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HomeMy WebLinkAbout2532 SANTA CATALINA DR - Building PermitsF City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 002356 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2532 Santa Catalina Avenue has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group .11 Occupancy. Use of Building Anartments Legal Description 420-212-10 (See reverse side for Metes and Bounds) Building Permit No R3310R. R3399E11ectrical Permit No. E 35256 Plumbing Permit No?33265, P3357 ) Mechanical Permit No. M 34R9R Number of apartments 16 - and/or guest rooms ISSUED TO: Building Official William T. Howard Wairwiaw M6,nanamont Co. / ` j 2400 Main Street, Ste. 201 by _ / / �- errs,ina , ra 97714 Date January 26, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev.1/83 White-Own Canary-Numerical File;Pink-Bldg.Permit File `', Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -- - r • )aeel A EP MIT NO. TRACT NO. LOT NO. UNIT NO. - / OF COSTA MESA CONSTRUCTION PERMIT �1tG11 - 3 3/ O /25_5-8 45 Z nig ct Address .2532. 5i4/./TA 067:41.-///4D.6/1/E' .�o2-208 891 f ):/ "/ Applicant's Mailing Address 2520 At ! ' -/:. C. r,2_ TYPE OF CONSTRUCTION ligNEW 0 ADD U ALTERATION Li REPAIR . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name 14-41/4/1_04-)14-41/4/1_04-) /(.4/644 r CO Phone?,732' A•P-# (T 2-A.)-.-- (Q Zone fJQy�7_yQ DES RIPTION OF WQRK/USE OF BLDG. Address A'4G J ."•�/n f�-1-( LJN(!c S Main Building:` Accessory Building: Arch/Eng /�` / '7 4_T'A�•�'O License No. TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front /7/ a Address.2 " " k, CA 16 Cie--a,4, 4401 1.04 H/t.'1-4 9265-3 �• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear ?7C/ - N ❑ OTHER Contractor's Name U�U CC/BU r 4•f?CC Phone 54.11.1e FCS C Right 2o ' to (Oke N y PROJECT DESCRIPTION SQ. FT. I-1,2 Lido OCCUPANCY -J Address(mailing) S/q,s4r R"7(SR K Left Tom/ •t' -app CON ST RUCTION TYPE_ \« VALUATIONS �� City License No. 44.3 / - ZONE GRADING CU.YDS. ACRES nn C �r R LICENSED CONTRACTOR DECLARATION • / � Ping. Ref. # PA /JS-/53t Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing r Remarks:.w'��RN P� • � —137A 'f 1 Planning Notes: pNA5C � 3 C M with section 7000) of Division 3 of the Business and Professions Code,and ' Vn n• t /� T my license is In full force and effect. _ r, License Class / License No. •ii .rtr>r v(/A _ t C - PLUMBING FEES HOLD FUR SFL-An1 G,.�Ja....r..... 's Date Signature ---((( 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 3800, Lab. C.) ®Backflow Preventer 1 Service Sink ■,, Automatic Washer Transformer. • t KW ., /QBackflow Policy No. Company 8 Certified copy is hereby furnished. - Certified copy is tiled With the city Building Division. • t affirm lesse Applicant 'Clarifiers• ;07IIE1i.tC1 .118 ..1 Meter �IEXEMPTION FROM WORKERS'COMPENSATION DECLARATION' Electric Sub Panel (Thissection need not be completed if the permit is for one hundred ($100) or less). rs I certify that in the performance of the work for which this perm R'is Issued,I" shall not em toy se I person in any manna, o as to becom- sddject to the • ' I. Fan = Motors 00.1 HP 01%-8 _� shall noterS' •a i Laws r C ;s man Date Signature - " - _ - - • F.A.U. Inc.Solar 09-15 HP 016-15+ _ NOTICE: f,a1 er making thisyou s 'd • comes •jest to the El ■ Workers' Com ensation provisionsions o of the the Lzbo Code, you m st forthwith 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 foy�y�jch_ t=his y it _lysu@d .1 rkon 3097 Clv. C.) Outlets Range Lender's Name V'c't•�T /L Ci1L./ 34 C Cantle='s Address 04 • 5 'S..t • 6 _4N - . • - . Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 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 11 any structure, prior to Its issuance, also requires the applicant for such permit Generator 0.5 KW 5.15 KW Trash Compactor • 'to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of 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). Reinspection Fee I. as owner of the property or my employees with wages as their sole $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 SFEES 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: �Sr�� employees, provided that such improvements are not Intended or Offered for ���-77X� sale. If, however, the building or improvement is sold within one year of com- Zoning Approved By Date ;Diction, the owner will have the burden of proving he/she did not build or imDuct-Under Ground- p e for the purpose of sale). Building Approved By 1 ` (^ /� /I Date I I, as owner of the property,am exclusively contracting with licensed con- • Application Issued By Ll•••1ICLOA-11/S-Pc'll�N Data u�l� tactors to construct the project (Section 7044,Business and Professions Code: _t ,t t t t t - 0100,000 The Contractor's License Law does not apply to an owner of property who • SUMMAR igt FEES builds or improves thereon, and who contracts for such projects with a con- �• tractor(-) license pursuant to the Contractor's License Law). I am aware that III . u •eta on BUILDING PERMIT $ 350 SMIP $ Vi• / •Rd.Proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ 9 .61 PERMIT L 41 0 I am exempt nder Section B. & P.C.for this reason .11ep :• _ Fire Dampers PLUMBING $ ISSUANCE $ l Date Owner ' /�. /� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ - I hereby certify that I have re.• - is appl'lon an• state that the above ❑0.100,000 BTU 0100,00067 GRADING $ information is correct. I agree to omply all city and county ordinances ELECTRICAL $ — and state laws r-lating to building constr ion, and hereby authorize rap=e- PLAN CHECK 50% $ MICROFILM $ sentatives of t/ s city to enter upon the above-mentioned pr party fo �/ /I /� •'I inspection .ur••ses. ! MECHANICAL $ l A Signature i �� Date /� TOTAL FEE $T 1 Drivers' 9'nse or ��.,-- - ' / Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ k, CMF 0865-46,rev. 10/84 White . Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • 4 , I / I CONSTRUCTION AND PLANNING POOL &SPA ) APPROVALS ;Permit# ' Date Inspector APPROVALS Permit# Date Inspector 1:Temporary Electrical Servide or Pole 52. Pool & Equipment Location , 2: Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement r 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. - J13�86 .nt4 57. APPROVAL TO COVER-GUNITE i 7. Footings t "' i3 eg 0a 58. Electrical Conduit-Undrgrnd. 8. Foundation-"I• 59. Gas Pipe, 0 Undrgrnd., Test i 9. Water Pipe-Undrgrnd.; 60. Backwash Lines, P-Trap, 0 U i rgrnd. 10. Structural Floor System 513/89 Oe 61. APPROVAL TO DECK .r 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final •' • 13. Roof Drains 64. Plumbing System - Final , ' ' •• . 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro + , - .. 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 1 24. Roof Framing + 73. Undergrnd.Storage Tank 0 Gas D Oil 25. Roof Sheathing C rfz '- v'- 74, Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat cc/S/rt / 75. Dry Chemical 27. Frame and Flashing Q, 76. Dry Standpipe , '-28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation 7/4/g q `J,1- 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' ►OI(tarPe 79. FINAL INSPECTION 32. Electrical Power Meter-Final ���'"' 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 74'r QK..era ,i j !Y>KT- 34. Final Heating & Air Conditioning 61e...-1 /t�G, e _W.QQQ��/ --... (y, _ 35. Final Gas Pipe-Test ,/(J � r0 v� 36. Hood or Canopy l,: 1/ p vo,e SP�; - 9 / 37. Final Factory Fireplace ��11:7/14��O € 4 � !-✓rt.��ie . / 38. Final Plumbing f , dg c_ �;� ,,f)'S• ' 39. Water Service-Final . L7 O w+�^'r"w� C 40. Gas Service-Final (((///��• 41. Solar Domestic-Final ' 42. Backflow Preventer ' ' 43. Backflow Irrigation ..- ,44. .Landscape Irrigation System 45. Sound Attenuation 'i .. ' t i . "1 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING 123` )mi- -: 48. Special Requirements Completed . - •. 49. Electric Release to Edison - ' t 50. Gas Release to Southern California Gas Co .�. 51. CERTIFICATE OF OCCUPANCY I No._ Date ,c 1/1 h. _ . . . _ _ . Cl" I OF COSTA MESA CALIFORNIA 92628-1200 P.O.BOX 1200 Insulation Certificate 2532 Santa Catalina Drive Costa Mesa Number and Street City Orange County Subdivision Lot Number Description of Installation ROOF Material Brand Name Thickness(inches) Thermal Resistance(R-Value) EXTERIOR WALL Material Fiberglass Batts Brand Name Manville Thickness(inches) 3 l /2" Thermal Resistance(R-Value) R-11 CEILING Ban or Blanket Type Batts Brand Name Ma n v i l l e Thickness(inches) 6 3/4' Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor(Builder) License Number WESTERN INSULATION Signature and Title Dane 3621 W. MOORF AvE �j2 SANTA ANA, CA 92704 Sub- for kation Insal� f�/� License Number Signature and Title / ( Date 794E I / . 2-2E-7 .!:)T2 n COSTA MESA SANITARY DISTRICT MONEY RECEIPTS ADVICE • Data _� Amount $ � ��� 1 i (�� Name \ (\ 't2_ • ' L 1� 'l\Ch�l,�\C.� ICT, Payer PC) (,.)-)yam CL-- k�.�if I t C-V 11\C' t���-� Address 1 • For (,)\-1.1k .�\ Ur \Illi\)X� (- J, 13 �UY\Q\ 2'\ CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File 79t:/ f/ /:: - SCJ i• COSTA MESA SANITARY DISTRICT Jam/ • 'J MONEY RECEIPTS ADVICE Date ,) -�' — e)) Amount a • jn Name \-(V2 \ i'el l-J N((V(I i_If,l 11)0. Payer Address Y(5 . 1'.) K (t.— tr 'r_ 1 , • For A.).) l /. L))�? D53\ ` 1 -- • signed�4�(0L�'\ �� Il•1i\( I.:r� 1 CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File CONSULTANTS. INC. December 14, 1988 CITY OF COSTA MESA 77 Fair Drive Costa Mesa, CA 92626 ATTN: Building Department SUBJ: CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR A PORTION OF TRACT NO. 12558, IN THE CITY OF COSTA MESA (FILE 1250) This is to certify that the final grade for building No. 16 also known as 2532 Santa Catalina was field checked on Dec 14, 1988 and found to be in conformance with the intent of the grading plan. Very truly yours, DGA CONSULTANTS 447711/4:":— Surender Dewan, R.C.E. 34559 Engineering Manager ��jj `yJ S4 y \ y.% /P r f� 4 pF p 2 NO. 34559 7)11 cit �l Cl\L-COSTA.M , CIS Viitt ( �,L�N. %, pF Cls���® k1 let 1182 North Tustin Ave. Orange,CA 92667 1714)744-0802 Fax 1714)538-2152 9035 Haven Ave.,Suite 105 Rancho Cucamonga.CA 91730 (714)944-5400 Fax(7141944-2790 • • tir' - • PACIFIC SOILS ENGINEERING, INC. 17909 FITCH, IRVINE, CA 92714 TELEPHONE: (714)863-9118 NOTICE OF FOOTING EXCAVATION INSPECTION JOB LOCATION: WORK ORDER NO.: �5ska M t•�� OWNER OR CONTRACTOR: v ' IftS OWNER'S ADDRESS: • DATE FOOTINGS INSPECTED ' (I 3(cW) DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: %I "��• � ` <<^ 1C�u't1 t..c• S VN-2 v�C tr. .�<• c�.-a c to �c - t k., C`LC- Ln-c_✓cct¢.-4 t h ` (c`��.a._ ccs--l!�.. i,_c_ VVc c_ Y c( c s_.tt_ C 41'... kArG-c. Q'� 6-0 . v v v C I J u's S - 11G0-�s-a] �•-� 6-m„.0 wNew._ C. (-o.r ejrfac_v-e.Ie- L_Aa The undersigned has inspected the footing and/or caisson excavations listed above on the referenced property and some were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code of the SIGNATURE \It) © Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /6 ' CITY OF COSTA MESAACONSTRUCTION� PERMIT t PERMIT NO. TRACT NO. LOT NO. UNIT NO. - Project Address 253 2 S'44n� c-4 r-4-1-44-1-4- 22/e. g 3392 4 /2S-Th Applicant's Mailing Address 2520 .L/C4...#/A'1AC= w'4y C-41 TYPE OF CONSTRUCTION IA-NEW Li ADD L I ALTERATION LI REPAIR (S a17��7 ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.# 4z 2 2 p- / - /b Zone ?D,Q-yip Owner's Name F7q/tuce<l -1-16.44r i -G.4 Co Phone DESCRIPTION OF WORK/USE OF BLDG. Address 96-2-0 /101-4.y"'r 4C '•--•t/ C -ref S Main Building:inngAccessory Building: • Arch/Eng. '5✓4<r= /F]rf4O *'ASS e•r License No."/�f TYPE OF PERMIT LI GRADING El FOUNDATION ❑ STRUCTURAL T Front f.(y- Q o Address 23Z ' At/CL L'""G�/CE.�' G3'L LAGGd/A t/1cGS 42r.Sr ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /, N Contractor's Name OC-U.4-0P•17//L02- Phone SA+-c c ❑ OTHER A 'E'► I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) 3�-1''E CMOO K Left t ,+,o G ?? CC CONSTRUCTION TYPE _. VALUATION S I�M-J� $ City License No. ��Jfi/ ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: -774s H `C-�ct�U 2C' Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. T License ClassLicense No. S Cate Signature .U� • PLUMBING I 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 c py thereof (Section Backflow Preventer Service Sink i 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company '42.. Cap Construction Pole Sub.14 Backflow Irrigation Sewer 0 50+ KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit Is Issued, I shall not emp oyany person in any mann r so as to become subject to the Drinking Fountains Solar Tank Fan Motors Co-i HP ❑i X-8 Workers2o y .0.}2 ws of Calif Date !i/z' 7 Signature '6A... ���"� /'-/��- Floor Drains Swimming Pool w/Spa F.A.U. ' NOTICE: ,af r making this declar n, you should become subjec to the — Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work fo which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name 's-A.c4r _J7^*C'2't'N� 34K 4...- P Outlets Range Lender's Address 600 C S'r iPrC QOo S4' .0,coo C4 1 2ax, Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION Sign I hereby affirm that'ram exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0 any structure, prior to,its issuance,also requires the applicant for such permit V .5 KW ❑5-15 KW Trash Compactor to file a signed statemnt 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 . enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 � compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves n thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: 2� /� 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 ono year of com- Canopy Type I) 0 ' Zoning Approved By Date D pletlon, 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). - / ra I, as owner of the property, am exclusively contracting withf scions con- Duct-Structural Refrigeration System Application issued By Date GO-7 ct apply s Contractor's License Law does nottrto an owner je is hta who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMA — F FEES ` SO builds or improves thereon,and who contracts for such projects with a con- v tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 7 PERMIT 0 I am exp pt u der Section 0.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owners- i 'Zig {...- Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ 1 hereby certfy that I have r .. this application and state tr t the above 00-100,000 BTU 0100,000 BTL— ELECTRICAL $ GRADING $ information Is correct. I agree o comply with all city and cou ty ordinances _ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this ci y to enter upon the above-mentioned pro rt for j LS inspection pur ose n /J /1y 0 CO MECHANICAL $ TOTAL FEE $ \ L7•� Signature r SS# '✓ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor U1 UUUUOU7YUUUUOUTo i aJ i JO.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 r 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grn_d. 57. APPROVAL TO COVER-GUNITE 7. Footings 8't/QsPOi 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgind.` 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 •t .t. • 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 -' 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 0il 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: ASI, 'a 8 O t< z6 Ai uc 34. Final Heating & Air Conditioning 1 (�� 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final •.41. Solar Domestic-Final 42. Backflow Preventer '43. Backflow Irrigation • 44. Landscape Irrigation System • - • 45. Sound Attenuation 46. Handicap Regulations •• 47. FINAL STRUCTURE & BUILDING {! 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY QF COSTAnM�I�E1S�A ONSTRUCTION P RMIT " PER JJ�C NO. UNIT NO. O Project Address watLVC'l1\ss _ •iaba9 9587 4/29/87 500 • Applicant's Mailin: •ddress I 33 v/-'• L---1-4\) TYPE OF CONSTRUCTION U NEW L I ADD ❑ ALTERATION U REPAIR • ,a / �/� •Phon 'ElCONVERSION CI DEMOLISH 171 OTHER A.P.# Zone Owner's Name DESCRIPTION OF WORK/USE OF BLDG. Address P. Mer S Main Building: Accessory Building: TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION LI STRUCTURAL E Front Z Arch/Eng. License No. T - O Address �y ❑ TENANT III ElLIELECTRICAL PLUMBING MECHANICAL B Rear N //7a_ ❑ OTHERA I Contractor's Nam iEAS. /17�i4_phone C Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) 15' - a K G ottCONSTRUCTION TYPE VALUATION $ S Left • City License No. aR ZONE GRADING CU.YDS. ACRES Ping. Ref.4 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION • 2 1 1388 O I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: RECEIVED MAR OU M with section 7000) of Division 3 of the Business and Professions Code, and q�� my license is in full f. ce . • effect. /1)7&�n 1 T lv Li=en • C • _ - - irh e N / _ RECEIVED APR 2 1 1988 S • Dat 'a -•� Signature SSA, 7 . .Lim, PLUMBING FEES 4 WORKERS'COMPENSATION DECLARATION Bar Sink Showers W ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a cern d copy thereof (Section Backflow Preventer Service Sink 3800, Lab C.)��/(,// 'I yrs Automatic Washer Transformer 0 15-50 KW Policy No. ��`10 7� Company 'At16' f Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW ❑R4['srt'f ietl copy is hereby furnished. 1 ertkednapx. filed with the city Builgrny fdiv sior s Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date eW-Of Y-d X. Applicant frt.".Lf/tr /.0./1'✓ 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 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 1:10-1 HP 01,4-8 Workers' Compensation Laws of California. — Date Signature „ Floor Drains Swimming Pool w/Spa F,A.U. Inc.Solar 09-15 HP 01615+ NOTICE: If,after making this declaration, you should become subject to the --IL I Workers' Compensation provisions of the Labor Code, you must forthwith a Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. , Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light . 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.) Interceptors / Water Heater ak) Outlets Range Lender's Name - 9 Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit . to file a Signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 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 e nalty of not more than five hundred dollars($500). 3 U 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 DEVELOPMENT SERVICES REQUIREMENTS: thereon, and who does such work himself/herself or through his or her own Boiler Hood or T ¢I 0 employees, provided that such improvements are not intended or offered foryP lit sale. if, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Date ,�•• pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of sale). ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By_ 0/ ...-'' Dat - a— tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY O FEES builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUI LDING 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.BIL IC80 4 Fire Dampers PLUMBING $ .100 ISSUANCE $ - Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT ELECTRICAL $GRADING $ information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city o •nter upon the above-mentioned property for Inspection purpgas n (� MECHANICAL $ _ Signature /� a t DateOc �O TOTAL FEE $ Drivers' License or SS yr - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting: Goldenrod - Assessor CONSTRUCTION ANf)yPL•ANNING POOL &SPA APPROVALS Per #' Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electricalke'jvice or Pole 52. Pool & Equipment Locaton ' t - yj 2) Soil Pipe-Undrgrnd. tit iv- el 53. Steel Reinforcement c;: 3. Electrical Conduit Utility-Undrgrnd. 54. Forms _ _1 '1 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding „1 �, t 5. Steel Reinforcement 56. Rough Plumbing'& Pressure Test 6. Electrical UFER Gci1d:, 57. APPROVAL TO COVEIR1GUN,ITE • 7. Footings 1'--' 58. Electrical Conduit-Undfgrnd:.a 8. Foundation) 59. Gas Pipe, O Undrgrnd.;_T.est , 9. Water Pipe;Undrgrnd..- 60. Backwash Liries, P-Trap;(© Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK t') 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing74. Overhead Hydro r. j 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical Lv • 27. Frame and Flashing76. Dry Standpipe •�c. 28. Lathing & Siding 77. FIXED SYSTEM FINAL '7r , 29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT j 31. Plaster Brown Coat 79. FINAL INSPECTION - ciiiii 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: J_ f 9 /fy�� ` "�9 �1`ter.✓ /// _/ 34. Final Heating & Air Conditioning `71 1 •ZIS• x eE2.tmrr £4vetq AG Peg-te3 35. Final Gas Pipe-Test U A 9 L.€•P 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , 39.4ater Service-Final • ' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer . 43. Backflow Irrigation ' 44. Landscape Irrigation System _ - ;45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING - r . 48. Special Requirements Completed • - 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY • _ No. Date - - 4/4 0Z Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCT N PERMIT a MIT NO. TRACT NO. LOT NO. UNIT NO. Prqject Address ��"..5-4rY33,5.7 o /, r1 `-' „Mite . • PQ p_ •� TYPE OF CONSTRUCTION 0 NEW U ADD U ALTERATION REPAIR Applicant's MailingAddress •i-•:. it —...7.1C •' Owner's Name -.� Ir 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# I Zone �i�l.erelYrn✓ . . .C. .:hon DESCRIPTION OF WORK/USE OF BLDG. Address 9 - .y -.�. A S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E Front U] UOUI 3986-0003987 T OT {Q„0[ Address 0 TENANT 0 ELECTRICAL Ittl PLUMBING 0 MECHANICAL B Rear N /�� ❑ OTHER Contractor's Nam- a.:. 3 r A phone C Right NPROJECT DESCRIPTION SQ. FT. OCCUPANCY �r�I 1 Address(mailing) O�= •� . - - -'-1f�i, '9f►'' CONSTRUCTION TYPE VALUATIONS K Left G G City License No. -e/.e_.; i ZONE _ GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: p/n Ria Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and ogle Pr�ri .-�W/� T my license is In full force and effect. Licensseefrllass License "p S Jstet — Signature a--c.' - — PLUMBING FEES WOR E S C MPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES Si hereby affirm that I have a certificate of consent to self-insure or a certificate (� of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. �a �jAutomatic Washer Transformer 0 15.50 KW �' Pol cy No. 1[ Company 33491,e4448405 Backflow irrigation Sewer Cap0 50+KW _ 9 Construction Pole Sub. Certified copy is hereby fu nished. �}g ry, �.. Certifi co '/�yis filed with the city Buil g KM y///s 1�.Bathtubs Sewer Connection Sit W Cooking Unit Meter Lim to 100 amps 8 Date ..t7 Applicant - V•���' • EXEMPTION FROM WORKERS'COMPEN ALARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). lip Dishwasher Solar Piping 3, -00 Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I P shall not employ any person in any manner so a$to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 011S-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 - I 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 WiOutlets 3.14 Water Closet 9 00 Device Boxes Pole Light f' I hereby affirm that there Is a construction lending agency for the performance I f of the work for which this permit is issued (Section 3097, Civ. C.) • interceptors /L Water Heater Lender's Name - - p /r �Q7 Outlets' Range t” Lender's Address its Kitchen Sink Water Service '3•}.00 Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the ';,Lavatories Auto-Wash CI 00 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 LaundryTrays my structure, prior to its issuance, also requires the applicant for such permit y General0r ❑0.5 KW❑5.15 KW Trash Compactor • o file a signed statement that he/she is licensed pursuant tO the provisions of Roof Drains I • 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 - peenalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their solo Reinspection Fee I S15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ ZoningApproved sale. If, however, the building or improvement is sold within ono year of corn- Canopy Type II ❑ pP By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved B Date rove for the purpose of sale). J� 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date_ .n17-5J'¢ 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 SUMMAR OFF ES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 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 $ -42,3.fili ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ tO `60 ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING S information is correct. I agree to comply with all city and county ordinances - and state laws relating to building constru n,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this City ter upon t aboJe-mentioned pr petty to inspection purposes. �• MECHANICAL $ - TOTAL FEE $ qQ3' 00 Signature mss- -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. 5-q4& UV) 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ',i 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gr.1'd. 57. APPROVAL TO COVER-GUNITE 7. Footings '; C , 58. Electrical Conduit-Undrgrnd. 8. Foundati&n , / 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd:; s/u/ GFjj 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor Syste1 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 5/•f q4t- CID 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Signc i• : 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling - t i a n 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 0Oil, 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing73. Undergrnd.Storage Tank O�Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 't; 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL , 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 79. FINAL INSPECTION ,/1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED if 33. Final Electric Notes: /-' • 34. Final Heating& Air Conditioning I f I 35. Final Gas Pipe-Test /MaUl'�' �p -- 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 129441- ct:;; 4 . I. 39. Water Service-Final I 40. Gas Service-Final 1 • 141. Solar Domestic-Final , . 42. Backflow Preventer ' I 143. Backflow Irrigation -I 2' i ,', ',, -• , . .t • 44. Landscape Irrigation System t . I j • • i45. Sound Attenuation . 46. Handicap Regulations ; 47. FINAL STRUCTURE & BUILDING , /. , 48. Special Requirements Completed / ' •i i I', 49. Electric Release to Edison ' • t • 1 50. Gas Release to Southern California Gas Co • ' 51. CERTIFICATE OF OCCUPANCY • . ,-- No. No. Date ( 1,0 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA M �•7C[�1b'ISTRUCT t•.;P,q�. �j ERMI►T/(IJO. "{�Q y TRACT NO. LOT NO. UNIT NO. / Project Address �/J 7. !'. d!� - AL "c- l l / "7 I to ..s.I_f1 `__— i i I e TYPE OF CONSTRUCTION LI NEW ADD LI ALTERATION ❑ REPAIR �� ..--- Applicant's ailin• Address as---'71'�/!� ' ' / �Y��a , e CONVERSION ❑ a EMOLISH OTHER q P,# I Zone Owner'sN 'V.VISIA larrfo �- SCRIPTIO a WOR / S �F eG Address •2510 / ��'� — `A A 44 „ a • S Main Building: Accessory Building: E Z Arch/Eng. 4 License No. TYPE OF PERMIT m RAIDING II FOUNDAT��,IONiIII���—.I STRUCTURAL T Front 0 Address /' ir CI TENANT ❑ ELECTRICAL CIPLUMBING�}�ryIECHANICAL B Rear N Contractor's Nam 4.4 it - • ., 74 •h0 1 i/• ID A 1 7r q / PROJECT DESCRIPTION SQ. FT. - OCCUPANCY _ - K Right G Address(mailing/ 2- 31 • / _ L 9 CON STRUCTION TYPE VALUATION$ S Left City License No. !�� ZONE GRADING CU.YIDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# ' Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: J I • L An— _3/0(:f Planning Notes: M with section 7000) of Division 3 of the B Bess and Professions CpdeL,/and / ;OP rr �— _ —�--_. a T my license is in full h f,-fleet. ' .�/ 7 geot S teens- I;ss --/MG IC nse N• �•(p ate f se•ram Signature Sna���.r PLUMBING FEES , \ d0R $ • �' SATION DELLA•ATIO Bar Sink Showers ELECTRICAL FEES— I hereby affir that I have a certificate of consent to self-i. e or a certificate of Workers' Com ensation Insurance, or a yifled C•• her'•f (Section \ 3800, Lab. f/ _ Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW J a r, Policy No. a�•S7 Compo at ., / / Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 1 ` ❑��•-I��Certif• op hereby furnished. erU -Ii •r• v- ith the city = .',,..,s�9� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps ( ate • •1 Applicant a��. EXEMP • N F•-•M WO-KERS'COMPENSATION D • ON Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for •undred ($100) or Tess). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 1:10-I HP ❑1 4-8 • Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ❑ 100.$alar 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 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 which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater f Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections rqunty which requires a permit to construct,alter,Improve,demolish or repair 1')-Trap Laundry Trays :'%y structure, prior to its issuance, also requires the applicant for such permit - ' Generator ❑0-5 KW ❑5-15 KW Trash Compactor 'S"Mile a signed statement that he/she Is licensed pursuant to the provisions of f Roof Drains `:fie 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. 7031.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars($500). — LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offeredReinspection Fee ) $15 Issue Fee t $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves _ — thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year o1 com- Canopy - Type II ❑ Zoning Approved By Date pletion,for the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By DateU `--R/ Ji- rove we r of the sale). S! I, as owner of the property, Se tion exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data 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 00100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- — _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof oftheir worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date avvner / / ting System& Ducting Registers 3(7. 06 PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I , ead this application and state that the above 0100,000 BTU 0100,000BTL— ELECTRICAL $ GRADING $ Information is correct. I - t• ompl with all city and county ordinances and state laws re .ting (((���u d'•• ..a ruction, and hereby dauthOa I PLAN CHECK 50% $ MICROFILM $ sentatives of this o •• the above-mentioned r (,� inspection purposes. _ I g $� MECHANICAL $ S •0 TOTAL FEE $ `17 0.00 Signature _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - •ccounting; Goldenrod - Assessor -' ' - ..u' SW Wa I+Ile• UO•UO CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1! Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8.Foundation 59. Gas Pipe, D Undrgrnd.,Test 9..Water Pipe-Undrgrridi_.. 60. Backwash Lines, P-Trap, D Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK '• •t i 'i 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' i' 12. Sewer Cap 63. Heater & Vent-Final ! t, 13. Roof Drains 64. Plumbing System - Final 1; 14. Rough Plumbing 65. Electrical-Final 11 f• . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1.8. Rough,£lectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough:Heating & Air Conditioning q_tie C.CD FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# III. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas Cl Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O 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 I- / 30. Drywall Nailing HEALTH DEPT-REQUIREMENT L 31. Plaster Brown Coat 79. FINAL INSPECTION . '. . - Li: 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED in 33. Final Electric Notes: 34. Fin J-Heating & Air Conditioning 12-2-0-98 LC --- 35. Final Gas Pipe-Test • 36. Hood or Canopy '- 37. Final Factory Fireplace - . .,, vt 38.-Einal Plumbing - r • , r 3'-s )' 39. Water Service-Final - i I I .•b. .40. Gas Service-Final ( / / , . - I✓LI .-41. Solar Domestic-Final ' ' - r ' ',!`'• lyrti 42. Backflow Preventer r 1 • 1 . I • r • 43. Backflow Irrigation ...` r - I • r r 44.,L4ndscape Irrigation System rl • 45 Sound Attenuation - .' . ki l n 46. Handicap Regulations -r • ' ' S ' 47! FINAL STRUCTURE & BUILDING - . - . . - ' - 48. Special Requirements Completed • - . 49. Electric Release to Edison _ • . 50. Gas Release to Southern California Gas Co - 7 , ' 51. CERTIFICATE OF OCCUPANCY ' No. Date ' ' SICK I(2 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. - CIT1sOFCOSTA MESA COCCN--STRU(j`TION PERMITT,•, �`z��� A.P. � Zone Project..A ass r�s.32 ...�1`'1�A ( -L iAU 4 De. - ' .1// r ' S Main Building: Accessory Building: / fa TYPE OF CONSTRUCTION L NEW U ADO U ALTERATION REPAIR - Applic t! (ail d_dre5ray I• ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Ow nit Name 1 7"�tl � �� `` ��Phone DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATION Li STRUCTURAL C Right G Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 1 S • Left S �t ED OTHER R Contractor's Na t S mIL-1 ia.-T7 is LPhoneZ7.) I / / Ping. Ref.# Parking Req./Provided E Address(mailing) 1�2-a Vett Ntics 1 F: V. PROJECT DESCRIPTION SO. F .Z'1h OCCUPANCY Q^/ Planning Notes: M CONSTRUCTION TYPE 1/ VALUATION $ City License No. 9w.\�SZ T ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: S 2`J I OR • with section 7000) of Division 3 of the Business and Professions Code,and J 7 isiumer, my license is in full orce and effect. ELECTRICAL FEES 'cense lass Lice s• o. 4- ...1.... .te' i1r Signature trir ffli r- PLUMBING FEES Automatic Washer Transformer 0 15-50 KW -�' WORKERS'COMPENSATION OEC LAR TIONBar Sink Showers Construction Pole Sub. _ ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate cilica o/3800,Workers'Lab. C.)Compensation Insurance, or a certified copy thereof (Section Cooking Unit /7 Meter ❑up to 100 amps '/ Backflow Preventer Service Sink Policy No. S3(a.Mly Company SM-Te- [Jiu ) Backflow Irrigation Sewer Cap • f Dishwasher Meter Clover 100 amps r\ ❑ CaTfietl copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel I�� [ err d c moi}filed with the city t ding D 'sion. — Bathtubs Sewer Connection l� Date 'J '3 1" Applicant -+• - - = .a- Fan Motors 00-1 HP ❑1A-8 EXEM ION FROM WORKERS'COMPENSA ION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or F.A.U. olar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping Inc... I certify that in the performance of the work for which this permit is Issued, I Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains �861ar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains / Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas 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.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION �� I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / Nj dAithij.7filht. g-17 65 'mellowing reason (Section 7031.5 Business and Professional Code: Any city or J L unty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays 4/.15. .mat/7Z$6 y structure, prior to Its Issuance, also requires the applicant for such permit ✓ o file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of J Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil osnalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By nate 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 Application Issued By at: "._ /�� Lf1 r $ employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however,the building or Improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEE prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I,as-owner of the property, am exclusively contracting with licensed con- Duct-Structural efrigeration System • tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 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 me Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration PLAN CHECK 25% $ _ proof off their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ t�L�2.� GRADING $ ❑ I am exempt/undeerr Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers '1 Z..i G YJ MICROFILM $ _ Date . t7/i 3/ 'XPLAN CHECK 50% $ —s3$a-I �7ry L '/ / Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ / 7/.6Z I hereb cerci y that I •.ve read this application and state that the above 00-100,000 BTU 0100,000 BT - information is correct. ••ree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relatin• • building constr. tion, and hereby authorize repre- . inspection pofu this t0 e ter uponr-mentioned P Party for inspection ofr ohs= -s\Signature Date i - Reinspection Fee $15 Issue Fee $ 3 hhhh'arlvers' License or SS 01 00014332-00014.333 TOT 791.52 r65-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor . DATE: 09/13/38 TrnE: 14:57 - i:OiVSTRl1CTION AND PLANNI. OOL&SPA iDate Inspector Date Inspector APP�VALS Permit# APPROVALS Permit# 1 1.'Jimporary Electrical Service or Pole �' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 4• r ' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms r 4 Electrical Conduit Undrgrnd. 1 55. Electrical Bonding 5. Steel Reinforcement •\; 56. Rough Plumbing & Pressure Test i 1 16:!.Electrical UFER:'Grnd. 57. APPROVAL TO COVER-GUNITE • 7:Footings .1 1. • .- !- 58. Electrical Conduit-Undrgrnd. 'n• ,8'1 Foundation , „\-j .'i' 59. Gas Pipe, 0 Undrgrnd.,Testr� ) , 9' Water Pipe-Undrgrnd. ci ,r1 • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10� rpcuraFloor Sttl FlSystem ` n h 61. APPROVAL TO DECK ' 11<t-Property Sewer.Line & House Connection � 62. Backwash & Receptor-Final 12.-)Sewer Cap ! i e 63. Heater& Vent-Final ' 13.Roof Drains J 64. Plumbing System - Final t , • 14. Rough Plumbing, y '65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final .16'. Rough Electric Wiring " 9-161®3 AL 67. Fencing & Access Approval . rl (17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' • 78. 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 n 70. Underground Hydro 1• t 22. Ducts, Ventilating 1 71. Product Piping 0 Gas 0 Oil. 23i Gas Pipe-Rough 8t-tet ' ,/ 72. Underground Flush 24. Roof Framing t.<' I 73. Undergrnd.Storage Tank 0 Gas 0 Oil J 25. Roof Sheathing cl 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 Co.a.) 79. FINAL INSPECTION 32. Electrical Power Meter-Final /?-/5_tv/14.4 80. FOOD CERTIFICATE ISSUED 33. Final Electric /-5-89 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final I ; • 41. Solar Domestic-Final • • rr. 42. Backflow Preventer ..--- ...e." 43. Backflow Irrigation •I r: • 44. Landscape Irrigation System '- 'e• 45. Sound Attenuation -'� . 46. Handicap Regulations • • ,' 47. FINAL STRUCTURE & BUILDING ' 48. Snecial Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY n", No. Date \ I