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Home My WebLink About170 WELLS PL - Building Permits PROJECT ADDRESS: 170 WELLS PL UNIT: CITY OF COSTA MESA' . SIGN PERMIT PERM NO: SBE 045942 OWNER'S NAME: LORRAINE LAMBETH E ADDRESS: 170 WELLS PL PERMIT NO: SBE 045942 PLAN CHECK NO: 02537 90 S GOVT: N SUPP: N COSTA MESA CA 92627 CONSTRUCTION TYPE: V N PERMIT TYPE: ELE STR SIG PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION INSTALL ELEC. WALL .S'IGN SQ FT: • ADDRESS: , • • UNIT: - ' • • CLAIM VALUE: • 700 . 00 CALC—VALUE: 700 . 00 GROUP OCC: B--2 / PERMITTEE: LORRAINE LAMBETH - ( 714 ) 646-7178 . ADDRESS: 170 WELLS PL NONE COMMENTS: RE: 844772. COSTA MESA CA 92627 *****it+Ex*+t******:eeE***de****-:E*x-x*cit* -x-**ASN-xeE**aexN**Ni<-****xrtarerer***** -**dSaEyEaE•et*:t*d<-x->Eea LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SIGN INFORMATIO N 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT: 0 TYPE: • • ILLUMINATION: CATEGORY: CITYUC.: STATE LIC.: CLASS: DIMENSIONS : OFT 00IN X OFT00IN AREA: 0 .00SQFT LETTER IIT: . STREET FRONTAGE 1 : 0 . 00 STREET 1 : Date: Signature: STREETr WORKERS'COMPENSATION DECLARATION: I herebyaffirm that I have a certificate of consent to self-insure or a certificate of Workers' PCL FRONTAGE42541203 2 5 4 120 2 : 0 . 0 0 FRONT: 2 : Compensation Insurance,or a certified copy thereof(Section 3300,Lab.C). PARCEL: 4 2-/412 O 3 'LONE: LOCATION > FRONT: REAR n,gpucrxo.: EXP.DATE: BUSINESS NAME: > LEFT: RIGHT: MPANr: • O 'r H E R 1' O T A L S G R O U N D SIGN i Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. THIS ACTIVITY ' 0 . 0 0 SQFT OVERALL HEIGHT: OFT U I N ' THIS SITE 0 . 00SQFT GROUND CLEARANCE: OFT . GIN , . Date: Applicant: ITEMS OF INFO : .0 PLANTER AREA: O . O.OSQI'1' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)or less). ITEMS FOR ACTIVITY : 0 - BLDG SET BACK: OFT ' -' L•'T' I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become COPY VERBIAGE - - subject to the Workers'Compensation Laws of California. 4 Date: Signature: PLANNING NOTES : NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor **************************************************************************-*** Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. DEVELOPMENT .S E 'R V ICES REQU IR E M E N .T' S CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for • q'� which tits permit H issued(Section 3097,Civ.C). ZONING APPROVED BY : (.7.9 __�S Art DATE: _ 7 LENDER: • ADDRESS: - - BUILDING APPROVED BY : ,��' _ DATE: x- OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the fo0owinp reason APPLICATION ISSUED BY: '� ((� ` -- A DATE: (Section 7031.5 Business and Professional Code: 'Any city of county which requires a permit to construct,alter,improve,demolish,or *********************** *' *Te. ate!- ***** WiFk'**'k'***'**I('*'!E'x-********1(-3FL��AEie Ffir** repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 'LEGALIZATION:N F E' E S UMARY STRUCTURAL SEGMENT :Y • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • • and Professions Code)•or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MOO). BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ,PERMIT 19 . 00 1S , 00 r r rl structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law • 0% • .x M I P/NON—RES E.a does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . PLAN 12 . 35 . 50 his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or ISSUE FEE 15 . 00 k improvement is sold within one year of completion,the owner wig have the burden of proving he/she did not build or improve for the purpose of sale). BUILDING—DIV•-> PERMIT ISSUE PLAN—CHECK - TOTAL PAID DUE TOTALS----> 34 . 50 15. 00 12 . 35 61 . 85 61 . 85 . 00 m, I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ' . - ' CJ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware REVENUE DIVISION TOTAL S——> COLLECTED : 61 . 85 OVER/SHORT: . 00 that proof of their Worker's Compensatisn insurance shoutd be provided tome. BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN--CIIECK t o lam exempt under Section: B.A P.C. 1 9 . 0 0 30 . 00 . 50 12 . 35 • for this reason: ' Date: •._ / 5---`qe) Qom . Ctn/.,..,;(e. y( INDIVIDUAL F E E BREAKDOWN ' I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sect ns 25505,25533,and - ' 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a TYPE -QTY ' D- E- S- C R I P T I O N UNIT COST TOTAL COST permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these Prov¢ions. • ELE 1 SIGNS/OUTLINE LIGHT SYS ON 1 BR CIRC 15 . 00 15 . 00 Date: Applicant: END OF FEES I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby a rite representatives of this cityt nter upon the above-mentioned - _ , property for ins than purposes. 01 00053263-00053267 TOT 61.85 Dale: S—lQ0 Signature: *'I 799l DATE: 02/05/90 TIME: 03:35 Driver's License or Social Security it: • 164146 White—Building:Green—Code Enforcement:Cenerv—Applicant:Pink—Revenue:Goldenrod—Assessor - . • , - ~ • CONSTRUCTION AND PLANNING P & SPA , APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1, 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms - ' 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,7. Footings _ 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT, 20T-Rough!Factory Fireplace_• - _ -, T. , _ APPROVALS • Permit# - 21. Ducts, in Structure 70: Underground Hydro -• 22. Ducts, Ventilating; - -- - 71. Product Piping 0 Gas 0Oil 23: Gas Pipe-Rough & Test - . - ' _ . 72. Underground Flush - . 24. Roof Framing -- - `-, - - 73. .Undergrnd.Storage Tank DGas 0 Oil 25. Roof Sheathing- - - 74. Overhead Hydro 26. T-Bar Ceiling Structural) &Monocoat 75. Dry Chemical 27. Frame and Flashing • - • 76. Dry Standpipe - - 28. Lathing& Siding ' 77. FIXED SYSTEM.FINAL , 29. Insulation ../-,#28:--FIRE PREV. FINAL - - • 30. Drywall Nailing 51 HEALTH DEPT. REQUIREMENT 31. Plaster•Brown Coat - •; ;. ';79. FINAL INSPECTION - _ 32. Electrical Power Meter-Final - 80. FOOD.CERTIFICATE ISSUED 33. Final Electric - a`f3 rta Notes: : . - -' - _ 341 Final Heating & Air Conditioning , . 35. Final Gas Pipe-Test . • -, 36. Hood or Canopy , . , - - r 37. Final Factory Fireplace , • - - 387 Final Plumbing - -- 39. Water Service-Final - ., - - 40. Gas Service-Final ... - ' 41. Solar Domestic-Final - 42. Backflow Preventer 43. Backflow Irrigation - -• • 44. Landscape Irrigation System - ' 45. Sound Attenuation ' - - - . „ 46. Handicap Regulations - • - 47. FINAL STI1UCTURE & BUILDING 2 Vire Cr r- - - y v 48. FINAL PLANNING Zl flier:, D • 497 Electric Release to Edison c , 7 '- ' %l-' , . . • ' 1 1-,. • _ - 50. Gas Release to Southern California Gas Co - - • 51. CERTIFICATE OF OCCUPANCY - ' • ' No. Date PROJECT ADDRESS: 170 WELLS PL UNIT: - CITY OF - COSTA MESA - SIGN PERMIT . PERM NO: S'• 045963 OWNEWS NAME: LORRAINE LAMBETH ADDRESS: 170 WELLS PL PERMIT NO: S 045963 • PLAN CHECK NO: 02566-90 N . GOVT: N SUPP : N • COSTA MESA . CA 92627 CONSTRUCTION TYPE: 5-N PERMIT TYPE: SIG PURPOSE: OTII ( 714 ) 646-•7178 ARCH/ENGINEER: REG.NO.: • JOB DESCRIPTION INSTALL ELECTRIC WALL SIGN • ,. - SQ FT: ' ' ' ' ADDRESS: . UNIT: - • - • CLAIM VALUE: . 700 . 00 CALL- VALUE: GROUP OCC: 3-2 / • PERMITTEE: LORRAINE LAMBETH . ( 714 ) 646-7178 . ' ADDRESS: 170 WELLS COMMENTS : . COSTA MESA . CA 92627 **+t****>t******Te*sF*SF*ek*****r ****>E**r,******sest***"x"**Tei-1l"et** -*BF***x-******et* -#**yF** - LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • SIGN INFORMATIO N 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT: 3 TYPE• WALL ILLUMINATION: INT CATEGORY • NEW CITYLIC.: STATELIC.: CLASS: DIMENSIONS : 1FT 02IN X 18FT 00IN AREA: 21 .00SQFT LETTER HT: 1''4" Dale: Signature: STREET. FRONTAGE 1 : 82 . 50 . STREET 1 : WELLS PL ' . WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' STREET FRONTAGE 2 : 87 . 50 STREET 2 : WELLS PL Compensation Insurance,or a•certified copy thereof(Section 3800, Lab.C). , PARCEL: 42541203 ZONE: CL LOCATION > FRONT: X REAR: • t POLICYNO.: EXP.DATE: BUSINESS ' NAME: LORRAINE LAMBETH CPA > LEFT:' •R'IGHT: ' REET FRONO 1' H E R TOTALS GROUND I G N ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. THIS ACTIVITY • 21 . 0 0 SQF T OVERALL HEIGHT? OFT OIN THIS SITE - • 21 . 00SQFI' GROUND CLEARANCE: OFT OIN ,• Date: Applicant:_ _ ITEMS OF, INFO : 1 PLANTER AREA: 0 . 00SQFT EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: This section need not be completed if the permit is for one hundred($100)or fess). ITEMS FOR AC T I V I'TY: 1 • •' BLDG SET BACK; 2 5 F T" I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become COPY VERBIAGE : LORRAINE LAMBETH CPA ' subject to the Workers'Compensation Laws of California. " ' Date: ' Signature: PLANNING NOTES: i • NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor *x"************4****iE********dE*********iF**************if* *******iF******k********'* Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ' DEVELOPMENT' 'S E,-R V I •C E S R E Q U I' R E M E ,N ;j S' • . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for _ which this permit is issued(Section 3097,Civ.C). ZONING APPROVED BY ________ ' DATE: ;____'_. ___. ' LENDER: — / ---- - ' ADDRESS: - I ' - r� - , • BUILDT.NG , APPROLill BY ,._ _ __ _ DATE. : , OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason APPLICATION ISSUED B Y : a +� DATE: :1. ^ 6 -210 , (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or ***************************• * * * .iF** **** iT3F-iF*it 1E*********'LES*WE*ki-*ie(**- • repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed LEGALIZATION:N . . - F E E S. 'U' M A R Y STRUCTURAL S EGI4EN T: id pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • , and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation.of Section 7031.5 by ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - BLDG PMT PLUMBING ELECTRIC•,;.MECHANIC SIGN SMIP/RES GRAD INC •I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the PERMIT 21 . 00 ❑ structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors'State License Law . - SMIP/N OId R E S • does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through -PLAN , ' . .; his or her own employees,provided that-such improvements are not intended or offered for sale. If,however the building or ISSUE FEE . • improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve - ` for the purpose of sale). BUILDING-DIV-> PERMIT ISSUE PLANrCHECK TOTAL . PAID DUE I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business TOTALS--r-> 2'1 . 0 0 0 . 00 0 . 0 0 21 . 0 0 �'L . 0 0 . 00 , ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • ' and who contracts for such projects whh a contractor(s)license pursuant to the Contractors'State License Law).I am aware REVENUE DIVISION TOTALS--> COLLECTED : 21 . 00 QVER/SHORT: - 00 that proof of their Worker's Compensation insurance should be provided to me. BLDG PMT PLUMBING ELECTRIC ' MECHANIC SIGN SMIP/TOT GRADING PLAN-CHECI•. ® I am exempt under Section:B P 7 0 4 4 B:S P.C. 21 . 00 for this reason: NO EMPLOYEES = MP • CONSTRUCTION AND PLANNING' :. POOL & SPA APPROVALS Permit #• Date Inspector APPROVALS Permit# Date Inspector 1.,Temporary Electrical Service or Pole - 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. • _ 53. Steel Reinforcement . , :3. Electrical Conduit•Utility-Undrgrnd. 54. Forms • 4.:Electrical Conduit-Undrgrnd. • 55. Electrical Bonding . - r5. Steel Reinforcement; 56. Rough Plumbing & Pressure Test .1 6. ,Electrical UF Eli Grnd. 57. APPROVAL TO COVER-GUNITE . 7. Footings 7 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd.. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK - • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •• 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • - • - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling ' • 69. POOL/SPA SYSTEMS FINAL 19.- Rough Heating & Air Conditioning-, FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -- - - ,- .APPROVALS Permit# 21: Ducts, in Structure, f - ,-. _ 70. Underground Hydro ; 22. Ducts, Ventilating , .. - • -• , - - 71. Product Piping 9 Gas ❑O_il 23. Gas Pipe-Rough & Test - .• - - - - ;72; Underground Flush - ' 24. Roof Framirig ' _ �• - _ - 73. Undergrnd.Storage Tank OGas 0 Oil 25. Roof Sheathing -• : _ ,74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical - _ 27? Frame and Flashing - 76. Dry Standpipe - -. 28. Lathing& Siding • _ 77. FIXED SYSTEM FINAL . - 29. Insulation • - - 78. FIRE PREV. FINAL 30. Drywall Nailing - - - . • • ' . *.- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat. . 19:' FINAL INSPECTION . 32. Electrical Power Meter-Final - 802FOOD CERTIFICATE ISSUED • 33..Final Electric - = - 3%3irca A4( ' ;NStes: '- 34..Final Heatirig & Air Conditioning ,<! 1'4 n7 O ��N/ •` `.35.- Final Gas Pipe-Test _ ;• T � •v��"'�a /54 re,36. Hood or Canopy ' 'Y ' 2 ` t/ -37. Final Factory Fireplace- - - ' i� j 38. Final Plumbing . . C - 39. Water Service-Final . . . - - •::40. Gas Service-Final - - - 41: Solar Domestic-Finale - - ' 42. Backflow Preventer • - • 43. Backflow Irrigatiori * - - • • _ 44. Landscape Irrigation System - - - 45. Sound Attenuation - 46. Handicap Regulations - - - - 47. FINAL STRUCTURE & BUILDING • Z/P3/Q0 -�� JJth, 48. FINAL PLANNING • 2PI/Qo E' ./ - 49. Electric Release to Edison �"" - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date PROJECT ADDRESS: 170 WELLS PL UNIT: CITY OF: COSTA MESA — BUILDING PERMIT PERM NO: B 045584 OWNERS NAME: LORRAINE LAMBETH ADDRESS: 170 WELLS PL PERMIT NO: B 045584 , . . PLAN CHECK NO: N GOVT: N SUPP: N `.+ COSTA MESA .. • • CA 92627 CONSTRUCTION TYPE: V N PERMIT TYPE: STR " PURPOSE: OTH ARCH/ENGINEER: PATRICK RUSSELL REG.xo.:UN OWN JOB DESCRIPTION REROOFING, SQ FT: 2,000 ADDRESS: 2 VICTORIA ST �' NONE - LAGUNA NIGUEL CA 92677 CLAIM VALUE: 2, 000. 00 CALL—VALUE: . 2,000 . 00 GROUP OCC : B-2 / PERMITrEE. ADDRESS: LORRAINE LAMBETH ( 714 ) 646-7178 • 170. WELLS PL NONE COMMENTS: PERMIT FOR REROOFING ONLY • COSTA MESA CA 92627 �Fit�FSEae*�F�r�raFiE�F�r �r *yr�Fx� �Fx�F F�r�F�rar+rx+F**+Ex�FiE�F�F*�r�r�a�E�F+F *�r* Fir F�F�F*�F �r�FaF*�F�r�F�r�F�FN�F�Fx LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Sectionpli Z O N I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E T B A C K S CITY LIC.: STATE LIC.: CLASS: Date: Signature: • MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATIONOECLARATION: I hereby affirmthat Ihave acertificate ofconsent toself-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT I N RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: UP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 42541203 ZNE: REF NO: v❑ Certified copy is hereby furnished. 0 Certified copy is tiled wfth the city Building Division. PLANNING NOTES> > 1 Date: Applicant: • itifi6llfeie4Fi6iF#iFiFiFikiFieMiEieiEiFiFiFiFiFiFkiEiFikiFiAiF#iF###iE4FifiFkiFiFiEi!#ikiFMkikiFlEiFiEiF#ie4F#iFiEiEffikiF#3E.iE1EiEiFiFiF3EiE.lE • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). , DEVELOPMENT SERVICES R E Q U I' R E M E N T, S I certify that in the performance of the work for which this permit is is d,I shall not employ any person in a manner so as to become ' . subject to the Workers'Commoensation Laws of California. a �--�� ZONING APPROVED BY DATE: Date: / — 3—"I D Signature:( 4.4.4...7../.41:6) /Yf"rL(.7A7 - p NOTICE:If,after making this declaration,you should ecomersubject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , DATE: //f/.90 Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: � 3 90 which this permit is issued(Section 3W7,Civ.C). ik iE iE iF if ie**-iF iE.la iF it iF iF it it iF iE it iE iF iF iF iF4k*iF iF**k*iF 3E if fei .. iFMif iE iF iE iF iF ifNkiF ifkMiF if iE iF iE iFiE ik iF iFlE iiEE iE 1k��FFFiitttE��F]F�E tE 11 it lk LENDER: iF if iF if M iF iF lE**1f iF if k iF iE iF ik iF iE iF iF iF#iF 1f-lL-if iE lf-iF iE iE IE iE iE iF iE iE iF k iF*M iF iF iF iEiE#1F iF ik iE k iE lF iE k ik iE ff iF##iF iE iE 3E iE 1F iF aF iF iE lE*** ADDRESS: - LEGALIZATION:N F E E S "U M M A R Y STRUCTURAL-'SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT• PLUMBING ELECTRIC MECHANIC • FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit td construct,alter,improve,demolish,or PERMIT _ ' 45 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business .SNIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN - . 50 , any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE . • • - as owner of the property or my employees with wages as their sale compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ' PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS---->> 45. 50. • 0 .00 0 . 00 45 . 50 45 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself orthrough - ' his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 45. 50 OVER/SHORT: , 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . O 0 . 50 ® and Professions Code: The Contractors'State License Law does not apply to an owner of property who bodes or improves thereon . and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware - ee**************************if*******3E***if*****it**********{F** *************3****** that proof of their Workers Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDO W N ❑ I am exempt under Section: B.8 P.C. / ' for this reason: p TYPE QTY D E S C R I PTIO N UNIT COST TOTAL COST • Date: /— 3- / 0 owper:�i �4 � �� SFC 2000 REROOF BY VALUE COMMERCIAL NOZONE 1 .00 2, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sectio s 25505,25533,and r END OF FEES 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a . - , • permit for construction or modification from the Air Quality Maria ent District.Residential construction plications are exempt from • these proovvisions. + I , - • Date: ` ` 3 — /D Applies 011. •/}'%.9 /�� ;(U//'N[. I hereby certify that I have read this application and state that ye above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to ent upon the above-mentioned - property far inspection purposes. D , ' Date: /—3- y O Signature: //V-/i Z. • ' Driver's License or Social Security A: 01 00051025-00051026 T E3 T : 45.50 DATE:' 01/03/90 TIME: 15:37 • 164146 White—Building:Green—Code EnforcemenC Canarv—Applicant;Pink—Revenue;Goldenrod—Assessor - - CONSTRUCTION AND PLANNING- J POO. ;PA . APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location 2._Soil-Pipe:.Undrgrnd. 53. Steel Reinforcement °••'i=Electricai-Conduit-Utility-Undrgrnd. 54. Forms 4. Elee rical-tarid`diFUndrgrnd. 55. Electrical Bonding n,51.-Steel:Reinforoetnenr 56. Rough Plumbing & Pressure'Test rj Q-Erectricaf DEER Gr d. 57. APPROVAL TO COVER-GUNITE • --:;.. Footings-,,-,--,.7-•t- 58. Electrical Conduit-Undrgrnd. • „ `L? Foundation 59. Gas Pipe, 0 Undrgrnd., Test • - t• 9. Water Pipe Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. " • 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Lin'eE-& House Connection - 62. Backwash & Receptor-Final , 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains o�. .• I 64.-Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - - 15. Rough I ;ectrical-Conduit 66. Solar System-Final . 16. Rough ElectricN/iring • 67. Fencing & Access Approval • 17. Rough Wiring Sign` 68. APPROVED FOR PLASTERING • ' 18. Rough Electric7. al-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. F3EQUIREMENT 20--Rough Factory F.ifeplace ; fir: s.`.,. * c = :x x 4. -,V -,..0-.:- rlyt # -- •- 21-Ducts,ifi Structure^ •• •• ,-+S z _ ✓ l'''* * t70. Undergiounsf H''ro • i-1S t: C.* ** n22-Ducts, �:� Ventilating. e x m: .‹ s ,* ,: 4;71. Product-Piping daps ,r Oil 23.•Gas-Pipe-Rough & Test l':?•" t• Cl Yi 0t r m72. Underground Flushl - x rs, 0 .-: Y• ^I a r+1r k 24:Roofi Framin �1:,' - i' C' * * mto 9 .F w _ x ,, � ,.-,x x ..73-Undefgrnd.StoregerTank Gas ❑Oil 25. Roof Sheathing -c x - x '74^Overhead Hydro--, l: Yi_;x Y. Y T.-'-'I * C U: "7 26. -Bar Ceiling (Stryc^turall &=M4'nob:coat M x 754Dry Chemical m, 27-:Frame and Flashing, _c- - 7 ;:-1c t. s an 76. Dry Standpipe `C x `28. Lathing& Siding,•; r * r * 77 FIXED S'1'STEM,AINAL`; - tr ---29. Insulation ; C.;.+- _ * Y ' »:Iv Y 787-FIRE PREY. FINAL t: 5 ^ >1 'T30. Drywallnailing r* x F, I-r '' 5 7-1EALTFI�.DEPT REQUIREMENT * 'r- �• 31. Plaster Brown:Coat c • .-nm ri I . �x "79. FINAL INSPECTION t J 0 32 Electrical Power Meter-Final * to I * "80JFOOD CERTIFICATE IStUED� c: g33.. Finel Electric >,t _cl * I ix t Notes: -+ •7:-? * 'i z r: ''-34CFinal Heatin`g.& Air';Conditioning- ~ r I i tk 16 a t C'�, .p S .1C 35, Final Gas Pipe-Test: C;, , fir,11 u x C. I. i- t_r =36. Hood or Canopy = • * , �- .-T : * E i i io x T 'Mr *.� S ' - t Y it .X .1: • o, •-37`Fil FactoryFireplace z!ires : ;-._� * . Cr:- I ly; -' a;: �: it X38. Fin$I Plumbing * art > ^ I k * ^ iu m, r i r...! •-_, x I :r * , . rl :. . •_� `39. Water Service:Finalit r ,� x j ;* ,-,; x ` S 740. Gas Service-Final * t-, _rr'rn S -z x ill I, IT * :Lc.':Lc.' *.- M r1F-J-, Cl I x * O: ?t =_41. Solar Domestic-Final' ` • •' - P` * c-v x .0n -- I 1 a: r ^o e: 42. Backflow Preventers • ;; * Ii. Ex * >E- . s r .r r.: ,l"-. t .. * * ni c'I C..t x f- . 43. Backflow Irri ationY S,7_ * .4.: W. „ .c a: .._1 -- .g x ti: * * 1.1 * r44. Landscape Irrigation Systern=;T;:-1 ` :'1 C Cl :ix * ).--: a1 CU "'Q t: - . - . •-.,�• 0•e^. n' e's: * _1 i r1 x -* 2 - e: r 7• n- k ±. -'* * ::::<.: x . -45'4Sound Attenuation. ; -, is .-* * -.; c', ". „_„y , _46.•Handicap Regulations Ci s • •� r * .., a .. ro X. ' • 47=FINAL STRUCTURE & BUhLDING y��F• 1. 48^FINAL PLANNING '-•=- ..�u V I -s,i% ' '' '� x i'" Lsi 'xx 't r r.; G, _'49.=ElectricReleasetoEdison ', * 1 •--! tVps: * Y -' a -�.50. GasRelease to Southern California Gas Co < * i Cl • orr 0 •_ -51. CERTIFICATEOF•OCCUPANCY t *xx - rr in^, m x: r . No. Date Marley Duralite Permit Information Homeowner /On 4/i.)6Gf"#45St Phone No. (2/y) 4-16-7/7C Address /70 /dEC26 Ance City 005M , cS,l Roofing Contractor Phone No. ( ) Tile Name Tile Color 1 /3" I (,'-3" 1 6'-3" 16 =3" t 6 =3" (t is" 2 202241:00 e p� dery • �� ES ! � i I APPROVED 4=\- 32r, /a City of Cos' Mtesa Budding Dept. g2X4 p i Y DATE /�3 1990 1 THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE FF 0 CHANGES WITHOUT PRIOR APPROVAL OF DEPT. HEI ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF ANS AND SPECIFICATIONS SHALL NOT BE CONS1 RUED TO BE A i.RMIT FOR. OR AN!PFROVA OF, ANY VIOLATION OF ANY OF TYPICAL HOUSE FRAMING MEMBER%ALETH RITYIIC VIOL ATL ORO CEA. NC LER EITPRO�SIONS`J GIVE CODE SHALL BE VALID,FYCEPT IN SO FAR AS THE WORK ORd1SE WHICH IT AUTHORIZES IS LAWFUL. 1 1 0 i1. Show allydimensionvF A PERMIT BASED UPON PLANS AND ' i r SPECIFICATIONS °HAIL NOT PREVENT THE BUILDING OFFICI•L Z I 2, ShoW affeigizeT&.Sp8et7L�G THE CORRECTION OF ERRORS IN SAIL) PLANS A,�, PLCHC<.TIONS R FROM PREVENTING uu U m�t 5 'ING CARRIED ON THEREUNDER WHEN 3. Sffosi,�• L,,i ss.LtIl�I�RS,DE OR OF ANY OTHER ORDINANCE OF rt V 2 4. Shiow st irLsize & spacing �� 5. Show collar tie or garage tie size & spacing CO 5 6. Specify pitch of roof 17.— ' — 7. Show garage door header size and span 8. Minimum slope not less than 45° • 1. I TYPICAL GARAGE FRAMING MEMBERS Recommendations: / agoh C. 7 5P4iu MAW— ciag 4S ler/ „ori dwsuP 'cam a'1uc& "fervez .5A9X5 !S6 = 3 " A-A ti Rzc-ou)4€t-E SPsL-Ai 's 9-/0 " M,MARLEY . C-2 Pr Q DURALITE RE-ROOFING TABLE Allowable Rafter Spans (Tile, 30# Felt and 1/2" Plywood) Lumber Rafter • Size Spacing Allowable Span (In.) (In.) Less Than 4:12 or 4:12 Greater 12 12' - 10" 13' - 11" 2x4 1611' 2" 12' - 0" 24 9' - 1" 9' - 10" 12 18' - 2" 19' - 7" 2 - 2x4 16 15' - 9" 17' - 0" 24 12' - 10" 13' - 10" 12 18' - 9"- 20' - 1" 2 x 6 16 16' - 3' 17' - 6" 24 13' - 3" 14' - 3" 12 26' - 6" 28' - 6" 2 - 2x6 16 23' - 0" 24' - 8" 24 18' - 9" 20' - 1" 12 25' - 5" 27' - 4" 2x8 16 ' 22' - 0" • 23' - 8" 24 18' - 0" 19' - 4" 12 25' - 10" 38' - 7" •.-- 2 - 2x8 16 31' - 1" 33' - 6" 24 25' - 5" 27' - 4" 12 32' - 0" 34' - 6" .rn 2x10 16 27' - 10" 29' - 11" `m 24 22' - 8" 24' - 5" : . \ APPENDIX • Design Criteria Design Criteria (No. 1 D.F.) Rafters Fb = (1750) (1.25) = 2190 #/sq. in. Fv = (95) (1.25) = 119 #/sq. in. Ev = 1,800,000 #/sq. in. Beams, Lintels & Purlins Fb = (1500) (1.25) = 1875 #/sq. in. Fv = (95) (1.25) = 119 #/sq. in. Ev = 1,800,000 #/sq. in. • Loads Loads #/sg. ft. Roof Tile = 6.5 Existing roofing = 2.5 yx" Plywood = (.5) (12) (32) /(144) = 1.3 2" x 4" Rafter @ 24" = (1.5) (3.5) (.5) (32) /(144) = .6 2" x 6" Rafter @ 24" _ (1.5) (5.5) (.5) (32) /(144) = .9 1/2" Gyp. Bd. • _ (.5) (12) (50) /(144) = 2.1 Live load on slope less than 4:12 = 20.0 Live load on slope greater than 4:12 = 16.0 Floor CD 3/4" Plywood = (.75) (12) (32) /(144) = 2.0 Z 2" x 12" @ 16" o.c. = (1.5) 11.5) (.75) (32) /(144) = 2.9 O 5/e" Gyp. board = (.62) (12) (50) /(144) = 2.6 1— " Live load = 40.0 W • C/) J a MARLEY D-2 1 APPENDIX I Formula General 2 Fb = M = (S) (W) L ) (1.5) (6) 2 S (b) (d ) L = 14.4d( 1 )/2 Stress Governs `\SW o= 5WL2 Max. of L for roof and L for floor 384E1 240 360 1h L = 6.9 d( 1 1 Deflection Governs SWL Fv = 1.5V = (1.5) (W) (3) (L) (.5) = 158d Shear Governs bd bd sw Where: b = Width of member in inches S= Member spacing in feet (rafter) d = Depth of member in inches 0= Deflection E = Modulus of Elasticity I = Moment of Inertia L = Length of member in feet WL = Live load 1 m i m ! O For lintels and garage door beams "S" equals the rafter or floor joist span divided by 2. i Z i For ridge beams and purlins "S" equals the rafter span. r These calculations are based upon the criteria set forth in the Uniform Building Code for tables 25-U-R-1 through 25-U-R-14. M.MARLEY D-3 PROJECT ADDRESS: 170 WELLS PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 047954 OWNER'S NAME: LORRAINE LAMBETH ADDRESS: 170 WELLS PL PERMIT NO: P 047954 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA CA 92627 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH • ARCH/ENGINEER: REG.NO.: :ADDRESS: PATRICK RUSSELLUN1u NN JOB DESCRIPTION CHANGE OUT PLUMBING FIXTURES IN KITCHEN SQ FT; 2 VICTORIAAST NONE PERMITTEE: LAGUNA NIGUEL CA 92677 CLAIM VALUE; CALC-VALUE: GROUP OCC : B-2 / ADDRESS: LORRAINE LAMBETH ( 714 ) 646-7178 170 WELLS PL NONE COMMENTS : RE: B44772 PRIMARY BLDG. PERMIT . COSTA MESA CA 92627 ******************************************************************************* UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE UC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: •FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT: FT IN NLICY NO.: EXP.DATE: 'GMPANY: PARKING REQ: PROV: PARCEL: 42541203 ZNE: REF NO: L] Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant **********************************************af,'**************************;****** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred QM)or less). DEVELOPMENT SERVICES :, , REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. , moi` r- r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : /� /� - it= DATE: " tithed,/ which this permit is issued(Section 3097,Civ.C). *.N..**.**.****.**.**.*.*..**.*.**.*.7. : -* ..--- *,**,*,** **,** : " *,*, LENDER: ****************************************** W.***************************** ***** ADDRESS: - LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP /RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3501). ISSUE FEE 3 . 00 -, I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS---->. 6 . 00 3 . 00 0 . 00 9 . 0 0 9 9 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through —'l his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or 'improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 9 .00 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 9 . 00 QQI and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to theContractors'State License Law). l am aware ****.************.********-***? **.+*********.**.**.********.*****.*.***.***.*.*.**.*.******.*.**** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E BREAKDOWN o I am exempt under Section: B.8 P.C. prtnisreason: p / // TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: 0 '=—8"" ( 0 Owner:OA ii ./.A . /I./////.Site ir PLU 1 DISHWASHER 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of Califon.Health and Safety ode S. tions 25505,25533,and PLU 1 SINK, KITCHEN v 2 . 00 2 . 00 25534 and that I or any future building occupant MINIM not(circle one)need to comply with said state codes and the requirements for a A permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 1 P-TRAP (O-ar3D• 4) j�END OF FEES 2. 00. 2 . 00 these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby au ,,rim representatives of thi,to enter upon the above-mentioned aS propertyyfor inspection purposes. `_ _ &" Date: 'pv Signature: I x # ' / Ott Driver's License or Social Security It: • 01 00064208-00064208 TOT 4.00 164146 white—Bulldin Green—Cada Enforcement;Can licant;Pink—Revenue;Goldenrod—Assessor g: Canary—Applicant; DATE: 06/28/90 TIME: 15:42 • CONSTRUCTION AND PLANNING I . & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspectnr- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final - . 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval ' ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation . t 78. FIRE PREY. FINAL 30. Drywall Nailing `,' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,•-- 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - - Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test / 36. Hood or Canopy 37. Final Factory Fireplace /� d' - 38. Final Plumbing '7,` /9jti/2 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - 43. Backflow Irrigation 44, Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ----L/SOZ ` t„ arliwn ( wRNE LAMBETH, CERTIFIED PUBLIC ACCOUNTANT e41 ) • /%av/90 October 15 , 1990 City of Costa Mesa P.O. Box 1200 Costa Mesa, CA 92628-1200 Attention: Don Lamm RE: Improvements required under PA-89-120/RA-89-10 170 Wells Place Dear Mr. Lamm: I am concerned about the additional cost the city is causing me to incur by insisting that I rip off the brand new shingles that were placed on about 25% of the back section of the garage. The stucco and the roof were finalized some months ago and signed off by your building department. No one ever said a word about the wood section of the garage, or the roof over this section (a hot mop roof) . The building inspector thought that I had added this section, in question,to the garage. I told him that it was there when I bought . the property and fortunately was able to find a picture that verified my statement. He said that I had to get this section of the garage O. K. 'd by Planning and then he would not have a problem signing it off. I went to Planning and was told that this section was not on . my plans, and I would have to go back to the Planning Commission and the Redevelopment Agency again (another $600 . 00 fee) to add this to the plans. I then brought back a set of plans which had the city ' s stamp of approval verifying the addition was in fact on the 170 Wells Place, Costa Mesa, California 92627 714-646.7178 October 15 , 1990 Improvements requi2 under PA-89-120/RA-89-10 . 170 Wells Place Page 2 plans. Then Planning said I would either have to go back through the Redevelopment Agency to get approval for the wood on this small section or rip it off and then stucco it. I was also told that I would have to put a tile roof on the hot mop section. I explained to Planning that the roof was hot mopped because it is a near flat roof etc. I told Planning that I could bring the tile along the edge which would give the appearance of a tile roof, Planning said this would suffice. When I asked Planning why no one had ever said anything to me when I was in the middle or beginning etc. of doing the stucco or roof, Planning said "That' s not my department. " So I am asking you, Mr. Lamm, why am I being singled out and treated in this manner? The stucco and the roof were finalized and now I am being asked to rip off and -throw. away; $600. 00-'of material and labor 'plus pay at least another $1500. 00. This is not what I would term "fair" nor is it in the best interest of the community, nor, does it detract from the appearance of the property. It is in my backyard and only visible if looking for it. I could easily whitewash it the same color as the stucco and it would not be noticeable at all. Also, I want you to know, it is road blocks like this that have caused the delay in finishing the project - not just my ignorance of the building rules. It is hard for me to believe that the city would send a letter threatening my well being, my ability to support myself and intentionally inflicting mental distress by threatening to turn me over to the city attorney' s office for prosecution. This especially bothers me since I did not put an illegal section on 4 ' • October 15 , 1990 Improvements requLL A. under PA-89-120/RA-89-1 170 Wells Place Page 3 , the garage as I was accused of, the section in question was on all of the approved plans right from the start. I relied on the Inspector' s to tell me if I was doing something wrong. An explanationto the above would greatly be appreciated. Thank you, 0144014; Lorraine Lambe LL:dl " �� 4 • City of Costa Mesa • Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 1 711 Lac 11 . ni has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Legalize conversion of garage to office Legal Description 425-412-03 • (See reverse side for Metes and Bounds) Building Permit No G50791 Electrical Permit No. G50791 Plumbing Permit No. G50791 Mechanical Permit No. G50791 Number of apartments and/or guest rooms ISSUED TO: Building Official Tony C'De Baca Lambeth, Lorraine 170 Wells Pl. by -� ( -' - Costa Mesa, CA 92627 Date June 13, 1991 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White•Owner;Canary-Numerical File;Pink-Bldg.Permit File PROJECT ADDRESS: 170 WELLS PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 050791 ' OWNER'S NAME: LAMBETH LORRAINE ADDRESS: , 170 WELLS PL PERMIT NO: -G-0'.'50,7,91 PLAN CHECK NO; 00383-91 S GOVT: N SUPP: N '"COSTA MESA,CA 92627 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: CON ( 714 ) 646-7178 "*ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE CONyERSION OF GARAGE TO OFFICE SQ FT: 1 , 500 ADDRESS: UNIT: PERMITTEE: LORRAINE LAMBETH ( 714 )646 )71"78 CLAIM VALUE: 1 , 500 . 00 CALC-VALUE; 1, 500 . 00 GROUP OCC: B-2 / ADDRESS: 170 WELLS PL NONE COMMENTS: * COSTA MESA CA 92627 *****************7F;E;EgEifiFi(36i ****3f1F#'lF*iffEif*******#iiiF3FiE3(-)F3FiEli#4(X•***Nle NiflEkiE3ElEit#lF4Eif7E}aE* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E TB ACK S CITY LIC.: STATE LIC.: CLASS: . Date: Signature: MAIN BUILDING iACCESSORY BUILDING .WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: 12 FT IN REAR: FT IN •FRNT: FT IN REAR: FT IN Y 'Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: 43 FT IN RGHT: 1 FT IN 4. FT: FT IN RGHT: FT IN OLICY NO.: EXP.GATE: COMPANY: PARKING RE • 6 PROV: 6 PARCEL: 4254 .03 ZNE: CL REF NO: RA-89-10 ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> LEGALIZE ADD I T. TO EX. GARAGE 6 LEGALIZE ILLEGAL CONV. OF -. > GARAGE TO OFFICE, SHINGLES TO BE AINTED TO MATCH STUCCO. Dale: Applicant- ******)E**/************************%*********TF**7F**Be -**********************##**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($11711)or less). DJ E,V E L OP MEN N T S E ,-R V ICES R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become �-x /� y .. subject to the Workers'Compensation Laws of California. ZONING APPROVED BY /IR it DATE: __/_)...,h ^9/ Date: Signature' NOTICE:u,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; �.ri // ♦ �► DATE: _/_,)�j= �j Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. I_ " CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 01 the work for APPLICATION ISSUED B Y• .��/,t►� /r' / DATE: • /' 7--' / which this permit is issued(Section 3097.Civ.C). **X-******************X it. . . - •.v • - • •.• • • - •.*.****X.****'g' '*** LENDER: *1F********************************* *3f* **-X***XfF***X*****3E***************X**** ADDRESS: LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/RES GRADING (Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 70 . 0 0 - 12 00 97.00 18 ,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% 5 0% 2 5 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business L 5M I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for thq alleged exemption.Any violation of Section 7031.5 by PLAN 45. 50 . . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 15 00 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE • ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 197. 50 33 , 00 . 22 . 75 253 . 25 253 . 25 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such wore himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. It, however the building or REVENUE DIVISION TOTAL S-> COLLECTED: 253. 25 OVER/SHORT: . 00 impeisale). completion,hin one year of the owner will have the burden of proving he/she did not build or improve forthepurpose oBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 70 . 00 15• 0 0 1120 0 3 3 • 0 0 50 22 /5 ® and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the ContractorsState License Law).l am aware **************************X******X********3f*************3f**X**X-X***XX********** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B. &P.C. for this reason: • / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: !- 2$= W owne�/�./1/�(_ ./// �� bS_FC 1500 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 1 , 500 . 00 I do hereby certify that I am aware of and understand the requirements o aldo is Health and Safety Code Sectio s 25505,25533,and5 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 1 9 FIXTURES, LIGHTING 1 ST 2 0 EA. . 75 4 . 2 5 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE 19 REC EPT/Oji TLE'P 1 S T 2 D EA. . 75 i 4 • 2 5 theseprovisions. ELE 14 RECEPT/SWITCH 1 ST 20 EA. . 75 10 . 50 ELF 1 SUB-PANEL 11 . 00 11 , 00 Date: Applicant. ELE 1 MOTOR/POWR APPARATUS 0 . 0 - 1 .0 HP 3 . 003 . 00 I hereby certify that l have read this application and state that the above information is correct.I agree to comply with all city and county MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 9 . 00 ordinances and state laws relating to building construction and herebya'horize representatives of this city toe pon the above-mentioned PLU 1 SHOWER 2 ,00 2 . 00 property for inspection purposes. ��7� PLU 1 WASH BASIN 2 . 00 2 . 00 PLU 1 WATER CLOSET (TOILET) 2 . 00 2 . 00 Date: /--2-3--9� Signature: ajyr`�� _ END OF FEES Drivers License or Social Security,v: . 01 0007913 E_E ' " D0074144 f a 1641-46 White-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor ORTE: 01/25/91 --Tlilr"".. 19139 CONSTR4ICTION AND PLANNING POOL & SPA. APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. .Pool & Equipment Location • 2. dbil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ''-.% 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - - 12. Sewer Cap 63. Heater & Vent-Final '• • 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING J :� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • - . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT- /\ 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing - =t'' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat _ 79.79. FINAL INSPECTION 32. Electrical-Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric I - 'r • 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. Solar Domestic-Final 42. Backflow Preventer I i 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILD.ING} <111 1 P 48. lt&4ttRtP#N4-NG !rte--L. ✓ 'l •� 49. Electric Release to Edison , .l • 50. Gas Release to Southern California Gas Co '- f i 51. CERTIFICATE OF OCCUPANCY F No Date 11 a ( wRINE LAMBETH, CERTIFIED PUBLIC ACCOUNTANT ) , October 30 , 1989 City of Costa Mesa P.O. Box 1200 Costa Mesa, CA 92628-1200 RE: Property @ 170 Wells Place Costa Mesa, CA 92627 Dear City of Costa Mesa: This is to serve as a "hold harmless" agreement with the City of Costa Mesa, if for some reason my plans: are.:not approved by the Planning Commission or the Redevelopment Committee. Sincerely, `Y e ' 09.4.4cu4cv Lorraine Lambeth LL:dl 1835-D Newport Blvd., Suite 252, Costa Mesa, Ca 92627 714-646-7178 • • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division P.O. Box 1200 Costa Mesa,California • The Building located at 17r1 Wal 1 a Al has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a) Occupancy. • Use of Building Convert SFR to B2 Occunancv Legal Description A n5-41 o_ni3 (See reverse side for Metes and Bounds) Building Permit No B44772 Electrical Permit No. E44774 Plumbing Permit No. P45137 Mechanical Permit No. Number of apartments - and/or guest rooms ISSUED TO: BuildingOfficial Tony C'De Baca Lorraine Lambeth 1./0 wells Pi. by ! i- Costa Mesa, CA 92627 • Date June 13, 1991 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev.1/83 White.Owner;Canary-Numerical File;Pink-Bldg.Permit File • i2 ' PROIECTADDR�ss: 170 WELLS PL UNIT:.. CITY OF COSTA MESA — BUILDING PERMIT PERM NO:. B 044772 OWNER'S xkn, LORRAINE LAMBETH ADDRESS: 170 WELLS PL , PERMIT NO.: B 044772 . PLAN CHECK NO: 01265-89 S GOVT: N SUPP : N • • COSTA MESA CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT f ARCH/ENGINEER: PATRICK RUSSELL 'REO.NO.:UNKNOWN JOB DESCRIPTION : CONVERT SFR TO D -2 UCC • SQ FT: 5, 000 ADDRESS: 2 VICTORIA ST UNIT: NONE • <t PERMITTEE: LAGUNINNUNA IGUELETH CA 92677( 714 ) 646-7178 26 ( 714 ) 646 7178 CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 5,000 .00 GROUP OCC: B-2 / ADDRESS: 170 WELLS PL NONE COMMENTS: PERMIT FOR INTERIOR ALT. ONLY • COSTA MESA CA 92627 ***>E>E* *N************+ ******+t*****x-******x***x*******+ex*********** ****>Eac****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • Z ON I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T D ' A C K S • CITY UC.: STATE UC.: CUSS: Date: Signature: MAIN BUILDING ------ ACCESSORY BUILDING — — WORKERS'COMPENSATION DECLARATION: 1 hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: F T I N REAR: .F T I N P R N T: F T I N REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT ' IN RGHT: FT" IN POLICY NO.: ' EXP.DATE: ' Z PAxY: PARKING REQUIRED : ' \ PARKING PROVIDED: PARCEL: 42541 /ONVERT 3 ZONE: CL ertified copy is hereby famished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> INTERIOR ALTERATION OF AN EXISTING RESIDENCE TO TST > TO AN OFFICE, 1• 9 Applicant: • *******************-**********iE.****************************if*** ** .***9§******-11-, EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit i for one hundred($100)or less). • ' D EVEL ORMEN T , SERV ICES R E Q U I RYlf'M N ,T ,s\ I certify that in the performance of the work for which this permit is Issued,I shall nol employ any person in any manner so as to become ,f wbiect to the workers Compensation Laws of California. ZONING APPROVED BY _� �_ DAT / %� /37 Date: Signature: e 4 t / NOTICE:If,after maldng this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY- : y ' DAVE: _/V/. Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ..: CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: 4 _ ' : /D'—� DATE: *f/ ?f �_9 which this permit is issued(Section 3097,Civ.C). **********************' *- ''- .. • • •`":- - - ' ' • **'*****d}***lk * ASF WIC** LENDER: ***********.********************************* ` ****** j*********I***************** ADDRESS: , LEGALIZATION:N F E E SUMMARY ` STItUCTURALrSEGMENT:Y - C OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES QRAD ING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensedSM I P NON—IZ E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by P LAN 46 . 80 ' ' . 75 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE- FEE I, as owner of the property or my employees with wages as their sole cornpensatian, will do the work, and the BUILDING—DIV—> PERMIT 'ISSUE PLAN—CHECK TOTAL N PAID `" 'DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors State License Law TOTALS--——> 72 . 75 0 . 00 '06 . 80 119 . 55 119 . 55 . 00 does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or f . improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLL E4 T ED: 119 . 55 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT .GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 7 5 46 . 80 ilp, ® and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon , and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***************************'**********igair**************************************** that proof of their Worker's Compensation insurance should be provided to me. , I am exempt under Section: B.8 P.C. I ND I V I D U A L- ' .F E E B R E AK D OWN • for this / TYPE QTY D E S C R I P 'F I, O1N j, UNIT COST . TOTAL COST Date: I /reason: CI awl idir erQM /f1.41 / l SFC 5000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 5, 000 . 00 I do hereby certify that I am aware of and understand the requirements of Califor•is Health and Safety Co a Se ions 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a - permit for construction or modification from the Air Duality Management District.Residential construction application are exempt from ' these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county /../ ' ' ordinances and state laws relating to building construction and here'.,1 Morin representatives of t to enter upon the above-mentioned / property for inspection purposes. / j[ C/ 401, 1 • Date: 11/7--/ J Signature�� (.1.1-4 �I 4..- . /.:� • �, .3 .. ,.,_ ." ` _- . n1 aoacc.. Nit; 11, T.-j.r' Driver's License or Social Security x: /, .0 - 1641.46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . CONSTRUCTION AND PLANNING PO &SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector �•l. Temporary Electrical Service or Pole 52. Pool & Equipment Location .� 2. Soil Pipe-Undrgrnd.- 53. Steel Reinforcement ,- 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 70 •� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure'Test r,- 6. Electrical UF ER.Grn'd. 57. APPROVAL TO COVER-GUNITE - 7. Footings: _. c - 58. Electrical Conduit-Undrgrnd. - " 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test /," ,� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i.1 10. Structural Floor System 61. APPROVAL TO DECK -1 / `3 11. Property Sewer Line', House Connection 62. Backwash & Receptor-Final t & 12. Sewer Cap . - 63. Heater & Vent-Final 1 13. Roof Drains -.. 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ,' 15. Rough Electrical-Conduit 66. Solar System-Final „ -1- 16. Rough ElectricWiring 67. Fencing & Access Approval •r 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING':. . 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL '- 19. Rough Heating &_Air ConditioningFIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _ r- _ APPROVALS 'Permit # --- 21.-Ducts, iri Structure __ = - •70. UndergroundrHydro '• • 22. Ducts, Ventilating, . - 1, , ' . 71, Product_Piping 0 Gas 0 Oil 23. Gas Pipe, &Rough Test --'• - ' _72. Underground Flush - • 24. Roof Framing - - , 73: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' • 74; Overhead Hydro-: - 26. T-Bar Ceiling (Structural) & Monocoat r. , - 75. Dry Chemical - 27. Frame and Flashing z ibU-9 SiS 76. Dry Standpipe r _ 28. Lathing-& Siding : K • ••• 77. FIXED SYSTEM FINAL- -• - - 29. Insulation _ - 78. FIRE PREV. FINAL 30. Drywall Nailing . . - - •• l/- �Wit' - HEALTH-DEPT:REQUIREMENT 31. Plaster Brovan Coat /in•N- '79. FINAL INSPECTION .7 32: Electrical Power.Mater-Final .. '7' r /. • 80,-FOOD CERTIFICATE/p�/ ISSUED-. - 33: Final Electric, f _ . _ - ,- ,� Notes: , 4 f'`/i✓3 ye! ,-/PB .(/tf/ /6 u e . • 34. Ficial Heating & Air.Conditioning _ _ _:.. " r - C/J / 35. Final Gas Pipe-Test �-� - - / •. -36..Hood or Canopy ,_ - i . .--. ,_ 37.Final Factory Fireplace-' - • - ;' ; _, 38. Final Plumbing ,• • % _ - _ - - 39.Water Service-Final. • -1 • . /r '1 _ 40. Gas Service-Final - ' 4- _ -, ' -' ;'%7 ' • '41. Solar Domestic-Final 42. Backflow Preventer - - 43. Backflow Irrigation 44. Landscape Irrigation System - - 45. Sound Attenuation - . 46. Handicap Regulations _ ' - -47. FINAL STRUCTURE & BUILDING (.4\1.1 o 48. FINAL PLANNING 'Qt_•• etq c 5-64 hj LC_ 49. Electric Release to,Ed�n r i " r- • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 170 WELLS PL • UNIT: CITY• . OF COSTA MESA — BUILDING PERMIT PERM NO: P ' • 045137 OWNER'S NAME: LORRAINE LAMBETH r ^— ADDRE3.S: 170 WELLS PL PERMIT NO: P 045137 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA 92627,: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT ARCH/ENGINEER: PATRICK RUSSELL REO.xo.:UNKNOWN • JOB DESCRIPTION : CONVERT SFR TO B-2 OCC SQ FT: ADDRESS: 2 VICTORIA ST UNIT:NONE I LAGUNA NIGUEL CA 92,677 CLAIM VALUE: ' CALL—VALUE: ' • GROUP OCC : B-2 / PERMITTEE. LORRAINE LAMBETH ( 714•) 646-7178 . ADDRESS: 170 WELLS PL NONE COMMENTS : NEW WATER CLOSET AND WASHBASIN. RE ' B 4tG/772 COSTA MESA CA 92627 . *****ye**************************************se*** �reaeX*�E*** * **x-,a*�a* Nxr** *** -* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • S E T B A C K S • • CITY UC.: STATE UC.: CLASS: . Date: signature: MAIN BUILDING ACCESSORY BUILDING• - -- WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN , Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • POUCY NO.: EXP.DATE: oMPANY: PARKING REQ: PROV: PARCEL: 42541203 ZNE: REF NO: i Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > • . Date: Applicant: *********-********************************************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D E V F L 0 P M E. N SERVICES / REQUIREMENTST. - ' S I certify that in the performance of the work for which this permit is issued,I shall not employ any person inzny manner so as to become subject to the Workers'Compensation Laws of California. ZONING. APPROVED BY DATE: • Data: • signature: - • . . . NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation.lirovisions of the Labor BUILDING APPROVED BY ': x, DATE Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. i • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : 4.4 . _ �. t r / ,i__ DATE: 1/ which this permit Is issued(Section 3097,Civ.C). - {e*.*.***.*.***.*.*.**.****.*.N.*.*. • • • '- -� .**,*.**.,**.**.*,eE aEe ,** LENDER: • ************************************************* '***************************** • ADDRESS: LEGALIZATIONiN F E E "M M A 11 Y STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the foflowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING • (Section 7031.5 Business and Professional Cade: My city of county which requires a permit to construct,alter,improve,demofuh,orp ERM I T 4 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • 25% SMIP/NOi`I—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(350°). ISSUE FEE 3 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not Intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 4 . 00 3 . 00 0 . 00 7.00 7. 00 . 00 does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through his roher mnt is employees,witin provided thatcomh pletion, improvements are notintendedbddeoof for sale.If,howeverofild ouilding ormprve ImREVENUE DIVISION TOTALS--> - COLLECTED: 7 .00 OVER/SHORT: - 00 forpthe purpose of sae), one year of completipo,(he owner will have the burden of proving he/she did not build dr improve BLDG PMT PLUMBING ELECTRIC - MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7 . 00 ® and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *************************le***************************************************** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I' D U A L F E E BREAKDOWN • ❑ I am exempt under Section: . B.8,P.C. ' for this reason: / - / TYPE QTY DESCRIPTI 0 N UNIT COST , TOTAL COST / Data: 4 ( /1.-7 ( 11 owner:C .4./....4../ A� 4r 'ribbon PLU ' 1 WASH BASIN 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of Ca Born:Health and Safety Code Se ions v05. and ' PLU 1. WATER CLOSET (TOILET) 2 . 00 2 . 00 25534 and that I or any future building occupant wilWwilI not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. i • Date' • Applicant: I hereby certify that I have read this application and state that the abov information is correct.I agr o comply with all city and county ordinances and state laws relating to building construction and hereby orize representatives of thi to enter upon the above'mentioned ' property for ins tion purposes. ,�{^n • e'rDate: (I -7l Signator zx.�v(PYA/�� / t.` Driver's License or Social Security a1: 01 00048221-00048221 TOT 7.00 1641.48 White—Bulldino:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 11/27/89 TIME: 09:03 - t . CONS AUC'CON AND PLANNING POI. & SPA Ai'PROVALS Permit Date . Inspector APPROVALS Permit# Date Inspector 1:Temporary Electrical Service or Pole 52. Pool & Equipment Location - .2.. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - - 3: Electrical;Conduit'Utility-Undrgrnd. 54. Forms 4.:Electrical Conduit-Undrgrnd. 55. Electrical Bonding ..____- : 5.-Steel Reinforcemeht. 56. Rough Plumbing & Pressure Test 6..-Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 87 Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - _ 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ,' 64. Plumbing System - Final - 14. Rough Plumbing Itr'f/t/ifeC 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - - 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING , ' ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.,Rough Heating & Air Conditioning .,FIRE DEPT. REQUIREMENT 20-Rough Factory Fireplace - - - ' APPROVALS - Permit# - - - - 21. Ducts,ih1Structure _ • • 70. Underground. Hydro 22.-Du`cis, Ventilating . - • - - 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24: Roof Framing - • - - • 73. Undergrnd.Storage Tank OGas 0 Oil . - 25. Roof Sheathing 74. Overhead Hydro. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _ 27.-.Frame and Flashing . 76. Dry Standpipe ' 28. Lathing:& Siding I 77. • FIXED SYSTEM FINAL ` ,29. Insulation ,. 78..FIRE PREV. FINAL - '30. Drywall-Nailing • _; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coati "' ' • 79. FINAL INSPECTION - 32:.Electrical Power Meter-Final > ' 80. FOOD CERTIFICATE ISSUED - 33:-Final Electric- 6 Notes: ° 34, 'Final Heating.& Air Conditioning / - - 35: Final Gas Pipe-Test - r • - 36.JHood or Canopy / / '. - ,37. Final Factory Fireplace- - J ;; =238. Final Plumbing .. l74 i�� • _ 39. Water Service-FioaI. . - . 40. Gas Service-Final" - ' •. '41. Solar Domestic-Final • - -- 42. Backflow Preventer --. 43. Backflow Irrigation --, 44. Landscape Irrigation System _ ' y 45.-,Sound Attenuation • r . 46. Handicap Regulations . . - • i. 47. FINAL STRUCTURE & BUILDING 48' FINAL PLANNING - 49. Electric Release to Edison / . - 50. Gas-Release to Southern California Gas Co 1 • 51. CERTIFICATE OF OCCUPANCY - No. Date 'ESS` 170 WELLS Pb ' UNIr: O _ CITY OF COSTA MESA -• BUILDING PERMIT PERM NO: E 044774 • 'AME: LORRAINE LAMBETH • ' %NtSS: 17Q_k1ELLS .PL ' PERMIT NO: E 044774 PLAN CHECK. NO: • N GOVT: N SUPP: N• COSTA-MESA . CA 92627 CONSTRUCTION TYPE: ' V-N PERMIT TYPE: .ELE - PURPOSE: ALT ENGINEER: RUEESLL GROUP ARCH ' S REG.NO.: UN OWN JOB DESCRIPTION : CONVERT SFR TO B-2 OFFICE OCC. SQ FT: • • ADDRESS: '2 2 VICTORIA ST ` ? - - LACUNA NIGUEL CA 92677 CLAIM VALUE: CALL-VALUE: GROUP OCC : 8-2 / PERMITTEE: TOM BOYER ( 714 )642-2431 , ADDRESS: 445 REDLANDS NONE COMMENTS : n : - - NEWPORT BEACH CA 92663 ****+e**er********+ **** * ******** a***_ * ** ***-x***Br** +a*****x****>EBaef * y< Br***x,E FNSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section . Z ONING REQUIREMENTS ' )of Division 3 of the Business and Professions Code,and my license is II force and effect. S E T B A C K 'S uc.: 049070 STATELW.:56690 uss: 0: I/ - 2—•$'7 Signature: MAIN BUILDING -- ---- ACCESSORY BUILDING ---- - --KERS'COMPENSATIONDECLARATION: IherebyaffirmthatIhaveaFRNT• , FT IN REAR : FT IN FRNI: FT IN REAR: FT IN pensation Insurance,or a certified copy thereof(section 3800,Lab. LEFT: . FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN CY NO.: EAP.DATE: • 'DMPANY: PARKING REQUIRED: PARKING PROVIDED : PARCEL: 42541203 ZONE: J Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > - Date: Applicant: .. *iE***************************************************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). 4D EVEL OP MEN T SERVICES REQUIR EINEM T .S , I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • _ DATE: __ Date: Signature: • - - . .. NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING . APPROVED BY a DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . --—` -- —' CONSTRUCTION LENDING AGENCY: I hereby affirm that there Is a construction lending agency for the performance'of.the work for APPLICATION ISSUED BY: Ar. '� jc _ DATE: /L •• which this permit is issued(Section 3097,Civ.C). ******.*.******.*********3FiF. ... .*. -4,-Int- �,.-.)F• ,,. .-r . . . .*.*.,**DATE:* /* ** LENDER: • ************************************** - ****** **************************** • ADDRESS: ' . LEGALIZATION;N F E E ' S U M M A R Y . • STRUCTURAL SEGMENT:N ' . • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING 'ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional'Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT . - 9 4 . 65 ' , repair any structure,prior to its issuance,also'requires the applicant for such permit to file a signed statement that he/she is licensed . • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S O$ SMIP/NON-RES' and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN - . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). . .ISSUE FEE 15 . 00 ' I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV--> PERMIT ISSUE . PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 94..'65 15 . 00 0 . 00 109 . 65 109 . 65 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 109 . 65 OVER/SHORT: , 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/TOT GRADING. PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 109 . 65 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon - and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND I V I. D U -A L F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY D E S C R I P T I O N ' UNIT COST TOTAL COST • Date: • Owner._ ' ELE 20 ' FIXTURES, LIGHTING 1 ST 20 EA. . 75 • 15 . 00 I do hereby certify that I am aware of and understand the requirements of Califomia Health and Safety Code Sections 25505,25533,and _ELE 5 FIXTURES, LIGHTING ADDITIONAL E A. . 45 2 . 25 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 20 HECEP T/OUTLET 1 ST 20 EA. . 75 15 . 00 these provisions. ELE • 20 RECEPT/OUTLET ADDITIONAL EA. . 45 9 . 00 ELE 20 RECEPT/SWITCH 1 ST 20 EA. ' , 75 15 , 00 Date: Applicant: ELE 2 RECEPT/SWITCH ADDITIONAL EA. . 45 . 90 I hereby certify that I have read this application and state that theat above informatio0js.correct.I agree to comply with at city and county ELE • 1 SERVICES BELOW 600 V & 200- 1000 AMP 37 . 50 37 . 50 ordinances and state laws relating to building construction and hereb, authgpr�esentatives of this city to enter upon the above-mentioned END OF FEES , property for inspection purposes. . Date: /f 1----- SI ' Signature.' �$" ' in. 0 i •7 '12- C-,-�,:'; i Driver's License or Social Security 9: nApor T • 1 1' {•.'�.L' ^ '. ( ' 1641-46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor • ... ION AND PLANNING _ POOL & SPA il S • Permit # Date Inspector APPROVALS Permit # Date Inspector 1:. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2._Soil Pipe-Undrgrnd. `` 53. Steel Reinforcement • 3-Electrical Cdpduit-Utility-Undrgrnd. 54. Forms 4..tiectrical Conduit-Undrgrnd` 55. Electrical Bonding 5.' Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. .Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.•Footings • . 58. Electrical Conduit-Undrgrnd. i, 8: Foundation U 1 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 1 ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' • / 61. APPROVAL TO DECK 11. Property Sewer Line & Hou'se&Connection 62. Backwash & Receptor-Final " 12. Sewer Cap 63. Heater & Vent-Final t 13. Roof Drains 1 64. Plumbing System - Final �y 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring rlisle Z 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - - -APPROVALS ,. -Permit# 21. Ducts, in Structure _ - w 70. Underground;Hydro 22. Ducts, Ventilating , • . : 71,- Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - - .72. Underground Flush `24. Roof Framing - . 73. Undergrnd.Storage Tank O Gas 0 Oil :25. Roof Sheathing. • _ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Fladh'ing • 76. Dry Standpipe - 28. Lathing& Siding^- - . 77.7 FIXED SYSTEM FINAL 29. Insulation ." 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' • /.• 79. FINAL INSPECTION 32. Electrical Power Meter-Final /0z/� /,j, Aie 80. FOOD CERTIFICATE ISSUED 33. Final Electric - 1-2'fr ,� Notes: 34. Final Heating& Air Conditioning '' _ r 1 35.-Final Gas Pipe-Test. - H - • . 36. Hood or Canopy --- . - - . 37. Final Factory Fireplace / • :38. Final Plumbing - - • 39. Water Service-Final -(- . . . 40. Gas Service-Final • ' -• 41. Solar Domestic-Final ' - " • 4' 42. Backflow Preventer , -- • 43. Backflow Irrigation - -44. Landscape Irrigation System . 45. Sound Attenuation ` - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING -- , 48.•FINAL PLANNING `, 49., Electric Release to Edison .- ' - - 50...Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 170 WELLS PL • • UNIT: CITY OF COSTA MESA BUILDING PERMIT WNE - ' OR'SAM NE: LORRAINE LAMBETH • . , • ADDRESS: 1835—DNEWPORT BL ST 252 PERMIT NO: B 044602 PLAN CHECK NO: N 'GOVT: ;N SUPP : IN • COSTA MESA, CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE : STR - PURPOSE: ' ALT ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : CHANGE/OUT' SIX WINDOWS, THREE DOORS • SQ FT: 1 , 300`' ' ADDRESS: 0 UNIT: . . ' 00000'- CLAIM VALUE: 1 , 300 . 00 CALC—VALUE: 1 , 300 . 00 GROUP OCC : B-2 I. • PERMITTEE: LORRAINE LAMBETH ( 714 ) 646-7178 ADDRESS: 1835 NEWPORT BL D-252 COMMENTS: co/)vers/OJ. .Soil jJ C/T_ 27 �'C " ' COSTA MESA CA 92627 • *****-**-***-*****-****)c*******-*-**3********aF*******"it'rE3e x-** eE * **aEx-x-xc- kx-aE*xrak*x-***** • LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EMENTS . 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E TB ACK S ' CITY UC.: STATE UC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING •— ' WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' I'RNT: FT IN REAR : FT IN FRNT: FT IN REAR: . , FT IN . Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). . LEFT: . FT IN RGHT: FT IN LEFT: FT IN RGHT: • FT I-N • POLICY NO.: EXP.DATE: - COMPANY: PARKING REQUIRED : PARKING PROVIDED: PARCEL: '42541203 ZONE: • 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> • — - • > - • . Ae: Applicant: • **********************************************************************a4*-******* ' ' ' - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5'100)or less). • • D EVEL O- P M E N T SERVICES R E Q U I' R 'E M E N T. S ' I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become • .• . . • subject to the Workers'Compensation Laws of California. ZONING APPROVED BY' . : . • DATE: • Date: Signature:shosubject- BUILDING APPROVED BYI NOTICE:If,atter making this declaration,you should become permito the Workers' revoke Compensation provisions of the Labor , i DATE . Code,you must forthwith comply with such provisions or this permit shall ee deemed revoked. ,�,, // r/ . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED Fly: a f DATE: tU� w/ / which this permit is issued(Section 3097,Civ.C). ********************** • • ' - ' • . ************* *** ItY LENDER: ******************************************* ' *************** ****a4************* ADDRESS: LEGALIZATION:N F ,E' E S U M M 'A R Y • STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from,the Contractors'State License Law for the following reason — BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES • GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 31 . 00 .. ..• • repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed •SMI P/NON—R ES _ pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by • . ' I . 5 0 any applicant for a permit subjects the applicant to a'civil penalty of not more than five hundred dollars(8500): ISSUE FEE • I, as owner of the property or my employees with wages as their sole compensation, will,tlo the work, antl the �BU ILD ING—DIV—> PERMIT ISSUE PLAN(CHECK TOTAL PAID DUE . ❑ tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'iState License Law TOTAL S--——--> • • 31. . 5 0 0 . 00 0 . 00 31 . 5 0 31 , S 0 - . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ' - ' . . . - ' • his or her own employees, provided that such improvements are not intended or offered for sale. I1,however the building or 'REVENUE DIVISION TOTALS——> : COLLECTED . 31 . 50• OVER/SHORT: . 00 'improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve. 1_ for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN--CHECK t . I,as owner.of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 31,• O O , - S O ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ' and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *******************.************************************************************ that proof of their'Worker's Compensation insurance should be provided tome. . INDIVIDUAL «F E E B R' E A' K D O W N. ' • 14 I am exempt under Section: 704 4 B.&P.C. ` .. for this reason: NOT REQUIRED • �/i� �t � �•� - / TYPE QTY DESCRIPTI Q, N. UNIT COST TOTAL COST Date: . /O`7 e(r J • Own firth/ !aa a,fri lni • ' SFC 1300' ALTER •BY VALUE COMMERCIAL NOZONE 1 . 00 1 , 300 . 00 I do hereby certify that I am aware of and understand the requirements of Califo ia Health and Safety e s tions 25505 25533,and END OF FEES I 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a Air • Quality for construction or modification from the Quality Management District.Residential construction applications are exempt from . these provisions. ' a I Date: Applicant • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby a orize representatives of this city to enter upon the above-mentioned .. - property for ins p(ection purposes. II G6 1D1 signatur:OYrJ// moi.(. �/rn , [/� Date: l �LTt USii'`;rl�:' Driver's License or Social Security x: ) — - 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor - - . . CONSTRUCTION AND PLANNING POOL &'SPA _ APPROVALS Permit# Date Inspector APPROVALS Permit# . Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.- ' 53. Steel Reinforcement - -- , Q 3. Electrical Conduit Utility-Undrgrnd. 54. Forms :«- . 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding . '•;'.1 .5.`Steel Reinforcement' 56. Rough Plumbing & Pressure Test,;'• • . 6.� Electrical UFER Grnd.. _ 57. APPROVAL TO COVER-GUNITE - 7.-Footings T. 58. Electrical Conduit-Undrgrnd. --I • 8. Foundation -:- :: 59. Gas Pipe, 0 Undrgrnd.,Test • ' 9..Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 11...Property.Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - • 63. Heater & Vent-Final 13. Roof Drains:, . 64. Plumbing System - Final . 14. Rough Plumbing . 65. .Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . i ' 16. Rough Electric-Wiring. 67. Fencing & Access-Approval 17. Rough Wiring Sign 68.-APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 7' 19..Rough Heating &Air Conditioning _ _,FIRE DEPT. REQUIREMENT . 20., Rough Factory Fireplace -, - ; 7 APPROVALS Permit# - 21: Ducts, in'Structure' ' - ` - -- ' T 70. Underground. Hydro 22,_Ducts, Ventilatin ; 9 . a' .. : 71. Product Piping 0 Gas ❑Oil 23.•Gas Pipe-Rough & Test ' '" ` _ _;, -72. Underground Flush"' - 24. Roof Framing - - . , _ , , r 73.-Undergrnd.Storage,Tank. 0 Gas 0 Oil 25. Roof Sheathing - • - ' ',.; ; _ - - „ 74. Overhead Hydro.. ._ 26:T-Bar Ceiling (Structural) &'Monocoaf • - -- . 75 Dry Chemical - - 27.. Frame and Flashing _ - - /i-2e.pg 76. Dry Standpipe - _ - 28. Lathing_& Siding : - , - .. •l`, `. 77 . FIXED SYSTEM.FINAL .- - 29. Insulation -. • I '• 78= FIRE PREV. FINAL 30. Drywall Nailing ;; , - HEALTH:DEPT. REQUIREMENT 31. Plaster Brown Coat- __ -_- �•-• ' x-79. FINAL INSPECTION • 32: Electrical Power''t1 ter-Final i , . - 80.:FOOD CERTIFICATE ISSUED_ • 33: Final Electric ^? - •-- i, ' ; t + Notes: p/f(ibcc - ;14/27._ /lLG/7N; 34. Firial Heating& Air.Conditioning • . " r 35: Final Gas Pipe-Test ., - i . i • /-. - - - - 36.. Hood or Canopy _ - -- ;37.-Final Factory Fireplace- . '4,! - .. . -.38. Final Plumbing - '.39. Wafer Service-Final - • - - 40. Gas Service-Final - - _ " - 5-41. Solar Domestic-Final- i - • : 42. Backflow Preventer, _ ' " _ - 43. Backflow Irrigation -' . 44. Landscape Irrigation System - - - _ - 45. Sound Attenuation ,. • - 46. Handicap Regulations - - • , 47. FINAL STRUCTURE & BUILDING - <til ',( - - a _ 48. FINAL PLANNING - _ - 49. Electric Release to,Edison v - •- 50: Gas Release to Southern California Gas Co • ' .,- - . 51. CERTIFICATE OFOCCUPANCY No. Date L 1\ / PROJECT ADDRESS: UNIT: ' -' OWNER'S NAME: 170 WELLS PL CITY OF COSTA MESA - BUILDING PERMIT PERM NO:, DP 045135 - AooflEss: LORRAINE LAMBETH . • 170 WELLS PL . . . PERMIT NO: BP 045135 PLAN CHECK NO: N. GOVT: N SUPP: N COSTA MESA • CA 92627 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU STR PURPOSE: ALT ARCH/ENGINEER: PATRICK RUSSELL • REG.NO.:uNKNoviN JOB DESCRIPTION : CONVERT SFR TO B-2 OCC . SQ' FT: 2, 800 onus: 2 VICTORIA ST. NONE LAGUNA NIGUEL CA 92677 -CLAIM VALUE: • 2, 800 . 00 CALC-VALUE: 2,800 . 00 GROUP OCC: 8-2 - / ' PERMNTEE: LORRAINE LAMBETH ( 714 ) 646-7178 �j ADDRESS: 170 WELLS PL . NONE COMMENTS : EXT. STUCCO WORK/RELO. BASIN, REMOVE TUB ' 3f .•, , • COSTA. MESA k68 CA 92627 ******** *****x**uE****�E**BE** vE * *Bk* *rE>E***BL***>EB6sr*****R **** A 4F +k Br , * >E** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q .0 IR EMEN TS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS ' • CITY UC.: STATE UC.: CLASS: Date: Signature: —' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT . IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: •• FT IN RGHT: FT IN LEFT: FT' IN RGHT: , FT . IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 42541203 ZNE: REF NO: , a Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. • PLANNING NOTES> • . _ . > . • Applicant: - *************************3f*********************'*:4*********4******************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need not be completed it the permit is for one hundred($100)or less). D E V E L O P M E .NT ,1 S E R V ' I C E S.• ' R E Q U I R ;E M E N FT S I I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become - '^ subject to the Workers'Compensation Laws of California. ZONING APPROVED BY I. • • DATE: _.___ . Date: - -Signature: _ , - - NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING :APPROVED BY. :_ DATE Code,you must forthwith comply with such provisions or this permit-shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : .I ;A - r • DATE: 3F'71".a al this permit is issued(Section 3097,Civ.C). *.*.4444****************' 'mac. -'s3:rrw. . . .�• • — •4444******- * *** LENDER: / ************************ff**4*-**************** *9k*************** ***-%ib******iE*** ADDRESS -- �' I LEGALIZATION:N F E E SUMMAR Y STRUCTURAL SEGMENT:Y. OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason _ BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 :00 2 . 00 - • repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . 50 any applicant for a permit subjects the applicant to a civil penalty of,not more than Live hundred dollars($500). ' .ISSUE FEE -3 . 00 • . • I, as owner of the property or my employees with wages as their sole,compensation, wit do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale)Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--.--> 56 . 50 , 3 . 00 0 . 00 59 . 50 59 . 50 . 00 does not apply to an owner of a properly who builds or Improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or - improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE .DIVISION TOTALS--> COLLECTED:' 59 ..50 OVER/SHORT: 00 for the purpose of sale).' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TUT .GRADING PLAN-CHECK • I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 5 .0O • . 50 Q and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon• - and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law),l am aware )f**********xE*******************4,*******dE-*44444****If******************it M******** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN ❑ I am exempt under Section: B.'S P.C. ' for this reason: / / r - TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: If h� l Owne :�/./.�or�!/ii,/1/�� SFC . 2800 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 2, 800 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety C ectiyns 25505,25533,and PLU 1 WAS H BASIN 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from - END OF F EES these provisions. i . Date: Applicant: . — __ ' • I hereby certify that I have read this application and state that the above'nformation is correct.I agree to amply with all city and county , , ' ordinancesfand state purpose to building construction and hereb�a rite representatives of this city iter upon theabove-mentioned _ , property for tateinsertion purposes. Date: tit).7• I ' Signature: i14/2.4.6066 Driver's License or Social Security A: . 01 00048222-00048223 TOT 54.50 DATE: 11/27/89 TIME: 09:04 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - ,r CONSTRUCTION AND PLANNING ^ POOL &(SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . . 53. Steel Reinforcement i - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4 - Undrgrnd.-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcarnent. 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE J. Footings.- 58. Electrical Conduit-Undrgrnd. 8: Foundation _ 59. Gas Pipe, 0,Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final - . 13. Roof Drains 64. Plumbing System.- Final , 14. Rough Plumbing / 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric'Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR 18. Rough Electrical-T Bar Ceiling • 69. POOL'/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.-Rough Factory Fireplace :APPROVALS'• •Permit # - . 21:1Ducts, in Structure' • _70. Underground Hydro 22..Ducts, Ventilating 71. Product'Piping Elias 0.011 23. 'Gas:Pipe-Rough & Test - - 72. Underground Flush 24.-.Roof Framing - • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26.-T-Bar Ceiling (Structural) & Monocoat 75::Dry Chemical - -27.-Frame and Flashing' _ 76. Dry Standpipe 28. Lathing'& Siding ' • -- 77. FIXED SYSTEM FINAL ' _29, Insulation �f 78. FIRE PREV. FINAL - -30. Drywall Nailing - HEALTH DEPT. REQUIREMENT --31. Plaster Blown Coat - •• • MIN79. •FINAL INSPECTION ,32. Electrical Power Meter-Final :, 80. FOOD CERTIFICATE ISSUED 33. Final Electric - - -1 - - , ' , Notes: - - _:34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test .1/ ^ c •36. Hood or Canopy': . - ,- : . +• - ' - _ 37. Final Factory Fireplace• - - - • T -38. Final Plumbing 3fR�G - ' -. 39. Water Service-Final. ' . -- - - • 40. Gas Service-Final ` ' -41. Solar DomesticaEinal - - - •-� • 42. Backflow Preverrter - ,�`- 43. Backflow Irrigating: -r - __t :44. Landscape Irrigation System _ : . - _ - ' _ - ill-- - 45.-Sound Attenuati'5n - . . . . '.r n-- -46. Handicap Regula j ns -. -` - • - - 47. FINAL STRUCVRE & BUILDING 1\11\A` % 1 •• 48.FINAL PLANNING / - • 49: Electric Release to Edison / • . 50. Gas,:Release to Southern California Gas Co "' , . 51. CERTIFICATE OF'OCCUPANCY - r • No. Date