HomeMy WebLinkAbout769 SCHENLEY BAY - Building Permits _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
)145 ' CITY OF COSTA MESA... ! 1 T -
t , PER lT NO, I i T NO LOT .0.. . SLOG.-NO. I • .1 1 , I 1 • 1 ! _ ! 1
CONSTRUCTION PERMIT. t. t - I f i • 404 .-75-7q MI. ! '-: _. - 1 c BI Tl
• u 0741 6/2I3' 3' - ' ' 384r
Applicants Mailin• A drees•s • 1 ii. d ' "1d i). I."" PE OF CONSTRUCTION- •NEW'U ADO -U ALTERATION REPAIR • • T.12; •LI-J, , ' r , I r' I • + .•
I`
, OWn¢r'sNa ,e rO• - ,�kSae
• • A 'horiet / - ,'.DESCRIPTION OF/WORK ItV FSS/�CCM U1 e - sl Ir _ _ - _
Pte, ��..�� / + - � 'r 'ZacING REGU ' • (DNS - ! ' I
' Address _. 10:' , g i�i1TVi ''D .?t IirJ/,• 17 II • • _ _.RA % _ , +. r f ! c. : ,r I - I
"yq( � ���[�/�i TYPE OF,PERMIT ' -'GRADING+B FOUNDATION •_STRUCTURAL A P.:#" . I I • .; II I•1 ZONE • ( t i "'
Arch/En I uIL a%acsrrs 6/. �xa_e� ' ''❑ TENANT ❑'ELECTRICAL' ❑'PLUMBING, ❑ ECHANICAL- I ' _ [� BUILDING'
{�a�e��T �$1� `•F r�� - I t • • - PLNG. REF. . ...0 -'. - n ': '
Address "iij�_ 1II Ai91eO�Yl��l OJ• I�l�l I 1 -' I;❑iOTHER • ' _' -/�'j�( ��\ �' ! , • •, i -TO BUILDING- • Of -,REAR-YARD,(TO P/L) ') '1I as. '-^'
t • - I - a�' :•'PROJECT DESCRIPTION SQ:FT-I JLJJL • I' ' r OCCUPANCY ( - -':aPE- V _INE - •' -{r (T t
Contrecto{s Nam. �� — 'Phone •
,.
I -r - .i ( ' , 1 I CONST-UCTION TIVPF.s& VALU•TION$ LEFT SIDE YARD c�� a' RIGHTSIDE YARD:- I , j 47; op _ _ ,
•
Address(mailing) ROLE : �//'' .- v
'`� , 1 ! 1 1 ' lir' i i ( ' , ZON)_ 0,� GRADING CU,YDS:' •. :AC-REV./Ms s• ' ' PKG.SPACE;REQ. .•a •I�iJ. I PROVIDED •=7-.,C, I •,1, .$♦ilii; 1�
License No: __• ' •• - •. r , V•
• LICENSED CONTRACTOR DECLARATION : • c. 1 ' Remarks: I 1 ! • i I .....1 STREET WIDTH I 50r ' I CPARK FEES e ('.'SII't
l:herebylaffirm that I-am licensed-under provisions of Charter,9(commencing - ' - 1 - i 1 I ' I
- - , I
. • with section 7000) of Division 3:of the Business and Professions Code,and 1 ( .' I I i { ' I •I - : / + SPECIAL CONDITIONS: . , : ;
my Iicense_is In full force andIeffect. • I I I , - : i 1
17cense Class 1' - i' ' I • License No '- I I ' ' I ` PLUMBING ; -t ;"• ' 1 ! ( 1 I ,c , i
iao�R �lAR SPFCI AL tEQUIREMENT5l
Date + • ' Signature �' ' ' , , 1 Bar Sink I ' Sewer Cap • : y I ; I ! • 1 ' ' ELECTRICAL I . 1 - +
': WORKERS'COMPENSATION DECLARATION { I ,- I . I
' '.hereby affirin.that.l.have a.certificate,of.consentto self-insure or a,certificate._ _ ,Automatic WasheE4_- -,,_ _- /Meter ❑Over SOD amps •A ryrt:
of Workers' Compensation Insurance,,or a certified/copy thereof (Section -�* BackflowPreventer- - ^-Sewer Connection------,-;4{---- --L _ - ,� _ ..a._.. ,w
' 3800, Lab. CJ I I I ' I • ' ' I I 1 Backflow Irrigation I _.i._ Solar Collectors 1 (i_", t. Construction Pole , 1 I' ;Sub Panel i 71`;---- I
'Cy No, ' • ' I 1 Company I I. 1 _ - -': - , ---- cookingtSub Pole t i ' i' '/� 1
I�cisr7lu',ICert111etl•copy is hereby furnished. 1 1 1 - + • ' I -'1 Bathtubs • i ! 1 1 • Solar Pining I ' I , 1 I i Unit I I• I ; '•f , 1
�•LJ Certified copy is filed with the city Building Division- I ( i - I, I Dishwasher i I j I (Motors 0'0-1 HP ❑1%43 4
Date i i ! Applicant I _-_ T i Clarifiers I I i 1 Solar Tank ! ' - ( !
1 i • ,
EXEMPTION;F ROM WORKERS'COMPENSATION DECLARATION '� - -- ' - Dryers ❑Gas' DElectrif • - •`' InCSOiart09-15.HP 016;15+ '
(This section need not be completed if the permit Is for one hundred ($100).or , . Dishwasher t i I Swimming Pool•w/Spa`} I
less):. .) i , i • ( i I I , f . , i ••-lig rt •s _ { Fan 1 •i • 1 1 7 I 'Microwave { ..} .--4
I certify in the performance of the work for which this permit is Issued I 1 ; Dnnkmg Fountains Urinal I - ,� ,I I
shall.not employ any person in any manner so'as to become subject_to the I - - - , ; •
1 /i F.A.U.FAUI 'Pole,Light
r Date' 'If,ater mtaki 9Laws
this decl ration you-should bec'me-subjec ! ! 1 Floor Drains( ' i Water Closet• .• '1 I - i I
Date ' Sh nature I I _
9
{' - -- Fixtures i I. ,-F• i I i ..
! 1 ftp-the-T - . FIOor Sinks r• ...I __r. _ _ Water-Heater. q, ^-'-i :.1 - ,,-. �. y_ r..LRan9e I :1.._ (
complys',-0om such pr Drodslo r of the Labrmitr Cale, eodeemet_forthwith . • Device Boxes I I !
comply with', such Erovision s_or this' permit Ishan be 'deemetl revoked-y 4 i, Gas Ser'ice; ( •Ou clots s [t -!Water,$ervice - ^ i i ' iSi9nf i i !
CONSTRUCTION.LENDING AGENCY^.! - •" I ii _ - - - - s f 1 •
I hereby affirm that there Is a construction lending agency for the, erformancel ' t Interceptors 1 s 1 tti. ; I ..I •.1 I i [) 1 r, I p 1 .i Outlets' ' . I , I I. ,Standing Sections , 1 1
of the /work for'.which;this permit -is :issued (Section ;3097; Civ: C:); ' - I ' - I
1 Lender's Name.: ( ' i� { . I o- ,Z ! I I -`- I Switches ; I - .Trash Compactor - ; i ,
/� (,,, �,� ��t�,./] `/ Kitchen Sink
tender's! Address I. e' 1 � )iR i `V`GYi ii_ 'r i - I -. I ,. 1 4 - 1 ' _ . "1 I ON I :,..• Lavatories- I tt; ' ;4,' c -01 - �. Garbage Disposal i. I i 1 •• ' Ow NE RB U I LDER DECLARATION' i yr - a. , C' I flowing rea o that I am'exempt from ss and ntractor's,License Law for the _ L 1 GeneratorQOi5 KW05-15 KW I i -following easonquiresia perm1:5 Business antl erfesslonahCode: Any city or' . P-Trap( I`, ! - +.�, i 1 ' ' , !,county which'!requires a s issuato construct,alter•improve:neforlish,operpoli. I - - , 10 1'any structure;prior to Ittthatahe/sh iso requires pursua lkantfor such ppermit, 1 Roof Drains I f 0• z! S 1 i i n : . '' to file a signed statement.that he/she Is licensed pursuant to the:provisions of i _ ' . 050+KW' { I Reinspection Fee I I .
the Contractor's Llcensiness and,
9 o ommenc or;that ecshe•is exe of - I e - I ( C I., ` 4 I •( i ! I $15'
'-Division the Business and;Professions exemption:-
that he/she-is::exempt Shpwere r = ' 1 L. RemspecdoniF-B , $15 -
therefrom and the.basis for the alleged exemption. Any,violation.of,Section _ - I _ -`: 1 '- Meter ❑up to 100 amps ! i. ,Issue Fee t : : $ 3
7031:5 byy any applicant forte!permit-subjects the'applkant 'toy ac evil 1 . 1 r I - - -
i.
penalty of not more than five,hundred dollars($500)- • :-, • -L i 1 _ +. Service Sink ' I _ I Issue Fee nC ! $ 3 Zoning Approved By I alarm 'r• I Date a . !
LJ Eras',owner of the.propertty Or my employees with-wagesas their sole • • / I i 1 I
compensation will,do the work;and the,structure is not intended or offered 1 c v 1 . i I MECHANICAL 1 ' • Application Approved By �" i Date - 1
'.for sale!(Section 7044• Business and,Professional Code:'The:Contractor's - -- - --- - - 9 '
License Law does not apply to an owner of a property who belles or improves ! Refri eration S stem , `^^ G l I { - o ( -
Boded I ,� t I Y , 9 Y 1 I + gpplication Issued By Date
thereon,'and provided
ed es.such work himself/herself or through his or her own I ® ( - arms. 1
' employees, provided that such or Improvement
mprements is sol t Intended or offered for Duct Under Ground I I 1 DO-1100,000 BTU 0100,000 BTU( I i 1
sale.•pl tion', the ownerhwlle lll haventherburdenvof�poving he/shed hin one did notybuild or im- 1 I •
1 + i I. + SUMMARY OF FEES ; I tIp
ve for the purpose of sale), I I I : . 1 Duct-Structural , • i System Repair/Alteration ;BUILDING PERMIT $' _,3�9�� SMIP $ 1 •• 311
1orA1 i
, ll, as owner of the property, am exclusively contracting'with licensed con- b - '
tra tors to construct,the.prolect,(Sectlon 7044,Business.antl Professions,Code:I_ Duct,;_Ventllating I„!.__.1.,._i _ ,. i-_^;•_••_ 1, f '; • /PLAN CHECK) I $- /I• SO 1 PERMIT I I .
The Contractor's License Law ddoes.not apply to an owner of property who ; I i • T 1 I ISSUANCE $ I
builds or Improves thereon,and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0; I 1 I I I , , PLUMBING t 1 $, - - • I- I
tractors) license pursuant to the Contractor's License Law): , I ' • , ' I , GRADING 1 I $
0 ham exempt unoer section 1 ' B,& P.C.for this rea'on ! Firepl/Fact.Bit-ICBG# , i I , i i I PLAN CHECK,, 1 Si i I $ I
• I 1 (ELECTRICAL! $ I ! 1, '
Date ' ' I-' ' owner. { , - ' ' I i Heating System& Ducting I ( ! I I' I 1 - 1. MICROFILM $ ' '
1-hereb -cerci •tha' ave-read-this.a i/cation--and state-tIat-tire above- 1- - �r _ _ 'PLAN CHECK $ ' 1 7
y pp ;PLAN'
Information Is corre gree to comply with all city and county ordinances i I , : 1, r , !®■ I i i , TOTA •- , $ I i
ant.state law rel. o bus ding c tructlon,land hereby authorize repro- ! ! ! , MECHANICAL $•` i - , !
sentatives o this to er u to above-mentioned property for '' ® Hood or Type I 01' ' i.. - . 1 Reinspection Feel $15 I. + 1 I. ' I I LESS 1 ' ! 1 I_
Inspection E P•' '� f 1 I io Cano• b I E
P (PLAN CHECK I $
/ T .e II ❑I ADVANCED PC $.I 1
Signature /tel, . _.../• As. 1 1 •i ateU � . i i i I. • I ' • - ' - I
Drivers' License oriSS � :��,/
Goldenrod-Assessor
Vi . _ ,
5-' t'CONSTRUCTION,AND`.PL'ANNING-' . o ='tSi-J-Ii ° 3c ?030 . : POOL&SPAi _F ruoa,,.* ._ ° ;
> APPROVALS Permitf# -- - ` --: ;'Date Inspector c. - 4: „ ' > Date In ector
- s j -,AP.PROVAPermtti{E „
c, EV- .+ .. w = Im: -... Df�, . y4.., t=•=>:. r' .;;E:.- > .. • ., ?. E •-`y.'c ?
^„ T TemporaryA.Electrical Service or Pole I g+: r o g z g i '_52`Pool &!-Equipment Locator ' - • et ' ' I ' ✓,', ;,
ti F: 'Soil Pipe-Undrgrnd ; `00 i I ,; g I__ n,6 y , ;53, Steel Reinforcement _ . , _,, >^ . - 5_•Ir -f,!
• 31 Electrical-•Conduit Utility Undr rnd N.• ' 'r"--" ' sa !?_P : 1'54- Formic -• _ • `•
Q 4' Electrical Conduit-Undrgriid.ry c F 2 1 >%"..i, a3 E) 1 55: Electrical:Bondingc .-+''- - ;! 1 --
5: SteelReinforcement...... 1'1 ; j -.- - _ IS c; 14:r. ---:`•I56_ RougFi'Plumbing:& Pressure Test c_'
6: 1Elec&ical�uFER Grndl: i S '= ' i di '12:::-'i- v =rp° 25712 APPROVAL3TO COVER-GUNITEl •- r
a I r: f.. � • p >i.:-... - - _ - . - _ I . -v 3
:'
7. Footings: ' -F ^' i i I -5 �m I 1 .h.: h. c If 58 .ElectricaL�riduit=Undroma^- , ' -1,;...
8. Foundation '...i ; 1 i a 11 4 ! E... _ t1 w ; rtE- Y' j 459. GastPipe;7O:Undigrnd;Test ;2:1. , : i L, r
9.'Water Pipe-Undrgrnd. ; I I = S � , I X60. Backwash Lines P.-Trap,ab Undrgrnd.;. I1. -
10. Structural-Floor System : `o 8. • , et I qt I .61 APPROVALTO"DECK z„. • c ;;;11 tf
11. Pro ert▪'Sewer,Line&:Housetonnectioni i I a3 F� ° ' . C't _
PY, m _ , - s 62. Backwash &Receptor-Final - 'y ^, ! ,,` 1 '.:
12. ' '
Sewer"CaP' >_ ' I I I o _
..-0,2,-; it F' I I E' 1 I I
13. :fr ° , 63. Heater&;,Venom-Final_. _ . , . : .
RoofiDraiin's 4' i`."I I t ,` I I � 0 1' i64 Plumbing System Final ;' ,)�,= -
r. 14. Rough Plumbing r'J 1 1 f.•2 I ' , = I - ° I I 765. Electrical-Final'' _ -_ c A. «: , , •. -
' ; '!
i 1
•
15:,Rough Electrical=Conduit I I. `1r_T'j' { . { ---1-17-1- -166.�S3'la Sysiem=Final• ---{;- -- -r i - ' 17- I ,
I, 1 941 ;I]_- g I li I -�-�1-7-,;' -167:FF ncing&Access APprovalt * - -- --,r-
16. Rou h•Elec[ric rin , v 1 I c I. 1 n o T _
'�17..,Roug .• iri'ng`Sig"n}'. -r { ' 1) 11t1, 1•='.. 1 51 C I: t� 1� 168: APPROVED FOR:PLASTERING - 1 5 - - 1i '
i 18./Rough:Electrical':T,Bar Ceiling Il Il I• ' 17,111 1 ' 1'9, 1 ry I ' 169 POOL/SPA SYSTEMS,F,INAL •s . -; - 1 ` ! : 1` •: i
1 19:1Rough'Heating &'Air,conditidning II I ,i:::! I 1:4 ') . I FIRE DEPT.'REQUIREMENT.: i . `. + i • 1 _ I
20:1Rough'FactoryFireplace 1 I II p I 1 I I ' 1 { APPROVALS Pelrmit# ii 1
q i 21.iftudts7in Structure t 7/ 1 1 II 111 i 1 1 1 1 ! 1701 Undetground Hydro 1 . f - • t ` I ' '
1a22.;Ducts .Ventilating '1r, ( i y II 1 11 i I � 171 1 Product Piping O Gas OOd• I I
1 1 I. I I. 1 . , 1 i I
- .r o • 1 a I 'L- -1-1---T-1-1---i- 72. Underground Flush{ - !f _ - •-- ' - ---; �_--
_ ;,23.'Gas'Pipe-Rough&Test � II i�ill- i t_t~--'__r - '� -� " -'
• 1-24.jRooYFramlog "� ' 1 I II§i11nI< IiTIa10, w 9I I 17,3:1Unde!'grrid.Stol.ageirank'_OGas_.00id I I i , I 1 '
,. 25.IRoofiSheathin I � 1 1 ,189 . 1., 1 - 1 • - I { 1I` Iir4.1 I t ' I I.'I; - - • I '
_- ., - g •,i >_ I iiti 2 I�I�" , �,! 74. Overhead Hydro �
1-26.tT-BerCeiling IStr'ucturalh& Monocoat' I i I?jilt Y rJ1 I 1 ' 175; Dry Chernical ! i - II ": ' I 'I"' ( , i
r n 1 '. n ,. I n h
C
��27r�Frame and'Flashing4 �'� I ,1 . �1 I I b S I (1.2:%�'�; 1 ' DIN Standpipe ; I ,; . - I I ' =r `•
P.E
28. 1Lathing&`Siding, i, p it iii j I 1'1 I I t77! FIXED SYSTEM:FINAL ' - ; ' : i 1 ° 1
i , _ I II I I . 4 tel//$c.
' 29.: Insulations s I c =t I 1 IIS ? io s! , . YS�1781 FIRE PREY. FINAL ,1 1 „ ' I I i =
30 !Drywall.Nailing , .c--r ' ! I i, it I 4---:.1_'_ IJ,,, te, L!.Notes:' I I ; , ± 'j ° ' ' 1 i I 1
r J .F- c 1 1 1 s "I. 1, 1
c31. Plaster•Brown Coat , 1 i 1 I . ' i I ' II f
.� I, i I. ,I i1 ! I I !
i' 1 32.,ElectricallPower Meter,:Final 1 til
I -I.
-!- .1- `I t 1- 1- `I , ! 1 ` •, " '
•
'; i 33-,!Final EleTric _._-. I t -I,-J�-..4-.L.1 i_J...�!_ LJ t.:..!_ 1 .., ...L I._. .:. . I...._ .. . i_. ' ' 1
34. Final Heating &I AIS Conditioning 11 1 , i - I I- 1 L! 1 1 I 1 11._ I ' Y ''.. f
' ^ 1,: 'O 2. 11;
V - f{
35. Final Gas Pipe Test ` I_.Irl _ i s 19 I 12 I >� <I Q I I t7,; - i � `i - 1 u I c r : ii ` s ' v_
_ ,tI O1 , ;II ic1 ` 1i• I . 1 = 16, _ l' 1 • ,. . _•' _ , - - (, `
36. Hood ii CanOPV'- �I"s zI n� ,,, tom " ' i_ - -
� f If� l - i - I: IC nl_ { 1. '. 1 IJ 1 " 1f. . ' 1 � 1: �. '! - , .
37. Final FactoryF eenace* a ,r I > ' 1 I 1
I .1 = 1n1 = 1 -'I 8 1 ': ?V 1' i + .. I I , " } 1 �! � ' 1. I< -P n i
38. Final Plumbing G i 1 .!,....0_, I 1 - I i 1 i' ' I i 1 I 1 1 1 i - it-,,:j : c-1i _
39. WateriService-Final 'i1' rt _I -M I i I I it ; I ! 1 I, t " _ _ I
Ii r- 1 a t dfl .1 :I r -!t I 1 I i ! -y .. -. „ ..
40. Gas Service-Finlt'i '' 1 1 I .11 ; I I I I i I 1 1 1 i 1 •2I t h..:11 ,
w 1
41. Solar Domestic-Final..'•• I ' I 1 ! -- ' , .
tiI '1 I . ,I 1 I I c L ..1-_�.�_ _ _...__..�. 1..-i. L_I '_ . 1 7✓ ' ..
42. Backflow Prevehter 1 I I A-11 '1- I I _'_�_ 1 _ !•-•- ' _-I_;
r 1• { U/631 6/21 /63 36.00 TL
_ _ __ _• _ Appliunt to fill in all spans except those within heavy border lines and sign all appropriate declarations.
CITY Of COSTA MESAL ' { - , I_- - J- '� PER IT�^y/q TRACT NO LOT NO. -BLDG NU + t , j
• GJNSTRUCTION PERMIT I' I w I p / S ? 7 - , , • " : :4 i 1 - t ,, ' ' I .,
Applicants Mailing Ad fess ' . -" {h ' / �/�In\ TYPE OF CONSTRUCTION L NEW•.LI ADD U ALTERATION ,L1,13 EPI R'c I '+ I • 1 1 1 - • i I ;' + 1 I
S- • Project Address- r/pL - ✓ ,he/lie,"-I e," ' kD4 •,, ' '❑ CONVERSION "❑ DEMOLISH 0 OTHER'," • - • - _ _ , 1 ' + 7 _
1 t •CO, r,7j, DESCRIPTION OF WORK - - ' ZONING REGULATIONS
Owner s Name .Phone i r, { I _ - - L ,- ; d .
I • Address aq_IY� - 1-f1�!',�)4Cl • em . . .r - I . I i - , ! ^i +
, - / I - TYPPE-1 OF PERMIT O GRADING ❑' FOUNDATION• L STRUCTURAL A.P.•AE. ZONE •} I ' '
Arch/Eng. 1 ` - License NO.p '- TENANT ❑ ELECTRICAL( ,PLUMBING ❑MECHANICAL ! � _ • :'BUILDING. c i ,
I ., ) ,-•L :PLNG'. REF 4k t i CrTanrx rI -
_ ! t ;:. t I I r' • ❑.'OTHER I :. % I I -: I I LST -
Address- - ,/ y q TO BUILDING'^ 1 - - - - - . I + J '
Contractor's Name /I _K�/n:Iq' . i L'�,1�'',' Phone I3 /-C////' I �PROJECT DESCRIPTION{ SQ:FT,! • - • '• OCCUPANCY PROPERTY LINE ( 1 '.REAR YARD (TO P/L) y ,
Y �J I/d /f �l>T/ I�I!_7 �Cf�r7Uv I� { a' ' .LE FT SIDE YARD ) -- • RIGHT SIDE YARD 1 �+ • ti, It) '
Address retailing) I f , i •C ON STRUCTION TYPE j ! VALUATION$
n' ' " i I - , o,70(fl/- , I • I 'T, - 1 , I ZONE . . I { GRADINGCU.VDS. jACRFS ' - PKG.SPACE'REO. • 1 PROVIDED • ' 1,t
License No. ' - _ ,
LICENSED CONTRACTOR DECLARATION I ' • ' Remarks: •- ' i ' I i j • STREET WIDTH I ) I , •PARK FEE$ I j j .
('hereby affirm that-I:am licensed under provisions of•Charter,9(commencing " ! L l ' . / I + ' - • _ �•
' with section 7000) of Division 3,of the Business and Professions Code,and I 1 , I.r I i • 1 I' i •? I I j SPECIAL CONDITIONS: i ' I ) ' , ) (�,. •
my license:Is In full force,and' ffect. I •1 ! ,. - ' ' I % i .� ) I �_
license Clau 'LC-4W ') - ; s Ire se No: 4..34"191 ) , t PLUMBING i I i ! t i 1 _II i ;• 1
Date ,/,rf r?s31 Signature ' /✓:w� '-ic-p%F(/110,/' -
+ _ •, , Bar Sink { j ' Sewer Cap I _ , • 1 I ELECTRICAL ;•
I
WORKERS'COMPENSATION DECLARATION {
LI hereby affirm.that..I have a certificate of.consent to Self-Insure or.a certif tate,_' ' + _ _ _ Automatic Washer __1•._....!....._ _Meter_❑ove_r 100 amps
- ' Backflow Preventer--- - -/ --Sewer Connection•-- -
of Workers' Compensation Insurance, or a certifiedi copy thereof (Section - _ - - - -- i
3800 .Lab. C: , II i ' - i - i - Construction Pole - , ;Sub Panel, • ! ,
I q ' G I a .1 ( i • I ! Backflow Irrigation , 1 . j Solar Collectors ' , .� E
Policy No. ' - . c / - Company �l l/i SIJ(o f + .. .. - 4 ._ .. I
i , : 1 I �/ Cooking Unit i, Sub Pole I - i
Oertifled•copY.is hereby furnished. I I I i : I Z Bathtubs ! , { Soler Piping { 7` I
L
❑ Certified copy s flied with the city.Bali•Ing DlWsloh. I. - j S 1 I , Dishwasher : : ,Motors Do-1 HP '01',5$ 1 i I
Date /0-/3 in-"1, Applicant (4_4 ) _ - / ' //7eJLL �- Clarifiers, ) I i • Solar Tank ._ j_ . . ! ` i
EXEMPTION FROM WORKERS COMPENSATION DECLARATION 1 e - -- - - ' Dryers ❑Gas`-DElectrlc"'"" "IncS'olar,09,15.14P-01:6-1 5+ •s`•
(This section need not be completed If the permit Is for one hundred ($100)o j Dishwasher % I , Swimming Pool w/Spa a
less)' ; ' A Y-el 1 , % i i 1 • % - - - , Fan I '•f,j 1 ;Microwave ' i • I
: I certify,that inrthe performance of the work for.which this permit is Issued I • Drinking Fountains Urinal ,
shall,not employ'any person in any manner so&s to become subject to the ! , - - - t , • i
F.A.0 '� :Pole.Light •
Workers' Compansetlonl Laws of California.; % 1 Floor Drams , Water Closet; 1 i
I Date I ' Signature - - i i
NOTICE:if-after-making-this declaration,-you-should become subject to-the--'- Fixtures-I _ V rT - ',Range _y_ S _ -_ ,tom � ,-,-
' Workers', Compensation provisions of.the Labor Code,youu,must.forthwith I - - 1 .--
comply with' such rovlslons_,or;this•- ` I ,I j I Gas Service: ! :Outlets r, !Water-Service ; • t ' _ Device Boxes j i Sign; I
P y { i P ;Der "• shall be 'deemed rev- 6 , ! Y
CONSTRUCTION(LENDING ACENCV ' ) j • { !! -• - - ,
I hereby affirm that there Is alconstruction lending agency.for the performance i •i I Interceptors; , I I V: ' .� I a I f.� I .:, r i ,f I ',� , 1 Outlets ' , � j Standing Sections I i _ I
: of the work for, which.;this permit .1s ,issued (Section '3097' Civ: C0) : /
•
Lender's! Name?: • 1 ' ' - - •._ r, " ' i ^t - J - I - c i '- Switches Trash Compactor ,
ci - ., I ;l KitchenSmk ' , i ' s _ ' i
Lender's. Address I ) '" ' F' , 1 5: , •. ! I' i .> I • ! - 1 Garbe a l I : {
OW NS 12 BUILDER DECLARATION• . ' s. I c- , v-- v 1 I 1-avatOries - • r- , I = ! i ,_ / 9Dispose. i S ' • I
t hereby:affirm.that I am-exempt:from thejContractor's,License Law for the - , f I ; Generator 00-5 KW 05-15 KW 1 I I 1 '
following reasonr(Section,;7031'.5;Business and Professional{Code: Any city or • J. P-Trap , I ,;" 'I 1 - _
+count which requires a permit to construct,alter,im rove;demollshlor•re air '
y priorqrequires : pp permit.p Roof Drams; ,1' - r' .N ',, j � i 1 r ! Transformer X15-50 KW I ! I ' '
any structure' to its•Issuahe/sheso thea Iican Lfor suchf �; _ i 1 :
- 'So file a signed statementithat he/she Is licensed pursuantto theonrovismns of _ - _ - I i 050+ KW' ! ' ! - j
' the Contractorsof
Cawi(Chapter 9(commencing with!Section 7000),ot e-r s i• 1'' • : -1 ; 9 ' ' 1 i ,Ifleinspecsion Fee i $1B�
! on l3•of the,Business ane"Professions Code),orn-that;he/she-is!exempt ='1 Showers { -) i t 1 I Reinspeet)on•Fae ( • $15 -
I therefrom"and the,basis for the alleged exemption-'Any_violicant'to at cion ? •! - s , I Meter Oup tO 100,ampi • ' ' tissue Fee ' 1 '$ 3
J031,5 by'.any applicant for' a;pedollars
jec s!the,applicant to at civil - I + 1 , _ - 11
�nalty of not more than five•huntlretl ($500). F i ! I , I Service Sink, ! I :V Issue Fee T t $ 3• Zoning •Approved By I ---
Date •
lJ _ -- M , • , I I
ges boner oft the ip operty or*my employees with wages,as their sole , , i 1 ECHANICAL' j I I I I I
compensation will.do the work;and theistructure.is not intended or Contractor's
i Applin n Approved By 'Data
: for sale:(Section 7044', Business and:Professional Code:.The Contractor's. ' - -- - - -- --- — ----- tlI ! , -
•
License Law does not apply to!an owner of a property mho builds or improves Boiler' I 11 ! - Refrigeration System 1 I ' i 6 ! ! -77c013
• ' thereon,iand who does!such work-himself/herself or through his or her own : ( Lc" .i 1 • I I I I _ I Application Issued By (Data
employees, provided that such Improvements are'not intended or offered for j ❑6100,000 BTU ❑100,000 BTU(
sale. If, however, the building or improvement is sold within one yeanof com- , Duc -'Under+ round 1 i SUMMARY OF FEES t i I ) i
.pletion, the owneriwill have-the burden of proving he/she did not build or im- . I- j i i , 1•
move for the purpose of sale). , I , .: , I I . I I { Duct-Structural ; i System Repair/Alteration I -BUILDING PERMIT $ - j -SMTP ! I '-$ ; I I
U i,as owner of the property, am exclusively contracting withilicensed con- I - i i • I I I I
_tractors to,construct the,proje<t.(Section 7044„Business and Professions,Cope:._- Duct Ven?elating_ S - i , _ �,��- i I PLAN CHECKS • $ t PERMIT j { 1 i
The Contractor's License Law does not apply to an owner of property who • ` ........
,` I I i •
ISSUANCE , , $ 1
builds or improves thereon,and who contracts for such projects with a con- .1 Exhaust System ❑ Multiple ❑% ) i 1 f PLUMBING ' I $, �/� I. !
tractor(s)license pursuant to the Contractor's License Law): 1 - I j Y p , I 1 I I ! ! i GRADING I $ 1_ I i
PLAN CHECK' $ ����
0•µtam exempt antler Section B.& P.C.for this reason ! Firepl/Fact,Bit, ICBG# 1 I I 1 I I I 1 I •
I i I I n i , i % I I ' • i , i ; i $ !
) I ' ' t 1 ; i I ' . I I. 1 Heatin stem&Ductin ( ! i : ,IELECTRICALt ! $ ! { i- .
• Date Owner; , 9ISy , g ( j j I I I. S ! MICROFILM $ j_ -
1-hereby-certify-that-le-have-read•this-appith alln and-state-trial^the-above-. •-•-I-' 06100,000;BTU 0900,000 1 --- •--.,- ----+- ;PLAN CHECK' i e' i , 1 + ,
information Is correct. I agree to comply with city and county ordinances ! ' • , 1 1 ' _ I r TOTA L;FEEI , $ 1
' andistate laws relatingto buildingconst 4uctlon, antl hereby authorize repro- i , 'MECHANICAL $ I ;
, I Hood or T e I ' I ! ) • � I
sentetives of ithls city; to enter•upon the above- ntioned property for YP0� l I Reinspection Feel $15 PLAN CHECK i I : I LESS I ; I I ! I F
pe ! ( + Canopy: YPe 11 0' ! r 1 1 $ ; 1 ADVANCED PC t $
ins coon ourRo�as�g' p p ) �/.� Cano T
Signature �C K��C Date (R�/O -O )I i I ' I i ' ' I - r
1 j Re isteis i I t ! i Issue Fee I 3 I I - i 1 f . { /_ �
Drivers'License or,SS !�� % - i 9 I i • $ 3 . • I I i I i I t FINAL FEE $ j-t/�,
.. ._. ,._-.. nil _._�__.. ._. en -_ _____ . -_._.__-___._ _.._. _- _.___ -. . T.
• CMF 0865-46 rev.12/82 Waite-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -- -- - ''--- - - ”- --
r} 1 _. __-. ' ice ' av Yin a r POOL&SPA a c_..f!c r. r
r= )! cONSTRUCTION,ANDD;PLANNING m ?- t ; , ° " - _
1 1 b r •C n A r±l n C n k >,.Date �' rInspector s� `• p -• i. .c o-
•-'• _,'APP,ROVALS Permit;# o c ' `, ,-APPROVALS" =Permit# "- -" ' < ,. Date In'spe'ctor T
. •(•1: 1 E' o °f 41 n w :- rFE " Ll n : z"7 •. -_�! 0$: ver I; yv:-.>' ,. . _ > ' Seg .. :'o. r ' ; - ' .i
r i, Tempor�ry,Electrical Service o7. ' : '•i „ n L.a' o� ,^C 'X52`Pool &_Egwpineh'IC'''. tio`n, ;, " c _ _n r I ,.; , I t
I,r,.. I _. , 1 ri;- i- 1C• I .. K- 1 r v r•+-y - u
2! Sdil Pie-Undr rndr , f•J, r X53-•Steel Reinforcement ;>." . 25 I 1
`g3! Electrical Conduit Utility-Undrgrnd" I s, I r-, `= y%c I '.,54:':Forms? 3 :_2 : ^Jt^ _ " ^' ,;''� 1 F,
"'.4: Electrical Conduit-Undrgrnd'_-' n _` •- ' °Q ' id" c - c : I - _. o : , v 1 `
"• x`55.. Electri. Bo'n""ding:, ,i
af^ . , 1 , �1 - ^n.t n' - ;:Q.Cc E .. !� onr m_ 1 .. -,. ., .. ti -'� . :.t �
6a Sfeel Reinforcement . ? "o`r a. '.{`_ N3 >E2 56.'Rough Plumbing,& Pressure Test a �:1
6. fiectrical'UFER'Grnd. 'Rg '_°^ ' n` ^1 -'>'ir•- Y^ , •57.APPROVALTO'COVER-buil at;? • 'E . ' 1 : , '
A 7. Footings I is I i I i o _7-ht. 11Ii, ° 58' Electrical Coriduit=Undrarnd p c:....._ „F, : I. ' I -
,
• 8. Fountlation -1 i i r P I of `� �& '',.59. Gas'Pipe,�O Undrgrnd.;Tesf-'c - _ .-�- '
9. Wates Pipe iUndrdrnd._-•' I o^_ p 1, c "1 - ` t. ir; j. ;rho. Backwash Lines',-;yP-Trap,0 Undrgrnd.'-: - , i _• _ , f I ,
10. Structural Floor System I -c 0 •'.i 1 -, ^r z L i ':61 APPROVATO- DECK_-''.; : f _ ,
11. Property Sewer Line&1RouseConnection4: E : ac 1_ ; ,62. -Backwash &<Receptor Final:.: c >• �;' i
I I. ! I 1 .p '1; 1 I - Qi _ ns _t ,r ' __ _ c FI
12r•SewerDap . i ; , I i S4 -a., . } ; 3. - . . .). .: ' -
i t 1 , , . . t 1 " I I c„ - t t o- , - 63. Heater,&VentF--,,, .r,t- - . ,
13. 'Roofibrains ' 1 '! - I { ^r 'I 't , ^g a; , 64. PlumbingSystem ;Final • 'I5
d 14. Rough Plumbing;;-1. I i F,,-..0 ; 1 i I 'd -i, I '=65. Electrical;Final =-` v• - . .- ' . . I '1
c
1;-1571aough-ElectricaPConduit t i F-1;--1 -1r--(i- 7-7,-1.- f661 Solai,SYsfem=Final . - ii- , - -- --' '7`---• „
q 16, Rough Ele,mWi
ric, ring^ n1 L I. li I, j-'1 'i.,;Ai :-5174-9. 4111-: 367`_E cing&;Access ApprovaI,`1:-:;,...÷-; j c. j-r; . . .LT- I -rni r
!lc-17..rRough Wiring Slgn2 n ' ': ;l it I j i I ri 1. c ;: '681 APPROVED FOR PLASTERING t ! , i ' c •.
cas- - 1, _ x . _ 1 1 I= ,�1 � L
v -J u, a - I , d 1 1 - S ' 1.c.- l '- '6-76
'-• 1 '.' t , . a 1,1';;I :
- . , 4-
"i rRough Electra al T^Ba%Ceiling 11 II I1 ; G I 1 - 11 I i69' 1366L/SPA SYSTEMS-FINAL ' e I 1 r ' :
3 i 19: Rough,Heating &IAirconditionin9 ,I .1 I I i : lir; I 1 1 1 'FIRE DEPT.'REQUIREMENT- 3 7 ' = 47 .r- 4 4 `1 -
i i 1 : I I 1 li C_ I ,1
41 X23 0: Rough Factory F!replaceI ' 1 1i 1i I i • I t ; 1 i APPROVALS' Permit# ' I `� ' 1. I
P. i 21..IDucts?in Structure,,s n'i i i Ii 11 11 I I I 1. ;701 Underground Hydro I I 1 ; I I , I
li' 'r22.#Ducts, Ventilating i j,-1 `I Ij 1 I ; • I I I 171' Product Piping 0 Gas O Oil , i 1 " I 1 i
1123.IGas-Pipe-Rough & Test p I4., _I 11r ' I I i ;`' /j 72. Underground Flush, I 1 , �-
" I24:IRdof reran-ling; I I i a it aro i f l E. ,.,1 1 - I. t73. ! i 1 1 r d ' '
e 1 . , . r, , ' 1 n 1I A 119 V -- I 1->1_ :'I= , ,:1, ,.,"Undergrnd.Storage Tank'_ Gas., Oil ,
4i 25.tRoof Sheathing ! + i �,i c 6 I • ` '= ' -f' I74.I Overhead Hydro I 4a i I
n - tiv . , n -. 1 1 > 1�' 1 II 1:-. I •• 191' 11- Y. I • n. m . !
4. I-26. ;IT'Bar Ceilin`g'IStr• .icturalll&;Monocoat' 1 : I n 1 r: ,•-?. j I d i; 175: Dry Chemical ' ' ;14 ' a 1 ; _ •
1. ,427''Frame'and'Flashikg 3 ! I 1 i I .3 1 I 1761 Dr Stand i e 1 ! - ' 1, D 15 ' I
r. i.- , , i T , 1 I- 1 ! w. { >I { ! , IY P P r .. I. ,.. ,r � , r
c 128. Lathing &"Siding; i I I 11 II 1 1 .I I ,` 1 i I 1771 FIXED SYSTEM:F,INAL. r -, ' ' I : 'I <.
l 29 jInsulation z I c ; r 1 i i1 II 1 I I I 1 1 I _1781 FIRE PREY. FINAL r r >. i~ , ; , i c 1
I=30.IDrywall Na• iling ' `,�. I 1v, 1 ' i' 1 i 1 i I 1 ( !Notes! I ; I i I ', I 1• 1
y r,31.i,Plaster Brown Coat1 1 I f I 11 i1 i - 1------'-I---I ' I E f- 1 - - i- -' ---• ;- i ' - ; i-�--
' I 1 •.t' 1 ' j t-: I 11 : • -1
1,2 -32.jElectrical'Power MeterfFinal 1 II _L` I 1 I i I , 1 ' ! FL ; " 1 w ; . I I - a
l 33,rrFinal Electric __1 •I I II, I /I ke.1_ 4.__I I_J 1 ,J.. -I I .L_i ' .I . _._ ;
34. Final Heating &+Air Conditioning II I I i I I I ' I 11 I ; ' ; ' '
II -11C1.1; it,i : 1• ! 6, 1 1 I I it 1
35. Final Gas Pipe>Test l- tl G - p i t.t- 1 I ;"t -7, I ' " ,I :1 -,1 - -
36. Hood orcarop _I m - � 1 n II I r I n I i i- N ! I 1 i-
- • - -- t
i! it .. 1 � I m I .. o I 1 1 f , 1_ , � , ' ( I !" -r � • r
37. Final Factory Fireplace- - I ; I • ; : 1 _ c:
38. Final Plumbing1 I 1r 1 I °1 iI I '' 777.! epee? : 1 I/ I `` _,
39. WaterIpe�vice-Final I 1 I 'I # I 1 I . I 1 , I I 1 I I I i l .' 1- S . , , !'1 . .. . . .. ,
40. Gas Service-Final I 1 @ 1 I ' ; ' '
11 3 , 1 I i
I, 1, , , I I 1 t , ) 1' 1 ! 1 I , , ,t. I .l
,, i1 , t i i ' i t - 1 .
41. Solar Domestic-Final I I I I- 1--I 1._{ -4 -1_ ! .�._ -F=r . _•._ _� ,'1 _
42. Backflow Preventer a.1 I 1 1 rid I 1 L I21_4___!__ L�._l--I- 1 I- 5-- --r . q,'. ' I I . !
43. Backflow Irngationc (� '' ' - I { �,, - 1
1
1\<J.f In,N �I� I I x�l . - 19: 1 . I . 't of I d
V
44. Land cape Irrigation=SYitem n f. ,•_ =+1 c I 1 ,' c 1 , • • I „ ' _. n - • t -
1 tfah : l _ ' ice �i - 1 -_; I 1 i , ± �- � ,. ,
45. Sound •Attenua'tioe I,. Ia I I . II 'I " I I IolaI i 1 -' i ` ' I Ic , `' 1: , T , - a v '- H• -
, i , g • • , " -
46. Handicap Regulations l 1 - I 1 i1 1S" I I 1.14" 1 1.51 I I 1 `I I y1 I •, i 4 ? .;.-31 „ • - n �� ;;;.0
747. FINAL STRUCTURE& BU,ILDINGI<, i•`-. 1 1 '^- 1 t i , I 1 , ' ' '
r1 ..
P. it I I 1 1 I ! 1" I i^, I .11 ( I i ir. t I.
Special Requirements Completed 9. 1 I 1 ! i .,1 I I I 1 . I 1 1 it
t.,
u , 1 f i , 1 11 -I a "
49. Electric Release to EdisonI; I __ I ' 1 ',1
e I I i ; ;-1 I ' �- ! ,-1 -1 -- - I •<+:� i 1
I, I. I I 1 1. IS i i r 1 I I { ¢ ' i •
50. Gas Release to Southern California Gas Co i Ill . i 1 `1 i t I I I , ' ' I C
51. CERTIFICATEIOFI OCCUPANCY 11 L_ --_--i -1--_. ,- 1 _-1 ---1--1I---'2::-:`-:---1 ;�: ` 1 '
NO - x iI I i Date i i �' i 1 t� i i i 11IIII
!,,:_"-.-.,74.,..h,>-c..-,4,-..1,-_r-.,=,.11._,--._.t.._. 1 -I.-. • 7777
_ - __ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _
CITY OF COSTA MESA:. P •IT 0.. TRACT N9 LOT NO. 'BLDG.NO. - r
, CONSTRUCTION PERMIT •• / . • . . , •
; 4•(' !�� �� 7/ �a :�� • • 7219 10/13/%31 :-51.3 1 IL
Applicant's Mailing Address a a ' A +1T -/1 -t z'< /a - -TYPE OF CONSTRUCTION` ,NE1/•/ Li ADD-L i ALTERATION LJ REPAIR . • 1 ':,
Project Address - - +if✓ ❑ CONVERSION :❑ OEMOLI�+�j.I//�❑q��F1 ER • - _ - -•
i - - ,
Owner's Name ` id• HMI LA.' - - •hone 979 7/ . DESCRIPTION OF WORK f „W7 y7� -
-
'T.' �(/ �L ZONING REGULATIONS
Address r< - - TYPE OF PERMIT. LJ GRADING- ❑ FOUNDA7l0�•}. ❑ STRUCTU •
RAL A.P.9M - ZONE
Arch/Eng.• - - - - License No. - , ❑ TENANT 0 ELECTRICAL ❑•PLUMBING MECHANICAL BUILDING • -
Address: _ .. r ri -- _ .. PLNG.REF.# - SF-mark.rh Cy - f _
s�' ❑,OTHER ! .TO BUILDING
Contractor's Nam-' ��' is AL �LS' doe ��// // 1 r 4 PROPERTY LINE - I 'REAR YARD(TO P/L).- - .+• ,
9Al eV : PROJECT DESCRIPTION SG FT. OCCUPA Cv
bas items ' Lie CONSTRUCTION TYPE • • ' VALUATION$ LS OD • LEFT SIDE YARD I - : RIGHT SIDE YARD
Address(mailing/ QM . .rte 'f�•r-'�
/C7� - I ZONE GRADING CU.VDS. - NACRES ' - - ?KG.SPACE REO. •PROVIDED - - '
License No: • __ - - _ - -
LICENSED CONTRACTOR DECLARATION ( - -
_ Remark!: - es 7� A.9 -. STREET WIDTH ,PARK FEE$
1 herebytaffir in that o am licensed under provisions of Charter,9(commencing - ' , - •
-
. with section 7000) of Division 3 of the Business and Professions Code,and I - I• SPECIAL CONDITIONS:
my llcense•ls In fu f and'effect. • .1 . ' - - i •
license Class Lb:use 0 r - j, ' • PLUMBING ' r' • ' 1 ' . ) ,.
Date Signature • - •
�/ Os ' •4. ....../ I _
I j Bar Sink Sewer Cap ELECTRICAL I 1
WORKERS'COMPENSATION DECLARATIO , . S _ -- -! - 1 ; I
I hereby affirm that I have a certificate of consent to selfansure'or a.certificate --- - - 1 Automatic,Washer 'Mete! over 100 amps •
of Workers' Compensation Insurance,•or a canine copy thereof (Section Backflow Preventer' $ewer Connection - - - - - `
3800, Lab. Dpilm ��/� , Backflow Irrigation Solar Collectors i, Construction Pole Sub Panel ,
PoliCe No- r lee- O`y f57 Company r-^'rr'A ``✓"^`S s - -`- - • CookingUnitSub Pole i
I. Certified copy Is hereby furcal etl. • I I - I , Bathtubs " 1 'Cr • - Solar Piping : I I _ i I
. , Y rsrtif d p I filed with the city,B Ing Ivis(on, •, • '- .y Dishwasher Motors �0-1 HP ❑1 h$
�1gg pq u
Date /fl-y O-D - Applicant CEJ a. _ Clarifiers • . - 1 Solar Tank
EXEMPTion OM WORKERS'COMPENSATION CLARA ION - Dr er5 ❑Gas� DElectric ..• _. -
I Dishwasher Swimming Pool w/S a y Ina Solar ❑9-15 HP ❑16-15+
(This section need not be completed if the permit Is for.one hundred($100)or 1 9 P
less)- - -Ur - - Fan Microwave '
. I certify-that In they per manna of the work soasfor,which this permit Is issued, I . Drinking Fountains 1 Urinal • I ,
shall not employ any person in any manner so as to become subject.to the , - I -
Workers',Compensation;Laws of California. : ' Floor Drains' it i F.A.U. , Pole Light I y
Water Closet' •t-
Date Signature - - Fixtures . ' •
•NOTICEr if,after making this declaration,you should become sobject•to•tne- Floor Sinks .•. - --- ' Water Heater • -! -.j-_
Workers' Compensation provisions:of the Labor; Code,.you revok th - -
- comply with such provisions',or„this permit ,shall be .deemed revoked: 1.. Gas Service • -Outlets( ' WateLService Device Boxes . Sign,
CONSTRUCTION'LENDING AGENCY - - - Outlets
I hereby affirm that tier i a construction lending agency for the vert!rmancm Interceptors I _ 'Standing Sections
• of the work for wh permit Is Issued •(Section 3097'. Civ: C.)1, - - ' -
Lenders Name • - ' c - - ' ' ! • - - -- • Switches ,Trash Compactor , , 1 ,
kitchen-Bible, - P
•
-Lender• 's Address - ' - '` - -• - ' - -
• Lavatories - ' '' , : - '. f Garbage Disposal
OWNER'BUILOER DECLARATION I 1 ." : -- - ,i - I. r - - - ,
I hereby'affirm that I am exemot'from the:Contractor's-License Law for the . _, �: I Generator, Do-5 KW 05-15 KW ' I
following reason'(Section-7031%5.Business and Professional,Code: Any city or F-Trap. ., _ ',1. • , ''. . _- I 1 - : '' I _ . -
''county which.requires a permit to construct,alter improve,demolish or,repair , . - I Trarisfornier 015-50 KW , '
any structure; prior to its issuance,.also requires the-applicant for such permit , Roo£Drains - -. - ' ,, 3 , -_ I 1 1 ' ' I
to file a signed statement that he/she is licensed pursuant to the:provisions of ; i { i 050+KW!' ' 1
I the Contractor's,License Law;(Chapter 9(commencing1wlth,Sectlon 7000)of ' . . . l s- • - - - - I - 'Reinspection Feb $15'
Division 13-of the;Business and Professions Code)'or,that'he/she-is exempt - • Showers r• 1 ReinspectioniFee $15 - 4 - -
therefrom-and the:basis for the alleged exemption: Any'violation•of,Section ' - ` - - _ Meter ❑up to 100 amps issue Fee $ 3
7031.5 by- any applicant for-a permit;subjects:the'applicant to a-civil ' - ' _l _ - _. -_
penalty of not more than five hundred dollars($500). - .S , ,, •• I .; , Service Sink Issue Fee�.z_ $ 3 ; i •
.
•• LJ ( Y Y P Y g t Zoning Approved By 'Date
compensation,
onwill do theBuork;and thprofessiure sCo not intended as their sole
I,'as'owner of'the:propert of m em to ees,with wa es
f
r
ale
on
Th
the/structure n ractor's ' 1 i MECHA_ NICAL Application Approved 1 Date
Contractor's - - - - ---- -- -- - ---
BY
I License Law does not apply town owner of a property.who builds or improves I Boiler • 71i Refrigeration System ' ✓Iy,//��
thereon,;antl who does such work himself/herself or through his or her own , I - r f Application Issued By r-� Date �0 ��Z-—842
employees, provided that such Improvements are:not intended or offered for - DO-700,000 BTU 0100,0008TU, - l
sale. If, however, the building or improvement Is sold within one yeabof com- i , Duct-Under,Ground , . I , . ' SUMMARY OF FEES I
pletlon,the owner,will have the burden of proving he/she did not build or im- .
rove for the purpose of sale). : i i' i : Duct-Structural I System Repair/Alteration 'BUILDING PERMIT $ SMIP . ' 1 $ 1
I, as owner of the property,am exclusively contracting with licensed con- i , Duct:Ventilatin _ t
'',tractorsto construct the;project (Section.7044„Business and.Professions Code:. g -',.i- _,i - 1 i __-', _ ' _ L. -_ _, t I 'PLAN CHECK $ PERMIT 4 ;
The Contractor's License 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- • Exhaust System 0 Multiple 04 1 1 I i � •I .,PLUMBING $I - : i ,
tractor(s) license pursuant to the Contractor's License Law). { y �
, 1 (PLAN CHECK' - $ • I GRADING , $
0 ram exempt under Section ' ° • B.& P.C.for this reason I I Firepl/Fact.Blt. ICBG* t j - ' $
Date , - ' Owner' - - ' : f Heating;$ystem&Ducting I ,ELECTRICAL $i I 1
f j 1 ( . MICROFILM - $
-I hereby cert correct-11 have-read-this y with all ed state that the above y - Cj&100,000,BTL1•�100,000 - -- ;PLAN CHECK b $ I +
information is correct. I agree to comply with all city and county ordinances 4 ~` f v'Y �a l ' TOTAL�FE E' $ _ •
and state laws relating to building constructionove- hereby authorize repre- Hood Or • I
/ :MECHANICAL $
inspection
fives of-this' sty-to enter, on the above-mentioned property for I Type II Di • Reinspection Feel $15 l 1 LESS ,
inspection purpose- / I � I/o Canopy -Type 0! 1 :I ; I ADVANCED PC 7 $
A- ! ,PLAN CHECK' $
Signature " - -arA 1 •ate i I 75'—
,�'�+•Oriyers' License on SS S •
, '• � �� r I ; Registers• i• .I j Issue Fee i $ 3 I , I FINAL FEE, $ �.
--7...‘-' •2 White Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
r? •)CONSTRUCTION ANDj..PL,'ANNING1 ti ; 2'� '=rbc ',,-Ji.:';':;•7-::t!, .iLgS %3 pi POOL•&, P.A ,: -a . c . t'• -,< - i
1- CSI = n : iR °- _ ; i •;,Date r r rinspector, 9' - Date , 'Inspector- ,
} eAPPROVALSn. Permit-)# a - _ - _ %• r - 1- : 'r,APP,ROVALS =•Pe'r'mit# - ;t- s- - ,
.. y 1 '1 - 1' A a ari_ :.rr : c "_ . . r� ¢ .0 n..c. o ru` ? ; c ^ ..i- 1 .,,: a .
'- a- Temporary Electrical Service SraPole I M% Li*' : 2,f." ..g..!'"_! ' :'522 Pool &'Equipment Locations" ' �' _- ' ;c°Oa. : ' , r
C) Is L - n'P • -, n..a •-cc' I ._-_ _ _ _ _ - Ge 'i i � ., IL
2? ;Sail Pipe-Undrgrnd�° .P' i ;moo:: i- , F; _1 o--< r' - >' ! ':53- Steel Reinforcement °°- • 'o ' '
:_ , ' --- r 1 e , � /7r« j, -- •!- O~>+' 'Sc -.. • ;. •: t '. .gin' Y
a 3' Electrical.Conduit Utiliiy-Undrgrnd!11 , g ; ,= _ 154:, Forms ,,, - _„_,`; n. ' __ I ,,,;.- ' ,',4,
' R- i i ah 2' c , - S ' 1 o, ar n c.: - .rr�
Q m Electrical Conduit-Und�gmd.�"15,n 1 .q r •:-a y?Q �t o ;y,v '55' Electrical Bonding T �- , , ; • ' -.�t _ ,� ^�
5; Steel Reinforcement- n `= a4 ''' i.1 _ -- "t !!56 Rough Plumbing&Pressure`Test n" • ^.
6f IElectiical UFER Grnd.I lUf • I I • .c,; °„Scn 7c b ;57 APPROVALTO•COVER GUNITE ' _ - ' [ 7 :I
7. kootings I I LA 411 i o ii o I r : ,, r, -3 4 :.;:sp. _Electrical:Conduit:Uudrarnd.?,: •.- __c ii„:...-i! :'.
sI , 1_S or •!59• . Gs'Pi e D Undr rrid:,Test !r,
8. FOundatiorii t �; ��.••� i a o`:. i .I'S.: ' ' C% . 4' ' ,., p c g • � . ; `. -
9. Wates PI, ,,,,, rg n,, t I a r - J 1 - ?,60. Backwash Unes tP-Trap,'O`Undrgrnd. ,
10. Structural Floor System i ao �•, - • L :I !! Cr I ; 61. APPROVAL:TODECK =?i - - - , . ,i +��
11. Propeirt Sewer Line&'1House ConnectiorrI - ' -- 1._;;18'.2. ' - %p - " . -t , + !I-..'t.:-.,,t1 i•' 'r `
9 .1 � > I I i ^ I I a• •1 �-' a � i :.� :,?....€.1 Backwash'&_Receptor,-Or, - . . -.. _ + .,r.
12. Sewer Cap I I I ' I c'^ _ oz • ' `63. •Heater&_Vent:Final _'' ^ ,T; . i ' -io
Iil ISI 1 1 lri i �� En ' ♦ t• f I C. .. __ L ti
13. RoofIDrains I I'"I,I : ;-.4-;:i j 1 P, _ I ,i64. Plumbing system - Final - =• • -- - Ii`•-.
a 14. Rough Plumbing . g'n` '. - r •'65. Electrical=Fin81- - - - - • _ .p
a _
-15=1Rough'Elec�rical:conduit'rrt i 1 VI 71 I I 1-i- i -,66.j s6,15 sc iBt ---Final i .- -;- T `� -- Ti
b 196. IRou h-Eled'tr ic,Wirin c 1 - i'--F-r---'-S ;--- -t-. :1 -.c__ _ t~ .. .I---'-'-� -- - -- -
. � � m 9t w � I 1, ce 1 i w I��: � v'I �r � 67. Fenang &rA`ecess-Approval • {,-..24,::: � •
o el�.-C n, 1 'n' !• J - r f Ile 6 a 1 -v. f- V - _ ., ,. !`_ .�t _ �i `
?F17. IRoLig h'Winng,$ignr_ ,., r I ' I n NI: I �I i � I "; I 68. APPROVED FOR-P,LASTERING 1 . i ' - I 1 ` '
-_ g 18:!, _o s, tricaLzT!Bar Ceiling! �j �, I4 4 r c I I ` ' 1C, ? I 69.; POOL/SPA SYSTEMS -FINAL 7 . : ' 1
_' l 19f1Ro4h7Heating&IAir Conditioning ° I 'It,' I I I 'FIRE DEPT.'REQUIREMENT▪ + 1 -
II 20. Rough;Factory I II I I !Fireplace! I II 11 . I I I APPROVA'LSI! 1 Permit# " • I ;' I to -
ni , r, t-, ?, , i ti ll I.a i 1 t : ' J, = - _•':'
121. lids i.n Stiucture ' _ I IP; I' 1 I I 1 I ,70. Underground Hydro
5I:22.,�Ducts, Ven}ilaiing I I � I I I I Ili. Product Piping DGas poi! ' ' 'r, l : 1 •
ti
e 23: Gas PI-e-Rou h &Test c r I r T ;. ,_.-_._ �-- ro- :,�* -
e i� -a .- P - g. I ( II II I I . F I t I I '72. Underground Flush - i- - '--- -; -.
- P_..' TR1 ° I 11%2 I i t I i i ,,- . - ' , f 1 •
8 l t24. oof .., , ingt i I 1 `o I' i I ro I I:u i v, •, '?I ,?I o; •73.1 Undergrnd.Storage Tank D'Gas-:aqui 1 i
I h i t o 9 � n .1 no • < < , � _ . 1 � I � i
% I ! SI, C ,�1 .. i , 1 , ,�
�i�`` 25''jRpof Sheathirig I 12-1 II,t!, i I c I I'= i 1 •74.; Overhead Hydro :a i' !, ,
-�f V r 11 1 C 1 1 -� , I':r - i!- '1 I- .n; 1 I 1 + I
li
1-.-264:89-ar Ceiling (Structural):& Monocoat' I 114-iI :I •,.75.1 Dry Chemical ', ; j - I 1 � 1 .I
I ,. is I I H •'
5•1:27. Frame and Flashing', 3 i 1 11• i i ' I I I- I 176.! Dry Standpipe I e i n; ,;11; i . i 1 f ` ' rr
„w � -, i s r e I I I it I) I c a i :1 I I I
g 28. aLathiing & Siding( n 5 i I I. II II i I I I !,'I I I j77.i FIXED SYSTEM,EFINAL. ' 1 . I i i = 1
• 2• 9�;Irisulation a I , m I I _ II II I i I I { I I (781 FIRE PRE\i, FINAL II . , ' •
!
' A,_. 1 1 , '-:•.,[1,1 .1 1' ' i 1 1 i '1 p- 1 i l 1
c 30. r wall Nailin ,
B_. (Q-,y 9 I i ( II 11 .I I I I I I Notes:. i I ! I
- • 31:-,Plaster Brown Coat 1 I : 1 II ,II i i i 1 . i t I I . , I i I r i , HI i s
.a• I-32.)Electrical Power Meti• rlfinal 1, II- II I I I _I 'II I I I 1 I ' I i ( I ( ,: I 1 • 1 �'`r
tA 33. ;Fi._al Electric i I_ �.-,4, 1.,.1.�..L�,}.-, Ii_-�.� I ' • ' .1� '. . I- I
34. Final Heating&IAir Cgndittionmg i �th' �� -732 1 ; ^ i . 'g
1 / r:nl v .x' 11- 1 n, G 1 1171�'_ -
35. Final GaIPipe-iesrNl I ^ial Y .I 'c lol.c. :.ru :4 : - = '!_ Ii1i - I : ,, . r 't ? - c. It .,'
36. Hood °r!Cariofii'+ omit) ,I f aI i ' i^ 1r, 1« i :, i - Ic ' X - _ Ii ; _ K
,til I m =1. 1 � isICI_. I __ i ! - ' 1- _'I .- ' - ,ri•' , ':t ,
37. Final Factory Fireplace+, 11 Oi r, I = I ! , ; ; '" - I „ '% .'
i 1: 1 . 1 -__1..g. ) i Y IR I' 1 I I 1 ' ,e .
38. Final Ill u'rnbing I .I I i II 1 I` ' ! i ! i # I ' ' •�
A u t u l I 1 it : l .c. . T --
1• li i ' I I I I ! -
39. Water Servic - .1 I I I I
I 7 • f
r '1' i1 I 1 I ' 1 I I I I'_-i- !
40. Gas Service-Final I I III 4 I i ' 1 . 1:` ' i 1 -Y
X 1 1 it I II - II 1 I 1 ! I 1 ° 1 1 I J • ' ' '
41. Solar.Domestic-Final I i I I I l 1 i I ' ^ l a i ' I '// -'
situ 1 1 I I I ! 1a! I-- I '-'-r .-i---r .J _
42. Backflow;Preventers _I I i ! ,tt�t_ }. 1 _ I I _I- _ . I 1 _' i ,
1 , _i �T_. r_�.
•10:1 •-' ' 41-4'1 i I ,.. ' 1,••. in= { t2 i s 1 S C C., - 1 , . '
43. Backflow, Irrigations :I, I i I, w-'i' ' ' - 1 E "r5 ▪ '• c F r1 I I i I I
a. ... ' a 1 LL I
44. Landscape IrrigationSystem I I C,r;1.' 1 ; ! 2 ! _ ' i ..,1 . i I ":,1 /.., 1 1 I • ! '' n,,. a
45. Soundt.:., .uation '.I° ,..=I I I' i ,' ! !i 1 I- 1,
I I I 'I .., i •[ ^+ x - - . I
46. Kandla'Re Ovulations � ' ° I T I n; ; ' ' r r• ; ,1 •
3 PI g -,I I I ;.i 1 M 1�. 1 I I ' 'I i i I i I I ' 1 IF ' - r ., 3 n
47. FINAL STRUCTURE
& BU,IILDING Ip ' I 1`.: II ! II 1 ° : . '
a • Il t i i i I I tl 1- � . I , I: ' ti. l - i
'
48. Special Requirements Completed i I I - I I- I Y,I - I I I !, ! i 1 i 1 , . 'I, • ' • • .• c, •' r.
49. Electric Releaselto Edison I I - ,
c n 1 1 I I I I I- ' r-_�_..I i ! ' ' '47-41--1--,_ --;_t _'-_I •- I ! ' . I''
50. Gas Release to Souihem Califorriia Gas Cn 1I I I I I I I I i ( i I I ,. ••t I i i i i Iv ,
u 1 1 I , n r 1 • 1
51. CERTIFICAITE;OF OCCUPANCY -4 ' I_ i. _4_4_4_ ' I 1_ ' ' .;'._:4::-.44 • t
No !j II 1 Date i 1 N I 1 1 1 1 1- -I-I i . I '
Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations. ___
CITY OF COSTA MESA; i I - PERMIT NO TRACT NO LOT NO. BLDG N0. • ' r• I ) ' ! . i °U'r? 11
CONSTRUCTIION PERMIT I 1
Applicant's Mailing Address !• 1 •�1' - _ 0 ' e'_' - ..TYPE'OF CONSTRUCTION-. i I NEW LI ADD,.,LI ALTERATION'U REPAIR a .. • -- 1• •�i - I s
Project Address / 69_ �Chenley Bay ' ❑ CONVERSION ..D DEMOLISH El OTHER •- • - .a „s r 1 •j •▪ cp , I :L •
❑ '
' DESCRIP,T,ION OF WORK ' metAl fl re l ace. , -. - -
Ow en is Name .`IN I o T$Y1es .Mi.:- =Phones 1 ' 1 P; t ' l ' i •p . , 1 - I 1 ' - I
' - 'ZONING REGULATIONS - �. I t '+
Address; • " r - < { i TYPE OF PERMIT I •❑iGRADING ❑'FOUNDATION ❑ STRUCTURAL •• A.P.sr i ° I !ZONE ; ti''�,' I• - ' I • I
Arch/Eng - - - License NO I , ❑',TENANT ❑3 ELECTRICAL -❑ PLUMBING ® MECHANICAL_ 1 - - ' _ ' 'BUILDING • •
PLNG. REF.nW 1 ^'
,\ Address; I• ; 1 n: = I , I ' • ' ccrB�.ry rn c,-
❑,'OTHER 1 I I "-740 BUILDING -
COntractof s Name CO$St F9 rPpl ace “ =Phone 639— 820 :PROJECT DESCRIPTION' SQ:FT.• - • •OCCUPANCY v : PROPERTY LINE t _ i "REAR YARD (TO P/14 1 1 t-
I _ i 11080- '• %ONSTRUCTION TYPE ' • ' •' , VALUATION$. . _ ;LEFT SIDE YARD , RIGHT SIDE YARD - ( '
``v, Addr¢ss(mailing) N N:Batavia,'Orari_ge . 9266'j ; _
{' 16406 ZONE ' 'PKG.SPACE'REQ. PROVIDED i 'i
I j 1 ' GRADING CU. ;ACRES s _
License No. - - i -n '
N LICENSED CONTRACTOR DECLARATION i ' • Remarks: f i 'I i , , I i STREET WIDTH ; 1 I i :PARK FEE'S . I I
AJ l::hereby affirm that•I am licensed under provisions of Charter 9 (commencing - 1 c , - • , 1 I i •J ; I
I with lection 7000) of-Division 3 of the Business and Professions Code,and i I i,• :: ' ' 61_x]'5 i 4 • i i I r SPECIAL CONDITIONS: 1 •-
• my license'.is in full fare and effect. I .I - - /J / - I , I I 32 I�
\Cs License Cla s —e_ I A i ' se No 1436387 , y I 1 I ' PLUMBING I .I - i -I I .I I I
v Date . . Signature • �flvts....ry �/'LS' CO- I I I r i ELECTRICAL
WORKERS'COMP,ENSATION DE 'ATION f: J 1 Bar Sink ! I , Sewer a ' + i I I -
• ._I hereby'affirin.that.Ihave,a.certificate of consent toself-Insure or a.<ertifitata._:. ._»;. Beckfiow Preventer'-'n_, '-�'-�'^Sewer'COnnectIon`' 'i }"-'j •i'- -- -- Automatic.Washer_.-_-;.__- ..,... •___- 4Meter„❑over-,100.amps, •t- _ j_ .4 _ '
• of Workers' Co ensatlo nsurance4 or a certified;copy thereof (Section - ' '
3800, Lab C;) I. �3o,CCA/59JC - , ! i Backflow Irrigation;;�;i .' Solar Collectors • I , I I Construction Pole I i Sub Panel', I ' I �I
• Policy.No. ' I Company Aet A 1 r ,
yr.�{ Certified copy 15 hereby furnished I I I ( i I 1 Bathtubs• ' ,A Solar Piping I i 1 Cooking Unit, ! Sub Pole I I - 1 y I t
iw]•Ce t'11ie cgpy(5 Tiled with the city B�yI�In ivKp// - , - , + t Dishwasher , ' t .Motors 00-1 HP ❑1%8 1
Date '� pl h YS Applicant �/� 1 ✓ 1 1' . I Clarifiers I I Solar Tank j Ij
EXEMPTION'FROM WORKERS'COMP SA ION DECLAR ION • I - { s Dryers DGast❑Electric�"� ` j-' 3j nc.Solar❑9 15 HP ❑16-15+
SIV Dishwasher t %�. Swimming Pool w/Spa I
(This section I not be completetl If the permit is for one hundred ($100)or i Jn t • -
Icert . ! l I I I i l - i al • - Fan: ! I 1 ' �I 1
I all, yjthat In the performance of the work Tso las t h this permit is issued, { Drinking Fountains sl { I Urinal �' i I I I t _ lM icroWave+ , i
shall.not employ any person in any manner so las to become'subject.to te i _ - i 1
Workers' Compensation; of California,; 3 ' I Ii F.A.U. / + �Pole,Light i
g y I I { I Floor Drains;- 1 i I Water Closet I I l 1 _ I 1 I I I
NOTICE:-If,•atter-makin-making-this declaration,you-should ulde,ecome'sub Tc 1 "-' ' Fixtures I t 1
P ii
g
7 rt.•the -+- FloorSmks. (---1---'---- Water.Heater .�.._-_ �. I__. � _ _-,. ..�._.� __ L.._.�Range. .�__.y_-. �.__.I-... ..__ S
comply
'with;
such
Compensation prions..nr,of the Labpermit
y r v k d _ 1 -
cONST UCT such ,ENDiING or this;.perm 11;shall be Idee- revoked.. • - ! "� I ! Device Boxes : , Si n. I ,
CONSTRUCTION LENDING AGENCY -• J Ga55eroice_• ;Outlets - ;,Water,S¢Nlce T l r 1 _ 9 s ' j
I hereby affirm that there is aconstruction lending agency:for the performance, ( ' ' ! i1 - Outlets t ,Standing Sections' III , ;
.of the work for which this permit''.is ;issued..(Section 30974 Civ. C:) I Interc¢ptOrS I •7 ( rts . �. • ,- I 9 i
Lender's: Name_ - • °' r - '� r ! — I - Switches , I • I 'Trash Compactor Y
Kitchen Sink _ r I _ , P
Lender's; Address• . I ' , • t • T ' - " ,• L 1 i
OWNER BUILDER DEC L'A,RATION ., 1 ''' I - _ _ • •' I Lavatories i ? .s.• a _ I:' ,t 1 , Garbage Disposal 1 I ,
I hereby,affirm that I am exempt from the1Contractor•sLicense Law for the' 1 t I 1 V
_ 1 r...—,1 ; ... - Generator ❑0-5 KW ❑5-15 KW - 1
following ich,requiresia permit,to construct,ne55 and er, 51onal Code: Any city orrag; '• I I c _ , , i p 4 , •
''county which.requires a to alter improve,demalishior repair •
- , . . + v. — �. . . - 4 Transformer ❑15-50 KW I I 1 1 i r �
any structure, prior to Its,isat'he/,'also requires purse plican t'for such permit ' Roof Drains l " _ •
.to file a signed statemen Law('he/she Is licensed pursuant to ctionovisions of ' - ' - 1 - 1 ❑5U+ KW
the Contractors'License Law'(Chapter 9 ons'C enci'ing;with Section-7000)is.00)of . I - I .,-.; r- 1 _4 - I - ';, I - ` ` . - ; " IReinspeetion Fee i i $15'. I
thereon;3-of the lBusine55•and'Professions Code) or,that he//shore,exempt • •• Showers n I , i- c•-, Reinspectioo'Fee - $15 - '
i therefrom-and the'basis for the alleged exemption:Any violicant off Section I - "' r' ' - ' _ I Meter ❑up to 100 amps ; ! •;Issue Fee: 4 ' I '$ 3
I>7031,5 by:any applicant for.-a1 permit-subjects'the'applicant to a::civil I °s - 's ' ( 1 I c' I I - - - ._ -
Esnaity of not more than five hundred dollars($500): . %r: 1 r» 1 '? I I. I' Service Sink I 3 ; , y I i I Issue Fee f $ 3 Zoning Approved By 1_ I • 1 ' Date I 1 1
LJ I as;owner of the;property ort my employees-with wagesias their sole , ' i ( 1 ; i I j •
compensation;•wilt do the work,antl the'structure'_is not intended or offered r ! ? ' MECHANICAL' - • ' i :
PI I':. + i I (' I I i, I 1 �Applisation Approved By 1 •I IDate I
; for sale.(Section 7044'', Business and;Professional Code:,The Contractor's
Cleanse Law does not apply[o`an owner of a property or ,who builds or improves i I goiter I 1 }' ' • ' Refrigeration System ' I I ,fit(:/- /i%j , , (Date /�' - 11
, thereon,iand who does,such work himself/herself or through his or her own - + • + I ,i i ( I ', Application Issued By _ . .
• employees, th tht such Improvements issolt intended or offered for I 1 Duct nl Under Ground • ! ❑0-100,000 BTU ❑100,000 BTU' 1 -
sale, If,.however, the building or Improvement sold within onotyear:of com- I I ( r' i ,,; ! , ( - I ii
( ; SUMMARY OF FEES I - 1 1
globin,the owneriwill have the burden of proving he/she did not build or im- I i i I
1 grove for the purpose of sale)( t . , I 1 ,' l 1 I I 3 I Duct-Structural i System Repair/Alteration 1 ' I 'BUILDING PERMIT $1 I SMTP I 1 $ i !
Li I, as owner of the property,am exelusWely contractang.wkhillcensed con- 1 I I • 1 i
_trhe Co tractotruct the project.(Section.7044,Business.aner of essiont Cotler_'_ .._._ Doct�Ventilating,�t _„•'_24 ,,_ _ _ I,�- ; ). --1 I - •PLAN CHECK; $, 'PERMIT • i .
The Contractor's License Lawddoes not apply to an owner of property who - - I i , ISSUANCE , I '$
builds or improves thereon,and who contracts for such projects with a con- 1 Exhaust System ❑ Multiple-01 ••• 1 I I PLUMBING $ 1
tractor(s) •
license pursuant to the Contractor's License law): t I I ( ' 4 I I I I ' GRADING 1 ' $
❑ -Lam exempt under Sectio; I - B.& P.C.for this reason ; 1 Firepl/Fact.Bit. ICBO#3195 I I ; • - _ Co (PLAN CHECK, { $ I I i $ I
i ( ELECTRICAL I $, ` I
' Date ' I I Owner' I ' I I I j HeatinglSystem& Ducting j I I I I 1 • "I I '
I 1 I i ). I I MICROFILM i $ I Th-I
;Hi-hereby certify-that-I,have-readohls'-appitwtaom and-state-that-the-above' - ❑0-100,000:BTU-❑100,000 BTI;-- •--- ' - •PLAN CHECK. $ F
I information Is correct. I agree to comply with all cayand county ordinances ' i I I_� I • i ' - ; TOTAL/FEE I • I $ : 1 i I
and state laws relating to buildin construction,'and hereby authorize repro- I - - ;MECHANICAL i $; 7 .00' I i I 1 :
' sentatives of s' enter .upon the above-mentioned property for : I Hood or. Type I ❑ II ' Reinspection Fee $15. + 1 , LESS i I I
I inspection per se ( • + _ Canopy, Type II ❑ ! ;PLAN CH•ECK, I $l •nn ADVANCED PC ' _ •
Signature ' p�. ! Date 11/16/83' r I I 4i i $
i Drivers' Licen or # ' i I ( V 1 Registers . 1 • Issue Fee i $ 9 1 4 ' 1 , I QC
1 i i i 1 1 FINAL FEE $ _9.
CMF 0865-46 rev.12/82 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - , ' - -
,, .. *. - --,� - -- -2.-;POOL•&SPA+• ;- ::,
-CONSTRUCTION AND PLANNING - Y - _
::bate- :-Inspector " bate Inspector
✓ -APPROVALS Permit#" - - - . .1 ,-. - _ !' APPROVALS Permit# •
1!, Temporary1Electrical Service ortPole•. J= _" n' ' > :"...52-; Pool &Equipment Location. , -
ro 2. Soil Pipe-Undrgrnd ` ` - ; -' s53r Steel Reinforcement • • • -
-_ 3: Electrical Conduit Utility,Undrgrnd: ';,:ir; `7, el - _ , 154, `Forms,: _ . - - f:
) '41 Electrical Conduit-Undrgrnd I `- ' 55`. Electrical Bonding' - , .- - .
5: SteelrReinfo• rcement ' 'I • -• •• E :--• 7 - `• • 56 Rough Plumbing & Pressure Test • •, -
6. ,Electrical LIFER Grnd: --'rc : ' -• ' i. 57= APPROVAL TO COVER-GUNITE, (./
7. Footings ! I r, ji ! = ` i......„,i_, :..•-,; - 58. Electrical,Conduit=Undrarnd,
8. Foundation .: • i - c' - , - ; '59. Gas'Pipe; 0 Undrgrnd.,Test ' ''r _
9. Water Pipe-Undrgrnd. - o . _ -60. Backwash Lines,P-Trap, 0 Undrgrnd.'_ss '
10. Structural Floor System - •s_ _ - _61. APPROVAL TO DECK . _
11. Property Sewer Line &House Connection , ' - C 62. Backwash &.Receptor-Finalr., _ ,
12. Sewer Cap ; I , . 1 ! _ '' c F --- •:63. Heater,& Vent-Final. ,,. - • ..
13. Roof!Dra'ins : 1 . . • - • -2 ;264. Plumbing-System-.Final --'r .1a, - -
14. -Rough Plumbing' 1 = ; ' i ' `- ' 65. Electrical:::Final- - s , '- , , r ; .
15:'Rou h-Electrical:Conduit '-i' -' -_r -' -. -- , -66.1 Solar- yst-mFinal -- - -- ---" --
I -
.
:16.-Rough Electric,Wiring, c. ; � ' '1 !- ,- ri-o'-,;__
L-31-7-1-•
c- ' --!6?.' Fencing& Access Approval, rt ----r.- '
'17. 'RouglNiirin¢Signri ..n , 1 1{ 4 ' ''' !.1 '4• (. '.7:77.7 ' ? 14" j`<'r„ 68.: APPROVED FOR PLASTERING ,
18: Rough Electrical-T'Ba'i Ceiling! j! } ' % I : = ; '69 i POOL/SPA SYSTEMS,FINAL ! ,,
19: .Rough`Heating&'A ir'Conditioning ,I I : • , ! ' i - ) I FIRE DEPT. REQUIREMENT' -
,
20.�Rough Factory Fireplace, : lc; ;j i S// ' Dia j APPROVALS Permit# ' j ' ! I
' �' i ' ��/( 1 1 70.` Underground Hydro
21. .Ducts,in Structure
• 0.22. Ducts, Ventilating F. I I %71 I ' - I 71. Product Piping 0 Gas 0 Oil - • •
.23. -Gas:Pipe-Rough& Testszl, i i • , , i72.: Underground Flush: =
24. Roof'Framing- - ,i' j
' !: . : I s- •Is ' ='s ,73. Undergrnd.Storage Tank 0 Gas_D Oil ' '
25. Roof-Sheathing , ., i i'.',,Fi `In _ '' i'n'• 74.%Overhead Hydro - ' - • -
26. T-Bar Ceiling (Structural)& Monocoat'" ; i<: ' '.r; : °' ; 75.; Dry Chemical -
-27. !Frame and Flashing - .1 • � =; ' : ! 76.: Dry Standpipe - ' 1
28. 'Lathing& Siding+ - ',, , ; ! ;I It 1 '77,' FIXED SYSTEM;FINAL. , ' • i
29. •Insulation ' ' s I , I , I I -1` I 78. FIRE PREY. FINAL - i ,
30. D_`rywall Nailing - ! i ;l l 1 i I , , A ' INotes:' • ' , , i
31. Plaster Brown Coat ,; ' _
32. ,Electrical:Power Meter,Final 1 ;' : ! i 1 1' I . . ' -
• 33. Final Eledtric i I • j I '
34. Final Heating&,Air Conditioning ' ; i T
35. Final Gas Pipe:Test -
36. Hood or Canopy ' n • , , •
37. Final Factory Fireplace- -• , 1-77,47 _� i :, _ - ,-
/
_
38. Final Plumbing i ; 1 I ' ' 1< I , • -
39. Water Service-Final - , i , ! - . , _ f
. 40. Gas Service-Final ! ! ,
•
41. Solar Domestic-Final ' � I I A r. , I 1_, ' - . • • - '
42. Backflow Preventer A '. _ - _ -r-_ -_ I _ . '
_ �.-
43. Backflow Irrigation: , 1 �' i? ! � , - ! ,
•
44. Landscape IrrigationsSystem I 'I : i a I " - ,3l_: 1 F ' 1 -
45. Sound,' Attenuation , - I • ! -I _ I`' ! ' + i 1
..., r; j . -I- %, r _i :' • - •
-
•
46. Handicap Regulations I, - I Il jr I , I I , : I I - - - , •
47.-FINALSTRUCTURE & BUILDING 'I '` ' ' 1 ' I , ' I '
48. Special Requirements Completed I ! I • L � �'I I - : ' : '
49. Electric Release,to Edisonl 1 ; ! - i._: .__ _.4.-i__ ' I_ _ _l _ - ...- __ i •
50. Gas Release to Southern California Gas co j , ' • I 1 1 + i
51. CERTIFICATEOF;OCCUPANCY r ;_ !.--I_ _1_____y_ 4.2........ _i _ ;._t.- . '
No " ! • Date ' ; ! .i 1 ._
1-------7r-- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations,- <T:CITY OF COSTA MESA' j PERMIT NO. TRACT NO. LOT NO. BLDG.,NO.
.-CONSTRUCTION PERMIT - , • , 'g�� 7 I '
/ry( APPlicant's Mailing A•. G IL • / r- r TYPE OF CONSTRUCTION' ...KNEW U ADD;.U ALTERATION Li REPAIR - EBAO SILOEI�14 ! �I-e GFI 'j`�
(.3" Project Address M •- AP . ❑ CONVERSION .❑ DEMOLISH ❑ OTHER
i Owner's Name '_ Y RN�" 'Phone - DESCRIPTION OF WORK r` ;
- ZONING REGULATIONS "
Address •
_ - - - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION Q:STRUCTURAL A.P.sik. . ZONE _ ,
•
•% Arch/Eng, - • License No.•• •' •' : ' ❑ TENANT; INKELECTRICAL ❑ PLUMBING ❑•MECHANICAL • • PLNG. REF.Yk .; BUILDING. " -
N Address / qct Ell,OTHER e - ' TO BUILDING -eFTwAC$ rn CT ,
• c�^l' � hr. PROJECT DESCRIPTION SQ, FT- - OCCUPANCY '' PROPERTY LINE '.REAP YARD(TO P/L)
Contractor's Nem• a� -�� ' 'ho e'D�sa7'1a - . - -
� • 1 gr T',(\ i ! CONSTRUCTION TYPE VALUATION$ ' -LEFT SIDE YARD - i RIGHT SIDE YARD '
Address(mailing) - - -
- ZONE ' ' • GRADING CU,YDS. !ACRES • PKG.SPACE'REQ. I PROVIDED '
License No. ___ • - '
LICENSED CONTRACTOR DEC LA-ATION Remarks: _ /� •��/C� - STREET WIDTH Ir ,PARK FEE-$ •• I , •
I hereby affirm that lam licensed under provisions of Charter 9 (commencing . - - ,(,_J
• • ,
with section 7000) of Division 3 of the Business and Professions Code,and - SPECIAL CONDITIONS: ,
MY license Is in fun tom,/a d ffect- cr-_ ' "�
License ss• - License No-320°14 q • ! PLUMBING 1 - I 1' r
Date ' Signature 1 Bar Sink • Sewer Cap • 1 -ELECTRICAL
WORKERS'COMPENSATION DECLARATION - - • - '
Lhereb aftirrn that I have a Certificate Of consent to self,insure carie certificate I Automatic Washer_ - , •Meter Dover 100 amps, . 'i. , .- .
y , Backflow Preventer — - • Sewer Connection: • - - - - p
of Workers' Compensation Insurance,',or a certified.copy thereof (Se tion ; •• - - - , `
3800, Lab. �cpQj //� c' C�--p r '- Badkflow Irrigation - Solar Collectors - Construction Pole Sub Panel S ' — ,
Policy No, rl V' O , company �P r-I�'L r IJ ISI�, _ -.. 1 - ; i
iiertified-copy is hereby furnished. i , ! Bathtubs , • Solar Piping Cooking Unit Sub Pole
.Cert) co Y Is f e with the city B 9 Division. , i I Dishwasher Motors ❑0-1 HP ❑1'h-B '
Date Applicant :����z ..�� •_' ®Clarifiers Solar Tank I i .'�r
EXEMPTIO M WORKERS'COMPENSATION DELL•4C ION , - , _ / Dryers ❑Gass%Electric :Inc.Solar'❑9-15 HP ❑16-15+ J ' . —
Dishwasher ! j Swimming Pool w/Spa '
(This section neetl not be completed If the permit's for,one Bred($100)or -_ _ i
less) j I Fan` Microwave
I certify that In the performance of the w• forwhich this permit's'ssued, I Drinking Fountains . Urinal •s 7-7-
/ . Z ,
shall,not mploy any person in any ma/ so as to be • . u.le t the 'Pole Light `
Workers,�@C�orygansatl Laws of Cantor i at' . Floor Drains• 1. • Water Closet • - .2(}
Date E dy'rr� Signature t ou--- M�
, is - Fixtures Ran e__ 17.
NOTICE:If,aftermaking this declaration,-You Should becom , ject to-the -• -- ' Floor Sinks - - _ - Water Heate[ - .1U " " - /" g
Workers' Compensation' provisions of permit
Code, eeme forthwith 1 • ) Device Boxes
comply '.with- such provisions' .'or this permit ,hall be•seemed revoked. , j Gas Service : 'Outlets •Water Service . , - i Sign '
CONSTRUCTION-LENDING AGENCY j • - �kt1 Outlets �•
I hereby affirm that there Is this' permit
lending agency for 13097 fCiv, C.e: '' . Interceptors i > ' (�'1 ' : - Standing Sections I .'l0 ,
of the war* for,.which- this- permit'Is Issued' (Section 3097 Civ. C) -
Lender's Name - = ` ' - ' :. - - 1 " Switches • , •
Kitchen Sink !r • i [trash Compactor J
'Lender's Address; - ' - " ) Garbage o } t - I
OWNER BUILDER DECLARATION - - • •I :i Lavatories •
( I 9 P sal ' 1 ` ` ' / ^
. I hereby affirm that I am exempt from the,Contractor's"License Law for the - Generator.❑0-5 KW ❑5-15 KW '' '
following reason„(Section 7031,5 Business and Professional Code: Any city or I ; : P-Trap , - , • t ' . 1 •
''county which requires a permit to construct,alter,improve;demolish or repair - Transformer ❑15-50 KW I I ' �••'
any structure,Prior to Its issuance,'xlso requires the-applicant for such permit e . Roof Drains. ) - ! .'• • . : i i U I
to file a signed,statement that he/she Is licensed pursuant to the-provisions of ' - 1 05U+KW -
the Contractors License Law(Chapter 9(commencing'with Section7000)of I •- . - 1 - I { 'Reinspection Fee $15
' Division 3 of the Business-and Professions Code).or that'he/she.,is•exempt -• Showers p • r Reinspection.Fee $15 / - ' -
i therefrom and the;basis for the alleged exemption Any-,violation of'Section ' - - - . / Meter ❑up to 100.amps ' ' , Issue`Fee . i I ' '$.3 ,
.7031.5 by anY applicant for a:permit-subjects the:applicant to a civil ” ' • - y ' �___ - - I
enalty of not more than five hundred dollars($500). -1- r, a Service Sink {q , ' Issue Fee :. $ 3
{ .. 'I - ... . I Zoning Approved BY •f id .I i 'Date ; I
! Torn pens,( will do the worky antl.the structure is not intnded or offered -, I ,, I ._r` MECHANICAL i. tion Approved By I ' 'Date ' i9'
1 • thereon, an who does'su hiwork,himself herself or throughhhie or her own Boder.'., } I 1 Refrigeration System Application , O I " /�7.3
i; is r of the ro ert Or':my employeesawith Wages.as their sole _ t
sale;
44,
s
nd
T
1nCode: s ! n .. 1 Application
License Law does not apply to es owner of a property who builds or im roves t
Issued By ' ' �- 'Date '
empioyees,If, as,and that such Improvements is sol t within
o or offered for , ❑0-100,000 BTU 0100,000BTU sale. If, the howler.the willhave
buildingor improvement of proving is sold within one Build com- ' DUct L'UnderGround I. , i ? " , F
P Y t .'SUMMARY OF FEES
Prove , the owner have the burden of he/she did not build or im- - _ I
J1 I, for
thOurpose of,sale): i i ? i i j : Duct-Structural i System Repair/Alteration I 'BUJ LDING PERMIT •$' I SMTP f $
I, as owntl of the property,am exclusively contractingwith:licensed con- 1 • I - - 1 '
tractors tocaostructthe'project (Section 7044,Business and..Professions,Code: .'. Duct-Ventiiating,__'__y-- __ __ 4 -_ - -- _-a , •PLAN CHECK $; , PERMIT . i
The Contractor's License Law does not apply to an owner of property who � • I : 1 ' ' ISSUANCE ; • ( $ ` '
builds or, ImYoves thereon,and who contracts for such projects with a con- ExhauiLSystem ❑ Multiple❑ 1 { ' PLUMBING $: ! )
tractors) Hose pursuant to the Contractor's License Law). t - - k _ ' I _ k I I i GRADING i $ ' i
' ❑ Ilam exerot under Section t, B,& P.C.for this reason Firepl/Fact.Blt. ICBO# ' ' • ' i ! I .
?LAN CHECK- i $, • 1 i $
Date Owner' ' g y Ducting •ELECTRICAL, $'
i i Heatin S stem& i I - ( i
' :PLAN •CHECK I $! /` , MICROFILM $ "
i-I hereby verity-that-Dhave read this application and state-that-the-above • -- 00-100,000 BTU-0100,0008n- -- - , I
I Informationlag r:
-ct. I agree to gcomplyt with all city and county ordinances- • - I 1 R! I TOTALIFEE' ' $ f !
and state las r: . ing to building c•• Vuc 1.n,and hereb . • e repre- ' - I •MECHANICAL $ ,
, sentatives of - s city to enter ••o, [ .ned groperty,for Hood or Type I ❑ I
• Inspection m••s :...•r- -, Cana Reinspection Fee $15 LESS I
�� - �t�/ p2 PY Type II ❑� 'PLAN CHECK' $' • •t •ADVANCED PC $ I
' Signature e//-�_ - 1
_ Registers , Issue Fee $ 3 - • ' FINAL FEE , $ ' 7
CMF-0865-461v.12/81 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod--Assessor -
1
0-
1,;
0- AND PLANNING : :_ ` r `rf - .• ;,- POOL a SPA . .
m - - ;.Dater Inspector s �� Date: Inspector.`'-
•• APPROVALS .., Permit# - - APPROVALS. ?Permit.,#.
r, �f �reemporary'Electrical SerSice or Bole .7.);.-., 1 5- ' ' ,52 Pool &tEqulpment Location -; +- -4 1 • I -'
V . . 1 , -4.✓ I: Y I .r•_ 'c-- ' r.p 'T. .2:t ,� } ' r. - - ..(. 'r`I i--
n: 4a iSoil Pipe-Undrgrndr v Ii_ :`c^ ._e e >-, 4= ❑- ; , `53: Steel;Reinforcement.,: . •1 •,
.- 3! Electrical Conduit Utility-Undrgrnrl F it.= - r :54Formsa -c e •^` 1•;' '
'*; 4. Electrical Conduit-Undrgrnd-` ._' -1 . ` i ;2. �" ,r. `55 1 Electrical Bonding'• - - 'e,. , :-"^
5: SteeliReinforcement I^ '� " ; --24-; -i,' _ -.2,1 <56. Rough4.Plumbing,& Pressure;Test = .:'• , j '
•6: !Electrical UF ER Grnd ! - 'I -•' n. r <57t APO:
PROVALTCOVER GUNITE: _ ' ' "' -'
1 " i ' l4,, ' - ;or ?58. ; i - d : _ ' '
• �1. FOOttngs ) ) l � O va7 1= r °c ElectrIcalConduitUndrarn_ � � ..„sr..„cei .,
/ 8. Foundation , , I i _Z 3 2 , ' rati F` •o :'`59. GasPipe?O-Undrgrnd - Test . _; i i ' • I`•I :;
' mo
9. Water ri:pe;Uridrgrnd. ,:t: : I ^S... .s'. , -� , 60. Backvdashi'Lines;-P:Trap,;O_Undrg'rnd." - t I I ':; . ! ,I
„,
10. Structural Floor System :c, =o ' -, I +y ' 61. APPROVAL TO-DECK- _
11. e
Pro ert9 Swer Line& House Connection' ,,; =
P Y 1 r: i . 4,62. Backwash &'"Receptor-Finall_'4'- • - ' + - r, `
12. Sewer Cap I , 1 , 1 ! 2 w 4. • '63. Heater & Vent-Final.. • --44.:r -'' rs. i -' i
13. RoofflDrains , I I , ". , o t - ' r i ' ,64. Plumbing-System-=Final - •- " - ;; > 1 --
t 14. Rough Plumbing ! I 0 1 i 1 - - • -65. Electrical Final= - • '•-1 •• :` - - - ' ' I __
4
` {T15-fRough'Electrical=Conduit r I-'' -r j T"; - ---'I�r'-'(- ''66.4 SolailSyste'm-Final i .;-- I - '- . -;
16: Rou hEleciric•Wirin I - t_I ` _ - ---4::-----.. •- -
; i ,� � 9 i _ 9, , � � '� 1 ! �1 hS/�3 �_Ct 11-'67 Fencing &Access Approval - ' - " I 7-5,,:;i--.7..i r
5 1.'17. Rougb'Niruig1Sign? i• n, 1 ' I !! + ` 1 it I` 2 ' 681 APPROVED FOR PLASTERING. I ' r. i
N 18 . 'Rough-Electrical,T,Bar Ceiling! ti ., I _ - ` ! !69.' POOL/SPA SYSTEMS FINAL ; -- ' _ .;;..1 ' i
19. Rough�Heating'&IAir Conditioning 1 ' ; 1 FIRE DEPT.,REOUIREMENT !
0 20. •Rough Factory Fireplace, Y I ! . f APPROVALS. ' Perrmit# + '- I i is -
,J ' fl
21. Ducts,in Structure 4 r• '. i1, ' i i i ' ' ! •70.; Underground Hydro 1' 1
22. 'Ducts, entiatn _ 7 ' t {
, ,c_ IVli9 1-. ! ' 1 t. 1 i ' 1711 Product Piping Gas boil I,
s -23. 'G`as'Piph&e-RougTest I !4, F.- I f t ( r 172! Underground Flush' , ' !
164 4,'24. Roof Framing' • � al ; 11•, (•< 1. heir i I 1 .: X73.1 Undergrnd.Storage Tank 0 Gas, O Oil i 1 !
? a ,- - + t {
1 25.YRoof Sheathing ;'g ' 1 � •I ;it.; l i ^ i . 1;,t 1•' .` ' ! .74; Overhead Hytdro r :• i 4, i1
it' ;1.26. kBar Ceiling (Structural),& Monocoat I', j ; I >1 ' ':- ^1f 7,75.; Dr`y Chemical i I r ' " ' ,' •; i ! -i I -s ; .
.. ,11,27. •Frame and Flashing; -, i iij it , r i ' : 1 , 176.4, Dry Standpipe 1 ;r i - - I I ' 4.5. i
• ,
28. ,'
" Lathing &-Siding a E. i i, +, I ! I'1 177., FIXEDSYSTEM_FINAL .. , '� I
E ,t 29. Insulation =. t • u ' I. 1 i �� ( I ; i 1 i I 178. FIRE PREV,. FINAL •I 4 9; 1 1 ' I ; !
�'r30. Drywall Nailirig ' " i r, 1 . i i 1 t I. Notes I ,. u • i I ,
31. 'Plaster Brown Coat I I ! , 1 1 f_- i I i 1 I , I I . ", i i 1
a 32 Elec1'n cal,Power MeterFinal , ( i7 • ; ! t I -o '-
��/g ��
r33 final Electric i 4, i_ ,• ` t _. _... ' i 1 + ; I I l. ' s 1
I: 34. Final Heating&,Air,Conditioning ,• i-.I II I - 1 ! ! {- ;,
35. Final Gastt tPi,Pe Testi i .r i n •i ri F 1 1 t I . - _I - i i ,• :;i`„ 4- _ ,I _ it I' i1 O1 .
36. Hood r Ca nI -N .1 7-9 1 v ' • r I. I I' - J;; 1 I - t' • • - .e
L I ,,
37. Final Fa&or,y Fireplaces`, ' ';, i o' ii i t i r i L t 1 ; ! 1 4, ",1 , i :a•. ' .. • ` _ IL' ,; ' s' ''- '
38. Final plumbing i 1 i =i 4,1 ! ' ') I t I r , ' • I 1 ' -
h -
39. Water Service-Final I i i ^? � l ' ' 11 ' • -
1
u 11 I 1 I 1 - i ! _ i-: -
40. Gas Sevice-Final i I i •
, ' , 1 i ; l i I I ' i !�. , 'kIlI i
41. Solar Domestic-Final I i I : ii _i__t.-I .1_4,_. 1__ 1_ --`.--r - _I _ ' '1 N .�, ' _ , 1
42. Backflow Preveriteri c. I I 1 ' ' =-4-I--_f_.L -t- • --! ____I-I-- I i I ' i I
rim.' -; I •1 , 1 '� , d .' i; _ •PiJ `. tel 1 , . .y
43. Backflowilrrigattioni r I t i '! '' = 10 ' ? i r, 3. ;1 i I 6 - - - _
It--11' 1'- !I '' w,c t -.1 i I Y ' c. 1 , . -,I i i - ' A
44. Landscape lirigati"on.System ; i - , r 1,-, I . ".= , ! - I -r 5! I . . ., '. . .. -
45. Sound Attenuation - !'' 1! a I i ' 1' 1 , ' ' ' i - °i ' I' , ,r `!Y _
46. HandicapRegulations'I 1 es,-.1 It I I. I _ I .1 • -, -1
ry
47. FINA"L STRUCTURE & BUILDING .i 'r- ' i ! -,' i ' i ' ' '' i ` ':
11 I t t 1 i 1 I z , , . t - . , .
48. Special, Requirernerits Complegtedl i I 1w 1 I 1. I I 1 r 1 ` 4, !i .-I .• a . w
49. Electri1 Release t 1 o Edison!: 1 E •dison! I TJ- 4
_ ,_.t_ i I -..-p- _- . ,-t i
50. Gas Release to Southern California Gas Co } 41 1- i i• j , : ; •11 I -: 4,:,.y i . It ' , i '•
I o , 1.
•
51. CERTIFICATE OF:OCCUPANCY - 4,r.- . _1 __ 1_L_4____L i_ 1_,,,,:•.j::; ' ' ' • .
No r t I I t Date" i II , • i • I d I . . i . I .
,--� _- > -•-moi__,___'••--1J.. �.� _.......JL.3_ .__.. .�_.- - t --. . • _- :..-. - =v-- - .
1