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Home My WebLink About1948 SUNDANCE LN - Building Permits ST �o114., CITY OF COSTA MESA p k CALIFORNIA 92626 P.O. BOX 1200 3 te ii k s° gr J O' 'y�. .11.rI' .3 FROM THE OFFICE OF THE DEVELOPMENT EVEDIVISION LOP EERVICES DEPARTMENT/ October 28, 1985 • Tb: Building Safety Division I/ Pacific Bell (2) Business License Division Police Department - Ping. S Research Communications Santa Ana Heights Water Company 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 hater District File (2) Newport-Mesa Unified School District (2) The City of Costa Mesa wishes to advise you that in revising street addresses, the following addresses have been changed: OLD ADDRESS NEW ADDRESS A.P. NO. None 1930 Sundance Lane 115-502-29 1931 Sundance Lane 1932 Sundance Lane, 1933 Sundance Lane 1935 Sundance Lane 1937 Sundance Lane, 1939 Sundance Lane. 1941 Sundance Lane 1943 Sundance Lane. 1945 Sundance Lane 1946 Sundance Lane 1947 Sundance Lane 1948 Sundance Lane 1949 Sundance Lane 1950 Sundance Lane. 1951 Sundance Lane 77 FAIR DRIVE (714) 754-5245 arasio I91 —r G - 1C49 1 I9 0 r A 1947 1940 I 1945 H94 1G332 Vc . Apissit ��- ... , it 1943 1941 (439 1937 1935 Q 1933 1931 it' 1"w F- c7$afl*- SUNLia• -� 11.1ehNIE", . 4 lP-4 NCE or-Kra ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. �_ IX "GI'fv OF COSTA/MEES�A/yCOONST/R UCTIO PERMIT} PER T NO. TRACT NO. 1/� LOT NO. UNIT NO. ' -t • Project Address (try,. �- NT ZAAI��1{/�V^ , �� ' / � 7 � ! 7052 • I /09/86 !7,7.:' -_ ' Applicant's Mailing Add eT ss 51"70 1 �+20,/e TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION LI REPAIR ��,�y,I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER {�,{J _ t- • I Owner's Name...f��r >'�'�ifF(rv�•�'r� Phone�^��'�1L� DESCRIPTION OF WORK/USE OF BLDG. - T t— SP Mai�Building:SO2 — a9 Accessory Building:� Zone� J Address E Z Arch/Eng.f 1 � t'�S-16+ u?t'( License No. TYPE OF PERMIT GRADING ❑ FOUNDATION STRUCTURAL T Front / �Q O 1 'll �. J Tl ,�/ ' Address v�-+ --11YF� ❑ TEN TENANT ELECTRICAL LUM GING EC. BA Rear !3 y • N ❑ OTHER Contractor's Nam• 2 yyy 4. - -pone40.71—HO - JL! 2 3 C Right •3 - N Address(mailing) / Q Z"-Z '/ 570319 ( CO PROJECTSRUN DESCRIPTION SQ. FT., r/"f ItOs......, TIONS JW_o_ 6 �7 CONST RUCTION TYPE �/ VALUATION$.__ $ Left 4�/4OgE0 G City License No. ZONE__ GRADING CU.YDS. ACRES R j.ICENSED CONTRACTOR DECLARATION do .p �] ^ Ping. Ref.# P� �•-7D Parking Req./Provided E I hereby affirm that I am licensed ander provisions of Charter 9 (commencing Remarks: / ' T �l s- L., �y� f Planning Notes: Q with section 7000) of Division 3 of the Business d Professions Code, and l • ! //T' ,/ M my license is in full rce)nd effect, D/ C. r /D/ _cS_ ` / T Licen Class I �i p II Date" Signatur PLUMBING -._--_ -- - '(z_� y� .�•q vN WORKERS'COMPENSATION DE A ATION I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insuranc or a certifie o y tl f (Section Policy Lab. l Q'S'�` Backflow I Preventer r Service Sink Automatic Washer Transformer 0 15-50 KW / Policy N /UB69=t/ / Company '� Backflow Irrigation Sewer Ca 0 50+KW P Construction Pole Sub. ified copy is hereby furnished. J Certjfie 0 yya�filed with the city B i vis' �s /t �7 Bathtubs / Sewer Connection U / Cooking Unit ,/ Meter/up to 100 amps Date/ O C7 Applicant S• / — to 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 2- Dryers/Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I - e shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. • Date Signature Floor Drains • Swimming Pool w/Spa / F.A.U. - Inc.Solar ❑9-15 HP 016-15+ 'NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or. this permit shall be deemed revoked. q /Li Fixtures Microwave 3 ZO CONSTRUCTION LENDING AGENCY / Gas Service 3 Outlets 3 Water Closet 6 // Device Boxes POIe Li ht . I hereby affirm that there is a construction lending agency for the performance 9 of the work for ich�this pErpAtO i�zz�etl (Section 3097 Civ. C.) Interceptors / Water Heater Outlets Range2.0 Lender's Name (�J >,E 2(J Lender's Address ✓ ^ - / Kitchen Sink / Water Service. . - 2- 1 Switches Sign 3 2c) OWNER BUILDER DECLARATION I p p I hereby affirm that I am exempt from the Contractor's License Law for the �S Lavatories 1 Auto-Wash Garbe a Dis Oral following reason (Section 7031.5 Business and Professional Code: Any city or f 9- P ;Standing Sections ` county which requires-a'permit to construct,alter,improve,demolish or repair • P-Trap structure, prior to its Issuance, also requires the applicant for such permit p Laundry Trays Generator 00-5 KW❑5.15 KW 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) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil flenalty of not more than five hundred dollars($500). I, 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 • Reinspection Fee $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 SE VICE REQUIREMENTS: employees, provided that such improvements are not intended or offered for • Boiler Hood or Type I ❑ , ZoningApproved By // ��// sale. I1, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pP nA`� Date!— 9--gP prove f the owner se o have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By--��•� Date I I(o 1 prove forthe purpo sell sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - .Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply t0 an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU SU,(JIIyLA�V OF FEES - builds or improves thereon, and who contracts for such projects with a con- - • s�'`f �� •� 91i tractor(s) license pursuant to the Contractor's License Law). I am aware that, Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ [ SMIP $proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK 5- PERMIT ❑-I am exempt under Section _ - B.& P.C.for this reason , I Fire Dampers PLUMBING $ — ISSUANCE . $ Date Owner - / Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I h.ve read this application and state that the above /.0-100,000 BTU 0100,000BTU • ELECTRICAL $ GU GRADING $ information is correct. e 0 c• with all city and county ordinances _ - and state laws relali•• . :amu• - ztruction and hereby authorize repre- sentatives •of this 'Tr upon,the above-mentioned property for - -. inspection our.�� p' p'6 MECHANICAL $ •� TOTAL FEE $ .-- ---- Signet ure J Date// "a • Z �. Drivers''License or SS �� CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 11 4/7q•3 _.-..- • i CONSTRUCTION,AND PLANNING POOL &SPA 7 Date Inspector Date Inspector APPROVALS Permit# APPROVALS .Permit# • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. `//j/z` ' 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. s+,47 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 1/73 X 57. APPROVAL TO COVER-GUNITE 7. Footings /414 "�c 58. Electrical Conduit-Undrgrnd. 8. Foundation SI� 1'00/ge. DC 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd: . 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK4 - . 11. Property Sewer Line & House Connection 0/86 mei 62. Backwash & Receptor-Final . 12. Sewer Cap �L L 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final '' • 14. Rough Plumbing CAVA t CarO 65. Electrical-Final +• • _ 15. Rough Electrical-Conduit 66. Solar System-Final y 16. Rough Electric Wiring 4, - is i. 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED/FOR PLASTERING • 18. Rough.Electrical-T Bar Ceiling Q. , ,,i 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 0 20. Rough Factory Fireplace APPROVALS Permit# ote 21. Ducts, in Structure 70. Underground Hydro 1.7" 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil i r • 23. Gas Pipe-Rough&Test 72. Underground Flush •' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing / j1, 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 n� 80. FOOD CERTIFICATE ISSUED 33. Final Electric Id ,'rj Notes: 50,19 `1St' ac Eel Js' I 34. Fina Heating & Air Conditioning q_zq_84 GOD 1 35. Final/Gas Pipe-Test q_fy-y'6t P'L-'' �: 36. Hood or Canopy r• 37.'Final Factory Fireplace 4-1R-hC' La . .- 38.•Final Plumbing s(_zq-dZ LEO ' - ' I, • )':A 39. Water Service-Final 4.t44( £.k0 - •• - , 40. Gas Service-Final I , 41. Solar Domestic-Final ' .52. Backflow Preventer • - - . t '43. Backflow Irrigation • ' . 44. .Landscape Irrigation System ,' %, 45. Sound Attenuation di ' - l" 46. Handicap Regulationsr� 1� ' ,.` r 47. FINAL STRUCTURE& BUILDING ►t i '� .� I 1 - 48. Special Requirements Completed - - .• 49. Electric Release to Edison • ,j ' 50. Gas Release to Southern California Gas Co . i ' 11 51. CERTIFICATE OF OCCUPANCY - 1 No. Date - ` t l 7.7.0111 . :3: Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. : �. `•I .'„¢ _ - _ CITY OF COSTA MESA �QNSTR UCTION PERMIT RMIT NO. TRACT NO. LOT NO. UNIT NU. - • Project Address /941 5Su.004xiOC�1 44405:....�.�I•. ''i2 z 3// r 1 Applicant's Mailing Address Z3855/ U /p�it,4i I&1(ia'R.Ir TYPE OF CONSTRUCTION LI NEW L I ADD U ALTERATION Li REPAIR - , CA"cas G/ti44,ACA26 (°3t3c�50 El CONVERSION ❑ DEMOLISH 0 OTHER A.P.# — [Zone Oddness NameNQ hone ,DESCRIPTION OF WORK/USE OF BLDG. Address '400v•1e syy� S Main Building: Accessory Building: Arch/Eng. IC _____ e c No. TYPE OF PERMIT LJ GRADING H FOUNDATION LI STRUCTURAL E Front Z seO Address �QsC ^ al E-31-5/241 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • B Rear - N Contractor's Narr»e A' 1S-ta_. \A I•�ghone ❑'OTHER A , 1 // , PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) y'�Za J V la PA e alC.F1A-A, g CONSTRUCTION TYPE VALUATION $ S Left G City License No. .24,441/ ? ZONE GRADING CU.YDS. ACRES ping. Ref. # Parking Req./Provided E •LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under_p.. islons of C . ter 9 (commencing Remarks: • Planning Notes: O with section 7000) of Division 3 of tie Business and Pr. essions Code, and - M license is in full force an• ewe -_ C/ S cense CI _ Li / J Date_S///sus SignatureIV . / PLUMBING FEES WOR by affi COMPENSATION DELLA- Bar Sink Showers I hereby affirm that I have Insurance, / to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, ert ' copy thereof (Section Backflow Preventer Service Sink 1 3800, Ldb. CJ�i�7O7S. ,,�- /° _ Automatic Washer Transformer 0 15-50 KW Policy No. zYL / mpany �-�'�2^!��^z/r y Backflow Irrigation Sewer Ca ❑ 50+KW P Construction Pole Sub. lfied copy is •ereby furnished i • ie"Certif-e• o•y I -d with the ci ant .•r. ' ape - Bathtubs Sewer Connection • Cooking Unit Meter Cup to 100 amps Date .. Applicant .�� i�.:r ,ne ' EXEMP ION 7'OM WORKERS'COMP S"-ION • CLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if th• p• It is •r one hundred ($100)or - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the w•rk f• which this permit is issued, I - shall not employ any person in any ma n - so as to become subject to.te Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of Californi.. ' - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. �_' 'NOTICE: If,after making this declaration, you should become subject to the - _ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. - - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet 'Device 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 Range Name •Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign 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 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) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by any applicant for a permit subjects the_applicant to a civil penalty of not more than five hundred dollars($500). L1 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Fee Reinspection for sale (Section-7044, Business and Professional Code: The Contractor's ' .MECHANICAL FEES P $15 Issue Fee $ 3 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: Boiler Hood or Type provided that such improvements are not intended or offered for I 0 Zonin Approved By sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ - g pp Date plellon, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground • Building Approved By Dale prove for the purpose of sale). - 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 0 Date 6-'1 9-L1p Co 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 ❑100,000 BTU builds or improves thereon,and who contracts for such projects with a con- SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $ proof of' their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ PERMIT e t.: I am'exempt under Section B.& P.C.for this reason • Firepl/Fact.BIt. ICBO# Fire Dampers SS UA NCE $ PLUMBING $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify tha .ve read ' application and state that the above 00-100,000 BTU 0100,000 BTL GRADING $ information is cor . I agree to co .ly with all city and county ordinances ELECTRICAL $ and state laws - sting to building .n ruction, and hereby authoriz repre- MICROFILM $ sentatives df - city o er he above-mentioned pr y o PLAN CHECK 50% $ p p Inspection pur•os—^ '/� �� _ _� MECHANICAL $ Ig-Oa TOTAL FEE $ ' ip '0o Signature Tl� ,/ Oate - i Reinspection Fee $15 Ay Issue Fee $ 3 PLAN CHECK 25% $ ' i Drivers' License or S - - - - _ _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor rriall F - _ - _ • CONSTRUCTION AND PLANNING POOL &SPA s 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 • II 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 ti/(f/pi awl 62. Backwash & Receptor-Final 12. Sewer Cap • �/ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15t Rough Electrical-Conduit 66. Solar System-Final /-r 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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping El Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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: U F 1 03/gra _ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • 1 CITY OF.COSTA MESA CONSTRUCTION PERMIT TX311 T O CTS O.� LOT NO. UNIT NO. 3506 9/22/86 I}d#-0 4 'IL Project Address \94$ ....aoANL.m. L r..) Applicant's Mailing Address .9173-31V0 (-TPlLtKal,Jh-2pJe TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION LI REPAIR ) ' • Owner's Name CAL—FIM F\v'•F\,JLya% Phone (�k•A°Ca ❑ CONVERSION ICI DEMOLISH El OTHER p,p,# Zone DESCRIPTION OF WORK/USE OF BLDG. Address P ESt a - S Main Building: Accessory Building: (xay fAu&, eft ff I E Z Arch/Eng. / License No. TYPE OF PERMIT El IJ FOUNDATION ❑ STRUCTURAL T Front Z Address (\Y0 Al `1C)T LM-SU a C-S+ACN ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING C MECHANICAL B Rear N 'Contractor's Name SPt LS l/c\ASC Phone,SVk9 fen__ El OTHER C Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY g Address(mailing) [3Qfl ltn\V CQ«�' YhoCP C O N ST RUCTION TYPE VALUATION $ Left S K . v City License No. l( •) 17 ZONE GRADING Cu.YDS. ACRES R •LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E . I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: , . Planning Notes: .. Q with section 7000) of Division 3 of the Business and Professions Code,and - M my license is in full force and effect. , T License Class R^( / 5,y License No. .?hik6 I s ' js Date ,We. b-/. Si9rp� = -'� PLUMBING FEES . (+N WORKERS'COMPENSAT/0' • ://ARATION Bar Sink Showers I hereby affirm that I have . if cate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - "Nis 3800, Lab. C.) Automatic Washer Transformer.0 15.50 KW /S, Policy No. \X O1Str-Ar Company TS Backflow Irrigation 0 50+KW V` g Sewer Cap Construction Pole Sub. Certified copy is hereby furnished. ' Certifi d c9 py Is filed with th- eL�,ri(, fteIsion. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps ate n\�Skin. APpI ca . f/ - - EXEMPTION FROM WORKER-' ,5''TATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be comple -• if ermit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit Is issued,I ' shah not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan - Motors❑01 HP ❑iX-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this declaration, you should become subject to theInc.Solar ❑9.15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - comply with such provisions or this permit shall be deemed revoked. _ • - Microwave CONSTRUCTION LENDING AGENCY ' Gas Service Outlets Water Closet Device 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 Clv. C.) Interceptors Water Heater Outlets Lender's Name 5''.a el41.0 ., 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 r¢ air any structure, prior to its issuance, also requires the applicant for such permit P—Trap Laundry Trays Generator ❑OS KW❑5-15 KW 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) or that he/she Is exempt ' therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - • - enalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered - — - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL L 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: ' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type 11 0 Zoning Approved By Date plelion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date Lrove for the purpose of sale). n -1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .{L Date T19-4; 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 00100,000 BTU ❑100,000 BTU SUMMppy 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 DIN PERMIT ! \ . SMTP $ proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL • $ and state la- s r-1 ing to building construction,and hereby authorize repre- MICROFILM $ sentatives • A ,city to enter upon the above-mentioned proper y for PLAN CHECK 50% $ ('` (� ins• z 5. MECHANICAL $ TOTAL FEE $ /> •0 0 S'. / if Date • DI �/%iI-'nse or 55 of ' ;� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING POOL &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, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,O 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 19. 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 25. Roof Sheathing 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: 5U,9 list Mt 143/31s ad( 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test Ff 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 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 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PE IT NO. TRACT NO. LOT NO. UNIT NO. 3518• 9%22/86 CITY OF COSTA MESA CONSTRUCTION PERMIT �j su}9 /2C��) 12.00 TL Project Address i q 4k SQr-o#tf' r - - Applicant's Mailing Address en l•I tf Cm-901-0.111.1(>€2,-k-1.2-41— U— TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR ' `l ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name (Pit-00"N Fl"-NA WA Wf` Phone lo-3 a':3Otp A.P.# - Zone ' DESCRIPTION OF WORK/USE OF BLDG. Address •RSL)/-0.— S Main Building: Accessory Building: Arch/Eng. C. I: O'AO( \.9t\. License No. TYPE OF PERMIT U GRADING CI FOUNDATION ❑ STRUCTURAL E Front p )S Address - i\ Q NI '�f c44Q LpCA�r'f .�.J—A - ❑ TENANT CI ELECTRICAL ❑ PLUMBING CI MECHANICAL IB Rear - N Contractor's Name .5A(•-•S /O-,\T Phone Val'9 2 El OTHER A C Right N ` PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) et, 104\ 1 Cl1[T4 Math K 9 G 1�71� CONSTRUCTION TYPE _ VALUATION$ S Left R City License No. ZONE GRADING CU.YDS. ACRES plug. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION • Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: PlanningNotes: 11�.. with section 7000) of Division 3 of the Business and Professions Code, and v .�123U M 1� my license is in full force and effect. T 1 License Class las--1 License No.3073k0( S Date_t _r Signet PLUMBING FEES WORKERS'COMPENSATIO D A ATION . `vim I hereby affirm that I have a c i to of consent to self-insure or a certificate • Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Preventer Service Sink Automatic Washer - Transformer ❑ 15-50 KW • Policy No. \tCsb�kr Company S11P. 't' Backflow Irrigation Sewer Cap0 50+KW Certified copy is hereby furnishe.. Construction Pole Sub. Certl ed copy 1s filed with the c' I a_ Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps fir,ate J 5 Y Applic. EXEMPTION FROM WORKER • SATION DECLARATION Clarifiers Solar Collectors Dishwasher ' Meter Clover 100 amps (This section need not be complet-d I' re permit is for one hundred ($100) or • less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel -• • • 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank • Fan Workers' Compensation Laws California. Motors❑0.1 HP 0111-8 • Date Signature -- _ Floor Drains Swimming Pool w/Spa F.A.U.• Inc.Solar❑9- NOTICE: If,after making this declaration,you should become subject to the 15 HP 01&1 6+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Fixtures • Microwave comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY -, Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is Issued (section 3097 Civ. C.) Interceptors Water Heater Outlets • Lender's Name .t+= ...Aa...a— Range Lender's Address Kitchen Sink Water Service - -4 OWNER BUILDER DECLARATION Switches • Sign 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 county which requires a permit to construct,alter,improve,demolish or repair P—Trap structure, prior to Its Issuance, also requires the applicant for such permit p Laundry Trays Generator ❑05 KW ❑5-15 KW 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) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - _ penalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - • compensation, will do the work, and the structure is not intended or offered - Reinspection Fee j $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: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type H 0 - .Zoning Approved By Date pletion, 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 Application Issued By (,� - Date 9 Let/no 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 00100,000 BTU 0100,000 BTU • SUMMARY OF FEES 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 $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under section B.& P.C.for this reason / Firepl/Fact.Blt. ICBG Fire Dampers V 00 PLUMBING $ ISSUANCE $ System& DuctingRegisters - Date Owner HeatingPLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above El 0-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws re •Il•• to building construction, and hereby authorize repre- MCRQFILM $ sentatives of ji' ty to enter upon the above-mentioned property for LAN CHECK 50% $ inspectionryrfj HANICAL $ //•00 TOTAL FEE $ /.2 00 signatu ��il•_ Date 51/9/(it- Drivers 'c-fie • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ /•0D laIllIMINIISONIIMIla CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor V, CONSTRUCTION AND PLANNING POOL& 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 r; 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE r t 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 19. 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 25. Roof Sheathing 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 3/21/f ',pg. 38. Final Plumbing �� 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 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