HomeMy WebLinkAbout2526 SANTA CATALINA DR - Building Permits City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. r'3
Building Safety Division o U r/-4�'
P.O.Box 1200
Costa Mesa,California
The Building located at 2525 Santa Catalinc Dc. 3&C'. 13, Units 101-108,201-208
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group Occupancy.
Use of Building nurtments
Legal Description 420-212-10
(See reverse side for Metes and Bounds/
Building Permit NoB33462,B33926 Electrical Permit No. P. 3555R Plumbing Permit No. P 33567
Mechanical Permit No. M 34895 Number of apartments 16 and/or guest rooms
ISSUED TO: Building Official William T. Howard
Fairview itanagement Company
2520 ilerimac Way by % -1- . .
Costa (Casa, CA 692626
Date March 10, 1989
1%is 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 (e) U.B.C.
CM.1015-a6 rev.1/83 White-Owner-canary-Numerical File;Pink-Bldg.Permit File
72.5 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. iimq, 7......./
CITY OF COSTA MESA CONSTRUCTION PERMIT IV 13 PERMIT NO. TRACT NO. LOT NO. ./lMNI /Os
.
• Il' itT L/1 . / 1
Project gddres 252.6 -5,447/94 0.197-411-/AM 23/271/E 8 3 3 4 a • /2.558 3 ..-.10,-.20n
Applicant's Mailing Address•L€'2O !f'�C-p/*IAC wt/ 'CAI. 92424
TYPE OF CONSTRUCTION L'I NEW U ADD U ALTERATION ❑ REPAIR
/A/L/�C_ " 146,4,7" / ,� ❑ CONV ERSIO ❑ DEMOLISH CI OTHER A.P.# ,� r/ ^ ^ — 2Crl- — b Zone PD/2-ND
Own erk,NamePhone Sc-C-7527 D SCRIPTION 0 WORK/USE OF 22BqLDG. T�-G/
Address �'uC ' • [7 = UW 1-7,(/ . S Main Building: Accessory Building:
Arch/Eng.e ! r 6�ASSr'v License No. TYPE OF PERMIT ll GRADING YJ FOUNDATION 'E STRUCTURAL T Front ' 18± +o yva O
Address 23OLS Al/Lc-.Ceee*L. /3/p. LA F!/N/1 N/r-G.3 9.2_6s3 .❑ TENANT a ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear - r 'J N
Contractor's Name aux-de �,f)4 I LO eft Phone S4X!E ❑ OTHER _ - _-��
/
PROJECT
ONSTRSCRI•TI ON Sq. FT. to ZS(oas — K Right -75.-• G
Address(mailing) ZA.t4G. 't OCCUPANCY n
51-4-KS
/ �G,S CON STRUCTION TYPE �� fY VALUATION$ 1 $ Left /5-
City License No. T/' or ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION - Ping. Ref.4 PR_ Gb_ /83#• -�7 Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing • ' Remarks: ?(_^ „ Qt4_0,1 Planning Notes: p fa//4 [J M
with section 7000) of Division 3 of the Business and Professions Code, and l v T is /(� /"z
my license is in full force and effect. T
s S
License Class License No. Flfll� �Q' "LIA6 RCQUIRL11L2'Y�
Date Signature 'vlti 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 certifie copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
Policy No. Company /1/_A BackflowCap Construction Pole Sub.
IrrigAation Sewer 0 50+ KW .
Certified copy is hereby thcity
furnished.
Certified copy is filed with the citBuilding Division. t Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION , Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or —
less). _ Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
•I certify that in the performance of the work for which this permit is issued, I
snail not emp oy any person in any man, r so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' e C Laws of Calif r Motors 00-1 HP 01%-8
—
Date ,// ...r
Signature �r/ / ,j�'- .+./ Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:1 ,atter making this tled on,you should become subj ct to o the Inc.Solar ❑9-15 HP 016-15+
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 BoxesJ
I hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work fo which this permit Is u (Section 3097 Civ. C.) Interceptors Water:Heater -
Lender's Name PEAT AMeek ICA 4./ • Outlets Range
Lender's Address(./1'1 RST gel i-t Qm SA,u Q/CGO 9,7/53 Kitchen Sink Water ServiceSwitches '
OWNER BUILDER DECLARATION - - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-WashGarbage Disposal Standing Sections r"-
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 ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor
,to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - .
the Contractor's License Law (Chapter 9(commencing with Section 7000)of ,
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil ,
penalty 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 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 t FEES l
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 ❑ y
sale. If, however, the building or improvement is sold within one year of corn- - Canopy Type II 0 Zoning Approved By ,I1 Imo," Date ! / ��
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By W I��s�o," Date 4-1'S
prove for the purpose of sale). ��
eI,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By {i, Date S'•11-TY
ctors 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 00-1 00,000 BTU ❑100,000 BTU SUaMMMa11111aa��44ARV O FEES
builds or improves thereon, and who contracts for such projects with a con- WARY
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 •� SMTP $ �• Z%
10qI
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ Sr R• 1 PERMIT
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG 4 Fire Dampers PERMIT
ISSUANCE $
_ / 1 PLUMBING $
Date SAT.V. ' Owner • % -&-o---/`y,\_F Heating System & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby ce ify that I have re"his application and state that he above ❑0-100,000 BTU 01 00,000 BTL ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of thi ity to enter upon the ye-mentioned pro er fir
inspectionnatuepurpo. /, A I
Signature _....s Date� I) - - MECHANICAL $ TOTAL FEE $ 4144'l
Drivers' c se or SS - - Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor . ..
-CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS ' Permit,# Date Inspector APPROVALS Permit# Date Inspector
1. -Temporary Electrical,Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. L 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement; c://-1. 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. Q o(d. 57. APPROVAL TO COVER-GUNITE
.7. Footings , �' y, gY 58. Electrical Conduit-Undrgrnd.
8. Foundation• - 59. Gas Pipe, 0 Undrgrnd.,Test
-
9. Water Pipe-Undtgrnd. 60. Backwash Lines, P-Trap, 0 Undcgrnd.
IP
'10. Structural.Floor System 12 r nr 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
1
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -:.t:
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
y2,9 kr 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 7 75. Dry Chemical .
27. Frame and Flashing (,0/y�/ b/ 76. Dry Standpipe ¶ ,
28. Lathing & Siding I/ i"" �p� 77. FIXED SYSTEM FINAL _
29. Insulation - (0/14/41 o/..� 78. FIRE PREV. FINAL -
30. Drywall Nailing ^. HEALTH DEPT. REQUIREMENT '%
31. Plaster Brown Coat 1` '' V 1ca nit- 79. FINAL INSPECTION '{a
32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 9, Vii �J1c
9
34. Final Heating & Air Conditioning (,� FICQL Sp f,.�.,,� ref35. Final Gas Pipe-Test /. ot Z #Yfr 4ENT,£
36. Hood or Canopy ,
11
37: Final Factory Fireplace •
• .
38. Final'Plumbing ,
39. Water Service-Final .
40. Gas Service-Final 1/
41. Solar Domestic-Final ? •
42. Backf low Preventer ., ."
43. Backflow Irrigation - • ) - '
44� Landscape Irrigation System - •
45. Sound Attenuation --
46. Handicap Regulations . ,
47. FINAL STRUCTURE & BUILDING g/6,A9, Pik-
48. Special Requirements Completed 3/7 /Q01 (tL
49. Electric Release to Edison cc�� �� .v
/
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY . •
No. Date
r 2
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' PACIFIC SOILS ENGINEERING, INC. • -4,c--- V:
• •, 17909 FITCH, IRVINE, CA 92714 " {\ �,-e .. ,
TELEPHONE: (714)863-9118 ' r4
•
•
NOTICE OF. FOOTING EXCAVATION. INSPECTION .�
. _ -
. [_'
'JOB LOCATION:•
• . 1 �`v ..t,-e.v
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� t '.+ zWS`t4. �S. i i•-..tl ,.4. C „.. .rie
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. .. WORK ORDER NO00 (0
•
OWNER OR CONTRACTOR: V I t�Coe
•
_ OWNER'S ADDRESS:'- `'� - EN. `
.
• . _
•
•• DATE FOOTINGS INSPECTED SIZd- ' •
'DESCRIPTION OF FOOTINGS OR CAISSONS COVERED'BY•THIS'NOTICE: 3I dr” 'c•ii CZ.
• 1\ -co 4n 4"C e IC Cr.e_ \R'Vt.S" VV'ih-C . ..'Lam.7 oC-e La et ' • .1-.\A.,.. •
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lam(�•, (• V //� .. '' • '1. II__ ((
• v`O'Slrr4 C ' P CM2=::':''R v, rte .( " .:.s L:' -.51 c.. ' -4i'.A`r-s'a.p j-e_�_E.'•.
t •
e "1 i� Ir f a>
P�-Cc' f we yr- ;'; . -r lea w+.> ..
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c•-•.:..4-. 5��''-' .1•:- `"t, ,-..1---n•••
r •,". E !. 5 w F -t ei-r, eLc rr? -.3a, :J 'Y4.s} t•1 • :
',. f 'c lbf•-1�;''S;z'..tat :r.:- " ,,"B k`t � ,tFw A0'f.' A•tr:., to 2a•ElLnJ t t•.�-.7� r :ii. ,.
,F t A'..f b wT` x P 5,'ix $ t- V'';2.✓ m } - 'C
.I tg yam. t-/e yr p •••••,.:.-„,,,,..,,,,,,p.;,,a g� Y' r P ¢ c T rS3S' 14. r 4
4. > T :-.4,---1;.;
. f .' I r vr- -ilia.r r. '
x .. -. rr d � +' 4' *r- ? '.y, w "-e;f•-';' r9 1s;rtti I f,.AJ V.<'r. -f
1». 1....,•',:-.'-;,(„r r (
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-yy - PCr. L 2-1- .-•' ''e CC- :. 'I T:117:•,.4,'.1.:-,'
3 +I• .;,••:--..
_ fes. ) t
The undersigned hos inspected the footing and/or caisson excavations listed.above on the referenced property and
4.- same were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code
of the .. - t. '
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•
r
S x 1 '�'S1GN5TVREt
's' . ..5-1
t;'g%t' .'r.k Ojai.' TO. s 4 •1xt°G'Sr &1 r �c a,9K M•.)'271,,Y.,...".2' ', �p y�-,,,-,-;•a<1'.� 1 'Li 7 S• t
r ,1�° is i : " >` t
- , ` "e a 'd°1`'f-a 4{4 It'll�."�"r" 9 3 v.-'t`u', r e �,_vr,..i)*. x -r'- . -4
0
- 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 2x26 - /T'`I'CA7-"C“'^'A - B 33 9 Z� V_255
'Applicant's Mailing Address 2S2e HCl.2/.44C AJA> C./11, TYPE OF CONSTRUCTION kNEW El ADD U ALTERATION U REPAIR
❑ CONVERSION LIDEMOLISH ❑ OTHER
F"
Owner's Name4/Q- W ..N
U/rG.4T CO Phone `646-7552 A.P.# .740 -2/.2— /0 Zone#002—J;7/
. DESCRIPTION OF WORK/USE OF BLDG.
Address 2$20 ,CICC2IHAc w-y C44 Q26 2 6 S Main Building: Accessory Building:
Arch/Eng.6c/ttr Cr-r7O2 I Arsac License No. A.7:4 TYPE OF PERMIT U GRADING ❑ FOUNDATION EI STRUCTURAL STRUCTURAL T FrontO Z0
Address Z&S25' 41/LL(S44
-Cr.t D2- L4 cIN/4 /j/" 9.6j ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /S i ' p.I . N
(sf/s-t Y'/ 6tu...� s- SA-4E ❑ OTHER
Contractor's Name S�d•cr c / !! �� Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' ^ C Right � / N
Address(mailing) /505 1 S Left
CON ST RUCTION TYPE VALUATION$ KIt)
City License No. 44 382 ZONE GRADING CU.YDS. ACRES .� Yp R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 7'7 R, /./ Ej
S Vc`d5 i✓✓�G Planning Notes: 0
M
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. T
License Class License No. S
)ate Signature J'v PLUMBING FEES .
WORKERS'COMPENSATION DECLAR TION 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 c py thereof (SectionBackflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company /V ABackflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
8 certified copy is hereby furnished.
Certif}ed copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 1 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 empl y any person in any mann so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1%-8
Workers' o iory4ews of Califo ni / o - _
Date' Signature +%^�- —'�+^ c-�y�"—�� Floor Drains Swimming Pool w/Spa P.A.U. •NOTICE: f,after making this decla on,you should become7Z; to the _ Inc.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith J 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 the performance Pole Light
of the work for y'hick this ppertr 1It is issued, (Section 3097 Civ. C.) Interceptors Water Heater Outlets Flan ¢
Lender's Name ,/`CAT f(^i LOJC40 se c_. 9
Lender's Address AoO C z-7 Sct n-- 9cio S44,,40JE+56 ?.2/67 Kitchen Sink Water Service
OWNER BUILDERDECLARATION Switches
Sign .
I hereby affirm thata 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 LaundryTrays
any structure, prior,to Its issuance, also requires the applicant for such permit Y Generator 00-5 KW 05-15 KW Trash Compactor
ro the 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
7,,31.5 by any applicant for a 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 Reinspection Fee I $15 Issue Fee $ 3 -
iompensation, 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 Boiler Hood or T e ❑ DEVELOPMENT SERVICES REQUIREMENTS: /A� _ ��'+
employees, provided that such improvements are not Intended or offered for yp 17v�
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date\\/1"
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale).
I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 6."4Date6-7
tractors to construct the project (Section 7044, Business and Professions Code: ----
buil Contractor'smproLicense Law does not tract to an owner je is hta who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMA FEES
builds or improves thereon,and who contracts for such projects with a con- D
175
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration
proof of their worker's Compensation Insurance should be provided to me.
BUI LDING PERMIT $ SNAP $
❑ I am exempt oder Section B.& P.C.for this reason Firepl/Fact.BIL PLAN CHECK $ PERMIT
/ ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date "fit ' Owner . ' ' - 'Iiir /- Heating System&Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereb ce'ify that I have rehis application and state that the above ❑o-100,000 BTU 0100,000 BT ELECTRICAL information is correct. I agree CAL $ GRADING $
comply with all city and county ordinances -
and state laws relating to building construction, and hereby authorize repre-
PLAN CHECK 50% $ MICROFILM $ �5
sentatives of this city to enter upon the above-mentioned propert for ( �
inspection ur ses. Rein -spection TOTAL FEE $ tY '��
Signature ;-�w--�� Date MECHANICAL $
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor u s uvuu000'/UUVUoUO< 1 4J i .J4.44
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 f
• 6. Electrical UF ER Grnd. :'/ / 57. APPROVAL TO COVER-GUNITE
7. Footings , ` _ . / (j f( /&e 9k 58. Electrical Conduit-Undrgrnd. i is
8. Foundation , ( 59. Gas Pipe, 0 Undrgrnd., Test - '
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrndl{, :
10. Structural Floor System 61. APPROVAL TO DECK ,f I *.
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •ti -'
.
•
12. Sewer Cap ' 63. Heater & Vent-Final N 'it
13. Roof Drains 64. Plumbing System - Final d :ry • t'
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 0il
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 P
31. Plaster Brown Coat 79. FINAL INSPECTION Li .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: rgIq 1 IPa a (f-- VI S/teeracr- I ()I
34. Final Heating & Air Conditioning r„
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 ,
t44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations - •. : . i
47. FINAL STRUCTURE & BUILDING7p,/8 B41" ,
48. Special Requirements Completed .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co . •
51. CERTIFICATE OF OCCUPANCY
No. Date ,
43 2.__ • Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations.
CITY OF COSTA�MESA CONSTRUCTION PERMIT 4 131:5M10.
TRACT N LOT NO. I UNI mit.�p ��
Protect nt's s •L aids" 74, e t IX�,K,ie
'Applicant's Mailing Address TYPE OF CONSTRUCTION DEMOLISH NEW LI ADD U ALTERATION ❑ REPAIR
Q'J�� 6� ��� ❑ CONVERSION ❑ ❑ OTHER A.P.# Zone
Owner's Name / 1 Phon _4 4 DESCRIPTION OF WORK/USE OF BLDG.
Addres. .- - _ ., =- - .;!9/8S Main Building: Accessory Building:
E
Arch/Eng. License No. TYPE OF PERMIT C GRADING��ppII I FOUNDATION ❑ STRUCTURAL T Front 01 000E3992-00003993 TOT 403.tl
Address ❑ TENANT El ELECTRICAL ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
❑ OTHER A I
Contractor's NampeAda f Tots Phone-Ne C Right N
Y �j ?eat,
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing/erg__� 7g �y ?eG�+ CON ST RUCTION TYPE VALUATIONS $ Left G
City License No. e/- ZONE _ GRADING CU.Y05. ACRES E
LICENSED CONTRACTOR DECLARATION ,/ Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �..w.11� P ��y-S ?� Planning Notes: (y1
with section 7000) of Division 3 of the Business and Professions Code,and Mal
my license is in full force and effect. upT
License Class License .7719p S
)ateQ� Signature PLUMBING FEES c
•
WORKER COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
thli/ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
W 3800, Lab. C.) e
Policy No 07.421/2 Z Company St)t .40S, Backflow Irrigation Sewer Cap Construction Pole Sub. D 50+KW
\
railed copy is hereby furnished. ^'1
-
ertif d copy is filed with the city Build' ivision $ '•Bathtubs Sewer Connection by W Cooking Unit Meter Cup to 100 amps
EEXEd' -�/j Applicant - _!!
Dates 'ion FROM WORKERS'COMPS ATION hundred
Clarifiers $Olay Collectors Dishwasher Meter ❑Over 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
N. less). 1! Dishwasher Solar Piping �y.(�� Dryers ❑Gas ❑Electric Sub Panel
N. I certify that in the performance of the work for which this permit is issued, I /1^
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Mo rs❑0-1 HP ❑1%-8
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 - /S Gas Service Outlets 2 Water Closet %.a� Device 80X¢5 /� Pole Light
I hereby affirm that there is a construction lending agency for the performance r 9 •.
of the work for which this permit is issued (Section 3097 Civ. CJInterceptors �� Water Heater �.-OO Outlets
Lender's Name Range '/
Lender's Address !` Kitchen Sink Water Service _3 oo Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the 37f lavatories Auto-Wash Qr Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or 7� ,
county which requires a permit to construct,alter,Improve,demolish or repair - P-Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit •
to file a signed statement that he/she is licensed pursuant to the provisions ofRoof 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
genalty of not more than five hundred dollars($500). $ 3 -
LJ 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 _
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 foryp Zoning Approved By Date
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type I I ❑
pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved 6y� Date
prove for the purpose of sale). - ] /�f .�✓
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 7 ` reDates F— e
tractors to construct the project (Section 7044,Business and Professions Code:
The s Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU 0100,000 BTU SUMMARY OF FE
builds or improves thereon,and so 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
o I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Bit. ICBO 4 Fire Dampers2ISSUANCE $
PLUMBING $ -42%. 00
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ SU •pp ENERGY P.C. $
I hereby certify that I have read this application and state that the above 1:10-100,000 BTU 0100,000 BTL— ELECTRICAL $ GRADING $ __
information is correct. I agree to comply with all city and county ordinances
and state laws relatinc to building construction,and hereby authorize repre-
sentatives of this c'1 enter upo he s�bove-mentioned property f r `'� ^� �s
inspection purposes. ,� /� MECHANICAL $ V/ sW
Signature Date TOTAL FEE $
Drivers' License or - - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AD:PLANNING POOL&SPA
N
APPROVALS Permit# Date Inspector APPROVALS Permit#.. . Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2.'Soil Pipe-Undrgrnd. /-' ,silyght CEO ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. / 54. Forms
4. Electrical Conduit-Uiidrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement! 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd 57. APPROVAL TO COVER-GUNITE
,"•1
.
7. Footings(.` ' 7 58. Electrical Conduit-Undrgrnd.
i
8. Foundation} ,X59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe:Undrgrnd).4� _/ etc 6.40/' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor Sysiem '� 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 (oeftor e.,07 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring SignC / c r.. 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling � I .ir). 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning './ • 1--t' �1FIRE.DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oi1^
23. Gas Pipe-Rough & Test 72. Underground Flush ('
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil +1
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 t
.
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT /1
31. Plaster Brown Coat ,' 79. FINAL INSPECTION OA
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r)
33. Final Electric Notes:
^.1
34. Final Heating & Air Conditioning `
. 1
35. Final Gas Pipe-Test 1o/ .
36. Hood or Canopy -
I
37. Final Factory Fireplace - ' '
i . s'.
38. Final Plumbing t/Wei1,e, t7 i'
ti! Water Service-Final I r '
t
40. Gas Service-Final , y t I
1.41. Solar Domestic-Final 'i ii i' ;
J,
'.42. Backflow Preventer I .1 P ,.
i
(43. Backflow Irrigation _r . i• . .;
,/ i'
44. Landscape Irrigation System ' f 1 • 1 .� ,
45. Sound Attenuation i- ' ''!
,i .
N;6. Handicap Regulationsl) ' '• I:
47. FINAL STRUCTURE & BUILDING I.1
48. Special Requirements Completed I iJ • ' .1
49. Electric Release to Edison ;; 1 I
50. Gas Release to Southern California Gas Co - -'i '
•51. CERTIFICATE OF OCCUPANCY s - r -
No. Date -
'. ' - -
G / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA IE . ',TRUCT ON ' ; R IT •
PERMIT S 4/895- TRACT NO. LOT NO. UNIT NO. i
Project Address - 1i.' 0 / ,
'Applicant's fling Addres A�+/—_•"rang! - TYPE OF CONSTRUCTION LJ NEW,40.60 U ALTERATION REPAIR
Owner's Na e £#. IOir / e ❑ CONVERSION ❑ DEMOLISH OTHER q,p,�g Zone
r CI� , ��"' ¢ �� DESCRIPTION/40WOR / SE OF BLDG.
Address r /V I.-- x / r i` 4 — 4A,e,i'1,�[�Q S Main Building: I Accessory Building:
Arch/Eng. r License No. TYPE OF PERMIT ❑ GRADING J FOUNDATION
II���//s❑�s STRUCTURAL E Front 0
Address ,s,,.�/s /y//1 /�� ❑ TENANT ID ELECTRICAL ❑ PLUMBING J�'MECH ANICAL 8 Rear N
Contractor's Na57....4.07;QsY/✓/r.�f a Phonf 4' /6A7 ❑ OTHER / A I
�`v2-- ° �. PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) L ) Left G
CON STRUCTION TYPE VALUATIONS $
City License No. R
ZONE GRADING CU.VO5. ACRESE
LICENSED CONTRA TO CL ION Ping. Ref.4 Parking Req./Provided
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: CIM
with section 7000) • Division 3 of the Business and Prof. situ •e, a ,�33 e y
my license is in full or .n' fact. L� if� T
ir Lie Cla tete A Urnense N. $
w� r� PLUMBING FEES
)ai Signature A��.•• •
\ WOR ERS'COMPENSATION DECLA-ATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-inS•r a certificate ELECTRICAL FEES
of Worker rr99PPensation Insuurr pc , or a ce.,th ed cop. -reef (Section Backflow Preventer Service Sink
3800, Lab. :")3? i1S // ' • Automatic Washer Transformer ❑ 15-50 KW
n Policy No. n CJ Compo 1A4 Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
Certifiy{) py's ereby furthehe
flCertifi(7ff/( i ith the cit • 9 r i.• Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant
EXEMPTIO FR M WORKERS'COMPENSATION DECLA TION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section nee not be completed if the permit is for one h nd ed($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 00-1 HP ❑1 -8 •
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016.15+
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microvave
comply with such provisions or this permit shall be deemed revoked.
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 for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater ' e Outlets Ran
Lender's Name g
Lender's Address kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for 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 ❑5-15 KW
sny structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor
Lo 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 --- ---f
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 1
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 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of cam- Canopy Type II ❑
pletion,rovfthe owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By g?....." Date ��i� /
prove for the purpose of sale). - / /�, / !/
❑ I, as owner of ct the , am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 11{Y/ ! Data
ar
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to owner property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts forr such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ - _
proof otheir Worker's Compensation Insurance should be provided to me.
❑ l am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO 4 Fire Dampers PLAN CHECK $ PERMIT
PLUMBING $ 0i 30012087-1 if • E
Date a Owner ; ( Heating System& Ducting Registers 36„ a CT T 60.0
L// ��--,,!!)) PLAN CHECK 25% $ DATE: 02/16/1. L7 0$�0J
I hereby certify to t 11 ave read this application and state that the above $100,000 BTU 0100,000BTL ELECTRICAL $
information is corn 1. I gr,e to omply with all city and county ordinapppces
and state law rela in• - •r c•• c0 on,and hereby aujtlOrjze repre- MICROFILM $
and state
- s' -rt ' Noon t e an, and heribyea /r /�\� �X'7 PLAN CHECK 50% $ 51400
'''1 �Ts
inspection purpose-. . S" U w MECHANICAL $ --�•s� TOTAL FEE $ �D• DU
Signer _ _—
-Accounting; Goldenrod -Assessor CITY OF COSTA MESA, CA
Fnl? nrPnSrr RIJI Y
CONSTRUCTION AND'PLANNING POOL& SPA
APPROVALS Permit-3'k
Inspector APPROVALS Permit# Date Inspector
1: Temporary Electrical-Service or Pole 52. Pool & Equipment Location r
2. Soil Pipe-Undrgrnd. d 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 ' I,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE "II
.7: Footings 58. Electrical Conduit-Undrgrnd. r, I
1 .
Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 4
9;Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i
_ II
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
t,.
,18. Rough1Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough'Heating & Air Conditioning 14.17_yy 160 FIRE DEPT. REQUIREMENT Pr
20. Rough Factory Fireplace APPROVALS Permit#
'21. Ducts, in Structure 70. Underground Hydro
122. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush 1
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro . ' • ' , r 7
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _
27. Frame and Flashing 76. Dry Standpipe I ,
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL "
30. Drywall Nailing HEALTH DEPT. REQUIREMENT " f
31. Plaster Brown Coat 79. FINAL INSPECTION • CA
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED (71
33. Final Electric Notes: .--1,-
...-
.
34. Final'Heating & Air Conditioning p_4 LC, 0
35. Final Gas Pipe-Test
36.%Hood or Canopy - -
• ti
37. Final Factory Fireplace • . --� • • I
38.-Final Plumbing - 1.J
A 39. Water Service-Final " - -
.
40. Gas Service-Final r •
t ,
41. Solar Domestic-Final
-, -, .,-1- . r :\.
-; 42. Backflow Preventer /' - , I y�- -
:.43. Backflow Irrigation - 49e
'-21.4. Landscape Irrigation System - - .� : , Lam'\
45.•Sound Attenuation .
46.'Handicap Regulations •
, "
47. FINAL STRUCTURE & BUILDING I ' . i -
48'.-Special Requirements Completed '
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY / .
No. Date
b \
1/4t/3 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
v ( PE IT NO. TRACT NO. LOT UNIT/I6.CPTY OF AddressCOSCZME,5 Zqt/ ST77 L�.�V.•L.,�ON/PERMIT 355- --Oa / `3 / . -# Zone
Project rmSOQnTr/7 L..• 44-/A42 _ �7V J Le-NEW LJ( S Main Building: I Accessory Building:
TYPE OF CONSTRUCTION LL NEW U ADD ALT RATION REPAIR E Z
,Applicant Naill'p��A(1,ddr¢5,s ❑ CONVERSION ❑ DEMOLISH 0 OTHER T Front D
Owner'�me'' t /'rrI��11�nI �Phone DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address
I I C Right N
Arch/Eng. License No. TYPE OF PERMIT GRADING U FOUNDATION 0 STRUCTURAL G
Address 0 TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL 5 Left
C���
0 !OTHER Ping. Ref.•Ip Parking Req./Provided E
Contractor's Name s>`r- rCI♦ ICS Phone 775 ` � {'� /
Address(mailing) 02 MT; N1LikS r-• V• PROJECT DESCRIPTION SQ. FT. I /) 25-6 OCCUPANCY Planning Notes: O
/ CONSTRUCTION TYPE VALUATION$ M
�{3SSC57 T
City License No. ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION 6
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r3 4/ O
•
with section 7000) of Division 3 of the Business and Professions Code,and 1l-f 1C�/ ELECTRICAL FEES
my license is in full f• Ce and effect.
License Cla I I leans- `o. 4 CO4� 4 -
�� •"j� Automatic Washer Transformer ❑ 1550 KW
Date , Eb Signature . -_/ PLUMBING FEES
Construction Pole Sub. ❑ 50+KW
N00.KERS'COMPENSATION DECLARA ION Bar Sink Showers N ,q
1 hereby affirm that I have a certificate of consent to self4nsure or a certificate CookingUnit I� Meter ❑u to 100 amps (�
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink p p Y
1� Pol 0,c Lab. C.)�,.a/ Z ' p c5rATE JN
Policy c3L3 Company Backflow Irrigation Sewer Cap Dishwasher afar Dover 100 amps —_
ofietl copy is hereby furnished. Dryers ❑Gas ❑Ele is S Panel
er (I c pysss filed with the city (ding D Sion. Bathtubs Sewer Connection
Date yO4 Applicant VS a-At T e 1e:312-1C. Fan f o ors 00-1 HP ❑1X-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100) or • F.A.U. I 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,
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ixtures 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. Switches
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Lender's Name Interceptors Water Heater
Lender's Address Kitchen Sink Water Service _ Generator 00.5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto•Wash /} ,
following reason (Section 7031.5 Business and Professional Code: Any city or — /Ip-.(j❑� p� IIS '9
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays /�•s✓ Q-V" . �I !.
any structure, prior to its issuance, also requires the applicant for such permit At
V
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 Reinspection Fee I $15 Issue Fee 4 S C lie
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 DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
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 s / A 1 �(,�pj�
thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By �� Date /O/// r ur-r
employees, provided that such improvements are not intended or offered for Boiler
sale. It, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
- tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100.000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation Insurance should be provided to me. . GRADING $
0 I am exempt under Section B. b P.C.for this reason Firepl/Fact.Blt. ICBG* Fire Dampers ELECTRICAL $
PLAN CHECK 50% $ • MICROFILM $
Date Owner Heating System&Ducting Registers MECHANICAL $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000B _T TOTAL FEE $ -1 Q
/. 5,„),
information is correct. I .-ree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating building construction,and hereby authorize repre-
sentatives of this t o e er pan • e above-mentioned pro erty for
inspection purpose
Signature G�.G� Date fi
Drivers' License or SS - �� ; Reinspection Fee $15 Issue Fee $ 3 01 00016159-00016160 TOT 741.52
DATE: 10/04/3E TIDE: 15:04
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
,; CONSTRUCTION AND PLANNING POOL&SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
4'
1. Temmrary Electrical Service or Role 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ,_ (1 53. Steel Reinforcement
3: t U
t Electrical Conduitility-Undr6rnd. ,ti 54. Forms i
4.'Elec Tical Conduit_Undrgrnd. - 55. Electrical•Bonding
5.Steel Reinforcement 1 56. Rough Plumbing & Pressure Test . %
.6. Electrical UFER.Grnd. i 57. APPROVAL TO COVER-GUNITE \ ,•J
7%;.
7i FootingsI 1 58. Electrical Conduit-Undrgrnd.
8 Foundation T _tee •. 59. Gas Pipe, 0 Undrgrnd., Test
9! Waten Pipe-Undfgrnd. I•" .r• 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10e Structural Floor System _ , `1 61. APPROVAL TO DECK
1 ii..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
116. Rough Electric Wiring 10-(7- P1 'C2 67, Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
. . t
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
18. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ';, APPROVALS Permit#
'21. Ducts, in Structure 70. Underground Hydro f
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23./Gas Pipe-Rough&Test 72. Underground Flush
I -
24. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ,;,..t; 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27; Frame and Flashing 76. Dry Standpipe
-20.;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 [..3043,7 3 ,4 80. FOOD CERTIFICATE ISSUED
33. Final Electric 2-220 J��,� Notes:
• j134. Final Heating & Air Conditioning 77
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final ' / .- 'II
40. Gas Service-Final
41. Solar Domestic-Final _
42. Backf low Preventer i 41 •
43. Backflow Irrigation t,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations • LJ
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
.049. Electric Release to Edison -
50. Gas Release to Southern California Gas Co - L. 7 .i
51. CERTIFICATE OF OCCUPANCY . i . r i
No. Date () •�
CI-7 OF COSTA MESA
CALIFORNIA 92 62 8-1 200 P.O.BOX 1200 '_J -
Insulation Certificate
2526 Santa Catalina Drive Costa Mesa , CA
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" Thenal Resistance(R-Value) R-11
CEILING
Batt orBkanketType Batts Brand Name Manville
Thickness(inches) 6 3/4" Thermal Resistance(R-Value) R-19
those 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 andVYt'STERN INSULATION -
Drat-`
3621 W MMRF AVP 'Ve/C72C
f.....,z4
Subff onvector(Luvl tt�; 9 704 License Number
Signature and Tide Date
-3141: '! / . zT7F..2e r1
COSTA MESA SANITARY DISTRICT
MONEY RECEIPTS ADVICE
Date
3 -3\
Amount $ I
Name ��nV�VIJ LA) t )r11VC ��Y�l� ��1,
Payer Address 1�c: .(1)--I c C. Min l I QV 1 n e °‘3-\ \
For KAA .=(t Up f c __ J1
1 IBJ`TcL)
f1,
signed�J��`<. S:1111 `, VN,_
CMF 0944-68 White-Customer;Canary-Department:Plnk-Finance;Goldenrod-File
791:7 t/ ! /'.
COSTA MESA SANITARY DISTRICT n
MONEY RECEIPTS ADVICE
Date 2) -?-)k
} Amount $
r
Name 1(�\t\C\' 1' 1 '� r1.r(1^,Q \ i\
Payer C4) • {),1`.K L.— 1`1ic I \ l_7 V• I I�c 1 �L-S
Address
}} t •l r
• For ,-\\ �tcc.t \I ) CVL '-Y'_.3\
1 r--.a‘
•
sign L1.-N '.f,"
CMF 0944-68 WhIte-Customer;Canary-Department;Plnk-Finance;Goldenrod-File
•
CONSULTANTS• INC.
February 14, 1989
CITY OF COSTA MESA
77 Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
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.13 also
known as 2526 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
ditiA
Surender Dewan, R.C.E. 34559
Engineering Manager
/rw ;v. ,...
. ii '�{ 1
NO :345:r
--of Cp.U*T-
• '-- 1182 North TStinAve. .
orange CA92667 C2/125O
• 17141744-0802 •
Fax(714)538-2152
9035 Haven Ave,Suite 105
Rancho Cucamonga.CA 91730
(714)944-5400
Fax 1714)944-2790
CIT OF COSTA MESA
CALIFORNIA 87628.1200 R. O.BOX 1700
Insulation Certificate
2526 SANTA CATALINA DRIVE Costa Mesa
Number and Saeet 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
Thicimess(inches) 3 1/2" Thermal Resistance(R-Value) R-11
CEILING
Batt or Blanket Type Batts Brand Name Manville _
Thickness(inches) 6 3/it ii 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 ac helve 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 Tide 24 of the
California Administrative Code.
FAIRVIE NAGEMENT COMPANY OWNER/BUILDER
Corti C9ncractce(Builder) •
License Number
2-22-89
WESTERN INSULATION Signature artdTitle• L '9/�pa�� •
3621 W tupnpE AVC. - -7
SANTA ANA, CA 92704 oruncc Onsulation tall License Number
Signature and Title- 0 pate