HomeMy WebLinkAbout2525 SANTA CATALINA DR - Building Permits City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 002440
Building Safety Division
P.O.Box 1200
Costa Mesa,California
The Building located at 2525 Santa Catalina nrivu, Thrl1A4...: 12
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group al Occupancy.
Use of Building Aaartmmnts
Legal Description 420-212-30
(See reverse side for Metes and Bounds/
Building Permit No 833461,833927 Electrical Permit No. E 34229 Plumbing Permit No. o oocci
Mechanical Permit No. M 34894 Number of apartments 16 and/or guest rooms
ISSUED TO: Building Official William T. Howard
Fairview Management Company
2520 Merrimac Slay by 1. .'
Costa masa, CA 92626
Date March 27, 1989
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C.
CMF 101546 rev.1/83 White-Owe^"Canary-Numerical File;Pink Bldg. Permit File
Irr
/ Applicant to fill inall spaces except those willdn heavy border lines ane sign all appropriate declarations. • (,, (�I ! 7 1
•
. MESA CONSTRUCTION PERMIT•. IZPERMIT NO. TRACT NO.
�235AL'OT NO U�TroNU. ///. •fess 2s2S SIIAITA C.gnit/•a/A 04/VES 334 I �.-�ant's Mailing Address 2520,(/wee ttar uv C•4/. 0.22 ,./6TYPE OF CONSTRUCTION NEW LiADD LIALTERATION UREPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHERA.P,, [[; I Zonep17Q_HO
s Name �AI�C!//Ful ,clSA4T G� Phone S'S 73327DESG RIpTION OF WORK�USE OF BLDG. r� ��^ !Os �•" JA�A0.? lAN ,� _ _/ S Main Building: �' Accessory Building:
ng •1Q•Cf• .C.E 4 9ASSoe. License No. TYPE OF PERMITGRADING JJ FOUNDATION L.I/ STRVCTVRALT Front /•� C�r�pr(- O
s 2?n2s Hrea_ C+G6C.C- Tat LAG u4/.f H/r-LS Q,26ti3 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALARear �/ N
❑ OTHERCctor's Name 0�•Y-ie[� Rruc.d.5fPhone 4CPROJECT DESCRIPTION SQ. FT 11Z 7 COOCCUPANCY R- K Right •'tL -FGs(mailing) SA�oec _� 488 -Svy— Leftm �-'cense No. �¢��� CONSTRUCTION TYPE VALVATIONS / 1 $ IkeR
LICilSED CONTRACTOR DECLARATION ZONEGRADING CU.YDS. ACRES Ping. Ref.# PA 8C-183, Parking Req./Provitled E
y affirm that I am licensed under provisions of Charter 9 (commencingRemarks: o l _ �� A Planning Notes: Qction 7000) of Division 3 of the Business and Professions Code,and /O/dA SE M
my license is in full force and effect. T
License Class ! License No. - 1 3 F IIIRFItIF.NTS,
.L "LD roe Snail')_ a R S
Date Signature i PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.)
Automatic Washer Transformer 0 15-50 KW
-
Policy No. Company N A Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
8 Certified copy Is hereby furnished.
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 1015-amps
Date Applicant •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is Issued, I
shall not employ any person in any ma„per so as to become s r•ect to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
Date
worker:nit i Laws of Calif- •
Date / O Signature - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTIC f,of er making this docla- on,you Should become su• ct to the
Workers' Compensation provisions • the Labor•Cade, you mus forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or•this permit shall be deemed revoked.
' CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
I hereby affirm that there IS a construction lending agency for the performance 9
of the work forv(hiF^�hi� permit ��ssue��( ettiOn 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name .e-4-� HC/+-r �,
Lender's Address hey, 4 Sr guilt 9M S'tU Owen,., 92/g 3, 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 - - Laundry Trays Generator 00-5 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 - ,
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit Subjects the applicant to a civil
penalty of not more than five hundred dollars($500). $ 3
❑ 1, as owner of the property or my employees with wages as their solo Reinspection Fee $15 Issue Foe -
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 DEVELOPMENT SERVICES REQUIREMENTS: (�
employees, provided that such Improvements are not Intended or offered fur Boiler Hood or Type I 0 Ta U}��V
sale. If, however, the building or improvement is sold within ono year of com- Canopy Type II 0 Zoning Approved By I,I 1- Date 7 1-I
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By W i I I ia.` ��sa/�•• Date /3
prove for the purpose of sale). le
tractors to Construct the project Section]044, Business and Professions Coda:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMA V F FEES
builds or improves thereon, and who contracts for such projects with a con- 11 /�1j�
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ia'S0 i SMIP $ 69.2(
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ Slug • 69 PERMIT
0 1 am exempt under Section 8.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
nate 'L/,yY Owner � �� � y'�!/-.-�� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have re this application and state the the above ❑Q100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING S
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ _ MICROFILM St
sentatives of thi city to enter upon the above-mentioned pr er y fo —
inspection p p•.• . / MECHANICAL $ TOTAL FEE $ 4;1441 1
Signature -
I• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
TCONSTRUCTION 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 r 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. is.3A,..,,, 57. APPROVAL TO COVER-GUNITE
7. Footings /»,�Se yob 58. Electrical Conduit-Undrgrnd.
8. Foundation.- .. _�"' 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - / 60. Backwash Lines, P-Trap, 0 Undrgrnd.,
10. Structural Floor System ,--f 43 v 61. APPROVAL TO DECK ; °-1
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final', • - "
12. Sewer Cap 63. Heater& Vent-Final •' 4"
t
13. Roof Drains 64. Plumbing System - Final 7 >e) .j: 4.1-1
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 -.7
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
.
i
20. Rough Factory Fireplace APPROVALS Permit#
nt
21. Ducts,in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil -
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil . t
25. Roof Sheathing 9A it 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ./ 75. Dry Chemical - _ ,
27. Frame and Flashing /p/ iii Reg-�/ 76. Dry Standpipe *:-"- '
28. Lathing & Siding �'v 77. FIXED SYSTEM FINAL ' -
29. Insulation /0 •,,, pig- 78. FIRE PREV. FINAL ;
30. Drywall Nailing 'l/ DO HEALTH DEPT. REQUIREMENT -l'
31. Plaster Brown Coat // fffYYY 79. FINAL INSPECTION y () .
32. Electrical Power Meter-Final 80. FOOD
yCERTIFICATE ISSUED,,/
33. Final Electric Notes: �. , ( _-_ _ . ;
34. Final Heating & Air Conditioning YY ,'
35. Final Gas Pipe-Test it `"-'"' - di 1$15/ UMtri.l!�- }
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 , , 6
45. Sound Attenuation '
46. Handicap Regulations '
47. FINAL STRUCTURE & BUI LDING ,is ?fill_
48. Special Requirements Completed WI Ude--
I M1
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY .,. /
No. Date
CITY OF COSTA MESA
CAL ,NIA 826284200 P.O.BOX 1200 , J
Insulation Certificate
2525 Santa Catalina Drive Costa Mesa
Number and Street City
Orange
County Subdivision Lot Number
Description of Installation
ROOF .
Material • Brand Name
Thickness(inches) Thermal Resistance(R-Value)
EXTERIOR WALL
Material Fiberglass Batts Brand Name Manville
Thickness(inches) 3 1/2" Thermal Resistance(R-Value) R-11
CEILING
Baum Blanket Type Batts Brand Name Manville
Thickness(inches) 6 3/4" Thermal Resistance(R-Value) R-19 .
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2 lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) _
RAISED FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width(inches)
FOUNDATION WALL
Material 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 Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor(Builder) License Number
Signature and p)lY.S21 W. INSULATION' '. /e3ta
3621 W. MOORE AVF `7`�
dubContactm I — Itthdrf CA 92704 '4.
License Number
Signature and Ti Date
79ac 'i / . _TE7' .2O it
COSTA MESA SANITARY DISTRICT }
• MONEY RKEIPTS ADVICE
Date
Amount $ C�
Name \-(NlC2Atd-t>,) 11 R\0ckf Cli\Q I. 111111
Payer OO I1�,� C_- 1�11r 1 i'.\Iii\t' I1L-1
Address" � I
•
For X11\ . �i Il j >J\ \tli1J� ? �
t .•
� r
Sign-: •. �U ilk)
CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
794/ / H /[7 :Stu *
COSTA MESA SANITARY DISTRICT .1
•
MONEY RECEIPTS ADVICE
Date -) 3\ — max '
Amount $ 9l(2
t
•
t '\Name 1 ,\\S' \ l ! t l l \k1
Payer '- f1/ --
Address ,1)O . 1"-) y. L — S (,( < < \;' \: I R`: _ `fl C
•
For — `�-Jl'T r :;,I 1 -co__ 0r \
•
• signed`I=J(aux.
CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
e•
•
CONSULTANTS•INC. ; • •
. February 14, 1989 •
CITY OF COSTA MESA
77 Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
•1c•
Subj : CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR
TRACT NO. 12558, IN THE CITY OF COSTA.MESA (FILE 1250) •
•
This is to certify that the final grade for building No.12 also
known as 2525 Santa Catalina was field checked on February 10, 1989
and found to be in conformance with the intent o the grading plan.
Very truly yours,
• . DGA CONSULTANTS
ak ,
• • Surender Dewan, R.C.E. 34559
Engineering Manager
t .
.fla Off tSSic ,
N,101• /rw '�� e�gEf�•mC�F�,
•
•
•
1182 North Tustin Ave
. .Orange,CA92667 C2/125O .
1714)744-0802 • •
-
-Fax17141538.2152
9035 Haven Ave_Suite 105 •
Rand,o Cucamonga.CA 91730 •
17141944.5400
• Fax .
CI' ' OF COSTA MESA
CALIFORNIA 92628-1200 P.Q.BOX 1200
Insulation Certificate .
2525 SANTA CATALINA DRIVE Costa Mesa
Number and Street City
Orange
County Subdivision Lot Numb&
Description of Installation
ROOF
Material Brand Name
'Ihlclmess(inches) Thermal Resistance(R-Value)
EXTERIOR WALL
Material Fiberglass Batts Brand Name Manville
Thickness(inches) 3 1/2" Thermal Resistance(R-Value) R-11
(' I1 NO
Batt or Blanket Type Batts Brand Name Manville
Thickness(inches) 6 3/i ' Thermal Resistance(R-Value) & 19
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2 lb Minimum thickness inches •
Manufacturer's installed weight per square foot to echeive Thermal Resistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width(inches)
• FOUNDATION WALL
Material 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 Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
FA iIEW MANAGEMENT COMPANY OWNER/BUILDER
al Contracts 2-22-gen"(Builder) Numb&
WESTERN INSULATION SignatlreaMTide pale •
3621 qry RC AV. (Luuletion tall /j,
CA 92>C ons license Number
" sigtanue and Tide ( Due
65 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. �''1 TRACT NO. LOT NO. UNIT NO.
2.5-2-5— , ,
Project Address %<flrt CAq>A L.AA.a .04- 6 3 31 Z I ./25-5g5&
'Mailing ailing Address 252o A.'.¢i24t44c 4-7 e41 TYPE OF CONSTRUCTION P4gINEW U ADD U ALTERATION ❑ REPAIR -
F.9/.eU/aAl iNGNT coPhone s¢S-7;-7 III CONVERSION ❑ DEMOLISH ❑ OTHER p
Owner's Name DESCRIPTION OF WORK/USE OF BLDG. A.P.# SC-2-0—a/'? ' !O I Zone ED/ ��
Address 2-520 .A1E2Rt—44C ‘4..•>/r C. •61 9.262.0 S Main Building: Accessory Building:
tZ
Arch/Eng. 6/R*Cr t53759/ A scar License No. Lv�A TYPE OF PERMIT U GRADING 171FOUNDATION U STRUCTURAL E Front C o
Address 2502s /ti7LL C.2ES&G 04 tAQ rlcA /-IIGtl 9.7cc ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
S
CI OTHER /YY 1 I
Contractor's Name 04 et/FA' /Bfi/4-4007.- A44 Phone C Right S r carpi- GN
Address(mailing) $/IM .e PROJECT DESCRIPTION SQ. FT. OCCUPANCY K
CONSTRUCTION TYPE VALUATION$ � S Left 65--
City License No. 1-4L3 6 9 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
0
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: a �o a r— Planning Notes: M
with section 7000) of Division 3 of the Business and Professions code,and T.�aSN CiCJrz-tJ-s (./�C
my license is in full force and effect. T
'icense ClassLicense No.
✓�.ate Signature / PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified opy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company L/ ✓� Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
8 Certified copy Is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
-
less). - Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is Issued I
snail not emp ry . y person in any man er so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' osore or .ws of Calif r Motors 00-1 HP ❑1'h-B
signature
Date . a - Signature f..""^��- 1 ��� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE' f,of er making this decla Ion,you should become subject to the
Workers Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
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 Range
Lender's Name GKCAr 2f
AA.EC4</ 51
Lender's Address Aso E i7. SU'Ter lCDO 544.AO/CO0 qz/R3 Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that`I dm 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 Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to its issuance,also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
the Contractor's License Law(Chapter g(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil _
penalty of not more than five hundred dollars($500).
/ 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 I $15 Issue Fee $ 3
r 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
• employees, provided that such Improvements are not Intended or offered forZoning Approved By Dat
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
°tenon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
rrrve for the purpose of sale).
tir
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 (hereon,and who contracts for such projects with aeon- /-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 3 SMIP $ D
proof of their Worker's Compensation insurance should be provided to me. I PLAN CHECK $ .75. PERMIT
❑ I am exempt under section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers
// PLUMBING $ ISSUANCE $
Date Owner -`...�.���. ✓t � �- Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have re Is application.and state thatrthe above 00-100,000 BTU 0100,000BT ' 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 enter upon the above-mentioned prop;rtfor
inspection pure✓s. 1Li Date 6 MECHANICAL $ TOTAL FEE $ �?
Signature i Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers'�nse or SS 7/ -
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor Ul UUUU6082-00006084 TOT 53.25
•
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit#t ' 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 t' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 4 57. APPROVAL TO COVER-GUNITE
7. Footings 8/1/2s QG 58. Electrical Conduit-Undrgrnd.
r ,.
8. Foundation' 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final -`
13. Roof Drains 64. Plumbing System - Final • '
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 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 •
f
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 r:
33. Final Electric Notes: 8[81291; no / tncrr pt) cc
34. Final Heating & Air Conditioning `'1
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 �, ,,ry/�/
47. FINAL STRUCTURE & BUILDING FI / e
48. Special Requirements Completed
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co • -
51. CERTIFICATE OF OCCUPANCY
No. Date -
�//r 2_572-577- • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. •
CITY OPCOSTA MESA CONSTRUCT ON PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
rilir
Protect Address ..Y • _,ic _.✓�G �' - 33.$-� 6 �.3 �✓-�y acy
Applicant's Mailing Address "Kgs.Ser 747 .. *Ad TYPE OF CONSTRUCTION ❑ NEW ❑ ADD L ALTERATION II REPAIR
f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p # Zone -
Owner's Name ���ePhonwg+�p 2p? DESCRIPTION OF WORK/USE OF BLDG.
Address 24/eawags, Si 2°, ll,1 S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL T Front 01 000(3994-0000399.1 TUT 405.tiC
Address ❑ TENANT ❑ ELECTRICAL LI PLUMBING ❑ MECHANICAL BA Rear N
p�,� �w ❑ OTHER l
Contractor's Name l�++�'Y S040, Phone snag+ � C Right N
Address knelling/,Q !16 9�7 � 0241 �� PROJECT DESCRIPTION 50. FT. OCCUPANCY K Left G
CON ST RUCTION TYPE VALUATION$ S R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION ..�• Ping. Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Al
�s aft/7 ' //y33(/4♦ Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and Gl•-w i c e `g}L7� 4 L/ T
my license is in full force and effect. $
'lcense Class_ — Licen NCI
' atecir!Er ignature PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Bar Sink - Showers ELECTRICAL FEES
en I hereby affirm that I have a Certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _ 0 15.50 KW
3800, Lab. C.) /� /s� �¢ Automatic Washer Transformer
N. Policy No.071249 I.17 Company sl� ,,.��"-/0 Backflow Irrigation . Sewer Cap Construction Pole Sub. 0 50+ KW •
�Cerlifietl copy is hereby th the cit on.
ICertifi d copy is here with the city Buil ivision. Bathtubs Sewer Connection G��' Cooking Unit Meter ❑up to 100 amps
Date ire, Applicant
Applicant
\ EREMPTI N FROM WORKERS'CO E ATION DECLARATION Clarifiers Solar Collectors _ Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). f + Dishwasher Solar Piping al-49i0 Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performence 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 • Mo ors 00-1 HP 01'/:-B
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. nc.Solar 09-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the —
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY ib Gas Service Outlets 3a, Water Closet O/_ pC" Device Boxes - Pole Light
I hereby affirm that there is a construction lending agency for the performance �sC�
of the work for which this permit is issued (Section 3097?Civ. C.) Interceptors Water Heater O
Lender's Name - �.. 00 Outlets - Range
Lender's Address l` Kitchen Sink Water Service J2st,r Switches Sign '
OWNER BUILDER DECLARATION "
I hereby affirm that I am exempt from the Contractor's License Law for the ,. Lavatories Auto-Wash Garbage Disposal .
following reason (Section 7031.5 Business and Professional Code:.Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair _n- P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW
sny 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 -,..t., Roof Drains r
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
•
Division 3 of the Business and Professions Code) or that he/she Is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil .
enalty of not more than five hundred dollars($500). $ 3
I. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
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 _ i
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
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 DateJ r'17—gg
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 ES '
builds or improves thereon,and who contracts for such projects with a con- _
— -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ystem Repair/Alteration BUILDING PERMIT $ _ SMTP $
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 -
ISSUANCE $
PLUMBING $ 3,2_3 .Co
Date Owner Heating System& Ducting Registers • PLAN CHECK 25% $ $o •OO ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-1 00,000 BTU ❑100,000 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- PLAN CHECK 50% $ MICROFILM $
sentatives of this city t enter upon the above-mentioned property for ^�
inspection purposes. MECHANICAL $
Signature Date i TOTAL FEE $ �3 W
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 Pink - Accounting; Goldenrod - Assessor
I
:CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
n
1:�Temporary Electrical-Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. '"l sigo(b4S at, 53. Steel Reinforcement
-
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
c
5. Steel Reinforcement ( 56. Rough Plumbing & Pressure Test .
6. Electrical UF ER Gfnel. 57. APPROVAL TO COVER-GUNITE
7. Footings ; -2? 58. Electrical Conduit-Undrgrnd.
8. Foundation ' .- /159. Gas Pipe, 0 Undrgrnd., Test
9. Water l ipB Undrgrnd`� . S(df ' t. / 60. Backwash Lines, P-Trap, 0 Undrgrnd.
h,
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 p e. c C 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling -,G j , r fl 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning -� 1 't 1;6 I 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. Undergrncl.Storage Tank 0,Gas D 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 t'1
31. Plaster Brown Coat ,;,t79. FINAL INSPECTION ' /
;,t
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: -J
Pt
34. Final Heating & Air Conditioning ' '
35. Final Gas Pipe-Test ilk lite- £.t - l,, - (;
36. Hood or Canopy
37. Final Factory Fireplace
is. Final Plumbing 2pdel Le° r j '
39. Water Service-Final ( ; .
'.40. Gas Service-Final . '
I;
1.41. Solar Domestic-Final ' • y • d,-
; 42. Backflow Preventer I : •� '
1
13.'Backflow Irrigation •-' / �' ' t: :
144.rLandscape Irrigation System - .-
'
• 45. Sound Attenuation /
46-;Handicap Regulations - - - -
• .
17. FINAL STRUCTURE & BUILDING ; ! >' i ,-
'
... , . .,j
48. Special Requirements Completed
49. Electric Release to Edison -6 a "(
50. Gas Release to Southern California Gas Co • ri-)
51. CERTIFICATE OF OCCUPANCY -
(--
No. Date _
I -
'' -
/a --. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. T.PACT fd9 LOT NO. UNIT
CITY OF COSTA IIO.�S• CO ST: CTIO PE' " IT 3921 l — C_._mfr '
Project Address L / /! I� ./7..� _� - A.
A_ {/ l e. TYPE OF CONSTRUCTION El NEW ADD al ALTERATION II REPAIR
Applicant's Alaili/p9Address 'y�.■�s i n '
Owner's Na , V •�- •i 7 7 IL t )is, 1 J■ i NV ERSION-- yy�'' DE OLISH ❑ OTHER Zone
ry)� /� •. RIPTION ORK LOQ y
Address .E�LG1 • �_71-I� ••�7 /Jl/Ci� S Main Building: Accessory Building:
Arch/Eng. License 4.o. TYPE OF PERMIT RAPING FOUNDATION STRUCTURAL T Front O
Address
.....43...../ so El ELECTRICAL El PLUMBING CHANICAL Rear
N
Contractor's Na •01. fa 4,--.. - •ne9 8^/ �Q 00
OTHER N
Address(ma •
iling) Z3/ j. /��r 4,44../1_4_ p Q PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
.VY CONSTRUCTION TYPE VALUATION 5 R
City License No. //n2 ZONE GRADING CU.YDS. ACRESg. E
LICENSED CONTRACTOR DEC LA RATIO Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: M
with section 700 f DWI Ion 3 of the Business and P feislo otl /n` -dt
y' /r1I� T
my license is In f I for .r1 ffect. �� .,� 33 / v /
�} / I , S
1 ite�/aC� Signature � .r. _�I_ PLUMBING FEES
,JORKE s' o P I have a N DECLARATION } Bar Sink Showers _■■ ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Ins •r a certllic to
of Workers' a tiOr Insurance, or a cer�ed copy •er•f (5: •n Service Sink ,
3800, Lab. 1 s Backflow Preventer, I • 1 ,, Automatic Washer, ■ s
/\ Policy No. � `� v�0m parry /•� ■
ertifi py is h ¢by furnished. 1 III
Certifi c i s fi L�the citytBuil. wisiya�,,.) ' • • • • . ■ •• I
Date KERS' IIIJJJIII"' :.. , . . Ili Dishwasher
Dever• s• .
EXEMPTION FRO WORKERS'COMPENSATION DEC LARA�•N
(This section need not be completed if the permit Is for one hun• ($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 • ■ Fan -
Ir1j■
Workers' Compensation Laws of California.
Date Signature , •NOTICE: If,after making this declaration, you should become subject to theI Fixtures
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Siriks Urinal
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCYvice Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performanceof the work for which this permit is issued (Section 3097 Civ. C.)Lender's Name
Lenders 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 - • -reas
n
(S
fstructure,
ure, to Its 7031.5ce Businessso and Professional thapplicant
Code: Any pityer it ��, ®,
county which requires a permit to construct,alter,improve,demolish or repair ' Generator 00-5 KW 05.15 KW Trash Compactor
ny a sigre, priorat tm nt Issuance, also requires the suanfor such pions of
o file a signed License that he/she is9 licensed cing t to the provisions i of
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she Is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
Cenalty of not more than live hundred dollars($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 '
compensation, will do the work,and the structure is not intended or offered Reinspection Fee 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- Zoning Approved By Date
plotion, the owner will have the burden of proving he/she did not build or imDuct- Under Ground-
prove for the purpose of We). Building Approved ByOate��/�0 I,as owner of the Property, am exclusively contracting with licensed con- 1111.1
Application Issued By Oatn �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 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 ■ ■ e ■ BUILDING PERMIT $ SMIP $
proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for his reason :• DampersPLUMBING $ ISSUANCE $ -II
Date wner - PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that ��F• read this application and state that the above 7,0-100,000 : ■ 00,00OBT • GRADING $
information Is correct IR• :e to.comply with all city and count o dlna ces ELECTRICAL $
and state laws r- Is: b di coon, and hereby a II
PLAN CHECK 50% $ MICROFILM S
sentatives of this c y to ' ` ••• / e .•eve-mentioned i� /
Ileinspection Fee S15
inspection purposes. O MECHANICAL $ S/•00 190.00
Signature -
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; pink - Accounting:Goldenrod - Assessor Ul UUU ItioD-000lIU6b 1 U I OU.UU
DATE: 08/16/88 TINE: 08:03
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 (f
7. Footings 58. Electrical Conduit-Undrgrnd. .1 4
i
.g.. Foundation , 59. Gas Pipe, O-Undrgrnd.,Test
i '
9)Water Pipe-Undrgrnd. I 60. Backwash Lines,P-Trap, 0 Undrgrnd. 1J'
10. Structural Floor System 61. APPROVAL TO DECK t I',"
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I
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
v
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
}8. Rotigflttlectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rought'Fteating& Air Conditioning to,w.as Leo FIRE DEPT. REQUIREMENT 1l)
20. Rough Factory Fireplace APPROVALS Permit# ..
.21. Ducts, in Structure 70. Underground Hydro
221 Ducts,.Ventilating 71. Product Piping O Gas ❑Oil
•, 23. Gas Pipe-Rough & Test 72. Underground Flush / .
i24. Roof Framing 73. Undergrnd.Storage Tank OGas 0 Oil r•
25. Roof Sheathing 74. Overhead Hydro ,
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - - S t
:27. Frame and Flashing 76. Dry Standpipe ,r
28. Lathing& Siding 77. FIXED SYSTEM FINAL ' i
29. Insulation 78. FIRE PREV. FINAL i;- ••L"
30. Drywall Nailing HEALTH DEPT. REQUIREMENT . -
•
31. Plaster Brown Coat • 79. FINAL INSPECTION • -- (V
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric Notes: 1
34. FinalsHeating & Air Conditioning z(/5tn taw i
35. Final Gas Pipe-Test 1
36: Hood or Canopy - y
`: - T a
37. Final Factory Fireplace 1 -• ' (,s
' 38. Final Plumbing • - 'r-
1 .
39. Water Service-Final � . . • 'r .'
. I
40. Gas Service-Final " • .• '
. /
41. Solar Domestic-Final _ " • r
L .
42. 'BackflowPreventer - j
43. Backflow Irrigation ,• 1...., •Az
• 44. : ndscape Irrigation System
45. Sound Attenuation - .- ,1f`j
46. (iandicap Regulations r i • - -, /; I
47. FINAL STRUCTURE & BUILDING ' 1 ...
48. Special Requirements Completed • - , - , i .
49. Electric Release to Edison � w
1 .
50. Gas Release to Southern California Gas Co - •
51. CERTIFICATE OF OCCUPANCY - _
No. 'Date r
1 \ \_
- -- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
- PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA NSTR UCTI ON PERMIT A.P.# I Zone
2sz 54-.t1Tl c.r4 (, 4Ug s- 34-z27
Project Address • - ((pp,� rr11 S Main Building: Accessory Building:
ApplTYPE OF CONSTRUCTION XI NEW LI ADD U ALTERATION LI REPAIR E ' Z
wger's NamEailing Address
id rdESA ❑ CONVERSION ❑ DEMOLISH CI OTHER T Front - o
OwOer's NalnE+ [SVG Jrt Nev Phone B N
DESCRIPTION OF WORK/USE OF BLDG. A Rear I
Addre"si \ r. f � iia
Arch/Eng. License No. TYPE OF PERMIT LJ GRADING ❑ FOU NDAT ON STRUCTURAL . I'K Right G
Address /gypp ❑ TENANT $ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I $ Left R
Contractor's Name .. eMO Pec �'r 'Phone 2-'7?7
F-1 OTHER -Ping:Ref.# Parking Req./Provided E
Address(mailing) /(1) /LJ- 5'J" N A/41je:AA PROJECT DESCRIPTION SQ. FT. -. _ OCCUPANCY Planning Notes: M
3
Z. CONSTRUCTION TYPE VALUATION$ T
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that 1 am licensed under provisions of Charter 9(commencing Remarks. r ���p� /�-0
with section 7000) of Division 3 of the Business and Professions Code,and )-P"-'�^// .1...........rs
my license is in full f e • d effect. LIC, ELECTRICAL FEES
Licensgg Cl. Lice•s. r "C Automatic Washer Transformer ❑ 15-50 KW
ole IP Signature ! - -,a PLUMBING FEES
by ./ORKERS'COMPENSATION DECLARATI T' COnSLrUCIIOn POIe Sub. 0 50+KW
' I hereby affirm that I have a certificate of cons•nt to self-Insure or a certificate
Bar$ink Showers
V of Workers' Compensation Insurance, or a certified copy thereof Section Cooking Unit / Meter ❑up[0 100 amps -
3800, Lab.45{' u�,{ Backflow Preventer Service Sink /
Policy No. 71ha�7 ecx33 SrQom pan S'Hilt N./It'. Backflow Irrigation Sewer Cap _ ' /' . Dishwasher Meter Dover 100 amps _—
..QV Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
y.•Certie popy iLfjled with the city wilding Dlvis<NI. n .(� Bathtubs Sewer Connection , e :.
V Date l—x-/S�j Applicant DECLARATION
Fan Motors❑0.1 HP 01%-6 •
EXEMPTION onFROM WORKERS'd OMhe p r N D onLA hundred ($100) Clarifiers Solar Collectors _
(This section need not be completed if the perm is for one or - -- - F.A.U. Inc.Solar 09-15 HP 016-15+
less). Dishwasher Solar Piping ,
I certify that in the performance of the work for which this permit is issued, IFixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave
Worker �orggenssl/ts�A.aws of Califf a• • Device Boxes Pole Light
Date Z-\\ cfi OO Signature `� Floor Drains Swimming Pool w/Spa 9
NOTICE: If,after making this declaration, you 5h•, become subject to the
Workers' Compensation provisions of the Labor de, you must forthwith Floor Sinks Urinal ' Outlets Range
comply with such provisions or this permit s all be deemed revoked.
CONSTRUCTION LENDING AGENCY Water Closet - Switches Sign
Gas Service Outlets 9
I hereby affirm that therewhiis a construction ue Sefor theperformance - -
•
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors • Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or •
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
:ny structure, prior to its issuance, also requires the applicant for such permit '
o file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
•
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee
therefrom and the basis for the alleged exemption. Any violation of Section $ 3
7031.5 by any-applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS:
.LJ _
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3'
compensation, will do the work, and the structure is not Intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's • - MECHANICAL FEES Building Approved By
License Law does not apply to an owner of a property who builds or-improves - Date n
thereon, and.who does such work himself/herself or through his or her own - - Application Issued By ' �1�1 Date --fy—
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
/ 6
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II' 0 '
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SUMMARY OF FEES
•
prove-for the purpose of sale). - BUILDING PERMIT $ SMIP $ .
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System '
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT •
The Contractor's License Law doeS not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiect5 with a con-
tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
Proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ -->a.00 GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ •
Heating System& Ducting Registers PLAN CHECK 50% $
Date Owner _ MECHANICAL $ 3 DD
i hereby certify that I nave read this application and state that the above ❑0.100,000 BTU 0100,000 BTL - - $ TOTAL FEE
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repro •
-
inspesentatives of this city to enter upon the above-mentioned property for
Inspection p s s. • ^A-l�9J/b - •
- - dQ7
•
Signature • Date (,n L7 Reinspection Fee $15 Issue Fee • $ 3 01 00 522-00007522
Drivers' License or SS ' ` TOT - 30,00
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor
Vt..cs\\ .
/
CONSTRUCTION AND PLANNIh,• -t' SOL &SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1. T empgrary Electrical Service or Pole 1 52. Pool & Equipment Location
2., Soil'tPipe-Undrgrnd. ^ • r • 53. Steel Reinforcement ' /
a I
3. Electrical Conduit Utility,-Undrgrnd'. ''i1 ''I 54. Forms
'4' Electrical Conduit-Undrgrnd. t) 55. Electrical Bonding (1•
-5. Stedr Reinforcement - 56. Rough Plumbing & Pressure Test
' � 1
6. Electrical UFER Grnd. ^I � 57. APPROVAL TO COVER-GUNITE
.7.'Footin s - -
9 - '" 1 i `�� 58. Electrical Conduit-Undrgrnd.
t
8. Foundation ',lit • s _ 1 59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. „ � ' r 60. Backwash Lines,P-Trap, 0 Undrgrnd.
_ 10. Structural Floor',Sy4tem _ 1 61. APPROVAL TO DECK
111 Property Sewer Line & House Connection _, ;1 62. Backwash & Receptor-Final
12. Sewer Cap, I .� 63. Heater & Vent-Final ,l
13. Roof Drains r' '� �\ 64. Plumbing System - Final ;I
14. Roudh Plumbing . /
65. Electrical-Final
i'
15. Rough Electrical-Conduit 66. Solar System-Final
4.6! Rough Electric Wiring 67. Fencing & Access Approval
•17, Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19t Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
201 Rough icactory Fireplace :17,
APPROVALS Permit#
27'. Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating i'' 71. Product Piping 0 Gas 0 Oil ,
23. Gas Pipe-Rough & Test 14 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing i. 74. Overhead Hydro
26. T-Bar Ceiling (Structural)tit Monocoai 75. Dry Chemical
27. Frame arid 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 / . FINAL INSPECTION •
32. Electrical Power Meter-Final 6 { FOOD CERTIFICATE ISSUED
33. Final Electric 6/��/' Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
1
36. Hood or Canopy \
37. Final Factory Fireplace
38. Final Plumbing ,
39. Water Service-Final (11
40. Gas Service-Final ` i
41. Solar Domestic-Final . :.%(- t,
/ 1
42. Backflow Preventer - 7.,
r '
43. Backflow Irrigation ( i./; 4)
44. Landscape Irrigation System 1,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison 1VI
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY - •''
'k;
No. Date
Q/.z Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
.
NO.
a
CITY OF COSTA MESA CONSSTR1y1CTIO/NPE MIT
• PERMIT IT S90 / TRACT NO. LOT NO. UNIT NO. A.P.gW Zone
Project Address .�zSd ^'•'� ` � At 4 - VIEW
' S Main Building: Accessory Building:
Applicant' tl' Address TYPE OF CONSTRUCTION LIO NEW U L
ADD J ALTERATION U REPAIR E Z
—A%euIEtJ MA�Il1`EMO3r Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0
Owger's Neme DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address A I
Arch/Eng. License No. TYPE OF PERMIT GRADING U FOUNDATION ❑ STRUCTURAL C Right G
Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ . Left
Contr ❑ OTHER iR
Address
l ��T r l VPhone77J-�PI Ping. Ref.t Parking Req./Provided
qqR 1 I V. PROJECT DESCRIPTION SQ. FT. 1 7 ZS� OCCUPANCY ig'
Address(mailing) 1�p�4_(Q rem 14 it_�s , CONSTRUCTION TYPE VALUATION$ Planning Notes:City License NO. 4`�- •"' ZONE GRADING CU.YDS. ACRESLICENSED CONTRACTOR DECLARATION l/
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �.f 3 / /
`� with section 7000) of Division 3 of the Business and Professions Code, and / (p
my license is in full orce and effect. ELECTRICAL FEES
Licens- C ass . I leen e ,o.404c704
• le 1 e G Lc Signature Ait.. - _ _ -% PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
n .111K RS' COMPENSATION DECLARA ION Bar Sink Showers Construction Pole Sub. 0 50+ KW
,hereby affirm that I have a certificate of consent to self-Insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit /7 Meter ❑up to 100 amps
IN1 Backflow Preventer Service Sink _ f /
3800, Lab. CJ '/ ii
Policy No, .Sl6,364_— Company 57ZTr / A-fei Backf low Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
III1���yIII ettified copy is hereby furnished. • Dryers ❑Gas ❑EI¢ctr is Sub Panel
L7 Certiii c py ed with the city g1yltling Division Bathtubs Sewer Connection
•
Date /D �r/O Applnt nlace ifDECL RATION_f!� Fan
E%EM ION FROM WORKERS'COMPENSAtION DECLARATION Clarifiers Solar Collectors Motors❑0-1 HP OVA-8
(This section need not be completed if the permit Is for one hundred ($100) orF.A.U.
less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, I • Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this Permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash a0.3 /7,2 S17 68
following reason (Section 7031.5 Business and Professional Code: Any city or /On[•
Z
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays /7 X77, 2 >
y structure, prior to its issuance, also requires the applicant for such permit
file a signed statement that he/she Is licensed pursuant to the provisions of _
Roof Drains
a Contractor's License Law(Chapter 9(commencing with Section 7000)of IC 00
Division 3 of the Business andProfessions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ a
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves let
thereon, and who does such work himself/herself or through his or her own Application Issued By 0
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Dat
sale. If, however, the building or improvement Is sold within one year of corn- • Canopy Type II 0
pletion, the owner will have the burden of proving he/she did not build or Mt- Duct-Under Ground SUMMARY OF FEES
prove for the purpose of sale). - BUILDING PERMIT $ SMIP $
0 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: - PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU ISSUANCE
builds or improves thereon. and who contracts for such oroiects with a con- - PLUMBING $ $
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof o// their Worker's Compensation insurance should be provided to me. ELECTRICAL $ 57J7 .6ij GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO d6 Fire Dampers
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers J
I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BT �y MECHANICAL $ TOTAL FEE $ 7'2 •6Q
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relati sf�. to building construction, and hereby authorize repre-
sentatives of thi to enter u n the above-mentioned property for
Inspection purpo /f /.s ,,, -
Signature �.0 • Date //Cb 6 A
Drivers' License or SS : Reinspection Fee $15 Issue Fee $ 3
01 00017964-00017764 TOT_ 532.68
0865-46,rev.5/88 White - 6uilding: Canary - Applicant; Pink -Accounting;Goldenrod - Assessor DATE: 10/26/88 TIME: 16:25
i
�� CONSTRUCTION AND PLANNINt.. 1L & SPA
r Date Inspector Date Inspector
r•_ APPROVALS Permit# - APPROVALS Permit#
t
1. Teinaorary Electrical Service or Pole 52. Pool & Equipment Location
2. ioil,P.ipe-Undrgrnd. ' _ A) 53. Steel Reinforcement l',
3.1 Electrical Conduit Utility-Undrgrnd. �I 54. Forms ;" -
40Electiical Conduit UPdigrnd. ir 55. Electrical Bonding <
5.ISteel Reinforcement• 56. Rough Plumbing & Pressure Test ' n
• , •
' 6.. Electrical UF Grhd. 57. APPROVAL TO COVER-GUNITE "2 : :
7�Foofings •,i •; - - '., 58. Electrical Conduit-Undrgrnd. ) ;t
8":Foundation r. • / . .- 59. Gas Pipe, 0 Undrgrnd., Test t
9:`Water Pipe-Undrgrnd. I 7 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10::'Structural Floor System f.. 1 1-1 61. APPROVAL TO DECK
11. Property Sewer Line & House Coilriection 62. Backwash & Receptor-Final
12. (Sewer Cap - r 63. Heater & Vent-Final
13. Roof Drains - -,- `� -'
64. Plumbing System - Final
14. Rough Plumbing'_ 65. Electrical-Final .•.
•15. Rough Electrical-Conduit Seg 66. Solar System-Final
.1'6. Rough Electric Wiring J _72- 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 111 APPROVALS Permit#
21. Ducts, in Structure �I
70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas CI Oil
23/Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing ; 73. Undergrnd.Storage Tank 0 Gas CI Oil
25. Roof Sheathingn 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 j-30-8? fe .,.c 80. FOOD CERTIFICATE ISSUED •
33. Final Electric 3.j-g9 ,e 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 j
41. Solar Domestic-Final V
r;
42. Backflow Preventer „ '
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
-46. Handicap Regulations f
47. FINAL STRUCTURE & BUILDING
i
48. Special Requirements Completed
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co •: ' -- .
'`- 51. CERTIFICATE OF OCCUPANCY
No. Date •