HomeMy WebLinkAbout763 SCHENLEY BAY - Building Permits�(�}J, Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
V-1 CITY OF COSTA MESA! , .� _ P917No�-• A ;TRA ��• .LO7NO.. I .-NO. - .._ 1 ;' __.__,___ -- I.:0 t: 6/2,tt$3_�". ; ..312f.+51___- Tl.
I CONSTRUCTION PER$IT .. -.
( J (ryI `' 1 '/ . 75 ' 3 ` �� ••
r� I r i r ' •
e ,
Applicant s Majlin Address + ' (�'-I 4J1✓�A- - TYPE OF CONSTRUCTION `(1 NEW S ADD ❑'ALTERATION"U REPAIR'- : '1 1 i ; 1_ I 1 • :o i I
ice - •� ' _% • t .. - I , I ❑ CONVERSION ❑ OE OL - ^ • r : t 1 K:
Project Address ��i i q / r a - - - ..- t I i , t r
t. •RSt y, !�S►�WI �i 'ate i I,DESCRIPTION OF WORK _ • �,pie a 1F 1■VJVI9Q/YA•(��IIs�O _ -
Owner i Nar �� l -6•
��' ���1; / nim _• 1 li '_ ' ; t - - - /•• , - I ' ' :ZONING REGULATIONS"- : ! ,
Address , ii is. •lr1 /��W[f//� tIi-v1A - _ STRUCTURAL A P:9W. `1 QQ q -7 ZONE , • 1 [� 1
( , 1 I Fj , -TYPE OF.PERMIT: GRADING'.U FOUNDATION ,� 1' -I e •..1c.../1 �) 1 i 1 ` i ?. S r'eI
Asch/En �'' ler- If /�0�� ' f�yE}�C�HANICAL I • r° c'.
9 �• A fr' r ❑ TENAN_T, ❑ ELECTRICAL• ❑PLUMBING ❑SIN` I „PLNG. REF.Yki I BUILDING; - -+ ��' , l��" f I
A°ddress' 'Ir v09�L'�ilLE1!I 7I�� 1 .'1 L���� 1 ❑i,pTHER i i IT 9 ' - I I 0, -, I i • ' 1' 1 -/ -/(� '$Prwnry Nr eT7/� I
•
�' ' ) I • - ' - /FP •
( ) { - ,TO PEIRTY INE br .0_,- CY•�1� d d '.
.,y�� lid 7 .PROJECT DESCRIPTION! SO:FT, i OCCUPAN V r "EAR YARD (TO P/U /�
Contractor's Nam: �\'f�� I 'Phone �• ,�yJ_[71! {ems•. _ - 7{
! I Q i - -?I: ! — CONSTRUCTION' � 1 1 , VA TION I// `, • ALEFT SIDE YARD I IGHT SIDE YARD �'- -- j� V
Address(mailing) fie, I ��• -
-
-tl• I 1 ! "' ! ! i I I ZONE GRADING CU.VOS: ACRE PKG.SPACE REQ. i _ ' PROVIDED` !�- c
License No. _ ' , 1 �• C( :'S l . ���DI-161-LO.
I LICENSED CONTRACTOR DECLARATION I I , n I I 1 I Remarks I• I i •s ! 1 I. , •STREET WIDTH I obi/ ' I , PARK FEE'$ 831.'51T(
I'Hereby,affirm'that I:am licensed under provisions of Charter 9(commencing ' • ! .. , I t I d'.11
� with section 7000) of Division 3,of the Business and Professions Code,and I I 1 1 1 1 � • ' j 1 SPECIAL CONDITIONS: : -; 1 I - I S'•• I ` $ ! ,�i
rsiy lice Class in Lull force antlleftect. I I ! ♦ '1 1 1 I ' ' 1 I i ' 10['D. FOR SPECIAL(REQUI1 P14EHTS ' =!' r
, License •• -" I License No"I =
I - __ ___ __ _ i:- °m n;:`,4-i,„?, i,__ - : ' - ... POOL&SPA -9- - - - __
:3 c'CONSTRUCTIONiAND1pCANNING' q; 2 �a., - r. ; 7r c 1'- •3 ' ' ,: ::, Y :;
1- n ' '°•-=- : n _ ? m = < < ,c• i!Dateo olnspector'•�..e a + "c Date Inspector.
)- .7APPROVALS - Permit-# V^' ;APPROVALS -Peimn'# 1 -
"' 67: Temporaryi Electrical Service or Pole It'' •F 9 -•o o i o. E° ;;•r 52?Pool &:Equipment Location•• • ;E` ' .`c v ' I
LC.; 2t (Soil PipeUndrgrnrd- ; I i'_o 1 ; °' t- I•a` 'iii .2.:;;F,4 1 ''S3o:Steel Reinforcement :17V.01.,';"1: f. asH'i ` ; , ,_.-•-'LJ a. ,
3! Electrical Conduii Utility Undrgrnd. ` • s I r `� _gzyr's i ,54� Fo mr s„ n ` ' 1� N I ei
° ;4: Electrical Conduit- ndrgrnd'.= c I tr 112' c I %',_if CI��a, 1555'Elec[rical Bending; ;�_L 2: -' '' ' _ i
0 it
'I. 144 .-n'Js.-‘4.:-:-] I , - . ..non' C. - t.n<a« . . _ _ - � 4' - - .• iF .. - . .• i =
5: Steel;Rein_forcement at I " 1 _"-, i d c, = - = ;'° • 56.•Ru h_Pldm' bing.& Pressure;Test ' -
'6:'rEIlectciica1;15FER Grnd. �° • 115= c 2.,t,::: �'- ' .57'" APPROVAL TOCOVER-GUNITE' yi I °n 7
7..Pootings1''I ie 1 r Io ?;D 1 <• ° Q 1. I a •_�` I 558' Electncal'Coriduit=Undrgrnd'?. 5 vc '' ' 11 ur
8. Foundatioy�ry r) S I I ' �`-. i; " - , _59. Gas'P•ipe DQUndrgmdN Testy • _r ' 1 i =�4 •1
9.•Water'Pipe Undrgrnd. I + o;'. •w 1 1 1 '-o i <80 Backwash Gnes'P Trap ❑°Undrgrnd- -' ti- I • -
10. St-uctural:FIoo System 1 `° o ; c i t-li 2 I ,61. APPROVAL TOtiDECK .' L- .1r v = .•2 a
11, Property Sewer Line&1House'C,Onndction( a I a ° 1 i 62 'Backwash &`Receptor Final : r _ °
12. SewerCap''4l I; j' i I "-o` H I - n. -I Icy LI I. r' Heater& VentFinal ' i
13. kI-'I 1 I ° i I j I 12 ° i`'1644- Plu+oing.SYstem- Final-1",t - • •IN -
�, _,a .,�, - I
14, Rough Plumbing`ii;,- t 1 =. i 1 - Jr 1 'T65- elcfrical-1Final= -' =x- ,Gt_ • : J: i . - it
y'15 9Rough'Electrical:Conduit--T--F I; 17- -f --7-T66T Sola(Systeeni-Final t - --j --' -1- - '•-j
s it. u• ter ' r�} 1 • I 1 ! i
'16' Rough.Electric Wiring, ;A 1 - I ii :' t .v-I n " ,i--v- -`671 Fe cin&=Acce`ss A� Fovalfl- J_,_ [--711,.1.--E-, ___ --.__ h
1%14 --II m , . ,n•,_ 1_- a „ r al bi , i. _ _ , 9 PP, ,----/!--_-:
: I` ;:C:p -_ 1c
`17, •Rouh'WirinSin`? s m I � i I 1'u "-' « = ` I- 1 = 1 ' - •ll ._ _ I ?
-.4 _ r r,- g 1 a I i I• i15I i (o . .'• I r rl'ciCtr 16•8: APPROVED.11 'PLASTERING
, -
ci 18�,IRough Elec[rical,T}Bai •Ceiling li +I -; c I I '1rc I S I' 1691 POOL/SPASYSTEMS;FINAL ° d € I r_ . ! I ' i ' ' -
o f 4� ;'Rough Heating &1Air�c%nditioning II I I F. 1 1 I 8 I iI ;FIRE DEPT.iREQUIFEMENT i' ! ,
i I , s , "I
Is
a 20:'Rou h'Fa'ctoc Fireplace 1 1 1' I I LI 1 APPROVALS! , Permit'# f '1 - - ' 1�'
r 9 ;Y � 1. II 1' '1 � I ! 1 1 ! . i ti ' i �
_ 21.;Ducts,�in Structure.• ,ri I I I Iii It t a I I I I I 1 170.1 Underground Hydro } 1 ! i Is i 1 ` ; i I
1:22_(Ducts Ventila'ting Nl ! I if II I I I ,. I I 171.1 Product Piping UGas ❑Oil -
F Si3:2tGas'.Pii a-Rough &Test o h°- II • • F1 72: Underround Flushl - ` , 1 i t'
j -24.TRoof:Fram ngiV./ 5 I I 1131b '• 1 i, I ri2. I o •1 1 1 ITS I Z3I. Undergrrid.Storage Tank;O Gas_ Oil ' " ' ' ' !
9 1 25 Roof Sheathing • I I 1 1`Io i.. IL:OM. X83 ��'j-,I- j7�4.i Overhead Hy'drip' ,•: I', - {:- t • I
-26. IyT Bar Ceiling'SStrucYuraui& MonocoaP 1 I //,i•i c,1' ^I I =,1 175 Dry Chemical I -; I• _ = 7 , 141 I
2 4,Frame anii`Flashr 91 ..-2•,,-;;;;.: i iS II I 'u.s( ,c ' -`� $ 1 176+ Dry Standpipe 1 , i' ! ; , ' - i r
_ 1 •28.fLatI4ing & Sidingt g ; ` 1 I 11 it Fulfil/ ' Lu1 I I77 FIXED SYSTEM:FINAL I e . 1 I ` 1
° N i 1 1 • • I 1 t 1 I 1 li x , > I ' I 1
Lk `29_IInsulation ' :ft. *„.1 i 1 I IS 1 1 I ' l ! 178! FIRE PREV FINAL 1 - s , , i •
a 5 30.'Drywall Nailing �. `i-1 I II I J/�) ci �._. 1 INotes1 I ! I 1 • - , I
•
° .. . fie, i. - , .
,- 1
R 3 1
° t 31.tPlaste:Brown Coat I'} I .) I p R 1 I I I _ I I I I I i i 1 1 :1
7 y 32.r,Elecerical!Power Meter,Final ! it (i 1 I I i 1 1 I I i - t ' „.
v l i !" S 1 1 I I I 1 I 1 1 i
33._FinaCElectric 1y, i ,.. ii- 1 ate= 1 _ ..: 1 -L.:. ..! .1....-!. _ __ - _ -. L .
= 34. Final Heating &i Air Conditioning it I I I l ' I I 1 I I I 1 ' ' - ` t,
I. 1 - )-. 1`• ii1 i .; IS vlit1 L' Ir a O rj • I` '?- - u' - r 'r '
35. Final Gas Pipe=Test - - 1 I; 1,V I •, ' - '
36. Hood orlCarioPv'r ' I H I r n1 il I c ? I-c• I ' 1 i , w i t e 1 `Ij..{" s 1 - ,t _ - :
a 1. 4.i ., rn 1 _1 of 4 I', �., s 1 it 1l "I .1 T.-2; : 1 • 1.• 3 \. S1.
-1 , 1 -p i >1 I' Ci . - ii : • ';;;:i
_ r, ,
37. Final Fai.4ory-Fire`placen I i o i; ? it .I° = I '; • t`�"1 I I ~"I t ' - c
38- Final Plumbing ' ' I, 1 DI ii1 1" r I ii r 1 I I i ! i--•- 1-: •: ; - • -
n , i - %i P I , I , ., I 11 _1 1 1 1 1 to t 1 1 , - i
39. WaterrService=Final #.-;1 "II i' 1
I: I; t_' , i it I 11 11 i i i I I I I-.: ' _ . i
40. Gas Service-Final Tt. 1.c! ' ^ aI. I 1.i I I I al I I' I • .1 I m , - I 'I'- ,\ - '
41. Solar Domestic-F,inaI I I i 17- I 1. I 1 _.' _ , i '
1 1 1 I } 1 !->
n i'.I I i i I v .- t-,--5..._ -'-�':- I_�1_4-_i --f`-r-`- /'v'i ". � �� ;i•� ! 1
42. Backflow Preventer T. I ( Ir rel__ 11I 1 I I I I l ' 't I i 1 ; `-i - I• - • • 1
•9 n
, , t :i -•• I I I - -, 't'--1•--'t-'-r --r---. . - r -4-1---E---4--H-
-'1'. _,J' ,_✓i 1 c I
6ii >i. ' ' I :'I � , 'i:•!3I"' -" i: --r[11.
. y1 'C1 -I . i I -
43. Backflow irrigation 1_ 1 I I- I` •' ,L , :, 1 n 1 F 121`.415.--.! i 1+. 4 t; • I ( ''' �
n.-1 i-,.i 1 .' , I I H.1:7)!--'^ 1-, IIw1 °1 s: i I ,I 4i r)! i I
44, LandRcaPe Irrigation:System 111! , nl :" '
45. Soundr4ttenuational_ � z{ I_ H1 ' 1 I� I7I I 1 I I =I °1 ! i Irl ;IN :- :- -- _• -;*
rm• .,rw ^I i ;! G ' itI , 1 I Ic , ff ,1-73 '• G , - rr
46, Handicap Regulation's I 1 Ti i I.. Ic I I_ I r.1 I 1 i ,I Y' . 1 S ''' - r : I; m-
1
r' e t 1);,11-,in: 1 1 1 I 1 - ° i r o
4471 FINAL STRUCTURE I& BUI LD 1NGi� / -
I"�' QI r1� I I I I I i I,r `i r 1 'f' i
48. Special RequirementsCompleted I ,"L I i I ' 1 • ; '. ' ; , .) , ,
II , I 1 i n f�/FTI ?' a(� 1 I i _ .
49. Electric Release'to:Edison 1 11 i 1 ! ) ( S ' :-J. r i -- I I1 •
r - • i t 1 1 i I- t-, _'1_"f -1--.. ,..--f- 1 i iT-1 i' . I i
50. Gas Relelase to Southern California Gas Co 1 ' I ' I I 1 I 1 I ' ,, :,? • - '
tere I -I w I i I I I 1 I t / ' 1 S 1,t;1'.ci•
51. CERTyIFICATEIOF OCCUPANCY 11 F1391_5_71_1 _o.l I • S i I ,I 1 i : ' I,J'
No a �I 1. Date 1�G L/_'0/-L ' G_ ! 2
1 '.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 0787 6/21 /33 36.00 TL
CITY OF COSTA MESA 1 - - - - ... - - - ....
I PERMIT NO. -TRACT NO, , LOT NO. BLDG.NO,
' CONSTRUCTION PERMIT o, : ` n♦c c i ! , . i 1 '
' Appltcant's.Mailing Addr/ep C' If ' I"nit,
'a.
'TYPE OF CONSTRUCTION Ew.0 ADD a•ALTERATIONi_ REP/lit ! =c • ' I � t 'N '. '1 r'''' I r' i 1 , '
Project Address - - `r a --'I P • A _ • ❑ CONVERSION ❑ DE OM LISH ❑ OTHER i - - 1 I .. ;', I - I : :1 •• I. LI 1 'T 1
1r . rt• 1/� DESCRIPTION OF WORK - '1 I • ' _
1.7*,s Name ' on i.� i i"- ' f 'r ' • n , o 1 ' t is — - ' I 'ZONING REGULATIONS - - c '
1 Address •ILsii�//tvii� ��. - . I - •' _ t • ' I,_ ,
I ; I I i _ ! i I -TYPE OF PERMIT 1 ._,GRADING •FOUNDATION LJ;STRUCTURAL i .. A P W. _ , ZONE ! 1' _ _ ^ tee
Arch/Eng - - - License No ' ! . a TENANT ❑ ELECTRICALI. .RQ.)MBING ❑ MECHANICAL- I !- - f = ! _BUILDING; L I i h
• <P LNG'.REF qIE , - j I
\ I i ? I '_ ._ I ,: . r " 1 ':_ ' r, •I ot.anr-Ir rill QT . (
• Addressl - M-•s ,/ ❑ 'OTHER - I L 1 - ,TO BUILDING- r '. r - 1 . „ ,x I ' I'
• 1 - IJJI�I'TI' 'PROJECT 1 • • • PROPERTY LINE • v : ..1 ,REAR YARD ITO P/L)
Contractor's Nam- - /7 /y, 1 - °'hon I DESCRIPTION; Sq:FT.I " OCCUPANCY -
Address(rnailing) ! v ' /2 � 7 'I ! CON STIRUCTI ON TYPE ' ' ,VALUATION$- I ;DEFT SIDE YARD I 'RIGHT SIDE YARD, , I 1,� !
s` I - ,:•p , , ZON)= ' ' - I GRADINGCU-YDS iACRFG . - I i 1 PROVIDED I rl ; •1 L
ZSD 7!0 '
IT I � PKG.SPACE�REQ.
License No. I r _ , i cn f I .. -
LICENSED CONTRACTOR DECLARATION, I ' •t, I # 1 Remarks: I ._ I /✓ 7�,, 3 i 1 4 I 1 1 1 'STREET WIDTH i i I { ,_ C (PARK FEE'S - c
I hereby'affirm that Is am licensed'under provisions of Charter 9 (commencing • F ° - I , - r
• ; with section 7000) of Division 3'of the Business and Professions Code,and I • I ' ! • ' 1 SPECIAL •
CONDITIONS: I ' 1 '• n I • l
mY Ilcense'Is In full force end'eff.ct I '//� � , i - I • , • I S' I' .. t 1 I '
License I. - - • I L •
ice,.' N-/e(L1 O , i 1 I i PLUMBING i I i ' I - i 1 . I I , i i , • I l 1 r •
Date ' - 1.> - Signature Ji i -- i/�.�i� i 1 _
thereby•affirm.that.l.have a Certificate,of consent,to.self-insure.oca,certIficate_.,). ,.-- Bac fbw'Preventer--- - -Sewer-Connection' --•'--1I1 I i• . 1 I - , . ELECTRICALt , ' 1
•
3800, Lab ) PENSATION DEC • RATION ;
r , i I { 1 -• ,
WORK 'S' OM •
' _ •••--Automatic Washer Meter( ❑over 100 amps; 1 i
• of Workers' Compensation Insurance,/ a certified/ opy thereof (Seotion� . -�`-"--
.�j ' ' i f - ! .f i Backflow Irrigation i 4; Solar Collectors - I •
Construction Pble ) Sub Panel: I 1 i • i
Policy No. ompany���js.car�.o'- !. .. _- CookingUnit i .Sub Pole
- .Certified-copy,iz hereby furnished. I ! • '•,, I Bathtubs ; Solar Piping , I !7- ,- _ i , •' 1 " I ;•
�@a�rtlfi jpglLjjss I with the c g Div's. •7�0 j� U' { - I '1 , ! I i Dishwasher I ' j • 'Motors OQ7 HP 014-5 : -
Date I�/'IF OM _Appliran �!{cl CLA j Clarifiers Solar Tank ; I I ,,
EXEM P71 NIP OM WORKERS'COMPENSATION•DE L CRAY N .,. /)� I t Dryers EIGasT O Electric" -I - '"Inc,Solar.09-15 HP`016-15+ '} '--t • "'
(This Section need-not ba completed If the permit is for;one huntlr tl($100)or';,1 f Dishslasher , , 1 Swimming Pool w/Spa •
t ,
I lessrt , I - • i 1 ' : - I - Fan I 7"1 , I I
I certify that In the performance of the work for which this permit is issuedfl 3 Drinking Fountains i Urinal ! 1 • I + • •j ; 1 Microwave j , •
she'll not employ-any person in any manner.so Las to become subject.to then _ '7., , i
j Workers',Compensation(Laws of California.' • , I 1 'p I Floor Drains! ' , I ��/ F.A.U. - 1 , Pole Light
/� Y"
' Date' t Signature ' " i ' . Water Closet; , ' a ' I
'-NOTICE:If;after making this-declarationryou•should-become-subject•to-the- , -- FlooL$Inks-1. .. _• -_. Water Heater. ...i _ • I I r 1 Fixtures l l !Range,. • I
' Workers' Compensation' provisions of the Labor, hale beo • - I
be 'deemed, revoked] I• Ga. Service= :Outlets i (, 'Water Service ', , I Device Boxes I _ ''$igp ' 1 ! 1 ( I
CONSTRUCTION,LENDING AGENCY • ' f • L ' I ' I , I
I hereby affirm that there is a;construction lending agency for the performance. Interceptors I A r • _ '3 , (u i i n_ • ;. 1 I Outlets • , , 'Standing Sections I 1 I
of the work for .which4,this' permit is'issued (Section .3097- Civ C) I - - t` . , t
Lender's Name.^ f I -; • • I I ^• " ' 1 - �� Kitchen;Sink• B. -• ,' 1 -1 - t . - Switches 1 Trash Compactor I j 1
'Lender's• ! Addressl • ! I .I. t •: _ • i o- r • • - i I z .: , !
•
OWNERIBUILDER DECLARATION' I 1 : . '`, 1 r -v j _• 1 /• ��/ Lavatories' t' i '1 • I r ' i / Garbage Disposal •, 1 I f I I ;
I hereby1affirrn.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 F.,-Trap! , I •7, 1 I _• ' _ s y ! •
' county which requires a permit-to construct,alter,improve;demolish'orrepair ,.. _ Transformer ' ,
•"any structure, prior to Its;issuance,!also requires the applicantdor suchpermit , 1 • .. 1 I = .15-50 KW { ' I !
- 1. Roof;Drams a- I - .T. , p2 I i I
',to file a signed statement'that w,( ha/she is.licensetl pursuant to the,provisions of - - ,
the Contractor'sUcense Law,(Chaptfe 9(commencing•with Section-7000)of t '-/ I " -, ' _ n I i -- I - - I 05U+ KW; , 1 •Reinspection Fea 1 $j5 !
• Division.3-of the.Business ane alleged exe ption or that he/she,of empt Showers -i !: •t I Y '' { • , Reinslsection'Fee' $15 •
Therefrom and the,plicaebasis-for the alleged exemption. Any violation-on(Section - "' '` I "'- '- Meter Oup to 100 iampi I I 1 Ilssue Fee ' '$ 3 1
'.7031:5 by_any applicant for;ai permitl objects,the.applicant to a-civil I -1 -- C: 1 X 1 1 , ! R - I 1 __ - _
enalty of not more than five hundred dollars($500):1 A ! v ' 1 ' • Service Sink -r1 t - i Issue Fee a I I $ 3 Zoning Approved By 1 ' •
- 'Date ' ' - ' '
•
�'� I,"as!owner of'the1property'or`my. employees with Wages.as !Heir sole 1 : , I 1 .I
compensation' will,do the work,and)the•structure'is not Intended or offered ' _ • r• • _ if ! ; , MECHANICAL ,' 1 1 Application Approved 8y 1 .I 'nate • ' I 1
for sale•(Section 7044, Business;and;Professional,Code:,The;Contractor's ' , • - A, -
License Law does not apply Loan owner of a property who builds or improves I • Boiler, I -'f • M I • - ! Refrigeration System 1 I 1 ' L/Yi3 ' 1 b-/17 -.9 3
i thereon,•and who[does,such work himself/herself or through his or her own 'I •
i I I j Application Issued By I ,Date
employees, provided that such improvements are'not Intended or offered for ; 0o.100,000 BTU 0100,000 BTU - • - - , j
sale. If, however,the building or Improvement Is sold within one yearof com- - I Duct-Under,Ground : ( 1 , ! I I I • 1 I ' I SUMMARY OF FEES ! •
pletion, the owner'will have the burden•of proving he/she did not build or Im- $ . , , - I I I I • I ,
prove for the purpose ofsale). r •; _ , I i . l ; Duct-Structural •1 ) i System Repair/Alteration 1 ! BUILDING PERMIT $ • ` SMTP j 1 ! $ 1 I '
• U I, as owner of the property,am exclusively contractingiwithilicensed con- I • - I c I i i I ,
'..tractors to construct.the project (Section-7044„Business and.Professions.Code:_.�. _L Duct.Ventilating_ y -_-L-„ i __ „i _I_ .._ __',', . I I 'PLAN CHECK, ; ' $, i PERMIT I I 1
' The Contractor's License law does not apply to an owner of property who i ISSUANCE I $ '_ •
builds or improves thereon, and who contracts for such projects with a con- ( 1 Exhaust System 0 Multiple 0. I { I I I 'PLUMBING $, �->�'� I , i
tractor(s) license pursuant to the Contractor's License Law): • i • •
0 l=am exempt under Section - i l B.& P.C.for this reason • Firepl/Fact.Blt.(CBO# I I i IPLAN CHECKI I $ ' '��' I 1 GRADING ' 1 $
' Date I•
I I f.• Owner' I I I 1 1 : i H •
eating System& Ducting ! : } I . ELECTRICAL • $ ! { ' ( 1 �
! I i MICROFILM i $ ,_
'-1•hereby-certify-that-I-have•read thiz-application•antl-state-that-ttie'•above•-1 .- 110.100,000.BTU 0100,000BIU--- -^ - - (PLAN CHECK' $ ' ' I i
information Is correct, I agree to.comply with all city and county ordinances I • I • i i - I I I TOTA LIFE E! $ I_
and-state laws relating to building corlltruction,jantl hereby authorize repro- I - • , ,MECHANICAL I $ 1
' sentatives o/.this'city to enter•upon th- abov:-mentioned property r I , H. or Type I 0. 1 1 ' ! ! L - 1 . 1
inspection Durpgses ✓/ Cano T e II ❑' } I , Reinspection Feel •I $15• ! I I 1 I LESS > n .
, Signature Lit_ / -
1/i I 1 1 Registers • I , Issue Fee I p $ 3 i 4 I I FINAL FEE I $ .��,—
$2 plica. ___ _ -- _. - _ _ . . .__. _ _ _ _ �--
CMF 0865-46 rev.12/$2 White Bulldmg;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor _ -- _ - - -” - '-' - '- ----"--' -—
'� ;__,-___ toSL-411/4?:` m' n n - ',G POOL'&SPA. - i ..,
c7 cONSTRUCTION,AND)CANNING� .`, x'' ` - -! b
r . I r a c n m O ° s, . Date 1 In ector, -.
r, "APPROVAL$ n Permit'rci, N r /l' _ o Date e'• F�specto r •;cAPPROVALS.;, Permit# - - •
' 1f Temporary Electrical Service ori„Polee.::i rc, .t• • 0;4 , <r ;" 752.E Pool &Equipment Location -• •I': ` ' '
ZS 2? Soil Pipe-Undrgrndr - !I. _o, 't'11 °R= LIj; L.."' 1 53'Steel Reinforcement' • a 1 '
3.' Electrlcal•Conduit Utility;Undrgrnd 1-f zt " `O a� If543 FonS. P ° ; :_= '; � rr ., ; .
& 4: Elttncal Conduii-Undrgrnd-' `>2'i c t I1. 'II, thn 27-1 ' "`•55°Electrical onding''o • , '7a"~ _ ` c ' <= I, '•^,•
< in1 , ..:'%' 1 1^:u r• ' an t'.:-.1-:-Ii x! c_3a .L _ 1 _. ' .) oP r `
57Steel'Reinforcement {'i n `�:,;,:o o� ' -?.; ° ,ry`o d=P 5 :;56.. Rough Plumbing& Pressure - ; ;1
,Test , r , . ` c^`, '
6: 1E lectric.il`.UFER Grod I / ( s �' ^ er',:$H n r(. u` ` ° :`-' :ST=APPROVALTO:cOV.ER-GUNITE'• i .'/;r S
7. •Footing, I : ! LI ; * a' I f¢; ° o �1- ot'. I :'58� .Electricals r� - _ . 'i' . . - L;•I
� 1 . I LI . o ,d .. 1-, gam; �� c -Conduit=Undre rl=: J: �,c- i �z 4i.S^ a
8. Foundation 1 1 I. ' I 3 F, s. v v k< o ,59. Gas Pipe 0 Undrgrod Test'
-
9.:Wale?. Pipe=Undrgrnd ,J; 1 ;g F r , ',I.',I.!a f4I' 5,:::. "::-„I; ; Ir60. Back,vash Lines;P-Trep,;Q'Undrgrnd,: _- - ! ' ;:".1.-1...'": ' ' '! 7
10. Struetural Floor System I a• i j• , p'et • i *Iq ; 61. APPROVAL TO DECK c ' - `>, I c 11
11. Property Sewer Ong&IHouse:Conn'ection� € : : "'-.i Q 1 '62. 'Backwash"'&eReceptor-Final-"'<.:; : ; - ' I i
JI
12. Se'we';CaP" I I_u 1 I `n "!'i, p 1I ' ' x•63. Heater&;Vent-Fina,, ,?:�, _ ":2'
:'i :.. ..fir.., . I
13. IRoof;DrainsI I r! 1 R. I I I 'I t rr j ,I644. Plurimbing.System_-'Final ^. ;r,; ,1
a 14. Rough�l'lumbingl j�, i i cn i , :Ay) , //fit° ' '.65. Electrical=Final' -_- --- F. • ' ^ ;r i .i
q 15:"Rough Electrical=Conduit T�-f'-` rte' -�i-r"'661 Solar!Sys em-Final - - ---'-"- ' - - "---- ' - `j ---I -
? ii,
ti v , t '
I:7 I {11 1 I : .., - 1 I I I I
o t1G1.C�:11 rm_ ee ire aeric Wiring•_ n I I A It I';•-•,--4--i-4---
'1 v : 'c I m ,r I67:f-Fencing &Access�Ap`proval,. 7 r' 1 . - -
117. IRough`Wi!ring Sig'n: M * ( ' ( g
'1+ I.� - i I'•' I I 168' APPROVED F,(5R:PLASTERINGj I E- (- '` I
d 18ugl Ele trical T[Ba Ceiling' �l I i j: I I ' ( r p 1 I69' P00L/SPA S' TEMS.FINAL ' ' - 1 _ ' r .` I I
1 19.IRoughSHeating& Air�Conditioning i I 11 i I G '• ' I I (FIRE DEPT 1REQUIREMENT ' i ' • n -
( l
20,ppRough:FactoA' Fireplace, ; ' I 1 I i I APPROVALS: • Peimit# 1.1 ^' ' . _
r tlLT m > v 11 I II �� ( 1 I , I I i , : - I I i
,_21Ducts;in S• truwcture: 1O I I, 1i 'i 1 ( I ( 1 I b0 Underground HydroI 1 , , _ 1 1 ,
22.1Ducts,;V ; --;. -ting r 1 - I. I i` v I I I i • ' I 171' Product Piping O Gas O Oil , i ' ,,-i , I i 1
1
T .-23.kGasiPi a-Rouah &Test r: n.• :zit 4 1 I' i,-..„ 'Underground-- l s : ;41- is-^- --• � �I
P . .I IL �] 72. Underground Flush: P. j
i`24. Roof Framing) I I I: j II;n il.p 11; I k I o.I:o "r- ;: I _-I: 17-31 Undergrrid.Storage Tank,O Gas Y0 Oil 1 I ' l !
125. Roof Sheeting i ,I > I , tiq II" I I ?1 t I._• t I I I , 174! Overhea• d Hydro I� . i ,
, -26.'T.-Bar Ceiling(Structuragl& Monacoat I I Y, i I '' -'I 1 i -175 Dry Chemical ' - I• ; ' 1 I
to Iz I t � , 1 � w : I rI .
'•a-27.kFrame and:Flashing' I - 1. II •I I• ; I "l I I I h6! Dry Standpipe! r 7 i t i
.2;..i 28.'lathing&Siding,ii i 1 I ill II I I i I .r I I ..I 177 FIXED SYSTEMIFINAL , _ 7, , I I 1
X29�Insulation� $ I c s i 1 11 1 ( I 1 I ! I :78; FIRE KIEV. FIINA'L Ii , 1 I , . I ' I '
o •
-,
^30.IDrywa(1 Nailing i i { v I I h II I I I I '. I I INotes� i -• ; I ,
_ - - - --- - - - - - -
-', F31.''151' er!Brown Coat; 1 I I -. 1i II l I I I -i 1 1 I I� j - r r-_I . � -�- 1
t , ,
c, IV 32.gElectrical,Power Mester,-Final I : II it 11 't I : 1 r CI �-'•r •I •••�i •• •°.I - " ,! t 1 '. . !
I
33_./Final Electri: 1 1 1 I I 1__:l_J+ :L I • I_,__ ' I III I 11 1 , +i r ' j
e a i 1 t i 1 I I 1 ' I ..,
34. Final Heating:&:Air Conditioning j ( 1_ i 1 1 I 1 1 ` '
•
V :ma; r; IR1 1 ' 1 n - . .
g I r i e- - .. 1`i '�. t J , - T
35. Final Gas Pipe=Test ,; I I 1 1• I� V I � I i- iI _ y : z � -: - -• (
s r. 'r ^J L . m .a. L I Ic .;Ic ,C I ! c I�4. .. .. e _ i
36. Hood orLCariopy'- o i g 1 3 I nI n i - j -- f „, 1 -a. ,m . I -• R 1 � , • „ = I _ 1 ,, . - - _ a
. II I .. L . im zi ni . r.t. 1' 1-, iI' I I I In: I ' I , - •-n 4 Q . . •_
37. Final Fa• ctorly Fiieplace9i ii c4.I 1? " c I ' 1 ( I I I I j `- .m € _.1 - '
i 1. , 1,., •1� i -. �p 1 - . ' /ICI �! 1 <1. 1• A - -
38. Final Pldmbing, j I i I i , I - . ;17/fTy; i�IC ,• I 1 I . i .r i •' I ✓ ' r II -
39. Water�Servide-Final . I j • IE I ( I I I.II I I 1 1 I I z _ _ ° -
I ! 1 I 1 i : I '
40. Gas Service-Final I • I 1 I I I 1 I 1 I 1 I I I I I I i I
m1 1 , :; , I . ;:-
, , , i e I%
41. Solar Drolmestio-Final I 1 I t I _�-^-f. 1 { -I-i - --I- `J -.- ::" ! ,
42. Backflow Preventei a I- 1 I I �,ml i 11 1 ' 1_ i 1• 1 i 1, _, I : ! '
43. Backflow Irrigation E I I I I ``1�,, o% .' I r l�, I s I: - ' t. :.... 11:1 - : ' I . '
.,...-1: 14 N 1 �- Y • I I 7F'.I A I Z' Ij
44. Landscape Irrigation SYstemj I cI2,10- I I a 1 1 •;'I f' . i I I •-- -- I 1 1r i } - _ . -. _
1 m ( .o .'. o. i y ' _
45. Sound'Attenuation g l ro''' I x I I ', ,• I I` I 'I i ; ' :I k I I j B. I ` s c I
01,1 • ^1 -- f^ I ' 1(, I� - 1 ; g -P 1_, ,)
46. Hand„cap Regulations) I " I I i it: l I i� I rI I I 1 1 I I ' Or. `' • ,
47, FINAIL STRUCTUREI& BUI•LDINGI I ' 11= 1 -•1 I ' 1 1 • I • . ( ", ^ ,`, r
l 1 I i i 1 1 I': 4! I t I i.-
48. Special Requirements Completed Ii I I I .I.. j 91 1 1 I 1 I I e 1 .• 1 ; :' ,.. <._ . '1
oft 1 1 1 1. 1 1g,
49. Electric Release tolEdison I I 't 1-- I I -I I � 4----_'p _1_,1._j._.i-IL4.41 I '•%?I ' I 1
Y n i ' I i ! �--1-i 1 ..
50. Gas Rleaselto Southern California Gas Co 1 f I I l I 1 1 it I ! ' I.;, . ..,)t "•1
51. CERTIFICATE'OF OCCUPANCY 1' 1 1 . ,-L_,.__!__ �_ i.-, ii 1 ,
• No 1 •II I ! I Date I I , 1 1 I I 1 t I
;
2 trt-r . .. .-1a_.
• Applicant to fill In all spaces except those within heavy border Tines and sign all appropriate declarations, •
CITY OF COSTA MESA r .
•• _ PERMIT NO._ • T T ,LOT.NO. , I BLDG NO. I
• CONSTRUCTION PERMIT 1 ' ' 1 - • .- ' -' ' '72c. r I.Q/•13%63 19:,0U tL
_ AI aos�. ba l9 a 8' : . 4
Applicants Mailing Address '-#P- P•�. / _ /.••a ;'1 TYPE OF CONSTRUCTION'. KNEW U ADDar: . L,I ALTERATION;U'REPAIR '
Project Address 763 ✓ 'L / - -- /( O CONVERSION ❑ DEMO SH T ER- ' • ' - • • • -
Owne•raName M. , 'CM-ti 'hone (�fl- 7k DESCRIPTION OF WORK • CPe,' _ r •- r 1 �•
CC� // �,p7/7 - ' IZONING REGULATIONS' I-'
Address: O l is oltl{r/. -y / �m' ... U _ • •
, �: .. 1
-�J TYPE OF. PERMIT. ' U GRAD-MGT'El FOUNDAT``O��"� ❑ STRUCTURAL A.Pr#s _ I 'ZONE I
' Arch/Eng.' ! License No,; :0 TENANT 0'ELECTRICAL ❑ PLUMBING-J MECHANICAL •
PLNG,REF,# 1 ' i v•BUILDING, '
Address � • ❑,'OTHER - cc-merle rn CT
///'���V TO BUILDING.
-1.91.6.111•04•a W� , • ? -(4 O - - PROPERTY LINE 't ' • ,REAR YARD (TO P/L)
• Contractors Nam- •
. ••.hone PROJECT DESCRIPTION SQ. FT. OCCUPANCY - '
Address(mailing) •,• ' •1. ''/ #t LL I• CONSTRUCTION T.VPF "' 76,5 /.L/ LEFT SIDE YARD RIGHT SIDE YARD
GRADING CU.VOS, - ACRES • ' .PKG.SPACE REQ, PROVIDED ) '
License No. r/✓"
LICENSED CONTRACTOR DECLARATION Remarks: - .- /3 - 7,51:23. - 1 STREET WIDTH :. 'PARK FEE$
1-hereby.affirm that-l'am licensed under provisions of Charter,9(commencing ' ' '
with section 7000) of Division 3.of the Business and Professions Code,and 1 • C SPECIAL CONDITIONS: t '
my license-is In full r tl,effect. F '
License 16 tv Ice Si o. /TCL���0 i PLUMBING A 1 I • '
Date • - Signature • - " -
WORKERS'COMPENSATION DELLA RA 1 c i t I Bar Sink Sewer Cap , - i , i F ; ELECTRICAL , ' I I
-thereby affirm that.' have.a certificate of consentlto.selNnsure o 7. r certificate -- • Backflow Preventer - .. - ' ' - 'Sewer Connection- ' - • '- - - .. Automatic Washer h_ . . . _ . , 'Meter Dover100 amps..•, L -
of Workers' Compensation Insurance, or a certIfie copy thereof (Section •• • - -� •
3800, Lab. CJ - � Construction Pole Sub Panel '
AUL- 1 ,/y '-/yy� - Backflow Irrigation , Solar Collectors . - i
Policy No. bpy i ` Company rr�w�r+•' yrs •c�• • 1 - - - •: Cooking'Unit :Sub Pole ;
I Q Certl/led-copy Is hereby furnished, i Bathtubs /- I Solar Piping 1 • . t 1 ,
-Cerci gO DY�syletl with the city,13. a1q�,, �y r;I,
1_ �b �- �K..i/b1 'f. ! 1 , Clerifiers - 1 I Solar Tank 1 - -'f' Dishwasher I Motors DO-1 HP O1'/,$
Date Applicant �! r I _ i ; •
EXEMPTION FROM WORKERS'COMPENSATION D CLARATION ' ' - 4 v Dryers ❑Gas, DElectric' . ,Inc.Solar'09-15 HP 016-15+ _
(This section need not be completed If the permit Is for.one hundred ($100)or Dlshrasher ,/,• Swimming Pool w/Spa ' Y i .
•
: less)' I ) - I ' DrinkingFountains Urinal Fan. IMicrowave ,I '
• I certify that in the performance of the work for which this permit Is!issued, I I - i I
shall•not employ any person in any manner so as to become subject to te t F.A.U. , Pole Li ht
Workers' Compensation'Laws of California.; ' Floor Drains, /'/1 . Wa• ter Closet, I g 1
•
NOTICE:If,after makingthisSignature •
declaration, you-should becomes _
ubledt to they' Floor Sinks ' I. •' - -- -- Water .. �_.-. Fixtures ' - 1 - :Range._ I -_ • ,
Workers" Compensation provisions,of.the Labor,Cotle„you.must forthwith Device Boxes
comply With such provisions'or this.permit shall be ,deemed revoked. Gas Service $Outlets W• ater Service i Sign ,
CONSTRUCTION LENDING AGENCY - Outlets
I hereby affirm that Cher Is a construction lending agency-for the performance i Interceptors _ • t • • ! i Standing Sections f ' ,
of the 'work for, s Permit is ,Issued :(Section 3097- Civ. C)i j - i - - Switches .
Landers Name - - - •
Kitchen Sink •. •I ITrash Compactor
Lander•st Address' - -- - ' £, - , - - Garbage oral '
Lavatories: ) 9 Disposal - t •
OWNERIBUILDER DECLARATION . ' I - , I - - s - ' •
1 hereby affirm that I am exempt'from the;Contractor's'License Law for the • - v - Generator 00-5 KW 05-15 KW •
following reason'(Section-7031:5 Business and Professional'Code: Any city or ' P,-Trap' l . I , •
-county which'requires a permit to construct;alter improve;demolish or repair , t •- - _ ' - Transformer ❑75.50 KW 1
"any structure, prior to its,issuance,'also requires the'applicant for such permit ' , Roof-Drains . t I •! .
to file a signed statementthat he/she is licensed pursuant to the'provisions of /' 050+KW i
the Contractor s'License Law(Chapter 9(commencing with•Section-7000)of t I ' - Reinspection Fee i $75'
' Division 3 of,the-Business and Professions Code) or that he/she-is'exempt i Showers - - _ Reinspection'•Fee $15 I
i therefrom•and the)basis for the alleged exemption. Any violation of,Section - , _ Meter Dup to 100 amps Issue Fee. $ 3 4
4,7031:5 by:any applicant for;:al permit' subjects;the'applicant to a”-civil , I _11 - I ; \ I
• enalty of not more than five hundred dollars($500). 1' Service Sink Issue Fee $ 3 to -
,'� I; as owner of the I Y P Y y i l I - Zoning Approved By ' 'Date ' ' '
property Or em to ees with wa es,as their sole I I ,
compensation' wile do the work,and.thesfessiore,is not Intended or offered - 1 , . _�. • MECHANICAL I ti IApplication Approved By • Date I ' .
for sale (Sec/Ion 7044, Business and'Professional Code:i The Contractor's • -- -- -- - ---- - --- - A
License Law does not apply to an owner of a property'who builds or improves I gpiler 1 I Refrigeration System ' •• ( a,
employ, and who does/such'thasuch-i work himself/herself or through hit or her own i - Application Issued By nate �� /
emploees, provided that such-improvements is sol t Intended or offered for - - ❑Q,100,000 BTU ❑100,000 BTU,
I sale. If, however,the building or improvement Is sold within oneiyear of coin- l 1 Duct-'Under'Ground •I • ) 1 l • SUMMARY OF FEES t
pletion, the owner will have the burden of proving he/she did not build or Im- i ' • ' I. I • ' , '
plove for the purpose a T•sale), . - ' I I ; Duct-Structural I System Repair/Alteration BUILDING PERMIT $' 1 SMTP I ' $ t
LJ I,2s owner of the property, am exclusively contrasting;with,ncensed con- - - " 1
tractors to actor'uLicen pro)ect (Section 7044,Business and.Professions Code:_l - Duct:Ventilating .i__- ' .,-, ,PLAN CHECK' ) $ 1 i PERMIT • i
• The Contractor's License Law does not apply to an owner of property who i p .1 ISSUANCE $ i • '
builds or improves,thereon, and who contracts for such projects with a con- , ' Exhaust,System 0 Multiple 01 I I ; .IPLUMBING , $ y
1 tractor(s) license pursuant to the Contractor's License Law): t 1 - i i j GRADING : $ :
0 lam exempt unbar Section 1 B.& P,C.for this reason i •Firepl/Fact,Bit, ICBG# ; I • (PLAN CHECKt I $ 1 I , $ _ , ,.
ELECTRICAL $
i Date ' I. ! Owner' I I I I I Heating'System&Ducting . .1 i • I , I 1
• I hereby-certify-that - - -- --- - •- PLAN CHECK' $' MICROFILM $ , •
L'have read•this`appith alln-and•state that the • AcI100,000,BTU 07110,000 BTL• _T - `' I
Information is correct. I agree to comply with city.and county ordinances t f —f' i :
__ , _ -- - ___ t -^- -c :• n- c- - p 'POOL'&SPA M I 1- _ No. :.
r? ryCONS- r- C• :ON ANDtPLANNING�-- 'm it_ q - .-- _ - -
t- U r v c & t. ,m r - : - Date r1 L nspector :n : 2% e Date Inspector ,,
Y APPROVALS m Permit.# - -I _ - ;,AP.PROVALS , Permrt# - _
t•. to ( _• J. • ,a N ^ Y. _ _, :l_[7 - -. . Irl 512i• I ti, - ..Y 5-7- 1 .. - , _ .. . � r -.- n - ,1
`emp"orary•Electrical ServiceorIPole..1 F, `• 4 ^i•" `53 _•' i :'5? Pool &`Equipment Location, _ s-, '"� ^ YI
N �? O • O. E -o Q ¢ - J -• ' y•- '_ ° -
, iSoll Pipe-Undrgrndx a I ?:c n'. �•� �• g''it r�/. 'n' E.e i 1 •53,..•Steel Remo_t
forcement �. c „' r• ‘ .2.; '7 - I c _
-
pear-ilea!-ilea! tc , ',,,42:71,-;14.-: 7;4,f
3i pelea! Conduit Utility-Undrgrnd-I 1 ti I , ., - 14.--44 = e 1 .-4:54„4. orms -
F , - o ,uoy oc , a, c S •;"! ' - -;‘,S,
1 I ^ 14I
• ai 4' Electrical Conduit-Und_rg"rrid'=> 4 N t' 7 v3 `o `„? a'S5 Electrical-Bonding r i. • - Cry y'� .I ,I
Qui , , • - n. , R --_.. X : E ; . _ .. . .. ..
b' SteelrReiuforcement >`1 : o' _ ,3. ci/7i;;o=, ,, :'56.. Rough Plumbing& Pressure,Test:
1 ' t I ,_.- d ". 1 --1 ,�n E e 1 c -< �ri.
6: IElectrical UF ER GrndS1 I r, ^ I : ) ,y o- '�57- APPROVALLTO'COVER:GUNITE ' ''-4'•n
7. Footings af I 1 -:I ,i ' v ' i i -` rs .!,4244,1:f-t; ,-- '38')Electrical Conduit-Undrgrnd o•>-= . . 1_y. -
n C.C e-/ :.: ,
E o I T
8.-Foundation • - I • I i } = r •i"O , rt,.- �f oo ;�59. Gas'Pipe;'O"Undrgrnd;Test`? '> ", _ -
t i I r...,-
r 1
9. Water Pipe,Undrgrndi il I at ? : ..; 57; .1-7 v' 17' c- I ;,6p. Backwash,Lines;.P,-Trap, O Undrgrnd.;; -_ •• : j °- ' I,
10. Structural;Eloor System 1 . O ;.I ,)- q fir c 1 -61. APPROVAL TO DECK li. - T :-1!•2: 1 -
11. Property Sewer Una'&'Hoe
iusetonnction- ❑ - 1E i a62 Backwash & Receptor Fin I •.,n - .. i ' S `.
12. 'Sewer Ca ' •
t t P t t I';,, ; I 7.) , i • - - 1' �• r- o I' 63 Heater;&Vent Final. '` p • ., ,; '�
13. Roof Drains I ; 7 •;:r ' `l _ q_ ,'64. PlumbingiSystem, Final ,- I - • � -
c 14. Rough/Plumbing '• . ; °-c` i I i - .' ° ( '°65. Electrical=Finale --•_ '••••• [ pc;. r • i •+' I), E
U
&rA T
i.
3 -15:,-IRtiough-Electricaltonduit1214F� Z- T ! !J; T66iSolaiSysiem=Final---' - --' ' T rr 1i
11, 6._uRou9h-Ele,cmr_ic!Wiring` n I ? 1 v , . `^ ! 7i,eTa
, t,57i.�:+-I .• 67.�Fencin.g `cessAp-Toval. -.�r-_I•_ _ 't- ' _ _ _. ik _-_. 1.1
:rt
!_17.sRough^Wits'ng Sign2. -A I " I T !e1 1 , I'^- ; I , I ;1} , 1 ; i�, 68 I APPROVED FOR;PLASTERING • • ; I i
Rpp 18.b qoEleetiieaiT,Bai Ceiling 11( I 1 ' I. '69.j POOL/SPA SYSTEMSVFINAL 1 ' S' i-e-
T ,ughT 11 ! 1 1 1 � I 1 I ;- I , -
;, $ 19: Rough�Heating &!Air'ooditioning 1I 1 ,�j /F3 1%� 1 I FIRE DEPT.REQUIREMENT: ji 1 ' r I - I
i1
R 20. Rough;Factory Fir6plaace I .i I1 II 11 I I I • I I APPROVALS; ;Permit# i i 1 '•_ -r
n
p, 21_ [Ducts• 'in Structure- '• ; 1 1 !, i' I 1 I I 1 I I , X70.:, Underground Hydro
t t22aDucts;Yehfilating ' H.I .i Ij II 1 I 1 i in I I 171_1 Product Piping O Gas C Oil i I 1 ; '
;.23: cGas Plpe-Rough &Test c i , I 1,1_,.. ,r_ I i 1 ,,---i I 172.1 Underground Flush I 1 1 • -I -I_ --
S�C24.IRoof Frrarningi I I i T !' IIS Ir 1 ? I Ica ., 173.IUnde-grnd.StorageTankDGas,_OOil' I
I I I� 0 1oi €8 Ica I i I i : ,
A I l i ' II. , I' I oI v 1 ILL 11 - I
•
e If 25. Roof SheatFiing �. ra, n c 74 OJerFiead Hydro
1-26. T-Barr Ceiling (Structural ,& Mono.coat`- 1 "? 1 i c• !,I I I 31 i 175.. Dry Chemical t - i ri, ,
I ! ' ' 1, 1
t'-27. jFrarrie and'Flashing, _• ! 1 1 II 1I I ' 1> I 1 1'.,1 1 I 176.; Dry tandpipe 1 n- I,
I . - J i.; i ; I I
GII28. Lathing& Siding, - I I 1 i1 !I 1 1 I I 'ICI I I i77.I FIIXEDSYSTEMFINAL i'> 1 : i 1 1 r, i
29. AIrisulation 2 t i-Q ,1 ,. I i 1I; it 11 11 11 ' i i 1 178.1 FIRE PREY FINAL • 4 1 1• ! ;
{ 1 I I l I I 1 1 • • Ir; I !
°c `117_30. /4 1 ! Nailing , : :i 1 l{ 11 i__I , I I 1Notesa r • I. 1 > 1
L 31.fyPlaster Brown Coati ,j 1 I i 11 Ii I I I I 1 I - ' 1 ! 1 ' I i i : ' - I , ,`i • 1
t
u •; ; • -r 1 I, if f f ' I I r I i c '
$ Ij 32.}ElectricallPower MeterFinal ,. _ i1 _( ,-1_._ I.-__ 1 ! - i I. ' . i - . t • , .' i I i �'-", ,•
•
y 33.lFinal_EIe cmc : ' 1 s jl' I_.. i Hi. i I..1 +,J_ I_ .._a. r_ .I _ 1 1
$ 34. Final Heating&IAir Conditioning 1 k//i/A. I 1 ! j I I ; ''d t -
Y v nIn Si ^. 1.- , I- t n. l - r
35. Final Gas(Pipe=Tesi1NiN 1rtI _^I G 1 != 1o !t: 12tc•• - ,r 1•".I , _ 1 •`, '- p : .! ' `�. ' " a -
I' I I Ifl C Q ' 1: ii i a I- - I i ! . . 1 u, i-e l .i a c -- i - -
36. Hood pr lCanoPY i - I I I g' D i ' IF- I = ; I 1 ! I `. I-' 01 S.. 1 - r ! iii - i. r . - -
44 0'
37. Final Factory Fireplace I Ell I w 1` I ' ' I , 1 ! 1 1E1, 1 ''j,_ _ i `. r I1'1 , �' _
i n1 n i i tr I I' - _
II ''ii 1 i- I.
,a: _
38. Final Pluimbing 11 i 11 al 11 I I 1` 1' 1 I r i 1 I 11 ' . 1 -, ' - I --
39. Water Service-Email 1 l i li I 1 I I i = I I 11 ! 1 . .i 1 c z • .`
40. Gas Service-final I III I j I I I I I 1 1 I 1 I 1 ,, i i
x 11 I 4 I I' i I l
ann i I ! I i I- • 1 ill , : , ,,- ' •t t 1 ' v.. _i
41. Solar Domestic-Final l - - _ _
n.-I: I I I i Y 'r- t'J"F -'I"1. ._ J""4- 1-Y__ i i t _+ i i I;i {;,.
�t I I I 1 1 1 I f 1 I I I 1 I I • ' 1 - 1 .
42. Backflo'1 P.reventeq c .'�'•ir T 1 T. - !-- -i. f- I -- •--• i I •. , '
' I
VTI: .1 I..•I '✓1 I I I� ,s n :v �' 1" 11• a,.. • '.I 1 1
• 43. Backflows Irrigatloni e.1 1 1 1 t'y!= I' I - 1,' 1 'I F i r. I `: 1 i -I ` i , 1 I
44. Landsc pe irrigation.SY;tem i Ir'%1- 19 I o .'I @' - , i I '`I - ' I i i ?t 1., 't _
y.0 i_ , •- 1 ,tf i=' IG 1:;I , : I ai ' .1 . 7' - v. . in -
45. Sound AttenuaiioriajtIc ' ' ° Irl 1 I iai I t I • •j! i I 1 ; ! _ ' I ;y :'' = E 2 .2.-4 ` ' -
w Vt, 1 1 ' I II i- ' 1.: I i I 1 i Yi 1 : I ` Ty,1 tt pl' c' _ - - •
46. Handicap)Regulations( ; 1 t R i` i I 1:_ I 11 I I I i 2 i ;• - -` '• •' -' `$
47.'FINALL STRUCTURE & BUILDING c 1 I 11 i I 1 I I C t , °
i 1I I 1II :il
48. Special Requirenerits Completed, 1; I I I-- ' i I I ' 1 • i , G I ti - ., TN::
nit Il IT ! .. 11 1 I `.:; 1 1 : I 1 I I ( ti
9 • r 1 1 1 . 1 - 1 r , r i,- I '
49. Electrt. Releaselto Edison) I ( L.. '1_ ,-- 1 • .!._I_4---- ..i---- - y I I I 1 !
•
0 • I i t I e 1 i '1 T .I I 1
II 11I I- , ' '
i
50. Gas Release io Southern California Gas I . I I I I ! I 1 1 I 1 h' I, 1 1 ' i
L 11 1 e � i I I Ti :
N5o1. CERTIIIFI ATEO IODCaUPANC' v i_ ft_ J ._ L___;._t Ht.!
i.__I_1._'. "'' I .i- ..,, ; : 1 I '
III ! I 1 1
--
. •
• • •
. . Applicant to fill In all spaces except those within heavy herder lines and siginall appropriate declarations. -
--.-- ,-- ..._ •
CITY PrCOSTA MESA-1--I 1E'li :t 1 . 1 -r , I PERMIT NO. ! I , ! !TRACT NO. I I LOT NO. 1 s BLDG.NO. ., 11- l'---"if' ' ' i 1' "-;' : —1
. ...: ‘• .c.. ; — u. A. , ,..... ..... . -, ; • . .. ' r. : ! 1 9 -. e-4 - 1 •99 t •-.' 'I • •' ' 4:- ' 14" '-'' 4.-' '
CONSTRUCTION PERMIT) I "- ) ••*" :t4 c.-- '•-•'' ' -: ' 4‘...` ! •-• ; 4 A.4.`:--: :7" ,/0 . i i i I • 1 I . , .....:,..•.: -.. /1 -. , _, 4 n, ,: i i.,1.
, , . , . t :
ApplicantS'Niailing Addria 11W--/°"0 lk - lia 4:--• ' rt-•• II e-- . • - ;Tv PE.0Falik STRUCTION: i la];NEW 4"U ADDLU f ALTERATIONI/U'•PIEPAIR ir , T I c•'' ';'.4 • ' -s • • ; ••"' I - : ..; i :- I t!' •'1; • ' . IC' •
Projenet AIddre"s -461.' ..'ChIIe- l p-\u-, ' •.i 5' —,-; ,. "' L* ..-.• c• . •. : 1i •E' '&1" V1V`1E1R:S-_C_O‘; E11 DEMOz LI,)SH DHO-T,,T-H:E,I R...r..
iPu ` }'. ' l . . •' ,.
• .. ' .,•. !. .irn .....) ;' ...: ; L 3, ' 7:-.7-. .`L :r -; • t.:-; 1' :1,.. j 7..1 ; 1 1
Owner's ae D • A:CSir0. Phone r DESCRIPTION OWORK metAl fire ,J. es • C4 I •I"M••- I; ;'
1 ,:, , •-• 3 ..: , 4-c. 1t- i I - : z • " I '''' ' I S- • '`• ' ZONING REGULATIONS
1, 1" 1 1 ;33 1 •• 1 . ' ; ..r. I .• i ''. ; . • •
Address, -- I - ! - • -- I ' " "i TYPEOF kiimit , L.:I -Li 5 a • . ' - • T ' -- - --' n I • "-- , i" - i • -: : - it ! - i v• ; -- !:, •
- • -, -- , - -- .- 4 -. • 1 1 I 1 4- 1 • , ,GFADING. FOUNDATION STRUCTURAL / •b 1 .•-• •A.P.91ii r ; . -L., : •- . .n . CZONE 1 .: ., a. ; .. . .4:
irch/Eng.. ' ' ! License NO., V. ' - ' LI TINANT III ELECTR1CAU CD PLUMBING 50,:MECHANICAL '.- I : 1 53.CNG.IREF.19",:.- I
. .1- . •-• . ••• : A • ropyrannie rvi- oy - ' '' I ' ..... •
Address, -! , 'e . -2 i -, ' J. !.." , : , • S ••• i , ; , .a. ; EDDTHER ' or, .. ; "Th i •sr. : 1- 1. I I).:-.1%(!: ; ' ! ; '."; l•4 ' ,•••: ! cf. -'• ' '... ; .' i T.BUILDING •'S. ; :, I . ' S.,. . ..'s !) • I
TOBUILDING / rz i Z. REAR YARD(TO P/
' -.- 1 " ' '4 ' " • ' ' ' • : - ' 9. j '';'' '•41 !
. -..: ; . .. . ; . 1 tL1'--,
Contractoes Nem; Coa:st. Firreplacett. t Phone;63.9-182c PROJECT DESCRIPTIn-N
. SQ. FT. ' ' - -: OCCUPANCY PROPERTY LIN'
Add !.. j . 3 I ; -; • ,'TION$• • , _ , „LEFT SIDE YARD I • : 'RIGHT SIDE YARD ! , ',9, ,7, -.. :•.3 '
ress:Imailingl 2:080-N NS.SIt.S.:-1 Vi A '
•Or rig , 92667 1 ; :CON STFILICTION-yPF YLUA• ' . A 4 •
4 1 I I 1 1 ) ; , - 9. 4 • t 1. 1 • . . ' . • . , . 4
License No. - 4061 I ; 1 . . j . • ; 4 - ZONE • ••
1 ..) GRADING CU.YDS': ' `AC RES 4 t • '. • PKG.SPACE;REQ. ; I ; ; PROVIDED ' 41 r'
1 ' 7
il. .. '
LICENSED CONTRACTOR DECARATION „ .
: ! ' .; ' I I : Remarks: ; '7 1 -:. _ .
- . . ;, 6 —; 'T.5011. 5! u.'" i : ; I Il I 1: I STREET WIDTH I • • I i 1 g. )PAIRK FEES :4
4
' rherebylaffIr'm that I am licensed under provisions of Charter (commencing !
With section 7000) of Division 3 of the Business and Professions Code,and I ! i 1 ' ;a I I I ' ' ' 1t.; I ' I ( I I ' 'SPECIAL CONDITIONS: ! : r • : t ' : r S. I ••• "I'. 1
I ' ' ; i • 1 - / I :
m'Y Emmet in full Conc. and effect. I . ., . • t. , - , .... , , , , . , , 4
z. • : , a .n e No.1-1gb-187 • I ' b.-. • i ' 1 PLUMBING '- ;5 I I . i , .! I' 1 1 : i 1 : : -I I I '..: , 1 !
i , . • , .iIIIss .•• I . '
ilicena;alas' i
Dat 1 ' dr:I; signature7,72/MII ir '); ...t• t:-, Irc.)• I ;
' • r - / : - . : • 1 • Bar Sink I I . I I
WORKERS'COMPENSATION DE• ' 'ATION . . . • i i . • SeWer Cap; 1 -; I : •: 1• , 1 ; i, i , I I ELECTRICAL
I hereby affirm that I have a certificate Of consent to self-insure or a certificate ' - .4' Baekf low Pr ' ' ' SewerCo ' ' ' ' Automatic Washer '
.. . . . I 1 :Meter Dover 100 amps
: •
—• •
61"Workers"CainperisitIon-Insurance,.or a cortillidl-copY.theleef (Sectiont• -: • • ' •. ''. ' ' - '
3800, Lab. C.) 5
17304830CCA/59JC ' .' ' i ; ' ' , Baekflow Irrigation •1 : • : . . .
Soler Collectors ; ' ! ' : Conitruction:Pole I i ' I 1 :Sub Panel 1,
Polliy No. ' ' • I ' Company • et' a 1 1 . I ' . . • .. _...
il Certified copy is hereby furnished..i ' ' ' I i ; ! Bathtubs ; j 1. 1 IS
evA , , • .
• , ,
Solar Piping 1, I i ,
Soiar Tank ' ' I '; : I Cooking Unit-4 I. ; 'Sub Pole
, , , / , ,
. Dishwasher 5. , I ; ;Motors po-1 HP 0, Ma. I I
Certifi d c' p is filed with the Cit elli i I I
Date a 1 AppiicOnt 4 •. I • I 1 1 ' Cl4rifieris i i ,....' '' :
. : • . . ,-,
EXEM ION ROM WORKERS'COM NS TION'DEC ' RATION- -4-''''t 1 Dishwasher : 1 . .11 ' ) ; . Swimming Pool w/Spa ! I • . -- Dryers-L.IGasic'DElectric---•-•-•-‘r -"rInc:SolariB9-15•HP`016,15+" -r- 1-- • ..-- 4
• ! i
, (This section need not be completed if t e permit Is fon one undred($100j or ; •
. , , . I 1 ' I• !
less): . s t ; 1 • I ' •' 1 1 I Fan; :I . •ft I I • I 'Microwave ,
. i
• I certify thatjin the performance Of the work for which' this perm'It is lissuen,I ,1 I Drinking Fountains 4LI, 1! ; Urinal I S• I 1 I , .
: shall'not employ any person in any manner so las to become subject to the , . . .
FA.U. 1 ki; ! j •PoleILight • ' • : .
. I . • ! t . . I ,
t Workers"Compensation;Laws of California,! , • . 1 . ' ' Floor Dnainsj '. •''' Water' -Ciosetj. .. I ;
: i • -. i I • I I
,
1 : Date' ' 1 ' ' signature ' ' ' — I i
1 ,
• '.NOTICE:!caner.making this declaration Vou.should .4become subject to the .. „ FlOofSInics...4.....4... .,.. ...) . _Water Heater :. ..._.,..,_,i,..__!, j Fixtures I i ! j I ! 'Range I •; I I
•
workers', Compensation provisions of the Labor Code, you must forthwith . , , •
,r :
comply with; such :provisions I of this permit I shall be deemed, revoked •, :41 ; Gals Ser4ice- ! Irbuilets J I-• 1 I.-' Miter Service I.J, 1 t_- ; .- •• ' 1 ! Device Boxes ' ; • , :Sign
I
: CONSTRUCTION S LENDING 'AGENCY': I ' : . `',; i `" 4 '4• `, .4-• 4-; ; ; 1 .: L 4 4. : ; ' 1 1
r
I hereby affirm that there IS(construction lending agency for the performance 1 , 3 Interceptors! . „ ' • •P: - I s Outlets ; i I i • , 'Standing Sections ,
of the ;work -for, Which!this. permit is iissuml9
,(Section 3097 Civ. C1). ' I i3 -, • . . . .
Lender's: Name 4' 1 4-4 • '' ' • ' • "' -•" • :- 1 '' 4 ' 4" i 9 ' ". -- 1 kitchen Sirk, re- -• I '', ' '-- ' c ' t- ' '": I 7: Switches • ; , i j II-rash Compacthr i • I . 1
' 1 - •I - I HO --- 1 j: 1'r,- I 1 I ;;' I 7:: j "4".. I .C. : ...: .1 • ': • _ - ' ' 1 " ' ? "1" `‘' '-' ' ; 1:: ' '1"‘ I
Lender's Address! • •
;3;4 ; 3,)•i ,.."4- ..c.3 .' Laiatoriesn.i.; 47. n',1 j TE.. ; 1-1 .j. . .":.) f 'i. I .1' i :.-1. ,.. i . .', Garbage Disposal 1 j i ; ! ; 1, . 1 ; '
OWNER.BuILDER DECLARATiaN • I. ; 'Ir I 1JI j L.: !", I • • .
I hereby,affirm that I am.exempt from thelConiraetortiJcense Law for the . . I Generator,DO-5 KW D5-15 KW i • J I ! ; . ;
' i '' t r- ' 7 : '-'• ! '---; -1'. ; -;: ; !Fr fil :'..: I :7-: ; , ;
• following reasoniSection;7031E Business and ProfessionaliCode:Any city or 47 ; P-Trap! -... • • • ' ' ' 1
,County which'requires a permit to construct,alter,improve;demolistron repair • , , - • 9, 3.,- . ; Transformer D15-50 KWiIj • j11, ; j1j
.any structure;prior to its Issuance requires the applicant for such permit, S - s Roof,Drains• - . s "4/ 1 ' 1 ••• ., ' • : ... t ..,- .. t .• '
•
' •
to file a signed' statement that he/she is licensed pursuant to the provisions of' i ' " ' ' ' ' , . -
the Contractors License Law(Chapter 9(commencinglwith Section 7000)of r. • : '-' ' ;tt I r, . I r ' a • .' ; . j . ; • - I 0504-KW! j : !,
' Division 13;rof the'Business,and;professions'Code)"or that he/she:is.exempt ( -, ; Showers- ;n . •-• A .C. S - 1 .-. cs 1 , Reinspection Fee j $15
iiReinspe't ctlionFee .: $15. if -
,,therefrom and the;basis for the alleged exemption. Any,violationtoll section ) , Meter Dup to 100 amps i I i ' lIssue Fee' ! •, ' '$ 3 •
I 1
. 1.703115 bYsany applicant for:(a:permitLsubjects'the applicanttoa.civil ( I "' l S- .r.' i ,' •-• ''" I I--- 1 I i 1 ! • 1 $ 3 * - . -
tnalty of not more than five hundred dollars($590):. ; '1•- ; ; "1 i ' '. Service Sink! -..) ;:' i ' ! r i ' Issue Fee.- I . Zoning Approved BVI ' 1I11 , 113ate " " ,
, . , I ,. ,
1;sias owner of the property Prims( employees with wages;as their sole / i I. : • • I
j compensation', will;do the work,and the structure Is not intended or offered I ! ,;... ; 1" I -7., S al i I , , 1;2 MECRANICAU .: ; 7; 1 ; • I Avolication Apprwied Bje , ' • : 1 ' 'Date • ,,
. . .---- -------------------- -- ----
s for sale I(SectIon 7044; Business and?Professional Code:1Thel Contractor'S I
, License Law does not apply to an"owner of a property;who builds or improves ; Refrigeration System t I ) : 1 ; ;<f) I/4?, r I " .j>/n/r‘LI I
, thereon„and who:does;such wort< himself/herself or through his or her :awn ' ; Bio)lei. I I','!'; j ;;,..1 ; I. 1 -t.!,
Application Issued By • nate
empioyees, piovided that such'imPrOvernents areinot Intended or offered for i CIO-100,000 BTU 0100,000 BTU S „ . , • s l
: Lt?fl however,the building or IMprovement is sold within one'yeariof corm 3 3 ; D u!crz'Linden Gound ; i I
' ' I SUMMARY OF
FEES ; .1 • ; • t ;
. Pletlon, the owneriwill have the burden of proving he/she did not build or im- ; - . -- . . . ' i 111 ; 11 . : 4 r i ; I 1 ' • 1
rove for the purpose of,sale). : , ( I )--, i / / ( i ) Duct-Structpral I j ; I System Repair/Alteration I i ',BUILDING PERMIT $ 1 s ' I SMIP --
' J $ S' • I •
, 1_1.1,as Owner of the Moperiy, am exclusively cantractingiwith.liceMed con- , ' . • .. . , - " : I I ' 1 „ , , il I I I I I ,
I.
. tractors to construct thelproject (Section 7044,Business and Professions Code: i Duct-Ventilating 1 ' ) 1 ' !4 I s . ;PLAN CHECKS $ ' , PERMIT ! i
S-The Contractor's License-Law-does-nOt•aPPly to-an-owner-of property"who-1- , 3 ' d. ISSUANCE 1 1 $ !
. ! builds or improves thereon,and Who contracts for such projects with a con- 1 I Exhaust System 0 Multiple 0 i ; 1 - . 1 I 1 • :PLUMBING j I o ' - ' i i •, • i . r
tractor(s) license pursuant to the contractor's License Law). . 1 1 ) • • • I ! i ; I . ; 4 ' 1 GRADING ! $ -
, , r
PLAN CHECK.' $ '
I • 1 , ! ! I ,
D'Earn exempt under section—) t ; a.& P.C.for this reason i 1, Firepl/Fact.bit. ICBG 3195 ! 1 I
. , 1 , . . 14. 00 1 I ' $ i .
. ::. ! . ,. ! •. • . . 4 ! , I ' ' ' • I
• • r 1 ;ELECTRICAL, I $ .- ,
•
Date 1 1 ; 3 Divner I ; i i • . ; • ' i , Heating System&Ducting 1 j i I ; : I :
;PLAN CHECK; ( $ i I ' I 4
; MICROFILM $ ; l ' '
, i
Ihereby,certify_that_IS have read this application and.stite_that the above.43 __' -004,100,000BT.U,0100,odo r ..: ' •. ...... . , • ' ' 1 ' I ' . 4 I
i--information is correct. I agree to Comply with all clty,and county ordinances 1 r 7 : I 9 i , -- - • ' . r--r--I -,---, 1 ; TOTALI,FEE1 . j $ i-...z._• I
' and,state laws relating to Odin. constructiondand hereby authorize repro- I IMECHANICAL f, s 7)0 0 i • .
I Hood or Typ' e I DI I I I : ' I • L .
. , sentatives of HK$!city t enter upon the above-mentioned property for I I Reinspection Fee r 515 I 1 2 0 t" ESS • I ; • i
inspection pur,..es A ;
9
! 1 ' Cahorly. .TYpe II DI ! ! I • ,PLAN CHECK ' $ 0 °- ' i L . I 1
. , I • .-, ADVANCED PC 1 $ ._
j Signature /h IV I • .._af I 1 1 I Date ill il /83, ' i l ' - '
I I I I I I I $ 3 t : il : ji $ 13.00
t Drlitsers• Lice . cry # _
Appilcant;pink---AccduntIng:Golden;od r Assessor ---- - --A--------'-- -*- r .'" ' 4 4 4 4 ; t - '- •----- - - - --------• "-• - ---i--
L
, .
2C' CONSTRUCTION AND PLANNING ' paVo � t � f.-: ` }C �' c l OL'&SPA `1c•�cL a. ,7^ r' - Et i I '•
O ( i ' c_ - F ' c > .Date Inspector' ,
APFROVAL'St. Permit - ° -= ' ¢c ; t - I Inspector,, , PROVALS Pe`rmtt# '^•- '- '•- t ( I >
r.: I . - .3 a , J v -• - ' Miry-1 ,-1"r - >.- Ina _ -z .. ^
' oi.1 Temporary Electrical Service:or.Pile ; -+'= v: ii ; ' I is _ c t. .!52`.;Pooh&'Egwpment Location• ; _ - ; i :• ,-:• , I
U T .!SoilPipe-Undrgrnd: i _so._ •�� c-• I ''' •,';.._- IS 53'.FSteel^ReinfThrmorcement o - ; c-; - is - g0Lx' o
C3.tElectrieal Conduit Utility,tUndrq nd i i c;.:--± ;L ^'' ja z 54 -Forms°- - [ -i .• o tii , `.'-'‘
(4.IElectr!cal Conduit-Undrgrn'd">e' : .� ri;; _ ; i ' `.S eL=,,, °55 Electrical Bondingo -`„ �'p ;12 .'•1 ,
•
'5.:SteeI Reinforcement I I n g`t j z et ; i,75= 7.- ;a. ;,;:,22;707".. X56 f-Rough`.Plurnbing&'PressureTestS" ,p' i 3. - .1/
1-6.i Electrical UFER:Gr,ncf j a 't= ,?i5 .2..4.5: 3' •!--,!•-•74,-;' ' c57' APPROVAL,TO COVER-QUNITE r Si: i I , f 2^
7.1 Foot•ings 1 _ ! atm `, _ .� i - i i ii _ o i. -58. Electrical Cgnduit,Undran+d.:;• .r.',„, r._. ; r ,_.- , f
8.1 Founddtion a 1 1 I I r^ ` : ; . .} .5 r, , g59.`_Gas Pipe O,Undrgrnd Test',, . ` ' , 2. 1., '
9.I Water pipe-Undrgrnd.i. I ;•_ =' - p w1 Lr X60,'Backwash'LinesP-Trap,'O'Undrgrnd:=` It- '
tO.IStructure lFloorSystem , c F .;I IItI; ?° ' 7 ;61.7APPROVALiO DECK-_'. -; _^ `; K ; - I
11.j Pro erf Sewer Line & House donnection _ ' I a 'r '" ^ r ece :.1 ' • -
V• V c, 1 „_ t is ;62.E-6ackwash.& Receptor-Final
12 Sewer Capt I 1 �;�; a i I iA : ;63.?Heater &'Vent Final; _=t '. ; � r% - I . .i .(
i ,
13.1Roof Drains i.:.1I I ( I s g it . r c64.'.Plumbing SYstem-;Final 'ge;':,p ir: _ _
•t 14.,Rough Plumbing . i - I I yI I ', i I ' - - 7 !<:65.^Electrical-Final ' ,:aE` `'' V. L ' ' . . I_ '1
a
' 715. Rough'Electrical=ConduitT -"7-il
I _- T66:-Sola`r System-Final, . 7-..7-4-- - ---
e.
'z16. Rough Electric•Wi(mg r I , I I, 101;,-:azn7.141r2'- _t: '-67{;Fencing'&Access Approval ::1 `Er : J.,.i- a.
-
- `17.11,RoughWirng,SignP_ NS 1 's i II Il= II IiIrj t i lai2 68;TAO ROVEDFORPLASTERIAlb' - I ' ' 1_ ! -' I-`- "-' , i
a. 18. Rou h Electrical-T•Bar Ceiling II , I ; I. I .- I - "' a ' ^ l b " - - . ; ; 1 '
• M 9 -- Ceiling t1 ! ; i , I ? I I , 69; •POOUSPA'SYSTEMS FINAL, _ i= ,
n 19'.IRough,Heating &AiroConditioning I e t I .I ( : I I I I ' FIREIDEPTi REQUIREMENT I '- = I V"'
• I! 1 , ,-5 , I , i I �, 1 411 -I l
I / i 1
a 20;I Rough Factory Fi eprace I 1 Ir II I /aY2 F1 , (APPROVALS I Permit# ''• - ' 1 c , 1�'-- --i
p 21.ri Ducts in1Structure 1 i I p iI III I - II I70; Underground Hydro I' ., 1 ! ' t 4- I
"' ' 22. Ducts Verrtilatirig,` tai I ;i II I I I I I I ' I 171', Product{Piding O Gas OOiI I I , ,-- 1 r I I
'23.1Gas:Pipe-RI''I
ough &Testa `e ll i a --!------L-1-1! �72; Underground Flush _i
,I-: i I r I i 1 i i
0.24.1,1Ro0fFraming I i I6nI ,I IISiffaII'vl; IILII`eIt`il - I= I I• I'73. Undergrnd'Storage'TankOGasldoll I 1
'
n --251,Roof Sheathing { I ; . •' � ;h Ii., I ' I c I°• I. ' is ' l :I a, 1 74i. Overhead Hydro I r; ; I I
rc
_ X2641-1--Bar Cellingtu
(StrucragS& Monocoat i : ' 1-11 Li „1,111 I a 1 ; !75. Dry chemical j .- j I ' -
y 27.1rFranie;and`Fyashing _ I ; I I, II " , 71 j I '76, Dry Standpipe; . - - ' I I I 1 i ' 4'
ea
28 A h_ath!rig&siding o t i I i; 1! 1 I I I <I I , '177:: FIXED•SYSTEM FINAL.; - i; i , I
T.
2911 Insulation% 7 ! a- ' n 1 i [1 II 1 i I I 1 1 I 174. FIRE PREY. FINAL . < I i
a 130:LDrywall Nailing I > I ^! I II IIIt 1 I ! I . I I I i Notes: I 1 I ti & , . I I •
• I
:31.IjPiaster,Br wnCoat. I { I II q { � I--j--, -t -I -1--'i --1 -•- I--f .f - t-- '-.-i -.-i---‘.-- -7 1 -
i 11 • r' I 1 I t 11 j i ( 1 r I ,_
1
+ 1 1 .
i 3v Electr,cal Power Mete'r-Final +, )I • I I I •• r - , I 1{ : r 1 I .>
33.1.Final Electric ! Ix 1 _L i^J:_.ai _J._ I.-.._i_ r -L•'!--.L. I i L 1---'
i' 34. FinaIIHeatiri _&.AirConditidnin I I I I ; ' , i I 1 ' . ' - U rt ii
• .. 1 Ig .ir-m• r. 1.. . v. I t ; I 1 1 1 - L.
W L' V
35. Final1G r. PiPe,-Test:.I l: j m i til II 1 c. `_ I=' !- I'an I1'.1.. i �_ ;'; 1 _e i _ i'3 "t S: 1.- ; ii ' _ ., - ^ ,q '2
36. Hood'or,iCan6PY...q F I _ Iii ,1 r - K • . I i a t I- _ I { -
(1 , C 1 t^, I - I:I !._ •. j 1rI i ,-.1 I• . 4 `-
37. FinalfFactory iFiieplace, I �� I o1 Ii k 00,:,,,H,• : [rfit i 1 , I "s;._ I ' 1 44,...•, ; g is , -
38. Final�Piumb,ing TI I^ I 10I I i c' 7. i I j I ,' i i j ` 't :
I „ I SI k I I - �I - i I { 113° In' is 1,
39. Water. Service-Final i '1 '
.1 •, 1 , I I ,5 l , I 1 , 1 , i I . ,`.. i -, I c, r c I;
40. Gas Service,Final I I I I I ; I i I I - I I I I I I ry ' , t! ,. 1 I f -
41. SolardDomestic=Final ' I 1 I I I 1 - i ' Jr I ^ i '' ,
42. BackflowPreventer s I I ( 1 E , -i 1 - SI - I !'
43. Backflow Irtrigation r I I I , NF(_. .o I t I o I ; ., ' - 'a; I ,'., I 1
ia , : c I i c
y_,., , I I - -, _1 ! - 61 - _ - _ -
44. Landscape I.:. ..ion�SYstemi I IC S ' C. :- , -'3 1 1 I --'I er, , 4 I I '' . ;rv'* . - „ .,
cr. .:=� iIy1 I I I u ,, � _ l! i I 'isi I ! {r .i; iri L. --5 '
45. Soundiii::Atten '? ion1-, ]: l w - , 5i - v
-,i ion> ° i ri i 3 1= I -, , it i - 91crI -
46. Handicap Regulations) IRI I ji1'. i . 1°' j i I ' i -I 'j I I. I : ; 't.', A " 3:;',1 •
,. - c1 ' � ,.,
r i , , 1 F
47.-FINAL ' r I I` i: ,j 1; i I I '
1 I I I -, . a I • „ - 1
48. Special RequirementsiCoinplete 1 I 1 ' ! ; i I , 6 I 'r ' l , -fi .,; , e. . - ,
1 . I I p� I I I w , :I I i j
49. Electr"IicilRe!ease to'Edison I I I i I___ iu--4 4-4;- ---4..4 ,.- ': it I •. I , . •
50. Gas
it I! Southern California Gas,Q { 1 I I I i I '' 1 i t r I , • . ' •
n
51. CERTIFICATE OF OCCUPANCY g ' _ I I _I _I.- --4-t_ 1 • " '_ I I 1 • t I '
No 9 II 1 { 1 (Date i I I} ^vI �� i t I --'--i- - IW, i; '
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - -
.-CITY OF-COSTA-MESA•-. - - 'r - — .-- -' ^ PERMIT NO. 1' _ -- - - TRACT NO: LOT NO. - ' - .:BLDG:-NO. -'-r - - - - - - -- ' - -r- --- -
CONSTRUCTION PERMIT. ` -) i •: • I 7 , :� 9245 iI I/17/E3 'Sr'..^-.G —TI,
Projaat Address_ r ss ' Hi .
a .rj . TYPE-OF CONSTRUCTION NEW •❑ ADD H ALTERATION- ❑ REPAIR, ' a ' •
Applicant's Madio •• i1����9a�1T11 , ❑ CONVERSION DEMOLISH❑ 'IE OTHER,' - _ _
`` (Zone, ' '
Owners Name ' 1�' Ls Ah.I, k Pho e' - 'DESCRIPTION:OF•WORK -• - -
- _ _ - - S' Main Building: ' ••Accessory Building O ,
E' ,
Address - _ - - , ' ' TYPE• OF PERMIT S U GRADING ❑ FOUNDA ION ❑ STRUCTURAL ' - T ' FrOnt� - ' I - N
Arch/En - License No.; • ❑-MECHANICAL- ' - B - - -
9 _ _ + III ELECTRICAL ❑ PLUMBING Rear y 4 I ,
• Address' ' • - - i = _ _❑•BOTHER - I • - A ; G +
t _ 1 e.I 1•I' - P r*• #S4 — PROJECT DESCRIPTION - SQ. FT, • . ( 'OCCUPANCY • K Right - - ' - R
Contractor's Nam- - ur _ • ,
,tet'SS //J,� / CONSTRUCTION TYPE - VALUATION$ S. Left , - _ E
Addresslmallinglc t •
City.License No. I. ZONE ' GRADING CU-YDS .ACRES Ping, Ref # Park Fees $I ,. Q
LICENSED CONTRACTOR DECLARATION - ' ' - U
Remarks: —7��-j Parking Req./Provided „ R
I hereby affirm that I in,licensed under provisions of Charter 9(commencing R
with section 7000) of Division 3 of the Business and Professions Code, and • , Use of Building: • E
my license is in full • and of •
Chen -F __� License • --�._�wed!. . . , PLUMBING -_� .FEES Planning Notes: • 1 •
E
1 � ��'�:
' Date x lit Signatu -� J �rairAi
Bar Sink Showers N
WORK:RS'C• -ENSATION DECLARATION -
I hereby affirm that I have a certificate of consent to self-insure or a •- 'ficateT
• of Workers' Compensati o In r nce,'or a c led-cop ereof-(Sec-on--' • Backflow Preventer Service Sink S
• 3800, Lab. �/� CO
•- Backflow Irrigation •
S• ewer Cap .- •- ' ELECTRICAL FEES
Policy No. s-sr CoJ Company ,
Cer ed opy is ereby furnis ' �, = Sewer Connection Automatic Washer 1 Transformer 0 15-50 KW 1
• anti iqd joy' with the city ' "n Division, , - ,
Date / LP Applicant �• '�' ❑ 50+KW •
' •` Solar Collectors ; Construction Sub.
' EXEMPT! N,F OM WORKERS'COMPENSATION.DECLARATI• + •
- (This section need not be completed if the permit is for one hundre• (•'00)-or • -Solar Piping t - ' Cooking Unit - - Meter t0 100 amps - ,S •`
less). ,
- - •
I certify that in the performance of the work for which this permit is Issued, I - ' • Solar Tank • ■• 100 -
shall not employ any person in any manner so as to become subject to the '
Workers' Compensation:Laws of California,, -' • Swimming Pool w/Spa I - Dryers ■ -
Date Signature -
NOTICE: It;after making this declaration, you should become subject to the • Urinal I 1 I s
Workers -Compensation provisions of'the Labor Code; you must forthwith
comply with. such .provisions or-this_permit,shall .be'deemed revoked. • Water Closet ■• ■ • '
CONSTRUCTION,LENDING AGENCY• 1
I hereby affirm that there is a construction lending agency for the performance Water Heater
• of the work for which• this permit is'issued -(Section •3097 Civ. C.), ' •
Lender's Name - -• Water Service , • Device Boxes - Pole Light Light ,
Lender's AE dress - - -• • -
OWNER BUILDER DECLARATION -- _ 1 . ' - . „ - - - ' Outlets ;/ .Range '
I hereby affirm that I am-exempt from Biel Contractor's License Law for,the p Tra ' , - - q
following reason (Section 7031.5 Business and Professional,Code: Any city or ` P. - - . /D Switches. Sign 'J"—.
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; _ r I '' 1 Garbage Disposal • Standing Sections ; /
to file a signed statement that he/she Is licensed pursuant to the provisions of - - '
the Contractor's License Law(Chapter 9 (commencing with'Section 7000)of - - ' ' Generator ❑0-5 KW 05-15 KW ' 'Trash Compactor .
•Division 3 of the Business and Professions Code) or that he/she is exempt - ' ' - i . 1 ' i .
therefrom and the basis for the alleged exemption. Any violation of Section , •
- i i
7031.5 by,any applicant for.- permit subjects- the applicant to a civil- '- • - '
penalty of not more than five hundred dollars($500). i Reinspection Fee I $25. Issue Fee - $•3
-
'D I, as owner of the:property'or my.employees with wages as their sole ' , - • Reinspection •Fee $25 ,Issue Fee $'3 •
compensation, will do the work,and the structure is not intended or offered - 'MECHANICAL - • FEES - - - • '
for sale'(Section 7044, Business and Professional Code: The- Contractor's `-- - - PUBLIC SERVICES REQUIREMENTS: '
License Law does not apply to an owner of a property,who builds or improves , '
thereon, and who does such work himself herself or.through his or her own Boiler i. Hood or Typ¢I 0 ,
/ 9 ' I Zoning Approved By • Date
employees, provided that such improvements are not intended or offered for Canopy , Type II' ❑ .
sale, If, however, the building or improvement Is,sold within one year of com- Duct-Undef Ground . - Application Approved By • • ' Date_ ,
pletion, the owner will have the burden of proving he/she did not build or im- '! / - Date��/moi/�
prove? Duct-
or the purpose of sale). i Structural Refrigeration System - • Application Issued By ,e, !/
U I, as owner of the property,am exclusively contracting with licensed con- Ob OO,000 BTU ❑100,000 TiBtractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 1 SUMMARY OF FEES
•
,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 $ SMIP $
•
tractor(s) license pursuant to,the Contractor's License Law): , ' PLAN CHECK ' $ PERMIT
0 I.am exempt under Section B. & P.C.for this reason Firepl/Fact.BIL ICBG 4 I • I - PLUMBING $ -ISSUANCE $
Date Owner ' ' Heating System& Ducting' I - , PLAN CHECK t $ ENERGY P.C. , $ i
I hereby` certify that I have read this application and state that the above •
❑0-100,000 BTU 0100,000 BT rNM
5-d GRADING ' $ •- , •
information is-correct. I agree to-comply with all city and county ordinances - • - -- — - - ELECTRICAL $ ' 0 /v
and-state laws relating"to building struct ,n an. hereby auth•rize repre- • PLAN CHECK i 7 r 4/ MICROFILM , $
sentativpsei'-khi city. to'enter, p he ••Jive entionee r -f. i $ _
InsPectl n Pd u •ose3?,e . afar. •o¢ . i
Signature r--
'CMF-.0865-46 rev. 7/83: -white-._•dding;.Can- - -Applicant;Pink-Accounting;Goldenrod--Assessor i - . _ - -. - - .. _ . ._ . —
D .
' CONSTRUCTION AND PLANNING - : - - -`. - - POOL 8,k SPA . _
{ . - - - _ . Date Inspector - Date Inspector
. ARPROVALS •Permit# APPROVALS P.eimit# • - •
1:•Terimporary Electrical'Service or Pole " • - • - . 52: Pool & Equipment Location • --
. ._ . __
:•-• . .
2: Soil Pipe-Undrgrnd. ' - 53.- Steel Reinforcement
:_3. Electrical Conduit Utility-Undrgrnd' - 54::Forms • - -
' :4. Electrical Conduit-Undrgrnd. _ 55.• Electrical Bonding
:5. Steel Reinforcement: •� , • 56. Rough Plumbing & Pressure-Test - .
' 6. Electrical UFER Grnd. - • 57-APPROVALTOCOVER-GUNITE
7t•Footings - 1 - • 58. Electrical Conduit-Undrgrnd.
8: F,ou{ndation - _ 59 Gas Pipe, 0 Undrgrnd.,Test
9 ,Water Pipe-Undrgrnd. . : . : 60.,Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System. - - , 61:APPROVAL TO DECK •r. . - '•
11:.Property Sewer Line & House Connection . - . 62. Backwash& Receptor-Final '
. _
•
12. Sewer Cap ' 63. Heater &Vent-Final •- . '
13..,Roof Drains - . 64.: Plumbing System - Final .- •
14.�Rough Plumbing; •. : - - 65. Electrical-Final - - -
' - 15. Rough-ElectricalConduit- 66. Solar System-Final- ' - . - _
.- . r�'s3/a3 �c
16. ,Rough Electric Wiring, - 67': Fencing& Access Approval - ' '
,1,7: Rough Wiring Sign - - '68. APPROVED FOR PLASTERING
'18. •
Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL , •
,
1'9: Rough.Heating & Air Conditioning FIRE DEPT. REQUIREMENT
,20. Rough Factory Fireplace• . ' APPROVALS ' Permit#
21. Ducts, in Structure • 70. Underground Hydro
22.,Ducts, Ventilating 71. Product Piping OGas ,0 Oil
j 23 &
Gas Pipe-Rough 'Test r . , - I 72. Underground Flush •
i
. : 24. Roof Framing : / ' - -, 73.. Undergrnd.Storage Tank.❑Gas 0 Oil ,
• 25. Roof Sheathing. - 74. Overhead Hydro •
' 26. T-Bar Ceiling (Structural)"& Monocoat 1 •75. Dry Chemical '
27: Frame and Flashing, 1 ' 1 � . : 76. 'DryStendpipe - . _ . , . •
28'. Lathing & Siding 1 77. FIXED SYSTEM FINAL
29: Insulation; : . 78. FIRE PREV. FINAL '
30; Drywall Nailing - . • HEALTH DEPT. REQUIREMENT . i
' 31': Plaster Brown Coat • , t 1 79. FINAL,INSPECTION
32: Electrical Power Meter-Final 89. FOOD CERTIFICATE'ISSUED .
33. Final Electric Notes:
34. Final Heating & Air Conditioning - - •m
35. Final Gas:Pipe-Test • I 1 • - '�
36. Hood or Canopy , ' . . 1 - -
37. Final Factory Fireplace 1 1 ! ' .• - •' _
38. Final Plumbing - . _• .-i - , . _
39. Water Service-Final , - I - ,
•
40. Gas Service-Final ' ,
41. Solar Domestic-Final. • •
42. Backflow Preventer -, - - - - ., . - ,_ _ -- _
43. Backflow Irrigation , ' , , . , - - .
44. ,Landscape Irrigation System
45. Sourid Attenuation • , . -
•
46. Handicap Regulations
, t I
47. FINAL;STRUCTURE & BUILDING ' 1 1 • • •
•48. Special Requirements Completed • • 1 i -
49. Electric Release to Edison , ' - - - -m - •-• - -- , -- - ' •
50. Gas Release to,Southern California Gas Co •, : 1 I 1 • , .
51. CERTIFICATE OF,OCCUPANCY. l . ! '
No. - t ..r_ ... . -. Date _ - ,.._ ,._ _ _._!_ -