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Home My WebLink About1658 SAMAR PL - Building Permits • R98 o0344 JAOBR SS OF BNLgNO: 1658 SAMAR PL ' '!"T' _ CITY OF COSTA MESA — BUILDING PERMIT ONNEayAME1°IwaT KEELER, WILLIAM H TR PERM NO: B 087228 ADGREss: 1658 SAMAR PL COSTA MESA,CA 92626 PERMIT NO: B 087228 PLAN CHECK NO: N GOVT: N SUPP: N AM.SWUNG ADDRESS: CONSTRUCTION TYPE: V-N , PERMIT TYPE: STR PURPOSE: OTH • ARCHITECT ORENGNEFR: • UCNO.: JOB DESCRIPTION : T/OFF & REROOF SLOPDE SSECTION W/COMP. SQ FT: 5,000 ARCH.OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: 5, 000 . 00 CALC-VALUE: 5,000 . 00 GROUP OCC: R-3 / CONTRACTOR'SNAME:THUNDER ROOFING ( 714 ) 646-4122 CCTRACTORS MAILING 854 W 19TH ST COMMENTS: & FLAT SECTION WITH HOT TAR ADDRESS:COSTA MESA CA UC NO.: 638144 dEREiEBEdE9t RfiERf9ERk RtdE#iEiEiFitiEitiElt*iEitiFlE+63EiEatiriti6lFttiEit#iEit-)tiEatit-jEit#iEiEititiEiEttjEaE#3E-MitjE#iEitiE#*+EiE-)EiEtri(+taEit#dE 92627 gMT= Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby twin under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Ia in full torte end effect. CITY UC.NO.:055 38 ' 'Ass' C 39 U - 6381)4 EXP: 02 98 MAIN BUILDING ACCESSORY BUILDING /i . FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: ,� . .: .i LEFT: . FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN e. s9 _, WN-- BUILDER DECLARATION:I hereby affirm under penalty..i.Miry that I am exempt from the Contractors Liens Caw for the `Dr J• ng reason(Section 7031.5 Bmiess and Professions Code: N city or county which requires a.. . •to co suuctimprove, PARKING REQ P RO V: PARCEL: 13928124 Z NE: REF NO: /: an ofish,or repair any structure.prior to its issuance,also requires I .applicant for such pe.•.' . a signed star - Mel he or she Q: R,is licensed pursuant to the provisions d the Contractors License : (Chapter 9(coon... •ng wie th Section 7000)• Division 3 of the PLANNING NOTES>, . Business and Professions Code]or that shehe or is exempt therefrom and the basis • the alleged exemption. violation of Section >.,-;., - (f'. 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not m. .than lie hundred dol• :1350011. 1k 3F 1E lE 1F iF it tt 3E 1E 1E 1E 1f****ark irk irk if irk iE lE iE lE iE lE aE if iE iE 1E 1E 1E lE#it 1E iE#iE fE if lk lE lk iE irk it dE lE lk dE lE iE RE iE 3E#3F lE iE#jE iE iF ll irk iE aE lE irk iE iE iF 3E*** El f•asovmadlhepropedy ormyemployeeswih wages as their sole compenset•. will do the • 3 •the structures not intended V or offered for sale(Section 7044,Business end Professions Code:The Contractors ..-... ... not apply to an owner of properly D E V E,,SL' O P M E N T SERVICES R E Q U I R E M E N T!S who builds or improves thereon,and who does such work Nmmlf or herself or through his or her own employees,provided that such improvements ore nal intended or offered for sale.If,however,the building or improvement is sold within one year of completion, ZONING APPROVED-•BY DATE: '7' owner-builderd prof esill have the burden 'moving he or she did not build or improve for the purposesale). ❑ I.as owner of the propend.am exclusively contracting with licensed contractus to construct the project(Section 7044,Business and + Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE: -tri contracts for such projects with a comrector(s)licensed pumuan to the Contractors License law). 7 r Et ❑ Iammempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: - DATE: w/\ Dale: Owner {4'k'ttil'1F1L'll'itikififil'3L'dEiEdf'il'1F3L'11'##1L'iEil'iEfE1E')EfE#iF7l'##iEBEiI'aEM'aEil'aFiElfiE*** iF ipil'11***1F1('1411'*** s ‘ * I do hereby certify that I am aware of and understand the requirements of California Heal and Safety Code Sections 25505.25533,and L EGAL I.Z AT I ON:N F E E S U M M A R Y STRUCTURAL ISE MEN :Y 25530.and thnln.odi any future klingorntheAir wit mtgmons) ct'Reeompywihnscstate onppinstand linregptfrombbr BLDG PMT PLUMBING . ELECTRI'C MECHANIC FIRE SMIP/RES GRADING 2534.for tIorconstruction amoei building occupanl6m ITF.nospemeonei needictocomplywith nare he remptemntthese provisions. PERMIT 99 .75 /„ .� vr� Dae: _ Applicant: /..l SMIP/NON—RES t WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d one d N perjury oe following declarations: PLAN h ,-..?"^ . y 4,7 � ❑ I have end win maintaind a certificate consent to self-insure for workers'compensation,ea providedn for by Section 3700 of the Labor ISSUE FEE 4,.....- / Code.for the performance or the work fannhisissued. BUILDING PERMIT ISSUEwhichthispePLAN-CHECK TOTAL PAID DUE ❑ Ihave and will maintain workers'compensation insurance,arequired bySection 3700of the Labor Code,for the performanceofthe TOTALS----> 100 . 25 0 . 00 . r 0:00' 100 . 25 100 . 25 . 00 work for*idb this permit is issued.My workers'compensation insurance carder and policy number we: . • fi- e.. r I Carrier REVENUE DIVISION TOTALS--> COLLECTED; .n 1' 100 . 25 OVER/SHORT: 00 Policy Number - - BLDG PMT PLUMBING ELECTRIC MECHANIC - FIRE SMIP/TOT GRADING PLAN—CHECK �a(�Th�ris section need not be completed y the perm?is for one hundred dollars 1;100/or less) 99 . 75 `.% ..;"♦ . 50 N I certify that in the performance of the work for which this permit m' ..,I shall not employ any person in any manner so as to I become subject to the workers' ion Laws d Callan: : . agree that it I should . ., subject to the . cope p n of of Labor Code.I hwith comply with i;•- ,I_ % 3k3E1F1EiF1F>'k3k3k#1k1F1F1F1t7EiEfE1E1E3EffiflflF#1E1EiElEitElF1E#iE**.*lEIk1k1E1ljklflk'****1Fik1klEaElkiEtkiEfElEiFiEiFlF3kiE1E1klEdkjE3k1E1E1E*** • �eia-a ` sf�» . Apc • de / I,.. 1�L/,A_/� I N D I V I D U A L �'F E E% R E A K D W N :Failure to secure woMaro'rompen compensation coverage 4�wM,ane awn ae(Ipt an employer to criminal TYPE QTY D E S C R I P T I O N ' UNIT COST TOTAL COST civil tires up re aro hundred thousand dollars($104000A In- don to the cost of contenss:lot;damages as provided to In Section 3703 of the Labor COW,Inroros(and awmsyi/em.�' SFR 5000 REROOF BY VALUE: RESIDENTIAL, _.NOZONE 1 .00 5, 000, 00 CONSTRUCTIONperforTIeLENDIwork NG AG Ne: I hereby affixued(sun err 3097.peof C).perjury that there is a construction lending agency for the . END./OF FEES,'( LENDER'S NAME • , • LENDER'S ADDRESS: ,h / ‘.--- I cents that I have read this application and stateagree t0 eompy wile atl dry end county odiriarhoes that the above information is correct I y l and stale laws relating to building Construction and hereby adhorbe representatives of this dry to enter upon the above-mentioned property v:- r for inspection purposes. Y JOSE E HERNANDEZ 83-89-1998/81:37 PI9/f168.25 • MMari, �r •' PERMIT 1087228 it —7-Wore /I /Age- L':;�I� Date— 7 of�- -.•enUAp. .ntrator • (51/e.WP) White-Buildup&Safely:O-•n-File;Can:. ;Pink-Revenue;Goldenrod-Assessor '1�-, C CONSTRUCTION AND PLANNING ' , Pt,__ &SPA 0 APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Servicepr Pole 52. Pool & Equipment location ' , I 2. Soil Pipe-Undrgrnd. -1 - t 53. Steel Reinforcement , r-3_,;Electrical Conduit,.Utility-Undrgrnd. 54. Forms . P. • ::14 Electrical Conduit-Uridrgrnd. - 55. Electrical Bonding - �5 $ m teel ReinforceentF - -56. Rough Plumbing & Pressure Test T ^--6:-Electrical UFERtGrrfd. _ 57. APPROVAL TO COVER-GUNITE .-1 ---11:1‘F7� ootings 58. Electrical Conduit-Undrgrnd. '1"8. Foundation 'F, a 59. Gas Pipe, 0 Undrgrnd., Test -, r - x9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap .CI Undrgrnd. X1,0. Structural Floor System 61. APPROVAL TO DECK- 11. Property Sewer Line& House:Connection • 62. Backwash & Receptor-Final 12.;Sewer Cap a 63. Heater& Vent-Final 1 13. Roof Drains ^ 64. Plumbing System - Final _ - 14. Rough Plumbing _, h - 65. Electrical-Final 15. Rough Electrical-Conduit •. - - 66. Solar System-Final ' 16. Rough Electric'Wirii g N • 67. Fencing& Access Approval - 17. Rough Wiring Sagn T ' 68. APPROVED FOR PLASTERING , 18. Rough ElectricahT Bar Ceiling ' '69. POOL/SPA SYSTEMS FINAL 19. Rough Heating&tf{ir Conditioning TT a,. c-: _m �?: - c FtRE'DEPT. iEQUIREMENT C+ U) '--7;',/J C.1 l-1 >. !r 20. -Rough Ffltory Fireplace _ �s * ti t-+ '-"* q APP!V 1LSi t Permit# '=" r•1 T. Crl • _ 21. Ducts, iritructure, S- * i.-3i.-3 :0_ 70.FUnderg:rourid Hydro : 22. Duct's, Vintilating'> " ci g..- 5 :-* " 71. Produtt•Piping.as ;C]' Oil ,m nj -' 23. Gas8p4oLititi &lisma- ' '' c z "" - C111.7" ,,7 x C'' S* r 72. Undergrotrd uslar v, i--. `p>. 24. Roof Framing ti -. +� Ei r f},* 70? Undergrdd.Sto�age�Tank'.DGas ❑Oil 25.,Roof,Sheathing }_ rpt '4fibtf ' ,.. �'.:t rhead Hydra-- 7 26._T-Bar'Ceiling (Structural) & FiloiS coat �- 0 > G"* 75c1-DDry Chemt^al •„J2 is h, ., 27. f.rameand Flashin ' _`z` » Cr)* 76. Dry Sta A'i pefir? x: ap; 8.-:r. ; - t - 28. Lathing& Siding Cs : i vn- i ti. 771 FIXED`SY-STEMFINAt--4 n . 29. Insulation o ^c S y S ;r. 7& FIRE PREV. FIigAL x l l 30. Drywall flailing -- f ss '- I j S. ViEALT I DEPT.REQUIREMENT .j 31. Plaster Brown Coat • - • i,. • r j ( y rt 79. FINAL tLVSI'ECT,TON - D =1 32. -Electrira Sorrier Meter•Fiinal G is r= 807 FOOD CERTIFICATE ISSUED' 33.:FinaTiElectricZ { �n r. C x x I P Pto�tes: t�•.y j 0 CLI l 41.-r 34.Finai;Heating-& AirCor,drtioning� : > ,, 35. final Ga?Pipe:Test ` •- '" '; '"'' I tt: .,;(a.46„;.. ..,, e�or - „...„...46 36. •Hood•or Cano . >. ` . ` � 71. `• 37. Final-Factory Fireplace,' -. / - ✓ : I ! k IC 3l/98 nion:-.4grrw , - •u r ..: �,. - �., . - 38. Final-Plumbing >_ T, Er: ' , H -.r^ .r: ;-1 - 39. Water Servic Final u t i -• ` ( I ,ii: : --i o t: 40. Gas Sery ce-Final : a" ` `'• i ! "'- "' ' - • 41. Solar Domestic-Finale - r. !" It 'r' *.r., r c x D T ci 't '-. o� x S 42. Backflow Preventer r• r: O,-,� t: ti t ,, ' 43. Backflow Irrigation* > t 4: r•' rr• t F• i.: 1: ." 0 .� 01 ' x :-..i:]I� 3� • t 1 V` 'J J 4 t., .a. -yy - ;44. landscape Irrigation Systeme<--, t; rr v: Ct; - a g -D Ot • S 45. Sound Attenuation= ^' t 1 [T7 ;=14: E' c- t rt " '&417 +: J 46. Handicap Regulations `.• * S � t., ;. J VJ'•' F, Cr ' 47. FINAL STRUCTURIE & BUILDING • tA7/�n�/j.�8 A i tr 1 48. 'FINAL PLANNING? �` t" ` • Y i-n. 49. Electric Release to Edison ;r I.- -.4- ii.', Y •C? z ^ .50. Gas rAelease to Southern Califor..nia Gas Co "rI . v - 51. CERTIFICATE OF OCCUPANCY - No. Date -.. - ._• T ... _ Applicant to Shin all spaces exeeptihose wit hin.heavy border Tines and.sign all appropriate declarations.r - • STA MESA pE MIT N TRACT NO--� LOT NO. BLD CT'ION PERMIT f•. ` = f f (� f I . • �aS�:F� Project Address- 1 1 0,� k c'Sn .•n Ciw�i 'C:� •,_ • • TYPE OF CONSTRUCTION . U'NEW U ADD. -U ALTERATION t REPAIR Pt'o • Applicants Mailitildr ss .i SLi 2L.)• 'SRL-. 'S 1'I Mstl'tn.vt '• ❑ CONVERSION ❑ DEMM H ❑ OT R '- A,P•# )- - . - A dq Zone-4 �•��+j p + ;DESCRIPTION OF WORK I rA - J • Owner's Name - G h�,Q' ire y' Phone Sy •/1-•ib" - S Main Building: �- Accessory�8wlding.-' 1 • Z Y p�ny Qrii; Address' it:7 -jCt hi.c,.1.- f /OsCA - - • ' TYPE • OF PERMIT ❑ GRADING U OUNDATION U'STRUGTURAL T. Front r �trJ/H f'�C�A N Arch/Eng. • - License No. ' ❑:TENANT ❑'E�ILECTRI AL ❑ PLUMBING ❑ MECHANICAL B Rear • - - - Address. - //. .r� . .. 'LG OTHER . ,/!.t s . y 'A Contractor's Name ( f0// f 4,'S�6 071 t+ Phone n } is.7f 7S. PROJECT DESCRIPTION Sri FT. '7 4 csc)' - OCCUPANCY /flak*kt If K Right G Addiestlmeilingl /CI 72- E.///$61•. S. C1-.Iq�ai -ly CONSTRUCTION Tye-it/ VALUATION $ asp DrdO S Left • ZONE • GRA GCU.VDS. ACRES City License No. .j.0�`4 - Ping. Ref.# Park.Fees $ - Q LICENSED CONTRACTOR DECLARATION ' • Remarks: Parking Req./Provided , - I hereby affirm that I am licensed under provisions of Charter 9 (commencing - R with section 7000) of Division 3 of the Business and Professions Code,and • Use of Building: E my license Is in full force and effect. - '/ ' ' License Class �([. Lirvgnse No:3v1 7C=U T ' PLUMBING - ' FEES Planning Notes: • E -se :.)-�-��T Signature „ . (•-//ltwfir N ;KERS'COMPENSATION D ARATION • Bar Sink Showers T eby affirm that I have a certlft to of consent to self-Insure or a certificate , Backflow Preventer Service-Sink S Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) C1+S a�.(� ( fe j•"T" Q __ Backflow Irrigatioh Sewer Cap _ ELECTRICAL '• FEES Polky No.��'�^O• Awifurni had. 'meant .o l am ru:�M A Certified copy is hereby furnished. Bathtubs Sewer Connection - Automatic Washer Transformer 0 15-50 KW Certified copy is Wed with the city : Ildin-'DI 1 . KW Date 3. TJ^3- Y Applicant . / .-7" 0 50+_ _• Clarifiers Solar Collectors- . Construction Pole Sub. _, . . _ _. EXEMPTION FROM WORKERS'CO -:NSATION DECLARATION Dishwasher Solar Piping • (This section need not be completed i$t.: permit is for one hundred ($100)orP 9 - Cooking Unit + Meter ❑up to 100 amps- less). . I certify that.in the performance of the work for-which this permit Is issueE I Drinking Fountains Solar Tank - Dishwasher • Meter Dover 100 amps/ • - shall.not employ any person In any manner so as to become subject to the - - • Workers' Compensation;Laws of California: Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel, ' 1 4'.:.- Y 1 ' Date - ' Signature ' _ NOTICE;'f,iaf ter making this declaration', you should become:subject:to the- ,- ' ' Floor Sinks 'Urinal' `I --' - Fan ' ' " ' - ; Motors 00-1 HP 041%.8 -'"t Workers' Compensation provisions•of the Labor Code, you must forthwith - - comply with such .provisions. or this permit shall be deemed revoked: Gas Service •' Outlets Water Closet i - F.A.U. Inc.Solar 09-15 HP 016-15+ • CONSTRUCTION LENDING AGENCY ' ' ' ' ' 1 I hereby affirm that there Is a constructiorrlentlln9 agency for the performance- Int¢rc¢ptofs Water'Heater . ' Fixtures Microwave 1 i 'of the work for which' this permit Is Issued -(Section 3097 Clv. C.) - - - Lender's Name - - ' - ' Kitchen Sink •• - Water Service Device Boxes Pole Light ' • Lender's Address::: _ • - -. , OWNER BUILDER DECLARATION . , - Lavatories- ' - Outlets Range • _ I hereby affirm that I am exempt from the;Contractor's License Law for the -- following reasonr(Section-7031.5'Business and Professional:Code: Any city or p' '- _ , ., ' Switches Sign county which requires a permit to construct,alter,Improve,demolish or repair - - • any structure, prior to Its Issuance, also requires the applicant'for such permit - Roof'Drains ' Garbage Disposal Standing Sections • c 1Jile a signed statement that he/she-Is licensed pursuant to the provisions of ' • •,r,• -._ontractor's License Law(Chapter 9(commencing with Section 7000)of t _ a;;K;ilon 3 of the Business antl Professions Cotle) or that ne/she Is exempt - - Generator ❑0.5 KW❑5-15 KW (Trash Compactor • r ;�,:efrom and the.basis for the alleged exemption. Any violation of Section , , •,-,t1.31.5 by any applicant for.a permit subjects the ,applicant to a civil Reinspection Fee 'penalty of not more than five hundred dollars($500) pe •$25. ' . Issue Fee $ 3 LI I, as owner of the property or my employees,with wages as their sole _ Reinspection Fee $25 IssueFee $ 3 t compensation will do the work,and the structure.Is not intended or offered - MECHANICAL FEES. - for sale (Section 7044, Business, and Professional Cotler:The Contractor's - - - - -- - --- — — PUBLIC SERVICES REQUIREMENTS: t • ' 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 Boiler '' Hood or Type I ❑ , , Zoning Approved By Date employees, provided that such o Improvements are not intended or offered for Canopy Type II ❑ _ sale. If, however,the building or improvement is sold within one year of corn- Duet-Under Ground , H Building ApprovedjBy - Date elation,the ownerowlll have the burden of proving he/she did not build or Im- tft�\ J drove for the purpose of sale). Duct-Structural Refrigeration System )' ; Application Issued By _ - - ,ilr / Date /�/� LJ I,as owner of the property,am exclusively contracting with licensed con- , tractors to construct the project(Section 7044,Business and Professions Code:- ._ Duct-Ventilating . _ ❑0.100,009,BTU �1GB,DDQ BTU _ SUM RVp F FEES The Contractor's License Law does not apply to an owner of property who , builds or improves thereon,and who contracts for such projects with a con- ' , Exhaust System 0 Multiple 0 _ System Repair/Alteration • ; BUILDING PERMIT $ ,t0. SMIP , , ,$ ' i S 0 ' tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK • 1$ PERMIT ' - ❑ I am exempt under SectionB.& P.C.for this reason Firepi/Fact.Bit. ICBG# - PLUMBING $ ISSUANCE 1$ '' 2' Date Owner! • ' ' Heeting;System&Ducting ENERGY P.C. ;$ ' _ PLAN CHECK 25% $ I hereby'certify that I have-read this application and state that the above ❑0.100,000 BTU'❑100,00067 GRADING ' $ • ' Information Is correct. I agree to comply with all city and county ordinances , - : ELECTRICAL• $and state laws relating to bulltllpg onttruction,and hereby authorize repre- I , 1 MICROFILM .$ I - sentatIves • this' y, t• e• ylr Tp.. .the above-mentioned property forn„S• PLAN CHECK 50% '$ JJ Inspection ose _ Dat �+ ` • MECHANICAL j :$ ; TOTAL FEE 1$ ^V Signature' _i .. $ Drivers' Li ar;55 �/ - Y�V Reinspection Fee • $2$ issue Fee • - $ 3 ' . . PLAN CHECK 25% - . ' - .. . - • CMF 0865., : rev.12/83 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • - % _______ POC SPA - -NSTRUCTION;AND°PLANNING - - - : : -c Date Inspector - AL ~ Date (I• nspector • ROVALS Permit# =-APPROVACS�` Peimit#� '- � �emporary,Electrical Service or Pole 4� _ t' - 52 Pool & Equipment Location - :2: Soil Pipe•-Undrgrnd.' fir ' 53.'Steel Reinforcement " ^.{' > 3..Electrical"Conduit Utility-t!lndrgrnd.l r -., .1 _ 54. Forms "4-- _f•-,:.. _ r o - ' , - 's a a 4- Electrical Conduit-Undrgrrd . • `-`- •=155r Electric-alb-On-ding- ' : ' -2 _ y-;: t". ' N . 61.:.Steel.Reipforcement-. :7 ,., -t„ ` • - •56. Rough Plumbing.& Pressure Test , `• i I - )4,J 6. Electrical LIFER Grnd:� •� = . . 57APPROVAL.TO'COVER GUNITE •- _ • � 'r '- 7. Footings-' 1:,)r •1j :' •' r2-'-'e58. Electrical Conduit-Undrgrnd-} -- ' _ ' ii�" 8 Foundatibh 'l. •I(' ' 59. Gas Pipe, O Undrgrnd:,Test ' _. - • ' i • t+^f : - 9. WateriPipe-Undrgrnd, " •,J '1 .:� 60. Backwash Lines,'P Trap' Ll Undrgrnd. - ''�J •r 10. Structural Floor System 1 .�_ ,-"-.1 , 61. APPROVAL TO DECK ' • 11. Property Sewer Line'& House Connection ,t^ , ,i ' 62. Backwash &-Receptor-Final ' ''- I , T 12. Sewer: _'Cap r Ii.^ 63. Heater &Vent-Final , . t .� J 13. Roof}Jrains •_ . �, �, I j 64. Plumbing System; Final ;; � ?• ' t _ ' . ' - '+.I ' , 14. Rough Plumbing .1, " . - r t 65. Electrical-Final '• - - • - . ' .. • 21. , : -/l , ,-15:-Rough'Electrical-Conduit - - 66.•Solar System-Final ;-" - " "' 1- - _ "' j _ 16: ROugh.Electric Wiring I I - b7. Fencing &rAccess Approval T ,;."t -f ---'-'- 1•17: Rough Wiring Sign ', - , 68.'APPROVED FOR PLASTERING. l i '-i- r „. . _ `.18. Rough Electrical Ceiling r--- ; BPOOL/SPAI 9. SYSTEMS FINAL , 2 : '. ; I ,, 19. Rough:Heating & Air Conditioning - ' . - FIRE DEPT. REQUIREMENT- I , . ; II 20. Rough:FactoryFireplace APPROVALS Permit# 21: Ducts, in Structure _-' 70. Underground Hydro, -t ! i 3, I , _.__ 22. Ducts,.Ventilating `•I 71. Product Piping 0 Gas'0 Oil 1 23. Gas Pipe-Rough 8LTesi�=1' , 72. Underground Flush ! , , , , I 24 Roof Framing , ';•a • - • 73.'Undergrnd.Storage Tank O Gas D Oil ' , = I I i , s'2h Roof Sheathinti g - - - - _ 74..Overhead Hydro r ! - sT'26. T-Bar•'Ceiling (Structural) & Monocoat - 75. Drythemical • - 1 `, i ._ e27. Framejand Flashing - , 76.;,Dry Standpipe ! -• - , i : ! ,r ' .28. Lathing& Siding ' - - 77. FIXED SYSTEM FINAL - .29. Insulation ' : ' 78.. FIRE PREV. FINAL i I I t • • `:30. Drywall`Nailing - .� I, HEALTH DEPT. REQUIREMENT : ' I j •31. Plaster-Brown Coat' 79.'FINAL INSPECTION f • 32. Electrical Power Me• te?=Final I 80. FOOD CERTIFICATE,ISSUED 33. Final Electric ,ri Noies: 34. Final'Heating & Air1Conditioning; 35. Final Gas Pipe-Test - - - •s,• _ _ 36. Hood Or Canopy - " - - ' - 37. Final Factory Fireplace - i • , - ' I Pi' _ - _ ;, '- ,, , • • 38. Ficial Plumbing - - , ., > 39. Water Service-Final 4 , , . .. , , I re . 40. Gas Service-Final • . , • 1 .. _ c �• �' ' r 41. Sdi r Domestic-Final - - -- - _ H -' 11 r, , a , • 42. Backflow Preventer I ''11 ' 1-i cc 43. Backflow Irrigation - - • 44. .Landsdape Irrigation Systemc. _ - 45. Sound-Attenuation' ;' . . , tro - 46. Handicap Regulations • , - - _ - - - ( 47. FINA gSTRUCTUR,E & BUILDING '7�yp - I , - s, J ' - . " 48. Special:Requirements Completed '' i 'iii r: `" `" ', 49, Electric Release la Edison 1 .t -T-- ` ! i 'r - 'I • , 1 • I • ' •' i• 50. Gas Release to Southern California Gas Co • 1 I ' . , I ! . 7- , 1 1 • i 51. CERTIFICATE OF OCCUPANCY • ' • +-- - - ( T • ' • - !• -- , • -;!: . I I , '' =- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 'CI-X ITV OF COSTA"MESA . .. _ '- " " ' s PE T No. �'�C��NO LOT NO. BLDG.NO. 2637 . I /18/84 54. 1 2 TL, CONSTRUCTION PERMIT tom' . - _ /0. 6/6 ' `3v t 1 .'1 ./ o 1 • . •. , Project Address' 1.5-5. abna.4 P ` L• ' - : TYPE OF CONSTRUCTION ❑ NEW Li ADD .�ALTERATION U REPAIR ' - - '• _�,A I i ! /^'c - ❑ CONVERSION -O DE, LISH ❑ OTHER: - . ` /39 - a 11, ' — �9- . , IZone . , R.__ f - pp Icant's Mailindress. ✓A _ l A.P.�i` OOwner's•Name ' a�T>S 7 "" ' ' 'Phone • DESCRIPTION OF WOR EBF�d'�'_ Q J`�Ecn'c�J D�kl4� .StvD f'�'��'��'�� fa A. 1� S Main Building: Accessory Buildi.40 Address /dScS , 4i2 "- - TYPE OF PERMIT S GRADINGIII FOUNDATION Iry STRUCTURAL TFront _ //�iA� ' N ' 1. Arch/Eng.i• Ou -4 ' License No ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' BAddress Rear - Nj /❑ OTHER /9 — A lam'Contractor's NameGC41S5N. ' - Phone 'PROJECT DESCRIPTION SOFT. OCCUPANCY J D Right `�/%Address lmailing) - , CONSTRUCTION TYPE . . VALUATION.$2�'OOc•� S Left , _ _ E• City License No. N Q - _ ZONE GRADING CU.YDS. ACRES Ping. Ref.# ' Park:Fees $ �' - . Ul� LICENSED CONT OR OECLARATION Remarks: - Parking Req./Provided : �_ - t - , . I hereby affirm thm licensed under provisions oT Charter 9(commencing with section 7000Division 3 of the Business antl Professions Cotle,antl - /^ - Useof Building: .+_ {�my li senseisction i7 0001e and effect. _ - - Kr C. ��_�4s"1 : ��Q > ��/>� �J^ i va �, ' E License Class License No. : I PLUMBING . 'FEES Planning Notes:^ - , '.�#� , M ' 444 E spate Signature • Bar Sink Showers aALz'�/isr.� N �-v.(]RKERS'COMPENSATION DECLARATION n'//-""'�� T "'Hereby affirm that I have a certificate of consent to self-insure or a certificate {' S �',. _ Backflow Preventer. Service Sink .. _ • -uf Workers' Compensation 'Insurance, or a certified copy-thereof (Section- - - - a 3800, Lab. C.) • Backflow Irrigation Sewer Cap • , - - - ' ELECTRICAL '_$! FEES Policy No. • Company ' , RCertified copy is hereby furnished. { Bathtubs • Sewer Connection Automatic Washer' Transformer 0 15-50.KW , Certified copy is filed with the city Building Division. , +0 50 KW • Date Applicant I Clarifiers Solar Collectors Construction Pole Sub. . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Dishvvasher Solar Piping Cooking Unit Meter❑up to 100.amps - ' • - (This section need not be completed if the permit is for one hundred ($100)or • less). - Drinking Fountains I certify ot that[empl the performance of the work for which this permit Is Issued, I 9 Solar Tank Dishwasher ' Meter Other.100 amps shall not employ any person in any manner so'as to c subject to the . - -. " workers' Co eAsa ion Laws of Californ' /�- . - Floor Drains ) Swimming Pogl,w/Spa , Dryers ❑Gas ❑Electric ,Sub Panel s Date' /-/ /f Signature ..... e-,7,• - NOTICE:Jf,after making this declaration, you should become� ct,to the s Floor Sinks - __ Urinal ,_ _ _ _ Fan Motors 00-1 HP.❑1%2-8 Workers' Compensation provisions of the Labor Code,'you morthwith - •" - - - - - • comply 'with' such provisions-or. this.•permit'shall be'deemed revoked. • Gas Service -Outlets Water Closet' - - F.A-D. Inc.Solar 09-15 HP 016.15+ • CONSTRUCTION- LENDING'AGENCY, - • I hereby affirm that there is a construction lending agency for the performance • ' Interceptors - .Water Heater Fixtures ;Microwave ' of the 'work 'for which this permit-,is issued (Section 3097. Civ. C.)' - - ' Lender's Name/WI/yr - - - Kitchen Sink - _ Water Service Device Boxes : Pole Light ' Lender's Address. - - . - - Lavatories - _ ' .. - Outlets ' Range • OWNERBUILDERDECLARATION • I hereby affirm that I am exempt from the Contractor's-License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p , - . - -• -- Switches Sign . county which requires a permit to construct,alter,improve,demolish or-repair any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains - - - .- ' _ Garbage Disposal ' Standing,Sections to file a signed statement that he/she Is licensed pursuant to the provisions of _ - - - le Contractor's License Law(Chapter 9(commencing with:Section 7000)of . - 4 • Generator ❑0-5 KW ❑5 15 KW Trash Compactor ivislon 3 of the Business and Professions Code) or that he/she is exempt - , _ - • Ierefrom-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 ( • . - 3 r ' /7 n enalty of not more than five hundred dollars-(S500).' - I "Reinspection'Fee '$25 , Issue Fee - ' $ LI' XI 1, as owner of the property or my employees with wages as their sole - Reinspection Fee $25 'Issue Fee, $•3 /' compensation, will do the work,and the-structure is not intended or offered MECHANICAL FEES for sale•(Section 7044, Business and Professional'Code: The. Contractor's - PUBLIC SERVICES REOU R MENTS: License Law does not apply to an owner of a property who builds or improves ` - Hood or TypeI �Q� Boiler I 0 M p employees, s,and'who does such work himself/herselfisror through his or her own Zoning Approved By 1 — •v nate /_/A - employees, providth that such improvements are not intended or offered for Canopy , Type II ❑ . , sale. n, the own, the shabuilding improvement fro linghe within one year of cpm- • Duct-Under Ground Application Approved By • �f� Date pletion, the owner will have the burden of proving he/she did not build or im- Y�. rove for the purpose of sale). I - Duct-Structural •• • Refrigeration System Application Issued By - Dat ^�I I, as owner of the property, am exclusively contracting with licensed con- - , • , ,tractors to construct the project (Section 7044,Business and Professions Cotle: ) Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU - : •SU MARY OF FEES , - The.Contractor's License Law does-not apply-to an owner of.property who ' - BUILDING PERMIT $ _ SMTP. - $ �• .�0 • builds or improves thereo n,•antl who contracts for such projects with acon- - Exhaust System 0 Multiple❑ System Repair/Alteration tractor(s) license pursuant toahe Contractor's License Law); _ ' PLAN CHECK I 1 $ 2 PERMIT • '❑'l am exempt udder Section' ' B.& P.C.for this reason ' Firepl/Fact.,Bit. ICBG# , I NSSUANCE $ I i ' .. - PLUMBING $ - I Date i ' - owner, - • I. Heating System& Ducting , i ENERGY P.C. $ • I • ) •.PLAN CHECK I $ ' I' I hereby certify thatI.1 have read this application antl,state.that the above • 00-100,000 BTU ❑100,000BTL •_ _ I GRADING $ information is correct. I agree to comply with all city and county ordinances ' • t ' - ` __ - - - - "'•' , ELECTRICAL , $ ' - and-state laws relatingito building construction, and hereby authorize repre- - - ' ' , ' MICROFILM $ t sentatives of.this!city, to'ent upon the above-mentioned property;for • {. PLAN CHECK $ I inspection purpose . , y r s , _ 1 MECHANICAL $ - TOTAL FEE I $ ' C '(Z I Signature �Q7✓ : Date 7�/ O - T/ ' Drivers'•Llcense or SS* • ApplicantPink-Accounting;Goldenrod Assessor --- - - - -- A- - - ->. • - ` . ._ --- . _--. r ., , • CONSTRUCTION AND PLANNING _ _ . PO. :SPA Date • Inspector • - Date Inspector • APPROVALS, Permit# •• APPROVALS Permit - ".1..Ter iporary Electrical Service or Pole - 52. Pool & Equipment Location• .2. Soil•Pipe"-Undrgrnd: , _53: Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrnd. - , 54. Forms - - - - • r4..Electrical Conduit-Undrgrnd. . - • 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing &.Pressure Test • 6. 'ElectricalUFERGrnd. ' - - 57. APPROVAL TO COVER-GUNITE _• ' r}, 7.4Footirigs : • - - -. 58. Electrical Conduit-Undrgrnd. , •- • 8. Foundation • . ' 59. Gas Pipe, 0 Undrgrrid.,-Test • n 9. Water,Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.. 10. Structural Floor System -- ' . 61. APPROVAL TO DECK • ' •• - , I. 11. Property Sewer Line & House Connection r , 62. Backwash & Receptor-Final , 12.'Sewer Cap • 63. Heater & Vent-Final • ' . 13. Roof Drains64. Plumbing System,-:Final' - - - ' 14. Rough Plumbing 65.-Electrical-Final - . • 15. Rough Electrical-Conduit - 66. Solar System-Final • - ' - , 11.6. 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 APPROVALS ' Permit# • 21. Ducts, in Structure , 70. Underground Hydro . A22. Ducts, Ventilating- i 71. Product Piping 0 Gas 0 Oil h23. Gas.Pipe-Rough &Teat - . 72. Underground Flush • ' • X24. Roof Framing • , 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof-Sheathing - (> C "�f JL -� � 74. Overhead Hydro • 26. T,-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing f .24,47; B q 76. Dry Standpipe , 28. Lathing& Siding • 77. FIXED SYSTEM FINAL • 29. Insulation Lei:t T__ ,c:y * 78. FIRE PREV. FINAL . 30. Drywall Nailing .17e/o,H /247 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. FinalElectric Notes: ' • 34. Final Heating & Air Conditioning. ' . 35. Final-Gas Pipe-Test - ' . . . _ 36. Hood or Canopy . . . 37. Final Factory Fireplace ,• i ,.• • _ 38. Final Plumbing - •' - • 39. Water Service-Final ' / - `✓ 40. Gas Service-Final ' 41. Solar Domestic-Final ' - • . , 42. Backflow Preyenter -{- '+ r 43. Backflow-Giigation - • - - ' i 44. ,Landscape Irrigation System / - - f- . 45. Sound'Attenuation • - 46. Handicap Regulations ' . . 47. FINV'AL STRUCTURE & BUILDING , difr/gr - ' - 48. Special Requirements Completed . eVel F 49. Electric Release to Edison - - - i e 50. Gas Release'to Southern California Gas Co - . - - , 51. CERTIFICATE OF OCCUPANCY, • , - _ •, _ - No. .- - - Date 'T Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. '-CITY OF COSTA MESA - PERMIT NO. . "- - TRACT NO. LOT NO. BLDG.NO. -- - - - - - ' CONSTRUCTION PERMIT _1'3 82 . . . Project Address/ 523.J�fFM/afd-lel- TYPE OF CONSTRUCTION �216 6I I I /62 I 0.00 '-.. -OWner pg'r -r-r 2C✓ - •- Phone5.09-/Z560 NEW 0 ADD NI ALTERATION - - - - _ ❑ REPAIR 0 CONVERSION 0 DEMOLISH4/8 ❑ OTHER • ' ''ZONING REGULATIONS Arch/Eng. - - License No. - A.P. - . . Address - - - • - _ DESCRIPTION OF WORK ZONE' .-PLNG. REF.lq• "Contractor- ' '- • - Phone - - - - - BUILDING- TTpp �(11 O /�i _ TYPE OF PERMIT SETBACK CA_ST. PROPEIRTVNLINE Address - - -. - ❑ GRADING ❑ FOUNDATION 0 STRUCTURAL - SIDE YARD LICENSED CONTRACTOR DECLARATION ' 0 TENANT 0 ELECTRICAL ®PLUMBING ❑MECHANICA . LEDE-YARD - - - I hereby affirm that I am licensed under provisions of Charter 9 (coin- RIGHT - ' mencing with section 7000) of Division 3 of the Business-.'and 0 OTHER Professions Code, and my license is in full force and effect. - REAR YARD(TO P/L) -' - - PROJECT DESCRIPTION License Class -. - - - License No. -- PKG.-SPACE REQ. - -PROVIDED ' Date - Signature - SQ.'FT. -- - -' WORKERS.-COMPENSATION DECLARATION. . OCCUPANCY_CONSTRUCTION TYPE STREET ?PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a . VALUATION - I ZONE ZONING APPROVED BY -DATE . certificate'of Workers' Compensation Insurance, or a certified:copy _ . . •' thereof (Section 3800,Lab.C.). - - GRADING CU.-YDS. ACRES SPECIAL CONDITIONS: ' - - icy No. _ Co mpa nY _ - . . -- - _ - . .--- Certified copy is hereby furs fished. _ _ : REMARKS: . _ _ - Certified copy is filed with the city Building Division. 7 /� /7 [ ry -" - ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION y �pZ,9 'p�^- / qS(p p[ _ - _ _(This section need not be completed if the permit is for one hundred tee - „ , ($100) or less). "- - . '- . . . . ' - ' I certify that in the performance of the work for which this permit is , issued, I shall not employ any person in any manner so as to become PLUMBING r - _ PLAN CHECK - - ELECTRICAL - PLAN CHECK • -subject to the Workers'Compensation Laws of California. BATHTUBS - - - SHOWERS UWhLLIN(.. (.ARAbt -• Date Signature - SQ.FT- - SQ FT - . - NOTICE: If after making this declaration, you should become subject TOILETS, ,,‘ URINAL 1 -- - -GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - ' forthwith'comply}with such provisions or this permit shall be deemed LAVATORIES DO -LEC•v ' • APPLIANCE - 10-50 KW_50+ KW revoked. _ , _ CONSTRUCTION LENDING AGENCY -KIT.SINKS - DIS . ERS - - -MOTORS- ' 0-1 HP 1-10 HP ' ' I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 1 S • - - . .(INC.SOLAR) . 10-50 HP 50+HP ' formance of the work for which this permit is issued (Section 3097 -Civ. C.): - - - ' - •- • FLOOR SINKS - - 1 :1_00A DRAINS- ' - ' ' FIXTURES - OUTLETS SWITCHES -- - Lender's Name Lender's Address DRI INC FOUN ' - • -GAS TUBE SIGNS- -- OWNER BUILDER'D EC LARATION INT E CLARIFIERS '- POLE-LIGHTS ' - - I hereby affirm that I am exempt from.the Contractor's License Law for /J the following-reason (Section 7031.5 Business and Professions Code: SWI MIN L \ PTRAP • L O Ruu wry Any city or county which requires a permit to construct, alter, POLES POLES METERED SUB . Improve,demolish or repair any structure, prior to its issuance,also re- WAT S VICE " ALTERATION - "- PANELS - - MAIN - SUB quires the apklicant for such permit to file a signed statement that he - - . -is-licensed pursuant to the provisions of-the Contractor's License Law- GAS SE VICE ' "- OUTLETS -- • - (Chapter 9 (commencing with Section 7000) of Division 3 of the SERVICE - - AMP Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS- 'BTU OUTPUT -- - •-- -- -• - - Is for the alleged exemption. Any violation of-Section 7031.5 by -applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS not more than five hundred dollars ($500). - - - - ; I, as owner of the property;pe-Ty"enfpl0yea.with wages as their SOLAR TANK Or .Sle Compensation, will do the work,and the structure is not intended "COLLECTORS or offered fur sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE • Contractor's License Law does not apply to an owner of a property + - who builds or improves thereon, and who does such work himself or' ISSUE FEE - - - - APPLICATION APPROVED BY - DATE- through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner will have the burden of proving he did not Build or improve for the purpose of'sale). HEATING SYSTEM 0-100,000 BTU BUILDING - - ' . -❑ I, as owner of the property, am exclusively contracting with - PERMIT $ SMTP $ licensed contractors to construct the project (Section 7044, Business AND DUCTING - - _ - .. 100,000 +BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does-not apply to. .- : ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E /0 _ tracts from such projects with. a contractor(s), licesned pursuant to SYSTEM - -- - - ;GRADING $ • the Contractor's License Law). 100,000 +BTU • PLAN CHECK; $ 0 I exempt under Section __ _ • B:& P.C.for this • BOILERS BTU '- ELECTRICAL $ - - $ reason-- -- MICROFILM $ Date. Owner SYSTEM REPAIR,ALTERATION PLAN-CHECK $ • • TOTAL FEE$ ' I hereby certify that I have read this application and state that the above EXHAUST SYSTEM - MULTIPLE - - MECHANICAL $ • LESS AD- - information is correct:-I agree to- comply-with all- city and county PLAN CHECK- $ VANCE PC- $- ' - ordinances and state laws relating to construction,and hereby authorize -, 'representatives- of this cit to enter-upon' the above -mentioned - ,. ' y Signarur for '-s ection 206. . . ._ _ - . . n _. _ __ -. _ - _ `Signature bate - -52,-_ t • _ FINAL FEE $ Q \fivers' License or SS, ISSUE FEE _ ._ X0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor . , ' , ,-. CONSTRUCTION AND PLANNING POOL&SPAS ` ‘• ; .1 •\ APPROVALS Permit# Date Inspector ,•APPROVALS . • , Permit# Date - Inspector • 1. Temporary Electrical Service or Pole ; ' 43. Pool & Equipment Location __ - 2. Soil pipe-Undrgrn 44. Steel Reinforcement ' -- -- - - 3. - Electrical Conduit Utility-Undrgrn. _ 45. Forms • ' . - - - - - .4.. Electrical Conduit-Undrgrn . - - _. - _. . . 46. . Electrical Bonding - - - . - •- - _ 5. _Steel_Remforce _ _ 47. Rough Plumbing & Pressure Test - - -- . . - 6. _Electrical UFER Grn - - 48. APPROVAL TO COVER-GUNITE - . - - 7. Footings- - _ - _ ._ 49. Electrical Conduit•Undrgrn - - 8. Foundation. " -_ ' < <_ 50.. Gas-Pipe,- Undrgrn,Test 9. Water pipe-Undrgrn 51. Backwash Lines. P-Trap. LII Undrgrn - 10. Structural Floor System . ' . ' .. - . 52. APPROVAL TO DECK 1.1. Property Sewer Line &,House.Connection,_ - - . __ . 53. Backwash & Receptor-Final, - --12. .Street Sewer Connection - • - 54. Heater & Vent-Final 13. - Rough Plumbing - . - ___ _ (, PH Z .n5' 55. Plumbing System- Final - - - 14. Rough Electric-Conduit - - 56. Electrical-Final 15. Rough Electric-Wiring ' " ' • ' ' ' 57: Solar System-Final - ' • - - _ - . 16. . Rough Heating & Air Conditioning - - - - - 58. Fencing &Access Approval 17. Ducts, in Structure - . ' - " . __.- 59. - APPROVED FOR PLASTERING 18.- Ducts, Ventilating - - - •-s_. %- .. . ' _ - - - 19. Gas Pipe=Rough &Test - _ - 60. POOL/SPA SYSTEMS FINAL ' . • • ' 20. Rodf-Framing - -- .- - - - y - 21. Roof Sheathing -- : - - - • - • - -• - - - . - ' • 22. Frame and Flashing ,. _ . _. . -NOTES: • _ ' , i. -23. Insulation - • • • - - - . -- '_ ; . _ - . . _ . . ._ 24. Lathing & Siding- - -- - - - - ....-- .. . - - • • - 25. Drywall Nailing -. - _ .._ . ._ _ .. ,. . . .. • 26. Plaster Brown Coat - ` - - _. ._ ._ , . _ : - "" , 27.- Electrical Power Meter-Final ' ; - . - __ ._ _ _ . _. . -- • ' - 28. - Final Electric - . . -- - - • . - - - - " . 29. Final Heating& Air Conditioning - - - _ ._ . . • . •. 30.- Final Gas Pipe-Test - - . __ . 31. Final plumbing - - - /O JQ�3 , Qi - . - 32. Water Service-Final -- - •• . 33. -Gas Service-Final -- ._ .. . • - 34. Solar Domestic-Final - . . '- , . „ . ' 35. Landscape SprinklingSystem • 36. Sound Attenuation .- -- - - ' 37. Handicap Regulations " - - -" --- ' • - ___ 38. FINAL STRUCTURE & BUILDING - - -- -- `' ' _ __ _ 39. .Special Requirements Completed . - - -• - - 40. Electric Release to Edison ' •r - , 41. Gas Release-to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY - - _ . _ . _ . No - Date 1' - . . . . . . - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. - •: CITY-OF COSTA MESA t - PERMIT NO. i CONSTRUCTION PERMIT £ 7 ' -` , 314.87 /07' I ! . Project Address a :nil i (,,_t, (� ` 9499 I2/14/B1 . 5.50 TU Address/6'5;9 5eiThapt. - CMI•• ' TYPE OF CONSTRUCTION Owne%'�ut7•�'P`2 -.l 't7?CV -` Phon - . _ eJ v�lZ ❑ NEW" ' ADD (] ALTERATION-'- 1 --Address/45 fl5y.y,Afl IL---- -- -- -" .D REPAIR-O-CONVERSION ❑DEMOLISH . - - •Arch/Eng. '- - - License No:- ---- - 0 OTHER.' '''" )dI ZONING REGULATIONS . DE�SCC IPTION-OF WOR,K/lL›p_Jl44"2C-• 1-curt ers• 'A.P.' -- •/p _ _ - - - f• L/ EFSi�f fJH ';#7.,./2- "2 Lt7�Iw+g�/' !3'�•eW NE • - PLNG REF. . _ Contractor -` f�/� - Phone TYPE OF. •PERMIT ' - • - '- BUILDING • -- --TO BUILDING ' �^�" SETBACK C/1.ST. PROPERTY LINE Address t GRADING O FOUNDATION O STRUCTURAL - SIDE YARD • LICENSED-CONTRACTOR•DECLARATION -- -- ' O}TENANT JAIELECTRICAL•OPLUMBING-O MECHANICAL LSE DE YARD - - - - - I '-- - - - I hereby affirm that I am licensed under provisions of Charter 9 (corn- ../ I - -{ _ RIGHT 'mencIng with section 7000) of Division-3 of the Business and -OTHER Professions .Code; and my license is in full force and- effect., 1 'z } I REAR YARD(TO P/L) ..,t --- - - - -- - - - e - - -' 'PROJECT DESCRIPTION. _ _ --- License _ _ License Class License No. • 11 PKG.SPACE REQ. PROVIDED-, - Date Signa Cure " _ _- - _ _ SQ. F_T. ' - _ _ .. .- . . - - - _ .- . _ -WORKERS'COMPENSATION DECLARATION •- - - �e' OCCUPANCY_CONSTRUCTION TYPE. STREET WIDTH PA RK'FEE$', I hereby affirm that have a ceitlA ficate of consent to self-insure ora '$VALUTI O_N ' - 'ZONE ZONING APPROVED BV, - DATE' rertificate'of Workers-Compensation•Insurance; or -a-certified-copy --- --- - - - -- - - - , - _ _. _ _ veof(Section 3800, Lab.C.). , GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Certified copy is hereby furnished. - - --- - -. . .. -_. L .'REMARKS: '.. " • ` _ _ _ '_ LJ Certified copy Is filed with the city Building Division. • -EXEMPTION FROM WORKERS' COMPENSATION-DECLARATION _ . . - ' - ' - _ "- - - - - - - . . (This section need not be.completed if the permit Is for one hundred __ • _ ($1 -. 1�1,_- - s ' _ 00) Or less). .• f - _ -' ' - - - -- 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 -PLUMBING PLAN CHECK ,' -- " ELECTRICAL ' - - PLANCH HECK- - _I subject to.the Workers'Compensation Laws.of California. UW ELLIN(a Date I Signature -- BATHTUBS SHOWERS SQ FT SO FT -- " ' NOTICE: If after:making this declaration, you should become subject ;TOILETS.,'/rt./ ;1-; URINALS - - " ' -- - -' GENERATOR - to the Workers' Compensation provisions of the Labor Code;you must TRANSFORMER I forthwith complyiwith such,provisions or this permit shall be deemed LAVATORIES DOUBLE-LAYS 7 ' --"' 'APPLIANCE • 10-50 KW=50'+-KW' - • - - revoketl.�_ ._ _ __ CONSTRUCTION LENDING AGENCY KIT.SINKS; - DISHWASHERS - "- - - - MOTORS - '- 0-1 HP_1-10'HP'-" ` - " 7 - i I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ,T' SUMPS - """'-- - •-" --(INC.SOLAR) 10-50 HP=50-+}HP ^- - - - - formance of the work for which this permit Is issued (Section 3097 - - - . . , -- - ' _. . _ _ • _ • Lender's Name FLOOR SINI(S_ _ FLOOR DR _ _ _ -AINS ' FIXTURES "oUTLETS�SWITCHES „ "- '.�Q Lender's Address —DRINKING FOONTAINS' - •- - ._ - "'- GAS TUBE SIGNS-- �•,• - - - - - OWNER-BUILDER DECLARATION -- -- - - - INTERCEPTORS •CLARIFIERS -POLE LIGHTS - _ - I hereby affirm that I am exempt from the Contractor's License Law for the following reason'(Section 7031.5-Business and'Professions Code: - SWIMMING POOL` "' - P TRAP - _ -- - - CONS HUI LION - __ Any city or county which requires a permit to construct, alter, POLES METERED 'improve,demolish or repair'any'structure,'prior to Its issuance;also-re' -WATER-SERV ICE ALTERATION- .. PANELS - ' "MAIN .' SUB = ' -' - quires the apt licent for such permit to file a signed statement that he - - - - is licensed pursuant to the provisions of the Contractor's License Caw-' --GAS ERV ICE OUTLETS - (Chapter 9 (commencing with Section 7000) of Division 3 of the - ' - ` � / , -...711 'it,lness"antl'Professions Coder:Dr'that he9s'exempt therefrom and the" --WATER HEATERS "' BTU-OUTPUT-• .. - - - - - '/�N' z -•• -` a / • I ,'"'`: for the alleged exemption. Any violation of Section 7031.5 by applicant for a 'permit-subjects-the applicant to'a'civil penalty 'SEWERCONNECTIONS--• - " - - • - -` lr.1 , - L-/�--� -`--"'-"-- e, Sot more than five hundred dollars ($500). -/ (f-d' ➢Gl I, as owner of the property,or my employees with wages as their SOLAR TANK • COLLECTORS' - ' " ' ' "- .tole.compensation, will do the work,and the structureis not intended or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ', _- _ _- - ISSUE FEE'" - ' - .' Contractor's License.Law-does.not apply to an.owner of a.propertyAPPLICATION APPROVED BY who builds or improves thereon, and who does such work himself or ISSUE FEE 'i ❑ATE y through-his own employees, provided that.such improvements are not - _ ._ r _ intended or offered for sale. Ii, however, the building or improvement- MECHANICAL 'PLAN CHECK SUMMARY OF,FEES is sold within one year of.completion,the owner.willhave the burden of proving he did not build or improve for the purpose of sale).of "- • -S '- -- , HEATING SYSTEM 0-100,000 BTU _ PERMIT $ - _ ', SMTP' , '$ .c -O I, as owner of-the-property, am-exclusively contracting-with. AND DUCTING - " -� -'- - .-- ---- - - - -- - ' ' - licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ -•PERMIT.• • ,Y andssions-Code: The-Contractor's License-Law-does not-apply to- - »- - - ISSUANCE $ . owner an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ ,t 'tracts-from-such projects•with-a contractor(s) licesned-pursuant-to SYSTEM-- - - -' - -' - theheContractor's License Law). 100,000+BTU PLAN CHECK,;$ ,, ,4": - c , ❑ am exempt'under Section ` •` '- '-- -- • B-&'P.C.fo(this- - - - ELECTRICALS '$ BOILERS BTU _ $ • • - NIjCROFILN $ r -PLAN CHECK $ _ SYSTEM REPAIR,ALTERATION • •Date/ Owner - - _ - ._ ' _TOTAL FEE,$• •'(' MECHANICAL'"$ _'-' .I,hereb certify that I have read this,application and stat that the above EXHAUST SYSTEM MULTIPLE 1 LESS AD- ' P • information is correct. I agree to comply with all hereby id county - - - - - -- - -- - - ' ordinances and state laws relatin• to construction,an_d authorize :1 ,,, - - to representatives--of- this �. enter upon the above mentioned• 11 - , - - J �O ,property_f: 'n pe� •� es. ,/ ..HJ Signztur �a rI{T/ . .(. -' 'ISSUE FEE- - - - - - - - --- - CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING S. \ \ ?:\ • POOL&SPA • tj ' 4- 11,1d1V i • 2.•t' /1 Date Inspector Date Inspector-„ APPROVALS Permit # �-' 1255 .APPROVALS , Permit.#. _ r'„-„•• �;,5 1. Temporary Electrical Service or Pole - ' 43. Pool-& Equipment Lbcation" •" �. - r • • - _ 2. Soil Pipe-Undrgrn _; • -• - 44. Steel Reinforcement- - `"�"•' ` -• - 3. Electrical Conduit Utility_Undrgrn . t '-‘,,,.....b.'-‘,,,.....'-‘,,,.....b.:;,, � . _ _ . ,� -. . 45. Forms _ -- - - - . _4. Electrical Conduit_Undrgrn . _ ' ,-' ''•ii:._`':..;v.- Y:,, , y.:c•.,, ` - '-46:; .;Electrical-Bonding _ - - 5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test . 6. Electrical UFER Grn_. ' , : 48. APPROVAL TO CO VER-GUNITE 7. Footings _ _ - "49. Electrical Conduit,Undrgrn , _8. Foundation _ .50 - Gas Pipe,.❑ Undrgrn,Test- -_ _ _9. Water Pipe-Undrgrn_ , 51. Backwash Lines, P-Trap. ❑Undrqrn ' - - - - - - - - 10. - Structural.Floor System . - • - - .52. APPROVAL TO DECK ` - 11. Property.Sewer Line & House Connection:" _ _ _ _ -- - 53. Backwash & Receptor-Final .t - i • 12. .Street-Sewer Connection - - "'":- '- 54. Heater &.Vent-Final • 13. Rough Plumbing_ _ _ _ - - *-55 Plumbing System - Final 14. Rough Electric-Conduit • - . - -- - - 56. Electrical-Final 15. Rough Electric-Wiring - - - -' 4-43--10 At-- - - 57. Solar System-Final , .. - . . . ' 16.=Rough Heating & Air Conditioning. - -- - - _ . 58.. Fencing & Access Approval , , , , i - "17. -Ducts, in Structure .- _ 2'' : _ - i 59. APPROVED-FOR PLASTERING ' - .,- -18:. Ducts, Ventilating : ,... . _ . __. _ _ _ - _ - _ _ _ _ _ ' 19. Gas'Pipe-Rough &Test- ' , , O 60.. _POL/SPA SYSTEMS-FINAL"' , • ' + - 't , .. -20.- Roof-Framing _. . _ . ::.. . ' .. "- - - - - - - - - - - • ' 21. Roof"Sheathing' - __.- , ' -- - - - - -.. . - - i , - . _. NOTES '- • - •. ' -22. Frameand Flashing _ . __ _- . _ _ _ _ _ ,p . .•t n. _ ' 23. Insulation - - - - - - i. '_ ., _. - • _ . 24. Lathing& Sidinj.. . . -_ _ __ . " _ _ _ __ _ . . . - . _ . - _ . .. • 25. Drywall.Nailing _ - - - - . , - 26. - Plaster Brown Coat - •- - .. ... ..• _ l.. - - - . _ ... .. ._. _ - . ,' - , ' • , a. 27.. Electrical Power Meter-Final _ ._._ u.'__".: _.4.' - -28. Final Electric --- - - /L"Z3-S/ /l7Ci_ .-' - - . . .. . . • 29.- Final Heating.& Air Conditioning._'_ _.• . . _i, .-. : - • , . • . . 30.- Final Gas Pipe-Test -• . . 31_ Final Plumbing _ __.-. 32.. Water.Service-Final _ _ _. _._. ._ ._... w -33. Gas Service-Final- -- . _ l _ - "`- - 34. Solar Domestic-Final; .. - - • - , - . . 35. Landscape Sprinkling System - , - i -- - " - ' " ' 36. Sound Attenuation _ . N . , ,. I _ _ - _ ., , • , . 37. - Handicap Regulations _ -__ _ ' �. . - ,• • - - 38. FINAL STRUCTURE & BUR.DING ' - - - • 39. Special Requirements Completed '"' I • - - - 40. Electric Release to Edison - - '- .. - ' • - - -- 41. Gas Release to.Southern California Gas Co. i 1 _ , . _ . - 42. CERTIFICATE OF OCCUPANCY No. - Date - - - - - - - - . . . , , „ t, . .: _- . i . . - :. ; .\ - --.:.r - -- _. - , j t. . August 24� 1973 . .- . • - - - Mr. Robert S. Percy ' 1658:Samar Drive Costa :Mesa, ,California ' , 92626 , Dear Sir; . . An inspection of the.prorty at'l93 Virginia Place,_which' is' owned, or controlled. by you, has. brought- to'light. some. conditions' • which require immediate corr tion. The shack at the Southeast corner of the property *constructedwas in violation of Section - . 301 of the Unif rm 'Building -Code_ and the-trash- in the yard, it,a - violation of ion'H-1001, k of;,,the Uniform Housing •Code.=- - • You are directed 'to :emove_the' shack andClean-up the yard within - ten (10):days. If there ate any questions regarding .this:matter,• please call- 834-5273. . •. . - ', - Very truly yours;:` . *• - . . RICHARD D. HANHART t - - • -- • ' - • Building.Safety, Director_ ` RH;cb . . 1 • ,. . 1 r , 'PLICATION FOR A BUILDING PEI' T • • o l-) Block Lot �a/x-�� BUILDING PERMIT NO. Electrical CO Tract (fpPermit No. E. PlumbingC Building ay permit No. Address /o'6 C ly�� o Cross Mechanical 0. Area Street Permit No. a m Owner log crier� /Jc f ' Type of Project: ❑ New ❑ Alter ❑ A dition Address/6.: r SAV x/ 4, 17 ❑ Repair El Convert ❑ -mo ❑ Occup <y Pmt. C�/} I Sup.Dist./ CItYr p sz,/ ? -s4 Zip 92.E U Phone3�W-/lig A.P. Insp.Area Architect/ Zone SPI.Pmt.No. Designer License No. Setbacks P/L Front ,/L St. Street Width Address Yards Left ..fight - Rear City Zip Phone Lave Pro:. Left H :ht F.P. Engineer License No. C Parking Spaces Required Pr.vide Covered pAddress mStrutt No.of No.of City Zip Phone Height Stories Family ' Y LICENSED CONTRACTOR'S DECLARATION Park Fees I„I yes Fee co Required LJ No C.T. Receipt m I hereby affirm that I am licensed under provisions of Chapter 9 L (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date �, Professions Code,and my license is in full force and effect). License Class License Number Y Date Contractor MIs<. E Address Proposed Use of Structure LL City and Zip Phone y, CONSTRUCTION LENDING AGENCY to I hereby' affirm that there is a construction lending agency for the 9- performance of the work for which this permit is issued (Sec. 3097, Occ (Type Code Civ.Ci. Class s Const. I Year C Lender's Name USE/OCCUPANCY SIZE SQ.FT. Lender's Address _ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law 1. O for the following reason: ❑ I, as owner of the property, or my employees with wages as their 2. sole compensation, will do the work, and the structure is not intended or offered for sale. 3. . 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. w ❑ I am exempt under Sec. . B&PC for this reason 4- d C Date__ Owner 9 WORKERS'COMPENSATION DECLARATION Total Valuation o I hereby affirm that I have a certificate of consent to self-insure, ❑ N. v or a certificate of Workers Compensation Insurance, or a certified Encroachment Permit Required Yes C copy thereof. t Grading Prot. , I Grading 3 Policy No. Company Required Yes ❑No Pmt.No. 0 Certified copy is hereby furnished. tl Rough Grading 0 O. ❑ Certified copy is filed with Orange County, EMA, Approved by: Date m Q Date Applicant 3 CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE Z (This section need not tie completed if permit is for $100 or less). C I certify that in the performance of the work for which this permit is C issued, I shall not employ any person in any manner as to become to is subject to e W9 rkers'Cam ensati Laws o nia. 'ERMIT FEES Date/7 /'c//o Applicant 6 cc! NOTICE TO APPLICANT: If, after making this C ificate of Structural $ Plan Check $ Exemption, you should become subject to the Workers'C mpensation provisions of the Labor Code, you must forthwith comply with suchSpecial Electrical $ - Invest. $ provisions or this permit shall be deemed revoked. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $ THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS pQRELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $ RIZE c N 4THE- ROVE REPRESENTATIVES y1II�ED PROPERTYO FOR YIN INSPECTION PUTO ENTER OR- Pre-Grade / / -� Inspection $ F413Li3 t d 7aV/ /r V Pre-Grade Permit Y Signature of Applicajntor ant OMe Re<.No. $ Issue $ • i2osE.eTS 7 ecV Print Applicant's/Agent's Name All spaces within this box must be completed to process a Cl $ RIssuance By: AppApproved: CMF 0335-46(BU-28)rev.6/80 UWNtH R PERCY • UAIt 0l-08=80 JOB ADDRESS • 1658 Samar Place BUILDING PERMIT NO. 49472 GENERAL CONTRACTOR Owner/ Builder DESCRIPTION of WORK Skylight AP No. 139-281-24 LOT 107 TRACT 3487 FIRE ZONE VALUE$ 200.00 INSPECTIONS Signature Date TYPE V GROUP I ZONE sort SUBCONTRACTOR PERMITS ISRAEL/ GAS Date I Number I Signature WATER Plumbing • ROUGH PLUMBING ^ Ru PROP. SwF/. LINE HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES Li FORMS Li STEEL REINF. f FLOOR SYSTEM BOND BEAM rl STEEL REINFORCE n SHEATHING ,�,yy�� FRAME AND FLASHING .t 5 1-,q_gt LATHING - IN n OUT n lT�� PLASTER, BROWN COAT STRUCTURAL, FINAL _ _ Electric _ HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST in ELECTRIC, FINAL BUILDING. FINAL A3 '-14-3( SPECIAL REQUIREMENTS _ 9633 I /06/80 5.50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APP , , TION FOR-STRUCTURALPERMIT P.O.BOX 1g00 COSTA MESA,CALIFORNIA 92626 R i _ '. BY PERMIT N2 49472 For Applicant toFillin Completely�C�� —/U�Ussse Ink Only ADDRESS ,e.,/ / r+ ..,�F^Y/n-i c G (97 A.P. NO. \3°V 2€ 1 - 2_1- OWNER �J TENANTO �� ADDRESS are Sf�if(.(.e„( /-4e. ��C ' UNIT OR MAILING SPACE NO. ADDRESS-571 er7 G TR.NO (�7 LOT 1 a7 BLK. TE Ley/ �rjj // lJ CITY Cyr �t3� ND'S9—Ju� NEW ADD ALTE REPAIR MOVING DEMOLISH CONSTRUCTIONEDE //'"' . LENDER BRANCH �J OWNER K ADDRESS ` LA �/)/Y]l�� ARCHITECT TEL. USE $ f�/`�• OR ENGINEER N . ADDRESS ZONE TVPE� GROUP/7 ', n APPROVEDDO CONTRACTOR BY DATE ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS gLIC. NO. LIC.NO. X SIZE INO.OF.BLDGS. (FROM C/L STREET) O. OF LOT NOW ON LOT FRONT FT. Q • USE OF rI3 EXISTING BLDG. R SIDF FL 4 (-1 Separate permits are required for L.SIDE FT. C electric,plumbing and heating work: REAR FT. W c — E. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION C �� DATE ..1 S APPROVED • Q >• APPROVED >.. ABY ❑ATE — a X LO 0 I hereby acknowledge that I have read this application and state nt et X that the above information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of o Sthe State of California. .: I hereby certify that I am properly licensed as a contractor under SQ. FT. w the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b am exempt from the provisions of the State • California Business I Y VALUATION PERMIT FEE and Professions Code, Division 3,Ch.pter '. $ . .' n r �� PLAN CHECK $ LL Signature of lie i Permittee_ - �rsii' ��agLI $ �� TAX $ C or 4) Are • V c Authorized Agent Date v - TOTAL PAID $ `S, Ce) • ,. (9463 . • FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT \ MAY 2 1 1963 IL P.O.BOX S1'4 COSTA MESA,CALIFORNIA `l\ FINANCE DEPT. For Applicant to Fill In Completely APPLICATIONCFOR CPERM1tTA MESA TYPE OR PRINT BUILDING • For Office Use Only BUILDINGADDRESS /63W wSeifria ` 9'L RECEIPT NO. PER IT N COSTA MESA. CALIFORNIA / 9 ^� I 1.0 • �� ,/.- RICE! D pA {R[ VED t)S�D OWNER G((r/O •Gnr- '�/ _ !A/ d/{-�S// /� J!`<' BUILD MAIL /4, ` $j Ca �t a i- P I . ADDR ADDRESS J o V h FIRE /H� V ,.r TEL., ZONE TYPE _, .GROUP CITY S Val > NO.��{-S I jT'(/ G.re 4. g weS6✓ / APPROVED �/ ARCHITECT o. X TEL./�r BY / A� DATE �K'' OR ENGINEER y'AT,..or L !7J a 0-,NO. F IFJ J�/• /J ZONING 'u.r�L��- ADDRESS gel/ Dad, d ne,nip /I ZONE NO.of USE OF NEW _ I , ,, S. PLANS 2— BUILDING , - _� CONTRACTOR II �.E C � V �.0�P / "jam.p /`/O`'�(�!F'/�y'�/L�.� ADDRESS /6 . S, g7Ai/AR' r .� • DESCRIPTION - q ( 0 1 I\ •B/�// CITY C. / ' ' • A.P.NO. fl / `"' r/8'I_ � / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATETEL. . , SO-TO SIDE a REAR P.L. LIC.NO. ^1 NO, EAVES SIZEY v T • I NO.OF BUDGE. ALLOWED (U.B.C.REQUIREMENT/ OF LOT •[.- /L / Now ON LOT YARDS APPROVED YARDS APPROVED USE OF /^' // a �/ MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. pw,! {'`/ (FROM C/LL S^�TRF.ET) , BETEACK LIN[FIRST" "�--,..-/ / FRONT q Alf" U �+'� . FL CENTER OF STREET CZ , REAR YARD {� SIDE YARD I. LEFT ' / / I RIGHT �,(p /-I-��—SIDP Ff Fr DESCRIPTION OF WORK L.SIDE ' 24T. FT. NEW ALTERATION ADDITION xf REAR /S FT. DISTANCE BET. BET.MAIN a _ REPAIR MOVING DEMOLISH MAIN BLDQS. ACCESS.SLOGS. BUILDING NO.OF VAR.# / 0}62 DATE =// �4/J. 4 a SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WAL _/ I ROOF r� / APPgq,V[X (� COVERING ruccd COVERING /t O C`k. I QY U/ `/-i �"` 1 fl DATE. 57014/4 U SSSEEOO B f&D1 B�IND WOORRp/"rte ERFORMED e Q�(!J SQ.FT. N /42 a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATI S -•R THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING VALUATION a° m BUILDING CONSTRUCT/ A IA PERMIT FEE $/a N SIGNATURE OF '// • D PERM ITTEF� �/ - /4Cia (•f / ,per ., CO E � � $ jT-/p /7A PLAN CHECK $ ! AUTHORIZED AGENT (� �'� 9 IS TOTAL FEE SZN FEE RECENED • . ` 10938 -fie) /i-1'7--y COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA • f0R APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDREISS 1658 Samar Place COSTA MESA, CALIFORNIA FOR Off/CE WE ONLY RMN OWNER Glenverde Homes , Inc. RECEIPT NO. ,' I �' <,jO.;y 4. MAIL RECEI EOBY /DAT/G9 4IVES fl,n1'DAT�E �U7QF� ADDRESS Box 65 / / `4 CITY Balboa Island.Calif. TNo9r3-14220 BDD ESS ARCHITECT . LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE �& T ZONE TYPE (/ GROUP �Y CONTRACTOR 11a.CCO Corp. L C NO. 98808 APPROVEDBY DATE ADDRESS Box.65,Balboa Island,Calif. ZONING LEGAL LOT 107 11 R7 ZONE///��I NO.OF Q USE OF NEW SIV MAI INO. I BLOCK TRAD '+"• /.�- 1 PLANS 1 I BUILDIN(i'1_ d... ' 1 J a. IVA�[I/V V %D A.P.NO. APPROVED r / /�� ATE /('-k; -''O SIZE n� NO,OF BLOCS. (!/ V�(y/ OF LOT 7000 NOW ON LOT G YARDSEQEVES REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM [j CENTER OF STREET So REAR YARD 31 R.SIDE �! SFT. IN. SIDE YARD LEFT 5 1RIGHT 8 L.SIDE .J FT. IN. DESCRIPTION OF WORK �1 REAR V FT. IN. NEW I X ALTERATION I II ADDITION REPAIR I II MOVING I pt II DEMOLISH BUILDING 1501./1.30 NO.OF ROOMS STORIES 1 SIZE L{ 4 EXTERIOR WALT,. I ROOF COVERING SiU000 COVERING rock USE OF BUILDING AND WORK TO BE PERFORMED residence �� .e. -r_L it soo I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION SIG '- •-E OF PERMIT FEE SS5``2 P. -MITTS' 11A :a. _. „ � •• tin ,,,r-Al $//. /7170,, PLAN CHECK $ 4.7.-.4.7.-........ AU -r�Dr• - °� / TOTAL FEE Sl�� • a COSTA MESA BUILDING—SAFETY PARTMENT P. 0. BOX 1200 Costa Mesa, California tr 3251 .9/2R/RI c nn I PLUMBING PERMIT APPLICATION -. TRACT NO. RECD. BY 44 Vq61, CONTRACTOR LOT NO. DATE ISSUED �-� —�� BUILDING USE t Address /�J.—i ,57/,”eigd ' /- L t Building n .T City (0-5 74A7FS�q Zip Code 9'2-6 at Address(I-, a P 5 n7A,2/ L •.:' State License No. Class. OwnerZC"c4JER.tr- .5 2G 4--- 3 w City License No. Tel.No. Mad /ZlP-Srhr4.e- tJ Address/� /y� g Q NUMBER TYPE OF FIXTURE OR ITEM FEE City C�3i/0/"(C /1-f�l Tel.Nn.Sy9-012.56 e Licen • J - Laundry Tub or Tray I hereby acknowledge, that ll-have read this application and QAutomatic Washing Machine state that the above iq correct and agree to comply with all City Ordinance an'd'State Laws regulating plumbing. / Shower -1 OC' I certifyar?Iipds"gess the above valid State of California classi- Sink,Bar ficatiotorti am the legal owner of the residential property de- IZ Sink,Kitchen scn'bbed`above. , W Wash Basin(Lavatory) r.0 I certify that I ave obtained a permit from the State Division of d Industrial Saf for excavations,other than swimming pools,five Water Closet(Toilet) A, i Q ; p, feet dee r eeper d into which a � r n is equEed to descend. CC Drinking Fountains n 1 I V _ 'Signature 1 Floor Drains I 1 TAJ) Permitte Z Interceptors "Li ,}fr 2 Receptors n., S-- INSPECTION RECORD Sinks,Commercial`orlinhu`strial Sinks, Floor ..dqam' 5 1w, Sinks,SenrnYlee 7 )y E Swim�mingV&I W y.CC Nirinils) a. p dtsliwasher K y Garage Disposal D Water Softener _ O Water Heater and Vent Y Gas System...Outlets... yRoof Drains APPROVALS CO Water Piping Alteration INSPECTOR DATE = Backflow Preventer U/G Soil F Lawn Sprinklers(Res or Non-Rei U/G Water Property Sewer... Feet Services-Wafer 0 Gas 0 Solar_Piping Rough Plumbing 4J✓/ S -.?9-S/ Cesspool,Septic Tank Sprinkler System • Sewer Cap - Gas Miscellaneous Property Sewer Pool Receptor Filter System Sub-Total Pool Heater Reinspection Fee Miscellaneous Processing Fee t••..j OD • I Final Gas TOTAL FEE / m O Plumbing Final O 24�J IO Utility Co. Notified �// CMF 0450-46 BLDG. PERMIT NO f" ( / 7 COSTA MESA BUILDING-SAFETY ARTMENT 2796 i ' 13/80 15.00 TL P. O. BOX 1200 Costa Mesa, California ��/�r�I PERMI�IT��''-�0c. � PLUMBING PERMIT APPLICATION . • TRACT NO 'a c RECD. BY wry �1 '� CONTRACTOR / /i ewlfce LOT NO/07 • DATE ISSUED ... Address l�/y BUILDING USE // /3 /6S8Sroh+2�� . / City C0S774M5A Zip Code 9262d Auildiness�6. rs.5 - 'Ae n_ State License No. Class. owner 7'OBc 11T 72.cC,✓ C Mail w City License No. Tel. No. Address/0.5'fi'S ^r Are- �. r .n n Q NUMBER TYPE OF FIXTURE OR ITEM FEE Cas, `" 4 3 1. City 774 IaAA TeL No 21 '��• Bathtub ^ • ti q -1 / Laundry Tub or Tray — I hereby acknowledge, that nave read this application and QAutomatic Washing Machine - state that the above is. Foriect and agree to comply with all > / City Ordinances arid'Stale Laws regulating plumbing. } Shower I certifythaty Itpossess the above valid State of California classi- Sink, Bar fication„or(il am the legal owner of the residential property de- [C Sink, Kitchen scribedabove. • u1 Wash Basin(Lavatory) de 11 I certify that I have obtained a permit from the State Division of ools,five 00 Water Closet(Toilet) - fl s a feet deep or deeIndustrial per.excavations,into which ape than is-quiredto descend. 12 Drinking Fountains ,sf'� V I ty- , d — Signature of Floor Drains _-4 s' SA? Permittee _ *Asesa J .ate 2 Interceptors_ 1) ,J' I Receptors , . . INSPECTION RECORD 5. Sinks,Commercial,or tnddstrial Sinks, Floor -.et, % 1. V .. Sinks,Servici t'i-•' S Swimming'Pool` w ,,,. Urinals) ' 0- -'&) Dishwasher CC It, Garage Disposal p Water Softener O / Water Heater and Vent 2 CC / Gas System Outlets. .. 'UO APPROVALS y - Roof Drains h / Water Piping Alteration _ 0-00 .. INSPECTOR DATE Backflow Preventer U/G Soil FLawn Sprinklers(Res or Non-Res) • U/G Water Property Sewer... Feet Services—Water 0 Gas 0 Solar Piping _ Rough Plumbing n 7.1 c--2.4- 9'( Cesspool,Septic Tank Sprinkler System Sewer Cap Gas Miscellaneous - Property Sewer Pool Receptor Filter System _ Sub-Total Pool Heater Reinspection Fee Miscellaneous Processing Fee Cg I Final Gas TOTAL FEE I l -f1 Plumbing Final Vol¢-8) I i '////�� \\ ! c7 Utility Co. Notified // CMF 0450-46 /,{1/////�� BLDG. PERMIT NO. --____----.