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741 SCHENLEY BAY - Building Permits
ADDRESS OF WILDING: 741 SCHENLEY BAY LINT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IF KNOW JACQUELINE BEATTIE FLOOD: X 47 PERM NO: M 083069 ADDRESS: 741 SCHENLEY BAY C .M. CA 92626 PERMIT NO: M 083069 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MMUNGADDRESS: CONSTRUCTION TYPE: V-N . PERMIT TYPE: NEC PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : CHANGE OUT FAO REFRIGERATION COIL ( SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 / CONTRACTOR/SHAME: MC KENNA' S AIR SUPPLY ( 714 ) 879-4444 CONTRACTORS MARRING 761 N RICHMAN AV COMMENTS : C/O OF REFRIGERATION COIL . ADDREss: FULLERTON CA uC.NO.: 626029 ***********%x'M N*******)E**SExaE*xSE***N**aE*REDE*iELIE)ERE*RE+ ***DE*">Exx-x)E*x-**x-*>Ex-Xx"aESE+t-xK*** 92832 Ina Z ONING R EQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S SETBACKS (commencing with$/action 7000)d Division 3 d the Business and Professions Code,and my license is in full force end effect. /�� — CITYLIC.NO.: l^G�1� uC.CLASS: C 20 uc.NO.: 626029 EXP: /(( -- - --- MAIN BUILDING ACCESSORY BUILDING --------- S/�77y FRNT: FT IN REAR: FT IN FRNT. FT IN REAR: FT IN Ni. `°"treaa: LEFT: FT IN RGHT: FT IN LEFT: FT IN ROHTt FT IN ER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the lowing reason(Section 703t.s Business and Professions Code:Any ay a county which requires a permit to construct,alta.improve. PARKING REQ: •� P R OV PARCEL: 93768150 Z N E: REF NO: demolish,or repair any structure,prior to is 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 Cadradors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code[or that he or she is exempt therefrom and the basis la the alleged exemption.My 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($500)). ******************************************************************************* ❑ I,as owner of the properly o my empbyees wih wages as their sole conpensation.veil do the work.and theswdure is nal intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S or altered forBusiness sale(Section 7044, end Professions Code:The Contracts d ors License Law does not apply to an ownproperty Q who bolds or improves thereon.end who does.ur work himself or herself or herself through his or her own employees.provided that such improvements are not intended or adored for sale.i,however,the Wilding or ad improvement is sold within one year completion.the ZONING APPROVED BY DATE: owner-builder will have the burden d proving he or she did not build or improve for the purpose d sale). ❑ I,as owner d the properly.am exclusively contracting with licensed contractors to construct the project(Stadion 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE: o contracts for such projeds with a contractor *****s)licensed pursuant to the Contractors License Law). /* 1 ❑ Iare exempt urderSection: B.ARC..for tisreason: APPLICATION ISSUED BY: S M� DATE: L/ Done: Owner ********************** 'W$ �F"A3l^9 ******* *********************** * * LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby candy that I em aware of end understand the requirements of California Health and Safety Code Sections 25505,25533,and 25apemen forconatand that laoano future fbuilding rom Aril (circleone)Dana°10 R til woo wig ae codes and pplication/tare ffineniese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 13 . 25 Date: Applicant: 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affimh under penalty of d M perjury one e following derivations: PLAN El m Ihave end will °intana certificatedmf'i e consent to M a=workers'compensation, provided la by Section 3700 d the Lab* IUILE FEE 22 . 00 BUILDING-DIC Code,for theperormanceoftheworkforwlichthispermitisissued. > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE 1 Have and MI maintak workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 13 . 25 22 . 00 0 . 00- 35 . 25 35 . 25 , 00 work for which this permit is issued.My workers'compensation insurance carrier and policy number are: • Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 35 . 25 OVER/SHORT: 00 Policy Number 177'7131 -96 10/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need net be completed I she panel is for one hundred dollars/$1001 or less.) 35 . 25 o 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to bacons"Dieu tolbs wakens'canpensatio°laws d Cddani.and °greegut dl should become subjedtothe wakers' ********************.***,***************************************************dE**** 'anon provisions of Section 3700 of the Labor Code,I shun forthwith comply with those provisions.5I N D I V I D U A Ir F E E B R E A K D O W N S v7 icy "7 Apptkant: I� ^ e. g:Failure to secure workers'cnmpwwatoncoverage Isunlawful,and shall subject anemployer toahNnalpenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST d/fines rpt to one hundred thousand dollars($IOQ000A M addition to the coat of compensation,damages as provided for In Section 3706oIMe LaborCode Interest,and aroneyefees. MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13 . 25 13 . 25 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that then is a construction lending agency kis the END OF FEES performance of the work for which this permit is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is coned.I agree to comply with all city end county ordinances and state laws relating to building conaaudian end hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. EXPIRED w VENESSA MC KENNA 85 27-1997/1Ca©p /f35.25 Print Name 11 p(� RCF'RWI-©26.6773 y / sit7(7 7 DATE 1-1� -98 PERMIT:043069 <��< ��jJ..�,.. ////���� Date: Signature of Ownerr(W9rhv)ppkcant/ ne_t cid (5151.46.W P) White-Building&Safety:Green-Flee::C��ana y-Appic°nt;Pink-Revenue:Goldenrod—Meaner CONSTRUCTION AND PLANNIN ,I - _ IL & SPA - - APPROVALS Permit #' - ' Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 62. 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 OF 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 Undtgrnd.. - - ' 10. Structural Floor Svstem61. APPROVAL TO DECK 11. Property Sewer Line & House Connection62. 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 SVsteni-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 i 19. Rough Heating& Air Conditioning - - - - FIRE DEPT. REQUIREMENT - - 20. Rough Factory Fireplace APPROVALS- - Permit # 21. Ducts,in Structure70. Underground Hydro 22. Ducts, Ventilating - 71. Product.Piping 0-Gas ❑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 T 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 - - sed 35. Final Gas Pipe-Test - - '- 36. Hood or Canopy - •-.-if- , 37. Final Factory Fireplace 38. Final Plumbing s - - 4 39. Water Service-Final - ! i 40. Gas Service-Final - 41. Solar Domestic-Final -. 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation . 46. Handicap Regulations - 47. FINAL STRUCTURE Si BUILDING • 48. FINAL PLANNING _-. 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY _- No. Date J ADDRESS OF BUILDING: 741 SCHENLEY BAY DM' CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IF KNOWN: JACQUELINE BEATTIE FLOOD : X 47 PERM NO: E 0830701 ADORES& 741 SCHENLEY BAY C.M. CA 92626 PERMIT NO: E 083070 PLAN CHECK NO: N GOVT ; N SUPP : N APPL.HALM ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH ARCIIII CT OR ENGINEER: UC.NO.: - JOB DESCRIPTION : CHANGE OUT FAU REFRIGERATION COIL{ SQ FT: . ARCH.OR ENG.'S ADDRESS: Waft CLAIM VALUE: CALC-VALUE: GROUP OCC ; R-1 / cdJ1RA0TOR'SNAIIE MC KENNA' S AIR SUPPLY ( 714 ) 879-4444 CONTRACTOR'S IDLING 761 N RICHMAN AV COMMENTS: REF:M-883069 , ADDREss: FULLERTON CA LIC-ND.: 626029 *******************it*****-************3*u-*Snit***)E*****ft***ft*******3************4* 92832 °"t • Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elfrm under penalty of perjury that I am licensed under prwiapns of Chapter 9 SETBACKS (commencing withSection7000)of Division 3 of the Business end Professions Cade,end my license is in full force end effect. p CRY LIC.NO.: (,r4-79,t'1 77' LIC.CLASS: C 20 UC.NO.: 626029 EXP : catl MAIN BUILDING - ACCESSORY BUILDING ---- : e ( 27 — 91 7 Contractor: "� h FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ayro� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN £W BUILDER DECLARATION:I hereby affirm under penalty of Operjury that I am exempt from the Contractors License Law for the demolish.O rePreasonerany strucctture.PPrior tonissuance,eless and o requires the appCode:Any cily licant torr such*Nth tea file permit signed itthatt'heor she PARKING REQ: PROV: PARCEL: 93768150 ZNE: REF NO: •is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> 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 that penalty of not more than fee hundred dollen IS5001)' ******************************************************************************* ❑ 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(Section 7044.Business and Professions Code:The Contractors Lioanse Lew does not applytoan inner d DEVELOPMENT SERVICES R E U I R E M E N T S Q property who builds or improves thereon,and who does such wort himself or herself or through ho or her own employees,provided that such improvements ere not intended or offered for sale.f.however.the building or improvement is sold within one year of completion,the ZONING APPROVED B Y DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose d sale). ❑ I.as owner of the propend,sat exclusively contracting with licensed contractors to construct the project(Section 7004.Business and . Professions Code:The Contractors License Law does not apply to an owner of property who build or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a mMracton(s)licensed pursuant to the Contractors License Law). ❑ I am comp under Section: B.AP.C_l«this reason: APPLICATION ISSUED BY; DATE: Date: Owner: **************************************** * *************************ill * ** *� I dahereby aetyd gatlamawaeaneaneeataneof therenaiamentaSafety Code Sections 25505,25533,and CaliforniaaNeaaneLEGALIZATION:N F E E SU MARY STRUCTURAL SEGMENT .N 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 e permit for conseuction or modification from the Ai uaiy anegement District.Residential are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 20 . 50 Date: Applicant: 508 SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN ❑ !have and wit mainten a certificate of consent to self-insure to workers'compensation,m provided for by Section 3700 of the Labor ISSUE FEE 22 . 00 Code,far the performanceoftheworkforwhichthispenmiisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE �� I here and will maintain workers'cornpanaationiraurenae,as required bySection 370Ud the Labor Code,for thepedmmence o the TOTALS----> 20 . 50 22 , 00 0 , 00 42 . 50 42 . 50 . 00 work for whim this permit is issued,My wakens'compensation insurance carrier end policy number are: Carrier: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 42 . 50 OVER/SHORT: . 00 Polley Number. 1977111 -QF. 10/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the permit is for one hundred dollars/51001 or less.) 4 2 . 5 0 ❑ I cenly 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 come subject to the wolkem campenamion laws af Cdlfania,and agree that i l should become subjed to the wonken' ******************************************************************************* mpenseton provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. - Dme S�2 7/5 .( Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage Is unlawful,and shall surliest an employer to criminal penalties and . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Iva fires up to one hundred thousand dollen($100,000A In addition to the cost of compensation,damages as provided for In action 3706 of meLabor Code,interest and etomav'+feet ELE 1 MOTOR/POWR APPARATUS 0 , 0 - 1 , 0 HP 4 . 25 4 . 25 • CO STRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there m a construction lending agency tor the ELE' 1 MISC CONDUIT NOT LISTED REQ PERMIT 16 . 25 16 , 25 performance of the work fa which this permit is issued(Section 3097,Ce.C). LENDER'S NAME END OF FEE S LENDER'S ADDRESS: I certify that 1 have read this application and mate that the above information is COMM.I agree to campy with all cry and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend Exp pp for inspection purposes. ` y T"f�• VENF.SSA MC_ KENNA t t i 85-27-1997/10:10 qq/$42,5g Print Name _�7 _'� DAT __f7RERIeiITd©$3070 L 7 Date: / /5 Signature of Omsd/fQenyAppirant/Goypdall 15151.46.WP) White-Building A Safety:lf/ Green-F/e/,'C/ga�/A/portant Pink-Revenue Goldenrod-Amex. . CONSTRUCTION AND PLANNING - i. JL & SPA _. - APPROVALS Permit# - D' Inspector ,APPROVALS Permit - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe•Undrgrnd. t 53. Steel Reinforcement 3. Electrical Conduit Utility=Undrgrnd.- 54. Forms •• - • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ,• 7. Footings 58. Electrical Conduit-Undrgrnd. ' • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 6b; Backwash Lines, P-Trap, 0 Undrgrnd. ,, y 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-Conduit66. 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 Pei-mit # 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 PREY. 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 11111 - 44. Landscape Irrigation System 45. Sound Attenuation - . 46. Handicap Regulations 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 -_ _ • _Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. D 73(1 -6 27I/.3a� -_�._--.rj50.73..-TL CITY OF COSTA MESA - r t f PERMIT NO. TRA O LOT O. ;BLDG.NO. I -- 1 .T-V, _ I •CONSTRUCTION PERMIT - 'a/ f a, :.,,. ' , :O 7 51.3 `/' .' r ... • .z: ' • . I 1 . r,' ' bit, '"` : r et 1 - � '• •! ' < I 'o H. 0 1 4 `� it , `, ; Applicant's Mailing Address -' • S ` un ,'�./ •« � TYPE OF CONS.'S-AUCTION 'NEW , ADD LU.ALTERATIONREPAIR ' � ; ' •• I +.-• . '• .' , r, _t I y �•, '" , ter i Project Address i s.Oi ��I ab l %L s ❑ CONVERSION i❑ DEM�•$/��'I , ,_ , a lino.; ' . _ ' • . - I - - 1J ' • j anti : ail el DESCRIPTION OF WORK I v� •V • " • ZONING REGULATIONS"' Owner's Na --I� e'Lpa�1,■ o� i / r , I - 1 _ ! n ' ; - 1 _ a ' Address A/ gS:ifOrtl�Vi►ii�J1b_ a f e. ' _ • --• { j � 1 - _ �[� ,� - . r��j��j TVPE'OF PERMIT. ❑ GRADINGS❑'FOUNDATION �STRU -ALA P.qt ^-fl(g - I�), .' I , ZONE ! ; ;„ I a f Arch/Eng. ;/L 1I:A�'i/Ot7£as'/c/ �_/r�//� rt i ❑ TENANT '❑•ELECTRICAL ❑ PLUMBING- ❑.MECHANICAL ' --6B- /] I46, BUILDING I • Jet- /�•-r i'I Y I - i PLNG.REF #e' -1 ,',BUILDING r•n cr i d' .. Address 2ts71t S\Li{Ia1 1. , .g. , JI JM IL ❑ OTHER - 1 ' - i I ' ' c. ; TO BUILDING" 1 .}ry.�T7I ' +1,�1�,y�JJ ^-7 J`,y Contractor's Nam.' - Ili 'r• ••• f•'hone PROJECT DESCRIPTION' SG• I1 OCCUPA - PROPERTY LINE (# IV1. Cf1EbN}/11 D(TO P/L) , /•11�I �If ; I /�pad� I o] 1 y ,• • ,LEFT SIDE YARD u-. • RIGHT S E YARD' '� + Address(mailing) ' " j•f srvyt; I I ' 'CONST RUCTI NTYPE VP: U/,pTION$ Fie ��Ls Q P - J -# - -j ' ,r ; I ' , ' ' ZON I 1- ' - GRADING CU.YDS: �/� -ACR PKG.SPACE' Gl , _ ^, as` 16U)}r'�--a , E / REQ. of 5 • PROVIDED O( -J SLc./lY.�-s License No: I - - - ' r !�. _ 1 LICENSED CONTRACTOR DECLARATION . t I ' 'Remarks: I.: I ' I 1 STREET WIDTH j / ! >_• .PARK FEE'S 4� �]J L herebylaffirm that'I'am licensed under provisions of Charter 9(commencing - • '- { .5O - ) ' with section 7000) of Division 3 otthe Business and Professions Code,and -1 I I I'= • I I 1 . ' i •I I SPECIAL CONDITIONS: ! } ' 1 . ', ..'�'• '„5F i i -v license4s In full force anc effect. I - ne Class i iI I ' ' License No.•• I. t. ' i : i PLUMBING : •, ; i • ' .. i HOLD. , . . i I i • -` Signature . FOR SPECIAL REQUIROttiNth ; ; r i c - Bar Sink I i Sewer Cap' . t i i 1 ELECTRICAL ; I - _RKERS'COMPENSATION.DECLARATION i 11 ' ' ._ _ i i I _ '-I.hereby.affirm that.1.have a.certificate.of consent to self-1115.1M or.a.certificate•«• - ' S-_. ^- _ .. {. _ - _ --•_, Automatic.Washer -_. 1 ' 4 Meter•_Dover_10G amps . . of Workers' Compensation Insurance,:or a Certified copy thereof (Section I Backflow'Preventer -- - Sewer Connection"-'1^- I---• {'-•-:-- '• '!- ") '-i-- '•' 3800, Lab, C.) • I. - 1 Construction Pole I ' i Backflow Irri ation Solar Collectors+ - - i ' f 1 ' i ••f 9 i Sub Panel; i �,,'{Cy No. ' 1 Company • l f I I ..- }\ _ Cooking Unit Sub Pole •' I '' �:,1 I i ysy�}ertified•coDY Is hereby furnished. I i / I ( Bathtubs I I 1 Solar Piping � - 4 • I I I I I C. I 7LJ TArtified copy Is filed with the'city Building Division. ' { , I I s ; Dishwasher I Motors D0-1 HP ❑1,h$ , I Date i ' ' Applicant 1 ' ' ' ' ,L Clarifiers • } 1 Solar Tank - I I' i•' I 1 I I i •! (This PTIo IFneeR M DORKEe D a'completed the permitONor one DECLARATION RA hundIId($300)or • I D'ISh WeSher j 1 i j $wlmrtling POO'W/Spa $ ( I Dryers ❑Gas I DElectnc ; jInc.SolarID9-15 HP b15115+ • II certify that in the erformance of the work for which this is Issued I I Drinking Fountains ; ,' I. Fan! ' I I Microwave j 1 :.{ I - Y' P permitI Urinal.• r shall;not employ any person In-any manner so las to become subject to the t _. _ F.A.U. 'Pole'Li ht Workers';Compensation'Laws of California., I 1 i , , I , Floor Drains 1 i Water;Closet, , 1 1 -. ' ' i , l g ,• 7 ' n'� I . Date- 1 1 Signature' ' • - ' �1 1 1 Fixtures I . NOTICErCf,aftensationg-this ions- f nniou shoulcrbeeou.mustject'to the- -•I- Floor inks ; '?--. }- - - -Water:Heate{ •-^I•-- �^ •I-- -}•-- - - - - +-- }-- •Range_. _ ,�-.� ._}.-._L. .?_ • i Workers' Compensation provisions of the Labor, Code be;deemed; r voke h I •- comply ,with] such Drovisions?orcthisr.Dermit ;shall be;deemed; revoked.] • Gas Service. I. :Outlets I Water,Service R• ; I M i.C i Device Boxes,' I j Sign, i I 1' I �1 CONSTRUCTION;LENDING. AGENCY ' 1 v I _ - Outlets ) ' .t i ' i I hereby affirm that there is this ructi '•lensing agency i or the performance; I Interceptors ' - I `_ L•?' I I r ' n' 1 ;. ' ;� I I 1 Standing Sections ( j I ' of the work for which'this. permit -Is issued (Section 3097, Civ C), - - I I Lender sl Name_ I n 1 I r 1��) <. 1 KitcheniSink ; 1 �--- r a', I' i j j Switches ! r - 3 I 1 I P i I I I i GF- n`1 ��rL'J1n�(t,�I L �' Trash Com actor Lender's Address I t + a I Y N- E---- Imo. r-- ✓1' i/', - - t ( •—Garbo epi Disposal I i• t f 1 1 1 I Lavatgriesi 1 r : of- ° ; I r a• ; ` 9 sP 1 I I _• I OWNE R'BUILDER OEC LA RATION , n �, I L , r t I 1 _ j , I I ' I herebylaffirm that 1 am•exempt'from thelContractor's.License Law for the H p Tr2 . ' '- 1 r' i ! ',. I r I - Generator, 00'5 KW 05-15 KW I I I I I 'I ! } rowing reason'(Section 7031.5 Business and Professional Code: Any city or ( pj `' , - - , r _ •- - si 1}ty which'requires a permit to construct,alter Improve;demolish or;repair - - - _ I Transformer015-50 s; tructure:prior to its issuance,;also requires the'applicant'for such permit Roof Drains) I'- 5 j E1 •• 1 I ` I I, •,- KW , I i i< ee a signed statement that he/she is licensed pursuant to theiprovlsions of ( r I }Inn; _ i 7 - X50+KW { 1 '' , - ontractor's.License Law;(Chapter 9(commencing-,with.Section-7000)of 1 • I s- ' _ • - -y I - I - ( I I I , Reinipection Fee C S75' • urvislon*3'of the Business and Professions Cotle)'or;that:he/she 9s'exempt -- ' Showers •rf I n," (- T 3 • RemspectiomFee ( 515 - - - I t _ _ ` 1 Meter ❑up to 100 amps 1 • i ' 'Issue Fee' I '$ 3 1 ,therefrom-and the'basis for the alleged exemption. Any yloli Int to 5ectlon I ' i " _ � 5 7031:5 by:,any applicant for-a,permit'-subjects-the,applicant to a-civil I ` " I + •!,... ; • i , Qenalty of not more than flve.hundred dollars($500): 1 'd ,; I I u I f t Sarvnce Sink • i f j , : Issue Fee I $ 3 r ZOnin Approve' d 1 ' N f'- 1 ��LJ - it • 1 ••+, t gBY DateZ /I,'Ias'owner of:the propertyaor rmy employees with intend as their sole 1I compensation wlllldo the work;and the.struciure.ls not intended or offeretl I 1 I ' ' . ' - MECHANICAL' By r } i D e 6 ii CS I for sale;(Sec/ion 7044; Business'and l ProfessionaLCodeaThe:Contractor's -- -- - - - - -/ -- _ ApPbrati nApproved at , oI thereon,. License 'and w does not wh0 does.sucti work-himself/h!Self or throughwho ilds or his oriherrroves .own I Boller_ , •'- ` I •I Refrigeration System ' - ( Appliption Issued By I I / ' r ., Date / VA, 3 I I employees, provided that such Improvements are'not Intended or offered for I i I ❑6100;000 BTU 0100,000BTU ' , sale. however,the building or improvement is sold within onelyearlof corn- ; Duct-UnderjGround i I I I I ' I I j'SUMMARY OF FEES . I _i I pie ion, the ownerjwlll have the burden of proving he/she did not build or im- - - 'I , ' I i i '1- i r ve for the purpose of sale), 1 1 • -� 1 'I Duct-Structural System Repair/Alteration 3 3��1 SMTP I $ �� • 1 1 , 1 j (BUILDING PERMIT $� L�.• I,as owner of the property, am exclusively urine ctingiwithilicensetl con- , ! 1 I ' I 1 , L r tors to construct thesprojeot.(Section 7044,Business ane. of s Code:._' Dect,=Ventilating_ I --4.---; -, - _ - _ - 1_ j;; I ''PLAN CHECKI 1 $' rac tS ' I2 I PERMIT C I The Contractor's License Law does not apply to an owner of property who ( - --J I I builds or improves thereon, and who contracts for such projects with a con- ' I Exhaust System 0 Multiple D'' I ' I i I I iPLUMBiNG S. ISSUANCE • 1 $ ' tractor(s) license pursuant to the Contractor's License Law). i I • I i ,I i 'I I ! . i GRADING - 1 $ ' j ❑ lam exempt under Section I ' B,& P.C.for this reason I Firepl/Fact.Bit. ICBG# I ' 1 , I I ,PLAN CHECKI 1 $1 i `. I $ - i i I I ELECTRICAL I $ I I ; Date ' t Owner' I i 1 ' ! I 1 Heating System&Ducting I I 1 I I -PLAN CHECKI I • 1 MICROFILM I $ I ,9n her rtify-th- I ha '. col-jis application ty andate that-the-above, D o.10o,0oo;BTu•o,oo 000: a--- - ,- - - - > $ : ' 1 i Information Is corr ct. 1 a• o c ply with . I city county ordinances I 1 ' T 1 i I I 'I I 1 TOTAL,FEE1 $ l - and-state laws re .ting t. din nstruc an• hereby authorize repre- 1 MECHANICAL $' 1 1 I i 'i , tentative$ of•t • I y, e.• Pon th. ..pv-• entioned property for C. Hood of Type I ❑! I I 1 • ' ' I I I .I j Inspection purr• e `/c I p p y Canopy! .Type II OS 1 I Reinspection Fee i $15 .PLAN CHECK] $ ( LESS 1 , I 51 nature J e_ _ 1 .� / . • 4e+`Ad-'0.31 ' , I 1 ' { ADVANCED PC i $ I_ i l Drivers' License-- # 1 /a- _ e ' Registers I 1 Isslue Fee I I ; 1 j ' • __ - - 1 , I . I +. i t $ 3 , R ; I I - FINAL FEES $ jai SOI7� CMF 0865-46 rev.12/82 hite-Building;Canary-Applr�nh Pink-Accounting;Goldenrod-Assessor I - i • - -- - - - - -- cam••- .� _ o�c- _o &SPA . - r` • '7.7.-1:.`N r, r? nCONSTRUCTION AND.PLANNINe r �=": 0 1 i°o : ., •_ s , I- G r t 1 _^ - ,:D`at c ,inspector ,`.� E. - `` -•" 1.: =Date 'InsPector. Y SAPPROVALS In Permit 4k - - APPROVALS- Perifl# C. 1^ -, .�l ! n a 4 n q v5:• a Ia: 'in c ^_ - T`.' r3-; IIv i-: t !.2-..t.::-E517111- _ - " ,, .- , _ n j1 TemporarE.ylElectr:cal Servicnor Pole i L.Ls: n ;nb ?$ :Wy;os. I ;,52ArooI &'Equipment Location'- _ _ 4 c: r;'1 =s 1 i; '; ro 2ISoil Pipe-UndrgrndF. a I '2 -oc I I °• E 188 ¢.' .:'2 . '.532 Steel Reinforcement �. < - - I - °- 'H S 3: Electrical conduit Utility-U"ndrgr d, i s; c I p- >° g-.2 1 .54- Form: « _:s " ..:_,,..::,;t„- . r. I ,' •!'<"' , r' 4: EleetncaP Conuit-Unrn6'" I ' "; s y3o 'o X- 'S5a Elerrte,•-l< n ▪ 91 ' • I � I : Q ms :. Y•'-o •� id -' _ n I < cEst ,v. • cticaBondig.? ▪ . , , : ,c 1 :al • • 57 Stel!Rein,_, ,m ,__ i I m , I ; ' 1`= ; 2,.? ;'-`- ::?6:-.: Roup.Ft",_iumbigg'& PressureTest__ . of C' I < 'u^ ' . I' c. rr. T-• Inn �': It .. . ._. _ -- i 6: IIElectrical LIFER Grnd.r i e fr..... ' I 1 .2; 8 . ,Y • E > ; 57`..APP-ROVAL4sO COVER.GUNITE y-. - S. t. s .i } -.� It , a: g F: 's :ja 1. 1, "468,- 8' 'ri Or ;I'n - 7. Footings: .. I-, j c e m ! 1 F g n A ;58. Electrical Cgn"duit=UndrarTi - ';r i 8. Foundation. i +i- I' wl I =G ji ; p - ! . c 1 1459. Gas:Pipe O:.Undigrnd Test ' - .. '^'+ I iy- - , 9. Water, Pipe-Undrgrnd, I j a ' o I o I -.60 Backwash Lines PiTrap ❑ Undrgrnd ' I I "ce '1�r "1; r 10. Structural'.F loor System 1 o j : °v Q- , I 1 61 APPiROVALTO,DECK E•_' .' -„.„-''s 1 1 Ai _ 11. Property Sewer:Line'&'House Connection, s " - _ G' `� 62 Backwash Receptor Final - t ; .` -, 12. 1 ':14 .7t,*,, rv(ix I ^4 I j '6' 1 o= an I :,- Heater" ,.. -,Final- - rq__<^, 3; , _ . :,?c . -V-. 1 r s.^!f{Il I 1 cc I ! -_ ,.- .- -c ac' a: 13. -R-oof_Driiis -•, 1 _ 1 �u a S I , 64. Plumbing System .:Final7--•-•- _ - - 1 14. RA ....-IU'mbin I , I_+-! , ',o I I ' .° i o = _ :c F • � _ c i _ t, c.0 9 - 9 •n '•65 Electrical Finel�� X15"=Rough Electrical Conduit-1'-�'-�l"-I!^- '. -1-'• t 66TSola1"1System-Final , !-17 - . '---'1 - --_- __I__._., __ 7. r_ rr .1 I --r-;- �-i-,- - , I - T- l- 1 r^16. iRou h-Electric Wirin E ' I e i•t v t-w{- ('_+..-_--- , i• .t 1--.:_ '-"-t� ,t--'r v_ _-4� 4-_!__'_ . '. . _t_- I- g ml. ,I r g: r".' I i I7 ,. 1 a 1 i n , ;T i,!-, , , 67.! Fencing . Accessii pproval; 1 i'c . I e: a 11-17.41.- :, Winn 'Si nc a .m' " ( v I -7:15.a! "--:- '' - ' 1 - ' j ;1 p I: », r• it 9r 94 1^91 9 } I ( ri 1121 ; II 1 '=iclJl' . 68.lABPROVEDFOR,PLASTERIN.G •_ Ir . , e + *1 v ImR - S C1ry a r 'a ! -: 1 's{ 11 1 ! r rt c 1 184- ROUgh'Electripl;TlBaiiCeiling! II I - I- i I I - It'll I r I 69.1 POOL/SRA SYSTEMS`FINAL _ 1 - rI 1 I 19.ERgugh`Heating &IAir4Con'ditioning II ; 1 I I i I ...'"3 " I I FIRE DEPT•'REQUIREMENT. , - ,'t I !_ ! - '' 'j ?I 1 20.!IRough?Factors' Fueplace, I I `) ' 1 I ! I I I - ' 1 APPROVAILS' ' Permit# 9 I I I' r, t I I I II '! 1 I I I I 1 1 ! i i 21. Ducts,in Structure>, I'I I ILLS ': " ea • : - ! P I i 1-_ 1 1 . ,t__ I'I I - c 1 i 11 I! I 'I i 1 I ( ; 170.1 Underground Hydro 1 i ,, I I fit 22. 'Ducts;Ventilating?ride-, 1 II II I I I 1 I ' j I 71.I product Piping O Gas O Oil ' r ; I it23.vGas'P!pe-Rough &.Test p ' , lir I I I I I i j I I72.e Underground Flush. 1 - I ' _; I � 11� 1 � y�: I � I ' 4?c24-Roof'Pramin i s'4"' I 1t%I •1 I I I m I^l1 Iv ( I �Z3.1 Unde} rnd.Stora a TankiO Gas'-cOOil ! • I ' ' � 1. .g-.✓,a( ' n I I 1r. II`., I I r; I n,•'� 1 S I� 3 � i 9 I g 1 a •_ . 1 r 111,1,,L...5. jRoof;Sheathing_44 I l I. ii t,j" 1 ,D1?I 1/ /yj I74,i Overlieadr Hydro I % I:r. i i I I ' . ' ' uu n v I t m i - li. 1 1 . p-?6..T_Barceiling (Structuralh& Monocoat I '1 ;3 F,'' ',El ' n 17 .1 DrilyChemical i . ; II i i L ; a 1 1 • I I i I _ ,_ an 1! i 1 -• Ir_, � f n r .f A I ! t ..11 ! I . - ! I 27._.Frarne and Flashing,•;rt'-1 I P 'II I 'tI Ci'f 12; 1'6,g 76.I Dr1y Standpipe 1 ';• ' r " - - ; 1 ' I _ - 4 28. tL.athm & Sid!ng, n o 'I L I I j Ill i' I 477.4 FIXED SYSTEMiFINAL. I i ; 'r. I , I 1 r tl c l 1 7 0 c20. I ,T ? N q 1 , f I ! f 1 1 , / 1 I I , I ,�lnsulation l r 1 I I1 II I I 1 1 1 I I 178.1 FIRE,PREM. FINAL II II , r- I , I i II o k°30. Ig v-v ll Nai�hrig I `'�_ `I I h f -1) I � I INoteS: I -1-1; --i -_I _N I i S } j 1 t I 1 1 I t r',31.rPlaster•Brown Coat H -I --I I ! I I r t I i ; i rl` IF _- , ._ tj _t I r e 1 I ' ' _ - . 1 I � yl 32. ;ElectricahPower MeterlFinal :. 11 I I I i 1 I I 1 i •I ' t - •• i I .. 133. -,..,--.--,-c_ I I- 1 _1..�,.�..I_,I .,�: _I_._.{ I L.1,_ I L 1.1-1- 1- L. . ._ _._t. _II _,---. - . ' -). .'..�. - °< 34. Final Keating &kir Colnditioning ` 1 1 I 1 I I- ! 1 I I I = f ?I' a n ,!^¢I HI I,- I I- i o D1 1_ I 1 1 I 1 r1 r1` a` i Di aI [: r.: .7- 12 (7. 1 - 111 i G1 c: G11_ ,,: - �I v [• Ir . '4 35. Final GasPi1 •t s{ i ° t 1 = I: ' :Ix is r ' X rl 1 '!_" N I N 1111 I O I F I ! I-�. { _ ,- le- -- v_ 'f '>• •�l 2 36. Hood'Or Canopy-''-m,i t -I n-1; t`i i f ' .� i , ; I1-' I � . ! m l , I F 1 - t .. 5 r_ n II, l: - IC" .rn I . r.i _ .n I . IS I- 't1 , 1 1 InI -1 .. I--.1 . c i :, c 37. Final Factory FirepleceT I x 1 Q1 '' i` Ir2.1 ` I I ' 1 1 1 I 'I I , 514- !. - - r' 38. Final Plurribing I I i Cl I, I : I'- 1 1 I - 1 I i I I- f =I ' - = ' 'I} - t . .I I l SI' I 1 I tt l i I I • ! . f'. t<., ' n t ..t1I:11--el '.I - I I '1 r, ` r 39. Water.Service-Final '! 1_ II '1 ' • • t I I i I r . . 1 r 4 .I 7"1 .! I I i I - I I 1 ? i'..: I"c. • I !I . <- n r.. 40. Gas Service-Fin414'I 71 1 I t.1 1 I I I I ' 1 I 1 , I v , . . 1 i n -l'-, r, j vI I . 1 •-Il I 1 1 I I I 1 I I 1 I o f I i 1-; 1_ Vt� 1 41. Solar Domestic-Final I I i I --.. I_ 11 '1_1 _4._r 1 11 I i ' 1 H "2..-:',1 ‘;.5' 1 u;:.1 r i I -I-!-1r--.- t-l- }---1 -r-r-- ' ,"1 . • 42. BackflowjPreveriter) =I I I I ' 6mi I i ! I_ . I t I i i ' 4_1_1 , i t•' HI' • I i ! v¢Ii k I 1-I I I - I. ik1% "- i.- I` I cI` 1 .11 I 'SI `'I '-1 I t 1 R )- , ' - � t - 43. Backflow Irrigation -1 t ' -• If ! ; ° 1 f'•• 1 -- ! I =1 ^1._rI 1 I ' j It jti • u tat. N r L1; r?, -- ;-,.Li I I r - ,- • t . - "aIr c _ c1 - i , In' 44. Landsca a Irci tion;S stem ,��--n'- ins :444. r+-- 1, r; L FFP1 9 -.Y- I I SC n_ 1 1.6 n l , I %'1 I rnl °i I a I .6R .q. .� .. • •o:. q:.I ..I in .r1 Ili 1-'1 -.i - . ' i _I i Im1 ' " i 45. Sound Attenuation >i n• I t I I- , p I` I R I , i _ { n- _ ._ <. I In'r _144„ ¢ Hie11th 1 I I IF"- I I I I I e' *7; ' 1 I I=X ',7Z c 'Ii ° r- I r. 47. FINAL STRUCTURE-&.BUILDING It / !�,-,Ik I,, J, I I I 1 I ; I. I ' • , ;y }. 48. Special Requirements Comple'ted; Ii -I rt.) � •I °'I 1 I 1 1 1 i j ; " 1 i ;IiI - .. < o v( I 49. Electric Release to.Edison ( I"t 3 l I '1I I ' I I ' ' I Edison'', , _I !- I---1--1 '--1---; I I --;--'�--}' :---77-", yIl- i 1 50. Gas Release to Southern;CalifornliaGasCo I I I i I . I I I I -1 I I I I . ja, ' ••-1;1FF Ht .I , ' :-7 51. CERTIFICATE OFIOCCUPANCY R { I ' I .1.._i_ 1 I ..I' ;'- , I " 'I I, I 1 !I I I: I i p i'.1 I ; i I{ i l T I i No II i1 Date , l I I `': / ._ ... ._. ._. _ Applicant to/ill In all spaces except those within heavy border lines and sign all appropriate declarations _ ... . - \/ ' CI ..SA, I • 1 _PER IT NO. -TRACT NO. I . LOT NO. BLDG NO. ' I 1 ^ i I I d VI CONS „ ION PERMIT: , '-- i . _' 1 -- lit Y T �• 1 ': , " :F• I : i , . F t l -, l $3.-or,-, It. ^' i Y`7� o?i 0738' 6/21, Applicant's iling Addr I'' ' / 1 a, �TYPEOFCONSTRUCTION •��NEW U ADDr.,U•ALTERATION❑ REPAIR _ ' t i ` n. `- • - r• - I ")i - I Z {r i y r- (l`�/" Roject Address ��-' c I-IP() 'e� • ha\l��'/rtr � � .f I i r j❑ICONVERSION :❑ DEMOLISH ❑ OTHER I ' ' ' ) 1 ,~ : I • I W Owners Name C✓I Rile > J!�) ' - ( Phbne/ J ,•- ✓�� - DESCRIPTION OF WORK ' • ' ' ` '7.7 ( • ' " 1 ' ��'), � t � i /II i r I ' • - . 1 ^' ' ( .. ' = I -• " (ZONING REGULATIONS - - \ Address•- /�' �/'J_ i " _ - r r ' .� ' . I - ' , I f 1 - ; I I r • i i .� 1 TYPE OF.PERMIT' ) _UIGRADING_u FOUNDATION- LI STRUCTURAL ; - A.P.* - l ZONE .. r) _ I - Aich/Eng- ' ' I License No.1 • ' '- • '❑ TENANT ❑ ELECTRICAL © PLUMBING• ❑ MECHANICAL . r 1 - ' 1 • - I ; d BUILDING' ( t' \ Addfeul t '• ` n_ -.. 1 { • .. •,K , / - 1 .PLNG.FIEF. :S, •,. ' 'ccTPArr pili el-- 1 . .,' } _�/-� '/ / "�,�OTHER r ,TO BUILDING I REAR YARD (TO P/U I I ' I fl 1•.7 Cont actor's Name {��\gm y/� • 1 ' .y��`•_L,"Phorw� J k�'1 r 1 :PROJECT DESCRIPTION SQ. FTI " --' OCCUPANCY • PROPERTY LINE . Addressl(mailing) i/o�1 �yI�(/17/!�' ' � Imllon' I •' i CONSTRUC'LION TYPF I '" ' • ' VALUATION$ - _ 1 ;LEFT SIDE YARD r " '' RIGHT SIDE MARDI � i n '-� I 'COV /to , i '- , { I 1 F j ZONE I f' ,j - • f GRADING CU.YDS: I (ACRES I PKG.SPACE REQ, , PROVIDED '•• G License No. - ' I '-, ' I , - � i' i. I LICENSED CONTRACTOR DECLARATION i ( ( I Remarks: I ( f 8 �J 5 31 � J ' : + •: i STREET WIDTH . 1 I- I. i ;PARK FEE-$ I i - '- , I(hereby affirm that am licensed under provisions of Charter,9(commencing ' / - • with section 7000) of Division 3.of the Business and Professions Code,and I r / (• I.- I I I I I ; 1 1 I I . - SPECIAL CONDITIONS: I I • • I I I `-. I I •" 1:::- my license Class s in full force _ l )(dt, I I " A�I.'I II,^, Vicense Clau.t "'• I Ci l'�V./1 License N �"1U� _I I I " I PLUMBING I'. ! ' ( , l i I ` I '1‘,9-17K3 K3 Signature / >//".,//0:. iC I. /. P/l(/WO/Oa- — _. I ORKERS'COMPENSATION DEC RATION } I i ri I I • ..-_ r C1apl 1 ., - I 1 ELECTRICAL • :.,.hereDy.'affirm.that.I have a.certificate.of;oaten[to.self-insure.or.a certificate -. - Bac flow'Preventer "•'- • - Sewer Connection ---/- ' --- --• i-1-- Automatic Washer_(_-;,,,(_ --•y,•- -I-- a.MEtter_Dover 100 am_ps� ; 4,,,•••_,(..„( _ , of Workers' Compensation Insurance,.or a certified'copy thereof (Section, - - - • - - �� - , 3800, Lab, C, 'i I 1 m - • r I Backflow Irrigation I ' , - ;Sub Panel; - ! Construction Pole--}fjr, 1 i] e it,ri I /f/)-)f//n Soler Collectors. 1 i 1 I x t Policy No `L Company I •I - - ° ; } 1 I "- Cooking Unit ` ' 1 I Sub Pole 7 ( i Certified•copy,ii hereby furnished. n I 1 I �,Bathtubs_ I I , Soler Piping , I. If� - ! i . - I _ • Certified co s filed with the city Building Otitis on. . '. • f' ' - Dishwasher ' -,--! ' - t, �y 1I Motors DO-1 HP D1h-B i ate 10'`; -d�j _ ' Applicant / - . ..../ .♦ 4 _ �.. I Clarifiers ; . 1 1 ; i Soar Tank I , i I I I • + i '.•EXEMPiION,F ROM WORKERS'COMPENSATION DECLARATION - - Dryers 'DGast DElectric"' "1"'"I' . ' (This section need not be completed if the permit Is for one hundred ($100)or ,' Dishwasher J J , Swimming Pool w/Spa I ( a I inc, Sola�,D9-�15 HP 016-15+ j less):. .th j 1 I i I I i - 1 - - r , - Fan i' 1 ' { '(Microwave I I 1 I 1 I certify that In•the performance of the work for,wh lch thio permit Is Issuedhl,,i ; Drinking Fountains I i • U_nnal- I i _I shall:not employany person in any manner so As to become subject to the I I - F.A'.U. 'Pole.Li ht Workers',Compensation(Laws of Ca Ot3m M. I -•t ' ( Floor Drains, I j I 2.Water Clusetj I I - I I •�/' ' g I • I Data - " ' Signature , r NOTICE:if,after makiO this declaration; ou•should•become•subect'to•the-'- ---I Floor i I• _.. --Water Heater-•- i---i I __- !__ Fixtures_• I• { ___l _ I _ 'Ranges-, _,_j __�_�_,_,.,1---. - tea• 9' y j Sinks_,'�..._.. i-_ _ __ _ - _ 1 t comply Compensation 1pr prionsione,of the Labor. Cade,_e'deemed: fr yoke0., I >a r ' Device Boxes $in, I , L • comply with; such provl5ions�or„th l5}i Delmit'shall be rtleemed, revoketl I Gas Service t :Outlets- .q .Water. , - . ; u , n f 9 d , i I ! I I I CONSTRUCTION ftENDING a 'AGENCY t • 1 . • • i • {: i - • I ' i . Outlets ' - I hereby affirm that there is a constermit n lending agency for the performance; f k I Interceptors' _, , _) ,; I 1-i { r- •r I I ? t i ' j 'Standing Sections I i of the work for which-this permit .Is Issued .;,(Section 3097' Civ: C) _ ; - - 1 Lender's Name• ' - ' ^ - ' I ' i F<� ( ' 7- - .� I ' I �� I � • i _ , Switches , Trash Com actor , I I I j - I Krtchen Sinkl r, i r o2 i I p :.Lender's Address i . 1 r' • S I '- - ; : ' • i ,, 7 m ' i ' Garbage Disposal `, ' I, ( ' " I I " t OWNER:BUILDER DECLARATION' i ' it , 1 - ' i 1 . �� Lavatories I ; i .' ' ^ I I o ; {- 1 ; / —_ i .� _ ( f ' I herebylaffirm that I am•exemptl from thejContractor s.'Llcense Law for the' ; I ..„ ,1 1 I - (C7 Generator,.DOTS.KW O5-15 KW I' ' l' •following reason:(Section 7031,5 Business and Professional Cade: Any city or �',i P ;Trap. c !i I i- - 1 J I i "i ` r r i pun structure,prior its' s issuance,ce,also requires the applicant forr such pperremit 1' , i Roof Drains ' i I 2 ; ,� - ' - p t-• i j , Trantornier ? J I 4airi ! .` , C115-50 KW . I I I •i ) ...lie a'signed statement'that he/she is'Iicensed pursuant to the'provisions of - - • e Contractor's,License Law;(Chapter,9(commencing wlthi Sectlon.7000)of 1 '!,/ -- I •- ) s I - ! I = °'- ' I ? .'• i i , DSU+KOJI i t - (Reinspection Fee I I $151 k`` lslon 13.-of the Business and!Professions Code)'or,that he/she:is'exempt I Showers t- I -- I i Reinspect gn1Fee , $15 - , - _ ' therefrom-and the,basis for the alleged exemption Any;violation-of;Section - i _ , - • Meter Cup to 100,amps I I :Issue�Fee• ' I $ 3 l 7031:5 by6 any applicant for-a•permit subjects the•applicant to a'civil • 1 - / ti,f - I , ! .- - - - - ;'coenalty of not more than five hundred dollars($500) : / r, j i Service Sink I .- - f ,= I • Issue Fea err ` II $ 3 • ZoningApproved B I j I 1 i 'Date I i I;•eas',owner o/, the;property oidmy employees with ince s as [heli sole I - ; .�, ( „ i ., MECHANICAL' I - .I -I; ' " I • { I J ' i compensation' will'do the work,and;thestr cture'. not : tended or offered j ; ; 1 • Application Approved By r - 'Date for sale (Sec/ion 7044, Business and 1 Professional.Code:i The;Contractor's I - - - i I ) ; ; I I I { I ^� p I ' License Law does not apply toan owner of a grope or o builds or improves I . Boiler 117.' i , I " Refrigeration System I I ` pppliratiI • Issued By . ---- - - _ II I Date 1 -7 r m I employees, who tloeslsuch work himself/herself or through his or her own - - - t I4 employees, provided that Such or ements is intended or offered for I i D0�100,000 BTU D1000008TUI ' sale. If, however,the building or Improvement is sold within one' buildf com- i , Duct-UnderiGFound - ( 1 I ) I ; 1• I I -• I' I SUMMARY OF FEES I i ' i � T I ' pletion, the caner:will have the burden of proving he/she did not or Im- I - I 1 rove liar the purpose of sale). I I I , .a f - ! ( Duct-Structural . . I J . System Repair%Alteration •' ; `BUILDING PERMIT $ • ' SMIP ` $ i 7 atorst construct thas owner ot the poie property,(Secexclusively ion 7044YBusi est and professions code:_I .._1 Duct-Ventilating • f_ _.J _- I 1 - + ' 1 1 $. ! 1 _�,-._!„_.,k_ J.__ 'PLAN CHECK! PERMIT -- I The Contractor's License Lawdoes not apply to an owner of property who I - I I I ,1� ISSUANCE 4 : $ _ I builds or improves thereon, and who contracts for such projects with a con- ) • Exhaust System 0 Multiple DI I I ; i j I 'PLUMBING - $ - ' ( ) . tractor(s) license pursuant to the Contractor's License Law): I i ' ' GRADING i ; •$ i• I ' I I . 'PLAN CHECK( ' $ L G— ' D Tam exempt under Section B,& P.C.for this reason I ;' F;repl/Fact.Bit,ICBG# ( ( I i r ( I t • - I 1 ; $ i_ I I I r : . t I t I• ' Heaton 'S st ! I I I IE LECTRICAL' $ - Date ` Owner' g', y em& Ducting , ( J - l f I i MICROFILM $ _ , I hereby ..--. PLAN CHECK; i $ • i on y-that-I• °have read-this application-and-statety-tele•ances - - . DU-100,000 BTU-0100000 BTU.- yi ) Information is correct. I agree to comply with all city and county ordinances r • t ' - 1 I I ! ' I ' 1 ; 8 TOTA L'FEE • $ I and_state laws relating to building construction,land hereby authorize repro- Hood o� Type " I - MECHANICAL $, , - ! ientativei of'this iclty,to enter up the bov +,entloned property for T e I Di j ( ',PLAN - I 1 j Inspection Durposes�� / (J , I Iyy@'%$/, I Canopy. Type 11 DI I I 1 Reinspection Feel .I $15 pLAN CHECK' ! $ I LESS I.• • Signature . ‘4-4---1---(.2-4-, �?^✓rte I Date Lf'/.50 J. I I - i . i i 11 ') i 1 1 I I I I I , j �. j R ADVANCE jPC $ I Drivers'License orISS }/'/•.) Applicant;Pink-Accounting;Goldenrod -Assessor - MF re . 2 CCONSTRUCTION,AND_,PL'ANNING1> � - m 7'-E{ X' csv t U ! ` mec ,P. &SPA _.,i- - y' -, r •n, t'2 `^ 0 x o - :o -2 " t 6 m � r ' ` Date n -. 'Inspector o c• • - r ' Date a Inspector • APPROVALS Permit#- < �: c APPROVALS Permit# • 1 _ - TV - N 1, m . 5 II 61s laii .-.- ; 7-, 7•247,.1i--)'''' '••- --64.Gn _ L . •,, r.: - I .: Hoc empor'ary Electrlical Service Si' Pole••i _v. a• -�a$• . 50 522 i-5'`Pool &rEgwpmen(Cocation1• - ' r. r ,,n 1 -I .J . ISiiIPipeUndrgr6d-.1 r Is: `2; fu,..?.i6/p14s, .Ll i:;°53 Stee°IReinforcement r;- : i ' 2 'r I '"I ' 3 Electrical Conduii Utility-Undrgrnd; ' s, t• 1 ^, .• 49 c? • • _. _ __ _ _Applicant to fill in all spaces except those within_heavy.border lines and sign all appropriate declarations. CITY OF COSTA MESA • a PERMIT NO. TyACT N9 LOT NO. . B G.NO. - f { CONSTRUCTION PERMIT I , . • - 9/+/0 3' •?o a ; / y • ��/� . . 7234 10/ I-3/03 I 0.; ' ,TL Applicants Mailing Addr:- •-/ "��� • TYPE'OF CONSTRUCTION^ ® W U ADD LTALTERATION 0 REPAIR is •f s " n Project Address ' - : .. - ant. p- - _❑ CONVERSION ❑ DEMOL H R- ` - ,` Owner:'Names. �- � ' L 1 • 'hone (7q_37b DESCRIPTION'OF-WORK - - _- ; • • - F j I .ZONING REGULATIONS Address ' y / 1eal7/i-',•. .. 'a/+�c�-= •�5 TYPE OF PERMIT• ,❑ GRADING ❑ FOUNDATION ❑'STRUCTURAL A.P,# " . I ' • -ZONE : '_ - • • • ' Arch/Eng, • • License No: - ' _ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING IA•MECH AN ICAL- - PLNG.REF-# - BUILDING _ Address - ' . . - I - ' , - �" \\\. ; _erTnAric NL CT' ' / ' /', l '❑ 'OTHER (" I - PROPERTY O BUILDING- 'REAR YARD (TO P/U - Contractor's Nam: aaa '4� 'h• a•/%7 2D PROJECT DESCRIPTION SQ. FT OCCUPAyCY - / %' -- �'iL_ •- i - 7D,/'+ LEFT SIDE YARD RIGHT SIDE YARD • /n �'1 -CONST RUCTION TYPE ;VALUATION$' /SJ - ' License (malting) �� ; : ( , I t. PKG.SPACE REO. ,` Q�.S•i PO _ 1 ZONA GRADING CU.YDS. ' ,AC RFS i - PROVIDED 'License Nd, ' _ .If - LICENSED CONTRACTOR DECLARATION • ' ' Remarks: I I -7513 L// f STREET WIDTH ' -• 1 ( ; - 'PARK FEE$ - I 1 hereby Ionaffirm7000)00)t of am licensed underthe provisions of,Charter 9i (commencing - • • - ,� with section Division 3 of Business And Professions Code,Ind • '' I i SPECIAL CONDITIONS: { • i; MY license is In f t c antl effect. 1 ' ["„ghee clan- i ions o.l - • i I PLUMBING - I 1 I i I ' ' tr .e signature ' _ - Bar Sink •, i Sewer Cap• ' I - ELECTRICAL I , (•WORKERS'COMPENSATION DECLARATI , - I hereby affirm that I have a certificate ot consent self-Insure or a certificate - -- - . .- Automatic Washer - - Meter Dover 100 amps I ...../... - of Workers' Compensation Insurance, or a certifle COPY the of (Section • - Backflow Preventer SBYVer Connection 't"" 3800, Lab CSL�f i1.�,, ��/�� I Backflow Irrigation Solar Collectors i • Construction Pole I • 'Sub Penef I • Policy No, /Jf/1/5'/OU,-/ Company /`lu/!'-ri �'`• ✓' I I , r -; . I Cooking Unit'. ,Sub Pole ' Certified copy Is hereby furnished. , Bathtubs I I Solar Pi• ping , f I I �Cartif etl flied with the City B tling vision. , , r • /1 tppfyyqs� yit pI �j + Dishwasher' Motors 00-1 HP 01%-B _Date M�-7-Y -Applicant -,'L'TN ��v _ - Clarifiers _ _; _ __ Sonar Tank i _ I EXEM('TlO fN FROM WORKERS'COMPENSATIO DECLARATION + Dryers' ❑Gas' OElectric Inc.Solar❑9-15 HP 016-15+ t (This section need not be completed if the permit Is for one hundred($100)or Dish Washer I ! Swimming Pool w/Spa less) { + -r' Fart • , ' 'Microwave • I ' I certify that in the performance of the work for which this perri it is issued, I .I Drinking Fountains U__rinal f - - I I 1 : shall.not employ any person In any manner so as to become subject.to te : - _ , - , , + . , f Workers'.Compensation•Laws of California-' I ' Floor Drains' l Water Closet ! I .'s F.A.U. Pole Light I , l Date Signature ' • • •- NOTICE:•if;aftensationgthvisionaration;you-should become subject to-the '' " ; Floor Sinks • - ' --i- -j • : Water Heater' ' -- - �.-.. Fixtures _ - - Range - - - - ` • Workers' Compensation provisions of the Labor code, you must Qorthwith, , - _. - Device Boxes comply .with such „provisions. or this 'permit spall be!deemed revoked-: ' •, ' Gai Service `Outlets. Water Service - ,� - Sign, ' CONSTRUCTION I LENDING AGENCY ' ' • ' I hereby affirm that there is a,construction lending agency for tformance ' Interceptors ' _ i I - _ ' -• Outlets Standing Sections i of the work for wh t is permit Is'"issued '(Section 3097 Civ. C.) -' - - ' - Lender's. Ramer^ '• LL' - - -• _ I Kitchen'.Sink •- . . •_'• ! Switches'' ,Trash Compactor • Lender's Address, - •- • I - - �. - - . - Garbage Disposal I I • ' OWNER:BUILDER DECLARATION - I n' ' ' Iz9-• , , Lavatories•. .• ) I I r < I hereby affirm that I am-exemptUrom the.CohtractOr's'-License Law for the - Generator 0095 KW 05-15 KW - •- ;;lowing reason (Section 7031:5 Business and ProfessionaLCode: Any city or -• P-Trap] - . -, I - ' ' I 1 • my which requires a permit to construct;alter,Improve,demolish-or repair ' Transformer 015-50 KW I ' 7 ,,,structure; prior to Its issuance,also requires the applicant for such permit Roof,Drains ' ' I . r. I . .: l -- ; •05U+ KWIle a-signed statement that he/she is licensed pursuant to the provisions of : - - '.a' Contractor's UJcense Law,(Chapter 9(commencing with Section.7000)of • i x I �, ; I _. I .- I ; ' Reinspection Fee $15' 7 Division 3-of the Business and.Professions Code) or that he/she'is exempt - • Showers - + .. - Reinspection Fee I $15 therefrom'and the basis for the alleged exemption;Any-violation of,Section _ - - - - , Meter Dun to 1001amps I ! • -Issue Fee' ' 1 .$ 3 ; •7031:5 by'.any applicant for a.permit=subjects the applicant toy a civil , •• i , _• _ - _ _ • •I enalty of not more than five hundred dollars($500). + • + n' I , Service Sink - •i i , •` , , Issue Fee; $ 3 Zoning Approved By ( 1 'Date LJ I, as,owner of;the property or+:my employees:with wages las their sole I , compensation will do the work,and+the structure.is not intended or offered ' " , ^ MECHANICAL : - ' •application Approved By 1 {Date t • ! for sale.(Section 7044, Business,and,Professional Code:;The'Contractor's I - - ------ - - - -- --- - - -- -- - - ' License Law does not apply to-an owner of a property who builds or improves Bauer. 1 i Refrigeration System - .L ; 1 /0-L-45-',16:13 , I thereon,land who does+such.work himself/herself or through his or her own Application Issued By ''Date • employees, provided that such-Improvements are not Intended or offered for -' ❑0-100,000 BTU ❑100,000 BTU - ' - I sale. I however, the buildingor improvement is sold within one ear'of com- : Duct-"Under;G round I I • - p r I SUMMARY OF FEES 1 • Motion, the ownar.will have the burden of proving Pe/she did not build or Im- I . . { i , Urove for the purpose of sale). ( I l I . Duct-Structural I System Repair/Alteration •BUILDING PERMIT $ - - " SMTP I 1 I $ ' I, as owner of the property, am exclusively contracting with.licensed con- I - • I I • ,tractors to.constructtheiproject Section-7044,.Business and-Professions Code:-- - Duct-Ventilating- .. _ ) .., . _.r ,-_4,_� ...r-,...J, ,. „; 1 .PLAN CHECK/ $1 PERMIT + , . The Contractor's License Law does not apply to an owner of property who , - - I - 1 - I ISSUANCE I i. $ !_ I i builds or improves thereon,and who contracts for such projects with a con- ' I Exhaust System 0 Multiple 0 I 1 l I 'PLUMBING ' I $, I .I . i tractor(s)license pursuant to the Contractor's License Law)., I .PLAN CHECK $ I I - GRADING I • j $ - . 0 lam exempt under Section • ' B.& P.C.for this reason I Firepl/Fact.Bit. .CBO# ' I - I I I i I - I ._ 4 ,ELECTRICAL $i I I t I'$ r, i Date _ , Owner I . - H,pating'System&Ducting . . I i • - I -: I I I PLAN CHECK, $ MICROFILM: $ _ -I-heratioertify'that I' have read thinly n' all city:'and county ordinances I i j . r • I ' TOTA L,F EE' $ • ,and:state laws relating to building tonstruction,.and hereby authorize repro- • Hood or + MECHANICAL 1 $! : I i sentatives of,this:cit O, nter, n the above-mentioned property for ' I Type I ❑' I Reinspection Fee 1 I t 1 LESS { 1 yyy...ttt $15 PLAN CHECK. 1 LESS NCEDIPC I • inspection purposes. 1 I Registers _ '1 Issue Fee. I $ 3 I { ' i FINAL FEE+ $ '/ r CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor l , . ! �� , -. _ . , L&SPA - _ - Y__ - _ 0 r'+CONSTRUCTION.AND:PL'ANNINt. a - - . . - '.` _ -- I•• + -' i - D . >.;Date , - -Inspector ;, .t:-., ->Date 'Inspector, sAPPROVAI_S Permit•#- - a - . -APPROVALS;` Permit# ' I'- kTemporary Electrical Service or_Pole s' ' -1'• u. t: o p ,`52,Pool & Equipment Location' - • ;•', • -- • o �! Soil Pipe Undrgrn,d" & I r„..,..0.-2c,.,... ..;-c; `cy.4 ,, i.0 `•' I -53°Steel Reinforcement - .. -. . -.-.1.:-•,4 31 Electiical•Conduit Utilitv,Undrgrnd,•'•t ' c 3- c-r• '54- Forms ::- •.. "'L.., e4-4. Electrical Conduit-Un.drgrndg-r c-II 'si' 1'; °_ 1--...,:,">;_ _ c a u `'»-I. '5Electrical Bonding"- , Q j ' - 5: SteeltRenforcement 1....:1 1, t= ! 3 %,v _u6 t.,°7! ;.: ' 5 56. Rough Plum_ bing,& Pressure Test e. ; •.o'- 6: ElectricalOFERGrn'd:l 1 . n•: ; t• ' '•r` 2.:- - - 57 APPROVAL TO COVER-GUNITE 7. Footings ii ' I t. c'' a: ° ' - ;.1-' •'58.' Electrical,Conduit-Undrarnri- • ' -,2- . -�- 8. Foundation, I i r i i f i , I $ •- ' 'i59. Gas Pipe;O Undrgrnd:,Test- . > ' - .. - 9. Water Pi' a-Uridr md. - - ^I - ' - ` i P g, { .. .. 1 , , „, _ :,.. Backwash...iinese, i rap, O Undrgrnd. `;;', �d 10. StructuralDFloor Systern 1 : ' ' 7)4 ,' 1 : 61 APPROVAL;TO:DECK ` , ' 4 ' f. - 11. Property.Sewer Line&•House,Connectiori - I i., rn o •,,'6:a.. B ackwash &_Receptor Final .'. - ^ r. - 12. Sewer Ca j "4 1 =� c' - p - - ( - p I 1 ' .t 1 •{ -I ?- 1 :'63. Heater&Vent-Final 13. Roof!Drins I l'.. -i i• ` - ; 64. Plumbing-System-,Final • _ . - e 14. Rougii.Plumbing .? 1 ! F 0 1 p g ' 27: -765. Electrical:Final - -, ' _ • - - . - - : • ' ''-'Il' F (V15ERough-Etectrical-Conduit T ..-r Errr66:VSoII S sfem:Final-i-- • -- --r-- -i- - - - , • a16. R'ough�Electric Wiring, „ I , 1 _ 4 . _ - �_ - _ I I' {ti 1 =' � �-Ic T,• 6Z. Fericin &Access A roGal, o . -' ' :'-``� � _ �r. .yT.. !m'. .I . � i -+ Im =i`" iu, -. l - . - - i g PP ! P:, �`17.,RougKWiringlSignF S sr I ^" I I( I{ ' ( to { 1 :k: i I I,;68.'APPROVED FOR`PLASTERI`NG; ' I - - u . _ i18. Rough$Eldc'ril al 8a Ceiling) II ll I • I . I 1 • I; ! r i" . 69.!POOL/SPA SYSTEMS.FINAL •, % _ I ' ' ' ' t-_ n . 3 19. 'R�ugh`Heating & Air Conditioning I I I I I ! : ! . I I FIRE [SEPT. REQUIREMENT 1 '1 ;° i • - r 1 20. Rough:_Fact arc% Fir--placel I I lI r 1 I . l I I I I APPROVALS• Permit# - ' - 1 r ' ! ;. n, ,.a 21._ Diicts,:in StyCtUreN I 1' Ill I 1 1 70.I Underground Hydro 1 - _ _1• c 1 I d .i ! 1 ,1j22. Ducts, Ventilating r I ce I ' I .I II 1 I I 1, I I I 71.1 Product Piping O Gas DOH i . 1 , 23,Gas Pipe-Rough & Test o I ''I lit i� -I I 1 ! i-1-7 72. Underground Flush fir. `s i'•24. Roof,F.ramingg I 1 1 ii I I �:�:ir: I l ' ' 1 I ;1 • 73.1 Undergrn'd Storage Tank O Gas• D,Oil' ' ' :i ' - ,n .Int i .a 1'. I Ilo'1. , ::I.. 1� �, I ! i . ! ! y. i25'R oof Sheathing 1 J. I I !,',;-1,II:, ! ? I " '`• 11 .' ' ; -.I ' 94.i Overhead Hydro I - `-'. 1 , '_ Is:26. T BarCeiling (Structiu[agl& Monocost° I ...!;''.1 ..p.-$z: I `. l ..;,1-..-I 1 ?'1 ;75.1 Dry ChemicalA I •- , i.. ? , 5 ; I I , •t e 27.'Frarrie and FIa_`shirig! A 1 I I Q lI 1 ' ` I I j'-I i I 76.1 Dry Standpipe 1 - - i i 1128. I1Lathing &'Siding l n•p 1• 1. I 11 '1• I I I I I ; I 77.I FIXED SYSTEM'FINAL. 1; • ! L - )r 29. -'Iiulationl ` I ,', ;; 1 i Ii 11 1 I 1, I 1 i. I i 78.E FIRE PREV:FINAL T' 11. ' I --+ • _ 7 , 4i30.',Drywall, Naili g i -6,,..c„- m I . ' II I I 1 I I I ! U. ;Notes:; . ! ! ! ; lir iPlaster Brown Coat - i ! ;h I -1-1- I-- I -j- '-'-I -I --t-- -- i -- - - -- - - • ,�32. Electrical Power Meter-,Final I i1 �i I I I l ' I 1 . I ! I • ' -' ! " .e. 33. FinalElectric1 i' !l I I l ! ' ii i ' 34. Final Heating &1Airl Cond,iioriing III n�/ ; 9� 4.: '; ! I 1 1 _ 35. Final Gas:Pipe:Test: • ' i m K,i 1 I ' -a i'r; 1-r °- , i - I- -• ' ' `- I`- ' - -• M1I : u 1 .'.IG m Q -ti . ',' 1 • 1 $ ' - , 1 - ' ' -1 �J II 36. Hood or Canopy _ - • - ., „y I n !I . .I-Y1 . Irr I "- I n' Y L^_ I_ _ ! I � t`.i I .J I . 2 - " ' S ' '17 . 'r t) '0 1 J - - - 37. Final Factory Fireplace^ , - I �1 ;=• i c i' 1 l 1 ! f" ! • ! -- � I •s , I I i 1 ' - e 38. Final P}lumbi)g I. I I I I �, ,, 1 ! I 1 - „ I I 1 • 39. Water Ser`Ivice-Final) I I I 'zI • @ 1 1 I , , i ( ! i_ ! •, • r •, I , I I • F i• _ 40. Gas Se7vice-Final 1 i i i 11 ' i i ! ' yr, I . I I I ! vi• I I i_ ' � 41. Solar Domestic-Final I K I_. ._ 1 I ' 1 -I. ' '✓ II 4:4, , '1 I 1 1 0 --'I^ ---{--`-'.-- '1_- '__•__ "t ] ' an ti.-- _. „ 42. Backfiow!Preventer! ,.'i I' i � 1 1 t I _ ' •? . - •!'.i -.1 i r ' I 1 I 11.•.1- t--r_.F� _ .-- _ _ __ . - _ _ _ - 43. Backflow;Irrigationl = I.. I I �`. I - I': ' I ' N _ 5 i gill 1--, •-. a „- 1 1 Y:I • 1-- a 1 ' ' - 1 44. Landscape Irrigation,System ,li i 1 ..4' ' , , _• - u t ] e 45. SounciRitenriation, a I,c 1 a i 1 1 I l4 ��+ l ! I ;. 13: '1 I �'• • ','„ - - "-' _ i F IIUI V -' iI , Ti I .1 H� 1 I -i, I' I 1 , % I ( .l 46. Handicap Regulations r i 1 747. FINALSTRUCTURE & BUIL•'DING 1 I1 I I I-' _-,,; I ' ! I ; I ! , ,.I - - , li 1' i 1 48. Speciail Requirements Completed) p I 11 I w .1' I ' I i i ' • i n ,,, ,, . ' . 1 , 1 I 1 1 ':I I' 1 49. Electric Release to Edison ;_ _ I 1 ; . ' _ ' I ! I I ' ' I I I 174 -t t I { ? , 50. Gas Release to Southern Ca •lifornia Gas Co l I I ' I ! I ' ' ' - . - ' f '�, 1. 1 1 , 1 1 , I •4 -, L . . .. 1 51. CERTIFICATE OF:OCCUPANCY I ' ' ' _L _1_1__ . 4_-' 1 +"1 '! I ' ' y-r - 1 , No I II l I I Date ' I e I , l 1 , 1 • , 1 i I'. - r -'- sem_--_,._,- :._..-r. _... i... _ . .. ___ .,- - ._. __ - .r•. • _ _ CITY OF COSTA MESA' � I Applicant to fill Iii all spaces except those within heavy border lines and sign all appropriate declarations. _ _ _ _ _ CONSTRUCTION PERMIT • PERMIT NO. TRACT NO LOT NOL., BLDG.NO. I l 0.0—L. h. :a • : . 'P.:,i:: ;.r,; 7 4;, Apphoant's Mailfog Address • TYPE OF CONSTRUCTION ' ±3J NEW U ADD Lk ALTS RATION -U REPAIR ; l ❑;CONVERSION_ ❑ DEMOLISH ❑ OTHER_ - - , - r ' I I ~ Project Address 71Y1 CC}1PY11Py• B%1 y. I , - e 1 r Owner's'Name '' M.D. ,TctfP.R' Co.' • Phone lr• I - DESCRIPTION OF WORK mP'I'A l' f7,Y`e�l lPP , 1 - l ^ !� , 1 1 T - r ZONING REGULATIONS"• , Address's - - !TVPE OF PERMIT: U GRADING' ❑ FOUNDATION ❑_STRUCTURAL •Y A P #• T `ZONE• ' ' I A7ch/Eng- License No. i - ❑ITENANT '❑'ELECTRICAL ❑ PLUMB_ING BUILDING I 1 ®,MECHANICAL; I PLNa. REF #s . c .. d • I i • Address. I ..•. _ I r - -� •OTHER 1' i , - I [ .TO BUILDING SFTBe Cy rn CT• ! ' Cor+ I - 6 1HZC' - PROPERTY LINE ' - ! '•REAR YARD(TO P/U 1 I ' Contractor's Name St-F1T2F-1d C e` Phone 39- - PROJECT DESCRIPTION SCI FT ' - I OCCUPANCY ! - , _ , 1 i - CONSTRUCTION TYPE ^• 1 1 ' VALUATION I - • :LEFT SIDE YARD • • RIGHT SIDE YARD: r I { !? ' ' Address(mailing) 1080-N/IN•Batavia ,Oren 4'92667 $' ' • License _ 'I''i 16406: i ! . . ZONF - GRADING Cu.YDS. - ACRES - T PKG.SPACE, PROVIDED - LICENSED CONTRACTOR DECLARATION I • I T I I Remarks: .�L-�7 .0 2�1 I -STREET WIDTH i 1 I r I . f 1 'J CJ / - ' - PARK FEET'S ! I ytaffirm that I dm licensed under provisions of Charter 9(commencing _ - with section 7000) Of•Division 3'of the Business and Professions Code,and ' ! I • - { 1 ' SPECIAL CONDITIONS: ' !t'3 ' , !TOY license'is in f I ft a andieffect. ' • ( f' - - - r - • , ! ; - CONSTRUCTION AND PLANNIN. ' ' ' L&SPA :APPROVALS Permit# Date Inspector APPROVALS. Permit.# Date Inspector .1'. Temporary Electrical Service or Pole. ; - 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement : 3, Electrical Conduit Utility Undrgrnd. 54.' Forms : _ , 4. Electrical Conduit-Undrgrnd. ' " 55. Electrical Bonding - 5. Steel'Reinforcement -• 56. Rough Plumbing& Pressure Test - _. .. - 6. Electrical UFER Grnd:, . 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrarnd. ' , 8. Foundation - - 59. Gas Pipe, O-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 &A-louse 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;Apptoval - - 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 4 • 20'. Rough Factory Fireplace. • 40 Vol . APPROVALS Permit# r 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 I 76. Dry Standpipe. . _ - 28. Lathing& Siding . 77. FIXED SYSTEM FINAL. 29. Insulation ' ' 78. FIRE PREY. FINAL ' 30. Drywall Nailing. • Notes: • 31. Plaster Brown Coat 32. Electrical Power Meter-Final . . 33. Final Electric _ i 34. Final Heating& Air Conditioning ' Y/27/14' J,4 T '' 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 . _ , - , 1 ' 46. Handicap Regulations - ' •- 47. FINAL STRUCTURE & BUILDING. - 1 48. Special Requirements Completed . • , 49. Electric Release'to Edison, 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY __. • . No. Date. - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.' • • CIT�YOFCOSTAMESA.- -..• .• - - PERMITNO. -- ' - ' ' -- ' TRACT NO. LOT NO. - - • BLDG.NO. r - - - - - - -- - - - . -- 'CI: - r�'tr-a -_ �' -CONSTRUCTION PERMIT� / — �� _ 5797 I I/L^9/@3 5 gC TL Project Address rl l CIL()AJ • `i TYPE OF CONSTRUCTION- • N`NEW H ADD H ALTERATION 0-REPAIR ( .' Applicant's MailingrAddddresss t 'a _ .�/.1 - ❑ CONVERSION ❑ DEMOLISH •❑ OTHER A P # - _- .Zone' • Owner's Name T' ' ` \ C. P4.-r‘\ZS Shone • - ' DESCRIPTION OF WO• RK ` - .- - - • - - _ - '1*. Z _ - . , , - � S Main Building: _Accessory Building _ 0 Address ' - •-- - - E - , .. 'TYPE OF PERMIT GRADING E FOUNDATION ❑ STRUCTURAL ' T ,Front I - _ _. _ Arch/Eng' License No., ❑ TENANT ELECTRICAL ❑ PLUMBING LI MECHANICAL - B • - - I A Rear I - N Address • I - . ❑ •OTHER . . - - Co - ntractor's Nam- __.�a,eSW ' '. Ph. ^. - - - - PROJECT DESCRIPTION SQ. FT. - ' OCCUPANCY C Right , .;K A Address(mailing) iri\•�\—_ -�• - + 41 1 'CONSTRUCTION TYPE VALUATION$ _ S Left I - , I. E , ' ZONE - GRADING CU.YDS. ACRES City License No. '��I .al' I - . 1 Ping. Ref. # Park:Fees $ - U LICENSED CONTRACTOR DECLARATION - Remarks: i ' Parking Req./Provided - _ I I hereby affirm that 1.am licensed under provisions of Charter'9 (commencing ' - R with section 7000) of Division 3 of the Business and Professions Code,and ' - , ` ^�.-3 1 - • Use of Building: • - E my license is in full and / ' ..>scens- lass - ��� License ?.�i>!I�i - PLUMBING 1 -I FEES Planning Notes: • - M • rte - e;L Signature �� r E -WORKERS'COMPENSATION DECLARATION - "ilBar Sink Showers • ' • . , , T I I hereby affirm that have a certificate of consent to self-insure or rtif irateBackflow Preventer Service Sink I . - i .' : S of Workers'-Compensation Insurance, or-a ified copy thereof (Section-. • - - - 3800, Lab: C r'v,Q3 Backflow Irrigation Sewer Cap = ELECTRICAL ' ' :FEES POIIi:Y No.��('�^�IN��/! Com Pant - - - -„ t _ der ified copy is hereby furnish. 1 i / r • t athtubs Sewer Connection t ' :r Automatic Washer ' I .Transformer 0 15-50 KW ertyyfigd reit ispIl1 with the city :u -'n9 Division. - - , / /'-�r J( 7 '-' . .. • Clarifiers ('r ' 0 50+ KW , Date Applicant ` ,_ Solar Collectors Constructiom Pole Sub. _ EXEMPTION FROM WORKERS'(COMPENSATION.DECLARATIO -• Dishwasher I' - •'-' Solar Piping: � ' � (This section need not be completed if the permit Is for One hundred (. 60) or P 9} - • ' - - - 'Cooking Unit "'^ I- Meter L7up td100 amps - , less): - + ' Drinkin Fountains ' certify that in the performance of the work fso-as this permit is Issued,I - 9 Solar Tank , e= I Dishwasher Meter Dover 100 amps ; J shall not employ any person in any manner sous to become subject to te ' Workers' Compensation Laws of California. I ., Floor Drains: Swimming Pool w/Spa I t ' 'Dryers ❑Gas lectric ' -Sub Panel /110 r Date Signature ' ' ' ' I ' - - ' NOTICE:If,after making this declaration,you should become subject to the , Floor Sinks Urinal ' Fan Motors 0-1 HP ❑1 -R ) ' Workers' Compensation provisions of the-Labor-Code; you must-forthwith-- -I 0 %- - 1 • comply with such provisions or this._permit shall be deemed revoked. ' Gas Service -Outlets' I- .,. Water Closet I F.A.U, Inc Solar 09-15 HP 016-15+ — CONSTRUCTION LENDING. AGENCY - I • I hereby affirm that there is a construction lending agency for the performance Intercepters - ' I - Water Heater ^ Fixtures / 'Microwave ? of the -work for -which this permit ,is'issued. (Section. 3097 Civ. C.) - - �1/, - - J Lender's Name - - - - - Kitchen Sink - - Water Service _ Device Boxes Pole Light I - Lender's 'Address - - - - 1 OWNER BUILDER DECLARATION = • ; - Lavatories • - _ - 1 Outlets - / .Range 9 8 G 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-Trap• - ' , _ -- . 6 'JI Switches Sign aunty which requires a permit to construct,alter,improve,demolish or-repair — . _ - - I/ - y structure, prior to its issuance, also requires the applicant for such permit . Roof Drains , - - t Garbage Disposal Standing Sections / file a signed statement that-he/she is licensed pursuant to the provisions of - _ - - _ - - -the Contractor's License Law (Chapter 9 (commencing with-Section 7000)of - - - I .. Generator ❑0;5 KW ❑5-15 KW 'Trash Compactor Division 3-of the Business and Professions Code) or that he/she is exempt , - - - , ,therefrom'and the basis for.the alleged exemption. Any violation of Section • - - _ ' 7031.5 by any applicant for- a- permit subjects-the applicant to a civil - 3 _ . enalty of not more than five hundred dollars($500). � 'Reinspection Fee • •I- $25. '. Issue Fee- _ $ '� 1,_as owner of the property,or my employees with wages.as their sole - f Reinspection Fee $25 'Issue Fee• • $ 3 compensation, will do the work,and the$tructure is not intended or offered , , • • MECHANICAL - • I FEES •- - - - - .. •- for sale,(Section 7044, Business and Professional Code:, The Contractor's - - _ • --r-_ PUBLIC SERVICES REQUIREMENTS: • ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 ', thereon, and;who does such work himself/herself or through his or her own - - ''- ' Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ sale. If, however, the building or improvement is sold within one year of com- ' Duct_Under Ground - • - Application Approved By Date_ pletlon,the owner will,have the burden of proving he/she did not build min- , rove for the purpose of sale). . , : - • Duct-Structural • Refrigeration System • • Application Issued,By ��• �' Date-/-1/c4.3 U I,as owner of the property,am exclusively contracting with licensed con • • - tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating , 00-100,000 BTU 0100,000 BTU ,SUMMARY OF FEES ' _The Contractor's License Law_does not apply to-an owner oft property who - _• builds or improves thereon, and who contracts for such projects with a con- Multiple 0 Exhaust System ❑ Multi ' System Repair/Alteration BUILDING PERMIT $ SMTP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ' ❑ I am exempt under Section B.& P.C.for this reason Fi• repl/Fact.Bit. ICBG# { PLUMBING $ 'ISSUANCE $ , • Dateowner - • Heating System&Ducting • i PLAN CHECK $ ENERGY P.C. $ _ I hereby certify • that I ave ead this application and state that the above ❑0-100,000 BTU 0100,00013TL •y ELECTRICAL $ • I GRADING $ - -information is-correct I agree to comply with -II city and county ordinances - - - -- - and-state laws relating to building cot is ', nd hereby authors e repre- - I PLAN CHECK $ MICROFILM ' $ ' i sentatives + is city to-enter' •on le - .. ••ert I , T inspection po � �1 ^..�/ MECHANICAL $ TOTAL FEE $ Sts�V Signature �' ��11_•�.ate I - �� _ - :CMF0865-46 rev. 7/83 I- White-Building;Ca .' -App IIcant;Pink-Accounting;Goldenrod-•Assessor I . . . , _. .. . . _ - . _.. ' - . — . CONSTRUCTION AND PLANNIN.. OL &SPA ie* APPROVALS Permit# Date • Inspector APPROVALS Permit# _ - Date Inspector • 1. Temporary Electrical Service or Pole - - ' 52. Pool 8i Equipment Location 2. Soil Pipe-Undrgrnd. .' • 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • - • 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding •• 5. Steel Reinforcement- - 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. - • - 57. APPROVAL TO COVER-GUNITE 7. Footings • - 58. Electrical Conduit-Undrgrnd.• - 8. Foundation 59. Gas Pipe, 0 Undrgrnd.;Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61.- APPROVAL TO DECK • •• 11. Property Sewer Line & House Connection • -62: Backwash & Receptor-Final- 12. Sewer Cap - 63. Heater & Vent-Final ' 13: Roof Drains - - • 64. Plumbing System - Final 14. Rough Plumbing - • 65. Electrical-Final 15. Rough Electrical-Conduit - - ' ' 66: Solar System-Final 16. Rough Electric Wiring - t r IL egS3 C[ 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 I - 74..Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe - 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREY. FINAL • 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final - sigfry 80. FOOD CERTIFICATE ISSUED 33. Final Electric l{ Notes: 34. Final Heating & Air Conditioning - . I • - . • 35. Final Gas Pipe-Test . 36. Hood or Canopy - - 37. Final Factory Fireplace • 38. Final Plumbing - - • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final - 42. Backflow Preventer •• 43. Backflow Irrigation ' 44. ,Landscape Irrigation System -7- 45. 45. Sound Attenuation _ . 46. Handicap Regulation •s 47. FINAL STRUCTURE & BUILDING • ' 48. Special Requirements Completed / 49. Electric Release to Edison - • - - j 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. - Date - . _ f I I I l a Ii J' LEGION IRON Fabricators of 1838 Acre St. Structural Steel Norco,California 91760 Miscellaneous Iron • (714)7354300 Ornamental Iron - St. Lic.*285388 July 15, 1983 • RE: Pentridge Cove Randolph St. , Tract 10871 Costa Mesa The Janes Co. SUBJECT: SPLICING BEAMS: Unit -E, 4 each Unit C, 1 each Per plan enclosed drawings Certified Welders: Manuel Pena E 1739 Roger Kleppe E 5407 All beams spliced in the shop of a licensed fabricator. Lot # 13 Permit B 7509 764 Windgate Bay Lot # 15 Permit B 7511 3042 Kittendale Lot # 37 Permit B 7534 741 Schenley Bay Lot # 39 Permit B 7536 3057 Loysburg Bay • Lot # 47 Permit B 7544 3041 Loysburg Bay