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747 SCHENLEY BAY - Building Permits
�� _ ._ _ _I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA I j _ PERM T NO._ !TRACT O. ' LOT N9., BLDG.NO. 1 i ' I • CONSTRUCTION PERMIT. ' �� .� _• ' Y�I �' 1 : 1 n ! • • • • • „071 B ;?•6/PI/83 $ 9.- B`, TL 1 . r 1 u`7 1 Applicent'S.MeilinytAA�dr e� �t, ft • - 1� ��l - • -TYPE OF CONSTRUCTION' NEW ADOt Li ALTERATION` REPAIR ' t' _ 1' - I ni i -, 1 r tl r • _Ill ' ' Ir—d ' ❑ CONVERSION _❑ DE Iteollt SH S'• R s .1 . Project Address J 21 , , VI' 'f I ' " - . . I c �. i • Owner's Nam- - s. ' -,.��' � A � DESCRIPTION OF WORK ' I 91�� , - ~ _ - .v' r '-hoe tt I . -7- i - , , ZONING REGULATIONS f i i �:�� Address e ir - :'TYPE OE PERMIT { ..GRADING t • FOUNDATION L STRUCTURAL % - A P #, � 'L-Jy. r�Ic/V�J/]l,' /•I(ZONE: I ; ; Arch/Eng, /0 tlL It ? ICB sqj/,'NTD i E_ • 1 r ❑ TENANT; ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL. �PLNG. REF #:L-CJ � !"I - j�"{CJ � cBUI LD I NG. ..+ t ' { _� i ee�� 1 0 r • I ,4/,'�'-'1 /7r, _ - I ,:cprgnCy rn`gr !, Address i -, i '❑ OTI-IER I ' 1 re' ' n - 1 I TO-BUILDING' 1 n . I , P, , - A e . I - ~ - , - ��' PROPERTY LINE' •� 1'/ EAR YARD (TO.P/U G • ' Contractors Nam. - dt. .I� ' Phon• �r I � • PROJECT DESCRIPTION SO.' j� • - TION$ LZ- ,'dJ� IU o4� .� �1G C { U l .� 'f - i 1 1 ^i CO-N STRUCTIO TVP ' '• I VALUATION '6/ u, . LEFT SIDE YARD I' I ; r IL!GHT SIDE YARD, '{ ' • ' �- : i is I 1 ,^ , r , t. 1 I , ZONg • r" /� GRADING CU.VDS� t 'ACRES �/'f PKG.SPACEIREO. I i PROVIDED G ���+.....�,, r� License No: , : s -_-J - i Z. /✓ ! i ) �c'apr3. W J ,)'� 1 LICENSED CONTRACTOR DECLARATION •' { t ~Remarks: { t : • j ! -< , , ; STREET WIDTH ��Cvvv�••l///VV��1J I I _ PARK FEE$ �"�'� �' f}R r' ; I hereby affirm that Iam licensed under provisions of Charter-9 (commencing - , ; ,Q With section 7000) of Division 3 of the Business and Professions Code,and i " L. I • I i I i • • , f ' SPECIAL CONDITIONS: ' 513. 1 8- - t licensaJs In fulliforce and effect. ' • ( ' _ - l dULb rOit SIIELIAI. KtLQUIRnillClr Si - a u". ,.rose Class ' - i - I Lic• ense No I - •, I I - i -1 ; 1 ' PLUMBING '. , ; , 1 ! y , 1 ' . w"'e - I j ) Signature ' t 4 • , Bar Sink' f ' ' i Sewer Cep- ' I i • I I - ' ELECTRICAL f ' • ORKERS'COMPENSATION DECLARATION 1 I I I 1 • l 4 :-I hereby affirm loaf-I have a certificate.of consent,to sa1Mnshre or a certificate + - Backflow Pre,%enter^•-•'r•— •— -- .1.-Sewer Connection,---ri .---_,-.. . ! .. . - , ., Automatic Washer ' , _ • ;Meter Dover 100 amps I I s ,.; • 1 of Workers' Compensation Insurance,,or a certified j copy thereof (Section I e v q',r' . :. o I Construction Pole Sub Panel, I' - 74 I I 3800, Lab. C'.) i i I I .1 I • j j Backflow Irrigation I ' Solar,Collectors ',I . I cy No. • ' S _I Company . ' I . - , Cooking Unit t • ; Sub Pole ! . I I -�3' • i unified•copy IS hereby furnished, ; I j Bathtubs , , - Solar Piping ,r, , ( I I 1 = d' ' Certified copy is flied with the city Building Division. I 1 I , , _,• - 1 c., Dishwasher I ' Motors D0-1 HP ❑1%-B ..4, J ' j,Date • - I- Applicant I - I Clarifiers - Solar Tank ^ • EXEMPTION:FROM WORKERS'COMPENSATION DECLARATION I ; Dishwasher , j 1 • i Swimming Pool w/Spa f l '- Dryers•OGasi OElectric I "Inc:Solar'IO9-15'HP 016 15+"',"•-••.'• '_"' , (This section need not be completed If the permit 15 for one hundred($100)or 1 I less) , : , , I I r '. •I. ; Fan 1 , ' ' , -I Microwave ' . , f-,-.4.4::4,1 I ; f I I certify;that in the performance of the work for which this permit is Issued I I Drinking Fountain? •I Uflnel�' f I 1 { shall:not employ any person in any manner so as to become subject.to the - - , - , F.A.U. 1 , •Pole Light ' ^ '!.,, i 1 Workers'•Compensallon'Lxws of California,: I 1 • I I Floor Drains, • , I Wates Closet I • , , : ^" I Date' ' his nacre '- I j i 1 - ' Fixtures I 1 ' I ;Range 1 ..:.?:�j I I 'S I ,'Norkers'If,aftersation •th!s'declaration;Youostiouldebecome•sebjectto•the—j• --i FIOOnSinks�' ..,_.,._._..}_.— .._-. _Water.Heater - -_ _. ,_,,..- -__ _ _.- ' , Workers'. Compensation, provisions of the Labor Code,.e deemst_forvoked y- - I ', i I comply with' such .provisions or,.this',permit Labor, be Ideemed,, revoked; 1 c+ I Gas Service • , Outlets ' i:. . •' Water,Service i� I :s Device Boxes 1 1 ,{ • Sign I I , V y I , '! ; CONSTRUCTION LENDING AGENCY ' I - _ • 1 c 1 . I - ' v' L to { n.( - I , Outlets t I I ; I hereby affirm that there Is a'constructiondendlne agency-for ihe,performance r:' t ' ,ri i Standing Sections , i 11 '.�' ! Interceptors i } z - ,' I l I i I - I I of the work To �11yI I • er Is jiswetl •(Section .3097„ Civ C)s _ ,t _ , , ' — ; - I Switches j 1 I j Trash Compactor 1 • 1 I ; '1, Lender's Naine [/n' E.- 1 I i Kltchen'.S!nk1 _; I 'r I ' I ' , ' Lender's. Address` ' ` 'A" �•� I 'n r s I _ c. - _� I ?. r ; . Garbage Disposal j I ! I I I 1 " I. OWNERIBUILDER DECLARATION' i I i, , r, -. , -61 1 n '• . •1 Lavatories., 1>I I _ O ' I ,atfirm that I am'exemptlfrom ssthe•ContraZtor IC License Law for the i , - _ , Generator 00=5 KW 05-15 KW , ; i , I ' following ,case:(Sectia 1-,5 Business and Professional Code: Any city or ' "-' I .... Trap, ,r, . , j• I = • , ' , ' , ' - sooty which requires a permit to construct,alterImprove;tlemollsh,or repair .. _ v , I Tradsfofiner ❑15-50 KW } . : I 1 ' ty structure, prior to Ilt that trance, also requirespurse the-applicant for such permit ' I Roof Drains i r s j .,. j 1 . - - i . - ' .` I , • - -o file a signed statement that he/she Is licensed pursuant to thelprovisions of _ - -- , r .� T - • 050+ KW' • % ,Reinspection'Fee $15' 7 ; the Contractor's License andhapter 9 ons Co ncing,with',Section:7000)of I - ' , I- , ,r 1 i ,- t Remspection'Fee I $15 • I i ' - • Division 3 of the Business and'Professions exemption. or,that he/she.is:exempt Showers ;'t ' ni �, ; ; therefrom and the'basis for the alleged exemption. Any_vip violation rot S'civil ! ' T „_ r Meter Dug t0 100;ampi _ I Issue Fee. I $w3 • ;7031.5 Oy Jany applicant fora,permit subjects.the iapplica nt to a'civil ) i ^ I 1 ' $ 3 _ LAS 'Date •'•�`•� penalty of not more than five hundred dollars(5500). . n, ,r Service,Sink %i I 1 <', i � issue Fee I Zoning Approved By ' a • • • AV,'co I'tas Town, ill the:property or`my employees with intended their sole i 1, ! f MECHANICAL' ' ' i V'v�� I : ;Date igin' compensation` will,do the work,and e•structurelis not or offered � - - t Applintion Approved By i I for sale:(Section '7044', Business:and,Professional. Code:,The;Contractor's I , U_�J� , j / , License Law does not apply to'an owner of a property who builds or Improves Boiler' 4 '• I I Refrigeration SysteM Application Issued By - Date- • •"� ' ? , employees, ,who'goes'such work ovahimself/herseif or through his or her own • - - - - - i • employees, provided that such improvements aro not Intended or earlof tl'.for - Do-100,00087U 0100,000BTU 7 SUMMARY OF FEES • sale. IT, however,the building or Improvement is sold within one'yearlof tom- Duct-Under Ground - I ' ,� I , I , 1 pletion,the owner will have the burden of proving he/she did not build or In,- I , - I ' ; ! - PPP velar the Purpose of solei. j 1 • E ., l 1 I j - . Doct-Structural 1 I I I • System Repair/Alteration I I -BUILDING PERMIT $ '�-5-- SMIP ; $ ! 3 �� �f(J I,as owner of the property,am exclusively contracting:with,llcensetl con- - . - - - • , rectors to.constr uct the Droject (Section.7044,Business and Protessions.dode:_J. .-L Duct.:Ventilating_I_� •__ •_ __, •____ __!_ -i. _,,,_,-._ _ ,PLAN CHECK, I $ /•� PERMIT The Contractor's License Law does not apply to an owner of property who _ 1 , I ISSUANCE ' I $ - builds or improves thereon,and who contracts for such projects with a con- I I Exhaust System 0 Multiple 0 -1 - I • 1 PLUMBING I j $ I I I tractor(s) license pursuant to the Contractor's License Law): , I ' GRADING - $ ( - : .PLAN CHECK) $ I j ' I - 1 I 1 ❑ �.am exempt udder Section B.& P C for this reason Fit-epl/Fact,Bit,ICBG* r ' 1 I i - , ; j : i I , ; , $ ;_ + 1 1 i , ! i i Heatin• S stem&Ducting ' • (ELECTRICAL• $ ! ; 1 , Date -' owned , g Y j ! 1 I I ! I 1 i I I I i I ' MICROFILM $ 1 -1"'hereb certify't -t-O ri I _ PLAN CHECKS $ - ! y' v' -read pli0. Ion-and state-ttiat-the above i 04100,000 BTU•X100;000 BTI- 1--._'....., .-.. -.-i ,I -! ! I TOTAL"FEET ` $ �- r information Is torr cL I 'rope to comply wl, -.11 city.and county ordinances , i , i , 1 I y... 1 (MECHANICAL ) $ I I and.state laws re -tin.. sial , constr ni abov hereby authorize repro- I Hdod or Type I ❑I I i - { - i 1 LESS ' • sentatives of;t ic���fff t pyytuuet j upon 4, abov -mentioned•property ,for I I I Reinspecti ,on Fee, $15 tPLAN CHECK; j $ I i `I '1 ' inspection pun," e p . t Canopy Type II ❑' I i , s , I ADVANCED PC $ ' Signature `/ �/ , ' O. ' r/42 I i • I 1 i I 1 I 1 1 1 • 1 .I /1 8 Drivers' License ori55 ••••••• I I Registers 1 I , j Issue Fee • I. I $ 3 1 1 , I I FINAL FEE. • $ ��C 8 CMF 0865-46 rev,12/82 White-Building;Canary-Au/cant;Pink-Accounting;Goldenrod-Assessor "' 2QdONSTRUCTION`.AND,PcANNIN, q, 2^ 'tf ' •,427,72=125° :b_o .° j ;c•-_ _.4L_&SPA v - ', �-• +;;- _ ,; =? >. APPROVALS -: Permif#` T `-' ` ` z5i,Date m inspector ,tlp s - "91:': '' ", Date - iInspector - rx APPROVALSemrt# r-. fy ., ,- v :•^r_ _ : n 'v7 4;z- Fr', �c I va i -c1, z' ... e1, _. - y , 1r. TempbrtrY�Elecntr�- .,..n rtPole I . rn ;Sn 'n,? STc t :52�Pool &IEgwpmeut,Ldr.�atiorn.,7, c: ,,'�, " 1 ^'r 1d ;, 1'. 2 ,Boll Pipe=Undigmd ir -• I F o g I , :r, -5 I y''' g y� 1 :53°Steel Reinforcement '_ • ? r; ' 3'I Electrical'CondwtUtility-Undrgrndt- N, g 1` �, E. I :,54�Foimsr -.e.2.2' r• a = •; `0"r -�,� ; •' v {A 4: Electrical'_ConBi]it,Undrgrrid7.�_ -' I 1-z'; (-51-:! ° ' '- a^ SJ .155- Electrical'.Bondin `,' =• '? _ , '.r ' 5.i Steel Remforcem nt i I n ^ ! it a' E = r N'' 2 r .56., Rough Plumbing&Pressure-Test " -tM1 1 -, . 'y ' 6: !Electrmal.UFER•GrndI ' I = ,`•-- ' o= 1:.57r APPROVAI$TO COVER=GUNITE 7 r' • 1 I• ' ' 7. Footing '-'T ITy I ` Fi "2 c: ` so f'.` I ='58 Electrical CondtUnon °' ` -I'' - r ! - pm ; ' ui = dd _ 8. t- ,:r. 1-i % :4 ,1 ' o _ .-'j3. F_ , 9. Gas Pipe ❑ Undrgrnd Tesc`.^ 4 Y: .. .• _ 9. Water Pipe Undrggrnd. I. 0° r ' .. j Is,, j ;X60. Backw_asS Lines P;Trap, 0 Undrgrnd.:- i.o - 10. Structural'Floor•System 1 ` c I ; , ' ' , '` '; I •61• APPROVALTO-fDECK : = t �• 11. PropertySewer Line'&iHouse'Connection' h �, '' i 1.62 Backwash&t Receptor Final ° i ` fl . 12. Sewer.C$pb -}' 1 1 -> I b�' i -;63. Heater&.Vent Final '! y i- - tit_.-_-r I n2 ! I 1 ... ..� 13. Roof Draini.,.4 . I j 1 _ I - i+ 1 g -64. Plumtiing$Yste�m^'Final•!!'-''f!':.!'..--",• - , • .1 14. Rougi-Plumbing 1 I. 1 - ^ ` '65. Electrical-Final' - l .:'' - - - u - 1 !,i2.15. F1ough Ele-grricaGCondiiit `a i 1,1 I! i• --in---:-' 11 . T IC6.j Sola�,Sq m-FinalT-- '--T- - -`; - - ' ? • - - E ."7-:"--,,i 'x1.6.-:1RoughnElectric Wirings n I � I r 1;t71,17 i t'm ii"m j o I n i.1671-Fencingg &:Access;Approvalz7,-; = 4-71"...-c-:-71-71' 7 ,c-i- —Si p;, :{n -. g9 L. : I " I Il I= II 1 -7- i � �I ,-4CIf i . . c : .-VEDFOR'PLAST• ERING ' • 1, . ' c , +4 ': 17. Rou h;Winn Si n2 o 1' '1 18.I,Rough'Elecctrical-T Ber Ceiling it j, ! : • City of Costa Mesa Development Services Department CERT! F I C A T E OF OCCUPANCY No. 0 0 1)iy 8 5 Building Safety Division • P.0.Box 1200 Costa Mesa,California The Building located at 747 RnTFWQf.RV RAY has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. Use of Building OCIIDCMENIUM Legal Description 418-131-17 (See reverse side for Metes and Bounds) Building Permit No 8-7531 Electrical Permit No. E-9631 Plumbing Permit No. P-7589 Mechanical Permit No. '9060,ht-9718 _ _ Number of apartments and/or guest rooms ISSUED TO: Building OfficialAC -eG4,>t FY M.D. JAMS CO. , INC. by en/,./: 2950 ATR AMY AVE., D-9, COSTA MESA, CA. Date 3 ;L A.4 e KY i This Certificate of Occupancy SHALL BE posted in a conspicuous place on th.Gremise�and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File I _ Applicant to fill in all spaces except those within heavy bArder lines and sign all appropriate declarations. _ ' _ _ __ _ _ _ CITY OF COSTA MESA, i PERMIT NO. TRACT NO LOT NO. BLDG.NO. 1 . . r, y . :i `` CO_NSTRUCTION PERMIT : " • �'t ; • +• p .7 S. �9 " .- -' , -' ' Lt, ,<. , '-07951 `6/21'1831 • I °. 21.00' ;TL . _ I • , } Applicant's Mailing Address—}/�} 'I ' K' 'n- ' t 1 - ' TYPE OF CONSTRUCTION NEW' ❑ ADD U ALTERATION_' U-REPAIR �+,, 1,� i Project Address Tggq' - -/t'+1 enl'Pl i - _�/ `�j • .❑ CONVERSION _❑ DEMOLISH 0 OTHER 1 I _ _ ,+ ' „ I+_ , 1 t Owner's Name '/'�I�j�eS ('7) -Phone /q Z33/ •DESCRIPTION OF WORK - I _ -, - _ I "/'JIJi -I �I LUa - - °c rn.-' 1 •: •. - I _ • • _ I - ZONIN ONEGULATIONS Address! I OF PERM U GRADINGFJUj FOUNDATIONUSTRVCTU A P' # ZO ' t . ' ! TYPE IT RAL NE I t Arch/Eng.. '1 '- Lici:nse No '- - I ' I ❑ T,ENANT ❑ ELECTRICAL' .y'J, • PLUMBING; ❑'MECHANICAI-'I •PLNG-REF.# ' i - 'r. c> %BUILDING, 1 r:• ' 1 i i F D OTHER , x I:. 1 -• •o ! eF rnary t eT I \' Address [ t - - ' ' _?r-� • - SO BUILDING - 1 ' •, rf I 4. m I ,' 1• : Phone')-7 17-TC/ PROJECT DESCRIPTION SO. FT., - OCCUPANCY PROPERTY LINE REAR YARD(TO P/U. • r Contractor's Name • //;p� c, ' - . ,v , I8 - • CONSTRVCTION TYPE ' ! VALUATION • f .. : EFT SIDE YARD 1 I RIGHT SIDE YARD 1-? i Address.;mailing) ' - Sn $ - - Li - I I I ' - ZONE i �` • GRADING CU-YDS: • f' ,ACRES 1; f f'. _P,KG.SPACE.REO. I PROVIDED t ' ! _ 'L' License No. 7�� , ... - LICENSED CONTRACTOR DECLARATION I I " . I Remarks: I - 't: 1 1 , .0 7 �3I/. I } ' - ; STREET WIDTH ' Ic PARK FEE$ '� • ,;hereby affirm that'i-am licensed under provisions of,Charter 9(commencing , _ E, p - , ' • with section 7000)-of Division 3 of the Business and Professions Code,and 1 t.- I I i _ SPECIAL CONDITIONS: • L - ) I my Ikenie:Is In full for a andleffect. I _ i�tl - I • -, i I ' l� ;itemise Class• '-1 r I S I I. •cense No:' I h/V I i PLUMBING , j i 1 i I I - i i I I I I - I Y io))e ' r' i A Signature f /-. . - :.'. 1L.:_I i I 3 • - ' t _ d"a"ORKERS'COMPENSATION DEE LA RATION • : F ; 1 Q ' Bar Sink I j ' I Sewer Cap i I .f I I I' i , ELECTRICAL ' ) certified'If-Insure era certificate-.1 •--?_. .-..we' ' t _ '__ ... - Automatic Washer _.-..._, _-w�. _._ ,'Meter 0over.100 amps !-•.. -- .._ 1 hereby affirm that ;.have a Insurance,,iertificate. f.conse rt to Se B80kflow Prevanter` , '/ r COnnectlOn - 01 Workers' COnipeosatiOn Insurance,.or a copy thetepi (SBCLIOd�%, - - i 3800, Lab. C. : i 1 I - ' - -- - _ _ Construction Pole 1 _ Sub Panel ! I j 5s�/AX "T/u/.-2r/R • < n • • Backflow Irrigation I Soar Collectors ' - I i l Policy No. I• '7 Company I YUI ) ' / - Cooking Unit Sub Pole 1 1 I,�p•Certified•cb y is hereby furnished. .1 n' I I' f • ! I I▪ -• / Bathtubs ' Solar Piping a k 9 I J�-Certified copYJs filed with the city Building Division. j/1, I - , Dish Washer I I 'Motors 00-11112 011/4-8 ' r /Date (!''/ ' �* " Applicant 'I�if' :_ . �A In ✓..I Clarifiers I }u_I_ 1 Solar Tank i : _ _ . • • I EXEMPTIONIFROM WORKERSI'COMPENSATJON DECLARATION i •�' Dish Washer I I ' ' ! ' Swimmin Pool w/Spa I .�] — Dryers ❑Gas' DElectric•-ry, 'I ;Ina Solar,❑9 15 HP 016-15+ r i ; (This section neetl,not be completed if the permit is for one hundred MOO)or • i( ' i g J. ' ' ! less).. I I ;. I -• , I Fan, 1I Microwave } ' , ! 1 certify ythat Icy performance of the work for,whio this permit is issued/31 yi Drinking FOuntam5 i Urinal , 1. 1 1 ''f I ' I 1 I t 'shall;not employ,any person in any manner so as to become subject.to I the,I - = ' I F.A.U. `/I 1 Pole Light ! .I 1 ' Workers:Compensation Laws of California.) 4 • I I I ; 1 I 1 Floor Drains! . ; , / Water Closet.. I } — i I. 9 I i 1 Date' +- 1 Signature i ; 1 - i...._ I ' t • Norkers if;aftermakirigrovisieclaratlon,you-should'becou mustect to the-;- - I �--• - - - Fixtures _ .- ,Range- {- _ _ Workers•, Compensation provisions•of the Labor• Code,. ;dee ed revoke . ' , 4- j comply with: such provisions",or,.thisapermit shall be}tleemeq revoked- i IF • ' I Device Bokes ` ` I "Sin • I ) ','CONSTRUCTION;LENDING AGENCY i. `+ Gas Service. ; rout!ets. - .1-TA' fWaterSeryice •-- I S- I F1 ,1 9 - 1^ • I • I herebyaffirm that there Is alconstruction lending a eric for the erformance ! '•- Outlets f. 1 j 1 e 9 y' ! ' Interceptors l �- ' -' f --. I ' I . :� I Q I r ! Standing Sections '1 I I of the -work for which this; permit is !issued (Section •3097 pv Cy - f _r t 1 , - , • , Langer's' Name-` ; - + - - i / 1 1 t. ; i m _- - - I ' -1 Switches I •' I -'Trash Compactor , - . 1 KRchentSinkl j ••11] r a I I I r 1 j'Lender's!) Address 1 i '' I : I I' I a I o I : 1 s - ' ' 4:: ' x ^' I • I ( Lavatorlesl T 1 's t t) i Garbage Disposal i lr , I OWNER BUILDER DECLARATION , 1 , c' . < j _ _ ,1� I I 1 - I - ' I hereby]affirm.that I am exempt.from the Contractor's;License Law for the - - I i I ' , • i r P-Tia ! 't ' - - •- 1 I Generator, 00-5 KW 05-15 KW ' following reason;(Sectionr7031:5 Business and Professional-Code: Any city or, , • , rap; - . 't. J , y, i : . , - ' ' ounty which requires a permit•to construct,alter improve,demolluch permit; , , „ , Transformer 015-50 KW I 1 ' r I y structure;prior to Its ah uance is requires puns the'applicantior such permit" I Roof'Drains. . - 1 ' 1 , I • i I 1 1 i file a signed statemen bthat he/she Is licensed pursuant to ctionovisions of - _ ' 050+KW: Rein coon Foe ,he Contractor's License Law;(Chapter.9 o comm) or:wlth:Section-7000)of • •r • .-• I - ?Pe I $15' • Division 3 of the,Business and:Professions Code) ori that;he//she:is!exempt Showers T. - 1 - a 1 . ., • Reinspe- . Fee 1 $16 - ' therefrom•and the,basis for the alleged exemptcts thny violicant to Section ' I - Meffir' OLp to 100 amps !Issue Feel ' .7031:5 by;any applicant fer",a I permit subjects .the *applicant .to a civil )'s ' I 'a - 't. 1 - ♦-Date $��j �nelty of not more than five hundred dollars(§500):" %• �- I _ Service Sink i T , : Issue Fee $ 3 - - f i ' ' J I i + i Zoning Approved BY : , • , I, as!owner of the;property and, employees with wages las their sole I , I ! } ! ' I compensation` wiil7O the work;and•thProfecture.is not intended or offered i = .1 , S • j j MECHANICAL j I I ; Application Approved By 1 'Date i ' for sale)(Section 7044) Business and;Professional,Code:,The'.Contractor's ' - , , • License Law does not apply to'an owner of a property builds or improves , Boiler . _.{ t i Refrigeration System I ' q lication Issued B r;Lam, ' I • I Date "-�- thereon,land who doeal such'work himseif/herself or through his or her own i , I + PP y • ' employees, provided that such'improvementst Intended or offered for ' I - 00.100,000 BTU 0100,000 BTU• I , sale. If, however,the building or improvement is sold within one year-of corn- I 'Under.Ground : I isDuct- ` SUMMARY OF FEES Motion,the owner will have the burden of proving he/she did not build or im- 1 f - I I ' rove for the purpose of sale). ; 2 : 1 I I ; Duct-Structural j System Repair/Alteration I. ;BUILDING PERMIT $ 1 ! SMTP 1 1 $ U I,as owner of the property, am exclusively contractingiwithllicensed con- - _tractorsto,construct.the,project(Section.7044,.Business and.Professions Cotle:_., - Duct Ventilating ..-_�.. .,_' _, _. .- .i . .i -!..• ! - 'PLAN CHECK $ I , PERMIT ! • The Contractor's License Law does not apply to an owner of property who J 1 ISSUANCE ; $ ! , builds or Improves,thereon, and who contracts for such projects with a con- I Exhaust System 0 Multiple 0 i ' ;PLUMBING $, /� •- i ' tractor(s) license pursuant to the Contractor's License Law)' i - . - • _ - ' // I , ' ) ,PLAN CHECK $' i (O• ! I GRADING I $ 1 0 tam exempt unbar Section ; i i B.& p.C,for this reason FKepl/Fact.Blt. ,CBO# ' r • '• ; : ' : , I $ I � l � t ,ELECTRICAL $ ' + r Date ' 1 1 Owner; : I I ' ; • -! Heating'System&Ducting t ' , 1 1 - I I l 1 ! + ( I ! MICROFILM I $ ' 1 1 1 I1-hereby certify-that-Il have;read-this application-and-state-that th`e`above--'� ' 'DO-100;000'BTU'0100,000 BTU- - ,PLAN CHECK ! '$ - - ' - information is correct. I agree to comply with all city,and county ordinances 1 , ' . I , , , I -j : I I t TOTA L'FEE' $ I ' I ! and:state laws relating to building construction,;and hereby authorize repre- { , i •MECHANICAL $ .1-'r ; sentatives of!this:city tto enter•u711 the above- entloned property for Hood o, Typal OI i f I Rejnspeetioa Fee tt $15 I 1 ' LESS j Inspection purposes' i ,/�/n S h I Canopy) Type II Of 1 : I + + i • ,PLAN CHECK' $, + Signature ! ( . .Y i nett/a �,� u-- '7 1 1 1 i ) j I IADVANCED PC • $ i ' ! Drivers' License or SS# , I , 1 i Registers I • t ; i Issue Fee j 1 • $ 3 ' ? , I ! I FINAL FEE' I _$ 'OZ • CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' . A . .- 3 ccoNsTRucrioNiAND peANNir . ': °.c is>'fe . 1- ,;e.-.. "2 --.��-'0-3 `1Lt&SPA •: _ ) L--,:,,-•"2 ,o i :-c• r '' h z ii > ', c• ' c - z• s•.Date,V.I a-- peetor - - ':•Date :Inspector c .-7 At Permit;#- b• �. ,y:'APPROVALS P:-..- - 7 e . ., tt t r .., m it .: iJ v - „l - __ ?.� 1;:?_';/ _ ..G -4'd. ] ] -.4 ;;.,9, , ,! '" rz.Remporery iElectricalService or•Pole M • ''c . 3"..4 3'.'21 52`Pool &tEquipmerit'Loc ttion -1-! --4.---.•, - E • I :E..-c ' ^' ', _ ' ' y C 1 y c i' 1 t � 1 ry .. c .. L , c i iJ 2! •Soil Pipe=Undrgrnda := 15'^ > 5 .Aiiii ..• E , t�53 Steel Reinforcement t .-1.''..'e•,;`:'''.;‘-i• ' .r; 3t Electrical Conduit Utility-Undrgrnd1 Is; 'I p_ ;L ,I.,1 -'Forms;;!--=i_ ;=_1 SFr_ '.n`-^, ; l _ - • }v' „ J rE Electrical Conduit-Undrgrnd._ >: I -'- ',.>' . ac o •.....4.:-. ..-- . 4-.4 -4`55 Electricl Bonding.r' : s..4 : : •' 4 4.7 s I r _I i c P I '2', r g ^^ l'.71,-, £ r,c '- Rough 1 .5 Steel;Reinforcement I ;;; x � I a o g �� << m' r,c,-; ;'56.1 Rough Plumbing&PiessureJest., _ d ;; II. , + • -' t.-1 >o' 2, c rcan �� i -- '� - - ' 6: (Electrical LIFER Grnd.l a P2 I %;.•;,--;' F t , 57: APPROVALFTO;COVEliGUNITE'- ' 7. Footings' :1 ' ' I 1 ' 1 ` cr 1• I e; r ' -' '" - -1 I'58 Electrical.Conduit-Un,:rarnnl o1' ., I 'r •! 1- i i 1 9 C D l r t., n S Q a ., 8. Founaatiori I I '•-!' '`. t -i 61 r• ` j° 1 ;t9. Gas Pipe ❑ Undrgrnd- Test ' -1 i 9. INater�'Pipe-Undrgrnd.. i I Th-�� lt:_ I ' r 1 = T" 1 160. Backwash'Line&' Trap,'0 Undig`rnd.t.. _ ,' I ' :=_`:✓ 10. Structural Fio`or System I n . . t - fIJ.. I 1,61. APPROVAL TO_DECK �.r E.; :, 2",_ ;; ; ./ t . 11. Property Sewer Line&fHouse'Connection: n 1 1.€-;4 1 , 62. Backwash&`Recepfor Final I • ` v • 1 12. Sewee•Cap ; 1 I I g.,• 1 -i o -1 n° "' , 63. Heater,&3VentFicial, 'o '4 • I ,y 13. Roof'.Drains I I ^`^ ' I1, .' 0" lir... Flu i'64. mbing:System ;Final --, :.- - , 1 i a 14. Rough lumbing ' i '< 1 1 lis/41/4-7,-e; ,65. Electrical=Ficial ^^•" _ - ' . 1 • • . C. ' f;=15 .Rough'Electrical=Conduit- 1 ,.-t--j -i -T` -667 -FiniIT- - -�T-' - '"'' 11 14-r R . T -ITr.,- I _Y I I, , viii 6. •Rough-Elec2ric,Wiring; , L174 n i i .., n : C .: 67. F &/Access Approval' - • - •- ,n i • r- c � --r''1 1• � ..ra iI _ I 11 II n1 . : la, - I . 1 -_ I� : Ic Lancing- � f = { ' ., . � r: 2 rr17. IRougkWiri'rig;Si(MO -' = �''-' : I.:2 I }I M l t 1 T = l ! 68.I APPROVED FOR PLASTERI'N'G' i -c'1 �- -' 1•1 .ii a.. r.�' l I ,I ISI ? 01oI <. 1 e'10 ,1 .-I r . `r: . ' n 1 o J ilia.)rtFciu)h,tieiri&g ,Ba^,Ceiling, II II I : 1 I •I. :m I o II 1 '69.I POOL/SPA SYSTEMS7FINAL , _ I • ' ' 1 ` Is- _ . si i •19:Bough°Heating&IAir Conditioning n I 13-I ' I I t, 1 1 1 l FIRE DEPT.•REQUIREMENT: 1 L 1 ` ' 2 =1 2 it0 20:IRough�Factory Fireplaces I l t I , ' I APPROVALS(- !Permit'# _I - - a ' ' n ' ' r. ._,-al , > .. Ii I •: I t II i , I I I 1 'i . 1 I r _ g 44 11 " I D'ucts,�in Structure "' i 1 I I 1 I I I I I I I 1 Ig I ' ' .I _ ' t E Y - I :I 1 'I ! 1 t 1 70. Under round Hydro , e 3&22. ''Ducts, Ventilating !' : n i 1 I! II 11 ! I .EEE 1 I I I I71.I Product Piping O Gas OOil H I • • • ' I E. X23. i ... pe-Rough &Test i I '(l-.•.i •I IT I I-''i 72.1 Underground FI•ush i i•:, i , � ; 1 T�r24. Roof Fl 1--='g , ; 1 z° I I.9 II'a II`� I +I o I v 1•11-11 r . ":I: 73.1 Uridergrnd.Storage Tank O Gas-.0 Oil• ` ! ; 1 'g, I 25. iRdo`f Sheat hin'g I i lit } ps II^ I 5„1,-,,x 'a- 1,- I V I=ti ;I.' 74.E Overhead Hydro `? • - D,�-26. IT-Bar Ceili g (Structuraui&'Monocoat° I - ; 1 ,v I It 1 1 1 • 75.I Dray Cherhical r ,; . '3 ; 1 ' ' ' I i t• I 1"'1 , , I t 11 I n t '4727. 'kFrame and Flashings : I I II I! H z I I H I I :76 Dry Standpipe i i • •, It „ ' .- 1 I 1 I I '' r 28. PLathing &Sidiling1 8 o I II ?1 I X77.1 FIXED SYSTEMFINAL. I 1 1 I ii ' '' • Hi. 1 ! I I I` 1 I I I , 11 c J 2o._uInsuIation = - i c " F I I 11 4 I I 1 s I- 1 !78' FIRE PREY FINAL 'I I I , r I - { 1. 1. III I I I' I I i -730. Drywall Nailing 1 IMI I Il II I I I• I I i INotesa I I j • I ,`,.n I i 1 I ' , 131. .Plaster Br•own Coat I I I I II Is I I 1 I I •I I i I I s . I t' ' ., 11 - i I _. r ea ..-.,_ 32. .Electrical,Power Meter;Final I 11 11I 'I I' '}• III 1 1 1 I Ir 1 ,s I ! - I- i I I , , I- 11 9 33.jFinai Electric 1 11 I ' I il- { I I I i I i I : I ' ,I LT I : . I I I T. • 34. FinalHeating &IAir Conditioning g III I i III I 1 1 ' • lirt - -tin, rni I+ I v , 1 1 11 I I I I • I l i I Ie t : I -, ' I n ' l'' 10 a 1: O - I m rt C O l d 'J P - e. q+ a •- -r 35. Final Gas '1 a=Test 1 I`' W I _n q ° 1= 1 I'_ 1'd , ,, '� =, -, E. • n It,pi ::.� NIL`? I ,II .i 12 le I : 1 ?'I � l ^ 1 .1c1 � L.:.'A ... 1 , n. "'. 36. Hood irCanopy }i �I",,,iI3lil 'I I I(n1 ;. ' i ' 1 4 _ Io1 . I �; - r ' r . 1 4 r rI F' n 1.. I_- I Il MAI I - - . 37. Final FactoryFieplacemlil 'o1 .� 1' L° I ' l ' ,' I 1 I I •s 11 ''; _ t =1 _'' , n ' ;t _ . v: .sm , r. 38. Final Plumbing ) I • I I 1 pl I '0741! ,/,� i ! j i�I-� I � -� n.- , .ii :- 39. :a p 1 j • , I- 39. Water Seivice-FinalI I I I l S I I I 1 HI I % 1 I I • 1 . 1 I ' 1 ' 1' = • • 40. Gas Service- inl } i I I I R 1 I I ' 1 I 11 1 I I i l 1 i f I. 41. Solar Domestic-Final I ' I I I ' ( �_47_4_4_4_.1_ I __,__ i •:1I q: , , 1 I 1 t- F-r--t -i-- i -� _t , 1 , ' l I I I 1 1 1 I i l l + ' , ' 42. Backf�owlPreventerj u I i ' 1 I Nrt 1 _ l 1 I 1 t -r- ,1• '. • •_ Pa'• :.' Lest 1 ' gg�i21�' 17-. i I T;_L i c 15- + ill 1 ' 43. Backflow'Irrigation) E s I I I'._1`. 7 I ' l ° 1 "1 ° • '<� -I. I C. I I GaYi I .+n'. , .. 1 r. 44. Landscape Irngation;System I I tl.- 1 I = I ' I I ' _' . I 1 . . I ' 1 I , ;i' , 45, Sounditterivaiiori.1 I° I` I i 1 1` I 1 t� I ��I l I I I Ii I I s l= I ;'1 . _ a 46. Hands eaP Reguletio'ns I^ 1 I s IE I 1 I'. 1 i I I ! ;1 '{ i 1 ' ;•, " - c+ - - rn rt 47.'FINAL STRUCTURE & BUILDING ,a { , 1 I I` I .,I I I i I I 1.I I 'I II x r• 48. Special Requirements Completed' l 1 ( 1.. 1 1 ; I , 1 - I Special. 1 1 1 , 1 ! 4' t tri 11 1 t i . :u 49. Electr 1, ,, aselto Edison) 1 l II _ �_'� I 4_-i .�.�'-'• -' "'Z 4 4 - s �.a`i 1 I• I I ' , 1 )'1 1. 1: 1 1 I t ' N 1 1 , 1 1 50. Gas Release to Southern California Gas Co I 1 1 , I I I I I I I ` ,t ' I ": ? 1 1 1 ' .� r. I I , t 'v I I 1 „ J l ' !`_r 1' • 1 I • i 1 1 . 51. CERTIFICATE OFIOCCUPANCY 1 1_ ..1.__L-.1...-;_i t 1 4.--1-.4---.:4-......1,-- V1112.:41 ' ';t I ---)- ITi 1 I f No ':i II I I I Date I I A I ; I 11 1 1 a- .:_.l..T! :..,.-�- ,a_,..� i..._� _tel_._t__•-�.J__! . �. . . - - ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. i CITY OF COSTA MESA''' - - __ .. _ �..._., . . _. - - _.. _ _ .. , _- - --'_.- ""- ,; ,- - _PERMIT NO.- • / _ TRACT NO. LOT NO. •B .,NO: r • - . 7231 �:W La/93 . ^,9•0G T.L. CONSTRUCTION PERMIT I . , • , A4 90[OD / 7/-2 : ?6 Applicants Mailing Address 4i - • W ' S ' ti / • ad' 'TYPE OF CONSTRUCTION : E /-NEW ❑ ADD Li ALTERATION 'Li REPAIR 1/�l1'roI )ectAddress �- •' _iL' - I9.7e1-37.4; ��jj I ❑CONVERSION ❑ DEMO{tSApH _FMER. -- - - - 1_ Aowpers Name 7 "` �� 'hone 97%'�74• DESC RIPTION OF WORK , ;rico - , - - I . ) f _ ' 111 - - ZONING REGULATIONS'. . ' 1 Address - .50_ ' fa )' 0.01', TYPE OF PERMIT , u•aRADING' LI FOUNDATION. ❑,STRUCTURAL ', A.P.7916 ' � • ZONE * ! , ' ; •- r l.• I • Arch/Eng - - License No.• - -- ❑ TENANT 0 ELECTRICAL ❑ PLUMBING IN'MECHANICAL �' - - - y BUILDING( ?: : I , ' ` i' - • PLNG.REF.* t f h. ❑BOTH ER '•r' - i.. ( ••cP-fwnry I'VE cr t . Address - " - QI,��-[ � nCc'•q �•�� TO BUILDING • Contiector•sName :JG✓I-fC�t- ( 'cntci'Phone' 9J/ � ti 'PROJECT DESCRIPTION, SQ.,FT. ' ' OCCUPAN i RePE-TY _INE I REAR YARD (TO P/L)_3 , r /(�.�yp✓,,,/O.ftC(///[,�[1 �7 , - F •LEFT SIDE YARD i • RIGHT SIDE YARD, • ' Address(mailing) !:512695/- „..ow s-( 7CI19/Ou KKI�{ - - CONSTRUCTION TYPE .VALUATION$- 10 — : . L // a-� I ( 1 I - , ZONE ` GRADING CU-VOS.. IACREG R PKG.SPACE REQ, ' • PROVIDED y t J License No. S - o + _ - ,. • LICENSED CONTRACTOR DECLARATION • • sr- ' _ • Remarks: ; I 1. STREET WIDTH , 'PARK FEE$ , _ ,� I:herebylattirm that Pam Ilcense0 antler provisions of'Chartei,9 (commenting ' - �,_ 7•' / ” - 1 I , with section 7000) of Division 3'of the Business and Professions Code,and I 1 • = I j I SPECIAL CONDITIONS: t' + ,' 1 ' my license{s in fu for and effect. { ! ' aG9r,/9,6 - + (, < + • ; ansa Class -nse No - t ' PLUMBING 1 ^ } 1 . . I ; I 1 ' I i 'a •• " -• Signature e c - '. WORKERS'COMPENSATION DEC LA•R/ SON 5. 4 ; Bar Sink , 1 Se Wer Cap ' . { • I ., , , ELECTRICAL , ',: of. Wo y affirm that I have.a.certifi nce.of consenttto self-Insure or a certificate - 1 Backflow Prevent' -' - 1: Server Connection'-- ' _ ._. Automatic Washer... _ 'Meter Clover 100 amps' _ ' I of, Workers' Compensation Insurance, or a auntie copy there '(Section ' - .. - "' - - '- " ' , • 3800, Lab, C. • T - ' Construction Pole . ' ;Sub Panel' N/��y1 (l (� /PBackflow Irngabon Solar •Collectors , _ 1 Policy NO. �'✓v/ - U Company (y'•w� ) - , -• Cook mg Unit ° , Sub Pole ' . ' " - 1 j *certified copy Is hereby furnished. j /• Bathtub: Solar Piping ' l I , I i Cert; Ie op 111etl with the city B�ftlin�,pLyi5lon. Q //�1 / I Dishwasher - • .Molars 00-1 HP 1:11%-8 Date /0- x.0 • Applicant' is nneto,,, SN�1-r'(_,Cs'1p�' Clarifiers Solar Tank , I j - - ' EXEMPTION.FROM WORKERS'COMPENSATIOM1D-ECCARATION _ - Dryers ❑Gas ❑Electric' ' "-Y (This section need not be completed if the permit is for one hundred($100)or Dish Washer Swimming Pool w/Spa , y 'Inc Solar ❑9-15 HP-❑16-15+ , less). I + , ! l Fan, I - Microwave- I certify that In the performance of the work for,which this permit Is issued,I i . Drinking Fountains , Urinal - shall•not employ any person in any manner so;as to become subject.to the i , ' F.A.U. .Pole Light I I ' • Workers'.Compensation.Laws of California.: , Floor Drains: .; . i . . Water Closet! s g i Date Signature ^ . ' Fixtures - ' ' ' NOTICE:If,after making this-declaration,-you should become.subject to-the-i •-'• Floor Sinks-- - y - Water.Heater -- 4. _ ._ . i. _ .i -,_1_ _ ,Range__, 1 i , 1 Workers', Compensation provisions of the Labor Code,.you must forthwith. ! Device Boxes comply with such ,provisions-or•this permit shall be(deemed,revoked:_ ' Gas Service :Outlets Wates Service '- y . Sign' -. ' - I • CONSTRUCTION,LENDING AGENCY ' •' - ' - I I hereby affirm that ther I a construction lending agency.for the performance- Interceptors' 1 4 - , - ' Outlets ' • :Standing Sections ' • • I ) ' of the work for wt) is, permit is;issued (Section 3097: Civ, C.), - - ' Lender's' Name-' • . /t/dntIt - - '* r ^ -- Kitchen,Sinkl - I - Switches , - I iTrash Compactor , • • f Lentler's- Atldreii, ' a - 1 . 4I ' OWNER BUILDER DECLARATION' .i '- a I ; l I . 1 W I Lavatories, ', _, l Garbage Disposal - ! ,,, { i I herebylaffirm•that I am'exempt•from the,Contractor's.License Law for the ' .Y ,, p Tra I ' - r - : -. f Generator ❑0.5 KW 05-15 KW I • • following reason;(Section'7031.5 Business and Professional Code: Any city or pI .• • - I r 1 1 ' Aunty which requires a permit to construct,alter,Improve;demolish or repair L` - c a• , - - , • Transformer ❑15-50 KW I ' ya.rY.structure, prior to Its issuance, also requires the purse plicant he' such permit I •Roof Drains' , p I I ' • -tb file a signer statement that he/she is licensed pursuant to the!provislons of I ' _ - 05U+ KW ' + • the Contractor's License Law.(Chaptfe 9 ons Co ncing;with:Secshe-•i 0exe of i - + • : ' t io -• , ( , Reinspection Fee �, 1 $15 f .Division 3-of the-Business and:Professions exemption. bn that he/ihe..ls.exempt i - Showers !.t _ a ' r] I - ,1 Reinspection,Fee. $15 - , 7031.5om-and the basis for the alleged exemption. Any-violatiot oh Section • - - - v ' _ - Meter ❑up to 100 amps 'Issue Fee. '$ 3 by-any applicant form'permit-subjects the•applicant to a civil I , S 1 ' ' , ' e 1 ' k.5 _ ' •penalty of not more than five hundred dollars($500). ; , , y , ; ; ( Service Sink• •• • 1 • ' ,' Issue Fee $ 3 Zoning Approved By ' • I ' :Date I ' + LJ I,raslowner of the;property 'ort employees with wages`as their sole _ I - 1 ; I I ! , . - ' compensation will,do the work,and,the structure Is not intended or offered I • .L , ; ,3, , I j I -,, MECHANICAL I Application Approved By - .Date ' s' - for sale;(Section 7044, Business and,Professional.Code:;The:Contractor's _ - y�� License Law does not apply to'an owner of a propertylwho builds or improves 1 - j -, : .` i • I Refrigeration System ' • , j •. ' I -[O- I?r thereon,+and mho:does such work himself/herself or through his or her own ' . Boiler- _ Application Isibed By Date , employees, provided that suet)dmprovements oral not intended Or offered for I - { ❑0-100,000 BTU ❑100000 BTU I. I .I . sale- however,the building Or Improvement Is sold within one yeario/cpm- • Duct-'Under:Ground ' ,• , I I - SUMMARY OF FEES . pletion,the wneriwi11 have the burden of proving he/she did not build or in.- , 4 , ' gave for the purpose of sale)- , I . I I j 1 . Duct-Structural ! t -4 System Repair/Alteration ,BUILDING PERMIT $ 1 j SMTP $ U I,as owner of the property,am exclusively contracting;with licensed con- i i , 1 i. I , .tractors to construct the project Section-7044,Businessone Professions Cotle:_,- . L. Duct--Ventilating_! 1_ „_ - ; I :PLAN CHECK; Sr "' ! PERMIT •' I The Contractor's License Law does not apply.to an owner of property who ; - �" --" ' I builds or improves-thereon,pursuant eon, antl who contracts for such projects with a con- ' ' Exhaust System 0 Multiple❑, 'PLUMBING $ I ' ISSUANCE I - $ (_ tractor(s) license pursuant to the Contractor's License Law): ' l 1 I - ' ' ,. J • - PLAN CHECK $ i ! GRADING f $ ( i ❑ Pam exempt under Section 1 ' ' - B.-&P.C.for this reason 1 I 'Firepl/Fact.Blt, ICBG# '• I I $ ,, i ! + • I - I f . t ELECTRICAL $- Date Owner` - 1 • i - I ) ating;System& Ducting - - • • MICROFILM $ PLAN CHECK $ ' -I-hereby-certify-that-1 have-read this application-and state that-the.above-- �l,-s1 v-100,o00:BTU 0100,000 BTI-- - _ - - I I Information is correct. I agree to comply with all city andpounty ordinances -( C , 1 1 ' ' ; TOTAL FEE l $ • and'state laws relating,to building constructs above- hereby authorize repro- Hood or. Ty-pe I ❑ , I MECHANICAL ', $ - i • ientativei of i this city, to epten u•• the above-mentioned property -for • Reinspection Feat $15 , ' LESS i • ' ' inspection purposes- 1 Canopy -Type 11 ❑ :PLAN CHECK j $ -1 { �/r-ITO - i i ' ADVANCED PC : $ • Signature ' ' - ell t ✓/ Oate/a- �_7 { Drivers. Licensa 0455 ' 1 i Registers i 1 Issue Fee j I $ 3 1. FINAL FEEL $ �r CMF 0866-46 rev.12 82 White_ __ . __ _ ._-_. _ ._ ._s _._ -:,... -_.- _ - _ .... __ _ . _ . .._. . .-- -- _. ___-. _ / Building:Canary-Applicant;Pink-Accounting:Goldenrod-Assessor • - _ - --'"- t -,., ZIP ;err -. -IU':.• iL_&SPA -aoc n 0.-QCONSTRUCTION:AND-NS _ 2, -� g<- it o � ,t ,� F•-: I a I im `=_ ' 3,Date 'Ins ector - ` Date .Ins ector s• APPROVALS m Permit#" - 1 5 P t• APPROVALS .Permit# •• P .-.iV 1 0 ti . n 19 ,,,nI 5..:N sr,. I , _ ..r. _ ,. ,.^ r ,. ,r ,rl,j Temporary.Electrical Serwiceor''Pole Ns .y `'n2,. J° t�. ; :L52.:Pool &r E_o''uipmentLotion:;_ `-''c: _ - , i 1 - ii .1(5'6,2 -, , I r. - 1vco. f ID; c-"' !,,4,-: - 4,...: r-0 ' .. : cn'vJ -fi . .t^,+ ;so' r - - i , . 5, : v z? Soil Pipea-Undrgrnd- = I �,o� - - • - r n' a _:5,`3 Steel Reinforcement ?_ ,:y - • °• - ) -` 3! Electrical Conduit Utility Undrgrnd! 1 ¢ `= 0 1 ;54 Forms o "'c 'E +I M ei 4: Electrical Conduit-Undr rrid�`'` - E ' a ' i. -; - ,.- .- - -_. - - ,;' _ g s t j >'s .'55: Electrical%Bonding.;, _ ,E. '_ - ; •"' i AM 1 1 1 a 1 r1 -1 1 nsi, 2'. EuiiY .v ._ 1- '.a- cc l i , 1- 1. " 9tc: cy c 1 n n. ,c - _ . I '- __ v - ' 5; SteeliRe!nforcemenf ,,�'.' d ;w a ,.c. : r ._ is n..,...-. .,,,_56.• Rough Plumbing:& Pressure,Test , I, '- m 6: Electrical UFER Grnd.I• i-o gr,?-' p : r-'- ^ •l >n ' „ 57 APPROVAL T4COVER GUNITE, "t'' ; - c•,-! - 7 7. Footings• , I 1:11:1 I O ?m •I;i r(; F !;.r ail-`• - 58'.Electrical,C.4-yiduitnil? =Undrar : ° .'-' »'• , , _ ' , -P, 8. Foundation ! 1--I 1 a;= 1 -F.' - C. -'. i^ 7,,v i ,59, Gas*Pipe;0 Urndrgrnd:;Test"' `r - -, i `'1 ti o = „'I 9. Water Pi etprfdr rnd. I - . r ' - - : ! 1 I ,P v 9 I o� o. � " no _ - '60. Backwash Linei,'P�Trap,,O Undrgrnd. . � . ;,� ,� 10. Structural Floor System I .l o b I -, . r ' ' Fit61. APPROVAL SO DECK c� • •a:ai 11, IPropertq Sewer Line&1Housee'Connection. ' c� _ 1 '62. Backwash & Receptor Final ' '• - _i - I, - d i o 12. Sewer'Cap ' I r I I c u '.i �. ; c ;••.t ,1 t-.2_ '"a !_'63. Heater&:'$$ Fina_I - 'a *9 ,,, ^ rat, ` I 1) ' 1 1 1 1 I 1 t, - - , } .-•. I a_^'_ _ OL - '. 13. Roof1Drains I-,1 I • ^< _J I. - f I , o 1 ';64. Plumbing:System`FinaV- ;,• e;,2 ,: I �! ! 14. iRough.Plumbingl';1 I �> i 1 - ' I = i ' 65. Electrical-Final :c- ., - . , • I •.' A' iI : v - ItT15iR`u'ti ElectricaltCM1dult`ir i 'r , I I 1--_ .. .� _'-- -- -__ -., .._ .. 9 ! `7 ' i---r-i-1-I -I66.; SolarlSVstem-Finaf�- i I` -� _ -("' c. -6. ;,'a)6. Rough-ElectriclWir,ing, �+ I ^4. ! tt I,mt tit, 1 Tic ti-G c i_ .12E :Access^A p'Foy.aI`' ,-;]'- F =:Y-"1' -,=i ! '' 5 517.'Roug Wiriiig'Signr s2.S• I tn .' III 1 i 1; i - i '_ 12 ! g i, 1681 APPROVED F,ORTPLASTERING 1 ' j "; La; ' - _' 1 18. Rough':Ele�rical;T;Ba^,Ceiling) II I I c 'g• I_ I I• 169• POOLSPA SYSTEMS FINAL 1 - 1 - i , 1 40 19.JR�ugh1Heating &1 AircConditionin'1 u I )Ly/, epi � ! ?FIRE DEPT•iREQUIREMENT? ; -- I I 'i ' 1 20. Raough;Faicctory Firip!ace; I • I II I1 I I I ! I 1 , APPROVALSI 1 Permit# '' ` I �,I ,' 1__I I 1 l 21. D'ucts.in pDd2turea m I I • -I It h I I I I I I ' 70' Underground Hydro � ' I I - ` - ' '0 1 'I i U 0 j 22-tDucts,Veniilating f I r I, I II II I I ' I I i I 11714 Product Piping O Gas O Oil _ I-. i., IN I .. i �7 1123.[Gas-Alia-Rough& Test o, i• I IIS 11 I ;-�--- T'I I ° .�-^- -r - -! ' , , I ! '72. Undergrounii FlushI n. I • Ic24.tRoof-Frarning'I ' I i (9 I ' I IIS iI- i t !I I v I -r n I3 f 17-3.1 Undergrnd.Storage Tank-O,Gas,D Oil t j ' ; r a n 1 , i -S 4 u `� 2 " 1 �9 1 1 I 1 1 1 c 125.1Roof,Sheathing I I I � I I P'I' I ,-; 1 Q-I�_ _ = I '1 ;74 Overhead Hydro I €:. '. c ' ' : I sl 11 y �-26.:}1Bar Ceiling (Structural),& Monocoat�I• :i I r ( T i ;i 175! Dry Chem• ical ; - ._1 1 • ' . . I t 1 t I 1 I ! '1 1537. Frame and flashing; 1- I I 11 II I . ( '' i I > ' I 1 176. Dry Standpipe I - % I s I 128.1L'atliing &:Siding, n o 1 I II it I I I I I I 1771 FAXED SYSTEMiF.INAL i e r : , f I <' ' iv 129.IIInsulation% ry ' a c' ^ I I II II I I I It1 1 i 1781 FIRE PREV. FtINAL , I •' I I q 9 j`30.i0rywall Nailing 1 >�"1 I I I iI I; III I 1 I I ;Notes: i 1_ I I : . 1 ' ' I r- 1 _� Y--1•_-- _. _ _ _ .-,ry ,,i 1 « f_ I I I � 1 � I 1 � � I It - _ _..'�.-, d 1 31.JPlaster Brown Coat! _1 li ga I I I I I - ! I 1 . a 32,IIEIeciricalIPower Meter-Firial I •1 d. �_ I i I . i I 11 11 i t t i S 1 ' 1 irt i 4,-,_i) I I 11 _._ I- Y.L ! • X33. Final Electric I ! .1,...-1, I„ _ ! !. - _ _ -) __ __ _ _ ;i_. - i 1 34. Final Heatin 8,/,Ail-Conditionm 35. Final Gas Ripe'Testr1 MI .41 11 IRiula1 ! "rtr ":. 1 ` - ' ._, - 4 2.. c II ^: 1 (U I m R - 10 1.' :I t- ' , i v _ , C I.•� .. 36. Hoodbr[CarioPi3ci °.Ig,HI 21 o1- II 14I=, I• ° '01 ;' 1 J I T I''1 'S 1 '- I S1 : ; 1 _ ii it 1 •lc IZ F i2 I'- _ 1 ., m . 1 37. Final Factory'Fireplacen t x I nI fi I s !c 1 _ I I , i I ' :' I I -r_ I' I '- ' _ ti r� -r -, 38. Final lumbing& I I I I iI If 1 I<' i I 1'' i I I ; 1 1 I , i 7 . a; .i. _ 39. WateriiS`eI I I •I P Irvice-Final ,,yr' I I ' I . i t ' 1A t 11 II 1 I I 1 I 1 ! ' I 1 1 I I rI:- C 1 ... .. . �. .., , ! O ; 40. Gas Service-Final 1 1 I N 1 I 1 ! ' - ' n ,1 1 1 f I lit 1- a I' 1 , ' , I � I � 1 ! i i 41. Solar Domestic=Firial I I II 0 1 I__1 1 ; I,--0-1I L.'-_ 1 1 - : , 1 ' . ' Yc1l 1 I I I ! -1---1--� 1y I 'T r .] 1 , •- 1^ I I mI 1 I ! I , 1 �� 42. Backflow Freventer ){ ,pI _ • : _ • , • r,:. nl I .I C I 1 I 4-,i t^�t-�� t -"- , - '_ _J .-!. !I r I - I I VI. '.eI '°! ' 'J 'N 1i ci'', !.r 1r t>:; ,], 1 I 1 I , . I It - 43• Backflow Irrigation - I L'� i ' 1 ' ,I 011 1o,fJ ', 1-Iv1 I 1 rl2f"Ic1kl• ,• ? 1E• I IEI ;;: N. I 1 11 - U•+:I • 1 J.:1 ' 1 59 « i 1 I 11!„ !!, 1 i5 D if; 1 - 1 i i Z. I , r 44. Land Rope Irrigation ystem) i 14 .....16 13 ir_, ! I r I E i :, , ! .1: ,i i . ' 1 i 1 i• r.- ` `, , - , ' ._ - 45, SoundFAritttenuatiofQI° ImI I II ;H I In l• AI i I I I „1 I I .- 1 - t , ,.; �- 2 _ i _ii 46. Handicap Regulations, i r.- I I , 1 Iv , I Is ! 7! I I I I 'I ' I ' •I I n I ::0l' .- r. - -, " " '" 47. FINAL STRUCTURE,&'RUILDING1 lg. I I I; I - I I .1 ' ' I I I i." I i r, M fur I I ! I I II.I ,�- 1 JI ! ! 1 I mI - , 48. Special Requirements Completed •� I •' I I_W I : I I ! 1 1 11 , I ' r 1 I iI " " " ti r 49. Electrjc Release toJEdisori I I ! I I I '1 I ' I I I I 1 i I- _tai I 1 1 rt I -i -1--",---r- r'"_`._-f"--1 -i 7--- i I , 50, Gas Release to Southern California Gas Co 1 I -- ., r 11 1 1 1 1 1 1 -I MI 41 I I 1 1 I I (- I i ' i 11 V<^., 1 , v•, ! 11 t I 1`‘Iii ,-N 51. CERTIFICATE'OF OCCUPANCY L_ ` -H.i --,.4-1--,--r Il 'III I i i I li 1 l r; ,I _i_ 1- I ��_ � i No Date I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OFCOSTA MESA _..... — - t~ - - 1- - - - - -- ---'?• _;� , PERMIT NO. 'TRACT NO. LOT NO. BLDG NO { CONSTRUCTION PERMIT 1 -- , - .; , . • ,] 7 7 $y , „ I . ; I .• r, 7 ` : - • i .• l r• ' ' ✓/ 'C C"l V Li. . I _ • r� ' .-l:" •• - i r I r • •a .c ; • Applicant's.Mailing Address] ORM.-N• Na BPi-AIT1 A ,QrAUg? •.TYPE OF CONSTRUCTION lhl NEW''U ADD U ALTERATION- -REPAIR" - t. 'I 11 c 1 ',: , i ❑ CONVERSION (❑ DEMOLISH ❑ OTHER •'s• + • - • -- I - I r _ _ I • Prblect AdBress 747 Sr'hanl Py Ray ' ' - 1 , < , _: T 1 i . "p ' DESCRIPTION'OFWORK metal firepla ne ' • '` ' ' Owner's Name M.n.' Janes Cn.'= hone •'• - ,. � v - I -- : ' '" ' ' - • !ZONING REGULATIONS 4 I . f I Address{ t '` ': ; ' 1 , •: TYPE OFPERMIT I_'U'GRADING.'�U FOUNDATION ❑ STRUCTURAL r A P 9W.._ .. ,,: ' ZONE' _ I F } i r) 1 I Arch/Eng ' ' ' License No. ! ' : ❑ TENANT, ❑ ELECTRICAL! D'PLUMBING ®;MECHANICAL ' I " - ; I I �- 1 I';BUILDING! a' 1 1 0 ,'',• ' i i , I t r ,PLNG. REF #. 1 m C•PTBArie rift OT .+ 1 Address f '^• - ❑ BOTHER :: ' rte t -. I .TO BUILDING I ... I ••REAR YARD;(TO P/•U • • Contractors Name' Coast Fi•re• plane , -Phone -1 82c.'PROJECT DESCRIPTION SG FT - ! ! ' OCCUPANCY 1 . - .PROPERTY LINE >'t i ) + / - LEFT SIDE YARD RIGHT SIDE YARD ,7; Z g 1 680-N N: Ratavl A 'OrRri�a s 92667, CONTRUCTION TYPE I VALUATION$ - 1= Address(mailing) ! l - •r ' ! ZON$ - - ' GRADING CU.YDS: IAC RES : - P,KG.SFACE REO. - PROVIDED • ! i , ' License No. 16�ro'61 ' I ! I. , _ I LICENSED CONTRACTOR DECLARATION I I 1 Remarks: " I I , ' 'STREET WIDTH. I I j I , I PARK FEE:9 f I o- 1 , I;hereby,affirrn that I:am licensed under provisions of(Charter 9(commencing - - - 7, •-' , I I I - - I with section 7000) Of Division 3 of the Business and Professions Cotle,and ! ! , , ' ` ! 1 SPECIAL CONDITIONS: I I ; j ,: ) my licenses in full f• c• e and-effect. I - ' - - J ' s ;,ense Cla s • em No _ • i • - I + I 2 i PLUMBING j .. } ' i f ! 1 I u , ,y '� 1 1 ae An .Signature widIFAIVE/ or , - 'IT 1 - - - I ^ ; / - i Bar Sink ` ! Sewer Cap- ' .. 1 1 , ELECTRICAL 'i. I 1 -1 I ' _1 'vORKERS'COMPENSATION DEC •,-ATION , i r • ; - '+ 1 • -!.hereby-affifm.that,Lhave a certificateof.consent to seIfansufeor.a certificate_r _ ' : _--_ _ - 1-_ _ _-j, _- __ Automatic Washer I-__- jMeter ❑Ovef 100 amps I•`I .i_2 ! 1 , of Workers' Compensation Insurance :or a certified copy thereof (Section 'I. Backflow Preventer , - Sew¢;-Cnnection(- -- - _ -— — - 3800, Lab. C.) 51730L4- 36dCA/59Jc I : .1 I Backflow Irrigation -! 1 Solar Collectors i , Construction Pole - -, Sub Panel' I + I I • ! ' POI Ce No. Company • ; I - - -- ' , I I , Cooking Unit , I 1 Sub Pole Certified COPY Is hereby furnishetl. i I ' ' Bathtubs 1 Soler Piping i I , I - 1 1 • Certifiedopy filed with the'city ui f �v , ' I ` Clarifiers i I • Solar Tank i ' , Dishwasher:f I I I Motors ❑0-1 HP ❑1/ 8 ' ' Date 1113. ' Applicant ,,j��r``//fpp77,,��ll /�, s __- - , I I ' EXEMPTION FROM WORKERS'COMP A ION DECLPIRATION ' f $Wlmmin POO!W/$pa I I Dryers ❑Gas, 0E lectnc ' - 'I no.Solar 9-15'HP�❑16-15+' :1-" ' --'. • (This section need not be completed if the permit is for-one hundred ($100)or , ; Dishwasher rl i _ g i I _ i _ I Fan Microwave i I t I certify-that in the performance of the work for,which this permit is Issued I Drinking Fountains , , Urinal I • ` , 1 , + 1 shall,not employ any person in any manner so as to become.subject.to the I , - . F.A.U- I ' •.Pole Light ' ` - ' workers' Compensation'Laws of California.! I . 1 ! Floor Drains) ; 4''t Water Closet'. } • 1 ' 1 ' - - i g I • ' Date- ' Signature ' ' . ' - ' !.NOTICE:If,after making this declaration,-you should become subject-to-the - Water Heater.- -- ' ,• - Fixtures 'Ran e i Floor Sinks-,----_.__ r. 1_ _ _ - - _ .. I LI ' � I _• I . Workers', Compensation provisions of the Labor Code, you must forthwith I . complyCONST ,wtthl such previsions -or,_this 1 permit !shall btdeemetl' revoked � % Gas Service, . Outlets' L. I ;•'" 'Water Service _ _ 1 Device Boxes I • I j , ;Sign', I I - •CONSTRUCTION'LENDING AGENCY . '- 1 - • I • `f - - " I _ - ! , - t 1 I 9 agency P 1 - Interceptors j -, ' , ' 1 j Outlets j , v herebyI• d}flrk thator:there Is a construction Ientlin a enc for the:performance!a C.) ! , 4 Standing Sections i of the work, for which- this:permit :is issued .(Section 30 71 Civ. - - _ - •- - , Lender's! Name_' • t ' -- ' . i 4 Kitchen Sinkl j_ n ! o 1 p ' b I •" I - Switches I Trash Compactor • _ Lender's Address - - I « I , • • �: - 'Lavatories.; CI ' r' a> _' ; - • .. t ' Garbage Disposal ; ! i I 1 1 I OWNER:BUILDER DECLARATION' I 1 , .a 1 1 ), ; I .L' rj , ' , I :affirm that I am•exemptifrom ss and ntractsional cense Law for the 1 s Generator:❑0=5 KW 05-15 KW . i -following - • reason (Section-7031:5 Business antl Professional Code: Any city or , p P-Trap, c. r _ _ , , . - , 1 1I ‘1 ounty which'requires a permit to construct,alter Improve;demolish.or repair I .. I - I , Transformer ❑15-50 KW • I. •I ' ' ' ny structure, prior to Its h uance,hesis requires pursuant lican tltor such permit _ I Roof Drains. • cr : I t•: i 1 1 • I �' + I : 1 o file a signed statement that he/she Is licensed pursuant to the provisions of • - - .1 ❑5U! KW1 ' ! I • -the Contractors.Llcensi LaW(Chapter 9 (commencingiwith Section-7000)of 1 <_ I i t.- - , • 1 ! IReinepeaion Fee $15 ' therefrom t the Business antl)'Professions ption or that)he/she of Seempt Showers r l r '• ; Remspectionl• Fee I.' - $15 • - - • , i • therefrom and the!basis for the alleged exemption,•Any vlolation`of•Section ' I .e - •, ' , - r $ I . .'1 - Meter ❑up to 100'ampS I I I Issue Fee! •$ 3 j i ,7031:5 b1/4 moreplicant for=a.permit-subjects•the(applicant .to arcivil 1 - - - - - . , penalty of not than five hundred dollars($500). r j :n I Service Sink I . f ! ; Issue Fee 1 $ 3 'Zoning Approved By I ! ` 1 'Date ' i. LJ I,'as'owner of;the•property or'my employees with wages•as their sole I i i ; • I I , • I _ '• } 1.! I ' compensation' will do the work,and the,structure!'is not Intended or offered •G I L - , , 1 MECHANICAL! i I 1. 1 Applieation'Anproved By , - f nate "for salel(Secflon 7044', Business)and;professional Code:,The Contractor's ' - _ - 1 I t I ! - 1 - Llcense Law does not apply(plan Owner of a property.who builds or improves 1 l Boiler f., f _ Refrigeration System ! j' • A lication Issued B 1 I�rI /0' f ' . 'Date �, . 1v%-\ , thereon,iand ovided eslsuch work himself/herself or through his or for I _ - ' I -- t i' M i PP Y • J . employees, provided that such improvements are'nit intended or offered for - ) , ❑0-100,000 BTU ❑100,000 BTU i i i sale. If, however,the building or Improvement is sold within one yeaflof tom- I ; Duct-UnderlGiound I 1 i j ! I I .. 4 I 1 i j SUMMARY'OF FEES ` i 1 pletlon,the owner(will have the burden of proving he/she ditl,noI build or im- , ,j - , 1 prove for the purpose of sale). , I ; 1 i I r I . I Duct-Structural I I' System Repair/Alteration i j !BUILDING PERMIT $ I -I SMTP 4 'i $ I I I' I . LJ I, as own of the property, am exclusively contracting iwithellcensed con- I - , { ' 1 ' 1 ' I 1.tractors Co to,construct he,poject,1Section7044,Business and Professions Cotle:-! !_ Duct Ventilating t4 .� . - :.•M! - „ , •I - 'PLAN CHECK. : $ 1 - • 1 _PERMIT i I ' '1 I The Contractor's License law does not apply to'an owner of property who - I • i I 1 I ISSUANCE I I $ { builds or Improves thereon,and who contracts for such projects with a con- 1 I Exhaust System 0 Multiple 0 •i 4 1 ! 1 ' ,PLUMBING } $' I _ • t ' 1 tractor(s) license pursuant to the Contractor's License Law)! ! 1 - 1 i I GRADING $ 1_ I. ' • ❑Tam exempt under Section 1 ` I B.&P.C.for this reason 1 1 I Firepl/Fact.Bit. ICBG#31951 . I ! 1 I it 1 ' ' - :4 00 - !PLAN CHECK! } $I 1 I i , I .I $ j , I - 1 i !ELECTRICAL: i $ I ' • i I Date I 1 : Owner' • ' • ! t ' ' I - I t : Heating4System&Ducting 1 . I I l ' I ! i ' ' - j MICROFILM $ ! , -I herebycertifythat II have read- ` pp ' ❑0-100,000BTU-❑100,000 BTU--- ---•r•-- -- -- iPLAN CHECK! $ I• I I - this a IicatIon •state the[-the-above information is correct..) agree to omply with all city and county ordinances - 1 ! I ' '-..i t - • I (MECHANICAL 4 $ 71. 00 I TOTAL'FEEI I $ !_ I ! 1 and7state laws relating to buildi g construction,'an- hereby-authorize repre- I - 'NoeI , j r _ 1 I sentatives of It is tut t, Hood or 1 ❑ l ! i 1 • I F • yi ante ;upon the above-mentioned property for 1 , Reinspection Feel • $15 I ` LESS I I 1 Inspection put- s- 1i ( I 1 Canopy Type 11 ❑i I I I , i PLAN CHECK $ �' nn 1 Signature !� . 1 Date 11/16/831 ; 1 j 1 I j ; Iv 1 ; l ADVANCEDIPC j $ I Drivers'uteri a or Pink-Accounting;Goltlenrotl -Assessor . . .-. , . �" "CONSTRUCTION AND•PLANNIN. `1.` °•f' ' - - _ . ; JL&SPA- - - - • • o ;Date -Inspe�ctor� - ! - n ' - Date- Inspector • APPROVALS ,* Permit.#• ' - - - - ` APPROVALS, Permit-# - ;";•1: ;temporary,Electrical Service pr'PolT.e _ _ ;52: Pool &-Equipment Location = 3 , _ . :" 2'. Soil Pipe-Undrgrnd. _ ; -1= ' ` s: .. > - _ 53. Steel,Reinforcement 1.- ; ' . '3'. Electrica•l Conduit Utility-Undrgrnd _ ` •- ,54. Forms 2 - 1 '4: Electrical Conduit-Undrgrnd•..%,` , , t 'T. _& • 55. Electrical Bonding Vin- 5. Steel Reinforcement ; .,` ' I - ;56_ RougI Plumbing'&-Pressure Test .• 4 6. Electrical UFER'Grnd. ,J''--4? - ;57.. APPROVAL-TO COVER-GUNITE , - _ I _ 7. Footing's1 I 1, : I . o -,:f, (L : 1 ' 58. Electrical-Conduit-Undrgrnd. ;. 1 8. Foundatiori ' • .4 , ; _ .. L' 59. Gas'Pipe;O Undrgrnd.,Test'- 4. 4 , • 9. Water Pipe-Undrgrnd. l ,.f ' ' ; ^ _ ;60. Backwash Lines,_P-Trap,❑'Undrgrnd. ", _ 10. Structural Floor System I_'; - s - 1_7 61. APPROVAL TO DECK" . 11. Property Sewer Line &;House Connection: ._ - 4 - ' 1: 1 •62. Backwash &'Receptor-Final - • : " 12. Sewer Cap I - • _ o' __ 63. Heater' &;Vent-Final• 1. - .. 13. ,R oof,Drains 1' - t • i _ 64. Plumfiing,System -Final , 14. Rough Plumbing : I E - -: i' '65. Electrical=Final - • ' ' ,r' ' - - - ' - _.____ . -' --- -- -- --__ -'- .. . 15. Rough-Electrical=Conduit-I-"; .- _1 - -''-1--- ` ---i i 1 '66. Solas System-Final; " 1 '16.;Rough,Eleciric Wiring ! .� i ;' • -jr. ,67. Fencin & Access'A ! • -'-t--` - _- . 17.IRough Wiringl•Sign:' 1 - 1 . 1 S '. ' I l� 681, APPROVED FOR-PLASTERING , - ' ' 1 - 18.';Rough;ElectricalT;'.BarCeiling - L • ; ' :69. POOL/SPA SYSTEMS FINAL 191 Rough Heating & Air`Conditioning I , e , !FIRE DEPT„REQUIREMENT . ; - . . • 20, Rough;Factory Fireplace ! I• -4 APPROVALS Permit# i. • - . . i 21.'Ducts?in Structure is , i ;70: Underground Hydro • • T. ' 22. Ducts, Ventilating; . ^ I , 1 i 1 •• , " ; I ' 171: Product Piping 0 Gas 0 Oil I 23. Gas Pipe-Rough& Test r, 1'1 i, ' 1 ' . , 1 ;72: Underground Flush. 24. Roof Framing. ` i' M' -,1 I, 1 ; , . � .; i : ,73., Undergrnd.Storage Tank;0Gas -❑Oil !' ' 25. Roof Sheathing :in; : - 1 74. Overhead Hydro c ' 1."1 I , . • -26. T-Bar Ceiling (Structuralh& Monocoat' I : i - , _ - i75. Dry Chem- ice' T, $ -• , ' 1 ; • 27. Frame and=Flashing , ' ;I s ' • 1 _ 76.Dry Standpipe _ ' I= ! ; - 28. Lathing & Siding' I :s ' • 1 77. FIXED SYSTEM-FINAL _ I• , i • _29, Insulation - : .. : n , ,. I : , ! ' 78. FIRE PREY. FINAL • { , '30.1'Drywall Nailing ,• . - ( 'Notes: • - 11 11 31. .Plaster Brown Coat ' • '-� ' ----- - - - _ " i • 32. Elecirinal,Power Meter-Final , I. i ' I 1 . I , ' 33. Final Electric :_,,l - _ !- I ' . .. . _ - .- 34. Final Heating&'Air Conditioning ' i I I ; I ' 1 ' 35. Final Ga's Pipe=Test ,. = 1 - r 36. Hood or,Canopy `. , ;n • 1 .; ~ ._ •1 ,; :, 37. Final Factory Fireplace; i 4 I _ , , ,014.7/art( i 01;2C _ ,, r 38. Final Plumbing, , I - :. _ .. _ 39. Water Service-Final ; i� � , , • ,• 40. Gas Service-Final 1 I 1 i ' 1 I ' I ,. %• ` - - 41. Solar Domestic-Final 1 : _ ' _ ' I _ . . _. . - 42. Backflow Preventer , , j 1 .� I _ t - ' , '• - i I 43. Backflow Irrigation •-.- _ , 44. Landscape Irrigation-System, - '"i .. o _ 45. Sound:Attenyationy I -I ' •- j i - - I,. 46 Handicap Regulations) 1 r :, 1 I i-I -( - V i : E ' - 47.•FINAL STRUCTURE & BUILDING •v ; I 1c1 ',i 1 48. Special RCo equirements mpleted ' , y ; I 1 • 1 ? 49. Electric Release to Edison ___;_j_ ! __ - _ _ _ 50. Gas Release to Southern California Gas Co • 1 , 51. CERTIFICATE,OF OCCUPANCY I �i_:. , , 1. , � , . t No Date " 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 C - ,31 , f 9.249 I I/1 7/6- 5A.20 . TL Project Address' if �y'+• a'�si�Oi TYPE OF CONSTRUCTION NEW Li ADD LJ ALTERATION U-REPAIR - `VurA ���m ❑.CONVERSION ❑ DEMOLISH ❑ OTHER A.P.#, - I'Zone_ - Applicant's Mailing • id ess . • • Owner's Name . - � , 'bon- DESCRIPTION OF WORK • . - S. Main Building: . ' - Accessory Building: . ZO Address, .. • E - , TYBE'OF PERMIT ❑ GRADING•. ❑,FOUNDATION ❑STRUCTURAL T Front; , - - N Arch/Eng.. - ✓ License No. • - - ❑-TENANT ELECTRICAL ❑ PLUMBING © MECHANICAL 1 B . • ' • I n- , _ : A- Rear N Address I " • ❑ BOTHER 1 - - - �l c��a__� �� . . C Right _ ,. - • R Contractor's Nam ■'7 �,�,�• ' PROJECT DESCRIPTION SQ. FT. I OCCUPANCY' - _ Address(mailing) �__• �`ai�,, , -_�V' CONSTRUCTION TYPE VALUATION $ s Left - E 1 '���+vim I ZONE — • GRADING CU.YDS ACRES Pen Ref. Park:Fees $- D City Licence No. l - - n 9. - _. U 1 • LICENSED CONTRACTOR DECLARATION 1 Remarks: I✓ L 753 / i i - Parking Req./Provided ' - -- • I' I.hereby affirm that I am licensed under provisions of!Charter 9(commencing : • - _ R • with section 7000) of Division 3 of the Business and Professions Code,and ' . 1 • - ' "Use of Building: , - - ' E my licens is in . force a . .ffect. - , ' _ . • 'cens _ _License : ��`��lass ft i - ' - PLUMBING ( FEES Planning Notes { 1 ' 1 ' ;' M I to �� Signature - runle ----sit. gar Sink I r I■ Showers l ' ' • ' 1 . ' • N • .✓ORKE'5'CC 'ENSATION DECLARATION - - t. T ' I hereby'affirm that I have a certificate of consent to self-insure or a c r 1 I ate , Backflow Preventer i Service Sink ' ' 1 - . . I S •of Workers' ompensa on •Jlysurr ce,..or-a c tied copy-th reof-(Sec ion-., -- - - -- -. -,.- , 3800, Lab OD • , _ Backflow Irrigation I (, Sewer Cap • ' ; ' ,� •�• - ) ELECTRICAL '' FEES ' Policy No.. ( UII I+U L.0(� Company a - ' Ce ' opy Is h reby turn" . ' Ars Bathtubs •Sewer Connection, : ■ r • ' ll• eft' i tl s f ith th icy I 's"on Ars ' i i r • I 1. Date pPlica',Jy,- '� �'- ,l Clarifiers Solar Collectors • ■ 1 t _EXEMPTI N FRO W KERS"C OMPENSATION.DECLARATION '-- -. - Dishwasher " ' Solar Piping. --?" " ' • " ' -' • ..2<t-o•100. (This section need not be completed if the permit is for.one hundred ($':s+)or less): .I - :' DrinkingFountains G• I certify.,that in the performance of.the work fso as t h this permit ect t ed, I .. Solar Tank , • ■. 100 . shall not employ any person in any manner so es to become subject to the f- Workers'. Compensation:Laws of California.. 4 • r • ' Floor Drains: . ! Swimming Pool w/Spa I I , • ■ Panel • to ` Date ' Signature - f � ; 1 NOTICE: If,after Making this declaration,you should become subject to the , Floor Sinks-; 4 I. Urinal • , Fan ' '' I - -Motors 0o-1 HP 01Y-8 . / � I • -Workers' Compensation- provisions ofithe•Labor-Code, you must forthwith i - • -- -- - ' - . - comply ,with' such provisions or this,permit shall be'deemed revoked. , i Gas Service. 'Outlets• . j •Water Closet L. ( ". i , r / F.A.U. 1 Inc.Solar:❑9-15 HP ❑16-15+ 1 �. '-� • CONSTRUCTION'LENDING AGENCY.^,• ".i - •_ I hereby affirm that there is a:construction lending agency for the performance Interceptors. • 1 Water Heater , • ii Q Fixtures n f J 'Microwave I ' of the work for, ,which, this permit is•issued,.(Section. 3097 Civ 'C.) - - - - _ i/ ' J Lender's Name: i- - i 1 • Kitchen Sink 1_. , • ,Water,Service - - I Device Boxes .Pole Light. ' i ..Lender's Address ' '- ` ` I - I - • - .. OWNER BUILDER DECLARATION %. ,` •v Lavatories '- a �' Outlets I ,/ Range 9 9t , 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; i r = - u. i _, '/0 Switches ' Sign' : ' �-- -ounty which requires a permit:to construct,'alter,improve,demolish or,repair - _ - . - _ - iy structure, prior to Its issuance, also requires the'applicant for such permit i = Roof Drains- ,; _ 1 ' .. Garbage Disposal + Standing Sections, l / — o file a"signed statement that he/she is licensed pursuant to the provisions of - , the• Contractor's'License Law (Chapter 9(commencingwith;Sectlon 7000)of i ' Divisions 3'.of thea Business and'Professions Code) or that he/she-is exempt l I. - - - 1 Generator ❑0.5 KW❑5-15 KW ITrash Compactor , • therefrom and•the basis for the alleged exemption•, Anyviolation of Section -' - 1 '7031:5 by,any applicant terra permit.)subjects the'applicant- to a- civil -' ' C + I i enalty of not more than five hundred dollars($500). i - 4 Reinspection Fee i I 4 .$25! t Issue Fee $`3 :penalty I, asj owner'of. the property or my,employees with wages'as their sole ' Reinspection Fee , $25 .Issue Fee! • I $'3 - I • compensation, will do the work,and the structure is not intended or offered , . , .' a . .MECHANICAL . I. 1 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 wholbuilds or improves - i ;.T - ' , Boiler -t 1 Hood on Type I 0 - thereon,'antl'who idoes such -imps verve/herself or through his or her own - - •"'t i 'r _ Zoning Approved By Date_' I - e If, es, provided that such.iments are not intended or ofd:for - Canopy Type I ❑ - • , sale. If, however,the building or Improvement Issoltl within one year cam- Duce-Under Ground • Application Approved Ved By - Dere_ ' I i pletlo o, the owner,will'have•the burden of proving he/she did not build or im- '-- ��'4e I -Det /�/ LIrove for the purpose of sale). 1 Duct-Structural Refrigeration System ( '_ i• Application Iisued,By - / I, as owner of the propei'ty,am exclusively contracting with licensed con- 's tractors to construct the project (Section 7044,Business and Professions Code: , , Duct-Ventilating ' I I i ❑0.100,000 BTU ❑100,000 BTU 1 !SUMMARY OF FEES I . • The Contractor's.License..Law does not.apply to an owner of property-who-' _ _ _ builds or Improves thereon,and who contracts for such projects with a con- ' ••_ Exhaust System ❑ Multiple❑: System Repair/Alteration -• BUILDING PERMIT $ ' SMTP • , $• I 1 tractors) license pursuant to.the Contractor's License Law). _ ' PLAN CHECK • $ PERMIT I ❑[Ilam exempt under Section 7 e. & R.C.for this reason , 1 Firepl/Fact.Bit. ICBO# i • PLUMBING ( $ ISSUANCE $ Date - Owner,• : I ' • . Heating System& Ducting ' 1 PLAN CHECK $ ' ENERGY P.C. I'$ • I hereby certify that I have,read this application and-state that the above. - ❑O-100,000 BTU 0100,000 BTU— I j I • GRADING ' i $ ' ' ' information is-correct. I-agree to comply with all city and,county ordinances- - - - - - •-. -- - - - . . ELECTRICAL $ and state laws relating to building rut i• d'hereby auth•rize -pre- 1 i 1 1 MICROFILM $ •' sentativ •this'city to'enter, bo - nientione. er f.r ! I PLAN CHECK $ . I inspection Pur es n � � � n' � ��• •9�j) — I t ' ' I •- MECHANICAL •' $ I TOTAL FEE 1 $ LS-1/4.51-en I Signature JU"`� -'-' ��. Dat: `✓ i• Drivers'License or SS Canary- •pplicant;Pink-Accounting;Goldenrod -Assessor__ _ ' _ _ . ..._,.. - _i_ - ... _. _' .- .- 1 - .__ ♦ ... - 1 _ • . t _ 4 :< _ .: • ' CONSTRUCTION'AND PLANNIN_ - S : ' 2` " ; ,JL.& SPA : _ .. - Date. ; :Inspector' ' ` - A L ' - - • ' _ Date Inspector •- APPROVALS. Permit# 7 • ; - - 8 •'APPROVALS:-5.Permit# , 1. Temporary Electrical Service or Pole ` 52. Pool &Equipment Location - • I 2. Soil Pipe-Undrgrnd. • • " - i t :"53; Steel Reinforcement' _ - - ' -3i Electrical Conduit Utility-Undrgrnd, : i 54.- Forms ••. - • .4. lectriCal Conduit-Undrgrrid._ .. ---1 - ....cit. ; - 1:- ,55: Electricals Bonding - .:S-Steel Reinforcement .. ' ' , . o- - ,56.: Rough Plumbing`& Pressure Test - •-=' 1'6i Electrical,UFER•Grnd- . < : i ',' 57.,APPROVAL'T000VER-GUNITE ! * - 7 Footings ..1 ' 58=Electrical Conduit-Undrgrnd. - . • , 8.;Foundation _ - ;.59.1 Gas Pipe;0 Undrgrnd Test . • : - 9. Water Pipe-Undrgrnd. _ • _ •• • - ,'60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 10. Structural Floor System' !i - - ' . - 61; APPROVAL TO DECK- _ 11: Property Sewer Line & House Connection, - '"62.. Backwasl&Receptor-Final 12., Sewer Cap •. `• -'',,'' - +'_ - - , :`63.'Heater &.Vent Final : - . - 13.'Roof Drains i - - ;64' Plumbing System= Final • - r. 14'Rough Plumbing: " ' , . ' f' -65: Electrical-Final - • - - - - ' 15, Rough Electrical-Conduit"- - --- , - ---- '- 'i--T 66. Solar•System=Final _i'- - -. -• '16. Rough Electric Wiring - - - - - flI�3�3 67. Fencing&Access Approval•- 17. Rough Wiring Sign ` 1 * 4 '68i APPROVED FOR:PLASTERING • • 18. Rough Electrical-T Bar Ceiling • 1 •• • •' = 6g''POOL/SPA SYSTEMS 'FINAL] ' • - • ' 19. Rough Heating & Air Conditioning i : 1 ' r ; I ; FIRE DEPT. REQUIREMENT; /0. Rough Fact6ry Fireplace) ' . . . APPROVALS , Permit#.'" - -' . 21. Ducts, in Structure '- • I ' ;70. Underground Hydro , . 22. Ducts, Ventilating . 1;C. C. I 71.Product Piping 0 Gas E Oil i - - 23t Gas Pipe-Rough & Test; '..2,- - , r • ' 72. Underground Flush , -. . , 24. Roof Framing •‘ - - I - 73: Undergrnd.Storage Tank 0 Gas 0 Oil. ' 25. Roof Sheathing , • • �' ea 74. Overhd Hydro 26. T-Bar Ceiling (Structural) & Monocoat' ' '' , 75: Dry Chemical , 27. Frame and Flashing :' 76. Dry Standpipe , • - • , , 28.•Lathing & Siding - ' I ' ' , 77. FIXED SYSTEM'FINAL' _ 29: Insulation , 78. FIRE PREV. FINAL , • 30. Drywall Nailing .• i HEALTH DEPT. REQUIREMENT . '' oat 31. Plaster Brown C . I i i i , 79. FINAL,INSPECTION - 32. Electrical Power Meter-Final: -' ' : J7`S/ 86. FOOD CERTIFICATE.ISSUED ' . 33. Final Electric I I -b/7 T e� Notes: 34. Final Heating &-Air Conditioning: ' i . 1 ...-.--I_i 'y,�; ' _ , • 35. Final Gas Pipe-.Test - - - - - ; ` - 7 36. Hood or Canopy ' J . 37. Final Factory Fireplace • ., • ' 38. Final Plumbing I I. • r 4 • • _ 39. Water Service-Final ' 40. Gas Service-Final ; , : ' ' - • . 4. 41. Solar Domestic-Final -` _ �• 42. Backflow Preventer _ -_._• ... i . 43. Backflow Irrigation 0 • ' ' - a - " 44. ,Landscape Irrigation System , ' . • •45. Sound "Attenuation ,, • I ' r = 22 . 46. Handicap Regulations ; i.i. • .- 47. FINAL STRUCTURE & BUILDING , ' • <. i � 48. Special Requirements Completed , , r • I : - 4.. I. , 49. Electric Release to Edison ' ( 4 • --- - -• • ;--! »i,_. - _ _y._ .-..' --- _ . • ,• ,50. Gas Release to;Southern[California ' l I I • 1: , 51. CERTIFICATE OF OCCUPANCY'_,.) . � . l_ ._ 1...4_ . . No. I i r ' • i: . .-i 1 1 1 I