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1083 SANTA CRUZ CIR - Building Permits
041111 MFNO CITY OF COSTA MESA IP 444101* ) BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT JrighP06-00731 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca,us . NG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUJob Address: c1,083jSANTA`CRUZCl$1"s- . ' Status: ISSUED Suite No Applied: 09/06/2006 Issued: 09/06/2006 Vicinity: e, %s. Mi,'>. 2 Parcel Nunmber: 41206128 Applicant: TOM, STEVEN ISSUED BY: Address: 970 E MAIN ST UNIT 200 Phone: 800-833-4572 GRASS VALLEY,CA • ' Zip: 95945116 e Owner: [ELFIN, PHIL C Qvl� i Address 1083 SANTA CRUZ CIR 114 Phone: 714-240-2869 .7 if talli COSTA MESA,CA Zip: 92626 ".; ' - DE / ' Contractor: WATER HEATERS ONLY INC Address: 970 E MAIN ST UNIT 200 Phone: 800-833-4572 GRASS VALLEY,CA Zip: 95945 • C License: 374573 EXPIRED - SCOPE OF PERMIT DATE -1 '3D 'OID WATER HEATER CHANGE OUT FOR SFD. FEE SUMMARY AMT QTY _ AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer _ $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 • Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 ' Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 7 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 - Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646 WOO) r' ` DECLARATIONS cm (" -' WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the —/.work for which this permit is issued. L] I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ____—.My worlArs'*neetysation Insurance carrier and policy ngmbel are: CB= sla�lF� l k CEA. �c --r. �go3 0 `4 :Cartier: tM /LOT CAS Poiicy-----.- -(Thl�tion need not be corn eted i e permit is valued et one hundred dollars($100)or less.) ❑ 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 workers' compensation laws of California, agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. q Applicant Signature: �- WARNING: AILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 'THOUSAND DOLLARS(5100,0001.IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: ' 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pr fessions Code,and my license is in full force and ettedhatur � 7 �i C� L fv 71 q C�ctor's Signature: Date: G - 6 - U C, _- t CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): o I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). o As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of - compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si ___ __ - __. ,` )4' orAutZLni . . r�Dete-- - • CODE A INSPECTION TYPE DATE INTmAL$ cm* INSPECTION TYPE PALE MELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval i 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy PROJECTADDRESS: 1083 SANTA CRUZ CI Z `t UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 068(320 OWNER'SNAME: BUCHER, WILLIAM EDWARD TR ADDRESS: 1083 SANTAA, A CRUZ CIR 92626 PERMIT NO: M 068620 PLAN CHECK NO: N GOVT : N SUPP : N C • CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH 714 ) 549-7931 I''. ARCH/ENGINEER: REG,NO.: JOB DESCRIPTION : REPLACE A/C CONDENSER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: ALLIED PLMB, & HTG. (714 ) 630-1003 ADDRESS: 1648 SIERRA MADRE CL COMMENTS: X PLACENTIA CA 92670 **at+taF**aE******aF*a6***************+c***************aky6**irx-*aE*************aE*aET6***ar** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S LID: 026609 STATE LIC.: 610780 20 EXP: 04 /95 /' • t MAIN BUILDING ACCESSORY BUILDING ale• ' "( Signature: _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a c mate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN o9 azc Compensation libiEe3r4 e/IDicopy thereof(Section 3800.Lab.0.1 /01e� /95 POLICY NO.: STATE FUND ExP.DATE: PARKING REQ: PROV; PARCEL: 41206128 ZNE; REF NO: COMPANY: }$( PLANNING NOTES> 3 Certified copy is hereby furnished. LJ Certified copy is filed th the c y Building Division. > 9C� /(WJ. ******************************************************************************* aI �'"' Applicant: � � DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). 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 ZONING APPROVED BY subject to the Workers'Compensation Laws of California. DATE: Date: Signature: BUILDING APPROVED BY ; DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY; CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for DATE: which this permit is issued(Section 3097.Civ.C). ********************************** r ** iFRf************************• �:• ' *3E ********************************************************************** ******** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 11 ,00 repair any structure.prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed j.' 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). 15 . 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 11 . 00 15 . 00 0 . 00 26 .00 26 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees. provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 26 . 00 OVER/SHORT: . 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 26 . 00 I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ' ❑ and Professions Code: The Contractors'State License Law does not apply lo an owner of property who builds or improves thereon *,*,***,**,**,*.*,******.***,*,**********.,********.je**,**,******iE******,***ie****************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUA L. F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. • tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date. Owner. MEC 1 REFRIGERATION SYSTEM > 100 K BTU/H 11 . 00 11 . 00 �./" I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 1 f� 25534 and that I or any future building occupant will/will not(circle one)need 10 comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: i P I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county AUG 2 41994It -- ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ~ property for inspection �purposes. �/t/a G��y pF CQS MESA Dar. ' a' -/r .1641 46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING PO. & SPA .1 -- Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.' Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 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•Fina! 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains -• 64. Plumbing System - Final 14. Re*egh Plumbing 65. Electrical-Final 15. Roi-ghElectrical-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. Producf'Piping 0Gas DOii 23. Gas-Pipe-Rough & Test ,72. Underground Fhish 24. Roof Framing • ' : :73.. Undergrnd.Storage Tankk-O Gas 0 Oil 25. Roof Sheathing 74: Overhead Hydro' 26. T-Bar Ceiling (Structural) & Monocoat 0 75,, Dry Chemical 27. Frame and Flashing . . 76. Dry Standpipe •28. Lathing& Siding - 77,; FIXED SYSTEM FINAL 29. Insulation , - '' • I 78.- FIRE PREY. FINAL •- 30. Drywall Nailing - i I HEALTH;DEPT. REQUIREMENT 31. Plaster Brown Coat ! , 79?FINAL INSrECTION 32.-Electrical Power Meter-Final • , ,80:+FOOD CERTIFICATE ISSUED 4 33: Final Electric I Notes: 34. Final Heating & Air Conditioning 6 f l3 / ' 4f LS �( can_0.,..4_, "fid " 35, Final Gas Pipe-Test Gf.'1g5e.r"L A-. ,moi/.Ill, -! 1)I/-- i 36. Hood or Canopy - 37. Final Factory Fireplace I - 38. Final Plumbing , 39. Water Service-Final I ' . 40. Gas Service-Final 1 - ' 41. Solar Domestic-Final . 42. Backflow Preventer - i 43. Backflow Irrigation • 44. Landscape Irrigation System - - •. 45. Sound Attenuation ' 46. Handicap Regulations - _ - I 47. FINAL STRUCTURE & BUILDING _ - i 48. FINAL PLANNING . - ' • 49. Electric Release to Edison •.' . -- 50. Gas Release to Southern California Gas Co - l'- 51. CERTIFICATE OF OCCUPANCY No. Date ` - . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY 4`COSTA MEA p.ONS RU ION PE' MIT ' - PERA�T . TRACT NO. LOT NO. UNIT NO. 8377 4/OB/G; 5.11. TL • 1/L/ Project Address / A'// -. Z. p�i^ 2 Applicant's Mailing Address a fur i' • TYPE OF CONSTRUCTION H NEW H ADD U ALTERATION Lia REPAIR Owner's Name (�( Q.,r��r t br. 1°-r Phone 59q ' J CICONVERSION 111DEMOLISH CI ' OTHER A.P.# Zone Address DESCRIPTION OF WORK/USE OF BLDG. ��''II S Main Building: AccessoryBuilding: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING_El. OUNDATION U STRUCTURAL E Front O Address . �p /'/ �I/�� ❑ TENANT ❑ ELECTRICAL I.N PLUMBING ❑ MECHANICAL B Rear N Contractor's Name MI/ PAUL ' Phone ,cgQ//i ❑ OTHER C Right N Address(mailing) • ��M/.// ./ rC PROJECT DESCRIPTION SQ. FT. - OCCUPANCY K g G . r CON STRUCTION TYPE VALUATION _ S Left City License No. ,�{/ 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: Planning Notes: 0 RECEIVED APR 5' 1988 M with section 7000) of Division 3 of the Business and Professions Code, and .r my license is in ful • • .nd effect. License ass _..i '.e - No zi . / S Date ' ,t? r Signature Olen & �ear.••• ••-- PLUMBING FEES 'ORKERS' COMPENSATION DECLARATION Bar Sink Showers - , ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate , Workers' Compensation Insurance, or a certified copy thereof (Section 4800, Lab. C.) n, _ov e� Backflow Preventer Service Sink • Automatic Washer Transformer D 15.50 KW '� Policy No. `i9/` 0 0 Company ,..,1 � Ft Backflow Irrigation Sewer Cap ❑ 50+KW 1 re-Certified copy is hereb furnished. V' Construction Pole Sub. — Cert' d copy fi ed with the City Bu t g Di i�+J / Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date "/�FROg Applicant 7 i_ EXEMPTION FROM WORKERS'COM'eNSAT 0 DECLARA Millirrar Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors OQl HP D1 h-B Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject 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 i of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors I Water HeaterOutlets Lender's Name Range Lender's Address Kitchen Sink Water Service Switches Sigh OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law.for the Lavatories Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator Do-5 KW D5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law (Chapter 9 (commencing with Section 7000) of - -,. 'vision 3 of the Business and Professions Code) or that he/she is exempt ' erefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). D 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 thereon, and who does such work himself/herself or through his or her own Boiler DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered forZoningApproved sale. If, however, the building or improvement is sold within one year of com- pP By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose the oe). Building ApprovedIssuedBy a Date ❑ I, as owner of the property, Se exclusively contracting with licensed con- DUpt-Structural Application Issued By (N ) — Dat'_--CFL//—�f1r/-6•X� tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ 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 u Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ .S•Da ISSUANCE $ Date _ Owner . Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ■0-100,000 ■ 110008 GRADING S information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- sentatives of t city to enter upon the above-mentioned property for PLAN CHECK 50% 5 inspection p • _I / S) MECHANICAL $ TOTAL FEE $ V.5. Signature _ / ,. . i Date 0_ J Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SS `MF 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. 57. APPROVAL TO COVER-GbNITE 7. Footings 58. Electrical Conduit-Undrgrnd': 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test: 9. Water Pipe'Undrgrnd. 60. Backwash Lines, P-Trap, O.l)ndrgrnd: 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final: 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 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 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ids(/eas �A 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Prewenter • 43. Backflow Irrigation 44. Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations I 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 1 PROJECT ADDRESS: 1083 SANTA CRUZ CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 068799 OWNER'S NAME: BUCHER, WILLIAM EDWARD TR ADDRESS: 1083 SANTA CRUZ CIR PERMIT NO: E 068799 PLAN CHECK NO: N GOVT: N SUPP : Y COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE : OTH 361-0864 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE ABOVE GROUND SPA W/BRICK ARROUN SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE: GROUP OCC : R-3 / PERMITTEE: MARGARET C. BUCHER ( 714 ) 361-0864 ADDRESS: 918 VIA PRESA COMMENTS : REF: B-68567 SAN CLEMENTE CA 92672 ************ar-x**Tt**ar*N-at*itx*******-it+tLr**ar*atN-Tt****-ic.>E**at**yLTrTEer***Lt -prat*-pert*x-*+tiF-tf-it+ex-atEt LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIR EMENTS 7100)of Division 3 of the Business and Professions Code.and my license is in tuft force and effect. SETBACK S CITY LIC.: STATE LIC.: CLASS: EXP : Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ( Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY EXP.DATE: COMPANY: REQ:RE : PROV: PARCEL : 41206128 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> . > Date: Applicant: *********************tie*******************tie************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS . 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 subiect to"Ito Workers'Compens/at�ion Laws of California�'}�j� �d ZONING APPROVED BY DATE: 9`� �/ Signature:// 14 NOTICE:If.after making his declaration,you should b ome su ct to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this p mil shag be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: (• 41 which this permit is issued(Section 3097.Civ.C). ************************************** * it— ********************* • • ;*'*C1 LENDER: ***********************************************************************' **** ** ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT :N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires uires a permit to construct,alter,improve,demolish.or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5(:)% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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(5500). ISSUE FEE 4 . 50 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 30 , 00 4 . 50 0 . 00 34 . 50 34 . 50 , 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/hersell or through his or her own employees. provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 34 . 50 OVER/SHORT; , 00 improvement a npose of swithinhone year of completion,the owner will have the burden of proving he/she did not build or improve lortheBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, rof sr of s the eTh.amCo tractsis'S tecontracting with licensednot contractorstonto construct the project builds ov, thereon 34 , 50 ❑ and who contra Code:fThe projects vii State License Law does apply t to the Co of property Sy who or improvesI thereon and who contracts for such projects withacontiactor(s)license pursuant to the Contractors'State License Law),I am aware ****SE*********************************************************************.*.***.* that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAK D OWN IN I am exempt under Section: B p 7 0 4 4 B.A P.C. for this reason: ALL�yWORK DONE BY OWNER e� TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: �' �^ `1 'y Owner: ���s.G' — = ELE 1 SWIMMING POOL — IN GROUND — NEW EA, 30 ,00 I hereby certify that I am aware of and understand the requirements of Califr iz Heal', .nd Safety Code Sections 25505,25533,and END OF FEES 30 , 00 5534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. F�+ Dale: Applicant: EXPIRED V I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ij1 1 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned �D D1 00167336-00167336 TOT 34.50 7s0 �fpuur�rppo7ses. DATE; 09/07/94 TIME: 10:21 /^ %/ Signature' It. .. _ ��.. DATE se or Social Security a: 1641.46 White—Budding;Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor . t, •I; 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. f 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final - '! 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas D Oii 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 , t', 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL t 29. Insulation 78. FIRE PREV. FINAL 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 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 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 f 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY -No. Date Date , i. A M[MOER OF n@ SEARS I TNANLIX NElwpa COLD we's BAN KeR a COLDWELL BANKER RESIDENTIAL REAL ESTATE 1640 ADAMS AVENUE COSTA MESA.CA 92626 (714)6689333 Seatembea 13 /994 04 °I Caoia Mesa Buadirui Inspection Dept. Re: /083 Santa Coq Cade Attn: Randy Buck Dean Randy, In neyands to .the Leeson Pump Abton, Abdel # 116C 340(88. Thee Le no UL .Listing on this. It has an auto neeeosed -them ovenload pioteeton. It is designed .to penconm -the same as a UL .listing. This .infn,uiution was obtained /nom: Ah, Aizz A64tL Lee-sonCecttic Cony. �� wiscons.ut 414-3/-88/0 Thank you fon pun ejfoicts. S.incenely, �,�ye C.L,ea Noyt Real Cs.tie Agent '• -_ AMP ELECTRIC, INC JOB . Licensed Contractors SHEET NO ' - OF #7 Whatney IRVINE, CA 92718 CALCULATED BY DATE • Ph. (714) 859-7206 St. Lic. 210500 CHECKED BY DATE- SCALE . . , • • . . A.,Lierhir : . . . . . . • • • C . .) 1 I '. • t.._.) . . . . ... . . .. . . . . . . . .. . . . ..... . . . . i. . • ; 1 : E ' I 1 , . , .• • ............... ' , . ' 1 ' ' • . SRATEC, . . . . , 1 ; 1 ! ; , 1 comSlia.s. • . • . ........."" ! ; , • . , .. . —:-- 1 L.__ . • ' i i i Ti.-..E_c.u.y....<__. i • _. __ ..... ; ; . :Pact riousif • • • . ___. . ... _ ...: __. spa uta4r , , RaLacont , ' ' i.. • - ilyiPils.5 Ti•mEe.. ' . DIS j IlL01....RON au,ttc_14. • ..-"-. • • i i . . .. . ..... .. . ... . . .•• , . . . 0 . 7 • . . . . . . . . . : • . • I , • ' • • , . . : • • , . . . . . . . . . . , ! " • : 1 , . . , ' i : ' - • ,. . • • ' . . 5 , i ' Ia i izo"' --; 3/4 1 (.41t..,QQ: ‘17 1:b 3 (--- 140c, 0q :?co I rki,-rii / La Oki .11.()Q. pecD( t $5h/- uvor-o,: C.-e-0,-"00 1 , . I I • ' . , : 1 : i , . j . • • _ . . ' ' ! , II. • ... . . . . . . . . . i . . , • ' • . - .44071/4“...) Sita.,4.‘c.-r-, , . • . 1 . .. . , • • : • ... .. i , . ;. 2.. 7 "'.'" : : , I 1. 1 . • , • : . . . . - ' ' • - . .... ' I : . . , , • . . . . • , . . . . I , , : .• . , . . . . . . , , : , , : • . . , : 1 : . „ .• . . . : _ , . . N• : : • • i ... • . . . . . , . . . . . ' : , • I ' : . . • , . . ' . I • . • . . . . . . P =4.1inreir4lIrt OS Mn min. PRDJECTADBRESS: 1083 SANTA CRUZ CI UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 068567 OWNER'S NAME: BUCHER, WILLIAM EDWARD TR ADDRLts, 1053 SANTA,CRUZ CIR 92626 PERMIT NO; B 068567 PLAN CHECK NO: N GOVT; N SUPP : N COCONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE; OTH 361-0864 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION ; LEGALIZE ABOVE GROUND SPA W/BRICK ARROUN SQ FT: 900 ADDRESS: UNIT: CLAIM VALUE: 1 , 800 . 00 CALL-VALUE: 1, 800 . 00 GROUP OCC: R-3 / PERMITTEE: MARGARET C. BUCHER ( 714 ) 361-0864 ADDRESS: 918 VIA PRESA COMMENTS: LEGALIZE ABOVE GROUND SPA W/BRICK AROUND IT SAN CLEMENTE CA 92672 *AE+r************+Fir*****************+t**** **yr*********r*******AE F*******+t*if******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: EXP: Date: Signature: FRNT; FT MAIN INBUILDING REAR: FT IN FRNT: FTCESSINYREARLDING FT IN WORKERS'COMPENSATION DECLARATION: I hereby atlirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN Compensation Insurance.or a certified copy thereof(Section 3817(1,Lab.CI. POLICY NO.: EXP.DATE: PARKING REQ; PROV; PARCEL' 41206128 ZNE: R1 REF NO; COMPANY: PLANNING NOTES> ABOVE GROUND SPA IN REAR YARD ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. ******************************************************************************* Date: Applicant: DEVELOPMENT SERVICES R E Q U I R E M E N'.T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). 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 ZONING APPROVED B Y subject tot Workers'Co pensati L s of California A I / DATE: ' signature: /e ( t BUILDING APPROVED BY NOTICE:IL alter making this claralion.you should b me sub' to the Workers'Compensation provisions of the Labor DATE: F.--2.-2-- ^'Y Code,you must forthwith comply with such provisions or this pe mit shall be deemed revoked. V ZZ CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: I I/ - 'i�LI� DATE; 7 ' which this permit is issued(Section 3097,Civ.C). ********************** '� *'*' *********************************** ' *************************************** LENDER: ADDRESS: LEGALIZATION:N FEE li M M A R Y STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 41 , 00 5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN . 50 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than flue hundred dollars(S500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 42 . 00 0 , 00 0 . 00 42 , 00 42 . 00 , 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale.If,however the budding or REVENUE DIVISION TOTALS--> COLLECTED ; 42 . 00 OVER/SHORT• 00 improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK for the purpose of sale). 41 , 00 1 . 00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner ofpropet1 who builds or improves thereon **,***,**********************************,**************************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors' tate License Law).I am aware - Mat proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL , F E E BREAKDOWN 6 I am exempt under Section:B P 7 0 4 4 B.S P.C. lor this reason: ALL WORK DONE BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST -----CP--as -yy Owner rE—g/ (4 SFR 900 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 900 , 00 I do hereby certify that I am aware of and understand the requirements of Cali ornia and Safety Code Sections 25505,25533,and SFC 900 SPA 1 ,00 900 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a , END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection� purposes. Date:_ +,70 -- Signature-//g -5-.1 - - _'Asp AC 01 Oplfx6<12-0016641' TOT Driver's License or Social Seamy s: DATE: 08/22/94 TItlE: 14:21 42.00 — 1641.46 Whim—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING / POOL & SPA I t APPROVALS Permit# Date Inspector APPROVALS Permit # + Date Inspector 1 1, Temporary Electrical Service or Pole • 52. Pool & Equipment Location .r 2. Soil Pipe-Undrgrnd. / '• 53. Steel Reinforcement ,r ai�Electrical Conduit Utility-Undrgrnd. 54. Forms , ers 4. Electrical Conduit-Undrgrnd. J.'; 55. Electrical Bonding :j' .. "L5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 71Footings •. 58. Electrical Conduit-Undrgrnd. - 8. Foundation • - 59. Gas Pipe, 0 Undrgrnd.,Test 7 9. Water Pipe•Undrgrnd. /-I 60. Backwash Lines, P-Trap, 0 Und • rgrnd. ", .er 10. Structural Floor System .'A 61. APPROVAL TO DECK ', 4•• 11. Property Sewer Line & House Connection 7 62. Backwash & Receptor-Final ' 12. Sewer Cap r 63. Heater & Vent-Final ,`' ' - � 13. Roof Drains ,, J 64. Plumbing System - Final 14. Rough Plumbing „i 65. Electrical-Final ' f ' 15. Rough Electrical-Conduit / 66. Solar System-Final -` f / A 16. Rough Electric Wiring ,', 67. Fencing & Access Approval 'M1 .'1' 17. Rough Wiring Sign (.• , '" ` 68. APPROVED FOR PLASTERING t ,. 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. Onderginund Hydro 22. Ducts, Ventilating ) - 4. ', ' 71. ProducfPipng OGas QOiI 23: Gas Pipe;Rough &Jest • r� , 72. Underground FIGsh 24,'RoofFraming • 73. Undergrnd.Storage Tank 0 Gas 0 Oil •25. Roof Sheathing " - 1 ', 74. Overead Hydro ' 26."T-Bar Ceiling (Structural) &Monocoat ' 75.. Dry Chemical - i -_ 27.'Frame and Flashing „ 76.• Dry Standpipe 28. Lathing & Siding - 3 .;,• • 5 ••1 ' 77. FIXED SYSTEM FINAL 29. Insulation - - , - -. r I , 78: FIRE PREY. FINAL 4- 30. Drywall Nailing i L%' HEALTH:DEPT. REQUIREMENT 31. Plaster Brown Coat , , : 79. FINAL INSPECTION 32. Electrical Power Meter•Final. r - 80. FOOD CERTIFICATE ISSUED .33.-:Final Electric I . ( ( / • Notes: Q,�� (.i - . kYC D!'EF-� '34. Final Heating& Air Conditioning, , _ I /414-041-'44 n ��� ' 4 35: Final Gat Pipe-Test - i /t \\ . i f� �� .36. Hood or-Canopy- , i I , • , . 37, Final Factory Fireplace . 1 - - , 38. Final Plumbing ' I - 39. Water Service-Final • ; , 40. Gas Service-Final '' • . - . 41. Solar Domestic-Final I - , i%eA iv , 42. Backflow Preventer - �. 43. Backflow Irrigation - 44. Landscape Iri-igation System ,. . 45. Sound Attenuation • ' .. .. 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING q fteatY4 I 48, FINAL PLANNING ! , "( ' 49. Electric Release to Edison .„1 - 50. Gas Release to Southern California Gas Co f • • 51. CERTIFICATE OF OCCUPANCY - rt : - r' No. Date / 1083 Santa Cruz Circle , Costa Mesa Margaret Bucher (711 }--361---8834-._ ._y'' . HOUSE DIVISION OF BUILDING SANIiTtt ern OF COMA MESA 22'-4" AppgooED ac l— �T2�..�i� FI TERNN\ Mi_ 'OUST be lob 8100 times YIAMd .. &maserv outwrtten NM et Baby and al al Costa Mesa. 12'- 1 Q" permd or lobe r. approval el the violation of any Provisions et any City of Co.-to [� PUMP and/or State law. ( a shaft oxen bytes and become null and vote • AWL' �, baldingor worknot commenced and maintained active per UBC§: HEA • �� �' !ILv+ 'tau days of issuance. f OL tMO im�"'�� Permit # SPA THIS NUMBER MUST ACCOMPANY 9' ALL INSPECTION REQUESTS 3/ml. CITY 0? COSTA MESA 7 6,4 h PtOJ'Th4!W+ Lei. t/i '" A LINE 123JECT i',3 CLCa. OEM 2,70. ICiY 6� DAT!' if Z'Z -1 02 Qr YMNNtpt0 Plan, Spa Location U L Hoyt a/]a/s4 POOL DECKING STUCCO EXTERIOR /% %iiIIiIF,, • BRICK COPING FIBERGLASSSPA ; • • S . a � DIVISION OF Bill IP CITY OF CO 1 ESA SAFETY %NS ' 3' dips. f APPRO Vitt �► i �� � 2' � �1 This set o} I i _Date_ ,�. dp. 14,' • and lb Dans and specifications ! �— �r • • unlawful to make any changes or ; �t 'n This job ar aA Times .. ` � r horn the Division of Building at, '°n'une wdhout written ��I��I' stem a %•NO of Costa Mesa. f i i orbbe 811 of this Nan and specific, p iceand/ot approval of the vioia;�sr,„r;, NOT be held to on f Ordinance State tai n wns of any.(4) ct Cata 7' I D them�Piens r w permit'ip shall explm r.4N 2e he,.nm< ,:. . ildtrrg or work cansm., r (d)within 80 days of Issuance.' Ain " 9' - 11 11" Spa Details 1083 Santa Cruz Circle , Costa Mesa Margaret Bucher 714) 361 - 0864 i\ H. L. Hoyt 8/18/94 • H . V. LAWMASTER 8 CO. , INC. - 7940 MAIN STREET — STANTON, CALIFORNIA 71CM5 – 630-002 828-8040 xx Field Data on Test Specimens Core Concrete (�urXite Grout/Mortar— Project W. Buckner Pool Permit No. 32614 Project 1083 Santa Cruz, Costa Mesa Location Contractor Royal Pools Architect i Location in Structure Engineer Date Moulded 1/21/71 No of Specimens 6 Slump 4" Specimens Marked Specified Strength at 7 days 28 P.S.I. Mix Designation Age to be tested days days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition Overcast 1 Yd. Yd. Batch Cement Mono Type TI Cement, lbs. Admix Sand Specimens made by L. E. Sprabue #4 Data by „ #3 Delivered by #2 Date Delivered # REMARKS/fS/If Water, Gals. FOR LABORATORY USE ONLY Lab. No. 71101 71102 71103 71104 71105 71106 7 Day Test 7 Day Test 7 Day Test Day Test Date of Test 1/28 1/28 1/28 Specimen Dimensions 6.09 X 12.375 5.85 X 12.5 6.09 X 12.625 ' Area 29.13 26.88 29.13 No further tests required Ultimate Load 77,000 80,000 77,000 Lbs. per sq. in. 2,643 2,976 2,643 . H/D Corrected RCE#6207 FORM M - 015 . 11r9 • January 15, 1971 Mr. W. Bucker 4� 1083 SantaaCruz Circle Costa Mesa, California Dear Sir: • On January 8, 1971, aging permit was issued to Royal Pools to construct a privat wimming pool on your property. In order thatour pool will be a safe one and for the purpose of advising u of your responsibility regarding the requirements of the Cosa Mesa Municipal Code, we refer you to Section 8107, a copy of which is attached. This 1 ter is directed to you in order that you will be aware ofir ordinances and can make a complete safety check of yo pool area. Sincerely yours, t RICHARD HANHART (g- Building Safety Director , RH:dh enc. Wr /J_ CITY OF COSTA MESA REQUEST FOR OCCUPANCY P !/� TRACT NO, LG 6 3 DATE ,,,i�l l fu4. c10— / / a LOT NO. 2-1) 2 n /, � / ADDRESS / 6 R3 56A' k 1. 8 Z c f sC /C- The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this regiment acknowledges that (he-she-they) (vas or were) W e. ,$C/cuc4, advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. R Purcha BY : - r i li Deve oiler nd/ r authorized representative BY Lender __ 'a _ Applicant to fill ian spaces except"those'I ...nn"heav-------- b rder lines and sign all appropriate declarations. • CITY OF COSTA MESA ..._� /•3 6/lj- FEM.! NO. ? TRACT NO. LOT - BLDG. la. • - COIPARUCTIQN PERMIT . ' l J 0-7_ 3 gj ", `� '9857 5/04/84 1 51 • 12 TL Pro r t pjrfress � �Ywf» - P C- C - TYPE OF CONSTRUCTION 't i cW ILADD ALTERATION L I REPAIR - AYQ,P\ ant's Mailing Address 5/-5C-1C/14/i ❑ CONVERSION ERSIpONN w❑1 DEMO'S . OT ER '�� A.P.# cif 2 - eel � � �l Zone �- 1 - ' • ,aAsppR / Ce77 793/ ° • P {Ni aC��-f 3� �/�-1�C Owner's Name (,'t'V(' `�/ ^ 4 !� Phone Cpl ©a r� S Main Building:a • Accessory Building: Z Address 7OC'•- SW/177/1 L Z C/�Lr Icy ILS STRUCTURAL - ,T Front Q� - - / N TYPE OF PERMIT ❑ GRADING I'y� FOUNDATION Arch/Eng. ` _ License No. ❑ TENANT ld ELECTRICAL KU PLUMBING ❑ MECHANICAL BB Rear / 7- _ •� N Address • /' ,^/L-p ❑ OTHER - " ---. Contractor's Name O0.-INS ! Cil C._ 162 Phone' PROJECT DESCRIPTION SQ. FT. 40� OCCUPANCY R-3 K Right /1�^G f/ R Address(mailing) `S/a/i CONSTRUCTION TYPE VALUATION$ /6:000 g Left p2 'S 5 E ZONE GRADING CU.YDS. ACRES Ping. Ref.# r•` Park.Fees 8---- 0 City License No. - LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided e— I I hereby affirm that I am licensed under provisions of Charter 9 (commencing ,Use of Building: R with section 7000) of Division 3 of the Business and Professions Code,and 79C' Zee - /e9 r^ E my license-is In full force and effect. �s r V License Class License No. PLUMBING FEES Planning Notes: -10-r- --j E -"ate Signature , Bar Showers ��J/J y N 'RICERS'COMPENSATION DECLARATION ■ 0J - ' ��� e - . .r• �OgA>: of T .ereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer ■ - ✓ ! • S of Workers' Compensation Insurance, or a certified copy thereof (Section' • 3800, Lab. C.) Backflow Irrigation ■ Sewer Cap • • ELECTRICAL • FEES Policy No. Company - 8 Certified copy is hereby furnished. Bathtubs ■ ■ 15-50 KW Certified copy is filed with the city Building Division. 1. ■ t •rs Date Applicant • Clarifiers Solar Collectors . �. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' . Dishwasher . Solaramps (This section need not be completed if the permit is for one hundred ($100)or. ■ s a less). _ certify that in the performance of the work for which this permit is issued, I ', Drinking Fountains e 0over 100 . shall not employ any person in any mann so a to be ome subject to the -tt/ Workers'Lgrp�gn�tion Laws of Californl Floor Drains . e ■ ■ W,/�l Date E:4 /7 Signaturedecl ■ NOTICE: f, iter rmaking-this tleclar n, you should become subject-to the Floor Sinks ■s ■ Workers' Compensation provisions of the Labor Code, you must forthwith • comply with such provisions or this permit shall be deemed revoked. Gas Service "Outlets - IIII Water Closet ■• ■ • CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance - interceptors of the work for which this permit is issued (Section 3097 Civ. C.)_ Lender's Name Kitchen • Kitchen Sink ,ACline Device J Lender's Address Lavatories - ■ L71 OWNER BUILDER DECLARATION e •• J I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or p-Tra p ■ Switches $I9p 0 county which requires a permit to construct,alter,improve;demolish or repair any structure, prior to its issuance, also requires the applicant for such permit Roof Drains S -Garbage Disposal - .,file a signed statement that he/she is licensed pursuant to the provisions of •. Generator• ■s ■ Contractor's License Law(Chapter 9(commencing with Section 7000)of - • ' °,inion 3 of the Business and Professions Code) or that he/she is-exempt 5-15 KW Trash Compactor ' ""i�eretrom 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 "Rein3pection Fee $25 ' e penalty of not more than five hundred dollars($500). • - JQ�J�I as owner of the property or my employees with wages as their sole MECHANICAL .Reinspection Fee $25 Issue Fee $ 3 tomo¢nsation, will do the work, and,the structure is not Intended or offered FEES for sale (Section 7044, Business and Professional Code: The.Contractor's - Hood or Type I 0 PUBLIC SERVICES REQUIRE E T License Law does not apply to an owner of a property who builds or improves Boiler /' thereon, and who does such work himself/herself or through his or her own yp Zoning'Approved By)kf Date VoVe employees, provided that such improvements are not intended or offered for Duct-Under Ground Canopy Type II ❑ , sale. If, however,the building or improvement is sold within one year of com- Building Appfoved By /!'1 -.Date /9 p,., pletion, the owner will have the burden of proving he/she did not build or Im- - V/I/( s/J/�r shrove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date / / U I,as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU � T tractors to construct the project (Section 7044,Business and Professions Code:- Duct-Ventilating - SUry�T�aty�yy•���sARV OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ a(/..t•� SMTP. 0:70 builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple D. System Repair/Alteration ` $ tractor(s) license pursuant to the Contractor's License Law). f • -lr PLAN CHECK '$ 57,3a PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. (CBO# PLUMBING $ T• o • ISSUANCE :$ • Date v��91/iff Owner Heating System& Ducting PLAN CHECK 25% $ O`G- ENERGY P.C. $ I hereb;;//certt44fy hat I have read is ap i ton and state that the above ❑0100,000 BTU 0100,000 BTL ELECTRICAL $ 7•TT/ GRADING $ information Is correct. I agree to comply with all city and county ordinances pp and state laws relating torbuilding construction, and hereby authorize repre- • PLAN CHECK 50% $ �rL� MICROFILM $ sentatives of this city enter upon he above-mentioned pro ert for y TOTAL FEE $ r inspection purposes. y�_/�,/i MECHANICAL $ _ J �Z Signature c4iMINIMMISalIMMIIIMINalMINIa CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor I . CUNSSTRUCTION AND PLANNING PO :SP/*. ;. Date InspectorDate Inspector AN4Q4VALS Permit# APPROVALS Permit# • - T'0Ttiporary Electrical Service or Pole ' 52. Pool & Equipment Location - 2' Soil Pipe-Undrgrnd. ,- 53. Steel Reinforcement 3`Electrical Conduit Utility-Undrgrnd. 54. Forms '. I .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .'! 5. Steel Reinforcement • '. 56. Rough Plumbing & Pressure Test - se6. Electrical UFER Grndt ' 57. APPROVAL TO COVER-GUNITE 7. Footings $i3nr-ef Ti- .,' 58. Electrical Conduit-Undrgrnd. • - ' �/� 8. Foundation • =t,/A'� J . I. 59. Gas Pipe, 0 Undrgrnd., Test • C' 9.Water.Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - e. Structural Floor System . 61. APPROVAL TO DECK -1T: Property Sewer Line & House Connection i 62. Backwash & Receptor-Final I 12. Sewer Cap 63. Heater& Vent-Final - • 13. Roof Drains - . 64. Plumbing System - Final. - - • 14. Rough Plumbing gat( C1,0 65. Electrical-Final - 15. Rough Electrical-Conduit - - 66. Solar System-Final - - 16: Rough Electric Wiring 1P,//q,4 i RG 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 Conditiohing FIRE DEPT. REQUIREMENT 20:. Rough Factory FireplaceAPPROVALS. Permit# 21: Ducts,in Structure 70. Underground Hydro - . 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • i 23. s Pipe-Rough &Test - 72. Underground Flush 24r-Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25: Roof.Sheathing 74. Overhead Hydro ' - '2L1T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 12„Frame and Flashing 8/2,8/8"- <-i-An-_- 76. Dry Standpipe '28. Lathing & Siding fP_1 94- g 77. FIXED SYSTEM FINAL L� 1 29. Insulation - • ' . . . 78. FIRE PREV. FINAL 30. Drywall Nailing i`ei z9/8r HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat r - 7/&�d9-- COK_ 79. FINAL INSPECTION 32. Electrical Power Meter-Final ,/ 80. FOOD CERTIFICATE ISSUED j 33. Final Electric - Notes: ... � 9/a*! CLDL./zo/g9' %vsta.. o • �./p;ucp �llltiH7v[�c, • 34. Final Heating & Air Conditioning Cp/Z' 1?/L4/ .t,IA/L O.e ,l itllJi.t/P4 35. Final Gas Pipe-Test - - 36. Hood'-or Canopy • 10-030---ASO /f!Z/tt, S../%cfl g, /A/ G,4, 37. Final Factory Fireplage --r�`�" 38. Final Plumbing ,*., . $ ...12.741 / o . 39. Watei Service-Final:. I • 40. Gas Service-Final . . . 41. Solar.Domestic-Final - - 42. Backflow Preventer • 43. Backflow Irrigation ^i 44. Landscape Irrigation System - 45. Sound Attenuation - I l' 46. Handicap Regulations . _ 47. FINAL STRUCTURE & BUILDING' 4 _•r/ Z//� c,c ' 48. Special Requirements Completed , 49. Electric Release to Edison - - ' 50. Gas Release to Southern California Gas Co - • 51. CERTIFICATE-OF OCCUPANCY • No. ' . ^ - -Date. - • tl - .. . , . • - miMMCS — ____7...—...........1.---.. .,„. Vire '- 44 • . Li I I ' ! . I _I I I_ I ÷, I I 1..._1____E__Izi ' I.:- •Y--: - ' , -. .filii.I: .a von t IN -ocop-P . , 1,---"i .: -, H ' i ----. :--t- I-T.4 LE-- I _ , ! [ HI , '.. _-_,L It: ..,_ : . i. , 1 I .i___!L___•• L____t l_., , i , 1 I I r U/ fl sAW774 cneg_vz cm 1AP :11011E1V " ! 1 r 1 ' i • 1 . 1 I Icio-TstrtA-! --imysiA:icA, ___ _ # .4_ , ,. . _ . __ Is ! . 1 i__. 1 1__.1.___:,__. • i i I___I___i____i iH_ 1-, ---n , 111 , 4111 i 1 , ;"; •City of.Casta Mesa Building Dept. ill, I I I . I I L _t_' i i L 1 Li i 1 _ ta 4_ L._ -_ ___.4441LitSgrey,,79±1 .1.:.t. --I --;-i"--1: I---;--1- -I - --r 1 - 1 ---!--- - ; - ; i • ; _____._ ct___ s-3 et , + , 1 i „ I , il : iii „ , ! I i :4 BY .-..:____C ATE__ —1.-- i . ; ; LiTho p ,4, : • I i I ; : ; I • • . ; • WTHESE--N:ANS;.-MLIST- BE-ON JelB-AT-ALL-TIME -,- -; -;--14,-- ,,--4-jr:2-‘-‘-j--4101-L----F-XV-- ,L...;,_,,-_tdci__L7,-___I____,L_i_ ....i_._i___ 4. 4AKE NO CHANGES WEHOUT 3RIOR APPROYAI; I / (a.OC,j CD I _Sri r`i KA pr Fig. -2.y 0 CI ! 1 ! 1 • • . : . ' 1: • -. OF DEM- -1,---r— • ; I i ; • - ; . . • ; ; ; I -i- -; ' -: - • -r ---;- -- ---:- -- ; • • E. • I , • ; ; • ; fiN • 1 i • 1 • THE-ISSUANCE CR-GRANT/NG OF-A-1 LIME OR APPROVAL! 1 L--- --t`t er ,- Ire' I --V---7--, 4 I , ---4 -I- . --i----} I- - -- I- - r -r - I- - L 1 --. . 1 --..4.it 5 _ i CF PLANS.AND SPF,CIFICATIONS SHALL 4OT EE CONSTRUED! : ii,.. ii,-.. .11 ( ' . • • : •-• ..., N_. _ : to BEA PERmiflop, ol3 A-4;4094 CP, ANY VIOLATION 'T I/ 7•3/4.- ---a- r , . "CF ANY_OF THE PRaCIDRS_Of_THIS_CC )E. NO PERMIT PRC' -------- ---- --: ,-- —4. --- ---- - ---- - ----- --.--- . -- ---4- ----; - -' W\-i-tp:-. ),n, iv--D: L . BOVIIBIG TO GIVE AUTHOR/TYTO VIOL(rE CR CANCEL Th ' ! 1 . : ' ' . T 7 , -Lid ' Ls. ,u, - -F':! - PROVISIONS-OFT 1 His-cej:)E-spALL:-BE.--:Al?,-EXktP1 U..-J, ---i ----- 1-----. - ---1-- : .- : r -Aliy //Vt'a otetikeTcrit: - -- --- - FAR AS THE WORK OR USE WHICH IT AU1HIPS;ES'st L.A111..! 1 : : ' i I rt r±"(Er1.7 C C ncri'A trZA Sasent4- ----:-p 14 r , 1 di — 1 - r . • • ••1, i•o, 1 THE ISSUANCE OF A PERMIT BAS D bi-UN HA WI.scAis , , , 1,0 . CPECIFICAFIONS'SHA4LNOT PREVENUTH -BUILDING OFFICIP.4 I •1 ---7 liPig -. : , - —- - - i - --- - : TH-t. ---.ic..i17-71--,-.44:11*-1-F-..--4 1----• «LP-- - --1,- - -- -c , :FROM.THEREAFPER REQUIRING THE'CORI ECTION OF ERROR 1i: • I---. . • . ' • : : '- ' _ ____ _L _ _ _ _ • . IN SAICPLAWISFANisF5EcIFICATIOFff b; FROM -----; ; 1 : , ;cf) i 'at. ke-./. .;:..r-Sta/FN,..-- -8WWING.OPERATIONS BEING CNIRIED.ON_THEREUNDP WM i _ I_ . ___ _L .1_. 2.. — — -- - cocci 4, ::.±) . ' _ .., . _ IN VIOLATION Of THIS CODE OR OF ANY OTHER ORL116,4Q' ' ! f ' 1 • , __ _,.. „ . ...< - 1 15aeila I ; . • _. . .- -.- _ _ ___ _ . , __ ____ __. . '.. . _i L .71(. - _ , _ STRUCTURAL . . CTURAL.APPROVAL ONLY !is) . . . i : . _ .. ; - SEPARATE. PERMITS:ARE.R'WIRED _ ._L__L__.: _I ._ --- - . •._ L._ ..i. .,.._ . . MR :ELECTRICAL; PLUM 3ING, • : For inspections - HEATING, VENTILATING AND ;If; C --- - -- REFRIGERATINI -WOF K I - 1\ - Zej-Viii; r . .- -7 --, -.; , - -w, - - • ___, - - r.;. I : r /1 , ' .;.. ' VN CPU2 C I gar- •:, ---• I -c't- . . . / ,.... „..__: i. __ _, 7j.40.5627 . TI11,--NtirtSER -AttST ACCOWir W,1( . i ALL INSPECTION REQUESTS- i • -,-.... - N • ;-, 1 -- - - - • _ _ • . ._ __ LI-4 i. -S - . 9- FOR BUILDINGS 1.11-ic I:I i'EASONS ARE TO BE EMPLOYED, liE SIICIEST THAT THE CCA ' STATE OF C.III-2.1;;II DIVISION OF V 211-77-1A -- . ; INDUSTRIAL SAFETY B. CONSULTED FOR • ADDITIONAL REQUIREMENTS. - . CR-V-.7 C.i -R. • - , . . . • - CLIF.:. - • . ..... S. • . ,.._ ,s , • • . ., R. 1 0., ,i4 . _ . . •- - • `. fax1 ' 0it' Cor ho1i4 ,g �IO'.C-; - )1\:A. 5 1 C/- - 6 S44. fin(arf \\\1 _ .. . _ #4 SrEE_ LbwELS 46'4y'� ._ E. - -- a /cf6o. c. SET it--) _ �y ^t� AN t-'y -^p e- ROK ' - - -e /< 1 S I -- co0A/ Ar DE- I — ' STRUCTURAL APPROVAL 0 Y_ _ SEP ARME PERMITS ARE REQUI ED— - - - - - 1 - -_ - - _ FOR-r-, t'Cp.u•..1 Pll!:_13ING -- - ffilA --- _ _ _ RE;RIC 3 'LJ,: _:03K - I t 8 i Tuts Nu: P,C7Mf'aVY i � �- - r � ' ALL INSPcCitJl+ r�QUEST '_ - - ' n-4 ARE TO _ _ - ' ; F7 Bitt:Di GS v 3T THAT THE ` LE EP PLOIED _ I 1 : I S75Tc OF ; n UILTED FOR —+ I 1 I �h.,L .tUU,,cMtNTS. 1 I I 1 I I I . 1 i I I i I I L i 1 - ` " Imo! I -T 1 1- "iI I r 1 i -� �f' I' a �b ! � 1 — i 40 T'7 FF ° SI IP??c zx b ate• ' STRUCTURAL APPROVAL ONLY1-- I A-' . --- -' ; - --i- - � -' I-----; I — -I - +• ! SEPARATE PERMITS .ARE RF;QUIRED _ 1 ! I - ! L I 1-1 " - I 1 ' FOR ELECT;7'^1'' , ''-I!''� INCI 1 I o vf% i I I ' _ ( • o, 1 ' I �_ I _1. i, v, i j a. - , - HEATING, .r '"ti1- G-�i D I ' i -) ' p,er.7�i5 Y I -- I . -'- - - r + - REFRICERkt+fhi ;v0,ni( �. _ .- - w •-- - --- ,--- . - _l .__i__ n - - - 1 pw�^E SF i3 OL -, -� `�� 'q1 : . _ E Al I -.- - C', - - . .- - - ) 1HIS -t\W-_- ,-�.. , i hNe � h. Q Jr 1 F f ALL INSPLC, . , ,iYSTS -I F. R ^' Kl V , BERBUILCthr fNIPLC� � 1 12: -1 T THE_I _ _ ..: QF/ • 4/ IF STATEBCE6 IZ00/` 2N; OF. L 1 RYZ !I - — -INDUSIx11.LN. . _. :..•.aJGcO'FORI �;_ _ _ _ _ -ADDITIONAL REQUIREi`dENTS. _ _ G 3V:%- NEW .- 73 rDINING R - - Cr a /te M _ . / Z - - _ - - ... �h F ` iN I 1 ca I . _ � A � I k I I 1/1 • - • 5'/0_> — - ' - - : - cA p.A6 =, < /Z' o'• -- � ,3`_ y H I . S(• . \LE '-?'//� = t'- 0" V A. OTC * — .NCCT. TO SCALE -( � . I, XYZ — - � Q- a - - 1g _ z oro o o e. Q • - . • Lk. j K . \ 1 ! , . - - _ __ - . I i - i . 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L. i a_.2-12. _. ; . . .. , . • ' _ _ _._ . . - - - - — -- -- -:.- •- ri.-...)-4-c-O.. -- . . liTRUCTURAL--APPROVALUNLY - --,------ • - _____ ...._,..J......._. .._. . • 1 , : , . , , ,_ ' . ......)- ' --- .vi itEV\I • Me SEPARATE- RERMIN P;RE• RED-OIRED7 - - - NEATi.• ,(-2-.. - - Lc 3 AND - - . _ _ , ____ __ __ . . - 4.--fn __ ._ • .. • • REFR1; I ; . . 11.: .,,,T,Ina ...._. „:- . 11...; _ etHiL_ 1 . ! : . . . [ Pea # • • r • , HIS • .1. : ?ANY _. . . _ . . ci 'C - -4-; Aft 01/411,...) ; i , • ; SnIC„C', ALL i A S.- . . . srs - - " • - - - J ! , ! . 4 _ . C . . I OR [31111.11 • 33:c S ARE TO C -- , 0 , . 1 E ELL. . .,,, . i .T THE • ._• _ .-- - . .. -rt-Ji_-_-C O - • . . 41AT 0 ; • .,. :. ...)10iI1 OF . • . , • ; • INDUSI.,,..s S. . AccSaTED FOR . . ' ; . ADDITIONAL AQUI EMENTS. . • w4:-- 5 r 57,0 e- . , : : R Z7le Z.A c r . MAY 1 6 RECD ,,... TRACTOR LIST City of Costa Mesa — Planning Division P.O. Box 1200, Costa Mesa, CA 92626 ' Builder Bill Bucher Address 1083 Santa Cruz Circle Phone 549-7931 ' •Job Site 1083 Santa Cruz Circle - Costa Mesa Date 5-4-84 Permit # B-13016 Valuation $10,000.00 SUSPENSE DATE FOR PARTIAL LIST DUE: 5-31-84 TRADE SUBCONTRACTOR ADDRESS PHONE STATE [C. INUMB�R ASPHALT _ CABINETS CARPETS CARPENTRY CEMENT CONT. CEMENT TRANSIT CLASSIFIED SPEC. CLEANUP/HAULING DOORS (GARAGE) DRAPERIES DRY WALL ELECTRICAL • • ELEVATOR EXCAVATION FENCING FIRE EXTINGUISHER FLOORING/DECKING FORMICA • FOUNDATIONS GLAZING HEATING INSULATION • LANDSCAPING LATHING LINOLEUM/ASPHALT TILE/GUNITE MASONRY PAINTING PLASTERING PLUMBING POOL REFRIGERATION ROOFING SANDBLASTING SEWER SHEET METAL - SHOWER DOOR SOLAR SPRINKLERS STEEL REINFORC. STEEL STRUCT. STUCCO TRUSSES/GLU-LAMS TV ANTENNAS WALL COVERINGS WEATHER STRIPPING OTHER SPECIALTY L CMF 0701-30 rev-12/B2' a Ile I ., CITY OF COSTA MESA ' DEVELOPMENT SERVICES DEPARTMENT PLANNING DIVISION OWNER BUILDER CERTIFICATE OF EXEMPTION I am fully aware of the responsibilities as owner builder. The persons named below are my r employees and I agree to withhold the following required deductions: Federal and State Income Taxes, Social Security payments, and Workmen's Compensation Insurance Premiums. My employer's number is Further, I hold no objection to a copy of this certificate being forwarded to any governmental agency upon their request for same. Employee's Name Address Social Security No. S �Avi7y awo..� — Sow-I A/-ta.� G 4 - S y, j l�6ea 4 Sacs 3ena�-... LSI s7,3 -L /77L • Under penalty of perjury, I declare that the above statement is true and correct to the best of my knowledge and belief. // Signature�CX-G� Date -bli0/f Address lot? Seadin 6245 Cncc.c- G,yA ,'22ccw 09- 4l/Gz • a `I • .- .• • CITY OF COSTA MESA • • DEVELOPMENT SERVICES DEPARTMENT P. 0. Box 1200 Costa Mesa, California 92628-1200 Date: May 4-, 1984 arocr-a 00.000,OT$ To: Bill Bucher rcec-aria 1083 Santa Cruz Circle Costa Mesa, CA 92627 Re: Subcontractors List We note that you have recently been issued a City of Costa Mesa Building Permit to do construction or home improvements atleRisanta Cruz Circle - Costa Mesa ❑ The.Building Permit indicates that you are the General Contractor. Our Municipal Code re- quires that all subcontractors working on your job purchase a City business license. We are requesting that you complete the enclosed Subcontractors List and return it to the Planning Division. It is your responsibility to see that all subcontractors purchase a City business license prior to your request for final inspection. Final inspections will not be given until all subcontractors are licensed. ® The Building Permit indicates you are the Owner/Builder. If you are acting as the General Contractor, our Municipal Code requires that all subcontractors working on your job purchase a City business license. Please complete the enclosed Subcontractors List and return it to the Planning Division. It is your responsibility to see that all subcontractors purchase a City business license prior to your request for final inspection. Final inspections will not be given until all subcontractors are licensed. ❑ The Building Permit indicates that you are the Owner/Builder. If you are acting as Owner/ Builder, please complete the Certificate of Exemption which is on the reverse side of the Subcontractors List and return it to the Planning Division. It is your responsibility to see that all subcontractors purchase a City business license prior to your request for final inspection. Final inspections will not be given until all subcontractors are licensed. ❑ Not all Subcontractors at the job site have obtained City business licenses, therefore, as of , the Building Division will no longer respond to your requests for inspections. This is the only reminder you will receive from this office. Should you have any questions in this matter, please do not hesitate to call the undersigned at 754-5623. Thank you for your early response. Sincerely, • Nancy unge, C e Enforcemllt CMF 1115-30 White-Addressee;Canary-2nd Notice Addressee;Pink-File Go* MN4 "Ihl-LLilWfll LV'MIJJI KIMTRUSS CORPORATION 700 W. Grove Ave., Orange, Calif. 92665 (714) 637-3450 August 20, 1984 Mr. Robert Sage: The attached calculations are for the bean (S.S. No. 1 2 X 10) used in the house at Lafifiwa=i+}getel. /683 Sf ,v Z' a z. Cpl, Coorm mesfi, C.4, Please note the following schamatic which was used for the loading con- ditions. The team combined moment and axial ratio is less than one (Cl) . Sincerely,. Keyvan Shakerin KIMPRUSS CORPORATION KS/ds P"--'023 % 2x I O FL.R jai T- .= 2i2 Lk- L .L 1, / C% 0 ), (6- i l n c-ol , /d/2 f 55 _5_1" !'• • / cnl' !JAIL : _ /--- ' / / ICS =j 2 0_ - �f3r7 A = LP 23 ib/1 -�4 16/PT � _ 2,22- /b/r-r J GRADING CERTIFICATION: Property: 1083 Santa Cruz Circle Building Permit # BE-13015 Costa Mesa, CA, 92626 (Tract 6638, Lot 27) TO WHOM IT MAY CONCERN: I certify that the minor modifications made to my property under my building permit, in no way effected the drainage of my property. During the 14 years that I have lived in the house there has never been a drainage problem of any kind. The current construction has been adequate to permit proper drainage even under the heaviest of rains.' /17rtg°1---- W. E. BUCHER Owner/builder 9/4/84 City of Costa Mesa INSULATION CERTIFICATION . Building Safety Division , 1083 Santa Cruz Circle Costa Mesa, CA Orange Number and Street City County Tract 6638 27 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Owens-Corning Material Fiberglass Brand Name Thickness (inches) Thermal Resistance (R Value) R-19 EXTERIOR WALL Material Fiberglass Brand Name Owens-Corning • Thickness (inches) Thermal Resistance (R Value) A-19 CEILING Batt or Blanket Type Fiberglass Brand Name Owett-Cnrning Thickness (inches) Thermal Resistance (R Value) A-19 Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag 'lb. Area Covered (ft2) Thermal Resistance (R Value) FLOOR, ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB 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 regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). W. E. BUCHER Owner'/ �� � ((�bg➢8➢c66S088Id[�9�1'1 License Number d yx Owner/Builder 9/6/84 Signature and Title Date Sub Contractor(Insulation Applicator) License Number Signature and Title Date CMF 1106-30 OVER—ALL LENGTH: "t4 •RCTz's .'[e ' s 14 APPLIED LOADS (DUNN F'OS. ) : F"TL LOAD #:-LF 523 @ 0 TO 5.23 @ 6 F'.'TL LOAD #:LF 224 @ - TO 224 @ 14 n . REACTIONS (IJP FOS. ) : LEFT : 3848 RIGHT: 2480 MAX MOMENT @ ; 5. 18 = 142505 CRITICAL SHEAR @ . 79 = 3355 **** USE NO1 SS 10Y,10 ***A- A= ***A= 90. 25 S= 142. 89E I= 578. 755 1' Fb= 1200 F�= 85 E= 1600000 Dur Ldg=1 . 06 SHEAR 1 . 5x33555:(85x1 . 00x90. 25)= . 55 MOMENT 14'250.5./( 1208:: 1 . 0 4142. 89 83 TL De£1 : —. 37°"@ 6. 78 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. EMIT NO. TRACT NO. LOT NO. UNIT NO. / ____Applicant A M/ESAa ON RU TIOJI'p�ERMIT OO A.P.�p , Zone /0mjUTt-••/7Ror(/L. . 3 S6 _y�a / jp/Ky .r•O� TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION A( REPAIR E Main Building: Atcessbry Building: Zllin Address - '- ❑ CONVERSION ❑ DEMOLISH ❑ OT -ER T Front 0 UGe�- Phone ¢o G✓ B N _ D SCR IPT ION QF}NORK/USE F B DG. _ Rear/`3AB- 5 �� e14Z - �-e - A C Right N License No. TYPE OF PERMIT ❑ GRADING FOUNDATION Ell STRUCTURAL I%Address 1- ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R R Contractor's Name)Gl'QS7P#. 3 'gYq Phone 2 9"d" F ❑ -OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) 7 SV 6' l/J �� PROJECT DESCRIPTION SQ. FT. _ / OCCUPANCY O3 Planning Notes: M `"j !=Jt CONSTRUCTION TYPE �N VALUATION $ 7 I T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION {/+ ///�''�� "-eq. �� //// I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I\*tote //S s[M-�s� j� a I��/J n �ins It with section 7000) of Division 3 of the Business and Professions Code, and J P/' T e Y '1/�1 ELECTRICAL FEES my license is in 191I fortaand effect. .. 9 /$g5' a / /) /• _ / kt 1 2_ ler. /ZcO License lass L-3 7 _' o. /firs- �I O l �l PLUMBING 7 FEES Date - - Signature Automatic Washer Transformer 0 15-50 KW WORKER ' COMPENSATION DEC LA RA ONBar Sink Showers Construction Pole Sub. ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate ' 4 Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 1800, Lab. C.) 0(C t 1 hLt.7 3 t , 1t Dishwasher Meter Dover 100 amps N'tersPolicy No. Company Backflow Irrigation Sewer Cap _ �a C�ertified copy Is hereby furnished. Dryers OGas ❑Electric Sub Panel • �C. r opyJJJ' fit with the city Bui • � •� Bathtubs Sewer Connection DateV �/ Applicant Fan Motors❑0-1 HP ❑1'h-S EXEMPTION FROM WORKERS'COMPEN ATION 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+ - I crtify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. . Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 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 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 Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By 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 tloes such work himself/herself or through his or her own a Boiler Hood or Type Application !_�'�tipn Issued By Dat employees, provided that such Improvements are not intended or offered foryp I ❑ ` sate. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • Sr �J MARV F 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). BUI LDING PERMIT $ a• SMIP $ _ . 5-0 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- - — ENERGY P.C. $ tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I 1 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 $ TOTAL FEE $ 7O. SO I hereby certify that I have read this appiicati• a d state that the above 00-100,000 BTU D100,000 BTL - PLAN CHECK 25% Information is Correct •I agree to comply wit . I Ty and county ordinances $ and state laws relati-: to •.' -'-•r. constru o -rid hereby authorize repre- sentatives of this v y uponasr .•ove-mentioned property for Inspection purpo.. .Z?— I Signature ' Date �/� .. Reinspection Fee $15 Issue Fee $ 3 Cl CC033476-0003349' T•O'i'` Drivers' License or SSn t•, ,qTC: U /n�!ev TTI•', _3:_J 0865-46,rev. 5/88 While - Building: Canary - Applicant; Pink -Accounting: Goldenrod - Assessor . :, . •-... °i�Pillili - . ' POOL SPA RUCTION AND PLANNING ./^ Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # '01. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ,Electrical Conduit Utility-Undrgrnd. 54. Forms • • 4:-Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5 Steel Reinforcement i • 56. Rough Plumbing & Pressure Test 6.1 Electrical UF ER Grnd! 57. APPROVAL TO COVER-GUNITE , '7;`Footings ,I 58. Electrical Conduit-Undrgrnd. / .8'Foundation 7 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • ` 60. Backwash Lines,P-Trap, 0 Undrgrnd. !: • IV, Structural Floor System 61. APPROVAL TO DECK 11• Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12.%Sewer Cap • • 63. Heater & Vent-Final 13Roof Drains ' 64. Plumbing System - Final 14.'RoughiPlumbing 65. Electrical-Final 15. Rough lectrical-Conduit 66. Solar System-Final )161 Rough Electric Wiring 67. Fencing & Access Approval I ,171. Rough Wiring Signs 68.68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling Iv 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT f . 20. Rough Factory Fireplace A- APPROVALS Permit# 21. Ducts, in Structure E/- 70. Underground Hydro 22. Ducts, Ventilating ') 1� 4 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test A.;-- ;r 72. Underground Flush 24. Roof Framing r 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing =` ' 74, Overhead Hydro • 26. T-Bar Ceiling (Structural)'&•Monocoat 75. Dry Chemical .ter 27. Frame and Flashing !1 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation e'-� . 78. FIRE PREY. FINAL 30. Drywall Nailing ' r: HEALTH DEPT. REQUIREMENT Y J31. Plaster Brown Coat ' 79. FINAL INSPECTION 1 32. Electrical Power Meter-Final' 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:Fog- SMOKE ocr. SPG 47Jl1FNC7, 34. Final Heating & Air Conditioning Herr-C- PYtir+ owl_ o S'LF Aa) 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 ✓ v" 42. Backflow Preventer - .7 I ' 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation / '," 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING yeA01 /yam48. Special Requirements Completed /� 49. Electric Release to Edison it • ,!, 50. Gas Release to Southern California Gas Co V ,., '. 51. CERTIFICATE OF OCCUPANCY �' •"1 No. - - Date % OWNER BUCKER, W. DATE 1-0-71 JOB ADDRESS 1083 Santa r z Cr. 'LDING PERMIT NO. 32614 GENERAL CONTRACTOR Royal _..)018 DESCRIPTION of WORT Pvt.Swim Pool AP No. 27 LOT 27 TRACT6638 FIRE ZONE VALUE $ 3,200.00 • INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 SOIL flv-yf%--1.4'..0 jfy PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature WATER-n:0�'3,,,qin p4...fin 43 i-CV-7 n Plumbing , ROUGH PLUMBING Y"" 6( f .e0 /.-g-7/ 9-3V-/V-- PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVII41 C9 ymii"-.)/ UNDERGROUND POWER 0 / / ..0V /•747( ROUGH WIRING ,!P /)(7.7/ Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. O 1 FLOOR SYSTEM BOND BEAM g TEEL REINFORCE all in S /J5--7/ SHEATHING FRAME AND FLASHING LATHING — IN Ll OUT 17 PLASTER, BROWN COAT,;�I � 6k /1.1 .< 7.---.2- 7/ STRUCTURAL, FINAL //`` /,//��-x]F�lCC r C An^ 142/ HEATING, VENT., REFRIG. AND A.C., FINAL fetal � ✓ 4-7(/ v/dC//..5- PLUMBING, FINAL ANCC- ElkYjrt�� 44 S 2...-2_.,-7/ ELECTRIC, FINAL /l/Z ,�-`�y/ BUILDING, FINAL NJ/A/ 2.�7/ 3261 "woo 210* ****39.00 ,._. -8-71cnjA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI VE%/ DAT RECEIVED DATE ISSUED, V BUILDING cj y-- //vv q� 9- 1 ADDRESS /QO Q.�nro l�[l t.e /" Sr, ��/ 7 d P E 1 .4lTt CJI O. Lie OWNER /�/A.. /.//. �(/ A.P. NO.V ..I ns 60 W MAILo BUILDING / Z ADDRESS je'IQ-.vei ADDRESS Q 0-0 CITY ✓ -717.Gast. NOL 5 7 jq3- TRACTe26 3 LOT 7 BLOCK ~ Z CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH 'CCO I-- 0,4 LENDER / , c # O. CO J In BRANCH N / ,teA J OWNER z • n CO J CO ADDRESS � / � VALUER • ARCHITECT C AA TEL. USE /�.l� "4 $ 32 � J N OR ENGINEER r C. (/'// L //� e CS NO. //)) W ADDRESS ZONE TYPE GROU ,s,'^j W Z CONTRACTOR ( � (90.4 APPROVED DATE / " —/ 03z / :lir ADDRESS a3(/y S, 7770...„4,....t., ZO�p/ NO.OF s USE OF NE� Z 1- CITY r , NO.ell 682Q 1 �--/ PLANS BUILDING Q W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO.44//6 513 LW.NO. MAIN BUILDING ACCESSORY BUILDING r 0 (FROM C/L STREET) SIZE OF LOT I NO.NOWOFON BLDLOT GS. FRONT FT. ty,//^/ FT. USE OF /// ! EXISTING BLDG. R.SIDE FT. J FT. t// H SIZE OF NO.OF I NEW BLDG. ROOMS STORIES L.SIDE FT. V , 5a• FT. / 7� VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. 6 FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLOCS. ACCESS.BLOCS. Q 7J C.0 P.1t DATE 0 • ry-B•� C.U.P. ������JJJJJJ APPROVED/ 7 I— CUt7s7n�ws.y./ �APYPROVED��,J/ DATE ! �— /� O x C.) I hereby acknowledge that I have reed this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of — COthe State of California. re to ? I hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION �/,riZ / co and Professions Code,Division 3,Chapter 9. PERMIT FEE Acta Signature of n /J//�� L / /"6 I•� 0 Permittees /-z�ja.c.✓6sss� ,{� [o $32 /�..r)\ PLAN CHECK $/� ' E Authorized Agent 39 LL ... TOTAL FEE $ OWNER RELTZER RNTERPRTSFS - C. M DATE 9-26-69 JOB ADDRESS 1083 Santa r z Circle `UILDING PERMIT NO. 40882 GENERAL CONTRACTOR Same DESCRIPTION of WL..., Residence W/Attached Garage AP No. - LOT 27 TRACT 6638 FIRE ZONE VALUE $ 24,636.00 INSPECTIONS Signature Date GROUP I & J TYPE ZONE R-1 SOIL N(Si?3--7C SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature (� WATER(4 M 5k10 '76 PI bin �1 �7 ' ROUGH PL MBI NG ��-2-- c 1//yam S- 5te7e, SP PROP. SWR. LINE HOUSE CON. 54.-17—?1 ( _/ •,Ce ‘'W-70 5-6-3Sa- SPRINKLING SYSTEM MISCELLANEOUS L� ROUGH HEATING AND AIR CONDITIONING 4 SG.- -'7 TEMPORARY SERVICE OR POLE UNDERGROUND Li POWER 0 ROUGH WIRING 441-70 /�•/�Heating 0- • V ryt TRENCHES gn FORMS ® STEEL REINF. la R y ! r(-70 . " (66,� 11:-//-,D �J��� FLOOR SYSTEM q.ty-10 (1-B.(dW4 . 1 e-tlke I 6- � /7/0/ BOND BEAM rl STEEL REINFORCE [i u SHEATHING V FRAME AND FLASHINGr� a,13 LATHING -- IN MI OU 74'140 PLASTER, BROWN COAT4L�'$(hy/7r, g.Ifl r0 STRUCTURAL. FINAL -i.7 // / /-�x W 4 Lett' /� �,� — HEATING, VENT., REFRIG. , FINAL l .97 PLMBNG UI , FINAL AND GAS TEST �,/D/ ELECTRIC, FINAL /r,e '7 7{q� 7A BUILDING, FINAL _ yeah? fJf(1ro r 308L • AID COSTA MESA BUILDING-SAFETY DEPARTMENT 'lfV 12-69�r$aOO 419* ***133.50 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC�y V 1349-17-17 %baacc DATE ISSUED BUILDING 1083 Santa Cruz Circle SEP 2 6 1969 ADDRESS PERMIT-N-009 OWNER Heltzer Enterprises-Costa Mesa A.P. NO. / 4--. MAIL 740 No. La Brea Ave. ADEG �k� ADDRESS O z _ADDRESS 213 LB ui 0.U CITY L.A. Cal. NOL937- 2171 TRACT 6638 I LOT 2'7 BLOCK I- Z I ' Z < CONSTRUCTION NEW yP.DD ALTER REPAIR (MOVING nFMOLISH O 1- LENDER United California Bank O. m J 0 BRANCH Main Office < w 6th and Spring, L.A. OWNER �/ ADDRESS m•m / VALUE./ /l,7/� J N OR ENGINEER Frank Gonzales TEL532 6878 USE / $ {�f NO U FIRE [� W¢ ADDRESS 1336 E . Chapman Ave. ZONE TYPE GROUP 0_ LLl APPROVED W Z CONTRACTOR George J. Heltzer & Assocs . BY DATE CO-10 z Same as above J¢ ADDRESS w w TEL. ZONE NO.OF USE OF NEW Single Pam. z= CITY NO. R1 PLANS .� BUILDING Res. WIatt.Ctiar. _E -_-._ —O STATE CITY YARDS APPROVED YARDS APPROVED ui N¢ LIC. NO. 201098 LIC.N�707 MAIN BUILDING ACCESSORY BUILDING 7 SIZE NO.OF BLDGS. (FROM C/L STREET) r(' OF LOT I NOW ON LOT FRONT /OFT. 1 / FT. USE OF EXISTING BLDG. R SKIP 19 FL FT. I— SIZE OF NO. OF h Z NEW BLDG. ROOMS STORIES L.SIDE J FT, FT. VEXTERIOR WALL ROOF // , COVERING COVERING REAR AFT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 C- MAIN BLDGS. ACCESS. BLDGS. Q Residence with attached garage VAR.# DATE O C.U.P.# APPROVED F- Plan No. 7 ' r7�/ APPROVED r, / z �a/ _H1' WLD ,, DATE I 1/'� I� 9 0 �J VI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with ¢ all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of 5 1-/,2-- /��/`j y the State of California. i �f �,� r, (/ cCO , Z I herebycertifythat I am ((y��/ SO. FT. (/�(� U o properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business VALUATION l //���yyy and Professions Code,Divisi• 3,Chap •r 9. �r 7J (/ ,0ll, N PERMIT FEE $ O Signature of , � O 1 m Permittee / $ ' PL/ANr,CH $ r J� E Authorized Agent / i5�ear/ 33rsI u. TOTAL FEE $ OWNER BUCHER DATE 6/2/80 JOB ADDRESS 1083 Santa Cn• ^ircle ' '.DING PERMIT NO. 50186 GENERAL CONTRACTOR Solar g, iv Egli went DESCRIPTION of WORT. Solar Pool Heating System AP No. 412-061-28 LOT 27 TRACT 6638 FIRE ZONE VALUES 500.00 INSPECTIONS Signature Date TYPE GROUP ZONE SOIL PERMITS ISS44ED EAS SUBCONTRACTOR I Date NumberSignature NATER ROUGH PLUMBING^ 44a) P robing , e•-2-110 ��/ PROP. SWR. LINE I J HOUSE CON. 9 SPRINKLING SYSTEM /MISCELLANEOUS QUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 9 FORMS u STEEL REINF. [ FLOOR SYSTEM • `^H(La OND BEAM [1 STEEL REINFORCE n SHEATHING FRAME AND FLASHING 9iAT KING — IN 9 OUT In LASTER. BROWN COAT ` STRUCTURAL. FINAL Electric HEATING. VENT.. REFRIG. AND A.C.. FINAL /� C PLUMBING. FINAL AND GAS TEST [, ` .c (0•I D/•S pU ELECTRIC. FINAL /� BUILDING. FINAL " :C (..-IS rip a' £27: 6/02/BC .6050 TI COSTA MESA BUILDING-, ETY DEPARTMENT APPLICATIO, JR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESH,CALIFORNIA 92626 RECEI BY 'PERMIT 1" ., For Applicant to Fill in Completely' —Use (/IInk � Only < / /7C1 'QJX/�/n BUILDING ADDRESS iVr V 5 [J /l/Y'.'+i V +� ut,- A.P.NO. ���-� OCIJ �V OWNER OR / I.'�� / ADDRESS /03 TENANT JJJJ`""'" tJ ........"' 1--L UNIT OR MAILING �^ — — SPACE NO. ADDRESS ,l �//Q, ''']��al P/ �` C , Tp l /'/ R.Ni O b LOT ^ 1 .BLK. CITYrn o� J CONSTRUCTION NEW ADD ALTER (REPAIR MOVING DEMOLISH LENDER BRANCH / OWNER AlPt( .C./L/ ADDRESS J, 4VALUE sem^-7.+/y/�ARCHITECT TEL. ` US- d/ ,a.Ai , ,I $r�0/.OR ENGINEER NO. ADORES, lI,, ,t/r ZONE TYPE GROUP G( eat C� t/(� APPROVED CONTRACTOR O a BY DATE ADDRESS / g./apc 614,-j �C ,LE ) _ CITY it.: t( r7)Zc(a0()/ FHi. STATE 33c/ — 3 '/57 CITY �/ /_O APPROVED SETBACKS LIC. NO. JJ tjL LIC. NO (O SIZE / 'NO.OF BLDGS. (FROM C/L STREET) u e OF LOT NOW ON LOT / FRONT FT. _ Q USE OF cr) EXISTING BLDG. f R.SIDE FT. V) El F Separate permits are required for L.SIDE FT. electric,plumbing and heating work: _REAR FT. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q I0A en d p DATE ft APPR ED APPROVED >' _RY DAT ..7 Pt ty Q I hereby acknowledge that I have read this application and state 0 Z that the above Information is correct and agree to comply with L4 all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of W the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from th= rovisions of the St of Ca rnla Business co` VALUATION PERMIT FEE $ ,QV v and Professions Cos ivisio ,Chapte 9. n � � �gnature of PLAN CHECK $ ie Permittee TAX $ CO�/(J�/ en Or / Authorized Agent Date TOTAL PAID $ S r