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Home My WebLink About356 VILLANOVA RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 Job Address: Suite: Vicinity: CITY OF COSTA MESA BUILpIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 356 VILLANOVA RD HOUSE & GARAGE Parcel Number: 14147110 Applicant: BRIAN WOLSKY Address: BUILDING PERMIT Zoning: �.r ��,Bhone f (714)847-9332- �:- ,�ic� � —• i �Zip: -� . /�/�!�`-, L ." `' •i, ' Owner. BULLARD; D"BRUCE `� '� � " � //1/ � � Address 356 VILLANOVA RD `- - . //�1�,iA �'��.'= � � � - ' //:�i, � �' � �- �_ �Phone: ��COSTA MESA)CA� '✓-�., %�G = �5. ` Zip: � 9262fi � ` � /-v i > � ' ��/ �,/f//�/ Phone: p14)847-9332 ,'.��/ j� HUNTINGTONBEACHCA �, j�;' r�Zip 92647�/ License:� 575002 ' �tArch, :\ �f Jl '�Address: ` ,C,�- � �� ,�� _. ` ' / 1� , ` 1 � �� i � , � . (G i tl.{. , 1 � . 2ip: � ��// � � � '� },. , li '.J> h . !� � 4. � f �� i, /� .REROOF,- T/O, USING EXI ; � SHINGLES OVER SLOPED �, � �. i i n � '� Plan CAeckP�" ' $0.00 ,�, �' Permit:'•�.�� $125.25 `� SMIPRes'.•,��,.,� $0.55 � ' SMIP Com: �`��'?� $0.00 �• �Other A� "� $0 00 (," / one:;�;::2 r �� •ii v�. '��- ,� _ _ C� NUMBER 454 77 FAIR ORIVE, COSTA MESA, CA 92626 ISSUED BY: : : En9: Address: Status: ISSUED Applied: 09/13/7999 Issued: 09/13/1999 -.� . � \ \� � �� . ; �F>-� � � i � � Phone:�, /', � [" ` , . . _--? �� License: � � � " � SCOPE OF PERMIT � $TING SHTG, INSTALL-2'LAYERSOF 15# FELT AND NEW,25 YEAR COMPOSITION � ROOF & NEW-FOUR PLY BUILT UP ROOF OVER FLAT. . � ._... .. . \i.� ._..v. a .. .. ... � i\ i... . �. �.. � FEE SI J:, � �:ci'1? � ( . — - ARY � ,,, � : �' Calc Valuation: , � �- � _` � Claim Valuation: _ ,. �, �_' � 4 1 1 . � �i � �. ` —� i.i� I 1'(y� ' , . $5 445.00' $5,445'00! ` ��/ ;�,. ' �, Jnspection,'.� ��$0.00 � .- _. - , ' � v, ' �.��/�� At`�[A .. -... ' . .� �_.-Total: $125:80 ,_�;�.,.� �� ACCESSORY PARKING NOTES: , � :�"� ,� �c;. , �,' - _, .. �- � `'r � �� p } �r�'� gPLANNING & ZONING �, .- - - , � , � , , � �� . �t % .A P� GI � � ' , i RE Fro� �0;0 � ��L�Rea� °" 0 0� �l, � �-Left 0'0 � - c RigAt " 0-0 ; . � ',, j . � . - , �. _. - � � � - % : . � . \Front��0�d � �Rear �0_,0.��. � �Le�l 0-0 Right 0-0 -'� \ � �; i V��V �.� �'.� � / /"�-�, ' - - . ' ' ,:� > Existin :� 0`� ; j;Requvetl:�� 0 Proposed:. 0 _ �' V`� ��, � _ ;� i _ � _ , ,.�; \� ,' �_�:.� _ �1 .:A�_, _. � � '; � ; � - ` !`"r ' NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, i2-2i-s2> EXPIHATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inapectlone end flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMFENSATON DECLARAnON: � — ' I hereby eMirtn under penalry of perjury one of the following declaretions .� . �'' � � . ❑ 1 have antl will maintain e cenificate oi consent to selFlnsure for workers' compensation, as pmvided for by section 3700 ot the Lebor Code, for tha peAortnance of the �wark tor whiCh lhi5 permi� i5 i55ued. ' ' _ ' �--1 have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the peAormance of the work for which this pertnit is issued. My workers' compensation Insuranca carrier and policy number ere: Carrier. Policy Number: (TM1is sectlon neetl not be completed!( fhe permit /s valued et one hundred dollars ($f 00) ar /ess.) � ❑ I certity that in the pertortnance of the work for which this pertnit is Issuetl, I shell not employ any person in any manner so a to become subject lo Ihe workers' compensation laws of Califomia, antl agree tifl shoultl become subject b the workers' compensetion provisions of Se tion 37 oi ihe Lehor Code, I shall fonhwith comply wich these rovisio �� ,� � � Applicam Signawre: -- Date: WARNING FAILURE TO SECURE WORK ' COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED TMOUSAND DOLLARE (5100.000). IN ADDITION TO THE COST OF COMPENSAiION, DAM4GE5 AS PROVIDED FOR IN SEC�ION 3706 OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y aflirtn that I am licensed under provisions o� Chapter 9(commen ' �th Section 7000) of Division 3 ot the Business antl Professions Code, and my license is in full �� torce antl ettecL Lic. x C��O"Z Class» '�3 Coniraaofs Sienature: �r i � Date: �i' 1'Z `7 G CONS7RUCTION LENDING AGENCY: ❑ I hereby atlirm Ihat there is e construction lending egency tor the pedormance of the work for which thls permit Is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Siqnature: OWNER•BUILDER DECLARATIONS: Date: I hereby attirtn ihat under penalty of perjury ihat I am E%EMPT FROM TFiE CONTRACTORS LICENSE LAW for t�e following reason (Sac. 7031.5, Business flntl Professions Code: Any ciry or wunty which requires a permit to consiruct, alter, improve, tlemolish, or repair eny structure, pnor to its issuance, elso requires ihe applicant for such permit to file a signed stetement that he or she is licer.sed pursuant to ihe provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of DiNsion 3 of Ihe Business antl Professions Code) or Ihat he or she is exempt Iherefrom entl the basis for t�e ellegetl exemption. Any Noletion ot Section 7031.5 by any applicent for e permit sublecis the applicant to a civil penalry of noi more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not Intended or oHered for sale (Sec. 7044, eusiness and Professions Cotle: The Contractors License Law does not apply to en owner of property who builds or improves thereon, antl who tloes such work himself or herself or through his or her own employees, provided ihat such Improvements are not intentled or ottered for sale. If, however, t�e 6ulltling or improvement is sold within one year of completion, ihe owner-builder will have the 6urden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner oi the property, am EXCLUSIVELY CONTRACTNG WITF1 LICENSED CONTRACTORS to consiruct [he project (Sec. 7044, Business antl Pmfessions Code: The comrectors License Law does not eppty to en owner of pmperty who builds or improves thereon, and who contracts for such project with e conirector(s) license pursuant to the Coniractors License Laws.). ❑ I am e:empt under sea Business entl Pmfessions Code for ihis reason: Signature: Date: Owner ID verifietl 6y dnveYs license. ❑ Ves ❑ Na Dnvar's License No. Expires: Verification of Ownership by (type of document, i.e. - properry tax bill or deed): �IVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: ❑ I hereby certly �hat no ezcavation tive (5) or more teet in tlept� into which a person Is requiretl to descend, will be made in connection wlih work authonzed by this permit, and that no building siructure, scaftoltling, falsework, or tlemolition or tlismantling thereof, will be more than thiny-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TM1Ie 8, Calitornia Administrative Coda). ❑ As owner�builder, I will not employ anyone to do work which would require a permit from the Division of Intlustrial Safery, as noted above, unless such person has a pertnit to tlo such work irom the tlivision. Signawre: Date: Division of Industnal Safery Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATION OF EMRV: I certify under penalry of perjury that I heve reaa this applicetion and stete that the iMormation given is correct. I agrae to comply with all state laws and city ortlinances relating to building constructlon, and euthorize representatives oi the Ciry ol Costa Mesa to enter upon ihe above-descnbed property tor inspection purposes. I agree not to occupy or ellow occupency of any building euthorizetl by this pertnit uMll tinal inspection. CQOE I. INSPECTIONTYVE " ' " 1816 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Foof 201 Final BIocWRetaininq Wall 202� Final Fectory Fire Placa 203 Flnal Sign 204 Final Demoli�ion eaeaao Owner(s) � I I� �et� AODlicant Date COOEf INSPEC110NTYiE 206 Final Mechenical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Si�e Final Building/Occupency � QAIE 1N�19L$ , ApPilcant to flll in all s0aces withln heavY boraer Iines anE.sign all appropriate tleclarations. [ 1' 'GTYOFCOSTAMESA� aeaMiT O. ' TRACTNO. LOTNO. �BLOG.NO. � QF7EB lII�OIBI �� p�DO T4' CONSTRUCTION PERMIT — g Q ` " �� ' . P�ojecc Address � ' - ' ' � . .� � r 1 TYPE OF�RUCTION , i . _ _ _ . . . . _. . -- . ' Own¢f Bjl al+d ' Phone ❑ NEW, D ❑ ALTERATION �. ' , ' � . . � , Address "� ' ' "' ❑ REP R O CONVERSION ❑DEMOL'ISH ZONING REGULATIONS � ' � AfCh/Eng. ' - - Litense NO. '� OTHER ' ' ' ' � ' - . A P � , y �� Address DE RIP ION OF WO K ' �ep3.acemen`� 0 W a 8T' 8`d eF ZONE PCNG: REF. � .' `0 1 ContYactor� 97 -1�� TYPE OF PERMIT-. ' � � Tpe�JI LDING ` Y ;a . _ SETBACK 15T. PROPERTV LINE l` Addres5 00 GG -Blvd. GG � : -O GRADING ❑ FOUNDATION ❑ STRUCTURAL SIDE VARD �� LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL'OPLVMBING ❑N1ECFIANICA L9EDE YAR . � j,_ � I hereDY a((Irm that I am Ilcensetl untler provisions of Charter 9(com- - �_ _ _ RIGHT . _ _ _ _ llll men<IP9 w�th sectlon 70007 ot Dlvis n 3 ot tne Buslness antl ❑ OTHER � K •Profes4�ons Cotla a tl my Ilcense i n force dn e fect: REAR VARD (TO P/L) PROJECT DESCRIPTION � l'` LICenSBCla55 `S� �Lit s No. - � � • � ' PKG.SPACEREQ. PROV�IDED ' ' " w Date �—��d�ie {� • . ' . SQ. FT. . " " _ . . - ,. WORKERS' COMPENSATION'DECLARATION '' OCCUPANCV_CONSTRUCTION TVPE STREET WIOTH ��PARK FEE $� � ' ' ZONING APPROVEO BV • . DATE I herepY afflrm that I have a certiticate o� tonsent to selPins e or a''V P.LUATION ZONE. L certi(ifate of WorkCn' ComOensatlon Insurance, or a'cerHtletl wpy ., . .. •� thereoi (Section 3800 L,ap. C.)., _ GRADING CV. VDS. ACRES SPEGIAL CONDITIONS: PolicY No. lni�]�F�ii� fn�Pa„v Mil�.�t hsSoc � - • _ � � C Ifi¢tl Copy IS lte�¢by fuT1511etl. � � � ' "'� REMARKS: ' ' "' - - ' " - - " ' rtitied copy is flletl with the city Builtling Division. . _ . . � _ �__ .� EXEMPTION FROM WORKERS' �COMPENSATION DECLARATION �Thls Secrion need not be completetl �N�the permit is for one huntlretl - . - � - - � - - � - - � _ - SE3001 or less). � �. ' . � + . ' • � ' . ' cert(fY that in the p¢r(ormance ot the wo�k for which this permit is issuetl, I snall not employ any pe�son in any manner so as to betome � PLUMBING i� . 'PLAN CHECK , ELECTRICAL PLAN-CHECK subject to the Workers' Compensation Laws of Calltornia. • '- - i Date Signature BATHTUBS SHOWERS - NOTICE: If after making this tleclaratlon, you shoultl become dub�ect TOILETS � � URINALS GENERATOR 0-1 KW_ 1-10 KW ' ro the �`lorker5' Compensation prov157ons ot the Labor Cotle, you must TRANSFORMER --- � - - forthwith comply with zuch provi5iOn5 or thi5 pevmit Shall be tleemetl LAVATORIES DOUBLE LAVS APPLIANGE 30-50 KW_50+ KW • �evaketl. ' " ' -' � ' �CONS7RUCTION.LENDING AGENCV * KIT. SINKS � DISHWASHERS MOTORS 0-1 HP_1-10 HP , �I,herebY,affirm ttiat,there is a� construction IentliOg agency foi.the perv ;SERV ICE SINKS '� � SUMPS -(INC. SOLAR) 30-50 HP_SO + HP - formance b}'the work foc`which Ihis�permif-Is!issuetl (SecLon 3097 ' Civ. CJ• � �,\� `„ � ,��,� ' FLOORSINKS.� ,��p�FLOORORAINS .FIXTURES OUTLETS SW�TCHES .�entler's Name (�' �g `(a'e.� = - � �' - Lentler'sAtlCress DRINKINGFOUNTAINS 'GASTUBESIGNS � - � ' OWNER eUILDER DECLARATION INTERCEPTORS CLARIFIERS �POLELIGHTS � ' � 1 h¢v¢bY a(fi�m.that I dm exempt from.the ContraG[or'S License Law (or the followln9 reason (Sectlon 7031.5 8usines5 antl Protes5ion5 Cotle: SWIMMING POOL PTRAP - " Any d�Y o�.countY `�+hich .repUirES d pe�rtik t0 constfuct,.alter, 'POLES METERED SUB improve, tlemolish or repair any structure, prior to its issuance, also re- yyqTER SERV ICE ALTERATION � 'PANELS MAIN . ,SUB �• qulres the appllcant for such permit to flle a si9netl stateme�t that he i5 Ilcensetl pursuant to the provislons of the Wntrattor's Ucense Law GAS R I T TS SERVICE AMP ' (Chapt¢r 9(commencing with Settion 7000) ot_Division 3 0� the Bu5ine55 antl Pro/essions Cotle) or [hat he is exempt therefrom antl the yyq ER E TERS B U OVTPUT � basis fOr the allegetl exemption. Any violation of Settion 7031.5 by any apPliwnt for a permit subj¢ct5 the applicant to a tivil penalty SEWERCONNECTIONS � � of np[ more ihan five huntlretl.tlollars ($500�. ' ❑!, aS owner ot the property, or my employees with wa9ea a5 their SOLAR TANK COLLECTORS � � sole compensation, will tlo the work, antl the struc[ure is not Intentletl �" -- - ISSUE FEE ' ' or of/e/etl for salc. (Sectlon ]044, Business antl Rofesslons Cotle: The SOLAR PIPING SVS. � ' ContraG�Or'S LlcenSe'Law tlo¢5 nOt appry-to 9n' Owner of a property APPLICATION /aPPROVED BV �ATE who bqllOs or improves thereon, antl who tloes such work himself or ISSUE FEE - throu9h his own'em0�oyee5, provlaetl that such Improvements are not Intentletl or ofieretl for sale. It, howeveq tne bulitling or improvement MECHANICAL , PLAN CHECK SUMMARY OF FEES � - Is soltl H'�thin one y¢ar of completion,-the ownerwill have the bvrtlen - � �� . - Ot p�oving ne 6itl not hulltl o� Improve tof th¢ purpose ot sal¢). 'BUILDING . • � ' HEATING 5�'STEM 0-300,000 BTV . PERMIT • � S SMIP. -.. E ❑ I, as owner of the property, am exclusively con[racting with qND DUCTING Iicensed contraclors to construtt the project (SecHon ]044, Businesz _ , 100,000 + BTU _ � PLAN CHECK $ PERMiT.' _ antl Pro�essions Cotle: The Contractor's Llcenu Law tloes not apply to ISSUANCE $ an owner of properW who builtls or.improves thereon, anq.who <on- REFRIGERATION 0-300,000 BTU PLUMBING $,��_ ' - _ lract5 from such pro�ects with a contractor(5) Iicesnetl pur5uant to SVSTEM 'i � GRA�ING S - "' tne.Con�racmr's License Law). 300,000 + BTU PLAN CHECK S' � "" ' ❑ 1 am ezemp( unCer Settion B. 6 P. C. for this � ELECTRICAL § ' � E - BOILERS BTV reason PLANCHECK S - MICROFICM E - Date Owner � - - SYSTEM REPAIR, ALTERATION ' - - � �TOTAL FEE E - - EXHAUSTSVSTEM MULTIPLE MECHANICAL §� � I �e�Gby Clrtilytha� 1 have reatl thi5 appllcation antl State that th¢ above i - - - - iE5$ AD- - - inlorma��on is orr 4 I agree to comply wlth all city antl county PLAN CHECK E VANCE PC E ortlinan�es antl at la 5 relating to onztructio�, antl hereby authorize � �ep�esePtati �f � <ity to e r upon the ai�;imentio=e� � prOpr.r[Y fo«fis0e o ur 1 O�� O Slgnature � Date� . . _ } . FINAL-FEE S Drivers' �icense or 55 �% %�-� '� � �+ �SSV E FEE CMF 0865-46 White-Builtling; Canary-Appliwnt; Pink-A<counting; Goldenrotl-Assessor ' 1 . �----' . ^ . o� �,.��,,, , : _��:r; ' . CONSTRUCTION AND PLANNING � �� POOL & SPA � . " ' • Date Inspector ' Date Inspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Elearical Service or Pole 43. Pool & Equipment Location ��" � Soil ipe-Undrgrn '-- 44. Steel Reinforcement � 3.' Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgm • .. 46. � Electrical Bonding ' . tee ein orce . , q7. Rough Plumbin & Pressure Test � - ' ' ' �- ` ' 6. Electrical UFER"Gm 48. APPROVALTO COVER-GUNITE •' � ' 7. Footings 49. �Electrical Conduit-Undr rn � 8. Foundation - - 50. Gas Pipe, ❑ Undr m; Test 9. Water Pipe-Undrgrn 51.� Backwash Lines P•Tra ❑ ndr rn � 10. Structural Floor System 52. APPROVALTO DECK - ' • -� 11. property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12. Street Sewer Connection � 54. Heater & Vent-Final 13. Rough Plumbing � � •- � 14. Rough ElectricConduit - �56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final � i 6. Rough Heating & Air Conditioning � encing & Access Approval - 17. Ducts in Structure APPRO.VED FOR PLASTERING 18. Ducts, Ventilating � . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing � ' � Zl. Roof Sheathin ' . 22• Frame and Flashin NOTES: �,� 23. Insulation ' 24. Lathing & Siding - � � � 25. Drywall Nailing ' � � 26. Plaster Brown Coat ' � 27. Electrical Power Meter-Final � � 28. Final Electric � 29. Final Heating & Air Conditioning � � ' 30. Final Gas Pipe-Test � 31. Final Plumbing 32. Water Service-Final � � 33. Gas Service-Final � � � 34. Solar pomestic-Final - � 35. Landsca e S rinklin S stem � ' � �� - � � 36. Sound Attenuation � � - � � � 37. Handicap'Regulations ' - ' ' � ' � ' � 38. FINAL STRUCTURE & BUILDING . � ' ' ' � - 39. Special Requirements Completed � � � � � - � � � - - - � - ' ' 40. Electric Release to Edison - � � � - - � -- " "- � � - - - - - -- •� � `�' i 41. Gas Releaseto Southern California Gas Co. - "�"'� - - " -- "" - � - ' '-' - � - �' ' ` "'- � I 42.� CERTIFICATE OF OCCUPANCY � � �� ! � � � - � � ' - � No - Date " � - - - � - - - � . . .. . . 1 �-- - - - � � --- -- - -- - - - - � -- -- - -- -- - . . - - .� . ��-�� r�E RECEIVE:D _,: COSTA MESA BUILDING-SAFETY DEPARTMENT APR 23 t959 P.0.90X 31] COSTA MESA, CALIFORNIA FIfVANCE DEPT. CViY OF COSTA MESA fOR APPL/CANT TO f/Ll /N COMPLETE[Y APPLICATION FOR PERMIT TYPE OR PRuv-r � BUILDING BUILDING ��y/ �M�y AOORE55 ✓ C.,n � COSTA MESA. CALIFORNIA FOR OFFICE USE ONCY `� �� I RECEIPT NO. I PERMIT NO. OWNER MAIL REC61VE0 BY URTE RECEIVED DATE I65UED AODRESS �s S�... -� v�� ,-...rtc I/-/ - a. 3-��% I �/-�-3-5� /9 TE�� BUILDING QTY ( �l,, / A NO./�� , pDDRE55 ARCHITECT ��c. COSTA MESA. CALIFORNIA OR ENGINEER NO. AODRE55 ZaryE ti�7e �'OU�J � "� STATE `. pppROVED (J CONTRACTOR ry LIC.NO. BY DATE ADDRESS y c � ZONING LEGAL � ILOT � J I I l/! S ONE NO.OF USE OF NEW ppp ' �/% OESCPIMION NO. A BLOCK TRAGT�^�J /� / I�'LqNS �I BUILOING /// /// / p _ f//l I.V /vt.,4i APPROVED D J' y/� DATE �� A.P. NO. - BY %' l3� $IZE NO.OF 0LDG9. �-_ OF lOT �� I rvow orv �oi r�+RDS EVES ftEOUIRED ALLOWED USE OF (CENTEN L�Ne si.) EXISTING BLDG. � �^ FRONT �% FT. IN. SETBNCK LINE FROM � O /� /� cErvrcR oF srR[ei .�O REAR YARD R. SIDE F1'. L./ IN. SIDE YARD I�EFT ^� IRIGHT � 9 �,SIDE FT. IN. DESCRIPTION OF WORK � REAR FT. O IN. � NEW ' II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIOEMOLISH I BUILDING � NO.OF SIZE ROOMS STORIES ' EXTERIOR WALL. IROOF � COVERING iCOVERING USE OF BUILDING AND WORK TO BE PERFORMED ' � �l,c/u.� S U � 2 " •�'/U—U � x � � �tl�I•v� I HEflEBY AGNNOWIEDGE THAT I HAVE flEAD THIS APPLICATION yHE AMOUNT SHOWN UNDER VqlUAT10N IS FON THE FND STATE TNAT THE A90VE IS COFRECT AN� AGNEE TO COM- PLY WITH AlL QTY ONDINTNCES FNO STATE LNlN6 REGIILATING PUFP08E OF ESTABLISNING A PEFMIT FEE ONLY. euLLomc cotusTeucnoN. � VALUATION � !�1 SIGNATURE OF � / r� ' PERMIT FEE $ a� V v PERMITTEE $ (a / � PLAN CHECK $ cT (�.� AUTHORIZE� AGENT TOTAL FEE $ �� .1 OWNER V_ HiRdTER. Villanova GENERAL BUILDING PERMIT NO. VALLIE AP. No. LOTQj TRACT �qf�� FIRE ZONE DESCR[PTION OF WORK BlOCk Wall � GROLIP j TYPE III ZONE � � PLAN NO. 910 i INSPECTIONS � DATE�� SUBGONTRAGTOft coat � 9107 I . � 's �$'73 .. ,�� . COSTA MESA BUILDING DEPARTMENT . P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN OWNER MAIL ADDRE55 ARCHITECT OR ENGINEER LEGAL oesceivnoH A.P. NO. COSTA MESA, CALIFORNIA �n i,and Co_ East 17th Street I@$�d C� " NO.� O xlson CL LIC. �� d�ilebrook "o 2�8T1 CiI'�V8 CITY UG. ke and Coleg��o.7393 t 17th St. � InorE�. NO. 'J'{ BLOCK TRAC , NO.OF BLDGS. ' �ii�i NOW ON LOT USE OF EXISTING BLDG. nOIIQ SETBACH LINE FROM cEHrca or sraEEr � E �� REAR VARD i SIDE VARD RIGNT LEFT 1 DESCRIPTION OF WORK - NEW , X ALTEftATION ADDITION REPA�R MOVING DEMOLISH S�ZELDIIJ��^� S• Ft• ROOMS p STORIES .LOIJ E%TERIOR WALL ROOF rnvrair.ir. CFiinnn COVERING {`n�nn. ��- �' � i� Y� �'t, �.� t O ��.�t,,� y S"`l=x�. flf@r'f�CE �DEPT. �'ITY OF COS�A Pd1cSA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY COSTA MESA. CALIFORNIA FIRE ZONE APPROVED BV I HEREBY LCNNOWLEDGE TMAT I HAVE PEAD iXIS LPPLICFTION PNO STATE THAT THE ABOVE IS CORFECT �1N� AGflEE TO COMPLV WITH 4LL CITT OH�INwrvCES nuD STaT CnWS REGULATING Bl11lUING CONSTRUC- norv. / i- �L ^�p�/ VALUATION SIGNATURE OF /�� / //� PERMITTEE� 1�� CORRECTIONS I$ 13,690.00 Dike and Colegrove, Inc, PERMIT FEE $ 32�00 PLAN CHECK $ lO�W TOTAL FEE S yc��OO �eMr ADDRESS BL[ILDING PERMIT NO. GENERAL CONTRACTOR Dike & Colegrove vAr,ue s 13;690.00 AP. No. LOT Q'3 TRACT Qq5'j FIRE ZONE DESCRIPTION OF WORK ReS. W�8t.i5 &3I'. Sc J TYPE V ZONE Rl PLAN NO. INSPEG7fONS � DATE I SUBCONTRACTOft I ____ PERM Applicant to fill in all soaces within neavy boraer lines antl sign all appropriate tleclarations. CITY OF, COSTA MESA � PERMIT NO. -- TRACT NO. LOT NO: �PL�?G. NO. ' ' 71iOB I O�BB�BI I BeSO TL? ;.GOTVSTRUCTIONPERMIT �°E 3 ' � --�' . : . "' - -' . - ". - � ProjecYAddress 396 OW _ , TVPE OF C.,QNSTRUCTION ' `� \ ��`..� . . , � :.,` - Owner' '1 2S10V fl PhOn = 2 ❑ NEW �ADD ❑ ALTERATION � , ' � ' � � � � Addfe55 BY'UC9 BU118I'CI' � - -- - 0 REPAIR �❑ CONVERSION ❑DEMOLISH ZONING REGULATIONS ��. ,' rArch/Eng. - � - � - License No. - ❑ OrHER ' - � _ _ _ . _ D SCRIP ION OF WORK � A'P' � -' � � Addfe55 "' ' - ' ' ' ' ' ` ' " ' ' , � $O�ar. domestic � htr "'I Ap ZONE - •.�PLNG. REF. � -�- ' ' , Contractor - TYlOIRflB' GT'OU - ' �-1 TVPE OF PERMIT+� - � - J( � - �� TpgU i�DING - - - � � AddfE55 12 00 GG 'Blvd. G � 7�52222 SETBACK C L T. PROPERTV LINE - . . � ❑ GRADING : ❑ FOUNDATION � STRUCTURAL ' ' .SIEF 'YARD LICENSED CONTRACTOR DECLARATION �.- • ' 0-TENANT �ELECTRICAL' �UMBING �OMECHANICA , 51p E VA - - - -- - ' --� - I hereby affirm that I am Iicensetl untler provisions of Charter 9(com� - RIGHT menUn9'wRh section ]000) �of Oivision -3 of the -Business antl ❑ OTHER � � - - -- � _ .. . _ . . Profe551ons Cotle, Ilcense is In ful tl etfect. � • REAR VARD (TO�P/l) ,. ._ �S�EI.F� r-'- g-g�'Z . � . i PROJECT DESCRIPTION�_. � Lic¢n5a Class � � �"lY�'¢ o. — �SQ. FT. ' ' 's� ' �, � PKG. SPACE REQ. PROVIDED � Date "'. ' $i9nature' � 1 ;•.. . . . _ ' - " ' "" _ _ __ . ... _ . . WORKERS'COMPENSATIONDECLARATION - _ OCCUPAfJCV_CONSTRUCTIONTVPE ' ;STREETVJIDTH _PARKFEES I he�Gby atfi�T that 1 have a<¢/tlficate Of con5¢nt to self-Ins e or a VALUHTION �� ZONE :ZONING APPROVED BY„ ' DATE tertificate-oT Worker5' Co ensation-Insurance,-or a cer[itietl-copy � � - � �� . '' _._ _ __. _ _ _ � . . ' ' , _ �Qy�p1� , �SPECIALCONDITIONS: thereoT (5 GRADING CU.�VDS. ACRES PoIicYNO. V�4GY ComPanY-�i�"cd7i—�� ' - - ' � '. .. ' - c " - ❑ Certifi¢tl{opy Is hereby tu�nishetl.- - - � � . . � qEMARKS: ' -- -_.. ._ . . . .. -._ _ _ , � . _. r . rtlfietl topy B tiletl with the city Builtling Division. " � � � EXEMPTION FROM WORSCERS' COMPENSATION DECLARAT�ON � "'- ' ' ' '�' ' '- '� '-�' " - ' -- - ' � (This section..neetl not. be completetl if the permit I5 far one huntlretl ,. . „ � , �� - t � .. � ' (E300 or les5). i . � ' ' I.cer[�fy that in.the,performance of the work for whi<h thiz permit Is i55ued, I Shall not employ dny pe�son In any manner so as to beCom¢ �PI.UMBING . PLAN CHECK ` �ELECTflICAL - �� PLAN CHECK ` ' ' 5ubjeCt to the Worker5' Compen5ation LawS of California. .. _ �Date Si9nature BATHTUBS SHOWERS - " - ' "' -' ' NOTICE: Ii atter making this tleclaration, you ShOultl b¢come zubject TOILETS VRINALS " ' GENERATOR 0-1 KW_1�30 KW � to the Workers' Compensation provisions Of the Iabor Cotle, you mus[ TRANSFORMER torthwlth mmply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS APP[IANCE' 10-50 KW '' S0'+KW � - revoketl. - . --- - - - - - KIT. SINKS ' DISHWASHERS -' - MOTORS " -0=1 HP ' 1-10 HP - CONSTRUCTION LENDING AGENCV � % . � I hereby aftirm that there is a constructlon lentling agency for the per- SERVICE SINKS ' SUMPS ' '' '- �UNC. SOLAR) - 30-50 HP 50 + HP �- formant¢ ot th¢ work for whlch this permibis issuetl (SeCtion 309] Civ. CJ. ' " - -`- � FLOOR SINKS FLOOR DRAINS � � FIXTURES - OUTLETS SWITCHES ' �entler's Name b` 5,•.�,E�+,e � 'Lentler'SAtltlress DRINKINGFOUNTAINS� � �- �--� " GAS'TUBESIGNS"' ' -' -- OWNER BUILDER'DECLARATION. - INTERCEPTORS CLARIFIERS ' POLE'LIGHTS" ' ' - ' I hereby affirm that I am exempt from the Contractor's License Law for the tollowin9 reason'(Settion �031.5 Business antl'Professions Cotle: -SWIMMING POOL' PTRAP " ' ' - - Any dty or county which requires a permit to construct, aller, POLES METERED SUB improve, tlemolish or repair'any'sHucture, prior to Its issuance, also re- -'y,�qTER SERVICE - ALTERATION �PANELS MAIN " SUB quires tM1e applicant for Such pe�mit to file a signetl statemen[ that he is licensetl pursuant to [he provislons o� the ConVactor's License Law GASSERVICE � OUT TS SERVICE - ' ' AMP - (Chapter 9(commencing with Settion ]000) of Division 3 of the Business antl Professions Cotle) or. that he is exempf [herefrom antl'the- yyATER HEATER UiPUT ' ' basis Por the allegetl exemption. Any violation of Section 7031.5 by any appllt'an[ �ot a pe�mit'subjects the applicant to'a civll'penally SEWERCONNEC NS � � - ' ' "'- ' ' - of not more tnan five huntlretl tlollars ($500). ❑ I, ds owneY of the property, or my employees with wage5 as their ' SOLA'R TANK OLLECTORS ! , ' sole compensa��on,.will tlo the work,.antl the structure is not intentletl or offeretl for sale. (Sectlon ]044, Businezs antl Professions Code: T�e SOLAR PIPING SVS. ISSUE FEE ' ' - ' ContractOr's L��ehse .Law tloes not appty to.an owner of,a property , ' who bulltls or improves thereon, antl who tloes such work himself or ISSUE FEE � ' APPLICATION .4PPROVED BV� � DATE � - [hrough nis own employees, provitletl that such.improvements are.not Intentletl or offeretl for sale. It, howeveq the builtlin9 or improvement MECHANICAL PLAN CHECK � � is soltl within one year of completion, the owner will have t�e burtlen SUMMARV OF FEES -� � o( prOving he tlitl not builtl o� improvE for the purpos¢ ot sale). HEATING $VSTEM 0-100,000 BTU BUILDING ' ' -' �- - - ❑ I} as owner af tM1e property, am exclusively contracting�with qNDDVCTING .. PERMIT $ ,SMIP�" .. 8 licensetl wntracrors to construct the project (Section ]044, Business 100,000�+BTU PLAN CHECK $�,\ . PERMIT• dntl"Profe55iont'Cotle: Tne Contractor's License Lawtlo¢inotapptyto -- I L (� ISSUANCE' 8 an owner of p/operty wh0 builtls ot imprOves ihereon, antl who mn- REFRIGERATION 0-100,000 BTU �PLVMBING 5�.:�L�_ Vacts from suth projects 'fh a' conVactor(s) IicesneE pursuant io SVSTEM � �-- - . GRADING $ - the Contractor's License Law). 300,000 + BTU PLAN CHECK ,S �. - ., j ❑�I am exemP� untler Section � B. &�P. C. fo� this gO1LER5 BTU ELECTRICAL E � a reason _ ' MICROFILM S � Owner � SVSTEM REPAIR, A�TERATION PLAN CHEGK S TOTAL FEE $ Date � - ' MECHANICAL 8 ' I hereby.certifythat I have reatl this,application.antl state that the above EXHAUST SYSTEM MU�TIPLE � '� CE55 AD- �• inlormation is �orrect. I agree to comply with all city antl county PLAN CHECK S- -- VANCE PC S_ "- o�tlinances antl st7 law � lating to m st�uction, antl M1ereby dutho�iie , • -- -. rep�esentatb�es� P thi a y to ¢nte upon/j�� above mention¢tl � ' " �//��j ��--QQ�� proPertY-(olv�ct��v�P s¢s.__ / . . .... � Signature Q Oa[e ��' _- � F1NAL FEE S Drivers' Li nu or 55 � . % \ �� ISSUE FEE ' � � - - _ .. . ._ _ .. CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accountinq; GolGenrotl-Assessor �T G.:. I � �� i 4u.�� : - . . � CONSTRUCTION AND PLANNIN '�--..r..;� � . POOL & SPA �- , _. ., � , � , APPROVALS Permit # �� Date Inspector pppROVALS � . � Permit # � � ... „ Date Inspector •� 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location' ' -- - � �� '- . il ipe-Undrgrn ' 44. Steel Reinforcement � - � - " "- - " - 3. lectrical Conduit Utility-Undrgrn -45. Forms . - - � � .. . . . 4. lectrical Conduit-Undrgrn � � � 46. ��Electrical Bondi�ng � - - . tee ein orce � _ 47. Rough plumbin & Pressure�Te`st ° � " ' 6. filectrical UFER Grn - 48. APPROVALTO.COVER-GUNITE - � 7. ootings , 49: Electrical Conduit-Undr rn - 8. Foundation ' � - 50.. •Gas Pipe, ❑Undr m,Test ' � � 9. Watec.Pipe-Undrgm 51.� Backwash Lines P-Tra ❑ ndr rn - � 10. Structural Floor System 5Z. " APPROVALTO DECK" ' 11. � Property Sewer Line & House Connection ' _ 53. Backwash & Rece tor-Final � 12. Street Sewer_Connection � � 54. � Heater'& Vent-Final 13. Rough Plumbing - � � � -��^ �- - �' � - � - 14. Rough Electric-Conduit � � - - � �56. Electrical-Final � 15. Rough Electric-Wiring � � -� � � � - - 57. Solar System-Final � � � 16. Rough Heating & Air Conditioning _- - • encing & Access Approval � : 17: Ducts in Structure APPROVED FOR PLASTERING � - � 18: Ducts, Ventilating . � . _ 19. Gas Pipe-Rough &Test � 60. POOL/SPA SYSTEMS FINAL � - 20. Roof Framing �. ' � . . 21. Roof Sheathin � ' - � � . � � - 22. Frame and Flashin NOTES: . , 23. Insulation - ' ' - � � � ' 24. - lathing & Siding � - 25. prywall Nailing � � � � � - � ' " 26. Plaster Brown Coat � � - ' - ' � 27. �lectrical Power MeterFinal � - 28. Final Electric ' � 29. Einal Heating & Air Conditioning - � - ' 30. Final Gas Pipe-Test � ' � � � 31. Final Plumbing � � � 32. Water Service-Final ' 33. Gas Service-Final � � � 34. $olar pomestic-Finai � - ' � . 35. l�ndsca e S rinklin S stem - 36. $ound Attenuation ' � - 37. Handicap Regulations ' - � 38. FINAL STRUCTURE & BUI_LDING �/ 39. Special Requirements Completed 40. Electric Release to Edison � ' - 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY No Date