Loading...
HomeMy WebLinkAbout2524 LEHIGH PL - Building Permits f CITY OF COSTA MESA BUILDING DIVISION °'/ ► F ( �^� I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4 � PERMIT B06-01971 4b sareo (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.B&WULDING PERMT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2524 LEHIGH PL EXTENSION Status: ISSUED Suite: A LLOEJ) Applied: 11/22/2006 Vicinity: CITY OF COSTA MESA 1� Issued: 12/13/2006 Primary 0cc: R3 Type of Cons fffVVVSS5��1/// Parcel Number: foln+lg. Applicant: NEIDIG, JAMES EXPIRES ,t /44 Address: 2524 LEHIGH PL �/J^ Phone: 714.545.4677 UE, COSTA MESA,CA Zip: 92626 • Owner: BILLE AND JAMES NEDIG Address 2524 LEHIGH PL Phone: 714-,45-46 COSTA MESA,CA Zip: 92:225 • Contractor: Address: 015 Phone: Zip: Lic=a Arch : Lng: C'7AWSTI1 0, MARGARITO Address: •-41231. g1%0 ROY AIRPORTWY Phone: - ITE 117 Phone: 562-989-6902 .G BEACH,CA imarrerr Zip: License: V-06 License: S4808 • S BE OF REVISED 06/28/07:REDUCED SQUARE FOOTAGE.ADD .,c _F O - FSR TER BEDROOM/BATH.REMODEL KITCHEN,BATHROOM AND Lf ROOM. NEW 490SF MASTER BEDROOM AND BATHROO .WWI •TTA-"IAD 26 FSO D ROOF PATIO.REMODEL KITCHEN,DINNING AND LAUNDRY ROOM. EE UM i ARY Plan Check: $532.19 Calc Valuation: 574,499.44 Permit: $818.75 Claim Valuation: so.o0 SMIP Res: $7.45 SMIP Corn: $0.00 Other: $0.00 • Inspection: $0.00 Total: $1,358.3 PLANNING & ZONING SETBACKS MAIN STRUCTURE Fro J k!.-0 ear 32-10 Left 42-0 Right 5-0 ACCESSORY F .nt 0-0 Left 0-0 Right 0-0 PARKING xistin•-. U SI: 0 Proposed: 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 expiratio�r o this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(WOO) I A DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. O 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: - Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) 9 l%eMy 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 C ' ia,and agre at If I uld become subject to the workers'compensation provisions of Section 3700 of t e Labor Code,I shall forthwith comply with these provi on / A 0,044.1...t, �_. 7 s"t 7 WARNING:FAILURE TO SE UR ORKERS COMPENSATION COVERAGE I UNLAWFUL AMID SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100, N ADDITION TO THE COST OF COMPENS1 ION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.Lic.# Class a Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: O 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). Lender's Name: _ _ _ Lender's 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.). ' D—L as owner of the property,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 purs the Contractors License s.). O I am exempt and r sec. ' "Business and Professions Code for this reason: Signat�-- �p/Y✓11,d ate �� Owner ID verified b drives license. Yes 0 No Ddv s.Uce se No. / / yExpyes: _� Verification of Ow ership by(type of document,i.e.-property ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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-ore 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? ❑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 time 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? ❑Yes 0 No (Section 25533 of the Califomia 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 0 N (Section 25534 of the Califomia 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? 0 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 a_aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Di Yes ID No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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? 0 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-describ eperty for inspectiy0 pyr e e not to occupy or allow occupancy of any building authorized by thiis, l rmit til final inspection. / / � S ure-Of Lege 11wner(s) ( ate • And/Or Authorized Applicant Date SOUL INSPECTION TYPE PATE INTITIALS COPEI INSPECTION TYPE PATE lNTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 126626Pool Spa Final 208 a,Rlumbing n 2�U0 Final Re-Roof �JO 1I/.1 - EtiW f' _�T I` N e 204 Final Demolition ., 250 Final Building/Occupancy . I , I � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT B06-01971 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cB.W1LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2524 LEHIGH PL Status: ISSUED Suite: Applied: 11/22/2006 Vicinity: CITY OF COSTA MESA (• " Issued: 12/13/2006 Primary Number: R3 Type of ConsZon :: Parcel Number: Zonfng: Applicant: NEIDIG, JAMES Address: 2524 LEHIGH PL Phone: 714.545.4677 ISSUED BY: COSTA MESA,CA Zip: 92626 Owner: BILLE AND JAMES NEDIG EXTENSION Address 2524 LEHIGH PL Phone: 714-545-4677 ,�, Y LOWED COSTA MESA,CA Zip: 92626 H A i Contractor: PER_X1/ • Address: Phone: EXPIRES f1 '/3/129 Zip: License: Arch : Eng: CASTILLO, MARGARITO Address: Address: 3900 KILROY AIRPORT WY Phone: SUITE 117 Phone: 562-989-6902 LONG BEACH,CA Zip: License: 90806 License: S4608 SCOPE OF PERMIT NEW 490SF MASTER BEDROOM AND BATHROOM WITH ATTACHED 262SF SOLID ROOF PATIO.REMODEL KITCHEN,DINNING AND LAUNDRY ROOM. FEE SUMMARY • Plan Check: $532.19 Calc Valuation: $74,499.44 Permit: $818.75 Claim Valuation: Moo, SMIP Res: $7.45 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,358.39 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 16-10 Left 32-0 - Right 5-0 • ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 4 Required: 0 Proposed: 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 244646(6/00) '/ DECLARATIONS j WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ I have and 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: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' e compensation laws of Califor and agree that it I sho •become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio- aApptinantS—ii$nature:_ ,. ,.., i (Z7/3/n 4 WARNING:FAILURE TO SECURE W'•' ERS'COMPENSATION**VERA E IS UN .'•' L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),I, DDITION TO THE COST OF COMPENSATION,bAMAGES AS PROVIDED FOR IN SECTION 3706 OF 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.Lic.N Class e Contractor's Signature: Date: 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). Lender's Name: Lender's 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.). as owner of the property,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 exe pt oder sec. Business and Professions Code for this reason: Mare: .aruil - — Dateas // 3` 6 Owner ID ve' by drivers license. s ❑No Driv rs.Ucense:No. co,&pires: k/A r Verification Ownership by(type of docume i.e.-property tax bill or dee . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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: I 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 time 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? ❑Yes 0 No (Section 25533 of the California Health end 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 (Section 25534 of the California Health and Safety Cale 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 a -Plication aRPernit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑yes ❑Ne (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 prescnbed by California Health end Safety Cade Section 42303 been made? 0 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-descrioperty for inspection t -es.I"gm: not to occupy or allow occupancy of any building authorized by this permit until fiinnpI inspection. /02A3/��i ®Bfgnat0e,O1' ':Overaw(- ro'.7/SiJe9 te-1 And/Or Authorized Applic nt Date CODE t INSPEC IONTYPE 9.A_B INTRUL$ LODES jNSPECRON TYPE poli EMU 1616 Fixed System Final Fire Prevention a 206 Final Me ani 1266 Pool Spa Final / 208 Incl P tubing ' 200 Final Re-Roof ' 21 Final lecirical ,— 201 Final Block/Retaining Wall / 12 Fin I F.e Proven n en. 202 Final Factory Fire Place _ -" 220 F al P pprova 203 Final Sign 222 Ina'Site 204 Final Demolition 250 Final Building/Occupancy �0✓eni-,42 Z ➢ Z av 2 sCJ �4 �I L- p6 p /1//1( /I v G oO o/ of C+111/1a c, -e) t7Js-)v 4aLa� ��y S--nW 77 .-0.9 CITY OF COSTA MESA 4,f i` P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 t 0 DEVELOPMENT SERVICES DEPARTMENT BUILDING DIVISION EXTENSION NOTIFICATION May 17, 2007 James E & Billie M Neidig 2524 Lehigh PI Costa Mesa CA 92626-6121 PERMIT NUMBERS: 1306-01971, E06-01414, M06-00804, P06-01012 FOR: Remodel PROJECT ADDRESS: 2524 Lehigh PI, Costa Mesa This is to advise you that the request for an extension on the above permit has been approved by Ed Petros, Chief of Inspection. The extension is valid for 180 days. The new expiration date of the permit is November 13, 2007. You may call 714-754-5626 for inspection at any time prior to this date or your permit will expire. Additional fees will be required to finalize expired permits. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working with us to resolve this matter. Sincerely, i 3. - I Mary Jane Weidenkeller Office Specialist II Building Division(714)754-5273 • Code Enforcemenl(714)754-5623 • Planning Division(714)754-5245 FAX(714)754-4856 • TDD(714)754-5244 • www,ci.costa-mesa ca.us FAX To: Mt. lei Pefro s FAX No. : 7/1/ - 211-/- 4/ Pa Ch«4 0 afpectrons C,-re.t a f cosfn- t1esal C19 From J. E. Neidig FAX NO.: 714-545-4677 Date: CC/'i4/e) 7 Page #1 of , _ Subject: ► 1;41'141- L= le"s/ or) IC9 Vara-7". em a,pdhei e leaCC iSneet/ d 11917917917LL 0I413N '3 'f e65O1 LO 9L AeW • • • "' Mr.J.E.Neidig 2524 Lehigh Place Costa Mesa,CA 92626 714-545-4677-Phone 925-324-0945-Cell 714-545-4677-Fac May 16, 2007 City of Costa Mesa, CA Attn. Mr. Ed Petros • Chief of Inspections Fax 714-754-4856 Ref James E. & Billie M.Neidig Home Remodel Project Request for Permit Extension 2524 Lehigh Place Costa Mesa,CA 92626 Phone 714-545-4677 Fax 714-545-4677 Reference is made to the following permits issued December 13,2006 for the remodeling of our residence listed above. Building-B06-01971 Electrical - E06-01414 Mechanical—M06-00804 Plumbing—P06-01012 Job Description—New 490 SF Due to bid proposals coming in at prices substantially higher than our targeted budget we have found it necessary to revise our scope of work toward the effort of reducing our projected costs. • As a result,we have had to rethink our plans with our architect and contractor. This has • taken up a substantial amount of time over the last several months. Hence, it has not allowed us to proceed with the project as originally planned and meet the current permit expiration of June 13,2007. We currently are in the process of revising our drawings with the architect and will request new pricing from the contractor. Consequently,we respectfully request a permit extension of six months to December 13, 2007 in which we are optimistic of meeting the requested extension. Please advise if this is acceptable. Our FAX number is the same as our home phone number(shown above). Sincerely, • Zs E. &Billie M. eidig House Remodel-City of Costa Mesa-Permit Extension-5-15-07.DOC Date 5116107 td LL9797S71L 01013N '3 'f e00:11 LO 91 icon 9TiaL CITY OF COSTA MESA 4 . BUILDING DIVISION 1 ,.4, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 41 7s r PERMIT I' 41. E06-01414 grown (714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa,G8.u5PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2524 LEHIGH PL ELECTRICALStatus: ISSUED Suite No Applied: 12/08/2006 Vicinity: l r Issued: 12/13/2006 Parcel Nunmber: 14142423 . 0 Ert5i) 1 Applicant: JAMES NEIDIG �. : -..5 Address: 2524 LEHIGH PL .11 UED6.: Phone: 949-632-6018 r COSTA MESA,CA Zip 92626 Owner: BILLE AND JAMES NEDIG • Address 2524 LEHIGH PL ATSI®N Phone: 949-632-6018 %i? 119VI , COSTA MESA,CA - Zip: 92626 /1 .•, OWED Contractor: OWNER-BUILDER 'ERP Address: i// - D7 Phone: l=in�!If1RES CJ Zip: Licens>!:1100 S -o RE •F 'c nL' a NEW 490SF MASTER BEDROOM AND B' irRITOMIariArYi.G •9 262SF SOLID ROOF PATIO.REMODEL KITCHEN, DINNING AND LAUNDRY ROOM. -=33m B06 •71 ELECTRICAL TO INCLUDE:32 LI r Ute'#y 8 inig§[Qt,AND 42 OUTLETS • 'Y _. Quantity Quantity ISSUE FEE $23.50 Liana 0 st System/.Lighting $0.00 0 Temp service test $0.00 Busw. /100 ft $0.00 0 Res.a/c package $0.00 Yt3Ying Section - $0.00 0 New Res(1-2 units) $0.00 ! Mis Electrical Equipment - $0.00 0 - New Res(3+units) $0.00 0 L.ansformers up'to.1 kva/kw i $0.00 0 • Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $30.76 3 up to 50 kva/kw $0.00 0 Recept Outlets $38.06 F 2 up to 100 kva/kw $0.00 0 Switches $19.80 18 over 100 kva/kw $0.00 0 i Non Res Appl $0.09 I Low Voltage Equipment $0.00 -0 Res Appl $0 10 0 Low Volt Wiring System/Ckt i $0.00 - 0 • Service to 200a $1571 0 Misc.Conduit $0.00 0 - Service to 1000a J3 00 0 Misc.Conductor _ $0.00 i 0 Service over 1000a $0.00 0 Circus(gen or ride) ' - $0.00 0 Motors to 1hp - r 11 i 0 Circus(mech ride or lights) - $0.00 0 Motors to 10hp ,0.1 • Christmas Tree Stand $0.00 0 Motors to 50hp laso0 0 Fireworks Stand $0.00"- 0 Motors to 100hp COD) 0 Other Electrical Fee $0.00 Motors over 100hp $.11 0 , Communication drops E11!,,•i� 0 Investigation Fee $0.00 -• 111 Sub panel to 200a a Plan:Check Fee $0.00 Pole Light Pkg Wi 1: 0 Reinspection Fee $0.00 ii Sign Circuits ting f7 Temp Pwr Poler 11 0 / TOTAL CALCULATED FEES $112.12 • Intermed Pole $0 00 0 COMMENTS/ SPECIAL CONDITIONS • 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 244648 WOO C.:3/ DECLARATIONS � WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ I have and 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: Cartier: Policy Number: 2s section need not be completed if the permit is valued at one hundred dollars($100)or less.) 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 o lifomia,and a e th • I shquld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these. • ions. yg'r11 / /' Applicant Signature: HI'JO1 l e Date: / �.31 (� WARNING:FAILURE TO RE WORKERS'COMPENSA ON COVE GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P TIES AN CML FINES UP TO ONE HUNDRED THousAND DOLLARE - •0,000),IN ADDITION TO THE COST OF ENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 000E,INTEREST,AND ATTORNEYS 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.Lic.# Class# Contractor's Signature: Date: 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: Lender's 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 property,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 em • under sec. Business and Professions Code for this reason: ///_ lure: - ,j fl'4 C Date: /2' ` c7 Owner ID v: 'ed by driver's license. ❑Ves 0 No Driver's License No. / xpires: ////J Verificati• of Ownership by(type of document,i .-property tax bill or deed): , DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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,faisework,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? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filedwith the Costa Mesa Fire Department by every business which has at any one time 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 (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Flre 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 Califomia Health and Safety Code been fully complied with? 0 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency'? ij 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). 6 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 end Safety Code). 7...... .. emit 7 a catiofrom the South Coast res prescribed Management District or other airtpollution ioncontrol district03 or agency is required for the work which is the subject of this application,have at of the disclosures by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes'',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE • COMPLIANCE:I certify ••- •-•-I of perjury the information given above is correct.I agree to comply/�w�ithth all6lsslate laws and city ordinances regarding Haz. s Materials:•I•���.,��r* f .''i/� / Signature: _JAL':. I��r_s Date: / CERTIFICATE 0; OMPUANCE AND AUTHORIZAT0 `r F ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I ee- • comply with all state laws and city or,9 ances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above ascribed p operty for inspecjj p p ses.I�egre not to occupy or allow occupancy of any building authorized by this permit until final inspection. CC a /2-7/3�D6 SignatureOfLe I Owner( • r=pate_, / And/Or Authorized Appli nt Date CODE• INSPECTIONTYPF PATE INTBIALS CODEI INSPECTIONTYPE PATE ILi1IIJGLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 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 • Y> CITY OF COSTA MESA t � BUILDING DIVISION f • „„, ) DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER ply_1111.r_liff 4. riCa PERMIT M06-00804 (714)754-5273 • Fax(714)754-4856 • www.cicosta-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 2524 LEHIGH PL Status: ISSUED Suite No Applied: 12/08/2006 Issued: 12/13/2006 Vicinity: , Parcel Number: 14142423 :4, ' i..r;' ...:Ca ( daft,. Applicant: JAMES NEIDIG Address: 2524 LEHIGH PL t Phone: 949-632-6018 COSTA MESA,CA Zip: 92626 • Owner: BILLE AND JAMES NEDIG 'U \ EAT(�I®1�1 Address: 2524 LEHIGH PL - -=l''' 1 1►.77 la • Phone: 949-632-.AM rt�i LOWED COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER jEpR . gP Address: Phone: ',l'9.IR ES lli(3/07 ' Zip: Lice .e:000•c•- SCS; NEW 490SF MASTER BEDROOM AND :;T1 00 a YY 262SF SOLID ROOF PATIO. REMODEL KITCHEN, DINNING AND LAU Fit ROOM '._ 'E'! 41 971 • MECHANICAL TO INCLUDE: 1 FA .•,9 00K: t`..'No ^/.'`�V M �IR COOLING/HEAT FEE ': Mr•Y _ ' Quantity /' Quantity ISSUE FEE $23.50 % air/Alt Absorbtion Unit $0.00 0• Inst FAU<100 k BTU $14.80 1 Q'•air/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System • $0.00 0 Repair/Alt Cooling/Heat $13.70 1 ' vaporative Cooler - $0.00 0 Inst/Rep.Recess Wall Htr $0.00 (9 - ' Commercial Incinerator $0.00 ' 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.0! 11 Compressors/Absorption Systems Gas Piping ' $0.9.01 ‘11 , Up to3hp/100k BTU • $0.00 0 Factory Fireplace SUED• ri 3 To 15 hp/500 k BTU $0.00 0 . Hood w/Mech Exhaust 'lea• 0 15 To 30 hp/"1,000 k BTU $0.00 0 VAV Box '•0.00 U , .30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct e •a 0 • - - Over 50 hp/Over 1,750 BTU $0.00 0 . Appliance 'W0 Boilers , Fire Dampers 0.00 0 Up to 3 hp - $0.00 0 ' Smoke Dampers Da, r4 .0 3 To 15 hp -_- - $0.00 ' 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm -:.•r V 30 to 50 hp ' $0.00 0 Air Handlers> 10000cfm ,0.01 0 Over 50 hp $0.00 0 Floor Furnace ©&.j0 Other Mechanical Fee . Floor or Suspend Heater mils 0 Investigation,Fee .' $0.00 Plan Check Fee - ; / $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $52.00 • COMMENTS/SPECIAL CONDITIONS ' • 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)754-5626i I .2.... 2446-46(6'00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ I have and wit 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: Carrier: Policy Number: (This section need not be completed i/the permit is valued at one hundred dollars($100)or less.) .04 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 C I rnia,and agree t I should /L /ecome subject to the workers'compensation provisions of Section 700 of the Labor Code,I shall forthwith comply with these ,/ovlsi ns. / Applicant Signature: \ A??-Q! Li" ,. ./ Date: /// ✓71)G WARNING:FAILURE TO SE E WORKERS'COMPENSATI COVERA IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1 , ),IN ADDITION TO THE COST OF COMP SATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 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.Lic.# Class# Contractors Signature: - Date: 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 Cade). Lender's Name: Lender's 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 property,am1EXCLUSIVELY 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 exe der sec. _ -/ Business and Professions Code for this reason: / /Stature: jLm s 4 r _ _/ /‘ Expires: Woe- , Verification of c wnership by(type of document,i.e.-'teeny tax bill or deed): _J DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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,Califomia 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? ❑Yes 0 No (Section 25505 of the Califomia 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 time 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? ❑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 (Section 25534 of the Califomia 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? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this,Application a,Cermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the Califomia Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 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? 0 Yes •0 No B (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certi that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hast. Materials and r isiiik / Signatur 'a� e---y .n., et, � •ir. Date: / CERTIFICATEO OMPUANCE AND AUTHORIZATION 0 ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree o cpmpl with all state laws and city ordi noes relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describ d operty or inspection purpo - . _'toe pot t•J• cupy or allow occupancy of any building authorized by this per it until incl inspection. ,3 Pfignature:Of:Legab• rr(s) i And/Or Authorized Applicant /' Date CODE t INSPECTIONTYPE MI INTRIALS CODES INSPECTION TYPE DATE fN1RtALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 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 ����! ;, CITY OF COSTA MESA 4 . BUILDING DIVISION > :j- ,• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 V !" A . PERMIT 1N t P06-01012 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2524 LEHIGH PL Status: ISSUED Suite No Applied: 12/08/2006 Gil, ` _ Issued: 12/13/2006 Vicinity: _ 'F (L__ { Parcel Nunmber: 14142423 (.7ips sal Applicant: JAMES NEDIG ' iUC L. : :1 Address: 2524 LEHIGH PL Phone: 949-632-6018 COSTA MESA,CA Zip: 92626 Owner: BILLE AND JAMES NEDIG v �1\�Y®lr Address 2524 LEHIGH PL -': '\.` 1\l7Y lv Phone: 949-632-413C= LO �r�-,� COSTA MESA,CA Zip: 92626 WED 'ER AP . Contractor: OWNER-BUILDER Address: 91,4w 'r SIRES Oda'/ Phone: Zit.. Licence • 0 • SCOP of BERM NEW 490SF MASTER BEDROOM A0 e :' ,,,,'027 IT ACHED 262SF SOLID ROOF PATIO.REMODEL KITCHEN,DINNING AND LAUND•R-O.OM -- .13 1971 PLUMBING TO INCLUDE:2 W•,JIIn� OSET W jn BASINS, 1 SHOWER,AND 1 BATH TUB .EE ' M A' AMT QTY AMT ' QTY AMT QTY ISSUE FEE $23.50 L:Te. Was---T• $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Land-cape Digtz>hv'.•n -40.00 0 . Swimming Pool $0.00 0 Backflow Preventer $0.00 0 •-Tti $0.00 0 Trap Primer $0.00 0 Bathtub $9.80 1 r;43 1teFegu'?r71 $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 P • - I-iping(pe i ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 -ryaxY1:TP $0.00 .0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 V Septi `lkliti $0.00 0 Wash Basin $29.40 3 Dishwasher $0.00 00 Sewer Ca.'t g -mo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 00ewer Connec' $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 S-• -r Private Line .$0.00 0 Water Closet(Toilet) $19.60 2 Drain,Roof $0.00 Showe $9.80 1 Water Heater/vent $0.00 0 Drinking Fountain $0.•r ! ' k OM $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.'' 0 Sink, .• mercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.'! ® Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) .telt) 0 ink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $i.•• ! alb. service/mop $0.00 0 OTHER $0.00 Gas Repipe • 00 0 kr (private) $0.00 0 - VIOLATION $0.00 Gas Service •• 0• 0 'a(public) $0.00 0 PLAN CHECK ,. $0.00 Interceptors(Grease,Oil) $0.0• • - REINSPECTIO $0.00 0 Interceptors(Sand Ay, •)C• 41 TOTAL CALCULATED FEES: $92.10 COMMENTS I SPECIAL CONDITIONS- - 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. E . FOR INSPECTIONS CALL: (714)754-5626 �r 2446-46(aroo) DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: . ❑ 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. . ❑ I have and 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: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) - . I certify that in the performance 01 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' stcompensation laws op alt mia,and agree that i should become subject to the workers'compensation provisions of Section 700 of the Labor Code,I shall forthwith / comply with these p ovist s. y/�- r� Applicant Signature: ( 1n P. 11- O� 1 Date: / / ✓l//�/ 6 WARNING:FAILURE TO SEC WORKERS COMPENSATION VERAGEI UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1 ),IN ADDITION TO THE COST OF COMPENS�ON,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 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.Lic.# Class# Contractor's Signature: Date: 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). Lender's Name: Lender's 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 properly 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.). ivy I,as owner of the property,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 pur to the Contractors License Laws.). ❑ I am ex pt u der sec. .a SC` / - Business and Professions Code for this reason: at : (5 1,41,4 �� J 2/1/12 / B diID vedfi drivers licenss e. ! 'es / ❑No II 'v- . - se No. .` - Expires: I'/lAd Verification wnership by(type of document,i.= properly tax bill or deed): 111 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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? ❑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 time 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 (Section 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? 0 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 a,permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L-I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑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? 0 Yes ❑No 8 (If'ryes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OFA 'LIANCE: 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 Hazard• erialsa .. mission (`'L� Signature: -t4 ?�, / " Date: CERTIFICATE OF .•LIANCE AND AUTHORIZATION OF ENTRY/ certify under penalty of perjury that I have read this application and state that the information given is correct. I agree -CO.,ply 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-desc'.:. . perry for inspecti purpds�5.I awe r3flt•to occupy or allow occupancy of any building authorized by this per t until fraal inspection. �y/�Q f /C�ner(s) r l J 1 �'"' �'Igneture�Of heJa_I,OwneT(s)- 3Dala�—_ — And/Or Authorized Applica Date CODE I INSPECTION TYPE laa INTITIALE CODE( INSPECTION TYPE RAIL 11BIDAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 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 PROJECT ADDRESS: 2524 LEHIGH PL UNIT` CITY OF COSTA MESA -- BUILDING PERMIT PERM NO: 13 096553 OWNER'S NAME:,B ILL & SALLY MOODY - - ADDRESS: 2524 LEHIGH PL PERMIT NO: B 046553 PLAN CHECK NOa N GOVT: N SUPP : N N . . COSTA• MESA - ' CA 92627 CONSTRUCTION TYPE: 5-N i PERMIT TYPE: SIR ' . 'PURPOSE: ALT ( 714 ) 631-8661 4ARcx/ENGINEER: • REG.ND.: JOB DESCRIPTION : ADD SKYLIGHT/RE-SHEATH,RE-ROOF/FIBGLS SH SQ FT:- • . 7, 430 ADDRESS: . CLAIM VALUE: • 7, 430 , 00 CALC-VALUE: 7, 430 .00 GROUP OCC: •R-3 / PERMITTEE: RAINPROOF ROOFING ( 714 ) 536-8702 1 ' ' - ADDRESS: 369 P .O. BOX COMMENTS : SMOKE DETECTOR( S ) REQUIRED -IN HOME. ' HUNT.INGTON BEACH. CA 92648 #>Es *****ae*edx*** * srfraesr** ***fit **fie***iyiEi ****�E*KNaE�sytdt*st. �Eer>E*Br*�k*et.*u***st*** yc�ess***_ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section . Z 0 N I N G R E Q U I R E' M .E N T S 7000(of Division 3 of the Business and Professions Code and my license is in full force and effect. ' SET 13 ACK S cnuc.:049442STATELC.:S5 / CU :' - - , , --- on. 3 /6 7o Signe j :r:A� � . i .�. MAIN BUILDING ACCESSORY BUILDING ---- - ------- , WORKERS'COMPENSATION DECLARATION: I her,y affirm that I have a certifier 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 L EFT: -FT IN RGHT: FT IN' POLICY NO.: - UP.DATE: . , • COMPANY: • PARKING REQ• PROV: PARCEL ; . 14142423 ZNE: .REF NO: 1-9 Certified copy is hereby furnished.: ❑ Certified copy is filed with the city Building Division. i PLANNING , NOTES> • ' > . - - • - Applicant: _.' -. ************ae******************************************************** ********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: section need not be completed if the permit is for one hundred($100)or less). D E V E: L 0 P M E N T' 'SERVICES REQUIR E M E N T S I ' I certify thattin the performance m ns the work for which thisoUle sue shall notoY a Person in an manner so as to become --- _ — Dalsubject totheworkers'Compensation Laws of Califor- S ZONING. APPROVED BY DATE: Date: p --i()� e 0 .Signator a -- - . - -.. - . . NOTICE:If,after making this declaration,you sh become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY. ••• ______ DATE; ' Code,you must forthwith comply with such provisions or this permiCshall lie deemed revoked, •:• • , - 1 /----- — ��//-- CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for AP PL I CATION ISSUED'.BY: r _ .•� which this permit is issued(Section 3097,Civ.C. �t•, ,/��-' DATE; V %, ********************** , • ***$- •l************i * W** LENDER: - ******************************************** fir ***********************'********%* ADDRESS: - - - LEGALIZATION:N F .E E - SUMMARY • „ STRUCTURAL-"SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the followingreason BLDG PMT PLUMBING . ELECTRIC MECHANIC . FIRE SMIP/RES, - GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT • ' 99-. 00 , 52 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 - i _ SM IP/NON-RES. and Professions Code)or that he/she is exempt therefrom and the basis far the alleged exemption.My violation of Section 7031.5 by PLAN _ .. v any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DIV--> PERMIT ISSUE PLAN-CHECK TOTAL PAID i i.. DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS---->' 99 . 52 . ,0 , 0 0 ' ' 0 . 00 99 . 52 99 . 52 . 0 0 does not apply to an owner of a property.who builds or improves thereon,and who does such work himself/herself or through -- his ar her own employees,provided that such improvements are not intended or offered for sale.If, however the building or1 improvement is.sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE -DIVISION TOTALS--> ' COLLECTED: 99 . 52 OVER/SHORT : 00 for the purpose ofsaie).. 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 99 . 00 . a'z. ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon , '• • ,, • and who contracts far such projects with acontractor(s)license pursuant to the Contractors'State License Law). I am aware -************.*******.**.**.***.***.******* .********** ***********************.********** that proof of their Worker's Compensation insurance should be provided to me. IND IV IDU A' L F E E BR E A' K D O H N ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY ll F' S C R I ' P T I 0 N ' UNIT COST• . TOTAL TOTAL COST Date: owner SFR 800 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 } , 800 , 00 I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR ' -6630 REROOF BY VALUE RES IDENIAL NOZONE • 1 . 00 6 , 630 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county , ordinances and state laws relating to building construction and hereby utho�T[a represents' s of 'softy to enter upon the above-mentioned . . .-• _ property for inspection purposes. t Date:'3^/b— i>CI Si9nalurP /"�-`� a ����� DATE�D3%fib 9005TI161E: TOT �49,57 - ' Driver's License or Social Security e: • 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - - . . _ - • CONSTKUC IT ON AND PLANNING POOL A APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52.`Pool & Equipment Location -2. Soil Pipe-Undrgrnd: 1 53. Steel Reinforcement ' 3.`Electrical Conduit:Utility-Undrgrnd. 54. Forms 4. Electrical ConduifUndrgrnd. /1 • 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. -t r 8. Foundation - . ' , 1. - 59. Gas Pipe, 0 Undrgrnd., Test .--'5 • 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-w.,- - 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 Fi're'place { f •- APPROVALS - . Permit# • • - 21._Ducts,in Structure" ' .. - ' ,70. Underground Hydro 22.-Ducts, Ventilating : - " ,:,.4. * ;:71. Product Piping 0Gas O'Oil ., 23.'Gas;Pipe Rough & Test - _• - - :72. Underground FlUsh ' 24. Roof Framing ` _ - , :.73'- Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . 322 eV 0 ' 74. Overhead Hydro . 26.7T-Bar Ceiling (Structural) & Monocoat - 75:-Dry Chemical - - -. 27. Frame and Flashing: 514L15' "r 3•yn,,70 / 76. Dry Standpt ' ipe - -28. Lathing & Siding: 1' ' - -'1••_,r . • _ .. 11 „ . a. 77: FIXED SYSTEM:FINAL . "-• 29. Insulation _ -- _ ' -c78:`FIREPREY. FINAL - 30. Drywall_Nailing . ,_ ,_ P. I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat• ... (.s + 7.79. FINAL INSPECTION - ,.,32. Electrical Power Meter-Final r •,_r. , 80._FOOD CERTIFICATE ISSUED_ .. 33.•Final Electric _ _ t / /a r Notes: 7 _ 34. Final Heating'& Air Conditioning- ` - i - - - 35. Final Gas Pipe-Test ; - , ,- ;t .. - - 36. Hoodor,Cano - " ' - _ . . -37. Final Factory Fireplace. . - ,•j '. -r - ^ - _38. Final Plumbing `-- l.. 5 - - ' 39. Water Service:Final. - •i •t! II T - � '40.''Gas Service-Final - " - • _ r •1 ' - . , . ._ `41. Solar Dromestic-Final '` .. x 4 , t__ . 42. Backflow Preventer " _ f 43. Backflow Irrigation` _ - ,- •'44. Landscape Irrigation System ' ' _ i r _ - 45:"Sound Attenuation _ •" - -.-x _ -46. Handicap Regulations _ _ - T. - _ i. 1 t _ 47.-FINAL STRUCTURE & BUILDING 3iZ6--10 6 y444 o 48:FINAL PLANNING ' . r I. _; - _ 49. Electric.Release to Edison 'i.,- ; :-- . - • 50.TGas.Release to Southern California Gas Co a. ° ' - - 51. CERTIFICATE OF-OCCUPANCY • No. Date ' 2524 LEHIGH PL UNIT:'sCITY OF COSTA MESA — , BUILDING PERMIT PERM NO: B .046355 M DENNIS D. REINHOLT ' • ADDRESS: 1823 TANAGER PERMIT NO: B 046355 PLAN CHECK NO: 03010-90 S GOVT: N SUPP : N CM CA 92626 � - CONSTRUCTION TYPE: - PERMIT TYPE: -SIR PURPOSE: OTH • • ARCH/ENGINEER: 545-3627 REG.NO.: - - ADDNEss: UNIT: JOB DESCRIPTION : PATIO COVER SQ FT: t 352 • - CLAIM VALUE: • CALC—VALUE: 4, 857. 60 GROUP OCC: R-3 / • PERMITTEE: DENNIS G REINHOLT ( 714 ) 545-3627 . • ADDRESS: 1823 TANAGER COMMENTS: LEGALIZE PATIO COVER REF B24929 , CM CA 92626 ' ********�r�e�t* Era*******:* ** ***4*************yr �E+rx**** tit******+tit+F�tiE�rx-x-****** **stat-* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q 'U I R EMENTS 1 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect. SETBACKS , CITY LIC.: STATE UC.: CLASS: Date: signature: MAIN BUILDING — --- ACCESSORY BUILDING. WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; 37 FT IN 'FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: I EXP.DATE: ' COMPANY: PARKING REQ: PROV: PARCEL: 14142423 ZNE: RI REF NO: n Certified copy is hereby furnished. ❑ Certified copy isfiled withthe city Building Division. PLANNING NOTES> LEGALIZE AN EXISTING, SOLID—ROOFED PATIO COVER ATTACHED AT > THE REAR AND SIDES TO AN EXISTING SINGLE FAMILY RESIDENCE. . ..ie: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is to one hundred(8100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N .T S . I certify that in the performance of the work for which this permit is issued,I shall not employ any Derso in any manner so as t0 become .�p� subject to the Workers'Compensation Laws of California.naure: " ,q /� � ZONING APPROVED BY :—� ,j� ---• - DATE: �� •0-r 'v Date: 7 - 5--- / / • Signature: d/40ad u - - NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING 'APPROVED BY :__ _ DATE: ' . --- CONSTRUCTION you must forthwith comply with such provisions or this permit shall be deemed revoked. �ii..�� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ��► DATE: �'OS -�_... . which this permit is issued(Section 3097,Civ.C). **********************3FR ' iF*'3f • *'WWW*********** - *.* UNDER: ********************************** ' *********************************** ADDRESS: " LEGALIZATION:Y F E E U M A R Y • STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC ECHAN IC - FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish.or p ERM I T '1 4 4 . 0 0 , 5 0 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 . • SMIP/NON-RES • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ' 93 . 60 , any applicant for a permit subjects the applicant to a civil penalty of not more than fns hundred Dollars(SSW). ISSUE FEE • 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 �) itrutture isnot intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS———--> 144 . 50 0 , 0 0 46 . 80 191 , 30 191 . 30 . 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. It,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 : 191 . 30 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 exclusivelyy contracting with licensed contractors to construct the project(Section 7044,Business 1 4 4 , 0 0 . 5 0 . 46 . 80 ❑ 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 projectswith a contractor(s)license pursuant to the Contractors State License Law).l am aware ********************************* ********************************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A. K D 0 W N ❑ I am exempt under Section: B.8 P.C. ' • or this reason: • A (, A TYPE QTY D E S C . R I P T I O N UNIT COST TOT'AI. COST Date: 3 S%O owns /Jwarv, C + ( SFR . 352 RES—PATIO COVER—POST & SOLID ROOF 13 . 80 4 , 857 . 60 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. Date: Applicant: , I hereby certify that I have'read this appncation 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 authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. , f) '_l' z / • , Date:• "� 93 signature:121-11..--1-“--, U/Y�y� ,G/L!_�4A[ 01 00055424-00055426 TOT 191.30 Driver's License or Social Security it: ' DATE: 03/05/90 TIME: 14:38 1841-8 White-Building;Green-Code Enforcement:Cenery-Applicant:Pink-Revenue:Goldenrod-Assessor - - i - - a. YJ t -:-I CONSTRUCTION AND-PLANNING POOL ,PA APPROVALS Permit# - Date AI nspector• APPROVALS Permit# - Date Inspector 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 :. S.-Steel Reinforceinent 56. Rough Plumbing & Pressure Test • r 6.'_Electrical UF Eta.Grnd. 57. APPROVAL TO COVER-GUNITE -7. Footings - 58. Electrical Conduit-Undrgrnd. - - 7 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 Lint& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • -' 13. Roof Drains _i 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-Conduit - 66. Solar System-Final ,_ 16. Rough Electric Wiring r 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 r } . -- - _FIRE_DEPT. REQUIREMENT 20.-Rough Factory Fireplace _'�' - - - 7 . t -APPROVALS =,Permit # - - 21`Ducts, in_Structurri e _ = r -7: _ _70. Underground Hydro , 22. Ducts, Ventilate y i. -, t,; ti. ,71. Product•Piping OG_as O•Oil 23.•Gas-Pipe-Rot-"gh & Test •T• _• -:,..-1,; - ;72. Underground FlU R _ - 24.`Roof Framing , , a • ••73. -Undergrnd.Storage_T_ank 0 Gas 0 Oil 25. Roof Sheathing _ ' ' , - '.2•• f 74:•'Overhead Hydro.'_ - 26":T-BarCeilin (Structural) &-Moriocoatr - '' '=." 9 t-.; _ y ,i e 75._Dry Chemical 27. Frame and Flashing E . - ^' a 76. Dry Standpipe -' ,_28. Lathing-84 Siding > t- -C,= , •:T; - 77.- FIXED SYSTEM FINAL _ • _ r- _29. Insulation = ? ' ki-- t 78= FIRE PR EV. FINAL ' 30. Drywall Nailing ; _ ; . l ' • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ' i f r .t *'79. FINAL INSPECTION ' _32:_Electrical Pov4er'Meter-Final -- r,* " t } 80. FOOD CERTIFICATE ISSUED_ 233:Final Electric * < Notes: 34:_FinelHeating& Air"Conditioning- J ( 'Y , ,* 4 _ ° - _ ,. 35.-Fin-al Gas Pipe-Test; -_ .-..I.:.-,: -_ ''1l. • li l x _ - _36._Hood or Canopy , ,c• , _ _ I I , + -, --1 - .- • li'x,x __37.'Final Factory Fireplace:.; _ .i i {:••a - .. -38. Final Plumbing '. _ - '$� ,` rl _ - '1 39.:Wafer Service;Final a • 'w . - :40. Gas Service-Final : }'•" ' f41. Solar Domestic-Final` -t l•�' ;, - • • - ... 42. Backflow Preventer [. .r * - �'`• •" - 43. Backflow Irrigations ;. r r f •i i^ - ' • n• 44. Landscape Viegateon System,;&:. 1 d i:-. - -r > -r -i _ ` 'r a _ _-• r:r r „ r r 1 -• - - - `45.'Sound Attenuation :; ., . P. . rr;, - . _ . `46.•Handicap Regulations _ -' 1'; 1 - • •=• • - _47.-FINAL STRUCTURE & BUILDING _.. 3'9.40 bW A> •. J` I r 48-FINAL PLANNING ; r' - ' '• • '"' " Ti -., 41 . ,.ri t • _ - 49:'Electric'Releaseto Edison r./' ' ( ` ' s -50._Gas.Release to Southern California Gas Co •• '"i): - ,, '-' T' t ' 51. CERTIFICATE OPOCCUPANCY * - . -- - - No. Date I I k • *ROOF CONNECTION DEVEUDPI NT PATIO COVER DETAILS SERVICES DEPARTMENT CONT, BUILDING SAFETY DIVISION TYP. PLANS LEDGER SOLID BLOCK RAFTER OWNER: DATE : ' ADDRESS: PHONE: • 1/2" DIA. X 5" LAG SCR. CONTRACTOR: LIC. NO. AT 32" o.c. ADDRESS: PHONE: DETAIL I RAFTERS RAFTERS APPROVED FOR CARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM. By Date SIZESPACING SPAN SIZE SPACING SPAN 2"x4': 12"O.C. 9' -6" 2"x4" 16"O.C. 9' -6" CR a O SRNERAL NOTES: GRIPS OROR JOIST 16" 8' -0" 24" 8. -0" HANGER 24" 6'-6" 32" 6'-6" 1. These plans must be CLEDGER 32" 6'-0" 48" 5'-6" all in the job at '�t� 48" 5' -0" 2"x6" 16" 16'-6" all time during 2"x6" 12" 16' -6" 24" 14' -6" construction. 16" 14'-6" 32"' 12' -0" 2. All framing to be n 24" 12' -0" 48" 10' -0" Douglas Fir N92 345DIA. X 5" LAG SCR. grade minimum. AT AT 16" O.C. 32" 10,-6" 2„x8„ 24” 191-0,� 3.. Rafters 48” 8' -0" 32" 15'-6" may not DETAIL 2 2"x8" 24" 15' -6" 48" 13'-6"' attach to facia ex- 32" 13'-6" cept for 1011nroofs 48" 11'-6" as shown on details; IOitis.OR LIGHT WEIGHT ROOFS 4"x6" 24" 17' -0" HEADERS 201bsroofs must use ONLY CONNECTION DETAILS 32" 15' -0" LIGHT WEIGHT ROOF ONLY a continuous ledger 36" 14'-0" attached as shown 2'' x FACIA -MIN. REO. 4"x8" 24" 21 ' -0" SIZE POST SPACING on details #l442. 32" 19'-O" 4x4 61-0" 4. Light weight roofs 36" 18'-O" 4x6 9' -0" may attach to facia 48" 16' -O" 4x8 12' -0" for 14' span max. , Z 4x10 15'-0" spans over 14' must ®_// RAFTER 4"x10" 32" 22'-0" 36" 21'-0" CARPORT, PORCH OR PATIO use a continuous 48" 20' -0" SIZE POST SPACING ledger as shown in APPROVED METAL detail #3. HANGER 72" 17' -0" 4x4 ' 5'-0" 4x6 . 8'-0" nJ— DETAIL 3 4x8 10'-0" 4x10 12'-6" DWI lb l A NOTE: SHOW AND DIMENSION PROPOSED CI5 _, �1) PATIO COVER AND YARD AREAS �.'Jr�'/,poop � 1. ) // \\ SEE DETAILS ON REVERSE SIDE ,t-.1 % / 10 k 11J0W-f ,1"•...,.i ROOF SHEATHING II� �'� •••• OVERHANG / fes'" rkS \ '••••• ...... �.♦ I \ X_RAFTERS •••••'•• ' 1 / '� \ AT_O.C. . •.. e ` -�J y � o• ?'_=..,o �''zO o __.X_BEAM 1L4 i Cl/ Q fj - '.ri ,2F- \-L- 2>Z T-STRAP EA. SIDE ~� \ I) n La-0 p,C ' ,' 9 N \ �1WoL FOR POST- BEAM0 \'Q °j ` z \ 112g CONNECTION. o :O ]. �� ii Z •p we 0 e� I > o=' - o SOFu a z a C 1 G Qe 710 ix -O .r l:6;32 t F.LL. T H F O 1 q T} 1- 1- 4 u ir ��•-%'m \ i'-'3,-75 Q 41 4 N Q 2_ ;.: 1 � ;r I, o jr c•'. z("�i' x!.._.:-3 oz en ja. u - yy�� -,O a al t- u ` 0cic z �/ /y/� �--^J C d „ O; C:7 v W;\ \ 1;3`�L h u 0 0 t 0 0 is: OI U 7 goc209!J ro ?i :i p'! �\ o--l� U N 2 U W ��j - U z etc' 5zDROP ATIO• aw Z x _1 2 0 A,, i�: •�: •�� ® 1 1:I -' ° 1 ` > • _ _, \ j'�,�F�00 2" 80 m = Z m U O � f � - ^ems \�r oo� �d7' 'v � o � a / CRY OF i? A MEd-" I Z ji u. i8z \.'z$LOP�i TO DRAIN I PLATE T' I C JCS Z �il� ,F 1 ABOVE SLAB-y,{ PLANNI G DEPT. 1 PO t . .- "*":i..1 .. l iC hOUEJECT TOE0. D9L QE L. s i-ci= 6z Le3/S X90 uIT- Uux-1i ,z f t'r�a 26.GA_>. GV. I. FLASHING1N1 I:CO "L nr : • .. MOOD'. OORdY e 7.....___.. DIRECTOR Or .'; i • COI __ - . CONSTR ION PIERS 12" SOJi o a a o vrr`-Y v g . i o STEET SIDE ELEVATION LL NE - I ADDITIONS, DELETIONS, D 41:11 TION�'�++,(t�N CONSTRUCTION DETAILS L APPPOvED DY Tilt PLANNIN6uteAKIMENT •L OWNER REINHOIjp. DEJj $ DATE 2-27-69 JOB ADDRESS 2524 Lehigh Place BUILDING PERMIT NO. 29783 Gr"ERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Add Family Room to Res. ....,». LOT 81 TRACT 2750 FIRE ZONE VALUES 5,909.00 INSPECTIONS Signature Dote GROUP T TYPE i ZONE R-1 SOIL PERMITS ISS ED GAS SUBCONTRACTOR Dote Number 1 Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER El ROUGH WIRING f.f '•Z3- Heating and Vent. TRENCHES FA FORMS r,J STEEL REINF. I l FLOOR SYSTEM ;f1fi '3-2.5--69. BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING �f t„L 0 LATHING - IN U OUT SQA rzwkliap S•- - 6' 'ER, BROWN COAT ill 9' ----G• GTURAL, FINAL I- r'-. HEATING, VENT., REFRIG. AND A.C., FINAL If , - S a -6- o _ b t PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL /Pe 9-29-p7 BUILDING, FINAL XIX' 7,l7. (. \ FEB 28-69G-ITA-00 715* ****48.00 29783 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely � � raw/ �r�' RECEIVED B,y DATE RECEIVED DATE ISSUED BUILDING -�/lyiy/��".•'/y� L-Z/ -6�' 2_27-69 ADDRESS G{//' /�.L/, �Ejp CM/L7 2 OWNERyKa A.P. NO. / -/ L. O` / / d / MAIL �� �/ / ' ���� BUILDING / � � ADDRESS �/ `(„��'l-LIZ LZIL(f`/L,'/ ADDRESS --(( /(` p / 0 U CITY �-7 r NOTEL6ys-J4)� TRACT pc7Cre LOT D / BLOCK I- Z -A, YNLWA CONSTRUCTION.4:s. /) v NEW ADD ALTER REPAIR MOVING DEMOI ISH OI- LENDER 0. mQ��O/f /,Jrj�rt,/� it ii n J BRANCH f J(n - r OWNER '((-I Q w 39.9 _44z1 ham . P. ��,�,,/„�.>� ADDRESS As tLNA. (.c'c p VALUE O� mJ / rQM' llm0 � n 111. m ARCHITECT TEL. USE $`�! 9O9 J Q OR ENGINEER NO U n FIRE z a ZONE TYPE /./ GROUP ul ADDRESS 2 w APPROVED /r/�/ .2 CONTRACTOR 7Z�t,(, BY // DATE 27-47 JQ CO J 2 ADDRESS W W TEL. ZON / NO.OF USE OF NE Z1- CITY NO. PLANS BUILDING Ern DJ 0 STATE CITY YARDS APPROVED YARDS APPROVED to m LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING JO (FROM C/LST13 511SIZE 1 NO.OF BL OF LOT 72 V /QO INOW ON LOS (n( FRONT/ fFTT/4:11 FT. USE OF , i , EXISTING BLD�/G. /_-- ._'a`,,,nA_ A t ' : S • • FT FT F SIZE OF NO.OF 2 NEW BLDG.CK //y Xaa'6 ROOMS ,/ STORIES / L.SIDE (.4FT. FT. Q EXTERIOR WALL ROOF � � r �Q 1101 V_ COVERING I COVERING W /.YN4GLe+ REAR y� FT. 9 FT. J U OF B I DIN AND WORK T E MED ((// 4 DISTANCE BET. BET. MAIN& a. 4.-zni t/7/lr 'LG(/ MAIN BLOCS. ACCESS. SLOGS. Q VAR.# • DATE O C.U.P.# APPROVED Ct -EtYAPPa&4J _DATE c -7- o7 / -I 2 o oI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of - C/3the State of California. i j 9/ za 4 z P I hereby certify that I em properly licensed as a contractor under SQ. FT. _o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ,• Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9 — to n PERMIT FEE $ N �'`/, dal J D Signature of M / j4 $ 5190/ PLAN CHECK $ //‘ E Permittee �;...7 ,J o t�) Authorized Agent .- V� LL TOTAL FEE $ O A¢ OWNER REDONE, Dennis D. DATE 11-22-65 .� JOB ADDRESS 2524 Lehigh Place BUILDING PERMIT NO. 21029%GENERAL CONTRACTOR Owner-gldr. DESCRIPTION OF WORK Add Patio ttc Res. r No. 10-424-23 IAT $i TRACT 2750 FIRE ZONE VALUE $ 250.00 ECTIONS Signature Date GROUP J TYPE V ZONE R-1 { Sou PERMITS ISSUED eat Gas SUBCONTRACTOR Date I Number I Signature 4 Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.CI Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power [] Rough Wiring Heating and Vent. Trenches C'' Forms Steel Reid. ' Floor System Bond Beam 0 Steel Reinforce 0 Sheathing • Frame and Flashing Lathing In 0 Out p Plaster, Brown Coat ° ural, Final Electric I .ag, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test ❑ Electric, Final Building, Final q 24929 CITY OF C STA MESA / COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92828 NOV 22 1965 For Applicant to Fill In Completely APPLICATION FORPERMIT TYPE ORp PRINT �1 �_ ` qg I n� •UILDINO 25x2 L e h i j h Pi 4.Aie --.-�.t7de JW-O ADDRESS [X.l�sC V RECEIPT No. 217 COSTA MESA. CALIFORNIA ���C}} 929 RECEI DA RECEIVED ISSUEO OWNER .h e#Nt_5 /. /?e i WAa4 7` //�j22�/' <//C/ _7 S' MAIL as L �7 ADDRQIaS , 5"-21 Li-I7�i ci ADDRESS O2 V .�I e�i /Q h / L 0. c e //�1�� ""�� >11.t42-11 �. - ^ �1 Cv1 S�SS�i i,e"!7., yFlR[ �7 CITY L{YsA. //LCe s- GLP.( NOL✓ /J�31Ed/ ZONA TYPE GROUP /` 9 PROV®4)1# DATE d -22-144 ARCHITECT TEL OR ENGINEER NO. ZONING ADDRESS ��rT11 e(L(� CONTRACTOR /J-(A.(�•L - 134.4fSv �1 1 —� /PLANS I BUILDING f'Q 7'(gy p LEYCRIRION 401-8/ 7/7"C � ( �v ADDRESS CITY A.P.NO. /q/— Zy --.9 a3 ' TEL , NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE SIC.NNO. Sr TO SIDE&REAR P.L. r EAVES SIZE Z•X /Q a , I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT/ OF LOT A\ NOW ON LOT USE OF l! YARDS APPROVED YARDS APPROVED EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING /` y��L'�//� (FROM C/L STREET SETBACK R L NE rRostEET t3--v! REAR YARD FRONt44 T4j,CC �v FXIl TC . SIDS YARDI LEFT 45 I RIGHT (^:"� R.SIDS /jLj',4 ` �•�'/11I DESCRIPTION OF WORK Yv L.Bun /3 FT FT. �V / NEW ALTERATION ADDITION REAR �" PT.74— PT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR.tC DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL ROOF APPROVE2 ftei/�A,, 2. Z --C--.1-- COVER ct COVER I NO COVERING 4T YIM'��T/ DATE �/� USE OF BUILDING AND WORK TO BE PERFORMED / _ P. W SQ.PT. et I HEREBY ACKNOWLEDGE TIAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE D AND STATE THAT THS ABOVE.18 CORRECT AND AGREE TO cos. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATES VALUATION etQ7 D SCOY// ON. PERMIT FEE aPIGATREOF ERMTTRqPzma AiC/� E s 2 Lb a PLAN CHECK S &lt, IT, AUTHORIZED AGENT TOTAL PEE S OWNER Costa Mesa Estates DATE 4-12-56 JOB ADDRESS 2524 Lehigh Place2681- BUILDING PERMIT NO. • --• - GENERAL CONTRACTOR Roven-Spiegel Co VALUE $ 11,200.00 LOT 81 BLOCK TRACT 2150 Single Res w/att gar GROUP 1 &' 'J TYPE V ZONE Rif FIRE DISTRICT 2703 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED pp DATE NUMBER Footing TrenchPlir 4. p'.2.1— 3 Foundation Forms and Grade to Garage. f-/z -lt Rough Framing 4r� /0" "2 Plumbing,Rough to Slab a In 65 Ail 4 /,,. Plumbing, Rough Complete hta-3 W [.Gey - a k-,-. c{/ ret 4n, ,r,-i' , (, ;c 6 Temporary Pole //'' Wiring,Rough i�^ d/ •/ •/ St 9 .4.1,-ten J '_cD n36 / ., , -, ? -C6 3 Heating, Rough 5 '!7/ - _ 0 , _ 5 1.''' /0-17-07,. 7/57 Heating, Final aryl & 5 , 1-3-9 v€ewer, House`s(VL Sewer,St. th6-5 )( f g k, eoma, , ega -/s-5-4 • 9.3 Septic Tank or Cesspool � ��CV Lathing, In Out '+✓d 6f�:6 L!- . Plastering R'(FA`Ct-, 0' •27 `r'�S Plumbing,Final,Fixtures Complete J'11e5 I•d4'61 f Plumbing,Final Gas Test /S.d IMi / ,).its. -c ��„- AA( 1i/Cl/ Wiring,Final FEB 2 6 VC C _ Occupancy FEB 2 6 1957 VCB FORM 210 3M 10.53 Costa Mesa Building Department -_. Aral-CATION FOR PERMIT 117 EAST 2Oth STREET BUILDING 1 COSTA MESA, CALIFORNIA 2703 FOR OFFICE USE ONLY FOR APPLICANT' TO/ FILL IN Receipt No. Permit No. Auilring a �[ 3e1-�'i/r//a l///_ „ / I /1 E ,J/ Address J �J" (J/.=(G//L(�� a d Costa Mesa, Calif Pala Received by. /Date Reed. _ Date lisued / Nearest 44/ // I '" /.Z- S r'u (���'�-S tv Cross St. 44/-I( ,) --ete2C/1 Building A Address Owner 'ere-7,---- l _tom (.=I�7Y,iT.-� Costa Mesa, California AddressMall ssJ e'+ g 4l/ .I, 21' Nearest City 41.7 .i UL%l 7 �"' Noi.e ,le3-Z Zone n I No.of I Type , / GroupO , Architect or„y, ,/ Lic. (� Plans l�Engineer /%L�Y �'�� � �i No. Approved by Date Address Sf//.''6Si/ :2/)4 %29- --Ater CORRECTIONS City Lic., • Contractor/c'vu '4797E i t'- No./2-.*c/G, Address dt'.(z Gr', -3,4t `moi 2'r'S , -SFS Legal Lot p f 1 Description No. 0/ I Block II Tract 77.1 C (Attach Metes and> 1,Bounn/d�ss�) Fid �"'' "� i Size of Lot 70e /& /I Now oNo.of n Lots -�� Use of I No.of I No.of AVR 1 3 19b5 °z Existing Bldg. Families Rooms - 5 Setback Line from ar Re r Y rd Center of Street �) /� Side Yard S-`k % y DESCRIPTION OF WORK tiI7T Of COSTA ,",',ESAr New I ^<I Alteration I I Addition I - Repair I I Moving I I Demolish I - Building i/2X / No.of /' Size `Y% (�C, Rooms 1 ' Stories,/ Exterior WallRoof(..6043---/C -- I Covering T(./e;(-0 I Covering G/4i�V ctc APPROVALS Use of Ngew /f-„ ie Building ! �G�'Y Foundation Location Inspector Date JJForms,Materials, .Ca �f,��,/,( Under-Pinning �- -r/ Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature of (t2q(^� /eya� o;.�/� Permittee / ' 7 C/"Fi7r" Plaster,Int Authorized Agt. �i 7 ��.[ci, Plaster,Ext. Valuation 6I er�ivit Fee $ ,2-e— Masonry Reinforced `/L CW Plan Check$ /it'-._ Bond Beam /- - - Total t:. 2-n. • 1-71 .-________.....--/-4/ _FINAL — • . a •d ' -d 2pCO BYr O. r •n^ 13 'ni1HE5tr 3121 ':4>:' p?.M. ' • • Street PLOT PLAN _ Show location and distances from property line and between buildings. . • - - .. . .