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2385 SANTA ANA AVE - Building Permits
, `($1 MFs9 CITY OF COSTA MESA F; li� CALIFORNIA 92628-1200 P.O.BOX 1200 9i e V .,\iiiIii,f0 DEVELOPMENT SERVICES DEPARTMENT Novembe 4, 1987 To: Building Safety Division Pacific Bell (2) Business License Division Police Department - Ping. & Research Communications Santa Ana Heights Water Ccmpany County Administration Office Sanitary District Engineer County Clerk/Board of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Finance, Revenue Division United States Post Office, Adams Avenue Fire Prevention United States Post Office, Santa Ana Manager, MID Zip 4 - Santa Ana Mesa Consolidated Water District File (2) Newport-Mesa Unified School District (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed: OLD ADDRESS NEW ADDRESS A.P. NO. 2383-A Santa Ana Avenue 2383 Santa Ana Avenue 119-134-15 2383-B Santa Ana Avenue 2385 Santa Ana Avenue For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, J . aL AAES LEE Planning Intern JL:alp cc: Ken Hutchins 340 Costa Mesa St. Costa Mesa, CA 92627 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. � CITY OF COSTA ME.S + ON$T UC�TION PERMIT,` PERMIT TRACT NO. LOT NO. UNIT NO. �[, —� ERMI Off. JCJ 1,07 r UI i_ 1fr • Projdct Address /�_ S_ • App4tant's,liailing Address 3 o l e5-6,. Mesa. TYPE OF CONSTRUCTION IfZ NEW H ADD U ALTERATION H REPAIR r / wn Lt1 _I,L ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 15 Zone y� ,��Osvner's Name ` A .(flL cief?e v r,� �r liq 1 1 , .J '— 1 �- DESCRIPTION OF WORK/USE OF BLDG. 1/42..a S F ft b'^ nit Address 3 (/0 �ST� Mab' �1"`I x'87 A 4. .e_ S Main Building: Accessory Building: Arch/Eng. License No. TVPE`&f PE T U GRADING ❑ FOUNDATION U STRUCTURAL Z• Address - ❑ TENANT CI ELECTRICAL ❑ PLUMBING ❑ T Front 1:::20Q MECHANICAL B Rear 2•g' a N Contractor's Name e9/8 Phone Ell OTHER • // "700 vit (j x4. 4CE A , I PROJECT DESCRIPTION SQ. Fir- 7 Ra; OCCUPA CY le-3 C Right I ./ S • N Address(mailing) CON ST CION TYPE V VALUATION $ 0000 .-.. S Left 5r R City License No. ZONE a. GRADING CU.YDS. ACRES- / LICENSED CONTRACTOR DECLARATION , - - Ping. Ref.# f: I Parking Req./Provided 2/ . E I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: Pc. 1 cc 24,2_ .t 5 P_D ` )i/`,,s Planning Notes: s�sx �,d�y,;I� 1(•G�i,J ,.n. �`�5 Is-u !!!!'r\ � M with section 7000) of Division 3 of the Business and Professions Code, and 1t Y sof Tf i s my license is in full force and effect. ' an 17. 2 1 i — (7l - S License Class 'License No. - �R° L J O Date Signature PLUMBING FEES , WORKERS'COMPENSATION DECLARATION Bar Sink / Showers � I hereby affirm that I have a certificate of consent to self-Insure or a certificate bG ELECTRICAL FEES of Workers' Compensation Insurance, or a certified ropy thereof (Section s--3800, Lab. C.) Backflow Preventer Service Sink - Automatic Washer Transformer ❑ 15-50 KW Policy No. 'Company- . Backflow Irrigation' ' Sewer Cap './, i - - 0 50+ KW Construction Pole Sub: Certified copy Is hereby furn ishetl: - Certified copy is filed with the city Building Division. 2 Bathtubs, - - Sewe4Connection 1 ..l: l. • U" a •Cooking Unit -c , Meter Yup to 100 amps r.. Date - Applicant' ' ` Clarifiers,. y / Solar Collectors _I • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION .-' / Dishwasher - Meter Dover 100 amps les ).(Thissection need not be completed if thd-permit is for one hundred (9100) or ,. , less). Dishwashei Solar Piping _ Dryers Gas DElectric / .},OG / YSub Panel • I certify that in the performance of the W for wh' h this permit is Issued, I C - / 0• shall not employ any person in any m s b object to the - Drinking Fountains Solar Tank q 1 • I!" F.an ' Workers 1 P atidn Laws of Cal' - - Motors❑0.1 HP 0114-8 Date tO / Signature • Floor Drains l Swimming Pool w/Spa - 1' NOTICE: If, to Making this ration, should become subject to the — F.A.U. �Qj�AO�jrYl Inc.Solar ❑9-15 HP ❑16-15+ / '� Workers' Compensation provis ns of the Labor Code, you must forthwith Floor Sinks Urinal L Fixtures • comply with such provisions or this permit shall be deemed revoked. - /3 MiCrowav¢ !),\ �s CONSTRUCTION LENDING AGENCY ••7'1 Gas Service Outlets Z Water Closet ff - I hereby affirm that there is a construction lending agency for the performance L O� Device Boxes Pole Light ' of the work for which this permit is issued (Section 3097 Clv. C.) Lender's Name Interceptors_ , Water Heater 2,.. 0C77fs Outlets Range Lender's Address Kitchen SinkS OWNER BUILDER DECLARATION �--, Water Service �2- Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • / Garbage Disposal 2-44.following reason (Section 7031.5 Business and Professional Code: Any city or 9Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0.5 KW❑5.15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . ' the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code),pr that he/she is exempt therefrom and the basis for the alleged exemptio,R. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil pe,naa�lty of not more than five hundred dollars($500). LII, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered , for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I Reinspection Fee $15 Issue Fee $ 3 FEE$- 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 - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of tom- Canopy Type II ElZoning Approved By ''Ot_ c].�I s Date �-21�Qi-1 Mellon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - v prove for the purpose of sale). Building Approved B)( • ,� Date —7.."4-437�I as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System ._- Application Issued By _S 4 s .•� _ Date 22,277 rectors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF /EES builds or improves thereon, and who contracts for such projects with a con- . tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ 373' W SMIP $ cr.6o _ proof of their Worker's Compensation insurance shou d be provided to me. _ PLAN CHECK $ •� PERMIT \ 0 I am exempt under Section 8 P -f,1 t is reason y Firepl/Fact.Bit. ICBG# �` Fire Dampers b4- //// PLUMBING $ 17,00 ISSUANCE $ Date _ Ownerlir re- f Heatfg System& Ducting Registers [�O� • PLAN CHECK 25% $ 3•. ERGV P.C. $ I hereb certi that I have r:.d his atl. . tl state that the above ✓®'4-100,000 BTU ❑100,000 BTU— [ n� information is correct. 1 agre- • comply with all city and county ordinances _ ELECTRICAL K RADING $ I/ and state laws rely ,g . s ii• ng c-n uction,and hereby authorize repre- - MICROFILM $ sentatives of chi,, . • er a above-mentioned property for PLAN CHECK 50%, 1 • 0 777 inspection Pur... , i•^Z� �.7 - - i l , �U� ,(.{7 i Signature ��1.1 .d%� Date 1. / • MECHANICAL $ /1 �' TOTAL FEE $ / T Drivers' . ense - - ' _ ! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ as-00 CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor . w MI ' ~ POOL& SPA I, CONSTRUCTION AND PLANNING APP}?AVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' i• 2. Soil Pipe-Undrgrnd. 4✓23/6? LF4 53.4Steel Reinforcement !9>/�,�'7 ' 3. Electrical Conduit Utility-Undrgrnd. ` ' . Forms ‘ 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •• 5.•Steel Reinforcement 56. Rough Plumbing & Pressure Test l' .6.U LIFER Grnd. g/u57. APPROVAL TO COVER-GUNITE .7..Footings 6/u1:' G r/ 58. Electrical Conduit-Undrgrnd. '.8. Foundation: a-30_ ../ &44 ilt 6/�6/r 6,.J 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe,Undrgrnd. (I /7 ca 60. Backwash Lines, P-Trap, 0 Undrgrnd. .10.•Structural Floor S•ystem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 1.& Roof Drains 64. Plumbing System - Final 141/Gough Plumbing -1-1.? 65. Electrical-Final 15. Rough Electrical-Conduit / / 467. 66. Solar System-Final 16.E Rough Electric Wiring f � Fencing & Access Approval /j 6 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . POOL/SPA SYSTEMS FINAL 19.' Rough Heating & Air Conditioning 94970 S471•' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace j07 /�Qy�` 1. APPROVALS Permit# _ 21. Ducts, in Structure - / /,/(" 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 3c- -Si 0-k 72. Underground.Flush , 24. Roof Framing / 73. Undergrnd.Storage Tank 0 Gas 0 Oil • r 25. Roof Sheathing p dlw Gov 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing p/s/ &" 76. Dry Standpipe 28. Lathing & Siding gi/Oin &N 77. FIXED SYSTEM FINAL 29. Insulation 845.41 G/./ 78. FIRE PREV. FINAL 30. Drywall Nailing - - •- 4 o/f 6-it' HEALTH DEPT. REQUIREMENT 31, Plaster. Brown Coat- • 1iya�l� ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final t I (6/'618'S ► .. 80. FOOD CERTIFICATE ISSUED 33. Final Electric //611P7 Notes: w 1 ..*. or Ts... ‘_._it-1). j\ G r34. Final Heating& Air Conditioning 7/S p S "Aoki 0A. .m' ✓zit P 4(r• 6- -,_ 35. Final Gas Pipe-Test ////ftk7 la 36. Hood or Canopy // -- // ''/ 37. Final Factory Fireplace /thanG'r St. - • 38. Final Plumbing - . ,.- ///.1. 95 it 39. Water Service-Final /JIM %t�. . • 40. Gas Service-Final • �/[ ., 41. Solar" Domestic-Final 42. Backflow Preventer . . 43. Backflow Irrigation - ti�/, '• 44. Landscape Irrigation System. • 45. Sound Attenuation 46. Handicap Regulations J 47. FINAL STRUCTURE & BUILDING 413b7 _ 48. Special Requirements Completed f tt 49. Electric Release to Edison: . . 50. Gas Releese to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY •� i ' No. Date A r t gCITq OF COSTA ME ST U TION PERMIT PERMITvN�O. p TRACT NO. LOT NO. UNIT NO. • ' f ProjectAddress > x,. la- 17...�0S' 3co f k'-t f I i _ c.i'cL/ - . g ,�1-1.0 ii ...,<,+„ S mesa.. TYPE OF CONSTRUCTION tA NEW U ADD LI ALTERATION U REPAIR Applicant's Mallin Address CONVERSION ❑ DEMOLISH ❑ OTHER � ,_rel-bhA.P. — B Zone ' Owner's Name + C+s--^—x-- gfe ~q DESCRIPTION OF WORK/USE OF BLDG. - • — \� Address 3 q 8 �TA Mtn. Sr- ‘e7.-4!r `g-4 889 i . ,_ _ - `— ' t ain Building: Accessory Building: Arch/Eng. ' License No. TYPE : PER T S GRADING i FOUNDATION Mr •UCTURAL T Fn s). 2Q � 0 Address CI TENANT '❑ ELECTRICAL-0 PLUMBING\❑v _ HANI - B Rear r a, 7" • N Contractor's Nan, ©� Phone ❑ OTHER �� /lam\ /.4 J I 7' ;1 ar- A I� - - 1 Address(mailing) PROJECT DESCRIPTION SQ F ._ '�� •,. ' �� ht C 5 • N CONSTR CTON TYPE/ / � I V • ���I J City License No. /. • R ZONE ��� J iG RADING CU.VDS LICENSED CONTRACTOR DECLARATION �� - r i/ Parking Req./Provided 2. a. E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �j K /��,� I I - / a with section.7000) of Division 3 of the Business and Professions Code,and 1 G. , VF -!i'iL' 'T , `o[es: soh( �l'^• 13 rCS,dpv�,-i Cq..S-�u T•n `vsnW M my license is In full force and effect. _ • ¶c IL xl x1I - (y^7 J I T f�R1` L J (l ( $ License Class License No. PLUMBING . I FEES - Date Signature WORKERS'COMPENSATION DECLARATION Bar Sink • / Showers treby affirm that I have a certificate of consent to self-insure or a certificate caG ELECTRICAL FEES Workers' COmpensalion Insurance,.or a certified copy.thereof (Section:.. Backflow Prv nt r . Service Sink ' 0 .. ' ,_ qo, Lab. C.1 . Autoatic Washer asformer 15-50 KW Policy No. - ''Company. '' Sackflow Irrigation Sewer Cap - 0 50+KW - r Construction Pole Suh. Certified copy Is hereby furnished: w • Certified copy is filed with the city Bulltling Division. ' ! Z Bathtubs S Sewer Connection �,1 , J Cooking Unit Meter :up to 100 amps rMDate Applicant' '-" - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors / Dishwasher • Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or' � - '-- - - --- ' less). Dishwasher Solar Piping II_ 9m Dryers (IIGas ❑Electric ' Sub Panel , I certify that rf the performance of the i for wh' h this the is issuedI shall not employ any person in any m r -"i,"• "s • b" object to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'h-8 Worker mp aUon Laws of Car.„-a, • Date (0 / _Signature n� - . - . a Floor Drains Swimming Pool vv/Spa F,A.U. /- n - / NOTIC :If, ta4 er making this .- .ration, should become subject to the lP�j��Bra Inc:Solar 09-15 HP 016-15+ a 41. Workers' Compensation provis •ns of the Labor Code, you must-forthwith : Floor Sinks: "- - Urinal " - - .. " comply with such provisions or this permit shall be deemed revoked. �•a . Microwave -" -' - '- " • CONSTRUCTION LENDING.AGENCY a 'L Gas Servide. ` Outlets],� Water Closet - �GC Device Boxes Pole Light I hereby affirm that there is a construction lending agency los the performance of the work for which this permit Is issued (Section 3097 Clv.l C.) " Interceptors Water Heater ..pTz& Outlets . Ran e S Lender's Name - 9 .> — Lender's Address • : Kitchen Sink . IIIWaterService - ' Er _ /Z• Switches Sign ' OWNER BUILDER DECLARATION. g 7-Ye' I hereby affirm that I am exempt from the Contractor's License Law for the' Lavatories ■ Auto-Wash' - ' Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections / vQ county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trazh Com actor oy lstructure,siprior to its that he/, also requires the to applicant for such of • . P to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law (Chapter 9(commencing with Section 7000)of iir 1,r inion 3 of the Business and Professions Code) or that he/she Is exempt ' �..rerrom and-the basis for the alleged exemption. Any violation of Section - • • ' '- 31.5 by any applicant for n permit subjects the applicant' to a civil ti of not mora than five hundred dollars($500)- as owner of the property or my employees with wages as their sole . Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered — - • Reinspection Feb I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 DEVELOPMENT SERVICES REQUIREMENTS: .1 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved ByVOL_ c/����5 �-27- sale, If, however,the building or improvement is sold within one year of com- Canopy Type II 0 pP y ' Date �� pletion, the owner will have the burden of proving he/she did not build or im• Duct-Under Ground Building Approved B Data ^'.U��Q''f prove for the purpose of sale). ti ,y,(t/, r' • Iy�+�I as owner of the property,am exclusively contracting with licensed con• Duct-Structural Refrigeration System "- Application Issued By a ! ' a•••� Date CO 2. - tfactors to construct the project (Section 7044, Business and Professions Code: �' 'pL''�{,��J+� - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such protects with a con- /' tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ 373- 57 SMIP $ _LE 6c Exhaust System 0 Multiple 0 System Repair/Alteration proof of their Worker's Compensation insurance show d be .f di provided to me. PLAN CHECK $ - PERMIT 0 I am exempt am pt�un er Section •.& P .t;1 t is reason • Firepl/Fact.Bit. ICBO# - /{'. Fire Dampers a Q PLUMBING $ j 7•d J ISSUANCE $ ' Date C _, /" , Owner/ / ./ . . Heatir ring System& Ducting Registers �J� ! PLAN CHECK 25% $ 3. ' ENERGY P.C. $ er I hereb a cerci that I have r:.—s er 'state that the above 100,0008TU 0100,000 BT ELECTRICAL �.$ �V' GRADING $ information is correct. I ogre" • comply with all city and county ordinances [.IGS and state laws rela ''g ii• ng c•n action, and hereby authorize repre• PLAN CHECK 50% n•- d MICROFILM $ sentatives of thi q , 6 er • - eabove-mentioned property for inspection pu - / ,' 64.1 Date C-L/_&, MECHANICAL $ 7 • TOTAL FEE $ yL3 'w _ C/ Signature /� -Applicant; Pink -Accounting; Goldenrod -Assessor J ' \ I / ..... �. fie" i At:. rj2.:' ; t.tj�ta.;��ta:`.�P. - - .. , ��. \I. CERTIFICATE OF.,COMPLIANCE • PAYMENT OF 'SCHOOL, FACILITY FEES '" NEWPORT-MESA UNIFIED SCHOOL DISTRICT ki 14 -c------- } � Developer/Applicant : -- , �E � I (v� - _ ��// /� �yy�,, c' 4'7111/2v- r iii 4 �.. Address :. ��Y' o l�L)�.-•�-r� ��l�A'�_• Telephone Number : �� L - Y ��1 Tract/Parce.l and Lot Number-'(s ) : • f �� / ( 3 o _ j Location of Project : j3 ) � L '6. - - @f1 ' '•_ I \ • Number of Square Feet of i . Rjeslynt,`altiSpay-e� ii - x $1 :50 t 11 Total 13/O � 1 Numb-err of Square Feet rof • C � `-" +-1�``� / ` • '• � ' � `Commerciai and' I:ndustri•al Space-k . - - • x' $Os25`,�; rS , Total " �� `'�' C. 4‘ \The- pr\ov;\i'o s`of Government "Code 'Secitton 53080 are not i appliaa•ble'. This ce`rf+ifies if hat`•t•he .above-named Dev`l•op.er/Applicant has pa`d •P school ,fa, fees in compliancec,wftH Government Code Sections 530801 and�65'995 . '` �1 "` �' :Th,, t-, r y Lam( 1 .. d Checks "aie to be made payable to NewpOrt-Mesa•iUnified School , y ,ti , - District ,.'\.-- _,-• - , y Businesi6 Manager Newport-Mesa Unified School District , The above representation as to square footage is true . Developer/Applicant agrees that if it is later determined that y such representations are not true then this certificate shall 1 automatically terminate and the appropriate City/County shall be ' t notified . . .iii Date :\ (-J f /Deve.l.o.pe'r%>Applicant r (CXJ;.\ 1 +_ + �,t 7.Y•21.1-.."1 ty 1 ea '/ r ‘• t _.•/'c.r^r?i z , T,•10.4-.C -.n'..3•+..rt_.:tir7_.r - SOLD / ��t!`f POZZI WINDOW COMPANY fTO ' `' tenII lulu, 5 !"�-it -�, A Subsidiary of Band Millwork Company r , 3� 23`3 S�9 N- 1 0 r 1 5 FACTORY OUTLET 3 Airti �� ti'I\ S�p,5�-" �jI 1295 Anaheim, Calif.od Circle `- wri Anaheim,Ca92801 1 • ;{6iyWOOD POR y Phone (714)821-7330 4 C57-4 )71f_Sf Cc" CI C-LA 7 ' rk*t �q A ' S'' 't 3' " p Ei' `Jyel••' SALESMAN F.O.B. TERMS SALES UA'1"E INVOICE NO. �.r.�. R-ai.'.ac ice.- _`.,.r.. rZ,..ev.. - h...,,t'N�t�S '7 . ALL SALES ARE FINAL I 1 PLANT CASH (7-- aJ-U/ 2205 • QTY. "' TAG NO. DESCRIPTION"' """' " ' '' i UNIT PRICE AMOUNT ,:. Vc75. / 7 '7 W0 , Dec Doo, T4,p.• )o:Zr),A- fivr•st LL u 4/ - GU ;?LL.I : 7_'. f_ 5. _B zr. c Lcd a el - — 0 K 7--amVN1L„�,__ °RD 0 ` , cw p" r' oc 4. irk o_±_i i a s o • I 3'5 e�. ..1_ h35 5- _- 0 3. -3 t-4 . 55 ynr i 8:: (_-' 37.0 -. _ .- X.C_.S5 _5 -a ._ ' -zi•-• . c, ,.. s. 1FR1)6"c4 \W 3 -z_ S _- • ;C-) „_ ';(4s 33 7a_H.i-c_ loo_i- --\J' - ___!,/ I - -P4'2 /7 J `l500 12: ` ''3 =_t` _ 3c, ao l_ / 5^ _u. — — " — --`era cam�. _____: .1 ": '- IQiI,'.1Avl4,• 04 . �/vUU1 y"y�- vox y • •Stiu° °i i I HEREBY • N'" Ea E Til•jj / 'OVE ITEMS WEtlf/ CASH CH�.E./CK CHECK .. SUB-TOTAL: (g(�1 PICKED /� EI/ -• .g-,}, / •f.. / � ❑ 9 q0 NO. — — p.'- 11r ; \ /., E 111�" APPROVAL ^ 'r"' ND�ov VOA I �j vo.A/M-C I • SALES TAX L� yz Lam'/ .._ No. n. r•.: ry•irSARE FINAL ! r jv,• ;" xy .,:'' fir 3' l to E NGES OR REFUNDS. Thank YOU 'r , i_,A�„ x i • ORIGINAL—CUSTOMER'S COPY :�•It" -------- - NOV November 11 , 1987 City of Costa Mesa Building Department Costa Mesa CA 92627 This letter is to certify that the drainage at 2385 Santa Ana Avenue exceeds 1% and drains away from the house directed by a swale to the street in accordance with the plans developed by R. Hamers , Civil Engineer, dated 8-17-87. Ke''ut • s Owner-Builder City of Costa Mesa INSULATION CERTIFICATION . Building Safety Division , ,2313 4 tf—' • Number and Street City '�h �Cou feud 2- A /07 / 2*e%13o Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) CEILING f� R Batt or Blanket Type '` '✓( Brand Name Thickness (inches) tO Thermal Resistance (R Value) Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag lb. Area Covered (ft2) Thermal Resistance (R Value) FLOOR, ELEVATED #142,71M �/ YL{/GC, Material Brand Name Thickness (inches) Thermal Resistance (R Value) ///� -(7 FLOOR,SLAB /� Material Brand Name nie/LkL1/"� Thickness (inches) Thermal Resistance (R Value) 2/7 Width (inches) FOUNDATION WAL Material / Brand Name ' Thickness (inches) H Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the Califor a Adminis •.tive Code). eenneerrallCCCo_ � Contractor(Buillderr)y�/J/// License Number etit Signature and Title Date 6Contractor, nsulation Applicator) License Number er , , a / ig .t e and ale Date CMF 1106-46 • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - I, CITY OF COSTA MESA CONSTRUCTION PERMIT 94• R ^ T,��p 7 TRACT NO. j LOT NO. UNIT NO. I26 8/13/86 5.00 Tl° 7 Nor�! "'� ' Project Address -� a.., n '238-8—sen s.tr-ruse—.Nvenua - - TYPE OF CONSTRUCTION ❑ LI ADD U ALTERATION EW LI REPAIR • Applicant's Mailing Address N , 022 N. Hesperia!' Way ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Jack A.P.# Zone - 3elf x•.4'pE' cD t '��- hrDESCRIPTION OF WORK/USE OF BLDG. Address _23"88 v r•a-tYt-3—Ana Avenue S Main Building: Accessory Building: LJ Arch/Eng. License No. TYPE OF PERMIT LJ GRADING LI FOUNDATION ❑ STRUCTURAL E Front o ❑ TENANT ❑ ELECTRICAL ®PLUMBING ❑ MECHANICAL B N Address Rear Contractor's Namea L IUIE-RICAN PLUMBITo'81e 591-9752 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right ' N Address(mailing) 1 �1cnK G 3022 N. Hesperiail Way rri o • CONSTRUCTION TYPE VALUATION$ 5 Left R City License No. unto 29919 ZONE GRADING CU.YDS. ACRES - - LICENSED CONT TOR DECLARATION - Ping. Ref.# A Lyas m R ovidad E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •7'I. C•ls'h// /. . /J��d Lj��r� Planning Notes: RECEIVED P1��V Ik � M with section 7000) of Division 3 of the Business and Prof sions Code,and I/(/ J/77 &i IC l! .�� my license is in full force and effec 6�— RECFIyaD T License Class 4_ L'a•ns. a a �. 1983JUL 2 9 S 1� Date7/15/ : .. STAr if , / 1A - PLUMBING FEES F......, 'YORKERS'OPE 'iShowers LARATION Bar Sink O. 9ereby affirm that I have a cer rate of consent to self-insure or a certificateELECTRICAL FEES , ,f Workers' Compensation Insurance, or a certified Copy thereof (Section _ - - 3800, Lab. C.) Backflow Preventer Service Sink • Automatic Washer Transformer 0 15-50 KW •� Policy No. E.& Q 529 Company Backflow Irrigation a- - + KW . fi"""Ti-3 3 e n� h 9 Sewer Cap Construction Pole Sub. 50 I _ Certifie copy¢ ere y rurnis d. _ Certified copy is filed with the city g.�� i '.io `�_ Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date7/15/g6 APplic.• EXEMPTION FROM WORKERS'C• PENSATION DECLARATION - Clarifiers _ Solar Collectors Dishwasher - • - Meter Dover 100 amps - (This section need not be complete• ' the permit is for one hundred ($100) or . less). , Dishwasher • Solar Piping Dryers ❑Gas ❑Electric Sub Panel Ice ._.. -_-'._.''. , ., not employ any person in any ner so as to Vie• t subject to Drinking Fountains Solar Tank Fan .i workers' Compensation Laws of Cal" o� Iw�� — Motors 00-1 HP 01%-8 • Date _ .. Signature fl' u�t . Floor Drains SwimmingPool tad/Spa t' --_:nal.". -.. a. • hould become subject to'th�� p F.A.U. Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions 9/ he La•Or cane, yornar1,, ,41118 Floor Sinks Urinal comply with such provisions or.s6iis permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY 'Gas Service Outlets Water ClosetDevice Boxes I hereby affirm that there Is a construction lending agency for the performance - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater / Outlets Lender's Name - Range Lender's Address • , Kitchen Sink Water Service , Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - following reason (Section 7031.5 Business and Professional Code; Any city or Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair. P-Trap Laundr Trays any structure, prior to its issuance, also requires the applicant for such permit • y Y - Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains '-e Contractor's License Law (Chapter 9(commencing with Section 7000) of i . risien 3 of the Business and Professions Code) or that he/she is exempt • •refrom and the basis for the alleged exemption. Any violation of Section /'' 031.5 by any applicant for a permit subject& the applicant to a civil .:, _ee naity of not more than five hundred dollars($500). • LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • Issue Fee $ 3 w compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL . Reinspection Fee $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or improves • FEES s i thereon, and who does such work himself/herself or through his or her own • •• DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 �!, Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of Com- Canopy Type II 0 pietion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground - %Building Approved By Date prove for the purpose of sale). -- ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural . Refrigeration System • 4 `Application Issued By Date t""i3 K to tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑400,000 BTU • builds or improves thereon, and'who contracts for such projects with a con- / SUMMARY •OF FEES tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration 7 ' BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers OUISSUANCE $ Date • Owner Heating System& Ducting Registers - - .. PLUMBING $ _ '", PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that 1 have read this application and state that the above 00100,000 BTU 0100,000 BTL GRADING $ information is correct. agree to col ply with all city and county ordinances - • ELECTRICAL $ and state laws relating to be ter• ••nstruction, and hereby authorize repre- el/ PLAN CHECK 150% $ MICROFILM $ sentatives this city to a ter loon the above-mentioned ro rty f inspectio s - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865.46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor . r"CONSTRUCTION AND PLANNING , PO( SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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 Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 197 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil X26. Roof Sheathing • i • 74. Overhead Hydro' 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:/_i)(_Fri:ate/f / 1m' 34. Final Heating & Air Conditioning �`atotDr 3 -o' ////P./ _/ a-- 35. 35. Final Gas Pipe-Test ^,{ yr �J n�.r 36. Hood or Canopy (/ 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 'V.' r, 40. Gas Service-Final fir 41. Solar Domestic-Final in 17 42. Backf low Preventer 43. Backflow Irrigation it+ • , '44. Landscape Irrigation System v 45. Sound Attenuation '46. Handicap Regulations mt 1-,1 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. , . Date CITY C ;Sr(\VESA PA,- FEE 0112 6/2r/27 ;.161076 Ti Fee Payment Receipt 001076 • Project Address 2' e 5) c t+A tet, A.P. Number \\C‘ — ‘. 4 — \ 5 Building Permit Number 0- )...0 'B 'B A. be Owner's Name {<QJ 111 M s Dna1 d / Mailing Address 3% c.,4-... Meta S+. C,,s-k Mesa 1 4t. 1621 FEE: Single Family * Number of Units 2-Bedrooms or Less I @ $ 861.76 = 0C� t 1 q,� '-1( U 5 3-Bedrooms 1 @ 1205.67 = t3QC.Cl • — 4-Bedrooms @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family ** ' Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = 2-Bedroom @ 881.51 = 3-Bedrooms+ @ 1,229.38 = Qq/� Total Fee ""' O.0 .:76.vs I 32,.4 • ! .. Planning D's ment Appy .. s .t= / P By�l \y �1' Applicant's Signature I ' * City Ordinance 72-44 - C • • .'y. City Resolution 78-116 VV^ ��._,!?�11�� / CMF 0174-30,rev.7/85 white-- .nning;Canary—Planning;Pink—Finance;Goldenrod—Applicant IIf��IJI�Jk