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Home My WebLink About392 WOODLAND PL - Building Permits(714) 754-5273 • Fex (774) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 392 WOODLAND PL Suite: Vicinity: FRONT PORTION OF ROOF ParcelNumber: 42623205 npp�icant: PITMAN, VERNON Address: 7522 SLATER AV 708 HUNTINGTON BEACH,CA Owner: BROWN, GEORGE W TR Address 2309 WESTMINSTER AVE COSTA MESA, CA Contrector. SOUTHLAND ROOFING INC. Address: 7522 SLATER AV 708 HUNTINGTON BEACH,CA Zip: 92647 Arch : Address: Phone: Zoning: Phone: (714)375-9500 Zip: 92647 Phone: Zip: 92627 Phone: (714)375-9500 License: 750442 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/22/2007 Issued: 01/22/2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF FRONT PORTiON OF EXISTING 2-STORY APARTMcNT BUILDING (19 SQ). TEAR OFF EXISTING WOOD SHAKE & RESHEATH WITH 1(2" CDX PLYWOOD. INSTALL 1 LAYER OF 30# ASTM FELT & REROOF WITH 30 YR. ELK COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 5111.75 SETBACKS MAINSTRUCTURE front 0-0 ACCESSORY Frunt 0-0 PARKING Existinq: o NOTES: FEE SUMMARY Calc Valuation: Ss,000.00 Claim Valuation: Ss,000.00 PLANNING & ZONING Rear 0-0 Lek 0-0 Right Rear 0- 0 Left 0- 0 Right Re uired: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: in order for the work authorized under this permit to be considered iegal, such work must comply with all applicable codes, and all requlred Inspectlons end final approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration ot thls permit. FOR INSPECTIONS CALL: (714) 754-5626 2448d8 (fl�00) WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalty of perjury one oi Ne following tlecleretlons: ❑ I have antl will maimein e certilicate of consent to self-Insure for workers' crompensation, as provided tor by section 3700 0l the Lebor Code, br tha peAormence of Ihe work tor which this permit is issue�. �� J�h ve antl wlll maintain workers' compensation insurance, as requiretl by sectlon 3700 ot the Labor Cotle, lor the peAortnance of the work for w�ich Nls pertnit is issued. �lGty.workers' compensation In rance carrier and policy num�er are: �� S� D�_ �_ � Carrier.� �rQMtr�+ � �DY+� PoliryNumber.� -(This sectlon need nof be comp/eted i! the permit �s valued ef one hundred dollars ($700) or IessJ ❑ I certify Ihat in the peAormance ol the work tor which ihis permit is issued, I shell not employ any person in eny manner so es to 6ecome subloct lo the workers' compensation laws of Califom tl agree at II I shoultl Decome subJect to the workere' compensatlon provlslons of Sectlon 3700 ot the Lebor Cotla, 1 shell fort�wlth comply with thesa provisions. (�� .Appliwm SignaNre: D—� ete:-- —�� — Z Z � � . WARNING: FAILURE.TO SEWRE WO RS' CO�. ENSATION CpVEPAGE IS UNUWFU� rW� SFIALL SUBJECT PN EMPLOVER TO CRIMINAL PENALilES AND CNIL FlNES UP TO ONE HUNDRED THOUSANDOOLLARE(E100,000),INA DITIONTOTMECOSTOFCOMPENSATION,DMMGESASPROVIDEDFORINSECTION3]O60FTHElABORCOOE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I.am Acens�d under provisic force entl ettect Lic .tl. ---A%S Q�' CONSTRUCTION LENDING AGENCY: of Chapter 9(commencing with Sectlon 7000) of Divislon 3 of�he_Business and Pmfessions Cotle, end my license is in full 7 Class�q—C � g [Date:. "____._ �/ ZZ —�� ❑ I hereby aHirtn ihet there is e cons�mction lending agency for Ihe pedormance ol the work for w�ich this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: � Lender's Adtlress: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereDy effirtn thet untler penalry of perJury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7031.5, Buslness entl Protesslons Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any swcwre, prior to its issuance, also requires ihe epplicent for such pertnit lo flle e signed stetement ihet he or she Is Ilcensed pursuant to the pmvislons of ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 01 t�e Business end Prolessions Code) or Ihat he or she is exempt thereirom end tha basis for the allegetl e:emption. Any Nolatlon of Section 7031.5 by any epplicent far a pertnit subjects Ihe applicant to e dvil penelry ot not more than five hundred dollars ($500).): ❑ I, as owner oi ihe Droperry, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and the structure Is not intendetl or otteratl for sela (Sec. 7044, Businass and Professions Code: The Contractors License Lew tloes not apply to an owner ot properry who builtls or Improves thereon, end who does such work himself or harseli or through his or her own employees, provided that such improvements are not intentletl or oNeretl for sale. If, however, the bullding or Improvemant is soltl within one year of completlon. the owner-builder will have lhe burden of proNng that he or she did not build or improve for purposa ot sale.). ❑ I, as owner ot ihe property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmd the prolect (Sec. 7044, Business end Professians Coda: The conirector5 License Lew doe5 not epply to an owner of property who 6uild5 or improves Ihereon, entl who contrecis lor such projact wlth e contrector(5) license pursuant b the Camraaore License Laws.). ❑ I am exempt under sec. Busine5s end Profes5ion5 Code for �his reeson: SignelurB: Dete: Owner ID veniietl by tlrivers license. ❑ Yes ❑ No DrivefS LlcenSe No. Verificetion oi Ownership by (type of tlocument, i.e. - property tax 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certity that no exwvatlon tNe (5) or more teet in dep�h into whlch e person is required to descend, will be mada in connection with work authodzed by this pertnit, antl that no builtling structure, scettoltling, talsework, or tlemolition or tlismantling thereot, will be more then Ihirry-six (36) feet hig�. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title 8, Calitomia AdminiSUa�ive Code). ❑ As owner-builder, I will not employ enyone to do work which would requlre e permit from the Division of Intlustriol Satety, as notetl above, unless suc� Deraon hes e pertnit ta do such work trom Ihe division. Signawre: Oa�e: Division ot Industrial Salery Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORVA710N OF ENTRV: I certity untler penalty ot perjury iha� I have read this epplicalion and state ihat the Intortnetlon given is correct. I agree to comply with all stete laws end ciry ordinances relating to building construc�ion, antl authodze representa0ves of t�e Ciy ol Costa Mesa to enter upon Ihe ebove-tlescribed property tor inspection purposes. I egree not to occupy or ellow occupency of eny building authorized by this permit until final inspection. CODE t• INSPECTIONTYPE 7616 Fixetl System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Root 201 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition D�re 1t�LS � -LG-mI �u� Dale �i_ 77—a� CODE� INSPECf10NTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Elactrical 212 220 Finel Fire Preventlon Final Plenning Approval 222 Final Site 250 Final Building/Occupancy PAg It� : � .� M a � o, > _ : � J• �`Nnomms>� (774) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddr@ss: 392 WOODLANDPL Suite: Vicinity: Parcel Nunmber: 42623205 Applicant: VERNON PITMAN Addr�ss: Owner: BROWN, GEORGE W TR Address 2309 WESTMINSTER AVE COSTA MESA,CA Contre�tor: SOUTHLAND ROOFING Address: 7522 SLATER AV #108 Arch / Eng : Addr�ss: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspectian: Total: HUNTINGTON BEACH,CA BUILDING PERMIT Zoning: Phone: Zip: Phone: 949-646-1726 Zip: 92627 Phone: 714-375-0477 Zip: 92647 License: 750442 PERMI� 698-02154 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/01/1998 Issued: 12/01l1998 Phone: Zip: License: SCOPE OF PERMIT T/OFF AND REROOF A DUPLEX 1000SF FLAT ROOF WIBUILT-UP AND 500SF MANSARD W/COMP SHINGLES. $0.00 $99.75 $0.50 $0.00 $0.00 $0.00 $100.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exlstinq: o NOTES: Rear 0. 0 Rear o- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Prouosetl: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0. 0 sa,tso.00 sa,iso.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSqTION DECLARATION: I hereby attirm untler penalry of perjury one oi the following tleclaralions: � 1 �eve entl will maintain a certificate oi consent to self-Insure br workers' compensation, as provided tor by section 3700 of the Lebor Code. for ihe pedormence ot the work tor which lhis pertnit is issued. ❑ I have entl vnll meintain workers' compensation insurence, es required by section 3700 of the Le6or Cotle, for the pertortnancq o1 tha wark tw whiU this permit is issuetl. My workers',comD�satio nsuran� wnier antl policy numbar ere: /- � � z 9_ 9 g� 00 Z�9l Certier: ��4'f Lva„ � Poli Number: (Ih/s section neetl nat be �mp/eted il the permit is valued e1 one hundred dol/ars (3100) or less.) ❑ I certily that In the pertortnance of the work for which this permit is issued, I shall not employ any person in any manner so es Io Eecome sub�ect to t�e workers' compensetion laws o� Califomia, antl egreq.ihati I should me subjoct to t�e workers' compensation provisions ot Section 3700 of the Lehor Code, I shell torihwith comply with Ihese provisions. ( � /� �j / �Appliwnt Signeture: � Date: � 7 •- � I —Y O WARNING: FAILUFE TO SECUqE WORKELiS' COMP IXJ GUVEPAGE IS UNLAW FUL M1D SHP1L SUBIECT AN EMPIOYER TO CFIMINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDPED THOUSAND DOLLAFE (5100,ppp), IN A�DfiION TO TME WST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SEGTION 31O60F THE UBOR �pDE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTQRS DECLARATION: I hereby eMirtn thet I am licensed under pwvisions of Chapter 9(commencing with Sectigp.7000) of Division 3 of the Business entl Professions Cotle, entl my license is in tull force end eHect. Lic. N � 0`f Z. � Ciass a T3 C' - 3 4 "�` Contrecro/s Signeture: �� - � Date: /Z — a I — 4 .P � CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm Ihat Ihere is a constmction lentling egency br Ihe pedortnance ot the work for which ihis permit is issued. (Sec. 3097, Clvil Code). Lender's Name: Lentler's Address: Signature: OWNER•BUILDER DEC�pRATIONS: Date: I here�y elfirm that under penalry of perjury that I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Code: Any ciy or county which reduires a permi� to constmct, elter, Improve, tlemolish, or repair eny strucWre, pnor to its issuance, elso requlres the epplicent tor such parmit to lile e signed statemen� �hat he or she is licensed pursuent to the provisions of the Contracbrs License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the Business arrd Pro�essions Code) or that he or she is exempt theret�om antl the 6asis lor the allegetl exemption. Any v'wlation n� Section 7037.5 by any applicsnt fo� a pemiit sub�ecfs the applicant to e civJ penalry of not more than five hundred dollars (E500).): ❑ I, as owner of the property, or my employees with weges es their sole compense�lon, WILL DO 7ME WORK, and ihe structure is noi intended or ottered for sale (Sec. 7044, Bu5ine5s entl Profession5 Code: TTe Contraclors LitenSe Lew tloes not eppty to en owner ot properry w�o builds or improve9 thereon, antl who tloes such work himseli or herself or through his or her own employees, providad that such Improvements ere not intended or oHered for sale. II, however, ihe bulltling or Improvement Is sold wltNn one year of completion, the owner-builCar wlll �ave Ihe burden of proving that �e or she did not build or improve tor purpwe ot saleJ. ❑ I, es owner at the property, em EICCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business entl Protessions Code: The contracbrs License Lew does not apply to en owner of property who builds or improves thereon, and who contracis for such project with a contractor(s) licensa pursuent to the Contractors License Laws.�. ❑ I em exempt under sec. Busineu antl Prolessions Code tor this reason: Signeture: Date: Owner ID venileC by dnvars license. ❑ Yes ❑ No Driver's License No. VerHication ot Ownership by (rype of documen4 i.e. - propeny tax bill or deed): DIVISION OF INDUSTRIpL SAFETV PERMR CERTIFICA710N: E:pires: ❑ I hereby cetllly �hal no excava�ion live (5) ar more teet In depih into which a person Is raqulred to descenQ wlll be mede in connectlon wlth work authadzetl by t�is pertnit, end ihat no 6uilding simcture, scaHolding, felsework, or demolition or dismentling thereof, will be more than Ihirty-siz (36) feet high. (Chep. 32, Gry 2, An 2, Sec. 341, Title B, Celifornia Administretive Cotle). ❑ As ownerbuilder, I will not employ enyone to do work which woultl require a pertnit irom Ihe Dlvision of Intlustrial Sefery, as noted ebove, unless such person �as a permit to do such work from the division. Signature: Date: Division af Industnel Safgry Permit Number: � CERTIFlCATE OF COMpL1ANCE AND AUTHORIZATON OF ENTRV: I ceniry undar penalry ot perjury that I have read this application entl state that the Information given is correct. I agree to comply with all siate laws and ciry ordinances relating Io building consWction, end authorize representatives of the City of Costa Mese Io enter upon the above-described property for inspection purpous. I agrae not to occupy or allow occupancy of any building authonzed by ihis permil until tinal insDedion. Of Lagal COOE I. INSPELTIONTYPE 1616 Fixea System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Fec�ory Fire Pleca 203 Final Sign 204 Final Demolition 2446-46 UAiE I�LS / � , �;7 • i% 'd..', ( COOE I INSPECTION TVPE 206 Final Mechaniwl 20B Final Plumbing 210 Final Electncel 212 Final Fire Prevantion 220 Flnal Plenning Approval 222 250 Final Sita Final Builtling/Occupancy QSIE .uu: � � \ AVo��ant to fill in all spaces except tnosa witnin heavy ooracr Ilnez ana zl9n al1 aporopriate aeclarations. MESA CONSTRUCTION PERMIT PERj91T NQ. ,�, �„ TRACT NO. LOT NO. UNIT NO. ess 392 #C WOOd [ and P� ., C. M. sMailingAddress 2�79 Westminster Ave.� C.M, U ner's Name YVO/Jf1E D. B/'OWn � phone �'S—�i2'3 Address 2309 Westmrnster Ave., C.M. ' Arch/Eng. License No. �Address Contractor's Name Crank B�os. Roof inq phone 548-5569 Addresslmailingl 126 Commercia� Wav, C.M. 92627 City License No. 005993 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am lic¢nsed untle� p�ovislon5 of Chart¢r 9(commentln9 with section ]000) of Divislon 3 ot �the Business antl Protessions Cotle, antl mv iicense is in rw� eorce ana ettect. �6 en e a s C—� ' � Lice e �. ate � �natur WORK RS' OMFENSATION D CIARA� i hereby affi m that I have a certificate of consent to self-insur o� a certif cate ' Worke�s'�Compensa[ion Insutance, Or a certifietl coOY he�eof,(Section 300, Lab. CJ �icY No. �2�y/(�`��jLJLJ�2 ComPanY—(j0 � � Certifi copy iz he�eby furnishe . Cerfif' c 'SKiletl with the ' il i � �'{'i d Da[e Applic t �' CO• EXEM I FROM WORKERS' COMPENSATION DECIARATION (This section neetl not be completetl if the permit is far one huntlretl (5300) or less). 1 cer0fy tita[ in tM1e performance of the work fo� whlch Lhis pe�m�t i5I55uetl, I shall not employ any person in any manne� so as to become subjec[ to the Workers' Compensation Laws af California. Date Signature 'NOTICE: It, aiter makin9 �his tleclaration, you shoultl become subject to lbe Worker5' Compensation provisions of the l2bo� Cotle, you must forthwith comply wilh suGh provisions or this permit snall be �eemetl �avokeU. CONSTRVCTION LENOING AGENCV I he�eby affl�m ihal the�e iz a mnsVuction lentling a9¢ncy /o� the per(o�mance of the work for which tnis permit is issued (Section 309] Civ. CJ �entlet'S Name Lentler's Atltlress - OWNER BUILDER DECLARATION� I hereby atfirm ihat I am exemot from the ConVactor's License Law fo� the followin9 reason (Sectlon 7031.5 Business antl Professional Cotle: Any city or county which require5 a permit to construct, alteq improve, �emolish or r¢pair any structure, prior to itz issuance, also requires the applicant (or such permit [o /ile a signetl statement tM1al he/She is litensetl pursuant to the p�ovisions o( che Contra<[or's LicenSe Law (G�apter 9(commencing witn Section ]000) ot DivlSion 3 of [he Business antl Professions CoOe) or tnat ne/she is exempt riherMrom antl the basis for the allegetl exemption. Any violatiOn ot Sectlon v�' J31.5 by any ap0�icant for a permi[ subjett5 [he applicant [o a� clvil �� enalty of not more than five huntlretl t1011ars (5500). . �0 I, as owner Of thc prOperty o� my em0loyee5 with wage5 as lh¢ir sole compensation, wlll tlo the work, antl the structure is not intentletl or ofteretl LiCenSC Ldw aoCs noi aOP�Y ro an owner o* a properry wno owms or improves thereon, ana who tloes such work himself/herself or tnrou9h nis or her own emo�oyees, provitletl that such improvements are nof intentletl or ofteretl fon Sal¢. 1/, howeve�, lhe builtlin9 or Improvement Is soltl within one yea� o( com- pleUon, tne owner wi11 have tne burtlen of proving ne/sne tlitl not builtl or im- prove fo� tne OurpoSe Of sal¢�. ❑ I, as owne� of [he property, am excluzively con[�acting wi[h licensetl con- tractors to construct the project (Section 7044, Business antl Professions Cotle: The Contracror's License Law tloes not appry.to an owner ot property who builtls or improves thereon, antl who contracts for such projects wlth a mn- tracto�(s) IicenSe pursuant to the Cont�acto�'S License Law). I am aware [M1at proo/ of their Worker'S Compen5ation insurance shoultl be provitl¢tl to Te. ❑ I am exemp[ untler Section B. & P. C. lor this reason Date Owner � I hereby certify that I have reatl this avPlication ana state t information is correct. I agree to comply with all tlty antl mu'. antl state laws relating to builtlin co st uctio , antl hereby ai sentatives o� js city to enter u orl t�e a ove-mentionetl inspeclioryryryPPP o s. Siqna[ur� Date� Orivers' Lic nse or 55 � — TYPE OF CDNSTRUCTION LJ NEW LJ ADD IX1 ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER qp # DESCfiIPTION OF WORK/ SE OF BLDG Re—roof rock �oot� on a rtmen oven garage. s Main Buildi TYPE OF PERMIT GRADING FOUNDATION STRUCTV RAL - T Front ❑�TENANT ❑ ELECTRICAL ❑ PLUMBING,❑ MECHANICAL � A Rear ❑ �OTHER Fq' PROJECTDESCRIPTION SQ.FT. �1O2S' OCCUPANCV mi�lt C Right COfJSTRUCTIONTYGE reS. VALUATIONS ��S�R_Lh g Lef[ ZONE GRA�ING GU. VDS. � ACRES Ping. Ref. # Remarks: ' Planning Notes: Bar Sink ' Backflow Preventer Backflow Irrigation Bathtubs Clarifiers ' Dishwasher Drinking fountains Floor Drains Floor Sinks Gas Service Outlets Citchen $ink Lavarories '—Trap Roof Drains Reinspection.Fae , $15 Duct - Under Ground Duct-Structural ' Duct - Ventilating Exhaust System ❑ Multiple PirepUFac[. Blt. ICBO # Heating System & Ducting� ❑ ai oo,000 eru O i oo,000 Reinspection Fee � $15 CMF 0865�4fi, rev. 10/B4 White - Builtlinq; Canary - Applicant; Plnk - Accountlng; Goltlenrotl - Assessor Showers Service Sink Sewef Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fae Hood or Type I ❑ Canopy Type II ❑ Refrigeration System • ❑0�100,000 BTU ❑100,000 E System Repair/Alreration Fire Dampers Registers laue Fee FEES � S' 3 FEES $ 3 AUfORIdhC Wd5f1Cf Construction PoleSub. Cooking Unit Dishwasher Dryers �Gas OEleci Fan F.A.U. Fixtures Device Baxes Outlets Switches Garbage Dispoul Generator �0.5 KW [ Fee I 3�se II/�7/�5 Zone •Accessory Building: Parking ELECTRICAL � ' Transformer � 15-50 KW � 50+ KW Meter Llup ro 100 amps Meter ❑over 100 amps Sub Panel ': Motors �0-1 HP �1 %- 8 Inc.Solar 09-15 HP 016-15+ Microwave Pole Light Range ; Standing Sections S75 KW Trash Compactor $15 � � laue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approvad By Aooliption laued Bv a5oca rL FEES $ 3 Z O N I N G R E Q M T S SUMMARV�Q F FEES �/ 7 BUILDING PERMIT $ �C� Ov SMIP � $ ' S" PLAN CHECK § PERMIT � PLUMBING $ ISSUANCE . $ PLAN CHECK 25% $ ENERGV P.C. $ ' ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM � $ MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ TRUCTION AND pLANNING VALS Permit # porary Electricgl Service or Pole . Soil Pipe-Undrgrnd. ' � 3. Electrical Conduit Utility-Undrgrnd. , 4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement 6. Electrlcal UFER Grnd. � 7. Footings 8. Founda[ion , 9. Water pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap - 13. Foof Drains " 14. Rough Plumbing 15. Rough Electrical-Conduit 76. ;Rough ElectricWiring 17. Rough Wiring Sign 18:. Rough Electrical-T Bar Ceiling 19:� Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. DuCts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing � 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing .. . 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sountl Attenuation 46. Handicap pegutations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date Date � POOI PA Inspector p�ppROVALS Permit# 52. Pool & Equipment Location 53. Steel Feinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing SYstem - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas ❑Oil 72. Underground Flush - 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FiNAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date �Inspector City of Cosra Mesa 6uilding Safefy Department P. O. Box 317 Cwfa Mesd, California CERTIPICATE OF OCCUPANCY N� 2727 C The Building lomted a, ,�: t�oc�alaparY 8ltusa�, Idni4.o A+�C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereto for a Group � 0 T Occuponcy. Use of Building �$�}�,BiL-t3�.fib EiL484°$�:'$ �gfJPi EITJ��1B}3iYlY,'jt Legal Description $,1�_A� (See rovene iide 4or Meta� and Bo�nds) Building Permit No. �'P'Qb Electrical Permit No. �i�_ Plumbing Permit No. � Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. — 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificote of octupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The n�mber of apartments or g�est rooms 3) Ownership . If Group H Occupancy, n�mber of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments � and/or guest rooms ISSUED TO: Buildin Off' � 8� D �1ffid, by � �: �� oare Cle"LnmRR' liis�;�D This Certificafe of Occupancy SHALL BE posted in a conspituo�s place on The premises and SHAIL NOT BE removed except by fhe Building Official of the Ciry of Cosfa Mesa under Sec. 306 (e) U.B.C. F� BU34--1M-11-8Y5-H P y Z . aU rZ Z Q � N 1 p� J � J V1 Q W C11 J m J Q U N Z a W � aW WZ J Q m z J � W W � ZH w� N � 70 31724 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 �fPR 2��-7('P��O0151N� **�ZO1.00 cnsr APPLICATION FOR BUILDING PERMIT For Applicanf to Fill in Completely RE EIVED DATE REC IVED DATE ISSUED ^t� 3�3 /Jd ADOFE55 P -(, � � � P E BM {T.�J¢� OWNER Richard Sewell A'F'NO. �-' �i- Y" ..� i%d MAI l BUIIDING N � T ADDRE55 1 E. 1 t+Yl St.. �+DDRESS �j, �00 L - �C CITV CQ$ta M89a NOL6 Z- 70 TflA T ��LOT� BLOCK CANSTRUCTION W LENDER BRANCN OWNE ADDRESS � VAIUs ' 3 rr9- ARCHITECT TEL. 5 OR ENGINEER � FIRE ADDFESS ZONE TYPE GROUP APPROVED CONTRACTOR BV DATE aooness above TEL. �ON O.OF VSE OF NEW `j V/JITS CITY NO. P�� BUILOING � STATE CITV 1'ARDSAPPROVED VARDSAPPROVED UQ NO. � g ��. �o. lq g MAIN BVILDING ACCESSORV BUILDING SI2E NO.OF BLDGS. (FROM C/L STREET OF LOT 55 X ZO7 • 1 NOW ON LOT O ROfYT FT. DOI!1� USE OF EXISTING B4DG. S FT ILLEWBLOG. SO ROOMS 16 STaFIES 2 L.SIDE FT. FL � EXTERIOR WALL ROOF YSlii .F.,l@ �f �/ COVERING COVEFING LORIA REAR �// FT. FT. USE OF BUILDING ANO WORK TO BE PERFORMEO DISTANCE BET. � BEf. MAIN & C � MAIN BLDGS. ACCESS. BLDGS. ara 8• VAA�# DATE -�i � C.U.P.�{''Z�='`LI'�ID APPROVED �-Z-�O APPROV D Q ��_ Q I hereby e�k�owiedea tnat I have reatl this application e�d smto HOLD FOR SPECI L REQOIREMENTS that the ebove information is correct antl aprae to comply with all laws raBuleting builtlin9 construction, antl I shall not employ any person in vlolation Of tha workman's compensatiOn laws of [ha Steta of Celitomia. 1,y a (� � I heraby cartlty [het I am properly licensetl as a convacror untler � SQ. F. 4� d the Stem of Celifomta Bwinesa antl Profauionz Cotle, Dlvisicn 3, THE /+MOUNTSHOWN UNDER VALUA N IS FOR � Cnopter �J, ontl [het such lieensas are In full forca a�tl effvct, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: a am exompt from the provisions of the Stato of Califomia Buainoss VALUATION antl Professlons Cotla Divialon 3, Chepter 9. �� m PERMIT FEE $ ♦ � SIB�e[ure of ] �, G 'l. �'- E Permittee _T��„(Z�� 5 M PL.AN CHECK $ ' �3 a�-n. � ° Authorizetl ABent u '� TOTALFEE $ O�•