Loading...
HomeMy WebLinkAbout1597 SAN BERNARDINO PL - Building Permits CITY OF COSTA MESA - ' »tea, BUILDING DIVISION i y a-, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us F1 _�w.y.:� ' J. ��. FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER B08-00235 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42532127 DATE ISSUED: 08/14/2008 ISSUED BY: RMD JOB ADDRESS: 1597 SAN BERNARDINO,PL CM' ':, Suite/Unit Vicinity: SFD AND DUPLEX ROOF-,:::1255,::::'', , -I. : / • - Squares: 2300 = Valuation. ''$7,500.00 7 SCOPE OF WORK: REROOF2,B11DINGS•(SFD AND DETACHED DUPLEX), PITCHED ROOF AREAS ONLY,(NO FLAT AREA).TEAR OFF(E)ROOF MATERIALS, INSTALL 1 LAYER OF 30#FELT ON 4:12 PITCHED ROOF AND REROOF WITH 30.=' . YEAR COMP SHINGLES.TOTAL$SQUARES.23(REPAIR AND REPLACE SHEATHING AS NEEDED:BOTH BUILDINGS TO BE DONE CONCURRENTLY 'z. 4;7p^ . OWNER: HOSFIEL, KEITH W TRS� -' Address: - .P 0130i 2561 f: � „.... Unit: PHONE: T" 1 - - • "City/State/Zip:-NEWPORT BEACH CA r''` . APPLICANT: SKIRZYNSKI JOHN Address: 10782 S MEADS AV Unit : PHONE: 714-771-0.118 - _ - .. City/State/Zip: ORANGE:CA • , 1 _ \, I CONTRACTOR: SHARP ROOFINGLicense Nor 571575 Address: 10782 S MEADS AVUmt .:l,: - PHONE: 714-7714:1111:1-,'H City/State/Zip: ORANGE,'.CA k ',92869 - '- CELL: - - ARCHITECT: :+ ° License No. - •- `PHONE ENGINEER: License.No.•- ' PHONE: FEE SUMMARY • Reroof Plan Check: $0.00 Reroof Permit Fee: $15345 ''. Reinspection Fee: $0.00 - F TOTAL FEES $153.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE A. INSPECTION TYPE DATE INITIIALS CODE A INSPECTION TYPE DATE INTIMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Het/ 200 Final Re-Roof Q��e(g/if a 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'CPMPENS#TION DECLARATION. Owner ID verified by drir. ce. D Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: - ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property taxbill or d d): compensation, as provided for by section 3700 of the Labor Code, for the • �J performance of the work for which this permit is issued. . ❑ I have and will maintain workers'compensation insurance,as required by r • section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: el- person is required to descend,will be made in connection with work authorized Carrier: _ I L� ' Y by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not. completed•the permit isva _•at one hundred dollars($100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: /732- 117-07`7 e ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject the ers' com e ion provisions of Section 3700 of Applicants Signature Date the Labor C e shall f, cortf y with these provisioA5. � D 111 / //(_/l 0 Division of Industrial Safety Permit Number: Applicants Signature Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of UCENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No r -3c7 Lic.# . �-5/1 f 'S�� Class# (Section 25533 of the Califomia Health and Safety Code, with some .f�fJ-� 7/V`K'� ' 7 if/0$ exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No Lender's Address: (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If"yes", attach certificate of compliance from the appropriate air.pollution sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and P D cry,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ❑: I, as owner of the ro e UCENSED CONTRACTORS to construct the project(Sec.7044.Business and ... Professions Code:The contractors License Law does not apply to an owner of Signature Date • property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit u til final inspection. I/fJigna�,� lhwnerts) Date /{ �j Signature Date �Y e I/1 I U'g[ 305]36(3/0]) • �'"—And/or Authorized Applicant D e V 1icant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. �i PERMIT NO. TRACT NO. LOT NU. UNIT NO. sem- .;Project OF Cg rA MESA CONSTRUCTION PERMIT / 1 i (• T G A.P. I Zone , Project Add, • r •c 7 Sc h tf v\A+ s: 1 ✓ E. 3 O 14 I J y rr77 -I.. �, vv�1 $ Main Building: Accessory Building: Applicant's M. 1 ddress �'7 I:7ny TYPE OF CONSTRUCTION U NEW ❑ ADD �� ^-LTERATION U REPAIR E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER C T Front l0 Owner's Na e Q ;*h I'r'`c 'fl-e l Phone 1.y.5-i�1Z B N Address, t". a-pA ,' -54. 1 DESCRIPTION OF WORK/USE OF BLDG. A Rear I Arch/Eng. - - . . License No. TYPE OF PERMIT GRADING U FOUNDATION LI STRUCTURAL C Right G Address El TENANTCTRICAL ❑ PLUMBING ❑ MECHANICAL ; S • Left R Ping. Ref.# ParkingRe /Provided E `' �' i:'S L ❑ OTHER Contractor's Name T !> Phone ^ Y PROJECT DESCRIPTION SQ. FT. OCCUPANCY g q Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES 5. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions 6 Charter 9 (commencing Remarks:.? 09 fOna ? ingrQp ♦i eyrie / tt..1A.✓� ' with section 7000) of Division 3 of the Business and Professions Code, and �/Tll�a✓r6LC zY i'If a/�K W' my license is in full force and effect. �.I(� /� G �'j'� p ELECTRICAL FEES License Class License No. .(�9UbL t'/tnE`�- 'v �mi� , m�`\ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW - Date Signature .. WORKERS'COMPENSATION DECLARATION Pole Sub. ❑ 50+KW ' I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers — e1 Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit / Meter p to 100 amps /g' 50 3800, Lab. C.) Backflow Preventer Service Sink - l Policy No. _ Company Backflow Irrigation Sewer Cap - Dishwasher Meter Clover 100 amps • HCertified copy is hereby furnished- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Date - Applicant Fan Motors❑0-1 HP ❑1'h;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 wor for which this permit is Issued I Fixtures shall not employ any person in an n r so s $come bject to the Drinking Fountains Solar Tank y Microwave Work$ g' Co pensati ' sof Ca - - •' Date Signature • / Device Boxes Pole Light f,Va I ig ( Floor Drains Swimming Pool vv/Spa ✓� 9 NOT CE: ,after making this decla tion, shout ecorr6 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal r Outlets Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY - Sign I hereby affirm that there is a construction lending agency for the performance Gai Service DULI¢LS Water Closet of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater Garbage Disposal Standing Sections Lender's Name I Lender's Address Kitchen Sink .Water Service Generator 00-5 KW 05-15 KW Trash Compactor r' OWNER BUILDER DECLARATION - ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash k 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 — I to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ,§w/%J/+t-Ji' the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - I/Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee herefrom and the basis for the alleged exemption. Any violation of Section ., 7031.5 by any applicant for a permit subjects the applicant to a civil penalty. of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: e ', as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ $ Zoning Approved By Date I. 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 �j1-� Date a-35.--€6- - 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 Hood or Type I 0 Application Issued By 3o--erre 12^ (S® 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 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground move far the purpose of sale). BUILDING PERMIT $ SMIP $ L I I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a con- __ tractors) license pursuant to tne Contractor's License Law). I am aware that PLAN CHECK 25% $ ENERGY P.C. $ Exhaust System ❑ Multiple❑ System Repair/Alteration .y$ GRADING $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL uy$ ' � 0 I am exempt under Section : &ppp-C.for this reason Firepl/Fact.Blt. ICBO dk Fire Dampers II 4/8r1- MICROFILM • $ PLAN CHECK 50% $ Date ( Owner _ ._/ �a��_ Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 23 e6/ I hereby certify that I have r:d this application a•d state that the above - 00-100,00011TU 0100,000 BTL PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction, and hereby authorize repre- ' sentatives • s city to enter upon the above-mentioned property jpp ' inspection * r•o , G Oy - Signature �as� Date�� D • , Drivers' License or 5S# • � ' _ Reinspection Fee $15' Issue Fee $ 3 0865-46,rev. 5/88 White - Building; Canary - Applicant;-Pink -Accounting; Goldenrod - Assessor DATE:0E / / TIM4 39:30TO �3,({Q ' 12/30/88 TIME: Q9:3Q - .. a , ♦t'i.4. i._+i '•.'µ.w.•`.1, it • .M-i. ' . t ., :[.. \ .. ..-.._• u - -... CONSTRUCTION AND PLANNING POI.-__ at SPA • Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 1. Tempprsary Electrical Service or Pole 52. Pool & Equipment Location t 'i 2 ipe-Undrgrnd. .) 53. Steel Reinforcement • 3. 'Electrical Conduit Utility-Undrgrnd. r,;; 54. Forms 4: Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - r 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical.UFER.Grnd. 57. APPROVAL TO COVE R-GUNITE ' l ' 7. FoptingFootings' 1 58. Electrical Conduit-Undrgrnd. 8._Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water)Pipe-Undrgrnd. .• 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • +. 61. APPROVAL TO DECK i • i 11.•Property Sewer Line & House Connection ;i•.,. 62. Backwash & Receptor-Final .'12t•Sewer Cap t63. Heater & Vent-Final 13. (Roof Drains 64. Plumbing System - Final 14. 'Rough Plumbing i 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval _ :17r. Rough Wiring Sign I 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceilinb , - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating,& Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Faciory Fireplace :f APPROVALS Permit# 21. Ducts, in Structure ' L^ 70. Underground Hydro 22. Ducts, Ventilating r- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test �': -i 72. Underground Flush 24. Roof Framing -: 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing r+i _ • 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) &',Mon6coat 75. Dry Chemical ' 27.,Frame and Flashing .- 76. Dry Standpipe 28. Lathing & Siding .. i; 77. FIXED SYSTEM FINAL 29. Insulation 2 f' 78. FIRE PREY. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �, 79. FINAL INSPECTION 32. Electrical Power Meter-Final /�ij�fs�a80. FOOD CERTIFICATE ISSUED 33. Final Electric '7/5 , 2 LLea"„�� Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing • , 39. Water Service-Final - 40. Gas Service-Final n 41. Solar Domestic-Final ' ••, " 'i , 42. Backflow Preventer -• • . ' Cr 43. Backflow Irrigation if t`i 44. .Landscape Irrigation System ;7 V I 45. Sound Attenuation 46.-Handicap Regulations 47. FINAL STRUCTURE & BUILDING . . 48. Special Requirement Completed 49. Electric Release to Edison • _ 50. Gas Release to Southern California Gas Co . 1 -J. 51. CERTIFICATE OF OCCUPANCY I. f 11 h • No. Date - I I' .1 / I53_ 5 B d tU = Q.� tV'n1 A� IARi Applicant to fill in all spaces except those wit hr.,� Y border lines and sign all appropriate declarations. _ - - - . P RMIT TRACT NO. LOT NO. r� = '<;� CITY�F CO3'•Si SA ONST CTION ERMIT � P .352z) tu7 • UNICiO. A.P.#'47!7 '• 321 — 27 zonemml ! t2 Z'• �Prfject Address/ /�\ ` - I �l 1 rrII .y,, ' 1 1Main Building: Accessory Building: • TYPE OF CONSTRUCTION' Li NEW. ADD ALTERATION u REPAIR Z Applicant's Mal es �,A{I. f.❑ CONVERSION ❑ DEMOLISH ❑ OTHERu Front / t.1• - n _ O Owner'sName / } e' Phone _ � _/ `"h, .D SCRIPTION OF WORK/USE OF BLDG. -i ''�i.�'t Rear G� , N Address I G rt--"_ �( L, a . .,I ' . .v- r a' _ - - - / •Arch/Eng. S-(-e { Ae' a /'t f/ 14 11 (LicenseNo.3 7xY TYPEOFPER � SI GRADING • FOUND• to STRTVRAL ght `pf - _ GAddressI ♦_- ❑ TENAN` FbECTRI AL Iry PLUMBIN'f MECHANICALLeft 1 l �Nm � � • R (,JQ Q1OTHR . 0Ref.# I0 Parkin Re /Provided E Contractor's Name � - Phone&S'2'tTVJ.+ • " " 7� �� gQO PROJECT DESCRIPTION SQ. FT. GT OCCUPANCY �' nning Notes: Address lmailing) • - •r. * - - Q.t {• - M 'CON ST RUCTION TYPE�'� • VALUATION$ 0.XJ Si/ Z- PxE1n oe�� Gi p � e�cl �' T City License No. • - ZONE GRADING CU.YDS. ACRES . . ` S. LICENSED CONTRACTOR DECLARATION!, . �p����/ I hereby affirm that I am licensed under provisions of Charter 9 (tommen clog Remarks: 1 a S1 Z A 'Q$� . 4 _ CQJZ. with sect! f Division 3 of the Business and Professions Code,and f r/ •my license is In full force an - LL EL TRICA , . 'FEES ' License Class -` Licens No. - PLUMBING , FEES Automatic Washer • : Transformer 0 15-50 KW - Date ' Signature ; WORKERS'COMPENSATION DECLARATION �•' Construct UCtlOn POI¢Sub. - ❑ $0+ KW hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers _? - •f Workers' Compensation Insurance, or a certified copy thereof (Section .Backflow Preventer Service Sink Cooking Unit Meter Our)to 100 amps 3800. Lab. C.) . . - - - .- Policy No. Company • Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified copy is hereby furnished. Certified copy is filed with the city Building Division. ( Bathtubs ,Dryers ❑Ge§ ❑EI¢Ctflc Sub Panel .- SewerConnection _,; - —I. - Date • Applicant - Fan Motors 00-1 HP O1%-8 ; ' Collectors;FROM WORKERS',COMPENSATION DECLARATION Clarifiers Solar Collector .- ;Q. ',-(This section need not-be completed-if the permit is for one hundred ($100)or - - �• F.A.U. - less). - r Dishwasher Solar Piping -- loc.Sol r ❑9-15 HR•❑16-15+ I certify that in the performance•of thework for,which this permit is issued, I .Fixtures - shall not employ any person in a nner s o becom ubj the Drinking Fountains Solar Tank -- rowave Worke�c cgp�ppp ion Laws of C nia. - Date`7`/.L� Signature O_s_i'P 1 Device Boxes. Pole Light 9 Floor Drains Swimming Poo_I w/Spa 9 . NOTICE:If,after making this decla tion, you should become bject to the Outlets Range - • ' Workers' Compensation provisions of the Labor Code, you m st forthwith Floor Sinks Urinal' , - 9 comply ,with' such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - - /z �y� Switches - Sign Gas Service. Outlets Z Water Closet . 7 rT/ I hereby affirm that there is a construction agency for the 'Cimance - X. Garbage ' of the work for which this permit is issued (Section 3097 'Civ, C.) • a Disposal . Standing Sections Lender's Name Interceptors 1 Water Heater '^yp Lender's Address • -' - - I Kitchen Sink - 't ' 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 •' Z ea r • i , following reason (Section-7031.5 Business and Professional Code: Any city or - - 1. - county which requires a permit to construct,alter,-improve,demolish or repair P—Trap Laundry Trays any structure, prior to-its issuance, also requires the applicant for such permit - - to file a signed,statement that he/she is licensed pursuant to the provisions of Roof Drains - -;) :the Contractor's License Law(Chapter 9.(commencing with Section 7000) of - :`.Division 3 of the Business and Professions Code) or that he/she is exemptReinspection Fee ' $15 Issue Fee - $ 3 -1•-therefrom and the basis to,'the alleged exemption. Any violation of Section ' 7031.5 by any applicant for a permit subjects the applicant to a civil . - • , . . enalty of not more than five hundred dollars($500). .DEVELOPMENT SERVICES .7. •UIRE NTS: • LA 1;as owner of the' property or my employees with wages as their sole Reinspection Fee . $15 - Issue Fee 3' �' u - " . - G P Y 9 $ Zoning'Approved By •11l Date • ' i compensation 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 . L FEES Building Approved By `� �•-•1e-� a Date OS 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 - ? !����li.. _ - •aL r�I/�1.� employees, provided that such improvements are not intended or offered for Boiler . Hood or Type ❑' sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 '-; , �g MMARV • S • pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground i R/+`-_ _- 's _ prove for the purpose of sale). ��V BUILDING PERMIT► 4 - SMIP $ /• f-V &l,'as owner of'the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System 1� tractors to construct the project (Section 7044,Business and Professions Code:' • PLAN CHECK . $ • - PERMIT' • The Contractor's License Law does not apply to an owner of property who Duct•Ventilating 00-100,000 BTU ❑100,000 BTU f Li PLUMBING $ `Ey-- ISSUANCE $ builds or improves thereon.and-who contracts for such oroiecfs with a con- - - - - . ' - - _. • - - - • v ' tractor(s) license pursuant to tne Contractor's License Law). i am aware that Exhaust System 0 Multiple 0 , System Repair/Alteration : PLAN CHECK 25% $ -"- ENERGY P.C. $ proof o their Worker's compensation insurance should be provided to me. ELECTRICAL $ GRADING ' $ • ❑ I am exempt under Section • B.& P. C.for this reason - Firepl/Fact.Blt. ICBG#/567Fire Dampers I 4 SD •t MICROFILM $ ' PLAN CHECK ' 50% $ . Date • Owner' - Heating System& Ducting • Registers MECHANICAL I hereby certify that-I have read this application and state that.the-above I '00-100,000 BTU ❑100,000BT• -- - - - - - - - -- • $ 3••612 'TOTAL FEE $ .E information is correct. I agree to-comply with all city and county ordinances q, 00 /j PLAN CHECK 25% $ I OSTj—i - \ ,and state laws relating-to building construction, and hereby authorize repre- - sentatives •f t is' city to. enter: Lipp, he above-mentioned' roperty for .I .• inspeclo •y.osesr/ I - - 1 • ' Signature 5 ' -.-..s. r . /_ •-- -54 Issueit OD Reinspection $15 Fee $ _ Cl 0Q0141¢9-0(•1�14153,-- Drivers' License or SS • Fee �` 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/12/3 , . • •CONSTRUCTION AND PLANNING PO."_ &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector -. 1. Temporary Electrical Servicer or Pole r ' 52. Pool & Equipment Location i 2,• Soil Pipe-Undrgrnd. } :,, • 53. Steel Reinforcement - ' ;,i' Ie.�.',.Electrical-Conduit Utility-Undrgrnd. - 54. Forms - i..y a - A:'Electrical Condrt-Undrgrnd. ! 55. Electrical Bonding • i 5.PSteel'Reinforc ri nt I 56. Rough Plumbing & Pressure Test C. - 6. Electrical LIFER Grnd. :-: 57. APPROVAL TO COVER-GUNITE L 7. Footings _„ d jpp. '} 58. Electrical Conduit-Undrgrnd. !• 1-71'< '8) Foundation pJ4-. {gd,�•c • c04241-6,.:P• 59. Gas Pipe, 0 Undrgrnd., Test '' 9f. Pipe-Undrgrnd. - ` 60. Backwash Lines, P-Trap, 0 Undrgrnd. •: 10Structural Floor System �,' 61. APPROVAL TO DECK ' 11?Property Sewer Line & House Connection 1i. 62. Backwash & Receptor-Final 12. Sewer Cap 1 63. Heater & Vent-Final • 13. Roof Drains t,< t. I 64. Plumbing System - Final • 14. Rough Plumbing- 65. Electrical-Final ,- 15. Rough Electrical(Conduit 66. Solar System-Final U6. Rough Electric Wiring 67. Fencing & Access Approval (17 Rough Wiring Sign 68. APPROVED FOR PLASTERING 'p8. Rough Eiectrical-T Bar CeilliN 69. POOL/SPA SYSTEMS FINAL y :19. Rough Heating`& Air Conditioning •` FIRE DEPT. REQUIREMENT (20. Rough Factory Fireplace (U APPROVALS Permit# • . -2),. Ducts,in Structure (170. Underground Hydro 22. Ducts, Ventilating N cc 71. Product Piping 0 Gas 0 Oil 1/1;,. • Ili 23!Gas Pipe'-Rough &;Test y {; ( R. Underground Flush 24: 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25!(Roof Framing.+ i.Roof-Sheathing t•' Er .?/' 6,---/ 74. Overhead Hydro 26. T-BarLCeiling (Structural) &�Monocoat - 75. Dry Chemical ' 27. Frame and Flashing fo�j3/Ric /' N, 76. Dry Standpipe 1 • 28. Laihing`8& Siding (0111 �3- 77. FIXED SYSTEM FINAL ._ 29. Insulatipn /049lr.:16 4.,;4)..... 78. FIRE PREV. FINAL "'' lV' HEALTH DEPT. REQUIREMENT •30. Drytvalllailing LL) /o�j.1 b` �j�.• • 31. Plaster Brown Coag 79. FINAL INSPECTION . ' _ r :,_i -. . 32. Electrical Power Meter-Final 'Pi- OS_ ((• •�l 80. FOOD CERTIFICATE ISSUED „ IV' � -�• v n..l• J. 33. Final-Electric ;( • ;f R Notes: 1 n r� ii) 8. i2 34. Final Heating &Air Conditioning �4 �.l�<i ? at /c9 , s/G� W 35. Final Gas Pipe-Test . !2.5-88 z-t r -,38. Hood or Canopy r. 07. Final Factor?Firtplade. . 38. FinalPlumbing',t e 39. Water Service-Finl r y 40. Gas Service-Final '•n' -I 41. Solar Domestic-Final r ) / :' l) / vt. ? � 1� 41 42. Backflow Preventer / LL'-11 (rij`ti}t� r I Ut.} 43. Backflow Irrigation J - '11' : q rv�lY cur., 9 � : Sr�.' Pi -r' ji r, • • 44. Landscape(Irfigation Systerit) _ r _.- j U `� { -� • 45. Sound Attenuation �' . J 46. Handica/Flegulations' 47. FINAL'STRUCTURE-& BUILDING 7,17e 0 48. Soecial Requirements Completed i •23-&S ue - • 49. Electric Release io Edison r "_ J•• .50. Gas Release to Southern California Gas Co , 4..7 �;I,��+,� 51. CERTIFICATE OF OCCUPANCY • ;..� ' 0 �r i No. Date 1 p . CERTIFICATE OF COMPLIANCE *# 7976 PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : J/Q -V-4, S P, P L q Address : PIS limit p�s-c7�1j 2 /� K6--3 C/ Telephone Number : a / , - 3-7 Tract/Parcel and Lot Number(s) : / e 271 • Location of Project : / �C/ // SC( Itt1 • 01 . Number of Square ofq 4-0� Residential Space ace / x $1 . 50 Total Number of Square Feet of Commercial and Industrial Space x $0 . 25 ; Total 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 . -- Business 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 representations are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . 40, Date : 7- / - leveloper/Appl ant 16 ,'1A /Jos SEP 1 1988 K. W. HOSFIEL CONSTRUCTION CO. P.O. Box 2561 • Newport Beach, CA 92663 (714) 642-5722 Contract Lic. # 307968 December 19, 1988 To : City of Costa Mesa Re: 1597 San Bernardino Place Costa Mesa This is to certify that the gradingand drainage of the 22amr aed ropere per plan. Keith Hoossf' e President fps Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations- CITY OFCOSTA JMESA q CSTRU TION ERMIT PERMIT NOc' ZO TRACT NO. LUT NO. UNIT NO.• A P # Zone Project Address /can �(iv(4� - 1 •7 �— �. I/ S Main Building: Accessory Building: Applicant's Mailing Address la (+•hK^ r7-'•a - TYPE OF CONSTRUCTIT • ❑ NEW U ADD sYALTERATION U REPAIR E 2 Owner's Name . . .� �._- l ' • ❑ CONVERSIONDEMOLISH ❑ OTHER�• • - - T Front D -Phone DESCRIPTION OF•ORK/USE OF BLDG. ya-rk° 4'9 tow%e er B Rear N Address Q YYI-p--� '• .` • • 5 _ -- r. �i r dry C Right _ N Arch/Eng. ' License No. TYPE OF PERMIT •GRADING '� FOUNDATION el STRUCTURAL - K G • Address • -- ❑ TENANT ❑ ELECTRICAL .El PLUMBING ❑ MECHANICAL . , S . Left - R Contractor's Name ' .av......-._&.(\......-._&.(\_ Phone aq2- a/a - ❑ 'OTHER - Ping. Ref.# • Parking Req./Provided • E Address(mailing) PROJECT DESCRIPTION SQ.FT- OCCUPANCY 1A---1 - - M • CONST RUCTION TVP . ./ PlanningNotes: • City License No. E-- VALUATION$ LJ tlO t� �6 T ZONE GRADING CU.YDS. ACRES S. LIC NSED CONTRACTOR DECLARATION . - I-here. .ffirm that I am licensed under provisions of Charter 9 (commencing Remarks: teat • tl }^ -# with section s• •f Division 3 of the Business and Professions Code, and t-•010. IZ�- " RP Ssca T`, .1 V-1, a0 OYl4t /'%`2.{- - a� my license is infullforc- . : • .ct. I •/ ELECTRICAL FEES License Class icense No. by deiwol;,.tt i.,„ carn+eer411/l r-tt.,lr• ' • Date - Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW es' WORKERS'COMPENSATION DECLARATION construction Pole Sub.L - 050+KW 1 hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers . if Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps ' • • Isco,'Lab. C.) , Backflow.Preventer Service Sink .. - . . _ .. Policy No. Company _ Backflow Irrigation Sewer Cap Dishwasher . Meter Dover 100 amps ACertified copy is hereby furnished. Dryers OGas ❑Electric Sub Panel • Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Date ' ApplicantFan Motors 00-1 HP 01%-B 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 ❑9-15 HP ❑16-15+ - less). Dishwasher Solar Piping ' I certify that in the performance of the work for which this permit is issued, I — Fixtures shalt not employ any person in an m nner s s to be ome a eject to the Drinking Fountains Solar Tank •• • Micr ve , Work C mmppe sa on Laws of Ca. 'a. • Date�/ pSL_ signature '7� + • Device Boxes 7' i---- •••• •‘ 9 `• you A ' Floor Drains Swimming Pool w/Spa ole Light -;,J NOTICE: If,after making this declar tion,you should beco a subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks nal Outlets di Range_ _. . comply 'with such provisions or this permit shall be deemed revoked. /tyI' CONSTRUCTION'LENDING AGENCY• - / Switches Sign Gas Service Outlets Water Closet g I hereby'affirm that there is a is permit ssue Sefor the Civ. - - - of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections • - Lender's name' - Interceptors / Water Heater - , _ • Lender's Address • Kitchen Sink - _ Water Service•• ' • Generator ❑0.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - - - , I hereby affirm-that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash•-& , / • following reason (Section 7031.5 Business and Professional Code:'Any city or - , county which requires a permit to construct,alter,improve,demolish or repair P-Trap . Laundry Trays -r 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 ' - i the Contractor's.License Law (Chapter 9.(commencing with Section 7000)of - - ' - Division 3 of the Business and Professions Code) or that he/she is exempt •. - _ Reinspection Fee $15 Issue Fee `herefrom and the basis for the alleged exemption. Any violation of Section - • _ - - ' . $ 3 '031.5 .by any.applicant for a permit subjects the applicant to•a civil ' ' ' - nalty of not more than five hundred dollars($500)., r $ :DEVELOPMENT SERVICES REQUIREMENTS: I, as' owner of the property or my employees with wages as their sole Reinspection-Fee' $15 Issue Fee $ Zoning Approved By Date mpen3ation, will do the work,and the structure is not intended or-offered for sale' (Section ,]044, Business and Processional 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 - •— U thereon, and'who does such work himself/herself or.through his or her own Application Issued By �- •- f i�.'_��.• Date �J-/i—S'�' employees, provided that such improvements are not Intended or offered for Boiler • . Hood or Type I 0 ` L sale. If, however, the building or improvement is sold within one year of com- ' Cano Type II 0 :i • SUMMARY OF ES pletion, the owner will-have the burden of proving he/she did not build or im-: Duct- Under Ground ' Fe for the purpose of sale). - • BUILDING PERMIT' $ ' �-.C5-•00 SMTP . $ ' • St, (p��-� as owner of the property, am exclusively contracting with licensed con-S Duct-Structural efrigeration System • - i,J 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 ' . ❑0.100;000 BTU:0100,000 BTU r PLUMBING • $ , ISSUANCE $ 'builds or improves thereon. and-who contracts for such oroiects with a con- - - ENERGY P.C. $ tract or(s) license pursuant to me Contractor's License Law). am aware that' Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ . proof of their Worker's Compensation Insurance should be provided to me. f,. ELECTRICAL $ GRADING $ • ❑ ram exempt under Section B.& P.C.for this reason Firepl/Fact:Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Or r' - Heating System Ducting Registers MECHANICAL $S . ' 2.S".SO h.hereby certify that.I have_readthis application an state that the above • ❑0.10Q000 BTU ❑10Q000B7 - TOTAL FEE $ Information is correct. I agree to comply with all city nd county ordinances . • !•o PLAN CHECK 25% $ (11 nOntsict-110014'154 TOT- 25.00\ and state laws r Wing:to buil.ing corLcLruction, and hereby authorize repre- Inspe fives f t s city tin' r, up n the above-mentioned 'pro for �•' +�•"'+' r+.'r• +••�� .l Inspection ores. l/_/'Ly`///�/ Signature CI.' •s -Accounting; Goldenrod - Assessor • DATE; 04/12/EE TInE: 11:24 .v0 • CONSTRUCTION AND PLANNING POOH _SPA Date Date Inspector ~ Date Inspector , ' -APPROVALS Permit#- APPROVALS Permit # f 1. Temporary Electrical Service or Pole t- i 52. Pool & Equipment Location '' 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement - ,.' i Electrical Conduit Utility-Undrgrnd. , 54. Forms i .,-Electrical Conduit-Undrgrnd. , 4 55. Electrical Bonding 5., Steel Reinforcement ' • 56. Rough Plumbing & Pressure Test �'•,, %• I , i6rjElectricalUFERI•Grnd. t_• 57. APPROVAL TO COVER-GUNITE 7SF..doYilrigs L 'i 11` - 58. Electrical Conduit-Undrgrnd. t8:'Fouri anon rl •` 59. Gas Pipe, 0 Undrgrnd.,Test '.I 91 Water Pipe-Undrgrnd. .t 60. Backwash Lines, P-Trap, 0 Undrgrnd. -/I . 10 Sttuctural Floor System t i 61. APPROVAL TO DECK 11 `Property Sewer Line & House Connection 62. Backwash & Receptor-Final r 12. Sewer Cap 1,.. ' 63. Heater & Vent-Final ,� r r 13. Roof Drains 64. Plumbing System - Final :'1•c 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-'Conduit 66. Solar System-Final i1'6. Rough Electric Wiring N' 67: Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 2. 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. RoughFactory Fireplace ,•; APPROVALS Permit# i ` {. 21. Ducts, in Structure -r; " - 70. Underground Hydro 22. Ducts, Ventilating C• - , 71. Product Piping 0 Gas 0 Oil - . 23. Gas Pipe-Rough & Test e,c_ ` 72. Underground Flush / -•• 24: Roof Framing - j 73. Undergrnd.Storage Tank D Gas D Oil ' 25. Roof Sheathing ,':. - - 74. Overhead Hydro ` `� �� 26.. T-Ba'rCeiling (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. DrywallNailingHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,_ •r - 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final' 80, FOOD CERTIFICATE ISSUED 33: Final'Electric - Notes: ' 34. Final Heating & Air Conditioning Sa4t ©C / fr3/O e a/ 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing - 39. Water Service-Final • 40. Gas Service-Final ' .t 41. Solar Domestic-Final / 4 , ;r 42. Backflow Preventer 43. Backflow Irrigation7 • 44. Landscape Irrigation System '� " ' .' ri 45. Sound Attenuation - 46. Handicap Regulations • GG 47. FINAL STRUCTURE & BUILDING /2ZI • 6$ 48. Special Requirements Completed . yi 49. Electric Release to Edison t 50. Gas Release to Southern California Gas Co j . 51. CERTIFICATE OF OCCUPANCY , i' . . = No. • - Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA ) CO STR U li ION P 1 ' MIT r3M1T NO_OO2i TRACT NO. LOT NO. UNIT NO, A P # Zone ' - 1 - - ITTtt 37 Project Address 'u: el!mt�i S Main Building: Accessory Building: Applicant's Mailin ddre s 0 0 Cl, YPE OF CONSTRUCTION H NEW U ADD U ALTERATION LJ REPAIR , E Z . 3 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I T Front O _ Owner's Nape Phone / DESCRIPTION OF W /USE OF BLDG. i B Rear N Address h7 ($�(�.JQ Arch/Eng. � License No. TYPE OF PERMIT - GRADING FOUNDATION � UCSTRUCTURAL I C A Right : - G Address I, ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL S• Left R( Contractor's Name t_r_ll +ice X — P-.J--.0 Phone ❑ OTHER n_ Parking q./Provided a {F IPing. Ref.# Re E J Address(mailing) PROJECT DESCRIPTION SG. FT. OCCUPANCY l Planning Notes: - • M . CONSTRUCTION TYPE ani VALUATION$ T City License No. ZONE GRADING CU.YDS. ' ACRES _ S. LICENSED CONTRACTOR DECLARATION S. r'7f I hereby affirm that I am licensed under provisions of Charter 9•(commencing Remarks: ''lip/ ' 5- 2.. 'L/ ' with section 7000) of Division 3 of the Business and Professions Code, and 23 V my license is in full force and effect. - • ELECTRICAL I FEES License Class License No. ' PLUMBING FEES Automatic Washer Transformer 0 15-50 KW Date Signature0 50+ KW WORKERS' COMPENSATIONION DECLARATION Bar Sink Showers Construction Pole Sub. ' hereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps 0, Lab. C.) - .alicy No. Company • Backflow Irrigation Sewer Cap Dishwasher : - Meter Dover 100 amps BCertified copy is hereby turn fished. Dlyers ❑Gas ❑Eleytric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant ' Fan ':-c; Motors 00-1 HP DVA-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • less).section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP ❑16-15+ • • I certify that in the performance of the work for which this permit is issued, I 'Fixtures • ccs Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank .. -- Workers' Compensation Laws of California. Date Signature Device Boxes P e Li ht 9 Floor Drains Swimming Pool w/Spa _ NOTICE: after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalRange comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION' LENDING AGENCY / —7�1 Switches Sign ( Gas Service Jutlets Water Closet y(�_ 9 I 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.) Garbage Disposal Standing Sections Lender's Name - Interceptors - Water Heater Lender's Address Kitchen Sink ' Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or ' ' county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit - — to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of — ^ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a civil - ialty of not more than five hundred dollars($500). ' . DEVELOPMENT SERVICES REQUIREMENTS: • I Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 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 I FEES Building Approved By J _a / 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 Boiler Hood or Type I ❑ • Application Issued By caw-items, . oat: employees, provided that such improvements are not intended or offered fore • sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMM•'RV OF F ES • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • pe for the purpose of sale). - BUILDING PERMIT $ SMIP $ CJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigera ion System PLAN CHECK $ . PERMIT • tractors to construct the project (Section 7044,Business and Professions Code: pp • ' The Contractor's License Law.does not apply to an owner of property who Duct-Ventilating ❑0- ,000 BTU ❑100,000 BTU PLUMBING $ �V0 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 ❑ ystem Repair/Alteration I PLAN CHECK 25% $ proof o providedtheir Worker's Compensation insurance should be to me. - • ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# ' Fire Dampers MICROFILM $ PLAN CHECK 50% $ Dat ._T Owner - Heating System&Ducting Registers _ MECHANICAL $ I hereby certify that I have rea this application and st a that the above ❑D-100,000 BTU ❑100,000 BT - - TOTAL FEE $ 5 eo Information is correct. I agree to comply with all city and county ordinances PLAN CHECK - 25% $ andstate laws re ating to building constr n, and hereby authorize repre- sentatives city o er u n he above-mentioned'pl peU ' , inspectio oses. 1R - Signature el Date friDate Reinspection Fee $15 Issue Fee $ 3 01 00023146-00023146 TOT ' 5.00 Drivers'.License or 55 [ ' DATE: 12/23/88 TIf1E: 11:17 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POO, PA ,, APPROVALS '. Permit# _ Date Inspector APPROVALS Permit# - Date .., Inspector 1:,Temporary Electrical Service or Pole 52. Pool & Equipment Location ' ,r • • � • 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement i', ./' I 3Electr.ical Conduit Utility-Undrgrnd. • • 54. Forms 4�•Electfical Conduit-Undrgrnd. 55. Electrical Bonding -5. Steel Reinforcement 56. Rough Plumbing & Pressure Test *-;.�;,t 65 Electrical UF ER Grnd. ; 57. APPROVAL TO COVE R-GUNITE �� 7S,Footings 58: Electrical Conduit-Undrgrnd. i • 8:-.Foundation .I , 59. Gas Pipe, O Undrgrnd.,Test ,r'r 9.))Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, El Undrgrnd. -1 - 10;Structural Floor System . 61. APPROVAL TO DECK • _:t t1-2Property Sewer Line & House Connection 62. Backwash & Receptor-Final, 12:-Sewer'Cap 63. Heater & Vent-Final • •,� i n . 13.'Roof Drains 64. Plumbing System - Final •--r• 14. Rough Plumbing 65. Electrical-Final - !„ 15. Rough Electrical-Conduit Solar System-Final • L6. Rough Electric Wiring 67) Fencing & Access Approval • i.7! Rough Wiring Sign 68. APPROVED FOR PLASTERING i•� 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • I . • 20. Rough•Factory Fireplace l Ai APtPROVALS Permit# 21'. Ducts!inIStructure e/ 70. Underground Hydro 22. Ducts, Ventilating L; j 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe!Rough & Test 30 Underground Flush .'. • 24. Roof Framing kJ 73. Undergrnd.Storage Tank O Gas ❑Oil /� 25. Roof Sheathing I" 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) &/Monocoat 75. Dry Chemical • 27. Frame and Flashing t/1 76. Dry Standpipe . 28. Lathing& Siding - 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80! FOOD CERTIFICATE ISSUED _ 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test e/,/ Ltiv 36. Hood or Canopy' 37. Final Factory Fireplace - .' 38. Final Plumbing 39. Water Service-Final 1/z'e ea 40. Gas Service-Final - - 1,11J1 • _ , 41. Solar Domestic-Final i 42. Backflow Preventer - �t 43. Backflow Irrigation ,• r ; . _. 44. .Landscape Irrigation System 45. Sound Attenuation . %'• 46. Handicap Regulations / 111) [ 47. FINAL STRUCTURE & BUILDING "' t • ._ 48. Special Requirements Completed 49. Electric Release to Edison C, 50. Gas Release to'Southern California Gas Co V IL` 51. CERTIFICATE OF OCCUPANCY !" No. Date i:i. � ry 34,7,),;',•./e Yn. • i u g ,. r t' . x /r+ � � e •Jc'_ • '.. 'IC!' ♦ :r r t. s. ,•- -_:',,s:, 1 `:'T �7 ' I i is 3 - , ., (-. > '- a•' - .iF - ,,. , 'March l0 1976' ` F {'` • ^ ,; "` �Re^ Bu lding Permit No <;41304 _ a Mr ' Kelthilosfiel . ' f -iil ti .y S yo 'l'• rt' , '1t000':Cl i'ff Drive ,ir f -- '.Newport Beach, Cal itfornia' 926 60} -r -4' _ ` '} � ' ;t i' ~ s. Dear;Mr HOsf lel , : , , �•r `• • , - ' Please be 'advised that:a Sav{ngs.'Passb in; the-amount. of =$600 00 + -• will',.6' required as 1a condition ?of"devel ent under- this' permit ' :44C.1:,. .. , ; '�I Th1 s will.+guaranteev-future, construction o si,'dewalks'.:al"ong•:the` sc•: � ,-, ' - r frontagtt"e of 16th: Streetra •San Dernardino Place ,. Y y v Thepa's'sbook shall 'be assF.gne to- the'City of. Costa-tiesa and all . -i w•thdrawals' shall require appro 1 ,from the City ..t - ,. s: ` • 4 }' r F Thank:you ifor:you <cooperat Ion ' • ;. - ,. Y ' - 1 r 1 3 2 very truly yours , - .:',4‘,'''':.•1,,.. ,4 :.,i-7. h f• b ,e1:-',,i' 4 ' t,---,-, - r, t'P.. ',•• P ` Mike Schuman Rl Eng{neer'?ng Aide I'I J,la.: .T i�S t `s o- a °<Vt'ly MS kst r i ..,.%.::.I. . lk l{',Int; • 1 h.; :21;Ii - r ', . , 1S cc Building Department I`' _° -:;;;.r:4.,,,,:- PS t,‘c,-,.4.- }r rt.. ,J .� . �- Y yv i' - . t t a s , ``{{ • �. "s Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PERMIT NO. TRACT NO• .' LOT NO. UNIT NO. — CITY OF COSTA MESA pCONSTRUCTION PERMIT /J �S / A.P..�p Zone _ , - Project Address �S7 7 • � 'e r noir/ q0 / L r J L� ������ S Main Building: Accessory Building: Applicant's Mailing Addressdry ' • /^s• • TYPE OF CONSTRUCTION • U NEW' IYlADD' U ALTERATION LJ,REPAIR E - - Z Owner's'Name /`GI''ti A fo Tsa/ Phone • ❑ CONVERSION. ❑ DEMOLISH ❑ OTHER T Front _ • O Address �3D o kr /I S t . I DESCRIPTION OF WORK/USE OF BLDG. - • B -Rear • N C RightN Arch/Eng. License No. TYPE OF PERMIT Q GRADING H FOUNDATION ElSTRUCTURAL I K ' • - - G Address - ,(�, ❑ TENANT' ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S . Left - /h� /a /L Phone //C� p. ❑ ;OTHER R Contractor's Name �'IJ leG sW 703? .Ping. Ref.# ,Parking Req./Provided '" E �q. ' PROJECT DESCRIPTION SQ. FT. • - OCCUPANCY Q Address(mailing) L / /�A . Cat-51 �i"✓/^'�� - — Planning Notes: M 3 �,Z 07 CON ST RUCTION TYPE VALUATION$ • City License No. • ZONE GRADING CU.YIDS. ACRES LICENSED CONTRACTOR DECLARATION r1' - - S' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /3 to net 3 S / ' with section 7000) of Division 3 of the Business and Professions Code, and A /� _r. my license is in full force and effect. ELECTRICAL - FEES License Class 5-,, C- /0 Licence No. 9 - _ Date /o- 46-pt Signature 7w� /moi - ' PLUMBING FEES • Automatic Washer Transformer 0 15-50 KW ' • WORKERS'COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+KW ' hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionBackflowPreventer- Service Sink / Cooking Unit Meter ❑up to 100 amps ,Z 00 800, Lab. C.) - - - o Policy No. • Company • -Backflow Irrigation Sewer Cap -/ Dishwasher Meter Dover 100 amps 3 Od 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric / Sub Panel /!—Op Certified copy is filed with the city Building Division. s •Bathtubs Sewer Connection Date Applicant S / Fan • Motors 00-1,HP 01%-8' 3, DO EXEMPTION FROM WORKERS'COMPENSATION DECLARATION i Clarifiers Solar Collectors • (This section need not be completed if the permit is for one hundred{$100)or / F.A.U. Inc.Solar- HP ❑i6-15+ 00 less). Dish Washer Solar Piping _ I certify that in the performance of the work for which this permit is issued I — shall not employ any person in any manner so as to become subject to•the Drinking Fountains Solar Tank II Fixtures? - Microwave (]-1 O` Workers'Fom en n Laws of California • Date f0-g'1(n Signature - - 7Y5nrr•a�-e.� Ftloor Drains Swimming Pool w/Spa • Device Boxes. �C'S _71 Pole Light • . NOTICE:If,after making this declaration, you should become subject to the _ J la.� {J" Workers' Compensation provisions of the Labor Code, you must forthwith2 J Outlets _2.O Ran e comply with, such provisions or 'this permit' shall be deemed revoked. —,Floor Sinks . Urinal Ili 4C-a Qs 9 . . .Q3 55- CONSTRUCTION LENDING AGENCY -• . Water Closet ' • /9, Switchesi Si n Gas Service , Outlets 9 I 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.) IOterC¢ptOrs ' Wat¢r Heater • / Garbage Disposal • Standing Sections' a Lender's Name _ . Le^der's•Address - •• Kitchen Sink • Water Service Generator 00-5 KW❑5-15 KW Trash Compactor . • OWNER BUILDER DECLARATION - - - • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or • ' - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays i .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 -Drains - - - the 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 $15 Issue Fee ,c $4 lerefrom and the basis for the alleged exemption. Any violation of Section - • - - 031.5 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 sole Reinspection Fee I $15 - Issue Fee $ 3 • compensation, will do the work,and the-structure Is not intended or.offeretl Zoning Approved By Bete for sale (Section 7044, Business and Professional Code: The Contractor's ' - ' MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improves we -- - - _ �I ),, thereon, and who does such work himself/herself or through his or her own Boiler • HOOd or Type I 0 Application Issued By i Date nate 49 `e employees, provided that such improvements are not Intended or offered foryp sale. If, however, the building or improvement Is sold within one year of corn- 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 $ - SMTP • $ LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System •• _ • PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code:- ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating JDO.100.000BTUDIOO.000BTU PLUMBING $ IUANCE $builds or improves thereon.antl who contracts for such oroiects with acon- - - - ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. - • ELECTRICAL • $ S GRADING $ _ • ❑ I am exempt under Sectione.& P.C.for this reason Firepl/Fact.Blt. ICBG 4P Fire Dampers PLAN CHECK 50% $ a • .7. MICROFILM • $ _ / Date Owner - -• Heating System& Ducting . RegisteFs• _ MECHANICAL $ TOTAL FEE $ ` O�• I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ • and state laws relating to building construction, and hereby authorize repre- - - sentatives of this cit ' to enter, upon the above-mentioned property for ' Inspection purposes �� .' Reinspection Fee $15. •• Issue Fee $ 3 DATE. 10��b/33 TIME: 1.5:31 0865-46,rev. 5/98 White - Building; Canary - •pplicant; Pink - Accounting; Goldenrod -Assessor ' n •' CONSTRUCTION AND PLANNING POL _SPA ' ' APPROVALS Permit# Date Inspector - APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement - _3. Electrical Conduit Utility-Undrgrnd. '.' 54. Forms - '4. Electrical Conduit=Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement .156. Rough Plumbing & Pressure Test ' - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • -,- /7. Footings - r 58. Electrical Conduit-Undrgrnd. • 14., 8: Foundation 59..Gas Pipe, 0 Undrgrnd.,Test - , i 9. Water Pipe-Undrgrnd- • 60. Backwash Lines, P-Trap, 0 Undrgrnd. • ' 10: Structural Floor System 61. APPROVAL TO DECK , 11: Property Sewer Line & House Connection • 62. Backwash & Receptor-Final _ 12)-Sewer Cap I ' 63. Heater & Vent-Final • 13: Roof Drains ) 1 64. Plumbing System - Final . r. 14'. Rough:Plumbing l 1 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring /0-78 gak. 67'. Fencing & Access Approval j57°Rough Wiring Sign 68. APPROVED FOR PLASTERING X18. Rough Electrical-T Bar Ceiling 69._POOL/SPA SYSTEMS FINAL i19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20! Rough Factory Fireplace _ APPROVALS Permit# -21. Ducts, in Structure 70. Underground Hydro 22: Ducts, Ventilating1 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 1 72; Underground Flush • 24. Roof Framing '-, 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25./• Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' ' - 27. Frame and Flashing 76. Dry Standpipe: • 28. Lathing & Siding - 77. FIXED SYSTEM FINAL . 29. Insulation , 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - . - 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 11/7013 Sell • Notes: . 34. Final Heating & Air-Conditioning , / -` n 35. Final Gas Pipe-Test _ 36. Hood or Canopy . r 37. Final Factory Fireplace t" -N I 38. Final Plumbing • 39. Water Service-Final -' _ - - 40. Gas Service-Final ' ' 41. Solar Domestic-Final :3 :7 , ' • _ 42. Backflow Preventer / F1'� • '` 7.;y 43. Backflow Irrigation - ' 44. Landscape Irrigation.System ' • - 2 • I , 45. Sound Attenuation ' 46. Handicap Regulations 57. FINAL STRUCTURE & BUILDING - • , ' 48. Special Requirements Completed• • r 49. Electric Release to Edison - l 50. Gas Release to Southern California Gas Co • '"' '' > r{ - 51. CERTIFICATE OF OCCUPANCY v ' 1;' 'J .2 i . ';c ' 1AI • iw No. . .. Date -. cr , ti c� „) - �/ CITY OF COSTA MESA PARK FEES • • Fee Payment Receipt f 1001155 Project Address I&t 7 San �rh&ra_int Uyu+ li 01 00014157-00014157 TOT- 881.51 A.R. Number +25 - 3 t11,�I - 27 ATE: 09/12/88 TIME: 11:31 Building Permit Number ' f r4';35 2_.7j Owners Name j,,,P�{t& f p 44 e Mailing Address R0. 6 i k J [. I -7_443 FEE: Single Family * Number of Units 2-Bedrooms or Less @ $ 861.76 = 3-Bedrooms @ 1,205.67 = 4-Bedrooms - @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = • Multiple Family ** Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = 2-Bedroom I @ 881.51 = 881•5;I • 3-Bedrooms+ @ 1,229.38 = Total Fee ***4581 .51 Planning Department ova It BY 1 1/u�AMI - Applicant's Signature * City Ordinance 72.44 •* City Ordinance 72-4 *`City Resolution 78-116 11 CMF 0174.30,rev.7/85;White—Planning;Caner: -ming;Pink—Finance;Goldenrod—Applicant GoM IMI p - CITY OF Cr MESA • PARK . -S Nii . 131 I J�-pFee Payment Receipt Project Address /J % Pf%1)arr'//'Ajn �� Park Area . 3 A. P. No. //7 — f.°/- 66 . 1 • Building Permit No. Owner's Name M4111�J `` S'I!e_/ O eh Mailing Address /°" /FP Ar . , /v r,R- - .� . FEE , Single Family * No. of Units @ $455.20 = ' Multiple Family ** No. of Units 7 @ $321.32 = .3^0Z/. ,� p_ Total FeeFe �O 4Q . r3 Planning Department Ap rova Date ,�on,...." a .. By ( ���ll • �V R • Applicant's Signature T * City Ordinance 72.44 ** City Ordinance 72.45 *** City Resolution 74-124 ' C I �rU l y NO, White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant CMF 0174-26 NO . • • Wells Insulation Co V V�YO.r�fjV r�� 5912 • 11362 Westminster Are. PG Gorden Grnre.CA 92643 714-530-9530 license # 384692 - • THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE CODE,TITLE 25,STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: .. • 1 UNIT LOT# TRACT# 1597 SAN BERNADINO COSTA MESA #-*STREET_._ CITY EXTERIOR WALLS: •MANUFACTURER, {VIII LE _ THICKNESS/TYPE 34. VALUE 11 CEILINGS: MANUFACTURER MAHVTTd.F THICKNESS/TYPE VALUE 19 BLOWN IN; MINIMUM • R- MANUFACTURER THICKNESS VALUE • SQUARE FOOTAGE COVERED NUMBER OF BAGS USED FLOORS_ R- MANUFACTURER THICKNESS/TYPE VALUE SLAB ON GRADE: • R- MANUFACTURER_ THICKNESS/TYPE VALUE ; ,� WIDTH OF INSULATION INCHES FOUNDATION WALLS: R- MANUFACTURER- THICKNESS/TYPE VALUE GENERAL CONTRACTOR CALIFORNIA CONTRACTORS LICENSE # DATE SIGNATURE TITLE • INSULATION CONTRACTOR CALIFORNIA CONTRACTORS LICENSE# DATE 10-18-88 • .Ff/✓ // PRES. SIGNATURE TITLE OWNER HOSFIEL, Keith DATE 3-5-76 f JOB ADDRESS 1597 San Bernardino ace, Unit B. BUILr P.ERMIT NO. 41384 cZGENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK A esidence to Ex. Res. ,AR No.J17-221-06 LOT TRACT FIRE ZONE VALUL .29.800,00 NSPECTIONS I 4Si nature Date TYPE v GROUP T ZONE R_� SOIL -J �• 4 PERMITS ISSUED SUBCONTRACTOR `5' GA54.� 0- I Dote I Number I Signature WATER (. nay-la Plumbing �/ �iOUGH PLUMBING C 15 q 417:11. eni.T.-eA� /1t,€Ce.4. • 3-S•2C. 6 06 3 PROP. SWR. LINE ❑ HOUSE CON. , r J•' /e�y`// es : /,/f•/e/- • 3 - 5' 4 /GG SPRINKLING SYSTEM 7-��7 r MISCELLANEOUS rn / ROUGH HEATING AND AIR CONDITIONING (9.) '1'3t'.7 TEMPORARY SERVICE OR POLE UNDERGROUND V POWER ❑ iti..-b pt..fy ROUGH WIRING Ae u, ' ' -'7f Heating and Vent. TRENCHES n FORMS ❑ STEEL REINF. t/ @ /�• -2k, 8IJ. • ll.ui-)/ I a'4o a- FLOOR SYSTEM - ,I ^a3- ^� /v"t•`�l • C V BOND BEAM n STEEL•//- REINFORCEn �'`n SHEATHING si.-4Yt ]NF5 5.IP.? - 2t 6 FRAME AND FLASHING 7 Cet. LATHING - IN L OUT k - 0 f3•Z PLASTER, BROWN COAT a.3.Th 1! •�'`` STRUCTURAL. FINAL Electric `I �/ HEATING, VENT., REFRIG. AND A.C., FINAL t1 •-�y) - �(,Vyfg-t./6X44. '1•S'1•7p IA 3 Sl s'/ PLUMBING, FINAL AND GAS TEST in -7-1.- . ELECTRIC, FINAL K7 ITS i_" BUILDING, FINAL .60 -• /,C e 4 138a • MAR 5 7C °00 299* **192.59 i G7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / {J'J APC F�LtgL`T ON FOR STRUCTURAL PERMIT For Applicant to Fill in Complete! — se I1 ! y - A51 r RE V D DATE RECEIVED DATE ISSUED 7 i t ADDRESS ��/ . % Pk) 1.IiU 'rl�l t2��^/ � 17--- � /� PERMIT NO. / A.P. NON / OWNER/ P 1 �h �f ..F BUILDING actin ADDRESS /(S�0 C�( F/r ipl.__ ADDRESS/ri - ���i///i Iai ,..Ar ei ;Ivo /L f2 CITY Ai . (2) 1D Yl- pi �`l TNOL ..21:34.1.----- TRACT/776/ LOT 6, BLOCK V CONSTRUCTION A NEW ADO ALTER REPAIR MOVING DFMOLISH LENDER �(. C BRANCH /J OWNER{� (� �, ADDRESS . _ r,� 11 re ) /// -E 2' • ARCHITECT I pz,/� TEL. SE .r '`__^i& OR ENGINEER k r e�tQ�///�.1 C' ,N - - ,, ,, n J I( V C t /`mss/rt@/tX�/ �" S IRE / / ADDRESS (/ ZONE PE GROUP C_ / • • APPROVED//I C - CONTRACTOR/ . n /1 DATE��J' • i- l I •ADDRESS • .• —a1-anal _ CITY IIIINIWOES ZO: _ NO.OF _ OF NEW / PLANS USEONG / STATE bL 9 / ^J" WCI it YARDS APPROVED YARDS APPROVEy% •/5e LIC. NO Q / LI, .NO. MAIN BUILDING ACCESSORY BUIL sr G SIZE ` / O.OF BLDGS./ (FROM C/LIS REET) OW.. OF LOT I X 5 NOW ON LOT 1 FRONT a t-Aecj FT. Q USE OF ` �. EXISTING BLDG. R A-5 t 4 - \2 C ' R.SIDE gET. FT, rn F Separate permits are required for L.SIDE /4T. FT. electric,plumbing and heating work. REAR /FT. i FT. ! _ W H USE F BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&-' \ QA _ On MAIN BLDGS. ACCESS.BLDGS. ``�^ VAR.# DATE \/ '4:11 C 5 fl `(� L R ,/.� il �r� C.U.P.# ,` ,/��s APPROVED syr .>.1 7O �'IS77ivG, iths —B_Y APPROVEp'Y/GS!/\ P� DATF q- :,-.79-.5- ••,J w MOLD `FOR SPECIAL REQUIREMENTS - i 0 I hereby acknowledge that I have read this application and state - 'Si [� IY that the above information is correct and agree to comply with //�� 0.. all laws regulating building construction, and I shall not employ . y� z any person In violation of the workman's compensation laws of e`' the State of California. . ,�{y/` A /920 SQ. FT. tv 1\ 3 I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 03 5\.\ Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the pro islons of the State of aliforni Business y VALUATION . PERMIT FEE // N and Professions C de, vision 3 Chap sig 4 Signature of t PLAN CHECK $ .SO c fs` Permittee 8.-17,1 $29 iT D a TAX $ S O LL l'/W, U Authorize Agent TOTAL PAID $. ir- OWNER HOSFIEL, Keith DATE 1-5-76 t JOB ADDRESS 1597 San Bernardit. 21 ace BUII -, PERMIT NO. 41385 SN,GENERAL CONTRACTOR (timer/B1 dr. DESCRIPTION of WORK r garage , AP No117-221-06 LOT TRACT FIRE ZONE VALUE 25.000.00 INSPECTIONS Signature Date TYPE V GROUP fT ZONE R-2 SOIL I • PERMITS ISSUED ¶ SUBCONTRACTOR GAS WATER Date I Number Signature Plumbing • OUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ 'SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING iy,- �7rx j� Heating and Vent. TRENCHES ❑ FORMS 0 STEEL REINF. 17 -., Q - 1. 7 , FLOOR SYSTEM e 3 .-Z7-7 "' BOND BEAM n STEEL REINFORCE 7 SHEATHING "(4i��� FRAME AND FLASHING � G LATHING - IN ri9 OUT I e AS PLASTER, BROWN COAT Z'alligt207 STRUCTURAL, FINAL Electic • D�, HEATING, VENT., REFRIG. AND A.C., FINAL Auryi /SW. 4,27.76, 410126r\ PLUMBING, FINAL AND GAS TEST 7 ' • ' ELECTRIC, FINAL BUILDING, FINAL )- ' 7--2 jj� . • I,4 41385 COSTA MESA BUILDING-SAFETY DEPARTMENT !"Al' —5-7,, -700 300* ****4�"-G P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only RECEIVED BY ATE RECEIV DATEaISSUED BUILDING / 'JB ova tN 110 .1. 7 V ~ ADDRESS 7 e. (�� /,�t�''�Ar �-r1�� u'` t" //�� '' PERMIT NO. OWNER C..c�'\ ,. A.P. NO. '-V MAIL / ' BUILDING /{/k ADDRESS / ajk_ �' " ` ADDRESS Th/�� t A I_ at L 1 Y CITY CCC r- NO.(jJ7TRACT 226 LOT a BLOCK n CONSTRUCTION � NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER BRANCH {,/J _ OWNER /l�f S 410-/ ADDRESS ARCHITECT • ` /// VA'UE . ' OR ENGINEER 1/(03,Y4 C �NOL / USE ��L1��I $` r FIRE ADDRESS q�, / ZONE /' YPE / GROUP CONTRACTOR NWANIWt2 BPPROVBI a_ailTz DATEq-s'-,X ADDRESS s /l.../ I ter a_ r ZONE NO.OF USE OF N• CITY , • � _t4/ NOL - r 7r /S �4 PLANS BUILDIN• /i �� i - STATE 41C 0 '- CITY YARDS APPROVED YARDS APPROVEtf LIC. NO.. 7 lJ LIC.NO. MAIN BUILDING ACCESSORY BUILD NG W SIZE /` / NO.OF BLOCS. (FROM C/L STREET) C. OF LOT / 1 ! � NOW ON LOT ( _FRONT FT. Or T. ar USE OF ((( ���999 y EXISTING BLDG. s-d-A�SLZ�c vc R.SIDE FT. /al— rA H Separate permits are required for L.SIDE FT. / 9FT. electric,plumbing and heating work. IO - REAR FT. .g 7FT. I,.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& <Q _MAIN BLDGS. ACCESS.BLDGS. 1:41c` lk VAR.# DATE I���.�j =r -coo— �. _/Jn A �J��,G C.U.P.# / /� APPROVED� � /may >. ,...) 1776...„ �� � ire, -x,„�6E APPROVED/ rI/� /f"�Ir ATE/— � /t x (O�D IFOR SPECIQI REQUIREMENTS w C., I hereby acknowledge that I have read this application and state in cg that the above information Is correct and agree to comply with m a all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of / m- - the State of California. Cf♦//y I hereby certify that I am properly licensed as a contractor under O SO. FT. co the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business v VALUATION PERMIT FEE $ n and Professions Code Division 3,Cha ter 9. / m M t PLAN CHECK $ GKI .n Signature of 60100 TAX Permittee $ TAX $ eLL iv f ^7t U Authorized Agent TOTAL PAID $ 5(/