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Home My WebLink About975 TRABUCO CIR - Building Permits(714) 754-5273 • Fe�c (714) 754-4856 • www.ci.costa-mesa.��,SCTRICAL PERMIT �� FAIfl OFiIVE, GOSTA MESA, GA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: Applicank � � ' 'Address: .=975 TRABUCO CI REAR SFD 42205210 GORDON PAFtSONS 2282 �ORCHARD DR . - Phone: 949-456-0064 NEWPORT BEACFi, CA �� . '" Zip - 92660 . ,/�' . i , �,��, Owner: GRIGSBY;�DONALD L_ • ` , _ " � �� . Address 975TRABUCOCIR - ', � � ' / ��i ' - - / � �� - " -�Phone: '_ '_ - � n �COSTA MESA, CA, ` � � 2ip:- 92627 � � � ,�� , . -, - . ,�,-'; � �' . Contiactor: '�ABC"NEATINGAND AIR CONDITIONING . i�.Address: 2282 ORCHARD DR ,�...% � �' -"� , ,;, � � Phone:'�949-456-0064 � �' �� - NEWPORT BEACH, CA Zip: ' 92660 ' , License:810481 � ', �. . , - . • . •.Status: ISSUED Applied: 11/09/2006 Issued: 11/09/2006 ,.* n G ISSUED BY: , i -. . , . , . I , . . - , , ::� - �, � , ' � SCOPE OF PERMIT � ', - INSTALLATION OF A NEW A/C UNIT AT THE REAR OF AN EXISTING SFD AND CHANGE-OUT OF A ' � FAU., ' � - ' ' �� 1 SWITCH „ � / �/� NO OTHER WORK AUTHORIZED WITH THIS PERMIT. . � _. , . � ��/ ' ��, ,- FEE SUMMARY �� ' _ �"' ' ' � ' Quantity . � '� �� ISSUE FEE . $23.50 _ -',;�: ' � .- -- Temp.Dist System / Lighting � Temp service te�st $0.00 � _ _ _ _ _ -- _ �� Busway /100 ft' � . � � `.:Res. a/c package - .. $0.00 , ..: - - . ., .�- �.Standing Sedion � � New Res (1-2 units)�, •� $0.00 , 0 . Misc Electrical Equipment � New Res�(3+uriits) $0.00 0 Trensfoirners up to 1 kva/kw Pool'/.Spa � '��.�' $0.00 "� 0 .........:....:.uptol0kva/kw Lighfirig�Fixts, � �,`;,'. $0.00 0 .................up to 50 kva/kw Recept Outlets � ��•. '�,` . � $0.00 0 . � �- . .:...............up to 100 kva/kw Switches., � � $1.10 � 1 -:::i%'-"��:;" ' ......:�.:.......over100kva/kw Non Res Appl �' ' �� ' $0.00 ' 0 Low Voltage. Equipment Res Appl t� �� _�- � ��$0.00 � 0 ; , Low Volt Wiring System / Ckt Service to 200a � � ' , , � . � - �i ` � $0,00 ,{:�r: A,,' .. �' Misc. Conduit _ , Service to 1000a-, � $0.00 : - 0 � Misa Condudor Service over t000a '�` $0.00'=�, - 0�� ' Circus ( gen or ride) Motors to 1 hp � � ; . � $0.00 � � 0, ��- � '� "Circus (mech ride or lights) Motors to 10hp �� `� $OAO�� .,,O�r �� ' ' - o - Chrisimas Tree Stand - Motors to SOhp � �� $0 00 / � 0�,--..�' ��.,, _Fir`eworlis�Stand=- � " � Motors to 100hp �� $0;00' `� . �0 � . -Other Electrical Fee - � Motors over 100hp ,_: �$0.00. �-: ; ' �0_. 1 �-- . � ' Communication drops - $0.00 � � ' ! 0. ' - ` " . Investigation Fee Sub panel t0 200a ��$0.00 � - � 0 , � , ' � Plan Check Fee . Pole Light Pkg $0.00 ' � --, 0 � " � - . � �� Reinspedion Fee Sign Circuits $0.00� `0' - " Temp Pwr Pole $0.00 �� 0. �� -. . TOTAL CALCULATED FEES Intermed Pole $0.00 0 - _, _ _ � Quantiry so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 D $0.00 " 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00' 0 so.00 0 so.00 o ' $0.00 $0.00 so.ao so.00 $24.60 NOTICE: The work authorized by this pennit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void it 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 cotles, and all requlred Inspections and flnal epproval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 244fid8I8�00) WORKERS'COMPENSAnON DECLARAnON: � � I hereby aHirtn under penalty of perjury one of the tollowing declarations: . � ❑ I heve end will maintain e certiTicate of consent to self-Insure for workers' compensation, es provitletl tor by seaion 3700 of the Lebor Code, br Ihe pedormanca oi ihe wark lor which ihis permit is issued. - � ' �have and will maintain workars' compensation insurence, as requiretl �y section 3700 oF the Labor Code, tor the peRortnance oi the work for which this permil is issuea. My workers' compensation Insurance carner end policy number are: / � Cartlery ' S % / � . � L� L /� PolicY.Number: ! CG � 77 i �/ �f %!iG/- (ThJs sectlon need nof be cromple(ed i/ the permit is velued et one hundred tlollaro ($100) oi less.) (j�� ' � ❑ I ce�iry [hat in the pertortnance ol the worN �or which this permit is issued, I shall not employ eny person in eny menner so as to become su6ject to lhe workers' compensetlon lews oi Celifornla, end egree t�at ii I should become sublect ro the workers' compensation provisions of Section 3700 of t�e Labor Cotle, I shell forthwith ��ply with these provi .�}�— AppAcam�Signature: , iJ.w/�i✓t_ � / — ��ta., �/ � =l��—i�/� WARNING: FNLURE TO SECURE WORKERS' COMPENSATION GUVERAGE IS UNLAWFUL AN� SHP1L SUBJEGT AN EMPLOVER TO CFIMINAL PENALTIES AND GVIL FINES UP TOONE HUN�RED TKKISPND OOl1.ARE (5100,000�, IN ADDITION TO THE �T OF COMPENSATION, DAMNGES AS PROVIOED FOR IN SECTION 310fi OF THE IABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRAC70AS DECLARATON: I hereby ettirm Ihat I am licensad under provlsions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, entl my license is in full rorce and enea. tic-� �/ !% �l �/ C�yss a C-� 2f CONSTRUCTION LENDING AGENCY: � I hereby aflirtn that there is a consiruction lentling agency for the perfortnance of lhe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentlers Adtlress: Signamre: Date: OWNER-BUILDER DECLARATONS: I hereby affirtn thet under penalry ot perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Coda: Any city or wunty which requires a pertnit ro construct, alter, improve, demolish, or repair eny siructure, prior m its issuence, also requires the a0011caN tor such permit to file a si8netl stetement Ihat he or she Is IicenSed pureuant ta the pravisions oi ihe Coniractors License Lew (Chepter 9(commencing with Section 7000) of DlWsion 3 of ihe Business end Professions Code) or �hat he or she is exempt t�ereirom end the basis tor the allagetl exemption. Any violation of Section 7031.5 by eny applicant for a pertnit sublects the applicant to a civil penelry c� not more Ihan five hundred dollere ($500).): � ❑ I, es owner of tha properry, or my employees with wages as Iheir sola compensatlon, WILL DO THE WORK, end ihe structure Is not intended or oflered for sale (Sac. 7044, Business antl Pmfessions Cotle: ThB Contractors License Law does not apply Io an owner of property who builtls or improves thereon, antl who does such work himself or herseN or through his or her own employees, provitled that such improvements are not intended or oMered for sale. It, however, ihe building or improvement is solA wit�in one year at completion, the owner6uilder will have ihe 6urtlen of proving that he or she Aid not build oa improve iw pufpose at sale J. ❑ I, as owner ot iha property, am E%CLUSIVELY CONTRACTNG WI7H LICENSED CONTRACTORS to consimct the project (Sea 7044, Business end Professions Code: The contractore Licensa Law tloes not apply to en owner ot property who builds or improves thereon, and who contracis for such project with e contrector(s) license pursuent to the Contrectors Licensa �aws.). - ❑ I am exempt under sec. Business and Prolessions Code for this reason: Signature: Oata: Owner ID verified by drivefs licen5e. ❑ VeS ❑ No Drivefs License No. Verificetion ot Ownership by (type of tlocument, i.e. - proparry tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PEHMR CERTIFICATION: Expir85: ❑ I hereby certify that no eacavation five (5) or more feet in depth into which a person is requlred to descend, wiil Ce matle in connectlon with work authorized by ihls pertnit, and that no building structure, scaHolaing, falsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title B, Celifomia Atlminisirative Cotle). ❑ As owner-builder, I will not employ anyona to tlo work which would require a pertnit from the Division of Intlustrial Satety, es notetl above, unless such pereon has a permi� to do such work trom the division. Signature: Date: Division of InduS�rial Satery PBrmli NumbBr: CERTIFlCATE OF COMPLIANCE AND AUfHOfi17d7�ON OF ENfAV: I certify under penalry of perjury that I have read Ihis epplication end state that the infortnetion given is correCt. I egree to comply with all state laws end city ordinances releting to building consiruction, an0 authorize representatives ot the City of CaSta Mese to enter upon the ebove-descnbatl property for inspection purpases. I agree not to occupy or allow occupancy of any building authonzed by Ihis permit until tinal inspection. GOOE 1. INSVELTIONTVPE 7676 Fixed System Final Fira Prevention 1288 200 20� 202 203 Paol Spa Final Final Re-Root Finaf BIocWRetaining Wa�l Final Factory Fire Place Final Sign 204 Final Demolition �� 0 �S� COpEI .INSVECTIONTYPE � 206 Final Mec�anical � 20B Final Plumbing 210 Final Elecirical 212 Finel Fire P[evertlion 220 Final Planning Approval 222 Final Site 250 ' Final Building/Occupancy I (714) 754-5273 • Fax (714) 7%-4856 •�wiw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 . , , MECHANICAL PERMIT .. , Job Address: 975 TRABUCO CI Suite No Vicinity: GARAGE Parcel Number: ' -42205210 ' • npplicant: GORDON PARSONS.. Address: 2282 ORCHARD DR . � . " Phone: 949-056-0064 � NEWPORT�BEACH, CA �Zip: 92660 i �,-; , . . , � .' /!/.�� , . Ownec� GRIGSBY; DONALD L; '- _ _ - _ - _- Address: ^975.TRABUCO�CIR �/; �-!,-� '- -_ - � ' - �� 'i" � , �Phone: ' ,. ,, , .., ,. ., � COSTA MESA; CA -. � Zlp: 92627 �� ` / �'�. �, %�' „� conEramor: �ABC REATING AND AIR CONDITIONING ,.� AiJdress: 2282 ORCHARD DR �' , � ' �,', ,.i Phone: 949-056-0064 � NEWPORT BEACH, CA - Zip: 92660 - ' " �/ .. � � License:810481� ' „- '� , , . . ' - , , ' _ � . . : , �, . . . Status: ISSUED Applied: 11/09/2006 Issued: 11/09/2006 .r . ., `�ISSUED BY: � �� . � � � ' 'SCOPE OF PERMIT - � '��' INSTALLATION OF A NEW A/C UNIT AT THE REAR OF AN EXISTING SFD AND CHANGE-OUT OF � A FAU. � . ' � - �� 1 INST FAU < 100K'BTU, 1 COMPRESSOR 3-15 HP/SOOK BTU � � NO OTHER WORK AUTHORIZED WITH THIS PERMIT. - - i - • � T*' ' - "��' ''- `- FEE SUMMARY' , . _ Quantiry ISSUEFEE. � $23.50 „ ^ Repair/AltAbsorbtionUnit '.Inst FAU 2100 k BTU ` $14.80 .� 1� - ` 'Repair/Alt Refrigeration Unit Inst�FAU >100 k BTU � � $0.00' ;�0`= =� � � - � - - - Ventilla�ion System Repair/Alt -CoolingMeat $0.00 "' `0 - - - Evaporative Cooler Inst / Rep. Recess WaII�Htr $0.00 0 Commercial Incinerator Refrig�5ys <100 k.BTU, „ $0.00 0 � Domestic Incineralor Refrig,Sys ?100 k BTU . $0.00 0 �Comoressors / Absomtion Svstems Gas Piping� � �� $0.00 0 Up to 3 hp / 100 k BTU Facto `ry Fireplace � 50.00 0 - .�� 3 To 15 hp / 500 k BTU Hood w/Mach Exhaust �� , $0.00 0 ; 15.To 30 hp / 1,000 k BTU VAV Box�� . $0.00 0 ,_ 30 To`50,hp / 1,750 k BTU -- � a" :. Vent Fan % Single Duct� ; .$0.00 0.. � Over 50 hp�/ Over 1,750 BTU . Appliance�; �� `,:'�$0.00�='0= �� - � Boilers � � � - Fire Dampers �. ' �$0.00 0 � ' Up to 3 hp , Smoke Dampers,�, ' ' $0.00 , 0 � � �3 To 15 hp , Inst or Relocate�Appl Vent ,�� '. $0.00 � �0��= � � ' .. 75 to 30 hp , Air Handlers < 10000cfm / $0.00 ��0'��c.��_, ' � �� 30-10 50 hp _�": - � AirHandlers> t0000cfm�'� ��-�,�l, $0.00� 0 �`�= - - "Over50hp Floor Furnace � �', � �� $0.00 , , �0` � ' � � " -Other Mechanical Fee Floor or Suspend Heater � � � $0.00 0 � � � ��- , . Investigation Fee �: - � -- �_ , . - Plan Check Fee \ ' �� . ' � Reinspection Fee � �,��.. ,.- _ �' _ _ - � � �-� - - - _ _ TOTAC CALCULATED FEES COMMENTS /'SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 .0 $27.15 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 � i 50.00 0 $0.00 0 $0.00 so.00 $0.00 $65.45 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized unde� this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaasee ��voo� :� WORKERS' COMPENSATION DECLARAY�ON: � I hereby aXirtn untler penalry of Deryury one ot ihe following tleclerations: ❑ I heve end will maintain a certiticate oi wnsent to self-Insure for workers' compensalion, as provitletl tor by seclion 3700 of the Le6or Code, for t�a pertortnance of Ihe work for which Ihis pertnit is issuetl. �I have and will maintain workers' cnmpensation Insurance, as repuired by section 3700 of the Labor Code, tor the perfortnance of Ihe work for which Ihis partnit is Issued. My workere'.compensation Insura�e wrrier and poli�y number are: valuetl et one �y. umbar. � � i f D �� Li?� or less.) .. ❑ I certiy Ihet in the peAortnance of the work for which this permit is issued, I shell not employ any pereon in eny manner so as to become suhject to the workers' compensetlon laws oi Calitomla, end d9ree thet If I shoultl become subject to the workers' compensation provisions of Section 3700 of Ihe Labor Cotle, I sha0 fort�w0h `mpl�with lhese pr ons. ApP)cem'Signeture: �_�`i�� f � ^ � 0 � WARNINO: FNLURE TO SECURE WORKERS' COb1PEN5ATION COVERAGE IS UNLAWFVL AND SHALlSUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TIqUSAND DOLLARE �5100.000), IN A�DfTION TO THE COST OF WMPENSATION, OMNGES AS PROVIDED WR IN SECTIpJ 3IO60F THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATiON: I hereby aHirtn thet I am licen�¢d under provisions oi Chapier 9(wmmencing with Section 7000) of Division 3 oi ihe Business antl Prot uions Cotle, end my license is in full force antl ettect. Lfc�il SC�/l �/ �,l� Class A �i ^ CONSTAUCTION LENDING AGENCV: ❑ I hereDy eNirm that Ihere is a construction lending agency for Ihe peAormance ot the work For which this parmit is issuetl. (Sec. 3097, Civil Code). LentleYs Name: Lenders Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I herehy effirtn thet under penalry of perjury ihat I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or couny which requires e permit to construct, alter, improve, demolish, or repair any simcture, prior to its issuence, also requires the appliwnt for such permit ro file e signed statement that he or she is If�eosetl pursuant to ihe provislons of the Comreaors License Lew (Chapter 9(commencing with Sectloa 7000) oi Division 3 ai the Business antl Protessions Cotle) or that he a� sha is exempt therefrom end the basis for tha alleged eaemption. Any violation of Saction 7031.5 by any applicent for a pertnit sub�ects tha applicant to e civll penalry M no� more then tive hund�ad tlollars ($500).): � ❑ I, es owner o� Ihe properry, or my employees with wages es their sole compensetlon, WILL DO THE WORK, and the structure is not intendad or oHered for sele (Sec. 7044, Business an0 Professions Code� The Contrectors License Lew dces not apply to an owner of properry who builds or improves Ihereon, and who does such work himself or herself or through his or he! own employaes, provided ihat suc� improvements ere not intendetl or oNeretl for sele. It, however, iha building or Improvement is soltl within one year ot completion, ihe owner-builder will have ihe burden of proving Ihat he or she did not buila or improve for purpose of sale.). ❑ I, es owner Of ihe pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to cons�ruc� ihe pmjed (Sec. 7044, Business antl PmteSsions Code: Tha contractors License Lew daes not apply to an owner oi property who buiitls or Improves thereon, entl who comracts for such prolect wit� a comrecbr(s) license pursuant lo Ihe Contractors License Laws.). ❑ I am exempt untler sec. Business antl Professions Code for this reason: Siqnature: � Date: Owner ID verifietl by driver's license. ❑ Yes ❑ No Drive/s license No. Expires: Verification of Ownership by (rype of documant, i.e. - propeny terz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cerlity that no excavation five (5) or more teet in tlepih into which a person Is required to descenq will 6e made in connec�ion wlih work euthonzed by ihis pertnit, end that no building sWcture, sceHolding, talsework, or demolition or dismantling ihereoi, will be more than thirry-six (36) feet hig�. (Chep. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomla Administretive Coda). ❑ As owner-builtler, I will not employ enyone to do work which woultl require a permit irom ihe Division ot Indusirial Satety, as noted above, unleu such person hes e • permi� �o tlo suth work from Ihe tlivi5i0�� Signature: Date: Divisian ot Industnal Setery Permit Number: CERTIFlCA7E OF COMPLIANCE AN� AUTHORIZATION OF ENTRV: I certily untler penalry oi perjury that I have read this application antl state that ihe Information given is correct. I egree lo comply wlih all state laws and ciry ordinences releting to building construction, end authodza reDresentatives ol Ihe City of Costa Mesa to enter upon Ihe ebove-descnbetl pro0erry tor inspaction purposes. I egree not to occupy or allow occupency of eny building euthorized by this permit until finel inspection. COUE �. INSPECTIONTYGE PdIE I�p� 1616 Fixed Sysiem Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Final Re-Roof Flnel Block/Retaining W ell Final Factory Fire Place Finel Sign 204 Final Demolilion l/ _ QDa_te�/ COOE1 INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 272 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency APPROVED CITY OF COSTA MC-SA PLANNING DIVISION SUBJECT TO BLDG. DEPT. KEG. NOTE: ADDITIONS, DELET]ONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DN. � ; � -�' _�I��.�,�' ��S' �� C�r�c� �- City of Costa Mesa Plai Department Post Office Box 1200 77 Fair Drive Costa Mesa, California 92626 � f�� ao (71415565245 e Tract No. 9592 Lot No. $ REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Date October 1, 1977 Address 975 2'I'abuco Circle, Costa Mesa, Ca. The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied wiih the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary.for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. 0 OCi 24 �� QM , -"' -�.` ; n �� . :," �• � _ \ ti , �_ .. ....�y�9�raP1 GMF 0569-26 �� , . . _ � . `--.-"�'P�IENT m m Representative BY Le� �oonFssaauaaxa: 975 TRABUCtI lI uHr: axriexsNuieicaavm: GkIt�$t1Y Dt7Ni9LL L } ! moxEss: 975 TRA�UCV CIk �' ' CUSTA MESA,CA 92b27 APPI.WIIING ADOPESi �NCXITECTOfl F1M1NiPlEEA: L1C.N0.: 4iCll OH FNC.'S AOUIiE55: UM: coNm�crarsruuE: G G ROOFING ( 714 ) 965-2387 carm�crars�u�mo 19792 P01'OMAC ,mnness HUNTTNGTON BEACH CA ucxo.: 364151 92646 �,n: IJCENSEU COHfRRCTOPS DECLAHITION: I Mreby eflim uMa pmiely d pajury Nm 1 mn Iiw�wA uMer pariebm W Chaqa 9 (rommervi�p Milh Seclion )000) d Drvision 3 0/ Ihe Buaineea erd PMoiwre Code, xW my 4mnee ie In hll farce eM elled. /c�y \uc.No.:05417/3 u(ac^u7ss: C 3g uc.w � 3-4151 /97 /Dma: �\ I�'—' / (�� ( ` Contreca: OWNER r UILDEN DECL2qATON: I hereby eifirm uMer d perju I emq han tM Cmireqais licenca law ta ihe Ibwi aeon (`�� ]0�1.5 Busi�eas enE Pro/eesions ode: AnY r counl wfiirh iepuirm e pemiN lo mriebucl. ella. improva. n�. a �epei airy el'ui.Mu�e. p'v b Ea seuenee, ebo requi�ea ��eppliram la s�eh paemu lo fib e epned atebmenl tlul M a eM . licemed Wrsuent to Ihe povisian d �M CoM�ecton License lew �Chepter e(cwnmenaip wilh Sedian ]000) at DMbbn � d ihe Bwi�wv aM Prdeaiwu Codel a Ihe1 M a ehe n exemq ihereM1an eM iM beris la iM elleped uamqqn. My vulmun d Seaion )031.5 by aW eppliranl la a permn aubptla iM epplicem lo e dvil parelry N mt more Ihen Me hunEnE Jdkn �5500]). ❑ lmowreramewore�v«mr«�Wor+s..�n.vep..mma:edecomwmeiio,,.wu�eom.won�.eneinesrucn,nenaio�«wee «oflared lor eeb (Seciion )006, Bumness enE Pro/eaeions Code: The Convetlon Limnx lewdoee rwl epply loen ownard qapMy wM WIM a inWo'�es Iherean, eM who daea e h xork limsetl a henM ar tivaph Im or her am amPbM�. p�ed thm ax� imqwemeMe are M inleMeE a dleretl 1« aeb. X, howaver, iM buikin8 or'vnprwemem ie edd wnhin wre yw d twnda�ion. Ne owrimbuilier will heve the buNen d provi�p M a ehe d'd na buiN a imqove tor iM puryme d mb�. � I. az o�mer d iM D�VaM. � aRdueivety mniredip wilh lironsetl mnlreeton to eonarua Ne peqw (�� . �+i�ss aM vraessim. coae: Tne com�aaors �;cen+� �.. e� �a woN ro en ow�w a ww�v wno wua. a�mww. m..on .na .ro mntrecia /« au h pqeda wnh e mMretla(s) IicensaE W�uent to tha Conireqon Limnee Lew). ❑ I an ezamq uMer SacYm: B. 8 P.C., lor tha �amm�: Dete: ' Owiwe: I do heraby cenily the� I em eware d vd wdersleM IM repuiremenb d Callomu HeaXh eM Sdery Code SeCiom 25505, 25533, aM 25531. enA Ihe� I a em/ Mure Wikiiq ocwpeM xill / wil rwl (�'vcb aro) neeE to canply wX� eeia dele codee eM IM requiremaMs M a Ce�m� tmmnawciion or moEiRretion homiMAi�eia0emem OimM. Raeidavial m�n�uUun eVV�ivwanmsmq Imn Ome �!P/610119. Deie: Applicatl: WONKEN'S COYPENS�TION DECIMATION: I Mroby elfum under pxuM1y d pajuiy one d IM Idbv.inp ExJvetiom: � IhaveenEwilmeinteNecarNcaladmmemloaeM�inaursbxpken'wmpe�ueton,mproviJeEtabyFie�mSIWdlMlabor coes, i« �n� vano� d ub .,on� e« �n ms �a m m,�,ae. I� ina��a�;e�mm,..�A•�o��...�a��a�rsm�aiaod��n«cod..ro�msro��wm. waklawhiMMiepam�'sinued.MywaYars$�ATE FUNDa��'d��m��: E3CPIRES c�«: Po��N�m�.: o - 07/O1/98 �m„ �.a;� �e.e �r w�d�<e � rn. w�� s ro. o,�. n�,�e,.d ea� Is,aol a r�.� ❑ i�nay inm �o m. oan��. a m. won� i« wnKn mo ro�a �. �,a, i d�u �a �oN vrv v� n vrv m.�, .o o m becmie wbjee io iM xorken• wmw�+dion lews d Cdilania eM e0rea Nei H I ehwM,Ex�g�u M io tM Ma�ken' c pe�ns^etion provisbna ol (S'e`a_io�n 3'!OU d ihe Lebor Cada, I ah I 1 mpy w➢h � o�ne. flwlw�� V� I� ��-`-- Aool'rnoY��i��6� jYbm/np: Fellun ro wcun woilrsri mmysn,etlon rovereps li l, entl �MTiubNcf an �mployer ro u/Miul par�ItlAl �ntl clw� nroa � ro om hwdred rhouwne ewr.. /s�a4aouA w� ro m. cwr o� rompruewM1 damep. u provklM fw In Ssctlon 9)O6 0l tlrs 1.�4or Cotls, InMut, en0 eRomsy'� /w. CONSTNUGTON LENqNG AGENCY: I hneEy elfi�m uMa penetly M pe'ryry ihm �Mie u e ewmeuaion bMi�q epenry br the perbimence OI thB wak Ia which iM1e perm� I9 swed �Seaion 309], CH. C�. LENDEN'S NM1E LENDEN'S ADDFE55: � I cerlity ihel I heva read I�is epplraiion end pele Ihe� ihe ebove inlormelion b corntl. I epree lo campty wilh ell dryaM muMy adinencw arM awe lewe reWiq ta Wikip eaneUudion eed haraby euhor¢e ie{weaentmivee Gihu ary �o m�a upon �he ebwa�mentioneE prope�ty ro��:o«rro�c��roso�. vUY GALITSKI �� wnaa-e�nam a s��r: c��ia: c�w-�o�c A�k-a��; oaa��oo-+...� �µ CITY UF CUSTA MESA - BUILUING FERMIT PERMIT NG: B 085251 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N FERMIT TYPE: STR JOB DESCRIPTIUN ;'P/OFF 6 REROdF W/ TERRA SHAKE ICBG49bo FERM NU; H 08525 GGVT: N SLiFP: N P C7R PUS E: OTH SQ F'T: o,7G0 CLAIM VALUE: ti,700,Ov CALC-VALUE: b,700.0"v GRUUF UCC; R-3 !U-1 COMMENTS: SMGKE DETECTORS elRE RE�UTAED tEiflE*�lEr*iti�***ME*iEiFiE�lfiEiEifiE+tiEiE*iE*ifififiF ;csiFii�f+r�]FiEifikiE�iExiEiEiFif;riEiF�iEifx�;cifiFiE;rieiFifiEiFieiFifxxi�xxiFie Z t� N I N G R E Q U I R E M E N T S S E T B A C K S ------------ Mt�IN BUILDING ---------- --------- ACCESSuRY' BUILDING ----�---- FRNT; FT IN AEAR: FT IN FRNT: F'T IN HEAR: FT jN LEFT: FT IN RGHI': FT IN LEFT: FT IN RGHT; FT IN PARKTNG REQ• PkOV: PARCEL; 42620213 ZNE; kEF iVO: PLANNING NZ71'ES> � ik 1f iF3F3h'7f'7F ii iF'1F iFif f(' iF i! if 1Fif'sF ii fF 1F ie ie iF if iF iF 3f 1f iF 3F �1f iF if if yE ie 3F i4ik iF 3F K iF iF i'r 3F M if iF iF if i4 i't i(' #'iE iFiFiF if iF iF iF if i{'iF dE it iF iF'7(' )E ii' �+F ie jF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E,N_T S' ZONING APPROVED BY . LA?E: '" BUILDING APPROVED , AF+YLICATION ISSUED �c�c****�if�c�r*rrai'i{'irii'*'�c LEGALIZATION;N F E E S U M M A R Y BLDG PM'C PLUMBING ELECTRIC MECHANIC PERMIT 124.75 PLAN ISSUE FEE BUILDING-LIV-> PERMIT ISSUE PLAN-CH�CR TOTALS----> 125.42 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 124,75 FIRE TOTAL 125.42 LATE: LA'TE : T�* ��I�� 1lif�t3FaFiE 1 lt �R STRUCTUi2AL SEGMENT:Y SMIP/Rk�S CiRALlNG .b% SMIPiNON-RES Fi42D LUE 125.42 ,�0 125,42 OVER/SHUR'I: GO FtRE SMIP/'fOT GRADING l�LAN-CHECK . b �% it if ik iF iF iF iF iFiF iF ii iE�f iE iF it iF iFi4 iF iF �F iF iF iFiF iF�f af iF if iF %ii3F if iF iF ib iE if ie aF iE il±F if iF3f �E ii ie if iF iF iF iE �ii iF iFif iE 3E±F i4 ie iF iF iF it iF iF si 3't y�.yF �{� I N D I V I D U A L F E E B R E A K D O W N TYFE QTY D E 5 C R I P T I O N UNI'f i:OST TU'1'AL ��j;;= SFR b700 REROOF HY VALUE RESIDENTIAL NGZONE 1.0"v b,iGp,pp END OF l� Ek:S 18-16-1997/81:25 PM/�125.42 RCDTR:Bl�q013968 PERMITe08$251 ��iiNSTNUGTION AND PLANNING - ?Q� � SPA " APPROVAt,S Permit # � Date Inspector p�ppROVALS Permit # Date Inspector • , 1. Temporary Electrical Service or Pole �52. Pool & Equipmem Locacion � . 2. Soil Pipe•Undrgrnd. 'a � • 53. Steel Reinforcement . . . J' ' ✓' "1 � � . , . . 1 .. �z. • :Electrical GonduiCUDlity-Undrgr�d. 54. Forms - � ; � ._4.��Plecirical Cond�rUndrgmd. � -55. Electrical Bonding _ � .��.2=.,,rS�teei Reinforcement�-,, • 56. Rough Plumbing & Pressure Test� �� - ??,�lectrical UPE �,rad. -- • 57. APPROVAL TO COVEfl�GUNITE -/�,. ;n,�; _V� , - _ nJ,:J (� :�,yh �ootings ti•� . . 58. Electricai Condyit;Undrgrnd. �_._ I �Be Foundation �S+v . v _ � � 59. Gas Pipe; �O Undrgmd., Test' �.-f - n<. �',_9. Water Pi e�Undr rnd'.'� � � . � p 9 .y, . 60. Backwash Lines�,P�Trap, � Undrgrnd. 70. Structurat Floor System ' 67. APPROVAL TO DECK � . , 17.,^roperty Sewer Line�& House"�Y',onnection ' 62. Backwash & RecepmrFinal , � � 12.;�ewer Cap ' ;i� , � . � � � 63. Heater & Vent-Final . i 13. Roof Drains � � - - � . 64�. Plum6ing System - Pinal� ' - s. 74. Rough Plumbirig, i: - � 65. Electricai-Final � ' 75. Rough ElettricaF-Co�duit� ; - -� 66�� Solar System-F��I " � � � 16. Rough Elettric�Wirir�g - ; 67�: Fencing;& AccysS kpproval .' 17. Rough Wiring Sign � � -� �.�6$. AppROVED F�FSR'PLASTER�NG' 1B. Rough EleCtricd`'�T Bar Ceiliri§ . - • � - -�69: POOL/SPA SYS'F�EMS fINAC ' � - � � 19.�Rough He�cing& Air Conditioning - ' " " - " FIRE DEPT. REQUIREMENT � - - � �� - - � r.��n�- ±' �� a 20.��iough Pattor"� F�¢lace '�17 '�'� } +� •� �.�' . APP��O��"= P� mit �F } •" "`� 'l: - �e. �t �1 J S H �. �: 1� s�� •., P7 �- 21. uotr,irrsStr�tur•��r. i"1 :-+.5 �..r S'7 i-i��'+ 70:�Jnde'r7}reifHdlydro �k .. �. r r 22..�uci�. VPF+til�in�,� i 31� �r . j 4 i.� ;c �� 71. Producl'�j'iping� �as �70i1 � 'V K .� ✓ . f ... � . 'J•�' � 23. Z'ias eipe�toug'h & T@st � t.;� .r ,r, r^ � •J e 72. Undergd6vnd F�u'sh.� a. r: 24.'�ioo�SFraming• 'E;4 � �'- �� .�•% ;� '7 `' ` 7'� Undergr£d.Stc�j'��r_ianl�_pGas �'dil ,i. 25. Roo�SFi thing ,�".,�:t :Z "� �� (�� iU:fi � 7R;:.Overhead Hyd!D 'r 26. >7-Baa: Ceiling (SirucYural) & 6lmocoat � ' i� ` 7� Dry Ch R1i ai `7 ��: "' :� +� . t c'. .R , �7 Y (� ST-S H:� 'C �:� 27.:;Fra ean Flashir ` ;,� �' �z � •v i�l�`�, �'i2' ` "i �= J ;� .S1 . .�.k ..-�� :v rY. k 76: Dry Staadwpe,..w- C � � : 28. LattSfng�& Sidin9 � � �'^• :i^S,iy '� K' .� �•: '•�r 7;� FIXED��T�;�FINA'�t.�y ,� 'n �:: Q f',[':l `� :-1 •� •• �J 4 �Y { 1 :C �q ' 29. Intulation . ,� �: :S •• �* � �j: . FIRE PREV. Flf*tRL .r. ;.• � 'r � 30. Drywall Na��3 �' � r � F c ��EALT�7 DE�!1iEQUIF�EMENT ' 31. Plaster �wn;Coa''i.� � � �.,..�r 'i �x ;, 79: FINAL�f�j'�.J�?ECT�ON � � �" ;j � 32.��Iectrical:.Pov�r M2teRfinal �^ � tv { e i 8Q! FOOD CERTIFfE7ATE ISS�.IED � . 33.'�in�EleCtric.. �-'r ' � �}''� � ` I� �'' �~ .� - ;"' ,> � K ,7 �; K j � !R � tes: �� '7� : ,y �Ui-� 34..-Fin�l��'Heating,$i Pn�£onditionipg5 � i a �� ! �: `� S c�t : �r :5 ��7 � ry... ti ':'1 i� 'l ' 1 H I H 'k 'Ti 35.':fina7'Ga �Pi e-Test " - �' K +� �1 -i.s r � ,>,,, 7 S- P" .i: �� y :e H � k^ ...J `71.1 K ti �n 36.�Hoqd or�anoPY t: � i ii-"' y •-� � i Cc : � � i�� •� a�' r J�. - .r �� ,i ^'*7 , , 37.'.FinaPFac3ory Pirepl�ce,� i `;�� .�: f'� ( �� ; " .� -� :it f R .F N � ^ . . - .-.____ � 38. FinaliPivmbing ��i , . . ,.n r , � r- , a R � . -�iJ f u % 39. WateF Service�Final K y � � k � .� 'a�� + F J k y 1 'R 1 � S? 7 :V tk �$ � �. f. .~ ' . . :� 40. GasServ�e�E"+��al ,,.: ;.r.ir r : r.; � �x •�n� ��v ,t' . 47. Solar posnes[+c-Finaa - ; � � •� + �� jk r 4 � �. � �t .^I � 7' t .� � � r x � � v� 42.'�BackfloyJ�Preventer"t' . _ ; „a < E � i; >_ �� - - -,,._ I �43. Backflow (rf1�2Siofl �r u�� .y. t : �-'S� t n ^ . �. �.r. �. y� -r , � �� - r ��.�i- c � � � � :q4. Landsca{Z,e Iyr�patio� System:w•r,.j !, t ;:± C+ •7 +7 x � ia •L -. - � �r ,s _, - < � r c I �5'.�Sound Attenuationr •-�:xi� . .r..c f-+ t� �: .-; �- �, �v ^S •� _. i�� n -� -� . k � i zf -� r� n. 7� -. n t -r I 46.'}Iandicap,Regulatior�s ' �F ��' .F �- .1 = �::n �S �� .� � � '� r i 47�.:EINNLSTRUL'fURE&BUILDlNG y Q� ' � �� t _ 48..�F�,INAL PLAPINING'' � � - t � i i: ' ' r - . ; ,�"- � K .t. U � :. � -`. _ z� :49.�:Electric�Rslease to fdison + + !< < <� � :� � - _ , k �k n ^' �{� F •'� `'1 l � 1 E_ . J.., o- " � `50. tGas.Fjele�se to, Sout�iem Cali{o[pi2;Gas Co i. � I �, r ,:, � _. �,.y s _ , - � ,511 CEf�,71FICATE 0F pCCUPANCP . �� ?o is x �- � _ � No. Date � CITY OF C� MESA pAn�c Es N° � 2 5 9 + Fee Payment Receipt � Project Address %'/J'�"" �"7 J/YY•1�G�L�Q �—/�i�• Patk Area � A. P. No. � I S —C��— 0'�� S �/� �S ��a Building Pezmit No.� �5�`�� `� � 5 � . I • i � � 'S/�., Owner's Name Mailing Addres! FEE Single Family • Muliipte Family •' Planning Depar[me� �plicant's Signa[ure _ + City Ortllnance 72•44 ** Clty Ottlinance 72� **• City Resolutlon 74 e Whlte • Plenning; Canaf No. of Units ��_ No. of Units fMnk • Flnanq; GdlQsnfoG - AppllCent @ 5455.20 = @ $321.32 = Total Fce 017426 , � � COSGJ �1CSJ 436 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only C BUILDING� .�� %{�% ADORESS (�� —1�—I' OWNER J.H. Gregory ADDRE55 318'] "G" Airway�Ave. ��T� Costa hTesa nT,o.`751-385 BRANCH �,�,y��y Y1q l �hire t31Vd aooaEss Rpz.orl y� H; '1 l a� ('.a . ARCHITECT Jack�Hester TEL.�ClI�O'L1 Ofi ENGINEER N . J � 2 0 Npt ir: r. u. ADDRESS Na�.r�i�rt Faarh� Ca. CONTRACTOR�.h. Gregory Construction AooRess 3187 "G" Airway Ave. TE�.751-384 CITV Costa Nesa No. LIC. No. 285-981 LICVNO. OOH1.77 SIZE 35oos ft.. avera Q I NO.OF BLDGS. Q OF LOT �'�.' g NOW ON �OT USE OF EXISiING BLDG. . Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEFFOR� Single Family Res. I hereby acknowletlge that I have reetl this eOPlication and siate that the ebove Infarmation is correct and aqree to comply with all laws �ragulating building construction, antl I shall not employ any perwn in violatlon ot Me workman's compensation laws of the State of Calitornia. I hereby cartify ihat I am properly Iicense s a contractor under the Siate of California-Business and Prof ons Cotle, Division 3, Chapter 9, end thai such Ilcen are I force antl eftect, or I am eKe om the provision of S te ot Calitornle Business antl Pr essio Cotle, Divislori , C� r 9. Pe�mittea , r _,�.-,;�.�,t�>oo �ac,� ;r„,ti ;Z'�.5 i q�,2 �,:.,, APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV OATERECEIVED nerewcii�n TRACT— `"% // . LOT BLOCK NEW ADD ALTER REPAIR MOVING OEMOLISH xi OWNER J.H. Gre �i� Res W Gar VAWE 3, VSE $ FIRE V ' I�GS ZONE TVPE GROUP APPqOVED av DATE NO. OF PIANS ROM DISTANCE BET MAIN BLDGS. VAR.� �� VSE OF N BEf. MAIN ACCESS. Bl DATE FT. 1442 SQ. FT. J-�I'�i7 sq. ft. THEAMOUNTSHOWNUNDERVALUATION THE PURPOSE OF ESTABLISHING A PERMIT FEE VALUATION PERMIT FEE $ PLAN CHECK $ � s 36,660.00 TAX a TOTALPAID $J'Z/ N n m i m m N � m b a � m 0 � LL � I U I � J