Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1800 VIOLA PL - Building Permits
CITY OF COSTA MESA ' • BUILDING DIVISION t: )$ 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa,ca.us FOR INSPECTIONS CALL: (714)754-5626 �.+t PERMIT NUMBER: B10-00115 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42424113 DATE ISSUED: 05/03/2010 ISSUED BY: .RMD JOB ADDRESS: 1800 VIOLA PL CM Suite/Unit: Vicinity: 1ST STORY ONLY Squares: 1600 Valuation:, $4,500.00 SCOPE OF WORK: PARTIALREROOF OF 1ST STORY ONLY.TEAR OFF(E)ROOF MATERIALS,INSTALL 1 LAYER OF 15#FELT ON A 5:12 PITCHED ROOF AND REROOF WITH.30.YEAR COMP SHINGLES ON 1ST STORY ROOF ONLY,APPROXc16 SQUARES. REPAIR AND REPLACE_SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. - - OWNER: HEKMAN STEVE AND HEIDL Address:: 2768 TERN CI Unit: PHONE: 714-719-6950 , • - - - '"City/State/Zip: COSTA MESA,CA APPLICANT: MOREAU;'JAYS . . - Address: 1117 COUNTRY CLUB LN Unit: : PHONE: 714-423.2120 • City/State/Zip: CORONA,CA CONTRACTOR: JAYS.ROOFING License.No. 512051 Address: 1117 COUNTRY CLUB LNUnit: PHONE: . " 714423-2120 City/State/Zip: CORONA,CA 92880 - - - CELL: 951-280-9668 ARCHITECT: License No. - ,- PHONE ENGINEER: . - License No: - PHONE: • FEE SUMMARY Reroof Plan Check: $0.00 • Reroof Permit Fee: $111.25 . Reinspection Fee: $0.00 � ' • • Bldg Std Admin Fund $1.00 TOTAL FEES $112.25 - HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE N. INSPECTION TYPE DATE INITIALS CODEC INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final A 208 Final Plumbing L 200 Final Re-Roof V)f D) L Q "OY'w w v 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver.license. 0 Yes ❑ No I hereby anirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-properly tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy El I hereby certify that no excavation five(5)or more feet in depth into which a number are: ���^^^ person is required to descend,will be made in connection with work authorized 51 / y by this permit,and that no building structure,scaffdding,fdsework,or demolition Carrier: / or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This seohen neeTnol be completed a The mane a vameaat,4/,ne hundred dollars(3700)or less.) 2 M2 Sec 341 Title 8,Califomia Administrative Code). PoliEy,Number: OV/J a.6,...7— p�.9°/ 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should . become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor hall fo wit omply with th se provisions. (- ,$ _j'__/o Division of Industrial Safety Permit Number: A�ppl¢anl's Signature erste HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. C�. a registration form for acutely hazardous materials? ❑Yes ❑No Uc."#. -. o. c-3s# � / (Section 25533 of the California Health and Safety Code, with some tam exceptions, requires registration with the Costa Mesa Fire Department by '' J ��d each business which at any one time has on hand a quantity of acutely omractors Signature WIM"Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ElYes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? El Yes ❑ No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No 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 8. (If"yes", attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and IDI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I • a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. Signa (Legal O er( Date Signature Date _-----------' / D ^l 3057-4613/07) `"* A I f% -^+ iv Authorized Applicant Date rescriptive Certificate of Compliance: Residential CF-1R-MJL, ne Residential Alterations (Page 1 'of 5) Project Name: Climate Zone q co h of Stories CicAi r. General Information yy� ilk Site Address: QOO Y7064Ql..-I I Enforcement Agency:On Date: J 3.—7 5: Building Type 0 Single Family XIsriulti Family Circle the Front Orientation:N,E, �.r degrees r Conditioned Floor Area(CFA): -- - Project Type: 0 Alterations 0 Envelope 0 Fenestration .,Roof 0 HVAC If , Replacement or Change Out 0 Duct Replacement 0 Water Heater NOTE: This farm is not to he used for Newly Constructed Buildings or Additions • --•,.,, ,, - btsvtlatian Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction fable below) - . Assembly Alteration OE Opening of framed cavity:done-Alterations that involve the opening of the framed cavity vfa wall, ceiling,or floor must install the mandatary minimum insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mandatory insulation value in Column H, ❑Replacement of entire assembly-Replacement of an entire wall, ceiling,or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A-J. . Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. .A B C D E • i - F I G - . H 1..._ _�.. . ....-J- ...- . . .. Proposed Ste note Standard Values From JA4 Table - Framing Thickness, Framed Continuous 3A4 I Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly ID' or Type' and Size' or Other; 1 factor' Numbers R-value° R-Value' Cell Values I U-factor9 L 1 . L _ .Note:For furred assemblies,accounting far Continuous Insulation R-value,see Page J44-3 and Equation 4-1. For calculating furred walls use the Mass and ' I Furring Consultation table below. 1.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For Wood, Metal, Metal Buildings,Mass,enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U-factor front Table 151-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0". 8.Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly(gamy in Column J 9.The Proposed Assembly LI-factor, Column.1, must be equal to or less than the Standard U-faetar in Column E to comply. • Furring Strips Construction Table for Mass Walls Only A It I C I D ( E _ F G l II 7 I J IC L I M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation j Walls From Reference in Furring Space train Reference - Joint Appendix Table 4.3.5,4.3.6,4.3.7 I Joint A rpendix Table 4.3.13 1 Li 1 • v e. F if io�, .V Li) v Assembly 7' j p ° P' ~ c y,'N 2_ ,v'm Final w _ v c m Mass Name or JA4 Tabic � �• v` - F E g '� > o ? v m Assembly Thickness' Type' Number' _ = L' ° s`_ t" 3 LE tr 2 :. u.n c U-factor6" Comment 1 1 . _ 1 _ I I I l1 I I - Registration A'umber Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential tF4R-ALT Residential Alterations /// (Page 3 of 5) PrujechName; TClimate Zone# pn #of [oriel • Ilk ROOFING PRODUCTS(COOL ROOFS)§151(f)12 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 fit, whichever LS less,the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)1Hi,152(b)1Hii,or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements.Note:If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i)are not applicable.Do not fill table below. ['Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. 2. ?tool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 5t1)/f12 . ternatives to§152(b)IHi and§152(b)Hii,Steep-slope roof(pitch>2:12) 0 Insulation with a thermal resistance of at least 0.85 hr112.°F/Btu or at.least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(1)10;or ❑ -In climate zones 10,12 and 13,with 1 &of free ventilation area of attic.ventilation for every.150 12 of attic floor area,and _ where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or • ❑ Building has at least R-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)1Hiii,Low-slope roof(pitch 52:12) ❑ Building has no ducts in the attic. • Other Exceptions • . 0 Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. 0 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/f? s exempt from the below Cool Roof criteria. Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing Products"Cool Roof"Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' < 2:12 >2:12 < 51b/ft2 > 51b/E2 Type Reflectance3'4 Emittance SRI'S ❑ ❑ 0 0 ❑4 ❑ 0 0 0 ❑4 ❑ ❑ ❑ 0 ❑4 ❑ ❑ ❑ 0 ❑4 - 0 0 0 0 ❑4 I. The CRRC Product ID Number can be obtainedflow the Cool Roof Rating Council's Rated Product Directory at www.coolroots.orgloroducts/search.php 2.Indicate the type of product is being used for the rooftop,i.e.single-ply roof,asphalt roof metal roof etc. 3. If I'M Aged Reflectance is not available Mitre Cool Roof Rating Council's Rated Product Direct my then use the Initial Reflectance value from the same . directory and use the equation(0.2+0.7(pe,t,;td—0.2)to obtain a calculated aged value. Where p the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the Si?]value by using the SRI- Worksheet at hup://wune.energy.ca.gov/tille24/and enter the resulting value in the SRI Column above and attach acopv of the SRI-Worksheet to the CF-IR. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating: 0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other II • 1I' Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms • August 2009 a Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 5 of 5) , . Pas,, i2tName: Herm/941 Ctitnnte Zone W 1 WeliStories • HERS VERIFICATION SUMMARY The enforcement(Ike??CI,should pay special attention to the HERS Ivleosure.r specified in this checklist below. A completed and signed CF-C?Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testily, HERS verification is requiredfor this meant. ❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts arc to be sealed per 1152(b)lDii and the newly installed ducts are to be insulated per §151(1)10, O EXCEPTION:Existing duct systems that are extended, which are constructed, insulated or-sealed with asbestos. ❑ YES 0 NC) YES:In Climate Zones 2 and 9-]6, if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the ducts are to be sealed pet §152(b)lDi. ❑ YES 0 NO YES:In Climate Zones 2 and 9-16:if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§]52(b)1E. ❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS -• Verification in accordance with.procedures in the Reference Residential Appendix RA3. • ❑ EXCEPTION:Duct systems with less than 40linear feet in unconditioned space. ❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required for this measure. 0 YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per§l52(b11F. Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of 0150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. - ❑ YES ❑NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is .• replaced.the airflow and fan watt draw shall be verified per§152(b)lCi to meet the requirements of 615 1(fl7B. Documentation Author's Declaration Statement • • I certify that this Certificate of Compliance documentation is accurate and complet Name: / .� _ ^ _ z�� % , `,,//l�� Signature: Compatl(i'1//��� /s,�/e ifR���/ 7� Late: C^ �—/c Address: / If Applicable❑ CEA or 0 CEPE �dre f l f 7 COG-IN-IX?' C-IIQ r/t (Certification ti): ate/Zip: /trt/J 0r�. c- - iZ�O l' Phot,/0 — 1/42.3 7,2Io294 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance arc consistern with the information provided to document this building design on the oilier applicable compliance forme,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Bate: Address: License-. City/State/Zip: I'hone: For assistance O questions regarding the Energy Standards, contact the Energy Hotline at:1-8110-772-3300. I(egisnauon Number: Registration Date/Time: 1/ERS Provider: 2(1011 Residential Compliance Forms . August 2009 • 4.01"644 ,^� CITY OF COSTA MESA ,C140; " „• CALIFORNIA 92628-1200 P.O.BOX 1200 rin I: J.'• -�� DEVELOPMENT SERVICES DEPARTMENT 'y�RRPORRM1�9y9. . September 16, 1986 lb: Building Safety Division) Pacific Bell (2) Business License Division Police Department - Ping. & Research O.amnunications Santa Ana Heights ?ter Canpany County Administration Office Sanitary District Engineer County Clerk/Board of Supervisors Southern California Edison Co. County Registrar of %bters Southern California Cas 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 ?ter District File (2) Newport-Mesa Unified School District (2) The City of Costa Uesa wishes to advise you that in revising street addresses, the following addresses have been changed: OLD ADDRESS NEW ADDRESS A.P. NO. • 1800 Viola Place 1800 Viola Place "A" 424-241-13 11B" 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, a V1_710e, MEL E. LEE Planning Intern ML:alm (F-1-51) cc: Linda West & Bret Anderson 412 Snug Harbor Rd. Newport Beach, CA 92663 Code Enforcement/Business License (714) 754-5234 Building Division (714) 754-5626 Planning Division (714) 754-5245 77 FAIR DRIVE r • Piew . U.... ,_; &at, . v 0 4%,,, Ar • N OW Sf/N6 NpSt,AWE . A« 1raw TO W. / 6 . sr. , , _ _ . • . . 2 CITY OF COSTA MESA 5026 3/31 /87 1229.38 TL PARK FEES Fee' Payment Receipt 0077 .010 7 7 Project Address TOC/ j/ioL-� P&tp� / 1!/412-f' '-3 A.P. Number 4i211 —21-/ Building Permit Number ye a79V6 Owner's Name .1 � �j /fi5' ,///r Mailing Address 1/ a II/%rJ EI /�W/InriUI� 92-66-3 FEE: Single Family * - Number of Units 2-Bedrooms or Less @ $ 861.76 = 3-Bedrooms @ 1,205.67 = • 4-Bedrooms @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family ** Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = 2-Bedroom @ 881.51 = • 3-Bedrooms+ - 1 _ @ 1,229.38 = eta• 7?9 y��A � -77�f---- T�ptaall FFe'ep*** ap2q•3S ling Department Approval to By X 44;S_ 4 . _, licant*s Signature * City Ordinance 72-44 ** City Ordinance 72-45 ***City Resolution 78-116 IIICCCgp���III���IIILLL��p{�7� 7r�r,�rLLL7,YYY111 CMF 0174-30,rev.7/85 Wnite—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant WJ�'Jll -1 L �/ •� - �� 111EIC'SAp pl ica nt to fill inallthosewithinheavyborderlines and.signappropriatedeclarations.- spaces except all eca . ` , 1 �„ CITYtF•COSTA ESA CONSTRUCTION PERMIT PERMIT ! T7. , O.' LOT NO.O �I UNIT NO. Project'Address (too vioa .a. fLA - _ I.) 'P � LV2 I 1 I TL • �LL 5087 .3/3 /87 406, 9 Applicant's Mailing Address -_. --i ' i :-�`-- TYPE❑O:CONSTRUCTION �'V W❑ O AD AL •ATION REPAIR • 9 •_)• /�,A (�,�'. CONVERSION III-DEMOLISH .0THM - •�� '.. qP,# 4 9 _", /// - /3 - • Zone Address Nam iI' -.u_ :tile L- Phan DESCRIPTION OF WORK/USE OF BLDG `]" 7 /Address G�� -•" b_ ,/1 _-�� ^ - _�;�,� - ' S Main Building: - 'AccessoryBuilding: , ri- ^'Arch/Eng. �4L 1faJr /may.-e1y6& License ,.Nc� L��I TYPE OF PERMIT N GRADING . FOUNDATIO STRUCTURAL - T , Front" � �," ` FOR,- /,Z �Z '7 -L7 g - O S•'/Address �3, Ti ( (7*• #4I tial•/T�ANA. ❑ TENANT ❑ ELECTRICA4.L ❑L,PLLUM INg ,❑�MEGeANICAL U�� • BA Rear - -6 µ~��+/1 _ It -. N ❑ OTHER l�f cf r" Contractor's Name t,/lC> -- ••••-• Phone{! �`' PROJECT DESCRIPTION 5c2. O UPAN V ''!! _ C Right l� �y �/ • �'A'r-� - _ G, Address(mailing) • - `^ 'CONSTRUCTION TYPE �� VALUATION �T S Left 2. ' /�' / _� 77 ! . °49r4/7:--p iy R ,City-License No. - r. w ZONE GRADING CU,YDS" ACRES' / ec E LICENSED CONTRACTOR DECLARATION ' . �, Ping. Ref. # '''///111 Parking Req./Pr ed - Q hhereby affirm that I am licensed under,provisions of Charter 9(commencing' Remarks: p J / ' all 444/4464510 Alanning Notes: p 4 -,g(� .�p y foie Ayr M with section;7000) of Division 3 of the Business and Professions Code,and r C• EyE G6D. / _ �YJ-• . G s�s/ // '` • my license is in full torte and effect. •�C, J SZ —Q(p L l� //G(/� T• • o KE ZonFE u •App/rices r K s; I ,License Class - License No. _ _ HOLD FOR SPE -A) ra ,,-..,:.,-, t nate' t Signature PLUMBING . 1 I -F ES I 3RKERS'COMPENSATION DECLARATION - _ -mak yr- ' , ,ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES Iof Workers' Compensation Insurance, or a certified copy thereof (Section ' _ - - - - - Backflow Preventer . - • - " Service Sink• - ' - Automatic Washer - --- - Transformer ❑ 15750 KW '- • 3800, Lab. C.) J ,. I I 0 50C-k0 Policy No. ,Company - Backflow Irrigation Sewer Caps .--:...•• - I� I Construction Pole Sub. , • }yCer[ifietl copy's hereby furnisheC.. ... - - - ' LJ:Certified copy is filed with the city Building Division:''. Bathtubs Sewer Connection"" .-.--'- " . ' Cooking-Unit Meter ❑up to 100 amps - ' ' Date - Applicant - ' - _ - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION i - Clarifiers Solar Collectors - - , Dishwasher . • , m Meter Dover 100 amps _ i (This section need nat'be completed if.the permit Is for one hundred ($100) or . - — - less). 4.', ' ,. , - Dishwasher) Solar Piping .{ r- , - Dryers ❑Gas ❑Electric • Sub Panel ' t' 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 beta a subject to the Drinking Fountains Solar '-• i Fan • - Workers' om ensatiolIl1,,Laws ofCaliforni -• -• - - Motors Do ; P ❑1'/z-8"' Date ^�J'g'! Signature yy sr'''. Floor Drains Swims 19 Pool w/Spa F.A.U. '-' Inc. r 09-15 HP ❑16-15+ ' NOTICE: If,after'mak ff ng this declaration, you should become subject to the 1-X/ ' • Workers._Compensation provisions of the Labor Code, you must forthwith Floor Sinks - __ ,. I mal' - - - -. -- -- Fixtures; - - - - Icrowave - -T' ' ' comply, with such provisions or this permit- shall be deemed revoked. .. - -i CONSTRUCTION LENDING AGENCYGas Service . Outlets Water Closet - Device Bo)(es �' Pole Light • i I hereby affirm that there Is a construction lending agency for the performance - " _ - ' • of .the work for which ,this permit is Issued (Section 3097 ,Civ, Interceptors Water Heater Outlets ; .+ -Range.i ,Lenders-.Name • Lentler's Address' - Kitchen Sink' . - Water Service O: :1?, Switches c Sign, .t • OWNER BUILDER:DECLARATION: " ' I hereby affirm that ham exemphfrom the Contractor's License Law for the Lavatories - _ Auto-Wash• - - - Garbage Di_spo 1 Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - - ' county,which requires a permit to•construct,alter,improve,demolish or repair P-Trap _ Laundry Trays • • f Generato 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 •Roo rains ' :.the Contractor's License-Law(Chapter 9 (commencing with Section 7000) of , - - - " t ..n - I i . "--"Division 3 of the Business and'Professions Code) or that he/she is exempt --, _ - _ " '1, therefrom:and the basis for the alleged exemption. Any violation of Section- ' Y - • , r- - - t • 7031.5, by any applicant for a permit'subjects the applicant to a civil - -- - . - - - _ _`' _ - enalty of not more than five hundred dollars'($500). I - . It • 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 PPP 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 improvesr. ' I�7 thereon, and who does such work himself/herself or through his or her own - `'DEVELOPMENT SER VICES REQUI EMENTS: - ,7 `�( 8/ • employees, provided that such improvements are not intended or offered for Boiler. -- Hood or Type I ❑ 'ii - - sale.'If; however, the building or improvement Is sold within one year of corn- - - - - . Canopy Type II 0 - Zoning Ali-droved By -D� - �G• Date ',lotion, the owner will have the burden of proving he/she did not build or MI- Duct-Under Ground ., %.Building Approved By Date.7-:7/-147 Pro he purpose of sale)" - _ - I; as owner of the prorojec,am exclusively contracting with licensed con- Duct-Structural t Refrigeration System ',) Application Issued By /• Date 7 �—t°S� 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 U r�i t , , i• 1 _ S�MARY O; FE builds or improves thereon, and who contracts for-such projects with a con- - - - - - - - �1/N/1� / /p , tractor(s) license pursuant to the Contractor's License Law). I am aware that _ 'BUILDING PERMIT -$ ' "YT�O.06', SMIP $ • to•( 7 proof of their Worker's Compensation insurance should.beExhaust System 0 Multiple 0 System Rep teration provided to me. r •p 'BUILDING CK•� $ PERMIT; 1 0)1am exempt tinder Section B.& P.C.for this reason Firepl/Fact:BIL ICBG 4 ampers 7 • PLUMBING ' $ ak, 'r ISSUANCE ; $ • Date 3Y+/T'7 Owner _ _ Heating System& Ducting Registers PLAN CHECK 25% $ 1 ® ENERGY P.C. $ I hereby certify:.that-I have read this application-and state that the above - 00"100,000 BTU 01 , OBTL - ' Jr GRADING $ • information is correct.,I agree to comply with all city and county ordinances 1 i ELECTRICAL $ • and state laws relating building construction, and hereby authorize repre- - ~ :MICROFILM $ sentatives of this it 0 'e er u the above-mentioned. property, for • PLAN CHECK'• 50% $" inspection purposes. ,fgorl�,/ •� .MECHANICAL $ TOTAL FEE $ Signet �[ Tyr Reinspection Fee I $15, Issue Fee ,$ 3 PLAN CHECK 25% $ - CMF 0865-46,rev. 10/84 White - Building Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - / - • CQNSTfUCTiON AND PLANNING PY%.--°� &SPA- APPROVALS Permit# Date Inspector APPROVALS : .Permit# - Date Inspector '.1. Temporary Electrical Service or Pole 52. .Pool & Equipment Location '' 2. Soil Pipe-Undrrdrnd. • 53. Steel Reinforcement i 3. Elect-96a! Conduit Utility-Undrgrnd. ' • 54. Form's _ - - : _ - . • •1- 4.''Electrical-Conduit-Undrgrnd. - - - 55'. Electrical Bonding - 5:'Steel Reinforcement -- 56. Rough Plumbing & Pressure Test fes 6.''Electrical LIFER Grnd, • VW/ ' Ad' 57. APPROVAL TO COVER-GUNITE (/ 7.,:Footings,. '•.` I SiC� 8/87 - 58. Electrical Conduit-Undrgrnd. , • 'r, 8. 'Foundation ' `j 59. Gas Pipe, 0 Undrgrnd., Test - • 9.-Water Pipe-Undrgrnd. - -• 60.-Backwash Lines, P-Trap, 0 Undrgrnd. i 10. Structural Floor System' .t/2) P�- . 61: APPROVAL,TO DECK , 11.`Property Sewer.Line & House Connection LLLL , 62. Backwash & Receptor-Final . • 12. Sevver'Cap - - ' 63. Heater & Vent-Final • 13. Roof,Drains- 64. Plumbing System - Final - • • 14. Rqugh Plumbing 65. Electrical-Final ` 15. Rough-Electrical-Conduit 66. Solar System-Final . . . • - 1.6: 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 ; ' 44 • , APPROVALS Permit# - 21. Ducts, in Structure -I • -70. Underground Hydro 22. Ducts,,V,entilating ;,� '71. Product Piping 0 Gas 0 Oil •• 23. Gas Pipe-Rough &',Test -72. Underground Flush - 24. Roof Framing .I-• , 73. Undergrnd.Storage Tank 0 Gas 0 6 - 25. Roof Sheathing: _ - 7/13/37 74. Overhead Hydro - - - , ,', 26. T;BarCeiling (Structural) &'Monocoat 75. Dry Chemical • 27.- Frame and Flashing 4f7/ ' . 76. Dry Standpipe •• . 28. Lathing &'Siding!,_ ' •_ f ! 8/ an pid 77: FIXED SYSTEM FINAL (,- 29. Insulation I„L , R, - ,I 7 0/87 p,$- .78: FIRE PREV. FINAL • • - / HEALTH DEPT. REQUIREMENT 30.'Dryimall Nailing • .. ', g7 pr7 &4- • 31. PlCoa aster Brown t• ... -,,r r('�(�"'� 79.- FINAL INSPECTION ' • 32. Electrical Power Mete-Final D+' 1 80. FOOCERTIFICATE ISSUED , I • 33. Final Electric N///otes: c/ 2y NOf �G.GA/ N� 34. Final Heating.& Air Conditioning - 4/=,7I. hf. f tA . e / ,� 35. Final Gas Pipe-Test 7 �, e �6 7'15137 _E er!Dr o25 fir:'eed9eot /2�:tei�( dear- 36. Hood or Canopy • . 6;k- , Wa/I miiMi. Or .r N%ri - Cos r - a+ aAj till 37. Final Factory Fireplace t; (�, n4i�,rth tot-u/P��r ok ppico q ,z e J ...,„4 Ja o _ 38. Final•Plumbing ' et',rn, t,(..- o wrap e.-)C rinf'- 4o-kieeT To 39. Water Service-Final i - ' • / q t ' 11 40. Gas Service-Final 1 'JPD t D-t I001A,•4aa+WJ ' C,MRMes'}[ as .ah� Srtr•C� - Va. 41. Solar Domestic-Final - i - , • oc+�eravca to �vu,r�,NI rovt�ic tAiE , 0 er'r e_ 42. Backflow;Preventer '/11011-Rou6 PWAIMG: al: St1-1EcF- Ta-,P.'Gtt F'LuMMR 5464oFfi 6A 43. Backflow Iriigation ' 1 I` ' '• ,1 ' 44. Landscape Irrigation System - • , • qf{ 45. Sound Attenuation " ' 46. Handicap-Regulations . • ' • . ` 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed • /Zy(87, M M , 49. Electric Release to Edison • . . �V� ' - •• 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OFOCCUPANCY • No. Date ' ._ - ' FPIE • . . FORBES/MANSHADI ENGINEERING Structural Design & Consulting August 3, 1987 Pacific Building Concepts . 23'1 E . 17th Street, Suite 205 ' ',Costa Mesa, Ca 92627 .:".',• I:44 ,r+.'''.' `' .;rattn; Craig Hampton •. n . . Re: Anderson Addition at '112 Sung Harbor Road, Costa Mesa, CA . CFME# 786-869) Dear Craig: This letter is per your request, regarding drilling of R/J over the living room . It is my understanding, that a 1" tp hole was drilled approx . 1" For the bottom and located 3 ' from the end of. the R/J . The clear span is 10 ' $- , after review and with consideration that the allowable span is around 1'1 '-0" , it is my opinion that the R/J are still adequate to carry the required loading . If there are any questions, please feel Free to call . Sincerely :�"" . FORBES/MANSHADI ENGINEERING ^'c 0%ESE: /4gv)'.,,.,, -'4"-- 5 .c.? J.C.-/ Da'l L L . Fortes, C .E . + 0-30407 r. ti J ,' C!v!\. .,' r tt ,p.. - n : i . , 3/7/iS r 17332 Irvine Boulevard • Suite #115 • Tustin, California 92680 • (714) 838-3997 Wells Insulation Ca 1✓v 4687 • 11362 Wenn:inner Are. #C Garden Grove.CA 92643 714-530-9530 license # 384692 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE CODE,TITLE 25,STATE OF CALIFORNIA,IN THE BUILDING LOCATED AT: • ADDITION LOT# TRACT# STREET 1800 VIOLA PL. CITY COSTA MESA EXTERIOR WALLS: • R- MANUFACTURER MANVILLETHICKNESS/TYPE 34 VALUE 11 CEILINGS: MANUFACTURER MANVILLE THICKNESS/TYPE 6j11 VALUE 19,30 BLOWN IN; MINIMUM R- MANUFACTURER THICKNESS VALUE SQUARE FOOTAGE COVERED NUMBER OF BAGS USED FLOORS; R MANUFACTURER THICKNESS/TYPE VALUE SLAB ON GRADE: R- MANUFACTURER THICKNESS/TYPE VALUE WIDTH OF INSULATION INCHES FOUNDATION WALLS: R MANUFACTURER_ THICKNESS/TYPE VALUE GENERAL CONTRACTOR. CALIFORNIA CONTRACTORS LICENSE # DATE SIGNATURE TITLE C7 INSULATION CONTRACTOR 84 6 12 CALIFORNIA CONTRACTORS LICENSE# DATE 07-31-87 sfe. . PRFS. SIGNATURE TITLE �-��� • ® ROBIN B. HAMERS 234 E.17TH ST.,SUITE 205 & ASSOCIATES, INC. COSTA MESA,CA 92627 CIVIL ENGINEERS • PLANNERS • SURVEYORS (7141549-1192 September 28, 1987 City of Costa Mesa Engineering Division 77 Fair Drive Costa Mesa, CA RE: FINISHED GRADING CONFORMANCE 1800 VIOLA CIRCLE, COSTA MESA Gentlemen: The finished grading for the above project substantially conforms to the approved Grading Plan as determined on September 28, 1987, with the following exception: the back of- the drive approach was found to be an average of 0.42 ft. lower than the design elevations. Therefore, in maintaining the design drainage pattern, lower elevations were used throughout the driveway and garage area but in all instances, still maintains positive drainage to the street. Siely i1/410) Robin B. Hamers cc. Linda West i Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . CITY OFCOSTA'MESA 'CONSTRUCTIQN'PERMIT ` `_ P�RMI•TNO.���� TRACT NO. LOT NO. UNITNO. • 6620 .4I22I87, 15.50 TL Project Address / got• VietA a -, ��, 0'7\ / f : i • • App icaAt's Mailing AddrN• al AP..* TYPE OF CONSTRUCTION Lv1 NEW LI ADD L I ALTERATION Li REPAIR . 6ya-is�� 111 CONVERSION IE DEMOLISH ❑ OTHER A.P.# , _ • I - , , _ Zone - ner's Name14102-471 P"'�LL"Si•ecl Phone DESCRIPTION OF WORK/USE OF BLDG. • Address S Main Building: • Accessory Building: • Z Arch/Eng. License No. • TYPE OF PERMIT_,EI GRADING ❑ FOUNDATION IIISTRUCTURAL .T Front .• . 0 • Address ' ❑ TENANT IJ ELECTRICAL• ❑ PLUMBING El MECHANICAL B - N Contractor's Name C.L.0—LTQN-Lire /fA 1� 7P—h�one JJC/�o O(c2/0 ❑ OTHER A_ ea _ _ N Address(mailing)/S/ , A(# ,2 + r1'Nfl•( l/1j PROJECT DESCRIPTION SQ. FT. • OCCUPANCY K RightG ..7 V qJ •CONSTRUCTION TYPE v� VALUATION$ S Left i R City License No. ' ZONE GRADING CU.YDS. ACRESd E LICENSED CONTRACTOR DECLARATION• ��• Ping. Ref.# • Parking Req./Provided Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: %�/t_ e��,^ ' O�Qpr Planning Notes: M I with.section 7000) of Division 3 of the Busin- s and Professions code, and �X9 h KV ly � '� - .... j my license is in ful force and eH-ct. - S License . s 4 Lice 3' No. Date 4' ' j ignature �.1 _ PLUMBING I : FEES - t WORKERS'CO -ENSATION DECLARATION Bar Sink Showers FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate - . .- ELECTRICAL of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink • 3800, b. . �}►y]�. Automatic Washer _ Transformer 0 15-50 KW Policyo. �r Co ¢tny SLTflTL' atigil ' Backflow Irrigation - Sewer Cap` . Construction Pole Sub. , ❑ 5o+KW ' �.J.6 aCertified copy is hereby furnished. /I _ - Cert" " d cop . filed with the c 7i Bathtubs Sewer Connection y!" ;4, I i Cooking Unit Meter ❑up to 100 amps Applicant '� ' , EXEMP ON F OM WO KERS'COMPENSATION DECLARATION i Clarifiers Solar Collec s- . - Dishwasher - ( Meter uGover 100 amps 7 Tv (Thissection need not be completed if the permit is for one hundred ($100)or - - - less). Dishwasher - Solar P'eing t " Dryers .❑Gas ❑Electric . -' Sub Panel • I certify that in the performance of the ork for which h s-permit is Issued, I - - _ shall not employ any person in any nner.so as to be me subject to the Drinking Fountains ar Tank Fan • Motors❑0-1 HP ❑1'/x-8 DorkerJ'�rpp�rmi( Laws of Calif N. (1 - ' — Date `'h7, af }f a/ Signet AA ys„TTf��tldyy Floor Drains Swimming Pool vv/Spa F.A.U. Ina Solar 09-15 HP 016-15+. NOTICE` If,aft r oiking this declaratf on, you sho 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. Fixtures Microwave CONSTRUCTION LENDING AGENCYGas Service . Out s Water Closet - 1 hereby affirm that there is a construction lending agency for the performance - Device Boxes Pole Light • of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets • Range Lender's Name - i Lender's Address ' - • - Kitchen Sin Water Service - - - - OWNER BUILDER DECLARATION - • Switches Sign • ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavator 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_ rap i 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 --10 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). .3 1, as owner of the property or my employees with wages•as their sole Reinspection Fee $15 Issue Fee compensation, will do-the work,antl the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3 for sale (Secion 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 ❑ . sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II ❑ Zoning Approved By Date pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - - prove for the purpose of sale). -- Building Approved ey r•Date ❑ I,as owner of the property, am exclusively contracting with.licensed con- DuctrStructural Refrigeration S m • Application Issued ByDate -•12S7 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 00-100 BTU ❑100,000 BTU SUMMARY OF FE builds or improves thereon,and who contracts for such projects with a con- - . . - - • . tractor($) ecense•pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ tem Repair/Alteration - BUILDING PERMIT $ SMIP $ • - proof of their Worker's Compensation insurance should be provided to me. _ • PLAN CHECK • $ .PERMIT 0 I am exempt under Section B.& F.C.for this reason Firepl/Fact.Bit: ICBG# Fire Dampers PLUMBING $ ISSUANCE $ , , Date Owner Heating System:& Duct' Registers PLAN CHECK 25% $ � ENERGY P.C. $ - I hereby certify that•1 have read this application and state that the above 00-100,000 BTU 00,000 BT - /5J-' - GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws orating ( iltli construction, and hereby authorize repre- - - A/O 2 LAN CHECK 50% .$ MICROFILM $ - - ive5 of 1 is city o ent upon the above-mentioned operty for ' inspection pur e . MECHANICAL $. TOTAL FEE $ /57 5-03 5 Signature O L`7 Dat 22' • . • Drivers' Licens or SS#, Reinspection Fee I $15 Issue Fee $ 3 . PLAN CHECK- 25% '$ - • '-ME 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor IIIII . .1 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:' :t., 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcementl56. Rough Plumbing & Pressure Test •• • I • • 6. Electrical UFERGrnd. , • 57. APPROVAL TO COVER-GUNITE' 7. Footings i I - 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 0Gas 0Oi e1 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 gusty )441... /,Ir/9r� i. Notes: 34. Final Heating &Air Conditioning • ���" . 35. Final Gas Pipe-Test 36: Hood or Canopy_ - • 47H- 1 Final Factory Fireplace - n 38: Final Plumbing ( .7' f 39.7 Water Service-Final . f •1 1.40. Gas Service-Final - ' • ' . -41. Solar Domestic-Final I • :91 • i '42. Backflow Preventer • i • . .V l ' P } . f '- `• i, .. Backflow Irrigation l-43. LI . : - - l ,, • 44. Landscape Irrigation System . --•• - •45,--Sound Attenuation. ' 1 ' - ' , v 46. Handicap Regulations 4 • ) .. 47: FINAL STRUCTURE & BUILDING . 1 . 4-, t, 48. Special Requirements Completed- I _ • e • •• . 49. Electric Release to Edison 1.• ,. I • ° - 50. Gas Release to Southern California Gas Co -ir " ��' r., 51. CERTIFICATE OF OCCUPANCY '. ' ti '.. No. Date • • _ ,. a - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 'klf'I ' 't CITY OF COSTA M}1C($1{cp.p���^�_'(��'C)O R CTI P RMIT PERMIT NO.�1 �/ TRACT NO. LOT NO. UNIT NO. •• I ;Project"Address ' \C V���,n . � • lsurj E,. /3/�) r 1 1 • E4= 7/1 /_. ' b6 \c pt c— TYPE OF CONSTRUCTION L7 NEW, ❑ ADD ❑ ALTERATION LJ REPAIR /•Applicant's Mailing Address ( „"^ �~' ❑ CONVERSION C7 DEMOL • ISH ❑ OTHER - A.P.# __ _ Zone Owner's Name NIS WEs�( ANteeso La Phone 14442.G k) DESCRIPTION OF WORK/USE OF BLDG. �- • • Address "4t?_ SN M'Tl\•bt7 - �e 1• S Main Building: ; Accessory Building: •' Arch/Eng. .' License No. • v_ TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front - - 0 Address (('�.�• - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B - N W,� Aa't c2 CISeS hon (112 Pig ❑ OTHER A Rear Contractor's Name Phone - • � C Right'- •- - - . - N PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) b\b �WQI� IRJe knock 6f.AGt, CON ST RUCTION TYPE ' VALUATION$ 'K Left ' City License No. ' ZONE GRADING CU.YDS. ' ACRES $ I E boo LICENSED CONTRACTOR DECLARATION Ping. Ref.# • Parking R¢q./Provided O fx- I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: . Planning Notes: M W with section 7000) of Division 3 of the Business and Professions Code,and - T my license is in full a ap tfect. {� \�u/;-/���� U l 1`�t 1 • . S License�las�-,.� ` 1:1NJCJLLt_7`n ` I �� � r� 101.1 II Date]_ Signature - PLUMBING -FEES WORKE s• oMPeNSFTION DECLARATION Bar SinkShowers - ELECTRICAL I FEES I hereby affirm that I have a certificate of consent to self-insure ora certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer _ -• • Service Sink - w 3800, La��yyyy��C��Y}}P'+•.�� (.` ,�p,�/ SVPICI Automatic Washer Transformer 0 15-50 KW • 000 NQ+�+'+��v�� I Company�1 CIC �O^, Backflow Irrigation _ ` • - Certified copy is hereby furnished. g Sewer Cap _ •U Construction Pole Sub. r 0 50+ KW Certified copy is filed with the city Building Division. Bathtubs - - ' - Sewer Connection Cooking Unit "� Meter 1pup to 100 amps 4'0 Date • Applicant - - - 06• EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - - Solar Collectors. - - ,,I" Dishwasher •• - S' Meter Dover 100 arnps I 00 (Thissection need not be com/pletecyst-ttIe permit is for one hundred ($100)or — less), or r�i Dishwasher Solar Piping i. Dryers as ❑Electric 3 Sub Panel " • - 2 0 00 I certify that in the pert ance 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 Motors 00-1 HP 01%-8 '• Workers' Compensation Laws,of California. Date Signature Floor Drains • . . Swimming Pool w/Spa - • ' F.A.U.'- ' - Inc.Solar 09-15 HP 016-15+ 2. 5C NOTICE:If,after making this declaration,you should become subject to the _ — _ _ i Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • - Urinal 14 Fixtures ' I Microwave 24 • comply with such' provisions or this,,pefmit shall be deemed revoked. CONSTRUCTION LENDING AGENCY iGas Service� Outlets I Water Closet • I hereby affirm that there is a co�ction lending agency for the performance - i Device Boxes Pole Light -. of the work for which this permit is issued (Section 3097 Civ. C.) - ,- Interce•ptors' Water Heater Outlets • Lender's Name - �0 Range • , .Lender's Address - I KitchenSink ' - Water Service• OWNER BUILDER DECLARATION - - - - . so Switches _ $ign - - • y �' 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 t Standing Sections 0� 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 provisionsof • - _ the Contractor's License Law(Chapter 9(commencing with Section 7000)of . Roof Drains �,/ Q\y • Division 3 of•the Business and professions-Code) or-that he/she is exempt . - - . - ��w'0 �'� I t - I/ therefrom and the basis for the alleged exemption. Any violation of Section n {r 7031.5 by any applicant for a permit subjects the applicant to a civil : - .. penalty of not more than five hundred dollars($500). . I •- ' : - /, • 0 1, as' owner of the property or my employees with wages as their sole Reinspection Fee: I $15 I Issue Fee $: 3 ' . compensation, will do the work,and the structure is not intended or offered - III _ —_ 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 I ,Hood or Type I ❑ _ • I sale. If„however, the building or improvement is sold within one year of con-- Canopy Type II 0 - Zoning Approved By - Date 111 I pletion; the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Gfv Date "7 !/�J/�7 prove for the purpose of sale). - - — - — - - - L/ ( CCCIII 1/ al, as owner of the property, am exclusively crintracting with licensed con- Duct-Structural • • ' Refrigeration System . - •Application Issued By 1 Data tractors to construct the project (Section 7044,Business and Professions Code: i The Contractor's License Law does not apply to an owner of property who • Duct-Ventilating . ❑0-100 000 BTU ❑100,000 BTU - -, SUMMARY OF FEES - - builds or improves thereon;and,who contracts for such projects with a con- _ - - tractor(s) license pursuant do 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 t • ❑ I am exempt under Section - -B. & P.C.Sor this reason, Firepl/Fact.BIt.,ICBG# ' :Fire Dampers - PLUMBING $ ISSUANCE '$ Date - owner . Heating System& Ducting Registers �� ENERGY P.C. -5- PLAN CHECK 25% $ .i,=i . I hereby • tify hat ave -ad is application and state that the above ❑0-100,000 BTU 0100,000 BT - GRADING -$ ind stated'-is c r ct -s t. c• ly with all city and county ordinances _ , '- ELECTRICAL - and state la n .\ Id n• struction and hereby authorize epre- - MICROFILM” '5 - Inspe ties 'Si �o $t 5 n the above-mentioned oper t • - - PLAN CHECK 50% $ �_ Inspection IIi � til �� -- - MECHANICAL $ _ - - TOTAL FEE $ Signature CIt � . • Date I 1 _ , ''^ p-1 Drivers License or SS - Reinspection Fee - $15. Issue Fee .. $ 3' PLAN CHECK 25% $ •Q� 00"9 S F 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - • • O •..� �Z I � `S- / J r ,. - ' • POOL• &SPA- !��CONSTRUCTIONANDPLANNING - ' •• - - 'APPROVALS Permit# ' Date •Inspector. , Date Inspector • •1 t•! APPROVALS Permit# c,1,. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. n/ 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 8_ �� J/� 54. Forms L 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. Watef:Pipe-Undrgrrid. . • 60. Backwasht•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 f. 63. Heater & Vent-Final w 13. Roof Drains �' ' • 64. Plumbing System - Final '14. Rough Plumbing 4 65. Electrical-Final 15. Rough Electrical-Conduit -ks 66. Solar System-Final • `16. Rough Electric Wiring7;434767. Fencing & Access Approval 17. Rough Wiring Sign .. 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPASYSTEMS'FINAL • 19. Rough Heating & Air Conditioningi 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 PREY. FINAL - i, - 30. Drywall Nailing HEALTH DEPT.'REQUIREMENT 31. Plaster Brown Coat . FINALINSPECTION Sr 32. Electrical Power Meter-Final - 9 / 80. FOOD CERTIFICATE ISSUED . • 33. Final Electric - /t(/�7• Notes: �!'t 34. Final Heating & Air Conditioning .. .,�• 35. Final Gas Pipe-Test t - 36.,Hood or Canopy - • - "%' • 37.`final Factory Fireplace . - - - . • 38:-Final Plumbing - - t- .39�-'Water Service-Final - '- - .- `•,' • r • -40. Gas Service-Final - _ • r, ' 141. Solar Domestic-Final • _ - r .;'• ..!, - . '42. Backflow Preventer ' , ; L3 !' ,, ' • "43. Backflow Irrigation - '> < v 44: tandscape Irrigation System - - - •- •- t' -' -4`; �-" '+ 45 Sound Attenuation - • - i7), ^- ,1 46:Handicap.Regulations r - ',; 4• i t• , c Y •�- 47.._F_INAL STRUCTURE & BUILDING ' - 1,' ' t`, -`., _ (^n, 48;-Special Requirements Completed - • ,�. ti - 49'`._EJectric Release to Edison C '.•• • 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date '-, r i'f'J 0 -- • _ _ - - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations, CITY OF.COSTA.MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. ' LOT NO. UNIT NO. l �_a o 7�r p-• ' ' :� Projdct Address I$00 .VIOLL_'.1 ;may aa M a t 5"Z `. .Applicant's Mailing Address 'tea'µat Ln--ta s- VLVD 5,Zoo TYPE OF CONSTRUCTION ❑ NEW ❑,ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑ DEMOLISH• ❑ OTHER_ Owner's Name W E4114"Dfie's"' Phone 674•Z-1.311 - - - _ _ A.P.# _. _ - _ -. Zone ,_ r'� �` • DESCRIPTION OF WORK/USE OF BLDG. Address 412 SilU6'I-{LRAo¢ K I S Main Building: Accessory Building: ' Z Arch'/Eng. P84.14c$UIiDttaf*CLICEpTS License NoC 30409 TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front r . O Address '1$00 E,II 121 Or 20� �L 41A • • , ❑ TENANT CIELECTRICAL DIPLUMBING ® MECHANICAL B Rear • N Contractor's Name P. -IufTlIW CTo R9- jA1G Phone 9• 5Z'252 ❑ OTHER - - - _ A - ' - - -._ _ Address(mailing) ISGG2 �,A.t ACL744uIL !3LV0 2-ID IGLt/LL1a ^7z/15 PROJECT DESCRIPTION :SQ. FT. OCCUPANCY C Right • 'N -2,1,33 CONSTRUCTION TYPE VALUATION$ - s Left - + . G City License No. - • - - R • , ZONE GRADING CU. ACRES Ping. Ref. Parking Req./Provided ' E 60' LICENSED CONTRACTOR DECLARATION p _ Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I S. 2 '7 Planning Notes: - M (�• with section 7000) of Division 3 of the Business and Professions Code,and - /7 { Q T my license is in full force and effect. - • • - - S License Class - Lic s 0.4"15620'' - - _ _ I' Date 7-?4-b7 Signature _ Imo PLUMBING -- -.FEES -. - •' ' , _ r f WORKERS' COMPENSATION DECLARATION • Bar Sink - Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate - - - NI . . - oWorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - I, 'O 15-50 KW 3800,fLab. C.) - Automatic Washer' Transformer 1 Policy No.IV PQT 4255251-O( Company FrtniOVr EbbopNl7Y•6, Backflow Irrigation Sewer Cap ' - Construction Pole Sub. - 0 50+ KW i•-\,1 iCertified copy is hereby furnished. • n • Certified copy is filed with the city Bui 9 t7 :pp. //j • Bathtubs _ Sewer Connection ®, Cooking Unit Meter Cup to 100 amps • Date -t4' '7- -D'1 Applicant �(9 tyll - - _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps '' , ' (This section need not be completed if the permit is for one hundred ($100) or less). ''Disnwasher Solar Piping Dryers ❑Gas ❑Electric . 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 Solar Tank Fan ' Workers' Compensation Laws of California. Motors'❑0-1 HP ❑1'/z-8 • Date' Signature Floor'Drains Swimming Pool Vv/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. Fixtures Microwave CONSTRUCTION LENDING AGENCY .Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance • _• Device'Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ'C.) Interceptors Water Heater Range Lender's Name Outlets ' Lender's Address - . . - - Kitchen Sink - - -Water-Service • ' Switches Si n , - - - OWNER BUILDER DECLARATION 9 . I hereby affirm that I am exempt from the Contractor's License Law.for the Lavatories Auto-Wash ' - Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or Standing Sections , county which requires a permit to construct,alter,improve,demolish orrepairE—Trap , - 4 Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit p , to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of • 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). a , 0 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 (Secion- 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 - �� Q/ Date ? 1 l j� prove for the purpose of sale). '- 9 PP z 444, /! L / , 0 I, as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural Refrigeration System • Application Issued By Data 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 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 In Exhaust System ❑ 'Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof 'o their 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 4 Il Fire.Dampers . 4 CO - PLUMBING $ ISSUANCE $ - Date Owner • -• ' - • Heating System &Ducting •. ' Registers - _ ENERGY P.C. $ _ • PLAN CHECK - 25% $ I hereby certify'thatI have-read this application and state that-the above I ' g0-100,000 BTU ❑100,00087GRADING $ information is correct. I agree to comply with all city and county ordinances - 4 Do ELECTRICAL :$" • -- , and state laws relating to building c nstruction, and hereby authorize repre- - - . - MICROFILM '$ _ . sentatives of,this lty_ to enter n the above-mentioned property for 1 PLAN CHECK 50% $' o inspection purp • MECHANICAL $ H. LIC Signature Date 7-74-f}7 .- .TOTAL FEE $ 13•�6C `-Drivers' License or SS `. ' - Reinspection Fee $15' , Issue Fee $ 3 PLAN CHECK 25% $ 2.00 ' CMF 0865-46,rev, 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING . POOL&SPA . . APPROVALS Permit c.# 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, D 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 - :nit BA 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final , 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. RoughWiring Sign ' 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning -1-27-el P7 • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace 1Z7- 7 P,4, APPROVALS - Permit# - 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping DGas ❑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 r • • ; . 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 q'u"yi Celep • - 35. Final Gas Pipe-Test ' 36. Hood or Canopy , 37i Final Factory Fireplace q.4j-s7 („EQ 38. Final Plumbing , . -i _ • • 39 Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final - 42. Backflow Preventer ,r, ' ... - • .43i Backflow Irrigation ' - - • 144. :Landscape Irrigation System - . - :45. Sound Attenuation - "% = 4 = `46: Handicap Regulations • 47. FINAL STRUCTURE & BUILDING . • _ 48iSpecial Requirements Completed - ' I 49. Electric Release to Edison - - ^ 50. Gas Release to Southern California Gas Co - , 51. CERTIFICATE OF OCCUPANCY i.•,, No. Date . _--'''.MMNMIMrmMMMMMMMIMIMIIIIIIIIIIII Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. NO - _ •TRACT NO. LOT NO. UNIT NO. - - 8040 ' 5/15/C 7 • ;Pon"' or(OF coSTA'MESA ;CONSTRUCTION PERMIT f;} lit Projec-{Addreis 1 ' MoLL a-R- 1 • tsps - ' ' • Applicants Mailing Address IS4 Z- Mac MZj UJIL 3LVD S,toJ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR - -r ❑'CONVERSION ❑ DEMOLISH l Owner's Name, 1 /WDlmsod Phone 642-1311 -5 - ❑ OTHER '' -r A P # _ -_ - ,- • - Zone • r ?DESCRIPTION OF WORK/USE OF BLDG. Address I " 2 6 -,n. �.a,7 'ice ,a+. s Main Building: Accessory Building: Arch/Eng. �` 'ulLPl A OuCep15 License No.0 30¢p7_ L •/TYPE OF'PERMIT ❑ GRADING,Ig FOUNDATION ❑ STRUCTURAL E Front 0 Address /E{QJ l , 6'7TN Ie acts 5'L+n♦ +' - i '© TENANT ❑ ELECTRICAL,LT PLUMBI NG ❑ MECHANICAL B RearN • <<❑ OTHER ' A I Contractor's Name 'Co Pa Cs&rvcoc..-rca5,/+K Phone 752-25t5 - C Right- -- '- • ' N 200 PROJECT DESCRIPTION SQ. FT. ISCZ• OCCUPANCY R.--5 G Address(mailing) IhGo2 ilk A*-7Nup-Pp.vp,S, �7cvWts 42/15 q - -K 4 - CO NSTRUCTION TYPE SI•N VALUATION $ Etbf44fi•^' $ Left City License No. 27133R [ "ZONE • GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION X r. `r' •vs - Ping.'Ref.# Parking Req./Provided - , Thereby affirm that I am licensed under provisions of Charter 9 (com encing• - a Remarks: ¢¢ !!I� � PlanningNotes: Q with section 7000) of Division 3 of the Business and Professions Code, and - yUlt.pll.s6 Tgfa.0417 di B 2 q[}C-- M my license is in full force and effect. L - T • License Class ce a rX6.-'v{'I`{Q.Z'� ' = ,-.- `: - • $ /` Date 5-15-fig Signature .(d( (%u� fa PLUMBING FEES CACI WORKERS'COMPENSATION DECLARATION .,'' • I hereby affirm that I have a certificate of consent to self-insure or a certificat•e• '®Bar Sink I Showers ELECTRICAL FEES • of Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Pr • eventer , Service SinkI _ 3800, Lab. C,) - �. ■ MA B U IE Automatic Washer' - Transformer 0 15-50 KW - ���''����rrr Policy No.14PS'i 42358"1- 01 company FRsmon (U0Ct1UITY w,"?' ®Backflow Irrigation ■ Sewer Cap ,t. 0 50+KW t1 ❑ Certified copy is hereby furnished. -•, Construction Pole Sub. ., JiCertified d Copy gp filed wcity Bu' Di;ton. ®Bathtubs ■ Sewer Connection �NN IE Cooking Unit - Meter Dup to 100 amps _■ - Date Applicant ie.// - _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION '�" ®CldYif tars Solar Collectors _ ®.. Dishwasher Meter Dover 100 amps - Ill less). (This section need not be completed if the permit is for one hundred ($100) or 7 M . less). et- ®Dishwasher • ■ Solar Piping` WIZ. Dryers'❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, 1- • • shall not employ any person in any manner so as to become subject:to the' III Drinking Fountains IIISolar Tank _■■ Fan Workers' Compensation Laws of California. + '^' _ Motors❑B-1 HP ❑1'/a-8 r Date Signature ' - Floor Drains III wp• SwimmingPool /S a ' �.� F.A.U. l ' ' NOTICE:If,after making this declaration, you should become subject to _ Inc.Solar 09-15 HP 016-15+ the Workers' Compensation provisions of the Labor Code, you must forthwith IIII Floor Sinks ■ Urinal ■■ Fixtures 1.11 comply comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY• Gas Service Outle Water Closet I hereby affirm that there is a construction lending dgencylf or Die performance , ' • © `��■ Device_Boxes - Pole Light • ,," El 'of the work for which this permit is issued (Section ,3097 Civ. C.) Interceptors © Water Heater SEM. Outlets' ' - - Range ■ Lender's Name •: Lender's Address - fl Kitchen Sink -, fl Water Service isE no]. Switches - Sign - . OWNER BUILDER DECLARATION g I hereby affirm that am exempt from the Contractor's License Law for the Lavatories Auto-Wash O r?U Garbager Disposal t Standing Sections _■ following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P.=Trap ■ Laundry Trays . Generator ❑0-5 KW ❑s-15 KW . . any structure, prior to its issuance, also requires the applicanttfor such permit. Trash Compactor to file a signed statement that he/she is licensed pursuant t0'the provisions of ® Roof Drains ■ . the Contractor's License Law (Chapter 9 (commencing with Section 7000)ofNI Division 3 of the Business.and Professions ptio oY that he/she is exempt ■ • . . • -. l : ' 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). 3 III . DI, as owner of the property or my employees wi $th wages as their sole . Issue Fee compensation, will do the work, and the structure is not intended or offered . Reinspection Fee $15 1.11 Issue Fee $ 3 III for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - ■ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided'that such improvements are not intended or offered for Boiler Hood or Type I !❑ sale. If, however, the building or improvement is sold within one year of corn- 4 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 .t ' Building Approved By s : Date �i prove for the purpose of sale). C ■ ,i / 7 ❑ I; as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By [-{J_-/ Date !!!!!"```•••••'''" tractors to construct the project (Section 7044,Business and Professions Code: ��661YY The Contractor's License Law does not'apply to an owner of property who .Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds'or improves'thereon, and who contracts fpr such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust■ proof of their Worker's Compensation insurance should be provided to me. System 0 Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $ PLAN CHECK $ _ PERMIT- _ ❑'I am exempt under Section B.8, P.C.for this reason . Firepl/Fact.BIt. ICBG# ■ Fire Dampers • ��/� ISSUANCE $ . PLUMBING $ _/_ NZsL • Date • owner • - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. '5 I hereby certify-that -I have read this application and state that the above 00-100,000 BTU 0100,00013T ■ GRADING $ •, - information is correct. I agree to comply with all City and county ordinances ELECTRICAL $ and state laws relating to building construction,and- herebyiauthorize yr ■ ' . - MICROFILM $ inspection ives of this ity, to enter u the above-mentioned property for PLAN CHECK 50% $ 5,,.5 g inspection pure /�/oylMECHANICAL , $ TOTAL FEE $ S Signature_ ,/Q • `-Q+-G---- Date 5aS-fs l Drivers' License or SS# .$15- . Issue Fee ' $ 3 I PLAN CHECK 25% $ ' CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor . . 1; CONSTRUCTION AND PLANNING . - ' POOL &SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspectoi 1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location • N 2. Soil Pipe-Undrgrnd. 47.407 „.9/PC 53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' 56: Rough Plumbing& Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings : 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 1 . 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 '-wrib7 0 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 - - - - .721 Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank.0 Gas 0 Oil 25. Roof Sheathing • - • - - ' 74. verea Ohd.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 • i - Notes: 3/�a�s/_ monde 4471Dr,A�atprf - 34. Final Heating & Air Conditioning / • bn.z • keit rt0 ..-tre.e Gm T ai... - 35. Final Gas Pipe-Test 1/ n- i4it - - /do°- - 36. Hood or Canopy - 7_2,1_87_ SNO[tAG/L 'rear-P 'rear- OK £ F: • . . O ._ 37. Final Factory Fireplace 9-/.9-g' ) 00,0( /(i„,„4 4; eA�-.- 38. Final Plumbing - - 39. Water Service-Final, b/ ,• ..5r. Or 40. Gas Service-Final /Zffr 7 �e'J�- ' '. - ° - - 41. Solar Domestic-Final •/[ 42. Backflow Preventer. .. ' • • -43. Backflow Irrigation - • , 44. Landscape,Irrigation System 1 .. ; - 45. Sound Attenuation - - . . . - 46. Handicap Regulations -. " • 47. FINAL STRUCTURE & BUILDING - ` • 48. Special Requirements Completed - - A, • 49. Electric Release to Edison - - . - - , "' 50. Gas Release to Southern California Gas Co - _ ; ' r 51. CERTIFICATE OF OCCUPANCY . - - No. Date - • • t* ,