HomeMy WebLinkAbout759 SCHENLEY BAY - Building Permits •
' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. „-,-_ .3::::1,. ..-77:
CITY.OF COSTA MESA I I ^ •Y i PER T NO. TRAC NO ! ,. . LOT NO. BLDG.NO.
•'CONSTRUCTION PERMIT. -1 yl ` _ I - 7S�'S I • - ' .
Applicant's.Ma •
• ilin A r:- '/�•�� �� la ••g 1 ,v ' `s CV•f i,TYPE OF CONSTRUCTION', �•al NEW U ADD U ALTERATIO U REPAIR 1 - - '� 'I
i Project Address? '�(1-„ S • - • ' fie a ' ❑ CONVERSION ❑ DEM.LIS Qa}>ER -_ �� -c /)ys ( - I :_ •
;
- ' DESCRIPTION OF WORK hy{�-��y/1�\g/�M1Lf,NVs11 Irlb 'l/,I�N�y//
1 Owner s Nanm� 1. III/I1,d '�h��o/ny/est ��, t r. ' r:WORK
: - ,> / 1 :. J� BONING REGUL//��TI IyS`"1 •+ �" '
Addfessi -I /��'• II� -• D ' P'_" mss"' �� TYPE OF PERMIT- ' U•GRADING.-U•FOUNDATION STRUCTURAL I ' A.Pr#. I IJI -I-7 ' ' ZONE , ' , t - l
f, _ \Tyy//
I Arch/Eng-. • I. ICI�'/n. License asr,•' v ' 1 ; I ❑ TENANT ❑':ELECTRICAL ❑ PLUMB NG ❑.MECHANICAL BUILDING' _ I
A adri 7 ,tea - 1..,s'' P• • r ijr n , t - - -, i - ) I • 1 PLNG.REF.�k i .- ,� 'YU' UI e r e . .�•.-
' (1 ♦�� 51 - IVC.1'V / i , t , 1- • J c ! , ' _ S BLIr C/
I Address - 1. ❑ 'OTHER TO'BUILDING- /1�, /� ` J {
/ i ' - `Y PROPERTY LINE IV✓ I' Ji. )o("EAR YARD(TO P/L) q! a(}g
Contractors Nam= "'e. ► O-�' - I •hon•err' 1 ^PROJECT DESCRIPTION; SO:F . •ef TA /+ OCCUPANCY '
•LEFT SIDE VP.RD ,/� RIGHT SIDE YARD aid-
Address(marling) •1 ' 1 • ' ,•�1 ' -_ 1 '• I CONSTRUCT N VP ' ' VA U/aq,TION$ - - Ll�l.( l..l�L't - •
I i ! , • : ZONE GRADING CU. //` ACRE r PKG.SP.ACEIREO. 5 PROVIDED `a . <I3D ,)
License Nd: -__ , - . / rs '• ✓ l lop p
' LICENSEDCONTRACTOR DECLARATION ' • , , r • Remarks: 4 _ i - ' STREET WIDTH :•♦�/; i ,PARK FEE.$ .-S;I
c.I I iierebyiaffirin that lam licensed'under provisions of Charter.9 (commencing - - - !
' with section 7000) of Division 3 of the Business and Professions Code,and I j I , ' I 1 SPECIAL CONDITIONS: ! I. r ; , - • . ! .
my license is in full force andeffect, t.• I ; - 1 - , 1 i , 1 :4-: i
: License Class ' I t , •I License No '• I 1 t I 1 1 • ', PLUMBING I `' , . I 1 � 1 1 - 1 I ' i I .
'Date ' • ' " Signature 1- --. J' t I , I •h i 1 Grin n.w.,.+ .. �''^ " 4
g - - ! i - t I Bar,Sink ' ' 1 :!' I •'Sewer Cap' ; 1 : t pn U1{ 0 4 'ECTPICNP""
L WORKERS'COMPENSATION DECLARATION i 1 , { ! - - - - - i 1
..Lhereby.affirm that.! have.a.rertiflcate.of consentto.self-Insure er..a certificate.r_ _.' ' j_ ! �_ - _ _— AutURIatIC Washer .--_ _^ 'Met ❑Over 10b amps , _ -r- •
, of Workers' Compensation Insurance,!or a certified Copy thereof (Section Backflow Preventer { -- -Se --•l - -- -- - - — -- —•—+ - ;
• 3800, Lib. C.) I ; { - - , I Construction Pole 1 i Sub Panels j x j
{ I Backflow Irrigation Soler,Collect or--. s ,.
ICY No. I ` I Company • ' 1 _! , - Cooking Unit - t i Sub Pole : 1 �Y '
Certified copy Is hereby furnished. ' } r • I ; ; Bathtubs i I I 1 Solar •Piping .- - ` '3 - I - i _ :
!lac
copy Is filed with the City Building Division, I - i, •. Dishwasher • t Motors 00-1 HP 01,X$ - I
Date r ' ADPlicant I I I
( r Dishwasher I 1 Swimm ng Pool w/Spa.! 1 '�
, EXEMPTION FROM WORKERS'COMPENSATION DECLARATION f c i , +-- O• ryerS'-❑Gas y-❑Electric-" '�."' Ina Solar ❑g-15 HP ❑1615+- T"''-' '"' I
(This section need not be completed if the permit Is for'one hundred ($100)or , — - - , ,
j lessrt • i i * ; Drinkin Fountains ! Urinal. d I I' ` ' > '' f� , , Fan f • j ,• 1 •.Microwave • s -'r;, , j {
I certify_that in the performance of the work for which this permit Is IssueelI 9 , i"I I J - -
sharknot employ any person In any manner so as to become subject,to the I I 0 1 I .I ) 7\f I F.A.U. I. 1 1 I 1 I Pole Light I I
NOTICEaf afterpensation'Laws of California.! I { t - 1 Floor Drains Water Closet, I , ' - l j '
NNOTicE'Compensation;
making-thiisndeclaratiom you.should become subject to•the --.Int Floor Sinks-. ----- t - .---- - - •..Water Heater _ Fixtures ! _ ! _ Range { 1 _ i 1 • [
Workers'• Compensation provisions of the Labor. Code,.,you,must,forthwith I „ ; - t 1 _ Device Boxes , •! • Sin - t 1
comply ;with, such brovisions:Ior'this,;permit shall be;deemed; revoked:: s Gas Service! ' 'Outlets ' • Water;Service -. '+ I j ' g i -
. CONSTRUCTION!LENDING AGENCY j ; - f -. ' I • - ' - ` I I 1 Outlets ' ! ! Standing$ectldns 4 • I ' i
' I hereby affirm that there is atConstructlondending agency-for the performanc8 :2 I Interceptors I y -_ ( `• • ,1
of the work for . 'ch.,this• perms -is )Issued (Section :3097' Civ. Chi - -
Lentler sI Name:• ( $ - / • i -• 4 7 c I - - - Switches I , Trash Compactor
�" i•- i F Kitchen;Smkl ! I !
I Ltnd r's' Address• ��fi®�1h���7L7f79�Z:1i?JD�6i����T - • - y .a , t '• 1 t r i r '
OWNER BUILDER DECLARATION - I � t. Lavatories �i c j f )_ I Garbage Disposal j { I
I hereby!afflrm that I am"exam pb from the:Contractor's.License Law for the' - , - • _ I. - Generator 0015 KW 05-15 KW ' I - I
I following reason•(Section'7031.5'Business and Professional,Code: Any city or' V I ?,Trap! 4 , i+- J !' I' ,. ) ,r I !
,'county which,requires a permitito construct,alter,improve'demtllshior repair , c .. ' Transformer ❑15-50 KW ' ' 1 •
.'any structure;prior to its'issuance,-also requires the-applicanLfor such permit 1 Roof.Drains I f Cr I _ -I: I I ; I. -- + ! I I r . •
I,to file a signed statement_that he/she is licensed pursuant to the provisions of 4 - - - 1 ❑50+ KWI 1 t !Reins ction fee
the Contractor's License Lew,(Chapter 9 (commencing wltfiiSection 7000)of E I ` • I ,I-. I i 'c_ ; I. ' -• .Pa $15' ,
•
L,.Dlvision:3•of the Business'and?Professions Code)'ori that)he/she-is(exempt I . i Showers l 'n - •. , Reinspection,Fee j $15 . I i - 1
' therefrom-and the,basis for the alleged exemption •Any violattion of:Section ' _ Meter ❑up to 100 amps , !Issue Fee. I ' , '$ 3 i
'.7031:5 by^any applicant-fora,permit'subjects(the'applicant to• a:civil ! - ' -y " 4 ; - I - I • - - - -
enaity of not more than five hundred dollars($500): . . I 1 I Service Sink i , - I Issue Fear 1 $ 3 Zonis A' roved 8 '17��i�`. ! )Date fit I
' g' i i ., 1 I g PP Y
y'as towner of the property lid, employees with as their sole : ; j '
; compensation' w101 do the work;and the Professional
structure:is not intended or offered i. L., I.,,, i - 1 MECHANICAL. 1. ' i I Application Approved By ' ;,/- '' Date 6�. i •
.'for sale 1(Section 7044, Business;and'Professional Code: The Contractor's _ , - , .' •
/- p '
License Law does not apply to-an owner of a props or through
o builds or Improves Boder. j - I4. ' Refrigeration System I • I i �i '
I Application Issued By 'Date j
I thereon,-and who does,such work himself/herself or through his or her own I i ' <: ' ) i I l PP. I. -
employees, provided that such improvements ares not intended or offered for - I ; ❑0-100,000 BTU ❑100,000 BTU', ! •, I , I
I sale. H, however, the building or improvement is sold within one'year,of mm- ' 1 Dutt=Under�Grdund , ! Mill i' I I '7 SUMMARY OF FEES l 1 y�.
elation,the owner will have the burden-of proving he/she did not build or Im- j - i i i I I J,7 I, i $MIP '' I • I $ 1 'G
I pr ve for the purpose of sale)'. . I• i - , I i 1 Duct-Structural I ! System Repair/Alteration !BUILDING PERMIT. $' rr-�� ' i t
NII, as owner of the property, am exclusively contractinglwith!Iicensetl con Y i ,—I I' �;'J� PERMIT { 1 '
ry},f-yttorsto construct.the;project.(Section 7044,Business and,Professions.Code:-,_ Duct-Ventilating-_ I, L ,_, i 'PLAN CHECK 1 $ ;
he Contractor's License Law does not apply to an owner of property who I • , 1 ISSUANCE . $
builds or Improves thereon,and who contracts for such projects with a con- I ': Exhaust System 0 Multiple❑ ' I I 1 , PLUMBING : $ • I , I ; .
- tractor(s):license pursuant to the Contractor's License Law). , 1 P I I ' GRADING I ' $ ' • '
❑ !jam exempt under Section B.&p.C.for this reason I I F{repl/Fact.Blt. ICBG# I' I l I I I PLAIN CHECK $ i
'a 1 i, I 1 • 1 i. • s ! ` ELECTRICAL: $. 4 t ' I ) I I $
Date ' 1 a nem • ' 1 1 • - i I Heetin ,S stem&Ducting I I ! - I
9, V ,' jMICROFILM • $ i
: I-hereby certify at-1 ave sad-this•appiication-and-state-that-tne'a -- -- 00-100,000 BTU 0100,000 BTL -- — - -_ _ _ PLAN CHECK' $' - •
I
• information is c•rrect. 'ogre to comply w • all city and county ordinances . • - , 4 1 ! I e 1- 1 - '' , - I TOTAL FEET „ $ {
aentatl to laws Oat' to •,lid{n• cpnstr• •n,Iand hereby authorize repro- - I MECHANICAL $,• - i
sentatives of Is it• e•t upon abov. mentioned property for I. Hood or Typal ❑ (, p $15' l ' • 1 i I- I LESS. e ! t •
/ s i (. I `• Reinspection Fee' ,
inspection p• •ose + y h Canopy. Type II ❑ : i - ' !PLAN CH ECKI • �
{ , _ - 31 I i ADVANCED PC t $
' Signature I! '
F•Drivers' Lice e�55# • f • •' ..���
_ _
CMF a-55-4a rev.12/92 White Building; Canary-Applica ttPink-Accounting;Goleienrod-Assessor —� - - - -- -- �_ -'—'
•' �?CONSTRUCTION7AND,PL'ANNING; 2 g1 2s :4T1 zr".,T2c; Li;,_`k,•-.....1 '_e__POOL&SPA '• . c z -;t r r ; ' ;V. r T 0
= q s1: . s,DateC "Inspector >s - ,a„ - Date - 'Inspector o
-APPROVALS ,-;:t Permit.#-' - - .. = .:E r ;APPROVALS Permrt# , .>
,r. ,_ - _ "r ' 1,--rt 'no .i coq e " -_. .a. - . .o-. .. 1.
•1-. Temporary i -,',..ica) Service or�Pol• 1^- U r c_ ,-t, , -` c 2 12. l &:Equipment Location': , _ rt� "1
'�•2t Soil Pipe-Undrgrnd� _ I s -a; ! 1 F. j rs' �� <N ' ;53° Steel Reinforcement" :r 5▪ ; _o
i .r , 7. ,r ' I- = 1 ,. _ n i - _ _ Irk .
3` Ele-thrICa-1 CO;r111ii.lid lity-Undrgrnd! I ; - I Tae-'3 1 g'2 c'f27. 1 .,54i Form "...1-'-';;L 1:-
1
1''4' Electrical Coriduiluiti drgrrid21.. ° I =E' _ ' 't ,id d' -� ':,',4„4544511, Elec[rical.Bonding.:6 •,::::q."... ....,-`27_'i=▪ 4 - : _ ' ' i'
Xhis .,t_ -, r _ � I -'n N;I $ al =„IT
Rc .. .., - .., G ,H'�'fli;, .
5. Steel Reinforcement. ' 1 'I `- 1 � s• 4 Ep `_ n A °ca„ - : t14151‘::::137: - ;-t-r. " q=,
-
_. .- , .4 - _,i. n r:a,. , ., a: I=ei , e 2 c ;56^ Rouguining& Pcessyre est ,_ , , r�, 1.
6: ,Electiica6UFER.Grnd.1 a =' 1 - ' o - P _
"t^ Oc ;57 APPROVAL=TOCOVER GUNITE
� , • t 1�'' ' 6 -' I t. ' ` ' na ' -:58' Electtr.icaLConduit-Undrarnd` - ' ' ' • r I'
7. Footings _ _ - .
• • 8. Foundatiori' 'I I 1 I 3' I I s. :; " I F; { X59. Gas-Pipe ❑ Undrgr`nd. Test r' '' I • y '
9.'.W`ater Pipe=Uridrgrnd. I I o; < 1 1, -2, I 1 !'60 Backwash Lines P Trap, U Undrgrnd -' I ;.2,g'.:-1 i r' ,.
°F•,'.:.. v-
:..,. -
10. Structural FldorSystem I o g I;;; =,;n 61. APRROVALTO_DECK =
Applicant to fill-in all spaces except those within heavy border lines and sign all appropriate declarations
CITYedF_C A MESA. 1 -- _1- - T ._. _.. .. __ - - --- - - -- - - t _.. _• _. . • - •_--I
f - PER NO.. TRACT NO LOT NO..t BLDG NO u > 1 �, : I .i _
`CONSTRUCTION PE' ii T' i . '- '- I • I 1 75--, 3 " - I - i .0 ' i ' 1 : ' , ! :. - i • i t • • . I • , ; -- 1 ::-.-1 .7' ,
• Applicant's Mailing Addl.,- U• '� -�/�I �� ' ` • TYPE OF CONSTRUCTION ��EW H ADD,�LI ALTERATION U REPAIR 1 I 1 L I • 1 '
•
Project Address
. I h .A' - .G • T 4 .. ' _. -❑ CONVERSION -❑.DEMOLISH ❑ OTHER'_ 1 I > I ` _ • ' i C .• • 1 , • y ' •
e I
�p��� t 07@9j 36: 0 ; TL
Own-s1Name -- I_ le•' .ne- r _ DESCRIPTION OF WORK ! f - I
r - - 'ZONING REGULATIONS- I "-
11
Address1 '> T.taay/n..�t _ •# t bar Lis • r I -
--�- 1 It ) ; _ , - 1 TYPE OF PERMIT- L GRADING(-❑ FOUNDATION- U STRUCTURAL ' '-� A P 'S$. - , z ZONE c 1
I • Arch/En - I . - / License No; I ` :; - - - -r - '•: 1 I J ,. �BUILDING, ' •:, !
9 } , _ ❑ TENANT ❑ ELECTRICAL• ` PCUM GING 0MECHANICAL, 1 ;,> ,PLNG.REF ,#; I - 1 1 . • Pr rii cr> -
AddressI ` ._, I 4 r' 7 ; I ❑,,OTHER • _ " .. _
LL !� x - :TO BUILDINGC' i REA RSVARDO P/L) '+ • i
J J 9/ 1 PROJECT DESCRIPTION; SQ.FT. OCCUPANCY • PROPERTY_LINE '
ContiectorsNeme ` ho - - „REAR
- -
1 1 ' . �.a�. y •Sj?75 ;. I = •1 CONSTRUCTION TY• PE ; I - VALUATION$ - ; ` f CLEFT SIDE YARD ! ( !•-` i RIGHT SIDE YARD' i %.• �-
• AddI053(malling) 5// I • I 'P KG.SFACEIREO. - +
1. i - i ., •. ! . . ) ZONJ: I''% -- I GRADING CU-YDS: I !ACRES I- PROVIDED- tl 17 - '
License No __ - l , -- , 1 f I - ,
LICENSED CONTRACTOR DECLARATION 1 • ' "� I i ' ! Remarks: I r 1 ,. I 11�R ('SOS U 1 ! I -STREET WIDTH � • j i , , PARK FEET$ 3 1 ,1
I'hereby affirm that Pam licensed under provisions of•Charter 9 (commencing - - - • ,
' with section 7000) of Division 3'of the Business and Professions Code,and . I l ! 1 I -3 I i I ' SPECIAL CONDITIONS: I I , , , C' I ' ' 7my ilcanse is In full for ':f -ct. i ' ' ' - - _ •-'
&tense Ca , - Licen j1' ” i I - ..1 1_ , I PLUMBING i 1 1' ' I 'i I ( •I r r. t
• f
Date I ' Signature ✓. %'i. '� _ 1 • '
• Bar Sink i j • 1 Sewer Cap ; - ELECTRICAL
WORKE S'COMP I have a Ne D RATION . l - ( ' 1 - -- 1 - Automatic Washer I-_ 1 J. ;Meter ID 100 amps 1 -'S I ' <
.1 hereby affirm.that Lhave a.Insurance.of consentto d cop . e or.a,certificate- ., -_.t. Backflow Preventer - ^� SOYyer Connection'- • "-'t• --' . r-- _.
of Workers' Compensation Insurance, or a car d'copy'theieof (Section l - .-
3800, Lao. Ca�j 4341 .4 i r I� 1 ( Backflow Irrigation I j / Soler Collectors , j Construction Pole•_) i I - Sub Panel, I I i `
Policy No. E7lJ� omPanY •:{ _ _ Cooking Unit j C.1 .Sub Pole ; ! ,
¢`titled-c pY Is arab'furnished. ' I 1 I n i 2',Bathtubs I , Solar Piping i • 1 i7/ , _• f , 1 I ;
i�Cerlif d with the B in DIvisio - , 4 1 , ;_(' Dishwasher l •-, , ;Motors 00-1 HP 01%-8 '
Date ADPlicant -__-- `•! t Clarifiers -_ , ! ) _ Solar Tank i y I I i
EXEMPT N: OM WORKERS'CC PE DE LARAT N ..1 Dishwasher I i Swimmin Pool w/S • .-- Dryers'OGas' Electric•• i r 'Inc.Solar)09-15 HP 016-15+ ... {
. (This section need'not be completed If the permit Is for one hand d MOO)op."); ' I _ g pe • I - �, -- I
less). 1 ..' - 1 •{ - Fan j ';'', 1 , • Microwave ` ! I I
I I certify;that in,the performance of the work for which this permit Is Issued:I { Drinking.FOuntein3 • F I Urinal • ;
shall not Compeemploy,any person In any manner so las to become subject.to diet - 4 1 -
I Workers',Compensation>Laws of California., I i I I : p r - i Floor Drains; _ - ~- 1� Water Closet —
F.A.U. • , i�'' PoleLight 1 •
•
Date ' ' Signature • ' I - - , , • f
NOTICE`lcafter making this declaration,you•should'become-subject to.the•^ Floor•Sinks '. -Water Fixtures •__4 E y I y^ Range.-,,.._ ,L. ,- ___ _- ,(,� ,_- _
. Workers•!Compensation provisions of the Labor, Code,you must forthwith - - r i !
' comply with; such 'provisions-or this, permit shall be deemed, revoked.] ; J 1 Gas Service; 'Outlets ._. , Water.Service l-• ( I �; 1 Device Boxes ' - Sign v I i I {
' CONSTRUCTION;LENDING •AGENCY • - -
I hereby affirm that there is a'construction lending agency for the)performancel , ,; I Interceptors I �., I r' 1 IT ;,) !, 1,-j , C. I C. y . i c• j Outlets I I • Standing Sections I ,t I i
I of the :work fon which•'this,permit -Is :issued (Section 3097,' Civ C.), • - - 4 - - - -
I Lender's, Name ' - - " f r. . _ I r- 1 ;J -j • - , 1' • , _ I Switches 1 j :Trash Compactor I ,. ,
+, t = : :.- C ._ r _ �^ :_, , � ! t Krtchen;Sink c P h I.
''Lenoer•s UILDE � s �- ' Garbo a Dis oral I •
- OWNER!BUILDER DECLARATION' I% 1 v , . I It ; -; x i ,* Lavatories, •V,I I n • r 1 ,/ 9 P 1 I I 1 i I j
I hereby]affirm that I am-exempt.from the'Contractor's License Law for the - (O Generator.00-5 KW 05-15 KW ! '
, following reason-(SectIon-7031-.5 Business and Professional Code: Any city or 1 `_ P ITrapj „ -, - • - I ;; ('�- I - , ,
county which:requires a permit4o construct,alter improve,demolish:or-repair 1 - 1 - I L. ... .h • 4 r _ I Transformer 015-50 KW I I 4 1 •1
any structure;prior to its issuance,!also requires tlle'applicantifor such permit' , Roof'Drains ; r j. ❑5U+KW ,
-to file a signed statement that he/she is licensed pursuant to the'provlsions of '- y- I I I 1
' the Contractor'sLicense Law,(Chapter 9(commencing:with,Section 7000)of ) - -• t - - I I . I f ' , 'Reinspection'Fee . $15-
I Division(3-of the;Business and•Professions Code)'or,that'he//she�isiexempt Showers -r r -1 ' Reinspection Fee - $15 I
1 therefrom•and the;basis for the alleged exemption Any,violation"of Section / _ • Meter Oup td 100,amps 1 IssuB Fee• ! - I $ 3 f
7031:5 by.any applicant fora t permit'-subjects the'applicant to a-civil I l ' .: ( w - 'penalty of not more than five hundred dollars($500 . , -, m . Service Sink I ` Issue Fee i $, 3
I• ,� - ) i I ; 1 , .. ! 2 ( Zoning Approved BY ,Date
compensation', will)the;property br?my employees with wages;as their sole I , 4 I I I ! ! ,
do the work;and thelstructura'Is not.intended or offered I I I'; • ) I . MECHANICAL ' 1 I Application Approved BY I i I Date • •
-
' for sale (Secion 7044, Business)and;Professional Code:,The'Contractor's - - - -- -------- - - - ----- - I , •
License Law does not apply to'an owner of a property who builds or improves - 1 ; - , Refrigeration System i / / /LY<
• thereon,tand who does,such work himself/herself or through his or her own I Bp, . • ,. ( I , i Application Issued By Date �'c--c-`��
.employees, provided that such Improvements are,not Intended-Or offered for ' 00-100,000 BTU ❑100,000 BTU. I • '
sale. If; however,the building or Improvement is sold within one y im- Duct-Under'G found i I. ' I ; ( I SUMMARY OF FEES I
pletion, the purpose 11 have the burden of proving he/she did not build or im- : 1 - I , , I '
shrove for the purpose of sale)': I I ; -' I j ' I Duct-Structural - 1 1 I Spstem Repair/Alteration i 76UILDING PERMIT $ SMTP • $
• LJ 1 I I' I I :
I,as ownei of the property,am exclusively Business
ctinglylith)licensed con- I ,
I tractors to.construct the-project (Section 7044,Business and,Professions Code:. Duct:Ventilating f.' j _- ,_�_ __,I_. - _ _l.-_. i PLAN CHECK; $ PERMIT
The Contractor's License herLaw oes not apply to an owner of property who 7 • - - - - (- t , ISSUANCE I I $ i
builds or improves thereon,and who contracts for such projects with a con- , Exhaust System 0 Multiple O; i i l ;PLUMBING $ d`� pp GRADING , II• $ i I I
tractor(s)_ license pursuant to the Contractor's License Law)- ( I i •
1
PLAN CHECK' $ -
, 0 Vain exempt under Section : i B.& P-C.for this reason , ' Fimpl/Fact-Blt. ICBG# I 1, 1 I I I' • 1 { 1 e 1
d : j i s - , , ELECTRICAL! $'4 1 I I $ i
Date I I ' owner' I , I t I i ' Heating!System& Ducting 1 I I I : I I ' : MICROFILM 1 $ I I
-I-hereby-cer• tify that-11 have-read-this;.application-and-state-that-the above-, ----1 ❑0-100,0004BTU•D100,000BTL--= -•—t ;PLAN CHECK: $, • I I 1
information is correct. I agree to comply with all city,and county ordinances - • t. I 1 - } Ir - , I I ' TOTA L'FEE , $ l.—„_r_'
and-state taws relating to building construction,'and hereby authorize repro- ' i ; , I 'MECHANICAL $' I iI
Hood or T e I ❑i , r 1 1 ' i !!' 1 j '
-.¢motives of;this/,city,to e er:sum the above- entloned property r 1 VP ; Reinspection Fee, $15 LE$$ ;
Inspection purpos c/ 1 Canopy, -Type I I ❑1 1 I 1. ;PLAN CHECK $ '' i 7
R /7 / ,, /� / I I ADVANCED.PC I $
519nature N/' 'I�i..('//'s Date /S I i - p f i I i / I
I
Driers License or 55
Applicant;Pink-Accounting;Goldenrod-Assessor - .
i - - -• ._
c -
? °CONSTRUCTION AND:PLANNING: O b 'CI gr'7. :i 'i ,2`,-,I I'^ 2,'_ SPOOL_&SPA - F 3; ' 'C-- - t--..e!.. -
r C' 1 ' ,: n - ` : 3'Date`, clnspetor r..5 ` A • ' ' o •; '; ' _ Date Inspector •,
E SAPPROVACS - Permit:# -^ • r. ? e En APPROVALS Peimlt# • _ , _ •_
2 i. m � n J ,r3.414,:-HZ n z'l o -. F n >•0;. L w '•° - :..-7-;c 4 cc - • ,n
''‘.2 i emporary1Electrical Service or�Pole,'i N_ .i:-,7;;;;:./!‘!",,?1;a2 t£, r .;523 Po'oI &Equipment Location _ t-, <i ^f.= ; I •
r
! iSpil ,,.: ndcgrnd I r a(o ,„I.2; 6/VQ•3I C • ;lb?.
"-steel Reinf•orcement' ` r;;L?• -.•.1r7 - . '`-°•
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. Eleetticai Conduit Utility=Undrgr?d! 1, 5 r,i ori rp ? I„•,54� Forms *; r ,t `. , 7.: :,,:f;_ ^i '
L , r _
4C Electrical Conduit:Undigrod.-�itI �E ` - >' r4;,;;;?;`) i.;'''',?. ,,' •55:- Electrical Bonding . ' :11-;„:43"."-i-2";>;'..) ?, _ ! 1 w
• 5:,•,.., ;Reinforcement ',- n ^• '1, l - o r , "' E NQ ='° 56.• Rough Plumbing,. Pressure Test.G r. 9.: • I r> :T
. •6: 1Electiric I UFER,Grrid ,I a =' ?i' ' ` ','b" -::::44:i ,571APPROVALTO COVER-GUNITE - _ '•'- 1•`:j -
- a Qa_. �� ° 'L'Y yS= e.. 1I
7. Footings `- 1 I I . 1 -I o ? ' ;f ' ° -�} `t` 3t= I .`'58. 'ElectricalCoriduit-Undrn
rael.; "=' ' :`I;
8. FOundaLlorl r. I 1_..�I i . _I'3 o; E ` �'.i et•a o, ' ; 59. Gas:Pipe,1O`Undrgrnd:,Test _ '56 _ - ; •
ce tt •
o ` 1n •• _ r :.a ._ .. pi: 't: `0 Undr�nd.£' I
9.;Water Pipe-Un'drgrnd:?I ; g s k r•-•;•is' f.-; 60. Backwash Clhes',t -„rap,„ g ,y
� rY, ;�.; 'mo .. .. `mac
10. Structural,Flo`or System I -'5 v 1 's I , I:Io I :61. APPROVAL TO`DECK - - 1 ,
11. 113;14?-pe;rtjl Sewer Line.&House Connection; F ,••••••j a_ i 62 Backwash &)Receptor Flnal:' o -.`' -1
12. SBwer'Capa i '`� 2^- i' r` e ; 1 •,h '•o" I '6 I ;;[,r„ . i5-� `: ` ; 4 "t; -ie-', i
• 1 1 ••I I gq {.r • rl�-- I63. Heater,&Vent-Fina_I., r. _:�_ I '?_r
13, ,RoofjDrains I I ,•i I i - -'�,{ , ^ I ti o it; I 64. Plumbing System,-,Final%= `., . ,• .. ' ;: ' "'-' I
a 14.
Rough.Plumblng'Tea I I `u.. ' Ij /i�/ � Pe 'T 65. Electricalrial' - �- W- 'Li;'i-t :: `..i-: •' I 1 t .,
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v li
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r15:'iRou h-Electtica1:Conduit 15 ;154i- '- ' -" T;---'-'-- -' 1 '-
9I 766oSsiem-Final.- ,
� 16.4Rough-Elee'tric Wieingt , F I pit_• F * trbi 'E'-ir --`- - --
1 I tl� tri7g417,14-1 � o m r "67. Fencing&_Access:Ap`p�oval''c- ,=-�'_
n urnf m' •I � s I � ' n ( •nI - I����_ I- ! 1c . uiT - . _ _:_� c
X17, rRough*Wir ng'Sijnti ` 'r ' " o z v a' !68.1 . 1i8.APVED FOR'PLASTERING I
18.�IRougt ElectrigalTTl;Ba7,Ceiling'; II i i �i- 1 i , i T ' r i.1 69.J P000SI?A SYSTEMS FINAL : ` ' - • ? 1- I 1 -
19. 'Rough'Heating & Air;Conditioning I , = 1 ' I I 3FIRE DEPT.1REQUIREMENT I�. ° ' ` i `
,, 0 I � 4i' i I i:. 1 1
20.'Rough;Factory Fireplace' I I ii 11 i I J i I I APPROVALS; 1 Peimiti# s! 1 , i � �:. 14 •
.-J/F.- , n t •n ! sem ' , , , i I I
K o 1 F: l ! I I I 1' I ', I h 1 I 451 4.
21.fDucts,,ln Struc�-turev I I I I ( I I 1 Underground Hydro ;1 i
a 1 1 I I 1 I volI i
`• it22. Ducts, Uen�ilating'r G. t;Jl r If I I ' I 1 I 171•1 Product Piping 0 Gas 0106 , I I j • I ' I '
L 1-23.tGas-'Pipe-.__,,,i& Tesi g (, ,{ k it I f I ,, U -',Y2-
72.1 Underground Flush! r ( I i r I
1
.c iC ', : c:, ' 15 I,.JI 11:- t I ' i X I I f 1 ?i7-31
24. Roof Framing;; {I'8 `k I r I c c: '7:3 Undergrrid.Storage Tank 0 Gas-O:OiI 1
t ,
. 1 25.;Roof Sheathing I I i 7 I✓;i l,11 . I, 1 I`-=.i i r I' : : , ,74., Overhea •d Hydro 1 ._ , , I 1
• 4-26. iT-Bar Ceiling (Structuralli t Monocoat' I '1 k I �I '- 'f-'i I ':I 75 Dry Chemical I - I !' - - ; I !
" <27. (Frame and*lashing I $ it jr i it 1 >1 ;2. I ' i 176.1 Diy Standpipe { ! _ ; ! `p. I r`
f' 28. Lathlin & Sidin : i 1 sir," I I ; I ' i •
g g � .,1 ;77.1 FIXED SYSTEM�FINAL fi. � I � I
1i_29IInsulatlori j z 1 `.b T I I I! ;I I I I I i I I I 1178i FIRE PREY. FINAL • , ,'' I . I o, i
', ia30.IDrywall Nailing i j I .; I ; 11 11 1 i 1 I . I I 1 ;Notes; 1 I I I -'i - i I I
o „31,,,Plaster Brown Coati 1 I 1 i• II i' I -i--1 1 ( II 1 1 i i l ! , I :i f i l- --i
• •, p I , 1 11 1 . 1 ' 1, ii :I r ' ' I I I
.2 d 32.LElectricallPower MetertFinal li --_1. I 1_ i _ 1 I' 1 I I 1' ! , ii I i I I - .
,- 1I 33. Final Electric_ I 1 I I l 1 i : I_1_� 1 _1-..1. I_ !--.L'..... 1. 11....' - .. - i I '
-.)....-4...4,--t- . - _ .
34. Final Heating& Air; Conditioning I i I I I I 11 I I I 1 1 I i • n ;; q
,: , . . '�, .. 1. 1 •1 I•, 1 t, � I } rl� im Ci '-1 I.: i , t._ • - - a r,• - a t, 7.
-
35. Final Gas -, a=Test, _i • = - .1
36. Hood or , 1 .4?: r. I _ n < I ! , ; Its - _ _ • - r ,
I, f .I '1 r I m': I nl N 1' I.•'.' 1=.' 1'2 j ^. 1 , � I "' l o l � "' t , u - -. • n :? t• El: c -(
37. Final Factor15 y Fireplace: I I iI 1 z 12 i s I ^ I ` 1 I 11'I i ( c 1'. '^ =• , ,, ,., C• _ : '
I i
38. Final Plurobiing I i I 1 1 s1 1 I : 4r2/F/1 - I I 1 I I s' !1'c --„:„;;;/I I , ,1
39. Water Service-Final) I 11 • i I I ' ' I '�-, I x = I, I }
lid I I I I I 11 I , I I = ( 1 i _' I , - '4
40. Gas Service-Fin• al I ' I 1 1 ,; 1_ I I 11 ; I I I ! I i I i - I i. I�
41. Solar Dognestic-Final I I I I n lit_ I I t-t- 1--a-+--1•-i I_ Ir- ••� �� - ,
811 1 1 1 • 't- - , .
•
„ 1 1 1 1 , I it I 1 I 7 , I l ,
42. Backflow.P,reventer a I n. i !.� !__! I I ' i
�ht1S QI " 'fir ; } j1�-. f ;:: l� li. 1 ice- I I , r .
43. Backflow Irrigation ;el I I i
WI; ,u t ,v I V..' 1 ' I.3 . - i -'I %• . : I ; ! .71 'i I. 1 I . I i1 •
1 ^
II-s-I 1-:'•1 '.11 1'L 1,3Ib ul UI1I _1 • :Iit 1 I 1 I . ,
44. Landscape Irrigation_Slystem I ' fig.;1. .2.;1'it 1-, I =1 !, I. 1 1 -' 9 i i
4 -..4 ,f , ' 1IQ I 1 �f ( a
45. SoundliAtten-uatlon T' r. 1 4 I I 1g I= 1 I �2 t -'I I I i i, t' i 1 g 'i, ! I •11 ," 1 - r .'y ii s 4 .
leu -I : { ai.. 1¢ . I I _,•i l I -_.1 I _ -
46. Hand;ii Pi Regulations I rT I I 17 I I I I_ I s.t i ! i 1 "I ^ i , I i c I '.;.. - 1: ,;I' r i ,ri i
47. FINAL STRUCTURE'& dui LONG iT ; I I ; i _� ' 1 I 4 i r
48. Specia'I Requirements Completed 1 1 11 I •
I-i 21 1 I I I I 1 ; , I '' I, r ' i 1 ... - n+ -.
y 1! 1 1 I 1 I I 1
49. Electrt Reldaseito•Edison) I 1 1 1_.1��__.., .'-�,.. 1 i _ .!____1.__..!_i _I__14 ..i _• I A i; i •,I'.
n ,, 1 i I I. n • I I 1 I 1 •_.A I- I '
50. Gas Release to Southern California Gas Co I I I • I I ! I I , I I 1 I -
1I 1 r .1 i , I G?
� i. I I 1 :- _ -
51. CERTIFICATE'OF OCCUPANCY '' 1 1 i__ -4 '_'_ - _J._: i I ' i • I 1,
No I! I ( I Date I ( i �_i I y I '� 1 I ( I i I t i i is+ .
Applicant to fill In all spaces except those within bean border Ilnes and sign all appropriate declarations. _
A CITY'OF COSTA MESA' _-., ..I �_ 7225_1.0/.13/83 .0. :TL
. • ,
1 PER�`^�T O. // TRA TNO. LOT NO. , BLgQ NO. ; I ,, 1
' CONSTRUCTION PERMIT • -' 1 , . c- 1' • �d$4 �87/?- . �' . 01 .1 : i
• Applicant's Mailing Address - as 4' MTV� ' / ar max[ � TYPE-OF CONSTRUCTION- • NEW IJ ADD_ ALTERATION U-REPAIR ,: ci C _ r '
Protect Address• ' rim wile �, Pr '.-a�-r ❑ CONVERSION ❑ DEMO off R' - .- - , _ .
Owner's Name ' I .! i 1 - ••'hone I'71L-t`3�7� • ! DESCRIPTION OF WORK 'L _ • _ - •
-
_ - - 'ZONING REGULATIONS
Address • -'s -zsaL��•q '• u����� ^ 'TYPE OF PERMIT. 'U GRADING •U FOUNDATIO1-ryIy. ❑ STRUCTURAL A.Pi,# -` + , ZONE . • I
DLiCense o.
Arch/Eng::•'°SOA; .s... Ea • -IF • - ' . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING, L�MECHANICAL • 'BUILDING '
_ - _ _ PLNG.REF.tP _ acme•••••nil c-r ' '
Address - ' • ' - ,G,T• . 0,OTHER - .TO BUILDING: _
q>"�!r/�rind.
�.�L-Phooe. 7 666o' 'PROJECT-DESCRIPTION $GIFT." " OCCUPA PROPERTY LINE - "REAR YARD (TO P/L)
Contractor's Name • -
Address(mailing) 6t w' �.,/_Io ' 4 '�,rtM.1•ZU ' : . • CONSTRUCTION TVPF • " I VALUATIONS LEFT SIDE YARD RIGHT SIDE YARD _
License No. DI�d7y�. ZONE ' _ ' . ' GRADING CU.YDS: ' •ACRFS • PKG.SPACE'REQ. PROVIDED . "
LICENSED CONTRACTOR DECLARATION ` ` 1 ! - - 1 _. •PARK FEE'S '. i1-
• Remarks: es �-7 �f STREET WIDTH • •
thereby affirm that I am licensed under provisions of Charter,9(commencing _�+• - !Sox uJ ..
with section 7000) of Division 3 of the Business and Professions Code,and • 1 ; , " 1 ! ° i SPECIAL CONDITIONS: /"-
my license-Is in full t C effect. 1 - - - ' • . . I I
Ucense lass• c rise ,' 26.€P11 :
f 'fl�! PLUMBING ' p ! "• I '
Date fp Signature - ` Bar Sink Sewer Cap ELECTRICAL'
WORKERS'COMPENSATION DECLARATI - - , - '-
I hereby affirm that.•have a certlficafe.btconsent.to self-insure.or.a.certificate Automatic Washer_ _ :Meter ❑over,100 amps ,
of Workers' Compensation Insurance, or a certlfie copy thereof (Section - BeckflOw'Preventer , - Sewer COnneCLOnI '-- 'j^` > A - ' '- Y
1 3800, Lab. C. - -- i Sub Panel I
• rr,L,Df G!' /YM TW 4 c Backflow Irnganon Solar Collectors Construction Pole
• Pollc'yy No. ✓ /A.7`9 Company /�"� fri5 - I -- -"-- - '
Cooking Unit ' • 1Sub Pole
❑ Certitietl<bpy Is hereby furnished. 1 ; Bathtubs ( Solar Piping 1 I .
(k Certiflpp pygfiled with the city Bull DI si /� , z.-t,. I • Dishwasher , . , . ' Motors 0'0-1 HP ❑1'h$ ,
I Date `//' 'l)3 Applicant- ' I�L.� l I Clarifiers 1 _• I Solar Tank :• -.--• •
-__ . ! 1 ! ,
EXEMPTIO N;FROM WORKERS'COMPENSATIONLARATION i ( t Dishwasher I 1•r • Swimmin POOL w/Spa ' , Dryers ❑Gas'-D Electric T,I nc.$olar 09-15 HP-016-15+^ i I
(This section need not be completed if the permit is for,one hundred($100)or , , _ 8
less). r , 1 1 , ! - Fan ' I , ,Microwave '
' I certify that In the performance of the work for which this permit Is Issued I ' I Drinking Fountains I Urinal I ` • !
' shall;not employ any person In any manner so:as to become subject.to the I ...�. - - ' • ✓ ' I 'Pole Light'
Workers' Compensation-Laws of California. i - , Floor Drains; • r Water Closet' • I i F.A.U.e - I I"
Date I• Signature ' ' r - Fixtures ' 'Ran e-
NOTICE:If;after-making this declaration;you should become•subject to the- 4'• Floor Sinks - - - - -' - 8 --- -
Workers' Compensation provisions of the Labor. Code, you,must.forthwith -` - - - - Device Boxes Si •nl , - I
comply with such ;provisions'or this:permit shall be,deemed revoked- . Gas Service. •Outlets •: - Water Service • 9 , i
CONSTRUCTION,LENDING AGENCY • Y - - - - Outlets ` + ,
I hereby affirm that there Is a construction lending agency-for the performance ' Interceptors, , i I - , n• Standing Sections ' •
of the work for..Wh is; permit is 'issued - Section •._3097' Civ. C) - - - - '
Lenders' Name •
,• AJV�1.C.�-
' ' •• - 5 ' '- Switches l " Trash Compactor '
. 5 Kitchen,Siak ,.r f 1 "s r :: I P
Lender's Address' •' -- - " , I r Garbage Disposal ,
OWNERIBUILOER DECLARATION 1 '' • • I ' `-' • I Lavatories l 4 ! .. I , I., 1 9 P
•
I herebyiafflrm that I am exemptlfrom thelContractor's,License Law for the' , - _ Generator 0015 KW 05-15 KW ' � ' ' '
following reason;(Section 7031'.5 Business and Professlonal;Code: Any city or I - P-Trap) Il , I '� : I'_ I _ , . ' .- f I {
county which-requires a permit to construct',alter Improve;demolish:or repair , - - I Transformer I '
any structure;prior to its:issuance,'also requires the.applicantlfor such permit Roof Drains; _ - , . ._ i I 0' 15-50 KW ! i • I
to file a signed statement'that he/she Is licensed pursuant to the;provisions of I 1 I 0' 50+KW !
the Contractor's License Law(Chapter 9(cornmencing'with'Section••7000) of s 1 T ' -- IL ' , - I ! . ,Reinspection Fee $15' I
Division 13 of.the Business and Professions Code)or,that'he she.;islexempt ' - Showers r; s, '_- ! s , r , ° • ; Reinspection Fee $15 _ i t
therefrom•and the basis for the alleged exemption,-Any violation Section 1 - - Meter Oup to 100 amps ( ! I Issue Fee t
,7031:5 by••any applicant for-a:permit,-subjects:the'applicant to a-civil 1 ' ` ? ' ` " ! - $ 3 ,
enalty of not more than five-hundred dollars($500)x' 7i• ' . ' 4 , Service Sink, 7 : Issue Fee • , $ 3 - { i - I
1 Zoning Approved BY 'Date i
LU I;%as;owner of.the:property or my employees with wages as then sole r - I • ; 1
compensation' will:do the work;and the!Professional
not intended or offered I T I 'pi _- •• , • MECHANICAL I I 1 Application Approved By 1 Date
for sale:(Secdion 7044; Business;and'Professional.Code:,The;Contractor's ; _
License Law does not apply to'an owner of a propery who builds or Improves t Boiler ' - ' i Refrigeration System I ' , /,,,j : O!/ -���
thereon,'and who'doeslI Application leaned By 7 ; 'Date
such work himself/herself or through his or own I �^ I t
• employees, provided that such'improvements are:oot Intended or offered for • Duct-Under- •' I - 00-100,000 BTU ❑100,000 BTU';
sale. If,-however, the building or improvement is sold within one'year of com- ` Ground 1 t i• • ( . SUMMARY OF FEES ,
pletlon, the owner will have the burden of proving he/she did not build or im- I '
LIRave for the purpose otsale)l i - l , i I I •. , Duct-Structural ) ,) f System Repair/Alteration 'i , 'BUILDING PERMIT $'; ' ` SMTP ' $ j
I, as owner of the property, am exclusively contracfing(with licensed con-
tractors to construct the':project (Section.7044,.Businessand.Professions'-Code: I _... Duct_Ventiiating"_- , - (. - _. - :, -- _._,,.i _• - a I , •,PLAN CHECK, $ I PERMIT ' '
The Contractor's License Law does not apply to an owner of property who , - 1 - 1 f- t i ISSUANCE . '. $ '
1 builds or Improves thereon,and who contracts for such.projects with a con- , I Exhaust System 0- Multiple 0' ) , ' !PLUMBING , $'
tractor(s) license pursuant to the Contractor's Lice•nse Law): s ' I ,PLAN CHECK' I $ ' I GRADING ' $ '.—• I t i
0 lam exempt under Section B•& P.C.for this reasonFirepl/Fact.Bit.ICBG# I •
j 1 ! I f f I l f $ • I I
1 - , 1 • , , - y - -ELECTRICAL' $'
Date ' i 1 I Owners I 1 ' ' ' ' t i • Heating System& Ducting , • I 1 I ' : MICROFILM i $ '
.b hereby-certify-that 11-have read this:application and-state that the above- 0100,000 BTU 0100,000BTtT="- _1 .�- PLAN CHECK $, i
information is correct. I agree to comply with all city,and county ordinances ' - - 1 f I , , I _ 1 I TOTA L'FEE I $ f^ . I •
and'state laws relating to building construction,'and hereby authorize repre- I ' , 'MECHANICAL I $ ' I 'l
Isentatives of.this'city;t ener,upo the above-mentioned property for . Hood or Type I 0: - ` I• 'Relnspeaion Fee $15 ! 1 LESS ••
inspection purposes, 1 Canopy .Type II 0' , , . ,PLAN CHECK' i $; - ' • (• •
Signature I ! ,4pte 0' - r i I I I ADVANCED PC , $
Drivers'License or•SS $ ° '4R ' Registers - : Issue Fee I ( $ 3 • ' E •
I $ q�
FINAL FE •
,
CMF 086546 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor •
-
n nCNSTRUCTIONANDPLANNINGr1.!r.'
w eta` m,ttz o ,`s -14r:',:',.7'013,991.-..,8! PA 722v _ J , _ v n
W ? I " s` ? la ' -. .r: ;,---- p ; 54Date > r •Ins,pector - , - 7..--c;:. • Date Inspector
y APPROVALS p' Permit# ?- I ' ; vAPPROVALS Permit4 - c ',o
13s..,:: i _ >o' -- - I
ir• '1; Temp'oiary Electrical Service or-Pole $ 1111:i c 3 I p� _ $ t:.r52 Pool &'E ul ment Location''°--o - - ' ! :`-- d
f. D2 l^ I q t .i ! ._ n:4 1 - S_• t- ,., q P cusp, r : n o
✓ Ti I ,3 c r1N Lai , G c ""' 'io. 'IrC ti I 5 v ,t .. F w ' _ r> • , : I , t
pl. ISoil Plpe-Undrgrnd:: = s.•o� - g E -• >, �. �a '`53- SteelReinfor.emerit _l•Ey,
-�! Electrical•Conduit Utility-Undrgrndi -'t ,;�, -,.i „ 'g.0 u• ?= ':54,.1`Forms„- -r .;I!: _.!;T:•:!••°.n= _' $ = I ;N i w
ai . ,-- 1 r • 'g l e., f e r,- o> wo ' .675.... Electrical Bo'ridin 1' �' ' - t_t 1 Y
. QrnElectrvcalCondult.Uhdrrnd.,_r I0 _ . Iyz� , „J.y � > _ g'�'t- • s'Y , =�41
'steel
- 1 1 '- - o ! c - 1 .-�o
W. , !Lt ; ;t1 L ., , , r i Iit, c; f _ N. o o ^56_ RougF; Rlum,bmg&Pressure4_est o , ,. , _ '• '�?;
6: IElectiicaliUFER Grnd. -I a'r°� j -`=1112€ o« >'- C 1572 QPPROVALoTO COVER GUNITE_ [ "'- ! 'b • ' !! 1_
7. Footin s • ! `I 1.-^. ..; ' :n 4 I a . . -4 1 5. - -'58� Electrical_ =� I i." I
-r- g Ir. o I ^ .. . Con"duit=Undrom�loq&.'
8. Foundation'-I j.-,-`j I ' : Qi S. " ti' ;..i - 1 'z59. Gas;Pipe o`undlrgrnd:;Test` ' '° -` I `t.; 11
3.1
9. Water; PiPe;Uridrgrnd. :! j o� •_ ' �, _i 1, ...1:;.;: � 60. Backv✓asF'Lines',P-Trap;� Undrgrnd..''! _ ! ,.-3.=. :1, i
10.�Stiuctural,Floor System I = c 'tj ., `h, .n -61. PAPP ROVAL'TOI ECK ;...--;7.:::_i: ; : • 1 -'-
11. ro property Sewer Line& Housenn -`' -' - ' : - ' '
P � P K Coection; I f � d- •• L62. Backwash &-Receptor-Fihal_=�� - •
12. •SeweiiCal 1 I I-r I • l / 5L ; ;'63. H &
eater, Vent Firial. 'L'''-o ; 1 I -14•7. ', 1
i 7. n
13. 'RooflDrains I I 11 'a . . I ," I o �„ '64. Plumbing`System - Final=%f qu_ o r •t -
it 14. RoughPlumbing. ;' i • L n I < '. ! i ' - - • ' .65. Electrical:Final ^ - ^ • ' ` - - ' ' I ' ' ''"
TO
' ''f15'SRou MElectrlcal:Conduit-r-r-r-,----i -I'__ �'"' -- - "!!-', "-'- -`'--' -
vs i I' g - 1 fl i �j I f j 66.E SolarSYstem-Final ,• '--7 -� `, r
. IIa16:Rough_Electric Wiring^, H I i I I (r- • t m I:��jr-.±(,41.,..:17.--Jr, I.T. 67:rFencing &Access_Approvahl��1 - :n ;r-isr-
c is 7. IRo'ugt%inng'SignPO ra m I " I • p '� -I i': I S I f- ;0;1 ;121_ -768 , APPROVED FOR._PLASTERING i. i.• 1 1 r I- �.
« � 18. l'Qu hTElectnpl'TIBa`r,Ceikn II r I . I i r c i ! - I • ; u ,. . 11 I o I -- ' •" ' '
. •• 9 _ 1 9I �� i ; I: 1 ! i � I „, 169POOL/SFA§YSTEMS'F.INAL ; , !2I - , , , I ; i, 1., , ! 7
4.
1 .1 19i Plough Heating &!Air Conditioning I 4 -1 ' I FIRE DEPT REQUIREMENT- : I • I F I e- I r :
y � -1i� • o 1 1 .Ir. c, 1 1 1 N 11 Lie ,
'! I I 11 I I I ' 31- ° 'f_+ f ,� 1 I--'
tt$ 20. Rou h,Factor Fireplace I I •1 I I APPROVALS, Permit# - ; ' I. 1
?. . I,ni e n ,J m 1 _P> i 1 1 I ! ". I 1 1 l r , i '11 ^
•t 21 jD'uhts`in Stru'lture_ H; 1 I r.l !I d. III l I I I I !Vol Underground Hydro ° I I I I ,
! " I PiI I ! I • i22. Duct : Venilating IaI' 1 I I I i71.IProductPipng0Gas OOil i 1 , I !
-F !Ducts, n. 1• II
T.r 23. �GasPipe-Rough- &Test - I_ FT 1 1 I I ! 172. Underground FlushI ',r ' I I
1' . 1 - i•li I l ' ( _ �1 l 1 I.n I
^'I-24:•IRoofFrariming 1 ! ! I .I .H<Ila,,,,I'a i^,'I 41;;;_!-,;72 RI; U
I� i73., nde'rgrrid.Storage TankD r-:OOiP! : , ' '
;Gas Las: , I I ;i: I I hr .I- I ' I- 1- . !t I. I r' 74. Overhead Hydro i „ _ _ _ � ' ! '
1,26. 11ar Ceiling (Structurap,&.Monocoat' 1 IPI."'I a i E. 12I i 75.' Dry Chemical I a 1 , k, ' - I 1 I I I I z !
�1271Frame and'Flaihing 2 I I Il II 1 . ' '11 I I ' ' I 76.• Dry Stantlpipe 1 IT !` - - i I I I ! 1 ' '
S: h - I R i ! :1 1 1 I H 1 i ,
• e
41 28. tithing &'SidingI Y c i I . I it d I 1 I I 171 I i '?77.1 FIXED SYSTEMtFINAL j'. ':, i r; I . ! I I 1 .
1 1 • I a I t l I , m ' r..
, 29. Elnsulation ,, , ? �, , I .-I. II. 1I I I . I I I I. I ;78I FIR , PR,EV. FINAL , • _
C. I I I ; I I „ , I I
F ' c f,v� � 1 1 I 1 � -
o 1230.• DrywalI Nailing I >•-I N I I - h II 1 I I I I I , INotes:I 1 1 'f I 1 ,
D1'''.r X31. „Plaster Brown Coat 11,;11 ! I iI 'l l i I I I I I I l 11 I _ I I - • s ;- -;. --,---i- :-
R 4-32. IEIeciricallPower MeterlFinal 1 II ill I I -I ! I_-! I I 1 ' I I i ' 1 I l , I i`I
1 1
z 33. ,Final Electric I t I 1 I ( „ I '
5 1._- ? I 1 ; i 1 1 i ,;_t_R� i I 1 1 1 1 I_ '._.. ..-1 _ _. I. I-
34. Final (!eating &kir,Conditioi in //�j 1 ' ✓. 3i
I, -:.•-,x• rr 1 : 1 ,- 1 09 p�p i T��/ T ( ! 'i I 1 1 e _
35. Final GaslPipe,Tes1iiy1,• j ''I 5! 1! I ; 13 I3I= 1 ` 1., 1.-; '`-' . .-- 1`.!".I.. Iw ,� I•- t p '2. . ,.0 .g !.-:, ; r, m "
N 1 ^! •!_ 1! N 4' D I t�1 > I Q > -- 1 - .-1 r f p r �
G
I `1 !;•t,
. `;1 I^ I I - I 1 - - ! 'n 1 r •
I t L - 4-! - ' -
36. Hood or Cann' 7 tl I I :. 111 . _ a
0 Ii I pYc'I I T I y I Ff! 6 I' E 16 (-�` 1 M1I I .I i i • . :1 � c - G .tt- Y -. _
37. Final Factory Fireplace,. I =h oI A 1-, :5, 1:-. 1 I ti I I , I " 1 4 c - - "' - - •-' o
p1 - ''n n .n.f 'i n ..
38. Final yulmb ng 1 I ; I lo; I • ,I° I I I ;,il I I I I i
II -{, ' r 4.-
39. Water Service-FinalI I i 1 :.I II I t 1 I I ' l ! 1 1r I-` . 1 ' fifi' j
D a i 1 r1 • I I 1 . -. _9 • i.1 , , s-. • . .
40. Gas Service-Finl 1 1 I I I ' '
. D I1 ! i I I I gI I I. I I I I , ' i ! , i1i .
' 41. Solar Domestic-Finl 1 I I I Y. 1_ I - I I _;._.L-J_. I_-_l-�__;=.;r.. _�_ 1 I- d i`., ' I i i• r 'r
42. Backlit?"w Preventerl ( t I I ` I 1 ! ' 1 1 I _ ' :!I - '. I- • ,
u,) 7 ° , , :!_,1,I .i._I..__{`I -T'-"'1-' '�- '� -- -t' ' ' . r 1
! ^
43. Backflo•w1lrri ation1 = >- I I ,I _ ! ; + 4( . 'I 1
-
- scnl ,9. 11- 1v I I I' 1 `: I'' z ^ 1 _ . I .1 '.
p.M I-297i 1.1 } 1 1 : S:I:91 .4 ! I I . - I I I I 1 - " Tr
• 44. Landscape Irrigation System I - lit I °• i , I I ' I ' ! - 1 ;• -, 4r
cru > I I I n_.. ri S 1 1 =1 1 1• _,
45. Sound Attenuation ' ,,,, Ia I I I4 u,i I i I -=I c i 1 IK , ,° 1 _ ' ¢ 4 _
4..•1 �_ 1 , R 1 I I C , r) -•
,� n I I I 1 -1 I I c, .I i ' I e'' T -1 7 '1 ,-
46. Handl iiilRegulation-s I I ', l I !! lc 7 `.I ri I "I I S i w;..• Co' I n a !'
47.•FINAIiSTRpCTURE& BUILDING 1. I i I� I:i 1 I 11. 1 ' ; I : _\ - 1 1
48. Special Requirements Completed' I I I I_ ' 2; I I I i ' I I. " I I 'I .. -
K
I t
49. ElectriC Release io Ediioni ! I 1 I ! ) 1 ! ! !! : 11 - 1 1 1 --
t 111111I I � rI l 1 , I I r -, -, 1
111 1 1 1 1 , p 1 1 1 ' ',; i /I
50. Gas Release to Southern California Gas co I I I I i I I I -II 1 ! I i '174 { „' I ; , 1 I ! !
N51. CERTIFICATEI 'FIO icUrAl CI 1 h ! .i__1,.._-1
1 -1 I--� I 1-' 4-1- 4- 1 --` , I I ! 1 - i
No, r• .r1 l , ._.l , _ .f,._I _1
_1s _i_'1
- !__i' L h - ,• (
•
•
, Applicant to-fill in all spaces except those within heavy bonder tines and sign all appropriate declarations. _ _
' •CITY OF COSTA MESA) r • j I--� PERMIT NO. - I TRACT NO- - .LOT -- •- __ _ _�._I . 1 i._ - _ _ - ., ^, __ _
i _ 11 )•r � q C O NO. I BLDG.,NO., 1�
CONSTRUCTION PERMIT; 1.: , p1 ' r- :a I :: I .rI 1 /z_ _i'/17/ . i .. in' , r, ✓. :rt e ; vi > .v * 2 , . IwI } i ' ` i _ 1. I t .l
7 i !
lUtSU ► - :a a _ „ , e ( 7 . . - f !r !r y ' 1
Applicants Mailing Address k - $ _ I •,TYPE'OF CONSTRUCTION- . II'NEW ❑ ADD I-I ALTERATION U REPAI R = I _ ; t 'I ! { -I ') IF. , i-1 I
r
Project Address) 759 S(Yianl Py :11:1-'.37:-. ! -' • t -r • L 1 n 1 - :❑ CONVERSION ❑ DEMOLISH ❑'0TH ER'"1. • C 1 'r' ! • - " - i j. a
Owners Name -T • M.D.' • ,Tanos-C O: I `• "Phone'' `• - ESC RIPITIION OF WORK IR2ta�:" f1T'PD� a P. `- _ J s' t _ 1
' L I 1 t • 4 rW C 1 I •, •I 1 ; 1 a. f'' ��,. , a t ' I " , - I o ' ZONING,REGULATIONV: 1 • r 1
Address - j _ I s s• 1 :- I ?TYPE OF PERMIT' I '❑,GRADINGCI] FOUNDATION- LJSTRUCTURAL d A P •1p: r . • i' I . • ZONE {- •. I • ` I '•
erch/Eng License NO . ❑.TENANT ',❑ ELECTRICAL E.PLUMBING R' MECHANICAL, • ' - 1 - 3BUILDING •-
'••. s ' : i s aL. - sPLNG-REF.',0.-• ' ' r - ' i 1 - + '
Address) { - E I I c t• :70:BOTHER 11:-' l 1 ❑ I •-c Franc ' rfr CT • ,
_ :TO BUILDING i •. '
''Contractorls Narne' rnr1ct .. .P..-1.;#•c=T>l'2C e` ! -Phone;F139-1R?Q ' PROJECT DESCRIPTION''SQ. FT.' '• - " OCCUPANCY ! •y • 'PROPERTY LINE. REAR YARD (TO P/L) ^
$! - 85. 1 _I _ CONSTRUCTION TYPE 1• - • VAL•UATION$ •I I 'LEFT SIDE YARD i , { RIGHT�SIDE
• redress(Mailing) ' / L 'L _ f _ YARD • ,
License No: •9 1"- 14.06 rtI I 1 ., I_ I I •7 • ! ZON i r i ' GRRADINGCII.YDS, r 'PKG.SPACEIREQ. , I ••••2
' - 1 i E :ACRES _ i PROVIDED V I
LICENSED CONTRACTOR DECLARATION •
' • I f Remarks. - n - �' -� 4 aLj • ~' I ' I STREET WIDTH 1. I { I (PARK FEE$ I i
•
I hereby,affirm that.),am licensed under provisions of'Charter'9(commencing ' ` ✓ -
with section 7000) of Division'3 of the Business and Professions Code, and j I - ! ' i. , • SPECIAL CONDITIONS: ' •
my Ilcense.is in full force and'effect- 4 I • - I i c I f I' ,
License Cla s -• ' I I - s No a ,e•, ' I ' ' PLUMBING ' I I I I I I ! 1 I r r,• .
; Date :sr: Signature L���. -
WORKERS'COMPENSATION DEC ' - 'TION' '/ : r; I f I I Bar Sink I I Sewer Cap I I , t h { i ELECTRICAL 1 I t I
•
• ',,I.hereby affIrm.that I.have a.certificate.of•consent to.self-Insure,or•a.certificate_L - 1- Backflow Preventer •-- -i sewer COnnectiOnl^-'- _-_ _. ._ . _ .--_. Automatit.Washer '_, r:—.F..... .... _ dMeter-,❑over100 amps- _r,,..
of Workers' Com I qq in,spra c o rdfi copytl( thereof (Section t : ' f
• p RU/•I.O BG�Ct� cT� I - - - 1 Construction Pole
3800, Lab. C.) .J 3: /.��' Aet ;a , Backflow Irrigation Solar Collectors ' I • i i 'Sub Panel) t I '
Policy No. l ' • Company • - --- I Cooking Unit--; J I i Sub Pole !• 1 t t j
Certified copy Is hereby furnished. I ' ` I i , 1 I 1 , Bathtubs yt'-; I Solar Piping 1 l ! { I I
Certified copy l filed with the cityl'Bul%ng 1151 n - - Dishwasher { I i '.Motors ❑0-1 HP ❑16$ '
Date l 1/1:4-,-/11.. I Applicant v:.�lOf- i I 1 I Clarifiers , • 1 Solar Tank : 1 . i - I t ' 1-.
_._ .-V___ 11��77 _ _ _ _ _ - _ . ._ _ _ _ _ _ _ _ _ __ _ _
EXEMPTION WORKERS'COMPS SAT N DECLAR .ION (- ; 1 - I Dryer3 ❑Gard•❑Electric '117-
- YI nc.Solar. �9-15 ATOTE-1"; i Y
Dishwasher i �^
' (This section need not be completed If the permit is for•one hundred($100)or. ; I I I I Swimming Pool w/Spa { i. 1 • I
less)^ jI , I ' DrinkingFo• untains Urinal { I Fan „!_ I 'Microwave 1 i
I certify.that in the performance of the work for which this permit is Issued,I 1 'I
shall:not employ any person in any manner so''as to become subject to te ' , • • I •
. Workers.'Compensation'Laws of 1 . ' 1 F.A.U. '+ _ Pole Light 1 '
Date cignature 'California)1 . - : ; I 1 1 i Floor Drains f Water Closet' I -
1•�_} _i_ • _ -• - •._- .. _ Fixtures_! . • ' _ _ Ran e '
• !-NOTICErlf,attensationg thisseclalaf theyobor eis must• Idea forthwith ' •' {
• comply 'with! such provisionz�br'this:'permit•shall be'deemed: revoked:, - !;. I Device Boxes I i ,Signi i 1 • - I 1 !
CONSTRUCTION'LENDIHG AGENCY'• • • ! O 1 Gas$elvlce� ;Outlets Mater Serve { I ` •
9 j
I hereby affirm that there is alconstruction lending agency-for the'performance• - :v1 - Interceptors i " ^ V C _ { , j • Outlets iI I Standing Sections • • , '
of the work parr which this, permit Is 'Issued+(Section .3097: Civ. C,) l ( ,Trash Com actor 1
I
Landers Name" - • - I ' ' ` 'i - I r Kitchen'Sink. - 'l - - •'- 4 'q ' l• I , X y : Switches-, I • p 1
I Lender's Address• - 1 -: ' y I U. ' C • 1 'r{ l I -) ' - _. i i _
l • Lavatories - 1 r• '? ' ! 1 r r i Garbage Disposal I ' 1 t
OWNS RiBU1LDER DECLARATION' i Q ! ( ; . , q: q .I , `- i e 1 t•{„ 1, 1 1 d • i ' •j
•-I herebylaffirm that I am'e xemptlfrom the Contractor's';License Law for the , ;� _ - • Generator,'�o 5 KW ❑5-15 KW i ) I '
. following reason:,(Section 7031'.5-Business and Professional Code: Any city or I F Trap; -, I { ' _r •r I )- s f • •
• county which•requires a permit.to'construct;alter improve,demolishioriepair _ - - 4 Transformer • 1 I i I - 1
I any structure;prior to its,issuance,also requires the'applicant'for such permit' I ,- I Roof•Drains. „ i I 3 r_ ••- - , r• I - 015-50 KW I I
• to file a signed statement-that he/she is licensed pursuant to the!provisions of I - _ r { ❑5U+KW 1 I -- I'
• ' the Contractor'sljcense Law!(Chapter 9(commencing with-Section-7000) of i I T- U - i - - •" 's 1 ;Reinspection Fee I $15''
Division a3.of'the Business and,Professions'Code)'ori that,he/she'-,is'exempt 'l - Showers .1 "felt r rt. I i Reinspection.Fee $15 -
•
f'therefrom-and the;basis for the alleged exemption:Any_violation-of1Section i " ' - Meter ❑up to 100 amps Issue'Fee.- i
i '$ 3
7031:5 by any applicant for:a•pelmit's bjecs:the •applicant to a' civil - 1' 1 r ' I • l s � ___, __ -
1 knalty of not more than hve:hundred dollars($500), , I - ; 1 Service$Ink - Issue Fee $ 3 'f i I 1 'I : - I } i
LJ I ge l I 1 I -„ ' t - ,' .- i '! -L ". i Zoning Approved By Date
I;.•as{own' will the•property nd-th employees-.with wages las their sole 1 -i
1 compensation' wilLdo the work;antl the ofessiure'is not intended or offered ! } 1j I rC { (_c j ' rt MECHANICAL' j I 1 I t i I 1 I 't L
for sale)(Section 7044; Business)and!Professional. Code:IThe I Contractor's I Appligtion Approved ByDate '
License Law does not applytolan owner of a property who builds or improves '" : 1'd} { y I Refrigeration System I' 1 ' I I ' • 1 'I /.� i i I _j•/ ���I 1
Boiler 1 �•i
( thereon,tznd who 'does(that sch.work himself/herself or through his or for
.I I I I i '1 1 i
Application Issued By , ) -Date I-
• employees, provided that such improvements are snot intended or offered for .-j Ducts/Under1Grou rid .' ❑0-100,0017 BTU ❑100,000 BTU , .1 ! r 1
I sale. II 'however, the building or improvement is sold within onetyear im- { ± ; , s j I , ' SUMMARY OF FEES t I ( 1 I
,.pletion, the Owner will have the burden of proving he/she did not build or lin- , i ; ; •
I Rove •for,the purpose-of sale)- 1 I ( i•r, h I ' : 1 Duct Structural System Repair/Alteiation 1 BUILDING PERMIT $1 ; SMIP I } ! $ I )
U I,as owner of the property,am exclusively contraLting"with;licensed con- i i l I ' I i I
tractors to construct the!project,(Section 7044„Business antl'.Professlons Cotle:.). ) Duct_-Ventilating •__-1-_ -1-.-_- __ '__-.'_--, .- �_•,_;___, ' ' PLAN CHECK, • S. l 1 PERMIT i
,'The-Contractor's L'Icense Law-does not apply to an'owner of property who ! - , - - ; I ' ' i ISSUANCE I ' $.
' builds or, improves thereon,and-who contracts for such projects with a con-• I i Exhaust System 0 Multiple❑1 ' t "^1 ^ ' I I -PLUMBING I I $ ' - 1 ; ) • . 1 , r
I tractor(s) license pursuant to the Contractor's License Law) I . - ' - • I 1 I I ,
I I -1 ( 1 i t GRADING' +y $ d
I:'am exempt untler Section B.& R.C.for this reason 1 Firepl/Fact.BIC ICBG# 11 - 1 ! PLAN CHECK $� i ' 'i I j
, i 1 I �' 3 95 i' I 4 00
DateOwner' ii g' y g - i ELECTRICAL! 1 Si ; I l _ 1 $
I i 1 a i 1 t I Heatin S stem& Ductin 1 I ( f • h
{ ; ! { - ' 1 . 1 y' , MICROFILM $ i )
information
•certify-that.).have-otaE-thlz`application•ana state that the above :•- - �” X6100,000 BTU-0100,00I BTL-- •-^--- - - i PLAN CHECK $ _ - ++1 l �, n
Information Is correct- I agree to c mply with all cityane county ordinances ' - r I I. I , ' - ~�1^ ^ . AI • � t TO-FAL:FEEL $ I I • 1
and'State laws relating to uliding construction,and hereby authorize repot-, ' . t , I ;MECHANICAL- i $ 7 e'0U I t I l , '^I l
sentatives of t c1 enter• on the above-mentioned HOOd of
I • P property for I Type I $15 ,PLAN CHECK ; $ 2.100 ! I 1 LESS I 1 t 1 I f
ReinspeMion Fee
inspection ur es/jy/I s 1 1 I ! t CanopyI Type II ❑' l I ADVANCED/PC $ I^r I
Signaturee ' /
I l + ) ' Registers ' I Issue Fee
i ? $ 3 1 1 { 1 ( + } 1 0t �O
l 1 I I ! •• I t i. FINAL FEE I ( $ �aSL��
CMF 0865-46 rev.12/82 White-BulidIng;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - • •
POOL:&SPA 'D' _ • z f
" -!CO_NSTRUCTION AND,PL'ANNING - r•.1";';''';" x - - - .f
i " - c : Date ,Inspector. - • Date:* Inspector
APPROVALS - Permit# - - _ i `. APPROVALS - `Permit# - ,
i1< Temporary•Electrical Service or;Pole - . ' = r52; Pool &.Equipment Location ' - - : -f-., -,'
3 2,. .Soil'Pipe-Undigrndr . "Ct.; '_` 53 Steel Reinforcement
.7,3: Electrical Conduit Utility-Undrgrnd: -: 54: F• orms - '' ;.-_ - _ - ;_-' - , ,
,4. Electrical Conduit-Undrgrnd.,
' - '555 E• lectrical Bonding _ +r
5. Steel'Reinforceme .' ;;1s' -` '- - _ r 'c5-,4, r •- '56. Rough Plumbing;&Pressure4Test ; > ' '
6. ,Electrical UFER Grnd u S r - -"-= •57 APPROVAL7TOCOVER-GUNITE- _
7. ,Footings • I : • , ! ! O _-z
.1., : :':'. ' - -31_"" • I .58. Electrical:Conduit=Undrornu:I';`� � '� - _,
8. .Foundatiori { `- a ,'� • s`• _ :- =59. Gas Pipe_OUndrgrnd:,Test. : _
9.iWater Pipe-Undrgrnd..; ;-° 1 -,! •- • _ S (60. Backwash Ines P Trap at n_drgrnd -
10. Structural FloorSystem' ? b ? ' '^€ •
_ :61. APPROVALTOrDECK -- t'''.- - 1` • I
11. Property Sewer Line &-House°Connection "I '" ;62. Backwash_& Receptor Final '
12. Sewer Cap �� f., _ - :63. Heater &'Vent-Final ''. ' -
13. ,Roof Drains • ' '• I _ ` - - '• I -
. 0
•
`64. Plumbing System- Final_; ^: ;
14. Rough Plurimbingl 1 - : ' - - ! -65. Electrical-Final- '-- - . '''- '� - `- ` -
15:Rough'Electriral=Conduit--"T T-7----,-
-CI
-'"--•- -C --t- 766. SolarSy-i ein-Final ` "7--;--1-1.--- 'TT-
•
. - . _
..- ',••16. R�ough_Elemric;Wiring, II. i i ';-C%r" ;;-'r;_ _167.4.'Fencrig&•Access.APproval, ..-•31:- 7 ,
'17. Rough Wiring Sign ' `- : I : , , - I- 68 APPROVED FOR PLASTERING 4- 1, r .
18. ROugh'Electrical-T`Bar Ceiling r r 1 : ' - ..":1 { 1 69r POOL/SPA SYSTEMS,FINAL ' ' _ • '•
a - 19.,Rough-Heating &Air Conditioning ; 1 � y,/fr� I ' FIRE DEPT. REQUIREMENT- , - ;
iy,,/fr
26. 'Rqugh:Facto(y Fireplace , I I' 1 . . ' APPROVALS, . Permit#
21' D'ucts;7in Structures ! i i t. . 70.; Underground Hydro r
-- ',22..Ducts, Ventilating c. .' �; - { ,71.. Product Piping 0Gas ❑Oil . , ' .
23. Gas Pipe-Rough &Test `' , - 1-is 1 I ! •,72. Underground Flush 1
,24.,Roof'Framing, I.f - I'` ' '':•---;..„,;,,.. I • :51 ,? 73... Undeigrnd.Storage Tank 0 Gas, O Oil: , ! ' ' •
• 25. Roof Sheathing .), `;,;° ' ( ' ' - '' 74.; Overhead Hydro " ' - 1 • ' •
-26. T-Bar Ceiling (Structural)i& Monocoat ' ' • -. , ;,, .75. Dry Chemical i , ! ii ,
^27. 'Frame and Flashing, I i I' i ' 76.• Dry Standpipe , _ -
28. .La-thing & Siding 7 1 ; • : f " l I 771 FIXED SYSTEM FINAL ••• ,c •, .- , _, . '
" 29. insulation - ? • 'f ' , I ' ' , 78: FIRE PREV. FINAL + `i •
' ,• 30. Drywall Nailing ; ' I ' I: i .Notes:. I •
31. ,Plaster Brown Coat ! ' '
32. Electrical Power Meter:Final •, S , I _
33. Final Electric I l• i -
34. Final Heating& 'Air Conditioning i I I ,
35. Final Gas Pipe=Test; `- • : r i _
36. Hood or Canopy-' i` i ' ,'I •- i , I . . - ) ,: ,; -. -
37. Final Factory'Fireplace , _ . ,r;I�j/fs, e; a . . • - •
38. Final.Plumbing I t ? I - ,
39. Water Service-Final; . I ' l '
40. Gas Service-Final i i ) I , 1
_ ... i I
41. Solar Domestic-Final l• ' • `
•
42. Backflow Preventer I ! ,
43. Backflow Irrigation r i ' • t "' ', `.', - i' : - • '; - -
44. Landscape Irrigation;System • I : i 4 - • • , -
45. Sound)?Attenuation ' ,F, . ' i . 'r, I •a '' - i - _ , - : .
46. Handicap Regulation"s ; - i 1 � ' " 1 1 = � -- r
47..FINAL STRUCTURE & BUILDING '' I - j, `• I , ,
, ,
48. Special Requirements Coniple`tedi " I i' t ; I 4 • - • • . '
49. Electric Release;to Edison 1 I !- _._ .
f t ,
50. Gas Release to Southern California Gas Co 1 ' ' 'r tit . ' ' . .
51. CERTIFI�ATEOFIOCCUPANCY ,! :_ _.__'. _ _!: __ '. _ _._, __, _
; ;__„
No I ; , Date ' I. .
•
' • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
,-CITYOFCOSTA MESA ---- - 1 - - • ' " - PERMIT NO: . TRACT NO,- " - 'LOT NO: , - -BLDG.NO. - - - - '- - '-
ti CONSTRUCTION PER ,` - 9/ov213, X 92L6 11 I/ 17/e.a FC',?9 T!
Project Address •
r - ���e�L.1 , _—_ .,• 1•'.�+-/ TYPE OF CONSTRUCTION I .LI NEW U ADD Li-ALTERATION U REPAIR . -
Applicant'sMaui • Addy* �7A■1�� aI�f��,• I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - = A,p,# I Zone"
Owner's Name It 4' � -' 1' •Ph•ne - "•' • ^DESCRIPTION.OF WORK 1 _ _ - • -
I • :. .. I - 1 . , - 1 - - ' - • I • • E Main Building:. —
Accessory Building, t_ O
•
Address - TYPE OF PERMIT GRADING FOUNDATION ❑STRUCTURAL.• T Front N
Arch/Eng: - • License No.' , -❑ TENANT ELECTRICAL ❑ PLUMBING. ❑ MECHANICAL B Rear, . y • •/-
Address 1 1, •
❑ OTHER • _ < is A - - - N
Contractor's Name • I b' lA ' 'lir 1r'Pho 4-1.47,2.,,PROJECT DESCRIPTION SQ. FT.I OCCUPANCY C Right _ - I - - G '
�, r CONSTRUCTION. •TYPE i VALUATION$ -' $ Left' - - E
Address(mailing) I - _ ,
City License No. • ' 1 ZONE GRADING CU.YIDS. ACRES ; Ping, Ref.# ; Park:Fees $ Q
LICENSED CONTRACTOR DECLARATION Remarks: • • �}s j�,j Parking Req./Provided
1.hereby affirm that I dm-licensed under provisions of Charter 9 (commencing I e✓ - - I. R
with section 7000) of Division 'of the Business and Professions Code,and - Use.of Building: E
• my license is in ul orge�ntl E est. . ' - Plannin Notes: M
License C ... `'^ 1 License N..�--4iaid i ' , - PLUMBING 1 - , • FEES g
Date tlk.S Si• gnature '• - - �._��J e�li` 'S\ - F- • "' N
WORKER.'CO PENSATION DECLARATION -RiBar Sink Showers i • N 1
I hereby'affirm that I have a certificate of consent to self-insure or a c.r fico Backflow, Preventer Service Sink; I • . I • S
•of-Workers' Compensation •In�ance, or-a c 'fietl;copy ther¢of-(Sectio - ---- -- - - - - -
3800, Lab,IC,) ( ( !� T �`•fT - Backflow Irrigation Sewer Cap
P�oli�cyas�Nitiop.d t`n'�\ ompany .
copy: ereby furnished• Bathtubs Sewer Connection ■ t
Certs i py ith the city u 'vision/ - •
Date b Applicant Clarifiers Solar Collectors ■ f
EXEM I N FR M-WORKERS'COMPENSATION DECLARATI ; Dishwasher • " '-' - Solar Piping . 1I
(This section need not be completed if the permit Is for one hundred 100)or P 9'
less), -
I certify that in the performance of the work for which this permit is'issued, I ' Drinking Fountains $clot Tank • • ■. I. ,
shall.not employ any person In any manner sofas to become subject to the
Workers' Compensation Laws of California, Floor Drains' Swimming Pool w/Spa Dryers ■
Date - • Signature — -- -
NOTICE:If,'after making this declaration, you should become subject to the • Floor Sinks ; Urinal • ■s , ■
l -Workers'. Compensation-provisions of the Labor Code, you must forthwith • .
comply with, such provisions or:this permit shall ,be deemed revoked. Gas Service cOutlets Water Closet ■. ' ■
CONSTRUCTION LENDING AGENCY- _ - '
I hereby affirm that there is a construction lending agency for the performance • Interceptors• Water Heater �,
of the :work for which; this permit is issued- (Section. 3097 Civ. C.) - - ' - - - .
Lender's Name I _ ' Kitchen Sink . - Water Service -, a •
Lender's Address • ' •
OWNER BUILDER DECLARATION - - Lavatories - - e
I hereby affirm that I am exempt from the.Contractor's License Law for the • . -
following reason (Section 7031.5Business and Professional Code:.Any city or P-Trap_ ^ - • -,
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' - -_ • • - Disposal
to file assigned statement that:he/she is licensed pursuant to-the provisions of -- .
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - - Generator U.s ■
-Division 3 of the Business and'professions Code) or that he/she is exempt , - — T
therefrom and the basis for the alleged exemption. Any violation.of Section . . - - ,.
7031.5 by any applicant for a permit subjects-the applicant to 'a civil ' • -
enalty of not more than five hundred dollars($500). -'Reinspection Fee f $25 - Issue Fee - $.3
LJ I, as owner of the property or my'employees'with wages as their sole fff Reinspection Fee $25 .Isla•Fee $3 •
compensation, will do the work,and the structure is not intended or offered MECHANICAL • FEES -
for sale-(Section -7044, Business and Professional Code: The Contractor's - - -- -- - PUBLIC SERVICES REQUIREMENTS: i
License Law does not apply to an,owner of a property who builds or improves Boiler - • Hoak'or Type I 0
thereon, and who does such work himself/herself or through his or her own ._ - - Zoning Approved By nate
.employees, provided that such improvements are not intended or offered for - . - - • Canopy Type If ❑ - , I
sale, If, however, the building or Improvement is'sold within one year of com- Duct;Under Ground 1 Application Approved By • Date
pletion, the owner will have:the burden of proving he/she did not build or im- . •iii
rove-for the-purpose of sale). - , • : - Duct-Structural Refrigeration System Application Issued'By /0y / Date��//i�
t I, as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU
Rts
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - SUMMARY OF FEES ,
The Contractor's License. Law does not apply-to an owner of.property.who • $BUILDING PERMIT SMTP - $ -
builds or i • mproves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑ System Repair/Alteration 1
tractor(s) license pursuant to-the Contractor's License Law). • • PLAN CHECK $ • PERMIT • „ ' ;
0 am exempt under Section I B.& P,C.for this reason • Firepl/Fact.Bit. ICBG# I - PLUMBING -1 $ ISSUANCE ; $ L •
Date - Owner' - Heating System& Ducting ? I PLAN CHECK $ 8-o•
ENERGY P.C. ' $
I hereby certify that I have read this application and state that the above ❑0100,000 BTU ❑100.000 BT ) - • 3 7, O O• GRADING . $• I i
information is c meet: buildingto c cti , nd hereby autho ize repre- I i PLAN CHECK • 1 $ • /17, 4 0 MICROFILM ' $ _ : I
• information
iveson'is c�i is city. to-e -ter: on th paand-cou sir{ r f - • -
•
inspection Pin.Idpsesfl Ate' u', // - MECHANICAL $ " TOTAL FEE $ d. 5.07-e.) i
Signature ate (l I , 1 i
Reinspection Fee :$25 Issue Fee $ 3 PLAN CHECK ' $
Drivers' License or SS# 1
'CMF 0865-46 rev.-7/83- White-Building; Canary-Applicant;Pink Accounting;Goldenrod.-'Assessor. • .. _ _ .- ._ - . _ - . _ - -• , - . _ . . . . _ _
•
1 - POOL&SPA .
`.r•„ ,CONSTRUCTION AND PLANNING _ . . `
' Date. Inspector - - - Date. : Inspector
APPROVALS Permit# - APPROVALS "Permit# -
'-1: Temporary ElectricalrSecvice.or Pole-- - /- _ • 527 Pool & Equi'pment Location -
:'2: Soil Pipe-Undrgrnd. - 53.- Steel Reinforcement
C'3:-Electrical Conduit Utility-Undrg`rnd. - _ ' 54. Forms - - ' .? ' -
• 4.:`Electrical Conduit-Undrgrnd. '
• 55: Electrical:Bonding -
' - - _
.,5:Steel Reinforcement'• ; • -, " - :• 56:'Rough Plumbing & Pressure'Test _• • • '
6. Electrical UFER Grnd - '57::APPROVAL TO COVER-GUNITE ,
7! Footings • ' • ' . : - - v , 58. Electrical Conduit-Undrgrnd. .
8!�Foundation - t. - - :59. Gas Pipe,0 Undrgrnd.',Test- . ` --
-
9. Water Pipe-Undrgrnd. backwash- • 60. Bkh Lines, P-Trap, 0 Undrgrnd,•
10: Structural FloorSystem' - ` '',61: APPROVAL TO DECK . •
11: Property Sewer Line & House Connection - . 62.- Backwash &Receptor -Final .
.12: Sewer Cap , • ; : T , _ . 63;.Heater &Vent-Final
13. Roof Drains t _ - - '64: Plumbing'System':Final . . `
14. RoughlPlumbing - 65.- Electrical-Final - • . '
- -`15:• Rough-Electrical-Conduit- - • - - ' ' 1 - '66: Solar System-Final- " ,
it?. ,Rough Electric Wiring. ' . 11L.,/S3 C`. " 67-Fencing 8/Access Approval '"- . -
17. Rough Wiring Sign /MJ ` '68.,,APPROVED FORIPLASTERING
,18. Rough Electrical-I• Bar Ceiling r 69.• POOL/SPA SYSTEMS FINAL ,
19. Rough Heating & Air Conditioning 1 4 f ' FIRE DEPT. REQUIREMENT . -
I : , 1 ,
-201 •Rough Factory Fireplace! APPROVALS , Permit# .
21. Ducts; in Structure 70. Underground Hydro :
22: Ducts, Ventilating + • =(.. ' r ' , , ` 71. Product Piping 0 Gas ❑Oil '
.
-23. Gass Pipe-Rough &Test- •�, .
• i 72. Underground Flush •
124. Roof Framing 1" ' - r ,.:': .73. Undergrnd.Storage Tank 0 Gas 0 Oil
25; Roof Sheathing • I. • '_ - • : 74. Overhead Hydro • • ' '
26: T-Bar Ceiling (Structural)`& Monocoat - ' - , .75.-Dry Chemicals '
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 1 ' , ' HEALTH DEPT.,REQUIREMENT
31. Plaster Brown Coat ' 1 79. FINAL INSPECTION '
- 32. Electrical Power Meter-Final , ' /�. .-e' 80. FOOD CERTIFICATE ISSUED .
33. Final Electric , ; Notes: ,
•
. 34. Final Heating & Air Conditioning. ,
35. Final Gas Pipe;Test _
36. Hood or Canopy • i • ,• , . ' . ' -
37. Final Factory Fireplace 1 ' -
38. Final Plumbing • • - - . • l 1 -
39. Water Service-Final ;• ' -
40. Gas Service-Final - i ' • - '
41. Solar,Domestic-Final 1 - __ _ - _ ' _ . • . -'
42. Backflow Preventer • �` - ': : ✓
43. Backflow Irrigation , . - - 4 '
. ._,
44. ,Landscape,Irrigation System - - - .
45. Sound'Attenuation . ' f
46. Handicap Regulations - 1 . _
47. FINAL•STRUCTURE &'BLIILDING I _ .. ' '. s - ,
48. Special Requirements Completed ' , - . ' '
49. Electric Release to Edison , - -- '• - + -
4
50. Gas Release to,Southern California:Gas Co C • : '
51. CERTIFICATE OF OCCUPANCY _ L. -. - _ . . 4
No. • r: "r_ ' 1 ' ' Date • ' - • • I 1 . I . •