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HomeMy WebLinkAbout2371 LITTLETON CIR - Building Permits • CITY OF COSTA MESA t • `:. BUILDING DIVISION y .� 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-me$a.ca.us r r os� : I %). ippcia FOR INSPECTIONS CALL: (714)754.5626 szbse.m • PERMIT NUMBER: B09-00028 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41913227 DATE ISSUED: 02/17/2009 ISSUED BY: RMD JOB ADDRESS: 2371 LITTLETON CI CM Suite/Unit' Vicinity: HOUSE AND GARAGE ROOF Squares: 2200 Valuation: - $4,000.00 • • SCOPE OF WORK: TEAR OFF.(E)ROOF MATERIALS, INSTALL 1 LAYER OF 30#FELT ON A 4:12 PITCHED ROOF AND REROOF WITH 50 YEAR METRO SHINGLES (ER 5626)ON AN ATTACHED HOUSE AND GARAGE,APPROX 22 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: MILLER,WILLOUGHBY GEORGE Address: TR Unit: COSTA MESA, CA PHONE: 714-549-1098 - • City/State/Zip: 2371 LITTLETON CIR• APPLICANT: JOHNSON,SCOTT Address: 13672 ONKAYHA CIRCLE Unit: : • PHONE: 714-651-6130 - _ City/State/Zip: IRVINE, CA CONTRACTOR: POPA ROOFING INC License No. 675902 Address: 13672 ONKAYHAUniti ` - PHONE: 714-778-6294 City/State/Zip: IRVINE,CA - :r 92720 - - - CELL: - . • ARCHITECT: License No. PHONE:• ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: • $0.00 • Reroof Permit Fee: $97.25 • Reinspection Fee: $0.00 • Bldg Std Admin Fund $1.00 • TOTAL FEES $98.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and,related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INSPECTON TYPE 09IE INTl1ALS CODES INSPECTION TYPE 28.3 INimhl$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 PoOl Spa Final �1 ^�T 208 Final Plumbing 200 Final Re-Roof 3- / V /' 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 WORKERS'COMPENSATION DECLARATIO - Owner ID verified by dr -cense. 0 Yes 0 No - - I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ' O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 sec' n 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' fgmpensa• n Insurance carrier and policy ❑ I hereby certify that no excavation ftve(5)or more feel in depth into which a number are: person is required to descend,will be made in connection with work authorized , Carrier:? .. .S.--7 -1-4-- /..A1� by this permit,and that no building structure.scaffolding.falsework,or demolition / (This section need not be completed Elm rmrt r is valued at one hundred ddwrs(Sm0)orless.) or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp _ "/ / 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: U ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code, .hall hwith comply with these provisions. 41, ' ' f? Division of Industrial Safety Permit Number: —Apdt -y Signature . - -_e >"' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full r andel effect. 7 a registration form for acutely hazardous materials? 0 Yes 0 No Lica# 47 G� digs.# / (Section 25533 of the California Health and Safety Code, with some d ^rtaf y/7/- exceptions, requiress registration with the Costa Mesa Fire Departmentof y «( each business which at any one time has on hand a quantity acutely Contract s ig ure On -' 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Calif omia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she ' CERTIFICATE OF COMPLIANCE: I-certify that under penalty of perjury the did not build or improve for purpose of sale.). , information given aboveis correct. I agree to comply with all state laws and CII. as owner•of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date ' property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION'OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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 Euntil final ispection. . Sure nD to Signature Date ��7/ jQ 3057.48(3/07) `/ C And/or Authoriz d�A- ir:,nt Date - w `t m E LEGACY REPORT ER-5626- t' Reissued April 1, 2004 ICC Evaluation Service, Inc. Business/Regional Office•5360 Workman Mill Road,Whither,Catfoma 90601 •(562)6990543 Regional Office•900 Montclair Road,Suite A Birmingham,Alabama 35213 •(205)599-9800 www.icc-es.org Regional Office•4051 West Fbssmoar Road,Country Club Hills,Illinois 60478•(708)799-2305 Legacy report on the 1997 Uniform Building Code"" DIVISION: 07—THERMAL AND MOISTURE PROTECTION 2.3 Roof Slopes: Section: 07310—Shingles The panels shall be installed on roofs with solid or spaced METROTILE COATED STEEL ROOFING PANELS sheathing and a minimum slope of 245:12(21%slope). For roof slopes less than 21/2:12 (21% slope), the panels are METRO ROOF PRODUCTS considered decorative and must be installed over a roof- 3093 "A" INDUSTRY STREET covering system complying with the 1997 Uniform Building OCEANSIDE, CALIFORNIA 92054 CodeTm (UBC), subject to building official approval. 2.4 Underlayment: 1.0 SUBJECT Metrotile Coated Steel Roofing Panels. Underlayment shall be two layers of Type 15, one layer of Type 30 organic-fiber felt or one layer of ELK Corporation's 2.0 DESCRIPTION Versashield. Type 15, Type 30 and Versashield 2.1 General: underlayments must be listed with an agency accredited by International Accreditation Service. For use in areas subject The roofing panels are formed from sheet steel complying to wind-driven snow,ice build-up,or wind-driven dust or sand, with ASTM A 792-94, Grade 33, with an AZ50 class, hot- both of the following are required: dipped aluminum-zinc alloy coating. The base-metal 1. Solid sheathing, with two layers of Type 15 felt or one thickness is 0.015 inch (38 mm). Both sides of the roofing panels are treated with a corrosion-inhibiting coating.On the layer of Type 30 felt,for the field of the roof. exposed surface,colored stone granules are embedded in an 2. Solid sheathing with two layers of Type 15 felt applied acrylic resin base coat. This surface is finished with a clear shingle-fashion,solidly cemented together with approved acrylic overglaze. The installed weight of the steel roofing cementing material between the plies,and extendingfrom panels is approximately 1.3 psf (6.3 kg/m2). Various the eave up the roof to a point 36 inches(914 mm)inside accessory elements, such as trims, are provided for ridges, the exterior wall line of the building. gables and rakes. The products and their installations are illustrated in Figure 1. 2.5 New Roofing Installation: 2.2 Material: 2.5.1 General:Metrotile panels shall be installed on solid or 2.2.1 Shake and Tile Panels:The overall size of the Shake spaced sheathing.Panels are secured at hips or ridges after and Tile panels is 16'/2 inches by 523/4 inches (419 mm by they are mitered to match the framing lines. Panels are cut 1340 mm), with an installed exposure of 141/2 inches by 50 and formed into valleys. Valleys receive minimum No. 28 inches(368 mm by 1257 mm).The Tile panel has curved pan gage corrosion-resistant metal flashing extending at least 8 modules forming a series of tiles; the Shake panel has inches (203 mm) from the centerline each way. A splash impressions forming irregular shake pieces. The leading diverter rib, not less than 3/, inch (19.1 mm)high at the flow edges of the Shake and Tile panels are bent down line, is formed into the flashing.Valley flashing end laps are approximately 1 inch(25 mm),and the top back edge of each a minimum of 4 inches (102 mm). The metal valley flashing panel is bent upward vertically 1 inch (25 mm) and must have one layer of minimum Type 15 felt underlayment, horizontally back 1'/2 inches(38 mm)for weather protection 36 inches wide (914 mm), directly under the full flashing and nailing. Side panel laps are 2 inches(51 mm). length, in addition to the underlayment noted in Section 2.4. 2.2.2 Shingle Panel: The Shingle panel consists of raised Panels may be cut with a guillotine,hand snips,or a circular and lowered sections forming a series of shingles. The front saw with metal-cutting blades. A portable brake press or and rear edges of the panels are formed into a "C" hand-bending tool is used to bend the panel for hips,ridges, configuration, so that the panels interlock when overlapped. and valleys.Trim pieces shall be overlapped and nailed along The overall size of the Shingle panel is 101/2 inches by 52'/2 the ridges,gable rakes,and hip boards with 13/cinch-long(44 inches(267 mm by 1334 mm),with an installed exposure of mm) corrosion-resistant roofing nails. Openings in the roof 91/2 inches by 51 inches (241 mm by 1295 mm). Shingle shall be flashed with standard roof jacks and flashings as panel side laps are 2 inches (51 mm). required by Sections 1402.2 and 1508.3 of the UBC. Care must be taken to adequately weatherproof and support 2.2.3 Battens: Battens shall be 1-by-2 standard-grade flashings with additional blocking or roof framing as Douglas fir-larch or better. necessary. ICC-ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,Inc.,express or implied,as to -A nst any finding or other matter in this report,or as to any product covered by the report. sl, '`-'-. Copyright©2004 Page 1 of 5 • Page 2 of 5 ER-5626 2.5.2 Shingle Panel Installation: Fascia/starter metal is roof coverings in accordance with Section 1504.2 of the UBC. installed at the eave with corrosion-resistant, 0.125-inch- Noncombustible roof coverings as defined in Section 1504.2 diameter (3.2 mm) ring shank roofing nails with a 3/0 inch- are permitted in Section 1503 of the UBC to be applied in lieu (9.5 mm)head,13/0 inches(35 mm)long or of sufficient length of a Class A fire-retardant roofing assembly,when installation to penetrate the decking at least 3/4 inch(19.1 mm)or through is in accordance with the manufacturer's requirements and the sheathing thickness,whichever is less.The roofing nails this report. are spaced 12 inches (205 mm), maximum, on center. Full Metrotile steel roofing panels installed in accordance with panels are placed and fastened starting at the eave,with the Section 2.6 of this report over existing Class A asphalt front of the panel interlocking with the starter stripping. The shingles or Class A built-up roofing are classified as Class A rear of the panels is fastened to the decking at each lap and roof assemblies in accordance with Section 1504.1 of the intermediate third points with a minimum of four corrosion- UBC. resistant, 0.125-inch-diameter (3.2 mm) ring shank roofing nails with a 3/8-inch-diameter(9.5 mm) head, 134 inches(35 2.8 Wind Uplift: mm)long or of sufficient length to penetrate the sheathing at Metrotile panels, installed in accordance with this report,are least 34 inch (19.1 mm)or through the sheathing thickness, acceptable on any portion of a roof, on structures having a whichever is less. The front downturn of the shingle panel maximum height of 40 feet(12 192 mm), in areas identified interlocks with the channel formed at the rear of an as Exposure B as set forth in Table 16-G of the UBC and overlapped panel. having a maximum basic wind speed of 80 miles per hour 2.5.3 Tile or Shake Panel Installation: To attach the first (129 km/h). course of Tile or Shake panels at the eave,wood battens are Metrotile panels used on solid or spaced sheathing, fastened to the supportive members at 24 inches on center installed in accordance with this report, can be accepted in (610 mm), maximum,with minimum 16d corrosion-resistant areas subject to a maximum basic wind speed of 90 miles per common wire nails of sufficient length to penetrate the hour(145 km/h)on structures a maximum of 40 feet(12 192 framing at least 1 inch (25 mm). mm)in height in Exposure C areas.At areas of discontinuity, Panels placed at the first course are attached through the twice the number of nails as described in Section 2.5 of this front downturn to the starter batten at each lap and at report are applied and spaced evenly across Metrotile panels. intermediate third points with a minimum of four ring shank Special inspection in accordance with Section 2.9 is required. roofing nails. The rear section of Tile or Shake panels is 2.9 Special Inspection: attached at the first and subsequent courses to the decking at each lap and at intermediate third points with a minimum of When required by Section 2.8, special inspection in four ring shank roofing nails.After the first course of panels, accordance with Section 1701 of the UBC must be provided. subsequent courses of panels are also attached through the The special inspector must observe the installation,and must front downturn of the panels to the decking at each lap and at record the product description, name, dimension and steel intermediate third points with a minimum of four ring shank thickness; fastener type, diameter and length; and the roofing nails.The nails must be minimum 0.125-inch-diameter sheathing dimensions;and must verify the compliance of the (3.2 mm)ring shank roofing nails having a '/4-inch-diameter components and panel installation with this report. (6.4 mm)head and a sufficient length [minimum 134,inches 2.10 Identification: (35 mm)]to penetrate through the sheathing at least 34 inch (19.1 mm)or through the sheathing thickness,whichever is A tag bearing the name and address of Metrotile less. Manufacturing, the product name,and the evaluation report 2.6 Reroofing Applications: number(ER-5626)is affixed to each pallet. With the old roof covering removed, all conditions noted in 3.0 EVIDENCE SUBMITTED Sections 2.1 through 2.5 apply.The panels may be installed Data in accordance with the ICC-ES Acceptance Criteria for over existing spaced sheathing provided the space between Metal Roof Coverings(AC166),dated November 2001. panels is filled as necessary to provide a fastening base.The fill lumber must be of the same thickness as the existing 4.0 FINDINGS spaced sheathing. The panels may also be installed over That the Metrotile coated steel roofing panels described existing asphalt shingle roofs and built-up roofs,provided the In this report comply with the 1997 Uniform Building roof slope complies with Section 2.3.The panels are attached code'TM, subject to the following conditions: through the existing roof covering to the sheathing as described in Section 2.5,with fasteners of sufficient length to 4.1 They are manufactured, identified and installed in penetrate the sheathing at least 3/4 inch(19.1 mm)or through accordance with this report and the manufacturer's the sheathing thickness, whichever is less. New flashing is instructions. installed over and around all existing flashing,vents, valleys and chimneys in accordance with this report and the code. 4.2 Installation is by Installers approved by the Over existing built-up roof coverings, all loose gravel and manufacturer. debris must be swept off.Blisters in the plies must be cut and 4.3 Wind uplift resistance complies with Section 2.8 of nailed flat.The steel panel roofing system must cover raised this report. perimeters, such as gravel stops. The system may be installed over integral gutters, provided there is a fascia 4.4 When required by Section 2.8,special inspection in board, nailed to the rafters,and installed outside the gutter. accordance with Section 2.9 must be provided. 2.7 Fire Classification: This report is subject to re-examination in one year. Metrotile steel roofing panels installed in accordance with Section 2.5 of this report are recognized as noncombustible Page 3 of 5 ER-5626 `gertec` cs„;� Shake Panel Vee Ridge ��� v J " + �1a� r, f wy,y,, gyp' ,,�,,�` 1 / A. 1 ..yet.S.Upol et em it t..,..0,0;,....0-0,\ t R�ih�{j�J�fR��A.04/47/91 / - 4.7, Vel �b �' 161/2' 52 sic __Alp., lid. ,r / Tile& Shake Nailing Locations _% 4 Per Rear& 4 Per Front F+t4 k `14'x».7 Tile Panel nt� `w ,v r q� Barrel Cap .CYL wad�i4�r+1" A( aG" • l rc .Y c L. t+L5,-# -" .N,Ij ` ``,,, ".1,,,f4-1,4-aya�rM'✓r s {'r` .' Y 3 �"' .. r f X18+n eM „• :pi . . 161/8 523a "ua`-\�v k• . 41.. i 'ac,.;: lY *--- ' --* Al Shingle Panel ,. s Shingle Trim 521/8' .; r ;. 10 to/'` 16 ' • Tile & Shake Panel Fastening Shingle Fastening �; Nailing Locations Upper Panel Ex`" ""'ti ,� 4 Per Rear ��" � �=^ z e ar Slide Lock Roofing Nails.. • � , t*f � as w .r" "�. ss`a ��� '... ., w: 1-" Q :. Roofing Felt "`� Nose S.d Lock lam"" � ` Decking ..---IF FIGURE 1 page 4 of 5 ER-5626 Roof to Sidewall IWall Siding Roof to Wall ml/St flashing 1' ia. Panel turned syup 2 inchesr... _.._.— Z _.4 Vent Detail 2 3 4 ,ibli.,..,... ..,,,""iitsiss v..", .?",i.N.4% el4 4* ,i,7 ts.,,,... 7 # ,-,4' 1 &2 Place panels around vent pipe. 3 Install pipe flashing 4 Install top panel and over panels. seal around flashing. Hip & Ridge Detail Shinle (CZdJ>N\is na � kb„ In 2 places at the rear o.0 /it c:tiscrek., �� \' 3M1 Overlapping trim piece locks � � � onto the rear of the lower one- Cut and place wit:i1�et. ` panels buried together at hip and ridge. rw • FIGURE t—(Continued) Page 5 df 5 ER-5626 Panel Layout sarins JFiteng Roolrp 1 13 \` SfartetF3atlnn ,r Shinplo Pancl 1! Ins4ai3ation Detail J '" -^'` _.--^'/ , M ,. a 4, iG%!s Ti3elShake Panet fJ1 )♦�' 4 <c4'4 +'.., r¢}e1 �r / Insiali Detail 0;4y�yf .'h`, I(4 'y�SY �4-: Fac®Metal brx' Layou from right to left Rake Channel Rake Options Starter Strip / RDQflng Drip Felt Edge _ .. < w<. Covered . 41 I a Rolled Edge � `zm ;x t""`-�h / �'- .., . },= Edge 2"X2° �.T :454'..r^' .,ti�z '``. ,44 ,fes Drip Edge y,,ry � w;� '1 Roofing '-'is , C. Felt ,j Valley Installation Roof ` '� Roofing Panels .i..w ,.cP`\�! p r4 re .., aN)44,4y'w..r« m *,rx•C 4 / Deck Y Standard � .`. Valley Metal FIGURE 1—(Continued) r < `�� ' y\ CITY OF COSTA MESA BUILDING DIVISION - •l,' 'A1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1 !ti 1, PERMIT J• !' _111 ltb+"a.0"se P06-00046 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2371 LITTLETON CI Status: ISSUED Suite No Applied: 01/24/2006 Issued: 01/24/2006 Vicinity: Parcel Nunmber: 41913227 Applicant: CANDY NOCK ISSUED BY: Address: 11612 KNOTT ST SUITE 217 Phone: 714-895-1246 GARDEN GROVE,CA Zip: 92841 Owner: MILLER, WILLOUGHBY GEORGE Address TR COSTA MESA,CA Phone: 2371 LITTLETON CIR Zip: 92626-6368 • Contractor: NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 Phone: 714-895-1246 GARDEN GROVE,CA Zip: 92841 License: 707775 SCOPE OF PERMIT WATER HEATER CHANGE OUT - FEE SUMMARY AMT QTY AMT QTY 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 Gas Earthquake Valve $0.00 0 •Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 ' 0' Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 - Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related 'regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned • for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 264646(6/00) I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. L] I h�++e and will maintain workers'compensation insurance,as require by section 3700 of the Labor Code,for the performance/$o,f the work for which this permit is issued. M�wo( m}/�d/nsetio �tyrance car[ier end p licy mbar/are ..,� ,g�k_, v�J Carney n e ;(�Da n 1d li h {�sed��( d Pol CY>Huinberl : n- 1 O nri I a (,This section e n e completed ll the permit is valued tone 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 of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these rovis'oI . �� �,- •.. - Ign.tura .�.n.rr� iT� "-z•r4 14-6(r V WARNING:F• -.. TO SEC - OR RS'COMPENSATION COVERA • '7' FUL AND SHALL SUBJECT AN EMP •YER4TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOI AND DOLLARE($1o0,000),IN ADDITION TO THE CAST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereb a "e. ,� lice e• rroo is• s of Chapter 9(commencing with Section 7000)of Divisio a Business an r fessions Code,and my license is in full force and effect.Llc a hi. I-1 L t. oQF on, ( r ••ntractors Signature �"m'l"L' . Be626.0 1 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.It,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 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. El Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-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,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 B,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 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? ❑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 aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes U No (Section 65050.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pari of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No Of'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 B (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. Ignatu Owner(s) /` Date// I('I ( d/Oi Aultwr ze s... i - `�^a•a�� • CODE I INSPECTION TYPE '� PPI€ FINALS SODEN INSPECTION TYPE Q$�= '.= MALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical / �] , 1266 Pool Spa Final 208 Final Plumbing �//9/oh A7/v/[(z,r,,,t,✓ 200 Final Re-Roof 210 Final Electrical �2L b_. -P a rY{•y�/ 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: 2371 LITTLETON CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 051384 OWNER'S NAME: MILLER, WILLOUGHBY G • ADORP)S: MILLER MARILYNN M PERMIT NO: B 051384 PLAN CHECK NO: 00953-91 S GOVT: N SUPP: N 2371 LITTLETON CIR COSTA MESA, CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH 549-1098 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CITY STD BLOCK WALL ADDRESS: UNIT: SQ FT: 140 CLAIM VALUE: 1, 800 . 00 CALC—VALUE: 2, 800 .00 GROUP OCC: M-1 / PERMITTEE: JIM JENNINGS CUSTOM MASON ( 714 ) 549-1098 ADDRESS: 2136 NEWPORT COMMENTS: 140 L FT CITY STD BLOCK WALL CM • 9 , **N-*****4kL ***k6**"x****"rE+t******+t*1P***"N****>E* -***" *"kr*yL***">E*>Fx->E*N*x*****4***>F*">E** LICENSED CONTR CTOR DECLARATION: I hereby um that I am li ens.. under rrovisiorr of Chapte '(commencing with Section 7 O N I N G REQUIREMENTS 7000)of Division of the Bu iness and Professions ode,and my tic no- is int torr an - tau SETBACKS CITY LIC.: 0.; ptic.:394 07 " :. C ��Date: Signature: ±VIMAIN BUILDING ACCESSORY BUILDING WORKERS'COMP SATION ECLARATION: I hereby af firm that I ave a certificate of consent toseu"insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or certified copy thereof(Section 3800. Lab.Cf. LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PDucvNo.: 1182768-90 05 1 /91 coraraxr: ST'ATE •Ft7ND PARKING REQ. PROV: PARCEL ; 41913227 ZNE; R1 REF NO: Certified co y is hereby furnished ® Genii.d copy is filed t Buda PLANNING N TES> 140 . 5 LF OF 6 FT HIGH BLOCK WALL BUILT TO CITY I / r > STDS. Date: _� �� \ Applica �/� �A ***************************)fir*****************off*******Y-***I(•********a¢********** EXEMPTION O W BKERS' OMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS • I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become 9 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY -----.e-C.... I._ 4-C=., DATE: C3/tY 9 j Date: Signature: NOTICE:II.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for AP PL I CAT ION ISSUED BY re. DATE: 031 /1 which this permit is issued(Section 3097,Civ.C). ********************* ' ;mesa:+�- .-+ - - - - ".***************Cil*** LENDER: ************************1E**iE* ****** . ***************************************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SNIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 . 50 repair any structure,prior 10 its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SNIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 35 . 10 my applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 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----> 54 . 50 0 . 00 • 35 . 10 89 . 60 89 . 60 . 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.II,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: 89 . 60 OVER/SHORT: . 00 tor 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 54 . 00 - . 50 3 5 . 10 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware *********LA*********************x.*****************.*.*****1E*****{L.{(.***.*********1,c a** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner SFR 140 RES—CONCRETE BLOCK WALL / FT. 20 , 00 2, 800 . 00 I do hereby certify that I am aware of and understand the requirements al California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a .permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt Irom these provisions, Date: Applica I hereby certify that I haver ad this application and. ate that the a v , atior 0 •c li agr.e to comply with all city and county ordinances and late laws sling to building construe on and hereby erepre-. a eso is ci to enter 11... ...• • • coned proper rin auction u 01 r100R1^S45-000??-41 s / S '. f 547E: 03/W/?: :-;Et �� ��Date: ' _ Signature: Driver's Licen a or Sob I Security a: 164t'46 White—Building,Green—Code Enforcemenr'y_Aoolica Ptnk—Revenue:Goldenrod—Assessor c J - CONSTRUCTION AND PLANNING POO SPA APPfOVALS 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 O Gas 0Oil 23. Gas Pipe-Rough & test - • 72. Underground Flush 24. Roof Framing • - 73. Undergrnd.Storage Tank 0 Gas El 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 Coat79. FINAL INSPECTION 32. Electrical Power Meter-Final • • •80. FOOD CERTIFICATEQISSUED 33. Final Electric Notes: A, „ c024 �_ j 34. Final Heating& Air Conditioning , t. ��'l[[���� 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 1/\all r� • - 1 48;FINAL PLANNING [[[ ��'� . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date --- _--- A STATE OF CALIFORNIA ss. COUNTY OF 0 r q eIS....,_ — On this _- ) day of C\r\-a r-c..-.L-. - _ , in the year 193L. ou�eoe000esaoaeaeswseo�a�srrNeswoa beloorcre rne. the undersigned. a Notary Public in and tor said Stale. personally appeared OFFICIAL SEAL ` t4 S9.-, - in-19#k 't 5'' ,'rR 8 ,i DEBORAH J. GOLDMAN -- - - - - - Q - �y bWWARY PUouC-CALIFORNA _ __ _ _ _ _ _ _ personally known to me : PRINCIPAL OCOFICE IN UNTY �: ONCIPA COUNTY s (or ____ to me on the basis of salislactory evidence) to be the person_whose name_ My Corrrvtslon Erp.May 22.1994 8 -1S subscribed to the within instrument,and acknowledged to me Ihal$_he= n tismoneento0IOIIp000NOIMWIONIWs --- executed it. p WITNESS my hand and official seal. J A Public in and for said State. ACKNOWLEDGMENT—Gene,el—Walmrls rpm 233CA—Mrs Y X? (01982 WOLCO119.INC IDIRe CM 8.7) / � S NM a �i fletZini`tgo eudtom Tfladonzc; CONCRETE & BRICK WORK SINCE 1969 2136 NEWPORT BLVD. COSTA MESA, CA 92627 (714) 645-8512 STATE LIC. NO. 392707 PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 1 day of Mari , 19471 , by and between wC 14 1 r/I y) 114/ //e4.- _ hereinafter referred to as • "LAND OWNER" , and hili() JL/.�l�v-, ry 5oN hereinafter referred to as "ADJACENT PROPERTY OWNER". It is hereby agreed that as party wall will be constructed on the property line between 137 LrtVtfok C( rc( e_ COSTA Resa ( 49t- z4 . (Address of Adjoining Properties)�j � r & IO(/OL.n ( QI /_1S'Tyf / �..5-A /"J/ A 902 r2.6 in the city of 06S77/ / 7. S4 _ , County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach PA waif IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above writte 17w4to OFFICIAL SEAL WOTARY ELLEN WING- CALIFELNIOK 7C� PU©LIC RNIA \ t!1741 ORANGE COUNTY trzi* My comm. expires NOV 13, 1992 LAND OWNER ADJACENT PROPERTY OWNER No-ro i2ATiO • / • I U i6-NI1Ufe-duly -17' a -i /N yiaik- 7Oa a�.1� (S gn-t rey Si ature) . �. 7(74 ri l yM,i M Ml//e r ��sA l 1'�/,� tsdiJ Name (Typed or Printed) 3/14- /� 0 Name (Ty d or Printed '(Address 9 z 4 z 4G,..dress) //— 4.2o02- •. T< . PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this S 7 day of /IOW 19507, by and between SPFk'L/A) hereinafter referred to as "LAND OWNER", and ///`LES hereinafter referred to as "ADJACENT PROPERTY OWNER". It is hereby agreed that a party wail will be constructed on the property line between .22360 / 2371 L//7/ ,c L"/eCL� (Addr-ess of Adjoining Properties) in the city of c-0.574 ,4&34 , County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach T�L d'Gqir--1-1 • IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year • first above written. LAND OWNER ADJACENT PROPERTY OWNER —_1C- 1 / /�j�r „'/J7. &—/-41,1(Signaturo Si.naturrr) /,R1'4ifAC -sn rs't/f /Zc)i"ifitin /1 /li /�e r Name (Typed or Printed) Name ped or Printed 236 7 G/77/67094, G%l 2.97/ //TGE: 22 mi 04/ '(Address) (Address) SUBSCRIBED AND SWORN FOR NOTORIZATION OF MARILYNN MILLER'S TO BEFORE N% THIS SIGNITURE ONLY e(,�f �I� � DAY OF t2"44-4(7 199/ OFFICTAL SEAL he Lei r • G • y ELLEN WINGELNIK NOTARY PURL! `si T NOT/+T( PUDLIC - CALIFORNIA OFFICIALSEAL ` I ORANGE COUNTY. 1 KATHERINE L.ARMSTRONG `'-' My comm, expires NOV 1a, 1992 } Notory I !___ I :F < H2 ORANGE COUNTY �. j. /// / ---- ' My Comrrdsaon @xpkos " / ..,. may 7, 1994 �1/7074-4 l ab is J` V Lti A,1 ,/ 5. 79: 66 __ yink A a (et, e ujittt mss— CA 's lis -/z # /31Icl'a v- C - �K bii tt Rso 2 rillWit `c_jovJ�_ _frit � `�S'e- 4�1 _1�1�tn c. c. /�.� o4? A.4.5( v2 - - - — 1`s -- / D_ ( M4Ls - f gr 2398 (ftt( . aft- 237 6 (?) 2.377 Ardkik 470- di" :// /O fl- 1 "9 - - M & M Development Co., 2314 Fordham Drive, Costa Mesa, CA 92626 • 1OryTEELETYPE /� ///^�, TELEGRAM J MAIL , TO 171Th Km/ �Nh. ° Y4 Q AT SUBJECT 11 ) lull �� ;es-) DATE ,i Iii., vzloares vLt,oiRl oil Wises 6.12'�O IAL :e Pte( Id . Rust, of ase -(� -Ia4.ow * (offs 4, efer,(vr,z( 1'14)&4,5, ( c a� �a l� uS�o( a a , (oasis PC m 1f 1 m N m N ri 1 a{ 1 - 237 i Li{ -fam Cur. T ,� g . ',; (,o'� 8 — L3�1 Lam- Ctrc� n • g fi to to - -233 U �faw C�� Y 11 3H -- z z Cottle 1 (fir I_i - 23&5- Pu�d brwe- Redif rm® I M 4 M ' r # P , 2N4 Fazd��.�. �vvv1. C,3 (Mesa 92626° I pas 461 ' PLEASE REPLY TO SIGNED ( /V���(/' �v -- rr rugIso snsl ANSWER TO (DATE • Rediffrm® 4S 461 SIGNED .OWNER M & M DEVELOPMENT COMPANY DATE 5-6-80 TB ADDRESS 2371 ,65,69 ,53)47}41 ,35,29 ,30,36 ,42,48,54,60 BUILDING PERMIT NO. 50056 "ERALCONTRACTOR� LILfleLorI re aDESCRIPTIONofWORK Solar Heating Platforms 141-aOr (l Cd?7,71 ,65,5957,41 PurAitt bNEe VALUES 1 ,000.00 INSPECTIONS Signature Dote •TYPE GROUP ZONE SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote Number I Signature WATER _ Plumbing ROUGH PLUMBING . /����,LA,.ryl�„o Q C Q 440 (((��� PROP. SWR. LINE El HOUSE CON. CI 'w� �� `� SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING OV L4K.- Heating and Vent. E Y p f R E 0 TRENCHES [l FORMS U STEEL REINF. U T FLOOR SYSTEM • �ncomp.ete 1nSp�ttlons BONG BEAM nSTEEL REINFORCE n Cancel ilk SHEATHING Date i.'11-11_ Sig ANDFRAME FLASHING LATHING — IN n OUT n P' R. BROWN COAT S1 rURAL, FINAL lectric / // HEATING. VENT., REFRIG. AND A.C., FINAL Lp p ,p 3--,p �'7•Ct'7f I/ PLUMBING. FINAL AND GAS TEST n /I ELECTRIC, FINAL OUec2C. _ C.. 1-3-k) BUILDING, FINAL • (lei 7 r: .: l 4936 3/43/79 119.47_ COSTA MESA BUILDING-SAFETY DEPARTMENT �t4036 3/13/79 1' 9aKTo .O.BOX 1200 COSTA MESA,CALIFORNIA 92626 fi►�.4536 00004476 57 , " IQ '_ _ APPLICATIONI5R STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS Lot 1 Tract 9787 / (� //n/-T+�.�J- PERMIT NO. OWNER Michele C . d'Arlin A.P. ND.�7 MAIL BUILDING CI"- ADDRESS ADDRESS 2314 Fordham Dr ADORESS237/ O [,i/ CITY Costa Mesa TNE0545-5370 TRACT 7 LOT / BLOCK LENDERCTION Wells Fargo Bank NEEW ADD ALTER REPAIR MOVING DEMOLISH , BRANCH Westwood Village I • OWNER Michele C . d'Arlin ADDREss10850 Wilshire Blvd, L.A. VALUE OR ENGINEER Will Foster Np`;'631-176 u9E �i $ FIRE `j'J � '/�I ADDRESS2401 Narbonne Wy,C.M. 92627 ZONE TYPE I/ GROUI9VV, CONTRACTORJacgUes d'Arl in-M&M Devt. BYPROV ED DATE VVV ADDRESS 2314 Fordham dr. ZONE NO.OF USE ON NEW LANS CITY Costa Mesa rTio�45-5370 /�� P 2 BUILDING — STATE CITY YARDS APPROVED YARDS APPROVED LIC. No. 233151 LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT 0 FRONT .-3O FT. FT. G USE OF �X �., EXISTING BLDG. R,SIDE /6 FT. FT, (I) l F ` Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. G REAR 9 FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED ' F DISTANCE BET. BET.MAIN& CMAIN BLDGS. ACCESS. BLDGS. ' aRessidence w/attached garage VAR.# C.U.P.# DATE APPROVED VEED t } �/6//(8 RWe DATE /--a,...5-- - 77, cc w •- atrn.D FOR SPECIAL REOIiIRFJdE 0I hereby acknowledge that I have read this application and state / N w that the above Information is correct and agree to comply with 0• all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of m xthe State of California. '/�-/� �t © ((( I herebycertifythat I amf i1/^1��0• FT. ����f. ry 1,(x properly licensed as a contractor under 3'ftl`�7"U the State of California Business and Professions Code, Division 3, THE AMOUNT SH UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of Califorpia Business VALUATION PERMIT FEE $ 70-----.7 and Professions Code,Division 3,Chapter 9. PeSiamittee ofd///�i `^i \e // l�'WYa'V $ � // WOE TAX PLAN CHECK $ // id-){/ (`( U Authorized Agent/ I TOTAL PAID $ // [4//jJ U ei,. .E • 4(7 6s7 - 8563 7/25%79 229.00 TL • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only REC D BY DATE RECEIVED DATE SSU. • BUILDING7 7' Tr . 9787 , Lot 1 :. ", _ - - _ ADDRESS . PERMIT O. OWNER Michele C d'Arlin A.P. NO. /�/_ MAIL BUILDING .7 3.7/ e �t ,t/^�a,i l//r- _ ADDRESS 2314 Fordham Dr ADDRESS L TEL. TRACT LOT BLOCK CITY Costa Mesa, 92626NO545-5370 CONSTRUCTION NEW ADO ALTER AFFAIR MOVING DFMOLISH LENDER 2/ BRANCH n OWNER M&M Development ADDRESS /1/ ARCHITECT TEL. USE /(���- /�j/(•'\<— S OR ENGINEER NO • FIRE s/ ADDRESS ZONE TYPE GROUP je APPROVED 'r/•.�Q CONTRACTOR Jacques d 'Arlin-M&M Devt. BY DATE 7/W/ / ADDRESS 2314 Fordham Dr «f TEL. ZONE INO.OF USE OF NEW CITY Costa Mesa NO.545-5370 PLANS BUILDING .F. STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. 233151 LIC.NO. MAIN BUILDING ACCESSORY BUILDING IzJ SIZE NO.OF BLDG (FROM C/L STREET) 0. OF LOT 6549 sq.ft. I S NOW ON LOT FRONT FT. FT. USE OF En EXISTING BLDG. R.SIOF FT. FT, rA El F Separate permits are required for L.SIDE FT. FT. f electric,plumbing and heating work. ' REAR FT. _ FT. 11.1 (.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CMAIN BLOCS. ACCESS. BLDGS. VAR.# DATE :I VAR. Residence w/attached garage C.U.P.s APPROVED APPROVED .r-) ,HV DATE — CS 0 I hereby acknowledge that I have read this application and state � N 00 that the above Information Is correct and agree to comply with ON all laws regulating building construction, and I shall not employ m Z any person In violation of the workmen's compensation laws of 2 S the State of California. m I hereby certify that I am properly licensed as a contractor under SO. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses ere In full force and effect,or I THE PURPOGE OF ESTABLISHING A PERMIT FEE ONLY: — co am exempt from th •rovisions of the State of California Business o and Professions Co•. VALUATION PERMIT FEE•'vision 3,Chapter 9. $ 2 29, co n PLAN CHECK S ��( o Signature of ' 4 di a V. Permittee $ TAX $ �—. 2 U Authorized Agent TOTAL PAID $ CO