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Home My WebLink About2134 SABOT COVE - Building Permits �osTR MEsy CITY OF COSTA MESA :1111.1�Y ^' CALIFORNIA 926281200 P.O. BOX 1200 ). ,1• • •� L-T- i a J o DEVELOPMENT SERVICES DEPARTMENT +`eHPeonIFO 95j August 16, 1989 (REVISED) To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications • Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer. County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Prevention U. S . Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 152 Merrill Place • Unit "D" 2135 Sabot Cove 426-132-01 Unit "C" 2137 Sabot Cove Unit "A" 2134 Sabot Cove 426-132-22 Unit "B" 2136 Sabot Cove For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, df EANNE RUSSELL Planning Intern JR: j1 (ADDCHNGE. 43) cc: Michael S. Talbott 5051 Alton Parkway #44 Irvine, CA 92714 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)7545234 • Planning Division(714)754-5245 ELDEN AVENUE tiT II I I rn A I 2i35— P-137 I/ : -formerly Uh p I+ D) (torw,erIX 011 T Pc.li) I � SABOT- covE I I -b I 2 ) 3y aI3I � I (onmerUi + "A') (-►&rw,el-ly O + �Bl/ I I O`'Tp"'FS CITY OF COSTA MESA L 9.. 4 O y ,t, CALIFORNIA 92628-1200 P.O.BOX 1200 w',, F, `,a: � is „ er DEVELOPMENT SERVICES DEPARTMENT .4l�RPORmEQ\ey/: August 16, 1989 (REVISED) To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 152 Merrill Place • Unit "D" 2135 Sabot Cove 426-132-01 Unit "C" 2137 Sabot Cove Unit "A" 2134 Sabot Cove 426-132-22 Unit "B" 2136 Sabot Cove For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, - if EANNE RUSSELL Planning Intern JR: j1 (ADDCHNGE. 43) cc: Michael S. Talbott . 5051 Alton Parkway #44 Irvine, CA 92714 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)7545245 1-1)E- AVENUe- i � I rn p 21_35- • (rot-mei-1y� l 3 7 (7ormerly Vv.% 1i ) UNi+"C.9 / � - I SABOT" COva_ I I -b cm(11 13y 7, 3 � (� UN, + "A`� C-ref orn,er Y c__ ibis"'FS CITY OF COSTA MESA a� 9 . ,'p 1 _ 6 CALIFORNIA 92628-1200 P.O. BOX 1200 `• d DEVELOPMENT SERVICES DEPARTMENT .tiC RPORn1Ea Sa April 21, 1989 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 152 Merrill Place 152 Merrill Place 426-132-01 156 Merrill Place Unit "A" 426-132-22 Unit "B" Unit "C" Unit "D" For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, *—Pa44 &EANNE RUSSELL \ Planning Intern JR:jl(ADDCHNGE. 32) cc: Michael S. Talbott 5051 Alton Parkway #44 Irvine, CA 92714 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 ofAr'@' uNit ,q' /\ -J 9- J J V / \ uNT C\ I UNIT b ' E 2 COUNTY OF ORANGE . . •. • - / ? BUILDING DEPT. Permit No...a... r..r3 .O 636 No.Broadway Santa Ana,California Application for Building Permit Phone:KI 2-6211 AND FOR. A Certificate of Use and Occupancy Date /6 — /3 ' 'S. / 1. OWNER'S NAME C,•freaGL.rN1 • PHONE• MAILING ADDRESS /-5—o2. /..-lcc-PY ..---Al Gam.. CITY.ga < Name . " Nam ... -/.....,,a- (Architect or E gineer) (Contractor) Address Address • • City City State State • ' Lic. No Phone Lie. No Phone ' PROPOSED USE �i G 2. JOB LOCATION..../ 6 a ' /-JL-�YWC�� $A R.ems[. 0iL�T_ . (House No.) (Name of Street) -1, (Town or School District) 3. LEGAL DESCRIPTION: Lot Block Tract (Metes and Bounds Description se reverse side of form 4. CORNER LOT.6 INTERIOR LOT ( K ) THROUGH LOT ( ) SLOPE/ OF LOT ( ) C.S 5. SIZE OF BLDG • ..ay P"' AREA le m°-- SIZE OF LOT:I 4 Y /6s AREA:./.2 ..7.0 - 6. HEIGHT OF BLDG.:....., 2 • CEILING HEIGHT• 7' NO. OF STORIES 7. NO. FAMILIES Size of S •illest Bedroom ' -- Size of Kitchen 8. EXTERIOR WALL CONSTRUCTION: � INTERIOR WALL COVERING nc—U (Frame, Stucco, Etc.) ( ((Plaster-Drywall, Etc.) .., 9. SETBACKS: Front Yard From G f Street.............2.sr( Nearest Side Yard 3 r Rear Yard 2..0 Distance in Feet Between Bldgs. on Same Lot /L01/--- 10. A COMPLETE PLOT PLAN'IS REQUI D, SHOWING ALL STRUCTURES AND USE OF EACH. i fig! 11. For (a) Footing: Widt ebb J... .....Depth in Ground 6• Width of Wall Accessory y(� Bldgs. and (b) Size of Stud'• . ) 7 Spacing / "CC Material of Floor.. . Similar Structures: E- (c) Size of Floor Joists- ( ' Spacing -CC (d) Size of Rafter ' t7 X `t Spacing f ' • "CC 12. VALUATION OF PJPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ QO • — 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALI NIA APPLICABLE THERETO. Signed: 672P% --a• �J 7 Of(Own; // Plan Filed:....,--./_�//./ ... ..�j/ s �l / (Authorized Agent FOR DEPARTMENTAL USE ONLY • FEES: T CHECKING BY /� GROUP 1,/ APPLICATION.. EALTH Bldg. Permit - $ ..Y..� �� Plan Check - $ /.• Q V TYPE ir ZONING LL.-- FIRE • Total - - - •$ .c.re- .1 DIST. HAL PLANS AND t No. Receipt p,C✓--..-.�j -0..E2-- MAP • Sr SPEC'S /r STATE • Paid to - - ...( ef.(1! eti......... SHEET NO S CORRECTIONS ENGINEER Date / O.-.0.-052. VERIFIED CAL PER IeIttJED Y0.-°U/E�r _Gnif!NTY H.TO I. 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TRACT NO LOT NO. UNIT O. • clrYCF�• �1 SyyT• MESA CONSTRU 10�_ •ER •MIT , (� e I�r A-P.# iiZ0- 132 — ZZ Izone R2 Fr olect.Kr s• Lta ---.A"—maa.r—a -��aa_ / al 3 g�so a -r rs P ,�2 • r TYPE OF CONSTRUCTION NEW ADD U ALTERATION I S Main Building: I Accessory Building: Applicant's•Mailin Address S� T +Ol�� C__. U REPAIR E / Z ,/glk ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T - r T Front 23 0 Owner's Name JJ1.L- 4 - '� �!� Phone • - DESC IPTI NOF WOR /USE OF BLDG. /QI,J a!-1) t?X 1 A Rear 1 C5 N Address "P_/LU11A/ C/4 , �.� L� g 5 . Arch/Eng. - License No. TYPE OF PERMIT GRAD] F NDATION STRUCTURAL C Right / '/ G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left 9 3 (� R Contractor's Nam Phone ❑ OTHER IPing. Ref.#�_ �O .� Parking Req./Provided CJ/�j E Address(mailing) PROJECT DESCRIPTION SQ. FT.3�.7g OCCUPANCY R;1 '« g Two L_,__` nay_ -h_ Q�%� M CONSTRUCTION TYPE Sr$J VALUATION$ n(e.2?' •� '�P Planning Notes: �� )L ,jn `JT1OLGIt [..7r'-(LXUGEI City License No. ZONE GRADING CU.YDS. ACRES �_ //lA'1A_b (q--IMK.1 r + Pc-r T LII • ED CONTRACTOR DECLARATION :0 I.1'OR SPECIAL REQUIPdit19LD' 1T5 $- 1 hereby after .m licensed under • t ons of Charter 9 (commencing Remarks: with section 7000) of Divi • e Business and Professions Code, and my license is in full force . - feet. - ELECTRICAL FEES PSS pc 285— 8q A License Class License No. • PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW ate Signature �a -.RKERS'CIMPENSATION DECLARATION DOn$tfUCtlOn POIe$ub. 0 50+KW "'reby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ai Workers' Compensation Insurance, or a certified Copy thereof (Section' Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap — Dishwasher Meter Dover 100 amps - Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel ' - Certified copy is filed with the city Building Division. Bathtubs - Sewer Connection - Date Applicant - Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01'/x-8 (Thissection need not be completed if the permit is for one hundred($100)or F.A.U. less). Dishwasher Solar Piping IncInc.Solar 09-15 HP-❑16-15+ I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any mann r so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave „ Workers' ompF La atierp• ws of California�/� Date f(I-i 1-0', Signature "Cr Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet g I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this p- mit is is ue• -Ction 3097 Civ. C.) 9 P Standing Sections Lender's Name I - :J2.. . Interceptors Water Heater Lender's Address - A E :�_ I A • •• • Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit • file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' Contractor's License Law(Chapter 9 (commencing with Section 7000) of rision 3 of the Business and Professions Code) or that he/she is exempt - - Fee $15 Issue Fee $ 3 Reinspection .iierefrom and the basis for the alleged exemption, Any violation of Section P 7031.5 by any applicant for a permit subjects the applicant to a civil • ,enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 0 I, as owner of the property or my employeesiwith wages as their sole Reinspection Fee I $15 Issue Fee $ 3 �O } compensation, will do the work,and the structure s not intended or offered Zoning Approved By - 1 Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By _ S=_ Date •- License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or hers1Qwn • Application Issued ByDate�.-L! employees, provided that such improvements are not intended or offered` r Boiler Hood or Type) ❑ ' sale. If, however, the building or improvement is sold within one year of c • Canopy Type II ❑ SUMMARY OF FEE pletion, the owner will have the burden of proving ne/she did riot build Or! Duct- Under Ground �J 91 ,/ - efar the purpose of sale). BUILDING PERMIT $ 1/ OM'. 00 SMTP $ �! 4. as owner of the property, am exclusively contracting with licensed c , Duct-Structural Refrigeration System ractors to construct the project (Section 7044,Business and Professions Coda: PLAN CHECK $ 67• a PERMIT The Contractor's License Law does not apply to an owner of property whiffa!' Duct-Ventilating /100.000 BTU 0100,000 BTU PLUMBING ISSUANCE $ builds or improves thereon. and who contracts for such Projects with a con 1 _ $- - tractor(s) license pursuant to me Contractor's License Law). I am aware tha11tttt'',, Exhaust System ❑ Multiplem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof off their Worker's Compensation insurance should be provided to me,y71ELECTRICAL $ GRADING $ ❑ Iam exempt under Section B.& P.C.for this reason ��\ Firepl/Fact.Bit. ICBG dk Dampers MICROFILM $ PLAN CHECK 50% $Date t "e i5 Owner Heating System& Ductinggisters _ • �{ 9 ❑0-100,000 BTU ❑100,000 BTUMECHANICAL. $ TOTAL FEE $ 3 '� I hereby certify that I have read thi application and state that the above information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to en er upon the above-mentioned pro rty for • Inspection purposes- ! - Signature /`e.- Date f� \ — DAN: .'v/i'/ Tli�: - \ A CONSTRUOTION AND PLANNING F .& SPA -' , APPROVALS Permit Date Inspector APPROVALS Permit ' Date Inspector I . A. Temp&vary Electrical Service or Pole '• 52. Pool & Equipment Location (l - 2. Soil Pipe-Undrgrnd. I �_ 53. Steel Reinforcement TiEle frical Conduit Utility-Undrgrnd. ,.O 54. Forms li l ' ,a • 4.IElectfical ConduitUndrgrnd•i 55. Electrical Bonding i 5`SteerReinforcement '' 56. Rough Plumbing & Pressure Test as 6:'ElectricalUFERGrnd. /, 57. APPROVAL TO COVER-GUNITE Via_ I ,,� . rootings I 58.i 14 Electrical Conduit-Undrgrnd. r 1 ."),- 1 ),- 1i 8 Foundation j I cocoa r 59. Gas,Pipe, 0 Undrgrnd.,Test , L „ ---1y._Water Pipe-Undrgrnd. r 1 t..- 60. Backwash Lines, P-Trap, 0 Undrgrnd. I •' 'A - 1a.Sifuctural Floor System I 1 61. APPROVAL TO DECK •' 11.1Poperty Sewer Line & House Connection 62. Backwash & Receptor-Final - - 12,'Sewer Cap J ' 63. Heater& Vent-Final /': z ,;•r c') 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 171. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (9. Rough'Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough-Factory Fireplace APPROVALS Permit# t) it 21. Ducts,J Structure 70. Underground Hydro iI 22. Ducts, Ventilating r1 71. Product Piping 0 Gas 0 Oil j` 23: Gas Pipe:Rough & Test 72.�Underground Flush /' -24. Roof Flaming LO^ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25r Roof Shathing4 74. Overhead Hydro 26. T-B@riCeiling (Structural) & Monocoat . 75. Dr.y Chemical II 27. Frame and Flashing .F 76. Dry Standpipe 48. L ihing &`Siding 77. FIXED SYSTEM FINAL or -- 29. Insulaation 78. FIRE PREV. FINAL 0. *4411 Nailing n V HEALTH DEPT. REQUIREMENT #1 Plaster,Brown Ceaat el/ ' 79. FINAL INSPECTION ' ''4. Elecvical Power-teeter-Final t 80. FOOD CERTIFICATE ISSUED /{C'yJ/n n // /� 33. Final Electric -•41 Notes: d`er� // m l4A 34. Final Heating & AirCOpditioning /7 'a _ 35. Final Gas Pipe-Test ,-t caitl+4/12 c-gjL'r osL/Lor i 36. Hood or Canopy , -1 0 r e . ,, -C77..- '� ',,II • X37. Fi I1Factory Fireplaces 0, j cr e--/-0,V ,(/a 64 1 ' .38. Final•PlumbrgQ21 II °39. Water Service-Final T it ..- n C-014SV1.1. 10115eti� ^ -40. Gas Service-Final eare-4 ') 1,10-t- ri nI . f41. Solar Domestic-Finaf•fr,-:-. ' 42. Backflow PreV.enter. : - 2`f/9'" EZA-4 - „ �ee7 11 •Th �t 43. Backflow Irrigation •• - - • . 44. Landscape Irrigation'System •-•/. .--1 ".1: 45. Sound Attenuation: . 46. Handicap Regulations r'' :.n 47. FINAL STRUCTURE & BUILDING /1-927-9 r O` 48. Special Requirements Completed ,u_��-�`i r 49. Electric Release to Edison 'I /t.;' -^./ • 50.'Gas Release to Southern California Gas Co •4. , % c•-' 51. CERTIFICATE OFJOCCUPANCY / r/;h: . ..r .41 No. Date ._ '- . I CERTIFICATE OF COMPLIANCE 44- fl• PAYMENT OF SCHOOL FACILITY FEES • NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : tI iu Dg1/4-LCIbpi-rIprn-' J/(JC - Address : ;DC/ 4-ITD11) Pktt/y CO- G/ G/ Telephone Number : `7/ L_/ 736 Gil q Tract/Parcel and Lot Number(s) : Location of Project : /5-2- j 272 I t 7lacc (x.14" Number of Square Feet of5-0I Residential Space 6-26,3 x $1 . 50 Total' //�� c5/y $ - 3. 21 0 0 S-Pnto Number of Square Feet of 7.1r,--743 Commercial and Industrial Space x $0. 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses R & D Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . toacrid 6.)0, Bus ' ess Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . Date : 614/3' /041_. Developer/Applicant JUN 1 9 1989 C''"Y OF COSTA MESA . _ CALIFORNIA 92628-12 P.O.BOX 1200 c� In i n Certificate 3 K ( SC - • r =z = Clar � Number and Street e Da— f i 7Yfr9 City t ry �j CO / County subdivision Lot Number Description of Installation ROOF Material Brand Name Thickness(inches) Thermal Resistance(R-Value) EXTERIOR WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) • Thermal Resistance(R-Value) SLAB FLOOR Material ()4K.i✓at 7r Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name -thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. () AfltIM & tWe/2 i(j////— neral Contractor(Builder) License Number 7/1 C." ---- oiarU L 11// 7/n Signature and Title ,/Date E.' 2/��f (/)/1�20/ yf9S . �•i-ll�C ydy' �ZZ / ulyrCon alny(In and goon Installer) // License Number !/ ��+10.1/89 Signature Tide Date otc"1 1969 .2134 vci_k',S- Cote Yt)_A0 jaQ/ _0.c Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA,MESA PERMIT NO. TRACT NO. LOT NO. UNIT NO. 9NSTRUCTION PERMIT BD 5 o 2e. A.P.SW Zone Project Atld•.-ss S1i.�.-fie a", v -J Applicant's Mailing Address.c- (bwJ f kM/"1 1 ItWINE TYPE OF CONSTRUCTION U NEW U ADO U ALTERATION U REPAIR E Z S Main Building: Accessory Building: ❑ CONVERSION El DEMOLISH El OTHER T Front O Owner's Name it A). C. s 9� -zP^•`l♦a'sT Phone P _' (efe DESCRIPTION OF WORK/USE OF BLDG. ' A Rear N Address ..:547- ,/ Pmie7 /RVN,ss/�E p Arch/Eng. 1 o W/'•�V,l� a License No. T`1 v1 TYPE OF PERMIT El GRADING U FOUNDATION U STRUCTURAL K Right G Address _4J&II l ! C".J L� El TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left ❑ OTHER E Contractor's Namel/Ne P�1'aS'l•OP'-�"i�� Phonel23-*4+6 !Ping. Ret.51`- Parking Req./Provided E Address(mailing) .a PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q S—b •wJ p /Lv!•,1� Planning Notes: M CONSTRUCTION TYPE VALUATIONS �{�(LC1_ T City License No. ZONE GRADING CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION I hereby section affirm that) I am licensedion oer provisionsBusnssf charter 9 (cns ncind Remarks: /1 with section 7000) of Division 3 of the Business and Professions Code,and -e,/• !/ my license is in full force and effect. ELECTRICAL FEES License Class License No. - ` to Signature PLUMBING ( FEES Automatic Washer Transformer 0 15-50 KW JRKERS'COMPENSATION DECLARATIONConstruction PoleSub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Dishwasher Meters Policy No. Company Backflow Irrigation 1 Sewer Cap Dover 100 amp 8 — Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel -.--- Certified .--Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00.1 HP 01%- . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors _ (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit Is issued, I Fixtures. shall not employ any person in any manner s as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Cymge 1st on Laws Of California. Device BO%e5 Date y^ -b__ Signature '-'1 Floor Drains Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration,yo should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal g comply with such provisions or this permit shall be deemed revoked. _$witch¢$ CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance - of the work to�vypJ [ rmit jy issu (��i + ,j097� Civ, .) Garbage Disposal Standing Sections Lender's Name /SKS rTC^S� 7 'Wr Interceptors Water Heater - Lenaer's Address �6!L a ^' -0- Kitchen Sink Water Service Generator ❑0.5 KW ❑5.15 KW Trash Compactor OWNER BUILDER D CLARATION ! I I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish Or repair P-Trap Laundry Trays :y structure, prior to its issuance, also requires the applicant for such permit file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains .e Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee 1 $15 Issue Fee $ 3 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 $(_malty of not more than five hundred dollars(2500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered — Zoning Approved By Date for sale (Section 7044, Busines and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves .__ -_. _. __ - __ _. _—. - _ - -. l thereon, and who does such work himself/herself or through his or her own Application Issued By SS7i Date_ empIi gees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. Ii, however, the building Or improvement is sold within one year of com- Canopy Type II 0 SUMMA FEES Mellon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground pr ve for the purpose of sale). BUILDING PERMIT $ Z 1 $MIP $ OS—" as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ �� PERMIT ractols to construct the project (Section 7044,Business and Professions Code: yA� The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ LJ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ _ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ IDI am exempt under Section— B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers - PLAN CHECK 50% $ MICROFILM $ Date S!-2 eI Owner . _r Heating System& Ducting Registers MECHANICAL $ CV I herebycertifythat I have readTOTAL FEE $ thismapplication cityytl and countyo that the above ❑0.100,000 BTU 0100,000 BTI. PLAN CHECK 25% Information is corelatingrrect. I agree building comply with all authorize ordinances $ and state laws city to aand- hereby yfor inspection of this city to enter upon the above-mentioned property for inspection purpose S -- SYR, —ure__ J-[-(y Date -/ / [f __ f Drivers' License Reinspection Fee $15 Issue Fee $ 3 01 71;6J7°v22-C��13i4 T. .. _ c�.,7! 3 -'G1/39 777: r2:31 \0065-46,rev. 5/ag White - Building: Canary - Applicant: Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNIN. )L& SPA Date Inspector Date Inspector A:'PROVALS Permit# APPROVALS Permit# _ 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 56.1Rough Plumbing & Pressure Test 6!tElectrical UFER.Grnd. 57. 'APPROVALT000VER-GUNITE 7":Footings 58. -Electrical Conduit-Undrgrnd. 8` Foundation • " 59. Gfis,Pipe, ❑ Undrgrnd.,Test • 9: Water Pipe-Undigrrid. 60. -Backwash Lines, P-Trap, O Undrgrnd. 10t. Structural Floor System 61. APPROVAL TO DECK 1 is Proper`y Sewer Line & House Connection 62. ,Baawash & Receptor-Final 12. Sewer,Cap; 1 fin/& (#/O 63. Heater & Vent-Final 13. Root 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 20. Rough Factory Fireplace APPROVALS Permit# 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 ❑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 1 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 1t/17/sk LAO 48. Special Requirements Completed t, 1 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date (24/3� jry4- / c-s PPIicant to fill in all spaces except those within heavy border lines and sign all appropriate6. declarations.lir CITY•OF,, COST' MESA CONSTB CTI • �RMIIT s�s.Vl PERMIT NO. TRACT • • •. UNIT NO. A P # ♦,Z(p - 1 3z- 0 I ZZ I Zone 2 Z •Project Address!=�=--=".'" �•,t� Met ' l rw' 3 -`O 1 • V{ f ��1��'�j,,. �1�.r � '/ S Main Building: "lc a or 'ding: Apn)icarin M-htng Address / )T[ Its -eet,4 TYPE OF CONSTRUCTION W4 NEW y ADD N ALTERATION III REPAIR , E / JJCC�. 1� Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front w/ O • Owner's Narr 1DESCRIPTION OF WORK/USE OF BLDG. BA Reer .•� 0, QQ N Address d M{C,4.G..•� aJ - C Right 't• g� � °'� ��$ N Arch/Eng.A License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION STRUCTURAL K / G Address �.•t ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left S -� ....AA R Contractor's Name ✓,1 Phone ❑ OTHER [ETC Ping. Ref.# PAtkirig'+set1./Provided Q PROJECT DESCRIPTION SQ. FT. C1 OCCUPANCY I l 1 Address(mailing) Planning Notes: Z pacjA. 4- 0J �, + /6, /f City License No. CONSTRUCTION TYPE VALUATION$ �7 fI ' C77�- s'''^-^�"r"� , 1 �,/ �Q M ZONE GRADING CU.YDS. ACRES / T LIC SED CONTRACTOR DECLARATION — S. I hereby .. that I am licensed under provisions of • encing Remarks: • 1 - Ca Jb1 X t L' with section 70s s • 2" •• 3 of • - and Professions Code, and Ill'a i.•• s '•�� - my license is in full force .•• - - . 1 ELECTRICAL FEES License Lice - - Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. ❑ 50+KW ' I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section1 Cooking Unit Meter Duo to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date ApplicantFan Motors ❑O.1 HP ❑1X-8 / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or F.A.U. less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ • I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any man n555yyy jjjo as to become subject to the Drinking Fountains Solar Tank Microwave Workers' poryp ation Laws of Californiy/q s Date —f0/ / Signature ,r`�Q_ Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the • e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet n Switches Si 1 hereby affirm that there is a construction lending agency for the performance g _ of the work for which�tnispe/;mit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name ��/ ,.!`L Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / following reason (Section 7031.5 Business and Professional Code: Any city or • county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 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 , panalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: / /� ` U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By C'I� Date& it -! compensatio.• .vill do the work, and the structure Is not intended or offered — - - l for sale (Secfion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves ae .mss thereon, and who does such work himself/herself or through his or her own Application Issued By SI=P ^LZ�[T employees,If, ho e4', that such improvements are not intended or year o f dc m- Boiler Hood oType ❑ Date_ sale. If, the othe building ave improvement of pro i sold she one your dfrem- Canopy Type II ❑ SUMMARY OF FEES 70 prove the owner will have the burden of proving he/She did not build or im- Duct-Under Ground // -- prove for the purpose the oe). BUILDING PERMIT $ COV.:: SMIP $ �_ ❑ I, as owner the property,rojectam tcontracting with licensedionscon- Duct-Structural Refrigeration System PLAN CHECK $ l) et� PERMIT hetprs t constructctos the project (Section 7044, to Business and Professions a rt Cotle: The Contractor's License Law does not apply to an owner ie is hta who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, and who contracts for such protects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ pr••f o their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ _ -' am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ DateOwner y Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 1&4 1 I hereby rtify t tat I have read this application and state that the above 04100,000 BTU 0100,000 BTL PLAN CHECK 25% Information is correct. I agree to comply with all city and county ordinances - $ and state laws relating to building construction,and hereby authorize repre- sentatives of this c'ty to enter upon the above-mentioned prope ty for inspection purpos//// / Signature "/ (—r Date Drivers' License or SS$k ♦ Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - T _ A �. CONSTRUCTION AND PLANNING . POOL &SPA • - APPROVALS Permit# Date Inspector •APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location -2.-5t"dipe-Undrgrnd. 53. Steel Reinforcement p J ' 3.'E;?ctdcal Conduit Utility-Undrgrnd. 54. Forms • - - 4. Electrical Conduit-Undrgrnd. - 55. _Electrical Bonding '• 5.'Steel Reinforcement ' ' 56. Rough Plumbing & Pressure Test R� l 6: Electrical UFER Grnd. • 57. 'APPROVAL TO COVER-GUN/TE " 7.• Footings 077ok, 58. Electrical Conduit-Undrgrnd. . 8 Foundation 59. Gas Pipe, 0 Undrgrnd., Test v i. '' 9. Water Pipe-Undrgrnd. i, 60. Backwash Lines, P-Trap, D Undrgrnd. t� 10:iStructural 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 1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 191 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT t 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22.-,Ducts, Ventilating - 71. Product Piping 0 Gas D Oil 23- Gas Pipe-Rough&.Test - •72..Underground Flush , 24. Roof Framing c 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25-Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical ' r 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation (-• 78. FIRE PREV. FINAL 30. Drywall Nailing •, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .` - -, 79. FINAL INSPECTION r • a 32. Electrical Power Meter-Final. 80. FOOD CERTIFICATE ISSUED • 33. Final Electric - Notes: ,/ J A �� 34. Final Heating & Air Conditioning n'' D6f- , �Tn. 35. Final Gas Pipe-Test ' fa-� F� � . 36. Hood or Canopy 37. Final, Fireplace . :38. Final PlumbinT g _ I • 39. Water Service-Final = • `r 140LL653:Serviee-F i nal • k - '4l Solar Domestic-Final 35 - -.42s$ackyow P eventer' " 4r% ..a+ ,4 - � 3ltBackflb v Irrigation" - '.44" ' ' ndscape,Irrigation System 45..Squndi'Attenuation ,-, - 46.4irlanOlcap�Regulations -. - ///� 'I ' r� 47. FINYa'C`tTRUCTURE'&BUILDING //-n_!j ./�//{Jr[J//Jlr/�/�f/-- 48- Special Requirements Completed 49. Electric Release to Edison `/ '-' Y o. Gas Release to Southern California Gas Co is c __ '51. CERTIFICATE OF OCCUPANCY r' U No. Date •'- i, • - APPS �. • City of Costa Mesa Building Dept. &f "y" X 1.17- - k & ��+ 1 1 BY DATE , 19 D n THESE PLANS i.,57 EE O?:J APl Y t r&ii tli_ WS . l - NO CHANGES U-'AT ALL TIMES 1AAKF. ' 6-Cb�1�' ' S 'v.TH:"r'iT';:I;,R APPROVAL Of DEPT. a,LaCLa�j'YZQpCO A ESA 1 • P, 31. oIS THg151JANC:O, >_• OF PLANS ANC .e ^. ., uG .M. ,:'' '' N:i s PRRJTO OF PUNNING DEPT. oFLCIF;<pi;0.` . ✓.it:<Q ....O�i'!It.E'J TO BE A DE►T. tea. THEPERAiT FOR. CR -----Pv;':•;L j+ ►JECT TO �L�• THF.pRov!sioisic . , r' Are; •�;::'.A?.::PI C, ANY OF W AUTHORITY 74 'Pei .;F Ci. 7.'C':=_',Y,•:,.:;V J.ONO TO OWE -- • � �� I I I CODE SHALL E01+a ;:^. - . r.. : 't't :'a,a:�:0`tS Cr THIS tY-� "r�A r 'ltZ tl-0 ' ri! p lAsH r WA WHIG 15Trio.1 1 Cj;Nt� :,i: -•rlt•- PLAN • a """"'"° THF. ISSU<nl E C* A >"...";1',i" SASF•^. / SPECIF C..T ON') �F"' PLANS AND L.- S.`i;::-L NOT PREVENT i}:5 3Ct:.D;:�'C�f LI/45 NEN yt w, j– FRIM PLANS';AN nC'QUIi,'i ;c) CORREC*IOr;C;f 4}i', �y: ��A'p'p 1--' SAID AND SFB E:T•10T{Gg5 OR I ikR N NI H1 �V ry}1 BUILDING OPERATIONS BE:i'IG CrtYRi::. Or!Tt;cFiINC . t IN CITY. OF THIS COD;0-G: ,t;aY OTHER 8-RDI p'} • I(}�C • L�G•� (��6,It[71(•y' • KI IIoII p n� �_ __� ,_._ . P— I� Di 1 . HVAC — _ coM no;. I ou I I 1 I- p. " 6' , I n ,, u I l3t•ou IGI• Gn ! i1 o C H �'N IT '�' c-*AAt c uN 11 A.' H21,ou -11yl - 1 p I �. OM FINIi t I I _ rig .3 _ K:0019146 Hfkl ' 1 O i_ >~! EG, • - —S— �' I ` — — — — WI"rL OUT T, OUT � i ti 1 rr- I M I �T . —rJ 11/ 12,- ,,, �— L 4 • 40 I �'R. �.> ' �� - - L�— — =tr. I { '0°WIDEvie f , �- \ G, • ' N 1 U s N. 2-01'1 �lv o° 0 (oi•GI• - • G.J. C N4011.1011 G•J, i it 6�""°- i ; 1 • PROJECT ADDRESS:‘-',. DI34 ,1a"t 34. UNITLA,4 � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 045011 OWNER'S NAME: NZCHAEL TALI RT ...5—a—to—a- 0.2i-C._ • • ADDREss: 5051 ALYON ? WY #44PERMIT NO: P 045011 PLAN ,CHECK NO: N GOVT: N SUPP : N - IRVINE 92714 . CONSTRUCTION TYPE: PERMIT TYPE: PLU • PURPOSE: NEW ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : GAS LINES SQ FT: ADDRESS: UNIT: - CLAIM VALUE: CALC—VALUE: • GROUP OCC: / • PERMITTEE' MICHAEL TALBERT ( 714 ) 721-3745 ADDRESS: . SAME - COMMENTS: REFER TO #38950 • IRV. CA 92714 *********************************M*************************** *x*******x****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R EQU IR EMEN TS • 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: /�g TATE UC.:/ CLASS: Date: L l ) // l (Signature'nature: Al 1 / - MAIN BUILDING •- - ACCESSORY BUILDING WORKERS'COMP SATION BECLARATI011: I hereby affirm that I have a certificatensent to self-Insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: • FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 9LICY NO.: EXP.DATE: • :OMPANY: PARKING REQ: PROV: PARCEL: 42613201 ZNE: REF NO: • Cl Certified copy is hereby furnished. CI Certified copy is filed with the city Building Division. PLANNING NOTES> . > -. Date: Applicant: *************************sE*************dfle*****1(-9E******************************* EKEMPDON FROM WORKERS'COMPENSATION DECUBATION: (This section need not be competed if the permit is for one hundred($100)or less), DEVELOPMENT S ER V :I; C E S't " R E Q U I R E M E N T S • I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become • subject to the Workers'Compensation Laws of California. ._ ZONING APPROVED BY • DATE: Date: Signature: -- - - - NOTICE:If,afterbecome making this declaration,you should subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . . 'I DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. • t ` _/t _kr. • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: v i!)E� DATE: dF which permit is issued(Section 3097.Civ. ********************************************* * ******************* ******** ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N . — F E E S U M M A -R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the foeow)ng reason BLDG PMT - PLUMBING .ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 4 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed 25$ SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN , any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars(5500). . ISSUE FEE 3 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE '3 structure Is not Intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 44 . 00 3 . 00 0 . 00 7. 00 7 . 00 - 0 0 does not appy to an owner of a property collo builds or improves thereon,and who does such work himself/herself or through 'his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or -REVENUE DIVISION TOTALS--> COLLECTED: 7: 00 OVER/SHORT• . 00 im prsold hn one year of completion,the owner will have the burden of proving he/she did not build or improve forthe pupose ofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. -I N D I V -I- D U A L F E E BR EAKD 0 14 N o I exempt underSection: B.&P.C. fprr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: [ /�� (Owner. Acc • • • I do hereby certify that I am aw a of and derstand the requirements of California Health and Safety Code Sections 25505,255 and PLU 2 GAS SERVICE 2 .00 9 . 00 • 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a • END OF FEES permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from • --.-. ,gbese-pLpvis,lk. . . Date: Applicant: • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby 3mhoriz epresentative5 of this city to enter upon the above-mention property for inspecn purpos s. Date: �3 Signature: - - 4.v.' ". „ - 'T ) , a { v • Driver's Licen or Soci Security x: 1641-46 White—Building:Green-Code Enforcement:Canarv—Aopticant;Pink—Revenue:Goldenrod—Assessor - • - - CONSTRUCTION AND PLANNING t L & SPA 1 • i APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector k`,- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' -2. Soil Pipe-Undrgrnd-. - . 53. Steel Reinforcement 't- 3.-Electrical Conduit Utility-Undrgrnd. 54. Forms 14. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5./Steel Reinforcement 56. Rough Plumbing & Pressure Test ' c. -1';6-Electrical UF ER Grnd. 57. APPROVAL TO COVER.GUNITE , ' r T 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 • 'T12. 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 �.i17. Rough Wiring Sign 68.-APPROVED FOR PLASTERING 18. Rough Electricii-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning _77. _ - _,FIRE DEPT. REQUIREMENT . 20r Rough Factory Fireplace _ - •-:- , _APPROVALS ' .-Permit # a - 21:Dupts, iri:Structure' ' ,• _ = : v_ 70 . Underground Hydro 22: Ducts, Ventilating: -I ^ �* I 71• Product-Piping OIGas OOil 23. Gas-Pipe-Rough & Test - .- ' .= s ' '72. Underground Flush -t 24. Roof Framing .--,4 - _ . " 73_ Undergrnd.Storage_Tank 0 Gas 0 Oil ' 25. Roof Sheathing :- * +' - _,• 74. Overhead Hydro-', 26.2-Bar Ceiling (Structural) &-Monocoat r ^l; , 75,- Dry Chemical a. 27.-Frame and Flashing, _ •••• 4- " 76. Dry Standpipe _ r- ` 28. Lathing-8, Siding's. '" _ _ - ", J. 77 FIXED SYSTEMF,INAL 29. Insulation nr, _ 78;1 FIRE PREV. FINAL '30. Drywall-Nailing Y _ c ,- e u .- • HEALTI-DEPT. REQUIREMENT NT '"31. Plaster Brown Coat- - 79. FINAL INSPECTION `:32_Electrical Power Meter-Final �. w v '80 'FOOD CERTIFICATE ISSUED -33SFinal Electric - - - ,i * Notes: "^ - • 34: Final Heating,& Air.Conditionirig _ ' _ *' 35.-Final Gas Pipe-Test - 1/( ( pQ •Z36.,Hood or Canopy ' - 'z _ _ _ : - 37.- Final Factory Fireplace.; .- -- -. 38. Final Plumbing o i'(1((1 ( - c 39. Water Service-Final: # '- i• ;; . t- '40. Gas Service-Final - -r -7 _ I : _41. Solar Domestic-Final:L T.-,... •• . • - 42. Backflow Preventer , i - - -' _ 43. Backflow Irrigation 4: r . - . - . • 44. Landscape Irrigation System= ;l• - 7 ' t: 't -_ ) • e ' 45; Sound Attenuation _ ' 46.-Handicap Regulations - • -- s. _47. FINAL STRUCTURE & BUILDING . _. -• 48.-FINAL PLANNING - • R 49.•Electric Release to Edison - 50. Gas Release to Southern California Gas Co ; tO -• - • -51. CERTIFICATE OF OCCUPANCY • - - - No. Date 2'.54 r_/ — ✓ys�-t- cove ( ,4 ) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. � w_ r RMIITNO. TRACT NO. LOT NO. UNIT NO. I CITY OJCOST MESA CONSTRUCTION PERMIT n I' 3 gI v SiA.P.:ifs. Zone Project ddr?/S"2 Mr°QRt1\ 'pj&c -E} E S Main Building: a I .bn 1Accessory Building: SOS? A4>L�t/ Pk,- y-S/ TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E z APPfiNant s Mailing Address Front O I // / ❑ CONVERSION 111 DEMOLISH Owner's Name ��WT /Ys IC(•'tAC Phone 1$6<<�4C7 OTHER TB i DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address -til-✓/N!C / Cr1 `fid. ) _ U STRUCTURAL I C Right N Arch/Eng. License No. TYPE OF PERMIT U GRADING Li FOUNDATION 1C — G Address .,,a ❑ TENANT ❑ ELECTRICAL 1KPLUMBING ❑ MECHANICAL S Left R Contractor's Name Phone ❑ 'OTHER Ping. Ref. Parking Req./Provided E Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY I Planning Notes: M CONSTRUCTION TYPE VALUATION S City License No. T ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION —' ��111... S. • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R 3 Cj i /1 V with section 7000) of Division 3 of the Business and Professions Code,and 1l� ELECTRICAL I my license is in full force and effect. FEES License Class License No. - Automatic Washer Transformer 0 15-50 KW Date Signature PLUMBING FEES- fy1.RKERS'COMPENSATION DECLARATION �1 Construction Pole Sub. ❑ 50+ KW ? l;:reby affirm that I have a certificate of consent to self-Insure or a certificate R Bar Sink Z Showers (� �J ) Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 1/ 3800, Lab. C.) Dishwasher Meter Dover 100 amps 'y Policy No. Company Backflow Irrigation Sewer Cap Certified copy is hereby furnished. ,,/ t 8 OO— Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. 4 9d Bathtubs * I Sewer Connection 1 Date_ Applicant r4' a .FanMotors❑0.1 HP ❑les-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or. / F.A.U. Inc.Solar 09-15 HP❑16-15+ less). Z -1, Dishwasher // Solar Piping 4 at__ I certify that in the performance of the work for which this permit is Issued, I Fixtures Microwave shall not employ any person in any manna o as to become subject to the Drinking Fountains Solar Tank Workers' Cq e�sal'on la sof California ff / Date to 5-D5 �ignature ( Floor Drains r Swimming Pool w/Spa Device Boxes Pole Light NOTICE:It,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks / Urinal Range comply with such provisions or this permit shall be deemed revoked. 1.� Water Closet CONSTRUCTION LENDING AGENCY Gas Service Outlets it. Switches Sign I hereby affirm that there is a construction lending agency for the performance /rte. 1'Z (v __ g of the work for which this permit is issued (Section 3097 Civ. C.) �y ' t Garbage Disposal Standing Sections Lender's Name Interceptors L T Water Heater `-t pJ Lender's Address 2 9 Kitchen Sink Water Service y Bu . Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION NN __I I hereby affirm that I am exempt from the Contractor's License Law for the�rr Lavatories / Auto-Wash ` to O\J_� following reason (Section 7031.5 Business and Professional Code: Any city or LLYY rr '' countywhich requires a permit to construct,alter,improve,demolish or repair P. Laundry Trays - any structure, Trap prior to itissuance , also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • Contractor's License Law(Chapter 9(commencing with Section 7000)of - _ $ 3 (Sion 3 of the Business and Professions Code) or that he/she is exempt ' Reinspection Fee $15 Issue Fee .eretrom 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). DEVELOPMENT SERVICES REOUIREMENTS: LJ I• . as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3 j Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved BY Date License Law does not apply to an owner of a property who builds or improves Q 91 thereon, and who does such work himself/herself or through his or her own Application Issued By TDate CO L•1,_ai employees, provided that such improvements aro not intended or offered for Boiler Hood or Type 1 0 sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 - SUMMARY OF FEES Pleti•n, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground pr• r. for the purpose of sale). - BUILDING PERMIT $ SMIP $ r I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ + PERMIT ractors to construct the project (Section 7044,Business and Professions Code: lL Thetl sontrr lmprosesicenthereoawn. ntl does sonot a pplys to as owner ch ro efc t property who Duct-Ventilating 7- ❑o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that System0 Multiple❑ ) SystemRepair/Alteration ! PLAN CHECK 25% $ ENERGY P.C. $ proof off their Worker's Compensation insurance should be provided to me. Exhaust Re air/Alteration It ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ DateOwner Heating System& Ducting Registers GA_` { MECHANICAL $ TOTAL FEE $ GA I hereby ertlfy hat I have read this application and state that the above 00-100,000 BTU 0100,000 BT PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction, and hereby authorize repre- sentatives of this popppp it to enter upon the above-mentioned pro rty or I inspettion purpose - Signature v'r � Date Reinspection Fee $15 Issue Fee $ 3 �• -'- - �'c�� -_ ' Drivers' License or 559f fi. "• �i•,- IZjdj ;IFr• 1 -c 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING • P� & SPA , AjrPRO VALS Permit Date Inspector APPROVALS Permit# • Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • • 2.• Soil Pipe-Undrgrnd. TC 53. Steel Reinforcement - i, � 3. Electrical CondOit Utility-Undrgrnd. `• 54. Forms ��- I1. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5"Steel Reinforcement t 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. `//'�y�5' 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10.,Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 1.�.ift t o, 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 ti1 66. SolarSystem-Final 116; Rough Electric Wiring - 67. Fencing& Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOLJSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatingyt P. P,foduct Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - - 72'. Underground Flush 24. Roof Framing' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • t 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 a. 33. Final Electric • Notes: r n�JZt c%'1 Nvr P-�rr,t)ti /-20 U_ n.f,c,rnft 34. Final Heating & Air Conditioning i^ Phc 35. Final Gas Pipe-Test i(/f!I&tt (EQ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing I 112O (4 LE0 39. Water Service-Final • C'-.z4--9 (_c 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 E49. Electric Release to Edison !' 50. Gas Release to Southern California Ge-.Co 51. CERTIFICATE OF OCCUPANCY No. Date 'z 1 /4r+270_ ,‘100.1- CovettL1'3 A•plicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. PER IT NO. TRACT NO. LOT NO. UNI NO CITY OF COSTA M -A CON • t 1..„..„.....„,.....4 ! 7 <____ A.P.# I Zone Project Addr- • • � __'__=tea �a � �� w S Main Building: Accessory Building: Applidant'S Mailing Address 57g1 44Th& TYPE OF CONSTRUCTION • NEW NI ADD U ALTERATION REPAIR E — Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name7 �n-(flIVG Phone �• - DESCRIPTION OF WORK/USE OF BLDG. ' B Rear N Address 2s-0- 718,-C) Arch/Eng. I be T)License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL C Right N Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING/C.T(rMECHANICAL S Left R Contractor's Name Phone - El OTHER Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SO. FT. OCCUPANCY Planning Notes: M Address(mailing) CONSTRUCTION TYPE VALUATION $ City License No. ZONE GRADING CU.YDS. ACRES . S. LICENSED CONTRACTOR ECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /!_r1 p yV/ z i 1 t 1 IF/ , with section 7000) of Division 3 of the Business and Professions Code, and -J L u i -/r- my license is in full force and effect. T2 - 'e Q ELECTRICAL FEES License Class License No. CJ J 7 Date Signature - PLUMBING FEES Automatic Washer Transformer ❑ 15.50 KW DRKERS' COMPENSATION DECLARATION _ • I I Construction• Pole Sub. 0 50+ KW ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers . Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap • Dishwasher- • Meter Dover 100 amps B Certified copy is hereby furnished. — Dryers OGas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00.1 HP 011/2-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dish crasher Solar Piping F.A.U. • Inc.Solar 09-15 HP 016-15+ less). I certify that in the performance of the work for which this permit is Issued I Fixtures Microwave shall not empl any person in any mannep so asitrabecome subject to the Drinking Fountains Solar Tank Workers' ion Laws of California./L UY Device Boxes Pole Light Date Signature �t�f C. Floor Drains Swimming Pool w/Spa NOTICE: 1 alter making this declaration, you should become subject to the Outlets Range Workers' mpensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name � Lender's Address /�)07�1 -- Kitchen Sink Water Service Generator ❑0-5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains •Contractor's License Law (Chapter 9(commencing with Section 7000) of rision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee I $15 Issue Fee $ 3 ..erefrom 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 . alty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee.0 II ! $15 Issue Fee $ 3 co •ensation, will do the work,and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or Improves Date y��D� thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 Application Issued By Date V employees, ever, ed that such improvements are not intended or oftl for Boiler sale. If, however, the building or improvement is sold within one year corn- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- 'is' prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I. as owner of the property,am exclusively contracting with licensed con- Refrjgeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044, Business and Professions Code: qThe Contractor's License Law does not apply to an owner of property who0-100,000 BTU ❑100,000 BTU ! •O PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to tne Contractor's License Law). I am aware that ■ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ - proof of their Worker's Compensation insurance should be provided to me. 2 ' ❑ I am exempt under Section B. & P.C.for this reason s s e Fire Dampers le co ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ Date Owner —} H�e ng System& Ducting Registers MECHANICAL $ s 00 6°. Sc I hereby c rtify that I have read this application and state that the above 2 164100,000 BTU 0100 000 BTL f8 TOTAL FEE $ Information Is correct. I agree to comply with all city and county ordinances � PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to r upon the above-mentioned property for Inspection purpos Signature L Date •+�,., LQa!141L1°';iJD41S05 - :': ._ .:,C? Drivers' License r SS / �� Reinspection Fee $15 Issue Fee a"� !14 E CAC /S9 T :• TINE: 11 _ ty 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING P &SPA APPROVALS , Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 1. • 52. Pool & Equipment Location 2: Soil Pipe-Undrgrnd. 53. Steel Reinforcement r • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4:Electrical ConduitrUndrgrnd. 55. Electrical Bonding 5. Steel,Reinforcementr 56. Rough Plumbing & Pressure Test -� 6. Electrical LIF ER Grnd '- 57. APPROVAL TO COVER-GUNITE • 7. Footings) " a. 58. Electrical Conduit-Undrgrnd. ../ 8:_Foundation• 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, C 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. Root 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 Condi ioniing FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas C Oil ' '2 23. Gas Pipe-Rough & Test '- ' • 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank C 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 UJ[r/8t Le0 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace (I(,�f1tk (Ap 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. 213 `T INNS ••MCAJt Cove, Q,(,0, Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. o O T• MESA CONSTR U, 1IO ' ERMIT �6d5l) MIT NO. TRACT NO. LOT NO. UNIT NO. •+ (` /1 �p IC)7 A.P.# Zone }Voider Address' •�. WI Ai B ,- ` $ Main Building: Accessory Building: Applicant's Mails Ad•fe55 - ��ei�S//��•• _ TYPE OF CONSTRUCTION ❑ NEW Li ADD U ALTERATION REPAIR E Z ❑ CONVERSION 0 DEMOLISH ❑ OTHER T Front 0 Owner's NameA -• '•• ��=•�'°"5ne ESC IPTION OF WORK/US F BLDG B Rear N Address p LD 4 p-aa,/.b gri-- - �- to s-,coo 8.77/l- C Right N Arch/Eng, License No. TY E OF PERMIT GRADING ❑ FOUNDATIO U STRUCTU L K 9 0 Address / �/•t� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Ia MECHANICAL S Left Contractor's Na 4- Phone9 ❑ OTHER Pin_214203g. Ref. # Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY eVm/ Q Address(mailing) 7 Z1 Planning Notes: M �5ZI 4; CONSTRUCTION TYPE i LI VALUATION$ T City License No. K/T ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Divislo' 3 of the Business and Professions Code, and r my licen: is i full force and f'ec J-1.094941 ( , /j, 9 / G ; Q pl/, 7.1 ELECTRICAL FEES Lneaten 1, , �— . o �(Z+7 Y'7 �+ [� 'L7 p �PLUMBBIINNG FEES Automatic Washer Transformer 0 15-SO KW �� Signature •. li_. RK R5' OMPENSATION DECLARAT 0 v Construction Pole Sub. 0 50+ KW rreby affirm that I have a certificate of consent to self fa� re or a certificate Bar Sink Showers �� of Workers' Compensation Insurance, or a cer . 'ed c.--• iiireof ection Cooking Unit Meter ❑up to 100 amps 1\ 3800, Lab. �7Z��/ • Backflow Preventer Service Sink \\j Policy No. 91 f 0 [ ,>+ tip! Comp = - If /1. • Dishwasher Meter ❑over 100 amps Backflow Irrigation Sewer Cap 1 q Certiti tl copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel N. Certs I d ' tl with the city t IS.. •h f n. Bathtubs Sewer Connection N. Date 5 Applicant WA Fan EXEMPTI N F OM ORKERS'COMPENSATION • LARATION Clarifiers Solar Collectors • Motors❑0.1 HP ❑iX-8 (This section ne d not be completed if the permit is f•,,ne hundred ($100) or - F.A.U. Inc.Solar 09-15 HP 016.15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit Is issued, IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light • NOTICE: If,after making this declaration, you should become subject to the - Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater gStanding Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance,also requires the applicant for such permit .',igo,file a signed statement that he/she is licensed pursuant to the provisions of / v yr Contractor's License Law (Chapter 9 (commencing with Section 7000)of Roof Drains - _-'i? e CONSTRUCTION AND PLANNING P &SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location 2. Soil Pipe:Undrgrnd. - 53. Steel Reinforcement • 3:-Electrical Conduit Utility-Undrgrnd. 54. Forms . ' i' 4` Electrical ConduittUridrgrnd. 55. Electrical Bonding 7, r 5 Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6.' Electrical UFER.Grnd. 57. APPROVAL TO COVER-GUNITE • 7t1 Footings r - 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 - 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 ` L„: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 20: Rough Factory Fireplace l- APPROVALS Permit# • 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 moi, 73. Undergrnd.Storage Tank 0 Gas 0 Oil, ' 25. Roof Sheathing " r- 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 33. Final Electric Notes: ! r 34. Final Heating & Air Conditioning I(frfl'${CIO 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final i" 41. Solar Domestic-Final 42. Backflow Preventer -. 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation '` 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 .4. • No. Date y� A0A�(102( 2L�• /_ Sake) Co\� Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. Q'l'`• - 4J s PERMIT NO. TRACT NO. LOT NO. UN4ç,e NO. CITVOFCOST MESA CONSTRU TIONP T A.P.# Zone Project Address /I----ss../Unat ,/ g: Accessory g: 'vs� >�.1TDnI N7 TYPE OF CONSTRUCTION kd NEW "❑ ADD U ALTERATIONEPA10. S Main Building: Building • Applicant's Mailing Address E Z 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front o Owner's Name 1 ' ' c Phone��aZ�/9 DESCRIPTION OF WORK/USE OF BLDG. 4Te 32.00� B Rear N Address Arch/Eng. License No. TYPE OF PERMIT El GRADING ❑ FOUNDATION U STRUCTURAL ' C Right N Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R f/ T try) C� 'T S5��97 ❑ OTHER I,Ping. Ref.# Parking Req./Provided E Contrac Pone 7- SO� 3 O j T�? r, !► j LOD PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: N7 Address(mailing) i•S 1 RIT�� 4 - _ _ _ -- CONSTRUCTION TYPE war. VALUATION $ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION /I pp// 1 hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: ' r^ ine a)Z l`I f/� 1 T 4/13with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 'Bid ty 32'?c V i1 ELECTRICAL FEES License Class License No. Bid R O_I Date Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW - •RKERS'COMPENSATION DECLARATION Rar-fink $hOw¢r3 Construction Pole Sub. 050+KW -reby affirm that I have a certificate of consent to self-insure or a certificate ?ITN �a1 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ng nl .f"s Meter 1p to 100 amps 3800, Lab. C.) i4� Policy No. Company Backflow Irrigation Sewer Cap .�_' Meter Dover 100 amps 8 Certified copy Is hereby furnished. — — Sub Panel -- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date ApplicantFan Motors❑0-1HP 011/S-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • (This section need not be completed if the permit Is for one hundred ($100)or Dishwasher Solar Piping i E4.L..1 .".O Inc Solar ❑9-15 HP❑16-15+ less). I certify that in the performance of the work for which this permit is issued, IFixtures shall not employ any person in any mann so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' CQ+g ,,ps n Laws of Califor Device Boxes Pole Li ht Date p [ Signature �� Floor Drains Swimming Pool w/Spa g NOTICE: If, ter making this declaration,you should become subject.to the - 1.—. Outlets Range 6'� 3 co Workers' CO pensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet "/„.. Switches Sign ( ss') I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) interceptors Water Heater Garbage Disposal Standing Sections ` Lender's Name Lender's Address Kitchen Sink Water ServiceGenerator 00.5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION ,,`` /� /� a �^+ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash r N.yss, /.Jf,.tp (; /13 Tj following reason (Section 7031.5 Business and Professional Code: Any city or /./, county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays nzso T J/ .G a. — any structure, prior to its issuance, also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Contractor's License Law(Chapter 9 (commencing with Section 7000)of Asian 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee .neref5om 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). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the propertyor my employees with wages as their sole Reinspection Fee $15 Issue Fee 9 $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By a .� �. Date License .w does not apply to an owner of a property who builds or improves /� there() and who does such work himself/herself or through his or her own Application Issued By — .ter. /____ Det empl. ees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ — � sale f, however, the building or improvement is sold within one year of cam- Canopy Type II ❑ SUMMARY OF FE'S i— pl on, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground p •ve for the purpose of sale). BUILDING PERMIT $ SMIP $ A I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ - builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ /3 it-. 75 ' GRADING $ _ ❑ I am exem t under Section B. & P.C.for this reason Firepl/Fact.Bit. '000# Fire Dampers PLAN CHECK 50% $ MICROFILM $ _ Date Owner �'� Heating System& Ducting Registers MECHANICAL $ I hereby c rtify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ 34'^• Zr information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of tic. city to enter upon the above-mentioned pr perry for inspection Pur. .. Signature -"cr— Date O ..Z 5 _ Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 01 00041042—(1C041047 TOT _ I — MT:33/2 /tq E: IG:;S 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING. P• & SPA APPROVALS Permit# Date Inspector APPROVALS Permit - Date Inspector , 1. 1Femporary Electrical Service or Pole • 52. Pool & Equipment Location 27'•Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.;Electrical Conduit Utility-Undrgrnd. 54. Forms ; 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 11 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6...Electrical UFER Grrid. 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. Sever Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit / //,qG $�)olar System-Final 16 Rough Electric Wiring p//�q1 iA '" ' Fencing & Access Approval 17! Rough Wiring Sign !70/ 68. APPROVED FOR PLASTERING 18! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace APPROVALS. Permit# '21: Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil •23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 31:. Plaster Brown Coat 79. FINAL INSPECTION 32: Electrical Power Meter-Final / �7J 80. FOOD CERTIFICATE ISSUED 33. Final Electric IY/,•-/�° Notes: 34. Final Heating & Air Conditioning - •A ' 35. Final Gas Pipe-Test • � t 36. Hood or Canopy . r 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • " //, 41. Solar Domestic-Final rr • r • 42. Backflow Preventer v . . - 43. Backflow Irrigation 44. Landscape Irrigation System f 45. Sound Attenuation • i / e. 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING .1 48.'Special Requirements Completed •` 1di 49. Electric Release to Edison • r 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • .i -C; No. Date 4,1 OWNER MEANS, TOREN DATE 7-21-54 JOB ADDRESS 152 Merrill Place BUILDING PERMIT NO, 1416 C ERAL CONTRACTOR R. 0. Mather VALUE $ 600.00 \ AP#118-071-23 LOT 262 BLOCK TRACT Service Porch GROUP 1 _ TYPE V ZONE RLI FIRE DISTRICT #4211 PERMITS ISSUED INSPECTIONS D• E SUBCONTRACTOR _ ��"" /1 DATE NUMBER� Footing Trench 2€c 4 Cita,!i Ex/,,c. d-fCC b .-G. Zt i /�AIS7s r b e, /T Uq.$ Foundation Forms and Grade to garage Rough Framing /Gv AlEr) Plumbing,Rough to Slab Plumbing,Rough Complete Temporary Pole Wiring, �Fh Rou h 9 1or.tl'I'MA err 7-.2 31/A- Heating,Rough Heating,Final Si St ;Tank or Cesspool / / Lathing,/,u nkl(-->t Plastering amo., Af - Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test _ Wiring,Final - - - n Occupancy & >1 U`Z2— S.t 'L. . Form 210 C-H 1M 12-68 to Mesa Building Departmentyy��77'.��4 APPLICATION FOR PERMIT 20th STREET COSTAE MAST ESA, CALIFORNIA `4laGBUILDING 1 ' FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. P rmit No. Building Z M 191— Received ► D l \ 91/6. Address /�j ' -/r2P 1 Ll Costa Mesa, California Received by Date Rec' Date Issued Nearest �f'� 7-1/-3—'6 Cross St. ( J ra. w Building J ' t Address Owner p rev.-- ,AA eq L,t (' Mall 'n,� eg.1+ 11ss]] Costa Mesa, California Address J SZ e rt' . 7' f ., Nearest . /� �- �.v� Tel. Cross St. City ` CF lq V• eta- No. Zone I No.of I,Type Group, Architect or Lia Plans ` Engineer No. Approved /J by f/ Date7---,-/-5 j Address CORRECTIONS n �A City Lie. Contractor /�O i 4 C✓- No. • ,,�L r^a Address 1 23) . 1 a /44 a� I vt 1. tif_nt • Legal I Lot `.L I 1ild4., 1t1-[[. /p,Description No. 2 Block Tract ^✓�f"�5 • 4 P s -07i-23 — Q (Attach Metes and Bounds)/T- Nl ■ - Size of Lot 74/x/Cg I Now ofn Lot / Use of No.of No.of JUl 11�A a Existing Bldg. I Families( I Rooms s747M Gt Setback Line from Rear Yard s - Center of Street Side Yard �+ NWA D DESCRIPTION OF WORK CITY OF COSTA r New I I Alteration I. I Addition J�� - . Repair I I Moving I I Demolish I . Building No.of •t� Size Rooms U` Stories / Exterior Wall Covering •Sit CCO Covering HO/' APPROVALS Use of New , Building S e 12 vFoundation Location Inspector Date I c, - c. Forms,Materials, 7/5? /11--7-- . Under-Pinning Frame: Fire Stops, . Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. 1 Signature of ,, Plaster, Int. Permittee ' Y`-4i-""V Plaster, Ext. eSlat, Authorized Agt. Masonry Reinforced Valuationo. Permit Fee $ `.Plan Check $ � 1 Bond Beam $ v0 .- Total �� - - SaVi G //_2.2 Fee $ FINAL FORM 204 5-H 2M 5-54 Iq'4��'• A F J C M o Xi a cr.` RefrviALEatg) W Xy is t I D-4 .• �j��/ .2•4 _ Vic.®- 2,� \.. _ . • • .O t9 N A..m I O ? jlrr: f . Y hi :1. Street /5 2- Men(2- IL1.- S� nv, , ; Atr-1M PLOrri'AN ` Show location and distances from • property line and between buildings. - • 1Ir— Ay�� Y'. ' 7 sz — /La _gll d bl r, . ' �. ' OWNER NEWSOME t 1 4 11996'2 DATE 12-27-60 JOB ADDRESS 152 Merrill Place BUILDING PERMIT NO.13530 GENERAL CONTRACTOR Snowhouse Movers VALUE $ 200.00 ' No.118-0741-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Reloc.Gar. -t; ECTIONS DATE GROUP J TYPE V ZONE Rh Underground Soil U.G. Water PERMITS ISSUED Underground Gas — — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing 1/1101/.o N/ iyfv S5/7t0 Miscellaneous t Prop. Swr. Line House Con. St. Swr. h q-fin i& DI- .oL- Sprinkling System -f-,noC c ac mei gf"'imU Heating, Final KARL 9--9?YG - Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring _ee /-4-6/ ia9c/7 Trenches Forms Steel ,-4 /— 1.449 Floor System _ Steel Reinforce Chimney Re-Rod Rnd Beam p s fig,,.-'thing Llt/Y/i tl'. • - £J-t ne and Flashing '-f' -4 Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final - Electric Fixtures, Final .4 h--r--1,,/h--r--1,,/ - `r _ Building, Final OCCUPANCY - 1\ Form 210-5M-11-59 5-13 P -- - .3530 • • t KtU'EIVED -0-7+41/4 • 13530 ` DEC 2i 1960 CdSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT, P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA. MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT 3UILDING / . ✓ V BUILDING ADDRESS �� /'I/�n` iu-t/ '� COSTA MESA. CALIFORNIA For Office Use Only Plai RECEIPT NO. a Iffi$ IT�11Q.o OWNER /fy-�-72A� .1,lDiJ(U NAIL / •5-0/- ' 9 i7iCel, RECEIvflDD BY DATE„RECEIVED D TE ISSUED ADDRESS OOO�� !/!i I 027-61 ! -)740 ,A nZ�yn-L-4:_ TEL. BUILDING :in e--60-22-0- NO. ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIAIll DR ENGINEER NO. ADDRESS FIRE ,//� �.�y�� _ Ate' ZONE TYPE Li GROUP :ONTRACTOR'`/'/ -0-4a /4 '«/�f1Z'4_�"�`t APPROVED Y DATE ADDRESS//64(.7-t-4-1---�0A�7jigv ZONING Jfe- ` J / ZONE ^ NO.OF USE OF NEW 113, ,f Zr-,.ap( :ITT � l 1 I PLANS I BUILDING Y f/ i�,/�f' I STATE / TEL.N /' / � 9 LEGAL �,y / h L,'r / / _/ LIC.NO. NO. M oEECRIPTION I -)•4+(9Z C9 / . SIZE 4'F 9X /Ate; rut. I NO. OF BLDOH. AlDF LOT NOW ON LOT A.P.NO. Ii 8 -• 0 7 AT -- 0✓ JSE OF Gi! YARDS EVES MISTING BLDG. 000'7��' ��""" ��77 ''J J APPROVED ALLOWED 4 (CENTER :ENTER OFSETBACK LINE NSTREETM / 7 REAR YARD 3 .3 FRONT LINE ST.) / 0/ FT. �_�c..�+ . IN. SIDE YARD I LEFT I RIGHT R.SIDE Ej FT. IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW I II ALTERATION I II ADDITION I REAR , Fi. IN. III REPAIR I MOVING I II DEMOLISH I APPROVED 10/ 12--1-2-7 T DATE /9 a/ /C SUILDING '1 D /9, Q NO. OF �1-2 > rJ SIZE C` ROOMS STORIES EXTERIOR WALL I ROOF :OVERING COVERING USE 21.2 BUILDING�1AND WORK TO BE PE�QRMED LC''CC / 74 /4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION y PERMIT FEE $ « SIGNATURE OF�� :�/-L[.) J o PERM ITTEE // $ oU /A PLAN CHECK $ .14 ',b.,•HORIZED AGENT .f e TOTAL FEE $ 0. 0