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Home My WebLink About2539 SANTA CATALINA DR - Building Permits City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. L(J e. 3 0 P.O. Box 1200 Costa Mesa,California The Building located at 2539 Santa Catalina Drive, Building 15 Units 101-108, 201-208 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Rl Occupancy. Use of Building Apartments Legal Description 420-212-10 (See reverse side for Metes and Bounds) • Building Permit No 833464,833929 Electrical Permit N0.E3556°1E34231 Plumbing Permit N o.P37455'P3356S Mechanical Permit No. M 34897 Number of apartments 16 and/or guest rooms ISSUED TO: Building Official William T. Howard Fairview Management Company ' 2520 Merimac Way by .-_ r ( -lir -, Costa Mesa, CA 92626 • Date March 9, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 7015-46 rev.1/83 White-Own.r;Canary-Numerical File;Pink -Bldg. Permit File NOTE?S .r ; JOURNAL / INSIGHT SUBJECT ti . ,14: 4/ / 4/f /0771.�� - X44.,41 « V/07 /- CITY + : .::TA MESA , DEVELOPMENT 3; ®~ «:PLAINT INVESTIGATION . COMPLAINANT : COMPLAINT LOCATION : JIM RULISON 2539 SANTA CATALINA DR 2539 SANTA CATALINA 0.108 m!? A. G v 00000000 COSTA MESA 92626 TENANT : JIM RULISON 434-3939 OWNED. UNKNOWN RECEIVED BY : RC UNKNOWN DATE : 07a1G4 TIME : 02 : 00 +:S« COMPLAINT : PHONE : THE CARPORT STRUCTURE POSTS BEHIND APARTMENTS ARE DAMAGED. STRUCTURE IS LEANING . MANAGE:ME: T HAS BEEN NOTIFIED AND HAS PLACED "YELLOW CAUTION" TAPE AROUND THE AREA. THE TENANT IS CONCERNED BECAUSE CHILDREN ARE PLAYING IN AND AROUND THE UNSAFE STRUCTURE. THE MANAGEMENT COMPANY IS : HARBOR VILLAGE APARTMENTS 545-0442 VIOLATION OF Cit4LSECTION(S) : DESCRIBE «TION ALREADY TAKEN : ASSIGNED TO : 7 DATE : 0gG; CASE PREFIX : B NR : 94 0241 CODE ENFORCEMENT ; BUILDING DIVISION RECEIVED DATE : 07/11 /94 PLANNING DIVISION HEALTH DEPARTMENT RECEIVED BY : RC OTHER : COMPLETION DATE : 00/00/00 07 42,2n/is95 q /D Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P CITY OF COSTA MESA CONSTRUCTION PERMIT1 I5 PERMIT NO. TRACT NO. LOT NO. UNIT NO. l 239 s.9rirft CA?f1Lf!✓A ' 8 334 (09 Project AUdress x /Z �8 3 z �rj/loR esel iI ! ' s)pplicant•i Mailing Address2n0 ME�24./.NALeut/(.43/4. 42626 'TYPE OF CONSTRUCTION NEW U ADD U ALTERATION LJ REPAIR !( -1327 CI CONVERSION El DEMOLISH El OTHER A.P.# 1i-1 0 ]�1— 1� I Zone P/�2-� Owner's Namef/91,e(/!Ft-✓ /Lls•&s� CO Phone DESCRIPTION OF WORK/US OF BL G. • _ / l Address v �34.tAe ^17ARTM-FW-r UN ITS ' L)MA 17(1f{ S Main Building: Accessory Building: Z Arch/Eng.l41eC Litt`AS•»L License No. • c-� TYPE OF PERMIT U GRADING FOUNDATION id STRUCTURAL T Front /S - O Address r.�'�aZ.;> M/LL GP CC �,Q L4Gc. ,a4 H7a is QZ6.a,p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ¢ N SAuE O OTHER `�� I Contractor's NamperwevF1��Yt e e�Fes_ Phone C Right 20� N PROJECT DESCRIPTION SQ. FT, OCCUPANCY Address(mailing) SAA4 v K G 449 CONSTRUCTION TYPE VALUATION$I s Left 2 S City License No. 7 ZONE _ GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION - Ping. Ref.# PA 8S-i634 Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: t]/ .# giq g A Planning Notes: p1,.gse _2ra ID M with section 7000) of Division 3 of the Business and Professions Code, and PC- v r T ti a my license is in full force and effect. T r-Ucense Class / License No. S Signature ft.././4 R/ PLUMBING FEES HOLD FOR SPECIAL REQUIREMENTS N''yy.�ale IORKERS' COMPENSATION DECLA ATION Bar Sink Showers I hereby affirm that I have a certificate of consent to set -Insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW Policy No. Company A Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Eup 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($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not em loy,any person in any man r so as to become sub'ect to the ' Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'h-8 Workers' Co pe�tjon Laws of Califo ��ss Date � 7_`� Signature ��""`„�- '` Floor Dr `— ains Swimming Pool w/Spa F.A.U. NOTICE. of er making this declar n, you should become subje to the _ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions o the Labor Code, you must rthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that therev� is a construction lending agency for the performance - Device Boxes Pole Light of the work foC4 Gil XI Sr Interceptors 3097 Civ. C.) Interceptors _ .r Water Heater Outlets Lender's Name A'. �[J /` - - Range Lender's Address-•e • Sr S:.lr O 8.1 _� . •' i Kitchen Sink . - Water Service OWNER BUILDER DECLARATION Switches • Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ODS KW❑5-1$KW •ny structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor o file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - - ` the Contractor's License Law(Chapter 9(commencing with Section 7000)of , Division 3 of the Business and Professions Code) or that he/she is exempt 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). 0I, as owner of t $ 3 he 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 - 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: /�sJ employees, provided that such improvements are not intended or offered forZoning Approved By '�'=7 sale. If, however, the building or Improvement is sold within one year of com- — Canopy Type I I 0 Date ” # pletlon, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground Building Approved By I Date¢IS-9e prove for the purpose of sale). ��yy [�• �I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By R` Date J -/Z-d [Factors to construct the project (Section 7044,Business and Professions Code: ❑0-100,000 BTU ❑100,000 BTU The Contractor's License Law does not apply to an owner of property who Duct-Ventilating S f 4.IARY 0b FEES S builds or improves thereon,and who contracts for such projects with a con- - WI Q- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple El System Repair/Alteration BUILDING PERMIT $ 0 SMIP $ S' proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 4"I2 'D4+• PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ Date 7mLj Owner t . . " -i Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby er lfy that I have read i•is application and state th• the above 00-100,000 BTU 0100,000BTU GRADING $ information is correct. I agree to comply with all city and coun ordinances ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned pro er%y for inspection p�gp�&s. -..n.---- Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Ink CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant: Pink -Accounting; Goldenrod -Assessor .CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# ' Date Inspector APPROVALS Permit Date Inspector 1.,Temporary Electrical Service or Pole 52. Pool & Equipment Location 2:• Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - DiIt 57. APPROVAL TO COVER-GUNITE 7. Footings - / } Did 58. Electrical Conduit-Undrgrnd. , 8. Foundation, . /�" 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd. 10. Structural Floor System 1r/uj� Wd 61. APPROVAL TO DECK - ` 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final % ' - 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I 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 I I. 23. Gas Pipe-Rough & Test 72. Underground Flush -• 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil I_ 25. Roof Sheathing 'q la p,,�/�- 74. Overhead Hydro26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 7/7 D14- 76. Dry Standpipe ., 28. Lathing & Siding ! Y 77. FIXED SYSTEM FINAL 29. Insulation Q14 78. FIRE PREY. FINAL - 30. Drywall Nailing /0 0P HEALTH DEPT. REQUIREMENT j j 31. Plaster Brown Coat If 8k De 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: tO/t /-Y etc �XS 34. Final Heating & Air Conditioning ` :. �OJ,n _ �r 35. Final Gas Pipe-Test �� r��r ° ^g 36. Hood or Canopy I; 37. Final Factory Fireplace 38. Finalpiumbing . 39. Water Service-Final • 40. Gas Service-Final 41.. Solar Domestic-Final , ' ' 42. Backflow Preventer I 43. Backflow Irrigation % ��11 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA q CONSTRUCTION PERMIT I PERM T NO. TRACT NO. LOT NO. UNIT NO. Project Address .253/ `4iy/Q C'iYRU.we ,�}'Li p��2SS8 Applicant's-Mailing Address - t3 y�'l'AIAC o&4 -C-H- TYPE OF CONSTRUCTION N NEW 0 ADD U ALTERATION U REPAIR f • Ay�l//t.Grl !/'_732 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p,# 2 p_ 2/ 2— 10 . Zone PO,Q:—y/7 Owner's Name f / '6%4T Phone 5 7c4.20 _ DESCRIPTION OF WORK/USE OF BLDG. Address 2Ste aria y"c" w''V G.Al. 9 2-6224' S Main Building:5 Accessory Building: Arch/Eng.J3r.ti . &Errek.d IQSTdC License No. U//4 TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION E .i/ 0 z ❑ STRUCTURAL Front O Address 250 1-5 AA ILL CA-Ea 04 L44ac-s Hrctt 4,2.6' 3 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear `6 N Contractor's Name (7‘ox-CC. 4un-40F2 Phone 59-5"7327 ❑ OTHER A .4 I 2SZe d[� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right '� �r I N Address(mailing/ `�-C/M'4Z w,`/ K /emit C��" G �¢ 369 CONSTRUCTION TYPE VALUATION$ ISM` $ Left ! r -lf� ('• 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: --f�7 st/ �C�GI�S-C.��-. Planning Notes: with section 7000) of Division 3 of the Business and Professions Code, and (/�✓'-t M my license is in full force and effect. T License Class ' License No. S vJ ate Signature . PLUMBING FEES WORKERS'COMPENSATIONnder provisi • $irik 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 Sops thereof (SectionBackflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW • Policy No. Company /v '/4 Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW • - Certified copy is hereby furnished. , - Certified copy is filed with the city Building Division. Bathtubs' Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • Dishwasher Meter Clover 100-amps . (This section need not be completed if the permit is for one hundred ($100)or ' • less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel - I certify that in the performance of the work for which this permit is issued, I shall not empl y any person in any manner so as to become subject to the Drinking Fountains Solar TankFan Workers' o e ati Laws of Californi �_ Motors❑0-1 HP ❑15-8 Date Signature �"�'� 7Z. - Floor Drains Swimming Pool w/Spa F.A.U. 915 HP NOTICE: ,of er making this declar n,you should become subject to the _ Inc.Solar ❑ - ❑16-15+ Workers' ompensation provisions o 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 • I hereby affirm that there is a construction lending agency for the performance D¢viCe BOXes Pole Light of the work for 'which this permit is ISsged (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name Ctbgr 45-/aitra4A+ $V C. Outlets Range . Lender's Address (yin 6 Sr Ari r ire 9n0 SA-oiEt?n Q2'65 Kitchen Sink ' - Water Service Switches . . Sign - OWNER BUILDER DECLARATION - I hereby affirm that am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposalg Sections following reason (Section 7031.5 Business and Professional Code: Any city or St'andin county which requires,a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor ny 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 .he Contractor's License Law (Chapter 9 (commencing with Section 7000) of.- - Division 3 of the Business and Professions Code) or that he/she is exempt ' therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). $ 3 D 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 ! $15 Issue Fee . $ 3 ` for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves s ' thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: ��/�' employees, provided that such improvements are not intended or offered forZoning Approved By Date _ sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rry''rre for the purpose of sale). - ,, ,,QQ�� id,l, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date(A-7�5-n745 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 SUMMA OF FEES builds or improves thereon, and who contracts for such projects with a con- D tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ .��j SMIP $• proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ (tee- PERMIT • 0 I am exempt under Section ��/ /// B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date _ Owner'.--- ` reC Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have re this application and state at the above 00-100,000 BTU 0100,000 BTI, 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 to enter upon the above-mentioned pro ert for inspection p roc/ _ /_ MECHANICAL $ TOTAL FEE $ 2---S-' Signature o C "r— Date_/ �t� • Reinspection Fee I $15 Issue Fee`- $ 3 PLAN CHECK 25% $ Drivers' ,- se or SS# - ' CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Plnk -Accounting; Goldenrod - Assessor ... ....wvt.a`" Libuuvuav 5 L. i d0.t0 • CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service•or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. r.4 57. APPROVAL TO COVER-GUNITE 7. Footings 8II'8g 016 58. Electrical Conduit-Undrgrnd. 8. Foundation) " • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final ••� ' 7 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 Eledtrical-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: 8p1//Q'b Q� r8 t'�U� Q1 !i) 34. Final Heating & Air Conditioning ((( `�•• 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38' Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final - - 42'. Backflow Preventer 43. Backflow Irrigation • - 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations • . 47. FINAL STRUCTURE & BUILDING /y/ 89 0#61- 48. Special Requirements Completed . • 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. bate ,•.��„_ ' .. PACIFIC SOILS ENGINEERING, INC. ,; 17909 FITCH, IRVINE, CA 92714 TELEPHONE (714) 863-9118 NOTICE OF FOOTING EXCAVATION INSPECTION • • JOB LOCATION: F�. .�,,v W'S.ce__ C.. WORK ORDER NO.: ( � �S { ) OWNER OR CONTRACTOR: • OWNER'S ADDRESS: DATE FOOTINGS INSPECTED s ` P5?.) DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: 7• '] '1' Ati-o ‘"1 L e x d c vG �.s4 s w�� I •-) < S • �1 �- v 1-1 L. . 5 c c. 4_0�� c. .. et � t[-. 'S �c. L c •fkA - 4-cs' " (L`a-'A- V t� l ( U L v-4 c.¢_Ju.0 P,` , /may • d-4S1,--c• The undersigned has inspected the footing and/or caisson excavations listed above on the referenced property and same were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code of the SIGNATURE CITY OF COSTA MESA CAL. NIA 926284200 P.0.BOX 1200 Insulation Certificate 2539 Santa Catalina Drive Costa Mesa, CA Number and Street City Orange County Subdivision Lot Number Description of Installation ROOF Material Brand Name Thickness(inches) Thermal Resistance(R-Value) EXTERIOR WALL Material Fiberglass Batts Brand Name Manville Thickness(inches) 3 1/2" Thermal Resistance(R-Value) K-11 CEILING Ban 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/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor(Builder) License Number Signature and Title / i�� Date WESTERN-INSWATIOI( - 7` C- - 3621 W. MOORE AVE. ub-•Z. for - luion_ License cense Number SANTA ANA,CA 92704 AC,1��a _ Signature and Title Date 794E 7 . 'F7' .ap TI COSTA MESA SANITARY DISTRICT r r MONEY RECEIPTS ADVICE Date 3-31 - 3`?:) Amount $ > I ,�C7 t ' �� Name ' Payer .�a.)�� L- 1��11 t C_\( Ine r3 kL, AddresQ • For C\-LA . \�(' Vit, )-�� 1 llflc) C slgneA--X 10ri �I �1� �• - • CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File 79i,7 •/ 1 /J• 2,116 . • COSTA MESA SANITARY DISTRICT 1 MONEY RECEIPTS ADVICE Data ) -3_)\ , C Amount ,l r Name A-C\V '� i� lii \ \ (1)1^,Q (1-11,-11(1)-(4Q111t: iv \ Payer ` Address nD N—c Ct c k k 1 - 1 ! 11C._ n • r t C ,yyIII �r 0,531 ( • Fortes �;.�I! .l �� ,( . bxL 1 . 11 fir, signeA4_�(LLu 1.11V!' 1.^sem"�� — CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File r 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.15 also known as 2539 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 Surender Dewan, R.C.E. 34559 Engineering Manager /rw • e acs Z rsij NO 34559 2 , 4�¢ of CMAXX 1182 North Tustin Ave . Orange.CA 92667 C2/1250 (714)744-0802 Fax 1714)538-2152 9035 Haven Ave..Suite 105 Rancho Cucamonga CA 91730 1714)944-5400 Fax 17141944.2790 Ct. : OF COSTA MESA CALIFORNIA 92626.1200 P.O.BOX 1200 Insulation Certificate 2539 SANTA CATALINA DRIVE Costa Mesa Number and Sueet 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 CEIL1NO Batt or Blanket Type Batts Brand Name Manville Thickness(inches) 6 3/ti,, Thermal Resistance(R-Value) R 14 Loose Fill Type Brand Name Contractor's minimum installed weight/ft! 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. FAIRVIMANAGEMENT COMPANY OWNER/BUILDER (3ene;ryl CoTrtrsctor(Builder) License Number e u� 2-22-89 WESTERN INSULATION SignetlaeaMTitle Due 3621 W MpnRE AVC. 7 /‘ /, 7,,5 SANTA ANA, CA 92704 vyb-contrac9r(lnsuletion tall License Number ..--""ed.L,W.17c,a.-— c---7.-7511//—— -- Signature and Title Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P IT TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION,f / PERMIT ]-�Qk �� A.P.# I zone Project Address 2,C9 5' 9rS4.s. 4gr/e$4'j4..L D - S Main Building: Accessory Building: Applicant's wlailing Address ! o 47 's�ge[/T"•-.1 TYPE OF CONSTRUCTION ❑ NEW U ADD H ALTERATION U REPAIR E Front Z ,.•fes ❑ CONVERSION C7 DEMOLISH El OTHER ' T O Owner's Name Pont 0142-"'" M��A-�-�r Phonl3 /ter DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address ..-Ifo CP .'1.4/46/S•t '�IrvlvF - . A I TYPE OF PERMIT ❑ GRADING 0 FOUNDATION U STRUCTURAL ' C Right N Arch/Eng. License No. K - G Address y ❑ TENANT ❑ ELECTRICAL O PLUMBING 0 MECHANICAL , s Left R I Contractor's Name/P41/4/Lay $ 4. gre• PhonerS?di 1 171OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) PO .So.$< /y 67 y/4c4tibtJ PROJECT DESCRIPTION SQ. FT. OCCUPANCY M CONSTRUCTION TYPE VALUATION$ Planning Notes: City License No.01/;€1...5-10 T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION , 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: B 3 '�"'( � I with section 7000) of Division 3 of the Business and Professions Code, and aim^ my license is In full force and effect ELECTRICAL FEES Licensenrrr,C`la,ss C.-—3(-- Licen Noir `�3 " '02 ite..sfn Signature .�./-fir PLUMBING FEES Automatic Washer Transformer 0 15.50 KW .ORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pup to 100 amps Polic, Lab.4:5735.464-11.17 5-7444e- - p �G Dishwasher Meter Dover 100 amps Policy No. Company S 9 Backflow Irrigation Sewer Cap -• — _ BCertified copy is hereby furnished. /f Dryers ❑Gas :❑Electric Sub Panel Cerc ijs�cycopy filed with the city Bu wisiom� Bathtubs Sewer Connection Date /C(/Zf�gy Applicant L� /�ff''�"'-�� Fan Motors❑0-1HP ❑1'-8 XEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016-15+ 1 I certify that In the performance of the work for which this permit Is issued I Fixtures If shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. i Light Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole 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 A comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY •/ Gas Service ,.Outlets Water Closet 7 n" 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 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 4. t1' 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 .433a Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 1 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: • I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or improves Q4 thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 Application Issued By oat.2�LI—U employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of corn- 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 $ O 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: crO The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a rcon- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of their worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ • PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 5-C.2 I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL. TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws rel-tine to building onstruction, and hereby authorize repre- sentatives of thx-;y to enter poo the above-mentioned property for Inspection pur. i Date�/ly/ •Signature ; % - Reinspection Fee $15 Issue Fee $ 3 01 00026222-00026222 TOT 5.00 Drivers' Lice• e or SS# _- —.� _[ 0865-46,rev. 5/88 hite - Building: Canary -Applicant; Pink -Accounting; Goldenrod -Assessor GATE: 02/14/89 TIME: 10:56 CONSTRUCTION AND PLANNINL_ )L&SPA APPROVALS Permit# r 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 Utiliiy-Undrgrnd. ,• 54. Forms - • 47 Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5, Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6.` Electrical UFER Gerhd. 57. APPROVAL TO COVER-GUNITE 7.-Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test• ' 9: Water Pipe-Undrgrnd. f 60. Backwash Lines,P-Trap, O Undrgrnd. 10..Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 6 62. Backwash & Receptor-Final 12. Sewer Cap 1 63. Heater & Vent-Final 13. Roof Drains • •r .r 64. Plumbing System - Final r 14. Rough Plumbing'. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 216. 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 18. 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 El Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding• 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 2/704 GFQ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 2//&/Vt tEa 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 I 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ ijr 7 `'� "(' g DT: Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /`.+'CITY OF COSTA MESA CONSTR UCTIQV LI BLE_M IT NO. -• TRACT NO LOT NO. UNIT NO. 1 PrglNi,'t Address 25 I c1 LI 1 335- g 7 AY tot`-CoCvol ,� zA.O y! TYPE OF CONSTRUCTION ❑ NEW ❑ ADD H ALTERATION REPAIR elpplicant's Mailing Address t� LI CONVERSION El DEMOLISH ❑ OTHER Owner's Name/7, Phones �� A.P..# ', � . I Zone �y DESCRIPTION OF WORK/USE OF BLDG. • S Main Building: VI �UUL 3A les r f illidbig: C. i Jcd.ot.1 Address A �a!}If/ 3Tna . Arch/Eng. License No. TYPE OF PERMIT ED GRADING ❑ FOUNDATION' iii STRUCTURAL T Front - 0 Address A��,/�.� �y� ❑ TENANT ❑ ELECTRICAL V PLUMBING ❑MECHANICAL BB Rear N Contractor's Name/y4 r/L.R ❑ OTHER - . _ - • I 7 Phone / '. ,� C RightG Address Imai ling) PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left c:73,44-0(� CONSTRUCTION TYPE VALUATION $' $ City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION ww�i Ping. Ref,# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /�� — T �33//�� Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code,and - X17 7 my license is in full force and effect. T License Class Cr• Lic dsNo.44, • $ 'atei7 Signature rPLUMBING FEES . WK R ORS'COMPENSATION DELL RATION Bar Sink Showers • ELECTRICAL FEES ' hereby affirm that have a certificate of consent to self-insure or a certificate . 009 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer , Service Sink Automatic Washer Transformer ❑ 15-50 KW Po00, Lab. c.) ��L ❑ 50+ KW Pol¢ No. -;aSli?�47 Company Jdr'1TS �af/� Backflow Irrigation Sewer Cap Construction Pole Sub. ertifietl copy is reby furnished. Certifi d c y' sled with the city Bui ' lvisio� �• Bathtubs Sewer Connection yp GO Cooking Unit Meter Cup to 100 amps \ Dat Applicant EXE PT N FROM WORKERS'COMPE ATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). . Dishwasher Solar Piping VO Dryers ❑Gas DElectric Sub Panel ' I certify that in the performance of the work for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. _ . Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc. ❑9-15 HP ❑16-15+ NOTICE: If,after making this declaration, you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY /7 Gas Service �S`"�Outlet5 Water Closet '7y OP Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 5r - of the work for which this permit is issued (Section 3097;'Civ. C.) , Lender's Name '.a • - Interceptors /7 Water Heater 3t-1 CD Outlets„ Range - • •Lender's Address • `4 Kitchen Sink Water Service' *S' _sO Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the '7A Lavatories 3 Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or //ram �� Garbage Disposal Standing Sections 'aunty which requires a permit to construct,alter,improve,demdlish or repair P—Trap I Laundry Trays - —Q) Generator ❑O-5 KW ❑5-15 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 I - .ne Contractor's License Law(Chapter 9 (commencing with Section-7000) of Y • ' ♦• Division 3 of the Business and Professions Coder 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). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves _ ___ thereon, and who does such work himself/herself or through his or her own - Hood or Type ❑ - DEVELOPMENT SERVICES REQUIREMENTS: ' employees, provided that such improvements are not intended or offered for Boiler 'Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of cam- Canopy Type II ❑ � / /%J/� proven, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By (44....461 4.... Date prove for the purpose of sale). ! `p ❑ I; as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date (� ^'17O 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 1E0-100,000 BTU ❑100,000 BTU 'SUMMARY OF FE S 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 El Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP - $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT ❑ tam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ 2-4,3 'aceISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ Cerra) ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building constr ction, and hereby authorize repre- sentatives of this city ter upon a above-mentioned property f r 77 '� inspection purposes. MECHANICAL $ TOTAL FEE $�.7 �{� `61 Signature , � ® Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink . Accounting; Goldenrod - Assessor tCONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 11-Temporary Electric&-Service or Pole 52. Pool & Equipment Location • 27tiSoil Pipe-Undrgrnd. c 1 5/(3/y y 17 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms, 4. Electrical Conduit-Un4drgrnd. 55. Electrical Bonding 5. Steel Reinforcement i 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Gmd. 7 57. APPROVAL TO COVER-GUNITE • 7. Footings 6. ,,,c,4,1 58. Electrical Conduit-Undrgrnd. a r 8. Foundation '�1 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe Undrgrnd` Wi4/ Vie Lp+ 60. Backwash Lines,'P-Trap, E Undrgrnd. 10. Structural Floor System 66 61. APPROVAL TO DECK 11. Property Sewer Line ;House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final . 14. Rough Plumbing 6A /tO 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring SignC.:. c ,� c 68. APPROVED FOR PLASTERING • r18. Rough Electrical-T Bar Ceiling .) . y -�. 69. POOL/SRA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 1 t -� (,FIRE'DEPT. REQUIREMENT -i 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 n1 24. Roof Framing 73. Undergrnd.Storage Tank ❑•Gas ❑Oil 25. Roof Sheathing • • • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i 27. Frame and Flashing r 7-1 F! -, 76. Dry Standpipe y ,,_ 28. Lathing & Sidingf 77. FIXED SYSTEM FINAL :' - 29. Insulation i 78. FIRE PREY. FINAL li - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat l;S, 79. FINAL INSPECTION r✓ - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r'{ 33. Final Electric Notes: 1 34. Final Heating & Air Conditioning .1 35. Final Gas Pipe-Test 't7f4 u �O rl yr -.-' 36. Hood or Canopy V - (- 2 37, Final Factory Fireplace I'- ' 38. Final Plumbing 1 It, `� 39. Water Service-Final f f� - I1 '. Y - 40. Gas Service-Final ✓ l'41. Solar Domestic-Final " r iir I in: 1 Ii37L ;-42. Backflow Preventer f, .r N 7 .� l 4'3 ,Backflow Irrigation -( n I.e ld J ; l, _ _ r. 44., Landscape Irrigation System !~ ;1 r; rte..j...1* - • 0'45. Sound Attenuation . irr-r . C s,. 46. Handicap Regulations - j r'�- ..9 47- FINAL STRUCTURE & BUILDING r i- ' `:.7 tl Ln 48. Special Requirements Completeda,.' I . . t,( 49. Electric Release to Edison '` Ir. - { 50. Gas Release to Southern California Gas Co %' , .1" 51. CERTIFICATE OF OCCUPANCY 7' - No. Date - t . cs • i _ —µ /S Applicant l0 fill In all spaces except those within heavy border Ilnes antl sign all appro pfiate declarations. CITY OF COSTA. SA C2. eTRUCT ON P,RM T- / PERMIT N".hi 3 �� TRACT NO. LOT NO. UNIT NO.._ Project Address — ib Al :es • _ �� 1_ S � / TYPE OF CONSTRUCTION NEW U ADD LI ALTERATION LJ REPAIR - 1 - Applicant's ' ilio. Addressn^ - / 7 le� SAT / • ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone 'Owner's Na '+'� a1 I/ � 'lrra'�•n: - - �• ill DESCRIPTION OF RK/y}�,E OF BLDG Address vs�� '/ ��/ R97 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT Li GR DING ❑ FOUNDATION., ❑ STRUCTURAL T Front 0 Address • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING )5'MECHANICAL B Rear N Contractor's Nam 12.--sAA-t.4. • �. Rho'' S aJ ❑ OTHER / C Right N Address(mailing) -3) LC 4 4 • ` - • PROJECT DESCRIPTION SQ. FT. OCCUPANCY K ft G Left s CONSTRUCTION TYPE VALUATION$ S R City License No. • T ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DEC A- ON •-•• Q hereby affirm I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Sion 3 of the Business and Professions ode,pp y� y- lam^ / T (� my license is in full for ahcf4YELt. 7( /9 ,/ /J•4((J " \ Licen I ss `/Ov 3�1 •nse No. S % Date .. W "Signature �/A . If. PLUMBING FEES •WOR •M' •;ATION DECLARA -� I hereby affir that I have a certificate of consent t• If-1 &• e or a certificate Bar Sink Showers ELECTRICAL FEES \ of Workers' O pensation Insurance, or a cert, Co.. eof tion t� 3800, La �� sf/ Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW 1 ` PolicyPoNo. ce Company 1 � Atty�-4 Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW fl r rtifi tl C p hereby furnished- ertif i ith the city Builds • •'000 0 Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant ase EXEMPTION FROM WORKERS'COMPENSATION OECLARATIO Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps hundred (This section need not be completed if the permit is for one hundred $160)or less). - Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan . Motors❑0-1 HP ❑1%-8 Workers' Compensation Laws of California- - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance lam, Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 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 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 15=Trap Laundry TraysGenerator 00-5 KW 05.15 KW Trash Compactor -my 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 Section 7000) of Jivision 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil _ penalty of not more than five hundred dollars ($500). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044. Business and Professional Code: The Contractor's MECHANICAL FEES License Law does,not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 111 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Zoning Approved By Date sale- If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date 0r Ove for the purpose of sale). / A 1 LJ I, as owner the the project exclusively7044, sinesscontracting with licensed con- DUCT-Structural Refrigeration System Application Issued By Date_ tractorsto ctor'sconstruct project (Sectionsn7044, to51n and Professionsfproperty Code: The Contractor's License Law does not apply to an owner je property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- $ tractors' license pursuant to the Contractor's License Law). I am aware that —Exhaust System ❑ Multiple❑ System Repair/Alteration I BUILDING PERMIT $ SMIP proof off 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 3‘166 y PLUMBING $ ISSUANCE $ Date •wner j ' Hemming System& Ducting Registers •;7b`OV PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that • read this application and state that the above '// J-_(t00,0006TU ❑100,000 BTL GRADING $ information Is correct. to comply with all city and county ordinances ELECTRICAL $ and state laws relatin• •ui •in• .[ruction,and hereby autho ize r••re- MICROFILM $ sentatives of •is • en' upP' the �nove-mentioned,.r..- PLAN CHECK 50% $ /- inspection purposes. I I i 3 MECHANICAL $ 0 TOTAL FEE $ JQO'D 6 • s n 1-14-. ur Li, - CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 QOo3zUY1-UUV 1LV71 YET • 0.00 nr.Tr. no/•! /^^ rrJ`^ ICONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permitf# Date Inspector APPROVALS Permit# Date Inspector i1'Temporary Electrical:Service or Pole 52. Pool & Equipment Location I2. Soil Pipe-Undrgrnd. -53. Steel Reinforcement I 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1 ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,7..-Footings 58. Electrical Conduit-Undrgrnd. .11.Y1 8.`'Foundation 59. Gas Pipe, 0 Undrgrnd.,Test i (' 1 9;.Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10 •10. Structural Floor System 61. APPROVAL TO DECK l: 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .U ' 12. Sewer Cap 63. Heater & Vent-Final III 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 48. Rough'Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL , 19. Rough Heating & Air Conditioning jV-y_y$' L49 FIRE DEPT. REQUIREMENT tr, 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 O011 r I 25. Roof Sheathing 74. Overhead Hydro - . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ..- 27. Frame and Flashing • 76. Dry Standpipe . 28. Lathing & Siding 77. FIXED SYSTEM FINAL._ 29. Insulation 78. FIRE PREY. FINAL - ' 30. Drywall Nailing HEALTH DEPT/REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION Com• • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I• ,i 33. Final Electric Notes: • 34. Final'Heating & Air Conditioning (-ling LIEU • 35. Final Gas Pipe-Test S 36: Hood or Canopy 37. Final Factory Fireplace 38. 'Final Plumbing r! • t :.39. Water Service-Final . ' Y' . 40. Gas Service-Final , . r v 41. Solar Domestic-Final - , . � 42.-Backflow Preventer 43. Backflow Irrigation ' r . I _ L 44:Landscape Irrigation System ` . • ' t •�,.,- • i • 45t Sound Attenuation ✓J 46. Handicap RegulationsI•'1 47. FINAL STRUCTURE & BUILDING 'r•1 , . . ii1 48. Special Requirements Completed �-I r - 49. Electric Release to Edison _ - ' ' 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY ' . No. Date ‘ ‘ S Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT.NO. LOT NO. UNIT NO. CITY OF COSTA MESAp CONSTRUCTION PERM/IfT 3 23 A.P.# • Zone Project Address Q5S ( 54.1-r int ��"�� / MJ ' S Main Building: Accessory Building: • Applicani's'Mailing Address . TYPE OF CONSTRUCTION 'A NEW U ADD U ALTERATION U REPAIR "'' ❑ CONVERSION ❑ DEMOLISH ❑ OT�� fJ i T Front _ O Owne�Name r'ac M bele. Phoney' DESCRIPTION OF WORK/USE OF BLDG.— • �e - �I A Rear - N Address ��1 TYPE OF PERMIT L! GRADING ❑ FOUNDATION ❑ STRUCTURAL I C Right N Arch/Eng. License No. K•. Left G Address ��pp �,t /spq ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S - E TLS pa�<e SYSlt4$ti C,32-1/t / ❑ OTHER Ping. Ref.# -Parking Req./Provided • O Contractor's Nameo(�pe L_I PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: Address(mailing) �� 'FeJ�j7• /�,� /a~�'cl/i, M CONSTRUCTION TYPE VALUATION $ City License No. 39124 ZONE GRADING CU.YDS. ACRES • S. LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code,and Ott? QV LQ[, /t_ my license is in full force and -ffect. dirtY3 3 ELECTRICAL • FEES License lass — 0, Lir nse No. Automatic Washer Transformer 'ate - -►. Signature I' --._ A. u!.l► PLUMBING I FEES0 15-50 KW .OR RS COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of of consent o self-Insure or a certlfl ate Bar Sink $hbweR / of Workers' Compensation Inpyrrra�nc or a certified copy thereof (Se ion Cooking Unit / Meter Duo to 100 amps 3800, Lab. ,00‘,....s,,, k T r Backflow Preventer. Service Sink - grog) Policy No. 450 ` X35.+ pany Sf47c 1 v/, Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps }fl Certified copy Is hereby furnished. 7 Rq Cert' ledcopy is filed with the city building Divisiosl._n n Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel EEX TlbN ApplicantR 'CM 1' ION Fan Da��vv��wv�l##PPPPTI ffff•••vI!! FROM WORKERS' MPENSAT DIN DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 0115-8 (This section need not be completed if the permit Is for one hundred ($100) or Dish vvasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ S less). ltno thatm in the performanceperonin the work for aswhich othis permit is Issued,tot Fixtures shall not employ any person in any manner so as to become subject the Drinking Fountains Solar Tank Microwave workers' Coh1p `sajj1lppryry Laws of Cal' ia. • Device Boxes Pole Light Date C'J af e ZSTn Signature Floor Drains Swimming Pool w/Spa 9 NOTICE:If,after making this declaration, you d become subject to the Outlets Range Workers' Compensation provisions of the Lebo Code, you must forthwith Floor Sinks Urinal ,. comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets ter 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 ❑0.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash . following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ';-.,ay structure, prior to its Issuance, also requires the applicant for such permit ,-,,,ite file a signed statement that he/she is licensed pursuant to the provisions 01 Roof Drains ' • {/ 'e Contractor's License Law (Chapter 9(commencing with Section 7000) of i "-13ivision 3 of the Business and Professions Code) or that he/she is exempt . Reinspection Fee $15 Issue Fee cc 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). .l DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole Reinspection Fee ' I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered -- for sale (Section 7044, Business and Professional Code: The Contractor's , , MECHANICAL I FEES Building Approved By Date — License law does not apply to an owner of a property who builds or improves p.p� thereon, and who does such work himself/herself or through his or.her own Application Issued By Dete p O 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 cont- Canopy Type II 0 S MARY O FE 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 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 00-291)0 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- '_ - ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ ystem Repair/Alteration I PLAN CHECK 25% $ proof of their worker's Compensation Insurance should be provided to me. ELECTRICAL $ >00 • VD GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG Vk Fire Dampers MICROFILM $ Date Owner y HeatingSystem& Ductin Registers PLAN CHECK • 50% $ I hereby certify that I have read this application and state that the above Do-100,000 BTU 0100, 9 000 BTL - MECHANICAL $ TOTAL FEE $ 3U r 00PLAN CHECK 25% Information is correct. I agree to comply with all city and county ordinances - $ and state laws relating to building construction, and hereby authorize repre- sentatives •f this city to enter upon the above-mentioned property fo� • U1 UW!U1JLU'UUUU/.�!U IJ SUM inspection •I •ores. - en sL193 Signature a Date Drivers' License or 55 ' Reinspection Fee $15 Issue Fee , $ 3 --`r-4a..rev_5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor • ICONSTRUCTION AND PLANNINta 1L& SPA Date Inspector Date Inspector .) APPTOVALS Permit# -• r ), APPROVALS Permit # p l 1."Tpmporary Electrical Service or Pole � - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. t,, � .1 -- ' 53. Steel Reinforcement ‘,� 3. Electrical Cond'uit-Utilily-Undrgrnd. ' 54. Forms . 4. Electrical Condait4Undrgrnd. ."1 - 55. Electrical Bonding f 5. Steel'Reinforcement `,1 0 . • 56. Rough Plumbing & Pressure Test i- 6: Electrical UFER Grnd. :,.1 57. APPROVAL TO COVER-GUNITE + 7, Footings 1 •� 58. Electrical Conduit-Undrgrnd.to 8. Foundation -1 - , 59. Gas Pipe, 0 Undrgrnd., Test ' ' y . _ 9. Water Pipe-Undrgrnd. • - r ;� 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor-System "i '_ •" ') 61. APPROVAL TO DECK 7. 1i. Property Sewer ne& House Connection ` • ; ' Li62. Backwash & Receptor-Final A 12. Sewer COP e. �� ; - " I 63. Heater & Vent-Final • 13. Roof Drains � •• 64. Plumbing System - Final ' 14. Rough Plumbing` ,4 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1'6. Rough Electric Wiring 67. Fencing & Access Approval i , 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 1 T APPROVALS Permit# . 21. Ducts, in Structure .,' 70. Underground Hydro 22. Ducts, Ventilating �. 71. Product Piping 0 Gas 0 Oil ." 23. Gas Pipe-Rough & Test '•" ' t 72.Underground Flush 24. Roof Framing { 73. Undergrnd.Storage Tank 0 Gas 0 Oil / 25. Roof Sheathing •74. Overhead Hydro _ 26. T-Bari Ceiling (Structural) &']$'lonocoat 75. Dry Chemical , 27. Frame and Flashing --1 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' f. 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . FINAL INSPECTION 32. Elecvical Power Meter-Final AA 0. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final 1 41. Solar Domestic-Final ,Zr. t; • 42. Backflow Preventer t } 43. Backflow Irrigation S 44. Landscape Irrigation System i.;/.2.-.i i 45. Sound Attenuation ;!,, • / . - j 46. Handicap Regulations . 1 47. FINAL STRUCTURE & BUILDING t•- 48. Special Requirements Completed 49. Electric release to Edison /' /. , ti 50. Gas Release to Southern California Gas Co i;. ,-• i 51. CERTIFICATE OF OCCUPANCY r l ''Io No. Date is 0 . /` Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •J - PER NO. TRACT NO. LOT N p EP.I7Y0'F,COSTA MESA C��'��IrSTRU/�'TION PERMIT "" T 3SSCo b le , A.P.# - Zone Project ikddress c739 JA �--fT r^`�.v4 0.e• _ K� S Main Building: Accessory Building: Applicant's Mallin ddress TYPE OF CONSTRUCTIONW U ADD U ALTERATION U REPAIR E Front Z cl 'CV1�) M�_ E.t f CP ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T 0 Owner's Name I—t h1NFF-iTh hone DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address . TYPE OF PERMIT II�2 GRADING ❑ FOUNDATION El STRUCTURAL C Right N Arch/Eng. License No. K' G Address ^[�,,, r.�� _ ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left R n+.H-�t.Tq Eh tIC�Phone ❑ OTHER Ping. Ref.# Parking Req./Provided E Contractor's Nam 111 �7J`�10� PROJECT DESCRIPTION SQ. FT. �3, 9/y. OCCUPANCY Planning Notes: Address(mailing) ��OZK ti-r. 1�1CS f Y r CONSTRUCTION TYPE VALUATION$ M City License No. 45_, 5lRT ZONE GRADI NG CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION ...��JJJ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 3 2 3�/ �t with section 7000) of Division 3 of the Business and Professions Code, and u J 64- my license is in full fore;nd effect. / ELECTRICAL FEES L1.. License Cl. z • I icenz= b 7 ' �, �� •:4614-57q- -........„ 49 q PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW ate Signature - _ _ _ - .VORKE-S'COMPENSATIONDECLARA ION Bar Sink Showers Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink C" Cooking Unit I� Meter ❑up to 100 amps /1/f 3800, Lab. C.) - s ! Policy No. o3lp(o Company cel ''U'0 Backflow Irrigation Sewer Cap - Dishwasher Meter Dover 100 amps if ietl copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Weill-lied verified with the city i_lding @rvi Bathtubs Sewer Connection + Date /�> / Applicant s�r7US <7CO Li EIF -IC, v Fan otors 00-1 HP 01%-8 EXEMPTION kkk ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors •. (This section need not be completed if the permit Is for one hundred ($100) or - F.A.U. \ifInc.Solar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping "'. I certify that in the performance of the work for which this permit is Issued - - • Fixtures shall not employ any person In any manner so as to become subject to the . Drinking Fountains Solar Tank Lb) Microwave Workers' Compensation Laws of California. - - DCVICe BO%es Pole Light Date Signature Floor Drains Swimming Pool w/Spa ' 9 NOTICE:If,after making this declaration,you should become subject to theOutlets 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 AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there isa construction lending agency for the performance of the work for which this permit is issued (Section 3057 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 •...(/Q/D.�I.�n•� I followingn affirm that I am exempt31.5from the Contractor'sofioLicense Law for the Lavatories Auto-Wash V -auntreason (Section to Business and, Professional Code: Any city or - A n - ,r -n y my whichtrrto a Itspermitissuance, c ,construct,alter,Improve, t uc or repair P—Trap Laundry Trays {sY/yVs/�•C.O/lJl� y Tera gprior m nt that he/, also requires the applicant for such of . file a signed statement that he/she Is licensed pursuant to 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 - Reinspection Fee , $15 Issue Fee le l say 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 salty of not more than five hundred dollars ($500). $ .3 DEVELOPMENT SERVICES REQUIREMENTS: • I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee _ Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL 1 FEES Building Approved By License Law does not apply to an owner of a property who builds or improves _ Date thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Da[ employees, provided that such Improvements are not intended or offered for - sale. If, however,the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES Mellon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rove for the purpose of sale). BUILDING PERMIT $ SMIP $ • 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- - ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of theirworker's Compensation Insurance should be providedme. I ELECTRICAL $ GRADING $ ❑ I am exempt under Section B. & P.C.forfthisthis reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ 13 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT TOTAL FEE $ �0'f// Information is correct/ agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relati• to building c••struction, and hereby authorize repre • - sentatives of this • to enter u•: the above-mentioned pro erty for _ Inspection puree Signature 7 - -..• —/ Reinspection Fee $15 Issue Fee $ 3 • 01 00016163-00016164 TOT 641.13 - - DATE: 10/04/88 TIME: 15:05 '= 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING iOL& SPA id. / APPROVALS Permit # - D•ate Inspector APPROVALS Permit Date Inspector 1. /Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. : i I 53.-Steel Reinforcement 3.'1 Electrical Conduit Utility•Undrgrnd. - 54. Forms 4 Electrical Conduit-Undrgrnd. -.. .. 55. Electrical Bonding i 5.1 Steel Reinforcgnent N 56. Rough Plumbing& Pressure Test I 6. Electrical UFER'Grnd. `. 57. APPROVAL TO COVER-GUNITE 7$Footings '.1"� 58. Electrical Conduit-Undrgrnd. I/ '4 •8. Foundation ` V d I 59. Gas Pipe, 0 Undrgrnd.,Test 9,=Wate/ Pipe-Undrgrnd. 1 60. Backwash Lines, P-Trap, a:Undrgrnd. ' 10: Structural Floor System .! -,‘ - 61. APPROVAL TO DECK • 11`.•1 Property Sewer Line & House Connection 62. Backwash & Receptor-Final ..• 12?,Sewer Cap r-•• ., 1.. 63. Heater & Vent-Final . 13. Roof Drains _... t" . ri 64. Plumbing System - Final r 14. Rough Plumbing; 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring �0-6- nej 67. Fencing & Access Approval it 1 . '1;. 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 ,1 ' 20. Rough Factory Fireplace `i APPROVALS Permit# 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23!Gas Pipe-Rough &lrest '72. Underground Flush 24. Roof Framing C... . 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 291 Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final /19-1y FOOD CERTIFICATE ISSUED r33. Final Electric /l./ny / ./ es: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • • 36. Hood or Canopy 37. Final Factory Fireplace e_). i 38. Final Plumbing i..) _ .. 39. Water Service-Final - "' 40. Gas Service-Final / ') 41. Solar Domestic-Final _ / I ---t.:J 42. Backf low Preventer t. \ /' .' d "7.)t � L i.l• 43. Backflow Irrigation , I 2-1- 44. Landscape Irrigation System . •.• 1� 45. Sound Attenuation ' 46. Handicap Regulations 4 ` 2.- 47. FINAL STRUCTURE & BUILDING ..1 7 48. Special Requirements Completed • 49. Electric Release to Edison - , • 50. Gas Release to Southern California Gas Co' �_ i 51. CERTIFICATE OF OCCUPANCY C -a No. Date - !'