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Home My WebLink About1951 SUNDANCE LN - Building Permits vat) CITY OF COSTA MESA - a___ BUILDING DIVISION f I ^SIA I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t• a PERMIT %b., . e - P02-00107 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 • PLUMBING PERMIT Job Address: 1951 SUNDANCE LN Status: ISSUED Suite No Applied: 02/25/2002 . Issued: 02/25/2002 Vicinity: . -. / - Parcel Nunmber: 42253301 ISSUED BY: �• - Applicant: MOSS, TAN IA Address: 2737 S CRODDY . STE D. Phone: (714)241-1414 . SANTA ANA,CA Zip: 92704 Owner: TUNNELL,A WD Address 1951 SUNDANCE LN • • ,/% Phone: 7 COSTA MESA,CA Zip: 92627 OWLS ' Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY STE D - Phone: (714)241-1414 , , , SANTA ANA,CA , Zip: 92704 - License: 529127 Arch/ Eng : _ Address: . . Phone: Zip: License: - - SCOPE OF PERMIT REPLACEMENT OF WATER HEATER FEE SUMMARY AMT QTY AMT •GTY AMT QTY ISSUE FEE' $23.50 - Laundry Tub/Washer $0.00 '0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 , Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 - P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No,92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(SW) • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: - ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the wo for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compens tion Insurance carrier and po�liGcy_pumber are: �'bZ3O Carrier: LS Tr ) U IAD Policy Number: I °.Z (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance oft work for which this permit Is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation law California n agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these visions. /75 /I ri J Applicant.Slgnature: Date: T 0 2 WARNING:FAILURE TO SECU W ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND OOLLARE(S100,000),IN ADDfRON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am lice sed under ovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. atu e:g.� Geese 3 2 f7 t L Coimctor's Signature: Date: 2-7-5—n7 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 civilpenalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency?. UI Yes No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Slgnatu a al Owner(s) r� Date uthorized Applicant" -;_f Date BODE E IKSPECRONTYPE PATE HOW CODE# JNSPFCTIONTYPE DATE DII!lbLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical /, p 1266 Pool Spa Final 206 Final Plumbing '1-7- p i Cl 200 Final Re-Roof 210 Final Electrical _ 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. \ ]UbN I/LjJ/ i�l _ V. 1CITv'OF COSTA MESA CONSTRUCTION PERMIT r - PERMIT NO. TRACT NO. LOT NO. ' UNIT NO. ' ' • 1`�5( . 5�.4fl __g'_p ( 2a 2-225 Pi- 1(0 </� Project Address , Rd •�K a))•� �VPE OF CONSTRUCTION NEW U ADD ALTERATION Applicant's Mailing _Address L ��`�'� //''--II / U REPAIR • ', Owner's Name /4.e 1`sa•,.w.a_.1a+i..�J phone H - ❑ CONVERSION ❑ DE OLISH EWE S0 - _♦ �,�1 A.P.AP # J DESCRIPTION OF WORK/USE OF BLDG. Address ��j �� ,,•�/y S Main Building: I Accessory Building: Arch/Eng.�`` ["p�n��''`i-.eriiJL'�!y>=e t-Licensee No.w (� TYPE OF PERMIT ❑ GRADING U FOUNDATION L STRUCTURAL • T Front L . •� +��j G Address (Igo `" 'T:total t �• _'A�".0(,�LW'� p rl ❑ TENANT ❑ ELECTRICAL ❑,PLUMBING ❑ MECHANICAL . B Rear ii./ N Contractor's Name Jr�1�+ l0Y>�/ PhonP/ft /�1 ❑ OTHER C Right A e•/ - N Z PROJECT DESCRIPTION SD.'FT. /42.0DCCUPAl.I�H K G (� Address(mailing) ��Xy ZZ3 CONSTRUCTION TVPE VALUATION$ 17 EJ/APO s Left 3 • . • .3. City License No_ �4• / �� ZONE . GRADING CU.YDS. . ACRES R LICENSED CONTRACTOR DECLARATION 111 Ping. Ref. # p�- - 7o Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:- /9 C ' - a /�'/ Planning Notes: M 1� with section 7000) of Division 3 of the Business and ofessions Code,and ,,,///�� ) / -�-[�'� ��f J• /ad r - _ _\ my license is in f fore and effect. 'r * f00/-6,U L - _ __ i $ (vim\ License Class PLUMBING FEES Imo'"��' a Date Signature ; • - - • - —//l1fBi/'�'`r NORKERS'COMPENSATION DEC ION • Bar Sink + $hOw¢rs I hereby affirm c that alio a nre of consent fi self-insure or a certificate - FEES of Workers' Compensation Insurance, or a certified coque Backflow Preventer Service Sink ■ 1 3800, Lab. C. d /' - P,�JJ�y� No- 7/#int -i Company Backf low Irrigation Sewer Cap ■ a �;LCertified copy is hereby furnished. �� ILLL7�� Certified copy is filed with the city Building Divisiop. 'Zj Bathtubs , ■ [s . Date /- �i f Applicantfel6B/�f/] EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers EM Dishwasher :lover•100 amps (This section need not be Completed if the permit is for one hundred ($100)or less). / Dishwasher , Dryer illiGas 0Electric Sub Panel \ I 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 Motors• ■s-1 HP ■ Workers' Compensation Laws of California. • Date Signature Floor Drains ■. ■ 'NOTICE: If,after making this declaration, you should become subject to the. _ 16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks comply with such provisions or this permit shall be deemed revoked. p CONSTRUCTION LENDING AGENCY •/ Gas Service S Outletsole Light _■ I hereby affirm that the1-e Is a construction lending agency for the performance • of the work for vtr his permit is sued (Section 3097'Civ. .C.) - Interceptors 1!Siiii Lender's Name ?O- �J .v/ ,�Lender's Address -' / Kitchen Sink OWNER BUILDER DECLARATIONI hereby affirm that I am exempt from the Contractor's License Law for the Lavatories e / al following reason (Section 7031.5 Business and Professional Code: Any city or _ - b-� p� - county which requires-a permit to construct,alter,Improve,demolish or)repair P--Trap - LaundryTrays ' any structure, prior to'its issuance, also requires the applicant for such permit y Generator ❑0-5 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 ' • penalty of not more than five:bundred dollars($500). ❑ I, as owner of the property or my employees with wages as their solo 3 Reinspection Fee. I $15 Issue Fee $ ' 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 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 SERV SSI REQUIREMENTS:IR1� employees, provided that such improvements are not intended or offered for Boiler _ Hood or Type I '❑ • Zoning Approved By (�/1 —'<4 k!— Date sale. If, however;the have or improvement is sold within one year of com- Canopy Type ❑ prove f, 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�2K Dat tractorsto 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 0100,000 BTU SU[1QMM F7 OF FEES n builds or improves thereon, and who contracts for such projects with aeon- fY� �6 tractor(s) license pursuant to the Contractor's License'Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ `— SMTP $ f '_ proof oftheir Worker's Compensation insurance should be provided to me. • - 0 am exempt exempt under Section - _L B.& P.P.C.C-for this reason _Ficoel{ g{�LCBq Fire Dampers PLAN CHECK $ ; .L' • PLUMBING $d _ PECE $ • Date Ownef / He ting System &Ducting Registers PLAN CHECK :25% $ �� - v' ENERGY ITP.C. $ _ I hereby certify that I have read this application and state that the above 6100,000 BTU 0100,000 BTU 6 I. rea GRADING $ r information is correct. I agree to omply wit .�SII city and county ordinances _ ELECTRICAL and state laws relatin n,rtand hereby authorize repre- PLAN CHECK ' 50% $� .[ .d r• - MICROFILM $ sentatives of this • he above-mentioned property for • inspection purpo . Signature Date/-9- y , , MECHANICAL_ $ -01' '� TOTAL FEE. $7 Drivers' License r SS t9 -' ii Reinspection Fee $15 Issue Fee -- $ 3 PLAN CHECK 25% $ 1 o'tJ ` / CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - • CONSTRUCTION AND PLANNING POOL &SPA , 'APPROVALS Permi'F#, _ Date Inspector _ APPROVALS Permit# Date Inspector • 1.•Temporary Electrical'Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -' ///5/4 JCS 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. 143// r 57. APPROVAL TO COVER-GUNITE, 7. footings •r / G, \ -S 58. Electrical Conduit-Undrgrnd. . 8.'Foundation • - 59. Gas Pipe,.❑ Uhdrgrnd.4Test 9: Water Pipe-Undrgrnd. - 60.'Backwash Lines, P-Trap`I, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line&,House Connection /,/r-y/7/7/ Q[rj'` 62. Backwash & Receptor-Final 1, e' 12. Sewer Cap ! 63. Heater & Vent-Final N 13. Roof Drains 64. Plumbing System - Final ', • 14. Rough Plumbing (/f / 65. Electrical-Final • ,1 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 6 ,'ems 67. Fencing & Access'Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL t. 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1.7 20. Rough Factory Fireplace APPROVALS Permit# ' al rtt 21. Ducts, in Structure i 70. Underground Hydro - - 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil , 23. Gas Pipe-Rough & Test 72. Underground Flush i 24. Roof Framing 73. Undergrnd.StorageTank 0Gas 0Oil 25. Roof Sheathing G. e /g-• % 5 74. Overhead Hydro 26: T-Bar Ceiling (Structural) & Monocoat 9 75. Dry Chemical , 27.' Frame and Flashing - . I 76. Dry Standpipe I ,f. - • r. 28. Lathing & Siding 77. FIXED SYSTEM FINAL i - __ 29. Insulation ' 78. FIRE PREV. FINAL i. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION n 32. Electrical Power Meter-Final /7 2 80. FOOD CERTIFICATE ISSUED 1 _ 33. Final Electriic ,/[17"- Notes:5W9 (( 51" 5(„ 10/3 I to 34; Final Heating& Air Conditioning 9-Isi-W'6 Lit-D 35. FiriallGas Pipe-Test 9/V-a" Edit - f 1 :+,. 36. Hood or Canopy 37.•Final Factory Fireplace 41-1R-86 Lego : . • I . • 1,1 • 38;'Final Plumbing q-zq-s Le • .. ` 39'-Water Service-Final • - ticid. C-t' , . 40. Gas Service-Final tr 41. Solar Domestic-Final I'- ' i .- . i 42. Backflow Preventer ' I ni . i , ' 43. Backflow Irrigation . . + ' •- 44.',Landscape Irrigation System - . / .d ' r 45: Sound Attenuation . ' • - • • J. / f 46:'Handicap Regulations - c, • - 47./FINAL STRUCTURE & BUILDING o /6.1. 2,w- • - --- 48..Special Requirements Completed 'V&/8' V ,I 49. Electric Release to Edison 'i . � 50. Gas Release to Southern California Gas Co . .- • r _ 51. CERTIFICATE OF OCCUPANCY • No._ Date f 4 .. .' . • 323eatIcf .,• • • • INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative (ode, Title 25, State of California') and approved plans, insulation has been installed in the building located at: MISSION VIEJO ORANGE GAY Guar • 19 (/7 SUNDANCE DR. 2 #12067 • Stria Ni, (If A..WW.) SUS/ la Male End Me. DESCRIPTION OF INSTALLATION R Typpef of Material fiberglass Manufacturer CERTAINTEED Thickness 1011 R Value**. R-30 EXTERIOR WALLS CERTAINTEED3211 ea R-11 Type of Material fiberglass Manufacturer Thickness —it Value for Trade N.nW CEILINGS BATTS: Type of Material Manufacturer Thickness R Value**_ (Or TINS Naos) Sq. Ft. Covered BLOWN: Type of Material Manufacturer Thickness No.Bags_ (Gr Tnd. Mer) Wt/Bap Sq. Ft. Covered R Value**._ FLOORS - Type of Material Manufacturer Thickness R Value (or Trade Mar) SLAB ON GRADE Type of Material _ Manufaiturer Thickness R Value'._ (Gr Trod* Mar) Width of Insulation Inches FOUNDATION WALLS (If required) Type of Material Manufacturer Thickness R Valuef* (Or Tead. Woe) REMARKS (If desired)__. General Contractor (Builder) License Number 8y. Titly Date Sub-Contractor (Insulation Applicator) QUINN INSULATION License Number_ 311115 ;II.WI(ben. Worry. Etc.) (SLY "SAYE-' M saw a Garai CoafnaNr) / l j Cy `( r{ Tine owner Date 06/09/86 :-rp„1....a Ad.lnl...ab.•Cala. Energy In.mellan Standard., dacimt, exam Ire* Sac. I118/3 al Oa IMIM and Safely CNN. of Me Sala "C.n-orlana•. upon temp1e11a., a the inaallallan N Inselnlen, • awed a Celll•nle: .�•Ibm. it.. the h,.alatian hot bee. inhaled In nnfera•nse .lib dm � d Nan Mat. rgN. t Mall b. n.ple..d end enacted by "Ne cfltat•te a1 acy ccvpaasr shales nAet.tlwMat a newly ten. .n natant*ant* Md Wilder.by the Tho !!:.lathnanode/* ce...lian de aMdpnm hotel. , asal beta, r mW Manta et oMldwal .nee « pY..d GI • tr.tpm.a,s. naaria. #Mie Me bNlin,:J dwelling It hNlabla 0011 ha Iuvad by itch • Wilding depan.anl vale.. the .Intern M I.e.l MLPs. Iho minima. iota! Inulrlan -t Veioa i. .be mrure M It.. ,e.lttaau a/ • ...attar r belldiq ondard. ulablidad pnpnt te Ml.dopier.” „ r to Me pupa•et heat. Th. mittens.value (II elm•u'lyp •n.,arum. .hall net Imide goy volts Mr nMetdv tabs.•) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - - 3521 . . _ _ ._ . • 12.00 TL CITY OF COSTA MESA CONSTRUCTION PERMIT PER T NO. TRACT NO. LOT NO. UNIT NO. . . .. .. • •• Project Address \c Si gt1s.1C. a...1Cc `r7 R s t3a /P0!7 . • Applicant's Mailing Address 90 31' GF120GaY\ laytAJ_. TYPE OF CONSTRUCTION LI NEW ADD H ALTERATION U REPAIR f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Name CJR-L.—AMc "ae1OL\AL Phone.AM-•�F1s1 DESCRIPTION OF WORK/USE OF BLDG. Address 4Pp V= S Main Building: Accessory Building: Arch/Eng. (—sPQ_y i 0•04,lcZTY O License No. TYPE OF PERMIT LI GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front 0 Address N �rMf1L•3LAnM\Cettt ' ❑ TENANT LI ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N cSA\�G �Slt3T. Phone Silk ht'2_. ❑ OTHER A C Right N Address Contractor's Name PROJECT DESCRIPTION SQ. FT- OCCUPANCY A Address(mailing) (0tal4 /'n$—Th Y1-eltaa CONSTRUCTION TYPE VALUATION$ S •Left R City License No. / (a) l7 • ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E S� I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: • a .�; 3/� Planning Notes: Q (� with section 7000) of Division 3'of the Business and Professions Code,and M ''a my license is in full force and effect. _ T • 1 License Class g-•/ j License No. 3ha.ff CD • S • Date 5/(s�ta_ Sign ur1'�/.r - PLUMBING FEES i WORKEf�5'COMPENSA r O./v LARATION - • - - ,. I hereby affirm that I hay. . certif ate of consent to self-insure or a certificate Bar Sink . Showers ELECTRICAL - FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Polic, Lab. C.) • Automatic Washer Transformer- 0 15-50 KW 1Policy No. /eS'� Company _C'{'t•ST� Backflow Irrigation Sewer Cap El 50+KW Construction Pole Sub. - ' Cee rtified copy is hereby furnished. , - ' dCertified copy is flied with the city641,..j.•��ision. Bathtubs ' Sewer Connection Cooking Unit ' - Meter ❑up to amps ale _.IVIIFROM ApplKERS' . d _� Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps EXEMPTION We R millet •if P . ATION DECLARATION .lessi.section need not be complet • if t d permit is for one hundred($100)or less).erDishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel , I certify thatm in the performance the work for aswhich othis permit is t to I - shall not employ any person-in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑i'/x-8 Workers' Compensation Laws of California. Date Signature Floor Drains ' Swimming Pool vv/Spa • - F.A.U. • . NOTICE:If,after making this declaration,you should become subject to the Inc.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 Civ. C.) Interceptors Water Heater - Outlets Range •Lender's Name - - - - 9 . 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 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 Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit , • 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 I • penalty of not more than five hundred dollars($500). . Ll 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 ! $15 Issuefee ' I $ 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 com- Canopy Type II 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—/4—A'0 tractors to construct the project (Section 7044,Business and Professions Code: O.,The Contractor's License Law does not apply-to an owner of property who Duct-Ventilating ❑0-100,000 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 0 Multiple 0 System Repair/Alteration 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 ' 3S0) y OD PLUMBING $ ISSUANCE $ Date - -. Owner Heating System-8i Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU ❑100,000BTELECTRICAL $ GRADING $ information Is correct. I agree to comply with all city and county ordinances and state laws r• ting tot building construction, andhereby duthoriee repre- sentatives apier _ ,I�iLp,N CHECK 50% $ MICROFILM $ sentatives�f city to enter upon the above-mentioned pro art for (`.1Td'L_s�2til L -J�""' CHANICAL $ /I- D6 TOTAL FE• E $ /a_nn • ISign.yr>/,%///i . Date Driv �•se or S5 9F _ Reinspection Fee I -$15 Issue Fee $ 3 PLAN CHECK 25% $ /2)0 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 1. Temporary Electric& 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, 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 44/p4 J C 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 - `Q Ut% CIT4 OF COSTA MESA - ' CALIFORNIA 92626alt P.O. BOX 1200 'a, _ FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/ f°Rp0 01) PLANNING DIVISION October 28, 1985 To: / Building Safety Division l Pacific Bell (2) Business License Division Police Department - Ping. & 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 Water 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 • 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, F. PASCUA Planning .Intern RP:alm (F-1-54) cc: Cal American Financial Corp. P.O. Box 3140 Garden Grove, CA Iasi 1949 1950 1947 1945 � 1945 1946 1932 1932 r T 1943 1941 ITI 9 19 37 19 35 I X133 lc/ 31 4 1\ „' Hotant-- SUNp&