HomeMy WebLinkAbout736 WEELO DR - Building PermitsTo:
�
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DPIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
Building Safety Division
Code Enforcement
Communications
County Clerk
County Planning and Oev. Services
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
Fire Admin. - Training Officer
Fire Admin. - Mark Brown (Station 6)
Fire Prevention
Irvine Ranch Water District
Mesa Consolidated Water District
AT&T
Newport-Mesa Unified School Dist. (2)
Pacific Bell
Police Dept. - Ping. & Research
Sanitary District Engineer
Sanitation Division Office
Southern California Edison Company
Southern California Gas Company
State Board of Equalization
U.S. Post Office-AIS
U.S. Post Office, Adams Avenue
Thomas Brothers
File (2)
The City has assigned the address changes as indicated below. Please make
necessary changes immediately to reflect the new addresses with the
corresponding Assessor Parcel Number. These addresses apply to a property with
two units on it, a front house and a back house. The front house is Unit A and the
back house is Unit B.
OLD ADDRESS
736 Weelo Dr.
736Yz Weelo Dr.
NEW ADDRESS
736-A Weelo Dr.
736-B Weelo Dr.
Your cooperation in this matter is appreciated.
Sincerely,
�a^""'C ��-
DAVID BRANTLEY l/
Associate Planner
cc: Joseph C ia
818 W alboa Blvd.
Ne ort Beach, CA 92661
A.P. NUMBER
424-173-03
Building Divislon (714) 754-5273 • Code eMorcement (�14) 754-5623 • Plenning Division (714) 754-5245
FAX (714) 754-4856 • TDD (714) 754-5244 • vnvw.ci.costa-mese.ce.us
(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626
JobAddress: 736 WEELO DR
Suite No B
Vicinity: FAMILY ROOM
Parcel Number: 42417303
Applicant: PENA, RUBEN
Adtlress: 708 E OCCIDENTAL ST
SANTA ANA, CA
Owner: GUTIERREZ, JUAN
Address: UNIT A
COSTA MESA, CA
736 WEELO DR
Contractor
Address:
MECHANICAL PERMIT
Status: ISSUED
Applied: 07/18/2002
Issued: 07/18/2002
Phone: 714-835-1519
Zip: 92707
Phone:
Zip: 926273534
Phone:
Zip:
License:
SCOPE OF PERMIT
INSTALL NEW WALL HEATER, 35K BTU. REF.: B02-00502 UNIT B
F3SUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refng Sys >700 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Rebcate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEESUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Commercial I ncineretor
Domestic Incinerator
Compressors / Absorption Systems
Upto3hp/100k8TU
3To15hp/500kBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750�BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee �
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
50.00 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
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
TOTAL CALGULATED FEES $38.30
COMMENTS / SPECIAL CONDITIONS
�
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes; and all
requl�etl InspeCtions end flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this�permit.
FOR INSPECTIONS CALL: (714) 7545626 . �
2aa838 (fl�W)
, �
WORKERS'COMPENSAnON DECLARAnON: ,`
I hereby eflirm under penalty oi perjury one ot the tollowing tledarations: '
❑ I have entl wlll malnteln e ceniticata oF consent ro self-Insure for workers' compensetlon, as provided for by section 3700 of the Labor CoOe, for the peAormance of the
work for which this permll Is issued. . -
❑ I have and wlll meintain workers' compansation insurance, as requlretl by sectlon 3700 of the Labor Code, For the per�ortnance of the work tor which this permit is issued.
My workers' compensatlon Insurenca carrier end pollcy number ere:
Carrier:
(This secHon need not
thet in the per
setlon laws of
WARNING: FAILURE TO
THOUSANDOOLLARE�:
LICENSED CONTRfdTORS DECLARATION:
one
COVEqAGE15
Policy Number.
rs ($100) or /e55J
1 shell not employ eny parson in any manner so as to Decome subject to ihe workers'
I Io Ihe workere' compensalion provisions of Secllon 3700 ot the Lebor Cotle, I shall forthwllh
_ p�_-. 7 /� JZ
. AND SHALL SU9IECT PN EMPLOYEF TO CWMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
�ES AS PFOVIOED WR IN SECTION 3lOfi OF THE LABOR CODE, IMEREST, AND FTTORNEI^S FEES.
I hereby ettirtn thet liam Ilcansed under provisions of Chapter 9(commencing with Section 7000) of Divislon 3 ot the Business antl Professions Code, end my license is in full
fOrce end ettect. Lic. A CIasS #._ .
Comrectofs SigneNre:
Date:
CONSTRUCTION LENDING AGENCY: �
❑ I herety eflirtn ihat ihere Is e consimction lending agency for the peAormance ol the work tor which this permit is issued. (Sec. 3097, Civil Cotle),
Lentler's Nama: Lender's Address:
SignaNre: Date:
OWNER-BUILUER DECLARATIONS:
I hereby ettlrtn thet under penelty ot perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and ProFesslons
Cotle: My Gry or wunry which requires a pertnit to construct, alter, impmve, demolish, or repair eny structure, prior to its issuance, also requires the epplicant for such pertnit
to file a signetl stetemenl Ihat he or sha is Ilcensed pursuant to the proNsions ot the Conirectors License Lew (Chapter 9(wmmendng wlth Sectlon 7000) ol DiNsion 3 ot the
Business end Profeuions Cotle) or thet he or she is ezempt therefrom antl I�e besls tor t�e alleged e:emption. Any violation ol Section 7031.5 by eny epplicant for e pertnit
suh�ects t�e epplicant to e civil penalry of not more than Tive hundred dollars ($500).):
❑ I, as owner ol Ihe property, or my employees with weges es their sole compensation, WILL DO THE WORK, and ihe structure Is not intended or oRered for sale (Sec.
70a4, Business and Professions Code: The Contractors LJcense Lew tloes noI aDPly to an owner ot properry who builds or improves Ihereon, antl who tloes such work
himself or hersett or through his or her own employees, D�ovidetl Ihat suc� improvemenis are not intended or oHered for sale. II, however, the building or improvement is
sold within one year oi completioq Ihe owner-�uilder will have the Uurtlen of proving that he or she ditl not �uild or improve for purpose ot sele.).
❑ I, as owner at the property, am EXCLUSIVELY CONTHACTING WITH LICENSED CONTRACTORS ro construct the pmject (Sec. 7044, Business and Professions
Cotle: The conlreclors License Lew does not epply to an owner ot propeny w�o builtls or impmves ihereon, and who tontracts lor such project wilh a contractor(s)
license pursuent to the Contrectors License Laws.).
❑ I am exempt untler sec. Business and Professions Code tor ihis reason:
Siqneture: Date:
Owner ID verifietl Dy tlnver's license. ❑ Ves ❑ No Dnver's License No. Ezpire5:
Venilcati_Jn ot Ownership by (type ot document, i.e. - property tea bill or deed):
DIVISION OF INDUS7NIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certity ihet no eacavetlon five (5) or more teet in tlep�h into which a person Is requi�ed to tlescend, will be matle in connection with work eulhonzed by ihis
permit, flnd thet no Duiltling siructure, scaftolding, talsework, or demolition or dismantling thereoi, will be more than thirly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Celitomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would repuire a Oermit Irom Ihe Division oi Industnal Sefery, es noted abova, unless such pereon hes a
permit to tlo such work irom the division.
Siqnature: Date:
Division oi Industnel Safety Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHORVATION OF ENTAY: I certify under penalty of perjury that 1 have read this flpDliwtion antl state Ihat t�e intortnation given is
correct I egrae to comply with ell siate laws and city orCinances relaling to building consiruction, and authorize representatives of che Ciry ot Coste Mesa to enter upon the
ebove-descnbed propeny for inspection purposes. I egree not to occupy or ellow occupancy of any building authorized by this permil until finel inspection.
�
COOE t. INSFECTIONTYPE
1616 Fised System Final Fire Pravention
12fi6 Pool Spa Final
200 Finel Re-Roo�
201 Flnal BIocWRetaining Wall
202
203
Final Fectory Fire Place
Finel Sign
Final Demolition
PAIE UIIQ1dL8
P1
CODE I INSPECTIONTYVE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
272 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final BuildincyOccupancy
Date
z .�
PropeRy Profile
Property Profiie
Properry Cltaracteristics
Page ] of 1
DataQuick•* J
: �....�
und aw aaanr mu rW u� wia o.
Primary Owner: GUTIERREZ,JUAN 8 PILAR
Secondary Owner:
Mail Address: 736 WEELO DR ,#A
COSTA MESA, CA 92627
Site Address: 736 WEELO DR ,#A
COSTA MESA, CA 92627
Telephonc Number: (949) 650-5688
APN: 424-173-03
Reference APN:
Census Trach 636.021
Housing Tract Number. 517
Lot Number: 603
Page Grid Old: 31-C2
Page Grid New: 888-H4
Legal Description: NEWPORT MESA TR LOT 603 W 50 FT E 480
FT N 150 FT -EX ST-
Subdivision:
Bedrooms: 2 Year Built: 1949 Square Feet 831
Bathrooms: 1.0 Garage: Lot Size: 7,000 sq ft/ 0.16 acres
Total Rooms: 3 Fireplace: Number of Units: 1
Zoning: PooWiew: Use Code: Single Family Residence
Heating/Cooling:
Sale & Loar: Informatio�r
TransferDate:08-31-1995 Seller: Document:0000379772
Transfer Value: $168,500 CosdSq Feet $202.77 Tide Co.:
First Loan Amt $151,000 Lender: Amer Sav Bk Last Trans W/O$: OS-12-1999
Loan Type: Interest Rate Type: V Last Trans W/O$ Doc: 0000348059
Assessed & Tax Iufornratiou
Assessed Value: $245,195
Land Value: $146,847
Improvement Value: $98,348
Percent Improvement 40.1 I
Tax Amount $2,667
Tax Status: current
Homeowner Exemption: Y
Tax Rate Area: I5015
O 2003 Dataduick Information Systems. This informalion is compiled from public documents and is not quaranteed.
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 736 WEELO DR
Suite: B
Vicinity: REAR OF PROPERTY
Parcel Number: 42417303
Applicant: PENA, RUBEN
Address: 708 E OCCIDENTAL
SANTA ANA; CA � �
Owner: GUTIERREZ; JUAN
Address �UNIT A �
COSTA MESA, CA
736 WEELO DR -
Contrector:
Address:
Zip:
w
Arch :
Address:
Zip:
Phone:
License:
Status: PC
Applied: 04/16/2002
Issued:
Zoning:
ISSUED BY: ����
Phone: 714-835-1519
� Zip: 92707 . .
Phone:
Zip: 926273534 .
Phone:
License: ° �
Eng:
- � Address:
Phone:
License:
�
_ SCOPE OF P_ERMIT .
� 496 SF ADDITION TO SFR. ADD FAMILY ROOM WITHFIRE PLACE AND MASTER BEDROOM WITH BATH. ALSO REPLACE
ALL EXIST. WINDOWS WITH SAME SIZE EXCEPT AT THE EXIST. BEDROOMS WERE THE SIZE HAVE CHANGED FROM 8X2
TO 6X3, THESE WINDOWS SHALL COMP�Y WITH THE 1997 UBC SEC. 310.4. �-
AN ADDI710NAL PARKING SPACE PROPOSED SINCE AN ONE NEW BEDROOM IS PROPOSED TO BE ADDED. EXISTING ONE �
GARAGE SPACE ATTACHED TO THIS REAR UNI7; ONE OPEN PARKING SPACE TO BE PROVIDED BETWEEN TWO UNITS.
3,065 SQ.FT. (44%) OPEN SPACE PROVIDED EVEN WITH NEW PARKING SPACE.
Plan Check:
Permit:
Sfv11P Res:
SMIP Com:
Other:
Inspection:
Total:
$372.81
$573.55
$4.24
$0.00
$0.00
$0.00,
$950.60�
SETBACKS
MAIN STRUCTURE Front 26- 0 Rear 0- 0
ACCESSORV Fronl 0-0 Rear 0-0
PARKING Existinq: t Re uired: 2
NOTES:
FEE SUMMARY
_ . . Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Left 17- 0 � Right 5- 0
Left 0- 0 Right 0- 0
Proposed: 2
$a2,aos.00
so.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or
�, for a period of 1 BO days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable aa
requlred Inapecliona entl finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this
FOR INSPECTIONS CALL: (714) 7545626
zaasas �sroo�
les, and all I
permit.
WORKERS' COMPENSATION DECLARA710N: � �
I hereby aHirm untler penalty of perjury one of the tollowing declarations: ��' � � �
❑ I heve entl will maintain a cenificate of consent to self-Insure for workers' compensation, as provitletl for 6y section 3700 of ihe Labor Cotle, for ihe pedormance of the
work for which thi5 permii is issued. �
❑ I heve end wiil meintain workers' compansation insurance, as requi�etl by section 3700 of the Lebor Code, for �he perfortnanca of the work for which Ihis pertnit is Issaed.
My workers' compensa�lon Insurance carner anC policy number are:
Carrier: Poticy Number:
(This section need not be completed il the peimit is valued et one hundred dolla�s ($100J or /ess.)
❑ I cartity that in the peAormance of tha work for which ihis pertnit is issueq I shall not employ any person in eny manner so as m become subjec� to the workers'
compensatlon laws of Calitornia, and agree that if I should 6ecome sublect to Ihe workers' compensation provisions of Section 3700 of Iha Lebor Cotle, I shall torthwith
comply with ihese pravisions.
Applicant Signature: Date:
WARNING FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFIIL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALiIES AND CIVIL FINES UP TOONE HUNDRED
TFKKISAND DOLLAflE ($100,000). IN ADDITIqJ TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3/W OF THE LABOR CODE, INrEREST, AND ATTORNEV'S FEES.
LICENSEO CONTRACTORS DECLARA710N:
I here6y aHirtn ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license is in full
torce end ettecL Lic. M Class u
ContrectoYs Signeture: Date:
CONSTRUC710N LENDING AGENCV:
❑ I hereby aHirm tha� �here is a construction lentling agency for the pertormance oi Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Address:
Signeture: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby afFirm Ihat untler penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or county which requires e permit to consiruct, alter, improve, demolish, or repeir eny strucWre, prior to its iuuance, also requires tha applicant tor such pertnit
to file a signed statement thet he or she is licensetl pursuant to ihe provisions oi the Coniractors License Lew (Chapter 9(commencing with Section 7000) of DlNslon 3 of ihe
eusiness antl Protessions Code) or Ihet he or she is exempt therefrom and the besis for ihe alleged e:emption. Any violation of Section 7031.5 by any epplicent tor e pertnit
subjects the applicant to a civil penelty oi not more than tive hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with waqes as their sole compensation, WILL DO THE WORK, antl ihe structure is not intentletl or offered for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law dces not apply to an owner of Oroperry who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or ottered for sale. If, however, Ihe building or impmvement is
sold wit in ona year of completion, Ihe owner-builder will have ihe burden of proving that he or s�e did not �uild or improve for purpose of sale.).
❑ I, as o ar of lh E%CLUSIVELY CONTRACTING WITM LICENSEO CONTRACTOflS to consiruct the projecf (Sac. 7044, Business antl Professions
Code: ntrectors License w does not apply to an owner of pmperty who builds or Improves thereon, and who mniracts for such pmject with a conirector(s)
licen pursuam to ihe Contrecto License Laws.).
sec. Business end Prof855ions Code for Ihis reason:
3lsicens ❑No D es OseNo /%
by (twe of tlocumant, i.e. - orooeM t� bill or deedl: _
OF INDUS7RIAL SAFE7V PERMIT CERTIFICATION:
❑ I hereby certify ihe� no excavetion tive (5) or more taet in depth into which a person is required to tlescend, will be matle in connection with work authotlzed by Ihls
pertnit, and ihat no building stmcture, scattolding, talsework, or demolition or tlismantling thereoi, will be more than ihirty-sis (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle e, California Administrative Code).
❑ As owner-huiidar, I will not employ anyone �o do work which woWd require a parmit from the Division ot Industriel Sefety, as noted above, unless such person has e
permit to do such work from the division.
Signature: Date:
Division of Industnel Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AU7HORVJITION OF ENiAY: I certity under penalty of perjury iha� I have reatl this application and state Iha� ihe information given is
correct. I agree to comply wit all sta�e laws end city ordinances relating to building cons�ruc�ion, antl authonze representatives of ihe Ciry ot Costa Mesa to enter upon �he
above-described properry for �spe5' oses. agr occupy or allow occupancy of eny building authorizetl by this permit until final inspection.
GOOE N, �
1616 Fixetl S em Final Fire Prevention
1266 Pool S a Final
200
201
202
203
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
269 Final Demolition
�$
COOE 1 INSPECTION TYPE
206 Final Mechanical
20B Finel Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Date
.- P Z
Date
J
DRTE �$
DECLARATION OF'AUTHORITY
; ` FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
Bldg. Permit #� � Z� O � Jr' O i
This Permit #
Street Address: %3 � �J (� E� L O �(Z \ V C AP Number:
1� 1(we), �/R p�[. P�LA2 Gi vTlE tSRl�'L , declare that I am the Owner of Title of the above
referenced real property, and that I(we) hereby authorize: .
Name: 9 I U(�J Enl �• �� N q Telephone Number:
��
Street Address: 7 D pj E, O G C i Q�',c/-r q L 5
City: SA/J'rA �NA State: �,
�y� 83s- is� 9
Zip: _C(d-7��
to obtain permits in my behalf, as owner/builder, for �V_ I t� �cE CTR � � A �� rnEC+\J> N i � AC_ �� � UW�t3i N C�
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any ctaim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the Ciry of Costa Mesa.
5. I declare under the penalty of pery'ury that the foregoing is true and correct. .
Executed thi5 8 day of
0�]946 (rev.11l0o)
�( Print Name:
X Date: 5' � 8- �
��
�
20 02 , at CO S 7Pr /y F S sS , Califomia.
L42 GiuTiE,e.e�Z
Note: This authonzation does not grant authonzation to perfortn Ne v✓ork as owner,
it solely pmvides for limited power of attomey to secure this permit in any behalf.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
736 WEELO DR
B
42417303
GUTIERREZ, JUAN
UNIT A
COSTA MESA, CA
736 WEELO DR
Owner: GUTIERF2EZ, JUF1N
Address UNITA �
" COSTA MESA, CA "
736 WEELO DR
Contractor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to tOhp
Motors to SOhp
Motors to 700hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
OWNER-BUILDER
ELECTRICAL PERMIT
Phone: 949-650-6355
Zip: 92627-3534
Phone:
Zip: 926273534
Phone:
Zip:
License: 0
SCOPE OF PERMIT
REF B02-00502. ' - " , � '
70 LIGHTS, 15 OUTLETS AND 10 SWITCHES.- '� ' � -
UPGRADE SERVICE OT t00AMP, INSTALL 20AMP DEDICATED CIRCUIT.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$11.00
$16.50
$11.00
$0.00
$4.75
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
10
15
10
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp �ist System / Lighting
Busway/100ft
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
Misa Conduit
Misa Conductor
Circus ( gen or ride)
Cimus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: OS/10/2002
Issued: OS/10/2002
ISSUEDBY: �A �
Quantity
$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
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $9725
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremen�s under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
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 inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 .
zaas<s ��voo�
�
/
WORKERS' COMPENSATION DECLARATION: '
I hereby eftirm under penalry of peryury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as providetl tor by section 3700 of ihe Labor Code, for ihe perfortnance of the
work for which ihis permit is issued. .
❑ I have and will maintain workers' cnmpensation insurance, as required by section 3700 of the Labor Code, for Ihe pedormance of ihe work for which this pertnit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be crompleted il fhe permit is valued et one hundred dollars ($100J or less.) -
❑ I certity ihat in the peAormance oi ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subjed to the workers'
compensalion laws of California, and agree thet it I should becoma subjed to the workers' compensation provisions of Saction 3700 of the Labor Code, I shall fonhwith
comply with these provisions.
Applicent SignaNre: Date:
WAFNING: FAILUfiE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUN�RED
THOUSAND DOILAiiE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES FS PFOVIDED FOR IN SEGTIQ'J 3]O6 OF THE LABOR CADE, IMEREST, FND ATTORNEY'S FEES.
' LICENSED CON7RACTORS DECLARATION:
�.� I hereby aHirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Protassions Code, and my license is in full
I fotce and eHect. Lic. tt Class #
Contractor's Signature: Date:
� CONS7RUC710N LENDING AGENCY: �
❑ I hereby aflirm ihat Ihere is a cons�mction lending agency for the pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aflirm that under penalry of perjury that I am EXEMP7 FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires e pertnit to constmc6 alter, improve, tlemolish, or repair any stmdure, prior to its issuance, also requires the applicant for such pertnit
to file a signed statement Ihet he or she is Ilcensetl pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Divislon 3 of Ihe
Business and Profeuions Code) or ihat he or she is exempt iherefrom and the.besis for ihe elleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit
su6jacis ihe applicant to e civil panalty of not mora than five hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with weges es their sole compensation, WILL DO THE WORK, and ihe siructure is not intended or oHered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who 6uilds or improves ihereon, and who does such work
himself or herself or Ihrough his or har own employees, provided ihat such improvements are not intentletl or oHared for sale. If, howevar, ihe building or improvement is
sold within one year oi completion, ihe owner-builder will have the burden oi proving that he or she tlitl not 6uild or improve tor purpose of sale.).
❑ I, as owner of the proparty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The coniractors License Ww does not apply to an owner of propeny who builds or improves thereon, and who contracis tor such project with a contrector(s)
license pursuant to the Coniractors License Laws.).
❑ I am exprppt under sec. Business and Professions Code tor ihis reason:-
by driver's license. ❑ Ves
Verification of Ownarship by (type ot document, i.e. - property tax bill or deedj:
Driver's LicenSe No.
DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION:
❑ I hereby cetlify ihat no ezcavation fiva (5) or more feet in depih into which a person is required to descentl, wili be matle in conneqion with work authorized by this
permit, and ihat no building stmcture, scaHOlding, falsework, or demolition or dismantling thereof, will be more ihan ihirry-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec.
341, Title 8, California Adminisiretive Coda).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Sefety, as noted abova, unless such person has a
permit to do such work from ihe division.
Signatura: � Date:
Division of Indusirial Safery Permit Number:
CERTFlCATE OF COMPLIANCE IWO AUiHORIZATION OF ENTRY: I certify under penalry of perjury ihat I have read this application and state ihat the information given is
correct. I agree to comply with all state laws antl city ordinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon e
above-described property tor inspection purposes. I agree not to occupy or allow occupanc of a'ny 6uilding authorized y Ihis permit until final inspection.
� � � ����/��
'�YaY' � ���.o nr��.r�i � - Date
And/Or Authorized Applicant Date
CODE N, INSPECTIONTYPE
1616 Fixed System Final Fire Preven�ion
1266 Pool Spa Final
OATE
200 Final Re-Rooi _
201 Final BIocWRetaining Wali
202 Final Factory Fire Place _
203 Final Sign
204 Final Demolition _
INTR �F� INSPECTIONTYGE
206 Final Mechanical
208 Final Plumbing
. . _ 210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
BfliE irmru�s
�nonEssareiuinu� 736 WEELO DR
avrheax;�eira+own:GUTIERREZ, JUAN
�oo�sx736 WEELO DR
COSTA MESA,CA
IVPI.WULQlO AODf1E55:
ARCXIfECTONfNfdlFFA:
NCN.OR Elp.'S ADURE55:
ca+m�crarsu•�.
CONiN1CLORSYNIIIlG
IOORF55:
92627
uc xo:
t1G NO_
��+* CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: H 086449 PLAN CHECK NO: U0053-98 S
CONSTRUCTION TYPE: PERMIT TYPE: STR
UNi:
UM:
LICENSED COMN�CTOHS DECIAN�TION: I Mraby Nim uMn pe�Y d pwjury Nm I em Icemed uM« qmiaans d Cheqw e
(mmme�np xil� Saciion )000) d Diwion 9 W Ne Busi�a eM P�eeama Code. enE my 4cmve e in lull brro enE MM.
cm uc. No.: uc. cuss: uc. no.: EXP :
om.� co�o-m«:
OW NEN BUILDEfl DECURRTION: I Mreby e/firm uMer penelly d pe�F��Y �� �� axemq Irum tM Comrmae lironee law la tM
' VdbwnO iseson (Swion ]0.'f1.5 &wine� eM Prolmavia Coda: �^Y uf' a cauMY whidi rt0u'u» e M�� lo aomWCY. ellx. imprwe.
famdeh, p npai eiry slulura, p'v b ia'seuerca, ebo nyu"vas iM app� �« weh parmi �o fib a sqrod swvroN Mq he or ehe
w Gcenssd pu�m�utl to IM prw'vim+ tl tlr Comrmon Lioeme faW ICAepx 8(�m�q ��� �) d Oiebn J d O+e
eu,'vrn end ardeaa"a�+ coael «�net ne «.hs e memp �hadmm ene �ne mm �n me eMpeE e�emqon. Mr vcleton a smun
lW 1.5 W uy eppliant tar e perml wbpG� tM eppfram to e ai peroM1Y d nal maa ihen (xe huM�ed tlo0en jf500p.
❑ I.moxwdtheMOPaMamYemWAeewihwapmnihrsdeewnPo���.wYlEotheMvk.endiMaWctun'srwl'vVeMad
w ollereE lor eeb (�� ��. ButlmpeM ProleavmsCotle: The Conlredon Linroa lewdoae rot eppytoen ownerd propary
who buNa a inqwm IMman. eM who does euch Mak himw0 a�nd a inraph ho a her oxn anpbysa�. qwidsd �hat aucn
imprmromeMs are not iMeMed «aHxed lar eeb. tl. Mwever. tM buJdi�q « Ynpvnmem u eaN wnhin pr yw d campW un. Ne
o.�.,�wad., mn n� m. waa, a ww�m n. a.ne aa �a ana o. �mww. i« me wmo� a.a��.
❑ I. m ormer G IM VwMY. em utluwMV conlreq^Y xiN 4mnM4 con�recWn b oonebutl Na G�I� (Setlion IOM. Bufirwe enE
Pmlevions Cade: TM Contreaan licmes law doae m� epply � on owiwr d prapeM ��� a imqwa theraon entl Mfio
<onlrecYe la sucM1 pmjede v.nh e comrepor�e) IicereaE W��� �o IM Contrmws Liomee law�.
u�q�e«s«u�BP7044 e.aa.c.,ron�mn.�:OWNER B/UILD R
Dma: �� � 6. . � /' ' "�.1i�
I Eo cMEy ihet I em ewere d eM wNerabM Ne ammU a�u�tie He �ay Cade jes�i f05. 2SS�J. erd
erd ihet I ar eiry Mun bwWvp omryeni will / wil �(amAe o�l � lo camply wih emd a�ete wds� and IM ieWimnaqv br
s permn I«owuvupion amodifrsiunhaniM �i�ia ry�7%nepemen� Datnd. ReakaMiel cmx�udion eppf Wiom uaexemq liom iheee
Ome: Appl'ram:
WOFI(EH'4 COYFFNSATION OECIAF�TON: I hereby etfimi und✓ p«uXY d pajury ms d ihs Idbxinp dedarUiom:
� I heva eM wil meintein e cerliliule d wuem to veXanaure for wk» minpsnWion, n prwideE Iw by Sedion 9)00 d Iha leEor
Code, lor IM perlormenu ol ihe xwk 1« which thie pemut ie ��d.
❑ in...w.a�m�wo�xa.�oomro�w����.e.�w.���•enrsw�a�ooama�ewcoe..ro�m.o��o.am.
wak Iv wl� Mu G� u umueE. MY waken' eam0a�ian uwrenee �arir W V�Y ewmbr era:
c�:�
PdkY Numbr
(Thu se�xion need �wt be ewnMk� l lM Ya'mi ro b aro huMred Ju'brs /J1001 a ku.)
� I eenN thm in tM pMmrorce d IM woek 1« r.hch �hu permn u umued. I Mell nd empby em� penon in eiry menna eo m to
becanr wbjea ta tM wkas' oompanmtion lewe d CaWd�. enE eG� � 4 1 Mouk became eubjw to tM MMe�a'
�v�� o��. a s.a� a�oo a me isn« cme. i.i+en imn.un �W .,w w.e �n.
om.: Aca�:
Wam/np: FeNun ro secuiv woMrsri romp�nutlon rovereps I� w+NM'M1�( �ntl �hNl �uDJ�ct en smploy�r ro crlm'rr/pwltlu arrtl
elWl fln�� up N om hun�rM fhouwM tloll�n (5f00.000), In eLd��� b tl'� ewf ol rompxuetbn, tlemepu �i prov/tlW bi In
Sxtlon J106 0/ Ms la�or Codr, Infx�st, �M �Iromsy'� /sa.
CONSTIIUCIION LQlOINO �OENCY: I M'eby e/firm �e.. w�dn a wi.v inr u,«e o a�Na� wmq .� ro� m.
psr vy
v,n,�,�,�. w m..An� m. �w �w v.m+ ��e (saco� �ow. cN. c�.
LENDEN'S N W E
LENDEN'S �ODRESS:
I cMity Ihet I Aeve �wd No eppticelion W ptle IIW Ne eba+iNrcmd�'v conad. I ap�ee to compy Milh eA fdy enE munry adinenwa
eM eWe lewe Melig b buiMiq m�Wbn eM Mreby eNhar¢e �ape��etivee dtNf tilyb eMm upon iM ebv.a-maMianad p�apeely
Iw impenion pivpmes.
JUAN GUITIERREZ
15151�a.WP1
Dete: !— � — � g
6 Se1W:Onr�Fle: CarwY'AOPk'�: Pink-Rewnue: GoWmuod-�e»m
PERM NO: B 086449
GOVT: N SUPP: N
PURPOSE: ADD
JOB DESCRIPTION : LEGALIZE 121SF ATTACHED STORAGE SPACE SQ FT: 121
CLAIM VALUE; 1,700.00 CALC-VALUE: 7,175.30 GROUP OCC: R-3 /
COMMENTS: NO PLUMBING ALLOWED.
ik if ib 1f iF if if it iF 1E iF iF iE �F if if iF 1E IF K 1f iE iF if iF if 1f iF iF iF iF iF if iF if 3E if iE iF IF iE iE iE if iF IE iE if iF iElf iF iF iF iE iE 1E 1E iE if 1E 3F iF 1E if If iF iE iE if iF 1F if �F iE 3F iF iElF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ • PROV: PARCEL: 424173U3 ZNE: R2-H REF NO:
PLANNING NbTES> CONSTRUCT 121 SQ. FT, STORAGE ROOM ATTACHED TO TFIE REAR OF
> FRONT UNIT ON A 2-UNIT RESIDENTIAL DEVELOPMENT.
iF if �k if 1f * fk 1t 3klf fF if iE �f 1E ik iE iE k it 1F �f 1E Ik �E i! ff fk ik ik k 1k ik Ik 1E iE ik 1E 1ElE 1E k ik 1E 1f IE iElE 1E fE i! fE fE k iE iFlE ik 1k ik 1E �1f jE 1E if ik IE iE f!� 1k IE if Ik iE iF i! 1E 1E 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 APPRO��ED BY �—�� DATE: n
1
BUILDING APPROVED HY : ���� DATE: u
APPLICATION ISSUED HY: DATE:
ilifil�klEkifMif3kilikiFkllif*i!ilkiEiE ikiliflfiElEiEiElEjE IEiE
LEGALIZATION;Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 274.50 ,72
SMIP/NON-RES
PLAN 178.43
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 275.22 0.00 89.21
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
279.50
TOTAL PAID DUE
364.43 364.43 .00
364.43 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
.72 89.21
ik i! ik iE 1E k 1k k if if it ik i! if if it if iE i!!f i! k iE if iE 1E if iE 1f if it 1f ik i! M fk i! 1f if if !E ik 3k ik if M iE 3f iE ik iF ik iE i! iE 1E iE fE if if 1E if iE Ik it i! iE fE iE ik ik iE �F if iE if iE It 1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST
SFk 121 DWE-TYPE V-WOOD FRAME -AVER 59,30 7,175,30
END OF FEES
�i-:,7-1i;6/:3;i; ��/iso4.<3
�;�FlB�ai ��:lii:
`.':_F2I7_'.- � �G�,�i4.'
CONSTRUCTION AND PLANNING PO�.� & SPA
APPROVALS Permit # Date Inspector4 AppROVALS Permit # Date In:pector
1. Temporary Electrical Service or Pole / 52. Pool & Equipment Location , �
2. Soil Pipe-Undrgmd. , 53. Steel Reinforcement
•_ 3. �Electrical Conduit Utility-Undrqrnd. 54. Forms �
4. Electrical Conduit•Undrgrnd. 55. Electriwl Bonding �
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. �Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Eloctrical Conduit�Undrgrnd.
. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Wate� Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection fi2. Backwash & Recepcor-Final
12. -Sewer Cap � ) 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing SYstem � Final
.
14. flough Plumbing ti ��65. Electrical�Final �
15. Rough Electrical-Conduit �• � . '• { 66. Solar System-Final '
76. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - �
18. Rough Electrical�T Bar Ceiling 69. POOLlSPA SYSTE�4S FINAL
19. Rough Heating & Air Conditioning - � • FIRE DEPT.7iEQUIREMENT �
20. Rough Facto'ry Fireplace �_ , - ' - - " - APPROVALS" Permit # � ,
21. Ducts, in.Structure •. �_ J0. Underground Hydro
22.Ducts,Vehtil5ting' , � , � 77.ProduccPiping.�Gas ❑Oil
23. GaiPipe-Rouyh & Test . -; - ; � �� - - 7p, Under9round Flush: - - .
24. Roof Framing � _ � .; 73. Underg�qd. StoY�ye Tank O Gas ❑ Oil
25. �Roof Sheathing � � ' . _ -� ,� 74. Overhead Hydro -
26. 7-Bar Ceiling IStructural) & Mondcoat : � ' 75. Dry'Cher7iical '� '. ,
27. �frame and Fleshing. . J � � 76. Dry Stan5lpipe � �•
28. Lathing & Siding ' �'. �� `• � ' 77� FIXED SYSTEM�FINA�L
29. i�sulation . ' '" �� 78. FIRE PREV. FINAL .
30. Drywall Nailing ' - ' HEALTN DEPT. RE�UIqEMENT
37. Plaster Brbwn Coat ,- �, 79. FINAL INSPECTION , .. -
. 32. Electrical Power Meter�Ffnal 80. FOOD CERTIF�CATE ISSUED
. 33. Final Electric�, i _ � _. '. , - Notes: -, ; -
34. Final Heating�& Air.Conditioning � � - �' • �
35. Final Gas�Pipe'-Test - � �� . , , . .
36. Hood or Canopy - � � • � . � �
37. Final'Factory Fireplace � ' ' . . � -
38. Final�Plumbing - � . � � . + �` , •'
39. Water Service-Final �- '- ' ' - .
40. Gas Service-Final � ' . � . . �
41. $olar pomestio-Final 1 �: - � • � �• '
42. Backflow Preventer � � . � - , � � � .
43. Backflow Irrigation ' ' . _
�44. Landscape Irrigation System_ - � � � _ _ � -. -
45. �Sound Atrenwtion' � ' - � ' �
46. Handicap Regulations �� ' � � " �
47. FINAL STRUCTURE & BUILOING • ''
48. FINALPLANNING ; � - �_ � , •
49. Electric Reiease to Edison ' � - -
50. Gas Release to Southero Califomia Gas Co - _ -, _ � � � . . /`
51. CEfiTIPICATE OF OCCUPANCY
No. Date I
�
/
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
MECHANICAL PERMIT
736 WEELO DR
B
Parcel Number: 42417303
Appliwnt
Address:
Owner:
Address:
Contrattor.
Address:
GUTIERREZ, JUAN
UNIT A
COSTA�MESA, CA
736 WEELO DR `
GUTIERREZ, JUAN
UNIT A
COSTA MESA, CA
736 WEELO DR
OWNER-BUILDER
REF 602-00502.
1 VENT FAN TO A SINGLE DUCT. ,
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat
Inst / Rep. Recess Wall HV
Re(rig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust.
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > t0000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$0.00
$0.00
$O.DO
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.25
$0.00 '
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
ISSUED BY:
Phone: 943650-6355
Zip: 926273534
Phone:
Zip: 92627-3534
Phone:
ZIP .
License: 0
SCOPE OF PERMIT
FEE SUMMARY
Repair / Alt Absorbtion Unil
Repair / AIf Refrigeration Unit
Venlillation System
Evaporalive Cooler
Commercial I ncinera tor
Domestic Incinerator
� Compressors / Absorption Systems
Upto3hp/100kBTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Bailers
Upto3hp
3To15hp
1510 30 hp
30 to 50 hp
Over 50 hp
Olher Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 05/10/2002
Issued: OS/10/2002
Quantity
$0.00 0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$30.75
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutas
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become voitl If work is not commenced within 180 days, or if work is suspended oi
for a penod of 180 days. %
related
INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectiona and final epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
244&CB (B/00) ./
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry of perjury one of the following tleclarations:
❑ I have entl wlll malntain a cenificate of congent to selbinsure for workers' compensation, es proddetl for by section 3700 of tha Labor Cotle, tor the peAormance of the
work lor which Ihis permil is Issuod.
❑ I have antl will maintain workers' compensatlon insurance, as required by sectlon 3700 ot ihe Lahor Cade, for the pedortnance of tha work for which this pertnit is issuetl.
My workers' compensatlon Insurence cartiar antl policy number are: �
Certier: Policy Number:
(This section need not be completed i/ the permif is valued et one hundred dWlers (5700) or less.)
❑ I cenity ihat in iha pedormance ol ihe work for whic� this pertnit is issued, I shall not employ eny person in eny manner so as to become subject b tha woMers'
compensetlon laws oi Celifomia, entl agree Ihat if I shoultl bewme sublect Io the workers' compensation provisions ot Sec[ion 3700 0l lhe Labor Code, I shall forthwith
camply with these provisions.
Applicant Signature: Dete:
WARNING FNLURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL PND SHALL SUBIECT rW EMPLOVER TO CRIMINAL PENALTIES M1D CML FlNES UP TOONE MUNDRED
THOUSAND DOILARE (5100,OW�. IN ADOITION TO THE �p$T OF COMPENSATION, DPMAGES AS PROVIDED FOfl IN SECiION 3108OF THE LABOF COOE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRAC70RS OECLARATION:
I hereby aflirm thet I em licensea untler provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle, and my license is in full
forca and etfect. Lic. a Cless p
II ContractoYs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm thet thera is e consimction lending agency for the peRormance oi Ihe work tor which this permit is issuetl. (Sac. 3097, Civil Code).
lender'S Name: Lender's Address:
Signelure: � Date:
OWNER-BUILDER DECLARA710NS:
I hereby aNirm that under penelty ol perjury that I am EXEMPT FROM 7HE CONTRACTOPS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions
Cotle: Any city or counry which requires a permit to wnstruc6 alter, improve, demolish, or repair any structure, prior to its issuence, elso requires Ihe applicant tor such pertnit
to file a signed stetement that he ar she is licensed pursuant to the provisions of the Contrectors License Lew (Chaptar 9(commencing with Section 7000) ai Divislon 3 of tha
Business entl Professions Code) or that he or she is evempt thereirom entl the basis for the alleged exemption. Any violetion of Section 7037.5 by any apDlicent for a permit
subjecis the epplicant to e civil penalry of not more ihan five hundred dollars (5500).):
❑ I, as owner ol Ihe property, or my employeas with wages as their sole compensation, WILL DO THE WORK, entl the siructure is not intentletl or oHered tor sale (Sec.
7044, Business end Protessions Cotle: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work
himselt or hersell or ihmugh his or her own employees, provided ihai such improvements ere not Intentletl or ottered lor sale. It, however, the building or improvement is
sold wit one year of completion, the owner-builtler will have the burden ot pmving thel he or she did not builtl or improve tor purpose of sale.).
❑ I, as er of EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct Ihe project (SecJ046, 8usiness and Pwfessions
Cotl contrectors License does nbt epply to an owner of proparty who builtls or Improves Ihereon, end who contracts br such pmjed wiih a coniracior(s)
I' e pursuant to ihe Contractors 'cense Lews.).
Business and Profe53jpp@CoCe tor this reason:
❑ No
property teu bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON:
❑ I hereby certity that no evcavetion five (5) or more feet in depth into which e person is required to descend, will be made in wnnection with work authonzed by this
pertnii, end that no building structure, scaifpltling, falsework, or demolition or tlismantling Ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Tlle 8, Calitornle Administrative Code),
❑ As awner-bullder, I will not employ enyone to do work which would reQuire a permit trom the Division ot Indusiriel Sefery, as notetl ebove, unless such parson has e
permit to do such work Irom Ihe tlivision.
Signature: Date:
Oivisian ot Indusirial Safety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalty of perlury that I heve reed Ihis application end state Ihat ihe information given is
correcL I agree �o co ly wi�h ell state lews entl city ortlinances relating to bulltling consimction, and authotlze representetives of Ihe City ot Costa Mesa to enter upon the
ebove-descnbed prop�ry�ocinspucttorfpmposag` egree not to occupy or aliow occupancy of eny buildinq euthorized by Ihis Oermit until finel inspection.
COOE t•
1616 Fi tl System Final Fire Preventlon
1266 P I Spe Final
200 Finel Re-Roof
201 Finel BIaWReiaining Well
202 Final Factory Fire Place
203 Final Si9n
20A Final Demolition
ixmu�s
CODE 1 INSPECTION TYPE
20fi Final Mechanical
208 Final Plumbing
210 Final Elecincel
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
, 250 Final Buildinq/Occupency
0
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
lob Address: 736 WEELO DR
Suite No B
Vicinity:
Parcel Nunmber: 42417303
Applicant: GUTIERREZ, JUAN
Address: UNIT A , ,
COSTA MESA, CA
736 WEELO DR �
Owner: GUTIERREZ, JUAN
Address UNIT A
COSTA MESA, CA
" 736 WEELO DR
Contractor: OW N E R-BU I LDE R
Address:
Arch / Eng : " .
Address:
PLUMBING PERMIT
Phone: 949-650-6355
Zip: 92627-3534
Phone:
Zip: 926273534
Phone:
Zip:
License: 0
� -. , _ - . . -- _ .
Phone:
Zip:
License:
SCOPE OF PERMIT
REF B02-00502.
1 BATHTUB, 1 WASH BASIN, 1 TOILET. ,
FEE SUMMARY '
� . AMT QTY �-- • AMT
ISSUE FEE $23.50 � Laundry Tub / Washer $0.00
Backfiow irrigation $0.00 0' Landscape Irtigation $0.00
Backflow Preventer - $0.00 0 � - � P-Trap � $0.00
Bathtub $9.80 1 Pressure Regulator � $0.00
Clarifier System � $0.00 0 Process Piping (per 10 ft) $0.00
Connecl pce,Soda,etcj � $0.00 �0 Receptors $0.00
Dental Units $0.00 0 , Septic Tank $0.00
Dishwasher $0.00 0 Sewer Cap for Demo $0.00
Drain, Floor $0.00 0 Sewer Connect $0.00
Drain, Rainwater $0.00 0 Sewer Private Line � $0.00
Drain. Roof $0.00 0 Shower $0.00
Drinking Fountain $0.00 0 Sink, bar $0.00
Expansion Tank $0.00 0 Sink, commercial 50.00
Gas Earthquake Valve $0.00 0 Sink, Floor 50.00
Gas (1-4 outleLs) $0.00 0 Sink, kitchen $0.00
Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00
Gas Repipe $0.00 0 Spa (private) $0.00
Gas Service $0.00 0 Spa (public) $0.00
Interceptors (Grease, Oip $0.00 0
Interceptors (Sand Auto ) $0.00 0
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Applied: 05/10/2002
I ssued: OS/10/2002
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer �
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.80
50.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: 552.90
�TY
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
C
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
ragulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspended or abendoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable c� , end all
requlred inapeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of tliis permit.
FOR INSPECTIONS CALL: (714) 754-5626 �,
2146-16 (NW)
WORKERS' COMPENSAiION DECLAHA710N:
I hereby aHirtn under penalry of perjury one of ihe followinq declarations:
❑ I hava antl will maintain a certificate oi consent to self-Insure tor workers' compenselion, as provitletl for by section 3700 of Ne Lebor Code, lor ihe peAortnence of the
work tor whiCh thi5 permit is issued.
❑ I have and will maintain woBers' compansatlon insurance, as requiretl by sectlon 3700 of the Lebor Code, for ihe peAortnance of Ihe work for which Nis pertnit Is Issued.
My workers' compensation Insurance carrier entl Oolicy number are:
Certier. Policy Num�er.
(This sectlon need nof be camp/efed /l fhe permif is velued et one hundred dollars (5/00) or /essJ
❑ I certiry Ihat in Ihe pertortnence ot t�a work tor w�ich I�is pertnit is issued, I shall not employ eny person in any menner so as to become subject to the workars'
compen5atlon laws of CalifOmia, end agree thet If I should become suhjeci Io the workers' compensation provisions oi Section 3700 oi tha Lebor Code, I shall forihwith
comply with Ihese provisions.
Applicent Signeture: Dete:
WARNING: FAILURE TO SECURE WORKERS' ODMPENSATION WVERAGE IS UNLAWFUL M1D SHALL S1191ECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDHED
T/K%15PND OOLLARE �5100,OW), IN AODITION TO iHE COST OF CAMPENSATIIXJ, OAMAGES AS PROVIDED FOq IN SECiION 3)O60F THE LABOR ODDE, INrEREST, AND ATTORNENS FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirtn thet I em licensed under provisions ot Chapter 9(commencing with Section 7000) ot Division 3 oi Ihe Business and Protessions Code, end my license is in full
torce and eflect. Lic. a Class a
Coniraaofs Signewre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm that there is e constmction lentling agency for the performance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lendels Neme: Lendar's Address:
SignaWre: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm Ihet under penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions
Catle: Any city or county which requires a permit to ConSlmct, alter, improve, demolish, or repair eny stmcture, prior lo its issuance, elso requires the applicant tor such permit
to file a signed stetement thet he or she Is Ilcensetl Oursuent to the provisions of the Conirectors License lew (Chapter B(commencing wl�h Sedlon 7000) of Dlvislon 3 of the
Business end Professlons Code) or that he or she is ezempt theretrom antl the basis tor the allegetl e:emption. Any violetlon oi Section 7031.5 Dy any epplicent for e permit
subjects Ihe applicant to e civil penalry of not more then tive hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end the siructure Is not Intended or oilered for sele (Sec.
7044, Business end Professions Code: The Contracbrs License Law does not apply to en owner of property who builds or imDroves Ihereon, and who does such work
himself a herself or ihrough hls or har own employees, provided that such improveman�s are not intended or offered for sale. If, however, Ihe bullding or Impmvament is
soid wi in one yeer of Comple�ion, the owner-builder wili have ihe burden of proving �ha� ha or 5he did no� build or improve fof purpo5e of sale.).
❑ I, as o er ol ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to cons�ruct the prolect (Sec. 7044, Business and Professions
Cotle: he conl ense es not apply to en owner of property who builds or Impmves thereon, and who contrecis lor such pmject wilh a contrector(s)
� licens ant to �he Contractors Li nse Laws.).
m
Business antl Protessions Cotle for this reason:
� No
property tex bill or deed):
OF INDUSTRIAL SAFE7Y VERMR CERTFICATION:
❑' I hereby certity that no excavation five (5) or more teet in depth into which a person is requiretl to tlescentl, will De made in connection wit� work authorizetl Dy this
permit, antl that no building struc�ure, scaHoltling, talsework, or demolition or tlismantling thereof, will be more Ihan t�irty-six (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Atlministreliva Code).
❑ As owner-Duiltler, I will not employ enyone to do work which would require a permit from lhe Division ot Indusirial Safery, as notetl above, unless such person has e
permil to do such work from �he tlivision.
Signa�urB: Date:
Division of IntlusMal Satery Pertnit Number.
CERTIFlCA7E OF CO PLIANCE AND AUfHORVJITION OF EN7RY: I cenity under penalry oi perlury that I have read ihis epplication antl stale that the informetion given is
correc�. I egree to c ly wit� ell stete laws end ci�y ortlinances relating �o Duilding construction, and euthodze representatives ol lhe Clty ot Costa Mesa to enter upon the
above-describad pr rry tor inspection purposes. I egree not to occupy or allow occupancy ol eny buildinq authorized by this pertnit until finel ins0ection.
Q�re u�i
767 Fixed System Final Fire Prevention
12 6 Pool Spe Final
2 0 �Final Ra-Rool
201 Final BIocWRetaining Wall
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolition
� /�—O 'L
Date
CODE� INSPELTIONTYVE
206 Final Mechanical
208 Final PIum6lnq
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildinglOccupency
�.1 �111.
�
r �/,,�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 736 WEELO DR
Suite No B
Vicinity:
Parcel Nunmber: 42417303
Applicant: GUTIERREZ, JUAN
Address: 736 WEELO DR
COSTA MESA, CA
Owner: GUTIERREZ, JUAN
Address 736 WEELO OR
Contractor.
Address:
Arch / Eng :
Address:
COSTA MESA, CA
PLUMBING PERMIT
Phone:
Zip: 92627
Phone:
Zip: 92627
Phone:
Zip:
License:
Phone:
Zip:
License:
SCOPE OF PERMIT
REPAIR GAS IINE TO REAR UNIT.
ISSUE FEE
BackFlow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$tl.00
$tl 00
$0.00
$tl.00
$tl.00
$0.00
$0 00
$0.00
$tl.00
$0.00
$0 00
$0.00
$6.15
$0 00
$0.00
$0 00
$tl.00
$0.00
QTY
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
SewerCapforDemo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 12/01I2000
Issued: 12/01/2000
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-0)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping Qnst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E29.65
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOT{CE: The work authorized by ihis permit shall compfy with all appficable handicap access requiremeMs under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This peimit 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 tne work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
204fi-481H�00�
WORKERS' COMPENSATION DECLARATION: � �
I hereby aHirm untler penalry of perjury one of ihe lollowing declarations:
❑ I have entl will malntain a certifiwte oi consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Cotle, for the pedormance oi the
work tor which Ihis permit is issuetl.
❑ 1 have antl will maintain workers' compensatlon insuranca, as requirad by section 3700 ot ihe Labor Code, for ihe pertortnance ot the work tor whlch this pertnit is issuetl.
My workers' compensation Insurance carner entl policy number are:
Carner: ' Policy Number:
(This section need nat be campleted i/ the permit is veluetl e( one hundred dollers ($100) or less.)
❑ I certify that in the peAormanca oi the work tor which this permit is issued, I shell not employ any person in eny manner so as to become subject to the workers'
compenselion laws of California, and egree �ha� if I should become subjec� b Ihe workers' compensatlon provislons of Section 3700 of Ihe Lebor Cotle, I shell forthwit�
comply with thesa provisions.
Applicant SignaWre: Date:
WARNING FAILURE TO SECURE WORKERS' WMPENSATION (`qVERAGE IS UNUWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FWES UP TOONE HUNDRED
THOUSAND DOLLARE (5100.000). IN ADDITION TO TME COST OF COMGENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3�O60F THE L4BOF CODE, IMEREST, AND ATTORNEI^5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aRirm Ihat I em licensetl untler provlslons oi Chapter 9(commencing with Saction 7000) at Division 3 of the Business and Professions Code, antl my license Is In full
torce and ettect. Lia a Class #
Contrecrors Signeture: Dete:
CONS7RUC710N LENDING AGENCY:
❑ I hereby aftirtn ihat there is a construction lentling agency for the pertormance of Ihe work br w�ich Ihis pertnil is issuetl. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm Ihet untler penalry oi perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Pmfesslons
Cotle: Any city or county which requires a permit to consimct alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires �he epplicent for such permit
to file a signed stalement that he or she is Ilcensed pursuant b the provislons of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Busines antl Professions Code) or ihat he or she is exempt iherefrom and ihe basis for ihe alleqed exemption. Any violation of Section 7031.5 hy any appliwnt for a permit
suD' s the applicant to e civil penalry ot not more then tive hundred dollars ($500).):
I, as owner ot the properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end the structure is not intended or ottered tor sale (Sac.
7044, Business antl Protessions Cotle: The Comractors License Law does not apply to an owner oi pmperty who builtls or improves Ihereon, and who tloes such work
himself or herselt or ihrough his or her own employees, provided ihat such im0�ovemenis are not intended or ottered lor sale. Ii, howaver, Ihe bullding or improvement is
soltl within one year of comple�ion, the owner-builtler will have the 6urden of proving that he or she tlitl not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projecl (Sec. 7044, Business end Professions
Code: The contrectors License Law tloes not epply to an owner of pmperty who builtls or improves thereon, antl who contracis for such projact with e coniractor(s)
licensa pu/�u�t to ihe Con�rac�ors Licen50 Lews.).
sec.
by drivers license. ❑ Yes
Verificatian af Ownership by (type oF dwumeni, i.e.
Business and Pro(essions Code tor ihis reason:
Date:
Driver's License No. Expires:
taa bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certify ihat no axcavation five (5) or more feet in depth iNo which a pereon is requiretl to tlescend, will be made in connection wlih work authonzed by this
permit, and thet no building sirudure, scaflolding, talsework, or demolition or dismantling thereot, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celifomla Adminisiretive Cotla).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Division ol Industriel Setety, as noted a6ove, unlass such person hes e
pertnit to do such work from the division.
Signature: Date:
Division oi Intlustrial Safety Permit Number:
CERTIFCA OF COMV CE AND AUTHORIZATON OP ENTRV: I cenify untler penalry oi perjury ihat I have reatl t�is application and state lhat the intormation given is
correct. I a ee to compl wi I state law and ciry ordinances relating to builtling construction, and authonze representatives ot the Ciry of Coste Mesa to enter upon Ihe
abov bed pro e� or m eaion u oses. a9ree nol to occupy or allow occupancy of any building authonzed 6y t�is permit uniil finel ins ecti n.
I Sionature Ot Leaal r(s1 \ l � Uate' �
AnNOr Authorizetl Appiicant
COOE t. INSPECTION TYPE
1616 Fixed System Final Fire Preveniion
1266 Pool Spe Final
200 Final RB-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
20d Final Demolition
QdjE INTffI �QQj! INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final Building/Occupancy
PSIE It�AL$
�uunFssaewma: 736 WEELO DR�
avruxsx.Yeira,wm:GUTIERREZ, JUAN
wox�ss:736 WEELO DR
COSTA MESA.CA
APPL.Y/Jl1HG �UDqE59:
,1qCHrtECT OR EHfiNEEA:
coNm�cToaswu�:
CONIPACTORS YYlWO
MDRES3:
/ unt:
/
92627
uc ra.:
UNT:
lIG NO.:
uMr:
LJCENSED COMPACTOfl3 OECL�N�iION: I IsaEy � utls pw�e�y d pmpvy Nm 1 em Ikametl uMs ywiriona d CMpw e
(mmmenen0 rAh Sxton ]000) d Oivuian J d Iha &mriase aed Pmlwaiana Code. end my &mes o in hA bcs end ofled.
cmuc.No.: uc.cuss: uc.No.: EXP:
JDete Conheuor
OWNEfl BUILDEfl DECI+�fl�TION: I haeby elfirtn uMer pmely W perjvy ihm 1 em axemq Imm iM Camaeon l'ome lew la Ne
, \ IdbwiS reefm (Satlian ]IX11.5 Buviwts end Rafemma Code: AnV dY a cam�y whith nON� e Vam! lo mmMcl. eds.'vnpo.a.
demd'eh. ar repei enY e���. V^a b na eeuence. e6o repufu ttw epp4mM ta wch pamN to fils e epned patertwa tlut ho a ehe
u f emed W�� io tM pwiwone d iM Corurmas Limnaa law �Chaqs B(cammenenp wilh Satlian ]000) a �^'eion J d �he
Buririess end Proleesiom Codal or �hd M a eM ie eumq ihereham end 1he Eetia In Ns eIMYb ��pion. MY videiion d Satlion
]031.5 by enY aGW�� la a permil wEjede �he opWicam �o e avil penelry d iwl maa Ihen frvs huMred doDen �SSW�I.
� I, m ovmer W the propeny or my ampbyeee wnh we0ea ea tM'r eola cwnpenee�bn, will Eo IM woM1, enE IM Miuc1ure e nM inteMed
or olfered br eale (Soclion')OC<, Businea enE Prolessiona Coda: TM Conlrenore Lkanae lew doee nm epplyioen owmr W properry
who buide a imObws tMroon, end x}w doee auch xwk himeaM or henatl w ihraph he a her own emdW�e� D��de4lM1et euch
impwemenia ve nd inlentleE a Waed la eale. M, Irowever, tM WiNi�q «'anprwemeni n vatl xnhin wro yev M mmpletun, the
' owmrbudix xill hero tM burden d pmnrq M w ehe did nal bnk a impow fa IM Wm�a M�ele�.
❑ 1. m o..w d the aro�Y. em sstluivaN mrurecn0 wph Iiom�eE contrmon ro mmmue tlr p9a+ (S«fion rvu. &»mma enE
riwo,aon+ coae: m. comrmon �iun» �.. eom na ewN ro en owns a ww+ro wno wua. « vnpw.. m«.n, .iw wno
mnvena 1« aMi wqx�s wiN a murmMel IicensaE wnuem m �he Caureeue t.imma lew1.
}(� i.m�.mp��e«��/B'jP7044 e.aa.c..ron.m4�:OWNE�R y��/B�UILDER
� Daie: /F � ��� �.L - t+i�---��j L� y.�
0
I Eo hereby cerNY tlW I em ewars d W udarsteM Ne m9 xua M Celiarca NaaAh eM 9e1NY Code 25505. . aM
Z5531. ard Ne� I a em/ Mun dtlldm0 �� wiA / wil rw� (mde ar) mW b oomdY wi� uiJ qeN rode� eM IM nW'nemwblar
aD�afrcmnvwionamoElraiianhamiMN3w:�i' a�epmrm0ivrie.Petitlsaialmm�uuioneWk'm'vuersaaemPM1anNma
ome: nnvr an:
WORKEN'S COMPEN9�TION DECUIR�TON: I Mreby dfirm w0er penalry d perjury ane d iM Idbwirq Jetluetnm:
� I haw vM xil meimen e cenAicels W conrnl lo aeMinw�e br waken' campenaetion. m qwtlM la by Seaian ])OU d iM labar
Cade. lw tM peAormencs d Ne wak la Mich ihia parmil o'maueC.
❑ � nme.�e .� meimen.on�n.• mmoenemiw, i�rewaim. es na�vea M swc� a�ao d in. �ee« Cod.. w in. o.n«meMe a me
wak fa whiN IM G�� b waued. MY wvken' mrnP��ion inwrvice nrrim enE VdKY numCa ue:
c�.,:
Pdcy Number:
(mrs mu� „�d �a ne mmd�ee i rn. w�� n ro� or�e n�ne�ee eorwe /siaoi a re..n./
❑ I cMAy thd in �he pMormenca d iM work br v.fich ihu permit ie ieaueE, I shell iwl emplry eiry pemon in eny menner eo es to
baconb wbjed b tM v.wMen cmipanulbn lexs d CeNanu. end eprea thm d I NouW becoma wbjea to tM wnM1en'
mm0��ion V�+eom d Sedion �]W d �M lebar Cada. I duB /onhwuh mmdi wGh Ihws pwmona.
o,�.: rod�v:
wemhp: F�uun ro xcun ro�l[w�i ronpw�utlan covx� l� unYwNl, mG Ntll uCf�et �n wnoloyw to MmIiW pwltlu uM
dHl flnu'q ro om h�ntlnANouuM 0ollan fflPqIXpA M�ddRbn ro tli� roaI ol ro�vNwfbR dempu u prv✓Itletl br In
S�ctlon J]PB ol IM /aborCotN, Int�naL ��0 efromry's /wa
CONSTIIUCTION LENqNO �OENCY: I hseby elfiim under penely d pxjury thm iAra u e mnvwion Mndinp eperv.y tar tM
pmlormeMs d iM xak la �Mitli �hu pe1m1 u's�ued (Smun 308). Cw. C).
LENDER'S NAME
LENDER'S AODPESS:
I canEy tlai I heve nW No eppfcerim W nms Ihet tlw ebwe'udanwion u mrtw. l epms io oomply xVh M Ny end aoumy ad'viencea
eM e�ma lewe reWiq io buiMvp mnpruaion vd hereEy aNhvrse �apmenie�nw d iNv ary io enbr upon tAe ebaro�memiwrd p�openy
�����9D'"p�°�rD�"'JUAN GUITIERREZ
�
.f
(5151ie.WP) While-Builtliq 8 $alery:Orean-Fla: Cenery-ADP��1: Pink-Acronue:OolEeniad-Assemor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 086612 PLAN CHECK NO; N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
JOB DESCRIPTION : LEGALIZE 121SF ATTACHED STORAGE SPACE
�- i
PERM NO: P 086612
GOVT: N SUPP: N
�'/n� �' PURPOSE: ADD
/ . SQ FT:
CLAIM VALUE: ' CALC-VALUE; GROUP OCC: R-3 /
COMMENTS: REF:B-86449, DEMOLISH PLUMBING FIXTURES TO LEGALIZE CONVERSION
3E 3F �f if if if iF if iF if iF iE iF iE iE if if iE ik iF jE 3E 3E if iF iF iE iE iE iF �f jF 1E if 1E if if if af jF iF iF iE 3E ii fF iE iE iE if iF �f 1E K iF if iF iE iE if if iE iF 1F iF iF iE 3E 3F if iF iF iE if 3F if if 1E iE
Z O N I N G R E Q U I R E M E N T 5
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKZNG RE • PROV; PARCEL: 42417303 ZNE: REF NO: n
PLANNING N�TES> -
%
if fE fE 1k �)E fElk iE ik if if !E 1E 1E iE iE 1E iE iE 1E it �E 3ElE fE if k k k ik 1! 1t 1E 1E 1E k 1F i! �E i! iE 1E if iE if jE iElE�iE if if iE if ib 1E ik 1E �E �f i!!E 1f iE iE * jE �E �E �k iF iE iE if 1E 1f iE k i! 1!
D E V E L O P M E N T S E R V I C E S,;,.R E Q 0 I R E M E N T S
ZONING APPROVED HY DATE;
BUILDING APPROVED BY :
J
APPLICATION ZSSUED BY:
**��+��r�*��******�x�**x*������E�F�F��FiF�F�FiF�FiF����� �F
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC
PERMIT 8.75
25t
!�?i;��i
DATE:
DATE: 1 ���
if if 1E lF�f3E iEif if iE
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CAECK TOTAL PAID DUE
TOTALS----> 8.75 22,00 0.00 30.75 30.75 .00
REVENUE DIVISION TOTALS--> COLLECTED; 30.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
30.75
iF if !E it iE iE 1E 7E 1E aF 1E ib 1E 3E jE iE if if iE iF iE 1E iE iF if �k iE iE i! iklk fE �F * iF iE �F if iE ik if iE iF iF iF iF iF 3F iE 1E iE jE if iE if if i6 if if iE iE iF 3E iE 3E iE aE aE if iE iE if aF iE iE if ik if if
I N D I V I D 0 A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 8.75 8.75
END OF FEES
81-16-1998/82:49 PM/f38.75
PERNITarB86612
CONSTRUCTION AND PLANNING ' PO�_ tL SPA
APPROVALS Permit # Date ' Inspector. AppROVALS Permit # Date inspector
f'
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforceme�t
3. Electrical Conduit Utility-Undrgr�d. 54. Forms
4. Electrical ConduirUndrgrnd. � 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. 'Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Eloctrical Conduit�Undrgrnd.
� 8. Faundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undr9rnd. ` 60. Backwash Lines, P•Trap, 0 Undrgrnd.
� 10. Structural.Floor System 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Orains 64. Ptumbing System • Final
14. Rough Plumbing ' 65. Electricai-Final �
15. Rough Electrica6Conduit .. , ,� 66. Solar SYstem-Final
16. Rough Electric Wiring _ 67. Fencing & Access ApP�ova� '
17. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING .
18. Rough-EleMrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditionin9 . • FIRE DEPT. REQUIREMENT
20. Rougb Factory Fireplace ' , - APPROVALS Permit # �
21. Ducts, in $tructure 70. Underground Hydro
22. Ducts, Ventilating� ' 71. Product Piping O Gas �70i1
23. Gas Pipe-Rough &�Test 72. Underground Flush
24. floof Framing �� 73. Undergrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing ' - � 7q; Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe •
28. Lathing & Siding ' � 77�. FIXED SYSTEM FINAL�
29. Insulation 78. FIRE PREV. FINAL
30. Ory�vall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL (NSPECTION
32. Electrical Power MeterFinal � 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric � � � Notes: ' � �
� 34. Final Heating & Air Conditioning
35. Finai Gas Pipe•Test ' �
36. Hood or Canopy -
37. Finai Fadory Fireplace
38. Fina� Plumbing _ GJ
�
39. Water Service-Final
40. Gas Service•Final ' .
41. Solar pomestic-Final ' �
42. Backtlow Preventer ' . � �
43. Backflo.w Irrigation ' . .
44. Landscape irripation System
45. Sound Aitenuation �- R,
46. Handicap iiequlations � ��� ;
:v
47. FINAL STRUCTURE & BUILDING � :" �_�
, n. _,.
48. -fiNAL PLANNING _'.urr
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �'
51. CERTIFICATE OF OCCUPANCY '
No. Date
i
- �usn[ss a ew�owc: /� b W G C;L V ll lt
avxexsru�e�vroawn:GUTIERREZ, JUAN
woxess:736 WEELO DR
COSTA MESA,CA
1PPl.IWLPlO AODAE55:
ANCNRECT OR FNtlNEFA:
4KII.ON FNG'S ADqiE55:
caim�crarsu•K.
CONfNAtTOR3YMfIIlO
�oox�ss
h uNr:
92627
uc. xo.:
UNT:
11G NO.:
UM:
LICENSED COMN�CTOR9 DECL�fl�TION: I M1eroby eMim �nda perely d pwjury tM� I am licenved uMm poviaion+ d CMqer 9
(commendrp wnh Sectbn )000) ��� J d tlro Buaimae arM PMmabns CoEe. eM mY limnee u in Iu0lorce ud elleti.
cmuc.No.: uc.cuss: uc.No.: EXP:
OWNEN BUILDEN OECLAflRTION: I hereby eifiim undar penelly M perlury Ihe� I am avsmq Irom tha Comretlore Licenae Lew /a IM
'dbwiq reeson (Seqion )031.5 Bus'u�eas eiM Ptoleseions Coda: My cily a counry xfiidi repuiret e permit to conaWM. ellx, improva,
'amWeh, or repei eny sl�ucturo, qbr to �e usuence, ebo reyuirea the epplicen� lor ewA pemin lo file e eipiwd etntemam �he� he or eM
e IicenseE W�aueni �o ihe provieione d IM Camreeore Licenae Lew [Cheqm 9(mmmma�p xilh Sedion ]000) d G+'vim 3 d the
B�rwv eM Grabasoru Coda� or thet he m ehe ia exemq Iherelmm eiW tM beau lor tlw elbpeA awemqun. My violetion ot Setlion
)o3t 5 M any wdireni lor e varmit wEjetls �ha eaolicem to e drd ro�Y d �wl mae ihen /'xe huMretl tlollen �SSOOp.
� I. es owner d iM papanY w mV emVM�a wih ra9� es �M1ei ede comV�mlion. will Eo IM xoA. aM Ne slrudun e rw� imaMed
a Mered for eeb (Sectbn 10a,. BmMseend PrdassiauCode: The Coniredan lioariee lewdws rot wWYtoen ownerd popMy
who Wida a inpwae the�eon, ud v.1w Eroa nuch xwk Fimaett a henel a ihraqh hw a Mr own empbyeas. po+idad thm euch
impovemmU era iw imardeJ or allred la eab. H. howerer. the buitli�p « inpo.wnsm o edd wnhm me Y� d mmple�un. Ne
e�„a,a�ad« w�u ne.re ma edd.� a w��o na «� eb oa adu «�mw�« �« ms wm�e a�l.
� 1. as mmar d �M V�WeM. em ezdmvelY oonirmM ��nh IieenseE eonveeioee m m�arua Ne pqea (Swion )010. &aa'vima vM
Prde.soiu code: TM ConVeaws licenr lew Eoea na MOM lo en o�mer a V�W�Y wM bulda «'unpwes tlw�eon enC Mw
�nVetb IOr w h pqetl9 WNI e CMledOr�a) Icaneed W��� lo IM Can�Mpa �iqneB l6wl.
,.,�,n��a„s ,�BP7094 e.ar.c..m,1nm�:OWNEFi BUILpER
�nM mm i� aware a�a ��M.�a ma reb�s�ama m c��om�. �.n�.�d sd.�v code s.aa�t�evszssas. �e
ihel I a eny Mun buiWinO �V��'MII / wil nd (dreb�one) naed lo canply wIh eeid ete�e codeo�fdlhe repuimmena br
a
Dme: Aoqc.m:
W OFKEP'S COMVEHS�TION DECL�RATION: I MreEy elfirm wdx penelly d px'ryry me W Ne IMbwirp Eetleretom:
❑ �ne�ee�ewmeimew.cen�rw.dom.eni�o.en;nm,mm.woMen�comrommion.e.a�r«hsmn,a�aoame�.eo.
coee. l« �ne oeAmmar�c. d in. wak �« whcn mis wmM u iouea.
❑ �nevea,eMi�meimennork.n•mmvxveliw,ireureMe.mnau'veeErsedion9]aoau,sLeE«cm..�«meo«�ormenoedm.
wark t« whitA INa Pe�A ie usued. MY wvlmn' mmPe�*tlion ireureMa cerr'w ud GdKY numbx ua:
c�:
PdiryNumEer.
(iNz secfion rimd rw( 6e conplere! / tM prmt is /w are hunJred dd/ars (5100/ a bn.)
� I cerlAy IMt in ihe pMamerca d tM work br whch �hv pe�mtl o iaweE. I ehell nal empby eny pemn in vry man�wr eo n �o
E%q110 9YE�J �O �M NIXkG9 �w.��� iewa a c�nom�. �a w,a. �nm a i.no�,u e.�b wd� io ma wo�xa,�
EOT001198�p11 P�91p19 O� iBCp113�0� O� Ih! �JbOf CiOdB. � 9�� �MhWl�ll Nllpi/ WIIh 1�1M! V��8�9.
oma: Mp�:
warnlny: Hllun ro axun woMreri canpxwaon corneys Is unl�Mul, arW.Nll.ubJct.n �mployx ro MrtYml vMaMa.nd
e/W/ flme y� ro ons hundrW Hauuid tlo/Nr� (S10p,00p1, In edrlltlon M Ms ros! o/ romperusflon, demepu u proNdsC br In
Sxtlon 3M6 0l !hs La6or COW, Inferoal, entl ettomey'a /su.
CONSTNUCTION LENOINO AOENCY: I Mmby eifiim uMm pe�alry M par'ryry thu thero ie e conq�wfion bMirp eparcy br Ihe
peiloimenM d IM MIXk IOf xfilW Ihe pGlllli i9 oeuad (fiMun 3�3J. Cx. C�.
LENDEfl'S NMIE:
LENDEfl'S ADDNE54:
I roniy �hat I heve ieaE Uia eppl'rmion vd aeu �IW ihe abo+e inlormetbn o cortetl.l epne to mnpty vrilh dl ary enE counry adinenme
erd atme laxs Mmiq to Wikip consUupion ud hereby eNMr¢e nprnventetiwa d �ho ciry b emer upan the ebove�memiwied popany
�«��0�0�"�JUAN GUITIERREZ
De�e: % �.�
�5151de.WP) WhXe-Buikiip 8 Salely; Oraeri-Fla; Cenery-AppGrant; Pink-Revmue; Ooldenrod-Aeaeasor
CITY OF COSTA MESA - BUILDING PERMIT'
�- /
PERM NO: E 086451
PERMIT NO: E 086951 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION : LEGALIZE 121SF ATTACHED STORAGE SPACE SQ FT:
ICLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: REF:B-86449
�f iF jF iF iF �f iF iE if iE iF if iE �E iE 3E �F iE i4 if iE iE 1k if if iE If 1f 1E iE 1E if iF iF iF iE if iE 1E aE 1f iF iF a41F iF jE iE 1E iF aE iF iF iE if jf iE �F iE �f iR fE �f IE �E iE iE if iE iF iE iE iE �F if aF iF iF iE
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILUING ---------- --------- ACCESSORY BUZLDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42417303 ZNE: AEF NO;
PLANNING NtSTES>
i
iE if 1E 1E iE k iE 1E iE 1E 1E fE 1E 1E 1E 1E iE 1E 1E iE 1Elf 1k 1t iF 1E ik 1E iF if ik i(� iE if iE iE �E 1E iE iE �E 1E 1E iElE �k iF iE iE 1E if iElE iF if it iE ik iE 1E iE iE iE 1E 1FlE iE if ik 1Elf iE iE ik if iF iF iE if
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
20NING APPROVED BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY;
*�r�r*���r+�**+r*�r***�*�r�e��r���
LEGALIZATION:Y
BLDG PMT PLUMHING
F E E S U M M A R Y
ELECTRIC MECHANIC
PERMIT 12,00
50$
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 12.00 22.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED;
HLDG PMT PLUMBING ELECTRIC MECAANIC
34.00
DATE:
_ DATE: n
DATE: U
�F�+���r*���r��� �*
STRUCTURAL EGMENT;N
FIRE SMIP/RES GRADING
SMZP/NON-RES
TOTAL PAZD DUE
39,00 34.00 .00
34,00 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN-CHECK
!E � iF. �.' * i� i#! * i� �.' it.' i� it i� i�' i! i! i� i� �i �! i! i� i� i� ii #4 iL �L ji.' #.' j! � iR *#�%� �' if' i� i� it if j! i{' ii j! �1' iL i� ii #,'�.' �' i�' i�' Xr i�' jE iE iE ih * jf'lf'1k 4f'1f 9f !f'1f jf �k �' 1f �f')f
I N D I V I U U A L F E E H R E A K�U O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�ELE 2 FI7CTURES LIGHTING 1 ST 20 EA, 1.00 2,00
ELE 2 RECEPT/O{1TLET 1 ST 20 EA, 1.00 2.00
ELE 2 RECEPT/SWITCH 1 ST 20 EA. '1.00 2.00
END OF FEES
��� I��
f\ �Z-�l %� � O
�1-t7-:53d/C3:16 G:/f34.C�
;cCFT�:Bl-� :i77'=
-,-r:{4aT � r�86�aSi
_ �,�,� � �
CONSTRUCTION AND PLANNING � PO�� & SPA .
` Date Inspector. Date Inspector
APPROVALS Permit # _ „ APPROVALS Permit #
t. Temporary Electrical Service or-Pole �v 52. Pool & Equipment Location . �
2. Soi! Pipe-Undrgmd. L%' 53. Steel Reinforcement
i
3. Electrical Conduit Utility�Undrgrnd. 54. Forms � '1
' 4. Eiectrical Conduit-Undrgmd. 55. Elecirical Bonding �f
�. 5. Steel Reinforcement . 56. Rough Plumhi�g & Pressure Test �
•6. Electricai UPER Grnd. 57. APPflOVAL TO COVER-GUNITE �'� �
7. Faotings 58. Electricai ConduirUndrgmd.
'>:6. Foundation • 59. Gas Pipe, � Undrgrnd., Tezt
9. Water Pipe�Undrgrnd. •i 60. Backwash Lines, P-Trap, L� Undrgmd.
r
'. ,70. Structural Floor System � � 67. APPROVAL TO DECK
11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . ��,� 63. Heater & Vent-Final
73. Root Drains 64. Plumbing System � Final
14. Rough Pium6ing '' -��! Fj5. Electrical-Final "'
15. Rou9h Electrical-Conduit �•• �' :66. Solar SYstem-Final '„%
i 6. Rough Electric Wiring �� 67. Fencing & Access Approval `�
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
�
18. Rough Electrical-T Bar Ceiling � � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Alr Conditioning ��� . , _ ' FIRE DEPT:'REQUIREMENT --7
- . -� - �
20. �Rough Factory Fi�eplace �'r ` , APPpOVAL:S, � Permit # �' �
21. Oucts, in Structure . . - . - 70. Underground Hydro
22. Ducts, Ventilating -'_ � = 77. ProducrPiping�DGas OOii
.�
23. Gas Pipe�Rough & Test � � '' � � _ . -, 72, Underground Flush � ��
24. Roof Framing �" � � 73. Undergr�d.StorayeTank �Gas ❑Oii
25. Roof,SheSthing ' , 74. Overhead Hydro: �
26. T-Bar Ceifing (StructuraU & Monocoat -- ' 75. �ry Chemicai '' �
,
27. Frameand Plashing,. �. ., 76. DryStandpipe.;�� �-
28. Lathin9 & Siding -. 77'. FIXED SYSTEM FINAL '
. 29. Insulation � . 78. FIRE PREV. FINAL � ��
30. Drywall Nailing �- `' � '=HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat .� � 79. FINAL INSPECTIQN ,_. •
' 32. Electrical Power Meter�Fi�nai • 80. FOOD CERTIFICATE ISSUED �
; 33. Final�Electric. � - y •
. . - - - Notes: , ,
� 34. �Fina( Heatinga& Air Conditioning �� , � - - � - � � �-
� r
35. Final Gas Pipe=Test' � ' ' ' _ _ - , � ' � ' �
� 36. Hood or Canopy � . , � � � . . . - . n ,
�
� 37.�Fina1 Factory Fireplace ,„ ' � ' ' � ,
r
38. Final�Piumbing � . - . ' ' ' . .
` �-
39. Water Service-Final� - � '• ' '
, _ . G ^ y'
40. Gas Service-Final ' ' ' f� . _, r,
41. Solar pomestio-Final ' � '-� � ' �� _
42. Backflow Preventer . . � �-
43. Backflow Irrigation . : ' '
44. Landscape Irrigation System g � � � ; . s: -," � _ -
45. Sound Attenuation" ' � � � �" .' �
46. Handicap Regulatio�s _ . ; �� , - - ," .
47. FINAL STRUCTURE & BUILDING �� � � `
. , . . . . _ -, . �
48. FINAL PIANNING -
-49. Electrie Release to Edison '' �
50. Gas•Reiease to Southern California�Gas Co � - � � � ��
51. CERTIFICATE OP OCCUPANCY
No. Date
f
(774) 754-5273 • Fax (71d) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: i36 WEELO DR
Suite:
Vicinity: HOUSE ONLY
Parcel Number: 42417303
Applicant: GUTIERREZ, JUAN
Address: 73fi WEELO DR
COSTA MESA, CA
Owner: GUTIERREZ, JUAN
Address 736 WEELO DR
COSTA MESA, CA
Contractor. OWNER-BUI LDER
Address:
Zip:
Arch :
Address:
/�� p
Zoning:
Phone: (949)650-6355
Zip: 92627
Phone:
Zip: 92627
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: O6128/2000
Issued: 06/28/2000
Phone: Phone:
Zip: License: License: .
SCOPE OF PERMIT
REROOF - Y/O, REPLACE PLYWOOD SHTG AS REQUIRED, INSTALL 2 LAYERS OF 15# FELT AND 25 YEAR
COMPOSITION SHINGLES.
Plan Check: $0.00
Permit: $54.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $54.50
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinu: 0
NOTES:
Rear 0. 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lefl 0- 0
LeR 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0. 0
Right 0-0
$1,500.00
$1,500.00
� NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremeMs under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
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 penod 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 Inspeetiona entl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CAL�: (714) 754-5626
�
WORKERS' COMPENSATION DECLARATION:
I hereby ettirm under penalry oi perjury one ot the lollowing daGaretions:
❑ I have and will maintain e ceAticale ot wnseni to selt-Insure tor woBers' compensation, es provided tor by section 3700 of Ihe Lebor Cotla, for the pertormance of Ihe
work for which Ihis pertni� i5 i95ued.
❑ I have and will mainuin workars' compensation insurance, as required by section 3700 0l ihe Lebor Code, for ihe peAortnence of the work for w�ich this permit is issued.
My workers' compensation Insurence carder and policy number are:
Carner: Policy Number:
(This secfion need nof be completed il the permif is velued a( one hundred dollars ($100) or less.)
❑ I cenity ihat in lhe peAormence of the work for which this permit is issued, I shell not employ any person in any menner so es ro become subject to Ihe workers'
compensation laws of Celifomie, end egree that It I should 6ecome subject to the workers' compensation provisions of Section 3700 of the Lebor Code, I shall forihwith
comply with these provisions.
Applicant Siqnature: Date:
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000). IN ADDITION TO THE CQST OF COMPENSATION, DPMAGES AS PFOVI�EO FOR IN SEGTION 3]O60F THE IABOR CADE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Cotle, and my license is in full
force and eflecL Lic # Class N
Conirectofs Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn that ihere is e construction lending agency for ihe pedormance of t�e work br w�ich this pertnit is issued. (Sec. 3097, Civil Code�.
Lenders Name: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm Iha� under penelty of per�ury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, elso requires the epplicant for such permit
to file e signed statement thet he or she is licensetl pursuant to Ihe provisions of ihe Conirectors License Ww (Chapter 9(commencing with Sectlon 7000) of Didsion 3 ot the
Business and Professions Code) or thet �e or she is ezempt therefrom and the basis for lhe alleged exemption. Any violation of Sectlon 7037.5 by eny epplicant for a pertnit
sub�ects the eppliwnt to a civil penalty ai not more lhan Bve �undrad dollare ($500).):
� I, as owner of ihe property, or my employees with weges es their sole compensation, WILL DO 7HE WORK, and ihe structure is not intended or ottered lor sale (Sec.
7044, Business antl Professions Code: The Contrecbrs License Law dces not epply to an owner ot properry who builds or impwves theraon, entl w�o tloes such work
himself or hersetl or through his or her own employees, provided that such improvements ere not intended or oHeretl for sale. If, however, tha bullding or improvement is
sold within one year of completion, the ownerbuilder will have the burden ot proving thet he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSNELV CONTqACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business entl Professions
Cotle: The contracmrs License Lew does not apply to en owner of property who builds or improves Ihereon, end who concrects tor such pro�ect with a contrador(s)
license pureuant to the Contractors License Lews.).
❑ I am exeiqpt under sec. Business and Professions Cotle lor this reason:
Owner ID venfietl by tlrivers
❑ No
Verilication of Ownership by (type of document, i.e. - property tax 6ill or dead):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
Date: QC � 7
Oriver's License No.
—00
Ezpires:
❑ I hareby certify ihat no ezcavetlon five (5) or more taet in depih into which e person Is requlretl �o tlescentl, will be made in connection wlth work authorizetl by this
permit, and ihat no builtling structure, scettolding, felsework, or tlemolition or dismantling thereot, will 6e more than thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TUe B, Californie Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require a permit Irom the Division of Industrial Safery, as notetl above, unless such person has a
permit to do such wark irom the division.
Signature: Date:
Division of Intlusinal Safery Permit Number:
CERTFICA7E OF COMPLIANCE AND AUTHORIZATON OF EMRY: I certify untler penalty of perjury that I have read Ihis appliwtion antl stata that Iha infortnation given is
correc�. I agree to comply with all state laws and ciry ordinances relating to building consiruction, and authonze representatives ot Ihe Ciry of Costa Mesa to enter upon �he
above-descnbetl pmperty for inspection puryoses. I egree not to occupy or allow occupancy of eny building authonzed by Ihis pertnit until final Inspection.
�{ , ? �g—oc�
SignaWre Oi Owner(s) Date
And/Or Authorized Applicant Date
CO�E �, INSPECTIONTYPE
1616 Fizotl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
24<64s
pyjf, �NTffIALS
CODE� INSPECTIONTVPE
206 Final Mechanical
208 Final Plumbing
270 Final Electricel
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PAIE INTffIALS
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(mmmerr'aq wn� Sxlian ]OW) d Dneion 3 d ihe BuaMae end Pmis�aiona Code. uM mY li�e e in htll laca end aNad.
CffYl1C.N0.: 11QCLA49: L1C.N0.: �j�Y�
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OWNEH BUILDEP �ECIARATION: I hereb� elfirm uM« penNy d perjurv �hei � em e�emq �mm �M Gonuedon Licenee law 1« �he
Idbxiq reaeon (�� )�1.5 Bueieae eM Pmlavaiona Cads: Mry ciy a munry xfiiefi reqWree e pemiil lo mmtrun. Ms. impow.
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Bumm� eM Aatmeiaa Godel a ihm he a ehe b uemp tMrahan eM �Ae bub la IM ellaped ssanqcn. Nrv vuWvn d Seaion
]W 1.5 by vry eppl'rem lar e permn subptla Ihe epplican� �o e wil penelly al mi maa �Mn Ma hivMieE EdW �5500�.
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a ollared la eele (Seclion )Oda, Buanen end ProleeeianeCode: TM Contrenon licaroa lew daee rwt epply ioen oxnx N popvry
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Pmleeeioiu Code: TM1e Cm�redon Licenae law doee � epply �o an owiwr d qopeM ��iNe a impovm �heeon eM who
comrecn lor euM projecte wnh e mmretlor�s) IiwneeE WAuenl to tM Comredae Lioenee lew).
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CONSTHUCTION AND PLANNING P��� �' �PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Oate Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation
2. Soil Pipe•Undrgrnd. 53. Steel Reintorcement
3. Electrical Conduit UtilitY•Undrqmd. 54. Forms
� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7.� Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd„ Test
. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Ploor System - 67.. APPROVAL TO DECK
11. Property Sewer 4ine & 4ouse Connection 62. Backwash & Receptor-Final
� i2. Sewer Cap 63. Heater & Vent�Finai
13. Roof Drains , 64. Plumbing System • final
14. Rough Plumbing .. 65. Ele�tricai�Final
15. Rough Electriwl^Condui2 66. Solar SYstem�Final �
76. Rough Electric Wiring - 67. Pencing & Access ApPraval
17. Rough Wiring Sign 68. APPRUVED FOR PLASTEflING
18. Rough Electrical-T Bar Ceiling 6�. POOUSPA SYSTEMS FINAI.
19. Rough Heating & Air Conditioning FIRE DEPT. AEQUIREMENT
20. Rough Factory Fireplace ' ' , ' ' �. APPflOVALS Permit # �
21. Ducts,in Structura � ���. � , . • 70. Underground Hydio
22. Ducts, Ventitating � � . 77. ProductPipin9 C;Gas ❑Od
23. Gas Pipe�Rough & Tesc � . - 72, UndergrounA Flush
24. RoofFraming . .. 73� Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling IStructuraq & Monocoat � 75. Dry Chemic,al .
27. Frame and Flashing . ' ' 76. Dry StandpiPe
28. Lathing & Siding � � ' ' " 7T, FIXED�SYSTEM FINAk
29. Insulation . . � �. 7$. FIRE PREV. FINAL
30. Drywall Nailing ' - HEALTH DEPT. fiEQUIREMENT
37. Plaster Brown Coat �. 79. FINAL INSPECTION �
32. Electrical Power Meter�Final � 80. FOOD CERTIFiCATE ISSUED
33. Finat.Electric . . Notes: - , .
34. Finai Heatin9 & Air Conditioning � � '
35. Final Gas Pipe-Test � , ' , _ �- .
36. Hood� or Canopy �, �� , � - ' } �
37. Final Pactory Fireplace ' _ �� � � , , . � �,
38. Final Plumbing � � - �.
39. Water Service�Final ' ' �
40. Gas Service�Pirrel . • . � �� �
41. Solar pomestiaFina� • ' � -
42. Backflow Preventer , -� : :
43. Batkflow Irrigation � ' � ,
44. L.andscape Irrigation.System . -� - � �
i
45. Sound Atienuatton .
46. Nandiwp Regulations , �
47�. FINAL STRUC7URE & BUILDING /7_�_� /� ' - . '
(�- tr
48. F1NAL PLANNING . . . , �
49. Electric Release ro Edison � �
50. Gas Release to SoUthern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
JOB ADDRESS 736 Weelo Dr. �� BUILDING PERhIIT NO
GENERAL CONTRACTOR Romar Bldrs. VALUE s 9,139.00
dP Nn 11 �Z�O- 1 T./1T TRACT M'IIPF` '/IINF 11FS!`RIPTTl1N !iF WliA eS.
INSPECTIONS �K� I DATE I GROUP I& J TYPE
SU6CONTRACTOR
\ � \ " i'
�' ��:5, �'�� �tC�I�EO
COSTA MESA BUILDING-SAFETY DEPARTMENT � dU� 1 1959
P.O. BOX 31'] COSTA MESA, CALIFORNIA FINANCE DEPT.
CITY OF COSTA �7ESA
fOR APPI/CANT TO F/L[ /N COMP[ETELY APPLICATION FOR PERMIT
TYPE OR PIZ�NT BUILDING
BUILDING � /�) � /
ADDRE55 K/
COSTA MESA, CALIFORNIA FOR OFFICG USE ONLJ
OWNER /�. �/.JI+/l T C �� I O� O I RECEIPT NO. I _�, �
%,
MAIL �` /�i.�t' f � RECEIVEOOY OpTERECEIVED I G��
ADDRESS �v ���� p L(/
QTV C TEL. BUILDING �/�� '/_ /� C t�
NO. ADDRE55 J ��
ARCHITECT ��a COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRE55 m Zp E Group
GONTRACTOR A � UC(I�6 LIC.NO I�/'%'[Y BYPROVED �mL!/ DATE � J
ADDRE55 O � �d� �D• ZONING
ZONE NO. OF IUSE OF NEW
LEGAL I LOT � IPLANS �I BUILOfNG �
OESCflIPTION I NO. 0� BLOCK T' CT � / /
A.P.��J�Y ��OO� �I BYPROVED V'-�. V' DATE l0 �/�
OP LOT V O X I�./v� I now on �OT6 / REQUSRED ALLOWED
USE OF CJ/G ��CL1 �/./� C i/ FRONT �INE 6T.) L—�FT. � I
EXISTING BLOG. ] /V / /-/ r-y � Gy �)
$ET9/�CK LINE FROM D, � r� I �
C[rviea oF STFEET - REAR YA D� R. SIDE �.% FT. I
SIDEYARD ILEFT t�' IRIGHT �' LSIDE SF"f. I
DESCRIPTION OF WORK
REAR FT. I
NEW I I ALTERATION I II /�DDITION I '
I
REPAIR I II MOVING I II DEMOLISH I J f(� � � �
SIZ'EDING a � ROOM5 V{� STORIE� /`�� � • �^/�
EXTERIOR WALL�-TuU D I ROOF /ro`� �If'�r�
COVERING J COVER�Nd� wrr! �
:Jrc7 ,� �� �✓o7,S (�
�^ ' � zG
1 HEREBY ,�CKNOWLEDGE THAT 1 MqVE PEA� THIS LICATION
RNO STATE THAT THE TBOVE I6 CORqECT AN� A E TO COM- THE AMOUNT SXOWN UNDER VALURTION IS FOR THE
PLY WITH ALL CITY ON INANCES R�STATE REGULATING PUFPOSE OF ESTABLISNING A PERMIT FEE ONLY.
BUILD�NG CONSTNU N. VALUATION
SIGNATURE OF � �- PERMIT FEE $ p���
PERMITTEE /�
g (J L/j PLAN CHEGK $ � lj�
AUTHORIZED AGENT /� / �" ' �� �
� TOTAL FEE $
�7
DATE
OCCUPANCY
SUBCONTRACTOR
BUILDING PERMIT
VALUE S2 0.00
Form 210—SM-11-59 SB P , ].µO�O
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�'� � 1���' �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P, O. BOX 977 C08TA MHBA. CA4IFORNIA
For Applieanf fo Fill In Completely
TYPE OR PRINT
eu��oiN� �/,3�i �(/-G �� �
ADDRE88
.�OSTA MESA GALIEORNIA
■ ARCH
■ 81ZE
r t ��t,ti��� u
MAR 101�i
, fINANCE DEPI.
' CITY OF COSTA MESA
APPLlCAT10N FOR PERMIT
BUILDING
For Office Use ,Only
NECEIPT NO' � P6qM�T NO.
�
COSTA MI
_ � /�/ , ByPROVED /
1
�F, ..
\ ZO) I NO. OF
� PLANB
NO. OP BLDOB.
88TBACN lJHB PROM
CeNTCR OM BTItHHT REAR YARI
SIOE VAF2D I LEFf I RIGHT
, DESCRIPTION OF WORK
6UILDING
SIZE
E%TERIOp WALL
PERFORMED
L80AL
IC[NTBR LINe BTq
APPROVED
NG
188 OV NEW
�/U � -
EVES
// / L� � ' ” % ' r
.J
// � /
1 HGNHBY ACKNOWLCDGC TXAT I MAVH READ THI9 APPUGTION THg AMOt1NT BXOWN UNDHR VALIIATION IB POP THe
AND STATB THI.T TXE ABOYE IB GORREGT A 1�3R88 TO COM- pUPP086 OF EBTABLIBHINa A PERM�T F6E ONLY.
PLY WRN ALL CI��AC�'//�// ✓✓!/ RBGYLATINO
eU1lnlNa cONeirtu � VALUATION
SIGNATURQ OF d PERMIT FEE S �
PERMITfG ��//�O� �e o
S t/'� PLAN CHECK S
F
AUTHORIXED AGENT � �^ �
iOTAL FEE y