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Home My WebLink About990 TRABUCO CIR - Building Permits; � J .. JobAddress 990 TRABUCOCI Status: ISSUED Suite; Applied: 11/09/2005 . Vicinity; KITCHEN . Issued: 11/10/2005 Primary Occ; R-3 Dwellings/ Cong Res <10 Type of Conslruction: V-N ' Parcel Number; 42205205 Zoning: npp�icanr, KATHLEEN HUMPHREYS Address: 990 TRABUCO CI � - , �. - Phone: � 949-646-7090 ISSUED'BY: COSTA MESA, CA ' — _ . _ - - ' -- . Zip: ; 92627 � .�.�.-,_.� ..' -.,, � i:r��'� �-vi.._. � � i � 1•-�.��'' �r � A., Owner. HUMPHREYS;�ANDREW PHILIP ' ��c Address RAYMOND -��' ,`�., '\ �, � � �� s�g, � l�� - COSTA MESA; CA � . � Phone ��, �, �� 990 TRABUCO 61R � t �-� -= � _ �Zip , 92627,� _,� � � �� , �, � , �. _ . . _:.a � ��` ,: . �•� i Contracror OWNER BUILDER - c-' ` ��, `� 'i'' � �"L��, Address � . ;.,'�� ' - '�� i , � � \V�.A /� i -', ��" i * .�'. �'��. Phone' ." i- -�V � - Zip .;License: � � � �� ,�� BARRY�WALKER � el�g: 730 W 17�TH ST - ' � - Address: . ,. .: . Phone 949 246=4085 ' � � 6=4 - � � - COSTA-MESA CA � . . `. , '- , Zip:� 9262Y: . _ .. � � �Gcense _� C79637'- - . . - � � . " . � . . . . ,,, i ,. .. - .m_ _ . _ REMOVE NON-BI '' � 3 WALL BETWEEN'KITCHEN AND ' Plan Check , $99.61' `' PermiN. ', $153.25_ ' � SMIP_Res: ,``,,, $0.80 ` .' SMIP Com:.,,, ' ` $0.00 � \ Phone: . ` . , License , i� ` LIVING ROOM FLOOR AREA TO RESIDENCE LEVEL. , -� � '': j FEE SUMMARY` � ;;; \' ` 6 � � - `- � r ' `� � - Calc Valuation , � ,_, $a,000.00 __ ... _ ._ - z.. - � -- Claim Valuation. . Sa 000.00 ' � . �_�." � � ' ;,� F` - -" �" � � �`„� . ' , q�;'. , � '. - �. Other.�s� - $0.00 . -_ - -. .:-✓� � -, ' i; r _ , . . . �`• ,,Inspection: $0.00 , y'" '. :'i ,:; . �- Totalr. $253.66 -� _ � .- - .-PCANNMG&ZONING ' ` i SETBACKS :` ' - � MAINSTRUCTURE-�Fronl �`0-,0 _ Rear 0 0`�� 'Left :0 0�'�,�� tiRigM , 0 Oj' . ,. �, , . • ;v�a _ ,;,.,. *t.s, r ' : , � ACCESSORY Front 0 0. � �Rear �0 0- �Lek OEO .� RighY i 0 0; � -� - � � - a1 at � a j�j � � / ��; , , z� , PARKING � : �Existin :. . 0�'� ' �Re uved 0' ' � Pr000'sed:> � A ��-' <� 'v L � �" � . ,� ' � , ; -' � �_ i .� , . � � � .1 � � ' _ . �` -„ �� . y •. � - ` . �. _ "] r" �A �� .. . _ �, . ' ' . � 1 r _ - � �� . _. . � .... n'.>'�i!1.%�- - NOTICE: 'The,work�authorized!by.this;permiUshall�comply withaall:applicable handicap�access reguiremeMs�.under-.Califomia.statutes:and related regulations. (Ord.'No: 9228; §�1; 1231:92) EXPIRATION: �This�permit shall�automatically.expire.and:become.void if.work�is�not:commenced.within�180.days,:oritwork is�suspended.or.abandoned for:a�period of'180 days. INSP.ECTIONS: .Incorderfor.the,workrauthorized,under.this�permit�to:be:considered�legal,esuch.work�must:comply.with;alLapplicable:codes,.and all regWred InspecNons�and'final:approvafmust.be.oblained.'Eailure to�.obtain inspections�and finabapproval.wilfresult in the.expiration.otthis�permit. F.OR INSP.ECTION$'CACC: ((774):7545626 . ` � �� ._. ., �..�„ WORKERS'COMPENSAnON DECLARAnON: � ' ' - � . - I �ereby ettirm untler penalry of perjury one of the following dedarations: -.. � , � - � , ❑� 9 heve and wilfmainiain e certiticate of consent to self-Insure lor workers' compensation, as provitled focby sectlon 3700 oi ihe Lebor Code, tor the pertortnance of ihe work tor which �his pertnit is issued. � � � ❑ I have antl will maintain workero' compensalion insurance, as requiratl by section 3700 of the Lehor Cotle, tor the pertortnance oi the work for which this pertnit is Issued. My workers' wmpensation Insurance carrier and policy number ere: . , Carner: Policy Number: (This section need not be complered i! fhe peimit is valueO at one hundred dollers (S ioo) or less.) ❑ I certify that in ihe peAormance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensatlon laws ot Celitomia, entl agree ihat tl I should be e subject to the workers' compensation provisions ot Section 3700 ot iha Labor Code, I shall fonhwith wmpywiih thes�{govjd'ions. � � c � C��, /n ^^ ^� ApplicamSignature: 11��i1o/ri� Date: �(c�V WARNINO: FAILURE TO SE URE WORKERS' COMPENSATION C1�VERAGE IS UNLA FUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNDRED TYKKISAND DOl1ARE (5100. �.IN ADDITION TO TME COST OF COMPENSNTION, DAMAGES PS PROVIDED WR IN SECTION 31W OF THE LABOR CODE, IMEREST, AND ATTORNE'f5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihat I em licensed under provisions ot Chapter 9(commencinq with Section 7000) oi Division 3 of the Business and Professions Cotle, entl my license Is In full I, force antl eMecL Lic. N Class p � Contractor's Slgnature: Date: CONS7RUC710N LENDING AGENCY: . ❑ I hereby attirtn that there is a consiruction lending agency for Ihe pertormance oi t�e work for which ihis permit is issued. (Sec. 3097, Civil Cotle�. Lentler's Name: Lenders Address: SigneWre: Date: OWNER•BUILDER DECLARATIONS: I hereby affirtn ihat untler penalry oi perjury thet I am.EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business en0 Professlons Code: Any dry or counry which requires e Dermit to�codstruct, elter, improve, demolish, or repair any strucNre, pnor to its issuance, also reduires the applicant tor such permit to file a signetl stalement ihet he or she Is Iicensetl pursuant to the provisions ot ihe Contrectors License Law (Chapter 9(commencing wiN Sectlon 7000) ot Division 3 oi the Busineu end Profeulons Cotle) or ihat he or she is exempt therefrom and the basis for the alleged eaemption. Any violation of Section 7031.5 Dy eny applicent for e pertnit su6jects tha epplicant to e civil penalry of not more then five �undretl tlollars ($500).): vx � ❑ I, as owner ot iha properry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, entl the structure is not intended or oHered tor sale (Sec. 7044, Business an0 Profeuions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who tloes such work himself or herseli or through his or her own employees, provided that such improvements are not intended or oHered tor sale. N, howaver, ihe builtling or improvement is sold wilhin one year ot completion, the owner-builder will have the burden of pwving ihat he or she did noI build or improve for purpose ot saleJ. - ❑ I, as owner ot lhe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTHAGTORS to wnstruci i�e pro�act (Sec. 7044. Business antl Protessions Code: The contractors License Law does not apply to an owne�ol pmperry who builds or improves thereon, end who contracts for suc� project wii� e contractor(s) license pursuent to ihe Contractors License Laws.). � 5ec. Business by tlriver's license. Ves ❑ No � ners�ip by (type ot tlxum n,' .- pwperry ta< bill or DIVISION OF INDUSTRIAL SAFETV Code for Ihis rea5on: License No. •- : 7i� �� /�� i � � ❑ I hereby cenify thet no excavatlon tive (5) or more feet in depth into which a Derson is requiretl to descenQ will De matle in connection with work authodzed by this permil, and that no building structure, scaHolding, talsework, or demolition or dismantling thereof, will be more than thirry-si: (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, 71tle 8, Caltlomie Atlministrative Cade). ❑ As owner-builtler, I will nat emplay enyane to do work which would require a permit irom ihe Division of Indusirial Safety, as noted above, unlass such person �es e permit to do such work irom the tlivision. . Signawre: Date: Division oi Intlusirial Safety Pertnit Number: CERTIFICATE OF COMPLIANCE ANU AUTHORIZATION OF EN7RY: 1 certity under penalry of perjury ihat I have read this application and s�ate that the infortnation given is correct I agree Io comply with ell state laws entl ciry ordinances relating to builtling construction, antl authorize representatives of the City o� Coste Mesa to enter upon the abov es n d property tor inspec(i n purposes. I agree qot to occupy or allow occupancy of any building aYtp�r� e-d by this permit until final inspection. �P�2Pni � i� i Ei,urru�vtt � - r�� c�.�' Signature Ot Legal Owner(s) �ata AnNOr Authonzed Applicant Date COOE I' INSYECTION TYPE' ' ' ' ' ' " 161fi 1266 200 Fixed System Final Fire Prevention Pool Spa Final Finfll Re-Root ' . 2AI€ 1[+➢�I.S 201 Final BIocWRetaining Well 202 � Final Factory Fire Place ' 203 Final Sign � 204 Final Demolition CODEI 'INSPECTIONTYPE .' . .. 206 Final Mechanical 208 Final Plumbing 210 � Firial Electrical 212 Final Fire Prevention 220 - Final Planning Approval 222 Final Site 250 Pinal Building/Occupancy - (774) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DfiIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 99� TRABUC� C� Suite No Viciniry: Parcel Nunmber. 422�$20S App�icant: HUMPHREYS, KATHLEEN Address: 990 TRABUCO CIR Phone: 949-646-7090 COSTA MESA, CA Zip 92627 Owner: HUMPHREYS, ANDREW PHILIF - _ . Address , RAYMOND . �_ - � _ ' COSTA MESA; CA "� -�- - Phone: 949-646-7090 - ' i:990 TRABUCO CIR� �- � , _ � ` Zip: 92627 � �. , ' . . . ' �� ,_-. ; -_ Comracror: OW N ER=6U I LDER Address: , . � , - i% � Phone: ,� � Zip. � s � `/ _ - � License: 000000 � ISSUED BY: Status: ISSUED Applied: 02/08/2006 Issued: 02/08/2006 SCOPE OF PERMIT ELECTRICAL TO INCLUDE: ADD/RELOCATE 16 LIGHT FIXTURES, 7 OUTLETS AND 5 SWITCHES IN � � THE-EXISTING KITCHEN. � � , . - REF.: B05-02022 � � �\ ISSUE FEE . � Temp service test � Res. a/c package .New Res (t-2 units) - New Res (3+units) ' ' Pool,/Spa � LightingFiMs Recept Outlets Switches Non Res Appl Res Appf, '� " - Service to 200a � Service to�{OOOa Service over 1000a Motors to 1 hp;_ �, Motors to 10hp, '� Motors to SOhp . Motorsto700hp- �.�� Motors over 100hp- � Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole s Quantiry $23.50 $0.00 $0.00 so.00 so.00 _' $0.00 $17.60 $7.70 $5.50 $0.00 $0.00 't , $0.00 , so.00 � `so.00 _ $0.00 �' �� /� '- $0.00�,.- �� .�$0.00�. �. _ � $0.00 � � � $0.00; . $0.00 ' ' - � $0.00 �, ~�`� � ..$0.00 �. ��.$0.00 " $0.00 $0.00 FEE SUMMARY � .. . .. _o __,- 0 16 7 5 0 0 " Q J � i 0 .fo_ 0 0 <0< . �.. - 0 0 , 0 ,0 0 0 Temp Dist System / Lighting Busway /100 fl � Standing Section � Misc Electrical Equipment ' �. Transformers up to 1 kva/kw ............:...up to 10 kva/kw .........:.:.:...up to 50 kva/kw ............:....up to 100 kva/kw ......:.......:....over 100 kva/kw . _ Low Voltage Equipment �� Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride oi�lights)� Chiistmas Tree Stand , „ . � Fireworks Stand �� . . Other Electrical Fee . Quantity $0.00 0 $0.00 0 $0.00 0 so.00 o , , $0.00 0 � $0.00 0�,:,' $0.00 0 . $0.00 0 $0.00 0 ' $0.00 ; 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 '' $0.00, 0 $0.00 0 $0.00 � �� Investigation fee � $0.00 Plan Check Fee � $0.00 � , , Reinspection Fee $0.00 , TOTAL CALCULATED FEES�� 554.30 COMMENTS / SPECIAL CONDITIONS NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepectlona and tinel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-as �sroo� WORKERS'COMPENSATIONDECLARATION:� � � I hereby aflirtn undef penalry of perjury one of Ihe tollowing tleclarations: � ❑ 1 have antl will malntain e certifiwte of consent to self�lnsure tor workers' compensation, as provided tor by section 3700 ot the Lebor Cotla, for ihe pertormance of the wark for which this pertnit is issued. ' ,.. ` -. ❑ I have an0 wlll mainlain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the peAormance o/ Ihe work for which this pertnit is issuetl. My workers' compensatlon Insurence carriar and policy number are: � Carnar. Ihat in Ihe per isation laws of wi�h ih@58 pro Ti%)USAND DOLLqRE etone or less.) Policy Number: nce of the work for which this permit is issueQ I shall not employ any person in any manner so as to become subiect to t�e workers' ali mie, antl agree that ii I should become ubject to ihe workars' compensation pmvisions oi Section 3700 of the Labor Code, I shall forthwith r%�ns. � / ,y/� / � �` UM A 4_NO �.Dete:—.�. �xAO • (1 �W WORKERS' CAMPENSATION CAVERAGE IS UNIAW UL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES A D CIVIL FINES UP TOONE HUNDRED IN ADDITION TO THE CAST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SEGTION 3�W OF THE LABOq CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLAHATION: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing wiN Section 7000) of Division 3 of ihe Business antl Professions Code, end my license is in full torce and ettect. Lic. # Class x Contractor'S SlgnaNle: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is e constmction lending agency tor the peAormance of �he work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Signaiure: Daie: OWNER•BUILDER DECLARATIONS: I hereby ettirtn that under penalty ot parjury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or coVnry which requires a pertnit m construct, elter, improve, demolish, or repair any sirucWre, pnor to its issuance, also requires the applicant tor such permit to file a signed stater�ent Ihat he or she ISlicensed pursuant to ihe provisions of the Contrectors License Law (Chapter 9(cammencing with Section 7000) oi Division 3 ot the Business antl Professions Code) or ihat he or she is exempt theretrom antl tha basis For the alleged azemption. Any violation of Section 7031.5 by any applicant for a pertnit subjecis ihe apPlican� to a civil penalry oi not more than five hundred dollars ($500).): ❑ I, as owner oi tpe propeny, or my employees with waqes as iheir sole compensetion, WILL DO THE WORK, and the simcWre is not intentletl o� oNeretl tor sale (Sec. 7044, Business antl Professions Code: Tha Contrectors License Law dces not apply to an owner of property who builds or improves ihereon, antl who does such work himself or hersBH or ihrough his or her own employees, provitled ihat such impmvemems are not intended or atterad tor sele. If, however, tha builtling or improvement is wi�hin one year ot completion, the owner-builder will have the burden of proNng that he or she tlitl not build or improve for purpose of sale.). ^�as owner of tde propetly, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sea 704d, Business an0 Pmfessions Code: The conuactors License Law does not apply to an owner oi propeey who builds or improves thereon, antl who contracts for such project with a contrector(s) license pys�uant,to the Contractors License Laws.). ❑ I am emp der sec. � / Business and Professions Code tor ihis reason: `i�luie:_� .�1�11,/M J hGl ��j/U/2� � Owner ID'veri ed�by dnver's license. Ves No �OrNePs Gcense-N y� Venfication of Ownership by (type of tlocument, i.e. - propery tac 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hare6y certiy ihet no excavation tive (5) or more feet in depih in�o which a person is required to descentl, will be made in connaction with work authonzetl by this pertnit, and thal no building siructure, scattoltling, falsework, or demolition or dismantling thereof, will be more than thiny-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 347, Tille 8, Califomia Atlministrative Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which would require a permi� imm ihe Division of Intlusirial Setety, as noted above, unless such person has e pertnit to tlo suCh work from iha division. Signature�. Date: Division of Indusirial Sefety Permit Number: CER71FlCA7E OF COMPLIANCE AND AUTHORVATON OF EMAY: I certiy under penalry of perjury that I have reatl this application antl state ihat ihe information given is correct. I agree �o comply with all state laws and ciry ordinances relating to building consiruction, and authonze representatives ot the Ciry of Costa Mesa to enter upon t�e abo e nbed properry for in ection purpos s. I ag�ee not to occupy or allow xcupancy of any building auth � ed by is permi� until finel inspection. _ i� nQ Wl � �d1Q/L�L. �'.2�Z0 19natuie.0, ega er(s)� L D te�7 �e And/Or Authorized Applicant Date COUE t. INSPECTONTYPE � PAi� �NnMLS 7616 Fixed Sys�er� Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Rooi Final Blxklqetaining W all Final Factory Fire Placa Final Sign Final Demolilion COOEt INSPECTIONTYVE 206 Final Mechanical � 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final euilding/Occupency paiE INTRIALS � � - ` • � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 s JobAddress: 990 TRABUCOC� Suite No Viciniry: Parcel Number: 42205205 MECHANICAL PERMIT Applicant: HUMPHREYS, KATHLLEEN Address: 990TRABUCOCI " - �. � � - � Phone: 949-646-7090 COSTA MESA, CA � - _ ' Zip> � � 92627 � Owner:; HUMPHREYS, ANDREW PHIL'IP � - Address: '.RAYMOND'� , � � � � - � COSTA MESA; CA ,' � � Phone: � , 990TRABUCO,CIR. � Zip: 92627 Contrador: � � ,Address, � Status: ISSUED Applied: 11/10/2005 Issued: 11/10/2005 ISSUED BY: , � Phone: � . - . ,. Z�P� . . � ' - � License: � SCOPE OF PERMIT REMOVE NON-BEARING WALL BETVJEEN KITCHEN AND DINING ROOM, R41SE SUNKEN LIVING ROOM FLOOR AREA TO RESIDENCE LEVEL. REF.: BOS-02022 � MECHANICAGSO INCLUDE: 1 HOOD W/MECH EXHAUST . � 2/9/O6: SUPPLEMENTA� ACTIVITY TO ADD'I.REPAIR/ALT COOLING/HEAT � Quantity ISSUE FEE ' $23.50 � �Inst FAU <100 k BTU' � $0.00 - �0- Inst FAU >100 k BTU $0.00 0 ` Repair/Alt CoolingMeat $'13.70 1 Inst / Rep. Recess Wall Htr $0.00 0 Refrig Sys <100 k BTU $0.00 0 � Refrig Sys ?100 k BTU '- $0.00 0 Gas�Piping�, ' � $0.00 0 Factory Fireplace � $0.00 0 Hood w/Mech Exhaust � $10.65 1 VAVBox �� , $0.00 0 Vent FanY Single Dud � � � $0.00� - 0., ` � Appliance�� $0.00 0 Fire Dampers, � � � $0.00 � 0 � � Smoke Dampers ' ` � $0.00 , 0, / Inst or Relocate Aqpl Vent � "�, ,$0.00 �� 0;�� Air Handlers < 10000cfm,�, '� � $OAO 0 � AirHandlers> 10000cfm�� ' . $0.00 0� FloorFumace � ' �$0.00 ' 0 � � Floor or Suspend Heater �; ,$0.00 . 0 FEE SUMMARY Repair / All Absorblion Unit . Repair/AllReirigerationUnil Ventillation System Evaporative Cooler Commercial I nci nerato r Domestic IncineratOr �Comoressois /Absomtion Svstems - . Upto3hp/100kBTU 3 To 15 hp / 500 k BTU , 15 To 30 hp / 1,000 k BTU 30 To 50 �hp / 1,750 k BTU ' Over 50 hp'/ Over 1,750 BTU . Boilers , --Up to 3 hp� 3To15hp , � 15to30hp � � . , 30 l0 50 hp . Over 50 hp Other Mechanical Fee � - Investigation Fee Plan Check Fee Reinspection Fee - TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS � Quantiry $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 547.65 NO710E: The wo�k authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required InspecHons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi� FOR INSPECTIONS CALL: (714) 7545626 - zaases�doo� WORKERS'COMPENSAnON�� , � � I hereby aHirtn under penalry of perju e of ihe �ollowing declaretions: ' , , , ❑ I have and will maintain a certificate of consent to self-Insure tor workers' compensation, as provitled tor by section 3700 of ihe Lebor Code, for the pedormance of the work for which t�is permit is issued. � I have and will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Cotle, fOr the perfortnance of the work lor which this pertnit is iuued. My workers' compensation Insurence carrier antl policy number are: � Car�er. Policy Number. (TIJs secfion need �ot De cnmp/efed it the permit is velued et one �undred dollars ($100) or /ess.) t73' I certity Ihat in the pedormance oi the work for which this pertnit's issuetl, I shall not employ any person in eny manner so es to �ecome subject to the workers' '1 compensa�ion lews f C lifomla, end agree that it I should beco a sub�ect to Ihe workers' compensaiion provisions ot S cbon 3700 ot ihe Labor Code. I shell forihwith comply with thes s' � � ��0 3t �' Date: �'/' WI[FiN�ING"F U� CURE WORKERS' CAMPENSATION COVERAGE IS UNL4 FUL AND SHALL SU&IEGT AN EMFYBYEFiTO CflIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TrypUSAND DOl1ARE (51 ,000), IN ADDITION TO THE COST OF W�dPEN$ATION, DAMAGES AS PROVI�ED FOR W SECTION 31O60F THE LPBOR COOE, IIJrEflEST, AND ATTORNEV'S FEES. LICENSED CON7PACTORS DECLARATON: I hereby aHirm that 1 am licensetl under provisions ot Chapter 9(commencing with SecUon 7000) of Division 3 oi the Business flnd Professions Cotle, anA my license is in tull torca and ettect. Lic. q Class x Coniractor's Signa[ure: Date: CONSTRUCTION LENDING AGENCY: ❑ I here6y attirm ihat ihere is a construction lending agency For Ihe pertormance oi �he work for which this permit is issued. (Sec. 3097, Civil Code). LBntlBfS Name: Lenders AtltlreSs: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 he�eby attirm ihat under penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Protessions Cotle: My ciry or wumy which requires a pettnit to consiruct, alter, improve, demolish, or repair any stmcture, prior ro its issuance, elso requires the applicant for such permit lo file a signetl statement ihat he or she is licensed pursuant to [he provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is exempt the�efrom antl the basis for Ihe alleqetl exemption. Any violation of Section 7031.5 by eny applicant for a pertnit �cts Ihe applicant to a civil penalry of not more than five hundred tlollars ($500).): I, as owner of the property, or my employaes with weges as thair sole compensation, WILL DO THE WORK, antl the sirudure Is not inientled or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of propeny who builds o� improvas thereon, and who Goes such work himself or he�self or ihrough his or her own employees, prohdetl that such improvements are not intentled or oHered tor 5ale. It, however, the building or improvement is soltl wit�in one year ol completion, ihe owne�-builder will have ihe burden oi proving ihat he or she did not Duild or improve tor purpose of sala.). � � I, as owner ot the pmper�y, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044. Business and Professions Cotle: The contractors License Law does not apply to an owner oi pmperty who builtls or improves thereon, and who contracts for suc� project with a contracror(s� license pursua(�! to the Contractors License Wws.)., antl Professions Cotle for this reason: by dnvers licen5e. � ❑ Ves " ❑ No Verificalion ot Ownership hy (type ot tlocument, i,e. - pmperty tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hareby certity that no excavation tive (5) or more feet in depth into which a person is required to descend, will be matle in connection with work euthonzed by this permit, an0 that no builtling strucWre, scaRolding, falsework, or demolition or dismamling thereof, will be more then ihirtysix (36) faet high. (Chap. 32, Gry 2, An 2, Sec. 3A1, Tltle 8, Califomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit fmm the Division of Intlustrial Sa(ety, as noted ebove, unless such person hes e permit to tlo such work from ihe division. Signature: Date: DiviBion ot Intlusirisl Safety Permil Number: CER'�iFlCA7E OF COMPLIANCE AND AUTHORIZATON OF ENTAV: I certify under penalry of parjury Ihat I have read ihis app�iwtion antl state Ihat ihe infortnation given is correcc I agre to comply with all state laws and ciry ordinances relating to builtling consWc�ion, end authonze representetives of ihe Ciry of Costa Mesa to enter upon Ihe above-de d property for inspeclion p sea I agree Uo occupy or aflow occupancy ot eny building authonze/%tl� by �is /Ir�m�t untiV finsl inspection. �J� � I I-�'�l iJ.�., S' d� egal O'w er(s)7' ' — AnNOr Authorized Applicant Data r0+ DE �. INSVELTIONTYPE -� � � �PL� INTRIALS 1616 Pizetl System Final Fire Prevention ' 1266 200 201 202 203 204 Pool Spe Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 21p FlnalEleclrical� 212 Final Fire Prevention 220 ,Final Planning_Approval ; 222 Final Site , 250 FinalBuilding/Occupency __ ' ' o�.n.i5 ' ... �_ I . .. . � ` • . M (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77�FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 990 TRABUCO CI Suite No Vicinity: Status: ISSUED � APPlied: 11/10/2005 - Issued: 11/10/2005 Parcel Number: 42205205 , - � "� � ' ISSUED BY: _ ` y npp�icant HUMPHREYS, KATNLLEEN -�� Y, .� � ., = _"��. _ .. .� Address: 990 TRABUCO CI �. ��•y �� - � �^,; - . , ,.� \ , Phone. 949-646-7090 , I ` _ - � �`,�ti_ -. �, . . COSTAMESA.-CA.�,: �': � �.Zip:. 92627 � ,. � �l. . _ �„ . � , . � .. • ' �` . Owner �'WUMPHREYS ANDREW PHILIP � � � �\ f� \` Address- , tRAYMOND•. , � �� „�%%^.%% � � -`^��'� .� / � ^'�� r, .. , �_, '.COSTA MESA; CA,� �,�1� Phone: C; � � � �� " -r,r '_ V ,' " ' � \\-' . !�l'� 990,TRABUCO,CIR�'' Zip: 92627 � �� ; ��l ' ' , � � , . n�. :`\� �\ � Contractor: � � � • � � Address:� . �� ' . . (f . , � .i'.; �-' � Phone: � � . . . � - � � . , � . � , � Zip: • - . , ii '� --;.r � �. _ • , . ; , y � � License - . ' � � . . , � �� , i.: � ,. . . �� . . - - '-' . t?_ .z s, - �., .�- . . � �K�� -`lh ,� .., .. �'"-^"-.1'��; ° � =SCOPE OF�PERMIT�— �- � � -�... � . ; �' � � _.t . � r ', REMOVENON,BEARWG WALL BETWEEN KITCHEN AND DINING ROOM, RAISE�SUNKEN�LIVING � � , . ' , , . -� �ROOM _FLOOR AREA TO RESIDENCE LEVEL REF.: BOS-02022 � - , - ��.„ �. '.,, , �� '. ' ' ' ' � � j � . � - , �: ,r--, t �, �'MECHANICAL40INCCUDE: 1 HOOD W/MECH EXHAUST. � � . ' � . , i � ' -... , . .. . ._'__.. ... . ._-_....' ' ..'.___ .__ . � �- � � �, ' � ;r � � I „ FEE SUMMARY /;_ , � ` � . . , : `" ._-�Quantity '�- - _.., - _.:.�.., . .,-.: . . � ._ .. � .., '. , ' '��uanlity . ISSUEFEE r � . $23.50 Repair/AltAbsorbtionUnit � $0.00_ 0 � ' Inst FAU.<100 k�BTU �� $0.00'. 0� r. , " -�a Repair/;Alt Refrigeration Unit - � ,� $0.00' 0- : ", InstFAU�>700kBTUi; ' $000 �-0--- :�'> - ,�VentillationSystem� - � �- - `�,$0.00� 0 r - Repair/All�Cooling/Heab � - $000 ,�0;— � - � --^.`Evapora�iveCooler ��`, � °,;$0.00 0� Inst / Rep. Recess Wall Htr � - $0.00�. b - - � - -0ommercial-Incinerator - � ' � $0.00 0,' ''1'� Refrig Sys <100 k BTU -. $0.00; 0 Domestic Incineretor � _ ' ' �. $0.00 � y0 , " j Refrig Sys >100 k BTU $0.00 � 0 Comoressors / Absorotion Svstems �� ' - ' Gas Piping , � $0.00 0 Up to 3�hp / 100 k BTU '$0.00. 0 • Factory Fireplace ' � ' $0.00 0 - 3 To 15 hp / 500 k BTU - +- - " $0.00 �� 0 � � �- Hood w/Mech Exha�usL $10.65 1 ;��15 To 30 hp / 1,000 k BTU J' �P ($0.00 � 0�" ' VAV Box " ' . $0.00 0 , .,;r :'`�' ' �^ - 90:To 50 hp / 1,750 k BTU ' � - � �$0.00� �0 ' - Vent Fan I Sirigle Duct �- ' $0.00 0 �''- . Over 50 hp / Over 1,750 BTU . $0.00 �, 0- Appliance . ,.� ' � ,. $0.00 _ 0 ` , �� ' � �;�Boilers . � �; . FireDampers " � �.`$000 0� �=. � � ,;Upto3tip �� 'pi� �� $000- ;0 Smoke Dampers ,� � �"$0 00 � 0 �' �� ' � � , 3 To 15 hp, . , � � � , $0 00 �" 0 Inst or Relocate AppLVent � � �-. $0 00 �O�ti - � .� � �15 to 30'�hp.,, ..�� / � � � ,$0.00 0 AirHandiers< 10000cfm ' `j.$0;00-�0_,��_�;- .; , , 30to50hp . �:�.-_.�'%.-� -� �f', i�.$0.00 0 Air Handlers > t0000cfm� - � "; $0.00 0'��' �` : � - Ove[50 h �-� � p,_,.. �- $0.00 0 FloorFurnace � �;:•.$000� `0 � � ` � �--OtherMechAmcafFee ., � �� : ' , Flooror.SuspendHeater ��" `$000� -0�;.�� ; '�- � .. � InvestigationFee, '�;�� , ' � � � $0.00 . , � �__, ` •Plan_CheckrFeg�^� A� -,,}'=j� $0.00 � % � � �� - � �Reinispe"dion.Fee� t �,,y , $0.00 _ - , . •�� . , � i. " � ` ' � � � , • ��TOTAL CALCULATED FEES 534.15 _ � -. ... . _., �%7�1„'. NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIflATION: This permit shall automatically expire and become void if work is not comrtrenced within 180 days, or it work Is suspended or abandoned for a period of 180 days. • INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such vrork must comply with all applicable codes, and all requlred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CACL• (714) 7545626 2d4&d6�N00) WORKERS' COMVENSATION DE��N: — � � � � ' '� I hereby aXirm under penetly ol perjury one o1 the followinq dedarations: �-� � , � . ❑ I heve end will maintain a certificate at consent to self-Insure for workers'� compensation, as provided tor by section 3700 ot the Lebor Code, for lhe pertormance of the work tor which ihis permit is issued. � � ' � . . , ❑ I have and will mflintain workers' compensation Insurance, as raquiretl by sectlon 3700 of the Le6or Cotle, tor �he Derformance oi tha work tor whicti this permit is issue0. ' My workers' compensation Insurance carner and policy numher are: Carner: Policy Number: (This secfion need not be camp/eted il the permit is valuetl at one hundred tlollers ($700) or /ess.) ❑ I certity that in the peAoimanca�ot the work for which Ihis pertnit is issued, I shall not employ eny'person in eny menner so as to become subject to the workers �� compensation I� q o alifomia,-anA agree t�at It I should become ubject to the workers' compensation provisions ot Section 3700 of ihe Lebor Cotle, I shall forthwith comply with t ro ''o 's,�,, 1 -� �/�'�p.�� I Appliwnt SlBnatu : �/U - � Date: _ _4 W � ' O� � WARNING FAILURE TO ECURE WORKERS' COMPENSATION COVEFiAGE IS UNIAWF L AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVll FlNES UP TO IXJE HUNDRED THOUSAND OOILARE (5 .000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3/060F THE LABOR CODE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLAR I hereby a%irm that I em licensetl untler force en� ettecL Lic. B ContractoYs Signeture: 9(commencing with Section 7000) of Division 3 of the eusiness and Pmfessions Code, antl my license is in full Class M �'�+. �ate: CONSTRUC710N LENDING AGENCY: � .. � e�N i' � ❑ I hereby eflirm that ihere is a construction lending agency for the pedormai Lender's Name: Lentlefs SlgnaNre: for which this pertnit is issued. (Sec. 3097, Givil Code�. Dare: OWNER-BUILDER DECLARAT10N5: I here6y affirtn that under penelty ot perjury ihat I am E%EMPT FROM TME CONTRACTORS IICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any dry or wunry which requires e pertnit b constmct, alter, improve, demolish, or repair any swcture, prior to its issuance, elso requires ihe applicant tor such permit to file a signeC statement ihat he or she Is Iicensed Dursuant to the provisions of the Contradors Licensa Law (Chapter 9(commencing wit� Secllon 7000) of Division 3 of ihe Business end Profeulons Cotle) or ihat he or she is exempt theretrom antl the basis for the alleged exemption. Any violation oi Section 7031.5 by any applicant for a permit subjects �he epplicant to a civil penelry ot not more than Me huntlretl dollars (5500).): ❑ I, as owner ot tha property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl �he structure Is not Intended or oHeratl for sale (Sec. 7044, Business and Proteuions Cotle: lTe Contractors License Law does not apply to an owner of properry who huiltls or improves ihereon, and who tloes such work himseli or herseli or thmugh his or �er own emD��'ees, provided Ihat such improvements ere not imendetl or oMeretl tor sale. tl, however, the building or improvement is sold within one year of wmpletion, the owneo-builder will have the burden of pmving that he or she did not build a improve for purpose oF sele.). ' ❑ I, as owner oi the propeM. am E%CLUSIVELV CONTRACTING WITM LICENSEO CONTRACTORS to construct the project (Sec. 7044, Business antl Protessions Code: Tha contrectors License Law does not apply to an ownar ol pmperty who builtls or improves thareon, and who contracts tor such pro�ed with a contractor(s) � license pursuant to lhe Contractors License Laws.). lem Sed by driver5licensa. Ownership by (type of and Professions Code for ihis reason: Ves ❑ No i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERI�7R CERTIFICATION: Onvafs Licensa No. ..: -s11. I �/�%� � • • ,. . ❑ I hareby cenify that no excavation five (5) or more fee� in depih into which a person is raquired to descend, will be mede in connection with work euthorizatl by this permit, and that no building struclure, swNolding, talsework. or tlemolition or tlismantling ihereoi, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 347, Title 8, Calitomia Atlministrative Code). ❑ As owner-6uilder, 1 will not employ enyone to do work w�ic� would require e permit irom the Division oi Industnel Sefery, es noted ebove, unleu such pereon hes e permit to tlo such work irom the tlivision. SignaWre: Date: Division of Indusirial Safery Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIL4710N OF ENTRY: I certify under penalry of perjury �hat I hava read ihis application antl state ihat the information given is correcL I a ree to comply wiih all state laws and ciry ordinances relating to building construction, and authorize representa�ives of the Gity ot Costa Mesa lo enter upon Ihe abov r� pr�a�or � spectiop purposes. I� e not oQ cu� allow occupancy ot any building a�uth rizeqd� �by� this p/e�rmit unt✓il t7in�al �inspection. /a l l _ P UDl/' ��J /JKl'✓.-� l. V..P SignaNre Ot Lega Owner(s) ' Date And/Or Aulhorizetl Applicanl Date COOEI' INSVELTIONTYPE.... '. • ' . _. `ILAIL L�ELS , .. �•�QP�E' INSPECTIONTYVE •. 1616 Fiaed System Final Fire Prevention �� 1266 Pool Spa Final 200 ' Final Re-Roof � ' ' ' ' 201 Final Block/Retaining W ell 202 �� Final Factory Fire Place' ' � � 203 FinalSign 204 FinalOemolitian ' 206 � Final Mechanical 208 'nal Rnmb� 10 inal ec� cal i ve Prevention 220 Final Planning ADProval 222 Final Site 250 FinalBuiltling/Occupancy i September 21, 2007 CITY OF COSTA MESA P.O BOX 1200 • 77 FAIR DRIVE � CALIFORtJIA �J2G28-1200 DEVELOPMENTSERVICESDEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Andrew Philip & Raymond Humphreys 990 Trabuco Ci Costa Mesa CA 92626-3917 PERMIT NUMBERS FOR: PROJECT ADDRESS BOS-02022, MOS-00649 Structural 8 Mechanical Work 990 Trabuco Ci., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on October 5, 2007. Additional fees will be required to finalize expired permits. Requestinq an inspection—If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Requestinq an extension—If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, �� Mary Jane Weidenkeller Office Specialist II Building Oivision (714) 754-5273 • Code Enforcemenl (71a) 754-5623 • Ptanninq Division (71a) 754-52a5 FAX (T4) 754-4856 • TDD (71G) 75�-5244 • vra^.v.ci.cosla-mesz.ca.us (714) 754-5273 • Fax (714) 754-4656 • www.ci.costa•mesa.ca.us � -77'FAIR.ORIVE, COSTA MESA, CA 92626 PLUMBING PERMIT JobAddress: 990 TRABUCOCI Status: ISSUED . Suite No Applied: 11/10/2005 Issued: 11/10/2005 Viciniry: Parcel Nunmber: 42205205 Applicant: HUMPHREYS, KATHLLEEN:� �.-'=':-"�'� t;�'='`a� ISSUEDBY: Address: 990 TRABUCO G -'%��'�% '�. --' - -� " � �} - -- "`�� <, r-!-� ry �, Phone: 949�6487Q8_21j1 , r�� COSTAMESA;--CA� � _ , � Zip: 92627 � �� , . �� " � �� ,.- . � r � ; � `� . . . " � - -� ti �' { � Owner r' HUMPHREYS ANDREW PHILIP '` ` � �� Addre55,�3 RAYMOND .- � r r�-','�;%% �� ,{ '` ` � ,.;� �- :� :COSTA MESA; CA /� � Ph e. ,�, . � � � ' � � .,��\ � � '�� 990TRABUCO�CIR;� �� : _ � ��. A/ / . � i/ .4�� '' _ /. z1 \` �\ ' ' .'1.`�\/ . � 'COf1If2Ci0C /� i - � ' ' � � �. : ,`� Address: � .�.��', . � _ . _ _ . � V: '' . . ' _ _ � Phone ' � , ,. . . ' . . . r , �:r: . a' : � ' � • ' _ � , y �Zip . _' � . r. _ ir I'� ' , , � - '> f License � . .- '- ' . i� - �'t�'.- '- _. ". - , � � � • . .. . �, , . . ..�. ___�;_xy. � w , . . ... , � 1 a•� - • `�� " ` SCOPE OF PERMIT ' ' z; � `_ ' . ' ' - REMOVE-NON-BEARING WALL BETWEEN KITCHEN AND DINING ROOM, RAISE SUNKEN��IVING ROOM - _ � - � - �, .FLOOR �AREA TO RESIDENCE LEVEL. REF: BOS-02022 =_ - . _ __ - . _ ° i ' ' � ' , ' ' ' , � ,i�'r� r+�� 7 ."T )-� n-' ` -..- / ' r.": .�, . - ' ' ' � � � � ,�`��PLUMBING TO INCLUDE'1 KITCHEN�SINK . ,�� ", � ' � - . , � - ' ' . . . ....r rL . _ .. . .. \' - � `, , FEE SUMMARY `;; � � AMT QTY 1 _ f' '"� � r i^��,�. ,' -' ' _ AMT� QTY)r ". ", � �AMT QTY ISSUE FEE � �. $23.50 ---Laundry Tub"/.Washer, � 2 ;; $0.00 0 ' _ � Sump Pump $0.00 � � �0' Backflow irrigation �� $0.00 0 ' - � Candscape Imgation- . - .$0.00='�� 0 --�-� �--- � Swimming Pool . �' ♦ ' $0.00 r,� 0 Backflow Prevenler . � $0.00 0 , P-Trap $0,00 ; 0 Trap Primer - ,�'� ` � �$0.00, . 0 Bathtub � � $0.00 0 . Pressure Regulator i $0.00 ' 0 ' Urinal -�. $0.00" 0 Clarifier System " . 50.00 0 Process Piping (per 10 ft) �$0.00- ,0 Vacuum 8rkr Bkflow(1-4) - $0.00;� . 0 Connecl pce,Soda,etC) �,50.00 0 Receptors � $0.00 0�" Vacuum 8rkr,Bkflow(5+) '.$0.00 0 Denlal Units, �5,0.00 0 SepticTank _. `�,�„..r-: ,$0.00 0 Wash Basini�!; j' ��`�, 1$0.00 �� 0 Dishwasher � - 50.00 0 Sewer Cap,for Demo� "-� ..$0.00 0 Wash Basiri.Set � �$0.00 0 Drain,Floor � $0,00 . 0 SewerConnect � � $0.00,,,0 Wasteantl;VentSystem�- $0.00 0 Drain, Rainwater �`"� $0.00��, , 0 Sewer-Private Line �,� ,>„ ;' $0.00� �0 Waler Closet (Toilet) j$0.00 0 Drain,Roof �`,� -�� $0.00�,'�:b r. r`:Shower � j �$OOOr,;,O . :a.,:�� ,zWater,Hezter/vent'� /. �$0.00 0 Drinking Fountam. , $0 00 ��0 �.. Sink bar �<- $0 00 0 � Water Piping (Inst or Rep:)- �$0.00 0 ExpansionTank � �'� ,�$000' . �0 � ��Smk�commercial ��.., $000.�: �0 "�- WaterRe•pipe, ,'/"��$0.00 0 GasEarthquakeValJp� -y000�',',_0 ��`�,SmkFloorc��` � $000�-'0^��rWale(Servicel /��/ $0.00 0 Gas (1-4 outlets) , . $0;00� � � 0 � , Smk;-kitchen' � . �� t� $g.80 .-1 "� _ Wate�-SoRener f r = ; $0.00 0 � Gas (Over.4 outlels) -.';$0.00 t,-; 0 ! _ �Sink, service/mop . ' $0 00 '- 0 . ' � �,, ! OTHER- = /'�� $0.00 GasRepipe `�-$0.00 ��-�+0. .. ��Spa(privete) _ - ��$0:00-= 0 `<<VVIOL'HTION!!' - $Q00 GasSeiJice 50�00"'�0 -�;�Spa(public) � $000-_.,0' �`,�PLAN�CHECK.-' $0.00 Interceptors (Grease, Oiq $0 00 - _�'- 0 � , , � � , �� , • � � �`� ��""_' � '\`t� '`•REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 "� , 0 - - � � � ' - '� �",i -��- � . , -�.. . .' ,-` i; i. -j"" .TOTALlCALCULATEDFEES: 533.30 _ .a , _ _.--� ; ,':�%-� NOTICE: The work authorized by this permR shall comply with all applicable handicap access requirements under Califomia statutes and relatetl regulations. (Ord. No. g2-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally expire and become void if work is not commenced within 180 days, or if work is suspended or abandonetl for a penod of 780 days. INSPEC710NS: In orderfor the work�auchorized under this permiPro be�considered.legal, such-work must compty wifb ali�applicable codes, and all requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of ihis permit. FOP INSPECTIONS CALL:. (714) 7545626. zaas-ae Ieiool '-. . - .--� -_ - WORKERS' COMPENSATION DECLARATION: � � ' I hereby aflirtn under penalty ol perjury one of the following tleclaretions: - . � �� _ .� � ' ❑ I heve antl will maintein a certificete of consent to self-Insure tor workers' compensetion,�as pmvided for by section 3700 of the Labor Cotle, for Ihe Dedortnance ot the wOdc tor whlch t�is pertnit is issued. ' - ' � ' � � ❑ I heve and witl maintain workers' compensauon insurance, as requiretl by section 3700 oi the Labor Code, for Ihe pedortnance ot the work for which ihis permit is issuetl. ' My workers' compensation Insurence carnar and policy number are: ' Carrier: PolicyNumber: ' �� ' (This secfion neetl not be complefed i/ the permif is velued et one hundred dollars ($700) or less.) ❑ I certify t�et in the peAormance at the work for which this pertnit is issued, I shall not employ eriy pereon in any manner so as to 6ecome subject to the workars" compensation laws ol Calilomia, entl agree t�at if 1 s�oultl becom9 sub�ect to the workers' compensation pmvisions of Section 3700 of the labor Cotle, I shell forihwit� complywith these a�v ^ • / 1 / , �„ . , ��` Applican� Signature: d � �X�� L� �'��y�Y`��-�'-iLL Date: ✓ • v WARNING: FAILURE TO S E WORKERS' COMPENSATION COVERAGE IS UNLAW UL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES MID GVIL FINES UP TOONE MUNDRED THWSAND DOILARE (5100,000), IN ADORION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3lOfi OF THE LABOR CODE, IMEREST, ANO ATTORNEI^S FEES. LICENSED CONTRACTOflS DECLARATION: I hereby ettirm that I am Ilcensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business and Pmfessions Code, and my license is in tull force entl eHecc Lic. N Class k ContractoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ' ❑ I hereby aRirtn ihat Ihere is a constmction lending agency LentleYs Name: Signature: performance ot Ihe work for which this pertnit is issued. (Sec. 3097, Civil Gode). Lentlefs Atltlress: ?`-'%i . w Date: O W NER-BUILOER DECLARATIONS: 't_ C, I hereby effirin thet under penalty ot perjury �hat I am EXEMPT FROM TXE CONTRACTORS LICENSE LAW tor the followinq reason (Sec. 7031.5, Business end Professlons Code: Any ciry or counry whic� requires e pertnit to construc6 altar, improve, demolisfi, or repair any siructure, pnor to its issuance, also requires the applicant tor suc� pertnit to tile a signed statemeM thet he or she Is licensed pursuant to the provisions of the Contractors License Ww (Chapter 8(commencing with Section 7000) of Division 3 oi the Business end Pmfessions Code) or that he or she is exempt therefrom and the�basis far the alleged exemption. Any violation of Seclion 7031.5 by eny epplicent for e pertnit subjects the applicent ro a civil penalty of not more Ihan five huntlred dollars ($500).): 4_, j�h ❑ I, es owner ol the property, or my employees with wages es their sole compensatlon„WILL•DO THE WORK, and ihe structure Is not intentled or offered tor sale (Sec. 7044, Business and Pmfessions Cotle: The Contractors License Law does not apply toan owner of property who builds or impmves thareon, antl who does such work himself or herself or ihrough his or her own employeas, pmvitletl Ihat such improvements are not inten0ed or offared tor sale. It, however, the building oi improvement is soltl within one year of completion, the owner-Duiltler will hava the burden ot proving itiat he or she did not builtl or improve for purpose of sale.). � ❑ I, es owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct ihe prqact (Sec. 7044, Business antl Protessions Cotle: The conlraci0rs Llcense Law does not appty to en owner of pmperty who builds or impmves lhereon, and who conlracts tor such project wit� a conlreclor(s) � license pursuant to the Contractors License Laws.). rqp�ntler sec. Busi ess and Professions Code tor this reason: f i Expires: a0 �� Ownership by (type oi d ument, Le. - properry tarz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify that no excavetion five (5) or more feet in tlep�h into which e person is requiretl �o descend, will be mede in conneciion wiih work authonzed by t�is permit, end ihat no builtling sirucWre, scaHoltling, talsework, or tlemolition or dismantling ihereot, will be more than ihirry-six (36) teet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Calitomia Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from Ihe Division of Industriel Sefety, es nated e6ove, unless such person �es e pertnit to do such work irom �he tlivision. Signature: Division of IndusMal Satery Pertnit Numbec Date: COUE L INSPECf10NTYPE - 1616 Fiaetl System Final Fire Prevention�+� 1266 Pool Spa Final 200 ' ' Final Re�Root ' - 201 Final BIocWRetaining Well 202 � 'Final Factory Fire�Place' � 203 Final Sign 204 Final Demolition ' - - o�h � IISIIIlA6§ cooer�' ixsrecnoxnpe ' � 206 Final Mechanical � � 20B Final Plumbing 210 Final Electncal ' ' � " 212 Final Fire Prevention 220 � Final�Planning Approval ' � 222 Final Site 250 FinalBuiltling/Occuparicy �Lu� � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 990 TRABUCOCI Suite: Viciniry: RESIDENCE AND ATTACHED GARAGE Parcel Number: 42205205 Appiicant: BLANKS, JERRY Address: 17501NORWOODPARK,PL� , -' .iG�ii TUSTIN,CA- j�� - - '��i� � �- . i �� Owner: HUNIPHREYS ANDF2EN/ PHILI �r Address RAYMOND_ �'�� C06TA�MESA, CA ` Zoning: Status: ISSUED Applied: OS/07/2002 Issued: OS/07/2002 ISSUED BY: Phone: (714)573=0155 � . � Zip: 92780 � - „�� ' . , % ' � '. �. i . \ P � . � �� / � ..A � � �' . ��..,� � Phone: � � _ ��.� `: � � Z' � 92627 � -�� A. � � �� V\ , aav i �... ..w i, ip. '.i �• � �V�.�� ,�� ,. � i ) % � "'-_ - _ � ��,-= � � •�� .% % A A-. Contractor: PREMIER ROOFING AND BUILDING CO INC i-\ �- i �. ,\ � , � '�" ` �Address: 17501-NORWOOD PARK PL � �,- �� ,, � , � . '- �..% Phone: (714)573-0�55 � ��\;�, � � r � TUSTIN, CA �� ` � '�� . ^ V�,A .`.� �l _ Zip:., 92780`� License: 634404 �� ' �.. �`� �l'l Arch : Address: ; " i Zip: � � . - .�•. , �-. � -A � ' _. Eng; .. � - � , �,\ � ; �. �, ,` r , �. . - � �. ,�. _ Address; � , �-� ' - �; � i� _- . "Phone: � , ij `� Ptione: ; � _--. ,�r -- , ' License: - � �License: � , , A , . . � .,.. �� . _ _ _ , SGUYt Ut YtKMI I__ ,_-_ �, � -; 1 . � _ � � �' i � � REROOF: T/O EXISTING SHAKE ROOF, 7/16" OSB SHTG, 1 LAYER�30# FELT,'APPLY "30-YEAR COMP SHINGCES." � 1800 SQ FT ' " - - - ""' -. � _ , . J ' � i ; . . ,'� � - FEE SUMMARY .,� � ' � � ,' Plan Check: $0.00 - - -' � -= -: %i -- '� Calc Valuation: ' �" � , ��S3;soo.00' Permit: $97.25 � � , � - � � Claim Valuation: ,� : ' � S3,soo.00 � SMIP Res: $0.50 � SMIP Com: $0.00 Other: $0.00 Inspec4ion: $0.00 ` ` � \tTotal:' , -, $97 75� \ i- ,'� � �.. ` ' ` SETBACKS �`� ; � � � �', � MAIN STRUCTURE Front 0- 0,: �; . Rear ACCESSORY Front '� 0- 0_ �- �- Rear PARKING NOTES: U3�7 Existin : -0 � Required: 0 � ��`7.' ( 1. , ' �'! - �,-. . '� � . � / , .� a '"C //� t. �r - _ : '� � _ � % _,'� INING & ZONING - ' ;�"/� ; / � � - . . - -�� `L� �i;i � � � Ceft .. 0- 0� � Rlght ��, 0- 0' Left 0; 0 �, - Right �� 0-0 =�� Pr000sed:. 0 , .�� 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 YL•w �w:i(>UYP. � WORKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalry of perjury one of the tollowing declarations: � � ' - ❑ I heve and will maintain a certiticete of consent to self-Insure for workers' compensation, as provitled for by section 3700 of the Lebor Code, for the pertormence of the work for whiCh Ihls permit is issued. �� I heve and wiil meintain workers' Compen5apon in5urance, as required by seclion 3700 of the Labor Code, for �he peAormanCe of �he work for whlCh �h15 pertnit is issuetl. My workers' c�om-7p�ensatian Insuren� rner antl policy number ere: /-�� /�. n Cet� "'f / �TE /��-W� POI1Cy�Number� / � /�O� � � � � �/ (Thls sectlon nee not be complered i! fhe permit is velued et one hunOred dollars ($100) or less.) ❑ I certity that in the paAortnanc oi the work tor which ihis it is issueQ I shall not employ any person in any manner so as to become sublect to the workers' compenselion laws ol Califor a, end egree that it I ou coma sub'ect to Ihe workers' compansation provislons of Section 3700 of t�e Lebor Code, I shall torthwith comply with these pmvision G— APPhrnt SiOne� �ate� ✓ /�/�v2 WARNING FAIWPE TO SECURE W�RKERS' COMPENSATION COVERAGE IS UNI.AWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PE TIE ANO GVIL FWES UP TO ONE HUNDRED il%JUSFND DOLLARE (5100,000), IN ADDfTION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3IO60F TME LABOq CODE, IMEREST, ANO ATTORNEI^S FEES. LICENSED CON7RAC70RS DECLARATION: I hereby attirtn that I am licensed un er ro sic force and eflect._Lit.'W� �� with Section 7000) of Division 3 oi ihe Business antl Prof¢,ss�ions Code, antl my license is in full _ C�seA C�✓7 . CONSTRUCTON LENDINGAIGENCV: - ❑ I hereby aflirtn that Ihere is a consWction lending agency tor �he DeAormance of the work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentlers Atltlress: Signatura: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to consiruct, alter, improve, demolis�, or repair any stmcture, prior to its issuance, also raquires Ihe applicant for such pertnil to file a signed statement that he or she is Ilcensetl pursuant to the provislons of the Comrectore License Law (Chapter 9(commencing with Section 7000) ot Dlvislon 3 of the Business antl Protessions Code) or thet he or she is eaempi Iherelrom and the basis for the allegatl exempiion. Any violation of Section 7031.5 by any applicant for a pertnit subjacis the applicent [o a civil penatly of not more than five hundretl dollars ($500).): ❑ I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO THE WORK, entl the strucNre is not intendatl or oHered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner oi properry who builds or improves ihereon, and who tloes such work himself or herselt or through his or her own employees, provided that such improvements are not intentled or oflered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builtler will �ave ihe burden of proving that he or she tlid not builtl or impmve for purpase of sale.). ❑ I, as owner of Ihe properry, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to constmct Ihe prqect (Sec. 7044, Business and Professions Code: The contractors License Lew does not apply to an owner of propeny who builds or improves thereon, and who wntrects for such projed with a comractor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt under sec. Signa�ure: Owner ID verifietl by tlnveYs license. ❑ Ves ❑ No Business and Professions Code lor Ihis reason: Verifiwtion of Ownership by (type of tlocument, i.e. - properry ta< bill ar deed): DIVISION OF INDUS7RIAL SAFE7Y PERMITCERTIFICATION: Dnvels License No. Date: Expires: ❑ I �ereby cenity ihat no excavation five (5) or more feet in depth into which a person is required to tlescend, will be mede in connection with work authonzetl Dy this permit, and ihat no builtling structure, scattoltling, falsework, or demolition or tlismantling ihereof, will be more than �hirty-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle e, Calitomia Administrative Code). � As owner-buitder, 1 wiil not employ anyone to do work which would require a pertnit from iha Division of Intlustnel Safery, es notetl above, unless such person hes e permit to do such work from the tlivision. Signature: Oate: Division ot Indusirial Satety Parmit Number: CERTIFlCATE OF COMPLIANCE ANU AUTHORVATION OF ENTHV: I certify undar penelty of perjury that I have reatl this applicetion antl stata ihat the intortnation given is correct I agree to comply wiih all state laws and city ordinances rela�ing to building construction, and authonza representa�ives of Ihe Ciry of Casta Mesa to enier upon t�e aDova-described proppfry for inspection Ouryoses. I agree not to acupy or allow occupancy ot any builtlinq authorized by this permit until final inspection. CODE I. IHSPELTONTYPE 1616 Fixetl System Final Fire Prevention 1266 Paol Spe Final 200 Final Re-Root 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q� ixmu�s = -Z9-� ��- �-�7%.Z Date_� COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final PlumDing 210 Final Eleciricel 212 Final Fire Prevention 220 Final Planning ApProval 222 Final Site 250 . Final Building/Occupancy QAg 1[�LS � City of Costa Meu Vlanning Department � ' Post Office Box 1200 77 Fair Driv� I (� Costa Mesa, California 92626 � l�� i (714) 55E5245 . RECEIVED �'�':' OF COSTA MF^,; REQUEST FOR OCCUPANCY �" � (Single Family Residential or . N�V 22 ��7% CondominiumUnits► AM PA� '7i8i9ituii1i12i1i2i3i4i5i6 i Tract No. 9592 Date October 1, 1977 Lot No. 3 Address 99� Trabuco Circle ��sta 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) T� (was or were) Lv P t-Q advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The Cityassumes no liabilityfor the enforcementof the conditions necessary for approva! 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. � i.� -'' _�� I��.� � BY � Developer and or Authorized Representative BY ------/�� e der GMF 0569-26 r F � W O. a � � F G W F Q Li :� a > r .� x w a � � 6� z W x 3 , - '��12 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADIDRESS �!/ �! K GL CD l�I �' !—} /'j� �], y OWNER �,JI �� (O' I�f ` 1 MAIL �'� 1�1[i Iv� 7LV//i ADDRESS /�ys�7� TEL. CITV GO�� ' 1�1f�� NO. CAN5TRUCTION . BRANCH ADDRESS ARCHITECT ,l�L, .�� i..�.'iTEL11[f%�. OR ENGINEER <J 2NO.�O � ADORESS '�� M�� ./v�i�' CONTRACTOR J� fJ � U� "I�' \� ��N .JJ � ADDRESS �� I \ ��—�V KT ��V'/• TEL. CITV GO�,j�� /�' NO. STATE CITV UQ NO. LIC. NO. SIZE I NO. OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLOG. . Separate permits�are required for electric, plumbing and healing work. VSE OF BUILDING /aND WORK TO BE PERFORMEO Sl�-+6C,� �f1rn+1 W I hereby acknowletl9e that I have �eatl this application antl ztate that the above info�metlon is correct antl agrae to comply with all laws regulating tluilding construction, antl I shall nat employ any person in violatlon of the workman's compensation laws of the State ot Californ�a• I hereby certify that I am proparly licanutl as a contractor untler tha State of Callfornia Business antl Protessions Code, Oivision 3, chapter 9, antl that such licenses are in full force and effect, or I am exempi from th0 P�ovisions of the Stata of Celifornia Business antl Professiona Cotla, Division 3, Chapte� 9. Signatureot� �%aGTi1LAi �`�J� Permittee 1 l�' ICJ�RJ l Authorizetl Agent - � +, � -: �C,1� C .,�.�i,i i�i'�(�r'.^.LI��dV�ll��::'.�').�t� ,4:oz �-L.�-. TION FOR STRUCTURAL PERMIT BV GWTERECEIVEO ..,.r��.. �� OWNER V • I ROVEO )f� NO.OF �[ PLANS VAFDS APPROV ED MAIN BUILDING ROM C/4 �'WTp�ETN FOR VSE OF VARDS MAIN & THE AMOUNTSHOWN UNDER VALU THE PURPpSE OF ESTABLISHING A PERP VALUATION PERMIT FEE $ PLAN CHECK $ $ ��l/„//T7. � TAX $ u/'v �i TOTALPAID $ BLOCK BUIL n w i a m N IS FOP m ONLV; � N m '� o LL � V �Q S ' L O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 ;Ap—E3—?'1�;;';�.�0`� 503 ��';:.�,'la;i^G �� PLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE � I V DATE RECEIVED DATE ISSUED BUILDING �j 1 ADDRESS �L . , PERMIT NO. OWNER � A.P. NO. MA�� BUILDINC� f� U ADDRESS � ADDRESS lf TEL. TRACT LOT BLOCK CITV NO. CANSTRUCTION H' ADD ALTER P M LENDER BRANCH ^ OWNEF fC[�i ADORESS w/ • A VALUE —�.> ARCHITECT TEL. S �A•�. $ OR ENGINEEF � N . FIRE ADDRESS ZONE - TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV . NO. ' P�+� BUILDING STATE CITV �'.4RD5APPROVED VAPOSAPPROVED LIC. NO. �IC. NO. MAIN BUILDING ACCESSORV BUILDING ' 512E NO.OF BLDGS. (FROM C/L STREET) OF l0T NOW ON LOT RONT FT. FT. USE OF EXIStING BLDG. � T. FT Separate permits are required for L. SIDE . FT. FT. electric, plumbing and heating work. REAR FT. � FT. USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN 8� MAIN BLDGS. ACCESS. BLDGS. VAR.# � DATE ' C.V.P.# APPROVED APPFOVED I heraby acknowletlge that I have reetl this application end stata '^ n that the ebo�e i�formetion is correct antl aBree io comply with m ell laws repulat��g builtling construction, antl I shall not employ ' � any person in violation of the workman's compensetion laws of � the State of Ce�ifomla. I hereby certity that I am properly licansed es a contracmr untler SQ. FT. a r�e State of Ce�itornia Bustness and Protassions Code, Dlvision 3, THE AMOUNT SHOWN UNDER VA�UATtON IS FOR m Chapter 9, entl that such licenses are in full forca and affect, or I THE PURPOSE OF ESTABLISHING A PERMIT E O � am exempt from tha provisions of tha Steta of Californla Business VALUATION d and Professions Code, Dlvision 3, Chapter 9. � PERMIT FEE $ � Sipnature of ' � PLAN CHECK $ M 0 Permittee Tqx $ LL f U Authorizetl ABe�t TOTA� PAI D $