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Home My WebLink About342 SYDNEY LN - Building PermitsPNOJECTqD�NESS: 'jt]� SYDNEY LN OWNEfl'S NPME: JIM LOCKER � aoosess: 330 SYDNEY LN, C.M. 548-2746 RflCN/ENGINEEfl: RDDNESS: ncc.No.: UNIT: uxiT: PEflMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569 aooxEss: 126 COMMERCZAL WAY COSTA MESA CA 92627 LICENSED CONTPACTOB OECLPflATION: I here�y aflirm ��a� I am licensetl unaer Drovisions of C�apter 9(commencing wi�� Section 7000� ol �ivision 3 0l Ihe 9usiness anA Pmtessions Code, antl mY license is in WII brce antl ellect. ci,r uc.: 005993 STATE LIC.: ClAS$: p (�� / Dale'. �\� ��5—� � Si9na�ure'. _ _ _ ��1- WOFNENS' COMPENSRTION OECLABATION: I hereby afiirm I a� I have a cetli�icate of consen� lo sel4insure or a ceniticate of Workers' Compensalion Insurance or a cenified copy thereoi (Seciion 3800, La�. C). voucvNo.: 285/224/89 E%P.OATE: OS�OSI9Z comvnxv: STATE FUND ❑ Cerli�ied copy is hereby lumishea. � tli�ietl copy is �iled wiN �he ci�y Building Division. Date:\`= �� Applicanf. ��/`"�.G..�. � / E%EMPTIONFHOMWOPI(ERS'fAMPEN5BTI0NDECNMTION: (T�issectionnee0not�ecompletetliithepermitislaronehuntlrcd�31 orless�. I ceriity I�al in the pedormance ol t�e work for w�ich this permit is issue4 I s�all nol employ any person in any manner so as �0 6ecome su�le�� lo Ihe Workers Campensa�ion Laws af Cabtomia. Da�e: Signamre: NOTICE: II, afler making this declaration. you shoulJ become su�le�� a �he Workers Compensation pmvisions of ihe labor Coae. you musl lanhwith comoty with sucn pmvisions or ihis permit shall he OeemeO revaketl. CONSiNUCTION 1EN01NG RGENCY: I hereby affirm ihal lhere i5 a conslmciion lending agency lor Ihe petlormance a� Ihe work for which Ihis permii is issuetl (Section 3097, Civ. C). LENOEH: nooeess: OWNEfl BUILDEH DECIABATION: I �ereby alii�m Ihat I am exemp� �mm ��e Contraclors' Sta�e LicenSe Law for the following reason �Seclion 703L5 6usiness and Pmiessional Cotle: Any ciry oi coun�y which requires a permi� lo conSVuct, alter, impmve, demolish, or repair any s�mqure, prior to iis issuance. alm requires Ihe applican� lor suc� permi� �o �Ae a signed s�a�emen� �hat he/she is licensed pursuanttothe provisions oi�he Conirac�ors' S�a�e License Law(Chap�er9�commencing wi�h Section 7000�af �ivisian 3 oflhe 6usine55 antl Pmlessions Cotle) ar tha� helshe is exempl Ihere�mm ana Ihe basis for Ihe allegetl eKemp�ian Any violation ot Sec�ion 7031.5 Ay anY applican� lor a permil suble��s Ihe applican� ro a civil penal�y of not more than five hunOreO Oollars ($500). I, as owner o� Ihe pmperty or my employees wilh wages as iheir sole comDenSaiion, will do Ihe wo�k, antl Ihe ❑ simmure is noi in�entletl or attere0 for sale (Sec�ian 7044. Business and Pro�essional CoOe: The Contrac�ors' S�a�e License Law tloes no� appty to an owner o� a pmDe�Y who �uiltls or imDmves ��ereon, and who doe5 such wo�k himSelVhersel� or �hmugh his or her own employees, provitled Ihai suc� impwuements are noi in�entletl or oflered tor 5ale. II, however the huilding or improvemen� is saltl wiihin one year o� comple�ioq �he owner will have Ihe burtlen o� proving he/she OiA no� builtl or impmve lor Ihe purpose aI sale). I, as owner ol lhe pmperty, am exclusively contraciing wiih Iicense0 coniractors to constmcl the pmject �Sec�ion 70ad, Business ❑ anA Pmfessians Cotle: The ConiractoK State License Law Ooes nol apply to an owner oi pmperty who builtls or impmves Ihereon and who conVacls lor such pmjecis with a conVacloqs�license Oursuan�lo Ihe ConVactars' Slaie License Law�.l am aware �hal pmot ol �heir Worker's Compensalion insurance 5houlA �e D�ovitled �o me. � I am exempt under Sec�ion: B. 8 P. C. lor Ihis reason: Daie: Ownec I tlo hereby certily tha� I am aware ol an0 untlers�antl t�e requiremenis ol Califomia Heallh antl Sa�ery Cotle Sec�ions 25505, 25533, and 25534 antl �hal I or any iNure builtling occupani will/will not (circle one) neeE to comply wi�h said slale codes antl �he reQuirements lor a permit lor conslmclion or mo�ification imm ��e Nir �ualily Management Oislrici. Residential consimction aDPlications are exemp� �rom ihese pmmsions. Date'. pplicanf. I hereby cer�ity Ihal I have read I�is apphca n and slaie ihal Ihe above inlormalian is carrec�. I agree �o camply wil all ci�y anA couniy ortlinancesantlstalelawsrelating�obuiltlin consimclionantlhereDyaulhorizerepresenla�ivesofthiscirytoen�erupan%heaboue-men�ioned propeily for inspeclion purpoose�s. r / Oate�, _y\"'` � `` Signature: \� ��i�ers ��ce�se o� sociai secud�y n: i641�a6 WM1ae—Builaing', Green—Code Enlorcemenl: Canary—ApPlicanC Pink—Revenoe; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05502 PERMIT NO: B 055025 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; ALT JOH DESCRIPTION : T/OFF REROOF RESID 6 GARAGE W/FIBER GLAS SQ FT: 2,317 CLAIM VALUE: 2,317.00 CALC—VALUE: 2,317,00 GROUP OCC: R-3 /M-1 COMMENTS: REAOOF W/FIBERGLASS SHINGLES ��t�r�t*�r*******r�***�t*****+t*x�+�x�*�+r*******��t**�r��r**+�+t*�*�e*�r***+t*****�*x�*+�**x�*+�***�r Z O N I N G A E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT I�� PARRING REQ: PROV: PARCEL; 93519001 ZNE; REF NO: ��j� PLANNING N15TES> > �,,: If iFlE iE if �f if iE iE 1t i4 ik iEiF iE k iE iF iE iE i! iE it 1E iE ff iE iF 3! dE k�f iE iF iF if iF 3F dF iFiE iE if �f if iF �k if if �E iF iE iE iElE ff iF M��#� ih 3f ik D E V E L O P M E N T S E R V I C E S R E Q U i �� ZONING APPROVED BY DATE; BUILDING APPROVED BY ; � DATE: r^ APPLICATION ISSUED BY• � DATE; ` �L ' iFlEififkiEifkiflEi4lflEifiEiE�flEiEiElkiE7FifiF�iFiF7FiFiFiFiFiF3FSif1Fi��ifkififiF�fifiFifiFif �f�F k i! 1f �f if iE�f iE 1F 1E iElk if iF iE iE iF iF iE IE it iE iE�E iE if !f itlk Ik 1F k iE iE 3! if it iF 1E �f if iE ik jF iF i! iF M k ik if ik 1F if �f if 3f k�F kit iF ik iF it if if k ik ik ff i! iF ik iE iE iE if 1F LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50' SMIP/NON=RES PLAN ' ISSUE FEE �=' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ✓' DUE TOTALS----> 54.50 0.00 0.00 59.50 �4,50 ; ,00 REVENUE DIVISION TOTALS--> COLLECTED; 59.50 OVER/SHORT; ,00 HLD59p00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T_ GRADING�PLAN—CHECK i:'. � 4; iE �F if if M if if if iF ik iFif k if 3f iF if k�F if k i! k k k k if if M if iE 1F if if if k k if jFiE i! iE �F if �f �F iE �kk �t iF if i(� 3f i! f! �flt if if 1F iF iF i! iE iE iF �t iF 1f if �F 1f 1E iF it if �E jE I N D I V I D U A L F E E B R E A K D O W N � TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2317 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 '` 2,317.00 END OF FEES . �/ 4 r �•. ilt ..L�. : _r.�.iG" ' _ , ' .�',�. , ' � �_ �ii':. i': �.�''i: �)/ �: � .__. f � ti &'�NSTRUCTION AND PLANNING POOL & SPA ` APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector '. 1. Temporary Electrical Serviee'or Pole i 52. Pool & Equipment Location � � �,:i�. �t 53. Steel Reinforcement `�- 2. Soil Pipe-Undrgrnd. :l� � ... �,; � � �3�Electriral CondCti�_Utility-Undrgrnd�`�� - 54. Forms _ ' _ ._._ ��,4�_Electrical Condait--.Updrgrnd. �' ip •� 55. Electrical Bonding� �, �;�;t�teel f�einforcejn',�`ei�; °'� 56. Rough Plumbing & Pressure Test ��•� IectricalUFE;R6ctid. ` 57. APPROVALTOCOVER-GUNITE ` � 7. �Foo[ings �.^ 58. Electrical Conduit�Undrgrnd. �. .= 8. `�oundation - ' : ' ' �y 59. Gas Pipe, O Undrgrnd., Test �- `" � 9. Water Pipe-Undigrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. , ._ 10. Structural Floon�"ystem '� � 67. APPROVAL TO DECK �� 11. Property Sewei Line�.& House Conngction ' 62. Backwash & Receptor�Final 12. Sewer Cap a .,� �� 63. Heater & VenbFinal � 13. Roof Dreins - . � � 64. Plumbing System � Final -�� 14. Rou h Plumbin ' , � 9 .,9 " z± 65. Electrical-Final ,� 15. Rough Electrica'1-Conduit - • 66. Solar SYstem-Final �� 16. Rough Electric"Wiring �?,> > 67. Fencing & Access Approval '` 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING ��%� 18. Rough Electric�7-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ' - y �r �. �� r•. ,t; . t- n7 20i�Rough F�etocy �ircplace i n'[*7 �'; � t? � '^'7 .x �f1PPR�VAiS^.i�Pe¢mit# + � y 2 r� � . .r � « -. . r , n- � �� •., � ;-'f- ':5 't� � .-:�;k r� .� �:' .-.. �.� i• a .s7 21._DuC3's, in-StYiictu�ieT i .. .. ,�,g t ,' ` �,:n :, •:70. Unde�g�ound Ny�ro _ - 22 �Ducu, Vsnttlatirtg�x� %� �* 'S it* m•:77, Product�Piping �'�E'i2is ��Oil 23:.Gas"Pipe�;RouHh &'Test i `�; � �: ,�. p, rZ �,� ;" '72, Underg op4n�1 FI�S��{ a = ''; V',��. .+. [ l i_ y i .. ._ V .n , r� . .-' - -F � y 24:1Roo'# Framing �. i:-r ��r- v. p s •� �>73FUndergrndc Stora�erTank [] Gas ❑ OR �- .� � 25. Ro f S thin %* y `-U '' �'�� nl:r x " . - .r, +; Q, � 9`� ,. „r iq.,. . 74�� Ouerhead Nydra �- t 26;',.S-Bar Ceiling (StFucIural) &~�'}o�ocoat � '+�. � cl "i i� y�. � �+ � = 7 t 75., Dry Chemical +. C x 27� rame and FlashirSJ �,�� :R U, '�'�, ,»Y k 7U" Dl'Y Stanc�i�e ��. Y` �`� � '-x :atTii: G^ ,r y. `, i. • H � �� J ; 28� �La�}ing-& Slding�:.� ,. �-.a; � � �f 5: •�� ••.+, ., 77.r FIXED SY9TENY'�'INAL+� J T �29. Insulati$n � °�= �% - •�•. �' ' '� � � � [� 785�FIRE PREV. Fl�lt�. ��..� j, � -30. Drywall�:ailmg �f.- � � �� r-� HEALTH EPF� REQUIR�MENT �37. Plaster 6iowg Coax �, ; �.r„:^ K ' �� Y r79v FINAL IN�,JPECTI@,N * = `% - i+. -� ��32.;Electrical Power,��i,b',laier-Final� `� �� r�� I � r,80�qF00D CER�1`IF�E(�SE ISS�ED'� r �. : v33:�Finai El��iric =" � J '. -:, I � � "Nofes: C "7� ' � t`+ rn -� ' � � � : r, � t� tim � � _ :.:. '.' i .. . -C 'r +: tr 4 - � c 1 .'r: �- � ��34:.Fina Heating_& �i4,Conditio�9� ., i �y, k :r � ; x . � "r_': 35i_Firial Ga5 Pipe-TesT f ` i • '� • �' [_;ti a :T �S^ � - . ,-+ i ,. r�0 . x �r y . .. ,. f ; . T . :.r .e ,n �. ��6.`Hood oE��PY � p' � �,..._ ., : � :r - •a .tn - - - ' . _ - _ i - - ..". . , �-�37�Fin31 Fabtory Fireptace_ � s"' - �'- � I y. � !i * ^� ^38. Fi a' Plumbin '� x � ~ .. i'. .' '� � � y . , � , R J 9 v t c s. ' � • t1 + = r, s ru ;'39. Water Service�-Finalr � -+ t � ' !,� .�� r :.c �� - �.r a. r. S T40. Gas Serv e-Final -,°. � �t ' �. � .'�� ``; i .i.F d4rlr S ._ "T, � � t f .. �.�N i.41 . Solar pomesiic-Firml^ � •• � C•. � ' * � v; �_ y � I I It ' ,t' � , � 42 `�8ackflow Prevente� ` ny � `� i � tp } � - • � C ', 43. Backflotiv IrFigatiorr� �y c.5 � ; j + r �� ;zF�o �±' r'. � �- :� �:, :r ,i . r � .� �;;44. Landsca e Ivigation Syste �;3r; r- .k- Y� ;, [. .,, �3 x � l .P "?� ��' _+. to ,r.:� r i �.45�'Sound Attef}uation '-��i<E� _ ,�:• � r. - - - � i �. : .;. �i: S x : . .�. nr ,n ��i:a w. - -r 3 I,r¢ . ...t M. / i �?46:';Handican Re�ulatidns C, �;, � ; ' ,. f �s ;•S ,�••.� - ", �47,yfINAL STRl1CTURE & BU.�LDING �'S.L// �W� � i�:�l`� �� t-O�� `� - ' l! rrT' 48:_fINALPLANNINC� "n`� , � , # `. `� `� � ' i L-'i- � t P1 � Et :4. n (r� �( 4 ~ IV ' �_49:;Eleptricf�elQaseto�Edison i ' � � �� :�r ' � �� Y -i � .r _`:SO..Gas ReC�e"ase,to Sou�hem Californ�a Gas Co '' ; � ; ' - _ , ` i ; - I G ti: ;,` . .� `�51. CERTIFICATE OF.00CUPANCY ,: ; ,; ,; _ �� ,;. �_ _ No. Date Cr_cemhe- 7, 1��1 Tn: 1;=_�y ._. Cnsi:a. P��e2 fiui?.dir.n Deoar+ri�nt Thi.s _..., to ;.nfnr.m vou that unit�. 34?, ,',17, 373 2nd 3''n ❑f ;v�ney Lan^, i.oste P�es�, CP.., a7.1_ `�,3ve iaor.k;.nq sm�ke deter.tors: Evernr.�en �s��saci.a+ion r! y� � 7ames Lor.l:er Presi_dent. �� D�t{\ APPlicant to �ill in all spaees except [hose wilhin heavy borGer Iin¢s antl si9n all appropriale declarations. aTv oF cOSrA mESA � CONSTRUCTION,PERMIT PER NO. TRACT NO. LOT NO. UNIT NO. � ProjectAddress � �_ � • ; $'3�� - . � 7218 '5/tl4/B7 500(1 1 Applicant's Mdiling AddreS ,�.. %-'- TYPE OP CONSTRUCTION ' -NEW ADD A�TERATION REPAI R �-r ,�/� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, # Zone Owner's Name Phone�dT DESCRIPTION OF WORK/USE OF BLDG. � Address � S Main Building: Accessory Building: E Z Arch/Eng. License No. TVPE OF PERMIT ❑ GRADING FOUNDATION � STRUCTURAL T Front - � , � Address ❑ TENANT ❑ ELECTRICAL PWMBING ❑ MECHANICAL B Rear � N Convactor'SNeme Phone �� OTHER. A � PROJECT DESCRIPTION , 54. FT. oCCuaANCv C Right N Address lme'1'nnl n ^ � � � � � � � CONSTRUCTION TVPE VALVATION $ S Left . � R City Lic¢n5e N0. �� ZONE GRA�ING CU. VDS. ACRE$ ' ' Ping. Ref. # • . Parking Req./ProvideA E LICENSED CONTRACTOR DECLARATION Q I hereby affirm that I am licensetl untler provi5ion5 ot Charter 9(commencing Remarks: � , � , ' Planning Notes: ' ' M with section ]000) of DiviSion 3 of the Business antl P�ofe55ions Coae, antl my license is in fAull orce antl ettecL ' - ' � T o te��{c!d+s4'�-�—(iJs9 � � w r�ns91No i� - PLUMBING ' . .FEE$ � ' ' ' f S 1¢[ -Y WORKERS' COMPENSATION DECLAf3AT10N ' ' B2f Sink . ShOWC�S -� • - � �I hereby aftirm mat I have a certiflcate ot mnsent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a�erUtietl cooY t ereot (Section gackflowPreventer � �' ServiceSink 3floo, �ab..�c}.� �(� �7 � Automatic Washer � Transfoimer ❑ 15-50 KW PoiicyNo. N�C3'('�/ Company Backflowlrrigation SewerCa - � • ❑50+KW r-. . P Construction Pole Sub: �� ertifietl copy is heteby tu�nishetl. 1 �er' le, o y i•' d with,the city�BJ�fltli i isJ�7�x / 2,. _ Bathtubs .� • Sewer Connection � Cooking Unit ' Meter �up to 100 amps ' � Date � APPlicant6� x=^L/�.••�� .. . . . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers ' - Solar Collectors Dishwasher . Merer ❑OVE� 100amps (Tbissection neetl no[ be completetl if the permit i5 for one huntlretl ($300) or . . '- ' less). ' Dishvuasher - Solar'Piping - � - Dryers'�Gas '�Electric Sub�Panel � � 1 certify tha[ in the perfOrmance ot the work TOt which ihi5 pe�mi{ is issuetl, 1 � snall not employ any person in any manner so as fo become subject to the Drinking Fountains Solar Tank ' Fan Motors �0-1 HP �1 %- 8, Workers' Compensation Laws of California. � , Date Si9nature ' ' Floor Drains �� Swimrriing Pool w/Spa' F.A,U. ` - NOTICE: It, after making this tleclaration, you shoultl become subject ro the _ Inc. Solar �9-15 HP �16-15+ Workers' Compensation provisians of Ihe Labor Cotle, you must forthwith Floor Sinks . Urinal � Fixfures � comply wilh such provisions ot this permit zhall be tleemetl revoketl. Mic�Owdv¢ CONST0.UCTION LENDING AGENCV GaSService ' ' Outleti Water Closet Device Boxes I hereCy aftirm tnat there is a construction lentling agency for the performance Pole Light� . of the work for � which this permit is issuetl (Section 309] Civ. C.) � �nterceptors � ' , Water Heatet - � Outlets Lender's Name ' Range Lentler's Atltlress � � Kitch¢n Sink _ . _ Water Service � - � . OWNER BUILDER oECIARATION Switches g�9� I hereby affirm that I am exempt from the Cont�acto�'S License Law for the LavatOli¢5 . AUtO-WdSh Garba e Di5 OSdI tollowing reason (Section 7031.5 Business antl Professional Cotle: Any ciry or 9 P Standing Sections county which requires a permit to construct; alter impiove, aemalish or repair P-Trep � Laundry Trays Generetor �0-5 KW �5-15 KW any sVucture, prior to I[s issuance, also requires t�e applicant for such permit Trash Compactor to file a signetl statement that he/sh¢ is licensetl pu�suant to Ihe provisions of ROOf D�3ins - the Contractor'S License Law (Cnapter 9(commenCing with Section 7000) o( , Division 3 o( the-Business antl�-P�ofessions Cotle) or that he/She is exemp[ - �-- - tnerefrom antl tne basis for the allegetl exemption. Any violation of Section • . �031.5 by any applicant for a permit sub�ects the applicant to a civil ' � penalty ot not more than tive hundred dollarS ($500). . � � 3 , Reins ction Fee $ � � LJ I, 55 owner of the� properry or my employees with wages as their sole PB $15 Issue FBe compensation, wiu tlo the work, antl the structure is not intentletl or offeretl Reinspection Fee � $15 Issue Fea ' � $ 3 for--sale (Section-7044, Business antl Protessional Cotle: Tne Contractor's . MECHANICAL FEES License Law tloes not appty to an owner of a properry who builtls or improves . � thereon, antl who tloes such work himself/herself or throu9h his or her own �DEVELOPMENTSERVICESREQUIREMENTS: � employees, provitica that such improvementz are mt intenaetl or otteretl for Boiler Hood or Type I ❑ . - sale. If,.howeveq tbe builtling or improvement is soltl witM1in one year of com- Canopy Type II ❑ Zo^ing Approved By � Date pletian,�the owner wlll have the burtlen of p�oving he/she tlitl noi builtl or im- Duct - Und¢! GlOu�d . BUilding App�oved By 'D3te � � prove for the Ourpose of sale). � � . ' � , . ❑ I, as owner of the properfy, am exclusively contracting with licensetl con- Duct-Structural Refrigeration System '.- . Appliwtion Issued By � ' Dat tractors Id construct Ne project (Section 7044, eusiness antl PrOfessions Cotle: ' � The Contrattor's License taw does not appty to an owner of oroperty who Duct- Ventilating � ��-1000006TU ❑t00,0008TU . ' - . builtls or improves thereon, antl who contracts for such proiects with a con- $UMMARY OF FEES tractor(s1 ncense pursuani'to the Contractor's License Law). I am aware that Exhaust System�� Multiple ❑ System Repair/Alteration . � BUILDING PERMIT $ $MIP _ � $" proof o( their Worker's�Compensation insurance shoWtl be provided to me. '' PLAN CHECK $� PERMIT, � � ❑ 1 am exempt untler Section B. & P. C. �or this reason � FirepUFact. Blt, ICBO # Fire Dampers ' � ISSUANCE $ PLUMBING $ Dafe Owner Hea[ing System & Ducting Fegisters ' . pLqN CHECK 25% $ ' ENERGY P.C. $ I hereby certiry�that I have reatl this application antl state tnat the above ❑6100,OOOBTU �t00,0006T $ ' � GRADING $ information is correcL I agree to wmply with all city antl counly artlinantes � . ELECTRICAL _ antl state iaws relating to builtling construction, antl �hereby authorize repre- - PLAN CHECK . 50% MICROFILM $ � senta[ives of t is ciry to enter upon the,above-mentionetl properry for . . " � . . $ „ inspection pur es � MECHANICAL $ � TOTAL FEE $ �� "" Signatu�e 'ate,�� painspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Diivers' Llce se or 55 � CMF 0865-46, rev. 10/B4 White - Builtlinq; Canary - Appiicant; Pink - Accounting; Goltlenrotl - Asse55or CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �h ' 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms �� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Press�re Test� � -�,. 6. Electrical UFER Grnd. 57. APPROVAL TO COVER=GUNITE 7. Footings 58. Electrical Conduit-Undrg[nd. .� 8. Foundation 59. Gas Pipe, � Undrgrnd., Ti9t 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, �' 7 ndrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK =� i t. 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. POOUSPA SYSTEMS FINAL - 79. 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 � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 I 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• JZ_� g�C,4,�,�y,�, qs�cr� 2,p,3 ��t„ �,E 34. Final Heating & Air Conditioning . � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Faaory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final . 41. Solar pomestic-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 OCCUPANC`�' � No. Date NER BALaLIS fi e ADDRESS 342. S �s No. 115-220-03 LOT SWA. LINE U MOUSE CON. :LING SYSTEM ROUGN NE�TING AND RIR CON01 UNOERGROIINO U POWER ROUGM WIRIN6 TRENCMES FORMS F1.00R SYSTEM BOND BEAM �-{ -ST-EEL� -RE $HEATXING �y{�(,p(q�/ FRAME �NO Fl�SMING � Pl�STER. BROWN ND �.C.. F TEST I-I DATE SUBCONTRACTOR F � W a Q y y CC F G k7 F Q ❑ ..1 7 a x v� a � a S z W �.' 3 _ ...4�3�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comp(etely — Use Ink Only OUILDING ADDftESS y,��y �A.n(j OWIJEF Rn l al i n Rr Pi anan i CITV BRANCH ADDRESS ARCHITECT ADDRESS CONTRACTOR ADDRESS `� CITv j�iP.VJlI STATE uc. No. 2g SIZE OF LOT USE OF TEL. NO. I TEL. LICVNO. 6870 INO.OF LB� .S. NOW ON LOT SeparaCe permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORM1 u I hereby acknowletlge ihat I have reatl this applicetion end state thet the above information is corract and agree to comply with ell lews regulating builtlin8 co^struction, and I shall not employ anY Pe�son in violation of the workman's compensation laws of the Stete ot CaliforNa. I hereby certify that I em properly licensetl as a conttector under the State of Califo�nia Buslnass antl Professions Code, Dlvlsion 3, Chapter 9, antl thai such Iicenses ere in full force antl atfect, or I am exampt from tne provtsions ot the State of California Business end Professions Code, Divislon 3, Chapier 9. SiO�atureof �\ �\ �f��J Permlttee \J \1^ Authorizetl Ag¢nt �`.'; 2�-�7�;�`G6 816�= **�' �65.54 APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV DATERECEIVED DATEISSUED � O PEFL � . f. A.P. NO - ' � ' BUILDING �j./IJ �� LA�%� ADDRESS �JTn L /�,� TRACT % 1 �Or• BLOCK OWNER � `�� ! V E GL S • � S � FIRE 20NE T PE GROUP APPROVED r � gy V DATE Z NO.OF USE OF N W -/ � PLANS BUILDIN��y�L � �E.�L 4c— VAROSAPPFOVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDII REAR � • FT. DISTANCE BET. BET. MAIN & �- MAIN BLDGS. ACCESS.BLDGS. VAR �/ DATE C.U.P / APPROVE � � 4PPROVE �, � iOLD FOR SPEC AL Q h m i : /IS� SQ. FT. � �� a THE AMOUNTSHOWN UNDER VALVATION IS FOR m THE PVRPOSE OF E5TABLISHING A PERMIT FEE ONLY: e VALUATION PERMIT FEE S p N 2� /�� PLAN CHECK E�3 SQ o $ / TAX $ LL 2� G.c U TOTAL PAI� 8 �S Sy , � Q F � W S a � H 'y F COSTA MESA BUILDING-SAFETY DEPARTMENT ;-s -n-77�;:�°QO h01 �_<::: 127.�0 P.O.BOX1200 COSTAMESA,GALIFORNIA9262ti AP I TI FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE � V DATE RECEIVED DATE IS UED BUILDING ADDRESS � PERMI NO. OWNER � A.P. NO. MA�� BUI�DING � AODRESS ADDRESS TEL. � TRACT LOT BLOCK CITV NO. CON5TRUCTfON NEW ADD AL ER R PA LENDEFi �/ �� BRANCH OWNER � � ADDRESS VALUE �1 ARCHITECT TEL. USE � S �� OR ENGINEER N FIRE ADORESS ZONE TVPE /GROUP APPROVED CONTRACTOfl BV DATE ADDRESS 7EL. ZONE NO.OF USE OF NEW CITV NO. PLANS BUILOING STATE CITV �'AR�SAPPROVED VAROSAPPROVED UQ NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM GL STREET) OF LOT NOW ON �OT FRONT FT. FT. USE OF EXI5TING BL�('i. SI E FT. FT. Separate permits are required for L. SIDE FT. FT. electric, plumbing a�d heating work. FEAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE$$.BLDGS. VAR. # DATE G.U.P.# APPROVED APPROVEO I hereby acknowledBe thet I have �eatl ihis application entl rtate ihat the abova intormation is cOrract antl agrea to comply with all laws ragulating builtling cons<ruction, antl I shell not employ any person in violetlon of the Workman's compensatian laws of the State of Calitornie. I heraby certitY that I am propefly licensatl as a conttactor untler SQ. FT. the Siate ot Californla Businass dntl Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and thet such Iicense4 e�e in full force antl affect, or I THE PURPpSE OF ESTAB�ISHING A PERMIT FEE ONLV � am exempt fram the provisions of the State of California eusinass VALVATION PERMIT FEE 5 entl Profassions Cotle, Dlvlsion 3, Chapter 9. PLAN CHECK E Sipnature of Perm(ttee $ TAX $ A�thorized Agant TOTAL PA1 D $