeoM 701A. Buanea and Profession•Code: Tits CorurnCon License Lew coo rot appy to m owner of popery Who Wids or mpr tl I . mW who dm• •udl ao6 Ntaae9IX MI•aE or 9YUU311 L0 or Mr Ow11 mpio m•, panded tial such improvement. era rot imerWed or dlehad Ip eas. D. however. IM MiMinp ot knpmver b"wilhn ane year of mmpmlipn, the ownsrauildw will Mia lite 1taM of Iaa+aq M or aha old b ledd ca uhw t« da propene of as). - ❑ I, as oar sr of 1M Property. am Uduasaly mMrectkh9 with k "W cantrectpa to pmfbW Ns pmjact (S Ion 7W0. Bush as W Prolesdon• coda: TM Carermm Ldcerne law dcee act appy fo m owner of pmpwty alto braid* or nwma• ll w W wM contr c for sadh propos w a mmracta(s) kcensed wuauenl to the Comradws Limns law). N ❑ I am ..PI uM Section: B. 8 P.C., for Ns teeters: / Owe: oa w; I do hereby candy Ihsi I anI ewes d W mderataad ft raoul. aM d Ca orria Ilaenlh and Sdty Code Swfam 25505. 255W, W 25530, and IMt I w ry Muer WWM o..,m win i w0 nd (arts one) need to mnWh' wih said sire codes and the mul.ants for • penia tormabuctfon wmoddWionhanlMAi u7 iy erolpnsu Dipdd. Reddad'Wa icmh.ppirdion•wa aaempt 1. these waabim•. Dam: Ammo: WORKER'S COMPENSATION DECLARATION: I hweby Mem urdw pwWy of pwary ane d N• seowa dedatatsns: ❑ ITeat rid wit maWensmdcatad mawtl tosMr Poewwkws'mVwmdion,mprovided Iwby Semon3700dtMLobar BQ•Ja. Iw the mdmace of dh• wok tp Mich tis pard s blued. ❑ IMvaW WmeWak+wvM1 'wmperrmbh'arraro.ea reeved by Seovh 3lODdNe IeMr CoM.blM prlarmercadtM wwk Ia MAdh dila Dams s'wsmd. My wwlars' mrrlPenWipn'vapacw oerriw and po4y amber ra: c.dw Policy Numbw: Error eedo, mad rw a oampsmJ d w Promo s b era hrvadeA chew• (51071 or bo./ �I oaney aro n N• endorse d ca wwk kw Iddoh tb mrmd s 1—M. I Nan ed employ my proem n any mamer a as to bcwm Ktiw to 11a ams oointmw m Is. of Calif a W agree Nat If I sihnuW bemnts subject to IM wabn' omhmrmai povslons d S Tan WORM lebw Co6,1 siaO lom"h map*wbh rimdPraveiwm. Data: I Z O 9J App: /"�/<_14 1 1 Wamlrr9: Fall. m acus woofers' nenpwwdan m,, s,R b unbrhd, aM atoll a1L/sal N errploysl a/tlee erre do M. tap at wen hmdrad moua.nd dollen (11104=1 a sh9dm at IM pal of mrywmuon bumps as provmad n, In Scrim 3M of Om Labor Cob, Inlwest and smpytWS laaA CONSTRUCTION LMOINO AGENCY: I hwsby aRmm uMt penalty of pwpq that Nte is a mratruction Wn a9ertsy for 0a mdmneme of lite wwk M afiiN the m.k is sated (Section 3097. Ci, C). LENDER'S NAME: LENDER'S ADDRESS: I candy That I Ma read Ns appkcdion W date tit Ne above Wmmwion is conect.I ayes to oompy valh all csyW omny oMinanm• W shone burs reWnp to wmd awabudiwh W laabyatMwbs nwaattakeea of tliady m ruts upon IM ebovs111erlliwhYd popery I., In.pedm "poaa )•-/En+l (f! I CO fee - Date: 14W 23 (5151-aa.WP) While-BuiWiq A Salty. OmmFb: Coe, -Appkran; Pnk-Rwapn: Gold,,, -Nsessw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 073062 PERMIT NO: P 073062 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION COMMERCIAL T.I. (OFFICE/LABORATORY) SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TI /RE: B73059 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: 13966117 ZNE: 4 REF NO: PLANNING NOTES> > ) dF RE RF dE * dE dE dE 1E 1E 9E 3E 1E 9E iE 9E * iE * iE jE dE )E * ♦F * )E dE dE dt * * Rf 1E * * dE dE 3E dF iE dE 1E dE ♦E 1E RE dE i(' dE ♦E iE dE * 1E iE 3E RE 1E * 9E dE iE dE 9E iF iE RE RE RE TIE iE * OE iE 1E * * yE 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: 3v S iE dF 1E 1E dE♦f**dE dE RE iE dE dE dE tE dE iE dE lE dE dE�3 ±FiFiFdE lE dF tE RE dE dE dE dE iE *iE LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING PERMIT 42.00 251 SMIP/NON—RES PLAN 7. ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 42.00 20.00 0.00 62.00 62.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 62.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC 'FIRE SMIP/TOT GRADING PLAN—CHECK 62.00 dtdtdtdEk*1fkdEdEdEiEdEdE*dEkk*iEkktEkk%lk**dEdidtiEklE*dEiEiEdE*1EiE4tEdEit3EiEdF1EdE*k9EMk41EdE*1EdEiE***kdEdt9EiEiE*dE*iE*dE 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 FLOOR DRAINS 7.00 7,00 PLU 5 SINKS, COMMERCIAL OR INDUSTRIAL 7.00 35.00 END OF FEES p 1 h Tu r - _JN 8 01995 C11Y OF testa MESA CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PuoL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. >�2/� 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. 1 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 i 14. Rough Plumbing 65. Electrical -Final , 15. Rough Electrical -Conduit 1 L'�J�_ 66. Solar System -Final 1 -:6 -Rough 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 OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 000 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: '( LLCM-rG� 34. Final Heating &Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy . Al - a -C5- ein! 71 m d 8 (G� •�-- 1 � SY--S-Zrt��-t f_L� i 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final T� SPEZZt�t(g •hs,r��'U[� 1S 926 tJY ! 41. Solar Domestic -Final �f2.ca r L - 42. Backflow Preventer l tri CS 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation - ` • - 46. Handicap Regulations - T O 47. FINAL STRUCTURE & BUILDING t -y 48. FINAL PLANNING _r 49. Electric Release to Edison SE 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date AO rh AooRE5sa3MLOMo: 3505 CADILL'AC AV UNIT. BLG C oAmEmNNIEDaIONIN CAMBRIDGE PARK PRTNRS. FLOOD: AH -37 AODaaea. C/O CORELAND DONNER 4400 MAC ARTHUR BL #150 NEWPORT'BEACH, CA 92660 (714)251-1100 AM. MMLDIO AODRE59: ARcxITECT OR ENCdIEER: MOHEB GORGY ( 818) 507-574-,L�m_. CE52360 ABCKORENG'sAOORM: 600 W. BROADWAY UNIT: 225 GLENDALE CA 91204 cownumoiis�M G CONSTRUCTION CO. (818)507-5747 CONTRACTORSYAS010 600 BROADWAY ADDRESS: GLENDALE CA =NO: 698133 91204 um: 225 LICENSED CONTRACTORS DECLARATION: I hereby Nim a poky of prhay Net I ern Iiom u prmidma of Chapter B (mmmarterhp wbh Sambrh 7000)of Divelon 3 d Ne Buetww end Podeeafoow Coda artd my ioerhr sin M boos arta AOea. C"LIC. NO.:0650199 uc.CLASS: B LIC.NO.: 698133 EXP: 05/96 Date: 9 131 11 \ l Cwwwo. Ine IW NEP SUILOER OECLARATION: I Mnby af6m ante Mnaly d perjury that I em exam mretlae Lioewe Lew la Ne Toaksh Teem (Section 7031.5 Bwr W it arhf Profs, assn Coda: Arry c,y ls manly which rparse a pem, to eanvun, aha, improv, zmdeh, a regi arty, slmctaa. prig b ,s swat, ser laeuites IM lChapan9 ( ouch pmp to fib a om 7 DO) of rel tMl M of ehe Is I ir,ass pf Prole to IM aorisiorta d ss Codredwe Wmnee Lew 1Chaaa a (mfor ft hD vph Semon 7000) vi Oiveim 3 e IM Bupwse errr Protest f CaGi a Ilial M a she a l exempt tae p std the Mair /a Ne Na seamaipn. Any vitiation a Semon 7031.5 by a^Y apairanl la a perm, wbjetee the eppl'rsM to a oivi pnaW d M mare tten fNa hunNed doyen RSDDD. ❑ I, w oowr d the popeM a my empbyear with wpse se Iher sob mmpewetion, wB G to work, erW rte swcturo a red inlendef a Mendlarode(Sector70M.Bupn mAProlessims Cade:TMCaM mLicerpelawdosemlapplytowownerdproperty who Mich a inprwse IMtem, ad who fora eudt work N r, I a hent r Waudr he a her own ampbyase, pmidW thet each improveme a we nal,tended a that for tab. It. however, IM Mio Una ie for O e pt ,, add f use ow yea tl mmpletcn, the owwrLuiliw wi0 have IM dvden d ami^p M a alta d'd k MJd a'vnporo to Ne papas d Iab). ❑ I, as owns of IM property, sum setlwivey conlraakp with licensed contranm to mretrud the project (Seton 7044, Busutws and prcleaavw Code: TM Cmt,ed. I.iowse Law dose red apply to an owner of property wb Mutts or imaww. **more and wlto =usme la st M pealsds watt a odrom0r(e) Iceneed putt to the Caeractora Lioeros law). ❑ 1 em exempr urder Servo: B. 8 P.C., br this rseaon: Date: Cwna: I G hereby c.Wy" I am •was of and unGnMM the rpuitemema of California Ilee6h W Safety Cade Serabw 25905, 25533, ehe 2553e, ase the 1 a ase Man buildkhp omwm. will / w0 rod Idrcb owl rose b comply w,h seid pate aotlw ehe tr rquhemerw br e pomp IamseWpiana modfmcnhomlM Mauai yR%npenrM D'oUid, ,taken W mmrunion appiretiomen wmpt Imm Nese proviabro. WORKER'S COMPENSATION DECLARATION: 1 hereby affirm under perlepy of popery aro of tlhs b0ow'vt0 dAaretcon: ❑ I Mn end W maple,, a cerWiMs d pateenl to setl�nwre br waken' omiprppbn, se pruiiM br M Sauion 3700 d tM Lobar COG, la IM pMameme d tlw woA la whiN ttls prop b meted. ❑ I neva ertd w me'vuait waibn' d. My v etion Iseurartia. se raaubed by Seamon 3700 d poky Lobar Cods. br IM pdamemw a IM wwk ler wtktlh tris perm, b ususd. Ay waken' oompnsetbn pwrettw gamer ehe pdiry comber we: Carder: Pdry Number: (this Hasa, Hely we M mnplpsd I pew parol a for an hundred dOOas 15'1001 or bnJ ❑ I w« the a the PtM earl cs d the work io wfich the pem9 a awed. I eha0 nal employ erry paean su sty to the o se to becorne wbpm to IM wakra' mrnpoApcn Mwe d Cefilade, aerd pro tlw A I eMUM hamper subject Ip the wvbn' mmpanwian prwfabos tl Swbn 3700 d the labor COG, 1 pk IaMwih ianply veli Nme prpamar. �deminp: W to to •aeon wrollran' ponalnem ($1 cwapA s pnlbon and Wll f me ert arnpld Malek paneltlse end Stull Ona w b Me hurdM rl,pu,end dmistA (5100003), M eW/lbn b IM cwt or ronper,aerbM1 darnapaa met pmpdM rot In Solon ]706 of NA labor COG, InIMAI, ase atlomsYY lase. CONSTRUCTION LENDING AGENCY: I Mmby affirm under penally of perjury the then is e conelructbn WMW pency for the pedamartos of tM work for which IM perm, is mued (Section 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I carry tMt I haw teed We applk shop end pew thet IM above inlamelbn is cones. I Arae to oompy eah a my ase Sorely adiwnoss erxi elate la'M tdetep to Midaq cdwaamkT most *,aby authorize rspraaentetlrwA of the dy b mer upm the property for iwpeako purposes.. / 0 le D IS: Dar: S mturo��So71t �er-� (515146MP) WMs4uOdahp 3 Salter. Ors• ila; Cartery-Appicaa: Pink�: CUIGnmd-AaamOo CITY OF COSTA MESA — BUILDING PERMIT I PERM NO: M 0740091 PERMIT NO: M 074009 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION COMMERCIAL T.I. (OFFICE/LABORATORY) SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TI /RE: B73059 6 4473061 1E♦E**1E 1E*fE dE dE dE di*dF*di*3F iE dE ,Eli 1E 5E*i6 dF �F 1E 3E**3E it♦E***rtii ii d6**1E*9E**iE 1E aE*4fE fEdE dE 1E**dE 1E dE fE iE**dE*dE***If dE iiNiE 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 REQ: PROV: PARCEL: 13966117 ZNE: REF NO: PLANNING NOTES> r� > '!i * 3E iE iE 1E dE iE dE iE dE iE dE di dF dE * if 3E if df iE 1E iF * iE 1E lE aE dE * * 1E dE 1E * iE ii dE di 3E ii 3E iE ik IE dk iF k * 1E iE lE * iE iF dE iE dE dE * IE *!E ii * fE * 1E i6 * 1E jE 1E iE 1E iE iE fi 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: S 1f iE*iE Ii 16**ib d6lE iE iE*rtiE iE �F iE iF dE iE LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC_*MECHANIC PERMIT 20.00 258 FIRE DATE: (y_� _ DATE: b I s 1 dl4 ii IE 1E**dE iF �IEN STRUCTURAL SEGMENT:N SMIP/RES GRADING SMIP/NON—RES PLAN ISSUE FEE 4.50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 20.00 4.50 0.00 24,50 24.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 24,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24.50', *iE iE SE dE dF***aE***dE***dE**if 1Ei(-IE iE dE 1E 1E iE ii iE 1E 1E**aE iE fE dE lE iE fE*ii**IE 1E 3E dE 9h 5E 1E iE dE dE*iE iE**1E 1i iE iE iE lh iF IE 1E 1E iE iE iE if iE iE iE iE I N D I V I D U A L E'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 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4.50 MEC 1 INST/REL AIR HANDL UNIT 0-10000 CFM 6.50 6.50 END OF FEES 01 00103i2-09189372 TOT 24.59 DATE: 0£!31/95 TInE: 03:17 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POUL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -_ 53. Steel Reinforcement r• 1 3. Electrical Conduit Utility-Undrgrd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t 5. Steel Reinforcement 56. Rough Plumbing & Pressure T st f sy 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 'r 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System il' 61. APPROVAL TO DECK 11. Property Sewer Line & House Co action 62. Backwash & Receptor -Final ' 12. Sewer Cap " 63. Heater & Vent -Final 13. Roof Drains s\ - 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 Q5- 7 a? 6� 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 24. Roof Framing 73. Undergrnd. Storage Tank ❑ 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 PREY, 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 PLANNINGr I- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ADDRES50FlfML0010: 3505 CADILLAC AV UNT: BLG C ONNER'SNANEIFOODW CAMBRIDGE PARK PRTNRS. FLOOD: AH -37 ADOREss: C/O CORELAND DONNER 4400 MAC ARTHUR BL #150 IEWPORT BEACH, CA 92660 (714)251-1100 APDL. MA11DIG ADDRESS: ARCNRECTORENO ISEW. MOHEB GORGY ( 818) 507-57471+ w4 CE52360 ARCK OR ENG'S ADDRESS; 600 W. BROADWAY uw-. 225 GLENDALE CA 91204 cONrRACTORsul M G CONSTRUCTION CO. (818)507-5747 CONTRACTORSIIARRIG 600 BROADWAY ADDRESS: GLENDALE CA mm, 698133 91204 uNT: 225 LICMSEO CONTRACTORS DECLARATION: I hereby Affirm under pemly of "duty dw I an honed under Pravions of Chapter S (cammvvvq with Section ]OW) d Within 3 d the Business vM PMessiau Code, and my fioense Is in full laoe and effect. CITY LIC. NO.: 0 6 5 0 19 LID. cuss: B uC.No.:,6698/133 EXP: 05/96 Date:Iz Comraaor: 3WNER BUILDER DECLARATION: I hereby alfim under penalty of prkuy that 1 an mumpt hone IM Cm se Lew to ds followkq raewm (Section 1031.5 Busnass and Professions Code: AM my a worry Malt requires a p rdl to mutrud, ensu, improve, demolish, or roper Any sirWure, prior to its'stuencs, also requires the apPmant for such patent to fib a signed slat ins i dual M or and m licermd almond to the pr. of One Commaon License Lew jChspter 9 (wmmedng with Section 1000) of Division 3 of the Business and Nolemiom Code) or that M or end is exemyl thoehpm and the Buis for One moped uv mption. My vidvion of Section 1031.5 by and app4zN for a permC vdleds the Applicant to a chil peudy, of red mare IMn Ma hundred da0vs [SSOOD. ❑ I. as osmv dim properly or M employees wdh wapo as their sola oompemedion, sS do lM work and Ne sWdumA nd inleded or blared kraal (Serion 1044, Bina mand Prdrotiom Coda: The Cosmos License Law does net applyto w ownrof aspedy wno melds or inpnwna Thereon. end cent does such work himeaM or herself or Ourrph M or ber own empymm, provided that such impmvemems ate red Mended or Wend for vale, 0. Mwevv, the Wildirq or inprwwnem I. sold within o s yw of wmplelion, tM .AnAldw win have IM buden of oronng he or end did not Wild or improve for one purpose of rods). ❑ I, n oww of IM properly, are exclusively comtaciiq whh lis enaed contraclore N crostrud the aped (Sedioo 1044, Summers ad Prefeaas Cods: TM Cordradae Lix+ms Law does not Apply to en owes, of pincer, Mtn Wilds or er woym thereon and vola wntraca ler such projects wdh a co matogs) Ioensal punuml to tins Conlradone Licame Law). ❑ 1 an exempt undo sermon: S. A P.C., for We reason: Ove: Cwysr: ' Red I. swan d and urdersbd the requsmsmiix d Cd forma Neenh enol Selly Code Sectiors 25.505, 25533, and u eery Mum Willing wwpanl will I wR not (cimle one) mal to eomdy cent weld nets nodes vol tM nequMmws Nr Dam: Applicant WORKER'S COMPENSATION DECLARATION: I hereby alum under meaty of pwr s, os of the lessoning datledom: ❑ lira wilmWManao W"edoorsenllose4nwml worksn'comM ion, es provided for by Salim 37W of tM Lebon Code, la tM ped. d the woA la wkch Ihls Penna 4 Issued. ❑ Thew ed wa ores ed. My atom imurome,u in. by sadiron 3)00 dislobar Code, ordM parlammce dtM sial la whirl tub pamM 4 Mud. My waken' wmpenaelbn inwrenea wrier andpo0c/ number ate: Carr.: Policy NAmbY, (This sMnn need sir M wmpAdd y Ne ppm& 4 ler ons hundred doRms ISIWI or less.) AL I Any me in One Womence of tM Mak ler Much This pomk 4 usud, 1 aMlf net employ AM penin in and mwsr o as to I»mm aibiml to IM woken' wmpesslion laws of CeNomis, ed minae Red d 1 smut Mans WNW to tine emlem' canpensvbd onnns. Section 3100 of the Lebon CdA, I s na Ndh / we h nom cent I se prariai/ora>. Dam: / / R O /�,� Appl.l: /\ Warihp: Faure N eactse woemm ronganseyon wvMsye Is unlawful, sol elWl a jwt An Ao s1,yM dal pAsAmAs art citsf floss W v one hutrW rMusad dollen /5100,0004 Is edd/lon NIM cost of connesraedun, dorm," ex povtW ler In Secdm 3105 of ds LMor Cods, InteTsL end adamsy's less. CONSTRUCTION LENDING AGENCY: I hereby af. under Pony of pmpj that IMre 4 e matmdon lending spew, Im the pWonowee of IM Mak for whish this p k is bsual (section 3057. CN. C). LENDER'S NAME LENDER'S ADDRESS: I cedy tMt I have nal Nb sppltwtion ad rate Ina, IM above inlamelion is coned. I ague to comply with a aly end wumy ordinanou vol siva leww mletiq to Wildon, construction ad Mraby authorize re,smentvrvu d INt dry to Amer upon the eEove-mentipnW propene/ I. impaction wposes. M4�_-- 7),A i CORCZ I Prem N�emod -::: /! Due./.30/9, sgneNre d Omar/Ape IA;ont (5151460P) WMe-Buddip A Solely; Green -File; Cansu"pplisam; Rsk4ievems; GoWsuod-Mmv CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 073061 PERMIT NO: M 073061 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION : COMMERCIAL T.I. (OFFICE/LABORATORY) SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 / COMMENTS: THE "PYRAMID LABORATORIES, INC." TI /RE: B73059 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: 13966117 ZNE: REF NO: PLANNING NOTES> BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID > TOTALS ---- > 9.00 15.00 0.00 24.00 24.00 ** * * * * * * **** * * ** * **** * * * * * ** ** *** *** * **** * ******** ** *** * * ** * ** ******* * ** ** * * * * * D E V E L O P M E N T S E R 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: &130(_,75 LEGALIZATION:N F E E S U M M Au Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 25% 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 REVENUE DIVISION TOTALS--> COLLECTED: 24,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24.00 ******************************************************************************* 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 MEC 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS 9.00 9.00 END OF, FEES µ JUN 3 01995 CITY.Of COSTA MESA CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date °- Inspector 1. Temporary Electrical Service or Poe 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 1 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, 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 r 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 ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25.1 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: _ "L 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy - -- - Z -! I-aS- ��Z� _ r, 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 x U r r► x`47. FINAL STRUCTURE & BUILDING FINAL PLANNING' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co,V;- _ 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fib in all Spans within heavy border lines and don CITY OF COSTA MESA PERMITO. TRACT NO. LOT NO. SLOG: NO. �T ,CONSTRUCTION PERMIT D 1 - PM 81-380 20 1 6284 5/24/82 24:42 1 - Project Address 3505 Cadillac Ave., Bldg. C TYPE OF CONSTRUCTION ExNEW ❑ ADD. ❑ ALTERATION REPAIR 0 -CONVERSION' ODEMOLISH ❑ OTHER I - _ ZONING REGULATIONS. Owner Cambridge Park Partners PhOnd7S2-SS1S Address; 1301 Dove St. ;Ste, 760 Negall - - Archl H.111!eS-PetPSE ' - LIMAN NO. DESCRIPTION OF WORK r, OSOrE P. ¢ ., AddreM 119 E. Alton- Santa Ana TYPE.OF PERM! �/ - - ❑GRADING - PERMIT XSTRUCTV RAL 'O TENANT ELECTRICAL OPLVMBING OMECHANIC O ZONE SET q T 'SLI VAflD 55Ipp yq - PLNG. flEFL.0 1 S IRT V'gLFIrvE Ff -EOntracfor� -•Q - - pM1dne - AOCres - -I - -- - LICENSED CONTRACTOR DECLARATION I hereby that I a licensed under o1 Charter gloom. affirm provisions with section 70003 70003• of:DIYISIOn'3 01 -Fl and ❑OTHER-t- R1GryT t mapping Prefeesbna Fade, land my license Is In full forte db0 Offeg. - •I REAR YARD I -r /LI - - --- - - - - '- PROJECT DESCRIPTION- _ LJceve Class 1 License No. •� 's G. FT., (' _ OCCUPANCY 'CONSTRVCTION TYPE. 'PKG.SPACE REG. 'STREET WIDTH PROVIDED p'.'PARKFEE,$ 'f Dale _ .- ` - signature'-' - WORKERS' COMPENSATON DECLARATION I hereby affirm that I have a c rtitiote of consent to eelf nsureror a!ZONING -COPY VALUATION - ZONE APPRO DAT certificate of"Workeis'•Compensation- InSurann; ora certified GRADING'CU..YDS- ACRES III D - $: ' llsectlon3800,1ab.C.), i .Y NO. GamWnY _ ` i ierlllled COPY 15 hereby furnished. - - .. REMARKS:- .. �_ 1 _ . � ❑CBr111bb COPYFt15 dtYBA IVlD - _ ♦ W RKith RShe EXEMPTION FROM COMPENSATION DECLARATION .. - - - - - - -'-� - ` -� f - 11$10try section t b CoMple thePer need not c°mplebd ILIM1e Permit Is for One hundred _ , orles $10V or 1nohe' ~ I performemee of the work for which this permit Is Issued 1 shall f employ any person in any her o as tobecomePLUMBING Copoill Laws California.of _ SUbleC{IO the -Workers- m _ PIAN CHECK' - .ELECTRICAL - - PLAN CHECK - BATHTUBS SHOWERS - _ DateUE Signature NOTICE: If after making this peculation, yell ShoYld beCOTe Sidi TOILETS., '';URINALS - '1GENERATOR W 0-1 KW_1HIM to the Workers' Compensation pmvlslons of the LaborClyde. You must TRANSFORMER forthwith comply with Such pronamn5 or this permit Shall be deemed _ _ __ LAVATORIES DOUBLE LAVS- APPLIANCE - 10-50 KW_50-+Full - - revoked, ,CONSTRUCTION LENDING AGENCY KIT. SINKS - -DISHWASHERS - 1 1MOTORS - - 0-1 His HP - ' I hewby affirm that them is a construction lending agency for the °er- SERV ICE SINKS - I iSUMPS - - (1NCeSOLAR)� 10-50 HE 50 r HP " fOrmdnCa of Om work-lor whic11 MIS Permit Is Issuetl !Section 309J_ _ FLOOR SINKS FLOOR DRAINS OUTLETS -SWITCHES --! UendI Name. topsai' ,FIXTURES _ Lender's Address __ _ __ _ DRINKING FOUNTAINS .f "•GAS'TORE SIGNS - - '- OWNERBUILDER DECLARATION- 1 heeeOY affirmthat 1 am m eiempt frotM1e Conhlo aCrS License Law lar INTERCEPTORS CLARIFIERS r ''POLE LIGHTS-' _-'-'-- - - SWIMMING POOL - STRAP - - - - 'POLES - - - METERED SUB the following reason (Section 7031.5 BUSISK&Slnd ProfeS00119 Code: Any city o county which requires permit toconstruct, after, WATER SERVICE ALTERATION 1 PANELS - MAIN SUB - ImCC tlem h - pa y Structure; priort t I ISD re- Such Permitto file "Ilsenced ysl)-:t ' the Canl�lt Lleset TM1 ofLaw _ GAS SERVICE OUTLETS _ SERVICE _ qMP,-- -"� IChapler 9 (commencing with Section 7000) Of Dlvlslon 3 of the :- - WATER HEATERS BTU OUTPUT " - - - P Ma dntl Pro lonS Goes) Or that he IS exempt therefrom and the 1 for the alinged exemptinn Any Violation of Section 7031.5 by ' A a pPmeoent for permit subjects the applicant to a Clvk penalty five W SEER CONNECTIONS r not than hundred dollars ($500)._ SOLARTANK'COLLECTORS _ -- - ' ""' ' -" - ' O I, as owner of the property, or mY employees with wage[ as their Sole-COmP¢nsatioq will do the work. and.the.structure IS not Intended •' 1 or - offered for sin. (Section 7044, Business and Pofa5Ron5 Code: The SOLAR PIPING SYS. t ISSUE FEE _ _ -� - J - - - - ll '-"' License law -does not apply to an owner of property _ __ ISSUE FEE (APPLICATION APPROVED BY - DATE -' who bulls or Improves thereon, and does h1 TPro wwork ugh is -a n. amployeasi ProAdethat Suchargil nor " ' c MECHANICAL PLAN CHECK I SUMMARY OF FEES Intended Or offered for Mie. N. however.es the Improvement Is sold within e a'a year of completionthor her WIN gavethe burden f proving no build r Improve for he purposef ). BUILDING .• ,-1 r! I, s owner of the am iduslwly c° iractinp wilM1 HEATING SYSTEM_ O -I OO,000 BTV - - --"'t' PERMIT E - $MIP t ♦E_' propertyF i` n etl contractors to co hucr M1ar project {Ydlon 7094, Business -C AND DUCTI NO - -100.000 } BTU (PLAN CHECK E -- 1 rpERMIT: and Professions Code The Y License lawdOes n i apply to -ISSUANCE-E I or rty who bit Itl I p ows IM1ereon ftp No Can REFRIGERATION Oi00,000 BTU PLUMBING § 1 t 1 ! such prOIBC[5 IIOP 0 [ 210r(5) Kenea- Sant to' SYSTEM - - '- - -- -- GRADING E tM1e CO t ctor s Sense LBf'uI. 100.000' BTU +` <s API -AN CHECK S' j 4// C. ❑ I m f under 5¢R�nnis B C. for this - �4 - BTU ELECTRICAL E 1 ' ieaSOh _BOILERS PLAN CHECK § - MICROFILM E - I r Gate' - Pv ' - _ SYSTEM REPAIR, ALTERATION_ - -TOTAL FEES IM1ers OltYin al l have red lM1ls a�pli' dntl slide fli the daaVB E%N_A_VST SVSTEM MVLTI_PLE - - MECHANICAL.$ -E __ ' LESS AD 1 Inbr duan Corr a e [o lyo IIM1 all .ty' and County PLAN CHECK _ _ - VgNCE PC, S� °ralnn nd 54[ AvdS I Ip fO G00 ilia her authorize —a - - _. .. 1� l.p, repro lea ;i 1 a ante n°i6e—abpye boned 1 ,/' propel'v , q /P State r a'414 FEE S ^. Drive rs' or 55 __ i.FINAL 'ISSUE FEE - - - - - CMF x)$65-46 White-ElInfinP:CAnary-AP011unt;Pink-ACCOuriting{ Goldenrod Assessor CONSTRUCTION AND PLANNING `'•ef'S �'��'I�d :it,9il '3(e0 Date Inspector APPROVALS Permit # POOL & SPA, • . '� -# 1 \a Date Inspector APPROVALS Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - _ 2. Soil Pipe-Undrgrn• 44. Steel Reinforcement - - - - .1 Electrical Conduit UtilitL-Undrgrn ` _\ 45. Forms • `,4. „Electrical,Cohduit-Undrgrn _ � 46. Electrical Bonding _ - _ tee ein orce _ - - _ 47. Rough Plumbing & Pressure Test. ' t 6. Electrical-UFER Grn .- 48. APPROVAL TO COVER-GUNITE - ' 7. Footings - �, ; - - - - -49. - Electrical Conduit-Undr rn' Foundation '_ • _ _ _. _•_ _ -_ - - _. _ 50. - Gas Pipe, D,Undr rn, Test 9. _Water Pipe-Undrgrn _ _ - 51. Backwash Lines P -Trap.-❑ Undrgrn"- - - 10. Structural Floor System, .52. APPROVALTO DECK - 1.1._ -Pro arty Sewer Line_&"House*Connection 53. Backwash & Receptor -Final " 12. Street Sewer Connection -•"' • --'' 54... Heater-& Vent -Final 13. Rough Plumbing \_ 55., PlufnbiriaSvqtem4inal- --- --- - - 14. Rough Electric -Conduit - - - - ---- 56. Electrical -Final -15: - Rough Electric -Wiring - " - - - - -57. Solar System -Final-- 16. Rough Heating & Air-conditioning- - - - - _ _ - Fencing & Access Approval - 17. Ducts, in Structure.. APPROVED FOR PLASTERING _18. ' 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test- �. ', _ _ Roof Framing_ 60. POOL/SPA-SYSTEMS FINAL • _ 21. . 22. Roof Sheathing Frame "and Flashing - _ - NOTES: " - ' .23. Insulation . - _ _ _ _•_ _ ' 24. Lathing &.Siding • 25. Drywall Nailing 26. Plaster_ Brown Coat - ' • - " 27: Electrical Power Meter -Final 28. - Final Electric 29. .Final: Heating & Air Conditioning 30. Final Gas Pipe -Test 31: Final'Plumbing 32.. Water Service -Final '. -33. Gas Service -Final 34. Solar Domestic -Final' 35.' Landscape Sprinkling S ystem.'"' 36. Sound Attenuation- 37-. Handicap Regulations - i 38. FINAL STRUCTURE BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - -- 42. - �\ CERTIFICATE OF OCCUPANCY .; _ _ ,No' Date - -- "• 1 Applicant to fill In an Spaces within heavy border Imes and sign all appropriate decuraupns. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLD NO. 199.0- 2/11/B2 9000 xiCONSTRUCTION PERMIT E-Q"57'T TYPE OF CONSTRUCTION Vl NEW ❑ ADD ❑ ALTERATION ID REPAIR OCONVERSION 0DEMOLISH OTHER } ZONING REGULATIONS- %Ojem Adtlress JD C Owner tI414 arQ,T Phone AtltllE55 L n AA A ArCM1/Eng. y,L'y 1 j License Na. DESCRIPTION OF WORK A..P' y 'ZONE PLNGO'.9RVEF.pd�sq Address f' L M S-191 Wniramor '�[�[Ayb C [ - Phonei 3�70 TYPE OF PERMIT ❑GRADING Q FOUNDATION ❑STRUCTURAL TENANT XELECTRICAL QPLUMBING OMECHAI ST. SI YARD LYARD aROPEflTV LG INE Address; Addf3 - E % LICENSED CONTRACTOR DECLARATION -❑ I hereby affirm Out 18M licensed under provisions of Charter 9 (com- encing with tion 70001 f Oirlxlon 3 1 tM1a BuSlnexs d Professions Cotte, no my Human Is In full form And affect. Z-10 License License NiNp azs ❑ OTHER OJECT DESCRIPTION SG, FT. OCCUPANCYCONSTRUCTION TYPE VALUATION 20NE GRADING CU. YDS. ACRES 1 T REAR YARD [TO P/LI PKG. SPACE REQ. PROVIDED STREET WIDTH PARK FEES ZONING APPROVED BY DATE SPECIAL CONDITIONS: Date 7/Zldi Signature. _ '- A WORKERS' COMPENSATION DECLARIda I hereby affirm that I have a certificate of cPssent toself-Insure ora Certificate 1 Workers' Compensation Insuran e or certified copy et(SaRIun 3800, Lap. C.). 7 ! Cc nyFeff/" A /N6.- ty No IIA KI /jMVLm COMI11W copy 15 M1ereby furnished. - REMARKS: ❑ Grtllled COPY 15 filed WNM1 the City Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TMs section need not be completed If the permit is far one hundred - - ) 1EtO0?fY teal Inohe performance Of the work for which this permit Is Issued. 1 shall not employ any person In any manner so as to nomme PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK abject to the Workers' Compensation Laws or Callloenla. BATHTUBS SHOWERS10 Lifulli FT GARAGE no FT DOIe Slgnalure NOTICE: If alter making this declaration, ou should become SWSOCt the CompensationprOvislord A the Labor Code, you must TOILETS URINALS GENERATOR TRANSFORMER 0-1 KW.1-10 KW to zudbon the WM1 wmpl provisions or this Permit shall be doomed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW evoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP I hereby affirm that there Is consbpction lending agency for the pen torments of the work for which this permit IS Issued (Sectlon 3097 SERVICESINKS •' .SUMPS UNC -SOLAR) 10-50 HP 50+HP FLOOR SINKS FLOOR DRAINS FIXTURES Z. OUTLETS Z.SWITCHES Or. C.I. 'Lenders Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWHEARATION by BU,LER mOha II am exempt ffr mthe Conlractorts License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL RA POLES METERED sun the following reason (Setlldn 7031.5 Business and Prof SSlbnx Code: Any dty Or County which requires a permit to construct, alter, WATER SERVICE ALTERATION t PANELS MAIN SUB Improve, demolish or repair any structure, prior to its issuance, also ra- oxide the epi heart for Such permB to file a Slated statement that he Is laa,sedgursuant to t9 WrWRlons of the Contracul License Law (Commernn with Semon 7000 or Division 3 at the GAS SERVICE DUTLETS SERVICE E qM w WATER HEATERS BTU OUTPUT . and SkolesCode) or that he IS exempt therefrom and the p sipni for the alleged ¢ m 115 n, Any violation of Section 7031.5 by SEWER CONNECTIONS applicantfor a hWarm I Subjects the ed i lf5y00) uiaant to a civil Penalty Or napplic SOLAR TANK COLLECTORS 1, as Owner of ❑ or my am Ompiqua lfor will d �he work. and llllOYMD [lith wagesas their ir offered for p sale. ISection 7099, Business and Professions Code! The SOLAR PIPING SYS, ISSUE FEE cenbactor< `ucerne Law Coax not seen to an orf property who builds Or Improves thereon, and Wbo does such work himself Or ISSUE FEE APPLICATION APPROVED - BY DATE through M1 employ0ez, Formed that Such - intended r offered for slip. P, howawr, me nuilaPng Or of Prow are Is sold within one year of completion. the owner have the burden MECHANICAL Pir CHECK SUMMARY OF FEES the Of proving he did na build improve purpose 1 1 Contracting With ❑ I, is owner of o property, p act (function licensed ro damns 00 [o construct ctheto oro'coned Law es not apply and owner of pr Coda: who Contractor's r m LI Law does not who c b anof properly who ithltl_a or Imarovez tom, and who folio dor CIPr[zl ncRnea pursuant [0 "fnofn such License Law). e Contractsexempt HEATING SYSTEM 0-100,000 BTU AND DUCTING - - ]o0A00;+BTU REFRIGERATION 0300,000 BTU SYSTEM- - 100,000+BTU ,BUILDING PERMIT � E PLAN CHECK i PLAN C E PLAN CHECK E - SMTP E- PERMIT '' ISSUANCE E '- GRACING- E - + _ _ _ under ❑lam exemet antler 5edion B.6 P.0. for lMx BOILERS BTU ELECTRICAL 9� . E - SYSTEM _REPAI A. ALTERATION EXHAUST SYSTEM MULTIPLE ISSUE FEE ' PLAN CHECK E MECHANICALa PLAN CHECK E MIC TOTNL FEE S LESSAO VANCE PC $-- . G / — FINAL FEE E Date ' - -Owner - I.hereby fertifSAhat l have read this a[popTiGtion and slate that thause Information correct. gree to ply with all city and county ordinances and State laws loading to construction. and herebynauthorize representation eopntatives this city l0 nl¢r IpOn he soave ent1008d for mon p $Ignatu/C ale z Tigan Dtl WR'Llcdme lir CMF 0865-x6 W'SIm-8U11ding:Canary-Applicanti Pink-Accouning: Goldenrod-ASYesor �1 CONSTRUCTION AND PLANNING APPROVALS Permit # Z .Z•�o Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43: Pool & Equipment Location, 2. SoilPipe-Undrgrn •. - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms n �4._ _Electrical Conduit-Undrgrn y 46. Electrical Bonding 5. Steel em orce _ 47. Rough Plumbing & 2ressure•TesY 6. Electrical UFERGrn • -•• `48. APPROVAL TO COVER-GUNITE " 7. Footings - - 49. Electhical Conduit-Undr rn -r o 8. Foundation - - 50.. Gas Pipe, ❑ Undr rn, Test 9._ Water Pipe-Undrgrn 51. Backwash Lines P -Trap--❑ Undr rn 10. Structural Floor System 52. APPROVAL TO DECK - -� -- 11. Property Sewer Line & House Connection '' 53. Backwash & Receptor -Final - 12. _ Street Sewer Connection_ 54. Heater &Vent -Final � � I I - 13. Rough Plumbing 55,- _ - - - -. - --- 14. Rough Electric -Conduit-- - 56.: Electrical -Final - - -15: --Rough Electric -Wiring ' - - - - - 57. Solar System -Final - - •' 3 - -'r' - - -' 16. Rough Heating &.Air.Conditioning - -_ - - _ encing & Access Approval 17:._ Ducts, in Structure ' •' - 9. APPROVED FOR PLASTERING 18.. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing. -- ' _ __ _ 60. POOL/SPASYSTEMS FINAL u 21. 22. Roof Sheathing Frame and Flashing t NOTES: ' .23! .-Insulation 24. Lathing & Siding 25. Drywall Nailing 26. - Plaster Brown Coat 27. Electrical Power Meter -Final _� •` - ' 28. -Final, Electhc 29. Final Heating & Air Conditioning 30:. Final:Gas Pipe -Test 31. Final Plumbing _ 32. -Nater Service -Final - 33.-. Gas Service -Final 34. Solar Domestic -Final' 35. - Landscape Sprinkling System 36. Sound Attenuation _ 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed - - - - -- - - 40. Electric Release to Edison - -- - - - -- - -- - - ' 41. Gas Release to Southern California Gas Co.' - - - - -- - ' 42. ,CERTIFICATE OF OCCUPANCY No. Date - - - CITY OF COSI Project Address Applicant's MSIl Owners Name Address �OO ArchlEng, lY Address Contractor's Nan Adtlrm Imailing City License No. Dmerr;ccf/c_a— Signeinm ORIeE'Rss COMPENSATION OEC ATIO Arabs affirm that I have a bar of consent to 11- I Workers' Compensation mourn Rrtll tl 3800, Lab. C.I PoIICy NO. COmPofrY Nletl COOY hereby Iumisne0. Codd o ea wuh ma chY ew Wtc � ADOIICi0I E%EM 10 FROM WORKERS'COMPE smTION EC less). ectien aced no[ be cOmpleteO f [lie II Is for Ong est. icertify teat I \lie performance Intl Lslnemploy ani ^manner er Issor as to be :WOC^mpanssta Laws Of California. o affirm that k for Name LJ I am exempt under Sectle rormly Cbrilly that 6) 4' r; isd this 9 CA In farm. she on is to is in is C a b as It inarectifir Signature APPIIMret Ie nn In an 10abea excrou Inose within heavy border areas aha sign an appropriate dachiraliens. R IT IP RMIT NO. TRA TND. 1-0T O. ,UNIT 3 �i�a p� � 2 6725 8/16/05 6011 TL 1 TYPE OFCONSTRUCTION NEW ADO ALTERATION REPAIR ❑ CONVER510N 0 DEMOLISH ❑OTHER q,p, /} Lir Zone M1on sO OESCRIPTIONOF WORK/USE OF BLDG.- INT—'�"� ' $ Main Building: AtRmmry Building: •-TYPE OF PERMIT GRADING FOUNOATIO STRUCTURAL 7 Front 0 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHAWCAL N -'O UTXEP Anner /PROJECT 50. 13� K 9 _ RI M1\ G DESCRIPTION FT. '� CONSTRUCTION TYPE O[CUPA Ylyt: - VALUATIONS a 5. LBh R ho1JE GRADINGCU.YOS. ACRES Ping, Ref. ou •perking Req.fProvitletl E lea m clog. Remarks: Planning Notes: T \ M am c sena — T s PLUMBING I V I p QF r - ..FEES Bar Sink - Showma ELECTRICAL FEES sure iV a til j^ef tl ^ - Be'ckflow Preventar Service Sink Washer Transformer ❑ 15-50 KW E I Backflow Irrigation Sewer Cep tion Pole Sub. 0 50 ♦ KW 'I Bathtubs - Sewer Connection Ori unit Meter❑uptolOOMI ARATION CeflflllS 5018/CO Itt\OR kin / Meter _ ver 100 amps hundred (5300) o. s.�rmatielssYed I Dishwasher -'Drinking $Dior Piping rff,�oic Gas ❑Electric Sub Panel— subject to the Fountains Solar Tank Motors ❑D1 HP ❑IX -8 r Floor Grains Swimming Pool w/Spa Inc. Solar 0915 HP ❑IE15t owe Subject 10 the _ on deemed forthwith Floor Sinks Urinal Microveeve¢r Gas Service �Oullets z Water Clean oxes Pole Light lase pertormance An 3097 Dlv. C.I Interceptors % Water Hester Outlets Range - 1.3 11 Kilchan Sink. - Water Service Switches _ - Sign' if typ /cense use for the Lavatories Auto Wash Garbage Disposal Standing Sections ' I code: Any city or ___ demolish or repair P—Trac . - laundry Trays Gonerstur ❑0.5 KW ❑S15 KW Trash Compactor ant for such permit _ to the provisions of i Section gaup) of Roof >• ' noi:irsornr of section ^pllcant 10 a civil _ ages as their sole Reinspection Fee $15 Issue Fee S 3 r Intend" or offeree Rainspeaim Fee 315 Issue Fm S 3 The Contractor's MECHANICAL FEES r bolas or anowasi his orbar own alt � Bailer me Mor Type ❑ DEVELOPMENT SERVICES RE�tIIREIg4fT� 3 e` woe m offered for Canopy Type ❑ Zoning Appmvetl By 11�. C dm Oma In one year of Com. did not build Or Me Duct- Under Ground It .Building Approved By eta p de with licensee n- Duct Structural gefrigerm ion System Applimeion Issued By at I Professions Code: IIproperty who - Duc\- Ventilating 130100,000BTU 13100,000BTU SUMMARY OF FEES ' a ojecli wltb a own- :Z 3.1i0 ri /n wl. I am aware that Exhaust system ❑ Multiple ❑ System Repair/Alteration �- BUILDING PERMIT S SMTP S _ be pr0aeee to me. PLAN CHECK '. IS PERMIT P. C. for this reason Firepl/Fal Bit. ICBO'P Fire Compares ISSUANCE PLUMBING $_ $ HHeat�JpY�5ysrem&Ducting . Registry r PLAN CHECK 25% $ ENERGY P.C. S see t^et the above 2 C9G100,000 BTU ❑lOD,0I10 BT ELECTRICAL _ S ..5_rir GRADING $ ' county ordinances ler auinorlae rep r PLAN CHECK 50% $ bill -MICROFILM/ $ ee ora rly o MECHANICAL S Sr TOTAL FEE $ Fort Reimposition F $15 Issue Re $ 3 PLAN-0HECK 25% $ CMF 0865<6, rev. 40184 White - BuVd min Canary - APPllcant; Pink - Accounting; Goldenrod - Asussor CONSTRUCTION AND PLANNING APPROVALS Permit # ,Date Inspector POOL & SPA APPROVALS Permit # Date Inspector l 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.- �1/ �•S LIf- 53. Steel Reinforcement I 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 I 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing LK/% 65. Electrical -Final '1 15. -Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing &Access Approval t 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling9/9 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning Off^-- LIEF FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas 0Oil 4 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' i - 26. T -Bar Ceiling (Structural) & Monocoat ��,s- 75. Dry Chemical , 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 135'�s 78. FIRE PREY. FINAL ' 30. Drywall Nailing io ME HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter -Final 33. Final Electric I.,/ I 80. FOOD CERTIFICATE ISSUED ' Notes: . ` 34. Final Heating & Air Conditioning r( je�/t/� � 2S - 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing t(/Z- C-IFO 39. Water Service -Final Q i C 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Go 51. CERTIFICTfF O CUPA� o N A City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. CwUZM' P. O. Box 1200 Costa Mesa, California The Building located at '7KnS raAfllarr, RrtilAinn r has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group rL_'t Occupancy. Use of Building rlrFfj,�.-, Legal Description nntl l z0_ac_17 (See reverse side for Metes and Bounds) Building Permit No. r_ ')n*Ad'1 Electrical Permit No. r.. 9nd SO Plumbing Permit No. rr)n'2d1 Mechanical Permit No. r' 3Q; en Number of apartments /and/or guest rooms ISSUED TO: BuildingOfficial0/ Cambridae Park PartnPrst b C_ / r 1 //ADi li Y �4 3505 Cadillac r C7nata fvlara Date �%C i /�- This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File CITv{OF COSTA MESA CONSTRL ';reject Address 3Slira /CLiGI Applicant's Mailing address 1.1i0e G DoMri Name ""' Address' Y aa A/chl Address Contractor's Nam Address (mail bill City License No. - OFz9::5k`e7 LICENSED CONTRACTOR OECLARATIOI I hereby affirm that Im licensed under pro with section )000) of Danish 3 of the Os my license Gln full farce and effect Umnee cuz plate5lgnalula WORK RS' MPENSATION DEC RATI I hereby Oilthat I hawcarlillderof o! Warkals' LompOnNtlan Incur nee, or a Fail Fail T1I _I In, 1 Leman Name Applicant to Nb In all Spaces except those within heavy border Imes and Ren all appropriate declarations. PERMITNO. TRACT NO. LOT NO. UNITNO. Sewer Cap III . PERMIT 405 E oZ0 .S - '. - _ TYPE OF CONSTRUCTION NEW -ADO ALTERATION REPAIR ❑CONVERSION ElDEMOLISH OTHER DESCRIPTION OF WOR K/USE OF BLDG. A.P. his , 9442 9/03/9°11 Zone IDs BC TL Drinking Fountains Solar Tank 3hons Swimming Poul should eawm Subject to tr ne labor sCode, you moat fothwith permit hall be deemed revoked. I islebmngagencyrorthe Performance IS Issued Sol 3097 Cie. Cd S Main Building: Acce scrV Bui chnp: Gas Service' Outlets 0yeater Closet - No. TYPE OF PERMIT. RMIT. GRADING FOUNDATION STRUCTURAL O TENANT ELECTRICAL O PLUMBING LJ MECHANICAL OTHER PROIECTOESCRIPTION SD. FT. OCCUPANCY -C CON STRUCTION TYPE VALUATION$ ZONE GRADINGCU.YDS. ACRES T Front BA Soar Right S Left Ping. flet. ¢' - r _ Perking ReO.IProvmetl p i N G - R E Fimct. BIt. pl/FaICS0 M )).. LPMr 7/�/q 0m exempt under SalB. NA. C. for this reason Data / M1ereby ttUfy [MI n *adpl t0C0n lite foal the elbow abrormmonriatbrres io wmp Ily ria wumy orelrMes a lam saws pal p welding �e ay aktnod a repo- nla[irel of this 1 Mtel or tionee Pro r[Y Healing System H Ducting DUIDD,BDD BTU L3100,0013911- Registers :harby�op m�n9 Remarks: {7O/L/OOV G'drdli� %//i//� p7ning N0t0: M of LAneery Aemess Boal Irrigation Sewer Cap III Bathtubs Sewer Caro l NSATIII FOECLAN dreg D e primp Is for ane hundred ISlo a or work rlSo unto become subjectto the tis Clarifiers Col solar pizM1stAsher Dishwasher Pipiectors Solar Piping ng Drinking Fountains Solar Tank Floor Drains Swimming Poul should eawm Subject to tr ne labor sCode, you moat fothwith permit hall be deemed revoked. I islebmngagencyrorthe Performance IS Issued Sol 3097 Cie. Cd Fluor Sinks Urinal - Gas Service' Outlets 0yeater Closet - Interceptors - Water Heater LAneery Aemess rcdcnen I Waterservlce OWNER BUILDER DECLARATION o o-actar's uaen3a Law'or me neraby all5m mat am expmpl from me Contractor CblubwinW r ell (Seellan )p3L5 Business and PlafosROaal Cpea: Any city or ey With gvlms permit to can3truc4 mmq Improv. eemousn ar repair any fru[y we, pylar la I131SS000CeS Ice requlreS lM1O dppIIC00t 10r so onOermll to Isle a IgneO tatemem [hat he' ne Is Ilunse0ursuam to the provlslons of tneContractor'sIJcein le anChaofOr9(comr with Barr e3he)60X8 of Olvisia0 3 Of me BU9ness tl, pr got Coee) pending IMI 06 fha IL vt i00retrom and IM1a Is for iia a"dead exSY pilon. AnY Vlple�lan of Selection )031.5 Is any p01feenI for ' Dar toll CI is the appllta n[ to dull �anaity OYngl mOre Shan IIW honored dollars Ia5001, LJ laity o nm I the Is 0 rly or v amShovDes Wltn ages triol; mIp dm0enanon, wid da me rk, ane the st ractore Is not Into no 00 of for ale ISectlon )baa, Business ane ononeI Cade: Toa CconaCI is it S oves n So Uce mereon aat whon0 oesp SuchO enk tohow fine lfall r r thmu�In of lhlS orlM1orrOwn em play¢es, provlaud iMt suclWimvroveMenis are nal inta and or offeree Ito. sale. If, heme bulla In r Improvement Is sola wlmin ane veer of cam- pletioon, ma owner will Mw the aureen 0r Strovl ne henna diel n01 beam ohm- Lavatories Auto Wash P -Trap LBUntlryTroya . Roof Dreim -- - 1 - Peinspemion Fr Els Iswa Fr - MECHANICAL Motors 00-11 HP❑1%-8 Boiler Hood or Type I ❑ COnopy Type If ❑ Fixtures - ' Duct - Under Ground' for the purpose of LIB). 1, as owner BI the Drapery, am axnustYely contracting wdh ncansod ton- tractors to Construct the project II$oettlre, 7064, Bushel and Rolectiord 0006: The contractors License Law tl t apply to an owner of pool who skills Improves thOreoo. Intl who Contracts for Such projects with n a Law)' I am ward that tradora abroad pursuant to 101 aaVa etto zLicense is Simon proof l) heir Workill COMDOir 10n 1 h n be provided to Pole Light Duct -structural Refrigeration System ❑DI Oo,000 BTU 0100, Switches Duct - Ventilating Garbage Disposal Exhousl System 0 Multiple 0 System Repair/Alteration Trash Compactor • Fimct. BIt. pl/FaICS0 M Fire Dampers 0m exempt under SalB. NA. C. for this reason Data / M1ereby ttUfy [MI n *adpl t0C0n lite foal the elbow abrormmonriatbrres io wmp Ily ria wumy orelrMes a lam saws pal p welding �e ay aktnod a repo- nla[irel of this 1 Mtel or tionee Pro r[Y Healing System H Ducting DUIDD,BDD BTU L3100,0013911- Registers Inipatllon purge Rei Mpemion Fr ' Ei5 lar Fr a1G Slgnalora Date Olivers' Urna SS; IF 6065.464 rev, 10/04 White - Building; Canary - APPII n4 Pink Amounting; Goldenrod - Aszesrr FEES ELECTRICAL FEES npany Autammic Washer Constru[tlonPoleSub. Transformer 015-50 KIN - ,1150+KW Drinking Unit Meter❑up to I BE amps 1 Dishwasher Meter Ower 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors 00-11 HP❑1%-8 F.A.U. Ina SolM 09,15 HP 016ISe Fixtures - ' Microwave - Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator MOB KW 05-15 KW Trash Compactor • Is 3 Reincrction Fee S15 Issue Fr 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approval By Application Issued By ml=$ mL nate nne mat 9 fts BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES. $ IS Is S is $ 0•S0 IS S SMIP PERMIT ISSUANCE ENERGY P -C. .GRADING ;MICROFILM TOTAL FEE S S $ S $ S $ 3 CONSTRUCTION AND PLANNING r 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 UFER 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 Factory Fireplace 21.'Ducts, in Structure •% 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 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 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. BackflowIrrigation - 44. ,Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE & BUILDING . . 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date II1 nonlinear to rrnn all spaces within heavy border tints and Sign All appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRAPM CT 3 ACTIN ' L - NCssll LUOSfsO. BLDG. No. CONSTRUCTION PERMIT (I TYPE OF CQNSTRUCTION CksgEW ❑ ADD ❑ ALTERATION ❑ REPAIR O CONVERSION ODEMOLISH 0OTHER 0769_ 1/18/02 730.38_ " ZONING REGULATIONS Project Address 3505 Cadillac Avenue Owner Phone 752-551 Address 1301 pchze St. - 4760 Nesirpsurt Heath DESCRIPTION OFWORK A.R. Afch/En9' RIInas-Pei License No. 4285 _ Adtlreaaffi 119 E. Alton $aV17:a Anka20NE j PLNG.RE .3 Contractor Oltmans C•matruction Phune 576 -$/TYPE OF PERMIT �-_' r� O GRADING - O FOUNDATION M1 ` ry tt-• S RVCTV RI • O TENANT O ELECTRICgI OPLV MBING ❑MEGHAN1Oq- SETBAC ST. Vq RD E. d�a0 list Address aYt( o Box 388TOR LICENSED DECLARATION 9 1 hereby affirm that I em licensed d f provisions Of Mercer (m^- Ing tion 7000) f YDINsion 3 r the Business d Q OTHER' H ` with mil COCA, and my license IS In full force and effect REAR YARD ITO P(L)4.7 License class A License No.86393 PROJECT DESCRIPTION - SO. FT. 640° p�q OCCUPANC VSL4_CONSTRUCTION TYPE VALUATION �/T6ZONE V PKG. SPACE PEO. 'iTREET WIDTH" TONING APPROV Ep �PROVIpEO" Q f PARK FEE$ OAT 1 Dote Slgnatuie WORKERS COMPENSATION DECLARATION - I hereby affirm that I have a Certificate of consent to ssUTIMU a or a r RrtIBIOGtt of Workers' Compensatim-Insurance, o Cesti COPY GRADING CU. YDS. ACRES SPECIAL CONDITIONS; r 1{Section 3300, Lab. C.I. Pi tt l}Klern. v No. aOn01 e1ACOC4 CompenY adiffulO copy Is NrWy furnished. - REMARKS: G G �Cemged copy B files with the city Building Division. - HOLD FOR SPECIAL REOUIREMENTS EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' (This remora need not be Completed B the Permit a for one hundred - Nior01 or Itis). R y that m the Performance of Ins work for which pnmK Is _ anis Issued, 1 shall not employ any person m an Winner s to become PLUMBING PLAN CHECK ELECTRICAL '" PLAN CHEEK SubieCt to the worker: COMWnzaclon uwE of C311fOrnla.. --Ui, BATHTUBS SHOWERS so FT 50 ET _ Date Signature' I NOTICE: It atter making this declaration. You should become subject TOILETS URINALS - GENERATOR 0-1 KW_3-ID KW to the Workths' Compensation provisions Of the Labor COdO, You must TRANSFORMER forthwith comply with such pmvidons Or this Permit shall be deemed LAVATORIES DOUBLE LAYS A e r9 APPLIANCE ]0-50 Kw�50 a rcw evoked. - CONSTRUCTIONLENDING AGENCY _ - KIT.SINKS DISHWASHERS MOTORS 0-1HP_1-10HP 1 M1Nepy affirm that there is construction lending agency' for the Per. SERVICE'SINKS SUMPS UNC.S_OLARI-10.50.HP 50*HP - Pursuance of the work for which this permit is u d (Section 3097 _ - 'ELOOR SINKS -a. FLOOR DRAINS' y 'Sew •G ' v _ FIXTUq ESLa1X`, OUTLETS SWITCHES Or. C.). Lender% Name' \WPILS. FIY[Sp "FiiT)C. _ r _- Lai Atlwess- DRINKING FOUNTAINS GAS TUBE 51 Ns -" - OWNER BUILD ION I hlrraby Of irm that lam Oxemw from the Co idecllor's License Case for INTERCEPTORS CLARIFIERS hK� C - c •u ` POLE LIGHT$ �. - M. _ SWIMMING POOL' P TRAP 'POLE$ METERED U the following reason (EeTion 70315 Business d professions Code: -or aunty Any - city .winch' feDYVes i Permit -to construct alter, WgTER 6ERVICE ALTERATION I' PANELS MAIN $UD Jm OW ,doMe"An. Or r2Wn any sbuc[ure„prior [O its issuance;.also fa- euP-!e me appR(anL.to`arkc PefmR to "R1e'd reneaMatdmem maLn9- Is IIccnsed pursuant to the Wrovlslons.ef In! Conlyd<toYs L`kense Law GAS SERVICE-- -.OUTLETS i - ^ SERVICE - AMP Chapter 9 'Core ntln9 I[n $eetlon. ]OOOL oliOlvlsloq\3>of inti _ WATER HEATERS BTU OUTPUT -- - - ” riyIn PW and Proua'Isns Cotle) or Mat pe is exempt therefrom'and the for M$e ((egad Any 'oration 58CIloc T031.SrbY _s aelm�Iii n. Of 0011<ant for a permit biOC[z Meapppcant to a Ivll penalty SEWE R CONNECTIONS lnotmora Inco fW hunaree tlola'g fEsoo). - , r ' .. I : SOLA R,TANK E", ,.,COLLECTORS' O1, -ds Dwnefof.Ihe pa opereYo4mYnemnloSlees sdl[n wages as inert s Il. com omerine n,NotI o ry a c . ruauraJ[nol mlene.m PIVING $YS.I \ 1" �,\ , ISSUE FEE �Oftged for Sale: ($tt110O'T044,:Ba slr1l55 inanR Wln3sl Tne oni.Cotle' CanIIdCIB Y'S Llbl ml'CSW tlO[s :n Oa DWIn fO -o r Ya pmpeiiY _$DEAR Who b^II^s Or improves [M1ereOn ntl O doei'stiCM1 woM h1m5011 O O IS,SIIE FEE y - s APPLICATION APPROVED BY PATE [hreuq IS Own em loyeas, pf0'IOM tint SYcn.lmprOvemeniu: are oily le. However, me.bwminp insy late ad or OVere O ' 1f, or 1) wI[in one OI Com0letiOm� lhl. Owner wllY M1dve [M1ob 'MECNANICAL 1' � s PLAN CHECK 1., ���� 'l SUMMARY OF FEES o Soltl yea( �aeln I provings he Olp'notl bYlld;Or l Ins NM1e purpou pi lel.' ryEATING'SYSTEMf s•" BUIL03NG apmve Q I, 5' owner of the m %CIuSI WIy cpm/acting ins OV O$.000 BTU PERMIT EJ�2 SMTP EJ3ivC� propaNY. es hurs sad AND DUCTING 100,D00e BTU (� PLAN CHECK 4 / PERMIT andnprofessionscCoderoThe Contractor% License Lawdoessop tD aan n I ISSUANCE $ of who build$$ or hunfor6 thereon, antl who cOT REFRIGERATION 0-100,000 DTU I PLUMBING Is property acts from 5 n projects With o tracmr(s) Ileesned pursuant to SYSTEM 100,000 a SITE �( L% I >-2,dF` %' PLAN GRADING S rhe Contractor% License LaL E " ❑Iam tido At under Section B.B P. C. for thisBOILERS BTU ELECTRICAL E $ reason SYSTEM REPAIR, ALTERATION PLAN CHECK $ .MIC MICROFILM E TOTAL FEE E O Dae r MECHANICAL hereby Curti rt al Ph v read Is application and State that the above EXH AUSTSYSTEM MULTIPLE LESS AO- " IOIOrmat ion ik c Poet agre t0 Comply with all City and county PLAN CHECK E- - VANCEPC S_ OShcnan AS and [ to is ela t to construction. and herebyauthorize- mn ,aPresemaD tb ty ter Upon e abo tinned - wpcerty m ct Z FINAL FEE S $Igpatw Orivers'L se or Sir ISSUE FEE CMF 036546 ZTAt�Suil01n9: ACCountin9: GOldenrod-Ameraar e CONSTRUCTION AND PLANNING � ,pQ APPROVALS Permit # fGiJY� Date Inspector POOL & SPA APPKOVALS Permit # Date . Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil SoilPipe-Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel em orce s-< 6-1/- 47. Rough Plumbing & Pressure Test 6. _Electrical LIFER Grn 3-z' a 48. APPROVAL TO COVER-GUNITE 7. Footings g'e B 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System (a .7-S a 52. APPROVAL TO DECK 11. Property Sewer Line & House'Connection 53. Backwash & Receptor -Final 12.. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumbina System - Final 14. Rough Electric -Conduit - •56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing S-/7-Sa B NOTES: L' %-' U . '- �.�.{',µtf-C 'Peri `! hr �- 22. Frame and Flashing 23. Insulation %. 24. Lathing & Siding /- _ y;z - r-�•�c" 25. Drywall Nailing _ i- 4- ba 26. Plaster Brown Coat S - s 27. Electrical Power Meter -Final • S ' T ns s o / .-j3 2 211- 28. Final Electric -2-42 29. Final Heating & Air Conditioning gozd,�. 30. Final Gas Pipe -Test - ( ,I< .;w no •co 31. Final Plumbing 90 32. Water Service-Finalhh 9-11- g /-e�.,,,� 33. Gas Service -Final 34. Solar Domestic -Final G-/ - a 35. Landscape S rinkiin System 36. 37. Sound Attenuation Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING V ^6,x 39. Special Requirements Completed 3�BZ 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date l o � � 3505 Cadillac Avenue [EMIT D _! _ mm 817676 ` [WLL�SIGN $855.00 CADIIU C AVENUE 3505 Unit D Lot 23 _ — BE21965 ALT $1,200 B-2259- y /18/d1 Crnm. Bldg. 113, 442. Lhiit D P-2370- t/111p, PLBG.(B-2259) E-2626- v/��/py ELEC. (1-2259) Unit D B-3608- Trash Enclosure 800. P-4461- 9I1/py, PLBG. (Roof Drain) Bldg. D E-10270 INP. ALT. (B-10151) (Unit 0101) _ E-10271 INP. ALT. D-208 _ (B-10106) (Unit D-108) BP1645P TEN IMP $70,000 _ _ #D i9 p - E16481 �� MISC - i 1-7i9 7 BP16458 UNIT D m _ M169861IIK MISC _ BLDG D do 22:1 E17197 METER _ E16481 - LICENSED CONTRACTOR DECLARATION Applicant to fill in all spaces except those within heavy border lines and Sign all apornprNte bef l:Ngans. Remarks: CITY OP COSTAMESA CONST`RUCTION•PEERMIT PERMITN . TRACT NO. LOT NO. UNITNO. gar Sink Backflow Prevemer - 4 COAK 1121 "":P �• g — ea.Enea Copy IS hfurnished. tied ied w withh the Clly BY b f�sr)u'ne/yy Bathtubs yV�v Wtc a>— CIaf1110r5 1 KERS' OMP - EXEMPTION a ROM WORKERS' COMPENSATION DECLARATION (TM1i55¢CIIOa need not b0 completed II IBC belmll 1[ for one hundred (Sing( or f certify all no teat to thePerformancersonI of tnmanner forthisPermitmit 1e t to t as Wall 1 y prison In Y Ib become subject t0 the Project Address 13g US Companies Workers' Compensa[lon Lawsna Cal'rbrnii. e Dam -NOTICE: FlOar Drains U, atter making rov pons Ofi In, Von "bra le Become subject me this Workers' Compensation dl Ina saber hall eme forthwith Floor Sinks Of m13 palmi[ [Walt be deCmed revoked. Om01Y' with positions be Ga55elvice GYI LENOINO AOENIV ON LENDING CONSTRUCTION ry ZO Ce.h"Foa g�rw5�0h TYPE OF CONSTRUCTION LJ NEWP9 ADD LJ ALTERATION LJ REPAIR In[erreplBra I& houbding f the this permit C.) 01 lM1e work for which this permit i INueO (Se[IIOn 3097 Clv. O.(- Lender's Name Applicant's Wiling Address 6`S 0DEMOLISH OTHER P.C. $ Owner's Name flirtPM1One Na CONVERSION OESCRI PTION OF WORK/USE OF BLDG. A.R. 0 - $ Address 1 W S MainB FEES Transformer ❑ 15-50 KW ] - E g Arch/Eng. License No. TYPE OFPEGRADING FOUNDATION STRUCTURAL T Front ❑TENANT NT 1YRI ELECTRICAL 0 PLUMBING O MECHANICAL g Atltlr¢ss' ''OTHER Raar COnIrOCLOrS Nam CitIt Phone 7G'I"S ZiS G RIBM1I �io`^Fbti PROJECT DESCRIPTION SQ. FT. OCCUPANCY- CCUPANCY Admen lmailinl��OSS.La`IxSP4� I�'ee CONSTRUCTION CONSTRUCTION TYPE VALUATION$ $ L¢It (-- ZONE CRAOINCCU.YDS. ACRES Plm has v LICENSED CONTRACTOR DECLARATION $16 1 Liable Fast Remarks: I hereby affirm that 1 am licensed Under Provisions Of Charter 9 (commencing with Semon 70001 of Division 3 at the BYSiness and Professions Carr and Exhaust System ❑ Multiple L my license is In full Id enact. License Cl,zS NO. ?947 SII Date I 1 /� 519nalur. - WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a ¢Nlllcate of want to WII-Insure Or a Certificate gar Sink Backflow Prevemer - A. Workers' Compensation Insurance, Of a certllled baby inel¢OI (Section Loa i43-84-SC8 �. 89ckfIOSv litigation Sa71d'fc PoIICe ife. Company - PUIC ea.Enea Copy IS hfurnished. tied ied w withh the Clly BY b f�sr)u'ne/yy Bathtubs yV�v Wtc a>— CIaf1110r5 1 KERS' OMP - EXEMPTION a ROM WORKERS' COMPENSATION DECLARATION (TM1i55¢CIIOa need not b0 completed II IBC belmll 1[ for one hundred (Sing( or f certify all no teat to thePerformancersonI of tnmanner forthisPermitmit 1e t to t as Wall 1 y prison In Y Ib become subject t0 the DisM15N5M1er Drinking F_ounlai Companies Workers' Compensa[lon Lawsna Cal'rbrnii. e Dam -NOTICE: FlOar Drains U, atter making rov pons Ofi In, Von "bra le Become subject me this Workers' Compensation dl Ina saber hall eme forthwith Floor Sinks Of m13 palmi[ [Walt be deCmed revoked. Om01Y' with positions be Ga55elvice GYI LENOINO AOENIV ON LENDING CONSTRUCTION that ers cribra that Iwhi Is agency for [M1a perlary R In[erreplBra I& houbding f the this permit C.) 01 lM1e work for which this permit i INueO (Se[IIOn 3097 Clv. O.(- Lender's Name Oats have I Drivers' License Or 55 as CMF 0865-48. rev. 20154 White - Building; Hoot Drains Retnpaction Fast' Boiler o e coli• $16 1 Liable Fast Oust - Ventilating i'e tme ia to Zona Exhaust System ❑ Multiple L Interstate Flrepl/Fact BIL ICBG Dab Heating System & Ducting Z se above dinances Date 100,008t ❑6100,000 BTU ❑ 0 berep"­ arty for SUMMARY OF FEES N BUILDING PERMIT Reinyection Fee $15 Accounting; Goldenrod - Real AGING FEES Showers Service Sink - Slower Cep Sewer Connection Solar Collectors Solar Piping ' Solar Tank Swimming Peat wisps Urinal Water Closet Water Heater Water Service Auto -Wash - Issue Fee IANICAL Hood or Type ❑ Canopy Type 11 ❑ ielrigeration System 7D.10B,00DBTU 1110D,DOD System Repail/Alteration $ 3 $3 Automatic WMber Construction Pole Sub. Cooking Unit Dishwasher Fixtures Devlca Boxes : outlets Switches Garbage Disposal Generator 110 5 KW 05� Microwave " Reinspection Fee $16 1 Liable Fast 3508 12/05/04 64a50 TL Zona Accurately Building: Dab Building Approved By Z Date O N SUMMARY OF FEES N BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT R ParkmgBig q.lPravided ISSUANCE E Na PLAN CHECK 25% SENERGY P.C. $ ELECTRICAL 0Z /ow Na S PLAN CHECK 50% T - $ 6 1 W ICAL FEES Transformer ❑ 15-50 KW ] - ❑ 50+ KIN g Microwave " Reinspection Fee $16 1 Liable Fast $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zenirg Approved By Dab Building Approved By Date Application Issued By Ort �3 :S SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE IS PLAN CHECK 25% SENERGY P.C. $ ELECTRICAL 0Z /ow GRADING S PLAN CHECK 50% S /7, GID MICROFILM $ MECHANICAL 1 - $ TOTALFEE -S PLAN CHECK 25% g CONSTRUCTION AND PLANNING- r APPROVALS Permit # - .Date Inspector _ POG SPA -APPROVALS Permit # Date Inspectnr Ilk1. Temporary Electrical Service or Pole - 52. Pool & EquipmentLocation 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 1 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 18'� Rough Electric Wiring/P / �� - Q 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling / Y CC 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 0Oil 23. Gas Pipe -Rough & Test . 72. Underground Flush 24. Roof Framing 73. 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 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 Meter -Final 80. FOOD CERTIFICATE ISSUED - 33.:Final Electric Notes: G A 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test - 36. Hood or Canopy " 37.E 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. Special Requirements Completed 49. Electric Release to Edison -- -� .50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • APPIlGnl to fill iii all spaces except those within heavy DOr:Ser 11th$ and sign all appropriate declarations. 5783 1/16/85 TYOFCOSTAMESA CONSTTRUCTION PERMIT Project Address 3:M,5' e �f�l �D PERITgIT[NO.I CCCC.. 11assis TRACT NO. LOT NO. UNIT NO. Applicant's Mailing Address RSLO e.eai\al Sit rxtl TYPE OF CONSTRUCTION NEw ADD ALTERATION REOAIF CONVERSION '❑ DEMOLISH OTHER - A.P.ii Zone Green's Name pM1pne Address DESCRIPTION OF WORK/USE OF SLOG. I S Mein Building: Apparel Building: ArcM1/Eng. License No. Applies TYPE OF PERM P4 GRADING FOUNCATION STRUCTURAL ❑ TENANT ISI EIGIR!ICAL OLUM BING ❑ MECHANICAL 0OTHER t PRWECT DESCRIPTION SC. FT. OCCUPANCY GO1451 RUCTION TYPE VALVATION$ ZONE GRAOINGCU.YDS. ACRM E T From Z O B Hear N Contractor's NamAr4l1+ 712hang 761-SUS C Right N may, 1 Addre3slmeilingl lRSLO Cr 't•a 'F As ]Ls„pleq City License No. 33Q c% LICENSED CONTRACTOR DECLARATION ereby affirm trial am licensed under provisions of charter 9 (commencing with section 7000) of Division 3 of the Business and Rofesslans CObe, and mvllo¢n»isSmmWor add¢aea. C S Left R Ping, flet,# Parking ReSL/Rovided " E Remarks: Pbeelag Notes: Nt T $ License I a No.34N-f41 u Date -n I v PLUMBING FEES _ Bar Sink Showers ELECTRICAL FEES WOR Ed -COMPENSATION DECLARATION that hereby affirm tl I hi certificate Of comeal to HlNmure or a certificate Backflow Preventer -- - Service Sink - Automatic Wmher Transformer D 15-50 KW Construction Pole Sob. 11 Stir KW of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lap. C.). policy No.Z 3-l34-NOQ� Company Slp.�h Backflow Irrigation Sewer Cap Dernpee Py Is honor furnished. '''' �w' k4 Corti Tea Flee with the city �P,.an-v.v..w.ir Cate/�i n�KERS'nt Bathtubs Sewer Conneclioa Cooking Unit Meter Ell to 100 ampi Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps 5C Z E%EM ION FROM WORKERS' COMPENSATION DECLARATION Ohis ogo. section need net be completed if frac permit Is for one hundred ($100) or 1 Alto that in las Performance Of the work for which this Permit i$ Issued, I snail n t employ y person In any a as to become subject to the workers- ompensation Laws of alifornia. Dishm Mer Solar Piping Dryers DGas DElectric Sub Panel as DrinkingFountains Solar Tank Fan Molars DOI HP D1M - B - Floor Drains. Swimming Pool w/Spa. F,A.D. Inc Solar X415 HE M1615+ .Data Signature 'NOTICE: If. after making this d0daotlOn, you should become subject t0 the thwith Workers' Comiensation Dr visions f the Labor, Code. you must forra comply with Such provisions or this permit all be deemed ked. CONSTRUCTION LENDING AGENCY I hereby affirm that Mare 15 a karntru llOn NOdlnd agency for the.parforman W, Floor Sieks I Urinal Fixtures _ Microwave GW Service Dollars Water Close Device Boxes POIe Light g Interceptors Water Health Outlets ganga of the 'work for which this permit Is Issued IBectlan 3097 Cie. C.1 Lander': Name Leneefs Address OWNER BUILDER DECLARATION 1 Hereby afrlrm cast 1 am exempt from the ContraCtOr•s License Law for the lolt"anyW n 13e<tlon 7091.5 BUSlners and PrOfe551ona1 Lode:'a Ory Orr An ty Mals mqulras a permit to construct, M[er IanPrpvo. aem0Me m ropalr I 'OQUllas IFB appllCan\ tar such permN ibuduro, Pr10r l0 aS issue"toable t0 Illi a sl9 d 1 I¢ment loaf ho/ fie Is Ilconsetl pursuant la the 0raw, %m s at z o'Chapter ('noConirac[or s License LawCn P[ r 9 lcommen[inop re In SOellM1e 70eMe of Olvlsion 3.01 the "Al "asO ProloYlons Credo) r Ia at po/5 Is pt Ih¢refrom ane the bail$ for toealleged exilmptlon, ny vI0I para f 2ction )OJa.5 6 - a y ao"Ispu l in' per mil bjects the ap011Can1 tocivil �n flyS enol more then five hundred dollars (5500). - I, a r f rad pro dor a y a pmyeM with gas es obeli sale mmsevaden, will Eo the rk, a a0 the sbuctAd Is hat Inieneee tiered for Ia(5emton .7064, Business a Israre"donaI Codm The Comraetor'5 LI[en 5¢ Law dtaO5 Oat ORto an owner OI a DI000r19 her build$ or Improves theereon, d ha does n w ask mmselUhersmf o Ihrou n holo nor n marCos , plodded mel men mvravemants or n t mlto oiferea°for sale. II, howeverthe bui101n9 r Improvement Is sold within Bne year of mm' pleftOn, me owner will hate `he bur0on of proving he/she 010 n01 build or Ica- so veno, the purpose of Salp). LJaI, as owner of the property, am exclusively contract Ing with licensed con- Oactors [a mn3tru[I the protect 11cesUno 1014, Besle¢sasW nQr Aolesslani COO B: act The Contractor's License Lawtl not apply a n of Property Whho bullas mprovez thereon, and who Contracts far Idea fai with bactnros nceme pursuant" to' the.Cantrabl0,'S License Lawl. 1 am re that Kitchen Sink'. Water Service Switches Sign Lavatories Auto Wash 'Garbage Disposal ; Standing Sections P-Trop Laundry Trays Generator OGS KW OS-05 KW Trash Compactor poet Drains - - v RainsPM n Cee $15 law Fee S 3 Roinspeation Fee $15 IEue Fee $ 3 - MECHANICAL FEES �Saiiiiiiiiiiii 009 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By ^ata Building Appeased By DMB y I-I - Application laical By— Boiler Mood or Type D yp Canopy Type D - Duel- Undef Grountl Duct- Structural Refrigeration System DD100.O0DBTU D11p,0o0BTU Duct-Ventilating SUMMARY OF FEES BUILDING PERMIT $ SMIP S Exhal System D Multiple D System Repair/Alteration proof their WorkorY Cempanatioe.msuranco should be OrOVIdOda la ❑ I am exempt under Section B. 6 P. C. for this reason PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $ is- S0 GRADING $ PLAN CHECK 50% $ %- L5' MICROFILM $ �1 MECHANICAL $ u` 1S TOTAL FEE $ PLAN CHECK 25%$ Firepl/Fact. Bit. ICSO4 Fire Dampers ^ / hereby car Qy that 1 have rad this application and State that the above information Is [ I 9�ep t0 C urnoiy with all city and county ordinances rad stat laws rerrert. lating to pending Fconsaction, and hereby authorize pre- mlatives of t By m uo me ab0vtherfl ed Property for inspection our Oatef�6�� Odverr Li am air 55$ Heating System&Ducting DDI000OOBTU 0100,0001I Registers 4$3 r r Reinsma pn Fn vif Iowa Fee d WE 0865.46. rev. 10154 ' WMt¢ - Summa; Canary - Applicant. Pink - Accounting; Goldenrod - Asseuor CONSTRUCTION AND PLANNING =II APPROVALS . Permit# Date Inspector POOL & SPA APPROVALS Permit 4# 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. APPROVALTO 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 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 24. Roof Framing 73. Undergrnd. Storage Tank OGas 000 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 PREY. 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CITY, OF COSTA MESA Atltlrm - Arch/Eng. AEtlmT .. ea cap's is filed with the city Building Division. . ,.11 1 ION -FROM" WORKERS' COMPENSATION DECLARATION then need not be Completed If the permit Is for ons hundred _ _ _ _ _ _ _ t n _ .r. F � les). f r . - .. Shall mit Is ... .. the Workers Compensation Laws of Caoforma.=' Come PLUMBING�,de.1A PLAN CHECK' """'- 'ELECTRICAL-'-----PLANCHECK' - -'-- 1 IM1aI I^ the Performance of the work for wM1idr llyd pec at employ am Berson In any -manner so as -to be Sl9odtYlG BATHTUBS - -` - -- SHOWERS "- alter m ing th" oa I've UPn, yO thou lI nacomeaublecl WIAM COMC O 1100 provILIOOa Ot Ine "bePit, Code• YOUmus OW Ih soon Pfpvlslo ro or this Permll shal 00 O¢ Me0 '" UCTION LENDING AGENCY -' affirm that Mere lya Construction lending agency for the pen Of the work for which this permit is Issued (Section 3097 Name - APPIKUA to SBR In an spaces within heavy border lines And 1190 nl aPPro Pviate eeclarat onus n -URINALS - - -- LAVATORIES ' PEJ�IT NO. NIT E 4=4-1- . '. TRACT NO. LOT NO.' BLO NO. .. :' DISHWASHERS-- ' SERVICESINKS iSUMPS - - - iit • TTY OF CONSTRUCTION �I �' `J ��,6 r, 966s 8/1.2/82 6.00 TL Fjl Phone -/PE LTNEW E) ADD ❑ALTERATION- - .., - O O_ o ..-. ' CLARIFIERS -- - " ❑REPAIR OtCONVERSION ODEMOLISX ' ' ❑ OTHER I- ZONING REGULATIONS - License NO. - `POLES -- -METERED-' A.R. i ' DESCRIPTION OF WORK ,PANELS - MAIN - .SUB _ - �- - ZONE - - - PLNG. REF. S y - P TYPE OF- PERMIT.' '. - ❑GRADING -� FO VNOATION ❑STRUCTURAL 0 TENANT❑ELECTRICFL,LUMBING-OMM.M.0 -IM CKC 510E YARD -- - - - - - - ' ;1LARA1ION LoO7��,�c'j6 Pt onit IM 3sl Pfa fila .9YSIOse .and CI OTHER. 'i, IGMT Wld dns e Is In full ford d ]M1- REAR YARD (TO P/U _ -P(O" PROJECT DEBCRIPTIONj -- BUILDING - CI¢nse No. OCCUPANCY -L—' CONSTRUOTIONTYPE 'PKC: SPACE REG. .STREETWIDTH '" - _PROVIDED,' PARK FEES. 'PLAN CHECK E )ECLARATION Affiliate Of consent t II ImUne a _ ATION ZONE �- - ZONING'APPROV EO BY F. DATE-- - saUot Insurance. c certified pY -ygLV 'SPECIAL'CONOITIONS 'iPLAN CHECK -S � � GRADINGCU YDS. ACRES - REMARKS:; ELECTRICAL -S- ^��ry{ Il:ed._ ea cap's is filed with the city Building Division. . ,.11 1 ION -FROM" WORKERS' COMPENSATION DECLARATION then need not be Completed If the permit Is for ons hundred _ _ _ _ _ _ _ t n _ .r. F � les). f r . - .. Shall mit Is ... .. the Workers Compensation Laws of Caoforma.=' Come PLUMBING�,de.1A PLAN CHECK' """'- 'ELECTRICAL-'-----PLANCHECK' - -'-- 1 IM1aI I^ the Performance of the work for wM1idr llyd pec at employ am Berson In any -manner so as -to be Sl9odtYlG BATHTUBS - -` - -- SHOWERS "- alter m ing th" oa I've UPn, yO thou lI nacomeaublecl WIAM COMC O 1100 provILIOOa Ot Ine "bePit, Code• YOUmus OW Ih soon Pfpvlslo ro or this Permll shal 00 O¢ Me0 '" UCTION LENDING AGENCY -' affirm that Mere lya Construction lending agency for the pen Of the work for which this permit is Issued (Section 3097 Name - .IT,O1LET5y. r - n -URINALS - - -- LAVATORIES DOUBLE PLAYS-- 'KIT. SINKS - -"'-' DISHWASHERS-- ' SERVICESINKS iSUMPS - - - FLOOR 'SINKS - `FLOOR -DRAINS " gdtlf6z DRINKINGFOUNTAINS - 1 rm DECLARATION that II amexempt from the Co tractor% License Law for vino rdmm(Yttion.7031.5 Busine s and Pmfeslons-.Coe:. INTERCEPTORS "- ' CLARIFIERS -- - " 11.1111.1 Mr -.,r.^, eve..n owner at pa property who ulltlm s or Ipve ros n roan and who o REFRIGERATION 0-100.000 BTU :is Irom -z ch. Projects. with nm ntetorls) Ild¢d PUNLant_to .SYSTEM Contractor's Uranus Law). 100.000 BTV - IamexemptunderEeLTon - - B.B P. C.for jNz TILERS BTU read this application and state that the above I EXHAUST SYSTEM gree t0 "COT lYe Rh -as city and count", agree to cone P ti Publish d ereby authoilae try to enter ,.-the--bore Inemlonad - .-ISSDEFEE _ .,oe-Assesu0r SO. F - iEWERCONNECTIONE­'- j ----- ;OIARTANK""—COLLECT•PRS- ^I ;OLARPIPING'SYSC-'/"' CAAY - ISSUE FEE- " _oc MECHANICAL-VLANCHECK- 1EATINGSYSTEM %NO OUCTING- 0.100.000 BTU_ 100.0000 BTU owner at pa property who ulltlm s or Ipve ros n roan and who o REFRIGERATION 0-100.000 BTU :is Irom -z ch. Projects. with nm ntetorls) Ild¢d PUNLant_to .SYSTEM Contractor's Uranus Law). 100.000 BTV - IamexemptunderEeLTon - - B.B P. C.for jNz TILERS BTU read this application and state that the above I EXHAUST SYSTEM gree t0 "COT lYe Rh -as city and count", agree to cone P ti Publish d ereby authoilae try to enter ,.-the--bore Inemlonad - .-ISSDEFEE _ .,oe-Assesu0r SO. F 'GENERATOR -- 0.1 Kid � 1-10 Key ^I TRANSFORMER - �gPPLIgNCE-'� 30.50 KW_ 504�Kui _ _ 1MOTORS--. �— _. 4(INC.EOLAR)_10-50.HP 50a.HP I _ - - FIXTURES— OUTLETS- 'SWITCHES - .GAS TUBE SIGNS- - :POLE LIGHTS - - - -. - `POLES -- -METERED-' SUB ,PANELS - MAIN - .SUB 1 - TSERVICE - -. AMP-- ISSUE FEE' -'!a {APPLICATION APPROVED BY _ ''_OAT - SUMMARY OF FEES - - -- BUILDING - - -s,E PERMIT E SP t 'PLAN CHECK E -PERMIT �E - . ISSUANCE ISSUANCE :PLUMBING as r 'iPLAN CHECK -S � E ELECTRICAL -S- - 'PLAN CHECK- E r 'MICPOF.IIM'E MECHANICAL-§= : TOTAL FEES. T I SS AD- - - 'LEVANCEPC PLAN CHECKI E E_ -, / FINAL FEE E /' �- CONSTRUCTION AND PLANNIN [[,, APPROVALS Permit # N- 8 Date „"lnspecl:or POOL & SPA, .. .gpPRO VACS' Permit # -Date= - - Inspector - 1. Temporary Electrical Service or Pole _ _ 43. Pool & Equipment Location- - - 2. Sal ipe;Undrgrn- `."' _ 44. Steel Reinforcement - - - - F -3.--Electrical Conduit.Utility-Undrgrn_ . - 45., Forms. - -- - --4. .Electrical.Conduit-Uhdrgrn - _ _ - 46. _Electrical Bonding. - - -•-- --- - - - .. tee _ ein once _ 47. Rough Plumbing & Pressure Test - - -- --- - - - :..- 6.-Electrical UFER Gr.n- 48. APPROVAL TO COVER-GUNIT.E - - -- - - - . .7. Footings- _ 49.- Electrical Conduit-Undr rn •- - -8. Foundation -- -_-- - .-- -- _ _. _ 50. • Gas Pipe, ❑Undr rn, Test " 9.- •_10. Water•Pipe-Undrgrn-_ -51. Backwash Lines P-Trap.❑ UndrQrn -Structural Floor.System.._ _ 52. -APPROVAL TO DECK • - - -' - - 17-.. --Property. Sewer_ Line.& House -Connection-.' 53. Backwash & Receptor-Final • - - ' 12.- Street Sewer Connection__ --_ - - 54. Heater"&Vent-Final' ' - = •..13.._ Rough.P.lumbing.- 55, Plumbana Svste�;,� Fina 14. Rough Electric-Conduit - -- - - - -- - -56. Electrical-Final -• - - 15. Rough Electric-Wiring -' -- - - 577 Solar System-Final II- 16. -Rough Heating & Air-Conditioning - Fencing & Access Approval n 17. --Ducts, in Structure 59. APPROVED'FOR PLASTERING 18. 19. 20. Ducts,-Ventilating Gas Pipe=Rough & Test - - -- Roof•Framin9 1- 60. . - - - POOL/SPA SYSTEMS FINAL ' " •�- ' '•,. .. 21. -226- Roof'Slieathin - --� -- - -_ . -Frame and Flashing- NOTES: L 23.--Insulation --- - - - - - - - -- 24! Lathing & Siding 25. Drywall Nailing - -- - - - - - -- -- - - 26. Plaster Brown Coat 27. Electrical Power Meter-Final- - - - -- - 28i Final Electric - - - • - - -- - -- - - - - - - - 29t Final Heating & Air Conditioning - - - - -- - - - - - 30. Final Gas Pipe-Test- -31. Final-Plumbing - 32. Water Service-Final- ervice-Final•.33. .33. - Gas Service-Final" 34. Solar Domestic Final ' 35. Landscape Sprinkling System - - 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed 40. Electric Release to Edison -• 41. Gas Release to Southern California'Gas Co. 42. CERTIFICATE OF OCCUPANCY No__ Date - a Applicant to Gn In all panawimin heavy border lines and sign all appropriate z CITY OF COSTA MESA PERMIT NO. NO. LOT NO. BLDG NO. ".CONSTRUCTION PERMIT �- ,TRACT p p[1Jy� � 1991 2/11/9.2 9100 Project Address D [ gl TYPE OF CONSTRUCTION p NEW ❑ ADD ❑ ALTERATION ❑REPAIR OCONV CAST ON OBEMOLISH Owner B. B'L Phone' L_ Addrea [� Gy V %G _ ❑ OTHER ZONING REGULATIONS Arch/EnB� " 6 License ND.' DESCRIPTION OF WORK q P e / Addr63 adsE•- TLN - ZONE PLNG. REF.; Cdnlrecmr 'e /L l4IOOD . Cgor Phor -Z). DJ. TYPE OF PERMIT ❑GRAOI O OSTRUCTURAL SET Ac dWCm��A9NE Address 'L 9Y $ / NG FOUNDATION ❑ TENANT IRrELECTRIOAL OPLUMBING OMECHAl YARD p LICENSED CONTRACTOR DECLARATION hereby I licensed Cherbir 9(Cm- I affirm iehst am under provisions OI Illi lion 7000) f Olvlslon 3 f the Business and ❑OTHER IG Heading Code, license IS In full force andeffect- - REARYARDITOP/LI NOlpsslOns no my /� PROJECT DESCRIPTION n30N LI[1n30 tau LIG4 . FT. 'PKG. SPACE REO. PROVIDED S) L F 463 One J OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEES -DATE WORKERS' COMPENSATION DECLARMIOji I hereby affirm that 1 havea Certificate Of Consent 10 self4mum liraVNW VALUATION- ZONE ZONING APPROVED BY tl•nBOte f Workers' COmpeo3atkin metalo/ cerllfled cody SPECIAL CONDITIONS: I (Section 3500, Ua.C.1. GRADING CU. YDS. ACRES 1 No IJL GI /SA%LI CemWOYFLacwAAn /&A. i.0, - I-: Certilled copy l3 hereby furnished. REMARKS: ❑ Coemied copy Is flied with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - 11This eed not Oe Completed If the burns B for one hundred 1 Oaine) $comity !n PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Ihel the Performance of the week fa/ which this permit Is Ina y Manner 50 t to became notkemploompanuilion Issued Io tall BATHTUBS SHOWERS SO FT, go FT Date Signature NOTICE: If after making this declanflon, You should become sualecl TOILETS URINALS GENERATOR 01111-10 KW to the Werrkerl' Compenatien Provisions 01 the Labor Code, you must TRANSFORMER IartfWlih Comply With Such provisions Or lhls permit Shall be deemed LAVATORIES DOUBLE LAVS ,APPLIANCE 1050 KW -50 a KW evoked. CONSTRUCTION LENDING -AGENCY KIT. SINKS DISHWASHERS 'MOTORS 01 HP -2-10 HP Ihereby affirm IS a cOuranuMhMCYfs ilonll Far- SERVICESINKS SUMPS ONG.SOLARI 10-50 HP 50+HP ca mistplwmlending trWal Orkere Issued forman097 FLOOR SINKS FLOOR DRAINS FIXTURES •L OUTLETS'ZSWITCHES Civ. C.I. Lender's Name st Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION 1 ha= affirm that I amexempt from the ConlractorY License Law for SWIMMING POOL PTRAP the 101 owing reveal fydlon 7031.5 Business and Protestant Cotler Any City County which repuhet,a permit l0 Construct. War. POLES METERED SUB WATER SERVICE ALTERATION -- PANECS 'MAIN SUB ran rose, demolish Or repair any structure, prior to Its Issuance, alio re. he to, Such a statement he to athe tlJw permit Cle oni actor's Utilisned a"6mn1 to tits mOvlslons Olcamul is liceiesnsed e - GAS SERVICE OUTLETS SERVICE E AMP'Lg� lc'pNr 9 Nommencin9With Section 70001 of Olvlslon 3 Of the WATER HEATERS -BTU OUTPUT - ' m and Code)that he isexept tharefromantl the for alleged ex0 IoAny violation of Settled 7031.5 by SEVER CONNECTIONS L applicant for cermet subjects the applicant to a civil pemRY tse "f not re than hundred dollars 1E5a01. SOLAR TANK COLLECTORS ❑ I. a5 Owner of tae properly, or my employees with wages as their Il compensation, will do the work, and the structure IS not Intended offered for Cale. (Section 7044, Business and professions Carie: The SOLAR PIPING SYS. ISSUE FEE - Contractor', :License Law does n y n vrooerty C Who PUMPS o mNows thereon, and spur ottloes ucheWo k hems If or ISSUE FEE 'APPLICATION APPROVED OV EO BY - DATE through hli Own employees, proWded 1ha winch Improvements are not MECHANICAL PLAN CHECK _ SUMMARY OF FEES It )Sold wit In one Year sale, i Completion aha ownerldselll hammthe burden Of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0100,000 BTU PERMIT BUILDING $ !MIP S ❑ L t owner of-meproperly, em exclusively contractors with to butt the 7044, Business 'HND DUCTING IIumW contractors Co protect (Section IOOA00±BTU PLAN CHECK S PERMIT and Professions Does; The Connector's IJCONC L1W deet OOl aODly lO ISSUANCE S- antis ownerof n- panty WsOwlN a ltractms hereon. and REFRIGERATION 0.100.000 BTU PLUMBING, $ cr pursuant spr OO -SYSTEM _ GRADING S the Conbaclor% [Assured "set- 100.0003 BTU IPLAN CHECK S - ❑lamOxemOlunoerSeral B.6 P. C. for this BOILERS BTU ,ELECTRICAL S $ reopeSYSTEM REPAIR. ALTERATION PLAN CHECK S_ MILROFI UAS TOTALFEES Oaten �• Owner Natl this I herebyotion icomfil Ion and EXHAUST SYSTEM MULTIPLE MECHANItAL'S ,PLAN _- LESS AD - to y a d Only is orr ct. I all city n0 linty Information IS Oe L 1 agree yly In. all CHECK S VANCEPC S_. ardlnancCi.and slateelarb relalln9lp wni,Iuc[ on. and aerehYmBn authorize t ere representatives I this city to t upon the bow boned ' pr0wrtv fa•A limn SlgnatureJEr Date L"/D'B2 FINAL PEE 4 - -Came Came o SS ISSUE FEE - - CMF O865-46 W41te-Bullding:Canary-Armiic3nU Pink-ACCOunting: CONSTRUCTION AND PLANNING s £,�(0�1(� Date Inspector APPROVALS Permit POOL & SPA Date Inspector' APPROVALS APPROVALS Permit# 1. _ Temporary Electrical Service or Pole 43. Pool & Equipment Location - - • • - 2.- SoilPipe-Un rgrn 44. Steel Reinforcement -- 3. .Electrical Conduit Utility-Undrgrn_• _ 45. Forms ' 4. Electrical Conduit-Undrgrn _ _ _ _ _ 46. Electrical Bonding 5. �iteel Reinforce _•_ 47. Rough Plumbing & Pressure Test 6. Electrical UFER_Grn _ _ _ _' 48. APPROVALTO COVER-GUNIT-E----'-' ' 7. _Footings _ _ 49. Elect'riral Conduit-Undr rn . - 8. Foundation _ _ '- • _' - _ - - - - 50.. Gas Pipe, ❑ Undr in, Test 9.. Water Pipe-Undrgin51. Backwash Lines P-Tra _0 dr n 10. _Structural Floor System - 52. APPROVAL TO DECK '' -' -'-• - - -- - - • - • - 1.1. Property Sewer.Line & House Connection _ _ _ 53. Backwash & Receptor -Final - - 12.. -Street Sewer Connectign.54.. -_- - Heater &Vent -Final - _1.3. _- "_ RougFj.Plumbing _ _ al 14. Rough Electric -Conduit ---- - - - 56. Electrical -Final - 15. RoughElectric-Wiring" - - 57.- Solar System -Final '''= '�'-` - •' 16. Rough Heating & Air Conditioning - :- - - _ encing & Access Approval 17. _- Ducts, in Stiucture APPROVED FOR PLASTERING 18. 19. 20: _ Ducts, Ventilating - Gas Pipe --Rough &Test '' _ _ Roof Framing 60. _ •- POOL/SPA SYSTEMS FINAL 21, 22: Roof Sheathing- Frame and -Flashing c NOTES: • _ 23. Insulation - - 24, Lathing & Siding 25. Drywall Nailing - 26. - Plaster Brown Coat 27. ElectricalPowerMeter-Final 28. Final Electric- - 29. Final Heating & Air Conditioning 30. Final,Gas Pipe -Test 31. Final Plumbing t 32'. -Water Service -Final - 33. Gas Service -Final •' 34. Solar Domestic -Final ' ' 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No_ - Date Applicant to fill In all Spaces within heavy DPraV lines and Bgn all a Pproprlateaeclarat ions. CITY OF COSTA MESA PE Ay�y NO. TRACT NO. LOTRSO. BLDIy. N0. LJ S " CONSTRUCTION PERMIT Oct � Em 81-380 D TYPE OF CONSTRUCTION 1: ADD C3 ALTERATION []REPAIR O DOEMOLISX P O]]D 1/18/82 475o94 ariProject Addrm JDUD1 dC 6vit 11E .; Owner Phone/52-551fCMEW 1301 Dove #760 Newport Bch I� Aadrea St., CONVERSION ❑ ZONING REGULATIONS AfchjEng. Hams—Pete[e License Na. OTHER .OE$CRIP IONO WORK A.P. #° 139-651-13 15 Address 119 E. A1IOI1 Sacha. Ana - ZONE ]?D1 PINTGp. $E 80-16 TYPE OF PERMIT O TRADING ❑ FOUNDATION STRUCTURAL ❑TENANT ELECTRICAL (]PLUMBING OMELHANIC gR�EJR�� p��ryC� SETBAC 5 . ', PROPERTY LINE / YA y Commands 01tGNEO.S C,OOSt1 CtiM Phone 576-84 Address 3 Park CA LICENSED CONTRACTOR OEd ION R DECLARATION Under Under MnDY affirm trial 1 em licensed du pmvlilon of Charter 95(w^ I T a t Nng IM Icon 1000] 1 3 f the Bustr d ❑ OTHER -" PmfeSslOnS Cade, and my license Is In lull force tl Ileo PROJECT DE I TION REARYARDHO PILI License [lass A uwn50 No. 86393{ 'SO. FL PKG. SPACE REO. 592 PROVIDED 670 3 Data Si9nIDum �� OCCUPANCY ONSTRUCTION TYPE 'VALUATION /L ii,,I +ONE 1 f ST BEET WIDTH PARK FEES ]!ONING APPROV EO BY DATE - - J WORKERS DECLARATION' 1 hereby affirm trial I have a Urtifil Of Consent to 0114m m or.a Ceriflnte 1 Welfare' Compenutlon Insurance, or cetllller copy SPECIAL LONDITIaNS: thereof Se ftipihyff' op,PPagy 1'ieHIDI1t IP11H11. GRADING CU. YOS. ACRES erlKied COPY B hetMy HrOhmed. - REMARIVI P O �cerufied COPY 15 Filed with the City Building Division. HOLD FOR SPECIAL REQUIREMENT!. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION SThIS anion need net 0! Completed It the evrmlt B for One Duntl/w _ - gem).n iE00t Certify the performance of the work for which this Permit IS Issue, snail not employ any person In any namner For as to.become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject IB the Workers' Compensation Laws Of Callfumla. BATHTUBS SHOWERSvil Date—signature an PT NOTICE: If after making this declaration, Oil She Id become Subject TOILETS URINALS GENERATOR 0-1 KW_ 1-10 KW to the Worked WMMnlaHOn prOvblOns to the Labor 0000, you must TRANSFORMER forthwith comply with such provisions or this Permit dull be deemed LAVATORIES DOUBLE LAVS - APPLIANCE 10-50 Kw�50 4 Kw - evoked: CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS - - _ MOTORS 0-1 HP -1-10 KP I hOrObY alfbm that there is adonstruOlaO andinga90nCy10I IDewr-. SERVICE SINKS SUMPS - �'"� - (INC. SOLAR) 10-50 HP 504 HP -z formince of the k far which OMS �e rr�It IS Issued-( (Sectlon'3097 FLOOR SINKS FLOOR DAIN$'\y +N• \ R IT FIXTURES OUTLETS SWITCHES CS Civ. C.).{}Se 11B PClLT1O sIkNIL Name rs Adelm3 eWCD I. r• DRINKING FOUNTAINS GASTUBE SIGNS OWNER BUILDER DECLA RATION'• I11eNbVaffirmton IamlkamptfromtheContra6ais License Uglier , INTERCEPTORS, CLARIFIER$ \. - - - e-f'n -t POLELIGHTS 1- - $SUB SWIMMING COOL v P TRAP ( s L "\ POLE51 METERED for owing,reason (Section 1031,5 Busl d Professions Code: Any City unty which requires a pgre lO Construct. alter, WATER SERVICE ALTERATION PANELS MAIN $VB Imydemolish or real any structure, mlor to its issuance, alSore- the for such to file a Signed statement that he qulref applicant Permit I5 Ilwnsed Wrsuant to the provision$ of lite Coplablor'3 License Law GASSERV ICE OUTLETS SERVICE AMP 1 Chapter 19z.(mmmandng With Sol )0001fp DIVNIon.Q.ol the. r Cutis) , Bshier that heletlon t5a - a " aUv alleged ex; ny 0f Ilonrbmand the WATER HEATERS _ BTU OUTPUT 'SEWER IPpmWm let a Pmmit Subjects the applicant to a Over-all it a than.1has hundred aelurs.pbo0l.e CONNECTIONS SO`AR?ANK - COLLECTORS Las owner of lha. greats . 0, my eMloyees with wages as their mL tion, will do the work, and the all IS not Intended le mpenYk Or olflral 1310.(SICLOn 7044. and WolG%lon3 Coca- The r SOLAR PIPING SYS. I ISSUE FEE Contractorw does tBusiness fou IIs or ll nrl thereon, and who OCs$ Such work h staffror .1 ISSUE PEE ' ' ' h APPLICATION APPROVED BY DJ AT. own employees. provided trial SUCK Improvements are not MECHANICAL ' r PIAN CHECK SUMMARY OF FEES InoVhis ed or offered for sale. u, hawever, the buudmy Improvement Is sold within Ono Year of ComOlq lllOn, IDs owner will head thea burden 1 prOnng h0 did 1 build Improve for the purpose f N). T BUILDING ��II'' � !''� Q�(I � ❑ HEATING SYSTEM 0900.000 BTU ,PERMIT S SMIP SJJ1 1 owner 01 the property, am BxC1u31ve1Y dentratting with 7044, Business AND DUCTI NO IS IlcenilOSw UaClols to Construct the probd (Section 100.000 4 BTU '- PLAN CHECK S PERMIT and PrOleulOns Cotle: The CmItIsC 01% Likil Law Coal not apply t0 ISSUANCE S an owns, of pm pdw y who limits Orr Improves thereon, and who can. REFRIGERATION 0-100.000 BTU r PLUMBING a from contractor(s) Slashed pursuant to tUw)with SYSTEM I GRADING. 5 ttracts el Cmur Clare's Llreosa 100.000?BTU j w PLANCHECK S ❑ I are a mitt under Section B. L P. C. for 1015BOILERS BTU a S ELECTRICAL S reason SYSTEM REPAIR, ALTERATION PLAN CHECK a TOTAL FEEIDM S TOTAL FEE S _ Dale Owner MECHANICAL S realppliGtion and Slate IDal the dbOVe IM1Ore61"nctom�tqull EXHAUST SYSTEM MULTIPLE LESS AP InfDrmComply ith all city and County PLANCHECK f VANCE PC 5_ artlinastrudlan, and M1ere yau^horize reorsm:r goon me aeo cnedFINAL q FEE S -ISSUE FEE CMF 0865-46 Whlle.BuLdIn9: Canary -Applicant; CONSTRUCTION AND PLANNING APPROVALS Permit # a Date Inspector POOL & SPA APPROVALS Permit # .. - Date Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Soil ipe-Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel einorce S-1 i -$a B 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9- Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrarn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55- Plumbina System - Final 14. Rough Electric -Conduit 56. Electrical -Final - 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and FlashingNOTES: 6-�- $�. $ 23. Insulation pp 24. Lathing &Siding _Zo-$�' $ is r/ ad - 25. Drywall Nailing 26. Plaster Brown Coat / OrC 27... Electrical Power Meter -Final -I g- ro'` o 28. Final Electric 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe -Test 31. Final Plumbing 6 -1 -S.l 32. Water Service -Final ' P k 33. Gas Service -Final B 34. Solar Domestic -Final 35. 36. 37. 38. Landscape Sprinkling System Sound Attenuation Handicap Tegulations FINALSTRUCTURE & BUILDING A. 39. Special Requirements Completed OW 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Resonant to fill n all spaces except Inane within heavy border lines Ana sign all eppmpHse eemra ions. CITY OF COSTA MESALbNSTRU. ITIPN PERMI T �\ PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address -�S �'R...l``1 1 �V M Applipn['zMailing Accepts 2,101Shia.. TYPE OF CONSTRUCTION NEW DO LJ ALTERATION LJ REPAIR j ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. .Ip Owneri Name Phone a not be completes if thepermitis Tor vaSYrunotoo lffuul or the performance of the work for which this permit If Issued I v any person In any .manner so as to become shiniest to tFe thertormance 3097 Civ. C.) under•$ Date Owner IDr l vers' nano rSS F CMF 086506• r¢v. 30/80 WIN to ng Fountains Drains Outlets Sink Sewer Cap Singer Connection Spier Collectors Sager Piping Soler Tank Swimming Pool w/Spa Urinal Water Closet Water Holster - Ina"Their sale or offered he Contractor's lids or Incentives loarrrown I or offered for no year or Im- IN licensed con- r fauslam code: itprw°mty who 0 ovided aware that . for this reason DESCRIPTION OF WDRK/USE OF BLDG. Address $15 Ba I ba Fee 7u -nit - - MECHANICAL Arch7Eng. License No. Addfess r TYPE OF PERMIT LJORAoulyo LIFOUNDATON LJ STRUCTURAL ❑ TENANT 11 ELECTRICAL ❑ PLUMBING 1 MECHANICAL OTHER !!�� Contractors Nem h [490.25A0 Address (m+ 'nn 24 ti / rjbl e� (n A g [^ I PROTECT pESCRIPTION SO. FT. `AS60'�' OCCUPANCY— CONST RUCTION TYPE VALUATION$Mo City License IArj ZONE GRADINGCU.YOS. ACRES— ❑9-15 HP 01&15~Bekea LICENSED CONTRACTOR DECLARATION Remarks: 1 hereby affirm that I am licensed under provisions of Charier 9(commencin with n 7000) of Division 3 of a nese and Professions Code, and thatee'Bt ordinances luthorla, repro. Property for l l 8 y . myllicensi s :Na 357557 PLUMBING Date ���sforoav�& Signature Sink Shooting YORKERS• COMPENSATION OE RATIOBar affirm that I have i einhill heof Consent 'atlHnsurear a ceNlRote .1 workers' Compensate msura , e 1 ed c9,pY thereof f5secdon 3600• Lab. £1_ � . /l. / rx Bxkllow Preventer Sery ce $ink' a not be completes if thepermitis Tor vaSYrunotoo lffuul or the performance of the work for which this permit If Issued I v any person In any .manner so as to become shiniest to tFe thertormance 3097 Civ. C.) under•$ Date Owner IDr l vers' nano rSS F CMF 086506• r¢v. 30/80 WIN to ng Fountains Drains Outlets Sink Sewer Cap Singer Connection Spier Collectors Sager Piping Soler Tank Swimming Pool w/Spa Urinal Water Closet Water Holster - Ina"Their sale or offered he Contractor's lids or Incentives loarrrown I or offered for no year or Im- IN licensed con- r fauslam code: itprw°mty who 0 ovided aware that . for this reason ELECTRICAL FEES Reinsludicn Fen $15 Ba I ba Fee 7u -nit - - MECHANICAL Sher Boiler Hood or Type l ❑ Dorothy Type ❑ Duct - Under Ground ❑Gas ❑Electrk Fx Duct -Structural Refrigeration System IS .�..// Duct - Ventilating 26100,Oo0BTU❑100ints , VSub Dl HP ❑1%- B Exhaust System Multiple ❑ System RepairiAlterasion ❑9-15 HP 01&15~Bekea Firepl/Fact. Bit. ICBG# Fire Dampers ' I Heating System & Ducting Registers OGM BTU 0100,000 BTv '- thatee'Bt ordinances luthorla, repro. Property for l l 8 y , SUMMARY OF $ $ $ IS $ $ $ Ln -0() $ 14.1b Reinfpeerion Fee � E15 laue Fee Z4.ZS Pink . Accounting; Goldenrod . Assessor S Main E T Front B Rear A C Right K S Left Find. Ref. 5291 1/09/05 715,25 FL KW I I Trash Compactor $3 ELECTRICAL FEES atic Washer soon Pole Sub. Transformer ❑ 15-50 KW , ❑50a KW 7u -nit p to 1 W amps Sher ver 100 amps ❑Gas ❑Electrk Fx VSub Dl HP ❑1%- B FEES ❑9-15 HP 01&15~Bekea —Datu Data DetB I KW I I Trash Compactor $3 0.einspemlon Fee $16 law Fx $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application lawtl By —Datu Data DetB I 1 p BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5C% MECHANICAL PIAN CHECK 25% SUMMARY OF $ $ $ IS $ $ $ Ln -0() $ 14.1b FEES SMTP PERMIT ISSUANCES ENERGY P.C. GRADING MICROFILM TOTAL FEE $ $ $ S $ Z4.ZS O 00 L $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date ,: [Inspector Pt. . & SPA APPROVALS Permit Data Inspector 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location . .2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r .3. Electrical Conduit Utility-Undrgrnd. 54., Forms _ 4. Electrical Conduit-Unbrgrnd. 55. Electrical Bonding 5. Steel Reinforcement; -_ 56. Rough Plumbing & Pressure Test r, 6. Electrical UFER-GrntJ. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. It - 8. Foundation _' 59. -Gas Pipe, ❑ Undrgrnd., Test 9:- Water Pipe-Undrgrni . t 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10: Structural Floor System -61. APPROVAL TO DECK 11. Property Sewer Ling'& House Connection 62. Backwash & Receptor -Final 12.'Sewer Cap •r _ - 63. Heater & Vent -Final 1,3. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final, 15. Rough Electrical -Conduit 66. Solar System -Final r - 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 ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil I 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 26. 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date ' - - Appirwnt to fill ina ...�_-.-...>e'wxavY holder lines and Man an appropriate aamannons. __ _ _.C- Oats I 4 Builtlin9 ApproveB aY 641 OF COSTA l CT N P MIT PE MIz NO, T C'fivtT NO. LOT NO. 9.1 UNIT N0. np,r Prl-er'A'd&ms. a_��L))A��C����(bpf�e C.i]�" Y . PM 23� FEES 1 1 BUILDING PERMIT' $:' ApPllcant'shlilinAAddroo �8�1 D-L1C>_3 �AA" ? TYPE DF CONSTRUCTI N NE ADD ALTERATION REPAIR —��/✓AI'NT $ PERMIT I' EICONVERSIOry DEMOLISX TXEq�MO.iO ✓LPNr ' 7-3,C0 - Dwnn'a Nlm! �A CUMM NN JC477OA6 phone 241-1%It DESCRIPTION OF WORKlUSE OF 6LDG: 5'00 ]ENERGY P.C. S" Adtlress Z3D� MII FA_JD C{lam 13—(z) - -GRADING S ' - PLAN CHECK IA% S MICROFILM $ ArCl1/Eng� R Ty�...,I 04,ZZ Li en5e Ne. © TYPE F PERMIT GRADING /FOUNGATION STRUCTURAL TENANT 0 ELECTRICAL FrPLUMHING O MECHANICAL TOTALFEE S r ALdrns GN x H! DOTHER I w Contractor's HenriOm qSi SL f2.✓t K. �M -CI' A Atltlreu lmw '�� 3AC k/NCmr AWNe9xZ7D% PROJECT DESCRIPTION SD.=T./00 OCCUPANCY - C ON ST RUCTION TYPE V IL VALUATIONS License No, ZONE GRADINGCU.YDS-__ ACREo LIC CONTRACTOR DECLARATION JLICENSED hereby affirm I am IICIOU 3 0rvvi5ieds of Charter g (Commencing m r Plans ]0001 of of the With 001 3 03 tM Dulness and Pra3eislom Caee, and d `^ my I rime s n amaon 51M1 Chinaman eftea. - 4 ?z /o� IJwns6 Cla i� - LIG N Leaves Date Signature PLUMBING FEE$ -V WORKERS' COMPENSATION DECLARATION Bar Sink Hobby affirm trial r at I have a certificate of eve Of to NIf- 3 rtitleWorkers' ComP!n r certified Copy thereof (Section Backllow Preventer Service Sink P,o%i�� Camp Rackrlow irrigation Sewer Clip PoPY wrebY fumbll-1 �r Car... LLLJJJ Cer[Ifie(p�Dat�� �]P�yn iledm iM1e cit uiI 9 i Nlon. Bathtubs Sealer Connection M EXEMPTION FROG e cme COM ENSATION DECLARA EXElTIh{� WORKApplERS' ITNIs Section neeE t b let¢tl it the Permit Is Inv one M1untl eE faOr Clarifiers Sdar Collectors 09 acBrlll9 that In the performance of the work for which this permit is ISSYatl, I SIGH not employ -any person In any Rather so.a5 to become Subject to rho Workers' CompensationLaws Of California. Data chrture ' NOTICE: If. after making Inls decleratbe, you shbulo become RmNCr to the Workers' Compensation provisions of the Uhar Code, You must forthwith comply with such provisions or this permit Shall be daemedrevoked. CONSTRUCTION PENDING AGENCY. hereby affirm that there Isf Construction lending agency forme performance I the work for which this Permit is Issued(Section 3097 Cii CJ Lender's Name Dare owner Drivers' License or SS CMF 0e65-46. rev. 10/84 Drains Kitchen in Lavaso flas - P-Tnp Roof Drains .:Reinspection Fee $15 Boiler Duct - Under Ground Duct structural Duct Ventilating Exhaust Svitem0 Multiple L1 Firepl/ idi Bit. ICBG Heating System & Contin thatthenaove (10100,000 BTU❑ IGITUI BT mvYon e- IPro rtrye soli th Rain p ion Fee $15 Pick: - Accounting: Goldenrod - ASYssOr water Closet Water Heater Water Service Auto -Wash Ince Fee IANICAL Hold or Type I ❑ Canopy Typell ❑ iefrigeretion System System A Fire Dam Registers $3 $3 Construction Pole Sub. Cooking Unit DlsSmsher Dryers DOES ❑Electric Fan PA.U. Fixtures Device Flexes Cutlets Switches Garbage Disperal - Generator X65 KW E)5 is 3388 2admil Approved OY C __ _ _.C- Oats I 4 Builtlin9 ApproveB aY - Wt0 ApPlimtien Ivuetl By - Da[" Da[ Z�� 'I . SUMMARY O 6r FEES 1 1 BUILDING PERMIT' $:' r3I SMTP $ ,44 9a PLAN CHECK $ PERMIT I' PLUMBING l $ ' 7-3,C0 vISSUANCE $' , ,- PLAN CHECK -25% $.- 5'00 ]ENERGY P.C. S" ELECTRICALS $j -GRADING S ' - PLAN CHECK IA% S MICROFILM $ MECHANICAL $ TOTALFEE S r PLAN CHECK 25% $- �- A CONSTRUCTION AND PLANNING Date APPROVALS Permit Inspector POC SPA APPROVALS Permit# Date Inspector 1 `Temporary Electrical Service or Pole - 52. Pool & Equipment Location ,2. Soil Pipe-Undrgrnd. �,. �Z,�Ci�� l (Q 53. Steel Reinforcement 3.�,Electrical Conduit Utility-Undrgrnd. 54. Forms .:Electrical Conduit-Undrgrnd. 55. Electrical Bonding %..Steel Reinforcement 56. Rough Plumbing & Pressure Test .,,Electrical UF -ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation! -- 59. Gas Pipe, ❑Undrgrnd., Test 9 ylNater-Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 7 12. Sewer -Cap 63. Heater & Vent -Final 13. ,Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing` - (�3��f �, 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. POO _/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 O Gas ❑Oil 23. Gas Pipe -Rough & Test --7.2! Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro l 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame ani Flashing 7 $,5- 76. Dry Standpipe 28. Lathing P r Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing if✓ ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: to 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy D 37. Final Factory Fireplace / 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final / 41. Solar Domestic -Final 42. Backflow Preventer' -7 3 ' 43. Backflow Irrigation O` -1 44. Landscape Irrigation System /qar. 45. Sound Attenuation 46. Handicap Regulations (-j-t,U, 5:: PPc.•{ iZd Rih(r (,�� fO:J'� I_AVS. 47. FINAL STRUCTURE& BUILDING �.?_�48. Special Special Requirements Completed 6 ' z 49. Electric Release to Edison IAC 50. Gas Release to Southern California Gas Co / r I 51. CERTIFICATE OF OCCUPANCY' No. Date 1' ell Of µ _ $,y C GA 71 bJ Applicant lO till in all spaces wil]]]d Meavy Hear IlnatlM Sign all a Peroorlate declarations. CITY OF COSTA MESA I PERMIT aO. TRACT NO. LOT NO. BLDG: NO. - - CONSTRUCTION PERMIT O PM 81-380 23 D 6283 '51'24/82 24:42 T41 Project Address 51 d B TYPE OF CONSTRUCTION IR NEW O ADD 0 ALTERATION REPAIR ❑CONVERSIDN ❑DEMOLISH OTHER -" ZONING REGULATIONS' Ownerge PhOn9I q Addrea AMMEng. '_p - LiDwor NO. DESCRIPTION OF WORK A.P, qts � ZONE PLNO. REF:'Js ' Comraeror - p Pntine-_ TYPE OF PERMIIT- OGRADINO :jD, FOUNDATION STRUCTURAL TENANT ELECTRICAL �PLDMBING OMECHgNIC SET YCEaj�YgKRO T. is V G PP E LINE -1 Address _ -' 'LICENSEDCONTRACTOR DECLARATION- _ that Charter 9 1 heavy afirm 1 am Ilpmetl under PfOWS onS Of (COT- Nn 'Section ]mOW-0101Waion 3 f-1110 Shlmods d 0OTHER' 1 RIIGHT With ProfeM�aS Code, une y nwnsa is In fun for® a uect.PROJECTOESCRIPTION I REAR YARo (To 1 -' l - Llwnee Class License No. • PKG. SPACE REG V IOEO dee Lt •_ .. SG: FT. '• -;. _ _ .. ..._. _ _ OCCUPANCY_ CONSTRUCTION TYPE - STREET WIDTH ' �MwERO , „'PARK FEES WORKERSCOMPENSATION DECLARATION -_ ._ - I: •1 hereby affirm that 1 have a Catificam of consent to "IMMUre Or a, G0 VALUATION 8 ZONE NINOAT 0OAPPROVE rNINN drand ole of warKWs- Compensation Insurance. Or -4 Certified -COPY - _ I i1 Section 3000. Wb. C.). -GRADING CU. YDS. gpp ES SPECIAL NOITI S: - 1 'Nd. .. .. Company .. _ -... _ . -. _ _ y wtlfietl COPY Is-e,eby twnisheE._ _. n REMARKS: 2C) _- 1J Grliflea COPY Isfiled With the City Building Merged. EXEMPTION FROM WORKERS COMPENSATION DECLARATION Tn15 eC[bn. eM OI be Completed.lf the Permit 16 for on R iled 51001 Or less). I . I t(firthe perfOrmaoG Of the Work for Which this,p 11 IS + stmt bN I ha 1 not employ y parson In v manner as 1 become PLUMBING - PLAN CHECK - tELECTRICAI - - PLAN CHECK - t SYblac{.Io Hot Workers Compensation Law[ of California " BATHTUBS - - SHOWERS -'Y-' - - 1 "FT net. Signature So FT,`-�-- i tNOTICE: If eller making this ChCON10101% Vou should become subject TOILETS •' I URINALS-'- - GENERATOR - 0.1 KW_ 110 KW -- to the worker Com assuitlon provisions or Ito Labor Code. Von must TRANSFORMER ' forthwith comply wild such provisions Or this Permit shall be Comfort DOUBLE LAYS " '- -- - APPLIANCE 10-50 KW�50 a KW ' o yoked-__ .. -- "KIT. SINKS --`DISHWASHERS" MOTORS -'-' Od HP HP' --' L (CONSTRUCTIONLENDING AGENCY -1.1i t lW construction(endingfor the therefor iormanee OI Ilse wmM for wh cb INz pnmll is IsyYCG ISetllon 309] •fornI herebyaff thethatWide SERVICESINKS ','{':- SUMPS- '- - - -HNC. SOLAR) lOdO HP SO1 -- - -- 1C'v'- FLUOR SINKS- - FLUOR DRAINS—- ,FIXTURES - OUTLETS ' SWITCHES'- - unaer'ser•s flame 'DRINKING FOUNTAINS' "- - loos T1IBE 516N3 -- 'INTERCEPTORS CLARIFIERS •' COCE LIGHTS' - OWNER OWNERBUILDUILDERDECLARATION - LIMIN- Y Llwnx favi for aand amttled SWIMMING'POOC TRIPP"'P "-' - - (POLES METERED .st . , -I wNmeasohatn P% 7031 5lira BusinCerniess [b¢ri011owln9r s Settled ]031:5 Busin ss nd Professions Ccde� my Any ci y Or wmcn 104ulmS a permit Construct, Aar. WATER SERVICE" ALTERATION '{'- - �PANEL4-"-'� 'MAIN '5VB - e - ICOa damotlsh-os repair any structure, prior to its Issuance: ako re p gnlreS the acu lTo rll for such Permit to file a signed statement that he GASYERVICE - OUTLETS` -' - SERVICE-' ,-- - --- ---AMP Ie IICenSed lament to in* Penitent of tR'Ceniractarh License caw '"+amor 9 (commencing with bGtlon ]000) of Division 3 of the - - WATER HEATERS BTU OUTPUT "- - this and Ndes51On5 Coda I Or that he iS exempt therefrom and the • mpmuon of venin ]oats by for the allowfor 4 edam tlon. Anectsy pp a clyd pemlty- tlhan ' iC15canl'to Mt Mate Ilve hundred Collarthe SEWER CONNECTIONS SOLAR TANK-'- ^' COLLECTORS- - I; ai owner d -me properly. or my employees with wages as their SO will do the work, and MC ftroctWe is not intended o.CO Ed or apq :teff ler sale. (Satfion 7004• Counted and M1Oleisions Code: The _ _ -SOLAR PIPING SYS. ` - ISSVEFEE' - COnlrectOr Y. UCOmO Law OOOS not OOV 10 an owner f a property 1 h0 build[ 01 moment th"CON', and ha does such work himself Or _ _ _ _ _ _ _ ISSUE FEEr/APPL'ICgTION APPROVED BY- �- - -.. = pgTE - { throloh-Pl s ow n.em levees. Provided that Such InnVOWIMM S are not MECHANICAL PLAN CHECK 1 �'BUILOING' _ - 5 MMARY OFIFEEB - t , CCy�-}tI Intended of offered ore le. II, ho the building r prowment Is sold within ane- ear f Completion the Owner war have the b Satlen moving he tlldv nd build r Improve IM-11he IfWpMe 1 le). SVETEM - -- r J✓" Off g 1, s owner of ON proper] m nUu[Ivew Contracting 1{ry. Y-aAND 7044• HEATING 0-100,0Ua BTU s DUCTING '- tff _ PERMIT $ SMIP - .$' lWonsed Contractors to Uvc1 1 a Model [Settled Buslness ]00.000 BTV tpLAN CHECK 5 PERMIT d-Profoo IOM Coder The Charge r s LI 6 Law 0005 nor apply to i - - - ISSUANCE E I an owner property w E Ids r improves thereon, in Who con. REFRIGERATION 0.3!0,000 BTU ' 1PLUMBING 5 C tracts -from AMIN prod eC •cilli ont9aN0r, ) lice nod aspirin SYSTEM -- - --- - - --- -100.000 - - _ 'ORAo1rvG['. E" the Contract 'S LI<ense/ � C BTD {- r I PLAN CHECK 5 V under Section' !C: e0r Ih6 BOILERS BTU It 5 iOetOp • _._..I ",IB/e - 1 SYSTEM REPAIR. ALTERATION I EXHAUST SYSTEM MULTIPLE .ELECTRICAL iRLANCHECK-S- MECHANICAL i PLAN CHECK S rNICROFItM $ 1 1TOTALPEE9 - 'VANCEPC - 6 I tler by cert syt oat l have r ao ihls ap on nd std at t the above Info({mnioli C re [�1 9r - cslnpljwlli 11 1 b un1V ordiha ce tl alas laws n o.� hstr tl IMT by aauutho^eze 51 1 - = o FINgL FEE $ ch— Sit goe[ DeN 2fJ.-�- -ISSUE FEE U,1v LNI or 55 White-fluildn ,'Ta-APPIIUN: Pink -Accounting; Goldenrod -Assessor - o✓ - CONSTRUCTION`AND PLANNING) APPROVALS Permit # '-' bQ0 Date Inspector POOL & SPA - Date Inspector APPROVALS Permit 4- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement - r 3: _ Electrical Conduit_Utility_Undrgrn ' 45. Forms --- •.:�.4..;Electrical Conduit-Undrgrn �_`; 46. .Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical;UFER Grn`•' 48. APPROVAL TO COVER-GUNITE - - - - 7. _' Footings ; - 1.' :C 49. Electrical Conduit-Undr rn 8. Foundation. __.;.., _ " ' _' 50. -Gas Pipe, -E] Undr rn, Test _ 9. Water Pipe-Undrgrn 51. Backwash Lines.P-Tra C1n r rn' - - - 10. Structural IoorSystem. - _ 52. APPROVAL TO DECK -- -.,•,1.1. .Pro perty.Sewer_Line.&.House_Connection_: 53. Backwash & Receptor -Final 12. .Street Sewer Connection - _ 54. - Heater &•Vent -Final - 13., -Rough Plumbing.'.._ - .1 � � � �`_ 14. Rough Electric -Conduit -- - - 56. Electrical -Final 15. Rough Electric -Wiring -- _ - 57. Solar System -Final - 16. Rough Heating & Air Conditioning - - _I58. Fencing & Access Approval 17. Ducts- in Structure. , APPROVED FOR PLASTERING •' - - 18. 19: 20. Ducts, Ventilating Gas Pipe -Rough & Test - - Roof, Framing - 60. POOL/SPA SYSTEMS FINAL , - 21. 22. Roof -Sheathin - Frame and Flashing - - " - - NOTES: 23. Insulation - - 24. Lathing & Siding - - - -- - - - - ' 25. Drywall Nailing - - 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final - - - - 28. Final Electric - 29'. Final Heating & Air Conditioning 30. Final Gas Pipe -Test -- - 31. Final.Plumbing ' 32. Water Service -Final - 33. Gas Service -Final - - - 34. Solar Domestic Final''- ' 35.' Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations -- - - j 38. FINAL STRUCTURE & BUILDING- "• - 39. Special Requirements Completed • • -- " ' 40. Electric Release to Edison - - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - Nor Date Applicant to fill in all spaces within nervy herder lines and sign an appropriate neclamllnns. CITY OF COSTA MESA I P MIT NO TRACT NO. LOT N . NO. O. E �' /� � Zx. 0966 (/20/82 CONSTRUCTION PERMIT B7 13.00 c�310 rT�Y/P E OF CONSTRUCTION yO NEW ❑'AOO O ALTERATION `O O DDEMOLISH r - - . Project Address O 'Owner P nP Atl@essAAJ L REPAIR CONVERSIONL ,OTHER t ZONING. REGULATIONS •Arch/Eng'- -' -License No. C _ DESCRIPTION OF WORK _ TYPE OF PERMIT -" -" - O GRADING - O- FOUNDA 1 N O STRUCTURAL - 'O TENANT ,ELECTRICAL PWMBING OMECHANICA _ _. A'P'T ._ ZONE sET -BUILDING Ac - -VgRD- _ - PLNG. REF.# . - aa�P4rlvrvu N -- -' - . Atl res - . Address- LICENSED.CONTRACTO DECLAR ION tot 1 am licensed der provisi f C t 91[ I nethad` by alfl u 1000). d .. - ❑ I Ing with 11 n Of Divides 3 f theO Ines lona If is In full f t OTHER PEAR VARD'(TO P/L� w -- -- - Rofe Code 4 Y Across n �ni9- PROJECT DESCRIPTION_ Ll/ -�� _ .,, 5taA ,PKG.-aPACE REO' _ PROVIDED Datencq a DateK _ .._ OCCUPANCY CONSTRUCTION TYPE -STREET WIDTH' PARK FEE$ WORKERS'Cm OEa RA that I haw con parody affirm Inst 1 haw a ceNillca[e of consent t If Insure ascertifietl 'VALUATION ZONE 2OWNC APPMOV - I BY -1 DATE ertaleate-of Workers'.Compensatlon Ins goes, or GRADINGOU YOS ACRES _ -SPECIAL "CONDITIONS: " thama115e O Lab.C) Polley NO.' Com ny REMARKS - - itlONcopyisFerebYfumisned. rtlBed copy Is f led w in ted City Building EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Mellon need not be Completed 11 the permit IS for one bondAd_ . {TM1IS E1ce001 or lest I Ina M1e 1 try Work I which thisb Il 1' _ s toy any liste[fIY shat d nail n 1 employ any p y ma vt bac e PLUMBING vs- c PLAN CHECK- + , ELECTRICAL-' -' "PIAN CNECK - ubjeG� b tM1e WarkeR'_Compensallon Ltws 01 GI /o_TD_ F -BATHTUBS SHOWERY --"`" GARshGer�'"" " Dab Slgnatun NOTICE: If alter making this decllhal Vdu Should become Subject -TOILETS ." - URINALS (- -- :GENERATOR -'0-1 KW -tel-S O'KW' " to the WOrkOr MMM nation provisions of the Labor Code, you must •TRANSFORMER forthwith comply with such pr vlswni or this Permit shall be members LAVATORIES DOUBLE LAYS -- - L - - - -APPLIANCE -19-50 KYJI + KW' - wkdd. I_ CONSTRUCTION LENDINGAGENCY KIT: SINKS �-" pI5MW A5HERB- '-'-j -�� -; MOTORS-- - - 0-1 ElP�1-10'He - - Inereby affirm that there Is construction lending agency forthecer- SERVICESINKS •� I.SUMPS'-��- 'll(t �I(INC.SOLAR)_-10.50.HV 04 50+HIS - 1^ •. fornance of the work for which this permit Is Issued (Section 3097 FLOOR'SINKS "' "-FCOOR-DRAINS FIXTURES- -' - _ OUTLETSSWITCHES '-- Cl V. C.).-' - - - - Landerz Wme lanes Addrai - DRINKING' FOUNTAINS-- - GA$TUBESIGNS- ----- - - - OWNERBUILDERDECLARATION INTERCEPTORS`_ CLARIFIERS - .POLE LIGHTS' -- - -- - 1 hereby affirm that I am exempt (roan the Cantraaors License Law for SWIMMING POOL PTRAP 'PDL - METERED- - VB - the le110wlng-wSon{4tl1on403L.5 Business anO-WOtalsions Code: Any City o county which requires a mit to construct. alter, improve, demolish Or repair any structure, prior to its issuance, also re.- WATER SERVICE -' ALTERATION' - ` PANELS - -'MAIN - ' SUB puira5 me dp'rOMm for such Forms to me a signed statement mal GAS'SERVICE "-"OUTLETS '��' SERVICE--- - -- qMP--- Isilcensetl pursuant to�thc provisions of the Contractor's L;ORKe Law 1BCsimand 9 Immmsions with radion 1000) ofDivisiontherein 3 Of trye WATER HEATERS 'BTU OUTPUT and no IS iCa�9onrom and.the basis for the alleged exemption. Any violation of 1031.5 by any apparent for a permit-subACls the applicant -to-a civil mentally SEWERoas '' 'vel more than five hundred dollars (55001. SOLAWTANN COLLECTORS' '- - - - -- -' owner f the Property. or My Orrudyesal With will as their COm perl9tl On III do the work d the stru 1[ not Intended or alfeaedfor Ye(Sec[on 1064, Business and Mofe¢IonS Code The $OLgR PIPING -5 kO6 ISSUE'FEE-- Conlractor'1 License Law dens not apply IO an ow 0/ property bulidS Of Improves thereon, and who does Such eWork 'himself p ISSUE -FEE - - �� `3 -gppLICATION'APPROVEO BY-- ' - DATE. - tWho hrougn his own loyal V o ICed loada improvements are not f. ae Such " - MECHANICAL PLAN CHECK - SUMMARY OF FEES - Intended or offered- I "l however Improwthe t' Is sold withinycompletion,othe owner will have the burden mdid I'pvng n did' t b lud Improve for the purpew of ). - -'- - HEATING SYSTEM 0-]00006 BTU --BUILDING - PERMIT f - - - - - - - SMTP 01, a owner of tht-proD¢Ny, am wfuSWIy m IMCt rip. try- AND DUCTING _ r.i I^cemetlsw contractors to construct the project [SeCtlen 1040. Business too ,000;+BTU LAN CHECK E- PERMITr'\ o Professions Cade. The Contractor's LlCense Law does not Apply _ /�pp � ISSUANCE_ E ownerAn of procerty who bu Ids or improves thereon and Who con REFRIGERATION 0.100,000 BTU ,PLUMBING 6 L� tracts from -5uW PrOJOCO.witM1 a. tracbgs] 11"Sned Ausuantt- SYSTEM - - �- - - - GRADING E• 1, f the Contractors License Law) 300,000 + BTU (PLAN CHECK f _ P`I am exempt -under Section a6P C;forlhtis- AOILERS_BTU -T '1ELECTRICAL § "§ ieamn SYSTEM REPAIR, ALTERATION -PLAN'CHECK E _ MICROFILMb • TOTACFEEE •-. Date Chmee Ihereba Cartify that l have read In is alopllotion and state t het the aove EXHAUST SYSTEM MULTIPLE - MECHANICAL§ - - 0di m 1100 IS ogress tip CmmplY wllb'all' NlY n0 county sill -PLAMCHECK -f LESS - 'VANCEP •VANCE PC E_ ' ominancel ad5 Is el repo try onRmttldn, and Hereby a Ote1. I _- r Lp.e 1, 0 i 1 enter upon the -ab tm • . prdpet Ins act n e _ �y 31gna e - I FINAL FEE bLKt Dr -Ll2 n pr559f ISSUE FEE .. CMFOO65-46 Wnite-Bulbingl Gnaly`APp1KanUMnk-ACCOuntingl Goldenrod -g essor CONSTRUCTION AND PLANNIN APPROVALS Permit # �� ji Date Inspector'_ POOL & SPA - APPROVALS Permit # Date Inspector 1. _ Temporary Electrical Service or Pole _ 43. Pool & Equipment Location' ' 2. Soil Pipe-Undrgrn - _ ,� _ _ _ 44. Steel Reinforcement- -3._ Electrical Conduit Utility-Undrgrn 45. Forms ----- 4.. Electrical Conduit-Undrgrn __ - 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test ;-- -- - - -- - - 6. .Electrical UFERGrn___- _ 48. APPROVAL TO COVER-GUNITE-- - - -' 7. Footings _ _ . •� 49. Electrical Conduit-Undr rn ' 8. Foundation _ .. 50. Gas Pipe, 0 Undr rn, Test ' - - - - 9. Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra-El ndFrn - • -'_ - - "' " 70. Structural Floor -System 52. _ APPROVAL TO DECK - . 11. Property Sewer_Line.& House -Connection -53. -Backwash & Receptor -Final - -.1.2. _Street Sewer_ Connection. 54: Heater & Vent -Final . 13. Rough Plumbing _ _ ___ _ _ - P16mbqn- --- ---- ---- •-" - _. _ ... 14. Rough Electric -Conduit - _ c- 56. -Electrical-Final - 15. Rough Electric -Wring - -- " - - -- - 57- Solar System -Final- ' -16r Rough Heating'& Air -Conditioning -_-- - - - , - - - - encing.& Access Approval 17. Ducts' in Structure APP.ROVED'FOR PLASTERING - 18..-- Ducts-, Ventilating 60. - POOL/SPA SYSTEMS FINAL .. - - '- 19. Gas Pipe=Rough & Test - - - -- -- - 20. Roof Framing -- - - -- -- -- - 21. RoofSheathin NOTES: ' - •. ' 22. Frame and Flashing - - - -- - - - - 23. Insulation- 241 Lathing & Siding - - --- -- 25. Drywall Nailing -• -- - r. •. •.. r.••• -i- ,- - '- - 26. Plaster Brown Coat 27. Electrical Power Meter -Final - - - " -- - - - 28. Final Electric - - - - - 29. Final Heating & Air Conditioning 30: Final Gas Pipe -Test 31: Final Plumbing- ' 32r Water Service -Final 33. Gas Service -Final ' 34. Solar Domestic -Final ' 'r 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed _ 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. -• ,• 42. CERTIFICATE OF OCCUPANCY No._._. Date - - - - _ _. IR e y M ADDRESS O: MBLONO: 3505 CADILLAC AV W. D ONlIIRB N.WEDIOgWIk CORELAND/DONNER FLOOD; AH -37 ADOBES&- 4400 MACARTHUR BL #150 NEWPORT BEACH,CA 92660 251-1100 ARCHffKT OR ENGINEER: ARCN. OR ENG.'S ADDRESS: MHO.: CONfBACTORSNATR: EVANS ROOFING COMPANY INC (714)285-1180 CONTRACTORS TINIeq 1101 E CHESTNUT AODRES&- SANTA ANA CA LICND: 610549 92701 M. LICENSED CONTRACTORS OMWATION: I he-* dlkm uder Pa^ekY of arpeY 1M I rn Earurd uMa Mmons of CMytr 9 (--new, eoh Swlpn )000) d Di won 3 of Ma Bueipr all Pmpaaime Coate. arN M 6rwr b b hA Woo all eNea. CRYLIC.NO.: 059/277 uc.cLk5s: C 39LIC.NO.: 610�549 EXP: 09/97 Date: _ / Cordmd«: OWNER BUILDER DECLARATION: I h—bY dfirm -M snaky of PerjeY Ines I em exemN nmol IM Costed— Lioame Law la the 4a0owkp reaem (Section 70315 Bwimee end Pmleaeime Coda: MY CAY « ooWY whirl) rpurr • PemA b oombuct, abs. bnamw. emalbh, a rapei rry etrlchva, p(i« b b aauencs. e,r aeuim Ma eppliad 1« eUd1 pamat IP fle a elQlwtl atatrnera Mat M m ahs . licarnad Tessin. Io IM pto ii of the Corarectare Limina law ptugr 9 (mrmanoi g rdh Section 7000) of Wision 3 of the Buekws end Pmleeiom COde) m the, M w ell is axemq therefiw ell the bei&- I« Me e0 m otomption. My violation of Sed'on 7031.5 by eo, eppk . lar a pem0.6i tl IM appfratl to a o pwaky d w Imre Onrn rwa lendratl tl0dere pwD. ❑ I.mownardtM propenY«mY enpblre wih wapr mlMkede aernPerwliark orade0s wok and Ms e9rAPebb Worded «aRead brect (Semon IDH.Buimrell Prdraiom Code:1M Codrmdslloerusle. door nalePplytor innwdproperty j. Mid. e,. ,ot Ihrem. ro wfp dere le.11 w«k 1 . M «M M a tlwagh his a hr own anmblw. paided twat tudi improv DMe ma roI Werdedadosed la eats.D,fm wdW ,)Mild oripaknawrnadbsellf ettleoro ywdoonmWbn,tan owmr-0uimw wT hm IM andr d pmrvq M «she d'd mI build a impels la Me purpaa d roe). ❑ I, r owner d Me p.,ay, am extluttvelY oontruarg with 5owwed cammdan W «rohw ate avjW (Sedion 7W 1. Bln"vwe and Prolesuoiu Code: The Comnectore Lbanr Lew does w apply to r owner d Pope" emo Mdtle « vnpwr therm end woo oonbcu pr a pmwih a coo lor(s) Ikensed punure to tM Cordrectae Limue Lew). ❑ I am exempt antler Section: B. d P.C.. for this mann: Date: Owner: I de hereby ant/ Net I em ewer of srd udre,ernd the "iremras of CaBaMa lieekh and Selly Coll Sections t 05, p55St, WW 253Ta, rd Me, I a arty Nue N.IAV ooagaN w h /wit int (akab me) need to Damply Mh rid eats cedes end 1M r.c werneo a 1« a pamat for PersNwliel or moddraaim hon Me Ai-Mmy W.-ttpmwa D"mde. Rdaeitemem 'on appiutioroce arnrpl hom owe aw®rer. Date: Appkam: o WORKER'S COMPENSATION DECLARATION: I hereby affirm wd. penalty of PwPW . of IM k bowi19 dedaratbm: ❑ I her all wU m ocoutn oanAials d arwnt h thi. pwum is woke«' mnlperratbn, r prodtlM la by 6action 3700 d IM leis« Code, l« Me pNamenae d Me wok la wkich Ihb pemil b Mull. C7 I her erd wB meuven woM1we' ootoPammim i MOCS. r rpuirW by Semon 3700 d Ne Labor Code, W IM Verlmrms d IM 7C work la orbital Nb permit b iniad. MY w«kme' am ion bt. artgr and policy wnbr ra: C.n;r SATE FUND EXPIRES P.Roy Nunba - 07/01/98 (Tho, aedipn need nPI oe rvnpA od 1 Ne Print o br ane hmMed doiers 81001 a im.J ❑ I anis tlIe, je dte pMarmeMe d IM wok pr ws eof Cepemat b uwnetl, I ewes l annpby arty prem n err)' manner r r to bacam eubjed 10 Meworkers' mniOematlOn Iev/e d Nornie. .d QMol i I ehAil isatot. e,d{ert to Ne vorkare' ampematpbn prwbidv d Sectim 3700 d Me Leber Coll. I .hep IaMwvh mm wih—pw/iijjj''��p�ie. Oe1s: C% -' ADpCode ' WemMp: F". to ecus worker. rompwuetlen eererepe o mMrfW, ell -Wi WbOO eo wrnployw p aMtlnat ONteidee and clW/ Ome W m arr htndr MouaW dellen (S100OW), M eddltlon b Me cwt of ronmw"Mm derrapp es provided M In SCOW 3705 of d« labor Cods, Inter0e4 &MY eMMOY's Teas. CONSTRUCTION LENDING AGENCY: 1 herabY d u presby of Perjury tom Nre b e o0toM ction %ed'vp epmcy kr Me ped.. of IM work for wfiitlr IM permk it brad (Section =t7. cM. C). LENDER'S NAME LENDER'S ADDRESS: I ardy Me, I M and Mb appfrdbn ell taws that Me ebur Wormetbn b eanef. I e0ee m amply etM e0 rey erd ooumY odimrae erd e,ata owes nmkp p bdtlilp oweorrctner rd Mreby alnha¢a mprerataNre d tis rtaY mean upm Dw abpemedi«pd property for lmperum Pepaae. BOB AWALT 2 Pmt Nems��e,//� (/ '/t J .z � a"'o cw`-c' Bpmture of Om+r/AOmUA UContred« (5151de.WP) WMs q S Safety; On ..RM: Camry-ADPLrr:Pink-Rerne: Ooddw.&Aeamar CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 08402$ PERMIT NO: B 084028 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/FF S REROOF W/BUILT—UP SQ FT: 9,300 CLAIM VALUE: 9,300.00 CALC—VALUE: 9,300.00 GROUP OCC: B / COMMENTS: REROOF 6200SF COMMERCIAL BUILDING ****9t dF****ii*iE ii****%if ii 9i if*ii ii ii*****Kii*****ii if iE*ii ii iE ii ii iE iF*ii ii#**it iF ii*ii ii**N•ii yi if***iEii ii iF 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966124 ZNE: REF NO: PLANNING NOTES> dF i4 iF dF dE if if ii*********i999it di di;w*if iE iF iE iE dt dE*iE ii it ii***%*iE*it ii iE iE iFii RF ii ih if di it ii*iE iE ii if**iE ii iF ii*iE#RE*ii*dE*iE tlE YE 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:r BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE: FYI M *iFMikM ii iik Mif dt df MiF iE**iE*** *******dF** kit 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 162.25 SMIP/NON-RES PLAN 1.95 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 164.20 0.00 0.00 164.20 164.20 .00 REVENUE DIVISION TOTALS--> COLLECTED: 164.20 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 162.25 1.95 dF df db dF dt Mii*M*it*kkiEiEN•kMitk******itiEiE**iE it iE iikif it***iE iEit 9E it iE it it**iE■ii ii***ii ii ii*it iE**iE it*ib iE iE N•it ii iE ii 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 SFC 9300 REROOF BY VALUE COMMERCIAL NOZONE 1.00 91300.00 END OF FEES a 08-04-1997/10:42 AM/$164.20 RCPTa:01-0010152 PERMIT:084028 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. Sfeel Reinforcement -'3; .Electrical Condujt. L) lity-Undigrnd. 54. Forms , 4> Electrical Conduit -.Undrgrnd. 55. Electrical Bonding �,,.5 'Steel Reinforcements 56. Rough Plumbing & Pressure Test "6. -Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE =7r Footings T[ • - 58. Electrical Conduit-Undrgrnd. -8.' Foundation _ y •9: 59. Gas Pipe, 0 Undrgrnd., Test Water Pipe-UndFgind. - 60. Backwash Lines, a -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 1.4. Rough Plumbing _ 65. Electrical -Final - -15. Rough Electricar-Conduit 66. Solar System -Final 16. Rough Electric Wiring _ 67, Fencing & Acc6s Approval x'1'7. Rough Wiring Sign 68. APPROVED .FOR�PLASTERING 48. Rough Electrica-I T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 7 _ -• . APPROVALS Permit # e 20. Rough Factory Fireplace+ •' 'v' t.'; - 21. Ducts, in Strt!icture 70. -Under' Hydro t 22. Duffs, Ventilating-. 71. ProdtctViping 0_('ias 0Oil 23. Gas Pipe -Rough & Test ,. 72. Underground Flu $h- - 24. -,Roof Framing _ - '• �' 71 Undergrn'd. Storage Tanl� 0 Gas 0Oil 25. Roof_Sheathin I NS ` t, _'� • 7,4. Overhead Hydro - 26. T-Bar.Ceiling (Structural) & Monocoat t. t _ i i 7g• Dry Chemical 27. Frame and Flashing' _ �. 76. Dry Stagdpiper-- ,28. lathing &-Sidings - '' i' _ �+ 77. FIXED'SYSTERFINAt _ " 29. Insulation. 78; FIRE PREY. FIf�AL r 30. Drywall Nailing ' i k '-+ HEALTH DEPT. REQUIREMENT 31. Plaster Brown.Coat; V 79'. FINAL INSPECYION 32. -_Electrical Power Meter -final i 1 r ^ 801 FOOD CERTIFICATE ISSUED . 33.'FinarEleetric' .` i - ;• ' f�otesl? d �✓ /L�yy �.-O�i , ;y"4tr- /; i?�1/ •, 34. Fina{-Heaiingr& Air • onditioning 35. ;Final Gat Pipe -Test' r a ., 36. Hood or Canopy -,', - - '. •' • 37. Final Factory Fireplace 38. Final, Plumbing ¢'-• • - + = -- 39. Water'Service-Final r 40. Gas Service-F1nal 41. Solar Domestic -Final •_ r -' ^• + 42. Backflow Preventer -43. Backflow Irrigation Landscape Irrigation System - - ;- .,• - - • r - x [45. Sound Attenuation • _ 46. 'He nd i ca p. R eg u la t i o 6 s 47,'. FINAL STRUCTURE & BUILDING 481. FINAL PLANNING.' fy-/(/� - 49', Electric Release to Edison 50. Gas Release to Southern California. Gas Co- -� 51. CERTIFICATE OF OCCUPANCY' No. Date CADILIAC AVENUE / 3505 Unit E Lot 22 B-2260- '/.u/ad Com.EBldg. 257,765_ P-2371- alitlP.' PLBG. (B-2260) E-2627- 9/p/81 ELEC. ($--2260), Unit E B-3609-7/97/9) Trash Enclosure 800. _ E zZq Z1 e, 2,-3 /ao/86 /' 'TKl1.sl.tVtlia wl.' � :^N'�` ?�,•i: uu^9S;S�.C:ti'��'.L'i.�• , ti. 3505 Cadillac Avenue UNIT E M 622364 New $36,000 EME mm j E22427 623364 I - z.o -8(. � s — BE:•125057 CcmTVOffice $27,000— PC 27,000PC #476-86s M _ZBEM25057 Peinsnection for T -Bar — 9/129(8(. Ceiling i 626533 Ut E-2 $21,000. — j7 lg�', r Applicant to fill in all scandal within heavy "homer lines and den an CITY OF COSTA MESA PE MIT NO. - TRACT NO. LOT NO. y DLO;. NO. - - CONSTRUCTION PERMIT —380 22 R TYPE OF CONSTRUCTION E�NEW 13 ADD ❑ALTERATION - - 6_282' 5/24/82 24_.42 T Projecl Adrian Owner IS PE _ Address1303 Dome Ste. Ste, 760, SEldl Palo REPAIR O CONVERSION OnEMOu3X OTHER - ZONING REGULATIONS Arch/Eng. _ License NO. DESCRIPTION OFWORK A'P'$ Atltlfma - - - - - -TYPE OF PERMIT" •' - - - ❑GRADING _.'FOUNDATION -�ISTRUCTURAL- ❑ TENANT O ELECTRICAL OPLUMBING-I-IMECHPNICA `ZONE - SETBACK I YARD' 1 1p ----- -,PLNG. ACF. :E - 1 OPE_. ivNurv[ ^- - -' 6 Contras20r _'O - Pbon¢ Atldrass _ - - '- _ LICENSED CONTRACTOR OECLARATION I hereby affirm that 1 am IPoenseotl under previsions of Charter 9 Japan- -section ❑ '- ID T Ing 1[n 7000) f DMslon-3 I the- Ru31ne33-and Is In lull OTHER - - -"-- - - 1REARVARD 00/ - -- Proupplans Code, and my license force add enact• PROJECTDESCRIPTIONr_ _ _- -_ 'u CI 3 ' LINn N SQ. - e - OCCUPANCYlt CONSTRUCTION TYPE OO - PKC, SPgCE STREET WIDTH 'ZONINOAPPflO PRO,V _.DEO- ' Pq RK FEES - O OAT ruk O t0 Signature -- - WORKERS'COMPENSATIONDECLARATION I h ebYaffirm that I have a Certificate of Consent l 1!I e a - VALUATION QQ /20NE - certlllrate f Workers Compensation Insurance or -a dl3lfled-eOOY QRADINOCU.YDS- ACRES SPECIAL CONDI 5: thereat l5aCl10n3800.Up. Cl. ,V No. -Company •• _ •. 14 Uliell copy Is hereby furnished.R6MARKE - "260. _ i . - 1.,..ertllled GOP Is111ed with the City Building Division - E%EMPFION FROM WORKERS' COMPENSATION DECLARATION - -" - - `(TMs Section need not be complo(M.Ilthe permit Is for one hundred _ � _ �� _ 'i _ or aLln.the,performance o1 FIs _ PLUMPING- "" n PLAN CHECK -- - 1 -. IELECTRICAL" PLANCHECK --- -- -� IfeartilVlhthe work fon-which this permit 'ISSUdd 1 shall not employ any person In any nammor SO a3 t0 become GOIZ.to the War kerSPConcensation laws of Can fertile. BATHTUBS -- SHOWERS - " - - 'Data Signature NOTICE: 11 after m king this declaration. you should become Subject , TOILETS'- *-,URINALS' - - - ".GENERATOR' O-1 KW=1-1010Y to the Workers' COM y mourn provision of the "bar Code, you must 'TRANSFORMER .. - forthwith comply WI,n such provision Or this permit shall be deemed LAVATORIESOOIIBL E LAVS- i "' .APPLIANCE - '10.50 KW�50 a KIN - - �- _ - -DISHWASHERS '- .MOTORS - -- - O:]'HP_32DHP' CONSTRUCTION LENDING AGENCY I Mist IM1aI agency 101 the 0¢r- S a ch thisCper SERVICE SINK$ �" SERVICE S 1IINC' SOLAIIj 1040 HP_' 50 5 HP rmarda work it Is added the work Io1 which this permit Is Issued I$¢CUOn 3097 ,$UMP$ FLOORSINKS FLOOR DRAINS IFIXTURES - OUTLETS - SWITCHES - WITCHES-LenderY OlvmGof l.--"- -- - - - - Up nadelAddress DRINKING FOUNTAINS - —'- - ,GAS TUBE SIGNSOWNER BUILDER DECLARATION hereby affirm that Idm¢kept from the COOVaD01'3_Kent LiW 101 ERCEPTORS POLE -LIGHTS e following re n (Section 7031.5 Business and Weie351on5 Cotler -SW1MMINGPOOL PTRAP" -.S Any city o County which requires a permit to Construct, alter, PO ES METERED QB `'NATER SERVICE - ALTERATION— PANEL$ MAIN 1SUB'- . Improve.dem011sh or repair anystructure. prior to Its Issuance, also le- quires too apfllont Ior such permit to Ilia a Signed statement that he -GAS SERVILE OV,TLETS 'SEflVICE' -- �� ^� -qMP-' -- - IS I IMmead Wrsuanl TO'the Provision$01top COStractOlY 1.1"Mall Law ' ICMpter 9 (commencing with Edition 7000) f Division 3 f the Vi HEATERS -BTU OUTPUT' - _ - - - - 9 mess and No dons Cndal-ortms a Is exam humidified and the ba section 7031.5 i y pr cite aneged exemption. Anr vialauon Ol by SEWER CONNECTIONS ermlt-sublectthe Ilcant'to civil penalty -pTlOoent-ur'ps s mpn live hundred aolDrs (a88. f. as owner Ol me property. or no; emples"Trivith Willis as their solecompensst�on,.wI11U0th¢ Walk. and.tll¢ structure If not intended_ SOLAR TANK _.COLLECTORS - - - Offeredor for le. (Section 7064, Business and Professors Code The _ _ SOLAR PIPING SYS. " - - _ - ` ISSUE FEE ' License ss owner e: Wholbollds ISSUE FEE -- APPLICATION APPROVED BY - DATE " al lmproveS thereon, anddWholdoes uch Work nlal lllor through his Own employee; provided that such improvements are act '- PLAN CHECK MECHANICAL - - ' SUMMARY OF FEES Intend" Or offered for Sale. 11, however, the bbllblitt e a nt Is sold.Wlmin One year of Compholon, the owner will have the b rden of proving he did t build a, Improve for the Purpose of stiff. - HEATING SYSTEM 0-100,000 BTU '.BUILDING Q1'. -as -o iter- of the properly. am�exclu lvel Contracting with N8 y _ AND DUCTING- PERMIT 3 'SMIP, � � -f Lunsetl conira[lors IO cp s[r lie Dld]ecl ($e[Ilon 7044, Ruune[s 100,000 BTU ,PLAN CHECK f PERMIT ane Wa86sOiOni C000:'Thf are O-LlcenSd Ldw OOBY00'pply l0 nIIdS - - ISSUANCE -i" uroOeNy Ano orrimproves thereon, andllwhg con- REFRIGERATION 0100,000 BTV PLUMBING E IIaC[S-ham's cit pmlects ith a onlractorlsl Banned lit to SYSTEM - - - 100,0004 - - GRADING E Ino COnbdcl0l'S lj[enX lalvl. Ir apt 4 RTU - :O PLAN CHECH E . ❑-I am M1( un¢I Sett OO B. 6 . lel tM115 `l$ BOILERS RTU .ELECTRICAL -3 - E " SYSTEM REPAIR, ALTERATION 'PLAN CHECK 3" _ Z MICROFILM g / Ow I TOTALFEEE her by a t that he rea tM1 S appll l0 0 state So t t e above in E%_XgUST SYSTEM MULTIPLE MECHANICAL $`' 3 - - 14 -LESS AD - to motion ii Carry. I ¢-t'O CLT ly Ith all citrye/a county- IS - yqN* EPC 3_ dmf 0 3 5 state laws le p l by pmona. - 'PLANCHECK' " romj ntaar of Ing -n the�aeove- .monad q5•- 1 • _.FINAL prop ranw _ _ FEE $ Sl9natu- lr , or Off' L 0 OI 55 -ISSUE FEE - - - - CMF 00 91-46 WM1IIe-BUl1 ICanary/ApPIICam: Pink-ACCOunllne: Goltl¢motl-Assessor -• CONSTRUCTION AND�PLANNIN9 APPROVALS Permit # 3�t7 Date - Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-U_ndrgrn _ 44. Steel Reinforcement C-_3.. Elect ical,Conduit Utility-UPdrgrn,� 45. Forms �. 4. .Electrical Conduit-Undrgrn t 46. Electrical Bonding - - _5. Steelem orce 47. Rough Plumbin & Pressure Test' -- 6. ElectricalUFERGrn 48. APPROVAL TO COVER-GUNITE -- 7. Footings _ 49. - Electrical Conduit-Undr rn 8. _ Foundation 50... Gas Pipe, ID Undr rn, Test 9. Water pipe-Undrgrn _. _ _ - 51. Backwash Lines P-Trap.0 U ndr rn -- - - - - 10. Structural Floor System 52. APPROVAL TO DECK _•1.1. !Property Sewer_Line& House,Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough -Plumbing - _ _ - - - - 14. Rough Electric -Conduit, - - -56. Electrical -Final - 15. Rough Electric -Wiring ' - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval - 17. Ducts, in Structure APPROVED FOR PLASTERING _ 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - ' 19. Gas Pipe -Rough & Test 20. Roof Framing-- - - 21. Roof Sheathing - NOTES: " 22. Frame and Flashing 123. Insulation 24. Lathing & Siding - --- - - 25. Drywall Nailing - - 26. Plaster Brown Coat - - - - 27. Electrical Power Meter -Final' 28. Final Electric - 29. Final Heating & Air Conditioning - - 30. Final Gas Pipe -Test - 31. Final Plumbing 32. Water Service -Final - - -' 33. Gas Service -Final -' - 34. Solar Domestic -Final 35. Landsca e Sprinkling System. 36. Sound Attenuation _ - ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING _ sr 39. Special Requirements Completed 40. Electric Release to Edison ' I . ._ ' . ­ . - .." `- - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY Nb. Date a ADDRESS OF BUILDING: 3505 CADILLAC AV °Ni' E axNEWSRARE IFIDIOM CORELAND/DONNER FLOOD: AH -37 A00P 4400 MACARTHUR BL #150 NEWPORT BEACH,CA 92660 APpL. YMNRO ADDRESS: 251-1100 ARCHITECT OR ENGINEER: ARCH. OR Eli ADDRESS: LIC. NO.: UNIT C"""TOWs NAME: EVANS ROOFING COMPANY INC (714)285-1180 CONTRACTORS MMUNG 1101 E CHESTNUT "0°"ESS SANTA ANA CA 111N0a 610549 92701 UNIT.. LICENSED CONTRACTORS DECLARATION: I hereby &Rona under penalty of perjury died I am hoenmd under proved e of Chapter 9 (Commencing wish Sestion 7000) d D uon 3 of the Business end professions Code, end my license a in lull force end al cmuc.N®o.: 059277 uc.cass: C 39LIC .N°: 6 05/49 EXP: 09/97 Dole: O —4/ — 4 -) coNma«: �a OWNER BUILDER DECLARATION: I hereby allom under penalty d pe,ju, that I am Axemq from the Comrecton Uomse Law for the _Visaing ma (Section 7001.5 Business; and posteriori Code: Arty City «County shkA r is mins a permit to c«nbuct, ea. impose, bmolah, or repair al structure, prior is its asumnce, aro requires the apglmN for such permH to fib a signed su dement that he «she is licensed penuanl to the preyisions of the Courtroom License Lew [Chapter 9 (Commending with Semon 7000) of D'vaion 3 of the Business and Proksa mm Code) or that he pr she is scamp Ihnehom and me basis for the Wk,* exemgion. Am, violation of Sed. 7031.5 by my applicant for a Were indiless the applicant to a and penally of M mon then has hundred dollars (SSOOD I, as ovmer of the property or my employees yeh wages as their subs, mmlarastion, will do Be work, and the structure is nct ims,Med «offered for sale (Section 7044, Business and Professions Cade: The Contradom License Lew does and apply to an own« of propen, who builds or i ,x,yme thereon, and who does such work Nmmlt or herself «through his or ber over employees. provided lines such unprevemew are no, intended Cr dined for sald. B, however, the buJditg or inlasa rma is sold whhin one year of completion, the owner4suiker will have the Widen of Moving he or she did not Wild or improve for the purpose of ash). 1. as sorer of line propend. em exdrsively contracting with limned Conhecl«a to con&sA the project (Section 7064, Bminess and professions Code: The Contred«e limroe law does not apply W an owner, of popMs wW alike or improves thereon std who ,odrade for mxdt «Meda with A axsnatorla) fi.m ad purfuam tp ]be C,mmd«a limns. Lew). - I son exempt under Section: S. A P.C., for the reason: Date Cwnan I do hereby cera fy that I am ewers, of and understand Ne mquiremema d Cd'domie Health and Safety Code Sessions 25505, 253X3, and 255X4, end that I or my Mum building «spent will / will ns, (circa one) need to comply with said date codes and the mquimmeme for e Permit l«wnw tion«modifmtion horn the "7=y =agemrm 0idrcx.R®deruil mrmrWion eppicaborel esemq front Nese Provisions. Date: Applicant WORKER'S COMPENSATIM DECLARATION: I haroby alfitm under penalty of perjury one of the hollowing dediantins: Ihaye end wiR malntan ecenKoatedmnaent to saffinwn ha wakna'cornpmeatbn,asprovlded for by Sad'gn 37W dths Lab« Cods, for the ped«mance of the wait for w h Na pemmh is i»und. I hays end wilt mainmit wonders' Comperoollon insw«ce, as requ'ved M Session 0700 d Na Labor Cade. br IM pedarmaca d 1M X work Iw which Nie pensil ie issued. MY w«ken' mmpeneolion inwrence urs« and policy number an: Carder: RT74TE —PUNT1 EXPIRES PdkyNumber 07/01/98 (This smuse need not ndcanpwd/ hire pemra a Mr one h tan(Stool«Inns.) I candy Thal in the pMomnnce d the work M which this pemd Is would. I shall lot employ arty persm in arty manner w asto bx«m subject to the waken' comlismation laws of Colborne, AM a«ea tlW d I should bacCma suNjad to iW wah«a' coro,nnmr oo �proomons d 4 Sedum VOID d the labor Code. I stall 1«thwlth cam wit Nose prwirims Dow l7 . Dat — / — -) gimneApy Wamhrg: Failure ro eacum wortsoi romperuatlon covem ie Is un/swN( and shall slb/act an employerW alndnd Failed" Aral ,full fimm W n oma h,s,dmd thousand do/brs (5109"A he melds. m the cwt of mnpmsadon, Cerregsa as FroYWed for /n S.H. 3705 of the Labor Code, tamest, and a0omeys /esa CONSTRUCTION LENDING Mrm AGENCY: I hereby aunder penalty d perjury IMI Ihere a puny N a aondmtion anding ny for e pertorme«e d the work for vAtkh the permit of saved (section 5097. CN. C). LENDER'S NAME: LENDER'S ADDRESS: I candy that l here most this appli swian end mes that the above information is correct. I agree to comply wuh All any and otmly ordvm«s and state leve relating to building condrution end hereby audorae npmsentolivee of this dry to eller upon the above memixted property for inspection purposes. BOB AWALT dint Nem p '7 Signature of Ovmer/AgenVAppirenVCaNrector (5151�46.WP) Whito-Buildi, A Salsny; Gmss - ! ; CAna"ppleanl; Pink-Raenm: Gddenrad-Aura« CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 08402) PERMIT NO: B 084023 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH JOB DESCRIPTION T/FF 6 REROOF W/BUILT—UP SQ FT: 10,850 CLAIM VALUE: 10,850.00 CALL—VALUE: 10,850.00 GROUP OCC: B / COMMENTS: REROOF 7900SF COMMERCIAL BUILDING iEitSH+ESE+t***it*at��sE*fE*mit*SE**�c�rsE+E*BEit�ESE*SritSE*atat�H�ESrSE*rr*SHBE�+eSH*+E�SrsE***atatatatat*�aE�StaE*iE�E***+tom 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---------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 13966124 ZNE: REF NO: PLANNING NOTES> > dE'k dF dE irk sit iE dE dE dF Rf dF ilk ilk sit 9F lF dE iF df dE *!E if * if 9F if d(iF it % ilk di silt * dE HE df RE df di iE if dF * * iH dE iH dE * * * BH silt silt * dE iE 1H iE iE dE fH if Bf dE dE iF iF k dA * Rin di RH iH iH D E V. -E:% 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 I ' ZONING APPROVED,BY DATE: BUILDING APPROVED BY DATE: tI�/ APPLICATION ISSUED BY: QTS DATE: (c'1 IN, dE * iE iE dE * * * BE sit iE iH df Rf * RE 9i 9E irk it RF �F3E 3F�F �F3F �F 3F �F iF iE iF if iF iE iF iF1F �E iE if iF iF iF iF iF iF if1F jF iF±F iF iF 3f iE iF if 3f ii if if if ±E 9i lir iF if iE iF if if iF 117E if 3f 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 174.75 SMIP/NON—RES PLAN 2.28 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 177,03 0.00 0.00 177.03 177.03 .00 REVENUE DIVISION TOTALS--> COLLECTED: 177.03 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 174.75 2.28 iF sit sit*if it iEdf BEiE****iE***dE*RE ii iHfirirk irk iH***RE iF BH BE%dF iE iF di dE**if ii iHK*ii iF dF df dE if RE Rf iH iF iE**irk%iF 9t 9i ii ilii df iF iE iE iH iF iF iH RF Rin* 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 SFC 10850 REROOF BY VALUE COMMERCIAL NOZONE 1.00 10,850.00 END OF FEES 08-04-1997/10,45 RNA177.03 RCPT#:01-0010154 PERMIT:084023 R CONSTRUCTION AND PLANNING POVL & 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 -3tlectrical Conduit Utj ity-Undrgrnd. 54. Forms J -4.. Electrical Condu t-Undrgrnd. 55. Electrical Bonding _ $zSieel Reinforcement , 56. Rough Plumbing & Pressure Test '- 6.,, Electrical UFER:Grnd. 57. APPROVAL TO COVER-GUNITE ' -7- Footings 58. Electrical Conduit-Undrgrnd. foundation � _ 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd, 60. Backwash L4nes,,P-Trap, ❑ 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 & Accesi Approval ' 17. Rough Wiring Sign 68. APPROVED FQRPLASTERING 1,8. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r APPROVA'LSD^Permit # 20. RougA Factor*Fireplace •- v _ .� _r �� ,. 21. Oucts� in.Strudture�f - ., r .. -7 -'70. -� Underground Hydro 0 22. Ducts; Ventilating _ y ,ouPpg]aOOil 23. Gas Pipe -Rough & Test 72, Underground Flush 24. Roof -Framing.. :; , _ .. , j _ " 73_ Undergrnd. Storage Tank'0 Gas ❑ Oil 25. Roof,Shealhing 74:; Overhead Hydro_, ' 26. T-Bar.Ceiling (Structural) & Nvlonocoat _ x '- * .. 75:' Dry Chemical f -" 27. Frame and Flashing V 7c_ " 76. Cry Star4ipe F ' 4, 28. Lathing & Siding y ;, c� 7 •C �> 77: FIXED SYSTEM.FINAL - ' 29. Insulation .� - (�. 73 FIRE PREY. FINAL - - 30. Drywall Nailing . •• ! u - HEALTH�DEPTT.-REQUIREMENT 31. Plaster Brown Coat -i_, , 79 FINAL INSPECTION - _ 32. Electrical -Power Meter -Final 1 ;80_, FOOD CERTIFICATE ISSUED j , 33. Fina4Eleciric 34. Final Heating & Air Conditioning I _ . , • . . 35. Final Gas Pipe -Test.- •• - 36. Hood or Canopy - ' - - ._ ;.: �-` 137. F.-inarFactory Fireplace^ -� c Is - •' + art - _" -38. Final Plumbing, t - ,39. WaterService-Final ," t c -. 40. Gas Service-Final14 -' -41. Solar Domestic -Final •• - I -- - « '42. Backflow Preventer -43. Backflow Irrigation - - 4.a. Landscape Irrigation, System _ 45. Sound Attenqationi - 46. Handicap Regulations `• • FINAL STRUCTURE & BUIEDING ��'] li . 48. FJNAL PLANNING 49. Electric Release to Edison 1 50. Gas Release to Southern California Gas Co I 'r - 51t CERTIFICATE OF OCCUPANCY = No. Date APPI1Ci to till In all Spaces within heavy border lines and sign all CITY OFCOSTAMESA P MIT NO 4 TRACT NO. LOT NO. BLO O. 0967 1/20/82 7e00 CONSTRUCTION PERMIT X22. Coo TYPE OF CONSTRUCTION �'!EW 11 ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION DOEMOLISH. '- Project Address [ [, Ow r Pbone Atltlren 11OTHER P"• _ DESCRIPTION OF WORK 1. TYPE OF PERMIT' - OGRADING ❑ FOUNDATIIOON� ❑STRUCTURAL - LJ TENANT ITELECTRICALI.UMBING EIMECHANIC _ A P ¢ ZONE BUILDSETBACKING VARO Y ZONING REGULATIONS PLNTG.R9sE1F�.pq.�Np VROPEIRTY LIrvE ArchlEng. License No. Address I 100- Atltlr65 LICENSED CONTRACTOR ECLA TION..' I hereby afthro IMt I am II YO der provisions OI Charter 91eom- - WI RIGHT - withsuction70001 f Olv AO 3 1 the Business 'and .'.Q OTHER. REAR YARD (TO J 1 •. _ " hOIn Nlsr m OP m 1CenX, Is In full force . /,17L i��jp//qE I L� J License Clo..ic4}d--PKC: Bit PROJECT DESCRIPTION SQ. R SPACE 0.E0. - PROVIDED 1 sfl ` SUS - OCCUPANCY CONSTRUCTION TYPE _ STREET WIDTH" PARK FEES - - - DATE ,WORKERS' COMPENSATION DECLARATION`. (J WORKS/'C by affirm that I haw a certificate of consent to wifAnsure Or a VALUATION-ZONE.20NIN0'APPflOVED,BY Cartiffeeks Of Wgkeri'-Compensal on Ins O tlfled'wD _- _ -_ - SPECIAL CONOITIONSi - Il9ectlm-3B04Lah. C.I. GRADING CU. YOS. ACRES Company 'eN"Odd OY�IS.D bY1 nbM130.. REMARKS:- EMARKS Certifies COPY IS filed with the City Building O I n. Certified EXEMPTION FROM WORKERS' COMPENSATION' DECLARATION SOo 10n. Odd t D completed It the permit 13 for One hung ee a k L. �This $IOOIIy I _' _ _ _ _ _ _ _ _ _ _ _ - that pertOlmance 01 the Work for which this perm l 1 Oheossl ISSwds I hall t employ any Person In any manner to as to become PLUMBING - PLAN CHECK - ELECTRICAL PLAN CHECK sublets to the Work&S Compensation Laws of California. BATHTUBS- SHOWERS "" -- - - - �- " - Date $IgnilUre NOTICE: II after making this declaration,you Should become Subject TOILETS URINALS - GENERATOR- TRANSFORMER 'O-1'KW.1-30 KW - - " to the Workers' Compensation provillOnS Of thb Lab r Coca, you must torIRWItn Comply with such provisions or this permit Inner be deemed LAVATORIES DOUBLE LAVS' } .APPLIANCE- 1050 KW�501 HIM yoked. • _ _ ,_ _ _ __ KIT. SINKS-"- DISHWASHERS - MOTORS-----O-aHp=i-1p HP - CONSTRUCTION LENDING AGENCY I hereby affirm that thele IS a Construction lending agency for the per- SERVICESINK5 BUMPS-- - -- IINL A SOLRI.. Imp H 50 t He _ G lormance of the work for which this permit Is asued.(Sedto�rl 3G97. I - Civ. C) '- - - '-- - '- - "- 'PLOORISrvKS' '-"FLOOR DRAINS - - - FIXTURES - OUTLETS -SWITCHES - - Leneer's is Lendar'S Address DRINKINGFOUNTAINS'- ja -GASTUDESIGNS - OWNER BUILDER DECLARATION" - INTERCEPTORS- -� CLARIFiERS— ,POLE LIGHTS - - - moral Ihe rPrafeepon SWIMMING POOL _P TRAP - - ROLES- METERED SUB MerlollOwlin9mraahioln ( M Ion 7031.5 BuSIMOS3r also Coon: Any City Of my wMCM1 requires a permit t0 construct, alter, WATER SERVICE' ALTERATION - - PANELS-- MAIN- SVB - Iso demolish or reWrr any Structure. prir to its 1Huan[e. also GE r s"licensed p rsuuant 101110 nroillsions of -the Contractor°s LicehuetLaw - � - _. -_ GAS - OUTLETS "' - 'SERVICE - - _ -- J AMP. _ 11 with 10001 01 Division a el Ino Chapter 9 (commencing WATER HEATERS - -' HTV OUTPUT - -- - - - - Or therefrom and lM i -' ntl'Rleged ns motel Or Ihpl ne (Sion ]031.5 by relation allot a Permit sub Any aSection OI Stoa c afar tirepplicant at more lar lint subjects the applicant to dull Penalty thepehropert 'SEWER I'AIINEBiWMi .'f' --- o .mt B man dollars SOLP.R TANK COLLECTORS employ -pl the pro Brmyemployeeswith wages e3deV will do IDD work. and iM1e sole the 5 not IntendedThe dStructure infrog The OfferederedOfor .1., ]OCA Ba entl S for SOLAR PIPING 5Y5. - - - 165UE FEE pe (Season to polys Rows of a rro: taw erea not apply m an owner d1 d magel fr who[ osseeh r Interests and 00e55Upr were or M10 guiles ern - CO ISSUE FEE-- - ii ^'- `'- ,APPLICATION APPROVED BY. _ ' DATE - are rapt IM110Yyh DIS OWO es. Ino at is are employees. tnel hu ch (ming ti. ration, " " - "' - - for sale. ow of Improvement P. soli sale. me building or Internsaid-within the einem nrvo mobmdm MECHANICAL PLAN CHECK SUMMARY OF FEES nonOffered IS spice wnnm one year or completion, ma owner will a h - _ BUILDING 0 / proving no dice t bund Improve far the Purpose f we). HEATINGSYSTEM 0100,000 BTU " MIT_ PERMIT S _ - S jO-L as owner el-lne lu lval contractmg_wi1M1 Bet S AND DUCTING '^ " „SMIP - - nsiruct t p Business to on Rud the project essions 1D0,0001 BTV IpLAN CHECK { PERMIT a^ensad e,wised es not to od oRn/assails COtle: The Contractor's License, Law 0005 not Apply IO -_ _ _ _ _ {PLUMBING ISSUANCE $ ' of properly who S bulkA Or iveri thereon• and who inn- dOct3-frons such skoPCD- Bn.a" nlractrii Rcesnand pursuant to REFRIGERATION 0.100,000 BTU I "SYSTEM - I _ 3 GRADING L the Contractor's Ucense tdwl. 100,000 a BTV .PLAN CHECK 3 - s ❑ 1 am exempt under Section B. S P. C. for IOU "BOILERS BTU - ELECTRICAL f $ - reason - - - - - SYSTEM REPAIR, ALTERATION PLAN"CHECK- $ - MICROFILM S J Oato Owner EXHAUST SYSTEM MULTIPLE MECHANICAL�f TOTAL FEE S - - - Decto Cer111 that IC ave road [hlS oppllUtlOrl and state that the above twat FPLANCHECK S - VANCE PC $= Si s le plating to constrluction, anld hereby autnoriee -aDOv " 1 .. septa as 1 ciY 10 Onler Upon the 10 �% harly pro - - - ' FINAL FEE Is ••o0 $(gnat DnV or 55 j' ISSUE FEE - - -- _ - CMF 0665-06 White -Building; Canary Applicant; MCI; Accounting; Goldramod-Assessor CONSTRUCTION AND PLANNING _ - APPROVALS Permit # %2-�7 Date Inspector POOL & SPA - APPROVALS Permit# - Date - Inspector 1. Temporary Electrical Service or Pole -43. Pool & Equipment Location -- 2. Soil.Pipe-Undrgrn_44. Steel Reinforcement - 3. ElectricalConduitUtility-Undrgrn '45. Forms - •- -•- 4. Electrical Conduit-Undrgrn . _ _ - 46. Electrical Bonding- - - - 5. Steel em orce - _ -_ -.. 47. Rough Plumbing & Pressure Test- - -- - - - -6. Electrical UFER Grn 48. - APPROVAL TO COVER-GUNI-TE--' -- •' - - --• - - 7. Footings_ ._._ 49. Electrical Conduit-Undr rn .8. - Foundation - - - - - 50. Gas Pipe, ❑ Undr rn( Test "• 9. Water Pipe-Undrgrn - - 51. Backwash Lines P -Trap.❑ ndr rn -- . 10: Structural Floor System 52. APPROVAL TO DECK -• -' - -'-• -- ;• 1.1. -Property-Sewer-Line &.House Connection. 53. Backwash & Rece tar -Final -12.- Street Sewer Connection . _ - - - 54. Heater & Vent -Final- ' -13. Rough Plumbing _ - "" - 14. Rough Electric -Conduit - - 56- Electrical -Final - 15. Rough Electric -Wiring - '- ' -57---Solar System -Final '- 16. RoughHeating& Air Conditioning- -- encing &.Access Approval 17. _ Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19: 20. Ducts, Ventilating - - Gas Pipe -Rough & Test - Roof'Framing - - - -- - 60.- - _ POOL/SPA SYSTEMS FINAL 211 22! Roof Sheathing- - - - Frame and Flashing - NOTES: 23. Insulation - - - - 24. Lathin & Siding - -•• - - - - - - - - - - 25. Drywall Nailing - - - -- 26. Plaster Brown Coat 27. Electrical Power Meter -Final -- - - -` 28: Final Electric - - - - 29. Final Heating & Air Conditioning 30. - Final Gas Pipe -Test -- - - - 31. Final Plumbing ' t 32. Water -Service -Final --.Q /Q^yZ- - '• 33. -'Gas Service -Final - - 34. Solar Domestic -Final 35. Landscape Sprinkling System - - 36. Sound Attenuation - - - - - 37. Handicap Regulations - - - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No -'-a Date Cita of Costa Mesa D¢velopment Services Deportment Building Safety Division CERTIFICATE OF OCCUPANCY No. 001777 P. O. Box 1200 Costa Mesa, California The Building located at 3505 C-"411-9 a.,<...11 o11;tal-- r. has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-2 Occupancy. Use of Building Off irn .egal Description 139-661-19 zz QQ (See reverse side for Metes and Bounds) BEIVI L3g� Building Permit No IBM 25057 Electrical Permit Norl')IFdiPlumbing Permia No. r'-771Cd Mechanical Permit No. r))'ArA nx5et75n57 Number of apartments and/or guest rooms ISSUED TO: O'Donnell Briaham 3505 Cadillac Avenue, #E Building Official 1 by Costa Mesa, CA 92627 Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/93 white .owner; Canary - Numerical File; Pink - Bldg. Permit File i_ CITtOFCOSTALMEESA CONSTRUC Project Annual ! �g �+a0 JI I kC ppliwnt i•Mailin Atldr [ Owner.'s Name Adtlreu AIA Arch/Eng. Address Cc tractor Nam Ad dress lfruThal /S/9 !�9 N@ City License No. -'r/6/7 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under proms with Mellon 7000) of Division 3 o1 the Bun: my license is In lull fa. a f c. Uceme na s Wale $Ign0Wre ORK RS' OMPENSATI ONO7�T Q. 1 hereby awrm that 1 naw a mmof Workers' Compensation Insur3800 Lab. ClPolley No. V / Certified copy hereby furnished. eaum ued with me city Bmf ata ApRrunt� Appnwnt to Fill n all speeds except Inose within heavy harder liner and van all appropriate declarations. of the work for which this permit Is issued (Seilbn 3097 My. C.) Lender's Name 1784 W_et¢r H¢al¢r / Outlets - Range I Kitchen$Ink water Service 221.34 T.L.4L Sw Ches P O. TRACT NO. LOT NO. UNIT NO. :Lemals. address I .9/21/96 "' Le4ataries .' -- n % Auto Wash - 'i .Garbage Disposal Standing Sections P--Tnli — ,. M1SCntlry Trays Generator ❑P5 KW❑5 IS KW ' . • TYPE OF CONSTRUCTION LJ NEWLJHDD LTE RATION REPAIR I �2n 13 CONVERSION DEMOLISH InBFHEq� qpm -� .1 bp¢ - VV'"' �= DESCRIPTION OF WOHK/USE OF BLDG. S Main Rulldlrg: I Accessary BuiNing'. 199* Llil TYPE GF PERMIT,-gyLJ FOUNDATIONI�1STRUCTURAL T Front Buffer 1 0 DEVELOPMENT SERVICES REOUIREMEN doldi, Zoning Approved By Do" _Q.�' Sulkling Approved By Date Application Issued By oat p 52"MECHANICAL ,i+wm-.- ELECTRICAL 0 PLUMBING MECHANICAL B Duct -Structural N W^dAi�_b ❑ OTHER A Rear Exhaust System ❑ Multiple ❑ 1 L PROJEOTDESCRIPTION SO. FT. OCCUPANCY - D Right BUILDING PEF S PIAN CHECK S PLUMBING $ - N D 01, CONSTRUCTION TVPF 4-Fsl VALUATIONS $ Left Heating System is Ducting PIG0SOV ETU ❑100000, • ZONE GRADING CU. YD51 alG•RFdw Ei PIAN CHECK 25% $ ELECTRICAL Lj PLAN CHECK 51176 S MECHANICAL $ PLAN CHECK 25% $ R /f � Pllg. Rel. •Y , rkinp Ron .lProvihill E 9 andemarks[ Rit ,C, E� %Z Planning Notes: Goldenrod - Assessor D - ; / T —' . PLUMBING FEES I/ f0 fi Bar S'hk Shearers ELECTRICAL _FEES s-' Backllew Prev t r Service Sink Aummetrc Wal Transformer 0.15 50 KW n�l B kflow lrr 4ai n .$ewer CeP Canavan on Pole Sub ❑5oa ON f� T Bathtubs Sewer Connection Conking Unit Meter ❑up to 100 amps . of the work for which this permit Is issued (Seilbn 3097 My. C.) Lender's Name Interceptors p W_et¢r H¢al¢r / Outlets - Range I Kitchen$Ink water Service Sw Ches Sign ' - :Lemals. address I OWNER BUILDER OECLn RATION 1I hereby affirm that 1 am exam of from the Contractor} License Law mane IpllowlnW own 7031.5 BuSIneri and P ole silo n al Coe e: Any Clty or a on Section only Nch reduirMaparmlt to ean5 Ikel,alae approve,oaMe5 c or repair ray nmaure, poor to'is lzsuadce, aro reeolres IFa appacam nor such oermR [o BIe a slgnM statement tM1at a/she Is Ilmnue pursuant m tae provlsloIts of tae Contractor's tiunM law nCnsotor 9(commorainne with sed 10 >ODOa) e1 DlWelom 3- 1 t„e Business a 0 Professions Catle) r that na/she i pt x . Neren0 dno t i5 fpr [a aIle goof a merlon. Any vlolatl OO Of SCPalms Le4ataries .' -- n % Auto Wash - 'i .Garbage Disposal Standing Sections P--Tnli — ,. M1SCntlry Trays Generator ❑P5 KW❑5 IS KW Trash Compactor _� Hoof Dleills C - - 7031 .5,b -any applicant for a permit subjects the anal Ideal to a civil finally "0Ynat more than five hundred dollars 155001. f the. properly o y e of ay Cos wlu wages as their sole fmpansatlon rwII1 tlo the rk, dna [lie sirunura is I n nudes or Offorea or ye IsediOoi polio, Business end Profoulona CO0 o: ma Contnctorh LI an U a t applym an owner of a prop sly Y" b Iles ar Improves em a Fee a and who goes rework mmselfineIFoff^ r Ihr0uah holo Of nor ow Ploy s Oroviaoa that ell IM0roveMont5 are t Intenoaa tiered far 5 toIf, 0owever, in 6uIkingar Improvement 15 sole within an¢ Yen r of cam- nlove fff Ino owner se o nave ane burden of provinp lie/she ala nal puna or 1m Prove nor he owner of sale). JC7 1, as owner of the property. am excmpwly coetmcting with licensed can. tractors to construct the project sfactiOon 7044. Easiness andProfessions coder The s or I non's UcnnM Law encu to r s n 1 nth a olio miles Improves mereon, dna wn onvans for such prOlOcii with Reinspa0tion Fed $15 Issue Fee $ 0 geinspedion Fro $15 loos Fro S j' MECHANICAL FEES Buffer 1 _ reunion Type 1 ❑ Canopy Type 11 ❑ DEVELOPMENT SERVICES REOUIREMEN doldi, Zoning Approved By Do" _Q.�' Sulkling Approved By Date Application Issued By oat Dun - Under Ground Duct -Structural Refrigerafims System ❑P100,000 BTU ❑10D,011p BTU pun -Ventilating //--�T99 ' S gOM:ylggy Dp FEES n /�}gypq Exhaust System ❑ Multiple ❑ System Repair/Alteration .Iracmroil nunsa pursuant t0 ae tractor's Liano Law),I ams re that lroor 1 tnab Werki COmpe On Insurance ole be provided to am exempt antler SpctleI 8 S P. C 0r IMF reason BUILDING PEF S PIAN CHECK S PLUMBING $ ,. SMTP $ _PERMIT ISSUANCE - $ Fireo/Fast 81L ICBO W Fire Dampers Gate r - Heating System is Ducting PIG0SOV ETU ❑100000, Resistant PIAN CHECK 25% $ ELECTRICAL Lj PLAN CHECK 51176 S MECHANICAL $ PLAN CHECK 25% $ ENERGY P.C. $' GRADING $ - .' MICROFILM S TOTAL FEE $ LLl,3�f I lieneey a NlyO mat r s0 roll tate matono a0ow nm.ma,len his < e t. a is c 0 sun' y ane count alnanus a tl state lows brio vu^Idlne m on Onemeby awXonlze r [a[Ivei r Int a Ie ve 000aa pm t ran Inipec[Ion euro sgnature at o.Ivers' ucenM . ss a Reinspeni0n Fee Sts ' Ism. Fee S 3 = CMF 0865-46, rev. 10/64 youth - Building: denary - Applicants %dk - Accounting; Goldenrod - Assessor - ; / 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 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 V 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling / N G 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning '�.y� La'O FIRE DEPT. REQUIREMENT , APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro { 22. Ducts, Ventilating 71. Product Piping 0 Gas 000 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank .0 Gas 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 77. FIXED SYSTEM FINAL i 29. Insulation (0 78. FIRE PREV, FINAL 30. Drywall Nailing 6 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 1 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test s6�•l_X� 36. Hood or Canopy 37. Final Factory Fireplace g6, 38. Final Plumbing 39'' Water Service-Final 40. Gas Service-Final - .• - 411 Solar, Domestic-Final 42. Backflow Preventer •� •! a 43.: Backflow Irrigation �+ •';- ,--. 44:� Landscape Irrigation System-- 45. Sound Attenuation 46i Handicap Regulations 6 i i 47.1FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 'Electric 49. Release to Edison •, 'e 50. Gas Release to Southern California Gas Co -�+ 51. CERTIFICATE OF OCCUPANCY No. 'A !Date _ - ,." Applicant to Rn In all [Paces except those wNlm heavy border nage and sign inappropriate declarations. f500). 13 1. a of.notmore he lira hundred dollars employers LIT, as loner 1 Ina Property o, m amployn3 with eggs their offered sola Compensation. (sect win do Ina work, and file structure Is not ; TheeC n Deroe for IC ISeCllon 7006, Bv3100N O PfOb[SIONI Cade: TM1e Conbd<tOPF Usinge Law does not apply to an owner of a properly veno builds or Improving t T0r0D .was dues cwerk M1'inSo la'so" or NmugM1 his oar her awns ploy s, pfOrddo tilt 5 h Impmgamen'a aro net Intenaea r flee for banning O. bond wamem IS zein whnb one yea, pl [pm- vaIa I, me own r wRl nae! me burden of or trying M10/zea ala nal ewle or Im-. 1t-. 1f, noyP 0, no ve ler the purpose of sale). �ol, as pwn0r OI [ne pro0ert y, am lknlv3lvely Coplractlnp 'InII[enseO Con- VaetO Sto CO rSite'l eOe Orel Ctt II$�Cs loll 7004, Busbltl end R01lss1an5 COa 0 TM1e CCUP acloh Li«nse Law d �o vply to an owner cal property hal bulbs Gt Ido prow" Ihenan, dod Wrya nba[IS for spcn pr011cis with a Con- traCloros11 I so pursmnt to theCon a tar's 4nnss law9 1 am ware that proof f tbetr woffer a CeMPCno Ina anca shells be pravl0ea to ❑ 1 am enempt under 5<Dlon a . C for leis reason CITYOFCOSTAXESA CONSTRUCTION PERMIT PHMIT NOwG�' TRACT NO, LOT NO. aw UNIT NO. Reinspection Fee S15 bzw Fee $ 3 �`� 7saw MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved 8y Dab Building Approved BY Dela�/�� � `{(� (// � Application Ifauad By Dane—eL1--LA Boiler Hood or Type I ❑ - - Wnepv Typell ❑ Duct. Unser Ground Project Address _3.SGS SAD/u^'9�% �// Duct ^59ucture ftablgHa[ion SyrtQm Duct- Vemilating ❑01IiJ,(iO0 BTU ❑1fA,0oD�8TU Applinn[Y Md1II1B Address TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR Exhaust System 0 Multiple ❑ System RemiriAltMation ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Firep17FacI. BIL ILEO •i Fire Dampers [ Owner's Name �6/LGJ hognl OESCRIPTIONOF WORK(USEOF BLDG. A.R. Heating System & Ducting, Registers ❑0100.000 BTU❑t0o,000 B Address PLAN CHECK ' 25% S ENERGY P.C. $ , ELECTRICAL I $ GRADING S PLAN CHECK 50%' $ MICROFILM $ •_� MECHANICAL $ TOTALFEE S PLAN CHECK 25% $ S Main Buil r E Reimplcaien Fee Arch/509. Licunw NO. TYPE OF PERMIT GRADING UFOUNDATION LJsTRUCTURAL T Frani 11 TENANT 13 ELECTRICAL 0 PLUMBING 0 MECHANICAL B OF 0865-06, rev. 10 4 White - Building; Canary - Applicants sunk - Accounting: Address 0 OTHER A Rear Contractor's ,�yy�r Contractor's Nam 01111! G�(!G C Right PRCUECTOESCRIPTION 50. FT. OCCUPANCY KLeft Address lmeilingl City License No. CONSTRUCTION TYPE VALUATIONS ZONE GRAOINGCU.YOS. ACREC' S Ping. Hot. M' LICENSED CONTRACTOR DECLARATION 1 hereby that 1 am licensed under D y Of CPro 9/ Ing �Inp' Remvks: i L Planelllg Note ion 7 DlrlSlen 3 Of the B and Pro Ynn O wlyM1 section IS or my license Cis In ull for =nQatled. O SJcense C St / 1 a data 5 Signature PLUMBING FEES WOR E •COMPENSATION DEC RATIO Bar Sink Showers naves«runt aofr inti s 1 naure eC till If erlirmshat eo Workers' of workers' Comcenvlion Insurag�ca. or a cer111I OPy there IS I Backflow Preventer - Servide Sink Automat- 3900, Lab. C. Policy Na. 99 a•� company Backflow Irrigation Sewer Cap Construe ertifled COP S lu reisM1ed. �s handy Car ¢ hied wits ins city Bull I I Bath[uhs Sewer Connection Capkirg pate Applleant E%EM 1 FROM WOFFERS' COMPE SRTION CLARATION Clarifiers _ Solar Callsomr5 _ DisM1sceffi lT hlssectlan heed not be complelCd 11 tM1 emit Is for one hundred ($100) or 1 ` DiSM1wnallar Solar Piping Dryers C lecertifytthat Perform work forpermit is Crosse the employna personnIna anyh mannerash to S to Drinkln Fountains $Oise Took Fan workers' Compensation Laws of California. .g Date - Signature -I Floor Drains Swimming Pool vel FAA. NOTICE: 11, altetm king this declar lea, you shOvla become subect 10 the WoakabL0om0n flanprovisions Or rho' "hot Coos, you murt forthwith Floor Sinks Urinal - Fixtures - cor ply with - such provisions Or this permit mall be deemed rev kM. CONSTRUCTION LENDING AGENCY I IGas Service Outlets Water C10501 - - -s Device Br I hereby affirm that there Is a construction lending agency for the performance of the work for which this all IS Issued (Sea lbn 3097 Cie.. C.) Interosp[ors Water Heater Outlets LerieeYs Name Lenge✓s Address Kitchen Sink Water Service swoehnn 9/04/66 15900 TL Zona Building; 2 N I G ELECTRICAL .FEES Transformer ❑ 15-50 KW ❑ SO+ION Meter ❑up to 100amps Meter .over 100 amps_ Sub Panel Motors ❑&1 HE 01 K- 8 Inc.St lm 0915 HE ❑1&15* Micrawdve Pole UI KW 0515 KW I I Truth Compal I f500). 13 1. a of.notmore he lira hundred dollars employers LIT, as loner 1 Ina Property o, m amployn3 with eggs their offered sola Compensation. (sect win do Ina work, and file structure Is not ; TheeC n Deroe for IC ISeCllon 7006, Bv3100N O PfOb[SIONI Cade: TM1e Conbd<tOPF Usinge Law does not apply to an owner of a properly veno builds or Improving t T0r0D .was dues cwerk M1'inSo la'so" or NmugM1 his oar her awns ploy s, pfOrddo tilt 5 h Impmgamen'a aro net Intenaea r flee for banning O. bond wamem IS zein whnb one yea, pl [pm- vaIa I, me own r wRl nae! me burden of or trying M10/zea ala nal ewle or Im-. 1t-. 1f, noyP 0, no ve ler the purpose of sale). �ol, as pwn0r OI [ne pro0ert y, am lknlv3lvely Coplractlnp 'InII[enseO Con- VaetO Sto CO rSite'l eOe Orel Ctt II$�Cs loll 7004, Busbltl end R01lss1an5 COa 0 TM1e CCUP acloh Li«nse Law d �o vply to an owner cal property hal bulbs Gt Ido prow" Ihenan, dod Wrya nba[IS for spcn pr011cis with a Con- traCloros11 I so pursmnt to theCon a tar's 4nnss law9 1 am ware that proof f tbetr woffer a CeMPCno Ina anca shells be pravl0ea to ❑ 1 am enempt under 5<Dlon a . C for leis reason Reinspenipn Fw E15 law Fee - $ 3 Reinspection Fee S15 bzw Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved 8y Dab Building Approved BY Dela�/�� � `{(� (// � Application Ifauad By Dane—eL1--LA Boiler Hood or Type I ❑ - - Wnepv Typell ❑ Duct. Unser Ground Duct ^59ucture ftablgHa[ion SyrtQm Duct- Vemilating ❑01IiJ,(iO0 BTU ❑1fA,0oD�8TU QZ $UMIAARY OF FEES /r �O BUIL P EMIT $ $MIP $ PLAN CHECK $ PERMIT PLUMBING S ISSUANCE S Exhaust System 0 Multiple ❑ System RemiriAltMation Firep17FacI. BIL ILEO •i Fire Dampers Date Ow r / I thereby cermv'that 'I' bay re mH ap I� la na 0 thatthe shove mfr tion i L 1 as c m^1 v n a city d county ordinances ane Siete Iowa r g cit to a inq op tl ,ane a ey ut UP re e- 111 5 of Ingn °cater pp m` eov eniiIs a ore t for inspect Ion purppose Signafund ate givers• License or 9F Heating System & Ducting, Registers ❑0100.000 BTU❑t0o,000 B PLAN CHECK ' 25% S ENERGY P.C. $ , ELECTRICAL I $ GRADING S PLAN CHECK 50%' $ MICROFILM $ •_� MECHANICAL $ TOTALFEE S PLAN CHECK 25% $ r Reimplcaien Fee $15 Issue Fee S 3 Goldenrod - gsID4or �' �\�1 h OF 0865-06, rev. 10 4 White - Building; Canary - Applicants sunk - Accounting: CONSTRUCTION AND PLANNING APPROVALS Permit # •. - Date Inspector _jL &SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement $.,Electrical Conduit Utility-Undrgrnd. 54. Forms 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER 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 i 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 O Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank []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, Special Requirements Completed 49. Electric Release to Edison• 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fin in all spaces except thaw within linger border lino and sign all appropriate declarations JSTAMESA CDN TRUCTIONPEMIT PEO No�o�3�T TRAC'NO._ LOT NOFor. 1 NO . ""' ' __-r. ' for 7424 I/Iv/56 'j_ Ice a ?L�-i_ aMailirg Ad(4 -F TYPE OF CONSTRUCTION W ADD ALTERATION REPAIR ���«'M1on CONVEfl510N DEMOLISH ❑OTHER A. �k � - Zone p me DESCRIPTION OF WORKIUSE OF O DG. - Q' S Main Building Accessory Buildikgl E 2 FENS. License No. TYPE OF PE RMIT�- GRADING FOUNDATION TRUCTURAL T Front 0 a 13 TENANT &I -ELECTRICAL • MBING PrT CCHANICAL B IN N Pickens . 4ORBCto 11 NamL. One 10�OTHER A - Right .� / PRWECTDESCRIPTION sD. F'r. OCCUPAN.CSYY K C Addrexlmeilingl CONSTRUCTION TYPE VALUATION Is v2'v fT/6� S Left Off City License Na: ZONE GRADING CU. v06. ACRES_ping, palm # Parkin g e0 ProvidM � R E LICENSED CONTRACTOR DECLARATION / . D I hereby affirm that I am licensee antler pro r I at at Ch ncing m ns Remark[: - Jl � RE q Planning Notes; QL rj M with omen 70 m CIVIL In a of me B 1 sea dna f f s[ de, anb my license is in f I ions an neat. 5 ` p Cl s he - w oatenx Signature PLUMBING FEES t1� 'ORK RS COMPEN6ATION DEC RATION Bar Sink $bOW¢k[ ELECTRICAL FEES at consent to fins voice Cindy affirm that l have a certlfic C Co. . workers' Compensation Inst or a certlfl A pairs C Backflow Pravenle! Service Sink - Automatic Washer Transformer ❑ 15-50 KW _ 3900, Lou. L� �%V (EL �� irrigation �50;i•KW utility � company Backflow Sewer Cdits _ Construction Pole Sub. ([Mark hereby furnished. _ yyeerplf ed with the city buil' - Rathtubi'a Similar Connection Cooking Unit Meter ❑up to I'M amps Date A _Applicant P ROM WORKER$'d LARATION Clarifiers Solar Collecioas Dishwasher Meter Power 100 amps Tfthe milON Txctlon ntta not ba completes It the It Is fns one huner00 (6100)of ITs on _ Dislawnshef. Soler Piping ;. .! .. OrVers ❑Gas ;❑Electric Sub Panels C. 1 tifaythat In the Performance Of the work for W^ICn this permit la Issued' I the Fountains ` any hall not employ any person In y ma s to bxo subject to a workers' Drinking Solar Tank Fan Motors ❑0-I HP ❑1X 8 �,. 0 ompensation Laws of Date �igoature 'NOTICE: Floor Drains Svimming Pool w/Spa -/ F.A.U. Inc. Solar❑IliLZ HP❑1F15+ It, after making this dench atimp YOU shOWd became 9pact to the ni Workers' O pensatlon Provisions of the "bar Code, you t forthwith Floor Sinks - � Urinal Fixtures ' 'M'mrowave comply with such o r this permit hall a former yoked. CONSTRUCTION LENDING AGENCYGas Service outlets Water Closet"' Device Boxes little Light I hereby Plains that there B e Construction tenting agency for they Chambered this IS issued 309 of the work for which Permit (Section C1v. Cd In[ercepmrs is Water Heater Outi flange671 Lender's Name Under's Address Kitchen Siak Water ServiceSwitches Sign OWNS R BUILDER DECLARATI ON I poultry affirm that I am a pt from the Contractors License Lew for the Lavatories Auto.Wash Garbage DihpoMl Standing Section[ following reason (Section 7031.5 Business and Professional Code! Any city ^ county which requires permit m construct, altar, improve, demolish or repair P -Trap Laundry Trays ;cam Generator Key i15 KW Trash Cam Pector traded, or, Or l0 Its ISSui also rep peak the applicant for such Permit _ _ tny o file a agnea statement that he/she is licensed pursuant to the pmemons of Law (Chapter 9 (commenClnp9 with Section 7000¢ of Roof Drains - Char acter's License Isbn 3 OI Funded and Protectthat is tiohe lleged Cxe Ptd' Any violar n Of 18CIhOn the many for the x T U311.5 bOriony any applicant far a permit Subjects the aP011tant 10 a CMI n Ify Of not more than five hundred dollars ($5001 �T, Roimpe,zion Fee $95 leas Fast S $ as owner f the property, o y employees Wtn wages as sole do the ure snot or offered intendedaContractori Raln5pi1C110n FH $1$ [iba Fast $ 3 for salesa(Seclhuel7044, Businesslandh Probasla al Code, The MECHANICAL FEES therms Law does not toanowner Of a properly who builds oor Improves thereon.and who d s Lea n kovemets areor wn tierednfriend Boiler or Type I ❑ DEVELOPMENT SERVICES RE $: are I Intended Or Offered for tat such; end e ployees, that m ApproveofBy Dab I /5 •�(p ever.Providedthe Improvement o tuns. or If, however, the will have orrburden of pro b soil di one year forms rhoowner have RllO burden of amyl^g M1e/SMale not dulltl or lm. Duct Under Ground Gnopy Type 11 ❑ Canopy Fonin _1591 -L purple 0 move lof rho purpose 01fopert Building Approved Ey g Or Oala=—.,..� ❑ I, as owner Of the property, exclusively contracting with con- Duct - Structural gelpyy tion System s Applimlion hued ey' b_f �5 (� ssionstl tractors m actor's R talk Urpre (BSO st ^n apply to an o ane of property Who The uceose Lewd of Fait m a owner pr no Duct - Vemflating C/aq/'1IL80 000 BTU 0100,000BTU je With a a Or pros thereon, an _ ha cantracts for Such Projects Its bulbs improves lama that II Limns¢ ld aware BUILDING PERMIT $ SUrs'�A�R�OF�F,�ES fid `I%�/ (rad o1 ns pursuant Exhaust System ❑ multiple ❑ System R¢pair(gttta[iOn - y SMTP $ [� rker'sto' has rose's be prOoll / [hob worker's CO tion M1OUItl b0 provided ❑ I am exempt under S.b P. C. for this reason FirepVFan. BIL ICRO be Fire Dampers PLAN CHECK $ PERMITSellPLUMBING $ ISSUANCE $ Date Ow er HeSystem & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I nem6y ttrae hhaI he ad a b Mate that the above [o c Lgf}I00000 BTU 0 W.OW ELECTRICAL IS GRADING $ concertdn is C r Ct Up a CO wi all and county ordinances Card s tate laws eiati t ui lung m tru �snreby duty or tentative 5 1 this y enter ab tlOned pro Pe PLAN CHECK 50% $, MICROFILM $ y ❑ Instrcto pubbe - MECHANICAL IS TOTAL FEE $' Signature Reioapetlipn Fee $15 IMue fee $ 3 PLAN CHECK 25% IS Drivers' LIpnM $Si° CMF 086546. rev. red White - BUIIEIngh Briery. Apecantl%nk- Accounting; Goldenrod Assessor Ta/TAp�rQ�/� RfA'K c+.(JaoK N ..1'D PLANNING Permit # _ i orary Electrical Service or Pole " Date - 'Inspector PO'' & SPA APPROVALS rermit# Date Inspector 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �(, (�� 53. Steel Reinforcement 3' Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduif:Undrgrnd. -r 55. Electrical Bonding 5. Steel Reinforcement' - 56. Rough Plumbing & Pressure Test 6. `Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings i 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 - ,I 61. APPROVAL TO DECK 11%, Property Sewer Line &House Connection 62. Backwash & Receptor -Final r 12. Sewer Cap 63. Heater & Vent -Final 13.- Roof Drains ,. 64. Plumbing System - Final 14.,Rough Plumbing (yq �(� C..r.O 65. Electrical -Final ,15. Rough Electrical -Conduit //y v 66. Solar System -Final 16. Rough Electric Wiring 67. Fencind & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T'Bar Ceiling 7 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 0Gas 0Oil� 25. Roof Sheathing 74. Overhead Hydro ' 26: T -Bar Ceiling (Structural) & Monocoat /o 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding „ 77. FIXED SYSTEM FINAL 29: Insulation µ r �' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 3`. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80.. FOOD CERTIFICATE ISSUED 33' Final Electric Notes: - 34. Final Heating & Air Conditioning Z- &O, 440 � 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing LrID - - 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 4 ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed' •,49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No., Date - t' 7596 •1/17/86 - 9<. -n �TL Zone A,6cesaary Building:, Z' ELECTRICAL FEES Transformer O 1550 KW 0 50+ KW Meter OuP to l DO amps Meter E1 Over l IID amps-- - Sub Formal Motors ❑Dl HP 01'h-8 Inc.5clar 09-15 HE ❑IS'15+ [fie co:itrador's license saw ror the exee fromhe Contra nereey alllrm Mat am exempt APPIOU11 to Innn all Straus exam Lhasa within heavy border linea and Sign all appropriate declarations. Auto Wein 91TY OF COSTA MESA CONS�UCTION ISE MIT ��ii PEPMI`;3, k - �' oc Os TRACT NO. - ' LOT NO. UNIT NO. ProiAcs Address {/�� qA/l! �� win requires vermB to construct,aueq improve, tlemolish ar its P -Trap Laundry Trays, Applicant's Maihr��g stAl� rens Ow11Br•s NamO _C/'fi/ _ Address - TYPE OF CONSTRUCTION NEW Pop ALTERATION REPAIR ❑CONVERSION -❑DEMOLISH ❑OTHER _ DESCRIPTION OF WORK/USE OF BLDG. - - - - Trash Compactor A.P. _ ArchlEng. License No. Address II�� TYPE OF PERMIT YJ GRADING ❑'FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL -0 PLUMBING ❑ MECHANICAL ❑OTHER -Atltlresslmailingl EA ^ file P slgnee slatemenl [M1at fie/ins I "can andpJlapant t0 Me pmvlslaits of Roof Or81p9 - contectoriNam 'CON PROJECT DESCRIPTION SO. FT. _ OCCUPANCY STR UCTION TYPE 'VALUATION$ 13rt 55 apt City License No. ouy LICENSED CONTRACTOR DECLARpT10N ZONE GRADINGCU.YOS. 'ACRES Remarks: - Planning Not": 1 hereby affirm that I am IIC¢Osed Under OrOUI s Of Cherie 9 e Ing with secNan ]000) of Dan)op 3 Of the B and Prd CO dn0 .M. V 0. mylicenseisinfullfor eNecL \C cy Licens e Class 1 Date signature xi PLUMBING - 'FEES $' $ ORKERS' COMPENSATION DEC RATION ruby affirm that I Lived cemR a or enneent m unsara fir a rtamab Bar Sink showers LJ I, as o her f 1 .I workers' comven Non Insore r a depth copy there I( lb" 3900, Lab, C Backflow Preventer _ Service Sink Automatic We Backflow Irrigation $ewer Cap mfor asadoI will do Construction Policy No.' Company Ifled copy Is hereby furnished. gainapeetibn Foe $15 .laud Fee $ 3 �ecy for Ie ISecfi0 yoga, GrtlfiedAy0yd5Alled with the CLY Bu n Bathtubs $ewer fune Ctip n FEES Cooking Unit _ Dab Zed a` Applicant Clarifiers _$plat Collectors - Dishwasher EXEMPTION FROM WORKERS' COM ATION ELLARATION (This section Deed not be completed If t Permit Is for one hundred ($100) or less). 1 certify that In the cerforman real 1 e worrkfso ate kit mHSm r salt Is Issu00 1 small not employ Y person In y mannerto be o bled t0 the Dishwasher Solar Piping oiler Boiler - Corona OGae - Drinking Fountain Solar Tank Approved By Fan Date - Workers' Communist on Laws of Ca Hornia. Date signature Floor Drains I Swimming Pool w1i F.A.U. NOTICE: IL alter making this Oeclavtloq you should bacteria Subject to the ensation PrOvhions Of the "parCoal YOU must forthwith Workers' Compensation p comply with such provisions r this permit hall h deemed revoked. _ Floor Sinks' - _ Urinal Pto as or in Purpose of l el. Fixtures Gas Service ;Outlets ' water -close Device Boxes CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Intemeptars -1 Wager Hearei Outlets of the work for which this permit is Issued (Section 309], off. C.) Under's Name _ Lender's Address Kitchen Sink Water Service ,- - note Switches' _ --- OWNER BUILDER DECLARATION - t' 7596 •1/17/86 - 9<. -n �TL Zone A,6cesaary Building:, Z' ELECTRICAL FEES Transformer O 1550 KW 0 50+ KW Meter OuP to l DO amps Meter E1 Over l IID amps-- - Sub Formal Motors ❑Dl HP 01'h-8 Inc.5clar 09-15 HE ❑IS'15+ [fie co:itrador's license saw ror the exee fromhe Contra nereey alllrm Mat am exempt Lavatories Auto Wein Garbage Disposal - Standing Sections foluowlnW reason (Section ]03L5 Business and Prolesslbnal Cotl¢: Any my or . win requires vermB to construct,aueq improve, tlemolish ar its P -Trap Laundry Trays, Genratoi DOS KW OSI5 KW Trash Compactor rrepair ant' Issuance, Iso requires me applicant ror sato p :t 1 y n acture, poor m ^ file P slgnee slatemenl [M1at fie/ins I "can andpJlapant t0 Me pmvlslaits of Roof Or81p9 - 13rt 55 apt 1 lne Busln ss anno isloo En P°i0 fe ons code) W lnal fie foe IsO0%e AnY Sac - Ir am ane the basis for IM1aad loses ax51T ptlon. vlolaYlon al Cion 9031.5 by a Y P01Ica nt for permit injects [M1a apOlicant t° I'll :penalty of bot mare man five hundred sol 10 ISis5a0j. - ' $' $ LJ I, as o her f iM1e wlm ages M¢ab sole o mM1 eRgn Forst $15 Issue Fee, mfor asadoI will do kY the r ane structure Isnot lnlenOeL o Nerve gainapeetibn Foe $15 .laud Fee $ 3 �ecy for Ie ISecfi0 yoga, Business an a PrOaeSponal code: Tne contractors MECHANICAL FEES LIC nse' SW does not a0PIY t0 an aw r a pro pre M1O bYlltls Or Imprave5 a no does bl moan/nerserlfo tnraugn nes or Hero n Hootl Type �' DEVELOPMENT SERVICES REQUIREMENTS: : emeroad aware. pin s pn'load that M1 0r0re men15 ornoDmteneee or ffered for$coping I hawaver, tae 6oiUS ori mproveina nt Is sold wltM1in one year of com-' oiler Boiler - or' ll Canopy Type I I ❑ - - Approved By Date - Sal , Sal tlo n, the Owner w II havetha Human OI Proving fie/sine gid not bwle or int- Duct- Under Ground Building Approved By Date Pto as or in Purpose of l el. O I, w e of the p perty, xe uslUS Y contracting wen urenseit can. s o Duct - Structural Refrigeration System Application Issued By note construct M¢ project Section 7044, Founder and PIOffl slons Cano TM1 ContrtorH Law a to fir of property who _ --- C000,000BTU 010ONOSTU License e oto apply . builds a manO'e5 thereon, d and contracts for Such projects to con- �Ilc Door- Ventilating ' SUMMARY OF FEES aware , d a Pursuant to the. contractor's License Law). I am awe that n Exhaust System ❑ Multiple ❑ System Repair/Alteration 1 BUILDING PERMIT $ SMIP, S Proof / theirs Worker's Compesation Insurance should he provided me.- PLAN CHECK E I PERMIT ❑lam exempt under Sectio B.8 P.0.for this reason FlrepllFact'Bit. ICBG# Fire Dampers $ PLUMBING �$ .ISSUANCE wm le - , Hating System & Ducting Registers PLAN CHECK 25% E ENERGY; P.C. $ I nears ce tlfyo teal rad this Ic a tate mat the prom read res alio n0 - ❑D100,000 BTII ❑100,000131 ELECTRICAL $ GRADING $ ialarme[I0 correct y co ty or0lnances 1 a laws himn ipabulmirm, trwl Ion fid neebdy um oPae - 1 - PLAN CHECK 50%'$ MICROFILM IS nteflves of this ante ems donee br party°for y ` lnspemonpurpo MECHANICAL E TOTALFEE iS IJ'� Signal are via /.Tom' Rein rpettion Fee $15 laua Fee $ 3 PLAN CHECK 25% $ od'ers• license r SS CMF 0865-45, rev. 10/84 white - Building; Canary - APPllupt; Pink - AccOUPiln9: Cuddromaj - Assessor 'CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector PO it SPA APPROVALS Permit Date . Inspector 1. Temporary Electrical Service or Pole. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Blecfrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. • ", 55. Electrical Bonding ' 5. Steel Reinforcemek 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. i 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 Conriection 62. Backwash & Receptor -Final 12. Sewer'Cap '' 63. Heater & Vent -Final 13. Roof Drains i •, 64. Plumbing -System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16. t .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 i 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping El Gas El Oil 23. Gas Pipe -Rough & Test "I - 72. Underground Flush - 24. Roof Framing I 73: Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling lStructural) & Monocoat 75. Dry Chemical '1 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. Special Requirements Completed , 49. Electric Release to Edison - •- 50. Gas Release to Southern California Gas Co 51: CERTIFICATE OF OCCUPANCY No. Date -, -" Aboneant to fill In all spaces with In heavy border l ines and sign all a opmprme declarations. CITU OF COSTA -MESA PER IT NO ' CONSTRUCTION PERMIT �'c�Ga TRACT NO, LOT NO. r _ I BLO O. �% TYPE OF CONSTRUCTION - Q Z ' 1992 "n� - 2/11/62•' 9a25 project Addressf! D L7y4DlGLAL ✓E. Ow erica /L /%' pbOne%S'i"J Si/ 'p -NEW ❑ ADD ❑ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH O OTHER _ DESCRIPTION OF WORK' ZONING REGULATIONS AF. 8 ZONE PWG. REF.g + tires 3O d S U- GO 'tea. Arch/En9- - E.$ / License No. - Addrds E- as✓ Jf Contractor - Ph6neSZvL.V7V TYPE OF PERMIT OGRAOING ❑ FOUNDATION ❑STRUCTURAL ❑TENANT ELECTRICAL OPLUMBING OMECHANICA ❑ OTHER I PROJECT DESCRIPTION. SO. FT. ' - OCCUPANCY—CONSTRUCTION TYPE VALUATION ZONE S­11ETBACARD ST 5Ip - RIGH REAR YARD (TO P/L) pKG. SPACE REO. 'STREET WIDTH ZONING APPROVED BY Tp9U DING PROPEIRTY LINE PROVIDED _ PARK FEE$ DATE Address Z Z3 E /I/ 'JH -�' LICENSED CONTRACTOR DECLARATION - CO - I hereby affirm SM1R I am licensed under OroVISIOn$ of Charter 9 (COM- Division 3 1 the Business add Ing with Section 7000) O Spending Nofealms Code, and my license IS In full force and effect. LIC raw Class - J U rest 14 t i5�. Oat - Slgnat ure / _ WORKERS'COMPENSATION OECLARR IOaI 1 hereby affirm that 1 ham a cctitic4 Ot consent t0 self Insure or a Certificate o1 Workers' Commendation Insurance, Or a certified wpY thereof (Secnon3800SUmCI HCKr /N➢ -Co Policy No. Camwnv GRADING CU.YOS. ACRES ,SPECIAL CONDITIONS: - - REMARKS:' 0 _ 'edified copy is hereby furnished. ertllMd Copy IS filed with ins City Building Division. L..EM IIMON FROM WORKERS' COMPENSATION DECLARATION - (This section need not be completed if the Permit is far one hundred - IEmrgl1h tnsi In. the Performance of theworkfor which lots permit Is sued. I shall not employ any person -n any manner so as to become PLUMBING-- - PLAN CHECK. ELECTRICAL PLAN CHECK - Subject to the Workers' W mp MUt;on Laws of California. - BATHTUBS SHOWERSgo USILLLING FT SO FT 'Date Signature NOTICE: 11 after making this declaration,$h0 Id become Subject t0 the Workers' Compensation provisions a�So the Labor Code, you must forthwith comply with such provision or this permit shall be deemed TOILETS URINALS LAVATORIES OOUBLELAVS GENERATOR 0; KW -1-10 TRANSFORMER APPLIANCE 10.50 Key___50+KW KW " yoked. - - CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS .MOTORS 0. 1 XP—LID XP , Thereby affirm that there is a construction lending agency for the Par- tornunce of the work for which this permit IS Issued (Section 3099 SEflVICE SINK$ SUMPS (INC. SOLAR) j0 -SO HP -50 +HP FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS ZSWITCHES L Cry, C-), Lender's Name Lipper's Address DRINKING FOUNTAINS GAS TUBE SIGNS INTERCEPTORS CLARIFIERS PIERCE LIGHTS OWNER BUILDER DECLARATION- Ihereby alfunithat Iamexempt Imprison Contractor's License Law for Me f0110W1pg reason (SectlOn 7031,$ 3dirpr55 and ProaSSIOn1 Code: Any City 0 county which requires a permit to construct, altar, qu per Ilse apsllrant eworries or eiaChapermit to fees signed statement that he rior to Its Issuance, also re- SWIMMING POOL PTRAP -' POLES METERED SUB WATER SERVICE- ALTERATION ery, - PANELS "MAIN SUB GASSERVICE OUTLETS O SERVpCEH9_rr%jtE�Ey- ANTI, M IS Il Censed 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 Is exempt In icfrOm entl the basis for the alleged exemption. Any uialatoi0n 0f Section 7W15 by WATER HEATERS - BTU OUTPUT ' SEWER CONNECTIONS - JEthrough-his n applic ntl for a parnsd 3T(p (sent to a-civilpenalty roti dollars ($ L as owner 01 theproperty. roperty. or my Compensation, w the entl etl Ofemctumhiewage as their As of...it lar sale -(Section 70aa,r Business and ProasSiorsCode: The SOLAR TANK COLLECTORS SOLAR PIPING SYS. ISSUE FEE 1 property 'Contractor's License Law does not apply to.an � who builds O improves thereon, and who does such work himself or ISSUE FEE - APPLICATION APPROVED BY - - own employees, provided that Such ImprOmprou sate not mended Or Offered for Sale, Il, however, the building or ImprovementMECHANICAL sold within one year of complletion, the owner will have the burden of praying he dM not build or Improve for the purpose of ab). '� 1, a Of the -property, am excl s q contrac[In9 Bn licensed contractors In con trot[ me Project nely c ntact ng vies aan nd wnerr of property whoutlds¢or imprOVR thereon, Use and not wapply o l yNw t acU from such projects with a Contractors) IlCesned-'pursuanb to the Contractor's U cense Law). PLAN [HECK HEATINGSYSTEM 0-100,0000TU AND DUCTING $pd,Bdo+BTO REFRIGERATION 0-100,000 BTU SYSTEM "' - - 100,000+BTU_ SUMMARY OF fEE$Is BUILDING - - PERMIT S SMIP $ 'PLAN CHECK $ 'PERMIT –' PLUMBING g ISSUANCE f I GRADING E PLAN CHECK E L ❑ I amexemo u Wier Section B.&P. C. Our this region ,- BOILERS BTU SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE _ ,sem ELECTRICAL S—�.SrxJ— pLAN CHECK $ rMECHANICAL S - •PLAN CHECK $ $ MICROFILM $ LESS TOTAL LENSED - VENCE'PC $_ II hereete if Owner - - Lh Lat CIS that I I read to application Staley and County above information IS art¢tl I agreein ply In, All try n0 County state laws talking to ah¢mbym authorize representatives of t upon the !upres¢nta[Iyes of lM1is City Io e t upon tM1¢ Dove Honed property. er <IIBa.O 2 ,O^�� Signature pa[¢ Drivers'TLicense oll f ' -"ISSUE FEE - - -- FINAL FEE 3 /CPJ , CMF 086516 White-BUildingl Canary-APPIicanU . ,;. CONSTRUCTION.AND PLANNING - " Date Inspector - APPROVALS - --Permit # - - - -- POOL & SPA - ---- - Date -Inspector APPROVALS Perm r 1. Temporary Electrical_Service or. Pole 43. Pool & Equipment Location - - -- - - _-2. Soil,Pipe-Undrgrn.'- 44. Steel Reinforcement 3. Electrical nnduit Utility.Undrgrn 45. Forms _ 4. Electrical Conduit_Undrgrn-- __ _ _ A - - _ - - 46. Electrical Bonding5. - -- •_ .. _ .. -Steel em orce _ _ _ _ 47. Rough Plumbing & Pressure Test - - _-6..Electrical-UFER-Grn 48. APPROVALTOCOVER-GUNITE - ,_T, Footings _ _ _ _ 49. Electrical Conduit-Undr rn - -- - 8.. -Foundation - _ _ ' 50. Gas Pipe, ❑ Undr rn, Test - -9. Water_Pipe-Undfgrn. 51. Backwash Lines P-Tra - 0 Undr n -' - 10. -Structural Floor'Sy.stem . _ -52. APPROVAL TO DECK- . 1.1. .Pioperty.Sewer_Lina_& House Connection _ 53. Backwash & Receptor-Final _7.2. _Street..Sewer Connection_ - - 54. Heater & Vent-Final _13. Rough Plumping--__ - - 14. Rough Electric-Conduit - - - - 56.- Electrical-Final- 15. Rough Electric-Wiring - - - - - - - - - 57. Solar System-Final - - '• -16: -- Rough -Heating-& Air Conditioning - - - _ . Fencing & Access Approval - --1.7. Ducts in Structure _ 1 _ 59. APPROVED FOR PLASTERING' -18. --Ducts, Ventilating 60.-, POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test - - f. "_}_. 20. Roof4Franiing 21. RoofSheathin - - . 22. - Frame and FlashingNOTES: 23: Insulation - 24. Lathing & Siding - -- - -25. - D,ywall Nailing 26. Plaster Brown Coat 27. Electrical-Power Meter-Final G 28. Final Electric- -- - - t 29. Final. Heating& Air Conditioning 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Watei Service-Final - _- 33. Gas Service-Final 34. Solar Domestic-Final - ' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - - ' 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY Date - C ` Applicant to fill in all spaces Within heavy border linea and sign all appropriate declarations. CITY F COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. - - rCONSTRUCTIONPERMIT �a p I PM 81-380 22, TYPE OF CONSTRUCTION C}O{EW ❑ ADD ❑ ALTERATION - }- - 0771, I/IB/82. 84.6.04 - Project Address 3505 Cadillac AgrEI - Owner Prom Addrm - ❑REPAIR OCONVERSION ❑DEMOLISH � OTHER IDESCRIPTIONOF WORK A V. t ZONING REGULATIONS - A¢M1/Eng. - 4Cene¢ Nb. ¢285 _ Addrf55 �.A OF PERMIT y -r - --- ' ZONE E7BA _ LNG.REF.S` MT _ To BUILDING PPOPERTY LINE Contractor =Jrq-Constr=tion-Phane576-847,TYPE Anderson ark. CA ❑GRADING ❑ FOUNDATION tl'$T RUCTURAL ❑TENANT Q ELECTRICAL ❑PLVM\BINGOMECHANICA RD SIpE LICENSED CONTRACTOR DECLARA ION I hereby affirm that 1 am licensed Dm d der pNSlons of Charter 9 (COM- { RIGH T ' Inq with tion 1000) f DiVISD 3 f the Business d ❑OTHER PrOEMS ns Cape, and my license IS In full force and effect. r REAR VARD(TO PL) LlceRe Class A License NO. R$+iQ'3 PROJECT O_FCf{(I PTION. - SQ. FT: / �hQ - OCCUPANCY B-2 CONSTRUCTION TYPE, V—N PRO. SPACE REQ. STREET WIDTH ROVIOEO 670 1 PARK FEE IS Date 519natule --. WORKERS'COMPENSATIONDECLARATION 1 hereby affirm that I have a certificate of consent to self -Insure ora VALUATION �4Zy26S�QNE ZONING APPROVED S DAT certificate of Workers' Compensation Insurance, o a certified copy GRADING CU. YDS. ACRES SPECIAL CONDITION9. rl hot (Section 390Q Ido. C.). YNo. Company .. - - y II11edCO0Y YurlsheE.-REMARKS: C'" 1 Certified COPY mea With mealy Bmmln9 DlmslOn. HOLD FOR SPECIAL EAEMPTION FROM WORKERS' COMPENSATION DECLARATION lar: r - (This section need not be Completed if the permit Is for one hundred or les) 1$.0.0) fly that In the performance Of the work forM1ich is perml(i _ issued, pall not employ any person any manner thto become~PLUMBING _ _ PLAN CHECK - _ -ELECTRICAL _ PLAN CHECK object to the Workers' Compensation Uses Of California. BATHTUBS SHOWERS fire FT �n FT Date Signature NOTICE: If aster maks n51m 5 declaration, you Should becomeSubjectTOILETS I URINALS GENERATOR" 0-1 KW_ 1-10 KW t0 rho WOlker' COMPOSTS lon provisions of the labor COdq you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES OOVgLE LAV$ APPLIANCE 30-50 KW-50+PONT rewheed. KIT. SINKS DISHWASHERS A MOTORS 0-1 HP_I3OHP " CONSTRUCTION LENDING AGENCY Ihereby affirm that there is d Construction lending aeeOCy for the Per- forms of the i.WVp wy iM16y fine issued (Section 3091 - SERVICE SINKS SUMPS - 5`.,- (INC. SOLAR) 10-50 HP�50+HP ON.C.). Wl-`115 Y'aL O CSfLC Leaders Name FLOOR SINKS FLOOR DRAINS ^,t` FIXTURES OUTLETS SWITCHES Len Perry Address •65$50 NEML= Ctr. DI.. N.B. DRINKING FOUNTAIN$ \ \[. GASTUBESIGNS ' OWNER BUILDER DECLARATION." ^ ({"` CLARIFIERS' ` '' •\ POLE LIGHTS her¢hat aSectia rm[ F .INTERCEPTORS i. t reason 31,5 Business and following rCo n (Section 1031.5 Business ForbearerCode: bearer Coca. POOL PTRgP - Luri 1110,7111011 - t .Cothrlam An CityOCounty wairaich illoresalter,SWIMMING permito O.COsance., 'POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB r re- demolish or repair ape slit du rq priorto Statement m any also quiresImprove. Ioban the to file a Signedtra Slalomed that M1B - ant for Such that _GAS SERVICE OUTLETS 'SERVICE - AMP WRuant Of the dar Ina oviA License' (handled ofLaw nc with 1000) of Division 3 int (Chapter (commences with 0) of Davis ,WATER HEATERS BTU OUTPUT - - n no thatheisexemptectionomantl the rUt hat he apes and alleged exemption. violation of Section ]031.5 by. [ for the alleged exemption. Ats SEWER CPNNECTIONS" - - applicant a permit subjects the plica. to a'dI. Jr. an e a dollars H50 1 IT not Iran nve property rmy employees_ L ❑ I. a Owner on, he property or my employees ages their SOLAR TANK _ - COLLECTOR$ sole tur is intended - do the44. k, and she structure IS (SotodTh� G. • SOLAR'PI PING,SYS.Conv S ISSUE FEE erect foatlon, or offered for M1e.Baal(Section Business and Rwner O0.xpirm TM1¢ lrs es Tn owner 0.e ut poly [does - - ISSUE FEE APPLICATION APPROVED BY - DATE DATE or no rmer thereon s himself or Who hi or Improves es, and why Oohs such Were is through Fro, are not nos own em r Sfes, o (deb that such (ming or improvement Intended offered �ar ale. leoweveq the ore moment neiltlmo issoldCompletion, me owner mow have the IP wlmn one the within m MECHANICAL PLgN CHECK $UMMAflV OF FEES poen uildrlam proving he tl1tl of build lampposts 10f [M1e DWDOse ( le). n HEATING SYSTEM 0-10.0,000 BTlll'R PERMIT G O �1fi p ems`. �O'�� ❑ 1, as owner of the property. am exclusively Contracting with AND DUCTING LIR' Is $MIP $ lCenied Contractors t0 Construct the project (Section 1044, Business 100,000+BTV •- PLAN CHECK $ PERMIT aan nd s Conko The Contractor'snot ISSUANCE $ owner of property who lmO oveS thereon, and Who con- from REFRIGERATION 0-100,000 BTU '' I� PLUMBING $ tracts sucn projects with tra ROr(s) 0wsned pursuant to SYSTEMGRADING S the Contractor's License laws. 100.000+BTU - (,t PLANCHECK $ ❑ I amexa n Pt under Section 8.8 P. C. forth[BOILER$ BTU -ELECTRICAL $ _ $ p SYSTEM REPAIR, ALTERATION PLAN CHECK $ MECHgNICAC$ MICROFILMS TOTAL FEE $ Dale rthi[ areaIs I hereASapplication ane Statethat meabove EXHAUST SYSTEM MULTIPLE LESS AD- g e lO < m ly with all city and mu tY 'PLAN CHECK $ VANCEPC $_ Ormnla .aia y to co°ns� UCUOT antl herebynamhonze reproni as i0. ler tvnn ilia she . tioned .1 pea t $ i FINAL FEE E {}}'' $Igna ISSUE FEE - DrlM# CMF 0865.46 WNIe-Bulldingh Canary-APPICai Pink -Accounting; ✓r T CONSTRUCTION AND PLANNING. APPROVALS Permit # - -Date - ---Inspector-- '- POOL & SPA - gPPROVALS Permit # -- -- Date-- -Inspector _ 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - SoilPipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - '- 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel em orce S. .ra t,_ (m_( ,$a 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE 7. Footings Sa, w 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn; Test _ 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap. EDndr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. 'Property, Sewer Line & House Connection _ 53.. Backwash & Receptor -Final 12. Street Sewer Connection - . 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumbino System - Final 14. Rough Electric -Conduit - - - 56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning- Fencing & Access.Approval 17. Ducts in Structure _ 5 . APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing _ 17-5 A 60. _ POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing NOTES: s;, r •� s e us 23. Insulation e g �- 24. Lathing & Siding Jt- - 25. Drywall Nailing _g 11-2 1 r ems' -73 26. Plaster Brown Coat -S - 27. Electrical Power Meter -Final - 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test _ g 31. Final Plumbing 32. Water Service -Final _ 33. Gas Service -Final 34. 35. Solar Domestic -Final " Landsca Sprinkling System - 36. 37. Sound Attenuation Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed L,SsF 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - - 3505 CADILLAC AVE•Master _ Jacket Q • y ADOR'BSOFIROLDWO: 3505 CADILLAC AV D"T` CITY OF COSTA MESA —' BUILDING PERMIT f^ONNERS NAIIE IF MlONR: CAMBRIDGE PARK ASSOC. FLOOD: AH -37 PERM NO: B 086216 "DD"E"'4410 MCARTHUR BL N.B. 92660 PERMIT NO: B 086216 PLAN CHECK NO: N GOVT: N SUPP: N ' VK,N"LNG "DDREaa CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: OTH ARCNREcTORENDINER:RENGEL 6 CO. uCND.: C14199 JOB DESCRIPTION ; REF: EXPIRED B-79975 SQ FT: 75,000 AILk. OR END.'S ADDRM: 333 EL CAMINO REAL DNR' TUSTIN CA 92680 CLAIM VALUE: 75,000.00 CALC—VALUE: 75,000.00 GROUP OCC: B / mmACTORsDAME: CORELAND / DONNER (714)251-1100 cONmAcmR`smNm 4400 MACARTHUR BL COMMENTS: UPGRADE PARKING 6 BUILDINGS ACCESS TO MEET HANDICAP ACCESSIBILITY MARIE NEWPORT BEACH CA uo.NG: 710090*NNMNaEiEiEititaEitiEiEiEiEiEiEatriE(EitiEiEiEiE(EaEitiEiEiEiEaE(EiEiEitiEiE+E(EiEiEiEiE***iESEiEaE+t�E itiEiEiE�EiEiEaEiEiEaEiE+E�Eit�EiE+tit*+E+t 92660 uw-. 150 Z O N I N G R E Q U I R E M E N T S LICENSED CONTRACTORS DECLARATION: I Mrehy aim undr parlay, d Feeley that I am hams l uMm «whims d Chapter o S E T B A C K S p with ) m 3 d the Slmriem xId Prdma'vM COM. ell r Dens a a Iu0 blce aId ellad. My NO,. UC. CLAS": B LIC.N 1 X ------------ MAIN BUILDING ----------- ------ ACCESSORY BUILDING a L�1✓ /l n �- ------------ DNe: �Z FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT, IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER UILDER DECLARATION: I hereby alNm uMr prWy, d pxjvy that I an mrnq ham me Comm Licema Law 1« the �Mm r.asn (Sedion 701.5 Breams srd Prdseba Code: AM city a courtly Which nr♦dns a perm! to comas, a., improv., h. o repair arty trimesters, prior 0b earNKe. ebur repdru the APPkeN for such stereo to fib a w;,wI aalemw Rost M or ell PARKING REQ: PROV: PARCEL: 13966124 ZNE: REF NO: a booed perwanl to the proalalda of the C«a.a«, Lic.ae LAW (Chep. s (co emenot, wren swim TODD) of Dmebn 3 of the PLANNING NOTES > 13 a end Rdesure Code) ce mN M « ell is eesmq meraha .rd the been for the eloped memgion. Airy violeMn of Sedion > 70.01.5 by ariY appicentf«e permit wAsas the aptbunl to cW PralY of nal man that Rve hulled ddlm, rViODD MIEN MN MNNMMMM MMMMMNMM MNNNMM MMNMNNMMMMMMN NMMMMMMMMM MMNM NMMMMMNNMN NMN MMN MMN NM MMN MM ❑ 1.somm. of the lAopem,mmy.rOmywee wh weps as their sae canpreakm.wa MD» esrk. end dw strOct«m is not kexlded «peered l«eda(se�m io«.eaee,em aria Pml..sonecae.:TMcam�w«a uo.a.I.w Mmwepq�mmwrnNdgaP.rly 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 cell buil. «imp tams, thereat, srd Ma does suN work himself or hrssl «th«gh We «hr own.eplpnm, xwided that such imprwemeds we w intended or, dr.ed for sale. ff. how. the IsAki" or inplowrned is sad within ors ysN of completion, the ZONING APPROVED BY DATE: ow -Istilder wa base Ihe buden of gems p M «ell did Rot bad x bnpmee, for da purpose d sale). ❑ 1, m owner of IM property. am vckai.V m dreg q wlh bow sed contractors m onmu a this paged (Sedco 7Dw. Bmbw. and Prot. Code: 7M twrwm Iicelas Law core rnl appy m m owner d Iaoprly cell buiM «Roped« IMnan .rat wIa BUILDING APPROVED BY DATE omueds fx s h projects, wish a eedract«(s) boestsed pureame to IM Cadred«s License Law). ❑ IweesmptteserSection: B. aP.c..mrthis amat: APPLICATION ISSUED BY: DATE:-� Dole: Owner: M M M M M M M N M N N N M M M M M M N M NN NMMMMNMNMM4EG M I M hereby chair!, use l we swan d and udrawd Ros rspu'urnero d C omw 1,leelh me Salety COM Ssaiom 45505.45537. erre LEGALIZATION : N F E E S U M M A R Y STRUCTURAL : Y 45531. and that I as my, hours bus" wile I will w (Rode our) sad to campy with said stale Rodes sod the mr marneda for a pertrd l«ooutrectm«maddmmhvmlMAii mepswn Outrid. Reedrvelmutrwion eppirNioroNas.nplh«nmsa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING pwal«a. PERMIT 731.00 Dela: Appiaw:�r SMIP /NON—RES WORKER'S COMPENSATION DECLMATION: I MrWffv y am oyster penalty, d pen pasjry ors, b Is lDow'vq dwutlio e: PLAN �' 15.75 ❑thew and vol meiNea eoendsysdomwvToaMimosa l«w«kan'mmprestbn,m prwidM tole, Section 3700dtM !char ISSUE FEE •f Coll, to the petomlNKedthe w«kf«which this Ferrero, ois w. BUILDING—DIV—> PERMIT ISSUE PIAN—CHECK TOTAL PAID DUE Ihare, rdvel maire;Nwalkxs' aer.«ro.db,sedial,37Mofthe l,barcma.for the ped«mr,eeofthe . TOTALS ---- > 746.75 0.00 , 0.00 746.75 746.75 .00 wok f« wfiiCh tlds Pea a mored. MY waken' oory.aNio t se memoR arse aha poky menb. Ns: calx:EXPIRES REVENUE DIVISION TOTALS—> COLLECTED: 746.75 OVER/SHORT; .00 �. PdmyNumbe FA1SQ7-9 01/01/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (IN. escdbn nsadMMmnWroeldw Frmtubens nrelmw aollrs RlGTl atlsoJ 731.00 _ 15.75 ❑ I cenh' 0u1 in Roe pMomance d Ne work Ace wNch Thu p.ml u uwod, I sane not xnpl nY pxsat a airy menthe w la s, became subject to Ur +mrlars'mmrastr» leers d Ce6brria mss I a d bore bpa to IM cele! NNMMMNNMMM NNNNMN MMM MN NNNNMMMM NNNMMMMM NNNNNNMNNNMMMMMNMMMNNNNN MMNN NMN NN NN MMM NMNM .m.ensl)ion pnwukaa d Section 3700 d IM Labor Cods.1 she h Imp lh d •I I N D I V I D U A Is F E E B R E A K D O W N DNe: 2 —� APpud: . - WSMp: Faun bmcun wortxi cerrgnmtlm mvrpel rmisxM•rrd stool NdscfN amployNrocdMrMlpwaltlm aha TYPE_. QTY ._.. D E S C R I P T I O' N UNIT COST TOTAL COST chat nm up b xw ntndrM rnouarN ddA1n (afaGOPOA a .ddMn ro der .1 of conpsnsafib, darrapm m pvorkbd Ar, In m37GT of m. LalaY co M, rrdosL Nm.OayrMyas,. SFC 75000. ALTER BY VALUE COMMERCIAL . NOZONE 1.00 75,000.00 CONSTTIUCGON LENDING AGENCY: I hereby, efien Iadx penalty d perjury, that then Is . cmNndion Irak" yrvy for dr END OF FEES pBdatnNCe d ms wok b whkdl Du pxml is owed (Sedum 3O W. Civ. C), LENDER'S NAME: LENDER'S ADDRESS: Ioediy Ther!rues, real dua rbrt, +Nada lhdm».lworme Information ofs. I ,mescit It mmpywlha dryandpwdy prop" end cele owe rNNira to budd'v" oatsbumm and hxoby aNh«ca reprowdeVm dthu city to edx upm the ebwtrnvwioned pommy (� for impwampurposes. STUART G ENTINE 12-17-1997/01:41 P7/5746.75 Pri" fiCPTA:91-0316542 Ipnmae Gets: PERMITa086216 (5151-ae.Wp) Whir. -u36" A Selely: CNwy-AppkeN: Pink-Reenw: G.M.uod-Assssr CONSTRUAI ION AND PLANING PO S 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 a F.. lr tpity-Undrgrnd. 54. Forms J;�t-pectrica Jx4. ElectricaUgrgrnd. 55. Electrical Bonding IN C�,`S�eel Rein�cem?,n` 56. Rough Plumbing & Pressure Test (P4IectricafUFER-C'',0`q. 57. APPROVAL TOCOVER•GUNITE 0,1Z OWr 58. Electrical Undrgrnd. t"Footings •' Bw Foundatiorr) -�-„',� 59. Gas Pipe, O Un*"Ornd., Test S '(k9. Water PipeNndigrr41- o 60. Backwash Line P'Trap, O Undrgrnd. ;,?.0. Structural 43or System 61. APPROVAL T -C ECK - 11. Property Sewec Line(& Hous ur-onnection 62. Backwash & Receptor -Final 12. Sewer Cap v = 63. Heater & Vent -Final 13. Roof Drains `-1 64. Plumbing System - Final Rough Plum] q-, X 65. Electrical -Final Y5. ,Rough Elactrica!Zottduit .. 66. Solar System -F -MO ib. Rough Electric Win'8� 67. Fencing & Accs�pproval .,JJ7..Rough Wiring Sign 68. APPROVED FOiR-PLASTERING 18. Rough ElectricaPF Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19.63ough, HBtirM& Ai,Conditior4ng FiMd)FPT_-REQUIREMEN-T APPRUVALLS��- P&mit # illn 20. ^lough Factor;) Fil9ptace S : V H? y tv # in 21,UCij, I tfUCiU( 70.�, F]ydro FUndergrtxmd & 22. .Duct), Ventiletin4"* %` *'-1 'Cr•, O 71. Prod 4Ti ping as QOil 23. Gas spe'L$oug7t 8c st JQ * r7 c 72. UndergrpUpd Fjutsil: { _. t;, 24. RooiFramin >x rif 7 Underyrrid.StdPple�an OGas .Oil 25, �*g� 7)1�.�lverhead Hydr rBootiihesathing y x 26. et-Bar:Ceiling IstruciLral) & NY®acoat O >+ ox 7� <F1ry Chcrglcal F'.17J .. 27. ;gra me ar F135hi = x x �� .c =" :- x 76. a"n F'o x Dry Sta@pipe<. 71 1 : :. r[T7O 7' * :1x 28. LatFing$1.Si g -x V_ 5�� O t: r 77, FIXEDISYSTEt4-4-INAl- t 29. Insulatilir' •; 7 FIRE PREV. FJAL > S S > 30. Drywall Nailing •- i a: F ' F* _ :.HEALTW DEPT. REQUIREMENT , n Y ••1 31. Plaster B`nwn:Co * 5 i 79. FINALEC7:MN F �C 32. •15lectrica}iPoWer N�mr- coal AFOOD CERTIfT,1CATE 16$C1EFY ^, _ k 133. 1:inaK.Eltrio- t o,. - • 3A. ina'�I-le9tinTb Air Cofl iti oni ng "" rr; r > I H .� L- r� x 'z 35. Final Gas Pipe-'Tll; Zr o 0r-1 'x- .4- 36. Ho4or Canopy N R 37. Final'factory Firelpl cpF� tv w 5 J i 38. Finablumbin9 x InU i N k 1 j M 39. Water Service.Finatl k E * 1 a. x r•, t 40. Gas Service-Ftilal H * �' �'m K '� V hiI > " ° - ^ 41. Solar Domesti'o-FGiT .*t m -;v c-1 x z :t _ K r� /N t 42. Backflow Prevent ".t •�' * ry I `* x ir7 Moil �. .;, .-1,.'U .."H 43. Backflow lrriptic:C-ru ni r^ 4 Z'tT,.^,. W4. Irrlgati�KSystemp<- 'i -*:'7 V C7 V!: �. V ✓ 1J g .x ox a tLandscape to ,* l K `45. ouncl Attenfatiniik r to M f1s' c C ST FC M _. 46. Hanr4cap Regiilat('ji S O ;r');� t;, > &7. FINVL STRLrCTViE & BUILDING a F +_ _ 48. gINA� P�ANNII�q `F i 49. 'Electuc 6leaie to>Edison � j � � a o _ �n n 5,'0. has Release to So3rn Califb�2` Gas co y f C v x {61. CERTIFICATE OF OCCUPANCY No. Date OWNER OLDONN= BRIQ-IAM & PARP[ERS DATE 4/28/81 JOB ADDRESS 3505 Cadillac Avenue BUILDING PERMIT NO., 51743 AP No. 139-151-13 ECTIONS GAS WATER ROUGH PLUMBING PROP. SWR. LINE n HOUSE SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR COQ TEMPORARY SERVICE OR POL ONDERGROUND 7 POWER SUBCONTRACTOR ROUGH WIRING HOalin and Vanf. TRENCHES FORMS r7 STEEL REINF, FLOOR SYSTEM BOND BEAM STEEL REINFORCE tions SHEATHING FRAME AND FLASHING N LATHING - IN OUT G PLASTER. BROWN COAT r-1 ST" --TURAL. FINAL Electric PI H. .G. VENT., REFRIG. AND A.C., FINAL ___ _ wP6ll�e ml m I spare wRnln bear bordergees and seen an aiYirepnee declarations. ,— CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. a - - -�- -- - ;CONSTRUCTION PERMIT I bNo 03 43- - Project Address 3505 Cadillac Ave.- - TYPE OF CONSTRUCTION- _ _628_0 5/24/82 , 123¢54_ 7V Owner CarlWid= Paork Partners PFnne-]FjZ-fj'jl ® NEW ❑ ADD ❑ ALTERATION - - Address -1301-Do St 'Ste. 760 NeWpOrt Heac 1 ❑ REPAIR000ONVERSION ODEMOLISHred UCTION LENDING AGENCY afffl Illt til IS sl tl ndl99i(%f the penVICE f th k f hib thip It Is I tl ISe l i 309JName .r Arch/Eng. Himes—Peters - License No, ❑OTHER LKSINKS"' OR SINKSAdtlraps OESCRIPTIONOFWORK Trach Enr S. Address 119 E. A1t011 Santa AM AND DUCTING Contractor -- - phi as - TY EO PERMIT' - -- ' Address - ❑ GRADING '" FOUNDATION [RSTRUCTURAL OTENANT El ELECTRICAL OPLUMBING" OMECHANIC LICENSED -CONTRACTOR DECLARATION I ereby [In9 affirm that With Section 7000)sed Of-uDvisier onw351of5 of the Charter Bmineahmd ❑OTHER/ Pmieeloro Coca, and my license Is In full force and effect License Class License No. PROJECT DESCRIPTION _. .Si ET.' ' _ .. 4 WI Date Sarni - _ _ __ WORKERS' COMPENSATION -DECLARATION.. -- - -'OCCUPANCY COONSTRUCTION TYPE 'I hereby affirm that I have a Cartlllcate of aerosol lt ealfropy UrtlfKat0 of Workers' Compensation -Insurance, certified VALUATIONAL 20NE t' it [Section 3800, Lb. C.). GRADING CU'. YOS. ACRES _ _ L._Na Vier oPyismre y,furolsed.ny _ -.._ 0 Certified copy Is filed with the City Building Division. .REMARK$: "'$L255-21 - -- EXEMPTION FROM WORKERS' COMPENSATION 'DECLARATION ' TM3 section need not be Compbled If theless, pmmD 1e for one hundred is I Wu dcertil lrshall not ethat 1; mploy any therfoerformannar a; o In any e WorK men former sor wrion o asAo beoorminme . PLUMBINOP _n.. PLAN CHECK- 1, . UCTION LENDING AGENCY afffl Illt til IS sl tl ndl99i(%f the penVICE f th k f hib thip It Is I tl ISe l i 309JName ISSUE FEE SIN¢ LKSINKS"' OR SINKSAdtlraps NKING PO AND DUCTING rise Law does at a hooves thereon, atndpwho does such y to an wok in mselfrOr as Floees„provltled that such -improvements am not I Sets. It, however, the bukdin9 r Improvement- e owner will have the boen I year Of completion, Mm ISSUE FEE MECHANICAL to of build or improve for the purpose of salel. HEATINGSYSTEM I n9 alos...n"m .- -witrh Of -the property. exclusively 1'. Ii AND DUCTING BOILERS BTU SYSTEM REPAIR, ALTERATION 0 :L55re / 'I ISSUE FEE- .. White-Buildln9:Cd-AppiiUnta Plnkalips ntln9i Goldenrod -Assessor P/L) „ ROVIDEO- ' DARK 0 'ELEC ICAC PLAN CHECK 5r1 F GENERATOR - -0,1 Big 1-l0KW, Ti RANSFORMER II_ I ,APPLIANCE' 1050 KW_5O'+KW iMOTORS - ' 0-1 HP__1-10'HP '— t ,UNC. SOLAR) 1050 HE 50 HP lO 1 FIXTURES- -OUTLETS- SWITCHES T GAS TUBE SIGNS - ;POLE LIGHTS IGNS;POLE'LIGHTS 1POLE5 METERED SVB _ JPANELS ---MAIN._ —SVB-.-- { )SERVICE T ' ”"AMP"'l-' •" I .. .. ... .r �_. . -ISSUEFEE 7 ,APPLICATION APPROVED By- -- - - -DATE- - --' SUMMARYOFFEES -' -----`_.r ,BUILDING PERMIT _E�T� ��q' '� SMIP PLANCHECK S_J¢cFm- :PERMIT 'PLUMBINGE 'ISSUANCE -§- IPLAN CHECK $_•� y GRADING_'•S ELECTRICAL- $7 - :PLANCHECK'i ,MECHANICAL1. E - NOTAL FEE$ _ CESS HD- PLANCHECK'$" - VANCEPC -§_ -, __FINAL FEE § I CONSTRUCTION AND PLANNING APPROVALS - " '� Pe�miU# -/� 3G �- - - Date- _ _ _ _ Inspector.. 6 POOL & SPA .. . - _ _ _ _ '" -'- _ _ - .Date_ _ _ _- Inspector APPROVALS-- Permit #- -- - 1. _Temporary Electrical Service or Pole t : 43. Pool & Equipment Location - - Soil Pipedrgrn _ _' �' 44. Steel Reinforcement - - - 1. _ Electrical'Conduit Utility-Undrgrn _ 45. Forms ;,.4:. {Electrical-Conduit-Undrgrn„ 46. Electrical Bonding - - i_ -_..Steel Reintorce- _ _ 47. Rough Plumbing & Pressure Test - - --6. Electtical_UFER Grn-_;. -' - 48. APPROVAL TO-COVER-GUNITE - - 7. Footings _ 49. -- 'Electrical Conduit-Undr m 8. Foundation _ '" 50. - Gas Pipe, ❑ Undr rn, Test ' _ 9. _ Water Pipe-Undrgrn - 51. Backwash Lines,P-Trap.❑ Undrqrn - - 10. Structural Floor System 52. •APPROVAL TO DECK.! -'Property. Sewer Line.&;House Connection- 53.._ Backwash & Receptor -Final -12. -Street Sewer Connection, 54. Heater & Ven t -Final t: - -13. Rough Plumbing __- _ _ - _55. Plumbina-System- -' - - 14. Rough.Electric-Conduit 1r -- '� ., '� - - - --•- - 56.- Electrical -Final - �• 15. -Rough ElectricWiring _. •�- _ -` - - - - - 57. - Solar System -Final - - 16: - Rough Heating &"Air Cbnditib6ing 5H. Fencing & Access Approval . 17, Ducts in Structure _7'F9_ -APPROVED FOR PLASTERING 18:- Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL _ - 19. Gas Pipe -Rough & Test - _ 20. Roof Framing 21. Roof Sheathing � , - 22-- Frame and FlashingNOTES: _ 23. Insulation ' ' 24. Lathing & Siding- ' 25. Drywall Nailing - - - -' ' 26. Plaster Brown Coat 27: Electrical Power Meter -Final - - - 28. Final Electric 29. Final Heating &Air Conditioning 30. Final Gas Pipe -Test _31. Final'Plumbing ' 32: -Water Service -Final - - 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System, - stem' -36. 36. Sound Attenuation - 37. _ Handicap Regulations - - - 38. FINAL STRUCTURE&BUILDING _ 83 39. Special Requirements Completed 40. Electric Release to Edison Al. Gas Release to Southern California Gas Co. - 42. ' CERTIFICATE OF OCCUPANCY - No: Date - AppReantto till In all spaces within heavy border lines and signal, a°elarauons. I6i' CITY OF COSTA -MESAPIr . TRACT NO. LOT NO. BLOC. NO. - - CONSTRUCTION PERMIT [} TYPE OF CONSTRUCTION ITNEW 11 ADD ❑ALTERATION 0REPAI0..O LONV ER$I ON QOEMOLISH ❑OTHER P.I yZ 2/16/82 '•"470:52 I ZONING REGULATIONS Protect AdtlrGs - J � -OWner _ 00e'� . Fddreg # - ArchlEng,- Li nae No. DESCRIPTION OF WORK A'P'9 .. ZONE PLNG.-REF.,* Y\1 IAddress y lconme l- - Ph3ine -TVPE OF PERMIT s // -❑GRADING _ 0 FOUNDATIIONN 'C'�STRVCTV RqL' [/'TENANT Q ELECTRICAL 2i LUMBING OMECHANIC BUILDING - - SETBAC V RD SIIA -Tp gp`pING' PFOPERTY LINE Address' _ 42 `htl@q\71 LICENSED -CONTRACTOR DECLARATION. 1 hereby affirmthat 1 licensed d provisions 1 Charter 9 [c HY R G T 1 Ing' Is Ion ]000] f t0 3 of.the- Businessand.❑OTHER ~ _ _ F°M1Ss1Ons Code And my license IS In full I and effect PREAR VAMU (TO F/L) tt _ - N-139Li' PROJECT DESCRIPTION. -PRO. LJGenze Ga3s 7l Lkenid No _ _ 50. F'r: - OCCUPANCY " CONSTRUCTION TYPE SPACE REO. - .STREET WI OTH _ _ _ PROVIDED; PARK FEES Go 2—R—Fg_- slgneture\ l \ Nen.., WORKERS COMPENSATION DECLARATION T- N OCr¢bY affirm that have a mrtllle to of [ IH ygLUATIONgIj IhsO - ZONB .ZONING APPROVED BY •. DATE COIrfl ob-Of worker¢' comwnMtian neuranee certified ropy. . _ - -... GRADINGCU YDS. ACRES; SPECIAL CONDITIONS: N - In-ressf(Se<tlytj3�800. 1f��.) - -^ - -_ rNO Lxd.(LLt{.3LQmpanY ratified copy lsnereby furnished. REMARKS:' Certified Copy Is filed with the City Building Division. _ _ _ _ - _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - - - - - 11 This section eea of de Completed' tM1_ p It 1 f hundred , 1 + 11 or is • , ,ELECTRICAL' RPLUMRING PLAN CHECK - PLAN CHECK: Iscast fY that In thel performan ( th k f nl h t5- p t 13suee, nano y any ma " any Palmerto bean PC°mOensat10°ldwSoECallf sublecllpthe Workers 1 _-�_ BATHTUBS- SHOWERS " "- '- -'�ALL ---' ' DIIO $IgmtVr¢ NOTICE! If ater making this dedantlan. Yen should become Sublets Tr)ILETS .,URINALS - ,GENERATOR' p-1 KW' -- 1-]O KW - -' 1° the Workers' Compensation pmV1z1°ns Of Use Labor COtle: y°u-mus[ 'TRANSFORMER forthwith Comply with Such proNO Ans or this permit shill be deemed LAVATORIES DOVBLE'LAVS - - APPLIANCE---IO-50-KW_50'+Ker i ked. revok 'KIT. SINKS OISHWASHERS -.' "••MOTORS - 0-1 HF I'-10 HP- _.--- CONSTRUCTION LENDING AGENCY I hereby affirm tW[ there IS a construction lending Feel the per. SERVICESINKS • SUMPS "- - -- NNC•SOLAR), -1040 HP 50+HP forensics of the work -for whiCh.thls °ermit.is Issued (Secften 3097 'FLOOR SINKS l\"-FLOORORAMS—"—.'rFIXTURES ---- OUTLETS SWITCHES'---' - - CIerC-)' - - - - --�" -- Unusual -" _Name _ - _--Y Address DRINKING'FOUNTAINShnLendes -INTERCEPTORS.- i -CLARIFIERS - OASTVBESIGN3'- - 'POLELIGHTS '-�-" -� - - OWNERBUMDERDECLARATION' 1 hereby affix t pt fromt60,COntra I 5 LI La for 'SWIMMING PDOL- 1P TRAP- " the -' fsectl -]03115 BVslness a d P 1 Coa :- Any cry or county which requires a permit to ousts[ alleri' - 'POLES METER .SU WATER SERVICE ALTERATION - "aPANELS -- -MAIN - - SUB - I indemal6horreWlrany t to Its Issuance, also re- i lM1 ap.11rsm for Such t file Signed statement that he Permit P-lAunned aul'to the provisions o1 the C r tor% LICE ue Law --GHS SERV ICE- - 'OUTLETS -'- 'SERVICE '- •' - - AMP -- the en vloroa(Cr°O�ai catcall toga /iexsoq 1g,$ oo WATER HEATERS -' BTI/ OUTPVT- _ Or ke t h ttheireimm and or the MISS a examVC°n Any vlo0[lon °1 Xc110n ]03L5 by SEWER CONNECTIONS' v'ppll M -10r pred bI tt IM °°3rant to a rva penalty' 3 W� t than 1 se huna reb tl hals 05001 - ' 'her of the property. '- y -yI y 03 w [li wages as [Fels' " SOLAR TANK -COLLECTORS Scale Compensation, will do the work, and t11 structure Is not Intended or offer" for sale(Sel 7060, Bu31°135 and easel Lode: The SOLAR PIPING SYS/ - -' -"' ". ISSUE FEE' -,- Contractor's License Law does not apply to an Owner of a properly _ -' Who builds Or improves thereon, and who d les'Such work himself ° _ _ ISSUE FEE . - - APPLICATION APPROVED BY - - - DATE -- - ' INOsgM1 nls Own em to d0k provided that such improvements are not � building Improvement' _ � - - Intel a, offered le. If, however, the r isSold Sold within one year 0l completion, the owner will hays the burden MECHANICAL P' N CHECK SUMMARY OF FEES T•'_ ' proving h6 did t bulla r Improv or Ure-purpose 1 le). HEATINGSYSTEM 0- - 100,000BTU '.BVILOING - PERMIT Sate_ - - �- SMTP S V J ❑ -as -owner the -property. -am evclusivaly contracting with AND DUCTING- gyp p� :_ licensed contractors t0 construct the project ISecl;on 7046, Business IOa,0a0 +BTO I 'PLAN CHECK S_LQ.ae1J 'PERMIT and Rama ons Carter The Contractor's LIG03e {Jw doa urot apply to ISSUANCE 4 u an owr of property who policy or Improves thereon, and who COa. REFRIGERATION 0-100,000 Ell (PLUMBING S teal SWCh-PrOwCt3�wRh.a cotUClor(s) llcasned pursuant to SYSTEM- - - GRPDING." S.'s'i the ContractoLicense Law). 100.00014 BTU ;PLAN CHECK E y P I ani exempt under section' - - -'Bt's P. C'. Uir this- - _ - - - - - - BOILERS BTU IELECTRICAL ..$ - _ ' 1.1. Ll'• , Mason- REPAIR. ,PLANCHECK S MICROFILM S'__ OitODwOer SYSTEM ALTERATION FEE _ I hereby certify that I have read this apptrallon and tab thattheabove EXHAUSTSVSTEM MULTIPLE MECHANICAL S _ -TOTAL -S 'LESS AO-' ' Information Is a t7'I, ajree to complywith all city dbo linty PLANCHECK 3 - VANOEPC• S- - Ordinances and slate laws relating to^onstNction and herebauthadze . r . nj rePedentaDval—of this City to ler upon the above mentioned .. property for Ineveldi°n Purees Ii ' FINAL FEE E Signature Drivers' License of 55 - - , ISSUE FEE - - . - - CMF0665-66 Wblte-Bulldln9:Gna1Y`ApplkanUMnk-ACCOunting;Gaiaenrod-Asm5sos CONSTRUCTION AND PLANNI APPROVALS Permit Date Inspector # � POOL & SPA Date Inspector APPROVALS.. � Permit # _ _ _ • 1. _Temporary Electrical Service or Pole_ 43. _ Pool &Equipment LoZ•atian"'-•'--'- ` ' - -- • -• `-- - - SoilPipe-Un rgrn 44. Steel Reinforcement- einforcement_ .3. --Electrical, Conduit Utility-Undrgrn- 45. Forms - - - - -- 4.- Electrical Conduit-Undrgrn _ 46.- Electrical Bonding - -5. Steel tee ein orce - 47. Rough Plumbing & Pressure Test - -• - - - 6. Electrical UF ER Grn 48. APPROVAL TO COVER-GUNITE-'----- - - - -• - - - _ 7. Footings _ 49. Electrical Conduit-Undr rn _ 8. .Foundation _. _ 50. Gas Pipe, El Undr rn, Test 9._. Water. Pipe-Undrgrn 51. Backwash Lines P -Trap- D'Urvol(rim 10. Structural Floor System - 52. APPROVAL TO DECK- . 11._ Property -Sewer Line &-House Connection. 53. - Backwash & Receptor -Final - . 12. .Street Sewer Connection -54.-. Heater & Vent -Final 13. _-Rough Plumbing. al 14. Rough Electric -Conduit - - - -- -- - - -56. ' Electrical -Final -- - ' 15. Rough Electric -Wiring - - - - - --- 57. - Solar System -Final -" - - 16. - -Rough Heating & Air Conditioning - -- - - _b8. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating -•- 60. _ _ _ - POOL/SPA SYSTEMS FINAL '. ',• 19. Gas Pi pe -Rough &Test -_ 20.- Roof Framing - -- t- 21. Roof Sheathing - - - - - / NOTES: 22: Frame and Flashing- - 23. Insulation¢ 24. Lathing& Siding --- p 2- 25:. Drywall Nailing - 710 26. Plaster Brown Coat P,7 27. Electrical Power Meter -Final 28. - Final Electric - - 29: Final Heating & Air Conditioning- • 30. -Final Gas Pipe -Test - - - 31!- Final Plumbing•' - 32: Water Service -Final - 33.. Gas Service -Final _ 34. Solar Domestic -Final '• - - 35. ' Landscape Sprinkling System - - - 36. Sound Attenuation 37. Handicap Regulations •• -- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 1 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No. Date I] BOILMNO: 3505 CADILLAC AV IFMWN: CAMBRIDGE PARK ASSOC ADDREss: 4410 MCARTHUR BL N.H. 92660 APPL. MAIUNG AODBESS: ANCNITECT OR ENGINEER: RENGEL & CO. ARCH. OR ENG.'S ADDRESS: 333 EL CAM I NO REAL TUSTIN CONMACTOR'sN� CORELAND / DONNER CONTRACTORS MAIIMO 4400 MACARTHUR BL ADDREss: NEWPORT BEACH 92660 LICENSED CONTRACTORS DECLARATION: I Mreby affirm under penalty of pe (co n r.nd,p with Section ]000) of Division 3 of IM Buaiu. nd Prdeeei. Cr Cf LIC. NO, uc. cuss: B UC. O.: Dore: /o [ S-4 crtlrctor. UNT: CITY OF COSTA MESA — BUILDING PERMIT FLOOD: AH -37 PERMIT NO: B 079975 PLAN CHECK NO: 02082-96 A CONSTRUCTION TYPE: V -N PERMIT TYPE: STR uc.la.: C 1419 9 UNIT: CA 92680 (714)251-1100 CA uc.Na: 710090 uNT: 150 r Net 1 am IkanW p urdrr ovidd one Chapter 9 W my Ii e M 1.1 Tru aM effect. 0()1977; EYP: OWNER BUILDER DECLARATION: I hereby aNm u r penalty of perpr, 11w I am rump Iron tM Curdractrs License Law for the fdlew'eN reason (section 7031.5 Elmness rd Prlewomm Code: Any city or county abid, requires a Prmlt to ceraowo, after, improve. 'Cmdeh, «repel oey seuptum, prior to IN'Naura% aro requires tM applied for ah larmh to file a spud delm,ml ow M or he i licened W w A to tM provisions of 9a Contractor License Law jCMrer 9 (commeridW with section ]00(l) of Division 3 of the Bwiraaa aM Profee,iom Code' or "w M « eM a aerefromM rmp thaIM one I« Ns dleped aemplion. Mry dl vowicn d se0n ]031.5 by arty applicant fora permit vubjem IM applicra to a civil penalty d M cors ihn Me hvMrad dtllen'SSOOD. [31.. owner dtM ec rayor my empbyeea Mh mope.iMi sae c«nMoaati0n. mildo the work, aMthe rauctur u we kneaded «offered Ice sale(Sud.M eown]011, BneaPrfaM e Lsern Cada: TControcom Lica.clwsM n apply toownrd propertywho Wide or inproves tMreon, and vho due such voorl, himsof or Mrel r Nrr,ph M r her own empla m e, povjded thea such p imovemeda are nu wended r dwell forsale. 0, however, iM Wilding or knpovemerd b mold within one t r d ernpkai0n, Ns owrar-0uiNer volt M. IM buden d rovirq M «she did not build or imrova for IM pumad a . le). ❑ I.. oras of tM property. am ecduwdnp ely conlraof h licelaed cgnbe,.1ra to mrmod NProjectus olect (Seaton ]Drs. 9ueMae row Plc edru Code: TM Conwoo,o Liurwe Law does M apply to n owner of ropon, who Witle r Mmnova IMd reon e,•da en rracts for much ropde wlh a or.ractr(s) pn caed puwelat to tM Comredre Liu.Lawe ). ❑ 1 am exempt uMer &anion: S. & P.C., b Nu coon. I do hereby canffy dw I am aware of and u,dersiard tM regdremenb of Cellona Health rd sdary Code Soo i«a 25505. PSSSi. and 25.531. are, Nd I «nY Moa Wildirp ow we win /moil ml (circle ova) neer l to crnply moth elect pate 0od. rd 1M nquirrnrea for Done: /0—IS-9 G Appliraa:r p ./� G ,G WORKER'S COMPENSATION DECLARATION: I herby affim erdr owry d Perot, one of Ne Mlowi,q drLrelcro: ❑ Ikon er,d moil memtan acertdraud wrrenlio seffinwrs for worl,ere'corrmnatipn,aprwidsd iter by Samm 3]W dNaLabr Coda. 1« 1M prirmenca d Na wrk t« w1irN Ne panne a ®ued. 1 _l I Mw a,d wD rwi wnM1«s' mmpemelon irurnca..,paMd by sedan 3700 of IM Labor Code. ler tM prl«nwae of tM i� work 1« whirl, Nu Prmb o issued. MY Vo rkre' camMwowft inurance ismer W Pdi 1 number are Carder: STATE FUND EXPIRES Policy Numbs - 01/01/97 rhea ee reco naafi we W oa real ml l tM Prmx to roc wro Wneise dollen 151001 or lora) ❑ I unit' Uw in tM p M vorrnce d as work ler lam the aAwr u iarrol I d d ,u a1 sho any parson M eery roamer e0 n I. crura acorea to the overlent' n37M of t on laws d le. I le, rd iih o Nr K I should beeru subject to tM wader' eemlan,erion peodacm d Section 3]00 d tM labor Coda. I dull Imhwlh comply wiN Noes P,o+eions. Dole : Applicant: Hw,,1 9: Fall"W axon wodrri rompruetlon oovere9s la nlewNl, end Wal e,tlfxf n employer ro cr/Mrel pwma erM dal tinea w ro one Aundrod fMuaa el ddlen fSlOQ"A M atltlltlon W Ne oaf of mnperuelloM damps apt provAde f ler In Sxtln 3106 of dw Lebon Cods, Imreaf, erW eHeraoYa yea. CONSTRUCTION LENDING AGENCY: I Mreby art. order penally d prjury IMt tlee is a ,v,rrdlon leodk,y a1le Y for Ne parlor.. of IM work ler vdel the Perot a seised (Section 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: Icavity IMt I have reM Ria eWica lon and erre the Ns ebwe inf«mation he coned. I apple to comply with all citYand county ordlnr,0se rd awe learowers to Wileltq consbud'an end herby authorise repreanldiva of the city to enter upon tM eM avmrtioned prop" for inspection ptopoew ST G 1,E T I N E n ems e P L� Dr.: 10-1 5- 9 G SigwaaeL r/genrAppitwnd yadr (5151-450p) While ilding 8 salary; G.,File: Chary-Applur; Pink -Revenue Oddonrod-Aeveeeor JOB DESCRIPTION : UPGRADE PARKING & BUILDING ACCESS PERM NO: B 079975 GOVT: N SUPP: N PURPOSE: OTH SQ FT: 75,000 CLAIM VALUE: 75,000.00 CALC—VALUE: 75,000.00 GROUP OCC: B / COMMENTS: UPGRADE PARKING & BUILDINGS ACCESS TO MEET HANDICAP ACCESSIBILITY 1E dE iE iE SE iE iE iE iE iE iF iE IE iE iE iE-IE 9E 4E 9E dF iE * iE ♦E 9E 9E iE dE iF iE iE dE fE iF dE 3E 9F 9F # 9E jE iE iE 9E 9F 9F 1E 1E iE iE dE iE 1E * 9F iE iF iF * 1E fE * 9E 9F 9E 9E iE iE 4E * * fE 9F iE iE * 3E 9E 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: 658 PROV: 658 PARCEL: 13966124 ZNE: PDI REF NO: PLANNING NOTES> PARKING LOT CHANGES FOR ADA COMPLIANCE. 4 SPACES TO BE LOST. > PARKING WILL INCLUDE 3 COMPACT;639 STD; 16 DISABLED SPACES ♦F * iE 1E 9E 4E iE ♦E 9E iE 1E iE iF iE 4E iE dE 9E 9E 9E 9E iE dE iF dE 1E iE fF * 1E iE ♦E iE dE iE 9E 9E iE * iE * 1E iE eE iE iE iF dE 1E dEiE iE iE 9E 3E * IE lF 9E 9E BE iE iE 3F iE iE 9F * iE if iE 1E 4E fE * iE 1E * 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 W PJ DATE: BUILDING APPROVED BY : V DATE: G zp 9(Q / APPLICATION ISSUED BY: W DATE:- dEdEdE♦E iF iE lE iE if iE 9E dE ♦E iF iE*dF 9E dE iE iE 9E iE iE iE *lE iE dE dE dE lE ♦E 9F E *9E 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 731.00 SMIP/NON—RES PLAN 118.79 15.75 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 746.75 0.00 118.79 865.54 865,54 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 746.75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 731.00 15,75 9E 9E♦E iE dE fE 1E iE*dE iE dE iE iE dE 9E fE 9E fE 1E dE*iF 9E*dE 1E iF 9E 1E 1E 9E*9E fE 1E*dE 9E fE 4E iE*iE iF*dF iE dE df iE iE iE dE***9EN-9E*iE 9E 9E 9E 9E dE 9E 9E ♦E 9E 9E dE iE iE iE*4E dE 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 SFC 75000 ALTER BY VALUE. COMMERCIAL NOZONE 1..00 75,000,00 END OF FEES EXPO IRED DATE 01 00217163-00217164 TOT 746.75 DATE: 10/15/95 TIME: 13:55 CONSTRUCTION AND PLANNING ' Date APPROVALS Permit # Inspector POC � SPA APPROVALS Permit # Date Inspector I. Temporary i Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Urdrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4, Electrical Conduit-Uricirgrnd. r 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, 0 Undrgrnd., Test :9: Water Pipe-Undrgsnd. 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 'li - 1 63. Heater & Vent -Final 13, Roof Drains 64: Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough EVec2rical-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 El Gas 00il 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 °y 29. insulation _ 78. FIRE PREY. 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;Flnal 41. Solar Domestic -Final 42, Backflow PrIeventer - - 43. Backflow Irrigation 44. Landscape hrripation 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 Co 51, CERTIFICATE OF OCCUPANCY No. Date • � / l(M f�i:Y/� CJS-.`i�h=i� �/J:ixl.-J OiG'� 4�\/h'f nn'v ...%oM - -1 I Pi I I+- I.1 I+ I I 111® I I� lP I I 1�1 --------- .Ilii .. �'.� `\\✓� \ � �, / \\� r �•�-' ��!''' �' I z - I I 1 I ice_ — _—..�...— =-� - ,•`•-,;` . ; ;.. ,., Gt° � �0�1 I �I 1-- �'' �� 3s6s L4a«L19 \ 'L Applicant to IIII In a. paces Within heavy border pass and sign all appropriate eeclaotions. Pf CITY OF COSTA MESA -' "'" P BUILT No. - TRACT NO. LOT rvq. BLDG. rvD.-' 5,429 5/04/82 21:00 14' CONSTRUCTION PERMIT E�3 _ _- TYPE OF CONSTRUCTION - -. .y -_-_ 1JNEW .HADD 'DALTERgTION ��,1✓✓{MWL�� " `' •'• , j Pro r r CMXeC Owner Picone 1 0RIONJI �O CONVERSION 0DEMOLI$X ZONING REGULATIONS ❑ ' Addren suite 760 -Newport BCCI. Arch/Eng.ION C10550R --License No. OTHER A.P. DESCRIPTION OF WORK _ a OIl �_ __ ZONE PLNG'A EF. iF q . -Addreu - t. OYdTI ' Contractor -�• Phone639-2692 1_siI TYPE OF, PERMIT I • SETBACK CIL ST. ��OPERTY LINE - r ❑ GRADING E) FOUNDATION' ❑ STRUCTURAL YARD' - - ❑VENANT 0ELECTRICAL ®PLUMBING MECHANIC SIpE yA Ps" --- - -I R- gIGXT a ❑OTHER - REAR YARD (TO P/L) -.. PROJECT DESCRIPTION _ _ PKG.3PgCEREIy I PROVIDED' -- sD..Fr.l 1-/ •9n� OCCUP,ANI CONSTRUCTIONTVPE, STREETWIOTH PARK 'FEE j VALUATION a%pZONE ZONIPINNG APPROV EO BY DATE i AtltlreSs _ 1 2668 I 1� i •LICENSED' CONTRACTOR•DECLARATION - .1 hereby affirm that 1 am Ilcam ed older proNilona of CM1arter 9 ( - Ing with - Settled -7000) I, DIAS 3 Of tna BYSIOtsS iC0 'Professions Cwho antl v license mu force ARO��¢y t. LJunse Clazs C-27 censeI 3U9LlY 6=6-A2 signor Y. - Wale I ORKERS' COMPENSATION DECLARA' I h by It ren that e a duplicate of Comfort to self-Insurenor a tlC, my PWOrI( 5' COmp¢OMIIOn mSYrind-OP c rllfled PY \n o11YOlon 399 QQ0 SON C.). TSNP7mi *�p. Y.Nd'DAI IiH%i(2 ComWryCLt tY— itcmifeed Copy's M1¢relyfu Ired.. rtIfIM copy Is fit with the city Building Division .E%EMPTION FROM WORKERS COMPENSATION DECLARATION(This - - - - GRA_DI NG CU I ACRES SPECIAL CONDITIONS. - -.REMARKS section need nolbe-te PI fetl t thatilrrelt Is for one hundred 1 '�aogLy Ihal the performance of.the wdrk"for which INS at IS "Suued, 1 shall net employ any person In any manner se as lo. become uIRMttloJM1a Workers Compensation Uwsof Gllfornla _ _ tDate - Signature NOTICE: If after making ties declaration. you should become subject to the Workers' Compensation Provisions of the "her Code you must '�ewhwith Comply wRM1 such provisions or this permit shall be deemed 1 1 - PLUMBING PLAN CHECK - ' ' - ELECTRICAL -_ PLAN CHECK " _ _ BATHTUBS - SHOWERS-- --- - =' --- .TOILET$ URINALS { - GENERATOR od TCW' — 1 I KW TRANSFORME0. - LAVATORIES DOUBLE LAYS- ' - iAPPLIANCE 10.50 KWI+KW - - - -- .. ked. = -1. CONSTRUCTION LENDING AGENCY y a rk forlSM__ChConstruction IlOnimpe_affirm the that lslloYeO l Sectinne fear -397 t _ _ -KIT: SINKS `DISHWASHERS e}- MOTORS- -0.1HP - 1.10 "IN-- -C -'� SERVICESINKS'• 1SUMPS" - (IN0.50LAR).-]0.50'HP=50a HP 1�- - IN I�- - its PC mlf S Ci4: C:1: W - unaerpirvamet 660 Fax'Do-eenk.-\ 5 .. .. ... jLendei's PDOrss FsFsO I\Tl3JCOyd- TPatP-Y'OE1 - OWNER BUILDER DECLARATION PP • V affirmthat I am exempt stepsisters Contractor's LICinLaw for the lot owing 'not '(Ydion 7031.5 Business - and Pse rofeslom Corte: Any city r my which requires a parents to roordtiond alter, 10- demolish or repalranystrucLure, prior to Its Issuance. -also -re quires tl ffnt for such "treat to file a Signed Statement that he f __ _ _ FLOORSINKS -�4 FLDOR DRAINS } �- jFl%TURES "OUTLETS- SWITCIPP .. DRINKING FOUNTAINS- IN— 'GAS'TUBE SIGNS -NN--PP'- -� P, INTERCEPTORS CLARIFIERS- iPOPE'LIGHTS - - •- SWIMMING'POOL PTRgP' ---'�- - - - - - - POLES METERED SUB - ALTERATION'-' -' ANELS" ,MN SUB - - WATER SERVICE - „PAI T '- '^ -- AMP '-- - - GAS SERVICE OUTLETS' SERVICE nth 0p pONddns of Ins Contactors License Law (commencing with Section 7000) of Olvlslon 3 of e (Cil p[ ^ ( M 9 1 and hot C d I or that he IS exempt therefrom and the I for the ppbth L"f alleged -P permit dry the applicant of-Section pti n7sis031 Penalty .t More than Tsc hundred dollars ($5001. 1 WATER HEATERS BTU OUTPUT' ^ C(NItTCileL3 6 00-I "SEWER CONNECTIONS' ) SOLAR TANK' - - I--6 OO 1."' --- - - _ 'ISSUEFEE SOLAR PIPINOSVS. - I� "'-- 3-100 Las —0MnnerSt—the FiBle,ty or -my em IOyees w th w5ges as their YCWmISno t Intend W, 1 pen t lid Business and Or offeredf (Seo 7044oBuslneN antl Processions Code!TM1a 1 l `antl'hptedions V /sNN 'C t t Ll Ln 0 s n and Wh to a 1 i elf Of r builds - p be on, d Who tloe M1 kill 11 or ui p re mol t e en building Ih ge for on em IO Isis. prohowe however. ,Imended offered or sale IL however the D -Ie g t ill ISmid -withers one not build onion ma own III n to f sale). 1 proving he tlld s Dulld Improve for lM1 Purpose Ysale) ❑'I- Comer of the pfpperry. am -ex Ius Iy t Ring Ith IlGensee Contractors f0 ConstNCt the project (Socf len 7044 Business Bell The-Omtmctors License Lew does -hot viPOlY to rain owner of Property Who builds Or Improves tM1amon, and who con .[rads'from h p I Rs-wlsn i ectpr(s)II ed pursuant to .Ihe'Contrac[ 41. Laws [XI -am eef pf - d Se Ilon- NP-ON6 P: C. for th[s 'reason" - 1 1 I I I I I 1 _ _ APPROVED By _ DATE - ISSUE FEE IAPP4CATI _ .- MECHANICAL PLAN CHECK - SUMMARY OF FEES - HEATING SYSTEM 0.100 000 BTU BUILDING - 'r' 11111CTING-' �.. _ BUILDING $ -�.? p ISMIPC -' S 19.09+BTU 1PLAN CHECK § PERMIT' l o f -- - ISSUANCE -$- REFRIGERATION, 0-100,000 BTU _ PLUMBING g SZ:OO "� _ v -SYSTEM-- - - - C GRADIS I LJ§ 0' 100,000+BTU 1 PLAN CHECK § BOILERS BTU 9 OO 1 - ab - i ELECTRICAL g - 1- •PLANCHECK $ MICROFILM§ '- SYSTEM REPAIR. ALTERATION _ _ TOTAL FEE§ E%HAUST SYSTEM MULTIPLE MECHANICAL § •PLAN'CHECK S- I LESS AD H _ VANCEPC -§Par- ! •' Nor - ... .FINAL FEES 21.2m F ISSUE FEE- - Data - Owner _ I hereby WStfythatIIM1 read the application and tate that the above information - t gr t ply Ito II 11y U County E a d state 1 vs Platt gt t tl dh byou tnorae .n. pBa Sall ys�µl tltltY s enter upon t}i¢ above tan[loned property- ® f P Z/( ;Signature PI r ,Ori,N License or SII 086546 WhIsYBuIIdIng:Znary.AP can, mk-Accounting: Golden rod -Assessor CONSTRUCTION AND PLANNING £_,7 yy Date - APPROVALS - - - -- Permit+. Inspector POOL & SPA •, -, - _ - Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn . ; _ - 44. Steel Reinforcement - -- - - 3. Electrical Conduit Utility.-Undrgrn 45. Forms ' 4. - Electrical Conduit-Undrgrn _ 46. Electrical Bonding - - 5. _Steel Reinforce 47. Rough Plumbing & Pressure Test- 6. Electrical UFER Grn -_ 48. - APPROVAL TO COVER-GUNITE - 7. - -Footings _ _ _ - 49. Electrical Conduit-Undr rn - 8.-_ Foundation 50. Gas Pipe, ❑ Undr rn, Test .. 9. . Water Pipe-Undrgrn - _ - 51. Backwash Lines P-Trap.- El Undrqrn - - 10. Structural Floor System 52. APPROVAL TO DECK - - - - --- 11.._ Property Sewer Line & House Connection 53. Backwash & Receptor-Final ' 1.2....Street Sewer Connection _ _ - 54. Heater & Vent-Final 13. .Rough Plumbing _ - _ Final- 14. Rough Electric-Conduit - - -- 56. Electrical-Final- 15. Rough Electric-Wiring- - - - 57. Solar System-Final ..-" "- 16. Rough Heating & Air Conditioning _ - - - -Fencing & Access Approval - 1.7'. Ducts; in Structure APPROVED FOR PLASTERING" _ 18. -Ducts;-Ventilating •' _ _' _ - 60. - _ _ POOL/SPA SYSTEMS FINAL 19. Gas Pipe=Rough&Test 20. Roof Framing 21�. Roof Sheathing'--' - - NOTES: 22. Frame and Flashing _. 23. Insulation - 24. Lathing & Siding - -f y 25. Drywall Nailing 26. Plaster Brown Coat I 27. Electrical Power Meter-Final - 28. Final Electric -- - - 29. -Final Heating & Air Conditioning 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Water Service-Final -- - 33. Gas Service-Final 1 34. Solar Domestic-Final 35. Landscape Sprinkling System - 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING- ' 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No- Date - - 3sU5 ���oCc.Ct�a�., - P16592 MISC P 202 1 16730 GAS SERV 33100'8 M 57ig/73. Interior alter. — PC; 2-885 ?12,360 o �� Fan,fixtures,outlets, ',� t %iswitches M32178 a/� 7/System repairs — 3505 CADILLAC AVENUE UNIT L5 i —3505 CADILLAC AVE. Unit 0208 ........... AV M 3505 CADILLAC P201 Jacket #2 Y101 BEI -19394 INT. ALT. $12,000 _ ?� S� PC4401-87 (P201) ®, BME23358 PC 11k_§6A $17,500- 6-- `-Yl. 3505 CADILLAC AVENUE UNIT#O 202 3505 Cadillac Avenue &..i UNIT N3 _ W CADIT-TAC 3505 N-4 I K BP16687 INr ALT $51,000. _ 1 _24"5 PC 320-845 _1 I P-5055- Pte. (B-5019) Unit N-4 j 5'1 16780 DlX 8-5019- „ inter. Alter. 22,000. m N3 m Unit N-4 _ .17234 FAU/WPR HTI? _ E-5061- I'l5/dY �t•45019) BP16687 //li��S - P Ib7� �� M-5246- Unit N-4 - E-5627- ��. (Worklth) - I1)�SY Dup jacket — Unit N-4 _ — 3505 Cadillac fY201 �B2493p 516- 6s — _ pC g/a8/8� 3505 CADILLAC AVENUE UNIT#O 202 )IMi�ife\La-7i3 3505 [flit N-3 Lot 14 284- 74 r/I} Omm, Bldg. 223, 668. Unit N-3 395- 8Gt/IrPLBG•(B-2284) 2651- 9/3e/8d IIBC• (B-2284) Unit N-3 BLDG 0 I r BME18022 INT ALT $.4,000 a`�h19S 0203. ; E18228 OONSTR POLE 0203 I � E13194 $� MISC. - '� � #0-203 I ti18218 aI'�Slfs� KTG #0-206M _ g 8 (0-203) _ 620036 INf ALT $8,400. PC4476-85 Br 2,) A LT i, 200 J L o3 ff (,t,,,Z.s L) -/03/P-03 moa 0-3 I � - B16906,�u 8 TEN rip $25,000. ac mus 8y4 0103 tME16 92 NIX - 3l16.- B16906 0-103 � r -X717425 misc BLDG 0 I r BME18022 INT ALT $.4,000 a`�h19S 0203. ; E18228 OONSTR POLE 0203 I � E13194 $� MISC. - '� � #0-203 I ti18218 aI'�Slfs� KTG #0-206M _ g 8 (0-203) _ 620036 INf ALT $8,400. PC4476-85 Br 2,) A LT i, 200 J L o3 ff (,t,,,Z.s L) -/03/P-03 /.�_ M, —3505 CADILLAC SUITE 0-207 / M B30388 Demo Int. non- PCt)614-87Searing partition / M —RE1430387 T.I. $4250.'02 PCk614-87s /olaoti/�% J CADILIAC AVENUE 3505 Unit P-2 Lot 31 - B-2296- pjy�dy Cann. Bldg. 116,809. Unit P-2 P-2407- PLBG.(2296) _E-2663- y/3a�PY ELEC. (13-2296) unit P-2 M-3772- IlXy(y MEQ.'. (B-2296) Unit P-2 D-4836- 'r(,f/dr Inter.t -102 22,099. M-4840- l HXH.(B-4836) P-102 M-4871-�0110Y MDji.24836) Unit E-4911- joAt-10- Er . (B--4836) Unit P-102 14-14275 MISC. (UNIT P-102 ISM rE14694 S gV TEMP PWR POLES Q.1 _ G16187 INT ALT $41,600 _ 1110195� PC62084a Q 202 I G18023 I S INP ALT $30,000 A\le $ 0209 18227 OONSTR POLE 0204 r M18217 HTG {i0-204 _ M 7225p (B56995) _ Z//� UNIT B2 CADILIAC AVENUE Unit o-4 B-2288- yds/8�- Com. Bldg. - Unit o-4 P-2399- PLBG. (B-2288) E-2655- KE . (B-2288) - Urdt 0-4 M-3764-1141,, MECH. (B-2288) _ Unit 0-4 3505 Lot 36 - 93,869. B16907 TIN INP $25,000. - pc 9-85A 0104 PME16990 MISC B16907 o-104 m in 3505 Cadallac o 205 — 331967 Interior alter. — PCi41-88s ?16,000 Fixtures outlets,switches- 1432177 _ D/17/gPstem repairs B56769 PC#1144-92 S UNIT B-2 P56771 UNIT B-2 (B56769) E56770 (B56769) UtyIT B-2 m — 856904 PC#5141-91 L — UNIT H — E56905 UNIT H — M56906 UNIT H — Y-9 Y E56996 (B56995) UNIT B-2 — — P56997 (B56995) UNIT B-2 — f B56-9-95 (B56769) UNIT B-2 Applicant to nil In an spacer within heavy border lines and Sign all appropriate 'CITY OF COSTA MESA ' PUPIMITNO. TRACT NO. - LOT NO. BLDG -NO. - - - - 'CONSTRUCTION PERMIT /"( ]73$Z IP -7.. TYPE OF CONSTRUCTION AANEW 11 ADD ❑ ALTERATION ❑REPAIR ❑LPNV ERSION ODEMOLISH,_ YSY 6622 1 .-- - - 6/01/82 — - 21[00 Project AddinalAvenue 3505 Casdillac Owner 3 ' I - Phone Address Q'j-bdye St. ,Shite 760 El _ -ZONING REGULATION$ ArcM1lEn . License Nd- ONe OIt Beach OTHER A.P'gr OF'WO_RK r AddressDESCRIPTION _ �„ rp ., - , � 'ZONE :00ntreRDrTheppi31air;-IRC.Phone 283958 TYPEOFIP,EflMIT - _a "- - n .. 1 - .. ❑ GRADING -- ❑-FOUNDATION - STRUCTURAL - "CJ TENANT -❑,ELECTRICAL-OPLUMBING �41ECHANICA i SETBACK -. . .PROPERT�I SIO YARD --- - LS IE4y {{pp gp�VJ�I��ppI G- _ NE' -4. - i Address -' B-FOCIEIO AVe. 'SOES'MORte '.- LICENSEO.CONTRACTOR-OECLARATION - I hereby affirm that I am IlwnuO Under Provi lOni of Charter 9 team- s : ,,: " " - RIGHT _ - monelnq^ Ith lion -70001-of Division 3 kine Busne33 and It I9 In fUl form an tl (fact., :' OTHER REAR vgRp TOP/1-1 --'- _ - profess lons Code, and my K PROJECT DESCRIPTION LlceAeC1a53 - 6�1 Se 00 j - - 1 SQ: FT. -� ( PKG.SPACEREQ ." STREET WIDTH -„PROVIDED, PARWFEES Date---R'f1Q/C3-SlgnD re '-' S rr( - t WORKERS' COMPENSATION DECLARATION ': -OCCUPANCY' CONSTRUCTION TYPE _ - 'ZONING APPROVED BY-' 41 hereby' eflllm IMC have certificate of to Self IniYle d ,VALUATION ZONE laonYnl C rt111U3[ OI Workers' Compensation Inst nu, -OP d BOrtIfIW copy GRADING CU.3YDS. ACRES ¢- — J ' REMARKSPI - ' _ _ '- - - --Assai _ __ _ ,SPECIAL CONDITIONS -- - - -_- ._ _ - - _ __ ” - persof(Sedlon3E0o Lab C.1 I theyNo wpRllHhd9d-Comcany FTPMOR -TDA mn1 v J-GNlfleb COPY IS nOrObYJYrnI6n00. �- Ce111fletl copy 19111etl wltM1 tM1O City BUINIn9 Oi vlslon. V EXEMPTION -FROM -WORKERS' COMPENSATION DECLARATION beplated 1$20 talon need Fat be completetl'N ma permit l _I in na a I -. .A3 t I. IEi0o1 Or le PLUMBING ,-PLAN"CHECK - - -- ELECTRICAL- - - PLAN CHECK - 1 certify Inst i tn'p 1 to an // At b t 1 rman lie work f n Issued, I shall t PI y any sea Workers' Wmpen it is of I or -__ __ BATHTUBS - SHOWERS "- - YFT FT -- Subjecttoto . f`a Dale S/20/62 $IgNtYra NOTICE: 11 i5[ef king tM3 tlOCNntIOI, should beC0Ma sU018G TOILETS, ., f: URINAL$ -' - 'GEry ERATOR - 0-1 KW -1-10 KW" ' t0 [N WOIke1 Compensation provisions BY1 he Lebon Code: ySu must (TRANSFORMER , a forthwith comply with Such Providing OI this forms Shall be deemed LAVATORIES DOUBLE LAV$ 1' APPLIANCE 3030 KW_$O �'KW- - - vOked.__. - CONSTRUCTION LENDING AGENCY KIT. SINKS - DISHWASHERS - .MOTORS- ---O-I-HP- I;IOHP' 1 hereby affirm ilial iM1ene I5 a construction IenOing agency 0e the per- SERVICE FINKS --(Y SUMPS - 'j '- — �IINL,SOLARI._3030�HG yl_6 EO v HP. • _ _ _ lormance Of the Work nor which this Permit Is Snake (Section 3097 'FLOOR SINK$ v -FLOOR DRAINS'- �- ';FI%TURES-+� OUTLETS SWITCHES... Civ.—C.).- - --- - LentlerS Ns ' ^ - Lendar'1s AbO T 'ORINKITSINGFOUNTAINS- '� --' }--�- GA34UBE-SIGNS- - J OWNEFBOILOERDECIARATION - - �- -'d "n-- in '^INTERCEPTORS'"" "CLQCIPHERS \. - - ""- ':POLDL-IGNT6�� - -' hereby affirm that 1 -am exempt from the CAnV LOIY License Eaw for "SWIMMING POOL^' -'P TRAP --" - 'POLES -'" --METERED .SUB ' tne'lollore n9 reason (Section 7031.5 Business and PIOfeSsionls�Codal City county wn Ch requires a permit to construct alter, WATER SERVICE-"- -ALTERATION-" PANELS - MAIN 3 - SUB - - Imnprore, demfghh Or remitany Structure, prior to Its densities, 9160 ra- Auo-as Ire Dotnam for sato Permit m flee a al9netl statement that he GAS SERVICE-w`_�-CUTLETS - � �'�' -'" 'SERVICE — -- _ -- AMP -- - Is'llcenuaPursuant-tO the pwanYons of -the Contractor's' I-L&MI[-Law (Cnapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS- - 'BTU OUTPUT-' - --' - '- - -- -- - -- ' Budgets and antl FOIasLOOs Code) or -that he'IS'exempt therefrom and me 'data for the alleged exemption. Any violation Of Section 7031.5 by - SER'CONNECTIONS' - - - E'W -- ' - -'- -- - yapplicant for - PerrotSubjectsthe ppholm -top civil' Penalty liive Of of more than hundred dollars ($5001 n SOLAR TANK - "" -COLLECTORS i - - - - ---- -• Oft in Owre al the property employees - loyees Milt wages as their sole Compensation. w1h no the k a the Structure Is not Intended : '- Or oflere0 len sae. (Section 7096, B and Moleseans Code The _ SOLAR PIPING SYS. - - "- - -' "' j' ISSUE FEE— CountraCtitir'S-LiCensc-l-faw does not apply[ f a rugunty no builds Or improvestherentin, Slid Whod*eS Such Work himself - _ - -ISSUE FEE �'- APPLICATION APPROVED BY - -- DATE. thrOugh n s 1 Y lad that b improvements of 4i 'tit _ _ _ _ _ _ _ _ -PLANCHECIe - -SUMMARY Intended or.off d e h b iltl Pr nt it MECHANICAL OF FEES old with v f Completion, t n thermal_ f proving n dill t b Ila P 1 - lM1 P P -f 11. _ NO TEM BTU '- f' BUILDING- _ _ _ PERMIT $ .a 5 El 1, as -ow 1 to P poly- I lyContracting Illy INII DUCTINGI r i' - i ; L Licensed contractors 10 construct theproject (Section 7044,Business ]00,000 v BTU lone.0 IPLAN CHECK $ PERMIT F 1 antl-P101ei61 Count The Co t cloys LI<eOaO Law 0004 net dpply.[O - - -- -ISSUANCE. _S owneran of property n builds Or Employes thereon, and who con- REFRIGERATION 0-100.000 BTU PLUMBING $ I tracts from- M1 p [ Ith-a- ntraclon(sl Reened. pursuant l0 -SYSTEM - - - - - [J I�Q -` GpADING:"E SN Contractor's ]U0,000 a BTU RCAN CHECK $ under Mellon ❑ 1 am eaYmP[ andel SBCtIOn "Bf@ P; C.-1Or lhEs - BTU ELECTRICAL E - -$ reason BOILERS SYSTEM REPAIR, ALTERATION 1 - - JPLAN'CHECK $ MICROFItMy '- D t Owner MECHANICAL § � TOTAL FEE $ by ly that lr react this appliatic and Statetha[theabOW EXHAUST SYSTEM MULTIPLE Ip AD- 14 r II t core t'I -agr to ply to all ity antl county PLAN CHECK $ Vp CEPC '$ ^Is dl dsa[¢IM1W la ng1f0 OSUu Ion and hereby authorize -Y f i� 1 .. - - - pnesen t ver- of 1 City to) tar the above coned .propar Ins ealpur as FINAL FEE 'QD $IBOa1 Yl •G Date 5/20/B2 § - ISSUE FEE Drlv¢rt' LiuIRZ of SS Si— CMF 086545 White-eulMmg; Canary.Apnllant-Pink-gccoum Ing: GOlchnrod-Assamom .o� CONSTRU6TIONIANDPLANNING��-7-�y-�1 APPROVALS Permit Date Inspector POOL&SPA -- _- APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3.- Iectrical. Conduit Utility-Undrgrn 45. Forms 4. lectrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel em orce 47. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE ' 7. Pootings 49. Electrical Conduit-Undr rn' 8. Foundation _ 50. Gas Pipe, ❑ Undr m, Test , - 9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap, El' ndr rn' 10. Structural Floor System 52. APPROVALTO DECK - - - -- 11. Property Sewer Line & House Connection. - 53. Backwash & Receptor -Final - ' 12. Street Sewer Connection- 54. Heater & Vent -Final 13. Rough Plumbing _ 14. Rough Electric -Conduit - - 156. - Electrical -Final 15. Rough Electric -Wiring -' - - 57. Solar System -Final -- ' 16. Rough Heating & Air Conditioning - encing & Access Approval - 17. Ducts' in Structure _ _59. APPROVED FOR PLASTERING'-, 18: Ducts, Ventilating 60. - - POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test - .. 20. Roof Framing - - - 21. Roof Sheathing- - - NOTES: 22. Frame and Flashing 23. Insulation - - - Z 24. Lathing & Siding - 25. Drywall Nailing -_ 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - 28. Final Electric - - - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test - 31. Final Plumbing - - 32.- Water Service -Final - - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landsca e Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison, \ ; 41. Gas Release to Southern California Gas Co. - 42. ' CERTIFICATE OF OCCUPANCY No Date me Applicant to RR in an spaces within Mdvy border Imes and sign all appropriate doctoral ions. CIT90UF COSTA MESA PER IT $ TRACT NOL LOT NO. BLDG- " "` -7662 9/17/62 ' 7e00 CONSTRUCTION PERMIT a TYPE OF CONSTRUCTION O NEW ❑ ADD. (%ALTERATION OCONVERSION ODEMOLISH�'*f C. - - .. .. .' s•. t•I - , Pmiec[Address /j julj ria<ne Avid. Owner O-' w.dn:a< .a,vTy'C¢6 Phone %�V¢ Oji% '❑'REPAI Adtlrea /`30/ STTB-%be R OOTHER I ZONING REGULATIONS l 'AichlEn9.'/.JJdsKr OORr /3nnW Licenze NO.- -" - _ K DESCRIPTION OF WOR _ _ y ' - ,TYPE OF PERMIT Fo. --- - -' -BUILDING OGROF PERMIT VNDATION 'Q STRVCTV RAC - 'O TENANT D ELECTINGAL� OPLUMBING OMECHANIC wP ...' ZONE '.PLNG REF ryf - " ap BVIl�pIryF. ' SETSI N'CIL T FOPERTY LINE 3 _ - YF0.D - - - yl- - Address ._ ._ - _ _.._. 'Contnttdr��� ALnec, 'e '"- Phone/1 =% 1 . Address /"2 ajp yry+CQn S r q-Mo.WJIa LICENSED-CONTRACTOR-DECLAflA 417$5 - 1 hereby affirm in..t t am licensed unser provisl ps I Cl"The 9 (Cl -DINGO Or F, Ung with section ]0001. Of of the Buslmess d R'OIBYIam COEe, and y Ilxnse Is f ! IOr d effect. OTHER - • ) REAR VAROITO P/L) _ _ -' ne - PROJECTDESCRI13`l - - '- -- ' Uoense Cl ss C -2e i(`i�- 1 KG; SPACE.PEp PROVIDED; Dale. 9re I STREETWIDTH PARK FEES WORKERS- COMPENSATION OECLARATIOe OCCUPHNCY CONSTRVCTION.TYPE ZONING APPROV Bp 9V DATE I hereby affirm that I have a Certificate of Consent to ulNnsure or VALUATION ZONE rOFcate f Workers' Compensation In r certified copy- o SPECIAL'COND -- Ohio on 3Bn Iib. C1.) y' ,yam GRADING CV YDS.ACRES t T ONS. Policy No Fe be ❑ Cert111M CPpY Is hereby furnee - REMARKS ;P,aol � � 1- ®Cernllee copy 15 filed with the city Building Division. - _ EXEMPTION FROM w6AKERS' COMPENSATION DECLARATION (TMs section Bed of be,complet061f insworry s for one hundred _ _ _ r "-' r \ s < - - - - PLUMBING. 'SOA,"�—,4gPLAi•(CHECK' ,ELECTRICA"L IPC N c ECK 1$100? tly.thaiIn memerformancs ai tea Wor n c_n- s. permli or. mauee nail t employ any Person In an a to becomei Sul to he rk a Co//mpene Ion La - \aura BATHTUBS - - SHOWERS ''FT _ W[eSr9n NOTICE If alter making this declardlon, YDd should became sublecl TOILETS] r(: "`URINALS-" - GENERATOR-pl HW��3 'TRANSFORMER 30 KW to the Workers COmPensatim provisions Of the Labor Code, you mus. - :forthwith Comply With SLCM1 provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS ` - APPLIANCE- JU 50 KVd-50 a KW - revorkee. I - -.... ._ KIT. SINKS - --DISHWASHERS-" ': "'�- "MOTORSHP-10.NP CONSTRUCTION LENDING AGENCY copy affirm that Thera Iso Construction lending agency for the Oen -rlormanCe SERVICE SINKS ,_, SVMPS -� (iNC''$RS-ATN-"' O-50HP��i0*'NPS-' ..: - L' cel Abe work for Which this permit is Issued (Section 0097 _ FLOOR 6 -RAINS .FI%Tl1RE5"' OUTL'Et5'. SWITCHES - "-- CIV CrFLOORSINKS Lemsers.Name. 'Lender'S Address _ _ ORINKING FOUNTAINS 1• -'� -_' ""'- � GASTU9E51GN5, _ r' INTERCEPTORS CLARIFIERS �FOLE LIGHTS OWNER BUILDER DECLARATION 1 h by ifs that 1 pt from Ins Contractor's Liberal Law for -fellowing- - " -SWIMMINGPGOL PTRAP`- POLES stTER - - r. O . SUIS th(Sed - 9031.5 Business and Prolessfuns CObe. Any City O y requires a permit construct. attar WATER SERVICE - ALTERATION' PANELS -'•" MAINL 'SUB- - tlem11T prey Structure. prlar'tO Helega ISS re' b Paa the aplpUm for Such permit to file a signed Statement that noC. GASSERV CE- OUTLETS SERVICE? AMP - Is licensed pursuant to the prevalom of%m cantractorY LIAMSS DOW 9 (commenting wiitn Section ]000) of Division 3 of the WATER HEATERS -' '-BTU OUTPUTV't, - - -' - Ichapter 3 sulfOD and Wit( i ans Code) or that he Is exempt therefrom and the alleged exemption, y violation of sectlon 70315 by pass Or thea A SEWER CONNECTIONS - a ppileant to a Clvll penaltV for IIW rmithunsubjed anynoopmo et dolls ar SOLAR TANK -COLLECTORS R I as own . at of the property, Or my emu oyees with wages as their SOIe'cOmpenAUpn, will dO Ihe.work,.anp the Structure Is not Intended 7_ r offered for sale. [Sections 7044, Business and R Ofregions Code. The SOLAR PIPING SYS. - ISSUE FEEL'' wnotra[\Orh ;(cense Law does not PPIY to f.' property APPLICATION' APPROVED BY DATE ' IsuueS O improves thereon, and no goes n k himself Or ISSUE FEE e his Own emV10 ase provided that Such Improvements e not MECHANICAL PLAN CHECK I _ v - SUMMARY OF FEES Or Offered tO Safe.1f, howaw[ the building 1 v wment Is send within one-year of completion, me owner will nave the burden BUILDING - rE I Proving he did NOT build Improve ler the purpose of sale). of HEATING SYSTEM 0-]00,000 DTU PERMIT 3 SMIP - - ❑ ., all owner of -the properly' am-a%Cl ilinlycontracting Nh 7044 ANDDUCTING 7 _ _ licensed Contractors to construct Me project (Section Business 100,000 ,c BTU PLANCHECK 3 PERMIT P and Rofa�Aani Code TneContradors' License LOW does not apply to - - -- -ISSUANCE E owner of property who belief r Improve; thereon, and who can- aacts REFRIGERATION 0-100,000 BTU I PLUMBING { .. - - ISOm Such PraleC6 TM1 OnCIOrt) (teethed pursuant to SYSTEM -' -GRADING f the Contractors License Law) 100,000 t BTU PLANCHECK S u ❑ I am exam of nder Section B. P. C. for this BOILERS BTU ELECTRICgI $ E becameMICRO SYSTEM REPAIR. ALTERATION 1 'PLNNCHECK { TOTAL LM.{' TOTAL FEE$ IDate-- Owner -- MECHANICAL $ hereby eeduy that 1 nave r a tms Spa neatmn a e seas tmtnlnaasove EXHAUST SYSTEM _MULTIPLE 1' LEss AD. •' recti gCv to ly with all Clty d MY PLAN CHECK 3 VgNCE PC S oOformatlOn ole§us and stale la ting to truc[On, and hereby authorize rPur 1 ' nMB.es r I to upon the above coned orooeNv_for m ell ss /I FINAL FEE S Slgnalure ISSUE FEE orlwm ucen s CMF 0865-46 While -Building; GOary-APPlimnll Pink-Acmbmng; 077 CONSTRUCTION AND PLANNING APPROVALS Permit # /�'Y8�1 Date Inspector POOL & SPA •• - �_, APPROVALS Permit # t• Date - Inspector 1. Temporary Electrical Service or Pole 43: Pool & Equipment Location " 2. SoilPipe-Undrgrn _ 44. Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrn _ _ 45. Forms - ,_4. -..Electrical Conduit-Undrgrn _ _ _ 46.. Electrical Bonding _. Steel Heintorce - 47. Rough Plumbing & Pressure Test ' 6. Electrical_UFER Grn __ 48. APPROVAL TO COVER-GUNITE 7. _ ootings _ - -- 49. Electrical Conduit-Undr rn - - - -• 8. Foundation -50. Gas Pipe, ❑ Undr rn; Test - N • 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trao, ❑ UncirgrA, 10. Structural Structural Floor System _ 52. APPROVAL TO DECK -1.1. Property_Sewer Line_& House Connection` _ 53. Backwash & Receptor -Final .12.. Street Sewer Connection - - - - 54. Heater & VentFinal _13. Rough Plumbing _ _ _- - .- 14. Rough Electric -Conduit - - - - 56: Electrical -Final - - 15. Rough Electric -Wiring - - - 57; Solar System -Final - - - •' _ 16. Rough Heating & Air Conditioning - encing & Access Approval 17: Ducts in Structure_-_ _ _ APPROVED FOR PLASTERING. _ 18. Ducts, Ventilating. 60. -- POOL/SPA SYSTEMS FINAL •" •- 19. Gas Pipe -Rough '&Test _ 20. Roof :Framing' - - - 21. Roof -Sheathing - NOTES: - 22.. Frame and Flashing 23. Insulation - 24. Lathing & Siding ' 25. Drywall Nailing - - 26. Plaster Brown Coat 27. Electrical Power Meter -Final ' 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test - 31. Final Plumbing 32. Water Service -Final - 33. -Gas Service -Final 34. Solar Domesiic-Final' " ' 35. Landscape Sprinkling System 36. Sound Attenuation I ' 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING i 39. Special Requirements Completed - - - - - 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY " No Date v Applicant to fill in all spaces within heavy border lines and sign an appropriate CITY OF COSTA MESA P MIT Ng4 TRACT NO. LOT NO. BLDG. NO. - 1,2OD O/II/02 77 CONSTRUCTION PERMIT --,:- TYPE OF CONSTRUCTION PLNEW 0ADD 'OALTERATION REPAIR OCONVERSION El DEMOLISH El - - "ZONING REGULATIONS ' Prated Address �. [.(, s Owner Phan $' -it/ Address/.7C/ - ST.SV, 7&0 /sr -O. DESCRIPTION OF WORK A.P. 3 - - ZONE - -PLNG. REF. ie, ' fell Eng /M6i P -License blo. — A 1 Address K $CDmredpr /( .YL (u d"O .C•6t Phonty_ �SC TYPE OF PERMIT• - - ❑GRADING ❑ FOUNDATIOry-'Q STRUCTURAL 11 TENANT Nf ELECTRICAL-�pLDMBING OMECX/W IL Ei A Y RD - " %IDEM - - - sAoaEtl��vN�rv[ _ - -- - Addrm -' L)�'C. �- LICENSED -CONTRACTOR DECLARATION 1 hereby afflrm'M1M 1 am licensed der pro ISloneol Charter 9 (ColrH - r pIGHT mencinq IM llon-7000) f Division 3-el.the R 'mos d []OTHER .. - Profeaipns Code, and y license is In full fares and effect - REARYARD(TO P/U ..- _ ' "• 'License P.ROJECTDESORIPTION' _ - _ _ ' LICanS�o ass N ;'PKG. SPACE REQ. PROVIDED � pr/ir"/O OetaJJ-f`S-L�a Signature. �- _ �- SQ. FT: - "- OCCUPgNCV_ CONSTRUCTION TYPE STREET WIDTH - - PARK FEES wnPKER$'�COMPENSATIONOECLAR I - -. 'eby affirm that 1 have a ceNlllcab ou ''gent 1 to Insure ora s VALUATION ZONE ZONING APPROVED BY - DATE Rote of Workers r Compensation In rad r Nlfled Copy _. �. GRADING CU. YOS. ACRES SPECIAL CONDITIONS: act (Station 3000, Um. C.). Pollry REMAflKSv "SZ Z;9L " ❑. Cer111ied mpy is hereby furnished- �. ❑ Certified copy Is filed with Me City Building Division. . 1 EXEMPTION. FROM WORKERS"COMPENSATION DECLARATION I sectionneed nal oe compat'd If the Still Is for one bund etl - �" _ 1 `l, n E3his 1 C - -luued ertlly'that th De 1 f tb ork fo rel h the permit 1 I ha oy anyp 1 any m* t bec fuoleCV It t'a WorkRPCtmce Sell ldw5, 01 Call/O fila. "r PLUMBING '-y-*PLAN CW6OK RICAL -- ""'PLAN CHECK _ ___ _ _ __Date -BATHTUBS SHOWERS "en re( Sg Py this NOTICE: IIdeb*making MIf declination. *Labor TOILETS ,.URINALS - - - RATOR pg KW -1-10 KW Cotl Code, YfuM ust rs' ComteInch f01hwith SFORMER L nd. co bit doemuzl fprtM1wllh comply Colts such proNnon3 ar [hli parmlt shall b0 deemed p ovisions o this permit LAVATORIESDOUBLE LAV$ 1- MIGENERATOR ANCE 90-50'KVY_50 a KW-rvkeO._ s -_-.-. _ CONSTRUCTION LENDING AGENCY r KIT. SINKS DISHWASHERS' -' RS D3-Xp�l-ID XP1 hereby affirm that there Is a construction lending agency for the per SERVICE SINKS SUMPS' -- - OLAR) 1040 HP50 a HP.fbrma to ol-tM1e work for which this permit i3 issued (Section 3097 FLOOR SINKS- FEDOR DRAINS j RES OUTLETS'j-SWITCHESLender's . '- Name - _ -•'�-_. Aaaras _.-•. DRINKING' FOUNTAINS - - - -"UBE �IOerebyaVrmttha SIGNS"LenderY xempt INTERCEPTORS CLARIFIERS LIGHTS"" "�' �' 7 II ameILDER l0romine Contractor's License Law for SWIMMING POOL .."PTRAP - 'POLES METERED V the-fGIMWIng reason (Sedltn 7031.5 -BU dejllf fid Proldrolon3 Coi Any city o County which requires a permh to construct. alter, WATER -SERVICE - - ALTERATION - P ArvELS "MAIN - "• 'SUD • ' t Iceyrave demallsn ar repair any structure, prior to Its issuance. also to ( 11 Os t e0 aprRont Ior aU<n err 11 to file Signori Statement that he "GAS SERVICE +OUTLETS t (SERVICE E" LF qM2 y 11 ns d Pursuant tc the Cray lslours of the Contractor% License Law S.h pt r 9 (commencnp with Section 7000) of Division 3,of the in* bails lirand Ne�gMeOons Codexemption. Any he IS violation m%i$eglptherefrom aeM o 7D315by <WATER'NEATERS"- BTU OUTPUT„ SEWER CONNECTIONS -Of any applicant'for-a"permit subjects the applicant -to -a clHl-penalty Wl mare than IIW hundred dollars (5500). J., SOLAR'TANK - -COLLECTORS"itcOmpenatltn I,ai awn' oI the property, or my employee$ WRfl Wages as Snell' Ill do the and the structure Is not Intended _ or offered for sale, (Section 70aa,rBusiness and Professions Code. The _ _ SOLAP PIPING SYS." - --ISSUE FEE - -"' - - GrimaldolY, License taw does not Doty to an owner Of property Himself �gpPLICATIDN Who bullae Or Improves thereon, and na doessuch work or ISSUE FEE II 1 APPROVED BY -DATE "'"" • tM1mugh LIN own eT loyees, providedchat-such Improvements am fiat isor _ _ _ _ _ Intended Offered Sale. d, however, the bUlldM or Improvement MECHANICAL PLAN CHECK SUMMARY OR FEES . IS Sold.wllhln one ye r / completion, the owner will have the burden - f 9 "M1e tl:d not build for the purpose of cels): _ HEATING SYSTEM 0-100,000 BTU I BUILDING PERMIT ` E' -ol th DrOPe a vclu iwly contracting with_ Ir-as.0 der m 0 _ _ _ -ANO QUOTING f _ SMIp _. licensed contractors to comb Ct the project (Section 7090, Business 100,000 a BTV PLAN CHECK S PERMIT antl-RONSTOM-00d6e The COntdCIOf's-LKSMd LaW d06 not cony tt - - 155UANCE- S ' an owner 01 property who bYlldS or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU 1 PLUMBING s - - )-_�GRADING�� tracts bpm -suck pruptCh-with e-dommoci Ilmsned-pursuant to SYSTEM -- -� - --- _ SI the Contractor's DC¢ri LOW). 100,0003a BTV ( PLAN CHECK f (' ADI ❑I-sire*attempt under'$¢C11on - B. 6P: C. for this BOILERS BTU ELECTRICAL $ �- -'E- SYSTEM REPAIR, ALTERATION ) IPLAN CHECK -f I MICROFILM $` _ - TOTAL'FEE E" Daten OWner IM1ereby Certify twat l have read this application and tele that the**Dove EXHAUST SYSTEM MULTIPLE 1 MECHANIC?L-'S - 'LESS AO- Inlormatlon'Is rrect. 1 agree to comply with 311 City and county •PLAN'CHECK f• -VANCEPC E_ ardlnan<es ono state laws relating [o constr ueti00 and herebynau^norile tooreanail Sal 1 this tlty to' ant u0 n Cite Move Boned property n �or ¢mon ouppses I ZrOL2 FINAL FEF s Slgnam,6 to Drivers' LBedne ors ISSUE FEE CMF 0865 46 Write Building; Gnary-Applicant. fink ACCOUll Goldenrod Ateeai CONSTRUCTION AND PLANNING APPROVALS' Permit #' U(4 ` : Date Inspector POOL & SPA' 'APPROVALS Permit # Date ' Inspector_ 1. _Temporary Electrical Service or Pole _ _ 43. Pool :& Equipmerit Location - - - - _ 2. it Pipe -Un rgrn _ - _ _ 44. Steel Reinforcement - - - - - - - - - 3-- - lectrical Conduit Utility-Undrgrn 45. .Forms - -- - - - _ 4. _Electrical Conduit-Undrgm 46. Electrical Bonding - -- - - - - l_ _. _§teel Reimorce, , 47. Rough Plumbin` & Pressure -Test- -- - - - '- - 6. _,Electrical UFER Grn__48.- APP.ROVA LTO COVER -G UN ITE -' -- - 7. Footings _ _ _ - _ +_. 49. Electrical Conduit-Undr rn' ,.'' "' •' _ .8._ _ Foundation _ _._ _ 50•a. Gas Pipe, ❑,Undr rn; Test- - - I_ 9.__ Water Pipe-Undrgrn- 51. Backwash Lines P-Tra ❑" hdr'rn 10. -Structural Floor System 52. APPROVALTO DECK ---- -' ' - 11.. _ Property Sewer Line & House Cormection- :.` •• 53. _Backwash &'Rete tor -Final'.'. . 12. _ Street Sewer Connection - -- - - - -- 54. Heater '& Vent -Final ' 11. Rough Plumbing, _ _ _ _ - = = - - -55, PI -;tern -. .. _ . _ ... .. 14. Rough Electric -Conduit - - - - - - - - --56. Electrical-Final - •' 15. Rough Electric -Wiring - 1 - - - - - 57. -Solar-System-Final- -16. Rough Heating &-Air-Conditioning - - - _ -Fencing & Access Approval Ducts, in Structure'•' _- - -_ ''59. APPR_OVEDFOR.PLASTERING 181- Ducts, Ventilating. ' 19. Gas Pipe•Rough &'Test - 20.-•Roof.Framing _ .' 60.__POO.L/SPA SYSTEMS FINAL 21. Roof Sheathing- !. 22;Frame and"Flashin -- - -' - - -- - - - "'-' '- NOTES:- or 23. -Insulation - -- ' - - - - - - - a�-rr '.� ..- p' �./ _.. _,C _ _ 24:- Lathing & Siding - ---- - - - - --_" _ .. - - '- ------ -- -- - -- 25. Drywall Nailing -' -• 26. Plaster Brown Coat. 27. Electrical. Power Meter -Final- '- 28.-- Final.Electric. ' 29. - Final wHeating & Air Conditioning - - ' - - •+ - -• - - ' 30i Final Gas Pipe -Test _I ter. • - - 31: Final -!Plumbing t 32! -Water Service -Final - I 33. Gas Service -Final_ "- - - - -� - "_ 34. Solar Domestic=Final ' '" -' I -� '•• 35. Landsca e Sprinkling System - `-' •` 1 36. Sound Attenuation - 37. Handicap Regulations - - •' 4 1 r--- - " ' - i 38. FINAL STRUCTURE-& BUILDING -•'"" ' _ _ ' --- - '' '-' - 39. Special Requirements Completed' -- - - - -' ' 40. Electric Release .to Edison - - - - - - - - - ' 41. Gas Release to Southern California Gas Co. L 42. CERTIFICATE OF OCCUPANCY Date Applicant to Rn In an rwceewrthln heavy border line$ and sign al appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO, LOT Ni BLDG. Ni CONSTRUCTION PERMIT g IT q (O PM 81-380 31 i' Project Address 3585 Cadillac PA tie TYPE OF CONSTRUCTION MCNEw 0 ADO ❑ ALTERATION OREPAIR ❑CONVERSION OOEMOLISH 0OTHER - OB07 t/18/82 483e69 , ZONING REGULATIONS. Owner Phone 7552-3-5 Address 1301 Dove St., #760 NeWPOrt Beach ArchlEng, HiRies-Peters License No. 4285 ESC RIPTION OF WORK A'p"IK - - NONE PLNG. REF. #�1gG - Addicts 11(9 E. AltM Santa %lRa COntra[lor 01tPans COI16tlUCtlt�'t Plrline 576-8 ypE OF PERMIT ❑GRADING R.LOP�STRV MECTIA' ❑TENANT O ELECTRICAL OPLUMBING OMECHgNICq OTHER - _ PROJECT DESCRIPTION pN' - SETBACKL ST. O 51pE RIGHT _ X ' REAR YARD IT /LI aROAP Y LINE r Addf9FOUNDATION- 36809CL PdiIC CA` LICENSED CONTRACTOR IaTOR DECLARATION aping affirm that a licensed oe ntl0/ Provisions Of OM1 Charter Business (cane mTCing IIM1 11Dn Tmy 11se 11 OI 3 f 0 and❑ Rofe3010n0 Code, and my license IS In 1411 /OfCa tl lfeGt R639i ucen's class A License No. SG,FT. fi314 •PKG. SPACE REO. PROVIDED - -' Signature 5 BIKERS' COMPENSATION OECLIIRATION- eby alllr that I have a contribute of consent to sell -Insure ora Wrt111rate f" Workers'"Compensallon Insurance, Or a certified COPY thereof OdIN osiBOB r�C,1. F'y�g�yt IndHR. OCCUPANCY CONS RUCTION TYPE VALUATION j ` al0 NONE GRADING CUL YDS. ACRES STREET WIDatateTH- IZONING gPPROV ED SPECIAL CONDITIO PARK FEES OAT — VV Company Policy No. -Company REMARKS: 0 q I��• Certified copy R hereby fUmUldli QLChrNllen Many N Iliad with the City eldmmp Dlvldon. _ HOLD FOR SPECIAL .REQUIREMENT: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TMT section need not be Completed it the permit Is for one hundred _ - 1EM.r"fy thali% mol OnfOrnli Of the Were for WNCIS figs poor Is Issued, shall not employ any person In any manner o as to become Abject to the Workers Campensation Laws PI lor la.. Oast panroor PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS NOTICE: If after making this declaration. Y should become suldect to the WoreersCompen5dtlon provisions o1 the labor Coen. You must forthwith Comply with such provisions of this Permit shall be deemed TOILETS URINALS LAVATORIES DOUBLE LAVS GENERATOR 0-1 KW— TRANSFORMER 'APPLIANCE 1050 KWi+KW 1-10 KW ONed. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the per- foflmnte aPthe war wMcM1\IM1iS-per IL Is ISapd (Section 309 )� KIT. SINKS DISHWASHERS, - SERVICESINKS SUMPS -it - • MOTORS 0-1 HP�1-10 sLINC. SOLARI 1050 HV_50+HP - HP ' FLOOR SI INKS FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES - ' CIT. C.l. 'r Leoderfs'NamO. We116. Fa= -Bank LOnderts Against, 66011�r.Rzict(5cttl-Pr TiY_a Milli. OWNER BUILDER BVImD^R at I am eke ptlfrm the-CDntmutwq License Law for DRINKING FOUNTAINS t GAS TUBE SIGNS �INTERCEPTORS� -yCLIARIFIEflS, POLE LIGHTS' SWIMMING POOL PTRAP �. "C" POLES METERED $UB [he IOIIOWIog re050TISectiart 7031.5 Business ndP/ofessioni Code: 1tl[YO/ - i1tY•WIII<II reg Yh¢S d .PCr,n1N t0. OO VYCt. all¢q. g do MON or r0pa r dny sl r uCi YrO pr Or to Lls Isuance-aria re. ,!y the apolldenl for SYCM1 pa/mILt0111e i slgneO 5ldl0ment'tha[ M1e WgTER $ERV CE, [ FLTERATION PANELS MAIN SUB GAS $ERV ICE OUTLETS - SERVICE AMP t d pursuant to t he WrOWtlons OLIN¢.Cpn[radors Licenso¢.law ICS, apt\9: Icp m!n[Ing IIM1'$ec at 7D00) Df'Orviaon ,3 I, lhn, 6 and Profs3 ons Cada) a IM1et M1e IS eaemp[ thonhom antl the bails for tha all"No 9 em at i on. AnY VlolatlOTol 5¢cllo_n g031.Sbya WATER HEATERS BTU OUTPUT • — NSEWER CONNECTIONS - ' anynapPTle nl top0 r mi tV S u bj a ats tM1e p�LlWnt 10 a MiVll penal[ys 1 of re than five buntlred aollars 155001. _ $RIAR TANK L I _COLLECTORS " SOLAR PIPING 545..... ISSUE FEE - I, as' owner'ol the drops Iy, of my am0loyeez wl[M1 wa9os a3 thah agile am pe w111 d0 the work, and IM1e ibuRure is no[ In[endetl offered for sale (Section 7044, Busioe55 anon oalns£ons Code: T,Ne ConitocmrY Ll To ToOfW i0ea n 1 apWly [o w er Oita prOdCrty ne balla5 of Improves thereon, an0 M1D tloes such worN-Nmsell'or tM1roueM1 M1Is own em pia yeas, pr ovl d e d'[hat Su[h'Improvements'am nal ISSUE FEE APPLICATION APPROVED BY DATE MECHANICAL PIAN CHECK HEATING SYSTEM, 0`200.000 BTU AND DUCTING IOO.ODO +BTU REFRIGERATION Od0000+BTU SUMMARY OF FEES BUILDING PERMIT g 7S, SMIP $- PLAN CHECK E PERMIT ISSUANCE E PLUMBING $ IntenCeg or off for, sale. IL however. the bulltling nlmprovemnnt Is Sold WHhm one Year of completion lne`ownn wNl nave`mCob Smen f proving he did of build or Improvo_mrcthe Purpose r ale). O h a of Ih¢ property, a ndus)vely conlracUng with' contractors to construct the prole[[ LiondinLaIteration es Mot Business to ane wner of oCode: The In lid or I proves Law does a Motapplyc to and an I Peroj who builds or Improves thereon, and who n- et tracts ntrig ar cense s Ilea a contractor(s) li sea d pursuant o the Contractor LIC¢OR Like). SYSTEM - 100.000+BTLL PLAN CHECK E GRADING .E ❑ I am eMemPl under nasi B.6 P. C. for this redSOn BOILERS BTU - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE ELECTRICAL SPLAIN E MECHANICAL MECHANILgLELESS PLAN CHECK E E MICROFILM $ TOTAL FEE VANCE - VANCE pC E_I FINA Date Ow I hereby certify the this a If often and Slate that the above ordinances is e g 1 a to c m ly with all city and county hi 4[ o ft do aberebyau^ffened, rforgecol datof upon`tI1C bOv [IOZ property Il Of til sr Property 1 r. edl 519Oalum Orlver['Lkan 55 V5 ISSUE FEE CMF 066546 While-Sulliing; 5jnary.APP0001t; PInWAri I; GolOamod-Ali CONSTRUCTION AND PLANNING APPROVALS Permit # {O Date Inspector POOL & SPA _ APPROVALS- Permit # bate Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms _ 4. ­57-tee Electrical Conduit-Undrgrn 46. Electrical Bonding em orce 2-�.-�'a,. 47. -Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings ,�-�_.y-.;� ray 49. Electrical Conduit-Undr rn 8. Foundation - _ -Yvi 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap,❑ Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK 11.. Property Sewer Line & House Connection 53: -Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing - 14. Rough Electric-Conduit -56. Electrical-Final s- 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning 58. Fencing.& Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: wp-- 22• Frame and Flashing _a_ga 23. Insulation _ } %N 24. Lathing &Siding -/•5-63 25, Drywall Nailing . 5� 6-df-Qa rY✓� 26, Plaster Brown Coat - '),l 7-9 2 27, Electrical Power Meter-Final -d - O- 28, Final Electric v " c2 29, Final Heating & Air Conditioning 1 " 9a 3 30, Final Gas Pipe-Test 31, Final Plumbing ,23- 32, Water Service-Final 33, Gas Service-Final G-S-19 ;L 34. Solar Domestic-Final 35 ' Landscape Sprinkling System 36. Sound Attenuation 37, Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39, Special Requirements Completed 2 - 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - Applicant 10 fill In an spaces w eavr bemm lines and agn all appropriate aemmno05 CITY OF COSTA MESA P R IT N9� TRACT NO. LOT NO. - ICONSTRUCTIONPERMIT 0O—Ll .f614 6/01/82 2. 0ILI . Project AddrMarnAillaC DDB TYPE OF CONSTRUCTION ANEW O-AOO °EIALTERATION '- 1 ' t.r '• t Ownerr ners-Phone ❑ REPAIR 6.CONVERSION,OOEMOLI or, ' - ( - ' ZONING REGULATIONS rAddRR 3ferpie St."'Suite 760 -- ' D OTHER. DESCRIPTION OF WORK - - TYPE OF,PERMIT .. - •-1 - - Cl GRADING. .`❑ FOUNDATION 'O STRUCTURAL' O O� OPLUMBING HKIECHANICAISM A'P'; 'ZONE - SETBHCK C YARD' _ PLNG:-REF.$,, a��UFI LDING - . P RTY Lt NEf - .' - - ArehlEn . License No. 9 NE Yt BE8CI3. 1AtltlreK - - - _ Contractor T1eTtlldlElY '3nC. - - Phone283-898 r ALEfRs - D O-trerO Ave. S0; El Monte" LICENSEp CONTRACTOR DECLARATION oY affirm Shat I am Ilan cad 'u der provisions1 Charter 9 ( m- e TENANT ELECTRICAL' • - ' ❑ T theInq itM1 cB 7000) f jDmis on 3 I tM1 B l o Holes 3 Cod d my license Is In lull force and OfN[ _J OTHER REAR YARD [TO Pi _ - mS,R PROW ECT DESCN IPTI ON _ _ UCensOClds • ylia N PKG.SPACE REO PROVIDED : - Dale V'V`a Sq FT: F ^ -' I - STREET WIDTH PARK FEE COMPENSATION OECLAflATION CONSTRUCTION?VGE - __' 'BV � -OHTE I M1eraby all tM1 l I have a cert fltlle et COO t t 11 YIe Iher1...One VAIUATION r - VALUATION ZONE - 'ZONING APPROVED . ; � r. 4 O Wa/k s Composite Infuren<e, 01 0 <ert1110d py 'tnereol _ _ _T T 'SPECIAL (Ycl1on 3800 Lab.Cl r policy NaR11'611GgA"fpmpanY GRADING CV Yp5_ I --ACRES CONDITIONS -h. _ -�_-- O Castilla COPY45 hereby fumisM1eC.« 1 -pEMARKS a^-1-.Za.�. � _ _ Cestifled CppY Is flletl with the city Bu Itllnq DlrYlen. j .EMPTI ON FROM WORKERS EOMPENSATION DE[L"ARATION' - 2 (TK ttl tl [ b mp10[atl I i CI 1 IE10011Y.Iha[ con"s 1 th P f nce,ol h¢.work I FI IM1 P I 1w dl 1 nail t a b PLOMOING �_PLAry CHECK t` PI y v cats v BIBct4p.th W k rs Cpmpensat nws�Ol If- yA ELECTRICAL' vLAN CHECK-ii BATHTUBS SHOWERS - -- j- —" pat S� G�3lgnature NOTICE 11 after making this declara[lon, you sh Id b bl [ .TOILETS; n •v soURINACS -' -- GENERATOR - p_y I<W=110 KW to the W 'kers' Campan tion Pro Wslons o11M1a LaM1or Code, you -mus[ forthComply wI h aUl PrOVI310050r IM1If pprMR sMll be tleOmOtl LAVATORIES DOUBLE'CAVS - "'- 'TRANSFORMER 'TAPPLIANCE 10-50-KWl+-Ky �- - odogEeE fONSTRUCTION LENDING AGENCY ~ -KIT:SINKS --- - - 'DISHWASHERS - y. 1 'MOTORS-'--0-1-Hp_I ]0 HP �- - I hereby affirm that there Is a construction lending agency ler the pen SERVICE SI NKS-p 'UJ/.SUMPS`- NNC. SOLAR) - 10 -50 -IIP_ C ii --50 HP - - issuance of the work for which this permit Is Issued action 3097 FLOOR SINKS. y,-FLOOPDR'A'INS --jFIXTURES--- OUTCETS' SWITCHES' - -- - C CI )�-�" fi-le \ F4.h .. , .. .. , tLe d jJa Le dar'siNdd Ns DRINKING FOUNTAINS - INTERCEPTORS - - CLA0.IFIER$- - GAS'TUBE'SIGNS- '-' -,POIELIGHTS- -�--- - -� - -- - - a- "- OWNER BUILDEK OECLARAP O x- - IM1e/adY affirm piaci am exempt from the Con bactorY Cleaup: _ the -following raison (Section 7031.5 Business -and RofesslonsCode:- -SWIMMING POOL-'P'TRAP' '�--- - _ 'POLES - METERED- - -- --- - U Y dtY Or County which requires a permll to construct, after, WATER SERVICE �ACTERATION' -- - -'- -- PANELS"" -' MAIN -�. - 'SUB- mnprove dem011Shbr'repalr any structure, prior to -Its 'dsposa ,elm re- quir¢s !M1e apLllunt for Such permit to faeaflgned statement that he J Is licensed puRuant'b'to* prOr 1ppns Of the CAnt/atse/'s'Llunw'Ld W" - - GAS SERVICE OVTLETS - ISERVICE- --' _ - _ AMP" (Chapter 9 (Commencing with $ectom 7000) of Division 3 0l the = i -WATER-HEATERS - BT000TPUT- - 9 In¢s s'antl"Roloalong'Corlel'or that heISexempt ' therefrom and the basis for IM1$ alleged exemption. Any sciatica o1 Section 7031,5 oY - SEWER CONNECTIONS anyapplicant' for-a';Wrmt Subjects't the applicant to a -civil Penalty- not al more than five hundred dollars ($500). SOLAR TANK- -COLLECTORS "r - -' --- ---- - - - - - - - - I. • _ lie Property, or my empmyeei wiir wagei as that e clumbousation. Will do lhe.w0/k, and the Structure is not Intended- OF Offered for Sale- (9action7064Summers and Code: The SOI -Art PIPING SYS. 1-- -� ISSUE FEE - T onrofessions U toni¢_Law.does not . pWIY.[O _ w r_ol a property, _ _ _ _ 15511E FEE � � _ _ 1 - APPLICATION'APPROVEO BY-�- 'DATE-��-` Wontraclor3 Improves thereon. whoSuch work In sdoesuch Improvements tM1hobL,lhls or antl x el al MECHANICAL PLAN CHECK f - - --- - SUMMARY OFFEES Intended or Offeree for sale. If. however, the bmldtag r Impmyemom nave Is sOltl wltMn.One.vear of compmtioo, the owner will [neo srden_ .. xl • D8 "i as- did list build Improve for the purpose o! ale). HEATING SYSTEM 0.30p,0000TV I BUILDING -•- ---� - PERMIT E -- _ I, n SET ❑-1, 3'owne•tor AND OUCTING'"' - •r- - _ �� "PLAN __ r.15MIP; 415 ' stM1e-pmpert t O (Salt' 7044,inglill contractors to mn0me[ 'M1e Ore Divi n 7044, Business U Law do e l0 100,0001 BTU ( CHECK CHECK f VERMIN ' and and P - - - - -- ISSUANCE S i and o c owner of Property ha Goads or improves hereon, and who can- wrier f prop sty whobuilds REFRIGERATION 0-!00.000 BTU PLUMBING E. - tracts a conbaeloNs) I:Ctlnetl-pmauanbt0 treCrotom'sucM1-pmle -SYSTEM­ - ^- •- - - - `� �,p RAOIedaOAFF u IM1B Contractor's Llunse llwl. Law) lOo,000+BTU PLAN CHECK E' q / iso ❑'1 Bm 0%¢Tpt Yna¢i Sociis `-'- 'B78 P: C. for this i - ELECTRICAL J ! BOILERS BTL' 8 season"' - " - -'- - -' SYSTEM REPAIR, ALTERATION PLAN -CHECK �'E' ' • -r- MICROS LkI E " y TOTAL FEE Dale - - - - Owner - - (hereby celWythallhavai thiappin:talon and stale that thera0ow __EXHAUST SYSTEM IS •MECHAN I CAL f.a;L3•Y�- --� a E LE55'Ap- Informaton Is correct. 1 gree to co ply ItM1 ill cty and county .PLAN CHECK i - VANCE PC"S_ - Ordna fd tt 1 Y Ilea otiosity tl hwrebyaeu^ stories tetl - f [t�f �t G�nter O-lfi tlonetl I •.^) • rePrese u above Proper 1 p t ILu p 5�20�H2 FINAL FEE E Ot7 Slgna[um _ O to - "ISSUEFEE --- -- �- _- _ , Or vera Llcenu or 55; CMF 086546 While-Building;Unary-APPllcanL Pink-Aununting; • CONSTRUCTION AND PLANNING / APPROVALS Permit# ..3 lP Date - - POOL & SPA - - --__ Inspector APPROVALS Permit - Date --- inspector 1. Temporary Electrical Service or Pole`_ 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn'- - .1 44. Steel Reinforcement -- - -- 3.. Electrical Conduit Utility-Undrgrn 45. Forms .4. Electrical Conduit-Undrgrn _ _ _ 46. .Electrical Bonding- - - - 5. Steel ein orce _ 47. Rough Plumbing & Pressure Test - - . 6.. _Electrical UFER_ Grn _ 48. APPROVAL TO COVER-GUNITE - 7. Footings _ _ 49. Electrical Conduit-Undr rn B. ..Foundation 50. Gas Pipe, -El Undr rn, Test 9. . Water Pipe=Undrgrn _ ' 51. Backwash Lines P -Trap. E Undrarn' 10. , Structural Floor,System 52. APPROVAL TO DECK' 11. Property Sewer Line & House Connection _ _ _ 53. .Backwash & Receptor -Final 12. - Street.Sewer. Connection_ _ 54.- Heater & Vent -Final 13.._ Rough-plumbing."55, Pluinbina System - Final 14. Rough Electric -Conduit , -" - --- •'56." Electrical -Final• 15. Rough Electric -Wiring - - - - - - - - - - 57. Solar System -Final -- - - '16. Rough Heating & Air Conditioning - - -- Fencing & Access Approval .� - 17: Ducts, in Structure APPROVED FOR PLASTERING' \ . :- 18: 19. 20.- Ducts, Ventilating - - - Gas Pipe -Rough & Test Roof Framing-- - _ `60. _' - _• _ -POOL/SPA SYSTEMS FINAL, 21. i---22• Roof'Sheathin - - Frame and Flashing - _ __ -- ": NOTES: - 23: Insulation - - 24. 25. Lathing & Siding Drywall Nailing - A4" ME fir ' 26. Plaster Brown Coat 27. Electrical Power Meter -Final' - 28. Final Electric 29. Final Heating & Air Conditioning • - 30. Final Gas Pipe -Test. 31: Final Plumbing- '- 32. - Water Service -Final 33.- Gas.Service-Final 34. Solar Domestic -Final • s' ' , 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap, Regulations •� - - - 38. FINAL STRUCTURE & BUILDING _-- �---- i - 39. Special Requirements Completed 40. Electric Release to Edison. -- - - 411 1. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No - Date APPlltant to ml In an IoaaM within heavy border lines and Sign all CITY OF COSTA MESA PERMIT NO. TRACT NO LO O.'- BLDG. NO. - - - CONSTRUCTION PERMIT g as s� el-3eb 3 'i-1 TYPE of CONSTRUCTION '. 0798 , 1/15/82 403,14 Project Addreeks 3505 Cadillac Avenue OwOH Phone 2-55 5IXNEW ❑ ADD ❑ ALTERATION 1:1 REPAIR OCONVERSION OOEMOLISH L-1 OTHER ZONING REGULATIONS. 1 Address BEEICh _ 5 ArchiiLicenx No. 4285 DESCRIPTION OF WORK q'P'*- - AEErtl3 Mdrn$ TYPE OF PE0.MIT. •. - EGRgDING ❑FOUNDATION )SSTRUCTURAL ZONE PLNG.REF.gn; SETBACK 5T. EV RO _ 160 Tall I PPOPE Y LINE Contractor3tTi1Ct]AT1 PM1ene 576-24 Atltlras LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL OPCOMBING EMEOIPNIC EpFET 1 hereby aFlIm I a licensed Under provisions of Charter 91mm- RD RIIGHT 74=m Ing with tlOn 7000) f OlviGen 3 1 Business seat ❑ OTHER PYOIe3S1On3 Code. and my license Is In full forced effect. REAR YARD ITO L) ns¢ ryp. A6393 Legally Claim A License DESCRIPTION 424q SO'FT'T(C-ac VN OCCUPANCY CONSTRUCTION TYPE- PHO. SPACE PE STREET WIDTH"- PROVIDED 670 Pi FEES Dale Signature WORKERS' COMPENSATION DECLARATION I thereby alflr Snal M1ave a Certificate of consent to selHnsure ora VALUATION A7� / 9n ZONE -ZONING APPROV ED OAT certificate f COmMnmtlon Insurance, O Certified COPY MSIR' e f15¢atlmNpR�JUSRaI: Preamnt indent. GRAGINGCU. YDS. ACRES iPECIAL CONDITIO WYOIUV,YO' Company yCertified Copy is hereby furnished, - - IS flied Division. REMARKS: P 6 El CeftlllOd Copy with me City Building - - MOLD, FOR SPECIAL'REQUIREMM EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (This need not be completed if the permR IS 10, One hundred -- ,Section I",',`ray 1, 1, Us performance of the wow it toy this DOT Trim Is whish isslued ms bel not emplC0'ompe personation laws of whetherGullorSO as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSFT FACE Date Signature NOTICE: It after nuking this declaration. YOU should become subject TOILETS". URINALS GENERATOR 0-1 KW- 1-20 KW to the Workers' Compensation provisions Of the LebOr Code, you must_ TRANSFORMER forthwith comply With Such provisions or this Permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 HI504 KW revokes. KIT.SINKS DISHWASHERS, 'A _ .MOTORS OJ HP�1-1O 31P - CONSTRUCTION LENDING AGENCY I hereby affirm that them IS a construdiOn lending agency fir she per- SERVICE SINKS SUMPS UNC. SOLAR) 3 .50 HP 504 HP Informed of the work for which the per viii Is issued (SSCU 3097. ± - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS •SWITCHES Or.C)-wordaS Name WRIIAFarI Rink I Lumber's Address DRINKING FOUNTAINS _ , `- J,GASTUGESRUNS OWNER RUILDEROECLARA ION' IhereEY ffnmthOOlamenemptfrom.h CO7hatioNS License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL PT0.AP the fol owing reafhn ISectlon 7031,5 Busln and whummon5 Level city O county which requires a Permit to Construct, altar, .. POLES METE O 5 !in ore demolBh Or repair any structure. prior to its indance,alio re - WATERSERVICE LTERATION PANELS MAIN- for Oul, id11e epjllwnf such permit to file a. signed Stal temem.t hat he �A ' $UB - GAS SERVICE .% OUTLETS - SERVICE AMP is licensed pursuant to the provisions of the Contractor's Llwnse Law 'Chapter 9_ (somnersong an Becalm+;OOO). of Division.3,hf,lhrL 'Inert a0O P Wesaori Code) Or that no IS e%emp(UOrefrophanb me WATER HEATERS BTU OUTPUT s lort0w, alleged, egamGtin, Any.Wolatlon.ot Section 7031.5 by appho nt for permit Subjects thea olaant to'a civil - penalty 1 not. a loan five hundred dollars ($500). / ,SEWER CONNECTIONS SOLER TANK L d, _ _COLLECTORS - theYwi7 and theeStructure not sas IsCOmDanull00 will p is Intendeltl SOLAR PIPING SYS. ISSUE FEE ' h Offered for Sale. (Sectlen 7044. BoslneS3 and Professions Code: TOO Contractor% LiClume 4WId06 not apply to an owner Of ayrODerly who builds or Improves tworom, and who does such work hlmseil Or ISSUE FEE APPLICATION APPROVED BY DATE through his Own emOIOYeOS, Provided that Such ImprOVstrill are not MECHANICAL PLA CHECK SUMMARY OF FEES Intended or offered for Si If, however, the building or Improvement Is Sold within One yer of completion. the owner will have the burden f proving he did not build r ImprOm for the purpose ofsafe). HEATING SYSTEM 0-100,000 BTU per/❑ 1. a r OI the OrOp rty, d exclusivity Po tratting itn DUCTINGIlcenSMs $L SMIP ISAND contras rs to VYtI the 9rolect ISOCHOn 7044, Business 300,000 4 BTU ECK E PERMITantl Wofeulons Cmfe, The Contractor's License Law does not apply to ISSUANCEan r 3 plc rorty Who builds or kw rzves thereon, and who con- REFRIGERATION 0-100,000 BTU G E tracts from SY h Projects Ito rtractor0) IlCO3ned pbrSuam 10 SYSTEM GRADINGhe Contra days License Law). 100,000 4 BTV ECK blam em pl miter SOtibn B.6 P. C. for this BOILER$ BTV -G E ErSYSTEM REPAIR, ALTERATION• LBUILDINGG'� ECK isMICROFILM$Daten - O n - EXHAUST SYSTEM MULTIPLE MECHAICAL ip TOTALFEES LESS AD- ereby certify 8 I` wadi s pomicatimn and State that the above flaw ging 'E ygryCE pC {_ OumorCesnl3t cons) ructlonn anld hereby authirUeECK t thisY enter Upon the son V entloned peopert to, sp rP gI 11shol m FINAL FEE EJ�Ll Drivers' LI of 5S - ISSUE FEE CMFO365<6-Boiiding;CMry-oollunLRnk'ACCOuoRng:GOltlenrOdASSenOI CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 2_ y_ 19,1 aM- 47. Rough Plumbing& Pressure Test 6. Electrical UFER Gr n a- _q31- B 48. APPROVAL TO COVER-GUNITE 7. Footings �_ _q M '49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undr rn 51. Backwash Lines P -Trap. ❑ ndr rn 10. Structural Floor System sc-Pr 2--IS-15x LS M 52. APPROVAL TO DECK 11.' operty Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing _55. Plumbina System _ Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final - 16. Rough Heating & Air Conditioning bd. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathin _ I-$�, NOTES: - 22. Frame and Flashing 23. Insulation �J _ ,•t, - .q -�_ _g 24. Lathing & Siding (o _ (_ R _A _ d 25. Drywall Nailing ,- 26. Plaster Brown Coat - z 27. Electrical Power Meter -Final - 28. Final ElectricIf 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing -2 --b A, 6W D PIgA 32.- Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. 'Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING I_ _$2 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date _ Appnwnl to Ou In all load@$ within "envy border lines and sign all appropriate declaration$. CITU OF COSTA MESA PERMIT NO. TRACT NO, LOT NO. - BLDG, NO. CONSTRUCTION PERMIT E-- �p6SJ p •/ 19135 211 �82� 9l25 " ,�. Project Address J0epaYe,LAE /¢✓I TYPE OF CONSTRUCTION �VLNEW ❑ADD ❑ALTERATION OREPAIR ❑CONVERSION ODEMOLISH 11 OTHER ZONING REGULATIONS Owner efOA1 _ AQl( AGT_ Pial_Si AdEren 0/ 2)AI Sr_ SO. 760 'HS DESCRIPTION OF WORK A.F. ZONE PLNG. REF vE A. .� License N0. AddressdtlreEs L M Contactor eJagerlde00I irtFC. Phune'Zi'f Cj L TYPE OF PERMIT -BUILDINGI ❑GRADINGa-❑FOUNDATION ❑STRUCTURAL O TENANT y: ELECTRICAL OPLUMBING QMECHANIO SETBACK UT. 51 Vggp 19. p t yNE Addrm fil 6,9,411710 LICENSED CONTRACTOR DECLARATION g Thereby affirm MST 1 am licensed under provlslons of Charter foam- Iss9 Illi tion 70001 f 3 f Ibe-Buflnal d' OOTHER - RIIGMT Generale Prole Ions Cotle, d y IIGn IS In full force and Affect. REAR YARD ITT P/L) ��/�� L%rS PROJECT DESCRIPTION _ Lions CI/ise - LJCens Npp PKG. SPACE REO. PROVIDED / /LZ RO,� Xr �Jw.QEfd. $D.FT. Dale ....1VALCIed/.r OLLVPANCY�CONSTRUCTION TYPE STREET WIDTH PARK FET E WORKERS' COMPENSATION OECLAR 1 Iberect elf that ln ensatio certificate of uCalrtifiede Ora &I a VALUATION ZONE ZONING APPROVED BY GATE u-reauM1 1 Workers' Ballon Insuranro, r rolled COPY GRADING CV. UOS. ACRES SPECIAL CONDITIONS: -•y IISacA ab C ) 0,11" C.1. �y 1 ZNG_Le 11?4 NO AJVP4/ JSOrI2/Cished. 'NLN/ lied Copy IS hereby REMARKS: Z, Z91 r e with the' Division. ❑ Ce Is th cit PTIOCopyOI W RK COMPENSATION EXEMPTION FROM WORKERS' COMPENSATION DECLARATION forone tetl not O! [Omplele0 Il the Permit Is IOr OR¢ "Mated �Ele0) 01 less) @III Y gnat Inethe performance of the Work for whit" this permit Is I pen t employ any Penn In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject u Jett to the Workers Compensation LAWS of California. BATHTUBS SHOWERSno, C]le Signal We FT qbO ITT NOTICE: If alt q making this declaratlashould became subject TOILETS. URINALS GENERATOR 0-1 KW— 1.10 Key to lne Worked' ConlopnsDon prOVISIOns Ol the labor Cards, YOU mustTRANSFORMER IOrlhwlth Comply with such previsions or this permit shall be deemed LAVATORIES DOUBLE LAVS *APPLIANCE 10-50 KW -50 a KW CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS MOTORS 0-1 HP�1-10 HE hereby that there 15 a Construction lending agency for the per- SERVICE SINKS SUMPS (INC. SOLARI III HE 50*HP o the work for which Ibis permit Is Issued ISecUon 3097 SINKS DRAINS FIXTURES OUTLET$'LSWITCNFS Cie. ). ry f• Lende,N.Name ,FLOOR .F}DOR _ _ _ _ _ Lender'sAddress DRINKINGFOUNTAINSGAS TUBE SIGNSBUILDER INTERCEPTORS CLARIFIERS POLE LIGHTS II herebyRi/Nrmth9 I ameXamp lfromthpCntractor%License Law for SWIMMING POOL PTRAP the for lowingeasn (Section 7031.5 Segment and Rnf allons Code; Any City a nty which ra permit t0 Construct, alter, Mail 'POLES METERED SUB - WATER SERVICE -ALTERATION PANELS MAIN SUB Improv, OCMQIlsh or repan any Structure, prior la Its Issuance, also r¢- q Wres the apr0ont far such permit to filed Signed datom0nl that be GAS SERVICE OUTLETS SERVICE Hon MFy! r Is licensed pursuant to the WrOVI RMS Of the COntaCIOV S License Law (Cha (Commanded3 of the tion 6 exempt of Dtherefrem WATER HEATERS BTU OUTPUT ell and Cede] or tthat he and the P ,for the alleges eMm IIOn. Any WONallOn Of SOCIbn 70315 by SENVER CONNECTIONS aMermt subjects the to a chall ally forre s IE5o0�tont .'applaTurd a,.,.Ithan SOLAR TANK - COLLECTORS " 1, as owner of the property, of my em loyse, with ways* ai tnair lens cOmmn$mr onwm a0 the work, and tee lure Is lips Intended , a, offered forfiufedorn CokerThe lawodoel 4. using sl BOLAR PIPING SYS. ISSUE FEE J and ljcensa at a operty ISSUE FEE APPLICATION APPROVED BY DATE W00 bulls or Improved RROOn. and who 0005 VCbeWork hIMSelf Or through his own employees. govled that such improvements are not MECHANICAL PIAN CHECK SUMMARY OF FEES v Intended a, altered for ole, If, nawever, the building or improvement 1S Sold within One year Of COmplellOn, Ibe OWner will ban in* burden Improve for the purpose 1 le). ild a 1 proving he did not ue b HEATING SYSTEM P300,000 BTU NG BERM( ' [_11. $ Owner of the property.Ny. am eXCIYSivply COnldCting WI[h HEA DUCTING _ S SMIP E licensed contractors to constructCher prajett [Settled 7044, Business 100,000 * BTU PLAN CHECK 3 PERMIT and Projections Cotle: The Contractor's License Law deaf not apply t0 -' ISSUANCE $ owneran of OapOrly Whobulltle IMPrOVO5 ih*r*On, and who Win- REFRIGERATION 0.100,000 BTU PLUM61NO E ' er tracts fad's such projects with ontradar(sl Rlceaned pursuant to SYSTEM - - � - - - GRAOING 3 the ConlractOuns License taw). 100,000 *BTU PLAN CHECK E < , ❑ I am exempt Under U4000 B.6 P.C. for this BOILERS BTU ELECTRICAL SJ—H—,J i 4 reasoSYSTEM REPAIR, ALTERATION F1 " PLAN CHECK S - MICHOFIIM E' TOTAL FEES— Date_ Owner MECHANICALS - Ihereby Certify that I have road alSaLPACAtlrl and state that lheaboM I hereby EXHAUSTSYSTEM MULTIPLE 'PLAN - Information Is Oct. gree IO ly With all City and county CHECK 'E VANCE VANCE PC i_ ' OrdinancesenestalelawstellingtConsPructlogandhereby authorize representatives' Of this city to enter con boa Toned Properly for c on uroos SignatuFINAL FEE E y,as Ds r Diego'69 yo�� ISSUE FEE -- I CMF 0865.46 White-Bullding:Unary-Appllaanl: Rnk-Accounting; GOldenrOd-Asedual `"0 • CONSTRUCTION AND PLANNING! ' K APPROVALS Permit # L��✓. Date Inspector POOL & SPA - - APPROVALS ! Permit # Date Inspector 1. Temporary Electrical Service or Pole • 43. Pool &Equipment Location - - - Soi ipe-Undrgrn •• 44. Steel Reinforcement - ---- •• - - -- - -- w3. Electrical Conduit Utility-Undrgrn 45. Forms _4.-,, Electrical Conduit-Undrgrn _ _ _' _ _ _ 46. Electrical Bonding - _5. tee Reinforce _ orce 47. Rough PILirribing & Pressure Test 6. Electrical LIFER Grn _ _ - 48. APPROVAL TO COVER-GUNITE - - - 7. _' ootings '- 49. Electrical Conduit-Undr rn B. Foundation- 50.,•, Gas PiPe,. ❑ Undr m, Test - 9. Water Pipe-Undrgrn 51 . Backwash Lines P -Tram El-Undr1cirri - - - - - 10. _ Structural Floor System 52: APPROVAL TO DECK" 11.- Property Sewer Line & House Connection _ 53. Backwash -& Receptor -Final ' 12. Street Sewer Connection_ -' _ _ - 54, Heater &Vent -Final -13. Rough Plumbing- . _ - - - -- 14. Rough Electric -Conduit -ek - ' - 56.- Electrical -Final 15. Rough ElectricWiring - - - -- -57. Solar System -Final - 16. Rough Heating & Air Conditioning 5B._ .Fencing & Access Approval 17� Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating . - ' ' _ 60... _ '_ - __ _ POOL/SPA SYSTEMS FINAL ' •• 19. Gas Pipe -Rough & Test - 20. Roof Framing - 21. Roof Sheathing NOTES: _ 22. Frame and Flashing 23. -Insulation 24: Lathing &Siding e - 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final,Elertric - C.C.. 29. Final Heating & Air Conditioning - - 30.. Final,Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - • 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING " 39. Special Requirements Completed- ' 40, Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. _42. - CERTIFICATE OF OCCUPANCY - No._ Date - Applmant to fill In all spaces except hem within heap' border tines and sign all appropriate declarations. PERMIT NO. TRACT NO. I LOT NO. I UNIT NET roject Address r.rCGd \ppliwnt's Meiling AUIIrgD Undei s Name PM1on V Oona ���1�_-- &� Accessory Building: ach/Eng. Licrnee No. today; oolamr's z 0 Nam national call Idea zv :icy Licenx No. C ICEN$ED CONT0.ACTOR DECLA0.ATION ner¢M1y alllrm IM1at am Ilcenmd antler pray o sol Cbar 1 sating itn section JWei of Dlvlilon 3 01 the B ss and Pr 551 a ode, and ry llcenx is in full lance a led. se Cla — Lic aten sell Signature $ nerebv anmbi �"lnat lwnavea umngemol mnmLl um t elf -insure date (\ f Workers' Campnutlim Insurance, Or a d copy th r cd Section V 3800, Lab. C.)�• PollaY "Z Companc , 1 rc fled copy hereby furnlshm. III ed wlln Me dt;B 1 v Date AOOIita 1E%¢M ORKERS'CO ENSATI N DECLARATION s p 115ls section nem not 0e wmpieted If a o neeit I cr one leunaae IElOo) or" V` maillify that I, Ina verfor not employ any can aon In anyhe work loo as to becoat me subject ubjectIs st the: Workers- Compensation Laws of California.manner so as eco a su . Date ggnature 'NOTICE- If,alter making this declaration, you Should become Subject to the Cooreirvs with Such tipprovssionss1eor mise Permit shall beodeBTBd mnnkee Lenders Name' sandal•$ Address OWNER BUILDER DECLARATION I hereby al that I am barrel D: following reason (Section 7031.5 Bu county which probes a Permit w Cc any structure, prior to Its Issuance, a to rile a signed Statement that he/Sbl the Contractor's License Law (Chassis rereiron em the basis foraine;na tensity oirnot any than applicant elating LJ i ,as owner of the property o Compensation. wilt tlu the work, and for sem {Section Joao, Business or License Law does not apply to an O the:ev and who does such work on weeks y s, convicted that sucn imed rural It, however, the building or Ides PPierce r thewh owner wner Will have) Ins burl Ms t0. WRtrlud the that Pmje t,am I `Secl The Contud(a s License Law 0.o builds OI Improves thereon and whi Vacloros111Cense pursuant.to Ino"CO proof l their Worker's Crimina ll ❑ Tam exempt under series Dae nfoermation tis tcorrect.l a ea to or and state laws xlatl la bur Ming' Sell 5 of this y an inspection pursed Signature Driven' Lican r SS as CMF 066546, rev. 10184 White the 309> Wirt C.) B. as P. C. for this reason 'YPE OF CONSTRUCTION LJ NEW LKADD LJ ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTdO�/�F WggK(US b9L G 'YPE OFP PERMIT /LJGp,RADING FOUNDATIOON STRUCTURAL- ❑ TENANT I&ELECTRICAL IQ'PLUMBING W MECHANICAL [:1 OTHER 'ROJECT DESCRIPTION SO.GT. V&2&JQ OCCUPANCY CONSTRUCTIONTYPE VALUATIONS��OB ZONE GRADINGCU.VOS. ACREE remarks: Vl—Il Lavatories P—Trap Roof Drains Reinspection Fare duller Dun - Under prod Duct -Structural BTU T`� I Reimpection Fed nk -Accounting: Goldenrod - A5Ysher Showers Sewer Connection soder Collectors Saul Piping Sour Tank Swimming Pool wisps U l Outlets water Closet ' Water Heater Water Service Auto -Wash $15 I I Issue Lou MECHANICAL Hood or Type I I Canopy Typell I Refrigeration System 00100,WOBTU 0 e ❑ System Repair/Allan Fire Dampers Registers 1 S3I $19 I Issue Fee I It 3 7196 7121.r 146041 TL A.P.$s 3 , (q zona V 8 Main Building: Accessory Building: r/ E T From Building Approaed By z 0 B A Rear e zv N I C Right N K $ Left SUMMARY OF FEES G R Ping. Ref. ds Parking Req./Pravidal $ E ^ Punning Notes: ✓sL" - 0 $ 43 PERMIT TMi T' PLUMBING S 5.00 ISSUANCE ELECTRICAL FEES - AutomaticWasher Construction Pale Sub, Transformer 01530 KW 11 50+ KW - Cooking Unit Meter OUR to IOM amps GRADING Dishwasher Meter 0twer 1 W amps PLAN CHECK 50% $ - Dryers ❑Gas DElectric Sub Panel $ Fan Wtors 11111 His 01 A - 8 —7.00 F.A.U. Inc. Sular 0915 HE 01615+ MECHANICAL E Fixtures Mluowava - S Device Boxes Pole Light I. nn 8 Outlets Range 1 60 switches Sign Garbage Disposal Standing Sections Generator 110.5 KW 115.15 KW Trash Compactor ReinWoaion Fed S15 'Issue Fort S 3 DEVELOPMENT SERVICE OU REM ITS: Zoning Approved By r/ Date Building Approaed By d e zv Application Issued By SUMMARY OF FEES ' BUILDING PERMIT $ .SO SMIP ,S PLAN CHECK $ 43 PERMIT PLUMBING S 5.00 ISSUANCE $ PIAN CHECK 25% $ENERGY P.C. S ELECTRICAL E GRADING $ PLAN CHECK 50% $ 2.40 MIC90FILM $ —7.00 MECHANICAL E TOTAL FEE S PLAN CHECK 35% $ I. nn - We t • CONSTRUCTION AND PLANNING �'Date APPROVALS Permit# Inspector POI. __ A SPA - APPROVALS Permit# Date - Inspector i. 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. W. 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 7' O [ 65. Electrical -Final 15. Rough Electrical -Conduit ALL5 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 7150A1;'3r­ 76. Dry Standpipe 28. Lathing &'Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 1 $ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �7 �� 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. Special Requirements Completed 49. Electric Release to Edison - . 50..Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. 2- Date Z IP -c- Applicant to fill In all Spaces within heavy border final Man all appropriate declarations, I 0 a 25 CITY OF COSTA MESA PEyDCIT NO. TRACT NO. LOT NO. -BLDG. NO. 1964 2/ 1/ 2 _ CONSTRUCTION PERMIT C e�&.5 I TYPE OF CONSTRUCTION/Y 2 -NEW ❑ ADD ❑ ALTERATION CI REPAIR El CONVERSION ODEMOLISH ❑ OTHER ' ZONING REGULATIONS Pmiect ACdr= Q� /LC AC owner ['ANB. Call fie . f0fitl Phohr*7r -SSA' AddrM pTQ/ SS /j ff ry, t ArcM1' S License No. DESCRIPTIONOP WORK A.P.; AEdrHilEn99 �� N' S BONE PLNGp. RgpEF�.p�p Contractor //L✓p Ob LEC. PM1o/n1e�/-57O TYPE OF PERMIT - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT KELECTRICAL OPLUMBING 0ACIEDFIANAl .SBUILDING ETA: Im"S 1 POPEIliTVL�NE Address - L Z /A( 1'71• Q6p.Q/ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under CROVISOM of Charter 9lwm. Standing with Mellon 70001 f Division 3 1 the Business d ED OTHER OfOSSIOns Code. and My IIC0050 IS In lull force and affect. REAR YARD (TO PIL) s� PROJECT DESCRIPTION License ass— LJCehSeN SQ. rr, OCCUPANCY—CONSTRUCTION TYPE PKG. SPACE REO. STREET WIDTH PROVIDED PARK FEES Date z T sl - WORKERS' COMPENSATION DECLAR 1 1 hereby affirm that 1 have a CerllflCale Of C sest loo selM1insare�r a VALUATION ZONE ZONING APPROVED - BY DATE mrkifica eo1 Worker' Compensation fouranol r ertIfled pY GRADING CU. VOS. ACRES SPECIAL CONDITIONS: thereof J5WnpZabe la0/Z) CCa� Sbgav No.d/ s' -O Campanyl-YcE/✓�NT �yle&En. 3 Certified COPY Is hereby fUMIG etl. REMARKS: — ZZ Certified B p ed COPY IS filed with the City mldlng DlvIson. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION I section need not be completed II the Permit IS for one hundred `Il10s i enOhry that jn the cermrm nu of me work for which this Permitis ` issued. 1 shall not employ any parson In an manner o as to become of PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Subject to the WorkeR' Compemallor Laws California. , BATHTUBS SHOWERS SO FT do FT Date Signature NOTICE: 11 after maklog this ISOClara len, You Should become subject TOILETS URINALS GENERATOR 0-1 KW_ 1-10 KW to the Workers- Compensation provisions of the labor Code, you must TRANSFORMER - forthwith comply with such provisions OF Cels permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 Pi ♦ KW - - revoked. KIT. SINKS DISHWASHERS- MOTORS 0-1HP�1-10 HE CONSTRUCTION LENDING AGENCY I hereby affirm that there Isa construction lending&game y for the per- SERVICE SINKS SUMPS (INC. SOLAR) 10-50 HV 50+HP larmanca of the work for which this permit Is Issued (Section 3097 'Lender's Lender's Name _FLOOR SINKS (PLOOR DRAINS FIXTURES OUTLETS SWITCHES Z L LWNER DRINKINGFOVnlTAINS GAS TUBE GIGNS ILILss-1 II hereby agrm thaatt;Dam exempt frrOm the Contractor's Llenp Law for ERCEP INTERCEPTORS CLARIFIERS POLE LIGHTS \M1e /011Owing'real (SeCtlon 7031.5 Business and Professions Code SWIMMING POOL PTggP Any city o County w11M1lGn requlra3 a permit l0 construct, alter, POLES METERS 13 Improve, tlemolisn or rewn any structure, prior [o Its Issuanceatement. also re WATER SERVICE ALTERATION MAIN SUB res; the ao, Ificant rmit to ;le a tha;he .PANELS leered "Huff tOrthecrOYAXrn3 Of the COntracmed torl Ucense Law SERVICE PMP ;Chapter 9 (commencing with Seetlon 7000) of Division 3 0l the (C .GASISERVICE, OUTLETS Hf� Q Business and P.Warion: Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT Shut for the alleged OfOmpuon. Any lauon of section 7031.5 by SEWER CONNECTIONS ' Applicant for perm ll subjects the applicant l0 a IYII penalty 3--4ti'ot a than five hundredollars ($500). SOLAR TANK COLLECTORS as owner of the property, or my employees with Wages as their sole eompemation, will do the work, and the structure is not intended Of Offered for SAID. ISeEbn 7090, BUSIMIS and Pofe331on3 Code: The _ SOLAR PIPING SYS. - ISSUE FEE ContractorY Umne LaPrOMSw does not aan Ownof properly I$$UE FEE APPLICATION APPROV EO By DATE alsopply whoto Anner Worka, or Who_ burInIS through OWO emPIOYNIS.r provided that SLChdoes Improvements&ref not MECHANICAL PLAIN CHECK intendedlfered to, VIO the ltling or nd the IS within one year of completion.theownerwill have burden SUMMARY OF FEES o I Proving he did not build or Improve for the purpose of LID). El HEATINGSYSTEM 01 OO.000 BTU BUILDING PERMIT $ S m IP S 1, V Owner Of the Property, aagoO%CluSlValy Contracting with AND DUCTING (lensed contractors to construct the Project ISection 7044, Busiess 100,000 a BTU PLAN CHECK S PERMIT and-Wofewom Code: The Contramor's LlmnsO Lew does net apply to - ISSUANCE 5 On Owner Of Property Who builds Ishou 5 thereon, and Who COT REFRIGERATION 0-100.000 BTU PLUMBING IS dr tracts from such projects with ontector(s) !learned pursuant to SYSTEM - GRADING 5 the Contractor's License La). 100.000+BTU— 'PLAN CHECK $ ❑ 1 am exempt turner SeCtlon- B.6 P. C. tar this BOILERS BTU ELECTRICAL If - Ereaso- PLAN CHECK S 'n MICROFILM$ Date Owner SYSTEM REPAIR, ALTERATION MECHANICAL $ _TOTAL FEE E I Mnby ceRilyt oltil have read this aPwTlGtllon and tate that the EXHAUST SYSTEM MULTIPLE AD - AD- InlOrmillOn Is Caobove correct. 1 gree 10 yly with all City and a ty ordinances, tellB laws elating to Conal, tction. Pulse PLANCHECK f LESS ANCEPC S_ - anereyOut representatives O InIS city l00 n 1 above tioC,ed property, for I I O ,L 9 �� ,ZCy OST Signature ale T FINAL FEE SJ Drlvere' License or 5 155UE FEE - - - CMF 0865 16 White-SWIdingp Unary -Applicant; Pink -Accounting; Galdearo .. ms r CONSTRUCTION AND PLANNING APPROVALS ' V Permit Date POOL & SPA, %. - �• Inspector APPROVALS - Permit # Date Inspector :. 1. Temporary Electrical _Service or Pole 43.. Pool & Equipment Location - 2._ Soil ip"n rgrn 44. Steel Reinforcement - - - . 3.. Electrical Conduit Utility-,Undrgrn 45.. Forms - - - 4. Electrical. Conduit-Undrgrn _ 46. Electrical Bonding - - - 51. Steel em orce _ 47. .Rough Plumbing & Pressure Test - - - - - _ 6. Electrical LIFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn . -.6. Foundation. - 50.,.- Gas Pipe, ❑ Undr rn, Test ' _ _9. _ Water..Pipe-Undrgrn_ - 51. Backwash Lines P-Tra ❑ ndHi'rri 10• _ Structural-Floor'System 52. --APPROVAL TO DECK -` - - 11.. .Property Sewer Line & House -Connection 53. Backwash &Rece for -Final 12. Street Sewer_Connection -_ -_-_ --__ -54 - Heater "& Vent -Final 13. Rough Plumbing _ _ _ _' ' - - - - - - - - 14. Rough Electric -Conduit -" -- - 56. Electrical -Final - 15. Rough Electric -Wring -- -- - - - 57. Solar System -Final -• - 16: Rough Heating & Air Conditioning encing & Access Approval 1-7: Ducts in Str'ucture. _ _ APPROVED -FOR PLASTERING 18. 19. - 20. Ducts, Ventilating Gas Pipe -Rough & Test i Roof Framing - - - -- 60. - POOL/SPA SYSTEMS FINAL 21. - 22. Roof Sheathing- - Frame and Flashing _ _ •` _ NOTES: _ -23. ''Insulation - -' - - e 24: --Lathing & Siding - -- i NJ =2v - �- ' 25: Drywall Nailing.. - - 26: Plaster Brown Coat 27. Electrical Power Meter -Final ' •" 28. Final'Hectric ^ 29. -Final Heating & Air Conditioning 30. Final Gas Pipe -Test - - 31. FinallPlumbing 32: -Water Service -Final 33. Gas Service -Final ` 34. Solar Domestic -Final 35. Landscape Sprinkling System ' 36. Sound A,tenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING -- - - 39. Special Requirements Completed - - - - 40. Electric Release to Edison - - - - - 41. Gas Release to Southern California Gas Co. - i ' 42.• CERTIFICATE OF OCCUPANCY No.-- Date - - , CITY OF COSTA Project Addrm Applicant's Mailinr Owner's Name Address Arch/Eng., iAddress Contractor i Noma ~1 Address lmalling),i City License No. LICENSED CONT; 1 hereby affirm He with section 70001 ' y li Date KER PS COMP mby affirm to ..Por workers'Comp -3800, Lab. CC1 II[Y No. ,- . Applicant to Rn In an swces except these within heavy border hoes and sign all appropriate declarations. Assew PERMIT PEflMIT NO. TRACT NO. LOT NO. UNI, NO -18 6 i iUt lS� ,T�Jy TYPE OF CONSTRUCTION U NEW ADD ALTERATION LJ REPAIR 11 CONVERSION O DEMOLISH O OTHER A.P. qe HSRo^e DESCR I PTIO N O F WO R K/USE OF 9LOG, S Me 4722 1,2/26/04 . MAN 7L Zone No. TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER RWECTDE$CRIPTION Sp. ET. OCCUPANCY CONSTRUCTION TYPE—VALUATION ti— ZONE GRADINGGU.YDS. ACRES T Front - O N N G R E O (MECHANICAL B Rear 15P on I— b (� A C Right - K" $ Lett Oucl-Under Ground Ping. e. TIS Parking Reo./Provided Duch Structural Division 3 of �bd of e the a e Forward ns c a Cray Reinsm"ipn Fee I I $15 Issued Fee $ 3 sign t (MECHANICAL FEE ATIONDECL pontificate tion s RATIO( f consent to e- eoCertificate nr a erted copy theow(Moisture Bar S'nk gack1151w Preventer him e" not be COIfIkeTeO IT the permit is far one granted Ilium or that In the performance or the work for which this Perri Is Issued, 1 employ any person In any manner so as to become subject to the Compensation Laws of California. this deers It, alter king eov Ions f the La zr Cod beeofM cast No to h forthwith with such Pr provisions t the permit hall s d enet (revoked. WlCT Ucn LENDING o. of pe,mR nap be eeamee revoked. Ulrm that LENDING AGENCY" warm tmt mere is .his Permit landing Issue aeeney for me97 Cy, work for which this Permit IS Issued IRctlbn 3097 Clve C.] Nam Address BUILDER DECLARATION I I ' affirm that I am exemol from the Contractor's LICeMC LAW for the trlls Sir imprown; xr ona s) license puts proof of their Worse ❑ I am exempt under D to 1 herenY partsty to f 1 and1 tion ls L 1 L state laws rcrrtln9� Sewer Connection Solar Collectors Ice outlets. Water Closet tors Waxer Heater Sink 'Water Service 83 t Withages as their solo • not intended or offered I S15 I I (scat Fess - Reinsm"ipn Fee I I $15 Issued Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: (MECHANICAL FEE Code! The Contractor's r through nhiis orrlite owes intended or offered for Swithin She Cione notybuild Grim- , Boiler . Hood or Type 1 ❑ ^°pv Type 11 ❑ • ELECTRICAL Oucl-Under Ground Automatic Washer - _ Construction Pole Sub. Duch Structural Refrigeration System CIO 100,000 BTU ❑100,000 BTU 2 actnu withlicds Code con- : Ads Anr f property who projects wife a m cit p 'Meter ❑uptolWamps Uu ct-ventilating Dishwasher Exhaust System 11 Multiple ❑ System Repair/Alteration Se Law). I am aware that TWO be provided to Sub Panel " Firepl/Fact. Bit. I CBOSh " D* PIA Mq S.& P. C. for this reason $ F A.U. Heating System & Ducting 116100,000 BTU 0100,000BT and state that the above y and county ordinances hereby Butrai OR - Microvistran PERMIT Device Boxes Pole Light nennonea r P y Ilit Reinspection Fes 516 Tsps Fee S 3 nppfibant: Pin is - Accounting: Goldenrod-ASXezor .�.._._ I S15 I I (scat Fess - So DEVELOPMENT SERVICES REQUIREMENTS: T S. Zoning Approved By , ^ate • ELECTRICAL FEES Automatic Washer - _ Construction Pole Sub. Transforrner ❑ 15.50 KW. ❑ 5o t KW Date Cooking Unit' f' 'Meter ❑uptolWamps Dishwasher IMeter Dower loo amps Z �- Dryers ❑Gas ❑Electric ' Sub Panel " Fan Motors ❑D-1 HP❑1%-R $ F A.U. Inc.Solar 11415 HE 1118-15* Fixtures Microvistran PERMIT Device Boxes Pole Light PLUMBING Outlets Range $ Switches Sign $ Garbage Dlalaosal • Standing Sections Generator ❑GS KW 115 IS KWI I Trash Compactor 1 GRADING Reinspection Fee I S15 I I (scat Fess - S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By ^ate Building Approved By Date Application Issued By Oat Z �- SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK IS PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFl LM . $ MECHANICAL IS TOTALFEE $ PLAN CHECK 35% $ I. 5� CONSTRUCTION.AND..PLANNING APPROVALS Permit# Date Inspector P. . & SPA APPROVALS Permit - Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipments 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,.❑ 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 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating.. 71. Product Piping O Gas ❑ Oil 23., Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank .0Gas 11 Oil - 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat i 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 I 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 X46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Appllum NO fill In all spaces except those within heavy border lines and Ypn all apvroprlatb aacpnnmt. PrMIT TRACT NO. LOT 0. UNITN W%J IC/cy/jlc I {.:1;.--jL CITY OF COSTA MESA CONSTRUCTION PER ) Project Address I — V ;] : 4!r�- F ' Awe !w ays Wil% Add TYPfc OF CONSTRUCT11 N i�I 6DEMOLISH NEW ADD ALTERATION 0OTHER REPAIR (OJ OwrwiN Y/Y Epi'/n.//•s'✓plrnae CONYER3ION A.P. Zones DESCR IPTION OF WOR K/USE OF BLDG. S Mein SulMinot - Reeitory Building Marine!- E Z Arch/Eng 1 Llwnw No. - TYPEOFPERMIT GRADING' 'FOUNDATION STRUCTURAL T Front - I D . t 1 I I + ❑TENANT O ELECTRICAL 0 PLUMBING MECHANICAL B N y, Add1 Is,/i / I _ I A peer Captrocm aNe G.IC <jy.f/' pMna�"7i Jt�J� ,OOTHER; _ _ C Right I '" N t PROJECTDESCRIPTION SG.FT. OCCUPANCY K1 G .h 1 I CONSTRUCTION TYPE VALUATIONS S Leff I I ; A Clty'Liwrw NO:->T/�r7" r ZONE! GRAOINGCU.YOS. ACRF< PIN. Rat.+ I Parking Req./Provided' i - E Ni LICENSED CONTRACTOR DECLARATION _ G 1 j I hereby affirm that 1 am Iles 4 a p Islont of Chert E jcor patine lection ]000) of Out 3 I ter e tl RA.4ns F0 and RemUkp PbnninP Notn: M IjWith TS, an/ Y 11 sew U N roll rOrw a rim" / y76' 1 I t I u_ u cid I t . /p/6•B'p Osla %'S fa x"r' S .. .'J. /1 - PLUMBING FEES WORKERS' dQINIPENS^TION DECILARATIONIL,' Bar Sink $M1owna 1 ELECTRICAL r I FEES InerebyafnrmtmtlnawawUUl `eolmnuntmrnansuri ora alnrata of WoIXnNFr et' Comwnut,on MW, w a wrlllletl copy INreof ISectlan BaCkllow RMMnlef $Nearer Sink Automatic blather Transfwmar 01 S50 KW -j - 3500, ub. C.) r JJ policy No. . "1 A.F41 Company L "' `%a %�' Backf ow Irrigation Sewer COP Construction Pole Svb. ! 050+KW �Guilea copy D habyfumes. ted copy It l wthe city Building OIrISIOn. I I Bathtubs I Sewef Connection Cooking Unit I Meter (]up 10100amps off,EXE Clarifiers Solar Collectors Dishwasher Mew Ower 100ampa WORKERS' COMPENSATIONDECLARATION EXEMPTION FROM WORNERE'COthe now not Permit or (This CpmONletl If wrmD Is Ice one hundred DishwENM $pkf piping Pm pryers QGei ❑Elttvlt ' ' Sub Pawl � ' ify thalont sfaro) t r n barred 1' I C tno,Iar In [naenwrl a the fso M t becomhis e subject t Person in an v ane es w eacpme w01ett to lire 'Rall vmv parson Lompanwtlan Ca111orNa.+r so Drinking Fountains Soler Tank Fm 1 Motors 061 HP 01N -B en-! i of brxeN' jowl of Orta Floor Drains Swimming Pool w/$Pa F.A.V. Inc. Solar 0416 HP ❑16151 'WoTICEs this you w001d yaw to Ilia thisllons the ustfRobust on 1 tm Labor Code, Compensation imply pr Orions rase Iry[vOwlm Flpef Sinks Uriwl Fixtures MIOOWdN' ith sun at hallyou ems comply with such w; nenbe deemed xee. - • END! G G CONSTRUCTION 's LENDING AGENCY ' : f' I Geese.Outlu4' We[M Claret Device Barred r Pole Light t ! for l3 parfermanw- Iat !Work that there If phis :Ase~ for W+Icn this permit U,bsuad (Section 3091 Cie. C.) I the permit s riga (Sec in@ Interceptors c Weler Hmlw OutIBU Range pen I . i [anderti wma? E _. ! Ki[Men Sink Wallis $arviw Switched; Sign I l OWNER BUILD OWNED BUILDER DECLARATION I affirmM[ am exempt rf4m Uwnw 4w for the LMelolioa ' Auto WesM1 Garbage Disposal ; $IeneiOg Bactiafn 1xunty w at s and Professional following O Barcino and RolImpro Cem Any filly OI -launtlryTrap a wires Improvestfor sucrrrmalr onmilt N a unto IJcn Prior to apormDIemiso Acquires the any ptlw!ont IssthamUSeIs u4olns tyresuant to[nonuchio II to me of Is licamandcomma p_Trpp:"; Generator 0" KW 0615 KW Trash Comwclor 1 I i I ofit a signs pursuant provblons w pct a ractin statement Law (Chapter he/she yes palm Section 00) theDiv COntr3 Of goof preimr r,L ndtol9lcomm00cln0 t e Basi Is exempt 3 0l Ith Business and hofesslwa Code) or that laaysee Is avmpl the rocs ler eaempllen. MY Holetlen Of Section therefrom Ins alleged parm 7031lrom coa & py Yretheapplicant wrmll suel$50 Ins sOpllunt .ta Urll ^e; 10x" l e b 5Iq 4f hal more than fled nunOretl tlomrs Iie00L Ia ally net f the prowrty 0 y empinYws With wages as their If WII the Is Intended Rtllpprion.Fr 1 'SIB !rut Fat S S I I • S 3 Rainswc0an Fee :16 llaw Fred t penatlon do the Werk, and structure not or offered I for Mls'(Secflon fine, Butineu d Professional Coast TPA Contractor a' - MECHANICAL FEES Ucenve Law 3µr not appy to an owner of a property who bullar or Improver hOidOra h Work hlmsrf/herself Or throw 9O his OF nor BOil91 I '! HOW or Type 0 , , DEVELOPMENT SERVICES REQUIREMENTS:, r I I emneOnmsnd play paraded l such improvements are nes Iman dW Or alfemd4'Iet I1, nowawr, the bulkily Improvement Is Asia within one year Or cpm- auction. Ca^opY Type 11, ❑ 1 , ZOhiIN ApprovNl By i Odbh_ I I tre owner 111 new, the burden of proving gtAhe ala not bulla or Ins- I Dun: Under Ground _ - Building Approved By Iwq tar the ourpms of sale). 1 1 1 I, I i ! 1, as owner of the omwrty, em exclusively contracting with licensee can. I Duct -Structural Refrigeration System Application lnu By paler a • ' batten to Construct flit project SeCL lean 70". Business and Projections Code The C omracmra unnea Law t app! to an owner f property who a ten'- Duct- Vemiwting 1 - 06100,000 BTU ❑10p,Opp BTU 1 '$UkVdgRV OF FEES I I. bunds Imrowt bacmros license Muem, _nd who contracts for such Protect$ with PWwkmt to the Contra torts Livened Law;. I am aware that Exhawt SynOm ❑ Multiple ❑ System gawir/Altara[iaR I BUILDING PER i $MIP' S 4 proof their -am Ni Compensation insurance should w prpvldea to m . PIAN LHECK I •, , PERMIT i ❑I exempt under Section B. E P. C. for this reason Firapl/Fact. BIL ICBO Sp Fiq Demprt I .S 1 ISSUANCE S PLUMBING; .5 Date I O ' r' ' e hoed Heating bystem d Ducting Regicide I PLAN CHECK 45X1 S ENERGY C. I $ r 1 } I nerabY a Illy Inst 1 nose cob pellullOn and Raw gnat the above I note* _ OOI00.000BTU 0100, Opp _, _ I ELECTRICAL $ I GRADING S ! iaorti ;watt l z pnurta comp) arse an city a a count emanws !oval Utmg hereby npn- I . i MICROFILM 1 I I ^ Rasa td belldinp ww�rvttl4o,, and outilofiv I ItY, for I 1 PLAN CHELK fi0K 1 S S e Iallvas this to par tl�"thavei anlloned property Agentson �� /'-y. 1 I$ ! { ' _ purpose .//'��/ r, �J/r V-..{ 1 MECHANICAL TOTAL FEE IS Signals paw/Y Dnwrs' License or SS fi _ Reillepnien Fat I 616 I !Mut Ftp I S 3 PLAN CHECK 26% S I , I CMF 011165A5, fsr. s0/!d I Wnite - pulwin9l CSvrY - AOPliwnh wnk - A[ceuntlnO: Oeldenrad - aVwssw American[ to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PEJJyymrt��pp , TRgcr No. Lor rvo. '.BLOG.H�oP �Oeo� CONSTRUCTION PERMIT PM'81-380 3 �'T, rQ .i TYPE OF CONSTRUCTION 1 RINEW CPDD O ALTERATION 0799 1/18/92 421.57 .__ ' Project Address aC AVIEnLE Ov Ow Phone 752-551 Address 1301 DOVE St. r #760 Newport Beach ❑ REPAIR El CONVERSION ❑DEMOLISH ZONING REGULATIONS —J OTHER DESCRIPTION OF WORK, ON'E Sl-1 P` G ZRB;Per ArcluEn. HivreS-Peters License No. 4285 119 E. Alton, Santa Ana, Ca Address TYPE OF PERMIT ❑GOADING ❑ POUNDATION �STRUCTV RAL C TENANT O ELECTRICAL OPLUMBING OMECHANIC PDT$ 8 $ETenc c l T. PFOPE; eNE VARA 571077"7-7 'el �% Contractor Oltza S ConStXwtim Phone 576-847 Address PO Box 388 Y' tEr Park CA LICENSED CONTRACTOR DECLARATION I 11 u - Charter 9 I hereby affirm that am sed under provisions Of (fa 10q sectin 7000) Of Dusslon 3 f the Businessd _ COTHER F 0 With Professions COtl and y license Is In lull force �4lled, EAR YARD!TOP R 11 [�r� 8`vJ9J PROJECT DESCRIPTION License Class uremer Ne. SO. FT. SO74 PUG. SPACE REG. 592 PROVIDED 670 ate Signature OCCUPANCY LCpNSTRUCTION.TVPE STREET WIPROVTHt PARK FETE WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 hove a certificate Of concept to sell4mure ora VALUATIONy ZONE DATE _ _ 20NING APPROVED ED O SER I certificate 1 Workers COmp80L[len IOSUraa[e, r .Killed copy SPECIAL CDNDITION InOIOOf (SBCIIOn 33f00, Lao. G.). GRADING CV. YDS. ACRES -.r him—1812A MS9t;7 comwnr try-um.nr�nAmm; tv artifice ropy is hereby furnished. O REMARKS: -C ll17 s6mned Copy If filed with the city Building DimNpn. . BOLD FOR SPECIAL REQUIREMENT` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ 5001011 Bea not be ComPlUd" if the Permit Is for one hpdcred (((1Thi G 18 of for to ermit IS Ismed !!sham'not employ any parsonce n In any er as lob come PLUMBING PLAN CHECK ELECTRICAL PI N CHECK SUblecA to the Workers Ornmenmtlon Laws OI California. BATHTUBS SHOWERS Date Slgnatme Sol FT go -FT NOTICE: II alter making this declaration, ou should become subject TOILETS URINALS 'GENERATOR 0-I KW1-10 KW to the Workers' Compensation proviflenS ohne Labor Code, you must TRANSFORMER lorthwltn Comply who Sutra provisions or this permit mall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 1e-50 KW_50+KW evoked, CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASNERS.r MOTORS Oa HIS 1-10 HP iswhich onstructinhIs lendingagency SERVICE SINKS SUMPS (INC. SOLARI 30-50 HE 50+HP nh_par- IOmabyOaffi`mthat the Work for 3097 FLOOR SINKS FLOOR DRAINS � FIXTURES OUTLETS SWITCHES Clv. G). •. We11S Fargo $i. nlC Undo!'S Name Lender's Address 6fiD Ne rt Ctr." N�woort Bch _ ORIN_KIN_G FOUNTAIN_$ a _GASTUBE SIGNS OWNER BUILDER DECLARATION . • INTERCEPTORS CLARIFIERS POLE LIGHTS I occur, affirm that 1 am exempt from the:COntraClOr'S License I for SWIMMING POOL "PTRAP IUN P ES M ERE ' the fol wing reason (Section 7031 S,BuSIMSS and obsessions COOe:. Any, ch yr or cUnit y wMChp red met. a •OOrmlt -10 on trust, caller; v1yATERSERVICE �s jALTERATIION - - PANELS MAIN SUB Ire dendliSM1 Or repair a my slmClmq prior to Its Issuance. aro m- pup as the app11ramlbr such! per mit. to lile,a Signed statement lha hep Law GAS SERV ICE,, OUTLETS SERVICE - AMP Is licensed pursuant to the provisions 1 the MnRactore License !Chapter 9 (commencing who Section 7000) of DIvIs10n 3 of lne. - 9 mess and Plura lops Code) or that be Is exempt therefrom and I" WATER HEATERS.. s BTU OUTPUT I - � — - - b,,. or In" anggedeexemy Idns.Any,vMm Im df ueet10uJ031.5 by IOr r II s bracts the applicant to a civil penalty' I,y?.9'ypo"eemeent I roan five hundred dollars S50p0). SEW ER CONNECTIONS_ '- SOLAR TANK COLLECTORS ,h I t'i,'as owner al Ihe•properly, or my employees wise wages of their pen.ullon, will d0 the work, and the NruCt We Is not Intended rOm offered for WILUaNlon 7044, Business and Professions Code:sThe SOLAR PIPING SVS. ISSUE FEE Conracor's lJwnsv Law does at aPPV to an owner of yroperly who builds or Improves thereon, and Who deal such work nlmseif Or - ISSUE FEE " APPLICATION APPROVED BY DATE through Ms Own employees, provided that such Improvements are not the bottom Improvement mien ad d Or offered ford le. D, however, B f me wit naw the burden MECHANICAL PLAN CHECK 5 MMA RY OF FEES rola wbhm orm ym at completion, owner f proving he dM not OUPW Improve for the purpose 1 Ire. HEATING SYSTEM 0.100.000 STV PERMIT BUILDING �IUS $MIP $ C I, as a ner of rho Property, em XCIUS'Mly canlmcting With DUCTING f the protect n 7044, usinessAND oThe apply 100.000 r BTU pLgN CHECK E Contractor's U OmB Lastruct a1nd Professions Cadi:tors wdotsnot to ISSUPERMIANCE E s or Improved thereon, and who n- an owner of Who bImprovedPe REFRIGERATION 0.100,000 BTV PLUMBING f (properly eon<redor(s) Ilcesned pursuant to SYSTEM -GRADING E Ino WnbdolcnLlcen)so Lawl`n 100.000+BTU PLAN CHECK S' ❑ am exemp under Section.B.6 P.0. for lois BOILERS ELECTRICAL 3 f F n BTU SYSTEM REPAIR. ALTERATION MICROFILM E CK S TOTAL FEES Date O MECHANICAL S MECHANI CAL hereby CBs ly [M1 1 ad 111 IOW stile [nil ounte E%HAUST $V $TEM MULTIPLE LESS th d InlOrmallOn L no reply Perin all CItY and COYnIY I. amyl `1 PLAN CHECK $ VANGE PC E_ E ormnanus an s ws In anaher.dyantion" of tc niersydotn ina apove menapponea �/ n ��7 uroplarrtyan so TO �O 'Yd l FINAL FEE $ / $IgnatW Drives L sir ISSUE FEE CMF 086546 Wiste-Bajlongl Canary -Applicant; Pink-ACCOuming: CONSTRUCTION AND PLANNING 'yyy APPROVALS Permit #dv"'U Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Urn z_q_g2 M 48. APPROVAL TO COVER-GUNITE 7. Footings R__9_92 2 ' M 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System , 5(,r)g ;L -17 -CA 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55- Plumbina System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring 57, Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing5 Frame and Flashing -B NOTES: a, • E •l 23. Insulation 4nnti _/_ 'y✓f �- -8 24. Lathing & Siding 2-2q- 9x 5 25. Drywall Nailing G-( -44IT 1-7 Z/ -AT- 9.;l �.c 26. Plaster Brown Coat 44fit, 94- 4A x 27. Electrical Power Meter -Final 28. Final Electric 1 29. Final Heating & Air Conditioning C, 30. Final Gas Pipe -Test 31. Final Plumbing a 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - g 39. Special Requirements Completed CaJ 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date 1 .' Appllunl to fill In all spaces Within heavy border Imelane agn an aPPmpr;ab declarations. C is CMF OO6546 White-BpRding: Canary -Applicant; Rnk-Accounting; GOIde0wd-ASbasor a' CITYIDF C51$ -CONSTRUCTION TA MESA P MIT No. PERMIT — S90 1 p.fTTiALT'P�. LOT o. red $.1- TYPE OF CONSTRUCTION - ❑ NEW LY'/1DD ❑ ALTERATION' ❑ REPAIR ❑CONVERSION ❑DEMDLISX ❑OTHER jv77"F /`�_ ueL`''�, �_,('U"- '' /S dL.-+-' Ia?/0,A(534a �'%'J°e Jlf l'=— Y ZONING REGULATIONS 'Project Apparel2' Ow0 M1000 y V 1 yv AdAreE Arch/Eng _ Licensed No- Q DESCRIPTION OF WORK — 'Lg r-" — - S A -P'; G. RE .: 2E (, PLN'i 0N Addreu Contractor Phan - TYPE OF PERMIT 13 GRADING El FOUNDATION 1:1 STRUCTURAL ❑TENANT ❑ELECT0.ICAL LU BI ❑MEOi/WIC ❑OTHER PREs ECT DESCRIPTION _ - SO. FL n OCCUPAryCV ONSTRUCTION TYPE yALVATIN� 20NE r AGK YARD 51U AKIJ RIGH REARYARD(TOP/LI PKG. SPACE REO. WIDTH ZOEETNING PONINGgPPROVED BY d�riPl�a-�i%�yNE PROVIDED PARK FEES DATE ` VAddress.a LICENSED CONTRACTOR OECLARgT10 / I hereby affirm that 1 am licensed der or ve as of C a u - Ing with tion ]000) fUDIYl11 333///Of In up r d PrefeMlont Code, and my license Is In on fo feel. can Llcenze Class �Lz�/ OMR /J_2 RL Signal COMPENSATION WORKERS'COMPENSATION DE ARAT ON LllerebY affirm tMtlnac+a Ilote el cenwnloto blNnsub0re cerrifordte at workers, COMPOM Ion Insurance /' thiel Copy '� �NS . GRADINGCU.YDS. ACRES SPECIAL CONDITIONS: Me ;�, I(�(XjEj'y(J ny U.5F�6 a CCertlfkgl copy is hereby lumshed. ❑,mrnRed copy Is Rled With the City Building Division. REMARKS: 0.1 11-1 " EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tina section mina not be Completed it the Permit IS for one hundred - o IeR . - PLAN CHECK ELECTRICAL PLAN CHECK . ISUDgO I way l As as this becamermit t 1 rt�fY shal the Ornplo rmanr! person Isued hall not employ any PRbn m any Canner b as to Become to the Workers C9naturatlon Idxzof Callfdrnla. Date Date Lgnat Ure BATHTUBS BATXTUBS SXOWENS 'il FT , NOTICE: If alter Caking this declat6tlon, you should become subject to the Workers' Compi naMfon povlsloa asee Labor Code, you must forthwith Comply With such provisions or this permit shall be deemed TOILETS URINALS LAVATORIESDOUBLE IAVS - GENERATOR 0-1 KW� TRANSFORMER APPLIANCE 1050 KW�50+KW 1-10 KW - - revoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS .0-1 HP -1-10 HP y par. w I herebyCaolrm thatWork ngfor Is NNnstructio ndis PermitnOing BOOM;Issued Iisforth 097 SERVICESINKS SUMPS (INC. SOLAR) 1040 KV SO+XP l FLOOR SINKS FLOOR DRAINS. FIXTURES OUTLETS SWITCHES Clv. C.). Omer. Name _ Lenders Address DRINKING FOUNTAINS GAS TUBE SIGNS. OWNER BUILDER DECLARATION I:nerebY affirmthatl amexemOt lmmthe COntrctor't License Law for the fol owing w n ISectlon )D3L5 Business and Relenlam Code: Any hey r, my which tell a permit le Construct. inner, Improv, Pannonian or repair any structure, prior to Its lesuantestatement.also re- that MeWATER quires the applicant Is llwnbtl Pursuant tortheSP ovsions of rmit to Ile a IM C YVCC[ert License Law- Emsper 9 bommenGng with Section 90001 off Division 3 of the INTERCEPTORS, CLARIFIERS PALE LIGHTS - SWIMMING POOL P TRAP po ES METERED SUB SERV ICE ALTERATION PANELS - MAIN. SUB GAS SERVICE OUTLETS SERVICE PMP WATER HEATERS RTU OUTPUT ' or that helIs exoftYmleffrrom 10and too Intellr albaa gee one Opera) applicantapplicant o a INI oeaa moel lwunal UOs (i50l SEWER CONNECTIONS^01 - T SOLAR PNH COLLECTORS " SOLAR PIPING $N5. - ISSUE FEE ' M eel with wages as their ❑ 1, a owner of the property, or my am 9a sale tom Venmtim:i11A0 wthe Work, and t11d structure I. not Intended r Off"d for ale. (Section 1064• Business and Professions Code, The WOntbctor's License -Law class not apply to an•owner of a property ho builds or Improves thereon, and h0 400 such work hlmagp Or throe hisem Insists, Pmyided-that sucn'Im ProRments are not ISSUE FEE APPLICATION APPROVED BY DATE Impvt ,'tell d pr offered f r safe. If. however, the boldinV mmen 0 Is said within ono ye f Completion, tee ownerwhl have rho b rden f Proving Medid not build Improve for the purpose of Ie). ❑ wmr Of the property, am exclusively wntracOno with licensed contractors to construct the project (Section 1044, Business aan nd proluowner of Property who builds oorrs License Improves thereon. and whotwo MECHANICAL PLAN CHECK HEATING$YSTEM 0.100.000BTV AND DUCTING ]OOP00+STU REFNIGERgTION 0-1e0,0000TU SUMMARY OF FEES BUILDING C q '` ell PERMIT i�/. Lrf V _SMIP E e6 PLAN CHECK S�sA..� _ PERMIT - ISSUANCE E PLUMBING E tracts from such projects with a contractor(s) IIcesnmd pursuant to rho COnlncturY:Jwnae.awl.] ❑'" I am exempt under$[diose B. A P. C. for this Ceasen SYSTEM 100,000+BTU_ BOILERS BTU SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE ISSUE FEE - PIAN CHECK $ ELECTRICAL E 'PIAN CHECK E MECHANICAL $ _ PLAN CHECK E -93rsY - GRADING $ - E "MICROFILM $_ TOTAL FEES LESSAO- VANCEPC E FINAL FEE S Date Ower (formation lfylefret. I agre toapO nsplylsira Slab thattheCounty ordinaallsO Is cls Iyala to Aa gru win. all ere d iv ordinances and slab law bun der uom. and noeae00yaInoaae rwreswtaub. vas atv roupon the cove mentioned brawny for pe pu s.® '->TiL $IgOdlule Drivers' Liberia or 554' CMF OO6546 White-BpRding: Canary -Applicant; Rnk-Accounting; GOIde0wd-ASbasor CONSTRUCTION AND PLANNING APPROVALS Permit # •,��71 Date Inspector- + POOL & SPA APPROVALS - Per # Date. - - tnspectbr Temporary Electrical Service or Pole _ 43. Pool &Equipment Location -- - - - - - -• Soil ipe-Un rgrn- Steel Reinforcement- . -3. lectsical•Conduit• i ity-Undrgrn 45. Forms .-4. Electrical Conduit-Undrgrn 46.. - Electrical Bonding-- -'- •' - - - -- 5. Steel em orce-, 47. Rough Plumbing & Pressure Test . _ --- - 6. Electrical UFER Grn,• _ , 1 48. APPROVAL TO COVER-GUNITE- - 7. Footings _ - 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test . •9. -Water_Pipe-Ungrn 51. Backwash Lines.P-Trap- U 0 n r r - - - 10. Structural FloordrSystem 52. APPROVAL TO DECK 11. -Property Sewer .Line & House Connection 53.- Backwash & Receptor-Final 12. Street Sewer-Connection _ - - - - 54. Heater & Vent-Final 13. . Rough Plumbing _ _ - - - - 14. Rough Electric-Conduit - - •56. Electrical-Final 15. Rough Electric-Wiring - - 57. Solar System-Final • 16. Rough Heating& Air Conditioning --encing & Access Approval 17. Ducts in Structure -' APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. _ POOL/SPA SYSTEMS FINAL 19.. Gas Pipe-Rough & Test -20.• -Roof Framing 21. Roof Sheathing- NOTES:-/.z-.)j-g.,- 22.. Frame and Flashing I3-IL SR 23.'-- Insulation - x_ -g 2- ene 25. Drywall Nailing 1.2 - p-p} ,B- 26. Plaster Brown Coat - - 27.' Electrical Power Meter-Final -1 - IT- gC•28. -Final Electric J,2 -23- 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test . 31. Final Plumbing - : 32. Water Service-Final 33: -Gas Service-Final - 34. Solar Domestic-Final -4 3 35. Landscape Sprinkling System . 36. Sound Attenuation - - 37. Handicap Regulations - - - 38. FINAL STRUCTURE&BUILDING ' , 39. Special Requirements Completed _ - 140.. Electric Release to Edison �• . 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY 'No• ��G Date %/7.-w/9 �C - .r._•.. City of Costa Mesa p Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. O O C U `4 6 P. O. Box 1200 Costa Mesa, California The Building located at 3309 (,AT)TTTA1r TBSTT :N7—m9 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a*Group R-2 Occupancy. Use of Building OFFTCP Legal Description 139-657-13.14. 7A (See reverse side for Metes and Bounds) Building Permit No B-5701 Electrical Permit No. E-5737 Plumbing Permit No. P-..4729 Mechanical Permit No. K-5795 Number of apartments and/or guest .rooms ISSUED TO: Building Official (st// CAMIARILf;F. PAWK by 360i CADTLY,A(_ 49-17n r (YLS°PA MFen tr':1. Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015.46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File `, Aoodel to fill in all spaces within heavy boater lines add slen a appropriaC declarations. PUTY'OF COSTA MESA PERMIT nD. TRACT No. 'LOT NO. BLDG. No. \ - CONSTRUCT IONPERMIT 3"7 ff'bZD- r (a ' Pull Address Ciy�/ s �- C TYPE OF CONSTRUCTION LMIT V ❑ ROD ❑ ALTERATION (]CONVERSION ODEMOLISH ❑OTHER - 'u - ZONING REGULATIONS J Owner _ Phone a`�AiG pddraai fir. ggial1O'REPAIR 'Arch/Eno.' License No. OESCRIPTION OFWORK AddrWs TYPE OF PERMIT- - ❑GRADING ❑ FOUNDATION C1 STRUCTURAL" (]TENANT ELECTRICAL OPLUMBING OMECHANICA � ZONE - PANG. BUILDING yB Ibp B& aT YAW Wll REF. IF PROPERTY LINE - CpnlnROr� Phan Addrea§ /G r ;;wCG(rC n )'dG LICENSED CONTRACTOR DECLARATION I by affirm e:.t I am licensed0)ata under c me 9 M. pr6vltlaI in ury Ing IIM1Section',a]my- arrism Is1oj 3 I in BdsIRXs and ❑OTXEp' µIGryT - Good, and Y'llCe;e Is In /Se a Iecl.. J PROJECT DESCRIPTION P ITP P/L) UserProhnsIDt4 n/ Ate- Llcense Class -� UCa N FT. .. _ G. SPAPD . PROVIDED Date ATI OCCUPANCV�_CONSTRUCTIONTVPE OC WIDTHCC STREET WIDTH STREET RKFECI _ PARK FEE§ OPi_ ON DECLARATION ERS' COMPENSATION RKERS'Cm it of consent OI a that I have IN bo Meby, affirm that naoO a Csation ^Il GRADATION 20NE ZONING APPROVED BY OgTE "- _ i encs. afe1Hified Of Workers' Compensation Insurance, ar a'CertiliN copy of (S m. C f(Ydion 3800, Lab, C.I.CC F. ' � GRADING CU. TOS. ACRES SPECIAL CONDITIONS: - %4`Ojt CY NO. - Cbbed. j 11 ❑ CaNlflen WRY is ythTBM1etl. - pEMARKS: Willard ❑ CerPTIO COPYOM thecityBPENSg TIrIN D W RK EXEMPTION FROM WORKERS' COMPENSATION DECLARATION D - 0eb.nol be-cOmplelaP 11 the permil 1101 one hundred permit {$10 1 r law -which _ ability me Of enting I spill)n legal Ol employ any pe Soo 1n any manr ner er so asltp ecomle PLUMBING T' PLAN CHECK ELECTRICAL PLAN CHECK - bKCtteMeWOrkers'Compensation Laws of California. BATHTUBS SXOWEgS - ' .DaM Signature i :NOTICE: It after T Wrq this dial]SOon, Y u Should became subject TOILETS ', URINAAS '" GENERATOR 0.1 KW�-1.10 KW TRANSFORMER to the versions' COMaensati*n 00v151oM OI Ino lab COtla, you must - Comply with Such provisions or this permit Shall be deemed LAVATORIES DOUBLE LRVS APPLIANCE in KW�SO a KW ,forthwith evoked. I- CONSTRUCTION LENDING AGENCY _ _ KIT.SINK$ DISHWASHERS -' -MOTORS' O-I.HP�1-10 HP it hereby affirm that there Is a Construction tenor" agency for the MnSERVICE SINKS SUMPS (INC. SOLAR) 10-50Ha�50aHP- 'lormaece of the Work for Which this Permit It Insured (Section 3097 - FLOOR SINKS FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES-.. Cie. Landerj' Nanta C.. Lenderfs Address _ DRINKING FOUNTAINS GASTUBESIGNS - - OWNERBUILDERDECLARATION INTERCEPTORS CLARIFIERS -POLE LIGHTS ' 'I herebyy 91rm that^ am Oxem d from the ConVaCtorrs License law for SWIMMING POOL - PTRAP' PORwerE -METERED 'SU the fallowing re (Section 7031.5 Business Rod Professions Code: tltyor ires a permit CountywhichItto its construct, ens- WATER SERVICE ALTERATION - - PANE4$ MAIN - 'SUB - 5 IrrinY tlemRush o any sstructue. slate ep. ll®n1 for $van permit to file a signed s[eNman[ that he auPei Drovlpons Of the ConauctorY License law S IltensOR Wrsuanl tO thComMancin GAS SERVICE OUTLETS SERVICE e DAMP Chapterye of Division 3 of the Ambel and (Nrike 5 Cado) owho rthtat' ne Is ¢OmMYt therelom ono rms - bask for the alleged�exa mptlon, Any violation of SaCtion ]031.5 by WATER HEATERS BTU OUTPUT .' SEWER CONNECTIONS - I �+ any apOplica t lar grmR Subjects the applicant o 'civil penalty I o e than Ilw hundred dollars (Sral SOLAR TANK - COLLECTORS 10 I as owner of the o"rty, or my OMPIOYeaS with wages as their edged work, ono hasoucture 1s rapt hand m sole Compoffered rmallonfor ' sale.� illedthe OnCode; The stonad _ SOLAR PIPING SVS. - ISSUE FEE '. '. owners Contractor's LicenseSeLOW deal not apply ofia property nobuild$ at himmovers tMvwn, a" who OCRs such work himself or ISSUE FEE - APPLICATION. APPROVED BY DATE through his own eMPlcomos. PrOriddd that SUCII iM havers nti are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for MIO. U, however, Ind building or imprbnment Is said within one year of completion. the owner will have. therden • - f proving no did not build or Improve for the purpose of SCSI. HEATING SYSTEM 100A00 BTU BUILDING' PERMIT ❑ 1, a weer of the pC uty, am [Cls I"It, Cn [ting ith' _0- AND DUCTING $ _ SHIP §�_� licensed Contractors t tfud the Omlett Junction 70rda, Rental 300,000 s BTU 'PLAN CHECK S PERMIT and WofRUMORS Code: The Chat ncor Y License Law does notapply to ISSUANCE E of property Who fields Or or vM thereon, and who Con- tracts REFRIGERATION 0.100.000 BTU PLUMBING E from Such Projects with tractorN)Imembd 'pursuant to SYSTEM -GRADING E the Contractor's License Lawf. 100,000 BTU' PLAN CHECK Ig�� ❑1 ;in e+empl under Section. -8.8 P. C. lot thisBOILERS BTU ELECTRICgL E3..[_Z� § reason - 5( SYSTEM REPAIR, ALTERATION - EXHAUST SYSTEM MULTIPLE PLAN CHECK S MECHANICAL f r MICROFIfM,S TOTAL FEE § LF55 AD. Date - O o - I hereby¢rlify that l �ad this aodo G and late that the above Intpemalion IS CDnea ,a9rOd io CtltRply vI tR `II Ity rad atoll PLAN, CHECK'y - VgNCE PC §_ - ormnencManCRaleNrvn IaNn9 iC.CaIRKueI10 dnOreli TamtpOrlae t 6 irn apo the a 0 norNd oroo:eiv is ti our ��/ C�0 li FINAL PEE §_ Signature OriPor3' UOUnspror SS y/ ISSUEFEE CMFOO6546 White-Bullding;Gnary-AOpllcanq Pink-Accounting;Goldenm _g essor CONSTRUCTION AND PLANNING APPROVALS Permit a1`- L 3 : Y . ,. -• Date InspectorpppROVALS POOL & SPA _ Date Inspector . Permit # i_. Temporary Electrical Service or Pole _ 43. _� Pool & Equipment Location" 2. SoilPipe-Undrgrn Steel Reinforcement 3.. lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinorce - 47. Rough Plumbing & Pressure Test - • - - - • -- - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE-' 7. Footings 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap•.-D'Undiarn- 10. Structural Floor System 52. APPROVAL TO DECK -" 11. Property Sewer Line & House Connection 53. Backwash &.Recefor-Final - 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing '-' "• -' - 14. Rough Electric -Conduit - 56. Electrical -Final - 15. Rough Electric -Wiring - I - -57- Solar System -Final - 16. Rough Heating & Air Conditioning Fencing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test- - 20. Roof Framing 21. Roof Sheathing NOTES: .22. .Frame and Flashing _ 23. Insulation - 1a-_ 2 o'uf- W. �S �. 24. Lathing & Siding 25. Drywall Nailing - - 26. Plaster Brown Coat - - 27. 28.- -Electrical Power Meter -Final Final Electric - 29:- Final Heating & Air Conditioning - 30. • Final Gas Pipe -Test - - - 31._ Final Plumbing - - 321 -Water Service -Final- - - 33. Gas Service -Final ' 34. Solar Domestic -Final 35. Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&.BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No Date - - - 31001 p M.sl -• r Corrshal In I work i.wMC0 this Is mlL is the pertor mance trillion In ry o California.neither ia. as to MDCAme Issuedjec I shalt not ers Co any Compensation e IIIWOrkps Conature (ion 1Jxs al Gl lo - '. PLUMBING,.y. .,� Applicant to fill In anspaces within heavy border boosted elan all appropriate declarations. REFRIGERATION SYSTEM" - { CITY OF COSTA MESA PE MIT TRACT NO. LOT NO- DQ. D. NOTICE: If after making this d you should bOwmo'zuou - 'CONSTRUCTION PERMIT t7 - rovisi ns Most forthwith to like Comply Mtn such Prnsation provisions Vlsl°n6 or thOF is °errnit mill Ue d0 med 1 '" I729 1.2/1.4yi 7100 raked.-- -. _ •• CONSTRUCTION LENDING AGENCY Project Pike 5 C D[ LI PI - J TYPE OF CONSTRUCTION r-. - 1 hereby affirm that there Is a Construction IemdMq agency fpr the Off- sonlro Nnof the Werk for Which this permit Is sued I+ecll°n 309_) 'PLAN OWna 0 Phona❑ NEW C3 ADD CI ALTERATION C.N ;Z�qi Londerfs Address DRINKING FOU - - e - O O ODEMOLISH OWNER BUICDER DECLARATION I hereby affirm that l am exempt from the ConlraCIDT4 LlCenie UW "fpr the f°Ilowhic re n (Ydi°n 1031.5 Business end Prolessons Code: ArYo City - of au County which requires a permit to - n Vucl, Nor. yyrdemolish of repair any structure, prior tp'Iti Issuance; also re- the to, such to file 4 signed statement that he SWIMMING POO WATER SERV IC Address_ REPAIR CONVERSION, _ ZONING REGULATIONS Arch/Eng. f' - - - - - -License No. -' O OTHER •A'P'# - LENSED• AddrMi -- - - !) ESCRIPTIONOFWORK -ZONE-- _ PLNG.R�N.Gj•- Con[M&0i ! O �• C Phone' C TYPEOF PERMIT.+ - _-_- - �R YL1NE -" Patches; O: K S.` -❑GRAOINO_ O FOUNDATION-OSTRt1OTURAL - SBUILDING ET cK T.- Y R 1 LICENSED CONTRACTOR'OECLARATION 'TENANT"'O ELECTRICAL OPCUMBING MECHANICA 1 � I Hamby affirm mln I 2M ncensed under prOVNdl chancOm -Business d ❑ : r Meriting Mi fiction' 000) of lVizo 3 of the HOteulons Code d license Is In f farm and affect-.. OTHER' OTHER ;REAR VgRO (TO P/LI ` 1 �6 — 6 Vy6 - PROJECT DESCRIPTION -- --- - uanse Cass IJP I 'SISn rLYpO . SQ. FT; - Pi SPACE REQ. ,PROVIDED OaI /Y -s i' CCU a -• _ "av! -STREET =OCCUPANCrssy_CONSTRUCTION. T.VPE WIDTH .,PARK FEE WORKFRS•COMPENSATION'OECI RATION - - - A M1erebY afiT that I have Certificate f ou¢entp 10 mlHnz r a VALUATION- ZONE - IZUNINGAPPROVEDBY GATE 4 itI- I 1 W kas COmp00 N I tli d COPY 1 SPECIAL CONOITIOHS: I rtorf (Section 3800 laO C.J1 Q .GRADING CU NDS. ACRES IYNo OW'L PoA4SG9 n y.N ys�ZM __ I. �Certified copy 15 Brady f forehead- - - REMARKS C- C tifl d copy l f l tl with theCity Building O i t EXEMPTION FROM WORKERS COMPENSATION DECLARATION - - This Mcilun need not De completed If me yundt.R ler one nun rad ... _ f r am exempt under Signature _U Drivers' Licary GMF 086506 am ek[IuslvNy Contracting lWlth Ie protect l Section 1046. Business work i.wMC0 this Is mlL is the pertor mance trillion In ry o California.neither ia. as to MDCAme Issuedjec I shalt not ers Co any Compensation e IIIWOrkps Conature (ion 1Jxs al Gl lo - '. PLUMBING,.y. BATHTUBS REFRIGERATION SYSTEM" - { Gale Signature to C. for llie NOTICE: If after making this d you should bOwmo'zuou TOILETN:.,j _ rovisi ns Most forthwith to like Comply Mtn such Prnsation provisions Vlsl°n6 or thOF is °errnit mill Ue d0 med LAVATORIES SYSTEM raked.-- -. _ •• CONSTRUCTION LENDING AGENCY .KIT. SINKS SERVICE SINKS Iter upon°i6e°abo ebvlreeiooned 1 hereby affirm that there Is a Construction IemdMq agency fpr the Off- sonlro Nnof the Werk for Which this permit Is sued I+ecll°n 309_) 'PLAN De. C.). - Lender's Name FLOOR SINKS C.N ;Z�qi Londerfs Address DRINKING FOU 'INTERCEPTORS OJ HP�L30: OWNER BUICDER DECLARATION I hereby affirm that l am exempt from the ConlraCIDT4 LlCenie UW "fpr the f°Ilowhic re n (Ydi°n 1031.5 Business end Prolessons Code: ArYo City - of au County which requires a permit to - n Vucl, Nor. yyrdemolish of repair any structure, prior tp'Iti Issuance; also re- the to, such to file 4 signed statement that he SWIMMING POO WATER SERV IC lOdO HP_50"+HP uims aPJiwgt Permit K neensed pwauani.to, me'yrOWRdns Of me eonnanpit Llmnsf 1iw- -. - � ..__ ....�.. _. .......__ _. .._ - GAS SERVICE am exempt under Signature _U Drivers' Licary GMF 086506 am ek[IuslvNy Contracting lWlth Ie protect l Section 1046. Business ATIODUOSVSTEM NOOUCTING 0-I00.000 BTU. 100.000!BTU_ orfs LicenseLaw doesnotapply to n„mprelvers thereon, and who Com :o fractor(s) R[esne4 Dursuan[ to REFRIGERATION SYSTEM" - { 0-100.000 BTU_ 's 100.000+BTU- C. for llie BOILERS BTU _ SYSTEM REPAIR, AL_TE0.ATION ,education and dateJM1at the aboveEXHAUST a formliky With all City IM county SYSTEM MULTIPLE KWRATOP PLUMBING Iter upon°i6e°abo ebvlreeiooned `I 'PLAN .<t� ANCE C.N ;Z�qi -ISSUE-FEE q Plnk-Acountingl COldenmtl-A55Ksof OJ HP�L30: fRICAL _ TAPPLICATION APPROVED BY - ---OAT PLAN CHECK TTIT3iGARAGuf -' _ r. IPEpM NG_ _ §. \_ •.kedlp i. IF ^ANCHECK 0-1 KW_ KWRATOP PLUMBING 6FORM_E_R `I 'PLAN .<t� ANCE [050 KW_504 KW""-� IRS - OJ HP�L30: NP; .. "' ; SOLAFi lOdO HP_50"+HP - IS. - - -- TAPPLICATION APPROVED BY - ---OAT I SUMMARY OF FEES _ _ IPEpM NG_ _ §. \_ •.kedlp i. IF ^ANCHECK $ :PERMIT PLUMBING _ § _ - -ISSUANCES $, `I 'PLAN --GI GRACING CHECK 3'' _ [ELECTRICAL 3 §— 'MICROFIIM$— OD PLAN CHECK 5 �T—� MECHANICALf� ,TOTAL'FEE$. , - LENSED• - PLANCHECK § - -- - VANCE PC $,_ FINAL FEE N� 1 CONSTRUCTION AND PLANNING � APPROVALS Permit # Date - Inspector POOL & SPA APPROVALS Permit # Date, 'Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipinent Location - - -• - 2- SoilPipe-Undrgrn r+• • 44. Steel Reinforcement - - 3. -Electrical Conduit Utility-Undrgrn _' 45. Forms _ 4. _Electrical Conduit_ -U_ ndrgrn _ _ _ 46. Electrical Bonding - - 5. Steel e+rt arce 47. Rough Plumbin' - & PressureTest ' _ 6. _Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical ConckkmUndr rn 8. Foundation- _ 50. -GasPipe, E]Undr in,Test - 9.. Water Pipe-Undrgrn 51. Backwash Lines PmTrap, El Undrqrn 10. Structural Floor System- 52. APPROVAL TO DECK- - 11. Property Sewer Line _& House'Connectiori _ _ _ _ 53. Backwash & Receptor -Final - 12 _ Street Sewer Connection' ' - _ - _54.. Heater & Vent -Final . > 13. Rough Plumbing - -- 14. Rough Electric -Conduit ,- - - - 56. Electrical -Final - - 15. Rou h`Elecfric-Wiring - ' - - - - ' ' ' - - - - - 57. Solar System -Final '- - - - - -16. - Rough Heating & Air Conditioning -- _13. _Fencing & Access Approval - 17. - Ducts in Structure59. APPROVED FOR PLASTERING 18: Ducts', Ventilating 60. POOL/SPA SYSTEMS FINAL '• 19. Gas Pipe-Rough&Test• - -20. -Roof. Framing..- ' 21. Roof Sheathin ' " -- " ' �_ - r r - r' NOTES:_•. _ • ;' _ o- 22. Frame and Fleshing- _ ' _ _ 23. _ Insulation. _ 24- Lathing &.Siding ' 25. Drywall Nailing 26. Plaster Brown Coat ..27. Electrical Power Meter -Final ' 28. Final'Electric - �. 29.. Final.,Heating &.Air Conditioning i 30. . Final Gas Pipe -Test 31. Final Plumbing _ _ _ - - _ - - 1.32. Water Service -Final -33. Gas Service -Final 34. Solar Domestic=Final 35. Landscape Sprinkling System - 36. Sound Attenuation •- - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No-- - Date - • 11" A'Okcanuo fel in an nodi within heavy border lines and sign all appropriate declarations, e .....Z CIT`F OF COSTA MESA PERMIT ' TRACT NO. LOT'NO. - 'BLDG. NO. r -� CONSTRUCTION PERMIT f S7 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION- O REPAIR. O CONVERSION ❑DEMOLISH IU�I•-'" - 2:.[.Pf 1 Project Adtllm OS 1 e4hl .�i O V Own¢r r a, jPP i PFen¢ Addr¢s I ]SO C/✓/// S✓Te . ❑-OTHE0. DESCRIPTION OFWORK _ _ _ _ "" � - ZONING REGULATIONS _ 11 . A.P. - - LONE PLNTGo ArcM1/EnNd.- g. license - - _ Address '" GoMaclor0JACIP /lard, ay phdne`96-d44/ TYPEOFPERMIT - - - O O'FOUNDAT,ION O STRUCTURAL SETBAL T. VgRD q0.LE�FL. p¢�q PROPEIfiTY Lai NE' - q GRADING. ❑TENANT O ELECTRICALHa{PLVMBING OMECHPNICA . - LICENSED OR I ION LICENSED-rm Not I a d under I enMby affirm (bel 1 am licensed under provisions of Charter (hind -3 O - ❑OTHER I T Of s f the Business Ing with fon 7my 1 se Is cede, and v license is In lull force and effect. Al REAR PIC) LICen58 C1a55 .- 3 Gm Llwnse N0 3 lip YtlD class PROJECT DESCRIPTION EO. FT. t - .. OCCUPANCYCONSTRUCTION TYPE G.5PARD(TO PKG. SPACE 0.ED. STREET WIpTH ZONING APPROVED BY PROVIDED - PARK FEES ' 'DATE - Date 1T, F -PZ signature WORKERS' COMPENSATION DECLARATION- I hereby affirm that l have a cohlicele Of consent to aelf.insure or a VALUATION ZONE tifo le of'WOrk8FS'- OMVenUtIOn Int I certified copy �af(SandIon3900.LaoC.). - --- 'GRADING CLL YDS. gCRES SPECIAL CONDITIONS: _ ' ilcy NO. - CrmPany LS.CedlllM copy is hereby furnished. - REMARKS: O ❑ Unified Copy Is IIIM with the city Building Civ15100. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - (This section need nol.be Completed 11 th8.permll 1s for one hundred [E�oo or less). PLUMPING- -ELECTRICAL PLAN CHECK l�/Y shal In.ot a Performancenp di Any lo^w r ch, as t petrol! H— Issuedv person Ia ata r so to become ed tall t to the Workers SAnature t fonLa aCall1ar a nit Compensation SLOWCHECK - - BATHTUBS SHOWERS - _ - DoleCF Daae %Z'C—AZ' _ ng thiureT- :NOTICE: If voter making this declaration, you mould became zupjeC[, 'TOILETS "URINALS GENERATOR 01 KW 1-10 KW. Am the Worker' COmpeO aN00 provi lona OI the Labor COOS, YOU -1_ ust forthwith h such Or this Shall be deemed LqV gTORI ES DOUBLE lqV$ TRANSFORMER gpPLIANCE 1050 KW -50 APPLIANCE +'KW comply Per provisions permit evoked. Ya S NK5 DISHWASHERS %' MOTORS" ' 0-1 HP_)d0 HP CONSTRUCTION LENDING AGENCY ` Ihereby affirm that there IS a Construction leading agency for [neper- SEFVICESINKS" ,SUMPS IINC.501-AR) 10-501 so a'HP - form ow of the work for which this permit Is issued (Section 3097 FLOOR SINKS .. FLOOR DRAINS 'FIXTURES OUTLETS SWITCHES. ' 'Dr.C.I. UnderY Name '.LendorS g drug DRINKING FOUNTAINS . GAS TUBE SIGNS ' INTEflGEPTORS CLgRIF1ERs 'POLE LIGHTS OWNEyR'BWLOER DECLARATION - the acrd r% License Law that I am 7031 foilowingm SWIMMING POOL PTRgP ' POLES METERED SUB - the eason' (Sectli n 5 Buiinessr TOf sSSlOns Code! -Or Any City County which I¢Oubes a permitto Construct, viler, Issuance, WATER SERVICE ALTERATION PANELS MAIN SUN, " ImproW. demolish Or repair any structure, prior to its alae ter quiKs tim a0. kant fol Such Permit t0 III Sig vett Statement that he _ GAS SERVICE OUTLETS SERVICE- � � - AMP IS licensedPursuant t0 the'WFOvlslons of the Contractor's License l'ew I apter 9 (commencing in Section 90001 of Division 3 of the- 'yy{ggmess and Prdesslont Yede) or that -he Is exempt therefrom and Me - for the -exempt Any violation al Secton 7031.5 by WATER HEATERS BTU OUTPUT- " P4S alleged Soon. jestsdollat e ape ural t0 a civil penalty yrs appmmntt for a permitsubjects SEWER CONNECTIONS - Ol SOLAR TANK COLLECTORS' ' ❑ I,a as eine of ltle prop]dy, Uf My BmplOYe05 wlm we905 of their sola compensation, will d0 tM work: and lnestlucture isnot Intended SOLAR PIPING SYS. ISSUE FEE ' - OF offered for Ale. (Sectors 7040, Business And Profen loin Code: The Confectioners Lcense Use does .not apply to an owner of a property. APPROVED ._ who builds or Improves thereon, and who dogs such work himself or ISSUE FEE APPLICATION ED BY DAYS -' through his own. nmloyaloyal ra Ided that Such Improwmen11 ate not �or Phowever, Improvement Intended or offered le. the building or MECHANICAL PLAN CHECK SUMMARY . ' OF. FEES IS Sold within one senior the Owner will have,me burden BUILDING _ ' dcomplletion, f proving he tlid no In ImproW for the purpose OI sten HEATINGSYSTEM 0.100,000BTU PERMIT f SMIP 5 I, a owner of the property, a enC1u51vely Contracting With AND DUCTING - - - " licensed contractors t0 Construct in* project (SeC[Ion 7044, Business 100.000 a BTU PLAN CHECK f PERMIT and'PrdfeszlOns Code: The Contractor s-Llcense Law does not apply to ,, ``-- ISSUANCE' S an Of properly who builds or improves thereon, and Who con- REFRIGERATION 0-100,000 BTU—PLUMBING E�/"a/� tracts from such projectsith a 40 VBCtorp)' licesned pursuant to SYSTEM pO �-�S GRADING JS the Gentractor's.ucenu Law). IOQ000: BTU PLAN CHECK 6 ❑ I am exempt under Section - B.6 P. C. for this BOILERS BTU ELECTRICAL A f eason SYSTEM REPAI R, ALTERA71 ON - PLAN CHECK f MICROFILM.E TOTAL FEES - Owner county that nave read t Ihereby nhisa Marfan and State Not the above CXHAVST SYSTEM MULTIPLE MECHANICAL f , LESS AD - IS correct. I gree cpopm IInn 811 and county PLAN CHECK a VgNCE PC - 3_ ordinances and to to hereby ordinances thus relating t enterruction.the mentioned , f aboveb representativesofthis City to tar upon Inv above toned m. In Penlpn pp5es., snnatna 'u� �•a wgSB FINAL FEE E �f{ Signatur ISSUE FEE - "-- Drivers' License Or SS SE CMF 0865.46 White-BUIIding:Canary-Apphcadi Pink-ACCOunting: CONSTRUCTION AND PLANNING APPROVALS Permit # - l Date inspector POOL & SPA,' APPROVALSI':.- - Permit # Date`..Inspector{ 1. Temporary Electrical Service or Pole ,- - 43: ,Pool & Equipment Location -- - ---�'---`•-- - • =• - - - • • ^• • - - 2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement - - - --- --_- - 3. Electrical Conduit Utility-Undrgrn 45.r Forms- - -- - - 4. Electrical Conduit-Undrgrn _ _ 46. - Electrical Bonding - - -- - - 5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test •` ' 6. Electrical UFER Grn 48, APPROVAL TO COVERGUNITE 7. ootings -' 49. -Electrical Conduit-Undr rn - 8. -Foundation- _ _ - - - 50. Gas Pipe, ❑ Undr rn, Test - 9. - Water Pipe-Undrgrn - 51. Backwash Lines P -Trap.- Cl undrqrn - - -- 10. Structural Floor -System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - ' _ -_ - 54. Heater & Vent -Final 13. Rough Plumbing . Z Z55- Plumbina System - Fdrial- - - -- - - --- 14. Rough Electric -Conduit - - - - --- - 56.- Electrical-Final- 15- -Rough Electric -Wiring - - - ' - - - - 57. -Solar System -Final - - 16. Rough Heating & Air Conditioning_ _ _- _ _- -- -enc& Access Approval 17. _Ducts in Structure. - - - - APPROVED FOR PLASTERING +•' - - 18. ---Ducts, Ventilating 60. . POOL/SPA SYSTEMS FINAL' " - "' 19. Gas Pipe -Rough &Test - - 20: Roof Framing _ •" _�,: 21. Roof Sheathing NOTES: 22. Frame and Flashing L. 23: Insulation 24. Lathing & Siding • _ - _ ' 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final-- eter-Final-28:- -- - - 28.- Final Electric - - 29. Final,Heating & Air Conditioning -- 30:. Final Gas Pipe -Test 31. Final'Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final . { 35. Landscape Sprinkling System 36. Sound Attenuation 37. -Handicap Regulations - 38. FINAL STRUCTURE&BUILDING 39. Special. Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' - - 42. i - CERTIFICATE OF OCCUPANCY No Date ; e ant t d Applicant to fill In an spacer except theta within heavy border Illi» and rbn all appropriate de hrim(Ona. .- - -- �-• - uCi. Untle �Grauntl : 0-0ge,D008TU ❑IDO.OW BfU I - a. ,CITY OF COSTA MESA - - -- - ,CONSTfli1CTION PERMIT i ' - - - - - 4252 2/09/ 13 IDell;i TL PERMIT � �a�-. ; � TRACT NO. '' LOT ND. - 'BLD . 6 020 a2. _ > - Applicant's Malling Aadreb PrOjec[Adtlrms .JJJy -n1 TYPEOF CONSTRUCTION LJNEW LJ HDD LJ ALTERATION. LJ REPAIR. CONVERSIpN El DEMOLISH El OTHER Owner's Name -G4�'��� �PB1S.C(chone AEdrBa'-'=•7,/T�A iii DESCRIPTIONOF WORK ZONING REGULATIONS caner o1 plonerry. am exaYst»Ir m a won con tractors P cenatmct the projecl1 Section 1044,11 I e professions Cone; The C t tl t 1 .TYPEOFPERMif GRADINGO : UNDATION -STRUCTURAL C TENANT ELECTRICAL PLUMBIND' MECHANICAL ..0.•OTHER, - _ PROJECT DESCRIPTION SO. FT.P OCCUPANCY - A. P:♦ ZONE Exhaust System ❑ Multiple ❑ - Arch/Eng. License No. Address- + PLNG. REF. M 1 BUILDING = ecwr1 License Law a not apply r porta lY who I builds Improves thereon, and who color I n projects with a can TO BUILDING. gEgq YARD ITC P/L) Con[rwmYs Nam Phone iling)'' - �4- 12E rCON Address �%4A�� Uce-neNO. �B 'LEFT SIDE YARD _ RIGHTSIDE VARU - F r pUEwl. Bit. ICBO de 1 STRUCTION TYPE VALUATIONS 20NJ: GRAOINOCU.YOS. ACRFc PKG. SPACE RED. L PROVIDED PLAN CHECK $ LICENSEDCONTRACTOe OECIARATION �/) with pY len mato II mea unser pr d es n C or ^w p .chip wl(n Sense n full 1 Division ] 0/ [lie SI a I title. and Ilpeme I full force and efba. A / Remarks: Q STREET WIDTH PggK FEES - _ SPECIAL CONDITIONS PLUMBING - ; Oconee 1.'JcwseCil a• c i B Dale '�->��P� .hpyaYr., Bar Sink Saver Cep ' ELECTRICAL )RKERS-COMPENSATIONOEC RATI Araby' at firm that l have annlll ebf yontens tp Uanaura or rtlOote CAmpenvtlon 1 cart I e SI finer a 1 3800�1ab. ) < PpnCv 06 890 RJ/n d n ' "B kilo 'Preva [m -- -Sewer Connection --� - Automaic Wes!»_ _ JMeta paver. lOD,emps Sam kflow trrige on Sobr Callemms ' COniiructl Pole Sub Parcel Hood or T40a ❑; Ne. Cp p hY Certified copy Is hereby /urnlsned. H Bathtubs I $plat PIP n0 I Cooking Unit Sub Pole' ' 1 ' • Cortllle Ina with ane city Bui i ode AePnnm j Cbrhere Bohr Tank DizM1k+gzM1e Momrs ❑O1 He ❑1%$ I i S16 _' EXEM 1 .FROMWONKERS'CO SATIO O^LARATIO" - 12311 secuon need not w Pon lit mrmlu wnar.e ostia) OF uIitrv'emt m the Berra.mince ort work car which Imseperm t Is issued I shall of employ any Porwn In . manna so as to p blect td the workers',Compensation.Lawsol Gnornia. chandlers DyIVByItt Swlmr1110 PO01 wisps g p bryers'OG�❑EI ons 1cSoeT(DB 15HP❑ 16150 gCVANCE�PC E I i t Drinking Fountains Urinal 1 Fan. F ' Microwave : - I Floor Drains; Water Cocas ----_ _- F.A.U. Po16 Li 1 I • V Da[b - NOTICE, G it making g this eenamtmn, you mould hecomemblen m me ! WOTkeN'vC0 Po sillon proygldns of toe Lap C ea, yeu,musLfermwitM1 ComplyRn, Such p who MI p rmll ill pe ewmea'raLONed. CO NOTq UCTI ON LENDI NO AO ENCY M1 eebY a B thatscare Ise [ tl 1 ndl eq qe Y for me peNermanca I the rk t wash. Sal' permit is lu d 13aetlOn 309) CIy, C.1 Landart Name- t _ -Floor Sinks: — -Waver Heeler S - J _ Fixture .c _ _ I ` _ _ Range_ L T - - - G Beryl ce O (I tsi •Wa[I!`LSery �- D`nice.BOxez Sign' I 1 mplOfs C .T Dutl¢[s Standing Sections 1 _ K lchenitihk' L. Switches f - 4 puler ;Trash Computer tpne0Y5 Aadla I "- ..OWNER BUILDER DECLIaRATIbN I I nervy alit tett I of from in C t t S U ae V f r me fohowlnp rmAS (SeCtIon']031.5 Business and Piple»IOnal Cpae. Any dry Or u ty which, raqulres a permit to congmct, eller Improve, eempYm or rem It y [ cmre, once to Rs issuance also mamrm the appnc.m car M1 p IL III signed alalem ol'that lie/she la IlCepmd pYr6Yent t0 me'p ISI f x tractor s LikeLaw (CIA pt 9 f Ing villi SeCtlon 1000) of �-.§I 3 ofthe Business andR I »I mCOJej'Or roar lie/sF 11 pl $yi ! en0 Ihae bash far slid IInto a su pdOn. PAv vlolaklemol Ga[tlen ]03' S 0 .-a y pollens /O pe II b)ects mo applkanl t i II r�ee Penalty 0 not more then Ilve.n a w amt ($5001 t 'Lim, az owner I [be property Y employees with ages f their Lala win do Ila wo"k a Is not mtanaw offered lar le (section 1044, Beal eve 1 laoal Cade Tne'e t [ License Law does not apply t o I a property who bands imp s mereonpand who 00a,SUeh work M1lmftPri arsali or thou n nis or her own m Ia lana to t h-1 t i 8 N a I - L mmnes rr " f ( Garbage Disposal i- t t j P Trap, t L• Generator 00.5 KW 05-15 Ov - ' ' r I _ t �• RpOPD 8 6 ' 1 Transformer 0155UKW f I - �. .' ❑5U i KW Rain q»nion F jS6 $hp a - !y ' Rai Fm' $15 Met" ❑ p to 1o5;empz IoW Fae. 3 Se B k _ 1 I lave Fm , $ 3 Zeninp Approved Hy pat Application Amocanned By u I I t D ti AppIImllpn Issued IN M 1 ! ' r MECHANICAL j H !Ige_ n: n Relrlgeration System I ) ❑ CMF 0865-66,110/02 WMIe- Building:Canary - ApplicanRNnk- Accounting; DoleenrM- Az»zser prow a a pmwman s are no a oro ereor Sea!I1, nowever, the euilalnq r Improvement la cele wltnln one year cdm- uCi. Untle �Grauntl : 0-0ge,D008TU ❑IDO.OW BfU I - t 1 j I SUMMARY OF FEES ' ple, letlan, ins owner wlll.naw Ins bureau o/ proving np¢na d10 nbl build pr Ica- ' I , 'uct Structucal System Rep /Atte alien s ETlortne purVo»ort»Iel. _ I, me t' ilnnsee I BUILDING PERMIT $� $MIP '. $ . Duct Ventilating I ' 1. _- caner o1 plonerry. am exaYst»Ir m a won con tractors P cenatmct the projecl1 Section 1044,11 I e professions Cone; The C t tl t 1 'PLAN CNECK' 1 $• '' PERMIT I Exhaust System ❑ Multiple ❑ - ecwr1 License Law a not apply r porta lY who I builds Improves thereon, and who color I n projects with a can 'PLUMBING ) !k ! ISSUANCE I L traaor(q II Pursuant to me CanlraclarM1 U Lav): t U I '1 j 1 GRACING S I F r pUEwl. Bit. ICBO de 1 0 I. exempt d sem e a a c for cels NIS PLAN CHECK $ ' ELECTRICAL $ 1 ! Date 'I r H 1 gSygem N Burring I DOIOO;oDBHTU 01Ug000 - - — - - MICROFILM E PLAN CHECK $. - 1 1 lie sOv n sly N t I eN-Ihlb I t - <a tort Ica above r J1 u L 9. m cam Gn y a Iv o.emancez - TOTALFEE, $ - •MECHANICAL $ Hood or T40a ❑; and -state lows ralal g o mhmng lin a nerely eumorlee re hoer 1 ' • [awes a mhz • I e ter e-mentipnee p o t Inspection I fano T II 0' i MlOspeetwnsFm S16 PLAN CHECK 1 St f LESS ' r I' aurPo Slgnaturi oat gCVANCE�PC E I i t Drlvern Linn»o ss y! I q' stars ! ' T, Is»a Foo °$' I S 3 ! I I I 1 .. FINAL FEE; S'/`� - CMF 0865-66,110/02 WMIe- Building:Canary - ApplicanRNnk- Accounting; DoleenrM- Az»zser ' r,CONSTRUCTION AND PLANNING - APPROVALS Permit Date Inspector PO( SPA APPROVALS Permits 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•Undrarnd. B. Foundation 59. Gas Pipe, O Undrgrnd:, Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, ❑ Undrgrnd. 10. Structural 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. RoughElectrical=Conduit - 66. Solar System-Final - - i6:,"Rough Electric Wiring .. 67. Fencing & Access Approval .. 7.7..IRough Wiring Sign ' ?: x' 68. APPROVED FOR PLASTERING T; ,Rough Electrical-T Bar Ceiling69. POOL/SPA SYSTEMS.FINAL 19: Rough Heating & Air Conditioning r FIRE DEPT, REQUIREMENT APPROVALS Permit •. .. .20.1 Rough Factory Fireplace , 21. Ducts, in Structure 70. Underground Hydro �22..Ducts, Ventilating _ 71. Product Piping OGas ❑Oil --23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing -; ! 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structuralh& 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 Notes: '31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy i - 37. Final Factory Fireplace's 38. Final Plumbing �Q 39. Water Service-Final 40. Gas Service-Final :� •' 41. Solar Domestic-Final 42. Backflow Preveriter , 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison • ' '� - 50. Gas Release to Southern California Gas CIO 51. CERTIFICATE OF OCCUPANCY No. Date ' i A Applicant's Ig ling Addrt re Owner's N�amC¢ f1 (MON Address 2(� ArcNEnp',". �� GRLtI� Addreas HISS 64NL'� Contractors Name_L'G Address Imi XeLZd City License No, d/e LICENSED CONTRACTOR I hereby affirm that 1 am le / workers JJYY oa m� nmion I oo,ucIcompensation ' COmpai rifled CODY is nerebV fsimulated- ctl NO. Ora sebeatlon -provlsiOnS of z�bOT y obp,�you must forthwith such Pmvisapns or fel'F�6 lt ball be deemed evoked. ON LENDING AGENC p I tor foi [were his hich thispermitnlsertdlueed (Section 13097 fCry a C.) or DEN OECLARATION I that's am exempt from the ContractorY License Law for the an [Section 7031.5 Business ape Professional Code: Any city or reoumen a permit to construct, alter Improve, demolish or repair prior tO its Issuance, also TedsIIR^ tFa applicant For Such permit to fill In all scare= wltmn nm.y border lines and dgn all a0g: dpdate d8cN almm IMI D. J,PPCT NO. LOI NO. UN O: X101 E OF. CONSTRUCTION NEWL}�ADO LTERATION REPAIR CONVERSION E2 DEMOLISH 6a'OTMGR �IPSI AP DESCRIPTI0NOFW0RKIUSE0e BLDG. COM fill OFfl EOFPERMIT L GRADING FOUNDATION POSTRUCTURAL E ✓TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 8 D OTHER A ]JECT DESCRIPTION SO. FT. OCCUPA C N NST RUCTION TYPE VALVATIVN$ IS ZONE-'OflAOING CIF Yr gCRE ei will 1150 8/11/56 Sewer Cap ' • I Zone Server Connection ' Win Bullifirl Solar Collectors - Ir Solar Piping untains Solar Tank - Ins Swimming Pool w/Spa N Right. Urinal 'Outlets N Water Lluent IS .Water Heater ink ting Notes:/ Water Sears!" Roof Drains s - LJ leasV wnet of the property or V y empl oyees WIN wages their sole 1150 8/11/56 45.00 'TL • I Zone PDI. ' Win Bullifirl Accessary Building: ;rant Z O later R°in;action Fee "" N Right. $ 3 N MECHANICAL C R E Ref. xN Parking Req.lPrgyitl tlN' ting Notes:/ s�5 M Oconu Law does entropy loan overruns 0 Property who builds or improves T S as ELECTRICAL FEES em¢reonN awho does work MmsNf/nnrseu imougn not liter own Aulorratic appeal - Construction Pole sub. Transformer ❑ 15.5o KW ' ❑ 50 + KW Hood or Type 1 ❑ Coastal Unit _ Meter ❑up to IPO amps DEVELOPMENT SERVICES R UIREMENTS: Disheve r Meter Elmer 100 amps piaY s. provideo star z n Immrovements are not Imenoetl altered for sac 1e: 1f," however, [M1e nulltling o IS Sold wl[nln one year of cam- Dryers OGas []Electric Sub Panel Canopy Type I I ❑ Fan Motors 001 HP Ell %-e F.A.U.' - Inc Solar IDS 15 HP 0I6-15* provement oleudn; the owner wlt1 nave Ina bureen of proving neons ale not euue ter Im- Fixtures Microwave Device Boxes Pole Light Cutlets Range l ve for \n¢ pUrpOSe of sales. Switches - -' slap - - Garbage Disposal Standing Sections - Generator ❑05 KW 35-15 KW Trial Compactor "I, as owner pl me propll[Y, am ¢Mduslvely co tratling wilt licensed dT D Structural Refrigeration Relfigp[ion $yrt Application Aiolion [Rued By LJ leasV wnet of the property or V y empl oyees WIN wages their sole Rei,sma in, Fare $15 Ise Fee ° $ 3 ' z lion will do the work and the Structure :s Of intended ,offered a(Section CWde: R°in;action Fee "" $15 Issues Fee $ 3 for Sale 7044, Beaneas d Professional The Contractor's MECHANICAL FEES Oconu Law does entropy loan overruns 0 Property who builds or improves - em¢reonN awho does work MmsNf/nnrseu imougn not liter own i Boiler Hood or Type 1 ❑ DEVELOPMENT SERVICES R UIREMENTS: piaY s. provideo star z n Immrovements are not Imenoetl altered for sac 1e: 1f," however, [M1e nulltling o IS Sold wl[nln one year of cam- Canopy Type I I ❑ Zoning A y g pprOved n Deb provement oleudn; the owner wlt1 nave Ina bureen of proving neons ale not euue ter Im- Duct- Under Ground Building Approved By Do ve for \n¢ pUrpOSe of sales. "I, as owner pl me propll[Y, am ¢Mduslvely co tratling wilt licensed dT D Structural Refrigeration Relfigp[ion $yrt Application Aiolion [Rued By De o le<mrata lonrtmll me p.dj¢¢I oamo 7oaa, euilneosand Pm+essmns soda: Tne Cemradort GGeOR saw o et apply m an ter i proYpeaa who Ducl- Ventilating CIO -1 Op,0008TU ❑100,000 BTU - SU Iy71y1,s} Y OF FEES _ bu11tl5 Imo^ WS ih¢r¢On, and who 9y9cis 10/ sUCn prOec\s I[0 cf trattorosl.; R pursuant la the Con 6r s LIceS se Lew;. I am aware that 7 Ksuence Exhaust System ❑ Multiple 11 System $R/Al BUI hDING PERMIT $ � SMTP $ pecan their wo. ken's [Omoensat no ee prowa9a so m° PLAN CHECK $ PERMIT ' ❑lam exempt under Section .AP. rortnis reseem FirepllFacLBIL CBOQs Fire Dampers PLUMBING $ ISSUANCE $ Daxe -- Ow Hating system S, Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ _ imo°mzalonerafv tea; l ea tnls t° oralnePast ❑0100.000 BTU❑100,0008 ELECTRICAL $. GRADING S laoptc d°n dna niy erBlrg uNnoizG ono s ate ladws ria�n9 b9 u consirw a fie. n .eor '_ PLAN CHECK 50% $. MICR 0FI LIS! - S " - se tutwea +this I[y t upo ea p. ty purposes. MECHANICAL I_ TOTAL FEE $ Signature e .- Reinspection Fee $15 [sue Fee 1$ 3 PLAN CHECK 25% $ Drivers' License r * / F 0965-46, raw. IUA84 White - Buirding: penaltyApplicant; pink - Accounting; Goldenrod - ASHssO, (1"/"s CONSTRUCTION AND PLANNING APPROVALS Permit#' Date Inspector POOL & SPA APPROVALS Permit # a 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, 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 Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 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 PREY. 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: 8 /8 sL�WNK 34. Final Heating & Air Conditioning rT] V 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. Special Requirements Completed, 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OF Apmmant to IRI in all .paces within heavy border lines and sign e11 Sarni CITY OF COSTA MESA PEP TNO. T111T NO, LOT-NO."'BLDG. NO. 1961 2/I I/B2 CONSTRUCTION PERMIT 99.00 .� TYPE OF CONSTRUCTION Ty y+NEW ❑ ADD ❑ ALTERATION 0 REPAIR 0 CONVERSION ODEMOLISH _ OOTHER _.i�_y __�..N_ �=Cp __. ��..3 ,I uNtr___--, ZONING REGULATIONS Project Atltlras OS C !%lLLPQC /Oi/ _ q OwnN C'R'NB. ZC 14 _ P1100S'J 2 SS/ Addre4 jp Sir SU74f% - B_ ArchlEng.' C p Licenx No. DESCRIPTION OF WORK A. fe Atldress LmN Si ZONE PLNG.REF.S Contractor s-7 Spri"Oy B'( �. PMne % fJp TYPE OF PERMIT PROGEIRT VNLINE 4RO W Address rI 26ef2/7o� L 23 E_ 6E Ll ❑ FOUNDATION ❑STRUCTURgL ❑ TENANT�I ELECTRICAL PLUMBING OhtECHANIC YARD aTOR DECLARATION LICENSED CONTRACTOR PON I hereby a ith Ilr`I am 00) 09 undOrprovl6lof the Busin9(Com- o Business and wllC v Llan lin IS OI 3 ll Is In full tl ❑OTHER REAR YARD PILL ProfessproCode, entl bo aflec� ss Ilmnse os er (TO a� lass %" Licenx Nb>4%z 9D,5 N0, PROJECT DESCRIPTION Llcenu SD FT. PKD PROVIDED �5r . Dale Z 2' S9rlalwe �^ OCCUPANCY—CONSTRUCTION TYPE STRECT WIDTH STREET WIDTH PgRK FETE WORKERS' COMPENSATION DECLAsa TI � 1 hereby alfirm that I have a Cer[I/ICd<e pl nz¢nt lO Sell -Insure Ori VALUATJON ZONE ZONING APPROVED BY DATE Cer`If IpQtO Of Worker$' Compensation Insurance. or certified Copy e l(Rctl 3500, Lab. C.). �e:y /ND. CO. GRADING CU. YOS. ACRES SPECIAL CONDITIONS: now%F� /svYEi LOmpanyFL2ivc.at ]ertlflen copy Is hereby fumish0d. REMARKS: Z ^L LI Contained COPY IS filed with the city Building DIVIE10n. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This Section need not be COmPleled If the Permit Is for one hunt _ e work I IT the mane k for which thlz Permit 1s tha iC�efy Ian OI employ Person rod IOstall W of empl omanypen Peron Lin a Of mannCaliferio as tO become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSUWLLLFNU SO FT SO -ICT ' Data Shnaturs NOTICE: If after making this declaration, You should become subject TOILETS URINALS GENERATOR 0-1 KW_ 1-10 KW t0 the Workers' COmphation prONsIOPs of the Labor Code. you must TRANSFORMER forthwith comply with such provisions Of this permit &hall be deemed LAVATORIES DOUBLE LAVS APPLIANCE I050 KW� 50 ♦ KW revoked. KIT. SINKS DISHWASHERS MOTORS 0.1 HP -1.10 HE CONSTRUCTION LENDING AGENCY I hereby affirm that there is acOosVUCNOn lending agency farina per- SERVICE SINKS SUMPS (IND.SOLAR) IO50 HP a HE formance Of thework for which this Permll Is Issued (Section 3097 -50 FLOOR SINKS FLOOR DRAINS FIXTURES L OUTLETS SWITCHES i Clv'C'I' Lender's ry LenderY Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER II hereby ahmttha II am exempt UILDER M1Om the COntraCtorl License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS the following reason (Section 7031.5 0uslnesvnd Prof Code: SWIMMING POOL PTRAPsslons S Any City p county which requires a' permit to construct. alter, POLES METERED, U 'Improve, deal or repair any zructure. prior to l D Issuance, also re- WATER SERVICE ALTERATION PANELS MAIN SUB - quires the as, point for such permit 10 file a signed statement that he GASSERV ICE OUTLETS SERVICEAMPZdNB Is Spread Pursuant to the provisions Of the COntraclarY License Law 9 bornmencing with Sect'mtl 7000) Of Division 3 of the j WATER HEATERS ' 'BTU OUTPUT Pointer n ss and Proft ns Code) or That he Is exempt therefrom and me for the alleged exemption. Any winatioh Of Section 7031.5 by SEWER CONNECTIONS applicant to a Civil penalty Pmore [then fiivee hundred dollars .or ($500). ❑ I. as owner Of the poperly. Or my employees with wages as their SOLAR TANK COLLECTORS - sale compensation, will do the work, and the structure Is not intended SOLAR PIPING SYS. ISSUE FEE or offered for Sale. (Soctlon 7044, Business and re1 sloons Cotle: The COOL achor's License IoW does t pally to an owner f a Property ISSUE FEE LIGATION APPROVED BY GATE reprove& thereon. and h0 ones such Work M miodgeM his own ployees, P p Idea that such (mpmvemems are not the is sold within Ona year Orlcompi tion. the nerl W illi here me burden MECHANICAL PLAN CHECK - SUMMARY OF FEES f proving he did not child or ImOrove for the purpose'of sale). HEATING SYSTEM o-100.00• BTV ❑ I, as Owner of the property, a echslvely Contracting with AND DUCTING PERMITBUILDING PERMIT f SMIP S t Vuc[ the project n Buslness Coigns, IOO.000a BTU PLAN CHECK f PERMIT andlicelotl Code: License Law es not Code: The COntracs l0 Lew does nOlWho an0 wner ISSUANCE S of r who tla r I proveandC nteto REFRIGERATION 0-100.000 BTU PLUMBING IS Ian mcts from)Such orlpledS with Contracto Is)) Mice:nee SYSTEM GRADING E the Contractor's License Law). 100,000♦BTU PLAN CHECK S ❑ I am exempt under Section LL P. C. for this a BOILERS BTU ELECTRICAL f 9, - Lesson SYSTEM REPAIR. ALTERATION PLAN CHECK $ MICROFILMS G Date Owner - MECHANICAL E TOTAL FLEE hereby dirtily that l have read this appllution ontl state that thea above EXHAUST SYSTEM MULTIPLE LESS AD - Information Is C rect.'ragree t0 comply With all CRY and County PLAN CHECK -'E VANCE VANCE PC E_ pminanRsand state laws relating to construction. and hereby allthOOIZe representatives this city to ant r n 1 above mentioned Ie Property 10r t n our c Z a 7 FINAL FEE Signature Date -7 S___47_ DriversLicense or 5 > - ISSUE FEE - , CMF 086546 white -Building: Unary-Applicant;Pink-Accounting: CONSTRUCTION AND PLANNING APPROVALS r Permit # 4+2GS�'_ Date Inspector POOL & SPA APPROVALS Permit # Date _ Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipme'rit Location - - - - 2. Soil-Pipe-Undrgrn. _ _ 4 Steel Reinforcement -' -- - 3. Electrical Conduit Utility-Undrgrn - 45. Forms •- - 4.. Electrical Conduit-Undrgrn 46. - Electrical Bonding - - o. Steel Reinforce _ _ , :_ . 47. Rough Plumbing & Pressure Test 6._ Electrical UFER Grn 48. APPROVAL TO COVER-GUNtTE 7.. Footings _ 49. Electrical Conduit-Undr rn 8. _ Foundation-- - 50. Gas. Pipe, ❑ Undr rn, Test fl: Water Pipe-Undrgrn . _ _ _ _ 51. Backwash Lines P -Trap' ❑ ndr rd ..10. -Structural Floor System 52. APPROVAL TO DECK - 11, Ptoperty_Sewer Line-,& House Connection- _ 53. -Backwash & Receptor -Final ' 42. L- St+eei 54. Heater &Vent -Final __ -_ 1.3. _ Rt.ugl.; lambing _ = - 14. Rough E!-cmc-r10ndUlt 56. Electrical -Final - 15. RoughEiectric-6Yrinq - -- 57. Solar System -Final 't9. i ughrharing & A°r Conditioning - - - encing -& Access Approval 17. Duct,,. +n Saucntre 59. APPROVED FO.R.PLASTERING ' 18, 19: 20. : r cts Ventilating - G s P+ enough &Test + R of Fri: ping - - - 60. POOL/SPA SYSTEMS FINAL 21, •22. P,of ihrathinq -_ Fra errand Flashing - NOTES: 23. • ir,ulano, :4, F• Sklini 25. L'. yya J . -ailing 76. P:: ste, B, own C:,at - -- - - 27. _ Eiectueat Power Meter -Final --- - - - - - - - - - 28. Fnal rlentric 29. He ting & Air Conditioning - ' 30. _Final F -tal Gar Pine -Test - -- - - 31, F..taI PI robing 32. Water Se: vice -Ft al - 33.- Gas Service -Final -- 34. Sc tar Do testic''irial ' 35. Landseat Sprirklinq System t- 36. Sound A .enuat on 37. Hand.oal Regulations 38. FINAL STRUC-URE & BUILDING ' 39. Special Faquirem- nts Complefed 40. Electric Release to Edison ' ' 41. Gas Relc,se to Southern Qtlifornia Gas.Co. 42, CERTiF!CATE OF OCCUPANCY - - No_ _ _ Date APpR[ant to nR In all spaces whole naaey border lines nd Sign all pprepriate declarations. CITY OF COSTA MESA RMIT NO. /' TRACT NO. LOT NO. BLOG. NO - , / J I/20laR 7&00 CONSTRUCTION PERMIT 3� g ' �TYPE OF CONSTRUCTION '''NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ID CONVERSION ❑DEMOLISH. 822.�"f g991, i Project Address Own hone Ad r ❑ OTHER .. ZONING REGULATIONS Arch/Eng. License No. - - _ - DESCRIPTION OF WORK A.P. ¢ rss - - - - _TYPE OF PERMIT -"- - ❑GRADING [] FOUNDA(T.hON ❑STRUCTV RRL ❑ TENANT I] ELECTRICAL/CJPLUMBING OMECHANIC 70NE p[ - S1 YZVZCK PLNOo. 9RVEFL.Dge�qG IR(FRURTYLINE - r V -Phdne , -ACLIm Q - LICENSED CONTRACTOR ECLARAT D under provisions 1 Ministry &(film IM1M I am licensed der Previsions of Charter 9 (ea - 9 pF RIGHT - - - ' Unq Ile tion J000) 1 I Bush a- Q OTHER pro( Plans Code no yOT license Is In lull for �lan TAY PROJECT DESCRIPTION 'REAR YARD (TO PIL) uaense a -Jr�cense No. ]Odle [ 1 .POO. SPACE REO. PROVIDED _ Slgmluro SO. FT.' '_OCCUPANCY_ CONSTRUCTION TYPE -T _ YSTREb7 WIDTH ;ZONING pPpROVED'BY' -PARK FEE - DATE - - WORKERS' COMPENSATION to sl-Iniure er I totally affirm that I have a Certtllut0 Conant ygLUATION (ONE , rtlficetes f Workers' Compansailo0 anG. 01 <C IIhOI Y G CV ACRES VD5 ACRC GRADIN - - SPECIAL CONDITIONS: thereof (Each o Ldp C) NO- � •• CPTd. _ ee0 sM1arebYturnlsd.� a-1_REMARKS rtif wp8 M Certlfpcopy sfleOwlhtneCltYBY1101n SEMPTION FROM WORKERS' COMPENSATION -DECLARATION t 1IThis need not be compludeO It the permit 1 f t ndrM -' 1xRlon 1M ECO - f Tless IIIY stat In perbrmante of rho Work fp which thispermit Is Isamu.I shallnot-employany person In any rN 1 beComn o PLUING-•PLANCHECK-- MB I' - 'ELECTRICAL-' "-' -PLANCHECK Subject to the Workile Cmgns&IIOo Ldwsol California._ -BATHTUBS - --SHOWERS - - -UWI -� - Dale Sl9netur0 NOTICE: If after making this feder ation,a ihOUld become hadeet TDILETSI URINALS - - - -GENERATOR p-] KW�1-10 KW to Ne Worker C M"nsation Provisions 0 the Labor Code, you must TRANSFORMER , I forthwith comply writ, such provisions Or this permit shall be deameo LAVATORIES DOUBLE LAVS--- - APPLIANCE - 30-50 KW -50 +.KW _ evoked._ KIT.SINKS -- -'DISHWASHERS - .MOTORS -- OL XPyI-10 HP -. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency er- for rM1e P SERVICE SINKS SUMPS'------ -- - (INO.SOLAB). 10.50 HE 501 NP loomof the Work for which his Permit Is Nations(%&firm 3097 • FLOOR SINKS--""FLOOOR'DRAINS - - lFIKTUIII- OUTLETS - SWITCHESLan- Cie.CYS Name LendeeYAddras DRINKING FOUNTAINS- -- GAS -TUBE SIGNS -- - OWNERBUILDERDECLARATION hereby affbm that I am exempt Irons Ino COn10C10tY Ll CastlO Law Ior INTERCEPTORS CLARIFIERS -POLE LIGHTS - - - -SWIMMING POOL PTRAP-- - lPOLES -M the folioWlpg reasOm I5YCrop 3031.E BYSIn M antl .Wof'sslpns CoOor qny-city or county which I stray a Permit t0 ontm[t, alter, p B WATERSERVICE - ALTERATIONcx PANELS -- MAIN SUB IceP ve tlemOlPh Prrigurr-enystru[tun,prlortollaluuanunod statement, alto u- the if ist r such I it to I ,ie a thathaw It'll sad aWrsuanl fothefrowidons of the Con rinfUs Y LI[enH GAS SERVICE- OUTLETS' "' _ SERVICE - - AMP In at 9 (commencing wilt Cion 3000) of Clayton 3 OI the WATER HEATERS BTU'DUTPVT- _ $USSn,u and Signs 00001 Or t hat he II axem lIM1amimmand [ho� p the Any Or Mellon 3031.5 by alleged a exr itaoften, a -C v101so h \o a -tµ11 "natty any is YnotpMora lthlan Collars SEWER f.Dy(yF.fi31G116 - Of if MreIYnored p50011i[ant TANK - -COLLECTORS -- 0 1. -as Owner of the Property, Or my'employee$ withwages astheirSOLAR le mmp"" on, will do the work, and he sV nlun Is MOL AttractedO SOLAR PIPING SV51 ^'-� s F -ISSUEFEE - - -- - - - 118 ed for sale. JMdIOn 7044BUtl NSI and fkof aloonsa OOV The C t [ Y Law does not pµ19 t0 an owner 1 Property ISSUE FEE - 1 - - ' APPLICATION APPROVE) BY DATE License who me roves Ihcreon, and no does sort"work Minded Or hgn IIh1 thr own guyaef. O Ided that such Improvements are OI YI Improvement -- Inte= d offered for sale. however, the fe"IdlnY I sold nn'n one year of cons ooeuon, me owner will paw the Durdsn MECHANICAL - PLAN CHECK - -- - l SUMMARY OF FEES o. 1 proving' -be did not build Improve for \te purpose r Man." - - - -- HEATING SYSTEM 0-100,000 BTU - - ( BUILDING- ' ❑.L -as owner. of the Properly, am exclusively bentraclln9 with ANO DUCTING (PERMIT I SMIPt- i contractors to construct Business Project ISLAWfl tOopOO'+BTU PLAN CHECK S PERMIT anensetl cthelo flows to LlmnsO leve does no and Promweer f who _ _ __ _ I .. ISSUANCE 5 Prontic. who c an Owner Of onperty veno builda5 OCP!^mpfOvos lNman. and vent COT builds r I REFRIGERATION 0-10i BTU ,PLUMBING f tracts tram-sueh_proje45_wlth lraetogsl Ilusnptl Pursuant to. SYSTEM. _ - - f 'GRADING' E ' the Contractor% License Law). 100.000 BTU -' _ PLAN CHECK E - _ ❑lam exempt Under $OctlOn - 0. S, P. C. for IMS - L� BOILERS BTU "I ELECTRICAL is reason PLAN CHECK -IS _ _ MICROFl Usi - Owner SYSTEM REPAIR, ALTERATION -MECHANICAL-f - TOTAL FEE f - I her M1iM reitl \M1e aPPTlotian Intl it and lM1eaboN IM1erepyAle',, EXHAUST SYSTEM NO -- InlOrmitl. 1 alsOn co pry Ish all andeebya County PLAN CHECKS05 _LESSAD- PC fdll' hcity qs s ling lO COnsbYC110P erepya^ItotlxeVANCE to -enter N to uponthanaD v e t ed Xi. FINAL FEE f d ISSUE FEE _ CMF 086546 WhIP-Bu dint:Canary-AponcoMIKok-Accounting: Goldtnrod-ASUSSOV .".off `t.,•`i I.. Ar, CONSTRUCTION AND PLANNING APPROVALS Permit # '}3 ,� Date Inspector POOL & SPA _ l APPROVALS - Permit# 1 -Date Inspector 1._ Temporary Electrical Service or Pole 43. Pool & Equipment Location ' Soil-Pipe-Un rgrn - - 44. Steel Reinforcement--- 3. - Electrical Conduit Utility-Undrgrn _ 45! Forms - - - - - 4. Electrical Conduit-Undrgrn -__ _ 46. Electrical Bonding- .. Steel Reinforce - 47.. Rough Plumbing &-Pressure Test - --- - - - 6. Electrical LIFER Grn _ 48. APPROVAL TO COVER=GUNITE" 7. _. Footings 49. Electrical Conduit-Undr rn 8. Foundation -- --- - - 50. Gas Pipe, ❑ Undr rn, Test 9. Water•Pipe-Undrgrn 51. Backwash Lines.,P-Trip,_ ❑_ ndFrn'- 10. Structural Floor System - 52. APPROVAL TO DECK- 11. Property Sewer Line & House Connection - - 53. Backwash &'Receptor-Final 12. • -Street Sewer Connection. ' - _ - - - - 54.- Heater & Vent-Final' 13. Rough Plumbing�: 42 21l - 14. Rough Electric-Conduit - -- - - • - 56: • Electrical-Final - 15. Rough Electric-Wiring - - '57- Solar System-Final - 16. Rough Heating & Air Conditioning - - "- - encing & Access Approval - 17. - Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating - - - Gas Pipe-Rough &Test - - Roof Framing- - - - - 60. n .- POOL/SPA. SYSTEMS FINAL 21: '- 22r Roof Sheathing- - - Frame and Flashing - ' NOTES: --- - • • ' 23. Insulation- -- - - - - - ' 24. Lathing & Siding - - - - - - 25. Drywall Nailing -- - - - - - - 26. Plaster Brown Coat - - 27. Electrical Power Meter-Final - - - - - 28, Final .Electric- - - - - - - 29. Final Heating & Air Conditioning - - 30: Final Gas Pipe-Test 31: Final Plumbing - - - 32. Water Service-Final- 33. Gas Service-Final - - - 34. Solar Domestic-"Final - 35. Landscape Sprinkling System - 36. Sound Attenuation - - _ -- - 37. Handicap Regulations` ' 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. _CERTIFICATE OF OCCUPANCY No _ Date Applicant to fill In all spaoessethm heavy border nnesand sign an appropriate eeNaratiem. CITY OF COSTA MESA PERMIT NO. t TRACT NO. LOT NO. BLDG. Nu. pE L1 6/01/82 19"CO CONSTRUCTION PERMIT 6-3. OF CONSTRUCTION �' A UNEIN - -11 ADO []-ALTERATION - '- Q O ❑DEMOLISH ., �- -, - -_. - - "? s J Project gtltlreJs ITYPE f OvymeY5- -- ' Phone - I Addrm - - - REPAIR CONVERSION _ ❑ OTHER _ _ _ -ZONING REGULATIONS' ; ' "ArchIEN.Nlyargai DESCRIPTION OF WORK _ -' •A'P'¢ J"" 1 71 ZONE PLNG. REF: 9e, I Penrh License No. -- 'AdCreS 'InC. YContranor _ SIS - Phone 283-9581 TYPE OF PERMIT, - - '"--- - -1�-'IFUILUJNG- L)GRADING El FOUNDATION- OSTRUCSURAL- - -� TENANT O ELECTRICAL OPLDMBING- }(dECMANICA SETBACK CiL ST.RSJP[gTINE 5IO Epp rT ' •Addrm' 1110 p6tr- - - LICENSED 1 hereby alli m 1ahoy I am licACTOR ensed under ProN01oR Of Charley 9 (COM- . e NIIGXT ` Ina with vection -]000)- of, DWlslen.3 of the Baslnesa_antl is In full forte tl IfecL "O OTHERS _ ROynaron1 COOO, O y Ilunse iPROIECT Lin f LI CIKS - rl_/82 f.3 DESCpIPTION _ _ 'PKGCSPACE RED -' PROV,IDEDa" - -s pita $Igna[Ye '-- OCCUPANCY- CONSTRUCTION TVP_E 15TREET WIpTX "' -' PARK FEE,E' t WORKERS'.COMPENSATIOHDECLAR ATION hereby affirm that I have a certificate Of consent t0 If I ye _ -"1'-- -' - VALV ATION - 20NE - lZONING'gPPROVEO.BY - DATE - 1 C till [e -a1 Wofk 3 COmpponding Insuranm ll! a. Capt ;GRADING CV YOS I ACRES ISPECIgL-CONpITIONS - -' Thai (Gttlon 3000, 40. C.1 1 d'r ry -WPFI 140499 corI RY-eye t Tndemt]s V ?C llfiee. copy SherebY.furnl lied. :rr LREMARKS rJ Certified copy Is filed with the city Building Division r.-2. _ _ _ _ _ 1 I EXEMPTION-PROM'WORKERS'COMPENSATION'n ECLARATION' T_ �� ---j -- "- I . P) if 11 - TtOs Senlon need nm be completed -f the Permit I hundred J F {y I, {§1001 I _ certify thatInthelperforman h rk fe which thisp ml IetuOa man nee ampler any p I any m T h" be PLUMBING ,r PLANYHE[K- - (' - 'ELECTRICAL - PLAry CHECK-" - - sudleCt to [cat WOfkefi COMPtn tl 0I IIT a _tl_- _ ___ __ BATHTUB$ SHOWERS _ aL ' Dale 5/zO /twe82519nafure NOTICE: It afterwmaking 2115 declaration, you shoul0 become suhlec to the Worker' Compensation 0i tie Ua r Code must ?OILETST] 1: w fl.4URINALS- -' � - -' --'jGENERATOR --O-1-KW_�'1=10:KW -"- - - ITRANSFORMER `I prIVIUMS YOU foNlwltl comply with suers Provisions or this Permit shall be tleemed LAVATORIES DOUBLE'L'AVS - - - APPGANCE -1030 KW�50+KW-- -- mvok¢e.__. - ' KIT:Syi ' -DISHWASHERS - -' .. 1 (MOTORS 0y Hp _3d 0'HP " _ _CONSTRUCTION LENDING AGENCY I hereby of firm that there Is a construction lending agency for per- SERVICE SINKS SUMPS_ Formation of the work for which this permit i u d (Ski 309] -t I T. -SINKS _ FLOOR DRAINS SWITCHES--- �- - _ Clc u da"i.sWit-- v --------�--'�-FLOOR - L fide YAddresi �XTURES—'-OUTLETS- -DRI DRINKING FOUNTAINS '� "-- - -- .. - ^ ,GAS --TUBE SIGNS--- - --- OWNER BUILDER DECLARATION `f'- - - - - INTERCEPTOR$ `--CLARIFIE0.5'� - - .� M PpLE'LIGHTS�^ - - I h OY (fir that Pt f theContractors Li Lofor the following mason (Section 7031.5 Bus dyg aha -Professions Code I -'P'TRAP-- - Any f[Y O county which rpu res a permit to, construct. alter, SWIMMING'POOL �J. - i - POLES 'METERED 'SOB'._ WATER SERVICE'- ALTERATION"- 'PANELS-- 'MAIN 'SUB- -- - _- - quyor-fish orrepaira 0y3hurn to f4-pasignedIn-itsSlssuance. a tementht rt- p for such permit to 00 signed Statement he bues SM1 - decant llanseep(commn the - se Sctopt7000) tractors License Law -Gq5 SERVICE --- OUiLETE--"-' C-" SERVlCE-- ...-. - qMp.� _ U1 copper (commencing with of Division 3 0/ WATER HEATERS BTV OUTPUT" a de)- rthin IS ex the and Profess cans-Catlepor tM1at he IS exempt therefrom and [be- Y for the illeg9a e% m tion, Any WOlatlan oo Se tion 7031.5 by to -SEWER CONNECTIONS' - for a parent a civil Penalty Sollars epace). Onl .PPmcenti ssubjects SOLAR TANK-- - --COLLECTORS - '�"i -" --- - ---- �-- - - C3 r a& owns; of oti propmty'or my eMployees WDM1'wageS'as [heir" solocompensation, Will d0 the work, and the structure Is not Intended " circulated for sNe.lStttlon 7044,13uenasandHofessians Cuda: The SOLAR PIPINGSYS. '--STI_ "- - ISSUE FEE -"- - -- - �- Contractor 's Ctimse_Law dues not apply t0 an Owner Of Properly _U who builds Of Improves thereon, and who does such work himself -pr_ ISSUE FEE - " _ - ' - '(APPLICATION APPROVED El - -- DATE- ATE- - thrOugff_his own employees, provided that such IntVreverends nale not through _ ' _ MECHANICAL FLgry cHeca _ 7" SUMMARY OF FEES, - Intended 01 a e W thebuild iPFri improvement I III h theburden IS Sold within completion, tit- I OIONog h direct build Improve for theP P I lel.' ❑J-S�Ow I ly contracting ith. HEATINGSYSTEM C-100,000 BTV BUILDING (PERMIT §- of -I p p ry T 7044, Business - - 'ANO'DUCTING" "' if"----' 9 a k^ensea m f tconstruct Ili project 100,000,v emu V PLAN CHECK § PERMIT-rp - e(Sectiond a a-prorasionz cad¢. ane. conNeaars guns¢ 4w dpesmat apply to- . ISSUANCE s an owner of property who bullus or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING f trans -from such projects with a conlnctot(s) dissolved pursuant to SYSTEM - - - 1 _GRApI No. 1 the Contractor's License Law). 300.000i BTU _ PLAN CHECK S '' l . O"I am CxOMpt under SetllOn - -0. 6'P: C'.fordt Ed iELECTRICAI C - - �A r BOILERS BTU - _ '� SYSTEM REPAIR, ALTERATION - EXHAUST SYSTEM MULTIPLE ( .S. MICROFILM IS ' PLAN CHISCK-f -- : abOTA*FEE § ,MECHANICAL. it '. LESS AD- I'h L Oat -Closed Iht bYeartl/ tn[10 ad this application and stae that the above Y p01 w 1 ll q I t TP y I h a city an county- "PLAN'CHECK-s - VANCE PC" f - d t1 h [ tuci and hereby authorize q\ _ Y I/A'' 1 ' P oust 1 iM 2 Islcan Ihe' aces Honed ` S�2O�R2 " FINAL FEE E .00, Slgnatueas _ _j� - ISSUE FEE _ 3 6 Drivers License or y CMF 0955.46 White Building; Canary-ApPli enF Pink Accounting; •` CONSTRUCTION AND PLANNING APPROVALS Permit # M 3 � 5 Date Inspector POOL & SPA , APPROVALS Permit # Date Inspector - _ 1. Temporary Electrical Service or Pole 43. . Pool & Equipment Location - 2. Soil Pipe-Undrgrn, - _ 44. Steel Reinforcement - -- -3. - Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical ConduitUndrgrn 46. Electrical Bonding --" - - _5.. SteelReinforce _ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE .7. Footings _ _ 49. Electrical Conduit-Undr rn - 8. Foundation- - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P -Trap'-❑' ndr rn • 10.- Structural; Floor System - .52. APPROVAL•TODECK' ' 11. Property. Sewer Line &.House Connection_- 53. Backwash & Receptor -Final 12. Street Sewer- Connection - -` - 54. Heater & Vent -Final - 13. Rough Plumbing55. Plumbina System - Final 14. Rough Electric -Conduit ' -- - -' - 56. Electrical -Final - 15. Rough Electric -Wiring - - - "-' -- --57. Solar System -Final " ' - 16. Rough Heating &Air Conditioning encing & Access Approval 171 Ducts in Structure- 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing - - -_ - -- - - 60.. POOL/SPA SYSTEMS FINAL 21. 22.- Roof Sheathing- - Frame and Flashing _ - - r NOTES: 23.- Insulation - --- - - j,. 24. Lathing& Siding - - - - 25. Drywall Nailing - - - Q 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28: Final Electric 29." Final Heating & Air Conditionin WE- 30: Final Gas Pipe -Test - - - 31. Final Plumbing ' 32. Water Service -Final - 33. Gas Service -Final ' 34. Solar Domestic -Final 35. - Landscape Sprinkling System - 36. Sound Attenuation - 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison , 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY - No. - Date Applicant to fill in all epaaa3 within heavy border lines and sign all CITY OF COSTA MESA - P PP NO. TRACT NO. ,. LOT NO. BLDG. NOL. _ • CONSTRUCTIONISERMIT r VPE OF CONSTRUCTION - - ZNEW 'CADD O -ALTERATION. L3 REPAIR ❑CONVERSION ❑DEMOLISH/- i❑ OTHER - /52287' t 1 -'0994 '1/20182'1. -' 9e00 ---- i-, .. ZONING REGULATIONS - Prolet Address CP5 Own _ Ph a Atlr ArchlEng. License No. /d /' _ . _ DESCRIPTIO DESCRIPTION OF WORK �_ _ _ BY. yam... - ' 'Adtlr¢is- -• _ TVPE OF PERMIT -- -- - -- -- _ GRADING ❑-FOUNDATI N. A STRUCTURAL. LITENANT El ELECTRICAL LUMBING_OMECH/SNICA ZONE-- -' -� PLNG .. REF_ ll - -3RO�EfaT✓.•LIrvErT .. - pp[Ym�- r Phon-� Addressed _- �% LICENSED -CONTRACTOR DECLARATION - _ I hereby affirmthat I am licensed tl Provlil 1 Cn rtes 9I r IDE V IGXT - '- - -- - - - In vote Ion 70 0 f Division, 3_ theB li d Prefosnonz CAO IJI r %L Is n full 1 } M rgp,ay0d- OOTHER -"-- - - / REAR'YARDITOP/LI -- r( PROLIECTOESCRIPTION' Litt ieYIBSZONV" - - - 1 - sG Fr 1s I CpNSTRUCTIpNTVPE -I - Ij PKG. SPACE RED,qp rSTREET WIOT - IOED - P PEE -E Date / l` �Ifv .e 1�/GC/ WORKERS' COMPENSATIONDEE LAOLCVPANCV n n! by 1/I that ln 1111 t o [1 Itl re VALUATION ZONE - ZONING APPROVED BK--- -DATE _ {„(111 [ of W k Co P [I dne0 [ f00. Y GRAOINGILV VD$ ACRES _ _ - SPECIAL -CONDITIONS - - 1(Sed b CI Y'No-' Comp REMARKS., - - Certified , COPY 15 hereby furnished.-_ Certilled¢OpY Is11100 with Oho City Building Ivslan ' %EMPTION'FROM WORKERS"COMPENSATION DECLARATION nl. _- _ _ -L .. �... 1 1' •U ''1 TM [ion need not be coin Pl t tl If lh permit I hundred -1 SC00 less . _ -. In v that the 5 tf 1 challl employ oY anY p erformance I flie work for t any manner nl o as Iblt PermitIs PLUMBING -i: PLAN CHECK-' , ELECTRICAL-1-''PLHN CHECK--- __- Subjectto the_Wor_kers_'Compensation Laws of California. -r -----SHOWERS- ERS eraFT _ _: _M.0 rDd\! 1 9gndtUr! --BATHTUB$ NOTICE If after Making this declaration, YOU Should MICONA Subject ,TOILETS ,r URINALS - - - -_ GENERATOR O.1 -KW_ z ]0 to the Workers Compensation provisions Of the tabor Code, YOU must' (TRANSFORMER lr forthwith Comply with such provisions or this perm"[ shall be deemed LAVATORIES OOUBLELAVS - - -- — IAPPUANCE _10750.KW_5O a KW. -KIT.SINKS ---DISHWASHERS -DISHWASHERS j gMOTORS�._ Dd XP_110HP CON SYR UCTION LENDING AGE N CY - Ih be al/ tht th a 1 tl lending agMcylor Messer- SERVICESINKS SUMP$--,- (INC. SOLAR) 1050 50 HP I- I e O/ in k/ Coli h this permit yy d I§etmn 3097 J 1' r _ -HP - Y Cly' Cd. - - --rs BP?iS?S � I Len08r 5 Name 66 `iLSINKS - --FLOOR DRAINS- - - - FIXTURES- OUTLETS.. .SWITCHES. rtbnder's ' -- - DRINKING -FOUNTAINS ---J'---- -'---. _._ .,GAS TUBE SIGNS_. OWNER DECLARATION -- - INTERCEPTORS - '-CLARIFIERS--- - -" - POLE -LIGHTS----- - - •�'(- I herehy (firm that I am exempt from the Conbactorb License Law for affirm rho Cl owing GASOn.tUctlon_7031.5.1JUSin ss Od.P/OfoSSoo COtloe.. r' " � ' ^' --- ..SyrrIMMING POOL--' ----P-TRAP-- - -- 'f"-^"tPOL'ES - METERED-' _ - ' SUR ­ Any Any city o county which requires a permit to construct, alter, _WATER SERVICE - ---ALTERATION - - PANELS— is r Y^ improve demolish or rea lr any Structure, prim to ts.1smancO,. alco.re. quires the aPS1IG M for such Permit 10 (I I¢ a Signed zta\em001 tna\ n0 .MAIN . -Sum -, h.nttnseG-pursuant to the provisions 0/ the ContpClOCY LlceOse..LdW.-GAS'SERVICE- '� OUTLETS -- - -� - -- SEPVICE... __ _ "' _ ' •gMP.r "' ' "- " -- - - otar 9 (commencing with Section 70001 off Division 3 Of the -WATER HEATERS -- BTUOUTPUT- is exemptthweroniono she alleged exenni mptio)n. Any tSetion ,llarand the violatioe Bl 7031.5 by SEWER-COiWlBfltSl4i---_67_U6-) '— •+ Y pPfliuni for -permit subjects the milhumi acve penalty... five of hot ore man hundred dollars Ifs001- — — - - -SOLAR TANK -----COLLECTOR5------�-- ❑ I, a5 owner 01 -the property, or -my eMdlOYeeS-with wages as their SOleo ComPen:anon eo me work and Me structure X not Intended 'SOLAR PIPING SYS. I - 1- ISSUE FEE Or 1f d for saN (Sect On 7044, Business and Pof^59on3 Code. The Contractor's Lcense does \ apply to an owner 01 property IS5111i '""- -4 _- •APPLICATIOAPRDEDBY -L DATE _- vLaw h builds 'o mora thereon, and who does such work himself or through his awn employees, provided to [ b improvements are not 'MECHANICAL -- 4LwN CHEcI( -- ' -- -- - - SUMMARY OF FEES -" - Intended r offeree for Stye: Ifhowever, - \n building or Improvement is Id within one year o/ Completion, ther will have the burden -ng -did ? _- f 0 he not bole Or Improvefor \he purpase of -sal I -vely - - - HEATINGSYSTEM 0-100,000BTV - BUILDING._ _ PERMIT $ _ $MIP E 11.1,r -as owner..01 the property, 1 contracirm l DUCTING 1'- 1.1.1011 licensee contractors to construct to ) t (Slid on 7046 BusinessANO tlProfessionsCod¢.TheContractorPLIa I E40A00, BTU •PLHN CHECK E�yy3 PERMIT Law 0005 no apply -to. . iimproves - -� ' ISSUANC E:�4 an owner of roperty who bu ds, Or thereon, and who n REFRIGERATION O-lOV 000 BTU ., PLUMBING SJ�--�� tracts projects IM a canis clorlcl Jlcamee ours Uant tp ,SYSTEM _ - GRADING. E In Contractor U law). 100;000 BTU - - sPLAN CHECK 8 '�_ -_ O lam eacmpt- tl Section - - B &P Crfo3Mb• - f E BOILERS BTU - 'e' -- ELECTRICAL f . ens° n REPAIR,ALTERATION _�tPLAMCHECK 8 a' MICROFILMS - Date Owner SYSTEM ___�_ EXXAVST SYSTEM MULTIPLE _ 1 LMELHANICAL$ r TOTAL FEE E ._ fr r AD (hereby cer 1, ty lnatlh reatl thl I' 1 dna\elnal lM1e above InlOrma\0n Is re I a9rw' [ ply with all city ntl county -ordinance: PLAN CHECK E 'VAN E - and Sime relating 50 ¢OnitruCtmn and hereby authorize reP/C5¢nta<ires 'ol' enter- up ry me ab 110 d- proper\y 10r InSP I Slgniture " FINAL FEE E2. Drivers, Lltoo of 5S # -ISS - UE F.EE. -" - - - - CMF 0865166 White.BUI1dbor CdnRY-AOPlicanh Pink-ACCOURing; GoIdmrQd-AUe5SOr CONSTRUCTION AND PLANNING APPROVALS Permit P2"3c1� Date Inspector POOL & SPA - Date- Inspector APPROVALS - Permit 1. Temporary Electrical- Service or Pole _ _ _ - 43.. Pool & Equipmerit Location'.2.- Soilipe-Undrgrn - . f - $ _ 44. _Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - - - 45. Forms - - 4. Electrical-Conduit-Undrgrn -- - - - - 46. - Electrical Bonding '`- - - '- - - • ' .5. -Steel ein orce _ . _ 47. Rough Plumbing & Pressure°Test- 6. Electrical UFER Grn - _... 48... APPROVAL-TO COVER-GUNITE - -- - -- - 7. - FootingsFoundation 49. Electrical Conduit-Undr rn. _ B. - 50. a Gas Pipe, ❑.Undr rn, Test " •'• 9. Water Pipe-Undrgrn• - - - - -- - -- -51. Backwash-Lines,-P-Tra ❑ Undr rn 10. - Structural Floor System 52.' APPROVAL TO DECK - 11. Property-Sewer Line & House Connection -- - - - - - 53. -Backwash& Rece tor,Final' 12. Street Sewer Connection- - - - -_- = - - - - - - 54. Heater &Vent-Final •'''Re "•' -13.- Rough Plumbing _ -- _ _ _ _ ... - ' ' PlumbingSN-stemstem °'- ' 14. _ Rough_ Electric-Conduit -- - -- - 56.- Electrical-Final- i 15. Rough Electric-Wring 57. Solar System-Final - „- - 16. - -Rough Heatin &Air Conditioning- - - - -*- - - encing & Access Approval y - - 17. Ducts-in'Structure..,, •- - - -- - - - - -- '•' .-TTPLASTERING ' 18: 19. 20: ' Ducts, Ventilating - - - -- - - - - - - - Gas Pipe-Rough &Test _ F -- - Roof -Framing- Framing-21; - '� 60. POOL/SPA SYSTEMS FINAL 21 ; 22. 23. Roof-Sheathing " "- ' Frame and Flashing- - - --' - Insulation' - - - - NOTES: '-' - - • -- - - - -- -- -- 24. Lathing & Siding - - -- - - -- - - - - --- - 25. Drywbll-Nailing - - -. - - - - -- - - - - - 26. Plaster Brown Coat - - -- - 27. -Electrical Power Meter-Final - - - - -- - - - - - - ' 28. - Final Electric 29. Final Heating & Air Conditioning- 30. Final Gas Pipe-Test - -- - -- - - - ' 31. Final Plumbing. 32. Water Service-Final -- - - -- --- - - - 33. Gas Service-Final - - - - - - -- ' 34. Solar Domestic-Final t "' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas,Co. 42. CERTIFICATE OF OCCUPANCY - No: Date i APPnCam D to fill n all Seal except thou within heavy border lines and Sign an appropriate declarations. dor mina - 9504 3a�Q/fJs - - �ilpa%S j clrir OF cosrA Mesq'COINSTR UCTION ERMIT . project Addresser. SRI +�u� � ��.e�li� Applicant's Mallin drys �. y� Owners Name PM1pn¢21L �'�2� AddressS P MIT NO. _ kL� TRACT NQ ��X— LOT NQ -s UNIT N7' kaL ' � ' -I TYPE OF CONSTRUCTION r EW ADD ALTERATION REPAIR �CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION FWORIUS KOFB Apel,V-/0(0Z-`.3 ' Zppe d]r� I"V I Mein Building: Acnsmry Building. - POI¢LI Light 9 Address . License No TYPE OFPERMITTLJ x,F GRADING LJ Egli FOV NDATIOEhh $TRU R TENANT aC� ELECTRICAL PI PLVMBING L�MECHANICA E]OTHER PRQIECTOESCRIPTIDN Sp.FT. OCCUPANCY RUCTIONTVP VAlLAT10N a-Lp/��Q ZONE GRADING CU.Y05. ACRES E T[Fit ront Interceptors Water Hearse Z' 'D Address '/�trr B¢ar N IIIIAddress �q ��{ Contractors Nam - yE Water Service ight 'Phonmy,�'3l/IY lmairm iTi.�}�-�I% City License No, LICENSED CONTRACTOR DECLARATION I hereby affirm mat I am licensed under provizlo pf thenar m e 7000) at Division 3 of the Busl ml Pmt O n my Sce�se Is full force an ereeet. ClassInns 5eft �y G R Ping. Ref. $ Parking Req,/Provided Lavatories - E Ramada: a: Planning Notes GwOegeDlfpoml G M r - t P -Trap T -S. Licanss Date "'- Signature PLUMBING FEES county a permit to construct, altar Improve, demolish or repair any stmctun, prior to its Issuance, also squires t a applicant for such permit Roof Ora ers WORKERS' COMPENSATION DEC LA ATION L n Hereby affirm mat 1 nave a urticant of Conrad to ae ;Tnwn ora c frrixau Bar Sink $M1bwera a ELECTflICAL FEES of workers' Compensation lnsuran , a cal cppY tna,eo ( an 3800, Lab. C) or �' Polley No. Z4��Ay Company Backflow Preventer Service Sink - 77 "Automatic Washer Pole Sub. Tron5101rD¢r ❑ 1530 KW ❑ 50-4KW .f BackflowI.rrigatioo Sewer Cap -.Construction raved Copy Is hereby furnished. yCearn Bathtubs{ I wer SeC on ect - Cooking U 't -', r Meter ❑up to 100 amps $15 a a qpy ith the city BudIvidon Date APPlicant /•• -�T�` EXEMPTION FROM SATION ECBM1RAeTION Clarifiers Solar Collectors Dishwasher Menerif Oyer 100 amps r'geinspectisera ` - otWbORKERS'COM estjs sactmn lie am0une i/ r permu Is tar on u ea (Ado) or Dishwasher "' Solar Pipim $ 3 Orvers []Gas ❑Electric Sub Panel ¢ 5 cenlloy that In the performance of t e work for which this permit Is Issued, -I - Shelfemploy any person m any man so as to become subject to me ompensation Laws of California manner ' Drinking Fountains Solar Tank 7 Fen Motor ❑0.1 HE LI IA 8 ;. FI ' Sw P I AS - ba s Dam Date I nature LicenseLaw`does not apply to an r owner of a properly Who bullas a, ¢hereon, and who does n k himself/hers¢ef o through hos o her n employees. provided that such improvements a not Intended offered for Sale. It, nowevereme budding orImprovementIs sold Within one year of corn- plellon, the owner will have the burden of proving he/she die not build Or Irm " Heotl or Type ❑ Canopy Typal[ ❑ p king MIs beclaretlan, you should became subject to the 'NOTICE: If. after rioted Workers' Compensation provisions of the Labor sCode, you must forthwith mply with such provisions or this permit. hall b deemed nwked. dor mina rmmmg Slow pa - FA.U. Inc Solar❑9 Is HP❑1 G15f Floor Sinks Urinal Fixtures-MIOOWsV¢ GM Servitt Outlets Water Closet Device BOxR .' v POI¢LI Light 9 _ CONSTRUCTION LENDINGAGENCY I hereby affirm that there Is a Construction lending agency for the r Harmanu o1 the work for which this Permit Is Iss a (Section 3097 Civ. C.) Laneer•a Name Interceptors Water Hearse Putlets '-� Range Kitchen Sink Water Service Lender's Address OWNER BUILDER DECLARATION SWitches—' s' ` Sign �y 1 hereby affirm that I am exempt from the ContmCtOF-s License Law loathe following O (Section 7031.5 Business and professional Cade: Any.City Or reason Lavatories - Auto Wash GwOegeDlfpoml - ! Standing Sections P -Trap Laundry Trays, Generator ❑DSKW ❑S15'KW Trash Com - Isa ntor county a permit to construct, altar Improve, demolish or repair any stmctun, prior to its Issuance, also squires t a applicant for such permit Roof Ora ers to file a signed statement that hel Is licensed pursuant to the povisions Of Is exeof a off rahe Sailor and Pioiesslom Code) or ilii Section Divi Contractor's - .f ( e mpt therefrom and the basis for thealleged exemption. Any vmlatkm m Section - by for Subjects the applicant to civil 7031.5 any applicant permit renally of not more than Ilya hundred dollars (E5001. L 1, the o employees with wages their sole RairsspeClion Fee $15 ISsw Fee $ 3 r'geinspectisera ` - "$15 Ise Fifty - u $ 3 as owner of property mpenranan will do the k, and the structure is t intended o offered , f r ale (3e 11on 70", Business d Professional not TO Co h 1 munched MECHANICAL FEES- -DEVELOPMENT SERVICES REQUIREMENTS: ' I , ionilq Approved By W Building Approved By1 ba s Dam LicenseLaw`does not apply to an r owner of a properly Who bullas a, ¢hereon, and who does n k himself/hers¢ef o through hos o her n employees. provided that such improvements a not Intended offered for Sale. It, nowevereme budding orImprovementIs sold Within one year of corn- plellon, the owner will have the burden of proving he/she die not build Or Irm Boiler - Duct- Under Ground Heotl or Type ❑ Canopy Typal[ ❑ prove for the purpose of sale), the property. m exclusively contracting with licensed n-' ❑ 1, az wner% co v Impact Application Iact D . _Da Duct- Structural RehlgoddOn System tractors to constroct the project Section 7009. BuSaI and Professions Cade: The Contractor's Upon" taw e t apply to an owner f property. no bullas or Improves thereon, and who contracts for Such projects with - tractornal license pursuant to the-Contrraidor's License Lawl. I am aware that f their worker's Compensator insurance be to Duct- Ventilating ❑0100,Ooo BTU ❑100,0009TU .1 „ - BUILDING PERMIT $, SUMMARY FEES 9F SMIP $ . Exhaust System ❑ Multiple ❑ System RepalrfAlteration proof should provided ❑'slam exempt under Section ;pa B. 6 P. C. for this reason PLAIN CHECK - $ PLUMBING $ ,"PLAN CHECK ] $ ,ELECTRICAL 33 • /T' PLAN CHECK 5 $ 3 PERMIT 3-� ISSUANCE STI ENERGVA.C. i GRADING -a MICROFILM S $ $ $ — FirepllFacf. Blf. ICBOP Fire Dampers Date G JJ / 1 hereby car inat 1 n e rfan Mss ap ioryand ate max thn adore information i rhe L 1 re m bmpl u.tlty a <oenty ordlnanms a Yno- tale laws lacing (ding c \1 er by whonn ora- tatives of 1Ms c t ante. s toyer+foto n entibnae Heating System &Ducting �/ Registers �Ip100,o0o BTU ❑t00,000B _ �prop�e�rty �fo/r -nspemon vury l% / .'�Y�f4 7 rsignature Drivers• Llnnse a ss S MECHANICAL $ PLAN CHECK 25% $ �'� TOTAL FEE a;J-S $ 3 s'TS RsinelNption Fee Sib Imre Fee $ 3 CMF Oa65-9 fi. rev. ] /B4 Wnee - Buebingi Canary - Applicant; Plnk - Accounting; Goldenrod . ASmmOr trJ- .)CONSTRUCTION AND PLANNING - ,a „APPROVALS _ Permit# _ "Date'.'' 'Inspector POOL & SPA - - ` "-- - -'APPROVALS Permit - Date' - Inspector, 11 emporary Electrical Service or Pole , • - ,- 52. Pool-& Equipment Location 2.f,Soil Pipe-Undrgrnd. - ' 53. Steel, Reinforcement T -3. Electrical Conduit UtilitY-Undrgrnd. _ , 54. Forms - - - 4. Electrical Conduit-Undrgrnd.'- •Reinforcement ` 55. Electrical Bonding 5. Steel 56.E Rough Plumbing -& Pressure Test - 6.:Electrical LIFER Grrid. - 5Z. -APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical-Co6duit-Undrgrnd. T. Foundation 59. Gas Pipe, 0 Undrgr'nd., Test 9. Water Pipe-Undrgrnd. 60. Backwash. Lines, P -Trap, 0 Undrgrnd. - X10. Structural Floor System - 61%. APPROVAL TO DECK - , 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final - 12. Sewer Cap 63. Heater &=Vent -Final ,' r 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing 3 ""'/ - 65Electrical=Final - 15. Rough Electrical -Conduit A�� - 3 (IC .- 66; Solar System -Final- - - - --- - - - 16. Rough Electric Wiring y/ - 67: Fencing & Access Approval - - - -- .17.. Rough Wiring Sign. - - _ 681 APPROVED FOR PLASTERING 18.'Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air -Conditioning r ty �,� FIRE DEPT. REQUIREMENT APPROVALS Permit +--:- :21. - 20. -Rough Factory Fireplace 21. Ducts, in.Structure 70. Underground Hydro - 22..Ducts, Ventilating" 71. Product Piping,OGas' El Oil . 23. ,.Gas Pipe -Rough & Test -72. Underground Flush .- 24. Roof Framing1 73.:Undergrnd. Storage Tank 0 Gas 0 Oil 25."Roof Sheathing - '74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat tyk/vr ffA4% 75. Dry Chemical 27. Frame and Flashing Id vilyr- AMISS 76. Dry Standpipe 28. Lathing &•Siding 77. FIXED SYSTEM FINAL 29. Insulation 3 /%/P.i6927 78. FIRE PREV. FINAL 'DrywaII Nailing' HEALTH DEPT. REQUIREMENT 3i. Plaster Brown Coat 79" FINAL INSPECTION -- - ,- - - 32. Electrical• Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric y�� t- G Notes: 34. Final "Heating &-Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 3 JJ 83" /ZP44- 107- 9411540Y. L$D 38. Final Plumbing ' 39. Water Service -Final "' 40. Gas Service -Final 132 ,$�- R. (tEA44. CED -J` 41. Solar Domestic -Final 42. Backflow Preventer r' { Q 7 p 43. Backflow Irrigationr " _ 44. Landscape Irrigation System .. - 45. Sound Attenuation I ". 46. Hendicapl Regulations 47. FINALSTRUCTURE&BUILDING' 48. Special Requirements Completed "-' 49. Electric Release to Edison' 1 _ _ . �.- �_ __I - �- _,_.. _i _ - .- •r 50; Gas Release to Southern California Gas Co r 51. CERTIFICATE�OnFJOCCU No. r �Z� Date. City of Costa Mesa Development Services Department 0 D 129 9 Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Box 1200 Costa Mesa, California The Building located at V;os (Indi llar•. Aypnuf? 40204 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group n_0 Occupancy. Use of Buildin Legal Description 7'3o_rf,9_17 (See reverse side for Metes and Bounds) Building Permit No�gp�tTr Electrical Permit No.r:1An''i:F1A977Plumbing Permit No. 018023 Mechanical Permit No. 019223 7=1 221; Number of apartments n and/or guest rooms 0 ISSUED TO: Building Official 11 . byY. 0 V 9,, hv— 'ggc C—~ci i ni i n r n.-...�.., em...,, rrn 92626 Data This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to Rn In an spaces within heavy border fines and sign all CITY OF COSTA MESA PERMIT TRACT NO. LOT NO. BLDG. NO. - - - - CONSTRUCTION PERMIT �— - &T 3S iCil� TYPE OF CONSTRUCTION KNEW ❑ ADD ❑ ALTERATION O REPAIR El CONVERSION ❑DEMOLISH + 5693 :. 8/05/82 { PrujOcl Addr¢SS I 1 ' Owner Pmm8 -= ,�3_ Addr¢ssyyl (b a ❑'OTHER ZONING REGULATIONS ArcM1IEnB. - nt No.ses "Ea - OF WORK q p _ SO'DESCRIPTION 'AU _ OZONE PLNG.RER; Contractor0IMmel q%sSPhan PERMIT - - - L1OgAO1N0 r LJ FOUNDATION Cl STRUCTURAL - ,Q TENANT _Q ELECTRICAL OPLUMOING �MEGYgNIL S q p. .. 5 p �• TpN O1NG GRDPENTY LINE , sesTYPE,OF ''AtltlrRV - LICENSED CONTRACTOR OECCARATION 9(cem I hereby affirm that I am Ransil der provisions of Chart^r Iny tion 7000) 1 under 3 Of the BUSInOSi d ❑ OTHER pIIGXT with PmNdSlonS COO tl IIun50 Is In full IOrc (IJGI. REAR VgpO TO'P ( IL1 a yl y -S PROJECTDE RIP_TION LICOISO Class ` Llcense'No �•k"'Signature I - SO F"f'HIL 1, - PKG. SPACE RED. PROVIDED 1 Date '"" WORKERS'COMPENSATION DECLARATION q OCCUPANCY - ONSTRUCTION TYPE UN STREET'WIOTH" PARK FEES C hereby affirm that I have a call Of Consent to seINOSUfe ygLUATION ZONE _ TONING APPROV EOl - DATEcertificate Of Wolud i' CompOn atlOn Insurance, t Ietl COPY Y -_.. _ _. _ sSPECIAL CONDITIONS' IMreaf(3�p00 La.l. C!� _. �b�r�•, GRADING CU.YDS. ACRES - car Nb. T16B4C1]\ •V�rg furnishes. pled copysberebyfum SneO, _ I -REMARKS: _ thecty BuildingNSDl lW EXEMPfaticopyef IOND WORKERS' KERS' C DECLARATION PTIOn RK it the Permit Thil Ion need not b[ Completed N [M1[ plfmlt IS for On! Municipal need n ' �TMZ o E�001 Iet). "' - I _ - 'PLAMCNELK- --- _ f111Y-that in e the work ISO h aM1l pe mit r e Bny any 1 become t ploy any person sutbkd'I 511911 Ot PLUMBING - .ELECTRICAL - PLAN CHECK - ery Oo tiorsIn - bled lO tM1e WOfkni Campenvll0n Laws of California. __ BATHTUBS -SHOWERS' '-" - - so PT _ Date Signature NOTICE If If aster this declaration. y e U Should becomes SUOIeCI TOLLETS1 T URINALS - - �- -- GENERATOR - 0-1 KW_ 'TRANSFORMER 1-10, Key , ,biking m Worker' COpamia lOn OVISIOOS 01 the Labor Code. YOU must IX forthwith comply with such provisions or this Permit shall be deemed 'LAVATORIES DOUBLE LAVS ' - APPLIANCE' 1050.1,193_50'+KW eMkad. �A.� ' - _ ._ •C - KIT: SINKS-- -' DISHWASHERS MOTORS X0_310 - - - -- HP- ONSTRUCTIONLENDINGAGENCV- Iherebyaffirmthalthere is a Construction lending agencylor the Per. SERVICE SINKS ,s;.VSUIUPS---'--- SI NC. SOLAR)___J"O HP 50+Hill tormentors of thek for which this per Is hued (Section 3097 FLOOR SINKS ' - - FLOOR GRAINS-- (FIXTURES' - - OUTLETS - SWITCHES - Or. C,). Undo Name �"�^�w v ^^+^"'� +�+� ' LenderY Address El isEiL' i DRINKING -FOUNTAINS GASTUBESIGNS - - - UWNERBUILDERDECLARATION" � +e',_INTERCEPTORS CW RIFIEpS '- POLE LIGHTS- _ 1 hereby affirm that 1 am exempt from the Comal License Law 1^r SWIMMING POOL-'- —PTRAP - �'� -- POLES METEREDSOIL �- - - - the following Person (Sectio01031.5 Buslnatrand WofmiaM GOOD: Amy City county which regUIVOR a permit to Construct, alter I - - ALTERATION -- -WATER SERVICE AL 'PANELS MAIN- -SUB any Strul prior la Its uan,alsa re. Ice ademolish ^ repair Iuu r for sum rvee: trio to nM a Signed statement that he miracwcam harmlt Is -licensed -pursuant to the Optimal of the Contractors License Law GAS SERVICE OUTLETS "'--- - .SERVICE - - -AMP -^ of Oivision 3 Of Ins lwaeismni 'IS -- WATER HEATERS 'BTU OUTPUT" - - - -- - gudriet eter nd copal orttthat heSimi ppl tM1eseROm and Ina b"- for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - ct- - - t PI II'itantore lilan IIW Permit hunstl Eno& i (s50o11iCAnl to a Civil "Rally ' `[-1 I, as owner Of Ina property, Or my oro Cases with wages -as IM1elr will do the work, and the Structure is not lnfandetl -SOLAR TANK - - - COLLECTORS- _I.' - - - - --- - - - -- - - - sale COmpentlion, or offered for sale. (Section 7044; Business and Radial Codes Trip SOLAR PIPING SYS. "" {' -' '" -( ISSUE FEE- - ConlraCmrS Ucen50 IoW DOM not apply t0 an Owner Of a property ISSUE FEE --" �" _- gpPLICATION APPROVED By '-._ BATE _ '-' Who bulldS or Improves thereon, and who does such work himself or thrau9h Ms own employees. provided that such Improvements are not - _ - - - - main or•OlferdE for Sl 11, however, the bURemq or Improvement' MECHANICAL PLAN CHECIZ SUMMA RY OF FEES IS Soldithin one year of completion, the owner will have ilio burden -fir, "did BUILDING , _ 1 moving not build Improve for the purpose 1 His). HEATING SYSTEM 0-I OO,OOD BTU 'PERMIT 6 -- EMIR, I. S owner OP the property. -am a[luslwly m act: p IIM1. AND DUCTING '-- -- TPLAN .3 � - licenbal contractors to construct the project (Section 7044, Business 108.000,+BTU CHECK 5 'PERMIT and professions Gama: The COnteaCIOr'F UCOmd Law does not apply to ..l _ -_ISSUANCE IS ' 1 propeHy woo bullOs or Improves thereon, and wM10 Com REFRIGERATION 010O,oe0 BTU :PLUMBING f H tmcls .lm s n..pmle CIS with..a.COntractOr S) Ilcein0d pursuant t0 _SYSTEM., - _ r. _ _ � 100.00q+BTU �. PLAN GRADING S" -- the Sc rY UcenSO Use). CHECK f - ❑lamaxe luntl ctlon - B:6P.C.farjNs BOILERS BTU - {ELECTRICAL f-- -'-' S- i o SYSTEM REPAIR, ALTERATION PLAN CHECK -f _ IMICROFILM's TOTAL•Fli l. MECHANICAL -Qv- II heDatrr, by cerif IheDw ad t�pll Cation and State that trap above EXHAUST SYSTEM MULTIPLE t I AD- Intafmatla 0ttL '9re0't comply IIM1-ell plY'en0 COunIY PLANCHECK E VAN IS VANCE PC 11— a and law r ting construction, en araerebyT UIDorlxe 1 '• ¢pre Ntives ^ Is Star yp On the b tinned 0100 IS for 1 c Drool FINAL VEE //I 9ZJ Signa to - _ ISSUEFEE E Dilv&S'L rSSO CMF 0065-46 WMteetsid ng; Canaryng; canzrT y- go cel ink -Accounting; Goldenrod-AtesSOV CONSTRUCTION AND PLANNING APPROVALS Permit # !M v3 i'g Date - POOL & SPA Inspector APPROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. ..Soil- ipe-Undrgrn, _ _ 44. Steel Reinforcement - -3.- Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding' 5. Steel ein orce 47. Rough Plumbing & Pressure Test-. - - - - - 6. .Electrical UFER Grn 48. APPROVALTO COVER-GUNITE" - - 7. Footings 49. Electrical Conduit-Undr rn 8. -Foundation _ - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. - Backwash Lines P-Trap.'Ej Undr7qrn - 10. Structural Floor System 52. APPROVAL TO DECK ." 1.1. Property. Sewer line &.House Connection . 53. Backwash & Receptor -Final ' - 12.-- Street Sewer Connection 54. Heater &Ven[-FinaF 13. Rough Plumbing _ 14. Rough Electric -Conduit - 56. Electrical -Final - - 15. Rough Electric -Wiring 57. Solar System -Final - 16. Rough Heating & Air Conditioning - - encing & Access Approval - 17. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating - Gas Pipe -Rough &Test - - " Roof Framing- - - 60. POOL/SPA.SYSTEMS FINAL - - 21: 22. Roof Sheathing- - Frame and Flashing - - NOTES: 23. Insulation - - - - - - 24. Lathing & Siding 'q1WjQ4nE 4bv.,P---- 2.. ICA4e - 25. Drywall Nailing - - - - 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - 28. Final Electric - - - - - -- - ' 29. Final Heating & Air Conditioning _ - 30: Final Gas Pipe -Test - -- - •• 31. Final Plumbing 32. Water Service -Final - -- - " 33. Gas Service -Final - - 34. Solar Domestic -Final 35. Landscape Sprinkling System - - 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No. Date _ Applicant to fill in all spaces except [hays within heavy border lines and Sign all appropriate declarations. Roo} Drains. CITVOFCOSTAMESA COONSIRl1CTION PERMIT Project Address - - si�iiidQl /.��i��L PERMIT NO, ISG TRACT NO. em IbD-a2 LOTNO. UNIT NO. 2 -REPAIR N Chad dollars (E500). Applicant's Mail mB dress Carter's Nay P TYPE OF CONSTRUCTION LJ NEW LJ ADO ALTERATION LJ D CONVERSION ❑ DEMOLISH ❑ OTHER OESCRI En -ION OF RKJU F O $16 A.S. S E 3 I and Professional Code: The Contractor's owner of a property who builds or improMs it himself/hOrgell or [M1IOY99h his Or nor Own rlmO aen[reis snit inten aneyea ofd for mrOen Of provin9 he/she did not build or Im- Amh/Eng. License No., Address TYPE OF PERMIT GRADING FOUNDAT10N TRUCTURAL 1:1 TENANT ELECTRICAL D PLUMBING MECHANICAL ❑ OTHER T B A Boiler Hood or Type l ❑ Canopy Type I ❑ Contractor's Nam F Phpn PROJECT DESCRIPTION So F T CONSTRUCTION TYPEVALUATION 9i C K' $ Address (mailing) Duct -Structural : City License RACTOTO R DECLARATION LICENSED CONTRACTOR ZONE GRADING CLL UDS. ACRES pl^P rq¢markse 1 PI81 nbacts projects that am licensed pIll I Charter o Exhaust System ❑ Multiple Sec ionaffirm with m the ens; alio prof oaen and 3 Of the s..am effo -C a -cop's ucaymd Law). aware the insurance uta be ovided tom Firepl/Face Hh. ICBG# Fire Dampers e.�. C. for this reason tel mty l is n fui c no uehnys clay Date signature R( PLUMBING FEE$ I this II n tate that the above o pl M1 cit no county ordinances Bal Sink Showers 9cc s hereby uteavOl rept f menop qY WORK RS' OMPENSATION DECLA ATION I hereby affirm that I have a cerlilicate, I co sent to Ifins a erti9 to o1 Workers' Compensation Ingot Or. a Cert] di COPY t 380D, Lab. C . ' Backflow Pmventer Service Sink - Goldenrod - ASYSi vir Backflow Irrigation Sewer Cep r I I_ ry� Vl } Policy No. Company ❑rifled py 5h ebylUmloted,- L�Cert p led wI h the city But Wslo sr Batntabz':� $¢veer Connection Applicant Dau EXEM 10 FROM WOCOUkDI CD 10 DECooRATION Clarifiers Solar Collectors (I� completed t t permit Is a hundred S Issue or 16ertify[th neetl not performance d I that "n a y person I all not In 051 Wore Ior so as ILII become Sul suet IS to I snarler t ompe i person of mann to b c bled m irne Compensation Laws Ca (omia ¢r Dishwasher Solar Piping - Drinking fountains Solar Tank Floor Drains Swimming Pool w/Spa DateWorkers' Signature na NOTICE: E. attar making thisrov declaration, you should barn subject li Me NOT of tion provisions door / sne Labors all e d must (revoked. Workers' With Such ons r this permit shall be deemed revoked. ComplyONST Wlth Floor Sinks Urinal Gas Service DWIBSS Water C100B[ ON LENDING CONSTRUCTION LENDING AGENCY that there Is ahis tanning agency for theperformanceChy.a Interceptors Water Healer f the walkffirm whic permit 01 the work for which this permit Is Issued (Section nog) Cm. C.) Ct Lender's Name Lanes✓s Address Kitchen Sink Water Service OWNER BUILDER DE I ON Lava[Ori¢5 Auto Wash mthat m exam I hereby drRlm [hat 1 on mot from the d Profeatio License Law cityregimeor reason (Yesian >03L5 Business a Plr. Improve Code: Any r re or unsy which..__ requires a permit to construct.,altarho a lve, demolish or remail county ..- �- •Ilcan[ lar such Permit ' P—hap Laundry Treys u I am exempt Dale D.I uan5a duan5e d s 1� CMF 0665A6, rev. IV/84 White- /ihelterlf Openue pursuant to the provisions of of l with eflul Oexempt Roo} Drains. Front " Rear Istion Professors Code) or that neng P ifigged *"Motion. Any VIOLA to" of Section permit subjects the applicant to a Civil Right N Chad dollars (E500). sea ea ffrucNreslswitt wages a theirOr Safe ered Rains inion Fee $16 Issue FEW MECHANICAL 3 I and Professional Code: The Contractor's owner of a property who builds or improMs it himself/hOrgell or [M1IOY99h his Or nor Own rlmO aen[reis snit inten aneyea ofd for mrOen Of provin9 he/she did not build or Im- Boiler Hood or Type l ❑ Canopy Type I ❑ Duct -Under Ground in exclusively contracting with licensed can- Duct -Structural : Refrigeration System section 7044, Business and PmfessumnS Cade: fee net to n ow erOfproperwith a Who �0100,o00 BTU ❑100, Duct- Ventilating nbacts projects Exhaust System ❑ Multiple System Repair/glteration -C a -cop's ucaymd Law). aware the insurance uta be ovided tom Firepl/Face Hh. ICBG# Fire Dampers e.�. C. for this reason Heeling System &Ducting EIC -100.00013i Oto0,o00 Registers I this II n tate that the above o pl M1 cit no county ordinances 9cc s hereby uteavOl rept f menop qY ate Rhin Spactian Fee 415 1sPae Fee nt1 Pink - Accounting; Goldenrod - ASYSi 7.195_-7EI - 135e52 TL Washer Device Boxes S3 Front O Rear N Right N G Leff R Ref. # Parkin^ Reo./ProvidN E Washer Device Boxes S3 Reinspection Fu FEE$ DEVELOPMENT SERVICES II Zoning Approved Byp.` Building Approved By Application Issued By BUILDING PERMIT S PLAN CHECK $ PLUMBING S PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL S PLAN CHECK 25% $ 3 GO $ 3 ELECTRICAL ❑ W+KW Meter ❑up to 100amps Meter ❑over 103 amps $no Panel Motors ❑01 NP 01'A-8 Inc. Solar 0945 He 0.16 15+ Microwave Trash Compactor Fee FEES S3 FEES T SHIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector I . 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 LIFERGrnd. 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 IAS W -) 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 OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing r 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. frame and Flashing 741fS e-"� 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. DrywalfNailing 3 �ji/f HEALTH DEPT. REQUIREMENT . 31. Plaster -,Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric td 445 Notes: a 5-34. Final Heating & Air Conditioning 7 Z� 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Ficial 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 c 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison r 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOF OCCUPANCY No. 1315 Date S ^ ✓ y�V City of Costo Mesa y Development Sart/tDepartment Building Safety Division CERTIFICATE OF OCCUPANCY No. M,333 � N1� ,33 3 Safety P.O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC 10-202 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFICE Legal Description 139-661-11 (See reverse side for Metes and Bounds) Building Permit No BME20037 Electrical Permit No. BM20037 Plumbing Permit No. Mechanical Permit No. AME200 ;7 Number of apartments and/or guest rooms ISSUED TO: Building Official f{J - fl • �����! O 1 DONMLL 13RIGHM by —v.( 1 f 3505 CADILIAC #0-110. COSTA MESA, CA. Date � � 4t+ This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 white - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill in all QTYOFGOSTAMESA WyNSTKIUG119PIPF11Mll Prol¢a Atldreis-�5b.� b�'nl�- _Applicant's Machine Address Y.n in'nA FF�I'M�I Ownir's Name Rr r lJs-a Y F 1 I PV1 Fd s KaPIrm rQr r->3, Address Sof 1 M p 1 ArcfilEng. License No. Address Contractor's Nam C SOOB Address (mailing] City License No. 1) 1 /a �J LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed older provisions of Charter 9 (commencing Who Notion 7000) of Division 3 rlAW Business and Professions Code, and •hereby affirm that I have a CerllfI Cate Of Consent 10 self -Insure Ora Certlflute of Workers' Compensation Insurance, or a - certified copy thereof (Section bulk, LaNo. b. e.)r1079/ Policy 43137 Company e20hiilh 4aam�. 1 p Carl nee copy Is filed v In henea. V ee.nned p Is mad win the city Bnu o n.F W�,r "DalMIST Applicant MPtibir FROM WOR millet dOMPE NSATION DECLARATION [am). cion need ml ba completed if the permit Is for one hundred (EIDn( o ass). r I al nro that In the y person Inn arms work mer at to become permitje Issued shall not employ any persue lar any man o a m e.aome speleee ro the Workers' Compensation Ldw3 a California. f Date his declaration. ture 'NOTICE: Compeer Compensation on,i sons of you r Cod tern gutted to the Workers' elm Such oa provisions t SS Labor Catlq you must rundowns comply with Such ENDING Or NC permll Saall be deemed revoked. CONSTRUCTION LENDING AGENCY 1heresy affirmwork that there Isehis permit s Issue (Scorch for thePerformanceCly. 01 dtheer WOIN for welch iM1ls permit Is Issued ISndlon 3n97 Clv. 0.) Lender's Name Commor's Address OWNER BUDECLARATION hereby that I feby allanal 1 em pt from me Contractor's Professional Cape law cit the ' foluowin9 reason east an ]k3L5 Business dna toimprove Cape: Any r re or env"ctin�vn eerror1eto Its Issuance also retakes t{:a spat card for such Permit License Una does not apply to an [nation, and who does ucnm employees, rummded mat sucIn sale. It, however, the building or OIBt�O!, the owner will have the I dor the purpose of sale). as owner Of the procerty, a tractors to construct the pr,lect� 'maids o°1teMoOvee i"hereon,, and traclproof OI their Woues rkerst to the Comceh ❑ Iam exempt under goodon— Date 'owner I nere0y CSHHY that 1 have he and stateInformation Is laws relating lto9bullElar sentativlS of this coy terenter Inspection our Se Signature Orlvers' Llmneo O! 55 IF CMF 006546, rev. 10/e4 W lines and sign all appropriate declarations. .TYPE OF CONSTRUCTION LJ NEW IYl ADO IJ ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH, ❑IOTHER - DESCRIPTION OF WORK/USE OF BLDG. ReilBPiuien Fiat A.P. ,Ey $ Ma'm Bu TYPE OF PERMIT GRADING OFOUNOATION STRUCTURAL' Q TENANT ELECTRICAL 0 PLUMBING [-]MECHANICAL ❑ OTHER E T B A Front Reor PROJECT DESCRIPTION SD. FT. occOVPrvCY CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCILYDS. ACRES C K S Right Left Ping. Ref.N Remarks: g M G� tivniatI Planning No Backflow Irrigation ng Fountains Drams with wages as their sale ReilBPiuien Fiat t intended o offered Into Fee code: The Contractor's V who builds or in Ws Hood or Type ❑ Canopy Type 11 ❑ FEES Boiler Inte�8 a"or or her I within one year of core- s/sheald not build or lm= ,le ❑ Duct - Under Grou actin with llAnsed can- Fire Dampers uat-Structural ass her KI DOCP Vem Btmg leiblessil l property whop [n projects with a Con- $15 IBSm Fad Exhaust Systeme ;aL).. wmuld I amprovaw etrialto FirepUFact BIL I( S. & P. C. for this reason Heating System & ❑0.100,000 BTU nd.eute that the above yhereby nsepre5 outXprize mentioned property for. Relnsp ion Fee a�PInk -Accounting; Goldenrod Palestine Sewer Cap Sewer Connection Solar Collectors Baler Piping Solar Tank Swimming Pool w/Spa Urinal Water Close Water Heater $15 ld Washer tion Pole', Unit Device Boxes Outlets Switches Garbage Disposal c Generator 005 KW 7783 7/311 1$928'�TL zone Accessory Building: z 0 N N G R Parking Resig Fine detl - E 0 M S FEES Transformer _J 1550 KW - ❑ SO+KW Meter ❑up to 100 amps Meter ❑over 100 amps Motors 0D1 HP❑1M-8 r I no. Soler 0915 HP ❑ 1 &15+ Microwave %le Light Trash Compader S,3 Into Fee MECHANICAL aw Hood or Type ❑ Canopy Type 11 ❑ FEES Refrigeration System 00-100.0000TU 0100,1 ,le ❑ System Repair/Alteration Fire Dampers Registers KI BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK. 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES S $ S $ S�n SO $ 7 S $ SMTP PERMIT ISSUANCE ENERGY P.C. - GRADING MICROFILM TOTALFEE' $15 IBSm Fad ld Washer tion Pole', Unit Device Boxes Outlets Switches Garbage Disposal c Generator 005 KW 7783 7/311 1$928'�TL zone Accessory Building: z 0 N N G R Parking Resig Fine detl - E 0 M S FEES Transformer _J 1550 KW - ❑ SO+KW Meter ❑up to 100 amps Meter ❑over 100 amps Motors 0D1 HP❑1M-8 r I no. Soler 0915 HP ❑ 1 &15+ Microwave %le Light Trash Compader S,3 Reinsgction FM $15 Issue Fad S 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By �yI Application Issued By ' Come Data --�j��--- _ BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK. 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES S $ S $ S�n SO $ 7 S $ SMTP PERMIT ISSUANCE ENERGY P.C. - GRADING MICROFILM TOTALFEE' $ $ S S S S� _ $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector F . & 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 ConduiYUndrgrnd. 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 Fireplace 21. -Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25.,F oof 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. Special Requirements Completed - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Oo 51. CERTIFICATE OF OCCUPANCY No Date Applicant to Gn in an spaces within heavy border lines and Sign on appropriate declarations. . _...... _..........�vnr o_�...,.. - B 2Z�� 19000 - CONSTRUCTION PERMIT �j'r/ TYPE OF CONSTRUCTION I. - p(NEW ❑ AOD O ALTERATION LJ REPAIR ❑CONVERSION ODEMOLISH ' - + - - - _ - ZONING REGULATIONS Prolece Atltlrns Q Owner -0hon Aaar esf._&AR&A -Arch/Eng. - license No. _❑OTHER OESCfl IPTION OF WOgK _ Adtlreu - ZONE - PLNiG.gRIEFI�p9a .- O PM1on YPEOFPERMIT. I -- - - -Q GRADING - O FOUNDATION. -❑ STRUCTURAL - ❑ TENANT. D ELECTRICAL�LUMBING II ECHANICA SET SETBACK I[p YAHU .51ElLl,FNV ry OPERTY LGNE - - 'Addr LICENSED CONTRACTOR ECLARATION - 1 hereby affirm tncl I am licensed under provlilOni of Charter 9(com- flooding with tin A000) of iil ion 3 f foe Business tl' OTHER RI T - - -- - Pretensions Coe and Y license Is In full''} y+ g t 'REAR YARD {TO P/L) ' PROSECT DESCRIPTION u Class uupa l�,`1 6 Sf- .r - - - IPKG. SPACE'q EO. ..- PROVIDED- - ,• AT O[�^ COMPENSATION E Lq RAT100 WORK8p8'CO IONlyG -SD - -" -- OCCUPANCY CONSTRUCTION TYPE ---- '45TREET'WIDTH PARK FEES �I hereby affirm loaf haw a r ancon[ b seri Insure e that I Kowa V gLUATION ZONE - ZONING APPROVED BY DATE abortion r114 o 0 Ot Worker '_Cp mpO abortion - pp11lh COPY car Indeed/ISett b C] --�ar GRADING CU V05 gCRES - SPECIAL CONDITIONS. _ ". Lo pan - eNo.- furnished. / t111W COPY 13., ¢ed REMARKS:- wthlth CertllllON-FRd COPY 3 filedith the C MPENSBuildin EXEMTIOn NEAS`c DECLARATION - need not be If rho permit ITry Section need not be cOmOlelBtl 11 tM1e permll 6 far one M1unO - - ECeH " len'1 _ _ _ _ _ r J. 1 (lfy shat In menet of work ID which enc Permit e ploy n I listed, I shall -nut employ any porion In any rep PLUMBING P¢gry CHECK- s - - -ELECTRICAL-- - - RLAN CHECK §ublatt to the works^s•COmpensa[Ion Lawxol GDlm.- B _ __ _ ___ BATHTUBS' - -SHOWERS" - - _ Date grantingn - - NOTICE: If after making this declaration, you should became Subject TOILETS ,p .. URINALS-- - - -- - - GENERATOR - - 0-1'KW = 1'IOKW -- - to the Workers' ComPenntlan Provisions of the "bar Code. you must' TRANSFORMER forthwith Comply with such WOvisions or this permit shall be eeemetl LAVATORIES DOUBLE LAVE -- - - -'{gPPI--IgNLE - -1030 KW�504,KW revoked. KIT:SINKS - -DISHWASHERS-- " ' - - -MOTORS -- ' -lo HP- - CONS LENDING AGENCY - y affix that tion the per- IM1erandeofrtheworkfo'sch SERVICESINKS- SUMPS-- --- ZINC. SOLARI 10-50 F_1 HP_ 50+Hp.' - t his Permit ISingagencyfor formdnw Ot LM1e work f0r'wNCO Inls permit I[\noted (Section 3097 yS _ _30-50 - - Civ.�CS. - - - - s 1— `- - RM 3^ ILlndePs Name --FLOORaSMKS ^'FLOOR DRAINS -- +FIXTURES -- OUTL-ETS - SWITCHES-'-- Lender% Address - ---- - --- --Or' DRINKING FOWNTgINS �' - - - j-- - •GqS TUBE SIGNS - INTERCEPTORS "--LL'g RIF IERS " ' - - -- POLE -LIGHTS C OWNER BUILDER DECLARATION - - - - -- - affirm that 1 am exempt from the COotractor% LICO W Law for ession[ Coda' the -following reason lSectloo.7031.5 �Business nd Profm - lter, Any City D County which requires a permit to c slcl, a$ SWI MMI NO POOL--pTRAP- - -- - POR - METERED SuB ,deOln'Or repair any structure. prior to its J#panq, also re- immoral, m WATER SERVICE- "'ALTERATION - PANELS- ^-MAIN SUB - quires the aP.IICmt for such permit to file a signed Statement that no GASSERVICE '"�' OUTLETS - - +SERVICE -- - -AMP '.,•' - -' Islicense) rsuant to -t M1e PrOYISIOns Of the ConeraCloN3 LiCenn�LOW jlommencing 9 with Section 70D01 1 Division 3 of Ice .WATER HEATERS -- 'BTU OUTPUT •- - - - a- -'_S u, _ �Chapter p$InN3 and %d0S10n6 Code) or thaLM1a k6xampLtherOM1om. and the the alleged OI Section 7031.5 by forplicant Perm tlfi sat - - - - b titsviolationmain a Permit blots ppllpOl 10-a-Civil-PBnaRY- Apt01 00 -A -C live SEWER�Btl®SlfpNS-. -.-, - - - - -- - - - s ( more a property dollars ret a than SOLARTANK -• - -COLLECTORS_- l - u'I', as Owner Of In* property. or my employees with not inter relr d too structure 9 COmpengilon, will do the work. and had to not mantled - a, Oe -of l Beed toe Sale. ($e[Ilon 9044, BWInei3'iOd NOM1Ssbn1 COtle: Th¢ Param SOLAR PIPING SYS. -" -' '�' - •- }'- ISSUE FEE-- ComevLa doesapply torty "ISSUE FEE -- 1 - y - APPLICATION APPROVED BY -'.-."S. DATE who builds rImp¢tdWtl06nold carie balms or Such wok' himself Or through his own employing lad that n improvements are not MECHANICAL - ' PLAN CHECK - - t -- --- - SUMMARY OF FEES Intended or offeree -lar sale. Vf n the'building or Improvement Is sola within one year' f compoetl thelir have the burden I pmvinp he did no bulls Improve for the purpose 1 1)! -` - _. -BUILDING -- - -- T 0.1. .as .owner of [he. ProPOrtY am 0%CIU41ValY contracting I- HEATING SYSTEM 0- 100,000 BTV 1�- PERMIT E - $MIP IS 1_ licensed Contractors to construct me project {Section 7044. BusinessIDD RHO DUCTING - I 000+BTU ' - rpt_AN CHECK PERMIT- - d h^lablons Code -The Contractor s License Law does not apply to E ISSUANCE+�§ t 1 properly who barite or Improve; thereon, and who can. n(PLUMBING REFRIGERATION 0.300,000 BTU—L-:-- 3� trattLM1pm-SUCa.paRctS_w1nr a_ r tato).. Iltesned.pur3wnLto the Contratlm's .SYSTEM 100,o00j,riBTU - - A. - / --§ '. PLAN GRADING r.§1 a {' s. - License Law'. CHECK 3 ' l ❑ 1-a m'eMmPFunder Section -B.4 p. C. foe 1M1l3- rr BGILER$ 8TU ELECTRICAV * - (lawn. SYSTEM REPAI R, ALTERATION +PLAN CHECK- -E- i�tA �IMICROTLM.S' lS DdeO Owned ' _--'-' _. EXHAUST SYSTEM MULTIPLE _.. _ ._ MECHANICAL -$ -• '.TOTAL FEE§ 1t - LESS AD - Ih*to OyCertlfyma ave read this appllGllon and Stale that the above Information Is act. -I gree t0_S0mPIY with all city and -county .. PLANCHECK-t -VANCE PC' E - Ordlnances and s laws relating to construct On, and M1e eIn ere in Deze eeuenurativa3' Is Ie. don'the-ab netl - -- ---- 1 1 Pr perry for ' so FJ f 2_ - Sig"fru;; FINAL FEE E odPPrs• ors s - - - SUE FEE CMF 0965 46 WIOte-Building nary- ohmaO-ASSONor o. ..a >�� r..�Ac CONSTRUCTION AND PLNNING APPROVALS Permit # �2��1 Date POOL & SPA • Inspector APPROVALS Permit# -Date-Inspector y _1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location'- ocation _2. ._ . Soil Pipe-Undrgrn �)'� _ 44. Steel Reinforcement, -7-T Electrical Conduit. Utility-Undrgrn- 45. Forms - - - 4. Electrical Conduit-Undrgrn. _ 46. Electrical Bonding_'. - - - -- . Steel Reinforce - 47. ,.. Rough Plumbing &Pressure Test' ' 6. Electrical UFER Grn .- 48. APPROVAL TO COVER-GUNITE .7. --Footings 49. Electrical Conduit-Undr rn - -8. Foundation - - - .' 50. . Gas Pipe,-❑ Undr rn, Test - 9.- Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ ridr rn ' 10. Structural Floor System52. ,. APPROVAL TO DECK 11.- Property Sewer Line &.House Connection •. - - 53. Backwash'&'Rete for -Final •• ' -12. -Street Sewer Connection - - l -- - - 54. Heater & Vent -Final ' 13. Rough Plumbing - - 14. Rough Electric -Conduit -" '- '-56.-- Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - - - encing & Access Approval 17. Ducts in Structure - - - APPROVED FOR PLASTERING ' 18. 19. 20: Ousts, Ventilating Gas Pipe -Rough & Test Roof,Framing - - - - - - 60. - POOL/SPA SYSTEMS FINAL - - 21. 22. RoofiSheathing Frame and Flashing - NOTES: �. 23. Insulation -• - --- - -- - - - -- - -- - - - - - - - 24. Lathing & Siding - -- - - - - - - - -- - 25. Drywall Nailing - - - -- - - - 26. Plaster Brown Coat - - -- 27. Electrical- Power Meter -Final- - - - - '- 28: Final Electric -- - - - -- -- -- - - - - - 29. Final Heating & Air Conditioning - - --- - - - - - 30. Final Gas Pipe -Test - -- - - - - ! 31. FinalPlumbing--- - - ' 32. Water Service -Final - -- - - - - - ' 33. Gat -Service -Final - - 34. Solar Domestic -Final 35. Landscape Sprinkling System i 36. Sound Attenuation - -- - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison _If 41. Gas Release to Southern California Gas Co. 42. i CERTIFICATE OF OCCUPANCY No'.-_ Date Applicant to fill In all spaces within heavy bora.r lines and Sign all aopraorme CITY OF COSTA MESA - PERM 7 NO - TRACT NO. LOT NO. BLDG. O. - - -• CONSTRUCTION PERMIT - 'B� �+�D ebh /✓/� TYPE OF CONSTRUCTION ''i `�a11LW ❑ A )D 0 ALTERATION tO.11EPiNR ❑CONVERSION ODEMOLISH Q OTHER' " IYMI _ I1J - - t. a 7 I;H:.'Curt � } r ,. IS'(i0� 9�05�SP �I sOO -ZONING REGULATIONS -. j Prom Address Phone 1 OWnlr - 1 F Arldrm1 - - DESCRIPTION OF WORK - ..v •.. ..... 1 ./ _- - -A.P.SP - = ", .ZONE'" •:• PLNG.REF.S•Gl Arch)Fng.- - License No.. •tT _ _- Atltlleu y Contractor - - Phone TYPE OF PERMIT, - - -0 Q ❑STgUCTURpL h 'SET ACK T. A'P1rL1NE• -- Adb10' - GggOING -FOUNDATION ❑TENANT.'O�ELECTRICAL_OPLUMBINGQSMECHANIC - ---"- -- ----. _ LICENSED CONTRACTOR DECLARATION _ .. .. 'I hereby affix that I am licensed der provislOn9 1 Charter 1 under pYARD IG T .:' reducingwith toyy 70001_of Ishm-3 of -the Business and ❑OTHER' + Pm1a33lons Coda !alp my Ilumse Iz In full fore d of t .REAR 'YARD (TO PIL)- PROJECT DE RIPT ON: //��§ uUmee Tlass --' llmnsa NO. '- - 'PKG. SPACE REO.' PROVIDED 'Dat: '- full.. _ SQ. FT.' - _ _ gOCCUPANCY C0N5TRUCTION TYPE V�.- STREET WIDTH - - _ . PARKFEES WORXERS'COMPENSATION DECLARATION- 11 a herebyaffirm that I how acerffcalo of consent to Ne04sure VALUATION ZONE ZONING APPROVED BY -OAT!Ite--- rreofI OI -Workers' Lompemellon .Insurenu dr !11{I tl pY - - ,thereof 1$$¢¢��c��IIffQQqq.s�R�S 0 q _ _ - -� I- _ _ D GRADING CU VOS—ACRES t SPECIgCCONO1T10N5: .e NoW1-R\ TSC®B•QVv MNiY•-1 .. .. - - - _ _ _ r110ed ced: y is here th isity __. __ _ gEMgRKS:SlatCerflfie, y ll copwith thehcity Building Olvil - •_ I 'EXEMPTION O COMPENSATION DECLARATION ^- ' ' __ __ _ _ ° I i0gn6_etl F t be tom- -. It [cc permit Is Io_!_O_Oa M1u_ntlrOtl need rut completed it Sea' r _ _ 'I 1 ga 1 li E1u0d)ly rlhat 1 _ _ _ 1n the erforma 1 to k forWhich this'Permit [I issued'I shall of employ anyP 1 YrSa C to bom ble<7 to the Workers COmpvnsatlon Laws of CallfO 1 - tFT 'PLUMBING-. t PLAN CHECK — -- ,ELECTRICAL --- PLAN CHECH-, BATHTUBS "' SHOWERS- -' - - - - _.-. Date Slgaatu (NOTICE If after making this deduction, y M1 Olt b Subject TOILETS 5 URINALS - --- I 'GENERATO R - papKW_] TRANSFORMER lO KIN tothe Worker Compensation I lM1 Lab Code, y u 1 /Owhwith COm01y With Such Provisions Or this Permit Shelf be dv¢m¢tl LAVATORIES O0l1BLELAVE -- APPLIANCE- 1030 KW�50 1 I Y KW 'r _ Thickener- KIT.SWKS ---DISHWASHERS —' 1MOTORS -' O-S-HP_330XP- - — -{ :CONSTRUCTION ENDING AGENCY 41 hereby affirm that there Is a construction Ientingagl for the per SERVICE 51 NK5q -- -SUMPS' -"- - 1N NG. SOLAR) 3050 No 50 aHP' "• for mance of IM1 N IBr Mch IMS It IS ISs4etl ISetlion 309] `{1w^0f • FLOOR SINKS- "-' FLOOR DRAINS—" FI%TURES-SWITCHES OUTLETS �Lentl¢r'S Name �Lentlert gdCr ui -. - —' - -DRINKING,FOUNTAfNS -" -- - +GASTUBESIGNS-- OWNERSUILDERDECEARATION-'-9 SID. -'s -+'T ]5-C]4:r INYERCEPTORS's'j 'CLARIFIERS"' - ROLE LIOXTB-- IIIaNDYa"Yinpapnlsmaxemot'30in Llcenu Law for "SWIMMING POOL- - "_q -TRAP- 'PO ^ontre^torY the -'o"o ing•rea (Secllon ]031 $ BYSI CS 0 Professlom Cade Anyr city o my which ran nopermt to Bnitrud Iter, ES--' -'-METE O- SUB -WATER SERVICE ALTERATION PANELS- -MAIN -- $UB- ' - IT O GOFronsh or Fear'r any�SDYiture. prbr lO iLs lzsuancg also re V apLliunl forSuch m" [o Illi a slgnCp Statement that M1e VPesVNa go' 'a"censed produce,to'he Prov'sonsol the"Cpnbacl0r's UGne Law- DlVislon 3 1 Gg55ERVICE- / --OUTLETS'• - --"SERVICE- AMP" fCM1dPter 9 ItOmmanGn9 ItM1 5e<tlan ]0001 of [M1e 9r sines antl SYdauolso Cotle) OrIM1a[ M1e Is axe therelram and [he WATER HEATERS - BTU OUTPUT - - " apt ' the alleged Bxem0ton Any Nolatlon 1 $attaDn ]03L§ by ' -SEWER'CONNECTIONS - - —�D�L CC _ .lAir - -- afOf ppmc nt /Or the M I hl acts IM pllUnl la dV11 penalty. of re than Use hundreE Callas 1358p) SOLAR TANK- -�- - COLLECTORS-• - [I I a of tIn orOpany, Or mY 0mpl0 gees WIm wagei'a5 Nek Sola campers T will d th rk, antl Iba 5tructYr813 OOL Int¢nded - , orOffered forTM1e o Ole I (Sect) 70440 BYR0e558han SOLAR PIPING SVS: "t'" ISSUE FEE- EE- - _ ' FactorOwl¢SSIO'S aCOd¢• Cop Factor'5 LJ Le d 1 iDply l0 n r O property Issue FEE — - "" - - H - APPLICATION APPROVED.DY�._ GATE .I ' - h b Id -"p tM1 tl M1 tl such wTk Rlmeell or hl; Playy de_d_ iM1 1 M1 prOVe esti a!0 OOI Ih Feelw I f l lmprowment - ' l t tl d 1I T- tM1 d Ilamg o Sol itr fcomp't to rw11 new'neo ureic MECHANICAL PLAN CHECK -- I SUMMARYOFFEES y f 0 or"a oto n0t`auno 1 p 1 Ne PWpOs¢ I'al¢): "-- -'- - - HEATING SYSTEM 0-100.000 BTU - - BUILDING- - IpERMIT ,I_f J - _ 1� 1. as the property, am axil w y C O ViClinq Ith AND DUCTING - - • -- - § SMTP I Ilcenutl c0 Ira clots 10 construct the proiett (Section ]OCC, Business 500,000 Y BTU PLANCHECN 3 PERMIT and RaSerslons COro:.The.COntractoCS LImnY LaWdoe3 Foretell to _ _ l" Y 1 . :PERMITCE-E owns r 1 Property Who Ips or Improves Ift reOn, and who COT REFRIGERATION 0-300,000 BTU _ PLUMBING E _ - 1 tr wliRa_wntr for ). 000sned-pursuant to the s% Projects (S SYSTEM .. _ 1 --.- _ GRj..g "b' Contra ce Law). the Contram%under 100.000 VBTU' - 1PIANCHECK-E —01RI -.f ❑1'am ¢Ise of under SpttlOn -0.6 P.0.for this ')' de BOILERS BTU—� 1 ELECTRICAV S b ' n ease SYSTEM REPAIR. ALTERATION ULTI EXHAUST SYSTEM MPLE 1 ME_ PLAN CHECK -3 'MICROFII- l �) TOTALFEES _ 5'MECHAI ICAL E - - - Dale' n - - I halaWfUni1 IIAa dot Sa G upon and Stale that Me doe" If Information S ech. 1 yly with all Uty d'county rect. 0 'PLAN CHECK -f ordlnanc 5to IS Irpg constrct^n. and her 80 authorize tioned reorae this ly enter on Ihe-ab0 (�yf�11 YWithfor Signa[ _ Drivers'Lic 'r 55 ISSUE FEE _- CME 0965-06 white Building: Canary -Applicant: nk-gCCpunting: Goldevod-Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # M Date Inspector - POOL' & SPA'. APPROVALS, Permit # Date. .- Inspector 1: _Temporary Electrical Service or_Pole _ _ _ 43. Pool & Equipment Location - --' - . SoilPipe-Undrgrn _ _ _ _ 44. Steel Reinforcement -3. Electrical Conduit Utility,Undrgrn .- 45. Forms - - - - - - 4. Electrical Conduit-Undrgrn 46. Electrical. Bonding- - .- Steel Reinforce _- 47. Rough Plumbing & Pressure Test - - - - 6.- Electrical -LIFER Grn.- - -_ 48. APPROVAL TO COVER-GUNITE - - 7. Footings . _ - 49. Electrical Conduit-Undr rn - - 8. Foundation - _ _ 50. ; Gas Pipe, 0 Undr rn, Test 9. Water Pipe-Undrgrn.- - ° 51. P-Tra'O ndr rn -- ' Backwash Lines - 10. -Structural Fl7 System . 52. APPROVALTO DECK -- 11. Property -Sewer. Line & House Connection - 53. Backwash &'Rece for -Final' " -• 12.- Street -Sewer -Connection- - - - 54. 'Heatei & Vent -Final 13.. -Rough. Plumbing__ -'- Final---- - 14. Rough Electric -Conduit -' -' 56.- Electrical -Final " • 15. Rough Electric -Wiring - - -57. Solar System -Final ^ -- "- - •" - 16. Rough -Heating &-Air Conditioning - - - --- - - ' -58. Fencing & Access Approvals ' - 17. Ducts in Structure - - - APPROVED FOR PLASTERING ' 18. 19: 20. Ducts, Ventilating - - - -• - Gas Pipe=Rough &Test - �• - - - - Roof -Framing 60. - _ POOL/SPA SYSTEMS FINAL ,• 21. 22. Roof, Sheath in - - - - - --Frame and Flashing - - - - _ - -- _ NOTES: - .. .•' 23. - Insulation - - - -- - - ` 24. Lathing & Siding - - - - - - - - L- - 25. Drywall -Nailing - - - - - 26. Plaster Brown Coat - - - 27.- Electrical Power Meter -Final - - - 28. Final.Electric - -- - - - • 29. Final Heating & Air Conditioning- - 30. Final Gas Pipe -Test - - - - - - - - - 31: Final Plumbing 32. Water Service -Final - - - - ' 33. - Gas Service -Final - • - 34. Solar DomesticFinal 35. Landscape Sprinkling System 36. Sound Attenuation _ 37. Handicap Regulations - - - ' 38. FINAL STRUCTURE & BUILDING i 39. Special Requirements Completed 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY -•'''-- No. Date ' APmlcant 10 fill in a1Lsw[M except Inose wunln heavy border lines and lion all appropriate aaclarauons. CITY OFe CASTA MESA CD TRUCTIO PERMIT F IT NO. TRACT NO. LOT 0. UNPITNO. rPrpiect riadress � /� //� = 0-.Z®/ EM - / - -32-1 e a Applicant's MOildress TYPE OF CONSTRUCTION LJ NEW LatA00 ALTERATION AEPAIA Neme000NVERSION ❑OEIUMSOLISfH R ❑GOTHER A pOrvnelOESCR ION D WORK AtltlrS Arch/Eng. Llcensa N^,. TYPE OF PERMIT GRACINGFOUNDATION STRUCTURAL T Address - 0 TENANT ELECTRICAL [D PLUM— MECHANICAL B ❑ OTHER A Contractor's Name M1on PROJECT DESCRIPTION SD. E OCCUPANCY C Address (mailing) K CON STRUCTION TYPE VALUATION$jei di IS City License NO. LICIT CONTRACTOR DECLARATION ZONE GRADING CV. YDS ACRE PIrK tihereby affirm that l am IlCenl under p oid q of Char r (C in cans Remarks! Plan With Nalon Ppgo) m Dmsion a or me en n and no c And MY Ranee is In lull force and ffe3. uan:c CI: - Lice Water Service avatoriaz Date Signature WORK R COMPENSATION OEC RATIO L I hereby Mirth that I have a amryca) oa eft to wli4nsare or a cortlfieate Of Workers- CombensMlon Insurance, or a testified, COPY thereof (Section 3800, Lab. C:j Pdllcy PA. Company -Trap PLUMBING _ - Bar Sink Shos alf Beckflpw Preven[er Service Sink BackflOW Inigelion Sewer Cap Certified copy Is hereby, furnished B Certified Copy is filed with the city Building Div on re AppllCant Bathtubs Connection Sewer Connection Hoodor Typal ❑ Canopy Type ll. ❑ uct-Structural loci - Vemilating EXEMPTION FROM WORKERS' COMPENSAT ON CLAR N (This lection need not be COTPIe ed If the Par t Is f ne h ad I lets), o / 1 fit Y Inst In the orf Cf Mance of thea or for WC11 t s tl 1 s11e11 not m y r n In an m r as to O b' tato fire Workers'G Mtlwf of Gllfar .Dais / 5; Signature Clarifiers Solar C011euton' Dishwasher. Solar Piping Drinking Fountains -.� $Dior Tank ' Floor Drains Swimming Pool -ed "NOTIC 11, at making thle dere claMb YOU mold tHCO midget l0 the wort' its Co penµOon provisions of he Use ode youmust IorNwph F 5' le Goldenrod Amply w such provisions a S permit shall 'be deemed r voked, loaf Urinal CONSTRUCTION LENDING AG CY' aGsell Outlets' Water Closet 1 InerebyaftolOffers rm[y truNthersteacondf Pion hurdingageefor the affe Tance as _ of lee w k lot Oen this Permit Is hatted! (Section 3097 Civ. C.) Interceptors Water Heater I LenOer's Name exempt under Inspection Pure Signature DrPoerz•Llceris 5M — CMF 0665-46, ray. /69 White lichen Sink Water Service avatoriaz Auto-Was -Trap Laundry Trays loot Drains Automatic Washer stem & Ducting RegiRers ,r�pb n egIe a 0 BTU ❑i110,OlW BT ... omin PC Reinspection Fee S15 lout Fee Construction Pole Sub. MECHANICAL oiler UPI Under Ground Hoodor Typal ❑ Canopy Type ll. ❑ uct-Structural loci - Vemilating Refriguation Sysem ❑U100,0o0BTU ❑1000WBl IC Oa prod n Ira 'a meI stem ❑ Multiple ❑' System Repair/Alteration ELECTRICAL Sit. ICBO aP Fire Campers 6 P. C. for this reasont - Automatic Washer stem & Ducting RegiRers ,r�pb n egIe a 0 BTU ❑i110,OlW BT ... omin PC Ineatemnir Construction Pole Sub. trail authoriz0 reps itirnetl prop ty or Cooking Unit Meter ❑up to 100amps aid Dishwasher Meter Offer 100amps On Fa $15lour Fes k - Accounting; Goldenrod - Asysar 4797 6//7/J3�-' 147.27 TI zpn. p Accessory Building: z N• I ELECTRICAL FEES 4 ' - Automatic Washer Transformer ❑ 15.50 KW Construction Pole Sub. ❑ 50 t• KW Cooking Unit Meter ❑up to 100amps y— Dishwasher Meter Offer 100amps ^ Dryers ❑Gas ❑Electric Sub Panel Fen motors 001 HE ❑1K,'8 F.A.U. InP solar ❑9 15 HP ❑161St Fixtures - Microwerve Device eoxe Pole Light Outlets - Range QO swis¢nes•' Y signC L7401 Garbage DlePOMI Standing Sections. r Genanmr 065 KW ❑S15 KW Trash Compactor S3 0.einspei1ion Fa $15 Isom Fee S 3 FEES DEVELOPMENT SERIV�IC�E{5 REQUIREMENTS Boning Approved By_VhC—=ta L/nJf� Building ApProvetl By Rate Applicant Imued BY n.t ' f' BUILDING PERMIT,' $ S ARY OF FEES Z-9 b !fyy (O PLAWCHECK $' SNIP $ PERMIT PLUMBING F�%I $ ISSUANCE $ O6 Pi CHECK,.25% $ • ENERGY P.C.. $ ELECTRICAL. - •d$ O GRADING $ PLANCHECK 51 S I l/v—L� 0 MICROFILM S /97-00 E 3 MECHANICAL _ $ 25% ��---- TOTAL FEE $ r PLAN CHECK $ -CONSTRUCTION AND PLANNING ,APPROVALS Permit # Date 'Inspector POO, SPA APPROVALS Permit # Date Inspector -t. Temporary Electrical Service on Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 13: Electrical Conduit lUtjlity-Undrgrnd. 54. Forms 4. Electrical Condoit-Undrgrnd. - 55. Electrical Bonding .. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Hectrical Conduit-Undrgrnd. 8. Foundation . i 59. Gas Pipe, O Undrgrnd., Test i ,-9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P -Trap, O Undrgrnd. j 10. Structural Floor System -,° 61. APPROVALTO 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 ' I 14. Rough Plumbing 65. Electrical -Final ' 15. Rough Electrical -Conduit - (�! 66: Solar System -Final J6' Rough Electric Wiring 67. Fencing & Access Approval - - T7: 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 # 201 Rough Factory Fireplace 21. Ducts, in.Structure l 70. Underground Hydro 22. Ducts, Ventilating F., 71. Product Piping O Gas O Oil 23: Gas Pipe?Rough & Test - 72. Underground Flush 24., Roof Flaming 73. Undergrnd. Storage Tank OGas ❑Oil 25� Roof Sheathing 74. Overhead Hydro M. T -Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical 27. Frame and Flashing 6 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 6 Z/ [,Cj -`-r__ �_' : ! r r 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Fir I Factory Fireplace �, L 38. Fir 1 Plumbing- I - 39. Wa er Service -Final t �- 40. Gal! 'Service -Final j 41. Sol6r Domestic -Final - a.... 42. Baekflow Preventer 43. Ba kflow Irrigation 44. Landscape Irrigation System. 45. So c! Attenuation 46. Handicap Regulations-,' , 47. FINAL STRUCTURE & BUILDING 7 1!/8 48. Special Requirements Completed 49: Eldctric Release to Edison' ,50. ,Gas,Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. �� 77 Date N, lQ0pS ' e - - {-•, �'- City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 001177 P. O. Box 1200 Costa Mesa, California The Building located at 3-;nS rADTTXZr crtTW #n -9n1 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group n-9 Occupancy. Use of Building f1FG'Tr`p Legal Descriptio ISee reverse side for Metes and Bounds) d Building Permit No $&'419394 Electrical Permit No. B0419394 Plumbing Permit N Mechanical Permit No. BEM19394 Number of apartments and/or guest rooms ISSUED TO: Building Official Lnr CAMBRIDGE PARTNERSHIP �/� by L- 3505 CADILIAC #0-110, COSTA MESA, rM, Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on�he pre �ses and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. - CMF 1015-46 rev. 1/83 white - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill In all spacer except those within heavy border liner and sign all appropriate declarations. P ITN?. TRACT NO. LOT NO. UNIT NO. l3•L CG' �M I T �UI� ;ITV OF COSTA MESA CONSTRUCTION PERMIT--- 3a,7� 2wealfip 25 TL Project Address 350rD DILL J3LD&C 't3n5B Applicant's Mailing Address aa/MH 1ANe3E4TJF-1505( Owner's Name pM1Gna Address TYPE OF CONSTRUCTION LJ NEW LJ ADD MALTERATION 11 REPAIR 0 CONVERSION ❑ DEMOLISH O OTHER DESCRIPTION OF WOR KIUSE OF BLDG. Reinspection Fee A.P. . 7 1 B C K S - Main Building Arch/Eng: License No, Address TYPE OF PERMIT LJ GRADING LJ FOUNDATION J STRUCTURAL ❑ TENANT ❑ ELECTRICAL O PLUMBING I=1 MECHANICAL - OTHER PROJECTDESCRIPTION SOFT. OCCUPANCY CONSTRUCTION TYPE VALUATION ZONE GRADINGCD.YDS. ACRES Front Rear ^p ,, q cOnlrBClpr'1 Nam VY� ��-PMne%/Q"� Address broiling) Mi�T �Alin Ini EL D.QQ City Licersa NO. O3� LICENSED CONTRACTOR DECLARATION I hereby affirm that I am unonsed under provisions of Charter 9 (commencing with Mellon )000) 61 Division 3 of the Business and N'alesslens�Cyod�e/. and my llnme is in full lorce ane offera Dated Signature License hereby ads; Lip ace WORKERS' COMPENSATION OECLAR ION hereby aflbm that 1 M1avea tili<]b p Nnt Ip SBIHns t111Gi! f Workers' Compensation Insurance.. certllled wpY thereat (6ecOon ,apo, Lab. c.IAlD/0766`%5 r z - F%y545 ZIIcy No. Cpmpa Y Right Left ping Ref yi Remarkf: , Planning Notes: Duct -Ventilating PLUMBING FEES System Repair/Aluxrion 9 Bar Sink l showers /� - S¢rvice Sink .. AutpmalicW jackficstvPreventer flow Irri Wtlon $e Wer Cap Construction 1,�-1ycfrilled ropy is hereby fBm Kpan� ��/' 4e CerN d ��µld I[eM1e ny 1144 Ivino �'{Aa,/� / Date �-1�3� Applicant tubs $culls Connection Cgoking Unit BUILDING PERMIT U l am exempt under secNon— Data Owns /:o as to this oa Subject too tht the B.6 P. C. for this reason ng Fountains Drains Solar Collector - solar Pipim Solar Tank Swimming Pool Urinal Water Closet Water Hester Water Service Aula-Waah Roof Drains Reinspection Fee 515 Issue Fee S 3 MECHANICAL FEES S 3 Boiler Hood or Type ❑ Canopy Type ❑ Duct - under Ground Duct - Structural Refrigeration System 00100,0008TU 0100,DCOBTU _ _ Duct -Ventilating ExhaustSystem ❑ Multiple ❑ I System Repair/Aluxrion 9 Application Issues By /� - Firapl/Fact. BIL IC80# Fire Dampers Hating System St Ducting 0111M.000 STU ❑100,000 RT Reginers BUILDING PERMIT S Drivers' Licenie or I - 10.einspactron Fee I $15 CMF 0865-46, ter. 10 • White - Builtling; Canary - Ap lla nh Plnk - Accountingl Goldenrod - Assessor Issue Fx Fan FA ELECTRICAL Transformer 0'15-50KW 0 EO+kill Meter ❑Up to 100 amps Meter Clover 100amps_' c Sub Panel) Motors 00.1 HIP 01% 8 Inc. Soler ❑0-15 His 016.1 B+ Microwave Trash Compactor Q G E O S FEES I 0.ainyxtipn Fea S15 Istw Fx S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By note Building ApProwtl BY Dat Application Issues By /� - Dn SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT oT•,,,��- PLUMBING $ ISSUANCE $ PLAN CHECK 25%.$ ENERGY P.C. S ELECTRICAL ,S GRADING $ PLAN CHECK I MECHANICAL 50% $ 0MICROFILM S'<L- TOTAL FEE $ $ PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO, , SPA APPROVALS Permit # Date Inspector 1% Temporary Electrical Service or Pole - 52. Pool & Equipment Location ' 2. Soil Pipe•Undrgrnd. ,r 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, 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 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 D Gas 0 Oil 23. Gas Pipe -Rough & Test �� 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 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 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 Conditioning7�j/ Gt/j 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 _7 `t0 44. Landscape Irrigation System- -i 45. Sound Attenuation i": 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison LST -- 50. Gas Release to Southern Cat_6ornia Gas Co 51. CERTIFICATE OF OCCUPANCY-, No. Date APORum to fill in all spaces except those within heavy border Imes and sign all appropriate tiedl proof ra, thevSNpuks ❑ I am exempt under Roof Drains Reinspection Fee $15 Law does wh too tracts for Such PfO Ctto an owner of Srain a carmorn- Duct Ventilating too the Contractor'3 License Law), l am aware that Exhaust system ❑ Multiple C mpenhtion Insurance Should be provided to m ion S. a P. C. for this reason Firepl/Fact. Bit. I CBO•Ik I Owner Hating System & Ducting read ts aplication and stte that the above ee to complypwith a all City ndacounty ordinances [30-1 B0,000 BTU 0100,GIWB1 rilding construct ion, and hereby authorize lung An upon the above mentionedproperty 1� Data1�49_ Reinspection Foe $15 its - BURdingl Canary . ApPIICnq Pink . Accounting; Goldenrod - AwsUwf SolarPiping- Solar Tank Swimming Pool wisps Urinal Witter Closet Water Heater Issue Fee TUNICAL Hood or Type) ❑ Canopy Type II ❑ Refrigeration System 11D100,000BTU 11100,000 System Repair/Alteration Issue Fee tens I ' A.P. Zone _ S Main Building: Accessory Quit; mg'. TFront r F O A Pear (w" D N C - Right IP - - N S Lat G R Ping. Ref.'M Parking Req./Provided E Fan TICAL Transformer ❑ 1S50 KW ❑ 50+K* Mehr ❑upto 100a16p3 Meter ❑over 100alnps Sub Panel Motors O0-1 HE 01 K - 8 Inc. Solar 09-15 HESt Microwave Pole Lia t tiarbage Dispose' Standing Section Generator 005 KW ❑5-15 KW Trash Compactor CITY OF COSTA MESA TION TION PERMIT Project Address l r" 1 r•a t� I�C�rYs>,� 61d 0- �r�-r5 PERMIT NQ E °� TRACT NO. - 'LOT NO.1 UNIT NO. TVPE OF CONSTRUCTION NEW ADO: ALTERATION' REPgIR ❑ CONVERSION DDEMOLISH O OTHER Workers' Compensation Laws of California. Applicant's Mailing Atldr¢ss W s GSL -C, - $ $ $ $ $ $ $ $ Uwor's Name Phone DESCRIPiION6FWORK/USEOF3UDG. Address Floor $Intra ArchlEng. LicenSe him Address - '� TYPE OF PERMIT FggT1O�� GRADING FOUNDATION STRUCTURAL El TENANT WGLECTRICAL �0 PLUMBING El MECHANICAL '0 OTHER Gas $¢fVICe (� ContractoisNamP >-t�t�'a11�V Pilon¢ �E� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction Indy agency for the Performanceof the work for which this permit Is d (Section 30W CIv. C.l Dindel Name Address lmailingl �L.{.r,�•) �A`�r 1 PROJECTDESCRIPTION Sra FT.��OCCUPANCY CON STRUCTION TYPE �' VALUATION$ Kitchen Sink City LicenSe Ne. J—L_IQ19 LICENSED CONTRACTOR DECLARATION ZONE GRADING N.VOS. ACRES Rail - Lavatories I hereby affirm that I am licensed under provisions of Charter 9 (commencing with Section 7000) f Division 3 m the BMInass and Pr fess coda, and o to". - mylicenseIsmfull aefl t. ro1�^r112, ucense C� i� l:- to s Date I. 1 Signature. %t18 -A. ``-�` 9� PLUMBING FEES WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certphate of consent to seltlnwre ora certinote Workers' Compensation Insurance, or a Certified copy thereof (Section L.b. i`C C�qI UYVgIe 1:NR Policy rvo. company me Bar Sink Shower6 `•10 ` rT91uod, Backflow Proventer _ Service Blnk Backflow Irrigation Sewer Cap proof ra, thevSNpuks ❑ I am exempt under Roof Drains Reinspection Fee $15 Law does wh too tracts for Such PfO Ctto an owner of Srain a carmorn- Duct Ventilating too the Contractor'3 License Law), l am aware that Exhaust system ❑ Multiple C mpenhtion Insurance Should be provided to m ion S. a P. C. for this reason Firepl/Fact. Bit. I CBO•Ik I Owner Hating System & Ducting read ts aplication and stte that the above ee to complypwith a all City ndacounty ordinances [30-1 B0,000 BTU 0100,GIWB1 rilding construct ion, and hereby authorize lung An upon the above mentionedproperty 1� Data1�49_ Reinspection Foe $15 its - BURdingl Canary . ApPIICnq Pink . Accounting; Goldenrod - AwsUwf SolarPiping- Solar Tank Swimming Pool wisps Urinal Witter Closet Water Heater Issue Fee TUNICAL Hood or Type) ❑ Canopy Type II ❑ Refrigeration System 11D100,000BTU 11100,000 System Repair/Alteration Issue Fee tens I ' A.P. Zone _ S Main Building: Accessory Quit; mg'. TFront r F O A Pear (w" D N C - Right IP - - N S Lat G R Ping. Ref.'M Parking Req./Provided E Fan TICAL Transformer ❑ 1S50 KW ❑ 50+K* Mehr ❑upto 100a16p3 Meter ❑over 100alnps Sub Panel Motors O0-1 HE 01 K - 8 Inc. Solar 09-15 HESt Microwave Pole Lia t tiarbage Dispose' Standing Section Generator 005 KW ❑5-15 KW Trash Compactor Irnb season need not me computed it me permit Is for one nu l (5100) or Dishica lir. Cartthat m she Performance or,me work for wmeb this permit is Ismad, I soon not employ any person In any mann so as to become subject m the manner Drinking Fountains Workers' Compensation Laws of California. Floor Drains- - $ $ $ $ $ $ $ $ rote Signature, -NOTICED It, after -Making this decoraf ion, you Should become subject to tbe- Communication M1 Labor Code; lv Floor $Intra ed prolaonor this permitSnabwarned reoed. pv9D Comply with Gas $¢fVICe CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction Indy agency for the Performanceof the work for which this permit Is d (Section 30W CIv. C.l Dindel Name Interceptors Lender's.Address - Kitchen Sink OWNER BUILDER DECLARATION Lavatories I hereby affirm that I am Secret from the Contractor's License Law for the proof ra, thevSNpuks ❑ I am exempt under Roof Drains Reinspection Fee $15 Law does wh too tracts for Such PfO Ctto an owner of Srain a carmorn- Duct Ventilating too the Contractor'3 License Law), l am aware that Exhaust system ❑ Multiple C mpenhtion Insurance Should be provided to m ion S. a P. C. for this reason Firepl/Fact. Bit. I CBO•Ik I Owner Hating System & Ducting read ts aplication and stte that the above ee to complypwith a all City ndacounty ordinances [30-1 B0,000 BTU 0100,GIWB1 rilding construct ion, and hereby authorize lung An upon the above mentionedproperty 1� Data1�49_ Reinspection Foe $15 its - BURdingl Canary . ApPIICnq Pink . Accounting; Goldenrod - AwsUwf SolarPiping- Solar Tank Swimming Pool wisps Urinal Witter Closet Water Heater Issue Fee TUNICAL Hood or Type) ❑ Canopy Type II ❑ Refrigeration System 11D100,000BTU 11100,000 System Repair/Alteration Issue Fee tens I ' A.P. Zone _ S Main Building: Accessory Quit; mg'. TFront r F O A Pear (w" D N C - Right IP - - N S Lat G R Ping. Ref.'M Parking Req./Provided E Fan TICAL Transformer ❑ 1S50 KW ❑ 50+K* Mehr ❑upto 100a16p3 Meter ❑over 100alnps Sub Panel Motors O0-1 HE 01 K - 8 Inc. Solar 09-15 HESt Microwave Pole Lia t tiarbage Dispose' Standing Section Generator 005 KW ❑5-15 KW Trash Compactor ZbnlrN Approved By Building Approved By Application Issued By . hale Date—�//.a q-/��[.y�• nate—=LtsLfL BUILDING PERMIT PLAN CHECK ^ PLUMBING ' PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% - $ $ $ $ $ $ $ $ SUMMARY OF FEES _ "SMTP _ PERMIT ISSUANCE ENERGY P.C. 41.0 GRADING MICROFILM TOTAL FEE r $ $ $ $ IS c^T(- $ 5 �•D V S.71 3 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 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 16. Rough Electric Wiring 2.,l,.�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 APPROVALS Permit # _ 20. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank []Gas []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 s: - 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 Preventers ._ 43. Backflow Irrigation - . 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING '48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY Date. CI1K OF COSTA MESA CONSTRUCTION PEI Project Addren0 A Amaheant a Mad ng Atl -real 7J DWnGri Name ° - It Atldrasg�7� Arch/En -Licenu No.Y Address • - C--3 CdntracmisNam "M1 Addreas (m:ding) OI tinOfe S 32186. eta. City License No.Q fd % LICENSED CONTRACTOR DECLARATION Visual aurin that -I am'Carta under pravlS10M of Chart with section )pool DI'loon 3 m B iners a of My license 16 In hd1 la /ria elrect. Upward ass e ' Llce N OdtC Signature WORK RS'CO PENSATION OE LARATION hereby alflrm that I have a certlBCate of wnunt to selLlnsl .1 Workers' Compensation Insurance, or a certified copy 3800• ub. 1' Panics Ng. s933rY� y m f C� room cap z he by mrlazried. /p/� artingh do ISRled wah en. my 9'YNOBr 01,11 ti Applicant to fill m.aq spocel except those within heavy hold" Illi.:ane sign all appropriated and PERMIT NO. TRACT NO. LOT NO. UNIT NO. - Ions. _- --T 1 997 7 4 '_374. J/ �p,�--- — J 8 n —� Gas Service Outlets - - -� P/A 1042: PMR 3'. x - -- .. -. - _ = ! `_ =_ . . . Backflow Preventer_ .TYPE OF CONSTRUCTION LJ NEW IJwl_LJ ALTERATION:LJ REPF.IR- — Backflow Irrigation Gower Can a LavatOf105 BBt11Nb4 ❑ CONVERSION ❑ DEMOLISH D OTHER ` A,P,all I Fill ^ 64>S! —50R- ' iome'p0/ _ ., ' - '' - geinzpeetian Fs $15 Issue Fee $16 MECHANICAL !or SilesatSeCCOnlll)049do neBYslpesz andwork prmhaders Codn'n The ctora t ICenu Law does metaisle to an owner of a property woo builds or Improve^ theLar=ondna who doM uGUC rN M1Im501filit it or through to or o a provided last S n Imprrovements an not (pleaded or olbred for e et,up. ole. IY Lower$, the during r provement IS sold wlth1, One Yeai of mm' leNon, the owner will' have the carbon of proving mAtim Dia not Bulla lir Inc. DESCR IPTION OF WO K/USEOPBLDG. s' S Main Building; FEES - Accessory 'ng: Duct - Under Ground ' 0 TYPE O ER�RADING FOUNDATION D STRUCTURAL LLLJJJ E T Front - BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL IS PLAN CHECK 50% If MECHANICAL $ PLAN CHECK 25% $ _ 2 D EGANT ❑ ELECTRICAL ❑ PLUMBING D MECHANICAL BRear _ u - _ _ _ N - A�c ❑OTHER A `O Frfi' C Right i� [ _ N car, pIE PRLT Dn ESCRIPTION sp.EoccVPA ZZv• �y �� K G r-yw CONSTRUCTION TYPE / VALUATIONTZ $ Left R ' PIOCI ZONE GRADING CU. YDS._ ACRES l Ping. Ref.$ Perking Req./Pravidetl E _ and gemarkn C br Planning Noten%O roma Or 7.7-7-= G M and "Cor UmnS ming♦our vvopa NOTICE: li of er makln9 this deGlel atlOn, YOU should become Subject to the workers' ComcenwCon provisions of the LaborS pee, yen mus forthwith amply w h provisions or this permit hall be deemed revoked. Floor Sinks _ UriMl ' Gas Service Outlets water CloCet PLUMBING ' Lite Bar Sink Showers - too Backflow Preventer_ Serv'se Sink - aL. — Backflow Irrigation Gower Can a LavatOf105 BBt11Nb4 Sewer Connection Care lgnazma w�-- •3 �l "Cor UmnS ming♦our vvopa NOTICE: li of er makln9 this deGlel atlOn, YOU should become Subject to the workers' ComcenwCon provisions of the LaborS pee, yen mus forthwith amply w h provisions or this permit hall be deemed revoked. Floor Sinks _ UriMl ' Gas Service Outlets water CloCet CONSTRUCTION LENOINC AGENCY I I hamby affirm that there Is a Construction lending agency for the Oertormance 1 the Work for srh{ h tnls a mit is issued (Section 3097 Clv. C.L Lenaea N �.1 �: Intercepters Water Heater Kitchen sink _Water Service Lensie.'z Address H R OWNER BUI LOER DEC RATION-- - I 1 hereby alllfm that 1 2m DI from tri Co [ a[tor s. Ucenm Law lar the t011owing r 0IDn ISea510n ]031.5 Busl mess and -pro fail noI Cod O: AOY CIIY Or Via Uow which rep sire permit tocanStrutt, alter apt licant in fo repair dnym tru=Ima, pSmr to its Issuance; aISO requires,tFa applicantsuch p ll to file a slpned t&tam¢nt Ihal'he/she Is IicenRd.pursuant to Iho plerlslObe OI e tlOn ]00�Ot of 'heir ntmclor a Ll Cense LawanChap[er;9 o 5 Cod with Beat SirlSion 3 of the Business d Drclasslans Catlej' that M1e/ ne'Iz pt lr0M and the bests for'tha Raged eumpti0a-Any vlolatl OO -O( $aeptlOa h 33.5 by any apOlicant tar Perot andidi maresDllcant to 11 n sty Ol not more than five he nar¢d dollars to5o0t LJ 1a az wiser of the pinherty or. my 0Malay¢¢L WIIh ees di tM191I sole IS not and he treat fored tendeCorrrlra a LavatOf105 _ P -Trap : - Z - - g001 Drains - - _ ., ' - '' - geinzpeetian Fs $15 Issue Fee $16 MECHANICAL !or SilesatSeCCOnlll)049do neBYslpesz andwork prmhaders Codn'n The ctora t ICenu Law does metaisle to an owner of a property woo builds or Improve^ theLar=ondna who doM uGUC rN M1Im501filit it or through to or o a provided last S n Imprrovements an not (pleaded or olbred for e et,up. ole. IY Lower$, the during r provement IS sold wlth1, One Yeai of mm' leNon, the owner will' have the carbon of proving mAtim Dia not Bulla lir Inc. Boiler ' FEES Hood or Type ❑ Canopy Type I I ❑ Duct - Under Ground ' re for toe �r Of the of sale;. dl, as owner Of ct t property, Se exclusively USIMUStln9 Ion Ilcrosetl COT 7044. to A, owner and PmR9lons Code: Tree so r improz stere dew ao nota ply m rs hpr1 property woo The CSooan m's L the a Law ISO bales o licensees dna who rot such protects with c Automatic Washer Duct Structural Refrigeration $y51em ❑D100,00D BTU ❑108,000 BT Duct Ventilating Exhaust System ❑ Multiple ❑ System Pepair/Alteration Pursuant contractor's proof a their pursuadCm theebontninsura ice sn a owl. me aware Compensation SOSs.an= as Prnmme me wool (e teen wwner Firepl/FecL BI(. ICBG B5 tIon ❑ I am exempt under Secolon B. a P. C. for to reason B. a Date Owner Fixtures Heating System Or Ducting 10-100,000 BTU ❑iouGOU BTL - ✓ICN I 'orate cer5lkY • ss t I Mve r ap this PPlicalioe ane state that the above; Mye r ad tnls PPlicatio cane state that the above lnforma[ian re t. agree m rely wlon all I[y ntl county ordinances 'dial si lois tag's hlpc 1�buoaen9 n�tU Iaduve-dirlenOun¢jutO ortie[rePlo:buys-din::ni oneEuto ontzeor.pio 0 Owlets . wji 42 Switches - ,S: Inspection pit po Signature Date Z OowrS' License dr ss; Generator ❑0.5 KW 05.15 Reimpemion Fee $16 Issue Fee 'ME 0665+56, ray. 4184 Wats- Building; Canary-APpllcant:Pink - Accounting; Goldenmb- Ampaor I S. '. ELECTRICAL 'FEES TMnsfermer ❑ 15-50 KW ❑ 50+KW Molars ❑0.1 HP ❑ I% - 6 nc.Solar 1719 is HP 1116 Mlcrowaet Pole Light Range Sign Standing Sections ' Trash Compactor Issue Fee FEEL y� MTP _ S $ L PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ ,MICROFILM $ TDTALFEE $ y,� Automatic Washer Construction Pale Sub, Creaking Unit _ DirllWool or Dryers ❑Gas ❑Electric Fan F,A,U. Fixtures Device $Oxus '2CJ Owlets . wji 42 Switches - ,S: Garbage Disposal Generator ❑0.5 KW 05.15 $ 3 I Reinpedtion Fisill DEVELOPMENT SERVICES RI i outing Approved By Building ApProvad By Application Issued By FEES j,sagagge I I BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL IS PLAN CHECK 50% If MECHANICAL $ PLAN CHECK 25% $ S 3 I S. '. ELECTRICAL 'FEES TMnsfermer ❑ 15-50 KW ❑ 50+KW Molars ❑0.1 HP ❑ I% - 6 nc.Solar 1719 is HP 1116 Mlcrowaet Pole Light Range Sign Standing Sections ' Trash Compactor Issue Fee FEEL y� MTP _ S $ L PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ ,MICROFILM $ TDTALFEE $ y,� W ,+ CONSTRUCTION -AND PLANNING APPROVALS Permit # Date Inspector - PO, , &SPA APPROVALS Permit 4# _ 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-Undrgrntl. 8. Foundations - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10.1 Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line'& House Corinectio, 62. Backwash & Receptor -Final 12. Sewer Cap - 63. -Heater & Vent -Final • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing . - 11/301N GzO 65. Electrical+inaI - 15. Rough Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring"ILs /1 Lt 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling !14!t tJ 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 12111/yV L" FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank LGas ❑Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat �/� (gc� e7lj 75. Dry Chemical ^ 27.. Frame and Flashin yp ^^'"'`'u �• a c � / 76. Dry Standpipe - 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation a_ 78. FIRE PREV. FINAL 30. Drywall Nailing 3/ f" }� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80: FOOD CERTIFICATE ISSUED 33. Final Electric 73 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 1 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPAN No, City of Costa Mesa Development Services Department Building Safety Division , CERTIFICATE OF OCCUPANCY No. C P. O. Boz 1200 Costa Mesa, California The Building located at 3505 Cadillac P202 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Office Legal Description 139-662-08 (See reverse side for Metes and Bounds) Building Permit No G16187 Electrical Permit No. G16187,ME1659j�lumbing Permit No. G16187 Mechanical Permit No. G16187,Nf=16592 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official bt �� - ✓..> +f� O'Dorutall, Brigham and Partners by r 3505 Cadillac Avenue, #0110, Costa Mesa, CA Data %� / ... , �7 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/63 white -Owner; Canary - Numerical File; Pink - Bldg. Permit File of . ON STV VALUATIOS FRICTION TVP N Applicant to Hit In all rodeos eMCepl there when heavy border lines and Ile" all appropriate declarations. Left :ITV OF COSTA MESA rRojei4 CONS {j� CTI N PERMIT E iITIN,O�� � TRACT NO. LOT NO, wards UNIT NO. Lenab's Address OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the COnbaCt01's Ulki Law for the following reason ($radon 7031.5 Business and Professional Code- Any city er _untvwnlch requiresI-"permit ..e1. uct.aitehar..rdir.aela,uwh.molish or ..m -sir , Address �s� 7V-- ✓ 0�0 FEES GorbogC OispO%I Standing Sectionn _ Bar Sink Srydwer5 Carl COS KIN ❑5-15 KW Trash Compactor ELECTRICAL 3Workers' Compensation Insurance, Cr a Certified COPY thereof (Section 800�Lab. Polky rvp. MA"�N1T"�✓T 131 CPmpany n"mM LA frill Applldont'6M"IIIpPAddres a��sa�-�// 9014 99 S: "•�ZbO n�.p- TYPE OF CONSTRUCTION NEW LJ Ana LJ ALTERATION LJ REPAIR ❑ ❑ DEMOLISH ❑ OTHER System Repair/Alteration 0 Certified Copy is hereby furnished. ❑ C ned pyCls 10ed with me Citvpjsa�41 Bathtubs Sewer Cpnnmtion Fire Dampers Cooking Unit Meter ❑up to 100 amps CONVERSION A.P. 5F Coer's Name EMe/�- N FROM _ Apollonit[[ ExEMPTIONFgOM WORKERS'COMPEer OECLAndredL Phone DESCR I PT ION O F WO R K/USE OF BLDG. Dishwasher _ Meter DOver 100 amps sf is section ere nil be completed n too permit b for one npnarm (5100) Or �ecertiry that In the performance of the work for which blue permit IS Issued 1 r pall, not employ any person In y manna so as to became subiuct to INS Workers' Compensation laws of California.' Atldres s�sf•Is ClA'•�. Ire /77 /U'/ - Drinking Fountain' Solar Tank 5 Main E - Arch/Eng. Lzenal No. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Tom �Q ❑TENANT NELECTRICAL F-1 PLUMBING PdMECHANICAL R Address OTHER A Hear CpmractariNampl�%Y•SS'/Iod[JE-%as'C. pryone r BDYa C Rlgh Add I &CIADoUrc all4 PFINECTOESCRIPTION SOFT. OCCUPANCY r D ^_oar TIL Zona aw •n -Ing / . ON STV VALUATIOS FRICTION TVP N S Left CityrliRme No: LICENSED CONTRACTOR DECLARATION ZONE GRADINGCU.VDS. ACRE ' Ping. Ref. SY P8rk18g N¢Q./PIOVIOed Remarks: 4�,'II Planning Notes: I hereby affirm that I am licensee under provisions of Charter 9 (Commencing with section )000) of Division 3 of the BusinnY and Professions Code, and Lenab's Address OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the COnbaCt01's Ulki Law for the following reason ($radon 7031.5 Business and Professional Code- Any city er _untvwnlch requiresI-"permit ..e1. uct.aitehar..rdir.aela,uwh.molish or ..m -sir , my license Is in fun force and off //LI^,' -c@m;C Clark rise N TT�y2-2 Dale - Signature PLUMBING FEES GorbogC OispO%I Standing Sectionn WORKERS' COMPENSATION DECL/SRATION. I hereby affirm that I haw a certificate of consent to selNnsure ora certificate Bar Sink Srydwer5 Carl COS KIN ❑5-15 KW Trash Compactor ELECTRICAL 3Workers' Compensation Insurance, Cr a Certified COPY thereof (Section 800�Lab. Polky rvp. MA"�N1T"�✓T 131 CPmpany n"mM LA frill Backflowladventer- - Service Sink - SUMMARY OF FEES $ $ $ $ S.oa $ I'DO $ co S 2 00 Alitosilatic Weather Transformer 01550 KW Constral Pole Sub. ❑50*Kill •Backflow;rrigatiin Sewer Cap System Repair/Alteration 0 Certified Copy is hereby furnished. ❑ C ned pyCls 10ed with me Citvpjsa�41 Bathtubs Sewer Cpnnmtion Fire Dampers Cooking Unit Meter ❑up to 100 amps Registers EMe/�- N FROM _ Apollonit[[ ExEMPTIONFgOM WORKERS'COMPEer OECLAndredL Clarifiers Sciar C011ecmrS Dishwasher _ Meter DOver 100 amps sf is section ere nil be completed n too permit b for one npnarm (5100) Or �ecertiry that In the performance of the work for which blue permit IS Issued 1 r pall, not employ any person In y manna so as to became subiuct to INS Workers' Compensation laws of California.' Dishwasher Solar PipirN Isaue Fee Dryers ❑Gas ❑Electric ;$cab Panel i Drinking Fountain' Solar Tank Fen Motbn m61 HP ❑1 X-8 ••�•� •• ��•••iue�,P�ovl.l r.. ... W... V-�•• e';e.... •'•••••••••• o pmplY Colin r this earmlt'shall be deemed r waked. ^'w on Pn. mins eIX[W¢z Microwave Gas Service Outlets Weler Closet - Devie Boxes %le Light g CONSTRUCTION LENDING 'AGENCY I hereby affirm that there Is a Construction lending agency For the performance of the ,work for which IMS Carroll Is Issued (SectlOn 309y Civ. C.) ldndor's Name - Interceptors Water Heater Outlets Range g Lenab's Address OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the COnbaCt01's Ulki Law for the following reason ($radon 7031.5 Business and Professional Code- Any city er _untvwnlch requiresI-"permit ..e1. uct.aitehar..rdir.aela,uwh.molish or ..m -sir Kitchen Sink - Water Service Switches Sign lavatories - Auto -Wash - Date Dam—.S� u GorbogC OispO%I Standing Sectionn _ P -Trap Lpgndry Trays Carl COS KIN ❑5-15 KW Trash Compactor cof rot llicense puked SComthe Contractor's License Law). pre Oa pmheir pensation Insurance Should bemvmea me 0 am exempt under Section S.& P. C. for this reason Date ..al..� tart - h......a th.r .aa-...tl,.a ..H .t.-. tart in. ,nn,,. Reinsel lion Fee 1 $15 oiler I lucl- Under Ground huts - Structural fuel- Ventilating xhausl System ❑ Multiple :irepl/Fact. BIL (CBO eP feeling System & Cueing X0100.000 BTU 56100.Otp BT inspection o a �l -gy Signature Datd-l` Reindaudion Fee $15 Drivers' I loaners or S$ IF CMF 0965-44P OW. 10/86 While - BYI IOIng: Canary - Ao used PIOk . Accounting; Goldenrod - AasRSer Z w I G R Q M S FEES - Issue Fee $ 3 Reinspaction Fee $15 Issue Fee S 3 IANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By— Application hued By Date Dam—.S� u Hood or Type ❑ Canopy Type II ❑ iefriBeration System 70-100,000BTU IM1041.0100BTU - BUILDING PERMIT PLAN CHECK PLUMBING .$ PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ S.oa $ I'DO $ co S 2 00 I SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTAL FEE $ $ S d .$ $ I$ q-cn ' System Repair/Alteration Fire Dampers Registers - - Isaue Fee 1 IS 3 •" CONSTRUCTION AND PLANNING �4PPR0 VALS Permit # Date • Inspector POUF & 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, 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 /Zr3 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 %L - �� FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas []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 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 n 1 - 47. FINAL STRUCTURE&BUILDING- , 48. Special Requirements Completed - 149. Electric Release to Edison 50. Gas Release to Southern California Gas Go 51. CERTIFICATE OF OCCUPANCY Nn. Date ... ' Applicant to fill In all pace$ within heavy landslides and day all appropriate declarations. CITU OF COSTA MESA PEg IT NO. TRACT NO. -LOT III SLOGS NO: PERMIT�a gam' PM 61-380 40 ' a CONSTRUCTION TYPE OF CONSTRUCTION aNEW 11 ADD ❑L ATERATION - 08_03 - - I/IB/82 LOpeO_6 - ,Project Address- GWOef Phone - AddreMl3 vi ' U1 #760 N.B. 0REPAIR 000NVERSION DEMOLISH ❑OTHER ZONING REGULATIONS Arcb/EI'ng. UTIESS'PetaIns License No. 4185 OE5CRIPT ION OF WORN P.P. S 139-6 51-13, Address 119 E. Alton Saintd Ana -' ZONE PDI PLNG.REF.qF ZE 80-16 n.... Contractor Olinnel const:uCtim Phone 576-847' TVPEOF PERMIT sc . 0 GRACING ❑ FOUNDATION STRUCTURAL r - O TENANT 0 ELECTRICAL PLUMBING ONECHANICA 0 OTHER _ PROJECT DE46761ON SG. FT. 4676 _.. - OCCUPANCYJUCONSTRUCTION TYPE1 k: h-: VALUATION 26, 5o 1 ZONE ip ptJ Lp G 5ETSACK LST. 4ROpEIRTY LI NE Y 5 pEY - RIGHT eq PKGR vq FD ITO PyL pKG. SPACE REP. 592 PROVIDED 670, - . STREET WIDTH' ..: 1 PARK FEE $ ZONING APPROVED BY DATE AddrCS PO Box" 388 TEnter Pada, CA LICENSED CONTRACTOR DECLARATION I h lila} affirm that l am llcenwd der proWdon[ f Charter 9 (COM- mencing with tion 7000) f under 3 f the -Business d Proferalon5 Cade, d my liedaasa IS In full fora �i1j1 BfleCt Leange Class" 'A License Nd.�6SYB' Date SlEratmis WORKERS' COMPENSATION DECLARATION - 1 hereby affirm that I have a certificate of consent to Selitinsure or a certificate eeof Workers' LCompensation o c enation Insomnce, or a ceAlffed copy (Section 3800, 1 GRADING. CLL YOS. ACRES SPECIAL CONDITIONS: REMARKS:- -(r1 si- - HOLD FOR SPECIAL REOUIREMENT` IIeyNOfflPalnfldlQA! Company x'Tmm-inl- Tnelc - �Gotlfiadcopylsherebyfonlurod. - Certifi d ropy Is filed with the City Buhdmg Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ - " 1ThisDalton need colon Completed IL the. permit Is for one hundred " 1$100) or len). I- rtify that In the performance of tM1O.work for.which this permit IS 155UW 1 shall not employ any person in any manner so as to become ubjea to the Workers' Compensation La vedf California. _ _ PLUMBING' PLAN CHECK _ _ ELECTRICAL PLAN CHECK BATHTUBS SHOWERSSO FT so ITT _ Data Signature NOTICE: If after making this declaration, you Should become subject Copensatlon PrOVISIMM of the Labor Code, you must to the Worker[ m forthwith Comply with such provisions or this Permit shall be deemed TOILETS_ URINALS _ LAVATORIES r" DOUBLE LAYS - - .GENERATOR -' Gd KW�Y10 TRANSFORMER APPLIANCE 10-50 KW_50+KW KW yoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS')} _ _ _ 'p -'MOTORS Ort HP -1-10 HP I hereby -ANlrm that there IS a CCn[irucOon lending agency'for the Der- Promote of the-work,for which INS, er 't s- uetl •(Section 30971 Cw'C.). Wells Fargo Bank I, � TrS LendeYs Name SERVICE"SINKS SUMPS _ � � - ,VNC.SOLAR) in 50 "d_ 51 HP FLOOR SINKS L,I FLOOR DRAINS''/ FIXTURES OUTLETS SWITCHES Lender's Address- 660 Nffy= t C_ tr, NeafA_ x_tUCTI DRINKING FOUNTAINS_ Y GAS TUBE SIGNS - OWNERBUILDERDECLARATION ' - IM1eebraffbMRhalnlvme empt from the Contratttoi .LICer1al for the lot owing ren (Section 70315 Business nd,fhofmslons Code: Any City Or my Which requires a permit to construct, alter. Imf,/O .demi or repair any Structure., prior to Its Issuance. also re-, quiAR-theaDpllan,for,VchPerrplt to . fil¢a signed statement thaLhe Islicomed,Wemq the Provisions of thelcontractor's Houried Laws �CM1aplar"9]ICOmrheOcingsWllM1. S¢c[IOP 7000)d0,1-OIVI51ynr-3�of the. - Ine55 dntl %d¢SSi005 Code I or that he 15 records there ram and tke' for the alleged exemption. Any violation of-Snttion 7031.5 by applicant t0 a CMI penally .:applica ti for a e�hnat Subdo tarsthe ($500jects - INTERCEPTORS Cyd CLARIFIERS POLE LIGHTS - 'SWIMMING POOL -. _ PTRAP - - - - POLES METERED SUB ,WATER SERVICE ALTERATION PANELS' MAIN . 1 - SUB `GAS SE RVIICE, ,OUTLETS SERVICE AMP WATER HEATERS BTU OUTPUT - _ SEWER CONNECTIONS - SOLAR TANK COLLECTORS - ❑ I. as of the property, or my employees with wages as their sole Compensation. will do the work, and the structure i5 not Intended Or Offered for Sale. (Section 7044. Business and Ofe5510ns Cotle: 7M1e Contractor's LICOnse Law does not apply to an Owner of a property who builds o marrows; ows; thereon, and who does such work himself or SOLAR PIPING SYS. ISSUE FEE ISSUE FEE gppLICATION APPROVED BY GATE' through his 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 f proving he did not Cold or Improve for the Purpose of ale). ❑I, a5 owner of the property, am xCluSively Contracting with licensed contractors conbdttodto onCI iM1e Proget of p pert: who Con canne5Lawd es not appine55 buildscor improves thereon, and notapply aan nd owner property icon MECHANICAL PLAN CHECK HEATING SV STEM 0-1Og000 BTV ANDCUCTING 100,000+BTV REFRIGERATION 0-100.000 BTU SUMMARY OF FEES BUILDING PERMIT $ _39d— SMIP E PLAN CHECK E PERMIT. PLUMBING $ ISSUANCE E - tracts from Such censeprojects ILM1 a COmrdtlOr(5) IILe5n0d Pursuant to iM1e COIIUdG[ fit LIC¢n5¢ Lawl. SYSTEM 1OQ000+ BTU _ PLAN CHECK E GRADING E ❑lam exe tuner $lion B. B P. C. for this BOILERS BTU - ELECTRICAL $ a reason SYSTEM REPAIR. ALTERATION' EXHAUST SYSTEM MULTIPLE PLAN CHECK E MECHANICAL$ PLAN CHECH S MICROFILM $ TOTAL FEE$ LENSED - VANCE PC Is— oo•� Date- I hereby Certlfyt Ib read plication and state that the above Information 1 ni agree to DI with all 't d Courts, m Y C:Y n cunt to n aIS ad to monstrpon nand nereemaatborme pro a rty I mi . t ter poen m bo coned progeny f -Lp 5 gnat or OrIVOrS' L ar 55 ISSUE FEE FINAL FEE a CMF 040546 WWMIT-Building;Canary-Appllcam:Pink-ACCOUntag: Guildsman Assessor CONSTRUCTION AND PLANNING APPROVALSpermit # Date Inspector 1 , POOL & SPA w' APPROVALS Permit # - - - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location--- 2. SoilPipe-Undrgrn 44. Steel Reinforcement -- 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce - ;k -/o -ga D 47. RoughPlumbing& Pressure Test 6. Electrical U ER Grn- d-/o-$si 49 7" 48. APPROVAL TO COVER-GUNITE 7. Footings x, -/o-ilk ).1 49. Electrical Conduit-Undr rn 6. Foundation - _ 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn 10. Structural Floor System. Sl,a, A- -$a L3 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - 54. Heater & Vent -Final 13. Rough Plumbing _ - - 14. Rough Electric -Conduit - - '56. Electrical -Final y 15. Rough Electric -Wiring -- - - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - encing & Access.Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing - _ 21. Roof Sheathing S-2/-Sd4517-7 'NOTES: I- - (t 22. Frame and Flashing - 23. Insulation (- 6-$ - r �. 24. Lathing & Siding 4 $ -,lq- 25. Drywall Nailing - 3- S- f8- Se1 aN 26. Plaster Brown Coat - 3- 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32, Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - S 97-1 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date _ -. Applicant to rill In all spaces within heavy bora.r lines and sign all appropriate declarations, OF COSTA MESA �pBq Mf-i[�f^✓K.-v UCTI0N PERMIT t -(e/ TRACT NO. LOT D(/ 22,C0dTRCITY G/ Y 0999 V20/82 -:9.00 TI Project Address T�lfA� OF CONSTRUCTION Owner Phone j}�,-� EW ❑ ADD ❑ ALTERATION - Addr _ __ LJ REPAIR OCONVERSION EDEMOLISH r _ ZONING REGULATIONS'. ArcMl ng. - License No. 0 OTHER - _ DESCRIPTION OF WORK _.. A'NE _ _ ' ,ZONE 'PLNTGp. r YPE OF PERMIT _ .__ -B pRlElRl�if�ty PROPEIRPYL9NE. - , Address ❑CRANING - ❑ FOUNOHTION- OSTRUCTURAL c LICENSED CONTRACTOR. OE RATION„ TENANT LJ ELECTR^CA�LUMBING..QMECHANICA WARD - - _ -� - I hereby affirm that I licensed tl p N ns of Charter 9 (c0 _J -, SIID „Tq R G - - margins -with ❑ O ]OOgj Of 3.-0f.the Business and %1 s Codefyptl ]JpY_ Ilonsaff IS In fiblofarcd jpgQjfgc(j,REARYARO(TOP/LI ❑'OTHER (� f!�/ PROJECT OESLRIPTIONa f j NO.SQ.-FT. �I/s j "- "_- "PKC, SPACE'REO _ PROVIDLO _ - ales Date %!Iy^"sem J _ JSy^g STREET WIDTH PARK FEE$ WORKERS'.COM NSATIONOECLARATON�U I hereby ON 'rm that l have a certificates OrleansO, ato Teff insure O 'a Y OCCPANC_ CONSTRUCTION TYPE - --- _ ZONING APPROVED BY -DATE certificate of WokBra Compnotation a His 'cop VALUATION ZONE thereof (Cs Ldb�CJ. I GRADING OU. YDS. ACRES SPECIAL CONDITIONS: �fcy No: -Comp, JCvf lent pY' Shared fun ishetl f. REMARKS!_ _ " "` Certifiedc pY intend with the city Building Win n - PTIO XEMPTION FROM WORKERS' COMPENSATION wa forDECLARATION On ed not be completed If ln0 perm![ Is for one M1untl - $10) or OY Basis- I certify i cerCfy "not the performance of Ina. work for which itis permit Is Shat hoped thff t firs Co any person a any Ca ar o as to Eem EjeCFfOtb_�WOrk¢rs COmp¢^Sd_tlOn Laws GIIfO_TIf.'_' '.'PLUMBING. '. PLAN CMECM - - - , v - )ELECTRICAL - 'PLAN CHECK - Ome Signature BATF) - - -"'- TUBS - "" .'SHOWERSSO -'- - - FTgo -' FT NOTICE: H after making this decleratlon, you should become subject .]TOILETS... ru URINALS - - - ^ - - - - ,GENERATOR - 01 KW KW t0 the Workers' Compensation provisions of the n Lan r Code, you mus- TRANSFORMER -1-10 forthwith Comply With such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS -- - {APPLIANCE -]050 _ KW_ +'-KW - revoked " KIT SINKS - - DISHWASHERS - - MOTORS 0l HP_130'HP' - YONSTR UCTION LENDING AGENCY 1hereby that Marelw t 41'I'Eing agency fpr Mep SERVICE4VKSy SUMPS -•-� - -1' - 1 "Np6, SOLAR)" P. 10-50 HP 50a HP' rmanceoftheW formance of Me work for which [M"p r I[nlsluoed•(5¢Ctl nLL309] -}1`, -FLOOR --:�Ml.-:-FLOOR Iensfias Name 51 5' DRAINS - 'FIXTURES- OUTLETS- SWITCHES - LeniierY Addren- DRINKING -FOUNTAINS"' "` -- - OASTUBE SIGNS - - OWNER BUILDER DECLARATION- INTERCEPTORS CLARIFIERS- - - POLE -LIGHTS - - - I hereby affirm that I am exempt fro.M¢ Contractor's License Law for m i a a the following re son -(Section. 4031.5 Business" and Professions Code: 'SWIMMING'POOL-^-- PTRAP _ _ _ _____ ___ -,POLE$- - City cOUoty wnlCn. requires a permit 10 construct, alter, _ _ METERED- .SUB tissues. demolish demolish or repair any structure, prior to Its Issuance. also re- WATER SERVICE-"" ALTERATION' •iPANELS -- MAIN— -- SUB - ` quires the apsuM hfor Such Permit to file a signed statement that he _ Is licensed Pursuant fO-the provisions Of Me -Comore er s -Lippe Law -Gg5'SERV ICE- ' OU,TLETS 2 - )SERVICE -- - -- - :AMP• (Chapter 0 (commencing with Section 7000) I Division 3 f the P-siness and-Professmns Code)or that he is eaem Llherefrom.and this --WATER HEATERS'-- BTU OUTPUT"for Med BMmptlsub Any a1bO Ot 7031.5 by a -Partin he -toaSection at pl OT a Bppllcant f0 i CMI PCna1tY -SEINER C - - •�' -. . -,.�.. moreica than ed dollars ( _ .pt more man like hundred donor: employees El 1: a5 owner of Me properly hY my ymployees with -wages as their -SOLAR'TANK"-•- - '-COLLECTORS' Sole compo^Lllon, will do the work, Ono the structure I$ not Intended Or offered for sale. (SecFmn']044, Business andFlemessions CodefTile SOLAR PIPING SYS--", "' '""" '- - {- ISSUE FEE----- tlreo apply 10 OWh- d property - ed thereon; Wh0[ryROYs r employed wh es r wroughtls-drn a wno00h ISSUE FEE ""-"""{�-"" -'-- "- - -" FPPLICATION•APPROV ED DV- -- -__ .-DHTE- that improvementhimselfor employees. provided impm ve menu are riot tnroo9n Ms own employees, pm "S ildwthndrat or Of however e building Orlin ,M1tion.t o MECHANICAL -PLAN CHECK ' - one year fcomll R soltl within none year nerwthe burden completion. the owner will have tri¢f I SUMMARY OF FEES a h f proving he did ot'pr ld' p fpr'My- saac), 'l —' -- - ---BUILDING _ - -_ contracting ng with ❑ ,sed OLdM1E property. exclusively-Sectiion M 0-!00,000 BTU I PERMIT E SHIP $ 7044ll to construct project Section imus licensed 1 Buzn s AND DUCTING- - -- - AND DUCTING 300,0001 BTU r - -- --- _ 'PLAN CHECK 2 -�.• I _ J PERMIT J ithensider too antlowner oo005 BArr edam Cap rentbuil s dO0and _ _ _ _ _ _ _ i ISSUANCE..$' I here petty who or Improves whphy an f property wnO bYllds or Improves Hereon d Who COO- can- d REFRIGERATION 0-100,000 BTU GLUMBING E tracts -from z p t contractors), pursuant to -SYSTEM - _._ _ '300,000, -BTU" { ,' GRADING the Contractor's LI LsW). j" ,PLAN CHECK E" ❑ l am exempt underSer[on - B &P-Cfor -this -Do - _`BTU - $ ILERS ''ELECTRICAL' $ - -" reason. n 'MICROFILM'S' - SYSTEM REPAIR, ALTERATIONL.s PLAN CHECK -E - Date Owner :TOTAL'FEEE I hereby earth t I h,ve lead th s apcol' dit on and state that the above EXHAUST SYSTEM MULTIPLE `MECHANICAL § information roc[ 1'aarea t0 ply with-all-fy ntl county- n )PLAN CHECK�I$ L955 AD- d -- VANCEPC $ - ' ordinances a IO She rel mo O COnMruC n and rete in I enn<' -in' eine, a n-Ilia—a - -__ _' - - -' -;I . .. ,t_ i Property o In a1 1 Signa B SW _ FINAL FEE $ Ori s'Liserfulr 55 ISSUE FEE '--" "" CMF 0065`16 WriNdBmId'm9: nary -APO) od-/Vsesor " �o CONSTRUCTION AND PLANNING APPROVALS Permit # P2I03 Date Inspector POOL & SPA;tr APPROVALS Permit # - - Date - Inspector ' 1. Temporary Electrical Service or Pole - 43. Pool &Equipment Location'- ...Soil Pipe-Undrgrn - -. _ -? 44. _ Steel Reinforcement -' "' '" -" .. _ - _ - --- .. - -- 3. Electrical -Conduit Utility-Undrgrn^ - .45. Forms -- -- - - -4..--Electrical. Conduit-Undrgrn _ . 46. Electrical Bonding `' - -- - - -• - - "-_ . Steel Reintorce_ 47. Rough Plumbing & ressure Test- - - - - -- - - - -- �. .6. ---Electrical LIFER Grn_-_ - 48. APPROVAL TO COVER-GUNITE--- _ Z.. Footings ._ _ - -._ _ _ _ _ _ 49. Electrical Conduit-Undr rn 8. Foundation ----. -- " J 50. Gas Pipe,, O Undrin, Test .9... Water.PipewUndrgrn 51. Backwash Lines P-Trap,0 UhdFqrn - '- - ---- -" i .10.- Structural Floor System.. -52. APPROVAL TO DECK --11. .Property Sewer- Line & House Connection 53.- Backwash & Rece for -Final -12. -Street Sewer_Connection..-' -- - -- - 54. Heater & Vent -Final' '' •F ^•'" -13. _Rough Plumbing 55, - - - _ -- ino System 14. Rough Electric -Conduit - - " - -56. Electrical -Final- 15. Rough Electric -Wiring -- -- 57.- Solar System -Final ' `16. Rough' Heating &-Air Conditioning - - - - _ - - _ = --- - _-58. Fencing & Access Approval - 17:t --Ducts, inStructure-- - -=•-^, '_ _" 59. _ APPROVED..FOR PLASTERING,._ ��• 18. Ducts; -Ventilating - - -- 19. Gas Pipe=Rough &Test - - ' 20: - Roof+Framin9 -- - - - - - '- - - - - - - - 60._ .. .' - - - . _ .,- POOL/SPA SYSTEMSFINAL' '',.r,. - - - - - - - -- ' 21. RoofiSlieathin - --- ' 22: Frame and Flashing - - - - - - - - - ..- _ - NOTES' ' ,�- " -" " ' •'' - 23f- -Insulation-= - - - - - -i -- "-- - - - - - --- - ' 24: -Lathing &Siding- -25� -Drywall Nailing- - 26: -Plaster Brown Coat- -- - - - - - •- " -` 27. Electrical Power Meter -Final - ' ' _' ' • • - - -28. Final -Electric - 29:-Final'Heating &-Air Conditioning - -- - -- - - -' - - - - - - - - •' ' ' - - " '• 30. Final Gas Pipe -Test - - - ----- - ' -}- - -- - - -- - ' -' 31. Final'Plumbing- - - -- -- --- - - - '- - -- -- 32: -Water Service -Final- t 33. Gas -Service -Final 34. Solar DomesticFinal "• - 35. Landscape Sprinkling System - - • 36. Sound Attenuation- ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special. Requirements Completed i 40. Electric Release- to Edison • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No.__ -t Date -- - - _ APPaaam b Bn In all spaces within heavy border lines and sign all CITY -OF COSTA MESA- - P IMT NO. COMTRUCTION PERMIT M (/ TRACT NO. LOT NO, BLDG.©$ - TYPE OF CONSTRUCTION KNEY ❑ ADD ❑ ALTERATION pREPAIR OCONVFRSIO ODEMOLISH- i D - --- - --- -- _ - - -- "•8408-8/DBI82' - IIeDO - - - ZONING REGULATIONS - Project AddrMs Placandi Address - 1 Archl Immune No. OTHER DESCRIPTDNOFVyORK - - _ _ _ - - 'A'P'B` _ ZONE' - PLNG. REE; s Atltlr¢s- E•- iiE -COntrador - • Phone - 'TYPE OF PERMIT '" -.t ':' ISETE% Pit ST. ❑GRADING _L'FOUNOATION- ❑STRUCTURAL--- -V RD-- - ❑'TENANT' O ELECT I6 LPLVMBING �MECNPNICA 5Ip VARD - .. I RIG T - ❑ OTHER -_ (REAR YARD P/L) PROJECT OTO R 1 G FT' IO PKG. SPACE REG SQ. - TYPE -: STREET WIDTH- OCCUPANCY_ CONSTRUCTION TYPE _ VALUATION ZONE (ZONING APPROVED BY ._ . _ __ _ _ _ _ _- GRADING—CU YDS. O ACRES 'SPECIAL CONOITIONSi p 1JLp INfi �ROPEIRTYIINE f - PROVIDED - PARK FEEE __ ATE _ _ _. - 'Ad(I rl9- - , 'LICENSED CONTRACTOR DECLARATION " I hereby affirm that I am licamodander p 151 3 Or Charter 91< m menclnq Ith tit 7000] I, Division 3 L [b B mess tl R Ofmslon5 COO ', � y I' 1 full 1 t License close-LlwnSe-N� - . 'Dab '-- COMPENSATION WORKERS' Cm that I gT10NOECLARATI ON !I hereat affirm oMl I have a nationb OI consent t Illi certificate Of Working' Compensation I�nsa.an-cb`, (nee capv 4 I. ) 1 ryya -.� _ NEMARKS:. _ _ ____ _ _ __ _ _ _ _ __ _ _ _ _ _ _ __ ___ TMJ\ bllcyN COIed._. ELiLu+• _. ine city Building DIVIslon 0,11:eM1111ed COPY IflledWfur the er11fiedTIO [epy I5MW Rth ND DECLARATION EXEMPTION FROM the Permit ((Tho uGllOn Peednh Ol OB complete' ((the Permll Is for one M1Uneretl ;1 E1ce.o1 or less - Cfy that it the Performance of the work f0 hich thl parimlt i .Issued, I -Shall not employ any person'm any ma t bec _ _ -^ _ ... _^,: -,; '' IT I` - r - PLUMBING.t-. - - . PLAN CHECK - " "' - '_ I ELECTRICAL - -' PLAN CHECK . - sujectto\ne Workers' Compensation Laws or California.IT.' Date1 Signature'BATHTUBS""- ___ -- - 'SHOWERS _ "�' -an ITT 1. NOTICE' If after nbraing this 0 1 11 y Should h Subject to the Work S Compensation - pr siflOns OI [he Labor Code, YOU must forthwith comply With h provisions or this permit Shat be deemed I- invoked- -- --'- - ---- ` -KIT. CONSTRUCTION LENDING AGENCY 1Ih btrIll that thereIsa t 11 dingagency lorthepar- lu C) 0f in Xwork 1� jy�L M1s, terry 'P {gyq.II A Issued {Section 3097 fLell Name vxz5+�ar `^'rear"'- vxa^^r• 1 Ranee Address + ^ OWNER' BUI LO E R DEC L'ARATION 3 •➢\ Y )hJ �C-� %br I hereby affir m that l am exempt floor t he COnlrat SLlcense Law for -TOILETS URINALY - LAVATORIES DOUBLE LAVS - - - GENERATOR•- -O 1'KW�310 KW - •TRANSFORMER - APPLIANCE- 1950 KW -50 KW - -- SINKS - --'DISHWASHER$- -- 7IT MOTORS- - O-1 HP_110 HP -� If SERVICESINKS SUAPS---'•"5-'-NNC'SOLAR)_ 10.50XP_50 Hp ' _ FLOOR SINKS -'FLOOR DRAIl �' '`'FIXTURES' --OUTLETS- - I SWITCHES- i'ORINKING"FOUNTAINS' "IF AS -TUBE SIGNS - ' 1 _ _ _ ____ INTERCEPTORS -CLARIFIERS- - POLE LIGHTS SWIMMING POOL'-PTRAP' POLES-- -"-- METERED 1 -SUB e fob owing in n (Mction 703] 5-Buslnage and Pr 1 Gons.Dide:. 'Any city 0 county Which requires a mit to construct. alter, improve.-eemalin or repair any structure, prior lO its issuance also re- es the apclicant for Such permit to file a Signed statement that he Iz llcens",punuanL to the provisions-of.the Conlraclo0s License Las. PS (Chapter 9 (commencing with Section 7000) of Olvil 3 01 the ^" ad PrdesGoni Code For -that he IS.ax i terif TOM and the. >'° for the ellegetl exemption. Any violation of Section 7031.5 by y, mlllcanl-for- perrnisublec6the yUiCAL to a civil PeWlp Hat than Has hundred dollars -WATER SERVICE -' -'ALTERATION - - - : :PANELS---- -MAIN -- SUB- - -- - - GASSERVICE OUTLETS' `" i SERVICE--- - -'- - - - PMP--- - _-- WATER HEATERS-- BTUCUTPUT- `S " 1 - SEWER CONNECTIONS f' -a1^='• -f - --\ -- - - sNi a 15500). , as owner -01' ins- Property: or my emplOVOUS With wages a5 their compat \I II d work, and the s✓uctmee not Intended eelUttered If dtosale.(Section-7044 Business and rofesssioonsaCoca: The CO 1 C h LI Lawdoes not apply to I property K 0 ILO Improves thereon.-' 'and who does such work h -'SOLAR TANK--- - --COLLECTORS- ----�, -SOLAR'PIPINGSVS.-- iI "'— 1' �- - - - --- - - -_ , - ISSVEFEE- -- ' ISSUE FEE "'"- -' ' - 'APPLICATION APPROVED GV_ -- -.OATE ' through his Y -layers, Wprovided that Such Improvements are not nlended Oi Ofleretl 1 c Or Improvement or le. 11 boweveq IM1e owner will Inv owner vim have a of haen is osem within o veno 01 uild or improve I preying he old -oral build p IDI the contra' f le). _of tM1e_srop [y luawl contracting Iry IL 1.asOWPer yy Ilnd w roc s to t iM1 P I omw Lallan es n4, Business 0 ProluoI ns Cote hB Cot [ Y LI n Law goes no[apply b. t0 nwnQ . Property who Solids or al thereon, and who Coo- lncts. irnm. Ic proletts. wlID a.. UdttrS(S) IlCeibed. pY6YE0[ 10 'the COnbads 5 License Law). L'tem !an unri ecllon'---- - B. P. C. for this ruWn - MECHANICAL PLgN CHECK � HEATING SYSTEM 0-IOO.00D BTU AND DUCTING- - -J - 100.000 ft BTI( REFRIGERATION 0-100,000 BTU SYSTEM _ __ 100.000p'+BTU -BOILERS BTU- ,._ .. _ - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE - - - ISSUE FEE - - "'(' - ..3_. - - --- - --- - SUMMARY OF FEES. • - BUILDING-- _ - '- T ' PERMIT E SMTP IT'S z5 PLAN CHECK S PERMIT I ISSUANCE-§ ' :PLUMBING f GRADING- Sl I :PLANCHECK"E -' I IT iEl'ECTRICAL'-§ `• IE' - MICROFILMS r PLANCHECK--$ TOTAL FEES (MECHANICAL §�• .- PLAN CUE C KSE l� -LgryCE �C - -' ' atl tI 5 § FINAL FEE§��. - - - Date her Ihereby Peril he eadI -sa plication and stale that the 0above mformatlon [. r OMPIY With all City' d unity Orh108nIX5 Sbl la al nibucOon, ine hereby [M1Or ie y upPn the abo t anetl OrOPetln br of I5 Pea -�. Signers Drivers' LICA r 5b - - CMF 086546 WMre-SuladmiUnary-Appllial think -Accounting; Goldenrod-Asssor CONSTRUCTION AND PLANNING APPROVALS Permit #Y'�. Date Inspector POOL & SPA APPROVALS Permit # .Date. Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - Soil.Pipe-Undrgrn _ 44. Steel Reinforcement - J• - - - - -3. Electrical Conduit. Uti lily-Undrgrn . 45. Forms 4... Electrical. Conduit_Undrgrn . 46. Electrical. Bonding 1 •- -- - -- - - _ Stetl He�imorce _ _47. Rough Plumbing & Pressure Test •- -•-. - - 6... Electrical UFER.Grn_� 48.. APPROVAL TO COVER-GUNITE--- - - _7.. -Footings 49. Electrical Conduit-Undr rn- 8." Foundation 50. Gas Pipe, Q Undr rn; Test ` r _ 9. Water.Pipe-Undrgrn.. _ 51.- Backwash Lines P-Trap.❑_n_dr rn 10. Structural Floor System 52._ APPROVAL TO DECK 11.- Property Sewer Line &,House Connection. -. 53. _Backwash & Receptor -Final - ._ Street.Sewer Connection - - - 54.- Heater & Vent -Final. '- 13. Rough Plumbing_ _ _ _ _ - - - - - - - - 14. Rough Electric -Conduit - - "- •56: Electrical -Final -- 15. Rough Electric -Wiring - - 57. Solar System -Final' 16. Rough Heating & Air -Conditioning - - encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING ' 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test- - I 20. -RoofFraming- • 21. Roof Sheathing - - - -- -- - - -- - 'j" - NOTES: -_'-`. - •' - �. 22'. Frame and Flashing - - - - -' _ 21 Insulation-- 24. Lathing & Siding - - i 7PZ 25. Drywall Nailing - _ - -- - - - - - - 26. Plaster Brown Coat - - - - 27. Electrical Power Meter -Final 28. Final -Electric - - - - -- - ' 29. Final Heating & Air Conditioning - 30. Final Gas -Pipe -Test - - - ' 31. Final Plumbing - - - 32. Water Service -Final - - -. - 33. Gas Service -Final - _- - 34. Solar Domestic -Final - 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - - 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison • 41. Gas Release to Southern California Gas Co. - - • 42. CERTIFICATE OF OCCUPANC Y No- Date - Applicant to filen all spaces within heavy border Lines and van all appropriate declarations. CIT�Y-OFCOSTA MESA PERMIT NO TRACT NO. LOT NO. BLOjNO. - - - '66 IS 6/81/82., 19000 CONSTRUCTION PERMIT G'- TYPE OF CONSTRUCTION IINEW ❑ADO ❑ALTERATIOAddrm 0REPAIR ❑CONVERSION ODE - - - PwjeR Atltlress A D"'^a- O'Donnel PBItners Phone Suite -160 1301 DOVE St. • ❑'OTHER ZONING REGULATIONS 'Arch/Eng: Neel Beach LiQense NO. P � OESCRIPTIONOF WORK A AUtlrk s - _ - _ _ _ YONE".• - •PLNTGp.R9ElIF1,�pT'�N,G TYPEOF PERMIT, - - -- - 'SFTBq[k' T ❑GOADING O FOUNDATION ❑ STRUCTURAL 'Q'TENANT ELECTRICAL OPLUMBIN6 RMAECHANICALL151p - "PFOPEIRTY LINE- - 'Cmitremor TherFrualaiYr Inc.- - Ph3ne2R3-968 Adarns 1330 Potrero Ave: SO. El Monte ;LICENSED'CONTRACTOR DECLARATION IIeRbY aflbm 68.0 dm se am GI Charter 9 (c - se v . 1: RIG T: of air 3 f O iSIOM M1 3 1 the Band D OTHER _ _ _ _ is Code, ' O Y 11¢nse Is In io attack. Pnlese and my end YARDt_ (TO P/L) , 216REAR Llpnle Class C-zD Ucenso No. 1OZZSE cid OnS ! PRGJECT+DESCRIPTION - - I ,_pKGSPgCE.REQ '. PROVIDED .5/20 /B2 sinamN • . - -sq Fr.• - OCCUPANCY_CONSTNUCTIONTYPE. STREET WIDTH - IPq RK FEE§r ,Dei. DECLARATION- ,WDRKERS'COMPENSATION 4 hereby affirm that 1 have a Certificate of Consent to soeLlnsure Or ygLUATION ZONE I MNINGAPPROYED BY DATE r (fl N f-WOFkMS' COmplhllon-Insurance, Or -d rtlflea-copY GRADING CU YDS. ACRES SPECIAL'CONOITIONS J{p -, 1 �h f[Section 3800 Lab C) nId 1 V Y N . YJTR 1.1 C06Q6Upmpa^Y Freso n n ' - _ JC rtlfretl' cops, is Full furnished - - - ' REMARKS j.� _ - -- C rtlfled COPY 15 JRed WILL] the City Building Division { [77 "''^ EXEMPTION FROM WORKERY COMPENSA}ION DECLARATION - - - --� - - (This Ali need not -be mpleted If the Permit Is for one hundred 'Ece t fV4or Lat thePerformancethe work.I yr which this Issued shear t ply ny 0�!q�o I^ any /Iua�.b bac -'PLA,N � PLUMBING .CHECK ELECTRICAL � - PLAN L ECK subled to thew x Co cenaetyn Laws oYglli nla/ -!_ BATHTUBS SHOWERS - r Wt¢ R/G/R9 Sgna Pure Ll. y"^¢,1� /LLi-/I NOTICE 1f after m°WN this declaration. you stood ECCOm¢ subhCt • TOILETS" T, 1URINALS - - 'GENERATORal KW�110 KW to the Workers' Compam Of the ban COe you must entn Provisions UrO _, _ _ _ _ _ TRANSFORMER forthwith comply With suet Pi or tNs permit snail ba aeemM LAVATORIES DOUBLE LAYS ".APPLIANCE` 1050 Kisal ♦ KW - 'CONSTRU -- '_ ._ •. CONSTRUCTION LENDING AGENCY KIT. SINkS - DISHWASHERS �` - MOTORS " ,' ' µl HP=1=10.HP 1 — - herehyafitrmiha[theLie It mnStruC[IOo ledtlingagenc for lM1e n SERVICE SINKS % %,SUMP$, (INC SUI,AR)•" IdLo'F'1v'Sp T MR- fOrmance of theawork for which this Permit S (sued (Section 309]_ FLOOR SINKS ( FLOOR DF NINS: _ _ _ r _ -;FI%TURES ' ( OUTLETS�.'SWITCHES _ Uy. C). �- v. ( [. l 1 Lmdo i Nam! _ _ . 'LeOders Address - _ _ __ _ DRINKINGFOUjTAINS _ _ 'GAS TUBE SIGNS, -" - OWNERSUILDEROECLARRTION INTERCEPTORS CLARIFIERS - -. - 1 4 'TPOIE LIGHTS �, 1 yafflrmthatnlame"mpLlrbm tge COnba wrY L¢enie Law for -!d SWIMMING POOL PTRAP _'_ T - IPO E .' METER ' D-. SO OF 101 Owing (Sec\IOn 70315 Busln ss OO Profo ^s Code: Anycity O _ y -which q permit to construct,alter, ,WATER SERVICE ALTERATION - PANELS '- MAIN-- 'SUB - -^ dem Ili pad any structure. prior to Its ssuance, also re. 0 S, the epif1 t ! such permit 1 file Signed statement that he _ GAS SERVICE OUTLETS _ } -15ERY QE' - AMP-- Is 11Wn5ed Pursuant to the provisions of the Contractor'sLmnse Law: (chapmr 9 (commencing With Section )000) of Division 3 of tie WATER HEATERS - BTU OUTPUT r' - };. _ n SS and. Profess ons Code) or that he Is' exempt therefrom and the for the, alleged ¢vamp ion, Any violation OI sol ]o3s 5 by _ SEWER CONNECTIONS _ _ applicant 1 pe If blects the applicant to a Civil -penalty at not ore to R hundred dollars 1$500). _ _ _ _ -SOLAR TANK- COLLECTORS T ,: r, _ ❑ , as own f th OOplrty °r MY loYGes wl\hy noes as thele the sole mmpenssCon -11 d0 the work, and structure - not Intended. or olfeFed for al! (Section 7044, BsInCs anao proble Ido saCOBS; SOLAR PIPING SYS. - - ', I' .ISSUE FEE - ¢The Contractor's Lormse lrw.does-mit Apply to owner. f property n builds o proves thereon, tl Who does such work himself 1 -� - ISSUE FEE �'(gpPEICATION'gPPROV ED BY' GATE -" thurrul Own IOVGOS. provided that such Imy r ve tf Bra n01. eor the Eullbino ImprovementMECHANICAL Intended alleged vie. If, however, or PLAN CHECK 1 .: SUMMARY OF FEES Id w N n onery¢ar oLmmplellOO, Ito Owner w II haveIneb SFden ng M1e tla OOl bYlld Improve !ar tie pulOOiG Of I61. f proving O HEATINGSVSTEM 0-100,000 STU I BUILDING fPERMIT- § 'SMI ❑ I' as owner -of the-prOparty, am extluively Ca trac[ng with "mesad Me (5etllOn 7044. 'AryD DUCT( NG _ _� 00 _ r• contractors 10 construct protect BUSInISs and SFofeSSIOns'C°ae The Contractors TXOuG Law does not apply 'to 100,600 BTU _ PLANOHECK E PERMIT :' - ISSUANCE- E ownerof Carl h° builds ImprOVEi thereon, and who Am- REFRIGERATION 0-300,000 BTU PLUMBING §- r. Cr tracts from s h-Drotect5 its °ntractarls)'l loomed pwsua^I'to SYSTEM T' -100.000FBTU p -� OTPLANOHECK - GRADINGL. $ \M1e Contraaor% Ucense Irw)_ _ _ Elam exempt udder Setllon ._ 9. 0 p G fav this BOILERS BTU p § ELECTRICAL is d - E , _ _ _ _ ' 'PLANCHECK. E _MICROFILM E _ _ rdayon_ Dat - Ow ^^ SYSTEM REPAIR, ALTERATION -- - - �/'�� U` - TOTAL FEE E MECHANICgL §._{_L In tav t y. d this aBoolbablon and state teat]he above EXHAUST SYSTEM _ _ MULTIPLE AD- information t 9 to Ply With all city and county PLAN CHECK E —-VANCEFI °ral0an state Latin g CO tructloi antl hereby aUithOtlaG 'r f rand r¢pFe:err�q IIIA r't{Y.' -tv e";ame%open Me above eHan.a Propef[f�fpr.l iP¢ypOn r Y S�,1D/sl FINAL FEE Is Signature D°t° ISSUE FEE Q Delvers LlCanse or 55 or k3 CMF 0865'L6 Whlfe-BUI1ding;Unary-AppllynU Xnk.Accounling: G°lde usdrAMNSSor •0� CONSTRUCTION AND PLANNING APPROVALS Permit # M) 7U9 Date , ._ i Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - _ 2. SoilPipe-Undrgrn- _ 44. Steel Reinforcement -- - - 3. Electrical _Conduit Utility-Undrgrn_ _ 45. Forms 4, Electrical Conduit-Undrgrn _ _ -_ _ _ 46. Electrical Bonding - 5. Steel em orce _ 47. Rough Plumbing & Pressure Test -- _6._ Electrical LIFER_Grn _ _' 48. APPROVAL TO COVER-GUNITE ' 7. Footings - 49. - Electrical Conduit-Undr rn 8.- Foundation_ 50. Gas Pipe, ❑ Undr fn; Test - _ 9. _ Water Pipe-Undrgrn - 51. Backwash Lines P-Trap El Undrnrn 10. Structural Floor System 52... APPROVALTO DECK -' 11. Property Sewer Line &House Connectioni _ 53. Backwash &.Rece for-Final - 12. Street.Sewer Connection - + - ' 54.- Heater & Vent-Final - 13. Rough Plumbing "-• - '-55. Plumbina- -� - - •-- -- - - ' 14. Rough Electric-Conduit - - - -- - - X56} Electrical-Final - - 15. Rough Electric-Wiring - - " '- - - - 57. Solar System-Final- 16. Rough Heating &.Air Conditioning-. - encing & Access. Approval 17._ Ducts, in Structure _ _ - _ APPROVED FOR PLASTERING * + 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL r 19: Gas Pipe-Rough & Test 1 _ _ 20.- Roof,Framing 21: Roof;Sheathin NOTES: ;C ' 22: Frame and Flashin . _ - - -_ - 23_ ' Insulation _ _- �f /r 24: Lathing & Siding ._ _ _25.- Drywall Nailing. Q 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. - Final Electric• _ 29. Final Heating & Air Conditioning more: - 30. Final Gas Pipe-Test 31. Final Plumbing ' 32. Water Service-Final ' 33.. Gas Service-Final 34. Solar Domestic-Final' 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed -- - - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY No Date Applicant 0 un in all Spatial within heavy border lines and sign all appropriate declarations, CITY OF COSTA MESA P IT ryrypp TRACT NO. LET NO. -1-SLOG. NO. 1,961r 2/lC, " CONITRUCTION PERMIT d 9e25 p d BtD�_ ® UXv lT Project AddiMs 3' S ((_ I . TYPE OF CONSTRUCTION IC NEW ❑ PDD ❑ ALTERATION ElREPAIR 11 CONVERSION DOEMOLISH 13 OTHER - ZONING REGULATIONS' - a Owner H PM1On 5,!j Addrea/jD/ O✓ Sr,- SO. O Am Eng.' License NO. DESCRIPTI ON OF WORK A.P.g - - .AddrMs T ZONE PLNiGo.R9VEFl.o* Contractor PNpneS'U-SO TYPE OF PERMITCIL El GRADING ❑ FOUNDATION ❑ STRUCTURAL LI TENANT ELECTRICAL OPLUMBING OMECHANIC TI Y O 5Ip Y PPoPE1NTV G NE - Address Z ale_ rF 2/E LICENSED CONTRACTOR DECLARATION. - 1 he`oy Bfflfm that I am licensed raper MovlSlnns of Charter 9 (coli ` ODivisio RIGHT Ing Iter tion )BOM f -3 f the Buslmess. O ❑ OTHER n Proud Ssioher Gone, a my license i5 In full form d effect. REAR YARD (TO P/la PROJECT DESCRIPTION Gau LJGnse p9%29Tt sD'Fi' . PROVIDED" /Z Z/PL ti DateLim IF Date / signature OCCUPANCY CONSTRUCTION TYPE STREET WIDTHCE STREET WIDTH PARK FEE E WORKERS' COMPENSATION DECLARATION I hereby affirm that l have a ceflllicate of consent to self -Insure or VALUATION ZONE ZONING APPROVED BY GATE certificate of Workers' Compensation Insurance, r Brtlllei copy GRADING CU. YOS. ACRES SPECIAL CONDITIONS: (Section 3800 Lab. C.). Pill NO&J F/Gc$S4L/Comwny%1eZIM Sar IND. En -1 certified copy is h0reby, furnished. REMARKS:_ 'Z Z Z" El Certified Copy 15 filed with the City BuilOing Olvhlom ,it EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TMs not be completed If the permit Is for one bond.. Cr' an ` Illineed theof n he i Penney asIto named I snail ot any persoIn any not so become Subject PLUMBING - PLAN CHECK ELECTRICAL PLAN CHECK to the wmwnsatlw [aw3 of California. BATHTUBS SHOWERSSOL FT So ET. Debt bill Sol bme NOTICE: If after making this declaration, OSecasubject TOILETS URINALS -GENERATOR 0-1 KWW 1-10 K to Me Workers' Compensation provisions oOilo the labor Code, you must TRANSFORMER _ forthwith comply with Such Provisions or this permit Shall be dmmed LAVATORIES DOUBLE LAVS APPLIANCE 1050 Klyl+Kill remkod. - KIT. SINKS DISHWASHERS MOTORS 0-1 HP�l-]0 HE, CONSTRUCTION LENDING AGENCYI hereby affirm Control for worthere SERVICE SINKS . SUMPS - (IN0.SOLAR) SOSO HP 50+HP Cal l IS Issuedncf, sectlninn formal Ofthe k tofishich3091 FLOORSINKS ,FLOOR DRAINS . FIXTURES OUTLETS t,$WITCHES f LaodePP.Nem^ - Under, _ I -Se sAddrC3 i , DRINKING iOOUNTAINS - GAS TUBE SIGNS - INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION frrufthatlmaxiemptom the CntractorS License Law for SWIMMING POOL PTRAP' the following ren (gal 7031.6 BUSIness and PrOf055100z Colo: Any city o unty which requires a Permit to construct, alter, POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB priorits issuance, also fe. Carol or niachaPermit grimquires ed the ep. fCent Poto fila statement that he e GAS SERV ICE - .OUTLETS C -'- +' SERVICE LF Fy AMPzXdz Is licensed pursuant to the provisions of the Contractol License Law FCM1apter 9 Icommendng LLM1 5efllan 10003 0l 01Nzlon 3 of the WATER HEATERS BTU OUTPUT n ntl`RgeSZIonS Code) Or that he Is exempt therefrom end the" for the alleged extemptionT Any violation Of Section 1031.5 by SEWER CONNECTIONS ` applicanta civil Penalty tmore[M1for a permit t not fsub001a If5001!mnt t0 SOLAR TANK COLLECTORS - ❑ I, as owner of the Property, of my employees with'wagers as their sole compensation, will do the work, and the structure Is not Intended offered for sale. (Section 1004, liberal and ROSMSIon3 Code: The SOLAR PIPING SYS. ISSUE FEE Law Contractor's License w Coal not apply to anwneof a property ISSUE FEE APPLICATION APPROVED BY DATE Pros thereon, and who tloes Suchwork himself o who huild$ o mw through his, own m losses. provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered Ie. If, however, the building Or improvement oSofa within one year of completion, me Owner will nava me burden Of Proving he 010 not build r Improve for the purpose f 10). HEATING SYSTEM 0-100.000 BTU 'PERMIIT DING E SMIP E ❑ I, asownero1 the property, am OXCIUSIVOR,-Contracting with gNOOUCTING 110nHtl Contractors IO construct the project (Election 1044. Business 100,000+BTU PLAN CHECK If PERMIT and Professions Code: The Contractor's Limn Law does not applwto - . - ISSUANCE E - an owner of property who builds or Improves thereon, and Who . REFRIGERATION 0-100.000 BTU PLUMBING f tracts from such prol¢ts with lracul llumed.pursuant. to SYSTEM - GRADING..E the Contractor's Umnse Law). 100.000'+BTU PLAN CHECK E ❑ l am eaempt'under Section-- -- B. 6 P -C. for this f BOILERS BTU ELECTRICAL- El - SYSTEM REPAIR. ALTERATION PLAN CHECK E LIN E Date Dalen Dwnar MECHANICAL E TOTALMICRO " TOTAL FEE E hereby COrli ss I have hloacomplyonth aaLtest EXHAUST SYSTEM MULTIPLE LESS LESS AD` orrct.Imade correct. Is mm b. gree to comply In. all Icy and County dCounty PLAN CHECK E CE PC E_ ordinances and state IMA relate to [onsVu[tloo.hand mentionied f _ t above repro hest 6 dtu - above i mPrpkxl ativaz to I propene jdr ndo rpo , Slgnalure ate /O— Z PIAL FEE f- Drivers' Licenze or ; ISSUE FEE ' CMF 0865-16 W}Ite`BNIdl� Pink -Accounting: GOldePrOa.A ssor CONSTRUCTION AND 1PLANNING APPROVALS Permit 4# £ Date Inspector POOL & SPA`, •: - - _ •APPROVALS Permit # Date Inspector _ 1. _ Temporary Electrical Service or Pole 43. Pool & Equipment Location' - -- --' - - '- 2. _Soil- ipe:Un rgrn - _ _ 44. Steel Reinforcement - - - - 3... Electrical, Conduit Utility-Undrgrn _ 45. Forms -- - - -- - - - -- - -4.- Electrical.Conduit-Undrgrn_ _ _ _ 46. Electrical Bonding -- - - - • • - - - - - -• _Steel -Reinforce _ _ _ 47. Rough Plumbing & Pressure Test - - --- • - - - - ' -6. Electrical UFER Grn _ _ _ _ 48. APBROVALTO COVER -GUN ITE - - - - -- - - - 7. Footings - 49. Electrical Conduit-Undr rn' B. -.Foundation _ _ _ 50. Gas Pipe, ❑ Undr rn, Test r - -9. Water Pipe-Undrgfn-_ _ _ 51. Backwash Lines P•Tra-'. nVr rri 10. .Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House'Conoection _. 53. Backwash & Receptor -Final - •• ]2._. Street Sewer. Connection_ .54. Heater -&Vent -Final ' 13. .9ougllPlumbing_ _ _ � - - 14. Rough Electric -Conduit - - -- - =56. --Electrical-Final - 15. Rough Electric -Wiring ' - _ - - - - - 57-: Solar System -Final 16. Rough Heating & Air Conditioning - - - - - - -58. Fencing & Access Approval ' 17. Ducts' in Structure _ APPROVED FOR PLASTERING ' .18.- Ducts, Ventilating - _59. - - -60.. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough &Test - t . _ 20. Roof Framing - --- - 21. Roof Sheathing NOTES: -22. Frame and Flashing - - - 23: - Insulation - - - c�t 24. Lrthing & Siding - ��- 'VD •-- - - .�-- Z 25. .Diywull_NaiIing - •- - - -- 26. Plaster Brown Coat 27. -Electrical Power Meter -Final - -` 28. -Final Electric - O 1IN =Vf 29. Final'Heating & Air.Conditioning _ 30. Final Gas Pipe -Test - 31. Final Plumbing 32. -Water Service -Final - - - 33. Gas Service -Final 34. Solar Domestic -Final r. • �• - 35. Landscape Sprinkling System 36. Sound Attenuation - ^ 37. Handicap Regulations - 38. FINAL STRUCTURE&•BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - ' 42. CERTIFICATE OF OCCUPANCY No--- Date � ,• �^ 4 Applicant to IBI In all Seldom within heavy border lines ano Man an appropriate declaration. CITY OF COSTA MESA - P��Egg MIT TRACT NO. LOT NO. CONSTRUCTION PERMIT M �' 3 %.+ BI-sSO SI . TYPE OF CONSTRUCTION ,' _ -M-NEW ❑ADO ❑ALTERATION ❑REPAIR OCONVERSION ODEMOLISH - - - -- ,5419 p . ,. B�Q-I�BGO - -II#OQ -' r Project Address luA Own¢f. . PM1on¢ .�I Adtlrea.1 OOTHER - -' -ZONING REGULATIONS, :ArcNERB.License NO.. 5. DESCRIPTION OF WORK A.P:4F LAdrlre30 V , - TYPE OF PERMIT - -+' -- - _ ❑GRADING O -FOUNDATION O,STRU,w�C,rMTURAL- ❑ TENANT O ELECTRICAL OPLUMBING KIECHANIcq ZONE - - -PLNG. EO - SSE VgRD -PROPERTY REF, as - I1yG - LINE' ' FContractor - Pho ,AtldrmS- 'LICENSED CONTRACTOR DECLARATION - - 1 'IM1^uby online Ott I Slip licensed under prOVlilOni o1 Charter 9 (PO I DTII 3 r d I❑ , ! •' kk IEP Y ARD G T - 1 9-wlth tl jm00) hhO-BwlnMs ProfessionalCode,Snd^Y 110 0 IS In full -fares II OTHER' -" - I' REAR YARD (TO PfCn'- ik LeOse Class LI license PpOJECT gESCR,IP-TION & - - - 'S0 FT! _ _ _ _OCCUPANCY a C____ RUCTION TYPE _ - --� ,1 - ULA : PKG. SPACE REq. --- -'PROVIDED-'; STREETill - PARK -PARK 'Date" - Slpna[v - - r WORKERS.COMPENSATIONOECLARgTION 5 11 hereby affirm that I have a certificate of [ansen(to ul,insum - •ygLUATION—'ZONE. V `ZONING APPROVED BY DATE, locale -01 WoMerS' COmpO SOMOO Imurdnceor a CE tilled copy -__ GRADING CU YD$ ACRES _ - SPECIAL CONDITIONS' - - - - - Off C ! 0I }j,_` I �� YNo. GS pany Tom^^ IA'biArl ri furnlhed. ^Cerlllled pY1 blebY _ _ Aas eftlfled copy 1 Aide an til city Building Division.- �" REMARKS -- - EXEMPTION FROMWORKERS COMPENSATION DECLARATION I _ tl �- ((This union not be Correlated If toe permit -5 for one hundred'r- -•' L V. ,need - _ l . -. _,.. .__ _ _ _ I IEto PertJUp tnatMln MC performance of IM1B work for wM1ICM1 this summit IS- issued. I shall not employ any Pane -In any`mairmr 30 as to become PLUMBING ------- -PLAN CHECK- - - - - - ELECTRICAL- - PLAN CHECK SYDIOCI tCitbOWOrkaCompensatio"wat_C_alifornia...l R n BATHTUBS - -----SHOWERS- �---- --" — +-� " '-' --- " 'ure '- "-" - 0 519nat Datr Date NOTICE: If after ril this aide ration. You ShOLM became, sublect TOILETS URINALS-- - GENEflATO R._ Od KW_3-]0 KW - [O the Workers CampenMllon provisions Of the Labor Code, YOU must SRANSFORMER. r' forthwith COMPIy with Such Provlslons Or this permit Shall be deemed LAVATORIES OOUBLE.LAV $--� .' .. . ?APPLIANCE - 1030 BW_50+.KW 'r '. !evoked. r KIT.SINKS -- DISHWASHERS- - - - r v - - -- 'MOTORS.__- -0-1-HP_]30 HP . , CONSTRUCTION LENDING AGENCY - --- '- 1 M1erObY iHBm [R t\hire lµa construction Urging agency im\M1OWr- SERVICESINK$ -� SOLAR)+ 10¢0 HV $0!HP'1 sf'6. formance of the k IOM his par mil Is Issued ISactlon 309] ����¢ -+ rSUMP$--- - -- .(ING - - FLOOR51NKS- FLOOR -DRAIN$ - - - 'FIXTURES ---,OUTLETS- SWITCHES Gv'•C')'• -- Lenoer's Wme '^'•e� m0�• DRINKING FOUNTAINS 'i- - - - -- -,-- 'GAS TUBE SIGNS. OWNER BWIORADECLARATION in, = n-_�e.. ".�-�r`.Y' '-INTERCEPTORS' Vat -CLARIFIERS �'- - -- - -r - - POLE LIGHTS. r I hereby airlift that I am a pl from toe Contractors License Law for ,.SWIMMING POOL- -�� PTRgP 7031.5 and. R, Catl¢:. ln9_reaunty An city itch Any or county wM1ICR a Pers construct sube3 a Permit to OmtnceS - �.- - - -0OL S METERED' - SUB' - - - - - - sstaron Im O tlemOlish cantfor Sucr*OAIFh R, says y Permit toW asipriog ed satement that rl OR the aprlluanl for such permit to flea signed statement that -WATERSERVICE - --ALTERATION - - -pgryEL$- -MAIN SUB •' - - IS ta.thee I-st Is -Inst tl9 hhe o Ml If. with 5IORB of GASSERVICE-- OUTLETS- - - - 'SERVICE Amp (andrrlrlnB seetllon 7000)ofDivision lire -� ,WATER HEATERS--.11T000TPUT -- and Professions Code) or that a Is seempLlberefrom and the Yer the alleged a mption. Any violation al Section ]031.5 by I.- - -SUPER CONNECTIONS- .-+�\ T, �U -.[a _ �1'I:-y - a -a Dpho nt lol...aPermit subjects the aPPI1pnL.to.a civil - penalty frn0 re than honored dollars (5500). 0 1, a5 owner of -p opBHy.'or my with,wrges as-their- SI -SOIR-TANK - --COLLECTORS sole compensation, will do the work, and me Structure Is not Intended - or Offered for -sets. ISeCOon 7044, grantersandProfessions Coda: The SOI -AR PIPING SYS:--`-'•-- - - r' A - ISSUE FEE - Contractor's Law deal not apply to an owner a1 a property License �: nO builds or Improves thereon. and Who does such Work himself Or -ISSUE-FEE -' '- - j�' - - - - - APPLICATIONAPPROVED BY.. through his own employees, presided that such Improvements aro our MECHANICAL "- PLANCri - SUMMARY OF FEES intended' or -offered for sale IP however, the Is did Or Improremem Is SOld within one year of Completion the owner will have theburden- r prOVln9. he 010 --not build r Improve for Soup... f el. HEATING SYSTEM 0-100,000 BT11 - 'BUILDING.. I _ ❑.I, s owner Of rb1 am eect contracting 'LM1 ANO DUCTING--. PERM IT E SMTP i _E In staled[ 7044 1 cenutl contractors Oo nitulitt (Sol Law to _ 100.000j+ Bill _ _ PLAN CHECr( E PERMIT he Conti d ores not COtlO. The Contractor's Leaned d apply LO an Cod of E a, re who IDB ur'maroves tremor, and who nen- weer I pro0errProjects who c p REFRIGERATION 0300.000 BTU -- iPLUMBING -' S —ISSUANCE - it tracts .wi\M1 Onlf_C\O!{5) IlCmnedpuf5udrl,[ to immtor's SYSTEM - ' { ':GRADING •:E 1M1e COOtrdctor'S tJC0n5e IiWI. heC ea 100,OGo+BTU - �- - PLAN CXECK•'E - - - - `- - 0 Lam<Y pt on non B.6 P. CAOnNIi - BOILERS -BTU - '� ( - 51- ItLECTRICAL S, -7- .' :1 'y -- n SYSTEMA REPAIR, ALTERATION I I PLAN CHECKS ! .TOTALMJCRO- Oale GateOwn r _ _ EXHAUST SYSTEM MULTIPLE -.MECHANICAL S-ai_ EE $ TOTAL FEE E" LESS AO- IbereTY UM1if in Ihav re this ori tUm and stake that the above a Inlor elion ed.- ilio moly Ith all IlY and county .- 11 PLAN CHECK ° $ s -- VANCE PC$_ - ordlnan at IdwY n91 ns11udlon, iOd hereby durhOtlxe repre auto this upds-the above entlone0 - YIA _ - " pro fly forlid IF e B Z 1 I I FINAL FEE S19I u E Dn Wr31B or5 i ISSUE.FEE . - r - - CMF 0805.46 Woite-1101 mg; narpd� y- p—ppl roam;, n -Accounting; Goldenrodd-Assessor TL CONSTRUCTION AND PLANNING APPROVALS _ , Permit # rn POOL &'SPA •- ' Date <• Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or, Pole _ 43. Pool & Equipment Location- - 2. SoilPipe-Un rgrn _ .. ." - 44. . Steel Reinforcement - - - -3: Electrical Conduit Utility-Undrgrn - 45. Forms - -4.- Electrical Conduit-Undrgrn .._ _ - - - 46. Electrical Bonding -•--- ' 5. Steel ein orce _ .. _ _ . _. 47. Rough Plumbing & Pressure Test - 6.. ElectricalUFER.Grn-.__ ___ 46. APPROVAL TO COVER-GUNITE- - - 7. Footings -__ _ - 49. Electrical Conduit-Undr rn 8. -Foundation--- - - -- - --- 50. 'Gas Pipe,. ❑ Undr rn, Test - 9. -Water Pipe-Undrgrn 51. Backwash-LinesP-Tra ❑-ndr rn 10. Structural Floor System 52. - APPROVAL TO DECK 11.- Property Sewer Line & House Connection - - - - 53: Backwash & Receptor -Final, 12. -Street Sewer Connection - - - - 54. Heater & Vent -Final. 13. Rough Plumbing - - 14. Rough Electric -Conduit - - :56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval . ' 17. Ducts in Structure - - - - -- APPROVED FOR PLASTERING - ` 18. 19. 20. Ducts, Ventilating -- - Gas Pipe -Rough & Test Roof Framing- - . - -- 60. _ . - - - - - -POOL/SPA SYSTEMS FINAL. - ._ .. <-, .. 21. 22. Roof Sheathing - Frame and Flashing-- - - - - - - - NOTES: - .- • • • - ' 23:" Insulation - - - - - - - - 24. Lathing & Siding - - - - - t - - - - t? -2.4,- 25: Drywall Nailing- - - 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final - - - 28. Final Electric - - - -- - 29. Final Heating & Air Conditioning - -30.- Final Gas Pipe -Test - - -- - - - 31 r Final Plumbing - - - - - - - 32. Water Service -Final- - - -- - 33. Gas Service -Final` - - -- - - 34. Solar Domestic -Final " 35. Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed 40. Electric Release -to Edison i 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - - Applicant to pd In at manes except those within heavy border lines dna Sinn all appropriate declarations. :ITV OF COSTA MESA CONSgT RUCTION PERMIT Project Address CrjC1�1IFC (:uP b4�IkN S,1'Fen:y FERMI] 3 �, HAct Nu. `�' Nla. uNIT D. Appliccot'e lvwlling AddreG UC. TYPE OF CONSTRUCTION NEWrill ACO ALTERATION REPAIR ❑ CONVERSION O DEMOLISH ❑ OTHER Owners Name PM1on DESCR I FTION OF WOR K/USE OF SLOG. Real Wa[Br HeetOr Kitchen Sink Wemh Service ArchlEng. License No. Adtlress TYPE OFPERMITFy� GRACING FOUNDATION 57RUCTURAL TENANT O0 9LECTRICAL 0 PLUMBING ❑ MECHANICAL OTHER, PROJECT DESCRIPTION SQ. FT. OCCUPANCY TYPE Contractor's Name-iliQFhoneI OQP-'X s� g) -'1 /ir , ;iiIL City License No. 11'�Iy ZaNESTRUCTION GRACING CU.YO9VALUATIONASCRES LICENSED CONTRACTOR DECLARATION F.A.U. Remarks; _ I notchy affirm that I am licensed under proalslonsof Charter 9 (commentlng with section 70001 Of Million 3 Of the Business and PrO6osslons Coda, and ` � my license is in fCl it fo, and effect. I-Consp SS I� • v �Q�3 1 1 FplrlAlil ed Date -2-%- g PLUMBING FEES Bar$Ink Showers Switches TRKIERS' COMPENSATION DECLARATION ¢reby affirm lost I have a certificate of ,,sent to selLinsure c r a certificate Backflow Preventer Service Sink Garbage Disposal ' Comperrrulon Insurance, or a certified copy thereof Station 3800. Iao /� Backf me Imention Sewer Go Generator 005 KW 05-15 KW Pollcv No' r7 Ql WLk%t I r Company S.^1Gi an need not oe compretep IT me cermrt IS dor one mothers III Or that In the performance Of the work for wFich this permit Is Issued, I employ ioMrson n Laws Of CaliIn any mffan er so as to become subject to the Compensat I hereby aff"m thatih e s Is a construction lending a9 for loo performance of the work for which MIs permit n issued (Section 3097 Civ. C.) Lenders Name Lender:Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the COOVactOr's License Law to, the following O tywichoictal a perion O31.5 mit t Bconstmctial eProfessional OemCode; ol 01 oCITY or repair any structure, prior 10 Its Ihoonce. also requires the appl¢ant for such permit 9 filo a signed statement that he/she licensed pursuant to the prov111 OOoof i Contractor's License law (Chapter 9 "Ommenclog with Section 70001 f n 3 of the Business d Professions Codel a / he lei exempt sfrom and trio twels foro[he alleged axe .don. Any vlolatlan f Sectio 7031.5 by any applicant for a permit Subjects Me applicant t Civil nany of not hour than Ilya hundred dollar: (b5OO1. 1. as owner of the property Or my employees with wages as their tlo U 1 am exempt under Date Signature Offers- License or 55 CMF 0665-46, rev. 30/09 o Im- Solar Collectors 'lour Drains Swimming Po 'Igor Sinks Urirel as Service Outlets Wa,er close, nterceptora Wa[Br HeetOr Kitchen Sink Wemh Service Lavatories Au[oWazM1 P -Trey Laundry Trat Roof Drains C Raimisectlon Fan I $15 I I Issue Fee Boiler I I Hund or Type I Duct- Under Ground I Employ Type 11 BTU or h projects w - Lesnts Lld i I avl ded aware that Exhaust System EI Multiple System Remah/Apert —B.& P.C. for thismason FirepllFacr. Bit, ICB06F Fire Dampers Heating System & Ducting Registers and state that the above ❑0100,000 BTU 0100,00091 city and county ordinances p and hereby llthorize re re - �ntienee property /for DateJ_/J=(bL BuinWlidn Fee S15 liable Fee Applicant; Pink -Accounting: GOMenrOd Ancestor s.P.;P I Zone Automatic Washer Construction Pole Sub. S Main Building: - FI 'X&rgor it Meter yup to 100amps E T Front Meter Dover 100 amps Z O B Rear�,APA N N C Right! F.A.U. N K S Left ` � G R sing. Ref. sk 1 1 FplrlAlil ed E Planning Notes: Range G N Switches Sign 5 ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW 050+KW Reinswptitn Fee Cooking Unit Meter yup to 100amps FEES D'nhwasher Meter Dover 100 amps DEVELOPMENT SERVICES REDUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Dae I _ % Dryers OGas ElElecbic Sub Panel Fan Motors 00-1 HP ❑ 1'h - B led F.A.U. Inc Solar 119-15 HP 016-15+ Fixtures Microwave rl Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator 005 KW 05-15 KW TeaM1 Compactor $91 �. Reinswptitn Fee $15 Issue Fed $ A FEES DEVELOPMENT SERVICES REDUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Dae I _ % SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $�\l' �D GRADING $ PLAN CHECK 50°6 $_tQ I� MICROFILM $ MECHANICAL $ TOTAL FEE $ I pp PLAN CHECK 25% $ $ 3 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 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 z'�7 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 O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION II, 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 . t 43. Backflow Irrigation -- ` 44. Landscape Irrigation System - �- 45. Sound Attenuation '46.. Handicap Regulations 47. FINAL STRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date DomoenN010n Laws of California, Signature IC after making this declaration, you should become subject to the gith such p o provior sions this permitrCodep you must forthwith, $hall be deemedr evoked. 1CT10N LENDING AGENCY firm that there Is a postal lending agency for me performance cork for which this permit is'Issued Tsectlon 3097 CIv. C.j Name unless BUILDER DECLARATION affirm that 1 am enmot from the ContraCtorY License Law for the for se 'weoondo9¢ Dot appty 10 ons owns Of a prrp U44 r"a "w erm ane who 4005 uch work hI mself/horse e ploy was pmmeed thAt such ImproWmenis are sell. If, hawBW rQ.ke bulldln9 0r Improv¢menl is pholO fo; �M1a purpose lofhave sale)Ne Is up of provk 1, as row awner of the property, am ex Cl us[w IV C in a tractors to mnorhe the project as Slian ]004,8 he as rectors Lame taw tlo Bt sooty I hulas or mproves thereon, and who contract tradm((storm normal norma to the"r Contractos L of Drool f thri Workers Componntlon Insurers ❑ I am exempt ander Section Date owner I loanYffr1read thIs pa In tored is correct. 1 agreetoomplywithal and scale laws r lal`n O au ding conitruc[lOn Semi pectlOn pu se - nt¢r YOOn lM1e Sign to Drivers' ucense r. s # —CMF_0965-46, by. 10/04 White - Budding; Canary -10(hr Drains Apvppaln to ml in an Spaces except those within heavy border linweases and sign all appropriate tlevuranvm. qq n "'77 ry �j v.l�. POEiii/%-AB Y-/�d�16/6R _ 26.25 TI CITY OF COSTA MESA ONSTRUCTION PERMIT Project Roden �s CF alter,,i 4ly� &b& �J 4AA1 Applicants 'tailing Atltlressu�� i T�j5Q9 Owner'f Name —Phone AtltlrenDESCRIPTION ' P ITNO 3x 17 $ TRACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION NEw ADO ALTERATION REPAIR CONVERSION E] DEMOLISH BOTHER OF WORK/USE OF SLOG. A.P,,E, Ione Laundry Trays' S Main Builtling'. Accessory Building: I Arch/Eng. License No. Address TYPE OF PE RMIT GRADING FOUNDATION STRUCTURAL El TENANT 0 ELECTRICAL 0 PLUMBING MECHANICAL RATHER PRQIECTDESCRIPTION SO. FT. OCCUPANCY CON STRUCT.ION TYPEVALUATION$ ZONE GRADING Cu.vOs. .ACRES T Front 0 R - - - Rear � - _ N Contractor's Nam /eiA /Q % - p Right N I�i�Gby Address (mailing) e nr��T c --a /.-a L O.PO O1I1q/'1 IC NEED No: LICENSEDDECLARATION ION hereby DCO that I a licensed 1 hereby affirm 00) I am Iisio n3 antler ;Business at Charles 9(¢omme. and mysection ]0 all or Division 3 or the Business and ProteaslOns Caee, ane my eclnse Is m mu sora and effect. /{�J)1 - K. S _ Left, G R. ping. Ref. Parking ReR.IProviri� E RamaIXc a Planning Nates: G M - - - T S Class - LI[ense Rite j � $ ; rn M - PLUMBING FEES '$ �+ Firepl/Fact. BIL ICBG # r WORKERS' COMPENSATION DEC ATION WOR Ihereby affirm that[ have a certifies! osconsent'toselo-lnsarearac Mate Bal Sink I Showers Heating System & Ducting . 0o-1G0,D00 BTU O1BO,00OBT Registers ELECTRICAL rFEES - -' - - - or worker:• Compensation Inswance, or certified copy thereof (Section ' Policy No. N�/O%Si'C%Jr" Company FARC VCCertlfl¢e copy IS hereby IUrnlsnetl. ernfied copVfiled with the city q{i[di g i ^ .. Backflow Prevemer Service Sink - - s Automatic WaiM1er / Construction Pole Sub. Transformer ❑ 1550 KW ❑ 50 T KNl Backflow Irrigation Sewer Cap ] property for BalSevwr Connection U' Cooking Unit Meter I to 100 amps, Date& -0U U- gppllcant✓ Reinspection Fee $15 issue the EXEMPTION FROM WORKERS' COMPEN ION DECLARATION ea N Clanfi¢rs $alar Collectors - DisM1vreeM1er _ Meier ❑over lll(lamps (Tnissectlon need net be mmplatetl it the lir Is for one a ($s0o)' a Iexz): r 5 cc (nal In thperformance of the work for wnlcb this permit Is Issued , balr.n employ any person In any m s to becd n subject to the Dishwasher Solar Piping r Dryers ❑Gas ❑Electric Sub Panel Drinking providing Solar Tank Fon ❑ ❑ DomoenN010n Laws of California, Signature IC after making this declaration, you should become subject to the gith such p o provior sions this permitrCodep you must forthwith, $hall be deemedr evoked. 1CT10N LENDING AGENCY firm that there Is a postal lending agency for me performance cork for which this permit is'Issued Tsectlon 3097 CIv. C.j Name unless BUILDER DECLARATION affirm that 1 am enmot from the ContraCtorY License Law for the for se 'weoondo9¢ Dot appty 10 ons owns Of a prrp U44 r"a "w erm ane who 4005 uch work hI mself/horse e ploy was pmmeed thAt such ImproWmenis are sell. If, hawBW rQ.ke bulldln9 0r Improv¢menl is pholO fo; �M1a purpose lofhave sale)Ne Is up of provk 1, as row awner of the property, am ex Cl us[w IV C in a tractors to mnorhe the project as Slian ]004,8 he as rectors Lame taw tlo Bt sooty I hulas or mproves thereon, and who contract tradm((storm normal norma to the"r Contractos L of Drool f thri Workers Componntlon Insurers ❑ I am exempt ander Section Date owner I loanYffr1read thIs pa In tored is correct. 1 agreetoomplywithal and scale laws r lal`n O au ding conitruc[lOn Semi pectlOn pu se - nt¢r YOOn lM1e Sign to Drivers' ucense r. s # —CMF_0965-46, by. 10/04 White - Budding; Canary -10(hr Drains Swimming Pool vi - or Sinks - Urinal bas Service _outlets Water Closer _ thermal Water Heater <HChun SiA d Water Service - Levatories, Auto Wash 5 -Trap Laundry Trays' Roof Drains I not build of im- S Ie$ as their so a offeree Rejnspection Fee Sl6 Issue Fee S 3 .reed he Contractor'sor mI MECHANICAL Building Approved By FEE oho. offfered for pat Boiler - Hood or Type ❑ - me year of core- Canopy Type II ❑ SUMMARY OF FEES not build of im- S Dutr. Under Ground, - PLAN CHECK Ithlicensedcon- PERMIT Duct -Structural Refrigeration System $ r fesslans code: of Property who setsre with a 0D100,000BTU 0100,000,BTU PLAN CHECK 25% S Duct -Ventilating _ tmatt o u $ Exhaust System ❑ Multiple 13 System Repair/Alteration - a leen to &AICROFILM OTOTALFEE ,$ MECHANICAL $ . for encs reason '$ �+ Firepl/Fact. BIL ICBG # Fire Dampers Heating System & Ducting . 0o-1G0,D00 BTU O1BO,00OBT Registers cit above - -' - - - aat fter ordinance authorize repre- ] property for Reinspection Fee $15 issue the (✓,$ ' Pink -Accounting; Goldenrod . AC%ssor Motors D1 HP I% -e Inc. Solar 1-19 15 HP 01645+ MiocirmVarive Pole Light Range Sign Standing Sections 45 KW Trash Compactor DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By pat Application Issued By - Dat SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ C PLAN CHECK 25% S ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 50% $ &AICROFILM OTOTALFEE ,$ MECHANICAL $ '$ �+ PLAN CHECK MIS $ CONSTRUCTION AND PLANNING APPROVALS Permit 4b Date Inspector POOH,& SPA APPROVALS Permit =f- 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 -16Rough 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 tr"r 71. Product Piping ❑ Gas ❑ Oil 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 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 P �7 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 •r 43. Backflow Irrigation -•� r 44. ,Landscape Irrigation System_= 45. Sound Attenuation I n, r•• 46. Handicap Regulations ^r 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed, 49. Electric Release to Edison n: 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • 201 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 902248 R O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue, Unit N4 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group AJ Occupancy. Use of Buildin Legal Description 1zcl—AA2-1A (See reverse side for Metes and Bounds) Building Permit No R 314fi8 Electrical Permit No. E 31996 Plumbing Permit No._ Mechanical Permit No. N 32178 Number of apartments and/or guest rooms ISSUED TO: C1r nnnn-11 Armvt-r-ono Rriaham m8@O1 Dupont, 0100by Building Official/ William TTh.Howard Date Fphrttary 22, 1988 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF. 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File April c..t to fill m MI spaces except those within heavy hold., if,,, and sign an appropriate caclaramm. CITYOFCOSTAMESA CONSTRUCTION PERMIT tipect Aedrese '�4�O/iD/LLMC' d/.9g-dw -f elling Applicant's MAddress �3 �G aijl ,I.T/0' 226E &0 CwrI Name 11 J.OAWJVG i Argil d6.8,Qp{FleaSa_�«e Address U ®' Arch/Eng. JFC.OGCL License No.Y Address Me EG ®9isgglai Apar W L T[J �fi?qVY�L��y Contractor's Nm ae C� pI`l 1H0Eysl<7T Z2— hone O• Addreaslmailirgi a rl 01 A/A: GN Y✓ AIPPOJ r geF! City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under Provisions 01 charter 9 (m ncinng with rection 7.000) Of Division 3 of the Business and Professans coal, and my license it In f 'coca alJP ax Hetl. e^ /I n -4p.{ Via �. Lice 1 fe' Fi `11C¢ �[ftii N l V <(®iC 1 mete /F saner gasoline IRKERS' COMPENSATION DECLARATION '+ ereby .than that I have a Certificate of Consent to self -insure or a Certificates -of Workers enmpansanon Insurance, or a Certified COPY thereof (section 000, Lad. D.) Policy No. Company— Certified ompany Certified copy Is hereby furnished. Cerfihed copy is filed with the city Building Division. �. ,to Applicant EXEMPTION PROM WORKERS' COMPENSATION DECLARATION (This section need not be Completed it the permit is for one hund fid (11100) or leis). palmi ` that In iM1eldperformance O( the work for which tis IssueQ 1, hall not employ YY person! Y at so as 1 c sublet! [o the Workers'C�CpaOMtA �a of Ull fonitl..�wN NOT .ter making Ggn inti NOTICE: Compensation making this dons of the You should becomesubjecttfor h the Workers Com San911on psl Nsio r r the Labor Vaal you mus forthwith comply with a M1LENDIING Or this perm)[ hall be deemed revoked. CONSTRUCTION LENDING AGENCY f the affirm maomiie Ha is permit I$ isingsued (Secency for the 97 performance 01 ma work ror•;wFICM1 this permit r uetl (Section 309J Cy. C) Lenders Name Usinder'sAddrias BUILD " I OWNER BUILOENrdECf exempt ON 1 hereby a11hm [Se tdn exempt VOm ve Contractor's License Law Cit the county reason (tion on 7031.5 Business and Professional Code: Any dry or onlyt which notaprior is a pelma Issuance, alacquires t l applicant W. Belot Such orrepair se aigne priortont that hC85 is licenses the applicant to, rOVI perm It any Ce a signed statement that ha/ to (co me ting with tome Pra 000) fOf Contractor's Oft License Levy Profess spar Coast or that Sectionhe Is exempt 'I erefro 3wnd the Oasis for a Pmtersionz Code) he Is exempt therefrom and me basis for the alleged exSmjects the pplc fit of Section ]03 5 by any applicant than for a permit bl$50 in¢ appllcan[ m null CMalty of fiat mora man rive hunsty ore dollars employees ] I, as of me property or my empmyges won wager as that, sole J t am exempt under Dal In I Drivers' LI CMF 0865 46 vs does and wnoncon[or iadstfoo an r such pro ectsOwner at pwith a who s r can - rho Contractor's License Law)!I am re that rDenMBdn Insurance noun be orovleaeda to m n B. E P. C. for this return Nreytl s PP'lcatlon and state36at Ing Cartel TYPE OF CONSTRUCTION J NEW LJ ADD IJ ALTERATION J REPAIR i• I] CONVERSION ❑ DEMOLISH ❑ OTHER A D DESffFHPTION OF WORKUSE OF BLDG. S E TYPE FPERMIT GRADING U FOUNOATION Ll STRUCTURAL T TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B ❑•OTHER A PROJECT DESCRIPTION, C CONSTRUCTION TYPE �TIn_-o�I2Tlaa S ZONE GRADINGCU.YO4NACRES oe Z 0 N I R E T S ^11 PLUMBING 'FEES I ag'iL Chau er Ground Bar Sink - Showers Refrigeration System ELECTRICAL FEES Backflow Preyenter Service Sink Application Is5oed By Automatic Washer Pale Sub. Transformer 015-50RUN - ❑ 50 ♦ KW ls Backfbw Irrigation Sewer CapComiruaion I BBiPtum Sewer Connection' Fire Dampers Cooking Unit _ Meter Out to 100 Bmpr Clenfiers Solar Collectors l' Dishwasher Meter 11ovm100¢iotas _ Dishwasher War Piping $ Dryers 'OGas ElElectric Sub Panel Drinking Fountains Soler Tank PERMIT Fen Motors 00-I HP 01A B Floor Orcins Swimming Pool wl5pa s F.A.U. Inc Solar 0915 HE 0]615+ FI Aide Sinks Urinal 25% Fixtures Micirmi Gas Service Dollars Witter Clout ELECTRICAL Device Boxes Pole Light Interceptors Water Hauler Outlets Range Kitchen Sink Water Service $ Switches Sign Ldvatoriex P Auto -Wash Garbage Disposal Standing Sections P -Trap - Laundry Trays $ Generator 1105 Kay ❑5-15 KW Trash Compactor Roof Drains PLAN CHECK 25% $ - Reinspection Fae $15 liable Fee IS 3 Reinspection Fee $15 issue FOR $ 3 Reinstallation FOR I $15 I 1=0 Fee I S 3 Pink -Accounting; Goldenrod - Assessor Zoning Approved BY Hood or Type I LJ I ag'iL Chau er Ground Building Approved By ctural Refrigeration System ass kki Date-y��I-�—p� ff sting❑iw,oujiRTUystem k Application Is5oed By ❑ Multiple ❑ System Repair/Attention Data t Bit. ICED# Fire Dampers ash Is Ducting flegisterz l' Reinstallation FOR I $15 I 1=0 Fee I S 3 Pink -Accounting; Goldenrod - Assessor Zoning Approved BY I ag'iL Chau f Building Approved By ass kki Date-y��I-�—p� Application Is5oed By Data L- a'•"OQ SUMMARY OF FEES l' BUILDING PERMIT $ 144-00 sal $ c?-A5— SPLAN PLANCHECK $ PERMIT , PLUMBING s ISSUANCE $ PLAN CHECK 25% $ ENERGY P C. $ ELECTRICAL $ GRACING IS PLAN CHECK W% $ MICROFILM $ I/I O s,ds MECHANICAL $ TOTALFEE $ T1 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector _ POOL &SPA APPROVALS Permit ' Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location' U- 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. 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 j 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 0011, 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O -Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical t. X; 27. Frame and Flashing 76. Dry Standpipe ', ' ^" ti 28. Lathing & Siding 77. FIXED SYSTEM FINAL'-"� 29. Insulation 78. FIRE PREV. FINAL "� T 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: 2-2- 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace - - 38. Final Plumbing 110W 39. Water Service -Final 40.. -Gas Service -Final r • �' r 41. Solar Domestic -Final - 42., Backflow Preventer - '.43.:Backflow Irrigation - r 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co ,. 51. CERTIFICATE OF OCCUPANCY No. Date a, , PRODFCI ADORFSS'. jSO S CADILLAC AV UNITI N-4 i ' uWel NAME•. HUSKY INJECTION MOLDING AuxrtAOnRM.LOGEMCONSTRUCTION "faxo'NOT191, IRVINE CA 92720 PERMITTEE: LOGE CONSTRUCTION (714)964-4361 ADDRESS: 29 GLENN IRVINE CA 92646 LICENSED CDXnRACIOR DECLARATION: AtrpM dllirm Ilul am Ikw.nsM uMe prwnvn of CM1epur 9 tmmnenonp wm Seaon ]PAI of PN40 3 W the Bmin¢55 M Pryl6eiw16 Code. MO my 0 to Iprte Lb eIIM. CITY Ll49g 86 ,St UC.49486 OB Dale'. z — 9 —cz5 5'pnnomye WORKERS ONPurzrcATan a ECCLAANTIOW Mary I huEreof IssuesnxI I iyea Snm[au of mnwnl to seltwswe era wnnium al xenen' POLICY nD.:}(W09250268712 EXP. Oul 02/15/93 COMPANr.OHIO CASUALTY Denieed any hi lumisnee. Q Cornea copy NItl or BvlailA Data: Z' 9 — �5._ And cant: L EMPAPTIEM FROM WORKERS' W"P&RATIONDfElAM110X'. (T- neem and N condi a Me wnnA is bcons Md pied NlR P1 met I[mlry that in me w Opm t Of IN orad err wkcn ars n is Name I Mal not employ any wwnln am roamer or as W hewne WNW to the WoM1eS f mpemawI Lata OI Lalilamin, Dale: sgnamre. Ill D. after me" this declarationyou snouts memo suoam to the Wavers Compenwn W Prunffim W me Laver Conevon meet wnhman comply Minh such pr kions in this permit snail oe deemed retained. CONSFI i TION LENDING AG NCI ;D�tree affirm that there Is a m=mcten lending ¢Darcy tar IN performance W W¢w kfor which prel LENDERINCLUDESNEW TILE IN """REST ROOMS WHER BUILDER DECUMTIOU. I MreeV affirm mal I on exempt from o e Crntrall gate Lktme Law Ion IN laming r®son 'SeRon ]N15 Business dna ProlavlonalCMe: My [ity of [panty wM[A recuiresep¢rmit to [onspwl. alley. impiwe. tlermluM1, r ewir arty structure, Me m is iSSAnm, also ramps IN amdmm ler smh permit n file a perm statement that Nissan is licensed and Proeedial i� I a that he/sna ee a cancer tMmState imm ane ins calisefonne alleged exemption. MyyXvacal�n0 5¢IM >0315 Ay any rowtcant her a permit swtiecls IN opral m a CA Pewly al me mere than tire wWrea dollars goi 1. I. Of owner of me wmenv v e "85 win wages as their safe penmke n. real do Ina n, and lee ❑ Ma l IS moderated m Wlerirkr IM MINN. safe(SWRosnns and Prolesvaul Caere rw Cmvadws'Slasltnma lax mw mm ewir to an owner d a Mal" Mw eras or imwwes tnerem, Sew who does mm .ern nirmenmersaf or tlnwgn he pr her dorm empiwees. PrQmcd that much imwwenmrs are nice intended OF offered for sae. R. hownexur the hokmg or uwmment 5 wm mtnm We rtar W w PWWH. the Mn all WNW IN palm of Onall hi did ml ecoid tt ilmmye F for ton PUFMIW SNL 1. as wmer dune property, am nCio elImme cvactng win Iked contractors w pact the pmwR iecl 1smnus. Dudes ❑ cop Pre 'w Cmaa. meOnoaMM Stale L'¢elw Law Mez tut app¢/w an was W wawnywon nuMz pr Mwmea mareW tl Mp ¢Wtrael5 err sum pNi%'Is xYn a cmua[I mlz15[euu wrsmm Ip me Camrazwrz' SIaU umme Ldn�. lam aware that proal of Warders Pomwe rim insurance snored ee Prwaea to me. ❑ 1 am exempt under Section. B. a P_ C. for ]his reaz F. vete: owns: I m hateycenrryThd I tin aware of at wmv me mm+remmN W falllPrA Health and safety cope seaWs 25505, 21 and 2434 am Mat or arty wwre dnfaing oavwnl w �11 rI(circle am) nem wmmpM For wild slam Codes ave the rmmraneme fora exempt pto donattrupron at r 6FSian lam lite Tir�iaEIV Mmapemml Lrslinel. M idantW mmmeakn aMlint0s are ftemglmm as Addiff Date. 7--- 47-11 Diver's License or Eager Spri0 huff WMte—BuilCv :canal CITY OF COSTA MESA — BUILDING PERMIT PERM ND: H 060985 PERMIT NO: B 060965 PLAN CHECK NO: 00444-93 S GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE: ALT JOB DESCRIPTION ADD ENCLOSED STORAGE SHELVING S MOP SINK SQ FT: 4,000 CLAIM VALUE: 4,000,00 CALC—VALUE: 4,000.00 GROUP OCC: B-2 / COMMENTS: NO OTHER ALTERATIONS TO EXISTING HC RESTROOMS..NO UPGRADE REgR'D x xxxxxxxkxxxxxxx%xxxxxx%%%xxx%xxxxxxxxxxxxxxxxxxxxx xxxxxxxx%%%%%%%%%%%x 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 RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL•6 13966201 ZNE: PDI REF NO: > PLANNING NOTESMINOR TI TO CONSTRUCT 3STORAGE 6 S Q. FT H O AGE AREA AND WASHBASIN GO F xxxxxxxxxxxxxxxxx wxifxxxxxxxxx D E V E L 0 '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 " 5'C DATE: BUILDING APPROVED BY..; DATE: 21,912 92 of APPLICATION ISSUED-B' �'BY:i. DATE; 12 Al %x%%x %%lax%%lax%It'%% lain 43 LEGALIZATION:N F E E S U M M A R Y STRUCTURAL I SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 1 SMIP/NON—RES PLAN 40.95 •84 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63.84 0.00 40.95 104.79 104.79 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 104.79 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 •84 40.95 lax%%x%%%x%%x%xxx%x%%%%xxx%lax%lax%xxxxxxxxxxxxxxx%lax%%x%x%xxx%%%xxxxxxxxx%xxxxxxx 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,0 N UNIT COST TOTAL COST SFC 4000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 4,000.00 END OF FEES CONSTRUCTION AND PLANNING. APPROVALS . Permit # Date - Inspector & PC SPA APPROVALS Permit # Date I 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"., Eledyicai Conduit-Undrgrnd. - 5. Steel: Reinforcement. ."- 55. Electrical Bonding 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, D Undrgrnd., Test 9.,Water Pipe-Undigrnd. 60. Backwash Lines, P -Trap, D 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 1 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval i i 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 APPROV4L5 Permit � 20. Rough Factofy Fireplace - _ ', 21: Ducts, in. Structure- 70. Undergroun&Hydro 22. Ductf, Ventilating r71. Product Piping DGas ❑Oil 23. Gas Pipe -Rough & Test _ i 72. Underground Flush - ! 24, Roof Framing�•73.' Undergrnd. Storage:Tank D Gas D Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (StrLcturai) & Monoccat M 27. Frame and Flashing 28. Lathing & Siding - �//�f� 0/6- / / 75. Dry Chemical - 76. Drq Standpipe 77.' FIXED SYSTEM FINAL , ! - 29. Insulation it 76. FIRE PREV. FINAL 30. Drywall Nailing, /! � HEALTWDEPT. REQUIREMENT 31. Plaster Brown Coat- - 32. Electrical Power Meter -Final' I 79. FINAL INSPECTION •. 80. FOOD CERTIFICATE ISSUED 1 33: -Final Electric - - Notes: LCc 5.cW 34: Final Heating -& Air Conditioning• 35. Final Gas Pipe -Test 36. Hood or.Canopy - - 37. Final Factory Fireplace 38r 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 Attenuatiori 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �'21q_3' 48. FINAL PLANNING T - _ �_ T 49. -Electric Release to Edison 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OFIOCCUPANCY No. Date PROECT ADDRESS.'AME 3505 CADILLAE AV UNIT: N-4 OWNER RIESSMSKY INJECTION MOLDING ADOREss. __._ INJECTION _.. MOLDING ARCHIENGINEER CONSTRUCTION REG Eo.: NONAT, 29 GLENN PERMITTEE: IRVINE CA 92720 ADDRESS: LOGE CONSTRUCTION (714)964-4361 29 GLENN LICENSED CONSRACMRIRVINE CLARATION I Aeby alMm that I am kis C coon paysvi9 2ul em6ief 9lmmnam'nB ^elA Seetien TUN) 01 Division 3 df IN Business and P oWms Code. and my license b in Im Nue and ellen. CITY sec.: 49 86 Tun LIN 94867 //A Date :.y0 y shrewre:_ _eCc-�� WORYfRE'COMPFX9ALION DfL1AMiWM: IkrzGy allBan W1 a eNlkap elmmenlASennsweon [eXXpleW WorMers eomRmanon.msurance. N ammyun espy Nered Baden .LED, q. PDucr'N6.:XW09250268712 E -ONE 02/15 93 NMPAAY:OHIO CASUAi�TY ❑ CeltiNea wq is hereby Wrrtanea. 1 Crobed espy is 1: a dry nano Divoe erre: z— 9 — 93 ApManl. EMfMI110X FROM WdRRflE'WMP&G1tM O[dAMRbI: IIAS MMr6Ee Dingaltlit Ne epmtNbrmeMNME1[0)wbs). kebob tmlw geoedmewoalw wdich tons berldt MSne.IshaN ml employ any pellet in-¢Irymannelmastd Dewme sudMGt to Ire woaem'm' UmmwmcenatDo tam d cmlgda. w Date: ]iwGwre: NOTICE: It mei nwre this w Iwawn, you $l ld Deane Resect m de WorCem' eormemallni Km WS of this labor Cane. you muse lmmem mmpry wilh NO pmvdwm of As worst "IN deemm revosea. , CONSTRUCTION LENDING AGENCY: AereOy aXum eNnhut b a mmtrv[tim Ienano aamW Inr Me perlormana M ik IMa Im wham May permit is Imo ISemlm 31107. Co. CI. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 060966 PERMIT NO: P 060966 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ADD ENCLOSED STORAGE SHELVING 6 MOP SINK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS; NO OTHER ALTERATIONS TO EXISTING HC RESTROOMS..RE: 860965 %%%k%%kkkkkkkkSkkU%SSkkkkkkkkkSkEkkD%ADD%DDAA%D%EAAAkTE%%%kDTEAA%AE%%%%%%%%%%%% 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13966201 ZNE: REF NO: PLANNING N TES> SSSS%%%%DIOL%SS%SS%SS%%%%%SSE%%SSS%AkkSkkAkAUAIk%Dk%Ek%%AA%A%%%%AT%%DkDA%%%%EEE 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:T g DATE: APPLICATION%ISSUE%%%%S %%%%DATEwe In%k UNDER: INCLUDES NEW TILE IN AOOREas: %EEE%S%PAPUA%IEEIEEAEPASNAkPk ACPSPkLkUkSTDSEkSA DSDDDASkADAPTDTAAEEAEAEEkkE%EE REST ROOMS LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNER aUILIER OEeuRATIDM: Ineredy alum lot l am Aemol ham the eamrasmls gam License Law for the l011ewino reaseo BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING I&ctm Tml.5eus mawpmlessimiw : nary my at roomy soon =Sam a o t A a ma. suer. mmmre, Gemd ,d PERMIT 7 00 re, uae. i We apps Ar mm m boost hes a flood smumem fret bare b Y¢enW] Now my itrucwono A id iRrcWho reg }5Y SMIP/NON—RES pumnm to IN Russians at theemmanwi State si¢ese mw IC1 W s mommemim wish Saturn TNS) d Omi Sof Ine Susmess Sn 7015 by anal lindar ass bode) w Irat bone is a.empt another am IN Nos %r the ambo meMgmn. Any *1M maClb PLAN an 40Rnt IN a down suhiads me amdwnt to a sow bmalry at mI mane than N bmma dolNs ISM, ISSUE FEE 20.00 as ns of IN Caesars w ars my a� laross saw . two We OMWMIOQ. will m the work and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ElowI. drnwsoa on MlandW ordmeG fan mM ISecAM 7MA. RIiMIW PrQ sv LAW: TheChrompm Sore tome haw TOTALS ---- > 7.00 20.00 0.00 27.00 27.00 ,00 don not bogy A an anther of a ormeny woe IXmds w xngdn mmmn, and wIm con am wma mlrsellmedal or mown his an b own Mnpsayan. woudn tial such Nhwevemems are ml Mle m of oxendl for cele. O. Shamir the turning or orpm set AS al sale M one yes of mmplatgn. IN mm"H Nn one When of W"g b Dd'id nd beak or mat I, of owner at IN Dumb. am erdLLSMI mmfagNo with Summit=MCArs lOW rml lRg Ct(kdm TMs. k all SS ❑ am flduniratme:INC massam aMlyatWtarrWdlpwplymanhe Contictors$wN bAbsmimwwnlbwn M who WWI or it AI REd q¢Cd WIN a mrathe smash to ft A one Contractors EIe1e LSnw Lwl. l am aware IM qml DI IMi! WOrk15 Gmpmnlgn v4Yrdnce smash DC pmidm m me, ❑ 1 am SIMP1 emw Smum: D. R P. C. of INS masa- Dae', MMr: I 4D 4 Worry dui I am aware at and understand Ue re remaM d Ca WmyAr Nallh sena Samy Moe S Wm 25505. 25533, and 21 and AmIan am bone uuNem%WM MIMAmI Ichdm� olto ewro h sac MAN mda en and Me imuimWsura parmil for mnsvuggn or mmdicTun frdn INS MaAonenl Como. ReYdenNl¢wwMM*w apheanam we erempl hum these prodo s. Dale: Audi t nenehy wup Ion nate ree Ion¢ aagiamn ane bole Iovne ahtee Nformv4 ymx$C I acme m mmgywM all CM1y am munry ass"A — Dale- So re. Door 5 License v cosset SewNy I6ela6 Wlme—Buitmgf GrN AppsN: Pinh—RaWnuel GOMM —ASN REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 AEAEAEEEAAEEEEEIM%EMI%EEEEEEEEkSEEIE%k%%%kA%DAASEADAEAEEEAEEEEAA%%SESSESkkSDkDE 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 SINKS, SERVICE / MOP 7,00 7.00 END OF FEES CONSTRUCTION AND PLANNING APPROVALS Permit # Date I Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. '� QS COW 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms r 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. Foundatidn 59. Ga's Pipe, 0 Undrgrnd., Test 9, Water Pipe-Undrgrnd. 60. Backwash Lines, P Trap, 0 Undrgrnd. I 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 �Zb 6450 65. Electrical -Final 15. Rough Elect( ical-Condwt 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 6&, APPROVED FOR PLASTERING 18. Rough Etectricat,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, Ventilgting� - 71. Product Piping O Gas 00il 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing r 73. UndergrndrStorage Tank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & iJonocoat 75. Dry Chernical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding I 77. FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter F ral ) 80. FOOD CERTIFICATE ISSUED 33. Final Electric .34. Final Heating& Air Condi;iohing 35, Final Gas Pipe. -Test I Notes: 36. Hood or. Canopy - 37. Final.Factory Fireplace 38.4•Final Plumbing J • 39. Water Service -Final - 40. Gas Service -Final 1 41. Solar Domestic -Final 42. Backflow Preventer , 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations i 47. FINAL STRUCTURE & BUILDING i 46. FINAL PLANNING 49. Electric Release to Edison I I 50. Gas Release to Southern California Gas Co r 51. CERTIFICATE OF OCCUPANCY No. Date MOAT ADDRESS 3505 CADILLAC AV Owl 5 NxE: O' DONNELL ARMSTRONG I RDDRESi 2201 DUPONT DR IRVINE 2A 92715 (714)851-0111 RRMIENCINEER: ADORES!: INRMInEE: NOOR ELECTRIC ADDRESS: 711 W. 17TH STREET COSTA MESA CA MITI 030877 SAIELIc.:452774 cul WORMERS'eMPEn aN DKTION: mere m a mmoemalionay[� q @mrNj ryva Ileml�saec n e. Um"c W L1 EaCLO�Y—YL cif: �a corned : STATE FUND ❑ Comw cpm a baalM um,:nad. 09 Cemhed mm To lila who the Bate: 1 %..,—�. UENRnox mon Nd le aintwo r Meso reopen to the worse Dale'. NIII n. MIM code. aeu mum COPRUVIOR Us emNn Ines arms is LENDER: ADORESS: /93 UNIT. N -/ll.. MOMS.: UNIT: (714)631-8777 J-4 627 umehluhMlinB BEI. any manner was to become that mere IS a W WMCtbn IWMU epn y ler me Dertumarce N the "it lot MNER BunOER DECURAEkn: I henry afford Inas I am exempt it= the 1Nwwwm State uaenu Law xr Ire feboa np reason Isenion amts eusinns am vmlWvpwl epee: nnr Ndv of mums wlNm rmuDesa permiuoeMWmm. ane, Improve Malaw .at rzwb ary stmcmle, ons to am ieauame. ace mw the aoptisimt lot she derml to lad a 5tpned 9atemem War WOO Is kawd ane Pmlepss n Dahl a that mi iswasnosid lexemptle Lexam mararem and IR W9 B%�e a ente0 exemomt ��nn MY ae IW M Smin and ?Ouranew MI.E by any applicant lot a Penne wepcn the amilml m a mil mmlry W not me Ilan lire fondser d m 1aw1N. 1. a owner of INmaxM a mr, mgmem to Napes as theme sM Mmpe n. R do the e, am Me ❑ m[ mnotinandMMUnene lMWel&cWnad4.BUWMaWftf bW e: ftC rw ri5ta Lkers Law mos m1 aoW to an saner 01 a ompeny wm b SWLndi theem, aM who Mae sum waM1 N=IfiMlseu or though ow or her fon empO .providedtml Mn EnpUre ems are nim si M or oMxAw for We. Il, bm Ile banking or ioiilq purodu pmt saki* i van of mmieto. the oxcer wfl was me Nuhn elft wma did ul rupia w improve 1.aw arm Memdoenr'. am e.dusltyery",ntwm wfin hdmsM mnuxiors to mmuuu me pgs dean sae, eirstness ❑ and Rafe59oW Wh' iM ummelpn'$late lxmk law lk3 rW aopry%x ammdxmeM MobW&was Norton Men mwld at their ftA 5s W oenu(Me11a MU art SSM eeN Wm W 0 Mee ConuxMri LaM Lmaew Lanw7. l am stare ❑ I am exempt miter SSYan'. 3. A In. t. Ie MAY Mawr: Dale. D«ner: 1 demhaebyemMthatlam aware Mand understar them mpuremmts Ul Gbkln4Reaun and salary Cmarepletezwm.zsE.m. and }SiM ane me ler ary lutme bMd�lxm�ml me i Emm me t locaryfteilnu grmmda a ml eaJreerawl tors MMII far w Vu Maim fr Wl lrantM ryMaMoemxl USN[L ResiIBMNI emNmnon ap[llda(ns are vempl from theme prddaidns. Bate: I wrews Moody that l dare r o111i and slate laMIN ptmenly far moan ltm peat Meer Whim's Lkeme or Bowl: 161 urns.—Irremne CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06038 PERMIT NO: E 060388 PLAN CHECK NO: 04912-92 S GOVT: N SUPP: N CONSTRUCTION TYPES PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION INSTALL ONE 600AMP SERVICES MISC, ELEC, SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: THE "HUSKY INJECTION MOLDING" BUSINESS, %%%MkkkkMkkkkkkkkkkkk%kkkkkkkkkkkkkkMkkkkkkkkkkkkkkk%kkk%kkkkkkk%kkkkkkkkkkkkkk Z O N I N G S E T BAC K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING FRNT; FT IN REARS FT IN FRNT; FT IN REAR: FT IN LEFT; IN RGHT: FT IN LEFT; FT IN RIGHT: FT IN QQFT RN07E5> PROV; PARCEL; 00000000 ZNE: REF NO: PARKING ISSUE FEE 15.00 SUB—PANEL 11.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 82.25 15.00 41.13 138.38 138.38 D E V E L O P M E N T S E R V I C E S R E 0 U I R E M E N T S ZONING APPROVED BY DATES BUILDING APPROVED BY „ s 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 8202 TOTAL COST ELE 5 FIXTURES, LIGHTING I ST 20 EA, .75 SMIP/NON-RES ELE PLAN 41.13 201— 1000 AMP 37,50 37,50 ISSUE FEE 15.00 SUB—PANEL 11.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 82.25 15.00 41.13 138.38 138.38 .00 REVENUE DIVISION TOTALS—> COLLECTED; 138,38 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 97.25 41.13 k%kkkkkkkkkkkkkkkkkkx%kkkk%kkkkkkkkkkkkkkkkkk%kkkk%kkkkkkk%%kkx%kkkkkk%kkkkkk%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 P T I O N UNIT COST TOTAL COST ELE 5 FIXTURES, LIGHTING I ST 20 EA, .75 3.75 ELE 1 SERVICES BELOW 600 V 6 201— 1000 AMP 37,50 37,50 ELE 1 SUB—PANEL 11.00 11.00 ELE 4 MOTOR/POWR APPARATUS 1.1 — 10,0 HP 7.50 30.00 END OF FEES EVFT'RUCTION AND PLANNING' �ROVALS Permit # Date Inspector POUL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Servile of Pole, _. 52. Pool & Equipment Location „ Soi,Pipe-Undrgrnd. - 53. Steel Reinforcement 3,�'E16cjrigalCondPiitUtilityUndiyrnd. 54. Forms 4. EleC.rical Conduit-Lliadrgrnd. 55. Electrical Bonding 5'Steol Reinforcertiin 56. Rough Plumbing & Pressure Test 6..,Electrical LIFER-Grfld. 57. APPROVAL TO COVER-GUNITE rl 7- Footi66s �_ 58. Electrical Conduit-Undrgrnd. i& Foundation 59. Gas Pipe, O Undrgrnd., Test 9: Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, O Undrgrnd. 16. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House CClnnaction 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 =,T8. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT �ppROVA�k,•3CPermit #- 20.-Robgh Factoey Fireplace .'• "' j ! 0 :D i �.^ <: 21 'Ducts, in-Structure;a � i ti + 1: . = 1 a _ • :70. Underground'. Hydro - 22. Ducts, Venti�atiri`q' i �� `• dry s _ilii r71. Product piping O Gas OOil 23:• a Pipg�iough $•Test 1 r•-� :•; t•, v y n f is .72. Underground Flush' , 24:•Roof Framing M � I :73' �UndergrA StoraggiTank CEJ Gas ❑ Oil 25. Roof Sheathin t' 9 v • e26.cT-6sr Ceiling (Structural) 8rMonocoat �u� r. r V ^74nOverheaAydro:) 75;T'Dry Chemical T %' f7. Frame and Flashing` �- - 76: Dry Standp[pe !' - •` 28.`Lathingl Siding =r : r- 77_ FIXED SYSTEIj41,RINAL' -29. Insulation ' '. 78;.:FIRE PREY. FINAL 30. Drywall Nailing :• x >x r HEALTH -DEPT, REQUIREMENT '. 31. Plaster Brown Coat,79:`FINAL INSPtCTION, i -32f -Electrical Power:MeteT^Finali -L/-9 _ 80.:FOOD CERTIFICATE ISSUED 33 `Fin Electric 34,•Fin-al Heatinyl& Air'Conditionipg• r` i 35. Final Gas Pipe -Test" K j 36' Hood or�Canopy : _ q a. • 1 ' _ r > 37! -Final Factory Fireplace _ ,'i •L 38. -Final Plumbing '39.=Water Service -Final •- - - - .40.,Gas Service -Final - - >41, Solar Domestic -Final r r_, - 42: Backflow, Preventer 43. Backflow IrrrSatiort n � -44. Landscape lrigation Systerrq ; :� � - :1 _ 45. :Sound Attenuation i r v _ -- J_ c - -46. Handicap Regulations R 47. -FINAL STRUCTURE & BUILDING 48. FINAL PLANNING r49. Electric Release to Edison '.50.,Gas Release to Southern California Gas Co 51. CERTIFICATE OFOCCUPANCY No. Date Applicant to NB In all spaces within heavy banner lines and sign an appropriate declarations. CITY OF COSTA MESAPERMIT NO. TRACT NO.- IAT NO. KIT:9NK5 LOG. O. CONSTRUCTION PERMIT &V SERVICE SINKS .SUMPS BTU OUTPUT' I of the wolk thereIsy s WhichthisPermit lian n13 IS.WC fSefllow 3097 w % DRAINS IN wages as their Project Addre55 TYPE OF CONSTRUCTION ,re 1snot mmnded Own ' n ,9 ❑ NEW - 0 PDO, ❑ ALTERATION NSIOm Code: The AEErgC O�IEPAIR PCONV ERSION ODE OLJew terOf a ponefty work hiMW$l Or ArchIEng — Liceme No. 1��`'I�O1 HER `uk' I "�- ���-(L� aants are not MECHANICAL " DESCRIPTION OF WORK y ar Improvement Mw the bur10n Atltlress n-IDQOOB BTU IabAOh a Biu O Contrectd TYPE OF PERMITVNICNI P100.000 BTU_ sir who -O GRADINGS/❑ FOUNDATION OSTRUCTURAL SYSRIGERATION SYSTEM LICENSED CONTRACTOR D CLARATIDN ❑ TENgNT LJ ELECTRICAL OPLUMBING OMEDVWICa BOILERS Tearedv awnrm mal I am n Mtl wdm prrwsmns o+ rnarler s�(mm. ❑OTHER ' SYSTEM REPAI A; ALTERATION Nn9y An se Ylen >0001 of Division 3 1- tM1e eanln d EXHAUST SYSTEM MULTIPLE 'Mofesslem Code, and mY Ilcanw Is In full force d snarl, PROJECT ESC�'RIP�ION. _ IJCBBfO Clasg - •Llrvnb No, `/�J ""' 3 m r ' Dale -- aa0boveem • �' COMPENSATIONDECLARATION Whereby ' CO CONSTR TYPE OCCUPANCY—CONSTRUCTION _ C UP 'I M1Oleny firm iM1al I ham a certificate of consent t0 wlHnaure or a. that I ham a VALUATION ONE ygLUATION ZONE Rrt fusita Of Workers' CompenNIIon Insurance. or a certlfled AY thereof (Section 3000, Up. C.I. CU. YOS. ACRES AXICY No. C mPanY _GRACING - - ❑ Certifies copy Is hereby furnished REMARKS _ ❑ Certlllm Copy Is filed with 111 Y B flows OlrlslOn 1 EXEMPTION FROM WORKER CO ENSAfr OECL R TION �This section need not he conn Neo Iios_permit is I on liumprea 3100t O IaYI - - CON IY Snet no[m mrforman f M1 1 s m: Issued. 1 hall not employ any pare y M' MY m I5 a _PLUMBING, PLAN CHECK 1] 1 am l comply wIM suCM1 io sian3Or IMi hill OW01 D deemed LAVATORIES DOUBLE LAVS KIT:9NK5 DISHWASHERS IUCTION LENDING/AOENCV SERVICE SINKS .SUMPS BTU OUTPUT' I of the wolk thereIsy s WhichthisPermit lian n13 IS.WC fSefllow 3097 w 'FLOOR 51NK5 --FLOOR DRAINS IN wages as their Name - COLLECTORS - ,re 1snot mmnded Address OAINKING FOUNTAINS NSIOm Code: The SGLAR PIPING SYS. -_ ' terOf a ponefty work hiMW$l Or IInuanm that na tatermewr's WATER SERVICE ALTERATION GAS SERVICE OUTLETS'- ' Llcane LOW )Wlslon 3 of the WgTEfl'HEATERS BTU OUTPUT' :horOM1dm and the action 7031.5 by SEWER CONNECTIONS' toe civil Penalty IN wages as their SOLAR TANK.. - COLLECTORS - ,re 1snot mmnded 3 PERMIT NSIOm Code: The SGLAR PIPING SYS. -_ ' terOf a ponefty work hiMW$l Or ISSUE FEE aants are not MECHANICAL PLAN CHECK y ar Improvement Mw the bur10n HEATING SYSTEM' AND DUCTING n-IDQOOB BTU IabAOh a Biu Portree swath contracting wIN sb haa, wanolhoc N. apply - GRADING, 3 P100.000 BTU_ sir who area t to SYSRIGERATION SYSTEM 100.00O+BTU � B:L P. C. for this BOILERS BTO Is SYSTEM REPAI A; ALTERATION An eauoee EXHAUST SYSTEM MULTIPLE as TOTAL FEES _ is enand uthhonie PLAN CHECK 3 m r 153UE.FEE ... aa0boveem • �' or mfi wniN- u Acmu1111191 Goldenrod-ASMSSOI ELECTRICAL I- PLAN CHECKy So- PT So FIT GENERATOR 0-IKW.I-IOKW- TRANSFORMER APPLIANCE- Ill KW_SO+KW - MOTORS- 0-1 HE --1-10 HP _ (INC. SOI -ARL 1060 HP 50+HPy FIXTURES " ' OUTLETS - SWITCHES` GAS TUBE SIGNS POLE LIGHTS -• - - POLES METERED - 'SUR PANELS MAIN SVR SERVICE - AMP - eL.ih TI SUMMARY UV FELS - BUILDING' PERMIT Il SMTP 3 PLAN CHECK 3 PERMIT .-.. ISSUANCE $ PLUMBING 3 -PLAN CHECK3 - GRADING, 3 ' ELECTRICAL .ty 3•W'0 $ PLAN CHECK Is MICROFILM S MECHANICAL 3 TOTAL FEES _ PLAN CHECK 3 AD- VANCEPC 3- ' - FI N AL FEE S ^�'� a CONSTRUCTION AND PLANNING_ APPROVALS Permit # E� a' Date Inspector `x� •POOL & SPAY- APPROVALS - Permit:#•_- , }••'1 - ' ; i- ate'_ .. Inspector •. 1. Tempo r Po_lerarY Electrical Service o _ .. & Equipment Loction , s" " 1Pool , ,- ._ i..ipe- n rgrn 44. Steel Reinforcement. "- •- _ - '"` '- - i '-`r _ Electrical Conduit Utility n rgrn - 45. Forms - _ •''.' ,,.',', , " ' - 4. Electrical Conduit-Undrgrn 46. _Electrical .Bonding -� r.. • f,,- ' -"' "• ' "' ^;•. b - . _-SteelReintorce 47. Rough Plumbin '& Pressuie Test-";':: _ - - � ' ' =+_' ' •-=- '"" "' _-6.- Electrical UFER Grn _ __ _ _ _ _ _ 48. APPROVAL TO COVER-GUNITE 7... Footings _ 49. Electrical Conduit-Undr rn. - ,_ 8. - Foundation _ - _. _ _ 50.. Gas Pipe, ❑ Undr rn Test r 9: Water -Pi pe-Undigrn. _ 51. Backwash Lines P -Tai ❑" n r Y - - _10. Structural Floor System. 52: •APPROVALTODECK -'' ! 11.--.Property"Sewer Line &.House. Connection_ -53. .Backwash & Receptor -Final 12. Street.Sewer Connection_ - - - - - - - - - -54:- Heater & Vent -Final ' .13. ..Rough Plumbing, --_-_ •. _ _ _ -Final- - -- - - - 14. Rough Electric -Conduit - -- `-'- - '56. Electrical -Final - 15. Rough Electric -Wiring ; --` -' ` - ' - --57. -Solar System -Final - ` 16.' Rough -Heating=& Air Conditioning==------ - - - - - -- - - _58-- Fencing.A.Access Approval 17:, Ducts in Structure }- ._APPROVED'FOR PLASTERING '. l -18.'- Ducts, Ventilating 19. Gas Pipe -Rough & Test 20.' Roof Framing 6D... POOL/SPA SYSTEMS FINAL' 21.' Roof Sheathing.'- - '-- - -22. Frame and Flashing - - - - - _ �. - - - - - - - .. - _ - _ _ .. '' NOTES: ;.. : • •, �.- .. . -23. - Insulation L.dO - 24., Lathing & Siding - - ,-25.'- Drywall Nailing -- -- _ - 26. Plaster Brown Coat -27.- Electrical Power -Meter -Final • 28. -Final Electric- - - --- - -- - - - - • - - - / 29:x• Final Heating & Air Conditioning- - - - ---- - -- - - - - -_.; -30j Final Gas Pipe -Test 31.' Final Plumbing -- 32. -Water Service -Final '33. Gas Service -Final 1 34. Solar Domestic -Final - 1 35. Landscape Sprinkling System 36. Sound Attenuation '- - - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - - ! 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY j- No Date Appncant In rw In al spoon wBMn neapy border lines and sign are appropriate declarations. CITY OF COSTA MESA PEpMITrv�� .TRACT NO. LOT NO. BN�NO.� BGES F9/Q4lo2- - .22.00 CONSTRUCTION PERMIT YY f -� - - . - Profen Atldress ! TYPE Or CONSTRUCTION ( ' O NEW O ADD 'KALTERATION ❑ REPAIR EPCONVERSION ODEMOLISH 0OTHER' - '/ - _ • .. � TONING REGULATIONS, PM M ' Address 1 ArchlErp. - - License No. DESCRIPTION OFWORK A'F'7 ' AtltlrRz TYPE OF PERMIT.-- GRADING O FOUNDATION ❑STRUCTURAL- ❑ TENANT' Q.ELECTRICAL CIMECHANIC ,ZONE PLNG. SETBACK T_ HRD REF,'y.' NE" G 3 Addr .LICENSED CONTRACTOR DECLARATION. " ,I hereby afOsm In4t I am license r provisions of Charter09sslmm. ¢tPLUMBING 551po NIG Iny wltb_Sectlon.7000) IIOINSIO _3 t I -ft d. L) OTHER ROINSIOM Coo 'ate Y 114* a Is In full fired d effect. REAR YARD (TO PI . -- - - No. f��, PROJECT DESCRIPTION Llcensq Cla/{s/ once PKG. SPACE REO. PROVIDED;' LS/ p signal ma +e r SD. FT. .. OCCUPANCY_ CONSTRUCTIONTVPE $TREEf WIDTH _ PARKII " ,Date-/- WORKERS' COMPENSATION DECLARATION 6-. 11 hereby affirm that have a but{flest3 of consent to rellJmure or e - - - ' VAUJ-ATION ZONE 'ZONING APPROVED BY DATE " - _ wrtiflo'lee of wofk"i- Compenytion Insurance• or a cerllfled copy - 180A1ap. B;[rTPany/-�'Js/ /awl�j A- LGI ,GOADING CV YDS. ACRES SPECIAL CONDITIONS:' _L/ wUtaO,A;:,isTIwnmyyfuur lhad.. - ..REMARK$qL"_•5 1 l _ ___ __ _ ___ ,- �94erlllled copy Is filed with thecity Building Olvlslon. f EXEMPTION FROM WORKERS"COMPENSATION'OECLARATION 77 IR ..OI 11rml eo on need not be Completed B me porion a for one hundred _! - ISw00), that ih Pe f I In k.lwhich [N Permit Ii •- issued I she$] of employ any D I nv ma i becamePLUMBING zbje0(t0 the WOrkers Compensation Laws of Gllfii - - PLAN CHECK' — - C' :ELECTRICAL - - PLAN CHECK - - BATHTUBS - - --SHOWERS" - -" �' - ��- Date signature ' NOTICE: If after nuking this declaration, y U should became subject TOILETS . -URINAL$ - - -GENERATOR - 03 KW_1-10 KW'-' to the WOrkeU' COM"MMtlOn OrovISIOns er the Lab r Code, you must' - TRANSFORMER m forthwith comply with such previsions or this --Fall shall be deeme l LAVATORIES ;LDOUBLE LAVS - - - E) -i APPLIANCE- 30.50 KW_ a'KW Tr Thatcher. -KIT.SINKS -- - -DISHWASHERS _- �-- 'MOTORS--" - 0.1-MP=130"HIE " CONSTRUCTION LENDING AGENCY - I hereby affirm that there IS COntruAlOO IBntllnOagOney for the pen SERVICE SINKS- .SUMPS � �'- - IINC..SOLARj _10A0 HP 50 ,,_HP va formince Of the Work ler hich this permit Is Issued ISathan 3097 . FLOOR SINKS`"" PL60R'DRAINS-" --'FIXTURES OUTLETS SWITCHES .... Cie. C.). . . ._._. .-- --- Lander's Mem- _ LenBerYAddress '- DRINKING FOUNTAINS 1' --�'-" IGASTUBE SIGNS- - OWNER BUILDER DECLARATION--- - "-- -' - 1 nemby affirm that I araC%eMDt (IOM m0 COaractOr'r 41cenw UW for "INTERCEPTOR$ ----CLARIFIER$ '�- 1POLEiIGHT$ - ---- - - - SWIMMING POOL - PTRAP- - -- -- POLES- METERED- - - - ate. far owly; ro-(SMUon 7031.5 Business and Prolcaslons, Code: Any city or my Which NPIRIMS a permit to Construct. altar. WATER -SERVICE ALTERATION' - -- -- PANELS -•- MAIN SUB - IMlO 09mitlnh of repair any structure,, prior to Its Issuance. also rat- the apzlicanl lar such Permit to file a Signed statement that no . GASSERVICE -- - "OUTLETS O SERVICE- - - - - AMP - -- - ISNes ICeMM ouNUanl LO -the rOVIII Of Lha Contractors LICIMS-Lave (Chapter 9 (commencing with Section 7000) of Division 3 of the - -WATER HEATERS BTU OUTPUT- -nenand Roersions.COde)arthat he is exempt therefrom and the lar the alleged eneMptlenb. An of `031.5 by SEWER CONNECTIONS �• --' -- -- ±- --- ------ ---- - —- -- - tviolaltion LSectionn apliorett forjects the.ap). Penalty a-derfive of n ot hundred 'SOLAR TANK- --- ---COLLECTORS-- (3 17 as Bwnerof the' pmperly.-M my employees With wages as Her Sole campenvtlon, will do the work. and the Structure is not intended I- i7i GRered for 010. (Section 701 BUSUMB and proletarians CW¢: Tim SOLAR PIPING SVS. - •� - •' t -I$SUE-FEE'-' -- - - -• - - pr COntracarY Llfense taw does not apply to an owner of a operty who bu1Mi or Ice Wives IDerean, and Does such work or '- ISSUE FEE - (APPLICATION APPROVED By --GATE rF is are at are not NS Oven emGbyale. provided,'how- that SUw Improvements Inten _ _ _ MECHANICAL - PLAN CHECK -'-- - -SUMMARY Of FEES Improvement a or -offered' liar Ice sale. Ir. however. the buiOwner he notate is sold oe year yet U s M within end year OI land or Ice tile awnar a have e ;T sabdn of Moving -he did'notbImprove far the purpose f let - - y'— :PERMIT 6 - --- --- - • - Property.cthe a-CectY(Sely CO 7044.1B9.Wes 10 NUCt the (Section J06d. Business 0ensed.AWreC.ol.oconstruct IICCnRD 0-1 ji BTU AND OUCTINGSYSTEM AND DUCTING - - II - PERMIT 3 -- ..,3 ' - _- COarSCIOFi O -,,Otic[ Law does 100- 100,000±BTV t PLAN CHECK E PERM-I�SI PERMIT and Fns Coate: LlcenO m notWho Dura cor _ISSUANCE f Who I c an owner of Property WIIOit 1d 50Alaaactur(InepOndpursuOtOto REFRIGERATION 0-160.0-00 BTU 'ria ,PLUMBING Sp(lS.YJ-- , INeti Uom s n_Dralaels. with nU clar(s)-Iicesned pursuant lo. a SYSTEM - GdADING�.E the COntractorS Uirome law) 1D0,O011 BTU "PLAN CHECK E - 1 ED -1 am -except under Settled"8. 6-P C. for this - - BOILERS BTU ELECTRICAL 3 S _ ream". _ SYSTEM REPAIR, ALTERATION - - - PLAN CHECK 3 MICROFIVA f: ' To DeloOwner - $ TOTAL FEE E" --- - ' I thereby tlrtlly that l have read this application and State that the son" EXHAUST SYSTEM MULTIPLE ,MECHANICAL- O- LESS AD- InlOrmatl0n IS re00. I'agree 10 dilly' with all City and aunty PLAN CHECK- -VANCEPC- - 0 0dlnancezandsl 1 re [I g to oMStruchOn. and hereby authorize f' f� ravresentanvesrepr0slntaNveS��B' dei, ler upon -the bove- m Honed ter upon -me bove- Me Honedq - . - ' • r i r TEei, prOMltr forprOpelly fort it a4 1 1 /A�aI� Bl9nalur d FINAL FEE .$ FINAL FEE E1X2L: DrivaPe License Or ss gs .ISSUE EEE - f- - - " - - CMF 086546 While-BUIMIdg:Geary-Appllcanp P'mk-Accounting: GoideNOd-A SSO( CONSTRUCTION AND PLANNIN APPROVALS Permit # �'S�-S Date POOL & SPA - Inspector APPROVALS Permit # Date - Inspector ` 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil,Pipe-Un rgrn OYp� 4 • Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding- Steel ein orce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn' T 8.-- Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water pipe-Uncirgrn. - 51. Backwash Lines P -Trap,❑ Undr rn - - - 10. Structural Floor System 52. APPROVAL TO DECK .11._ Property Sewer Line & House Connection. 53.- Backwash & Receptor -Final ' 12. Street Sewer Connection - - - - - - -54. Heater & Vent -Final 13. Rough Plumbing Q= 14. Rough Electric -Conduit - - L - 56. .Electrical -Final 15. Rough Electric -Wiring - ' 57. Solar System -Final ' 16. Rough Heating & Air Conditioning W. Fencing.& Access Approval 17. Ducts in Structure 59. . APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test ' ' - .- Roof Framing - - - - 60. - - POOL/SPA SYSTEMS FINAL " 21: 22. Roof Sheathing -ti - - Frame and Flashing - - - - - - - - - - NOTES: 23. Insulation - - -- - 24. Lathing &-Siding - - - - - - - - 25 Drywall Nailing 26. Plaster Brown Coat - 27. Electrical Power Meter -Final- - - - 28. Final Electric - 29. FinalHeating& Air Conditioning - 30. Final,Gas Pipe -Test - - - - - 31. Final Plumbing - 32. Water Service -Final --•- - 33. Gas Service -Final - - - - - 34. Solar Domestic -Final 35. Landscape Sorinkling System 36. Sound Attenuation - - - + 37. Handicap Regulations + - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - Address AIchi — Address Contractus s NOT Address (mailing) a City License No. LICENSED CON' No. Appncant to fill n all spaces except those within heavy border Imes and sign all ppropriate mclaratmm. PEQfdIT NO, y T ITRACT NO I LOT NO. I UNIT N0. I hereby affirm that 1 am licensed antler provlsle Y51 Cnare (< OCing ( Conn section poop) r olmslm a of me Bus ( d p. n ere, dna my license Is In ruse force end ifea. \Q License Co Lice Cate Signature o F 'YORKERS' OMPENSATIONmDEC ATIOry hereby affirm that I France cPflca or cumeneto self -Insure ora eedPdcater d Workers' Compensatlon Insure or a certitletl copy thm r (Seetion Polio, Lan. NO. clS�?9�✓ Company-�.9/�— 3800, Policy knfiled copy Is hereby furnished. r shed Copy Is filed with me City Building Division Date Applicant EXEMPTION FROM WORKERS COMPENSATION DECLARATION (This section neetl not be mmplOted 11 the permit Is for One hundred ($100) or roe I u10 that lo me yperson1Performance of thm nnre m. Which this permit is issued Workers' Compensation employ any °`Laws of California. o to become subsea to the TYPE OF CONSTRUCTION U NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT El GRADING 11 FOUNDATION ❑ STRUCTURAL ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO FT, OCCUPANCv CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCU.VDS. ACRE Remarks: Oil ea. Preventer Dae Signature Floor Drains 'NOTICE: 11, after making HIS declaration, you should become subject l0 the Workers' Compensation provisions Of the Labor Bode, you mutt forthwith Floor Sinks Comply with Such provisions this Permit Shall be deemed proceed. CONSTRUCTION LENDING AGENCY Gas SerwPe outlets 1 hereby afelrm that there is'a construction lending agency fpr the pepbrmrnu Of the work for which this permit is issued ($action jeer Civ. C.) Interceptors Lander's Name U 1, as owner or the property or for`uee" (toed) n11goad, Business or andrr License Law does not apply t0 an ow thereon, and who does Such work n employees. provided that such lmprc sale. If, however, the building OF had pletian, the owner Will W too burr W IOr [fie purpose of sale). dloaz to coosh oiine project ASect The Contractor's License sew s builds or im ez thereon. and Com tractpgs) Duo a our an['tP in, Co prong a their wore. s Comen L1, am exempt underSea p Date O I hereby c..t 1y0 then I ha ad Ih nformatlon Is relating ! L I a a `to con andstate yeentatives laws Of th`sa- yt elder 9u I nsDBCtIOn pul Signature Oil vers' Lim=e or Hi -saF�-46. rev. 16184 d iia. build Kitchen Sink rho La amrie Ry or P—Trap Chairaernift Rool Dra f a0)at mpt action I civil Reinslseclion Fx sato ned Refrigeration System 06100,000 BTU 0100,000 BTU nor Drains SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK S PERMIT PLUMBING S ' S00 ISSUANCE $ PLAN CHECK 25% S ENERGY P.C. $ ELECTRICAL S GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTALFEE ,$ S�S0 PLAN CHECK 25% $ Ir \ Boner F ow adfor Duct -Under Grom aping. praovided aware _ for this reason that the above date ordinance$ Authorize Chad- d proporty FF I Pink. ACCoun Ing Exhaust System 0 Mull FirepllFacL BIL ICBO # Heating System 6 Ducting 0610D,ODD BTU 0100.1 action Fee A[MIWr Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool wi Urinal Water Closet Water Heater Water Service Auto Wash S Mein BWldi E T Front A Rear C flight K Left S Ping. Ref. # Planning Notes: Autometi0 Al lxr COnstrur:ion Pole Cooking Unit Dishwasher Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 005 KW 4573 12/26/84 5,1 TL Zone Accessory Building: Z N I G ELECTRICAL Transformer 1-115.50 KW ❑504 KW Sub Panel Momrs 061 HE 01%-8 Irc. Solar 0415 HP 016 Microwave Pole Light Range FEES S15 1 Issue Fee S S Reinspection Fee $15 1 1 Issue Fee S 3 MECHANICAL - FEES DEVE LOPMENT SERVICES REQUIREMENTS: Zoning Approved By Data Building Approved By Dau Application Issued BY Hood or Type LI Canopy Tyrell LJ Refrigeration System 06100,000 BTU 0100,000 BTU SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK S PERMIT PLUMBING S ' S00 ISSUANCE $ PLAN CHECK 25% S ENERGY P.C. $ ELECTRICAL S GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTALFEE ,$ S�S0 PLAN CHECK 25% $ Ir \ le❑ System Repel FA Iteration Fire Dampers Registers CUP.- $15 Isere Fee $ /' AND PLANNING Permit# Date' Inspector P0__ & SPA APPROVALS Permit#Date Irispectnr VSTRUCTION lectrical Service -or Pole 52. Pool & Equipment Location drgrnd. - 53. Steel Reinforcement-nduit Utility-Undrgrnd. - 54. Forms ;_lectrical Conduit-Undrgrnd. 55. Electrical Bonding - Steel Reinforcement 56. Rough Plumbing ,& Pressure Test - !. 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 Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank EGas 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 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 Ga's Pipe -Test'$- LK,� 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. Special Requirements Completed 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 Wlthln heavy Lgod all appropriate avelintlon{. border lines and t _op� ft ISY OF COSTA MESA PER IT nqq�� TRACT NO. LOT NO.,wo. - • pry 'CONSTRUCTION PER MIT -j0/ ' .rn L�'1= -IF' 8438 9/30/OR - ;, 2SC2.66 .7L Pr01eC1 Address 'L _ TYPE OF CON RUCTION e� O NEW �O ❑ ALTERATION ✓ 1 ' - - Own -PMnO LAddress- '1'r D REPAIR O CONVERE cal ❑DEMOLISH ZONING REGULATIONS '- r Arch/En ffiyjLL,Cenw No. O OTHER A.P.3 22 r _ " DISC RIPTION OF WORK AdMeeO' - I - ZONE ' PLNiGp. RgpEF1.� CO Cap phcn TYPE OF PERMIT - - -' pSp ;L NE ::Ad: r; ❑GRADING. -D EO VNDATION -O-STRUCTURAL ET w IO Y RO OPEWyl."I - LICENSED -CONT RACTOR DECLARATION. -❑TENANT O ELECTRICAL OPLUMBING DMECHANIC I EOEY - I h1rebY affirm that I am II seed under provisions of Charter µ(Cam- ❑OTHER WIGHT Ing Ith Section ]GOO) f DIVISIen 3 I the RauII d professions Code, Coe, d ser license R In full lora a affect. REH0. YARD TO P/Ll - — - - PROSECT OESCRIPTIONL :PKG. -- / o. LkalClass Lkeniir No.— 1r. /l 00 SPACE REG. PROVIDED,- p t - 'Signature - - vat " RD �' 'OCCUPANCYTL_%r-ONSTRUCTION _ STREET WIDTH - PARK 'FEE $ "y WORKERS'COMPENSATION"OECLARATION �I hereby affirm m na,re a cerllllcale of cenun110 ullinsure or TYPF _ BONING APPROVED BY DHTE 'I rtlflenter oI WDtkers' Comgeos tion Insurance. or -a waillad copy VALU -9,gl..004f;ONE SPECIAL CONDITIONS: thereof (Section 3800. lab. C.I. I ,GRADING CU. YOS. ACRES x - - policy NO - IAMP&nY ❑Certifietl py furnished. _ _ REMAR K5. 7 :. Is.M1 dwith IM1e city BOIOln9 TION n.D O CopyIspled RK EXEMPTION FROM WORKS EXEMPTION PENSATION ATION" SSTM1Is sBdlion eed. not ba Cp IttOd_ I the pelMit IS 10r one noted for one I `tines �� i ;hl .. _ ._. _ _ _ _ JPIAry ... _ ifja °)fy the penprma w w r It yu µed ball not 6 1*9 an N In a c PLUMBING CHECK -- - - 'ELECTRICAL - PLAN CHECK' 1 sq0 did Far" pIM1 W kers Com tl 'Oa[ek�=Stoffelµ ( BATHTUBS SHOWERS _ _CAR NOT) 1 alto,Nor n91M16 de extra, 1 me bidet TOILETS- ty ,URINALS- - --"GENERATOR- TRANSFORMER -0.1 KW -310 KW - - la tM1e Workers Comgmallen p Is1aM o11M LaTO ode. must .I tohWItM comply With suchp Islenz or lms per Its eemed LAVATORIES DOUBLE LAYS- ---I- - APPLIANCE' -]050 HW_SOa KW- -- —_ CONSTRUCTION LENDING OENCY KIT. BINK$- '�-'OISHW ASHER$--� Y - MOTORS -- - 0.1-HE1.10 HE -- - I I harday affirm that there Is a cominactlon lending agency for the per- SERV ICE SINKS • SUMPS. ^' - - -- UNC. SOLAR)-_ 1050 HG 50-1"HP. _ formdnce Of the worN for this pAml[ IS 1 u d (Suction � - - •r - - ' `which CS'. C'.- _ 1 -- FLOOR SINKS "FLOOR DRAINS` -Y" jFl%TYRES=`SOUTL-ETSd`-SWITCHES -- - _ - st. DRINKING FOUNTAINS -'d GASTUBESIGNS Lenders AOE�e33 - ` OWNER BUILDER DECLARATION - - - a INTERCEPTORS 'CLARIFIERS -- w - POLE LIOHTS - - IIIOmbyalllrmthatl.amexemptfrom-the Coutrentor5 Ctcenuiaw for r- - - [he'follpwing angors 15action `031.5 Bush o PrOlebuOM Cope SWIMMING"POOL- " -PTRAP - "POLE -_ -METERED y. VB J Any City County which quires permit. construct. Ileo Tt Impaow.demellsh 0, repair any structure, PNorto lttlssuance,elmre WATER SERVICE ALTERATION- '.PANELS'- MAIN - $_VB quires IM1e a0.11cant for Such p harp to Illed slgneO S[alemenl tRal he quires pursuant to the provisions of the Contnctorrs License Lw GAS SERVICE- - -OUTLETS' '- - --SERVICE - -- PMP - - - ter9 (commencing with Section JDOD) of Division 3 1 the [Chap1 Chapter and Prolessiont Good) or that -he Is Oxempl therefrom and Ina - WATER HEATERS "BTU OUTPUT- " - _ ' bails for the alleged exemption. Any violation of Sectio7031.5 by any aPPTicsnF fpr -a"permit Meets IM-appliunl to -a Civil penalty. -SEWER CONNECTIONS - - -- - - - -' -- --- --- Of OI a than 114 M1Undrep dollars (5500). O'1, at OWeer of thepropetlY: Or Cry employees with wages as their "SOLAR TANK-'- COLLECTORS r-- - - - - -- - - - - - _ I6-compenYtlon, will do the work. and the structure Is not Intended or offered lar sale. (Section 9044, Busmen and wOfenlom Cape: The SOLAR PIPING SYS. -' " ' Issue FEE )APPLICATION - - rL who -aCtOw builds or IUFdO LOW Doss Impoves thereon. not wholdoes sad uch work hf a imsaillf m ISSUE FEE - - -' - '- APPROVED Br DATE O through Ms own employees, oelded that such ImOrowments are net Intended OF Offer" for 0 10. P1. however, the buupinq or ImprevamOnt me burden _ ___ _ _ _ MECHANICAL � PLAN CHECK � SUMMARY OF FEES " � - I IS sold Within One yO 1 completion, the owner will mw f he di build Improve'far the ;BV ILDwG ' moving not pur005e'e15010).- HEATING SYSTEM 0-100,000 BTU 'I PERMIT S QO SMIP Is -I, as -owner. of -the preperty,.am xclulvay-contractin0 with. D 0-1. AND DUCTING - - , licensed coIracors to tonstmCl IM1e project (Section 1044. Redness 100,000, BTU PLAN CHECK b PERMIT ' •.. anO-ROIRsions Cove; The. Con l for%" LIGmo Ldw.dose not apply to - ISSUANCEI Is of property who b da ar owfeom r^mpr045 thereon. and who Con- REFRIGERATION 0-100,000 BTU - .PLUMBING f I tr ' suchProjects h a. C 0 tract Flat $leagued want to SYSTEM _ _ '•GRADING' S IM1e Contractor% LIun4 U 1 3SSI BTU - PLANCHECK S -l1 ✓<-41 I am axemOt under facll.�y//', /ertM1ls' gpILERS BTU ,ELECTRICAL f' _ S _ _ SYSTEM REPAIR, ALTERATION 1 - PLAIN CHECK f I MICROFILMIS pato Ojq TOTAL FEE E as I henearmae above EXHAUST SYSTEM MULTIPLE MECHANICAL- 3— - r LESS AD Inlorcorrect. County s -PLANCHECK "S VANCEPC ri— %na a u Crae =ructi. ¢IONd 1q<q�� FINAL FEE aDrivqFISSUE FEE. CMF 0 Ww[o-BulltlinB; CaOdry-AOmICa m. Plnk-Accounllnp; Goldenrod-As4Ssor CONSTRUCTION AND PLANNING APPROVALS Permit # t' Date ., Inspector POOL & SPA - - APPROVALS' Permit# - Date - -Inspector 1. _ Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - - - - - - SoilPipe-Undrgrn_ - _ 44. Steel Reinforcement - 3.-- Electrical Conduit Utility-Undrgrn _ - _ 45. Forms - - - - - - -4..-Electrical Conduit-Undrgrn _ 46.. Electrical Bonding --- - - - - - -- _ _5. SteelReinforce 47. Rough Plumbing & Pressure Test- est6.- 6.-Electrical UF.ER Grn - - 48. APPROVAL TO COVER-GUNITE - - - -- - - - 7. Footings _ _ 49. Electrical Conduit-Undr rn - . .8. Foundation..__ 50._ ,GasPipe, ❑Undr rn,Test -9. - Water- Pipe- Undrgrn 51. Backwash Lines P -Trap,❑ Uridrqrn ' 10..'_Structural'Floor System. 52. APPROVAL TO DECK 11.. Property Sewer Line &.House_Connection 53. Backwash &,Rece tor -Final " '2. -Street Sewer -Connection._-' - - -- - - - 54. Heater & Vent -Final' ' .3...Rough Plumbing--- - _ - .- .,65, Pl6mbino System _ Final 14. Rough Electric -Conduit - ' - •56. Electrical -Final - 15. Rough Electric -Wiring - - - - - 57. Solar System -Final - 16. --Rough Heating & Air Conditioning - - ' - - •- encing & Access Approval ' .17: - Ducts in Structure7 APPROVED FOR PLASTERING'- • 18:-- Ducts, Ventilating- ' 19. Gas Pipe -Rough &Test - t 20: - RoofjFraming - - - - 60. POOL/SPA SYSTEMS FINAL �. 21. Roof'Sheathin - 22:-Frameand Flashin 1' - -- --- - _ _g_ - - - - ��• ,- NOTES; /n_' F ': •' _ -" -23. Insulation - 24: Lathing & Siding - --- - - - - - - - - - - - - 25'. DrywallNailing- - , To T- r1�ow 26. Plaster Brown Coat - - - + - - 27. - Electrical Power -Meter -Final 28.- Final Electric - - - - 9! Final Heating & Air -Conditioning -- - - - - - - - 30. Final'Gas Pipe -Test- - - - - - 31. - FinaI Plumbing - - - - 32. . Water Service -Final -- -• - - - i 33. - Gas Service -Final-- - - ,t - 34. Solar Domestic -Final •' �� 35.` Landscape Sprinkling System. ' 36. Sound Attenuation- • 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. Special- Requirements Completed I_ - _ 40. - Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY ' No. Date , 'Lti T Amlicarn to fill n all spaces except thou within heavy border linea and sign an appropriate declarations. assesses CI -W OF COSTA MESA CONSTRUCTION PERM - PERMIT NO. TRACT ND. LOT NO. UNIT N0. P.piedi Atldra 1SDTCGLG4'II0.G AL07` BSM 36357 �^IIoO-Z PA2. :' Applicants Mailing Address s—t=1^_N��, RO 1�0.{� TYPE OF CONSTRUCTION NEW POD ALTERATION REPAIR Owners Name DIDONI (/J ✓� Phone 000rvVER510ry El DEMOLISH DOTHER40111 IMfW A.P. Address 0 AUX& Q./W MESCHIPT ION OF WORK/USE OF BLDG. / S E ArchlEng.}� License No. II TYPE FPERMIT [] GRADING FOUNDATION STRUCTURAL T A dJrem �!"L XO TYPE W ELECTRICAL PLUMBING ®MECHANICAL B COn Vaetpri Neme !1 phpn r D OTHER C �/f 'r/��/S�/�GT PROJECT DESCRIPTION 50. FT. TION,OCCUPANCY - K Atltlrcu(mailingl cy CONSTRUCTION TYPE �'aTA�T VALUATION, $ City License NO. ZONE GRA NCCU.YDi ACRES PJM LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under prdviel Charter RemarkL / //V Scs IL. _ A • Pull with section ]000) Of Division 3 of the Bull nb hot 'n dent no my licame is In lull fore effect, psdA LlCeme 5 Canso Dale Signature WOR R COMPENSATION DECLA ATION + Cry affirm that I have a wrtHiCat f o sem to selfans re or a cruficate losers' Compensation beach , or certified copy thereof (Section - Policy tad. c�%S5/rAli company , Policy tse �f ttlas copy Is hereby fYrNSFetl, Rot: o adwdhthe city Bu - I Data a.� Applicant E%EM 10 ROMWORKFRB'COMP NSATIO DECLARATION (This uctlon need not be mmphrad it e permitiS for lino hundred (cool or less)..11 etify that In the wrformance of a work l5 It r which this vat is Issued 1 shall not employ any person In a - as to become subject to the Lamers Name U l am exempt under Date Signature Y Orlvera' Cense qp CMP0e63-46rev. 0/84 White Drains Lavatories Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Soler Ti Swimming Pool wlE Urinal Water Closet Water Heater r Water Service gaWith wages as their sole Is not Intended or offered The $ Reinspenion Fee $15 Issue Fee ISSUANCE MECHANICAL day war, 115 or Marcam $ GRADING $- Boiler Hood or Type I ❑ Canopy Type II ❑ Duct - Under Ground Or Stroll his or her own rot Mengor offered for aid within one year Of CDM he/she did not bund or Im- TOTALFEE �iinente n aitmescbns stao: an such owner of property a w no uae Duct - Structural Re4igemtem System Duct - Vantileting ❑0100,000 BTU 0100,000 Exhaust System ❑ Multiple ❑ System Repair/Alteration s' fecal. l am award that hould be provided to Firep1/Fac1. Bit. ICED So Fire Dompars �. a P. C. for Nis reason Heating System & Ducting Registers ❑0-100,000 BTU ❑100,000 d a state that the above and county Ord no"' c maareoy .mon p d rt, �e ReinsPenion Fee $15 Issue Fee Applicant; Pink - Accounting; Go ci - Assessor Automatic4Vasher Construction %le Cooking Unit Dishwasher Dryers ❑Gas ❑ Fen F.A.U. Fixtures $3 DEVELOPMENT SERVICES Zoning Approved By Building Approved BY Application heated By BUILDING PERMIT $ PLAN CHECK. S PLUMBING $ PLAN CHECK 25% $ ELECTRICAL '$ PLAN CHECK 5016 S MECHANICAL S IS 3 PLAN CHECK 25% $ 5830 9/23/87 6Ie% 'II Zone Accessory Building: Z 0 N I G ELECTRICAL Transformer ❑ 15 50 KW ❑ SO+KW Mender ❑up to 100 amps Meter Cover 100 amps Sub Panel Motors 11D1 HE ❑ 1'b - B Inc.Solar ❑415 HP 010 Microwave Pole Light Range Sign Snntling Section¢ I Trash Compactor Isw Fee FEES I $MIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $- MICROFILM. $ TOTALFEE $ D "• CONSTRUCTION ANPLANNING- APPROVALS Permit Date Inspector POOL &SPA APPROVALS Permit Date Inspe for ;,1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. 54. Forms I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i 6. Electrical UFER Grnd.- 57. APPROVAL TO COVER-GUNITE ,'7. ;Footings 58. Electrical Conduit-Undrgrnd. 8.�Fbundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 J 67. Fencing & Access Approval 17. Rough Wiring Sign . APPROVED FOR PLASTERING •y, 18. Rough Electrical -T Bar Ceiling OOL/SPA SYSTEMS FINAL f- 19. Rough Heating & Air Conditioning 840-0`t/) FIRE DEPT. REQUIREMENT ' APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73: Undergrnd.Storage Tank'OGas ❑Oil -- 25. Roof Sheathing 74. Overhead Hydro - 26. T -Bar Ceiling (Structural) & Monocoat 93 ••75. Dry Chemical 27. Frame and Flashing ,. 7Q.. Dry Standpipe ' 28. Lathing & Siding 77.. FIXED SYSTEM FINAL - 29. Insulation Y 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 Electric9 t� Notes:NaIVR2 d4ernk/'Ov Q� 34. Final Heating &Air Conditioning at - L4F* te�l/ t5 81 UC11f r l'V tr-H #Aorg_� 35. Final Gas Pipe -Test p �� �� e-' •NgV 36. Hood or Canopy 37: Final Factory Fireplace „v 38. .Final Plumbing'•. .. i 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 & BUI LDING 48. Special Requirements Completed r",,-. •• \', 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date 1 y - Apmdam to nn In all spaces extent those within heavy border Idea and syn all appropriate declarations PERMIT NO. TRACT NO. LOT NO. UNIT Nd. /�ta�2 PT IUD 2 f5bx 35 IoZ05 waoog000We TYPE OF CONSTRUCTION - NEW DD ALTERATION P R ❑ CONVERSION 0 DEMOLISH 0 OTHER A.P.0 JJ OESCRIPTION OF WORK) OF ILD �i jy S MainBuiltli TYPE OF PERMIT GRADING FOUNDATION TR - RAL T From 0 TENANT C4 ELECTRICAL 0 PLUMBING ® MECHA AL B Rear ❑ OTHER A PR0.1ECTOESCRIPTION SOFT. OCCUPANCY C Rleht CONSTRUCTION TYPE VALUATION$ ��4 B Left ZONE GRADI NO CU. YDS: ACRES Ping. Ref.# 9i Remarka: PWnning NOles: Automatic Washer Construction Pole Cooking unit Dishwasher Dryers [-]Gas C Fan F.A.U. C4u 9505 3/19/85 05.4E T: Parking ELECTRICAL Transformer O 1S-$OKW 0 50 + KW Meter Cup to IOOamps Meter over 100 amps Sub Panel Motors 061 HP❑1X-8 Inc. Solar 0315 HE 1716 Microwave Pole Light Range Sign Sanding Sections 4l 1 Trash Campacmr $3 CITY OF COSTA MESA CO NSTRUCTION P F RMIT Bathtuti5 `, ' Project Aedrae .2��//!/J> ✓i/i/.Gt oat n�_ JFl Applicant ' n Clarifiers •` APPlicant's Mailing A EKEMPIUON FROM WORKERS' COMPS ATION CLARATION Owners Nome ane f¢This section need not be completed if the stilt Is for one hundred IS)OO) a I towerfrityt that n yuan performance of in Ik for which this permit is Issued I shall y pe.ron d y man so a to dee Subject to the WorkmS' GeneralIOn SIWs Of Call tela enter _Dishwasher, �w Address Drinking Fountains Solar Tank AreMEng, License No. Swimming Pool W/SPa Address NOTICE: 11, aria/ king IOIt declaration. you should becomesubject to the Workers' Compensation provisions at the Uabor Code, You ust forthwith Contraclor's Nam f Urinal AtldraO mailingl 'Building 'Building Approved BrDate "Application Issued By City License No. Wet" Closet LICENSED CONTRACTOR DECLARAV�o Interceptors Water Heattt hereby altbm that I am licensed under Cdrler 9 Inwith Kitchen Sink tion )000) of OWislon 3 of rtea Prof 05 'l eramy OWNER BUILDER DECLARATION 1 M1ereny affirm that I am pt from me Con"astor% UcaMe Law I*I the lolu^wln9 IeaSOn uYcSlon )031.5 Buslru s an it Profess l a net Code: Any CItY Or lr eve ICEw re Pette It to con semCt, a11ar a apro PPh a I [a011th Or lepalr Cny soutlun, esar t0 IV Its Carso alas moulds Iha appllcan[ lar So chOermll Ills a Bionic latemanl drat n0/she Is ii`onma Cursuant to tna pmvlslom of to000 pt 1 O vislontl3c O1 inei BuslnS anOhP oto dsalons COO.) m Ihalt he(she Is ex o1Pt Inarefrom and the bayls Ior 1In a11aB00 e[emaideAny eta 19 �10n OI 3e Chun )�CO3e 4' ofynat mo.oilI C flw nua PC COOais (j$soUj tea ao011cant d dmf Lnh as awnel of the .operty e y e OlovccS wpn we 905 a5 Oneh sole A at and the to 'a tin War CU IOIn Yalasa[SeChonselll]044na0uslneis anO Prolfesslanal sCOOO'n The .Con Vectorheres' LICCnse Law does net a0OI` tovan Own el of a prepany who Oullds car Improves ted who a0e5 a rk nlmRll/M1ers¢If o IMouga holt her e eoioYRs, pravlaetl Ina[ Such improvements am n Intentl d aflar¢o own sale. 11, nowewir the 0uI aIn r Improvement Is sold It anln one year o1 core- metan be human of moving tee/and old not bulla Or Ire- license Is In fullforce na a lea.License.clan Auto -Wash P—Trap n Roof Drains Dale Signature ' ' ReilllPeaien Fan WORNERS'COMPENSATION DEC Lgj1 TION Issue Fan MECHANICAL I hereby affirm that I have Cerllfleal✓of consent to se agsur or a fill Of Workers' Compensation Insurance, or a Carbie COPY [here I Ion 3800, Lac. C.�� .% Y to"Iiiiacno Willi sa le 1, as owner of the prpw!t Y. am exclusl M I Y Conrad I no wltn Il canted Can- tractors to Construct the project o Stion 7044, Busineand Professions COOe: The contractors License saw b t apply d an owner of Property who OUI105 Improves thereon, and Who attracts for such Projects with a too- traclaro1 license pursuant'la'ine C elsactor's License Lew). 1 am aware.tmae Cy No. company Duct- structural Refrigeration System 00100.000 BTU 0100, �P Urtitletl coOY Is nareey furn6me. Duel - Ventilating I Automatic Washer Construction Pole Cooking unit Dishwasher Dryers [-]Gas C Fan F.A.U. C4u 9505 3/19/85 05.4E T: Parking ELECTRICAL Transformer O 1S-$OKW 0 50 + KW Meter Cup to IOOamps Meter over 100 amps Sub Panel Motors 061 HP❑1X-8 Inc. Solar 0315 HE 1716 Microwave Pole Light Range Sign Sanding Sections 4l 1 Trash Campacmr $3 Cen S YI tPirawltnmacityed to Bathtuti5 `, Sewer Connection oat n�_ JFl Applicant ' n Clarifiers •` Solar COINCION EKEMPIUON FROM WORKERS' COMPS ATION CLARATION DEVELOPMENT SERVICES REQUIREMENTS: f¢This section need not be completed if the stilt Is for one hundred IS)OO) a I towerfrityt that n yuan performance of in Ik for which this permit is Issued I shall y pe.ron d y man so a to dee Subject to the WorkmS' GeneralIOn SIWs Of Call tela enter _Dishwasher, �w Solar Piping Drinking Fountains Solar Tank Floor Drain Swimming Pool W/SPa Date Signature NOTICE: 11, aria/ king IOIt declaration. you should becomesubject to the Workers' Compensation provisions at the Uabor Code, You ust forthwith FIMr Sinks Urinal omply with Such Provisions o this permit shall be deemed ati l:S. 'Building 'Building Approved BrDate "Application Issued By Gas Service Outlets Wet" Closet CONSTRUCTION LENDING AGENCY I hereby If firm that tere IS a construction tending agency IOr Ina derfOrminU of the work for Which this permit Is Issued [Section 3097 Cie. C.) Uhr lY Name Interceptors Water Heattt Leftist S ACOass Kitchen Sink Water Service OWNER BUILDER DECLARATION 1 M1ereny affirm that I am pt from me Con"astor% UcaMe Law I*I the lolu^wln9 IeaSOn uYcSlon )031.5 Buslru s an it Profess l a net Code: Any CItY Or lr eve ICEw re Pette It to con semCt, a11ar a apro PPh a I [a011th Or lepalr Cny soutlun, esar t0 IV Its Carso alas moulds Iha appllcan[ lar So chOermll Ills a Bionic latemanl drat n0/she Is ii`onma Cursuant to tna pmvlslom of to000 pt 1 O vislontl3c O1 inei BuslnS anOhP oto dsalons COO.) m Ihalt he(she Is ex o1Pt Inarefrom and the bayls Ior 1In a11aB00 e[emaideAny eta 19 �10n OI 3e Chun )�CO3e 4' ofynat mo.oilI C flw nua PC COOais (j$soUj tea ao011cant d dmf Lnh as awnel of the .operty e y e OlovccS wpn we 905 a5 Oneh sole A at and the to 'a tin War CU IOIn Yalasa[SeChonselll]044na0uslneis anO Prolfesslanal sCOOO'n The .Con Vectorheres' LICCnse Law does net a0OI` tovan Own el of a prepany who Oullds car Improves ted who a0e5 a rk nlmRll/M1ers¢If o IMouga holt her e eoioYRs, pravlaetl Ina[ Such improvements am n Intentl d aflar¢o own sale. 11, nowewir the 0uI aIn r Improvement Is sold It anln one year o1 core- metan be human of moving tee/and old not bulla Or Ire- Larroorics Auto -Wash P—Trap Laundry Trays Roof Drains 'PLUMBING $ ReilllPeaien Fan $15 Issue Fan MECHANICAL ENERGY P.C. S Boiler Haatl o Type 1 Canopy) Type I I ❑ Duct -Untler Ground to"Iiiiacno Willi sa le 1, as owner of the prpw!t Y. am exclusl M I Y Conrad I no wltn Il canted Can- tractors to Construct the project o Stion 7044, Busineand Professions COOe: The contractors License saw b t apply d an owner of Property who OUI105 Improves thereon, and Who attracts for such Projects with a too- traclaro1 license pursuant'la'ine C elsactor's License Lew). 1 am aware.tmae MICROFILM Duct- structural Refrigeration System 00100.000 BTU 0100, ' MECHANICAL $ Duel - Ventilating I S Exhaust System ❑ Multiple ❑ System Repair/Altmtion proof ( their Worker's OomO h insurance 00 Itl be provided to Firml/Fat BIL 1080 -P Fire Clea rs C 1 am exempt under Seceion . A P. C. lot this reason Date Heating System B Oudin9 CD100,000 BTU ❑1Og000 Renin"i I hereby cu tit c that I It e ea this apoll 9 sl uthl the about Boors atlon rISl rest. I to comply all cava co tyo=lmances a me Iaows ,eiatirafiiche w I a by authorize v s- endtives f this a [el u entl)Wd property 10, Sudan Slenatum Drivers' Ucdnss 5$ g Reinspection Fail S16 Issue Fee CMF 0665-46. rut. 10184 White - Building; Canary - Applicant' Pink . Accounting: Goldenrod - Assessor Automatic Washer Construction Pole Cooking unit Dishwasher Dryers [-]Gas C Fan F.A.U. C4u 9505 3/19/85 05.4E T: Parking ELECTRICAL Transformer O 1S-$OKW 0 50 + KW Meter Cup to IOOamps Meter over 100 amps Sub Panel Motors 061 HP❑1X-8 Inc. Solar 0315 HE 1716 Microwave Pole Light Range Sign Sanding Sections 4l 1 Trash Campacmr $3 Rainspaaioo Fee $15 Italian Fee FEES ', DEVELOPMENT SERVICES REQUIREMENTS: Zoning Apparel By— r 'Building 'Building Approved BrDate "Application Issued By ate SUMMARY $)FEES BUILDING PERMIT $ V_ %��/ SMIP It k PLAN CHECK $ acs PERMIT 'PLUMBING $ ISSUANCE $ PLAN CHECK ZS% S ENERGY P.C. S ELECTRICAL / $ GRADING S .'PLAN CHECK}%M S MICROFILM S ' MECHANICAL $ TOTALFEE S S 3 1 PLAN CHECK 35% it -� N_ 1 N R CONSTRUCTION AND PLAN;INGPOO • APPROVALS Permit# Date Inspect� or H.a SPA APPROVALS Permit# Date inspector ,1.*Temporary Electrical Ser%iice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcerrient .3. Electrical Conduit Utility-Undrgrnd. 54. Forms 44. Electrical Conduit-Undrgr�ncl!. 55. 'Electrical Bonding 5. Steel Reinforcement 56. Rough.Plumbing & Pressure Test 6. Electrical LIFER Grnd. .57.'APPROVALTb 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 Unargrnd. .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*Systern - Final 14. Rough Plumbing 65. Electrical-Final - 15..Rougli Electrical:Concluit 66. Solar System-Final 16., Rough Electric Wiring 1 67. Fencing & AccessApproval - 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.'Duc-ts, Ventilating 71. Product I Piping OGas 00il 23. Gas Pipe-Rough & Test 72. Underground Flush. 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 5. Roof Sheathing 7,4. Overhead Hydro 26. 'T-Bar Ceiling (Strutt ral) & M 'cot 75: Dry Chemical i 27. Frame and Flashing A)'-� 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29.' Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH'DEPT. REQUIREME NT 31. Plaster Brown Coat 79. FINAL INSPECTION' 32. Electrical Power Meter-Final I 180. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: I /V ;i: 1 7• --.41&, 34. Final Heating &.Air Conditioning 35. Final Gas Pipe-Test 36. Hood,or Canopy 37. Fihal 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. FiNALSTRUCTURE & BUILDING 9f =/JA7_ 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas R61ease to Southern' California Gas Co a 51. CERTIFICATE-OF- OCCUPANCY No. D ate/_7_�? • •City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 0 O 1 s 9 6 Building Safety Division P. O. Box 1200 Costa Mesa. California The Building located at 3505 Cadillac Avenue #0203 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Office Legal Description 139-662-12 (See reverse side for Metes and Bounds) Building Permit No BME18022 Electrical Permit No. BME18022,E188'PYumbing Permit No. I:ltfltSU Mechanical Permit No. BME18022,M18218 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official ft7r �C I rX O'DonnellBriLghan and Parts. 3505 Cadillac, #0110, Costa Msa, CA 92626 Date ; This Certificate of Occupancy SHALL BE posted in,a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White . Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill In au sparer exrept thou Willem Insi herder lines and sign all appropriate declarations. ELECTRICAL CITYOFCOSTAMESA CONSTRUCTION PERMIT PERMIT Nq� TRACT NO. LOT NO. UN�IT�1D, Meter ❑over ID08inps 7Gas ❑Electric Pr felt Address Vis© LAG '� Z03 Service Cutlets Water Closet loiter L -O Device Bores Pole Light hitt Under Ground fun- Structural Refrigeration System 00-100,OOO131 0100,000BTU A pplicant's Wiling Address TYPE OF CONSTRUCTION NEW ADD LJ ALTERATION LJ REPAIR SUMMARY OF FEES BUILDING PERMIT $ �v — SMIP $ PIAN CHECK $1�eL' L__ PERMIT PLUMBING $ ISSUANCE $ PIAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 50% $ MIIY�a'ROOFILM $ MECHANICAL $ /DIAL FEE $ PLAN CHECK 25%'$ f e2•gY+ ishaust System ❑ Multiple 11 System Repair/Alteration ❑DEMOLISH OTHER 9r¢pl/Fact Rlt. ICSO* OsWMF/_L1 P—�C,FG ;Phi❑CONVERSION llwneri Nam¢ pb J DESCRIPTION OF WORK/USE OF BLDG. /Sa�y16� A.P. 0Address 3505 GPr!>tLLPoG Q ArciEng. License No. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL 515 laud Fee $ 3 II El TENANT O ELECTRICAL ❑ PLUMBING 9;4WECHANICAL Address OTHER EAO'lh Contractofs NameJ�AZR.ISo/O )'1 Re/' Ibdrme 939'fI9Y Address(mailing] X890 [{ETM(OL /.ns. PROLIECTOESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYp VALUATIONS CilV Lic¢oi¢NO:—CZ s`L 51 L ZONE GRADINGCU.YDS. ACRE prig. fief.$ LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: Q Planning No with section ]000) of. Division 3 of the Business and Pstesdons Code, and my license Is In full force and effect. c _ License class MC2 fee n.�A30$6 Dte3-26—AS signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar SinkShowers 1 hereby affirm that 1 M1 ertifltale of comaecertificate Of workers' Compensation Insurance or a Certified wpy, memo' (Section Backflow Preventer Service Sink poroma 3800, Lab. I 'C�'—E's'�aa`'T PoBcv rva.3/Q¢,$$�' company Backflow It Wines sewer cap Consvu Certified copy ' hereby turn6hill CcT11e"pin }Iliad with the cift I I OI�® _�j r f !/f/ �/ii ra... Bathtubs Sewer Connection Cooking ate p`plicam vcaaprinu venae wrap Clarifierx - Solar Collectors i Diahm '.ed If the permit is for one hundred U200) or an the Work for as la become subjecthis Permit s t Issued t{:, California.¢r o Ifethe woaffirm k lott[Whiche thispermitnisessueO agency leon rho 3097 Cie.nce C.) "adds's Nama the The Contractor's License Law does not app:to an owner r property who builds o proves thalami and who conVac s for such projects Ifo CtLon- txA license personl'lo the License w). I am re lural prool 1'their Worker's Compensation Insurance Should be provided to . ❑ 1 am exempt under Section B. & P. C. for this reason Dale Owner Signature v. Date3 7L �9S Drivers', IJCen ViOrA CMF OB65 46, rev. 10/04 White -Buildings Canary -Applicants Pink - ACCountm 2/f/ 8289 3/29/85 'Lena p Drains ELECTRICAL is Washer tion Pole Sub. Transformer ❑ 15-50 KW ❑50+clay Unit Mares El up to leo amps der Meter ❑over ID08inps 7Gas ❑Electric Sub Panel p Drains Swimming Pool w/Spa I Issue Fee S 3 F,A,U. - Inc. anter❑915HP i Sinly - Urinal MECHANICAL Fixture Microwave Service Cutlets Water Closet loiter Hood Or Type ❑ Canopy Tindall ❑ Device Bores Pole Light Auto-WashI Garbage Disposal I I; 5tanding Section Launtlry Trays Generaaor 110-5 KW 05.15 KW Trash Compactor I'Ai; TL G E O M S FEES Reinstallation Fee I S16 I Issue Fee S 3 palindromes Fee $15 lave Fair 3 MECHANICAL FEES MJMM$ DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By nets Building Approved By//'� nate Applicatian Issued By X (�, / pe loiter Hood Or Type ❑ Canopy Tindall ❑ hitt Under Ground fun- Structural Refrigeration System 00-100,OOO131 0100,000BTU hot - Ventilating SUMMARY OF FEES BUILDING PERMIT $ �v — SMIP $ PIAN CHECK $1�eL' L__ PERMIT PLUMBING $ ISSUANCE $ PIAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 50% $ MIIY�a'ROOFILM $ MECHANICAL $ /DIAL FEE $ PLAN CHECK 25%'$ f e2•gY+ ishaust System ❑ Multiple 11 System Repair/Alteration 9r¢pl/Fact Rlt. ICSO* Fire Dampers Cutting System If Ducting WICKLOW BTU 0100,DD Registers 0.ainsgttion Fee 515 laud Fee $ 3 find - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector POE- i 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 r7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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.'RoughElectrical-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 I 73. Undergrnd. Storage Tank OGas 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 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 Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning i lS LW 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 i ' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 1 46. Handicap, Regulations 47. FI NAL STRUCTURE &BUILDING• I ' 48. Special Requirements Completed 49. Electric Releaseto Edison ) 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' 0321 3/29/85 Applicant o run an so ... S .x.eal mow within heavy border hoes and sign an appropriate aenanitlenr. Zone CI V OF COSTA MESA CONSTR UCTION'PE IT P,EPMIT NO G — t�l� TRACT NO. LOT NO. UNIT NO. IF MECHANICAL ProleclAddres '�TQ��.�l/,SQi®- .(Ja'D.�i DEVELOPMENT SERVICES REDUIR EMENTS: Zanin A PPraV¢d 8y !case Building Appravee By Data ApPlintian Issued By r - Det N R Parking Peg./Provided - Hand or Type ❑ Canopy Typn I I Elg E ' r /QppliEant's !%Sling Atl/g1� TYPE OF CONSTRUCTION NEW ADD ALTERATION - REPAIR - I, DEMOLISH ❑ OTHER - T S �p da �// �6P CONVERSION ELECTRICAL A.P. Transformer ❑ 1550KW_ ❑ 50+KIM s Ownal Name -aa' Phone - DESCTION O F WOB K/USE OF BLDG. Mecer (lower 100 amps Sub Panel Fire Dampers Address 7f�A /Sq<C1/G �0/bQ<' - 5- Main Building: Reginers Pole Light Range PLAN CHECK 25% $ - ENERGY P.L. '$ ELECTRICAL S GRADING $ Sign - ArchlEng. License No. TYPE OF PERMIT anAOING Fou siau[ T Front - _ rar ❑ TENANT <s4ELECTRICAL O PLUMBING ❑ MECHANICAL B peimpenian Fan $15 Adtlress ❑ AM pear Galeematl-- CAnRO no Nem PM1ane OTHER Rigbt `` PROJECT DESCRIPTION SD. F—r. occVvprvGy K. Add1e9I1^n"nn /p`F Lelt CONSTRUCTION TYPE VALUATION$ S f City License No. ZONE GRAOINGCU.YDS. ACRES plug qbj y LICENEEOCONTRACTOR DECLARATION / 11a5) I hereby affirm that 1 am licensee under must aS4 I CM1irl I ¢OC ma RB arkl: PNUelrlg Notes; with Section 9000) of Division 3 OI the B ane'Pr EIo ane my license is In lull force air d a So . ucenx cI LIw \,L ode Signature PLUMBING FEES WOR ER COMPENSATION D EC RATIOW Bar as Showing \1 n Ibereby affirm that 1 have a cerllll to of consent to s hawse orate flu el workers' Compensation innci er a ce.en V mere° Backflow Prewnter Service Sink Automatic Washer Idea, un. e) _ � _ \VU parley No. Company ❑'C. Who copy : honey m.nDhea. Backflow IrriOelidn $e55Er Up / Construction prole -Certi!i d" dwith the city is Bathtubs Sewer Connection Cooking Unit Oi10 Applicant EXE M 10 FROM WORKERS'CO P N ATION ECLARASON Clarifiers 1 Solar Collectors Oichae er (Triba9dlan need not be completed it I permit Is for one hundred El 001 Of DISH Washer • EagerPipm - - g p ❑Gas ❑ 1 [erIby that In the Performanceal Uro Ion ernkm this Permit is Issued, I rv¢rs snail not employ any person, in an rnamnr ebse as l0 oome subject t0 the Drinking Fountain¢ Salm Tank Fan Workers' Compensation Laws Of Ca Ibmla. Dale. Signature Floor Drains Swimming Pabl Ali F.P.U. 'NOTICE: If, alter making this decal you Should become s SGlecl to the Workers' forthwith such Provisionstlprel'Ge"aea'Ted Floor Sinks Urinal Fixtures with or thisptraal shall evo. ComCONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closer Diane Boxes I hereby affirm Inst there Is s Construction lending agency for tate performance o1 the wort lot nNcb this permit Is Issued (Section 3097 1 1 Intercepters Water Healer Outlets Lendi Name Lendm's Adanss _ Kinhea Sink Water Service Switches OWNER BUILDER DECLARATION " hereny affVm Iha[ I' am Bxemet'Iram the Contraelae'z llwnsa Law for the Lavatories I Auto -Wash ' Garbage DispOlBl IoleawlnW rOason (Se¢lloc )03).5 Buslnas5 antl9mleulonal Code: Any Clay or c0 ty hien requtres a permit mpomtrua, afro!, Improve, aamollsn or adult v -Trap Laundry Trays ^ Generator 00.5 K any itudun, Oslo! to Iii IEsudnCe, e1W ;BgYlns Ile appllcanl ren suCM1 p0rm1f to LI¢ a Signed ta[ement foal he/sM1e Icensea pursuant to Ile heofRoof Drains ' t3csf ode cions LaEe)l m M/6he k Oximot Divuioo the Durin u a>ryenP inti `herellOm AOY I $anion , inti Ile bans ort a alleged exempllon. vlOn,l On 03'.5 by a y applicant f0/ a permll subjects lM1e aPPlirant to civil . r�nn nY or col mon elan fiw nwdree aolmrs IE3oo).3 lJ I of me dromerty a my employees with wages as Incl. sole Peillsppstion Fee $15 Is 6 Fee S 0321 3/29/85 EeOd TI Zone Accessary Building: Reinspection Fee $15 India Fan 1$ 3 IF MECHANICAL FEEB DEVELOPMENT SERVICES REDUIR EMENTS: Zanin A PPraV¢d 8y !case Building Appravee By Data ApPlintian Issued By r - Det N R Parking Peg./Provided - Hand or Type ❑ Canopy Typn I I Elg E be M Dun Svucturel T S ELECTRICAL FEES Transformer ❑ 1550KW_ ❑ 50+KIM s Mean I]up to 100 amps Mecer (lower 100 amps Sub Panel Fire Dampers Motors 30.1 HP ❑ 1''A - B I e Solar 119 15 HP ❑1 Sn 15+ Microwave Reginers Pole Light Range PLAN CHECK 25% $ - ENERGY P.L. '$ ELECTRICAL S GRADING $ Sign - ;Standing Sections g Trash Compactor and fate lows rotor n Built; no Muctio ehere ynttion autnorim emauws 1 ibs 1 ante p I u e Imn.e oran ey% inspection pure r s/y Signature Date -i =�_'— Drivers' Within r SS FWiIpppp�� PLAN CHECK 50% $ MICROFILM j$ I MECHANICAL '$ TOTAL FEE .$ PLAN CHECK 25% $ all tamvensation, win do the work, a ga [ate Mrueure is t imanaep or olrated r Ie (Secnan )Ona, BuOnass a Prolesslonal CIM :'The contractor's u<.nM saw ewes nm poly m an owner or a Property who bu9as d. improveswwwwwww t mereon�and M10 odes n work himself/hertnl or lMau9n nB m narown e piny erevloed that such Improvements are opt mtendea o. 0 1 r to, e I6. II, nOwevaq the bullOing ar imprpwemenl Is sole wltNn one year of comms ple[�On, the owner will naw [M10 pUrden OI prpVing neRne dId hat Oulle Ur Ice- �oCor wit purpose or coin. L as o construct n or tea a ppepyt am'exousroaly cU non ing won Ilcensed can- tracThe C4 tamts the License Law 1ours noon ) P to neo dna Rf pro ert CAda: Tate s or impros sthersaw d s not apply m r her 1 tswith a who builds a lmprsVe4 theist t and _woo contracts ice Such L w). I a with r <Om Proof their pursuantomthepen Contra iron's License Law).1ov r that . p01 a e teen Worker's Se Compels jrlon Insurance 5 to ba provided to me ❑ 1 am exempt under Section S. 6 P. C. for this reason Reinspection Fee $15 India Fan 1$ 3 MECHANICAL FEEB DEVELOPMENT SERVICES REDUIR EMENTS: Zanin A PPraV¢d 8y !case Building Appravee By Data ApPlintian Issued By r - Det Railer - Hand or Type ❑ Canopy Typn I I Elg DUCT - Under Ground Dun Svucturel Refrigeration System - - ❑0.100,0000TU ❑100,000 BTU poet Ventilating 1 SUMMARY OF FEES BUILDING PERMIT § SMIP �$ PLAN CHECK S PERMIT PLUMBING S ISSUANCE Is Exhaust System multiple 'System Repair/Alteration Firepllleacl. Bit. ICBGIF Fire Dampers Date q Heating t & DUclin 0.DDDS g ❑0.100,p000TU CI 100,000 BT - - Reginers r PLAN CHECK 25% $ - ENERGY P.L. '$ ELECTRICAL S GRADING $ ren_ 1 nereoyy n illy that 1) d, [cls pl [am that the above Inrormatlon rls cUr 1 1pq io 1� n an t d County ordinances - and fate lows rotor n Built; no Muctio ehere ynttion autnorim emauws 1 ibs 1 ante p I u e Imn.e oran ey% inspection pure r s/y Signature Date -i =�_'— Drivers' Within r SS FWiIpppp�� PLAN CHECK 50% $ MICROFILM j$ I MECHANICAL '$ TOTAL FEE .$ PLAN CHECK 25% $ all peimpenian Fan $15 (nue TO. S 31. CMF 0865-66. re . le/ae' While - Bulltlingl Canary - comide mti Mnk - ArxaUn[In9: Galeematl-- gsM55Ur - CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector P06_ d, SPA APPROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole' lt/j/gS 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 Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping OGas OOil 23. Gas Pipe -Rough & Test •, 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 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 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. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No Date Cr Applicant to fill In all spaces except those within heavy herder lines and sign all appropriate aeclaratlons CITY OF COST weiect Aaaredl Applicant's Will Owner's Name ��" Address + Archdang. —41 Addrese Convectors Nan Atldr¢a !mailing) City License No. LICENSED CON' I hereby affirm t with Mi 700 m Manu is in IT WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of Consent to sellinsurt or a certificate of workers' Compenellon Insurance, or a certlllBtl COPY thereof (ubi 3000, Lab. C.1 ' Policy No. Company A Certified copy is hereby furnished. Certified copy is filed with the city Building Division. ,to AOOIIunt EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 1llms ucnon need not be completed N the derma R for -one hundred (Stool or certify trust In [lie performance, of Rut employ any Person in anyn d aweermorreek forwhichthis g0914li Issued 1 shalWorlkers'201nperW lilYLLaws of CallIINr / /bedw/hC hjeC[ tOH{:e vender s Name Lender':Aanreae OWNER BUILDER DECLARATION 1 hereby affirm that I am BXSMPt from the Contractor's License Law for following son (Soctlon 7031.5 Baslness and Professional Cotler Any city or only hich repuires a permit to Construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the aP011l (Or such permit to file a signed Statement that fertile Is licensed pursuant to the pmvloone f me Contractor's Ucense Law (Chapter g (co Ino9 with section )0110 f n m0sm3 of the Bu9ness and Professions Code) r that he/she exempt arinfrom and the Paris for the alleged exemption, Any viouslon of Section 01.5 by any applicant for a permit subjects the applicant to a civil PE RMIT NO. TRACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION NEW A gLTERAnOry REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. DESCRIPTION OF WORK/USE OF BLDG. E E TYPE OFPERMITGRADING PLUMBING D STRUCTURAL T ❑ OTHER ELECTRICAL PWMBING ❑ MECHANICAL B ❑ OTHER A PROJECT DESCRIPTION SQ-FT.—OCCUPANCY—p K CONSTRUCTION TYPF VALUATIONS g ZONE GggDING CU. Y05. ACRES' I Remarks: l .1s'. //• I Plal Bathtubs Sewer Connection ELECTRICAL Clarifiers Scalar Collectors 01550 KW L 0 50+ KW Dishwasher Sorer piping .. . buicds rPrO WS Fly Who Orrhes Drinking Fountains Bohr Tank JF Meter over 100amps Floor Drains Swimming pool w15pe was Boiler Floor Sinks _ Urinal _ )to within 016 Year Of core. he/she bid not build or lm- Gas Service Outlets Water Closet Duct under Ground : ee salty, at not more than five Funded dMlvs US500). LJ I. as hen of the property or my employees with wages as tIola flainzpetlion Fee ( $15 LJ 1 am exempt under section Date By Name correct.yIgenorrmIs i arreand state sen atly lis laws Of ��A�AMM1ddr11IIIIRlSSSSa�����[CCCCCif tg to on lig atu pus' Sspectlm Drivers' Llcenso or ss W — IF 0965 46, rev. 10184 White Disnot canis °CCo°ntacim�' ELECTRICAL Automatic WasNrTransformer Construction Pole Sub. 01550 KW L 0 50+ KW - buicds rPrO WS Fly Who Orrhes Dishwasher JF Meter over 100amps Dryers []Gas ❑Electric was Boiler r through his or own of Intended o offered for )to within 016 Year Of core. he/she bid not build or lm- DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APProred By—D:10 Application IsauW By - 4z Duct under Ground : with pool. structural mre%And eu`ons Cootie: Duct. Ventilating an owner es' of proapertith y who BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 35% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAIN CHECK 25% Ekhoust System Cl Multiple 0 shose Law). I am aware that uld be Provided to $ $ S 1 $ S $ - FirepRFaLLBh. I CHO - B.& P. a for IMS reason Heating System & Dueling that the ab ve CW100,0 0 BTU 0100,0001!11 bey a tate 'k4 $ 3 no on euthorize repre- ' - orrtmned pm Party for pate Rainegaion Fee 915 Applicant: Pink - Accounting: GOldanrOO - AEesmr lana Fee IANICAL Hand or Type ❑ Canopy- Typall ❑ gefingeratipn System :1�100,0006Tu ❑1oo.o00 Fire Dam Registers Issue Fee 0093 3�/26//�855 I Zone Notes: Fixtures ELECTRICAL Automatic WasNrTransformer Construction Pole Sub. 01550 KW L 0 50+ KW Cooking Unit Meter ❑up to 100 amps Dishwasher JF Meter over 100amps Dryers []Gas ❑Electric Sub Panel Fan Motors 001 HIS 0116- B Fixtures Microwave Device Boxes Pole Light Outlets Stelios Switches $Igo Garbage Disposal Sending Semions Generator 005 Hill 05-15 KW Tresh Compecior $3 FEES Reinspection Fee SIB Issue Fee S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APProred By—D:10 Application IsauW By - 4z / nap - > Da ta�$,/d_'.Pf'di_ BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 35% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAIN CHECK 25% SUMMARY OF FEES S $ S $ S $ S $ SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTAL FEE $ $ S 1 $ S $ - $ 3 i ,CONSTRUCTION AND PLANNING APPROVALS Permit # Date `Inspector POI . SPA APPROVALS Permit# Date -Inspector I ; 1c,Temporary Electrical Service,or Pole '52. Pool.& Equipment Location - �. 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 Electriral-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 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas OOil 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final - 3y ` 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 i 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - - Date ,- -- - - Appu eanl an Sprees excand within heavy border If, as and Ran all appropriate declarauons. w Rn m 3741 7/1!]/84 If;(. Iv 'I .r/ CITV OF'CC�STA MESA -CONSTRUCTION PERMIT P T NO. W I I �1Ac D liar LOT NO. urviT Praiam gadse3E eta Com/etAC•',. / ApplicenYe MOilirlO Atl/N�ew'�'�1S�B GJ /✓FG aV ppicaNema 0 .+IM TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR CONVERSION 19OEMOLISH DOTHER A.P.0 9 —iib —I Zonal I /�9I�P1'O^e OwiAtldress d DESCRIPT�pLi�WOy$S/UBL G�/'r �� /�JJ S Main Building: Amsmr nitlirg. Arch/Eng. ✓�a/GRSC/ License No. Atltlr¢s i TYPEOFPERMIT oRAOIry FOUNDATION STRUCTURAL ❑ TENANT D ELECTRICAL 1Z PLUMBING D MECHANICAL DOTHER T Front p B Rear N A COOtraC10%eNeme! .e1//iT�'/�f :'S�,.ene Q,_9 D PROUECTOESCRIPTION SQ.FT. OCCUPANI. CON STRULTION TYPE VALUATION$/9�a ZONE ORADINGCU.YDS. ACRES C Ri M1f 9 N Address l S Left O R I_ City License No. LICENSED CONTRACTOR DECLARATION 1 nembaffirm that t am licensed under movid of Chart label CHIP with Section 7000) of Owlslon 3 of the DOS a and Pr s o i C o, an my license N In lull force an 0 effect. / Ping. R11. Parking Req./Provided E Remarks: - �., Pemong Notes M r �]1m5 T S. ueense Class UPS Date Signature PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORKERS' COMPENSATION DEC ATION I hereby affirm that I nave a Wrllll OI Consent to self-Insureer IflGte 01 Workers' COmpensStlBn Insure ce, o a ,copy red ant n at W ub. c.) -/ roliry No. •S✓?�� Compo c lea ✓ Backflow Preventer Service Sink Automatic Washer Transformer ❑ 1550 KW Convrucxlan Pole Sub. ❑ 50 a KA Backflow Irrigation Sewer Cep ❑❑ Certified copy is hereby furnished. (r([eWllea p Is plea with Ilia city B vizi Bathtubs Sewer Connection Cnokirg Unit' Meter ❑up to 100 amps Oat 9-/�-X// gpDllcant Clarifiers Solar Col lectors' Dishwasher Meter ❑over 100 am Pa EXEMPTION FROM WORKERS' COM SRTIO ECLARATION emwjsvelon need not be Camplelea if o permit is for one honoree ($100) or 1 Cartlloy inat In [lie Oer}oroence p^ t e worfor which this pe s it a iz uta, Shelf n t employ an parsm y o as to bet Subject zto the Workers' Compensation urri Of California. manner Data Ignatura Dishwasher Solar Piping pryers []Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan - Motors ❑0.1 HE ❑1X- S Floor Drains Swimming Pool w/Spa F.A.U. Inc. Satyr E19i HP(IJBI5t NOTICE: If. after m king this declaration. You should Moi sbble t 10 the Workers' Com raftet on soundness f the labor Code• you must forthwith coply with such Provisions or this permit hall be deemed revalued. CONSTRUCTION LENDING AGENCY hereby affirm that there Is a construction lending agamy for the Performance of the work ler which this permit IS Issued (Settled 3097 CIV. O.) Landed Name Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes POIB Light Interceptors Water Heater Outlets Range Lender's Address OWNER BUILDER DECLARATION' I hereby affirm that I am exempt from the Caritanii License Law for the fallowing reason 13ec[lon 7031.5 Buzlnov and PrefesslOnal Caae: Any cily or anu ty which eaulres a cermlt m consmucL alter, Imp.nw, eemnlisn or reoalr y structure. prlpe t0 Its Issuance, also repulre3 [lie epolleanl Ion zutn cermll [o Ilio a signed slatemenl mal lie/she IS IICOOHd DWSYanI t0 ihp prw�sioas of Ilia ConlwctOl's LI<anv Yw ICnapter 9lcammentlnq wllM1 Sedlan JDOOlot Olvlsian 3 of Ino Business and Reterslon{ Code1 Or tM1al M1e/ihe Is e%emps therefrom antl \M1e basis IOr m0 alle9e0 eNsmpllon. Any vlolatlon DI $eclan JO^..5 by a y ppllcant for -a perms) ubjads the appllonl to civilEst �e Icy of dol mom [non live hunaree cellars 15500). L/ L as o liar 1 [he prODOIkY Or mY ¢mployoei wI1M1 ages their SOIa �erinlesaj 5nc[lonul7o e�oqusineie enllM1Proie351ontizCaeeldTne eC vtreOurs IJten3e irW OlOe3 d01 a0suc tO an OWn¢r al a properly who builds or Improves tnarwne d ho tloes n w .k mmselgnenen m tnrdugn ma m her own employ Orovleea Ilial a ch improwmenD an not Inbndod Nreafar ale. Il, nowevvq the bullaing Im Drwemem is smd wumn one year el corn plenon, ilia ow^e. win nae¢ m. bnre.n el proving hlr/me dm not bund rim 6 ve Im the Purpose of Sale). con Iasm cunni I me proPeny, am IwW contncung wRn licensee c buC[ toe DIOIDCI fads an 7044, Business ane Ofrop rt Coos! property The C omrec[am s thereon.uw tl o pact loan such Pr l prwith a ^a tract K provesdna WRO contracts for sato olttts Im COMI tract Iris {O1 Ilc a pwsuan['to'tno C n s^ Ibense uv.). am ware that r til their Warsaw's Comoen nalmun C fiould be Drovided tam area ❑ lam exempt under Seo B. 6 P. C. for this reason Kitchen Sink Water Service 2 Switches Sign LavatOrias Garbage Disposal Standing Sections P -Trap Generator ❑O.5 KW 115-15 KW Trash Comcur go01 Orelnz - Reinspect ion FN $15 Issue Fee $ 3 Reinspection Fee s15 IssuvF $3 MECHANICAL FEE B DEVELOPMENT SERVICES flE0U79�ME T$:_ Zoning Approvaa By 1QY Kle7 {�dC ate - Banding Appeevea By I J Dale 7 D M' ADpliwtion Issued By 3;••d Dat Boiler HOW or Type I ❑ Canopy Type I I ❑ Duel - Under Ground Duct Structural Refrigeration System ❑G100,g006TU ❑100,0pO BTU Dun Ventilating - S k14 M�(pRY F FEES Li 1 1 BUILDING PERMIT $ SMIP._ $ PLAN CHECK Z5'ID $ 2 •Q� PHRMIT I PLUMBING $ S.� ISSUANCE $ nw PLAN CHECK 25% $ Ar Zi ENERGY P.C. $ r ELECTRICAL S GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTAL FEE $ 1 3• PLAN CHECK 25% S Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/FacL BII. ICB07P Data n r Date Heating System St Ducting 11o.1 W,000 BTU❑150,000 Ili cne'flo mal. 11-gVe to compo th til ca ane mono eman°:: slid stat¢ laws ll g a mmir eereey aut%tliz3 hare- enteOws of this on - D m boned property InspecllOn purpos � � �3�� sgnalure Due Drivers' License o 5E 8 gainsproman Fee $15 leads Fee $3 CME 0865-46• rev. 4/84 White - Building:Canary- Applicanti Pink-Accountlrlo; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# - Date Inspector P00u a SPA - APPROVALS Permit# - Date Inspector 11. yfemporary Electrical Service or Pole 52. Pool & Equipment Location '�. Soil Pipe-Undrgrnd. 53. Steel Reinforcement j3. 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. 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 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing (,lee) 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.b]ucts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Mono coat/� 1g �^ 75' Dry Chemical 27. Frame and Flashing To m 7 Mg61C 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 7 l 7 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 702,1g11 HoreepOY. Lgp 34. Final Heating & Air Conditioning TO✓ 35. Final Gas Pipe -Test )' 4+0 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing /, 4cp 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 & BUILDIN 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPAN No, Date 114L4 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. QlMI'91 P. 0. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac 0-207 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Buildi Legal Descriptio Building Permit No Office 139-662-16 (See reverse side for Metes and Bounds) BP14017 Electrical Permit No.E14018 Plumbing Permit No. BP14017 Mechanical Permit No. M14181 Number of apartments —0— - andd//or guest rooms �-0 ISSUED TO: Buiilldi�ngO�ff-,ciial dn+i':Zf-�- O'Donnell 13ri.g21atn �- 3505 Cadillac ) 207 Costa Mesa Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the pr vises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White , Owner; Canary - Numerical File; Pink - Bldg. Permit File ' APPReant to IBI in all Spaces exupl those within heavy borderlines and sign all appropriate aaclaraPonx 4SiO 7/20/84 15.ptl TIL CITY OF COSTA MESA CONSTRUCTION PERMIT 3wiect.dddren 3.�Q'�li/ Qe Applicant's Mailing AALddrQz �'S`//1a��'/Jit/Lh /d PERMIT NDi�D TT TRACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR CONVERSION 1:1 DEMOLISH [3 OTHER A.P.* ZOpe Oxner4 Name A/ �d� (1r'�jl Pnan' p Address SCAT Iis.4/LLQe� DESCRIPTION OF VaOfl K/USE OF FLOG. S Mein Building : Accessory Builtling: Arch/Eng. License No. Address TYPE OF PERMIT---CFO RADING FOUNDATION TRUCTU RAL O TENANT O ELECTRICAL O PLUMBING ❑ MECHANICAL - E T Front O B Rear N Contractor's Name'yphpry A� L Right N OTHER PROUECTDESCRIPTION SQ.FT. OCCUPnrvcv CONSTRUCTION TYPE VALUATION $ 20NE GRADINGCU.YOS. ACRES- Address (mailing) -s�o City License No. 'a LICENSED CONTRACTOR DECLARATION K $ Lett G R Ping. ReL i`- Parking Peq.IProvided - E Remarks: Planning NOtM: -M I hereby affirm that I am licensed under provisions o1 Charter 9 (commencing 3 of the 9Uslns and Professions Code, and with section 7000) Of ONlslon es isin wit I�-Imy even. / 0 T LicensenClasslicese II License NO. Ll Dale signature PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate o1 consent to salfr'nswe or a certificate Backflow Preventer _ Service Sink Automatic Washer .Transformer ❑ 15-50 KW ❑ 50 t KW Construction Pole Sub. of workers' Compensation insurance, or a certified Copy thereof (Section 30004 Lae. C.) Policy No. Company BCARR) F copy Is hereby furnished. Certified copy Is filed wltn the city Building Division. Backflow l Tigatian $ewer Cap Bathtubs Sewer Connection Cooking Unit Meter OUR t0 100 amps In ApPl ont Clarifiers Solar CollOelOrs Dishwasher Mater ❑Over 100amps EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Ts'sn ion need not be Completed If the permlt Is for one hundred ($100) Or ' certifyy that in then Yperformance of theanner for m icry this permB Is Issued, Calimann to become subject to tire wmkn t emploCompennatlanersonLewis of any Date signature DisnweNen Solar Piping Dryers OGas ❑Electric Sub Panel Drinking Fountains Solar Tank ' Fan Motors ❑D-1 HP ❑1 B-0 Fluor Drains Swimming Pool irl d F.P.U. Inc. Solar 09-15 HP❑1645" NOTICE:to the al the LaborC ode, become e E Compensation provinces provincg this es ... raYOU must forthwith amply with such Provisions or MIs permit hall 0 deemed revoked. Fluor Sinks Uritl9 Fixtures MiClOv2v¢ Gas Service Outlets water Cloot Dal Boxes Pole Light CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a cbmtrualon lending agency for to performance Interceptors Water Heater Outlets Range Of the work for which this permit IS UM Ifectlon 3097 CIV. C.) Lender's Name _ Lender's AddrOa - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Uuns, Law far the following n ISecNOn 7031.5 Business and Professional Code: Any they or county hich requires a permit to construct. altar. Improve, demolish or repair y structure. pior to he Issuance, aim requires the applicant For such permit `th1 IIID a Signed Statement that fie/sear licensed pursuant t0 the provlNans of e 5 ontractor'$ Ucense Law (Chapter 9 (commencing With Section 7000) o +.Divi 3 Of the Business sort Professions Cade) or hat the Is exempt va nfefrom and the basis for the alleped exemption. Any violation Of Section a PC 2]0311ty 01 not TOreIIM1in I O n}IWnn Yadr¢d d011ans (j§SOOIthe appllCan[ l0 a civil LdmL a of tM1e property ser y e Is plovees with wages az their sole Css Tion rwul a0 to rk, amine siructure Is no mlenaaa or ouemd r iaYe `(Be on]Od4, Business and pmfealonal Cade: The Conbac[orY UCen arw tlsaes no[ apSYC [oan rOwner Pf a prppee04 w o builds v ImprOveS emereon, d ho does n xmmsHgnermnn tnraug� dos or her own plaYees. provlaad [hat such prove menti are t Innnbad aIle red for . IL mawever , Ione eu1101ng of lmpmvement iz said within ane veer of wm pbtiaq Ina owner will nave the nmden of pmvinq ne/sno tlld no[ guild or Im- "Wady r thFe purpose of ace,. 1 traCllora O rat of vIFto IY. am a ClusI It' tFact1 9 Stn NcensW can- pmj act S(Seat x044. BY alna$$anhtlr Pro Cast ns CWit a: ue Convadr's License uw tl not poly to a n f provperly nb ' b 1155 Improves tenon, and M1p conlracH ler Suchpr01eC[s IIry traaeros licence p rxuahYn ine ntraitor's License Lawe provlEeO mtMe proof 1heIF Worker¢ Camp is Insurance mould e m ❑ 1 am exempt under sectio B. a P. C InvIola reason Kitchen Sink Water Service Switches Sign Lavatories Garbage Dispa l Standing Suctions P—Trap ' Generator ❑65 Kw E15 15 KW Trish Compactor Roof Drains. 2 - RainapRbn Fee $19 Issue Fn S S Reinsppotian Fee $15 Issn Fn $ 3 MECHANICAL FEE III DEVELOPMENT $EPVICES REQUIREMENTS: 2oninp APOroved By Data Builtling Approved By pate Applimtien lssuetl By / Dat Boiler Hootl or Type ❑ Canopy Type II ❑ Duct- Under Ground Duct . Structural RefrigenatiOn System 00400,000 BTU ❑100,00° BTU Duc . Ventilating SUMMARY F FEES / ,.a /�1� BUILDING PERMIT $ .15y 0 0 SMTP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL ' $ TOTAL FEE $ PLAN CHECK 25% $ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact BIL ICBG it Data n I hereby cerofy that I avw ead HIS a uo and to tae Ioe above i�mrhmet 0nI Cdr t. iter` [comp) t cuy : county Ordinances a it[tate laaws reiatin to Willing So acs er en utherve pre- a Its f this enter t et6aneon ee pro tyv�r Is 9USt sh, ourpos .ate Drivers' Llcense 55 de Heating System & Ducting ❑6100,0000TU ❑100,000 BT Reimpettion Fn $15 )sue Fee $ 3 - CMF 00fi5-0fi, re .4/04 WMt!-BYIIOInp:CdnarY-Applicant:Plnk- AccounlingFGOldenrOd-AMesmr &NSTRUCTION AND PLANNING APPROVALS Permit # Date - Inspector POt,_ & 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 -6. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6., Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. Footingsi 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 CapIle -, 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical -Final '15_Ra1Vrt 'Iectrical-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 ❑GasO0il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank.OGas O0ii 25. Roof Sheathing ," 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 7�s3� i 6 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 3 36. Hood or Canopy V' 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 3 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' . Applicant to IRnn an among except Inose within heavy border Imes and Sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERM IT •Project A:Wrass Y� APOlicenl's fvLilixg Atldreu (Q - OYanere Name i%�077 N+� ,FIi_ -.9% Phone Address 7501 LROi"IRLT f-ll1 Arch/Eng. _ License No. Address PERMIT NO' TRACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR 1:1 CONVERSION ❑OEMOLISH 11 OTHER DESCRIPTION OF WORKILSE OF BLDG. A.P. E T 8 A C S Main Buildi. TYPE OF PERMIT LJ GRADING U FOUNDATION LJ STRUciu RAL 1:1 TENANT O ELECTRICAL O PLUMBING C1 MECHANICAL [:1 OTHER' PROJECT DESCRIPTION SO. FLOCCUPANCv CONSTRUCTION TYPE VALUATIONS ZONE GRADING CO.YDS. ACRES ' Front Rear ConoactOriNam / Phpnffr zr. �-�n9� Addressima 102i2 --D 'YLI k %iflH/fJsi GTO LIi_ �a 1- City LICENSED ONNo. AC� �/ \ L KENS EDCO CONTRACTOR DECLARATION Right Lots # Phan Remarks: Planning Planning Notes: C ter 9l ang that I am Rcensed under vravblw's 1 hit Sec ionaflim7 a Coca, WIID llOn J000) of Dlvlslon 3 0l Ina B - oM1islons Cone and my Means* a In I l Loge a b ease. 1// Meter Oovxr 100 amps 3 41-7 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% motors CGI HP❑iX-R ' been less rvo.2U1� Oete i6 3' c7 PLUMBING FEES Microwave WOR EPS COMPENSATION OECLARATION I hereby affirm that I Maybe certificate of consent t0 relNnsun or a extilleste Bar Sink SM1OWe6 anew Company at be completed If that permit Is for one bun w Persoperformn Mina mY be work for e s0 ash to became this [Ion Lbws of California. r gignature Ilov gp DLess VISlons OftheLabor Code, YOU become you should provisions or this permit Shell pa dee LENDING AGENCY - table whichits this permit else asual ng agency (Secction t3 Backflow Irrigation Sewer Cep Bathtubs Smr Connecticn SION Clarifiers Eager Collectors Brad AIN) or Dishwasher Solar Piping subject to the Drinking Fountains Soger Tank Floor Drains Swimming Pool wisps subject to the m ust fortnwltn Floor Sinks Urinal mea revoked. performance Gas Service Outlets Water Closet 097 Cie. C.I Inlercepmrs Water Heater Kitchen Sink Water Service Lavatories P -Trop !Roof Drains Reinspectin Fee $15 Issue Few MECHANICAL Boiler Hard or Type l ❑ Duct - Under Ground Ci Type It ❑ Duct - Structural Refrigeration System Duct - Ventilating ❑01W,OD0BTU 11100,000 ExhaustSystem❑ Multiple❑ System Repair/Alteration Firepl/Fact. Bit. ICBG # Heating System & Ducting rib the above ❑O10g000 BTU 111 wlo es thorlePipe- Ff d Rainzpeeion Fiat $iB laud Fee Pink - Accounteri ColJwnmd -Assessor Date owner _ Drivers' License or ss :MF 0865-46. rev. a/G< Automatic Wester Conetruc4pr Pole Cooking Unit Dishwasher Device Boxes Outlets Switches Garbage Displ Generator ❑I 4696 7/23/84 l 6071 TL Zone Trash $ 3 Z N G R Perking Rea./Provideel E G ad FEES 5. ELECTRICAL FEES Transfprmi 0 15-50 KW 11 50+KIN Meter Cup to 100smpa Meter Oovxr 100 amps 3 Sub Panel BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% motors CGI HP❑iX-R ' SMIP $ PERMIT ISSUANCE S ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE S JEtL1— nu Solar ❑9.15 His 111645+ Microwave Pole Linht E 3 Trash $ 3 Reinspection Fee _ $15 Issue Fee S 3 FEES DEVELOPMENT SERVICES flEOUIREMENTS: Zoning Approved By Building Approved BY Application lxued By Date Dale net 3 ' BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ S $ $ $ -�r�T— $ (q -UV - $ 7,S SMIP $ PERMIT ISSUANCE S ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE S JEtL1— E 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector P(J�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., ErIctrical LIFER 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 'Property 61. APPROVAL TO DECK 11. 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 & AirConditioning / P 7/t-041' 4" FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas ❑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 60. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 71WIY LW 35. Final Gas Pipe -Test 36., Hood 6r 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fig In all spaces usegt those within heavy border lines and sign all appropriate declarations. CITU OF COSTA N¢,A46r0 STRi1LlTL6NP MIT Project AMrns JY[�re(� /�we vF ITINO. IL TRACT NO. LOT NO. Date oat. Dau__7 Applicant's Mailingar�Ogr s O l` a DwnGrS Name i// s n N' �1�/% r Atldreu f O TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR CONVERSION QDEMOLISH COTHER DESCRIPTION OF WORK/USE OF BLDG. BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 2594 ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ $ $ $ $-ICS $ $ Arch/Eng. hies 1L. AL License No. Address d ro' TVPEOF PERMIT GRAOINO ❑ TEN.NT O ELECTRICAL ❑OTHER PR JECT DESCRIPTION SO. Fr. T DN5T RUCTION TVPF FOUNDATION STRUCTURAL ❑ PLUMBING ❑ MECHANICAL ' OccaPHrvLV VALUATIONS COnsrMtbri Nam r _ 1}O — / /7 ACdresslmailing) 3.? a. Jnr 1}o_oe a (. City N0. ?/(3� ZONE GRADINGCU.VDS. ACRES NSE151 LICENSED CO NTp ACTOR DECLARATION $ 3 Remarks: ' 1 hereby that am licensed Provisions n Charter and ns Code. 3 0l ilia Business and Professions Cade, and ion 7 of the with Section o1 Dand n fail of mylisen sa is In full forte and elM1tl. " Damn- Class 1-I<M50 NO. Date Signature PLUMBING FEES Bar Sink ShoWNs WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a Certificate of consent to selMnsure or a certificate Backflow&ementer Service Sink of Workers' Compensation Insurance, or a certified copy thereat (Section 3900, Uab. CT Beckflowlrtigation Sewer Cap - Policy No. Company eCertified copy r5 hereby furnisneG. Certified Copy Is filed With the City Building DLldon. Bathtubs-{ Sewer Connection Date APPemm Clarifiers 1 - SOIBr CAlI9CW(s EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TM559Ct IOn need not be completed 11 the permit Is for one hundred HIT or II CODlfy that In that Performance Of the work for annith IDIS Do Mit Is d not ploy y person In any as t Cup to Fa o co Dishwasher Solar Pi Ping Drinking .,contains Salm Tank µnark s r%�sr of cant r Date a 9gn-.— Floor Drains Swimming Pool WISpa NOTICE: If. aft.r Making this dreCLINSCIM, You should becomesubject to the Workers' Compensation pmvltlons of me labor Cotler you ust forthwith Floor Sinks Urinal amply with such Provisions o, this Permit shall be doomed revoked. Gus Service Outlets Water Clout CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for tall OOrformance of the work for which this permit 1s Issued (Section 3097 Civ. C.) Under's Name Imarcephre Water Heater UnEer's Address Kitchen Sink Waver Service proty mpen-tion twill doOr Ine work, forusedLaw does not apply to an and who doSUCII o ei mciavn w hs, Provided that such In Sale. If, however, the building o plating; the e purpose IofnW o) beS TI. as owner of ens property. a m; Co�treatoex°USCOMWpUvr bulao O Improves thereon, and tractorpj flwn:waursuant'to the proof their Worker's Camper ❑ 1 am exempt under auction— Date Dwner Iormati n if crody orrthat ect. 11 set" have t no ana State laws relating too ugdh stlatives f y eyer Inalre elan pupwri Signature Drivers' Llnnse or 55 3 — MFOB65-d- 6,111.4/0 itch projects calm a con - r) • that fe m 'I am award Bub P. C. Iia this reason Roof Drains Reinspapen Fee 3oiler Duct - Under Ground Duct -Structural Duct. Ventilating Exhaust System ❑ Mail Flrepl/Fact, BIL ICBO sit Heating System & Ductin ❑&I MrDIM BTU ❑ 100 $151 I (sue Fee MECHANICAL Head or Type ❑ Canopy Type 11 ❑ Refrigeration System ❑DIOO,000BTU 0100,000 I I Reinsm"ion Fee I $15 I I Iodine Fee Pink. Appanning:Goldenrad-Assessor $3 3740 7/101811 67.05 TI. A.P. • 1 1 Zone S Mein Building: Accessory Builtling: EZ T From O B Rear N A I C And N K dG1 Notes: Dryers Fan F.A.U. Switches P ELECTRICAL FEES - -Tmnslormer ❑ 15-5OKW - ❑ 50+ Key Meter ❑up m 100 amps Meter over IG damps Sub Panel Moews❑DI HP❑I% 8 Inc Solar ❑945 His 171645+ Microwave- _ l! Trash A E a S. Zoning Approved By Building Approved By Application Issued By Date oat. Dau__7 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 2594 ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ $ $ $ $-ICS $ $ .SUMMARY OF FEES SMIP PERMIT ISSUANCE ENERGY P.C. LIC -70 GRADING MICROFILM TOTALFEE $ $ $ $ 5 IS �pJ_ $ 3 CONSTRUCTION AND PLANNING 1 APPROVALS Permit # Date Inspector POL x 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 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 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 77Y 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 OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 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. Special Requirements Completed 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 well ntlVY border lines and sign all ap Pro Priab tlaclaratlons. CITY'OF COSTA MESA PERMIT NO. TRACT NO." LOT rya. BL G. yo. b730 Jpin5iea �COM54RUCTION PERMIT /_`j Oho _"- TYPE OF CONSTRUCTION 'v.� • ^ 17 NEW ❑ADO OA ALTERATION / N EJ FORAM ❑CONVERSION ❑DEMOLISH - lea ' 'Project Address t Gwnef n Address - ❑OTHER ZONING REGULATIONS ArchlEng. Licenu Na OESCRI PTION OF WORK TYPEOF PERMIT ❑ ❑ FOUNDATION ❑ Be A P" ZONE ET ALK C LST. PLNTG. REF. p+F PI�OpEflTI�G V INC Atltll 3 Co"RectorPho Adtlr GRADING STRUCTURAL ❑ TENANT LECTRICAL OPW MBING ❑MECHANICA ARO y A NO LICENSED NTR CTODECLARATION I hereby affirm tht I Om licensed am er pope one 1 Charter 9 ("am. I HT �� BM1dne with auction 70001 of I+the Business and 0OTHER' re Professions Code and my 1 In 1 for c REAR YARD (TO P/LI PROJECT DESCRIPTION - - LlcenSeCla - PKC. SPACE REQ. PROVIDED- ROVIDF.D- I,&IN $Q. FT. .� Oate Signature 'IOCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEES' WORK RS'COMPENSATION DECLARATIONS J hereby affix that I ham a certificate of consent to S�Ifslreur r 0 VALUATIONS ' ZONE ZONING APPROVED BY.. DATE rE5^�iterlratee0.5oJfgW.okers'CCompensation -Insurance or aaa111111i5 p0Y sal, GRADING CU YOS ACRES SPECIAL CONDITIONS: ' 111 %`E`S ' A" "F.ompanY • ` '� NCT One Li PrGIfWd Copy IS hereby f WnISIV .. REMARK$ O' ofiled COOXIS filed With the City Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION , (This section need not be Completed if the permit Is,for one hundred IElOOt o lest.' for this - PLUMBING, - PLAN CHECK ELECTRICAL - PLAN CHECK n the ploy any p 01 n i work wMOM1 permit e Ify shall Issued. I sball not employ any person y manner 5o as to became subject LM1e.Wookels Conature lOn.liws of Callfomla. .. _ BATHTUBS �- -SHOWERSSO __ Dateto Wte Signature FT SO, FT NOTICE: If atter making this declaration. YOU should become SWgNCt TOILETS URINALS GENERATOR "0;1 KW_1`1o1IKW to the Worker' Compenuuon provisions of the Ldbor Code, you mus[ - TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES ES DOUBLE LAYS APPLIANCE 1050 KW_50'+ KW - revOkOtl. / •.- ._.. KIT: SINKS DISHWASHERS ._ ,MOTORS 'cad He 1-10 HPI - .. CONSTRUCTION LENDING AGENCY I hereby affirm that there 19 constructions lending agency for the per. SERVICE SINKS -SUMPS - - (INC. SOLAR) '--1050H_50+He - - tormence Of the WOrk.for Which this permit Is Issued (Sectlon 3097 _ _ FLOORSINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES O % CN. CJ. Lender's Name _ Lender's Address DRINKING FOUNTAINS - _ GAS'TURESIGNS INTERCEPTORS CLARIFIERS POLELIGHTS -' DECLARATION aOrmtthat I amexemgt lILDER IONrvOYR rom the COnlraCIOPSLIceOH Law for SWIMMING POOL PTRAP�LlaWbI NUL I U11 the Vallowin9"reason (Section 7031,5 Business and Prolaslom Code:' Any city Or my welch requires a permit to Construct, alter. POLES METERED _SUB. WATER SERVICE -ALTERATION - PANELS 1 Im! demolish Or repair a ny Sir Ucture. prior to Its 155 us nce. a iso re- StatementthatLaw orwi5ioni _ GAS SERVICE OUTLETS - SERVICE -Peci d-1 ceoseu pursuant to the ohne io tracwii (Grepler 9 (commencing with $ectlon 7000) OI Division 3 of the WATER HEATERS - BTU OUTPUT - ensue and Professions Ormil or that fail therefrom and the for the alleged likenlPtlOn. Any violation Of Section 7031.5 by SEWER CONNECTIONS- a a permit dollars a applicant to a civil penalty of not Uppmldintole th n ee ssubjects SOLAR TANK COLLECTORS E)rI, as Owne OI the Properly, or my employees with wages a5 their SAW compensation, will do the work, and the structure is not Intended _ r offered f0! Ie. (Seetlon 7044. BURMIR and PrOPISSUMS Cade: The SUITOR PIPING SYS. ISSUE FEE COOSractorY License Law does not apply to an owner of a Property -Such _ ISSUE FEE - - -APPLICATION APPROVED BY who builds o improves thereon. and who does work Marriott or through his Own employees, provided C aLsUch improvements are not MECHANICAL PLAN CHECK SUMMARY OF'FEES Intended or Offered for Sala U, however, the bdudm pruvomont Is sale within one ear.Of edmpomlon, the owner Wu4 nave the busmen1. Of proving he at not build improve for the purpose f ales- HEATINGSYSTEM OAOO,000RTV BUILDING PERMIT b - - SMIRi E- O ri s owner OI me Property. Om exclusively mnlractlng with _ AND DUCTI NO - - Ilcensed Contractors to construct the project (Section 7044, Business 100.000+BTU PLAN CHECK_ S PERMIT ant Professions Code: The Contractor's LICOn50 Low does not apply to - fSSUArve E' -S _ owner Of property who builds or improves thereon, and who inn- REFRIGERATION 0-100,900 BTU—PLUMBING S l actrom such projects with a mntractorpp Iicesned pursuant to SYSTEM- - - - - '—GRADING- Eff IM1e Contractor's License Law), HoLoao+BTU PLAN CHECK IS ❑ ramexempl Undel$ection 8{S P. C. for this BOILERS BTU ELECTRICAL S `ea20 - SYSTEM REPAIR. ALTERATION PLAN CHECK E .MICROFILM ${' "TOTaLkEeS- wten neo MECHANICAL E Ihe Iblt have ad lhisappiation and state that the above thatat . EXHAUST SYSTEM MULTIPLE - , LESSAD- r lion is a e to comply with all city and County a PLAN CHECK 4 _ VANCE PC b___ or a 1e18 d th ` )nab 91e01 SLUOdtoo s 1a11 Ypd O [h!n BbOVeon TentlOnied - or fss proIS ec ,-- �� Signd wte '!` V - ,,'oo ''TT1'''aa FINAL FEE B_LQJ_(_SL - ISSUE FEE' - - "- - - - - -' - - - �Vvers'Luarrre or 55 —0865.46 White-BWldeam canary-APPIIrany Plnk.AccOunting:Goldenrod-Assessor CONSTRUCTION AND PLANNING CC Date APPROVALS Permit # LA POOL & SPA Inspector - ` APPROVALS Perroif#_ `. b - \ -,. _Date _ In actor 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - •� -- - - 2. Soil ipe- n rgrn Steel Reinforcement - 3. lectrical Conduit Utility-Un_drgrn 45. Forms 4. Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding..-. - 5. Steel em orce - - 47. Rough Plumbin & Pressure Test' - ` - 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE- 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation, 50. Gas Pipe, ❑ Undr rn .Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra6. ❑ UQr66 10. Structural Floor System 52. 'APPROVAL TO DECK` 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent -Final '\ ••. .. , ._ 13. Rough Plumbing -55. Plumbono System _ Final - 14. - Rough Electric -Conduit - -- -- -56. Electrical -Final 15. Rough Electric -Wiring - - - f"a O'ta!' c.- 57. Solar System -Final :16. Rough Heating & Air Conditioning W. Fencing & Access Approval 17: Ducts in Structure - APPROVED FOR PLASTERING 18. 19. 20. - Ducts, Ventilating - Gas Pipe -Rough & Test Roof Framing - - 60. • _ POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- Frame and Flashing NOTES: 23. Insulatiori� 24. Lathing & Siding_ 25. Drywall Nailing 26. Plaster Brown Coat -27. - 28. Electrical'Powe'f'N1et r Final _ _ Final Electric - - - - 29. Final Heating & Air Conditioning- - 30. Final Gas Pipe -Test 31: Final Plumbing 32 Water Service -Final - 33. Gas Service -Final 34. Solar Domestic -Final " 35. Landscape Sprinkling System - 36. Sound Attenuation' - 37. Handicap Regulations - r •- - 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - - -' - - - 41. Gas Release to.Southern California Gas Co. 42. - - CERTIFICATE OF OCCUPANCY No Date Appncanl to fill I all spaces within heavy panto Bnaa and Sign all appropriate doclarauans. 464-D4r J&rSFVLT Oe 46/0 -CITY OF COSTA MESA PERMITNpy. / TRACT NO. IAT NO. BLDG. NO. �Iba//Ci PRlN T�Ty"L-?LGIv U�Yta� 'CONSTRUCTION PERMIT i'i� Jq� ('� 9478 10/21/82 4kytle 069005-00-2-0,4'71• Project Addros3SOS Cadillac Ave. N-4 1 TYPE OF CONSTRUCTION ❑ NEW 322ADD ❑ ALTERATION - 9478 18000 Centel t PAIPilgeTS 3 Accred JbWflR LI CONVERSION OpEMOLISX ❑ OTHER, ZONING REGULATIONS Archl LnNa: a OESK ONO ORK }flT Ag.P ZONE PLNG. RgpEF. Addrent - Contractor _ _ Pllcne YPEOF PERMIT 11 GRADING ❑ FOUNDATION ❑STRUCTURAL T Yq Rp p#s�N OPERTYLINE Addrel Pirninrl nrihnint Ca. LICENSED CONTRACTOR OECLAR TION ❑TENANT ❑ ELECTRICAL OPLVMBINO�FEOiPNIC SIIpE V -- 1 hereby affix that 1 a licensed under provisions Of Chartar S (sem. RIpNT Mail with Iron ]000) r ] f the Business d O'DTHER ' sDivision Professlom Code, and y Ilpn Is In lull form d affect. REAR YARD (TO YU i1aAQN PROJECT DESCRIPTION (tlas — Ni Uce_ PKG. SPACE PEO. PROVIDED Data �� 'nO Data SG. OCCVPANC DNS ON TYPE STREET WIDTH PARK FEE f WORKEFS'C PENSETION CLARA - I hereby affix that I no" a certificate of consent to self -Insure or a VpLVATIOA pryE ZONING APPROVED By DATE pIIIIIgM 1 Workers' Cempern Ilan Insurance, r etli ed copy fe RAGING CU. YOS. ACRES SPECIAL CONDITIONS: thereof(°s I CI. lfso. g6�9� Cem�, ,cc Compensati nIIflM cony is hardly, lull leld. REMARNSr _ erllfled copy Is filed with the city Building DivisionJ)� - - LnEMPT10N FROM WORKERS' COMPENSATION DECLARATION - Section Siad not be completed. If me permit Is for one hundred - - - ;This $100) or Iess1^ - certify he ksueShell not employ any Perron In any mennerl so asitobeccome object to the Workers Compensation - Laws of California. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS Date Signature NOTICE: If after making this declaration y Should become subject TOILETS URINALS GENERATOR 01 KWl 1-10 KW you0ttmep to the ,kers' Denocomply ER forthwith with asttloproviensioonr Illyonmit shall tie LAVATORIES OOUBLE'LAYS APPLIANCE 10'50 KW�50+KW - CONSTRUCTIONLENDINGAGENCY KIT. SINKS - DISHWASHERS MOTORS e-IHP_1-10 He therefor iswhich n1Metioimle SERVICE SINKS- SUMPS- (INC. SOLARI 40501rp�so, 'His - Ihmantadirmhat the for Bili ued Ion 3pr. FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES Llt Lentler). Name er% I-SrUl YAdbr ll DRINKING FOUNTAINS - GAS TUBE SIGNS ' OWNER BUILDER DECLARATION -' IMrebY form that l am exempt from the Conlador'S License Law for INTERCEPTORS CLARIFIERS PALE LIGHT] - SWIMMING POOL' PTRAP POLFS METERED SVB the of owing reason (Section 7031.5 Sully ss ant Proefessions Coder Any City or county which requires a permit to n tru, alter. WATER SERVICE ALTERATION PANELS MAIN SUB - Improve, beml or repair any structure, priorto Its issuance, also re- ires the applicantermit to (le a signals statementthat no GASSERVICE OUTLETS SERVICE AMP - IS litahaed pursuant to the provisions of the C Uorrme Law Chaotar g (mmmentlng with Section ]000) of Division 3 of the flea WATER HEATERS BTU OUTPUT s ' Iness and Rdesilans Coydae or that he Is pvemot therefrom and the for Ij pati gea exemption.tviolation ouun itrls bl to PPlirwnAlleged subjects 1Heard Clvll Penalty I more than flue hundred dellen (ship SEWER CONNECTIONS as Owner Of the property, or my employ eas wltM1 wages as their SOLAR TANK COLLECTORS RS - will truants Is not Intended and t11and SOLAR PIPING SYS. ISSUE FEE ' r offeresees d for vase- (Section,na )044,, BusinessProfession Code! The Contractors License Law apes not pwiy to an owner o property _ ISSUE FEE APPLICATION APPROVED BY DATE/ / work himself i erelfnor WhthroMs Or theracn. and that sdoesisuch own eproves et, MECHANICAL PLAN LEECH SUMMARY OF. FEES Is bltl wlihloffered fono dylar tits[Omplellpge[lie awneai owlR navemin: eu:dm Improve for the f proving he AT not build or Purpose or ssiej. HEATING SYSTEM 0100,000 BTU BUILDING ERMIT S SMTP E ❑ 1, at owner Of IC properly. am exclusively Contracting with AEATINO DUCTING licensed contractors to construct he prtect (Section 7044, Business 100,000+BTU 'PLAN CHECK S PER and Professional Code: The COTaCtor's LJumse Use does not apply to - IESUANCE S an owner of property who Solids of Improves thereon. and who pan- REFRIGERATION 0100,000 BTU PLUMBING S tarts from s b projects -with tractogs) liceefes pursuanttoSYSTEM / - GRADING S the Conformal License Law). 100,000+BT -JH 7 PLAN CHECK Al ❑ 1 am exempt under Section B. & P. C. IOr Ib BOILERS BTU ELECTRICAL E § reason SYSTEM REPAIR. ALTERATION PLAN CHECK i— MICROFIUdA TOTAL FEE; Date "" Owner 1 hereby certify that I haw read this aplication and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL S LESS AO - rr information Is correct, grtt to comply With all city and coo ty PLAN CHECK § VANCE PC E ordlnaOCls is elating to COOduel end hereby author lxe y representat to ter upon the bow antl dPro f fro c FINAL FEE (/! Property ty 1 §/ Drivers ISSUE FEE '-' - q Qa .. _ CMFCSE546 White-Building;Canary-A pllcant: Rnk-Accountingl CONSTRUCTION AND PLANNING - APPROVALS Permit # a:TAL1(o Date Inspector POOL & SPA,-. ' APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-U_ndrgrn ` 45. Forms �' v 4. Electrical Conduit-Undrgrn 46. Electrical Bonding tee em orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7, Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrurn - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53:- Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final ' 13. Rough Plumbing --65- Plumbona System - Final 14. Rough Electric -Conduit t56. Electrical -Final - 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating &Air Conditioningbd. Fencing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS F INAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning - 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final 33.• Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System - 36: Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison, - ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 0G, 046 5 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC UNITS N3 & N4 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFI(F, Legal Description 139-662-01 (See reverse side for Metes and Bounds) Building Permit No 13P16687 Electrical Permit No. E16690,E1723plumbing Permit No. BP16687 Mechanical Permit No. Ml f7:.n Number of apartments and/or guest rooms ISSUED TO: Building Official tl'I'llT7niF:iS. iidIGHA"vl by �� / /r Sin, cAi)r T AC ir0-110 , COSTA DESA, CA. This Certificate of Occupancy SHALL BE posted in a conspicuous place on the 'p'remises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. v CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Apluimm to nu in all spans except there within heavy border linesandsign an appropriate declarations. ie[lon, Me owner will nave ire burden of Prowing he/she 410 not out Idar im- -- OM/•I(Oz� IrXProject Addreae .4CS Q p[` Duct- Under Ground . �dee for IM1a pbrpoN Of Said). 1, as owner f the property. am exclusively contracting with licensed can. SCSI to construct the Polack sOectioo pada, Business and Profeobns Code: The Contractors License w e t apply to an owner BI property who nolle:-mproves thereon, and who contracts for man Propel with poor Transformer ❑ 1530 KW 1150+KW Duct- Structural TYPE OF CONSTRU CTION NEW A ALTERATION REPAIR 0 CONVERSION 11 DEMOLISH 1:1 OTHER DESCRIPTIONOF WORK/USE OF BLDG. '• ,'b Appinn[]Mdlin A e[d Owners Nam¢ gneesd;f Address Afch/Enal 'License No. Address I 1 TYPE M GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT O ELECTRICAL ❑ PLUMBING 0 MECHANICAL 0OTHER Firepl/FecL BIL ICBI p/` r/C 9QJ/� Contractors Nam w�-�a-,/1 pr. Date Owner IHeating Car � -- /"kv /". Address lm= ^i ^•' Y•«%�J PROJECT DESCRIPTION SO. FT.—OCCUPANCY— T. OCCUPANCYCity N C OSTR LOTION TYPE VALUATIONS I hereby amity that I.nan read (ms application ana.state that one above CityLicense N_O_ 3I( D / ZONE—GRAOINGCU.YDS. ACRE U LILENS EOCONTRACTO II DECLARATION Ping. Ref.# Parking ReplProvidal Remarks: Z, Planning Noses: ,3 flng; IM1a[ 1 em Iision 3 Of the provisions of Charter 9 ns Code. I'd hereby motion wyM1 or 3 o lie Business asp Pr ns Cope, an0 o39S OF 741�6 ' - Rains ion Fee license nfull rang Sn mcenuldl{In, till 1prCe an el,¢C(. Class Icem 9%q. - ASceSsor Date r / PLUMBING FEES Bar Sink ShOWN[ $ " WORKERS' COMPENSATIONOEC RATIONr WORKSRS'mthatImaybe a nmgnte hereby affirm mar I haired Insurance of absinth led ELECTRICAL copy t er of workers' Compensation msurann, ora certified copy thereof (Section C 3800, Lab. C.I Backflow Pfeventer Service Sink $ BacklloNlrrigetipn $ewer Cap $ I1—Ob MICROFILM PoIICY No. Company DeCertified copy Is hereby th Bathtubs Scher Connection TOTALFEE IS 391' CO the city Certiflea copy B filed with the ally BUIl01ng Division. S Date sit Clarifiers Solar Collectors KERS'Applic EXEMPTION FROM We LO NSATION DECLARATION Gor the Itsyssec[ion nese not be rnmpleleO 11 the Permit IS for one hundred ($100) or lI Dishwasher $olar Piping ` Iodine that performance of tna�wlv�pr which his rel i Shall not employ 0 rzon en v m2n Sb as Tisa s to thie ' Oar[Ip p�y�°/¢��wg 1 6111om t' Drinking Fountains Sousr Tank Floor Drains Swimming Pool w/Spa Date �Q_I�V--0--r—Signature Date NOTICE: 11, after making iM1ie Pli7you should become subject in the Workers' Compensation provisions 1 the Labor Code, You must Ioefowlth ermit hall be deemed ked. comply with b Saari or this p [ Floor Sinks Urinal GO%Service Outlets Water Closet CONSTRUCTION LENDING AGENCY I I hereby affirm that there IS a Conslmcllon lending agency for the Performance interceptors Water Healer of the work for which this permit is Issued ISectom 3097 Civ. C.) bane •a name Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's License Law for the county whots re reason (Section erO31,5 mit to Borotroit, 21 nafrind rp lmP Ovel Code demoliissh orCITY remair oy ylorrto Its Issuance. else requires the applicant for such p It SAY file a Signed statement that / e is licensed ^ r t to the pr liNc Ss of the Contractor's License Law o (Chapter9(comme log with Section 70001 of Division 3 01 the Business O a Code) that heE he Is exempt theres ]031.5 byom any thebasis More dllboad bpermit subjects theyapplicaint to n of Sequin" She rally of not more than flee hundred dollars ($500). wages a I LJ I. a ownerof the goal o my employ%s with w s their sole Lavatories Auto -Wash P Trap Laundry heti Roof Drains Re'1;; Clion Fse $15 Issue Pee u S S ie[lon, Me owner will nave ire burden of Prowing he/she 410 not out Idar im- S Duct- Under Ground . �dee for IM1a pbrpoN Of Said). 1, as owner f the property. am exclusively contracting with licensed can. SCSI to construct the Polack sOectioo pada, Business and Profeobns Code: The Contractors License w e t apply to an owner BI property who nolle:-mproves thereon, and who contracts for man Propel with poor Transformer ❑ 1530 KW 1150+KW Duct- Structural g Unit Duct- Ventilating Ex1must System ❑ Iraclorosl licence pursuant to ins TOntra tar's License Lawl. I am aware that Proof ( tMn Worker's Compensation insurance Should be pr yidetl to me Rear Firepl/FecL BIL ICBI ❑ 1 am exempt under 5ectioh B. as P. C. for this reason Date Owner IHeating N System & Du ❑atOD,o00 BTU ❑ I hereby amity that I.nan read (ms application ana.state that one above information is cL agree to cDmply w1l 1 CI[y dntl mu [y ordinances r correct. and tele laws n9 to building Conztrtu and h to Y autllorl2e pre S taBve f s .l0 lion ntic ed property for 5 U R Ping. Ref.# Parking ReplProvidal Inspection pang Date U Signahure Drivers' License or SS s Planning Noses: ,3 D M $ Rains ion Fee Goldenrod - ASceSsor CMF 0365-46, on. ]0/see ver AOPIIony Pink . Accounting: Hood or Type ❑ Canopy Type I I 0 Refrigeration System ❑0100.;O STU 0100,000 ❑ System Repair/Alteration Fire 0ampns Registers $16 Issue Fee n $ 3 4402 12/20/84 39.00 TII A.P.i IZepa S Main Building: Accessory Building', atic Washer action Pole Sub. Transformer ❑ 1530 KW 1150+KW g Unit TFront p A Rear N C Right N K net Z ZO G 5 U R Ping. Ref.# Parking ReplProvidal E Planning Noses: ,3 D M $ PERMIT armS PLUMBING Montreal I I; 5:ml Sections r ❑OS KW ❑5-15 KW Trash Compactor -- I Reinspactien Fee ELECTRICAL FEES atic Washer action Pole Sub. Transformer ❑ 1530 KW 1150+KW g Unit Meter Cup to 100amps char Meter Cover 100amps ❑Gas ❑Electric Sub Panel Cj Motors E10.1 HE 01'h-8 net Z ZO Inc. Soler ❑915 HP 13 16.15+ BUILDING PERMIT Microwaveg SMIP Boxes Pale Light $ Montreal I I; 5:ml Sections r ❑OS KW ❑5-15 KW Trash Compactor -- I Reinspactien Fee $15 I I Issue Fn I S 3 DEVELOPMENT SERVICES REOUIREMENTS: Zoning Approved By note BYIIQng Approved By eta AF ilinoian leu By net Z ZO SUMMARY OF FE ES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT - PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. IS ELECTRICAL $ 27'N GRADING $ PLAN CHECK 50% $ I1—Ob MICROFILM $ MECHANICAL $ TOTALFEE IS 391' CO PLAN CHECK 25% S 'CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POu. & SPA APPROVALS Permit # Date Inspecinr 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, 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 , �fs5 66. Solar System -Final - 16. Rough Electric Wiring _ ��7 /tj/, 67. Fencing & Access Approval -- ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical_T Bar Ceiling ///7 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 �Zf 80. FOOD CERTIFICATE ISSUED 33. Final Electric l��yr Notes: &'/74.4- 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 r 46. Hand i cap'Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - - -- - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE.OF OCCUPANCY Date . Applicant to fill In all spaces except Inose within heavy homer Imes and sign all appropriate declarations - CITY OF COST ry-1�Fysat�CO/�'L��TR T NPB/�'/�rTIT-:j— 'Project Address ) ll_S 4�0 6 e --ll/'. ;rl��/' PERMIT -HO. / 2"3TY TRACT NO. LOT NO. UNIT NO. --6084 I/IB/35 7,Oc T_ AERREPAIR PE OF CONST UCTION NEW ADO LTATION CONVERSION DEMOLISH ❑OTHER DESCRIPFIONOFMIRISIUSEOF SLOG. �Appliwnt'i Meilin A i� .6kn SName n p ay )S r a Atltlress AP_$ - _ Zone S Main Building: Accessdr Builth M: V ^9° Arch/Eng. 'License No. Adithers TYPE OF PERMIT Ll GRADING 11 FOUNDATION LJ STRUCTURALT ❑ TENANT 0 ELECTRICAL D PLUMBING ❑ MECHANICAL ❑OTHEfl _ _ PROJECT DESCRIPTION SD. PT. OCCUPANCYK CONSTRUCTION TYPE VALUATIONS-- ZONE GRADING CU.YDS. ACRES From p B A Rear N Contractor's Nam I - 3y$ y dityAddLi;Imo ��- City License No j/ LICENSED CC NTRgCTOR DECLARATION I hereby affirm that "I am (learned under Mai of Charter 9 (commencing w;lh section 7000) 1 Division 3 of the Business and Professions Code, and mg license Is In full Tee pSreCL uCents L_ ll glglll _ G $ Left _ Ping, RCL$ Parking Re:L/%aeided c E' arks: 6 Planning NOles: k O M M — — ' S s5 �ep5e Date 9oS— signature l d PLUMBING FEES WORKERS- COMPENSATI ON DECLARATION I nereby affirm that 1 nave a certificate of content to sell or a Certificate Bar Sink Showers ELECTRICAL FEES of workers' Compensation Insurance, or a certified copy thereof (Becebn 3800, Lab. C:) - 0ackw flbPreventer Service Sink - Arlsonsell Washer Transformer 11 15-50 KW — Backflaw irrigation $ewer Cep PoncyNo. Company Ccnssrumlon Pole Sub. 1150+KW Bossified COPY IS hereby furbished. Certified copy is filed with the city Building Division. Dale Amplifie Bathtubs Sewer Connection Cooking Unit Meier ❑up to 100 amps WORKERS' DECLARATION EXEMPTION FROM WORKERS' COMPENSATION Clarifiers Solar Collectors Dishwasher Meter Dover 100ampz. --- --- r one hu . this section need not be completed Ir the permlbl[ for one hundred (as00) or iesel. 1 certify that i lM1e performance an iM1e work for wnlcn this perm s Iss ee, span not employ person r y m eemrge ieci is the Workers' � an - OI Calif r- o Date signature NOTICE: If, alter making this declaration, you should become sltbletl to the Dishwadler Solar Piping Dryers OGas ❑Electric Sub Panel I Drinking Fountains Soler Tank fan Malars ❑0.1 HP % 0 I O Floor Orcins Swimming Pool w/Spa F.A:U. Inc. Solar E19 15 HE ❑1615+ / Floor Sinks r Urinal Fixtures -- - Microwave- - Workers' Compensation provisions 1 me "her; ace, you must forthwith Comply with a n Provinces or this person nm be emerged r ked. Gas Service Outlets Water Clp Wt Device Boxes Pole LI girt CONSTRUCTION LENDING AGENCY I hereby affirm that there is a Construction lending agency for the rrlOrmance of the ,work for which this permit Issued [Section 3097 Civ. C.I Lender's Name In Water Heater Outlets Range Lender's Address OWNER BUILDER DECLARATION I hereby aform.that I am exempt from the ^ onlraclor's License Law for the fallowing reason (Section 7031.5 Business and Prafesslanal Cade: Any City or anvntructure, poor to iixlssuance,also requires the applicant far such Permit t0 file a signed statement that he/she is licensed pursuant to the provisionsf 'the Contractor's License Law ICnaOtef 9 (Commencing With SeCtlon 7000of DIvingin 3 of the Business and PrafeesiansmCode� a, that he/she is exempt Kitchen Sink - Water Service Switches Sign Lawrones Auto Wash Garbage Diepowl Standing Switches _ P—Trap Laundry Trays Generator 00.5 KW❑S15KW Tests Compactor Root O ra ' S therefrom and the hasis fol the alleged exemption. Any violation Of all - 7031,5 by any aPDl eCa 0" 'Of a Perm sob,bcts tno a00 lW lit -0o a civil natty of not mare than Ilve hundred dollars Is5001. I, as owner of Ina pfOerty a Y' SmP1eye 0! wllM1 gas 05 obeli sole in great ton Win me ek, 3no the fru cture Is nat Iniended Iferee e Ilan 7044 Business and pro f r She pnait code: Tne Connadoes uono aw`dw.a not adalyiwan owner Of ate ro ynno'bwms or wp.o. tberan a e0 does u n war hfm""'a sen a Mz o her n mai Ch Improvemann are r i mIan 0d or oifned for ReinspClion Fee $15 laud Fee - - $ 3 'geinapedion Fee $16 Issue Find $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS:. Boder ' - Hood or T we ❑ amp 0vord p'a"itAd ale. If, nowePor, lnW bullOing Or Imp toOn ant Is sold wlt M1ln ane year o1 Com- I n 9 NetloI' the Owner l here the human of pro sing nepne ale not Ound or Im. for F ved50wn¢pwpose of salel. • I, OI the property, ahe NCIo give IV contractItn IlCenmd con- n St mCi the prefect Sectton 7044 Busena a d Pralesson5 Coea: The oontraetor s License Law uam not apply to n r I prµ0mty who hmm5 0 Im lames thereon, and Wn0 a ntraere for such oroiects to can- a est l m pursuan['tn the "Can lfa8arz Lmanse Law). am ware teat snoule Oe provlced m. hat proof rig tnelr WerHas S Co anpanantl0n Ins nee ❑lam exempt under section D. a P. C. lar (hh reason Canopy Type I ❑ Zoning APProrM By rsala Building Approved BY Date Application lou Il Dale Duct - Under Ground Duct -Structural Refrigeration System 00.100,000 BTU ❑100,0006TU Duct - Ventilating SUMMARY OF FEES - BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ �J —I GRADING $ ELECTRICAL $ I� Exhaust System ❑ Multiple ID System Repelf/A Iteration Firepl/Fact Bit. CBO'Ph Fire Dampers I Dale Owner Heating System & Ducting ❑0100,000 BTU 0100000 Registers I heresy Certify n I nave read this application and tate that the above Inform atlon rIs correct. I agree to comply with all city `d county ordinances : - and tale laws r lating uldinq [mesion, an 9f by authorize Wo- ntatives O1'. thISIClty ter Ipbm't ors thus Property inspmaIonpurposes, o .� ,- /' Sredits Dtivers' d re ar 55 PLAN CHECK 5096$ 1. 3rJ MICROFILM $ MECHANICAL $ ( TOTAL FEE '$ o`er PLAN CHECK 15% $ Reinapenion Fast E15 Issue Fee $ 3 ' CMF 086546, rev. 10184 White = B, Ink - Accounting; Bond rod - ASNsror -' " CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector p POu� & SPA APPROVALS Permit# Date ' Ihspector 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, 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 Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ 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 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 .Atterivation - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed 49. Electric Release to Edison - - - - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ Applicant to fill In AS spaces except mese within heavy border lines and sign all appropriate deCDIMNm. - P-Tra p COSTA MESA NS UCTION PERMIT, role Amresa — rm� ,d3 Volga: PERMIT NO. 1PeP� TRACT NOZ P.n 1a:0�2 YU2TY 1(3LUNITNO: io 'fJ•8 0 Reinsw n Fn0 Applicant's Wiling onronae IT/fi�f/'YB/ !1 OwneiS Name w�� !- pbena «L�n� Address TYPE OF CONSTRUCTION E CONVERSION DESCRIPTIO NOFWORK/USE NEW ABU ALTERATION REPAIR ODEMOLISH OTHER OF BLDG. MECHANICAL q,P,0 S Main Building: HOad q1 Type 1 ❑ Canopy Type 11 ❑ n olwe nontss arel (nest through his offeree for ant b wla within And year of com- Spread Of proving he/she did not build Or Int AmOlEng. License No. Address TYPE OF PERMIT GRADINGq FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL !_}PLUMBING O MECHANICAL El OTHER O _ PROJECTOESCRIPTION SQ. FT. 04G✓ OLCOPANw CONSTRUCTION TVPE VALUATIONS -4/. /l/l/l T B C K S Front Rear y����,s� Contractor's Nam Pre ne(].]y_r-164}p Right /J � Atltlres trust lingl—L.�✓tN(/e/'�/ �' �I 2-'17 Cit License No �/ City LICENSED CONTRACTOR DECLARATION ZONE GRADINCCU.VDS. ACRES Ping. Ref. # Remarks: G �]�W�y 1�J M ^ V' � , Planning Notes: I hereby afghan al I am licensed under provlsl f Charter n MeCl with section 70001 of Division 3 of the dust and Prof ads ode no S 3 y liceme Is in full force an effect. license Clar Licons Date Signature PLUMBING FEES / Bar Sink $ho us 2 WORKE S' OMPENSATION DEC ATION I hereby affirm that I have a certifies of cosent m uIfAnsure or a cer4Raale of Workers' Compensation Insue ce, or a Certified copy thereof (Section 3000, Lab. C.) ' Backflow Presenter - Service Sink. - - quipmetic Wezl Backflow l rrigatidn Sevllr Cep ', Construction Pi sandy No.-'r'� Company✓�aQViIU�% _ C¢Rllled Copy Is hereby furnished. r rtHIwJ copy Is flied With the City Building Division. Bathtubs Sesser Connection Cooking Unit ComEXE ApplicWORKERS' Clarifiers Selaf Catlectofa Dishvaasher EXEMPTION FROM WORKERS' COMPENSATION DECLARATION need not ionthat of If the cermll isfor one , Permitl( f10O)ei II certify rfrmanCorrelated Icsueo I' shat. no That to a performance nlM10 work for as to become Callfornla manner Worlkers' Compe ti ceratin at v mann as to boom. subjast 10 I re. Compensation Laws Dishwa er Solar Pi plug Dryerc OGas Drinking Feuntaina Solar Tank - Fan Floor Grains Swimming Paul w/$pe F.A.U. , a Date Signature 'NOTICE: If, aper making this declaration, youShould YOSubject Me Warfare'Compensationpmvlslon$ of CabeExcl.. YOU Must f jm Comply with Such Provlsons or INS permit shall p deemed revoked. Floor Sinks Urinal fixtures Gds SerVl[e GUt 0[0 W3I¢r Closet D¢VICB Bo%!5' cONSTRVCTI ON' LENDING AGENCY lending agency for Me p7 Civ.anp 1 hereby Worm that there Is felt permit of the work for w111Ch [lits permll IS iisY04 (Section, 30 9] Civ. C.) Lender's' Neese Interceptors WBIII Healer '(. Outl¢ts-:' uma.sAddress I Kitchen Sink Water Service o r Cis Strait bt$ or Improving inapeon. ali C[Ofol license pursuant to proof heir Worker's Con ❑ 1 am exempt under Section Date 0 1 hereby certify that I IS a Improper 0� ,so it to Test 1 as ant A file its is ontan Inspection Upon a Signature 'A ON the Contractor's License Lew lar the proave demolide sh Anycity construct. al Professional s also requires IFa applicant mr sum Permit /pier 9 pmmmoncing with Sochi 7000) alt Dralmoions Code) or that MIShe Isexempt Ileform exemption. Any violation of Action permit subjects the applloant to Civil n' Lavatories Auto Wash P-Tra p / Leuntlry Treys Roof Drains Reinspection Fee $15 liale FanS Reinsw n Fn0 $15 IMue Faa .• area 10111(4500). my employees with wages their cob anrd me structure Is not nnded or offered _ _ MECHANICAL rP 1 a vaapertY "a Cullos or Improves owner DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APproWd Ry Application Issued By Bailer Ouct-Ondm Ground HOad q1 Type 1 ❑ Canopy Type 11 ❑ n olwe nontss arel (nest through his offeree for ant b wla within And year of com- Spread Of proving he/she did not build Or Int exclusively Contracting with deems con- Duct -Structural Refrigeration System attend 7044. Business and Professions Coder oda t Apply to an owner Of property Who IlDusi- Ventaarne OD1aB,aW BTU OlfnppB SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE .forthis reason Firepl(FacLR11. ICED =AL Fire Dampers Heating System 81 Ducting Registers that m0 above ❑0.100,gO0 BTU O 100.000 BT - - Army ordinances ianon lee mr m p re Reinapxc ion Fan $15 Issue Fee CMF 0855-46, rev. 10/84 White - Building: Gnary - Applicant; Pink - Accounting; GOIdOnrod . Adventist 4399 12/20/84 ?64.75 T_ ELECTRICAL Transformer ❑ 1 S KV ❑ 5O+KW Meter Oup to 100amps Meter QOver IDO amps„ Sub Panel Polo Light Range Sign 1 Standing Section KW ❑545 KW Trash Compactor iF $3 � Reinspection Fee $15 liale FanS 3 FEE B ' 'ojm DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APproWd Ry Application Issued By Oats Data DateI zJ� BUILDING PERMIT PLAN CHECK .PLUMBING PLAN CHECK' 25% ELECTRICAL PLAIN CHECK 50% -'MECHANICAL PLANCHECK 25% SUMMARY OF FEES $ Idl7•SD if 3Z-- Oxy $ (9'LU, IS y -.Co S $ S $ SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE S S $ S IS S'71-7�p 2-'17 S 3 CONSTRUCTION AND PLANNING PPROVALS Permit # I Date Inspector - ' . POOL, -..?A APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool &,Equipment Location 2. Soil Pipe,-Undrgrnd. �Z17_1lj �„t/� 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 n 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 '} i 63. Heater & Vent -Final 13. Roof.Drains 64. Plumbing System - Final -. 14' Rough Plumbing - y t7�( 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat It oy/r$_ 75. Dry Chemical 27. Frame and Flashing ^v" / 3 5'S ��/ 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 3 Y 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 j�� pv;xlk�, �� /� c.� 35. Final Gas Pipe -Test LOP- c0 ` d ZAZ 36. Hood or Canopy _ _, �_ __rc1� _1,�{- 37. Final Factory Fireplace C 38. Final Plumbing O 39. Water Service -Final UEO 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. Special Requirements Completed i 49. Electric Release to Edison- -• - 50: Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY. No. Date - i A efloml to nn in all spaces within nmv border lines And sign all appopnale declarer long. P111CITY OF COSTA MESA PERMIT NO. TR§568. LGi4IG. / Bf:DG-�,G. 0795 / B/B2- 758.66 CONSTRUCTION PERMIT 13 ,�� }� \ /IVJ - - Project AddressVIhl TYPE OF CONSTRUCTION L' NEW ❑ PDD ❑ ALTERATION ❑REPAIR El CONVE AS ION ElDEMO LI SH 0 OTHER ZONING REGULATIONS Owner Phone 752-551 Mdr= 1301 DOve #760 Newport Beach ArchlEng. H11fIE5-FeterS License No. 4285 QESCR P IDN OF WOQ� L) P A. . qP ZONE - - 3 28 IS CF. REFS. ZE - 6 Address 119 E. Alton Santa Ana COmMtIOr Ql{]IHnS COf15t1UCt10t1 phone 576-647 TYPE.OF PERMIT 'O - SET AC T pOFFN - PR IRTY LI NE Address 388 PO Bme Monter parks CA GRADING O FOUNDATION ❑STRII]CTU RALo ❑ TENANT -U ELECTRICAL ❑PLV OMECHANI YyARD LICENSED CONTRACTOR DECLARATION I hereby aWllrm that I am TIC Sad unser provisions of Chartal9 from, 1BING - LA yp[ RIIGNT R clnq Iter tion ]000] f Division 3 of leo Business d ❑ OTHER - hOfo331pns Code, and my homes IS In full forap effect. HEAR VARDITO P/LI J A 8639 PROJECT DESCR IPTION License Class Ucene No. SQ. FT. nF717 OCCUPANCViz• CO��N44T11ttVCTION TYPE'- PKG. SPACE RED. STREET WIDTH. 592 PROVIDEIS70 . PARKFEEf Dain Signature - WORKERS•COMPENSATION DECLARATION - now ro„uonY affirm flit[ I w a certificate of Consent to "if -Insure or a V ALUA71ON 0?93�L&d'ZONE ZONING APPROVED B OAT _ _ ' lcete f Workers' Insurance. D -Certified [spy I :y1Noge im5"7C.I. ny FYE9ILint lIldm. GRADING CU. YDS. ACRES SPEC I A L CON DITTO NS. 1rU11M copy Is hereby furnished. - - REMARKS: Gr -• Y u cer[Nled COPY B filed with the city Building Division. f104D FOR SPECIAL REQUIREi:_ENT. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - _ This Section need not be completed If the permit Is tot one nundrp _ or IScertify that in teePerformance of the work for which Forms is this Issued of menderCaliforso 3 to become nNllonnl In any lO the not employrs any PLUMBING PLAN CHECK ELECTRICAL _ PLAN CHECK BATHTUBS SHOWERS -' FT Cole. ygnafl.pe NOTICE: If after making this declaration, you should become Subject TOILETS URINALS - GENERATOR 0-1 KW KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER -1-10 forthwith comply with Sucn previsions Of this Monti[ Shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE Io -SD KW_ 50 a KW evoked. KIT.SINKS DISHWASHERS. - -. MOTORS 0-I HP -1 10 His CONSTRUCTION LENDING AGENCY thereby affirm that there is a Construction lending agent Y furthepar- SINKS SVMPB (INC.SOLAR] 1030 HG 30 HP - 1 formance of rho work for which this permit IS Inwd ISe[thn 3097 -SERVICE • t' CI¢C'I” .\_\WE11R SINKB FLOOR DRAINE FIXTURES _ OUTLETS 'SWITCHES - UmdeYS Name )FdlW.IiRiIIF •FLOOR - l Candor's. gddgsa•FFR Mu.RYIv? (•oni'cr NgrRYPY' Pn1t r _ DRINKING FOUNTAINS rt:` LL r GAS TUBE SIGNS OWNER BUILDER OECLARPTION I hereby alllrm'that Iamaamine from%he Contractor% LJeenm La Tor. the for owing reason (Section 7031.5 Business and NO(OUlDnS COCO: INTERCEPTORS CWRIFIERS, - POLE LIGHTS Any city or county which requites a permll t0 Construct.'altw, SWIMMING POOL PTRAP nn(• p - POLES METERED LygTER SERVICE {•ALTERATION PANELS MAIN SUB improv, tlemnB3n or repair any Structure, prior to Its Hsuan[e, also u' puneSrpm apM10T for Such BelmlC[O•f le YB9n0E SldNmont inel:M1e• ,GAS BE RV ICE ,y f _OUTLETS - ISERVICE AMP IS Iltenud Dufsuant la the DroV 6hers Of Irye Contractor's LI¢nse Law Tempter 91" months with t5etllpn 7.000Nt6p OlYisipn� 3 of ins WATER HEATERS BTU OUTPUT ' - RR4.. est and. Ra1tl31ons Codpj pr [M1dt be IS e%pmpt iM1ewhOm and'IM1e for Portfolio �g?fPpnlBrant hared the l afppllUnt3lolaa [IW�penalfy permit 6l ride nw SEW ER CONNECTIONS re the npnit d dollen 1$100 ; OLHR TANK j {• .a COLLECTORS ' ❑ 1 e owns 'OI the.pfdderty, or my am0loyeei witMwlaoesls their SOI I. am nered ed 00 the WOrkp antl' inB 4lfuCf SfO R''n tlnWndpol r Iforea for sale.(Se[ll0n;]Odde Builnesi andS9olesSlpnsCotler The ,SpLgprPIPING SYS. r t. ISSUE FEE ISSUE FEE APPLICATION APPROVED By GATE Contractor'S License Law door notamplyto an ower o dropertY FO bulb] or ImprowS inOreon: antl "Narke sucn.worN himself oh IDro not his own em ploytts( orovltlo0 that Such improvements MECHANICAL, f - PLAN CHEbK SUMMARY OF FEES Intended oroffered for sa in Ifo however, the buildln r ImprowmenL n2Ve I4 Sold within one yen of COMPttDon. ine ow WIIR Lnabu�dan I or0Yin9 ry§ CIO Ot bulb Ire prow oriM1e-Durpos0 f I. r -HEATING.SVSTEM, 0100,000 BTU BUILDING PEgMIT f 7s�3 EMIP E r2P ❑ I, orO or 0l the^tor try aM Sig. wly mnlnding with AND DUCTING IICen3etl [o [ractn S t0 [o street [he protect (Sect JOGe. BYSiOes4 100,000 a BTU PLAN CHECK S PERMIT and ROfoslons Code: Tho Contractor's License IJw does not aODIY to - ISSUANCE 3 an owner 01 property Who Oulltls or Improves thereon, and who con- REFRIGERATION 0100,000 BTU PLUMBING f tracts from such Projects with a conlra[tdr(R Iltlsned pursuant to SYSTEM - GRADING f the Centra t. r LInnL Law). IDg000 ♦ BTU tt C PLAN CHECK 3 1 am a%rept per Section 0.8 P. C. lot this BOILERS BTU ELECTRICAL f E n SYSTEM REPAIR. ALTERATION PLAN CHECK 3 MICROFIINE TOTAL FEE b Date MECHANICAL f pDI1GNOn and stale that the dhow I hereby earth%etlh E%HAUSTSYSTEM MULTIPLE LESS AD- informationwamOlY with all city antl county PLAN CHECK E VANCEPC $_ ordinances nStrUCtlOn. en aharebynae D.property lter pppn me nos e for LdFINgL FEE SSlgna[mDrivers' L ISSUE FEE - CMFOOGS-46 WHO-Bulid Ing:Gnary-AOPIIGnb Plnk-Acwuntin9: CONSTRUCTION AND PLANNING APPROVALS Permit # e z�x y Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole .43. Pool & Equipment Location 2. Soil Pipe-Un rgrn 44. Steel Reinforcement 3. Electrical ConduitUtility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding 5. Steel ein orce _ rp%^ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings a_�y_ga 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pie ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ Undrqrn 10. Structural Floor System SL 2- - 2 52. APPROVAL TO DECK 11.- Property Sewer Line &House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough PlumbingFinal 14. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final ' 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts in Structure _ APPROVED FOR PLASTERING 16. Ducts, Ventilating _ 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathing 71 NOTES: 22. Frame and FlashingM4 6-/S- $ 23. Insulation ---$'L�...r.+ W, d�Lr/f•C• 24. Lathing & Siding ,- • -/S �g 25. Drywall Nailing ^�;l '.J1R< <<:r.. / ..�' Gi•:.� x 26. Plaster Brown Coat c. i 1 • 9v 27. Electrical Power Meter-Final 1. 2. 3 4 57 47 Al R - B 28. Final Electric A-A3- a- ft- 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 7. 31. Final Plumbing - g /a / aZo 32. Water Service-Final R90 IZF_' &e /3 33. Gas Service-Final r,6- $' o - 34. Solar Domestic-Final -S-<Y2lid,c 35.' Landscape Sprinkling S stem- 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ag-g7 39. Special Requirements Compieted L' 3o¢,%i 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date . 1 I CITY OF COSTA Project Address _ Applommi Mailirl) 0 ... ... C A"rau ArchfEnp. Address' Contractors Mame Address (mailing) City Licena No. _ LICENSED CONTI I hereby affirm By with Section 7000; my license 1s In full o :..lsta uss' `ssa ' WORKERS' nanny affirmm the ma or worker:' come 3800. Lao. C.1 Polcy N Certified Copy I Certified Cnpy i Pao /d 4�0A1lhumt to rill in all spaces except Inane within heavy barber diver and sign m aPPreprlate eechntiom P DECLARATION ani under provisions of Charter (commencing Ion 3 or the Business and Professions Cede, and Li 3 9. IN DECLARATION fortilleate of consent to 0114more Ora CerlulnM Insurance. or a certified copy thereof (section Company umisned. h the city Eupsrin9 Division. operant ENS' COMPENSATION DECLARATION ' fileted N the permit Is for one human fill do) or ' save Of ny the so for vs t` omaureieCl Gins comply rann such Provisions a, tons permitspan o o . CONSTRUCTION LENDING AGENCY ' 1 1 hereby 0111Cm that timing Is a mnstructan lending OgNi fpr me parlormante of IN work .for which this permit Is Issued (Section 3097 Clv. C.) Uhmarc Nama Umde.s Address - OWNER BUILDER DECLARATION I hereby elflrm leaf 1 em exempt Impt too COntreGtorkUOpm LiW for the following m on Shen an 7031.5 Business and Professional Cotla: Any city or wunb permit to construct. andr enable". demolish or repair any slm imer prior 1p Ili Boosted. also requires the aPPIkont (Or Such Permit to flit a signed statement that he/she Is licensed pursuant Some provisions al the Of Diesionlr3ctf the Business me aormilons Code) or that het/slhe IsOexe pt there7031.5 b andom the ndppWanfor BY all permit ed exemption. subjects theAny applicalnt t0 on of Ei `C1ivll �rally 0 not mon than give honor" dollars 68001. 6 a owner mI the properly or y aplopees Whip age their Sire ro onation.win 00 the work, and the Structure IS not Intended or offered lraclorh) license pursuant' to the prop) a their Worker's COmpen ❑ Iamexempt under Section— Date owner I'breb int 1 nave! r Inbrmatloh IS CO! e 1 agree rte. annd (Sate 110 la Ing Ialvan I this r( Inspection Signature Drivers' License or S3 fp CMF 086516, rev. 4184 Will Fountains Service Dollars roof Drains Reinspection Fro $15 Under ou 0 be hmY1Ca0 tornMD. Exhaust Syaam ❑ Mul[ipl9 0. L P. C. For this reason Firepl/Fect. BIL ICBG 4 Heating System & Ducting itao tthat the aoove ❑010,000 BTU OID0,I)i d th Ordinances nemioneeutrnbc p pre- �°f r r Data ReinlpeNion Fee $15 Scent; Pink -Accounting; Goldenrod - ASSInuor Service Sink Bawer Cap Sewer Connection Bitter Collectors Solar Piping Soar Tank Swimming POpI wl5pn Urinal Wath Close Wear Hooter Water Service lam Fee IANICAL Hood or Types ❑ Canopy Types ❑ lefrio0tiOn System ❑01D0,DD00TU 0100.1 System Repair/Alteration Imre Fee Automatic Washer Construction One Drinking Unit Dishwasher Dryers ❑Gas ❑ Fen F.A.U. Fixtures Device Boxes Garbage Disposal Generator 0013 KW 632E 13/14/131; I Zana ELECTRICAL Transformer❑ 15-50 KV ❑ 50♦KW Meter Oup to 100 amps Motors UOI HP U1% -B Pole Light Neige Sign Mantling Sections Trash Compactor 9 al R E be M T S. FEES I S3 IT NO. TRACT NO. LOT NO. UNIT NO. TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION U REPAIR ❑ CONVERSION 0 DEMOLISH ❑ OTHER DESCR I PT ION O F MR K/USE OF SLOG. A,P.0 Oche S T R A C K S Meir a. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCv CONSTRUCTION TYPE -VALUATION Is ZONE GRADING CLL VDS. ACRES I Prof DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By -Date Application Issued By CV11Z Rear PM1one y' RipY Lefl Phi Pat DECLARATION ani under provisions of Charter (commencing Ion 3 or the Business and Professions Cede, and Li 3 9. IN DECLARATION fortilleate of consent to 0114more Ora CerlulnM Insurance. or a certified copy thereof (section Company umisned. h the city Eupsrin9 Division. operant ENS' COMPENSATION DECLARATION ' fileted N the permit Is for one human fill do) or ' save Of ny the so for vs t` omaureieCl Gins comply rann such Provisions a, tons permitspan o o . CONSTRUCTION LENDING AGENCY ' 1 1 hereby 0111Cm that timing Is a mnstructan lending OgNi fpr me parlormante of IN work .for which this permit Is Issued (Section 3097 Clv. C.) Uhmarc Nama Umde.s Address - OWNER BUILDER DECLARATION I hereby elflrm leaf 1 em exempt Impt too COntreGtorkUOpm LiW for the following m on Shen an 7031.5 Business and Professional Cotla: Any city or wunb permit to construct. andr enable". demolish or repair any slm imer prior 1p Ili Boosted. also requires the aPPIkont (Or Such Permit to flit a signed statement that he/she Is licensed pursuant Some provisions al the Of Diesionlr3ctf the Business me aormilons Code) or that het/slhe IsOexe pt there7031.5 b andom the ndppWanfor BY all permit ed exemption. subjects theAny applicalnt t0 on of Ei `C1ivll �rally 0 not mon than give honor" dollars 68001. 6 a owner mI the properly or y aplopees Whip age their Sire ro onation.win 00 the work, and the Structure IS not Intended or offered lraclorh) license pursuant' to the prop) a their Worker's COmpen ❑ Iamexempt under Section— Date owner I'breb int 1 nave! r Inbrmatloh IS CO! e 1 agree rte. annd (Sate 110 la Ing Ialvan I this r( Inspection Signature Drivers' License or S3 fp CMF 086516, rev. 4184 Will Fountains Service Dollars roof Drains Reinspection Fro $15 Under ou 0 be hmY1Ca0 tornMD. Exhaust Syaam ❑ Mul[ipl9 0. L P. C. For this reason Firepl/Fect. BIL ICBG 4 Heating System & Ducting itao tthat the aoove ❑010,000 BTU OID0,I)i d th Ordinances nemioneeutrnbc p pre- �°f r r Data ReinlpeNion Fee $15 Scent; Pink -Accounting; Goldenrod - ASSInuor Service Sink Bawer Cap Sewer Connection Bitter Collectors Solar Piping Soar Tank Swimming POpI wl5pn Urinal Wath Close Wear Hooter Water Service lam Fee IANICAL Hood or Types ❑ Canopy Types ❑ lefrio0tiOn System ❑01D0,DD00TU 0100.1 System Repair/Alteration Imre Fee Automatic Washer Construction One Drinking Unit Dishwasher Dryers ❑Gas ❑ Fen F.A.U. Fixtures Device Boxes Garbage Disposal Generator 0013 KW 632E 13/14/131; I Zana ELECTRICAL Transformer❑ 15-50 KV ❑ 50♦KW Meter Oup to 100 amps Motors UOI HP U1% -B Pole Light Neige Sign Mantling Sections Trash Compactor 9 al R E be M T S. FEES I S3 Reinspection Fee $15 lake Fee E 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By -Date Application Issued By CV11Z nate Dat BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5096 MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ $ 14J -CO $ E $ SMIP $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING $ MICROFILM $ TOTAL FEE $ �A•f]O E 3 ' CONSTRUCTION AND PLANNING - APPROVALS Permit # Date Inspector _. OL & 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 77 igs• 58. Electrical Conduit-Undrgrnd. 8. Fou, cation ! f 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 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 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 - 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date I I ^1 S — Apmmam to BB In all spates within heavy holder Rnmann Sign an appropriate declarations. o ITV OF COSTA MESA vf�M1 0 - - TRACT ry � IyyT NO.' BLDG. No. - - - - - - ' CONSTRUCTION PERMIT AM71713`alrzA- Tii�iad' ov OR ' Project Adtlreat 35'O�S�p LL" G � TYPE " • OF CONSTRUCTION EW ❑POO ❑ gLTERATION ❑'REPgIR O CONVERSION OOEMOLISH ❑OTHER k - --r x " ZONING REGULATIONS - Dinner vD on8 �% 1 a5 .-Mdrea o(VW�- �y aiO /� Ar[hlEnp. ore No. OESC RIPTIONOF WORK 'A.P.¢ ! -. I AHBilss E'. ,L.F �E' TYPE!OF PERMIT Q'GRADING' "❑ ZONE ,,P.LNG. REF. Y T XR06Py LDIrvG ROFENTV LINE -f:onOac[Or GE- PMne jAddress ,' v IN FOUNDATION LY$T RUCTURAL [)TENANT D"ELECTRICAL UPLUMBING-OMECIiANICA VgRD 'LICENSED CONTRACTOR. DECLARATI 1 hereby alflrm that I a licensed der pro Itlam; I C_M1a ter 9 / - v3 -, 0„� 1 "J s-„ 'Ca)- o 516 Y R I HT -+•. C: - ' Tenting with tion ]000) OI DIVI31on 01-ine "B161ness'i d ❑OTHER' -- _ Proresslons Code, and my licenseIs In full farce a J Site 1; ,REAR YARD (TO P/L) -PROJECT DESCRIPTION. ' - - ... - - _ License class Ucense No. SQ FT,r' iOCCUPANC�CON RUCTION TYPE PKG. SPACE REQ. STREET WIDTH -ZONING PROVIDED 'PARKFEES-Y _ Cate Slpna\Lire - .WORKERS' OMPENSATION"DECLAR TION- - -- ILn by affirm that 1 have Certificate of consent meLlnsureror a. - •VgLUATIO 2DNE APPROVED BY DATE PHI le OI Worker5"CoTPensition Insurance. rtified'[0pY f(sn:Imn31Py LaE rL) G_R_ADII NO CU. UOS, ACRES 'SPECIAL CONDITIONS: _ _ _ _ No. --Company � - - y `rtlfuld COPY is hal Portal¢. - REMARKS, certified tepy 15 Iliad with the city Bullding DI I - EK-EMPTION FROM WORKERS COMPENSATION DECLARATION .. 3. _ _ -- _- + - - (1145.szctlon-need not ba completed Ir.the permit IS 1 hundred E�Oo_ Isnot )n.,gr V 1 t?fy p riorman” pf the-work.fo M M1 IhI pv m t Is Issued. I hall not employ any Person In any to $ e t become _ t PLUMBING =_PLAN CHECK ' _ _ _ _ _ _ ELECTRICAL PLAN _ CHECK [ubjec,I04he Workers Compensation Lawsaf California... . m BATHTUBS SHOWERS FT_, ej Date I Signature t NOTICE: If after making this m 0afatioq OU Should become subject "�TOIIETSI" 1( URINALS ' 'GENERATOR p.1 KW_3=10 KW, j l0 tn0 Worker5 Compensation provisions a the Lab r Code, you must _ _ _ rTRANSFORMER r forthwith Comply with such provisions or this Permit Shall be decMed LAVATORIES DOUBLE LAVs j ,APPLIANCE 10-50 KW— _ _ a KW - ked. L _ KIT. 51 NK5 DISHWASHERS- _ - _ :MOTORS 0-1 HP -1-10 HIS 'CONSTRUCTION NLENOI AGENCY affirm re Is landing agency sl nafred.ectlr\ 30der-97 SERVICE SINKS SUMPS, -111NC"$p 10-50 HP 50 HP . romance OfIn$alrk to,59[hothis al IM1 k lof which this pew II Is Issued �SCCIIOn 309] FLOOR SINKS .FLOOR DRAINS IFI%Tl1RES OUTLETS •-SWITCHES',, 1 ay. C )[e ay. C.L'-- "' j I % s Name / ILender .Len08r1 Address �'I—j DRINKING FOUNTAINS ' 'GAS TUeE SIGNS" - OWNERBUILDERDECLARATION-- Ihereby a111rmthat lamexempl from the COIQdCtOrS LICOSO Law for INTERCEPTOR$ CLgRIF1ER5 - I - ---- POLELIGHTS ---- - I "SWIMMING POOL - PTRAP ---'---- --r - and the forOvin9'reasun'(Section' 7031-S i d-rofos51,IY Code: Any City O County -which r0cu088 aSPermlt construct, alter, �� 'PO E METERED .SUB Int- dem pa- y Structure-. Pel - to -Its Issuance. also re- P WATER SERVICE ALTERATION PANELS MAIN. . SUB O the ap II 1 f h permit t fit Signed statement that he I II ed p 1 t m p -I -f IM1 Co Irattor's Lltena law _ - GA55ERV CE SERVICE - - AM - 9 ( g "[ Section 000) of Division 3 1 to OUTLETS - WATER HEATERS- BTV OUTPUT - _ - T' -�' - t �Chapter xbss d Professional Code) that h I mpl therefromand the- theallowed b exemption.Any violation 0f Section 7031.5 by F CONNECTIONS --- '- - --- pSubjects- the applicant to- cPolPcenaltySEWS yplmore t than five hundred d011ars 18500) +.7 ❑ 1. aS Owne Of the property, or my ampeoiees with wages as their SOLAR TANK COLLECTORS sole camoenwtlon,. will d0-ine work, and.tl:. tructure 1s not Intended I "*•' or offered for sale. (Section 7044. Business and Professions Code: The SOLAR PIPING SVS. ( _ I ISSUE FEE r. COntraelor'S UCenSO 4w-dOeSAot-apPly-to an.owner.of pprroperty ISSUE FEE 'APPLICATION APPROVED BY DAT,E7�j thereon. this tadho hrough ed that SLU Improvementsof amoral no\ own employees Intended or offered for Mile. If, hOMVSr, the building or improvement Is sold with) y f completion, the own¢ 111 nit \n b den MECHANICAL PLAN CHECK SUMMARY OF FEES ^I t - - • ' ' "BUILDING-' 'p, f proving M1 did 1 build r Improve for In p I IeL 2 So r ❑-1-as-ow e property, the 7044. H with licensed ro the ]boa, en:mess HEATING SYSTEM_ 0-100.000 STU _ "AND DUCTING _ JE/t_TG PERMIT - 4 P�..s qq.w5a SMIPI% $ +SD contractors projen (setlydh tonso-en Project n (Section ID0,c00 a BTV 'PLAN CHECK $AIL_ PERMIT and Prolesslons-Code: The Contractor's License Law tl rfa mot apply to' ISSUANCE -E' ' - an of property h buildsm maraves thereon, and who con- REFRIGERATION 0-100,000 BTU •PLUMBING tracts from" h projects with ontr [tor(s) Hossned pursuantto-SYSTEM' - - -_ - - E - - GRADING theContract LI Law). ]00z000,+STU ' CHECK S O 'am a empt nodal secron " -B: s P. a idr'inls - - - E _ _ _ __ �eirsun BOILERS BTV *,PLUMBING ELECTRICAL E E PLA CHECK -• "MICROFILM E' I Dale- Onner ... SYSTEM REPAIR. ALTERATION E_XHAUST_SYSTEM MULTIPLE - MECHANICAL $ TOTAL FEES LE55 q0/. I I hereby Certify that l have read this awplicallon and State that theabove to Information Is correct. 1 agree ply with city d my - PLAN CHECK E PC- 8- ordinances and sate IBM relating Construction. and herebyauthorize,VANCE • • -1• ..,• ) presentatives of this city to enter upon \M1[ both tioned properly for Inspec -on _ rl ��• z7� Q SlBnatwe_ i_�_ - FINAL FEE E Drivers' Llcans or 55 ISSUE FEE - ' -- WML-Bul n9: narOTRI�. y-Applltam, inn -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit #- Date Inspector ''�`'� POOL & SPA ;. . APPROVALS Permit # " - -Date - Inspectors - 1. Temporary Electrical Service or Pole -43. Pool & Equipment Location - -- - - - - - - - 2. SoilPipe-Undrgrn, A. 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel em orce 47. Rough Plumbin & Pre a Test 6. Electrical UFER Grn - 48. APPROVAL TO COVF ':GUNITE•,� 7. Footings TY,d 49. Electrical Conduit-Und 'rn /'- 8. Foundation50. Gas Pipe, ❑ Undr rn; Test j 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra' Undrqrn 10. Structural Floor System 52. APPROVALTO DECK - 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - -_54. Heater & Vent -Final _.,1 13. Rough Plumbing - _ ystem- - - - -- - - - - 14. Rough Electric -Conduit - - - - =56. Electrical -Final 15. Rough Electric -Wiring - 57. -.Solar System -Final " 16. Rough Heating &.Air -Conditioning - - __ encing & Access Approval 17._ _ Ducts, in Structure.' t .- - 16 ' 1 ' APPROVED FOR PLASTERING 18. 19. 20. _Ducts, Ventilating Gas Pipe -Rough &Test �. - _ _- _Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof,Sheathin Frame and-Flashin - NOTES: 23. Insulation 24. Lathing .& Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. .Final Electric' _' r 29. Final Heating & Air Conditioning, 30. Final'Gas Pipe -Test 31. Final Plumbing i 32. Water Service -Final.- 33. Gas Service -Final 34. Solar Domestic -Final - 1 35.- Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE&BUILDING 7-17-q3•- 39. Special Requirements Completed - 40. Electric Release to Edison - - - - - - - 41. Gas Release to Southern California Gas Co. 1 42. CERT IFICATEOF OCCUPANCY No Date ED' Applicant tofill 1n all spaces wltM1ln naaVY border 11ne5anD Sign all ipp[OD[iale eedareliom] CITU OF COSTA MQA PFftplp TRACT NO. I;OT NO. BLDG. NO. CONSTRUCZION PERM IT IVGz / TYPE OF CONSTflUCTION NEW ❑ ADD O ALTERATION- El REPAIR OCONVERSION EIGEMOLISH ❑ OTHER - i �. - .. ' ZONING REGULATIONS rAE¢ Project Address Own ! -F* Q AddrNs' - - - '- I ArchfEnS. License No. OPEC RI PTION WO K _ _ • Address - - TYPEOFPERMIT - - _BUILDING OGRAOING.. O FOUNOATIL_O, yyN prY'1wF''�1e�(T.C,Cpp TU R0.L- -O TENANT O ELECTRICAL f20NE �pLNG. -- SeTEACK CIL ST. - SIO YARD LEp REF. gs. ' TT gU��p -' PHOVh R TPLI NE ,Contractor "' Phdn¢X%• Address - LICENSED CONTRACTOR DECLARATION TMcebY alarm Shot 1 am licensed under pfwlsbns at Charier 9 (w^ - Ing -with 'Section )000) f OIWs10n•3 f the Business and GYLbMBING ❑OTHER --• -' lair• 1`Rea I ANIC - - - IIGiITp . Ralesslans On and my IlNnze IS In full force aE all O - I C8R 'REgR Vp0.0(TOP/U n• Leon wD Lie se N� PROJECT DESCRIPTION. - / ' SQ �� , i _ PKG.5PACERED- 'HROv1DE0 Date TZ SlPnatwa - WORKE 5' COMPENSATION DEC ARATION -� OCCUPANCY_CONSTRUCTI ON TYPE STREET WIDTH PARK FEE'E' 'I hereby affirm that I have d certifiCate Of COMent to neutrino or a VALUATION' 1420. w� ZONE ZONING gPPROV EO BV ,DATE certificate Of Workers'CompenSdUon InrpNnC0. Or d Certified copy _ ---- GRADING CU .YOs. ACRES •. - r - - 'SPECIAL CONDITIONS: - pour (Section 3900 Lab. C) S/O R /' �A9a�LFT/RO Y No. 2 Co Pant _ - - rtlflae COPY'I hereby furnished - - REMARKS I .. c rtlnee 1 filed with thecity Building or. sign. _py E MPTION FROM WI)RKERz COMPENSATION DECLARATION .. r Thrs sectmn need npl ba mmpN[aO If the pmmlt Is for one hundred _ _ s _ _ • '. '41 .11 Eto or leu IsscueJ�f n .. _ - I snet�notemploy any KreonhIn any manner) ae as to Become PLUMBING I J" PIAN CHECK - - "" 'ELECTRICAL' PLAN CHECK ' SubletcLlo the Worker Compensation Lawsof Callbmla.: _ _ BATHTUBS SHOWERSSo _ _ _ PT' - -- Date Signature NOTICE: N after making this declaration. you Shkadd become[ODFpt TOIETStli I.C•j .:'URINALS^ -`- C' --"'GENERATOR- -01 KW_ISOItW to the workers' Condensation provisions of the Labor Code, you must _ TRANSFORMER forthwith comply with such pa,hiOnz Or this permit Shall be comes _ LAVATORIES DOUBLE'LAVS __ _ c "- rAPPLIANCE 30-50 KW_50I KW -rvOki - RIT. SINKS - DISHWASHERS --MOTORS 0-1 MP_1 to HP - CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency tormo ICfinence_ot the work for which this pesmlt IS Issued Ise_ctlon 3599 SERVICESINKS d�'•"'SVMPS-- --' '•"SONO. SOWIRI- 10-50'Hp— HP I- Qty. 0.1. _�• _ FLOOR SINKS FLOOR ORAINS''r j --- FIXTURES -- OUTLETS "SWITCHES - LendePs_Name_ _ _ _ DRINKING FOVNTAINS T "Gq5 T11BE'$IGNS"- - CIMINEspeeress OWNERBUILDER➢EC mempt ON Inefor affirm that amexempthornthe Consraand P troin Law for I heAn for reason [Settlor )OSLO business s and Prof COOer INTERCEPTORS CLARIFIERS -POOL -` T - - POLE LIGHTS- Ossium of city o_ county wMCM1 rMebes permit to construct, pas SWIMMING PTRAP-'-`- - - POLE METERED - - sUe __ VICE- ALTERATION' .� - IPANELS - MAIN- SVB C aalter,lso f eampnzh or result any structure Prior Itsatement also rem the it a Signed Islicened Pursuant torsuch hepovisRns Ol he Cpanita'S icameta Is licensed pursuant the provisions of U0 LIf3 LPW GAS SERVICE GAS SERVI[E OUTLETS s' ,SERVICE' -' AMP - - pe n 0) ofo �elwler I[nmmennag 9s Division3 f the _ -WgTER HEATERS BTV OUTPVT- _ ' - rthat ex therefr apparel therm e tnlast M1e bion end sby exemption. of e StaProfged violation OI Election 7031.5 for the afor eged_natSub qts 1 SEWER CONNECTIONS n he to NO penalty colors not more five (f50u0)�uant m m " •' nti __ SOLAR TANK COLIECTO RS - ' ❑ I, de Owner of IM1! properly, or employees with es , a Wtture Is not Intended ion, will do the work, sln .s S not i intended _ SOLAR PIPING SYS. _ j - _ ISSUE FEE '- - - or offered for and Code The o lner of1.Im for Nanne. (Section 7044. Business anan ownerof cono r,etprs w ,. o ty uw-does not eWho ISSVE FEE - __ _ •APPLICATION APPROVED BY- ppT , imam and Who d such work himselfarof uuhs or improves Or IDPL such[ S, Son, through M1or oWn+em plc yale. Med see not such improvements improvement em haOweveq the Building MECHANICAL PLAN CHECK I SUMMARY OF FEES enc is said offered sale. m r improvement O one will haw the careen O Craving h no build o improve in, Of proving he OIO not build ! improve fm the pmppsa of calel- HEATING SYSTEM 0-100,000 BTU O'�D' 13 C -as O O¢f'Of thhOrop tY" I IY contracting with _ AND DUCTING ' I• __ T _ rPERM IT_G_ _ E SMI''f S. ''�D• licensed contractors 10 construct t la project t (Settlor Business 100,000 BTU ALAN CHECK PERMIT ' esnot and Pfpfess pns'Code'TOe Con[ del Y'LI Law does net apply 10 _E "ISSUANCE E an owner o1 property who suits P thereon. and Who COO- REFRIGERATION 0-100,060 BTU I IPLVMBING f 4H Ila IS from-stmh Projects hM1 A contractor(s)Ilasmad inwapam'to l SYSTEM-• -' -'� --�-- --- -- - - --E - GRADING' -E IM1e Comtoctoris License Lai 100,000 a BTU PLAN CHECK , ❑lSun ex¢mpl unEei Se[ticn S.6 P.0.10r Ihis s 1 BOILERS BTU ELECTRICgL st Y SYSTEM REPAIR, ALTERATION 1 ,PLgNCHECK "3 MICROFILM IS 'TOTAL DvN _ _ _ _ _ _ Odw^ -•' -Owner - - - _ MECHANICAL IS FEES .1.p¢a elan and tete SaartM1e allow IM1erebycerlfv WH read all EXHAUST SYSTEM MULTIPLE LESS 1 agree to P\Y 1\M1 Iry nO untY 4nlorma\ion f anks toacom PLAN CHECK -S _ VANCEPC i' E ordinances.fie. tate �Sws relaUn9le GO pinY[VOd dnah¢I¢pY iulhadPZe, tri tl reps w Ofhiscity m ppm )fie bow t h e n property p C tion purpose Signature to FINAL FEE $1700 If Drivers' Lice or 5S tP ISSUE FEE _ _ _ CMF 096569 White-BOIltliog;Canary-ApPIICanL Rnk-ACCouoflnp{ Goldenrod -Assessor CONSTRUCTION AND PLAIQNING APPROVALS Permit # Date Inspector POOL & SPA ' APPROVALS - Permit # Date - - s Inspector + 1. Temporary Electrical Service or Pole -+ 43. Pool & Equipment Location -- '• -`- - -- - - 2. So' ,pe-Undrgrn 44. Steel Reinforcement - - - .3._ Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn _ _ '- 46. Electrical Bonding - 5. Steel em orce, 47. Rough Plumbing & Pressure Test - _ Electrical UFE_R Grn C j t• ;,a 48. APPROVAL TO COVER-GUNITE 7. _ Footings <�.�, i-�y�, -';49. Electrical Conduit-Undr rn 8. Foundation 50.. ,Gas Pipe, El Undr rn, Test t 9.- Water Pipe-Undrgrn _ _ - 51.. Backwash Lines P-Trap.Q Undrqr6 -�- - - 10. Structural Floor System _ 52.""APPROVAL TO DECK"--'- _ 11. Property Sewer Line & House Connection _ _ 53. Backwash & Receptor -Final • � , 12. Street Sewer. Connection 54. Heater & Vent -Final 13. Rough Plumbing 557 - - - - - - - • - 14. Rough Electric -Conduit - - -- 56. -Electrical-Final 15. Rough Electric -Wiring -'" -" - -57-. Solar System -Final "" • - 16: Rough Heating & AirConditioning ST -_Fencing & Access Approval - 17. Ducts, in Structure - _ APPROVED FOR PLASTERING .18: Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19: Gas Pipe-Rough `&Test 20. Roof Framing ' 21: Roof Sheathing NOTES: . 22. Frame and Flashing _ _ _ 23. Insulation 24. Lathing &.Siding 25:. Drywall Nailing_. 26. Plaster Brown Coat - 27.. Electrical Power Meter -Final 28: Final Electric 29: Final. Heating & Air Conditioning - 30.- Final Gas Pipe -Test 31. Final Plumbing- " '• 32. Water Service -Final _ _ - ' 33. 'Gas Service -Final. 34. Solar Domestic -Final' - - - 35. Landscape Sprinkling System - 36. Sound Attenuation - - 37. Handicap Regulations 38. FINALSTRUCTURE & BUILDING - - - 39. Special Requirements Completed 40. Electric Release to Edison41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY No Date A CITY OF COSTA MESA — 1 Address I Spaces Within Meavy Corder lmes and sign all appropriate 0e01aNllons V TRACT NO. LOT NO.; 'BLD NO. [arodpj t ty.IN the:perroemance of me nmrk ror which this Permit N Billed' hall not employ any parks" In any'mennOr 50'as 10 O%Oma UO�OOItOtheWorkers. Compenat l On_4ws o t Callf o mi a.-' YPE OF CONSTRUCTION .. ITphre NEW ❑ ADD ❑ ALTERATION - D REP%k R_D CONVERSION "DEMOLISH NO. ❑ OTHER ' - --DISHWASHERS— DESCRIPTION OF WORK yKIT.SINKS Or"manee oflrthe nworkat eher wMChn thisetiods ec permit 151 SneednlSeforthe 3Mr- FLOOR'SINKS "FLOOR GRAINS' Tone �� TYPE OF PERMIT- •I—• - O GRADING .Q FOUNDATION. 0 -STRUCTURAL Q TENANT'Q ELECTRICAL`RLUMBING DMECHN "DRINKING FOUNTAINS -' - 1NTERCEPTORB"-- -CLARIFIERS" CLARIFIERS— al Charter9l[Pm- he Q OTHER' �Busiinnessss jand Iparea.3 PROJECT DESCRIPTION OCCUPANCY CO C_ONSTRN_TVPE__ I_ (INC..SOLARI taNlNniurO 0r0 I I If y _ VALUATION" "' ZONE _ GRADING Ci. VOE.- ACRES or loss. .. r [arodpj t ty.IN the:perroemance of me nmrk ror which this Permit N Billed' hall not employ any parks" In any'mennOr 50'as 10 O%Oma UO�OOItOtheWorkers. Compenat l On_4ws o t Callf o mi a.-' PLUMBING PLAN CHECK"- - IIJ-' -BATHTUBS-- ---SH4WE RS---" Dale signature NOTICE: If after making this declaration. you Should become subject -to the Workers Compensation provisions Gf the labor Code, you must forthwith COmOIy With Seen or*YISICM or this Permit shall be deemed TOLLETS. . URINALS - - - LAVATORIES DOUBLE-LAVS - -revalued. 1. CONSTRUCTION LENGING AGENCY - --DISHWASHERS— SERVICE SINKS - .SUMPSctio- -^ yKIT.SINKS Or"manee oflrthe nworkat eher wMChn thisetiods ec permit 151 SneednlSeforthe 3Mr- FLOOR'SINKS "FLOOR GRAINS' ICIv: C.).- ' Lender's Name Landers Address "DRINKING FOUNTAINS -' - 1NTERCEPTORB"-- -CLARIFIERS" CLARIFIERS— OWNER aUILDERDECLARATION I heresy fflrm tht 1 amexempt from the Contractor's License Law for N the-mi reason ( Witton 70031.5. BuSO0and.lMolicsS1OnS Cddp: Are Sins County which r ullm 11nIt t0 construct. sitar. SWIMMING POOL----PTRAP - I_ viman one Year as completion, me owner wul nor Ing he ala of buil improve tat the burp Owner ofmeproperty, am ssuco Sly_ ori NSSIO SSeCode erconstruct acioer rSen (Section, oes IF m Property who bund: or mai Masson,a Such protects with a ntractOr(N Roamed tracw tors Uram a Law). exempt under Section B:6 Owner certify mat 1 haw read this adbnomon and slate u en[ v/ 1 s0ve� pY u0on a b�1 - 'sr Llcunsp'or SG'8 Teo ` -- ISSUE FEE 086546 White -Building; Lamery-pp un.-Accournbug: GotdenYod-Ai Sso1 — x969 8/12/82 .,9e00 TLI ZONING REGULATIONS - ZONE PLNG. REF. Sf REAR YARD LTO P/LI - -- - PKG.SPACEREO. - - PROVIDED^ STREET WIDTH- - PARKFEEf, EONING-APPROVEOBY' "DATE ;PECIAL CONDITIONS. - - ELECTRICAL - - PLAN CHECK - (GENERATOR SO FT - 0-1 KW�Y10'KW ' .TRANSFORMER rl 1 APPLIANCE - - 1030 KW=50'r KVs - iMOTORS -0-1-HP_110'Hier (INC..SOLARI � 5p.t M :'T✓ .I. lO3step R -FIXTVRES--- OUTLETS -SWITCHES GASTVBE SIGNS---- - -- POLELIGHTS - --- POLES6 ETERED SUB'— ' PANELS MAIN- - SUB - SERVICE- - - --AMP - ... 6 ISSUE FEE' J 'APPLICATIOMAPPROVEO By LOAT k - SUMMARY OF FEES -.. }. 'BUILDING - PERMIT 3 ISMIP 'PLAN CHECK E PERMIT e .ISSUANCE 3 PLUMBING b L' _G E PLAN CNECH _ _ _' -GRADING lo- -- , ELECTRICAL _ It 3 - 1 S' PLAN CRECK fMICROFILM (MECHANICAL f _TOTALFEES' SAD -PC 1 .PLANCHECK f VANCEZiCSP ftp ' FINAL FEE Is CONSTRUCTION AND PLANNINGPO APPROVALS Permit# Py4X'{ Date Inipector _ OL&SPA T �'- APPROVALS Permit # Date Inspector," 1, Temporary Electrical Service or Pole 43. Pool & Equipment Location - - -SoilPipe-Undrgrn - - - _ 44. Steel Reinforcement - - 3. Electrical Conduit.Utility-Undrgrn - - 45. Forms - 4. Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding- 5. _Steel Reinforce _ _ _ 47. Rough Plulmbirig & Pressure Test - - • - - .-6. Electrical UF.ERGrn 48. APPROVAL TO COVER-GUNITE •- - - - 7. __rings_ 49. Electrical Conduit-Undr rn 8. - .Foundation_.. _ . - _ - - 50.:. Gas Pipe,-, 0 Undr rn, Test ' 9. -Water Pipe-Undrgrn. _ 51.. Backwash Lines P-Tni '❑ Undrqrn . 10.. Structural Floor System 52.: -APPROVAL TO DECK 11. -.- Property Sewer-Line & House Connection 53. Backwash &'Rece for-Final t- - 12. "Street Sewer-Connection -- - - 54. Heater &Vent-Final ' . 13. Rough Plumbing _ - - -� - - Plumbina Svit9nal 14. Rough Electric-Conduit 56. -Electrical-Final • 15. Rough Electric-Wiring - 57.- Solar System-Final •' - - '" - ' 16. Rough Heating& Air Conditioning,- - - •- encing.& Access Approval 17: Ducts in Structure- " - - - ' _ APPROVED FOR.PLASTERING ' 18. 19: 20f Ducts, Ventilating GasPipe-Rough'&Test- - - - - Roof Framing - - •--60.--.POOL/SPA SYSTEMS FINAL 21. - 22: Roof Sheathing Frame and Flashing-- - - - - - - NOTES: - • - - - 23. Insulation - - - - - -- - 24. Lathing & Siding - - - -- -- - -- - - --- -- - -- - - - 25. Drywall Nailing - - - - -- - 26: Plaster Brown Coat 27. Electrical Power Meter-Final - - - - - - - -- - ' 28. -Final. Electric -29. --Final,Heating & Air Conditioning - - ---- - ' 30. Final'Gas Pipe-Test - - - - " -- - - 31. Fine l;Plumbing - JN - 32. Water Service-Final- - - - - 33. Gas Service-Final- - - -" - - - 34. Solar Domestic-Final 35. Landscape Sprinkling System I 36, Sound Attenuation - - - - 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed 40. Electric Release to Edison -- ! 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No._. Date ' _ - r_ APPnum to Rn In an seam exwes those within heavy _border Il net and Somali appropriate declarations. Transformer ❑1SEOKW ❑SU f KW. 'Raln'Rlectlon Fiat $15' QTY OF COSTA MESA City liseOCe #026026PERMIT $lldwera -- Reinsp%tidn Fx' $15 N0. l TRACT NO. LOT.N . - LIT, as owner f the ptoarty O Y am ulovxs xtn gas their M C�ea UEe o nI u . neraaeine sir num B not Into na he C n n>SO.ed ampleIde In Is does ]Doer Buto asa d Prdfertlon r [Win UIa CenvenarN UComen Law tlom nal apely to anowner of a property veno bullOs or Improves IN sone1ind veno. eoM Such work A Mae fm half or in Ou per his Or her own , provided met seen Imorxemenu at*not Inumea or offeree for Ye. IY noveam, me build]ny Improvement IS sold w I one year, of Com- elton, IF owne.:wl1 naw the Soral or proving neRna did net buud Or Ina for the purpose of sale). le t3 CONSTRUCTION PERMIT 2 0 MECHANICAL '. goiter Refrigeration System Duct - Under Ground ❑0.f OOp000TU ❑100,000 BTU -4910 '2%27/H4 -1 -)1, 0,1 T. - A'pplicant's Meiling AddrevLC TAl ProjectAddressi _1509 Cal owner's Name n'TT)NNI.7T. RRIrRAM ,4PAB3NM TYPE OF CONSTRUCTION KINEw LJAoo ALTERATION UREPAIR. F1CONVERSION C3 DEMOLISH yFl OTHER DECRIPTIONOFWORK ITISLa11ati0O o�lle`at'�n,p, azo' ZONING Duet - Structural Syrem Repair/Alteration Address 1301 rntP CY ti Yea Ti3O NP[ XTrY RCh (12660 AM1/Eng. _ Llxnx No. m Addreen - 'TYPE OF PERMITORAOINO LIFOUNDATION STRUCTURAL ❑ TENANT O ELECTRICAL CIPLUMBING ® MECHANICAL ❑OTHER - PROJECT DESCRIPTION SD. FT. OCCUPANCY CONSTRUCTIONTYPF VALUATIONS ZONE- GRADlNQCU.VDl ACRP% A.P:ds ZONE as Owner 81 the 0fto Fly em <%des YN contr d no with 114 leaCob T[[pts to construnthe prp(ec[IOa oo]oae, Buselets and Wofassiens Code: ,e Contractees Llxn3e caw E t appy t0 an owner al properly who builds or Improves memos, and woo contracts for such projects With a cob tractor(s) license pursuant to me Cdue or% ucenae Law). - ❑m laexempt unser Suction- a S. P.for tnlFired/Fact..eason PLNG. REF.M - - BUILOINO - TO BUILDING " PE E HEAR YARD (TO P/LI . Duct -Ventilating - -' .p mssOT Cantruclef S Nem$lA� AIR ODND' & SII2VL6E,"Q-6 30-6 12 Addreu lmeiling) 1175 N• r lIC 1151P Ca- No. —396=1W a6 D.1 LEFT $IDE YARD RIGNT 6IOE VARO PKG.SPACE RED. PROVIDED 4 OO Literate LICENSED CONTRACTOR DECLARATION STREET WIDTH PARK FEE S Remarks: 1. Date - Ow 1 - 1 1 hereby affirm that 1 am licensed under prewhi I of Charter 9 (commencing - I Fere) Certify that I n s d tnl ' ppBtiP e t l that the above InformaTl%1 gwt ply with all Ito d County Ordinances did Slate 1 1 tl 9-t ceadl 9 t union d hereby aum0/IC Ore tealws 1 cel / t ter. u n U • a vemanlloned prpce t[ for Inspection P p C 2�23�54 5lal— O.au Drivers' License o p 0 with renlon ]000) m Division 3 of true Business and WoUISSIO s Cape. and my ncedx N In lull ror��J�euad. UwnW Cress `'-"' p'396-109 - _ 9PECI AL CONDITIONS: S15 , PLUMBING - national .. Isxe Fx In -le 9/9�/R6 Signature KERS' COMPENEATIONO ATION Say@(firm that l new a cnunote of consent to IH dor a artlllrata of Workers' Compensation Insurance air a certified ' copy thereof ISectlen PoOOy 692 State Cal Ins. Bar Sink $¢swr lap ELECTRICAL Bel Prevpnter Sower Connecticut Automatic Washer 'Meter er lig amps Backflow Irrigation Solair Coliecto ConstructlOn Pole Sub Panel. SNA Cep ray n Cartlfled copy is hereby furnished BetRWOi Sola Piping _ COokingUt $hPol¢1 dl n $I caHli IS tiled withto It Z01,111913 Dat "/K�MG tClarifiers 1 S01er Tank Dishwasher Makers ❑0.1 NP ❑1XR E%EMMIONFROM WORKERS CO 5 ION DECLARATION WORKERS' T5isxnlen need nm ee mmol 1 U If m permit Islet one hundred (1100) or I AnFry t int In tns performance of the work mr"which this perms IS Issued I hall not ploy y certain In any Mannar o as w become suble ti jive Workers' Compensation, Laws of Calllomla- ergnature D sM1yndl r Swimming Pool wl$Pa - - Dryers ❑Gx ❑Electric I [.Soler ❑9-15 His El 16-15+ Drinking Founts ns Urire Fen M Crowaw Fisher Drains Water Clam F.A.U. Pole Light 1 vete NOTICE: If, after making this deClarallon, you VIOUM OSCOme Subject to the : e tion provisions 1 the caber Cada, YOU mot forthwith Workers' µ Omx Comply Illi such provisions,or Of hall be daemon ked. Floor Sinks -' - WBIBe Heater - �� -- Fixtures Range - Gra Service Outlets Worse Service Device Boxes Sign CONSTRUCTION LENDING AGENCY I hereby affirm that them l3 a Adrutructlose auxlne agency fur the I the work for wraith -lige panel 13 Issud'(Sectlen 309] Civ. C.)' Name Interceptors - _ Outlets $taMln g $eC[lone Kitchen$ink' Switched TrNt Compxtor _ lender's Address i OWNER BUILDER DECLARATION Levelarie- - Garbega DlshoMl - I hereby ensure that I am -exempt from the Contractor IS License caw for the P T Generator 110.5 KW [15-16KW ' 1 talu^wlnp reason(Sa[Ilon' ]031.5 BusinessandWateulmal Catla: Any city or lter improve, 0emelbn OFF Countywhim rapulro aMrmR lownrtrucLopen' any structure, mlor to Its Issuance, elm repuku he applkanl ler sato per It US 1C(^ 19ned "ecoln[ Inst he/she Is "CanYd pursuant tP tM16 ifovlslons f 1:-%3'Z ntraceorh IJanu caw ^[naptw 31 InOp with SacHon ]800) al V' n 3 s tea IBu3lness d WOksslOna COEeI that ere she Is eaemp[ �enatty of not mare lnanOw do t�bYrOm ee0 ma eatls for teras Ile9ed e[ylmp"On. Any viola�Ion Ol 3anlon 031.5 ray y e Ihenf for red d0 bl"0 the AFarm appllant to a dull aWlars(35001. – ran - Transformer ❑1SEOKW ❑SU f KW. 'Raln'Rlectlon Fiat $15' Ropf,Draina - $lldwera -- Reinsp%tidn Fx' $15 M¢to. ❑up tO lOD ethos aux Fee S 3 $ervicp Sink ISue Fiat $ 3 jonln8 Approved By IMta LIT, as owner f the ptoarty O Y am ulovxs xtn gas their M C�ea UEe o nI u . neraaeine sir num B not Into na he C n n>SO.ed ampleIde In Is does ]Doer Buto asa d Prdfertlon r [Win UIa CenvenarN UComen Law tlom nal apely to anowner of a property veno bullOs or Improves IN sone1ind veno. eoM Such work A Mae fm half or in Ou per his Or her own , provided met seen Imorxemenu at*not Inumea or offeree for Ye. IY noveam, me build]ny Improvement IS sold w I one year, of Com- elton, IF owne.:wl1 naw the Soral or proving neRna did net buud Or Ina for the purpose of sale). le t3 Application Approved By - Application IurIM By Li/V Darts _ MECHANICAL '. goiter Refrigeration System Duct - Under Ground ❑0.f OOp000TU ❑100,000 BTU SUMMARY OF FEES j BUILDING PERMIT $ SMIP $, Duet - Structural Syrem Repair/Alteration ~.CMF as Owner 81 the 0fto Fly em <%des YN contr d no with 114 leaCob T[[pts to construnthe prp(ec[IOa oo]oae, Buselets and Wofassiens Code: ,e Contractees Llxn3e caw E t appy t0 an owner al properly who builds or Improves memos, and woo contracts for such projects With a cob tractor(s) license pursuant to me Cdue or% ucenae Law). - ❑m laexempt unser Suction- a S. P.for tnlFired/Fact..eason " PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ I CHECK GRADING $ E ' 1 $ ELECTRICAL $ t PLAN CHECK '1 $ MICROFILM $ ' ;MECHANICAL S, 11, 00 TOTAL FEES $ " I LES$ PLAN CHECK S ADVANCED PC $ 1 FINAL FEE{ t S Duct -Ventilating - -' .p mssOT 4'00 Exhaust System ❑ Multiple ❑,' X DLjCtwork 4 OO - FFired/Fact.Bit.PLAN ICBOM 1. Date - Ow 1 - 1 Heating $ystem AO ting! 'BTU'IODNOBT - -. ❑0.100,000 ❑ I Fere) Certify that I n s d tnl ' ppBtiP e t l that the above InformaTl%1 gwt ply with all Ito d County Ordinances did Slate 1 1 tl 9-t ceadl 9 t union d hereby aum0/IC Ore tealws 1 cel / t ter. u n U • a vemanlloned prpce t[ for Inspection P p C 2�23�54 5lal— O.au Drivers' License o - Hod or Type ❑ M Is111BC[mh Fiat Carso Type ❑ S15 national .. Isxe Fx S3 0865-06 FOY. 13/32 WMte- Building;Canary -APPIIant:Pink - ACCOYOLIn9: GOIdenrW- Assessor ' . P- •CONSTRUCTION ANDPLPNNING' -' I" e' •-. ;- - '.,',POO' 94 SPA - --� - T > Date .. APPROVALS Permit# _ , Inspectoi - - " - 'APP,ROVALS. 1 _.nit # Date Inspector 1% Temporary Electrical Service or Pole 152n Pool & Equipment Location 2` Soil Pipe-Undrgrnd.- ? _ _ - . 536 Steel Reinfo_Fcement 3. Electrical Conduit Utility-'Undrgrnd. - , '54 Forms. ° - •- • - - i - ,? 4. Electrical Conduit-Undrgrnd. -`_ • - _ _ �' '': = i 55:: Electrical Bonding - 2 5: Steel Reinforcement < ' �„ 5b.1 Rough RIumbing.& Pressure Test 6: Electrical UFER Grnd.'- -' 57. APPROVAL'TO COVER:GUNITE 7. Footings , ';� _ :58. Electrical�Conduit-Undrarod. : 8. Foundation '-" _ -� = - 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. P - _ 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-Systerti-Final 14. Rough Piumbiny - 65. Electrical'Final ' •15. Rough Electrical --Conduit --,- - - _ •16.1 - •'-� -', -66. -Solar System=Final- Rough ElectricWiring- = ! - -t �--, i; 67.,Fencing6-Access Approval, - •- - - '., 17. Roudh Wiring;Sign- - 68.E APPROVED FOR PLASTERINGIc _ , 18: Rough Electrical --T Ba#Ceiling. -, - I X69. POOUSPA SYSTEMS FINAL - - 19. Rough Heating & Air Conditioning I FIRE DEPT. REQUIREMENT' ' APPROVALS Permit # - ' 20. Rough Factory Fireplace � I 21. Ducts, in Str'ucture;: 70. Underground Hydro 22. Ducts, Ventilating , 1 I i ` 71.; Product Piping 0 Gas OOil . 23. 'Gas Pi e-Rou h & Test i P 9 _ I I � - ' I ; 72.' Underground Flush 24. Roof Framing C.m', •' 73.iUndeigrnd.Storage Tank 0Gas 00il 25. Roof Sheathing I ' . - : + I I 74.i Overhead Hydro - 26. T -Bar Ceiling (Structural)'. & Monocoat , = 75.1 Dry Chemical ' 27..Frarwe and Flashing' 'I I • 176.1 Dry Standpipe - - 28. 'Latl ing & Siding ' 1 - ! , 77., FIXED SYSTEM FINAL 29._..Insuiation 78.. FIRE PREY. FINAL "30. Drywall Nailing I i ' Notes:.$ 31. Plaster Brown Coat . ') �• i �, - _ 32. 'Electrical Power MeterfFinal Ii r ' ' 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-TAi - ,, _ - _ •_ , - - - - - . 36. Hood or Canopy 37. Final Factory FireplaceI 38. Final Plumbing I i '•;, 39. Water Service -Final _ 40. Gas Service -Final 1 41. Solar Domestic -Final 42. Backflow Preventer T _ 43. Backflow Irrigation 'i 44. Landscape Irrigation'System ' ' ' 45. Sound' Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I ; 48. Special Requirements Completed ` ' I� 49. Electric Releaselto Edisoni;_+ 50. Gas Release to Southern California Gas Co I , 51. CERTIFICATEOFOCCUPANCY No. ' Date r I ' City of Costa Mesa Devebprnent Services Department Building Safely Division C E R T I' F I C A T E OF OCCUPANCY No. 0 d i b 2 3 P. O. Box 1200 Costa Mesa, California The Building located at "15f1S r'aAi liPr- Aimnna 22+ni 1 r1 nq A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 11-9 Occupancy. v t Use of Building Office A WarphOtll I Legal Description 139-661-23 (See reverse side for Metes and Bounds) Building Permit No.r')197'1 Electrical Permit NoF21702. h21.2.73PIumbing Permit No. G21273 Mechanical Permit No. r21771 Number of apartments /� ,and/or guest rooms ISSUED TO: i Building Official dU r Cwnbridae Partners 3505 Cadillac Avenue by4---y l� costa Mesa, CAI�r.7,/ IN Data ' I This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File City of Costa Mesa Development Services Department Building Safety Division P. O. Box 1200 Costa Mesa, California CERTIFICATE OF OCCUPANCY No. 00' 1423 The Building located at 7Sf1S r rljllar Atmnno .+,.;) .,� a has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R—i Occupancy. Use of Building (lffitr. F Wajr f )-1 P. ' Y Legal Description 139-661-23 (See reverse side for Metes and Bounds) Building Permit Nod:71771 Electrical Permit No321702_ (,21273 Plumbing Permit No.G21273 a. - Mechanical Permit No. x21273 Number of apartments //,, and/or guest ro_omms"� ISSUED TO: Building Official U/), Canbridae Partners 3505 Cadillac Avemle by_ Costa Mesa, CA C, Date �li YlnV /Cl S This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. - CMF 1015-46 rev. 1/e3 White - Owner: Canary - Numerical File; Pink - Bldg. Permit File ' i i - ^- —_ - - r—_...__.�...._ b' erIall ipa s ceet the" within heavy Corder uses and site all appropriate declarations. a « ' 1 2823 10/24/65 . t, i GL F,hdOSTA MESA CO�ISTR UCTION PERMIT �'" v<oie�Addrett 350.5 .40./Cs:9�' ��. is ;" 9 - Applicant's Mailing rem Owner's Nome '� `-f hone Atldress MIT NO. �Z'73 TRACT NO. LOT NO. UNIT D. TYPE OF CONSTRUCTION LINew LJAI LIALTERATION LIREPSUR CCONVERSION El DEMOLISH 1:1 OT C` DESGfj I� rel _!F� L1 /Y'KCIf{// us LDG. iLJA 1r A.P.# % - / 3 Sane �nL S Main 8uildirrg: Accessory Duiltllnp: ArcMEng. License No. Address TYPE OF PERMIT pI GRADING IJI L-JIFOUNDATION STRUCTURAL Cr�ITENANT its ELECTRICAL s_YPLUMBINO KMECHANICAL LJ OTHER 1 Fr00t O .B A Rear - N I C Right 41101,N Contractors Nam Fon PROJECT DESCRIPTION sq. FT., - OCCUPANCY _ CONSTRUCTION TYPc VAIUATION$'-- ZONE GRADINGCU.YDS. ACRE Aadresslmciling) 57 lseewir City License • NO. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed whi mradil 0l Coarser with section 3000) of Division 3 of the nu " antl Rate s Oe,clntl my license Is m full for" d efuct. - B Left c G H - Pit J. RPL iV Parking ReGAPlOVidetl - E Remarks: ' e if " �'� Planning Notes: - M `I _ -S ace d oat paten Signature ,wn o PLUMBING FEES _ D _ a1. N WORK RS' OMPENSATIDNDEC DATION cone ereby alarm that l e,suca a of to f.nsure tlf to Bar Sink Showers 2 ELECTRICAL FEES' \. 1 p as 1s Workers' Compensation Insure at a cwrtif d any Dole on do. Lab. Cl ncy Na.[(i'+ UQQ Company '. cartifled[opyi hereby furnished. tion -. U7 E roil d with the city Buil ' Backflow Praventer - Service5ink - '.' Auto"ticwasher Transfbimer 015.5DKW'- - Construction Pole Sub. rl050+Koff t Backflow Irrigation Sewer Cep_ — Bathtubs Sewer Connection -_ �' .Cooking Unit Meter 0 u to IN amps I Dale Ap01IC0nt EKEM Co ERS' COM 5 TION Ono hundred I ( .t 5 [$Sue m This motion nem not r Completed of t 1 Derma w15 hich M work for zMCM1 this meimlt Is ISSU¢e,l I slrtlroy [h01 b 1M1! perlormmC4 any 'shall not employ any person m y mn n o a to become needs to - Workers' Compensation Load of Canfoadd. r = tM1 Date Signature i 'NOTICE; II, after making this declaration, Yeu ihnuld oe[ome su51CCl l0 the Clarifiers Solar 1 Dishwasher ' Meter Dover 100 amps Piping Dishwasher Solar Piping - _ Dryers CIGn DElectriC Sub Panel .. Drinking Fountains Solar Tank " `� I� _ Fan Motors ❑0.1 HP ❑1X -B Floor Drains Swimming Pool w/5pe _057 6b F,A.0 . Inc. Soler 0515 HP ❑_ lB-05+ Floor Sinks Urinal Fixtures -Microwave ,y Device Boxes Pole Light g kers' Compen tion provisions f the tzbor Coee, you met forthwith Workers' s deemed rkness. comply with such provisions or this permit hall p r CONSTRUCTION LENDING AGENCY I hereby affirm that there Is atconstruction Income agency for the rformance of the work for Which this permit is Issued (Section 307 CIV. C.) Landers Name f, Gai$ervice '� Outlets Water Closet Z Interceptors Water Heater7 Outlets Range S L' Lender's Aemess T OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law future following reason (Section 3031.5 BUSlness nad Professional Cade: Any city o County hide requires a permit to construct, alter Improve, demolish or repair structure, prior to its Issuance, also requires to applicant for such permit _ Kitchin Sink Water Service QQ Switches D Sign lavatories Auto -Wash - .'1 Gmbege Disposal Standing Sections P_T l rep LaunEry Trays Generator DOS KW ❑615 KW Trish Compactor s to ane a signed statement that Mome Is Idensed pursuant to the provisions or theContractor's Code) m that ��;he is exe Of f the Burn Use (Chapter marefrom and rho basis for the alleged exemption. Any violation Of Section for ntl permit llaubleCtS the applicant to its 31115 of nosy applicant J�1. as owner f the property or my OMPIOYwt with lies s [hour able fcompensation, will will do the work, and the structure m not Intended or offered or ale (Section 3044 BOIne13 wee professional Code: The contractor's License Uk llces not apply to an r 01 a Property Who Cards Or mrProodS displaced, d who does h work himself/hersef Or through his or her n plo s Provided that sucImprovements arenet Intended or offered for tele. Ise however. the amild g Or improvement Is win within one year of mm- rt..theo weerpurp11ll hrate).ethe burden of proving he/she did not build or lm. rove 1as owner OI the property, am exclusively contraning with licenced COM tractors to construct the project ii Sashes 7044. Busineand Profession, Cotle: The Contractors License tlo of opt to an Owner f rwerty who bunds O Impro«s thereon, and Go -Contra Li5 for succables 5 With a con. Roof Drains f - _ ' Reinspenion F« $15 Issue Fee S $ Reinspection Fee $15 Issue Fee S $ - MECHANICAL FEES Boiler Hood or Type I ❑ Canopy Type II ❑ - - -DEVELOPMENT SERV( EE RE EMENTS: _ 2onin0 ApprO«tl Ry to -a te :Building Approwa Bya, —Date Application Issued Ry Duct- Under Ground DoorStructuralRefrigeration System 00.100,000BTU❑100,DODSTU Dun - Ver ing - $UM ARY OF FEES �a� // Exhaust System ❑ Multiple 13 System Repair/AltermiOn tractorosf license pursuant m ttro factors License Law).l am that proof II their worker's Comce ion IInsurance should be Provided to Me 01 am exempt under Section B. d P. C. for this reason BUILDING PERMIT $ //01 �}.� SMIP $ u PIAN CHECK $ ALL_ PERMIT • PLUMBING $ JArt Ys0 ISSUANCE $ PLAN CHECK 25% $ - a), A50 ENERGY P.C. $ ELECTRICAL $ //�/�'QQ O GRADING $ - PLAN PLAN CHECK 50°6 $ MICROFILM. E, 9� MECHANICAL $ , eO TOTAL FEE $ a. PLAN CHECK 25% S Fired/Fact, SIL COO IF Fire Dampers Date -' W r hereb a tlly mat I e rad rots a ti state that the above infOrma loon ris c t. as to c all the and county o Bina and state laws r lana t all ding w u nd hereby a folxe n o [selves f tel y enter tc ame cloned p It fnspection purled Signature Drivers' Ucen« r S i Heating System &putting - r 6100,000 BTU 0100,o0DBT Registers Is.... ction Fee $15 Issue Fee E S CMF 0865.46, ray. 10/64 White - Building: Canafy . Applll Pink - Accounting; Galas or . Al - - "r v _,. CONSTRUCTION AND PLANNING _ POOL'A :APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. j('Y d j Leo 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement .�//��y�r ,�ie.l 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7.^FootinA 58. Electrical Conduit-Undrgrnd. 8. Foundation 1 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd', 60. Backwash Lines, P -Trap, Cl Undrgrnd. 10. Structural Floor System // 7��g �JiLj 61. APPROVAL TO DECK ' 11.- Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12 Sewer Cap 63. Heater & Vent -Final 3.,Roof Drains 64. Plumbing System - Final d4. Rough Plumbing 65. Electrical -Final ' 15. Rough Electrical --Conduit l� )( 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 Ceilingj (5 (7 1(✓ 69. POOL/SPA SYSTEMS FINAL 19 Rough Heating & Air Conditioning FIRE DEPT.'REQUIREMENT 20. Rough Factory Fireplace A �. APPROVALS ' Permit# 21. Ducts, in Structure '� 1 70. Underground Hydro 22. Ducts, Ventilating+,ti1 71. Product Piping C1 Gas ❑Oil 23r Gas Pipe -Rough &Test r� 72. Underground Flush 24. Roof Framing ? ; �r 73. Undergrnd. Storage Tank C1 Gas 11 Oil 25. Roof Sheathing V 1 ti� 74. Overhead Hydro 26. T -Bac. Ceiling (Structural) & MPnocoat 8s 75. Dry Chemical '27. Frameand Flashing 76. Dry Standpipe 28. Lathing &,Siding - '' ' ;'�• 77. FIXED SYSTEM FINAL 29. Insulation.%/7 78. FIRE PREV. FINAL 1 30. Dryvaall Nailing '•' HEALTH DEPT. REQUIREMENT 31i. Plaster Brown Coat -.j �• 79. FINAL INSPECTION -- 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - C� Notes: I 34. Final Heating & Air Conditioning ry a'5' 35. Final Gas Pipe -Test 36. Hood or Canopy "•� - 37. Final Factory Fireplace 38. Final Plumbing Ir I -al5 Gch , - 39. Water Service -Final y 40. Gas Service -Final - 41. Solar Domestic -Final~ 42. Backflow Preventer _ 1 "� j•t4, 43. Backflow Irrigation I 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING _ 48. Special Requirements Completed 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co � 51. CERTIFICf�OF'F OCCUPANCY_ II 1: No. Date , APPIkenl to flu In all spaces except those within heavy border lines and sign an arniNum of declarations. A ME A NS 10 ER F PERMIT NO. TRACT NO. LOT NO. UNIT N IeO[Atl�drUMf WVx] VL �s6 !//'e Vav H/exI//. G AApllGnt,f Moiling Aniline —��-� TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Iona - DESCRIPTION OF WORKWSE OF BLDG. Anames — y r- /7T! n . Arch/Eng. License No. TYPE OF PERMIT UGRADING JFOUNDATION USTRUCTURAL ❑ TENANT O ELECTRICAL O PLUMBING ❑ MECHANICAL Address ❑OTHER contractor9 Nem - hone Address Imes Q W Gva Jg PROJECT DESCRIPTION SO. FT. OCCUPANCv City LicenseNo 357/ ail CONSTRUCTION TYPE VALUATIONS LONE GRAOINGCU.VOS. ACRE LICENSED CONTRACTOR DECLARATION J hereby affirm that 1 am famed! under Provisions Of Charter 9 (caurm nq Remarks: with section 7000) of Division 3 of the Business and Professions Code, and my license Is in Oul force and effect. _� _.-,I is - Lento.: Address OWNER BUILD ffirm following reason county which re any structure. D to file a signed signatureATION IarenY affirm that DECLARcrjATION re certificate of Consent to sm>Infure or a certificate oo, Insurance. or a certified copy hereof (Section 1.LL/JCorral ! Workers' Comp 1 3000. Lass. C.1 n eYtulnlih Oth h Inst App Ica voucv ry _./! Clarifiers le c e Cdpv D Dishvssher res � s Floor Drains n9 this eedantion. You should become fussiest to the Itins Or aMshonmDlor Shall be deemed forthwith aDING AGENCY face Floor Sinks EXEMPTION eadn section need n lFROI ess). Rear I certify that In UR shall not employ a Workers' Compenn Right Date BUILDING PERMIT NOT I CE: I f, at ter If SMIP Workers' Compens Left omply with such $ CONSTRUCTION I hertbe afflwork Parking Req.IProvitl d k toil E Lenders Name — Lento.: Address OWNER BUILD ffirm following reason county which re any structure. D to file a signed signatureATION 1 4303 11/18/85. DECLARcrjATION re certificate of Consent to sm>Infure or a certificate oo, Insurance. or a certified copy hereof (Section 1.LL/JCorral Bar Sink Baekflow Preventer ' Backs low Irrigation eYtulnlih Oth h Inst App Ica +BetM1Nbe Clarifiers N^ O0. Completed ATIONor One hundred n Comvmme I ma vermu is for ane nanaree (slaP) or ftorl of Ythe work for which this permit is Issued I seLawz of CBllfornla er as to become sublet[ to the signature Dishvssher . Drinking Fountains Floor Drains n9 this eedantion. You should become fussiest to the Itins Or aMshonmDlor Shall be deemed forthwith aDING AGENCY face Floor Sinks Gas Service Outlets Hate Y Over nform IoCeiiitotal.II agreeI and state laws relating to Dull Drivers' License Or 55i — CMFOg65'e6.1ev.10/8e White Roof Drains Reinspection Fee $15 Under Ground System 0 Multiple act. BIt ICBO #' System Be Ducting .000 BTU 0100.000 IReinspection Fee I $15 Pink - Accounting; Goldenrod - Assessor Sewer Cao Sewer Goodwin Solar collectors Solar Piping Solar Tank Water Closet Water Heater Water Service Auto -Wash lb ural Treys Issue Fee ANICAL Hood or Type I ❑ Canopy Type I I 0 iefrigeration System 70100,o)o BTU 01(10,000 System Repair/Alteration Fire Dampers Issued Fee $3 $3 . 1 4303 11/18/85. f0d':lr^T 4A. M Zona DEVELOPMENT SERVICES REQUIREMENTS: S Main Building. Actual Building: n -n TFront Building Approved By 0 B A Rear N I C Right BUILDING PERMIT N SMIP 5 Left PLAN CHECK $ R R Ping. Ref. ds Parking Req.IProvitl d $ E $ Planning Notes: PLAN CHECK 2596 - Q M $ ELECTRICAL $ T S $ PLAN CHECK 50% $ MICROFILM $ ELECTRICAL FEES TOTAL FEE Automatic Washer Construction %le Sub. Trensformer 01550KW' ❑So+KW PLAN CHECK 25% $ Cooking; Unit Meter Oup to 100 amps Dishwasher Meter v6 r1o0 amps Dryers OGes ❑Electric Sub Panel Fan Motors 00.1 HP❑1%-8 F,A,U, Inc. Soler 0915 His ❑16-15i Microwave areas; Device Boxes Pole Light Garbage Disposal Generator 00-5 KW 0545 Radionuclides Fee $16 1 1 Inti Fad $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By n -n Building Approved By to Application Inlsetl By J SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 2596 $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $./n.-sD PLAN CHECK 25% $ ONSTRUCTION AND PLANNING PPROVALS Permit#r Daie Inspector PO s 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, ❑ Undrgrnd. • 10 Structural Floor System r 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 �� /`� �C 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 _r 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rough & Test 72. Underground Flush - - 24. Roof Framing 73. 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. 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 ' r_ I 33. Final Electric Notes: - -- - - I34. Final Heating & Air Conditioning I35. 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 - 145. Sound Attenuation - - 46. Handicap Regulations / / 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1. CERTIFICATE OF OCCUPANCY Y_. .Date . 3505 Cadillac Avenue UNIT 11102 3505 CADILLAC AVENUE - Unit M-3 Lot 29 B-2280- iq qx Y Com• Bldg. 79,846._ Unit M-3 P-2391- 1/(QP- PL.BG. (B-2280) E-2647- 9/3./8Y ELS• (B2280) Unit I4-3 W3759-9/ay/,�o, MECH- (B-2280) unit ht -3 J(M1048�•`4, $ r�'1ISC. (shut ;'M103) ^ B-10173oolnqT• ALT. $601424 V�l (PC -290-83A) (Unit 9ml03) P10743 1,,kq'bl BAR SINK (B10173) P1137* GAS SERV. - 2-lb-CD'I(P10253,B10173) (103) APpnwnl -�ITYCW COSTA MESA- CONSTRUCTION PERMIT - to Hit In all iVpnttsenwm those within heavy border Imes and sign all appropriate declarations. iaZ , �,gMIT qO ,p—/I�i fly TRACT NO, LOT NO. i BL M—!Oy PFO]MAddress' P - Applicants Mailing Address do71 ^n'F. LA PA tav)J TYPE OF CONSTRUCTION LJ NEW ADD 1 V,ALTERATIONREPAIR ❑ CONVERSION 0 DEMOLISH ❑ OTHER AP �,e OWnaFi Name V n�r't9'I� �r'1t-�aik44 aS�rI✓a PllOne��rz$'p/� ate' 6:41 OESCRIPTIONOF WORK S Main Ruiltlinp: Andress, 1-3 1 DOVE• Sr- At BZ*w,✓I TYPE ERMIT GRADING FOUNDATION STRUCTURAL TENANT � ELECTRICAL I] PLUMBING � MECHANICAL p,oT.IER PROJECT DESCRIPTION 5O. FT OCCUPANCY CON$TRVCTION TYPE ✓- VALUATION$ NR �LGO ZONE GRADING CU.YDS. ACRES F T FFOnt .!� tom-. ArclllEng 5 OLA4(•CI C t��. LKBnse Nb. Address +rILU'Ji/a7�u' X A/na1R7*l-: 13t'Rr�+I B A Rto Contractor Nam —"��//+mV tiA %fit%• Chon 3e�. •7� C Flight s7���� Address lmeilingl ''�rVr1 G'.L1('FSG.Yrd (C •/L2li�i/61/J% S Left GAte. City License No. Qy LDS 4CA Pln Hef.# g Rem.ke. Perking RaO.Iprovi0ed LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under P'ovlslons of Charter 9 (commencing lms FeeIS the of Building: with section 7000) of Division 3 Of the Business and PrOfealons Code, and My [license is In full force and effect PLUMBING, ­FFES Notes: Uninse ClassUpon" a Da"L2'z ". slor tur. .libib)dn "I WORKERS'COMPENSATION DEC IARATION Bar Sink Showers Backflow Pre enter Sttce Sink - at 1 have a conflict of Consent to ulnsuor a Certificate marshy affirm mconflictum of Wo kers'-Compensallon Insurance, o. a certified copy thereof (Section Backflow Irrigation Sewer Cep-. 3600, Lab. C.L POIIcY No. S �Iv��c�O Company AE7M� 1y,.artinee Copy Is hereby ImniShea. ^/ Ba1MYbs Sewer Connmiori- Automatic Washer JL r erU ietl y r d wile the city Builpl IQs li Car r�' Li'^rN� Appli[an[ - Z.a`X.vA?! Clarifiers , Solar COIIactOl6� I CpOSlrucllnn P_OIEI EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TmsseRlon n Po Hood not be completed If the Permit IS for one hundred Islas) o Dishwash¢r Soler Piping Causing Unit ie ertify teal 1O the perlormanceof Ina wok for which this permit Is Issued l shall not employ y person in y inn so as to became subJect m tFe Workers' Competed on Laws Obcal lfornia.Or Drinking Fountain Soler Tagri ❑etwoo nor Floor ❑rains Swint ing.Pdo wl5pa Dryers ❑ a []Gas ❑I Date Signature NOTICE: it, after Making this declaration, you should becomeSubject to the 'Workers' Compensation Incognito Of the labor Code, you must forthwith - Floor Sinks Urinalm, Fan - - Gas Service outlets IWa[aF'Cloeat' FA. U. comply with such provisions or this pormitishall berdeemed revoked. CONSTRUCTION LENDING AGENCY Interceptors Waley Heater. .Fixtures I hereby affirm that there Ise construction lending agency lar the rformance of the work for which 71S. Permit 9y5 iBPh".(SjiiNon 30;7 CIv. .C.) Date - Owner nereby w fife that 1 have lean this Application nes eoPormatlon Is crrect. 1 agree to COMMIT With all :fly an d -Slate laws relating to building stPolar. and her sentaill f thisCityto le upon Con nave.ment Inspection pulp /✓�f, L Signature /! Drlyerr uanw or ss s :MF 0665�46 rev. 7/a3 White-BYIIaIngl GnarY -Apel sa Kitchen Sink at Coda: w y city or cant forlsuch permit Is sefie Provisions of ction 7000) of viola<IIon o1 section oohed at to a civil Intermed roffereld I; Tae Coantractorss a builds Proves in ad Or Offered for Con one year of com- aldnmemlaorlm- f Withlicensed Pif roperty who - oleci With a con I. P. C. for this reason Lavatories P -Trap Roof Drains - .. Rainawctidn Fee $T5 `/LS. 35 PERMIT Boller ' DYct - under crdYna Duct -Structural Duct- Ventilating ISSUANCE ENERGY P.C. GRADING MICROFILM Exhaust System ❑ Multiple ❑ - Firepl/Fec . Bit. ICED # Heating System & Ducting ❑DINOW BTU ❑100,130013T Sets that the shove County ordinances I authorize "pre- oned property for Dale 2-27-;e2 $ TOTALFEE Reirupttion Fae $25 Cant Prnk - Accounting; Goldenrod - Assessor Wates Service - Device Boxes Outlets • Rwnene. Park. Fees $ ELECTRICAL , Transformer ❑ .15-50 KW ❑ 50+KW Motors ❑01 HP Inc. Soler 09-15 Microwave Pole Lioht Ali IN Generator ❑65 KW ❑5-15 KW 'i Trash Compactor Issue Fan - - $ J I I Iewwwwan ANICAL Reimpectian Fea Al$25 Issue Fee4— Refrigerators $ 3 FEES Hood or Type l' ❑ - n PUBLIC SERVICES REDUIREMEN S. Canopy Type If ❑ Zoning Approved BY C -' alWliwtlon Approved ey nate System � APPliorinrvlsued By late t Z 7010o00o BTU 0100,0008TU •SUMMARY EES r air/Alteration BUILDING PERMIT $s OFF �%ff•:S'a SMIP $ � pq 3,39 PLAN CHECK Xs -r% `/LS. 35 PERMIT PLUMBING Aa PLAN CHECK -ELECTRICAL. PLAN CHECK $/ $( $' $ / .. '/ ISSUANCE ENERGY P.C. GRADING MICROFILM $ $ $ $ - MECHANICAL $ TOTALFEE $ lms FeeIS PLAN CHECK CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POL a 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 /f, 56. Rough Plumbing & Pressure Test • 6. Electrical LIFER Grnd. 57. -APPROVAL TO COVER-GUNITE 7. Footings - .. - _tf.-may - 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.E 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 r` 70. Underground Hydro 22. Ducts,.Ventilating .r 71. Product Piping 0 Gas 0 Oil 23: Gas Pipe -Rough &;Test 72. Underground Flush 24. Roof FSaming ;� 73. Undergrnd. Storage Tank ❑Gas 00il ;25'. Roof Sheathing 74. Overhead Hydro -,.26. T -Bar Ceiling (Structural) & Monocoat ro $ rj 75. Dry Chemical 27,:Frameand Flashing !et y 76. Dry Standpipe ' 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL .30. Drywall: Nailing p HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, , 79. FINAL INSPECTION 32. ElectriFal Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric I Notes: 6 34. Final Heating & Air Conditioning a 35. Final Gas Pipe -Test • a 36. Hood or Canopy u 37. Final Factory Fireplace - 38. Finpl Plumbing 39. Water Service: Final 0 h 40. GjsService-Final 41. Solar Domestic -Final _ 42. Backflow Pre venter ' 43. Backflow Irrigation - 44. Landscape Irrigation System , 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING a !7 S 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUP/ANC 7ft/1 t ti City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 0003319 Building Safety Division P. O. Box 1200 Costa Mesa, California The Building located at 3503 Cadillac Avenue 1110241202 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable for a Group B-2 Occupancy. Use of Building Interior Alteration- Office Legal Description 139-662-05 41, (See reverse side for Metes and Bounds) Building Permit No B-10172 Electrical Permit NoE10268,EU074 Plumbing Permit No. P10252,P11375 Mechanical Permit No. M-10482 Number of apartments 0 and�/or guest rooms' /0 ISSUED TO: Building Official �'k_Ji /C //%/�1i1� O'Donnell, Brigham and Pazt by 1301 Dove Street, #760, Newport Beach,CA Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 211Cz a xmOF I�/I UnE-r�vtia,. •'Applicant's OF Address 9�lo N n Owner's Name 00 U ✓N 9 it 1 Address ArchnEng. efillAski Addreee BYO k3 ftaL�k�4 Contractor's Nam 6 Address lmeiling)�� Q1 _ 11 Utv"fi t City Lise N ceno. .h Y s1 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under Provi' with section 7000) of Division 3 of IM Busl mr car n;e is In fall NOV Of .fleet. Duns c a Gat 1 spneture WORKERS' COMPENSATION DECLARATIO 1 hereby affirm that 1 have a Certificate of const of Workers' Compensation Insurance. or a r 3800, Lab. C P1ier Nfy�'aS �.�i "!L company Applicant to fllnn all space eanpt these within heavy border lines ane sign all appropriate declarations. PERMIT N1I0. NO. LOT NO. �zTRACT �— 5� O TYPE OF CONSTRUCTION Fill ADD ALTERATION REPAIR AJ 49 ❑ CONVERSION LJ DEMOLISH ❑ OTHER A.P. file DESC RIPTION OF NOR K S Main Build • TVPE OF PERMIT - GRAOUPS FOUNDATION STRUCTURAL T Front Interceptors ❑ TENANT ❑ ELECTRICAL I] PLUMBING ❑ MECHANICAL B Fixtures ❑OTHER A Rear Right C 1171 I PROJECTDESCRIPTION SO. FT. OCCUPANCY CONSTRUCTIONTVP VALUATION$ K S Left Ping. Rat, 0 Water Service ZONE GRADING CLLYDS. ACRFc Device Boxes Remarks:— p Parking Rep,/Pr Coca and LSM of Building PLUMBING FEES Planning Notes: Bar Sink Shower; rertirmate Backflow Preventer Service Sink 4, Opper I [Section. Backflowlrrigation Sewer Cep Range leu; that I am exempt from the Cdneactorne Uceme &w for the uslns and Pralesslonal Code: Any city or t5ettlon 7033.5,Bes apermamconstruct. Improve Bathtubs Sewer ConnectionAutomatic P p_Tra - - Y+ Switches Clarifiers Solar Collectors Constru¢il IIs1o0 0 Dishwasher -Solar Piping Cooking UI Park. Fees $ ELECTRICAL . Transformer sforer ❑ 15 W 50 K le Sub. El 50+KW Meter ❑up to 100 amps Meter Dover 100 amps ❑Electric Sub Panel Motors 001 His 01 % �8 Inc. Solar ❑S-15 HP 016.15+ Z O N N LENDING Agullhat 0 there is a construction lenalng agency for the Performance Interceptors Water HeaN[d Fixtures :Microwave lot which oCry. Permit Is Issued {Section 3097 v. C.) Kitchen Sink,' - Water Service Device Boxes Pole Light EREECLARATION - Loveri 4, Opper Outlets Range that I am exempt from the Cdneactorne Uceme &w for the uslns and Pralesslonal Code: Any city or t5ettlon 7033.5,Bes apermamconstruct. Improve P p_Tra - - Switches Sign votress equireer ,aemocashes Permit m Lir Issuance,MeN also licenses bu epplmmt ler such permH :Lcense that he/she I9 n m roti pmei00) of Hool Drain: ' Garbage Disposal Spending Sections Sis pending (wase (commencing with len Pioerslona CMR® m[n.t Section is exempt hese basis for the alleged exmption. Any bs Section - Generator [10-5 Key ❑515 KW Trash Compactor violation epliunl for a permit subjects the applicant to civil or man five hundred dollars SE00L pains Action Fea $25 Issue Fee. IS 3. the property Or my OMPloyees with ages their Sole Rainy Mion Fee 325 Issue Fee' $ 3 it do the work, and ahe structure Is not Intended or offered sl1 MECHANICAL FEES n 7009. Business Professional Code: The Contractor's asnot apply to an owner of a property who build: or improve: Hood ❑ PUBLIC SERVICES REQUIREMENTS: Boiler or Type I iadoes a C work hlmaelf/MIEN o through his or hes own ea that mprovements are Intended Or for Canopy Type II. ❑ (onilrg Approved By nate - not offered -, foebullEine-o Improvement Is sold within one year, of cam- Duct - Under Ground Appelication Approved By Date raWill he" Us thereon Of proving helone did not bund or Int- ced of sale). Duct - Structural Refrigeration System Application l¢uetl By —Dau. %i If the Property, am exclusively Contracting with licensed con- red l the project Section 7044Business and Profesoons Codec: License o Duct Ventilating ❑OIOO,p006TU ❑100,000 BTU SUMMARY OF FEES s Law not apply to an r f property roe thereon, and who contrac far Such projects With a con- License Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ pursuant to the contractor's Law). PLAN CHECK S PERMIT under Secden B. B P. C. for this reason Firepl/Fact. Bit. ICBG #PLUMBING $ '� ,ISSUANCE $ owner - Hooting System IS Ducting PLAN CHECK $ $hCP ENERGY PC. $ . that 1 navead IMs application end state that the above to ❑D-100.000STu ❑1p00008T ELECTRICAL $ GRADING ! $ °r L I agree comply with all city and county ordinances i n t b -Id R N - ..e o o w ung c n . and hereby authorize repre- PLAN CHECK I $ MICROFILM $ ntanves of is. City 'enter upon the above entlanea property for I I Inspection MECHHNICAL $ - TOTAL FEE ; $ I/S�� pit I '+ Signature Oat1 13�1Q .6 Drivers' License or. SS 5T RaimP ion FOR f25' 9sue FEE § 3 PLAN CHECK $ :MF CSSELE rev. 7/83 White- Building; Ci- Applicant: Pink -Accounting Goldenrod - Pleasant - - - - - - - CONSTRUCTION AND PLANNING�,`i'<, APPROVALS Permit# P(o267� Date; Inspector POS, & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. t t• r f:f 53. Steel Reinforcement 3.jElectrical Conduit Cltility'Undr9rnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. -•�. 55. Electrical Bonding " 5. Steel Reinforcemetnt ' -,r 56. Rough Plumbing & Pressure Test •j .,- 6. Electrical UFER Grnd. •' 57. APPROVAL TO COVER-GUNITE ' 7. Footing) - r - - .t 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9.,Water Pipe-Undrgrnd. _. -, ' , 60. Backwash Lines, P -Trap, O Undrgrnd. f r10. Structural FlocJ System - -w - 61. APPROVAL TO DECK -11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12.iSeWei Cap `,t - 63. Heater & Vent -Final 13. Roof:Drains r v. �, 64. Plumbing System - Final 1.4. Rougti,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 0Oil 23.1Gas Pipe=Rough & Test .72.. Underground Flush 24. 6of Framing 73. Undergrnd. Storage Tank ElGas El Oil 25.'Aoof 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 PREY. 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: -C,q5 Prllon,Tj' k P-tIb75' ow zf/6/Pvf�lt,� 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 �jbyp[f 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ • Applicant to fill In all space+except Inose within heavy border limas and Ban an appropriate declarations. CITYOFCOSTAMESA - • CONSTRUCTION PERMIT 1D 15571 eLer II PERMIT NO. — O j TRACT NO, LOT NO. BLDG.NU." Pmjecl Address < <-'AAMA10V Aidllnnt•s Mails Address; 1y S QQdrdd)AAM icer rAW&U . TYPE OF CONSTRUCTION NEW LJ ADD LJALTERATioN LJ REPAIR CONVERSION C DEMOLISH ❑OTHER q.p_.dl, Zone Go us Na 0 LSRrSNAMs fA$TJeE Sibuone DESCRIPTION OF WORK �� S Main Building: Accessory Building: 2 Address 1301 insel {T dQL)fbK IS2AQa1 rALIFE TYPE OF PERMIT GRADIrvO FOUNDATION LJ STRUCTURAL ❑ TENANT P41-ECTRICAL 0 PLUMBING ❑ MECHANICAL - ❑ OTHER PROTECT DESCRIPTION SO FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE GRAOINGCU.YDS. ACRES T From O N Arch/Eng. License No, Address B A Rear N K night Contractors j ELS Name S �+ pump s S Left R E �yN Q (QE/a LlaOA y �UgNLF' Adtlreicense o. 2975PJ City Livens No. Ping. Ref,¢ Park.Fees I O U Remarks: 93 AQ / 2 V- Perking Rep./Provided I LICENSED CONTRACTOR DECLARATION I hereby affirm that I um licensed under provisions of Charter 94commen<ing With Section 7000) of Olvlslon 3 OI the Business and Professions Code, and my license sI n I,JIfmdLLa a e IecL License�} L �7� License Nd.`77F-f `j Use of Building: R E PLUMBING FEES Planning Notes: I ns' E Dale use WORKERS' COMPENSATIONDECLARATION Bar Sink SM1mw N -Backflow Preventer _ Service Sink T $ hereby affirm that I have a certificate of consent to wide" t or a certificate to Of compensation insurance, Or i <Crtllle0 wpY Nert01 (Section "Backflow Irrigation ' Sewer Cap 'ELECTRICAL 'FEES 0,LaIWorkers' ab. G) Policy No. Company Policy BCertified copy Is hereby furnished. Bathtubs Server Connection Automatic Washer Transformer O 1550 KW thtllY Certified copy If IIIaO afroth tM'Bulltlin9 DMslon. D,to Applicant ❑ U+ KW Construction PON Sub. Clarifiers Sour Collectors 'EXEMPTION F ROM WORKERS' COMPENSATION DECLARATION fss I!Nglon need not be Completed it the permit Is for on hundred (6100) or Oisuneshergi : So12r Piping - - L'Ookin Unit - M¢(e'r ❑u 101GD g P amps dcertify that in the performance of the work for which this permit Is Issued 1 shall' nota ploy - person In any nor as to become subject t0 file Workers ' C'Gymm C sY n. Laws of can�ynla Data �•25id P�'Ya Signature Kaw f19.�•� Drinking Fountains Solar Tank 1 Dishwasher Meter Omer 100 amps: Floor Grains swimming Pool wisp¢ Dryers ❑Gas ❑Electric Sub Panel NOTICE: If, afterm king this declaration, Y0 Should became Subject. the workers' Compensation provisions Of the Labor Cuba. you must forthwith Fmor Sinks - Urinal Fan _ Mmpr3❑OI HE ❑1X-B - Gas Service 'Outlets• Water Closet F.A.U. Inc, 301ar 09-15 HP ❑15-154 comply WIN such provisions- or .this permit shall be deemed revoked. CONSTRUCTION. LENDING AGENCY I'e20v oil m that mere Is `eonsmucnon Iemm�g agency car the p rrormanco the work for which It permit 13. Issued .precHOn 3097 Clv. C.) Interceptors _ Water Heater L .Fixtures 1 ' Microwave f � ' Kitchen Sink _ Water Service Device Boxes Pole Light D sander's Name Lender's Address r OWNER BUILDER DECLARATION Lavatories - Outlets flange Q I hereby affirm that 1 am ¢kempl from the Contractor's License Law for me followinW n (Section 7033.5 Business and Professional Code: Any CII unto nfcn adulate permit to construct, altar. Improve. demolish or repair county - P—Trop p - Switched /a Sign O ROOF Drains Centras'¢ Di5pare' Standing Section structure. prior lls Issuance. aim requires the applicant car such permit /Ila a sign d statement that hopme Is licensed pur3uanl he Wovalom m r Genermar ❑OS KW ❑515 KW Trash Compactors Contracoor-s License Law Chapter 9 (commencing with Section 7000OI ision 3 f the Business a Profe6mus Cadet that he m0 Is exempt r" ois dapoa donee alleged Any Section ciivvill by-env ill subjects amildint to - many of not more roan live hundred dollars 155001. I; as no' 1 the properly a v employs plOvees withwages as their !me mpensauon 'w.. do Ina work, ane my ne structure Is nal Mended or emend ser MN {Section 7044, Buslnass and vroHsslOnU ConO: TheContractor's Llmnse Lara dames not a' y to an owner of a probe sty who bullds O Improves tmegona a ho'does n work nlmsmf/n0rself o ins0 h nI0' nn own e army s, induced that n Imorovemopu are not NIDnU d oilered car sale. If, howevUS the as join or Improvamenl b scale within one year of tom- a we Irdd fo r t he 9 Y spent at$41B he so rd OI prOVMq M/rho tlltl 001 bYIld Or lm- as 1, as owner of the property, am exclusively Contracting with licensed Can- tractors to ccnstr net the proiecl ocDo 7044, BUsme o a nor shns code: CWids dol improves an poen and Who CcUsilly r d stfor soon proof cfS wain a Or ReinePomion Fw S25 Issue Fee S 3 RanspeRlOn Foe $15 Issw Fee S 3 - MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: ZOniM ApproM By M1aN ApPlieation Approved By eY pp Application Issued BY - ars x fhl 3 � HOW W or Typo I ❑ Careopy Type N ❑ putt-under Ground peel-structural Refrigeration S/Stem ❑0.100,ODD BTU ❑100,OOD BTU Duct - Ventilating 'SUMMARY OF FEES BUILDING PERMIT $ Si $ Exhaust System ❑ multiple ❑ P System Re Y pair/Altermldn tratiorf s) license pursuant tO the Can tractor's LicenUS owl. ❑f am exempt a near Sect ion B. a P. c. for Off reason PIAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK $ ENERGY P.C..$ ELECTRICAL $ �d�j�� GRADING $ PLAN CHECK $ 12, MICROFILM 3 Fmilpl/Fact BIL ICBG gp Date Owner Heating System & Ducting ❑6100,Oo0STU ❑100,00097 1 nano certify that I naw read this appncation.ane tate that the above Information Is 1. I agree to comply with all tier and county ordinances - e tate laws relating to bunding construction. and hereby authorize r vn- Sandi 1, me City' to enter upon the po.a.mentioned 'properly for InspectionP poses Signature Date vel/3oIE.3 Drivers' License or ss' MECHANICAL $ TOTALFEE $ CS PLAN CHECK $ - Ponapemian Fee $g5• Isw Fee $3 CMF 086546 ray. 7/83 While- goldnC; Gnary- Applicant;Pink - ACOOunfingr Goldenrod- Assessor - - •' - �AQUSTRUCTION AND PLANNING pPROVALS Permit# 9'1122428 Data F11sp1ctor. Pot . SPA APPROVALS Permit# Date Inspector .1. Temporary. Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe',Ondrgrnd, 53. Steel Reinforcement 3. Electrical.Conduit:Utility-Undrgrnd, „ 54. Forms- 4. Electrical•Conduit-..Undrgrnd. 55. Electrical Bonding -5. Steep Reinf1.orcemeni�-' '- 56. Rough Plumbing & Pressure Test 6. Electrical,UFER,Grnd, - 57. APPROVAL TO COVER-GUNITE 7. Footirigs,,� 58. Electrical Conduit-Undrgrnd. B.,Fbuhdation r 59. Gas Pipe, ❑ Undrgrnd., Test 9. -Water pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10..Strucfura!�FloorSystem 61. APPROVAL TO DECK 11. Property Sewer Line 8i House Connection 62. Backwash & Receptor -Final 12. Sewer Capp 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 %'; j Lf 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory FiFeplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. 1Gas Pipe -Rough & Test 72. Underground Flush 24. Roof%Framing - 73. Undergrnd. Storage Tank O Gas O 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 i� f RL 80. FOOD CERTIFICATE ISSUED 33., Final Electric v /eL Notes: 34. Final Heating & Air Conditioning '•% Jy 7 m au� 35. Final Gas Pipe -Test G y 5Sr' m 36. Hood or Canopy 37. Final Factory Fireplace 38. FinalhPlumbing , 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. Special Requirements Completed I - 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 those within heavy border lines and sign all appropriate dimensions. Reinspenion'Fen CITY OF COSTA MESA t - - - CONSTRUCTION PERMIT - ,,, _ -, Bldg. Permit'R10172 2046 1106/84. 95e:D6- -% Oiler Hood or Type I ❑ PERMIT NO. )q— /O �f Ss`)" TRACT NO: LOT NO. BLO . Ince- Structural Refrigeration System Project Addras 3565 Cadillac Bg M ln9 Applicant's Mailing Address TYPE OF CONSTRUCTION I NEWADO ❑CONVERSION ODEMOLISH ALTERATION I REPAIR OJOTHER 4 Olt A,p,.j : Zone - Dwner'sName^hone DESCRIPTION OF WORK' SUMMARYOFFEES SMTP PERMITISSUANCE - ENERGY P.C. GRADING MICROFILM S Main Building: A¢essmy Building: 2 Z 39.0( yddren - - TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL 1:1 TENANT ❑ELECTRICAL 1:1 PLUMBING ®MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT- OCCUPANCY� TYPE VAWATIONB E T - Front - O N =CHECK Arch/EI6n Gilmore License No. M1 TAOT AddreM1200 N deffersDn, film Ilnah Contractors Nem 'hone 514--1695 fcc n C4e4.. Ph1 O Andros mailin9l State B A Rear - H K Right G IS $ Left R E pin Ref. Sµ - Park. Fees $ O U LIC License No. 294.1 ZONE ZONE GRADING CV.YDS. ACRES Remarks: - ki .Parking Req./Provitletl I LICENSED O CO DECLARATION that 6 a licensed with sec afflom 7 that I am Bsion 3 under pBusiness o1 Prefer l (chis Code, and rwi tion 1000] f Division 3 of Inc Buslneu and Professions Code, dna ny l�censenln lu fqIK{qq antl etf¢[p -LU ' ,4�2 Llmnse Class: Laced I Use of Building: R E PLUMBING FEES Planning Notes. M E late•.• T—A_g4— signature NORKERS' COMPENSATIO N DEC ATKIN Bar Sink Showers " N Backflow Preventor - - Service Sink T S j hereby affirm that I have a cerNNcaf of mnsent (O selNnsure Ora cerNNwle tl Workers' COTPomallom Insurance, or a Cendfled copy thenor (Section • Backflow IUlgaiion Saxer Cap • ` ELECTRICAL FEES (goo, Lab. j h=y N5.6� 49 :. I cOmPmyMaryland - Grtllledcgpvbherebvfurmsnea. • ." Bathtubs Sewer Connection Automatic Washer Transformer © 15.50 KW Cattle pv fed with the <ItY Building Dlrision, 1 Tate d Papdcant - (.'OII6IruetiOn Pp l_e $u11, ❑ 50+KW Clarifiers I i $Olen Collectors %EMPTION FRO WORKERS'GOM ATION DE BM1utl ISON This section need not be Completed If 1 permit It for On ($lost or Dishwasher' Solar Piping: '"" ,'Conking Unit- - Meter'Qup to lLOamps e]rtify that in the performance of the Work for Which this pamit is Issuth. I ceMeter Shan ploy yperson In v mann o become subject tome NDrIw oat on Laws OI any • Date pT'aa�n Signature so az 1 r Drinking Fountains Solar Tank iDishwasher " Dover 100 amps; Floor Drains . Swimming Pool WISPS. Orypn ❑Caws OElecnid Sub Panel YOTICE: If, after making this declaration, you should become subject to the Workers'Compensation ' pro Vl1S10m; Of the Labor Code. you must forthwith mmplY With Such provision this permit mall be deemed mission. CONSTRUCTION LENDING .AGENCY I- Floor Sinks i Urinal Fan I `- - Motors []&I AP 131% 8 ' Gai Serolce. Outlets' Water Closet - F.A.U. Inc. Solar ❑9-15 His 1711f 15+ Interceptors Water Heater. Fixtures �Microval ' herebvaUlrmthat there Is'a CDhntru[tlOn lending agency for the performance sl -the work for which this permit Is kesSO-($action 3099 Civ- C.j Kitchen Sink . lNMer Service _ Device Boxer Pole Light pander's Main, jamil S Address_ OWNER BUILDER OEOIARATION I aerenw affirm that I am I comet from the Contra6nrk I uY.n.e I ew for the Lavatories - tl.r Outlets' Range 1 the_ Property, (In t Contractor's sum Llonse rLawt or The dg build$ of Improves thereon, ane tractor(s) hoeing pursuant to the a 1:11 am exempt under Motion— Date Owner I hereby Certify that I haw was Information Is correct. I agree 10 and state laws r line to del In inspection our a Scinatu Call ca a or SS :MF 086546 rev, 7/ail White ly was nulla$ or improves s Ir Ihrou n mi or her own t mtgn8ee fm.ge mer Within uia.cam- Half • acting with licensee runowner rest wf property ono och projects with a earn - a Low). . B. & P. C. for this reason -Trap -' got Drains - Reinspenion'Fen us Issue Fee - S 3 - MECHANICAL nate Oiler Hood or Type I ❑ Canopy Type 11 CI Application Approved By Application found By, lace - Under Grountl Ince- Structural Refrigeration System L,.I-vemu.nnn P100.O110 BTU ❑100.000 ETU /Fact. Sit, ICBC 4 1 1 Exhau IS Systema Duffing 9 Regis )D,000 BTU R f 00,000 BT hpemion Fee §2B Assessor " Fee Switchessign Gartage Disposal Sinding Seclicm Gonpmator0&5KW[JbI5KWJ I Trash Compactor Zoning Approved BYncuu:ncrvm: nate Application Approved By Application found By, pais hat 4 Olt BUILDING PERMIT PLAN CHECK • PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK S $ S $ $ If SUMMARYOFFEES SMTP PERMITISSUANCE - ENERGY P.C. GRADING MICROFILM $ 1 $ $ ' IS " $ 8A 2 0' 39.0( _ =CHECK $ Sa OTALFEE JS. SOANICAL $ 3 IS 7J'✓<v K-�l " CONSTRUCTION AND PLANNING. APPROVALS 'Permit# fMl,r) 472 Date - Inspector POS_ S 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. A 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System '• 4 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 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 o-lglet xrp' FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping El Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O 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 �r Notes:cf GlIze D9tnP" Har LN6(q[1,E0 7-10'14 34. Final Heating & Air Conditioning- fc� 8y 35. Final Gas Pipe -Test - y By W 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. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date - •' A ji W Mentioned CITYOF COSTA MESA._ CONSTRUCT,ION PERMIT - to nn In all spaces except mow within heavy border lines and ban all appropriate decorations. a I - 4412 2��6�9- BeJ� iTl p MIT NO. -JJs S" TRACT NO. LOT NO. BLD %d19Of Address d I _ APPIICib.t Ma 1 off Address - 640 nfvAI SN6ea�oN -F M Ohom l^s ?fi OwoCfm Address - - TYPE OF CONSTRUCTION. NEW ADO ALTERATION REPAIR ❑ CONVERSION 11DEMOLISH 1-1.07 HER n DESCRIPE ION OF WORK _ I • r - A.P. 0Zane $ Mem Bu Itl n9 Acce Y Building. 2 - TYPE OF,DERMIT Gaw DING ❑EOVrvoFlTION- 'STRUCTURAL ❑TENANT ELECTRICALR, seINGMECHANICAL ❑ OTHER. PROJECT DESCRIPTION 3p. pL OCCUPANCY CONSTRUCTION TVpE VALUATION$ ZONE GRADING CV. YDS: ACRES T - Front O �N _ AmM1/Eng" I �LcenY NO B Rear _ Aarrya ig Con tract ors Neme6 C.:E'fs/ 1pI pup C PIgM1t r 1 O _pboneC1.7-179% Address lmaingl BYL> /VI %k'I54l YV OKAA+LVS 64 'f{S_3/n C ty License No. - LICENSED CONTRACTOR DECLARATION l.nereby affirm that I em licensee under provisions of Charter 9 (commencing s with utllon 70001 of Division 3 1 the Business and Pr01�jqtom Cody and my license lsmm fOrlanderred. uh➢2( ay� UcenyClaylG' 9 Date r44 Signature IS $ Left' R E\ky. -PID Rei Park. Fees$ g U p mark r /O n O, a ' Parking Ra t.(P.ovjdad I ! U# of Building: " R E PLUMBING FEES Planning Notes: M E Bar Sink - $M1owers T W^VKERS' COMPENSATION D ECLARATIO nkers'rm that I home Compensation certificate ra ce or a certified (copy thereof (Section te 3b W, Lab. CI= policy NdN s ' 1 vn camwnv /VOA.w51 IVa-%/ Backflow Prevenfar -Service Sink - - - $ Backflow, Irrigation Sewer Cep _ ELECTRICAL FEES Certlfled copy Is hereby furnished. ppfca IbdcOp bnudwitn ins clfy 11 ljyi Date �'-26-hiJ Appdxnt % f//�"-^v" EXEM"Gal FFROM WORKERS' COMPENSATION DECLARATION foss ssectio ed not be completed 11 the permit Is for on hundred @1001 or certify that In the xdormance of the work sr as ich this permit is Issued I hall not employ any person In any mann to become subject to the Workers' ompensation Laws of California. W Date signature Bathtubs Sewer Connection AStOmatic Washer Transformer ❑ 15-50 KW ❑50*KW Cp�afuc6pn Polo slit. Clarifiers solar Collectors D[M1YAaFer $pion Piping (,'pukln9 Unit Metes Oup to lDO amps Drinking Founding Solar Tank ashwasher Meter ❑over 100 amps �n Imm Floor Ora Swimming Pool wl$pa s Dryers []Gas ❑Electric Sub Panel Workerss''' Compensation p Provisions of the Labor Code. You mss subject fotrthwitll - amply with such provisions or this permit shall be deemed revoked.. CONSTRUCTION LENDING AGENCY I hemby alfirm that there Me cdnstrucflon lending agency for the perfelmanro of the work for hlch this permit Is Issux (Section 30 9] Clv, C.), Lender's Name Floor Sinks Urinal - Fen " Motor[ ❑D1 HE ❑IX -6 Gas Service Outsets Wafer Clash - F.A.U. Inc Soler❑915 HP❑16-15t Interceptors Water Header - Fixtures Microwave Kitchen Sink Water Service _ Device Boxes Pole Light Lender'S Address OWNER BUILDER DECLARATION I herebyfollowingaffirm reasonthat (tion 7031St License from the Contractor's Buslxssad WONfilonalCOW: AMY CNyor limy wtich n9Nms a permit to construct, alter, Improve, demolish or repair county structure, Olor to Its Issuance, also xeulxstneappileant forsucno arms to file a signed statement that he/she Is licensed pursuant to ins provisios or the C^ntracoor's Ucenee few (Creole, 9 {cdmmencin9 with Section 1000) of Div' 3 f the Business and PrONMINS Code) Or mat he she IS exempt the and rho basis for thealleged exemption, Any dale Ion of Section 103. by any applicant }or Permit dlactl'the applicant to civil call of not moretM1an flue M1undutltl011ars15500). sole � 1, as OwmrwOf the property or my Steens ns with wages or fpenwtlon Ill do the work and the structure Is not Intended offered or a (Sez{len 70". Bu9ni b Professional Code,The Contractor's License Law does not apply to an Owner Of a property Who builds or Improves thereona d who does h work M1lmself/herself or IranU a or or her own oley s, Provided that such Improvements are not InilIn is a, her for Yle.If,noweveq the is uild l Of or I improvement Is sold wll hili one year of Cam- plethm, the owner will have the burden of proving he/she did net bulla dr Im- liefaith pWPOSSOf YID). 1, as owner of the property, am exclusively contracting with licensed con. tractoratb construct the project p11ectilioon 1044Y, Business ane: Prix eYlona Code! balotOrf Improves thereon and who center sl%m suet, Punjab S withla can. tractor(S) Ilcenx pursuant to the Crotorbi Uci Law). ❑ 1 am exempt under Section B. A P. C. for this reasonFinpllFxt. ( Lavatefias _ Cutlets flange P—Trap Switches Sign Roof Orcins Garbage Disposal Stadmg Sections - _ Generator ❑D5 KW ❑E-15 KW Trash Compactor Relnsptljon Fx $25 (Yue Fx $3 Palestine n Fee $25 Issue Fee $ 3 MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zgnjrp Approved By Builtllnq APPrpwtl BY .a'Data Appli®tien lYuetl By ' • s x"`r ! Boger Hood Or Type s ❑ Canopy Type II ❑ Oust -Under Ground pact -Structural Refrigeration geration System ❑01 f10,0o0 BTU ❑100,000 BTU Duct - Ventilating SUMMARY OF FEES BUILDING PERMIT is SMIP $ PLAN CHECK $ PERMIT - PLUMBING' $ ISSUANCE $ PLAN CHECK 25% is ,CyS ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50R $ MICROFILM $ MECHANICAL 'S TOTAL FEE PLAN CHECK 25% $ Exhaust system ❑ Multiple ❑ P System Re PajrlAltOretjon BIL ICBG Date s Owner ' Heating System R Ducting ❑016Q000 RTU ❑iDo,000RF L M1ereb certify that -I have read this aplication and tate that the above informed Ola icorrect. l agree to comply With al y and county Ordinances Ila state latlx to building construction. and hereby authorize Dre- e tai OP this city to nor Pon she hove-memlOxa tarty for Inspection ourpo 5. Signature Dae V` Drivers- LI con¢r SSB.. CMF 0665.06 wi 12/03 White . Buildings Canary Appllwni Pink- Accountings ReinWMion Fx $25� Issue Fee $3 Goldenrod - Asseuar J C., CONSTRUCTION AND PLANNING - r• S-15 Date APPROVALS _. Permit# Inspector POOL & SPA - APPROVALS APPROVALS P '# Date - Inspector 1. Temporary Electrical Service'or Pole 52. Pool & Equipment Location ' 2. Soil pipe-Undrgrnd. ` 53. Steel Reinforcement - 31 Electrical Conduit Utility-Undrgrnd. 54. Forms. ' 4. Electrical Conduit-Undrgrnd: 55. Electrical Bonding 5: Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6: Electrical LIFE R Grnd. ` �"'�-' - - 57. APPROVAL TO COVER-GUNITE_ 7. Footings - `" { k'izO�D 58. Electric._aLConduit;-LLgdrgrnd. B. Foundation i ------------------ 59. Gas Pipe, O UndrgInd., 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 ' i 14. Rough Plumbing 65. Electrical-Final '- I 15. Rough Electrical-Conduit- r -66.. Solar System-Final - - - -� 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - 18. Rough Electrigl:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Hough 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. Storage Tank C3 Gas ❑Oil , 25. Roof Sheathing - 74. Overhead Hydro i 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 - I 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 Nf Pl( w - 36. Hood or Canopy' 37. Final Factory Fireplace i _ - 38. Final Plumbing ' 39. Water Service-Final' - 40. Gas Service-Final i 41. Solar Domestic-Final .. 42. Backflow 'Preventer. . '- 43. BackflowIrrigation ' 44. Landscape Irrigation System - 45. Sound Attenuation. 46. Handicap Regulations, 47. FINAL STRUCTURE & BUILDING { ' 48. Special Requirements Completed, i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date - - - Applicant to flu In all Eal within heavy border ]ores and Man All a00roprine aeClarauens. CITY ONSTR CTI NPNMESA PEBMITN9.�O TRACT/NO. LOT NO. BLD .NO, �A27 . CONSTRUCTION PERMIT 1YJ 33 / O't1 L % L 0986, 1420/92 1 13.00 . PrOjeCl Atltlrns TYPE OF CONSTRUCTION I]y NEW ❑ ADD '❑ ALTERATION a }L•1•REPAIR (]COIUV CONVERSION QDEMOUSH,ZONING III OTHER C - _ r • REGULgTIONS Cost F5 Adtlre - Arch/Eng. -- Livens¢No DESCRIPTION OFWORK A.P.IF -- -- Addrea3 -- _ _ _ -7Z:: - "- - -ZONE' -- PLNG.REF. IPaN- r - TYPE OF PERMIT. '' '" -' - d GRADING ❑ FOUNDATIOyJ STRUCTURAL RAL - El TENANT ❑ELECTRICAL LUMBINGOMECHANIC C - - - -YARD_ Y�l lige - AtlOrp3" - LICENSED -CONTRACTOR BECLARATION - I hereby affirm that 1 am licensed under provisions of Charter 9J Room. SIpE YA RIGHT - ancing with if 7000) of Division 3 of the Business antl ' d OTHER R 1 IDns Code,_ la h!'en y l0 lull IOrtYfn ' ___ REAR YARD (TO -P/LI -'---" _ --' ' 3y d!! !1 PROJECT DESCRIPTION'- 'LI 6-Cla tenor No.` - - `-- -- SG. FT. - - - _, - -_ - 'OCCUPANCY CONSTRUCTION TYPE 1pKG. SPACE REQ. -' '- - �STflEET'WIOTH '� - PROVIDED -- PgRK F.EE3 - Dale- - - lgnalu.a } WORKERS'COMPENSATIONO DECLARATION I hereby affix that I have a certificate of wincent to sell Insure VALUATION ZONE - -- ZONING APPROVED BY r -- - DALE n rtf,ate-ol Workel6'.Ompenotlon ID mnc Ps Carl/ldr p _ _ GRADINGCU YDS ACRES SPECIq VCONDITIONS - thereof{Y B LI EH i Icy No. - tampon - '•. . REMARKS '. 2 _ _ _ - -utifl3D Lo ry l3 herebY.lumished. �I I. ' ertlfletl copy filed theory 0� SSI" _ - "- ^'- -' -- --- - _ Wwith _d COMPENSATION OCOMPENSATION ATION FROMWORKERS' sedion be Com le for one (ThisD[lon wed not be Completed If the permit IS for one hundred � � r rl' 1 D0�fY 4{ - - -_, _ " That In IhB'Parformance Of the work for which IMs Permit B 1f$ I hall not employ any person In any manner so as to becomePLUMBING Subject IDSthrVJarkars COmpenWion_ Laws Of California. --6 PIAN CHECK -- - - 4ELECTRII --PLAN CHECK-- BATHTUBS - --SHOWERS'- - - ----- - - FT - ___ Oete I Signature NOTICE; if stun hitting this deClereBOn. You should become iYUieG1 .-TOILETSOgI,yVRINAIS- - _.:GENERATOR 0-1-HW _10W -K - - - - - 1 to the Workers' Compensation provisions o/tM1e Labor Cotle, you must r TRANSFORMER if •, forthwith comply with Such Provalloni or thb p8 mtl Shall be deemetl - LLAVATCRIESr DOUBLELAVS -- --- - - APPLIANCE .1050. KW=50 P KW. e l KI T.51NKi-- - DISHWASHERS -- ,MOTORS _ _ ... p.t_HP=1-IO No - - - - ___ _ _ CONSTRUCTION LENDING AGENCY, 7 Ilherebyalllrmthat there is a CDn3troctlon lending agency for the per SERVICESINKS -f SUMPS------�---- _MING SOLAR) 30:SOMV SO, HP forminu of the work for which this Permit IS how4d,(Sactlan 3092- ., - CIv' C')- 'y`s ` \ 1 '_ LAntler's Name .. �' 7FLOOR-SINKS: --� v'FL'OOR DRAINS — a' - jFIXTURES- ---OUTLETS--SWITCHES _ " -""-s"'�a'�-'�b"'pRINKIfiGFOVNTA1NNy- LendarR Atltlre55 -lf "'--IGAS-TUBE SIGNS. pars OWNERTBUILOER-DECLARATION INTERCEPTORS'---CL`HRIFIERS -'- -'---' -POLE LIGHTS - - I M1ereEY affirm [hat I am exempt from the COmraCtor'3 License Law for - _SWIMMING POOL----P�TRAP - - - ' Ih0-following.reason (Section 7031.5 Buslneuend Professions Code:- Anlm y cfly county whoa nationals a permit ID Construct. alter. .. ' POLES - '-METERED-•- SOB - - - - Ito res theas..IIIfdnt foeWbhiny permit tofileprior sgned statement' also to. that he -WATER SERVICE` -ALTERATION- - PANELS -MAIN SUB s-11conswd-ourstrant to he ofbi of the Contractor 5 License Uses GAS SERVICE OUTLETS `,.- -SERVILE _ AMP �' with Section 0) of Division 3 of the 9 ale WATER HEATERS BTU OUTPUT -_ Code) or Any violation ang the Bapter Ewelideasis r and Hon"'o1 t therefron 90315the EW - SERCDgYB® - -- - - - '- anv_aPpllo et for Permit i blBCtS4hA O-aVpIIWw.tOcivil penalty- five t than hundred dollars (S500). SOLAR TANK - - COLLECTORS as -owner of the Property, or my employeeswith wages as their-' orripsenestIon,_ will do work, and struure's not Intendedor -' offered[ISLawon'7 de Ta Bapply uSineSs Saton - - 'c.. - - ISSUIF FEE ' d es not044, C tOrY Li n octwner)onofSP OD fry ISSUE FEE - ' -- " - APPLICATION.APPROV ED BY_ _ .UAiE,'.1 1 Who Dulltls or ImprOwYtherebn7antl who does such work M1lm»I1 or thmogM1 'is own amployees provded that such Provements are not MECHANICAL- PIAry CHECK -s: - i - .1 - "' - SUMMARY OF FEES' - In died Or 011ered !en Ole v; however. the building or Improvement Is sold within one year of completion, the owner will have the burden 1 proving—the did Oct build Improve for purpose of sale). - -BUILDING HEATING SYSTEM 0-1004000 BTU j 'SMI ❑ .az. owner OL the. property,. am_exCluslwlY contracting with AND CLOTHING 1 PERMIT S -• 2 licensed Contractors to construct the project (Section 7044. Business ]00,OBD I BTU _ -` 'PLAN CHECK S 'PERMIT - tl o.Polessions.0 del The.Com actor'S License Law does not apply to ISSUANCE' E of property. who builds 0o lm ro S meteors, and who con- REFRIGERATION 0-100.000 BTU PLUMBING E 1e�/ , (nets from) Such projects with.a-mntsador(s) limned -pursuant to SYSTEM-- _- _ GRgDIfJG E the Contractor's LIOI Law). 100,000 a BTU - IPLAN CHECK -- - - - - IamexemptUnder Section ' - -- - - B.&P. C. for this - - ` '�I - S _ _ BOILERS BTU' ELECTRICAL -S - -I - -- reason SYSTEM REPAIRIALTERATION - PLANLHECK-8 - _ MICROFILMS " rale. Owner _ EXHAUST SYSTEM MULTIPLE �MECNANICAL E TOTAL FEE f ' --_ - 'LESSAO- IherebY Unify thaveread"Kapp"dellooand Slate"a''Noabove InNotmatlon ISL gree to RY_Will ah IL dCounty u Ti5341e 1a herebya Whodty - PLANCHECK E =VANCE PC $_ brn elallnhg to and now re and ter Upon representatives OFIM1 t r Upon�too ad '' s Pr GoaTV for Inarki FINAL FEE S/-3, _ Signal me - Drivels' Lic¢nse10 III ISSUE FEE ... CMF 086546 While -Building; CanarNgpphLiMl Pink -Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNI APPROVALS Permit # ,'��� Date Inspector POOL & SPA' APPROVALS Permit # � ,Date- Inspector 1.. Temporary Electrical Service or Pole 43. Pool & Equipment Location' -'- -- - -- 2. SoilPipe-Undrgrn _ 1 _ _44. Steel Reinforcement_77 3. -Electrical Conduit Utility-Undrgrn --- -. - 45. - Forms' ' - -- - 4. Electrical Conduit-Undrgrn _ _ -46. Electrical Bonding5. - • - -- - - Steel em orce - _ ._.-. - 47. Rough Plum Ing & Pressure Test --- -- - - - - -- -6. Electrical UFER Grn _ 48. APPROVAL TO COVER -G UNITE - -- - - - -- - -- . 7. . Footings _ -. - _ 49. Electrical Conduit-Undr rn T ' -8. Foundation-- - - - . - . 50. Gas Pipe,, 1:1 Undr rn Test i -9. --Water Pipe-Undrgrn- - - - - .51._ Backwash Lines P-Tra_C] nar-rn' - 1O: - Structurel'Floor System • - 52. APPROVALTO DECK - - - - -- 11. -Property Sewer Line& House Connection-- - - 53. Backwash &'Receptor -Final .12. --Street Sewer Connection 54.. • Heater & Vent -Final • „ ' X ••• - '- . 1.3, Rough -Plumbing" - _ _ _ - - - - umbin- System - Final • 14. Rough Electric -Conduit i - - - - "56. Electrical+inal - - '-• • ' 15. Rough Electric -Wiring - - -" -57. Solar System -Final --- - = ' ::, .' ' 16. Rough Heating & Air Conditioning - - _ - - - - - encing.& Access Approval 17.- Ducts in Structure -- --- - - --t - -- APPROVED FOR.P.LASTERING 18. Ducts; Ventilating -' �. - - - -- - -- " - - - -- -- - -- 60. -- - -- r -- -. _ - _ _ _ • , POOL/SPASYSTEMSFINAL, - "' ,' "' •' - 19. GasPipe-Rough&Test-' "' - -- - 20. - Roof Framing - - - --- -- - - - - 21. Roof Sheathing NOTES: .'�� `22. Frame and Flashing, -- - - _ __ ._ 23. - "-Insulation---- - - - - - - ---� - - - .. i - - - - -%r% - r 24. Lathing & Siding 25. Drywall Nailing - 266 Plaster Brown Coat 27. Electrical Power Meter -Final -- - -- - - - 28._. Final Electric 29: Final Heating & Air Conditioning - - - - - - 30. Final,Gas Pipe -Test- ' 31: Final Plumbing - - - - - - - 32. - Water Service -Final -. 33. --Gas Service -Final - - - - - - 34. Solar Domestic -Final 35. Landscape Sprinkling System ' - - - ' •• 36. Sound Attenuation _ _ 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed _ 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No- Date - - - CITY OF COSTA MESA' PERMIT NO. TRACT NO. LOT NO. SLOG. NO.- CONSTRUCTION PERMIT q PN 81-380 26 TYPE OF CONSTRUCTION MEW [],ADD ❑ ALTERATION ❑REPAIR []CONVERSION []DEMOLISH ❑ OTHER- 1 _ ' n7qr 1111I'- ZONING-REGULATIONS Proledt Atltlress 1 dC Ve[llle Owner - Phone Address 1301 Dove St., #760 Newport B(3Ch Addr E . ES-PEton, License NO. 426$- _DESCRIPTION OF WORK A p BONE - - - PLNG�O. REF. I 19 Addiess 119 E. Alton, zShcltd F1Ild, �. - Comraaor Oltlans COSLStLUCt1IX1- Phone 576-84 ypE OF PERMIT SETBACKD T. RROPERTYNLINE Address$ DO Box 66 NYJI'1tE PdY]C []GRADING :. [] FO VNDATION TRVCTURAL ❑TENANT []ELECTRICAL []PLUMBING []MECH/W IG YARD - LICENSED-CONTRACTOR DECLARATION - affirmom 501 undered provisions v910fz of Charter 9S sand Ip IG - mcki with section 7000) the BUSIMU ❑ OTHER ProfeSnOns Code, my license Iz In full force dfIQ3C<Ifg[C - REAR YARD (TO P/LI I Rand tl0 "' PROJECT DESCRIPTION License Class License No. 4400 PKG. SPACE REO. PROVIDED Date - 51gBature - sq. PT. OCCUPANI CONSTRUCTION TYPE STREET WIDTH r PARKFEES WORKERS' COMPENSATION DECLARATION 'I hereby alflrm that I have a cholfloate of consent to wIlinsurC o1 a V gLUATION 87 udO ZONE ZONING APPROVED GATE rt111Wte of Workers' Compensationm¢ Iuran, or a cerlillud copy � thereof(Section 3900, Had. C.). GRADING CU. YDS. ACRE$ SPECIAL CONDITIONS: Igbw cy No. 7n1281 005997 Company - - REMARKS: (l . .Certlfid COPY is hereby furnished. -- J Camped COPY IS filed with the City Building Division. e2 IJOL9 FOR SPECIAL REQUIREMENTS EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ealon.need not be Completed if the permit IS for One.hundred �This $= or li - - .y. that inthe per0rmance of the- 10 pelma Is Sark eh1C5o iia Issued, I hall not employ any person In y mann to Outcome PLUMBING. 'PLAN CHECK ELECTRICAL - PLAN CHECK. Subject to the worker: Compensation Laws of California. BATHTVRE SHOWERS UALLILSO I'T _ go PT Odte Slgda Wle NOTICE: IS arta, making this declaration,uShould become subject TOILETS-' 'URINALS - GENERATOR 0-] HW�I-00 KW 10 the Workers' Care heedition provisions a the Labor Coos, YOU must TRANSFORMER forthwith comply with such provisions a1 this permit Shall be deemed LAVATORIES DOUBLE LAVS "- APPLIANCE 10-50 KW 50 i KW caked. T. SINKS 'DISHWASHERS- - -MOTORS 0-1 HP-1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is 2 Construction lending agency for the Per- SERVICESINKS - SUMPS - UNC. SOLAR) IDdO HP SOtHP - formance of•the work for whichithis• permKJslss ed:(Sectlon.3099p • - '. e 7 CI°' C'1' WP_L15 F BR_1lIC , 3TL�. FLOOR SINKS FLOOR GRAINS FIXTURES OUTLETS SWITCHES Lenderris Name n. __ _ 1 .NEST :.NEW Ort _ ORINNTNGGFOUNTAINS' st 'INTERCEPTO_R5 GAS TUBE SIGNS POLE LIGHTS - - OWNEWBUILe55. _ _ OWNED BVf DECLARATION Us h' \• - IM1erebydf'9 that dm ex¢m0[from [heme,Mair' that t se Law for Lowe- :CLARIFIER$'! _ - the bllowmgJCount(SecUon>o3L5 Business and Professions COtlee Cession SWIMMING Pool- PigHP An CiSy`Or Count;wryiCh lequl,eS,:dt Dermit to construct, alter,_- POLES METERED SU ImprOM,dethat so or r¢ pal, any SiruCtWe, prior IO Its Issuance, alio r¢- WATER SERVICE ALTERATION PANELS MAIN SUB quires to P Iirant.for Such 'per mit to lila a Signa _ GAS SERVICE OVTLET$ 'SERVICE - RMP the rove the se3 Law d9N(COmmenci (Chapter gWith Seclbn 7000)nofaCtOVS Division Of he WATER HEATERS BTU OUTPUT- Business and professional Code) or that he is exempt therefrom and the basis for the alleged exemption. Any Ylbaturs of. Sect1on4031.5 by . SEWER CONNECTIONS Su jests II peOy applicantoret for a C the lO a CWM Jyn bnit s U500). C SOLAR TANK - COLLECTORS ❑ I, as owner of the Iproperty. w myemployees with wages as their' Sole -compensation, will 0o the work, and the Structure B not intended Or offered for Sale. ($¢[Slim 7044, BUSIn0z5:anb stol"SiOns Code: The _ SOLAR PIPING Si ' ISSUE FEE ' Contractor's License Law Ustiapply1to an owner of a property ISSUE FEE APPLICATION APPROVED ED BY DATE who 'builds or, improves thereon, ntl.wha-does uchpi himself or. through'MS OWn employee$. prOVlded that Such Improvements are not -_ 'MECHANICAL .PLAN CHECK 1' SUMMARY OF FEES Iytendedorofferedfor sale. 14, however• the buildingpnlmprovemern Sold within one year f completion, the owner will have the burden f Droving he did not bused prove for the purpose of le). ,.HEATINGSVSTEM BUILDING �,� ❑ 0-100.000 BTU PERMIT ESL— $MIP.. $ 1, asowner Of mC Property, dm XCIUSIve1y- contracting Bry AND OVCTING - 114n5ed Contractors 10 O VUCt the project (SeAan 7044. Business 100.000 ♦ BTU PLAN CHECK $ PERMIT and Professions Cotler The Contractor'$ License Law does not apply to ISSUANCE Is property Miller Or I<entogssltherpiE and who ,o M1r ofom REFRIGERATION 0-100.000 BTV PLUMBING $ ewho Vato z Projectsa con PursuantSYSTEM - GRADING $ mC serious La w1. 100,000+ BTU v 1 Y. ' PLAN CHECK $ ❑lame mat Under Sectlon B.&P. C.lor [his BOILERS BTU L' ELECTRICAL $ E ieaso m - SYSTEM REPAIR. ALTERATION, PLAN CHECK $ MICROFILM$ Date er MECHANICAL g' TOTAL FEE E up"' application andStatemat the above I h4reA,5M= EXHAUSTSYSTEM MULTIPLE LESS AD- InlOragree ply With II City and County PLAN CHECK $ VANCEPC S_'pI, ordln Iing o construction, antl be,a ymemponto I¢pret enter Lpm tM1! abo a en[roned i - Propepit Signa FINAL FEE $ W -- ISSUE FEE CMF 086546 White -Bonding; Cimafy-Appident Nnk-Acmunliiki OrderedAssessor CONSTRUCTION AND PLANNIN APPROVALS Permit # Date Inspector POOL & SPA APPROVALS, Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce o, Z _ 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grri 48. APPROVAL TO COVER-GUNITE 7. Footings �, y - - .z _g;� 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrgrn 10. Structural Floor System g A- - bt 52. APPROVAL TO DECK 11. Property Sewer Line& House Connection _ 53: Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - - 14. Rough Electric -Conduit - - 56.Electrical-Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing " 60. _POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheath Frame andFlashin _ sb (3 _gg 1j NOTES: - 23. Insulation 6 - _ Q 24. Lathing & Siding - 0- t4-3-0- s;k �' ��'epuz 25. 25. Drywall Nailing •'Y✓1 %3 9,1 - 26. Plaster Brown Coat 27. Electrical Power Meter -Final p_ 28. Final Electric 6-82 29. Final Heating & Air Conditioning _g 30. Final Gas Pipe -Test o 31. Final Plumbing _ _trx. 0t 32. Water Service -Final _ ,e 33. Gas Service -Final -4 34. Solar Domestic -Final 35. - Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING /- _ .;L- 39. Special Requirements Completed 'J 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No Date ,. Applicant to fl in All SPata within heavy border lines and sign all CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. 'BLDG. NO. �,if JIM Stir I I CONSTRUCT ION PERMIT E pZ�o TYPE OF CONSTRUCTION K NEW O ADD ❑ ALTERATION ❑REPAIR OCONV ERSmN ❑DEMOLISHnaaaaaaam ❑ OTHER ff \ BL Dy„S I/N/r . ZONING REGULATIONS Project Address 3 Of C9-Pli4.4d Ove Owns Cojill d P¢RT- Piton JZ'J%r1/i Addre4 Ol De uE Sr_ L b M_ _ q AmNEnp, J 6S /�J�� Licence NO. OESC R I PTION OF WO RK A'P"f Atltland 47 _ ZONE PLNG. REF. N COnIMCIOr `/rQy(/y00 LAC. Phonen7�17e2 TYPE OF PERMIT ❑GRADING 1:1 FOUNDATION 11 STRUCTURAL ELECTRICAL OPLUMBING OMECHANICA ❑ TENANT 9r 5BUILDING I VARO SROBP�R E N Address It, 7Z 6 b i IJCENSEO CONTRACTOR DECLARATION hereby Writes that I am licensed uder OI Charter 9 team. Provisions Ktion I T1 with 7000) f Division of the Seasonal Ind ID OTHER and NOIMAOnS Code,a) d y license 19 In lull form a Ilett. C PROJECT DESCRIPTION REAR YARD ITO IVLI Llunv�e lJCenseN SO. FT. OCCUPANCY CONSTRUCTION TYPE PKG. SPACE REq. STREET WIDTH PROVIDED PARK FEE If /phass, �p�L� W1e4,701; Lp=Signature WORKERS' COMPENSATION DECLAR"1 1 hereby afllrm that I haw a mitral of c tmnl le wlfinsureLe a VALUATION ZONE ZONING APPROVED BY DATE rtiflmte f Workers' COmOenSSHOn Insurance, or etlllle0 PY GRADING ClL V D5. 0.CRE5 SPECIAL CONDITION thereof (Rds0n 3300, Us. C.). P lay Fill d'l /SGII CommentSrFAlTNtyv✓r /ND_ N.n vilified Popyle hereby furnished. REMARKS: -Z 7.7 KGHWO copy I5 filed With the City Building Division. Lor EXEMPTION FROM WORKERS' COMPENSATION DECLARATION L (TMs not be Completed II the permit Is far one hundred ,section ,need SEcertIfor less Y that In ilio Performance al the work for which this permit IS 1SOcedi I shallemployso as m become any Perso caws of mannCalifer PLUMBING PIAN CHECK ELECTRICAL PLAN CHECK Workersno subjecOala BATHTUBS 'SHOWERSSO FT Signature NOTICE: It error moi this dOCMntert, On should become subject TOILETS URINALS GENERATOR 0.1 KW -1-l0 KW to forthwith OMMY WIUM SUCII prnsation ovisiosions 0 the ns or anis permit rshallll Code. deemou ed LAVATORIES DOUBLE LAYS 10.50 KW_50 APPLIANCE 10-50 • KW Wined. KIT. SINKS DISHWASHERS MOTORS 0.1 HP_110 HE CONSTRUCTION LENDING AGENCY - 1 hereby afllrm that there I5 a Construction lending agency for the Nor- SERVICE SINKS SUMPS HNC. SOLAR) 1040 No 501 HE terarst 01 the Werk ler which this Permit Is Issued (Section 3097 CJnder's 1FLOORSINKS FLOOR DRAINS FIXTURES OUTLETS ?SWITCHES unaers name I _ Lender's Address _ DRINKING FOUNTAINS GASTUSE SIGNS _ �moyralNER la"ims't1IthaILDER warm from INTERCEPTORS CLARIFIERS POLE LIGHTS the Contactor%Llwnse Law for SWIMMING POOL PTRAP Ino lallawing rpOOn ,Section 7031.5 Business and Professions COdO: Any [lire a only which requires a permit to construct. slier. POLES METE VB Ira Oraw tlemelBM1 Or repair any Structure, prior to its Issuance, also M. WATER SERVICE ALTERATION PANELS MAIN SUB go hes the OO. (leant lot such permit to file a Sae Statement that ht licensed Pursuant to the provisions of the Contractor's License Law GAS SERVICE .OUTLETS _ SERVICE erERED AMP s — IIs Bof Division 3 Of the with r that hion e IS uslness and Rol si onter 9 s COCal therefrom the WATER HEATERS ETU OUTPUT' oekempl and is r the allegexemption. Any saltation at Section 7031.5 by SEWER CONNECTIONS fored applicantto a CIA penalty Sollarsthe IIs hundred R500).applicant SOLAR TANK COLLECTORS -' as owner of the property, Or my employee$ With waged as upir eco sole nsation, will 40 the Walk, and the structure Is not intended Or Offeredsa10. (Section )Oa^p BUfMeSS and Roalnsslans Code: The Contractor's SOLAR PIPING SVS. ISSUE FEE ,j UCen:o UW dews r m)W to Owner oI o lire ISSUE FEE APPLICATION APPROVED BY DATE who builds o thereon, and who does such work hl mseif or yw5 throuIntended MS own iti Such ents are not na MECHANICAL PIAN CHECK ' SUMMARY OF FEES offered f01 10. If, hOWBwroYided or Improvement the buildit nI or rale wiinin one year of completion, the owner wil� the burden $1 Proving he did WI Colons Or Improve for the purpose of rely). HEATING SYSTEM p-100pOO BTV BUILDING - ❑ I. as owner at the property, am vdusiwl contracting -rn IICOMetl ContOttors 10 Construct the Ion 7066, Business AND DUCTING PERMIT 5 SM1P d project (Set and Rolessons Cine: The Contractor's Umnce Uw does not apply t0 100.000 BTU PLAN CHECK 3 PERMIT ISSUANCE S— an Owner of Property who bullas or Improves thereon, and who inn- REFRIGERATION 0100,000 BTU PLUMBING 5 fromSuch psrojmc$with a contractors; teal pursuant to SYSTEM GRADING E thetrac cl 100,000 a BTU PLAN CHECK § O l am exempt under Section B. § P. C. for this' BOILERS BTU - ELECTRICAL s § REPAIR. PLAN CHECK S MICnOFIIME Date Dalen SYSTEM ALTERATION EXHAUST SYSTEM MULTIPLE 'MECHANICAL $ TOTAL FEES E55 AD - fylMtlMve rare haw application statethatand formationli linty IS COne<I. I agree IO mplY With all Gy antl u ty to CCopllply all PLAN9HECK § ygryCE PC E_ ordinances to emman[eeand statelawscity taranponfItan and 1 to a a entiond to a ter von above mentioned nCou properly ler purpe5 proerty Sari iSqKUdxddl Q �" S� (J FINAL FEE o $IgdO[m8 t¢ = $ Drivers' Licanw Or 5 4 ISSUE FEE CMF 0965-46 White-Building',Canary-Appllony Rnk-Accounting;GOldenro0-Assessor CONSTRUCTION AND PLANNING APPROVALS Permit Date ', Inspector POOL & SPA • ... Date Inspector ; APPROVALS Permit 1. Temporary Electrical _Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Un rgm, . 44. Steel Reinforcement - 3. .. lectrical Conduit Utility:Undrgrn 45. Forms I -- - - - . - . - .4. ._Electrical Conduit-Undrgrn_ _ 46. Electrical.Bonding . - - - -- . . S�teel Reinforce 47. Rough Plumbing & Pressure Test- - -- - - - - ' ._6. -Electrical UFER-Gro - _• _ - -- -, 48. - APP.ROVALTO COVER-GUNITE- - _ 7. ootings _ _ _ _ 49. Elecfrical Conduit-Undr rn B. Foundation ° 50. , . Gas Pipe, ❑ Undr rn, Test -9. Water-Pipe-Undrgrn- 51. Backwash Lines P-Tr56 ❑ UndFaFn --' - - . _10.. StructuraFFloor System _ - 52. APPROVAL TO DECK . 11. -. Property_Sewer Line & House Connection _53., Backwash & Receptor-Final 1.2. Street Sewer_Connection._" - - -- ter- -- -^_ - - -- Vent-Fina{' 54: Heater & ' 1-3• . RZi .2'jmgmg _ - _ - -- - -- --- 14. Rough Electric-Conduit -- - - - 56. _ Electrical-Final 15. _ Rouah 6eciricAVirinq - r--- - - - 57. Solar System-Final 16; F -ug!, Heafinq & Atr Conditioning encinq-& Access Approval - i 17;- Ducts Sn Str'ucture _ APPROVED FOR PLASTERING ..r . 1 1 r Bt P-Icts V=ntilating- 60. - POOL/SPA SYSTEMS FINAL' 19. G.aPlne-Rough&Tesr - - 20. R .of Fr�tning - - - - - - -- - - - 21, 2.2, R'tof,;h:athiir Framt�and Flashing NOTES: - 25, G. rw'.I .:ailing 2.6: PL.ste--B� ,own G.iat - - - •. .. 27: Elecvf cal-Power Mater-Final 28: 'F-jai Fiectric 6 -29. -Final Heating & Air Conditioning - - - ;A. F Pine-Test 31, F1 ial Plu.nbing 32. Service-Final 33. _Water Gas Service-Final 34. S, iar Do, iestic-'inal ' 35. LandsgD 4_S prinkling System - 36. S(,undA renuat on - - 37. Hand.cal Regulations - - 38. FINAL SrRUC'URE & BUILDING 39. Special Fequirements Completed i 40. Electric Release to Edison "- 1 41. Gas Rele..se to Southern California Gas Co'. - -42. CE RTIF!CATE OF OCCUPANCY Date - - - - APPIRgi t to Nn In an spaces wNltln heavy border lines and sign ak 8PProorIaU beclarallong. CITY OF COSTA MESA P MIT N TRACT NO. LOT NO. BLDG. NO. - 6600 6/01/82 19000 CONSTR LICTION PERMIT TYPE OF CONSTRUCTION )U NEW ❑ ADD O ALTERATION ❑REPAIR C1 CONVERSION ODEMOUSH- r -ZONING REGULATIONS Project Address 3505 Cadillac Avenue Owner Phone AtltlrBq' Arch/Eng. license NO. - t Reach -❑OTHER - DESCRIPTION OF WORK A.P. r - rPLNG. ' -' 'Atltlress - - -. - ZONE REF. 7)' - �Contreclor ThEvxinalair. Inc. Phune,283958 TYPE OF PERMIT, -'-BUILDING $ET ACKC 5 . El ❑ FOUNDATION ❑'STRUCTURAL YARD- - L.� TRC?PTk?ft9 N E+ - - Acquire_ ENSED CONTRACTORDECLARATIONNCHAIC ILInC is nswo m eny affirm that 1 u r Provisions of Charter 9lm- ning withsection )000) I Division 3- of ur"Buslnoss and ❑ OTHER Proesslorrs Code..nd my If Is In full force tl effect. $� ) 'REAR YARD(TOP/L)Com -- - � PROJECT DESCRIPTION 'Date Class QShar1 / yt ra -"- --- SQ_ FT. -- PKC. SPACE REP. __ 'I 'PROVIDED. - IT16 Ji( Oat. CC/D/RO/R7 5gna—lure' ✓lin II- - 1'. - WORKERS COMPENSATION DECLARATION -' TYPE ST0.EET WIDTH PARK FLEE II hereby affirm that I have a Grtlflpte of consent t IM VALUPANCY_CONSTR ONE VALUATION ZONE - '30NIrvG AvvRO EO,BV - - - GATE- - tlfldi f Workers' Compensation Insurance, an a certified COPY - _ GRADINGCLLVDS. ACRES SPECIAL CONDITIONS:- 'thereof (Section 3800,Lan-C.1. "gyNol ntltIr COPY Is. nod furnished. enM- _ ten. -REMgRKS ♦ - _ _ _ _ _ ____ x,,'MPTItlIs(led With BuildinCOMPENSATION "' ___ _ �- r RKthe Scity TIVIND E%EMPTION -FROPY DECLARATION' WORKERS' COMPhe - -+-�J - —� - -- - - ra,0 need h Permit {$10 )salon. em not be.comPletee a ma cermn 1 r hundred - - ' $100) or 1 _- I cart -that rn'o theperforman LIN work tor/which Ih15 ce ml 1 Issmd tall 1 employ any ro In any ma neC PLUMBING) PLAN CHECK ''ELECTRICAL - PLAN CHECK - sWjad to the Workers' Comps N n Lawn 01 G BATHTUBSUAK `$ROWERS "' -"-SO -go FT _ Date 5/90/RZ Signature � -A' 'NOTICE: If afMagary thin declaration. you should income subject -TOILETS,- r q -URINALS "- " -� 'GENERATOR 0.1 KIN TRAN5FORMER I I0 KW - Cter IO the Workers' MMM tlOn PrOVOIOM OI the Labor Code, you mutt Jurthwlth comply with such Provisions or this permit stall be deemed LAVATORIES DOUBLE'LAVS- -` - -' APPLIANCE 1040-KW_50+KW - - ^ VOked. SINKS DISHWASHERS �' �-- - MOTORS- - ml Hp'yl�lo HE -- -- - - - -KIT. CONSTRUCTION LENDING AGENCY affirm thaty pe far iswhich this SERVICE SINKS --u TnSUMP$ '- _.{ -- 44INC. SOLAR) -1040.X9-_50+-HP t rmance of w_oork sllsumil (5ectloo 309➢ FLOOR SINKS" FLOOR DRAINS '"1 -" 1FIXTURES-'--'OUTL-ETS --SWITCHESLonder'S----- - _PIOmI[ Liv'LLmde'I' - - - - -'- - ss. - I- •. DRINKING' FOUNTAINS '^ '- `-'-" _ ---- -- GASTUBE'SIONS--'- - _ _ ___ _ INTERCEPTORS`-' 'CLFRIFIERS -i'--- PoLE LIGHTS - --' �- ---"-- -=- OWNER BUILDER DECLARATION - e� a a ic V uY OWNER BUIL r. IOerobyalrlrm[hat.Tamexampt rromtN Conlnctoiy. Llmnse'Lew for Law • SWIMMING POOL-"- "PTRAP"^ -I - -- ".SU - - - " Ina-following reason (Section 7031.5 BusinMLlntl'RofMTiOM Code: Any city o County which requires a Permit to Construct, alter, _ TROLLS M EO WATERSERVICE "'ALTERATION-(PANELS�� - N MAI- SUB + Improve. demolishOr repair any structure. prior to its Issuance. also rtr quires the aptllGnt for Such permit to lite a Banco statement tat he CAS SERVICEOUTLETS -"- -- SERVICE-- - - -- - - AMP -- Is licensed'Wmunt to the roNdoM'Of the Contractor's License Law 1Cbapter .9 (commencing with Section 7000) or Division 3 of the WATER HEATERS BTU OUTPUT---- OUTPUT- -"" -- --- - - -- Buslness'ano hdmlons-COde)-or that he Is examyt' therefrom and the - Is for the alleged exemption. Any violation of Section 7031.5 by - SEWER'OONNECTIONS" - -- - - - - -- - apmore plicantfor subjectsapplicant -to a'CIWPpamily Eets the Ilmrnrdl (s5O0) -SOLAR TANK" - -COLLECTORS" -' - i --' �` - -� - --- - v lois ovine of the property, or my employees With Wages as their OC o. Will N war k, and the OCW 1010 n TOP QAOmd for d or }laced for action Code:n Tne ISPaion 70e6, Business entl Professions __ _ _ _ _ - $OLAP PIPING SVS. `SII - _ _ _ _ __ r l$$VE FEE-- - mn a Modify Law Eoes not poly t0 an v 1 Velfor _ _ ISSUE FEE '� • '- '--- - ' - -'(APPLICATION APPROVED BY - - - - _-' DATE---- - bUIr' orJcense Who Such -(hili (provided aro fnot tlnoogh ownmemployces that Improvements MECHANICAL PLAN CHECK - SUMMARY OF FEES or intended Or offeree for Sun. If, hawser, the DUIldin r Imorovsm0n[ IS sola within ono year of completion the owner Wil the burden , r -f proving he old not nulM r improve for the purpose of -sale). HEATING SYSTEM 0100,000 BTU BUILDING' - -- -- 'PERMIT___ - ❑ 1, as Owner Of the property. am exclusively contracting with- AND DUCTING- - - I' -� _ _ I- - 5 .SHIP - - S IlCeniW contractors t a M1B pro ea (Section 7006 Bu[Irr65 1pO.p00+BTU , 8 I pLANC ECK 5 -0ERMIT(. one PlofWIOM Code The Contra aOh LlonY LOW POesnOt apply l0 ISSUANCE S an o f property who bonlds or Imspro ns thereon, and who con- REFRIGERATION 9-300,000 BTU I PLUMBING $ tracts from projects , on r anr(s)-IlcesnW-puRuant-te, SYSTEM - IOO.000+BTU (/ -E Q t O GRADING e' _ IM1e COntraCIO SLI La ). .PLAN CXELK '$ ❑ 1 am exempt under Section - B 6 P[CforthIS -- BOILERS BTU - - ELECTRICAL 3 E[ - ' reaso SYSTEM REPAIR. ALTERATION " \PLAN CHECK E (MICROFILM E 1 TOTAL FEE 5 " 1 •�•' :MECHANICAL 3 ��-- - 'Dalen Owner It bycertifytM1tIM1 read IPPlnatmn;M1d State that the above - EXHAUST SYSTEM MULTIPLE LESSCA p-r t gee o mp y alI chantl pu [y orm- PLAN CHECK E VANE PL 5 , dl Ir, [ [ 1 t0 mVl ton. dOaNroPYmen tache -fltv�ttpr p G t Imme epee mentioned b ce r 1 Patna_ Lt 5/20/82 a0 FINAL FEE E� $Ignalure porn - _ Drivers' License 0r $9 g ISSUE FEE CMF 0865-46 White-BUilding;Canary-APPRonU Pnk-Acwunting: Goldenmtl-AResor V CONSTRUCTION AND PLANNING APPROVALS Permit 4A /K ,3 - -; I POOL & SPA Date Inspector APPROVALS Permit 4# Date Inspector 1. Temporary Electrical Service or Pole . k 43. Pool & Equipment Location 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - - - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4., Electrical Conduit-Undrgrn 46. Electrical Bonding -15. tee Reinforce orce 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE 7. Footings _ _ 49. Electrical Conduit-Undr rn - 8. Foundation 50.. Gas Pipe, ❑ Undr rn, Test ' 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap, nd'r rn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing _ - Fin-- - - 14. Rough Electric-Conduit - `-' -56. Electrical-Final - 15. Rough Electric-Wiring - - - - 57. Solar System-Final- 16. Rough Heating & Air Conditioning bd. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20: Ducts, Ventilating Gas Pipe-Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL I I' 21. 22. Roof Sheathing- - Frame and Flashing - - NOTES: 23. Insulation - --- C 24. Lathing &-Siding - - - - 25: Drywall Nailing OP&SO M40 'AWdA& 26. Plaster Brown Coat - - 27. Electrical Power Meter-Final 28. Final Electric - - 29. -Final.Heating & Air Conditioning 30. Final Gas Pipe-Test - - - 311 Final Plumbing 32. -Water Service-Final - - - 33. Gas Service-Final -- - ' 34. Solar Domestic-Final - 35. Landscape Sprinkling System 36. Sound Attenuation - - 37. Handicap Regulations I 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date Applicant to nn In all Spans within heavy border lines and sign zit appropriate declarations. 'CITY OF COSTA MESA - PEBMIT NO CONSTRUCTION PERMIT rO TRACT NO. LOT NO. BLO O. - - - - - .. rProject Atldrns TYPE OF CONSTRUCTION - ...•7 5973 6/12/0'21 r ,•.B'SI)0 l Own hone NEW ❑ qOD ❑ ALTEflATION - - - Address - - Arch/Eng. - License No. ❑REPAIR ❑'CONVERSION QOEMOLISH LI OTHER Lo - CONING REGULATIONS A'P' g DESCRIPTION OF WORK tldresS -BUILDING - ZONE PINTGp. TYPE OF PERMIT - SE-ppOpElRTvryLwE III GRADING ❑-FOUNDATION-'OSTRUCTURAL 1 VHPC - - Ll TENANT L1 ELECTRICAL UMBING.OMECHANIC � ,� RIG T ❑OTHER _ - REAR VARO (TO P/L]- PROJECT DESCRIPTION PKG. SPACE REO.' SOFT. _. �' OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH VALUATION 20NE 'ZONING APPROVED BY RgUEFl.p - ' PROVIDED -: PARKFEE;S- GATE - r �IL_ Phdne Q �Addr -' - LICENSED CONTRACTOR O CL'ARAT N I hereby affirm that I am Ilcented der ProylElO 1 Charter 99IIe - Cing 11n tion )000) of 3 f the Bruln d Professlpns Cade my Ilu In lull f�or�� �Ntl 5ffNj ucenuCass License Odte--Y. signature _y i/i! WORKERS' COMPENSATION. DECLARATION J-_ _ _ "•tbY affirm that I n tlNote of comant t0 se dnt la o�f�eWe�rgke PDm flan. lrnµ5yy handful till Y 7 G0.AOING CU VOS ACRES "- '.SPECIAL CONDITIONS; y11?0�1, y l-� 'WW COmWny 1 Lertitld edeDYi hereby furnished. Jr}',1, --g ._ REMARKS L 101 ertlfled[oOY is flied with iM1e City Bu1ng Wvlslon KBM"ION FROM WORKERS' COMPENSATION DECLARATION - A sectlon need not be completed I1 Me Permit :s for one bund M i$1Oa pr1 set. forwhich this I _ PLUMBING PLAN CHECK - ' -' _ p "ELECTRICAL- PL -AN CHECK - A14 tIfe trial In the performance1 the work permit I5iue0. I sfiall t employ any pe y ma 5le-Oe[ e sblectlotheWorkerSP hismotionwell gllfDnL___ __ male' 1 Slpnature NOTICE; If after making tolls declaration, Ou should become subject totheWorkers' Grmpematlon provlalons prthe bbpr Cotla, you must forthwith comply with such provisions Or this nrmit Shall be deemed ked.a� _j .- -_. --. _. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a wnslruction Lending agency fa, the per- fOrmance of the work for which this Permit Is Issued (Session 3097 ___ -BATHTUBS-SHOWEPS -- •TOILETS,- , 1 -URINALS'- - - LAVATORIES DOUBLE LAYS - - - __ _ - GENERATOR -'0-1'KW_1-10"KW •- _ -- -- 'TRANSFORMER - , •n, •.v•. :".,• L -- 4APPLIANCE -- 10-60 KWIl 50-+ KWren- - ^ KIT.SINKS '- �- DISHWASHERS -- MOTORS- -- 0-I HPI-10'HP - SERVICE SINKS. - ,-SUMPS k11NC. SOLARL. -j"o HP 50 a HP FCOOR SINKS'- ---FLOOR-DRAINS- 'FIXTURES -'OUTLETS- —SWITCHES-- - CIvv. C.L-"—'-'- "'" ---"- Lender's Name' - ,- l2nderYAddress "DRINKING FOUNTAINS II -- GAS TUBESIGNS .. ... .. - -IryTERCEPTORi "' CLARIFIERS" -"'-- ;POLE LIGHTS-�- -'-- OWNERBUILOERDECLARATION---------- -- S nLaw for 1 hereby affirm that I am ownhot from the Cr nlraCturLI[eN SWIMMING'POOL PTRAP - - - --- 'POLES 'METERED $UB the following re Son-ISeCl10o 7031-.5 BuHNis nd.%OfeselOns Code: Any city o county which r a permit to c nsbuct, alter, Improw,demoh Or repair any structure,nlor to Its Issuance, also re. quires the so. poll for Such Permit t0 fila a Signed Statement that M1e WATER SERVICE' -'ALTERATION }' PANELS - MAIN _ -SCIS - GAS SERVICE -OUTLETS" SERVICE _ 4.MP,' If "en3W'�FSUBnt to the ters 9 documenting with Slow of Section 1he 7000 not Division Ctorts ltense Law 3 Of in* -WATER HEATERS - BTU OUTPUT 4h - -- ' --' - - - - - Ast dnd`Profal COOS) OF that he Isothermal therefrom and the b._. for the alleged exemption. Any vio.tholation of Section 70315 by -SEWER CONNECTIONS - - of roc etl for liwpeh nidred jeare-t (E SOOIlent Fraa tivlb nn1tY' SOLAR TANK -- --COLLECTORS- -SOLAR PIPING SYS,- ^ gba%f-Ir - - _ - ISSUE�FE =`- a -• h o. �- M ❑-1, a Owner of the property. OF My Ormu des wlto-wages as Unlr OpensatlOO, WIII do he work, end the structure is not Intended SO M offered or sale. Section 7064, Business and Professions COde:-The Contractor OUtimse Law does not apply t0 w 1 DronrtY Who builds Improves thereon, and hO"dans M1' workhimselfor through his own employees, o Ided that Such Iso 13 are not Intended Orbnenor tau. PI, However. me bruld n - r Improvement'- $sort within one year of completion. the owner HIS haat'. the burden of preying he did not buha'o. I prow for the OWOCS6 o1 ISL 0.1, as -owner e1. tM Propert x[Iutival contracting Miss- y, am Y [ Ilunsotl tentrattars to construct the prolOtl ISe[tlon 70:10, Buslneu and OOlNsioni COoa: That Contractor's llrenso.Law tices not apply to ISSUE FEE - -';j - - - -APPROVED BY' - OAT _ "MECHANICAL - PLAN CHECK - - SUMMARY OF FEES'. .. - - - - - --- - - - - BUILDING -- - _ HEATING SYSTEM 0-760.000 BTU- - PERMIT S SanIP E -ANODUCTINO' 100.000! BTU ,PLAN CHECK E PERMIT _ �'��jS _. -ISSUANCE S " owner of property who builds ur Improves thereon, and who COT tHcts-om su[h.pnowts with .son✓actor($)-.Ilusned Oursuanl 10- she Contractors Utenu Lew), El I am exempt under Section- - '8. A P. C. for thin ease REFRIGERATION 0-100,000 BTU SYSTEM _ _ 100.000 r BTU BOILERS BTU - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE - - - 'PLVMBINO E� _ PLAN CHECK Is 'ELECTRICAV E -' PLAN CHECK- as __ - MECHANICAL E - PLAN CHECK (e GRADING _,E; 1 r E 'MICROFILMIS_ _'TOTAL FEE $' 7 ---- -- LE$$AO VANCE PC I' �d10n Ownel I hereby rxrldir that l have read this applicationand Statethat the&now In101mitln I COnetl. a9rel [o Comply wltn decity and County ordinancesa tl ideas llNLM9 tO C0nateuCLln.ine M1CICOY autnONxe repngntati - f ml Sty tb eine. me neo amt n.e moPerty N p rpoxa. d _' I S - $Igndlu OtlWls' License Or SS for SSUE FEE . - /rl; - q D FINAL FEE $f,5� - - CMF 086536 WhNe'BulNing; Canary-APPIkont; CONSTRUCTION AND PLANNING APPROVALS ` Permit # P�Y$X Date POOL & SPA Date Inspector Inspector APPROVALS •-Pirmit =/k 1. Temporary Electrical Service or Pole _ 43. Pool &Equipment Location - - - - Soil Pipe-Undrgrn _ _ 44. Steel Reinforcement - - -- - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding- _ -Steel Reinforce _ 47. Rough Plumbing& Pressure Test - - - - 6. Electrical.UFER Grn 48. APPROVAL TO COVER-GUNITE - -7. Footings _ _ _ _ •' 49. Electrical Conduit-Undr rn' ' 8. Foundation - - - -- - - - 50. Gas Pipe, ❑ Undr m, Test .9. Water.P.ipe-Undrgrn - 51. Backwash Lines P -Trap,❑ Undrqrn -10. Structural Floor System 52. APPROVAL TO DECK �• '-•- 11.. .Property Sewer Line &.House.Connection 53. Backwash & Rece for -Final 12. Street Sewer Connection - ' - - -- 54: Heater &Vent -Final `• ' 13. .Rough. Plumbing. ' ` - - -- - 14. Rough Electric -Conduit - -' - '56.- Electrical -Final 15. Rough Electric -Wiring 57. - Solar System -Final - -' 16. Rough Heating& Air Conditioning-- - encing & Access Approval 17. Ducts in Structure -- - APPROVED_FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - Roof -Framing - - +-- -- X60. _ POOL/SPA SYSTEMS FINAL, . - 21: 22:NOTES: Roof Sheathing Frame and Flashing -- - ' 23. Insulation - ---� - - -- - - - - - - - -- --- - - - - - - 24. Lathing & Siding 25. Drywall Nailing - - - - - -- 26. Plaster Brown Coat 1 27: -Electrical Power Meter -Final - - - - - -- - 28. Final Electric - - - - - - - - - - - - - - - - 29. Final Heating & Air Conditioning - -- - - - - - - - - 30. - Final;Gas-Pipe-Test- - -31: Final,Plumbing �•J6 - u 32.• Water Service -Final "• 33. Gas Service -Final 34. Solar Domesiic-Final ' 35. Landscape Sprinkling System 36. Sound Attenuation - -- -- 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release torSouthern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No-- Date - AOmMam to fill In all ons em within heavy border lines nd pan all CITY OF COSTA MESA PE MIT NO.- TRACT NO. LOT NO: BLOC NO, 0985 I/20/82 - I13oOD CONSTRUCTION PERMIT ' M-1 TYPE OF CONSTRUCTION WNEW ❑ADD ❑ALTERATION ❑REPAIR 000NVERSION 0DEMOLISH 9-227? L, -- k - ProleR Addrm �i_5'05 OWfI PITO A m OTHER - ZONINGREGULATIONS Arch/Erg. - License pill / D ESC RIPTION OF WORK A'p'fi - Atldrp35 - ZONE - PLNGO.gRlEJF�.p¢'q r TYPE OF PERMIT GRADING FOUNDAT,IIO/N)- OSTRWsr Ila L- ❑TENANT ❑ELECTRICAL C3PLV MBINO OMEfJiANIC SETSACK YARD- ROPEIRTV Lr'INE - Adtlreu - LICENSED CONTRACTOR DECLARATION - I hereby affirm lnat I am however b Crandalo y I Charter g (wm- -., $IDEM RIGHT p with Aetlan 7000) 1 Division 3 of toe Business and ❑ OTHER r Roles slon8 Code d Y J)lg�ey�r Is In lull foe 0.EAR YARD LTO p/Ll " Chi- PROJECT DESCRIPTION- Licens. r4L LIunEry e ec - _ _-- -'I- ' SO. FT. ' _ OCCUPANCY - CONSTRUCTION TYPE - _ _ PKG.SPAR REO. _- _ "STREET WIDTH - PROVIDED -,'PARK FEES Date Z-{L'LLStgnet we�. WORKERS' COMPENSATION E AR II - hY affirm That have a [artlllcIIe e c 11jns a Sao. gLUA- ZONE (ZONING APPROVED GY- DATE - nn oft -0uta f Workers' Compensation I VII _ _ GRADINGCUIYDS ACRES SPECIAL CONDITIONS-"" N(Sectl b. C.). Icy Na ,REMARK$ 1 - Certlfletlwpylsherebylurnlsned. _ Certified copy Is filed with me [Its Bu1Ml ' EMPTION FROM WORKERS' COMPENSATION 'OECUIRATION Tn m nneed B mm not be Completed e Permit is for one hundred �EI00) less^ r f [y foal 1 per{Orman¢ 01 the work for which CM1 Permit one a._ d M1al as t not employ any peion Ia any mann r ed az m taw • ubledlo3ne Workers Compemellon Laws of Ulllornla_. _ PLUMBING t Pcgry CHECK- - ELECTRICAL -- - VLAw cXECK --' B - BATHTUBS" '- SHOWERS' ' - - - '�Lon LUNU' - - - GAHA- - _ Odle 1 Signature r NOTICE: 11 alter making this declaration. you sheaub became subject TOILETS. -,,,URINALS -- -- r -GENERATOR - 0-1 KW-- I- - 10 My to the Workers' ComWdmvran provelons of the Labor Corte, you moil'TRANSFORMER �. forthwith Comply with sten Provisions or this Permit Shall be deemW LAVATORIES DOUBLE -L -AVS-' - -- -- APPLIANCE IObO KW�50+KW Evoked-, - KIT: SINKS - - - - DISHWASHERS -- -- MOTORS - - 0-1 XPy I -]O HP - - - _�. - .. _ CONSTRUCTION CTION LENDING AGENCY per- SERVICESUK5.a;T , SUMPS rUNC.SOLARj-_IDSOHX _- 50A.Hp fmmearchoflrtM1enwo,k fart wMcn this[ Permit ls' Issued ((Sectiori 9>e SINKS '- 'NFLOOR'DRAINS ^' 1' - -- :FIXTURES --OUTLETS -- SWITCXFS - - Lender's Name _ .FLOOR LanderYAdtlras DRINKIWFOUNTHENS" ,GNSTUBESIGNS OWNER BUILDER DECLARATION I neral%affirm tint I am exempt from the rant a tor• a nfid Saw for INTERCEPTORS ""� CLARIFIERS ,. - - POLE LIGHTS SWIMMING POOL-' PTRAP --- - - rPANELS the following reason (Secilon-7031.5-Susiness and Ro15ss1eni Code: Aoy city OF County which remains a permit 10 construct, alter, E3 "MET �- Im dei ll3n Or repair any structure, Prior to its Issuance. also re. the WATER SERVICE -ALTERATION 3 - MAIN - - SUB - auPes so. nCnnt for such Permit to file a signed statement that he OUTLETS - --- AMP eo+pf�nsed-pursuant m rhe provisions oil CoW11thoS License law with Of Division 3 of theGASSERVICE lls i$ERVICE _ WATER HEATERS BTU OUTPUT Rplesslenls Codel Or that haellon � c45 andexampt.morld ore and she In, In• alleged a m tion. Any Nolallon o section 031.5 by -applicant for lea 'SEWER a pa�und subjece,s(55001icar civil Penalty any not more SOLAR TANK- ' - COLLECTORS 0-1, as owner"0f the Consu y'or my' employees -with -wages'as their sole Compensation, will do the work, and the structure is not Intended - or Offered for sola. (Section 7094,- BuslneSS and Clumn The - - - EE- -- - - I55UE FEE- - Contractor'sRorfas'loons COntraetOPsaLicense Law does f pally t0 f property ISSUE FEE -" - I Q APPLICATION APPROVED BY - ..: ' . " DATE - �..-- ' who bullds Improves theroon, and who does such work himself O' mroa n my em Deals,C d Iden mat Such Improvements are not for however, _ _ MECHANICAL PLAN CHECK- - -SUMMARY OF FEES;'- _ - InlenBad or offered Safe. 4, the building or Improvement O is sold within one year of completion, the wner will have the hurtleEL r Proving'he Old not baud' lmrow pfdr me Purpose Or and.- - - - - - HEATING SYSTEM 0.100.000 BTU BGaDING-_ PERMIT - __ 0d, a .owner. ol_lhe_proPPrty, dm aC1u31vely .M tra[linP Ilry AND DUCTING - E -. SMIP { - - t^o needs penlralOO S to construct the project (Section 7099. Daniel 100.000 t BTU I PLAN CHECK f - _ PERMIT - S d-Nofmal Coder.Tne Contractor's. Clonal Law Cerium applylo _ __ _ ISSUANCE E ~ an 1 property who builds or improves Ireread, and who Can- REFRIGERATION 0.100.000 BTU PLUMBIND S_/ /'? treats from Such .PmleeU.wlth tn[togs).$keened pursuant to SYSTEM - _ GRADING f' '1 (M1e Contractor% License Lawj. I0o 000+BTll- pLgN CHECKas- - 0"I am framem under Aellon - -fi. to P. C. to, this -BOILERB BTU ELECTRICAL E - ,�j --" '$ - - SYSTEM REPAIR , ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK f 'MECHANICAL $ - 'MICROFIlA1;E _ ] TOTAL FEE$r ' - - ESS AD- Dalereason Owner Iready teNllytmeI he" radthis &pollution and state that the abase Information Is Cortetl. I gree IO COmpIY with all - try andcountyPLAN ' CHECK f a laws mleDFg an om"I r"tal Ino ne abyl lnarNe represent at 1'tN CRY - to ter won me h if ed - ., ' property f r I pout: _ _ Sl - `I jINAL FEE $_(.L2a� Otive License ar CMF 0865-46 Wnile-Ifllding: 6nary-Appl[cant;Wnk-Accoun11ngl Goldenrod-AssabOr 1.-� CONSTRUCTION AND PLANNING APPROVALS Permit # /•l.>'!`( POOL & SPA - Date Inspector APPROVALS Permit # v Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -'- 2. . Soil Pipe -Un rgrn I 44. Steel Reinforcement - -'- - - - "-" - -'--- -'- '-- 3. Electrical Conduit Utility-Undrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn -- - _ 46. Electrical Bonding - -5. Steelem orce. 47. Rough Plumbing & Pressure Test-- - - - - - - - - 6.. -Electrical LIFER Grn - 48. APPROVAL TO COVER-GUNfTE " - - 7... Footings _ _ _ 49. Electrical Conduit-Undr rn 8. - _ Foundations -- - - 50. Gas Pipe„ ❑Undr m'Test - - 9. -Water Pipe-Undrgrn. - 51. Backwash Lines P -Trap.-❑ UWcA 10. - Structural Floor System 52. APPROVAL TO DECK- - - - - - . 11. - Property Sewer Line & House Connection 53. - Backwash & Receptor -Final " . ` `' '• ' 12. Street Sewer Connection54.- - -- Heater& Vent -Final °` ^ - 13. Rough Plumbing _-_ _ - - 14. Rough Electric -Conduit - ' - - 56:" Electrical -Final -- ' ^•'- 15. Rough Electric -Wiring - " ' '57-- Solar System -Final - 16. Rough Heating & Air Conditioning - - - - - •. encing & Access Approval ' 17. Ducts, in Structure- - - - - APPROVED.FOR -PLASTERING ' • 18. - 19: 20.- Ducts, Ventilating Gas Pipe -Rough & Test Roof,Framing - - - - - 60. - POOL/SPA SYSTEMS FINAL ' 21. 22: - Roof Slieathin Frame and -Flashing- - - -- - - - - - - - - NOTES: 23; --Insulation -- - -- -- --- - -- - 2. ^ 24. Lathing & Siding -- - - - ---- - - - •- - - - • 25. Drywall Nailing - - - - - - - -' - 26. Plaster Brown Coat - -- - - - 27. Electrical Power Meter -Final -28. Final Electric - 29: FinalHeating& Air Conditioning- - 30. Final Gas Pipe -Test - - •-- - =? -- - -• - 31. Final Plumbing - _ - - 32. - Water Service -Final - $--S - - - 33. Gas Service -Final - 34. Solar Domestic -Final l 35. Landscape Srinklin System - -- 1 36. Sound Attenuation 37. Handicap Regulations ---- - - 38. FINAL STRUCTURE &BUILDING - 39. Special Requirements Completed ' 40. Electric Release to Edison '• 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY -,No:--' Date _ r. Applicant to fill lall soa ds within heavy border Ones and Pon all ppropriate declarations. 08TA MESA PERMIT. NO. - TRACT NO. LOT NO. BLOC. NO. C RUCTION PERMIT 15 d a. 7•S PM 81-380 27114 (• TYPE OF CONSTRUCTION 5)U(TIEW ❑ ADD - ❑ ALTERATION - - (/18/82 � 406.82 Project AdEress0789 50 � 11dC AVPIIae Owner PM1pne � AddressNoojI❑ REPAIR ❑ CONVERSION MDEMOLISH- ZONING REGULATIONS Arch/Eng. License NO. OTHER OESC RIpTIDN ORH— A.P.1: — 2DNE PLNT11 11; IP Gp. RgtEfF�L.pSf�NG — 4285 AOtlsNs - Contractor 51= t:iOil PM1one 576-8 YPE OF PERMIT SETRACK LST. PFOPERTV LINE ACGrRs ❑GRAOI NG 0 FOUNDATION 1. STRUCTURAL TENANT 0 ELECTRICAL PLUMBING, MECHANICAL RD S1l CYARC - I hereby that I amOlimnNd 9 aLICENSEffirm under pmVlsl0m; of Charter twRP Cing-With Section 9000) of Division' 3 of the Buslness and ❑ OTHER R Professions Code, n0 my license Is In full forty and effect. REAR YARD ITO P/W ; - PROJECT DESCRIPTION UOMMI Class A License No. Alii SO. FT. aARO OCCUPANCYpryryrypq1CONSTRUCTION TY PE VALUATION ZONE PRO. SPACE AED- 592 PROVIDED 670 STREET WIDTH 1 PARK FEEE ZONING APPRDV EO DAT — Dale Signature - WORKERS' COMPENSATION DECLARATION I hereby affirm that I haw a ceNl}Icale of consent to selLlnsure or a rtlflutis f Workers' C Mm nsallon 'Insurance. of certlllep <epY T GRADING LV. YO$_ ACRES SPE<IgL CO N OITIO S: thereof IS 9 3§OA40 C.). Fxealont InC]�I)• - WIIcy rvo.WWYY6D11UUVV]]ii�0 Company 'Certifieacopy ishereby furhlMOa. - q REMARKS: `v Cz ,Certified COPY Is reed with the Cuy Building Division."OLD FOR SPECIAL REQUIREMENT: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectionneed not be Completed If the permit is for one hundred (EN01�ior less III y that theperlorman¢ OI the work for WNCh this permit IS _ IIISSUed so as, to become not eemplors Peron PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK }O incl omoen loris of Unmor BATHTUBS SHOWERSSO FT Dale SlgnatyN NOTICE: If after making this recension, yu Should become Subject TOILETS URINALS GENERATOR 0.1 KW -1-10 KW to the Workers' Compan Wtmm provislo05 OI the labor Prado. yoU must forthwith comply With Such provisions Or this permits be deemed LAVATORIES DOUBLE LAVS TRANSFORMER APPLIANCE 30 -SO KW -90 s KIN DMkM. _ .. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS r MOTORS 0.1 HP -1-10 HP I hereby affirm that a is a construction l¢nding:agency foylhe per- Bfor.whuh SERVICE SINKS SUMPS (INC. SOLAR) 10-50 HP -50 3 HP formance' Of in ewers UhN�pvm 1Sliupa, fSectlOn tall - -• " d)¢0.). 'Well FAlTxa.TUnk FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES c.. \. LODI Name -- — Len(I Address t lDRINKINGFOUNTAINS _ GAS TUDESIGNS- OWNER DU,mDM1RDECLARq IONJ,-, r IrereOy ll am exemPl from th¢ C License Law,fOr -INTERCEP_TOfiS-NLLARIFIER$ POLE LIGHTS entraa[o:h [he.f011OWinf ra50n_ISedion 2031.5 Dulln si P Profession[ Code: Any -city o scoamY Which rlqulRs. aJpNmit.to construct, alter, SWIMMING POOL l P TRAP - I - - ' - POLES METERED SUB WATER -SERVICE ALTERATION PANELS MAIN SUB demolish Or result any structure, prior to its issuance. also e- umr:Pas the applicant lot Such P rnshro file a signed statement that he. Is Ilrenutl pursuant to thaprovalons of the ContrSdorY License taw GAS SERVICE OUTLETS ,SERVICE AMP (Chapter 9 (commencing Gh Section 7000) of DlNsion 3 f the' WATER HEATERS BTU OUTPUT - B mess and PrdeRlOnr Cli or that a is exempt therefrom and the' bEI or, me auegea axe Poon: my.vidlmhm Of Section -7031.5. by. SEWER CONNECTIONS _ - - rY It .. ls the applicant to a civil penalty . t pmi itron Ore few Dollars ($500). SOLAR TANK COLLECTORS " , as owner of the property or my employees With wages as [heir- Sole COmCInRif will it the work. and the Structure Is not Intended r - - oHere 0 for sale. (5pCU I ]poo. Business and Rµlessbns Code: The SOLAR PIPING SYS._ ISSUE FEE Contractor's License LEW dols not apply to an owner of a ymor ty ho bOf s OL lmpl'oyes, Iherr ¢o,,,eetl-West dols Such Work Nm5C11 op ISSUE FEE - APPLICATION APPROVED By DATE thmu9h 'his own employees.V Id ld Ailat Slipped Improvements are nOIJ tsolE C 1 r Is weenie one yearr:a oom)palllon,weve[rno owner) will heng or re the burrden C MECHANICAL II ,r... J PIAN CHECK: ! OF FEES f playing he dIa not BUT Improve for rhe purpose of le). HEATINGSYSTEM Od00,ODOBTU {, 'SUMMARY BUILDIPERMING$�� $MIP E� 1, as owner Of Ino property. am exclusively co Iracfmg With to e the n 7044, ss [ AND DUCTING 300000 a BTU pLAN.CHECK § PERMISSUANCE I Contrackor'struct anOcadded Professions Ones! Thtors t I-Kenict Lawdoesnot apply to E of property WhoWwin-bNs or Improves thereon, and who w- REFRIGERATION 0-100,000 BTU PLUMBING S 1 acts From s h Brokers with a contractGgs) Udell pursuant t0 SYSTEM I GRADING E the Contractor License I -I 100,000 ♦ BTU t _ PLAN CHECK Is ' C I am exempt Most All B. b P. C. for this BTU $ S ELAN reasoBOILERS SYSTEM REPAIq, ALTERATION CHECK PLAN CHECK § TOTALMICROFEES TOTAL FEEE Galen r MECHANICAL $ I nervation fytn the reed tM application thattheaOovC EXHAUST SYSTEM MULTIPLE LESS AU - city information IS CIs agree comply ween all cera and cap with all PLAN CHECK § VANCE PC $_ VANCE 1 N kin t Construction, heeby authorize upon theand replourtatl rropert Ln m ty nue aeon tn! bo5y mentlonld f lers a 1 n Do ' O property l'ha$'t FINAL FEE $ Drivers" DrlwO'L a or 55i ISSUE FEE CMF 086546 .syyp-EpWIdleg; Canary Applicant; Plnk-ACCOLnting; Goldenrod-A55¢ssoe CONSTRUCTION AND PLANNINGy APPROVALS Permit # 'a'�70 Date \ Inspector POOL & SPA APPROVALS, Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding 5. tee ein orce 5 ug .y, `UF _ER •� 47. Rough Plumbing& Pressure Test 6. Electrical G 48. APPROVAL TO COVER -GUN ITE 7. Footings /-Z9.- 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn - 10. Structural Floor System skcL Z- -8 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final ' 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumbina System - Final 14. Rough Electric -Conduit :56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning -_ Fencing &'Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL . 19. Gas Pipe -Rough & Test - 20. Roof Framing 21. Roof Sheathing _g -SR NOTES: - 22. Frame and Flashing Z%Qo -�-$-1 23. Insulation 6-/6 - ;t. 24. Lathing & Siding 25. Drywall Nailing 6.2fg 7'V1 26. Plaster Brown Coat -a - 27. Electrical Power Meter -Final 28. Final Electric 41 K 29. Final Heating & Air Conditioning -AR-12, , 30. Final Gas Pipe -Test a 31. Final Plumbing O 32. Water Service -Final - a.O 33. Gas Service -Final _ 34. 35. Solar Domestic -Final Landscape S rinklin System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed w 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - Applicant to nu M an Spaces within heavy border finer and sign all CITY OF COST" MESA PERMIT y�jO. TRACT NO. LOT NO. 'BLDG. NO. CONSTRUCTION PERMIT E-'a(�p� 1975 21 1 1 I52� 9000 TYPE OF CONSTRUCTION IN NEW ❑ ADO ❑ ALTERATION ❑REPAIR IJ CONVERSION OOEMO-15H ff Bz D"3- _ _ M vN/7- - Project Address /(,L �, Owner - �04 PhoneT$j'sf/ AddreN DOv D/ SY s. 71ne POTHER ZONING REGULATIONS Arch/Eng. /t/�5 Q License NO, DESCRIPTION OF WORK A'P'gt Address5.4. ZONE Pk -NG. REF. •ey Comrattpr /PK C✓OpD -4,4e. Phone i-S'"T TYPE OF PERMIT ❑GRADING O FOUNDATION ❑STRUCTV RAL ❑ TENANT ($ELECTRICAL OPLVMBING OMECHANIC SET I VARO 5 p dRiNlil iGi NE Address L TN C,6 OS LICENSED CONTRACTOR DECLARATION I hereby atflrm that 1 am IICenLd under prONsbns of Charter 9 (com- RIIGNT marding; with section 1000) of Division 3 01 the BuRp0s5 and Cl OTHER lar ofessl0ns COOe, tl license Is In lull fore 0 Ibpt Z9TS� PROJECT DESCRIPTION REA0. YA RD ITO p/U } lJ[ense lass -� UCenu�N9. PKG. SPACE REG. PROVIDED OaIO / SZ Y 'Fi ngnature � SO. FT. WORKERS' COMPENSATION OECLAR 10 OCCUPANCV�CONSTRUCTION TYPE STREET WIDTH PA KFEES herehy alio that I h a eerthlea t0 NIHRSurO Ori VALUATION ZONING APPROVED BY DATE Negate of Workers' Compensation Insurance, or a ceNiffetl copy —ZONE I(Sedl 3800��LLaab. C.I. LJ dy NO vor 110 c5 [.l Cgmpgny/ �FMGNI' /NI3_ C(3. GRADING CLL YDS. ACRES SPECIAL CONDITIONS: ❑ Certified copy iS hereby furnished. REMARKS: -L El Certified Copy is filed with the City Bulminp Division. .e EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ((1TNa section need not be completed If the Permit Is or One hundred 'claolotPapers.11 the erformance Of s Work fr Permit shall not eyrtiRkIn mploy any person In any maO4ooso och f to ass PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK tlan Laws of Calllo Subject l0 the Workers'sb rnla. BATHTUBS SHOWERS Date Slgrat"renIDurO NOTICE: If after Resolve this declaration, do should became subject TOILETS URINALS GENERATOR 0-1 KW KW t0 the he Workers'' Compensation Provisions 0 the Labor Code, You must TRANSFORMER -1-10 pm ll provisions or this Permit mabe Carol y LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW�50 ♦ KW revoked. KIT. SINKS DISHWASHERS MOTORS 0.1 HP�1-10 HP CONSTRUCTION LENDING AGENCY there Ction yy work which 3091 r. SERVICE SINKS SUMPS ((N0. SOLAR( IOdO Nf�60+XP fort thisit O w ol l 15l Isssuedn�51 club formanceaOfrthe Cly -C.). Lender's Name FLOORSINKS FLOOR DRAINS FIXTURES OUTLETS'[„ SWITCHES COntleh Address DRINKING FOUNTAINS GAS TUBE SIGNS - O^HpYRBUrmttlEiallDamexe pt frromthe fnnbaMor's License Law to, IhO 1011owln9 reason (Section 7031.5 Stainless and ROIeHIom Cooler INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL STRAP POLES M TE ED Soo Any City o county which requires a Planot to construct, alter, derrint fon such InkpuP05 N hoW UJIUMMM 0 WATER SERVICE ' 'ALTERATION MAIN SUB ap.11edto Permit[ to file SIC Otl tal no .PANELS Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE '- OUTLETS SERVICE qM E RLoe hWh and im 9 (tormentingwith that h ction 71f e%Omm ideref3omand toe Crxi ,WATERHEATERS ' ''m BTU OUTPUT .` is r the alleged exemption. Any Wolallun of Section 7031.5 by SEWER' CONNECTIONS any applicant [Or Permit Subjects rho pyllonl to a CIv11 penalty five of of con hundred chola (is001. or oe 1idO BOWRTANK COLLECTORS e adtetuctustimde lComper wlloM1work, nhesrre is enti Or Offered for vle. (SOCtldn 7004, Bu51ne5s and Nolesslons Code: The SOLAR PIPING SYS. ISSUE FEE Contractorw s Ucome cadoes t apply to n owner m a properly who andwho s Such Walk lndt or buiIne ISSUE FEE APPLICATION APPROVED BY GATE through own employees.reonOrdvMed that suehImprovements are MECHANICAL pLgry CHECK SUMMARY OF FEES Intended With n one year Of Completion eine Owner) will have the burden Of mOving h0 ad not build Or hundred for (M1e purpose Of rale). HEATING SYSTEM 0300,000 BTV BUILDING owner ol the am the A'70oa. AND DUCTING PERMIT S $MIP S Looked contractors to construct pr jectu(XftIOalwil Buillness 100.000 a BTU_ SU1N CHECK f PERMIT and Professions Cli The Cenlrattor's Unionist Law does not apply t0 ISSUANCE f an Owner of Property who builds Or holdings thereon, and who con- from REFRIGERATION 0-100,000 BTU PLUMBING $ locos such projects with a wnlectoLsl Ilcesned pursuant to SYSTEM GRADING $ to Contractortl License Law). ID0,000 BTU ,LAN CHECK $ - olamexempt under 5ectlon H.6 P. C. for this BOILERS BTU ELECTRICAL E Cy S reason SYSTEM REPPI R, ALTERATION PLAN CXECNf MICROFILMS Dale gvnar MECHANICAL S TOTAL FEEf hereby read state EXHAUST SYSTEM MULTIPLE E55 AD toa�Omilly with is carralvI information IS coRetl:f 1 agree to ply with ill Ity tl c Y tY city county , PLAN CHECK $ VANCE PC E_ toconstruction. hereby orolnentat;MZlrteenlsi Ciryrelating^and ant a above Prudent, ror 1 m n moo Signature ate FINAL FEE E�_ Drivers' License or SgF*NNNNNNNNNE—ISSUE FEE _ CMF 0865-46 White -Building: canary-ApPllcanU CONSTRUCTION AND PLANNINGLPOOL APPROVALS Permit #' L�4y`5' Date & SPA Inspector .APPROVALS - Permit # `Date, Inspector 1. Temporary Electrical Service or Pole _43. Pool & Equipment Location - - 2. SoilPipe-Un rgrn _ _ _ 44. Steel Reinforcement- - 3. Electrical Conduit Utility-Undrgrn. _ _45. Forms I-- - - - 4. Electrical Conduit-Undrgrn - - _ 46. Electrical Bonding -- - - - - - ._ Steel Reinforce . _ _- - 47. Rough PIL;mbirig & Pressure Test - - - - -- 6. - Electrical UFER,Grn -_ 48.. APRROVALTO COVER=GUN ITE ...7. Footbgs 49. Electrical Conduit-Undrgrn - - - 8. Foundation- ---- -. _ 50. rGas P.ipe.❑Undr rn,Test - - 9: - Water Pipe-Undrgrn 51. Backwash Lines P-Tra ' ❑ ndr-'r'n 10. StrUCtural Floor SYstem 52. APPROVAL TO DECK - - - 11. Property Sewer Linc_,& House Connection - - 53. Backwash & Receptor-Final 12. S'rae*-:;ewer_Cmmecticn- -= -- - 54. Heater & Vent-Final .13..- Boug: P:rmbing _ _55. Plumbi a System -Final 14. Rough Electric-Conduit - - _ - _ - ' - 56. 'Electrical -Final - '15. Rough Electric-Wiring - -'- ----- - 57. Solar System-Final i 16. F -ug , Heating & Air Conditioning - - -- - - ' - 17: - Duct inStructure59. - - -' - - •- Fencing.& Access Approval "x APPROVED FOR PLASTERING 13,-- D•'cts' V-ntilating- 4 - 19. G-sKle-Rough&Test 20. - _RooFFrt-.n g -- - 60._ - POO L/SPA S YSTEfOS FINAL - - 2.1. - 221- Roof lhcatf;ing - - - -� FrarrV and Flashing— - - - - - --- - NOTES: - - 23. 'Irsulatior -- - __ _ [•a- -m.-- 4; t'h 1F'.Sitiin9 _ �' L v 3- -2 25: G -j* :J .ailing - _ 26. _ PI-ste• B,own Qat -� - - -- - - - 27. Electr ca: Power Meter-Final - _ ---- - -- - - - 28. F*na',.,Electric - - - •-- - C. - - - - 29. Final-He-ting & Air _Conditioning- - - - - - - - - 30t- F t al'Ga> Pine-lest-- ' 31, F�ial-Plumbing -. - - - 32.- Water-Service-Fraal - - - - -- - - - - a 33. Gas Service-Final - - -• 34. Sriar Do, iestic'inal • 35. LandsM � Sprinklinq System 36. Sound A .enuat-on 37. Hind cal, Regulations '- 38. FINAL STRUC"URE&BUILDING 39. Special F'equirements Completed - 40. Electric Release to Edison _ 41. Gas Rele..se to Southern Californi t Gas Co. - r. 42. CERTIFICATE OF OCCUPANCY No_ _ -- Date Applicant to flu H all $pease within navy border Imes and sign all appropriate aeelaallons. CITY OF COSTA MESA PER IT p�TRACT .- Lor p�oa BeoD. NO.. CONSTRUCTION PERMIT - ,� 'T lv��j� '2-i9' ez 1 TYPE OF CONSTRUCTION C<NEW ❑ADD ❑ALTERATION REPAIR 11 CONVERSION ODEMOLISH• ❑OTHER a B/05/B2 ..r,n.-539Project - - ZONING REGULATIONS' Address8 S Owner - - - - PM1One Address y illO : Anchfi 1.License No, - DESCRIPTION OF WORK ) A.P. jF ' - - .-AdbCD - - TYPE OF PERMIT -' -` -" f "' ❑GRADING ❑ FOUNDATION OSTRUCTURgL-- '-Q TENANT 11 ELECTNICAL OPLUMSING_ MECHANIC ZONE-'" PLNG. REF¢ 'SE _ �Q UEIirlNe- VARO - - - - _ '- ';'Contractor Putin ILICIUNSUUD i�Atltlr¢R CONTRACTOR DECLARATION - hereby affirm tM1`t I am Innocent tl o 1 Charter 9 ( •I opf _ 11 y - with tlo�„ 7000) f OI 1 1 35 f- IM1 Bueshav tl, IPr $slam Code Fh y II 1 full f t a tiles F No ❑OTHER PROJECT DE IPTION - _ •REAR YA RD ITC P/y "- - - IUcen r Data '$19th[ 'O FT: ONSTRUCTION TYPE UIN PKG: SPACE flED. PROVIDED _ _ "STREET WIDTH- PARK FETE WORKERS Cm Et N - OELLate affirm Iliac 1 have a of c I that I have a of Conant l0 -VALUATION ' •ZONE V__AWATION ZONING APPROVED BY DATE -- rt:r¢hy I ClrYifrOte of -Workers- InSYnnca. Or a G,p1111ep PY Compensation "Ittle . I _ _ _ - 0 GRADING CU YDS - ACRES 'SPECIAL CONDITIONS! cyN Compare IAII�M/ JI Cerf I11W COPYT nlsn X. - - REMARKS - ZZ -' i Carfllle l Copy Eifel with the city Building Division. - EX MPTION`FROM-WORKERS'COMPENSATIONDECLARATION - F TM1IS Section need not be Compliti'f the permit Is for one hundred - - tfy*at the Of IM1 N 1 which [M1I permit I ploy -an SaI small not employ any person-in'y ma t bac OI¢Ci tp the Workers Comce lion Law5p1 California. - r• a ,PLUMBING a - PUNN CHECK - jELECTRICAL-'-- - PLANCHICK - - _' t_ _ - - BATHTUBS - SHOWERS` -'--- ' �--- _ _ - IDaI^ - Signature 50 FT NOTICE li inner Among this Celebration, y n IO h umleCn -- +TOILETS URINALS --'- --GENERATOR- 0i-- - 1-10-11 -- fo [he Worker[' Corms"malian p f the Lah Coll you iTRANSFORMER , jlOOf[OOWIth comply with such provisions Or this permit Shall be dtt O 8 LAVATORIES DOUBLE LAYS - APPLIANCE- ' 1050 KW�50 KW- --- ktl ..1_ `KIT.SINKS- DISHWASHERS T -- ''MOTORS Ot HP_130HP - --� _ ____ _ __ DINGAGENCV ICONSTRUCTIONh I hereby affirm thatthereIse Construction lena"ngagency for fheper SERVICE SINKS- SUMPS -^ "'�"'+� - f(INC. 5OIAR) Ui HPy501 HE r - _ 1 1 (M1 k for [his (Section 3007 FLOOR SINKS' 'FLOOR'DRAINS- -•. . -''FIXTURES- OUTLETS --SWITCHES '"� .. _p ��1,I{,{yvI�s�I�s�s�u�ed _ "C C) -- Lander: Name T--R�JIC — t _ 6 ' '"`- -'-'-- -P----''--YGASTUBESIGNS--- '" ,Lancer's AaaaXs r DRINKINGFOVNTAINS _ _ OWNER9UILDEA"nECLARN ION a- -' 't -' E �n=V • "-INTERCEPTORS.h-- "- -F - - - "POLE LIGHTSS---- - I hereby affirm that I am eMtmpt from ins Contractor's Llteme Law for CCARIFIERS' the Iollowingneapan-(Sac\Ion-7031.5 Bu[ln¢ss and Professions Cade: --SWIMMING POOL--- P'TRAP - -- - - - - -" (POLES -"' -METERED Any dly O my which requires a permit construct, alar, ImpoW, dem011sh or repair any structure, prior to its Issuance, also re- - SUB WATER SERV ICE' ALTERATION -- - (PANELS'^ '-- MAIN-- - - =5U0- - - - quires the apo Iq^t for Such Permit to file a signed statement that he - GAS SERVICE OUTLETS - SERVICE- --- AMP I'S liceresed-pumusultt-tri pre( ffh CBntractl [Llanse law 9 (commencing With S[CtIO 7000of Dlvellon 3 of the - WATER -HEATERS -'-- 'BTU OUTPUT - 6%phe less and d Cope) or -that h I exempt therefromandthe- Y Ary violation of Stripe 7031.5 by y 1 inealleged PVSubjects &,� 3POIlee tlot pai je s the applicant los civil penally -SEWER CONNECTIONS-' not l 1 hundred 1[500) O I -' 8e,'of'the-prope,Ly or myemployeeswith wages as their --SOLAR TANK - --COLLECTORS' 1 p soh On. WIII d0 iha work and the structure le nal Intended - - 11 0 f Sal0. ($echor 704 a, Bsiness and profesionsa ode' TM1B _ SOCAP'PIPING SVS: —' - - - "ISSUE'FEE -��--- 1 rCanQractorY Ufense Law tlaes not apply to an owner of property ISSUE FEE - - 'I� - xAPPLICATIOMAPPROVEO BY - L DATE ' but a O ImprOws theireon* no M1O noes Such work himself through 1 Own amp10 s, p Itl d that h Improvements are not intended r tferea 16r Is. II, litoa buniminGimprovement - MECHANICAL p - 1 Lgry CHECK -- -- -- - RYOF - 1 Id IINn dna ye r 1 compo li to r Ill he theburden 1 he I bu Itl for he f 1¢I �. I SUMMA FEES - (BUILDING - hat purpose m e mprove pving f[J.las o of -the properly, i xcluslWly Contracting with HEATING SYSTEM 0-100.000 BTU -- _ 1PERMIT b - SMIP • S ... licensed contractors to construct the prajecL (Sadlan 7006. Bu bases AND DUCTING- --PLAry 100.000tl 8TV CHECK E PERMIT and Rofe[[OIonS COOL The Contractor'sLicenselaw does not app ly to- _ _ � _ _ISSUANCE Is., an owner I Property who builds or Improves thereon, and Who Con- REFRIGERATION 0-100.000 El . PLUMBING E A acts Imm s Pirejetls_wRO-a con r taps) Ilcesneb pursuant -to. -SYSTEM - - _ GftgOING E- tne Cent lo! s UcenteLaw)) 100.000 } BTU _ PLAN CHECK E O' I am ea Pf un Section' — B 6 P. C. Id this (,Date - - BOILER$ BTU _H� '�EEECTRILAE If -' helped - - _ _ _ SYSTEM REPAIR. "r._%_MICflOFILM i ' PLAIN CHECK- E' - Wle - ALTERATION O G • TOTAL FEE 3_' a• that •I herebyPolltl ea ms icomply anddll EXHAUST SYSTEM MULTIPLE MECHANICAL- 5 • :PLAN LESS AD - _ met der to comply With all ciyatheaunva red CHECK E - VANCEPC-S- Ordinance Ia' uu to ze nca ere SUomn.end hereby aam0rlae I , repress ad for aor?:r to en Pe ml ter p me abb ern tQf nem { - Signal a SV - FINAL FEE E Drivers' me or 55 CMF 0865-06 W'hIIe-Bulla Ing; Cana ry- pp,can: arm Accounting; Golaenrotl-Assessdf CONSTRUCTION AND PLANNING p APPROVALS Permit # 't J'M -T:A.1SL� Date Inspector - POOL & SPA Date Inspector APPROVALS Permit # _ 1._ Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - 2. SoilPipe-Undrgrn - _ 44. Steel Reinforcement- - 3. Electrical Conduit Utility-Undrgrn - 45. Forms - - -- - - - _.4.- Electrical Conduit-Undrgrn _ _ - 46. Electrical Bonding -' - - -- - -- _ tee -_em orce _ _ _ 47. Rough Plumbing & Pressure Test - - - 6.. Electrical UFER Grn v 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. - Foundation 50. Gas Pipe,, ❑ Undr rn, Test . -9.__ Water P.ipe-Undrgrn _ 51. Backwash Lines P-Tra ❑-Undr }n 10. Structural Floor System 52. APPROVAL TO DECK 11.-. Property. Sewer Line & House Connection_ _ _ --53. 'Backwash & Receptor -Final - 12.-- Street Sewer Connection.- -- - -54- Heater & Vent -Final •- •- �' 13. Rough Plumbing _ _ -55. Plumbina- - -`-' 14. Rough Electric -Conduit - - ' '56. Electrical -Final • - ' 15. Rough Electric.Wiring - _ 57.- - Solar System -Final - 16. Rough Heating & Air Conditioning- - -- - - - encing & Access Approval 17. Ducts, in Structure - + .APPROVED FOR PLASTERING 18. Ducts, Ventilating .60.- POOL/SPA SYSTEMS FINAL,,. 19. Gas Pipe -Rough &Test "' 20. Roof Framing 21. Roof Sheathin --' - - - - - - - - NOTES: 22. Frame and Flashing - - 23.` Insulation - - 24. Lathing & Siding - ----- - -- - 25. Drywall Nailing 26. Plaster Brown Coat- -- - - 27. Electrical Power Meter -Final - -- - 2B: - Final Electric - -- - - 29. - Final Heating & Air Conditionin - - - 30. Final'Gas Pipe -Test - - - 31.• Final Plumbing - _ - - 32. Water Service -Final-- - - - ' 33. Gas Service -Final - 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - -- - 37. Handicap Regulations '• - - - ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed _ 40. Electric Release to Edison. I I- 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE= OF OCCUPANCY No. Date - - y APPRcant to fill m al Pascal except thew within has" border tines and pan all appropriate declarations. CITY OF COSTA,MESA ryl(.r MII PRMIT NO. - 14ACTM� LQT: NO. BL CONSTRUCTION PERMIT. #t""' _ ,q oq� I<)I et theeon and OehontCOisctt an Suchr tag to the contractors Uopnee tax under Action B.6 Onto Owns Lne.ob certify that i hove to In If.t.Oln W0 nl:u:: Ir agree ti Orlven' License or SS ch MF 006546 rev. 12/83 White- Building; Canary to subject to the 1-I¢0r51nks " Urinal must forthwith Project Adtlrns MM nt Applica's Mallin AAfddread LVI11 12C DwnttN Name �!` rEC Phoned! d5 TYPE OF CONSTRUCTION NEW woo 'ALTERATION DCONVERSION ODEMO IBH QOTHE DESCRIPTION OF RK 1 A- Address �50S C�j� TYPE OF PERMIT -/u❑. GRADIryYMBMaeN TROCTU ❑TENANT ❑ELECTRICAL p LUMBING' MECHANICAL Aren/EneA/fA LC¢nM Nn. 1 \ N, address ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION .. ZONE GRAOINGCU.YD9. ACRES Contractor's Nem '� Phoney Address (me Ia6 Pgi AW, 5•R City License No. Remark$: _ Lavatories LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Into Law for the Ode: Any City Or P-Tra ' P with section )000) f Division 3 Of the Bushed and Professions Cage, _n mr huhu It In Jylf,fp(re and effect. I til/n L1Jre_/ thinly ��a _L_i —Ei . betel ]l/� PLUMBING Roof Drains' ,,4182F8 ALJ .i QJ tl�n_ ',t ORKERS'COMPENSATIONOECLARATION > -hereby affirm that I have a cerNRcab of wnsent to se114n5ure'o HRr'ate Workers' Compensation Insurance, ora Certified copy thereof (So tion , Bar Bink GM1ovrere Backflow Freventer SttviW Sink lifig aw Ivitiation Sewer Cap 3f 800, ruts. yy) q= C) B exempt . Policy NO JQJ44 / COmpi- - - Bathtubs Sewer Connection Ihe a�Ion of Section COrtifietl COPY IS hereby formable- /'� - Ise Fee erl1�1g1cp0YJillled with lila ally Bull fid N�lop._ OiM (f�dd rrLLll lI XXZZAA lth the it F"!"�i++\/' CIBri1 Bn $pNr Collectors E%EM"ION FROM WORKERS' COMPENSATION CECIL TION (11 O Iron need I be completed If the permit Is for On hundred [$100) or DlaM1wesM1er Solar Pi Ping Me Contractor's lest). I certify that In the performance o/ the work for which [n6 permit Is issue shoo. not 9MPIDY any Parson In any,_mamner so as to become subject to IN Drinking Fountains g. Soler Tank , et theeon and OehontCOisctt an Suchr tag to the contractors Uopnee tax under Action B.6 Onto Owns Lne.ob certify that i hove to In If.t.Oln W0 nl:u:: Ir agree ti Orlven' License or SS ch MF 006546 rev. 12/83 White- Building; Canary to subject to the 1-I¢0r51nks " Urinal must forthwith Ger Service Outlets' Water Closet amed revoked. thepeforeanre ,mr Clv. C.) Interceptors' Wild Heel¢I' - Kitchen Sink Water Service Microwave Boxes _ Lavatories SUMMARY OF FEES .2Z.Od / 4f• 3 - L - Into Law for the Ode: Any City Or P-Tra ' P ' .srd 13(.$0 firman Or repair Roof Drains' 1 for such permit the provisions of action 1000) of B exempt . Ihe a�Ion of Section Reinspelion Fee '$g5 - Ise Fee (cant t0 a civil ended eOfferered MECHANICAL Me Contractor's dee or improves I hos r her own it offered br one year of com. not build or Im- Boiler ' • Hood or Type I , I] a Canopy Type It ❑ - Duct-Untl tt Ground Duct -Structural Refrigeration SYrtem s III licensee arm- 'relations Code: 1101 {0,000 BTU 01010,00013 Duct - Ventilating - of ProPer[Y eCwho I le who a CAR. Exhaust green ❑ Multiple O System RepaiAAltemtion C. for this reason FUepl/FacLBILICBOai'• aYttthe ove 11atoo.000STU01oD.00 BT it urize mi piinaa) for Aelnp ion F® US Pink - Accounting; goldenrod-ASWPPO! S E B Ref.$ % Rep.IPr f Building: me Notes: if 69Z 3/22/84 Park. Fees $ clic Washer ctiOn Pole Sub. Transformer IJ 15-50.KW ❑ Bari )Unit Meter 11up to 100 amps their Meter [Dover 100 amps []Gas DElectric Sub Panel -22-8 2Y - _ff Ad/ Motors 1161 HP O t $ - 8 Inc. Solar Dili5 HP 111&15' Microwave Boxes :Pole Liaht Generator 005 KW 0015 KW Trash S 3 Rainsaection Fee S15 issue I 36. Zoning Approved BY^ Building Approval By Application Intent BY . e.:., LII /PY _ Dela ata 'am -22-8 2Y - _ff Ad/ BUILDING PERMIT'S PLAN CHECK _ PLUMBING -' PIAN CHECK 25%$ ELECTRICAL PLAN CHECK SON, MECHANICAL PLAN CHECK 25% S' -$ S S $ S $ SUMMARY OF FEES .2Z.Od / 4f• 3 - L - SMTP PERMIT ISSUANCE ENERGY P.C-,$ GRADING MICROFILM TOTALFEE $ IS 6 $ S ' .srd 13(.$0 f 3-. : CONSTRUCTION AND PLANNING - o- PO ,SPA Date APPROVALS Permit # 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:: Electrica I. Bondi no 5. Steel Reinforcement -56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57: APPROVALTOCOVER-GUNITE= - 7. Footings - 58: ElectricalConduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 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 J3. Roof Drains 64. Plumbing System, -,Final-- 14. Rough Plumbing 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 Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 APPROVALS Permit # r ' ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro - _. Ducts, Ventilating 71.•Product Piping 0Gas •-OOil _ 23. Gas Pipe -Rough & Test 72. Underground Flush - "c'a. Roof Framing 73. Uridergrnd. Storage Tank ❑ Gas'0'6il -, 25. Roof SheatKing ' 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 CERTIF�ICATEISSUED 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 - - .l ' - • . 44. Landscape Irrigation System I - j :• T 45. Sound Attenuation 46. Handicap Regulations •' _ 47. FINAL" STRUCTURE & BUILDING 48. Special Requirements Completed- { - 49. Electric Release to Edison I I 50. Gas Release to Southern California Gas Co 1 i r" I; •'• ' 51. CERTIFICATE OF OCCUPANCY - - - -a -- ---- --I --� -'- - ; No. - Date "2XC�. Inch" It to fin In all space: with! heavy border Ines and sign all appropriate declarations. .-CITY-OF COSTA "MESA '-, -RE MITN , . TRACT NO, LOT NO_- LOG. No.-. �. _ - --+539"7 9/35/ Ge CONSTRUCTION PERMIT �� = t �'� 2 :,; in 7'rrI y'a 'y;i --: .r,..r.- Proven Address - Hr ,1- .... - I, .a �., 1.. TYPE OF CONSTRUCTION NLYJ DADD- -�cALTERATION-.� :� REPAIR ❑ CONVERSION: ODEMOLI$H. - _ __ .. O'OTHER , - ;1.,5 ` :f; ;r•5',„” �. .._ ... .. - - -- _.. ZONING REGULATIONS - j Owner .. .... -- •.•....__ PMOO 1 : Addrra � - �' "chilli, - LICenSSIN p. " _ _ -__ DESCRIPTION OF WORK r rip" n - ZONE" PLNG PVEF -]Y,s- M1 -.TYPE OF PERMIT - ':.' `" '- '-' ' -" - 'BUILDII A C L ST RROPVEIRTV LINE OGRADING 'FOUNDATION --O5TRU,5CCT"URAL.__ ❑TENANT ❑ ELECTRILgL OPLUMBING spry CHANIC rAdtlTest' COlrtratlor - - - Phone Address ". - LICENSED CONTRACTOR .DECLARATION- - 1 hereby affls that I am licensed tl provisional f Cir ter 9.(c 5 M 6 Ine55 tl - i �(, I ❑ ,5I HygR R T -' - -- - 1 g with U 7000) f OI 3 0 OTXER. - - - Professions C d my 1 all 1 IVit O - PROJECT OE R -' ,PEAR YARD (TO P/L) UEape�52 - FT jPKG.SPACEF PROVIDED, D t - - 'Signature - SO _ 1 5 \. OCCUPANCY CON$TRVCTIONTYPE Al'$TREET WIOTN _ PgRK FEE$ WORKERS -COMPENSATION DECLARATION II hereby affirmflat haw a certificate 1 CO S 1 [ Self -I VALUATION ZONE ZONINGAPPROVEO B V OATE- [#cute of -Workers CompenSa ern-loaurance el lledc pY .- GflAO1NG CU VDS ACRES- ,SPECIAL CONDITIONS - - SOII 00 t aTy7 yNo Oil Cam � 151hagd J CH CaUffedled wPY.ls a¢!¢bY lY hlfu . ,_ _ - REMARKS ZZ - ,� - '-" Clrtllled wpy Is filed with the city Bulltlln9 OlvISIOn. v• a - • - ' '1 3 1t E% MPTION'FROM WORKERS' COMPENSATION DECLARATION' _ h. -- - _ �- 1 ' 9v (Tris evor on need 'no[ be tom Pletetl !ins permit 1 nYnd W p ri( 00�IYr[ SS1art et I ib P f n f ih p t I - d- 1 shall t VI y y -p I- any ora t �beCo -PLUMBING _7PCAN'CHECK-' - - "' ^ --i ELECTRICAL- --.h"- -' PWN CHECK-�' SUOle Y.tothe WOYk4r5 GrmpenSdtlpn LiWtof (pll -__ -BATHTUBS _ - '-'SROWEP$ "" �' (-' - - -' -�-al - _ _ _ ) ) Dale $Ignatwe NNOTICE:I/after makln9lnls decleatlon,Y zrvo ltl become subject ;TOILETS., � ,,URINALS---""--' j�"�-- -DOUBLE 4GENERATO R- -0-1-KW'--`KW - ITRANSFORMEft the Workers' Comlunsat an prov s ons of tic Lab s Cotle, you must BN he ih Comply 'M such prov slogs or [M1's permit sM1all b¢ deemetl LAVATORIES LAVS-- } - APPL-IANI 1050 -KW= , -50 -KW ...; "yokd CONSTRUCTION LENDING AGENCY - -'KIT.SINK$ -DISHWASHERS--' -fall R5-�- D1HP_310 HP 'In by. lfl! M1tiM1 t Nlon lentllg g yf tM1¢per SERVICE SINKS -•r5UMP5 --- f(INC. SOLARL 1050HP BO HP 16 1 a f to k 1 nl p IL d ($ c[I n 309] m FLOOR SINKS -----'FLOOR GRAINS-- "�� FIXTURES^^' OUTLETS --SWITCHES L - - Cl CI 0 Nam �2(' iu d- Leners gtltlres� ' �yO,LT -,- -DRINKINIS FOU_NT_AIN$-'-' -" ""---- !"' -- �G_AS-TUBE SIGNS ---- .. . _ �vi.7. OWNER' BUILDER'DECLARATION?-"`-'^ ^' '1'-' `' •- 1 INTERCEPTORS'. CL'FRIFIERST'"'- '" --:POLE LIGHT$------ ---- -..-- -Y --�+ Iherob ywing rlast (Sexempt[mm[M1e Conti ajrkdaa ndP firsho Law br reason (Sorption e: --SW Pconstruct,ns; Anythe city or WollT-0031:5-I permit to alter, count Itch lt a permit lit COuance, Ytl¢rsIOnSM1 SWIMMING POOIS""-P'TRAP�--- '� ' -'jrh --- ---METERED---' WATER SERVICE'^� ALTERATION- "' - - jPANELE - ---MAIN -SUB -•- - also MnprOVC O for paha yStruct t leo re - permit th a SIgnrastatement that a¢ to fit asom ap4lssi l for oughharp permit top - - -Gg55ERVICE"'----'bOTLETS "^"� iSERVICE-- - --- '- - AMP=-----.- .. isaphyte mns f the With SSection 3If nce Lt MM1apteYa9p(commen�ng 7000)OfDivision he -WATER'HEATERS- - STU'OUTPUT�-,-- gess•and:Rolessl0ns-cotl¢yoldhaPae lSawonFtth8aflomandlh0- mr the g p' Any wol 01 Section 7031.5 by- -•SEWER'CONNECTIONS-" 'If'- - ` �^� yon rmit-shundred Euellars ($50011,Cant-[O a c'vrl pena0y ettnan bl nalppli live -50PAR'TANK--' COLLECTOR$+- - I- -- - -- --- If 17 Mi'minney ortheipmpertyfpr my employees WItM1-wages-aS\M1ab' 1 compensation, II do the work, and [M1e Stratford IS not Intended - ff d for Sale (Section ]044 B - I tl Professions Code. The 'SOLAR PIPING Si'--)" "-" -'-f ­SSUE-FFE- ' Contractor's UC¢ns¢ Law does not apply to an owner of a property who bolas or mpro2stnereon and nOaoeS-such-work'mmtell or- `ISSUE FEE'- �--_ 4APPLICAT'IONAPPROVEO BYEthrough ' h Own ¢ oloye¢5, provided that m¢ata h ICSRAVeare of MECRANICAL - b_qN CH EC r--' -' SUMMARY OF FEES, - - Intended r offeme for Si If, rewei theerrildingrow Improvement ' 'tno Ia ands year of compl n to s II h the burden I 1 proving ne M 01 -bulltl '1 0 1 V p b -- -- -- - - - --- HEATING SYSTEM 0100,000 BTU .BVILOING�-- PERMIT -§ - _ 1! SMIP § ❑ 1,5 as owner -oto -tae properly am exclu5l Iy antract'np with _ANO'DUCTING -- -- - I _ _ �PLANCHECK Lt licensedmntradoss So ca strut, the roect (Section ]049 Business 12W does.no� 100,000+BTU - E PERMIT 1 and Profich ons code The Conl t 3 Li apply..00 __ __ ISSUANCE .$t an Owner of Properly whowbuild improves thereon and who n"REFRIGERATIONION 0-100,000 BTU PLUMBING $ actsfrom.s cn-pr0lects Ith. contractors) 11"SnedPursuant So- - 1 1 the Conlracta 5 License Law) rims 0 BTU - - IPLANCHECN b -_GRAOING _r$ O lani'll under Glom-- — B aP-C. for rola'- - ---__--¢ �- BTU $ - --- - IR,ALTERATION IITOTAL SELECTRICAL-rreason• PLAry cXECK- E _ 'MICROFILM'S O [ ! MULTIPLE.. 't-LESS'AD.-- FEE.4 TLIh by NL1yi leave atl tM1lsa pTw[lon antl state Nal tn¢above$TEM City f ct 1 ¢ to ply OM1 -a I d[y atl' wunty'�; brtllndn ash et PLAN-LMELK-$ TVANCE PC -'§repress (a to nstruc[ortand BeuThori2a - s - -IS the sC360Ill'" A1;' 3eProper atro f t on abs honed'1 Y ! sp_ i _I a _iCViveri'LO i l FINAL FEE$orriceShor sent 55$ � Y_ CMF DR65-46 White-Building;Canary-Applidin:Rok-ACCOUntmg; GDldenmd-Assessor U CONSTRUCTION AND PLANNING APPROVALS Permit # Date •+ _; _. POO L&SPA: ' - -, Inspector APPROVALS Permit # Date , •Inspector 1. _Temporary Electrical Service or Pole - 43. Pool &Equipment Location-- _ 2. SoilPipe-Undrgrn,'_ -_ _,•-, -. ._ 44. Steel Reinforcement' -- - - -- :-- 3.-- Electrical Conduit.Utility-Undrgrn - - .. 45.' Forms_-- 4.. Electrical Conduit-Uridrgrn -.. _ _ 46.- -Electrical Bonding.-, - - - - - - - -- _ Steel Reinforce" 47. Rough Plumbing & Pressure Test--- -.. 6. Electrical USER Grn- 48. APPROVAL TO COVER-GUNITE - - - --7.- Footings _ 49. Electrical Conduit-Undr rn 8.- Foundation - - - •- - - _ 50. „Gas Pipe„ ❑ Undr rn, Test ` !---9: Water Pipe-Undrgrn - - 51. .Backwash Lines P-Tra- ❑ UndFqrn - _ -- --" -10. Structural Floor System _. 52. APPROVAL TO DECK ` 11. -_Property Sewer Line &-House Connection . 53.- Backwash &.Rete tor -Final ' " • - Street•Sewec<Connection-. - -- - - - -54, Heater -& Vent -Final 1.3. Rough Plumbing _ - _ - ...._.Plumbina System Final 14. Rough Electric -Conduit ""' - - ;56.r -Electrical=Final - •�''' � 15. Rough Electric -Wiring "- - - 57.- Solar -System -Final- ' 16. Rough Heating & Air Conditioning -- =- - - encing & Access Approval,,, , .. , •' 17. --Ducts, in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19! Gas Pipe-Roiigh &Test ,Framing-- - - - - - 20: Roof' i -60. - -POOL/SPA SYSTEMS FINAL' - - -' 21. ' 22:- Roof.Sheathin Frameand Flashing .. -: NOTES:___: 23: Insulation- - -- - --- • - - - - - r 24. lathing & Siding-- - - - - - r- - - - -- - 25. Drywall Nailing - - - -- - - - - --- - . -- _ • - - ' 26. Plaster Brown Coat -- 27. Electrical Power Meter -Final - - --- - - - - 28. Final'Electric 29. Final Heating & Air Conditioning- ' 30'. Final Gas Pipe -Test - - - - - = - •' 31. Final,Plumbing- ,: 32. --Water Service -Final - - - - - - - - - - 33. Gas Service -Final - - - - - - _ •+ 34. Solar DomesticFin'al 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed 40. Electric Release to Edison t• ' l 41. Gas Release -to Southern California Gas Co. I a 42. CERTIFICATE OF OCCUPANCY No: - Date ApeuC@nl to nn in all lgadm wbnln heavy bprder lines Bad Sign aingpropale gaaatauen3. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. ELDG. NO, p CONSTRUCTION PERMIT gas 80 81-380 29 M-3 Project Address 3505 Cadillac Avenue TYPE OF CONSTRUCTION �,TIEW ❑ ADD ❑ ALTERATION " 0791, 111 B/82 378@59 Owner Phon wj AddressI. ❑REPAIR OCONVERSION ODEMOLISH OOTMER ZONING REGULATIONS VIVIVIIII Arch/Eng. - License No. 4285 DESCRIPTION OF WORK q P" OF -- 5 8 AddrBSs YPE OF PERMIT a����///' O GRADING 0 FOUNDATION STRUCTURAL 0 TENANT O ELECTRICAL DPL MBING E1Sda:cHAAsSCAS ZONE EM"ARSETBACK T. SIpE Vq KU rD1 PLNG. REF.; ZP. go -Ig Tpp991p1����ppI G GflOGEgT INE Contractor tiM Phone 576-84 . Address LICENSED CONTRACTOR DECLARATION (com- Iemby afirm that I am licensed der Provisions of Charter (com- mencing With then 7000) 1 under 9 f the Businessand D OTHER BIGHT force a9B�`t. %of sslons Code, andAriy Ilwnu Is In full f PROJECT I REAR YARD (TO P7 License Class No. $ DElunsB g�PTION 6 SG. FT. - - OCCUPANCY 13=2 CONTRVCTION TYPE PKG. SPACE REO. - STREET WIDTH S92 PROVIDED 670 - S IPgRK FELE Date . Signature WORKERS'COMPENEATIONDECLARATION ZONING APPROVED B DATE I hereby affirm that 1 have a cerliliwte of consent to selHnsure or a VgLUAT10N ZONE - r --llforate Workers' Compensation Insurann, Or Certl110d COPY GRADING CU. YDS. ACRES SPEC ALCONDITIONS: {f, T'L�1�It TIIdHR• "a`r+`biftr ,y No. Company Li Certified wPy is hereby furnished. -- REMARKS:- P'C' u 5CanNled body B Rled With the City Building Division. ej FOR SPECIAL REQUIREM EMPTION FROM WORKERS' COMPENSATION DECLARATION (This Section need not he completed If the cermet is to, one hundred - - ($100 or les - ^ wary forwhich Sn and, II shal t emplammmpeOson i so ashto becomle PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers' Compensation laws of California. BATHTUBS SHOWERS Date &,net ire NOTICE: If after rNking this declaration, Y Should become subject TOILETS URINALS - GENERATOR 0-1 KW_ 1-10 KW t0 the WOMerS' Compensation provisions Of the Labor Code. You must TRANSFORMER forthwith Comply with such prowsom or this permit shall be deemed LAVATORIES DOUBLE LAVS - APPLIANCE 10.50 KW�50+KdV' W kbo- KIT. SINKS DISHWASHER$ [ MOTORS 0-0 HP -1-10 HP Looked. LTION LENDING AGENCY I hereby affirm that there Ise construction lending.agency for the per- SERVLICESINKS SUMPS (INC.SOLAR) 10.50 He 50+HP lormance of me'work -!or wM1ICM1 tM113 permit IYuetl ($ttllor 3O" - � FLDOfl151NK5 FLOOR DRHINS. FIXTURES OUTLETS SWITCHES Lender'sName kbi1S F 93 R1711G'.. Lender% Adtlrni DRINKING FOUNTAINS_ I GAS TUBE SIGNS OWNER BUILDER DECLARAI for INTERCEPTORS �< 11ARIFIERS.- -.. POLELIGKTS I hereOY affirm that I am exempt lrary.th`e Contractor's License Law the, followingneacoh (Section 7031.5 nu31n fid PrO1m31Ons Dead AnY•CIt9\or%bounty whlc0`mgNras.aspezmit to construct. aper„ SWIMMING POOL PTRAP - POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB improve. demolish pr repair any structure. prior to its Issuance. also re- quires the aPPllMnt for Such Pirmlt. tO`Iile a Sigma Statement Ihal.h) a GAS SERVICE .OUTLETS SERVICE - AMP Is Ikenmd Wrsuanl to tag provisions of the Contractor% License Law '-napter 9 (Commencing. with Section 7000) OI Division 3 Of the WATER HEATERS - _BTU OUTPUT and Nd65iens Gods) or that no is Sacmpt therefrom and the s- for me alleged exemptln. Any violation rot SOOIon 7031.5 by SEWER CONNECTIONS - -1. - .eyapplicant for permlf Subjects the plic2nt to a civil penalty fire of not r man hundredollar$ (So 01. its 0 1. a3 Owner of the paperty. or my employees with wages as their SOLAR TANK COLLECTORS Sols com OenYtlon, will do the work; include Structure is net Intended Or Offered ler sale,(S�CtlOn 7044. Business anaL%ofecolonS Codi The SOLAR PIPING SYS.,. ISSUE FEE' , Contractor% License Law does not pally to Owner O a properly - o Inters o Improve& thereon, and ho does Such work.KIMS111 Or ISSUE FEES APPLICATION APPROVED BY DATE ' m1Ou h Keown employees. SoVlded-0bat"SUCK Improvements araAOt __ � MECHANICAL . - PLAN CHECK SUMMARY OF FEES Imes or offeroreed foearr sale. If. however, the building or ihavemprovement is ne burden the oIncl withthe (build dor - _ did a s Improve purposeof of oroving Improve for tithe HEATING SYSTEM 0.100,000 BTU BUILDING PERMIT E 37.3 SMIP as. D'1. S Gasser Of Property. a exclusively contracting with AND DUCTING me project (Section contractors Cod to constructContractor's SOO,000+DTU PLAN CHECK S PERMIT and Pro and Code: TM Cm LlW ones not d to '3 es not apply to ISSUANCE S Ess or progre o c wrier or precisely Ga or ILatlor to REFRIGERATION 0300,000 BTU PLUMBING S tan acts Immf neect@ colon on chant ( pursuant contractors) SYSTEM GRADING S Me Centrad s'a Llpcense Law). 300,000+BTU s PLAN CHECK s ❑Iim exOI underSCOOn B.A P. C. for mil BOILERS BTU ELECTRICAL Is § Van. - SYSTEM REPAIR. ALTERATION PLAN CHECK § MICROFILM S TOTAL FEE E Data MECHANICAL 3 I hereby Crtlfyin Inav rad t1IS Application and State that the above EXHAUST SYSTEM MULTIPLE LESS AO - Information Is e L e to /CO mply IIM1 ell Clty ntl <Ounly PLAN CHECK 3 VANCEPC Is ortlinan[es.ntl laws Irl [q construction, and hembynautneriz0 property ill I sP o3 PO reeler PPOn IM1B above [fO�etl' ' 3760- 5-1 Signature •66` FINAL GEE E Dnvers'LIc orS ISSUE FEE - - CMF 0865-46 WMtbBUIssing:Canary-ApPlICanH CONSTRUCTION AND PLANNINGI APPROVALS Permit # 'a'a.�'0 I Date Inspector POOL &SPA • , APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe,Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein Orce S. of/_,Z _ -y. 47. Rough Plumbing & Pressure Test 6. Electrical_UFER Orn 48. APPROVAL TO COVER-GUNITE 7. Footings _ g;l !3 • 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ Undrarn 10. Structural Floor System L/-9A J3 M 52. APPROVAL TO DECK 11. Property Sewer Line &House Connection - 53. • Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55- Plumbina System - Final 14. Rough Electric-Conduit - •56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning _ encing &'Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough &Test 20. Roof Framing 21. Roof Sheathing�/-$-8 •x NOTES: ti 22. Frame and Flashin } [j 23. Insulation _ rjtq 24. Lathing & Siding 44- _ } 25. Drywall Nailing 6-;)5- s'x -Ra 26. Plaster Brown Coat 7 _� _ «.a 27. Electrical Power Meter-Final 3- O-8� 28. Final Electric -Ya 29. Final Heating & Air Conditioning 3 - aa- 5a,, 30. Final Gas Pipe-Test u Ic 31. Final Plumbing s� 32. Water Service-Final 2,W17t.o B 33. Gas Service-Final S- E i ein 34. Solar Domestic-Final 35. Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 7 2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No Date Ap011Can1 to (III In all spaces within heavy border Imes and sign all appropriate deeNgtlOM. CIT -Y OF COSTA MESA PERMIT NO. PACT NO. IpT NO: G. NO. - CONSTRUCTION PERMIT NT TYPE OF CONSTRUCTION OALTERATION ❑REPAIR.O'CONVERSIONODEMOLISH_ SSBB -BIO SI BZ IoW Project Address a- OwnerI Plasma Addres OTHER. - ZONING REGULATIONS' - g Arc6/En9: License Ne. =O - DE3CRIPTION OF WORK - A.P. I Address p -T...• � ` _ - ,ZONE PLNG. -- - TYPE OF PERMITETBACK C/L ❑GRADING' ❑ FOUNDATION OSTRUOeaaLSsTURAL SIOF ygpp - ❑ TENANT ❑ ELECTRICAL OPWMBING c�MECH/WIC IEOEY " REF. d3 I 1ry G Y INE 1 ��P L - CAnlracl0 -PM1one- C6] Addlm LICENSED CONLRACT00. DECLARATION-. I hereby OWllrm that 1 am licensed dor Provisions of Crawler 9 hook- ]m001 I uDNlslon 1 wi lnCs[ d 1 OO'THEN -' RIGHT Ing IM 11 n 3. this 'Prf Lou Ilcal Is In lull for �+rr..pd �J < REAR YARD (TO P/L) _ slom n Y qg PflOJECTD RI TION f Loan" - LJcase Nos -' 3O.F h OCCUPANCY CON3TgUCTION TYPE _ PKG. REO: - 5TREETWIDTH -APPROVED PROVIDED - PARK -FEES O1 - SI to -r' COMPENSATION 'WOrebyP hatIhaeaDECLARATION I hereby that h a tlf t f onunotawelHn3ur0Ee 0 VALUATION "ZONING BY of YII IrVY nee._r. villid PY IOfC of -Workers' MerS C. ^ZONE GRADING CU YD3 ACRES 'SPECIAL LONG TIONS' _ 1( BO b. ) lTJ ). y NLWNmPanYk�rf`C 1Ew .Lj - CeHl11¢tl pY by furnished. REMARKS sh - ,q`�CCNHIetl copyl NIO with the city BUl MIngDivision. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - --- - - [eRloa need liat be COrriefted II the permit is for one hundred _ {TMs $100 or leu`' - .. ... - - -. t ly that the periorml it MC work far which this permit h sessul. I shall - 11 y n y Person In a0y ma B 00 S 1 DetO 0 PLUMBING '" PLAN CHECK - 's «ELECTRICAL - PLAN CHECK Subject to the WorkersPCompensatmn Laws of California.,- -BATHTUBS - - SHOWERS-'' -'Y "�kin FT _ Dale Signature ,NOTICEr If after making this declaration, you should becomu,sudecl , s URINALS - - ". (GENERATOR 0-1 Key 1-30 KW- tO the Worker Comy tion pmvidoM'afthr"brCodq youmust forthwith comply With Such PrOY1BOM Or this pel Shall he dMTM -TOILETS. LAVATORIES DOUBLE LAV$--' -}-- TRANSFORMER r'APPLIANCE - - I(i KW_rev50.i.KW- .. .'1 Pked. I, CONSTRUCTION LENDING AGENCY KIT. SINKS - -' DISHWASHERS - - MOTORS--- O-1 HP_3 30 HP I hereby alit Iia t [M1 IS a COnSb C[IOn Iea01 p 9 y 1 10008M1 SERVICE SINK$ r -SUMPS - --� • - tIIN0. SOLA R]��lOSO.HG 50 HP Y 1 forma me Of I k for w-j�n�r1 Int� Is 3 d ISetllan 3097 FLOOR SINKS 'FLOOR GRAINS- 'I' -rFIXTURES- - 'OUTLETS $WITCHES-'- `per CIv-C) - �' Larki Wme lR�o ILani Auer' 5 FO .DRINKINGFOU(k INS - -� - - - -_ INTE�RCEPTOPS"s CLARIFIERS _ ,GAS TUBE SIGNS POLE LIGHTS --- - -- - - - - - - OWNERSUILDER`DDECIARATION v] a.-5•-��'� Ihenoyaffirm I am exempt from the Carraae(OrllLicense Law fpr SWIMMING POOL- PTRAP -- - - POLES METERED - _ She following r s I4ellon-]031.5. Business d RBlesslans Cuter reason Any City County etch receive[ permit 10 Construct, Iter, WATER SERVICE ALTERATION - - PANELS -- MAIN - -' amga Oemolbh-or fall any structure, pror to Iawatianco.alsom- Hie apolmnt far such to file a signed statement that he aulrCs Permit E.Resnsm Wrseenl U.1he Drovedok the ConlractorY-Lionw Law GAS SERVICE-' "OUTLETS -"'—"1' --' --SERVICE--- - -- ---AMp•-- �: claw 9 (commencing with Section 70001 of Clifton 3 at the WATER HEATERS -- -BTU OUTPUT - - '1- -- - - - --- ---- _..I "_rooks and Professions-COa)-0r that he is exempt therefrom and in* I -, for the alleged exemption. Any lolllon PI Sec110n 7031.5 by SEWER CONNECTIONS J ` s>_ - for •Pormil subjects the applicant t0 a -civil Penalty I t r than file hundred dollars 155001 more SOLAR TANK -'. - COLLECTORS -j- - -' - _ +- El 1' owner of the property, or ma employees with wages as [heir' sole compensation, II do the work d the Structure Is n01 Intended Or Offered for iale:(SeCllon]Oee. Business and Wofesslons Code: The SOLAR PIPING SVST-' - -ISSUE FEE ` -1-' '60O�rPCtor's License Ww does not apply to an Owner or a property huli0s or linprovrs thereon• and he does Such work Mini or ISSUE FEE -- - - - - 'APPLICATION gPPROVED�BV --- DATE - ,who tnrbu h his own employees, provided Pat Such Improvements are not MECHHNICAL ' Pl CHECK ; SUMMARYFEES _ s or tan ad or offered for Sale: If, however, the bullion Improvement is Sold Within ono y. of completion• the owner wit tills burden .OF the 1 Proving did build O"Inknel for IM1e PmPaS! al 1 I. - - __ HEATING SYSTEM 0-100.000 BTU _ _ _ NUILOING PERMIT f SMTP. S %Cfor ❑ s owner of the properly, ampurpose(at lll -ANODUCTING - -100.0004 1 - - - - - 11 0 contractors I Construct the proact(section 9044• Business BTU PLAN CHECK $ PERMIT- ' tl la1 end Th Contiaetor L "w Law does not apply 10 _ - ISSUANCES allOwnerI property who builds or Improves thereon, and who mm Ilmsned 10 REFRIGERATION 0-100.000 BTV f PLV MBING a S (Nos fro ecb_pmiects 116 a eantractorlQ puRuant Jho Contra or 'a Li[ a law). SYSTEM - IU0,000 BTU - - PLAN CHECK S GRADING _ - weat en er Rlon'^ - B.6 P. C. for'INs j BOILERS BTU 'ECECTRIOAL -S •'MICROFILM _ Se - SYSTEM REPAIR, ALTERATION - PLANCHECH-S C O I' S" 'Dalen _ DO_ IMECHANICAL3it cTOTAL'FEE'S• to b Isappllutlon antl slatetMtl6e aborti l If reAt EXHAUST SVSTEM MULTIPLE - - -- Intor mOIY IIM1 all sty nd cou , PLANCHECK. d T VANCE PC- ardInand9a �ynslrudl0a. an autM1Orlow - aM1ereOY reer trlyBrier upon he bovefhIfoiled - - -Sign a ISSUE FEE - 3 qFINAL V FEE Snmss CMF 0865-46 nlding; Can ary-AOPhhent; Nnk-gKOuntIng; Golden rod -Assessor CONSTRUCTION AND PLANNING , APPROVALS Permit -�/,3i Date Inspector � POOL & SPA. - Date - Inspector V. APPROVALS Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- - 2. Soil ,ipe:Undrgrn _ _ _ _ 44. Steel Reinforcement- einforcement3. 3. Electrical Conduit. Utility-Undrgrn 45. Forms - - - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _5.. SteelReinforce_ _ 47. Rough Plumbing & Pressure Test - - - - 6. Electrical UFER Grn ._ 48. APPROVALTO COVER-GUNITE - 7. Footings 49. Electrical Conduit-Undr rn -8. Foundation _. _ 50., Gas Pipe, ❑ Undr rn, Test ' 9. - Water Pipe•Undr rn 51. Backwash Lines P -Trap. EDn r rn .10. Structural.Floor System• 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final •12. _ Street Sewer Connection. - - -- 54. Heater & Vent -Final .13. Rough Plumbing _55 Plumbina System - Final 14. Rough Electric -Conduit ' - "- - - '56. Electrical -Final - 15. Rough Electric -Wiring- - 57. Solar System -Final - 16. Rough Heating & Air Conditioning W. Fencing & Access Approval 17. Ducts in Structure - _59. APPROVED FOR PLASTERING - 18. Ducts, Ventilating - - 60.-. - - POOL/SPA SYSTEMS f INAL 19. Gas Pipe -Rough & Test- - - 20. Roof Framing - 21: Roof 'Sheathing :NOTES: �' 22. Frame and Flashing - - - 23:- Insulation - - 24. Lathing & Siding- --Pz- ' 25. Drywall Nailing - - - - - - ...26. Plaster Brown Coat - - - - 27. Electrical Power Meter -Final - + 28. Final.Electric - - -- -- - - 29. Final Heating & Air Conditioning- - - - - 30. - Final Gas Pipe -Test - - - - - - - 31. Final Plumbing -_ 32. Water Service -Final - 33. Gas Service -Final - - 34. Solar Domestic -Final ' 35. Landscape Sprinkling System 36. Sound Attenuation - - - 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No' - Date - , Applicant to Do In aR space$ Within heavy border Imes and sign ad appropriate declarations. 609 0 CITY OF COSTA MESA RM TSO. TRACT NO. LOT NO. ii NO. - - - _ 6- 6/ I /82 , 19100 CONSTRUCTION PERMIT /5-� - M-3 TYPE OF CONSTRUCTION ANEW Q ADP ❑ ALTERATION - OREPi O' I]ONVERSION-O DEMOLISH- .. 111.;. .. ' Protect Address , 3505d ;,T 3Cnibal � ys� Onanner 61DOnnel Partners " Phone Address -1301 DOrse -St. %6G'- - ,Suite - _- OOTHER. _ ZONING REGULATIONS' ' 'ArcblErs Nee rt Beach --License NO; - DESCRIPTION OF. WORK 1 -Pap. IF' "' ' __ _ Atltl191E'"' -' -- _ - -- ZONE FLNG.REF)f •-- -- - - -SE - — TYPE OF PERMIT BUILDING ' _ _ ❑GRADING -❑ FO VNDATION--OSTRUCTURAL SILD YARO- 0TENANT.13 ELECTRICAL OPLUMBING �L {J E[NANI[ L TO BUILDIrvG - VROFERTY LINE- a Contractor Thema1eiY Inc-. ---- Phom1283-9581 AtlEr65 EIro'-AVe7 -'SO. E1 MOPYCl.. LICENSED CONLRACTOR-0ECLq RgT10N_�- Mhereby aftl tht 1 licensed p provisions 1 CM1 l 9 (c v3 - E 'T Ingo with t ]000) f D - F tM1 8 Ines tl O.OTHER REARYARDITON0 _ - - " Rofeall nsLan d my IICe 0 IS I IUII force O effect., 'PROJECT DESCRIPTION Llcenso Clas X20 -1J ,f� _ -I — A-- - SQ. FT. ! _ r _ - ': PKG. SPACE REO.""-"' _ -STREET WIDTH _ PROVIDED, - - - PARK FEES �N/al(" Data r`/20�132 Still m 0-4 G' .y�f WORKERS' COMPENSATION DECLARATION OCCUPANCY_ CONSTRUCTION TYPE hereby affirm trust I have a certlficale ell Consent to ulf4 VALLlAT10N ZOryE ,ZONING APPROVED BY - DATE - - - rr llote of Wofk¢rs CompenAtmmins ranm,. certified GflgDING.CU )YDS _ ACRES _ SPECIACCONDITIONS. --- -'� ((Section 3¢044 WWb. C.). Fremont Indemnity - j No-[gPA11.4i1499 'company . __. _ - _ _ _ _now Certified Py -Neby furnished �. -. REMARKS: 1T7 yIT ggCertlfled copy killed wRM1 the city Building Division. • EXEMPTION FROM WORKERS^COMPENSATION-DECLARATION' -- (Tm3ctlon d..' t o pI i e.0 the permit Is for one hundred 1 I j I IsIl l Or le ) - -1` ulymate -in p f int kr mnmlep 11 +ELECTRICAL Issued mall t Ply y -I ny fll - -Ps to 0 wDate PLUMBING oPLAN CHECK PLAN CHECK - - ubleCttotn Workers ,Comp¢- lave a� Iffy BATHTUBS SHOWERS'hot MIELLONG___^Y _ R�90 yR9yR951pnatu - NOTICE' If after making thistl IT y hould became subject TOILETS. ,.URINALS - - GENERATOR 0HKW=130 KW to the WoMars' Companotion p visio f th loops, Coco you must - *TRANSFORMER as, crthwlth Comply withsail p 11 this Permit shall be deemed LAVATORIES DOUBLELAVS APPLIANCE- ]050 KW�SO d. KITISINKS - '�'-' DISHWASHERS 'MOTORS - 0d HP�1 30 NPtaremaanceaffirm �L .CONSTRUCTION LENDING AGENCY trial y efarl3hich SERVICESINKS'.p]Ti E l(I NC. SOLAR(_]0.50.1{P50 41 HP oftheWrk tnsCPlermit is Issued 1,14foth309] h5UMP5 FLOORSINKS- -FL-OOR-DRAINS— FI%TURES'- OUTLETS-'SWITCHES- 1_-.. Cv'CI- ILendar5Nam NS -lI "^ -"- - _LenderY,AGa-sOR1NKINGFOUNijvx :GA$TUBESIGN$--OWNER iVILDERBECLARATION 1Y IryTEREEPTORS- CLAPIFIERS-�- ^ ':POL'E LIGHTSthe -__ NfedY ffl ID t I. Pt f th .0 tra 1 5 LI La - SWIMMING POOL PTRAP--� '(POLES- - � - METER -- following reason`ISectlon 9031 5 Bus nen- nit Prdfomons Cope. AnY.CRY Or County which requires a permit to Construct. alter, WATER SEAVICE­L "' ALTERATION'- '- - - - - - '(PANELS - - -- MAIN - - -.508 - - - — Improve: demi or'repairany stuGurq'Iniar to its issuance, also A. quires the the ap,luent for such Permit to file a signed statement that he GAS SERVICE - OUTLETS -- " - _ - SERVICE - - -- AMP - - rd asnt is-11thrarsua'to'tte provisions -of the' Cont 1 LI a -Baled Q'^apel 9 (commencing with Seton 000) f Division "3 of e WATEWKEATERS-�'BTU' OUTPUTfor 1 Sr he Is exempt therefromone the thatny assatnealle0naed exemplon,r ]0 he SEWER CONNECTIONS �; - '- - - --- s r-:>v------�-.. a. applicant for-a-permit-subaCm-the a plioni a dWhpenallY -noI fmore than live hundred dollars Ss 0). -SOLAR TANK-- -- COLLECTORS— '- '�--'�- - ------ OI,`I owner 0( the Orapelty, o! niTemploye With eval as their sole compensation, compenotlon, will do the work, and the Stool Is t Intended or offered for sale _(Sockion ]oda Bux nein and-PrOleszlOns COtle. The __ _ _ SOLAR PIPING SVS - '� -1 �' t "-ISSUE'FEE Contractm%. License Law dr a not apply -la an owner of DropOrty, who outfits r Instinctive thereon, and who does h k himself of '" ISSUE FEE APPLICATION APPROV ED _ _ - - DA BYTE through hls,pwn employees,, provided that such p t t _ _ __ MECHANICAL PLAN CHECK - - - - SI1MM4 qY OF FEES intended or offered for 010. If, nowewr, the building - I p rem nC -- II noxa the burden IS SOItl Colt M1lhe 0iayedr OlUwlaTpl 111 the owner - - - '] n didf the of proving purpose of Sjal HEATINGSYSTEM 0-300008 BTU 1 BUILDING - 01: as f Doo tin$p xdufi Wly OINC[dp I1M1 -ANDOVCTING - - - " PERMIT - _ > SMIP fiy$ cooed contractors [ t [rUCI IM1B prOleG[ (Sew Ion ]Oa9. Bminess licensed o 100.000 BTU - TpLAN CHECK > PERMIT tl Pr ices 'C tl Th C nbadonyL conic -Law, does not apply ta. ISSUANCE _> .' and Who n. an owner of property _b bodies of Improves thereon Co REFRIGERATION O-110000 BTU g PLUMBING E II t cl I M1 D t on -cOdb disks (Keenedpursuant to SYSTEM ) yp_ 300,000�BTU - i -�' PLPN GRAOINGP E_ 'V the C [ ct U LAW). CMECI[ >r U -,l III. Y - f t O- l am evemp[under Section B7&P137fortha- BOILERS BTU - ELECTRICAL S- - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE '.PLAN CHECK > Iji-Ir IMICROFluld•>' MECHANICAL$ '- -OQ`3 TOTAL FEE E' _ - ILESS AD -+I^. I I Oaten Owner reoytarnitymat l have read mlueparation and std to eabove atnd'wunty onlormatlon barred. gree to damslyI With all 'city al PLANCHECK -> -- -- VANCE PC'$_ - nIs rdman dxate laws re ling to const tion. and herebyallthorize don -the -above if ed reP.ese to Dvn of so jor to one taped - Dropen I rllnedoesi n. p rp es.- _ - - - ' I ��j 00 FINAL FEE Slgnatu0 ata 5-/-10/82- , _.(l Eiy ISSUE FEE- - - u 011varS' Llcenu or 554 _ CMF 0865-46 WNW-Bullding;Canary-APPIICanLPink-Accounting; Golden rod-Anassor CONSTRUCTION AND PLANNING(/! Date Ins APPROVALS Permit # Inspector POOL & SPA ' APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ' 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3.- Electrical Conduit Utility-Undrgrn 45. Forms - - - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - .. Steel Reinforce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE- - - - - 7. Footings 49. Electrical Conduit-Undr rn - 8. - Foundation - - .. 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.'❑ ndr rn - 10. Structural Floor System 52.. .APPROVAL TO DECK 11. Property Sewer Line.& House Connection-. 53. Backwash & Receptor -Final - - 12. Street Sewer Connection... - 54. Heater & Vent -Final' 13. Rough Plumbing - - - -- - 14. Rough Electric -Conduit - - - - - 156. Electrical -Final 15. Rough Electric -Wiring - '- - 57. Solar System -Final - - 16. Rough Heating & Air Conditioning - - - encing & Access Approval 17. Ducts, in Structure - - APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough &Test - 20. Roof Framing - - -- - 21. Roof'Sheathin - ' NOTES: - 22. Frame and Flashing - _ - 23. Insulation - - - - - - 24. Lathing & Siding - - - - i - - 25. Drywall Nailing 440 - ♦ - 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - - 28. Final Electric - - - 29. Final Heating & Air Conditioning Worr• " 30. Final Gas Pipe -Test -- - - '- 31: Final'Plumbing ' 32. Water Service -Final-- • 33: Gas Service -Final - -- 34. Solar Domesiic-Fiiial - 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap.Regulations-- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern Califorriia Gas Co. ' 42. • CERTIFICATE OF OCCUPANCY - - - No Date - �, , % V\j / Applicants CITY OF COSTA MESANO. CONSTRUCTION PERMIT - to fill In al spices except these within heavy border lines and sign'an appropriate declarations. /03' — /D /73 TRACT NO. ,H-( LOT NO. BL Poole at Address L e Applisnt'f MailiOrg'Adtlrev. 9o'Itr0, Ca %LaInneuAg klIlio/7 /i FiIC(%!5F%A.O{C 7;L :ST/.ar Owner's Name \Kh pM1pne..v�r� Atltlress /'.30/ VE '� 7hCJ .A/!3✓'/G�" a.S-wve.% TYPE OF CONSTRUCTION ifgEW ADD ALTERATION REPAIR LICONVERSION ❑DEMOLISH �JJTYsyF{S �— DESCRIPTION OF�y' OR ice/M i% p,p, .P _ S Main Builtling: TYPE PERMITGRADING FOUNDATION STRUCTURAL �ENANT 0 ELECTRICAL L PLUMBING ❑ MECHANICAL ROTHE0. PROJECT DESCRIPTION Sp. FT. ,/- OCCUPANCY C O N ST SO& I ON TYPE {` VALUATIONS �Uy HZN ZONE GRADING CU.YDS. ACHES E T Front 1 in 2; 2; Kf 3 PRT_ Linnse No. AnOr¢ss -.77/RGu i�. B A Rear K RigM1t Contracfori Nam' v' fit! 5 L I ^ho�n� �'�/ Atltlress mailing& Gw!rI "A rr L'J' �/a1 d" lalhe�e•VJ City License NO. GZ `t LICENSED CONTRACTOR DECLARATION I hereby affinitythat I am licensed under pri lona Of Charter 9(commencing with section 7000) of Division 3 of the Business and Prmeeslons Code, and my leaned Is In full form and affect.5 pass Lm se e12-2Zi �'Y79 ate PIn9. ROL W' RemarksC - Parking Rep./Provided Boiler Use Of Building; g: PLUMBING FEE$ Planning Notes: g Bar Sink Showers Duct- Ventilating . YORKERS' COMPENSATION DECLARATION Iherebyr affirm that I have a certificate of consent to hell -Insure Or a certificate of mpansetson Insurance, or a certified Army thereof (samon 3800 Lab. Cl..�,. y Polley of-53y7e1w �%'BCompany ��'/N•r' rtltled copyl hereby furnished. �Fp3yyC,-teerfi ie�i�Py �j Rlpd with the city 6uJ,� 9 �J/. �� -�� - I /pa1e�2�+-r'%S3_ Applicant Z!ew! /�•A`:r Backflow Preventer Service Sink hactill license pursuant to the Contractor' Lkayoue Ujj ❑'lam exempt under eactlon S. n P. C. her this reason - Backflow Irrigation Sunday Cap, - TOTALFEE Firepl/FBeL BIL ICBO has Bathtubs Sewer Connection Healing System A Ducting Automatic WasM1er Clarifiers Solar Collector ({anslNC[IOn Pole EXEMPTIO N FROM WORKERS' COMPENSATION OUCIARATION (This section need not be Com plated It the permit 1 for one hundred 181001 or less). 1 Avidity that in the performance of the work for which this permit iguSuird shall not employ y person In any manner se as to became blest to the Workers' COMPBsatlan Laws of alifornia. - Dishw'eeM1er $Oler Piping Cookin Unit g Drinking Foumainz 9 Solar Tank DisM1wasM1er Floor Drains Swimming,Rool w/Spa, D ryes ❑Gas ❑ NOT I CE: If; alter making Ikls d¢ claret Ion, you Should become Subject t0 the mothers' Compensation Provisions -of the Labor Code. You must fortivi ln"` Floor Sinks Gas Service .Outlet moiy with such provisions or this permit shall be deemed revoked- :ONSTRUCT1ON•LENDING AGENGY- longstanding. - - Inereby affirm that Meie is S construction lending agency for the p rlormance rf the Work 'for 'which this permit is Issued .(Stenon 3097 Civ. C.) Kitchen Sink _ Lander's Name Under's Andrea V ss OWNER BUILDER DECLARATIONLavatories Switches__ r' ' I hessmrV affirm that I am pt from the Contractor's License Law for the ' (Section 7031.5 Business and Professional Cade: Any city or P Trap county "tell require! a permit l0 Construct, alter Improve, d¢m0115n 01 repab any structure. prior to Its Issuance, also requires the applicant IOr such permit Hoot Drains. O file assigned statement that MISIVIR Is licensed pursuant to the provisions at the Contractor's LRenN IAw (Chapter 9(wmmanding With Section 7000) of fN Division 3 of he'BuSinass and rofesnons Cade) or that he/she Is mpt . therefrom and the bask for the alleged exemption. Any vlmatlOn of SeetlOn IE E -geimpaetion-Foe N T B 7031.5 ot not morethan five hundred dollars subjects tppllmnf to a still �n1. asowner f the Property or -My -employing With :vases as their sole ENERGY P.C. saliowill de the work. antl the structure is not Intended or offered her phien lon 7009. Business and Professional 0000: The Contractor's wal Boiler License Law does not a apply, to an owner of a praparty.who builds or improves therect and.who,tloes h work -himself/herself^ r through big or bar own pla(eq N. provided that t Such Impovements e t Intended IOf mprovementsOffered for tale. It. howeve building orimprovement is sold within one year of com- pletion, the owner win have the burden Of proving be/She did Mat build Or IM- veherthe Purpotsof wuj. pVCt- Under Ground !,.$- Duct -Strvct rad �elfarsto o 1 as nstruct the prof the oject (Sectioam n 7096. Business and Professlicensed ions Code: Duct- Ventilating no ContfatlOr'S-orcenso UW dorm not apply to -an owner - 1 yrµperly Who builds Improves thereon, and nO contracts for suclecls with a con- ExM1aust System ❑ Multi hactill license pursuant to the Contractor' Lkayoue Ujj ❑'lam exempt under eactlon S. n P. C. her this reason -MECHANICAL $: TOTALFEE Firepl/FBeL BIL ICBO has Date - Owner PLANCHECK Healing System A Ducting I hereby Worry that -I nave read this application and state that the above _ [I NI MIDI BTU Diggs Water Heap Water Service Issue Fent - - 8 3 componenattempts 1ANICAL - FEE Hood or Types ❑ , Canopy Type 11 ❑ Refrigeration System 00-100,0008TU 0100,000BTU System Repair/Alteration T'9namto Drivers'.Umnhe or 55$ Reinspection Fee $35: Issue CMF0865-06rev.7/83 White-Builmng;Canary-APPImi Pink- ACWUnling:Goloenrod-Assessor - - 02 12x'7/?' t71_ Adne P,0 III Accessory Building: .2 Fixture&• - O N Device Boxes N outlets I If G Switches__ r' ' E O U Park. Fees If - Standing Sections I Trash Compactor fN Is ✓ IE E Issue Fe N T B ELECTRICAL r- FEES-, Transformer O 1550 KW ❑ 50+KW Fan Motors 0&1 HP 0114-8 FA.U._ _ Inc.Solar❑W15 UP E]1&15+ Fixture&• - _ imumswave Device Boxes Pale Light outlets I If Range I' Switches__ r' ' Sign Garbage-DispGsal'f Standing Sections Generator 110.5 KW DS1li Trash Compactor e Is ✓ Reinstallation Fee 11$g5 Issue Fe Applin tion IntellectualByDao Application Issued By netI Z 2] Its �' SUMMARYOFFEES In O8 � p BUILDING PERMIT $ -316. SMIP ' $ PLAN CHECK isi $ S/.3S PERMIT PLUMBING Is ✓ ISSUANCE $ PLAN CHECK¢ S - ENERGY P.C. $ ELECTRICAL $. C. GRADING $ PLANCHECKr,- !,.$- MICROFILM IS -MECHANICAL $: TOTALFEE IS 3J1 •-per PLANCHECK $. ' CONSTRUCTION AND PLANNING : APPROVALS Permit 4A Date Inspector, POOL &SPA 'APPROVALS Permit# Date I 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. t 57. APPROVAL TO COVER-GUNITE 71 Footings /✓d Nf /'•a O?N//'-� - - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 16 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 ElGas ❑Oil 23. Gas Pipe -Rough &best J } 72. Underground Flush 24: Roof Framing i 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar.Ceiling (Structural) & Monocoat :I �p�K' .� 75. Dry,Chemical 27,. Frame and Flashing �) 3 76. Dry Standpipe X28. Lathing & Siding i 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing /A grIviv HEALTH DEPT. REQUIREMENT 31. Plaster Brawn Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: a 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test - - -_ 36. Hood or Canopy - _r i civ 37. Final Factory Fireplaceool ra 38. Final Plumbing' U 39. Water Service -Final 40. Gas Service-FinalAfisl 8 ' 41. Solar Domestic -Final + /O/ / 42. Backflow Preventer • r` 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation -. 46. Handicap Regulations 47.FINAL. STRUCTURE &BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. /00033.7 Date / gY / a City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. d G 0 3 3 7 P. O. Be. 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue M103-203 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of B u i l d i n e Interiar Alteration- Office Legal Description 139-662-06 (See reverse side for Metes and Bounds) Building Permit No B-10173 Electrical Permit NoE10267—E11074 Plumbing Permit NoP10233,P10743, P11374 Mechanical Permit No. M-10463 Number of apartments 0 _ and/or guest rooms ISSUED TO: Building Official KI r /`-• �`� ntn ,.ett n ;rte byV C 1301 Dove Street, 8760, Nagxcirt Beach, CA Datellr/ �r�4 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/93 White - Owner; Canary - Numerical File: Pink - Bldg. Permit File City License No. ' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section ]000) of Division 3 of the Business and ProleSlons Cade, and m can C: sin laR fyrJ satl eftecl. .�y Not signal... � n `,,/./ WORKERS' COMMPPENSATION DECIARAT1ON LJdYM I hereby affirm than I haw a positions of consent to Tel 4rusua °r a certlflcate of Workeyyrs' Compensation Insurance, or a certified copy thereof (5lotion- pannealyg0.sa1 C6 sr.r7—/L CnmwnyN`xys`r' IN,D7 A��111CC rged copy Is heresy rurnnhed. ICertlfied copy is filed with tna tity EoBRlru j f]Applicant EXEMPTION PROM'WORKERS' COMPENSATION DECLARATION (This section nee nm be completed If the permit Is for one hundred (SI 00) or 1 certifyy that in the performance of the work for wi bh this permit is Issued 1, shall not employ any or uitorr°ria e, to Become soblect w the - Date Sl9natur° NOTICE: 11, alter Making this declaralhul Should become Subject to the WorkersCom pensation provisions of .the Labor Code, YOU most forthwith comply with h provisions or this AGENCY permit shall be deemed r voNetl. CONSTRUCTIONLENDING I hereby affirm that Mere Is a Construction lending agency for the raj rmance of the work 'for which this permit Is Issued IS%tian 30 9] Clv. C.) , Lenders Name - Unmars Address OWNER BUILDER DECLARATION d 1 nereDY afllrm that am pt Irom Iha Conlraclor's License Law fpr the 1°IlewlnW reason uicylan ]031.5 Builnass antl Protessional'Catle: Any sly ar unty M1lch ray r pelmet to cens[rJ[t, altar ImDroVe, demo116h p! repair any shu[(ure. prior 1p Its Issuance, also redulr°s IRS appllcanl far such permit tb Ill- a sgnetl Slatament Ikaf lie/she is Ilaoensed C rsua [ l0 the p' Inions of OlVliloo r3[olr lM1e Busln zs antlhP olessians CUde)l of Nal Dal/tslM1e lsne xeof ost ]0315 hYand YtheDpO<aol for"Ilparmlt xsuDlepts Meyappll<fin[ to chain 1�enetly of not more man live nonmed tlonars (wool. lJ h. as nor 1 the proerty e y e plDYees wIM qes or or sole ioa l:xla °w�fm�Illioai°BBann.ii:�uhn,oris:m�ai`coea.°me`camr:fa es r ucenx uw Boas not apply to an owner of a promrq wno bmltlS o. Imp roves NereoYnp lid who tloes SUCM1 w rk M1lms¢II/M1¢rselt or lM1ravgM1 hii or M1er own oa10 II. M1OWBrwgd[helb Yllding ornlmprowment Is sold wlNln one Yeer OI for cpm. ple[Iorfur IM1e pwpoSellofhMle)�he Dwtlen al pmvin9 he/sne and nal build or Im- �C/Otis tO COOS! Utl tit cl nerp OlreCf Ycection ]odd, Business and Dischargers Coder The Contractor's Ucens¢ Law own" oparty who fraciorjsj Improves pursuant eo ice c ntracto� a to an with a eon- ❑ I,am exempt under Sol B. & P. C. lot this began Date Owner ZOnO U Parking Req./Provided I Use of Building: R E Plannino Noses: M at Sink All Showers Applicant to limn a1 spaces except those within e ... y border lines and don all appropriate deatarae Ong. _..._.-. CITY OF COSTA MESA_ eckfbry Preventer. Service Sink 9efrigeration System 110,100,0008TU ❑100,OWBTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL ' PLAN CHECK eckfl Irrigation Sewer Cap "- pEflMIT NO. TRACT yO. LOT NO. BL CONSTRUCTION PERMIT Transformer L115-50 KW ❑50a KW larifiers — 0.2 S� t 'SO WT Piping Unit '(`'�F " rinking Fountains Solar Tank Criminal - Meter Dover IDOamps lopr Drains Swimming Pool WISPS - _ project Address' y I evei TYP OF CONSTRUCTION LJ NEW LJADD LJ ALTERATION LJ REPAIR - Applicent'sMiiliMAAdddr�au�s. ill / Oo LI CONVERSION 11DEMOLISH ❑OTHER AF.$ iterceptaral Dermal Name L 3/—�1Jq// 4 A�"'C phand ^l I DESCRIPTION OF WORK S Main BuildiN: tD / Rtng Boxes Pole Light -vetorkin - - ' 1T00s Atldress _ I Barge Trap' TYPE OF PERMIT L1 GRADING r7l FOUNDATION STRUCTURAL' T From Arch/Eng No. ❑ TENANT D ELECTRICAL PLUMBING ❑ MECHANICAL B Standing Sections S / y� /nf yLicense ' V!'a OTHER A Rear Adtlress contractor_ Issue Fee S 3sPion �� CTDESCRIPTION SOFT. OCCUPANCv C K Right Iuue Fiat S3 AddrBujm°ilingl coal; CONSTRUCTION TYPE VALUATION let $ Left ZONE GRADING CO. YDS. — AOR Ping. Ret- SF City License No. ' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section ]000) of Division 3 of the Business and ProleSlons Cade, and m can C: sin laR fyrJ satl eftecl. .�y Not signal... � n `,,/./ WORKERS' COMMPPENSATION DECIARAT1ON LJdYM I hereby affirm than I haw a positions of consent to Tel 4rusua °r a certlflcate of Workeyyrs' Compensation Insurance, or a certified copy thereof (5lotion- pannealyg0.sa1 C6 sr.r7—/L CnmwnyN`xys`r' IN,D7 A��111CC rged copy Is heresy rurnnhed. ICertlfied copy is filed with tna tity EoBRlru j f]Applicant EXEMPTION PROM'WORKERS' COMPENSATION DECLARATION (This section nee nm be completed If the permit Is for one hundred (SI 00) or 1 certifyy that in the performance of the work for wi bh this permit is Issued 1, shall not employ any or uitorr°ria e, to Become soblect w the - Date Sl9natur° NOTICE: 11, alter Making this declaralhul Should become Subject to the WorkersCom pensation provisions of .the Labor Code, YOU most forthwith comply with h provisions or this AGENCY permit shall be deemed r voNetl. CONSTRUCTIONLENDING I hereby affirm that Mere Is a Construction lending agency for the raj rmance of the work 'for which this permit Is Issued IS%tian 30 9] Clv. C.) , Lenders Name - Unmars Address OWNER BUILDER DECLARATION d 1 nereDY afllrm that am pt Irom Iha Conlraclor's License Law fpr the 1°IlewlnW reason uicylan ]031.5 Builnass antl Protessional'Catle: Any sly ar unty M1lch ray r pelmet to cens[rJ[t, altar ImDroVe, demo116h p! repair any shu[(ure. prior 1p Its Issuance, also redulr°s IRS appllcanl far such permit tb Ill- a sgnetl Slatament Ikaf lie/she is Ilaoensed C rsua [ l0 the p' Inions of OlVliloo r3[olr lM1e Busln zs antlhP olessians CUde)l of Nal Dal/tslM1e lsne xeof ost ]0315 hYand YtheDpO<aol for"Ilparmlt xsuDlepts Meyappll<fin[ to chain 1�enetly of not more man live nonmed tlonars (wool. lJ h. as nor 1 the proerty e y e plDYees wIM qes or or sole ioa l:xla °w�fm�Illioai°BBann.ii:�uhn,oris:m�ai`coea.°me`camr:fa es r ucenx uw Boas not apply to an owner of a promrq wno bmltlS o. Imp roves NereoYnp lid who tloes SUCM1 w rk M1lms¢II/M1¢rselt or lM1ravgM1 hii or M1er own oa10 II. M1OWBrwgd[helb Yllding ornlmprowment Is sold wlNln one Yeer OI for cpm. ple[Iorfur IM1e pwpoSellofhMle)�he Dwtlen al pmvin9 he/sne and nal build or Im- �C/Otis tO COOS! Utl tit cl nerp OlreCf Ycection ]odd, Business and Dischargers Coder The Contractor's Ucens¢ Law own" oparty who fraciorjsj Improves pursuant eo ice c ntracto� a to an with a eon- ❑ I,am exempt under Sol B. & P. C. lot this began Date Owner ZOnO U Parking Req./Provided I Use of Building: R E Plannino Noses: M at Sink All Showers Q� _..._.-. _. eckfbry Preventer. Service Sink 9efrigeration System 110,100,0008TU ❑100,OWBTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL ' PLAN CHECK eckfl Irrigation Sewer Cap FEES SMTP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE ELECTRICAL FEE emtu ra Sewer Connectionqutornafly her Was Construction Pola Suh. Transformer L115-50 KW ❑50a KW larifiers SOW, Collectors Iah We er 'SO WT Piping Unit -Meter yup to 100amps - rinking Fountains Solar Tank Criminal - Meter Dover IDOamps lopr Drains Swimming Pool WISPS ❑Gus 0Electnc Sub Panel Nor Sinks!, Urinal _ Motors❑61 HP❑1R-8os Service Outlets Water Closet / Oo . Inc.Salarl]915HP❑1B-15i iterceptaral Water Heater Apo es 'Microwave itchen Bink Water Service .�.0 Oa. Rtng Boxes Pole Light -vetorkin - - ' 1T00s Barge Trap' es Sign 001DreihS ge Disposal Standing Sections ator DOS KW ❑5SI5 KW Tmh Coctor Reimwamn'Fe0 $Z5 Issue Fee S 3sPion Fee $25 Iuue Fiat S3 Under Ground System & 000 BTU in 55 sh - I I Reinstallation Foe 7163 W Un1: Pink -Accounting; Goldenrod -APhi Tor ' Hood or Type ❑ Canopy Type If Ll Zoning APPrdretl By --- Application Approved By Application Issued By _..._.-. _. line Date Data 9efrigeration System 110,100,0008TU ❑100,OWBTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL ' PLAN CHECK , $ . $ If g IS $ $ $ 'SUMMARY OF .37,r Swfirste : FEES SMTP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ IS $ S $ 5 4S•"nG System Repair/Altention " Issue Fee $ 3 CO NSTRUCTION AND PLANNIN, 'APPROVALS Permit# P1o1k,S ,(� Date: Inspector POOL & SPAS APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil 'PiPe'-Uridrgrnd. t 53. Steel Reinforcement 3. Electrical Conduit Ut'ili{y'Undrgrnd;,,' 54. Forms 4. 1 Electrical Conduit-Undrgrnd. 55. Electrical Bonding .�- 5.rSteel Reinforcement 56. Rough Plumbing & Pressure Test :6. Electrical LIFER Grnd.•' ^, 57. APPROVAL TO COVER-GUNITE _ 7. Footings A .. :. � 58. Electrical Conduit-Undrgrnd. �( B. Foundation59. v,. Gas Pipe, O Undrgrnd., Test i✓ 9. Water Pipe-Undrgrnd. . -. �• 60. Backwash Lines, P -Trap, O Undrgrnd. t 10.,'Structural Floor System 61. APPROVAL TO DECK 11.' Property Sewer Line & House Connection ", 62. Backwash & Receptor -Final 12. Sewer Cap *7 63. Heater & Vent -Final 13. 'Roof�Drains 64. Plumbing System - Final 14.'Rough Plumbing �,egij*i 65. Electrical -Final 15.'Rough Electrical -Conduit r - 66. Solar 5ystem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POO _/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace I 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test ✓ - •f7 -Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil ' 2% 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: G.,_ P9l[nttr p-41 571f ow- 2 /c yy 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' t Applicant CITY OF COSTA MESA - r CONSTRUCTION PERMIT 100u In all spaces except Ihow within heavy border lines and syn all appropriate OepNNgons. - - PERMIT NO. JE —gip t(o 7 TRACT N0. ". LO1 Roof Diejnl $ - i.0 PioeerAddreas, -.TS- Ca - "".03 Applicant's Wiling Addres'geAN S. igespre x Owner's Name �-p hone Address' JV{JI' DO.3G S TYPE OF CONSTRUCTION NEW ADD ALTERATIOry REPA1q. 1_J'CONVER3SDN ODEMOJ�SNr OTNEP OESCgIPTION OF WOPR Ii p,p rN. S Hein Bailing: TV PE OF PERMIT GRADING FOUNDATION LJ STRUCTURAL1 ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - ❑ OTHER PRWECT DWRIPTION SO. FT.- OCCUPANCv CONSTRUCTION TYPE VALUATION§ ZONE' IS CU. YDS. ACREe Meier DUp'Id'1 W amps' Front Arch/Eng. _- License No. Address = ' B A odea Contractors Nam, sue . ` qAA D'it:e'Ir 'Phone 0N6d3Jl5S8 C Right 5 Left aV(I S GAGPN COYO Jl n. City Addressim Citp License No. 2478a LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencers with section 7000) of Division 3 of the Business and Profession$ Code, and my name is In 1,11force and effect. - 'cerise Clam --10 servo-'4s7y-629 Ping. RM. sY ' Remarks: !Parking fl0p.iPfoVldOd x Q ' the of Building: I PLUMBING FEES Planning Neatx: de17110401 _9 signature WOR KERS'COMPENSATION DECLARATION 1 I hereby affirm that 1 haves certinate or consent to sell-lnsnre or a cerOFlfzte of Workers' Compensation Insunncl or a certified Copy thereof (Section 3800, Lab. C -I I I All No. iCompany - Bar Sink Showers' Water Heater Backllow rev eater Service Sink: 'Fiat I Bankllowlrrimtion Sewer Cap 1 ' 8 Cerilled copy Is hereby furnished. I Bathtubs Sheiver Connection qutbmetic WasM1er$ 1 I5i2 'uMmopqrs 17l o.1: :1 MH ■ Saturn 7031.513usiness and Professional Code: Any City or it lY its issuance also renuiress the aoulicant`foor such permit chamber- /she Is licensed pursuant to me provlslons or Icerne Law, that 9,(ca (commencing with Section 700) of Business d Philippi Cade) that he the ' exempt basis thealleged exemption. AnyVIOlatlon f Section Certified Copy lS filed With the City Building Division, r Caro Applicant Clarifier' $plat Coll¢ctOrs Switches Construction Pole B'uh. ❑50+KW Roof Diejnl $ - Garbage DiepOsal Standing Sections 'EMEMPTION'F8 FROM WORKERS'; COMPENSATION DECe ARATION^ 1Trisection nod not be Completed if the permit is for on hundred leftist or ❑ishwashel' - , Solar piping- r (:poking Unit ` Meier DUp'Id'1 W amps' Issue Fee - - $ 3 - ! ca'tify'tnal,in mag performance of the work forwNCn fob per" B Issued mall not employ y parson In any r t b e bl [ t tl: worker' ton Laws of alif la Da' Dnte �- �p Signature I= Ia�V a1 rvOTICE. f a M s ng this declaration, you Should be i bj l t to provisions Of in* LaborCecil.You must formWIM ' C onka6' with. a plc Itis. n provisions dms"xrmff shall beldepmed Transport. CONSTRUCTION -LENDING AGENCY' Drinking Founrinz Solar Tank Unilateral .' Mater Domer-.t❑D amps 5-6 R ❑ In Swimming Pool Sol � - Dryers Etas DElectoc 'Z 'Sub Panal _ Flo 5 kszi_ _ 1 Ur n_al _ L" Fan, •Motors DOl HP Elk- R r /J✓ G E vice- Outlets Intl Clow' "' - F A.U. ,ine. Solar 09 15 His ❑11}15+ Interceptor Water Heater property, am exclusively contracting With licensed fon- Lit the project ,section 70", Business and r r zslpm coop:. cense �uw-a of apply to an n f roperty who n t who contracts for such protects with a con- Z Fixtures' i Miaomve f} theta Is a covstrustlOn lenpinq agency for the p rmrmantA 1 hereby afflrlT far susd (gaseous 3097. C. C.) Of me war ar wilcn this permit Is Blv Lender's Name - _ "well Agdraw ' OWNER BUILDER DECLARATION r - I renew, affirm that I am Cxempt from the Contractors License Law filathis - Kltchms Sirik• a .Wates Service _ 2 Device Boxes Pole Lighi - epos, listed Contract sLicense uwt: doer Sectson R. § P. C. for this reason - Lwl • / Outlets Range 4 Saturn 7031.513usiness and Professional Code: Any City or it lY its issuance also renuiress the aoulicant`foor such permit chamber- /she Is licensed pursuant to me provlslons or Icerne Law, that 9,(ca (commencing with Section 700) of Business d Philippi Cade) that he the ' exempt basis thealleged exemption. AnyVIOlatlon f Section p -Trap p - Switches S'an 1 J Roof Diejnl $ - Garbage DiepOsal Standing Sections '" I " ,n - - Generator 065 KW 11515 KW TMsII Ce paator ' r p spaction Fee $25, Issue Fee - - $ 3 - " nfor ppll t far permit subjects the applicant la civil m n five hundred dollars 65aot I me property Or my employees wltn Wages as their sola I do the weak. and the structure Is not Intended mature 7044, Busineu Snot Prof edoural Cobb The Contractor's t apply to an owner of a property was builds or Improves ..does n k 1lmxngreneff tnrou h nae or her own ad that such Improvements are not Inch *it Offered for the building or Improvement Is sold within one year of core- calla nava me burden of provinp M1e/sM1e U10 not bulla or ice- e f sale). 'the Belnspaction Faa Ei5 ISix Fx $ 3 - MECHANICAL FEE - S PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Application ApproM.1 By Application Issued By /t? K ^•le— ete Dila Bailer ..' Road or Type I ❑ - Duct - Under Ground Canopy Type If. ❑ ' Duct -Structural Refri Bmtion System B ys em property, am exclusively contracting With licensed fon- Lit the project ,section 70", Business and r r zslpm coop:. cense �uw-a of apply to an n f roperty who n t who contracts for such protects with a con- Duct - Ventilating g D61pp,0000TU E10B4O00 BTU L s BUILDING'PERMIT SUMMARY OF FEES $ SMIP ' $ Exhaust System ❑ Multiple ❑ System Repair/Alteration epos, listed Contract sLicense uwt: doer Sectson R. § P. C. for this reason PLAN CHECK ; .PLUMBING PLAN CHECK ' ELECTRICAL PLAN CHECK MECHANICAL' PLAN CHECK $ PERMIT $ ISSUANCE r ENERGY P.C.$ $ $ GRACING s E �,y'L$r MICROFILM S TOTALFEE $ $ $ S $ Firepl/Fact alt. ICSO'np i O - Heating System &D ting 016100,000 BTU ❑100,00081 - - m t i nay d thl pan atlon and stale that m p t. f gr ! plc Itis all city and county dl tl globuilding constructionand hereby d property 1 p Ity t n r, upon fon an' and hereby a 'tch- Oata�2laoi F3 rr * 1 ' , painepeelibn Fae §R5 Imus Foe ' $ 3 7/33 -'White- Building; Canary- ApplicantPink -Accounting: Goldenrod - Assessor _ CONSTRUCTION AND PLANNIN. - APPROVALS Permit# E(�7Lrih .Date _ Inspector FtiOL &SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - - 52. Pool & Equipment Locatio-n J. SoilPipe-Undrgrnd. - 53. Steel Reinforcement ;3. Electrical Conduit Utility-Undrgrnd, 54. Forms .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 'S. Steel Reinforcement 56. Rough Plumbing & Pressure Test , 6. Electrical UFERGrnd. - - - 57.'APPROVALT000VER-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 Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas El Oil 23. Gas Pipe -Rough & Test , 72• Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank E3 Gas OOil 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 io G 80. FOOD CERTIFICATE ISSUED 33. Final Electric Y� Notes: U u� 34. Final Heating & Air Conditioning ( - 35. Final Gas Pipe -Test r 36. Hood or Canopy - - 37. Final -Factory Fireplace - 38. Final Plumbing I ' 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 I 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison •- - - • - - - 50. Gas Release to Southern California Gas Co • - ' 51. CERTIFICATE OF OCCUPANCY No. Date . Applicant to rill in all aprceaexeeld mese within heavy border liner and ap^ all appropriate declarations CITVOFCOSTA-MESA - - -' PERMITNO. TRACT NO. - - LOTNO. j:G.NC. CONSTRUCTION PERMIT 114 -10 Z/ 83 Project Address 1505 CAri lar Bg__L Ina - 1vpE OF CONSTRUCTION: NEW aJ ADD ILJ ALTERATION LJ REPAIR Applicant's Lead Appear 000NVERSION 0 DEMOLISH ❑OTHER - A.P. Gwnvs Name Phone DESCRIPTION OF WOgK S AddressTVF NDAT N 0•STRUCTURAL' E N J61 Leeman class, 1" Date a�T WORKERS'COMPI I hereby affirm that of Workers' Comq 3800, Lab. C.) Policy No. 89 Certified copy Is Certified copy is - Y�-I ricanae NO. J'i 741 PEOF PERMIT GRAD HIS OU 10 O'TENANT 0 ELECTRICAL O PLUMBING EPMECHANICAL T B "a ,,nes II IRI : 0 OTHER , - " PROJECT DESCRIPTION SQ. Fa ciUPANcy B'2 c CONSTRucnGNT'VPE vgwgnorls ZONE GRADING CV,YDS. iACRE3 A K s 4-169blr s,_- _. n l�hon - s to College B1 V.d ,' range • I I '� Ping -ARATION , - Remarks: Park under provisions of Charter 9 [commencing Meter III over 100 amps Use Of the Business antl Rota lOns Chios and - :t. - ' PLUMBING FEES Plan Lcem 2 Urinal weve Bar Sink growers - Fan',Motors❑0-1HP❑18-B MECHANICAL $�,.Lx•.'-� TOTAL FEE $ '16.00 :C ATION Backflow Preentar Ser ce Sink' - - $25 Issue Fee $3 Icaeofconsenttoself-Insure or a coruscate ,. or.e certified copy thereof (Section - 1 Water Heater' 2049 1/06/84 78s 011i TL Building Permot HB -10113 ` -1. den Building; -Awe yBudtling: Z lint N , tear I N tight G .eft r. R r E Ref. $ Park.Fees $' = O fig Req./Provided' ,•{ U I Building: R E 1 Inn Nota: M Conuumv Marl and Backflow l migatdn Sewer Cap - _ ELECTRICAL FEES red. Bathtubs I i Sewer Cum ul iqn i'q utamatii Washer 'Transformer ❑ 15;5D KW City Building Dlvlsion.11; ®/ � �� i ❑ 1 hereby affirm that there Is a Construction lending agency for the o rformance of the :work for which • this permit is staged, (Station ;309] CI¢ C.) Lancer's Name - Liffir r nddrex ' Data I hereby c Mtrmatio and state I Clarifiers : Solar Collectors Heating System &Ducting B - Construction Pole Sub,. i 50,+KW ' - Dishwasher .-- - i --Soler Sabi ': "' "' - Cooking Unit - -- - Merger ❑uptolau amps, Drinking Fountains Solar Tank r _ Dishwashor Meter III over 100 amps Floor Drains, Swimming Pool vi Dryers OGes: ❑Electric ISub Panel • Floor Sinks Urinal � Fan',Motors❑0-1HP❑18-B MECHANICAL $�,.Lx•.'-� TOTAL FEE $ '16.00 - Gas Service -Outlets _ .Water Cloze[r $25 Issue Fee $3 F.A:U. • Inn. Solar 09-15 HP❑16-151 Interceptors Water Heater' Fixtures :Microwave _ Kitchen Sink { Water Service 7/83 whte - Bu ng; Unary UP Can It Oro, ntl ng: Goldenrod -Assessor .... -, Device Boxes . 'Pale Light Lavataria_ - - '• '- Outlet/ Range [ P -Trap, SWitches Sign Roof Drains! Garbage Dlaposel Standing Section) - - _ Generator 005 KW❑5-15 KW Trash Compactor Reintegration Fee:. $25 Issue Fee Reinspection Fired $25 Issue Fm, $3 . MECHANICAL FEES Boiler. :' Hoodor Type PUBLIC' SERVICES REQUIREMENTS: no Canopy Type 11 ❑: Zoning ovedApproved nate DualUnderGmuntl d sum ve Application approved By Application laued By pad saw pa G 8 Duct - Structural Refrigeration System I OF FEES BUILDING iPERMIT $ SMIP $ Duct - Ventilating �100,D0o BTU ❑100,000131'SUMMARY Exhaust System multiple yremR a' Alt ration - PLAN CHECK • $ PERMIT F'uepUFact. BILICBOVF 26 k0 PLUMBING $ ISSUANCE $ —Owner Heating System &Ducting B PLAN CHECK �$ ENERGY P.C.•$ save riocomplvpw Masllididneacouniv that It. 2 K7D-100,000 BTU ❑100.000 BF • ELECTRICA GRADING $ l gra c�ainabod _ L' $ ating-t going Construction. andyhereby uta orlozn reorrPLAN n[er, ulin the bovemientioneE K $-k5mma(Irn MICROFILM y —iN � MECHANICAL $�,.Lx•.'-� TOTAL FEE $ '16.00 ReimpectionFee $25 Issue Fee $3 PLAN CHECK $ �s'aa 7/83 whte - Bu ng; Unary UP Can It Oro, ntl ng: Goldenrod -Assessor .... -, CONSTRUCTION AND PLANNING APPROVALS Permit # Vl'l10`i`8.� Date Inspector POOL & SPA APPROVALS Permit # Date Inspector '1_ Temporary Electrical Service or Pole• 52. Pool & Equipment Location i 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 1 7. Footings - - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test .% 9! Water Pipe-Undrgrnd. 60.' Backwash Lines, P -Traps ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final ! /V 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. APPROVEDrFOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 2�c�y �� FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough-& Test 72. Underground Flush 24. Roof Framing - 73. 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. 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. ,La6dscape,lrrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison `50. Gas Release to Southern'California.Gas Cc , 51. CERTIFICATE OF OCCUPANCY. No. Date APP( leapt to /111 In all spaces except those within heavy border limit and sign all appropl • •CITYOFCOSTAMESA- ER IT NO.. TRACT NO. LOT NO. BLD CONSTRUCTION PER j C M �0"5 test Project Andres n - a'ip. -gpplicenPs Mailing Addrea'. / "i TYPE OF CONSTRUCTION U NEW ADO ALTERATION ElCONVERSION 1:1 DEMOLISH ❑OTHER ' Ping. Per. $ Park, Fpes IS Owner'sName Phone DESCRIPTION OF WORK Address GRADING FOUNUATION STRUCTURAI ❑TENANT ELECTRICAL PLUMBING ❑ MECHANICAL ill it Fit /s kTYPEOFPERMIT Ar¢II/Eng,- IY License No. Meter 0 u to 100 amps Address ❑'OTHER PROVECTDESCRIPTION 4 W. PT. -'OCCUPANCY T. 'OCCUPANCYAddress(mailing)' Compound Ma,ue •Gaels% / �pM1 3LT11 CONSTRUCTIONTYPE VALUATION$ Address 6, O M/ : Cf City License No. J ` ZONE GRADING CU. YOS.ACRE Rearmi /6/73 D LICENSED CONTRACTOR DECLARATION 1' hereby affirm that 1 am licensed under provisions or Charter 9 (commencing Inc. Solar ❑A-15 His 016-15+ with section 7000) of Division3 of the Business and Profntions Code and Fixtures my kc.Pc.s in full ipeea 0f.m. Onto eent561 ' g t-18�'�I PLUMBING Bar Sink Showers Device Boxes std T ginner e WORKERS' COMPENSATION DECLARATION Backflow Preverrum Seryce Sink Outlets I hereby affirm that l have a c0r1111cate of consent to self -insure or a WrDOnte of Workers' Compensation Insurance, Or a clrtlfled copy thereof (Section Backflow Irrigation sew" Cap 3800, Lab. C.) Sign - Standing Sections Policy No. Company i❑L tilled Copy Is h0i furnished. ,/� Bathtubs Se r Connection L3olbfTCL40B8{ylled Witn^nantr Im .rilF[ - iV_._— rUa o A t 0 "^r , Clarifiers Soler Collectors handled it the permit Is for one hundred (4199) Or - -" '--- --'-' ounce of the work for wmm this permit is Issued' I Drinking Fountains Solar Tank nvs ot Califrmanner so as to become subject to the Floor Drains Swimming Pool OU/Spa narrators IN declaration, you should becomesubject to the Floor Sinks Udnal ovations of the Labor Code, youst forthwith Ont Or this permlt pall be deemed marksor ' Gas Service Outlets Water Clad 40 AGENCY uctbm n lending agency for e performance Interceptors - Water Hennor this, permit is issued ISe tion 3097 Civ. C.1 Kitchen Sink - Water Service Lavatories - P -Trap Roof Drains Reinspattion-Fee '$25 Issue For MECHANICAL Boiler Hood or Type 1 0 Canopy Type 11 O ' Duct - Under Ground Duct -structural Refrigeration System Duct - Ventilating - I70-to0.000BTU 0100,000 Exhaust System❑ Multiple 0' Symem ReWirlAlteration FirepUFacL Bit. ICRO# Date owner Heating System & Ducting hat the above 0D100,000 BTU LIioga00 orrit- - tty ordinances dhorlie Prop t ofpr/ Ralnspaction Fee $2b Iwo Fee Pink - Accounting; GOlaenrod - Assessor Drivers' Limnse pr ss s CMF 0665.66 rev. 12/03 White. Building: Canary late declarations .hill 3132 1/26/64 - 5900 TL REPAIR - - A.P.# - Zone ' 5 test toLECI HIon, L edea E Ping. Per. $ Park, Fpes IS Automatic Washer Construction now Sub. O I Parking Req./Provided Meter 0 u to 100 amps u Use of Building: Dishwasher N toLECI HIon, L edea Automatic Washer Construction now Sub. Transformer 15-SOKW 504 KW Cooking Unit Meter 0 u to 100 amps Dishwasher Meter Dover l DO amps Dryers []Gas OElec[rlc Sub Panel Fan Motors 0D 1 HIS El 1X 8 F.A.U. Inc. Solar ❑A-15 His 016-15+ Fixtures Microwave Device Boxes Pale Light Outlets Range Switches GarbageDisposal Sign - Standing Sections Generator 0x5 KW 05-15 KW Trasls Compactor Reinspection Fee $25 Issue Fee '.$ 3 FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approyee By Building Approved By ' Applimion Issued By— 3 ra=te la - (sat SUMMARY BUILDING PERMIT $ PLAN CHECK ate$ PLUMBING 5-45 PLAN CHECK 25% $ ELECTRICAL IS ' PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ OF FEES SMIP. $ PERMIT "^"'^"CE $ ENERGY P.C. r$ GRADING '$ MICROFILM $ TOTALFEE $ So - $ 3 ' CONSTRUCTION AND PLANNING APPROVALS Permit# _ Date _ Inspector PUojL & SPA APPROVALS Permit# Date Inspector i ' 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 . i- 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10.'Stru6fural 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. i 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 ❑Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing- 73. Undergrnd. Storage Tank ❑Gas ❑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 Preven ter i 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap, Regulations 47. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -- - 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOF* OCCUPANCY No. - Date - l CITY OF COSTA MESA' -CCNSTRUCTION PERMIT Pgjecl Atldrevv ' .APP11"So Meiling daft; IS, Owners Name QbCIVN�US Address ArchlEng. Ptldr¢ss. ` Csofacmr'a Nem SAO v\ Atlmessimaumyl '94 City License LICENSED CONTRACTOR DECLAI I hereby affirm that I am licensed on with Sectio 7000) of Division 3 of \ my seance Is m trw_r, a and effect. Ocen Y� NO. A elficant le fill In all spaeea except these within Leavy border lines and sign all appropriate declarations. _ MITNO. TRACTNO. ,.LOT NO. BLOC. P—Trap company Backflowimigentien :;-JO 'TYPE OF CONSTRUCTION NEw ADU� ALTERATION REPAIR Q CONVERSION Q DEMOLISH D OTHER- A.S. $ � �+� DESCRIPTION OF WORK _ $ Mein Builtlin phlr Ith BuYdinmONlsipH' / TYPE OF PERMIT IGRAOING. FOUNDATION STRUCTURAL ❑ TENANT "ELECTRICAL PLUMBING ❑ MECHANICAL OTHER T $ A Front 'Rear RigM1t 33 v77 /' PROJECT DESCRIPTION SO. FT. OCCUPArvCY CONSTRUCTION TYPE VALUATION$ K $, Left Solar Tank ZONE GRADING CU.VUSC 'ACRFC (ping. ReE 51 Swimming Pool wlSpa Remarks IOIA .04.[4.3 j6) -13 Parking Reo.IPro, �•/h�signature ������ RKERS' COMPENSATION DECLARATION \J a.eby affirm that l have a"un"te rof consent to sele.Insure or a "run"m. V pietlon Imuran", or a cartniad Copy therneo'f (Section , P—Trap company Backflowimigentien Searle Cap by furnishedac1t; Bathtuhs Sewer Connection phlr Ith BuYdinmONlsipH' / Outlets MECHANICAL Appllemty Applicant /]Lt l % Ar�RTI Clarifiers Solar Collectors ml be Completed the M,mir Is for one hundred ($100) or Dishwasher Splar Piping Drinking Fountains Solar Tank D I»rfprmance of the work for which this permit Is Issued I e. " become subject to she Oto n Law of any manner Floor Drains Swimming Pool wlSpa $19rlatun Meter Dura to loo amps ould come to the eyou Flees Sinks Urinal atioingprovl5onsa oftonthe Leber mut fotrthwitM1 Code Gas Service Outlets Water Closet I prevlslen3 or this permit Shall be deemed evoked. LENDING AGENCY Generator 110,5 KW 0S15 KW Trash Compactor Fan Interceptors Water H¢M¢r there Is a construction lending agency for the performance which this permit Is Issued (Section 3097 Civ. C.) Data —Y ls In anat0 Llcenw or i-46 as.I ca P—Trap M E Roof Drains Reinspection Far $25 Iain Fee Outlets MECHANICAL Boiler Duct-UnderGmund r i I HOetl or Tyrol ❑ Canopy Typti ❑ Duct - Structural Duct. Ventilating Refrigeration System 00-10o,0008TU ❑iGiLow leafing System is Ducting 10-100,00) BTU ❑100,000ST - Relmpaction Fre $zb I lave Fr nroe . AINKI 4411 2/16/84rif M70 TI. zone F AccezwrY'Builtlin9: Z N A 110• Planning Not"'. Device Bones M E Pole Light N Outlets Range T ELECTRICAL FEES Switches Automatio Washer Wnestruction Pole Sub, Transformer ❑ 15-50 KW ❑ 5134 KW. Cooking Unit Meter Dura to loo amps Garbage Disposal DlahwBsher Meter Order 100 amps Dryer ❑GM ❑Electric Sub Panel Generator 110,5 KW 0S15 KW Trash Compactor Fan Moto" 00-1 HP❑19.-B $3 F.A.U. Inc. Solar ❑g-15 HP MIR 151 Device Bones Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator 110,5 KW 0S15 KW Trash Compactor $3 Reinsp:rdion Fee $25 India Fes $ 3 7xIee PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Building Approved Byfie Application Issued By 7 nate net G S BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ If $ $ $ $ $ SUMMARY OF FEES SMIP PERMIT �.J C,/ tai ISSUANCE r' ENE ROY FC, GRADING MICROFILM TOTALFEE $ $ $ $ IS $ S� $ 3 ;> " CONST RUCTIOWAND'PLANNING i��APPROVALS „ Permit # 3i _ Date Inspector PO 'SPA - APPROVALS Permit # -Date- - Inspector _ 1. Temporary Electrical Service or,Pole 52. Pool &.Equipment Location . 2. SoilPipe-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, 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-Firial .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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd. Storage Tank 0 Gas El 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. FinalHeating & Air'Conditioning 35. Final Gas Pipe -Test AW 36. Hood or Canopy] "- 37. Final Factory Fireplace! 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final 41. Solar Domestic -Final i 42. Backflow Preventer! i 43. Backflow Irrigation! 44..Lan dscape Irrigation System - 45. Sound:Attenuationi I, l 46. Handicap�Regulations 47. FINALSTRUCT;URE&BUILDING - 48. Special Requirements Completed; ' 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co 51. CERTIFICATE•OF,OCCUPANCY No. _ _ s c r. Date- -- - Applicant to f I I I In an zpaul within heavy border lines and Sign Al Patrolman, declaratIons. CITY OF COSTA MESA PERNO. TRACT NO. LOT NO."-BLOG. NO. .UO .CONSTRUCTIONPERMIT `TYPE OF CONSTRUCTION JLNEW ❑ ABO O ALTERATION REPAIR 11 CONVERSION DEMOLISH GATHER p 19.77 2/11/40 99.00 pi D}$.. Nj U /v r'r 3 . - ZONING REGULATIONS Proje d Address 35-0:y- CAPil L 4 JQ C Ssi Owner CAN6. P {I'S _ PhoneiSwL•Si'A AdEIMs j(fj DC ej+ 5V.' /pO Arc MEng.' ES r QEi6 j License NO. oescpwnory of woKK AP.$ Address//9 47pN' S. ,E. • LONE PLNG. REF.$ / /CWaOD LEC. PhonejZ/—S O" TYPE OF PERMIT ❑GRADING O FOUNDATION ❑STRUCTURAL TENANT !APTT ELECTRICAL ❑PLV MGING ❑MECHANIC B SETBACK C/L ST. SOL YAKD EF 51p �09111rpyafl F�FERTY LINE AddresContracmr Address �Z TL _ / Tr/ CL.' e(TOf LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter ((COM- Fv. Hyq N G T with Sa lila 7000) of Dlysion 3 Of the Business❑ OTHER Mncln9 oflsslons Code, s0 y license Is In full fore b affect. REAR YARD (70 P/LI - :-�/O 9Y PROJECT DESCRIPTION .„ .Z LICOnS C,falalZ Llc¢nselJ SQ- FT. OCCUPANCY—CONSTRUCTION TYPE PKG. SPACE REO. _ STREET WIDTH PROVIDED PARK FEES Gale / %C WORKERS• COMPENSATION DECTI I M1erehy atfllm that l have a GNlfiCdL of C nS¢n011d llnsurel d VALUATION 2pNE ZONING APPROVED BY DATE InSWdnn. certified Copy - GRADING CU. ACRES SPECIAL CONOITI NS Naeof (Section 3004 UD.�j°SatlOn 1 y Na.l✓/ fl /STs/EA-omPanY's•NOAlT //VG. (.O- drtifled Copy is hereby furnished.. sessesse REMARKS: EG L Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' ((Thisectlon need not be Completed If the permit Is for One hundred ce I$t0ify thief their the Performance of the work for which this Permit Is ISabfme ec} I Mallthe notenceerspCs, any person ion In any mannallfouner So a$ to become C. PLUMBING ' PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS - jr '10 UWLLLINU Gate Signet Ira king this declaration. on should became subject NOTICE: If after maorkers' TOILETS URINALS GENERATOR 01 KW KW to the Core a e "bar must -1-10 forthWlh C MPIV WI1 In Such pramation ovisions Or thisrovisions Permit Shaul Ee tle Metl LAVATORIES DOUBLELAVS APPLIANCEou 10-50 KW-50+KW KIT. SINKS -DISHWASHERS MOTORS 0-1 HP -1 -30 -HP CONSTRUCTION LENDING AGENCY lormanceaolf affirmction lendingy work for which this it riedn(Saction SERVICE SINKS SUMPS (INC. SOLAR) lOdO HP SO+HP Permit 3091 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS'[j.WITCHES OK: Cu. Lamers Name Z Lender's Address ORINRING FOUNTAINS -- - GASTUBE SIGNS 11 .1 OWQby afER NmOER that II amexenj DECLARATION Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS tl ions Code: e fallawln9 reason (Settiare 7033,5 Schemes and SWIMMING POOL P TRAP cupful MUL-IMAN Any city o county which requires a permit toPconstruct. alt¢alter,POLES METERED Sup )CATER SERVICE "ALTERATION PANELS MAIN SUB Improve. demolh or resell, any Eliminate, prior to its issuance.also re- Quires the do, 11dent for such permit to file a signed statement that he GAS SERVICE OUTLETS SERVICE E qM Is licensed pursuant to the provisions or the Contractor's License taw (Chapter 9 (Commencing with Section 700m off Division 3 of the WATER HEATERS BYU OUTPUT - Grenada he Pr ge65dlons Codexemption. rnl tSe ot a Any Violation Secttherefion by tot SEWER CONNECTIONS didleant a permit subjects the applicant to a civil penalty at more than live hundred dollars ($500). SOLAR TANK COLLECTORS - _ soi. Its owner at or ny employees with es as their le CompNIHtion,the will do theyWork.and trio Structure is not Intended SOLAR PIPING SYS. ISSUE FEE - Or offered for elle. (Section 7044, Business and Professions Cotle: The COntraCIOYS License LOW does not apply t0 a arty ISSUE FEE - APPLICATION APPROVED BY DATE who builds O lo improves thereon, and Who does ch work himself or through his own Employees. provided that yinsolvents are not MECHANICAL PLAN CHECK - SUMMARY OF FEES Intended offered for sale. If, however, the build rig Or Improvement Is Sold within one year' r completion. the owner will haze the burden join Of proving did no or improve for he purpose of le). E HEATING SYSTEM 0-100,000 BTU BUILDING ❑ I, a of the property. am exclusively contracting with AND DUCTING-- PERMIT $ SMIP $ licensees contractors to construct the Weldor (Section 7044, business 1O0A00+BTU'PLAN CHECK $ PERMIT and FYOfasAOns Code: The Contractor's License Law does not apply to ISSUANCE $ owneran of property who builds Cr Improves thereon and who Can- REFRIGERATION 0300.000 BTU PLUMBING $ tracts from such projects with " OntpOor(5) IICRoeil pursuant. to SYSTEM - --- GRADING $ the ConlratOrS Ucense Lai 100,000+BTU _ PLAN CHECK is O I am exempl under Section B: WIS. C. for this • � - $ 80- BOILERS BTU ELECTRICAL- $ reason- REPAIR. ALTERATION PLAN CHECK -$ MICROFILM E Date DOwner SYSTEM EXHAUST SYSTEM MULTIPLE MECHANICAL$ _TOTAL FEES LESS AD- In ebycerlifythat l have read this application and state Nat the abOee InfOrmd[ton IS relit. I agree'tO ply ith"all-city n county - PLANCHECK $ VANCEPC' $_ orelnamesand sure laws relating to mnstNttian, anherebymell .. representatives of -the any up the above donee n_ G' property for 1 C[10 Pur Ose p Signature to Z -/04z - -- - FINAL FEE $ Drivers License or 55 ISSUE FEE -. - - CUFOS65-16 White -Bull ngnary Ink-Accounting:Goldenrod-Assessor a CONSTRUCTION AND PLANNINGC - L.Date Inspector APPROVALS Permit # POOL &SPA .- APPROVALS Permit # _- Date ,Inspector 1. Temporary Electrical Service or Pole _' 43. Pool & Equipment Location- _ 2. - Soil ipe:Undrgrn •- _ 44. Steel Reinforcement - - ' ' - - - - - -• - - -3. Electrical Conduit Utility-Undrgrn -45.. Forms - - --- - - - - --4.-- Electrical Conduit-Undrgrn _ 46. - Electrical Bonding.; - -- -•- - - - -- - - - . - ,Skeel Reintor-ce. _ - 47. Rough Plumbing & Pressure Test - - - �•- 6._ -Electrical UFER GSn 48. APRROVALTO -Z._Footings.___ _•_ - _ .__ _' 49. Electrical Conduit-Undr rn' "'' •-• - 8. --Foundation- - - - 50: ,; GasPi e, ❑Undr in, Test"'• "' '' - 9.-Water.Pipe-Undigrn-_ _ 51. Backwash Lines P-Tra - D-UhBF rn' .1.0. _ St. umural Floof System. 52.. APPROVAL TO DECK 11.--Propecty-Sewer Line &_House Connection__ .53. - Backwash & Receptor -Final ' 1-2,-.Sr,raei Sewer.-Coxunectiun 54,- Heater & Vent -Final, 1.3__ Rouyk: P_'vmbing- _ --' __ - -.. _H. = --- - - - ' -- • •-_. Pluinbina System - Final 14, Rough Electric -Conduit ----- -`--- -- -56. Electricat-Final •• 15. RoughElectric-4Mring �� -- - -- '-'-" - ' 57. Solar System -Final- ---16. F--•ugt, Hazfing & Air Conitioniny. - - - - --158.. Fencing& Access.Approval -77,- -Ducts+; "�- in Str�ict:iie-�_ -- - - _ '-� _ .yam_ 59_ _ APPROVED:FOR PLASTERING'.` ' F8:-- D,:ctsl. Ventilating- .: 19, GsPipe-Rough`3lest -+ I --- _ r 201 Ruuf Fmtnin9 - =60.. POOL/SPA'SYSTEMS'FINAL` - 21: Roof �3h.^athin9. _ , - f- - - - -- - • 22; _ Fran. and-Flashin -- - - - - -- _. - _ 23. -'insulation- - - .. .. - ....• _NOTES: .. - - - .4, l `hiiy & Sidinyh- - -- - ' ,va - .r o.� - - - -25Ir D.-/w.a ailing - -.f- l 26. Plvstq, B•own Coat 27: - Elecuf cat Power Meter-Final- eter-Final-28.- -�Ad 28.-final -Electric- - __ _ _ . - -.. _ _ OLCILZ - 29, Final H_erting & Air --Conditioning - -- - -- --- -- - - - - - 30: F„Iald& Pipe -lest 31i F:,ialjPlwnbing 32. Water Service -Final - - - - - - 33.- Gas Service -Finch 34. SoiarDo, tesiic==intal� 35. LandscaU + Sprinkling System i 36. Sound A .eruatton 37. Hand,cal? Regulations 38. FINAL STRUCTURE&BUILDING ! 39. Special Fequirements Completed- ! 40. Electric Release to Edison41. Gas Rele,,se to Southern California Gas Co. ! 42. .CERTIFICATE OF OCCUPANCY Nu.__ - - Date - - - 1 Applicant to fill In all losses within heavy border lmesand sign all appropriate declarations. ,CITY OF COSTA MESA - v IT N TRACT .BLOC. NO. QMstl ;54 T,O CONSTRUCTION PERMIT ZJ TYRE OF CONSTRUCTION rvEW ❑ ADO ❑ALTERATION ❑ EPAIR ❑CONVERSION ❑OEMOLISH 0- 9.57 ., - I/2/B2d� 13.00 Project A;m"a Owntt rTh AckrKf i OTHER _ DESCRIPTION OFWORN - ZONING REGULATIONS A P. S,- - _ Arc License No _ _ _ rase - - - T.REOF PERMIT -- -' - ❑ORA6I NG ❑ FOUNDATION OSTRUCTURAL ..0 TENANT❑ ELECTRICAI9PLUMBING OMECHANIC ZONE - -PL.Nip TA --PROPEIRTV -S"FETA E ARO- - F - gREl1PL. p•,F�NG LINH .. - r Address - '•- LICENSE ONi RACTORD LARgT10 1 hereby atrilrm [M1.t 1 am 11 s d under pronsl f Charter 9I G mancing Ito fecllen ]0001 1 D{vlSlon 3 OI In B Ineii 0 0 ❑OTHER - - --- Professions [Aye Y 1Clnze/Is In full 1 d 1 n REAR YARD LTO PILI -- (�'e lit/n9 PROJECTDESCRIPTION LicenseppMsj yl�e- N SG ---" .. - - OCCUPANCY CONSTRUCTION TYPE •- - PKG: SPgCE REQ:- "' - -STREET WIDTH - - PROVIDED PARK FEE IS Dal. / %/m"/_ WORKERS'COMPENSATIOND LARpTION (Jd Il hereby affirm that love a Certificate onnssent to Molt•In3ere Or _- VALUATION ZONE 'ZONINGAPPROVEO BV-' 'DATE Certificate f' Workers'. Come notation -1 111 _ .� _ GRADING CU YOS ACRES .. _ - SPECIAL CONDITIONS--- - - meraol !sect O.Lao. C. ( WIICYNo CamWn - - -' 'Certified COPY Is Semi lishold- _y�.k-REMARK;: ]ertllld COPY IS filed with Me dy Building DIN .EMPTION-FROM WORKERS' COMPENSATION DECLARATION' This Settlon head OCA.Ye Completed If the permit Is her one hun0 ed •_ •-_ Li 1 or 1 ISIOOSfy N' _ _ _. _ _ _ _ _ _ _ - Thal IM1 1 n f IM1 k for which this permit IS 1luuedl - -pe I Shall not employ any p y manner 30 he t0 bKOme -PLUMBING-.,PLANCHECK -' ""' ' ELECTRICAL '�' PLAN CHECK sublets to til Workers"Cem"nsallon Laws of Glllornla BATHTUBS- - - SHOWERS - - - -' - Data Signature ' FT NOTICE: Ifafter making thcdedarallon you should becomesub)ect TOILETSf.Uftli -GENERATOR -0-1 KW_]1DKW to the Worker' Compensation prov rmM of the tab r Cade•you must TRANSFORMER f0lth With comply with SoCh provision Or this permit Mall be deemed LAVATORIES DOUBLE LAVS' 3- - - APPLIANCE- 20-50 KW- -SO t KW.� revoked.- U ..LE .- - -- LENDING AGENCY -KIT: SINKS "DISHWASHERS- - iMOTORS--O1•HP''110 P- - - HP -- I RuSTRUCTION IIM1evebyatflim that [Wore IS construction tl'q g y1 Chep SER VICESINKS� }ggSUMPS --- - _ _ZING SOLARI 1050 HG 50 NP' lormence of the work for Sales this0 ILIs 1 tied (5 Ctlon 349]. :FLOOR SINK$"g{y�" DRAIN$' �FIXTURE5- �9VTLETS--SWITCHES- CIwC) — ...• Lender_'; Name - r a+ . i .. .. �. r. .FLOOR ---'----' -' -"' -"-5"""•DRINKING'EOUNTNINS- Lender's Address _ --- -- -- �- GAS TUBE SIGNS ---- -- - '�- WNER BUILDER fr OMreby INTERCEPTORS - --CLARIFIERS— -:POLE LIGHTS �' - ---- ----- affirm that II ams exempt Ifrom the CordeCtOr'S License Law ler SWIMMING POOL -" PTflAP �f -- '- - �POCES METERED - SUN— nei and Profiesslons Code oCllY ino -rco ntyI Any city Which requires a home t0 Corridor, alter, Improve. dfmol6h or real any structure: prior to its Issuance. also re- WATER SERVICE-- ALTERATION �' {PANELS - -- 'MAIN- pr tont for s h Permit to file signs n that he GAS SERVICE - -OUTLETS - ""� - - SERVICE - --- - -- --AMP-.. - - - vsd b'llcomped OVNVant to -the Orovishms of the COmrector's LICen% Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT '� - - - - -- - --- -- - - Business and Ponerrohns Cheaper that he tS examI th rrefromr>n0 the prous for the alleged a empllon. Any Wolatlon of Section 7031.5 by SEWER L'ONR rft�9BS' ]- �- • - --- - FV a permit edOdolla-MO apDlleap[ IO i CIYII pCnal[y t thea hundred dollars t m than Dl'1ECTORS��- SOLAR TANK" COLLECTORS— £ heli DI-IM1e property, Oi my a age s'as emplo yructure structure ISndetr willthe IS reale. nTh¢ r offered for I6lectlon 7044. Buinesshand Proie - -- -3 j ISSUE FEEContractor's License Law does not apply 1 ow a of a property who no builds Or NevaS here - tl M1 b ;uCh Work different Or ISSUE FEE -- '- - --- '(- - APPLICATION' APPROVED -BYE -- DATE. -- - his own employe¢:, provided that n h provement5 are nm _ ___ MECHANICAL - vl.Ary CHECK �. - ' -" SIIMMAAV OF FEES Intended or offeree'mr sale -ti however, the -b ddop .Improvement 15 sold wlthm one year Of CDmpl G tM1 owner will lira Ve Insulation / preying he did not build I p I - Me purpose OI -sale), - - - - HEATING SYSTEM 0.100 000 BTU - I -I BUILDING-. PERMIT E - - SM", property.. Wely Contracting. -with ❑ 1, S. Owner or IM1construct AND DUCTING- - - - - ! licensed contractors to o str t theproject (Section 7009• perhaps 100�0001+STU PLAN CHECK S iPERMIT ndAroNKons CDee.dne- [ t LI Lawil noeapolyto C. ISSUANCE_.S B" Owner of properly who Oullds or Improves thereon d who Co; REFRIGERATION 0300 DUB BTU ;PLUMBING 3 Inds-IrOm-such. proktls-wllh.a-contracur[s)mLic nod. pursuant o SYSTEM- -� - ';PLAN 'GRADING f r the Contractor's License Law). 300.000,0 DTU CHECK .1 , ❑I -am exempt under Sec[lon'- --S.4 P. C: for this _ •ELECTRICAL - - S a BOILERS OTU S n REPAIR, ALTERATION 'PLAN'CHECK: F _ _ _ 'MICROFlUe i TOTAL FEE S _ Date Owner IM1ereb'y cerllfylh Ihave Rad this application and stake lM1al the above MVLTIPLE 'MECHANICALPLANCHECK LESS AD InlprmalionI5 C re L I agree to comply with all ity ntl county f" - - VANCE PCordlnancesanoy ti to sastructlOn, and hereeby aur horror rEXHAUSTSYSTEM - represenlmLar 1:'r ¢marprDpeGY upon Ins 11 dFINAL of lar p - - -'. FEE 6/grSI900fVre DNJmSrL oE FEE -- - - - CMF 086546 WhIO-Building:Unary-Applicant Pink-AcCountinq: GOldenrod.Ps or CONSTRUCTION AND,PLANNING 0-1 �iy I APPROVALS Permit # r"' � !- Date Inspector -_, `.;' , ', e'POOL & SPA - Date Inspector APPROVALS `Permit # _ 1. _ Temporary Electrical Service or Pole _ - - 43. Pool & Equipment Location— - - - - - - -- - 2. SoilPipe-Undrgrn;_ 44. Steel Reinforcement - -'- " '- '- - - '--- -'----- ------ - 3. Electrical Conduit,Utility-Undrgrn 45. Forms - - -- - - - - 4.. Electrical Conduit-Undrgrn . _... ._ _ 46. _Electrical Bonding '- - - - -- -- - - -- - - - - 5. Steel -Reinforce 47. Rough Plulmbing & Pressure Test - - - -- - -- - 6. Electrical UFER Grn. - _ 48. APPROVAL TO COVER-GUNITE - - - -- - _ -7._ Footings- _ _ 49. Electrical Conduit-Undr rn - 8. Foundation- _ ` _ _ ' 50. Gas Pipe,,(:] Undr rn;Test - -9.- Water Pipe-Undrgrn..._.. 51. Backwash Lines P -Trap. -D' ndr rn -_ 10._ Structural F•Ioor.System. _ _ - 52.,; APP-ROVALTO DECKi - `-_ ._ .__-_• _ ..1.1. -Property Sewer -Line•& House. Connection-_ ' _- _ - -53.- Backwash& Rece tor:Final ' ••" 12. -Street Sewer. Connection. _ _ - -- - - - -- - - - 54: Heater & Vent -Final I '• r'- .13.... Rough. Plumbing _ - - -- 55- - tem_ - -- --------` -- - - - -•__ Plumbina Sys Final 14. Rough Electric -Conduit -' - - -- - 587- Electrical -Final - 15. Rough Electric -Wring i - -- _ -57.- Solar System -Final -- - f 16. Rough Heating & Air Conditioning'' - -_ - - - - - - Fencing & Access.Approval. ' 17' Ducts in Structure.. ,7- - - - - •• - - 9... APPROVED .FOR PLASTERING' 18. 19. 20. Ducts, Ventilating - --- - - Gas Pipe -Rough &Test Roof Framing - - -- -- -I- - - - - - - -- - - _60. POOL/SPA SYSTEMS. FINAL {-• 21 i - 22:- Roof'S6eathin Frame and Flashing- ---- - - - - - i--- -- - _ - ---- - - - - NOTES: '_ 4wk;' 71 - `- - - 23;- Insulation - - - } -- T Z i 24. Lathing & Siding - - . - - - -- t - -- - - _ - - -- - - -- -- - - -- ' 25: Drywall Nailing - -- i• - _ --- 7" - 26.- Plaster Brown Coat - - - - ' 27. Electrical -Power Meter -Final - - - A 28. Final Electric -- -- - - - - 29. Final Heating & Air Conditioning - - - ---- -- - - - - - 30. Final Gas Pipe -Test - - - - - - - -- - -- 31. Final Plumbing- - 32. -Water Service -Final --- - - - .-: - 8• %� ...,,,...,.,r,,,�:..: -.. .-.,; ,,. ..•., 1 33. Gas Service -Final_ 34. Solar Domestic=Final ' 35. Landscape Sprinkling System - - 36. Sound Attenuation - 37. Handicap Regulations - -- ' ' -- - - ' • - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric, Release to Edison 41. Gas Release to Southern California Gas Co. •• 42. CERTIFICATE OF OCCUPANCY No --'-,Date -- - • .1 I n mm I u 3505 Cadillac Avenue UNIT M104-, -E16237 tlISC N130 `� BID M104 6233 / MMC LAT $3 _B16235 / TFN PC 710-34A i O .E16238 MISC /,;L 1719- BID M204 u CADILLAC AVENUE 3505 _ unit 1+-4 lot 30 86,358- 8-2281- v9/,T �t' Bldg- jl r i�Y� pBG • B-2281) P-2392- E-2666- y/as gd _ E=.Unit t((B42281) house Metar� - Close to MIT— (-5-2281 i E-2648- y/3ardY Unit Nr -4 I+r3160-91xi/P MECH' (B-2281) Unit M-4 B16236 TEN. IIP $10,000. PC 693-84A _ -416306 MISC _ 4 B16235 SPE M104 - M16307 I SC B16236 - SPE -4204 As E16424 METER - /3o�S� E16237 M104 S E16423 SUB PANEL _ _ x.7-17 E16238 -4204 u CADILLAC AVENUE 3505 _ unit 1+-4 lot 30 86,358- 8-2281- v9/,T �t' Bldg- jl r i�Y� pBG • B-2281) P-2392- E-2666- y/as gd _ E=.Unit t((B42281) house Metar� - Close to MIT— (-5-2281 i E-2648- y/3ardY Unit Nr -4 I+r3160-91xi/P MECH' (B-2281) Unit M-4 APPOtaM to fill In all spacer assails there within heavy border lines and men 311 appropriate nealamuon5 CITV'OF COSTAMESA CONZ7 UCTION PER MIT. P MIT ND. —'�'-�`S'f;�u'' TRACT NO. PT NO. '�O' UNIT NO. N-IO4 2184 II/14/84 3�'oS L6d��ie 226.46 TL . Project Address ._—tub s11Ffq TYPE OF CONSTRUCTION' NEW ADD. ALTERATION REPAIR Applabnl's'Meilirl/rp Atlar((¢eSnf �❑DEMOLISH �O OTHER a/ A.P. ZOPaCONVERSION DS Owner's N0T89 Gt O C%uE DESCRIPTION OF WORK/U BL $ Main Building: ACeessorY Buil 9: Address . /(/C!/T IGiO/f2� I Arch/Eng. License No. TYPE OFPERMIT GRADING FOUNDATION ETRUCTU PAL 1 Front TENANT 0 ELECTRICAL 0 PLUMBING MECHANICAL BA N Address O'OTHER Rear I I Contmctoi N h e �� C Right N /L ' �1 nJ0/C �A_ �<---- PROJECT DESCRIPTION 50. FT. - t7 rv.Cyv�{ K G _ No. CON STRVLTION TYPE TIONS VALUATIONS &5&A;;22 $ Lefl: _, R a$VII` City LlWnae NO_ City License ZONE GRAOINGCV.VOS. ACRE` Ping. Pel.,# parking Req.JProvitl� E I LICENSED CONTRACTOR DECLARATION I 1 hereby affirm that I am Overnight under Floor S OI char ending Rsmarts! Planning Notes: IM 'MHM1 llOn for Division 3 at the e u and ode, dna - coo 1full oef mY libenel b le lull for itl effect, - , . UNnw Cle Lice Date sign tore PLUMBING I FEES `vORK R COMPENSATION DEC RATI ry - Bar Sink Showers 'ELECTRICAL FEES lereby affirm tna[ I nays* d Certr leofocOMnOw IN1sureara Cart luta 1 I Workers' Compensation Insn ce, or a.certif d Copy, there the Backflow Presenter' - -' Service Sink Automatic Washer -- Transformer ❑ 15-SOKW , . 3000ubC.) PoI1CY No. Company Beckflo56 Irrigation Sewer cap" Construction Pole Sob. 50+KW �� A artlnen COPY hereby furnished. 'ClCertlnee Ica with the City Buu Ivlslo Bathtubs Sewer Connection Cocking Unit Meter OUR to 100 amps, Oa[e Applicant _ Solar Collectors Dishwasher Meter❑over 100amps E%EM F0.0MWORKERS-COMP NSATION ECLARATIOry'Clarifiers (This section need not be COMPlelea It t parmlt Is for O nunaretl (SI00) Or Pi3hsn3M1lr Soler Piping, Dryers ❑Gas ❑Electric Sub Panel, Iced. S certify that In the performance of a wreakmanner for81Cn thisPer it Is Issued I employ y permn In man to b Subject to the l - Drinking Fountains Solar Tank" Fen Motors ❑P1 HP 01X- 8 : Workers' Compansallon Laws YI Ca ifomla. Date- enature Floor Drains I SwimmingPool versus - F.A.U. ' Inc, Soler 13315 HP ❑1615+' 'NOTICE: If.afler making Orb declaration, you should be[ subject to the workers' Compensation provisions f the tabor Code, You must lar[nwilh— Floor Sinks Urinal - - - Fixtures- - -Micro Wave + - - comply With such provisions or knit permit Shall be deemed reversal. r CONSTRUCTION LENDING AGENCY Gds Service Duties Water Clo3et Device Boxes Pole Light M1¢reUY affirm Ilia\ IM1are IS a construction leading agency for the performance of the warki for which. this permit' Is Issued (Section 309J. CIV. C.) Interceptors 7 Water Hxter Outlets Range Lenders name - Lenders Address Kitchen Sink ' Water Service Switches Sign OWNER BUILDER DECLARATION 1 nerebv affirm that I am pt nom ora centraaor's LI«nM Lew for Levitates I Awa -Wash Garbage Disposal ! Standing Sections a, . IpllowlnW reason J(131.5 BYSInO35 dn0 Pralafzl0a01 Coder Any Ca or u5etllon Ynty nlcn,rep IrM a permit Io construct, alter, Improve, aomo0sn or repair to Its ISSudn[0, also mq Wrel lite BvplRBOl 10r SYth OarMf. P=hep LauMrV Lays Genere[or'0P5 KW 0315 KW Truth Compactor Bny SbUC\We, pr1Or 10 IIIA a slgnad Statement foal M1e/Bite IS Nt*nN0 OurwdO110 M* prpvl31pn3 R OOF Drains ' Ise Centrec[or's Llten{e LEw l allapter 91CUmmencl wDM1 SacUon JOBOI f ag u OIVI31on 3 al tna Busin*is Prolesilpns'Cooq [M1al ncrsne I5 pt Inerelmm dna lite bails for IM•tllege0 e%6 ^nY viola Ian of 5*CIOn - e011On. J03L5 by any ap011tanl for a perms su jade aPPll«nt l0 civil SLepallytof not mon roan nundretl t1011in (ESOII). -' E, 3 LJ f.InO Iioe pert o y emplcyw3 wltn pot es Inelr vela ReinSpeRian Fee $15 1 Issue Fee n tlngrwlll eo the work, a xlructure Is sol Inlandea or oIfereddor's - Reinspection Fiat SIB Issue Fee $ 3' iornulen(SecNon )00A, aO.tne BulnmS d Pmmsienal code: Tne cpnbeCo _ MECHANICAL FEES. ws uc¢nre Law epos opt evilly m a� owner of a prowrty veno ewlnas q. Imprown ane veno loos s k nlmnlf/screen a amougn Iz or liar own � - 'Canohood ❑ DEVELOPMENT SER VICES EOUIR EMENTS: BM1ereone y<n OIaY ei. DrOvlaetl IDat cM1 ImpraremenU aro net Inlandetl or Olterce for Is ai Boiler .. Type 1 Canopy T 11 ❑ Type Zoning Approval By at Ie. Il, neweveq the bulltling pr ImpwvOmenl sOltl wl[nln one Yoar rim. pleUon, rho corner wIII Mva Ina hurtles at proysing M1a/she did not bUlltl rim Duct- Under GroUna y , Building �Apprpvda 6y Dale J * IOown r a 0 PepsiCl. owner of me roperty, am exdu IwIY <onlratting Illi s cpm Duct -EVUC[ural Refrigeration $yRem ' Application Islwd By Del fond tradeas n.cwrs to construct m°•prefect l!a ala ioaA, Best*ss and wom3dom cae.r at^ppiy to an owner of who �_ 1 OPICOGOOBTU❑L00,000BTU l -FEES Te Contractor's Leaned uwtl praparty bmma p Imp,owN thereon, and Who contract for filen of is is wph a coo- 'OO pact Ventilating SUMMARY BUILDING PERMIT/y;E OF $ i [scala their orker's t'to ompe duce License awl.Iov r that a m • proof [Welt Worker's compen Insurance fnBYIt Exhaust System❑ Multiple❑ ISy3t¢m Repair/Aheretioo SMTP' - 3 � � 'O 15m eRemOt unser settles B.6 . . for tMireasbn P.C.for piles Firepl/Fxt. BIL ICBO'M FireDampers' PLAN CHECK%i/�+$ PERMIT . PLUMBING $ ISSUANCE •$ Otle Hearing System & Ducting Registers PIAN CHECK 25% S ENERGY P.C. S nth °di.I lapse ad triple rii OP100,000 BTU 0100,000 "' $ GRADING $ a co on yoreinano«ve3 Iniorrminon dor M1Dd cit r ELECTRICAL . anitl stale laws raiaii to neinc ucf a Sy aummla reor n i PLAN CHECK 50% E MICROFILM $ e tetives Of Inlf enter I ebo anllone0 pro ty - $ L.� ,inspectlonpuroos �f; signature' Dau Reinspection Fee 815 Issue Fee $ 3 MECHANICAL PLAN CHECK E5% $ TOTALFEE $ Dr. s' u« W CMF 0865-46. lir, 10/86 White - Building: CdNry - APPIIrdnL Pink - ACCOYntmi i Goldenrod - ASYzmr 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 4: Electricaj Conduit-Undr§rnd. - 55. Electrical Bonding . 5. Steel Reinforcement .' 56: Rough Plumbing & Pressure Test 6.:Electrical-UFER Grnd. 57. APPROVAL TO COVER-GUNITE T.,Footi gs• 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.'Sevfer.Cap 63. Heater & Vent -Final 13..Roof,:Drains . 64. Plumbing System • Final 14.,,Ro6gh 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 24. Roof Framing - 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat /� a'Y 75.. Dry Chemical 27. Frame and Flashing ' �,t//y6y Mey 76. Dry Standpipe 28. Lathing &'Siding I - 77. FIXED SYSTEM FINAL 29. Insulation, 78. FIRE PREV. FINAL 30. Drywall Nailing w HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: �� `X 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 I-- - 42. Backflow'Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System., 45. Sound Attenuation •-_' 46. Handicap,Regulations t I 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed, 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. /s_3/Date %�,�c1Ll L/�' _ �' City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000663 P. O. Box 1200 Costa Mesa, California The Building located at '15(15 cAr)TtTAC Atm- rNTp Jim–ind F M-9/ld has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a-9 Occupancy. Use of Building (1FRTrP. Legal Description 17Q–f;HJ–D7 (See reverse side for Metes and Bounds) Building Permit No B1623S.R16236 Electrical Permit No. P.16217X,16424 Plumbing Permit No. E16238,E16423 Mechanical Permit No. M-161114 Number of apartments Q� and/or guest rooms / ISSUED TO: BuildingOfficialv), hCd/ , Q–J]ONNF.rTby�. RRTtATAM �// C— r 3505 CADI TAC, Jif1-110. CYISTA MR94, CA - Date / / i f Zf This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 white - Owner; Canary - Numerical File; Pink - Bldg. Permit File _ AppReant to fill In all sones except moss within heavy border lines and sign all aporopmu eCOurai fins. as a �A K�DESCRIPTION J I tO �Y _ CITY OF COSTA MESA CONSTRUCTION PERMIT Pro; Address _�3a. /�.riteoy ,Q .If�/L/ Aptiicul Mailing Address Ztae LvC O/a O/�&( �4u/ly��., Owner's Name O��G�/LC�LL l'iB/Q//gh) bryoneva gp=ZLJ_y Address �.S l>1/�LLJJG 4-I PERMIT NO. — 3 TRACT NO. Pm Icon—� LOT NO. 5D UNITNO. m- Solar Tank' TYPE OF CONSTRUCTION aEW' AO ALTERATION REPAIR CONVERSION ❑ DEMOLISH ❑OTHER FWORK/USE OF BLDG. /f//T /�hfy/19 a�jrf� AP yin E 7 B A C K $ Main Arch/Eng. '' - License No. Address TYPE OF PERMIT GRS Irvc Ll OUnoanON STRUCLJ TURAL ❑ TENANT 0 ELECTRICAL ❑ PLUMBING I] MECHANICAL ❑OTHER PROJECT OESC RIPTION SO. FT. ,z8/ln OCCUPANCY CON STRUCTION TYPE VALUATIONS /� "0 ZONE GRADING CU.YGS. ACRE Fhe11 Acer COntractoYi Nam �rb� h p 8iSM A Address (mailing) arekl L �L �� -i ?�(yf _ City License No. 70 LICERSED CONT RACTOR DECLARATION III hereby a/(intro that am Ilcensetl under "heLCndrl (C la9u with section )0001 of Dlvlslon 3 OI the 8 nn R Iedo gone my license IS 1n full force nod flea. x ,� . Lalt pinR q¢/ Remarks: Planning a re- a6/.G£l_CLu-A ArunrTFi or e they slim tfor twhich dthisnspermitxn1lending d °isention t30 7 Cie.' C.) maI Name Moire Address NNER BUILDER DECLARATION - reify affirm that 1 ampt from the ^ ontrattor's License Law for the w ombtwmmreason (Section ioii.5 Business and Professional Code Any city or y snuiree a permit to construct, alter, improve, demolish or repair niera Signed Statementi issuance, also licensed the applicant the provisions piano e Contractor's Lleenee Law (Chapter 9 (commencing with Sactlon 70001 of f erom 3 of refmm and theBusiness Oasis for the and alleged lexemption. Any or vii laiieon.of Sectiis on 13riy of not more than five nude erect dollars �ss`oej "e applicant m a pull h as owner of the property lir my employees_ with wages as their sole bactorOsl license pursuant f Doo/ f their Worker's Cx ❑ 1 am exempt under seen, Date min, DI ivers' L CMG 0965-66. lbs Speaker Connection ' age Solar Colliston - asher Solar Piping ng Fountains Solar Tank' Drains I Swimming Pool wisp _ Sinks Urinal rvice Outlets Water Closet colors Water Heater ' In Sink Winter Service xies Auto -Wash Roof Drains Reinspection Fare $15 Issue Fee MECHANICAL Boiler Hood or Type ❑ min one year of com- - 9 geinapecfien Fee FEES CaType It Ll nopy trainer did not build or Ifo- Duct Unser Ground BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ acting with licensed con- Registers Duct Structural Refrigeration System and Professions Code: owner of Property who Duct -Vemgatin $ 3 t7Gloo Boa BTu❑n top projectsWith a tan- De Laeq. ts 1 re that ole be provided to pi B. & P. C. for MIS reason - 9 geinapecfien Fee FEES Exhaust System 1-3multiple❑ System RI Fl replEarct. Bit. ICBO alp Fire Dam BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ Heating System & Ducting ❑Oimorm BTU ❑100Wa Registers denalcmabove :hereby entionedatC Opauthorize ty Date pm' ■ ir re Rarimpaeninn Fee $15 $ 3 apllunti Pink - Accounting; Goldenrod ASYssar Issue Fore Automatic Washer Construction Pole Cooking Unit Oisbwasher F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispn:el cancrater 110-5 $ 3 geinapecfien Fee FEES DEVELOPMENT SERVILE$R' Zoning Approwrl By Building Approved By Application lssoed By BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ $ 3 2183 II/14/84 - '94e2e Tl mlae PIN Accessory Building', D N 1 N G R Parkins ReO.lpmvitl9tl E ELECTRICAL Transformer ❑ 15-50 OW ❑ SO+KW Meter ❑up to 100amps Meter ❑over 100 amps Sub Panel Motors ❑01 HE Eli%t8 Ina Solar 09 15 HP ❑.18.' Microwave - Role Light Range KW I I Trash Compactor Issue Fee FEES FEES 7a SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM ,$ TOTALFEE .$ -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 4. Electrical Conduit -Undrgrnd._ 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - -6. lElectr.ical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. Footings, 58.. Electrical Conduif-Undrgrnd. - BC Foundation = 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. ,Backwash Lines, P -Trap,-❑ Undrgrnd. 10. Structural Floor Sysferri 61. APPROVAL`TO DECK - 11. Property'Sewer Line & House Connectign 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater &-Vent-Final 13. Roof Drains - n - 64. Plumbing System - Final 14. Rough Plumbing - r-✓ 65. Electrical -Final 15. Rough Electrical-Cond6it - • r - 66. Solar System -Final - iC 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. Perm it# 20.. Rough Factory Fireplace 21."Ducts, in 'Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23.,Gas Pipe -Rough & Test 72. Underground Flush - 24. Roof Framing ' 73. 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 1ILY"lls- " �� 76. Dry Standpipe - 28; Lathing & Siding r 77. FIXED SYSTEM FINAL 29. Insulation / /y 78. FIRE PREV. FINAL 30: Drywall Nailing / 641 HEALTH DEPT. REQUIREMENT 31.IPlaster Brown Coat 79. FINAL INSPECTION 32.'Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ZO 34. Final, Heating & Air Condition inq 35. Final Gas Pipe -Test! 36. Hood or Canopy • I ! , 37. Final Factory Fireplace' - - 38. Final Plumbing 39. Water Service -Final 40. Gas Service•Final i ' 41. Solar Domestic -Final r: '•� 42. Backflow Prevenfer' 43. Backflow Irrigation 44. ,Landscape Irrigation System.. 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING r 48. Special Requirements Completed t' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas CS ' ,51. CERTIFICATE OF OCCUPANCY No. Date ; Applicant to fill In all spaces except thaw Within heavy border (Ines and sign all appropriate d0CxkUwa Notes: Zona a E Ot S CITYOFCOSTAMESA CONSTRUCTIONTERMIT Pm;ect AdAms _krn.t Crk n is PERMIT NO. - TRacT No. LOT No. uNi7 Na. rA D . TYPE OF CONSTRUCTION rvew AGO ALTERATION REPAIR OCGNVERSION ❑DEMOLISH ❑OTHER. _ _ DESCRIPTION OF WORK/USE OF BLDG. I/t eM' / W I ? Applicant's Mailing Add r Owneis Neme 2- IiOne S�JC'l�ijj Address Automatic Washer Transformer [l 1550 KW Construction Pole Sub. 050+KW A.P. S T B C K $ ArcNEn¢ License No. Address TYPE OF PERMIT GRACING FOUNDATION STRUCTURAL ❑ TENANT 0 ELECTRICAL 0 PLUMBING M MECHANICAL OOTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS ����,r� Contractor's Nem shown 87YZ4Y;j Address (mailing1�4�1 li% ✓P/ -fid To SA M Sesser Connection ' City License No. _ice /� / ' LICENSEDajarr NR COTRACTODECLARATION / 20NE GRAOINGCU.VDS. ACRES pl rx Ramarke: R_ //_ a• rt t- _ Pial (\ 1 hereby affirm that Pam licensed under pm if0n5 or Char IcP m ncing Notes: Zona a E Ot S re ' I hereby affirm that l nave a dartlZ(aorcunin zentt eiunsu note Bar Sink Showers ELECTRICAL FEES Of workers' Compensation Insurance, or writ a cope mar (Se tion Of W Lees c3 a' rPOlicyNo. i?S�.42W. Company Backflow Prewnter - Service Sink Automatic Washer Transformer [l 1550 KW Construction Pole Sub. 050+KW Backflow Irrigation Server Cap ����eertdietl copy a hereby fain Shl I'J'"Grlioea gdpy I&ilio Will a SO Balbmbs Sesser Connection Cooking Unit Meter. Duca to IOD amps pate Z� 5OZ Applicant EXEMPTION FROMWORKERS-COMP NSA ECLARATION' ITniswctlon need not be completed if a permit Is for one hundred (43001 or '!I certifyy that In trio' performance ofa work for shalnot la hic his Permit Is Issued Compensation laws of California manner n ubje¢I Re Clarifier _ $olarcollectors_ Dishwasher Meter [laver 100 _amps pisAW2fier $plat Pi F'r9 Dryer [-]Gas OElacnic bub Panel , prinking Fou Fountains Solar Tenk Fan motors 11ol HP Di% $ . Date Signature Floor Drains • Swimming Pool WISPS F.A.U. Inc. Soler 09 15 HP [l16-15+ NOTICE: 11, after making this declaration, you should become subject l0 the Floor Sinks - - Urjnal - Fixtures" '" — _ — Microwave' Workers' Compensation Provisionsof the Ube, Cade. a mut forthwith comply with such proiions or this Permit hall beodwirl evoked. Gas Service Outlets Water Clout - Device Boxes Pole Light CONSTRUCTION LENDING AGENCY - I hereby affLm that there is a eOeSlruction lording arlenCY lot the performance Interceptors Water Heater ' Outlets Ran 9e ' of me work for which this permit Is Issued (Section 3097, Civ. C.) lender's Name= Kitchen Sink Water Service - - Switches Sign ' .",den's Address _ OWNER BUILDER DECLARATIONS I hereby affirm that I am pt Irani the contractor's. LICSnse Law for the following reason (Stiction 7031.5 Business and Prolectonal Code: Any city or county which requires a permit to construct, atter, Improve, demolish or repair y structure, prior to Its Issuance, also requires me applicant for such permit w file a shored statement that ne/she N licensed pursuant to the o OVISIO s Of, Division 3�ofr's L.Coal Law the Business e'ndnP ofeuhter 9 ns Co(commencing that he�eoaxe of therefrom and the basis for the allagetl exemption. Any VIObLIOn f Section .70315 sty any pp"don' for a' pO Of IC SUbleC[s-Lnti appllrant [o civil Onary of nit more than five h0notea dollars (45001. ff, a nl one oraceIf o - v empldvaea well w gas as trieh sal0 aensatlanerwul'do the k, and the s✓udme is l inieneee nr iferee 10r 1¢ (Scflon 1edA, Business antl Proleulanel Code,'TM1e COntraClar's' LiUnSe 60 droes rot a0orY toan owner o! a propertylwno0 OUI1d5 or imPlaws whereon, a no does lsucn work Mmzelr/nerw6o qn not or her awn playas provitled that soon Int provemant[ arc not Intentletl I1¢Iea /Or ale. Iq noa Over lm b Wldln0 or improvement is sow wltlan one yea. of Com- pie "011 the owner wIIInaw the burden df proving nepne dict not bulla ar Im. i s•. mr the adrpise of us Sol LJoI, as owner of the pr00 ISV. am a Cluslvely nirading wiln'llcensetl can- . traaorate Soasnuct the protect (cecbon 7044, Buss ass ane QofeMEona code: Th epnnado: s liwnse Law 5 not apps to owns( f prdperty wnn 'btu Improves tna..an. eantw¢i5 wrsgen w6n a a _ Lavatories Aura -Waco Garbage Olspool Standing Sections ' P -Tr - Laundry TraysGenerator y 005 KW ❑015 KW Trash Com [ pec or Roof Drains -i " _ • - _ - .Reinspection Fee $15 Iwue FBe S 3 - Reinspection Fad S15 Ime For ;$ 3 --MECHANICAL - - FEE$ - DEVE LOS E NT SER VICES R EOUI R EMENTS: r Zoning Approved By I Oats Building Approved By gala �I Appli®sign Isuetl By Yy_5[l-• pate�LL/�1— - - Boiler 'Hood or Type 1 ❑ Cal Type 11 '❑ _ Duct - Under Ground ,Duct -SVu¢tural Refrigeration System [l0-10D,0000TU ❑100,000 BTU 5 Duct. Vemileting _ B SUMMARY OF FEES ids w dna _who proiecfs traaorosl 11onw pursuant t0't Memto,C o z oat sew uwh I am aware that ' proof ! their WorMr 5 Com ath0n Ins r neul0 be provided m ❑taro exempt under 5ec0a B.6 P. C. for lois reason BUILDING PERMIT S SMIP r$ PLAN CHECK $ _ PERMIT r PLUMBING IS ISSUANCE S ExhauR$ystam [l Multiple [l System Repaic/Alteretion Firepoiclact. BIL ICBG# Fire Dampers' Dale ' DYn r 'late that the above' T ,formation t. ta Count manus I nerebv cequv'tnat-1 a r aa"runghowtof 0 State I b 1101 autX I opts t t1 1 in to tonceElectoral z v p ty e� -inspection Super �/ � p j,�6��— Drivers License r SS zyr! : Heating System &Ducting ❑0100,000BTU[l100,000BT R"Ifters PLAN CHECK ]5% $ ENERGY P.C. $ ELECTRICAL S GRADING- S PLAN CHELK 50% $ MICROFILM 5 T MECHANICAL g 1 Z TOTAL FEE '$or PLAN CHECK 25% ;$ 5 • / S 1 1 - - 0.e nzpectlon Fee 816 Esus Fee ( $ 3 CMF US 65.46. rev. 10/84 white - Building; Canary - Applicant; Pink - Accounting: Goldenrod Assessor CONSTRUCTION AND PLANNING APPROVALS - Permit # - - Date - Inspector POOL & SPA APPROVALS Permit # Date Inspector', 1. Temporary Electrical Service or Pole, i' 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. i _ 57: APPROVAL TO COVER-GUNITE 7. Footings I - •58. Electrical Conduit-Undrgrnd: 8. Foundation .`-" 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd: 60. Backwash -Lines, P -Trap, ❑ 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 �f/7�,( C49 FIRE DEPT. REQUIREMENT APPROVALS Permit # , 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping E3 Gas' ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. 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. 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 I 35. Final Gas Pipe -Test' 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. - 46. Handicap Regulations -- 47. FINAL STRUCTURE&BUIL'DING - - 48. Special Requirements Completed - - 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant to niun all spaces except these within heavy border Im[s and sign all appropriate lWOMati0m. 1 J 1 9 CITYOF COSTA MESA 'CONSTRUCTION PERMIT - Project AEdrees d/--ZAS� _ Ad . PlIcanit's Mij AdCress Owner's Name &202l Phoric.13 /1 Address,r -PeRkl �.•z '--I YY I Y TRACT NO. LOT NO. KNIT NO. Ill 2-0 y: _ say TYPE OF CONSTRUCTION LJ NEw LJ ADO U ALTERATION Ll REPAIR El CONVERSION ❑ DEMOLISH ❑ OTHER OESCRIPFION OF WORK/USE OF BLDG. n A.P.+ls' Drinking Fountains Floor Drains, ' ArchlEng. License No. Addrmg 'TYPE OFPERMIT GRADING FOONoanj 'STRUCTURAL ❑ TENANT O ELECTRICAL ❑ PLUMBING �1-MECHANICAL �'QTH ER - PROJECT DESCRIPTION SQ. FT. OCCUPANCYAd@eA CON STRUCTION TYPE VALUATIONS ZONE GRADINGACRES EA Contractors Nam hone Gas Service- outlets - lmd '•• / �/ City Li[enQ No :l .LICENSED CONTRA[TOR DECLARATION I Irerehy DIIhm IMt 1 ]m IlcensM under pro 31 S Of CM1ar ! ( Cing with na1Gn 70001 or olmpbn 3 of me sl and % r s10 Cm ane mr ncmSa ism mn wrma dmrea. 'Dr PInO.-ReL •F pemlrk5: (Planning Noll ' 1 ber¢hy ury lfiat'1 n ve dad thio [I n tale mat the above aoloSlrNllo b C C[. 1 91 to c0mp1 n Iclt , Eon oOumy Ordinances 4&lass Dares ��-* Zn -4✓ signature I PLUMBING FEES - Nn Company1I Backflow Irrigation Heed copy Is hereby famisheb. COPY lied with try0 Clty Bu A� Bathtubs, . I 'ZyJ!II�p Aponont _ Clarili¢r5 s 'TION FROM WORKERYCOMF SA TIO N DECLARATION one unrelated n nundr0p (E100j Or - glean need not be completap If th permit Is for Dishwasher } / that In the parlorall of l Work for Shlcll [M1comer t is Issued st mploY y person In y me WAbe Subject to the V Compensation ldwslol California. 1 , IgnaturMP Drinking Fountains Floor Drains, ' E: It• ager m king this declaratlan, you should become subject to the - Floor Sinks IT CompOo Ilan,provlslons f the Labor Coda. You must forthwith with such Provisions or tMs ,permR shall. be deemed revoked. - Gas Service- outlets - RUCTION LENDING'AGENCY• ' ' -a r affirm that there is constmcllon lending Itoi the performance work for Which. this permlt IS Issued JSOCtfion 3097 Cly. C.) s Nam ' • Interceptors sAddress. •Kitchen Sink - Sewer Card Sewer Conn Soler Collor Urinal water Closet r - shmor Heeler I lam Fee C $, 3l .NICAL pod oe Type I ' C] 1 nopy TypalI Ll _ Fire (Nue Fee I I E 3 2643 11/20/94 I5a25 TL ELECTRICAL FEES Washer Transformer 015-WKW - anPoleSub. 50+KW lit Meter Dun to l OD amps' _ Meter Dover am 100ps s IDEloctric Sub Panel Motors 00-1 HIP ❑i'6-8 Int Solar ❑9-15 HP 0161 9 Scantling Secdans Trash Compactor IgelnSpamian Fea I to Ina a ruled Statement that/Shp is ncenaaa punuam to m¢ pruvnnaro ear the Contractor's Usainx Law (Chapter 9 (commencing with Sal 700) Of Division .3 of the Buslnes3 and Probislon3 Cady .thi l Oe she Is exempt gOOFGfBin3' - 1 - $ 3 therefrom and the ball for the alleged exemption. Any vi'ola�ion 1 Section 7031.5 hY a Y pplicanl for permit but ih'" the ePPllont -[o.a civil �eWelty pl not mare than flw If rep dollars (55001. LJ as vinpr of IIf 1prp In 0' my G ployees won apes tneP sole fre fered uCOn[dIC10fS- r Rein specI Foe $15 - famuelawltsea on7044•eBut h 935 a aoM1P5o31eslo al3CoeelnThe 0 G Law or asnot applyy to an Owner of a orOpertewn0 bulloz Or Improves ibegone mo w oa a5 h work 01age lf/hereal l p [nmugh ne; o n¢r awn y pro vlem mat sum Imp'a Omont5 are nal Intenaee oared for sainyle II, M1 oweveq l he b u Ila lbs r l m p hwithe O 115501 o WItM1ln One yearalcpm- 10 tna owns/ WIII neva Ind burden of droving ne/one em not Dune or Im- Po for Me p Adow oP Wl e). - 1 Ia5 owner of the property. am a Cluslwily wntraCting' IIM1 Ilcen3ed cop- ha Rears to wolf ruc[ ma proJec[ 1 9044, BYSlness rhea %OI¢alon5 Code: Boiler ' Clubs -Under Ground' Oust Structural Duct- Ventilating etllOn The Can t rector'5 "Kang Saw d0 5 not Only to asu0wner 1 mperry who bulles Improves mer eon• antl w -antra Cis for Cn pfojeCi with a pan. Exhausl6yAem ❑ Multiple ❑ nate baRaros1JIM nse purswrii'lo the' �'lnF[orY LiceSnW that pro at f thell WorkaPs Compo Ho InswanCe M1OYIo be prOVleed eta Me ❑ tamexempt nnoar 3p<tlori i e.RP.0. mrmisreason Firtsel/FaCLBIL ICBG.0 'Date - nr Heating system a Call 1 W GOO BTU-�1000000T 1 ber¢hy ury lfiat'1 n ve dad thio [I n tale mat the above aoloSlrNllo b C C[. 1 91 to c0mp1 n Iclt , Eon oOumy Ordinances i I e tate £ng 0 dltl n9 m 5 so, neral^ author m raOm- enlat vel 1 Ips dome at a-MentlO etl property for 'InlpettlOb dorFM ' - I Beinsmaion Fast 515 Signature Da[e/L Orwen•Ucan»o BBs CMP 0665-46• rev. 10/64 White - Bullfrog; Canary - Appllcemi Pink - Accounting; Goldenrod - Absorber Sewer Card Sewer Conn Soler Collor Urinal water Closet r - shmor Heeler I lam Fee C $, 3l .NICAL pod oe Type I ' C] 1 nopy TypalI Ll _ Fire (Nue Fee I I E 3 2643 11/20/94 I5a25 TL ELECTRICAL FEES Washer Transformer 015-WKW - anPoleSub. 50+KW lit Meter Dun to l OD amps' _ Meter Dover am 100ps s IDEloctric Sub Panel Motors 00-1 HIP ❑i'6-8 Int Solar ❑9-15 HP 0161 9 Scantling Secdans Trash Compactor IgelnSpamian Fea 1515 late Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: , 'Zoning Approved By Oat* Building Approved By I nate Application lawn By 1 I SUMMARY OF FEES BUILDING PERMIT $ Slow '$ I . PLAN CHECK$ PERMIT 1 - PLUMBING S ISSUANCE IS PLAN CHECK 25% $ ENERGY P.C.$ ' ELECTRICAL $ GRADING $ I PLAN CHECK 5096 '$ I MICROFILM $ r MECHANICAL $ )� I ^3. TOTAL FEE $ • PLAN CHECK 25% IS ars:: _ CONSTRUCTION AND PLANNING APPROVALS Permit # -I Date Inspector POOL & SPA APPROVALS Permit # Date = Inspector 1. Temporary Electrical Service or Polei ; 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 I 58. Electrical Conduit-Undrgrnd. 8. Foundation - .� 59. Gas Pipe, O Undrgrnd., Test -. 9. Water Pipe-Undrgrnd. !' 60. Backwash Lines, P_Trap, ❑Undrgrnd. - 10. Structural 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 Elect rical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 11lial?y c i0 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe -Rough & Test I 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O 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 /2/77K &jFo 35. Final Gas Pipe -Test - 36. Hood or Canopy " 37. Final Factory Fireplace i 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. Special Requirements Completed; 49. Electric Release to Edison 50` Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date --- _ - - / Applicant to nn in all spaces except hose within beady border lien and sign all appropriate declarations. Urinal CITY OF COSTA MEA STR TXI%N PE MI A, Project Address C9' oc O •Appli .a hyilin I' a jElCONVERSION Owner's Name Pflone Address PER N9/ /Y�B� TRACT NO. LOT ND. UNITIi !✓lam O Water Service TYPE OF CONSTRUCTION LJ NEw LJ ADD LJ ALTERATION U REPAIR 13 DEMOLISH ID OTHER DESCRIPTION OF VYOfl K/USE OF BLDG. A.P. + P—Trap Laundry Teye Arch/Eng. License No. Address TYPE OF PERMIT GRADING 'FOUNDATION STRUCTURAL 1] TENANT D ELECTRICAL ❑ PLUMBING ❑ MECHANICAL D OTHER - SO. FT. OCCUPANCY CONSTRUCTIONTYPE VALUATION$ ZONE GRADING CU.YDS. ACRES EA Q J� Contractor's Nam ph Ae .7 Address lm.��PROUECTDESCRIPTION $15 City Llcenze No. TSL i. LICENSED CONTRACTOR DECLARATION I Ili affirm that 1 am licensed under provisions of Charter 9 (commencing Plop. RBL $ Remarks: I Plannino Notes: with section 7I00) Of Division 3 of the Business and PrOlegai�Coodde, and my license Is In fun dred ad 1 act. uanse a— T LI e WORKERS' COMpENSATION pE L Of f Workers' affirm that I MVB a Insurance Of sondem t0 s01copy le er a f Section lEade of Workers' CampenYtion Insurance or a mrtlfied cpdY thereof ISecfion 3000, IC.) NO. Polley No. Company B CatIIIOO COPY IS herebyfurnished. cdcape Is filed with the city Building Dlpi:Ion. .to App sit EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ITllis sedlOn need not be completed it the permit Is for one M1untlretl IS1001 or I hereby Affirm that there Is a construction lending agency for the gerformarege of the work for which this permit is issued !Section 307 Civ. C.) Lenders Nam. U I am exempt under Secuon— Date Owner Inspection Purposes.,:, orS W — CMF 0865.46, rev. 10/94 Wrote - B ad ou d he Provided aware to that S.8 P. C. fon this which Service Sink Collectors Floor Sinks Urinal Sag Service Outlets Water Closet Interceptors Water Heater Kitchen Sink Water Service Lavamries Auto -Wash P—Trap Laundry Teye Root Drains DEVE LOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By MMLM nate ete� neta.�— Reinspectbn Fee $15 Issue Fee MECHANICAL Boiler Duct Under Ground Hood or Type ❑ Canopy TyPell ❑ Duct Structural Duct Ventilating Refrigeration System ❑OIDo,000 BTU Oil Exhaust System ❑ Multiple ❑ System Repair/Alterati FirepUFact, BIL ICRO# Fire Dampers Heating System & Ducting ❑0.100,000 BTU01000008T Registers -"= ' I I Reinwp ian Few 515 Isue Fee Pink - Accounting; Goldenrod . Asrisor Washer 2186 11/14/84 15.00 TL 77 ' 2en AC ssdry Builtling: n ELECTRICAL N G R tld E _U 15 50 50+KW to 100 amps Dryers L Gas Ll Electric Sub Panel Fan Motors ❑01 HP❑115-B F.A.U. -Inc. Solar 119 15 HP ❑1645+ 1 , Device Boxes outlets Sevi rhes Garbage Dike Generator ❑i 11 Sign Standing Section KWJ I Trash Compactor $3 , Reinspection Fee $15 Issue Fn $ 3 FEES DEVE LOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By MMLM nate ete� neta.�— BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 15% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARYOFFEES $ $ $ IS $ OU •0 $ 0 $ $ SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ $ $ :$ $ 3 • CONSTRUCTION AND PLANNING --POOL APPROVALS - Permit # - _ Date Inspector &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 - i 5. Steel Reinforcement - 56. Rough Plumbing'& Pressure Test ','6. ElecVical LIFER Grnd. 57. APPROVAL TO COVE R-GUNITE -7.*Footings - 58.. Electrical Conduit=Undrgrnd. "- 87 Foundation . - - 59. Gas Pipe, O Undrgrnd., Test - - ,9. Water Pipe-Undrgrnd._ 60. Backwash Lines, P-Trap,'❑ Undrgrnd. t10. 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'❑ Gas ❑ Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush , 24. Roof Framing 73. Undergrnd. Storage Tank ❑Ga's ❑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 b 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. HandicaplRegulations 47. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed' t - 49. Electric Release to Edison - r - - - - - r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. `= Date - - Applicant to fill in all spaces except those Within heavy bender nen and sign all appropriate declarations MEaSSA' CO ST C PERjry})LT 6 PEIipLLT�NO. .� Solar Tank TRACT NO. LOT NO. UNIT NO. Floor Sinks - -CITkOFCOST 1 - Project AddresslV� ! Vii �IO'� GG 'Water Closer, I Interceptors Waled Heater Dust - Ventilating Kitchen Sink - Applicant's Maif/npr(f�tl/(I[Jp TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIRfiffili lavatories A 11 CONVERSION DEMOLISH OTHER Owner's Name ' /� �,�j'j'[-�}� A,P, no state that the above DESCRIPTION OF PCRK/USE OF BLDG. AdOreM W ARV OF FEES SMIP PERMIT ISSUANCE ENERGY P.C. MICROFILM TOTALFEE S mentioned property for System Repair/Alteration Arch/Eng. lin License No. TYPE OF PERMIT LJ GRADING L FOUNDATION 13 57RUCTURAL T Reinspection Fee Fee ❑ 0 0 ❑ MECHANICAL Registers Address TENANT ELECTRICAL PLUMBING O'OTHER B A ____�1�1>>>> Contractors Nam 1C�_Phone PR OJECTDESCRIPTION SQ. HT. OCCUPANCY C K yes] `�—'Aeca -.: //''! AddressImp nnl /& .rin. If 3 CONSTRUCTIONTVPE VALUATION $ $ City License No. _ _rl,¢�!. ZONE GRADING CtII ACRES AG2j3 Ping LICENSED CONTRACTOR DECLARATION r Remarks: C' 'j. Plar I hereby affirm that I am Seemed under provisions of Center 9 ^commencing with section 70D01 of Division 3 f the Business and Professions Cade, and mylice se my IlCenu Is In full fo1¢eylU e£IBgH z / UU a7 s�51 5s s ense N Date= Senator e' PLUMBING FEES Ba!$Ink $ROWere WORKERS' COMPENSATION DECLARATION I hereby affirm that I haw a certificate Of Consent to SBIMnsUre or a CeftHISCS - Goal Prevented Service Sink of Workers' Conditional Insurance, or a certified copy thereof (section 3000, Lap. C,1 ' Sol Irruption SawarCap ,y Policy NO. Company BCerrt`Ied Copy Is hereby furnished. Bathtubs Sewer Connection ' ytl�opy is lied wah me city building Dietrich, Date Applicant Carified5 $Olaf CO 6CMra EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Thou ction need not be complete if the permit is for one hundred ($100) o esnlrafv that in the oermrmance oft which tors per iss Dishwasher $OHd Piping - I hereby affirm that tere IS 1 the work for which Lengn's Name LI'I am exempt under Section— Dale Owner Hereby certify that 1 nese red. Drivers' License or 5! CMF 0065-4$, rev. 10/84 iywyso eye�peeome yy {et to the Drinking Fountain Solar Tank Floor Drains Swimming Pool w/Spa s laYou should became student to the bor Cade, you must forthwith r cormit•snall be deemed ! vpk¢d. A lending idurcy for the Performance is issued, (9ectitn 3097 Cie. CJ Floor Sinks - Urinal Gas SarvicC Outlets 'Water Closer, I Interceptors Waled Heater Dust - Ventilating Kitchen Sink - Water Service the Contractor's License Law for the lavatories Auto -Wash ipof Drains Reinspenldn Fria iniend'ee 'o oif...d.for I:n�e did notyc�iln oar°m- $ 3 Boiler Duct - under cmana as Duct - Structural end Professions Code Owner of property who n pro acts with a con- - $15 Issue Fee' Dust - Ventilating IANICAL ExhabSt System ❑ Multiple C oulowoe' I amiaw rethat DEVELOPMENT SERVICES REQUIREMENTS: zoning Approved By Building Approved ByDated� Application Issued By CYIA a, Firepl/Fact Bit. ICRO # B.6 P. C. for this reason Hood or Typal ❑ Canopy Type H ❑ , Heating System & Ducting ❑0100,0110 BTU 0100,00081 no state that the above yand lltairdeaebyaXrzeeo SU BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $GRADING PL7s AN CHECK on $� MECHANICAL $ PLAN CHECK 25% $ W ARV OF FEES SMIP PERMIT ISSUANCE ENERGY P.C. MICROFILM TOTALFEE $ $ $ $ $ $ mentioned property for System Repair/Alteration / r Oaty/%d/ Fire Oampaa Reinspection Fee Fee $15 apllcanh Pink -Accounting: Goldenrod - Assessor 46 Far. IS Dryers LJGa Fan- F.A.U. Fixtures Device Boxes Garbage DapoMl Generator ❑115 KW 3121 11'/29/94 ELECTRICAL Transformer 015-50 KW 0 SOT KW Meter Clue to 100 amps Matas 061 HP ❑1%-B Inc. Solar 0415 HP 731B Microwave Role Licht Truk 14'e'ec -7l a G Q M $ FEES Issue Fee $ 3 Reinspection Fee $15 Issue Fee' $ 3 IANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: zoning Approved By Building Approved ByDated� Application Issued By CYIA a, Date Date-L��— Hood or Typal ❑ Canopy Type H ❑ , gefrigaation System 70100,000 BTU 0100,000 BTU SU BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $GRADING PL7s AN CHECK on $� MECHANICAL $ PLAN CHECK 25% $ W ARV OF FEES SMIP PERMIT ISSUANCE ENERGY P.C. MICROFILM TOTALFEE $ $ $ $ $ $ r Lf, 2S System Repair/Alteration Fire Oampaa Registers - Iesue Fe If 3 - COAISTRUCTION,AND PLANNING : APPROVALS - Permit* ,'� Date '^ Inspector - POOL & SPA APPROVALS Permit # Date Inspector; 11. Temporary Electrical Service or Pole%' ''2:• 52. Pool & Equipment Location - -Soil Pipe-Undrgrnd. _ 'j. 53. Steel Reinforcement Electrical Conduit Utility-Undrgrnd..- f. . 54. Forms '=4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - f . 5. Steel Reinforcement V- - - 56. Rough Plumbing & Pressure Test -6.. Electrical UFE.RGrnd., 57. APPROVAL TO COVE R-GUNITE - 7. Footings - , , • 58. Electrical Conduit-Undrgrnd.=- 87 Foundation 59. Gas Pipe, O Undrgrnd.; Test ' ;'9 • Water Pipe-Undrgrnd. !' 60. Backwash Lines, P -Trap, O Undrgrnd. . 90. Structural Floor System 't .61. APPROVAL TO DECK ' 11.�Property Sewer Line%& House Connectign r 62. Backwash &Receptor -Final 12: Sewer Cap 63. Heater & Vent -Final ' Q. 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 Approvab - �17. Rough Wiring -Sign ` 1 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL A. 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 ElGas El 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31'. Plaster Brown Coat FINAL INSPECTION 32.• Electrical Power Meter -Final (] 80. FOOD CERTIFICATE ISSUED 33. Final Electric /I - G 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. Special Requirements Completed I- - 49. Electric Release to Edison - - <- t-• - -, ! _ '!• i 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. - Date - LICENSED CONTRACTOR DECLARATION I herebaffirm that I am licensed under provlllone of Charter 9 (commencing with Section 7000) Of Division 3 of the Business and Profess) ns Code, land my dremeis I n fent a pct. unnse Pajs ' s. Datesignature WORKERS' COMPENSATION DECLARATION Of Workers' afsbm that I news cesurince of consent to d COP ore ora certificate of Workers• Compensstldn Insurance, d ur8fled Copy Ineieof (section Pegg, Lab. C.j PONCe No. Company ACertified Copy is hereby hrnie tl Certified Copy Is Hied With Applicant me ant' Bunning mvipon. Dine KER"C' FPOM WOMKERS"COMhe NSATION DECLARATION EXEMPTIONmlcuon nem not be mmmatm a the Permit N mr one nanmm (s100) or �mtuysma In me pmrormance of ma wor Mcn tb�is ppermi�lisi..`°6: are - r Signature b workers' Compmwilon °ProvisionssrOf gine LaEo� c Uoevoue soil iorinwlto 1 omply with sem provisions or finis permit final°be.d.:mad revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for performance of the work for which this permit is Issued (Rctlon 3097 Cie. C.) Lender's Name, 1 Drivers• Licenserr CMF 0065-46, rev. 10164 Sink r provismns of -/lion 00One IS e of Ikon of Section .ant to a Civil as their sole ;ped n ouered No or Improve: his oor ; hero for offered fchm aatyear prim. In licensed Can- ifesdons code: Property who Off with re Imae ovlaeE to afor this reason Root Orcins Applicant to fill n all spaces except Inose within heavy borderlines and sign all appropriate deco ori _ RaimpeRion Fee '1� CIT1t OF COSTA MESA Project Address C a Applicanf6 Maillp A re Onner's Name Address NST U ON MI-� C'as bN ^ �« —3 PERMj���� TRACT NO, LOT NO. UNIT eAAI Duct- Structural TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR El CONVERSION 11 DEMOLISH ❑ OTHER DESCRIPTIONOF WORK/USEOFBLDG. Ap j S T K $ Main Bu �p6s��ag`ea/ Archi "��k, Licen%No. Address TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL E3 TENANT 0 ELECTRICAL 0 PLUMBING 1-1MECHANICALBA O'OTHER PRWECTDESCRIPTION SO. FT. OCCUPArvcY CON$TRUCTIONTYP VALUATION$ ZONE GRADING CU.YDS . ACRES Front pear Contractor's od Right _ Address lmailiog) City License No. IRft pi Ref 0 LICENSED CONTRACTOR DECLARATION I herebaffirm that I am licensed under provlllone of Charter 9 (commencing with Section 7000) Of Division 3 of the Business and Profess) ns Code, land my dremeis I n fent a pct. unnse Pajs ' s. Datesignature WORKERS' COMPENSATION DECLARATION Of Workers' afsbm that I news cesurince of consent to d COP ore ora certificate of Workers• Compensstldn Insurance, d ur8fled Copy Ineieof (section Pegg, Lab. C.j PONCe No. Company ACertified Copy is hereby hrnie tl Certified Copy Is Hied With Applicant me ant' Bunning mvipon. Dine KER"C' FPOM WOMKERS"COMhe NSATION DECLARATION EXEMPTIONmlcuon nem not be mmmatm a the Permit N mr one nanmm (s100) or �mtuysma In me pmrormance of ma wor Mcn tb�is ppermi�lisi..`°6: are - r Signature b workers' Compmwilon °ProvisionssrOf gine LaEo� c Uoevoue soil iorinwlto 1 omply with sem provisions or finis permit final°be.d.:mad revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for performance of the work for which this permit is Issued (Rctlon 3097 Cie. C.) Lender's Name, 1 Drivers• Licenserr CMF 0065-46, rev. 10164 Sink r provismns of -/lion 00One IS e of Ikon of Section .ant to a Civil as their sole ;ped n ouered No or Improve: his oor ; hero for offered fchm aatyear prim. In licensed Can- ifesdons code: Property who Off with re Imae ovlaeE to afor this reason Root Orcins _ RaimpeRion Fee $15 1 1 Boiler $15 'Issue Fnr Duct - Under Ground Duct- Structural FEE$ Duct - Ventilating Exhaust System ❑ Multiple ❑ 1 _ FlrepUltai BIL ICBOiW Zoning Approved BY Heating System 11 Ducting . ❑0-100,000BTU 0190,00DETt that the above : lY arolnanees eenodz oro- l r 'peaty Dats Raine ion Fes $15 Goldenrod -Assessor Pink . Accounting; Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Soler Tank Swimming Pool w Water Heater Water Service Auto -Wash Issue Fee iANICAL Hoatl Or Typel ❑ Canopy Type 11 ❑ Refrigeration System ❑610o,o0OBTU ❑100,BDB System Repair/Alteration Fire Dampers Registers Issue Fan ng. e Planning Notes: Automatic Warner - - Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas' ❑Electric Fan F,A.U. 'Fixtures Device Boxer Outlets switches Garbage Dispnal Generator 1165 KW 171S15 2187 11/14/84 In47 TL Zone 'Accessory Building:, - Z D N I N ^ G Parking 'Real last,cedl IS l` I= C id 5 i ❑Of HIP Ell X-8 ar;❑915 HP 016`15+ $.3 1 1 Reinspection Fee $15 'Issue Fnr $ 3 1 FEE$ DEVELOPMENT SERVICES REOUIREMENTS: 1 Zoning Approved BY I 1 Dats Building Approved ByDate Application Issued By Dite_Jv�' 'L 'SUMMARY OF FEES 1 BUILDING PERMIT $ SMIPI $ ' PLAN CHECK $ PERMIT ' I PLUMBING IS ISSUANCE 1$ PLAN CHECK 25% $ ENERGY P.C. 1 $ ! - _ ELECTRICAL S O rl GRADING S PLAN CHECK 50% $ - O MICROFILM $ 1 1 ``�' d, MECHANICAL $ TOTAL FEE ' $ f $ 3 PLAN CHECK ZS% $ 1 -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 - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' . . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' f 6. Electrical UFER Grnd: - 57. APPROVAL TO COVER-GUNITE - °-7. Footings - 58. Electrical Conduit-Undrgrnd. - . •87 Foundation y9. I 59. Gas Pipe, 0 Undrgrnd., Test Water Pipe-Undrgrnd. i- 60. Backwash Lines, P -Trap., 0 Undrgrnd. .10. Structural Floor System ? 61. APPROVAL TO DECK - )1. Property Sewer Line & House Connectign ... 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 - / 7H 21266. 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 - ni' C 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 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 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric % Notes: f3 A 4 L I ` ['7 �- 34. Final Heating & Air Conditioning A V-25 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. Special Requirements Completed ' 49. Electric Release'to Edison - - 50. Gas Release to Southern California Gas Co ^ 51. CERTIFICATE OF OCCUPANCY No. t - Date with section 7000) of Division 3 of trio Business and Professions Code, and Z 0 Applicant to fill In all high eeeem those within heavy border line&and sign mappreprlate dechar5tions. Cil OF COSTA M�jSQ CON TRUsyY51-I �/ ER IT PERMIT NO. Z.7 TRALT NO. LOT NO. UNIT NO. Parking Rep./Provitle0 Project Address r 1� 0 -i /. e C /' / / Fic y SUMMARY OF FEES hereby asfam wt e.,nnrate or rans.m m s.nance.. or a e'rtidole BUILDING PERMIT in ea Applicant's WillingQ/q/ddr ELECTRICAL FEES of Workers' Compensatmphn Insurance, or a uCopy indoolISecumn TYPE OF CONSTRUCTION NEW ADD ALTERATION REP/Dk Sink Service PERMIT Meter ❑over l OO amps �SJC- 1 CONVERSION OOEMOLISH ❑OTHER A.P.# Uvner'e Name Inc. Soler 0141 HP ❑ 1615* 25% Backflow Irrigation DESCRIPTION OF WORK/USE OF BLDG. Pole Light ELECTRICAL Address r3.ib S 8 Outlined copy is hereby rurmmed. 18fiffituirs I I Sewer Connection S Main Build! Arch Eng. LIINnM No. MECHANICAL TYPE OF PERMIT U GRADING UFOUNDATION LJSTAUCTURAL T From S❑_ PLAN CHECK 25% $ ❑ TENANT ❑ ELECTRICAL 1-1J PLUMBING ❑ MECHANICAL B Address OTHER ❑OTHER A Rear Contractor, Nam PM1Oni C Right p ��� �� PROJECT DESCRIPTION 50. FT OccUPArvCY Atldreu lmnilingl—La-_ w / p� CONSTRUCTION TYPE VALUATIONS S Left City / t J ZONE GRADING CU. YOS. ACRE Plot. flef.# NSelD¢NO. LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am IicenSeJ under pmvislon5 of Charter 9lrommendng Remarks: c=5 2 -She Planning Notes: with section 7000) of Division 3 of trio Business and Professions Code, and Z 0 My Towns is In lull Ibrce Ir '� Date Building Approved By N -- CNss LI pate L/—� 'N" PLUMBING FEES Parking Rep./Provitle0 WORKERS' COMPENSATION DECLARATION Bar Sink Show er a M M SUMMARY OF FEES hereby asfam wt e.,nnrate or rans.m m s.nance.. or a e'rtidole BUILDING PERMIT IS ELECTRICAL FEES of Workers' Compensatmphn Insurance, or a uCopy indoolISecumn Backflow Presenter Sink Service PERMIT Meter ❑over l OO amps PLUMBING 3500, Lab. C.] S Motors 041 His 111M-5 S Inc. Soler 0141 HP ❑ 1615* 25% Backflow Irrigation Sewtt Clip Pole Light ELECTRICAL Policy No. Company S 8 Outlined copy is hereby rurmmed. 18fiffituirs I I Sewer Connection 50% - MICROFILM Certified copy is riled with the city Building Division. on Applicant inroad($10010, Dishwasher ma ! !�+ tis ilia Drinking Fountains he subject to the Floor Drains must forthwith Floor Sinks famed revoked. the performanceGas Service Outlets 3097 Civ. C.) Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reimpenion Fee $15 Boiler Duct- Under Ground Duct -Structural Duct- Ventilating ExmU81 System ❑ Multiple ❑ Firepl/Fact Bit. ICBO # Heating System & Ducting I that the above 1161 g0.0W BTU 0100.CMIST ❑ I am exempt under Sheller B. & P. C. for this reason Date Owner LereDY ceRlly Mat I haw ra signatue Oate��' Olivers•rlicense or ss N RelnspeMinn Fee 515 CMF 0865-41i.ow. 10/e4 White - Building: Canary - Applicant; pink - Accountings Goldenrod - Ano or Solar Collectors Soler Piping Soler Tank Swimming Pool w/Spa Urinal Water Clothes _ Water Heater Issue Fee IANICAL Hood or Type 1 ❑ Canopy Type II ❑ iefriggration System DWO0.0000TU ❑iw.0 System Repair/Alteration ] E3 FEES S3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. 3120 11/29/$4 10o5U TL Zona Standing Sections Trash Commerce I I Reinspection Fee 1 $15 1 1 Issue Find I S 3 1 1 Zoning Approved BY Z 0 Date Building Approved By N Out Application Issued By G R Parking Rep./Provitle0 - Oat a M M SUMMARY OF FEES S BUILDING PERMIT IS ELECTRICAL FEES Transformer ❑ 15.50 KW ❑ EO+KW Meter Oup to 100amps PERMIT Meter ❑over l OO amps PLUMBING Sub Panel S Motors 041 His 111M-5 S Inc. Soler 0141 HP ❑ 1615* 25% Microwave ENERGY P.C. Pole Light ELECTRICAL Standing Sections Trash Commerce I I Reinspection Fee 1 $15 1 1 Issue Find I S 3 1 1 Zoning Approved BY Date Building Approved By Out Application Issued By Oat SUMMARY OF FEES BUILDING PERMIT IS - SMTP $ PLAN CHECK S PERMIT PLUMBING S ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL S GRADING S PLAN CHECK 50% $ MICROFILM $ MECHANICAL S TOTALFEE S❑_ PLAN CHECK 25% $ 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 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test , 6. Electrical LIFER Grnd. r .1 57. APPROVAL TO COVER-GUNITE 7.Footings 58. Electrical Conduif-Undrgrnd. - r� .:8' Foundation t 59. Gas Pipe, 0 Undrgrnd., Test ' 1_9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. ,Structural Floor System 61. APPROVAL TO DECK - 11,r Property Sewer Line & House Co'nnectign 62. Backwash & Receptor -Final t12. Sewer. Cap �, - 63. Heater & Vent -Final 1'3. Roof'Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 6. 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 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 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. Special Requirements Completed 49. Electric Release to Edison t 50. Gas Release to Southern California Gas co - 51. CERTIFICATE OF -OCCUPANCY No. Date Applicant to RB in all spaces within heavy border lines and Sign an aPureDrleu declaration:. :CITY OF COSTA MESA ERMIT NO. TRACT NO- LOT -NO. BLDG. NO. - - 6610 6/0I/82 20.00 CONSTRUCTIONPERMIT M -LI TYPE OF CONSTRUCTION '[NEW ❑'ADO, O gLTERATICN ❑'REPAIR OCONVERSION,�DEMOLISH ❑OTHER - '. - L - ZONING REGl1LATIONS, Project Address 350 CadillaC_AVei - owner 'O'Donnel PdZCneZe - Phone `Addrea Nerd E HeaCh-' - 1 Archiing. 1.501 DOVe St., SUit9sthj"No. OESC RI PTI ON OF WO R K TYPE OF PERMIT - --'- C3 GRACING ❑ FOUNDATION - O STRUCTURgI- O TENANT .0 ELECTR I CAL � 13PLU M BI NO � �ECHANICA ,FPB " ZONE PLNTGp,RgE1FL,p; PR PlEOYMI - SET qC D V LINE 5 p 'Address- - - `COmactor Thermalair, Inc. Phohe 283-958 AOCIeu SJBO POLZBYO Ave.,SO. ES, Monte LICENSED CONTRACTOR DECLARATION- I Parody afro that I am licensed under provisions of Charter 9 (mm- .I / - I. ❑ r RIG _ mendn Ito Section- 7000) 1 Divisio 3 f -the -BuMne n OTHER - -� FOfeS31oM Godo and Y LIN as IS In IyW1I force and affect. : REAR YARD(TOPJQ - C-20 - 102 16 PROJECT DESCRIPTION' License Class LI,(„�a o' '. . SO FT Id _ - _ PKGFSPACE REO. - 'PROVIDED -PARK J5 ,. Oats SyTDJ{19519nalde- /T,�ra_ WORKERS'COMPENSATION DECLARATION __ e_ OCCUPANCY � CONSTRUCTION TVPE (STREET WIDTH FEE,E... 1 hereby afllrm [hat I haw a urtrlleate of e^nsont [o A iJnlwe Or. a VALUATION ZONE ZONING APPROVED BY DNTE [Bn111oU[a of Wo,kna' [bmpensetlon Incur d -On eI11lIe0 COpY ... .. GRAO1NGCU. VCS. ACRES - ESPECIAL CONDITIONS: ' r s f (Section ]000. LAb. CJ. INo: LioRl'l 90979 LomcenY Fv'mm�nY TnAPmm Yv - _ _ _ 'i _ L _e,IIIIM -� j• �;- _ _ ___ eruned copv is RIm Wltnane cuv Bonding plmsmm _ , - - - f ._ - - - - EXEMITION"FROM WORKERS'COMPENBATION'OECL'ARATION (TOP 5¢CboO tl t b Pletlp,J,tM1e, Pe:::rMMMmI[ 1550/ one M1untl _ _ __ _ I - - _- _ R 1 3300 of less n I [n t I aeSdfy that l iM1 f tnllo PLUMBING PLANCHECK- 1r. _ ELECTRICAL PLANCHECK _ - iu bed nui t PI r r PF j5. D r e died m3m w k rs eompen a LA not Qill1 thio °f -- , - BATHTUBS- B" - --SHOWERS - - '_ '- qL- -a,,.� Oe A DO/RJ Blgnalu a JJ n" [n� � l N NOTICE: Il alter Ming this tledarallon, YOu should dacpme sublact TOILETS - r --V RINALS GENERATOR-'O-I-KW=LIOKW" - toiM1e Workers' CompOnutlon provisions pf the Lader COtlB, You must' - TRANSFORMER - fOrtnwllh PonIDIY with tYCh prOV SIOM Or 1613 pBrmlt SM1¢II Pe d¢¢me0 LAVATORIES DOUBL'E'LAVS" -i'-� - -`APPLIANCE 10.50 KW.SO'+'KW - VOketl._ ,� _ _ _ _ KIT. SINKS- - -- DISHWASHERS "-- .MOTORSO.I HP -1 -IO HP _ _ _ CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending aganey for the pee- SERV ICE SINKS j' SUMPS - "" - - - �014C.00LAR)...1040 HuF SO I HP - - fdrmanCO Of the work for which this permit Is Mica) libation 3097 (f. - CIv-C-I---- _ -' -,� - 'E'k' FLOOR SINKS t-,-FLC;OR DRAINS - Y -- FIXTURES" --OUTLETS -SWITCHES - Lender's'N-me _- _ _ l nder3.AdOrps 4j,` -DRINKING IF -'VI "` - a- ,GAS 'TUBE'SIGNS� - - OWNErisunLbEROECLARATION INTERCEPTORS CLARIFIERS POLE"LIGHTS'1. - I Na0Y3N4 Ina` I pt f Q01 theCo tr10 k LI law f $WIMMINGPDOL - PTRAP - ��- r 7'_R EE METE - - the-folloWag IWSD" (Section 7031,5 Business and PrO ISSlonS Code. Any city county which requires a permit t0 construct. alter. WATER'SERVICE---"-ALTERATION-'" PANELS' -MAIN - SUB improve, dismout or repair any structure.' Prior to lt3 Issuance, also re- quires the aptllunf for such permit to file a signed statement that he GAS SERVICE -OUTLET$ (- � - SERVICE "' "" - -AMP - Ms 11cansed-puNua dto ins WrONtlons d the Co ltrattorY Llcensa LRW ICOndpter 9 (commenting With Section 7000) 01 Division 3 of tae P�',G�f ntl Rdessons motl¢)Orglhat M1¢Ise%empi'therefromane the--W�ATER' HEATERS ' BTU OUTPUT' violation by Sing "SEWER CONNECTIONS" '�" -�- - --- - Ed.Opll to9ea permlli's DleCii iM1e aPDllCant Solion d CIN031.9 jests t e 1010" pendOY' AG f of m e than lve hundrMlt SJ 501—AR-TANK - - -COLLECTORS'-- - - - -- �- ---�'---- - - - - -- - DJ, as owner o/ `fie property, -or my employees wilh'vsk i as theli SOIG[OmpenYGon. will dOShe Work„and,the Structure i5 not Intended . Or Offeree lot Lae. (Section ]090Edemas and Mof"sions Code: The __ _ SOLAR PIPING SVS. I ”' '-- - - ISSUE FEE- ,gpPLICATION'gpPROV Contfaclo,'S.Urenee LAW-doCLnot apply to an net of ry �__ .. _.-_ ISSUE FEE - - EO BY -'DATE-- �ro who builds a reproves thereon, and Who, does such work n MMif o thrDY9n his. own ompaoytt5. provided that Such Improvements are not MECHANICAL PLAIN CHECK _ SUMMARY OF FEES - ][ t.• t Intended of offered ler sale. N, however, the buamm or Improvement IS SOId within One year Of man- Ion, IM1B Owner wIIR nave the burden f proving he did not build Improve far the purpose Of ate)- HEATING SYSTEM 0100.000 BTU r BUILDING - ---� -- PERMIT 3 --'-- - - - - SMIP E' - �I,- a-Ownv-Of-Ire' pOpoRY, iT exclusively contracting with -q AID -DUCTING- - J f � � _ licensed contractors to construct the project fSectlon 7044. Business 100,000,. BTU PLAN CHECK 3 PERMIT aneWnel6foloM COdO:-Tne•COOUAC[Ofi LJCOnN Law doesnd ipDlY-10 .._- .- ISSUANCE 6' an I properrtoy Who buttes or Improves thereon, and who eon- REFRIGERATION 0.100,000 BT11 1 PLE ft- 1 atl$$Om-such / ects•wlth-a conlr ess) Ilcesnee pursuant to - SYSTEM -- 8 f GRADING' E. the COntracoft License Law). 106.000 IOO,000:V BTU 9WN CHECK 3' ❑ 1 ani a%empt under Section - '�- D. A P, C. for this - - ELECTRICAL S _ - S 3 BOILERS BTU - - - - REPAI R, - PLAN CHECK '3" - _TOCROFRM3 Date Wien Owner SYSTEM ALTERATION E%HAUST SYSTEM MVLTIPLE 2a30aI Da` MECHANICAL YJlCJG.' 'PLAN'CXECK TOTAL FEES 'd �'LESSHO / ' I hereby party that l nave read t MIS a ditat ton and Rale that the chew L correct. -I agree lO Ply IN all city and county -b VANCE'PC Y_ - ordiO¢O Sid slate' lO9 iO COOS1uu i'On ane he Ten authorize til. 1 . ' `FINAL ,epmseB anpex or chi Ol m neat n- iM1e above honed procertYS rflnspeeti n p rZ @ " D' OQ Slgnatwa -Q 5/20/82 I ... FEE 3 DYlwrs'Licensen/55IF •_ - - ISSUE FEE .. - - f CMF 0065-06 White-Building:Drury-Applicant: Rnk-A[COunling: CONSTRUCTION AND PLANNING APPROVALS Permit # .!1?��6o 1' - /v, Date Inspector POOL & SPA' • APPROVALS Permit # Date •Inspector Temporary Electrical Service or Pole _ - •\ 43. Pool & Equipment Location ' 2. Soil ipe.Undrgrn _ 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - T. Electrical Conduit-Undrgrn _ 46... Electrical Bonding - - 5. Steel ein orce _ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings__ 49. Electrical Conduit-Undr rn" " " 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water.Pipe-Undrgrn- 51. Backwash Lines P-Tra - Undrqrn 10. Structural Floor System _ 52.. APPROVALTO DECK -" - -' ' " " - •' • 11. Property Sewer Line &. House- Connection - _ 53. Backwash & Receptor -Final ' .12.-- Street Sewer Connection54. Heater &Vent -Final 13. Rough,Plumbing. ., - : -- - _..., -PluSystem ----- - ----- - -•'-- - - -- nal 14. Rough Electric -Conduit - - 56�' Electrical -Final -• - 15. Rough Electric -Wiring _ - '57. -Solar System -Final 16. Rough Heating & Air Conditioning - -. encin9 & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING \ 18. Ducts, Ventilating - - 60. ... -" POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test _ 20. Roof Framing - 21. Roof Sheathing - i - - - NOTES: ' 22. Frame and Flashing 23. Insulation -- - - Q #1/� 24. Lathing & Siding - - ' 25. Drywall Nailing L 26. Plaster Brown Coat 27.- Electrical Power Meter -Final - - 28. Final Electric - - - 29. - Final Heating &.Air Conditioning s - 30. Final Gas Pipe -Test - 31. Final Plumbing 32. Water Service -Final. - 33. Gas Service -Final - 34. Solar Domestic -Final - 35. Landscape Sprinkling System • 36. Sound Attenuation - 37. Handicap_ Regulations 38. FI NAL STRUCTUR E & BUI LDI NG - 39. Special Requirements Completed - - 40. Electric Release to Edison -- 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY N6 Date - t - Applicant t0 fill In all spices witam heavy homer lines and sign all appropriate declarations. CITJ' OF COSTA -MESA PEypWT Nye "CONSTRUCTIONPERMIT f. 'a(�p ii.Es TRACT NO. LOT NO'. T - LDq N LBtell %o TYPE OF CONSTRUCTION P'NEW OADD O -ALTERATION ❑ REPAIR .11 CONVERSION, OoEMOLISH- O OTHER - I /I 9[(f� 2/ I I /BB Ba DO /aNL. L / - ZONING REGULATIONS Project Address -�Q CA- src f. G Owa9 6p �_ oVogra C PM" y - Atltlresz Q/ OJpC ,SOa, O _ AKNEgp. ' S' a License NO. AEEreit E S'- DESCRIPTION OF WORK - A P for ZONE -PLNO. REP.¢ Contractor leager?,a6vita tECct- PhoneiDi' lr ,TYPE OF PERMIT -' - ❑ GRADING - O FOUNDATION —O STRUCTURAL O TENANT ELECTRICAL OPLUMBING 0MECHANICA SETBACK O -- - - aWOWWf QNE I' - - - Address ; rfzv - T -H f LICENSED CONTRACTOR DECLARATION I herebyaffirm tee[ 1 am licensed under pHslons Of Charter 9 Roue- mOOCIny- with tion ]000) f Dyson3 I the Business tl Pe"= Clprn Code. ntl y license Is In full Porte d effect. Ucsnae[Is -'CD Uconse nl ryZ9r Da[n /z' Y / t- Signature =: -� - O OTHER - -- - r PROJECT DESCRIPTION - BO. FT. OCCUPANCV_CONSTRUCTION TYPE - - .VALUATION 20NE 1 - .- REPRVAROITOP/L) ,pKG. SPACE REO. (STREET WIDTH ,ZONING APPROVED BY - '- PflOVIOEO - PARK FEES -" DATE WORKERS'COMPENSATION OECLARA 1 - �1 he by alit an that 1 have a mlllleate 1 sent to selrknsun ora arRfaNte of Wareers' Compensation Insurance. of a certified torr I(Setbn]B9,L¢6.0.). Ne070 i/ I rN'b CompanyFQ6NOA/T /Nn CO. � �- — GRADING CU: TOS. ACRES SPECIAL CONDITIONS: .- - - - L AdHI: J Copy is hereby furnished. -- - ❑ Certified Copy Is Bred with the city Building DIVISIOn. EXEMPTION FROM WORKERS' COMPENSATIONDECLARATION REMARKS:'' _ - Th16SODIOn need not be completed If too parmlt Is for cmLifundretl _ _ _ _ _ _ _ {5�00)or less). t _ - - _ _ _ _ _ _ - _ PLUMBING (:PLAN CHECK ' - ELECTRICAL -" PLAN CHECK tlry that In the performance at the Bork for Width Ills pefmlt Is Issued I shall t employ any Person In y mann a to become sublecltothe Workers Compensation Laws of Callornla-- _ Date Signature _ _ BATHTUBS SHOWERS _ - - NOTICE: If alter engage this decR atlon, you should became subject to the Workers' (bmgnutipn Provisional of the Labor Code. You must forthwith amply with Such provisions Or this permit goal be deemc l revolved. a -- CONSTRUCTION LENDING AGENCY enty forman[eaofthe t firm nWork for thand sWhich nthis cdograttion nisi Issued(Section397 TOILETS I.'URINALS LAVATORIES DOUBLE LAVS _F GENERATOR 0-1 KW_ 1-10 KW -- TRANSFORMER 'APPLIANCE- loop KW�5o s Kw - - KIT. SINKS'-- - DISHWASHERS' MOTORS - 0-I HP'_I-30 HE SERVICE SINKS -.-SUMP$ -'�111NC. SOLAR)._30dO M P��50+ Me FLOOR SINKS'--- FLOOR DRAINS -_FIXTURES - OUTLETS SWITCHES -- ' Cly. C.).- - -- '" --- Lander's NxmO _ _ _ _ _ Landoll Address -DRINKING FOUNTAINS--jr - - GAS TUBE SIGNS' — _ - -IryTE0.CEPTORS CLARIFIERS " POLE LIGHTS - - -- -- - OWNER -BUILDER DECLARATION _ _ - - yaffirm that I am exempt from the COnlra tt r'S Closely Law for the of owing reason (Y[Ilon ]031.5-B115ITM s and Professions Cade: Any city or nty which requires a permll to construct, alter, Improve, demellSM1 or repair any structure, prior to Its Issuance, also PF- quires the apt IIUnt for such permit to Ills a signed statement that he "SWIMMING'POO17-PTRAP' ' -POLES- METEREDSUB - WATER SERVICE _ `ALTERATION "- - PANELS "" MAIN- ' SUB- _ - "GASSERVICE -OUTLETS .SERVICE e AMP4 T Is licensed Pursuant to in@ provisions of too COMOICELS Llano LdW FCM1apbr 9 (Commencing with Seaton 7000) f Division 3 f the HEATERS-- - BTU OUTPUT' - - - - - foand hdaslans Code) or that he Is exempt therefrom andtheWATER r We alleged e m tic r. Any violation of Section 7031.5 by notpmore [than a_ pehundredOdollars ($ts the s000llant W IMPanalH drInfor SEWER CONNECTIONS 77 SOLAR TANK - - - COLLECTORS f- '- - - - - O h as owner of )fie Preachy, or my employees with wages ai their sOleSOmpenytlnn, will do the work, and the structure Is not Intended or offend for Sale. (SOCCCut 7046. Business and ROI>slons Code: The woo cactorts License Law does builds oimproves thereon, end wllho LOSS Such Work hy to an owner of a imself or _ _ _ _ SOLAR PIPING SVSrty. - 1�- _ -1 'ISSUE FEE', ISSUE FEE APPLICATION APPROVED BY - - - - GATE thi his own employees. Provided that Such Improvements are at Intended or onarpa mr le. ti, however, ma bulmm ordWrant IS.sale w1thln one.yan Or complains, the owner Wit have the burrden Of proving he aid et build r Improve for the purpose f b).BUILDING ❑ h as owner of. the property, am oxcluslvely Contracting with andm 0 C IonsGto Code: to he tract the s Lice (Section ]044, Business antlowner f prpartThe contractor's or Is Limmo Law deals a not so con- an e nl such roj who Ouilos ccornmprOws tharopry alio who tato Va[]ogsl �Ilwsned pursuant to from or's e Low). [M[onlnelor'sLicenseLaw). the O l am exempt antler Seittio '- - - B:6 P. C. for IMs MECHANICAL - PIAN CHECK HEATING SYSTEM 030 000 BTI( AND DUCTI NG-- ]00,090 BTU REFRIGERATION 0-100.006 BTU SYSTEM 100,000♦BTU BOILERS BTU SYSTEM REPAI R. ALTERATION - EXHAUST MULTIPLE SUMMARYOF --- - 'PERMIT _ f _ PLAN CHECK_ S � _ _ PLV MBING f - PLAN CHECK f ELECTRICAL I' PLAIN CHECK E - MECHANICNL S I PLAN CHECK E - FEES . - - - r�' SHIP f , PERMIT ir _ISSUANCE - S " GRADING $__ I ' E MICROrIIM'E TOTAL FEES LESS AD. E_ VANCE - Daten Owner IM1erebycertilythat l have ratl this aCaTlatlon and tate lha ^IM1a anpve Inlormdfl0n Is Correct. gree to ply with all city tl ly ordinances and state laws ralatlng to constructon. and ereby authorize repreMntati.en of this city to Inter noon above boned Property for pacuon onto_ signature _Dale Z_-�� FZ Drivers' License or ISSUEFEE --- - - - _ - 8� FINAL FEE 3 CMFOO65-36 White-Bulldln9:CanarY.APpllantPink-Accounting;Goldenrod-Aesessoc CONSTRUCTION AND PLANNING APPROVALS Permit # 7`Date Inspector POOL & SPA -❑ APPROVALS Permit # ' Date Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - Soil ipe-Un rgrn _ _ - 44. Steel Reinforcement - - - - -• 3. - Electrical Conduit Utility-Undrgrn 45. Forms - ' A. Electrical Conduit-Undrgrn- _- _ 46. . Electrical Bonding - - _5. Steelem orce _ 47. Rough Pkfimbin& Pressure Test 6. _ Electrical UFER Grn _ _ ' - 48. APPROVAL TO COVER-GUNITE -- - - 7. Footings,-_ 49. Electrical Conduit-Undr rn 8. -Foundation_ 50. Gas Pipe, ❑ Undr rn, Test ' "9. -Water. Pipe-Undrgrn 51. Backwash Lines P -Trap.'❑ rTdr iri - 10. Structural Floor System. 52. APPROVAL TO DECK - '---- - 7---. ' ..11. Property Sewer Line & House Connection _ '` .53. Backwash & Receptor -Final ' 12. Street Sewer Connection __ - -.- _ _ -_- 54.-- Heater & Vent -Final' 13. .Rough Plumbing _ _ - _ '- 14. Rough Electric -Conduit - - - - -56. Electrical -Final - 15. Rough Electric -Wiring - - - - - -- 57. Solar System -Final 16. Rough Heating & Air Conditioning -- - - - encing & Access Approval 1 17. -Ducts in Structure.. "''" _ APPROVED FOR PLASTERING - 18: Ducts, Ventilating 60. _ POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough & Test - 20r Roof framing- 21. Roof Sheathing- - NOTES: -22: Frameand Flashing 23. Insulation - 24. Lathing & Siding 25: Drywall Nailing - - - - 26. Plaster Brown Coat 27. Electrical Power Meter -Final. 28. FinalElectric - - -- - • 29. Final Heating & Air Conditioning - 30. Final Gas Pipe -Test - - - ' 31. Final Plumbing • 32: Water Service -Final 33. Gas Service -Final - 34. Solar Domestic -Final 35. Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations .- ' 38. FINAL STRUCTURE & BUILDING" '• 39. Special Requirements Completed - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - I 42. CERTIFICATE OF OCCUPANCY No_ -, Date J it CITY OF COSTA Project Addrm& Applicant's Meili�R Owner's Name 1/e Address Arch/Eng. Address Contractor's Name_ Address Imaging) — City License Nd: S LICENSED CONTV I M1ereey affirm the With section 1000) m license is in lull Applicant to fill In all spaces except those within heavy border floes and sign all appropriate declarations —PERMLT NO. �032 TRACT NO. LOT NO. 41TT NO. >O40 TYPE OF CONSTRUCTION NEW woo ALTERATION LJ REPAIR 9 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.S. . DESCRIPTION OF WORKIUSE OF BLDG. JE TYPE OF PERMIT -1 LJ GRADING FOUNDATION STRUCTURAL T ❑ TENANT IJ ELECTRICAL O PLUMBING El MECHANICAL B y ❑ OTHER C PROJECT DESCRIPTION SG. FT. OCCUPANCY -K CONSTRUCTION TVPE VALUATIONS ACRES - ZONE GRADING CV.VOB. ACRES:,tfflz Plrrc 3 gem ON Ie Set PLUMBING EEES z 41 I hereny affirm that I Have a certificate of consent to self -Insure o8 a caroti to to Bar Sink I $haw ters if WorkersCOmatultion Insurance, Or a certified COPy thereof (Section 3800, let. C.) Policy No. Company BCertified copy Is hereby furnished. Certified copy IS filed with the Clty Building DIVISIOn. Oaf, Applicant or work teat thereis thispermitnig issiueagency (Setion thePerformance fCIV.a C.) I Drlwrs'IJcer(u or S5 CMF 0065-46, rev. 10/84 owner Service Sink Sewer Cep Server Center Soler Collect Drains Sinks Heater . Roof Drains Reimpaction Fee $15 w/Spe T I I Reinspection Fr I $15 I I Issue Fee Pink - Accounting{ Goldenrod . ASYsor $3 $ 3 Hood or Type ❑ Canopy Type 11 El rimer Ground uctural Refrigeration Sydem 00.100,0001STO 0100,00013'. emulating System Multiple❑ System RepairJq Iteration act OlLICa05W Fire Dampers System & Ducting Registers T I I Reinspection Fr I $15 I I Issue Fee Pink - Accounting{ Goldenrod . ASYsor $3 $ 3 Standing Sections Trash Compactor DEVELOPMENT SERVICES REQUIREMENTS: 2182 11/14/04 27.00 Tl. # Zone Data Win Building: Accessory Building:, Front Application Issued By Z 0 Rear N Right N $ Sol $ G R. PLAN CHECK Parking ReILIProvided. PERMIT E ping Notes. PLUMBING $ n M $ PLAN CHECK 25% S ENERGY P.C. S ELECTRICAL FEES AUfq gralWasher [tion Pole Bub. Transformer ❑ 15-50 KW 0 50+ KW GRADING $ ng Unit Meter ❑up m 1 D amps $ O MICROFILM isb shut Meter (Dover 100 amps MECHANICAL 1 brigErs ❑Gas C.II Sub Panel ^ d •O_d PLAN CHECK 25% Fan Motors ❑0.1 HP ❑1%-a F .A U. Inc. Solar ❑9115 HIS ❑1615+ Fixtures Microwave - //1 Ai Standing Sections Trash Compactor DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Data Building Approved By Do=e Application Issued By SUMMARY OF FEES BUILDING PERMIT $ Sol $ PLAN CHECK $ PERMIT PLUMBING $ .ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $ GRADING $ PLAN CHECK 50% $ O MICROFILM S I MECHANICAL $ TOTALFEE It ^ d •O_d PLAN CHECK 25% $ CONSTRUCTION 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. i 54. Forms 4. -Electrical Conduit-Un&grnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - ,6.Electrical LIFER Grnd. i : 57. APPROVAL TO COVE R-GUNITE ' 7. -Footings .= 58. Electrical Conduit-Undrgrnd. - 187 Foundation t 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 Connectign 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas 00il 25. Roof Sheathing 74. Overhead Hydro ' 26. T -Bar Ceiling (Structural) & M000coat 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.E Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33.E 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 J ' 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY. No. Date Applicant to nn In all spaces within heavy border hosane sign an appropriate declarations. CITY OF COSTA MESA PERMIT NO. OF COT MESA TggCT NO. LpT rye. 'BLDG. NO. CON MIT [—'— (e [{� L� IIP9 8.50 �D Al/! � Project Address r /978)nj� i� -ye) /LLAB VG. rT�YYPEOFCONSTRUCTION �( NEW D AOO ❑ ALTERATION REPAIR ElCONVERSION 0DEMOLISH 3OTHER L r ZONING REGULATIONS Owner @ANA&♦ PA� AZT- Phen •S>? AWrea 3p/ y Sr. So 711 d. 1113 DESCRIPTION OF WORK AP $ Arch/En9. P� Llcenee No. Address E l9 (, ZONE PLNG.REF.nA Contractor r!/utiD esr,45,rd. Ph6rqgfV—s4;,vd TYPE OF PERMIT -BUILDING ❑GRADING E)FOUNDATION ❑STRUCTURAL ❑ TENANT VIELECTRIOAL OPLUMBING ❑MECIIgNILMKV S TBACK CA VgRD T a��UEI 11fiFiNE AddrM $ _ &&CTM 6 QTOf LICENSED CONTRACTOR DECLARATION 9(Wm. I Qonby efrlirm tool I am limnMd under Provlllons 1 Charter Unq tion 70001 f Division 3 1 the Business and ❑OTHER IGa with Rpfe4lom Cuba.ntl my llcenee Is In full force andoffset- REAR YARD ITO P/1.)License -ll0 Aides License rvo Z7rr SOFT. PKG. SPACE REO. PROVIDED l/Z2 PZ Dale eu OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE Ii WORKERS' COMPENSATION DECLARA IO�i I hereby affirm that l bake A Certificate of COrunt la rellAnsure ora yHLUATION ZONE ZONING APPROVED BY DATE certllet0 1 Workers' Compensation Insurance, or ertifbd Copy a GRADING CU. VCS. ACRES SPECIAL CONDITIONS: - -ACT (Section 3900, Ido. C.I. ryM042Y!/STVZYCompanv�'�ENOMT /"A. do. ertlfled copy is hereby furnished. REMARKS: —2Z If ❑ Certifind copy is filed with the city Building Division, EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This need not be completed If the dermll Is for one hundred 1No.lon IEce cfrY lnohe performance OI the work fon this horn is =hat mannerto become Issued I shall not employ anyP PersonIn Anyann Dish . PLUMBING PLAN CHECK ELECTRICAL PIAry CHECK the workers ion California. subjeDate BATHTUBS SHOWERS end FT Signature 1.1 NOTICE: if alter making this declaration. you Should become subject TOILETS - URINALS TERN O KW�I-IO KW to the Workers' Compensation ovisk nl OI rhe Labor Code, You must p Pp R lorthwla comply with such Provisions or this parmil shall be deemed LAVATORIES DOUBLE BAYS An L N 10-50 KW�50 ♦ Key evoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MO,O AKAR) 0-1 HP_1-I0 HP hereby affirm trialisa construchis tionding cyfort SERVICE SINKS , SUMPS CINOLAR) 10-50X4 SO+HP oagency I Work for It 309J o which lM1 d FLOOR SINKS FLOOR DRAINS TYRES OUTLETS Z WITCHES Civ. C.I. Lender's Name .� _ Landers; Address - - DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION I nano affirm that i ama.empt fromme Comraaarx License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL PTRAP the far owing reason (Section 70315 Business n Professions de: Any city only which requires a permit to construct. alter, P E METERED SUB WATER SERVICE ALTERATION -PANELS- MAIN SUB demolish or t prior Its Issuance. aim re- h too Sucpair quiresvt ie a or drum leterms tie sdes statement that no GA35ERVICE OVTLETS r SERVICE G' AMP ZOO Is llcemed Invariant to she rovisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the 'WATER HEATERS "" BTU OUTPUT' Tress and Prouncons Code) or that he 1S Seemot from ane the for Did alleged eAmbtlOA. Any NOlatiOn OI Section 7031.5 by SEWER CONNECTIONS avePermitsubed nnnsr theapplicant to a civil penalty u. no[mio ettnfor SOLAR TANK COLLECTORS ❑ 1. as owner of the t Intended le Comeansitlon. will doPtheywoor K.nand the Structure is not h offered for ale. (Election 7046, BurineR and Prolesslans Code: The SOLAR PIPING SYS. ISSUE FEE Contractor% 4mnse Law does not apply to an own I Pr Who pull05 Or Improves thereon, and who deals NUMWorkIt MceUC l or ISSUE FEE APPLICATION APPROVED EO BY DATE through his Own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES nce ded or offern Intended tl a elr. towns: will oreimprovement yeaorr ml omphowever. Is one f proving he 010 not told Or Improv IBr the PurOoso of Sale). HEATING SYSTEM 0-100.000 BTU BUILDING PERMIT f SMTP f ❑ I. owner Or rhe property, am exclusively contracting with AND DUCTING lcenseds contractors to construct the pro ctjSectlan 7044, Business 100,000+BTU PLAN CHECK 5 PERMIT The Co w acres not aan nd Proweer oo ISSUANCE s of pr pe ly who builds of lmp over tui hereon. and RATION 0-100,000 BTU PLUMBING S tracts from such projects with a conteclor(p llasned pursuantAn SYSTREanE GRADING E the Confucian's Leanne Law). 100,000+BTU PLAN CHECK S�� ❑ 1 am exempt Under SSCtIOO B.8 P. C. for tale BOILERS BTU - ELECTRICAL f syr Jb E reason SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK f 'MECHANICAL S MICROFILMS TOTAL FEES LESS Date Owno I hereby Certify that l nave react this apbllation and State that the above Information Is correct. I agree 10 -comply with all dty and county PLANCHECK If PC $_ ordinances and stale laws relatingenter t0 construcNOo And rmyr indhoriae H representatives pt tela uy r0 ter pan the aboveoned property far ction purposes01 SesO Signature to r -jell - FINAL FEE 9 Drivers' License org` ISSUE FEE CMF 0965-46 White -Building: Gnary-Applicant; PIOP'AcCOunting; • ' r CONSTRUCTION AND PLANNING ` Date APPROVALS Permit # -Inspector POOL & SPA- -- - Date - Inspector APPROVALS Permit 4#- 1. 1. _ Temporary Electrical Service -or Pole _ Heater & Vent -Final 43. Pool & Equipment Location -2.. Soil Pipe -Un rgrn' - _ _ 44. Steel Reinforcement- 3.-- Electrical Conduit Utility-Undrgrn - 45. Forms - - -- •- -4. Electrical Conduit-Undrgrn_. _ _ Roupr, E'ectric-lNir;nq '- - - F• - ugh Heating & Air Conditioning 46. Electrical Bonding . - - - -- - - - - _ tee ein_Torte - 47. Rough Plumbing &Pressure Test- - -- - - - - _ �6.- -Electrical UFER Grn- _ - - - -- - - 48. APPROVAL TO COVER-GUNITE - - -- - - - _ 7. . Footings _ _ _ _ _ D•ccts V-ntilatin9 Gi'sPL•ie-Rbdgh_'& Test - - - - - -- 49. Electrical Conduit-Undr rn ' - 8. Foundation -- 20: Rwf Fra'rving - - - - - 50.. ; Gas Pipe, ❑,Undr rn, Test 9. - Water Pipe-Undtgr- - - - - " NOTES: 51 . Backwash Lines _ P-Tra n r to 10.- Sinuctural.Floog st�� 52. APPROVALTO DECK ' 1.1- . Prcpc,.ty-Sewer Line. & House Connection 53. Backwash &'Receptor -Final 12- Sr,aet ^,carer Cownecticn- - - - - - 54. Heater & Vent -Final 13. Rougl_ P' :mbiog-- 55, PI um +ina System-- Final - 14. Rough Electric-fbr luit -- - - 56. Etectrical-Final - 15. 16. Roupr, E'ectric-lNir;nq '- - - F• - ugh Heating & Air Conditioning - - 57. Solar System -Final -i'' encing & Access Approval 17. Duct,.�n StractMre .-.- - - APPROVED FOR -PLASTERING - 48; 19. _ D•ccts V-ntilatin9 Gi'sPL•ie-Rbdgh_'& Test - - - - - -- - 60. POOL/SPA SYSTEMS FINAL 20: Rwf Fra'rving - - - - - 21. 22. - Roof; ih,itli - -FramF• and Flashing - - -- - - - - - " NOTES: insulation' - - .- - •- - - - ./ L - diling 26. PLste' -'own cont - - 27'- Elect.!caFPowe_r Mater -Final 28. -Final,Electric -- - - -- --- _ i - 29. _ Final Hepting & Air Conditioning - - - - - - 30. F.'Idi'Ga` Pipe -Test_ - - - - 31. Fi tal'Plumbing - - 32: -Water Service-Fi ial - - ' - 33. 'Gas Service -Final 34. Solar Do' iestic- -inbl Y 35. Landspa ; Sprinkling System ' 36. Sound A ;enuat on - - - 37. Hand,,:ay Regulations - " •' 38. FINAL S"rRUC'URE&BUILDING - 39. Special Requirements Complefed r 40. Electric Release to Edison - 41. Gas Rele�.se to Southern California Gas Co. ' 42. CERTIFICIATE OF OCCUPANCY N,r._ Date Applicant to 1161 in an spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - P MITN I TRACT NO. LOT NO: . CONSTRUCTION PERMIT N!—r •iV385 61- TYPE Of CONSTRUCTION 'Q"IiL1'I qOD ❑ALTERATION O REPAIR O EOHVERSIDN' ❑DEMOLISNZONING _ ` 5400 - - _ . BIOSIBZ REGULATIONS Praiecl AaarmS Owner ' PhOM Licemil 2DESCRIPTION .OTHERO OF WORK V' WA,ddrm�QR'0, - - - - TYPE OF PEflMIT OFgDING ❑ FOUNDATION ❑STRUCTURAL- - ONE.�: ZONE PLNG. REF: ¢Phan SETBAC 5.� V - -.NTRACTOR DECLARATION I licensed d I Charter 9 EI TENANT O ELECTRICAL OPLUMBING �ffiCHANIC , 5o }' Marshy affirmthat provisions (ear tl7000) Division 3-01- the Gainers and El OTHER R G - RII awiltM1 -of Professions Cod IgId my license is In full lor Ct.i IREAR YARD (TO PILI - - - PROJECT DE IPTI N J'� U,'Dun N 'DateA Slgnalu - - _ OCCUPANCY ONSTRUCTION TYPE - �IA� __ "•" 'PKG. SPACE REO - PROVIDED _ _ -STREET WIDTH _ ARK FEE—xvddddddd ZONING APPROVED BY - DATE - WORKERS'COMPENSATION DECLARATION I hereby affix that l have a pull t at consent to selllnsure IortifiOto fled VALUATION ZONE ol_Wov"rs Compensation. Insurance, COPY [^•real( 3ieO fC) I r^L_ �GRADINGLU YDS. ACRES ._- _ SPECIAL CONDITIONS - 'COmpenY aaPL��6CGVM+I ''NO plinij COPY IS hereby farmhand., _ REMARKS:2^L__ _ -- - - -, - A ¢INCerlifled copy Is IOd weIh Opacity Building Division. " _ EXEMRION' FROM WORKERS' COMPENSATION DECLARATION -_ I r• I ieoCllOO,neep Rol Be COmplet¢d If the permll IS for one hundred yy . 1ThTMs OO r lase _ _-- _ .. Illy �n paMormann Of the rk forwMCh Inti permit I Shat oh Moody ec 5 U6d 1 MII nota pezlon in:y'mannez 50"as to Become _ , PLUMBING' a. _ PLAN CHECK- I -- - -_ ^_ "ELECTRICAL - - PLAN CHECK ubSo tto Ibe Worse s COTpendeprin La_af_Gllfornla C _ BATHTUBS"` SHOWERS '"dayd - ilbaSo rOete I Signature FT become ;NOTICE: If after rNkinq this aediratlan, You slit Id become 3uejad .TOILETS, URINALS- - i- -- -- -.GENERATOR 0=1'KW�l-IO KW' - ' to the Works"' Compensation froaslon3 ill Me 40 r youmust 'TRANSFORMER - lorthw"h comply with Such Provisions or this permit Shall be deemed LAVATORIES DOUBLE LAYS-- - � '- APPLIANCE -IO-SO KW -50 *.KW - ry k O - LONSTRDLTION LENDING AGENCY KIT.SINKS -' DISHWASHERS-- - - -- -MOTORS - -- 0.1 to HP Ihereby afllrmt at is a"construct1 lensing agent y for Per- Ig SERVICE SINKSdz If',pSUMPS ---�' 6 _IIN0.50LAR) 10 -SO HP 50 HP it H (FIXTURES 1 e al the N for v� h Ih p Is ISact en 309] FLOOR -SINKS ---FLOOR DRAINS- - OUTLETS � SWITCHES i- 16J clam s N run DRINKING 'FOUNT INS' li" ���-�'t�r_--- -GASTUBESMNS - - -- ' k: IIJnOerk AaarR• r�-- dd -INTERCEPTORS`•-CL'HftIFIERS"" �- - - _ 'POLE LIGHTS - - -- OWNERBUILOERddDECIARRTION-`-•sd i "=L I hareby Nbm that I am exempt Nam the ClantraClmy LLicense Law tar the 10110wd 7031.5 Business 14OlYROnt 0000:- dddddddv reason ISa[Ilon and Any city or county which randls a permit to Construct, alter, SWIMMING POOL •" - PTRAP •� �- 'P 5 METERED 5 - WATEWSERVICE -' ALTERATION - - ' PANELS- -MAIN - - - SUB - Im > demolish orvapalr any Structurlorto *is Bananas, also re-. re; p Use aplllednt for Such pa3mK to file a 09MO StatOment that no as rm"agI l; -GAS SERVICE "OUTLETS' - SERVICE - -- �AMF _ Is- licensed pursuant to the provlslons of the-ContraclorY License Law IC,apler 9 (commencing with Sectlon 7000) of Olration 3 of he WATER HEATERS-- BTU 'OUTPUT - -- - _ P'Iness and Wole35ion3'COOa)•01 that -he N symbol thanfromand the for the fusion exemption. Any radiation OI Section 7031.5 by SEWED CONNECTIONS - - '� - - 'S - -- - - - -- - - for OVSo l subjects dollaran 3500)(Ont to a Civil penalty .appliicantl ot ra O I, as owner at Ina Property, or-my-employees-wllh wages as Yhdr- SOLAR TANK - - - -COLLECTORS-' • ' - - -- - - -- - - W e CompenMl Ian, will In the work, and the structure Is not Intended Code; TOO roflemtlfor Ydd(Sectral"-7044; Eh Sines3 Moen SOLAR PIPING SYS:- -' ISSUE FEE--- - - -- - n owner La- does t ply to properly rope rwork '-ISSUE FEE - - � ,i APPLICATION APPROVED BY - J DATE Oda or Improves Ihmes and who does Such himself or whotroular's r Improves mroPgh hls own am loye L- 0 load mm Such Improvement$ are not _ MECHANICAL pIAN CHECK 1 -� -' - SUMMARY OF FEES IMendea r offered P r Ian ti, however the building or Improvement- Is sold within one yea o completion, the owner will have the burden of BUILDING f tradng he did Oct or Improve [Or the purpds0 Of Wlej IO HEATING SYSTEM 0-100060 BTU ;PERMIT E �� SMTP .E -I. owner oL.thO property, am e%CIuOVBIY w IpClln9 with - AND DUCTING -- - _ - - license contractors to Construct the project (Section 7006 Business 100,000( BTV I �pLAN CHECK 5 .PERMIT and We 51on5Cof: The Cantradoe's.Llcenraa.l�w doer not apply to _ .' _ _ "ISSUANCE. Sil 1 an Card of pm parlay whovbuilaa or lmproyM thereon. bad who Can- REFRIGERATION 0-100,000 BTU 'PLUMBING E tracts fro -du[n/q Ila. n[famoHN. llcesned .pursuant to SVSTEM_� " r _ _ GRADING S 'PLAN 5¢13 the Conti for's If Law). 100,000,'a BTU 1 CHECK E--'= - IE.'i - D I'am ex m nae Se[Ilan " 61.6 P. C.IEr this BOILERS BTU - .hq I ELECTRICAL $ reason-- SYSTEM REPAIR. ALTERATION R - - PLAN CHECK $ _ - MILROFILM'f T. - iJ 'TOTAL FEE S Owner _ '- y MECHANICAL E- - I hereby ill W I Isdp011G[Ian and stale lMat agave I her apart EXHAUST SYSTEM MVLTIPLE _ AD- nlM Inlormr o n to Comply with all City d County PLAN CHECK E VANCE'PL -E'_ - - rdlnan 18t tl I to construction. and hereby authorize _ /Q [. reprove Over ' 3 City enter upon the mention Q' Pmpe Y O Slgnat e - FINAL FEE E DriveM1' L of 5S ISSue FEE all 14Q _. CMF 096546 NIWJJBuli9i GOItenmd-ASseisor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector -' - POOL & SPA, APPROVALS Permit # ' Date Inspector 1. Temporary Electrical Service or Pole_ 43.. Pool & Equipment Location - - r2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement - - - - 3. Electrical Conduit Utility-Undrgrn. 45. Forms 4. Electrical. Conduit-Undrgrn - 46. Electrical Bonding - - Steel Reinforce. 47. Rough Plunibing & Pressure Test - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn ' - B. Foundation.. 50. -Gas Pipe, O Undr rn, Test - .rn 9. -- Water Pipe-Undrgrn. 51. Backwash Lines P-Trap,ndf 10. Structural, Floor System 52. APPROVALTO•DECK 11. Property -Sewer Line &.House Connection - 53. Backwash & Receptor-Final . ' 1 12. -Street Sewer Connection - 54. Heater & Vent-Final - 13. Rough Plumbing _ - " 14. Rough Electric-Conduit 56. Electrical-Final - 15. Rough Electric-Wiring - - - 57. Solar System-Final 16. Rough Heating & Air Conditioning W. Fencing & Access Approval 17. Ducts in Structure - - - APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - - - 19. Gas Pipe-Rough & Test - - 20. Roof Framing - 21. RoofSheathin -- -- - -- -'-A-` - NOTES: '. • 22. Frame and Flashing _ _ 23. Insulation 24: Lathing & Siding , AZ 25. Drywall-Nailing - - - - - -- - 26. Plaster Brown Coat - 27. Electrical Power Meter-Final - - - - 28. Final Electric - - - - -- 29. Final'Heating & Air Conditionin 30. Final Gas Pipe-Test 31. Final Plumbing - - - - 32. Water Service-Final - - - - 33. Gas Service-Final - - 34. Solar Domestic-Final - 35. Landscape Sprinklinq System - ' 36. Sound Attenuation 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed , 40. Electric Release to Edison 41. Gas Release to Southern Califorriia Gas Co. ' 42. CERTIFICATE OF OCCUPANCY Nd Date Aomleant to fill In an floods within heavy herder lines and 09, all appropriate shalaaHom. CITY OF COSTA MESA P MIT NO. TRACT NO. LOT NO. BLL�NO].� C � 0986_ 1_/20/82- 115.00 CONS RUCTION PERMIT --aa�Y 7 z 911 TYPE OF CONSTRUCTION - d- NEW ❑ ADD ❑ ALTERATION ❑REPgIR OCONV ERSION CI DEMOLISH - - ZONING REGULATIONS Pra)ecl Adtlress O_ Chinar - P n0 AdOr ArcM1lEng. - License No OTHER DESCRIPTION WORK A P T , ' Address/ j . ZONE - PLNTGo. -ill/li.i % VPE OF PERMIT _ - GRADING ❑ FOUNDATqIIO��N ❑STRVCTVRwI ❑ TENANT.O.ELECTRICAL,,&PLUMBING OMECHANIC 5ilTRACK CIL ST I YARD' - p g0.UEF'L.eff�feG ppOPTR LINE -Adtlftcgg LICENSED CONTRAC OR_DE ARw 1¢ ytl oder p Wilms of Charter 9.Imm- I hereby affirm Na\ 1 am hall UDivided _ r, 0OTXE0. IG T Ing With tion ]0001 of 3 1 tM1e _Bu31neO end. license Is In full torte 1 REAR YARD (TO P/0 _ - --' Profession Co j .my [ . J� PROJECT DESCRIPTION- IJce7ryd [ `�' License No. '" _ SG -'PT. - ,.. - - - OCCUPANCY CONSTRUCTION TYPE _ IPKG. SPACE REO �' _ ----- 'STREET WIDTH PROVIDED -. .. PARK FEE'E Cat/_ -'�i- , �7 __i,_ WORKERS' COMPENSATION DECLARATION. 1 hereby affirm that 1 have a oM1lllOb of ant to alfinsme Or a ' ALUATION ZONE ZONING APPROVED BY DATE" certificate f Workws' Comp motion In , orthled pY. GRADI NG CU YOB ACRES SPECIAL CONDITIONS: - - thereof (Smthb C.. I -4YNO. - _ pvherebylurnsheE_ _ __I' .eNllledwn '_REMARKS .'\;v a` - *teNlned copy IS Ines with the chili Bmdm - - f EXEMPTIONFROM"WORKERV COMPENSATION DECLARATION m1otion need hot be Completed if the permit Is for one hunur d 11This ISOI 0 Zeal F fy In the fay M1 h this t Is - PLUMBING - PLAN CHECK - - - ' =ELECTRICAL-' "PLAN CHECK work pe m COwhich- t that the. Performance of issued,- 1 hall not employ any peran In any mo I b6Ome CI01eCIlO the Workers Compenatlon Laws; of California. _ -__ BATHTUBS--- -' - -SHOWERS'-" -- - - - - Win Signature ' NOTICE: If after Miskin this Cooperation, y should become subject TOILETS -n URINAL$'-- - - - - Y GENERATOR -0-1 KW�l-\G KW ' to the Worker provisions iM1e Lab r Wtlg r must y with such p o d de ed raybeaked, COm01y whin such prOvuRI. OI [RIS palmi[ shrill Oe C[BmeC LAVATORIES DOUBLE LAVS - -� _ -APPLIANCE _10-5o Key 5e a Kvv - keG.. KIT.BINKE-- - - - -DISHWASHERS -�' MOTORS- -HP- O-1 HP -1-10 - - - XP- --t' .. _- - --- CONSTRUCTIONLENOINGAGENCV IIs a ch lending agency for the pe[- I hereby ability that therefor SERV ICE SINKS. SUMPS T" (INC..SOLAID 30-50 hiP=-50.� Hp 'r •" I for$der 101mance OI Ills work for which [n13 Permit IS IauaC,(Sectlopt309T - - Civ. G.L- - -- -FLOOfl SINKS-�-C,hFLOON DRAINS""-'- -- --FIXTURES- --OUTLETS SWITCHES'- - Unti 3 Name - I `r _ _ Leonora Address a s•� DRINKING FOUNTAINS 1" ""' - �- GASTUBE SIGNS--- -- - - - OWNERBUILDE0.DECLARATION- INTERCEPTORS - CLARIFIERS -' - POLE POLE LIGHTS -"" - - ---- - -- - 1 here0y affirm that lam exempt from too Connector S License Law for the forowIn9-fW3pm{BCOtton-7031.5 Business and Prolly Ion[ Cede: �- - - Any city o u ty which requires a permito Construct, alter.In SWIMMING POOL PTRAP - -- - - pOLES MET R D f3 WATER SERVILE -ALTERATION - - PANELS 'MAIN' SUB nt for such o limn to Illy prior to outlies the ater demolish statets ment that he Is-Ilcilrom distant to -the Pull of the Contractor's License Law- -GAS SERVICE- - OUTLETS SERVICE- - - AMP - - 9 (P'dessb[rIs�COOe)witha of Dllarelon 3 of the WATER HEATERS BTU OUTPUT - Vuelmssn0her tctlanpet hNsexompt llrom an09M f -- ler the allOgetl eeemptlon. Any WOlatlon of Section 70]1.5 by SEWE0.CDYYGBVrBNS -' - •-- - - - - - fora Permit stl jests t e aTeRunt to a civil penally yp utardantt an OI, N Owner of the hall Or my employees witty wages as they SOLAR'TANK - -COLLECTORS - - - - - Ie Compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044. Buslnesti amil Finkel s Cede. - The - � ISSVE'FEE - -- - --'-'- - - O CmtDCtOr's LlfenM trial does t pally 10 w WOpeHy_ himself - "' -" APPLICATIORAPPROV ^ T no bonds o p thereon; tl M1 does such work o[ ISSUE FEE ED BY DATE - - through his V1 y Add that d ImOrovementi aye y -FEES,.,.- boyebid or offered1 I II howel the building or Improvement MECHANICAL. PLAN CNECH SUMMARY - OF Is sold within 1 completion, m nI have the burden -BUILDING 1 pruvin9 no did 1 Owltl or improve for the oudder of ale). - -- - C1L-ai_.ownaol. Property. am xdu[Iwly. oniract np-whin HEATING SYSTEM o- 100.000 BTU AND DUCTING---._ PERMIT _E , SMIPq- 4 ' C �IIceland contractors t0o Construct the OrOjed {$etllOn 7044, Business 100,000 BTU PLAN CHECK 5 'PERMIT and Profession COM! The COntfactorne License Lawdoe3 not apply to ISSUANCE' E an Of property who buddy improves thereon, and who con- m REFRIGERATION 0-100.000 BTU PLUMBING S 1 atl5 from suCM1 protects with OntraCtor(B-liMnOdpursuant t0 SYSTEM . - - I- _ 'GRADING - E In* WnbaCbl'[ Leader Law), 100,000 BTO PLAN CHECK E a - ❑IamexemptunderSeCtion R.6 P -C. for this ELECTRICAL -E E read n BDILERS BTU SYSTEM REPAIR. ALTERATION - PLAN CHECK E" _ _ 'MICROFILM$ _ TOTAL E Date Owner Breby 4rtiryt a read this application and state[ test above owl"a9r111 EXHAUST SYSTEM MULTIPLE I MECXANICAL-,E -- -FEE •,LESS AO- ' inlolma\Ion e tp ply Bh all'tl\y d'nunty ' PLANCHECK -E' VANCEPC E_ ' n13' orCinancesa O w3 relating to wBo-uttlon, sena here yallthorize - repremntati of B [ to nNr npon in. bov - Io pmpOfty t0 Ip5 ..1.y f Shmatw8 FINAL FEE E1.1/— Drivais' L Cen50 Oi'S5; - ISSUE FEE -- CMF 086546 WhItO BtWrdlAi Canary AoplinnV link'ACCOondng; Goli enrod-Assenor CONSTRUCTION AND PLANNING 22 APPROVALS Permit # -!jJ Date Inspector POOL & SPA APPROVALS Permit # _� DateIns{TEctor 1. _ Temporary Electrical Service or Pole 43. Pool & Equipment Location- SoilPipe-Undrgrn - - _ 44. Steel Reinforcement - -' "- - - -'- --- - - ----- -_ 3. Electrical Conduit Utility-Undrgrn 45. Forms .4. Electrical ConduitUndrgrn _ -46. Electrical Bonding5. - - - - - - - Steel Reinforce _ _ _ 47. Rough Plumbing & Pressure Test- - - - -- - 6. Electrical UFERGrn 48. APPROVAL TO CO VER-GUNITE--- ----- - --- - - - • 7.otings o 49. Electrical Conduit-Undr rn 8. - Foundation 50. Gas Pipe, .E3 Undr rn, Test 9. Water Pipe-Undrgrn r 51. Backwash Lines P-Tra EJ ndr rn 10. Structural Floor System 52. APPROVAL TO DECK - - - - - - - 11. Property Sewer Line.&.House Connection_ - 53. Backwash & Receptor-Final 12. .Street Sewer-Connection... 54. Heater & Vent-Final$ - - 13.. Rough PlumbingS7-,,l-T - ---'-- `---- - "' - 14. Rough Electric-Conduit - - - ".56. Electricat-Final-- - -''• - 15. Rough Electric-Wiring -57. Solar System-Final- 16. Rough Heating & Air Conditioning - - - - -- - - encing & Access Approval• 17. Ducts in Structure- APPROVED.FOR.PLASTERING --18. 19. 20.- Ducts, Ventilating Gas Pipe-Rough &Test• Roof Framing - 60. .POOL/SPA SYSTEMS FINAL 21. • 22.Frame Roof Sheathing and Flashing NOTES:- o-n�, •• 23. Insulation. - - - •--- - . - -- -Q o' 7-0,&- 24. 24. Lathing & Siding - - - - - - - - - - - - 25. Drywall Nailing- 26. Plaster Brown Coat - - - 27. Electrical Power Meter-Final 28. Final Electric - - -- - - - - - 29. Final Heating -& Air Conditioning - -- - - - 30. Final Gas Pipe-Test 31. Final Plumbing - -- - 32. Water Service-Final $y�,s'-,Z,. --•�""� ",••-• - 33. Gas Service-Final 34. Solar Domestic-Final - - - 35. Landscape Sprinkling System - - 36. Sound Attenuation' ' 37. Handicap Regulations -- - 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. $ CERTIFICATE OF OCCUPANCY` - No:__ Date .... - APPllaant to fill In all sound within heavy biome: Bneaana Lion all appropriate declarations. CITY OF CdSTA MESA PERMIT NO. TRACT NO. LOT NO. BL.DGO. - - - +00NSTRUCTION PERMIT PM 81-380 3 TYPE OF CONSTRUCTION J&NEW 11ADD 1-1ALTERATION El REPAIR OCONVERSION ODEMOLISH 0792 - MUSE 40OI05 Project A dFnE 3505 Cadillac Avenue OwnerPhone 752-551 Address Bea( I 1301 DCAPe St., 0760 Newi ❑OTHER ZONING REGULATIONS Address 9. R]IK'S- License No. 4285 DESCRIPTION OF WORK A.P.for Sana Address YDn td`.�A,T_Id` TYPE OF PERMIT ❑GRAO I NG ❑ FOUNDATION E) STRUCTURAL ❑ TENANT Q ELECTRICAL OPLUMBING MECHANIC ZONE PLNG. - UI A T. YwRD 5 pE REF.$ iTpOgl1�WPM NE PR pERTy /y� �w Cas Director Oltn3ns ON$LLWS.ZW♦ Phone 576-84 Addrw Park LICENSED CONTRACTOR OECLgRgTION I hereby ¢Wllrm that 1 am licensed Antler Conditions of Charter z (com- gI1GHTA ..Mr 1-taHar? e Iny Itn tion ]0001 Of Division 3 f the Buslne s d O OTHER Pr0fess10n3 Cotle, and my Ilpme Is in full force and eHee. REAR YARD (TO P L / I ' PROJECT DESCRIPTION IJcend Clds A License1 86393 SQ. FT. 4668 _ PKG. SPACE RED. 592 PROVIDED 670 Cte Signature a OCCUPANCY ? CONSGTRUCTION TYPE Ll STREET WIDTH PARK P, EEE WORKERS' COMPENSATION DECLARATION 1 Mweby affirm chit 1 kaw a Certificate Of consent to self -insure or a VALUATION 5a ZONE 'ZONING APPROV ED B Oq E srtI11G[B I Workers Compensation IOSYrr Or a Certified COPY - tnereoflSeCtlo pM59l5R ,Fr�llbnt IEIdem. GRADING' CU_ YDS. ACRES SPECIAL CONDITIONS: if bllcy No. L•ompeny CCr11llep COPY is hereby fumimore. REMARKS:' p `i S `a / 0 } Certified COPYIS flied with hardlyBuilding Division. PI IjOLD FOR SPEPA14 C 'a"S"i EXEMPTION FROM WORKERS- COMPENSATION DECLARATION (This secRon need not DO Completed If the permit is far one hundred - ISu001 0 led'^ rshall the w Of the work for which this permit is .PLAN issuen i I of any Person in any manner so as to become PLUMBING CHECK ELECTRICAL - -PLAN CHECK sub4ct t0 the Workers Compenytlon Laws of Wlllornla, BATHTUBS SHOWERS .. _ _GANA- in Ffir sm FT note Signature NOTICE: II after "him this hiAgthis declaration, you $"Old b3Come subjeGl TOILETS URINALS GENERATOR -0-1 KW� 1-lO KW Warkers' Compensation ProvlslonE of the lobar Catle,youmuct to tie a TRANSFORMER forthwith Comply With Such Provisions ar this Permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KWTTPF50 f KW reviskeld.- Y11'iINSTRUCTION LENDING AGENCY NST KIT. SINKS DISHWASHERS r MOTORS 0-1 HP -1-10 HP nebyaMImn that there Is Construction lending agentYlr tM1 Pen for SERVICE SINKS SUMPS ' TEIC.SOLARIr- 10-50'HR�50 a His - !� a of the work which Is permit IS Issued 1'aaction 3097 G1' FLOOR SINKS FLOOR DRAINS - e FIXTURES OUTLETS SWITCHES ' L Punk... ender'S Nam! ,Well$.FaLxto Lander -!p Al 6FiO Nrasll y-I--('fY- �BDI"f PG}L DRINKING FOUNTAINS ._ r :> GASTURESIGNS ' - CLARIFIEflS,• POLE LIGHTS OWNER BUILCER DECILAR P TION I hereby firm I haf.Pam pi from the Can Lcense LISP!NTERCEPTORS,r SWIMMSNG PO L - P TRAP - P ^ s PO4ES METERED SUB the 1011OWI PICJeawn I$d'ori ]033 5 BY IOd3 nd Profession a d Qnny.+cty • ounlyaW MCM1. requires a. permit to ,Construct, Iter). WATER,SE_RVICE_ ALTERATION PANELS MAIN SUB piece, tle motion 0r repair any 3trui prior to its Issuance, also Ye- quheo the appllont'for Such permit SO rile a slimed statement that he GAS SERVICE•r _OUTLETS - � SERVICE AMP Is licensed pursuant to, the Provisions of the Contractoh License law 1Chalster•9-(dam mending ith Section, 70001 Of Division.3 Of-the WATER HEATERS BTU OUTPUT BuslneM end Pro Head ns Code Yi hat no Is exempt therefrom and the 'isK for He alleged exemption, Any violation of Section ]03 Y.5 by SEWER CONNECTIONSmore - Yn applico fibsr a ishillSubjectsdollat(E5001'rdent SO"a_Clbl Penalty SOLAR TANK _ COLLECTORS SI, a3 OwnerOf the property, or nweendioy¢d'.With Wages a5 their l$ Compensation, will do Iha Work, ahe'the structure Is not intemod --1. r offered foro. ISo cirm 70440 Samurai Intl Professions Code: The . SOLAR PIPING SYS. — ISSUE FEE Contractor's LiCense Law does t apply t0 an owner of a property - - whoAulldg or Improves thereon and who noes such work himself Or ISSUE FEE - APPLICATION APPROVED BY MATE thi is awn employees, provided that such Improvements are ROP MECHANICAL - ` PLAN CHECK SUMMARY OF FEES Intended or offered for ale. If, however, the building or Improvement Is sold within one year of CAmPledon, the Owner will have the b rdi BUILDING O f proving he dies not build or, improve for the PUrpase of leu. HEATING SYSTEM 0-LOO;000 BTU PERMIT g q� SMIp i of the proper[ exclusively contracting with ❑ 1, as owner y, am AND DUCTING to the purled m Ine Busiapply 100,000 t BTU PLAN CHECK E PERMIT Llcensle law does not apply to andliceprd We he Contractor's ed La d es not to COOL: The Conldri and wner - ISSUANCE S an of property pr Impmve3 tkareon, and who Con-. of p or ERATIONv 0-100000 BTU PLUMBING $ s Ilh mnfra[torls) lilesn¢d puts WOjC 10 tracts from SUCM1 ct$ with a SYSTEM SYSTEM GRADING S the Con verfe Lawh : 300,000+BTU PLAN CHECK 3 exam under gi ❑lamexem is n5ectlan B.E P.ClortnisBOILERS _ _ BTU 11"_:j"�) ELECTRICAL S S rea50 SYSTEM REPAIR, ALTERATION PLAN CHECK E MICROFILMS TOTAL FEEEI Caro MECHANICAL 3PLAN hereby this appTlutionand stale that the shove EXHAUST SYSTEM MULTIPLE LE55A0- to co ply Bi all uty and u tY CXECK b VANCE PC E_n i mnslruonon dna neropyoullnorixe A%ln to ter Y t11e above e boned e FINAL FEE i ISSUE FEE - CMF OB6566 ullding;Canary-Appllcanf. Rnk•gcwunting; GO Idol hies -Assessor ;' APPROVALS CONSTRUCTION AND PLANNING Permit -aa�r' Date �I j (inspector f POOL & SPA Date Insq:ctoi ' APPROVALS Permit# 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce^ -�9_g;� •�. 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings -'7- 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap. ❑ Undrqrn 10. Structural Floor Systema- - 52. APPROVAL TO DECK 11. Property Sewer Line &•House Connection 53. ` Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumb6na System Final 14. Rough Electric -Conduit 56. Electrical -Final - 15. Rough Electric -Wiring - - 57. Solar System -Final - 16. Rough Heating & Air Conditioning - -Fencing &'Access Approval 17. Ducts in Structure • APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing - 21. Roof Sheathing - - R NOTES: 22. Frame and Flashing rae..,,atra _z- a 7✓1 23. Insulation - G-(-6 • 13' '%vl q I -.2 6 -J �•�t.K c4 ' he*, --7 51,,4Aei 24. Lathing & Siding 4.30rcx 25. Drywall Nailing _yr_ r"* t 26. Plaster Brown Coat t 27. Electrical Power Meter -Final r� 28. Final Electric /- 29. Final Heating & Air Conditioning :9 ,,, ', .� ;, isp 30. Final Gas Pipe -Test )v •,t.-/-13-' 31. Final Plumbing - o-Sa d 32. Water Service -Final _ 33. Gas Service -Final T. a e ear w 34. Solar Domestic -Final 35. Landscape Sprinkling System Ok 36. Sound Attenuation o 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING - . g' 39. Special Requirements Completed CF 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date 3505 Cadillac Avenue UNIT CADILIAC AVENUE Unit N-1 3505 lot 16 B-2282- CarM Bldg. 111, 652. Unit N-1 P-2393- Slid/J'1 PLBG. (B-2282) y E`�7A9- 9(3o/�Y =. (2282) - FIA 4y Unit N-1 615548 INP. ALT. $19,000. Y/8 PC 551-84S UNIT N1 I (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT .lob Address: 3505 CADILLAC AV Suite: N001 Vicinity: BLDG W Parcel Nunmber: 13966201 Applicant: SANDOVAL, CHARLES Address: BUILDING PERMIT Zoning: PDI PDI a Ca PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/19/1998 Issued: 08/19/1998 .Phone:'." 714-5283073 Zip: Owner: HUSKY INJECTION MOLDING SYSTEMS INC Address 3505 CADILLAC AV. UNIT 4 BLDG N, Phone - COSTA MESA A _ _ i - Zi 92628` \ � Contractor:" EVANS,ROOFING COMPANY INC ���:�` ! i Address: 01101 E CHESTNUT � Phone: .� 1 SANTA ANA CA Zip ; 92701 License:•5 610549 Arch / Eng - Address: / ' C't_.y� . f �' I- i' •� \ t f"' - .'Phone'.. Zip: y License: , SCOPE OF PERMIT V ' .T/0 OFF EXIST AND INST RESON PLY CAPSHEET. PARKING Existing: 0 - Required: 0 Proposed: 0 , NOTES: 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) 7545626 FEE SUMMARY n,�r Plan Check: $0.00 Calc Valuation: a21,300.00 Permit: $312.25 _ -% Claim Valuation: 821,300.00 'SMIP Res: $0.00 SMTP Com: $4.47 Other: x$0.00 _ Inspection: v$0:00 Total: PLANNING & ZONING. SETBACKS i �' • ' ' MAIN STRUCTURE Front 0-0 Rear - G- 0' ' - Left - 0-0 - Right 0- 0' / ACCESSORY Front 0-_0 - Rear 0-0 Left 0,0 - Right , 0- 0', PARKING Existing: 0 - Required: 0 Proposed: 0 , NOTES: 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) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury ane of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the for which this permit Is issued. Iff I have end will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' sar/ip�R-�nwrance carder and polity number are: )/' Camer. / Policy Number. l) /IU� (This section need not be coriplered If the perm/6thw alued stone hu, dollars ($100) or ran.) ❑ 1 certlly that in the o ce of thewr w11tc11 lois ertnit is Issued, I shall t employ any pe on in any manner so as to become subject to the workers' cam nsstlon laws f C Ifom ,end fig t It I shoultl b come su to the work e' compensation rovislons o1 Section 3700 of the Labor Code, I shell forthwith Iheso P ovist ns. Applicant SI re: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 0057 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that II ns under r v ns oLChapter ( mencing with ctlon 7000) of Dlvisl 3 of the Business and Proless�s Code, and my license is In full farce end ffect. LI . 4 G Class N Contractor's Sg t re: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the fallowing 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, prior 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 (5500).): ❑ 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 (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 Driver's License No. Expires: Verification of Ownership by (type o1 document, I.B. - 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 (38) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-bullder, I will not employ anyone to do work which would require a penult from the Division of Industrial Safety, as noted above, union such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safely Permit 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 Masa 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 ocaJ{lant need l0 file a registration form for acutely hazardous materiels? ❑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, o1 acutely hazardous materials equal to or greater then a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No SSection 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, wrilllcation and filing with the Fire epar ment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .................................................................................................................................................................................................................................................................................... 4 Ii an RMPP Is presently required, has Section 25534 of the California Health and Safety Code been fully compiled 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 appplication ap emit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Govemment Code requires that the requested infomration be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any pert of the facility to he conslructetl under this permit 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). ............................................................................................................................................................................................................I....................................................................... 7 If a pernil from the South Coast Air Quality Management 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 prescribed by California Health and Safety Cade Section 42303 been made? ❑ Yes ❑ No ... ...................................................... ................................................................................................................................................................................................................... 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I cartity 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 Emin ons. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 cartity under pe ry 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 relafing to building ruction, and authorize representatives of the City of Costa Mesa to enter upon the abov"escribed property f r inspection purposes. ree not to occupy or allow occu n of any building authorized by this permit unfit final Inspection. 'n nature Of Legal mer( � !re1-/_ Date COBE -E, INSPECTION TWE DATE QUAL§ CODE! INSPEamONTYPE QA¢ If�A($ 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 Block/Retaining Well 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/Occupancy 2"6416 Applicant to fill In all zwees within heavy barter lines and sign all appropriate aemaralo as, CITY OF -COSTA MESA[PERMIT NO. TRACT NO. ' LOT O. BLDG. NO. 19BO 2� I �82 9100 'CONSTRUCTION PER MIT Cdd;%M5z) file TYPE OF CONSTRUCTION [KNEW GADO DALTERATION 0REPAIR 000NVERSION 0DEMOLISH El BL b4. Al 011 Is x!z - ZONING REGULATIONS A Project AIXlrHs SSD! CAD rce AG .4 /r. av^ss CAHB. ?A A,E' _ Ph0^OJ.)�L'SU-/ Addressjp/ 5_ S[:. 760 saf. B- ArcM1fEng.' Pa rjEE.S License No. OTHER DESCRIPTION OF WORK ¢ Address I JC'• G'%D/✓ S. OP' 20NE PLNG. REF. S CtntmRor //KL✓00 asI Phoney^7:/-f C' TYPE OF PERMIT ❑GRADING ❑ FOUNDATION -]STRUCTURAL ❑TENANT ELECTRICAL GPLUMBING GMECHANIC BUILDING SETBACK�� 1g"O VryG NE AdrpE_G7W CS/ OS LICENSED CONTRACTOR DECLARATION mencing affirm writ 1 am licensedIOf Under Charter harm s Isom- Ion )MOOT f a d 3 Band ❑OTHER WI v1510 Ing with on Of O Professions cobs, d_ y n<en5a IS m ruu roles and fisc y REAR YARD(TOP /L) Lions" Ia53 0' / LJcen[e No.3 Z�SS PROJECT OESCRIPTIDN - Sp' �" OCCUPANCY�CONSTRUCTION TYPE PKG. SPACE REM. PROVIDED " STREET WIDTH PARK FEET ZONING APPROVED BY DATE ONe L t' $Z Slgnalure WORKERS'COMPENSATIONDECLARA IOC 1 hereby of lot that I nave a me-\ItlCdte Of c0 ae self -Insure ora nOr ygLV ATION ZONE certificate a Workers' Compensation Insurance, a Certified copy GRADING CU. YDS. ACRES SPECIAL CONDITIONS: ' t at (section 3000. 4b. C. I. I Native Pr /revg [compan f0[q/VDNr AYD- ee�— [._ertNlee copy Is hereby furnished. REMARKS: $ -z zWr.3 D Certified Copy 15 filed With the Clly, Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 50ct need not be completed if the Permit Is for One handrail ((This OO IRs) rshal L Glt�ry hathe performance of the work for which this permit Is Issued haat t employ any Person In any manner as to become SUIPRPI to the Workers compensation Laws of California, PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSNO HT RD FT Dace Signature NOTICE: If alter making this thenara\los. YOU Should became subject TOILETS URINALS GENERATOR Od KW_1.10 KW to the Workers' Compensation provisions of the Labor Code, you must rorthwlth comply with Such provISIOnS Of this Permit She 11 Oe dxkmrd LAVATORIES DOUBLELAVS TRANSFORMER APPLIANCE 1050 KW_50+KW re""O. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS OA HP -1-10 HP I herebyaffirm mthat the there Is a y ending agen(Sfortactio39T SERVICESINKS SUMPS - (INC. SOLAR) 1050 H0 50+HP Which Permit Ga. CJ. FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS'ZSWITCHES Under's Name LenbOrY Addrdes DRINKING FOUNTAINS "" - GAS TUBE SIGNS INTERCEPTOR$ CLARIFIER$" LIGHTS OWNER BUILDER DECLARATIONPOLE I fi= affirm that l am exempt from rho Contractors Licume Use IOr SWIMMING POOL PTRAP POLES METERED SUB the fO110W109 a (Section 7031.5 Business and Professions Cancer Any city O county which requires a permit to construct, alter, WATER SERVICE ALTERATION PANELS MAIN SUB Improve. demolish Or repair any ShUcturis. prior to Be (Seal also re- guICS the so. Savor for such permit to file a signed statement that he GAS SERVICE SERVICE AMP theContr Li Lawthe licensed9P(Commt totheam, prlovsionsDoll 35el Oor%l IC oO ,OUTLETS P ass andhofcslonS Code) or that he Is¢geni Mm ereffoand the ( WATER HEATERS" STU'OUTPUT, 1 or the alleged exemption- Any Wall of Section 7031.5 by SEWER CONNECTIONS - L a, ppilllode t for a permiitlf 0 j ccs m$ a Heart to a Civil all no ❑ 1, as owner of the property, Or my employees with wages as their SOLAR TANK COLLECTORS Sale ompCnllon, will tla the work. and the structure is not intended offered for Sem (Section 7044. SwUstal and NONSSICem Code: The SOLAR PIPING SVS. - ISSUE FEE n owner of a property ContfaclOr'S License LOW 0005 1pplry ISSUE FEE -APPLICATION APPROVED BY DATE to who bulltls Or Improves thereon, and Who Jogs such walk himself or through his Own employees, resided that Such Intyf Bents are n0\ P1, build ormimprovement Intended or offered for SAID. however, late no MECHANICAL PLAN CHECK SUMMARY OF FEES Is mm wehm one year of completion, me Owner will have aha burden rvo f placing he die not bund Imfove for me purpose of Ie). HEATI- SYSTEM BTU ,PERMIT E PERMIT SMTP, 1 ❑ 1, a of the PrOPery, am XCIulvely Cotracting with s AND DUCTING AND DUCTING licensed Contractors to Construct the project (Stepan 7006, Business ISO006,D,000 100,000+BTU PLAN CHECK f PERMIT and R13solom Cotle: The Contractor's License Law does not apply to - ISSUANCE f I property whoDallasor Improves thereon, and Who Con- ownerfom REFRIGERATION 0100,000 BTU—PLUMBING 1 tracts such Projects 'In tractor(s) licesnee pursuant to SYSTEM GRADING 3 the Contractor's License Law). 100,000+BTU PLAN CHECK S 173 I am exempt under SeRlon 'Bill P. C. this BOILERS BTU .ELECTRICAL S S PLAN CHECK S MICROFILM 1 Da[en Owner SYSTEM REPAIR, ALTERATION - TOTAL FEE S "MECHANICAL 3 Ihereby Certify that l have reatlthis appliCa\ion ane state that the shove EXHAUST SYSTEM MULTIPLE LESS AD -' Information Is Corte t. -I gree 10 COM IyWith all City -ane' county .PLAN CHECK 1 VANCE PC 1_ ordinance: and state laws relating to cardsruction, and hereby allthoaae representatives f this Coy to a ter upon ta above-mentioned _ property IDI, t n Signature Dae C-0,17 lei FINAL FEE S Drivers' License or S q ISSUE FEE CMF0665-46 WMtFBUIIdinUCanary-Applown; CONSTRUCTION AND PLANNING_ APPROVALS Permit # ��Y/ �D POOL & SPA-'• _ r ., _ ~� .,� Date Inspector APPROVALS- Permit # Date - Inspector-V 1. _ Temporary Electrical Service or Pole _ 43. Pool &Equipment Location - -- - - - - 2._ Soil Pipe-Un rgrn „ •" _ 44. Steel Reinforcement - - - -- - --- - -- 3.. _-Electrical.Conduit Utility-Un rgrn 45. Forms - - - - - - - - - - - - - - - . . 4.... Electrical.Conduit.Undrgrn ._ _ _ 46.. - -- - '- -- - ------ --• - _Electrical Bonding_i -Steel ein orce _ _ 47. Rough Plumbing & Pressure Test--'-- -- -- - -- 6. Electrical UFER Grn " _ _ 48. APPROVAL TO COVER -GUN 7._ Footings_ 49. Electrical Conduit-Undr rn Foundation_ - _ - _ - 50. . Gas Pipe,-0 Undr rn, Test- - _9... Water.Pipa-Undrgrn__ - 51. Backwash Lines P-Trap-:❑ ndr "rn' J.D. Strucuryi F!noe System. • : 52. APPROVAL TO DECK` --1.1. PiopertySewer.Liue & House-Corinectiori _ _ _ _ _ _ __ 53. Backwash & Rece tor-Final' •- • - - 1• I ._12.. S-,eet Sever Cainectioa- - 54. Heater &'Vent-Final 13.- .Rpuq:.;:.imbing_ _ Final 14. Rough E4eciricr:onduit - -- -- - -56. Electrical-Final 15. Rough E,ect:67� Iring --' - - - -57. Solar System-Final- =r6:= F--ug k, Heating & Alr Conditioning - - -' _ - --- encing & Access Approval „ - -- 17: -Ducts, in Structure APPROVED FOR PLASTERING 18}--0ucts•V�n[itating -T_,. 129,19, G:17P oe-Rough &Test- o 0. Rk.of'rF`.Iting - ._ ..T_._� .- - .160. .- �- - - _ ._ .._ � __ POOL/SPA SYSTEMS FINAL " - _ _ ., - -,; „• no3h Rf �athing _ _ _ 21: -Tran-rand . 22: Fran and Flashing- .. - __ -� r •. . _ - `NOTES: 23 Imuldt-o" Y3. f -lhil - S ing _ 25:- D.yw.:l ..ailing t 2fi;-- P:..ste' Brown C�ac - - ' 27: Elect, Z;-Power Meter-Final- ' 28. Frial*Electric - -- - - - 29. Final He:'ting & Air Conditioning - - - - •• - - _• 30. Fnal Gas Pipe-lest 31:_ F, tal Plu nbing - 32: -Water Se: vice-F, ial - - 33. Gas Servsce-Final - _ - 34. Soar Do ,egiic �inal t •- - - 35. Landsca t $prinKling System - - 36. Sound A enuaton - - - _ -- 37. Handical. Regulations 38. FINAL SrRUC"URE & BUILDING - •' _ _ 39. Special Requirements Completed , 40. Electric Release to Edison ' ' 41. Gas Rele•:se to Southern California Gas Co. ` 42. CERTIFICATE OF OCCUPANCY ' No.-._-- Date - -- -I- Applicant to Nn in al [paces within heavy herder IInes and sign 'CITY OF'COSTA MESA"' PER IT NO.3 'CONSTRUCTION LOreo.- BLDG. NO. - - PERMIT �,',f ,ppIRH1�3BO 17 TYPE OF eorgBrnuttlDN - ❑ ❑ ❑ - 0794 1/18/82 369.38 Protest Address - 3505 Cadillac Atrenue Owner Phone 752_S51 NEVI ADO ALTERATION ❑ REPAIR J0 CONVERSION❑D ENGLISH ❑OTHER s' ZONING REGULATIONS. Address 1301 DCvC 0760 ArchlEnB, g S License Np. QZBS DESCRIPTION OF WORK A'P'B 139-651-1315 8 Addressto AM v CA ,TYPE OF PERMIT T �"n 1:1 GRADING ❑ FOUNDATION ❑ $TRUCTVRAL ❑ TENANT El ELECTRICAL OPLUMBING ❑MECHANIC ZONE PDT PWG. i q .T .. SFET IRO 1 E Y � WIWH RlE�F�. ¢�q ZL•' 80-160 pBPE Y LC'INE - Contractor Oltraffe CD➢StrUCtioR Phone 576—H4 Address PC) Fli 388 F=tjersal eG LICENSED CONTRACTOR DECLARATION 9 I eenby efflrm that 1 amomnsed uredg Provisions of Charter lwm. with section ] ) War a, 3 f the Gushun rm sl ❑OTHER IK a i t• - hIng ofassbm Code, and my license Is In full force d bet REAR YARD [TO Pr '. 86393 DESCRIPTION Ucenbe Class- B UttnEe NO. SO.FTPROJECT 4nn15O7O _ OCCUPANCVI�LCONSTRVCTIONTYPE` - OCCUPANCY 771gl.�., PKG-SPACE REG. S92 ISONING WIDTH `. ZONING APPROVED B PARKFED 670 PARK FEES` DAT Oats Signature ,WORKERS• COMPENSATION DECLARATION I hereby aNlrm that I have a certlfleate at consent to selVinsure or a r ¢ertlfpGt¢ t Workers' Compensation Insurance. O a certified Copy V ALUATION Zohle ' he ret fSac11on 3900, Loh. C.I. I GRADING CU. YDS. ACRES SPECIAL CONDITIONS: vateriMD'InneI Company FrPa:>rc5 TTldan- -- srllfledtopYlshpabyfurnlsbed. - -REMARKS: }piCertifled COPT B flied with the City Building Division.Z?J aUILD POK SFL`LIAL XLQULcn % EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (This section need not be completed if the Permit is for one hundred falling) or less). thatpermit Island' i not employ any person In any banner So as to me PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers' Comnsatlon Laws Of ranmrola. -- BATHTUBS SHOWERS UWdSTINU Date-Signature NOTICE: It after making this declaration.a Should becOMe'aubiett 'TOILETS URINALS GENERATOR 0-1 KWI 1-l0 KW to the Workers' COmemnatlon provisions or the Labor COde.YOU must - TRANSFORMER _ - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS" APPLIANCE 10-50 Kw�50 ♦ KVI - - - eWWd. _ CONSTRUCTION LENDING AGENCY .- KIT. SINKS DISHWASHERS - MOTORS0-1'HpTr_T_1-10 HE I Nereby.affrch that there Is a construction lending agency for the pen SERVICE SINKS SVMpS (INC. SOLAR) 1050 HPy SO�HP formance of the work for which this permit is Issued (Section 309] - ': es' - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS, SWITCHES ' Civ. C.). Wells Fargo Bank Lend¢Ys Name r Landis Acores[ NEWCO NewportORI NKING FOUNTAINS l;r .l J•.. -y ,. r ° CASTUSESIGNS - OWNERBUILDER,DECARATION - L I helOby ffirmorgu•am eXempt.from the Crontraco1l License Ww.foa INTERCEPTORSa P CLARIFIER$_[ - _ POLE LIGHTS ' r eJWIMMING P,QOI. �.lP TRAP /vy <i _' l e • - .. POLES METERED $UB the following r ISectlan,7o3L5 Busl ess a d Pmfesslane Cape; bounty. to Any City O wpl<n ren than -a perTlt' WdStr after, Imy vdemo llsh Or repair any structure, prior to its issuance,.) re- tFe appllG for such at it to lapa, signed statement that ha WgTER SERVICE L)•t"ALTERgTION PANELS MAIN $UB qulrvs IS Is II<ensed Par id tO the provisions of,lheCOntNClory LlGenu•Las4 I GAS SERV ICE > LETS tOUT SERVICE AMP ICnapi t g\(GOmmencing Ith-$ectlon,7000) afLDivlslon+3 of.the WATER HEATERS BTU OUTPUT E ' '- -' ' ' „ - Bfend Prolesirons-Cotle)or drat helsexem l lhemtrom and the fu the tlOn. Any'Woletlon $ef1log 7031.5 Cyt or all ageo'ean Ot nt for a permit bled the apPllcanl to a clWl penalty pO11 •, t NSEWER CONNECTIONS If. - '• - Our tM1rurliva.huntlIM aoIla's_1 500).' a 3. s , ,,% SOLANTANK„ Si " COLLECTORS - - �l I,asowner of the to rt Y': or ana P Pees with wages as their, so a mPon ntian, will do wark d the r re Isnot Intended --- of for for saIs. 15eCtI on. 7060, Buslnesl are Code : The SOLAR PIPING SYS :` ISSUE FEE oµ(neAoans Cont rat [or's Llttnse Uw does dor apply to an f a Properly e ISSUE FEE. • APPLICATION APPROVED BY GATE who Cities gglmproves,tM1ereo n, antl'who tl0R Such work himself or Is Own emdloyeel, pro yIded'mat such Imdrc"mentssre not throughhisor _ MECHANICAL PLAN CHECK ♦ I SUMMARY OF FEES offeree for sale. if, however, the building or Improvement is Sold within one year 0l completion, the owner will have the burden BI proving ha dig t build Improve for the purpose of diel. ' BUILDING J 3G '$ Q HEATING SYSTEM 0300,000 BTU '-., INS SYSTEM PERMIT 4 SNIP $ ❑ 1, s owner 01 the property. am exClug"Iy CCntraCtln9 with AND licensed Business 300.000 , BTU PLAN CHECK E PERMIT ofContractors slorb Other The Coelrector l Licensenlawadoes not apply to ISSUANCE $ an owner of property wonbuilds or Improves thereon• and who con. REFRIGERATION 0100,000 BTU PLUMBING $ tracts from SUC Projects Ila a contractor(a) lefored pursuant to K Pw SYSTEM - GRADING 9 the Cooped I's license Law). 100,000 F BTU = C S� [ j _ C PLAN CHECK $ ❑lam axe fund edlon B.A P. C. for this BOILERS BTU ELECTRICAL E E _ SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK If - MECHANICAL § MICROFILM f TOTALFEEE LESS _ had Data -( r Iheroby cert 11 IIrau us pTIONon and state that thea 'faOrd! motion t ply with all Uty and Unty PLAN CHECK f VANCEAD- VANCE PC $_ la authorize oa:ldm¢e a na1 laws tin nslrpCilona., and nor e:tn Iu :.o tins to upgn me above ICnea above - pi FINAL FEE Sig aforeLL f3Ly_39= Drlveo• Llcen 5 ISSUE FEE - - - CMF 0965-46 white-Building:QWT?r-7MI IBTI111M IRF42- Cmpntmg: Golaenrod-A$$OsOl 001 CONSTRUCTION AND PLANNING APPROVALS Permit # OZ �"� Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Un rgrn . 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding b. Steel ein orce e..rte _ �)v� 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings�� Z- _g 49. Electrical Conduit-Undr rn 8. Foundation _ 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe•Undrgrn 51. Backwash Ines P -Trap. 11n r r 10. Structural Floor System Z -s -SR 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - 55, Plumbona System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. - Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test ' 20. Roof Framing 21. Roof Sheathin NOTES: <� co _ _/S _B 22. Frame and Flashin 6_ _ I 23. Insulation 24. Lathing & Siding 6 RM 25. Drywall Nailing 6-16-12 r M a-/6- 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric -fibSWi,D qA - 29. Final Heating & Air Conditioning _g -g 6 �o 30rs Final Gas Pipe -Test ILSt / b / 2Auxi 31. Final Plumbing - aC - ew. O fc 32. Water Service -Final C -5'9a 33. Gas Service -Final _ iT14 34. Solar Domestic -Final 35. Landsca4 Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed .9 O 2- Gyi 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date /A atialli to fill In all Spaces within heavy bonds, lines and sign all appropriate declarations. CITY OF COSTA MESANO. P ^- TRACT NO, LOT NO. BLDG. N9. _ �r)J I! 0990 1/20/62 700 CONSTRUCTION PERMIT 3 N OkJ _fj T E OF CONSTRUCTION - - %NEW 11ADD L3ALTERATION CLIEPAIR 0 CONVERSION ODEMOLISH TD IES Project Address .50 Owner P n Addr (e ❑OTHER - - DESC RIPTION OF WORK ZONING REGULATIONS A.P.; - - ArcNEn9 License No. -AEdrMs _ -- ' " ZONE PLNO. REF�.$p�N p�iTYPE OF PERMIT, - - - 'O GRADING ❑ FOUNDATIO LI STRUCTURAL - QTENANT 1. ELECTR ICAL PLUMBING OMECHANIC SET AC YARD - SIOEIV RO�YIRTV SINE - - 'AOdrass LICENSED CONTRACTOR CLARATION I enre0y aWIVm that I am licensed undo provisions of Cnarlar 9 (cons- 1[h Ilan- )000)I 3 035 a Ore �OTNBP NIG T ,Dlris I RIsi Code I ll Is In full fare n�^'s"- PEARYAERED P/y ' elaDlons nit Y e seam seam J%� _ Js pa�Ige PROJECT DESCRIPTION I LICBn Cla `� 4c Au No. (" PKG. SPACE REO." 'PROVIDED-' - _J Dite 519nalun l SD. R, - OCCUPANCY I_ CONSTRUCTION TYPE STREET WIDTH PARK FEES- WORKERS' COMPENSATION DECLARATION-- :ZONING APPROVED 'BY' - ATE - - -_ I hereby affirm that l have a nrtiliceb of consent to $014neure or a VALUATION ZONE I ear11110Gte'of Workers' Compensation Ins .� r .Certified copy . SPECIAL CONDITIONS: - -- -- IA' 1(50e Iib. CJ. 1 FADING CO.YO$ ACRES No.Company - er / - tILM PY is berMy f rami /�/ _" '_REMARKS - _T_xy Cerlllletl copy is flied with the city Building Irty Sion EXEMPTION-FROM WORKERS' COMPENSATION DECLARATION - TMS C\ on -need net m Completed It me defmG b for one nund ea I {$100) or lou. r -- I ply that In the peHormanq of lM work for 1 pa IS shall 1 employ any Person In any k as to become -PLUMBING -T PLAN CHECK-� -'- ELECTRICAL - - ELAN CHE[K - �fliuetl Olacjtothe WorkeN Comcensallpn Laws al California. BATHTUBS' "'- -SHOWERS - - - _ _ Dale 9 -nature NOOTICE: IkOafter hiking this declaration, y ou Should become' subject TOILETS.,., yURINAIS - - GENERATOR - o-1 KW I -IOl - rho s Compensation previsions of the Labor Lode, you must forthwith Comply with such mOvlslons Or this permit shall be daemon LAVATORIES DOUBLE LAVE -- -f- iTRANSFOPMEP .APPLIANCE'- -1050 KW_ 50 f KW revoked. 1. -KIT. SINKS -DISHWASHERS- - - MOTORS. 0-I HP ' -- HP . - CONSTRUCTION LENDING AGENCY IherebyaflrmthatthereisaCnlruction lending ageOCylOr the Mn SERVICE SINKS ,_ i:T iSUMPS - -� - - (INC. SOLAR)_. 1050 His SO.r HB' _ lormance of the work far which thIs permit 1s Issued_ISactlon 3097 SINKS--'FCOORORAINS"- FIXTURES--- OUTLETS _ SWITCHEf}' - - cl'i jciv. DanName Land er4Addr6s - .. '-DRINKING FOUNTAINS --^r' -- -- - GASTUBESIGNS- - OWNER BUILDER DECLARATION - ---'- INTERCEPTORS -CLPNIFIERS-' .POLE LIGHTS - - - - - ----- IM1ar00Y Ifkm tool l Steadman lromthe Cntrctor]Umnse Lawlor a SWIMMING POOL' _ P -TRAP - -- - _ -- +POLES 'METERED U - IM1n Iollowlnq reason (Section )031.5 -Basin S " PrOmMOMs CMOs Any City or y Wotan Imports a admit to Construct, alter, mor WATER SERVICE ^ -ALTERATION - .PANELS - MAIN SUB Imperial. Corrosion repair any structure. Prieto its isuance, also re- la quires the ap,Inl lar Such pOrmlt t0 IIIe a signed statement that o$ - GAS SERVICE ' - OUTLETS - _ SERVICE - - - - AMP ' s 11CeMed "Sol the'provlSlons of the Contractor's License Law with Section 7000) of Division 3 1 the r 9 1Comncing e ICheareme WATER HEATERS- BTU OUTPUT- - - Cod,OnmAthat he aerminot therefrom and rho F ness aldol 1 Section 7031.5 by ped pgO Iy 1a -a IWI Penally rn nithfan a -SEWER sternalpornatllV .,of hared Uellars 1f Sa)(plic L CyS - - SOLAR TANK'-"' -COLLECTORS ❑ Pssowner of the yrciperly.0 'mayemployees with wag as their rileCompensation,will Oo ton fk._ o the structure is not Intended or ofered for rate, (Section 7044. Business and Profession, Come: The SOLAR PIPING SYS.';a - - - ISSUE FEE Contractor's Ufepse-tdw does not apply to owner f a property o breads o happens thereon: and woo does Such work himself or w a 'ISSUE FEE' - �' - ii` 0APPLICATION APPROVED By _DATE interes M1 Own employees, provided that improvements arm not - - __ MECHANICAL PLAN CHECK -- -SUMMARY OF FEES ' e I or IntenJae or mneme for Sale. R. nownwq ms bullaMq or imprdvamem' r IS So One Ye I Completion, rhe owner wit haw the burden oWIIM1In f Proving 60 carnal build or mprow lar m$ purpose of sale).- - - 0d00000BTU ;BUILDING- _ PERMIT _$ _ SMTP `� E I.—as owner as the Woparly am acuiwy contracting with to Ino )044 Buslnesd -HEATINGSYSTEM AND OULTING mpLANCHECK IICensed contractors cmnetruct pre Get (Section antl`fi0elMSOOrIs Code Tne ConlncraPs-LI Law dces.notapPW to {00,0001+BTU E _ PERM IT ISSUANCE' ownerproperty who bu Idf a, rearalwo thereon, and who Wm REFRIGERATION 0-100,000 BTU IPLUMBING f . tan racts m's our cootrallori li4 nta euOWnt t0 .SYSTEM CPAOING f the CO from Of's UCenISO Lit 100,0001 BTU PLAN t HECK $ ❑ I iT e% mpl'under Secret' -B. E P. C. lot this -- - - - - E BOILERS BTV ELECTRICAL - SY STEM REPAIR,ALTERATION I E%HAUSTSVSTEM MULTIPLE - ' iPLANCHECK $is 'l� j'MECHANICAL�{- MICROFILM b -TOTAL FEE S ._ .. LESS 'AD - ,Daleseason Owner - I hereby artily that l have read this application and state that the above lot OfmaAerve'a I glee to" mply Ith all Ivy d outy' '.PLAN CHECK $ VANCE PC $_ ommans relapn9de "Cor, and herebymutnOtNe - B -ty tm ler open theably Y 10 0 10 FINAL FEE E5$ 155UEFEE CMF 0665-46 While -Building; Camary-APPICIAnk-Accountings Goltlenrpd-Assesspe CONSTRUCTION AND PLANNING - APPROVALS Permit # •)j Date Inspector POOL & SPA Date. Inspector [APPROVALS - Permit_# 1. . Temporary Electrical Service or Pole 43. _ Pool & Equipment Location -- -' --- - - -• - 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - - - --- - - - - -- --• - - 3. Electrical Conduit Utility-Undrgrn - 45. Forms -- - - - - - . 4. Electrical Conduit•Undrgrn._ .- _ _. 46. _ Electrical Bonding -- - - - - - 5. Steel em orce -- 47. Rough Plu bicg & Pressure Test -- - - - 6. - Electrical -LIFER Grn _ 48. APPROVAL TO COVER-GUNITE- - - - - -- -- -- -- - _ 7. ...Footings 49. Electrical Conduit-Undr rn - 8. Foundation 50., -Gas Pipe, ❑ Undr rn,'Test .- 9. Water Pipe-Undrgrn. 51. Backwash Lines P-Tra`-❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK 1-1. - Property SewerLine& House Connection 53. Backwash•& Receptor -Final -12. --Street-Sewer -Connection__ _ '.: -. _' - - 54. - Heater& Vent -Final 4 13. Rough Plumbing 'T tl' G r''L' ml" 14. Rough Electric -Conduit ' - - - '56. Electrical -Final - - 15. Rough Electric -Wiring - - - "- - 5T. Solar System -Final 16. Rough Heating & Air Conditioning 158. Fencing.& Access Approval 17. Ducts in Structure-- - - _ APPROVED FOR PLASTERING - 18. 19. 20: Ducts, Ventilating Gas Pipe-Ro6gh &Test - - - Roof Framing 60. POOL/SPA SYSTEMS FINAL ' 21. 22. Roof Sheathing- - - - Frame and Flashing - - - - ' OTES:- NOTES: - 23. 24 3 * Insulation -- - - -- - 24: -Lathing -& Siding - 25: Drywall Nailing 26. Plaster Brown Coat 27. - Electrical Power Meter -Final - - - - - - - - - 28. Final Electric - -- - - - - --- - - - ' ' 29. Final'Heating & Air Conditioning - -- �- - - - - - 30. Final -Gas Pipe -Test - • - - - ..� - 31. Final Plumbing - - - - 32. Water Service -Final - - - - '�- �•8 33.- Gas Service -Final - 34. Solar Domestic -Ficial 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY ... .. N5-"_ Date ' wonwm to nn In all vaces wlmin navv bmmer sees and algal m'mvromlala declarations. CITY OF COSTA MESA PERMIT NO.- TRACT NO. LOT NO., 'BLDG. ND. " CONSTRUCTION PERMIT R :aryl RV,PM 81-380 16 /V RoJect Address mci TYPE OF CONSTRUCTION 1-l'' ,yn�EW ❑ q00 ❑ALTERATION 0793 111,8162 470e82 Owner Phone Aaarm LJ REPAIR L1 CONVERSION ODEMOLISH ❑ OTHER ZONING REGULATIONS Arch/Eng. - License No. - DESL RIP ION WORK AP A.R. - - 1 9 9A AOdreasstlICs ZONE PING. REF. SF 90-160 Contractor Philimosi7r-Rill TYPE OF PERMIT !'Y ; ; - ❑GRADING ❑ FOUNDATION ib -❑ TENANT D ELECTRICAL OPLUMBING 13MIECHANICag SETBACK YARD 5Ip q • aalvlf'tD� NE - AtlalazR's rks LICEMIED CONTRACTOR OECLARA ON Irm hot licensed 1hereby ancng aff OINsionOV3ilOns of f theBusiness`cod With 1rtical 70001 of undo? ❑OTHER \ C• ftIG f n M1 Olerslam Cone, and my hands Is In lull total and effect. REAR YARD (TO P/ .. License Class h License NO. _ pR0.1ECT nceporPTION 'SO.FT. 331yn3�'f PRG. SPACE REO. 592 PROV IDED670 Dale Signature - — OCCUPANCY R_Z-ONSTROCTIONTYPE V—Nr $TREETWIOTH •. S r P RK FEE E, WORKERS'COMPENSATIONDECLARATION - I hereby affirm that I have a certificate of Consent to ulHnsure ora - VALUATION ///Pb S220NE ZONING APPROVED Y GATE certificate f Workers' Compensation midrange. Or Certified C00% GRADING CU. YOS, ACRES REMARKS: �Q 9 SPECIALCONOITIons: thereof(Se"bj1o0.J..LOf•I. PL�IDOt IfIf10R• Pollen ND. �WY�YpCi 11�V1V1�JitloC Certified copy IS hereby furnished. - _ . _ V_K Ceftlllea copy Is qua with the city Building Division- • HOLD FOR SPECIAL REQUIREMENT: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed II the permit Is for one hundred Ec100 ar lessl^ I�IY that one of work for cal this permit Is I Issued I snap t employ any Pelson summer ploy any p n i any manner m as to become PLUMBING PLAN CHECK .ELECTRICAL PLAN CHECK ' a to the Workers COmatures nIAw$of.unbrMa.. BATHTUBS SHOWERS SO FT- SQ.FT Ent. Dile Signatures NOTICE: Il after making this declaration. YOU ShO la beCOmO suDlect TOILETS URINALS GENERATOR 0-1 KW_ 1-10 KW to the Workers' Compensation provisions of One Labor Code•yuu must TRANSFORMER forthwith comply with such provisions Or this permit shall be seemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW -50 v KW revelled. KIT. SINKS DISHWASHERS MOTORS 0-1 HPC] -10 Nal CONSTRUCTION LENDING AGENCY I hereby alflrm that there is a construction lending agency io: the per- SERVICE'SINKS $UMP$ (INC. SOLAR) 1"0 NP 50 4 By formance of the work far which this permit Is named (SeI 3097 • SINKS DRAINS„ FIXTURES OUTLETS SWITCHES "Mile;'; WPIIg Far�n'w Rant' Lender's Name ' (FLOOR - t" .FLOOR - s Lender's A00rez5 _ DRINKING FOUNTAINS. GAS TUBE SIGNS _ OWNER BUILDER DECLARA ION INTERCEPTORS - CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt M1am thin Contractor% Lholas Law for SWIMMING POOL P TRAP POLES:. M TEflE SUB the far OWIo fea5ao (Section 7031.5 BULK N add Profession$ Code: Any city county which requires a Permit lo•construct, alter,. WATER SERVICE- — ALTERATION PANELS �MNIN' - - SUB Im row demolishatr repair any structwe, prior to Its isman[e, alfa re. gDees the`appnalbt. loh$uch.permit to file Sibimed statement that ale'. - \ Gw55ERVICEI, (OUTLET$ SERVICE - RMP n ncensea pursuant to me,pi amPons of the Contractors license law (Chapter 9 (commencing With SeCVion.T000)ry06 Division 3.01 the, WATER HEATERS BTU OUTPUT 9 Inas and %deacon$ fne) Or instills Bargain t 1nenNom ana me bails for In* Ileged e%ermalon. MY Alobtlon.os Section 17031.5 by SEWER CONNECTIONS " any applicant for Permit subjeCis the hent to a civil Penalty n 1 aL more than ,f I ve hundred colors (SS I! ,IV' _ SOLAR TANK �, yCOLLECTORS' - - - Ell. as owner Of the leniency, or my am leyees 1t0 wipes a3 their souCOM"nnNoe, will be con work, and(gotructure�n.na Intended - or Offered for sale. (Setllon,]Oeq Dullness and Professions Code: TII 1,50LAR.PIPING SYS_. ISSUE FEE ontractor`s Uname Law time not apply te'an a f e'WQVOrtY guilds or Improves tNr0RA. ana who 00es suchyall himself or 15511E FEE v p .c.T APPLICATION APPPOV EO BY - BATE iala nro h Ms awn employees; Provided that such Implo"Innews are not-- n� lar Towner, the Dulmmg hi st d Orbe erect Mlenq, or arovemenl Sold within one year of cariola a n, the owner wggNver the burdens [MECHANICAL + PLAN C BECK . SUMMARY OF FEES 1 proving he die of bulla r Improve Icer ehe.purpee-m lel. HEATINGSVSTEM20-300.000 BTU BUILDING PERMIT E�J2J_ ������ qq '�•Qz SMTP - 3 D I. s Owner of the properly. am xcluslvely contracting i[n _ AND DUCTING 1 licensed rucl he project (baction 7044. GUanese artratlo s t0 CorralJena 100.000+BTU PLAN CHECK E PERMIT andPlotc The net o Icon Law on. eorrImprove; ISSUANCE S, weer 01 property who builds ;ane and whes REFRIGERATION 0-100,000 BTU PLUMBING S lnflz 1 D such p•OPCD with a contraCtollsl Limned pursuant to SYSTEM GRADING E a Cant/ for%License Law). 100.000+BTU ("a PLAN CHECK n ❑lam ex pili YC1ion B.6 P. C- for this BOILERS RTV ELECTRICAL E E leasOnMICROFILM SYSTEM REpAiq, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK E MECHANICAL S E TOTAL FEE! LESS Date I hereby al vl Loafthe I ag1hisaStrttgywah all city dcountO Infonance ' robot 9 la m01y with all and county PLANCHECK S VANCE PC a - VANCEP-— ordinance s tela eta glo [ter, len, and nereD authorize ors - tvei [ cele; u on me ebav a tlonetl `Pur m PrOex pmpelt 1 ;8z FINAL FEE E �f7o.8 Signature - Dllwn' UCe of 5 3 ISSUE FEE CMF 086546 V \ CONSTRUCTION AND PLANNING APPROVALS Permit .: Date Inspector POOL & SPA APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn 44. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrn 45... Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. 5teel Reinforce 1. r IZ_ 9-25, 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER -GUNITE 7. Footings v\ s 2- kII-9a 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water.Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ ndr rn 10. Structural Floor System S .2-5--SIR 3 52. APPROVALTO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection . 54. Heater & Vent-Final. 13. Rough Plumbing'55. Plumbona System - Final 14. Rough Electric-Conduit - :56. 'rElectrical-Final 15. Rough Electric-Wring '" 57. Solar System-Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathin - - NOTES:«{ - 22: Frame andFlashin 6_rs 23. Insulation B 'l-'Ld-1'1' • i .ShJ a. "r / ; 24. Lathing & Siding - b- -$ $ n -r' - a o - 25. Drywall Nailing _ _ S- ,j`(?«,(,� ro �•„�1� ;:.,a F 26. Plaster Brown Coat _q 2" -j - ' :.� 27. Electrical Power Meter-Final - a 28. Final Electric - A-2.3- a.- 29. Final Heating & Air Conditioning - .i All CY •M G 1�5 . r' a A,' H 30. Final Gas Pipe-Test 1 31. Final Plumbing -S 6 /u / 'R 32. Water Service-Final R 33. Gas Service-Final A 34. Solar Domestic-Final - 6- --g2 N ft o 35. Landsca e Sorinkling System 36. 37. Sound Attenuation Handicap Regulations ' 38. FINAL STRUCTURE&BUILDING _ g- a, A. 39. Special Requirements Completed �}'1 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date _ _ , Applicant to fill In an spaces within heavy border lines and Sign all appropriate declarations. i CITY OF COSTA MESA P,,E..GGMIT NO. TRACT NO. LOT NO. BLDG. N . / - - 2nr, 'CONSTRUCTIONPERMIT Iy 3 3 /yam 622 / 4989 1/28/82 7.00 Project raddr D TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION rREPAIR OCONVERSION OoEMOLISH " - - - - ZONING REGULATIONS DWG# Phan AAtlr .r Arch/Eng. - -iwnw N b -OTHER DESCRIPTION OF WORK A'P'ep _ ZONE PLNG.REF.SP TYPE OF PERMIT 1 ' P NE ❑'GRADING 0FOUNDAT ON -❑STRUCTURAL- ST YgRO - O ,--- '❑ TENANT ELECTRICAL0PLVMSING OMECHANIC AECrOs - age Q2. ary 0 3% AOtlrpS - LICENSED CONTRACTOR. ECEARATION 1 hereby affirm lhct 1 am $ICensaO under Previsions of Charter 9(wm- -LI SIIpEY q C+MT -, - - - ncln5 with a t1�0�r1�./]�0�00) f Dirlslon 3 al InpYYY}}�..9BBBB9 Inezz a hofesslans COP C y- 1 } is n full }hr ❑ OTHER REAq VARO ITP P/LI - _ l� PROJECT DESCRIPTION I LICe03 cla i/Y/ i+ No.� 50. FT. _ _ _. - PKG. SPACE REGI -' - _ STREETWIDTH -- ,PROVIDED - _ -PARK:FEES Dale -� r�Jlj Y10�'COMPENSATION DECLARATION OCCUPANCY CON$TRVCT ON TVPE 11 hereby affirm that l haw a catilicato of muento ora - _ 1 VALUATION - ZONE - ZONING APPROVED BY - DATE aseRJnsurt rtl(IGIe f Workers' Compensation In , CLrOf d o delay, --I,- '- - GRADING CV YDS ACRES PREMARK$ \. -SPECIAL CONDITIONS: -+ thereof CieCllOn b. C.l. (ICY No. C'0'7 CertlllK1.01I MIedYfwnlsOGd._ L-,. Call wPylsflled With l he City Building DvWo - 1�-s r•„_ _ -- --' XEMPTION'FROM”WORKERS'COMPENSATION'OECLgRATION - r � ITMs need not lie completed If the Permit is for One hundred _ *ELECTRICAL jecilonss t$100 _ _ }ctrl t( pPfy :Mxl Ithan yp y formersoso as to becolme PLUMBING -- - PLAN CHECK -' -- PLAN CHECK Subject to the Workers Compensation Laws of California BATHTUBS' - SHOWERS'-' '-- - SO FT BE Odle Signature NOTICE: If after making this declaration, Ya should become subject ..TOILETS URINALS--' - - - GENERATOR - 0;1 KW_ 1-]0 KW' to the Workers Compensation provlslons of the Labor Code, you must _- TRANSFORMER forthwith Comply with such pro WSloni og this Permit shall be deemed LAVATORIES DOUBLE LAVS- - i- --- APPLIANCE 10-50-KW_50, KW - voked. KIT. SINKS--' - - -DISNWASHEftS- - - MOTORS ---0-1-HP_I-]OHP` - - _ CONSTRUCTION LENDING AGENCY Ihereby alflrM1 that there is a Contraction lending agency for Mean. SERVILESINKS -,.,SUMPS- - - --(INC. SOLAR) __10 -50 -HP 50c HIS forenoon O( for w ICL this permit IS issued (Section 309] •FIXTURES -FLOORSINKS- ---`-FLOOUTLETS'DRAINS '�'�"-- - -- OUTLETS �SWITCHE - - - CIV. C.I:' - - --� -r' -.-- - - LendeYs Nameo LendOr%AddfeM - --- DRINKING FOUNTAINS'- • GAS -TUBE SIGNS- - OWNERaBUILDERDECLARATION- Law 'INTERCEPTORS- - CLARIFIERS - - - {POLE LIGHTS=- - - - - ' I neater fflrm that I am exempt from the Contractors License IOr SWIMMING POOL -P TRAP ---- - - - the followln9' me§on lSe[tion-7031:5�Busln and Wofet0ans Code: Any City O county whim requires a parent t0 "min uet, eller, 'POLE$ -METERED - - ImprOdam Ish a r mal, any structure, other to its Issuance, also re- WATER SERVICE � ' ALTERATION' - 'PANELS - - MAIN -- SUB - pules Ilia a0.11cant for such Permit to file a signed statement that no IS I1(thauld PUr3Uanl to the Interisland oh the COMnctor'S LInnSOdaW� GAS SERVICE-"' - OUTLETS" -'" - -'• -SERVICE--- -- - -- AMP JFha^lyr 9 (Commencing with 'Il len 7000) of Division 3 of the - " WATER HEATERS BTU'OUTPUTOns - - - - O Professions Cattle) or that he is exempt tnamfmm and the ethe Page for alleged exemption, Any violation Of Section 7031,5 by - SEWER CBBNEITICNS anyno[plicamorlit[ for 'Wpfiveonnnitundred Subjectse a ircant to a-clvll Penalty dollars p ' SOLAR TANK- - - -"COLLECTORS - - - - - - - El 1.OwnerProperty.OrmyWith hW Of-be I dine res Cas Oen hit eO[eOPelnl rr offered for Sea. (Section ]0600 Business and Prohsslans Coda: The SOLAR PIPING SYS. -ISSUEFEE- - -- GOMMCIorY Llcenso Law does not apply to an Owner of a properly Who bUIICS OI ImNOwi q tM1neOand who does SUCn'work himself 0l ISSUE FEE -' '-- "-- a ' APPLICATION APPROVED BY ' GATE -' through nes own employees, provided that such Improvements are not MECHANICAL 'PLAN CHECK - -- SUMMARY OF FEES, t lntanead or offered mr uw.'n, nown ir, the bdilain improvement la sold within of the wit naw tnabarden one year completion. owner Of prhmng lie ate hl build. 1 p - - r the phrpOM rlel - - -' — - -- ---- BUILDING,. .— _ _ - - Q -I, as. owner Ol thepropk lY exclusively .contracting with HEATING SYSTEM 0-ICO,000 STV 1 I PERMIT § ,SMTP § licensed contractors to construct to project - ($eCVon ]Oda Budnosz AND DUCTING - 100,000 a BTU 1 PLAN CHECK § .PERMIT ere ProCN3olow Good: TM Cont 1 License lawdoe§ not *Poly to �] .ISSUANCE'S an f property who Other or Improro thereon, and who can. REFRIGERATION 0-100,000 Ell PLUMBING § tracts - from s n..prgacts, with.a.cantraclorisl_ actual pursuant, to SYSTEM -- 1 _ - -S 'G RAGING § Ino COntractorre Licensed cow). 100,000)! BTU ,PLAN CHECK - - B'ramexempt 'Under Section ' — -'B: 6 P. C. for his BOILERS BTU ELECTRICAL'S i- i Obm- SYSTEM REPAI R, ALTERATION PLAN CHECK fit 'MECHANICAL MICROFILM •f TOTALFEES Date Owner l S --- - IuerebyOSTRY all nave mad Of is application arab Stale that the above Intarmatlon is day, l0 Iy EXHAUST SYSTEM MULTIPLE PLAN CHECK_.f ' 'LESS AD- or agree Wlib all-4ty'en it ly - VANCEPC-S_- b.euanwsan of m ComPrueuan, aoa nerebyatenanae redireane Olr [O tel-ppOO Ind 'ab0 11 - ' ' pmPiWt 1, lisp 1 �. FINAL FEE E Orhwrs'L cane or 555f- --ISSUE FEE_ -- CMF 086546 WMe-Bul101n9: r CONSTRUCTION AND PLANNING A:, \r ' APPROVALS Permit # Date Inspector POOL & SPA - Date � Inspector APPROVALS Permit # _ ' -1, Temporary Electrical Service or Pole 43. Pool & Equipment Location-- "- --- ' - - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement ' -- - •- --- - - - - - - --- - 3. Electrical nduit Utility: Undrgrn _ 45. Forms - - 4. Electrical Conduit-Undrgrn 46.. Electrical Bonding -- --- 5. _Steel Reinforce _ _ . Rough Plumbing & Pressure Tesf'- 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE - 7. - ootings 49. Electrical Conduit-Undr rn - - 8. - -Foundation - - - 50. Gas. Pipe, ❑ Undr rn; Test• '•• - 9. Water Pipe-Undrgrn. 51. Backwash Lines P-Tra" ndr m 10. .Structural, Floor System .52. APPROVAL TO DECK 11.. Property Sewer Line .& House Connections -53. Backwash & Receptor -Final ' t 12. - Street -Sewer Connection - 54:- Heater & Vent -Final. ' ' '= •'• 13... Rough.Plumbin9 S -7 „RC S'7- - - -- •- - - 14. Rough Electric -Conduit - - - - 56. Electrical -Final - 15. Rough Electric -Wiring -- - -57. Solar System-Final- ystem-Finan16. 16.- Rough Heating & Air Conditioning - encing & Access Approval ' 17. Ducts' in Structure APPROVED FOR PLASTERING ' - 18.- Ducts, Ventilating 60. - POOL/SPA'SYSTEMS FINAL,' -- - - -• 19. Gas Pipe -Rough & Test 1 -- - = - • 20. Roof Framing - - - -• - - -- 21. Roof Sheathing -a --- - - -- - - - •• - - ' - 'NOTES: 22. Frame and Flashing __ • 23. Insulation - - - - - - - - - - - _ -- - - 24. Lathing & Siding -- - - - - - - - - - - - -- - - -- - - - 25. Drywall Nailing -- - - - - - -- - 26: Plaster Brown Coat - - - 27. - Electrical Power Meter -Final - - 28. Final Electric c. 29: Final Heating & Air Conditioning - - -- - - - - - 30. Final Gas Pipe -Test -` - 31. Final Plumbing -- ' - 32. Water Service -Final- 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation -- - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed 40. Electric Release -to Edison - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY Nu.-. Date - Applicant to fill in all spaces Within heavy border liner and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. NO.--BLDG.LI 19-7- 9 2/11/62 /B2 9150 CONSTRUCTION PERMIT TYPE OF CONSTRUCTION 0REPAIR ❑CONVERSION OD ❑ OTHER .6LDZ_ IV VI✓/T ' ' - ZONING REGULATIONS Atltlress 3u' CIG /L L CeLLC��/P ✓ OWOE! �L/Q T VRION -PmIeR AddrmrZ l L Sr, ArcSH h/Eng. /I/ O Y License No. DESCRIPTION OF WORK A'P' d' Addlees e� I/ ZONE PLNG. REF. S' Contractor freie0sesuespi Aqfg,gl Phone ii -TYPE OF PERMIT ❑GRADING ❑ FOVNpgT10N ❑STRUCTURAL ❑TENANT KELECTRICAL OPLUMBING LImEaUspoicAt5Ip BUILDINGTpgIII SETBACK L T. YCARD - .T LDING GROPEnTV LINE Address iZ3 LL, 'TJT CE /iCS LICENSEDCONTRACTORDECLARATION m firm Shot I am licensed Charter 91m- I Sc eby Peter provisions of 7000) Division 3 Of Business and ❑OTHER RIG With of the nEmg Sia Pl01es51005 Code, tl y license Is In full force and effect. REAR YARD (TO Pi /0 19779 PROJECT DESCRIPTION IJre SOr License No. SQ. FT. OCCUPANCY CONSTRUCTION TYPE pKG. SPACE REO. STREET WIDTH PROVIDED PARK FEE IS . nate El Signature WORKERS' COMPENSATION DECLARA 10 I hereby offices\hat l have a cartifieete Of consentSaerin3urs,ore VALUATION ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance( or a titled pr' GRADING CU. YDS. ACRES SPECIAL CONDITIONS: .. •iff Otardlon 38Lab, [.1. y rvn.UsP A/00. /sByt/ cpPrimary, •SP.Efa�'"IY/ND �artlfled copy is hereby furnished. REMARKS. ❑ Certified copy is filed with the city Building Dialect. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ((This mention need not be Completed If the Permit, Is for one hundred ' O L` Si §ce tify in that the performance of inn work for which this Permit I5 tkers eal spny m a ons in any MaInnerCifornSO as to polo me su lleCt I Shall the not PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS go SIT are FIT Data Signature NOTICE: If after making this declaration, you should become sublect TOILETS URINALS GENERATOR 01 KW -10 KIN to the W mmiS' Compensation provisions of the Labor Code, you must TRANSFORMER . forthwith Comply with such provisions or this Pelmll Shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 ri 50 a KW revoked. KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1 10 HP CONSTRUCTION LENDING AGENCY workthere y pe ion Is hotel this sal SERVICE SINKS SUMPS (INC. SOLAR) 10-50 Fi 50a HP" formance oflrthe fori which It (B action 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Civ. C). Lender's Name Lill Address DRINKING FOUNTAINS GAS TUDE SIGNS OWNER hanu rcafflrm�M1at I areexempt ER fr IMthO Contractor% License law for INTERCEPTORS CLARIFIERS - POLE LIGHTS ' SWIMMING POOL' PTRAP POLES METERED $VB the following reason ($edbn 70315 Business and Profie n 15 Coder Any city a county Which requires a permit t WATER SERVICE ALTERATION PANELS MAIN SUB Improve, demolish or remit any structure, prior to Its Issuance. also to- swings the ap3ucanl for such permit to file a signed statement that he GAS SERVICE, OUTLETS SERVICE AMP�O t) I5 licensed pursuant to the provisions of the Contractor's Llceme Law FCha^ter n (commencing With Seaton 70003 Of Division 3 Of the - 1 l WATER HEATERS' , 'BTU OUTPUT •` a d Provenances Coe) actual he Is exempt Therefrom and me lot the the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONSIt, — cantSubjects t e appIIUot 10 a Civil Penalty for a permitve not SOLAR TANK COLLECTORS 11 1, as owner of the Property. or MY employers With Wages as their sole commnsahon, will do [M1e work, and site Structure i5 not Intended SOLAR PIPING SYS. ISSUE FEE offered f01 Sale. (Section 7044, lib; Ss and PIOfeSSIOPS Code: The Contractor's License License Law does not apply t0 an owner of a property "ISSUE FEE APPLICATION APPROVED BY GATE who orand who does fnoot eb mpr10emenhimself through epmpoyees,r published that such Is are; MECHANICAL PLAN CHECK SUMMARY OF FEES intendedve or offered for sale. If, however, the building or Improvement S sold wlmin One year of completion, the owner will hathe burden f proving he did not build or Improve for the purpose of Sale). BUILDING ❑ I.wner of the Property, am exclusive O oatting with licensed to the 7044, Dustless HEATTING SYSTEM 0-100,000 BTU AND PERMIT § -PLAN SMIP S Contractors construct prject (Section ]00.000 aBTU CHECK § PERMIT and Professions Code: The Contractor's License Law does not appb to ISSUANCE § an owner OI h0 bottle Or Improves thereon. and who Con- REFRIGERATION 0300.000 BTV PLUMBING § Property itself from such projects -with contractor(s) Ilconed pursuant to SYSTEM � GRADING $ the Contractor's License Law). 100,000 a BTU PLAN CHECK § ❑ I am exempt under Section S. S P. C. for this BOILERS BTU - ELECTRICAL $ § reason PLAN CHECK § MICROFILMS Data Owner SYSTEM REPAIR, ALTERATION TOTAL FEE §. I hereby certify that have read this application and Rate that the above E%HAUSTSYSTEM MULTIPLE MECHANICAL § LESS AO- mLinancesanldstate authorize ' PLAN CHECK § VgNCE PC §_ laws)relatingto construction)! antl hereby rapresen[atl yes 1 ihl5 tlty 10 ter n 1 a above mentioned Property for e 1pn Pwrppr 'L../g g eso Signature iB RP FINAL FEE $ Driv ri' L'¢e ISSUE FEE '— CMF 0865-6 White- pplicantl Rnk-Accounting; Goldenrod Assessor CONSTRUCTION AND PLANNING APPROVALS 'Permit # _a4�ry Date i POOL & SPA_ - Inspector' - .APPROVALS Permit # `Date Inspector 1. Temporary Electrical Service or- Pole _ 43. Pool & Equipmerit Location+ - - - - - -- - __ 2._ SoilPipe-Un rgrn _ _ _ 44. Steel Reinforcement- einforcement-_3.. -3. .Electrical Conduit Utility-- ndrgrn 45. Forms .4. -Electrical. Conduit-Undrg[q_-- _ _ 46.. Electrical Bonding.;- - - - - -- -- 5. Steel ern orce• _ _ _ _ 47. Rough plumbing & Pressure -Test ` _6 --Electrical UFER.Grn 48. APP.ROVALTO COVER-GUNITE - 7, Footings _ _ _ -_ - 49. Electrical Conduit-Undr rn�' - . _-8.- . Foundation. __ 50. ,Gas Pipe, ❑ Undr in, Test . 9._. -Water _,PpsUndcgrn__ _ 51. Backwash Lines P-Tra - O'Uhdr rn 1.0, -.Structural Floor System 52. APPROVAL TO DECK - - -' . _ -- -- 11- Propei.ty-Sewer line & House Connection__''_ • _ 53._ . Backwash & Receptor -Final 1.2.-_Strae?Sewer Connection ._ ' '' - - - 54. Heater & Vent -Final: " - - - _ 14. Rough El=ctric-Conduit - - - - - - 56. Electrical -Final - 57. Solar System -Final - 16. F :ugi, Heating & Air Conditioning - - r- _ - _ encing &.Access Approval 17: Ducts, inStructura. 5 APPROVED FOR PLASTERING 18. - D rots Ventilating 19. G,sPi�e-Rough&&T'est 20. R. of Ire .iiing 60. POOL/SPA SYSTEMS FINAL. 21; Rnof;hratiii -'-- -a - 22; Frao--�ananal Flashier ,..' <<• . NOTES: _ 23. L,suldt•o :.y_. !-- °Ej Ll 8% Siding 25. 0. /v.,.a .-«ailing - - - - - 26. Pl.,ste;-_B'own Clot -- 27. Elact,,ca% Power Nleter-Final- 28! F,nal Electric 29. Final;Healing &Air Conditioning F..ial;ia�Pipe-Test -- _ -- - - tal Plu.nbing 32.- 'lJeterSe.vice-Fnal ' - 33. Gas Service -Final 34. Si iar Do gestic -'final .a ' 35. LandscUa t Sprinklin System - - 36. Sound A _enuaton 37. Hdnd.caF Regulations - - - 38. FINAL SrRUC`URE & BUILDING - - ' 39. Special Faquirerttents Corispleted 40. Electric Release to Edison_ 41, GA.s Relese to Southern California Gas Co. ' 42. CERTIF'CATE OF OCCUPANCY -- N,,_ _. Date , "- - Applicant to fin in all Spaces second those within heavy border Ines and Sian all aPPrOOrme correlation:. a, clTIyoF cosrA mesh CONSTRUCTION PER MIT - PE MIT NO TRACT NO. ihOT NO rrLr"OY u�u„No:� ��j�� 9405 10/03/84 - I - 'r0y.02 T� Project Address 35oS AV''sI� G'}¢, U. ,�Ca�,l1dlllae. Applicant's Mailing Ptltlress YSATfl! BdAI`i Wy DY Et �j TY E OF CONSTRUCTION NEW - ADD :ALTERATION REPAIR1- ❑CONVERSION []DEMOLISH OTHER Bell �YY�ITVG➢s'LLNT A.P. ere. Ma[s43�lI�S Y pM1,ne Owns Nam Owr pESCjjJPTION pFp WORK/USE OF BLDG. T�mnClio � V wJ 1 S Win Building:' Accessary Building: ress ��y_ _ E _ Z Arch/Eng. S igen»No. GIZ.O TV LE GRADING E.O.Uf ory STRUCTURP- T Front O 1 %A 4"3 NVQ-ST'(`�kDYINCG� TENANT 0 ELECTRICAL 0 PLV MBING ❑MECHANICAL - B N Addr¢n Real o Contractor's Nam- PM1 n OTHER 4 A C Right -_ N PROJECT DESCRIPTION 50. FT. - OCCUPANCY K G Address (ml -a YON STRUCTION TYPE y"�I VALUATIONS "$ Lek fl City Lice N ZONE GRADING CV.YDi� ACRES Ping. R¢0. •k Parking Req./Provldetl I - E� ' L CENEEO CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provlslons of Charter 9 1commencing p¢maiksf C� SS Planning Notes: - M with section 7000) of Division 3.0 a Bull and Pmfe3SIOnS Code, and � T' my license is In run lar« and fir UW a class LlcenSe No. 1it Dafen sign alure PLUMBING, FEES vORKERS'COMPENSATION DECLARATION f Bar Sink Showers' 2 ELECTRICAL • FEES c¢ of consent to suffusive or a certificate hereby affirm that 1 low a w:finx �' AWorkers' Compensation Insurance, or a Certified' COPY thi l IS¢ctlon Uwkflcw' Prevenler - -- - Bill Skill ''-- - Automatic Washer - TranzfOrmer 15-SOXW-- - - 3800, Lab. CjY Policy No. I Company Backflow irrigation .0k^ Sewer Cal „ Construction Pole Sub. 050+KW - copy is hall Iumished. BCertified _ Carlllle0 Copy IS filed with the city Building DlVlilon, '-' BatM1tubv',-, Server Connection Cooking Unit Motor Elup to 100 amps it, APOIICanf -, Clarifiers-' Solar Collectors DIshrical • Meter []OV¢r lgOamps EXEMPTION PROM WORKERS' COMPENSATION DECLARATION 15s seIt cllen need be completed f the per I f nunOO (EI001 or. ' Dishwasher, Solar piping I Dryers OG IDElectric Sub Panel ] pantry that in'the performance of the work ( Which this permit Is Sense!I . bs Ito Be O: k'gFo reins Solar Rani Hall. [ employ any person in any m f b fl Tank f •, P 'Motors 710-1 HE ❑1Y.-B lr Workers' C tlOn Laws of Cdb ,I F�� �-,,1 l ISntO /L1 SI0nature � 1�^r M"� Flour DranS I I Swimmn8'Pool WISPS, FA'U Inc Solar 0915 HP01&15+ / NOTICE: flet maklnp shin declara[Ion you SM1oule hYmm subfe[t to IM1e Workers` ComOen»[lon plovB ons f toe Idbo! Cope, Yru must lof[h Floor Sinks Urinal.- Fixtures - - -- Microwave WdVa ZO ked. Comply wltM1 s h pmvsans ar tM13 polml[ shall b0, deemec rewkctl CONSTRUCTION LENDING'AGENCY' [here Is IOr Gas Servs:¢-OutleirI water Closet 5 OOVice Boxes Pole Light 1�BIC tlErebY eflllm Ilial a cunsirue[i0n lenbine agency the pelTaimance o! the work which. tnls Oarmlt_is i ue.ISectlon-309] civ. c.l o Inlerceptur5' Water, Healer Outlets Range LenOer•( Name unUer•ti wdaress i -` Kitchen Sink _ Water ServiceI2 Switches ' I Sign Z OWNEp BVILOER DECLPRPTION- I n¢reby efllrm foal I am exemp5 from tM1e Contractor's License Law far for 'Lava[ori¢s I Z � h Garbage Disposal Standing Sections season ISe<IIon O031t5 BuSlnass antl Fofeillrnel Code: Any try or mllpwlnW y nice vwaires avermit to cpnibuO,altaq lmvrove,tlemolsM1 Orpp repair_ V-Torose .t 'r Generator 005KW 0615 KW Trash Compactor tp%11¢ra stlpnetl Slal¢ime01 •Indlahe/{h¢»IS II 6n»d-0u l6 dent lO NerD'OVRSIOns of - Te ConitadOlY Ucenu llw (Chapter g (cOmmenclnrg wlln $ec[ion ]0001 of Roof Drains Ivlslen 3 of lM1e Bminass and Plol¢Ssions Cote) fart lie lie IS mot.nera " from and Ibe ba31s Iof tqa all"oil exrmptlon. Pny via a�lOn 01 $eecion _ ' ']031.5 by any appllun[ lar a roll suplec[s tM1e-appll<anl,to civil - nallyolno[mor¢than tive huiMnd tlollars (E6➢01 _ $3 -� I, as 0 her 1 me prOvportyl ar" my a Ployaei wlm wages lhelr sola fleinspettioa FOo $15 Issue Fee - mpe »tion win da me rk, ane lie sirudu.e N mten0 eE o altered Reunification Fee $15 Issue Fast S 3 Bu Ino» an[I Pmsssionel Cotte: Th <mbactor§ I MECHANICAL FEES " Liun»e Le WCOwOM'OOI dpPUY^r an own@I,Ofd DrOperfYlxTo builtlior imp laws tnerr0ne,a di h0 does ork mmsHf/herseu.o. rough baso her own SERVICE EOUIRE T3: empl0 sµp r; ead¢tha[ such ImOmvaments are n 1 Inteneeo oil¢refor bulltlin9 aoimproVGment Is saltl wllM1ln one yeaF OI core- BoilerCrDEVELOPMENT Hood a Type I' ❑ Canopy Tydfil ❑ Zpnin A g Approved By Date / la. 1� M10 , pl¢Ilon, IOe owner will na W tM1e LbfU¢M1 of sera Ving M16/sM1e OIO nOf bulla 0f Ila- Duct. Under Ground Building Approved - fir k_-) e bf tn, pufDO3e Ol salol. I, as ownrf 0f IM1e proOaNy, am exduslvely <omnc[Ing I[M1 limnsed can. Duct. Structural I Refrigeration System AppliWtlOn IMUOtl BV et 9fdCI0n 10 COnsFUC[ the prosect (Sectlan ]p6J, Busin055 antl Rales5lOn5 Code: Tne Carnimctor•s vmnze uw does not repo to en owner 1 property who M1O.COmra l01 with a COm� Oucte Ventilating DOI130,OODBTU, 01OQ00DBTU SUMMARV�F FEE$ � ^� build Impr0V,3 ine»00, inn [t3 Sacn Pro6[15 that SUILOING PERMIT a $ I40. S SMIP trattorosl Ilonw pursuant tO lne'Confracmr's ager» uws. 1 am ware Exhaust System ❑' Multiple 0 System RepairlAlteralion N proof !! 5M101! Worxegs Compensation lnsurmm hecto be pmvlaee tom PLAN CHECK S 'PERMIT ❑lam exempt under Section e.AP. C.lur tnla mason FirepVFact. Bit. ICBG# I q'� ISSUANCE $ 1 PLUMBING S � �� Owner '.��-l��S�� esting$ysleri ucting 0 'PLAN CHECK 25% S 1 5(7 ENERGY P.C. $ inhereby C till! Y Ihat"I have rea c this apple [Ion d state that too above 0P1C0,000 BTU I�100,000 'ELECTRICAL �, n GRADING $ $ sp irmatlan is r 1. 1 agree I Comply with all city and county ordinances and slate laws resting to building Construction, and hereby authOHZe firs PLAN CHECK 50% S -Bh MICROFILM $ lathes of; tblS city to enter Upo the above-menRrnetl properly for Inspection e 4- MECHANICAL S � TGTALFEE $ Z Signature Reimposition Fee $15 1 IssOa Fee $3' PLAN CHECK 25% S (-�-5 Drtw.S•uWnsea srt CMF 0865-46, feV. 4/94 Whne- Building;Canary- AONionl:Pink - Accounting; Goldenrod- ASOUSSOf - - CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PG & SPA APPROVALS Permit Date Date Inspector 1. Temporary Electrical Service or Pole ` 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 10//2(91( LjeO 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, 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 1116 a'y LFA 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16..Rough Electric Wirin / lY ��• 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling /Z $ ��U 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning f1f13r?K L-0 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace t 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof, Framing 73. Undergrnd. Storage Tank 0 Gas El Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat Za. /z/(N 75. Dry Chemical 27., Frame.and Flashing h�jj`��"Z7 76. Dry Standpipe 28: -Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing .. )//,zp HEALTH DEPT. REQUIREMENT 31. Plaster-Brown Coat ,- 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED' 33. Final'Electric /y/ Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace - . •, 38. Final Plumbing i )2�/3�,>"� L ko 39. Water Service-Final 40. Gas Service-Final 41. Solar omestic-Final 42. Backflow Preventer ; 43. Backflow,Irrigation _. 44. ,Landscape Irrigation System 45. Sound Attenuation ' '': 1 46. Handicap Regulations �, 8% 47. FINAL STRUCTURE &BUILDING rr 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co -, 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. U U u U 1 P. O. Box 1200 Costa Mesa, California The Building located at 11,911: ranrTT nn >L�c r �6'S^` i11. I has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFICE Legal Description 139-662-03 (See reverse side for Mates and Bounds) Building Permit No Crli648 Electrical Permit No. r-1 -4AA Plumbing Permit No 0-1 _. A Mechanical Permit No. rrl E648 Number of apartments and/or (guest rooms ISSUED TO: Building/Official CAMBRIDGE PARK by i , ,/l/Y� 3.305 CADILLAC i#0-110. COSTA MFSA. rA. Date /7 214,, Iq fy This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to 1111111411 3wwaeawM those within heavy border lines and Sign all appropriate declarations. t �J .CIZVOF COSTA hll 9 - - : .. TgACT NO- .., . LOTNO. : BLDG 1 - CO�iS?RUCTION rERMIT %N19( l ("L: ' -'nJ," Ev AppIIMOY{Milin'AI� PE OF CONSTRUCTION ',NEW woo ALTERATION' 'REEAIR-- /T/ ❑ CONVERSION 6EOIOLISH ❑ OTHER Follow _❑ Tt'T�t.V'I ' Owher's Name C' Mne DESCRIPTION OF WORK - LIQ /f 1 Y, ACtlreR - TYpEOF PERMIT;-ILJ GRADING BOUNOATIIO-NI�,STRUCTURAL A. P. ZONE "' AICh/Ellg.• canes NO. '' / ❑TENANT LJ ELECTPICAL LTPLlIMB1NG LTMECXANICAL pLNG, REF.N - BUILDING I AedrtlY -. '� I - - ,❑,'OTHER - TO BUILDING. y' -- gEgq YARD ISO Y/LI COmrlCror Nam' hOnB PROJECT OESCRIPTION SO. FT. - OCCUPANCY I Address(rrblling) A)r,t{ CONSTRUCTION TYPE - VALUATION$' 74()00 LEFT 310E YggO flIGXT B1OE YpflD t. ` ZONE ORADINGCU.YOS. ACP e0 PKG.SPACE REO. PROVIDED 1 Llwna Na _ hereby D Cm TOR OEC p ku I n g(/% ¢ P��`l','�S /f �," STREET WIDTH - PpgK FEE $ hereby that I under provisions all! that Tam licensee under pBusiness of Charter B (commencing l and with mdlon )000) of plNalon 3 01 the Binlness and hefnalena Cede, and election �! SPECIAL CONDITIONS: Y license b In lull lorco Ifect n 1 [� `' - 1 74 U Ct glQenj . - PLUMBING I - 1 Deter n.... Bar Sink Sewer Cep I (p 1 ELECTRICAL I ..J KERS' COMPENSATION DECLARATIONf �,�i1�by affirm that I new certificates I t t IH u e or a tertlfltate ; -n — Backflow Preventer. s _ . SteRcCOn ection'._.. - '_ 0 Automatic We er p - Meth over 100 gmpa Wpilwrs Ca- w u Insurance.! o t need. mor reared! (SeRlori(J' e. cCompany .. " Construction Polo" 3000, u0 C.) t�' - 6 Backflow lrrigeti6n Solar CnllbMOi' Sub Peel �Y Polley Ne. - —'t - - '" Cookie Unit g.IUD Pole I bertlllee Only is n eby IurnisnBd. BGrtltled Bathtubs M : Solar Piping �: 1 , pyl filed with the city Bu11E1'n9 Division. I 1 lt. I CIB Biers SONr Tank I DaM1weMM 1 Motun ❑0-Imp ❑1X8 Oat• - Appllwnt EKEMPfION FROMWORKERS' COMPENSATION { - Ofteb❑G ❑Elwtn[ - I .501 ❑916HP❑16151 I Dishwasher 1 Swimming pool w/$pe- - -� Mm his section ed 1 ee Completed It the permit Is for on nundd (!1001 hundred 1 / F M I asNsf) uIe'tn t i to e 1 rme I In w f nl this t leaned 1(' Drinking Fountains I i Urinal i i d 1 It crow a mail 1 e play person be wo k r� m si lows pf uilfor subjectsub! t. t that; 1 Floa D,a ns i - Water Clpmt 1 Z II F A 0. i e I Pole l hi g Y, } Vey 1 1 (� Date sg t '. NOTICE: If, alter making thisdeclaration. Y should. Become - subject t the �, _ Floor5 k5_ . 1 u _ I Watar Hester _,- '_ Fixture : : +''I Rang¢ i Workers'. Compensation provl I I the Labor Cape YOU steforthwith 'W b tl e DNIw - BO%M�omp1Y.yl:h'Such S-ign. -- prON110 thol p J[ shall Income. CONSTRUCTION; LENDING AGENCY InanbYa affirm lMtthem bam st UCtlOn eirg9 Ylor[M.p9lInterceptors GO0¢ Outlets r Service 1- outlets Y Sn�gSeetlons t O : of the k for. which this permit Edmund (SBRIon 30 CI C 1. ' - 9xitchp he15 Com clot ' Lnder's Neme, - Kitchen Sink 1, pa C'Q LenOer's AGO - - 1' - OWNER BUILDER DECLARATION I i ` i LWao a I_ i t p G begeO ap I i I nePobv affirmth [ mo l one th c t t V La I the Iwllowinp d P f I 1 Cade A - P Tfapl [�. I I fq F G ne [Oi ❑05 KW ❑5-15 KW ! H : t i roe Vyd1 )031 5 Business Y city only whichtea IreS a permit to [onsb4C1, alter, Imprewi demollsM1 o awl '- I TranSlOmie! ❑ 15-E0 KW anyslrudura, prior to lis Issuance, alw requires 'he to 1111 a Slgnea statement that M1e/sne Is Ilcenud sua ncanlher n pe II 1^ ane p vl f gdpt Dia nif H 1 _ 1 ❑SU Cunuam Contractor Lawwith ^chapter 9 Ince with Secllo ]000) Of Ion g"^I the or a P.plesaAm eoeq mad n - $M1. veers - ReinspFptwn FeeE16: F a KW - fl mRndl^n F $16� lBuonxu Pt from a n ma-eaYa mr ane anepatl evsmptlon. vloliCo Ilon v _ - _ I: Meter 'Oup to 100 emlp Imb FBe: E 3 031.E by a y`spotleaptfor e 11 blec[s Ind appllwnt t clall a Permit �C Ib of not more roan nn M1' tl d tl 11 1 µson] , . ( y Seiv w 5 nk - 1Mue Fee S^3, Epneq Approved BV •para " LII nn 1 cand p ilon will Oo inB'propB IY Y PI YeCs wllh ageara5 oholi Sola the w Y 0 [n st crura is not Intended Hared MECHANICAL / ApplicationsApp rad 8y - - eta L - ti� to ryehon 70oa, U La1w f adpnal Cwe' Th [onUaCt N% Busl e Profs bunds Imororoz 'Refrigeration System S / OtOes not rope o9'nmo or suet of a property I tt m n els her Boll' - „ _ T. 1 Apel wt pit Iald By . D tb s or awn ttherwnes d n d In work hlmSol ploy s o led tel Rlmernwmenlz a i l t Lim ane.ee rot ` $16II)OAMBTU ❑100.000 ETU:' - -_ it ildl g Pr improvement I Id wire!onerear o1 cpm e. no to building pleion tnw III n the dl prevl g h / hl tlId not hullo ar Int Dart, UncerGmund • (- 1, /� SUM ARV,DF FEES - 1 burden fortheIs ofsalol. ( Out -Structural System papa r/Alteremc BUILDING PERMIT E S $MIP { $ 1 4 W 1 weer I !na property, am aXCIysIvelY o tia[Iing IIh 11[enzm con t ct tt cons. In purled 9044, Business a nd Motesdom Gwe, Duct- Venxlating - PLAN CHECK ,JS '2-5'11„• PERMIT �c[I�oOn or prcyoo -"a- tit A t Ppb m an Th e tFeelor'['Ucann to -b IID Improves Ihemon, and, any contracts f h projects with a con Exhaust System ❑ Multiple ❑ - i PLUMBING '$ ''{ ! 5.00- ISSUANCE • 5 S. O t r(sl ucena pursuantto the Contrae Y U La) ante - tempt under Section B 6 P. a for this wan ✓ PLAN CHECK • $ �• O O GRADING Fiiepl/Fact. Bit, ICBG 4 r ELECTRICAL / V 111 I .1 '1 ).$' Hpetillg System&Ducting i I "=f ` Date I Owner 1 neree Hy n 1 vB read this aoPIRBR and state in theb I,. ®6100,600 BTu-Diwollo _ - PLAN CHECK' / 7Q MICROFILM E $ _ •• ' anlorwNIO I m ect 1 agree 10 Comply wl[n 11 city tl t Ordinances e eh Dy tX I •: _' MECHANICAL 1 $-'"1700 TOTAL $ 1t g..t h meg trump pre t U e 1 t 1 Ity m to the aeave mentlOnm ce for Hoad or Type I ❑" RB vS16 LESS t pan Inspection Canopy �T ell ❑ ceM'eoFee PLAN CHECK tt s$._' E p C.- _ ADVANCED PC' $ Signature S OrIWrz Llcana or 53A Registi i3IMue FeB - 531 4 L _ = 12517;97 FINALFEE i$ 'c , s CMF 088536 rev.ly02" White-Bullmnp'Gnary gppllwnn PlnX-A¢ountingS Galtlenrad-— ' - Assessor 7� J CONSTRUCTION AND PLAN III PO( SPA -8. ate, IVAPPROVALS inspector APPROVALS Permit Date Inspector , , TIi r�p�rar�l�ecl,ic"alSei�i�e6r.Pdle,t�' 52!=Pool &Equipment Location qe-ynar`grnd' Soil,PiI I i -AIII ­5i - Steel -Reinforcement 5-.IEIectricb1 Conduit,U til'itv-Undrgrnd i 54., Formst C! C, 5 Elebtr'ica'l Bonding. '51 1 .- 5.; Steel R oi4�6nt einfor -um re Rough:PI - bing & Pressu Test :6.1 Ele_c'tricb'WFER Grnd. .,,5f. APPROVAL TO COVER-GUNITE 7.t Fo"ot i InI -56. Elar ctricail Conduit-Undrcmrl. 'e" a 8., Foundation T'�� 0 q Gas Pipe, D. Undrgrnd., Test' 159. 9.4ater-'Pipe'-Ln4,'Prind."k 60.'Bac wash Lines, -Trip, D Undrgrnd. "PPROVALTODECK 10.1 -61.A e Hous'a(:briin�ction 62. Backwash~& Receptor-Final 12.'Sewer-Cap, it 1; 1-Fin 63. Heater &, Vent. a 13.1Hoof Drains -64. Plumbing System & Final I 14.,' 9 h Plumbing.;;.^. 65. Electrical-Final ,Rqu E6ckrlcal:Conduit --15- -T -,-:I- - T-, S�stem f66:_S6IaF -FinI 'j�oyqh a 16.1' kough EleEtric Wi ring FT f zt�;J7 67' Feh6inI Access Approval WI 17. Rbugfi,wirm4sigri. n C, I 68. 'APPROVED-FOR PLASTERING Electrical'-T; 181 Rougll Elp" if­fBair Ceiling Ij I' POOL/SPA SYSTEMS FINAL 19Rough Heiting & Air.06ndition i 7 , 900_3 FIRE DEPT. REQUIREMENT low; APPROVALS Permit + _' 20.4 Rough Factory Fireplace• 21.'.D6cts_jn Structure'70'. Underground Hydro '22., Q ctS,,Ver;iiGtjng' i r, '71' P, oduct PipingOGas 004 23., Gas.Pipe-Rough & Testj III Underground Flush 24.; �oof FJT r a,i ng �3. Undergrhd. Storage�Tanlk_0 Gas 0011 _?5p Roof Shdathi;g 74. Overhead Hydro 26.;,T-gar 6iii'nd(St'ructural)l&:Monoco"af IIse T.LJ j94-1 ,75. Dry Chemical 27,i'Rame;ancl Flashing 76. Dry Standpipe Xt Lathing & Siding n� 77t FIXED SYSTEM FINAL Insdlation.78. 1FIRE PREV. FINAL -30..brywall Nailing ! Notes: S. 131, Plaster Brown Coat 1_4 j 32. Electrical Power Meter-Filial j .j W 33. Final Electric F 34.. Final Heating•&-Air Conditioning X-C 35.,Fin I al,Ga . s Pipe-1,eIit 36. -Hoodq or.i Cahop1y-,�' . - 11 I . , 1 . 37, Final Fa I ; cto�y Filre­�CacA. F : �; ii. A ?I 38, FinaIL'PlUmIJ,ing! 1 1 �j t U n- ! ! , 39- Water;Ser " vi'c'e-Final ZL 40, Gas Sarv'ice2Final A 41. Solar ,Domestic-Final j L 42, Backil6w Preventer 431 Backflow Irrigation':' ,t -I- � - 44. Landscape Irr gation, System 45. Souna, tenua,tio`,- I A 46. 11 R'eguiation­si 47. FINAL STRUCTURE & BUILDING -4 48. Special kequirdments:Corpleted' 49. tici hel'ease toI Elec r - 1 I I t I I ( " 6 .. SO I I r . . I 50. Gas ReJ6sWto wthern California Gas Co Southern 51. CERT�IF OCCUPA�NCY 23 t ly &te 0 City of Costa Mesa Development Services Department Building Safety Division P. O. Box 1200 Costa Mesa, California The Building located at has been inspected and found to I CERTIFICATE OF OCCUPANCY- N0.0GOL20 3505 Caa l� Avenue ON -2 /I mply with the prov isions.of-all-C ity-of-Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building IntA3CiQr A1tAratAons — Msd.[al Adaunit_4trat on Buildina - Legal Description 139-662-03 ISee reverse side for Metes and Bounds) (I-81]2 (3) E-8268 E-8263 Building Permit No r 8117 Electrical Permit No. (7 -RM, Plumbing Permit No. 11-8112 Mechanical Permit No. G-8112 Number of apartments ISSUED TO: Building 0 7,i nrlr+ra Mwlir•al (`linin by i3na Har}r,r Alirrl �r rnGra rwcca�'[A 5 9 Date ) This Certificate of Occupancy SHALL BE posted in a conspicuous place on the Building Official of the City of Costa Mesa under Sec. 307 le) U.B.C. CMF 1015-46 rev. 1/83 White , Owner; Canary - Numerical File; Pink - Bldg. Permit File and/or guest rooms —0— and SHALL NOT BE removed except by the Applicant to fill In an Spaces Mutant there withinheavy borderf and ape an apwoorRto declarations.- _ _ . _, r _ 1 CITYY��p($F COSTA MESA' / 1 - - __- .. - - I- ` FOR N TRACT NO LOT N .. g - PERMIT/ ,CONSTRUCTION 'Appb4afila Meililp Address T' TYPE OF CONSTRUCTION- NEW ADD, 'ALTERATION REPAIR - ell�� �N cOV ER$ card DEMOLISH 1:1 OTHER - ' - • ! -` � "!act Micron- .0 _ Owner's NestleGA//ifA%A �[�� hone m V3u ' DESCRIPTION OF WORKZONING - REGULATIONS, ..33c32 I'�A-,Z.{eAl� tY_v 1 Sul YG%Vlc Amrpu -PE OF PERMIT--O GRADING FOUND 3TR TU Al A. P.;P - ZONE Atte/Eng. LICBOw No. �, TENANT 11 ELECTRIC O.PLUMB O- MECHANIC 7 PLNG. BUILDING - z - ❑OTHER - /q UilPRAfrV nil We Addrw ' - BEi}� `� / BUILDING TO pU ILoiNGNE , REAR YARD(TOP/L) - CDnnxtweNem liGNIV/S" Phone PgCONSTRUCgIONTY EO. FT. OCCUPANCY Atldhad lmeiling)l 1 I CONSTRUCTION TYPO VgLUATION$ - LEFTSIDE VAgO RIGHTSIDE YARD _ r ZONE GRADING CU.YDS.-?_ ACRE: ?KG. SPACE REO. PgOVIDEO r' - Licence N0. LICENSED CONTRACTOR DECL TION pemvku 1 STREET WI 6TH PARK FEE If hereby 'arNrm that 1 am Itce d . proNslo 01 C / me Ing pro Rouen 70001 of Olrlslon roe Butln fins Code, I 1 SPECIAL CONDITIONS: MY llunYe lh lull lore no eflett. I _b Up, N /•� PLUMBING I ' � � 'Cate'2fX 574a Signature Bar $ink ' Server Cep ' tUTR L C RCA I - lRN S'C MPENSATION DEC nebY affirm that I naw+Seat+ a urn to tl pGarrtlllula I ' -� I AutesneTc We;M1er..l - _ 100 em Ps I '. I o Backflow Fvwenter— -$aKtt Comment 0 . Workers' Cammnntlon I sur or a its -copy thereof (Section ce.1 T Connruwlan Pole Sub Panel I 3900, YO. C.) Backflow Irrigation SoNr Collectors f Policy No. 1 Dom 1 Cooking Unit ' Sub Pole ! E Certified copy U huibV furnlsliee. 1 l Bathtubs Sole! Plpin9 , �MOtars ­RPE] Cerifed copy Is filed wit the city Bu lOing on. • 1 1 I Dishwaaner t 1301 I Date AppOcant 1 I Clarifiers ! Sola Te'nk , - "EXEMPTIONWROM WO NKERS'[OMPE EmTIONOE ON 1 D zhy¢shu Sam ing Pool wl$pe' Dryers OGai'OE1Keric Inc Solw;�9-15HP Q1616a _ _- I finnsecfan her row be wmpfetw H the r It is f r. e n e ( r lers6 II I certify Irl In me rrtormsnto onNa work tN ad I I Drinking Fountains Urinal Fen- • 'Microwave -' / fall of employ "Me In y b to Worker: penSp�Yy Lewy of Calllomla.'r ' /' - - FloorCrime I - Worker Coast F.A.U. Pole Light Oa[e �Scj.�QL.2i31if revolution 'None r I+, aver maklpq Iniz decnntlon cpm ubf ct +o tee 1 E -- Fluor Skills ! -. _ _WwenMrMr — rr F -: —% -R°^P�- we^ker.• cam an tion pmmnens b rYou ro mwlin Ms ml[rr� 1 Gaal WriterServk:9 - OevlCe Bones-1Sqn comply, with cn woNslPn P m okep., $prv¢9�' O111v1s I GGNSTRVGTIq LENpING gDENC 7�bd a DY[I9Is SteMInBSections thereby allbm Ilut Were Is a construdlo dlneor the pee I iuuon La 1 terceptors - f tine k lar nitro tnl6 permit I6 3099' Cie. 1 IAnO -- Name Micron Sink -I 1 - Switches - Trial compecmr lancet's Adareu t - Levamrlea GerbeP Disposal I 1 O WNER BWmtha DE - „ _ y s� t I Hereby elflrm that I em aaempt 4alri [M1e.Contr tor'saicemd (:aur for ina me exempt from following yearn (¢ttlan 7031.5 Business and Profeaslonal'COR AMY City P T P.dd _ - r Generator• OGi KW OS-15KW county which rpWm a Permit to Construct, alter, Improve; demonn pk to Its Issuance, IW ran kinds Its, applicant for h II - Transfarmar 1650 KIN - R D - y structure, Prior V t fileIonr statement that hUshe N financed pursuant to the o N 1 i Of ns OSUt KW C I ctt Y Urnae Uliv CilaDtoer 9 (commencing with Sectio 7000) f EnoWIO - Re napettlon FN' 61B 1 - R mrecrlen Fr 1 $16' 1 i r me Business and N reuldm Cod) that he /she i pt 1st and, the Casks for the alleged eaemptl Any Istlo of Settlo - _ _ - Meter Oup to WOamOz ! low Fw, '$ 3 1 5 by any applicant +v Permit ejacts, PPII at to all 1 � � F E3 fly f not more than fiNh ill (S5e0) _. w$Bk� � Is, s 1p gAPP' Date I.nor 11 the property T n- dht willthe work, N onB 70G6tlIF WhOlOYra with g their IowesPwe t I t Intended offered H I Code The Contractor's Bycompensation pppr er 4'1t 'Llano Blur alae+ het apply loan own f a property whob Iles Improves B Ina > 1 RefllgerellDn SYS[BT ' Application lewd By ' i I c+ d n0 d00a 61411. WOrk M1lmsol+/nerd}^ r Inrough his Dor her own I ala role vrovlapd ma[ sucneimpmwmants are t leteoeea r fere: rot cele %However, Inde bthem r lmvrovemant is iol wImmonryrrarcpm- She D i Ude ,Gro d, ! p6100,00p BTU 010D000,BTU I '. I SUMMARY OF FEES pletlPn, Na dwna F.wI I M1too burden of proving heron ale not burin or Im ormrthopurpasee+mq. I ) I 1 Duct Structural I Skyline Repa /Alteato^ BUILDING PERMIT $d - SM IP I $ i- 6 I roe + t 0 prop rtr eGuslwly wntrattlnp wrzn fce^sr urn 'Nohelthy 1 ❑ I Ventilating_.i_ I t IPLAN ! I totoosto wnAruttike!prolri So [I ode; t to � CHECK $ ' PERMIT ! Tn O t actor z con Lew +ppb do :cone plover who I ;PLUMBING ISSUANCE $ I b Ile Impro a tnereo a n wnvacta for auto pip urs wqh a ten- Exhaust S�' tem O M iple O i f ' $. tInto.3)1 rise Pursuant cath w tart ucenM Law1. 1 I1 GRADING I E! ❑ I m Of Order Se an B. :0.lor thbrrmn FiepUFw1. Bit. ICBO 9# 1 I I PLAN CHECK' - $' I I I l •. - 1 H ting System & Ducting I ELECTRICAL. SI 1 I 1 $ DaN r py'•. . ' I hwaeY certify that 1•rve as [ n and Bete that to Bove OD10U,DOOIBTU 0100,000 - - - - PLAN CHECK I $1 l MICROFILM S I I i anfwma[lon I t I nn6ilvn 11 div'and wont eI and her _. wC MECNANICAL $• �s TOTALIFEE' S 1 of [To city` ' Inm«Ran ab loveddutprorrrtv for Hdotl of TYpel ' Gho ❑. s R rupact Feu' $15 I PLAN CHECK $ LESS I I I Purpcaaa. 9� �3 T II - I ADVANCEDpC E Isgrturg OewrVU 1 Registers ' t - I Irp FurS 3 1 I r FEE /S ' ar tit. FINAL S CMF�O965Jfi rev. p2 Mte-BUIlikes; Ovary-wpplion[; 5lnk-gcwuntin9: zaeldemoe- gsmuor ' CONSTRUCTION AND PLANNING ' y4PPROVALS � Permit+, '-Date _ - Inspector - POC 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 Utilitv-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 - 4 ' - 58. Electrical Conduit-Undrornrl. ' 8. Foundation.", -59. Gas,Pipe,O-Undrgrnd., Test..' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, -P -Trap, O Undrgrnd. ' 10. Structural Floor System. i 61. APPROVAL TO DECK 11. Property Sewer Line &,House Conn'e'ction - - 62. Backwash &Receptor -Final . 12. Sewer Cap- r a 63. Heater & Vent -Final 13. Roof Drains i! • '' 1 64. Plumbing System -Final 14. Rough Plumbing ' - 65. Electrical -Final 15. Rough Electrical -Conduit- ' : - --- - 66. Solar System -Final - 16. rRough Electric Wiring,. K. ' -' - ' _ 67. Fe'n'cing &Access Approval _ 17:'Rough Wiring'Sign' ,l l _ 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 Stiucture '-' 70. Underground Hydro 22. Ducts, Ventilating •.. 71. Product Piping ❑ Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. 'Roof Framing 73. Undergrnd. Storage Tank O Gas :O 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. , .� r 77. FIXED SYSTEM FINAL 29. 'Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing Notes: 31. .Plaster Brown Coat 32. Electrical Power Meter -Final 33. Final Electric _ 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 Preventers 43. Backflow Irrigation -, 44. Landscape Irrigation System 45. Sound -Attenuation 46. Handicap Regulation's 47. FINAL STRUCTURE & BUILDING �o : 48. Special Requirements Completed 49. Electric Release to Edison- dison50. 50. Gas Release to Southern California Gals Co 51. No CERTIFICATE'OF- OCCUPANCY ' '_ Date y .' r Applies "t to fill 10 an spaces except these within heavy herder lines sign all ppropriate decorations. -:iVOF COS fA MESA - _ _---PEg@oLT •-' '- ^' and — - _ NO. '( (TRACT NO ', :.,:; LOTN r v CONSTRUCTION PERMIT -_ - ` - •- 1 , / ppplwtlnts M1411ng Atl ea YA ;,TYPEDFCONSTRUCTI N NEW ` ADD LJ ' ALTERATION REPA As a as wcw. 1000NVERSION _�DEMOLISM❑'OTHER I 1!'-, . j iI .Piblan nmrees- 1 1 I 1 Ow er �Nh C- M1on OE3C RIPiIONOF WORIt ;- "49NING NS u AOtl 05 OF PEIIMIT GRADING FOUNDATION 3TRUCTURA A P.N•- ZONE' q h/Eng.' L FBdnm NO .TYPE ❑ITENANT. 0 ELEpTRiCAL ©PLUMBING ❑ ECHANIC 1 PLNG.flEF. ys BVILDINGI l gtltlfG - _ C�A.� 'Y Xi �A - - _p'iDTHE1-w�� - 1 _ P i _ TO BUILDING - 1 - REAP YARD ITO P/LI i t 1, Cont Nam ' hone /'V-1 ;- PRQIECT Oc'•-RIPTION SO.-FT. - - aCCVPANCY PE V I E' ± eC[pr's AtldreD lmahill ( I [ON GTRUCTION TYPE I VALUATION$ IA ,LEFT SIDE YARD RIGHT SIDE YARD, 9l I20N GRADING CU. VOS: S-1 P,KG. SPACE HEQ PHOVIOEO-en s' LICEIiSEO CONTRgCTOR DFCLA ION ° 1 p marks. I 1 STREET WIDTH , 1 PARK FEE $ I I t I 1 M1 by af11 that I' licensed- tl p ovi f q9 marauding I - _ - t Ith Rio ]000) 1 Division3 o the BUS Cade, and 1 1 SPECIAL CONDITIONS: 1 t^ 1 Isry II e I Ill fo ane'fI L pp// 1 l uwnit le 1 1 I _ iy_- l FLUMBINO ' i Date ^y 59natwe' B S k . { Sewer Cep 1 _ ELECTRICAL 1 ' I RKEpS CU - - I e epY.affl m [n haLUi IJ.1;e f-Insurs or a,centificate,- - S ktl w Pravanter— I -- _ Se Can en -1 L. _ Au romaNc W n L _ i... Meter 100 es ..{ w rkerz c pe salmi Ins anceJ or e t pY tM1 ie 1 (5 often 13000 Lab. G1 i C $ruRo Pal Sub P I, -' Bckilow lrrigatou SolarCollect I P I e 1 Ilcy Na pang Cerllllee pv is M1arabvi rnlstea. 1 1 1 - Bathtubsi Solar P'PiIS ( 1 Cooking U t l Sub Proe 1 I } ^ drllllea py I[ Illetl wl[p the dly g plvlslo 1DisniwsM1a - 1 i Clarifiers $ob`Tank r l I - .Motor [10.1 HP ❑X1•S 1.OeN ' HDDllgnt 1 F%IMVFIONPROMWORKERE' MPENSATIOND j DrYD15 ❑Gds❑Eiectric- nC$elaj❑B 15 HP-❑1815+" "�" DI51;Wdshef Smming POOI WI$pek } 1TIIH HnIc Oda pof be egmpbte Ir lne Oermlt �s far n e 1 S 1 00)or I 1 r I- Fan 1 I I' MicrOw I': t ceruty tile[ in the penermenn q^ k Ip A s Issues 1 O liking Foundtns U nal ,vl 1 1 b 0 t employ env prawn In v ma n eJ t t tPole { FIDor Drains, I i { F A U I 1 t 1 ' poleL 9M ; , 1 W k slCAmpensatl Laws el C011fofnh., I I Wm Clo t xOTlc6bU -1 11¢ daela a[ ee bled I0 the -� 1 FI S k L. .) Wale Hmte t-'.}._ ,,,,_ _ FxNres I I ' ;I.Hong. l t I " W k0 5 COmPe Setl P I Idb Y Yst 1 tlf Ith ply :wltn M1 P41I MI II 1 b a ktl - ,-. - - GC[$eNICe-' O [I'Is - Wet.$ary a ' D Ca 8p 1 I ' $�9n' 1 I - pe IW CONSTRVCTION LENDING AGEN 1 I 1 1 1 by iffol mtn,t Ae la 1 l 1 lentll aqe YI tM1'p rl I -Is > - el 0 tlb% ' ' i ' Standing$a t I y ImaCllo Ri' 1 - ''T ! U I'�' -. I n 1 1 - q/1 r_ 1 M k 1 wnlen t81 j P . It J C (SecOon- 309] C C, le a sl N 1 1 - e 1 K'tcM1 5 ilk, - l, r h - - Switches 1 i I - TFmM1 C madder Ls "I sdrawai v - F t - I- i Garbage D spogel t 1 1 OWNER BUILDER DECLARATION 1 { I Y -Y la t 5 I G% j I hereby aHl that atilt theC nM t [ LI o La f Me p 1 y 1 1 Generator, ❑0;5 KW ❑5-15 KW 1 1__ h 1 ollowing r (3e tI]031'5 B I e P 1 I C OanA Y I[y P T ep } I .' county- which. ec p ll[ 9. 1 It I p a II n p I -_ Kl I 1 F Trans(erme 01550 KW 1 y t nu pO t 11 4s 5to fils a shipmen t t t to -La n Iw q 145111&0 lah tf s Cll po colt t o/ Is I lcene pu nt to p l f R f'Dra - '�'-1 I t _ 1 1 ❑50 � KW' i 1 R repection F $15 C[ R L I[I 3e f IN Bu Insss i ICry Vt 91 9LL Itn y tie J000] I d{P 1 lank Caa 1 that he / n 1 at , - k. P 1 '� Shawano.re h .$15 " i 1 t Mtter ❑up to 10Ppmps i I and tile, balls 0315 n Da y applicant for IM Ilag tl P[I -A Y. Iola [I i Sectlon faeper II D [ tM pal OI [O d aVll 1 - 1 -' lease Fee enaltY Not more than five honor 0 0 n 1ESOo1 .. 1 S 8 pk l t r, Hoo Fee I u$ B 2e hq ApprovM 8y 1 age I i ; s, -ner f the 1preP IY Y PIDYees IlM1 us' .1 tM1llr sole 1 compensation wlll do the work, 0;tp 1 Is not mtenaa or offinea 1 1 - I MECHANICAL Appli®don ApprdvM By 1 ate ' } Dture r 1 LOSC(lon 70", Bud e a r Ones.code Tna contractors Uttered Law close not apply to enD a of property who builds or Improves 1 Better' - I ' Refrigeration System •j A L®t Ivtroa By 1 ' t neU' ��-�6 S therson.$ana n doh M1 k 1I- If/herSelf or thanti9h his h 4 M Cg t ilImprovements Intendedofferedr r Ob100,0008TD ❑100 OBO BTU pn - - 1 vipa p vera e. It, now the b utll 9 1 -p ei is sola wnnm one r I DWI UntleeG antl 1 ( 1 SUMMARY OF FEES I Wetioon, the ill n to burden I proving ho/sheale not bulls! o Im- 1rmr to Purpose " f I) 1 1 • } 1 - Duct St to 1 1 e Sy1t¢m Reba /AII ton 'r } BUILDING PERMIT SMIp { $ 1 L w of he property, am exclusively CbntraeUn9'wlth Ilwnsed eon 't Dyc( Vt iat '..__ '..a t: PLAN CHECK' $ 1 { PERMIT c n t e t1lt tb p i t Set ]Ole, Business and cnae_'y u u t 9 �_ _�. _ 1 ; The Contractor's al of Property Who b ntls p th raRz for zuc cls wltn a con I E M1 st8 seem ❑ Multi le 0 y p' - l' f PLUMBING S ISSUANCE; 1 S t t ID g 16" e t ra ue nee LaI ❑ I' m exempt under ctio 1 e.&:V. far this reason I FYepVFact. 9lt IC80,F E 1 I 1 j ' i CHECKI 1 $1 t GRADING ,} $ 1 . 'Dale A IPLgN $, l 1 i $ } 1 Owner' Heating System&Ducting } I IELECTRICAL; I MICROFILM $ 5 1 n d -c mfY -In t have , a o ilon dstateathat the above-� - - ❑0-000,000' BTU•❑100ramo t - - - +- _¢ — -- t :. :PLAN CHECKI $ 1 1 ' TOTAL FEE $ I r I t 1 e' t o 1 r city a N on nenmz and bared H- dor T - l ❑ , I 'MECHANICAL $ 1 t I I T� tetive f tnbt pwll n purposes �Dra- nes p pet far I 1 V _p, YPe 1 1 Can , Type 11 ❑ 1 1 Rears Fwl x$16 1 PLAN CHECK S { LESS t ADVANCEDPC { 1 to a Cable G>, - 1 I 5. I 1 P g [ars a 1 t Int Fee I -$ 9 I R £r/SUS P £CT/a ;"v; 1, 1 1$ Drivers o• 58 I I 1 i' . t 1 FINAL FEE CMF 006546 re 12/a2 Its-Bu - IIGIIb PInk-Accounti lip; QOldenmG-Assessor"-- 9i ✓ r . r �� CONSTRUCTION AND PLANNING kP9ROVALS Permit # _87 Date '. Inspector � POC SPA APPROVALS Permit # - Date • ' Inspector 1. Temporary Electrical Service or Pole.; 52. Pool & Equipment Location , ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electricak` nduit U{ilitv-Undrgrnd. 54. Forms 4. Electrical Conduit=Undrgrnd. 55. Electrical Bonding 5. Steel,Reinforcement �, n 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.''. J 57. APPROVAL TO COVER-GUNITE 7. Footings 1 - �'' 58. Electrical Conduit-Undrararl. ` 8. Foundation"' ' 1 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrrid. 60. Backwash Lines, P -Trap, O Undrgrnd. •� �. 10. Structural. Floor System, 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 1 62. Backwash & Receptor -Final ' 12. Sewer. Cap •" •, 63. Heater &Vent -Final - 13. Roof Drains 64. Plumbing System - Final 14. (jough=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 Perm it 20. Rough Factory Fireplace 21. Ducts; in Structure r l 70: Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing 73. 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 ?S„ 76. Dry Standpipe 28. Lathin6-8i Siding 77. FIXED SYSTEM FINAL. 29. Insulation 78. FIRE PREV. FINAL 30.. Drywall Nailing Notes: nk 5 31-. Plaster Brown Coat a 32. Electrical Power Meter -Final 33. Final Electric 34.; Final Heating & Air Conditioning 35. Final'Gas Pipe -Test 36. `Hood or Canopy 377 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. Special Requirements Completed 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 i nose within heavy border lines and sign an albreprlata 0enlaraxlOns. 56E I W I W b.r I be ji �= 61TT OF COSTA MESA- - P NO. TRACT kfi LOT NO. BL CONSTRUCTION PERMIT ' - � ' Project Address 'E OF CONSTRUCTION NEw AGD ALTERgTION LJ REPAIR — :1 CONVERSION 1:1 OEM OTH�r DESCRIPTION OF WORN . ---- Applicant's Mailing Address I N� Ownais Name �NTg"��a�Y/�� - PM1one A_P,.# Zone S Mein Building: -Accessory Building: Z Address dr_ TYPE OF PERMIT GRADING FOUNDATI 3T0.uCTU RAL yTENANT ❑ ELECTRICAL Q PLUMBING ECHAN ICAL ❑ OTHER PROJECT DESCRIPTION Sq. FT. -'T4trra 0Ccu�ANCY CONSTRUCTION TYPE //Cllh!e�' VALUATIONS- ZONE GRAOINGCU.YDS. ACRFc E T Front O N Amh/Eng. Lac NO. Atldr¢u 1 B A Rear F I N K Right G Contractors Nam hoe AddreS[mailing) \ Cliff L,r N0. Z $ L¢N R E Phg, Ref. Park.Fees$ U Remarks: Phi Rem -/Provided I LICENSED CONTPACTO R DEC LARA ION I hear affirm that I am ilcensw unOar ship of CO� a Icommennna With Action ]0001 °I Olvlslon 3 °z IDs B sin rBii Ions Chile. arab my license Is In full toKT+� it offset. L1genA 1a \ \' - lite al Builtlin B: R E PLUMBING Planning Nunes: E i%Is Date_jy.'..r...— Signature BR "_/DRH S'COMPBNSATIOfyOLB Bar$ink Showers N Backflow PrMnler Service Sink T $ re or 'n3 re°y °Norm that l have a Cillo[ I I el ansa ti0ole 'al Workers' Compensation insurers tl9ed copy thereof )Section 3800, ub. C.) PoIIry No. Com ray Baokllowlrrig tion Sewer Cap ELECTRICAL V' FEES Certified copy li hm°by lumisne0, H Bathtubs Sewer Connection Automatic Washer Transformer KW Carried ropy Is nim with me coy B ding OlNpom Dat APpnonl COfntruaion P_OI_e Sub.EXEM 11 50+ KW Clarifiers Solar Collectors ct su�ionn need not be Comp a edit the perodlON S O ne 1 ar 'This Sl tt)nlfa that I the performance of [nm work - a 1 Issued I y ls person Of V a Oct t0 t6e Wortke ii emi salon Laws of Calimrnla Dam signature NOTICE: Itermaklng this ino Si to the condensation prods any of to Lapor a at for tthhwith comply ply wise n provisions or 1 s permit n' ep eeQl a ked. CONSTRUCTION LENDING.AGE CV Dishwasher '• - Solar Piping - Cooking Unit 'Macer []up ID 100 amps Drinking Fountains Solar Tank Dishwasher Meier 0bw-100 amp% Floor Drains, Swimming Pool w/See Or yen Count' ElElectric Sub Panel r Floor Sinks Urinal Fen Motors 061 HP 01%-8 Can Service I Duties Waver Closet F.A.U. 'Inc, Solar ❑fi i5 NP 0164 E+ Interceptors � Woler Heater � Fixtures' Microwave therebyaffirm for here IseWhich [ conztris r stirsass tenor ago ¢Goon the 3afCiva'C.) of me Kltchan Sink Water Service Device Boxes Pole Light Name _ I Lender•i Pointers"' OWNER BUILDER DECLARATION Lavatoraee� - Outlets ganga 1 1 hereby a;nrm that I am pt from the Contractor's Unread Law or tag following revision !Section 7031.5 BUSlnass and Pmfeutonal Code: Any City which arr Wes a permit to cOODrepairruct, alter, ]more", demolish or pair P -Trap ^ $wilchA rSig Roof Drains - Garbage Disposal Standing Sections - nymy structure, prior to its Issuance. also meutras the applicant far such PCarms -jo file Conbagned's Love tihatclea/sper lg (cont ed °cement t0 the Dmvl00) Of 1 V (commencing conn Section 7000) of vision 3 0l the Business a tl Pr07eAioni Cetle) that ne M1e las exempt .5 y a y appnran[ for Dermin sWlods ino eppllcan[ [O IwII f^J4om and the halts 1^r ineaallegOtl 0%OmPllOn, qOy VIOI0�10p 1 $a Ston Ily OI L10t more thin IIVp huntlraa aallars (550D). I, as her f IhB provpe,ty Or m emplOYWs v:Nnagai' ineb seta COmlvanAllon win tlo in° k, a se ino nrunurB is no[ IntmdeG or otiered for le ISvcflan yOaA, Bu9ness d ProteulOnal Cotle: Tne Cenir actoiPro "a LiCenM atw tlzOez WtepOu`lO an OWn¢r pfapmpetlY who bunds ^r lmprown IOaeraon, d n0 does h k njmzelf/hanell aur )moll9n nate oar her Own a Ola�ees provided mai sato improwmons era n 1 Intendetl flaretl for Ie. 1 no'wever, [ne oullding r Improvement is roto wmm� one year of win- pl¢lleq Ina owner will M1aVe'he hmden OI OrOving OO/zne tll0 Rol Guild °I lm- s� for the purpose of sale). 1 lJ I, as owner of the pr a gwslwy contra - wen nr.nsea con- 9Pe K irattorstocontbutt �roled Xolon aeaa, eusmeo ae profexslana code: Tne C°nlrac[or's ear Law tl y not eDIY z0 an w I pr°peny who Dullds Impro ft tureen, and IM10 contr `cis lOr zuc jeers with a con- bacdeans u r ai [o the a nae J Lleense 'q' 1 am ❑ exempt antler season B.&P. C. for reason _ Generator OD5 KW 0545 KW TrasM1 Compactor pa PB pains alien Fee 525 leas Fee ReinipMlOn Fn 09 'MECHANICAL FEES PUBLIC SERVICES REDUI T5: Zoning APDmved By De[B Application Issued B By Ohio Application Issued By m - Znate /r Or Typal - r BdiM Canopy Duct: Under Ground ^aPy Type 11 ❑ - _ D:xl-$nUCWraI Refrigeration $yAem LJBI00,000 BTU 0100,000 BTU DuctVentilatingSuMr BUILDING PERMIT S PLAN CHECK $ PLUMBING S PLAN CHECK $ ELECTRICAL S PLAN CHECK g MECHANICAL S PLAN CHECK $ rr FFEES ��`� 1 SMTP S - PERMIT ISSUANCE $ ENERGY P.C. $ GRADING S MICROFILM S �[�{ �^s�� TOTAL FEE S l_t-f= _ Exhaust System ❑ Mnitiplo ❑ System Repair/Alteration Firepl/FaCVBIt.ICBG# Data - 1 hereby certify that 1. Ration anti ate that ma abew automation Is.ron Rn [u sty and county ordinances and state laws re a mien hereby authorize nprah e tatives f I t oWm tlorad property's. Inspection pu SIBnaWre Dat°-/�_ Orl or 55 un Heating Byrum&Ducting p6100,000 BTU ❑100,000 - Raimpeal Fee $26 . layers Fee $ 3 CMF OB55-0 eV.]/a WMar. BUildhar, Unary. AppllunC Pink -Accounting; Goldenrod -Rosevear - RLF/ NsPFcT/a�/ CONSTRUCTION AND PLANNING •APPROVALS Permit# rK/(�- 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 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. f 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. 'Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &House Connection x. ' 62. Backwash & Receptor -Final 12. Sewer Cap f -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 ,j§. 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 ElOil 23. Gas Pipe -Rough .& Test 72. Underground Flush 24. Roof Framing 1 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 1 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 83 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date - CMF 0885-66 ret. 12192 White-SulldlntCanary- APpOunt;Pink - Accounting; Goldenrod -Assessor Apo__nunl to till b all maces exposit mayo with) heavy bora. q and sign allapproprbts declarations. . 1 ' CITY Of COSTA MESA "CONSTRUCTIOWPERMIT��'LSS j'�" /+I'v' I\ 31 Pi wan/' ,01 �n PERMIT NO. E (� TRACT NO. LOT NO. BL 'Xpnhmnt'* Met.: '15 _ Ni %Oldpt Addrou_IXn LL Arry}T�a-5rQLM���V�� �L�N OwnOis Name L ti Z hone3l� gdtlrev 3Nwr13 28L�3 ^ST -µr CH- ANNEbp. µV`s aZS. "TRNI I. arm ° Addrevl _ Al vrb `N TA p�.� -�'..� TYPE OF CONSTRUCTION 'NEw ADD 'ALTERATmN REPAiA - El CONVERSION O DEMOLI 1 ❑ H _ DESC RIPTI DOFF WOR G REGMATIONS TYPE OF PEnmi Li GRADING LJ FOUNDATION IJ STRUCTURAL' ❑TENANT ELECTRICAL OPLUMBING ED MECHANICAL ❑;OTHER A.P.QF ZONE - pLNG. REF.M BUILDING - TO BUILDING PROPERTY LINE REARfARD(TO P/LI 1 ConthiCtoiT Nam Lk M1on01$1-��Car ACdreA lr" -' Int T NO a 2�G�-L '- PRDIECTDESCRIPTION SD. FT_OCCUPANCY r - CON STRULTION TYPF VALUATIONS ZONE GRAOINOCU.YDS. ACRES - 'LEFT SIDE YARD RIGHT BIDE YARD - pKG. SPACE REQ. PROVIDED _ _ 1UPonm I LICENSED CONTRACTOR DECLARATION pemarkf - 1 STREET WIDTH PARK FEES N a 1 hereby affirm that 1 am licensee vneer provisions Of Charter'9 (Commmpin9 . with section 7000) Of Division 3 of the Business and Mofedlons Code, and tmy UupnPaamCal5 11111401114" a. -Ucen Noa 1 - - - - SPECIAL CONDITIONS: - - - PLUMBING w`RKElR59COMPENSATION DECLARATION j rebyafflm that l have i urtllluts oftAnM LIo mIN sure of a urllfluta r Workeri Ca pansatlan Insuranm,'e certlfledicOPy, thereof (Ssctlon ' 3800, Leb. c ) , I Fitly No. Cool r Ba S k' SeV<r C2D 1 i p - Beckflovr Priv¢nter - '- Sawwr Connection. - AutomMl W he[ _ _, Mater W¢ 108 emp _Se Backflow Irrigat n Soler C Ihctors I f - Conslmd on Pole Sub PeMli -� r ! BelhNbe • Soler Piping I Cooking Unit Sub Pole BCertaned0epy It herebyfurniShad. I Ce tHISIBS py 1 filed II11 the City BN emp Division. . Pat a App11[spt I . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Ir Snl lla tl [b pbtetl 11 the permit la forrOn nun0r tl(9100) ' lou)r111Y IInSt I M pert n11a a Of the !or a MCn tNf Permit 1 sod I I shah hate play personnln nyy s'''''�����ppppp be 00000mmmum���AA b eCt. m the I Woiken'r 1 LBWS OI CRII1�'/,/— J i NOTICEI 1I rites makl p tM16 decYmtlpn; You n u'b object to me mmkers',C p sail o vl5lans o! me Lsb C tl y e fOfmwlm p5v 4n u h o Il ns or .tMs• oermR jsn n be a E, ravakea S CONSTRUCTION LENDING ADENCY I I I 1 heYeEY elft m I In a b'a ComhYCtlan IOndl 9 9 Y for the pe 1' 1 I of [Rv wv k 10 wM1ICM1- [hl pe It Is -Ixs a ISeulen 3099 CI Cy ' Cohort a w t • - j OreM1N9abe Moro ❑0.1 HP 01X-8 I 1 ; Clar l e s _ Sol Tank Ory¢rs OG OEFc4ic In[, Solb {❑915HP ❑1615F- - j i DshvRshe I inp Pool w/Seel _S Drinking F ntd s I Urinal ,r Fen Micro ' 1 r , FloorO ; i I WOler Clout 1 F A U I ' - po10 L 9M1t I « �• FIV $ k ` -� -- - Water Hutb +--1 _ - - s I F 1 __- - -- 1 _ _ Ran 1 1. y• s Gas Sere a I Q IIMe Water Sdry c a D VICE Bo u r Slgn` I ets 1 outlets 1 $IenOrng , I 1 1 1 ti ptcp _ 1• - I r l - I n K lclie Sink Switcnm 1 - ;TreeM1 Compacmr 1 l lanaarNl Aearm s ` OWNER BUILOEq DECal1RAT10N' -. - f - I nereoy'aNlrm tnet I em' pt f In Cot 1 f LI o Le I [n 1o11^Winp mamn u$e[tlOn-]031.5 BULnass anp R Ies3lonal Cotla Any it ai u ly WIII ep p ISm conrtruCt, alar Improve; demon ntopair p I t It Ise IlCagn es thesua t and far n Il I Y t it m I9 e State o matano/she N uCcoensed Cursuam Ip ma o 1 lor's can _ (Ch DI 9 ( Ing,wlm Beoilo ]0001 f V I a13 of the Buslne53 end, p1 1551 Centel OY that. he sn I pl R and the mas for ID Ilpbd ptlan. Anv:vloN�lo of SaSllon ]0315 by a y ppllunl 1 Ip It subletls Ins' ppllunt t a civil natty el n t mare [hap Ilw hundred dollars (550DI - I IoGner oil Na proCaltY o mY mplaY WIIM1 gas,as IOelr Sole pen llOn' WIII Oo Me wp 4 d IM1 [ ct i t 1 fendee or offarm ISachan JOaC, Busl d P f IOOaI COtle. TTa•CodtuCIOPS LIG Y laW OW SI qOt apply 1 1 pra[arty,vTa builds ar Impmvas eTerppq.mtl M1p dpei'SUCM1 work MmSelf/narYl/^ r through n15 or tier Own nioya pmmasd met soar Impravememf ere' of IntendeO dr offered for ole 11 nowewq the bul101nY r Improvement Is soltl w11M1ln one yea. 01 cam plellen, ins awnar•win nave the tureen e1 Prdvinp nOPna ala net build or lm- 1 mepurpdu otMls) I lT aoc mtrca.acnaoenor SrV'SIUUmUcameOnabiboprvuslNawUY. t1aAm UaIvIaCp1t u]3aa1pwap61lYy,et O It 11 9d.PIrtf oIpIrssouopnen5rtes 0 can rµho - IDuct p Ild ImproWa thereon an0 MiO mpbml I n prbleds calm a can - baam(sl noose pursuant b the metra t un M owl. j ❑ em exempt upper $Dalen ' n B. A P. C for mD reason 1 IavM -,r Garbage O apoial r I - GenOretar, 110,5 KW ❑5 1 KW 1 P T aP I - q tiD ems Transformer ❑15.50 KW ❑50 a KW RainalNctidn Fee S15 ` ganNpe[tlon Fn r $16 $f10W¢N I 'MQYr QY P to 10D amps Ivua, Few { S 3. I y1 ihhiS nk 1 _ taw Fee $ 3 I - 2onang Approved By DptB Application Appmwtl BY Deb I 1 - 1 1 Application ISIId BY , Gate i I I -, MECHANICAL I 1 - h Refrigeration stem BO ler r p B.Y I D t 'U defGround r - ❑OIGQODOBTU ❑1D6'MaTU' • PERMIT $$Du[t PLAN CHECKS PLUMBING k $ (PLAN CHECK $, •ELECTRICAL $ (PLAN CXECKI $ MECHANICAL $' CHECK SI 1 f I - SUMMARY OF FEES 1 1; SMTP PERMIT rOther I ISSUANCE S GRADING S I ' $ - �� r MICROFILM $ I TOTAL;FEE - $ - LESS j ADVANCED PC r$ I FINAL FEET $, r structural System Repair/Albretidn - - VentilMng4 _ - Exhaua SVae ❑ Multiple ❑ 1 FirepllFacc. Sit. ICSO sF r _ Date Owner; - He ting SYRem&Ducting r _ _ _ r ❑610 ,M BTU EIIOJ.000 r f - 1 LL I- n by 'Nfy tht-l:have-maa this application' andnotethat tnv &be" Informal ds gra t ply with all city d county dI tl 1 t lepws to b Ing construction. and hereby authorize p t n s f;t tylo, up ma bavementlonea property per 1 p a] our s 519 1 -ef! �� Gate I Driven'Uan3s orS if - Hood 1 Type F t pelnmemon'FxI Cao T a II ❑1 It 1 f 516pLpN I - Reg Reis 1 lace Fee I $3 CMF 0885-66 ret. 12192 White-SulldlntCanary- APpOunt;Pink - Accounting; Goldenrod -Assessor ONSTRUCTION AND PLANNING ICIDate v.� ' APP - � ROVALS Permit v . Inspector POC SPA APPROVALS Permit # Date Inspector ` 1: Temporary 'Elect rical Service or Pole Pati -$j 52. Pool & Equipment Location - 2: Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utilitv-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-Undrarnd. B. Foundation. 59. Gas Pipe, ❑ Undrgrnd., Test ' ' ,9. Water Pipe-Undrgrncl. - 60. Backwash Lines, P -Trap, O Undrgrnd. 710. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 1.3. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough ElectricalsConduit - 66. Solar System -Final .16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough, Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Sar Ceiling 69. POOL/SPA SYSTEMS FINAL X19. 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 ❑Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof'Framing - 73. Undergrnd. Storage Tank 0 Gas ❑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 PREY. FINAL 30. Drywall Nailing Notes: 31. Plaster Brown Coat 32 Electrical Power Meter -Final 9` 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test '36. 'J 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ApPllunl to fill In MI MMM exempt than within Bases b0ohr Ilnn and sign all appreerlste neClantlonl nYATXOF COSTA MESA ' '- - - TRACT NO. LOT NO. S T - - - : CBPISTROCTION PERMIT - .IF ,IZ�� 1 x" INEW ` ' ' '".' - • 4LLo. f /Applign\'a M1LBIp$AOOrm - - �TYP�pIOF CUN$TRUCTI N 1 ADD gLTERATION; 1 '-REPAIR I _ •�OID%( E�E3Iwi,� 1 -Yb;ao protect pdtl-j.SO-T CFiO/ dC AVE -O. C]OS!ad /TISSR NZ LJ CONVERSION -� DEMOLIE {ITHER - _ / 1 .rt C%;Yj•ie DESCRIPTION OF WORKgl� • I i-� - Owner's Nemo , NlPn�K/AiSJ///�/-0P�adF(L(' .9,f2-rLY/ . gddrafI3D/ Ao✓E SJ" 'I✓F:U/�O@/ XEfX��� f ,TYPE OF PERMIT 'GRADING FOUNDATION STRUCTURAL -1 A.P.0 'ZONE AM yPs'n. -9696 Arahiiria. 4 LqceneND TENANT ELECTRICAL PLVMBINO MECHANICAL -BUILDING - AOuf%�'fi/II•l L.AOQL01 rCjEJ bl10 .-, "- - PLNG. REF. M. Mdrese Ci �Aw'In/D / /L/ Phnna C-/+Ri']3 Contraceor:a Nem C:-.� ,.0,9THER < PROJECT DESORIPION EO: FT. ' OCCUPANCY' -PROPERTY TO BUILDING LINE P4 L HEAR YARD (TO P/L)'` P / 4fL/'% ni2h-L "o2 lr� AdGw;(mellin$I� CONSTFVCTION TYPE VALUATION$' ,LEFT SIDE YARD RIGHT SIDE YARD ' ZO,NE 1 GRADING CV.YDS. 'ACRPa PKG. SPACE RE. O PROVIDED LI nw N0. �J�a t�'3 1 _ LICENSED CONTRACTOR DECLARATION-+ Remarks, STREET WIDTH) - I PARK FEE$ I. hersby'affirm to t A am licensed Parker provislons off,Chorter 9 (anmmendn9 It mttIon 70001 Of Divisions 3 0 the Business and Professions Cape, antl 1 I I I SPECIAL CONDITIONS, 1 11 1 full lap a ailed. ^ - aQ$ PLIRABING . Dated: Sig.,� •- %Yes.flhtdanI Bai Sink ! $ewtr Cao 1 ELECTRICAL { 1 3RKERS' COMPENSAT{ON DECLl1 ATION I ; affirm I naw a or ra ars certificate le L o _ t- Bskflow.Prewn\aG.._ _.. ConnOctlgL Automatic Warner ' �- _ 'Mem Iwx lOaTemps , Insuramar Wrebyool a "\a worsen-Cempenulmn InwranwJor e wrtlfle0 wpy'IMree1 (SeNlon cap rsopy 3800, Lib. C) : Bsckllow lnigeiioh .SBSNr --' _ - SO) Conitadian Pole - Sub Pahl - /m - - - - I Cellec[o - .'•j polidy No. cOmpanY - Cooking Unit ( Sub Pole ' ACarolina COPY is Mwby fY NMO Batnmla I Sol Piping' I - GNIlledwpyleflleewltnm city Bulltl(n9Division. - OshzvasM1er j i 'Magas OO.1 HP 01XE Dat'l. 144 App Iwnt I Clea fieM I 1 Soler Tank r • EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' D sh sh - f -- _ Pool / - $p DryeN"QG DEIeOnIC-" - Ina Soto 0915 HP-O1616f- I hit section d \ b completed If thepermit I for, o hundred ($100) or _Swmm _ !'9 i tirtIIY'tnat thepM 1 Ith 1 r M thin ITR Is d I r atiie - Drinking F0 nM i ( Ur I Fen i MkaW I , . WMlbnee orks a empl w n I n n r a s s bleett C p IV s fUt ane i I Floc Disks WitterdOsml '. / F.A.U.TAU1 !Polo Light Date — DnatW ROTI CE: If, termaking this declare you should became sob) 1 t the „ F tures Range FIGO Sinks I- ( 1 ' _ - W (er HUM, 1 ' _ -Woorkers' Compensationprovisions I to Labe Code. You must fortM1 Ito MI b d I Device Boxes comply ,With much Pro Illonv O w mit 'll 0revoked._: Gw Service> � UOY00ts; WMa set"" .� ISign' 1 CONSTRUCTION LENDING AGENCY'. I Outlets I Ing $ec[ion5 ' I hereby affirm In 1 there I construction dig agency for the VV f f the I 1v ds d CI C:) I terceptors 1 1. I •, n t k wnlcM1 `thi - permit (SeHI n �3a9T Lender's; N - KitchenSink; I I Switiha - Trmli Compactor Lenders AtlaraisI : I tG 1- OWNERBUILDERDECLARATION _ L at res'I 1 G0 bOge DlepDMl I hereby af0 m that I aninhimimpt train iM1 C t 1 's Uconqa Uw for 1h / n I P TNR( '` ` i '. G eater. 00.5 KW L15.15 KW following re(Se tl ]031 5 B dProfessional Carden, Any Its w county wnI n requires permit to -construct.Its ImD Ow le -onto m 1 I Trenafarme ❑15-50 KW 7 vStructure.prior tom Issuance. also requires t1v-applicant for n G lt Roof Drilling 1 l - , ' to 111 signed statement that ho/she Is licensed pursuant loins a i 1 of. - 05U 1 KW' Re napcDM Fon 1 $16 �Co t IorY Llwnw UW (Chapter 9 (comm 19'� With SeOlo ]000) 1 ,�`� I 3e^f the Busams and houssions COO) that M1 /sh I pt SM1 , Retrospection Fan $15 '- ',lope i„� 1 d the basis for he alleged exemption.Anyviolation f Se tl Meter Oup to 100'6mpe ( I . FN. f S fV3l 5 D any DOlicant 1w a permlt'suble 1 tM1 Dpllunt < dyll ally %not than five hundred a ll 155001 Se e 5 nk �l i 1 ' law F $ 3 Zoning l more 13n 1 • I Apprewtl By Dab LJ as Owner 1 the property o Y pl yeas wltn wages a \Bel vOl 1 MECHANICAL , I flan will do the w0 re and III t tture far legion/un ] o t Wo and POlealo0al Role Is not Intended offered Code TM1e C t \ s MECHANICALI Applin\ipn ApprOyd By Data Law Oµa not apply to owner r p w!ty who Eulltls I p ? g le t - I R 1r geatip System 1 AppllpRal IMYeB By 1 ineieopi antl hp Ows,tYCh k M1I II/M II or throw M1 his or M1er own t intoll - me iRioy OrOvidea that such I p tons etret ad nand car o If, M1owever, mant Is sold Mthin I Duce: Under Ground ❑D1DDpDD BTU ❑100,DOD BTU oe. t bulldiny r IRprove one year at cam lMlen, t naw Of naA In build Ica- • ( ! { . SUMMARY OF FEES ! ' owner win the or an Procan 10 not Of for In a porw of wla) ( I j Duct -Structural System RepalrlAllaiation iBU1LOING PERMIT $' I $MIP $ tow 7 as sena f the to re am .xalusiwir r:oniranIng with 11 in sen- , Ouee`Vantiletinp - ' ' i i tradarslo coa rruettM:Orolett SeethoOn]OCo, Buslnestand Pr old Ions Codes j i PLAN CHECK: $' PERMIT Tnecon raaoSIR. can -Lawn I eppl to m ewnor -Or party who `i .builds or Improves thereon, and vino ea o� ae�s for such Pro so as wlm a eon- , ` - Exlleurt:5yagm ❑ Multiple ❑ ;PWMBING $I ISSUANCE . i E 'vedI to IS pursuant [o the Gontraci • Vcanm use). •PLAN GRADING '. $'l ❑ am exempt unCer Section e. 8 P.0. for eM1ls reason { FirepUFaet. 9lt. ICBG by ' CHECK. $, 1 1 r i ELECTRICAL Y ZS•'7-0 $ Date Deane. Heeding System&Ducting { 101 ( MICROFILM E' I batch y artify that had ra d.this application and nate that the above - - OD100,000'BTU 0100,000 _ . `ELANCHECK: l tanfarmalion Is < cY I agree [o m^IY Ith 11 dy antl eau t plain anrev d, bmola9 eo \r„ee on, aha ne M MECHANICAL $ TOTAL FEE; $ ' slate Nw ISa autXroae repro- wnteuv5 this i( r upon the above-mentioned r party for Hoatl of T ypel ❑I Ceno O` peimplerion Fr' $15 PLAN CHECK $'' LESS i .Inspedla TVeII ADVANCED PC $ 519malYN Date i i Registers i Iswe Foes $ 3 j ' '30 'Dn:an• uwnw or SS ''- FINAL FEE $ CMFORGSJBree.lp/aO VlSulldlnpi Canary - ApPlltinq Pink- ACMUMlnsi Goldenrod-AsNiIOr -"•- "' -" - ' '�" - - -- �'ONSTRUCTION AND PLANNING' ',- PO( SPA APPROVALS Permit # 'Date Inspector ,,APPROVALS: Permit # Date - Inspector ' Tempo'rary Electrical Serbice:or i `•-, ' ' •- - - .52.-Pool.8 Equipment Location' _ - -'Pole 2.1 Soil Pipe-Undrgrnd': _ -53. -Steel Reinforcement - _. i.3.1 Electrical Conduit Utility-Undrg'rnd. - " � " • __ . -:54. Forms'-4 .1 Conduit-UndrgrnC.=' _ t- _ _ =55. Electrical Bonding,' 5.; Steel Reinforcement . �• ` = ;_ ' 56. Rough'Plumbing &Pressure Test Electrical UFER Grnd. 3 % 1 > 57. APPROVAL TO COVER-GUNITE .�� 7.10ootings .58.-Electrical Conduit-Undrarnd. - 8.,Foundation _ _� S;_ _ - ',-, 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 1 r- ' - --60. Backwash Line's, P-Trap, ❑ Undrgrnd. 10.f Structuiel Floor System,61.; APPROVAL TO DECK - 11., Properfy Sewer Line & House Connection -. �; . 62.' Backwash.& Receptor-Final - _- 12.1Sewer Cap I I _ 63. Heater & Vent-Final � - 13.kRoofDrains•_'64. 'Plumbing System =Final ' 14. Rough Plumbing -- x`65. Electrical-Final ' --15iaRough'Electrical-Conduit:-j -- -) - Y'+' : 66 Solai System-Final 16.` Rough Electric Wiringi -67'. g& �;Fencin Access Approval "17:-Rough Wiring'SigriJ g8, APPROVED FOR PLASTERING .. I d)ic i'c ln.i •1W, Rough Electrical-T1Bar Ceiling 1 ' i q 1- I 1' "' ' i 69. POO.USPA'SYSTEMS FINAL _ - - 19.v Rough Heatin: & AicConditionirig ! 1 [ 1 a j ' FIRE'DEPT. REQUIREMENT 11g APPROVALS Permit # 20.', Rough Factory Fireplaceij I ' i I 21." Ducts, in Structure l '70. Underground Hydro `. 22aDucts, Ventilating 1i j ; 1 I 71. Product Piping O Gas ❑ Oil '-?3. Gas 'Pipe-Rough & Test..I 72. Underground Flush - `'t,24.- Roof Framing j 93. Undergrnd.Storage Tank ❑Gas 0 Oil 25. Roof Sheathing i I �' f i . . 74. Overhead Hydro 26:'T-Bar Ceiling (Structural)r& Monocoat' � 1 P -. ' � ' 75-. Dry Chemical ' - i ' I 127. Frame and'Flashing 76. Dry Standpipe 28.' Lathing & Siding I ;i 1 77. FIXED SYSTEM FINAL 29,: Insulation i{ P 78• FIRE PREV. FINAL ,30. Drywall Nailing , . � i .Notes: 3t, Plaster Brown Coat- `� 32.1 Electrical Power Meter-Final �l 33!: Final Electric 34. Final Heating& Air Conditioning ^ 35. Final Gas PipejAt • _^i it _ '; i? ` _ i -:: ,t 36. Hoodror,CanoPY 37. Final' Factory F fireplace: 0' .: 38?FinaljPl6mbing- 39. WateService-Final i i '40. Gas Service-Final 41. Solar; Domestic-Final 1 I 42. Backflow Preventei 43. Backflow Ir'rigatio'n 44. Landscape Irrigation SYstem' , 45. Sound ;Attenuation :1' < 46. Handicap Regulations', 47. FINAL STRUCTU,REI& BUILDING,1 48. Special Requirements Completed 49. Electric,Release to. Edison 50. Gas Releaseito Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY t_ I .t ' _. No �, Date {. (714) 754-5273 • Fax (714) 754-4856 • www.d.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 SIGN PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED, Suite: N002 Applied: 08/17/2006 Vicinity: Issued: 08/17/2006 Parcel Nunmber: 13966202 Zoning: PDI PDI Applicant: LINDA SMITH ISSUED BY: c�J Address: Phone: 714-761-8200 Zip: Owner: RUSS, JERALD R TR Address 143 CALLE CUERVO Phone: SAN CLEMENTE, CA Zip: 92672-2429 Contractor: SIGNS AND SERVICES "Address: 10980 BOATMAN AVE Phone:, 714-761-8200 , STANTON, CA Zip: 90680 Licenser 624675 . Arch / Eng : ' _ I _ Address: _ - - Phone: .. Zip: License: SCOPE OF PERMIT T CHANNEL, NON -ILLUMINATED LETTERS AND LOGO FOR "LINDORA" 70.5 SQ. FT. UNIT N002. _ .. FEE SUMMARY. - Plan Check: $54.11 Calc Valuation: $2,500.00 $0.00 Permit: $83.25 Claimed Valuation: $2,500.00 SMIP Com: , $0.53 - Other: $0.00 $0.00 Inspection:. $0.00 $0.00 $0.00 Total: $137:89 J PLANNING.& ZONING 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 (8/00) WORKERS' COMPENSATION�DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the ork for which this permit is issued. 1I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workera4to a sation��Innsu'7rance rder and policy number are: /� /•� crae—i . "Yy�� (�� —Po`li-_c-y-^N�^umDer,- 6Je0 1 Z 49 — �(C� (ThissecNon n not be completed it the permit is valued at one hundred dollars ($100) or less.) LP--" ❑ 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 shout tl bac tasaDjact to the workers' compensation provisions of Section < 00 of th Labor Code, I shall forthwith comply with these provisio / PpkcantSignature: WARNING:.FMCURE TO SECU ORK 9 COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES ND CML FINES UP TO ONE HUNDRED THOUSAND DOLIARE ($100, IN ADDITION TO THE OOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LADD CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby.affinn.that Lam.licensed under provisions f ter 9 (commencing with Section 7000) of Division 3 of the.Busirlass and Professions Code, and my license is in full -forec andeffect. Lic, Classjlr r contractors Signature: f �pgte: JS CONSTRUCTION LEN AG AGENCY: ❑ 1 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: 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, prior 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 tot the alleged exemption. Any violation of Section 7031.5 by any applicant for a pernit 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 (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. It, 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.). ❑ 1, as owner of the.proporty, 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): 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: Division of Industrial Safety Permit 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 form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Salary 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 of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will the applicant 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 an RMPP is presently required, has Section 25534 of the California Health and Safety Code been rutty complied with? ❑Ves ❑ No ...................as............................................................................................. ildi.....................an--t-.....................................................................................................is.-a.....lic.-tio....................................................................................diff............... 5 Does of will the applicant u present or future building occupant require for the work which Is she subject c This a plication e8p No for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? � yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building pernits). ....................................... ...................................................................................................... .............................................................................. .............................................................. ................... -............ ........................................ ....................... ... 6 Will any part of the facility to be constructed under this permit 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). ......................................................................................................alit......................................is-i.....................................-olf....................troll-dii-st.................................................ed...................................................................je-c.................... 7 If a permit from the South Coast Air Ouelity Management District or other air pollution control district or agency is requiretl for the work which is the sublect Of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ........................................................................................................................ .................... ...... .................. ......... _._........................... ...._..................................................._.....-............................. ..........................._..........................................._..... 8 (It "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: Dale: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the intonation 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. Signature Of g Owner to And/Aushoriz Dlicant�- � 'D le- tel._ CODE/. EINTJ96S CODE! INSPECTION TYPEPAM 1f�6$ 1616 Fixed s final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical - 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place ., 220 Final Planning Approval 203 Final Sign S 2 O 222 Final Site 204 .Final Demolition 250 Final Building/Occupancy CADILLAC AVINUE 3505 Unit P-1 Lot 32 - B-2295- i1j,162._ Cann. Bldg. 86,025. Unit P-1 P-2406- P1j3G.(B-2295) E-2662- ELDC• (12295) Unit P-1 P'r3771-gf,�f�P},. (B-2295) _ Unit P-1 E-4778- Pe -O ELEC•(Workwith/B-;t"1a _ / Unit P-101 E=4779- llff&/ 3 �• (Vbrrkwith/B-.L9Y.) B-4835- Inter. Alter. 15,078 Unit P-11�0j11 1.14872- 1011glp-rte• (B-4835) Unit P-1 E-4910- p/16/dY EIM- (B-4835) ., Unit P-101 E-9931 TEMP. WORK WITH (P-101 & P-102) _ BE140W (je�jMISC $29,750. /acs) PC 375-84A El Oq WORKWITH _ -e�Y _v ._ _E14556 mss BE14029 -P14122 �� WPR CIST/LAV -io BE14029 4694 NIE'PERS —BE16721 TEN IMP $8,400 - A311,5- PC80184A P201 m —M16781 DUCT . i�o�8f P201 m — &•E17704 3-- INT ALT $11,000 .. PC10785A P101 a CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT i PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 i 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: P Applied: 06/11/1999 Vicinity: BLDG. P Issued: 06/11/1999 Parcel Nunmber. 13966125 Zoning: ISSUED BY: Applicant: SANDOVAL, CHARLES Address: 01101 E CHESTNUT -1 Phone 714-981-4622 SANTA ANA CA'/ -- Zip: 92701 _ Owner: CAMBRIDGE PARK -ASSN Address °/0'DONNELL ARMSTRONG �rrIRVINE CAHome: X2201 DUPONTDR #100 Zip: 92612 Contractor. �EVANS.ROOFING COMPANY INC rr, iii/i !i At � A/ clress: 01101.�HESTNUT�Phone,;. 714-9814622JSANTA-ANACA7f � rt t �'�� ,vA�� Zip 9270License '610549 Arch , l/"= - Pr' , -,' ".' i Eng. , •A", I jAddress._` t / i��- 'y + >{> _. n r''� Address,, r �� /Phone: ,� �'� Phone ��.� Zip t�+%i I� ! V" License: Zip: -, License: SCOPE OF PERMIT j TEAR OFF & REROOF WITH HOT MOP -BASE PLY & CA PSHEET(300 SQ): ALL OF BLDG P FEE SUMMARY /'' �1 Plan Check $0.00 4 Aft Calc Valuation $ss,0oo;00} J`:n -- r i L Permit: $612.25 _ _ _ _Claim Valuation $56,000,66, ` SMIP Res,' f: $0.00 — .�� SMIP Com '" ". $11.76 /`I ), �� 1 'Other V $0.00 _ t' '.n/, vInspection \`�'yv$0.00 f \c - _Total, $624:01 /1- SETBACKS -\,: MAIN STRUCTURE, Front 6-'0 <, ',-,Re 'L0,0 - "Left 0 0 = ` %Right `0 0„ ACCESSORY Front 0--0� �' Rear �0-0 Left0-0 - Right , o -o PARKING Existing =0. -Required. o Proposed: o , NOTES: + i Al 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 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:,- ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' have and will maintain workers' compensation insurance, as required by action 3700 the Labor Code, for the performance of the work for which this permit is iy5.ued. My orkers' co wmp n 0 V ! ' natio In uranc i er a policy number are: i (- 1+ Carrier:, ��t-H� RDNumber.'- -le 1 I IIcy !s se'fich nevi fed a lied a 1e com 1eted!/ the permit Is vel at one hun red dol is ($10 or ss.)- ❑ 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 Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that am titans d un er rovislons p spier 9 (commencing with Sa 'on 7000) of Division t.the_Business and Pr ssi Code, and my license is in full force and effect. ici# = - Class:n- °Contmetors,Signature: Date:-- - - 44 CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this pernit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: 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, prior 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).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors Ucense 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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: Division of Industrial Safety Permit 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 Form 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 of compressed gas at standard temperature and pressure). 3 Does or will the applicant 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 an RMPP is presently required, hes 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 aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 8 No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any pen of the facility to be constructed under this Permit 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 If a permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (if 'yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I ceraty 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: CERTIFT TE OF CO PLIANCE AND AllTyl� RIZATION OF ENTRY: I certify der penalty at perjury that I have read this application and state that the information given is cor t I a ree to c ply with all state s nd city ordinances relating to u ding construction, and authorize representatives of the City of Costa Mesa to enter upon the a ve Jn Gdbbed pr rty for Inspection�� es 1 agree t to occupy r to occupancy of any building authorized py this pe m i until fipai{nspdgtion. (/Signature Of Legal Ownerar n Date if : _ _.. - AndlOr Authorized Applicant r y-..,;: cam' -wDate- N CODE t. INSPECTION TYPE DAB INim9CODEINSPECTIONTYPE PATE INITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final q 208 Final Plumbing 200 Final Re -Roof 6 210 Final Electrical 201 Final Block/Retaining Well N 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/Occupancy 2446-46 APPUCant to fill In au spaces within heavy homer fines and sign all • CITY OF COSTA MESA - I PregrYl�T NO CONSTRUCTION PERMIT �V/ („t TRACT NO. LOT NO. BLDG. ND. rKet-1 se P I TYPE OF CONSTRUCTION NEW ❑ Ape - 71 ALTERATION ❑ REPAIR O CONVERSION D.OEMOLISH ❑OTHER - ' -- - - .. ., - ZONING REGI{LNTIOI�SI Project Address SSW ` . r OwnM f -a. -a. .B�-:'''� "�s, P�F'one - p`• f t Address {ya - yr'-yip--.eyFya� ArcNEng. -� Licenu No. OESCRIPTIONOF WORK - TYPE OF PERMIT; - - '-' "' �GRApING ❑ FOUNDATION ❑STRUUCCTURAL- - OTENANT-O ELECTRICAL (]PLVMBING ey MECHgNIC t. n. 0OTHER PROJECT Dp55CRIPTION _ .SO_ - �• -" - 1 - 01 _ rOCCUPgNCY CONSTRUCTION TYPE te_ VALUATION _ ZONE ". A.R.- -20NE' "" - -' PLNTGp. RppEFL-pp; - - - E BUILDING- Pfl!]PEIRTVNLI N E - -TARO If _ SIIp HYq' R G T - - - - - - REAR YARD (TO PIU ____ -1 PKG. SPACE RED. PROVIDED STREETWIDTH '- PARK FEE;3 '20NING"APPROV ED BY 'GATE - .. 1 Add/p5e i'. IpLI A G. CoMmdar Phone AOdrtl§ -' - - LICENSED CONTRACTORDECLARATION- I hereby BIbm reel I am 11 5 o tl Provisions OI Charter 9 (C Ing with section 000)- DI I I 3 t Bualness d as Ions Codd, a my fl full f a ! t _ Gae6 - s -e L1.. N � Datase Data - - - ATIONhannature WORKERS'COMPENSPTION DECLARATION II hereby affirm that 1 M1aw a certificate Of conseno 1 a%II-Inf urBwr i ¢ertHicale of Workers' CompenLOOn Insurance, tlflea pY 'hereof(( 3@ 1 _ X01 �A_- 0 ICO W tier Non�.Cohed.- - GRADING CU VO5 ACRES- ---- - SPECIgL CONOIT10N5-' _•. -. i C¢ItllleU woY ls'n818aY furnished.- 0 - .. .. -_ $.CrHUIe0 COPY Is flied with to G[Y Building O' 1 IEXEMPTION FROM "WORKERS' "COMPENSATION DECLARATION(This REMARKS, section need not be comp) tee if the diverfatuforonal.mummilds '{ssce°rt1f-or hall a in the mytorm it ! the- k + Which this Per, t i e I shag -not employ any Person In anyerhe us t0 become SUOIBtl l0 the WOrkOM1' Compo BIIOn Vwa of GI f - Date ( Signature - 1 f PLUMBING s'JPLwrv'CHE[K -,ELECTRICAL- - 1i [HECK. - - -BATHTUBS -- - SHOWERS - ET - ,NOTICE! If aster making this eealeratlon, P should become subject to the Worker Compensation pmvl5bm X. - Lth r COaO, you muff fOitM1WI to COMOI Y WIID such days OM or lhls p¢rml[fM1all be deemetl TOILETS . „VaINACS --- LAVATORIES C 000SLE LAVE-'- -- GENERATOR - TRANSFORMER 1APPLIANCE '10450 0-FKWy HIO'KW '-- KWs5P;:KW - - YOk(d._-_ : AGENCY - CONSTRUCTION LENDING .1 hereby affirm that them is a constrri landing agency for the Our fOrmanCe 01 ine work lOr wNch lnls permit 1 Issued (Section 3097 -KITSINKS DISHWASHERS- - .- -- WASHERS - SERVICE SINKS, - -SUMPS- - - MOTO RE-- j ---4(INC..SDL.AR) .1050 0-t He 1.10 HE - - H4 50-t HP �• - j FLOOR SINKS- - -FLOOR DRAINS--- FIXTURES • - OUTLETS'" SWITCHES - - ICI¢ CJ' "- 1 �. -$ -, -'- - Lender's Name _ ILender5 gedress- OWNER BUILDERDECLARATION'- 0. I lerebyy !firm that I am exempt from rho Contra f License LlW ! r the -al owing -reason (Settled 7031,5 Business d Professions Cede. r mit t0 Construct, ILA Improve. dentIhh Y01 YeStructure.Prior LO issuance also re- he apkll t ! b pe t t fir signed statement that he PRINKING -FOUNTAINS I- -" '-"'1'- - GAS TUBE -SIGNS -- • INTERCEPTORS "- - CLARIFIERS - 1POLE'LIOHTS' SWIMMING POOL - - PTIRAP -COME. KUL I. UIN - 'POLES _"METERED SVEI WATER SERVICE ALTERATION '- *PANELS--- 'MAIN- sue I -GAS"SERVICE-- OUTLETS _ _ SERVICE 1 - - AMP - quires pursuant' to the provisions of tMContfaptor's License -Law ,Ch Pt 9 (commencing with Sai )000) 1 Division 3 Of the q� j and RoOddions Code) or Hearne is exemO t therefrom and the }, J} for a dian exam p - n Any Wall of SiOlon 7031.5 by OR,-, aPPliunt for OBlmil then. Meets the applicant to a civil Penalty 'rf *tot more Man bw M1untlrm dollars (E500). WATER HEATERS BTU OUTPUT _ SEWER 'CONNECTIONS - t u -=`v- } - - - I 'Q I, as -owner -of the'Prodarty. Or my employees with wage. a5'Upk sole compensation,will on the work, and rho Structure k; not Intended or Offered for difle..(SeCtIon7044,Businessand Rf io Codm The CO t [ U La a [ pally [ n f y rerty h b Ie O - Proves thereo and who does s llLM1work hlrrlself -SOCAR'TANK - - COL LECTORS _ " SOLAR PIPING SVS.` - - - - -' - - - - - - -- - - - - ISSUE FEE - - - �!APPLICATION -� - ISSUE FEE "'�" �� �" - -APPROVED BG - -pgTE --- or h gq O O exact, divided that such Improvements are t -intended -offered to Ie It, however the bulla ny improvement - lewithin One year of Corr the own[ [twill nava the a seen Of Proving M1e aid [ build Improve for purpose le) :El. i, - when of the ofcoartY aro x[luit I t 1 g nM1 :licensed contractors to construct the project (Section 7044 Business and Pml6nons COtleo Ttle CDmnC[or 6 Cleanse -La tl Ol pOIY t0. an owner of properly Who Spits Or Improves thereon, and who con Iraets4f Am. such ooleda.with a conirOCtOnd IlCesnea purmant-to • - the Contra loot Li Las _ _ _ MECHANICAL PLAN CHECK -, HEATING SYSTEM 0-100,000 BTU AND DUCTING - - __ 100,000'; BTU REFRIGERATION Od00.000 BTU -SYSTEM - - 100,000 4 BTU { - I -. __ yam.- - -'I - �- -��-' ' SUMMARY OF FEES r•rs BUILDING IPERMIT E SMTP ,PLAN CHECK E ,PERMIT ISSUANCE E iPLUMBING 11 GRADING__§ PLAN CHECK E _ --- - .. - O'lamaxe of er eRlon -' - B.6 P.pbr ihl5 ......r BOILERS -� - BTII- SYSTEM REPAIR,ALTERATION EXHAUSTSYSTEM MULTIPLE. In M ISSUE FEE .. e '- - D ELECTRICAL "E PLAN CHECK E MECHANICAL Ei/= PLAN CHECK § - - .. "- - § _ MICROFILMS - -J��� TOTAL FEE b' _ - - ,. LESS wO-'' •. -VANCEPC '$_- - - FINAL FEE §J -F - Data I hereby Ce Ilha Nat thl text on and state that in* above Inlorma" r retl. area 10 OmPly with an city -and county Drain .eta 'awe t leebpn, ane fierce mem°on:e icor chid* of Ms 1 cutis pS Spon me-ebo mmdet Sign al uy t 'nip 1 S G11 Oriwr r or SS -O` CMF 0SSbvv,saLla'Bulldkg; Canarit-APPlltani Pink-ACMUnting: GPIdenred-Aea r CONSTRUCTION AND PLANNINGPOOL / APPROVALS Permit #-39'/ Date - . - - & SPA Inspector APPROVALS Permit # Date, Inspector 1. _ Temporary Electrical Service or Pole _ 43. Pool &Equipment Location _ 2. SodPipe-Undrgrn - 44- Steel Reinforcement - - -3.. Electrical Conduit Utility-Undrgrn- - 45. Forms .4. .Electrical Conduit-Undrgrn 46. Electrical Bonding - - -- Stpel Reintotce 47. Rough Plumbing & Pressure Test .6. Electrical USER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn� - -8. Foundation 50. Gas Pipe, ❑ Undr rn, Test ' 9. . Water Pipe-Undrgrn _ _ - - 51 . Backwash Lines -Tra ' Elndr rn - - 10. Structural Floor System 52. APPROVAL TO DECK 11.. _Property Sewer Line & House Connection _ - 53. Backwash & Receptor -Final 12. Street Sewer Connection " " - -- - 54. Heater & Vent -Final 13. .Rough Plumbing - - 14. Rough Electric -Conduit - - - 56.- Electrical -Final - 15. Rough Electric -Wiring 57. Solar System -Final -' 16. Rough Heating & Air Conditioning - - - -58. Fencing & Access Approval - 17. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. ' 20. Ducts, Ventilating Gas Pipe -Rough & Test - Roof Framing - - _ 60. - _ - _- POOL/SPA SYSTEMS FINAL - - 21. 22. Roof'Sheathin Frame and Flashing - - - NOTES: 23. Insulation - - - 24. Lathing & Siding - - - - - - 25. Drywall Nailing 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final - - 28. Final Electric 29. Final Heating & Air Conditioning - - - - 30. Final Gas Pipe -Test - • 31. -Final Plumbing - - 32. Water Service -Final - - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - - - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Appliesm to Bu In HI space$ Within heavy barker bass and Sign a . CITYOF COSTA MESA•' PEBMIT NO. ipgCT ND. L TNG. DG. NG. - -- - - 7818 -9/17/82 196.•26 CONSTRUCTION PERMIT UY CF� p Z -IOl TYPE OF CONST UCTION �; ❑NEWADD ❑ ALTERATION 0REPAIR CQSONVERSION ODEMOLISH ©'OTHER I t- �♦. Y p - _ ~• ., •-y .;'od - -_ ZONING REGULATIONS- - Project Address .'- OWO n91$Q� Addre65 ffiQffi�c - -Arch/E: nit License NO- DESC RIPTION OF WORK "e'P'M - AEEr6 - '•'116hisJ 1 -�]y�y ZONE ,PLNG.REF.to- - Contncl •. • ".T PM1 _TYPE OF ERMIT' .• - r - . - ❑GRAO11 1 0 FOUNOATION XSTRUOTURAL - I]'TENANT-CELECTRICAL CPLUMBING CMECHNIC T A ISSE7 CKC . aO BUILDIrvG __ _ ROFERTV LINE T - - 'Addres4 ♦[. '-3. ' .'�' �' LICENSED CONTRACTOR- CL RATION_ 'I M1CRby Affirmthat I em formed • 151 f CM1 t r 9 Cy - g110XT ' creeping with section 70001 I zO I51 3 of lbe nminns d ❑OTHER Pr 1 SSIOn3 Code. - 0 y 3 In f forte a tl ffid REARYARD(TOP/LI _ Se - PROJECT DESCRIPTION - -"--- _ $O. FT ;PKG. SPACE REG '. PROVIDED - DfSl9nalu WIDTH _ _ PARK FEET WORKERSCCm RA ON OCCUPAN CONSTRVCTION TYPE that I have hereby atrium llyat 1 M1aVe a cerlllc en [ I 11�--�rl� VALUATI ZONE �� ---' IZONEET 120NING APPROVED BV OATE WIIII [Iflgte OI Workers COmpenpllon SurdnU. Or a-e6rtllletl OY OI 11 Ia O lY If �rls�l� No� L ���^3 GRADING CV YOS ACRES - SPECIA L'CON01710 S 0 Cr hof ed. I CCert111ed.COPy 1s X<rtby ur Iided.- REMARKS: L - - -f• [E{y Cert111M copy Is illed with the City Building Division. EXEMPTION FROM WORKERS COMPENSATION DECLARATION (This section d - I b 'died 1 po'bOrm t Is for one hundred '1 iI'+ or 100 I IY sM1al th 'pe 1 1 M k f which thisce It Is d• 1 hall [ any Son In any m to.become _ -PLUMBING '3" PLAN CHECK IELEGTR ICAC - IN CHECK - - Sepiaclt0111 WorkersCompo11ion Laws Of 011t rnla. - - BATHTUBS' - SHOWERS- '" - - - -- - 'Dale slenatu.e NOTICE: If after making this declaration. YOU should become Subject TOILETS. . ♦ys -URINALS' - -"'GENERATOR 0-1 KW_� 1'-IOjKW— - - lo the Workers' Compensation provisions of the Labor Code, yau'muSl TRANSFORMER r ,forthwith Comply with such provisions Or the Permit Shall be decimal LAVATORIES DOUBLE LAVE 1--- :APPLIANCE - ' IO -50 KWy SDS -KW. - - - ked. '-KIT.SINKS '--"DISHWASHERS -'� MOTORS- -"-- 0 -2 -HP A 10HP - - LENDING AGENCY •CONSTRUCTION IherebyaffrmthalNere isa con5truCtiOn lending agency for the-derSERVICE SINKS v5VMP5" - - iONC..SOL RI .103o HP_50, HP -- for ance oM1 thek IOr h Int .Permit ISlxyu mw ti 3097 - udk(Sec[lOn - .. �J�/.t•-�'-.�/� FLOGRSINKS� "-FLOOR DRAINS - .� .� FIXTURES �'-�OVTLETS- —SWITCHES - Lender's Addrpl DRINKING.FOUNTAINS"-If GAS TUBE SIGNS - --'------ ,OWNER'BUILOER CECLAflAT10N i -INTER CEPTORS �• -CLARIFIERS;'-' POLE LIGHTS - -- - .PMsab aOi IhSLId P[Iram the LOOfNI 1, License L for following Business - d h 1 I - .Me, re ($ectlbn 7031.5 Coda gnY•.my eon I SWIMMING POOL -' PTRAP -ice -� �� - -1 -' 'POLES - - - - METE0.E' Sl1B - rmulrer a permt unty-wnlcM1 Construct. alter,-. ImPlow;d¢mmKh-or-repair a'nyStructure. prior to its-Iuuante. al50 rO- a wATER'SERVICE- gLTERATION-'- ''PANELS "---MAIN' SVS- - -- CWre3ln¢ ap411Um for such Permit to fly a Signed statement that LO.. 1 _ +- is-licensed-Punuanl-Iothe woudsionsof thGCOntractor's License law OAS SERVICE _OUTLETS-""-' - --- -SERVICE ------------ --AMP- - - --- - - IChapter 9 [Commencing With Sectionj70o0). Of Division 3 of -the WATER HEATERS '' `BTU OUTPUT - - - _ - -- - _BY In¢Wand-ROSCSsiOR Code) Or thei is exempt therefrom and the 'asls for the alleged emanation. Any initiation of Section ]031.5 by SEW E R' CONNECTION$ -' "'-• - -- - ntfar to a ClWh penellY Y-ep011ot o than IlvCedYslldrp EOIIdN ($5001,scan[ -1; AS -owner of the property, or mY employees wilYweges as their SOLARTANK "' - COLLECTORS -- -• - - -- - 'sets compensation, will do the Work, and the structure Is not Intended ; or here l for ale.'14ctfan ]0440 Bu51he1S and hOfeisl ons Cotle; The SOLAR PIPING SYS. I 155UEFEE'- Contractor'sa Law doeson. ldom-San lImproves - ISSUE FEE -"' - S' - ----- - - - - jAPPLICATION APPROVED BY '•-DATE and whoply thereense EUllds or uCh¢work hf imself or through his - y provided 1 I h 1 p t not th 'building Improvement - _ - ^ I t d d r 11 ed Sale. if K e is Id bar f m II n theburden MECHANICAL PLAN CHECK - SUMMARY OF FEES - - - y completion. 'not Of proving hdid build or Inducedfor lh p POs' of Iq. HEATING SYSTEM OJD0.000 BTU pERMRTNG- 01 w theh petY m - 1 ly-COOtracunp with _ AND -DUCTING --' - l -' - - - {-./�L'%y 5M1 '..— Located Contractors i construct to Project (Section 7040 Business IOO,OOo PLAN CHECK { 7-C. 72 PERMIT. OOPIOfeSS1OmCOduTbe'Cpl [ L Bn5 LdwdcwnolapplYto-an y�BTU If ISSUANCE IS1 owner of property who builds Or languages thereon, and who Coo- REFRIGERATION 0-100.000 BT.0 "m I7,- PLUMBING { I` acts from -Sue: protects Ilh a_contsactorts)-licesned. pursuanttoSYSTEM �_ - -_ { _ -GRADING_{ ` the Contract o LlUnee W. IODio00 i Btu - PLAN CHECK S - f ❑ am exeml�[un eclion '-' B.6'P C rOrthis' - --- - - - - BOILERS BTU ELECTRICAL S !Eason 1 - SYSTEM REPAIR, ALTERATION 'PLAN CHECK _ - { MICROFILM E _ Pale. r _ - TOTAL FEE E' I M1ereby certiy[ Ilh eatl Ii0? kation and Slate that the above pm EXHAUST SYSTEM MULTIPLE 1 (MECHANICAL _ _ {- -- AD - Information [ rect. 1 o ly lth"all Ity and -county ria ,PLAN CHECK �{ - "VANCEPL EC ^I - - ordinancesand to mnshernan,.ntl here. oumadaa rty¢ .. - 190rB5enta Ns a lG(�pOn"tM1e above- mention 8tl-//' ♦3.G8 prod. r (nip_ to .C`.. Sign Y e I FINAL FEE 3 .mrs _ g - - _... _ IssDE FEE-. '. y CMF 086546 White -Building; CanarY-APPIkOnq rink -Accounting; Goldenrod-Asessor CONSTRUCTION AND PLANNIN APPROVALS Permit # p Date Inspector POOL & SPA APPROVALS Permit # - _• _ ; . Date -Inspector 1. Temporary Electrical Service or Pole_ 43. ,Pool &Equipment Location- 2.. SoilPipe-Undrgrn _ 44. Steel Reinforcement - - -- - - - 3. Electrical Conduit Utility-Undrgrn . 45. Forms - - - - •- - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding.- - - - - --- - 5. Steel ein orce 47. Rough Plumbing & Pressure Test - - - - - 6. .Electrical LIFER Grn -" -- 48. APPROVAL TO COVER-GUNITE-7. _Footings _ _ _ _ 49. Electrical Conduit-Undr rn- • 8. _ Foundation '. i 50., r Gas Pipe, 0 Undr in, Test 9. Water -.Pipe-Undrgrn 51. Backwash Lines, P-Trap, El FW rn - -` -- 10.-.Structural Floor.System.. f _ _ • 52.. APPROVAL TO DECK - "- --7. ' 11_ -Property Sewer_Line & House -Connection. __ _. .53. Backwash & Receptor-Final 12. .Street Sewer Connection _ - - -- 54. Heater & Vent-Final . '• 13. Rough Plumbing__ _ _ _ _ _ _ - - - 14. Rough Electric-Conduit -- ' 56. Electrical-Final - •' ' 15. Rough Electric-Wiring - " - -- 57. -Solar System-Final -16. - Rough Heating & Air-Conditioning - - _ encing & Access. Approval - 17. - -Ducts, in Structure 9. APPROVED FOR PLASTERING - 18: Ducts, Ventilating " 60....POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test _ _ 20:- •Roof Framing 21. Roof Sheathing - - - �. ._ . _- -_. NOTES: _ . f ... . • ,., . U/• 22: Frame and-Flashing - - - - 23: Insulation - - ---9v-gn - - -�7_ _71 24. Lathing& Siding - - - - - - 25: Drywall Nailing - - /t-/figx _ _3p� 26. - Plaster Brown Coat - - m 27. Electrical Power Meter-Final 28. Final'Electric 29. Final Heating & Air Conditioning- 30. Final Gas Pipe-Test- ' 31. Final'Plumbing +- - 32.- Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final Y- " 35. Landsca e Sprinklin2 System - i 36. Sound Attenuation ' 37. Handicap Regulations4 ' 38. FINAL STRUCTURE&BUILDING _/ 39. Special Requirements Completed -- ' 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. - . 42. CERTIFICATE OF OCCUPANCY '-No Date - - 4� Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE�OAIT - TRACT NO. LOT NO. a�BLD - • - - AJC 1 ^/ I I / r CONSTRUCTION PERMIT Project Address—zfb hog I Applicant's Mailing /,�,ddreu I ' Owner's Name 1 I] ff#JjX' Phone 15 Address Arch/Eng. License Address Contractor's Nam "' Phone Address (mailing) City License No3 ab . CENSED CONTRACTOR DECLARATION I hereby affirm that t am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Cotle, and my Iicense.is in full f ge and effect. License Class 1 License No.i ( s v Date Signature '_WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -Insure or a certificate r of -Workers' Compensation Insurance, or a certified, copy thereof (Section - 3800, Lab. C.) - Policy No. Company eCertified copy Is hereby furnished. _ Certified copy Is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION r (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 thi permit Is Issued I shall not em goy any person In any manner so as o b me subject to the Workers' Ion Laws of Calif ornla. Data Signature NOTICE: 1, fter making this declaration, Y should b come subJect to the .Workers' Compensationprovisions 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'constru6tion lending agency for theperformance I o1 the -work for which this permit -is Issued -..(Section 3087, Civ: C.)' Lender's Nam. Lender's Address ' OWNER BUILDER DECLARATION I hereby, affirm that I am exompf from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional' Code: Anv city or •efrom and the basis for the alleged exemption. Any violation of 11.5 by any applicant for, a. permit subjects Are -applicant to ally of not more than five hundred dollars ($500). 1,as owner of the property or my employees with wages, as ti, ensation, will do the work, and the structure is not Intended or employyees, provided trial such improvements are not Intended or otterea for sale. II, however, the building or Improvement is sold within one year of com- pletlon, the owner will have -the burden of proving he/she did not build or im- 1 ve for the•purpose of sale). as owner of the property, am exclusively contracting with licensed con. raroclors to construct the project (Section 7044, BusiOess and Professions Code: bullas or Improves thereon,, and who cont ct for ucn projects wltb a con- tractors) license pursuant to the Co for s Icon Law). 0'1 am exempt ,un der Section _ B. & P. C. for this reason Date 6L1�!J LI Own- -_— repre- y for TYPE OF CONSTRUCTION LJ NEW ADD LJ ALTERATION LJ REPAIR ' ❑ CONVERSION ❑ DEMOLJSH �LJ HER DES RIPTION OF �� /�� O N A' �s����!�e 49 N Application Issued By TYPE OF PERMIT' 'GRADING FOUNDATION STRUCTURAL I1}{^, ❑ TENANT ,c�P LECTRICAL 0 PLUMBING ❑ MECHANICAL ❑ BOTHER SMTP $ ' PLAN CHECK PROJECT DESCRIPTION SO. FT. 'OCCUP. CONSTRUCTION TYPE VALUATION$ ZONE GRAOINGCU.YOS. A( Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Drains' Floor Sinks ' Gas Service Outlets Interceptors - Kitchen Sink Lavatories - P—Trap, Roof Drains t _ Reinspection. Fee S25 Sewer Cap Sewer Connection Solar Collectors Solar Piping - Solar Tank t Swimming Pool w/Spa Urinal Water Heater ,Water Service I i Issue Fee Boiler ' I - Hood or Type I ❑ Duct - Under Ground Canopy Type II ❑ Duct - Structural Refrigeration System Duct -Ventilating ❑0.100,000BTU ❑100,000BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration - Firepl/Fact. Bit. ICBG # Heating System & Ducting ❑ o. 100,000 BTU ❑ 100,000 BT Signature\ I 11.y V Date 1p,fj l Drivers' License or SS%l Reinspection Fee $25 Issue Fee CMF 0665-46 rev. 7/83 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -'Assessor - - - $ 3 $ 3 A.P. # S. Main Building E T Front B Rear A C Right K Left Ping. Ref. $ Parking Req./Prot Use of Building: Planning Notes: Automatic Washer Construction Pole St Cooking Unit Dishwasher Dryers ❑Gas OEI Fan-- F.A.U. Fixtures Device Boxes bWllcnes Garbage Disposal Generator 00.5 KW v._ _ t.. Zone - Accessory Building: Zoning Approved By Z Date O N N Application Issued By G 1.I Dat. ,L7 fZ S I • I R E Park.Fees $ B UILDING PERMIT Q U SMTP $ ' PLAN CHECK $ PERMIT R E , I $ M E $ CHECK. ' N ELECTRICAL T S ,FEES Transformer ❑ 15-50 KW I ❑ 50 + KW i ' Meter -❑up to 100 amps -' PLAN CHECKl Meter El over 100 amps MICROFILM Ic Sub Panel MECHANICAL _ Motors 0&1 HP C11 Y,-8 TOTALFEE *Inc. Solar ❑9-15 HP El 16-15+ ' - 'Microwave Pole Light Range • , Sign ' ' Standing Sections i-15 KW Trash Compactor I . I Reinspection Fee ' 11 $251 Issue Fee ' 1 $ 3 Iw I PUBLIC SERVICES REQUIREMENTS: - Zoning Approved By Date Application Approved By Date Application Issued By Dat. ,L7 fZ S I • I ,SUMMARY OF FEES B UILDING PERMIT -$ SMTP $ ' PLAN CHECK $ PERMIT PLUMBING % $ ISSUANCE $ CHECK. ' $1 ENERGY P.C. $ ,PLAN /•, ELECTRICAL $ .� .OU GRADING $ PLAN CHECKl $ MICROFILM $ MECHANICAL $ TOTALFEE p ' $ �9, OJ PLAN CHECK $ CONSTRUCTION AND PLANNING APPROVALS Permit # ' Date Inspector - POO. ;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 .r - 56. Rough Plumbing & Pressure Test t' - 6-`bectrical UFER Grnd v 57. APPROVAL TO COVER-GUNITE 7. Fpotings �1 58. Electrical Conduit-Undrgrnd. �. 8. Foundation ': �� 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 11r. Property Sewer Line & House Connection t 62. Backwash & Receptor -Final 12..SeweF.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 Faciory Fireplace 21. Ducts"in Structure 70. Underground Hydro 22. Ducts, -Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof. Framing 73. 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 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 1 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. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date , Real ca in to fill In ay spaces within heavy border lines and sign all 1 CITY OF COSTA MESA PE ITNTRACT NO. LOT NO. BLD . NO. pL�q - 1003 I/20/B2 CONSTRUCTION PERMIT Q% „a T PE OF CONSTRUCTION /0j,'NEW ❑ ADD - O ALTERATION L REPAIR O CONVERSION []DEMOLISH /,3p?a/p/fat :15.00 weleci Address OWnef Phor Atl / OTHER I ZONING,REGULATIONS . ArcM1 EDB.- "' License No: i DESCRIPTION OF WORK 'A.P. T _ _ E iZONE " 'PLNGO. RgpF. TYPE OF PERMIT. - GRADING' El FOUNDATIIIONN ❑'STRUCTURAL ❑.TENANT ❑ ELECTRICAL/CIYLUMBING - 'stTE T. ARO - -- OMECHANIC pjFrCC�Nn- FOPERTY LINE. AEOre55 wwr13 LICEN$ CONTRACTOR CLARATION - - by affirm that I am licensed under PayIslons of Cnarler 9 (com- - ID - IGHT Mher of with Ilan- 1000) f 'Division 3 Of the Buslne5s 0 ❑ OTHER - REAR YARD{TOP/y wait loaf CopO IIGI6 IS In IYII Tare 0 if 1. .PROJECT DESCRIPTION_ - - .�--� Ud 1, }Itt�r Np _ SG FT. - -. 'OCCUPANCY • CONSTRUCTION TYPE - '""' --"- ,Pi SPACE REO-- _ STREET WIDTH -PROVIDED." - _ _ _ PARK EE F,3ti f�� pab��nalbre C.//CIA-w.��' WORKERS' COMPENSATION DECLARATION _ I hereby alfirm that l haw a drUbGb of consent tpulfi 5 O VALUATION ZONE ' ZONING APPROVED. BY,- DATE - IOOG 'uNfluteOf Workers' Compensation iconfine0 GRADINGCU VOS ACRES ". , ,SPECIAL CONDITIONS f flBpc 0 b C1. j �y No Umpan - - *}a Ulletl PY Is . Y GnOtl REMARKS - cenDlea copy Is filed with the city Build iiZy - EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION ITS OCUOo need not be Completed If the permit 15 for one A'I a y 1 -•t R1Y mance rs the work la which thisP 'f 1 Inot Sab t employ person In any tobecomePLUMBING, - - PLAN CHECK'-' " ,ELECTRICAL - PLAN CHECK -- PCompe SYb1eC{ [O lne WOrken Compensation [ion Laws of California. Poo BATHTUBS - SHOWERS - -" � '- FT -- -- Date Signature - NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0.1 NW_S1a[KW - -- to the Workers' Compensation provlSlonS of the Labor Code, you mu5l Ill ORMER - , I forthwith Comply Who such Provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS w -- - - APPLIANCE -1040 KW=50 ✓KW - �_- reversed. "KIT.'SINKS -, DISHWASHERS-- -+- - - - - -- 0� MOTORS0'1'1­111`_I-10 HE ___ CONSTRUCTION LENDING AGENCY "'-� lw Construction pants Issued I yectithe per Indian alit nock for 10rmance OI, In k ler whlch,tNy permpyb ISSUed {5¢dlon�30g7. SERVICE SINKS >.),',� SUMPS- -' - -1NNC..SOLAR) -lObO HP_ 50+HP falv.CI "" - -- FLOOR SINKS —FLOOR DRAINS --=FIXTURES ---CUTLETS _ SWITCHES= _ Lindero Name - _ _ Lini ' }`--N `-<� -ORINKING:FOUNTAIN3 F- GAS TUBE SIGNS OWNER B BUILDER DECLARATION. IINTERCEPTORS 'CLARIFIERS -' �'"'IPOLE'LIGHTS - �------ - - that l aOxeplf tb C I;t L La for Inereby firm m m -(Section 7031.5 ne Rdesslans{doe SWIMMINGPOOL' -�'PTRAP - - - - .POLES METERED -- - the•lollOwing reason Business- Any City o county which requires a permit t0 construct, alter, WATER SERVICE 7 -ALTERATION' -�� PANEL$- -MAIN'- SUB - - - moremoap.11ish Or ma prior to Its Issuance. alsOrre- permitfioantl Statement that M1e the forle S GAS SERVICE " "OUTLETS ,SERVICE- ---� - -- AMP, - - 6'llcons oaWcauses a - proal Sent of to e C on Gd CtorY.cerse wake Caaptes ^ ccommen inq With Section 70001 Or DIVblon 3 f the a p-RdSca Coe) or that he Is exempt lherebom ane the -WATER'HEATERS --- BTU OUTPUT - e of Section 70315 by f Ina II 9 e 1 n Any viole -SEWER p - if 5 the ation Bdfurt [O- Civil penalty cre than fveor d_ m_ a e hu hundred dollars 1f5o0)lunt COBS' it✓ I SOLAR TANK '"-COLLECTOR$-�- L--------- -- ----- ---- - - ---T'- _ eiownerof'tM1¢properly.or my employees with wages a5'thilr Sole compenallion, will d0 the work, and ins Structure is not Intended Or tiered for sale. (Section 7040Buslness and ^ Professions Code: The ISSUE FEE - - - --- - - - u - - Conlractm'soLlcens4 Law apes not to a owner of properly ISSUE FEE" -- "' APPLICATION APPROVED BY- -DATE "apply Who Inputs Improves thereon, and Who COOS Su<tiwoiknl m301fo1' his own ed 0 es that n 1 p i not 'If - 'ant inroughtone offered l I Improvement or Sals.e. ci is h thebuilding g brae MECHANICAL PLHN CHECH I SUMMARY OF FEES - IS sola wean y P -' will Sold within f -n did t b Iltl - f in - f vie) -- - - - - - - - --'iBUILDING - — proving p HEATING SYSTEM 0-100,000 BTU PERMIT - - f S�IP ❑-1 N owner—of -the-moral -1 1yy O Nect eg wNb fconstructth (Seclon 7044 Business 'ONO DUCTING -104000+BTU 1 - 1 '-_• _ :�! _ _ licensed contractors project fie Professions-Com,-TM1 C t [ - LI Law.dCeA not apply to -0LANCHECK E - PERMIT of ISSUq NCE..S pros thereon, and who con air Owner or Who build* or lmw 0000 REFRIGERATION 0-30BTU 1 PLUMBING S Property tatts hOm s Cn prOleeg With ontraClarlsl Ilcee,ea -pursuant to SYSTEM - the ConlradorS License Lal 100,01 BTU PLAN CHECK S - _ - ❑ I-am'ekemp'arral'Socip,' - - 8.6'P.C.fol'IDB BOILERS BTU ELECTRICAL- E reaso SYSTEM REPAIR, ALTERATION 1 I ,PLANCHECK-§tea' I�,-''"'k_ I MICROFILM:E ^ Date Owmr _ MECHANICAL § - TOTAL FEE 8 - If bue rtadi IS opllaNlOn and StatetNtntheaabrow Ifletlby GAi�gr're'd! EXHAUST SYSTEM MULTIPLE ESSAO- InlormallOIsI afire 'foe ply with all'heY C u01y �PLANCHECK § VgNCE PC'§ la S uo, t lion. and heely authorize s 'r v t t pen thea tnee eFINAL , o FEE S. s -ISSUE FEE- _I- _ _ - _ . CMF 086546 White-Building:Canary-Applwmt: Rnk-Accounting; GoldMine-ASStlsor CONSTRUCTIONAND PLANNING APPROVALS Permit # Date - POOL & SPA '• ;; -1 _ Inspector APPROVALS Permit # Date- Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- ocation2. 2. - Soil ipe-Undrgrn � Zf 44. Steel Reinforcement - - - - - - - -- - - -• -- ---- -- - 3.- Electrical Conduit Utility-Undrgrn - 45. Forms - - • -- - 4. Electrical-Conduit.-Undrgrn 46. Electrical Bonding - - - 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. - Electrical_UFER.Grn 48. APPROVAL TO COVER'-GUNITE--• - - - 7- 7. 7. Footings. _ 49. Electrical Conduit-Undr rn 8. -Foundation.. .. 50. Gas Pipe, ❑ Undr rn, Test '• --9. -Water Pipe-Undrgrn51. Backwash Lines P-Trap,0 Uhdir4rn 10. .Structural. Floor System- . _ 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53.- Backwash-& Receptor -Final -12. Street -Sewer .connection_ - - -_ 54.- Heater&Vent-Final . 13... Rough•Plumbing _ _ -55. Plumbino System - Final 14. Rough Electric -Conduit -- --- - -•56:--Electrical-Final--- } - 15. Rough Electric -Wiring -" --- - -' ' 57. Solar System -Final 16. Rough Heating & Air Conditioning- - _- - " - - encing & Access Approval 17. Ducts in Structure- APPROVED'FOR PLASTERING - 18. 19. 20. - Ducts; Ventilating Gas Pipe -Rough & Test Roof Fremirig - 60.. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathin - -- -- Frame and Flashing - - - - - - NOTES: .n 0. -JO.9� 23. Insulation- 24. Lathing-& Siding - - - - - - -- 25. Drywall Nailing -'- 1 26. Plaster -Brown Coat - - -- - f - 1 27. -Electrical Power Meter -Final - - - -' 28. -Final Electric- 29. Final,Heating & Air Conditioning-•- -- - - - - 30. Final Gas Pipe -Test 31, Final Plumbing 32. Water Service -Final - - - - • •-`- - -• ' 33.-. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - - - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed •- - - - 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. —-CERTIFICATE OF OCCUPANCY - No-- Date - - %; Applicant to flit In all spaces within heavy ender Imes and sign all appropriate pethradm[. dITV OF COSTA MESA' PERMrt ND. - T8AC38OO. LOj ND. BLDG. NO. CONSTRUCTION PERMIT as ❑L /0 � TYPE OF CONSTRUCTION itj(NEW El ADD ❑ALTERATION I r 0806 - I/18,0327 1 400,02 Project Address 3505 Cadillac Av ue OwnerQUISMOMUNKEEMMOM Phone _ Address; Ee3Ck1 ❑ REPAIR ❑ CONVERSION ❑DEMOLISH OTHER ZONING REGULATIONS Ar¢niEno- HiMS-Peters - 6lcenx No. 4285 _1 DESCRIPTI F WO g 11Q-Aq1-11 IS; 211 Address 119 E. Alton Santa Ana CA ZONE PLNG. ON REF.$ - Contractor Olt!Ti Construction Phone 576-847 TYPE OF PERMIT.y 1:1 GRADING YJ FOUNDATION STRUCTURAL „ TENANT O ELECTRICAL OPLUMB,NG ❑ME6HPNIC SETBACK LS I YAK ' 51OFRY 9 I plryG OG TY LI e Address PO B= 386 Monter Park, M LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 91Cnm- Inq With SBctloll 7000) of Division 3 1 Ise-Bu5lnesS and ❑OTHER BRIG T P/UV�r AOfeeslom Code, o y lldn" IS In full for" Ra}Ip9flux. PROJECT DESCRIPTION _ _ r REAR YARD ITG ho al Llcons¢CIOSa A Ucense Ne. bj b SO' FT' 4650 OCCUPANCY R­2CON6TRUCTIONTVPE VN VALUATION ZONE PKG. SPACE REq. STREETWIDTH t ZONING APPgOV EO B PROVIDED ii _ PARK FEEf OAT - Date $Igna[ure WORKERS'COMPENSATION DEC LARATION I hereby affirm ve that I haa certificate of Consent to self-In[ne Or a nlll"te Of WOrk¢r5' Compensation InSuran e. or a certified GRADING CU. YDS. ACRES SPECIAL CONDITIONS: thereof (Sacllon 3800, USE. C-)._ - '%11 YNO. kX!8L0OR06-1 Conl - lh-mmnY TieSpre }'Certllledcopy ishereby Immanent. - - REMARKS: b . P,SOLD ,E,4cenln,a copy IS rues wenn the sur Building ONINpn' FOR SPECIAL REOUMMIlMNI ; EXEMPTION WORKERS' COMPENSATION DECLARATION ThIS ead not be ComplOted.11 the permll IS far one hundredsi less.FROM jjSection �fcn �lfy In that the of the. work for which this Permit Is hnued, I Shall note ploy any person In any manner So As to become m PLUMBING PLAN PLUPLAN CHECK ELECTRICAL - PLAN CHECK i blast to the Workers Compensation Lawi oLCalilorma. BATHTUBS SHOWERS Date $Igna[um NOTICE! It after making Ihis declaration, you should become subject TOILETS URINALS GENERATOR a -t KW_ 2-10 KW to the Workers' Compensation provisions of the Lader Code, you must TRANSFORMER Removed Comply With Such provI5100S Or this bei Shall be deemed LAVATORIES DOUBLE LAYS 'APPLIANCE 10.50 KWi 50 ♦ NW yokes. _ KIT. SINKS DISHWASHERS < MOTORS 0.1 HP -1-10 HE CONSTRUCTION LENDING AGENCY Ihr%*b.allhm that lM1ere lSa cOmlmction lentlinlegendy lorthe pe lorman" o13he wbrk.'lor.wNcn MlsaPar,mlL-Isalssuse ISactlon, 7 SERVICESINKS SVMP6 .. .. 1 J / r _ (INO.SOLAR) 10 -SO HP r SO�HP - _ CW. C.): ,;10113 FaYCJO j�]i• 1IC,, br SINKS DRAINS! FIXTURES" OUTLETS "SWITCHES Lender'[.Nands _ ,FLOOR ,FLOOR luen,der's AtlUress 660 Newport Ctr.. `N.H. _ D 1NKINGGFOUNTAINS .T' GASTUBESIGNS ^ OWNER BUILDER DECLARATION .� _, t M1BIBpy }film ihitem exempt fmmttN COONdROYS License ldW [pre INT,ERCERTORS, _yCLARIFIERS - jr POLE LIGHTS the following reason(SuAtOn Business d Professions Coded ', ¢031.5 Any? city 'or -county twhich requires Matt to construct. bitar;, SWIMMING POOL pTRAp � - Sn - PO4ES METERED sue WATERISERVICE ALTERATION PANELS MAIN $VB Im demolish or repair any.ilructure, p!Ioi.tO ISS ISSUarde;aISO rt)- is$ the for soch,Trost to file a signed statement that he. SP applicant IS licensed pursuant to the provisions "of the Contractor's License Law +. GAS SERVICE. OUTLETS - -- SERVICE - AMP (Cbapbr�9 (cammencing-.wit1105ection 7000) of. Civilian. 3' of. In$ WATER HEATERS BTU OUTPUT mlt th and Obitthat bela_tidn Borrons y6BP[IOfurallre;aa dmze of 315Ay lore electrin ton. s the l0 gpnlle e1 Perml1 5 ppll"at a CMI Penalty' r SEWER CONNECTIONS•II A r than five hundred dollagl55001.. _ _ ) y- SOLAR TANK COLLECTORS soIehcomp compensation. will doPtheywork. anO`llpia structurte Is not inti mdetl fISSUE or offered for Sale. [Section 7044, emsiness and Professions Code; The SOLAR PIPING SYS. FEE Contractors LIC¢OSe Law OOesmot'apply to an Owner -O1.'a'property - who EmIds or Improves therenef.and who does such.work himself or _ ISSUE FEE - - r' APPLICATION APPROVED BY GATE through M1I5 hwnbm la)Sers, pi.ad that inch"'i ppvements ofd not 0r in9 Intended or Nerea le. If, however, mtiapi r Improvement ,MECHANICAL PLAN CHECK SUMMARY OF FEES IS sold Wlthln One year OI completion. therbwnei will have the burden of praving he did not build or improve for he Purpose ofSiL - - G O HEATING SYSTEM C-100,000 BTU h PERMIT 5 3 q'J� _ SMIP If "a ❑ I,as owner of the property, am exclusively contracting with AND DUCTING C10rs 10 construct inn prolOeCtlon 7044, BUSIMBS licensed contractors (S a lenient) BTU N PLACHECK is PERMIT ntl Professions Code: The Contractor's License Law does not apply to ISSUANCE S an Audi of property who builds or imprit"S thereon, and who Con- REFRIGERATION 0-100.000 BTU PLUMBING' S tracts from Such proles a i M d contravene) ll"Snetl PUrSUdnt t0 - SYSTEM - GRADING S the Contractor's LBWh lot),000 tBTV - t PLAN CHECK a , ❑ I am exempt nn or Section B.8 P. C. for this BOILERS BTU ELECTRICAL if 6 SYSTEM REPAIR, ALTERATION PLAN CHECK S MICROFILMS TOTAL FEES Oaten Own¢ MECHANICAL b certify that h ve this p callus and slate that that eye EXHAUST SYSTEM MULTIPLE LESS AD Irifereby and e Irnl a Slop �''Plattl nndnitl PLAN CHECK S' VANCEPC S_ ordinances Sri s[atre MlrebYauthorlde 'm representatives In upon the above mentioned Property int spa t pa ����,� ��l SlgnMure17 FINAL FEE b_7IC{/•Vd� Drivers' Llcenw 5 #` ISSUE FEE ' CMF 0665-46 White-Iluill Canary-Applicant;Pink-AC"unlingl Goldenrod-ASsessar CONSTRUCTION AND PLANNING APPROVALS Permit# 's Date Inspector POOL & SPA APPROVALS - Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement " 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 7v 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings a_,Z_ -y 49. Electrical Conduit-Undr rn 8. Foundation a- $ 50. Gas Pipe, ❑ Undr rn, Test 9. . Water Pipe-Undrgrn 51. Backwash Lines P-Trap, ❑ n r rn - 10. Structural loor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54, Heater & Vent-Final 13. Rough Plumbing -55, Plumbina System - Final ' 14. Rough Electric-Conduit -56. Electrical-Final 15. -Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & AirConditioning- encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20: Roof Framing' 21. Roof Sheathing c6A NOTES: 22. Frame and Flashing C. ' 23. Insulation 24. Lathing & Siding -/3-8a 6211 JL 25: Drywall Nailing 'Y" 26. Plaster Brown Coat _ 6-id - /-27- 27. Electrical Power Meter-Final Zr _ 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test - 3VIA 31. Final Plumbing 4" 32. Water Service-Final 6^ -ITP- S 33. 33. Gas Service-Final _ 6 - V-Jra. Ve ft 61" 34. Solar Domestic-Final ' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill In all Spaces within heavy borderlines and sign all appropriate declarations. CITY, OF COSTA MESA PERMIT NO TRACT NO. LOT NO. B G. c^CUISSLSTRUCTION PERMIT C Q �f( TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑REPAIR OCONVERSION ❑DEMOLISH ❑ vi1 J 8069 9/22/82 15.50 ZONING REGULATIONS Project Ad tl s S / ( ��0 ay Owne on Address - Arch/Eng. License NO. OTHER ' - DESCRIPTION OF WORK A.P. y ,AddrRs TYPE OF PERMIT - '" GRADING FOUNDgTION STRUCTURAL ❑ TENANT ELECTRICAL OPLUMBING' OMECHPNICA I PLNG. -- SET YARD M. U - REF.p - TOPVOYLG NE .- - 'Contractor Phd Addr -LICENSED CONTRACTOR DECLARATION 1 I hereby that I Ilce 9 affirm a ora under provisions of Charter (=an- with tion 1000) t 3 f Had Fortune's ane POTHER RG PrInp, sDlwilon oCode, d license N In full fpr 0 _. REAR YARD P/L) _ J(�gry� PROJECT OESCRIP.TION �� .*.n5 -s_ License euwrua-`cam .' _ _ _ 'PKG. SPACE REO. PROVIDED Od[ 519ni[YIe r _ 50, FT.' '' ,•. _ r OCCUPANCY CONSTRUCTION TYPE _ ,STREET WIDTH ,- PARK FEES ' COMPENSATION DECLARATION .. '. hereby affirm that 1 have a Certificate Of consent to MRansure Or d VALUATION' ' ZONE 'fZONING APPROVED BV -I DATE ' certiiffii}cattee ofWWarrlegrss'' Ormsensellon-Insurnece,,..�orr Certified copy _ � � SPECIAL CONDITIONS. �a GRACING CU. YDS._ ACRES �LaieiLT/� ^H�✓�A mpdnY ,• - - .REMARKS..' - SIF/9a. CrtlfiedwpY is M1OrebYfmnlsnot .. - ❑CrPTIOcopy with InddLYEul n. _r _ __ ___ 0: EXEMPTION FROM WORKERS COMPENSATION OEC OWRK COMPENing SATION _ _ - p, Tnls Section no hun10N eco not be cdmDletw if. me permit N f0r end nune.w - . .._ les ' _ .. _ _ __ 1. illy that 1 em o'1 the work co tion Pei ` of employ any p or er co e sYued 1 stall t ploy any Deem In any 3 to become b1eCt to the workers Compensation Ion 4wint GIIIOrpli. .. PLUMBING - _ PLANCHECK ELECTRICAL pLgN CHECK' BATHTUBS SHOWERS Gate ng this de subject NOTICE: 11 aster making tion declaration, you should TOILETS -URINALS 'GENERATOR '0°3 KW___1-10•KW - - Cbecomeode. fo the Worker Compensation pinions ns of "nor Coate, yde must TRANSFORMER is fortrsed. comply with such provisions or this permit Snell be deemed I1iVATOfl1E5 DOUBLE LAYS - "' 1gppElANCE 1050 KW_ SO+KWreve_ ONST. - CONSTRUCTION LENDING AGENCY KICSINK5' - DISHWASHERS iMOTORS - - 01 HP_50+Hp" ' _I hereby affirmthatthat there Ba construction h lending lor Far. SERVICE SINKS IT,. SUMPS" '(INL. $OLAR).�. 1030 HP SO+HV formate_. of tN__ work for which Permit Is Iv Issued ISeG_U_On_ 309+ Issued ( 3097 LL _Inls_Der_mll scan' '� FLOWSINKS - - FLOOR DRAINS FIXTURES 'OUTLET SWITCHES er' ILenOer's Name _ _ _ _ _ _ _ jLenderY AddreM DRINKING FOUNTAINS - "' GAS TUBE SIGNS IOM OI1yR BUrm thaatt$$amesteRp1 iATIf Ttne COnlmctdfa LICwse Law ler INTERCEPTORS LLHRIFIERS 'POLE LIGHTSthe.fulow SWIMMING POO L' "P TRAP -- lO 10ason f5ecton and a r, mit toPm[<fiuc, alteons Any City county conch requires perss :POLES METE O supil WATER SERVICE ALTERATION PANELS - MAIN - B repair strermitucture, prior to Its Issuance, also re. IcapTivodoGr dus theemollsh-or to, suchany he ile athe thaLLaw aPurs is licensed ant to the p/ovlslons el CORaCtler's License CASSERVICE OUTLETS* r - SERVICE _ (lydt 9 (commendng Ice Section 1000) of Dlwslon 3 Of rho WATER HEATERS BTU OUTPUT' FP d Professions yp m de) or that he Is exempt therefrom and the 1 cap shaped x um am weuunn m smm�n 7031.5 by ODII nt for permit ble[D the sclesnl 40 a Clwl'wnalty" .vl'. r t re than five hundred dollar: (105 0) SEWER CONNECTIONS ❑I. a Owner of the property, or MY employees with wag es'their estructure " SOLAR TANK - -- COLLECTORS -' - - - - I compensation,Our Is nots Intended nand (SeCtlOn 1060, BuslneMPrOMMIOns Code The Of Offered for SOLAR PIPING SVS. ISSUE FEE'-- COntNCtor.Y License Law does not apply to an owner of a Property O burros Or improver; thereon, and w o dose such work himself Or _ Issue FEE - - "APPLICATION APPROVEDBY- - - DATE through NS.own OMPOWSS, o ided that such Improvements are not MECHANICAL PLAN CHECK - SUMMARY OF FEES Intended Or offered car sae. Pir, howewry the building Or Imarowment Is sold within P .year' I COr fin, tne.ow•ner will new the Ommun '- I proving no did not buff Improve for rho roil 030 Of 10).IBUILDING 01, -OI HEATING SYSTEM 0-100.000 BTU PERMIT f SMTP E S' owner the roperty,-am' xClalvelY- COntrading with AND Duerr NG -. - - _ licensed contractors to construct the project I5ection 1000, Dueness IOO,000+BTIs CHECK is : PERMIT 1. and Prof651ons Code: -The Contrachl Llcnnu Law does not apply to ,PLAN -- ISSUANCE E OI who bulldaS or Improves thereon. and who com tach REFRIGERATION 0100,000 BTU PLUMBING property from s h-orojed3 with ontraclogs) limned pursrant-to -SYSTEM GRADING f the Contractor's Ucamse law). 100.000+BTU IP1AN CHECK S�/����. I��� ❑ 1 am exempt under Section B. 6 P. C. (Or thIS BOILERS BTU ELECTRICAL E i � ease SYSTEM REPAIR. ALTERATION PLAN [HECK" f MICROFILNE _ ate - Owner TOTAL FEE $'t. • OY Cer111Y that I how aread tM1s application and rio I bera ots lnal the above EXHAUST SYSTEM MULTIPLE MECHANICAL E _ - LESS AO Inlermatlon act. 1 gree to M1 dll city and wmty PLAN CHECK E VANCE PC E _ ordinance nd stat laws rel w t C tion, herb TaulhOHee reppoeelnp�ws d1 ms [eor u on thea i 5'< t _ FINAL FEE E Drivers- Driveenrs'- e 1 FEE .. - CMF006546 WhIt.Y n9: Ory. n4Nnk-Accounting;Gomenrod-ASMssar CONSTRUCTION AND PLANNING , ti a APPROVALS Permit# Eq9to Date Inspector POOL & SPA _ 1►"R- APPROVALS Permit 4#, Date Inspector 1. Temporary Electrical Service or Pole _� 43. Pool & Equipment Location - 2. Soil Pipe -Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn. 45. Forms 4.. Electrical. Conduit-Undrgrn 46. Electrical Bonding 5._ Steel Reinforce _ 47. Rough Plumbing & Pressure Test . 6. Electrical UFER Grn _ _ 48. APPROVAL TO COVER-GUNITE - Footings 49. Electrical Conduit-Undr rn _7, 8. .Foundation 50.., Gas Pipe, ❑ Undr rn, Test . 9.. Water Pipe-Undrgrn 51. Backwash Lines P - Trap. ❑ Undrqrn- 10.. Structural Floor System 52. APPROVAL TO DECK +. 1.1. .Property Sewer Line & House Connection-' _ 53. Backwash & Receptor -Final 12. .Street Sewer Connection •' ' ' _ - 54. Heater & Vent -Final 13. Rough Plumbing 14. Rough Electric -Conduit - - •56. - Electrical -Final 15. Rough Electric -Wiring - - 0 - -2sz - 57. Solar System -Final ' 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts ,in Structure- APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. - POOL/SPA SYSTEMS FINAL " 19. Gas Pipe -Rough & Test 20. - Roof Framing 21. Roof,Sheathin NOTES: 22. Frame and Flashing _ 23.- Insulation' 24. Lathing & Siding 25. Drywall Nailing y _ 26.-. Plaster Brown Coat ' 27. Electrical Power Meter -Final ' 28. Final Electric - o 29. Final Heating & Air Conditioning - 30. Final Gas Pipe -Test _ 31. Final Plumbing 32. Water Service -Final - - - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No, Date s� API learn to nn In arewaeer wlthimheaa border line[ and elfin au Appropriate tlecunROnS. 6621 6/nl/RP OD -nn .CITY OF COSTA MESA -- - PE IT NO. TRACT NO, LOT NO, ,-' BLDG. NO. - -- — - ='--' - — T. !CONSTRUCTION PERMIT 377.iPl^a"r+.? '.. •! TYPE OF CONSTRUCTION '; ,(��]�.NEW ADO ❑ ALTERATIONif .I - I , Project Address mr�v n - Owner PM ' PAddrea- - --- LJ REPAIR [I CONVERSION( 0.DEMCLISH ,! ' - - .��- - ZONING 'REGULATIONS, -0' OTXER.' DESCRIPTION OF WORK ., .A.P: mv _ _ _ _ ... 1 - - 20NE -PLNG. REFS A¢M1Mng, - - License No. +Atltire", -'_ _ _ ^I ContractOr ; l A i - -- Phonal'1 8 .^ - - -T BV (LOING UILDIN T - ROPER Y.LIrvE TYPE OF"PERMIT, :. iBET GRADING -O FOUNDATION DSTRUCTURAL - - IO - 41 lk� Ira ❑ TENANT D ELECTRICAL-OPLUMBING i5tAIECHANICAL Address --i- - -! -- --'- LICENSED cOxT wwCTOw-DECLARATION t I licensed under I hereby affirm am provisionsf Charter 9,( mancom; with Section]0001 1 0IWso -3 f tl- ._ D-0THER T -theB Pr fNROOs CocaO Y H 0 15 In lot t O .off - _ REAP'VARO (TO P/L)- - '4 VRQIECT DESCRIPTION- II - Li Clzss 5-` _ _ S FTI O _ _ iPKG.SPACEREQ- - PROVIDED,, _. t ] - �' Date P�� / 0Sp hi -� ISTREETWIDTX PARK FEES DECLARATION ?OCCUPANCY -_ CONSTRUCTION TYPE WORKERS'COMPENSATION II -' -' -' ZONING-APPROV ED BYa. hereby affirm that 1 have a cartillarmOf consent to SBILlnzure VALUATION ZONES-- 1 I -!DATE IIIIGte OI Wink s COMPensatlortInsurance, or.a.cerllllad Copy _ �. -SPECIAL Ji, f(Sectan3800 Lou.C). I GRADINGCCU VDS It ACRES! r_ CONDITIONS - - y N Ri-I'611d06 Company RTmF'^M- I'^aP^'^-n t� p _ ,-Cart fil copy.1s.hodby.furnlSoul REMARKS ;�, _,r JkCertlfled copy Is't led with the city Building Division. EXEMPTION FRONIWORKERS'COMPENSATION DECLARATION '^-"- . . - N 1Thlz NCllap need. not be mo pledid If the Permit f hundred ... . - 1- -� P 1$100) or lessl. 1 -r 1 -- L. Performan th rk fo h h th p T t rflf1-=1 ghat (not - a !ELECTRICAL— A rr��IIB t0 b bd limited M1all n t em Ioy any PLUMBING Ni0; PLAN CHECK- .t I . - - —PLAN CHECK subject m the WorkelzPCompen tL La J -Qat _ _ / _ Of 'BHTXTUBS SXOWERS --_ _ . Date Sgndt Ule ' a- - y i .3=0/82.. NOTICE If after mating this tlectlnton,oShouldbecome Sublet y[M1e ,IURINALS— - - GENERATOR-- 0l KW (T_,130 KW 1 1 toNeWOrNeD' Comttn[a[lon provisions Labor Code, you muR forthwith comply with such provisions or this permit shall be eeemed ' LAVATORIES DOUBLE 'LAVS- - f - APPLIANCE- -3050 KW_50 *-KW -- V - ; '--KIT.-SINKS 'CONSTRUCTIONLENDINGAGENLYENCMOTORB -DISHWASHERS ^ I T--- - 0-1 HP_3110 HP - --- Ilherebyaffirm that there is a construction lending agency for the per- SERVICESINKS .SUMPS---'� �H f' J -- - DNC. SOLAR). 1050 HP 50 HP II` _ t -' formance of the work for which IMS perm t is issued (Section 309] - _-FCOOP DRAINS---- jFIXTURES_-"OVTLETS-^SWITCHES- - -� Clv:G I'�-� e5V - --- ��,-FCOOR51NK5 Lender's Add Mz - DRINKING FOUNTAINS -"J;' "" �� - ��' jGASTUBE SIGNS--- OWNER BU ILOEP OECYARATION �EFCEPTORS � �'�LLHRIFIERS'" -I � � - }POLE LIGHTS - --��- - 1 hereby off nn that I am exempo Limina:IN t from therCanf.actLLaw far - r "SWIMMING POOL--P'TRAP----- - - - the-followl0g-e"$on-(5ction]031.5 Buslnav and onsfsslOm Code: Any City O my Which real a Permit to construct.liter, POLES METERED SUB WATER'SERVICE-"' -"ALTERATION"-^ - t -- bANELS- MAIN improve. denrustish or repairany sireachU prom italso IS- gYlre[ the ip411 [ f h Permit 10111e d Sl9n tlstatement th t he GAS $ERV ICE - OUTLETS '-" -'�-- - - - .SERVICE---- - --->-AMP..a'- [I lcensedpursuant to-thepmvbione el the Conbactor'siicense Lew- - IIChaptt¢5 9 (commenting th Section ]ODO) f Division 3 of th0 at WATER'HEATERS -` BTU 'OUTPUT''-- d'Rd d COO1-Or'thal he Reae op[' therefrom and the forathealleged exemption.Any violation Section 703I.S by 1 1 -SEWER-CONNECTIONS -+ ! apPmlmnt-f p t subjects theApplicant to devil-penalty- or not ors thanfloe hundred d II (5500) - SOL-ARTANK' --- ' COLLECTORS" ^ ' '-" _ - - - ------ -- -- — -' _ - _ ,i D as owner o11n0 property or my ern loyeas with wageLaz'IM1elr sme comdentadon, wuLdetne work, ane. tree structure Is not Intended - -SOLA RPIPINC SYS.----"�' �-' - �1s5VE FEE- - - - - - [offered for sal¢ IsaCl on ]Doo Business and lw f - Code: Thm' bmracinrs License Law eoea t pplK t r property . who builds or improves thereon,and M1d does -h worli h mmlt or _ _ -ISSUE FEE - - �'I- �- - I - APPLICATION APPROVEDBY- - _ -_GATE - - 1 through his Dwn.emplDyaes.Threvidee that such -iinp ruminants are DPI - __ _ __ _ _ _ _ - - Intended or offered for uie. IL howevOr, ine build In i Improvement Is on of co the owffp. wD� have the bumeP MECHANICAL PLAN CHECK _ _ --- - - ' 1 SCJMMARYOF FEES -' '4 Pill Year poetl0n. f Proving - 11 did t Build p f th p p 1 Llel. - -- BW -DING - ,l. 1 D b ! tM1 P P tY 1 - ly [ t 9 with licensed 1 l tconstructiM1 150 tI ]060 Business HEATINGSVSTEM 0-I DO.000 BTU -AND DUCTING' -' - 100000 1 (PERMIT_ __ $ SMIPp E �. - Project l0 tl is tl t to BTU / PLAN CHECK S PERMIT !1 < O P 1 C The-Contractor'sL apply ISSUANCE. § -,� an Prior, iproperty Who builds or Improvesthereon, d who can. REFRIGERATION 0100,000 BTU ' PLUMBING E x N, 1 t5 f II P t tM1 1 CIOf(SI IICOSntd PWSUanI [O t to 54 SYSTEM- - - -T - - 100000 8 U ,� GRADING, § Od PLAN CHECH R, ins CO Law) f -- p5 Darnmpi under Seaton 8fiP'C'for this' - - BOILERS BTUIlm T ELECTRICAL § - S -� SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE = PLAN CHECK 1 H- MICROFILM'S MECHANICAL$ OO '_ TOTAL'FEEE LE58 AO-..-- LPLAN P ; 'L - O I I hereby certify that iM1 readapplicationand Slate that the above Information cf 9iei 1 yly 'Its -11 city d county' _ CHECK- S - VANCEPC sl - dI nd l 1 e 910 qnsllu than tl h by UIhOfIZe - i �• 1^ ) P i toes f In T hi nter e n m b e Donde p D t 1p pe�tl P Dos 5 FINAL FEE rC21 519 1 to 5/20162 E _ Driven Llcenze of 56; - - - ISSUEFEE CMF 086546 vante-Bulldin9; All!!Pink-Accounting; GOMevbd-AmSened 'T f:oe..: ,.'ll' %i 15 n CONSTRUCTION AND PLANNING APPROVALS Permit /'�'i - �- POOL & SPA 1 . Date Inspector APPROVALS - Permit _# Date Inspector 1. Temporary Electrical Service or Pale 43. Pool &Equipment Location -' - -- - - . . SoilPipe-Undrgrn _ _ 44. Steel Reinforcement ----- -•- - - - 3.. Electrical Conduit Utility-Undrgrn 45. Forms - - - - - 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding - - _ . _Steel Reinforce orce _ - 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn. _- "_ "y - 48. APPROVAL TO COVER-GUNITE - - -- - -- - - - - 7. Footings _ __. -_ ._ - �- 49. Electrical Conduit-Undr rn - -8. Foundation -- _ 50r , Gas Pipe, ❑ Undr rn; Test - - 9.- Water Pipe-Undrgrn _� - 51. Backwash Lines P-Tra ' ❑ ndr r .10. .Structural Floor System 52..- APPROVAL TO DECK - ` - 1 11.--Property.Sewer Line &.House.Connectiori _ 53. Backwash & Rece for -Final -.. - '- -12.-- _Street�Sewer.Connection Heater & Vent -Final, - - - - -13. Rough Plumbing "" _ _- -" - - __'Plumb! - -•.. __ _ ._. _ - 14. Rough Electric -Conduit - ---"' -'-' -- 56: 'Electrical -Final -- - 15. Rough Electric -Wiring - -- -' 57.- Solar System -Final 16. Rough Heating & Air Conditioning'= bB. encing,&.Access Approval - -. 17. .- --Ducts in Structure,- APPROVED FOR PLASTERING. -' 18:- 19. -20. Ducts, Ventilating Gas Pipe -Rough &Test-' •, Roof'Framing - - - - - 60. - - - POOL/SPA SYSTEMS FINAL' - 21. 22. - Roof'Sheathin - Frame and Flashing - - ! - - - - - - - - _ NOTES:- -23. Insulation . 24. Lathing & Siding - - - 25. Drywall Nailing _. - -- - '. _ "' _' ' 26. Plaster Brown Coat - - - - 27". Electrical Power Meter -Final - - 28. --Final Electric - - - - - - 29.- -Final Heating& Air Conditioning - - - - - 30.. Final.Gas Pipe -Test --- - - - - - 31. Final Plumbing - 32. Water Service -Final -33. Gas Service -Final- - - •' i 34. Solar Domestic -Final' 35. Landscape SOi1nklinq System 36. Sound Attenuation • • - l 37. Handicap Regulations _ - -'t- - 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison. - -" 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY • No " Date ` - -� Applicant In fill in all Swede within heavy border lines nd sign CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. " - 1964 2/11/62 99.255 CONSTRUCTION PERMIT G2 a - AF D�. P Address Project ' _ �] e,,4 _ TYPE OF CONSTRUCTION F$NEW ❑ ADD O ALTERATION ❑ REPAIR O CONVERSION O DEMOLISH Owner - 00 Phore .$a V 'Address; - 1301 , OOTHER ZONING REGULATIONS '-Arch/Eng. G Licence No. _ _ DESCRIPTION OF WORK do ME Addrol L N14. ZONE PLNTGU.gRlE1Fl..p$�NG CmurectorilefirdicaUl 45SLici PhonedatI.Sy& TYPE OF PERMIT ❑GRADING ❑ FOUNDATION ❑STRUCTURAL 0TENANT KELECTRICAL OPLUMBING ❑MECITANIC SET ACK 5pg� YARD PROPEIRTY LIrvE AddlRa '[-^f 7-& L •' NTRtha[ICTOR-DECLARATION D ECed IICENSaDllbm am unpe provisions of CaiM1arg(Com- ]000) Division 3 1 tills Buflnelf and ❑OTHER 0.1IGHT PScinp with [tion of Iom Code. add R ons: Is in lull form and Rea. REAR YARD (TO P/L) OIO by- PROJECT DESCRIPTION LlCeriBe lav VmnzO o.3 Z'%!rl - - "' SO. Ff. PKG. SPACE REO. -' PROVIDED F2 4r Date 'L Signalp,. _ _ - OCCUPANCY CONSTRUCTION TYPE STREET WIDTH ZONING APPROVED 'PARK FEE E. BY GATE - WORKERS'COMPENSATIONDECLAR 1 hereby aUI'm that 1 nave a ¢r[Illute oma nwno t elflmure or a rVALUATION ZONE rtlll¢taef Workers'.COmmnNtlon Insurance, r certified Capt - SPECIAL CONDITIONS: •hereof (Section 3800. Lab. Cd. GRADING CU. YOS. ACRES (ICY NOIY21/ FYD%2{.nn..YAe6WONT /NI3_Ila. .9) .. Certified WRY Is M1er¢byted. - pEMAR!R Certified IS filed with thecity Ba(Ming I EXEMPTION FROM WORKERS' COMPTON DECLARATION (This section need not be Completed 11 the permitIs for one nundree EL` � ;- ] [s " o Nu . In _ _ - _ 1 II. the ¢lar man¢ work for So this 1[ bimit pof erson I shall i Former Issued, 1 shall na[ employ any porion In any manner a0 as t0 DOCOmO PLUMBING " - VCAN'CHECK I ,ELECTRICAL' • PLAN CHECK - fublet[tO tM1O W01KOrS COmpenia[IOn laws Ol California. - BATHTUBS SHOWERS - -SO Date Signature FT. go F- NOTICE: 11 after making this declaration, o Should became subject . TOILETS s •URINALS GENERATOR O-1 KW_ I-14 KW ' " QUITIlaft APPLIANCEMER IorthwllM CtotbeWo,komply With such provisions or this Permit sill Ue deemed LAVATORIES OOUSLE LAVS - - I0-50 KW -50 -s KW- VNST .. - COolese, TION LENDING AGENCY KIT.SINKS - - -DISHWASHERS-- - MOTORS - - 10XP- 0-1 XP�Ir. wOrk for herelSMCtlstructiony endingshonl5eforthction 309] IherencOaOfl SERVICE SINKS-. .,sumps - BNC.SOUi%R)_ 10-5a XV 50e.MP_'- in* permit Cie. CA. w FLOOR'SINKS' •- "_FLOOR DRAINS '• •FIXTURES OUTLETS iWITENES­' - L Lender's Name - ` _ Lender's Address - DRINKING FOUNTAINS- ' u GAS TUBE51GN5 OWNER BUILDER OECLAnAT1ON - -INTERCEPTORS - 'CLHRIFIEflS POLE LIGHTS - hM1ereb IlhmrLM1�L^im:Nemof If 100 COOVi<IOr9 LICCnfO law ler SWIMMING POOL- PTRAP - -- POLES METERED SUB - the fol owing ea (Section ]031.5 Bushaers-and-Profosssum-Co00: Any City o county which repaired a permit to Construct. alter, 1 demolish Or repair any structure. orbs to its Issuance. also re. a the ICom for to file that he WATER SERVICE ALTERATION �- .PANELS MAIN -SUB - - oil op. Such permit a Signed Statement is -IlWnsed Pursuant to the provisions Of the COntraC101'S License Law - oqS SERV ICE OUTLETS- - SERVICE- -AM Segnary- 9 (Commanded With Section ]000) Of Division 3 of the s WATER HEATERS C - BTU OUTPUTfor - - - - - - - k;Chapter ' Ung mlt5eelefr MASS and Stateea ew Cosa) or Ant Nolatlae ]03 by SEWER CONNECTIONS - �- - - N applicant IO a Class penally j appmcentl hen live tl hundred permit OGS-U500) - SOLAR TANK- COLLECTORS - - - - - C1 1, 1, eS Owner Of the property, or MY employees with Wages as their le CampenvHOn do the work, and the structured; not intended - :will or offeree for rale. (Section 7044. Business and RoµleSS,ioof Cod*; The SOLAR PIPING SYS. - ISSUE FEE Contractor's Uttered Law does t poly to f a property 1355E FEE - ' APPLICATION APPROVED BY DATE who builds or improves thereon. and wM1a does such work himself or through his own a VVloyeec _provided that mcn G w enU aro not - - Intended r offeree Lor tile. H, however, the build no orimprome nt MECHANICAL PLAN CHECK SUMMARY OF FEES. -- Is Sold within one year o! completion. the owner will he" the burden BUILDING I proving he die t belle ImW prO(Or the pWOOIRI Ie1. TING SYSTEM 0100.0008TU HEA HEATING PERMIT le - 'SMIP �E ❑ I,.hi owner.. of the property, am exclusively contracting With AND - - licensed Co tractors to Construct the ProNet (Settlors 7046, Business 100.000-a BTU PLAN CHECK 4 PERMIT Ond-SeOIKSIOOS Code:The - Contractor's elcenes-LawdceS not apply to - ISSUANCE E' of properly who builds Improves thereon, and who COO- REFRIGERATION 0-100.000 BTU PLUMBING E t acts from such-pr¢CeF with ^teal 11CAlowd Ruriwnt to Or -SYSTEM 100.000;+BTll - PLgNCHECK ._ .r GRADING 4_" - IMCoMraCtOrYLlCensebw). S _ ❑ I am exempt' units, 5ecUon - Bra P. C.forthis-gpILERS BTU ELECTRICAL E.L�2 A ' SYSTEM REPAIR. ALTERATION HECK- 4 PLAN CMECHANICAL - MICRO F1 UM TOTAL FEE E' Dateieas-- Owner 3 _ I hereby Certilythat l have read this application and State that theabove EXHAUST SYSTEM MULTIPLE LESS Ai 1 Information IS -1 agree to comply a Correct lin all City do County PLANCXECK E VANCEPC- 4_ - relall s Sof-his nt_e, dThee Odatbovmeb ., representativeso[a. ury,mentioned ed property for action citytooz 9. as Ani -/01*Z FINAL FEEE Signa W Driver' License at S $ far ISSUE FEE - . ._ _ CMF 096546 Webb-Bull:Ing: Gnary-AOpllpntl Pink -Accounting; Goldenrod-Aaseesol CONSTRUCTION AND PLANNING Date Inspector APPROVALS Permit# POOL & SPA Date APPROVALS - Permit #' I Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - - _ 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. _Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn - 46." Electrical Bonding - - - - - . -Steel Reintorce, 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - - - - -- 7. .. ootings 49. Electrical Conduit-Undr rn 8. Foundation - 50.. Gas Pipe, ❑ Undr rn, Test - 9.• Water Pipe-Undrgrn 51. Backwash Lines P -Trap' ❑ ridr"rn 10. Structural Floor System 52. APPROVAL TO DECK �- - - 11. .Property Sewer Line & House Connection _ _ 53. Backwash & Receptor -Final ' 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing _ _ - - 14. Rough Electric -Conduit - - '56. Electrical -Final - 15. Rough Electric -Wiring - - 57. Solar System -Final - - - 16. Rough Heating& Air Conditioning W. Fencing & Access Approval 17. Ducts' in Structure 59. APPROVED FOR PLASTERING 18. 19: 20. Ducts, Ventilating Gas Pipe -Rough &Test - - - - Roof Framing - - - 60. - POOL/SPA'SYSTEMS FINAL - 21. 22:. Roof Sheathing- -- - - -Frame and Flashin - ' NOTES: 23: - Insulation _ - - - - - - - -.,.2_ L r 24. Lathing & Siding - - - - - - -- - - -- - 25. Drywall Nailing - - - - - - - 26. - Plaster Brown Coat - - - - - ' 27. Electrical Power Meter -Final - - 26. - Final Electric 17 29. Final Heating & Air Conditioning - - - - - 30. Final Gas Pipe -Test 31: Final Plumbing - 32. Water Service -Final 33. Gas Service -Final - - 34. Solar Domestic -Final 35. Landscape Sprinkling System - 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE &BUIL•DING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No_- Date ' - r i AOPP[am to nil In all zPa:Yl wunln heavy ee.tle. Rn.z dna sign an apP.4oNa[e a¢¢p.aHonz. CITY OF COSTA MESA P RMIT�ryry0. - TRACT NO- LOT NO,I CONSTRUCTIONPERMIT 4-��O >/gzZ9/// JYPE OF CONSTRUCTION EW ❑AOO ❑ALTERATION❑REPAIR OCONVERSION ODEMOLIS ❑ OTHER 1882'1/28/82; 15.00Project ZONING REGULATIONS ' dress D OW^6r Pho Andir Eng. License NO GESCRIPTIONOF WORK A'P'3 _ AtlAr¢s YPEOF PERMIT. - ❑GRADING 0 FOUNDATJ�O�N '❑STRUCTURAL ❑ TENANT O ELECTRICAL LJPLUMBING OMECHANICA ZONE-PLNG.REF.;�qG� SET YwpO F Y LINE c - P - Addrm - LICENSED CONTRACTOR.D LARATIO I hereby affirm tM1 t laollICAMAlltlat provisions of cdar[ 9(c m 5 pI1GHTq r o Ling Itb Section ]000) f DI 3 f Me Business a qqq _ OOTHER M011ssions y - full Ior�clCr of ec—fJ BEAR VgRp (TO P/U ' 9� PROJECT DESCRIPTION. Class lJcens N J r . -So.'FT. PKG. SPACE REO. PROVIDED. - ILIceO y 3 ✓l 'Olt— ed...'¢ _ OCCUPANCY—CONSTRUCTION TYPE � ST REFT WIDTH (ZONING APPROVED,BVr.y PARK FEES ' DATE WOOKERS' COMPENSATION DE( LARATIO . T ,I hereby affirm th t I have a mrtlllCale 1 mn5enl Ib If -Insure ora gLVATION 20rvE Y CbO pensatlOn a Ce, o r fie - - GRADINGCU. YDS. ACRES SPECIAL CONDITIONS: •p`71llydte-OI 0o1 (yCt}o/ .C.0 CY 110. certlfled CopY 15,AN lsp¢O. . , . . REMARKS: III with t Division. certified ropyO 111.0 wile Cy ON FROM WORKERS' COMPENSATION DECEARATIOd RS' COMPENSATION %' �5 _ o not be cOmpl¢[e0 II tha permit 15 /Or On¢ hun0 t0. TNs o Ion need f fy that In theper forrionce Of the Work for Which Ih13 Perm t -s - _ - In I shag t employ any person m any Han ver so to become PLUMBING" PLAN CHECK - _ ELECTRICAL - - ELAN _ CHECK n Suuski tigaitothe.W 4:a COMiam ion al California ,�5 _ - BATHTUBSSHOWERSkin _ _ UWAILLUAi FT sn� FT Oat¢ short Yre o should a comeuoject NOTICE if after making this declaration,' to the Workms Compensation provisions oX[M Lab r Code. YOU must TOILETS.,' -.URINALS ;GENERATOR - GENERATORS 0.1 KW_] -10$W - med forthwith CpplY with such provisions or this permit shall be deemed m LAVATORIES DOUBLE LAVS .• - 10-50 KW_50 +KIN -- - •- revoked.. . KIT.SINKS -- DISHWASHERS' .MOTORS "'-"0-IHP_1dOHP,- _ - �. _. - ... _ CONSTRUCTION LENDING AGENCY IhxeAYafllem.tWof these Its camtsuctlon odsongagency for the per. SERVICE SINRS .. �ONC.SOLARI— 10-50 HP SOa HP fortiori of th prawn h this perm tis 14ued ISett1a0�309] � _SUMPS r• _ CIS- C'L -' �- FLOOR SINKS FLOOR DRAMS"' � - -FIXTURES -OUTLETS SWITCHES lLendar s Name -- r _ _ _ _ LendOr'S A00r63 \ t'f' � _ DRINKING FOl1NTA1N5 "H - _ -"1 - (GAS TUBE SIGNS-�-- - - 'OWNERBUILDER DELCANgTIONV. -- Y•"R 1jNLERCEPTORS L CRITERS POLE LIGHTS" I hereby affirm that 1 am exempt from Ihe1COntractur's License Law los 1 SWIMMING POOL PTRAP - "' "• the following reason (Section 9031.5'Bo sin¢ss tl RduslOne'Code: nto Any City O OUI which requires a permit Construct, altar. POLE$ METERED UB _ WATER SERVICE ALTERATION 'PANELS- - MAIN - SUB - ., Imo OVI demolish 01 repair any structure, prior l0 its msuancep also rV quires the ap:ilOnt for such permit to file a Signed statement that no _ GAS SERVICE OUTLETS I 'SERVICE - - '�qMP - '- Isilcsnsetl'p u t'1 tM1ePth Sa al [ he Con Ira Li Law' DvYUcense (ChaO[e[ with SedlOn ]0001 at Division 3 or the WATER HEATERS -"BTU OUTPUT - - - - - - -- - - - _- - - F nne arab fxd 1 -Lode] Or that he ll axemot ther:mdm ane the for the alleged exemption. Any violation OI Section 7031.5 by SEWER PmOcleti for , ernot leets r 0lscant to a'Civil Penalty o...01 hundred 155 SOCAR TANK ` COLLECTORS '1 - ' " "' " " - "- -'" - - - - - ' y_ O -I-. as Owner'OI'the proli¢rty, ^r my OMoIOye6s with wages as their Sets Comper WBnn, will d0 the work, and t a ROC[ufe 15 not Intended offered for sale. (Section 7044, Business and Pr Wfessions Code: The aTO1�R.PWfKO4Y5 Q 6 _ ISSUE FEE - ,1 eon not aie p o r f Property co'tractor'Polces umnee uOr ISSUE FEE 1 3 .APPLICATION APPROVED BY - - DATE - Improvesw andpply does work re or this Owrr_m p ees.the�Provided that suchWho Improvements asuc through not MECHANICAL PLAN CHECK SUMMARY OF FEES. intended or Offered for sale. If, however, the buildin Improvement R or Is sold within one year of completion, the owner wit mp burden of proving he did not build or improve for the purpose OI iss.-'BUILDING HEATING SYSTEM 0A00,ODO BTU _ `If ' p ❑ I, as-owner-o0.\h`-property. am exclusively contracting with AND DUCTING pENMIT S on Soffit: ' licensed contractors t0 construct the Project (Section 7044, Business 1r10,r1 BTU PLAN CHECK S PERMIT and M1 lyIOOS Code! The -Contractor's License Law does not apply to. - ISSUANCE e an owner of Property who builds Improves thereon, and who con- REFRIGERATION 0-100.000 BTU 'PLUMBING In - `r tracts from such projets with entOttonod gsl Ilces-pursuant to SYSTEM - - - DINS GRADING the COntntleT's uce:Isa tawf. 100,000!BTV PLgNCHEC% Is C, 1, . ❑ l am'¢xempection" t -under S - B.6 P. C. Or }ELECTRICAL S � f reason BOILERS BTU SYSTEM REPAIq, ALTERATION •PLAN CHECK S• -,f- MICROFILM -e TOTAL FEES Date Owner MECHANICAL I narepYCerttl tna. awards thlsappTlCAV-0i state that the above EXHAUST SYSTEM MULTIPLE . -' LESS AD- Information Tact. -I grp@ t0 c ly with all - y and county lel -PCANCHECK' fl- _ VANCEPC $_ Ordmancesa s mrlatin to conz�ruotlO^ anenbyaumanaa r- trytoter the be - - - ' npreuntal upon d property IY C SiSi I FINAL FEE $./. L� Print Llcense or 55 - tSi FEE- - - - - - - - - CMF 0666.46 White-firIIdi GnaeY-Ap011UOfr Hnk-ACCOumingi GoldOnrod-ASSa510r CONSTRUCTIONNDPLANNING APPROVALS .APermit # Date POOL&SPA •. - - Inspector APPROVALS Permit # " 'Date �� Inspectors 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location• - - - - - - - - - 2. Soil i e-Undr rn ; P 9 - - L 44. Steel Reinforcement 3. _ Electrical Conduit Utility-Undrgrn 45. Forms - - - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding5. -- - - - - - Ste-eT Ffeinforce 47. Rough Plumbing & Pressure Test=` --- 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE----- - - - - - - -r- 7, Footings 49. Electrical Conduit-Undr rn 8,_ Foundation - - 50. Gas Pipe, ❑ Undr rn, Test ' 9, Water Pipe=Undrgrn - 51. Backwash Lines P -Trap,❑ Undrain- 10, Structural; Floor System 52. APPROVAL TO DECK— "' - 7 - 11, Property Sewer Line & House Connection _ 53. Backwash & Receptor -Final i 12, Street Sewer Connection a'' - 54.- Heater & Vent -Final 13, Rough Plumbing 55, Pluirnbina System.- ---- - - "-' • - -' -- '- -- -- - ' 14, Rough Electric -Conduit , -- - - - - -- •- 56. -Electrical-Final - - 15,`Rough ElecBic-Wiring 57. Solar System -Final __76. - Rough -Heating & Air. Conditioning— - - - - _- _ __ - _ Fencing.& Access_ Approval •r ' 17. Ducts, in Structure '- - -__,, i _._ - APPROVED FOR PLASTERING . 18: 19. 20. Ducts, Ventilating- �- .. Gas Pipe -Rough &Test ' �' Roof Framing � _ _ .60. - -' .- _ _ _. - -_. _ - . 9 ,•. - _ - _ , - POOL/SPA SYSTEMS FINAL`, - 21. , 22. Roof Sheathing _Frame -arid Flashing- - _ ESR 'NOTo 23.- Insulation 24, .Lathing & Siding 25. - Drywall Nailing.. 26.. Plaster Brown Coat 27. Electrical Power .Meter -Final 28. Final Electric -- - 29. Final'Heating & Air -Conditioning_ - - 30. Final 'Gas. Pipe -Test ! _ .t..v` _ " - •r I 31i Final;Rlumbing- 32. Water_Service-Final . 33.- Gas Service -Final 34. Solar Domestic -Final • �•' ' r " "i- ' ' - r 35. Landscape Sprinkling System 36. Sound Attenuation _ - - 37, Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING - - -- 39. Special Requirements Completed - 40. Electric Release to Edison - - -- 41. Gas Release. to Southern California Gas Co. - i 42. CERTIFICATE OF OCCUPANCY No_ Date :r Applicant to nil In an spaces wu hill heavy border linea And 5120 all appropriate eeclaratIons. CfrFR�O$fA Il � PERMIT O. � TRACT NO. LOT NO. BLDG. NO '- - - -7963 9/17,(92 ,/Cato CONSTRUCTION PERMIT r' TYPE OF CONSTRUCTION 1 ❑-NEW 'O ADD ALTERATION '- 0REPAIR C) CONVERSION ❑ DEMOLISH • "CI'OTHER - .. - " _ ZONING REGULATIONS . ProjectAddressr SSVS Gsa✓-.-erc A+��� Owner y r[4 ,a -} Phil 'Address /?Ce Jr C�).,E- �j.a1TtF-'%(o 0' �a .. AP ¢` •••'. DESCRIPTION _ _ OF WORK _ _ _ _ ZONE" •• -'•PLNGPREF..$, .. ... .' _._ ... .:. ,-_ L_„ ILFING - TYPE OF PERMIT PROGEP .Y.LINE SETBACK TTpp ggll�I - - .O GRAPING.I'.O FOUNDATION ❑,STRUCTURAL ❑ TENANT E ELECTRICAL OPLUM51NG 11 MEO-ANICAlfsic__ I �'ArchfEng./v."W par /3Tla til LiC¢Oaa NOT _ 'Address .. _ ._-4.YTf?I CODImttO� cow/�ka.�.F Pbona Addr6u /3'$� �prF/sRe Y1.: di .Ec a /6, LICENSED CONTRACTOR DECCARAT ON ( I hereby affirm thist 1 am licensed under PrOvinil Of Chartereg (Co _ producing -with tl ]0001 f .Division 1 the -B tl DOTH' l few par c d e y ucenee Is 1 fp f t a effect. - PROJECT�DESCHIPTION_ 11 REAR Vq RO ITO P/LI LI[AmW CIMS 7p�6 LI _ _ __ 50' FT. _ _ pKG 5 AQI .R Eq PROV DED _ "Oat �Ig dlu t - . 1 STREET WIDTH Pq RK FEEE WORKERS' COMPENSATIONO -- OCCUPANCY= CONST RUCTION TYPE 1 herby affirm that I have a Certificate of consent to seelf Insure ora VALURTION I_ 20NE_ '•ONING APPROV BO BYif GATE certificate ofWorkers-CompenzetlOn Insurance, rtfletl copy-- _ - - �GRgpING D5. ACRES -- SPECIALCONOITIONS - - ' 1 want (Se$jjpQ�3B 00 6 I �q ��O y .M1213 OompanY / /cy/T /v' siss- - 1.�C rt Pied COPY iS herebY furnlshetl ..- - _ . '! 'REMARKS Certified copy Is filed with the city Building Cl J. E%EMPTIO14FROM WORKERS"COMPENSATION DECLARATION - This-sectionneed not to.COmplet¢e If -the Permit. is for One. hUne 0 $100) orIa<1 pr jr ... .'-.v - 2 - PLUMBING -$•PLAN - - - -' t ir hIPef ¢oi lna war),t nth runs ltl } I tl hall t y ny parson In a y as [ C Pc i is 1 CHECK ELECTRICAL'- .PLAN [NECK bl kl n w x P tion-LawPo ci BATHTUBS -$XOWEflS - _ _ - -I r,qQ FT NOTICE If R k g IN eed 0 5 ould Anscome SubjectTOILETS 'URINALS --C GENERATOR' 0.l KW ] ]0 KW t tM1e Werke i LOmpenaatlon Oval o the Labor CodOr YOU mu<t - TRANSFORMER ',APPLIANCE' '16-50'j1W�50+l I i -- - forthvith Comply With such provisions Or this Permit shall be CAI LAVATORIES DOUBLE'LAVS`" _- o laea. .I�-— -KILSINK$ .. DISHWASHERS_ - 'MOTORS` O -I HP_11O HP CONSTRUCTION LENDING AGENCY Ihereby afford that there Is a construction lending agency for the pan SERVICE SINKS '�]�('. SUMPSs"-"� - - .I1NC(SOhAR1 30'50 Hp .50 HP - -� - - fOrmance Of the work for which this permit Is Issued (Section 309] FLOOR sINS K - FLOOR DRAINS -' FI%TURE$ - " OUTLETS .- SWITCHES' Cv. [) Li Name _ _ _ _ _ _ .. -_ , Lnnder z Address - •DRINKING FOUNTAIN$ Ct ' -GAS TUBE SIGNS' INTERCEPTORS CLARIFIER$ - - ' <ROLE LIGHT$ 1. ,c OWNER BUILDER DECLARATION I heyb Affirm that t am exempt frm[M1e Contractor% License Law for - SWIMMING -POOL PTRAP' 'POLES' METER .SUB the Test wing rexom'(Sect on']031 5 Business and Professions Cade. Any On unty which repulree a permit to Construct. alter. SERVICE - ALTERATIONV' _ (PANELS" 'MAIN _ SUB.— _City P - deipolls-or repair any structure prkarto its IssuancealsOra-'-WATER qu res the apsl Cant for such permit to Ile a igned statement that M1e GAS SERVICE OUTLETS �� SERVICE P -IL hospitals pursuant -to The'provesiona'Of the COnSother S'Cl Canso LaW cing ith Sector 7000) f Division 3 of the CM1 pts 9 (CoenO m WATER HEATERS "--BTU OUTPUT �' "- - tl Prdessens COCe) or lM1at'he ls'eeemVt therefrom and the measm f the alleged exemption. Any solution of Section 7031.5 by @�,� f 'permit Subjects te applicant -to civil penally' SEWER CONNECTIONS " .6loPllpnl �F: x`at more m five hundreCalicos ($5061 TA K - COLLECTORS.`' e -N g theirSOCAF ❑ I, as own f fn p p ty�Y my emp_ustructure le mmpen T ll do the-rk, and IM1a lY ct t [ tl tl SOLAR PIPING SVS. 1 _ ISSUE REE or Offered f0 l. (Section ]044, Business and Professions Cd The who builds ori proves thereow. n Oandpply wh [does such work himself Or ' ISSUE FEE � APPLICATION APPROVED BY-- - --DATE --_ through NSAWn employees, NoVided.tnidd UCII Improvements are not 1i MECHANICAL PLAN CHECK _ "' SUMMARY OF FEES (mended or offered far sale, a however, me aspirinq sold wdti n Ohioyea' of Complletion, the owner 111 h W the b rtlen issold prOVln9 M1e Oltl t Euild Improve tar [h purpose I ales.' Pou`0g HEATINGSYSTEM 0-100,000 BTU BUILDING PERMIT - Y - - SMTP qE O'I as ow f In o ce�tY: am a xdusVely-s pM1n- t the ]044 Bushes -ANDDUCTING- ---' - - E -' -- - ' licamee Cont 1 t t Puled (SadOn 100.0(0.+BTU p{,AN CHECK E _ PERMIT and%Ofeszo me TI 'C tractor' a License Law' does not apply t0 ---- - - jPLUMBING ---ISSUANCE$ - an 0f property h b r dS dr Improves thereon, and who con Insured t 0 REFRIGERATION 0.100,000 BTU $ 1 ,q j 'ft trans l�dm"sato Oroletls w th-a ontractores) pursuant the Contractor's cense Lawl SYSTEM - — - - - -- 300,000'+BTU I - - - PLAN CNEQK S GRRlb Cpi OS amexemptuntler5ectlOn -3:& P. C.forthli - ELECTNICAL g Arabi- BOILERS BTU SYSTEM R EPAI R � ALTE RATION , I PLAIN CHECK E• �j MICROFIINS 'TOTAL IRS $ " Data - Owner MECHANICAL g�J �; - - hereby UfYthat Ih tlll DP IEtin ntl lttM1 tin bw< -II EXHAUST SYSTEM_ MULTIPLE 11 C 1 f 0 1 l 1 gr ply wiith itY tl tY PLAN CHECK $ - - VANCE VANCE DC -E tl' dpatoislel Q69 l hereby autl r oe p emauva r (nil uuponrath above entio p dcenv for -in NI f - FINAL FEE E� 519 t </'O� 'ISSUE'FEE...- Drivers License or CMF 0865-46 While -Building; Goldenrod -Assessor CONSTRUCTION AND PLANNING /�.�/f( "- APPROVALS Permit # ��'. ` "�� Date Inspector POOL & SPA ' APPROVALS-. Permit # - Date Inspector 1._ Temporary Electrical Service or Pole 43: ` Pool & Equipment Location 2. SoilPipe-Undrgrn _ 44. Steel Reinforcement - - - - 3. Electrical Conduit•Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn 46.-. Electrical Bonding - - - _5. Steelem orce 47. Rougli Plumbing & Pressure Test- - 6. _Electrical UFE_R Grn 48. APPROVAL TO COVER-GUNITE- 7. Footings _ - - 49. Electrical Conduit-Undr rn- >'• _ -8. - Foundation ' _ 50: Gas Pipe, ❑Undr m, -Test - •- 4. _9. .Water. Pipe_Un&gr.n _- _ _ _ _ _ _ 51. Backwash Lines P -Trap,❑ ndr rn - - - -- ;- 10.. -Structural Floor System52. APPROVAL DECK" - 11. -Property Sewer_Line & House_ Conriection' 53. Backwash& Rece for -Final '.: ` • -" "�' •• ' -'' r.,r. 1.2.. .Street. Sewer Connection- - -__ 54. Heater &Vent -Final -._ 13. Rough Plumbing _ _ _ _ - - '-- 14. Rough Electric -Conduit - - - - - - - . +56:. Electrical -Final 15. Rough Electric -Wiring - - •' -- --- - -- - -- -' 57> Solar System -Final ; "': -• ' '' `' ' 16: -'Rough Heating & Air -Conditioning - - . ; - encing & Access Approval 17. Ducts, inStructure 2"" _ _ _ ' APPROVED FOR PLASTERING\ 1& - Ducts, Ventilating ' 19. Gas Pipe -Rough & Test 20i- Roof Framing' - - - - 60. POOL/SPA SYSTEMS FINAL -•; "- - ' ,y '+' 21. Roof'Sheathin - �� 22. Frame and Flashin - �' NOTES:- OTES_23. •• v ' ' i _ 23.Insulation- ,- 24: Lathing & Siding - - ' 25. Drywall Nailing._ P 26. Plaster Brown Coat _ ,_ _ _' - •.n" - 27: Electrical Power Meter-Final'- - _ - - - -_ 2&- Final Electric. - .• -- 29. Final Heating & Air Conditioning 30. Final'Gas Pipe -Test .. - ' ' '- •,: - 31. .Final Plumbing _ _ - 32i Water Service -Final. -33. - Gas Service -Final 34. Solar Domestic -Final • ' ,. - 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING - --- 39. Special Requirements Completed ' 40. Electric Release to Edison \ -- - - - 41. Gas Release to Southern California Gas Co: 42. CERTIFICATE OF OCCUPANCY No Date �.,�.•„� . 10 K Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations, CCTV OF COSTA MESA- PERMIT NO. -_ TRACT NO. LOT NO. BLDG. NO. - - -- - - - - CONSTRUCTWNPERMIT F !� /D/ 9/13/62 2840 TYPE OF CONSTRUCTION ❑NEW ❑ADD ❑ALTERATION- 11 REPAIR 1:1 CONVERSION ❑DEMO,ISH El OTHER- ' 7530 ;,V Z�: r` - ZONING REGULATIONS ' Project Address :SOS D/LG/fL' Owner Ow • Address 3D/ C' ST 5"Z-SS/s Arch/Eng. License No. DESCRIPTION OF WORK L A.P. # ZONE PLNTGp. RBE�JF�. Address - - - Contractor Phone 11q TYPE OF PERMIT - — ❑ GRADING -0 - El STRUCTURAL - ❑ TENANT B-ELECTRICAL.OPLUMBING-.E]... MICA SBUILDI ET Ac I YARD p$ry. PROPEIRTV LGNE ' - - t (D_ . Address '' LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (com= SIpE RIGHT ' mancing with section 7000) of Division 3 of the Business and �' ❑ OTHER' Professions Code; -and 'my license 'Is - In full force and effect. - -- - _ REAR YARD (TO P/L) . • ,< PROJECT DESCRIPTION License Class, License No. - - - - - --' SQ. FT. PKG. SPACE REQ. _ PROVIDED Data Signature WORKERS' COMPENSATION DECLARATION OCCUPANCY—CO NST RUCTI ON TYPE STREET WIDTH PARK FEE $ I hereby affirm that I -nave a certificate of consent to self -Insure or a' T- VALUATION ZONE ZONING APPROVED BY ..( - DATE Certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800; Lab. C.): - - ' - - GRADING CU.,VDS. ACRES SPECIAL CONDITIONS: - - 9CY No.—Company A Auti> r QCT - Certifled copy Is hereby t REMARKS: - 2 /3 .CIG Certified Copy IS filed withh the the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred less certfify that n the performance of the work for which this permit Is PLUMBING PLAN CHECK - ELECTRICAL PLAN CHECK ' Issued, I shall not employ any person in anymanner so as to become subject to the Workers Compensation Laws of California. 'BATHTUBS -' SHOWERSUWLI - - - _ Date _Signature NOTICE: If after making this declaration, you should become subject TOILETS - URINALS' - - _ - GENERATOR" 0-1 KW KW to the Workers' Compensation provisions of the Labor Code, you must -1-'10 TRANSFORMER forthwith Comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS ' '- APPLIANCE 10-50 KW -50 _ + KW revokeCONSTRUCTION -KIT. SINKS -- DISHWASHERS- 'f _ MOTORS 0-1 HIP --1-10 HP CONSTRUCTION LEN DING'AG ENCV ` " -" -" _ tion linseed I' hereby affirm thatrk fe'whiCh SERVICE SINKS '""' "' "-( --�' -fINC. SOLAR) 10-50'HP_"50-+HP :- r this (Section 30ar- CIV. C..e of the work tor' - ich this permit is.issuetl (Section 3097 � i r- - - ,SUMPS - - FLOO R'SINKS� - ""FLOOR DRAINS - FIXTURES- OUTLETS SWITCHES -� !---' •---., - Lentler's Name - Lendr's-Address - - - - "-" DRINKING FOUNTAINS] GAS'TUBESIGNS - - 4ZN BUILDER DECLAfBCTIONSN ! .;) '''it= -'' '� t -CLARIFIERS - ,1 herebyy affirm that I"am exempt from .the Contractor's Llcense.Law for areason (Section 7031.5 and Pconstriuct, -]NTE R CEPTO RS POLE LIGHTS Any cllpY-o county which requires aU. persmit a�eei, "SWIMMING POOL---�PTRAP-' -�-" POLES METERED SUB WATER -SERVICE' �' ' ' ALTERATION,. "- PANELS - MAIN -SUB. improve, demolish or repair any structure, prior to'its issuance; also to=' quires the applicant for 4uCh permit t0 til¢ d signetl statement that he v _ is licensetl pursuant to the provisions of. the Contractor's License Law GAS SERVICE`- OUTLETS - - SERVICE -- AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the 4pess and Rolessions Code) or that he is exempt therefrom antl.[he TyL WATER HEATERS - BTU OUTPUT - - Q - -.d for'the alleged exemption. Any violation of Section 7031.5 by -SEW ER CONNECTIONS - pplicant for a permit subjects the aDPlica nt to a -civil penalty t more than five huntlretl dollars ($500). ' SOLAR TANK - COLLECTORS "--" - - - - ❑ I, as owner of the property, or my employees with wages as their- sole compensation, will do the work, antl the structure is not Intended or offered for sale. (Section 7044 , -Business antl Professions Code: The SOLAR PIPING SYS.—" - -- - --' _ _ ISSUE FEE DO' Contractor's License Law does not apply to an owner of a property - 'ISSUE FEE - - - "'- -- APPL'ICATION APPROVED _ DATE c - who builaS or 1 m proves t hereon, antl who does such work himself or through his own employees, pro that such Improvements are not 'MECHANICAL PLAN CHECK r SUMMARY OF FEES "( '. '_ N Intend ad. or Offered for sale. If, however, the but ld i ng or Improvement- Is sold within one year of completion, the owner will have the burden of -proving he did not build or - Improve for -the purpose of sale). - '-- HEATING SYSTEM 0-100,000, BTU "BUILDING 'SMIP,t_. ❑ I, as owner of the Property, am exclusively contracting with -project -AND DUCTING-- ,_ -PERMIT _ g ,__ E Ilcensetl Clod the (Section 7044, Business 100,000+BTU PLAN CHECK $ PERMIT - : Tne Contractor's and Professions Code: Tne Contractor's -License Law does not applY.to scion - -- -' -ISSUANCE $ an owner'of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s). Iicesnetl pursuant to - SYSTEM - - ' - GRADING E - the'Contractor's License Law). 100,000 + BTU PLAN CHECK $-r ❑ 1 am exempt under Section B. 6 P. C. for this $ BOILERS BTU ELECTRICAL E , reason PLAN CHECK $ '- _ -MICROFILM $ - Data —Owner SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL $ TOTAL FEE $ LESS AD- ' 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 PLAN CHECK $ - VANCE PC $ ordinances and state laws relating to construction, and hereby authorize r representatives of this city ent r upon the abov neztl- Property f Inspect pose os i�entl Signature Date ISSUE FEE FINAL FEE $ Drivers' Ur cense 55 $ - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL. CONSTRUCTION AND PLANNING APPROVALS �'� Permit 4# " `77 Date Inspector Wt[ H �{ POO f&SPA `' _ _ ''rte'- :'I� - P - - - - - - - Date= APPROVAL'S •'� •', 't _._Perm it-# "_�-`I-'�•' •1 Inspector 1. Temporary Electrical Service or Pole 1n,43.,„Pool,& Equipment Location -" -' .•,,•_ .,¢ I2. SoilPipe-Undrgrna I, f%, q ZYWA I _ _Steel-Reinforcemenf-- 44, - - - .op.,�wa,j l 3. Electrical Conduit Utility_-Undrgrn'•'"�',., 4. Electrical Conduit'Undr rn � =46-Electrical-Bondin-•,{'-�-'4,�,"„Iq �- _o:,,,;,;,.,� {5. Steelem_orcea;Q�. _rz J',:,?` Li,"__i �I- - -,47.,, Rough;P,lumbin g-& Pressure Test .. j 6. Electrical UFER Grn ,,,.48.�:,APPROVALTO,COVER-GONITE e +AAL hFU rtr Footings49. ElectneahCondurt-Undr rnsn'z..a Lel ,o e no'.�'„e To �osr, • I 8. Foundation , .. 50.orGas'P.ipe, 'E.Undr rn, Test _..... ..- _.. 9. Water Pipe-Undrgrn _ - _51,. -Backwash- inesL-P-Tra E]Undrcirn j 10. Structural-Floor,System_ 3"' _-• ,..�-• •„-- Ir52.0aAPPROVAUTO%DECK .,c •3:>se••,nf - :r=rlac•� 11. PropertyTSewer Line & House Connection" _' n< : -53-BackwashWRede tdr Final,' ',eo 12. Street Sewer Connection -__ -54- Heater'&"Vent`Fi'n'al''- 13. Rough Plumbing - r: Final 14. Rough Electric -Conduit --- ---` '- "56TElectrical:Fifi-51--",.,,- 15:- Rough -Electric -Wiring' --57-'Solar'System:Final--co-�n„�.,, •' ?.�'�- Vitra:.^„n r . r 16.-__Rough-Heating&:Air Conditioning-- -= rt- --= --_� _ -Fencing=&=Access>Approval. , ; n _ :,+ -_T. _ ,•• , •• 7..I I, »: 17., Ducts in Structure-�° '"'�`'` ''"'_.� j "' - -- `- = 9.-AP.PRO.VED.FO -FOR-PLASTERING _18.. Ducts,.Ventilating. V _�- _ --- ------ -- - - ...-- In�60.-POOL/SP-A•SXSTEMS'FINAL ou 2JIAOTAVAJ `fi`- • ` o ,r •^..-1 ;fr: 19. Gas Pipe -Rough & Test--'+'' ''- N371,y; _,�'e 20. -_ . i^.. i 21. OI-, .-- In _ J -- .-• - -!� -.., Roof Sheathin ^ . 4..1 'N_ OTES:Frame'and_Flashln -z,l-ao!,ia- ;- a ....J %r�^, s r•rn^_zI .❑'.,b'nno>��' Y I/o.• V'22. _ __ I_23.i_lnsulation �IL,I„-:z._ e,J,l��, ,:.,+„ '�- } -: `. .- _01-r-'L11x-•A,,,�_� 24.' Lathing.& -Siding- - "+.,� �� i -T- { _ .._ _. ., . _...- .._-. • -- - _ - - _ -- ,,. . i r ' Nailing �25.y-Dywall ' 126.1 J1��CZ� PlasterlBrown Coat! U443T3'%� ?9 G :3•I - - _ 27.. Electrical Power�Meter_Final 128.. I_ Final_Electric`'S9 ," ': -�--=- _ 113x1. •,,, loc• - ,•„• -- :r ,,.� 129.LFinal -Heating &.Air_Conditionmg of ftoc ,a 130.1 Final Gas Pipe -Test ��- J -•-- ----__ .._.. __ ,� ,vur,.'; ...,,�� L, ,., , „ ' - - , . 131.! Final Plumbing _ __ ❑_i-- I •...�.�- ��- ......... --- -....� _ .. _ - _...-moi bst.e u.nl 7oq x, fin.; _r7t •!r: Cne., ' a� _ .:. nt nsorr uo ^I n 132.�WaterService-Final._- f--1- :, "�Vs•o-s�r� -Ylac .. 133. __Gas' Service -Final_- 134. Solar Domestic.F,inalo YRAi.W4UF 35. Landscape Sprinkling System n TIMRi 1 1 I c.i.o, o .,3rv•: H -A3 36. Sound Attenuation a No3H:nn iI 1 `o='•c'= "' - � 37:'-- Handicap Regulations _e �wia.w_o { 1 F �.Tt mo,octm InolrnA'�u •,�R ,- >- T.O. _ 138. -FIN AL-STRUCTURE&.BUILDING: >1:;3Irl o0A.' rrr +r`oo.00t , 139. Special'Requirements Completed_._ U-IR -- -- -- 140. Electric Release,to Edison -----a ""'""' ' ' v i nT ORnt Ja ,A IACSP y,.J 1.'. :• _ 141. Gas Release,to Southern Calif ornia-Gas-Co" t ,I '.,U •'.;t. ;•ui••^I. 'r't -.,-;_ ." c>v'-_. 142. _ CERTIFICATEOFOCCUPANCY NoDate �------�---- -----' - ---• --------- - •• -- .• ,Cr •, h +'C OSI i, _ ., .. , .. a.. .. : _ i I Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY -OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. a�DGG NO. - - _ . '- CONSTRUCTION PERMIT � 7 q /'^/OZ TYPE OF CONSTRUCTION ❑ NEW ❑ ADD _-`❑ALTERATION ❑,REPAIR ❑CONVERSION❑DEMOLISH 11 OTHER \. ` - 7531 9/13/8 28.00 ,.; .7 `1 . `� .' I'- ' - - • I ZONING REGULATIONS- Project Address S t)!L/fC Grj Own A, - 'essp Addr- B -5-/— rCj sZ'�S/ Arch/Eng. License No. DESCRIPTIONOF WORK [< J (T/f (- A.P. T ZONE ' PLNG. REF. zA - Address -_ Contractor LE_ - Phone - TYPE OF PERMIT ❑ GRADINGS, ❑ FFp UNDATION ❑ STRUCTURAL ❑ TENANT LYELECTRICAL ❑PLUMBING ❑MECNANICA BUILDING--- ETBACK SIDE YARD SIEpEE YARD - a'O BUILDING ROPE RT'V LINE - - Address -_ . - - - -- - LICENSED CONTRACTOR DECLARATION am 1 hereby affirm that I licensed under provisions of Charter 9 (tom- nrencing with. section 7000). of Division -3. of- the Business. and I _ ❑ OTHER• RIGHT Professions Code, and my license Is In full force and effect. - - - REAR YARD (TO P/L) -. _ ' License Class License No. PROJECT DESCRIPTION _ - ' � - SQ. FT. _ )' OCCUPANCY__CONST RUCTIO N TYPE PKG. SPACE REQ. STREET WIDTH PROVIDED ' PARK FEE $ Date • Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that, I have a certificate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY DATE, certificate ern is teeof Insurance, or a certified copy - _ _. _ -. ( 380rs Lab. GRADING CU. VpS: ACRES SPECIAL CONDITIONS: 'cy No. Company - - - -ass Y 2 Certified copy is hereby furnished. REMARKS: fled copy Is filed with the city Building Division. EXEMPTION FROM WORKERS'- COMPENSATION•DECLARATION - - - This section need not be completed if the permit Is for One hundred $1001 or less). tert((fy that n the performance of the work for which this permit is Issued, 1 Shall not employ any person in -any manner so as to become PLUMBING - PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. - BATHTUBS SHOWERS - Dale Signature NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this Permit shall be deemed LAVATORIES DOUBLE LAYS - - APPLIANCE-'10:50'KW=50 + KW revoked. KIT: SINKS DISHWASHERS MOTORS 0-1 HP_1-10 HP CONSTRUCTION LENDING AGENCY - - I hereby affirm that there-is•a construction lending agency for the Per. SERVICE SINKS - ' SUMPS ' "-" - (INC: SOLAR)' 10-50 HP- 50 + HP - formance of the work for which this�permityis issued (Sectionny30971 - • Civ. C.). �-'a--'+-_ ."'- 3.. \-:4 �' - 'FLOOR SINKS -'-i' FLOOR DRAINS' -- FIXTURES - - OUTLETS SWITCHES Lender's Name - Len ler's'Addrei- _ -' DRINKING, FOUNTAINS_' '— - GAS TUBE SIGNS- _ (OWNER BUILDER DECLARATION-•}].,--.\•? \+,;, •. �. �. g .. _- - 'INTRCEPTORS POLE LIGHTS I hereby affirm that, I am exempt from the Contractor's License law for E CLARIFIERS _SWIMMING -POOL' P'TRAP -� - -_'_� POLES - METERED SUB the following reason (Section 7031.5. Business and Professions. Code: Any city or county which requires a permit,to-.con5truci, alter,. - - - WATER SERVICE' -' ALTERATION'a ,-" - PANELS - - - MAIN impprove, demolish or repair any structure, prior to Its Issuance; also re-' quires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's Llcanse.Law GASSERVICE OUTLETS - SERVICE - AMP - (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS- BTU OUTPUT " �5 9 •�'nass and Professions Code) or that he is exempt therefrom and -the Ir for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - pplicant for a Permit subjects the applicant. to a.civil. Penalty o. d more than five hundred dollars ($500). ' 'SOLAR TANK -- - 'COLLECTORS-" "- - ❑ 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 „ _ I tr or offered for -sale. (Section 7044, Business and Professions Code: The _ _ •"SOLAR PIPING SVS. ` _ , ISSUE'FEE _ _ Contractor's License Law does not apply to an owner of a property ISSUE FEE APPLICATION APPROVED BV DATE who buildsor-improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN�CHECK SUMMARY OF FEES Intended o, -offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden ofprovinghe did not build or -Improve for the purpose of sale): HEATING SYSTEM 0-100,000 BUILDING'- _ . `I ❑ I, as owner of the. property, -am exclusively contracting with _ .BTU - AND DUCTING PERMIT E - SMTP• $ licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT ' and Pro/essions Code: The Contractor's Llcerise.Law does not apply to _- -- - ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ ' tracts from such projects with a tonlractor(s)._licesned pursuant to SYSTEM _ - GRADING $ the Contractor's License Law). 100,000 + BTU PLAN CHECK $ ❑ 1 am exempt under Section B. d P. C. for this BOILERS BTU ELECTRICAL $ i�,00 $ - reasonPLAN SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE CHECK § 'MECHANE IU MICROFILM $ _ TOTAL FEE $ AD. Date Owner hereby certify that I have this application and state that the above information is correct. I agree to comply with all city and county agree PLAN CHECK E- VANCE PC $ Ordinances and state laws relating to Construction, and hereby authorize five of this city t0 ante Upon th¢ dbova' a lion¢tl pro a property property fo nspecti carpo Signature Date �_L ISSUE FEE- - - FINAL FEE $ SOD - - ' Drivers' License' S5 ae - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod-AsseSsor CONSTRUCTION AND PLANNING APPROVALS �if%�-'e Permit # 7`j Date Inspector POOL & SPA ' . . . - - Date' Inspector, , APPROVALS' Permit# - 1. Temporary Electrical Service or Pole 43. Pool &Equipment Location - 2. Soit Pipe-Undrgrn 41T_ Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45.- Forms - - - 4. Electrical Conduit-Undrgrn 46. Electrical- Bonding - -'--- - -- - 5. Steel em orce - 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. .Gas Pipe, ❑ Undr rn, Test ' 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Urdrarn 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final. -' 12. Street Sewer Connection 54. Heater & Vent -Final 13: Rough Plumbing - 14. Rough Electric -Conduit - - 56."- Electrical -Final 15. Rough Electric -Wiring - -- 57.- Solar System -Final 16. Rough Heating & Air Conditioning - - _Fencing & Access Approval - 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating _59. 60. - POOL/SPA SYSTEMS FINAL - - - - 19. Gas Pipe -Rough & Test 20. Roof Framing. 21. Roof Sheathing NOTES: 22. Frame and Flashing - _ 23. Insulation - - -- 24. Lathing & Siding 25. Drywall Nailing - 26. Plaster Brown Coat -/98-L 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning. - - 30. 1 Final Gas Pipe -Test 31. Final Plumbing - . 32.: Water Service -Final 33. Gas -Service -Final--__. - 34. Solar Domestic -Final' - 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - ,38. FINAL STRUCTURE & BUILDING -- - _ 39. Special Requirements Completed - 40. Electric Release to Edison '41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - ,_ -, Cr Applicator to rill in all spacer except theme within heavy herder lines and sign all appropriate deeunerem. RmnsllaRian FOG I CIT.OF COSTA MESA CONSTRUCTIOyJ PERMIT PERMIT NO. MECHANICAL TgACT NO. res LOT NO. !;:;I UNIT NO. Boiler Hood at Type ❑ Canopy Type It ❑ r own Intendedthroughhis Or Offof ered for linin one year of com- Iushe aid not build Or lm- o, � o Fixtures Mioowwo I. Duct - structural -I E.;- 4100,000 Prated Atltlress '� ///A.� AIr g � Exhaust System ❑ Multiple 13K System Rewir/Altiiation '.a Labe wo I am aware tme Firepl/Feet Bit. ICBO vk Fite Dampens O. A P. a for this ration AppliCanl'6MailingAtl na TYP OF CONSTRUCTION NEW ADD ALTERATION REPAIR 13 ❑ Heating System & Ducting ❑0000000 BTU 0100,000 Registers n tate that ma above and eand etbne°r n enloe Owner's Name ''/ ��� � CONVERSION DEMOLISH OTHER A p * NeinWOMIOn Fee LPbOne DESCRIPTION OF WORKIUSE OF BLDG. Address +�b�l�/�J'. AU S Men A2NEng. tee-' �6+FL ^rr a Licensee_. TYPE OF PERMIT�r GRADING FOUNDATION fft� TRUCTURAL T Front ❑ FJELECTfl IC AL ❑ PLUMOING Address TENANT Ir1MECHANICAL ❑ OTHER q Beer fdg Contractor's Nam sit/ hone C Right /� PROJECT DESCRIPTION SQ. RT. A42** OCCUPANCY Address (me �� a✓�—"ei�r 7/ C ON STRUCTION TYPE VALUATION$ /f adje2f--1 a Left City License No. �/0✓' LICENSED CONTRACTOR DECLARATI I hereby, affirm that I am licensee under P with section 70001 of Division 3 of me my license Is In fun for a a effect. upenp CI Data Sl9netura WOR Rs' OMpENSATION OEC RL hereby affirm that I new certlll[ a Ot f Workers' Compensation sum co, or No. company tiled wstyle play fumisaa. Ilfie l wl\M1 the of But 9 I gppllel 10 ROM WORKEflS'COMP NEATION ECLARATION roto end not be comple[etl N t perml\ le 10 ne hundred ISloel Or V that In the YwrlOrmance of Ork for Which this Permit Ignition I r. Comomasllo °'Laws mei cnlNormz sir sob subject m \ha Sl9n two eclat should becomesubject to the '.E: If, alter Making thisdeclaration,f the bar shall. you must forthwith s' compensation C, rarlsl000r of sM1e with uCM1 Or°RioN r \M1ls permit hall. be deemed revoked. Name Address aha tract: Bolster putts tract rot then Werra ❑ 1prooam mompt under Date 0 I hereby certify that 1 no r of this a 11 1 Fee and inch aws net bit 0 load of practice Of this C I on ter t annalistic purarco, Signature IF 0865-46. 11�. 1 184 While - Building: Certify ZONE GRADING CU.YOSAt Remarkt VIC SM1owers _ Service Sink Sewer Cap - Sewee Corporation Boer Collectors . Sinks Urinal Outlei4 Water CIO¢ aptaris Water Hexa n Sink Water Servi nme Aulo-Wmh withpee their safe not Intended of offeree ELECTRICAL RmnsllaRian FOG I $15 Issue Fat (o Switches MECHANICAL Garbage Disposal Vwho Oullis m improve$ Generator 0Oc5 KW ❑5-15 KW Boiler Hood at Type ❑ Canopy Type It ❑ r own Intendedthroughhis Or Offof ered for linin one year of com- Iushe aid not build Or lm- Duct - Under Ground acting with lleenuO wm Fixtures Mioowwo I. Duct - structural Refrigeration System an owner Wi property who❑0.100.000BTU ren projects with a Con- 4100,000 Duct Ventilating 3 Exhaust System ❑ Multiple 13K System Rewir/Altiiation '.a Labe wo I am aware tme Firepl/Feet Bit. ICBO vk Fite Dampens O. A P. a for this ration Heating System & Ducting ❑0000000 BTU 0100,000 Registers n tate that ma above and eand etbne°r n enloe rr Dat NeinWOMIOn Fee $15 F a a ePltrzny.Plnk-ACCOuntirel Goldenrod - Assessor 8147 2/25/85 ISL,Ic 11 will ' ELECTRICAL Automatic Washer Transformer ❑ 15-50 KY Construction Fate Suh. 11 50 t KW (o Switches Cooking Unit Meter ❑up101OOemps Garbage Disposal Dishwasher Meter Oracular 100empi Generator 0Oc5 KW ❑5-15 KW Dryers ❑Gas ❑Elwtric Sub Panel Fan Motors❑0.1 He 01A -e F.A.U. Inc.Solar 09 16 HF 0M Fixtures Mioowwo I. 1 Pole C Range Issue Fee FEES ? > SMTP $ ' PERMIT ISSUANCE $ ENERGY P.C. $s ' T GRADING S MICROFILM $ TOTAL FEE $ WL Device Boxes Outlets (o Switches Garbage Disposal Generator 0Oc5 KW ❑5-15 KW $3 Heinspeetion Fail $15 FEES DEVELOPMENT SERVICES REQUIRE Zoning APpravad By K'9r Building Approved Application Issued By pu'1 BUI LDING PE RMIT, $ S� PLAN CHECK $ PLUMBING $ PLAN CHECK 25%'S ELECTRICAL $ J.Q PLAN CHECK 50% If 3. MECHANICAL $ b•s PLAN CHECK 25% $ 3 $ 3 1 Pole C Range Issue Fee FEES ? > SMTP $ ' PERMIT ISSUANCE $ ENERGY P.C. $s ' T GRADING S MICROFILM $ TOTAL FEE $ WL CONSTRUCTION AND PLANNING i' .t APPROVALS - Permit # Date Inspector Pl & SPA APPROVALS Permit # Date Inspect Ins or p" 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. APPROVALTO 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, 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 Ceilingof 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 13 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27: Frame and Flashing bS 51` , S 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30: Drywall Nailing c4rHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,3� Notes: ��/ 34_ 34. Final Heating & Air Conditioning 3 (3 ii C" , 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' 7 3 (t 47. FINAL STRUCTURE & BUILDING / 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i ' 51. CERTIFICATE OF OCCUPANCY No. 12-615 Date ` J City of Costa Mesa q Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. d UIZ 0 P. O. Box 1200 Costa Mesa, California The Building located at 'hnr, r'ad-,11ar• Atmnna P101 has been inspected and found to comply with the provisions of a(I City of Costa Mesa Ordinances applicable thereto for a Group C'0 Occupancy. Use of Build Legal Description 1'70—r r'l—nq (See reverse side for Metes and Bounds) Building Permit No n..tolv-rnn Electrical Permit No. WWI 77nn Plumbing Permit No. n Mechanical Permit No. Number of apartments and/or guest rooms ISSUED TO: Building Official n.-}> "r : •fir Date 1 o This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000563 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC P102,101 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of BuildingCFF=C Legal Description 139-62-08,09 (See reverse side for Metes and Bounds) Building Permit No BE14029 Electrical Permit No. E14556 Plumbing Permit No. P14122 Mechanical Permit No. —0— Number of apartments -0 and/or guest rooms ISSUED TO: Building Official 0, /K r /��Y/li'� O' poxru. BRIC3iF1M � — by %Ail 3505 CADMLAC 0-110, C.M. Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premiies and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File MY Lip. Q Dat I as Signature Issue Fee S $ rLUMRlNU re ES FEES qe sell ATIONOECUla Aons reed cerhficale of consent to seu.insu.a or a caru6wa Hound or Type ❑ Canopy Type II ❑ DEVE ZaninO Buildi Applicant to nu In alumael A oto those within heavy cormr noes and sign an appropriate declarations. xp Appli -- CITY OF rASTA MESA CONSTRUCTION PERMIT vmiectSadce '309 CadillackP102 01 PE Mfr ND. C 2 TflACT NO, O- LOT NO. l�ae: qR.4 UNITNO.]s— /G/r! �_ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR 11 CONVERSION 13 DEMOLISH aC1 OTHm'radn} 1RnY cn'Pnt DESCRIPTION OF wOAK/USE OF BLDG. j Applicant's Mailing Poor 9➢ -1 r)nVc' $}_ Nag•�nY} Rrh OwneisNama O'Donnell DZ ICIISdRI Phone 7 — lrj Address 3505 Cali l la 40-110. Costa Mesa AutomaticWasher -Transformer ❑ 15-SOKW /Y] AP.d• I —V6 $ Main Building: AcY X" Arch/Eng'R011V Polo Ski Address 5120 RI YCFI NPG'pnYY Lictnse W. Reach rA TYPE OF PERMIT El GRADING 0 FOUNDATION LA STRUCTURAL ❑TENANT 01ULECTRICAL OPLUMBING OMECHANICAL L)OTHER PROJECT DESCRIPTION SO. FT. J:00 OCCUPANCY CONSTRUCTION TYPE VALUATIONS PC -/Sn. DO -20NE GRADING CV.VOS.� ACRES E T wt L Front B niter conlre to,:Nam Bass -Wood Ent. , InCP ona553-8043 A C Right AdMm lmailingl 901 Dove St.. Ste 260 q260, N.B. License No. 427127 e�G-iO•% LICENSED CONTRACTOR DECLARATION S ft Left PIr1<J. Ref. gs • Perking Req./pi MY Lip. Q Dat I as Signature Issue Fee S $ rLUMRlNU re ES FEES qe ATIONOECUla Aons reed cerhficale of consent to seu.insu.a or a caru6wa Hound or Type ❑ Canopy Type II ❑ DEVE ZaninO Buildi Showers Refrigeration System OD-1DD,WOBTu ❑IW.DOD Bru Appli ELECTRICAL clan insurance,. or a cerntiea copy (hereat 15ecubnnw Preventer $ Service Sink SMTP q /� S z•os AutomaticWasher -Transformer ❑ 15-SOKW 9331 Company r1dY�k 'NdisO�low WeIrl ConsbunipP PWe Sub. ❑50 tIKW lrc[gation Sewer Cep Boy furnished.d with the city Bml y 01 Isiah Aoouranl pys— la%000' F\:j ORKERS' COMPENSATION DECLARATIONe completed N the permit Is for One hundred US 00) Orasher ubs league$15 lee Fee S 3 ' Sewer Connection PLAN CHECK 25% Cooking Unit Meter OUp to 1 W amps iers Solar Cgllecmn Dishwasher Meter ❑over 1 W amps r6artnknk &i�$rl'o Solar Piping $ PLAN CHECK Dryers❑Gas ❑Electric Sub Penal lormance of the work faorr which this Permit Is Bossed. 1 berson i a to become subject to theing Laws of Caifornia `r_Signature Fountains $ Solar Tank Z FanMutons ❑Ot HP ❑1 K'B Drains PLAN CHECK Swimming Pool w)Spo $ F.A.U. Inc. Solar Dgi5 Hp❑1615F no this declaration, you should become Woman to the o eh elor oOs thiheP rmit hale.beP Peemonf etvokM 40ING AGENCY r e Isa construction tending 9ency far the performance this ParmN is Issued (Section 3097 Cie. C.)ptors $inks Urlryl G Fixtures Mlaowave ervice Outlets Water aserDevice BOves .Rh Pole LigM1t Water Heater Outte s 'Range -,_, I 11(inthrmSink I I Water Service Q9 Switchn I I m'nn Root Drains Raine lion -Fee plelleq the owner will nava the burners Of proving na/aha up mol bulld or In, DUCT- UOdOr Ground Mf or the PURON Or all . as Owner of the property. am exclusively contracting wlth lice iOfl COm tactural reactors t0 Construct the project `Seitic" 70 Ex"Shwis amn Pmfessioni Code: The Contractor's Llconae Law tl not apply to an owner Of pr6perly who Dun - Vemilating builds or poses thereon, and who Contracts for Such Projects with a tractoria1 imposes punuarie to the Camra mi s Lawnae La' I. I am aware that Exhaust System ❑ proof 1 Iran WnYAr'S Compan"tiom In should be Provided to e ❑ I am exempt Under Section B. & P. C. for this reason I I Firepl/Fxt Bit, I CBI Date ;Z owner I IHaating System&Du Drivers' n or 55 ♦ I I Rainipni6n Fee CMF 0065-46, PY. 4084 white - Building; Canary -Applicant; Pink- Accounting; Goldenrod. A mssar $15 Issue Fee S $ MECHANICAL FEES qe Hound or Type ❑ Canopy Type II ❑ DEVE ZaninO Buildi Refrigeration System OD-1DD,WOBTu ❑IW.DOD Bru Appli SUMMARY OF PEES is E3 System RagrakfAlteralion $ . SMTP q /� S z•os PLAN CHECK ' $ WeIrl PERMIT PLUMBING $ league$15 lee Fee S 3 ' $ PLAN CHECK Disposal 0" KV Issue Fee FEES _.-I I ng Approved By othe CaIB —I Issued Re Der• SUMMARY OF PEES BUILDING PERMIT $ . SMTP q /� S z•os PLAN CHECK ' $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. .8 ELECTRICAL- $ &i�$rl'o GRADING. $ PLAN CHECK 50% $ • MICROFILM $ MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ \ J � ' I:,ONSTRUCTION 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;Uridrgrnd. 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. '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 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 Rough Electric WiringA Or= tur-68. �� t..� 67, Fencing & Access Approval - 17, Rough Wiring Sign APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POO USPA SYSTEMS FINAL ..19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20! Rough Factory Fireplace 21._ butts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas El Oil Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas 0Oil 25, Roof Sheathing 74. Overhead Hydro 26: T -Bar Ceiling (Structural) &;Monocoat 75. Dry Chemical 27.. Frame and Flashing `J 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 7 i/cy 78. FIRE PREV. FINAL 30: Drywall Nailing >aSTrA- 3 HEALTH DEPT. REQUIREMENT 311. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED X33, Final Electric Notes: /4 34. Final Heating & Air Conditioning i0 •-�. 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 2 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solai, Domesti6-Final - 7 42. Backflow PreJenter $ 7 .I I• a 43. Backflow Irrigation 44. ,Landscape Irrigation System:- _AA r 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING g 48. Special Requirements Completed 49. Electric Release to Edison 50.' Gas Release to Southern California Gas Co- 51. CERTIFICATE OF OCCUPANCY No. 5�i Date-- APPBum to alt to all spaces except thea within heavy border lines and sign an appropriate destinations, CITY OF COSTA Finial Addrau — Applicant's Mailing Owners Name Q Address •tsdl ArchEng. 1901* AtltlreO ss0fZA Codmac ori Nema_ st Addrelmeifing)- City License No. _ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter (commanding wlt0 Sodium 7000) of Division 3 Of the Business and ProtectlOns COOL, ilio my license is in lull force an effect. '/ LJnnso Class nor N0. r 2 7/i Data �V" Signature WORKERS' COMPENSATION DECLARATION hereby affirm that I have a Certificate 01 Consent to self41name or a certificate Of Workers' Compensation Insurance, or a certifies copy thereof (Section 3800, b. whey Nd./cifOS933/ compeer C".iil�Y '•lie Certified copy Is hereby e mane it Certified [ppy It filed wm. City 6plldln9 Division. fas dale EXEMPTION FROM WORKERS'KERS'COMPE NSATION DECLARATION las%). on need not by completed If me Dermic Is for one Auntlrotl (3100) Or 11 ertifyy that In the performance of ins 0 k for so which this permit Is Issued 1 w;kers' Consensuses n Laws of Cailfornia es' m oecome subjen to the Dau A gnaturo NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Cade, you meet forthwith oMPIV with Such provision$ or this Permit mall w deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there IS construction lending agency for the performance Of the work for which this Permit is issued (Section 3097 Cry. C.) under's Name _ under. Address _ OWNER SUI _DER DECLARATION 1 hereby affirm that 1 am exempt from the ComoctorIs Upense Law to, me folllowing reason ISectlon 7031.5 Business and Professional Code: Any city or co my which reamres a permit to construct, alter Improve, demolish or repair to ts Structure, id Staatementt inai°najmis lice�me the to ins rConvinced Of DivlContractor's fhe License andh Professions Code) o With nai he/she 7000) 01 therefrom 7031.5 Son any M1appliscaant more allegedprmitetrl leets theviolation of splendors to S9 CC11V11 pedally of not more than flw hundred dollars (65001. LI h as owner of the, PoParty or my employees with wages as their sole TYPE OF CONSTRUCTION U NEW 1_1 ADD LI ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. $ 3 A.P-.p. Zone S Main Building: Accessory Bui Ming: GRADING TYPE OF TENANT ❑ TENANT 0 ELECTRICAL ❑ OTHER TION MECHSTRUANICAL PLUMBIFOUNDNG O PLl1MBING ❑ MECXANICHL E T Front FEES B A Roy Rich C Right PROJECT DESCRIPTION SO. FT. OCCUPANCY C O N ST RUCTION TYPE VALUATION Is ZONE GRADING CU. V05. ACRES B Left Ping. Ref.f Parking Req./Provitletl Remarks: ,r System Repair/Alteration Planning Notes: ' PLUMBING FEE$ Bar Sink Showers $3 ELECTRICAL Backflow Prevemer Service Bink' Automatic Washer Construction FOle Sub. Transformer ❑ 15-50 KW ❑50 wKW Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter❑up to l DO amps Clarifiers Solar Collectors Dishwasher Meter (2 over 100 amps Dishwasher Solar Piping Dryera ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 001 HP 01 %� B Floor Drains Swimming Pool wl$pa F.A.U. Inc. Splay 15 His Q16-15 Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater _T Outlets Range Kitchen Sink Water Service - Switches $ign Lavatories. Garbage Disposal 'Standing Sections P—Trals Generator ❑05 KW 0515 KW Trash Compactor Roof Drains Reinspection Fee 1 S15 OUINIS or Improves thereon, and who contracts for seen projects with a CI- - tnctorns1 Ilpnsa pursuant to me Contractor's lJwnse Law). 1 am aware that Estill Byatem Cl Multiple proof 1 their Worker's COmpensatlon Insurance Should be provided IO me. ❑ 1amexempt under Section 8,6 P.C.forthisreason FirepUFict, Sit. ICED OF Data Owner Heating System B OUcting I hereby certify that I ban read this application and tate that the above ❑O1DD,000BTU ❑1OO,OWW Information Is Corr e L I agree 9 Comply with all City and County ordinances On^ Ota laws reof 9 1 eyf,ding <ens[ru[tlsn, and her* authorize Dm mlatives of 1 ✓. �4 ter upon IM1e bon+nentl0ne��Po�rt seecnan Dery Slendlur0 Oat Dnvnrs• sac mbe or Ss • Reimposition Fee $15 CMF 086546, raw. 4134 White- Building; Gnaly- Applicant Pink- Accounting; Goldenrod - Assessor FEES lung Fee $ 3 Reproduction Fee $15 Issue Fee $ 3 IANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: &ming Approved By Building Approved By Application lased RV_fP72 JOa Data Date p "'QT Hootl or Typal ❑ Canopy Typell ❑ Refrigeration System 111O100.000STU 0100,000BTU �E_�.USpGGT BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 15% ELECTRICAL PLAN CHECK 50$ MECHANICAL PLAN CHECK 15%S SUMMARY OF FEES S /S O& $ $ $ $ $ $ SMIP S PERMIT ISSUANCE $ ENERGY P.C. $ GRADING S MICROFILM $ TOTAL FEE $ System Repair/Alteration lsua Fee $3 CONSTRUCTION AND PLANNING APPROVALS Permit # 7tIspector POV - & 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 117. 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 O Gas O Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 r 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California GasCo , 51. CERTIFICATE OF OCCUPANCY NoDate , • Applicant to fill In an spaces except those within heavy border Imes and also alnpproerNte declensions. wasse CITYOFCOSTAMEE$A CONST R1rIC ION PERMIT Project Address 3,/nJ� Cel ll' (G.L SUi f[Ph]l )a7aw PERMIT NO, EF 14" TRACT NO. LOT NO. UNIT NO. Date signature _ Applicant's MailiNAlryldrreY r Owners Nam a �I1y�a / hIpnjif" Address ' 3 5-05 nG d7 GC D2 iurr-reA—/ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR �C—ONVERSION E1OEMOLISH �OTMER DESCRIPT ION OF WORK/USE OF BLDG. Gas Service Oullels Wates ClOsal A,P_JP s 1 8 A K $ Nu Archl License No. Address i ,� TYPEOFPERMIT GRADING FOUNDATION STRUCTURAL TENANT ELECTRICAL PLUMBING Q MECHANICAL 'OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS Fri Ra Contractorms Na - hone Ur1Qid]/� Rel Addresslm ) Ike n FRerrr A " ye PJ� a�l Application Issued By- - i•P O g Cil License No. City - LICENSED CONTRACTOR DECLARATION I hereby affirm that I auto licensed under Provisions or Charter 9 (commencing with auction 7000) o'1 Division 3 of the Business and Professions Coos, and ZONE GRADING CU. VOS. ACRES PIN, R r Remarks Rem Z�' Plan - , my license Is In full force �L t /' p p \a/�� Llcenae gg1 - J O -m NO. "(' / O pr'+ Date Pg� - 1 'c l��/�All - i PLUMBING, FEES Firepl/Facl- Bit, ICED # Bar Sink Showers WORKERS' COMPENSATION DECLARATION affirm mol uruneate of consent to sa134neu.e uto-ate' OL Workers' COmpembtlon Insurance. or a certified Copy thereof (Stories - 3900, sale. C.) P^oJ1m.No. 1o6SISC)]Bb Company GIiIF ln5 _ _ Backflow PMvenler - Service Sink - - ps Backflow Irrigation Sewer Cap Dc �T Certltlea copy's nare0y Fill lsned. LJ Ceftlf d pypf filed With the try BYLlld�n�, D'alsfr,� RilhtUbs Sewer Connection Cc �G!/J nate+'-^L/ AOPNcaILL�' y/// y'J^' / r/ ^ Solar Calleco06 Di'. x EXEMPTION FROM WORKERS' MPENSATION DECLARATION?CIarIRer3 ob section need N the permit is for o hundred 1001 d nor be completeI or s Ieccriffy that In the POlformadi OI the work for WMCh this permll It Issued I DishwasM1er Solar Piping Or y mann as to become subject to the shall notmmley any person In v Drinking Fountains Solar Tank Fan Workers' Co panYtlon Laws of California Floor Drains I Swimming Poul wisps - F.A'. U. Date signature this If, after making Is Confliction, you should becomesubject t0 the Wbkers', Compensation provisions of be ubor5 ode. Youust forthwith comply with such Provisions f thls-permlt hall bsibeemed revoked. Floor Sinks Urinal - Fixtures - Gas Service Oullels Wates ClOsal DOVjca BONaa CONSTRUCTION LENDING�AGENCY' I . , I hereby affirm that there Is a construction lending agency for the pe rformance of the were lot whltn this permit is Issued (5e<9on 3097 CIV. C.) Ian air's Name Interceptors Water Heater Outlets _ Kitchen Sink Water Service Switches Lender's Address - OWNER BUILDER DECLARATION I hereby affirm.mat 1 am exempt from the Con ra low's License saw for the Lavamries , Global Diwoal J 1. as U h am exempt under Suction— Date Owner Driven' License Or SS' :MF 006546, rev. 4184 579° 9/07/04 40.5, TI Zone Accessory Builf irq: Z D N G R Parking'Req./Provided" E Be Be e ON T B. ELECTRICAL Transformer ❑ 15-50KM ' ❑50aKW Meter ❑up to loo amps Meter ❑over 10 mos L Bub Panet pp AM) Motors 061 HE 0154 - 8 Ind Sela 09.15 HE 016 Mimowave Pale Light flange Sign Standing Sections (WJ I Trasn Compactor ne applicant to a corn - with Intended their esol0 Reinss"bi Fee $15 laud Fee $ 3 Rainspection Fee $15 Issue Fn S 3 MECHANICAL FEES Cade: The Contractors theauen hit or lher own : inbn8ed or offered ler 1 within one year of core - sone did not bund or Im- DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Dab Building Approved By Dat Boiler Hood or Type 1 ❑ 1' Canopy Type I I ❑ I Duct - Under Ground ass one it eiPont Coon: soproperty who lucn f projects with a Con. N Law). l am aware that auto be provided to me. B. 6 P. C. for this reason a�l Application Issued By- - i•P O g Duct - Structural Refrigeration System ❑6100,000 BTU ❑100,f1IX)8TU Duct - Ventilating a. SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ � ELECTRICAL $ .ii'J GRADING $ PLAN CHECK 50% $ I2. b—kD MICROFILM $ 40. IM MECHANICAL; $ TOTAL FEE $ Exhaust System Multiple❑ System Repair/Alteration Firepl/Facl- Bit, ICED # Healing System B Ducting 00'100,000 BTU 100000 ❑ red Rateth tdhe abovs Y andhereby alitholize score- n ntmned property for - , Date -p_�_yC/ i h -� ReinRMceiun Fee 515 lasua Fa .$ 3 PLAN CHECK 25% $ Nabl14n1:Pink- Accounting: G01(hai Otl-Assessor 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-Undrgrrid. - 55. Electrical Bonding 5. Steel Reinforcement i - ' 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE d .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 Fireplace 21. Ducts, in Structure 70. Underground Hydro 22.'Ducts,Ventilating 71. Product Piping 0Gas OOil 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 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 180. 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. Sqund Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49s Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ApdIhdn1 to rill In all Spaces except thou Rinds and sign all appropriate declarations. JITV OF COSTA MESA CONSTRUCjIONPERM114, Project Address 35D5 C Lgd S.dr-l�iB/wel wassaided AMirrrant's Meiling Address p/LIZ TYPE OF CONSTRUCTIQRe NEW App ALTERATrpN REPAIR Owneri Name Phone El CONVERSION I_1 OEMOLIS OTHER Address /C7'�OVG Neuigor-4 iaaY.h DESCRIPTION OF WORK(USE 04�9G. Dab ArciEng License No Address TYPE OF PERMIT D GRADING LLJ f FOUNDATION STRUCTURAL ❑ TENANT 1:11yELECTRICAL PLUMBING ❑ MECHANICAL .Q OTHER PROUECT DESCRIPTION 50. FT. OCCUPANCY_ CONST RUCTION TYPE .VALVATIONS�._ ZONE GRADINGCU.YDS. ACRES_ CrIntractois Nam d O hpn - aI Idf Atltlress Idea 'n y�.�C - UP.rS-Iles, City License No. - 2- /� LICENSED CONTRACTOR DECLARATION ApPliaued tian IaBy Remarks: Z I hereby affirm that I am licensed under provisions o1 Charter 9 (commencing with section 7000l 9f Division 3 of the Business and Professions Code, and my license Is In rob for fid .N.cl. 9 70 Llcenw Chas - NO.' eM� Date ^7—/9 Signature- v BUILDING PERMIT PLUMBING $ Bar Sink Showers PLAN CHECK WORKERS' COMPENSATION DECLARATION ficate of [brnt to self -Insure are certificate herebyaffirm that I have a cemu Backflow Presenter Service Sink A Workers' Companu s p sfi griltud Pr thereof f `(section � 31 Lab. C.1 n l'."1O`I ISj.7- �.�'�aI 10 •(�.) Backflow Irrigation Sewer Cap ISSUANCE Pansy No. company T� i`" BCartified copy Is hereby trimmed. Whits[ co Y filed with the city B Ing D .. / Bathtubs Sender Connection Z.0 ENERGY P.C. Oale�'���L' �� APPRomt Clarifiers Solar Collecmrs S EXEMPTION FROM WORKERS' COMPENSATIO OECLA ATION •- fTMa Notion need not be Completed if me Permit 1 der one no,(61001 or I nott employ any performance ae the work for Which becomesbjectsto ire" Dishwasher Solar Piping $ Drinking Fountains Solar Tank I hereby walk thatthere iworths this Permit ria° iarued. SeCtllor on the 3097rICh.ancre C.) U nder's Name Lender's Address OWNER BUILDER DECLARATION - , ..... ...wi,..,.s r .m .v.,..ht rrrop too nnnn..sn. s I name Law for the builds a, improves thereon, and .who contracts der such Prowcts won a can. proof e1 their Worker's Compensation°Insure ce°mould ee prroviaware °serro. ❑ 1 am exempt under Section B. & P. C. for mis reason Data Owner as Service Outlets imiceplars '.imhen Sink overcome —Trap loof Drains Reimpectien Fare oiler lust- under Ground luct-Structural fuel- Ventilating 'xhaust Warm ❑ MultiF 'i repl/FacL BIL IGBO + (eating System & Ducting 70100.000 BTU 0100,01 Drivers' Uunsa Pr SS IF I Reinwp ion Fee CMF O06546, rev. d/ae White - Building;Conary - Applicant;Pink - Adsorption; Goldenrod - Assessor Swimming Poul W/Spa Urinal Water Closet Water Heater Water Service S Mein Buntline 7 Front A Rear L Right K Left FEE Automatic Washer Construction Pri Cooking Unit' Dishwasher Dryers []Gas C Fan F.A.U. Fixtures 4 Device Boxes - $15 law Fee $ 3 MECHANICAL FEE Herd or Types ❑ Campy Type II ❑ - Refrigeratian System 11O100,0ODBTU 0100,000 BTU a System Repair/Alteration $15 I I Issue Fee I $ 3 4491 7/19/84 ELECTRICAL Transformer ❑ 1E-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑aver 100 amps Sub Panel - Motors 110 HP ❑ 1 S _E Inc. Solar 1-19 15 HP ❑ 76 - Microwave Pole Licht Standing Sections Trash Compactor law Fee 3,lp rl FEES I 0 N I G Zoning Approved BY Dab Bu1MlPg Approved ApPliaued tian IaBy SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $1 ISSUANCE $ PLAN CHECK 35% $ Z.0 ENERGY P.C. $ ELECTRICAL S GRADING S PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $�.� PLAN CHECK 25% $ II CONSTRUCTION AND PLANNING 'APPROVALS Permit# Date Inspector POu- & SPA APPROVALS Permit # Date Inspector ,1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 7/Z dj� 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 `r - 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 - 3 d7 G� 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 0Oil 23. Gas 'pe -Rough & Test 72. Underground Flush 24: Roof Framing 73. Undergrnd. Storage Tank 0 Gas 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 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 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 W I 4" 39. Water Service -Final - - 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation t 44. -Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47,FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -- - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant to fill n all spaces except mea within heavy border rings and Stan all appropriate declarations. CITYQF.COSTA MESA CONSTRUCTION PER Project Address X•7T/,M�/ Ali Q 1 PERMIT NO E i' $ 3 MECHANICAL ler FEE Applicant's Wiling Address L�/i9 L!/�a�/�/ Owneri Name i� Phones' L¢39A Address �" c��.�iio O..//O TYPE OF CONSTRUCTION, U NEW #aAbo Ll ALTERATION LJ REPAIR CONVERSION El DEMOLISH LD OTHER DESCRIPTION OFW�F BLDG. `R�r ,a A.P. S T B C Is Main Bu ArtNEng. Q/" AgTq;rY�L License No. AJCress TYPE OF PERMITrr� cRAOwG PourvOAnaN TRu<TU RAL ❑ TENANT 94 -ELECTRICAL ❑ PLUMBING [:)MECHANICAL C1 OTHER - PROJECT DESCRIPTION SG. PT. or OCCUPANCY CON STROCTION TYPE VALUATION$ Front Hear Contractors Nam hhooneA'' Address lmailinBl ���l� x/P.Q I mo!{ Right Left City License No, 31 (at LICENSED CONTRACTO R OECLARATION 1 hereby affirm that I am licensed under provlsla jef Charier fc c a WHO Mallon ]000) of Division 3 of the Bust and Par 1 no ZONE GRADING CU.YDS. ACREe - Ping. flet. 1Y• Remarks: Planning No Application Issued By. my license ism full force and effect. — - Oat I b U.Mme cla Mean Date Signature PLUMBING FEES SUMMARY OF FEES Bar Sink Showers ` BUI LDING PERMIT IS 2ck-So WORKE 5•COMPENSAT ION OEC ATION I therapy affirm that l have a cartNt of consent to earknsure Or a hertlllUle Backflow Presenter Service Sink PLAIN CHECK $ Automa of Workers' Compensation Insura e, ar a certified appy, thereof (Section Sano, Lab. C.) I1 w Backflow Irrigation Sewer Chip PLUMBING $ Comtru Popp No. �!�1 companymar 14 Certified copy Is hereby formation. _ PreSseniff it ylsflledwinlne Clly Bulm ng Of v�is�sar.�OC,.I,. 11� Dale APPIICdnt 4 ` � " (rT 61� Bathtubs Sewer Connection $ Chral Clarifiers Soler Collectors $ 'i l.OD Dishwar EXEMPTION FROM WORKERS` COMPENSATION DECLARATION lois section need not be completed it the permit H for one hundred 0100) or I certifytem In the Performance Of me Work for which this permit b Issued. I r to become subject to the shall [ ploy y person In any o Dish war&her Solar Piping q.00 MICROFILM Dryers Drinking Pountems Solar Tank $ Fen Lender's Address OWNER BUILDI Vactorn? grain proof f their ❑ I am exempt Date I her infor t Drivers' LIG CMF D665-46, rev. ICY pe GBS Service Outlets Water Closet alt tion is Issued agency ignitlfor on tns 3091nf[Ip�s C.) Intesceptars Water Heater Kitchen Sink WMer Service m the Contractor's License Law for the Lavatoriaa Auto -Wash Illness and Professional Cade: Any [ICy or Import, altar Interests, demollsn or Moir P—Trey laundry Trey area dollarslssuul. my emucture{.wLLM1 seas trials saw ono Inc ofedure 1s nae : Thea named a aha wowner °who I Reiashatic n Fee I $15 law Fee $ 3 MECHANICAL ler FEE f a property Yullpsor improves I Sub Panel w Boiler Hood or Type I ❑ - Canopy Typo ❑ Zoning Approved By—tZi 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. Electrica'I Conduit Utilily -Undrgrnd. 54. Forms , 4'. Pectrical Conduit-Undrgrnd. 55. Electrical Bonding , 5. SteelReinforcement 56. Rough Plumbing & Pressure Test a 6. Electrical LIFER Gritd. _ - 57. APPROVAL TO COVER-GUNITE ��• 7. Footings ' '� , 58. Electrical Conduit-Undrgrnd. _ 't 8. Foundation � � � . 59. Gas Pipe, O Undrgrnd., Test t: 9, W.atef Pipe-Undigrnd. ^ ' �! _ 60. Backwash Lines, ?-Trap, O Undrgrnd. - y 10. Structural Floor System 61. APPROVAL TO DECK 11.'Property,Sewer Line & HouseConnection 62. Backwash & Receptor -Final 12. Sewer Cap i 63. Heater & Vent -Final 13. Roof Drains , '� 64. Plumbing System - Final �. 14. Rough Plumbingp 65. Electrical -Final + 15: Rough Electrical -Conduit 6S 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. POO _/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 0Oil ' 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing S rY 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing J, 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat W65 �Y 75. Dry Chemical 27. Frame and Flashing e.a� `•� 7r3 ,� 76. Dry Standpipe 28. Lathing &rSiding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing f� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric l G Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test vc 36. Hood or Canopy - 37. Final Factory Fireplace - 38. Final Plumbing 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 (j3 SS 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPA Y Nn. lO(% Date `YC City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Boz 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue 0201 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Use of Buildin ccupancy. Office Legal Description 139-662-09 (See reverse side for Metes and Bounds) Building Permit No BE16721 Electrical Permit NoBE16721 Plumbing Permit N Mechanical Permit No. M16781 Number of apartments 0 and/or guest rooms U ISSUED TO: Building Official / r 11 7 �'sr Ile O'Dcaute&l, Brigham and Partners by �• L� ',,.�r.1i 3505 Cadillac AVenUB, @110, Costa Casa, CA Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to till In an spaces except thou within heavy border lines and syn all appropriate declarations. POF COSTA -DMESA/QON/$T /U�CT.IONI'PE RM PERMIT NO. TRACT NO. LOT NO. t1NITN0. ject Adiresa aLU��L# $ �/�i%Y� %�I �( B tlirant's Mailing Adtlrep O Z - TYPE OF CONSTRUCTION" NEW ' ADD ALTERATION REPAIR leis Name l ki ( pa E] CONVERSION ❑ DEMOLISH ❑ OTHER A p 1(. r -?C Ai /WOvtiL kk %.aGLR / DEBCRIPTION OF WORKIUSE OF BLDG. g Main Euiltli I(Eng. License No. TYPE OF PERMIT LJ GRADING U FOUNDATION EJ STRUCTURAL 1 Front rap ❑TENANT I] ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear tractor" Nem.%%/-+ �.L'1 Pn LQioao El OTHER A 7D> T ®V ��y PROJECT DESCRIPTION SOFT. - OCCUPANCY K. Right rCLL lm^ n' --71(0--71(0 Z.' CO ST RUCTION TYPE VALUATION S Left L - N ENSED ED CONTRACTOR DECLARATION ZONE GRADING CU. VOS._.ACRES ping. RBL SW Pay affbm that 1 am licensee unee pmvlslons of Charter 9 (commencing Wamarku PNnninh Notes: section of Division 3 Or the Bus mfessianz Code, and $15 1 1 Issue Fee $ 3 IS in Iruenpal(saln lull lOree�aM01}eCl. , ��O /zr LI $15 1 leue Fee 14 f^ n✓&// Building Approved BVDate��--{{���� PLUMBING FEE$ 3KER5' COMPENSATION DECLARATION Bar Sink Applitatbn Ip - usd By Show 'soy affirm that I hays 4 uNlflwt0 or content to ser -Insure Or a certificate )net Structural Refrigeration System ❑&10Q0006TU 11100,000 BTU 1 Compensation Yorkers' COmpen$! Insurance. Or a cerlJ110d theRof ISe[tfon [Company Backflow Preventer $ Service Sink $ >, sea. s) '1! �,z,/[9�� ty No.! oi% PLAN CHECK S PERMIT Ieatinq System & Ducting 8%kllow Irriya[ion PLUMBING Sewed D ISSUANCE ea If Cha permft offer one hundred ($100) or ohne work Tor which Anis Permit is Issued I v rhso as to become as/ect m the California.ar I dby theork awtrial sets Name 4 1 am exempt under RCt1O0 B. 6 P. C. for this reason Dete owner Drivers' UcenM or S5 V :MF 0965.46. by. 4/84" $alar Collectors Solar Piping Drains Gas Service .Outlets Water Clozel Interc¢ptorS Water Healer Fil Sink - - Water Groi.e 1Dof Drains $15 1 1 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Reinstallation Fee $15 1 leue Fee S 3 Building Approved BVDate��--{{���� MECHANICAL FEE loiter Applitatbn Ip - usd By Hood ar Type ❑ 'Canopy Typell ❑' )act - Under Ground )net Structural Refrigeration System ❑&10Q0006TU 11100,000 BTU 1 )uct- Ventilating Lxhaust System ❑ Multiple ❑ $ System Rei 0Alteration $ eirepl/Fact. Bit. ICBO ¢ PLAN CHECK S PERMIT Ieatinq System & Ducting PLUMBING $ - flelnspactian Fee $15 TOP CORS e-As[essar Issue Fee I $ 3 A aromatic Washer Construction Pale Coking Unit Dishwasher Dinere OGas -O Fan F.A.U. Fixtures Dov ce Boxes Outlets switanee Garbage Disposal Generator 065 N 47254725 1EVE9/64/e4 I bane Transformer ❑ 15-SOKW 11 W+KW Meter ❑up to swamps Meter ❑over100amps Sub Panel Motors 00.1 HP Ot%-B Inc$OVr 1719.15 HP 016 Microwave Pole Light no FO t ZI 0 N G FEES II Reinspemion Fee $15 1 1 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Dam Building Approved BVDate��--{{���� Applitatbn Ip - usd By Data®_ SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK S PERMIT PLUMBING $ ISSUANCE $ PLAN.CHECK 25% $ ENERGY P.C. S ELECTRICAL $ GRADING S PLAN CHECK 50% S MICROFILM $ MECHANICAL $ TOTALFEE $ SSy PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVALS Permit 4# 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 1 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 9 8r (] FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough. Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipin'g'OGas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 7\3r Undergrnd. Storage Tank OGas OOil 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. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date APPICand to Rn In an Soames Arnold In*M within heavy border lines and sign an aooreoriau demlvatmns. �/ 0 Z CITY OF COSTA MESA C NSTRUCTION RMIT Project AddNzs ' PIT NOD.' ITI TRACT NO. LOT NO. VNIyNOh V TYPE'OF CONSTRUCTION NEW ADO LJ ALTERATION LJ REPAIR ❑CONN ERSION O DEMOLISH ❑ OTHER DESCRIPTION OF WOR HOUSE OF BLDG. Applicen('a Mailing AtlWPls �'Q_ Own¢h Naml9epp�� p �rm� Gnpnn Atltlmv-lepCg I10 S 3 A.P. 0 5 E T B A C K. B Mein Building f11�T—�' A!chhEng:' LieenSe No. Address TYPE OF PERMIT GRAOING FOUNDATION STRUCTURAL 11TENANT LECTRIOAL O PLCIMBINC ❑ MECHANIOAL L, ❑,OTH ER �%�iM �d C L(%�%If PR CONST ESCNIPTION SO. FT. TIONS- - CONSTRVCTION TYP VALUATIONS- ZONE .YDS. ACRES Front Rear Nam hone PipM1t Address gr's Address hrMiling) Ili[ •� City License No. LICENSED CONTRACTOR DECLARATION Pin Ref. yC g' I hereby affirm that 1 am licensed under provisions of Charter 9(CommanCing with Section ]000) of DIvalon 3 01 the Business and Professions COW, antl Remarks: - Planning Notes: my license is in full force and effect. License class License Ne. Rate Signature PLUMBING FEES Issue Fee WORKERSCOMPENSATION DECLARATION I nermy all that I nage a clrmlcate o1 consent to self ora caruro-aM Sink Shows Showing Of Workers•Pompens5tlon Insurance, of a Certified copy thereof Caectlon 3800, Lab. C.1 Backflow Preventer "Service Sink " - - - AUNmetit We RAckfIOW Irrigation Sewer Cap Construction Policy No. - Campany Certified copy Is hereby furnished. B Bathtubs Sewer CpnnKtiOn - Cookilfg Unit Condition copy Is Idled with the City Building Division. An ApolWORKERS' EXEMPTION FROM W e RKERS' COMPENSATION DECLARATION I C011sdiha need not of comnce of 11 the Permit Is for one hundred ffto0) lir I 1. is Issued, l S all no that In }M1e Performa lice an the work for as to this S sub hell not employ any Person In any Manner $o as do become rub Act to the Clarifiers Solar C011e"Ors Dishwasher Dishwasher Solar Piping Dryers ❑Ga! Drinking Faunuine Soler Tank Fen Ectlon purpOfes. Signature Drivers' License or s$• — CMG 086536, rev. 4/84 Reinspaelion Fee I $15 Under Ground Structural Flrapl/Fact. Bit ICBG Heating System III Duc my theshare❑01W,WOSTU❑1 atlimrrae more. re. Beinspectien Fee Pink -Accounting; G[A enrol -Amateur 515 Garbage Disposal Generator 00.5 KW 3736 7/ID/84 Zones Transformer U 1550 KW - 1 : 5U+ KW Meter ❑up to IN amps Motors LJDt HIS ❑I% B Inc. Soler 119 15 His 01615 Mi0aw0ve Pole Light Range UE, Z O G O M S. FEES Issue Fee S 3 ROilspeetiap Fee it to t he s ' must forthwith OOm00 reVOketl. Floor Drains Swimming Paul w/Spa S 3 IANICAL F.A.U. Floor Sinks Urinal- Dau Dine Fixtures inn yBrfOrmin<a 3091 Cly. C.1 GasServics Outlets Water. Cl set BUILDING PERMIT PIAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% D; I::: axes e,.....e...... w..__u 430 .. .,.. Ectlon purpOfes. Signature Drivers' License or s$• — CMG 086536, rev. 4/84 Reinspaelion Fee I $15 Under Ground Structural Flrapl/Fact. Bit ICBG Heating System III Duc my theshare❑01W,WOSTU❑1 atlimrrae more. re. Beinspectien Fee Pink -Accounting; G[A enrol -Amateur 515 Garbage Disposal Generator 00.5 KW 3736 7/ID/84 Zones Transformer U 1550 KW - 1 : 5U+ KW Meter ❑up to IN amps Motors LJDt HIS ❑I% B Inc. Soler 119 15 His 01615 Mi0aw0ve Pole Light Range UE, Z O G O M S. FEES Issue Fee S 3 ROilspeetiap Fee E15 (slue Fae S 3 IANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: generate Approved BY Building Appeared!BY Application Issued By -Dat Dau Dine % HODS or Typed ❑ Canopy Type 11 ❑ Refrigeration System ❑DIW,OWBTV 0100,01108TU BUILDING PERMIT PIAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF $ S $ S $ $ $ $ FEES SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ S $ $ $ 430 System Repair/Alteration Issue Fee $ 3 CONSTRUCTION AND PLANNING AP!'ROVALS Permit Date Inspector POt a SPA - APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole n - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd: _557 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 Fireplace 21. 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 ❑ Gas 0011 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 PREY. FINAL 30.' Drywall Nailingi 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. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY . No. Date Applicant to ml in 211 spans within Mary border lines and sign all appropriate declarations. 'CITY OF COSTA MESA FEgy IT ` TRACT NO. LOT NO. - - 'DC. NO. 1�" CONSTRUCTION PERMIT E6 3�p _ "� L. — TYPE OF CONSTRUCTION ;'NEW LTAOD ❑ ALTER AT'ON •' .-1 •.7819. 1. 9/17/82... ... 263.07 'Project Address ,Osvn PhOn Adtlrea ❑REPAIR.;CONVERSION I]OEMOLISH 'J" Gi'UTHER of - '- ZONING REGULATIONS AmM1JEn9 icense No. DESCRIPTION OF WGRKI A.P. Ea . - . AddrpE -• - ZONE .PLNG. REF $ ---� "Pnntrapt0 `` - Phones - __ t . _ i _. _ -. 'dVPE OF PERMIT- '.'O GRADING_ ,-9 FOUNDATION STRUCTURAL - 'fl 0 TENANT 0 ELECTRICAU, ❑PLUMBING MECHANIC SET BI YARD - - �P1TP�LyryE'7. - - -- -- _ Addr I '. •t �N '� f• LICENSED CONTRACTOR ECLARATION- 1 hereby affirm I am licensed tl pmVlsl 1 Charter 9 (c i SSIp y - RIGHT _ .� shat tl q IIR Option, -70001 tIDI1 f M B tl ❑OTHER - o f Ions C o jlltl_� Y II IB In N p d Dee fgPt YS • _ PROJECT DESCRIPTION REAR YARD ITC P/L) jJ 1I ld "{ L _ I. • .' SG -FT.• II TI. �a �PKG. SPACE RED. - PROVIDED, Signal - RKERS=COMPENSAT10N-0ECL RATI i -Jj/ OCCUPANCY CONSTRUCTION TYPE IST FEET WIDTH '- -- - -PARK FEE'E - - -1 by affirm that have a cert flu sent t0 se f -Insure 71'O_Q q. 1 ZONING gPPgOV ED By DATE <erllOnla of Workers' COmpenrallon Insurance, or.a cvtlfle0 copy VALUATION. ONE _ - - - 1 tolicy Eell¢D.3BOD.1ap_C.Co M4ZQ 10NT GRADING CU ACRESIf" " SPEC IA L CON DITIONSo n, - - — -REMARKS _ _ _ Police aCZ �00S4L9 mpany - y,,, CNLetl ry PY lLnerehY fumi[heE. erOffed copy Is filed with Um city Building Division. 1 _ star .1 XEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - Thispection need be eomplNetl M H II ipermit for one nonan. apt or -- - - _ - _ _ - 'Ident?fy that In the performance of the work for hl h this permit 1 - PLU IBING, H - nPLAIN CHECK' "" - r �' - N ECK" - 'ELECTRICAL' -' " --" PL CH Issued I -dill - - 1 amptily-anyperstur In any mamper so as to bete llan LawsIHrnia.- - ublecFtoth Workers Compenuol G -SHOWERS -- -"-'-' ___ - I "---BATHTUBS Dale Slanature NOTICE If after maklnp this declarat on, you should becomesub)ect rhe Worke s ComMnUtlon provisions of ins Letter Code• you most .➢TOILETS it n.URINALS - ' ' - 'GENERATOR O FKW -1.20-Kid TRANSFORMER I ro orrthwith damply with such provisions or this permit Shall be oMTOd LAVATORIES DOUS-E LAYS-- t - - ' APPLIANCE"- -1n30 KWy5e a KW -- Fe ked., _ In } ANG AGE '--- --- "' AGENCY KIT. SINKS' "�' DISHWASHERS _ ---0-I11P�1-30MP-� - -� MOTORS--- -- IONSrRVCT10NLENOIIS dlan lentlingp Ybclhe Der- Imre affirm thtM l zadh SERVICE SIN S' .SUMPS --�- S' 'IINO. SOLARI-+lOdO -HG 50 e.Hv . - 0 IC40 U sl 15 Jssy�9�Jd 15e[�O�on 309]1 IOrmiOCO Of the wO K.IO! wmCM1 [bl -FLOOF�SINKS �- � FLOOR DRAINS--�'� - -'.FIXTURES' --OUTLETS "SWITCHES--- - - YIV.C.LT- ���f��,� Ta�+�Init Lender's NamO.-,�L'-sSLi+��Y'TCQO.s--`^^+r`� Lentler's�gtldres� DRINKING FOUNTAINSd" r ,INTERCEPTORS- - "CLARIFIERS:.. T' .. -� • •-GASTUBESIGNS - - - PCEECIGHTS-- -__ -A. - - OWNERBUILDER DECLARATION- 1 = Y M1ereOY ill[ M [ pt from Nettonbb [ Y LI :LJFJI Ithisfollowing S f50 tl Business a a P I s Cod - • SWIMMING ISOOC'- ^ ,P'TRAP �-- ISO,, - ' 'POLES - 'MET RED SV - - C031.5 Any city` a county whidemahm ch. quires permit to pmaf0alt ^ skewaspelalso S stricture, flSigned lStatement WATER SERVICE `ALTERATION IPANELS -- - MAIN SUB - a1reS Lila apolUnl for such permit to rise any that he licensed pursuant to -the provisions of the Coneradjorms License Law GASSERVICE - OUTLETS' --- (SERVICE -n- - -- -----AMY 9 (coRmdermencing with $[tion 7000) f Clvidon'3 of the gL SIn - WATER HEATERS - BTU OUTPUT u InS and-nions Code) or that 001sex0mpt therefrom and the basisg tlption Any violation of Section 7031.5 by SEWER CONNECTIONS -- - - -- - - '- Y applicant '-PerotI[ bjIKU- the MICant to -ctrl perety f t thanfl n a ed dollars ($580) ❑ 1, as ownernof the'property. Or my employees with wages as tntlr- SOLAR TANK - - COULECTORS - - -- - - -'- 1 frolecommemation.wildo the work,and the structure's not tended ' O offered forI (Setl 7044p Business -and CaUO. The _ SOLAR PIPING SYS. 1 "- 1 issue FEE--'- - - - n owner of Contractors u La a t pally to f property _ ISSUE FEF APPLICATION APPROVED BY- .DAT who huddleo improves thereon, and who does soon worKM1lmself or through his own am F, O Med that such Improvements are notIntended however; or Offered fo Ie. li, the bulldln Improvementis Itl thin ono year of the owner w Icontracting MECHANICAL PLAIN CHECK - - - ES -' •" - DFSMIP I p q he did n01 bulla or improve for toy purpose f I , / 1w!' ropurty,-aompletion, tractng with.. exclusive I'I to construct the HANDTDUCTIryG EM 0-100:000 BTU - S'•8 /SU.J.Vyu-y(- (ISERNOT �a..,q , �3�0� E lrS� Ile a tractors prjt 704. Business 100,060 a BrU �� PLAN CHECK E' 1T a S4 f ns Gde -rM Contractor's prime Le a t p o ssU (RIF 4 On Owner I property Who limits, ooro mprOOS thereon,tl h Dan- REFRIGERATION 0-300,000 BTU pWMeING $ kiCls. from r M1-0oIecis 1[h n raCl OrrS) II sdetl pWSYOO[ to -SYSTEM - _ .. "GFADI NG r_E 1' the Comrador LI w). IDO.OeOra STV- _ _ _ PLAN CHECK $l 0 I'am e"mol - d0! 50 B. 8 P: C. for this BOILERS BTU II ' B""'- J i. Is REPHI PLAN CHECK E PtoUNC ECC CROr _ I " Data SYSTEM R, ALTERATION EXHAUST SYSTEM MULTIPLE ''MECHANICAL s - L$ !PLAN 1. TOTAL'FEEE _ i.r 1 LESS'AOe IS - Iherebypertfyi a Ir a his appTution and state thatnthe above e mma[IO?' l IO' ly Ith all Its d cop ly CHECK { . ygNLE'PC $--- • or s to I 9 to Con end neretiy mo�Ixe o.ofeaty nor a i0 _Pon he abave-m uon.a .. - •.' •`r,: 293.o7 _ Slgna[u- FINAL Felt orivao'Use n -ISSUE FEE - CMF 0665-46 White-Building:airy-APPlune nk Accounting; Goldenrod Coal CONSTRUCTION AND PLANNING yy zj APPROVALS Permit 4A OBJ Date Inspector- POOL & SPA -- APPROVALS Permit z#- - Date - Inspector 1. -Temporary Electrical Service or Pole _ -- 43. Pool & Equipment Location 2. Soil- ipe-Undrgrn - ' 44. Steel Reinforcement - - - - -- - - -- - 3. Electrical Conduit Utility-Undegrn,. _ _ 45. Forms - - - - -- - - __4._ Electrical-Conduit-Undrgrn -46. Electrical Bonding--� - - - -' - - - -5.-..Steel Rein orce_, _ -_ 47. Rough Plumbing & Pressure Test - - 6._. Electrical UFER.Grn_ -•-, ._ - - - 48. • APPROVAL TO COVER-GUNITE - -- - 7. Footings 49. Electrical Conduit-Undr m •• - 8. - Foundation _ - 50. Gas Pipe, ❑ Undr in, Test _.9... Water.Pipe-Undrgrn <' 51. Backwash Lines P -Trap, '0 ndr rn 10.. Structural Floor System, _" 52..- APPROVAL TO DECK -- - - 11..,Property Sewer Line & House Connection- _ 53. . Backwash & Receptor -Final 12.- Street Sewer. Connection_ ._' - - - - - " 54. Heater & Vent -Final 13. Rough Plumbing - ES" _ 14. Rough Electric -Conduit - - --' ' -- _56.- Electrical -Final - - - 15. Rough Electric -Wiring - - - - ' 57:- Solar System -Final 16. Rough Heating & Air Conditioning - - encing &Access Approval -17. Ducts in Structure -" " r APPROVED FOR PLASTERING 18:- Ducts, -Ventilating 60. POOL/SPA SYSTEMS FINAL - -• 19. Gas Pipe -Rough &Test 20.-- Roof Framing - - -- - - - - - _ _ - 21. Roof SHeathin -' -- - - - - - NOTES: _ - - 22. Frame and Flashing -- - - - - - - 23. Insulation - q_w_ s,-- _ 24. Lathing & Siding - -o .B ' 25. Drywall Nailing /_ y __g� �_ 26. Plaster Brown Coat - 'v211' 27. Electrical Power Meter -Final - - - - n _J� S� - 28. Final,Electric - -- - - - 29: Final Heating & Air -Conditioning 30. Final Gas Pipe -Test- - - - - 31. Final Plumbing - - - 32:• Water Service -Final 33. , Gas Service -Final 34. Solar Domestic -Final -' 35.' ' Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations '• - - 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed _ ' 40. Electric Release to Edison• 41. Gas Release to Southern California Gas Co..1. 42. CERTIFICATE OF OCCUPANCY Date i - Applicant to Mi In an sources within heavy border 6de5 and Sign all appropriate dieunNpm, Rn'm .loo foo CITY OF COSTA MESA REytG1T NO TRACT NO, LOT NO, r B�.gG.pQ ��rV �r �cr yc I VeyTU r .CONSTRUCTION PERMIT `-/= TYPE OF CONSTRUCTION NEW ❑ ADD. ❑ ALTERATION LJ REPAIR CONVERSION DO MOLISH ❑.OTHER - ZONING REGULATIONS ject'Addres ��Q wn¢r wo�❑ Addreas - DESCRIPTION OF WORK g - - h4ehlEneLicense Id'AP Atldre35 - {. TYPE OF PERMIT .'O GRADING ❑ FOUNDATION' ❑STRUOTVRAL JO TENANTreELECTRICAL OPLUMBINC OMECHANICA ZONE PLNG. SETBAC AI 51p - REF,$ ROPEgTV LINE _ Contractor Phd Add raise - _ - LICENSED CONTRACTOR DECLARATION M1Bby affirm trot I am IIGnted 00I Provision Of Charter 91wm uOil pIGH meeting with Se tion 1000) of I n 3 o1-tM1e-'Buslneas end OOTMER- sa s ProfaislOns fptle, lid cerise lull for Q REAR YARD (TO P/L) p P ROJECT DESCRIPTION _ 11 LlC1a55 50� FT. . . PKG. SPACE REQ PROVIDED ' \1 Odi{�- aoldie Oa' 1.OlJL I- OCOUPANCY CONSTRUCTION TYPE 3 _ _ 'STREET WIDTH Al _ . ,PgRK FEEL WORK RS'COMPENSATI ON DECLARATION I hereby affirm that 1 have a certificatof Conse to Sell -Image or a VALUATION ' ZONE Pi ONING APPROVED BY DATE a certificate o Watters' Compo C- insurance, r a'cerlll:etl-copy - _ZONE - GRADING CU -YDS ACRES SPECIAL CONDITIONS' _ thereof Se ri , r ,/ - REMARKS - 1 T vertlfled COPYlSfUtedhereby - - th thah¢dy DivisiTION copyOIliadwnnmeoily BuildinCOMPENSATION - _ a, EXEMPTION WORKERS' DECLARATIONn. EXEMPTION COMPENSATION - �" - -_ - - - - -- - - oomhi nehund Se orlon need not be complele0 I the -permit - 1 hundred etl .-.. as - or 8U001O leu) - -`! '- -F--- _ . _ _ _ _ J$10 1 Illy In theployanyPerformance weak forrendurn Ilii per mol luben 1 sten not employ person any parson any rsa t e c n i PLUMBING fPLAN CHECK ELECTRICAL PLA HECK Co subject to ted Workers Compensation LawSof California.. -- BATHTUBS SHOWERS - Date signature_ NOTICE: If Biter making this declaration, YOU Po lO peCOTO'SUbldet .'TOILETS .. URINAIS �� � - GENERATOR - O-1 KW_1-lO d,dd_ KW to Me Workers Com fusion provisions of the Labor Cade, YOU mus[ (TRANSFORMER J COMICY WLBh Such prioHIOOS Or this permit Shall be d*mWd LAVATORIES DOUBLE CAVS- -- LAPPLIANCE -1050 KW�50 v KW,"' �" -evoked. forthwith CONSTRUCTION L ENDING AGENCY _ _ 'DISHWASHERS `" _ _ .'--" -MOTORS -' HPs ---'-".-- 'fINL. there a y lits SERVICE SERVICE SINKS -:r SUMPS -t 50LARl--ID•50 XP oil US 'SO v'XP _ -'C.R faINnCO.Of_rthemat w w which this_plon er_mit leisure_nl_'+ac_tio_n_ 3_099 _Ork_forlS ' SINKS � DRAINS FI%TURES- OUTLET WITCHES' LBntlePs Name ^_ - - Undof't -FLOOR _ FLOOR _ c.•- _ _.� _. _ tRod¢rvY AtlEress' -DRINKING FOVITTAINS�r-3 .__.. ,GgS'TUBESIGN$' '� - ' OWNER BUILDER•DECLARATION ,� 1 enter, that 1 nom tlie.mmrecmr•s L(ume law 1Pr INTERCEPTOR .CLARIFIERS _ - F ' - POLE'CIGXTS'-'- affirm am e.empt the following (soon 7031.5 Business Cone:' - SWIMMING POOL � -PTRAP � 'POLES METERED reason zoo ,utrodn5 Any city Or my which requires a Oermlt t0 construct, alter, -WATER SERVICE 'ALTERATION - PANELS -fid -$VBA �m� b Improve, demolish or repair any'structure, prior mltsbuldnu,'alsoro- quires the a011loant for Such permll to Ills a signed statement that he -GASSERVICE OUTLETS SERVICE -- MP is I IMidded pursuant YO the rOVISIO05 Of the COntdrattr'3"LlCano law IC Argo 9 (Commencing with Section 7000) I Division 3 I the :\ . WATER HEATERS BTU OUTPUT t' n B and wales:ions Cade) or -that he Is'eremVt tterelrom-ana the eipmlont-for b: at me lleged Compiler. Any Yloodon dl Section 7031.5 by - " SEV.•ER CONNECTIONS -1 .- '�al a Permit sub(ect5'me applicant t0 a'civil Penalty" OF a than lisp dollars (5500). $OLARYANK` COLLECTORS "� - -� - � -� - - _hundred ❑ 1, a5 owner of the property, or my employees wlm wages ai mob a019.[OmpPOYtIOn, willo0.the.work. and the Structure IS not Intended �. or Offered for Sale. (Grolier 7090. Business and woftl,IOons Code: The SOLAR PIPING SYS. ' _ ISSUE FEE - - Q ConRacmYs l kou Law does n Lapply to o La property _ _ __ _ ISSUE FEE - - 'APPLICATION APPROVED BY - DATE - Who Dullds O Improves thereon, and Who does Such WOIX hiMOlf Or his Own employees, provided that Such Improvementy are not throughl MECHANICAL PLAN intended or offered for said. D, However, the building or Improvement u,SOld, WIOMpAne year OLCOmpl¢BOn. tM16 Owner will have the burden. CHECK SUMMARY OF, FEES .. _td. rIr OI proving he 010 n0[ build ar improve for me purpose OF sale). • 'BUILDINGHEA EI I�id-owner of-the"property, em soloolvely contractingwithAND TEM 0-]00,000 BTU - _ .PERMIT E 'SMIP'�! .'E licensed contractors t0 co r ct the cote[[ (Sedan 7044Business DUCTINING AND DUCTING- 100,000V BTU PLAN CHECK E _• I rv' . add WOfe59OOS Code The Contractor License Law OOetot uddly to ISSUANCE ISSUANCE S' Of property who builds or Improves thereon and who Can- REFRIGERATION 0-100,000 BTU 1 :PLUMBING 4— tracts frrom'SucM1 project[ with con r cor(s) Ic ed pursuant to SYSTEM �-� - - - - - --.- - -. - GRADING S iM10 ConiraCtOr'i LlCense Law). 100,00011 ST PLAN CXECK b "_ ❑ I am Prompt udder Settlor- B-8 P. C. ler our - -`J�l E BOILERS BTU S s � �Fda'ELECTRICAL REPgI PLAN CHECK ' $ �MICROFILIF - Dabr goner - SYSTEM R,ALTERATION TOTALFEES' MECHANICALS _ I hereb eFIT at 1111i read this application and stae that the above EXHAUST SYSTEM MULTIPLE - LESS AO. LESSAlt - In COc Ct I agree t0 ply with all city lid county - (PLAN CHECK E'- $_ Id Induces d s t aWS relat 9 to construction, and berebya¢um r • l.' r, to as upon the ab pt ned ( pro 51 ' -FINAL FEE S Oriv¢rs' L¢e ISSUE FEE - - IF - . - .. CMF 0865-i Idenmd�Assessor CONSTRUCTION AND PLANNING + APPROVALS Permit# . j. 41f Date Inspector POOL & SPA APPROVALS. , Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- 2. itPipe-Undrgrn . - 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding ' Steel em orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48: APPROVAL TO COVER-GUNITE - 7. ootings - 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe,.❑ Undr rn, Test ' 9. Water Pipe-Undrgrn ' - 51. Backwash Lines P•Tra ❑' ndr r -- - - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - - 54. Heater & Vent -Final 13. Rough Plumbing _ - 14. Rough Electric -Conduit - - -56. Electrical -Final 15. RoughElectric-Wiring o 3 _(M - 57. Solar System -Final 16. Rough Heating & Air.Conditioning 00. Fencing & Access Approval 17. Ducts in Structure - -_ _ - APPROVED FOR PLASTERING 18. 19. 20.. Ducts, Ventilating Gas Pipe -Rough & Test - - -Roof Framing 60. POO L/SPA'SYSTEMS FINAL - - 21. 22. Roof Sheathing' Frame and Flashing _ "" - NOTES: + -23. Insulation ' 24. Lathing & Sidings G� 25. Drywall Nailing _ C. Z 26. . Plaster Brown Coat - - - 27. Electrical Power Meter -Final _ 28. Final Electric - - 29. Final Heating & Air Conditioning - 30. Final Gas Pipe -Test 31. Final Plumbing _ _ - - 32.- .Water Service -Final 33. Gas Service -Final ' 34. Solar Domestic -Final ' 35. Landscape Sprinkling System - 36. Sound Attenuation - t - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison - ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - Applicant m Nn In an wacee except those within heavy border noel and sign all appropriate declarations. Interceptors 517/ 7/31 Miji K ' RM'yo2� / TRACT NO. LOT NO. BLDG. CITY OF COSTA MESA _ geinzPectioa Fm ffi5 l F`` CONSTRUCTIONPERMIT _ Boller Device Boxes Duct'- Under Ground Pole Light Duct - Structural 51.77 Outlets Range Exhevat System O Multiple O ' Firepl/Fact. Bit. ICED ' Heating System & Ducting ODIW OW BTU ❑100.000BT that tan about Generator 130.5 KW 05.15 KW Trash Compactor Project Address 8C TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Applicant's Wiling Address. 1175 North $Oie}r Ci cle. /iN!>L. ❑CONVERSION ❑OEMOLISH ❑OTHER A,P,./l. Zone Owner's Name __Y111m IN�Tl1S. RR TIiFiAM A PAJAt�'S TSE - DESCRIPTION OF WORK - S Mein Building: Accessory Building: ielrigeration System 7D10D,000[ BTU 0100,000 BTU SUMMARY OF FEES BUILDING PERMIT $ SNIP! PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 2591L S ENERGY P.C. ELECTRICAL $ GRADING PLAN CHECK 50% S JJ�M�ICROFILM MECHANICAL $%�•SVOTAL FEES PLAN CHECK 25% S 1 1$ $ S S S .291.&7— Address 1301 Dove St. Suite 760. N.B. TYPE OFPERMIT GRADING 3TRUCLRAL E T 2)Exhaust Faris Inside Fee $3 AddreEng. License No. ❑TENANT ELECTRICAL LUMBINTION pLVM91N0 MECXANICAL Atltlrau ❑OTHER PACIECTDESCRIPTION SO. FT. OCCUPANCY A Rear Beer Contractari Nemo MAKE ATR CONDTTT L PNdne630-6412 D Right Adaresslmaili^pl CONSTRUCTION TYPE VALUATIONS $ Left E Pmg, ftol.# Park. Fees It O _ / �q City License N^. OOT'r 2lY ZONE ORAOINO cu vD3. ACRES LICENSED CONTRACTOR DECLARATION Remarks'I Parking Req.lProvided O I barony affirml s am licensed under provolone of Charter 9 Ic0 nclpg f/ Use of Building: R with Section ) WO)of Division 3 Or the Oaslness and PmfOSShL Code, and MY license is I^ full r cfrjj�e effect. �r 396-109 E Aj L`r pn No PLUMBING FEES PI°^^I^9 Notes: M enmt ///L Signature E ;&Ann WORKERS' COMPENSATION OE ATION B°r Sink Showing N I hereby al that I have a cal or consento sellancure or a certincate Bal Presenter Service Sink T S Of Workers' Compensation Insurance, or a Certified COPY thereof ISectl°O Backflowlrrigasion Sewer Cap ELECTRICAL FEES 3900, ub. 01062 STATE �. INS. Policy No. 4 Company Certlfled copy Is hereby Stralsund. Bathtubs Sewer Connection Aummelic WesM1er Transformer O 1550 KW Cert Id filen with the city B�,�lery. q Divfploon. to 91173, 45 Appnont .l ,l y��E I' / ConslructlOn Pole Sub, ❑50*KW Clarifiers Solar Collectors EXEMPTION FROM WORKERS' COk�1 �N3I OEo,e ARATIGN 1 This wcllpn need net be completes it me permit is for hundred ISIOm or OlsM1nesM1er - Solar Pl Pi^9C°okilg Unit Meter OUR m 100 amps Certify that In t he pefmr mance of the work for which this perm it Is Issued l Drinking Fountains Solar Tank Dishwasher Meter Over lW amps Shelf not employ yPerson In any man as to become subject m the manner Workers' ompenMlOn Laws or alifornia Floor Drains Swimming Pool w/SPe I Dryers OGas ❑Electric I I Sub Panel tanners Owner named revoked: thePerforman Gas Service Outlets Interceptors Kitchen Sink Inc. Solar 13915 HP 01615* Into Sew for mo lAsn a,Ity or roValr ar1 for Such mala,[ the Provisions of Dhne isOexeem Ct e �a�lon or Election (cant to a civilgas as lo and" or offe` ed Ilds or lmoprwn; I his or her own or offered, ofc e one r of of door nus bund or Im- nm licensed Pon. essicns COdm of Property Who o Is with awn- v. for this reason Lavatories P -Trap Roof Drains geinzPectioa Fm ffi5 Water service Boller Device Boxes Duct'- Under Ground Pole Light Duct - Structural Duct- Ventilating Outlets Range Exhevat System O Multiple O ' Firepl/Fact. Bit. ICED ' Heating System & Ducting ODIW OW BTU ❑100.000BT that tan about IL Drivers' Umn I I Rainsp j Fee I 525 CMF006546 re1n22/63 White -Bu116ing;Canary. Applicant Pink-AccounBng; Goldenrod - Assessor Water Closet F.A.U. Inc. Solar 13915 HP 01615* Water Heater Fixtures 'MiaO ve Water service Device Boxes Pole Light Outlets Range ' Switches 'Sign ' Garbage Disposal Standing Sections Generator 130.5 KW 05.15 KW Trash Compactor Ism Fee S 3 1 Reinspection Fp $25 lease Fee i $ 3 IANICAL FEES' Hoods Or. Types ❑ , Canopy Type It ❑ PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Building Annual By Appliotion IsslRd By Data Dat. Det 1 ielrigeration System 7D10D,000[ BTU 0100,000 BTU SUMMARY OF FEES BUILDING PERMIT $ SNIP! PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 2591L S ENERGY P.C. ELECTRICAL $ GRADING PLAN CHECK 50% S JJ�M�ICROFILM MECHANICAL $%�•SVOTAL FEES PLAN CHECK 25% S 1 1$ $ S S S .291.&7— System Retch/Alm2tion 24) S hes 6 IQ I alis In l;DD Parh J= MU 2)Exhaust Faris Inside Fee $3 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 17. Footings 58. Electrical Conduit-Undrgrnd. 'S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 19. 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 g�a,/yay (,Ep FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas . 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 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 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 )AYN (�n 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. `f 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations i 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. ,Electric Release to Edison .` 50. Gas Release to Southern California Gas Co X51. CERTIFICATE OF OCCUPANCY l No, Date -. i 3505 Cadillac Avenue 'KIT 0101 -HC17481,�'lq Bs TIN Its $18 500.�� BbE17704 INT ALT $11,000 PC10785A P101 Applicant to 1h1 In aB spaces within heavy border lines and Sign MI approprlate dem:raio�`" OF COSTA MESA -" PE MiT NO. - _TRACr NO. LOTNO. -BLD - OIT n TRITCTION PERMIT � $ - - Cluff Q1 qQn - 33 TYPE OF CONSTRUCTION ®NEW ❑ AOp ❑ALTERATION ❑ REPAIR O CONVERSION ❑DEMOLISIT OTHER - 0796 1111882 ,439.95 ZONING REGULATIONS Project Address ownerPhone 752-55 Address 1301 Dove $t. v #760 Newport Beach Arch/i Himes-Peters License NO. 4285 __1 DESCRIPTION OF WORK A.P. ¢ _ 2V�Lo Address 119 E. Alban Santa Alla TYPE OF PERMIT ❑ FOVNpATIONSTgUCTV RAL' - ❑ TENANT O ELECTRICAL ❑PLUMBING ❑MECHANICA ZONE PLNGo. ET I SIO YAflO LEF Ip Red. V` �1.a ZE 80-16 SRCP'LikWCNE Contractor Oltm3n5 C0FStrUCti.wl Phone 576-847 Addref5 D] a'l][ 388 I`IOSltei Park illi❑GRADING LICENSEDCONTRACTORDECLARATION barter xi( am- men hereby affirm that I am licensed under provisions a1 end ❑ Ic T Nng' Ith union 700 f plMmon a f the Inc d PrefesslOns Conn, q license Is In lull OTHER REAR YARD (TO P/ MY for eIf¢Ct. Cop CL-ap PROJECT DESCRIPTION License Class '- 'D' License No.••+�3 Fj3•70 $G- �' PKG. SPACE RED. 2 PROVIDED 670 Date Sgndlue OCCUPANCY'�ppZC�O TYPE STREET WIDTH .. PARK FEES WORKERS'COMPENSATION DECLARATION 1 herebyaffix that I have a Certificate of Consent t0 "if -insure OI a [N�S[TRUCTION VALUATION *519t3 ONE ZONE ZONING APPROVE06 DATE ceertificate of Workers' Compensation Insurance or certified copy - GRAOI NO CU. YDS. ACRES SPECIAL CONDITIONS: e l (Station 3800 Lab. C). •:Y No. WAI11I1ri9fi�I Company-T't'mmz^h Trsriwn- - _ copy is hereby furniture. REMARKS: -c -celrti Vilied mfed copy is filed with the city Bustling Division. -- - I BOLD FOR SPECIAL REOLIREIYICI`IIC EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This Settlors red not be completed 11 the permit 1S for one hundred �E1 0) or less. i C/O7 rp certify that n the performance of the work for which this permit Is Issued to Ilm notNerrrarry anyPers nIn lewsol Gninfornio as to become sutbjecDate _ PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERScors FT qQ PT� Signature NOTICE: If after making this declaration, you should become'subject TOILETS URINALS GENERATOR 0-1 KW_ 110 KW to the Workers Compam alion provisions Of the Labor Code, You must TRANSFORMER fO11h WItn Comply With such provisions Or this Permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 1050 KW_50+KW revoked. KIT. SINKS DISHWASHERS (\ MOTORSOd HP-1'lOHP - CONSTRUCTION LENDING AGENCY IM1evepyalfirmiha[iM1ere ;Sac construction lending a9en<yfm lM1e SERVICE SINKS $UMP$ - (IN0.50LAR),' 31150 PIP_50+HP L .... .. .. farm ance of'the:_wdrk (Or which this permit iz Isued (4Cllon 3897 _ -FLOOR SINKS- N$ - _ FIXTURES OUTLETS SWITCHES ' Gv. CJ." :Wells Fidl',g Bank Lender's Name .FLO6W-Dr - LendehAddress660 Newport Ctn D.il+ N.H.,- _ , DRINKING FOUNTAIINI eve' 3n GASTUSE SIGNS _ ' OWNER BUILDER DECLARATION ffirmthat am exempt from the COOtrctOYs License Law for 1 honors INTERCEPTORS_ CLARIFIERS POLE LIGHTS - - SWIMMI NG POOL a PTRAP CU co, HITC11UN Me fill owing ea (Section 7031,5 Business and Professions Coder n reason Any city county which requires a permit to construct, alter, ' POLES METERED sue WATER SERVICE ALTERATION - { - - PANELS MAIN SUR moraines, dohrothh or repair any Structure. prior 10 Its Issuance, also re- quires the applicant -Mr such,permit to file a signed statement thatim, GAS SERVICE -- L "� OUTLETS SERVICE 'AMP is ed pursuant to the provisions of the Contractor's License laws LChapter 9 (Commencing With Section 7000) 1 Division_ 3.. o1 the _ . WATZICHEATERS yOTUICUTPUT - - "Insure and PrOl6smns Code). or that he Is exempt therefrom and the i-fonthe allapoSexemmlon. Any violation of $ectlon"70a1.5 by, SEWER CONNECTIONS \'- - cafor a permitSu Joliet e p plicant to a still penalty no¢t[ ol SOLAR TANK COLLECTORS' ❑ I,.as Owner of the property, or, my employees With-wagez as Meir sole compensation, will do the work and the structure is not intended' - or Offered for sale. (Section 7044. Business and Professions ssions Code: The. SOLAR PIPING SYS. ISSUE FEE a CnlractorY n License UsW bees ;not apply to owner 1 property - ',h, who builds or ,mpr thereon, and who does such,work himself -. I$$l1 E'FEE ry . _- -f APPLICATION APPROVED t3V OAT E' thomminho owObmylosses, ided"this 5uCMImprOVementS'are ,not . % Pf. however Intendatl'or offered Ie. the building or Improvement MECHANICAL PLAN CHECK\ SUMMARYOF FEES I, sold wbhin ane year of completion, the owner will have mo burden Of prOvl09 he did not SURE o prove for the purpose 1 Ie). - ) BUILDING p•� �' ❑ owner of the property, am exclusive contracting with y HEATING SYSTEM 0-]00,000 BTU AND DUCTING PERMIT i $liceJJ $MIP E Prdt contractorssCod t0 the n 7044, Lice Ni +BTU pLgN CHECK E PERMIT he Contr si a I-aw Lawonesnot apply to andwn,, oo Code: The appBusly to and - ISSUANCE E' ballot of and WM1O con- or an o property o Oth REFRIGERATION 0-100,000 BTU PLUMBING E a troctoez scorn, tracts fmm ucM1 protects with a conbadar(zl Ilcesned pursuant to SYSTEM - - GRADING E heC Concha 'S 100,000+BTU PLAN CHECK E Motion ❑ I am exit 1 I antler Motion. B. & P.0. for this Ll under BOILERS BTVELECTRICAL E E reason A PLAN CHECK E b1tLROFILMa Date SYSTEM REPAIR, R, ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL E TOTAL - EE al� LESS AD - 1 hereby earth IntIIn read z pop llcatlo n and state Natd Information Is eel, are C mtru Ith all city and county county PLAN CHECK $ VANCE PC $- — ordinances an s e la 1p{ g. o construct Pon and hereby authorize u^Iloriae ' proesen1a11V lM yea Bnler Upn [M1a ab0 a boned c[I n P - r g. FINAL FEE § $Ignatw Simatur Driwrs'Lic 5 CMF 01 While-BuIldliIg:Canary-Apphcant:Pink 'Accounting; Galdenund-PUGG0r CONSTRUCTION AND PLANNING APPROVALS Permit# _''a�j� Date Inspector POOL & SPA APPROVALS Permit # Date• Inspector 1. Temporary Electrical Service or Pole '43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement - 3. Electrical Conduit Ut lity-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orcetf- 47. Rough Plumbing& Pressure Test 6. Electrical UFERGr ;•_L/-Sa g/7 48. APPROVAL TO COVER-GUNITE 7. Footings a-'1--tra 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System SL/YA A -I S­XA 13 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55- Plumbana System - Final 14. Rough Electric -Conduit �56. Electrical -Final 15. Rough Electric-Vkhrin2 57.- Solar System -Final 16. Rough Heating & Air Conditioning _787 -Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin 57-Z 7- 23. Insulation >D F" p .2 - 24. Lathing & Siding 6-U-4 25. Drywall Nailing 6'y _ x -.z-gA d- 26. Plaster Brown Coat _ 27. Electrical Power Meter -Final - C• S1 7= 28. Final Electric F*IR 24 29. Final Heating & Air Conditioning -flap 30. Final Gas Pipe -Test 31. Final Plumbing a-_ arch 32. Water Service -Final 33. Gas Service -Final -2 = cl 2 cAr- 34. Solar Domestic -Final 35. 36. Landscape Sprinklinc q System UA Sound Attenuation A 0 37. Handicap Regulations 38. FINAL STRUCTURE & BUI LDING - 39. Special Requirements Completed % 2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Appnnln to fill in all span; within heavy border Imes and sign all appropriate simulations. CITY OF COSTA MESA -' PER IT NO:-' TRACT NO. --- LOT'NO.". BLDG. NO.-" a CONSTRUCTION PERMIT `7 O-1 - 6/01/02 20.00 Project AddressCadillac Avenue TYPE OF CONSTRUCTION- BXNESr L1 AGO El ALTERATION- ❑ REPAIR CONVERSION []DEMOLISH- ,6611. Owner O'DDDnel Partners - Phone ' ' AddreY'13OS 1-SU10E'%6O DOVB"SC• 0 - - ZONING REGULATIONS •AmMEngKNe rL'SeaCh - License No.- -OTHER DESCRIPTION OF WO RK_ ,- y qP 41 .'. ZONE--PLNG. REP. it' 'reset 3 ---y -'_' -- _ _ « '. PM1dne283-958 Contractor-Thergro lair Inc. TYPEOFPERMIT` -' - - B -TO BUILDING - T A K FRO�EFiY LINE, -O GRADING .O FGUNGATION ❑STRVCTV RAL 51 EVARD - ❑TENANTI13 ELECTRICAL- OPLUMBING ZMECHANIC -SIO - _ AddrQS- O� - O�E LICENSED -CONTRACTOR DECLARATION- �_ - 1 hereby affirmthi I am IlunsM unOer prov sla f Cn t 9 (A 1. '.11 `Vq - - RIGHL. marring n ` of DIWSaOm 3 1 IM1 B Irozs- d p 11 ProfeSSIl Code. Intl YMY )license Is In full I a e OTXER- - '- -- .REgR YggD RO p/L) _ � Llunve Clasv - L1�- PROJECT DESCRIPTION- _ , 1 DKG: SPgCE.REG PROVIDEq r;-,( Ol ti/20/99'- slgnafilre _ Jt '1 -✓. J, sD-.FT. lOCCUPANCY"`_'- CONSTRUCTION TYPE STREET WIDTH PARKFEEb- _ WORKERS' -COMPENSATION DECLARATION- 01141ssure Fria II hereby affirm that l have a certificate ofn , VALUATION ZONE ZONING:APPROVEP BY'. GATE nacDot rtlflnle-O} Workers'-WMPOnptlon-IFS r ertluird c pY' _ _ — SPECIAL'COND T O 5 4 0 f (Session 3600, IJF. C.). ' GRADING CV YDS ACRES t , '-REMARKS:' -Dfy No. uiDAl'IAp Ara CFmpanY rr" nh TnAemni by . Certlflea.mpY 6 herey.fin"lanee. Certllled copy n hied with the city Building DIv151Dn. EXEMPTION -FROM' WORKERS' COMPENSATION DECLARATION _ _ .. - -'- r a nunlf_ F .ermlt IS foOn d,il ep TnXctlon eed not ba complete[h - ((slool '.._ -- o lass. �PLANCHECK .dart that m the performance of the work forwhich MIS Per [ Issued I mall not employ any P In any rye p a for b e L PLUMBING 1 t_^ -' - ELECTRICAL ,PLAN CHECK Mecttp lie Workers,Compens llanlLaws pr elle J`� _ __. �_ BATHTUBS SHOWERS — _ _ 'GENERATOR Date 5/Jo/Aa 5lpnature i' r d gOTICE ill after �aking this declaration, ou should becomar.zubject 10 IM19 Workers' Compensation, O�the Labor Ccall must TOILETSyu, r ,URINALS` — '0-1 ii - 110 KW - 'TRANSFORMER 5 Q proaI31FR Y06 forthwith comply with such Previsions or this permit shall be eeeme! LAVATORIES COUOLE-LAVS'- - - - _APPLIANCE - 303p KW�SD a KW - — revoked.. - - CONSTRUCTION CONSTRUCTION LENDING AGENCY KIT. SINKS' DISHWASHERS -- ' - - MOTORS -', 0.1 HP_IT0;H, I nerebY' affirm that there Ise construction lending agency for the per- SERVICESINKS.'• "SUMPS'^--- -� ^-- - -.GNC;lg RJ '-1040 HP_ -5D a`HP - - IFlmann Of the work for which this permit Is leaned (Section 3097 '"rLOO R'S I NKS --" FCOO R DRAIN$-' "" "Ft%TYRES - OUTLETS . +SWITCHES' - - Civ -C.)'_ - Lel Atldr055 �' - - -- DRINKING FOUNTAINS -1r GA$TVBE'$IGN$ _- OWNER BUILDERDECLARATIONS LINTORCEPTORS V _CLoRIF1ER5 - -c 'POLE LIGHTS _ M1erOoy affirmdM1sdLl em<xmof fro m`the Contra t License La for SWIM MI NO POOL'S ""P TRAP' P LES - MITERED � UB thClall owing' N fS &ion'7031 5 BuSM S tl -Prof gra- CO,Itl' Any city or my which reando a permit to construct,affair -SEATER SERVICE --'-ALTERATION— 'Y' ^"PANELS' - MAIN - sue ' r Improve demolish orreparrany structure, pror to Its ssuance,afto re- the ap51 rant for such permit t0 file a Signed hiftenel that he 'GAS SERVICE- -� OUTLETS �" - : --rSERVICE'-- - --AMP7 — - " -- tures Imenud'Dursuant to Me'Provlslonsrof the Contractor's License -Law {Ch0PtW 9 (commencing with Factor 000) of Division 3 01 the WATER HEATERS— TU OUTPUT'^-"" ' -- ' "-'f_'3`[,of - lslnessdna-4Ydeasmns-[bdelar that IS births l therefrom and the- 015 for the alleged asera lFn. Any vlolatlon is $eOmn 7031.5 by SEWER CONNECT "'- "! �" ��e""a y .IY appllnnt for -a-permlbsublecas the -applicant to a. civil Penalty Khan five hundred dollars (3500). 'SO4ARTANK'-«"- COLLECTORS--� - O,Ioasmo iof the propirty y ply-f-IthWages Ihelr compensole sation, will will do thework, d thet 1 1 t i t eea Or offered for sale.(Section toad, 'B'- Businessland PrI CodeTne-" std SOLARPIPING SYS �- - "^ ,- ♦ ISSUE FEE Contractors License Law doe t_apply a Owner 1 property ISSUE FEE -- '�APpLICATIONAPPROVED BV' - - `GATE - ' Who busMz Or Improves thereo d who III such work himself o tar0u9n Ms own emPloYaes ,p 'd d that h -improvements_arenot _ _ _ _ _ _ Intended offered for sale 11 M1 the d Iml9 1 p ent tureen theiI a MECHANICAL PLAN CHECK 1 -'BUM6IARY OF FEES PP 1 zoltl wiMln one year of Completion, -eulid - BUILDING - - -_ i proving he do not r improve for the purpose df o-IOQDOD BTU 1 _- '� 'PERMIT E - $MIP ❑1-as-ownel of -the property. Mr. exclusively 'Contracting (IM1 ANDDUGSVSTEM 'AND DUCTING 0 c nlratlors to construct Prelett n Business IODAOO,v BTU OO ,PLAN CHECK 3 ctheto es no -L mese Law rices not apply to ant -Professions e Lew and -Po _ IPERMIT - -- -. - SSUANCE- 1 SSUANCE. holds ar tfie z t and wM10 nn- an owner OI property who bu,I or is property REFRIGERATION 0-1 00,060 BTU IPLV MGING S IhiaFO, -a Con[actogO �Ilusned-pursuant to psala a SYSTEM - - - — - - - _ GggDINO( 3. theContom-sucfi Law). iM1e Cantra[brY lJ¢nte Law). IOO.DOO,BTU Qp PLANLHEGK E' `5. - '-'S �" 01'am'eAematunder Section - ""'-B.6"P.C:10rthis BOILERS BTU ,ELECTRICAL S—__ Ieason SYSTEM REPAIR. ALTERATION PLAN CHECK' j MICROFIIAe�f - MECHANICALS.e3_ �� (TOTAL FEE $ - Lr bate.Owner I Marshy urllffitnl I have readtR pp' and stare that the above EXHAUST SYSTEM MULTIPLE I'd LESS qO- I ofarmat e t 'I pre to' - ply ltdh ^II city MrfccmtV rdNa9cJ�t1 tl t l 1 latl 91 I 1 and a PL ANCHECK b - «VANCE PC' _S \ r1H r ^[home reDr05gntrtl Ka f tM T(% t .QA r p -tin lane.' - - PraPer 1' Peatla p D 6 } FIN AL FEE Q'd^o OO Date 5/ZO/8 - - /3 ISSUE FEE - - - ,- E� Q _ _ _ _ _ - -- '- Driverure Drivers- Llronu or 55 � Vf CMF 0865-46 WM1ie-Building:Landry-Applicant; Pink -Accounting; GOldenrod-A5us r ^^ CONSTRUCTION AND PLANNING APPROVALS Permit #� Date - POOL & SPA , Inspector APPROVALS' - Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - _ SodPipe-Undrgrn _ 44. Steel Reinforcement -- - - 3. Electrical Conduit Utility-Undrgrn _ .45._ Forms. -4.•. Electrical Conduit-Undrgrn_ 46. Electrical Bonding 5. Steel ein orce _ 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn _ _ _ 48. APPROVAL TO COVER-GUNITE - - - 7. Footings _ 49. Electrical Conduit-Undr rn - - 8. Foundation "__ _ _ 50. Gas Pipe, ❑ Undr in, Test 9.. Water Pipe-Undrgrn 51. Backwash Lines P-Trap❑ Undmrn ' 10. .Structural Floor System 52. APPROVAL TO DECK 11. . Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12.- .Street Sewer Connection . " - _ - "- 54. Heater & Vent-Final' i, 13. Rough Plumbing - = - - --- - - "'- - - -- --"' 14. Rough Electric-Conduit -- -- - - - - - - 56. -Eledtrical-Final 15. Rough Electric-Wiring --- 57. Solar System-Final - -16. Rough Heating & Air Conditioning - - - - - - - encing & Access Approval - 17. Ducts, in Structure _ __ __ APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe-Rough & Test - - Roof Framing - - .. _ 60.. - POOL/SPA SYSTEMS FINAL - ,- - 21. 22. Roof Sheathing Frameand Flashing- o- -- - T. _ NOTES: ' 23. Insulation -- - - C 24: Lathing & Siding 25. Drywall.Nailing - D 26: Plaster Brown Coat _ 27: Electrical-Power Meter-Final - - 28. Final Electric r 29. Final Heating & Air Conditioning 0 rig•- - - 30.- Final Gas Pipe-Test- --31. Final-Plumbing ' 32. Water Service-Final-- - - - - - 33. - Gas Service-Final 34. Solar Domestic-Fitial ' i 35. Landscape Sprinkling System -- - ' 36. Sound Attenuation -' - - - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 1 39. Special Requirements Completed - - - ' 40. Electric Release to Edison 41. Gas Release to Southern CaliforniaGasCo.' 42. ' CERTIFICATE OF OCCUPANCY No Date APodnat to fin In all spaces within heavy border nne3and Sign an aoomp late declarations. CITY OF COSTA MESA - ��TaRR��m IT NO. TRACT NO. LOT NO. Loc. NO. CONSTRUCTION PERMIT M "LL.P�.3 9' - '3 ,'� b Project Addrew13505 C AyenUE TYPE OF CONSTRUCTION 1-1NEW❑ ADD ALTERATION - 0REPAIR O CONVERSION O DEMOLISH '� OTNER - __ -' , ,. ZONING REGl1 CATIONS Owner p PbOO6.752.551 SUIte 760 N R 92660 ArcM1/shed _ License No. DESCRIPTION OF WORK A.P. q ' AACIdO - - - -- - TYPE OF PERMIT -- _ D -GRADING I] FOUNDATION �' STRUCTURAL ❑ TENANT'0 ELECTRICAL QPLUMBING IX ECHANIC ZONE PLNG.REF.TF SETBACK RD Ip Tp gtJ � y"Ll PROPEIRTY LINE Contractor tCIRS J.GC Phed992-4490 Address 9263' LICENSED CONTRACTOR DECLARATION under 1 Mceby affirm that I am licensed PrONSIoon3 of Charter 9 (sem- 7000( Divided3 f the IL. T _ Iny with section ofBusiness d WOIY[IOOE Cade, OO' mY limn IS In full fern O effect.. /.�DTHER - REAR VARDITO P/y _ - PAaECT DESCRIPTION: teni��Ga�3�3�p) IJcense NO. - 707060 _ _. SOL Err. 4 PKG. SPACE RED. PROVIDED, l Date �OCCUPANCY�CONSTRUCTION TYPE BTgEET WIDTH -'PARK FEE4 WORKERS' COMPENSATION DECLARATION I hereby nfllrm that I haw a"Contiguous of [ansent to selNnsure or -a . VALUATION ZONE ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified Copy GRADING CU. YpS. ACflFS SPECIAL CONDITIONS: - - thereof (Sect L:L'- MmlU Stabe '�. Icy No. Comltiny certifledCopylsnerebymmisned.REMARKS: _ - -- A1Cenlned COPY I3 filed with the City Bulli log Divlslon: ''•l [- 'U EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ _ _ (This Section need not be completed if the Permit Is for one hundred _ - _ - - - (61001 C less). r nitlfy that I performance of the work for whiCh this fit It Is -- - cane mind haft 1 employ any Perron In any der s to become -PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK sublect to the Workers Comper l." Want CallfOM111. _. BATHTUBS- SHOWERS M.P. - - Signage - I _ NOTICE: If after "king this nclafatlOn. Y should become Subject TOILETS „a URINALS _ - GENERATOR o-] KW- 1;10 KW to the Worker Compensation provisions o�the "her Code, you must _ TRANSFORMER -_ - forthwith comply with Such ProvOIO05 0/ this permit Shall be deemed LAVATORIES OCVBLE LAVS" APPLIANCE 10-50 KW ­50 s KW ICONSTRUCTIONLENOING-AGENCY '" --" -KIT. SINKS -- "DISHWASHERS' MOTORS 0-1 HE 1-10 HE 1 hereby affirm that there Is a construction lending agency for the her SERVICE'SINKS •" SUMPS -' - (INC. SOLAR) - 30 -SU HP�50 4 NP lormtnce Of work.fm wNCh this pmmlLli mated [section 3097 -Flipgppahlws� FLOOR URAING - FIXTURES OUTLETS SWITCHES _the Dr. C.). \-.. ( �•L\ - - ys' s"S.. t• , Lend V's NamB. Landry Paul i05' - — DRINKING FOUNTAINS' - "" - - GPS TUBE SIGNS OWNER BUILDER DECLARATION"INTERCEPTORS - `-CLARIFIERS - ' POLE LIGHTS al I am exempt fro.tnecontral License Law for I hereby affirm mm SWIMMING POOL - 'PTRASI - - _ _ _ the following reason(Mellon 703_1.5 Business and Profa[Io d Code: Any city or—County wMCM1 r a permit to Construct. alter. t POLES METERED UB' WATER SERVICE' -" -ALTERATION- - PANELS MAIN (,,, ." n;SUB, It Ira Woe demolish or repel! anSir uttwe, prior_to Its ISSOante. a lip S. do ran the a0011nnt for [uC1i permlp t0 file a signal Statement that he Is licensed the 1, the with Division _ GA$SERVICE"-`� OUTLETS SERVICE AMP 35Pf the (Chopler 9-Kommil Section 7000)nofa _yyATER HEATERS"' • "BTU OUTPUT - vq' I Inds and Pb.esslons Code) or that he 1[.Mmpl therefrom and the. =B formTmleged exemption. Any violation of Briton 7031.5 by -SEWER CONNECTIONS '� for a to a dull penalty are IlvepehunlOieB Dollars (E300jlont not more SOLAR TANK -'- - COLLECTORS -- • - r : I! " D I, as owner.of the property, or MY-.myk)YeeS with wages as their SOIe Compensation. will do the work, and fila structure 15 not intended _ o,.oflowl lar SHIP. (Section 7044. Business. and Rofediont Code; The _ _ _ _ SOLAR PIPING SYS.- - ISSUE FEE I , , •, ' COn1Octor'1 Ummer Lis O0e1 not apply to an Owner OI a property _ who. bLild. or Improves lheracn, and who dues Such work himself or _ _ _ _ - 'ISSUE FEES' - 1' HPPLICATION APPROV ED BY ..OA7.E, through his own employees, prodded that Such im .fits are not lmprowment _ _ MECHANICAL p1.An,CHECK SUMMARY OF FEES' Intended br. offered -Sur file. If, nowever, the bdud�AI Or Is sold whin one year of [ompllellan, me owner will how me burden f. proving he,didnot build r Improve Tor the' purpose of selel.' - �" -- - l HEATING SYSTEM 0-100.000 BTU _ _� _ BUILDING PERMIT _ _ . r ..44mo IV S,' D I, s owner of the proper( m exclusive o tracting with Y• a y c licensed [o'cOnSllYq MB IMCtIOn 7044, Business AND DUCTING" - 100,000. ...E - - -SMIP' -• " yds contractors prOl.d BTU PLAN CHECK E . PERMIT and Rofewhomi Con; The Contractor's License Law does not apply t0 ISSUANCE E an of property who pages or improves thereon, and who ran- REFRIGERATION 0-100,000 BTU PLUMBING _ tracts -from s h projects with a COMractonsl InSind,PYOYant t0 SYSTEM . -- - _E - • _ -GRADING!' E the LOntractoryLldn$$'Ww), - 100,000 x BTU PLAN CHECK s _- ❑lamexemptunderSection .B. L P. C. for th is gDILERS BTU _ ELECTRICAL S _ _ _ reason_ M SYSTEREPAIR, ALTERATION 0 EXHAUST SYSTEM MULTIPLE B - PLAN CHECK S MECHPNICAL i' L�0 MICROFILM E' TOTALFEEE' �'GES6 AD-� - Date Owner IM1er wrtifythit I hademadthisappliotion antl stale that theabove Intarmation is COrre L 9rn to wmply ith all 01y antl Coat ty- PLANCHECK 1 VANCE PF E OrblOammaM [UL B Perry relating to construction anM1erObynaY[b0/IEe ter - - representatives .th's,City' e. upon. -Ike - above honed dOOaltY f0(I poses. - FINAL FEE Udver3'Lidnd or SS�# ISSUE FEE. - ' CMF 086546 White -Building: GnirY-Appllnn4 Rnk-Accounting CONSTRUCTION AND PLANNING APPROVALS Permit # 1 POOL & SPA-_ ' - - Date Inspector' I - - Date Inspector, APPROVALS Permit #- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . SoilPipe-Un rgrn, ,-� 44. Steel Reinforcement _ -3. -Electrical Conduit Utility-Undrgrn 45. Forms •- - _ _-- _ - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce _ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Gin 48. APPROVAL TO COVER -GUNITE - - 7. Footings - 49. Electrical Conduit-Undr rn al" "8. Foundation --- 50. Gas Pipe, ❑ Undr rh-, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ❑ Unarqrn- 10. - Structural Floor System 52.. APPROVAL TO DECK •<. - 11. Property Sewer Line & House Connection ' 53.- Backwash & Receptor -Final 12. "Street Sewer Connection - 54. Heater & Vent -Final ' 13. - Rough Plumbing -ystern - 14. Rough Electric -Conduit - --- ^_--56. Electrical -Final 15. Rough Electric -Wiring - - - =57. 'Solar System -Final 16. Rough Heating & Air Conclitioni 58. Fencing,& Access -Approval 17. Ducts in Structure _ APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing - _ _ _ -` NOTES: 23. Insulation.24. Lathing & Siding 25. Drywall Nailing - 26. Plaster Brown Coat _ '27. Electrical Power Meter -Final .26. Final Electric - 29. Final Heating & Air Conditioning 130. Final Gas Pipe -Test 31. ' Final Plumbing - ,32. '- Water Service -Final 33. Gas Service -Final - - 34. Solar Domestic -Final - 35. Landscape Sprinkling System - 36. Sound Attenuation, '37. Handicap Regulations 38: FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No.' Date 1 Applicant to nu in all &paper within heavy border rnn and .Igo all appropriate Smallness m. 'CITY OF COSTA MESA PE IT O. �f TRACT NO, LDT NO. BLD . NO. - "--0965 C I �2��82 - 13:00 CONSTRUCTIONPERMIT 3 / e y CJ•eP'�tS� })V�PE OF CONSTRUCTION •L W NEW ❑ ADD ❑'ALTERATION - E. REPAIR 000NVERSION ❑DEMOLISH E OTHER - _ i s 1 . _ .. . • - _ ZONING REGULATIONS Prolea.Addnss Gwnv P Addr - Arch/Eng. -- License No. ^f OESCRIPTIONOF WORK r- x'A.R'W _ _ _ _ _ Adtlr6a - ,TYPE OF PERMIT - LI GRADING ❑ FOUNDATION '•' E AL STFULI L 'EITENANT ID ELECTNICAL/LIPLUMBING ONECHANICAU. ZONE REM. - - 1 'I_- _ REF.¢ io g�/IL�pp1 G PROPS RT INE Phe j/7 Addr - ,LICENSED CONTRACTOR DECLARATION I hereby affirm That I am licensed der provisions of CM1aater 9(Gom- Under P B Ing' with-Setllan-7000) of felon 3.ol the Business and Aoleslons Cap my y Ile 3r, Is In lull for n lie F A ��.. "❑OTHER I REAR YARD (TO PyQ- - -" •L_�.��nppEE -n Liye u-No,6:LLLL License Class PROJECT DESCRIPTION --- -- SQ: FT.1. 9RG.5PACEREQ.'­r - PROVIDED = /salt Dda �7'C3F-' l Rt _ :OCCUPANCV_ CO NSTR OCT I ON TY PE STREET WI DTH" "HARK. FEES" WORKERS' COMPENSATION DECLARATION. hereby B/firm \M1it he" M1Ba CBr1i11<ile OI consent 10 selH Or racgpa. I VALUATION ZONE 'ZONING APPROVED BY - OATE-- - - llwra Compensation Insu .O cc tulle rtlte'Of War e •M1ereof(red 3 h C.I. GRADING CU S. YDACRES 'SPICIAL CONDITIONS - - 0JCY Na. WmpenY KS •_'REMAR. �sC t11 page lS hereby furnished. �•lC unied COPY Is! ed with the d y Building O v 510m. EXEMPTION FROM WORKERS COMPENSATION DECCARATION iori eel ; of be completed D the permit ie 1 fund... tl. {Toeeolaw _ __ _ _ _ _ .1_ _ Y that n Ne parlormance Of the work for of Is Issued. I Shelf not Omploy any Person In any me e s to become - - PLUMBING '� PLAN CHECK - - ' :ELECTRICAL - -- -PLAN CHECK - subject to the. Workers' Compensation Laws of Calf nla _ BATHTUB S "' SHOWERS 1 - - - __ I Cate Signature NOTICE: It atter making this declaration. yo should become subject ;P`I ETS .. , URINALS--- -'-Y ^�-- GENERATOR. O-1'KW —1-10 Role --- to the Wp COmpa03at1On PrOVISOMS Ot the Labor Coda, YOU mnwu3t !TRANSFORMER ' forthwith ISY with such Provisions Or this permit shall be deed Ckp^IS LAVATORIES DOUBLE -LAV S-- - - - - APPLIANCE-- - 1050 KW -50 ♦.RW -1_`"'-- - --"DISHWASHERS -MOTORS v CONSTRUCTION LENDING AGENCY KIT.SINKS' - •l "" O'1 HP =1-l0 HP - - I fral antral that there IS a construction lending agency for the Bar- t T a., sSUMPS "- _ _ SER V ICE51NK5 --- ,SOLAR)._-30¢OHP 501 HP "' lormance Of the work for which this permit IS Isued:(S_eCtlon 3091 IANC CIv.-C.y --"- - - -'�- _• "-FLOOR SI14145--FLOOR-DRAINS _ t--' "' IFD(TURES"--- OUTLETS •. -SWITCHES-" keeeI's Name I__.. _.__ _._ _ ___ Address _ DRINKING FOUNTAINS' Y-'-�-"- -- - GAB-TUBESIGNS.. __ ... _ WNER II ereby affirms that I are ER raga l front the COntraCtOr'S License Law for INTERCEPTORS -"-_ CLARIFIERS ' � --'.POLE LIGHTS -SWIMMING' POOL"-" �P'TRAP - ' -POLES" -- the following rssam (Session 7031.5' Business and ' Professions Code: Any City O county white requires a permit t0 construct, alter, METERED- UB - - -I SERV ICE-' -ALTERATION - - PANELS -MAIN - SUB ImprOVe, demolish or -repair any Structure; prior to Its ls[ainscr iso re- quires the ap, hunt 1m such permlt to flea signed statement that he - GAS 'SERVICE -OUTLETS--"""'f -- -,SERVICE- - 'L' L'gMP:." - le' licensed pursuant to'te'proylnonS of the Conbactor'5 LIMP50 IUW e Ipter 9 (commencing with Secllon 70001 of Division 3 o1 the C WATER HEATERS"" -BTU OUTPUT - - - - --- - O mess and'Prialdns Code) a, that he!'exempt therefrom and the isli for the alleged exemption. Any violation of Section 7031.5 by -SEWER"Ld11mlE71WN SS (f' �- _ _ ynapPTlapnt f ""pa1[ subjects the -applicant t fail p al1Y p of e m r hundred dollara(§500) 'SOLAR TANK- - -COLLECTORS- COLLECTORS E her of the property, tri inn employe "tM1 i their solehe work, handructure Is not Intended !offered or forfsale. (Secloo 9044. Businessnd Professions Code- The - /1 -1 L�� _ ISSUE -FEE - - ;C ntractoc} License law does n t-apply_to an own f a property- ISSUE FEE - - -'-'�" ' "- - APPLICATIONAPPROVED.BY-_ _ _ ,:DATE _- who builds or Improves Interco. and who goes Such wore hlmsBlf or jtlrough. smD10yM3. pro Vled that Such itS are not MECHANICAL PLAN CHECK ' " •- e - -- --- "SUMMARY OF FEES ' ol: Own -Improveme Intended tiered for safe. If, however, me building or Improvement B sole within one year of completion nm owner will have the Burden -§ f paving be did 1 build Improve f0r the-Purpose-dt-salel-- - "'- - - iBVILOING. - '_ �'I;�as-ro0wner Of -inti Osoporly,-am-exdusiwly-contraction his. MEATINGSYSTEM 0-100,000 BTU I (PERMIT § .SMIP- - 11¢nsetl contractors to construct the project (Section 70441 Business AND DUCTING 10o,000 V BTC (PLAN CHECK S PERMIT and'Rbfesiom' Cade:L The Contractor's License Law does not sea .10 ��j� ISSUANCE' $ an Owner of property Who builds Or Improwes thereon, and who Mn. REFRIGERATION 0-100,000 BTU �. PLUMBING § /,?v i' _' .tracts from s h projects with a ontmctor(s) Ilusnad P'Suant.10 w .SVSTEM _ - _ _. _ - '-,PLAN 'GRAOING- t the Cpn[radorS Hansa Lawn. '1 100.000.+BTU !" _ CHECK §,- - s " OI-amexerni under Section -B: b P. C. for this BOILERS BTUi "ELECTRICAL'§'-' , E feat - - n SYSTEM REPAI R, ALTERATION - . EXHAUST SYSTEM MULTIPLE N "PLACHECK $ MECHANICAL t pMICROFILM t ` (TOTAL FEE § LESS AO- ) LESSADC 'Data Owner ;I ereby certify that l M1aw read this Applications and Stale that he&be" -I'agree Inlormatlon Is correct.to ply with all city and y ty- PLANCHECK.'§. -3 _ Ordinances Rale laws reltlingSO Construction, and hereby authorize 1 +eprumuI feth -u b^emer-upon the'abgv ml ed y •: "a� property f r ed po as. 519natur¢ FINAL FEE §f--W- Onv s ar 55S 'ISSUE FEE CMF 086546 WImq-BuIZng:Glary-AOpI1unF Rnk-Accountlngl Goldenatl-ASNS$Or CONSTRUCTION AND PLANNIN q .. APPROVALS Permit # "ai.3� Date c Inspector' POOL&SPA .'•- - tl APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- '"' ' -• "- - - •- 2. SoilPipe-Undrgrn. _ - ( yy . 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms , I• - --' ••-- ^- - -- - 4. -Electrical Conduit-Undrgrn. - _ _- .. 46. Electrical Bonding_ --- - - - " ._ Steel Reinforce - _ 47. Rough Plumbing & pressure Test- 6. - Electrical.UFER.Grn __ _ _ 48. APPROVAL TO COVER'-GUNITE -- -- - -- - -•• - -- _ 7. - Footings 49. Electrical Conduit-Undr rn' 8-- Foundation - - - - - - --- - ---- 50. Gas Pipe,.❑ Undr rn;-Test - - 9. Water-Pipe-Undrgrn - - 51. Backwash Lines P-Tra -_0-nar 'rn- 10. Structural Floor,System 52. APPROVAL TO DECK -11. Property -Sewer -Line & House Connection. - 53. --Backwash & Receptor -.Final- -12. StreetSewerConnection -- - - - -- - - 54.- Heater& Vent -Final = 13. Rough Plumbing - - --""-"-- " al 14. Rough Electric -Conduit (-' - - - 56:- Electrical -Final - - 15. Rough Electric -Wiring -' -- - - - 57. --Solar System -Final 16. RoughHeating& Air Conditioning - _ - _ -" - - =-- - - - 58--_ - Fencing & Access Approval _ ' 17: Ducts, -in Structure -, - - - - � - -" 9. APPROVED FOR PLASTERING ' ' '. 18. 19: 20. Ducts; Ventilating Gas Pipe -Rough &Test i Roof Framing - - _ 60. POOL/SPA'.SYSTEMS FINAL' ' 21: '- 22. Roof Sheathing Frame and Flashing - - - - - -- - -NOTES: "t y ''• _�;�r _ , 23. Insulation --- - - - - -- - 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat - - - - - 27. Electrical Power Meter -Final --- - - - - - `- -- ' 28. Final Electric - - - - - - 29. Final Heating & Air Conditioning- - - - - - 30. - Final -Gas Pipe -Test - - - - - -- - - - - - 31. Final Plumbing - - - -' -- _ '• - 32. Water Service -Final - -- �/ •87• `"" ' 33. -Gas Service -Final-- - - - '' 34. Solar Domestic -Final 35. Landscape Sprinkling System i 1 36. Sound Attenuation - - - - - 37. Handicap Regulations'- ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed _ • 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No - Date - - Applicant to Du In an spaces wehm heavy border liner and Man all appropriate despotic MS. CITY OF COSTA MESA PERMIT NO TRACT NO. LOT NO. -1 BLDG. . O. ' ' CONSTRUCTION PERMIT IF 9e25 'BGfiy" D 9CBBi��IV' �T//JJ subs, - s-� 6092 LCAC AVE TYPE OF CONSTRUCTION .YPNEW ❑ADD OALTERATION OREPAIR 13CONVERSION OOEMO OTHER y ZONING REGULATIONS ownerAN WK � Pmne z-ri/ Address O/ OV S]' .I A rcMEPLimeNo OF WORK A P go Addleg(•�� ZONE -PLNG. REF. } Contracts ( wc.,oOD FClEi Phoneiru—SI TYPE OF PERMIT O GRADING�F O FOUNDATION O STRUCTURAL O TENANT ELECTRICAL OPLUMBING OMECHANIC SBUILDING ET VARO ��� I Y i'NE Address; z y%M :G rOS LICENSED CONTRACTOR DECLARATION I IlmOy ofirm 1 am licensed under provisions of GBuUri)(Com- p 15!11 HT that training 1M Dian 7000) f Division a f t m OOTHER REARVARO(TOP/LI %Olessioni Code, 1 it My thadned IS In full for apo affect. /O �C Z%£.r PROJECT DESCRIPTION LJcense�lais Leaned NO SOFT' I OCCUPANCY............ -CONSTRUCTION TYPE, PKG. SPACE REO. STREET WIDTH PROVIDED PARK FEES OMe/ Z'1�QZ 51 a WORKERS' COMPENSATION DECLAR 10 thereby affirm that l have a Certificate of COnt selfJnsum ora VALUATION20NE- ZONING APPROVED BY DATE - Ificam Of Workers' COmpnSatem In tirance,Ora COGIfled COPY GRADING CU. V05. ACRE$ SPECIAL CONDITIONS: fritpOflSec0an3000.LlCJ. r%/Silt'!/ComPanYx'rea'//AAyr IMO. CO. g'MJ Nn.mO �y rllfled copy Is hereby furnished. REMARKS:BUZZ O CertHled COPY Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION T• 11TMi action need not be camplted If the permit Is for One hundred ) "that 3ln ISeurtlt1y the Performance of the work for which this permit Is Issued 1 shall not employ any parmn In any Meadow in as 1a become SUDIBCI tO the WOrkeR compensation Lester California. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS ' Date Signature NOTICE: It alter Wardell dO TIMIGOo. you should become Subject TOILETS URINALS GENERATOR 0-1 KW�1-10 KW to the Workers' Compensation provisions of the Labor Code. you must TRANSFORMER forthwith Comply with Such prOvillOrd Or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+New revoked. KIT, SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HE CONSTRUCTION LENDING AGENCY Ihereby affirm that there Is a construction landingagency for the Per SERVICESINK$ $UMP$ (INC. SOLAR) 1030 HP SO+HP Brennan Of the work lot which IDIS Permit IS issued (Section 3097 ;FLOOR DRAINS FIXTURES OUTLETS'(-SWITCHE$ - Z Gv. C.).FLOORSIrl L Mder'S Name' - Lender's Addrpi DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the ConlraCtor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS the following reason (Staffers 7031.5 BUSIneM antl RnOsloni Code: SWIMMING POOL- PTRAP Any city ocounty which repulres a permit to construct. alter, POLES METERED sue WATER SERVICE ALTERATION PANELS MAIN SUB In Ofor repair icll p roll a ISI9nnitstaendent cture6 go as traisehe aD.11om fh that he GAS SERVILE OUTLETS. SERVICE AM Is licensed pursuant to the provisions Of the COntractorY-License Use (Chalder 9 (Commencing with Section ]o0D) off Division 3 of the WATER HEATERS BTU OUTPUT ' CodOr no 13 and the IF Mfoor eche Proalleged any violation OIlXOlontherefrom exemption. 7031 5 by SEWER CONNECTIONS0. ` - applicantor e applicant to a civil Penalty rappliica BIW hundred its l SOLAR TANK COLLECTORS - Property, beyond with Or rland No Ole SO compensation, will theork.of is notsIntendeo offered for Sale. (SmAlon 7004,, Business ananaafaslonsa ode: The SOLAR PIPING SYS. - ISSUE FEE ' " 3 OMMUsir'S LICIAM Law does n 1 mn t0 Owner of y ty. APPROVED BV' MOO pulses Or IMPrOven thereon, antl WOO does SOCK work himNlf Of through his own employees, provided that Such Improvements are not ISSUE FEE APPLICATION DATE MECHANICAL PLAN CHECK _ SUMMARY OF FEES - Intended s 1d men 9eerr of the owner dwilli havle burden clam completion,, the f proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0300.000 BTU 'BNG PERMIT 1 SMTP 1 1, a5 Owner Of -the property, am exclusively contracting with AND DUCTING - DO armad Contractors t0 o e pro act Insiders 7044. Business 100.000+BTV PLAN CHECK 1 PERMIT and PrOfaSIOns Cone: TOO Conmaetor'3 Liven Law code not apply m ISSUANCE E an owner of properly h0 builds or improves thereon, and who can REFRIGERATION 0300.000 BTU—IPLUMBING E truths from Such projects con r tor(s)-loaned pursuant [ 0 'SYSTEM - - -- GRADING S the Contractor's License Law). 100.000+BTU PLAN CHECK 1� ❑ I am' exempt Under Section B.6 P. C. for this BOILERS BTU ELECTRICAL S^Lad.L �1 a reason SYSTEM REPAIR, ALTERATION PLAN CHECK E IA MICROFILM J. TOTAL FEES DateQvnar 1 hereby Certify that I have read this application and state that thabve EXHAUST SYSTEM_ MULTIPLE MECHANICAL a LESS AO- LVANCEESSA - Information I heal. 1 gree 10 my with all city and county PLAN CHECK E - 1_ Ordinances and state lam reason to Construction and herebyallthOliae -f - ' representatives this city to t n in above mentioned Property for Abet r 3 $19na[ure e7•-/��'Z _ FINAL FEE 1 9 2S other' License ors v ISSUE FEE -- - CMF 066546 Wile-Building:Unary.AOPhcant:%nk-ACCOunling: Goidenled-ASMSIOr CONSTRUCTION AND PLANNING ' ` APPROVALS Permit # �,'2�c,! 1" Date i Inspector u POOL & SPA .:- _• • , �.. , APPROVALS Permit # - Date.- Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - -- 2._ Soil ipe.Undrgrn', _ - _ 44. Steel Reinforcement - - - - -- 3. Electrical Conduit Utility-Undrgrn 45. Forms- _ -4. _Electrical Conduit-Undrgrn _ _ _ _ _ _ _ 46. Electrical Bonding ' 5. -Steel Heinforce _ _ _ 47. Rough Plumbing & Pressure Test - 6 -. Electrical UFER G_rn _ _ _ - - 48. APPROVALTO COVER-GUNITE'- - - - 7. _ Footings _ - 49. Electrical Conduit-Undr rn B. Foundation--_ .. 50:, Gas Pipe, 0 Undr rn; Test r- 9., Water Pipe-Undrgrn _ - 51. Backwash Lines P -Trap.❑ Undrqrn 10.- Structural Floor System _ 52. APPROVAL TO DECK " 11. Property Sewer Line & House Connection _ 53.. Backwash & Receptor -Final - .12. 'Street Sewer ConnEctioo _ - 54. Heater & Vent -Final 13. Rough PJumbing - 14. Rough Electric -Conduit 14k 56. - Electrical -Final - 15. Rough Electric-Wi ring - -- - -- - 57. SolarSystem-Final- 16. Roughq Heating & Air Conditioning _58. Fencing & Access Approval 17:-. Ducts in Structure APPROVED FOR PLASTERING • 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19: Gas Pipe, Rough '& Test _ 20: Root Ffaming " 21t Roof'Shnthin NOTES: ' ' 22: .Frame and Flashing _ _ 23. %Insulation 7-`_� Le _ �e 24. L thing-& Siding 25: Drywall Hailing 26: Plaster Brown Coat ' 27. Electrical Power Meter -Final •- _ _ _ '' ~ _ - 28.- Final Elertr'ic- 29. Final,Heating & Air Conditioning 30: Final Gas.Pipe-Test 31i_ Final,Plumbing 32: Water Service -Final 33. Gas Service -Final 34. Solar Dornestic-Final 35. Landscape Sprinkling System - 36. Sound A*tenuation - 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING ••- - - 39. Special. Requirements Completed 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. ^ ' CERTIFICATE OF OCCUPANCY No._ , Date Applicant to fill In an spaces within heavy border lines and signal appropriate dargaratlem. CITY OF COSTA MESA P MIT N pp TRACT NO. LOT NO. BLDG. /. CONSTRUCTION PERMIT —I �/ TYPE OF CONSTRUCTION NEW ❑ PDO ❑ ALTERATION ❑CONVERSION ❑DEMOLISH 625 099_2 - 1/20/62 ' • 9.00 Project Address O Ownor hone Atltl f .REPAIR OTHER - - .TONING REGULATIONS - Arch/En9, -Sy License No. DESCRIPTION OF WORK A.P. g .- - - ,Atltlr - ZONE PLNG. REl Ph6mS63c`7T7PTYPE5FPEAMIT IIIALMING ST. O' GRAOINO ' ❑ FOUNDATION ❑ STRUCTURAL - _ I V - 'Q TENANT O ELECTRICAL'OLUMBING. QMECItAti y BE AECIeS LICENSED CONTRACTBR D CLARATION 1 hereby affirm tn`t I em licensed Under previsions of Charles 9 dont- T RIn $in ties 7000) 1 Division 3 1 the BUSIOOS .D OTHER. r REAR YARDETO P/U - ¢n�V. olu>lo s Co0�an0�}t/�IInner Is In lull kjjcs yygl)e PROJECT DESCRIPTION License tau ��'L%% NO. �/' (R/ - - - PKG. SPACE REO. .PROVIDED, ate"i� ' SG. FT. OCCUPANCY_ CONSTRUCTIONTYPE STREET WIDTH PARK FEE'E WORKERS' COMPENSATION DECLARATION m ave hereby affirm loaf 1 n a pNtOpte Of Morgan 1 INnSure or d ygLIIATION ZONE 20NING'APPROV EO,BY - - - DATE - 'certificate o1 workers' CAmpOnu(IOn pence, O! KCer fled we _ GRADING CU. YDS. ACHES - SPECIAL CONDITIONS! hereof (Sing b. 0.1. -REMARKS:-:1 1 e Cer1111M copy is nerCOYlmnlcheJ. ... -l.. Cedllled copy is filed with the city Building - _EXEMPTION'FROM' WORKERS' COMPENSATION DECLARATION - (This section ptl not be Completed I1 the Permit Is lot One suntlled (51001 or leu). 1 certlly that In the performance Of the work f0 h n this Permit 1 Issued, I shall not emPloY any orwn In any ma so" s to bet PLUMBING - - '" PLAN CHECK - ELECTRICAL - ' -' PLAN CHECK e betel lo.thus workers eomPe a+uon Ii exneo la.' BATHTUBS -SHOWERS WER$UVALI �-Id, Orr _ _ _illu Date Signature NOTICE: If otter making this declaration. you should become subject T OILETS URINALS GENERATOR 0-1 Key I-10 ' t0 the WorkersDempenration pmvitions Of the Labor Lode, you must - TRANSFORMER - forthwith Amply with such Struggling Or this permit Shall ba doomed LAVATORIES DOUBLE L9V5 - - -APPLIANCE - -10-50.KW_50I KW - aveaed. � _' I - , .. _.. -_ CONSTRUCTION LENDING AGENCY KIT:SINKS - - - DISHWASHERS L-- - - MOTORS - 0.1 -HP 1.10 HP ' I hereby affirm that there is a COnS[ruction lending agencyfor the pp SERVICE SINKS- : TSUMPS' - - - (INC.50L 11) ..10-50HP - - - 50+HP Pipettes Of the work for which this eermlt Is limited I5ec00n 3097 FLOORSINKS;'"-"-FL'OORDRAINS FIXTURES— OV TLETS- - $WITCHES -- CICC.)L c -� -n Landed Name -- _ Its coal All dress v DRINKING FOUNTAINS- 11 - - rGAS-TUBE SIGNS OWNER BUILDEROECIARATIDN I herenY alflrm that I am exempt from the CentraClpr'i Litems Law ler INTERCEPTORS -" CW RIFIERS' �� POLE LIGHTS-- - --- - -- - SWIMMING POOL y- PTRAP - -- - - - POLES METERED - SUB - the follow nD reason (Section 7031.5. Busimser-ark PrOIaaSlonsaCptle: Aoy City r county wMCM1 insures a Oerrut ltrwOStrUCl,'aINr,. ImpO demolish or repair any struetura.-prkdr to its liesanceiallo+n WATEN-SERVICE"--dALTERATION-- - - - PANELS -- MAIN- - '5UB - gUhesgthe ap.IIUnt lar such Permit to IIIe a signed statement that he -GASSERVICE OUTLETS - ,SERVICE - -- - - - AMR-- Its Nepalese pursuant-tO the Provisions of the Connector's License law. withm ivision 3 Of the emit Of Othergerna WATER HEATERS BTI( OUTPUT" that no 15 a%ction Banln[ss0tn0(M1Ofewon COOO) and the e sN for fie aloes ed assumption. Any stepson o Settlon 7031.5 by SEWER Yn lephantt for ll perm subjectst eS500).(cant to a civil � Penalty Of more t hundred dolla SOLAR TANK ' ' - -COLLECTORS- -- - - - - - - - - - 0 II as owner Of the property: or my employees with -wages as their sale COmpensstiOn„will do the work. and the Structure ie not Intended Or Offered lot cals.(Sec0on 7044. BUIFINs andOfOniOnS Clea: The SOLAR PIPING SVS. - -' - n ISSUE FEE --- - -- .. - -�-- 0 Lewnot ConlraOcr's U<edsill n t apply t of property ISSUE FEE APPLICATION APPROVED BY -.DATE. ” who builds Or improves thereon. and who does such work Intel through his own employees. residual that Such Improvements are not Intended 0, offered for Ula. ff. nowevel the building or Improvement, - - - - - Is sold within one year of wmpamon, me owner will haw mo burden MECHANICAL vLgN CHECK - SUMMARY OF FEES. r of proving he'lid not fund Improve Por the'pUIDON el R): HEATING SYSTEM 0- 10000 0 STU -BUILDING _ Ship fo I, an -owner ofthe Suddenly. file I contracting B With toconstruct Ise filed Ion lOd6, Business .ANODUCTING-_ ,� S - r .f p ect a^weSed contractors Or01¢Ct O Wplusons Coca Te-Cont,ador'S Lindner Law does not apply to t00.o00'r BTV PLAN CHECK -E PERMIT ISSUANCE' S an of property who builds Or hapmvas IhOrei add who con- REFRIGERATION 0-100.000 BTU :PLUMBING $ tracts -from Sucs-proleds ith.a tradogR liusned pursuant to SYSTEM- ':PLAN `E GRADING' S the Conlraemrrs UMnw Law). 100.000,E BTU _ _ CHECK - - - ❑lam"exempt under Sntlen - Bc6'P: C. ler this BOILERS BTV .ELECTRICAL'5 PLAN CHECK ¢ I _ _ MICROFILM'E' - Oamn Owner SYSTEM REPAIR, ALTERATION -' ,MECHANICAL -S' _TOTALFEEE _ II hereny [artily ma p/ read this applicationandstatethat the shoos EXHAUST SYSTEM MULTIPLE LESS AD- reef l'd9r00 t0 Ofhely ith alll CRY and wuntY" ''a ,1 PLAN CHECK�3 VANCEPC S- and ei elann9 tp wnsvuaipn,a ane Dya i t represenMD:,es- t IS c Y, ci enter upon lee¢ ab Property ler Spa signature. _ - FINAL FEE S� Dlivote'fGCod Or55S ISSUE FEE ._. _ -- . CMF 006566 White-Bulltl Ing: 'tra nary-�.Gc$denrDd-Assessor CONSTRUCTION-AND'PLANNING APPROVALS Permit 4k - Date Inspector POOL & SPA - APPROVALS Permit # Date- Inspector _ 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location' - - - SoilPipe-Undrgrn . �2 44. ---- Steel Reinforcement -' '-- - -' - -- - --- -77-7-7=- 3. 3. Electrical .Conduit Utility-Undrgrn - - - - . 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding- • - - . Steel Reintorce 47. Rough Plumbing & Pressure Test -- - - -- - .6.. Electrical UFER Grn - ,-� 48. APPROVAL TO COVER-GUNITE - --- - - - 7. Footings - 49. Electrical Conduit-Undr rn ' - 8. Foundation- - _ - _ 50: Gas Pipe, O Undr rn; Test - 9. Water Pipe-Undrgrn.. 51. Backwash Lines P -Trap.❑ Ondr rn 10. Structural Floor System 52. APPflOVALTO DECK - - - - - 11. Property Sewer Line & House Connection - 53. Backwash & Rece for -Final .12.- Street Sewer Connection.- 54. Heater & Vent -Find ••• - 1.3. Rough Plumbing - - ---- • -'--'" --- - 14. Rough Electric -Conduit - 58. Electrical -Final 15. Rough Electric -Wiring -- - - 57. Solar System -Final - 16. Rough -Heating & Air Conditioning - - - - -58. Fencing.&.Access Approval 17. Ducts in Structure 79T. APPROVED FOR PLASTERING ' •18. Ducts, Ventilating 60. _ POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough &Test--- - 20. Roof Framing - - - - - - 21. Roof Sheathing 4 - - _ 'NOTES: 22: Frame and-- - - - - - - 23. .Flashing Insulation- - - - - - - - - - -- - _ 24. Cathing & Siding - - - - - - - - - - - - 25. Drywall Nailing - - - 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final - --- �- - -28. Final Electric -• - - -- - •- -- - 29: Final Heating & Air Conditioning - - 30. Final Gas Pipe -Test -- - - - •-- - 31. Final Plumbing - - - - 32. - Water Service -Final - - - --_- - ' 33. Gas Service -Final - -- - 34. Solar Domestic -Final 35. Landscape Sprinkling System - - 36. Sound Attenuation - - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING' i - 39. Special Requirements Completed _ _ - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY Now Date A parent to fin in aR spaces within heavy border lines and Sign all CITYOF COSTA MESA' ft PERkvITN - 'TRACT NO. LOT NO. 346 NO. p ' vCONSTAUCTION PERMIT � NINNY 1 PJI- O C7t TYPE OF CONSTRUCTION 1. IV•NEW 11 ion Ll ALTERATION - LML IJ/ - r. BIIO _-B�OS�B� - J'.I}PB „• . Project Addres _ y�11,N _' r r. _ I Owners - PhonS !SS /�� IAddress 1OCJ- _ ❑REPAIR EICONVERSION ❑DEMOLISH. OTHER _ _ _ ZONING' REGULATIONS. -' ArcNEn9:. - -- Licence No.. - .. DESCRIPTION OF WORK_ A.P. � . _ - - - 'YFILNG. Atldtea5- _ - U -_(- _ ZONE REF.$ - - !'Contractor- - - Phon -,TYPE OF PERMIT - "_-' .SETBACK C L ST. - - a�eUEi LDING OP RTY LINE] r•' ' r"Addtav 3 - ❑GRADING ❑ FOUNDATION- 11STRUMCT��URAU ❑TENANT ELECTRICAL OPLUMBING_09MECHANIC YAR -- - - -� (LICENSED CONTRACTOR. DECLARATION -. ' -' hereby affirm that I am Bw setl order p ovm I Charter 0 ( NO P j i j� T - ' l 9 -with-rection-7000) I DI 3- 1 to BUSlneW d ❑ OTHER �P I ns y II lull f J 1t t . REAPYARDITO'Pi �' PROJECT DESCRIPTIOR S LIC !0 CIdEs 'Lice N l in "� - -� "• "' '- 50 Fl:: O V I`PKG. SPACE REG. _ _ - PROVIDED NN_ Ute ' ' - Signature - - - _ VO'WDRKERS- ?STREET WIpTM-� -'PARKFEEE COMPENSATIONDECLARATION 'OCCVPANCV_ CONSTRUCTION TY PE it hereby 1 hereby a511 that 1 n a Cxr1111CBN 01 concent t a SelHnsure R ygL`UATION '' 20_- - ZONING' APPROVED •- BY -- - DI. jATE r• of Workers' CampanSallon Insunn¢• ar ¢rtll atl copy _ _ GRAOING CU :PDS ACRES '�- SPECIAL CONDITIONS' " ktherenl(5e 00 La Is W Y No - _ <rtineO- PY.l naebYtu Bnep._ _ . REMgfl Ki �!XEMPTIO COPY tiled tRe dtY Building TION -- O RK DECLARATION ESEMPTION?ROM WORKERS COMPEN Sgmitle IITnIS - a-� 4-� �t frOneto :ema a t b ompi t a r m re!mu m rm one nmd a J__ J IEI011 or .- -. �, _ rf" _ _- _ Ni Partly tnatl th_pel W opt the work for Which this Permit l lysgurd. 5M1all [ In -any to become PLUMBING - - - (ELECTRICAL -' employ y p manner ubjact}atfie WOlkerS CompenSatlan Laws of _CII _' u' -' - ,-PLAN'CHECK '- I PLAN CHECK - - - 'BATNTVaS SHOWERS - IFT -- -'CUP " .Date r Mgnilure NOTICE: D ester making this declaration, Y a should become 5ubjeCt Ito IN Worker Compensation provisions of cite 12bor CodO. You must ,TOILETS ,f Gl �V RINAL$ ,�- - ,GENERAT00.+ ;TRANSFORMER -e l'KWyUl'-]O'KW - - 3 " s 1 I. forthwith comply with such provisions or this Permit shall be deemed LAVATORIES DOUBLE LAPS---�- - - ,APPLIANCE 30-50-KW_50 a.KW iT. KIT. SINKS" - - DISHWASHERS '-- _ 'MOTORS I0 -1 -HP 1-10 His __ _ __ _ _ _ 'CONSTRUCTION DING AGENCY CONSLEN 'I hereby affirm that there Is construction lending for the per SERVICE SINKS +�� SIINC..SOLgR)__SOSO.HP SO NP '" agency T of th���'� work tl (Section 3097 w.�nY"e/n OIp���-tJJl��s�_� T.r..5UMP5" - ' �ff�opr �[hpl �yPer � jLando Y- SINKS,- -.FLOOR DRAINS --'Y- - - ;FIXTURES--' - OUTLETS-"-SWITCHES- Na W6L�l eQYY�_ �] • • ,FLOOR IL¢OtlePS AddrA ,a'INTERCEPTORS--�-'CLARIFIER$""' "DRINKING°FOUNTAIN$-'{l-+---� - - 'Gq$TUBE SIGNS - OWNERBUILDER- DECLARATION--a� POLE LIGHTS a a - - - I hereby affirm [hat I am exempt from the C°ntractar's License Law for tne•tollowmg: reazont(5CtiOn 7031.5 BasineXand-famma[onS Code:- -SWIMMING PDObt 'P TRAP - _ - Any city•ornc°untypwhlch�rWolr6S a permit 'to Construct, III- POLES METERED-- $VB " -tyATER'SERV ICE - "ALTERATION ' - - - , PANELS - - MAIN- - SUB - Improved dbmolismar repair any structure. Prior to its issuancill rei permit to file a 9 he ned rhe GAS SERVICE "'OUTLETS SERVICE _ _ _ _ _ __ _ -:..:.AMP Isires[neaususant to provisionsLicense Law the C1h -with bin °I 17000) of of Division TChlapterr 9p(Commercial oactoXlon 3tortin¢ - WATER HEATERS - '-'BTU OUTPUT and Professlons Codefor thatme-Is exempt therefrom and me- f the alleged exemption, Any Nolatlan o/ $eCPon ]031 5 byIS '- - SEWER CONNECTIONSIN _ .I %aro tpmro °(titan IlvehundrBd EOIls theri0Oj °ant -to -a civil penalty. Ne-owner-of- the-property,or mayemployees ' g their IST ISOI'AR"TANK -' - -COLLECTORS'-- IB CO p [ ill tl thework, d the StructureIf hot Intended ed tarsals.- offered(Section]Doli B OW f CO-TM1e- -SOLAR PIPING 5V5 - ` - ---- �' -' I- ISSUE FEE- I tor'S LI La tl [pply,t t p operty Co tproperty "'ISSUE FEE- -- "•� "-- APPLICATION APPROVEMBY �`--' DATE--� woo outfits r limprovei thereb,and-Who 0oe5 Such Work hIMSllt Or trough his awn employs provided tb [ h Improvements not _ MECHANICAL PLAN CHEOk - - F SUMMARY OF FEES } .intended or offered for W -however, the'building -Improvement-- 15 swp WithinY completion, thewill R t 1 proving no - did - t build or improve for the purpose i I) - - - - -- - T BUILDING - N. . pmp tY - exclusively- contracting Th . of titconstruct- EAT NG SYSTEM 0-100000 RTU AND DUCTING' _ PERMIT _ E -_y0 SMIP b IN licensed Contractors Contractors to o U t theprotect (Secton 7066 Business 'and loo.000�+BTU PLAN CHECK E PERMIT l� Droefne WS Coos:Tito Contractors Llcense"Irsdoei°ot applY.ta . ISSUANCE -8 an 1 property Who builds or Improves thereon, and who Con REFRIGERATION 0-100.000 BTU I PLUMBING 8 ''Ekir .tracts .lr°m-mch _Pro xx wtM1 \ actors) -1 canned Nvursuanf_to. "SYSTEM _ _ _. GRAOIrNG the Contra in Lrcenlie Law) 100,000.+ BTU PLAN CHECK E _ - � OPamexe No ctlon'-'-B.6'P. CCbrtn 1"S - - BOILERS BTU ,ELECTRICAE E - EV - - SYSTEM REPAIR. ALTERATION - PLAN CHECK S L �qp MICROFILM - /% TOTAL'FEEE , leate OdLn or 'MECHANICgI E �8�- �Inheraeby atlh read application and State that the above EXHAUST SYSTEM MULTIPLE 'PLAN LESS An - •--VANCEPC-E_ loops roll information gree comply 'with -all and County- ctal CHECK- E - '- t ere co°malion•e mherebyantiorme 1° °iter represent e r 1s No aunt! ma above BI N°nw" pmpertY brsi ir q/S p - - Signatu FINAL FEE E DHveri'L or BS �ISSUEFEE - - O _ _ CMF 0965-16 wrim-Bulltling; Canny kACcounling; CONSTRUCTION AND PLANNIN�G��� p. APPROVALS Permit Date Inspector POOL & SPA - APPROVALS Permit #- Date -. Inspector 1. Temporary Electrical_ Service or Pole _ 43. Pool & Equipment Location - - ' 2. Soil Pipe-Undrgrn, -' 44. Steel Reinforcement ' - ---3.- Electrical Conduit Utility-Undrgrn 45. Forms - - - 4.- Electrical Conduit-Undrgrn 46.. Electrical Bonding - - - 5. Steel ein orce 47. Rough Plumbin' & Pressure Test - - - -6. Electrical UFER Grn-- - 48. APPROVAL TO COVER-GUNITE 7: Footings 49. Electrical Conduit-Undr rn - r - 8.- Foundation - 50: Gas Pipe, ❑ Undr rn, Test ' `• .-94 Water Pipe-Undr n. 51. •-Backwash Lines P -Trap ❑ ndr rn 10. Structural Floorr System 52. 'APPROVALTO DECK -- 11. Property Sewer Line & House Connection 53. - Backwash & Receptor -Final - - 12. -Street Sewer.Connection - -' - 54. Heater '& Vent -Final : 13. -Rough Plumbing - _ _ 'al 14. Rough Electric -Conduit '" - ' 56. -Electrical-Final- - 15. Rough Electric -Wiring 57: Solar System -Final 16. Rough Heating 81 Air Conditioning = - ening &.Access Approval 17. Ducts in Structure-- 59. APPROVED FOR PLASTERING 18, Ducts, Ventilating- - - 60. - POOL/SPA SYSTEMS FINAL 19. Gas Pipe=Rough &Test - - - 20'. Roof Framing 21. Roof-Slieathin - - - - - NOTES: -• 22. Frame and Flashing - - - -- - 23. Insulation - - - - -- - - 24. Lathing & Siding - - 25. Drywall Nailing - - 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final - - - - 28. Final Electric - - - - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test - - 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System - ' 36. Sound Attenuation - -- - _ 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING _ - ' 39. Special Requirements Completed 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. ' ' 42. CERTIFICATE OF OCCUPANCY No Date - or a I hereby affirm that eom I$a rnnsfrnctlnn landing agency for the performance of the -worle for whICM1 Shit Permit Is Issued (Section 1097 Civ. C.) Lender's name Lender's Address tracto:o� Iiwnte pursunntic proof their WoriwPs Cor ❑ I am exempt under Sectio. Date t hneb Mormayh Dnveen uwnse o s s a CMF0a65-66,rer. /a< Whill - w Prev¢nter Dwaidga{(on Ads try ashen' ng Fountains Drain3 Sinks Outlets Solar Collectors Water Heater Water Service Auto Wash Automatic Washer - Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas. OElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches' KW 72<8 2/07/85 Transformer U 15-50.KW . ' ❑ 50 t'KW Meter Out to 100 amPS Meter ❑over IN amps' Sub Panel Motors ❑O1 HP ❑1 %. B Inc. Solar OR 15 HP ❑1R Microwave Pole Light Range Sign Standing Sections Trash Compactor N I Ni G R E r- M FEES Intro with Section 711 of ROOF Drains Apoliom to fill IN all opi except there within heavy border lino and Han all appropriate deelaraloee. INCITKOF COSTA MESA CONSTRUCTION PERMIT ProlOat Address 5�..2— v��is / All � ,'/f/ ERMIT NO. '- - TRACTNO. D_ LOT NO. -UNIT NO. 1 11 TYPE OF CONSTRUCTION EW ADD ALTERATION REPAIR CONVERSION DEMOLISH El OTHER W DESCRIPTION OF RK/ EOF�BQLD�.� iX Applicant's Mailing Add and g lhvneie Name /��hZt,Cvsdl !Pirsd Address L �.y l(i PM1apaa _ ReinePeetiOn FOR • A.P. ge B CT Mair $ 3 Reinspection Fee 1 Arch/Eng. Address License No. GRADING STRUCTURAL TYPE OF PERMIT( ❑ TENANT NJ ELECTRICAL ❑ PLUMBING IP9'MECHANICAL �9THER B A Fmr poli/ ConsulNam P try who bunds or Improves o through his or her own l high PROJECT DESCRIPTION 50. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION ZONE GFAOING GU.YDS. ACRES C S (Ml /fes //� i✓�0/__TQUlO dL1 City License No. ^^/ �-C/ LICENSED CONTRACTOR DECLARATION hereby affirm at I am Ilcenied under prove p1'Char ¢pClpg Left Ping, Bet Remarke: _ Planning with wcllon >OOOJ 01 Division 3 0l the Bus and P r I s' Cape. and he/She OIO not build or ire- IP❑ my license is in full force tl affect. f — Applicationslu:ntl Duct - Structural Ucends ass Gate Signature u Professions Code: fieri and p n d of properly who such Projects with a can. PLUMBING FEES Duct- Ventilating WORK2i COMPENSATION OEC RATIO , Exhaust System Multiple Bar Sink I Showers e Law). I Cam aware that (should or a I hereby affirm that eom I$a rnnsfrnctlnn landing agency for the performance of the -worle for whICM1 Shit Permit Is Issued (Section 1097 Civ. C.) Lender's name Lender's Address tracto:o� Iiwnte pursunntic proof their WoriwPs Cor ❑ I am exempt under Sectio. Date t hneb Mormayh Dnveen uwnse o s s a CMF0a65-66,rer. /a< Whill - w Prev¢nter Dwaidga{(on Ads try ashen' ng Fountains Drain3 Sinks Outlets Solar Collectors Water Heater Water Service Auto Wash Automatic Washer - Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas. OElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches' KW 72<8 2/07/85 Transformer U 15-50.KW . ' ❑ 50 t'KW Meter Out to 100 amPS Meter ❑over IN amps' Sub Panel Motors ❑O1 HP ❑1 %. B Inc. Solar OR 15 HP ❑1R Microwave Pole Light Range Sign Standing Sections Trash Compactor N I Ni G R E r- M FEES Intro with Section 711 of ROOF Drains that thol IS exempt i. Any violation of Section the applicant to a Civil I' sl With wages as their xle ReinePeetiOn FOR • $ls Issue Fee $ 3 Reinspection Fee $15 Issue Fare 5 3 Is Cote nTM1a e°eonitrzfcm`s MECHANICAL FEES 11 OEVE IAPME NT SE RVICES R EOUI R Ear G 1 try who bunds or Improves o through his or her own l Boiler Hood or Type 1 ❑ Intended or offered for sin finallyfinallyend year of earn. Canopy Type Zoning Awrroved BY •� aft Duct- Under Ground he/She OIO not build or ire- IP❑ Building Apprpxd By Oate 7 itmcting with licensed can- Applicationslu:ntl Duct - Structural Refrigeration System - Professions Code: fieri and p n d of properly who such Projects with a can. 011100,00OBTU ❑100,00 BTU Duct- Ventilating SUMMA Y OF FEES Exhaust System Multiple System Repair/Aitersdan e Law). I Cam aware that (should BUT LOING PER MIT $ SMTP be pr maga m . pLAN:CHECK $ PERMIT FirepllFact. Rlt. ICBOW Fire Oampers — .a.P for this reason - PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL S GOADING S Heating System &Dueling ❑0100,000 BTU ❑100,0oo BT Registers d nate that the above y and count dinanc '%Qe� / /f - no Thereby aut9crlae ablee' e tlpnetl prpP rly for PLAN CHECK 509: $ MICROFILM S 'I'� aft 9 MECHANICAL g d7.0 O TfOTAt�FEE $ ReinWaian Fan S15 Issue Fee $ 3 PLAN CHECK 25% $ •�Y a A my Wnk -Accounting; Goldenrod - Assessor 111 CONSTRUCTION AND PLANNING .1 APPROVALS Permit q# Date Inspector PO4� & 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. APPROVALTO 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, ❑ Undrgrnd. 10. Structural Floor System 61.. APPROVAL TO DECK 1 t: 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 �A�a] �. 13 �,� 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 ❑Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 1i Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat y M. DryChemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 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 Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric j Notes: It �j t TG GC%J(rt A)AQ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test _ r IEi� 36. Hood or Canopy �. �r 37. Final'Factory Fireplace - 38. FinalPlumbing 39. Water Service -Final 40. Gas Service -Final ' 41. Solar Domestic -Final 42. Backflow Preventer r 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - - - - 50. Gas Release to Southern California Gas Co 51; CERTIFIC TE OF OCCUPANCY 1 0 Z- Date . C i i City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. O O 1 i O 2 , P. O. Box 1200 Costa Mesa, California The Building located at -45nr rranTT.T.ar rmrTm nn—.rn has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a_. Occupancy. Use of Building r1zciTr Legal Description 1act_CF9_ln (See reverse side for Metes and Bounds) Building Permit No. grn j o�Electrical Permit No. n%+.I i nn1 Plumbing Permit No. Mechanical Permit No. PMP.17dR1 Number of apartments and/or guest rooms ISSU ED'TO: O' DONNE , ARIQiAM Building Official 3505 CADILIAC. #0-110. COSTA MESA. LA. Date// / r2a:, This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File CITY QF COSTA MESA CONST CTI OIaI PE Project Addrdss�' em Applicants Halling Adki 1374 Li ii Owner's Name &9*sHjl PI Address /_4Ay4E0 c " 41 Jac �dl.QBEy� Sinks Arch/Eng,_PGLLiJ1 Licene No. Address aptoes Water Heater In Sink Contractor's Namn�O d{ PI Addres Ire Cl System Rewir/Altermion v�/�� N city License No. LICE ISEO CONTRACTOR OECLARATION ,. am I ¢ere by affirm that I a 6aneea under pr c m c with section 7000) of 3 of the ane r my license Is in full for d tett. rsJ' License ' Li Dale Signature of Workers' Compensation Insurjllce, or Intense copy career (Section land, L C.1 I Policy No. - Company e Certified copy is hereby furnished. M Cerllflad copy Is filed with the city Building Dinner. Dale Apollo EXEMPTION FROM WORKERS' COAM4 I OECLAR '10 (T i Section need not be Completed If for one h 10 r fsecertify that In the performance any Which In d 1' shall -not employ Y person In Ya l0 a Is to the Workers' yo,�,ps � Laws of CauDate enature 0 ISNOTICE; II. after' aking this beclarsho beco bledtoinaWOMers' COmensatlon provlslOns or sCode. You must forthwith omply with. s ch provisions or t and h deemed rvoked. CONSTRUCTION I LENDING AGE- - Ihereby crime that there is a construction lending agency for ermanc of the work for which this Permit is Issued ISe tion 130 7 Aberrance C.) khrosr's Name Lenbe✓s Address OWNER RUILOER DECLARATION hereby alflrm that I am exempt from the Contra ctini License Law for the _ formreason llectlon 7031.5 Buslnessano Professional Code: Any city o untY Which requires a permit to construct, alter. Improve, demolish or repair any structure, prior to its Ssu n also requires the applicant for such permit file a signed Statement that he/She Is licensed pursuant to the nevi' n f •he Contractor's License sew (Chapter 9(m ling m Section 90001 0l ins n 3 of d Profes3lons code) That heshe N pt m froand the basis for Me alleged e m lion. Any viola Its f Section 7031.5 by any applicant for a Permit Subjects the applicant to a civil penally o1 not more than five hundred dollars 155001. LJ h a5 owner Of the property on my employees with wages as their sole bullds o improves thereon, and who contracts tot such projects wind a tractorks ilcenm pursuant to the nourbi a License Lawl. I am aware that proof their Worker's Comp�ten Insurance should he provided t0 me. ❑ 1 am exempt under SectlOpfjl:',fi P. C. for this reason to fill in all spaces except those within heavy border nerved sign allappropriate declaraters. TYPE OF CONSTRUCTION LJ NEW N ADD IJ ALTERATION LJ REPAIR El CONVERSION ❑DEMOLISH1:1 OTHER AP, go /314 DESCRIPTION OF WORK/USE OF BLDG. S Main Be E OF PERMIT GRADING FOUNDATIONCT- TYPESTRUCTURAL T Front �r TENANT 0 ELECTRICAL 0 PLUMBING If MECHANICAL B Rear 'OTHER A PROJECT DESCRIPTION SQ. FT. �IDC Right VPOCCupK CONSTRUCTION TYPE AQSLef[ ZONE y GRADING CU.YDS. ACRES Ploy Ret,# Sink I Showers clow Preventer }I —II Service 5 lbs Sewer Connection em Solar Collecsorni ashen Spier Piping Ing Fountains Solar Tank " 4 Drains Swimming Pbdbw/Spa Sinks Urinal _ Outlets! Water Closet aptoes Water Heater In Sink Water Service roof Drains J . ReinsW"ion Fee $15 Issue Fee MECHANICAL miler Nainac[ion Fes pe Hood or Type 1 ❑ Canopy Type II ❑' hitt- Under Ground )LOS - Structural FEES F EE Refrigeration System 00100,000 BTU 0100,000 )act - Ventilating .. ?xbaust Svstem ❑ Multiple ❑ System Rewir/Altermion It System & oo,wo BTU prlvers' LI 3 I I Rainspanion Fee $15 I Issue Fee CMF 0865-46, rev. 4/80 White - quilaing;Canary- AppllcaniPink - Accounting; Goldenrod. Assessor Automatic Washes ConstructionP_Ie Cooking Unit _ Dishwasher , F,A.U, Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 005 KW 1490 6/01/84 198.41 T4 Transformer LI 1550 KW _ 0 50+KW Meter ❑up to loltamp5 Meter ElTer100amps - Sub Panel Motors 17101 HP []I% - 8 I Inc. Solar. 0g 15 HP 016-15* Microwave _ 'Pole Light Range Trash Compactor G R E M T. J . Nainac[ion Fes pe E15 lace Fast S 3 FEES F EE .. DEVELOPMENT SE0./VVIC��E�S REQUIREMENTS: ,. tZoning Approved 8y rsJ' // ,7 Building ApprovedLLQh Iml By Q/vy� - Dace Dia l vj?Application 1 iJ . a BUILDING PERMIT 6��j�v'11��A. OF FEES $ BIZ SMIP S � ����[[]] " o PLAN CHECK Z$ 2'7JA/a PERMIT . PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK $ 1i 25% S - !+b $ 50% $ ISSUANCE $ ENERGY P.C. $ GRADING $, MICROFILM $ Id'(/ lei�.' MECHANICAL $ TOTAL FEE $1— E 3 PLAN CHECK 25% $ CONSTRUCTION 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 B. •Electrical.UFER Grnd. 57. APPROVAL TO COVER-GUNITE J. "Footings 58. Electrical Conduit-Undrgrnd. . 8.' Foundation 'r .: f 59: Gas Pipe, O Undrgrnd., Test 9., Water Pipe-Undrgind. 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 ZA0 65. Electrical -Final - 15. Rough Electrical -Conduit - B 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. POO USPA 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 OOil 23. Gas Pipe -Rough & Test 72. Underground Flush " 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25: Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical 27 Frame and Plashing ` t 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation & H 78. FIRE PREV. FINAL 30.' Drywall Nailing 6/S/8 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 _ B 35. Final Gas Pipe -Test 36. Hood or Canopy ' 37. Final Factory Fireplace - 38. Final Plumbing, 39. Water Service -Final i 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. Special Requirements Completed ' 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Q) 51. CERTIFICAT OF OCCUPAN No. Aqila� /2 - uv J' , 7 A/`� /Y 0 7 / I - Iry u. City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000 497 P. O. Box 1200 Costa Mesa, California The Building located at 350r; (`ADTT.TAr UNIT (1-101 k 102 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group-222—Occupancy. Use of Building OFFICE Legal Description 139-662-101,102 (See reverse side for Metes and Bounds) Building Permit No BP -13510 Electrical Permit No. E-13529 Mechanical Permit No. M-13521 Number of apartments apparrrtttm-ents ISSUED TO: BuildinngPf O'DMUIL, SRIGBAM 1/ by 3505 CADIIdd1C $0•-110, COSTA MESA, CA. /7 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the' Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File Plumbing Permit No. BP -13510 and/or t, and SHALL NOT BE removed except by the CITY OF COSTA MESACONSTRUCTION project Address' -3so� CG4f), 12-11 Applicant's Mallirg Agtl,�Ore9 Owner's Name D f��yy�� Address 3K6C LA1hya5:9G ArchiEng. D!!Iii License Adtlress 0arCCclm:Nan,nS2W'ND�iii=u Address lm= n J_ 'F L - pxd 1 CIWLicense No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under providonsof with section 70001 of Division 3 of the Business and my license it in full f and effect- - ffect�.� tiur.nv: char -� L� i ateA.T��iJ 5lpnature� WORKERS' COMPENSATION DECLARATION �.. 'I hereby affirm that I have a certificate of consent to rat Of workers- compensation Insurance. Or a Calilted 3800, Lab. C.L _ - .z, _� d No. Applicant to nn Ina" spaces except those within heavy harder liner and sign an appropriate declarations ITO i0i a(Ii, /JAIL PERMIT NO. k, - Soler Piping TRACT NO. LOT NO. UNII�0. Laws of opmrma. TYPE OF CONSTRUCTION EW ADO ALTERATION U REPAIR ❑ CONVERSION Q DEMOLISH El OTHER DESCRIPTION OF WORK/USE OF BLDG. A.P. gal $ Main Buildil Tu,o /a4ig L/ TYPE OF PERMIT GRADING FGUNGATIR STRUCTURAL ❑ TENANT I] ELECTRICAL 1] PWMBING mI MECHANICAL ❑ OTHER PROJECTDESCRIPTION$D, FT. OCCUPANCY— CON STRUCTION TYPE VALUATION§ CONSTRUCTION ZONE ORAOINGCTU.YDS. AGREE T B A C § Fmnt peer Ri911t Le([ Png. R01.# (commat encing Remarks: aQ— �?JJ��V Planning Notes: Service Sink ,Ion need not be wmoletoo it fine Per PIT Is for one numerical Its no; or Dishwasher - Soler Piping nyhmannfer forwhich employ any person Of s tombecommee saEleCt to the - tCompenation Drinking Fountains Solar Tank Laws of opmrma. Floor Drains Swimming Pool w/Sala Signature If, after making this declaration. you should IlBtom sIDtject to the Iib se nation pro vision$ omen theCoca.dYOUMust forthwith re Vo Fiber Sinks Driest Gas Service Dallas- Water Closet IUCTION LENDING AGENCY affirm that there Is a construction lending agency for the p rformanma work for welch this permit is Issued (Section 3097 CIV. C.) Name- Interceptors Water Heater Address - Kitchen Sink Water Service BUILDER DECLARATION- affirm that I am exempt from the Contractah License Law for the Uspatoriess Duct - Under Ground iractorf former pursuant thereon proof 1 their workers GO ❑ 1 am exempt under Strait Date nformai and stat, 1 Drivers Ll 086 mal Code: Any City Or AOwn. demolish or ramal. lkali[ for such It with Section 7cotal of i P_Trap Roof Drains that "Abe Is exempt y violation of §witch $15 lace Fee applicant to a civil . I S 3 tn wages as their sole Reinspr Fee $15 Issue Fee MECNANILAL Isnheentafte TCorcorS ,he bunds Or interstate Beller T Yale I ❑ Type ll ❑ yn his Or her own Hendee or offered for stand one Year Of Cont. Deft Duct - Under Ground lie Olanotbulmor Im- Building Approved By AppBcadan Issued BY ling with 0eensed corn nu Duct - Structural System ane. Wi Drooeriv who projects with a cn-Ducl-Venti01ingla 00 BTU ❑100,i SUMMARY OF FEES Exhaust System ❑ Multipleepair/Alteration6 W I am a o io that $ Firepl/Fact. Bit. ICBGHeating tRefrlgeration P. C. for this reasons . PLAN CHECK System IS Crating ❑ WON BTU 0100.000and PERMIT state teat the above cou ly ordinanceer PLUMBING $ ISSUANCE $ to a'uth ria toatonedpe tEW $ ENERGY P.C. Reinspection Fail $Issue Fee lite Pink- ACCOdndidi Goldenrod - Assessor Automatic Washer Construction Pole Cooking Unit Dishwasher Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑05 Kill 1539 61OW64 4025 TL Qatar Accessory Building: Z N 1 G Parking Ran /Provided ELECTRICAL FEES Transformer ❑ 15-50 KW ❑ 50*KW Meter ❑up to 100 amps Meter Clover 100 amps Sub Panel Motors ❑61 HP Of Inc Solar ❑945 HIS ❑16-15a Microwave Pale Lintel Trane $3 Reinspection Fee $15 lace Fee S 3 FEE$ DEVELOPMENT SERVICES REQUIREMENTS: 2ening Approved By Deft Building Approved By AppBcadan Issued BY vetoes �.�I �'�'1"OZI' j SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ - PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $ GRADING $ PLAN CHECK 5095 $ MICROFILM $ MECHANICAL $ TOTAL FEE $ E 3 PLAN CHECK 25% $ .1-� CONSTRUCTION AND PLANNING APPROVALS Permit # •I 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. i 8. Foundation i �' 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 ��t� Lk�� FIRE DEPT. REQUIREMENT APPROVALS Permit # 20.• Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating _ 71. Product Piping 0Gas EOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ 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. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY, No. Date ' Appncam m nn in atI sP.nes except those within heavy border Imes and sign all appropriate declarations. . CIYY OF COSTA. SA C NS TID PERMIT P?Hr C NO. _ 1v�C] TRACT NO. LOT NO. UNITNO. Project Acidrass• Q P. -/'o Duct -Ventilating TYPg OF CONSTRUCTION NEW ADD ALTERATION REPAIR 7�'CONVERSION ❑DEMOLISH ❑OTHER Applicant ilWilin Address FirepllFect. Bit. ICSO his DEVELOPMENT SERVICES REQUIREMENTS: ( Owner's Nnme ,_Phone I ,DESCRIPTION OF WORKIUSE OF BLDG, A,P,.p Atltlress O $15 S Mein Building: new— i ArcMEng. aT License No. TYPE OF PERMIT(LJ GRADING FOUNDATION STRUCTURAL T Front . ❑ O PLUMBING 1] MECHANICAL B Araps' TENANT Cl ELECTRICAL 'OTHER p Rear s/ Contractor's Nam /'r honj��y] PROJECT DESCRIPTION SD. vs. OCCUPANCY FEES Right }rj /` K. BUILDINGPERMIT Atltlress lm" CONSTRUCTION TYPE VALUATIONS S Left City Liceme No. ZONE GRADING CU. YDS. ACRESLICENSED Ping. Ref. CONTRACTOR DECLARATION Remarks: Planning Notes: I hereby affirm that I am licensed under provisions of Charier 9 (commencing with DUAR" 7000) f Clemson 3 of the Bmineu and Professions Coda, and •._ my Imamsin fire . elan"Pa free. / a. I,p.n no Date � (x PLUMBING FEE$ ISSUANCE ENERGY P.C. GRADING MICROFILM WORKERS' COMPENSATION DECLARATION Bar Sink $M1Oweri hereby affirm I name o1 mascot tp RII+nsY10 Or a cetllllwte Insurance of W. CompenNtlOo Insurance, or a cer1111e py �XOlon mm Backflow Preventer Servic?Sink $ Automatic WOhl Leta. 3800. Lab. C.1 j�')�a"� �]��� S 3 SP :V��(� A'.9 of/11Z� ., Backflow Irrigation 5¢wttCap Construction Pal Ins performance of Ing work for which this Permit -s used I Y Laws m v :: :•r so y`become/Lnieu 1'sFe _ Laws or canriC"� / 1e SIis cotire king rnia tleelaea1 they as should "COM subject to 0e seriph psionslOor 1 lite Permit all yeti mus Immwlln ¢n Provisions or this PermN hill ae Deemed revoNeO. N LENDING AGENCY Mt them Is athis Morllon lending agency (Sec i or IM1e Performance) or wnICM1 Iola permll IS Ia3petl (Section 3097 CN. C.1 Name Date owns, I harm, thrum that 1 have rear Floor Drains Swimming Pf Floor Sinks Urinal Gm Service .outlets Water Close Interceptors Water Heater Roof Drains Reinspect Fee $l5 twue Fen .MECHANICAL gulled HOW or Type 1 ❑ Canopy TVpell ❑ )OCR Under Groped Duct -Structural Refrigeration System ❑0s100,000BTU 01100,000 Duct -Ventilating Exhaust System ❑ Multiple ❑ System RepairfAheratidn FirepllFect. Bit. ICSO his DEVELOPMENT SERVICES REQUIREMENTS: Heating System & Ducting 001 010.000 BTU 0100,000 MMLME ML Reinspection Fee $15 Iowa Fee enrod - Assessor Cooking Unit Dishwasher Dryers ❑Gass I Fan F.P.U. Fixtures Device Boxes 1543 6/04/84 54.75 TL Zane ELECTRICAL Transformer.❑ 15-50 KW ❑ 50+ KW Meter ❑up to l DO amps Meier ❑over IN am Sub Panel signals 00,1 His ❑ 1 K - 8 Inc. Salm 09 15 His ❑16 Microwave Pole Lipbt KW 05-15 KW I I Trash Compactor N G Q M S. Else FEES S3 Reinspection Fee $15 1 1 Issue Fed 3 FEE $ DEVELOPMENT SERVICES REQUIREMENTS: MMLME ML Zoning Approved By new— i Building Approved By Application Issue89/ pate_ SUMMARY OF FEES BUILDINGPERMIT S SMIP 5 • PLAN CHECK S PERMIT PLUMBING 'PLAN CHECK 25% ELECTRICAL �• PLAN CHECK 5091 S S S 37, s S 17 2vS ISSUANCE ENERGY P.C. GRADING MICROFILM 5 $ S $ F MECHANICAL $ TOTALFEE S S 3 a PLAN CHECK 25% S " CONSTRUCTION AND PLANNING APPROVALS Permit # Data Inspector PO A SPA APPROVALS Permit # Date Inspector .1. Temporary Electrical Service or Pole - 52. Pool,& Equipment Location 2.. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1. 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�/� rM 66. Solar System -Final 16. Rough Electric firing V (< 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 El Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 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 Od 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer l 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Go ' 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT °• PERMIT (714)754-5273 • Fax (714) 754.4856 BUILDING PERMIT Job Address: 3505 CADILLAC AV Suite: O Vicinity: BLDG.0 Parcel Nunmber: 13966125 • Zoning: Applicant: SANDOVAL, CHARLES PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 06/11/1999 Issued: 06/11/1999 Address: 01101 E CHESTNUT Phone: 714-981-4622 - SANTA ANA CAS-," Zip: 92701 - - - i owner: CAMBRIDGE PARK ASSN Address %0 DONNELL ARMSTRONG _ - /-IRVINE CA, �, ��_ Phone: i� 2201 DUPONT DR #100" - y = Zip: 92612 Contractor: \EVANS. ROOFING COMPANY INC Address: 01.101, E CHESTNUT Phonej, 714-981-4622 SANTA'AN�A � N/ `-Lp > 92701 License: 610549. �� ••" Arch ;" - Eng: Address: Address:, ` .. Phone: ,, _ i , Phone: i ZIP . �, % �; -, ' � License: Zip: License: j SCOPE OF PERMIT /TEAR OFF & RE -ROOF WITH HOT MOP -BASE PLY & CAPSHEET (60 SQ)./ALL OF BLDG. 0. FEE SUMMARY ' Plan Check: _ $0.00 Calc Valuation: 512,000.00 Permit: $187.25 - Claim Valuation: $12,000.00. SMIP Res: $0.00 �SMIP Com: $2.52 ' Other: $0.00 — inspection:' $0.00 Total $189.77 PLANNING&ZONING\ SETBACKS; `_ �•� MAIN STRUCTURE'Front .0 -0 -Rear -.0.0 "Left 0-0 - Right' 0.0" �. _ -i - ACCESSORY Front'-_ 6-0 , Rear 0-0 Left 0-0 Right 0-0 PARKING Existin : �, 0 = _ `Re aired: /0 Proposed: 0 i NOTES:," 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) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following dedarationsi'^ - ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the ric for wh this permit Is issued. 1 :.+I-lieve and will maintain workescompensallon Insurance, es requl by section 3700 of the Labor Code, for the performance of the work for which this panni is Issued. .: My workers' comp nsati Insurance carrier and policy -nu bar cur . _ _ ��q� _ Cartier.`- �� � C.f1 Lc.. n t Poli Numbe4:- rhis section need not be completed if the permit is vdfued at one hundred dollars ($100) or less. ' ❑ I ceniy 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 o1 California, and agree that It I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECIION 3%06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby afflrrtHhatd emifican5etl untl§r.pr ',5(0 f,�1pp�49 (commencing with Section 7000) of Division .o�the-Business and Professions Code, and my license Is In full force end cuff id.'Lic.11'- "" Cl // 1 GA "� A _ 1 Class a �dnlraclora, Sig am tura:rDaie::_- i. 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: 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, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licersed 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).): ❑ 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 (Sec. 7044; Business and Professions Code: The Contractors License Law does not appy 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.). ❑ 1, 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 appy to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property lax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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-bullder, 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 pernh to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII 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 form 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 et 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 last of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevai lon Program for acutey 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 an 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 apemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (It yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 It a permit from the South Coast Air Quality Management 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 prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (If yes', attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I ceniy 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: CE RTI ICA QF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 c N under penalty of perjury that I have read this application and state that the Information given is correct. tee to co with all stet lgws and city ordinances relatin t building construction, and authorize representatives of the. City of Costa esa to enter upon the above- es dbedr prop for inspe (ion p oses. I Tee not to occupy r Ilow Occupancy of any building authorized by this permit u t final I pp 1 -a�- gnat eg err Date And/Or Authorized Applicant., f( ..Date CODE I. INSPECTION TYPE RAM INITRA CODE INSPECTIONTYPE' gdIE INTM9L: 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 BlocWRetaining 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/Occupancy 2"6.48 XV 3505 CADILLAC AVENUE Unit 0 102/02 Z] lz _ P5732 rNasc j,',` �S B5701 —B172U INV ALT $2000. 0 (6 5 PC 25-35A 0-102 06t BME20037 INP ALT $7,600. o 1-85 S61 yls� PC#51 $861488 11r PaCiE51IL4108NLY E2653• Mrsc1 rB2286 �07620�,,,�,, busc B2286 1 sc nusc m la E4011 flasc • 1 eV TEN DIP $20,000 1 As ,'^::.Fa}�¢�tr=+6t•p2:d_d"mF M4840 HISC • • Misc _lwgsa.:e�� - :1MISC sr.r,.y + - s'e :'suKSY3?t_ 11 B5701 i INT ALT $12,000 0-2 2nd flr +Y r.�l;.��"t.-: �..:.Y'SX.:w� s? ;w;.cr{Y.'Y!'. Kw:..Y.+..'`.:Y•.�•.: �`� � E5737 �ffsc 1 B57 1 -L•S4i°S'�1;.i'7R2"i'15�} ii�v%'{L¢r`T�P% M5795 C B5701 Z] lz _ P5732 rNasc j,',` �S B5701 —B172U INV ALT $2000. 0 (6 5 PC 25-35A 0-102 06t BME20037 INP ALT $7,600. o 1-85 S61 yls� PC#51 — APPROM t01n1 in an spaces except more within heavy border leel and can all appropriate declarations, 61 SO/DI/135' Sg.ic' - - Tl ,. clrY OF COST CONSTRUCTION PERMIT Proir:al Aaaress �S�-3 C>y-2v.R� .Gry .PJ-/02i PEq NO. 1 TRACT NO. LOT NO. 3V UNI NO. 1 TYPE OF CONSTRUCTION NEW ADD ALTERATIONREPAIR El CONVERSION (] DEMOLISH ❑ OTHER DESCRIPTIONOFWORK/USEOFB D -�- _ _ Applicaat'sNulling AtldyrWi ��ry)� Owner's Name � ��i �� Phones; Y Address ' p A,P,his Zone / �Z S Main Building- Accessary Building: ArcMEng. License No. Address TV P�Eq�P ERMIT GRADING FOUNDATION Q_6TRUCTURAL C7TENANT ELECTRICAL ❑ PLUMBING I] MECHANICAL OTHER PROJECT DESCRIPTION SQ. FT, occUpANCV CwdaFRUCTIONTYPE VALUATIONS e?OLYJ-OeJ ZONE GRADINGCLLVDS. ACRES E T From Z p B A pear N •1 ,qf� �'�/ Cnnfractoi Name p K. H19M1f �- Adtlress h^ L3�� RzL �. $ _ Left G R City Licen20 Na__ LICENSED CONTRACTOR DECLARATION % I hereby affirm that I am licensed under prwlsl ofdCharN ag wild section ]0001 O+ DIm51on a o1 \ate Add n Prof f� MY license is in lull l or affect. PIrg. R¢L$ Parking RPq./P•Ovid(d E Remark$! Planning Notes: G M Ol �T' T _ ��/ Occurs Class 1CBn B' v nate - signature' WONKERS'EOMPEN6AT IDN DE CL ATION I hereby auhm that I naves certift sent tos I"Insme a.a N of workers- Compensation Insure/ce,o cartlfl copy titer 31300, Lab. CI �� / a e PLUMBING FEES Bar Sink $hovuers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Transformer 17 1550 KIN Backflow Irrigation Sawed Cap Policy Nn ��'^ Company Co NSWURion Pole Sub. ❑ yKW �Q Cert3310 Copy IS hereby fmmshcm. Bathtubs Fewer Connection Cooking Unit Meter❑up to ton amps jb-CereNlaa cppy�{LKd ¢n [heclty sun n Dab �'^?/'/l5' APPIICanI E%EMPTION FROM WORKEg3'<OMP SATIO DECLARATION T�OIS UC[IOn ossa ata[ be [ample[ed II m permit is WIDs On hundred Iswo1 or - 1" work for Which thispermitsu ITISSuad Ueda n6Y employ In rbe "road one an [ WWall Epo any perms m any man D a m pec ubjea m the prkers' omcenMtlon Laws of California. Clarifiers Enter CDllecUrrs Dishwasher Mater ❑Over l SO amps Dishwasher Solar Piping, � Dryers ❑Gas ❑Elec[ric Sub Panel v Drinking FDunmins Solar Tank - " Fan' Motors ❑0.1 HP ❑ I K - B Floor Drains Swimming Pool wJSpa F A.U. Inc.SOlar ❑9-15�HP 016 154 . Date Sis dada on,you r [ tp the 'NOTICE N, after maklfl9 becom,you Floor Sinks Fixtures 'Mitt ions Of Cod must forthwith Provisions cos Nis oarmll nail deemed revoked. Workers' Cth Such 1pr pnces f tl:e Labors Ode, you must revok comply with such LENDING CONSTRUCTION, LENDING AGENCY 1 Hereby alork mtl mare is this permit lending agency for me 97 CW. nm Df me work iDn wW{CW m15 D¢Imlt k ISSU¢b ($tttlOn 309] CW. C.) Lender's Name Gas ServiEG Outlets Water Closer Water Devlre Boxes ' Pole Light IntttEPpfOri Wafer Heater Outlets Ralge Rol' Kitchen Sink water Service- - Sian Lod Lenders Address OWNEMaV14OENDECLARATION hereby alllrm Nat em DI f�om fate Conbacfor Y.IJcenze Law !or the lollowinW af0e ( esipn ]031.5 D slness and Pmlesslonal Code: Any Io unty Mtn vermi[tocpnstrucgader lmvmve, demollm or repair strp[fu.e, ar�liirlo its Issuance, Ise reguke3 tFe .Ppucant wr m[n Co Lavatories Auto-Wash GarbageDisposal Standing $eRians P-Tref- Loural Trays Generator 00-5 KW ❑515KW Trash Compactor pool Doing o Ne a slq d [atemen[ that he% M1e Is li[enxa pursuant to the 9 OraviSpI e Cants Clor'S Liunse 1'zw 1Chapler 9 (co log Ito SecElon ]OOOa Off n 3 DI me Bu31n¢35 a p•OleSzions Code) [Wa[ he/ ate Is mot often vs4om end ma bllCant rfOlei llPe•M[xSUbIPOC\S [M16y v�011ctenl Io civil03x1.5 by - Y app 8p0 n by Dr not more man nye hundred sonars (Esobl. I, ai water I the moa b o my a "pioveas wild 'ages as mei• sale domyenzanon, wlu aD rite woM, a aQ me siructu.e is no\ Imm�aea a seared r le (Section ]Ona. Business a wDLzslOnal 1301313: Tate Contractors LlUns¢ Law ds0 3 n I BpDu` lOvan O W rr¢r 01 a prOOertY Wlrn bull^ s or Improces ams ¢a a ata hp OPes n rk hlmsee/herseu a Inrpup Iso own ploy es µprvOvlaea \Hai s cit imvrbvements are n t Intentled ar oimma far sale. Il, M10 er, the bullding or Improvement Issoldwi[Mnane yadi OI cam- pleilon,\ate oWnar, will have me burdep Ol prOvlllq n¢/Sh¢tlid 130\bUIM Or Im- zLrove mr the Duroau of enol, LJ exeluzWely cu mass Ing �IOl I shms t con- P. as water I \M1e a Project Themrsmaopsimnee Led'noe /ado, to mass ane +osdom eoaa: The Contractor'sOLicense Law n la a Is t m T Sawn i tSnoparty who Pulled improves ssuant t and woo a ntaacts IDs sum Or I. I as wBn lieneeouraumtmpnsatinraN5 Limnset be m test proof Compensation Insurance sbSu& P. for Crus to proof etheirxempt under C. ❑ am exempt unser Section S. a v. C, mr this reason I Reinspactjon Fn $15 Issue Fee $ 3 Reinspamipn Fn $15 (sue Fn $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS O nKG I��'�' peb /-�/_OS Za•i:dig Approved Building Appmnd BY Dem Application Issued! By pa'm Boiler - Hood or Type 1 ❑ GnOpV TypBI ❑ DuEt -Untl¢r Ground I Duct-Structural geGigere[ion System ❑0.100,000 HTU ❑100,000 BTU - Duct- Ventilating - SUMMARY OF FEES _ " BUILDING PERMIT $ .3.50 $MIP $ 6J Ed/ �oZ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 15% $ ENERGY P.C. $ ELECTRICAL $ 4 2� GRADING . $ PLAIN CHECK 50% $ _LO MICROFILM $ MECH0.NICALS - $ PLAN CHECK p5% $ O Exhaust$ System Multile❑ Ys p $stem Re Y sir/Alteration FirepllFad. $It. ICBG d Fre Dampers Date r nereh 15 cress 1p acchl al statethat theabove❑0100,000 Inld states las correct- /a i :�1�la win , 0 hereby aunty Ze ordinances and tate laws re5a[in [o Iltlln9 h .dcno hereby Property sa fectio of Im - ter mmioneo propercy Able. neIDOlpn purpds srivDate eI erz' License 5$ # Drivers' HeazidgSystem,00DU UOusting BTU ❑100,000 BT Regizt .. Rain spamion Fn $15 Isms F¢e $ 3 CMF 0865-C6, ray. f 0/84 - White - But lift ad, Cz nary " A90IIcan4 Pink -Accounting; Goldenrod-Asrosm, _ _ IY CONSTRUCTION AND PLANNING ' .APPROVALS - Permit # - Date Inspector PO 9 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 i, 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 Sysiem 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, i. 65. Electrical -Final 15. Rough Electrical -Conduit //045 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. Storage Tank 0 Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar,Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �a.� 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: o _i 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 n r 44. Landscape Irrigation System ^� 45. Sound Attenuation 46. Handicap Regulations 6 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - - - �•f 50. Gas Release to Southern California Gas Co t N�1. CERTIF��3FODatePANC�Y City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 9 0 2L21 3 3 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILJ:AC WIT 00-102 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a-2 Occupancy. ' Use of Building OFFICE Legal Description 139-662-11 (See reverse side for Metes and Bounds) Building Permit No, nF 179dn Electrical Permit No. BE17240 Plumbing Permit No. �— Mechanical Permit No. Number of apartments '44- and/or guest rooms - ISSUED TO: Building Official 41 3505 CADIL AC 00-110, OOSTA 12SA, CA. by Date / �Ll�/L � 7 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink . Bldg. Permit File A Options to fill In all spaces within heavy border lines and sign all CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT hall 'BLOG.NO. - - • CONSTRUCTION PERMIT o2 (n' I PM 81-380 34 TYPE OF CONSTRUCTION INNEW ❑ ADO ❑ ALTERATION - 0797 ^ I3 /p t//aV-6-1/ ' 1/1.8/82 400.05 - ' NOµn:t4tlrm BC Avenuo owner Phone — Address 1301 Dove. St.., -#760 N rt BCh REPAIR QCONVERSION ODEMOLISH DDTHER ZONING REGULATIONS Arch/Eno. Hifnes-PEtPSS 'License No. 428 DESCRIPTION OF WORK AP.$ 139-651-13,15.28 Address 119 E. Altcm Santa Arar CA ZONE PD1 PLNG. REF. g a ZE . Contractor Olt S COnSYSUCUM Phone 576-847 TYPE OF PERMIT ,-{� ❑GRADING ❑ FOUNDATION L)>TRUCTURAL O TENANT O ELECTRICAL ❑PLUMBING OMECHANICA SETBAC VAq .80-16 as II OINc P RTV LINE Atldrm PO BO$ 388 MmteT PBY , CA - LICENSED CONTRACTOR DECLARATION 1 hereby affirm that am licensed under provisions of Charter 9(com- pE IGHT Iny nM1 Van JOo01n of Olvenion ] f the Businessand ❑OTHER REARVARD(TO hO1e331pp6 Code, and TY license Is In full food �jl lett A all BOU19°3 PROJECT DESCRIPTION- - /L] License Class No. 44675 ° KG. SPACE REG, 592 vROV10ED670 one sgaR ore - sn. Fr. OCOUPANCYJhLCONSTRUCTION TYPE - $TPEET WIOTH.. . I PARK FEE § COMPENSATION DECLARATION WORKERS' '1 society affirm that I base a certificate Of consent t Bsall-Insure Or V gLUAT10N �g T AR ZONE ZONING APPROVED DATE _ _ Certificate f Workers' C pensatlon Insurance, Or cerlllleb Copy GRADING CV. YDS. ACRES SPECIAL CONDITION: 'hereof (Section 3800. Lab. C.). 'Rey Na. 1APR1Q/15III; Company Ft•ncmylnJ- Tncia Certified copy is hereby furnished. REMARKS: �l5 I19.CeniRed Copy 13 filed WAR the city Badding Divides. FOR SPECIAL ]iEQIAREMENT: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ti 11This Ian need not be.mermit mpletee If the pIs or one hundred - o 1 IEu�[(IY11 IM1at In the performance of the work for which this Permit Is Issued I shall t employ any person In any manner so as to become o PLUMBING' PLAN CHECK ELECTRICAL PLAN CHECK SUbjecl to the worlerV COmpwSU len Laws Of California. BATHTUBS SHOWERSpro FT SO FT Dale Sl9nalure bOCOe Subject NOTICE: If alterking this deCI0NlI0n. YOU ShO N m TOILETS .URINALS GENERATOR 0-1 K110 W_ KW to the Workers' Compensation provisions of the Labe Cede, YOU must TRANSFORMER forthwith comply with Such panders Cr this permit Shall be deemed LAVATORIES DOUBLE LAV$ APPLIANCE 10-50 Kati ♦ KW - - - KIT. SINKS DISHWASHER$( r - MOTORS 0-1 HP -1-10 HP NST CONSTRUCTION LENDING AGENCY Thereby affirm thl peen agency SERVICESINKS SUMPS [INC. Si 1050 FOR �50♦HP allending Sectiotheoer of the work b/ wk{ch IM1Is permit Issue❑ ISeciion fo work which FLOOR SINKS FLOOR DRAINS � FIXTURES OUTLETS SWITCHES _309] S. C.). Wells Fargo Bank Lender]Y.pRme S lAnderY Address 660Newooit Ctrs N. B. DRINKING FOUNT AIN$ r• _ sy _ ^% GAS TUBE SIGNS OMNEaR BV'mthat oam INTERCEPTORS- 'POLE LIGHTS lLDER exempt lfrro Rl the Consactorla License Law for CLARIFIERS the following reason (Section 7031.5 Failures and Professions Code: SWIMMING POOL PTRAP Any City o unty which requires a permit to Construct, alter, POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB Improve,'demollsh or repair any sir Uetum, prior to is issuance. also re- OWrrstbe appllcant.frr such all pride BSigned statementhaCne r .� _. GAS SERVICE OUTLETS - - SERVICE - AMP Iz licensed pursuant t0 the Wr W1SIOMS Of the COntradOi License LAW (Chapter 9 (commencing IIh Sactlan 9000] Of Dlbslonl3lo'Im WATER HEATERS BTU OUTPUT ' e --Inrq am M1messlons Coee) m. hat a is exempt therefrom and he for the allered:exanpllOn.AnY violation of 50010n.7031.5'by I - SEWER CONNECTIONS - j ppmo nt for -a permit subjects the applicant t0 a chill Randy, 01 r than five hundred dollars (§500). p.+ SOLAR TANK COLLECTORS OI, as Owner of the property. Or my employees with wages as their sole penNfon, will did the walk, and IM1B Structure IS must Intended orfiend for sale. (Section.7040o Business and Professions Coder The SOLAR PIPING SVS.. ISSUE FEE se v does not to an own ora property Contractor% Lice De + Who buildsandapply imposedwho S work reelinot ISSUE -APPLICATION APPROVED BY DATE FEE through his own 3.r provided that such Improvements a MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offeree for sale. 11. however. the building or improvement Is sold within one year of Completion, me owner will have the b _ Soden f proving he did t build Improve for the purpose 1 lel. HEATING SYSTEM 0.100.000 BTU BUILDING I IT 3q� _ $MIP E b.ab O I, s Owner Of the Property, a exclusively Contracting with AND DUCTING § licensed Contractors o to construct the Business 100,000 . BTU .PLAN CHECK E PERMIT Code: 1-iect e Law d es not d ere BOOS notapplyTole and Profeowner ISSUANCE E Improves of pr who bonds Or Is provese thereon. an of Property. whobuild] REFRIGERATION 0100,000 BTV PLUMBING $ ilh a pn[m[tpr(sl licesned pursuant to VOm UC Cc ua SYSTEM GRADING S the COntraOnr's L%oects the 100.000%BTU PLANCHECKE rider Sedkm. ❑ I am ex0m t under 5edlon B. & P, C. for IMI BOILERS BTU ELECTRICAL ELECTRICAL S Sreaso-- SYSTEM REPAIR. ALTERATION PLAN CHECK IS MICROFILMS TOTAL FEE § Oxton venae chy Certifyn sa pomplyOWth (forAan EXHAUST SYSTEM MULTIPLE MECHANICAL S alla city ndcountybove InlOrF o comply with II I[y tl county PLAN CHECK § VLESS ANCE- VANCE PC §_ le` mdonse°wop OJjamationedrepren repreIS t,ene 1 t nor upon ma above enhorizeprope 1-pSlgnaC FINAL FEEDrive ISSUE FEE - - CMF 086546 Wh.BWlding; CanaryAPPlIOnt Wnk-ACCOPnling: CONSTRUCTION AND PLANNING APPROVALS Permit #B - 8b Date ' Inspector POOL & SPA 'APPROVALS - Permit Date Inspector 1. Temporary Electrical Service or Pole, 43. Pool & Equipment Location 2. SoilPipe-Undrgrn ' ' 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce mayll,_ z_ 47. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grn A 41-.3x /r'L 48. APPROVAUTO COVER-GUNITE 7. Footings ,,, A_y 7yJ 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test - 9. Water_Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn 10. Structural Floor System 5 L3 -IS-SA IS 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53.. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumbina System - Final 14. Rough Electric -Conduit 56.- Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - Fencing & Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing /_ NOTES:,,r - r• > '- _ ,(_ ,�, may_ ,., _ 1�r :� :.2-S'� 22. Frame and Flashing S - 2S- 0. z 23. Insulation 24. Lathing & Siding 6 -11 -SA 221 S7ar',weff r- 25. Drywall Nailing `_ _ a -1-Sa 26. Plaster Brown Coat 7_ 27. Electrical Power Meter -Final 28. Final Electric d� 29. Final Heating & Air Conditioning ...6 _ - 30. Final Gas Pipe -Test 31. Final Plumbing $= 2 N o 32. Water Service -Final 5 33. Gas Service -Final .34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations it- 9-1l3 38. FINAL STRUCTURE & BUILDING I_ _ 39. Special Requirements Completed -(9 gfi 40. Electric Release to Edison ' 41. Gas Release to Southern California Ga's Co. 42. CERTIFICATE OF OCCUPANCY No Date - - APPmant to Ile In an Spam: with In heavy border linea and sign all appropriate declarer In ns. ITfell COSTA MESA PE IT NO. ' �O'7d3TRUCTION PERMIT 3 -' TRACT NO. LOT NO:?- BLDG. NO: O/LZ 2. .Q//11'- 68h3 8/27/821 20e88 `TYPE OF CONSTRUCeTf(o N �P ❑NEW ❑ ADD 'dALTERATION C REPAIR O CONVERSION. O.OEMOLISH, ❑ OTHER I t - " _ , _ G =- /D�•1, - - -- - ZONING REGULATIONS Traject Accounts Own /Phone Address -i - _ .. ' ArcNEn9- License No. - DESCRIPTION-. WORK • A.P. - __ _ __ _ - - - Address - - - _. VPE OF PERMIT' -" 'r' - -' - - El GRADI NO ❑ FOUNDATION -CSTRUCTURAL 0 TENANT Q ELECTRICAL' YYPLUMBING. []MECHANICAL - - BONE PI-.# BUILDINGEi C - �Ra P��Y LINE :ARO - -- - - ' 1.zo� e Kt Address LICENSED CONTRACTO ECLARATION I hereby affirm ml I am licensed made, Wslo (aC�ter 91c 1 _ ` R G In -wltn sctlo Z W f Cj [Inas[ o �p ❑OTHER _ Profess In app I�Ie!�ct - • REAR YARD (TO PAL)'- / ` _ PROJECT DESCRIPTION: _ _ _ ___ - - - -' Llten LIC¢nS¢all p, �1-- _ _ PKG. SPACE' RED.- -PROVIDED, - WIC 9natun SO. FT: - -1, _- _ _ _ STREET WIDTH PARK FEPb WOR RS' OM PEN SXT10N DECLARATION / OCCUPANCY—CONSTRV CTION TYPE - iBONING APPROVED BY DATE - - I M1er¢ y at tot I n t tics Of mem[ l 1 Sal leisure r a VALUATION BONE mt to OI WO k t �Rlf[at }O�t/}P or a 11 e y n -' - ISPECIAL CONDITIONS: J [dd// GRADING CU.,YDS. ACRES dilLdmCp( Y .REMARKS rtlflcd Pyla ni - by forms I.. d - er1111ee copy It llled with the ctry Building Division.EXEMPTION-FROM WORKERS -COMPENSATION DECLARATION This ection eed,noLbe Conrpleted,ll Na Permit I$ for CDa funded ,.1 k_ 0 Real^ _ _ _ _ _ _ _ _ - 1$100 rt ly 1 the INllorman t thek I which [hi Permit is Y. Sfal I[suetl hall not employ decrepitatesI nv ma e o to bac, PLUMBING I PLAN CHECK' - - -ELECTRICAL - - -• PLAN CHEt1K - .tOthe.WorkePCompenvtion Laws of-Callfolnla s bled6 -BATHTUBS' --SHOWER$— - -- - - _ _ IOate I Signature NOTICE: V error Taking this declaration. You should become -Subject 'later O LET 1, I ` • nURINALS �- - - GENERATOR--0-1'KW_330 KW-- - - TRANSFORMER , •) F to the Workers' Compensation pravBlons Of IM1e Lob r Code, YOU • forthwith tamely With such provinces of this Permit snail be deem¢0A70 RI DOUBLE LAYS- APPLIANCE- -30-SO KW_5o+KW evoked.. _ 'CON9TRUCTIONLENDINGAGENCV SINKS' --i' `-DISHWASHERS- - - - i -MOTORS ---O-I HP_3-lO HP- -- lhereby aflbmtest Nem Is construction lendlnq agency for the cer-VICESINKS - SVMPS -- ---- -J- - -- ,IIN650LAR]_ 1O50.NP SO a_ryp;'n' - -_ ferment! OI IM1e work for which this cermlt Is Issued ISe¢[lOn 3097 .. .. .. - FLOOD SINKS- "--FLOORDRAIN$--�--'- '*FIXTURES - -OUTLETS SWITCHES--= ----. - ay. -r.1. Lendel'[Rome Lendeb'sAderess DRINKING-FOWNTAINS---f----'-- - L- --- GAS -TUBE SIGNS- - "• a OWNER BUILDER DECLARATION '" "' -" INTERCEPTORS -- --- CCARIFIERS �POLE-LIGHTS- - u '• -" - 1 heel affirm Uhl am exempt from the Conl1¢tbrY License Law for -SWIMMINGPOOL - 'PTRAP-- •- - - -- - - - - pocas - METER - thefollowing a IBactiom ANIS,a Usmess ane-Pmfesslons Code: An city ae ounly wNCM1 regUlre[ a permit t0 construct. alter. -WATER SERVICE -]ALTERATION - -PANELS �- 'MAIN - -'Sue - mprOVe, eCT011[h'Of rlpelr mysfrUC1U1¢. pNoI to lis Issuance, also re-- quires the ap, liquor for such permit to flip a signed Statement that he -GAS5E --"--'OUTCETS--'--" - ;SERVICE -- - - =- "-AMP'- - 6'licensae pursuant to rho provisions of the Contractor's License Law LCbapl¢r 9 (Commencing with Section ]0000 of Olvislon 3 of the ER HEATERS - BTU- OUTPUT- - • -- - - tInas and Rdessions Cori or that e, mpt therelramand the violation ]0315 by IIs forpp the alleged eurnift to -5 NNECTIONS �1- -• �L- - SUbl¢Cls the c for n-cermlt civil penalty applicant to y'ot not mole Iran five hundred dollars (§5001. more 'SOLAR TANK' -- COL'L'ECTORS ' - - - - - -- -- - - - [] l; az owner of IM1e Pio ai myna with wages Meir Prof{e Is not Intended the Stru the and the will do JM1e - 44.Work. forSan. al Rwner of e:The Or offered to cl d pro: The _ � SOLAR PIPING SYS. �- " -15SUE - _ Contraretl lto all a Liven does owner of a property who butar's_r rome-Ww does not apply to whobullhs Or thereon, and or himselfare ISSUE FEE _ -a— APPLICATION•APPROVED�BV-.. '.••--DATE ICATIO '` mprwork throughde his own employees Provided 0 Ib [ Improvements t t_ MECHANICAL PLAN De Eck - SUMMARY OF FEES - Intended offered for sale B h to" b le improvement th n ons veer of cameo tl In 111 m bol b sor -aa -S I oro he Ole al r Tar [fp corp of l- -' 7( " S " -- -" 0-100,000 BTU rPE LIT - - PERMIT S $MIP.. ❑IY[ owner of the DraMlly-dm. exCluslvaly. contracting with -pro -property,-am. to the (Section ANDONGSY$T- ANO'O VCTING --0, —t1— lo0,oa0 v BTU .� - IpIJLN contractorsiCarl heCeconstruct prole[[ corrections Coat T es no apply Law deer not appscant Nuilds wner CHECK § PERMIT -� - and and Of p h of i provese Of properly wM10 builds of improves (hereon, and who con- - - REFRIGERATION 0-100,000 BTU _ _ sr' �S -ISSUANCE ll •PLUMBING S an .1, t acts from such projects-with-a,camrettorls).Omtnee. pursuant to. SYSTEM : _ ` GRADING_ isirt a' the Contractor's License Law).- _ 100,000+BTU _ _ _ PLAN CHECK §-'--- -- ❑ 1 am exempt under $Colon - B. fi P. C. for this BOILERS BTV - -'ELECTRICAL- If reason- SYSTEM REPAIR, ALTERATION E%HAU5T5Y5TEM MULTIPLE - - PLAN CHECK -$'_ - 'ria 'MICROFIUi 'J •T( TAL'FEE S - MECHANICAL- 11- •ILESSAD- 'PLAN r Dots 0 n by tlytf Ohl application and state that theabove 1 formal on di Oil a re 1 - coolwith all City tl county CHECK - IS- -VgNCE PC f -•� - Ordiha0[sand510 rplinglOpSdruct Oq and M1ereby authorize1k,s repress 'oLma '!By b- k upon the above eennD d- la ailml/f o FINAL FEE S 519cer fO bate ri '- "1[ DliveR cal or55; - ISSUE FEE CMF 0e65-46 Woo-BuitirobCoal -ApplibinC Plnk-ACCountingl Goleenra0-Awasmr CONSTRUCTION AND PLANNING - APPROVALS Permit # . _ Date Inspector POOL & SPA APPROVALS Permit - Date Inseector 1._ Temporary Electrical Service or Pole - "43. Pool & Equipment Location -2. SoilPipe-Undrgrn -: _ •f 3 44. Steel Reinforcement - - 3.. Electrical Conduit Utility-Undrgrn 45. Forms - -4. Electrical Conduit:Undrgrn 46. Electrical Bonding - -- - - - . _Steel ein orce _ .. 47. Rough Plumbing & Pressure Test - -' 6.. "Electrical UFER Grn 48. APPROVAL TO COVER -GUN ITE- - _ 7.- Footings _ 49. Electrical Conduit-Undr rn - 8.-- Foundation - 50. Gas Pipe, ❑Undr rn, Test • • ' 9- Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra' Elndr rn . 10. Structural Floor System 52. APPROVAL TO DECK 11, Property Sewer Line & House Connection. 53. Backwash & Receptor -Final •' ' t-12-- -Street Sewer Connection. - . - - - 54. Heater & Vent -Final 13. ..Rough.Plumbin -8 Z 14. Rough Electric -Conduit - '- - -56. - Electrical -Final 15. Rough Electric -Wiring ' - 57. Solar System -Final - ' 16. Rough Heating &-Air-Conditioning - - - - - ' - -= _ - encing & Access Approval •,�, 17. Ducts in Structure-- - - - - -. b-- - APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL ,-•" '. - 19. Gas Pipe=Rough &Test - - - 20. Roof Framing 21. Roof Sheathing- -- - - - - - -- = - •• - c" " NOTES: -' 22. Frame and Flashing- _- 23. Insulation- -- - - - - - -- - - ---- -- 24. Lathing & Siding - - - - - - - - 25. Drywall Nailing - - -- - - 26. Plaster Brown -Coat - 27. Electrical Power Meter -Final- -r 28. Final Electric - - - -- --- 29.- Final Heating & Air Conditioning - - - - - -- - 30. Final Gas Pipe -Test - -- - - - - 31. -Final Plumbing 32. `Water Service -Final - - - - - - - 33. Gas Service -Final - - 34. Solar DomestioFinal 'r 35. Landscape Sprinkling System - ` - 36. Sound Attenuation - _ - -- - - 37. Handicap Flegulations " --- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison _ 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date -- - - vasal 5 (r1A6pu oSRl leu ages wpmn heavy border limeand sign all appropriate avela.allon[. CITY OF COSTA MESA PERMIT(10 r'eO TRACT NO. LOT NO. B OG. NO. CASTRUCTION PERMIT 'LT/ CIY ...TyqqY--P...E OF CONSTRUCTION EWOO ❑ALTERATION ❑REPAIR 000NVERSION OOEMOLISH ❑ OTHER - - - 2ONIflG, c - " EGULATIONS aPmj Atltlreu at DWOef hon¢ •AtlOreG Ancli icense NO. DESCRIPTION OF WORK A'P'g W,v.oFcUE FE TYPEOFJPERMIT ❑GRAOINE1FOUNDATION ElSTRUCTURAL ❑TENANTk ELECTRICAL OPLUMBING ❑MEOIANICA ZONE SI AC T. 'old, PLNG.REF.TAtltlass ' pOgTYLNE - er, 6 �Ldntreclor e, Phan PArltlr aFA,7 Cie. k6fl LICENSED CONTRACTOR DECLARATION I hereby allfirm that 1 am licensed under provision of Charter 9 Rom- - r tlnq With tion' -7001 OI rOlvlslon- Infos and 171 OTHER Foci OM Code, and my 111jpal In all pr¢ tl -PRWELTOESCRIPTION REAR YARD (TO PIL) �� Llcen '-50. FT.' 'PKG. SPACE REP. STREET WIDTH PROVIDED' PARK 'FEE E' l Date L Slpnature 0:01R= S' OMPENSATIONO TI CCVPANCY_CONSTRUCTION TYPE I hereby affirm that 1 have Car IW J - -VALUATION ZONE ZONING APPROVED BV. DATE tlflO}te Of Workers' Cont er. ed copy eL90.1aYaf_LamcenY -- - - GRAOINGCU.YOS. ACRES SPECIAL CONDITIONS: /I-t-T�-)� s1lE.( xFgrjlypVi _ lM_w-�pyTrrs'SnCerSebCyCfor•Fnlinetl P❑IIICartE REMARKS.- .. .. s fir d with the City Building OivBIOo. EI Certified copy i[ tile " EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - This Section need not be Completed If the permit IS tot One bYndrld - - e Y 10 D the : m Performance nl e.work for which this. permitIt_ Issued, I shall not employ any person In any manner so as to become - PLUMBING PLAN CHECK - ELECTRICAL PLAN CHECK subject to the Workers' Ournhnsatlom laws of Califormi - BATHTUBS SHOWERS qQ FT sp FT Date i Signature NOTICE: If after naking this declaration, you Sho le become subject, TOILETS I URINALS - .GENERATOR' 0.3 KW_ 1-IDKW t0 the WSPI OrS' Compensationn Provisions Of the Labor COdO, You must _ TRANSFORMER forthwith comply With such provisions or this permit shall be deemed LAVATORIES- DOUBLE LAVE' APPLIANCE 10.50 KW=50 a KW - revoked. -'•-- - "' KILSINKS DISHWASHERS- M BSPD{y//'T� BSKPPs_ IB HP CONSTRUCTION that there Is AGENCY hereby al/(erre [list there IS i construction lending agency 10r the Par- ICE 1 ( YsraLrA dl—' 10-50 HP_- 50 a HP�- forr_mnce of the work for which this permit i sued (section 3097 SERV SINKS �' SUMPS " !FLOOR SINKS: F, IOOR DRAINS (FI%TURES OUTLET SWITCHES20 CIv'C')'S� Lenders Name Llnderey AO,drds ;` - _ _ y DRINKING FOUNTAINS r•a y -GAS TUBE SIGNS INTERCEPTORS �CLARIFIEPS POLE EIGHTS v OWNER EVIIDEp DECLARATION lm NflbY fflrr that I am exempt y M -Co t a [ }.LI La 1 SWIMMING POOL PTRAp - - - POLES ME BRED SUR tor he following reamin (Section 7031 5 Bu31n u O P f Code. he city o county which requires a permit to construct, alter, WATER SERVICE ALTERATION PANELS - MAIN - SUB - Improve. demolish Or repair any stiucturq prior to its issuance, also re- quires the apsllant for such cermet to elle a signed statement that he GAS SERVICE OUTLETS 'SERVICE - AMP - Is licensed borsuant to the Provisions of the Contracloi License Law ICha^ter 9 (commencing with Section 7000) Division 3 of the C, WATER HEATERS BTU OUTPUT - - and Proiegeoons Code)nOf thyl'haIS y1 andthe i sehose to lo[Oxi for Section he SEWER CONNECTIONSOf any apPTlaent f Permit Subjects thep 1 m to a Clvl Penally n of or r n q ed dollars (E508j __ _ _ SOLAR TANK COULECTO RS _tn as owner of sOgaI Compensation �wlll dot heywork and the stricture Is no[ Intendeir eO or offered for sale. (Section 7004, Business and Professions Code: The SOLAR PIPING $Y5. 1' ISSOE FEf-- Contractor's cense Law doe5.00Lap to an owner of property ISSUE FEE APPLICATION APPROVED BY - - - - DATE Wly M1O bubble o Improves thereon. and h0 dons such work himself O ; through his wn em to Sees, O Itled the [u .Irepr ve en [ re not FO r. however, Improvement Intended r Offered le. the baud leg or the have the b MECHANICAL PLAN CHECK i SUMMARY OF FEES. . UIL Is -scud wlthin.ti year of completion, owner will zsden_ of proving he did o[ Ou110 r Improve for lk0 purpose of le). HEATING SYSTEM_ 0-100.000 BTU t )BUILDING- '- - '•"' ,PERMIT E - - -r ' . ^SMTP.? • l,'S O I, as-oi Of the properly, am kclusively-Contracting with ANODUCTING - -' - _ - —'"- "� _ -' -- - licensed cotractors to Construct the Project (Edition 7044, Business licensed ECti a BTV jPLgN CHECK_ E PERMIT., 0 . r' r and'ROfesAOos Code: The -Contractor's License Law doe[ not apply to - - ---- ---- I$$V ANLL $"- of property who bmltla5 Or improves hereon, and Who Mn- REFRIGERATION 0-10Q000 BTU 'PLUMBING E p tracts from' Soon'pfoll with o taC[Of(sl ((Cashed OUf3UC 0l [O SYSTEM'- -� - the ContaC101YLicense Lawl_ IOG,000e BTU FLAN CHECK E _ 1 [3I amexempt under Section B.&P. C. for [till BOILERS BTI(S ELECTFICAL ffCELf_ rsaw - - SYSTEM REPAIR. ALTERATION PLAN CHECK S- F - MICROFILMS _ TOTAL FEES paten - O - Or MECHANICAL S (here"y. that tel n to that iI a home Il;clty EXHAUST SYSTEM MULTIPLE PLAN CHEC)( -E - - LESS AD- r ,,,or o m wit r! aol Y ly VANCEPC E_ oa sa li co b 11 by aW otlae , tl Drop red Slgnatu FI NAL FEE E DrNerV License or ss ISSUE FEE - - CMF 086546 White-GWIding;Canary-Appllwn; lank-ACCoYnting; CONSTRUCTION AND PLANNING APPROVALS Permit # �Q Date ' '. C1 ' Inspector - POOL'& SPA -- `t `, --- APPROVALS Permit # - - Date_ Inspector - 1. Temporary Electrical Service or Pole l 43. Pool & Equipment Location - - - - 2.. SoilPipe-Undrgrn - - 44. Steel Reinforcement -- 3. Electrical Conduit Utility-Undrgrn 45. Forms - • - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - 5. Steel ein orce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn 48. ' APPROVAL TO COVER-GUNITE ' 7. Footings - 49. - Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn,.Test . 9._ -Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK ` ' 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final - 12.. Street Sewer Connection • 54. Heater & Vent -Final 13. Rough Plumbing = -- -- - 14. Rough Electric -Conduit '56.-_ •Elecvical-Final - - 15- Rough Electric-Wirin . - /� . 3-b -�, .57z-- Solar,System-Final - - 16. Rough Heating & Air Conditioning bq. Fencing & Access Approval 17. Ducts, in Structure _ _ APPROVED FOR PLASTERING - ,18.- Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough & Test _ _ 20. Roof Framing 21. •- Roof Sheathing- _ r NOTES: _• ." 22. Frame and Flashing 23: Insulation - 24. Lathing & Siding L III W &=v to few 25. Drywall Nailing _GCZ .4 26. Plaster Brown Coat 27. -Electrical Power Meter -Final 28. Final Electric - 0- 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. FinaliPlumbing ' •' - ' - .32. Water Service -Final 33. - Gas -Service -Final 34. Solar Domestic -Final • i 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date