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Home My WebLink About2579 SAN CLEMENTE DR - Building Permits -a_C• 44.0 S CITY OF COSTA MESA BUILDING DIVISION > .j r,,,, t. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. �j�/s PERMIT et•on`n*I) B02-00572 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2579 SAN CLEMENTE DR - Status: ISSUED Suite: Applied: 04/29/2002 Vicinity: HARBOR VILLAGE APARTMENTS Issued: 04/29/2002 Parcel Number: 42005103 Zoning: II'' Applicant: POWDERLY, PAUL ISSUED BY: Address: 1355 W W SANTE FE AV Phone: 714-981-3046 FULLERTON,CA - . ' Zip: 92832 Owner: STATE`OF CALIFORNIA%CONTINENTAL WINGATE Address "ASSOCINC - 63 KENDRICK STREET Phone: - . ' ONE CHARLES RIVER PLACE Zip: 2494 Contractor: ROYAL ROOFING CO Address: 135 W SANTA FE AVE Phone:_ (714)449-7750 , FULLERTON,CA , , • Zip: - 92832- . License:- 678705 - , Arch : Eng: Address: - Address: - . Phone: Phone: Zip: License: License: SCOPE OF PERMIT._ TEAR OFF EXISITNG 20 YEAR COMP AND INSTALL 30 YEAR COMP'SHINGLES. FEE SUMMARY Plan Check: $0.00 • ' 'Calc Valuation: -$7,200.00 Permit: $153.25Claim Valuation: $7,200.00 SMIP Res: $0.72 SMIP Corn: $0.00 • - Other: $0.00 Inspection: $0.00 Total: • .$153.97 _ PLANNING &ZONING SETBACKS - MAIN STRUCTURE Front , 0-0 Rear 0-0 Left 0-0 Right 0-0" ACCESSORY Front " 0-0 , Rear 0-0 Left 0-0 Right 0-0. PARKING Existing: 0 ' . Required: 0 Proposed: 0 , NOTES: - • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. - - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) • DECLARATIONS �' WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 Ieve and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the ctsrAp ork for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My wor�yrs sation Insurance carrier and policy number are: I �O 7 .�7 ^3' � Carrier: �L I Policy Number: l•'(• L (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify tha ' e p= •rmance of the work •r whit- his permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensatsn laws of California,and ::roe •at if 1 s-ould becom: subject to the workers'compensation provisions of Section 00 of the,LLabor Code,I shall forthwith comply with 95: • :nsion-� Tt� / C)`C./ Applicant Signature: _ • - Date: WARNING:FAILURE TO SECURE WORKERS'IMP: SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AN CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRAC DECLARATION: I hereby affirm th I am license under provisionof C ter 9 ommencin with Section 7000)of Division 3 of the Business and Professio Code,a d my license is in full force and effect. Class# `' Contractors Signature: • e9—C...--- Date: ��z7,� l.__-" CONSTRUCTION LENDING AGENCY: )) o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec:7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department, 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes 8 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the -described property for insp • oses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sign: ='�f Legal Owners v //,r�/8 d/Or Authorized Applicant Date CODE r INSPECTION TYPE ME INTmALS CODEC INSPECTION TYPE an REAL$ 1616 Fixed System Final Fire Prevention 206 Anal Mechanical 1266 Pool Spa Final / 208 Final Plumbing -. /G 200 Final Re-Roof 7 (7� _ 644,1"--G- 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 c.•'"'"-sko CITY OF COSTA MESA Yt. ..Y.`. CALIFORNIA 92628-1200 P.O.BOX 1200 FI R0 J•,. �A DEVELOPMENT SERVICES DEPARTMENT •f�RP D.' ORGR October 20, 1986 To: Building Safety Division Pacific Bell (2) Business License Division Police Department - Ping. & Research Communications Santa Ana Heights Water Canpany County Pdtninistration Office Sanitary District Engineer County Clerk/Board of Supervisors Southern California Edison• Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Finance, Revenue Division United States Post Office, Adams Avenue Fire Prevention United States Post Office, Santa Ana Manager, MID Zip 4 - Santa Ana Mesa Consolidated Water District File (2) Newport-Mesa Unified School District (2) The City of Costa Mesa wishes to advise you that in revising street addresses, the following addresses have been added: OLD ADDRESS NEW ADDRESS A.P. NO. - Dwellings: 2565 San Clemente Dr. , 101-108, 201-208 420-212-10 2566 San Clemente Dr. , 101-108, 201-208 2569 San Clemente Dr. , 101-108, 201-208 2575 San Clemente Dr. , 101-108, 201-208 2579 San Clemente Dr. , 101-108, 201-208 2551 Santa Barbara Ln. , 101-110, 201-210 2556 Santa Barbara Ln. , 101-110, 201-210 Carports: San Clemente Dr. , A-I Santa Barbara Ln. , A-D For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, 4(Cy,( MEL E. LEE Planning Intern ML:alm (F-1-56) cc: Sharon F. Mills Village Investments 1176 Main St. Irvine, CA 92714 Code Enforcement/Business License (714) 754-5234 Building Division (714) 754-5626 Planning Division (714) 754-5245 77 FAIR DRIVE c. 1 G1I0~ - - - — tI " a-�1 1 F-.117 -t I.Y�n. '%•I0rFa/4:7lSus-on C' i -- • �,7� \ 1111011° 1 � 11ffire Nc ' nuulp/a.rg' ! I'Q�QP,'-._' 1111 ITaur ,� N �It l 1 I M a om, ' poll ; i/_ ' I I r 1 i W _ , .1 ` 9111` -, FJ 3u - r MD b . ■l n�,�� _hi _ p I— . - t - nrn #1wit, �rr • _' �-_- 'r' t'�' � ' ate • /�i// Hll MARBOR� �IVILLAGE RN• C/„"......000„7„.„.......:„........ ...... .......... ... /' . �' ■ n BURKE• LESTER & ASSOCIATES , • ARCHITECTURE AND PLANNING 101\'Sat tam Io..t, UGLY IIY• tM•�.V WY IINI'Weal BiA9 Altfese -__.67yP��L= = --1 J . 125 srIJin 6r86AKA L.N. - �� _ �/ Int I sax O IP? [�083 �1p7� • _ • ^I 101 102 O 103 104 :. i .._ " Via.- -SP: �r IO�j • • EM , It, Nit ett • .art.: 7.. i 0� t ' Alt• et ikt- r • • lafittrar . # . . . i stair HARBOR 4 ' VILLAGE ' n Ina7 � _ FASS1M�DEVELOPMEI rGOMMGANT •. , - _ CY1571N6: ' • II ‘‘`\V.\ \' , Fffll+rx I1 BURKE• LESTER & ASSOCIATES . \. \ ,a ARGYTECTWE AND PLANWND V A•V •LI v CMS M . L0- eL%Sa 0-MN 17141 In•OM • ^S79 S4 0 l (v„se...,./4_ Pr- I C// ) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. - Project Address Tract 12594 - Carport 'A' ,San C1ayitegerO ?G5 g1:2 / a$9� �— r 2510 N,Shelle Cr. 6ii TYPE OF CONSTRUCTION ® NEW LL11 ADO Cl ALTERATION L( REPAIR Applicant's Mailing Address ,Costa I•Ies4,ea, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Zone ompanV 714 863-1500 A.P.# .L/;s2n ` L*J"/a — 1/ "eV-74/ - • Owner%Name Fairview Management PhDne DESCRIPTION OF WORK/USE OF BLDG. Carport - 12 spaces - Address 2400 Main St. , Irvine, Ca. 92714 s Main Building: Accessory Building: Burke-Lester & Assoc. [aZ Arch/Eng. License No: C-6925 TYPE OF PERMIT Li GRADING FOUNDATION I2S1 STRUCTURAL T Fiura v[,� 7l.�� , . Nps O Address 23025 Mill Creek Dr. ,Lagun Atll q,Ce 92653 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B p a7' /_ -tote- • 11_ ( t,,`\ N Contractor's Name Fairview Development °W14714/97 -N57 ❑ OTHER 2160 M-1 C 5� 9/ do L P J 1 N N 7 6 u PROJECT DESCRIPTION SO. FT. OCCUPANCY /� �'�!�T G Address(mailing) 2510 N.Shelley Circle CnstR Mesa, a. CONSTRUCTION TYPE VALUATION $ 1R•576 $ bete' Lc} 7o7 )Tl 41,24 R JAN 27 bit/ City License No. 39582 ZONE GRA ING CU.YDS. ACRES I,.fl _ B - /h�-tj_ E 4 Ping. Ref.# O d )T Parking Req./Provided 0 LICENSED CONTRACTOR DECLARATIONN. !!!•••sss I hereby affirm that I am licensed under provisions of Charter 9 ns(cornrnenclng Remarks: pc Fes- > 9/% /6 P� �Z/2ZJ� Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and !!�� ! /// T my license is in full force and effect. P� 75-9 $ License f�c1jlass B LI a No 496001 J r - �� Date/ '17't Signatur PLUMBING FEE- WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES 'hereby affirm that I have a certificate of consent to self-Insure or a certificate ' Workers'eC Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 7 00, Policy No. UR-A3f1F 944-9-86Compan THP Travel ere e 0 50+KW y- m .Co. Backflow Irrigation Sewer Cap Construction Pole Sub. Certified copy is hereby furnished. Oer�ti O�yc uh,q�a city uiJplitg grion. Bathtubs Sewer Connection ' Cooking Unit Meter ❑up to 100 amps Date ./ ""'�^''• ant �1/� /y//S Dover 100 amps EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collector Dishwasher Meter (Thissection need not be completed if the permit Is for one hundred($100)or Dryers ❑Gas ❑Electric Sub Panel less). Dishwasher Solar Pipi•• • 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 te ' Drinking Fountains Sola ank - Fan ' Workers' Compensation Laws of California. Date Signature Floor Drains imming Pool w/Spa F.A.U. Inc-Sola 29-15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with Such provisions or this permit shall be deemed revoked. Mi •wave. CONSTRUCTION LENDING AGENCY Gas ServiceOutlets Water Closet • Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance - - of the work f r which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets - Range Lender's Name Qat- Amen ran P4 rsnrj t Gavls Bank g Lender's Address U175 Slater Ave. ,Founitain Valley•Ca, Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION ti - - I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections ' 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 Generator ❑o- W 05-15 KW Trash Compactor 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 D . ns ' the Contractor's License Law(Chapter 9(commencing with Section 1000) of Division 3 of the Business and Professions Code) or that he/she is exempt herefrom 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 - - Anelty of not more than five hundred dollars($500). • LJI, as owner of the property Or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 , for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 DEVELOPMENT SERVI E REQUIREMENTS: '� employees, provided that Such Improvements are not Intended or offered for Boiler ypj ��,��j sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Datau pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By ��'y"�/^VwI Date /� prove for the purpose of sale). I/V1A1 ' 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-$Vuctural Refrigeration Sy Application Issued By { ., Date 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 BTU ❑100,000 BTU SUMMARY OF FEE builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ pl. stem Repair/Alteration ^ BUILDING PERMIT 1 /3Z/•� SMIP $ /. 30 proof of their Worker's Compensation insurance should be provided to me. gL1Q PLAN CHECK Or�9 --PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers C� ISSUANCE $ PLUMBING $ Date Owner Heating System&Du ' g Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BT 100,000 BTL ELECTRICAL $ GRADING $ Information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repro- MICROFILM $ • PLAN CHECK 50% $ Inspection sentatives of this cit , co enter upon the above-mentioned property for MECHANICAL $ TOTAL FEE $ Inspection pure, - 9 /n /j Signature _ 7...L • e" Date%C]d t7: Drivers' License or $ =? Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ a CMF 0865-46,rev. 10/84 White - Building: Canary,- Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.. 57. APPROVAL TO COVER-GUNITE 7. Footings � rsclin p . 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, E Undrgrnd., Test • • 9. Water Pipe-Undrgrnd. . , 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 1/11/ti Pee 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Elecirical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank E Gas E Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structuiall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System rally A 45. Sound Attenuation 1,/NW 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING gay '� W / 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -- 5- 7,, c' / 1' 4 / J s l 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 7 7 I M� /�- VJI// LOT NO. U TRACT N0. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. as--9 O. TN Project Address Tr. 1 594 arport 'B' an 1 ment Cra-a cos g / 2U. Applicant's Mailing Address 2510 N.Shelley Cr- ,Costa meg fa5{C aa TYPE OF CONSTRUCTION .1 NEW ADD L ALTERATION H REPAIR Company y2(JZC7• ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p # -'f a Zone /]� Owners Name Fairview _Management Phone 714/8'.3-1500 DESCRIPTION OF WORK/USE OF BLDG. Car�oort - 1 2 spaceG G K 3 — /07 _/1 ""�� Address 2400 Main St . Irvine. ra. 92714s rIvpIt S Main Building: Accessory Building: Arch/E ng.Burke-i.PSfeY & Assoc. License No. C-6925 TYPE OF PERMIT ❑ GRADING QJ FOUNDATION L^J STRUCTURAL T FrsnF 0 30' • /Y.-- _ • O ❑ MECHANICAL ❑❑ ELECTRICAL PLUMBING Address 23025 Mi] 1 Creek Dr- , Lagnpa Hi 1 ]g,C`a 92653 ❑ TENANTB Rear S SS iv < T ' i. -c t / __ N Fairview Development o10pany ❑ OTHER A IA 1 Contractor's Name p Phone v1—an-'-�D-50 - C f g ( 1 _ { r N _ _ _ PROJECT DESCRIPTION SQ F 2160 OCCUPANCY M-7 D ILO 44 / i� q Address(mailing) • ° - '2E2 CONSTRUCTIONTYPE— VALUATION$18,576 S t"4" a} 9/ t-o LA ? ly JAN 2'1 '1987 1 k G City License No. 49582 ZONE GRADING CU.YDS. ACRES _ I R Ref. # .Parking Req./Provided -_ t� ' E LICENSED CONTRACTOR DECLARATION Ping. - ,/9 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: I- 0 [y with section 7000) of Division 3 of the Business and Professions Code,and /- y!ECF� 'MESA M '\ my license is in full force and effect. �, C. 3 S9 �6' • `• , T LJcense lass ice s: s.. 4•a• S /��Tn A.0 /. PLUMBING \ Date Si9natur- ✓i-/ -- - . . �.� FEES WORKERS'COMPENSATION DECLA-ATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate - - . ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink — , 00, Lab. C.) Automatic Washer Transformer 0 15-50 KW ouc rvo.iR-8 OF n $ Company The Travelers Ins.CC. Backflow Irrigation Y 1 7 9 4-9- 5 9 Sewer Cap Construction Pole Sub. 0 50+KW ® Certified copy is hereby furnished. _ Ce rtifl cop ) tiled with the city B ' r/9 DI ) Bathtubs •Sewer Connection Cooking Uni[ Meter ❑up to 100 amp Date sin./ ApplicantvL • G EXEMPTION F OM WORKERS'COM NSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Over 100 . ps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' t 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 Fan - Moto • ■0-1 HP ❑1%-B Workers' Compensation Laws of California. - _ Date Signature Floor Drains • Swim .' g Pool w/Spa NOTICE:If,after making this declaration, you should become subject to the F.A.U. c.Solar ❑9-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks U ' al ' comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service ' Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light of the work to which this permit is issued (Section 3097 CIk C.) Interceptors Water Heater ' Lender's Name Y SAW( Ranp Outlets Lender's Address 10175 Slater Ave. .Fountain Va] 1gy.5g' • Range i 2 ZZ Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION - Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage DIS O ' following reason (Section 7031.5 Business and Professional Code: Any city or - 9 P Standing Sections ' 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 Generato 0-5 KW 05-15 KW Trash Compactor . to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt - •herefrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil nalty of notmore than five hundred tlollars ($500). J I, as owner of the property or my employees with wages as their sole °'inspection Fee I $15 Issue Fee $ 3 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 Reinspection Fee $15 Issue FeaI $ 3 License Law does not apply t0 an owner of a property who builds or improves , thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SER ICES R •U •EMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ ` , a • Q"t../, sale. If, however, the building or improvement is sold within one year of cam- — Candpy . Type I I 0 Zoning Approved By P Date -; -'^ ' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground . Kaye for the purpose of sale). Building Approved By /i'FA/ Date U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Syst Application Issued By W*� �-o..-.�- rata 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 00-100,001 : U ❑100,000 BTU SUMMARY OF FE builds or improves thereon, and who contracts for such projects with a con- / �.s • �j� tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ Sys - Repair/Alteration BUILDING PERMIT $ i 5% ,rt SMIP $ �C/ proof off their Worker's Compensation insurance should be provided to me. Pa.sr PLAN CHECK $ g7 �3 PERMIT 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers I ISSUANCERMIT - ,$ Date • Owner Heating System& Ducting Registers PLUMBING $ PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 010a,.00BTS • $ GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL and state laws relating toibuilding construction,and hereby authorize repre- MICROFILM $ - sentatives of this cit to enter u•. the above-mentioned property/Jor PLAN CHECK 50% $. inspettion pure. / MECHANICAL $ /35;60 Signature .� . ./G! _ Date d3J� •:inspection Fee $15 Issue Fee $ 3 - PLAN CHECK 25% $ TOTAL FEE $ Drivers' License o SS 9r ` CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor s. CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd.' 57. APPROVAL TO COVER-GUNITE 7. Footings rip of 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd'. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System ' f $7 D� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection /// 62: Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING r,�I44 .011 48. Special Requirements Completed I`� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. Date _ I 2.579 .f1 C4,Qv'r_ qtr. 'G` Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. 'TRACT NO. / LOT NO. UNIT O. •' Project Address Tr.12594,Carport 'C' ,San Clemente Dr. 413- ?<,, g-'2_'5' iipq 5 96 ; � • Applicant's Mailing Address 2510 N.Shelley Cr. Costa MesaZb.L6,sa TYPE OF CONSTRUCTION ps NEW U ADD U ALTERATION LI REPAIR C�mpany ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# /, -7 Zone /� Owner's Name Fairview Management php^e 714863-1'00 DESCRIPTION OF WORK/USE OF BLDG. carport - 12 GpacPs Liao- Did'— lI Rae—/9 Address 2400 Main St. , Irvine, Ca. 92714 I .� '',,,,II S Main Building: Accessory Building: C-6925 TYPE OF PERMIT ❑ GRADING LA FOUNDATION IX] STRUCTURAL Arch/Eng.Rttrke—T,RRY Pr & ASCO('. License No. T C.r.nt /v 30' A. O Address 21025 Mi 11 reek Dr. .Laguna, Hi 11 ya.Ca.9265 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B eeac 5 •151 ,J. c14 /- N Contractor's Name Fairview Development L Phonen/14/97-r,,57 ❑ OTHER A /Q4 / 1'7J CO' 1 Address(mailing) 2510 N.Shelley Cr. ,Costa Mesa,Ca.926•6PROJECT DESCRIPTION SO. FT. 2160 • OCCUPANCY M-1 �e,�J / ✓ N CONSTRUCTION TYPE VALUATION$ 18.576 S Eek (,c/ I8y c/S/ `„�I •� rv� / r /'� G City License No. 39582 ZONE RADING CU.YDS. ACRES I R LICENSED CONTRACTOR OBC LA RATION Ping. Ref.#p� -� _re3 A Parking Req./Provided ' • E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: / ---- G tv with section 7000) of Division 3 of the Business and Professions Code, and ^ I ` ,1 C M /\ my license is In full force and effect. ri C 35-9-�D WiltOF VUJIn ME & ' T icensefjlas B ' LI X1_4-960-01— ( V S 4,c;‘• to% � Signature .fM — -" PLUMBING FEES ' • -s.�a t WORKERS'COMPENSATION DECLARATION Bar Sink Showers +�, I hereby affirm that I have a certificate of consent to self-Insure ora certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW Policy No.URR30F944-9r R6 Company The Travel erg Ino C • Backflow Irrigation Sewer Cap - - ❑ Certified copy is hereby furnished. Construction Pole Sub.- ❑ 50+ KW • I)) Cejftifie c8 y is filed with the city y- il•ing DI 'si.. Bathtubs Sewer Connection Cooking Unit _ Meter Duo to 100 amps Datei O C Applica Lir - . .e is .s — EXEMPTION fiROM WORKERS'GOM• SATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher ' Solar PipingDryers ❑Gas DElectric Sub Panel t 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 . Fan Workers' Compensation Laws of California. Motors❑0-1 H' 1 h-8 Date Signature Floor Drains Swimming P., w/Spa F.A.U. -r�.- NOTICE:If,after making this declaration, you should become subject to theInc.Solar 15 HP 016-15+ ' Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shalt be deemed revoked. - Fixtures Mic - .ve CONSTRUCTION LENDING AGENCY Gas Service Outlets . er Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance 'ole Light of the work fol1,, which this permit is issued (Section 3097 Civ. C.) Interceptors Water Healer Lender's Name SiYfldt.�meY LC an Firct Savi ngq, Rank p. Outlets Range Lender's Address 10175 S'I&ter Ave _,.Eauntain Va13Py,fla. Kitchen Sink Water Service Switches Sign - a OWNER BUILDER DECLARATION 92728 - I hereby affirm that ham exempt from the Contractor's License Law for the 715 Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections 'ounty which requires-a permit to construct,alter,Improve,demolish or repair Laundry Trays -y structure, prior to its issuance, also requires the applicant for such permitGenerator ❑0-5 ❑515 KW Trash Compactorfile a signed statement that he/she is licensed pursuant to the provisions of.ne Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Businessand Professions Code) or that he/She is exempttherefrom and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant for a permit subjects the applicant to a civil alty of not more than five hundred dollars($500). DenI, as owner of the property or my employees with wages as their sole Issue Fee $ 3 — $15 Issue Fee $ 3 ' compensation, will do the work,and the structure is not intended or offered Reinspection Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES 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 - DEVELOPMENT SERVICES REOU REMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ZoningApproved �� si 26- '7 (J sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ pPBy , Date /-26—9} pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By g��i `Y�i Date (�b^�7 Drove for the purpose of sale). �� pp I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration Syste Application Issued By `�7.�►i�4 /��s Dab i-TJ 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 ❑100,000 BTU - SUMMARY OF FE,. E t builds or improves thereon, and who contracts for such projects with a con-_ T tractor(s) license pursuant Yo the Contractor's License.Law). I am aware that Exhaust System 0 Multiple❑ Syst epair/Alteration (1 BUILDING PERMIT $ 3 y. SMIP • $ proof of their Worker's Compensation insurance should be provided to me. "�PLAN CHECK $ 'Y,'�, r2 PERMIT- ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact. 1p¢�/ Olt. ICBO 4 ire Dampers ISSUANCE$ $ Date owner Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify'lhat1I have read this application and state that the above 00.100,000 BTU 010 • BT $ GRADING $ - Information is correct. I agree to comply with all city and county ordinances- • ELECTRICAL - and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for - Inspection purposes i / 42-42/4 n /Of// _ MECHANICAL $ TOTAL FEE $ )35-. 50 Signature • ✓/ " Date.f�•/C u n CMF 0865-46,rev. 10/84 White • Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I_____________ POOL & SPA CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd.' ' 0101, 57. APPROVAL TO COVER-GUNITE 7. Footings al- 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrg'rnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 10. Structural Floor System • 1/2i/87 Qtr 61. APPROVAL TO DECK - - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - , • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: •• 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation •44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4/s�12 Pg • 48. Special Requirements Completed ry // 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY - No. Date s agrAP Sa N ME�k? .O j? ,17)„, • Li)? . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UN Project Address Tr.12594,Carport 'D' ,San Clemente Dr. 8— a(o9 8'3 0�l592/ Z 9262E TYPE OF CONSTRUCTION 10 NEW u ADD H ALTERATION LI REPAIR Applicant's Mailing Address 2 • \ •- - • • a. ❑ CONVERSION CI DEMOLISH El OTHER •mpany 714/863-1500 - A.P.# yrQ(J O/a .-/� - - zonepp,Za_yi - Owner's Name F a i rvi Psa Management Phone DESCRIPTION OF WORK/USE OF BLDG. 'Carport — 12 spaces Address '2400 Main St. . Irvine. Ca. 92714 . S Main Building: j" Accessory Building: Arch/Eng.RlyrkP-T.PGter gASSOC_-License No. C-6925 TYPE OF PERMIT ❑ GRADING �1 IOJ FOUNDATION ® STRUCTURAL T went vy : 3e,' t ,L _ !:S \� � h O ❑ TENANT ❑ ELECTRICAL'❑ PLUMBING ❑ MECHANICAL B -1 ! L_ G. �` N Address 23025 M111 Cr ek Or T.a allnti HHpi lan�C'a 9285 ❑ OTHER A Reef O\' *2 t - I Contractor's Name FairVieW Development (; Phbne 914/979-5C5 - C Rigpt CC t�� a•.F� ��)) ( N aROJECT DESCRIPTION SQ. FT 2160 OCCUPANCY M-1 4 / 4 It-' ,�i�J �. - Address(mailing) 2510 N. Shelley.Cr. ,Costa Mesa,Ca.92626r, - K / ' 27 ISai. G CONSTRUCTION TYPrj��- VALUATION$ 18,576 S 'LAi! [(J 9 k tar t� City License No. 39582 ZONE GRADING CU.YDS. ACRES R I\ LICENSED CONTRACTOR DECLARATION • Ping. Ref. # �� S- /g�� `Par king-R/+B/g1.LRwvipd�etd�,�� E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 'Ti' OF COSTA IVI I"SA O with section 7000) of Division 3 of the Business and Professions code,and Q M my license is in full force and effect. P.C. SS/ - ,Pg • S ''cense las dt `J 1 Li en a ! •••• • \ to i Signature-_ i/----..a. PLUMBING FEES - ' \-,ORKERS'COMPENSATION DECLARATION Bar Sink • Showers I - hereby affirm that have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer - - Transformer 15-50 KW Folic rvo UB-830F 944-9-86 Company The Travel erg Ins C:C. Backflow Irrigation _ Sewer.ba • - ' ❑ 50+ KW Y9 P Construction Pole Sub. ❑ry� Certified copy Is hereby furnished. W Certif{es,cols filed with the city s .'I• 1 Di ; / Bathtubs- ' Sewer Connection Cooking Unit Meter ❑up to 100 amps • Datek---11^—XAPPlicac a ./ / .0-1. EXEMPTION FROM WORKERS'CO ' NSATION DECLARATION Clarifiers - Solar Collectors Dishwasher _. Meter Dover 100 amps (Thissection need not be completed if the permit is for one hundred($100) or . less). Dishwasher Solar Piping • - Dryers ❑Gas ❑Electric Sub Panel 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 T. k Fan Motors❑0-1 HP ■ .-B Workers Compensation taws of California. • _ Date Signature Floor-Drains - • S ' ming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the — _ - Inc.Solar ❑• HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures ' a comply with such provisions or this permit shall be deemed revoked. Micro. . e CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes _ "ole'Light of the work f Which this permit i Issuedtl (Section 3097 Cly. C.) Interceptors Water Heater Outlets Range Lender's Name �reat American rirst savings sank : Lender's Address 10175 Slater Ave. ,Fountain Valley,Ca. Kitchen Sink Water Service - • Switches - - OWNER BUILDER DECLARATION 92728 Sign , I hereby affirm that'I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal • - following reason (Section 7031.5 Business and Professional Code: Any city or g P Standing Sections • -ounty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry TraysGenerator ❑0.5 ❑5-15 KW y structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor file a signed statement that he/she Is licensed pursuant to the provisions ofRoof .Dra s • ' ne 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 - - . - therefrom and the basis for the alleged exemption. Any violation of Section ' • 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). ' Lj I, as owner of the property or my employees with wages as their sole • Reinspection Fee I $15 Issue Fee $ 3 _ compensation, will do the work,and the structure is not intended or offered Reinspection Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15. Issue Fee • $ 3 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 ❑ DEVELOPMENT SERV C S REQUIRE ENTS: /r.��r employees, provided that such improvements are not intended or offered for yp � -� I / /—g7 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date c.r(Q pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground / ' rove for the purpose of sale). Building Approved By C_�rr_- -:=%IlV ' Date7! C -� ' U I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Syste Application Issued By �La6/dif/ ..ma Date __ __ '_ 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 ❑0.100,00 U 0100,000 BTU • SUMMARY OF FEES _ builds or improves thereon, and who contracts for such projects with a con- �y7 - / tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ . S Repair/Alteration UILDING PERMIT $ / 3 y•7 `� SMTP $ s 3D proof of their Worker's Compensation insurance should be provided to me. 7 f4LAN CHECK . $ '� 7 V ' PERMIT o I am exempt under Section B.'& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date • Owner Heating System& Ductin Registers PLAN CHECK 25% $ ENERGY P.C. $ - I hereby certify that I have read this application and state that the above 00.100,000 BTU ,ODD BT ' ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances _ mon and state laws relating to building construction, and hereby authorize repre- - MICROFILM $ sentatives of this city Ito enter upon the above-mentioned property f r - PLAN CHECK 50% $ inspection pure. -s / a.2/6e1 '1 6e_O� MECHANICAL $ TOTAL FEE $ /3.-' So Signature — , ,ii-%it __ _ Dat O -• Drivers"License or SS# / / - Reinspection Fee I $15 - Issue Fee $.3 . PLAN CHECK 25% $ ' CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grrid. 57. APPROVAL TO COVER-GUNITE 7. Footings fJ=6 �.� j4-- 58. Electrical Conduit-Undrgrnd. 8. Foundation • (/ 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. r 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10, Structural Floor System y47 Q 61. APPROVAL TO DECK • 1,1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • • 15. Rough Electrical-Conduit 66. Solar System-Final r 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure s 70. Underground Hydro. 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Qil 25. Roof Sheathing i; 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL : 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION • 32. Electrical Power'Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final -I 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI LDING &Mr? �d 48. Special Requirements Completed 'Y 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date ,p4.----7e s-;,... l /O rM a 0L-ft:" -P(- . / _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. t--,, r-- ProjectAddress Tra12594,Carport 'E' ,San Clemente D /3— (056-- v �r,�J /"j �'""• . - C TYPE OF CONSTRUCTION Lei NEW IIUJJ ADD U ALTERATION REPAIR - • Applicant's Mailing Address 25ID-N Shell (e7M SRr a. Fairview Management edit°��ny 714/863-1500 ❑ CONVERSION El DEMOLISH ❑ OTHER A.P,1W ,L/ (J -O/,a! -- / Zoneg _Hi> Owner's Name 9 Phone DESCRIPTION OF WORK/USE OF BLDG. (arpnrt - R spares - " n Address 2400 Main St. , Irvine, Ca. 92714rr....11 S Main Building: III •Are cifi Building: Arch/Eng,Burke-Lester & ASSOC. License No. C-6925 TYPE OF PERMIT ❑ GRADING ® FOUNDATION Ixi STRUCTURAL E T £sgas A.) rj QV y/Q ' ` n Zo Address 23025 Mill Creek Dr. ,Laquna Hills,Ca.9265= ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B as,. S �/ ,� t.-.` [. SIH IVts-J•` N Company/ ❑ OTHER A G ,[.,.1 1 OF V��( 1 Contractor's Name FairvleW Development Phone 7'14/979-5C SPROJECT DESCRIPTION SO. 1440 OCCUPArvCY M-1 C fir` lae2i •'' / 602- ,e -� - N Address(maikng) 2510 N.Shelley Cr. ,Costa Mesa,Ca.92626 1'•� CONSTRUCTION TYPE _ VALUATION$ 12,384 $ Lett 27 / it, s.D' G City License No. 39582 ZONE_ GRADING CU.YDS. ACRES (� R LICENSED CONTRACTOR DECLARATION Ping. Ref.#fiA-gg=,e3,9 Parking Req./Provided ' E n I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M R• \ with section 7000) of Division 3 of the Business and Professions Code,and ,''') \k my license is in full force and effect. / C. 3 LSV -CPC T V ' icense lass ' 'cense N.. ••.f '� ! S ate/A-/ Signator.-ri•--- - - - -' PLUMBING - FEES \ IORKERS'COMPENSATION DEC • RATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES] of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink '/ Automatic Washer Transformer ❑ 15-50 KW • 3600, Lang 830F944-9-86 The Travelers Ins.0 . , 0 50+KW / Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. Certified copy is hereby furnished. CerjHfeq copy filed with the city rl•'g Div Bathtubs Sewer Connection • Cooking Unit Meter Cup to 100 amps Date/7.2.4/ Applica EXEMPTION F OM WORKERS'CO ' •TION DECLARA Clarifiers Solar Collectors - Dishwasher Meter Dover 100 am (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel 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 Fan Motors❑ HP ❑1 h-B Workers' Compensation Laws of California. ' Date Signature Floor Drains Swim • Pool w/Spa F.A.U. • • NOTICE: If,after making this declaration, you should become subject to the Inc. ar ❑B-15 HP ❑15-15+ Workers' Compensation provisions of the labor Code, you must forthwith Floor Sinks U ' al Fixtures comply with such provisions or this permit shall be deemed revoked. Icrowave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light i hereby affirm that there Is a construction lending agency for the performance - - B of the work flu which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name Sarea �Berlran Fl ret SaVingq Rank 9 Lender's Address 1,0175 Gla er Ave,_,Fnunta i rt Val 1 e CaKitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION 92/28 - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 170 Standing Sections 'ounty which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 5 KW❑5-15 KW ly structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor • filo a signed statement that he/she is licensed pursuant to the provisions of Roof Dr.' s .ne Contractor's Ucense Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil untidy of not more than five hundred dollars($500). U I, as owner of,tho property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered 1 Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES• . License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUI'EMENTS: thereon, and who does such work himself/herself or through his or her own Hood or Type provided that such improvements are not intended or offered for Boiler I 0 Approved If, however,the building or Improvement is sold within one year of com- Zoning pP roV¢d B Y ea' x p9��...s� Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By -41:� �r�/ Date l +/1c7 prove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration S Application Issued By �- ra ^ Date 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 BTU 0100,000 BTU , SUM Y OF 45F2Z builds or Improves thereon,and who contracts for such projects with a con- tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ tem Repair/Alteration "� /,g_UILDING PERMIT $ ''SU $MIP $ • proof of their Worker's Compensation insurance should be provided to me. LAN CHECK S. PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers 1�PLUMBING $ ISSUANCE $. Date Owner Heating System& Du ' Registers PLAN CHECK 25% $ - ENERGY P.C. S I hereby certify that I have read this application and state that the above 00.100,000 BT 100,0006 ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county Ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S sentatives of this cit to enter upon the above-mentioned property for - pG� �7 inspection purpo �' / ,i//j MECHANICAL $ TOTAL FEE $ 7 3 Signature ne •✓G4 ... CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # -- Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. Y30e7 57. APPROVAL TO COVER-GUNITE 7. Footings pe 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System • ` 0987 na 61. APPROVAL TO DECK , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ` t 1 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34.•Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING (o/S/ii 7 te • 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date 2-57/ , ati / ,I pm.et vvf j F -_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT 0. LOT NO. UNIT . Tr.12594,CarPOrt 'F' San Clemente Dr. ,�,'- aG.9fss i°'t.5741 2 • Project Address r ' 94626 TYPE OF CONSTRUCTION LA NEW LI ADD ❑ ALTERATION REPAIR ' Appl team's Mailing Address 251-_Q_N. helley Cr Costa esa,Ca. Comp C ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 4 j '1 /1 zr`+f l , —// Zone/Ka_ /ZD Owner's Name Fairview Maria•e ent Phone 714/863-1_00 DESCRIPTION OF WORK/USE OF BLDG. Carport - 4 spaces "'7 b�L./ CJ oC /7 Address 2400 Main St , Trvi ne, Ca 97714 [Xi S Main Building: Accessory Building: Burke-Lester & Assoc. C-6925 TYPE OF PERMIT ❑ GRADING ® FOUNDATION LEI STRUCTURAL E cao.a / YZ.7 1 • Z Arch/Eng. License No. T .0 ge .v '� , -, O Address 23.25 Mill Creek D . La• to Hills Ca. '2653 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B ,Reef JD / ,-J _ ,•,.,, \ e 1\ } ><.+ v•� N .me.n5 TC> CL/!.�.(� 1 Contractor's Name Fairview Development • one 714/979_5C57 OTHER A• stir . - i 111111 N PROJECT DESCRIPTION SQ. FT. 720 OCCUPANCY M-1 S Address(mailing) 2510 N.ShelleyCr. .Costa Mesa.Ca.92626 K r ,to �i f} �1y G gCONSTRUCTION TYPE VALUATION$ 6,192 $ Lem li) c y {' \�OI City License No. 39582 ZONE GRADING CU.YDS. ACRES ps R LICENSED CONTRACTOR DECLARATION • Ping. Ref.#P�- �5 - r . . Parking 1./+' vlded E I\ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: -- 1. M with section 7000) of Division 3 of the Business and Professions Code, and - pc-. • • i�• tr1�SA T 1� my license is in full force and effect. , • 0c ' 3�7--4 6 - t. Lip,1� S License las L' e se o. .•• / - ., n_ cc.S mate .�, Signatur.-1�.�� - _ _. PLUMBING FEES Li 1 1 s" • \� ORKERS'COMPENSATION DECLARATION ►' . hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL , FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No1.713-830F944-9-96 Company The Travel ars T s Cc. Backflow IrrigationPliSewer Cap - - '❑ 50+KW ' Construction Pole Sub: Certified copy is hereby furnished. - I Certiil tl o led with the city 1 m9 vi • y/, Bathtubs _ Sewer Connection Cooking Unit ' Meter pup to 100 amps Date l-j APplicar � er�a'� EXEMPTION FROM WORKERS'CONMMMMMOpppppL C NSATION DECLARATION Clarifiers _ Solar Collectors • • Dishwasher Meter Dover 100 amps (Thissection need not be completed if the Permit is for one hundred ($100)or less). Dishwasher Solar Piping ., Dryers ❑Gas ❑Electric Sub Panel 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 te Drinking Fountains Solar Tank Fan Workers' Compensation Laws mf California. - - - Motors❑0-1 • ' ❑1%-8 Date Signature Floor Drains Swimmin• 'col w/Spa F.A.U. NOTICE:If,after making this declaration,You should become subject to the c.InSola X 9-15.HP 016.15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks , Uri Fixtures comply with such provisions or this. permit shall be deemed revoked. Mi 'wave I CONSTRUCTION LENDING AGENCY Gas Service Outlets I ater Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Poe Light Of the work foA which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets Lender's Name bbrree3t Aiperir an F,rCt Ravings sank Range Lender's Address 10175 Slater Ave. ,Fountain Valley,Ca. Kitchen Sink Water Service' - Switches Sign OWNER BUILDER DECLARATION 92728 " 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 Garbage Disposal Standing Sections 1 county which requires-a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays ' any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑O-5 ❑5-15 KW Trash Compactor 1 file a signed statement that he/she is licensed pursuant to the provisions of Roof Drai• - - le 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 - ' - -• - - therefrom and-the basis for the alleged exemption. Any violation of Section • ' 7031.5 by any applicant for a permit subjects the applicant to a civil - ' enalty of not more than five hundred dollars($500). • . I I, as owner of the property or my employees with wages as their sole - Reinspection Fee $15 Issue Fee • $ 3 - ' • 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 Reinspection Fee $15 Issue Fee $ 3 FEES 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 i • DEVELOPMENT SERVICES REQUIREMENTS: �� employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If,-however,.the building or improvement Is sold within one year of com- Canopy Type II -1:1Zoning Approved By LP^rielt)C-� - Date 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 Approved By _ ,i 0 Date /-0.-C-87 • contractingRefrigeration Syste Application Issued By _• . . I•- • �� ❑ I, as owner of the property, am(Section exclusivelywith licensed con- Duct-Structural y pp _ �....��.• Date(ar— tractorsto construct the project 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 ❑100,000 BTU ' SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a.con- - �+ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust SystemUILDING PERMIT $ G.,253 SMIP . $ - t J 3 proof of their Worker's Compensation insurance should be provided to me. 0 Multiple 0 Sys Repair/Alteration /Z ❑ am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers PLAN CHECK $ .44 -4!s—' PERMITPLUMBING $ ISSUANCE $ HeatingS st PLAN CHECK 25% $ ENERGY P.C. $ Date Owner y em& Ducting Registers I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑ ,000 BTU— $ GRADING $ information is correct. I agree to comply with all city and county ordinances - ELECTRICAL and state laws relating to building construction, and hereby authorize repre- MICROFI LM $ - sentatives of,this cit to - ter u•on the above-mentioned property for PLAN CHECK 50% $ /' inspection purpos-s. �y 0601-&-(574 MECHANICAL $ TOTAL FEE $ 12,_3 r o0 • Signature t �// �.� _ Date - Drivers' License or 55 einspection Fee $15 Issue Fee' $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor •\ CONSTRUCTION AND PLANNING POOL&SPA • APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement' . 56. Rough Plumbing & Pressure Test 6. Electrical UFERGrnd.' 007 57. APPROVAL TO COVER-GUNITE • 7. Footings ad58. Electrical Conduit-Undrgrnd.8. Foundation • 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System a' t 019 61. APPROVAL TO DECK I . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap + 63. Heater & Vent-Final • 13. Roof Drains , 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final r 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - ' • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ! • 47. FINAL STRUCTURE & BUILDING /_/3,jr? fie 48. Special Requirements Completed wr vvv 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date 2-5-7e7- 4 0:70“ a4"4 Q Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations- CITY OF COSTA MESA CONSTRU'C`TION PERMIT PERMIT NO. TRACT NO. LO.TLNO. UNIT�10. Project Address Tr.12594,Carport TG' ,San Clemente Dr. �a�5�� / 5914I (y Applicant's Mailing Address • 2510 N. Shelley Cr COSta Mec26.jYPE OF CONSTRUCTION [B NEW LI'ADD U ALTERATION Li REPAIR Om ❑ CONVERSION ❑ DEMOLISH ❑ OTHER4 A.P.# Zone Owner's Name Fairview Management C pine 714/863-1500 _ 'Z/r�/� — £71 .� — / p�.C�' DESCRIPTION OF WORK/USE OF BLDG. Car•Or — Address 2400 Main St. , Irvine, Ca. 92714 DI •• S Main Building: Accessory Building: Arch/Eng.BUrke—Lester & Assoc. License No. C-6925 TYPE OF PERMIT ❑ GRADING LI FOUNDATION ® STRUCTURAL T Frawt-N a(7 , 'b' Q Address 23025 Mill Creek Dr. .La(gupnaaHills.Ca.9265= ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING C MECHANICAL B afaar -,/ I • N Contractor's NameFalrVieW DPVP1OpmpihWmp yhttne 7141979-5057 ' m 1 C =rniPaill ' ' "^(4,.... , IN P 141979-5057pp ED OTHER A Z �� A I Address(mailing) 2510 N.Shel]ey Cr. .COS ta Mesa. Ca.9262b ROJECT DESCRIPTION SQ FT. 720 OCCUPANCY M-1 K r -� J ^-- G CONSTRUCTION TYPE VALUATION$6,192 S .LYLt. ,J 93, • /-J ' t_.. t � City License No. 345$2 ZONE GRADING CU.YDS. ACRES / R ' \LICENSED CONTRACTOR DECLARATION Ping. Ref.# / — S / Parking Re /p; ` E NiI hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: t A J� i M with section 7000) of Division 3 of the Business and Professions Code, and ! my license is in full force and effect. cC 0S 6 , B 496001 / 9�� ' s License lass ' Li en a !3• : V \\ Date Signature / ;•� PLUMBING FEES �1*Y OF �neTA MESA \ WORKERS'CO PENSATION DELL RATION Bar Sink- Showers' 1 • I hereby affirm that I have a certificate of consent to self-insure or a certificate . ELECTRICAL .;s FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 00, Lab. Cj - Automatic Washer Transformer ❑ 15-50 KW -olicy No UB-83OF 944-9-86 Company The Travelers Ins.Co. Backflow Irrigation Sewer Cap Construction Pole Sub. - ❑ 50+ KW t 177 ❑ Certified copy is hereby furnished. ® Cer(rti tl opyyi filed'witn.the city B ng Di i Bathtubs Sewer Connection Cooking Unit Meter Dun to 100 amps Date >, -kr APPlican ..r. -ai r - - - ' EXEMPTION FROM WORKERS'COM'- NSATION DECLARATION Clarifiers' Solar Collectors - Dishwasher Meter Dover 100 amps - (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher - Solar Piping Dryers OGas ❑Electric Sub Panel 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 - Fan Workers' Compensation Laws.of California. - Motors ❑0-1 ❑1'h-8 Date Signature Floor Drains - Swim g Pool w/Spa - - F.A.U. ' • NOTICE: If,after making this declaration, you should become subject to the- - _ Inc.Sola 49-15 HP Di 6-15+ •• Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks nal Fixtures ' comply with such provisions or this permit shall be deemed revoked. - Mi -•wave' , CONSTRUCTION LENDING AGENCY Gas Service Outlets Water ClosetDevice Boxes I hereby affirm that there is a construction lending agency for the performance . -- . . __ -- ,_ Pole Light of the work fq( which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name �T£3t A er lean First Ravj tags Rank Range • Lender's Address.LUl/5 Slater Ave. ,Fountain Valley,Ca. Kitchen Sink Water Service - Switches - • OWNER BUILDER DECLARATION 92728 Sign- I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - b following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑D- W ❑5-15 KW ' any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drai. '' 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 -- • 'herefrom and the basis for the alleged exemption. Any violation of Section • 131.5 by any applicant for a permit subjects the applicant to a civil - _, nalty of not more than five hundred dollars($500). I L] I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3 , ' compensation, will do the work, and the structure Is not intended or offered _— Reinspection Fee I $15 Issue Fee ' $ 3 for sale (Secion 7044, Business and Professional Code: The Contractor's - . MECHANICAL -,FEES 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 DEVELOPMENT SERVICES 'EQ IREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved Bya '� sale- If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pp Date pletion, the owner will have the burden of proving he/she did not build or im- • Duct-Under Ground Building Approved By `�/ /�/��%�►�i%�/t/ Date • prove for the purpose of sale). �"! -Jlv ff. ..• �r•� 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structurat • _ Refrigeration S Application Issued By _ t • - ": Date r 15 j' tractors to construct the project (Section 7044,Business and Professions Code: 0 The Contractor's License Law does not apply-to an owner of property who Duct-Ventilating - ❑0-100, BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a eon — - tractor(s) license pursuant to the Contractor's License Law). I am aware that' BUILDING PERMIT $ G2`Sb SMIP •$ I Exhaust System ❑ Multiple ❑ em Repair/Alteration /� / T proof of their Worker's compensation insurance should be provided to me. pot -C�p LAN CHECK $ 2(Z7'63 PERMIT 0 I am exempt under Section B.& P.C:for this reason Firepl/Fact.BIC ICBO# Fire Dampers t'_ PLUMBING _ _ $ ISSUANCE $ • Date Owner Heating System& Ductin Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑ ,000 BTL GRADING $ Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this cit to enter upon the above-mentioned property fyr. / inspection pure9ses, /re ��d O MECHANICAL $ TOTAL FEE $ I ,3.00 Signature b% _//• Date O D 1� Drivers' License o SS t _ • — - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • . CONSTRUCTION AND PLANNING POOL&SPA Date Inspector APPROVALS Permit# _ Date Inspector APPROVALS Permit# - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinfgrcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. �,� 57. APPROVAL TO COVER-GUNITE ff/ 7. Footings Q �'� O� 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd.' 60. Backwash Lines,. P-Trap, O Undrgrnd..'- 10. Structural Floor System • Og(elDe61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final • • 12. Sewer Cap ' !• 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final t " 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �,•f 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough &Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • 28. Lathing & Siding 77. FIXED SYSTEM FINAL , • 29. Insulation II 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 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • • ' 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4, 87 err - 48., Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - _✓ 1/9 '�Q.0 / pi4,2 y ,� �..{1 / - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA7777 CONSTRUCTION PERMITf PERMIT NO. TRACT NO. LOT NO. UNIT O. • ' Project Address Tr.12594,Carport 'H' ,San Clemente Dr. ,C3--aeo9�7 la's' / Z . Li-REPAIR 1 • `2 26 TYPE OF CONSTRUCTION Lx� NEW U ADD H ALTERATION LJ REPAIR Applicant's Mailing Address 251n N.Shel ley Cr. ,Costa NeSSa,C3.. (..Ompan ❑ CONVERSION ❑.DEfv10LISH D OTHER A P # • Zone Owner's Name Fairview Management hone 714/863-1530 • 1 : d - 0/2 —1/ PD.G-Ni DESCRIPTION OF WORK/USE OF BLDG. Carport - 4 ppareq Address 2400 Main St. . Irvina, Ca. 92714 rrp�tt S Main Building:uEdq /� Accessory Building: Arch/Eng.BUrke-Lester & .Assoc. License No. C-6925 TYPE OF PERMIT E GRADING L8 FOUNDATION ® STRUCTURAL T w Oc5 y �C' 77---°, o Address 0 u I Lacit]na ompaMaic,Ca 97553 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rrar 5 r ( ,/_ a.�. r.-N-:�. . . - N Contractor's NameFairview DevelOpme t- — Mfnne 71 4/979_5057 ❑ OTHER A Room op /J ,/.v L/' � ,,� ill -N PROJECT DESCRIPTION SQ. FT- 720 OCCUPANCY M-1 4 % 3 L L/."1 Address(mailing) 2510 N Che 11a Cr .Cnsta Maga Ca 97625 `t-T-•�f' • K "la/ 7 t l { G y CONSTRUCTION TYPE VALUATION$6.192 $ Lt Ft (,(,J 'y a, c,Z j p�} nu t City License No. 39582 ZONE GRADING CU.YDS. ACRESg Req Pro * R LICENSED CONTRACTOR DECLARATION Ping. Ref.#M -. A.17:5--1gsit 1`�P• arking Req,/Provided`` E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 1 ` ---------'CI �• J� O •,... with section 7000) of Division 3 of the Business and Professions Code, and n _ • `--�" (-� N M �` my license is in full force and effect. !1 C`, ,35-9- �_mss+/' (s1�V p�' �" , , S License Class B en e • •• /- v p 5.'t 1 Date .v Cf Signatur% .i<.AL PLUMBING FEES • • 'vORKERS' COMPENSATION DEC • RATION Bar Sink Showers ereby affirm that I have a certificate of consent to self-Insure or a certificate - ELECTRICAL , • FEES •• Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - - . 3800, Lab. C.) Automatic WasherTransformer ❑ 15-50 KW Policy NoUB-830F944-9-86 Company The Travelers Ins.Co. Backflow Irrigation ' - Sewer Ca - - 050+KW ❑ Certified copy is hereby furnished. p - Construction Pole Sub. •- �J Cert ifie c yy s filed with the city a i .rug DI Bathtubs Sewer Connection Cooking Unit • Meter- Duo to 100 amps Dat9' ' APPlic.• EXEMPTION F OM WORKERS'CO i'ENSATION DECLARATION Clarifiers • - Solar Coltec .rs Dishwasher Meter Clover 100 am • (This section need not be completed if the permit is for one hundred ($100)or - less). Dishwasher ang Dryers ❑Gas ❑Electric ' Sub Panel - 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 • ar Tank Fan Workers' Compensation Laws of California. __ Motors ■C- .HP ❑1'%-8 Date _ Signature Floor Drains Swimming Pool w/Spa - - to.the at' HP 015-15+ - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' comply with such provisions or this permit shall be deemed revoked. Fixtures icrowave CONSTRUCTION LENDING AGENCY - Gas Service Outlet Water Closet Device Boxes • I hereby affirm that there e is�a pconstruction S5lending ,tltlagee nncy for the performance Pole Light - of der work f"rr0al,h AlR rter3ll] 11'1T'st S wings xsanjt' C.) Interceptors Water Heater ' Outlets • Ran e ' of the'. Name 9 Lender's Addres:10175' Slater Ave..Jountai n Va 11 py,Ca. Kitchen Sink - Water Service• - Switches ' Sign - OWNER BUILDER DECLARATION 92728 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 Garbage Disposa Standing Sections , county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator . KW ❑5.15 KW any structure, prior to'its issuance,also requires the applicant for such permit 5 Trash,COmpactOr to file a signed statement that he/she Is licensed pursuant to the provisions of Ro: 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 - - - ' nerefrom 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 . enalty of not more than,five hundred dollars ($500). penalty as.owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation,'will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee $15 Issue Fee $ 3 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 DEVELOPMENT SERV S R UIREMENTS: . / employees, provided that such improvements are not intended or offered for Boiler /I J� Q .sale. If,'however, the building or improvement is sold within one year of com- Canopy Typ- - Zoning Approved By '•' Date / -�-`' , pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground / /�1�I*/Li rove for the purpose of sale). _ Building Approved By �v' Date I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Reid.- ion System - Application Issued By �li�� Date 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 •-.-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- - tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ■ System Repair/Alteration BUILDING PERMIT $ 6�0�2�' � SMIP •$• proof of their Worker's Compensation insurance should be provided to me.• ..PLAN CHECK $ 7t''e PERMIT ❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PERMIT ISSUANCE $ • • - PLUMBING $ • S 9 9 PLAN CHECK 25% $ ENERGY P.C. $ Date Owner Heating ystem& $actin Re isters I hereby certify that I have read this application and state that the above 1:10-100,0.1 : ❑i00,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $ and state taws relating to building construction, and hereby authorize repre- - MICROFILM - $ sentatives of this city to enter upon the above-mentioned property for ' PLAN CHECK 50% $ •7 inspection purposes �� / yq /C _ MECHANICAL $ TOTAL FEE $ G.? ' 00 Signature ♦...AY-f �—� Date/�l0 a Drivers' License or SS • Reinspection Fee $15 - Issue Fee $ 3 . PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.. ,,,,,,,,,/// 57. APPROVAL TO COVER-GUNITE 7. Footings f30,7 58. Electrical Conduit-Undrgrnd. 8. Foundation , r( 59. Gas Pipe, 0 Undrgrnd.,Test r - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' • �� .20 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , . r 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final t 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT y, 20. Rough Factory Fireplace APPROVALS Permit# - . ' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe • 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric I Notes: • 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ;�• 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final - , 41. Solar Domestic-Final 42. Backflow Preventer . 43. Backflow Irrigation • • 44. Landscape Irrigation System -- . 45. Sound Attenuation 46. Handicap Regulations V)/17 47. FINAL STRUCTURE & BUILDINGd • 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 25-79 \a,4 f 16cs-t o r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT(, TRACT NNO..J, LOT NO. UNIT N Project Address Tr.12594,Car•ort 'I, ,San Clemente-Drs 3-�� 7 d �rr ,L /�t7 Applicants Mailing Address 2510 N-Shell Cr. ,Costa Mesa,�a TYPE OF CONSTRUCTION l-d NEW U ADD U ALTERATION REPAIR Fairview Management CCOmpany ❑ CONVERSION ❑ DEMOLISH ❑ OTHER AP* Zone1'� Owners Name 4 Phone 714/g2E0MS Carport — 12 spaces y�� `� �� I T��—� 863-1500 DESCRIPTION OF WORK/USE OF BLDG. P Address 2400 Main St. , Irvine, Ca. 92714 S Main Building: Accessory Building: Arch/Eng.BUrke-Lester & ASSOC. License No. C-6925 TYPE OF PERMIT ❑ GRADING ® FOUNDATION ® STRUCTURAL T FieosN as7 Ito f-3) zO Address 23125 Mill Creek Dr. La•una.Hills Ca.92652 - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B fiver 5 3a' '� _ N • • ❑ OTHER Contractors NameFairview Developme Phone 714/979-5C57 " ..' ' PROJECT DESCRIPTION SQ. FT. 2160 OCCUPANCY M-i K M £ tia40 rip 11 N Address(mailing) 2510 N.Sher lay Cr, ,CDSta Masa,('a.97626 CON STRUCTION TYPE____V ______ VALUATION$ 18,576 $ L'*a'Ll) 95' A, Yosh I 6' City License No. 39582 ZONE GRADING CU.YDS. ACRES Ping. Ref. -�S ,e3A %iv�t q. lov ldeddn E LICENSED CONTRACTOR DECLARATION O I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - • M with section 7000) of Division 3 of the Business and Professions Code,and /'') •^ 1y' , my license Is in full force and effect. PC, 3 gy —�c CITY O� C� �' M SH T NLicense lass C 'cense o d9F001 I' �/�� -: �- PLUMBING FEES Date -42' Signatur._ __ ,bitt ^ WORKERS'COMPENSATION DEC • RATION Bar Sink Showers ELECTRICAL •• FEES \ I hereby affirm that I have a certificate of consent to self-Insure or a certificate - ' f Workers' Compensation Insurance, or a certified copy thereof (Section I 100, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15.50 KW \ rolic NO IIB-830F 944-9-86 companyThe travel ars Ins.Co. Backflow Irri ation Sewer Ca _ . -❑ 50+ KW.. y 9 P Construction Pole Sub. ® Certified copy is hereby furnished. - - Certifiet cogs filed with the city �+{i�1n9 Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Patel-J-1 -}/ Applicant 7�[n atan� / EXEMPTION F OM WORKERS'CO ryM ENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps • (This section need not be completed if the permit Is for one hundred ($100)or - - - • less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel 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 i Solar Tank Fan Motors❑0.1 HP 0 -8 Workers' Compensation Laws of California. ' Date Signature Floor Drains Swim ' g Pool w/Spa F.A.U. Inc.Solar 09- . P 016.15+' ' NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks nal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwev. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' Device Boxes 1 hereby affirm that there is a construction lending agency for the Performance - ight of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Gr at Ameriran First Savings Bank _ us Range Lender's Address 10175 Slater Ave. ,Fountain Valley,Ca. Kitchen Sink Water Service • Switches Sign OWNER BUILDER DECLARATION 92728 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 15-15 KW any structure, prior to its issuance, also requires the applicant for such permit _ Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dr s 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 - - 'herefrom and the basis for the alleged exemption. Any violation of Section ' 731.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). ' L.] I, as bwner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - - Fee Reinspection for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 •Issue Fee $ 3 ' 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 0 DEVELOPMENT SERV C S RE UIREMENTS: employees, provided that such improvements are not intended or offered for �� G i—�/_—g7 sale: If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date .�`��Wnn -pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date —..asp�� orove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By & Deter --157 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 0o-100,000 BTU 00,000 BTU SUMMARY OF FEES - builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ Syste pair/Alteration //�R UILDING PERMIT $ 3 .7'� SMIP $ �` 13 0 proof off their Worker's Compensation Insurance should be provided to me. f4LAN CHECK $ $7 y3 'PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Ire Dampers 1 PLUMBING $ ISSUANCE CE $ Date - Owner . - Heating System& Ducting Registers . . PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 01 , 00 BTI. ELECTRICAL $ GRADING $ information Is correct. I agree to comply with all city and county ordinances • and state laws relating to Building construction, and hereby authorize repre- PLAN CHECK 50% $ -•MICROFILM $ sentatives of this city' o en •r upon the above-mentioned property for Q� Inspection purp. e4 /{f /i/ TOTAL FEE $ ,3� D° Signature -_ i i/ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ``// // 57. APPROVAL TO COVER-GUNITE 7. Footings 41�p��7 0t 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 0 9. Water Pipe-Undrgrnd. / 60. Backwash•Lines, P-Trap, ❑ Undrgrnd. ,// • 10. Structural Floor System + tj/ /87 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ,! 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' ; 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test • 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - .� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ' 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation '44. Landscape Irrigation'System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING cp. gi 48. Special Requirements Completed v 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51., CERTIFICATE OF OCCUPANCY No. Date _ (//I T0 Me.Aft. p' t'!T. �+ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - -=a • cat OF COSTA MESA CONSTRUCTION PERMIT P RMIT NO. TRACT NO. LOT NO. UNIT NO. �� nK- z82a9- 1��4 �,;Project Address '1 '+ "S3s 2519 3AM G e-b lute 92626 �} 6717 t~/?/•/-7 Applicant's Mailing Address 2510 N. Shelley Cr. ,Costa Mesa,CfYPE OF CONSTRUCTION !]6 NEW LI ADD UALTERATION LI REPAIR l^ � 73092 T� C:Ompany CI CONVERSION ❑ DEMOLISH ❑ OTHER - A,p,# J rn ,1 •--�/ G Zone Owners Name Fairview ManaQe.IDeilt_Phone 714 863-1'00 Block Wall T� _ ' ` l DESCRIPTION OF WORK/USE OF BLDG. /6 Lee Address 7400 Main St• Irvine, Ca. 92714 $ Main Building:g } HeMtc Accessory Building-A- of.. hurl tC Arch/Eng. Lamar ASSOCTATES License No. 1434 ''[bb[ OF PERMIT ❑ GRADING ❑ FOUNDATION LI STRUCTURAL T Front 21 / o n O Address 32122 Paseo Adel ant(),Ste : • . • . s - . s r rano: TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL B _ `� N Contractor's Nam' Fa' •— ••11- 1 Phone 14/979-5*57 --' OTHER c K _ ' r 1O / • ,, Q • / e G PROJECT DESCRIPTION SQ. FT. OCCUPANCY L e�� Addresslmailing) 251(1 N-She! lpy Cr. .Costa Mesa,Ca. 926.6 CONSTRUCTION TYPE VALUATIONS 3300— S Left la to friend/mac . R City License No. 39587 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: /47G Lo q 6 4 OLA- ins, Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and Fs my license is In full force and effect. ' • ? f'Lo,' /Pill t'w(f' Wct �Qo T License Class B icen 496001 ` S Date/ - --ji Signatur - _ -�_ a PLUMBING FEES ' i a,4 •• 2,1". r is YC.t t,�-t C IORKERS' CO 'ENSATION DEC • -ATION Bar Sink ' Showers ELECTRICAL' FEES (6 .hereby affirm that I have a certificate of consent to self-insure or a certificate - -- • of Workers' Compensp p� suran e, or a certified copy thereof (Section I ESl LI 1.0 Backflow Preventer Service Sink Automatic Washer Transformer D 15-50 KW 3800, Lab. CJ ��-�j1 1 Policy No. CompanyThe Travelers Ins.CO Backflow irrigation ' Sewer Cap .2 - ❑ 50+ KW . LLConstruction Pole Sub.. `f' Certified copy is hereby furnished. CeUifiQ s filed with the city i (ng D' isi A Bathtubs Sewer Connection - Cooking Unit. Meter ❑up to 100 amps Date/'.f Applica Q 1 EXEMPTION FROM WORKERS'COM NSATION DECLARATION Clarifiers' Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel 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 Tan Fan Motors 00-1 HP ro1'/x-8 Workers' Compensation Laws of California. ' Date Signature Floor Drains - Swim •. g Pool w/Spa - - F.A.U. NOTICE:If,after making this declaration, you should become subject to the - Inc.Solar ••-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks U - al Fixtures Micro .ve comply with such provisions or this permit shall be deemed revoked. • • CONSTRUCTION LENDING AGENCY Gas Service Outlets ,Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance 'r le Light of the work fo which this permit is lysued (55¢ec00n 3097 CI C.) Int¢rCeptOlS Writer Heater Outlets Lender's Name �reat AIDPYI ran Fl rgtFo Sa Vln(�S Banc , Range Lender's Address 19]Z later Ave.e. ,Fountain Va11eYZCa. Kitchen Sink Water Service Switches - • OWNER BUILDER DECLARATION 9l/ B Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage Disposal Standing Sections 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 Generator ❑0.5 K 15 KW any structure, prior to its issuance, also requires the applicant for such permit 5' Trash Compactor O file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains he 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 - therefrom and the basis for the alleged exemption. Any violation of Section • / , . 7031.5 by any applicant for a permit subjects the applicant to a civil // enalty of not mare than five huntlretl dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Reinspection Fee ' $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves _ thereon, and who does such work himself/herself nts aelf of through ende his or her own Hood or Type I ❑ _ DEVELOPMENT SERVICES _REQUIREMENTS: a9/ v '� employees,ho ever,provided that such improvements eves are not intended year ocd for Boiler Zoning Approved By (`a•' Dat sale. If, thwown, the dof pro i g within one yeur of im- Canopy Type II ❑ prove , the owner will havele the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date 1 prove for the purpose of sale). - , 'l4 g 1 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 7 + 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 B 100,000 BTU - • SUM RY OF FEES builds or improves thereon,and who contracts for such projects with a con • - tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ Syst air/Alteration BUILDING PERMIT $ SMTP • , $ • J proof of their Worker's Compensation insurance-should be provided to me. PLAN CHECK $ y PERMIT O 1 am exempt under Section B.&P.C.for this reason Firepl/Fact.BIt. ICBO# ire Dampers PLUMBING $ ISSUANCE $ Date owner - Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑O-100,000 BTU 0100,0 TL ELECTRICAL - $ GRADING S • Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $- MICROFILM $ sentatives of this city to enc upon the abve-mentioned property for inspection pur�pr2ses. /�� /� ` / -7 MECHANICAL $ TOTAL FEE $ 73+9 L Signature Lrdda•"•-Ca'•' t Date'1/ � / - • - Reinspection Fee $15 Issue Fee $ 3 . . PLAN CHECK 25% $ Drivers' License or SS ` - CMF 0865-46,rev.10/84 white= Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.' ` 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd:.- / 57. APPROVAL TO COVE R-GUNITE 7. Footings • I5 c Qe *0 58. Electrical Conduit-Undrgrnd. 8. Foundation / 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final 7- 41. Solar Domestic-Final L' 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation r ,. 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING ✓✓✓LLL*/f/7 Go .. • 48. Special Requirements Completed l/ • ' ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 0- Tc cc1C? 1 f Tse k;, c \1 i i • - ` • eAd ' 1;1; ;Iipg......s..... ji i,: z 1 — c_• , i. 14 WS i War : ao4 APPROVED c� N s J Ci of Costa Jt i LE / _30 1 �' Mesa Building Dept ped `^ h r CP - BY - __ DATE 5 Z 19 ti THESE PLANS MUST of I T ON JOB AT ALL AITIMES OF MAKE 1 NO . NGES WITHOUT PRIOP APPROVAI OF DEPT. /�� i O- vilHEI NCE GRANTIKT: `� 1y1 yo/,1 L-I}� R N•T PIAN$ `� , F •, c;: , ) lits 1- pa Sew7rhNC I u PERfn, o rlH� �.;� oust w‘r d CRY OF COSTA M SA E_•_^• •.1.rEISS P PR PLANNING DEPT. AUTHORITY ''"' [>U V•,NG TO G!i€ ::a L::•..r 2I THE PSI^5,0..x' CODE ShA F'= ,�,I�.•Fr�'E ,. a OF USE . bUilBCT TO OIDG. DEYf. CEO. WHICH IT A,:F.C•RzE,; G IA'A.-2. FAP AS for: WORK OR USE I 114 edoe /cc456I !fi ��. /1 AMMIlle • THE I$SY;4 cE OF P. PcRMI1 BASED L/PO�: PLANS AND �� CO D SP QFICALOr:S SHALL NO; ✓RBVENT THE BUILDING OFFICIAL FROM THEREAFTER REQL;'p:•'G THE CORRECTION OF ERRORS IN lf- C SAID PLAN;. AND SPECIFICATIONS OR FROM PREVENT,VQ� r N/a ✓t Ow 9:� BUILDING OPCRATIONS BEING CARRIED ON THEREUNDER WE.,N I Al. IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE F As-/o A "ewe-449Y ELC9y de THE CITY. �� C, /''/, DI —ADDITIONS, DELETIOidS, OR CORRECTIONS SHAL BE APPROVED E.T THE PLA1.4Ti G DEPARTMENT E • A SAI A 81x(, . .7.,i:---'F &Lb x„ y.'. rbLumrEpotas :. .,• ..r,„, i .:aairEpoterik....,:. ..h .._ I I • I 1 • 1 ( .,. 1 1 I • ' H /s 7:-.4....- w.q« I I 1 1 •1 I 'l I • A I I. 1 ' • 1 �,«, yr 044, Pw,fS�g --------... . I ( 1 t l 1 1 I L i l 1 MJF /ti s�„<.� aosrrir, I I 1 I I 11 J I I I I I ze ,s ,/0.45.,42, vac,I I I I I ( I l I I 1 I E III I l l t l •I I I I I l J l l l l l l II f • 11 1 I I I 1 I I I l i I 1 I I I I I I 1 41 ' . 1 I 1 I I 1 I 1 . ELEVATION •... • Gear-DI • Loc4110d4 ' _-- : �,: I ,. / , b><�>< I(0 Jb(LCP►' �L U MI�'+� P�-�Ig`u+',d1rg dept" • 1 it q 1-IGp-IZcNTPd. 1 k costa rh�sa • ia� , 0c41 i — 6c&Alb eLUMi' �, 1 cc --._--'J' .. .- :,; - ..,P`Js ��4T. • �I IOK0Al0 .coLUMN U,1rilf'C=,b • 0LCC(�-,, . _ _ -rV ,c`3Ei� . �={� i • 1l- 4 vpl-TI( s f Mrf'- C'.2<J-I!o.G: ... , :NS 1I • 12`x,Q'� i •11'h- I-I oPI ZoN'rPL I ; P.." / u�.f s 4U1 V` / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ''d' 9/29/bo CITY•OF Cc$TA�7 MESA�7 ,,((CONSTRUCTION PFERMIT&5Lo'/) PERMIT��/VO. /J TRACT NO. LOT NO. ],1j�NIT NOS • Proiese Address tS/9J41•V C: er//ppFi --- A2e:z,F B L 5C las-53/ �/ .2 /J{/�Q'/1016, / Applit?.nt's Mailing Address 2570 /v firia.0 f/�.e. e. /1 TYPE OF CONSTRUCTION KNEW U ADD U ALTERATION LJ REPAIR r neo ❑ CONVERSION ❑ DEMOLISH ❑ OTHER• Owner's Name F/}/4 v/e-/�nia.✓ //f Phone)SYS-/C6 — - - A.P.# 4.-10- 0/,2-ii Zone �� '4% l/./ DES 'IPTION OF WORK/USE OF BLDG. Address inye eivad Jr 7/+!/attr. t/ 7271•x- - . /� /� _a -r' ,S Main Building: p ..1. Accessory Building: Arch/Eng.(�U.efCf I E-crC2 License No.0-69 2� TYPE OF PERMIT U GRADING TA FOUNDATION FC STRUCTURAL T trnnr N 8 /S oft / F O 23.10?S thtz ge, ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I Address f#.� �.l AC. /LL.S B R^-• s .._+S-r .k g_ N Contractor's Named idly LC)Pet/ :0 Phone 97980,7 ❑ OTHER A 2 Address(mailing) ' t PROJECT DESCRIPTION SQ. FTI OCCUPANCY C ��£ 172 G i L d' GA STA /Yd S4 !�/�/� /r3 r 3 .+' CONST RUCTION TVPEFi�4/Yf �'�UGGC VALUATION$ air- $ Leff&a.J 93��^, bids City License No. Y Yd JJ "l ZONE GRADING CU.YDS. AC-.-. �r I_-. //�,., R LICENSED CONTRACTOR DECLARATION Aftoff Ping. Ref.#pA' —es- '/� /q Parking Req./Provided 2Z//�.2L/ E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: J 2 Planning Notes: ']E ,[�q t1Q El / /L Aa /-- M with section 7000) of Division 3 of the Bu Izess ad professions Code,and / l "' z+ l�~�`' s—• l��iG V�7 fCJ� �QSF -"•_. r /7".�i" ✓�r-+1'7�7C my license is in full force and effect. 4`/7/ / .' _- l- y 6 - 77 • U $ Li Eltense.•Class !' Livnse No. jsF— `OLD FOR SPECIAL, Rr r.nr•^rrra Date Signatur- . . -. . . .. . . a— - PLUMBING FEES of •ORKERS'COMPENSATION DECLARATION ' Bar Sink' Showers ELECTRICAL FEES ereby affirm that I have a certificate of Consent to self-Insure Or a Certificate 1 . . Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink - L- 3800, Lab. C.1 ` f Automatic Washer Transformer 0 15-50 KW l Policy No. t-d.3Cr/lp�'/7':)6 Company 7.PAi'/-/f• , Backflow Irrigation Sewer Cap ❑ 50+KW Construction Pole Sub. 1 U Certified copy is hereby furnished. Certified copy is flied with the city Building Division, Bathtubs' Sewer Connection ( Cooking Unit Meter Dap to 100 amps t '- Date '9-8'4 Applicant CA/Q1/!/F(/ U,-� . EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or - less). - Dishwasher. Solar Piping Dryers ❑Gas ❑Electric Sub Panel 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 Fan Motors 00-1 HP ❑1'/:-8 - Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. I - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light of the work foj hich this _permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name 4•X=4>.Clf .•e/C.u+/ 4asr .4 e,Al4,¢ .Ci Ar+.0 Range Lender's Address/4/7S 544'Won..4✓L. ic.unwu z4gaCY 9_,715A Kitchen Sink Water Service Switches - Sign OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto'Wash - Garbage Disposal , following reason (Section 7031.5 Business and Professional Code: Any city or - 9 D Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap , - Laundry Trays . Generator 00-5 KW 05-15:KW any structure, prior to its issuance, also requires the applicant for such permitTrash Compact Or . - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' • 'he Contractor's License Law(Chapter 9 (commencing with Section 7000) of ' vision 3 of the Business and Professions Code) or that he/she is exempt - - • - .- erefrom 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). $I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 ' Issue Fee 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee S 3 • for sale (Section 7044, Business and Professional Code: The Contractor's _ MECHANICAL 1 FEES 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 TypeDEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler I - Zoning Approved By 1�i '� , sale. If, however, the building or Improvement IS sold within one year of com- Canopy Type II -4V v /�� Date I.i pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By // _Date I��/r Urove for the purpose of sale). - C �j I� I, as owner of the property, am exclusively contracting with Iicensed.con- Duct-Structural Refrigeration System - - Application Issued By Dat: Ana•)♦t. tractors to construct the protect (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 SU M R OF FEES builds or improves thereon, and who contracts for such projects with a con- a A tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $ 34,43 ofExhaust System Multiple 0 System Repair/Alteration proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ e I PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ - Date Owner - Heating System& Ducting Registers ' PLAN CHECK 25% S ENERGY P.C. $ I hereby certify that .)-have read this application and state that the aboveJD1Oo.000BTU 0100,000 BTU • ELECTRICAL S GRADING S information is correct:I agree to comply with all city and county ordinances and state laws'relating to building construction, and hereby authorize repre- sentatives of this city to enter •on the abve-mentioned property for - 11- r n �t/_ inspection purposes p !'/ MECHANICAL $ TOTAL FEE $ L��/+a-71� Signature - ..Jl. A ice. .cera Date'/%3(p Drivers' License or SS - Reinspection Fee $15 Issue Fee • $ 3. PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor \: 1 e ,- I 'CONSTRUCTION AND PLANNING POOL& SPA u Date Inspector Date Inspector ', APPROVALS . Permit# APPROVALS Permit# `. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location t 2. Soil Pipe-Undrgrnd. • -• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel ReinforcementII 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. `O -t7ra p/7 57. APPROVAL TO COVER-GUNITE 7. Footings , ''I ,e //0/e6 Pa/ 58. Electrical Conduit-Undrgrnd. - 8. Foundation ��' 59. Gas Pipe, 0 Undrgrnd.,Test , 9. Water Pipe-Undrgrnd. - • 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 10. Structural Floor System (/1/y9( Od 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • ' ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i 20. Rough Factory f=ireplace APPROVALS Permit# pd ' _ 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating - • 71. Product Piping 0 Gas El Oil 23. Gas Pipe-Rough& Test 72. Underground Flush • .24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing fill,/e1 ,9 tt 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat I 75. Dry Chemical f_ - 27. Frame and Flashing U 76. Dry Standpipe 28. Lathing & Siding (/ 1 6'1} 77. FIXED SYSTEM FINAL 29. Insulation / Vigif PO 78. FIRE PREV. FINAL 30. Drywall Nailing /2/3/87 ®E HEALTH DEPT: REQUIREMENT , 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes:p#/6 �.._,00 `u. I f ,e 4 r l/(.3 34. Final Heating & Air Conditioning /9, OK v3a9 PIA 35. Final Gas Pipe-Test I y! 36. Hood or Canopy 37. Final Factory Fireplace )_ " 9 D, 38. Final Plumbing � V 39. Water Service-Final �/Lr / 7 • 40. Gas Service-Final ((//� -(-a • - 41. Solar Domestic-Final 041‘041446(_-Th +J[f _ _ 4- ! r1 42. Backflow Preventer -+ 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 45. Handicap Regulations - • 47. FINAL STRUCTURE& BUILDING 4338' Pic -I 48. Special Requirements Completed / /� Ill Al •• -I 49. Electric Release to Edison / 50. Gas Release to Southern California Gas Co •t 51. CERTIFICATE OF OCCUPANCY No. Date • AI K 17 1987 • Manville Gold Fiber Glass Insulation Installation Record Batts& Blankets • Description of Area Sq. Ft.of Insulation R-Value @ Thickness Ceiling Ceiling Area As Required R-19 6" Ceiling Wall Exterior Wall As Required R-11 32" Wall Party Wall As Required R-11 32" Floor Between Floor As Required R-11 31/2" Floor If batt or blanket insulation has been installed in enclosed cavities, those cavities are deep enough to allow insulation to expand to the labelled thickness unless exceptions are noted above. Blowing Wool in Ceilings Nominal Net Sq. Ft. Minimum Bag Weight Insulated No.of Bags R-Value Required Thickness Blowing wool, if used, has been installed in the ceiling in conformance with the manufacturer's requirements shown on the bag. Location Harbor Village St.orLot# 2579 San Clamente Dr . City Costa Mesa Builder Company Name Fairveiw Development Co . Signature Date 4-15-87 Insulation Contractor Company Name Red ' s Insulation, Inc . Signature Qj f�Cj Date 4_15-874 Manville Fiber Glass Group Building Insulations 1. Original for Homeowner 2. Copy for Home Builder 3. Copy for Insulation Contractor HIG.566 REV.6186 Printed in USA DalDon Greek and flssoGiotes • CONSULTING CIVIL ENGINEERS ENVIRONMENTAL ENGINEERS • SURVEYORS May 18, 1987 CITY OF COSTA MESA Department of Public Works 77 Fair Drive Costa Mesa, CA 92626 Attention: Mr. Gary Conlon SUBJECT: TRACT 12594, GRADING CERTIFICATION (FILE 1250) Dear Mr. Conlon: This is to certify that the final grading for Buildings 1 through 5 for the above-referenced tract has been completed in substantial conformance with the grades shown on the approved grading plan. Very truly yours, DON GREEK AND ASSOCIATES 471LPM-AA\M4 SURENDER DEWAN, P.E. R.C.E. 34559 rtk cc: Fairview Development, Attn: Mr. Frank Kindstrand Q�otESSIp itO aER M. of e\ t c N0. 34559 \,e * ' s9 C'y �\�, if OF CAL1EY4" 2428 N.GRAND AVE., • SUITE I. • SANTA ANA,CA 92701 • (714)543-0990 ) PACIFIC BOILS ENGINEERING, INC. L.A.COUNTY OFFICE . 0 S+ 17909 FITCH, IRVINE,CALIFORNIA 92714.6097 Haroor 1402 w.240th1 City,Ca.90710-130307 7 \ TELEPHONE: (714) 863-9118 (213)325-7272 or 775-6771 SAN DIEGO OFFICE 7370 Opportunity Road Suite "N" San Diego, CA 92111 Fairview Development Co. (619) 5604713 2510 N. Shelley Circle Costa Mesa, CA 92626 October 28, 1986 Work Order 100810E Attention: Mr. Frank Kindstrand, Vice President Subject: Interim Certificate of Compliance Tract 12594, Buildings 1 through 7 incl. , in the City of Costa Mesa, California Gentlemen: This is to certify the grading of Building Pads 1 through 7 of the subject tract has been completed under supervision of this office and that said grading is in compliance with the recommendations of this firm, and the City of Costa Mesa, and suitable for the intended purpose. A project grading report is currently being prepared and will follow under a separate cover in the future. The footing excavations for all buildings have been inspected and approved by this firm. The post-tensioned foundation system plans (3 sheets) have been reviewed by this firm. They are considered suitable for the project in view of the as-graded foundation (medium to high expansion potential) conditions. The footing depth of twelve (12) inches is considered suitable by this firm. !OF ESS/04, 41 Respectfully submitted , ' Q4�� se.. 1. Jf� / fin PACIFIC SOILS ENGINEERING,INC. Reviewed by: ; �v y G,b y� W N0. 18431 EXP. 6/30/89 33 - / 1449, AO; By:: A Li / JL MISE RAZ 5,7 ALAN f/ESS . • , \� CIVIC S- aff En? neer Vice • esid-'t FpF cAo1�0�` Dist: (6) Addressee MR:AJJ/rb I— Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 711 .ESA CON RUCT ON PERMIT PERMIT O./ TRACT NO. LOT NO. UNIT yo. 6632 11/014/86 gly'�2r� . I�� lipAddressl •08�•�MQ�1y s•I�Sz TY E OF CONSTRUCTION NEW U ADD LJ ALTERATION Li REPAIR • ^� L/f.0_ L ID CONVERSION ❑ D OLISH CI OTHER A.P.# _ I Zone Ow .eine r��lJ tM3 J�p,,l�' n, •/I _ / rP1h,,on�e- DESCRIPTION OF WORK/USE OF BLDG. Address 2510 S h�Y .. Vim, Los-4-4,_1, +�" S Main Building: Accessory Building: Arch/Eng. l I License No. TYPE OF PERMIT ❑ GRADING El FOUNDATION U STRUCTURAL E Front o Address - ❑ TENANT ❑ ELECTRICAL WPLUMBING ❑ MECHANICAL BRear • N ❑ OTHER A ' Contractor's Nam. r 1- "G' gra ga Pho e• r C Right N II •�B ''' IM #I : PROJECT DESCRIPTION SQ. FT. OCCUPANCY K — G Address(mailing) -•• • - - ' - CONSTRUCTION TYPE VALUATION $ S Left City License No.n ZONE GRADING CU.YDS. ACRES R / LICENSED CONTRACTOR DECLARATION ` Ping. Ref. # Parking Req./Provided , E .,. I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks 11 e,,C Vh,1 $ ass as Planning Notes: �, 'MEMO NOV3 igii M with section 7000) of Division 3 of the Business and Professions Code,and U V my license is in full for e .nd effect. 1I11 - EI• T License class — - a Lice• No.I4' %4 • S Date •� t ��- Signature Itc1:11r • - - lk PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink - Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-Insure or a certificate • • ' Workers' Compensation Insurance, or a certified copy thereof (SectionIla — 1 . ..800, Lab Backflow Preventer g Service SinkAutomatic Washer Transformer 0 15-50 KW Policy No. 1 `-'�S��4— CompanTy �L�IIL Backflow Irrigation Sewer Cap Construe 4 ❑ 50+KW ❑ Certified copy is hereby furnished ertified_sogyMed with the ci firg ,•in• • vision • QBathtubs Sewer Connection 144 — Cooking Unit Meter Duo t0 100 amps Date d O— APplitan •10 .�A 1 EXEMPTION FROM WORKERS'COMPENSATION DECLAR ON Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit is for one hundred ($100)or less). ,In Dishwasher Solar Piping 3Z— Dryers-❑Gas ❑Electric Sub Panel I certify that In the performance of the work for which this permit Is Issued, I `l , shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank • Fan ,- Motors DO-1 HP ❑1'f.-B Workers' Compensation Laws of California. . . _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. g-15 HP 016-15+ Inc.ncSolar NOTICE:If,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Cade, you must forthwithFloorSinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY \ Gas Service OutletsCj7 Water Closet '13Device Boxes Pole Light I hereby affirm that there Is a construction agency for the performance • - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Ie Water Heater 33... Outlets Ran e • Lender's Name - - g • - Lender's Address Kitchen Sink Water Service Switches ' • OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for theaid Lavatories Auto-Wash *3 Garbage SPO Disposal • following reason (Section 7031.5 Business and Professional code: Any city or Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW r any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor 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 'I vision 3 of the Business and Professions Code) or that he/she is exempt :refrom and the basis for the alleged exemption. Any violation of Section • 31.5 by any applicant for a permit subjects the applicant to a civil ¢natty of not more than five hundred dollars($500). • U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee i $ 3 — compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves . - • r DEVELOPMENT SERVICES REQUIREMENTS: thereon, and who does such work himself/herself or through his or her own •- Boiler Hood or T ¢ employees, provided that such Improvements are not intended or offered foryp I 0 'Zoning Approved By Date sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 - pletlon, the owner will have the burden of proving he/she did out build or im- Duct-Under Ground Building Approved By •f..� Date Orove for the purpose of sale). ((_/�. „�/��'/' I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat: 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 SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ��. SMIP . $ proof of their Worker's Compensation insurance should be provided to me. PLAN,CHECK $ PERMIT -- ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers --41---- PLUMBING $ ISSUANCE $ — Date Owner - - Heating System&Ducting Registers PLAN CHECK 25% S aft ENERGY P.C. $ • I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information Is correct: I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for &/(-97"3-4,..0 � ,_��— inspecti•YI�••ses. s i l MECHANICAL $ TOTAL FEE $ �r t'`� Signetur 1.1i1 ' '1_� DateJO" - Drivers' License or SS$ �n - Fee $15 Issue Fee Ilk'_ PLAN CHECK 25% $ aLI/r Zf CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 11 CONSTRUCTION AND PLANNING POOL &SPA APPROVALS( Permit# Date Inspector APPROVALS Permit# Date Inspector -1. Temporary,Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. Ii-6'3( LED 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAIiTO COVER-GIJNITE Rt, • 7. Footings 58. Electrical Conduit-Undrgr¢.i 8. Foundation 59. Gas Pipe, a•Undrgrnd., Test eLs 9. Water Pipe-Undrgrnd. t(.6a 60. Backwash Lines,P-Trap, O;Undrgrnd. 10. Structural Floor System 61. APPROVALITO DECK 11. Property Sewer Line & House Connection 62. Backwash &`Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing i-'47 7 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil • 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe• • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test 36. Hood or Canopy .. 37. Final Factory Fireplace 38. Final Plumbing 57t'(/ t • 39. Water Service-Final - - lt-3i-Bb L%EO 40. Gas Service-Final - • • 41. Solar Domestic-Final 42. Backf low Preventer . ._ 43. Backflow Irrigation 44. Landscape Irrigation System • . - • 45. Sound Attenuation - •.• 46. Handicap Regulations • • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison .. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date t ' y- . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT ^ P5fla4IT a'� TRACT NO. LOT NO. UNIT NO. • ?�, . .Project Address 257D c..,, r1 o.,.o.,ro n,• 1 • .�.� a(oF to L01-10R&201'• 208 0786 ( /23/87 123e00 •TL Applicant's Mailing Address •• _ CJVPE OF CONSTRUCTION PU Ia EW H ADD H ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER Owner's Name - •. - - _- - • _ El A•P•# Zone - _ - DESCRIPTION OF WORK/USE OF BLDG. LSI IS . Address 2({00 - ' , • E Main Building: Accessory Building: Z Arch/Eng. B -urke—Les Ler. & License No. TYPE OF PERMIT ' ElGRAPING El FOUNDATION ID STRUCTURAL T Front ASSOt_ Address El TENANTA❑ELECTRICAL El PLUMBING PLMBING Ill MECHANICAL B 0 Rear - N Contractor's Nam - • - - - - - ,•- _ Phone--93-0-53-34 - C Right N • Address(mailing) • • 99807 PROJECT DESCRIPTION SQ. F7. OCCUPANCY g _ 5280 E. hunter AV/c,r Anaheim, CA 9 RO/ CON ST RUCTION TYPE VALUATION$ K Left G R .City License No. - na /off G7 • ZONE GRADING'CU.YDS. ACRES Ping. Ref.#- Parking Req./Provided E LICENSED CONTRACTOR DECLARATION - . -I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks G b1Q , Planning Notes: , - O with section 7000) of Division 3 of the Business and Professions Code,and, �aV M .[N my license is in full force and effect. - T License Class $ -; _ • License No S \ Date 1-23-87 Signature-, 0 xe:— PLUMBING . FEES r WORKERS'COMPENSATION DECLARATION • Bar Sink Showers ELECTRICAL FEES \ ' hereby affirm that I have a certificate of consent to self-insure or a certificate f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink - - 3800, Lab. C.) Automatic Washer Transformer 0 15-50KW Policy No. /170$QZ Company Ste Ye Fund Backflow Irrigation • Sewer Cap • ❑ 50+ KW Certified copy Cons[ruction•Pole Sub. is hereby furnished. ,r 1 t Certified copy is filed with the city��Bu..))' in Division. ( "�� Bathtubs Sewer Connection • Cooking Unit - Meter Dun to 100 amps ' to 1 23 87 KEplica EXEMPTION FROM WORKERS' NSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100) or — Iecer Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I ino thatm in the performancePeroninof the work for aswhich othis permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/x-8 Workers' Compensation Laws of California. DateSignature • Floor Drains Swimming Pool w/Spa F.A.U. ' NOTICE:If,after making this declaration,you should become subject to the _ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY - Gas Service Outlets - Water Closet Device Boxes I hereby affirm that there is a construction lending agency'MI the performance - - - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors _ Water Heater Outlets Lender's Name _Great American Savings _ Range Lender's Address R- ��_ -•• - • - _ , Kitchen Sink Water Service - Switches Sign OWNER BUILDER I hereby affirm that I am exempt from the Contractor's License•Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap - ' - Laundry y Tra s - any structure,.prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW❑5-15 KW Trash Compactor 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 - - ierefrom 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 • - _ _ , penalty of not more than five hundred dollars($500). O I, as owner of the Property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee , $ 3 ' compensation, will do the work, and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee I $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - • MECHANICAL FEES I 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 , sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date drove for the purpose of sale). LJ I, • as owner of the property, am exclusively contracting with licenseC con- Duct-Structural Refrigeration System Application Issued By Dat 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 ❑100,000'BTU SUMMARY OF FEES , builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - - PLAN CHECK $ PERMIT ❑ l am exempt under Section . B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $. ISSUANCE $ Date Owner Heating System & Ducting' Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BTL. - ''// r� GRADING $ information is correct. I agree to comply with all city and county ordinances, ' �`( T�w ELECTRICAL $' and state laws relating to building construction, and hereby authorize repre- Bathroom Single Duct MICROFILM $ sentatives of this city to enter u on t e above-mentioned property for VP PLAN CHECK 50% $ inspection rp 5 /6 Kitchen hood 'y0 Der ��77��tt Signature Date 1-23_$7 MECHANICAL $ TOTAL FEE $ /G1`3• W M • Drivers' Li nse or S5 • Reinspection Fee $15 - Issue Fee $ 3 ( PLAN CHECK 25% $ eQS• Cn / . . - OC.." CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • - - CONSTRUCTION AND PLANNINGPOC 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 S. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing &Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14.i Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning S/Z`da L({/° 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY L No • Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT N TRACT NO. LOT NO. UNIT N l CITY OF COSTA�MESA CONST_ '�� TION• PER IT �� 3 , • 9136 12/22/86 163:00 7j, Project Address, .. r' -._.__ ('�/ � `6 #2308 • I - Applicant'sMailingAddress 231 W. BLUERIDGE AVE./ TYPE OF CONSTRUCTION L NEW ❑ ADD LJ ALTERATION LI REPAIR ❑ CONVERSION CI DEMOLISH ❑ OTHER RESIDENTIAL A-P,# Zone Owner's Name FAIRVIEW DEV. CO. Phone— DESCRIPTION OF WORK/USE OF BLDG. IS Address 2510 N. SHELLEY CIRCLE S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front • �+ I�'C(fhC1�, �((�[t(� ((� t I� p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING IIN�/ f� 6Jr� "" " `a' r� + Address - V1}�IEGHANIGAL B Rear N SANTIAGO A/C 998-1600 ❑ OTHER A - I Contractor's Name Phone C Right - -- • - N 231 W . BLUERIDGE AVE . PROJECT DESCRIPTION SOFT. OCCUPANCY K - G Address(mailing) CONSTRUCTION TYPE VALUATION$ S Left City License No. 015264 - R ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Q ( d Remarks: Ri•DG PF.RMTT # R2559R thrn A Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and 25534 • T mCelicens'is in full(prcy.,.,d effect. - s,s Ll.. LL Li ense_N{o�. 2E9496 RECEIVED DEC 1 9 1&8b . S Date `S L� Q t" PLUMBING I FEES WORKERS' COM- . ARATION • Bar Sink Showers • I hereby affirm that I have a certificate of consent to self-insure or a certificate • . . ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _ ' 3800, Lab. CIaN878-5227 IND. INDEMNITY - Automatic Washer Transformer ❑ 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap0 50+ KW iceConstruction Pole Sub. rti fietl copy is hereby furnished, _ Date " lea with the city u Iding 9iw ion.'-]_, p Bathtubs - Sewer Connection Cooking Unit - Meter pup to 100 amps Date -I- �/ a V Applicant f4-e�.'^A 3 ✓s4�'rw_ — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar CollectorsDishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or — _ less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - 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 Fan Workers' Compensation Laws of California. Motors 00-1 HP ❑1'h,-8 Date Signature Floor Drains Swimming Pool w/Spa - F.A.U. NOTICE:If,after-making this declaration, you should-become subject to the _ _ ,. Inc.Solar ❑9.15 HP'016-1.5+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalFixtures • comply with such provisions or this permit shall be deemed revoked. Microwave C • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light' of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater . - Outlets ' Lender's NameRange Lender's Address ' Kitchen Sink Water Service ' Switches - OWNER BUILDER DECLARATION Sign 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 • Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P.—Trap • Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to Its issuance, also requires the applicant for such permitP to file a signed statement that he/She is licensed pursuant to the provisions of Roof Drains • • the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section • - 7031.5 by any applicant for a permit subjects the applicant to a civil ,__ � penalty of not more than five hundred dollars($500). III I ' ❑ I, as owner of the property or my employees with wages as their Sole Reinspection Fee 1 $15 • Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p ! $15 Issue Fee • $ 3 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for ' Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- ' Canopy Type II 0 • - Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rove for the purpose of sale). Building Approved By Date LiI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 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 ❑100,000 BTU SUMMARY OF FEES builds or'improves thereon,and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $ proof of their. Worker's Compensation insurance should be provided to me. - - PLAN CHECK $ • PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# g� Fire Dampers PLUMBING $ • ISSUANCE $ Date Owner c^ Heating System& Ducting If77 Registers �y PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 1 ❑0.100,000 BTU ❑100,00067 �� 't - GRADING $ information is correct. I agree to comply with all city and county ordinances I/'Z.. ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- _ PLAN CHECK 50% $ MICROFILM $ sentatives of this(city to enter up y n� the above-mentioned property for n /• /� inspection.pur se . ! 12/3/86 - MECHANICAL $ /+V/• � TOTAL FEE $ �lo✓• � Signature - _ - - Date - Drivers' License or SS — — Reinspection Fee $15 Issue Fee $ 3 DO PLANCH ECK -25% $ ✓C . CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor • CONSTRUCTION AND PLANNING POOL&SPA Ili Date Inspector Date Inspector APPROVALS Permit.# APPROVALS Permit# sc'> 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location to 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i;' 0 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms et 4:-) 4. Electrical Conduit-Undrgrnd. .55. Electrical Bonding 7 C-I . 5. Steel Reinforcement 56. Rough Plumbing & Pre'ssdre Test is - • 57. APPROVAL TO COVERrGUNITE Li`` 6. Electrical UFER Grnd. , 1 7. Footings 58. Electrical Conduit-Undrgrnd. L'! 8. Foundation 59. Gas Pipe, 0 UndrgrndLTest 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-TrapfrD Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning I_/L-87 I-60 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas El Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing.& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning {•72a f 7 4'6°35. Final Gas Pipe-Test t 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation . 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49.-Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ _ Applicant to fill in all spaces except those within heav rider lines and sign all appropriate declarations. 1 CITY OF,COSTA MESA CONSTRUCTIQN PERMIT PERMI O. TRACT NO. LOT NO. UNIT NO.• ' Brojecl Address 4.Pei .0 L'U�,t+-✓ TE 59�� ' 5977 10/27/86 531e40 TL 3 / A[ TYPE OF CONSTRUCTION U NEW U ADD LJ ALTERATION LI REPAIR Applicant's Mailing�fAddreu r.'s- e ? [,....1 Owner's Name �`•f t2 �•1 �� lllylq(,ri+�4N%phone II��/SC 0 El CONVERSION III DEMOLISH L7 OTHER Ap # ' Zone �7 DESCRIPTION OF WORK/USE OF BLDG. Address SQ(� MI A, Sr -- -ZLs as,-I o- S Main Building: Accessory Building: Z Arch/Eng.�ll$�(k3� �•E�T3h.•—r��J1 ..License No. C•'I fj„.- ' TYPE OF PERMIT LJ GRADING Ell FOUNDATION U STRUCTURAL E Front . . • 0 (Z QK D �, El TENANT LI ELECTRICAL III PLUMBING CI MECHANICAL BA Rear N Address Aar 2_5". /V / 54.t .-kms• /44C-4tA S Contractor's Name42111-24.'rC4 �' /tM d.✓�.PnOlse 72.5"31Zi, ❑ OTHER C Right - N N( [ A PROJECT DESCRIPTION SQ. FT. OCCUPANCY K g Address(mailing)/`f•1rj• 2.]+ S'T /fiHti Y8/4QN �Q: - - G —� �� G C ON ST RI/cTI ON TYPE VALUATION$ S Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: of I ,� �, SS' fl1 Planning Notes: O with section 7000) of Division 3 of the Business and Professions Code, and �r� @`s" 6 f� ' M N. my license is In fullforceand effect. - j T License Class_lfn-/0 • Licens No.��2= 4S` Date/C-z7. $a Signatures Norm, 0 .cix.x�e PLUMBING FEES �' lA WORKERS'COMPENSATION DE€LARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES l of Workers' Compensation Insurance, or a certified copy thereof (Section Back flow Preventer Service Sink 3800, Lab- C,1 Automatic Washer Transformer 0 15.50 KW Policy No-7JC /_y_a_Sr — Company eat :SOT. Ff- + / � Irrigation Sewer Cap p Construction Pole Sub.Backflow 0 50+KW - Certified copy is hereby thehetl. �� Certified copy}c16R filed with the city Buil i�Dl visioez� � Bathtubs Sewer Connection Cooking Unit is•{- Meter IFIup to 100 amps <'] - 00 Date/C•27 — Applicant _SATION DECLA p tan, / F ,aJ EXEMPTION FROM WORKERS'C ENSATION DION Clarifiers Solar Collectors /W Dishwasher Meter Dover 100 amps /4 (This section need not be completed If he permit is for one hundred($100) or .5 less). Dishwasher - Solar Piping Dryers ❑Gas DElectric i? Sub Panel ?S, Cc- 1 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 Tankel Fan Workers' Compensation Laws of California. as- __ Motors 00-1 HP ❑i'h-8 .:241d Date Signature Floor Drains Swimming Pool w/Spa 7`• F.A;U. Inc.Solar ❑9-15 HP 016.15+ /6 00 NOTICE: If,after making this declaration, you should become subject to the - q0Y•1 Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. as Fixtures Microwave ;7--?p W CONSTRUCTION LENDING AGENCY 'Gas Service Outlets Water Closet • I hereby affirm that there is a construction lending ency for the performance Device Boxes Pole Light of the work f which thppis per It is isyytly�D s on 3091 iv Interce tors Water Heater Outlets Lender's Nam 1.6.4-/- AIWA, • " (•2 s [ASL? ,3 '.N t p 'I� .'Range Air CO ' Lender's Address /O/ •.' MrP•t-4/C. 0(/4//11/A, oiler Kitchen Sink Water Service • ✓`3 Switches Sign 33 L•' OWNER BUILDER DECLARATI // 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 ,/E, Garbage Disposal Standing Sections • (p ZXa county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays . Generator ❑0.5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil , g2nalty of not more than five hundred dollars ($500). . U I,.as-owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 • Issue Fee $ .3 • compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ` $15Issue Fee - $ 3 for. sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 DEVELOPMENT SERVICES REQUIREMENTS: 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 Zoning Approved By Date pie vef the owner se will nave the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date trrove as the purpose the pf ope). e , owner of the property, txcl u 7044, contracting with licensedioncon- Duct-Structural Refrigeration System Application Issued By - Date a F7 tractors construct the project (SectiontBusinesso and Professions Code: _ The Contractor's License Law does not apply to an owner je property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SU RV OF FEES builds or Improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration . BUILDING PERMIT $ SMIP $ . proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT 0 1 am exempt under section' B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date Owner '- Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000BTL ELECTRICAL $ .3SS (� GRADING $ Information is Cor fit. I agree to comply with all city and county ordinances and state ,aws r( ng to building co ruction, and hereby authorize repre- PLAN CHECK 50% $ /rt:'•30 MICROFILM $ sentatives Of city to u the,above-mentioned property for p� inspectio / r MECHANICAL $ TOTAL FEE $ 'S`3/- �C.✓ DSirivers' t. $ Date/IO^d'Y6 Reinspection Fee $15 Issue Fee . $ 3 PLAN CHECK 25% $ _ Drivers' License or 55# Applicant: Pink - Accounting; Goldenrod - Assessor 7 I CONSTRUCTION AND PLANNING r POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool &`Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 5:4147 4i - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil . 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 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 `Y 5.44 7 ,ed 80. FOOD CERTIFICATE ISSUED - 33. Final Electric 4 y4J Q�/l� Notes: 34. Final Heating & Air Conditioning /l �"'� 35. Final Gas Pipe-Test 36. Hood or Canopy - • 37. Final Factory Fireplace . 38. Final Plumbing - 39.-Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • • • 42. Backflow Preventer 43: Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 3 • •_ -' • 47. FINAL STRUCTURE & BUILDING - • 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY •• No. Date