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HomeMy WebLinkAbout2732 SAN CARLOS LN - Building Permits • CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER . H PnewI i IPPICI PERMIT B05-01923 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SVILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2732 SAN CARLOS LN Status: ISSUED Suite: Applied: 10/26/2005 Vicinity: PORTION OF RESIDENCE AND ATTACHED GARAGE Issued: 10/26/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 14155618 Zoning: R1 Applicant: LEONHARDT, ED — Address: 2732 SAN CARLOS LN -.�,.•,Phone:, 714-444-2266 ISSUED BY: aZAIL COSTA MESA,CA Zip 92626r;>, Owner: LEONHARDT, EDWARD MICHAEL ' Address 2732 SAN CARLOS LN COSTA MESA,CA " Zip 92626' +"- Contractor OWNER-BUILDER - Address Phone: s. Zip. -• License: 000000 • Arch :. Eng. • Address: Address: y' . Phone: - "' Phone: Zip: - License. < - License:-,--r- SCOPE OF PERMIT x + REROOF PORTION;OF THE ROOF AREA(3/4 OF THE RESIDENCE WITH ATTACHED GARAGE):T/O COMP SHINGLES REPAIR/REPLACESHTG FELT PER MFGR'S SPECS,APPLY 1130-YEAR COMP SHINGLES."PITCH IS 2:12 -_ ;18 SQUARES _ 10/26/05:SUPPLEMENTAL ACITIVITY TO ADD 1 SKYLIGHT(24'X 38')BETWEEN RAFTERS WHICH COMPLIES WITH TITLE 24 U.42 GLAZING. FEE SUMMARY Plan Check -- i $0.00 Calc Valuation. $3,000.00 Permit " '$$83.25 Claim Valuation' $3,000.00 SMIP,Res. --$0.50 � ' SMIP Cornx$0.00° _^ Other. ''$0.00": <,-Inspection: `'$0.00'.. • Total: $83.75 • ' PLANNING &ZONING SETBACKS _ MAIN STRUCTURE Front 0-0 ' Rear .0 0 ,• Left 0-0 • - Right ,0-0, ACCESSORY Front 00 ; Rear 0-0 _Left 0-0 Right .0 0 PARKING Existing: r 0 .e Required: 0- -, Proposed:- 0 ti- R R ' p.- - 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 nofcommenced 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 2446-48(8,00) I 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: VIsection need not be completed if the permit Is valued at one hundred dollars($100)or less.) . , VIv certify that in the performance.f 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 Ilfoml�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 pro/ ions. Applicant Signature'7� �' �Da(aa:- , j of 7 5-7 Z«C AS WARNING:FAILURE TO SE E W•-, E-'-'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM OPL VER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000).IN 'u DITION TO THS 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.It Class e Contractor's Signature: 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). 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).): 1/4-itcr.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 sate.). ' ❑ 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 purlnt to the Contractors License Laws.). ❑ I am exempt nd ec. Business and Professions Code for this reason: Signature:— Dere::--.4h l 7 5 7r66 Owner IDD verif byld(",(ver's license. ❑Yes ❑No Driveiie_Hcense:No: cEyp er%),‘' n 7 Verification of Owner ip by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 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,end 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). O 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? 0 Yes 0 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? 0 Yes 0 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? 0 yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 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? 0 Yes 0 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: __________43Date: CERTIFICATE OF COMPLIANCE IWDt:,+r1�a`:°J)OATIY: 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 stai:;yy,, f",, City elating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property f ypspedi•A+#C.:: agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. H:m \I--4, L 1 . . iC� 751�70n� 4���tt-3,, Sig . .a y=1. 'ner(sY= fr ta-q. And/Or Authorized Applicant Date CODE L INSPECTINTYPE gZI€ INIRIALS CODEC INSPECTION TYPE MIX anima 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �/ 2081Final Plumbing 200 Final Re-Roof O et 210 Final Electrical • 201 Final Block/Retaining Wail 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 • :V, t ' ' CITY OF COSTA MESA }4q `,. BUILDING DIVISION /OMIT NUMBER �. DEVELOPMENT SERVICES DEPARTMENT PERMIT • B99-00739 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA'MESA,CA 92626 BUILDING PERMIT Job Address: 2732 SAN CARLOS LN Status: ISSUED Suite: Applied: 05/25/1999 Vicinity: Issued: 05/25/1999 Parcel Nunmber: 14155618 Zoning: R1 R1 Applicant: LEONHARDT, EDWARD MICHAEL ISSUED BY: Address: 2732 SAN CARLOS LN -- , , - i Phone: 714 444 22266- COSTA MESA,CA ' .- - Zip: 92626 - .. l� _ - Owner: LEONHARDT,EDWARD MICHAEL Address 2732,(SAN CARLOS•LN \ � fif COSTA MESA CAS - Zip: 92626 ";' \\ i / O / iA ���� // -;/(/ Contractor: \\,../././;),;./211/4.:2-7 / `�\\\C� \�� Address. A /elk' ��� Phone.. A /`\ , 1/4 JY/ `)•ZAP ) /721/42/� License: I -\`.::.:,` �' \, '' -\\, .1 .r,- - Eng: Address: - j 1/4%, ,' �. - Address: ,n A� '_-__ i > f / _Phone:✓ y:_ -/!‘• Phone: I 1 4'1 \ Zip ,,i. <, ,License: Zip: License: -, - I I / ?,- - SCOPE OF PERMIT .„ -, /CONSTRUCT 20 LF,4'HIGH WALL AROUND POOL EQUIPMENT-+•35 LF„18”HIGH PLANTER WALL.ALL IN BACKYARD- • i • ,)i OFSFD." " ._ _ /, , _ :' „\ ' - ` - FEE SUMMARY v t'-'n l / )-.-_ Calc Valuation ' �' f �: `_ 1 i i t�Plan Check t,^ � $13.65 _ r Saoo o, �X. G Permd i1 ` $21.00 _ 7 f - Claim Valuation: f, ; , Soso `t' SMIP"Res v,. $0.50 / i - ' ;IVr c<SMIPCom \-. $0.00 -I _ %// ' \Nv Other "$0.00 - . I / /nt/ Inspection. v. `'$0.00 _• y . \\Total: $35.15. %/ /( V-N,. % \,,� • x71? PLANNING &ZONING "' / v f y SETBACKS.`.", %, ; ��`" MAIN STRUCTURE-Front 0;0 0. Rear- ` 0-0' • . Left ` `0-0 Right '_ 0/ /\/ ,/ ACCESSORY Front\-.„, 0-,0 ',/ ' Rear , 0-0 Left 0-.0 Right.' "70-0?,/- • PARKING Existing '-0' -. Required: 0 , Proposed: ', 0P - - ,// NOTES: — - � - . w " 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 (--) 0 ° WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:' _ej ,, - ... -. s ❑ 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,fdr the performance of the work for which this permit Is issued. - - ' O 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 Insurance carrier and policy number are: Carrier: Policy_Number: (This section need not be completed i1 the permit 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 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 SUBJECT 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 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.# Class# Contractor's Signature: 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: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 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).): O I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(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.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. IIVes 0 No Der No. es: /!7 --/ --0Z- Verification -OZVerification 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,talsework,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). O 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? 0 Yes 0 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? 0 Yes 0 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? 0 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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 feet from the outer boundaries of a school? 0 Yes 0 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? 0 Yes 0 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'lsjcorrect.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ( Idl )„1 141_ii' '. Signature: J� 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 wit I state I. s and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for pecti. ;/rposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final spection. Sig .m'4 Legal Owner(s) " 7 7 � And/Or Authorized Applicant Date CODE r INSPECTION TYPE ' - ' DATE" — INTRUL$' " " " CODEIt 'INSPECTION TYPE ' ' - - QAjf, thEaJe_ 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 /, / -' aft, 212 Final Fire Prevention 202 Final Factory Fire Place �,r - - . _ 4 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupincy 2446-46 Ed Leonhardt 2732:Ss Carlos,Lane: Costa Mesa, CA 92626.5614 714-444.2266 edl@dslextreme copy December 4,2005 Ed Petros,Chief of Inspections City of Costa Mesa P.O.Box 1200 Costa Mesa,CA 92628-1200 Dear Sir, It has come to my attention that there is an outstanding building permit#$99.00739 on my residence that has never had a final sign off.It was a part of a backyard pool remodel that included everything from electrical to pool plaster to the wall that is still outstanding. Apparently all the other permits were closed.Including a copy of the sign off sheet as it shows all the aspects were merged onto one.Would like to finalize this outstanding permit before the end of the year and the end of the RRIP.If the included information does not provide enough detail feel free to contact at your convenience. Tho/ `'/� Ed , onhardt , VII I %Jr VVJ I PI 111GJN1 101J1I_IJIII 1 onrc1 I NIV1J1V11 ,POST IN CONSPICUOUS PLACE ON THE JOB NOTICE Schedule inspection one workday in advance. To schedule inspections, call (714) 754-5626. Provide the following infor ati 1) Permit number, 2) Job address, 3) Inspection item number, 4) Day and date you need the inspection. Building Address: 272a2 �r.Ln. Pc t0_1 (_,yr _ owner. Lta4 he ra-7 . Building Permit 7q -0 01.S 1 EiecMcel Permit#: egnegarga Contractor. St.__ Mechanical Permit#: Plumbing Permit#: Milenr, Job Description Type: V_ }'•••1 Group: (12._} toc•Az 4L "A S t ) .�Plan Check No ( • C2di 5 5\ Issue Date: , I Cri G rCp'1 , ®O(0 6 :9Q— O01 8 6 NEW ADD ALTER REPAIR MOVING I MOLISH p p q- ora l e / / l (I PERMITS EXPIRE 180 DAYS (6 M• • THS) FROM I ' - - OR LAST INSPECTION CONSTRUCTION APPROVALS NOTES Item a STRUCTURAL Date hapectcr Item# POOL&SPA Data Inspector 2 Rough Grading 94 Pool&Equipment Location — 4 Footings 57-2-7-4/ t it4- 96 Steel Reinforcement 6 Slab 98 Forms 8 Structural Floor System - _ 100 Electrical Bonding , 10 Root Framing _ 102 Rough Plumb&Pressure Test _ 12 Root Sheathing _ yy11pDi4� Approval to Cover•Gunhe 14 T-Bar Ceiling-Structural _ -x,,108,Elec Conduit-Underground - 16 Exterior Shear Panel __ _106 Gas Pipe/Underground Test _, 18 Frame&Flashing 110 Backwash Unes,P•Trap, 20 Lathing&Siding Underground 22 Insulation 112 Approval to Deck 24 Drywall Nailing 114_ Pool Heater&Vent•-Anal _ 26 , Plaster Brown Coat - _116 Pool Plumbing-System-Final . 28 Monocoal 118 Pool Electrical-Final 30 Pre-Grout rcSolar System•Final + -Z 32 Grout o.2- Fenging&Access Approval.. ,-�R'ej' I.> 12 i Approval for Plastering b-J!/• �yrw�' • ELECTRICAL 126 . Pool/Spa Systems-Final /y( zy" 34 Temp Elec Service or Pole ---777 36 Elec Conduit Utility Undergrd , 38 Elec Conduit-Underground 5--2917 , „ • 40 Elec UFERGround FIRE DEPARTMENT APPROVAL ' 42 RoughElec-Conduit _ 1602 UndergmdHydrolundergmd _ 44 Rough Elec•Wring 1604 Underground Flush 46 Rough Wiring•Sign 1606 Product Piping 48 Elec T-Bar Ceiling 1608 Underground Storage Tank • . 50 Elec Power Final-Meter Only 1610 Overhd Hydr&Overhd Rough 1812 Dry Chemical z4 uryway Nailing 114 rom neater&vent•FM21 26 Plaster Brown Coat 116 Pool Plumbin(System•Final 28 Monocoat 118 Pool Electrical-Final 30 Pre-Grout 7-,t-cry Solar System Final 32 Grout c Fencing&Access ApprovaL- $49 t# e. rApproval for Plastering -579 ELECTRICAL 126 PooVSpa Systems-Final ft,fif 34 Temp Elec Service or Pole 36 Elec Conduit Utility Undergrd 38 Elec Conduit Underground 5.29w ____________ 40 Elec UFER Ground /11:ag:Telk.11.. 42 Rough Elec•Conduit 1602 Underemd Hydro/Undergmd 44 Rough Elec•Wiring 1604 Underground Flush • 46 Rough Wiring-Sign 1606 Product Piping 48 Elec T-Bar Ceiling 1608 Underground Storage Tank 50 Elec Power Final•Meter Only 1610 Overhd Hydro/Overhd Rough • 1612 Dry Chemical PLUMBING 81 MECHANICAL 1614 Dry Standpipe 52 Soil Pipe-Underground 1616 Final•Fixed System Water Pipe•Underground 56 Prop.Sewer Line/House Conn. 58 Sewer Cap • 60 Roof Drains FINAL INSPECTIONS 62 Rough Plumbing Call(714)754-5626 for the following: Date Inspector 64 Rough Mechanical 200 Final Re-roof 66 Rough•Factory Fireplace 201 Final Block/Retaining Wall ' 68 Ducts•In Structure 202 Final Factory Fireplace 70 Ducts•Ventilating 203 Final Sign 72 Gas Pipe-Rough Test 204 Final Demolition 74 Backflow Preventer 206 Final Mechanical 76 Backflow Irrigation 208 Final Plumbing 78 Water Heater&Vent 210 Final Electrical 80 Water Softener Cell(114)754-5128 for the following: Pate _Inspector_ 82 Dishwater 212 I Final Fire Prevention 84 Lawn Sprinkler!nig.System Cell(714)754-5335 for the following: Date Specter 86 Hood or Canopy 214 I Final Transportation Svs. 88 Miscellaneous Plumbing Call 14)754-5307 for the following: Date Inspector 90 Gas Pipe Test-Final 216 Final Engineering Approval 92 Water Service-Final 218 Final CMSD Approval Call(714)754-5245 for the following: Date Inspector 220 I Final Planning Approval Call 4)754-5626 for the following: Date 222 Final Site 250 Final Building/Occupancy plir - I iiJr - I,Iw'> CITY OF COSTA MESA ?���' �, BUILDING DIVISION PERM T NUMBER F ; ' i , DEVELOPMENT SERVICES DEPARTMENT PERMIT '%rnm st . 899-00786 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2732 SAN CARLOS LN Status: ISSUED Suite: Applied: 06/03/1999 Vicinity: Issued: 06/03/1999 Parcel Nunmber: 14155618 Zoning: R1 R1 Applicant: LEONHARDT, EDWARD MICHAEL ISSUED BY: Address: 2732 SAN CARLOS LN . ' - _ l/ fi Phone: 714-444-2266, COSTA MESA;CA/,',/ •-- Zip: 92626 i "j• 'RDS i' \� r--, .1]`` Owner LEONHARDT, EDWARD MICHAEL Address 2732'SAN"CARLOS LN: . / - �4PMESA,-CA v Phone:" ��_ y / ill COSTA MESA;CAS j - . Zip: 92626 ��l-:. -„ : / / `n\ Zoll i \ , /i j'� - VS •A <, \/ SVA Contractor: / (1dd ass: �j� , �\ / \ �� Phone:. �\V\ % A /A// „/1 %/ i //", �\ q1, Lp -':' License: \\\ .. \ I-Arch ,/ [' , - - Eng F - '� � \ , \ /+Address_ < < j,` - _ Address J " s �on� /r�r L_ / //. � -Phone: �. �1 Phone: ` -� ��, is 1_, nv Zip ✓/':. J(- License: Zip: 'License: 3 / _ r- SCOPE SCOPE OF PERMIT ,. - , v ' 7 , \ II /REPAIR AND REPLASTER EXIST. POOL':ADDED ALARMS TO OPENINING THAT ARE ACCESSIBLE TO THE POOL AREA. "‘ \ FEE SUMMARY / \1 Plan Check t. $0.00 — __ Calc Valuation ;fit/f ;,--a0,600,.00 j R•, Permit., ,,, , $99.75 / ; . .L..1''''-- Claim Valuation. c _. $5,000.66/ , SMIP Res , ' • $0.50 - ." / / - - //tit, ; _/ "1)1 ' .SMIPC• om: ^ $0.00 '/ • ' tiV ' Other ' $0.00 ,. — _ . /"v/ / �Inspectlon ���$0.00 V P\ \A C /� /, / yATotal:- $100:25 /r, ./ /7 N'�' ._.. �_. �` / A ' �� V.AV vv,A p- ",� S11" ' .PLANNING1 ZONING,-4„,4.,-.7,47,•'-1-"'://// `--, /,:1� Ax Ir. -_ - 74,/; SETBACKS,-k,y !. �`.�. - - A i ,'-• 7� /�7 MAIN STRUCTURE`Front �0 0 Rear- -0,0 Left 0-0 - Right `0 0'- /7,/ ACCESSORY Front 0-0: ,Rear 0-0 Left 0-0 - -Right. -0 0 p2 PARKING Existing: ; 0: - Required: 0 Proposed: 0 ,- - !/ 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)754-5626 DECLARATIONS n �'11. 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued atone 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 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 SUBJECT 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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.# Class# Contractor's Signature: 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). 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 Iicer.sed 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 fore permit subjects the applicant toe 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 Law does not apply to en owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant t the Co rectors License Laws.). ❑ I am exemptynd r sec I Business and Professions Code for this reason: Sig an to . 7j ii - !!F i .9cit � YJ / Z Expir /0 -y -n c� Verification of Ownership by(type of document,i.e.-property tax bill or dee . 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? 0 Yes 0 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 greeter 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? 0 Yes 0 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application 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 D 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? 0 Yes 0 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 Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 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 At1THO'r ,TION 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 to laws -Jity ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for in tion•,y�y • .to occupy or allow occupancy of any building authorized by this permit until fiit:to'' -action. 9�1 DwrLer(s) I atm And/Or Authorized Applicant Date CODE INSPECTION TYPE PATE ' I SIL. -CODE# INSPECTION TYPE PATE • INTIAL$ • 1616 Fixed System Final Fire Prevention i' ' 206 Final Mechanical 1266 Pool Spa Final fail 44./ 208 Final Plumbing • 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 2446-46 • rt.l, '� CITY OF COSTA MESA ,`;cit BUILDING DIVISION �' DEVELOPMENT SERVICES DEPARTMENT rat PERMIT PE IT NUMBER 11A99-00106 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 2732 SAN CARLOS LN Status: ISSUED 00, Suite No Applied: 02/17/1999 Vicinity: Issued: 02/17/1999 Parcel Nunmber: 14155618 Applicant: LEONHARDT, EDWARD MICHAEL Address: 2732 SAN CARLOS LN Phone: - ' _ - . COSTA MESA,CA - Zip: 92626 . �"/%: ' Owner: LEONHARDT,'EDWARD MICHAEL i Address 2732 SAN CARLOS LN: 2 .� , `. `c--- -\� � / , ` - Phone: `\C�A '-'COSTA MESA,CA-: - Zip: 92626 "N // /',WN.,`,., . :/7 /'. „/ � \ '.� , , , , . Contractor: Address: • Phoney _ 'License: ` • r . .. - -� : " . .- SCOPE OF PERMIT RUN A NEW WATER LINE FOR THE POOL FROM THE WATER METER TO THE POOL,A NEW GAS LINE - ,' / FROM THE METER TO THE POOL EQUIPMENT,AND REPLACE THE EXISTING UNDERGROUND _ ' / 'ELECTRICAL LINE FOR THE POOL. - ^ " FEE SUMMARY;:, II. Quantity - . i-' '�- Quantity! - ISSUE FEE $22.00 - .._ Temp Dist Sy em/Lighting- $0.00 Or`'. Temp service test $0.00 Busway/100 ft/ $0.00 0' _ ' ��' Res.'a/c package $0.00 Standing'Section_ -- $0.00 ,0 - '�"I,r New Res(1-2 units)' $0.00 0 Misc Electrical Equipment $0.00 ''0 ` .,1', New Res,(3+units) ' $0.00 0 Transformers up to 1 kva/kw $0.00 /,'0 . ) "�. i 41 Pool/Spa-,- ' ' $0.00 0 up to 10 kva/kw Lighting Fixts: ' $1.00 1 _ up to 50 kva/kw $0.00'/'/ 0 Recept Outlets '.$0.00 0 ' up to 100 kva/kw $o.60'/ 0 Switches • $0.00 ., 0 •- ' over 100 kva/kw $0.00 0 ;' !.7 Non Res Appl , - $0.00 , -0 • , Low Voltage Equipment `, $0.00. - 0 „"% x Res Appl ;$0.00 , .,',., 0 - Low Volt Wiring System/Ckt 7$0.00/i -0 /�I! Service to 200a $0.00 •'0- _ _ 'MiscSConduit $_16.25</ ,1 ,,, Service to 1000a _ $0.00; '0- - - •Misc.,Conductor - %-- , $0.00 -/ 0,/ Service over 1000a $0.00 0 - ' " ,births(gen or ride) - $0:00' „0" Motors to lhp $0.00 "0 Circus(meth ride or lights) -$0.00, "' '0' Motors to 10hp $0.00 . 0 Christmas Tree Stand , r $0.00;, ,"'O Motors to 50hp $0.00 - 0 Fireworks Stand• - $0.00' 0 Motors to 100hp $0.00 0 Other Electrical Fee . - $0.00 Motors over 100hp $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 $39.25 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 permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS rm (Th 1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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'compensation Insurance carrier and policy number are: Carrier: Policy Number. (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,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 SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLT-ARE 4103,000),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 Class 4 Contractor's Signature: 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). 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 subj9cts 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 contr.ctors 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 pursuan ,•the'ontractors License Laws.). O I am exempt •=r s- Business and Professions Code for this reason: 7// A C Signature: .1 V / Date: �/ Owner ID verifies • dri s lcense. ❑Yes 0 No Driver's License No. E pires: Verification of Ownersh•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? 0 Yes 0 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? 0 Yes 0 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 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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 constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 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 0 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: CERTIFICA OF CO PLIANCE 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 a e to ply 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- a ed o _for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by is per it until final inspection. ✓ V/ 7 /7��7 l Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date rnnF C INSPECTIONTYPF - ME Ha= GOOF. INSPECTIONTYPE DAM IMIOALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ' 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical >n / 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 0 :4 BUILDING DIVISION t. _ . DEVELOPMENT SERVICES DEPARTMENT PERMIT P MIT NUMBER P99-00098 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2732 SAN CARLOS LN Status: ISSUED PIM Suite No Applied: 02/17/1999 Issued: 02/17/1999 Vicinity: Parcel Nunmber: 14155618 Applicant: LEONHARDT, EDWARD MICHAEL • Address: 2732 SAN CARLOS LN . , -• ' Phone: COSTA MESA,CA- , Zip: 92626 " r Owner: LEONHARDT EDWARD_ :MICHAEL ' - � �' Address= 2732 SAN CARLOS LN- ii• Phone: ' - COSTA MESA,CAj. " Zip: 92626 • Contractor: - - /Address:' - - < �� - - - �. Phone:- .. �. _ a , Zip: , License: _ . . , " Arch/Eng: ' - / �N Address: - - t . Phone: _ \ 'i . .. , Zip: a License: -_ I , ,' , • L 'SCOPE OF:PERMITil'1 i - ••',-- .. V; RUN A NEW WATERLINE FOR THE POOL FROM THE WATER METER TO THE POOL,&NEW GAS LINE . i * FROM THE METER TO THE POOL EQUIPMENT. /` / i ! .- : , /',/ - f ' , ,(17 FEE SUMMARY - - `AMT QTY AMT QTY ,4I. �'/ %.AMT QTY ISSUE FEE< '. - $22.00' Laundry Tub/,Washer :.-.,$0.00 0 Sump Pump N / //$0.00 0 Backflow irrigation $0.001.'- 0 Landscape Irrigation ` -. $0.00 0 Swimming Pool, ', $0.00 0 Backflow Preventer - ,$0.00 :i3 P-Trap': "` , ,11'.., $0.00 0 Trap Primer ; "'$0.00 0 Bathtub . - $0.00 \\ c0 t - r Pressure Regulator -.,$0.00 ^ '0 - Urinal ', ' $0.00 0 Clarifier System\:y $0.00- 0 -, ,- . Process Piping(per 10 ftp, $6.00.,' 0 /--Vacuuni Brkr Bkflow(1-4)' $0 00 0 Connect(Ice,Soda,etc) •$0.00 / 0 'c_Receptors,2. N- r. $0 00 0-4, Vacuum'Brkr"Bkflow(5+) $0.00 0 Dental Units $0.00 0 � Septic Tank'-, 7 y :' _$0.00,,".0 Wash`Basin 4.'',// $0.00 0 Dishwasher $0.00 - 0 '" Sewer Cap for Dento ' ; .$0.00 0 ",Wash Basin Set $0.00 0 Drain, Floor $0.00 '0 , Sewer Conned $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.) $8.75 1 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(1-4 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 $8.75 1 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: $39.50 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)754-5626 DECLARATIONSri im, ` , • „ 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 compensation Insurance carrier and policy number are: Carrier: Policy Number. (This section need not be completed li the permit 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 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 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 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.# Class# Contractors Signature: 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). 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 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).): he 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.). O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Cale:The contractors LI nse 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 the rectors License Laws.). O I am exerppt ri r se Business and Professions Code for this reason: <y,, Signature: V G — Date: V r (" 7 Owner ID verifie1y driv s lic nse. 0 Yes 0 No Drivers License No. / 7 7 Expires: Verification of Ownershi 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). O 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? 0 Yes 0 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? 0 Yes 0 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? 0 Yes O 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 part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 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? 0 Yes 0 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 O OMPU CE 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 tom j Ith all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri pro or inspection purposes.I agree not to occupy or allow occupancy of any building authorized by thi pe ' until final inspection. V ✓ 7( r17/ 9� Signature Of Legal Owner(s) 111 Date And/Or Authorized Applicant Date CODE 4 INSPECTION TYPE DAM INTTTIALS cogu IscprnloN7YPE DAIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing ld/i41/95 G- 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 2446-46 I i, INSPECTION & TESTING ENGINEE h _ RES .R C H & ENVIRONMENTAL TESTING CHEMICAL & PHYSICAL ANALYSIS CORROSION ENGINEERING & ANALYSIS P. O. Son 16026 . 3310 Air aort•Wav Twining Laboratories 1514. 0 North Harper Street . Long Bench, Calif. 90806r Santa Ana, California 52703 (213) 426-3355 • (2131 636-2386 • (7141 828.6432 L � � OI41 531.2045 Since 1898 May 24, 1967 Examination: s067-2345 . GUNITE COMPRESSION TESTS ON 02Q/10C XK CYLINDERS Jos. M. Henley 1973 Newport Blvd. Costa Mesa, California92627 PROJECT Swim Pool for CLARK Wlutcomb ADDRESS 2732 San Carlos Circle, Costa Mesa SAMPLE FROM 2 - !1 - Bottom center line: 2 - #2 Side wall house side • 2 - #3 - Bond Beam at lite ARCHITECT CONTRACTOR Tibor Gyemise Blue Haven Pools ENGINEER SUBCONTRACTOR — — — . Century Gunite SPECIFIED MIX 411 - 1 STRENGTH 2,000 psi DATE CAST 5-17-67 16XNNIN SIZE: 6" x 1211 DATE TESTED • 5-24-67 5-24-67 5-24-67 CYLINDER NO. 1 2 3 4"HOLD" . 5EIHOLD" COMPRESSION 7-Day 7-Day 7-Day 6"HOLDII TOTAL LOAD, LBS. 59,500 84,000 79,500 POUNDS PER SQ. IN. 2, 105 2,970 2,810 _________ COMPLIANCE - 7-Day test complies with specifications. RECEIVED MADE BY DEEIVEREO BY RECEIVED ON/UI/GING SAFETY DEPT. CYLINDERS Jos. M. Henley J.M.Henley 5-19-67 MAY 29 1967 AM PM DISTRIBUTION: / / / i 718►9:10.11112111:::31415ig Jos. M. Henley Costa Mesa Bldg. Dept. 5.73/..d7 t Blue Haven Pools • Century Gunite ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OE CLIE`OS •UTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR ES- TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRI:'f•. +'PROVEL AS A MUTUAL. PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. I cent% CITY OF COSTA MESA }� CALIFORNIA p. O. BOX& 1200 7"�' 1ie F . k• FROM THE OFFICE OF THE PLANNING DEPARTMENT ryC4RPOFPTEU�9�'� June 21, 1967 Mr. Clark Whitcomb 2732 San Carlos Lane Costa Mesa, California Dear Pool- Owner: The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement, 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by 'a fence six (6) feet in height and has a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area. Sincerely yours, William L. Dunn Director of Planning ,• f3895 APR 17-67c1EsaOO 9897* ***;•10.00 .COSTA MESA BUILDING-SAFETY DEPARTMENT . ' P.O.BOX 317 COSTA MESA.CALIFORNIA / For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDIN7 T\5 For Office Use Only ADDRESS I �� Jy IL' M \..r'tO J RECEIPT NO. no T210., COSTA MESA.' CALIFORNIA LV.C�//Yy55 R8C81.V6O BY pA-B RB�IVEO I/-i I�Uep OWNER l lrrL�(q{ / 7 �JlI`'�,Q� ((�/G/ /n!/, ww{F, MAIL �� ADDRESS G��/a,..C!( LI/�/( I(�j'� /JI . ADDRESS .-�� FIRE 3 /�/ TEL. ZONE TYPE ••`- GROUP cio CITY NO. ,� APPROVED - _ ,�ITECT _(�J �}, TEL. BY DATE ' f,.larprINFER 0_•9/J k±042. NO. ' „/ n_ "L�1yU ZONING ADDRESS 0 `�u�4.�f/-�-4' ./2/7) ZON{-/ PLANS U680PN8W���^ CONTRACTOR /I ilte I3 V��� �� ��/1� • LEGAL /`LyG_,`/�/ ADDRESS I a-a-a--•1. /�LJ.A LTV 'DESCRIPTION ,/ �j/� • 9 �� A.P.NO. ///" 556 J /Cl CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TELci SO"TO SIDE a REAR P.L. LIC.NO. NO. a 1v EAVES • SIZE I NO.OF BLOOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF. MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) F • SETBACK LINE FROM FRONT FT. / T 7. ' CENTER OF STREET REAR YARD 7/ FT.r SIDE YARD LEFT I RIGHT R.SIDE PT. 't . DESCRIPTION OF WORK L.SIDE Fr. Y D _ALTERATION _�ADDITION REAR FT. aQ FT. r DISTANCE BET. BET'.MAIN a REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDGS. BUILDING/\ L3 C( NO.OP• VAR.�C' DATE SIZE V ! ROOMS STORIES C.V.P.# APPROVED EXTERIOR WALL I ROOF APPROVEDY . �s ' DATEW-77-67 COVERING \../�{1 USE OF BUILDING AND WORK TO SE PERFORMED 0601)• HOLD FOR SPECIfAL REQUIREMENTS N SQ.FT. Y 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND REE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E PLY WITH ALL CITY RDINANCES AND STATE REGULATING VALUATION BUILDING CONST N. 1 \ v4 m \\ SIGNATURE OF /) PERMIT FEE $ l nil.PERMITTEFA (/°S�/ y r / p $ a7Q-V ..+o 1 PLAN CHECK $ O G AUTHORIZED AGENT 1 (i 3-5 L TOTAL FEE 6 " . A h Lot 39 Tract 4285 PPEEOORECEIVED ,),�` 1 F; 0 wSEP 6 1961 COSTA MESA BUILDING-SAFETY DEPARTMENT / FINANCE DEPT. P. O. BOX 917 COSTA MESA, CALIFORNIA CITY OF COSTA MESA - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING AADDRESS 2732 San Carlos Lane COSTA MESA. CALIFORNIA For Office Use Only OWNER Mesa Del Mar Development Co. _ I RECEIPT NO. 1 � �i `i MAIL. RECEIVED BY D/,'[¢ RQC /ED,/I DATE ISSUEDI ADDRESS 3800 E. Coast Highway PC UV !/ (/O TEL Oriole BUILDING CITY Corona del Mar. NO. 1-4720 ADDRESS AF ECT TEL.Oriole COSTA MESA. CALIFORNIA OI INEER Macco Corp. NO. 1-4970 (� ADDRESS 3800 E. Coast Highway - FIRE // n 14 .�C- J ZONE TYPE ✓ GROUP!-,9 CONTRACTOR Macco Corp._ BYPPROVED DATE ADDRESS 3800 F. Coast Highway ZONING (/,� • EO NO.OF UEE OF NEW CITY Corona del Mar- -J I PLANE ZI BUILDING STATENTNo. 98808-SB-1 No. Oriole 3-4220ESCRIPTION `f' Y?-I•�_c L-0T .? I SIZE NO. OP BLOCS. OF LOT 6975 S F I NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. none APPROVED ALLOWED SETBACK LINE FROM , (CENTER LINE ST.) /J CENTER of STREET 5 I REAR YARD 201 FRONT q- FT. IN. SIDE YARD I LEFT 51 I RIGHT 20I R.SIDE 0FT. - IN. DESCRIPTION OF WORK s — L.SIDE Ft IN. NE I X H ALTERATION I II ADDITION I REAR Z a FT. y IN. REPAIR I II MOVING I I DEMOLISH i BYPROVED �./BQ,61 DATE C //T/67 MELDING 59'911XSO I ROOMS 6 STORIES 1 l F WALL ROOF COVER NG F. stu COC Od I Comp. COVERING Grvelnd USE OF BUILDING AND WORK TO BE PERFORMED Single family residence w/attached Living Area 1405 S F garage Garage Area 432 S F • Covered Porches etc - Area 32 S F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE of CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF.'•S8 Del u.r Development Co. PERMIT FEE S ,-} .S PERMITTEE N By:111 / *A ///� s 15 ,326.00 PLAN CHECK S / 7.sd i` AUTHORIZED /' ' ' "eet 5, 52.50 C TOTAL FEE . 0 r uwNhat W51'1'(:VMt3, C1arx DAM 1.."-I-V-U1 tB ADDRESS 2732 San Carlos LaneBUILDING PERMIT NO. 26895 NERAL CONTRACTOR Blue Haven Pools DESCRIPTION OF WORK Private Swim Pool.FIRE 141-5 6-1H LOT TRACT FIRE ZONE VALUE $ 2,700.00 iINSPECTIONS I Signature Date GROUP J TYPE III ZONE R-1 SoilI Number PERMITS ISSUED Gas SUBCONTRACTOR Date I I Signature • Water ey,,,may.clica. •fr -5ic-4/-f) Plus bing Rough Plumbing / ' 1 .As ./ _ I 111 0Prop. Swr. Line 0 House Con. Q !i �� C o-o S.rin]din. S stem Miscellaneou /f,, L �:.,, e, ./ 4, V. -f- _ Rough Heating and -'r onditioning Temporary Service or Pole Underground I7 Power 0 it '2,4-(.7 Rough Wiring/p,,,,,, ,„ AK* S•26,47 Heatingand Vent. �' Trenches i�—Forms fli greeilleinf. 4/ 4S„ ,— Floor System 1 La`<f s„tlne W ,..e' Bond Beam a.-- Steel Reinforce n a/o =y-67 uwos` vxd �J -I sang / ' - -_ , �. _Ja --12----t> �OAw," , , p -Q. Frame a�n 'Flashing — er La Lathing— In 0 Out 0 Plaster, Brown Coat Structural, Final / :.���J�, ��.--�e-�> El ctric ,� y Heating, .•.,,...elf=: 'f : . �L✓ ] -., ` /1lL�P/j 4/-n-r4 6--,3-l07 a `7-/O' Plumbing, Final and Gas Test -y-(,7 . /is�tij!j) Electric, Final Building, Final ''s w'f .a 0-1 l�G 9P'pI . v A v0'�Po�`O )0(e4., oF�G°o�tif 1 �u ,(cc Svc a . ` ,� Jls G� Q 0$ 4N . . ' ,, O\ Q' 4,, qxs, ty, , 4, r Li (A- -Q-' n t18 '4 G i, ,,, r r `f' a. r ~' o 0 i:f ^Al 4 w► i ,../r.,..,...,.::::::,;:•,...“. 6 /cl _ 00 73 y \ /r., :• f _ (, APPROVED \�;`•y�,r�r \. '� �?<k CITY. 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' ,et�4 � r}s'YSyti . � tii` T , i cn �`t k n : -0 i t• i..�L 5/ �i N • h}Or`rl �r �.} \ ,\• ,, i+ `<�' t fi\yY .K'•X•; :c -i -- : X . .___. 5 h�r� <it+2CYti4x 'G'r {;y i 4yJ ,.. rr W !r f X� z n\ Y\h i t u .r W6-. r ,_ n, �ti* /Yi,i :Y v y SC t yd LCA' .(v +`v Y.^."^tA x .v� . li. ` t Vv ,vrf> , > hy . > %^�• 5 t 4';'':'.::---' •'';,41%:; d I s-0'• P. • • • • 117 a JrT 'l .: • • • _ - {ma+yy )(41 "'e1 • ... . } X . 973x- . j 1 .. ..r. 4 • r., Storage.; Garden Revision 1.2-,