Loading...
HomeMy WebLinkAbout2556 SANTA BARBARA LN - Building Permits • oboRall: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENTP RMIT NUMBER alr PERMIT 602-00448 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2556 SANTA BARBARA LN Status: ISSUED Suite: Applied: 04/02/2002 Vicinity: HARBOR VILLAGE APARTMENTS Issued: 04/02/2002 Parcel Number: 42005103 Zoning: Applicant: POWDERLY, PAUL ISSUED BY: Address: 135 W SANTA FE AV Phone: 714-449-7750 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 20 YEAR COMP SHINGLES. INSTALL FELT.AND APPLY 30 YEAR COMP SHINGLES.REPLACE SHEATHING AS REQUIRED IF NECESSARY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $15,000.00 Permit: $251.25 Claim Valuation: $15,000.00 SMIP Res: $1.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $252.75 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 244646(&X) DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have 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 work for which this permit is Issued. ave 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 workers'compensation Insurance carrier and policy number are: Carrier: - Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars(5100)or less.) ❑ I certi, that in the pe •rmance of the w• k for wh h this p rmit is issued,I shall not employ any person in any manner so as to become subject to the workers' compo :tion la • California,an•agr;:t , I should °come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply wi:- :se provi • Applicant Si• ature: _ * - Date: 4+ -1, Z WARNING:FAILURE TO SECURE WORKER • •ENSATION COVERAGE IS UNLAWFUL AND S • SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONT� ECLARATON: I hereby affirm t t I am license under provisi• s o Cha• - •(comma cing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic. =— • r_ Class 4 "f-2-a7 Contractor's Signature: - ---C.---- Date: N •CONSTRUCTION LENDING AGENCY: ❑ 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 sate.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.). ❑ 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 drivers license. 0 Yes 0 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? 0 Yes 0 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? 0 Yes 0 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 0 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? U Yes 0 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? 0 Yes 0 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 Duality 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? 0 Yes 0 No 8 (If yes',attach ceM1ificote 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 above-described property spec urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. `X\\/1 ure Of Legal er(s)`_ (/,^/,/ LL - y�DDA, `C ��J And/Or Authodz Applicant \" 7 I.JDate CODE I INSPECTIONTYPE 283 IBTIIlALS, 202F INSPECTION TYPE PAIS REU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final206 Final Plumbing - 200 Final Re-Roof 5//C70'L— -/�/y-_c6 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 44; 'se CITY OF COSTA MESA 0% �.F.`. CALIFORNIA 92628-1200 P.O.BOX 1200 Fi :• k;: J•. ' � DEVELOPMENT SERVICES DEPARTMENT •R Ciloss October 20, 1986 Tb: Building Safety Division Pacific Bell (2) Business License Division Police Department - Ping. & Research '-Communications Santa Ana Heights water Company County Administration 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 Peter 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: -OLDADDRESS NEW ADDRESS A.P. NO. None Dwellings: (2565-San Clemente Dr. , 101-108, 201-2O8 1---42U-212-1U -2566 San Clemente Dr. , 101-108, 201-208 (.2569-San Clemente Dr. , 101-108, 201-208 L2575-San Clemente Dr. , 101-108, 201-208 X2579an Clemente Dr. , 101-108, 201-208 2551 Santa Barbara In. , 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, 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 I • R X i r Cikl- eAV- __. ‘ e.OZWAv �� .. .. _ a I ��^,'� wan - ram I 1r-•- •_ \. I 11 1 I !O ' I ruintenm I �1 1 I I ' i i I I In .: it \ - ' p.; " ' 1L' 1�-y1 I • • �16j optic, M' t ' i ', - 105 1A Nr •`___{ . -- ,.,�( • �``I ^���'�',."� ^� A �41- , 1 © ..Iilll' ��� I pO • t' II ; . 1_ ryyJ.J. . __J. , .I i• , —� .. 1� r�p�ay w , h Mfr _ i 1 _ .. �1� G �ZIi'�9il — IfiH/.10 .� b '11. •.�,C [�"5 .�1 1 i _- rii Jam„ nt)P X08 a,' _,.,.010. 0 _ "p R - i -MER LMAC WAY 1 . a HARBOR �( VILLAGE aN G� _ �M 1154041•141. aim^� +e.�• NM.CAWS* •FAIRVIEW DEVELOPMENT COMPANY I 74;77 ■ t BURKE• LESTER T ASSOCIATES ,� ARCHITECTURE AND PLANNING Lif.M.\CMSS MIA. 1.00111A I.YR taproom mu MOM•••I �r A _4NPCA�_ _ —I — 2s�e•Nrn enRe cw• LN• — !! i eo 2 TS I' • yeic.. . /d Ipj 102 X03 10.4 . . REM Ss -_70. GR _orlobi F •r :o Vit.: • .• • SISI ` r OA"• . - ica-ity x � HARBOR * ' VILLAGE ' fl .M nY1.I.Y wan y.1 4M1MY AI 7 // FAIRVIEW—s. ..a.vwOMPANY • , 1.� AVO aCYV.E . ; �-- • / WINO I \ .\ ■ , BURKE• LESTER & ASSOCIATES \ \� ARCWTECTUNE AND FIANNIN6 \.\ \; , Mail .aatM rn. ISIS 01.41.talar OM nal 11•••14.1 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. \� CITY OF COSTA MESACONST PERMIT PERMIT NO. �j(•, TRACT NO. LOT NO. UNIT wNO.�_,Q�• Project Address ✓` Santa Barbara(C arj00rt Il�„T —?v' 6 7 7 / / i,mc / f . 2510 N.Shell Cr. ,Costa Meati,.'.5VPE OF CONSTRUCTION [N NEW U ADD U ALTERATION U REPAIR Applicant's Mailing Address Lo , (.Um any ❑ CONVERSION ❑ DEMOLISH C OTHER A.P.#!aad -�Ol� /1 _ . ZoneP��-N Owner's Name Fai rview_Mdriag9mEI1t Phone 714/863-15J0 DESCRIPTION OF WORK/USE OF BLDG. Carports Address .29 t00 Man St.._,.Ir-vine,.Ca.__.92714 S Main Building: }� 'Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT LI GRADING Li FOUNDATION U STRUCTURAL E r 9.. A(„) pas /a40 Cb) O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear \' A S 3' 9c. e'�• \ s. _ N LOI0p an C OTHER / C( - • „fes Contractor's Name Fairview Development PnZne1 4/979-5057 D RrpM ` Address(mailing/ 2510 N. Shelley Cr. ,Costa Mesa`Ca. PROJECT DESCRIPTION Sq. F $-NOt/1"� K 9 i J�� 3 r� e' �� G 32626 CONSTRUCTION TYPE VALUATION$_6 ! / 2� S Vo+. 4C/ z 1 •a \ ) R City License No. 19SA9 ZONE GRADING CU.YDS. ACRES p/1 sL � LICENSED CONTRACTOR DECLARATION Ping. Ref.9�'//T-gS - /2,3 l a,`(( Heq./Prov E I hereby affirm that I ani licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 1 ' 4 �t CI /nC�� NI with section 7000) of Division 3 of the Business and Professions Code,and L i my license is in full force and effect. z7.0 2 /O—S‘ - r;'�r yx '� T Iv License Cls B ' ic. .o. 4,:•�ll lC� ✓J7 - S `W Date"- -s Signatu _ e' - .. . .. _ - . PLUMBING • FEES .-' ! e\ . WORKERS' COMPENSATION DECL• RATION Bar Sink Showers • ELECTRICAL • FEES hereby affirm that I have a certificat: of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _Vl�_ Jo, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. UB-830F944-9-errTravelers Iris.CO. . Backflow irrigation Sewer Cap 0 50+KW Construction Pole Sub. Certified copy is hereby furnished. CertifiW -X. is_filetl with the city B Illi Divis .. Bathtubs Sewer Connection Cooking Unit Meter Dug)to 100 amps DateX / e�RI KERS'COti OSI -moi. ... - EXEMPTION eR M WORKERS'di P SATION DEnLA Clarifiers Solar Collectors Dishwasher I Meter [Dover 100 amps (This section need not be completed 1f the permit is for one hundred ($100)or ' less). Dishwasher ' Solar Piping Dryers ❑Gas DElectric Sub Panel s certify thatm in the performance f the work for aswhich othis permit es Issued I . Woo not employ anyiperson in any manner so as to become subject to the Drinking Fountains Solar Tan Fan Motors ❑0.1 HP ❑ ,-8 Workers' Compensation Laws a California. Motors Signature Floor Drains Swi ing Pool w/Spa F.A.U. Inc.Solar ❑9-1 P ❑16.15+ NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks .rival ,Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' , I hereby affirm that there is a construction lending agency for the performance , Device Boxes • Pole 's ht of the work Jar wtI isle this permit .is Issued Section 3p97 Civ. C.) Interceptors • Water Heater Lender's Namei'reaht American tirs`t Savings IsanK P Outlets • ...nge . Lender's Address 101 ZS_Slatenikva .gEOunta i n Vallay,fa. Kitchen Sink Water Service SwitchesSign • OWNER BUILDER DECLARATION 9 728 I hereby affirm that_/ 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 ❑ 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 Drain 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. . +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 - nalty of not more than five hundred dollars($500). C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue FeeI $ 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 - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERV CES RE.0 • MENTS: 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 ono year of com- — Canopy Type II 0 Zoning Approved By If Date :f -• plelion, the owner will have the burden of proving he/she did not build or Im- Duct- Under does s • Approved By ���� �r��� Date �� pirove for the purpose of sale). /'�+''V/ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Sys , Application Issued By A—..•aia'��•' sat: .e 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 00-100.6.: :TU 0100,000 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 0 Multiple 0 • tem Repair/Alteration BUILDING PERMIT $ CL.,,,„-.50 SMTP $ a 5 L/ proof of! their Worker's Compensation Insurance should be provided to me. _ < r`/ PLAN CHECK $ ��"'V3 PERMIT 0 I am exempt under Section 8.& P.C.for this reason Firepl/Fact BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Duc ' • 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 i 100,000 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 repro- _ PLAN CHECK 50% $ MICROFILM $ sentatives Of this l3 t0 ente -on t e above-mentioned property for • inspection putya • . i _ ' -SiMECHANICAL $ • TOTAL FEE $ �03• co Drivers'riverure%7 e.."..../-..,--# -----C--a-14- Dal Reinspection Fee I $15 - Issue Fee S 3 PLAN CHECK 25% $ 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings t/ " "/ '' 58. Electrical Conduit-Undrgrnd. 8. Foundation 4! (� 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. .• 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final _ ,• 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 ^ 7 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 7/9<��7 Dd 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 heavy border lines and sign all appropriate declarations. CITY OF COSTA .�-MESA �/CCONSTRUCTI ON PERMIT PERMIT NO. TRACT NO. LOT O. UNIT NO. Project Address raj.-Z6 Santa Barbara (Carporta a695C> )a 59'l! Ala 1j�"" Applicant's Mailing Address 2510 N.Shelley Cr. ,Costa Mesa,CaTVPE OF CONSTRUCTION Xi NEW CJ ADD U ALTERATION L7 REPAIR �q I Fairview Management Company 714/863-1590 ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# HLD -0/ 2 _/1 clic.PDd-tip Owner's Name Q Pllbne Car orts DESCRIPTION OF WORK/USE OF BI:DG. P Address 2400 Main St. , Irvine, Ca. 92714 f S Main Building:s . .'•s .L.._ Accesssof�l�ildifig: Arch/Eng. - License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T e.s ,0 .2s ' r V ;b, F!T~\ •/ t1 1► - 0 Address El TENANT El ELECTRICAL El PLUMBING El MECHANICAL B Read- .5 3/ .(.� �.( , '\�J`a d1' N Com any �L f" Contractor's Name Fairview Development Phone 714/979-505.4 ❑ OTHER �r •A • f f: �1 1 ROJECT DESCRIPTION SQ. FT. OCCUPANCWA.CP et 7 d� ,(�� i�`SQ` C Address(mailing) 2510 N. Shelley Cr. ,Costa Mesa,Ca. 9262 �r o- K 9 ' /1 �, c 39582 i CON ST RUCTION TYPE VALUATION$ 6ip,2� S ter �'[2 /1j (A R City iLeSEDe No. ZONE . GRADING CU.YDS. - ACRES 3 �1 LICENSED CONTRACTOR DECLARATION Ping. Ref.#P� g� 'g //7 l\v,V'Parking,Req./ ri�d¢d E I hereby affirm that I am licensed under provisions of Charter 9 (commencingN. Remarks: Planning Notes: • �,VT- M with section 7000) of Division 3 of the Business and Professions Code, and - U'''cs'' IV my license is in full force and effect. ��- O�:�/ / - T �7, License Class B License No. 496001 _ -. (p L� S Date Signature • PLUMBING . I FEES WORKERS' COMPENSATION DECLARATION Bar Sink ShOw¢f5ELECTRICAL S )ereby affirm that I have a certificate of consent to self-insure or a certificate FEES v Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink • „a00, Lab. C.) I Automatic Washer Transformer 0 15-50 KW PolicyNo. UB-830F944-9-6 Company The Travt=1 ora Sha CO. Backflow Irrigation •Sewer Ca - -I - ❑ 50+ KW 9 - p l_ Construction Pole.Sub. 2 Certified copy is hereby thehed- • Cert}}'fie�1�opyy..i Ilea with the city qy rl i Dlvi ' Bathtubs Sewer Connection Cooking Unit _ Meter ❑up to 100 amps Date /`�(o,SeAlPPica rll�2 /�'�---2 EXEMPTION FROM WORKERS'COM NSATION DECLARATION Clarifiers - Solar Collectors. Dishwasher . • Meter Dover 100 arhps (This section need not be completed if the permit is for one hundred ($100)or - less). Dishwasher- a, 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 manneA so as to bec e s tett to the Drinking Fountains Solar Tan. • Fan Worker o ge cation Laws of Calif i - •Motors 00-1 H• 1'f,-8 Date Signet u le,1...-- Floor Drains - Swi • ing Pool w/Spa • F.A.U. Inc.Solar I.•-15 HP ❑16-15+ NOTICE:I afte making this declare n, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks drinal Fixtures Micr•• ave comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet Device Boxes '•Ole Light I hereby affirm that there is a construction lending agency for the performance 9 - of the work fqr which this permit is issued (Section 3097 Civ. C.) ' Lender's Name Great A_mpraran Pi rSt Saul rigs Bank Interceptors Water Heater Outlets • Range Lender's Address10b7-5_Slater Avg._,FOtlntpi n V Kitchen Sink Water Service OWNER BUILDER DECLARATION 7 Switches Sign I hereby affirm that I am exempt from the Contractor's License LaW or they 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 r Generator ❑o-5 5.15 KW any structure, prior to its issuance, also requires the applicant for such permit JJJ Trash Compactor to file a signed statement that he/she is (tom licensed pursuant to the provisions S Of Roof rains / 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 - ierofrom 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 pe natty of not more than five hundred dollars($500). • IJ 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 $ 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 DEVELOPMENT SERVICES REQUI EMENTS: employees,If, ho ever; that such or improv improvements are not within or ofyear ered of for Boiler Hood or Type I 0 .Zonin Approved By ►7•t•• Hca � � /-24;11 sale. if, however,the hav building improvement is sold within one year of com- Canopy Type II 0 / 9 PP Date • prove ,'lhe owner will have the burtlen.of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of Sale). ❑-I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By s 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 . ❑0-100,000 : • 0100,000 BTU SUMMARY OF FEES • builds or Improves thereon,and who contracts for such projects with a con- - T' tractor(s) license pursuant to the Contractor's License Law). I am aware that' Exhaust System ❑ Multiple 0 Syst'- •epair/Alteration BUILDING PERMIT $ 42.50 SMTP - $ '• V ' proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ "i"'I%� PERMIT _ ❑ !am exempt under Section B.& P.C.for this reason - Firepl/Fact BIG ICBG# Fire Da mpeis • 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 00.100,000 BTU 0 a:,400 BTU . ELECTRICAL $ GRADING $ - information is correct. I agree to comply with all city and county ordinances a • nd state laws relatin• to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this c to ent- .on t • above-mentioned•Property f r i inspection pla$ �/ - MECHANICAL S. TOTAL FEE $ G/3• 00 Signatur- c/e 'r 4-�� Dat- - •, nspection Fee I -$15,- Issue Fee $ 3 PLAN CHECK 25% $ ' Drivers' License's SS#- - CMF 0865-46,rev. 10/84 White - Building; Ca ary -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 • $ ,1/7, /"�[//p/,J/ .t- 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final •• 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 Z/B0 7 QW 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date Star7SarbarefD-575-6 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . - _ CITY OF COSTA MESA CONSTRUCTION PERMIT 4 �PEjRMIT NO. • TRACT NO. LOT NO. UNIT NO. ' Project Address Tr.12594,Carport 'C' ,Santa Barbara Ln. R—a6,51 / iIaI --jjs9�/'p/� � / , 94b2-6 „ ypE OF CONSTRUCTION L.H NEW U ADD LI ALTERATION EPAI R Applicant's Mailing Address • N. h-1 e Cr. Costa miesa,,,� _ Owner's Name Fairview Management • • Phone 714863-15'OO CI CONVERSION ❑ DEMOLISH C7 OTHER A.P.# / ,"1 /� .,�M/ `J I Zone,PQ-- g DESCRIPTION OF WORK/USE OF BLDG. Carport - 12 spaces �7ow L/ L/ Address 2400 Main St. , Irvine, Ca. 92714 �y [[�� tt S Main Building: Accessory Building: Arch/Eng.Burke-Lester & ASSOC. License No. C-6925 TYPE OF PERMIT ❑ GRADING aJ FOUNDATION ® STRUCTURAL T &deet ,(, i ' /Z -��J �1 a • Z0 • Address 23075 Mi 11 Creek Dr, .Traci Hills.Ca.92652 CI TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL B Seer- S �S!„�+ t� j �` VA t\j''�VM. N I Contractor's Nam¢FaitvleW Deve lopme QmpaPnone 714/979-5057 ❑ OTHER A , !i/'�f'C 1 \ 4, ,v_ N Address(mailing/ 2510 N.She 11>Y Cr. ,Costa Mesa,Ca.92626 PROJECT DESCRIPTION SQ. FT.}y21�i0 OCCUPANCY M-1 K "� p4 —" - ��G [s — G g CONSTRUCTION TYPE VQ • VALUATION$ 18,576 $ Lek'it) // Ta f� 'y . ri=,Ul y City License No. 39582 ZONE G ADR ING CU.YDS. ACRES n T- R LICENSED CONTRACTOR DECLARATION Ping. Ref.#P/y- gs- i�/ Parlllk�h�Rl�q./Provided E ii I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Plannin Notes: JJ�f''r• c f� 0 with section 7000) of Division 3 of the Business and Professions Code,and (y+ g �,.. ��-t 1° M 1:\ my license is in full force and effect. �.C. �S�`�F �� ------`QS`� `y S ' \ License lass e r L •en e N. ' 496001 VE V Date - .. f1 Signatur- //4 �� PLUMBING FEES (•lj� \ WORKERS' COMPENSATION DECL• 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 -,800, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW ' Pfo�licy No. UB-830F 944-9-8FLompanyT$P Travelers IriS.CO. Backflow Irrigation Sewer Cap0 50+KW V4 Certified copyy�is hereby furnished. t - Construction Pole Sub. • C��iffincopyjs filed with the city B ' •i•• Divi / Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date .•..11((00 �dff�=// Applicant ._ / -- a ._.-:1 - • ' EXEMPTION F OM WORKERS'COM' SATION DECLARATION Clarifiers Solar Collectors Dishwasher • . Meter Dover 100 amps - (This section need not be completed if the permit i5 for one hundred ($100)or - ' ' less). Dishwasher Solar Pipi - Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to te Drinking'Fountains Solar ank ., Fan ' Workers' Compensation Laws of California. Motors ❑0- P ❑1'/x-8 • Date Signature Floor Drains imming Pool w/Spa F,q U NOTICE:If,of ter making this declaration, you should become subject to the - ,__ Inc SO . ❑g-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith FIOOr Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. owave CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water ClosetD¢vIC¢gOxe$ 1 hereby affirm that there Is a construction lending agency for the performance Pole Light of the work fo which This permit i issue (Section 3097 Civ. C.) Interceptors Water Heater Outlets Ran ¢ Lender's Name Great American First Savings B 1C - Lender's Address 10175 Slater Ave. ,Fountain Valley,Ca. - g • 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 Dis Oul 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 LaundryTrays • any structure, prior to.its issuance, also requires the applicant for such permit y Generator ❑0-5 ❑5-15 KW 'Trash Compactor , to file a signed statement that he/she is licensed pursuant to the provisions of Roof otos 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 - - J// -- 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). 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 offeredReinspection Fee I $15 Issue Fee $ 3 FEES - far sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - 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 REQ I•EMENTS: 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- Hood CanopyOr Type Type II I ❑❑ Zoning Approved By 4, `u((=• - Date /- •c✓ �+ • prove , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By O1 / A��d Data prove for the purpose of sale). _ �� 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System Application Issued By •_itIt. -_ Dat e��l: fr ' tractors to construct the project (Section 7044,Butlness and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BT ' 100,000 BTU SUMMARY OF FEES IF builds or improves thereon,and who contracts for such projects with a con- / ` tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System pair/Alteration • 1 'BUILDING PERMIT $ t Sa -SMIP $' (/ -SO proof of their Worker's Compensation insurance should be provided to me. O(wLy PLAN CHECK $ ..PERMIT' 0 1 am exempt under Section - B. & P.C.for this reason Firepl/Fact.Blt. ICBG# re Dampers 1 \PLUMBING $- • ISSUANCE $ • Heatin S st PLAN CHECK 25% $ ENERGY P.C. $ Date Owner 9 y em& Ducting Registers I hereby certify that I have read this application and state that the above • ❑0-100,000 BTU ❑100, T(= 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- sentatives of this city to n/er upon th- ab•ve-mentioned property for - • PLAN CHECK 50% inspection purposes ,�f1 // G�j// • • MECHANICAL 7 Signature .///e/ ction 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 Inspectoi\ 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 • y,'/ 58. Electrical Conduit-Uridrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnh. . 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 I ' 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 . 707Aft 48. Special Requirements Completed 49. Electric Release to•Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • . No. Date �`, 6 Bei,.,1,As Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ' • - CITY OF COSTA MESA CONSTRUCTION PERMITI %PERMIT NO. 1 TRACT�/ NO)., •LOT NO. UNIT NO. , Project Address Tr- 12$94,rarpnrt 'D' . Santa Bar bga a I"3 ?659 " �R� �'7 _ Applicant's Mailing Address 2510 N Shell v Cr. .Costa f•'1ees16,•aTYPE OF CONSTRUCTION 0 NEW /LLLJJJ, ADD U ALTERATION U REPAIR Fairview Management �"mpany ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# � ,�O .-O/ a —// . I ZonB�Q��J� Owner's Name 9 Phone 714/863-1'00 DESCRIPTION OF WORK/USE OF BLDG. Carport - 12 spaces ., -?� Address 2400 Main St, , Irvine, Ca. 92714 S Main Building: A AsssorV.111ril ng( i--\ Arch/Eng,Burke-Lester & Assoc. License No. C-6925 TYPE OF PERMIT ❑ GRADING � FOUNDATION ® STRUCTURAL T Ezoas ,V /�n Address 23025 Mill Creek Dr. ,Lan a Hills,Ca.92653 ❑ TENANT ❑ ELECTRICAL E /r/�' t 1 h� .� O ❑ PLUMBING ❑ MECHANICAL B mac- �L., /i y s 4 ^ N �u1nlmydll A Awe- 5 Pte' (7a:'f C7 sy4 1 Contractor's Name Fairview Development Pho a 714/979-51 57 ❑ OTHER 2160 C R+gM N Address(mailing) 2510 N.Shelby Cr. ,COS to Me Sa,Ca.9262: PROJECT DESCRIPTION SQ, FT. OCCUPANCY M-1 K / �, C A\V G CONSTRUCTION TYPEVALUATION$ 18.576 S •V� &) 9/ )1C e. e. CityLicense No. 39582 •} ' i �ia � E ZONE GRADING CU.YDS. ACRES Ping. Ref.#$4 -8S—/g:; Parkin rqq 7�ip LICENSED CONTRACTOR DFC LA RATION * �-._' E V ,- Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: c \1 U U M with section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. • P. C. &s-9— �6 s License lass B Li -rise • 496001 ` Date • -erreSignature ..19r,ir/.a a PLUMBING FEES \ WORKERS'COMPENSATION DECL• •ATIONBar Sink Showers I ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-Insure or a certificate I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 3800, Lab. C.) Policy No,UB-830F944-9-86 company The Travelers Ins.0 Backflow Irrigation 0 50+ KW 9 Sewer Cap Construction Pole Sub, RCertified copy Is hereby furnished. - Certifi g•co filed with the city : it• ng D'vlsi.. / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date/" -�y)/}[ Applica• -- ! - . EXEMPTION FROM WORKERS'CO - NSATION DECLARA: 1 CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Pate 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 P1401_ 58. 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 ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap• I 63. Heater & Vent-Final 13. Roof Drains 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 ,r 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 ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - • 27. Frame and Flashing 76. Dry Standpipe 28, Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • `f 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 1 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 730, D� 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 heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION,PERMIT /PERMIT NO. TRACT NO ' LOT NO, UNIT NO. ' Project Address 2S.5-fo Santa Barbara (Carport yyEE�yy)sa / 'r—a 6$ 9? ��os2�5, / . Applicant's Mailing Address 2510 N. Shelley Cr. ,Costa Mesa, OF CONSTRUCTION LX NEW •ADD U ALTERATION U REPAIR [/�1 i 'Fa1rV].eW iManagemerit C'ltpdpnone 714�f4Fi3-1S�Q , ❑ CONVERSION ❑ DEMOLISH D OTHER • A.P.# 410 _p/,2 — �� _ Zone jape—/,//D Owner's Name DESCRIPTION OF,WORK/USE OF BLDG. Carports �7 Address 2400 Main St. , Irvine, Ca. I 92714 i S Main Building s ..„=,,,,,� -�,(, A?cce Building: Arch/Eng. I Lidense No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T RsoR1- 0 25/ AC/ ec v 1.1.LIM ` • • 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL • B Rte.' S Z/ ,/-. `1 N L.OIlLp dny ❑ OTHER , • I A ��,/J Q7 !/ • • I Contractor's Name Fairview Development pfidiL4.�97 a-90 R'7 �� ti�D p;�,t GJ / TSA 7 1JV! - - N ROJECT DESCRIPTION SD. FT. - occuPANc Address(mailing) 2510 N. Shelley Cr: ,Costa Mesa,Ca.9262 K ten / � / ,_,� G • CONSTRUCTION TVPE�� VALUATIONS �� $ L!f —__ - City License No. • 39582 • ZONE , ' GRADING CU.YDS. ACRES ^ �(�tl�J�,�rs s r i R • LICENSED CONTRACTOR DECLARATION ping, Ref,# p/'1-gs-a1T I��LJf7U0s ParkLnrg,R¢q,/PlOvid¢d E ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 0• Planning Notes: M with section 7000).of Division 3 of the Business and Professions code,and /� y / my license is in full force and etBtect. r •96001 �`-' •' `�'� ! �w S T License C,lra,s/s��•��� Dzt0n =a2_� Signature7. -c`er . •��_ • . PLUMBING • FEES - f , WORKERS'COMPENSATION DE LA RATIONBar Sink' Showers i • 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 (Section Backflow Preventer Service Sink ,800, Lab, C.) Automatic Washer Transformer 0 15-50 KW Policy NoPB-830F944-9-6 Company The Travelers Ins.Co. ' Backflow Irrigation Sewer Ca - • / Cap' Construction Pole Sub. 0 50+ K W Certified copy is hereby futhe - .X Cert' �opy/j fff���ed with the city it g Divi Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 a,-.s Date �' > iT APplica /. - EXEMPTION FRO WORKERS'COMP NSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter Dover 1.r amps (This section need not be completed if the permit is for one hundred ($100)or • less). Dishwasher . Solar Pipint , 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 .nk ' Fan Mot. 00-1 HP 01%-8 Workers' Compensation Laws of California. - - _ Date Signature , Floor Drains S mming Pool-w/Spa' F.A,U. ' ' NOTICE:If,after making this declaration,you should become Subject to the _ _ _• c.Solar LJ9-15 HP016-15+ 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 CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes • I hereby affirm thpa�t therep is�a pc�onsptruction lending yyageenn2cy for the peerformance Pole Light of the work f breath American is_ 'irst Savings 9Banh C.) Interceptors Water Heater • Outlets Range • Lender's Name 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 r GarbageDispo 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 re air p-Trap LaundrTra any structure, prior to its issuance, also requires the applicant for such permit y s Generatoyyy�������(((0.5 KW ❑5.15 KW •Trash Compactor • to file a ra tor' statement that pte is licensed pursuant to the provisions Roof Dr. s - / the Contractor's a License Lawssnd(Chapter 9(commencing with Section 7ex)of / 'l-erefro 3 of the Business and-Professions Code) or tishe is exempt-- - , - - - - mantl,the basis for the allegedperm exemption. Any violation of Section • • I 031.5 by any applicant for a permit subjects the applicant to a civil I r 1 penalty of not more than five hundred dollars($500). ' . 0 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 - -: for sale (Section 7044, Business and Professional Code: 'The Contractor's ' _ • MECHANICAL FEES Reinspection Fee I $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 SERVIC S REQUIREMENTS: • employees, provided that such improvements are not intended or offered for Boiler • Hood or Type I 0 P sale. If, however,the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By / Date ` lir: • pletion, the owner will have the burden,of proving he/she did not build or im- Duct- Under Ground • we Building Approved By �� '.A Date �rOve for the purpose of sale). - i ! rte'/ u LJ,I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration S . em Application Issued By = ice. 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 asa BTU ❑100,000 BTU SUMMARY OF•FEE builds or improves thereon, and who contracts for such projects with a con- • _ - tractor(s) 1¢ense pursuant to the Contractor's License Law). I am aware that -• , Exhaust System ❑ -Multiple❑ S em Repair/Alteration .s UI LDING PERMIT $ .V-to SMTP " $ - a Sr 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.Blt. ICBG# Fire Dampers PERMIT $ ' - PLUMBING - $ Date • - Owner - Heating System& Ductin. Registers - • PLAN'CHECK 25% t - - ENERGY P,C,- $ .. I hereby certify that 9 have read this application and state that the above ' 00-100,000 BTU 0 ca,000BTL' ' - - 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- - PLAN CHECK 50% MICROFILM. $ • sentatlyes of this cis' to enter •- the above-mentioned property for • : - - $ inspection pur•a>. - / MECHANICAL ignatuon p &t2. _ CMF 086546,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 COVER-GUNITE 7. Footings 4/A7 / o fSGtl� 58. Electrical Conduit-Undrgrnd. 8. Foundation !/ or 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. 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 D 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) & Mdnocoat 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 V/R 0 • 48, Special Requirements Completed a ( 4 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 heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NC). ' Project Address .P-S-3-‘• Santa Barbara (Carport9 �2 G ��SS 1,;2s-94/ , Applicant's Mailing Address 2510 N.Shelley Cr. ,Costa t4esa,C: TYPE OF CONSTRUCTION NEW ❑'ADD ALTERATION U REPAIR Fairview Mana ement�ompany ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ Zone 0 / Owner's Name 4 Phone 714/fl128X5�•:7T - - V i ow -' 2400 Main St. ,Irvine Ca. 92714 863-15.0 DESCRIPTION OF WORK/USE OF BLDG. —CaxPortS Address r S Main Building: AcZessohk8 uil`Uing: Arch/Eng. License No. TYPE OF PERMIT LI E c/ P �f j' "' Ni" Z g GRADING U FOUNDATION CI T Gceet,(J �J " C.�Ir�� ?. @ O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B per 5• `_ / - fJ ` N com an J J I' `. t�" Contractor's NameFairview Development hone 714/974-50.7 ❑ OTHER - emit A t , il, a•." N PROJECT DESCRIPTION 54. ••• ism OCCUPANCI ed -x •C £ �� '� s Address lmailing) 2510 N.Shelley Cr. ,Costa Mesa,Ca.9262. . , ,A K / t r? G CO N ST RUCTIONTYPE it . VALUATION $ 4/ ., S LTfr w 9 4. E. I City License Na. 39582 ZONE GRADING CU.YDS. • ACRES F'A—R5 —IEi1?%� R K LICENSED CONTRACTOR DECLARATION Ping. Ref.# U+ ,_-Par L§Rjeq�%Provided E '\ I hereby affirm that em licensed under provisions of Charter 9(commencing ' � C�jy 0 ' ( g Remarks: Planning Notes: 1 M W with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. •PL'y3.�' U' // \ License Clap 7�� B �'.N- to • • ' 496001 ✓.7 / o (s L� _ - I `- S Date Signatures _ �'r _ PLUMBING FEES WORKERS'C MPENSATION DEC ARATION Bar Sink . - Showers ELECTRICAL FEES 3 ' hereby affirm that I have a certificate of consent to self-insure or a certificate I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ,800, Lab. C.) Automatic Washer ' Transformer 0 15-50 KW Policy NOP-830F944-9-86 Company The Travelers Ins.C• Backflow Irrigation - Sewer Cap " - ' III Construction Pole Sub. MI ' 0 50+ KW ' Certified copy is hereby furnished. , Certified Sopy4s filed with the city B 'ding Div -on ' de.Bathtubs I. Sewer Connection ,• '_■.I Cooking Unit • II. Meter ❑up to 100 amps AIME Date /•-•-10-"X Applica ..-.- . i_ . -r'a • EXEMPTION F,0.0M WORKERS'COMPENSATION CLA RATIO N6` a Clarifiers a Solar Collectors _®■E Dishwasher IIIMeter Dover 100 ampa ■ (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 ❑0- P ❑1 11 -168-15+ -B Workers' Compensation Laws of California. Date Signature Floor Drains 'Swim .' g Pool w/Spa F.A.U. Inc.Sol. ■9-15 HP 16-15+ . NOTICE: If,after making this.declaration, you should become subject to the �� Workers' Compensation provisions,of the Labor Code, you must forthwith Floor Sinks • 'rnal Fixtures M - owave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes p I hereby affirm that there is a construction lending agency for the performance l ..Pole Light of the work foA which this pRrmit is issued Section 3097. Civ. C.) Interceptors Water Heater Oull¢Ls Lender's Name ureat Amen ran F'rat avtngs Rank Range Lender's Adtlress1Q17S Slater Ave. ,1.OU,J1ta1R Valle}�,,((((axf{�S3�[� Kitchen Sink _ ..Water Service Switches OWNER BUILDER DECLARATION JL,ZO Sign ' I I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbo a Disposal following reason (Section 7031.5 Business and Professional Code: Any city or g P .Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap , Laundr Tra s any lstructure,siprior tom its hat he/, also requiresicesthe applicant for such vi permit ' - Y. Y, Generator ❑I - KW ❑5-15 KW , Trash Compactor I to file a signed statement that he/she is licensed pursuant to the provisions of Roof • .ins 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 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). ' 0 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 1 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 ' -- DEVELOPMENT SERVICES REOUI•EMENTS: _n�] employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved By — �J �- - O / • 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 GroundBuilding Approved By a-�+lJ�/ Date d prove for the purpose of sale). ' ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeratio :r stem Application Issued By W �� Dat: ISO 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-Ventilating00-1 1%100 BTU ❑100,000 BTU , builds or improves thereon,and who contracts for such projects with a SUMMARY OF FE- X7-1 con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 'ystem Repair/Alteration BUILDING PERMIT $ SV. �i0 $MIP $ e 51 proof of their Worker's Compensation insurance should be provided to me. ■ / ALAN CHECK $ -PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason ■ Firepl/Fact.Bit. ICBO# '. Fire Dampers - • PLAMBING $ • ISSUANCE $ Date ' Owner - Heating System& Ducti.• Registers PLAN CHECK .25% $ _ENERGY P.C. $ 1 I hereby certify that I have read this application and state that the above 00.100,000 BTU • 00,000 BT 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- • MICROFILM $ - - sentatives of this city to ei er upon the abo --mentioned -property for - • - PLAN CHECK 50% $ •inspecti(in wOoses. ' / ,r..s/87 - MECHANICAL $ TOTAL FEE $ ��l• 00 Signatur y'i- .L� - Dat / • -Drivers' License or 5$ - 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. I 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 Grind. 57. APPROVAL TO COVER-GUNITE 7. Footings 4n'!ii'Y _ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing 65- Electrical-Final - - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 0Gas 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 //97 Od 48. Special Requirements Completed / 49. .Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date i� f ! Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 4.4i• CITvY_rC6STA MMESA/ CONSTRUCTION PER MI'TB'o " PE MIT NO. 2 TRACT NO. LOT NO. UUNIT110 • 4017 9/29/86 2569.88 TL .#fgct Adc?ressL2:J✓7 co J4 Ain U42e73 4.0'4 LiQ o 1 7 J 3 12594" I l7 C�rJ� C. ! XJIOA'2 54/FLLF e.e. e. TYPE'OF CONSTRUCTION NEW ❑ ADD LJ ALTERATION LJ REPAIR Applicant's Mailing Address ' O>� ] CONVERSION ❑ DEMOLISH ❑ OTr ER 420-0f owne!'s Namefi0>/�/�/f'd/y4.v41C/.•1 2.7- .0 Phone OL:a/`e, .l A.P.# .,�[/ V —�� Zone��_hl� DESCRIPTION OF WORK/USE OF BLDG. • Address 1/76 /A4.^t's> /.ymie1&L 90274/ /g-(mac it APART:Li�.Yr/ S Main Building: L' ,/� 4 Accessory Building: Arch/Eng..A/U.e.�F ,,4�r-4�T�i� License No. e_ 9 . TYPE�-TOF PERMIT ❑ GRADING❑tK. FOUNDATION STRUCTURAL T Swain '-70, RJ O Address pjtis 144L £ - P LAf04/4 4&iS C TENANT' ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B im, 4 N Contractor's Name/4/46*24/J kt"d' Phone I! `.Ccs7 - ❑ OTHER C N Address(mailing) O --74 PROJECT DESCRIPTION SQ. FT.2/:r(? OCCUPANCY Rigtrt G 1rrfl!(/ "-Li - C 4srAK G g 444-ss CONSTRUCTION TVPE•F.O/YF �U«C VALUATIONS S 4eft W 7.2/ k b / R City License No. ZONE GRADING CU.YDS. ACR �j�� . LICENSED CONTRACTOR DECLARATION • /t1±. J ^'') m �Z`�� Ping. Ref. #PA_gs-954 Parking Req./Provided - /� E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 7`j: S [' 9,_ 41,. / Planning Notes:q/s�0 �A 4..a tI�6F • M with section 7000) of Division 3 of the Business and Professions Code, and ( �J !lV L� /vr CT my license Is in full f ce and effect. • - T Licensg Class �� nse Not-C4-22-3 HOLD FOR SPECIAL Rcl'U;1tEi,: ;{')'5 $ Date 6 -91—ht& 5ignatu -- . .. dY> 4 -4 PLUMBING FEES V WORKERS'COMPENSATION DECLARATION Bar$ink • • $ho ers ' 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 • — 30, Lab. C.1 Backflow Preventer ' Service Sink - / iF _y'S6 12.4147--a-•SAutomatic Washer Transformer 0 15-50 KW rolicy No.( 5��_ Company - - Backflow Irrigation Sewer Cap - Bcertified copy is hereby furnished. Construction Pole Sub. 0 50+KW Certified copy is filed with the city Building Division. `` Bathtubs Sewer Connection . . Cooking Unit Meter ❑up to 100 amps • Date z--y.- Applicant �/Ir r#N/ DFJIJ': - EXEMPTION F ScOM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher ' Meter Dover 100amps (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 Solar Tank - Fan ' Motors ❑O-1 HP 0114-8 Workers' Compensation Laws of California. -- _� F.A.U. Date Signature Floor Drains Swimming-Pool w/Spa NOTICE: If,of ter 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 comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENPING 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 fo which_ l is permit is,issued (Section 3017�Clv. C.) Interceptors Water Heater Outlets Ran e Lender's Name �s.e/�un�.�/'CA'L1 ft-1c97 /4 9 Lender's Address 1.6/76.-"CeArea 4✓E .ijUdt4 u/ YALIF)/ynissi 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 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 - Laundr Trays any structure, prior to its issuance, also requires the applicant for such permit y y - 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 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 131.5 by any applicant for a permit subjects the applicant to a civil malty 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 me work, antl the structure is not intended or offered - Reinspection Fee f $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 DEVELOPMENT SER • a •EMENTS: /y_ �_ employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ f-,x `� ''') yearCanopy Type I ❑ ZoningApproved By4 eC . sale. If, however, the buildingor Improvement Is sold within one of corn- pP ` _S, Date L�j(a/ Mellon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved BY �r / /YFS • Date prove for the purpose of sale). , - -- i, ( ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System Application Issued By ,r Date '2G^�'+M9 tractors to construct the project (Section 7044,Business and Professions Code: 1 The Contractor's License Law does not apply to an owner of property who Duct-Ventilating . 00-100.000 BTU ❑100,000 BTU Q builds or Improves thereon, and who contracts for such projects with a con- SUM • :,VeFFEES - $ tradtor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust Sysiem�❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ _4e 4k%,� SMIP 63.3(Q proof oftheir Worker's Compensation insurance should be provided to me. _ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG#` _ PLAN CHECK $ PERMIT PLAMBING $Fire Dampers ISSUANCE CE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ • PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTU— GRADING S 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- MICROFILM $ sentatives of this city to ent r upon the above-mentioned property for _ PLAN CHECK 50% $ • - /7 (� Q inspection purr9aes. // r MECHANICAL $ TOTAL FEE $ L��/���/ Signature '��Q.�J! � �— Reinspection Fee $15 Issue Fee $ 3 I _ PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicanh 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. g `1&' Q►�' 57. APPROVAL TO COVER-GUNITE 7. Footings - r/IS QS¢ 58. Electrical Conduit-Undrgrnd. 8. Foundation __11 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. [{,�� 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System libt 'V 0 i 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection /I 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 4 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# -7 _ i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas O Oil 23. Gas Pipe-Rough &Test 72.. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oi 25. Roof Sheathing 1/8 87 G1 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ''r1 75. Dry Chemical 27. Frame and Flashing dJzt€i 41� 76. Dry Standpipe ' 28. Lathing& Siding Ff�( 77. FIXED SYSTEM FINAL . • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing .y1/p1 )1- 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 fade? o t1uaAL 4 ~ W-. . p_ . 35. Final Gas Pipe-Test '"'//l7dd �� �''VI�j_ / T+'�a7f.ItT 36. Hood or Canopy Gx1 dVdf/f�_ -/. 7 11 37. Final Factory Fireplace �( yB('}/rJ LLII G 38. Final Plumbing • LI _ t, n -_ e - 39. Water Service-Final �'`J�/eJf�/,-(��/ 40. Gas Service-Final V /�L� 1 ' �'n t' 41. Solar Domestic-Final (\ G�.{.�t.t,( 42. Backflow Preventer - 43. Backflow Irrigation fry - ' 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 7 , ' Pd • ii, - 48. Special Requirements Completed /7 h? •Mm 49. Electric Release to Edison � • , 0 50. Gas Release to Southern California Gas Co . f 51. CERTIFICATE OF OCCUPANCY .it., ` No. Date . 1 NOV 6 th • . ':... David C . Weiss Structural Engineer& Associates, Inc. November 4 , 1986 City of Costa Mesa Dave Hartke % Fairview Development Co. 2510 N. Shelley Cr. Costa Mesa, Ca. 92626 Re: Harbor Village Tract #12594 (Our Job #27586) Dear Mr. Hartke; This office does not require the Post-Tensioned slabs on this project to be stressed before the framing begins. The only restriction would be that the slab must be stressed prior to the roof covering material is placed on the roof. Please call if you have any questions. cerely, n David C. Weiss Structural Engineer - 22440 CLARENDON STREE•SUITE 203•WOODLAND HILLS•CALIFORNIA 91367• (818) 704-0631 2 lto 4' City of Costa Mesa INSULATION CERTIFICATION . Building Safety Division 2556 Santa Barbara Lane Costa Mesa Orange Number and Street City County Tract 12594 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material N/A Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiber Glass Batt Brand Name Manville Gold Fiber Glass Thickness (inches) 3 Thermal Resistance (R Value) R-11 CEI LING Ban or Blanket Type Fiber Glass Batt Brand Name Manville Gold Fiber Glass Thickness (inches) 6 Thermal Resistance (R Value) R-19 Loose Fill Type N/A Brand Name Minimum Thickness (inches) N/A Number of bags Weight per bag lb. Area Covered (ft2) N/A Thermal Resistance (R Value) FLOOR, ELEVATED Material Fiber Glass Batt Brand Name Manvy.]]e Gold Fiber Glaas Thickness (inches) 3 Thermal Resistance (R Value) R-11 FLOOR,SLAB Material N/A Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material N/A Brand Name Thickness (inches) Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). Fairview Development Company B 496001 General Contractor(Builder) License Number d�Q i �GGwi May 8, 1987 Signature and Title Date Red's Insulation 381933 Sub Contractor(Insulation Applicator) License Number rS1 o May 8, 1987 Signature and Siir Date CMF 1106-46 Don Greek Up- uand fRssoc,iotes 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: . 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 SURENDER DEWAN, P.E. ,R.C.E. 34559 rtk cc: Fairview Development, Attn: Mr. Frank Kindstrand QpOEESS/�..\ 44O aDER M aFf e cty sr -1 c N0. 34559 ; _ i.« *; - " Cfy <1:f °T.011.0%. 2428 N.GRAND AVE., • SUITE L • SANTA ANA,CA 92701 • (714)543.0990 OWDon Greek and -Associates CONSULTING CIVIL ENGINEERS ENVIRONMENTAL ENGINEERS SURVEYORS July 22, 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 6 and 7 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 fiXe / N. S. KABBARA, P.E. R.C.E. 40812 rtk cc: Fairview Development, Attention: Mr. Frank Kindstrand is OFESSlpve`N S. KA8,9 e 9 2 WCC S No. C-40812 * LI c_ete *' rgts FlCIV 1� a�P 3- 31 -91 airF OF CAO" 2428 N.GRAND AVE., • SUITE L • SANTA ANA,CA 92701 • )714)543.0990 Pir • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1` CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. NIT NC/.gas/ • 54.13 TL • Project Address 2556 Santa Barbara Ln./Trash Encl. 2625 a�09I / � a1333 • Applic'ant's Mailing Address 2510 N.Shelley Cr. ,Costa Mesa,C3 TYPE OF CONSTRUCTION Q NEW ❑ ADO U ALTERATION ❑ REPAIR ( �y�{)�/� Company ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# •- O _ _ I F122 ryo Owners Name• FairtzieW Management Phone 714/R5'i-15 DO DESCRIPTION OF WORK/USE OF BLDG. Trash F,nrl Weare �� 10_-1/ /S Zona Address 2400 Main St.,_Irvine,_Ca.v. 92714 l-1 S Main Building: Aebes"sory 5(r1t�xgt1 54. i TL Arch/Eng.Burke-Lester & Assoc.- License No. C-6925 TYPE OF PERMIT U GRADING Li FOUNDATION LV STRUCTURAL T Front /0 / `�� tic p Address 23025 Mill Creek Dr. ,Laguna Hills, Ca.92653 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ee N /. ,/. N t'Omp r1Tl ❑ OTHER A I Contractor's NameFairvieW Development pli0ne X14/979-50 i7 C Righyy •561001- 1- N Address(mailing) 2510 N.Shelley Cr. ,Costa Mesa,Ca. 92625 PROJECT DESCRIPTION SQ. FT.� / OCCUPANCY MSU K yc • G 39582 • CONSTRUCTION TYPE V$ VALUATION 562//900 —. S Leff 4v/ �p . _ -w� • R City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref. # / Parking Req./Provided E fs LICENSED CONTRACTOR DECLARATION -// • O I\ \ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /?E 3 / / A , �3 T Planning Notes:rivint (�,vs• t s M V V with section 7000) of Division 3 of the Business and Professions Code,and sr O(/•• / T my license is in full force and effect. T \ License Class • B Li ense No. 496001 Date 4��* Signatur: •�� PLUMBING FEES ai ii .ice \ WO-KERS'COMPENSATION DEC : - •TIO Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate - • ELECTRICAL - - FEES nf Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink / 300, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW olicy Not7B=8301944-9-R6 Company The Travelers Trig r0, Backflow Irrigation - Sewer CapV ❑ 50+KW EAConstruct ion'Pole Sub. Certified copy is hereby furnished. Certified copy led with the city B ' .i'• Olvisi.n / Bathtubs 'Sewer Connection Cooking Unit Meter ❑up to 100 amps Date /LI( APPlican EXEMP 0 FR WORKERS'CO •�'SATION DECLARAT •N Clarifiers - 'Solar Collectors . . Dishwasher Meter Dover 100 am (This section need not be completed if the permit Is for one hundred (5100) 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 011/2-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swim ' Pool w/Spa , F.A.U. - f NOTICE: If,after making this declaration, you should become subject to the Inc. ar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' al Fixtures comply with such provisions or this permit shall be deemed revoked. - icrowave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes / Pole Light of the work f52r which this permit is issuetl (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name refit Amera nen Fi ret avi rings Sank Range Lender's Addressla25_SSater_BVe. .Fountain Va 11 ay r a. Kitchen Sink - . Water Service• . Switches Sign OWNER BUILDER DECLARATION 92729 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 00-ynW ❑5-15 KW Trash'Com actor any structure, prior to its issuance, also requires the applicant for such permit / P to file a signed statementthat hapte is licensed ting ant Section provisions 0 )of Roof ins the Contractors License Law(Chapter 9(com q with Section is of /f/ . Division 3 of the Business and Professions Code) or that he/she is exempt - - therefrom and the basis for the alleged•exempion. Any violation of Section , `31.5 by any applicant for a permit subjects the applicant to a civil - laity of not more than five hundred dollars . • -J 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 ' ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL• Reinspection Fee $15 Issue Fee $ 3 ern Law does not apply to owner if a property who builds s or Improves _ _ FEES ' thereon, and who does such work improvements elf or through tende his or herrown DEVELOPMENT SERVICES REQ IREMENTS: le. If,employees,oever, that such r poes are not intended or year of dc for Boiler C oType I 0 .0� sale. If, however, the building improvement Is sold within one year of com- Canopy Type II 0 - Zoning di Approved d / Date -- -.T • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By sr �� Date -• .prove for the purpose the of oe). _ - �/ i� ` O I, as owner of the property, Se exclusively contracting with licensed con- Duct-Structural ' Refrigeration System • Application Issued By t .4 Doh /moi -' I tractors to construct the project (Section 7044,Business and Professions Cade: - . The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0 :0,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with scan- tractor(s) license pursuant to the Contractor's License Law). 1 am aware that Exhaust System'0 Multiple 0 System Re. • Alteration • BUILDING PERMIT $ -1.7•51:2 SMTP $ SYS proof of their Worker's Compensation Insurance should be provided to me. _ ' ` PLAN CHECK $ 'al •t3 PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# F' campers PLUMBING $ ISSUANCE 5. . 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 ❑100,00! : l $ 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 purp.P•. qn -_ Signature ii i/! i . Patel'fiZd�7 Reinspection Fee $15 Issue Fee $ 3 PLAN• MECHANICAL NI CHECKL 25% $ TOTAL FEE $ .7�y1 Drivers' Lice 4: or 5S# �`(��!!�` ' 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 COVER-GUNITE 7. Footings 2/07 r -//ry pir 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - • 60. Backwash Lines,PiTrap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62! Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68- APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 r • • 41. Solar Domestic-Final '42. Backflow Preventer' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / L 47. FINAL STRUCTURE & BUILDING 7,t�/�%/,.0l 48. Special Requirements Completed `•/"(Y" 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - • r •xt • • .01---..a. • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA (((d```O_NS`TFjj}�TJ�CTION PERMIT 7 PERMIT NO. TRACT NO. LOT NO. UNIT NO, 6631 11/04/86 467e39 . L Project Address IX 5St4 .J(�,y1Jtp„ l•IJ� / 024 1 Lol7 ' Applicant's Mailing Address15 Lao8 E, IKyo 5,F S , TYPE OF CONSTRUCTION /'��''T``,,��EW U ADD ❑ ALTERATION LJ REPAIR ' ❑ CONVERSION ❑ D ME OLISH ❑ OTHER • Owner's Name r I s^) % - . a Phone A.P.# Zone Address @910 N. S •L.. f p ,, � DESCRIPTION OF WORK/USE OF BLDG. • E _ Z 1 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT LJ GRADING H FOUNDATION ❑ STRUCTURAL T Front O Address �1r� p ❑ TENANT ❑ ELECTRICAL -PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam. I I. '---.A . '\thyr-.AL.. t Phone 7al'4tk31 ❑ OTHER C Right . . N t !�4�� / C„ S PROJECT DESCRIPTION 5G.F7. OCCUPANCYK G Address lmailing1�3�08Ej. ALµIAy avcq.It. hftq C ON ST RUCTION TYPE VALUATION$ S 3 i n.9, Left City License No. ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Prov de. E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: sS ;si�L PlanningNotes: t'� ('� ; L 7 {1199Y/ O with section 7000) of Division 3 of the Business and Professions Code, and _ `�`�j���t �55�� - rC`v C1J Vi' SCn� T my license is in full Ione d effect. .-.G 4 ikteCL1 18B License Clas `.75 . Lic nsjNo:`L �^3 _ \IE1� O S Date 9� • i = Signature �.a/-- &- S , ` PLUMBING FEES I PF 1 t {` 'YORKERS'COMPENSATION DECLARATION Bar Sink - $hgw¢f5 1 lereby 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 letServiceSink — - 3800, Lab. /J� c/ Automatic Washer Transformer ❑ 15-50 KW Policy No. �lr�p�111} Companytit Backflow Irrigation Sewer Cap _ Construction Pole Sub. ID 50+ KW certified copy is hereby furnished. rert}�ied opY 1aa Sled with the cit�+��p�ssltlin pivisio Bathtub Sewer Connection �o•— Cooking Unit 1 t 1 Meter Duo to 100 amps 1 Date LV^ _Dfe ApplicantT LLL I(,aL'a.. `' � `y�� EXEMPTION FROM WORKERS'COMPENSATION DEC LAR/IT ION(10 Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps (This section need not be completed If the permit is for one hundred ($100) or p less). O Dishwasher Solar Piping 3(p — 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 Solar TankFan .Motors❑O-1 HP❑1 X-8 1 Workers' Compensation Laws of California. _� Date Signature I Floor'Drains Swimming Pool w/Spa 'a _ F.A.U. NOTICE: If,after making this declaration, you should become subject to the - _ Inc.Solar 09.15 HP 016-15+ Q 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 Pole Li ht • ' I hereby affirm that there Is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 CIV. C.) Interceptors . i9 Water Heater — -' Lender's Name - Outlets Range .p Lender's Address - Kitchen Sink Water Service Switches i Sign - - OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt tromp the Contractor's License Law for the 2/_Lavatories 3 Auto-Wash ' X18 — Garbage Disposal Standing Sections �' • following reason (Section 7031.5 Business and Professional Code: Any city or --�+�tsz2i '>' ' county which requires a permit to construct,alter,improve,demolish or repair P—Trap q Laundry Trays qq Generator ❑05 KW❑5-15 KW. any structure, prior to its issuance, also requires the applicant for such permit CJ, Trash Compactor c 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 - - _ a tivision 3 Of the Business-and Professions Code)'or that he/she is exempt serefrom 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 __ oenalty of not more than,five hundred dollars($500). 0 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 $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 SERVICES REQUIREMENTS: employees,es, provided that such improvements are not intended or offered for BoilerZoningApproved By ' sale. If, however, the will have the or improvement Is sold within one year of corn- Canopy Type 11 ❑ pP oved Date tattoo, the owner have burden Of proving he/she did not build or im- Duct-Under Ground /_ / /le� Melon, - _ Building Approved BY /�[ Date ' //•�/{!// r Ove for the purpose of sale). /`t O 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- tractor(s) 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 $ �,y PERMIT .Ja-.--r• 7� ❑ I am.exempt under Section B.& P.C.for this reason Firepl/Fact.Bl t.ICBG# Fire Dampers PLUMBING $ 3' T l,sa ISSUANCE S S"•�tT , Date Owner Heating System-8r Ducting Registers PLAN CHECK 25% $ gR.2.c ENERGY P.C. $ i hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000BTL 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 his city to enter ..n Sh. above-mentioned property for _ PLAN CHECK 50% $ inspection Ifl`•� ® _ - MECHANICAL $ ytD'\'31 Drivers' pool . . .s. . ! tf. Date �7s Reinspection Fee $15 Issue Fee TOTAL FEE $ Drivers' License or SS# � �;� r $ PLAN CHECK 25% $ =F 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. {(-114 LED 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms i. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-G UNITE 7. Footings 58. Electrical Conduit-Urfdrgrnar' 8. Foundation 59. Gas Pipe, 0 Undrgrnd y Tesfl 9. Water Pipe-Undrgrnd. WC d6 LED 60. Backwash Lines, P-Trp, O,LUndrgrnd. 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 1-4-W7 L E0 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign68. 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 I2"3i_yG Lt' 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 r 51. CERTIFICATE OF OCCUPANCY , No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PER I Nn,� /p �/ TRACT NO. LOT NO. UNIT NO. : . .r•Proiect Address• 2556 Santa Barbara Lane J�. �7 1 - 5791, 1 /23/67 1t0,50 TL Applicdnt's Mailing Address„ 5380 E. Hunter Ave, Anahe mTYPE OF CONSTRUCTION 1 ll NEW L ADD LI ALTERATION L REPAIR ' Mana ement • Phone Fairview ❑ CONVERSION El DEMOLISH .11] OT ER A.P. #• - (Zone -Owner'sName g DESCRIPTION OF WORK/USE ;rtq tri OF BLDG. H • Address 2400 Main St. Irvine, CA 92714 \1 S Main Building: Accessory Building: - • Arch/Eng. Burke.Les,ter & Assoc License No. TYPE OF PERMIT El GRADING ElFOUNDATIOry. ❑ STRUCTURAL T Front - , .O Address III TENANT El ELECTRICAL El PLUMBING FYy1 MECHANICAL BB Rear N Contractor's Name Mission Sheet Metal Phone 970-5734._ ❑ 'OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) 5380 E. Hunter Ave, .Anaheim. CA 9280 K' _ G CONSTRUCTION TYPE VALUATION$ S Left • City License No. 026467 • -- 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:Ga QC 5 Da - Planning Notes: ' "- M with section 7000) of Division 3 of the Business and Professions Code, and JJ / my license is in fule`P(f eig `ntet. - s T ( License Class License No 7 • Date 1-23-87 Signature PLUMBING PLUMBING FEES A WORKERS' COMPENSATION D Cte RATION Bar Sink Showers ELECTRICAL FEES ' ` 'ereby affirm that I have a certificate of consent to self-insure or a certificate • . acw ' - - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink • - AO, Lab. c.) Automatic Washer Transformer ❑ 15-50 KW 470893 State Fund ❑ So+ Kw Policy No. Company Backflow Irrigation l Sewer Cap j Construction Pole Sub. Certified copy is hereby furnished: Cer iiin•nkc0 Is Meg with the city - +ivi i. Bathtubs - Sewer Connection Cooking Unit Meter Cup to 100 amps to -'-+- � Applicant - - EXEMPTION FROM WORKERS'COMENSATION DE L•RATION 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 DGas ❑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❑0-1,HP ❑1'/x-8 Workers' Compensation Laws of California. • - — Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP❑16.15+ 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. Microwave CONSTRUCTION LENDING AGENCY . Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for theperformance •- Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) 9 Lender's Name YPA 1" American Savings Interceptors - Water Heater - Outlets Ran e Lender's Address _tga_7_q r Ave y F.V. . Kitchen Sink Water Service ' Switches Sign OWNER BUILDER D Y A 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 KW 05-15 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 ')ivision 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 - • . . 331.5 by any applicant for a permit subjects the applicant to a civil '- aenalty 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 orofferedReinspection 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 or through his or her own Hood Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: or employees, provided that such improvements are not Intended or offered for Boiler , Zoning By sale. If, however;the building or improvement is sold within one year of tom- Canopy Type II 0Approved Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground :Approved By prove for the purpose of sale). -- BuildingDate O 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 -• ❑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 thatExhaust 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 O I am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. 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 00-100,000 BTU 0100,000 BT /e,f i • ELECTRICAL $ GRADING • $ information-is correct. I agree to comply with all city and county ordinances Bathroom TOOm Oln lC duct , and state laws relating to building construct' n, and hereby authorize repre- g / MICROFILM $ sentat tries of this ty to enter upo the above-mentioned. property for PLAN CHECK 50% $ ' inspection .0 pouf � Date Kitchen Chen hood ��`"' MECHANICAL $ ��a-.ma - Signature CMF 0865-46,rev.10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor _ /' • CONSTRUCTION AND PLANNING POC 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 OF 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, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. 'Rough Electric Wiring 67. Fencing & Access Approval 170Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 1-t47 &,p FIRE DEPT. REQUIREMENT 20:.Rough Factory Fireplace APPROVALS Permit# 21"Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating L(-4-4''7 &CO 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 7-21-17 (.40 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 No Date Prrr -- 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. �y TRACT NO. ' LOT NO. UNIT NO. ' Project Address r2/5-17 C. sG-aa.. Qf.Jae-. �-GS-t. W 4 Iv 24Co(a I, � 9131 12/22/06 240.00 TL Applicant's Mailing Address, 231 W. BLUERIDGE AVE. 2' TYPE OF CONSTRUCTION y}y(NEW U ADD Li ALTERATION ❑ REPAIR r #-7 3112 Owner's Name FAIRVIEW DEV . CO. Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. RESIDENTIAL Address 2510 N. SHELLEY CIRCLE S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION� ❑ STRUCTURAL E Front O Address . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING KXMECHANICAL A Rear j RECE WED _ N Contractor's Name SANTIAGO A/C Phone 998-1600 ❑ OTHER I PROJECT DESCRIPTION SQ. FT. OCCUPANCY KC Right Ce C' 0 8 Mg 'N Address(mailing) 231 W. BLUERIDGE AVE. C ON ST RUCTI ON TYPE -- VALUATION$ § Left G City License No. l 015264 ZONE GRADING CU.YDS. - ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided • E • Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. PERM IT # B25528 thru B 25534 Planning Notes: • M with section 7000) of Division 3 of the Business and Professions Code,and T my license is In full ergo,ntl effect. 26 496 RECEIVFD DEP 1 g 1988 S C a• LL - Li ens. 1vq in I' VniI / - Via.- _ PLUMBING FEES KERS'COMPE DECLARATION lereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink soo, Lab. C.1.8,�8-5227 IND. INDEMNITY Automatic Washer Transformer 0 15.50 KW Policy No. KN Company Backflow Irrigation Sewer Cap - ' Construction Pole Sub. ❑ 50+ KW - ❑kertified copy is hereby furnished. - Q�>'' ertifie co9y, Is tiled witn the my Aui _ig 6-Akio/_. n Bathtubs ' Sewer Connection Cooking Unit Meter Dup to 100 amps Date�2 Applicant / I s-( -C . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps ' (Thissection ection 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 ❑1Yh-8 Workers' Compensation Laws of California- , Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16.15+ ' 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 FixturesMicrowave 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 Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Name Range Lender's Address 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 a Dis osal 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 00-5 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 'llvision 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 • J31.5 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 $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 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 - - r 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 • pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for wthe purpose the property,f oe).O I, rs owner construct the roject t 7 44, contracting ing with licensedioncon- Duct-Structural Refrigeration System Application Issued By Date hetors L the project (Section 7044, to Business and Professions property Cotle: The Contractor'smproLicense Law does not apply.to an owner je pr withta who Duct-Ventilating ❑0.100,000 BTU 0100,000 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 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 I am exempt under Section B• . & P.C.for this reason Clirepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date Owner ( Heating System&Ducting D(� Registers . . /a0Co - ENERGY P.C. $ U DO_ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above \ ❑0.100,000 BTU 0100,00087E A 7A 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 p this city to enter upon the above-mentioned property for • LjT� >+U� a,�/�) inspection pu�.poses. --7 / MECHANICAL $ U Signature lel or 55*-� J s'.4;-'4 ---- Date 12` 3 86 TOTAL FEE $ Drivers' License or SS 9f - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0065-46,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 Reinforcemente. ;v 3. Electrical Conduit Utility-Undrgrnd. 54. Forms nM 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - c� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE rl 7. Footings 58. Electrical Conduit-Undrgrnd. 1 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test y! 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, p•Undrgrnd. 121 10. Structural Floor System 61. APPROVAL TO DECK 1.-1-' -� 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 1-147 C.40 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating t{-I-%7 t.fvl) 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 7/u/11 ure 35. Final Gas Pipe-Test r 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 - - --7.111111 ,� ,.a • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA/ CONSTR UC ION PERMIT PE3N11T NQ_���7 TRACT NO. LOT NO. UNIT NG. 'Project Address255 ICS �. ctrii761 eta-4-j 1 7L�• /N_ Applicant's Mailing Address s4.��fUs��a•-.��',/tye1'� Yaht e.'n +Qees!� G . TYPE OF CONSTRUCTION ❑ NEW Li ADD LI ALTERATION ❑ REPAIR ` 5983 10/P7/8A CRQ-QD TL VG•'�/ ,• — `n • Phone p�7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# l Zone Owner's Name �y� J DESCRIPTION OF WORK/USE OF BLDG. Address94cJ� 4•\3.V1 lbL.a\1,N-Q• • S Main Building: Accessory Building: Arch/Eng.pr -- —• S.y-- License N•. err TYPE OF PERMIT U GRADING El FOUNDATION 0 STRUCTURAL E Front D Address iSrav' 1 1► - a ' -- Pf -D.! - ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam- it.- -•'9 _•`•1 f`/t lL. Z7,- ❑ OTHER A I ,.s��' /� `p�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing)�4-7� �CJ I` �J �'4F%l '1 WA•- K ' G �J AG4•`"�, CONSTRUCTION TYPE VALUATION$ S Left City License No, ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION ] Ping. Ref.# Parking Req./Provided E I hereby affirm that am licensed under provisions of Charter 9 (commencing - Remarks: / Pja6 �O �LSr )/7� Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and ALJ l my license is In full fpxce and effect. I - • : S T Licen :ss � S -" Lice • Date -ow L71 _ Signature «--c ." _ a PLUMBING I FEES I WORKERS'COMPENSATION DECLARATION Bar Sink Showers Q` hereby affirm that I have a certificate of consent to self-Insure or a certificate ' ELECTRICAL •• FEES r.I • Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink `V •800, Lab.� `,'r _ • Automatic Washer Transformer 0 15-50 KW I Policy No. Company • 7.1U - a a• Backflow Irrigation Sewer Cap Construction Pale Sub. 0 50+ KW Certified copy is hereby furnishe.. J Certified copy is peg with the ty :'' :in• • vises "•• - Bathtubs' • Sewer Connection Cooking Unit • Q Meter L�p to 100 amps • (�� Date_ co-.7-, —ICC Applic. ..Or,' "ger -� • /` �✓ EXEMPTION FROM WORKERS' •MPENSATION • CL•••ATION Clarifiers Solar Collectors J� Dishwasher Meter Dover 100 amps OC (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 Solar Tank 3H Fan Motors❑0-1 HP ❑1'h 8 36 a' Workers' Compensation Laws of California. Date Signature ' Floor Drains Swimming Pool w/Spa Q F.A.U. / DO NOTICE: lf,after making this declaration,you.should become subject to the — is Inc.Solar ❑B-15 HP 016-15+ �- Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. qnr Fixtures Microwave 7,/%1 . OC CONSTRUCTION LENDING AGENCYGas Service 'Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work • which this •ermit is i • „ - ion 349. v. ) Lender's Na -- •.--;•-•‘. f • • ■e ' Interceptors Water Heater 918 Outlets Range 6P/0 Lender's AddressW> • '4r-+--.141�•a�• tlinglicMR ' Kitchen Sink - Water Service 1(1(I Switches Sign 3', co OWNER BUILDER DE ARATION J I hereby affirm that am exempt from the Contractor's License'Law for the Lavatories Auto-Wash /9 Garbage Disposal Standing Sections it aj following reason (Section 7031.5 Business and Professional Code: Any city or p 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 brains 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 - - . lerefrom and the basis for the alleged exemption. Any violation of Section 031.5 031.5 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 $ 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 - 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 ❑ Zoning Approved By Date prove f,rthe owner will have the burden of proving he/she did not build or im- Duct-Under Ground _ Building Approved By �/ Date v_ prove far the purpose of sale). J/ e .., U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat A 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 thatExhaust System D Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ P 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PERMIT ERMIT— E $ - Date • Owner Heating System& Ducting Registers PLUMBING $ PLAN CHECK :25% $ L/ ENERGY P.C. $ I hereby certify that I read this application and state that the above ❑0100,000 BTU 0100,000 BT $ / Z--�, GRADING $ information is correct ee to co ply with al ty and county ordinances ELECTRICAL and state laws relati building ••n, uctio'nd hereby authorize repre- PLAN CHECK 50% $ 2-��'f 30 MICROFILM $ sentatives of this to ente` the ove-mentionep pr per y for Inspection vu p• ,..,-"...7 r // (•'y MECHANICAL 3q Signature _ler oat Z7 $ TOTAL FEE $ Driver ice se or 5S Yt Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 1 CONSTRUCTION AND PLANNING 4 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. I . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring e), 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 e 24. Roof Framing 73. Undergrnd.Storage Tank 0Gas 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 t 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 '4,1-- .) Notes: 34. Final Heating & Air Conditioning /' /� 35. Final Gas Pipe-Test i�-.i%tis0 /f✓✓L2 247 -2,27/ �y 36. Hood or Canopy ', Yv '- 37. Final Factory Fireplace AI o :J O'. 38. Final Plumbing ', 39. Water Service-Final y 40. Gas Service-Final - - - Ai • • 41. Solar Domestic-Final - . 42. Backflow Preventer 43. Backflow Irrigation I' ` - • . -44. Landscape Irrigation System • - 45. Sound Attenuation , ' )6. Handicap Regulations - - . 47. FINAL STRUCTURE & BUILDING "b 1 , 48. Special Requirements Completed • ' ..• ' 49. Electric Release to Edison - I 50. Gas Release to Southern California Gas Co r VA. 51. CERTIFICATE OF OCCUPANCY • 0 No. Date - id 'J