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Home My WebLink About2137 SABOT COVE - Building Permits . D ic, 111 M.<s CITY OF COSTA MESA CLilT43 CALIFORNIA 92628-1200 P.O. BO% 1200 r JaDEVELOPMENT SERVICES DEPARTMENT 4pa ,c BS 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, / - , EANNE RUSSELL Planning Intern JR: jl (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)754.5245 4`ooTi MFsy CITY OF COSTA MESA ;0 . y--k..('1"%`. CALIFORNIA 92628-1200 P.O. BOX 1200 'a; `J e/ DEVELOPMENT SERVICES DEPARTMENT a� 9 4`xt'POaoiEO S 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)754-5234 • Planning Division(714)754-5245 EUDE-N AVENUE ~T _ _ - - - - — — — — — — — i I I I rn 2135 l37 t (I Y U i (1101-1.1ely VK�+ "CID -�orr.�erl + ` r 1... / I I SABOT- coves -b I I Az ) 3y /(� aI31 ,� 1/1 Ctorrner ly U N 1 + "A') (-}Q`rimer ly U,6, + "13 ') �L 0,21 3 ,5c_ coticantto fill in all spaces except those within heavy border lines and sign all appropriate declarations. ,�L�''� ERMIT NO. TRACT NO. LOT NO. UNIT NO. �7 C .,Y,p P:3o1 1E� CoRU TIO• N PERM D� f3 3 $�16--� Dwpf lh�ts j 0r ;2 A.P.#1 �� - �Ja _ I Zone Ra idiedl ..ddres .� • {Z(v U REPAIR S Main Building: Accessory Building: 1 S-657 C� n . y TYPE OF CONSTRUCTION CXc NEW .-I ADD I- TERATI NE ApplCapi's Mailin�g��l1Atldress �2Q /' Tr's��'s� 1`-W7 YC/ ❑ CONVERSION ❑ DEMOLISter H ❑ OTHE- w0 R T Front V,/ 0 Owner's Name !L1 C fN 6er(1 Phone/cu.= I B Rear 15 - N DE RIPTI NO WORK/USE OF BLDG. Address �1•!s Aft CA • ��•y�.�7 QC4,a�fy'!�/•�I"�I //2 /iIN Arch/Eng License No. TYPE OF PERMIT GRADING LI FOUNDATION �' STRUCTURAL C Right _J I G I Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left Wile I71& " R __j ❑ OTHER �/ �-�i / _ 'Ping. Ref.# a'z-�_� I Parking Req./Provided {- /�C E Contractor's Name !-� Phone PROJECT DESCRIPTION 50. FL -7 bD ' T��OCCUPANCY VPANCv �HI— M �- VALUATION$ g Two . -'U!`C'stt-ill I a,t-a '-k & Cion<(O T 0 Aildr ass(mailing) 0• Pla Planning Notes: CON ST RUCTION TYPE247 3 bre _ 1 / !• y - -- —_ - 20::: _._ G:4 ko".l• Cu. /US. ALHLti �. $-1t-:�1 I� s'.f k.. l/1'.{.!- 0, r lr_i.}'1 L,LEI.SLD CUN1 RACTOR DECLARAT ION - _ -�� 1 1 I lel if s•-•'. /•—tit S. snnirne, that , am licensee under prov - wrier rter 9 (commencing Remarks: with sectr• •nn of Division 3 . eusinoss and Professions Code,and my license is in fun ci. - -- ' S A ELECTRICAL FEES License Cla OG 2Q 05 ��I ll7S Date Signature PLUMBING r FEES Automatic Washer Transformer 0 15-50 KW ORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50 X KW nereby affirm that I have a certificate of consent to sell-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy tnereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps PoliC.) Lab. Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps _ E Certified copy is hereby furnished. Dryers DGas DElectric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00-1 HP 011-8 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 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 manndr so as to become subject to the Drinking Fountains Solar Tank M rowave Workers' Om nsa'r Laws of Califor�nia/�d//1 Duo y p� Device Boxet Pole Light ^_!_��1-5is declaration, _ a.� Floor Drains Swimming Pool w/Spa '-9 NOTICE:n,atter making this declaration, y u should income subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or tnis permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets / Switches / Sign aC/// Water Closet Z. g 1 hereby affirm tnat there is a construction lending agency for the performance — of the work for rc 4his permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name . Generator 00.5 KW 0515 KWLender's Address Kitchen Sink Water Service 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 reouires 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 r Contractor's License Law (Chapter 9(commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee I $15 Issue Fee $ 3 merefrom ana 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 REOUEMENTS: LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date.6_444 compensation, will do the work,and the structure is not intended or offered (�j�—�]Q}/--/1} ' -' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By /r'--- T Date ' License Law does not apply to an owner of a property woo builds or improves - / thereon, and who does such work nimsed/Herself or through his or her own 0 Application Issued By _ _ _ _Dole.f0-l4=W employees, provided that such improvements are not intended or offered for Boiler Hood or Type salc. If, however, the building or improvement is sold within one year of cpm- Canopy Type II 0 SUMMARY OF FEES TZn, the owner will nave Ve ourden of provinq he/she did not build or im- Duct Under Ground for the purpose of sale). BUILDING PERAIIT $ 1 _ /_Z "�SMIP $owner of the property, am exclusively contracting with licensed con- Duct -Structural Refrigeration System PLAN CHECK $ ��/ ' c_3 PERMIT tors to construct the project (Section 7044, Business and Professions Code: -Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00.1 0,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, and who Contracts for such Projects with a con- — tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ystem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 0 l am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ t /,eif -J � PLAN CHECK 50% $ Date .b- Owner / . Heating System& Ducting Registers MECHANICAL $ 2317 4 7 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ L and state laws relating to building construction,and hereby authorize repre- sentatives of this cit�` enter upon the above-mentioned property for inspection purposes. ` ' Signature V Date4f1 Drivers' License or //- - Reinspection Fee $15 Issue Fee $ 3 -1865-46.rev. 5/88 White - Building: Canary - Applicant: Pink - Accounting: Goldenrod - Assessor _ _ CONSTRUCTIOr1 AND PLANNING POOL& SPA - • r APPROVALS Permit *r Date Inspector APPROVALS Permit# Date Inspector - .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcerent 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 0JU7S 59. Gas Pipe, 0 Undrgrnd.,Test 9.,Water Pipe-Undrgrnd. / 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap 63. Heater & Vent-Final 13:-Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final r 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough-Wiring Sign 68. APPROVED FOR PLASTERING .18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20: RouglfFactory Fireplace APPROVALS . Permit# 21. Ducts,in"Structure 70, Underground Hydro P. 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23,Gas PipeRough& Test 72. 'Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing .q- 74. Overhead Hydro 26. T-Bar'Ceiling (Structural) & Monocoat 75. Dry Chemical 27, Frame and Flashing if-7/Sly //%� 76. Dry Standpipe 28. Lathirlg&'Siding • 77. FIXED SYSTEM FINAL 29. Insulation r (S. 78. FIRE PREY. FINAL 30. Drywell Nailing ; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coal 79. FINAL INSPECTION 32. Flee/4E81 Power-Meter-Final , 80. FOOD CERTIFICATE ISSUED b� 33. Final Electric Notes: 1f r r� ,/ / " 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test of a _f✓_fe-cm 0\ i- r 5 L.\-5 '36. Hood or Canopy 37. l Factory Fireplace C1 "'ct<'�� clllh� e, 38. Final Plumliing , , o ,tea. 39. Water Service-Final /' C �^»(n�' 40. Gas Service-Final ' '\6`hb 1)\43')A. I 41. Solar Dotnestle-Final R�1 " �t- • 42. Backflow Preventer . 43. Backf low Irrigation ' • 44. Landscape Irrigation System - ' 45. Sound Attenuation 46. Handicap RegulationsAfilt • 47. FINAL/STRUCTURE & BUILDING en/,t.1 /q elM" " .- 48. Special Requirements Completed 11.1(4789 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY 1 No. Date ) 'r . Developer/Applicant : 1/ Aft i>24ftc:D, SC' r7t)C • Address : x' � l M 1-7-0/u pr, eicl Telephone Number : '7/ C( -, 2 6; CI Tract/Parcel and Lot Number(s ) : Location of Project : / 5ePt I ( 2le: C 'AA Number of Square Feet of Residential Space 6;7c/ 3 x $1 . 50 Total 4- 0 /-1 — a 5' c a d .n c Number of Square Feet of -7.1-C9,3 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 . Bus gess 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 : 6/7 /I `� �� • • • BR. MNER 6 R.:A:V E S` . CORPORATION November 9- 1989 • City of Costa Mesa • Engineering Department 77 Fair Drive, 2nd Floor Costa Mesa, CA 92628-1200 Attention: Robert Brock Reference: Precise Grading Plan No. DR-89-08 • 152 - 156 Merrill Place • • Dear Mr. Brock: • Enclosed please find a duplicate mylar of the above referenced precise ova Eng,neenng grading plan. This plan has been labeled 'AS-BUILT" arid with the Sur vey;ng • exception of the revisions n-lade thereon, this project has been ecInstructed Land Plnn,aig within substantial conformance of the approved precise grading plan. _Sincerely, Bremner Graves Corporation David W. Graves, P.E. Enclosures . cc: Mike Talbott, V.N.E. Develop-nem • • RECEIVE& (!OV 0 9 1989 • CITY OF COSTA MESA PUBLIC SERVICE 4350 Von Karrnan Ave. • Suite WO . Newport Beach,CA 92660 • II 714 •756 • 1811 r FAh •714 •851 •5910 y- _ 213 UNR:C6D CITY OF COSTA MESA BUILDING PERMIT PERM NOr P' 045010 • OWNc. "s•,tMICHAEL TALBERT 'f 60A ' , ADRESS: 5051 ALTON PKWY #44 PERMIT NO: P 045010 PLAN CHECK NO: N GOVT: N SUPP : N IRVINE 92714 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: NEW ARCHIENGINEER: REG.NO.: ' JOB DESCRIPTION : GAS LINES SQ FT: r ADDRESS: UNIT: • PERMI7TEE: CLAIM VALUE: CALC-VALUE: GROUP UCC: / MCCHAEL TALBERT ( 714 ) 721 - 3745 ADDRESS: SAME COMMENTS : REFER TO #38951 [RV . CA 92714 it******>E>Ex***iF*** ESL***ycaeye**eE*yE**iE*****************yrtr*ak*t6***************>E****,r*kr LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am ecensed under provisions of Chapter 9(commencing with Section Z 0 -N I N G REQUIREMENTS mooof Division 3 of tIe Business and Professions Code,and my license is in tun force and effect. S ET B ACK S CITY UC.: STATE LIC.: CUSS: Date: Signature: -- ----- MAIN BUILDING - -- - - - ACCESSORY BUILDING --- ---- - WORKERS'COMPENSATION DECLARATION: I hereby Arm Mat I have a certificateof consent to selTinsure or a cendicate of Workers. FRNT: FT IN REAR : FT IN. FRNT: FT IN REAR: FT IN Compensation Insurance.or acemfied copy thereat(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT : FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 42613201 ZNE: REF NO: 3 Certified copy is hereby furnished. 0 Certified copy is riled with the city Building Division. PLANNING NOTES> > Date: Applicant: ******************************************************************************* EAEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Reis section need not be completed if the perm)is for one hundred($100)or les). DEVELOPMENT SERVICES ' REQUIREMENTSS I certify that in the rt mance of the work tar which this permit is issued.I shappp t employ any person in any manner so as to become ., subject to theta kgrs'�myen anon Laws/California. ___ /ZONING APPROVED BY DATE: Date: / ``77 / Signature: /F (- + !/ NOTICE:If,an r maven this declaration,you should became subject tote Workers Compensation provisions of the Labor BUILDING APPROVED BY : _ DATE: Cade.you must forthwith comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for APPLICATION ISSUED B Y: C DATE- which ) - 'Q0% this pernut is issued(Section 3097,Civ.C). **************************************W***** **************************** ** ** LENDER: **MO************************************************************************** ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (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 Z pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 Cl the Business SMIP/NON-R E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by P LAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(6500). ISSUE FEE 3 . 00 I. as owner al the property or my employees with wages as their sole compensation, will do the 'wod. and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE 4.1 Ced structure is not intended or offered for sale(Section 7044.Business and Professional e: The Contractors'State License Law TOT AL S----> 4 . 00 3 . 00 0 .00 7 .00 7 . 00 - 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her awn employees,provided that such improvements are not intended or offered for sale.It,however the building or improvement nin one year of completion,the owner will nave the burden of proving he/she did not build or improve REVENUE BLDG�f PMTON PLUMBING ELECTRICG MECHANDIC FIRE? .SMIP/TOT 0 /SG forthepurpose Pt sale) RADING 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 forsuchprojects with acontractor(s)license pursuantto the Contractors'State License Law).l am aware ***************************************************************)e*******.******** • that proof of their Worker's Compensation insurance should be provided to me. IND 1 V IDUAL F E E BR EA K DOW N I am exempt under Section: B.5 P.C. for;TIB reason: t /TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST r bate: I l i 1 (Owner: /421 1 / PLU CAS SERVICE 2 . 00 4 . 00 I do hereby Genii)/that I am are of nd understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any lulu buildm occupant vAir Dul not(circle one)need to comply with said state codes and the requirements for a Derind for construction or modification from the TL O-u y Management District.Residential construction applications ate exempt from these provisions. 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 mita, o budding co ction and her uthedie representatives of this city to enter upon the above-mentioned property for inspect'n purpos . / i Date: 1 1 ( ? Signalum: ' a Driver's Licens or Socia ecurity w: - • 1541-46 While—Bwldmg:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Asset-ger i. CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .. 12. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 'F 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE p;7. Footings - 58. Electrical Conduit-Undrgrnd. .8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. '10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - -- I - -. . APPROVALS Permit# 21.-Ducts, in Structure .. - 70. Underground Hydro 22. Ducts, Ventilating .. 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough& Test . - " 72. Underground Flush' 24. Roof Framing ;-,' , ;. - • -73."Undergrnd.Storage-Tank 0 Gas 0 Oil 25. Roof Sheathing - . • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat . - 75:_,Dry Chemical 27. Frame and Flashing "- _ - 76. Dry Standpipe 28. Lathing& Siding ' . 77,- FIXED SYSTEM FINAL 29. Insulation - 78:- FIRE PREV. FINAL 30. Drywall Nailing . . HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat ' ' ' 79. FINAL INSPECTION • _32-Electrical Power Meter-Final . 80.=FOOD CERTIFICATE ISSUED 1 • 33.1Final Electric. ' - Notes: . 34. Final Heating,& Air Conditioning- ' . - _ - 35. Final Gas Pipe-Test .. f - l •i5Cc � - -- . 36. Hood or Canopy 37. Final Factory Fireplace •- , . . -38. Final Plumbing I��oOrat , ". . 39. Water Service-Final �• '40. Gas Service-Final - - -41. Solar Domestic-Final - - - 42. Backflow Preventer ' '" 43. Backf low Irrigation ' - .. ., • _"44., Landscape Irrigation System - - - - 45. Sound Attenuation • . - .. -46. Handicap Regulations -- - 47,-FINAL STRUCTURE & BUILDING ' . -• 48. FINAL PLANNING .. ' '' 1. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . ' - 51. CERTIFICATE OF OCCUPANCY " - No. Date • r2A -./ SJQUf Cove, �((� ark .1 Dg& IA pplieant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF �Q MESA 1CONSTRUCTION PERM{T PP{E'�RMI2T NO. TRACT NO. LOT NO. UNIT 1 _ / .F Jet v j B A.P. Zone 'Project A - l T $ Main Building: `Accessory Building: Applicant's Mailing A-dd�r¢ss1 �',S /+'//1LI TYPE OF CONSTRUCTION UNEW UADD U ALTERATION REPAIR E - H r--il i KA- S Phone ❑ CONVERSION C DEMOLISH ❑ OTHER T Front '0 Owner's Name t ��F't1�96 DESCRIPTION OF WORK/USE OF BLDG. iB Rear I Address I A'{kR',TT J m LC hie I C Right Arch/Eng. License No. TYPE OF PERMIT 0 GRADINGS y❑ FOUNDATION El STRUCTURAL Address ❑ TENANT ❑ ELECTRICAL Ia.PLUMBING ❑ MECHANICAL 8 Left :RIContractor's Name /� 1Phone ❑ OTHER Ping. Ref.# Parking Req./Provided Address(mailing) `J -JI PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes:CONSTRUCTION TYPE VALUATION $City License No. ?ONE GRADING Cts YDS. ACRES— --- LICENSED CONTRACTOR DECLARAI ION . _ ` I hereby at fir mthat I am licensed untie:-provisions of Charter 9 (commencing Remarks: ^ 3�`C1 a\ I - - - - with section 7000) of Division 3 of the Business and Professions Code,and f/ l/ my license is in full force and effect. ELECTRICAL FEES License Class License No. _ Date Signature - PLUMBING FEES Automatic Washer Transformer 0 15.50 KW ' Bar J 0 50+ KW . IORKERS' COMPENSATION DECLARATION Bar Sink Z Showers I� rn' Construction Pole Sub. hereby al firm that I have a certificate of consent to Self-in Sure or a certificate I t V" ❑u to 100 amps of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter p p 3800, Lab. C.) / Backflow Preventer ..,/ Service Sink , / / Dishwasher Meter Dover 100 amps Policy No. Company 1 Backflow Irrigation / Sewer Cap __ - - 8 Certified copy is hereby furnished. Dryers ❑Gas .DElectric Sub Panel certified copy is filed with the city Building Division. '1 Bathtubs 'L Sewer Connection I S" - Date Applicant 1 Fan Motors❑O-1 HP 01%-8 I EXEMPTION FROM WORKERS'COMPENSATION DECLARATION 1 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). Z Dishwasher �' Solar Piping {..I , 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 so as to become subject to the Drinking Fountains Solar Tank - Microwave • Workers' Cq m ensation Laws of Califor a -Dat .. �} Device Boxes Pole Light NOTICE:e (a�77 Signaturedeclaration, ,` T u Floor Drains / Swimming Pool w/Spa 9 C,mter s tion this ions aft th, you r Cod become subject to the _ Outlets Workers' Com such ipr 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 `Z TY Sign • l 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 7, Water Heater 1 1 h/ g p Standing Sections 1 Lender's Name I/ / _1 Lender's Address _ z Kitchen Sink Water Service 1 Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION / � f I hereby affirm that I am exempt from the Contractor's License Law for the \7 Lavatories Auto-Wash ` p.7 _ - following reason (Section 7031.5 Business and Professional Code: Any city or / J county which requires a permit to construct,alter,Improve,demolish or repair P-Trap / Laundry Trays ' any structure, prior t0 its issuance, also requires the applicant for Such permit — •o file a signed statement that he/she is licensed pursuant to the provisions of / Roof Drains re Contractor's License Law(Chapter 9 (commencing with Section 7000)of _ ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 1 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 I e .Ity of not more than five hundred dollars (8500). Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: , IIS I, as owner of the property or my employees with wages as their sole tae Zoning Approved By Date ompensation, will dO the work,and the structure is not intended or offered — r for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES _ Building Approved By Date 1 License Law does not apply to an owner of a property who builds or improves ) I thereon, and who does such work himself/herself or through his or her own Application Issued By � -2 -89 I employees, provided that such improvements are not intended or offered for Date Hood or Type I ❑ Boiler sale. If, however, the building or improvement is sold within one year of coin- Canopy Type II 0 SUMMARY OF FEES ;, pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT t' tractors to construct the project (Section 7044,Business and Professions Code: , y The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU ❑100,000 BTUISSUANCE $ { builds or Improves thereon, and who contracts for such oroiects with Giron- PLUMBING tractor(s) license pursuant to me Contractor's License Law). I am aware that 0 MultiplePLAN CHECK 2516-7\4, ( ENERGY P.C. S pr of of their Worker's Compensation insurance should be provided to me. Exhaust System 0 System Repair/Alteration GRADING $ Lam exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ Date --(42-3,4:1—_ Owner �1—7 Heating System BTU Ducting Registers �' I hereby certify that I have read this application and state that the above00-100,000 ❑100,0008TL MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% andstate information is correct,relating agree to complyst with all andcidy herebyrd county irepre- $ s and state laws City totbuilding construction,ab - iauthorize for `�. Inspection of this city to enter upon the above-mentioned property for Inspection purposes // Signature it(. 9— Date e 23 I _ _ - Drivers' License or SS# - Reinspection Fee $15 Issue Fee S 3 1 0865.46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • . CONSTRUCTION AND PLANNINU - OL & SPA I , APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector, • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement' 56. Rough Plumbing & Pressure Test 6• Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test '9. Water Pipe-Undrgrnd. -/{J 7 2' 60. Backwash Lines, P-Trap, £7 Undrgrnd, 10, Structural Floor System lr 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection q_294-c( Ltrog 62. Backwash & Receptor-Final i2.•Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing q{y_�9 L60 65. Electrical-Final 15. Rough Electrical-Conduit I 66. Solar System-Final 18. 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 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: 06 n/pTr FtiG__ tJG.:-v✓Nil 34. Final Heating & Air Conditioning SU L 01,01` T/-fat-y�ie! 35. Final Gas Pipe-Test n/349 1 - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing rf//4/ye /) 39. Water Service-Final q4S- sq (Ago 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 -/0! 3'7 cynic- Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITYOF COSTA COSST„�A EESA CONS U T 1 A/MIITTJ E MIT NO. TRACT NO. LOT NO. `NIT-NO, A.P. Zone __ U'^"Ts: j"� 3971! Project Addres p • - S Main Building: Accessory Building: - 43Ii anl•S fling Address i3/ Li.PX-c TYPE OF CONSTRUCTION ❑ NEW U ADD Li ALTERATION U REPAIR E Z U./eren /J�j99 :11 ❑ CONVERSION DEMOLISH ❑ OTHER T Front 10 6wnR'sName r. u. Il IL Y. I'horyB�a-th(..L� "DESCRI ION O�p1Jy�7RK/U OF B G • • B Rear • - N Address �3i • e r �'�” Arch/Eng. License No. TYPE OF PERMIT ILJ GRADING FOUNDATION ❑ STRUCTURAL C Right N �� K G 'dress - a Si S :. -.P :. ❑ TENANT ❑ ELECTRICAL PLUMBING aCJ�fv1ECHANICAL s Left R Z ��. 1 - I/_ '❑ OTHER ' / - • Ping. Ref.# Parking Req,/Provided E r�D' .r•s Nf'� - Phone PROJECT DESCRIPTION SQ. FT, OCCUPANCY Af Planning Notes: M Address(mailing) - r �}^ ` r� L' 4 CONSTRUCTION TYPE VALUATION $ T City License No. ? ZONE__ GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION pp �i./J I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: D�'' 3 •g x •r/��/ / with section 7000) o ivisIon 3 of the Business and Professions Code, and RE v my license is in full/ ce Av aefleet. ELECTRICAL FEES Liven is Li ense No. C2-141149 Date Y. Signature PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW 'ORKERS' COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. • ❑ 50+ KW Q ereby affirm that I have a certificate of consent elf-Insure or a certificate r�• Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps W 3800, Lab-'C�.'^' �Qj r_s L,, Policy No.1>�'u i,34)0E-7 Company �_..c_ S X_d..E-p Backflow Irrigation Sewer Cap - Dishwasher Meter Dover 100 amps ❑ Certifi copy is hereby furnished. • N. Cer ji a �op/./iys�1" d with the city Buil in si n. Bathtubs Sewer Connection - Dryers ❑Gas ❑Electric — Sub Panel •` ate -�--�-F Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DEC LAR AT1I:IN Clarifiers Solar Collectors Motors 00-1 HP ❑1'h-8 (This section need not be completed if the permit is for one bL ndred ($100) or F.A.U. Inc.Solar ❑g-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. Date Signature Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light NOTICE: if,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shalt be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Kitchen Sink Water Service Generator DO-5 KW 05-15 KW ' Trash Compactor Lender's Address 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 Contractor's License Law(Chapter 9(commencing with Section 7000)of • rielon 3 of the Business and Professions code) or that he/she is exempt - • Reinspection Fee I $15 Issue Fee $ 3 ere l rom and the basis for the alleged exemption. Any violation of Section - x031.5 by any applicant for a permit subjects the applicant to a civil � enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: '• I, as owner of the property or my employees with wages as their , Reinspection Fee I . $15 I Issue Fee •$ 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 Date License Law does not apply to an owner of a property who builds or improves _ _ ---- ---- --- -- -- --- Application Issued thereon, and who does such work himself/herself or through his or her own Hood Or Type I 0 App By _Date P employees, provided that such improvements are not Intended Or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 "_ SUMMA O EES pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - • rove for the purpose of sale). BUILDING PERMIT $ SMIP $ I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Ref eration 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 2 0100,000 BTU 0100,000 BTU ' Y OO PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- ENERGY P.C. $ • tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ � proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ "GRADING--. a11S"p _ 0,1am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM :_$r! • . PLAN CHECK 50% $ Date ' t ' Owner He g System&Ducting ' r Registers I ' ' MECHANICAL $ • 00 TO/I1Q� E $ _rl• OO I "hereby'certify'that •ave read this application and State that the above 0100,000 BTU ❑100,000BT1f--- - - - /g CC PLAN CHECK 25% E f /$(.f 1 'a� information is correc .;1"ree to comply with all city and county ordinances f and State laws retell IPI b tiding construction,and hereby authorize 'Bore- I sentatives of this • o -fit.r upon the above-mentioned p rt f r ' , Li,\ inspection Pur poses (�./q yp) �"- - Signature • r�illslL, Date p U/l{!1/ �- Orel �+ a,-- M1 Drivers' License or SS# or - 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor . ,,-. ' . CONSTRUCTIOt'1;AND PLANNING 1ti POu _ & SPA - Date Inspector Date Inspector .Y APPROVALS Permit # APPROVALS Permit'# V .1' Tericpotafy Electrical Service or Pole ,-• 52. Pool & Equipment Location • 2. ,Soil'Pipe-Undrgrnd. - L� ' nr_I, c:t. 53. Steel Reinforcement ' - -.,3i,Electr'ical Condbrt Utility-Undrgrnd.it_ 54. Forms ' - • 1/4 EITcical Cogdlt-LMdrgrnd 'J 6,/-.-.;&.)f • 55. Bonding 5}�1 Steer/01M-• iorc2mentit, 56.,!Rough Plumbing & Pressure Test ' @k;,Electrical OF t Grnd� ' , . 57.,APPROVAL TO COVER-GUNITE :,\ 1 •rootirris (-L . •% -,--1 . 58. Electrical Conduit-Undrgrnd. !.- t, i'on�� ; ;..1- 59. Gas Pipe, 0 Undrgrnd.,Test - .� '69 :0/6ter Pipe-Un grnd. ; 1 - 60. Backwash Lines, P-Trap, 0 Undrgrnd. • . -102SVuctural Flooritystem 61. APPROVAL TO DECK 11,VProperty Sewer Line & House Connection v 62. Backwash & Receptor-Final 1 12''Sev4 Cap _ ' •.-,, n.-- - 63. Neater& Vent-Final , • 1c3r hoof_Drains f 64. Plumbing System - Final ' %'� • 14r/Rough Plumbing 65. Electrical-Final .- ri /. 15. Rough-Electrical-Conduit -- 66. Solar System-Final - .4 •16. Rough Electric Wiring . 67. Fencing & Access Approval • - 17) Rough Wiring Sign • 68. APPROVED FOR PLASTERING •1t' RougK.Elecfrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL ' 1(Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' Y G 20. Rough`Factory Fireplace 117 APPROVALS Permit 4 21. Ducts, in'Structure 70. Underground Hydro • 4. 22. Ducts;;Ventilating- ! 71. Product Piping 0 Gas C]Oil 23. Gas Pipe-Rough&Test !%l:J 's. 72. Underground Flush , i • 24. Roof•Fi ming I11) 73. Undergrnd.Storage Tank 0 Gas 0 Oil? 25.,Roof Sheathing , 40.. ri: ' , 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical ' 27. Frame(nd Flashing ' r 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 Cod 79. FINAL INSPECTION ' 2, Electrical PowerMeter-Final 80. FOOD CERTIFICATE ISSUED (d y, r`I • 33. Final ElectricNotes:II'/Q..S fkr-gesye,- t✓t� ^ • p 34. Final Heating & Air Conditioning 1 IIkin 1,450o 35. Final Gas Pipe-Test 36. Hood of Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final .,'•1 • 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer - Lr.--':, I- 43. Backflow Irrigation (/: .9 44. Landscape Irrigation System , ' '� , =r 45. Sound 'Attenuation - 1 46. Handicap Regulations - , 47. FINALjSTRUCTURE &BUILDING • 48. Special Requirements Completed , 49. Electric Release to Edison Iv ' 50. Gas Release to Southern California Gas Co �- - 51. CERTIFICATE OF OCCUPANCY , , No • , • - Date ' " ,37 1 Cove `/IJULV) Applicant to fill in all spaces except those within heavy bore, lines and sign all appropriate declarations. }T' r2PERMIT NO. TRACT NO. LOT NO. UNIT t:ITYOAmor MESA CON : T • PERI' - • ) �4 — 3p Q I / A.P.# Zone rProj( ' s =_- - ns — ! / S Main Building: Accessory Building: Applic3Tt's Mailing Address A'S ' / 1t 'l..lfe✓ ryy TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION REPAIR E . IZ Owner's Nam' / A CO '{9 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front ,O Phone I_ C/F1 DESCRIPTION OF WORK/USE OF BLDG. ISA Rear N Address _ -+ C Right N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIO�,�--Ns El STRUCTURAL K Address //��)// III TENANT ❑ ELECTRICAL EIPLUMBINGG MCHANICAL S Left R Contractor's Name V/ • Phone ❑ OTHER Ping. Ref. # Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY O Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION $ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION "11 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /� Z. l//�:xI/// [// (i/ with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �3 - 3D vs/ ELECTRICAL FEES License Class License No. OO 7 Date Signature PLUMBING FEES — Automatic Washer Transformer 0 15-50 KW • WORKERS' COMPENSATION DECLARATIONConstruction Pole Sub. 0 50 4 KW • hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers jf workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps 3800, Lab. C.) 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 Applicant Fan Motors❑0-1 HP 01%A B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors I (This section need not be completed if the permit is for one hundred ($100)or Dishwasher F.A.U. Inc.Solar ❑9.15 HP 016-15+ less). Solar Piping 1 certify that in the performance of the work for which this permit is issued, I Fixtures - Microwave shall not empl y any person in an man o become subject to the Drinking Fountains Solar Tank b Workers' Ion Laws of rnia. t � ' ' Device Boxes Pole Light Date 5ignat it Floor Drains Swimming Pool w/Spa 9 NOTICE: If, iter making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range ' Outlets t, comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction lending agency for the performance • whicht 's permit i issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing 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 Treys any structure. prior to its issuance, also requires the applicant for such permit f 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 .: =7ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 I .herefrom and the basis for the alleged exemption. Any violation of Section 4 031.5 by any applicant for a permit subjects the applicant to a civil I e ty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 1 as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date t om tion, will do the work, and the structure is not intended or offered I 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 thereon, and who does such work himself/herself or through his or her own r Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler Hood or Type I D sale. If, however. the bu0mng or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). - - BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- uct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: 'j-� The Contractor's License Law does not apply to an owner of property who ,g- /-,� ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ tractor(s) license pursuant to the contractor's License Law). l am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 0 1 am exempt under Section B.8 P.C.for this reason ,, Firepl/Fact.Blt. ICBG#i1¢/ 1./Fire Dampers �� PLAN CHECK 50% $ �U MICROFILM $ Date owner � ging System&Ducting Registers MECHANICAL $ TOTAL FEE $ 6O. d� I hereby certify that I have read this application and state that the above 100,000 BTU ❑100,000 BTU r PLAN CHECK 25% $ • information is correct agree to comply with all city and county ordinances - - �/•op and state laws relating to building construction, and hereby authorize repre- sentatives of this city o -nter upon the above-mentioned property for ' inspection purposes. i /cc"; Signature I- Date Drivers' License or S# Reinspection Fee $15 Issue Fee $4 0865-46.rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &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 3.1 Electrical-Conduit Utility-Undrgrnd. 54. Forms 4: ElectricatConduit-Undrgrnd. 55. Electrical Bonding 5.- `Steel Reinforcer ent 56,,'Bough Plumbing & Pressure Test ▪ 6.. Electrical'UF ER Grncl. 57. APPROVAL TO COVER-GUNITE 7, Footings- 58. Electrical Conduit-Undrgrnd. 8.' Foundation 59. Gas Pipe, 0 Undrgrnd.,Test -- - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 11: Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer. Cap 63. Heater & Vent-Final -13. RoOf tDrains I 64. Plumbing System - Final 14. R'Ough Plumbing 65. Electrical-Final j 15. Rough Electrical-Conduit 66. Solar System-Final - . 1`6. Rough Electric Wiring 67. Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace q,a N9 Lp APPROVALS Permit # ?1. 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 11-(741 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 i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . •. ' 51. CERTIFICATE OF OCCUPANCY No. Date G „agligfris�/ �7 9e' lin all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT Ni CITY OF COSTA MESA CON TRUC OP1RMIT a 3R g,/ C I A.P. 3W Zone sl Rioted Address rye ,L. CJ r — I 1 S Main Building: Accessory Building: Applicant's Mailing Address --•�,t-j37 A/ o � t V TYPE OF CONSTRUCTION NEW IJ FlDD U ALTERATION LI REPAIR - IZ Owner's Name �ail/Ilia Phone -hYoten6, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 9 Front IN 10 r DESCRIPTION OF WORK/USE OF BLDG. � B Rear 1 Address I C Right N Arch/Eng. License NO. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL K G Address ❑ TENANT >4LECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left Co c Name /✓i • one •sal as El OTHER Ping. Ref.# Parking Req./Provided RE g PROJECT DESCRIPTION SO. FT. OCCUPANCY 3 Q A res rn m 1 — e r` `v2 Planning Notes: M _ _• / CONST RUCTION TYPE `�' VALUATION $ Ci License No. -_.ar roes israk ^�� -•- ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION ))) S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: / � •/ it // _ with section 7000) of Division 3 of the Business and Professions Code, and /5- M r•e o/-/ �� Ii G /'T 'e15 •> asc I ELECTRICAL FEES my license is in full force and effect JO License Class License No. PLUMBING FEES 'W Automatic Washer Transformer 0 15-50 KW Date Signature 4 'OR KERS' COMPENSATION DECLARATIONSar Sink Showers Construction Pole Sub. ❑ 50+ KW ereby affirm that i have a certificate of consent to self-insure or a certificate r Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink a.CVonmg till;. Z '1"1<t Meter L Ip to 100 amps �` 3800, Lab. C.) - -,K Dnnwdsller 2 • �sw• Meter Clover 100 amps Policy No. Company Backflow Irrigation Sewer Cap p L Certified copy is hereby furnished. - Dryers as DElectric Sub Panel L Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date ApplicantFan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors ❑0-1HP ❑iii,-B J (This section need not be completed if me permit is for one hundred ($500) or Dishwasher Solar Piping J1, F.A,11 ') Ina Solar ❑9-15 HP ❑16-15+ less). p g I certify that in the performance of the work for which this permit is issued, I Fixtures shall not t lay a3fly person in any manc er so o become subject to the Drinking Fountains Solar Tank Microwave Workers' nSation Laws of Californi�+1 Date/ Signature 'Y c Floor Drains Swimming Pool w/Spa Device Boxes Pole Light .NOTICE: If atter making this declaration, you should become subject to the •., r i Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range 6 ,4-5 3 -- comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Sign / 5c Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Z.-. Standing Sections / �� Lender's Name - - I Lender's Address 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 35'/p U J.�v9 /fL?[e� /22 Cr 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 •r �Ys_ any structure, prior to its issuance, also requires the applicant for such permit dr AC 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 ! $15 Issue Fee $✓ Q/ .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 - peenalty of not more than five hundred dollars($500). 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, 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 - thereon, and who does such work himself/herself or through his or her own Application Issued By Ii.'. Date op/� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 r- 2lf, owever, the building or improvement is sold within one year of cpm- Canopy Type II ❑ SUMMARY OF F�, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground for the purpose of sale). - - BUILDING PERMIT $ SMIP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration SystemPLAN CHECK $ors to construct the project (Section 7044, Business and Professions Code: PERMIT 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 projects with a con- ENERGY P.C. $ tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ �j - proof of their Worker's Compensation insurance should be provided to me. r ELECTRICAL $ /y, .is— GRADING $ ❑ I am exempt under Section B.8. P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ �7[[LPLAN CHECK 50% $ Oate 7t � Owner Heating System& Ducting Registers MECHANICAL $ $ /�3 r4�_ I hereby c raj/y that I have read his application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE informationis 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 enter upon the above-mentioned property for inspection purr. e Signature _ -� Date 7/2,---) r� Reinspection Fee $15 Issue Fee $ 3 - r ; Drivers' License or SS t _ "5-46,rev. 5/88 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspect • • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,• 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . --- 7:. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test , 9'. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, ❑ 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-FinaF - - 13. Roof Drains . 64. Plumbing System -Final 14. Rough Plumbing. 65. Electrical-Final 15. Bough Electrical-Conduit 66. Solar System-Final '16. Rough Electric Wiring a lir 4,1s 67. Fencing & Access Approval 17. Rough Wiring Sign r 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT L 20. Rough Factory Fireplace APPROVALS Permit# k" Ili 121. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe-Rough$t,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 Coati 79. FINAL INSPECTION 32. Electrical Power Meter-Final ),1 sLLsti U)Y-n 0. FOOD CERTIFICATE ISSUED I 33. Final.Electric otos: 34. Final Heating & Air Conditioning". �4 t• ' }, ,t l _ . ' 35. Final.Gas, Pipe-Test • I______ 36. Hood or Canopy I1 37. Final Factory Fireplace - • • , 38. Final Plumbing . S .4 39. Water Service-Final : V 40. Gas Service-Final , . 41. Solar Domestic-Final 1 ; 42. Backflow Preventer 4 •.3 el z 43. Backflow Irrigation ,, ,r CI 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 , 1, .i No. Date f I