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HomeMy WebLinkAbout2281 LA PLAYA DR - Building Permits `oS91-&-, CITY OF COSTA MESA i�4 '_ ' te , CALIFORNIA 92628-1200 P.O. BOX 1200 {> 1,0 )'1 2 �.4 IS/ DEVELOPMENT SERVICES DEPARTMENT + ,d \-, f 4.i `ega04mE09i. May 22, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. • County Tax Assessor _ State Board of Equalization Engineering Division (2) Street Division Fire Admin. -Training Officer U.S.-_Post Office - AIS Fire Prevention U.S. Post'-Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added (in addition to 2280-2284 La Playa Drive South, there will be a 182 Albert Place address for the meter located on the property) : 182 & 186 Albert Pl. "A" 2281 L • a a Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. • ' 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerely, RICHARD WELMERS J - Planning Intern (ALBERTPL.ADD)11 cc: Mike Talbott Jim Young • VNE Development 19800 MacArthur Blvd. , Ste 1450 ' Irvine, CA 92715 77 FAIR DRIVE Building Division(714)754.5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 FAX(714)556-7508 / ` F CITY OF COSTA MESA BUILDING DIVISION Fr„ sl DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4• PERMIT ^ '� PO4-00361 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2281 LA PLAYA DR S Status: ISSUED Suite No Applied: 05/25/2004 Issued: 05/25/2004 Vicinity: ISSUED BY: Parcel Nunmber: 42606507 Applicant: SZABO, KEVIN Address: 2737 S CRODDY STE D Phone: (714)241-1414 . SANTA ANA,CA . Zip: 92704 ' Owner: NELSON, TIFFANY Address 2281 LA PLAYA DR SOUTH . Phone: COSTA MESA,CA Zip: 92627 Contractor: COAST ROOTER PLUMBING HTG & NC Address: 2737 S CRODDY - STE D Phone: (714)241-1414 • SANTA ANA,CA Zip: -92704 License: 529127 Arch / Eng: ' _ ,' • Address: ' Phone: - Zip: License: SCOPE OF PERMIT • CHANGE OUT WATER HEATER • FEE SUMMARY - AMT QTY AMTQTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 . - Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer -$0.00 0 • P-Trap $0.00 '0 Trap Primer . $0.00 0 Bathtub $0.00 0 Pressure Regulator ' $0.00 0 Urinal . $0.00 0 Clarifier System $0.00 0 - Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect • -• - $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 - Sewer Private Line $0.00 0 . Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower . $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 - _ Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial , - $0.00 '0 Water Re-pipe $0.00 0 r Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. pi I have end will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation� Insurance carrier and policy number are: ST,p Carrier: \ t ez-' -FIJ Vs U Policy Number: 1 1-y 14 SSS 24D3 (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) lOr I certify that in the performance of the work for which t Is permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' �` compensation laws of C lifo la,and agr I If I sh uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi Applicant Signature: ?'—' Date: '- 2-S Q 4 WARNING:FAILURE TO SECURE WO ERS'COMPE ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($t00,O110),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lis.# S2-e{J 7.77 Class p C 3 o Contractors Signature: � n Date: S-Zri-- C>Li 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.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers license No. Expires: Verification of Ownership by(type of document.i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Suction 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present Or future building occupant require for the work which Is the subject of this application akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ature r `��1Of Leg €-2-S Oal Owner(s) Date Authorized Applicant Datta LI CODE f. INSPFCTION TYPE PATE INTITIAIa CODE( INSPECTION TYPE PATE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical (� 1266 Pool Spa Final 208 Final Plumbing 1-)3-o 5 FJ IY 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy F March 16, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd.. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert P1. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-69 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerel RICHARD WELMERS 1 Planning Intern (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 2297 2298 cc W 22952296 2293 a 2294 1-- N 2284 W E 2283 0 2282 ct>- -J 2281 2280 L ADDRESS OF BUILDING:: ' L' • • - LOST. CITY OF COSTA MESA - BUILDING PERMIT ONNERSNAYEIp MOWN: TIFFANY NELSON FtKN NU: b udg oro.. ADDRESS: 2281 LA PLAYA DR S PERMIT NO: B 084363 PLAN CHECK NO: 03422-97 S L,Uvi : N burp : N COSTA MESA ( 714 ) 646-1446 wPpl YMwa.009Ess: .•o- CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT ARCNITECTOBFNCdlEEA: lit NO.: JOB DESCRIPTION : 6NSTALL SKYLIGHT ICBG#ER2469 SQ FT: 1 , 100 ARCH.oREMS ADDRESS: uNT: CLAIM VALUE: 1 , 100 . 00 CALC-VALUE: 1 , 100 . 00 GROUP OCC: R-3 /U-1 FIXZ FIK ( 714 ) 650-7165 CONTRACTOWSNAYS 2609 WILLO LN COMMENTS : SKYLIGHT CQRRACTORS MAILING COSTA MESA CA 703145 Of**+ *+ + *+ ***;t-*;rn-;(-*****-K*x-*;c-xx'*K'****K-******at'xore*; ; +,t***'*'x-K*****x*K-**;r**;r******wac-* ADDRESS: DDR 92627 UC. NO. ZONING REQUIREMENTS 0sa S E T B A C K S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penelfy of perjury that I am licensed under prpvfeans of Chanter 9 ' (commerhdrg coil I'pn 000) Division 3 d IM end Prdessona Y y'��se end CITY C.NO.: "6�4� LIC.CLASS: LIC.NKO: al ""�E° e�9`"d/97 MAIN BUILDING ACCESSORY BUILDING J 7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ale: S�"/ / �/ Contractor: �x h� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under pansy ofprior/the t l am exempt ken the Canrerfas License Lew tathe PARKING REQ: PROW: PARCEL: 42606416 ZNE: REF NO: followtg reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to consnua,after,improve, i elemolish.or repel any structure.prior to its issuence.also requires the applicant for such permit to fie a signed statement that he or she PLANNING NOTES> Al .licensed pursuant to the provisions d the Connectors License Lew jChepter 9(comrttenang with Section 7000)d Diision 3 of the > d+'usinen ad Prdneians Coder orlhetheaehe aexemptthereNam end the beau for the alleged esemntion.MYvioletiond5ection ******ii,***,***F**#***,************„********,*************i(,**********************3E*** 4 1031.5 by any applicant for a permit subjeds the applicant to a ctvil penally of not more than five hundred dollars IMOD. ❑ I.as owner of the properly or my employees with wages e%thei sole compensation.will do the work and the structure is not intended D E V E L O P M E N T SERVICES REQUIR EMEN TS or offered for sale(Section 7044,Business end Professions Code:The Connectors License Law does not apply to an owner of poled). { who buids or iproves thereon.and who does such work himself or hereof or through his or herown employees.provided that such ZONING APPROVED BY '� : DATE: improvements are not intended or offered for sale.n.however,the building or Ynprmvment is sold within one year of completion,the owner.builder will have the burden of proving he or she do not build or improve for the purpose of sale). l. ❑ I.nOwner dthe proparty.ame:daeilrely oah,raeng chill licensed contractors meaunw the props(sed'on 7044,Business and BUILDING APPROVED BY : / DATE: Professions Code:The Contractors License Law dose not apply to an owner of property who builds a improves thereon and who i t contracts for such projects with a caureda(s)licensed pursuant to the Contractors License Law). / o IamexempraabrSection: B.AP.c.,for thereaaon: APPLICATION ISSUED BY: �01 DATE: ******************************** ****************** ********** errs Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and 25534.and that I or any knure building comment will r wit nor(circle one)need to axnply wih said stMe codes and the requinsments for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modScationfrom the AirWirelmement District.Residential consnudion appicelionsw exempt horn these PERMIT 37. 50 . 50 provisions. SMIP/NON-RES Date: AFpliaen: PLAN 24 . 38 WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of pejury ate of the following decimations: ISSUE FEE o Ihave and wilmaintain acertificate oconsent toself-insure for workeracompenation,asprovidedfobySection 37OOothe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.fothe pedaah mceof the work fowlichthis pemais issued. TOTALS----> 38 . 00 0 . 00 24 . 38 62 . 38 62 . 38 . 00 ❑ I have and will maintain workers'compensation insurance,an required by Section 3700 of she Labor Code,for the performance of the wont for which this permit is issued.My workers'compensation insurance carrier ane policy number ore: REVENUE DIVISION TOTALS--> COLLECTED : 62 . 38 OVER/SHORT: . 00 Carder BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK poles Number: 37. 50 . 50 24 . 38 ?is section need not be completed I the perm !is for one hundred dollars(POW or less.) ❑ Icandy that inthe pedomance of the work for which this permit is uaued,l shall rw,employ anypemon neny manner so as to *********************************************************************** ******* become subject to the workers'compenaa;on laws of California.and agree that it I should become subject to the workers' compensation provisions of Sedion 3700 of the Labor Code,I shall forthwith comply with those provisions INDIVIDUAL F E E BREAKDOWN Dae: /LIIIg 7 Apntdem: icle/tYt/int P acv TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST emdig:Failure to sec re workers'compensation covered,'is unlawful,and shell subject an employe to criminal penalties and Slectioonn370066o the Labor CodsinteereaIaandatofm°ey+ieu.ed°I°°nt°m,'cost of rorrgawwn,dampen as Provided roan SFR 1100 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 100 , 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: }��^�) I certify then I have read this application and stale that the above information is coned.I agree to comply with all city and county ordinances E XIS IIS E I/ and state laws relating to building construction and hereby authorize representatives of the thy to enter upon the above-mentioned properly for inspection purposes. HANNA POKUSOVA p�/J ,p., ti-sio4 P T =e Nc2 DATE 34 0 L'���/ 08-21-1997/04:02 GM/$62.38 Print Name RCGTq:01 0311173 --1( pj� 8 Z! PERMIT:084363 Dma Signature d OwnedAgenVAppicornVCantraa« ) (5151'46.WP) White-Buil'rg A Safety:Green-File;Canary-Apploant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING 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 • 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 C7 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas Q Oil 25. Roof Sheathing 74. Overhead Hydra 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 9-2Z-1,7 6 _ 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 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 38. 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 STRUCTURE & BUILDING • • 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51:. CERTIFICATE OF OCCUPANCY . . - No. Date fh�oti,' D•r SeJ. (& -- 1:04,0 ) S -i es SSP .2!) s DL/ SE:t(LIU 14- Da 2V6 y • TOD 510 act s 13G-ie sib t Poo& -es — - ' NaJ sek u � ,: VIED cr X Get SUB. ERCT TC %T. REG. 441I 1 � . I lIIATEalti147 G De-it/SO/N(1 — //jSTA-ChrzO/J OF ve..ls7ZL/re S&'fc,/b CBo Eta 24i69 FIX & AK CONSTRUCTION ` OUE E4-Z. cur / Po0.6.th t/eA7211 s CA Sc.f87031r5 No.of stories D2 Owaets name TIFF-Ai-II /Oa-Sod Address 7-232. uE RAVA . S St72ar L,s /94AVA- De _ S Tela121 6144(0 • :-.,8JECT PROPERTY INFORMATION 1) Property: 2281 LA PLAYA DR, COSTA MESA CA 92627-1788 C016 APN: 426-065-07 Use: SFR County: ORANGE,CA Tax Rate Area: 15044 Total Value: $280,000 Census: 632.01 Prop Tax: $3,011.98 Land Value: $101,416 Map Pg: 31-E1 Delinq Tax Yr: Impry Value: $178,584 New Pg: 889-B2 Exemptions: HOMEOWNER Assd Yr: 1997 Phone: % Improved: 63% Owner: NELSON TIFFANY Mail: 2281 LA PLAYA DR S; COSTA MESA CA 92627-1788 SALES INFORMATION IMPROVEMENTS LAST SALE PRIOR SALE Bldg/Liv Area: Transfer Date: 09/03/92 04/02/91 #Units: Sale Price/Type: $280,000 FULL $3,500 UNKNOWN #Bldgs: Document#: 593208 151290 #Stories: Document Type: $/SF: 1st TD/Type: Yrblt/Eff: Finance: Total Rms: Junior TD's: Bedrms: Lender: Baths(F/H): Seller: Fireplace: Pool: Title Company: Bsmt Area: Transfer Info: Construct: SITE INFORMATION Flooring: Air Cond: Improve Type: Lot Size: Heat Type: Zoning: Lot Area: Quality: County Use: 1 Parking: Condition: Bldg Class: Park Spaces: Style: Flood Panel: 060216-0047E Site Influence: Other Rooms: Phys Chars: Legal: L1 TR14450/N Comments: Copyright© 1996-97 Experian Page: 1 of 1 II APN I Owners I—" Property Address I 2 426-065-07 NELSON TIFFANY 2281 LA PLAYA DR 2 426-065-08 JUE DARRYL W& KERRY T 2283 LA PLAYA DR 3 426-065-10 WOJDYNSKI PAUL R 2293 LA PLAYA DR 4 426-065-11 STONE WILLIAM L 2295 LA PLAYA DR s 426-065-12 PETERS JEFF & DIANE 2297 LA PLAYA DR 6 426-065-13 0 HILL PROPERTIES 12298 LA PLAYA DR 7 426-065-14 SWIETER JAMES F 2296 LA PLAYA DR e 426-065-15 HAWTHORNE TIMOTHY R &TRA2294 LA PLAYA DR 9 426-065-17 PERROTTA CANDACE A 2284 LA PLAYA DR io 426-065-18 CLAVERAN LEONILA G 2282 LA PLAYA DR 11 426-065-19 NACHAZEL THOMAS E 2280 LA PLAYA DR • Copyright© 1996-97 Experian Page: 1 of 1 ri March 16, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin. -Training Officer U. S. Post Office - AIS Fire Prevention U. S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 182 & 186 Albert Pi. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert P1. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerel RICHARD WELMERS Planning Intern (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 23RD STREET 2297 2298 cc0 Z 2295 2296 2293 2294 2284 N cn2283 0 2282 a.Q 2281 2280 ALBERT PLACE itPride in Progress & & "mance favreau Engineering, Inc. CONSULTING CIVIL ENGINEERS March 25, 1992 City of Costa Mesa P.O. Box 1200 Costa Mesa, Ca 92628-1200 Attention: Mr. Tony DeBaca Building and Safety Department Project Address: 182 and 186 Albert Place Costa Mesa, Ca 92628 Lot Number: Permit Number: By Favreau Engineering: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provision have been made for drainage of surface water from each building site. The minimums are: 2% fall from structures within 5 feet from exterior walls. 1% fall for asphalt surfaces and landscaped areas. 0.5% fall for concrete surfaces to approved disposal areas. All final grading elevations are within + 1/10 of the as-built elevations. // Supervising Civil Engineer �d0`vTL ' Reg. No. 25609 � , R1ESS/p; Date March 26, 1992 1 , c� +, I MEMO cc: Mr. Jim Young \,:t, 3434 Via Lido, Suite 250 ■ Newport Beach, CA 92663 ■ TEL: (714) 675-8030 In FAX: (714) 675-1823 CITY OF COSTA MESA BUILDING DIVISION • P. O. Box 1200 Costa Mesa, California 92626 BUILDING CODE VIOLATION NOTICE •� -� • Date: Pa ^ I Re: CMB# 4 2- • (� I. $ 6 R ID-eV H . To: kill ok0 13• NUIhQ1-9• - f✓vAa r4 Co5k I\4 cj .Ca Q Il PO. ris9R 232— 9267--E• Cnve pc. i I`M° Y, (a(li • g262s A.P.# 4.26 - 064- IS It has come to the attention of the Building Division that: ❑ A possible violation exists of Section 301-A, 1979 Uniform Building Code as evidenced by a visual inspection of the site on . S A violation exists of Section 301-A, 1979 Uniform Building Code, as substantiated by an on-site inspection on 6-53 • • A review of Building Division records indicates that permits have not been issued for the above-described construction. You are hereby notified that: • ❑ A site inspection is required within ten (10) working days of the date of this notice. Please contact the Deputy Building Official listed below to arrange for the inspection. The above-referenced construction must be either brought into conformance with current City Codes and Ordinances by obtaining the necessary permits and inspections, or by obtaining a Demolition Permit to remove the illegal construction. Please submit a letterwithinten (10) working days of the date of this notice to indicate what course of action will be taken to correct the violation(s). A proposed schedule to accomplish the corrections must be included. The schedule is subject to approval of the Building Official. ❑ Conditions have been discovered which will require retention of the services of a Registered Engineer or Licensed Architect to recommend remedial corrections. The Engineer or Architect shall provide a Letter of Certification to the Building Division stating that the structure(s) is in a safe condition for occupancy prior to final approvals by the City. ❑ The proposed schedule for correcting the above-described violations ❑has been approved ❑ has not been approved. ❑ The above-referenced construction is being referred to the Planning Division for investigation of possible Zoning Code violations. ❑ The above-referenced construction has been referred to the City Attorney's office for: ❑ An inspection warrant ❑ Prosecution ❑ Other (explain) For further information, please contact the Deputy Building Official listed below either in person at the Building Division, 77 Fair Drive, or call (714) 754- between the hours of ; Monday through Friday. Sincerelyi / / 1-61 VICTOR C"NEWTON V Assistant Development Services Director/Building Safety By I \ • ' OYI•te. , Deputy Building Official CMF 0955-46 White - Property Owner; Green - Building Division; Canary -City Attorney; Goldenrod - Planning Division REPORT OF INVESTIGATION ,1/ Variances: Assigned to: Case No.: / 2 Building Division 6-f• KS{ C.U.P.'s: ❑ Planning Division Assigned to: Rtel o• ❑ Joint Investigation Date: a'16 ' 87.3 Received by: ��it-' /e 4 Z 3c r ?z4ce c 5<A (tcrQ- U Complaint Address 1T L&f>/t/E T. kt.vi /VAmcE �C.VK,vo wAJ ) Complainant Name of Tenant (if applicable) /b ,-Geer �G,¢C-� • /4'C 3e,-41 - 9 D - o w A/e--.e Address : p Name of Property Owner Telephone 7/5/ 9x37 ��Cn'�y • Telephone Number Owners Residential Address Nature of Complaint: /1 Do°•'e ,ve ,&cxZ 29- ,4'1q E ea'. scat •mace. 4--0 4- '3 'O,? /Y,uv cX77t4 /3c7J2o®h Ahoy '-ay c, /7702/u- LAj Cc LJ c z�T E /iCe,/cig-O - OC A/ _ 0 (P€O - /u//)/iU- �o8rS2) /7G' l),fl'r Gam' Pt-4y ScJfCae CcC 0�2Ire7-4- 0.e 5PecnoA.Ar /7g E-<1-41121) oce2,vs aCA-c Pceces 0e /`7e, /tiz MC C4, toe 4&/ 277, 20 ve2) w/Zo(r. "c'e-X tiers Investigation by: rte-,` " Time of Day (if applicable) Inspector Building Permit Files Reviewed: Zoning Files Reviewed: Initial and Date Initial and Date Assessor's Parcel No.46-1‘ -0t'/- /,9 • Map No. Violation of C.M.M.C. Section (s): Findings: OL 'CC04,. S (3 -Q-- lI,� i ye 1 • 1 --1Lvw.c{A [1� " 0 (30$ 232 . Cero..a 02 Ma. 742-- liinbpa-ec\ C< t G1bo, n -c1c r-esc o 2-16-S% •�-2.V�4..[ N-o` "N.� • 0iI�3er�re< OC\IeOirt ov, OP, SccL1IOf-ptrtC`rc3LICc JJ s co_', •(Roof oLf ers4✓r3r1_`/Jb 3 . N\o-cc' rob�it o,r 1;3E4 3 - i3 Re& uosr rm/C eon-/o//rta;so A // t dy mC JAlya< 7 /i / k d8-( ?3 cC`cv//ilvevo i;erpe,,v :its, clog-top R-Fo,A�7,/-M4/leer/ 7' Ow ✓PK /r / S a•4to NOTICES: (Fmv7-/A,✓, c` 1st Given: 3 21_0pp 3 • Time Allotted for Correction / Cie?)/ Date 2nd Notice: 5-day maximum time Date Certified letter advising that if violations are not corrected, the complaint and all supporting data will be forwarded to the City Attorney's office with request for prosecution. Date Mailed Date Received 7-day recheck of site Files forwarded to City Attorney's office with request: Initial and Date CMF 0629-30 / - 3/ - J y 2 f C (A �10 v-( e6t41 F/410/.1 /a-72, 6..PPn( K [4.44 o A c u a act' CO Ary hf `� S7 �J5 r� y W r� C° CA, t°Q !r.(e vAr y S p(rT on/ f a $Y rI rr q Rocr/ ��?7e^ SA*dr �/r/aore g- P33o �� ti .'NsPeCjYu,./ m,c- W Q_ c _Z`St I! Y r/ $3z ;�4/ 95,;,- e4-,e„aaz7- eo.rKet-7-/c.rr 31 a -833/ I���40e•-P c4u'-eJ Fl2dn1 Sr eos7� `� /3-e!f^! W4rc4, lC ( 1ptLe vrc / lie C^o.vr%Ri-Qd_ / 01 3 , aL/ (^1, °l/S� TION o C° . O,pT/'' /2-P/C / "J cT oic &Cste j pc-/`2/S•P� C a 'g- 3 3/ 0/C C a/1/2,4e, 7" e(0-S CITY OF 'TA MESA PARI. TEES a2291 pL Fee,�P• men! Ren. 454 001239 • 1 / p '>ct Address 's ter! —GC. Number 4a(. — 063 — 1 5; I (o Building Permit Number v T- 14450 Owner's Name Da.+n6S 1:)• \ �J• 11.0J15 Mailing Address 3 I Arc n ata-t 7/ M so `I I ej o c_A in s 62 FEE: Single Family ` Number of Units 2-Bedrooms or Less @ $ 861.76 = • 3-Bedrooms @ 1,205.67 = 4-Bedrooms @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family *` Bachelor or Studio @ 474.37 = 1-Bedroom @ 573r118 06035388-00085888 TOT 6146.90 IYafE: 041zoiy1 lift: 11:12 2-Bedrooms @ 881.51 = 3-Bedrooms+ 5 @ 1,229.38 = 4:0, 14610 ms's Total Fee *" 61144.90 Planning Department A Iproval .a • 3' 25 a By Pc 91 / 6• E !r Applicant's Signature re L *:. . _ Is 3 l l 9 U'-/o9 * City Ordinance 72-4• ** City Ordinam e 2-4641.0** City Resolution 78-116 ng � ��� CMF 0174-30,rev.7 white—Planning;Canary—Planning; Pink—Finance;Goldenrod—Applicant .� PROJECT ADDRESS: qr� UNIT: a�' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 056588 OWNER'S NAME: JIM ARGONAUT PL ' �J.l�t j� (/w ADDRESS: 31 ARGONAUT f� a �-fn- -�t.y4w PERMIT NO: M 056588 PLAN CHECK NO: N GOVT; N SUPP: N ALISO VIEJO CA 92656 0 CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW • AflCMIENGINEEfl• 837-7008 REG.NO.: ADDRESS:ETAYLOR ARCHITECT$ C-244978 JOB DESCRIPTION : NEW SFD SQ FT: 1670 SANTA ANA • K PERMITTEE: CM CA 92626 CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / ADDRESS: SANTIAGO A/C INC. ( 714 )998-1600 231 W. BLUERIDGE AVE, COMMENTS; REF: B 52421 ORANGE CA 92665 *************iE**************************sEsrse+ESE**sr**+E*sk*x*************SESE********x LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am li nsed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my Ii se is in full force and effect. SETBACKS CITY LIC.: 007985 STATE uc.:269496 s' C-20 Date: `�-T4.— Signature: MAIN BUILDING ACCESSORY BUILDING . � WORKERS'COMPENSATION DECLARATION: I hereby affirm I al l ave 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 POLICYND.: 11-9732051 EXP.DATE: 17/01/92 COMPANY: PAC STATES CAS PARKING REQ• PROV; PARCEL: 42606416 ZNE: REF NO: 7 Certified copy is hereby furnished. 51 Certified copy is filed it A.J Building Division. PLANNING NOTES> yy > •_-- Date: (C---/C. '/2 Applicant: ************************************IE****************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R yV I C E $ 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; Dale: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : . 1 _ 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• c1 DATE• 3 (E� - L which this permit is issued(Section 3097,Civ.C). *********************4.**** ***** ***** F*1C7 ************************** *** **** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'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 9 qq 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 L 5} $MIP/NQN—R E$ 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.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----> 9 ,00 15. 00 0.00 24 . 00 24 . 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 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: 24 . 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 24 . 00 ❑ 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 theContractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.8 P.C. I N D I V I D UAL F E E BREAKDOWN tot this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: °WOef MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 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 these provisions. 01 0011('t.1 -t:c 11'),7 Dale: Applicant: 0M 1 C: 07, l.0 y-.. •11.1-:E! !.'- T . 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 autho e r resentatives of this city to enter upon the above-mentioned property for inspection/ppurposseess�s • Dale' 1(� Signature: Driver's License or Social Security x: ' 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POO SPA - APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Servile or Pole, . 52. Pool & Equipment Location 2. Soil Pipe-Un`grnd.,` a. a' 53. Steel Reinforcement • ..3:'Electri`ca,�rf 9 Uyilit Ur ,' 54. Forms Y•endui t rnd9rnd.. E., -.SI - .. '-:4.-ElectricatCdnda't-Undrgrnd. - r 55. Electrical Bonding 4.:_Steel Relyn{circecie'gt• 'u ' 56. Rough Plumbing & Pressure Test _ - l' 1b..-EiectricdUFER.6to cnd. ' . . 57. APPROVAL TO COVER-GUNITE T. T,r i - '7. Footi ngs_S ^ 1 a. 58. Electrical Conduit-Undrgrnd. . , -�. .18. Founds;ran 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Und+9rr}td. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Sicuctural Floor System ' _. 61. APPROVAL TO DECK 11. Property Sew& Line-T.& House Conntction 62. Backwash & Receptor-Final . 12. rc Sewer Cap li � 63. Heater & Vent-Final ` 13. Roof Drains•e rc 64. Plumbing System - Final 14. Rough Plumb?itj 65. Electrical-Final 15.*Rough Electrical-Conduit 66. Solar System-Final 16. Rough Elctric Wiring 67. Fencing & Access Approval e'17: Rough Vexing Sign 68. APPROVED FOR PLASTERING 18. Rough Electrics-6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT T 20.'Roujh Facto Fireplace I 'K:r T ` ,. 3 - APPRGVA1S,•_"-Per it # - r 21.'-Ducts, in-Structure, • n S _ •• : , -70. Undergrouid"Hdho ly 22. Ducts, Ventilating-r- or ,t - c74 S Y �Tpp' 1. Productin OrGas O pit 23. ,`('las Pipe'1iough &test r :J .; 72. Undergro�d Fluslj 24.7Rod Warnings _._� .-; > C _ v ,73.`-r�.lndergrnc+.Storage$rank O Gas ❑011 .. 25. Roo Sheathing ti ' '": ' -. i , ,a •> ., �4. Overhead HydroD. 26.1 T- Bar Ceiling (Structural) &.Monocoat ��i 75.z1Dry Chemical _ -_ " - -yc r. 27- :'_M1Frarne and Flashing"_ `x ` 'J' t -" OW 1:: C > i v 76. Dry Standpipe E �t 1 r` � .R. epi _ .. . .. -,. -28.1�Latl'jngtSiding- -- i...,: :: •z - : PROJECT ADDRESS: 4 2 r51,t1 Tt. 1 ._ UNIT:_a_ ' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EMP . 052425 OWNER'S NAME: JIM YOUNG ,2z Ti la_.7y/�� //J ADDRESS: 31 ARGONAUT 'D�.CK,..E..d_ ,L PERMIT NO: EMP 052425 PLAN CHECK NO: NGOVT: N SUR':" N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V-N PERMIT TYPE; ELE MEC PLU PURPOSE: NEW 837-7008 ARCHIENGINEER: TAYLOR -ARCHITECTS REG.NO.: C-014978 JOB DESCRIPTION NEW SFD, RE; 1tB52421 SQ FT: ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 / PERMITTEE: YOUNG/RUSSELL DEV. INC. ( 714 ) 837-7008 • ADDRESS: 31 ARGONAUT COMMENTS: NEW SFD 1 OF 5 W/ COMMON DRIVEWAY ALISO VIEJO CA 92656 *#***#>Eft*#aE##******************************##*yE**r:kE****x*#N**x.x***** **#r##r: ** • LICENSED 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 LTC.: CLASS: Data: 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' FENT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). FT IN LEFT: FT IN RGHT; FT IN 'COMPANY: EXP.DATE: I PARKING REQ.; PROV: PARCEL: 42606416 ZNE: REF NO; COMPANY: PLANNING NOES> 1 Certified copy is hereby furnished. 0;Certified copy is filed with the city Building Division. Date: Applicant: • �: .I.** *****##* ******iEr*W*,****lE *#E**"#,#*it:,#'#lE•****iE**SO N�#iE***#**#**"******r)E,#**"** ** D E V E• L OT M, E` N : T1-2 S•`E R'-V I C E So". It E Q U I R E M E N .T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($11J0)or less). -• • 1 p, I ,7 -- I certify that in the performance of the work fdr which this permit is issued,I shall not employ any person in any manner suds to become ' • - subject to the Workers'Compensation Laws of California. , •- - .-ZONING APPROVED BY C•, ,'J •'..i J. DATE: Date: Signature: - > -.• - ,Y NOTICE:If,atter making this declaratiorTiyou should become subject to.the Workers'Compensation provisions tithe Labor 1B UJ.LD I NT3 APPROVED 1 , - DATE; 'fl Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. r , -z 7 c� " :APPLICATION ISSUED ,BY: ,7 ; • 1: l f DATE; 444.v CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a'con'struction lending agency for thepedormance of the work for ,,,w :0 "• which this permit is issued(Section 3097,Civ.C). :v '*************44****#***#3e*******-t*WR'*:'..•. • . .. ******#*## ** LENDER: *R-1**#*******X* *********#******#.***#*#********#****lF**********x,.*4E***aE*3i******# ADDRESS: I 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 4 3 25% R 0 0 70 . 28 51 ,„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 L 5% 5 0% 5% SMIP/NONC-R E S 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 11500). ISSUE FEE 3 .00 15 , 00 15 . 00 ',.. ,,---ttz 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. Lstructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 164 . 28 33 , 00 0, 0 0 197. 28 197 . 28 _ 0 0 I' 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 REVENUE DIVISION TOTALS--> COLLECTED: 197. 28 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING•PLAN-CHECK k for the purpose of sale). 46 . 00 85. 28 66 . 00 , - I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ` ❑ and Professions Code: The Contractors'State License Law does not app) toanthe Cor of property who builds or improves thereon **#**#****#**?t-*#*#**#***#*ti•*#***#********.*#**ih***ii****#***#**#it********aE*****#* and who contracts for such projects uth a e License )license pursu t to the Contractors'Stat License am aware that proof of tit it Works's Compensation Insurance shouldde proved to me. / INDIVIDUAL F E E BREAKDOWN ❑ I am exempt der Se ion: B.8(Ler for this rea 7 • TYPE QTY DESCRIPTION UNIT COST TOTAL COST " Date: 43 /9 f ELE 2008 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 "/7' 70 . 28 I do hereby ce fy that l m aware of and understand the requirements mrnia Health and Safe Sectio 25508 25533.and MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 one rte 25534 and that I or any future building occupant will/will not(circleto comply with said st des and the requirements for a MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 ', 9 . 00 permit for construction or modification tom the Air Duality Manage nt 'strict.Residential const i fon applications are exempt from NEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 47 9 . 00 these provisions. MEC 2 FACTORY FIREPLACE 6 . 50 13 , 00 Dare: Applicant: MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 6 . 50 6 . 50 I hereby certify that I have ream this applicati and state tha he above information is correc.I agree to comply with all city and county MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50 ordinances and st.slaws relay g to building struction and reby authorize re se rive f is city to enter upon the above-mento ed PLU 2 BATHTUB 2 . 00 4 . 00 property for in;-coon pup ises. PLU 1 DISHWASHER 2 . 00 200 / 1 PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00 Date:re, W signature: PLU 2 SHOWER ,1~2.;•00..., - - - - 4 . 00 Driver's L'ense or Social Security A: :�'. ,_, �j,•:�;;`y: `i `j_; 164148 White-Building;Green-Code Enf ment;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL a SPA • APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. d-21_cL' 1E0 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement C-Z,r-t( 06a 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 81 Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . (e- ..sa 1.-fp 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ?-(-q'( pg 61. APPROVAL TO DECK 1). Property Sewer Line & House Connection /(3_yi 4E4 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13'.-rRoof Drains 64. Plumbing System - Final 14. Rough Plumbing 1-2 cm( LEfj 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final 16.,Rough Electric Wiring' F-27_1( t,scar_ 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 q--9'_q( 'Q FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace 6,.4E 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 tj-C-q( Obe 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 0'40-7'(G,441- 76. Dry Standpipe 28. Lathing & Siding GL`8- C( 6Ca,6/ 77. FIXED SYSTEM FINAL 29. Insulation (017--9( #9# 78. FIRE PREV. FINAL 30. Drywall Nailing `(-s-9( 0% HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat ((-u-q( 0M- 79. FINAL INSPECTION 32. Electrical Power Meter-Final _ e, „ n- 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning r . C.E0 35. Final Gas Pipe-Test K-6_44 L 36. Hood or Canopy �c 37. Final Factory Fireplace 7-2,7--12 &ad, 38. Final Plumbing 3�7-7 (-ED_ 39. Water Service-Final 14712_ C. 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 (1-7-12._ (ow# - rc.-t.erkeQ A' o�,- 1fc.'i 48. FINAL PLANNING /� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • • PROJECT ADDRESS: UNIT: - , OWNER'S NAME: • ' • ADDRESS: PERMIT NO: EMP 052425 PLAN CHECK NO: 02102-91 N PAGE: 2 ***4444********-1cx *u *-X•44 E*** *TF* )4****************X******** -N -34*if*+>a JE-*****)i- 4444-)4 4 ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 SINK, KITCHEN 2 . 00 2 . 00 PERMITTEE: PLU 1 WASH BASIN 2 . 00 2 . 00 ADDRESS: PLU 2 WASH BASIN (SET) 2 . 00 4 . 00 PLU 3 WATER CLOSET ( TOILET) 2 . 00 6 . 00 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 WATER HEATER AND/OR VENT 2 .00 2 . 00 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 1 WATER SERVICE 2 .00 2 . 00 CITYUC.: STATEUC.: CUSS: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS ' 2 . 00 2 . 00 Date' Signature: PLU 4 GAS PIPING SYS 5+ OUTL-PER OUTLET . 50 2 . 00 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 1 GAS SERVICE 2 . 00 2„ 00 Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PLU 1 BACKFLOW PREVENTER 2 . 00 2 . 00 POLICY NO.: EXP.DATE: ' PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 . 00 5 . 00 v ' •COMPANY: END OF FEES 1 Certified copy is hereby famished ❑ Certified copy is tiled with the city Building Division. Date: Applicant: ", EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need not be completed if the permit is for one hundred 1$100)or less). -i7Ai I certify that in the perforrnance 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. - Date: Signature: l NOTICE:If,after,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. - !• 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). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason , (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or • 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 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any 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(S500). • I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ' ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law 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 will have the burden of proving he/she did not build or improve I for the purpose of sale). I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . ❑ 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 that proof of their Worker's Compensation insurance should be provided to me. ❑ I ant exempt under Section: B.&P.C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 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 _- permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from tk D i9 -"_I P; CA fir-E __ -•{- - these provisions. 01 000R''CCJ-7it@:'9382 T'1':1 Date: Applicant: DATE: Ui/'.S.'S' TInE: _'4 I hereby certify 1 have read this is plingtion and te that the above informationis correct. oms .Ia agree to complywith all city and county ordinances and state laws relating building construction and hereby authorize representatives of this city to enterupon the above-mentioned properly for inspection purposes. Date: Signature: v/ Driver's License or Social Security N: 1641-46 While—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. 1(2rf i Lia) 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. 'J(((QL c,if0 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 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 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 3f644 'LA 80. FOOD CERTIFICATE ISSUED l { 33. Final Electric 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 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 • r PRO1CTADDRESS,' =Tf-s ^_____ 's+ NIT: R CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 052421 • OWNER'S NAME: J 1 M YOUNG d-i—p L /1�7 JJ ADDRESS: 31 ARGONAUT �6, PERMIT NO: B 052421 PLAN CHECK NO; 06158-90 L GOVT: N SUPP: N ALISO VIEJO CA 92656 • CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW 1 837-7008 • - ARCH/ENGINEER: TAYLOR ARCHITECTS REO.N0.: C-014978 JOB DESCRIPTION : NEW SFD SQ FT: 2, 447 ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: 120, 000 . 00 CALC—VALUE : 146, 146. 70 GROUP OCC: R-3 / PERMITTEE: YOUNG/RUSSELL DEV. INC. ( 714 ) 837-7008 ADDRESS: 31 ARGONAUT COMMENTS : NEW SFD 1 OF 5 t�COMMON DRIVEWAY ALISO VIEJO CA 92656 *************#*********** #******#****x##;F******x**N**** *******##** *#*ac '>E#*x LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIR EMEN TS �REMENT.S 7003)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE LIC.: CLASS: � FOR SPEG.IAI. ♦�QV Date: signature: -1. MAIN BUILDING ACCESSORY BUILDINGQ F WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-Insure Or'a certificate of Workers' FRNT: 20 FT IN REAR: 10 FT IN FRNT; FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3300,Lab.C). \ i LEFT: 26 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. 1.3 PROV: 13 PARCEL: 42606416 ZNE; R2 REF NO: DR9032 I Certified copy is hereby furnished. ❑ Certified copy isfiled with the city Building Division. PLANNING NUOT ES> ONE 2—STORY DETACHED CONDOMINIUM (OF A 5—UNIT PROJECT) W/ A > 2—CAR ATTACHED GARAGE. P&E t Date: Applicant ********##** ******************#***********?r*#*********#**-***#*ii**#*fi*****�''3F** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(S100)or less). DEVELOPMENT S ER VICES R E Q U I R E M E N. T Si 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 ' ' �l (,(L_ DATE; Ca I .( 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. r - CONSTRUCTION LENDING AGENCY: Ihereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: - 'N IL DATE: (o 9� which this permit is issued(Section 3097,Civ.C). *****M.*#****##**)e**if***3r*#**K•*sF***#******#*#*##**********#* **ih**#7e x7.** ** LENDER: **#******************Ni*****************#**********'Mit*********************IQ***.** ADDRESS: LEGALIZATION:N F E E S U MM ' . - 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 FIRS -MIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.Improve,demolish,or PERMIT 804 . 00 . , / 10,23 repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - S /NON—RES 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 522 . 60 • t any applicant for a permit subjects the apptant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE Las owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHC ,�. TOTAL e • 4_0 DUE ❑( structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S—--—> 814 . 23 0 . 00 5 2 2 , 6( 1336 . 83 1336 . 83 . 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 REVENUE DIVISION TOTALS--> COLLECTED• 7 814 . 23 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 G9PMMTT PLUMBING ELECTRIC MECHANIC . FIRE SMIP//TOT G ING PLAN—CHECK 8I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business " ❑ and Professions Code: The Contractors'State License Law does not app to an owner of property who builds or Improves thereon and who contracts for such projects with a contractors)license pursent to the Contractors'State License Law).l am aware **#*******#*************************#******* *******#*TF#************** **** 1{. I *. that proof of their Worker's Compensation insurance should be provid to me. IND I V IDUAL F EE ' B R EAKDOWN ❑ I t exempt der Seal B.B(oner:A4 C. i farr mareas TYPE QTY D E S C R I P 'C I O N UNIT COST TOTAL COST Date: / 1� t SFR 2008 DWE TYPE V—WOOD FRME69 . 00 138, 552. UO Ido hereby cern that I a aware of and understand the requirements of Cealth and Safety Co chuffs 05,25533,and SFR 439 RES—GARAGES TYPE V( 17 . 30 • 7, 594 . 70 25534 and that I or any future building occupant wilVwill not(circle one)ne comply with said state c de and the requirements for a SEND OF FEES permit for construction or modification from the Air Quality Management istr ct.Residential construction pplications are exempt from 1 . these provisions. • Date: Applicant: 1 , t i I hereby certify that I .ve read t P's application gggnnnd state that the • ve information is correct.I eel.to comply with all city and county ,e;'. ordinances and state . reid..to building truction and here, . home representatives of t • to enter upon the above-mentioned property for insp- ..iipure' es. / i ' )` l . —_ Date: • Signature: At_ :44 _....-5 ' • - - Driver's Lice se or ial Security x: 1641-46 White—Building;Green—Code Enforceme ; .nary—Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING P00, 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 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 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 I1UJ \ pt HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat \t \-} n 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: HOLREQUIREMENTS 34. Final Heating & Air Conditioning B FOR SPECIAL 35. Final Gas Pipe-Test /� 36.7Hood or Conopy ry Fireplace ' /, / ,& ) 1/4z- 37. Final Factory Fireplace ii,L ) `J" , 38. Final Plumbing c.� 39. Water Service-Final 40. Gas Service-Final a' 41. Solar Domestic-Final - . __ - 42. Backflow Preventer rt 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation crIti • 46. Handicap Regulations @ I /l�' pL _ `/ 47. FINAL STRUCTURE &;BUILDING l6 - \ I 48. F+Nect 7G�.�DZ f n l C c w-V3Z` 49. Electric Release to Edison / 50. Gas Release to Southern California Gas Co f c. 51. CERTIFICATE OF OCCUPANCY No._ _ rDate