HomeMy WebLinkAbout743 SCHENLEY BAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - • - • PERMIT NO. - - TRACT NO. - LOT NO. - - BLDG.NO. _ ._ - _ . ._ _ ... -
CONSTRUCTION PERMIT F
! . _ 9l 3 .� 9�_a I.1/17/83 5 :r:o T
Project Address I / >�' •]i��� _ TYPE OF CONSTRUCTION NEW U ADD, U ALTERATION •U REPAIR
,
Applicant's Mailing ddre55 "" Mt � . Arm. ❑ CONVERSION ❑ DEMOLISH '❑ OTHER A-p,# r _ I Zones
Owner's Name " r, DESCRIPTION-OF WORK
•
-� _ �n�—•L\ P one _ S Main •Building:' 'Accessory Buildings Z •
Address • _ - - . - - TYPE OF PERMIT ' GRADING ❑ FOUNDATIOry E O •
❑ STRVCTU RAL T Front N
Arch/Eng. - License No: - ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B - - - I
_ • _ I Rear ? - . N
Addressi 1 1 a ' i ❑ BOTHER - - + - A I '
r r—f•6,�Ra' . �i0mir�r - • C Right G
Contractor's Na�����.ahu��••��•B• 'a r� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K _ _ R ,
Address(mailing) V !olio�, / •
.f I /Y1'�• C O N ST RUCTION TYPE ' VALUATION$ 'S Left , ' ' - , E
•.I iiirrrlllb + 1 ZONE GRADING CU.YDS. ACRES Ping. Ref.# • . Park.Fees $ - O
City,License No. - U
LICENSED CONTRACTOR DECLARATION Remarks: 7533 - - Parking Req./Provided , •- .. I
I'hereby affirm that I am licensed under provisions of Charter 9 (commencing - , R
with section 7000) of Divislo 3 of the Business and Professions Code,an • Use of Building: • I E ,
my license's in f .ce and e -
Licen- I. r� Li_cegse N•_ �1\,a - PLUMBING FEES Planning Notes: - , . _ M
Date •J�a�Signature "±atir •
E
NORKE-S'CO PENSATION DECLARATION' • r. Bar Sink , Showers T
I hereby affirm that I have a certificate of consent to self-insure or a - tificate I + I
of Workers' Cor1� ensatlo Ins ce, or a ce copy ther-o Sectl•I Backflow Pre'ventef Service Sink S
3800, Lab / / �����f( �j p y Backflow IrrigationFEES
PolicyNo. pt IC.J�Com an ( ,s
Ce opy i hereby furnis t _ Bathtubs • Automatic Washer Transformer 0 15-50 KW
reit
p ith the ci y Divisio ��i� - - ❑ 50+KW
Date Applicanth " Clarifiers Construction Pole Sub.
EXEMPTI NF M WORKERS'COMPENSATION DECLARATI' Dishwasher - - - CookingUnit t Meter- �u t0.100 amps
(This section need not be completed if the permit is for one hundre 1(.100) orp p s
less). DrinkingFountains
I certify that in the performance of the work for which this permit is issued, I _� Dishwasher Meter Dover 100 amps /
shall-not employ any person in any manner so as to become subject to the - - �
Workers' Compensation Laws of California. Floor Drains• ' 1 Dryers ❑Gas 2Clectric Sub Panel 0 —
Date Signature ' - - —
NOTICE: It,after (flaking this declaration,you should become subject to the Floor Sinks Fan 'Motors 00-1 HP ❑1'/a-R
Workers' Compensation provisions of the Labor Code,.you-must forthwith _- _
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets / F.A.U. • I Inc.Solar 09-15 HP 016-15+ l --
CONSTRUCTION LENDING.AGENCY - •
I hereby affirm that there lie construction lending agency for the performance Interceptors ID Fixtures i Microwave • 3 —
of the work for which this permit is issued (Section 3097. Civ. C.) _
•
Lender's Name - - Kitchen Sink Device Boxes Pole Light •
Lender's Address Lavatories ' b
OWNER BUILDER DECLARATION ' -. - Outlets Range — 1)0
I hereby affirm that I am exempt from the Contractor's License Law for the - I q
following reason (Section 7031.5 Business and Professional Code: Any city or P—Trap /? Switches Sign T '—
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 - Garbage Disposal Standing Sections
o file a signed Statement that he/she is licensed pursuant to,the provisions of _
le Contractor's License Law(Chapter 9(commencing with Section 7000)of • • - Generator ❑65 KW ❑S15 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 Reinspection Fee $ 3 •
penalty of not more than five hundred dollars($500). pe I $25 Issue Fee _ ,-
U• I, as owner of the property'or my employees-with wages as their sole Reinspection Fee • $25 ISSue Fee $'3
compensation, will do the work,and the structure is not intended or offered . _ 'MECHANICAL I FEES •• - -
for sale (Section 7044, Business and Professional Code: The Contractor's _ - 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 t Date_
pletion,the owner,will have the burden of proving he/she did not build or im- - •
rove for the purpose of sale). Duct-Structural Refrigeration System - Application Issued By fJy /t/ DateJ��(1�r4� •
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 ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES •
The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT • $ • SMIP $
builds or improves thereon, and who contracts for such prdjects with a con- Exhaust System 0 Multiple 0 - System Repair/Alteration - •• • I -
tractor(s) license pursuant to the Contractors License Law). • PLAN CHECK $ - PERMIT
0 I am exempt under Section B.& P.C:for this reason • Firepl/Fact.Bit. ICBO# _ PLUMBING $ • ,ISSUANCE $
Date - Owner • - • Heating System & Ducting • PLAN CHECK $ _ ENERGY P.C. ' $ _ I
I hereby certify that I have read this application and state that the above ' ❑o-i00,000 BTU ❑100,000 BTU • ELECTRICAL $ �• .* GRADING $ ,
information Is correct. I agree to comply.with all city-and county ordinances - ,_ - __ _-. - - - . _ 1 •
and state laws relating to building construction aid,h-reby author'ze re• e- • I , I - PLAN CHECK $ I e 2f MICROFILM $
sentatives his'city to'enter•-up• a•• - ••'•
I rlly f•r ' P I
/��rate 'L •w • - t ,— 1 ' • MECHANICAL f $ • - TOTAL FEE $ CS.S.AZJ I
inspection pure. ,
Drivers'
- — - '
CMF0865-46 rev. 7/83-' .White-Building;Ca a .-Applicant;Pink-.Accounting; Goldenrod-Assessor - ' ' - . ._ - - ,, - .__ _ _
.
,CONSTRUCTION AND PLANNING & SPA . •
APPROVALS ' Permit#' - - Date _ .Inspector • APPROVALS Pei-mit# • 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 ' - I
5:'Steel Reinforcement ' • 56. Rough Plumbing & Pressure Test -
-6: Electrical UFER Grnd: '`. 57: APPROVAL TO COVER-GUNITE
7. .Footings' I - ". 58. Electrical Conduit-Undrgrnd. •
81-Foundation - `59: Gas Pipe, D Undrgrnd:, Test -
9: Water Pipe-Undrgrnd. 60.:Backwash P-Trap, 0 Undrgrnd. . •
10.,Structural Floor System. ,.61. 'APPROVAL TO DECK -
11'.-.Prop&rty 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 , - tt a3/ 3 C C 67. Fericing.& 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 - r • FIRE DEPT. REQUIREMENT " '
- • 20. Rough Factory Fireplace , APPROVALS Permit#
21. Ducts, in Structure • 70. Underground Hydro - '
22. Ducts, Ventilating , , �; : 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test . 72. Underground Flush
' 24. Roof Framing t✓ - 73, Undergrnd.StorageTank0Gas 0Oil •
25. Roof Sheathing . t�, , • 74. Overhead Hydro - -
26. T-Bat Ceiling (Structural) & Monocoat - • I . ' 75..Dry Chemical'
27. Frame and Flashing 76. Dry Standpipe '
28.. Lathing& Siding. = _ .t ti - P. .FIXED SYSTEM FINAL' '
29. Insulation - ' 78. FIRE PREV. FINAL
30. Drywall Nailing � • I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final ,4/& 1 n 80. FOOD CERTIFICATE ISSUED
33. Final Electric lY l.� 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. - • - ' I. . -
-
43. Backflow Irrigation - - - -
44. .Landscape Irrigation System , • •• •- .
45. Sound Attenuation ' -
46. Handicap Regulations . -
47. FINAL STRUCTURE & BUILDING , ;
48. SpecialRequirements Completed • - .
49. Electric Release to Edison - " , - - - -
50. Gas Release to Southern California Gas Co -. .
51.'CERTIFICATEOF OCCUPANCY - • - -' - . ,•
. ...
No. Date • • ', • _ -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA•MESA• : ' I I PERMIT NO. ' ITRACT NO. - LOT NO. BLDG.NO. ! 1 ,_ 1 I •
I CONSTRUCTION PERMIT - , , - , % /l4 i- ,7,7 '0 I '1. .`_ i I , .. _ - • '., ; • 1 i •
.- 1
I Applicant s Mailing Address e• 0-t-- t + G- a TYPE OF CONSTRUCTION ( NEW U ADD IJ'ALTERATION'-LI REPAIR• - _ I +; • c `'` Y' �' {^1 •
Project Address- 7U3 Srhenl ey 'Ray, - •i " - 01 CONVERSION DEMOLISH ❑.OTHER -- , - '; I • ^ _ _ - ,
Owner's Name M_h.` ,an ,- "1, - ' DESCRIPTION OF WORK 10Pta� fll^P�� d( P.' m •
4 _ ,
( ) J' e'S; CoCO-- ` -Phone ,l 11: t r: I - I y I d, . , I d : _ . v - _. ZONING REGULATIONS - 8
Address; r" j r ( i ( r,_ 4 • , , I 'TYPE OF PERMIT' 1 UjG RADING_❑ FOUNDATION. ❑ STRUCTURA• L A P:"96. •` , ) • l - ZONE ! ;-' ' It U ' I
• Arch/Eng- t - - 1 • License No 'g ❑;TENANT, ❑ ELECTRICAL ❑IPLUMBING. ®'MECHANICAL- , ;BUILDING, ; C ,
••
,PLNG. REF 3M', I - - .. I
_ . • ' ❑I OTHER I - ' ., 1 . • , • . i I • . . •-cF ranrr rh eT `
i ' _ _ - - . TO BUILDING- - ,REAR YARD(TO P/L) , L ?
Contractor's Naive �.iia i^P t 6 1 I •PROPERTY LINE .0
St'F''1 P 'ace;• : ' ?hone 39-� HLC'�PROJECT DESCRIPTION Sq FT. OCCUPANCY
I CONSTRUCTION TYPE ' .VALUATION$ ) ,CLEFT SIDE YARD • j RIGHT SIDE YARD. ;� -
Address(m•ailing) • (1R�-]y: 'D1'. $a+avi A� QY•an P 9�fiE'] • -
I L i f I ZONF ' • ! GRADING CU.VDSi ACRES ! PKG.SPACEiREO. t PROVIDED i';y j i
License No. _ �`Fl�-!gin V ! -
LICENSED'CONTRACTOR DECLARATION 1 v! i Remarks: 'r, 1 ' /�l .c1 Z +0' I I . STREET WIDTH ' ; I PARK FEE _
I;herebyiaffirm that I am licensed under provisions of Charter'9(commencing i _I-1 l J ' - ' - I $
( with $action 7000) of Division 3'of the Businesf and ••rofessions Cotle,and ' ( I - j { I ! ` SPECIAL CONDITIONS: l• , r� - I r I I
my license,is In ull. •rce and&effect. , ' - ' - ' ' ' - - i
License CI-ss -• �/ se o.' • i ' , l i PLUMBING t :, ,. • I ' - i (' L,
Dab + 7 Ti Signature �all/A .. r rte ! : _ •
'WORKERS'COMPENSATION DE -RA. ION j I (I { I I I Bar Sink ( Sewer Cap' ! I r ELECTRICAL 1 ;, ; i
1 hereby affirm,that I•have a certificate of consentito self-insure ora certificate_ 1 ' _ ' •
AUtomab c Washer y ` ( Meter Dover 100 amps I �1
--- Backflow•Preventer•• +-- •---.- •_ _.Sewer Connection{-..•- - `
of Workers' Com nsatirgq, Ipsurtlnte 'or,a certified'copy tberedf (Section I - - - -
3B00, Lab C.) '73 Vt-Y C53 UC[iAI r i •' Construction Pole I Sub Panel; t ' ' f
�59JC i Backflow Irrigation „ Solar Collectors ; I H•
I Policy Ngo. I I Company - APtna i t i .. - , I i
I Cooking Unrt, Sub Pole : I I
Certified copy Is hereby furnished, j , i I Bathtubs . , Solar Piping i I • : f I 1 '
• Certifi tl c P Is filed with the city B 19 Iv I , I 1 - : , ,
Dater ' I i ) - ; Dishwasher (Motors DO-1 HP ❑1X6
yS 3 i i Clarifiers I Solar Tank i I • i i
EXEM ION• RO WORKERS'COMP NS ION DELL ATION • Dishwasher ! wt I Swimming POO(w/Spa ' - F ' Dryers`O Gas;❑Electric -! `- -Il nc Solei D9-15 HP 016-15+ I +•
(This section need not be completed if the permit is fortune hundred ($100)or
I less)' I - ) I -• 1 - - Fan i I I ' -Microwave . I `
I certify,that in the performance of the work forlwhich this permit is issued, I ' , Drinking Fountains �'�,I t Urinal I i I ( s I I 1 .i
` shall-not.employ any person In any'manner so,as to become subject.to te , I h _ F.A.U. t I Pole Light I (•
1 Workers':Compensation,Laws of California.. I : I Floor Drains;
' Date ' ' Signature r V j ; _' Water Closet, { I ! I•
NOTICE:•if;after_making_this.deciaration,.you.should become subject-to the.. . - Floor Sinks , - . .4. _- __Water:Heater_ I _--_ Fixtur s - _ ange ,;
e R 4
j Workers': Compensation provisions of the Labor. Code, you must forthwith ; ,' ' - - i
comply ,with' such prowslons✓or'this';permit ahall be :deemed. reJokedm l : Gas Service 'tOutlets ,Water Service '• - _ Device Boxes ' I Sign, 1
• CONSTRUCTIONthat there
'AGENCY ' - 1 ` - - ` Outlets ' ••
I hereby affirm that there is this' truction lending agency for they performance Interceptors : , - p I Standing Sections , ',
of the work for which thin permit as 'issued- (Section-.3097. Civ. C.)4 - - - - ' I
Lender's' Name - - + i n I • - I J ' I Switches I 7 CompactorI
' ' Kitchen!SinkI !Trash .I I
Lenders Address' :-,•,. ' ' ' ' 1 ,r ; `- ! �b Lavatories, ; q' - ^ z- - I Garbage Disposal i , p I
OWNER'BUILDER DECLARATION j M j i , i y, . I r- ' , i I I +
r I herebyJaffirm that I am exempt from the Contractor's'License Law,for the ' _ ; _r - , Generator D0-5 KW 05-15 KW '
following reason (SectionA031.5 Business and Professional Code: Any city or • ; P-Trap1 < :I, •) i l 7 41' I e
'county which'requires a'permit to construct,alter,improve;demolish-or repair I - - Transformer 015-50 KW i
any structure; prior to its•issuan<e,also requires the•applicant for such permit RoofjDrains : ' - I K p I D5U+KW i
fo file a signed statement-that he/she Is licensed pursuant to the:provisions of - ,
y";1e Contractor's License Law'(Chapter 9(commencing.wlth i5edion 7000)of • - j I ' I - ' - , , Reinspection Fee ' i l $15:
vision 3 rof the Business'and;Professions.Code) or that;he/she'is.exempt Showers ♦ • ` i Reinspection'Fee ' $15 •
-
`` ierefrom and the;basis for the alleged exemptio . Any violation`ofiSection r '- fr.:,
°'l '- Meter. Dlup t0 100'amps : ' I . Issue Feel ' i $ 3 '
7031:5 by-any applicant for:a,permit.subjects 'the'applicant to at civil ' l ' . I I i ( - - _ j
` ovally of not more than five huntlretl dollars($500). y �, f 1 I Service Sink ,. at ° < issue,Fee f i $ 3 Zoning Approved By I - ' I I 'Date I - !
I"::as towner of!the,property or,my employees with wages as their sole 1 '',-.7. - j ' I I i ,
compensation willldo the work;and,the'.structure Is not intended or offered - • ic ; I 'x, i MECHANICAL ! ; 1 Appjiration Approved By 'Date • i
for-sale'(Section 7044; Business;and!Professional Code::The Contractor's I • -- -- _ - -- - -- 1 r ( 1
License Law does not apply to,an owner of a property.who builds or improves .� ' * i ' Refrigeration System I - 1�. y:7 I' I 'Date /'-
thereon,;and who does:such'work himself/herself or through his or her own I Boiler- I . • _, , i : I • Appheetien issuetl By - /�/� /��
I employees, provided that such-improvements are;not Intended or offered for i . , DO-100,000 BTU D100,000BTU - - I ,
sale. I however, the building or improvement is sold within one,yearof com- . j Duct-UnderlGround 1 + I •.
SUMMARY OF FEES
' pletion,the owner)will have the burden of proving he/she did not build or im- ' i I I I I • I I
lova for the purpose of,sale)'. ! 1 i ; it_ I I • I ) i Duct Structural System Repair/Alteration I -BUILDING PERMIT $j SMIP ( $
LJ
I,as owner of the property,am exclusively contracting with lli<ensetl con- I •Dutt Ventilating , ' i - iI i • ) '
tractors to construct the:project (Section 7044,Business and Professions Code: �• j i �I, --��•• 1_,,,,� I ;PLAN CHECK! $ PERMIT
(The'-Contractor's License'Law-doesnet apply-to an owner of-propert who ' !
- y �._, -.. •_ .. _. i I ISSUANCE ` , $ 11 • f {
, builds or improves thereon,and who contracts for such projects with a con- I Exhaust System D Multiple D I 1 I , 1 I I I ' PLUMBING $I
tractor(s) license pursuant to the Contractor's License Law): t I ° ' ! i i ! GRADING ' j $ 1.--. I I
i I r PLAN CHECK, $'. - ' I i 1 $
i D I_am exempt under Section ; I ! • B.& P.C.for this rea on : 1 Firepl/Fact.Blt,ICBG 49195 I I ) I I iii.oo ; , i i I 1 •i
I Date i owner! i ' I + ( - } + Heating;System&Ducting t j I i i I I - I 'ELECTRICAL $t I
1 MICROFILM ' $ ' I
Li-her rtify_that_lI have.read.thls,application.antl state.that.the-above f - - D0-10B4O00!BTU. 000 BTU.-- - -s•.--l-..' - ,z-•--f- - • I (PLAN CHECK( $! I ; 1 {� I
D100,
information Is correct. I agree to comply with all city and county ordinances • • 1 i I 1 1 I i ) TOTAL FEE' I $
antl'stale laws relating to builtlin construction,and hereby authorize repro- 1 - jMECHANICA L' 1 $' 7`•00 i )
sentatives of;t is{ ) enter upon the above-mentioned property, for Hood or Type DI I j I I Reinspection Fee! • $15 ' { I I i i LESS ! I I !
' Inspection our ses /a /P , ( I i Canopy! Type II DI I A i ! ,PLAN CHECK $) 7'•1)l. { ,
Signature �)lP} I • •(/��� + 7 ! • Date IZ 1 ) I I ' I • I I , ' ADVANOE DIPC 1 $
i Drivers' Licerv4e or ±�- 1 /! i 3i I Registers I 1 i I i Issue Fee $ 3 _ ( I ,
i i I ' { I , , FINAL FEE I I $ i�.00)
-. _`7A ie ._ -' w-- .._____-- -. - -__-.. . .__,.---,-,--.__ .,_...__. --..__ _.
CMF 0665-46 rev.12/82 White-BuilUin9:Canary=Aplicant;Pink-Accounting;Goldenrod-Assessor -
I ' )dONSTRUCTION AND,PLANNING s - " ` -'`a f• ':- , POl - ^ PA 01,-'; _ -> - - i , .
bate 7 Inspector r ' ,•• Date• Inspector
APPROVAL'S:' Permit#` - - - . .APPROVALS. .Perinrt# -
T r1. Temporary Electrical SerViee or_'Pole HI ' ' _ .. c ' 52. Pool_&,Equipment Location ; '
•• 2. Soil Pipe-Undrgrnd: 5 1 -. • . : .. -- r . ,53: ,Steel.Reinforcement , .`. _ ,
• 43. :Electrical Conduit Utility-Undrgrnd `_ " 54= Forms'r . x ; c. ' ,:I r
-4, Electrical Conduit-Undrgrnd ; "' ' : it i'-;;;... ;55. Electrical Bonding - -
5. Steel'Reinforceent ' - - " S 56 Rou
= t
mgh_Flumbing& Pressure-Test 4 2' - ,
6. 'Electrical UFERGrnd! ' •j r ^ ' - *- -57::APPROVAL TO COVER-GUNITE; - - •_ ' - -
7. Footings i -I '- - 1. � 58. Electrical Conduit-Undrarnd: ' 1. .
B. ,Foundation I ' r -;- -59. Gas Pipe,❑ Undrgrnd.,Test-_ - ',
9. Water Pipe-Undrgrnd. ' '-Undrg •rnd •Lines•P-Trap, O-Undrgrnd.
10. Structural Floor System ' _ ,I 61. APPROVAL. TO.DECK ,: ._' ,.`x i
• 11. 'Property Sewer Line & I-louseeConnection� • •;Jhj • . •62. .Backwash &•Receptor-Final,_�'i , , ' ' -
-
12. Sewer Cap; ' < • _63. :Heater &Vent Final - -
13. ;Roofs Drains ; •• y ; ', I . I. ' ' r l x'64. Plumbing System=Final '.' ',. ,-
2
14. Rough Plumbing I. - - • 65.-Electrical-Final - ->-' . . '
-15.-RougIi Electrical:Conduit"`i ' -,' 1- -- -•- :- -1-- :66. Soli?Syitem-Final - - • 1- -- ' ' - - --
_ 4 . . I r _ . . .
-16. •RoughEle6tric Wiring ,. I ' _l : ( -; -_ ' •- 67. Fencing&Access Approval =^'-7- "• - .
17.'Rough'Wiring Sign._ ' ' ° l• 1- ' I - .• 68. APPROVED.FOR PLASTERING _ _ I { '.
18.'Rougti-Electrical-T Bar Ceiling � ,, 1 t- I . '69. POOL/SPA SYSTEMS FINAL I - - ' ,.3• ` ,
19.'Rough',Heating & Air,ConditioningCF_ J. . FIRE DEPT. REQUIREMENT, , - .'
20.,Rough:Factory Fireplace . I' ULBp rzn APPROVALS Permit# ,
21. Ducts:in Structure, r ' , it , " i I 70., Underground Hydro ' '
"22. Ducts, Ventilating:- ' , 71. Product Piping 0 Gas 0 Oil
23.,Gas'Pipe-Rough &Test; ' i' • • 1 .72. Underground.Flush i
•24. Roof Framing '• I , --2 I r, l,r 4,t- - ,73. Undergrnd:Storage Tank 0 Gas:D Oil
25. Roof Sheathing , . , > ' 'i ` I. •nit. i > 1;, . _ , _ ,74. Overhead Hydro , - ` '
• 26. T-Bar CeilingrlStructuralh& Monocoat' - � - I -' 1 75. Dry Chemical - • -
27. Frame/and Flashing, , , . , , 1 76: Dry Standpipe - • •
28.,Latliin'g & Siding ^; . I '; ' 1 i 1 ,77. FIXED SYSTEM FINAL.
29. Insulation ` ,• ' c '', 1 I 1,; 1. ' ' 78: FIRE PREV. FINAL i ` ' . '
• 30. Drywall Nailing ,- . "' ' , Notes: '
31. Plaster Brown Coat i; ,l. r ' i 1 ' . -I - _ I. _.
r
32.•Electrical Power Meter-Final i ' ' ' . 1 I ( . . ;
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA. ' • 1 � MIT NO.. 'TRACT NO LOT NO.,. BLDG.NO. ! 797 6!/? 1�•3 v�sOU c
' CO CONSTRUCTION PERMIT - ' - I I, ; ! ,
:PE �sq
Applicants Malan Ad.r.. •'I / ' ' araC •.• {
_ .TYPE OF CONSTRUCTION �INEW'U P,DD Lt'ALTE RATION`-L'I REPAIR:i + r J v r raj ,t •
r C, j
Project Address, g r - '. •s P "•e f• l ❑ CONVERSION :❑ DEMOLISH ❑ OTHER _ I ; I (,• + w 1 2 1 _ r_ 'i r. ',+. i �
Cit.()
DESCRIPTION OF WORK n' ' i ; ^
Owner's Name - '� "'LU' ' �/1 'Phonery�- "3 7W - ! + i ' '. .• ' . c 'a •' i n c + ZONING REGULATIONS•' I - ,
- Address; -.Q4/17) q-I'PI if AV I/ Ci . • cm' ' _ • m ' I _ _ • '
II ; .TYPE OF PERMIT ❑ GRADING 111lII���:LI FOUNDATION ❑ STRUCTURAL , A.P.4 ' -(^ I I ' ( 'ZONE • . i a r 's
�` Arch/Eng. f I -' ' License No.' I '❑ TENANT ❑ ELECTRICAL I,o-PLUMBING ❑,MECHANICAL ;PLNG'. REF.*91E� + Cl 1 I -,BUILDING '%- ' ! '
I I • I / , . SFTRAr IC(VI CT•• ( '
Address, _ I ' t " . ..OTHER '. '+ C TO BUILDING ; "3- I r 'r: I
.....„.1 + • s I • , 'C - :PROPERTY LINE :REAR YARD(TO P/U - c ! 1•= 1 •
Contractors Name -' I' - '• ' Phone�7�"..?1W-I/ %PROJECT DESCRIPTION 5p:FT.• ' OCCUPANCY • - - - _ _ ._
/) fes, - + '' (LEFT SIDE YARD ' RIGHTSIDE YARD. ' ' I !
' Address(Mailing) 1'()'-r Ik�en-((/ - ' 5-6971 fold, • 1 CONSTRUCTION T,YPF • VALUATION$ : i - I + ' !''
! �X',//(n . I , _ i I ZONE _ i ' I GRADING CU.YDS: 'ACRES P,KG.SPACE REQ. 1 1• ' PROVIDED 'I' l S1 •
' �'• License No: __ /( f + _
LICENSED CONTRACTOR DECLARATION I • ' .. 1 ' I j , Remarks. !- 'f3! 71 2 ( I 1 ' I 1 I 'e I •STREET WIDTH j 3 :PARK FEE.$ j I; '1-
';hereby, provisions ' - l { I✓ �� I
afflrm that I am licensed,under of Charter.9 (commencing II_ + 3
with section 7000) of aDivisionof 3'of the Business and Prafesslons Ode,and 1 1 i I I �% I I t , SPECIAL CONDITIONS. n I 1 r •
- 1 •
I
' my license Is In full Serpi andeffect. + u J p/ ' I - f - ; 1
Ucense Class I 1 f-i' G /1 UgivNN 1.�^'I�7 /( � 1I I PLUMBING t . I I r' t + j ' . a_ I 1 t ' l
tett'T 1'SrXJI`. Signature 1 / !1/Fs/v 1 : ' `
_ - . t _ wi e'�f Bar Sink' Sewer Cap- i ELECTRICAL !
••,yt�3RKERS'COMPENSATION DECLARATION • l (/ ' -- - - :
iereby.affirm.that.I have a Certificate of consent to.self-insure.ora.certificate J _ Backflow'Preventer -�'- - --- /- Sealer Connettionl--------; - -- - Automatic Washerr __3_ ' {Meter Dover 10Oapps;___t_. 1� _ +
5'of Workers' Compensation Insurance, or a certifledl copy thereof (Section,,1 - ' ' - I ?; Construction Pole
3600, Lab.s4; ,.(• 7 �/1 J .AnI. I j ' , Backflow Irrigation Solar Collectors i I I Sub Panel; I s 1 l
Polley No /5-1V/P-1:77/.70-)I`7f'F Company I`� mi'on : -f - - - - " I 1 (,' Cooking Unit r' , I Sub Pole I - r ` !
��1y Certified copy Is hereby furnished. ! //�� , I s"1 Z Bathtubs 1. i I , Solar Piping I • I - ; • i I l
lP.certified cqopy:!�j1•flied with the city Bu Ming DIyls on •<' t Q a , I , I Dishwasher Motors D0-1 HP D1%$ :....._ iIDate CO /0--A'S 1. Applicant 14 14• YF1t') I\ Q71.1A;V._C � Clarifiers , , Solar Tank 1I. 1 i 1 ' +EXEMPTION FROIvIWORKERS'COMPENSAt IDN DECLA ATION ^j I '-- Dryers`❑Gasl ❑Electric i -` "Innc.Solar ❑9-15 HP'❑16-15+ - 1� '/� Dishwasher j I Swimming Pool w/Spa , l lTsis section neer-'not be completetl If the permit Is for.one huntlretl(5100)Or. ,Iecer i ' tc 1 i i - - - ; Fan i t Mmrowave ! ItsI certify;that InShe y per oron -an the work for as to this permit a 05 ot Imo ( Drinking Fountains 1 ! Urinal I I. i I_ _ ' + !malbnot employ)any person In any manner so as to become subject.to t{ieI I - 1� _ F A U. i � . I Pole Light ` ', II 'Workers')Compensation;Laws of Caifornla.I I i 1 I i • 3 Floor DrainsI I Water Closet; i ! ' • ' •
Date I ' Sis dada 1 I ' ' I _- � 'r 'Fixtures , i I , ne {
-NOTICE:It;aftenmaking this ionlaxation,,you•snoultl.e you must fort with - "-i- Floor$inks ----- -4 -� -Water.Heaterl- — __ ._._...._..-h._ ._..� _•.._.y_. �. _ 9_-�._..i._. .�_�_ ...t.___!,... .._
Workers', Compensation provisions of the Labor Cola,-you must forthwith. - ' '
comply with! such .provisions"or'this ;permit ;shall be ldeemedl revoked j l ^7 l Gas SerVioe I. Outlets l .•. I r 1Water,Service iii t t -j ! $ Device Boxes '1 I ! - 'Sign' i .I i , y
CONSTRUCTION'LENDING AGENCY' 1 • • , 1 ' I - - •
1 Outlets I . 1 i 1
• I hereby affirm that there is alconstructionlenslne t,(Sec.for the;performance , ., 1 Interce torsi 1-' ' c�' 1 I - ( ' i Standing Sections I • I - {
of the work for which-13;this permit'-is :issued e(Section •3097„ Civ. C) p t , i -I .J 1 Cs U ; .i rt• +u I I,
I Lender's' Name;_ - I' - i = ' :^ I - „ c' 1 1 ; ;: t kitchenlSinkl '+ ' i� '' I 7"! '•4 ;: I r I • a '' Switches i , , - I 4 ;Trash Compactor 1 I I .1
•
I-Lender's' Address . . _. i rt I .- • • - . -e " ,1' - _ •
.1 : 1
' OWNER BUILDER DECLARATION i t i I 1 : I I 1 ,Q Lavatories ' t I 9 I - + ! a j 4 _Garbage Disposal I ' l f
I hereby affirm that I am exemptlfrom the'Contractor's.License Law for the . , I Generator ❑0-5 KW 05-15 KW I i
' following reason.(Stion 7031:5 Business and Professional,Code: Any city or" C { P.-Trap, -Is , _ -?', 1 ! ' I '
ec
-
• county which'requires a permitto construct,alter Improve,demolish'or repair ; ., ! . , _• -, jj L- ' Transformer 015-50 KW i l 1 l
y structure;prior to its'issuance,•also requires the-applicantlfor such permit , , Roof Drains: : - . I :,I tt ' f. t -- I it ( . ' - . - a — • I I •
'le a signed statement that he/she is licensed pursuant to the;provisions of • - - f 050+KW • ' :Reinspection Fee {
Contractor's License Law;(Chapter,9(commencing,with.Section 7000)of ! '77/i .} ti I • ..-t +` 1 i -• 1F'''- I t • I ' sPe $15'
. sion;3 of the:Business and Professions,Coda :orthat he/she-is exem t 4. Showers . ( n. -., ; Reinspection, Ile' . $15
suerefrom-and the basis for the alleged exemption Any:violation'o Section - I 1 r' T. „' I i Meter ❑up to 100amps 1 , 'Issue Fee! I t '$ 3. !
.7031.5 byiany applicant for a;permit subjects;the:applicant to a'.civil - '' I " ' ' 1 J i 1 _-_ - -- __
• enalty of not more than five hundred dollars($500): •• 7, , 1„. 3 1 ?-. i I Servi•ce Sink', rl 't', i n 1 , i 1 Issue Fee '-_ i, $ 3 Zoning Approved By I' ' I ;Date I I - 1
1'U I,,-as'owner of;the!property or my employees with wageslas their sole I I ; r I ; I I
compensation' will.do the work;and,the-structure,is not intended or offered r.: 1_' 1 is MECHANICAL' 1 ? j Application Approved By I I - i I Date
for sale i(Secfion 7044, Business-and:Professional.Code:'The;Contractor's : 1 I l - i i ,
' License Law does not apply to:an owner of a property who builds or Improves • " ' Z Refrigeration System ' - 1 l�'- 3
thereon and who does:such,work himself/herself or through his or her own I I Boiler, i 1 , 1 I I ! ( Application Issued By en; ;Data �:
' employees, provided that such improvements are'not intended or offered for ' ❑0-,100,000 BTU 0100,000 BTU. ' 1 i
sale. If, however,the building or improvement Is sold within one ear,of corn- ' Duct'-Under Ground
py I I + ' , SUMMARY OF FEES 1I • I
elation,the owner will have the burden of proving he/she did not build or Im- 1 i 1 I I , 1 j
rove for the purpose of,sale). + 1 { ! j . Duct-Structural I I System Repair/Alteration I' ;BUILDING PERMIT $ SMIP I ' $ I I I
U i,as owner of the property, am exclusively contractinglwithillcensed con- I I
tractors to construct the,project.(Section 7044,Business and.Professions,Code:.,_ Duct_Ventlating_ ._, _,-„! _, _ __j __,1 .- J„__1 1 ,PLAN CHECK $' • • ! PERMIT i i •
The Contractor's-License Law does-not apply to an owner of property who ; - - -` 1 1 ISSUANCE ' $ ; !
builds or improves thereon,and who contracts for such projects with a con- 1 Exhaust System 0 Multiple D' 1 1 l I- 'PLUMBING I $I ��� 1
tractor(s) license pursuant to the Contractor's License Law): I I ' I GRADING • $ I I 1 . 1
❑lam exempt under Section I • I -B.&P.C.for this reason I 1 Firepl/Fact.Bit. ICBG# . I ! Ir 'PLAN CHECK ` $ �/ I I
'a I r r I i. • I . I ' ,i i ` ,i I I ' �EL'ECTRICA L: Si I I :+ t ' $ ' i i t
Date 1 1 - Owner' 1 I 1 s 1 1 I i HeatingjSystem&Ducting 1 i 1 ; I I I I MICROFILM $ , • I
v`- y' pp ❑0-100,000,BTU-❑100, ! PLAN CHECK{ $; 1 1
-I•hereb certif tect. I agreee-reatl•th ply Ilcation citystate that ordinances a - -- 000 BTL--- -- .t - ;---r- ! :
: information is correct. I to comply with all and county 1 --Jr1 I I f + - I I TOTA L'FE E( $ i
antl:_ g py ' hereby p1 1 tMECHANICAL !
state laws relating to building <onstruttion antl authorize re re- I Hood Ori ! I ' $; it I
sentatives of:this!elty=to enter 1 open the above=fnent{oned property for I Type I 0- I : I Reinspection Fee! $15 'PLAN CHECK' i _ : LESS' ' I S I
Inspection puree f // f / ' .• f {� i i Canopy, Type II ❑. I I , ( I ! I $• -ADVANCED-PC ' $ '
519nature I lj 17,!....C......7).-:-N 1./ t Data �P��� p�{{ 5 L ' t f 1 1 i i' / '
; Drivers' Ucense b'r;SS 4 ' 1 I J I Registers 1 1 ' I Issue Fee } I $ 9 1 I i FINAL FEE l j $ - .(71.0 t
• CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor _ T '"-
• _._-. _ _-_ - } - 1-4
,.,iI e c(;r rnYm-17 'grz2- ,O POr'` .. SPA '+'. 13 ` n � r
C) C 43 TRU4TION,ANDtPLAN-NINGr 4 �; -tDate n 7 inspector ''Q� ` `Y 2> -'`` �; ,, LL '
- :zAPP,ROVALS c1 Permit# � ' 11.' n c, 'i,- APPROVALS,,: Permit'#- ;y Date - Inspector =,
, c. - `s - ., t arc - , n' - ' c'• : 7, `',a.. lir. v -- ¢ , _ ' ! 3 "' i
7 11:I�Temporary lElectr• iicel Serviceor'gPole, j J. i":."-'1 z 1'i S`' ?4 P., I.;(52�;f of &!Equipment Location -,v� s i ,`c_. - -
21 Soil'Oji pe,-Undrgrnd,`"- �'° 1 F r-; 1, I i V4197. j e, I ;15,„3:7:37,114 Reinforcement _ ; . _
, , �l , - i - ; r 1 - r _ ° '-. y cc., `:_ lir o v
.- 3. Electncal'Conduit Utility-Undrgrnd. • S, :1 ;,.9".41 ,7,:l m_0 1 m _ - ..; : - 1- L
'- .� . - ,. .. I v. _54 Forms _ . °z- : , . s, �� :.. ! 'fel ,.
�! , t 1 1 1!•••V
`:m I n '7'1
1 c' -": v. l r"
a 11 1 ''5'52:E1:1
J E...1 . - c., 4 _ LL ,1 , , .
a '4: Electrical Conduit-Undrgrnd.-.z - ; L _ i t; x e�,r;:;L56.; Electrical-Bondingcq_ ^s:. , ;- . -_ 10 �.0 V •- ; -
Steel lReinforce.ment''L"JET` I ' piS -rj.`� iv - ^'-= :156_ Rough-Plumbing"& Pressure Test '' 1'1, `'21 -^
•6: IEleaticalUFERGrnd! x I I ' , '.=',.-:••• o 57z1APPR6VALTOCOVER-GUNITE 1 e. ' '
, 1 r '-a 1 .1'< : 2 ? 1m� 3== i 'a58'.' El •ectrIa •nduit;...- •rr,�{ ,;.=" E, -n. ' ,.4• -ir '
7. Footings 1 i ' o
P-" , I ' I IOC 1 1Hr ._ � Sr! - 1 , m t j,:c. ' 1 rl
8. Fourdatiori 1 1 ! H a- " '5 2 y a_ cg .i(59. Gas Pipe'O Undrgrnd Test; - - 1 1 c1.1 . 1.„- l 2
-i I , , I «i- J - 1 C'
9. Water Pipe-Undrgrnd. L I 2i - ii. 1 s-7. _ '`n6p. Backwas6_'Lines;P,-Trap, °Udgn _: 'T I • ) ' •
nr ;, `•r ',
10. Structural FIoor System I '•1
a q � a -.I i -n` 5� 1 61. APPROVAL"TO4DECK - - z- ;s^ j rJ•• - 11 -
11. •Property Sewer Line&iHous rdinnectionl E ' j :117;:- r`; i ;X62. Backwash &.-Receptor-Final- r.'= z`_ 5 n r !'.. ,E,':.", , :I .-
12. Sewer Ci pi; i I.,,I 1 1 :i.......3(.,, 11 '. 1.1/4 g ' eL I ^63. Heater&.Vent Flria_I , . .• 'amu I
• R l
•
13. 'RoofIDrains 1 ' • 1 I '.5.,-13:. 1 ,1• ' R' 1 _P <c 1•;;64. Plumbing'Systetn; inal- 2 - 01 -• - I ' - " ,'I 'l c
1 1 -1 I , , , i �f >� _ ,
a 14. 1ROugh Plumbing" I I �� I • : is/g�QJ' Aige 1 'T'65. Electrical=Final - i,- -.- ' - - . • ! , =i;; H�y/i
g r 5'IRough Electrical=Conduit':`r"r' ' "r--'--7-17.-;66T; Solar:Syst ri-Fi,',Tarn, - - - -�,-• 7-.-r- - ---' ••+'---t -"I t
1 1,7 I. I.- v 1 in I ,. il• ( I I. d I I .- 1 i I i I
VI 6. fRou h Electric,Wirin a 1 "i s-t 1 1, o} r. -'1 "; - `__ - "�_ r_ ''. _ *"-`-- -, `.
^o R-'_, .1.r _g ' m_i. � 9, n l _ 1 11 Irs I�i I ' �� .... I X�- I=. 167 Fencing& Access_APProval'' ��u ,� ,,,. 1 _ 1 T , - I:r r ,v
i .
_ s17.ISRouhWirinSin =r 11+'• • '^ rl <, II ' I ' 68 APPROVED FORPLASTERING' ! "' 1 : 1 ` 1: r I '_, ' :
9 irr _,- n. 11 I ji tl_r. I' ll o1n � I ^-L.
I :. ». r , - g.Ii Ic 6
L
j t8;lRougfi:Electri al,T.BA Ceiling 4 11 1' 1 1 c 15 I ' Idol P,OOL/SPA SYSTEMS FINAL , ' 1 : •‘;' .. , I•=
19.}Rough Heating &l Air�Condiuoning !' I I I J •
1 w i i 1 I •FIRE DEPT,IREQUIREMENT, 1 I r • j ' _� . •
I 1 •
; 20.,,Rough:Factor,, Fireplace 1 1 11 1I I I I 1 1 _I • ,1 APPROVALS t Permit# 1 11 1- ' ' 1 1
`1 _b " ; '; 11 19.1 1 1 1 1 I I I , ' ' ' g
_21. Ducts;'in SII ...- , .. t70. Under round Hydro - I •I F.,,`, ( i
22.1Ducts, Ventilatin 1 c `1 11o 171 I Product Piping El Gas OOiI 1 ._ ! r
•
'23. G" -Pi a-Rou h &Test m- H 'c 1- -1 i- -l- r , grou It -'m r- '--1 - • - - - -
- I" p n , 1 . I ,. 11,Il i. _I-�__A_ Ij 172y Underground Flush) lin. - � h
•
1c24.1,Roof Framing) 1 1 t: 101 11 11N I' l co l r�i ro ro l 1 .L. 173 Undergrr d.Storage Tank' Gas„ Oil 1 • 1 '
! Sg ! ' { 11 q n v rile! '1 ' {741 Overhead HV' dro 11 ,11,Z `; i: • !
25.tiRoof Sheathin r 1.111 8I1 1„ 11_-I c -- 1 ' I
A r -26I.T r C•eilCiStructural))-&/MonocotatTI ' 1 •,e11171-` c J21 : 1751 D! Cheicr
l '
✓ .O -B -• ' 1 e , 1 1 q u . LI I P I EN ; l r ' maI ¢c i -- Il _ I _ I ? 1 i G !
r 1
1-x27.1Frame anii:Flashing�1 1 1 11 I!I1. •I ., i 1 31 •I 1 {761 Dry Standpipe I _, I R ' .'1' _ _, ; 1 1 r r
,'- , 28.kLattiing &Siding) ' p ! J 1 11 II I I I I "al
1 I I 177, FAXED SYSTEM FINAL `� • `' 1 I
� r s � , , � I- r ! I I I i 1
c j r , n i ! I 1 1 1 r t " , t 1'
29.I;Insulation'-., '' o II i I781 FIRE PREY. FINAL 1 I a
�-- -- 1 . 1 1 I I 1 i. 1 I � t it _ i i { I l r: 1 ,
$ { 30.iDrywall Nailing I . 1 1 i 11 , 1 11 1 i I 1 INotesi 11 . 1 1 j `! '� I 7 ' 1 , 11 : i
i 1
g 31.r--, , r• i r.:. Coati i 11 I 1! ii I I I 1 I-- -1 I -1-i- - 1--rte- y --^._-,_;._ _, -`� _
,
C
z 32.1Electricai1Power Meter-Final 1 Ii 11_I r1' _i , 1 _`i I-r.{ . -_1-. ' '1/41 ., 1 i'.,: 4 , , .e i r ! ,-, I
I r .
'_33.G .m., E!estric I I ar--, 1�...i ...L _ I I L -�•...1 ' 1_! .I_ .-1. : - _. . .l _ _�__.�
M1 ;. riI va , 1 , I , 1 1 , I
34. Final Heating',&,Air Conditioning � I It tiI _ I_ I _ I 1_ 1 I I I s' ' '4,
'i 1 ,; I' " i y 4 n Ice J i7. !'; p, r.'+ - _ i a- r a - v
35. FinalGa'v •, •Test _, 1m1i1I P VI 1 _ I'.` 1 „ 1 = 1 ,1 =` i`II - -' -
y e r.•vn rt. , c z i� . 1.'I$ I ;il - _ - - c - _
36, Hood or CarioPY11;:1 n 1`-, I r I r: ! fi- I 1 -: 1 - 1:::!“-. 1 . Y, - i.g - • 5 _ - - _ . _ -'
1 37. Final Factory Fireplace^' ( x1 g1 1j 1'Pi1= 1I 1 i •-;IiJ ; H I i. :' • -n , ,. .:t I
r, r _,n n
I: • I r ' I 1 j r 1 ^ i_ I nf.. I: -
'38. FinalPlumbingl I . I • ' r1 :If,Lyrti�' ,fl I I 1 1 I--1 :: t^_ :,ir -p _ -
39. Wateraervide-Final ! '1 P I 1 I s i i 1 1 1 I '_ _- 1 • • •
I 1, 1 1 , I I _1 h I i } 1 _ 1 I 1 1 , 1 I I'._: ,4 4, , . .. . -
40. Gas Service-Final 1 I I I I I I I : / I I I I •I 1 I I '- I ' '' '
• ,., ! , I I .1 I 1 1 I 1 1 1 1 I I - II ,. � i
41. Solar Domestic-Final , i -:-_1 F .1_1- ' 1; , ,• I
I- , j t '
42. Backflow P,reventer, ,c1 I 1 1 Ilri- I}--!•1 1 J-y_ 1 .t-_ ' 1 1 ' -{-"}._._r ; • 'ft I ' i ' ' ' 1 ,
v up i n f. '.Z, ' 1 - ,C' t V ' P l c l 'v °' I •'-' �I I 4 i ♦
43. Backflow lrr,lgatlon i I c' . I 1 i.e, l- 1.5 I c 1 "I I o I .- 1 al 3 _=1 r I I ' i ' ,''
q-I 1 - • w I I i 'r,1 i z ! y 1 a , q' t:, ,:.1 ( • _ , i -
44. Landscape IirigationSYjtem1 1 112 c' ' ; ;d 1, i `=Inz1 ` 1 1 `i �;I 1 1
iy'- Ic ! 1 3 ; 1 I 11 1 °1 =I I ' it.
45. Sound[Attenuation a I n 1 a I K 1 . 1 j- 1 y i 1 ( I , ` I I I' - r - r
YC. ltd i '_ - - - -
'1J , , I c 1 '1' 1 I ,c,1 a 1 ! I t .� r
46. Handi(I 11 Reg ..1 •loris I IRI• 1 I' j i _ 1 1 1 1 _ a - 'i •
47.'FINAiLSTRUCITUREI& BUILDING] i' ( 1 It-'
-1 I I 1 I 1 I I 1 ! 1 ' . i1 0
l
48. Specie) Requirements Completed pY 11 1 11 n1. 1 I I I I 1 ! r I • 1 d . i . - _ " °' " •
49. Electric Release tolEdiisod 1 I N 1' 1' 1 i 1 ♦ 1 1 1 _ 1 .1 , 4 _L),___ 1 ! I I I ; 1 4
r 1 1 1 1 t _, 1 I 1 1 '
50. Gas Releasejto Soul t California Gas 1 1 1 , 1 1 1 I 1 - I 1 i 1 i
e r1 1 , 1 o- , t i 1 1 I`=`ti",
CER1IIFICATEOI000UPAN 1Y '_ I �1 1 •
_� ` 1 1Date I g 1 � J _ t� ✓L i
Li
.•-•-�Ir-ur�xrtw:rzerr•v:.�v�'++•!•-,1.•�.- i � 1 1 I
• _ _ _ Applicant to rill In all spaces except those within heavy border lines and sign all.spprooriate declarations. _
•
• CITY OF COSTA MESA { ER I Ng,, 1 T ACT NO. LOT NO._ . BLDG.NU. .. •. 72 �; I 13/1,3/8-3, 9a0r it
CONSTRUCTION PERMIT •' ".. - , �/� �D;oC- •1 7( � (3, /Q' ; : , ' �j
Applicant's Mailinpq A'dId2ress ' '500 4 • .}]J !4 J - ba. /• '�� • TYPE OF CONSTRUCTION. LkEW 1J ADD LI ALTERATION- U REPAIR _ • n _
Project Address _ /Y " ) 5 , ' o -- - ❑ CONVERSION ❑ DEM IS O HER _ - �' •• ! ,_
Owner s Name m-Q• •-c 5 •
Pho•ne "/79� 7� DESCRIPTIONOFWORK !�' zj _ •' )
n.�_ n � ° • ZONING REGULATIONS-
Address: •- . I cAlso fl4rm mod' At ' 512410 � t_%✓ . _ _ _ - _ - J.
`I l •TYPE OF PERMIT LJ GRADING .LJ FOUNDATIIOrT[IN1�� LJ•STRUCTURAL A.P.'1M 'ZONE
Arch/Eng''. °'' License No., ' - ❑ TENANT 0 ELECTRICAL' 0 PLUMBING' Lp.MECHANICAL • 'BUILDING -
• .. - - •PLNG.REF.0 • 'caiwnrr rfi ay
Address .� t. O,OTHER ' . - - ' • . . -TO BUILDING- - - - - -
/- - [�7�/L'-• - - • ' - PROPERTY LINE REAR YARD(TO P/U-
COntractor'a Name ,,e,,,, r Rhone �f'" 'PROJECT DESCRIPTION i SQ. FT. - - OCCUPANCY 1 LEFT SIDE YARD RIGHT SIDE YARD
'AO IV, ,Thw/a G'ti : Pf+tc CONSTRUCTION TYPF • I r VALUATION$:: �O.W '
Address;mailing) ( PKG.SPACE REO. PROVIDED
License No: • Of S�(r<f � 1 ! ZONjH GRADING CU.V D5.__ _ 'ACRFc '
LICENSED CONTRACTOR DECLARATION - Remarks: - /J� 7, STREET WIDTH r •,PARK FEE-$
I hereby affirm that I'am licensed under provisions of Charter.9 (commencing ^-' �`�✓
with section 7000) of Division 3 of the Business and Professions Code,and `.' - SPECIAL CONDITIONS:
my license Is In full rc and effect. ' 244(719‘!"..
'G/ . C • , I _ _ -
License Class' ' ' ' 0 ' can t�t No. 7 C`^' 1 i- I a - '
p i ! j PLUMBING
•
Date ' 0- Signature ' 2 1
^WORKERS'COMPENSATION DECLARAT i Bar •Sink I Seli er Cap - ' - ELECTRICAL t _ I
'
I hereby t re
affirm that I have.a certificate of.consento self-I at.ora certificate-. rtificate Automatic Washer .' - ;Meter-Cover 100 ampsj I• • � -
- '- Backflow'Preventer- _ --.:- Sewer Connection' i --.- ...
' of Workers• Compensation Insurance, or a certlfi d•copy thereof (Section - - •• Sub Panel • !
3800, Lab. C �,,/n �.,C/�• ., 11pt_ -r 1 • Backflow Irrigation Solar Collectors Construction,Pole I
•
Polley No. I If/I -(UI-/!]al Company ^+v"/Q- ins _ - - - - - - Cooking Unit-. ! Sub Pole • 1
EiCertifietltopy Is hereby furni hed. I ' Bathtubs Solar Piping t 4 , ;
Certifletl Is filed with the city ByUtlin9 plvl qn. J.L//g ! . Dishwasher ,Motors 00-1 HP C 1 K-8 ' ,
This section need not be completedpnt h'Na Iv '•- Clarifiers Solar Tank • l`
Date /0-'1,5 -,
WORKERS'CO the per TIO DECLARATION • } Dryers ❑Gas OElec[rl6 I' '.I nc.Solar',C9,15 HP 016-15+ ;
( If the permit Is for one hundred ($100)or Dishwasher • s Swimming Pool w/Spa j , •
lass): ! , .. ) I • , Fan: - Microwave t 1 - I
' I certify:that In the performance of the work for•which this permitds Issued I I Drinking Fountains Urinal . - 1 !
' shall'not employ any person In any manner so as to become subject,to the ! ' 1 - :. . F.A.U. Pole Light 1 ' •
Workers',Compensation•Laws of California.: 1 ' 1 Floor Drains' Water Closet I 'I i
Date • Signature 1
Fixtures Range
NOTICE:If-after making this-declaration,visionyou should.become subject to the - - Floor Sinks- - -- - • - ; - • Water Heater - - - - - - - - 9 - -- -- --> - .I ...:.L . --
Workers'. Compensation provisions of the Labor Code, you must-frevoked:; ! ' . •� Gas Service Outlets ;Water Service .•„ - • ' Si9n1 •
,
CONSTRUCTION'LENDING AGENCY I •. � - ' Outlets '
I hereby affirm that there a construction lending agency-Tor the' 7' Civ a C.) Interceptors ,, ' , ( -7 - ' j i 'Standing Sections ! • i
of the work for .wh its; permit -is Issued '.(Section -3097' Civ C)> - - - - ' , I
Lender's; Name. ' /`10/s¢' .. ' - • - _ ; ' ! - T - - , Switches I ,Trash Com actor
�.' 1. 7 - Kitchen Sink ... f P , I ,
''Lender's-`Address -
OWNERIBUILDERDECLARATION' '! ' V Lavatories •t ( . - _ i , _ - ' Garbage Disposal i • ' • t I
I hereby,affirm that I am exempt from theContractor's,,License Lav' for the P_Trer, • Generator 00-5 KW 05-15 KW ' •
following reason (Sectioni7031.5 Business and Professional Code: Any city or- , p •r. } , : i I 1
'county which:requires a permit to construct,alter improve,demolish.or repair I - _ . • Transformer 015-50 KW I
'any structure, prior to its issuance,'aiso requires the'applicant for such permit ' Roof Drains' ' - - ! ! t,- ' ' ' '
't-o file a signed statement that he/she Is licensed pursuant to the provisions of ' ' ' - ' -
y;7e Contractor's:License Law,(Chapter 9(commencing withSection 7000) of I :- - 1 ' 1 - - .1-lo I t . - ❑5U+ KW• t ,Reinfpection Fee ' $15''
{Aivision l3 of.the Business-and.Professions Code)"or:that.he/she_islexempt , = Showers ,- r' — } Reinspection,Fee 1 $15 - - ..
y\herefrom-anthe:basis for the alleged exemption: Any violation ofjSectlon ' Meter Cup to 100 amps 'Issue Fee .$ 3
•7031.5 by:any applicant for;a)permit -subjects the .applicant to a-civil '
I penalty of not more than five hundred dollars($500)'. ° ; • 1 i Service Sink '• ! Issue Fee -, I ! $ 3 Zoning Approved By •Date - - • 1
LI I,was owner of the!property ormy employees-with wag-es:ai their sole , -
1compensation will do the work,and the structure is not intended or offered ' ! ' MECHANICAL ! , i ,
for sale+(Sec(ion 7044-, Business,and,Professional Code:I-The;Contractor's - - Application Approved By [� Date
•
Ucense Law does not apply to!an owner of a property Who builds or improves Refrigeration System ! //
4
' Boiler ' , .g - Y r
Application Issued By r /,� ' Data /0-/ �,3
ntl who tloeslsuch'work himself/herself or through his or her own , i _
employees, provided that such-improvements sol t intended or offered for Duct-Under Ground 00-,100;000 BTU 0100,000 BTU ' { I
i.sale. If, however, the building or improvement is sold within onot .of corn- I ( I r I ' I I I • SUMMARY OF FEES
I Diction,the owner twill have the burden of proving he/she did not build or Im- + I' .' I ,
Drove forj the purpose of.sale). ! ! 1) ) . . I j Duct-Structural System Repair/Alteration i } -
I (� i , I :BUILDING PERMIT $' { SMTP $
1,as owner of the property, am exclusively contracting,with elicenied con- 1 I
'.-tractors to construct the project(Section 7044,Business and Professions Code:_•._ :- Duct..Ventilating. _ _ _„ __ _ . _,.-_.. .._f..__1,,_ -. ). _ __ ,PLAN CHECKI ' $: - PERMIT '
' The Contractor's License Law does not apply to an owner of property who I - f ! ISSUANCE • i $
, builds or Improves thereon,and who contracts for,such projects with a con- t Exhaust System 0 Multiple 0' i I PLUMBING $.
I ` I GRADING , , $ I i•
• tractor(s)license pursuant to the Contractor's License Law). I ) PLAN CHECK; $
0 ram exempt under Section ' ' -BI& P.C.for this reason . Firepi/Fact.Bit. ICBG# ! I ; • 4 $ I I
I t ) 'ELECTRICAL $
Date i I Owner+ 1 Heating,System&Ducting ! 4 I 1 4 I I MICROFILM $ I
-1 hereby-certify-that-II-have-read this,appiication'arid-state that'the-above- 1 rry/0-100,0001BTU'0100,000tl I L - -- r ,�// 'PLAN CHECK, $; , I f I I
1 information Is correct. I agree to comply with all city,and county ordinances `' '` t . ' , ' - '7-O. I I TOTAL•FEE' ' $ ' I ' •
and,state laws relating to building construction,'and hereby authorize repre- ff MECHANICAL $ { • ., , .
sentatives of j this Icit • o -nter• on .the"above-mentioned property fo i Hood or Type I ❑{ : i Reinspection Fee• $15 ` I I LESS i
inspection purposes L,,u/p _• 1 / Canopy, •Type II 0• t I i 'I , I PLAN CHECK. $; '
.! V)_ 10- �' 1 ; 1 I ADVANCED;PC I $
Drivers'
l ,4 I i Date • • - : ,S •
Drivers' Ucen'se or SS ir F . i Registers i I 1 1 i• • Issue Fee I I, $ 3 ? j - , "J
., 1 1 ; I i 1 i I FINAL-FEE ; $ ,
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor
. ,.
�J ClONST_ RUCUTIONAN� D3:P 'ANY-Nn•I,NC G1 . 3.d 2z0 0c 1--'-ry` ; b�" - o N ' : -,--- O r •Y-SPA r c- re ! 22
2
•
� c £ i„ • ; ,_ .2!bite 1 Inspector :c - - ;' " Date Iyspector
• b cAPPROVALSPermt•# • - - } . l_ , ,APPROVALS - Permrt# - - p;" �t.y_i -
e�
n *7; 4 emporErylElectrical ServicR o"r_Pol'e ..,i �.; � I ,_;, b..-..:. �, ! X52 i Poo &
l •Equlpmeht u
�ocao n'gp r :- ; - - I I , 1 _, :,
v 2! ilSiiii Pipe-Uhdrgrrid.'. (.F moo; ;{ ?i .8-7- Y; 1 53,Steel Reinforcemen_t c - 0.--'E..; 1 :s
C .! . ,
5- 3! Eleci:tical:Conduit Utility-Undrgrnrl 11, c ?;r ° 1 :`544., Forms ; c '.", -;:7,2 ..r, ' • i w�1'� s
, •
`U 4: Electrical Conduit-Undrgrhd._a`:1 - E ' E �S 7:: -'55`-. Electrical Bonding,..--" E",,z" `¢, •_:f ' _ ^' - °r
Cmr r . I :1 ' ♦c . _ r' - - •-c :� :<.;. • - , . .c _ _ 1. - J _
ori' Steel Reinforcement '2,-; iTest-` 5.'° I _ z, < 1 r t ` ,u'i .:•E' 56: Rough Plumbing,& Pressure: ,---; ; -
6: IElectiicalUFER Gmdi 1 '4 a° • 1 I 2 @ n ' - "- `T= ...,."r e 1 57?APPROVAL'TOCOVER-GUNITE.; ; r i -,2 7,. ' '
7. Footings 1 ' 1=-.1.' I I a °n , _I a g Y. ' _'o o. 1 -.',6e. Eledt' ricar CondulfUndrarr;rl :1-; I 'r;- - ': 7:
8. Foundatiori I 1 I ,1 1 - o 'l 2 i o y u; at -.. 59. Gas,Pipe;O:Un"drgrnd:,Test= - - •S.'
9.-Water Pip a-Undr 'rnd. 1 _ I ,'1 - i74 s" - ---
p g � �� n _ `60. BackwastiLines�P-Tiap ;O Und�grnd.= _ :
10. Stiucturel Floor Systern I k-.14'n 3 14 ; c .' !a 61 APPROVAL.TO DECK ,s .
r
1i. Property.Sewer Line"&1Houseconnection; - e? Yz 1 ' 62. Backwash&`Receptor-Final..': a =• '^ ' , o - "•
.1 I I 1 c , t a', 1 8 ' . Q3 - I ,t;. _, ntc • c:'_.. ! . 'c r
12. Sewer Capir-i 1•71 .' I 14...;, d 1 .I ! 5'' _o 63. Heater:&'Vent-Final . t '' °, - -
13. 'iooflDrain's .I 1 cn I v
1 , -I _ ; _ I, si `ie ;°64. Plumbing:System_;,Final _ °4-, 'I .
Q 14. RoughiPlumbingi '1 I `.= . I , °= i - : ! .;'fit. Electrical-Final "1 .-• .-_'` . : . _ •'.4.', - t '
rt
-`-• f''15."Rough-Electrical=C6nduiit-T'"7'1-1---_.-__T_ ,__ _ _. .. .. :..�.-,__.._ .- . - �. 1._ . .'
cy k*_ rr i 11 I, 1 I I ! { i 66.1 SoIa�ISYstem-Final I ! I 1 1 `,
• 0
t. ,16:(Rough Electric Wiring^ n I r 1 Ii .1:1 -'� �-r IT- ';,-'77,--1/4,"''67:�Fencin &-•Accerss_A roval!�o �-• . 4 - - --'- -- •--
• knl ' rn• {_� _ . t i . i'S! .. . _ . - I 9 PP. . ,- IG ' i _ ..r rt..;To
�7.'iRough2Wiririg'Signti ;u T ! " 11 4 I ; d ;4,..; g ' ,_ 1 , 1, '68.1 APPRD_VED FOR'PLASTERING � -;',• �'. & 'r
t : -P O 7 T T rl T l G l II ' 1 t � T , . t ' 1 _ , 1
.. - 18. !Rough Electrical-Ta e4.Ceiling1 f = ' I g i i 1 '69.' POOL/SPA SYSTEMS FINAL .
u..� I Y n n. 1 1 1 I. f l :l r : 1 1 _ '
'. 1'1 19: 'Rougti'Heating&!Air,Conditioning ', _ I I ' I:= ! i I- 1 'FIRE DEPT. REQUIREMENT " = i k
• S 3 t O i t . L ,:i i i : ,, 1 e n I 1
C M 20:rRoughFactory Fireplace's 1 i. 'I i I ` ( I ' I I f f APPROVALS; 'Permit'# ' I ^ 1 I ' 1 .441 •
" 1
If Ire, .l i : m I S . i I i. 1 - 1
c!L21_ rD'ucts in St'ruaturer; "1 1 I ,' 'I 11 I I i 1 I i 1 X70.1 Underground Hydro • - •1" i
E22.:iDuctr;-Venjilafing C I c i i it P I I i I t I I71.' Product Piping O Gas O Oil . 1 •
:rte r...1 .' Q , a 1 _r -_,_..-_ . _ , - -
.23..Gas-Pipe-Rough &Test c 1" It $ ) 1 I I 92.1 Undergro•und Flush; _ ! i I I I
�-24.,tRoof Framing, I i I an I ' i IIS:; i,1 19 I e,k !o.„. ; .-(: 73.' Undergrrid.Storage Tank O.Gas O.Oi1' 1 I i j 1
P L25'. ,Rlio Sheatih"'ing 1 I ' , I Ile IIS I ,1:31,:,1,' I P I I -F.:.17; :7,4.:Overhead Hydro 1; . •> 1 i ( I I
u I
�-26. Bar Ceiling (Structural):& Monocoat I �,I ' 1 I'" 1, 1 1 • < J5.1 Dry Chemlral - I ' : ▪ `- t 1 1 1 I• >`
i �,27'.Frame and'Flashing i = H I 1, Ii I ;I " II I 1 I I I 176.1 Dri'y Standpipe , . f • 1 ' ' '
' N. 28.•EL thing &Siding) ' S 1 I I ii 11 I I 1 1 1.141 i I ;77.2 FIXED SYSTEM.tFINAL . „ E 1 . 1 1 to 1
te•29. lnsulatiori c y i q w i 11 iI 1 i I I l I I i 178; FIRE PAD/. FINAL ', 1 I •?,
'; ,it r'-'30. 1'Drtyvyall Nailing 1 cLT"! I I 1' ,, IF? I I I I I !Notes:, 1 I ; n .r , I i t
._ :.'3.1./iPlester Brown Coat� I I ; I i i i 1 I I.._`-'I t. 1111 1 . . t 1
,�'32. (Electrical:Power MeteriFinal 1 II 1; .-I l_ 1 I i 1 ; I i 1 - ` 'J '
" 1i 33. !Final Electric 1 i 1 I I II -f .!I 1 I 1- i - , I ' - •• - - , '12,
r"..`m_. -..r.n.-a«.-.e..A..... L.-=. zi 1 -�_ ! _ !.
•
34. Final Heating&IAs'rtonditioning 11 I _y 4i Lco I i I �, ,
• I/
r 1 : .1 ' ,a 1 n nl I. i ,1 •p : _ 1:, •m - -. 1;-:.
:, f. 1 - I r - •j, r c r. •
35. Final Gas�Pipe=Tesi1 i�! la'I .fI „ 5 Ir I_ 1 '-1 �• . � 1-- , �, � - - '� - `i.
36. Hood or CariopY 11 m i n 3 I r•.i I I ' i '1. 1 . _. i 1 ; : _.I - ; 6 _. -
37. Final Factory Fireplaces I c I of 1 00'4 I ?...-Fir)! I 1 ( I ,! " - • i .. �` _
38. Final Plu�mbin I 1y'
II gl ! I I I SI ii I°` I I Irl i I ' I ! i - 1-
• I ^!1 I 1 1 1 1 , • 1
39. Water Service-F1nal) I I + __r 1 I I f I = 1 1 ! I I . Il 1^ 1 • , . • 'Ii .. ., .
I • In, n.
40. Gas Service-final I I I i •I .r, I ' ! 1 : 1 ' ' - 1 •
.y ri. I i I '! I ' , •
l.-- . 1 1 . ' .14
41. Solar.Domestic-Final 1 I 1 u ; 1-_ ' 1 L_i I , - I_ -- j_. ' " r 1 ' '•
1141+: r 1 .I I Il �-- - T� - a e.
4r, 1 1 I 1 1 1 t 1 1 . , ,.
42. Backflow,Preventerl EI I 'Aril_ 444 �.; �_ ;._4_- ' _ I - ; •
11:... n I r-. 1 1 i 'T ' .a - I 1.
- iI 1 .11 I" 1 '1 1 off s r-1,,, Im ! Y. • I''• 1 c I .L -. _! [ - :it :.
43. Backflow,Irrigation - 1 I'r-i: ''€ I r ' r _ , P1 1
•nr„ :,..r' 1 h1c I 1 t v__ t iI t ''' :-. 1 ,- , : 11` I i ,
b) % 1 1 �1 � I
44. Landscape Irritjation?System I I ;'G 171.--q I I� -1 • 1 ; ,!_ 'I I 44. _
45. SoundV•Attenuation.Q1-a 1< I I 11 i-• ! I I 1 3f , I t I i I ;
46. Handicap;Regulations i^ I.rt I 1 1` 1 1 It 1 ' ! i ,•
- `r r
47. FINALSTRUCTURE& BUILDING , 1; 1 i 1- 1 -11 I I i : I I . i , t
48. Special RequireneritsCompleted' I I I- ' I i ? i ! d i ,{i " ,,
1 i - 1 1 I i j
49. Electric Releasejto Edison) I 1 t; ._ ..1___14..1 .4_54H I I _• --_' " ' 1 . I ' . ' • '
50. Gas Rele', 41 , 1 / 1 "
se to Southern California Gas Co I I I I i . 1 ' i ' l I 1 I ! ' .' i 1
F rl , t 1 r 1 1 I '1 1 - ' I
51. CERTIFICATE OFIOCCUPANCY r __-j -4..._.1._. ' ' ' ' _.._.' . '.!... ..._.'r . ' i
No L i1 1 1 I Date 1 H_L ._.�_I _i I 1 1 I t� -1 l - -- r - -
♦•.�.-rr4 •Y.•mrn
ne ��� ..n tnnenenrY
a-. .rrr . _ .. _ 1... _l_ I n ?
�9, - -• - - _^_Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ,
v` OITY OF COSTA MESA''-- ' - • }
i i PERMIT NO. . 'TR O. • LOT NO. .B NO + ,
CONSTRUCTION PERMIT! 1 ••••• I , ' t ! '- i �I /4 b/21f" -C: -,` TL
•' . I ;f3• 7sr33 ` � ' 1. `
i� I 1 ! t
Apphcent's Mailin ddre.- J- • •V ••$ - 4s • TYPE OF CONSTRUCTION"' •0'NEW ADD UALTERATION U REPAIR I r.• ' ) { ' 1 - s { e I l: ; ' r t, I
Project Address s r ` '' e' ❑ CONVERSION •❑ DEMOLIS Tse R - -- , -•_ ' • 1 '9 -t ; 1 I - -
Owner's Ni I y� 17WA - 1 `.hone,'I - ^ ' DESCRIPTION-OF WORK `� � r r•• - I I j a
�'l'lll'1:�® �/ / 1 ��/6.�iJ'� 'ne I:7 i I I -' , I ' f�:y_' u _ . 1 [�' ' t .. -7ZONING REGULATIONS I
Address, s� �4 _grins • �l•1. I'TypE OF.PERMIT I U GRADING�❑I FOUNDATION- S.RUCTURAL y •- - A.P:#I •••(I(7 1-�j�'j 7,1 1 ZONE � '' Y _ ' "
Arch/Eng/ �`�/,/'/���-�" 7`:�a�� 4�,j+a/ ' ' , •! Q,TENANT U ELECTRICAL' ❑IPLU.!BIND U/MECHANICAL' ' -pLNG. REF.#,-, - • L.I; 1 -.BUILDING , I 'y ; y_ 1 :
Address - f sW' it!i1 St Va P a �t,•'�1 Via. / _U1•'OTHER i .e I ! 1 ' :. l • -f ' I O BUILDING '1 I-�,
Contractor'•s Nampl -' j -' . 1 J. ! -Phone/are,
7 - l •• od SPA ` fr - : - .. PROPERTY LINE L�--�1,vvARD(TO P/U
• ■Y,✓fan > -PROJECT DESCRIPTION, Sr f,EpllL_ A 7 - OCCUP NCV.; , -.�I 11 Q. G �Ls-1GI�-
Address(mailing) 1 • + :--4-14111,4
• '• I c� • ; , 'CON STR CTION TVP la ; VALU TON ri!4Ml' f/I• : 1 'LEFT SIDE YARD j RIGH IDE YARD -(h-�A ( I d -,
r ' I > 1 + 1 I 1 " ., j 1 + i ZONE GRADING CU.YDS- IACR> - `REQ. /1' 5 �, PROVIDED � '•5
" /,)1 _�. ; P,KG.SPACE; n( ✓ 30
License No, - i - _ /' ' . _ ' ` �. V-.7/i -Pa
LICENSED CONTRACTOR DECLARATION • j I I Remarks: j I I 1 I •
I i 1 STREET WIDTH ; 3n/ I I j .t `PARK FEE +' jz 37( f`7 L7
thereby:affirm that I'am licensed under provisions of Charter.9(commencing I ''
with section 7000) of Division 3 of the Business and Professions Code,and ! { l I I ! ( I .i 1 I t ' 1 l SPECIAL CONDITIONS: I , i ' I - ` ` 1 - PSI 5;�.•F' ' '
' my license•is in full force and effect. - , - I ' '
L'Icense Cats' I - ' • License No.1 1 ' j • I i • 1 I i PLUMBING , : I i ; I.
I SOLD FOR SPECIAL REQUIREMENTS, .i ; 1 •
- ate ! 1 Sl9nature : ! I }, ! , - [
I
! Bar,Sink •- • i Sewer Cap` i •6. { , ! . 1 ELECTRICAL s - - i ' : !
OR KERS'COMPENSATION DECLARATION ' I ' �: ' - • i
ill..I hereby affirm.that Lhave a Certificate of consent to self-Insure or a certificate. J. ._' ...) ,, Automatic Washer _._ ,. I •y Mete` Dover 100 ampsO ! ' I
^F - -1 Backflow'Preventer--•`-- - --Sewer Connection l----'r- _ - - S - - - )__Meter ._ .L 4.__
of Workers' Compensation Insurance,/or a certified,copy thereof (Section 1 _ •- -
3600, Lab. C.) + ! It - l , ; _ ( Construction Pole i j - •Sub Panel -1-''t) f.:41:- i 4
4 i 1 t 1 V I , Backflow Irrigation Solar Collectors. , ,-. , i' ✓ ,
!Vey No. Company t - _ ,, - , 1 Cooking Unit '1 i ' Sub Pole j j ;
Certified•copy Is hereby furnished- 1 ' 1 i I I Bathtubs 1 Solar Piping I I I , A _
r
; Certified copy is filed with the city Building Division. ' I I ' '
4 , , Dishwasher ! I
Date • ' 1 1 AVPli ant_ I ' i , I I 1 1 I Clarifiers __-; j I Solar Tank i _ I ,Motors 00-1 HP ❑the
F.EXEMPTION1FROM WOR-KERS'COMPENSATION DECLARATION 1 - - .._L• ! Dryers ❑Gast❑Electric "`,' 1i nc.Solar;D9 15 HP ❑16-15+
(Thissection need not be completed if the permit Is for.one hundred ($100)or , 'I Dishwasher , , I ! Swimming Pool w/Spa y _ , '
lessY i •i ' I - I 1 I , I - - : - Fan} 1, I - 1 i t {' `
• I certify that In the performance of the work for which this permit Is issued I • Drinking Fountains I Urinal,; ; < • ? 1 i - + ,Microwave ,�,• r
. shall:not employ any person In any manner sol{es to become subject to the ' - : 1 - I 'i, i I - I
F1 I I 1 - i Water Closet) "' r 1 F.A.U. Pole Light i
I Workers' Compensation laws a California. ! 1 FIOof Drains ! i , , ''P i
Date { • i - • Slsnature ! • I I ' - t I,- Fixtures ' - ' '
' NOTICEF If,aftensatiking'thvisionaration,you should.become.5ubjecbto-the-- Floor Sinks - --Wase-Heater---r I - -} --.f. .- -. ...-• . -..{-._ 1....: .'Range•,:_-y__, - _
' ' Workers') Compensation provisions,of the Labors le,_e . F , Ishall ' revoked., j ( Gas Service!, `fbutlets - Water Service tr.'( f =5 1 ! 9 - I I . l
'CONSTRUCTION•LENDING AGENCY • 1 - ' j . { , - Outlets { ' • I I ' ' I , I
I hereby affirm that there Is a;constructiondensing agency for the 97- Civ:
n • Interceptors ' "'t i 1 I - t - I ' - 1 I a 4 Standing Sections ; 4
•
of the work for which this- permit-Is,Issued �(Sectlon .3097' Civ' C)• - ' - _ , r
Lenders! Name:' _ s a ' i �.,. - r '+ { , ; = I I •. i Switches I , } 1 I 'Trash Com actor 2 t
1 1� 1.51 ejLi�i/a�0,••A tO/ •_ --- - .Snk1 • j Zr j .. } P i
Lender's Address ��-��II�) ,; t - - I y Garbage Disposal !! I I ! ! j
OWNER:BUILDER DECCARA ION ' s ! , �, ; ;.• ) `! Lavatories i Ij � . y •c.i C 9 P I t , I ) {
I herebylaffirm that I am-exempt!from the'Contractor s'License Law for the I •• L7 -•, l •. - 1- 1 _ Generator DO15 KW D5-15 KW ' 1 I '
i following reason•(Section',7031.5 Business and Professional:Code: Any city or : P- Traps ' ', IP j , 1 - ' ; t - 1 I ' j {
;'county which requires a permit'to construct,alter,Improve;demolish or-repair ! . . , t 1 1
I ( • 1 Z. Transformer 015-50 KW ! )
any structure:prior to Its,issuance„also requires the applicantfor such permit! , Roof Drains t.� ' - •
e file a signed statement'that he/she is licensed pursuant to ctionovisions of n r ” ,y I { ; j '
e siontr3-of the sLaw(Chapter 9 o ommenc or that,
7000)of • P I -- 4 ) . : 1 ` C5U 1 KW., .I Reinspection Fee i $15'. 1
there on 3-of the Business and Professions Code) or that,he/she-Is exempt I - , Showers I' - , ; Reinspection'Fee • $15 _ -
Therefrom and the.basis for the alleged exemption:•Any_viplation•of'Section ! - ' - , i Meter Cup to 100 amps i ; Issue Fee $ 3 !
'7031,5 by any applicant force I permit'subjects!the-applicant to a'civil `` 4 1 I -
malty of not more than five'hundred tlollar5($500)'. j - I ry- t 1 f Service Sink , Issue Fee j $ 3 ZoningApproved ' • I �a 3
Ll ' - I f l � By IWIIIIS Date
p as lowner oP the,property or"my employees with Intend as their sole , 1 - I I.
j compensation' will70 the work,antl•the structure is not intended or Contractor's
1 •[r' I I r- i ' I - MECHANICAL'. i ) ' I I + • ! Application Approved By /�- 1 )Date -
for sale((Section 7044; Business:and;Professional:Code::The;Contractor's -- - w-�- - --- • _-- --- - —-- _ --- -- ) l i
/ , 83 I '
License Law does not apply ' Owner f a property or who builds or Improves I Refrigeration System , , 7
1 thereon,•a Intl who does'such'work-himself/herself or through his or her own Boiler: i . ' it t 1 i Application ISSUetl By I � �� • , Date _
I employees, provided that such-improvements areinot intended or offered for , - - DO-100,000 BTU 0100,000 BTU i - I
I sale. If, however, the building or improvement Is sold within one.yearof com- Duct:Under,•Ground j • , - , - I I ` SUMMARY OF FEES .' ' '
elation,the owner twill have the burden of proving he/she did not build or im- ' -I f • 1 I 1
,Five ve for the purpose oflsale). ! ; t i , � i Duct-Structural, 'i + I �' System Repair/Alteration - ?BUILDING PERMIT $! +�I - SMIP $ ` F' l6
4racto s3 to thwne of Ole erprroject'am.(Sectlon,70441,.Businesstantl Prof!essions.Codelicensed :, Duct-,Ventilating_,' 1 _ - _ -._ - - PLAN CHECK' I $ e�0 - .��.i PERMIT ( j j°
I The Contractor's License Law does not apply to an owner of property who t , '— I ( I 't ,ISSUANCE ' I $ 4___L
__j___.or improves thereon,and who contracts for such projects with a con- I Exhaust System 0 Multiple D' M I -, - ''PLUMBING 1 $ '
tractor(s) license pursuant to the Contractor's License Law)! I + J - ' ' I j ! GRADING { $ I ;
C
Lam exempt under Section i B.& P.C.for this reason : l Firepl/Fact,Bit.ICBG 4 I i , j .1 :PLAN CHECK • $f r' ! $ j
,, ELECTRICAL! E.
Date I ' Owners ' • i I 1 HeatingiSystem& Ducting -, � i .I . 'i - i f - MICROFILM .1 $ I 1
p 1-hereby' certify-t :t-I)•-vej read-this-application-and-state thatthe above --1' 00.100,000 BTU 0100,000BTL-----i` - - --, --1 ••'j- )PLAN CHECK' , $ I - - I
information Is cor ct. .gre- to comply w all city,and county ordinances I I i I ! - r TOTAL/FEE! {' $ I I 1
�' and state laws r: -tin• o • ildin• constr tlon,Iand hereby authorize repre- ( • I - I , MECHANICAL $ I ( • I f
l sentatives of It c It• ant-. upon • e abor.-mentioned property for Hood m Type I ❑I • Reinspection Fee' . $15 1 1 ' ' ' f LESS 1- I
', Inspection purls , / l0-p3 . Canopy: Type II 01 ' i ; .iPLAN CHECK; t $I 1 4 ADVANCED;PC t $ I {
1 I Signature L ,• ••-to
= —` _ Registers i I i j i $ -_ r f 1 i ,'" ,'FINAL FEE( " $ So$d.in(.
CMF 0865-46 rev.12/82 White-Building;Canary-Ap--Iicant;Pink-Accounting;Goldenrod-Assessor .
________
c. - _ . -
n
2I,CONSTRUCTION,ANDrPLANING. � .c' ovu of.f�-- ,n-- �4:'on_L� 7G�;P(. BSPA' ,• r ,
'- j I ' ^r '_= S a . .Datenc xz • cto � � , . .`-; _- , < t - DInspector
S- SAPPROVALS Permit# `nspec -iAPPROVALS' :'Permit# c -
'.
, co r_„ d e, w aro rr� �7 511.,.I...- „_ o_' .. ' sv:_ ;= , _ ..5. o . : I .- n•. 1?. .: : :.
r" ` Temporary'Electrical Servicear{P,ole I t ''• ' ;If ' 3i cC` -.52-,Pool &rEquipmenf Location' :;; j` _ = i 4444°�.� 1 !1'
4Ts t -n -t c n - I .. .% 1 ., ', S_ .c„. _ - . , ,
.E; 'Soil Pie=Uniir rnd IS o- I : o, e- lit v., -_a � - - syepf -e. -- • - mo i', .
�- r i p -.9 I .• 1,.•=$, 1 £ i_r ,c' t,..,:•,- , _, ±,Steel Reinforcement - _ ':',',- o -, , r F; _
r= i
3! Electrical Conduit Utility-Uiidrgrnd. I pa; 1 i ,a 2� '-9 1; ''54.1 Forms, tkI. - ,-�. �.
`'� '4: Electrical Conduit-Undrgrrid�=>t, I _t` c I >" e-o • ... :55- Electrical Bonding 0.--' :v.-V 1 1 n'.+t r•' I- = ¢ S- cy:n. - --1_ - _.� o ,. 1 "
5: Steel Rei orcement , 1 n `^it:: 1 ` ,, ` ', :7,F° .1 ° 56.- Rough.Plumbiing'& Pressure Test" ^ ... ; ' : I' 1
'6'. 'El' c4chl;U
FERGdI F .^ I i y- `? _ L': '-''`'' ; 57^ APPROVALTO'COVER=GUNITE� ;i' '` ^
.. ir ,d-1rn ' sr' ; % < - - _ o
7. Footi,ngi',`1 -.1 -I' •I ;i I o u 1 i , 9- a ?2' ;Tr; .58. Electrical�Conduif-Undrornd''r : 1 I ,. .,'1 r
8. Foundation: { Ir I i » 1 i $1,1� "r `f-i it.I- ! <59. Gas pipe,O`:Undrg'rhd-Test' - + 'f^ :' '!'
9.•Water.Pi' e-Undr rnd. I 1 cw = ' I g s:nit r' i `60. Backwash Lined/.P-Tra C'Undi rnd.'; t r
10.S ructural.Floor System P o 1 : r4 1 -t �2 z 1 1 61. APR,ROVAL'2TO-DECK dT ' ' -., I I r;
11. prorperty„SeweLme&;House,Connection -1 1 ' {� _F 62. Backwash &`Receptor Final. J': • '' - J�:, ;,
12. •Sewer Capt•7 1c-+ I Cr; 1 + o f , i - - . '
! 1 . c I. 1.1-ce_ + I I F? 1 I ' -- :,.,R21 .;' 1 ;'63. Heater& Vent-Final ;- ;,. i ','
73.;RoofJDrainr 1 •I i i I I : ^ I _ =64 Plumbing System -Final - - : ' 1.4.1
a 14. RoughFilumbirigI. 1 I co I I , s I � i - -,. ,`I: *. -- I
me ''65. Electrical=Final'' ��- r -i
-` 2.15 pRdogh-Ele tiical-Conduit-�:nig -"F'j-r r -in `166:[Sol rSystem-Final,-- -i-- T -,-` ? -1
pC016.,iRough-ElearicWiring), ;;.1
i = 1 t 1 ` .--1-: -',67.' F.ebciri&7Access;A' 'oval r- -+�'-: T),-,..--, -` '
� 5 T': Imo'. J1_ z+ ni I 1) I. � ,I I ' ( - ,• 9 .. Pp S1 -„ . '� , i _ . ' e
r17.nRoug 0: ,e-g`.Signr ` m I 31 h ^_' �. , i; 1 c i ! 1, I68.i APP_+ROVED FjOR-PLASTERING" 1 1„
18.{Rough^ElctricaF.T;Ba^Geiling! Ii 1" : 1; 1 1 ;'1 I 69 POOL/SPASYSTEMSI FINAL I i ' I i '
., 1 1,9..{Rot.... ; ing&'Airtonditioning II . :i i I i I_ I ( i � 'FIRE DEPT.'REQUIREMENT,. ^ i ' ' j_ '
20:, Rough;Factory Fireplace I 1 N 11 1 , I 1 ' 1 I 1 APPROVALS! I Permit# • 1' ' ^ 1 ' i
n i thin in m 11, ?: II , i 1 1 , I
S 1 21.'Ducts%in Stiucturew '+ 1 I I II F I I II . ! 1 I 1 i70.I UAderground Hydro II - ' i ? 1 " ' I i
- y n. a�. i 1. 1 I 1 , I 1
,-,22.11Dlicts,_Ventilating 1 r„ 1 1 1 11- 1 1 I I ' 1 1 I 171 Product Piping Gas Coil i I 1
Ft
" Y:23L! I .7Gas Pipe Rough&',.Test c I 1 1".,II l 1 1 i !- -1--�1-72.rUndergrouod Flush' --- t • -- -i 1._ - -' - - 1---
i. II 0
T. ' 14 1Y tr r I CJ I .1 { 11 I 1 - t t i I '
'1-24.� oof'Fram og, ,1.-H ' 1 I Nil Ii' 1,•#- 1 ry 1 wo, 1-- i,, 173.! Undergrnd.Sto cage Tank C;Gas ,O Oil, . i ,
Y
o ! 25.1Roof Sheathing �,:!__I } I 1 tin I I 1r 1 t pit pI(� 74 Overl ead Hydro i1 i 1
1 rtr n lir 1. �? I it t7""`3- I- Ir.
y 26. nT-Bar+Ceil,ing_IStruc"turalll& Monocoat I ., I v.1 1�• ;r: I'Ed 1 G.1 • ;i75.I Dry Chemical 1 >~ ( - , i I ! 1 ; � v I -
'. I- ; -1 _g__
.91 1 . 1 1 1,
r i^n - _� ^ II 1 , ' I 1 ; .. I ' a ... • ':: I
a z27- Frame and Flashmgj ' 4 I Ii (i I '� is i !�7. 6.I DrY Standpipe 1 ; , a i'a- • b i . I 1 , I,
i , , Jr A w ' r ,
4 28. Lathing 8,;:g-a:imgl (n, o ' 1 1 iI II I i I , i u i C! 1 V7.1 FIXED SYSTEM_FINAL, ! f 1 , 1I4 , ` j
„ IL 29, InsulatioA I R.-f: ? I • 1 Ii II 11 i • i 1 /i 1 1781 FIRE PRE.. FINAL II ` j I j i j
8 . rn Iii•- }! I 1 t I I 1 ' t i , I ct I '
1] .,-30,iDrywall Nailing .1 ). 1"71 I 'i ,1 i bIS 1 ,1,j ,[Notes:, I 1 , 1 1 I 1 1
, _
, 9 31.•Plaste5,Brown Coat I :'i L I I II II 1 1 i ( I 11 11 1 1 1. I ,--�b t I 1 . i 1-
I' c i r � ' 1 1 1 ' i I .': i i I
t 32,sElect icalpower kir ..E: 1 i it a_ )! _I_1-_i__. - I , -_1 ( __I 1_ I I r ' ,_ 1 '
tt ,.0-,,.."---,-„-----,... ..„-i.-.. Eectic 7 - J. I. ,1.....L. j,.,.�...i....i_. '_�._ . . I_ . .1. 1 I
i 1 1 I ,e , t '
ci 34. Final n eating&'Aii m .r ! iorli ng yg _ -_ __ I _1 _ 1 _ . , I I i I ' : :
10_. m •s' 1 � 1 c, P 1_ I i I - 1 I ( I ..
35. Final Ga sl Pi Pe re@'010r Im1i el g1 Iii= 1o1� 1 :rI =' i ?irr i _it- `%i •'' r.: Ii:I : IS' �. .r ! 'r. i, - a +; -' :C ,.
36. Hood or!CanoPY72!� min n s ,.o I F _ I S 1'...t 1 ,17 ! I I - , r.' , 15;1 ; It I , d . . -' > ;, ..
. ., ,h -1 .rc'1 . im 1 :1 o1 � in ., ,F I : I t. I "' I'n I I II ,1 O ' E ' z n li - ] tr Ir T %i •.r- .
37. Final Factory Fireplace? I z 1 '11 I` Ir 12.7. i 1 . I 1 1 1 ;Ti I .• I "I :,Ir--‘75, I • _ I `,1 " ,, ',1 .'II [7:1 co ri 4 .n 1i
� ', 'I ..1.- I 1 I °i ; 1H I ir. i III 1 1 I •I ; 1. , , • ii
38. Final Plumbing • >._
39. WaterSecvice-Final '1 1 ' 1 1 1 i t 1 I 11 ` I• , _•' It!i I ! =-+I � 1 1 � 1 I 1 i i I -_ 1 I I 1 1 I_
•
40. Gas Service-Final`i . I '.1 1 1 . 1 11 i. I - I I• I 1 i' i I I.- 1 - `--i I • I 11 '
•
41. Solar Domestic-F,inal 1 1 ' 11" iF i.- 'I. I 1• _ I I 1^ f -1 -t--t-s I "i" ;Th
/4; ^ /,in j i
1:-,: • ' , , P ' I I 1 I I I- I i I i -f t •
42. Backflow,PAeventer, --I I I I "m i 1 I 1 �-- + i �_-'-_ ". ' : :i i . ' I ,
uw. n, f :], I In --M1'_.1-_-... {_•., , ..i ... 1 'l; 1 1
43. Backflow Irrigation ? I i I i• <'4irt:^ I n I c ° _�i I + I 1 '1. ? I
_11, 1-'11 . .1 , tut 1 . gip! in i , 1 c, ')' i
44. Lands'"capeIrrlgation:S,Y"stem .1 , . 't, ii,, I ` -'I :c1 -'1 1 "I 0I 1 : • • 1' ,. ;i o 1 1r'
v. 1_ e -- 't1° 1 � 1 i ,ii 'li I 1c?i -II I .1 ' 74' t'' ; I , I III ••''
. , r Lr- -
45. SoundaAttenuation „1`,.' i . I: , I I- 1gi 1 1 I i _i =1 I ( - ' , ° - r
r..p 1gu i ' I .ITI I , � I' 1 1 I.Q1vi 1 i 1 I ,1 xi 1 I '� ` 3 • •
46. Handi, Re u : -,i s c ., a - `'
r47-'FINAL STit gRUCTUIRE& BOILDINGi I . p/.,; „gd: "cA I i 1 I 1 � i Irl 't, ~ '1
48. Special Requirements Completed -. 11 I S -+/E,% 1 AV a,C 1 1' 1 I i I 1 it'' ., ,
49. Electric Releaseito_Edison[ 4 H 11 - '/. 1 I 1__L i... 1- i .{ 1. -i ' 1 t .,,:,"•,L ,^1 ' $ ; 1
e 11 1 1 ' i , t--r'-1 i i 1 1 •_I. -�___.i ,t • ,,, 1. . I . 1 - I
11 1 i I. 0 , I I 1 , a i ,.' - I ' - i
50. Gas ReitRse to Southern California G s i I ( i '
,, , .1 , ,,, � Co1 I . 'i f i i - i I i ��1 - .. -,11 I ,
51. CERTIFICATE'OF OCCUPANCY1 ' 1 1 ;1__.i I ;___, a; ;� ' 1. .!I' ' -I ; ; I -,I
No " 11 I 1 . 1 Date ;1 1 g II T1 r 1 1' 1.._�._ 1 1 i - , 1 - i
1 I ,
v'-^+ -.-
i