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Home My WebLink About2529 SANTA CATALINA DR - Building Permits City of Costa Mesa Development Services Department 9 O i 323 97 Building Safety Division CERTIFICATE O F OCCUPANCY No. P.0.Box 1200 ' Costa Mesa,California The Building located at 2590 .Santa r'atalina nr_, pn;itlinn 14. finita 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 Rl _Occupancy. Use of Building Anattments Legal Description 420-212-10 (See reverse side for Metes and Bounds) Building Permit No 833463,833925 Electrical Permit N oF34230,E35559 Plumbing Permit No. P 33568 Mechanical Permit No. M 34896 Number of apartments 16 and/or guest rooms ISSUED TO: Building Official William T. Howard j.'ai rrri ow mananomont rnmrr-inv r / ,- 2520 Meeamac Way by ./i , ('Hata meaaq, TA 92898 Date March 10. 19A9 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 (e) U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg. Permit File / - / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 4/554 O� • PERMIT NO. TRACT NO. LOT NO. UNIT n_F% /: . / CITY"OF C9sTA MESA CONSTRUCTION PERMIT-VF 14 SNIT NU •Project Address 252.9 $ xjri e,g7-4ti</A der vE 5 334CP3 /�21�.55-81 '3 /a—we - Applicant's Mailing Addres �y��-O /-tEe.Q-.a•t.ic ruy coy q?,E1�, TYPE OF.CONSTRUCTION IIQ NEW LIADD U ALTERATION Li REPAIR it's- C I I •I ,• . . . FA./PZn eti de-4r CoPhones 7-27 ❑ CONVERSION El,DEMOLISH ❑ OTHER A,P,# ■� 1}W—. a Zone p0,2_,4,,Owner's Name DESCRIPTION OF WORK/USE O BLDG. Address !��d''S' .4MC - ,AFAR-TtA UUI tuft i- taupORti RcH S Main Building: 1...-/ Accessory Building: z Arch/EnG&i• I LFS F.LY ASSOC License No. TYPE OF PERMIT GRADING FOUNDATION Id STRUCTURAL T Front 31- ' ±• Q Address23o2S N/a-'- �.e. •02 LAu 6 ,dA Nre[.S 9.'-6S3 El TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL Rear lel y' y N 0 BTHER Contractor's Name h wrdEA/.6ue..ASAHs • N rEP� Phone PROJECT DESCRIPTION SQ. FT"171t5LP •'f 151OCCUPAN Y R— I C Right 2 5 N Address(mailing) 5/b�C: 31 / 4369 CONSTRUCTION TYPE VALUATION$ 1 � I' / $ Left 2s City License N0. Cil GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION n �yI Ping. Ref.#�i4 65-_/a3 f Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks'' f C4,. 319 4 1 A Planning Notes: ryg3 V2 /3 0 with section 7000) of Division 3 of the Business and Professions Code,and 1 rs I my license is in lull force and effect. T License Class License No. HOLD FOR SPECIAL RCQUIREMENTS S Date Signature N A .. PLUMBING FEES WORKERS'COMPENSATION DECLA ATIONBa!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 PrevenlerService Sink 3800, Lao. C.) Automatic Washer Transforrner II ■ s KW Policy No. Company N A Backflow Irrigation Sewer Cap ■ s 8 Certified copy is hereby furnished. , Certified copy is filed with the city Building Division. Bathtubs- Sewer Connection Cooking Unit Meter ■up 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 ($100) or less). Dishwasher Solar Piping Dryers 0Gas 0Electric Panel I certify that in the performance of the work for which this permit is Issued,I r shall note pl y any person in any m er so as to become bject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'h-8 Worker a Laws of Calif /f//� �.rt-- -' Date seSignature ��"'''�" ✓ Floor Drains Swimming Pool w/Spa F.A.U. 1111.-• NOTICE: 11, fter making this doer tion,you should becomesubject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ■ Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets -7I Water Closet Device Boxes I hereby affirm that there Is a construction lending agency for the performance Pole Light of the work forw�v,��snM1��Ic� this-annuli i Js tl ��$�ppCcjjlon 3097 Civ. C.) interce tors Water Heater Lender's Name L7KG/or /I.M�.•L�/e'd' StiL p Outlets Range Lender's Address''S sr 5Q/re 9i2s 54.0 4166n 92/53 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 1. Auto-Wash Garbo a Dis oral following reason (Section 7031.5 Business and Professional Code: Any city or • - 9 P Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap - - - LaundryTrays any sera signed prior to itsthat he/,also requires the applicant for such permit - • Y Generator ❑0-5 KW ❑5.15 KW Trash Compactor toh file a statement that he/she I5 licensed pursuant to the provisions 0) 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 coenalty of not more than five hundred dollars($500). I, as owner of the properlyrtyorar my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not The 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: Y,� �� employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ' r / sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By ��II` ,11 "a Date Y prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By W\11 V`W^ 4,—I'-u 1 • prove for the purpose of sale). - Date t��/ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date S-V2--p6 tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con40 - tractor($) Ileens° pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ 3513-61[[!! SMTP $ 69' proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ ' 9 S7o.-I�PER MIT 11 am exempt under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date have re ^^�"'" 'freand state• the above` Heating System& Ducting Registers ENERGY P.C. $ aaaaaa((((��// PLAN CHECK 25% $ I hereby c tify that I re this application and t t the ❑0-100,000 BTU ❑100,000 BT information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $ and state laws relating to building construction,and hereby authorize repre- sentatives of t•'s city to enter upon the above-mentioned pro er y for PLAN CHECK 50% $ A� ,( Inspection pur: 1 -CONSTRUCTION AND PLANNING Y POOL& SPA APPROVALS •,Permit# Date Inspector APPROVALS Permit Date Inspector 1Temporary Elecfrical Service or Pole 52. Pool & Equipment Location 2.' Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. .Sth/ VG 57. APPROVAL'TO COVER-GUNITE 7. Footings , ,I. '9 fia 58. Electrical Conduit-Undrgrnd. 8. Foundation • I1' & / 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd. - x-- 10. Structural Floor System, .T(.018 '[3 p 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 ' ' • /ri '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 - - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .•J• 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 0Gas 0011,1 • - • 25. Roof Sheathing (Ant Oj . 74. Overhead Hydro 4. , 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical r 27. Frame and Flashing l°71-7/776. Dry Standpipe - � ` �" `� t 28. Lathing & Siding 1 p'(•1 S 'D�� 77. FIXED SYSTEM FINAL • 29. Insulation /p//7 A Gv 78. FIRE PREV. FINAL , 30. Drywall Nailing fo/ya y ere HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat !(/tf ets il 79. FINAL INSPECTION • . 32. Electrical Power Meter-Final // 80. FOOD CERTIFICATE ISSUED ., 33. Final Electric Notes: y/f/88 OK 'c a a�}�„J� S(,� 34:Final Heating & Air Conditioning 9//}/fc s, 0C 6✓ nil �"�[ . 35. Final Gas Pipe-Test • HOL '`a.,.•'�11//'��/ (� 36. Hood or Canopy A,_ / t d �j4L FJ of(i`• . �/J� 37. Final Factory Fireplace �v'WLJ v!\ !' t .,,,, �/1L�/�L/ "' 38. Final Plumbing (� 39. Water Service-Final , ' 40. Gas Service-Final • 41'. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation • . 44. Landscape Irrigation System 45. Sound Attenuation . , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 3 (A/6 l g-yam - 48. Special Requirements Completed- 37 3c1 7A-(6,_ u J-y9� 49. Electric Release to Edison r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date l 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.14 also known as 2529 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 A Surender Dewan, R.C.E. 34559 Engineering Manager /rw .,A....y • ftFvd\�,., V:7 117 .,14 4•}y5 k. • ! F;C. 3i559 of ilk_ OF CM-1 f , .1182 North llstin Ave. Orange.CA92667 C2/1250 . 1714)744-0802 Fax 17141538-2152 9035 Haven Ave.Suite l05 Rancho Cucamonga.CA 91730 1714)944-5400 Fax(714(944-2790 CI1 . OF COSTA MESA CALIFORNIA 92528.1200 P.O.BOX 1200 Insulation Certificate ._2529 SANT44A DR IVF Costa Mesa um an Peet 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 CEiLINO Baa or 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/hi 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. FAIRVI W7 MANAGEMENT COMPANY OWNER/BUILDER � CienerAJ Contractor(Builder) License Number 2-22-89 Signature and Title Lq �N •Y O 3621 W eenpoE AVC- Yf /r'7/0 �J SANTA ANA, CA 92704 dr rac (insulatioy�tall�� License Number . " Signature and Title's Date CITY OF COSTA MESA CALL.,,RNIA 92628-1200 P.O.BOX 1200 -- Insulation Certificate 2529 Santa Catalina Drive Costa Mesa Numbs 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 Batt or 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/ftj 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 WESTERN INSULATION' Signature and Title /Dat 3621 W. MQC'R6M/S. Contrec (Insolatron er SANTA ANA,CA 92704 License Number ignature erd Title Date . )9/4E I / pr:7E .27 R COSTA MESA SANITARY DISTRICT ; MONEY RECEIPTS ADVICE Date Amount $ t��t; `1 • ( Name '\-N .(.tx ) l 1 Il\i{AAt.k�Q Payer Address 2� .�(� .e - L_:' kL1(Ci I —17ag 1 I\e For C. 1LL�. .41 \(t' 11)\9\1*—_' Lt I l yy CMF 0944-68 While-Customer;Canary-Department;Pink-Finance;Goldenrod-File 79x7 .`/ • COSTA MESA SANITARY DISTRICT ; ,, ,; 5 1 MONEY RECEIPTS ADVICE • • Date F) 3� — Amount '. l 7 C). . _ ((�� Name 'l-c1ti y1( \-'l O cVckfY t 0,Q or\c. `` Payer Address Y . C'))-)CL.— )'YLC I . 1 ?\• I !1i'_ t r • For /1. l, I 1 -C�L 05.o v b12. . 1cJ � C `` • Signed-it-AWN 1.1410-). CMF 0944-68 White-Customer;Canary-Department;Plnk-Finance;Goldenrod-File - _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Pi, • / CITY OF COSTA MESA CONSTRUCTION PERMIT — PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 25p79 S4Lrr4 077 -U '4 DZ- 13 F3 9 Z 5— /2S'S • Applicant's Mailing Address 20-2o -44 C4-4//144C_ wA CM TYPE OF,CONSTRUCTION W NEW U ADD ❑ ALTERATION U REPAIR -1 fA/.2!//54-, 46 4r /co. Phoneme'732 ❑ CONVERSION LI DEMOLISH 111 OTHER A.P. �� - �T2 - 1� Zone pot_f/ Owner's Name 7 DESCRIPTION OF WORK/USE OF BLDG. Address 2t 20 .NE.E,fl/M4C O-,Ay CAT 4,2_62 4 S Main Building: Accessory Building: Arch/Eng. 3s °! ' i.. License No. Al-4 TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front .2,_c - O ZI Address 23025 Ai y_2_ C/gs:,0e_.04_ 4-40a eu-4 f'LGS 92653 CITENANT ❑ ELECTRICAL ❑ PLUMBING CIMECHANICAL B Rear 5 N ❑ OTHER Contractor's Name DWtir2_/B4/L.OE/l Phone 5-444C K Right LW t G 3A•4.E PROJECT DESCRIPTION SQ. FT, OCCUPANCY zn Address(mailing) Left 2� `f I ¢4E67 CON ST RUCTION TYPE VALUATION$ $ au•- 'T City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req,/Provided E Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:• �� 6-4.1.„. Planning Notes: with section 7000) of Division 3 of the Business and Professions Code,and /-22,t3 a CLOS L!/LL M my license is in full force and effect. T License Class / License No. S ate Signature A74. . - 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 py thereof (Section Backflow Preventer Service Sink 3800, Lab, C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company A- Backflow Irrigation Sewer Cap0 50+ KW Construction Pole Sub. Certified copy is hereby furnished. _ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Cooking Unit Meter Dup 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 Dishwasher - less). 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 emp oy any person in any manne so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑i'h-8 Workers...2o ?satin Laws of Califo I __ Date 14 i/�'� Signature ice.+- % t•-•‘-'-'."—••••--- Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ NOTICE: f,offer making this declar on, you should become suthe - • Workers' Compensation provisions of the Labor Code, you muwith 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 for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Dutlets Lender's Name QCCAr` A-ct Et/CAA., S.2_- Range Lender's Address 40.5 E 377 4w/JLC 9o] sat. sOr CO'iI 92./A3 Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - -ounty which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays y structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0-5 KW❑5-15 KW Trash Compactor file a signed-statement that he/she is licensed pursuant to the provisions of Roof Drains ,ne Contractor's License Law(Chapter 9 (commencing with Section 7000) of • Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil • enalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $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 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). C - ` ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date er-7-29y tractors to construct the project (Section 7044,Business and Professions Code: The sContractor's License Law does not ato an owner ie property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMAFEES builds or improves thereon, and who contracts for such projects with a con- Q -- proof tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 22 _ PERMIT I am exe pt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date 6 2 Owner �'^ ' .6_-.-i -4 - Heating System& Ducting r- Registers • PLAN CHECK 25% $ ENERGY P.C. $ I hereby cer ify that I have r•:• this application and state tha the above 00-100,000 BTU 0100,000 BTL information is correct. I agree t• comply with all city and county ordinances - ELECTRICAL $ GRADING $ and state laws relating to building construction,and hereby authorize repre- sentatives of [ city to enter upon the above-mentioned pr per f lit inspection cur es. /�., ,fJ ��G • MECHANICAL $ TOTAL FEE $ S`b•— Signature -fi_�- ( L / t,Z- -Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' ense or SS -- `- -. V I CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ,',-*•4%-' CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings L ,r, r88/'88 58. Electrical Conduit-Undrgrnd. 8. Foundation' ' ( I 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd: 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap 63. Heater & Vent-Final i • t• 13. Roof Drains 64. Plumbing System - Final 1.'4 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: &J(I rga otc gyp' eJr ,I 34. Final Heating & Air Conditioning i 'I 35. Final Gas Pipe-Test 36. Hood or Canopy - ' • 37. Final Factory Fireplace • • 38. Final Plumbing . . • -39. Water Service-Final 40. Gas Service-Final ' 41. Solar Domestic-Final , 42. Backflow Preventer . 43:Backflow Irrigation • 44. .Landscape Irrigation System - • 45. Sound Attenuation 46. Handicap Regulations ' ` •. 47. FINAL STRUCTURE& BUILDING. ` ' • 48. Special 'Requirements Completed • 49. Electiic Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ . I-'92.6--p57 • � + Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESACONSTRUCT!CONSTRUCCT�!(j]N PERMIT PERMIT NO.17 3'3 St V� TRACT NO. LOT NO. UNIT NO. • Project Address 24 1 Sn I} vPs `4 ..nac. ' o / .ors "J /O/ Applicant's Mailing Address Po/�S/e��7�7�S�f � a� �d6lb TYPE OF CONSTRUCTION ❑ NEW 0 ADD U ALTERATION Li REPAIR �y �.y,� 'YTS- 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# • I Zone Owner's Na��m// /QS,•U�a Phon DESCRIPTION OF WORK/USE OF BLDG. Address S4'D& A(' .2 ante ice•/ S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADINGIIpp❑ FOUNDATION ❑ STRUCTURAL T Front 01000C3988-00003989 TOT 403,0: Address 0 TENANT 0 ELECTRICAL 1�],PLUMBING 0 MECHANICAL B Rear N ss c �" 0 OTHER A I Contractor's Namef r I yary PhoneRight - Address Imailingl �� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C fN r CONSTRUCTION TYPE VALUATION$ S G City License No. Y� ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Req./Provided Q I hereby affirm tht I am licensedsion3 under provisions of Charter 9 (commencing Remarks: rh Pleedl anyfe, Planning Notes: • M with section 7000) of Division 3 of the Business and Professions Code, and �X ) T my license is in full force and effect. y ` 986.33 License CI ss L.ic�No. S ate Slenatur PLUMBING FEES C. /ORKER ' COMPENSATION DECLARATION `\ Bar Sink Showers ELECTRICAL FEES Op I hereby affirm that I have a certificate of consent tofi self-Insure or a f (Se tion of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW `\ 4filed .7''yr7 Company . nett Backf low Irrigation Sewer Cap • Construction Pole Sub. 0 50+KW d copy is her y fgrnished.O with the city Buil $ vision. ';j�8athtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Ei ��N FROM WORKERS'COMP ATIO DECLARATION Clarifiers Solar Collectors - Dishwasher Meter (Dover 100 amps , (This section need not be completed if the permit is for one hundred ($100) or - less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel - I certify that in the performance of the work for which this permit is issued, I , shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank �_ Fan Motors 00-1 HP ❑1'-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc..Solar 9-15 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 3) to Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. 1� CONSTRUCTION LENDING AGENCY /rf4. Gas Service ye/Outlets Water Closet ( l� . 00 Device Boxes g I hereby affirm that there is a construction lending agency for the peormance C P I ht of the work for which this permit is issued (Section 3097'Civ. C.) _ Interceptors " ater Heater ,3� Outlets .Lender's Name Rang¢ • Lender's Address /s, Kitchen Sink Water Service Sa.Qa Switches Sign OWNER BUILDER DECLARATION ": I hereby affirm that I am exempt from the Contractor's License.Law for the 3.2.,Lavatories Auto-Wash / q Garbo a Dis osal ' _ Standing Sections following reason (Section 7031.5 Business and Professional Code:.Any city or tl9 P • 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 -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 ` • .e Contractor's License Law(Chapter 9 (commencing with Section9000)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 malty 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 ___ ----- thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By • Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of sale). - ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Reffigera ' n System - Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00- 0,000 BTU ❑100,000 BTU SUMMA V EES 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 $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System & Ducting Registers - PLAN CHECK 25%. $ 0' ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,00087 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 upo h above-mentioned pro erty for y.� inspection purposes. - �� • MECHANICAL $ TOTAL FEE $ 0 1103. Signature - 5 e_. _ Date / Drivers' License or SS# , Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA • Date Inspector APPROVALS Permit# Date Inspector APPROVALS Permit# 1 .r 1>Temporary ElectricaService or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .1n sisldr cell ' 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement(/ 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gr_r( . , 57. APPROVAL TO COVER-GUNITE/ . • 7. Footingsl-r V' G/,11 58. Electrical Conduit-Undrgrnd. 8. FoundationI �/ 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water P'pe�Undrgrndt 1 5/1312W (�,O 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System / 61. APPROVAL TO DECK u. 11.,Property Sewer Line& House Connection J 62. Backwash & Receptor-Final r„ 12. Sewer Cap ,.PJ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing gbh? Y LIE° 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign p c c p 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling _- } >> e, }A 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning tl c\l -% ( 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 /"'I 24. Roof Framing 73. Undergrnd.Storage Tank OIGas 0 Oil 25. Roof Sheathing • - .. - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i, 27. Frame and Flashing L d, 76. Dry Standpipe - 28. Lathing & Siding 77. FIXED SYSTEM FINAL ''' I'. Y 29. Insulation 78. FIRE PREV. FINAL 1-': 30. Drywall Nailing HEALTH DEPT. REQUIREMENT "+ 31. Plaster Brown Coat ./ 79. FINAL INSPECTION • _ 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1, 33. Final Electric Notes: .' 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test &dully Leo' tC: t_ 36. Hood or Canopy 377. Final Factory Fireplace 38. Final Plumbing tle4g4 (,go ` , t. ✓: 39. Water Service-Final (, C' `r f';' ( ' ' "i • az - di Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CTTT'OF CRrSTA MESA( CO�^NSTRUQ ION PERMIT PERMJ•Tr S�� TRACT NO. L03(k0, iv UNIT -1s ,. P gf`- Zone Project Adtj{ess �J�7 c)Awn C�}7�iL�✓9 -D2 - �C e7 ry/ r/C!"{`r'�6'�C`T, ""'yS Main Building: Accessory Building: Ap(licant's Mailin Address TYPE OF CONSTRUCTION LJ NEW U ADD ❑ ALTERATION REPAIR E • Z l�A �Ah1 El CONVERSION III DEMOLISH DEMOLISH ❑ OTHER ' T O Owner's Name }—A1Q,vIf1.J I IA9E ]�Phone DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address Arch/Eng. License No. TYPE OF PERMIT GRADING LI FOUNDATION ❑ STRUCTURAL C Right N Address ,l� ( ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ . Left R Contractor's Name�W21 3c-Oil EIEcTC.+C Phone 77s—c oI ❑ OTHER �1 I Ping. Ref.# Parking Req./Provided E 1111 � V f• PROJECT DESCRIPTION SQ. FT. 1774 to OCCUPANCY ' PlanningNotes: Q Address(mailing) I�O (tTT"` [Tls„J�y �•V• M 43S-R3 CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:a 3346 3 with section 7000) of Division 3 of the Business and Professions Code,and my license is in full rce and effect. ELECTRICAL FEES itLicense Cla ID • ffa r :icen - o., • a Late �°la Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW V •RKERS' COMPENSATION DECLAR•TION Construction Pole Sub. ❑ 50+KW • • Hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers'( Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Mete up to 100 amps N 3800;.Lab. C.) T ��M!!�' Policy o. 6,344 Company �PrT6 /Cab Backflow Irrigation Sewer Cap Dishwasher \ Meter Dover 100 amps rtified copy is hereby furnished. _ Dryers ❑Gas ❑Electric w� \\J Sub Panel Certi{le co i ed with the city. a�lltling g�.vl`' Bathtubs Sewer Connection i Date io 4 Applicants LtRlq J[_�bt L / Q'7 r�I Fan I I_ Motors❑41 HP ❑1'/h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' Clarifiers Solar Collectors ( `(I (This section need not be completed if the permit is for one hundred($100)or F.A.U. I Inc.Solar ❑9-15 HP 016-15+ 4c$1, less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration,you should become subject to the • Outlets Range ` Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. 'CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches 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.) nterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑0.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION �l �l I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash V // // following reason (Section 7031.5 Business and Professional Code: Any city or ,�(J/�V '/V`(} pwy ��q 3p0/� county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays •wo1. v7�a structure, prior to Its issuance, also requires the applicant for such permit ,- - _ ,Vile a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '/ D _`.,Contractor's License Law (Chapter 9(commencing with Section 7000) of $1/ $1/ C f $� -:-vision 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 7031.5 by any applicant for a permit subjects the applicant to a civil penatty of not more than five hundred dollars($500). • $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Ll 17 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 bate 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 thereon, and who does such work himself/herself or through his or her own Boiler Application Issued By Date employees, provided that such improvements are not intended or offered forHood or Type I ❑ sale. If, 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 0o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects 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 PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ 6 GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. (CBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System&Ducting Registers MECHANICAL $ (�OO.. I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ '1 10. fc Information is correct. agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relatint o building co•struction, and hereby authorize repre- sentatives of this c to nter up. the above-mentioned property for Inspection purpos- Signature Signature ,Jti - Reinspection Fee $15 Issue Fee $ 3 01 1004/88 00016162-00016162 15:04 798.45 _ _ DATE: 10/04/88 TIME: 15:04 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - -h. CONSTRUCTION AND PLANNINI L & SPA ! <l1SPROVA LS Permit# Date Inspector APPROVALS Permit# Date Inspector i 1. ,Temporary Electrical Service or Pole' 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. rJ 53. Steel Reinforcement • r/ :3.. tlectfical Coniuit-Utility-Undgrnd. .. " 54. Forms %. ;.4, Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinforcgment ?-i 56. Rough Plumbing & Pressure Test `' '6: Electrical UFER''Grnd. i' • 57. APPROVAL TO COVER-GUNITE _ 11,1 7<' Footings ( ;,.�, 'n 58. Electrical Conduit-Undrgrnd. r .: 8. Foundation • - i � -1. 59. Gas Pipe, 0 Undrgrnd., Test I, n; 9: Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. •, 10. Structural •FloorrSystem ' 'n f, 61. APPROVAL TO DECK 11.1.Property Sewer Line & House C6rinection - 62. Backwash & Receptor-Final 12(Sewer Cap - :. 63. Heater & Vent-Final , 13..Roof Drains v �. 64. Plumbing System - Final 14. Rough Plumbing• 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring _o jJ s9 irgd 67. Fencing & Access Approval Iii. Rough Wiring Sign 111 ! 68. APPROVED FOR PLASTERING i '18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • - 20. Rough Factory Fireplace t^ APPROVALS Permit# 21. Ducts, in Structure :n 70. Underground Hydro 22. Ducts, Ventilating 1'. 71. Product Piping 0 Gas 0 Oil 23/Gas Pipe-Rough &Test 72. Underground Flush ' 24. Roof Framing ,1, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing C 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .•2ry 7. Frame and Flashing 76. DStandpipe 18-. 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 // y80. FOOD CERTIFICATE ISSUED 33. Final Electric /�40,•--4-i, elates: 't�34. Final Heating & Air Conditioning !` „ 35. Final Gas Pipe-Test 36. Hood or Canopy -1- 37. Final Factory Fireplacel- 38. Final Plumbing -- lumbing ;1..... 39. Water Service-Final t - .) 40. Gas Service-Final ' ' - 41. Solar Domestic-Final '� r 42. Backf low Preventer "m . - 43. Backflow Irrigationir7 �I `. • 44. Landscape Irrigation System /=9 1 ;I/ '' 45. Sound Attenuation 46. Handicap Regulations 1) 47. FINAL STRUCTURE & BUILDING 14-*'1/4 -.3.;--- 48. 48. Special Requirements Completed j -' 49. Electric Release to Edison .• 50. Gas Release to Southern California Gas Co cJ /l, 51. CERTIFICATE OF OCCUPANCY f) No. Date C ✓) n; by C Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT.110. • TRACT NO. LOT NO. UNIT NO. CITY OF CGSTA MESA CON TgRUCTION PERMIT ! A.P.# .Zone Project Address 2-S Z 7 AN7A CaaZA (, A - ! JlI,s�/ S Main Building: Accessory Building: Applicant's Mailing Address • i TYPE OF CONSTRUCTION KNEW U ADD U ALTERATION U REPAIR E - Front • Z ❑ CONVERSION 0 DEMOLISH 0 OTHER T • O Owner's Name MPS ne.� Phone DESCRIPTIO*OF WORK/Ufa OF BLDG. A Rear N Addressa �rs�rD `rQ Arch/Eng. License No. TYPE OF PER,MI-f -7LJ'GRADING FOUNDATION ❑ STRUCTURAL II K Right G Address El TENANT sC�7f•'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s- Left R Contractor's Nam P. • 5 5 ,j„one (,• 32_/t?f1 ❑ OTHER Ping. Ref.# Parking Req./Provided E I PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningO Address(mailing) ill( 'fJ7TsaN N��s�M Notes: CONSTRUCTION TYPE VALUATION$ M City License No. � T'2 ZONE GRADING CU.YDS. ACRES T LICENSED CONTRA OR D CLARATION �_vC • $ I hereby section thatI am licensedion under provisionsnCharter (commencing Remarks: '� n9 7A-#9 v e9 /r I • h ytaffirm7of Diic3 of the Busisioss and Professions9Code, ng / t, ( my license is in full forceda • effect. ELECTRICAL FEES License Cl. ` 40 Li ens + I ea. PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW • ?ate _ as - Signature T __ .-� YORKERS'COMPENSATION DECLARA 7.N Construction Pole Sub. 0 50+ KW p0 I hereby affirm that I have a certificate of consent to self-Insure or a cert ficate Bar Sink $hOWers of Workers' Compensation ins4r tie, or a certified copy thereof (S ction Cooking Unit / Meter pup to 100 amps 3800, Lab. C.) r Q Y C • Backflow Preventer Service Sink - . . /f-C.Yj Policy No-'$O�� OOD3clap y Jf4-4V IrrigationSewer Cap Dishwasher Meter Clover 100 amps m an Backflow y,t �•ertified copy is hereby furnished. Dry¢rS ❑Gas ❑Electric - Sub Panel Certi ers�gpy drl with the cits'('8 ' ding Divi o //��) sf� Bathtubs Sewer Connection _ �, Date Zr l�� 1] Applicant^r �^' ��'+`� \ Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSAT DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit for one hundred ($100)or Dishwasher F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ less). Solar Piping I certify that in the performance of the work for which this permit is Issued, I Fixtures shall not emplo any person in anymanner so as to become subject to the Drinking Fountains Solar Tank • Microwave • Workers' at sation Laws of Calif ia. Date Signature — Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTIC If,after making this declaration, you sh d become subject to the - Outlets Workers' Compensation provisions of the Labor ode. you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit Shall be deemed revoked. - - CONSTRUCTION LENDING AGENCY Gas Service Duties$ Switches Sign I hereby affirm that there-is a construction lending agency for the performance - Water Closet 9 Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections • Lender's Name Generator 00.5 KW❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit - o file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Me 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 $�j� 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). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection' Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved B a .' Date ' License Law does not apply to an owner of a property who builds or improves _ _-- ._- _ _ _ �� i Mi thereon, and who does such work,himself/herself or through his or.her own Application Issued By -- a. Det �I. employees, provided that such improvements are not Intended or offered for Boiler ' Hood or Type I 0 sale. If, however,the building or Improvement is Sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY 1 F F-�S __ 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-Ventilating00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon- and who contracts for such oroiects with a con- - tractor(s) license pursuant to me Contractors License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B.& P.C.for this reason Fire Blt. ICBG# Fire Dampers ELECTRICAL $ .30 ,00 GRADING $ 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•❑100,000 BTL _ _ $ TOTAL FEE $ '3° �Q� information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- Sentatives of this city to enter upon the above-mentioned[propert for - • Inspection Poses l�y(c�)((^+r� s. Date 6— X5`6 \./ Signature '"„ �'�' _ - Drivers' License or 55 Reinspection Fee $15 Issue Fee $ 3 01000a1-04- , 30.00 •0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor '4 \\, •t. CONSTRUCTION AND PLANNING -!' , • -JL& SPA . ' Date Inspector Y Date Inspector t, - APPROVALS Permit# - APPROVALS Permit# 1. Temporary Electrical Service or Pole ,�, l'' 52. Pool & Equipment Location t- -.5 i st 2. Soil Pipe-Undrgrnd. - .•' •( _ry 53. Steel Reinforcement -3: Elec rical Conduit Utility-Undrgnhd•. -, .., 54. Forms 4. Electrical Conduit-Undiigrnd. 1 55. Electrical Bonding •15..Stal Reinforcement 4-- 56.56. Rough Plumbing & Pressure Test !- .. , 6. Electrical UFER Grnd. 'i i";1 57. APPROVAL TO COVER-GUNITEi•-( .-1 7. Footings I I tl 58. Electrical Conduit-Undrgrnd. •'l+^ 8. Foundation r 4. 3 59. Gas Pipe, 0 Undrgrnd., Test ' • ` i' 9. Water Pipe-Und grnd. .it . ,+ 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor.System : , '_ 61. APPROVAL TO DECK 11' Property Sewer Line & House Connection _'I -1 • ' 62. Backwash & Receptor-Final .. _ 12 Sewer'Cap •, ;� t`' r { 'y 63. Heater & Vent-Final 13. Roof Drains s`r ' 1 ". 64. Plumbing System - Final v. 14. Rough Plumbing' 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final - (16. Rough Electric Wiring 67. Fencing & Access Approval . r i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .i 8: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • '19. Roug,h'Heating & Air Conbitioning FIRE DEPT. REQUIREMENT li - 20. Rough'Factory Fireplace' }� APPROVALS Permit# t 21. Ducts, iri.Structure 70. Underground Hydro • 22. Ducts,.,Ventilating c.�G' 71. Product Piping 0 Gas 0 Oil 23Y Gas Pipe'-Rough & Test • 72. Underground Flush ', 24. Roof Framing J 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 •fid• , 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 A 7 FINAL INSPECTION - 32. Electrical Power Meter-Final 6" ii Fr,' 80. FOOD CERTIFICATE ISSUED' - 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final I40. Gas Service-Final 41. Solar Domestic-Final l�;! t� • ' - 42. Backflow Preventer i-7'7 :./43. Backflow Irrigation • f n 1 10. 44. Landscape Irrigation System '',./;) '`45. Sound Attenuation '46. Handicap Regulations t X17. FINAL STRUCTURE & BUILDING • I 8. Special Requirements Completed • 9. Electric Release to Edison It ). Gas'Release to Southern California Gas Co ICERTIFICATE OF OCCUPANCY I I '' `,• r1 \ Date � '� / I JI A s -di- / c/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA ESA CS fi UCTI IN P MIT / . PERMIT NO �� TRACT NO. LOT NO. UNIT 7 _S Project Address .... i S. /1 4 �� /a .I • .�l�� UNI:( 34 ��nn TYPE OF CONSTRUCTION NEW2C_rADD ❑ ALTERATION LJ REPAIR Applicant' Mailigg Addrei•� . I 1n-!' ►r _ /�'�� ❑ CONVERSION ❑ DEMOLISH ❑ OTH R A.p.# Zone Owner's N J� V'�/1 �! I:. .�' on: ��. DESCR •T ON • WORK/USE OF BLDG Address � �� ifir — _ a A LA • 4 S Main Building: Accessory Building: Arch/Eng. LC No. TYPEOFOF PERMIT is GRADING II FOUNDATION STRUCTURAL E Front 0 Address �}/ . y/�R ) ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING CHANICAL B Rear N Contractor's Na �'L.! / r �! ••on� / (/ �Iri ❑ OTHER C Ri ht N I ROJECT DESCRIPTION SQ. FT. _OCCUPANCY OCCUPANCY_. - - K g G Address(mailing) 11 - 1- . . 4 -, - — g - r CONSTRUCTION TYPE VALUATIONS s Left R City License No. `] `/ ZONE _ GRADING CU.YDS. ACRES LICENSED CONTRACTOR DELLA%ATIOT (/e" Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions o Charter 9 (commencing Remarks: /1 ^"7� , (�� Planning Notes: M with section 701 0) of �iyi;ionr3 of the B ens and Prof: sign otl4// ' I13 /✓1 ll( S my license's In II fopEevail t. 6 ..� T IjcenS 1. a I4 se ♦ - te I !e. .peVSignature 'W ., -, !b PLUMBING FEES 7 ORKE S'C•MPE ATION DELLA- ' 10 ' I hereby affirm that I have a certificate of consent t• self-insu o.r a certificate Sehowerssink ELECTRICAL FEES of Workers' ompensation Insurance, or a ce4'd co, ereof Section BsaerekSfiinnk 3800, Lab. I Automatic Washer Transformer 0 15.50 KW ssPolicy No. ) /ComPa • IS a Construction Pole Sub. 0 50+ KW ` Certifi d cop; hereby furnished. - • er e y Ith the nt_•— l 'fir Cooking Unit Meter Oup to 100 amps Date Applicant_•- �-'L -� EXEMPT! NF OM KERS'COMPENSATION DECLARATI• Dishwasher Meter Clover 100 amps (This section need not be completed If the permit is for one hundre• '100)or less). DiShwasher SOlar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar TankFan Motors 00-1 HP 011/2-B Workers' Compensation Laws of California. Date Signature Floor • - F.A.U. NOTICE: If,after making this declaration, you should become subject to the Inc.Solar ❑9-15 HP 016.15+ Workers' Compensation provisions of the Labor Code, you must forthwith FloOr Sinks UrinalFixtures comply with such provisions or this Permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water ClosetDevice 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 ater Heater Outlets Lender's Name Range 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 Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair 'P-TraP Laundry Trays y structure, prior to its issuance, also requires the applicant for such permit Generator 00.5 KW ❑5-15 KW Trash Compactor file a signed statement that he/she Is licensed pursuant to the provisions of • Roof Drains ' .e Contractor's License Law(Chapter 9,(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole $ 3 compensation, will do the work, and the structure is not Intended or offered - Fee Reinspection for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p ( $15 Issue Fee $ 3 License Law does not apply to an Owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own — DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I D sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date Probe the owner will have the burden Of prdvinq he/she did not build or im- Duct-Under Ground Building Approved By /'� Date /�� / prove for the purpose of sale). - (�^s/� //O 0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ' Date 5 tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- lractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers 3 bo PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify th. - read this application and state that the above 100,000 BTU ❑100,000 BTU GRADING $ Information Is corre gr•' t• •mply with all city and county ordinances _ ELECTRICAL $ and state law rela • • bu I•in•` nstruction, and hereby authorize repre- sentatives of iter above-mentionegergroA Qpg,�. _ MECHANICAL $ S�•D� TOTAL FEE $ 1(/O'�O inspection purpos • YVV // // �� // i /� '` DSirivers' Date Reinspection Fee I $15 Issue Fee _1(I�j $A PLAN CHECK 25% $ -( .Q V Drivers' License or SS -Accounting; Goldenrod - Assessor US UUUICU07-000LLUtU I U I CU.UU DATE: 08/16/88 TIME: 08:04 • 1CONSTRUCTION AND-PLANNING POOL&SPA APPROVALS Permit•# Date Inspector APPROVALS Permit Date Inspector r. 1I-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 ` .I 7.. Footings 58. Electrical Conduit-Undrgrnd. •- jf . '8..'Foundation 59. Gas Pipe, O Undrgrnd.,Test l -r. 9t Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i ' '- 10. Structural Floor System61. APPROVAL TO DECK 11. Property Sewer Line& House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final If. 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 Airing Sign 68. APPROVED FOR PLASTERING .j8. Rough:Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning iOdl•-StK (gyp FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro "22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • i 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro i • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical t. 27. Frame and Flashing 76. Dry Standpipe ' • ' , 28. Lathing & Siding 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL y F,. 30. Drywall Nailing HEALTH DEPT.-REQUIREMENT ' ;y 31. Plaster Brown Coat 79. FINAL INSPECTION ' , _r- SII 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , 33. Final Electric Notes: 34. Final Heating & Air Conditioning 1/46111 LA° , 35. Final Gas Pipe-Test • 36. Hood or Canopy / . -, or.', 37•." Final Factory Fireplace �•' . y- 38..:Final Plumbing r ' • .i( •. 39. Water Service-Final - - - •-,- f ' 40. Gas Service-Final / I - /r .- - • L-- I / 41. Solar Domestic-Final '- / ...• • 42. Backflow Preventer ,'I - 5 "•;-; - ' 43. Backflow Irrigation - .6.,_ 7 - • • ' '•1 44. Landscape Irrigation System • - y.1 ..l 45. Sound Attenuation ., • - Z ` 46. Handicap Regulations . , 47. FINAL STRUCTURE & BUILDING ' . (\ 48:'Special Requirements Completed _ • . .0 + 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date i • , .1