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Home My WebLink About3379 LARKSPUR ST - Building Permits1 �� r CITY OF COSTA MESA BU/LD/NG D/V/S/ON � 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.costamesaca.qov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC12-00559 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 10/03/2012 ISSUED BY: RMD �oe AooRESs: 3379 LARKSPUR ST CM Suite/Unit: APN: a1218257 ,.�� Zoning R1 ,.. .. Vicinity: EXISTING BATHROOMS -, � Primary Occ:."�-. Const Type:V-B - �. � ' �SQ. FT - -��.0 � ._�.� � Valuation: -.��i$5,500.00 SCOPE OF WORK:MINOR NON;STRUCTURAL REMODEL TO (2) EXISTING BATHROOMS FOR:A SFD. BATHROOM #1 REMODEL TO CONSIST OF.THE REPLACEMENT OF SHOWER WITH NEW TILE, SHOWER VALVE, 1 LIGHT FIXTURE, 1 VENT FAN. > BATHROOM #2 REMODELTO,CONSIST`OF REPLACEMENT OF TUB, WITH NEW TILE;-VALVE, 1 CIGHT FIXT AND VENT FAN. OWNER: FILIPPELLI, LOUIS �E-�� , Address: �3379 LARKSPUR ST Unit: -- - . Phone: j _. - City/StatelZip:; COSTA MESA, CA �-.- . - . . .... . �. APPLICANT: BENN, DARRELL , , � �Address�. Unit:: �,s � Phone: 949-263-0779 . � � CitylStatelZip: . � . , =.�:1 CON7RACroR: CA��BATH � . � � �� • ,License No:689923 � . -- - � � � . ' Phone: 949-263-0779 � - -� � ' � Address.1920-E-WARNER AV.. , . � UnitSUITE 3P � �. Cell: 949-263-1236 ', ., � � � City/State�. SANTA ANA, CAZipCode92705- � � ,� � . � ARCHITECT: �� LicenseNo:.:� �,. , -� . � -' PHONE:. ENGINEER: _ "' � � License No. � . , . , PHONE�:- COMBINATION PERMIT FEE SUMMARY . . � . � - Building Plan Check: - � 30.00 � - �. - � Building Fees: ' . � . � $12525'. �., ,- � . :.. . � , ' Electrical Fees - . - � � : $25:70" � ` � ' . - Mechanical Fees: � $38-.00 � . - - - � ... . Plumbing Fees: _„ � � $43.10, ; , - � � � � - � � SMIP Residential: , .� � �,- $0,55-�� _ . . � - - � SMIP CommerciaC � ` $0.00 !, ., , Bldg Std Admin Fund -,-. �1�.00-:�. , - - r ; " TOTAL FEES: � $233.60; ` " - '+ . ^Refer to (ee recei ts for all fees paid for project � � ' -' HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday � 7:00 am thru 7:00 pm. Sa[urdays-9:00 am thru 6:00 pm. PrOhibiF¢d all hours - Sundays and the f0110wing FBderal holidays: NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure lo obtain inspeclions and final approval will result in the expiration of this permit. DE INSPEC110NTVPE PLL �i�lDAL6 G4P.EP INSPEC710NTYPE . Ij9$ `� 1616 Fixed System Final Fire Prevention 206 Final Mechaniral `T�T� */ 1266 � Pool Spa Finai 208 Final Plumhing � 200 Final.Re-Rool 210 Final Electrical 201 Final BIocWRetaining Wall 202 Final FaMory Fire Place 203 Final Sign 204 Final Demolition 212 Final Fire Prevention 22o Final Planning Approval 222 FinalSite 250 Final Building/Oaupanty � N1bRKERS' GOMPENSATION DECLARATION: I hereby aKrm under penalty o( perjury one of t�e following declarations.' � ❑ I have and will maintain a certificate ot consent �o self-Insure for woikers'. compensa�ion, as pmvided (or by section 3700 of [he labor Code, (or ihe pertormance of ihe work (or which this permit is issuetl. '� ' ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for lhe pertortnanw of the vrork for which ihis permit is issued. My workers' compensation Insurance wrrier and policy number are: �Camer:_j ,C'.W �ROGP (This secfan i� iro( be cnmpletMd fha permrt is valuM at one nv�retl tldlars (Sf00) akss) Policy Number U,15ti -S�f{� � -� � ❑ I certiry ihat in lhe peAormance o( the vrork (or which this permit is issued, 1 shall not employ any person fn any manner so as lo become subject to the workers' compensation laws of CaliFomia, and agree that if I shoultl � become subject to Ihe workers' compensation pmvisions of Section 3700 of th@ bor Cotle, I shall forthwith compty with these provisions. �� /0�3�/� Apph fsSiB^aWre Date„ NIARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAIL SUBJECT AN EMPLOYER TO CRIMINAL P�NALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PkOVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under pmvisions of Chapter 9(commencing wi(h Section 7000) of Division 3 of lhe Business and Professions Code, and my license is in tull /orce an0 eHec1. �c: t. � 3 Gass u C�/ �,:-=-_ e�C � -� — �+-��i �- �Coriha a�s SignaWre � pata, r CONSTRUCTION LENOING AGENCY: ❑ I hereby affirm lhat there is a construction lentling agency (or ihe peAormance of the work for which Ihis pertnit is issued. (SeC. 3097. Civil Code). Lgnders Name: _ Lender s Address: SignaNre Date OWNER-BUtLDER DECLARAiIONS: I hereby affrtn that under penalty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the tollowing reason (Sec. 7031.5, B�siness antl Protessions Cotle: Any ciry or counry which requires a permit 10 construct, alter, improve. Oemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to fle a signed statement Ihat he or she is licensed pursuant to Ihe provisions o( the Coniraclors License Law (Cha0ler 9(wmmencing with Section 7000) of Division 3 ot the Business and Professions Code) or ihat 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 penalry of not more than five hundred dollars ($500).): [] I, as owner of ihe property. or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe structure is not intentled or oNeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himself or hersel( or lhrough his or her own emDloyees, 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 6urden o( proving that he onshe did no� 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, 8usiness and Pro(e55ions Code� 7he contractors License Law does not appty to an ovmer of propetly who builds or impmves thereon, and v+ho contracts (or such project with a contractor(s) license pursuant to the ConUactors License Laws.). Q• I am exempt under sec. � � Business and Professions Cotle tor this reason: � Owner ID verifed by drivers license. ❑ Yes ❑ No Drive'r's License No. Expires: Verification of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certiry that no excavation five (5) or more feet in tlepth info which a person is requireq to descend, will be made in connec[ion with vrork authonzed by this pertnit, antl that no buildfng structure, scaHolding, (alsevrork. or tlemolition or dismantling ihereof, will be more than thirty-six (36) (eet high. (Chap. 3.2, Gry 2, Art 2, Sec. 347, Title 8, Calitomia Administrative Code). ❑ As owner-builder. I will not employ anyone to do work which would require a permit from the Division o( Industrial Sa(ery, as noted ahove, unless such person has a permit to do such work from ihe tlivision, Appliwnfs SiqnaWr¢ Division o( Intluslrial Safety Permit Number: HAZAR�OIIS MATERIALS AND EMISSIONS CERTIFICATION: �' 1. Wifl the applicant or present or future 6uilding occupant need �o file and certiy a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( the Califomia Health and Sa(ery Code requires, with some exceptions, that a Business Plan be fled with Ihe Costa Mesa Fire Departmeni by every business which has at any one Ifine during a repoAetl 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 feel of compressed gas at standartl temperature and pressure). 2. Does or vnil the applicanl or present or future huilding occupant need to file a registration form for acutely hazartlous materials? ❑ Yes Q No (Section 25533 ot the Califomia Health antl Safery Code, with some exceptions, requires registration wi[h Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantiry o( acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 20U cubic feet of compressed gas at siandard temperature and pressure). 3. Does or will ihe applicant or present or (uture building occupan[ need to prepare an RMPP (Risk Management and Prevention Program for acutey hazardous materials)? ❑ Yes ❑ No ' (Sec[ion 25534 of the California Health antl Safery Code provides tfiat the Costa Mesa Fire Department may require the preparation, certification antl filing with the Fire Deparimenl of an RMPP by businesses which are required to register acutely hazardous materials wiN the Fire Departmem. 4. If an RMPP is presently required, has Seclion 25534 of the California Healtb antl Sate�y Code been fully cnmplied wdh? ❑ Yes ❑ No 5. Does or will tAe applican� or presen� or future building occupant require for �he vrork which is Ihe subject of this application a permi[ for such consWction or motlifcation from Ihe South Coast Air Qualiry Management District or (rom any other air pollution control tlisirict or agency? ❑ Yes ❑ No (Section 658502 of the Cali(omia Govemment Code requires that ihe requested infortnalion be fumished on applications for non-residential building pertnits). 6. Will any part of �he tacility to be constructed under �hi5 permit be within 1000 (eet from the ouler boUntlaries of a 5Cho01? ❑ Yes ❑ No (If "yes', the faciliry must meet the requirement of Sections 25534 antl 42303 of the California Heaflh antl Safery Code). 7. If a permit from the South Coast Air Quality Management Dislnct or olher air pollution conirol district or agency is required tor the work which is the subject ot this application, have all of the disclosures prescnbed 6y Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. , Qf "yes", a[tach certificate of compliance from the appropnate air.polWlion controi offcer). . " CERTIFICATE,OF,COMPLIANCE: I certify that under, penalty of.perlury the information given above is correct. �I agree to comply with all state laws and ciy ordinances regarding Hazardous Materials and Emissions. . ' ' Daie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiy under penalry ot perjury that I have read ihis application and state that the information given is correc[. I agree to compty with all state laws and ciry ordinances rela4ng to building construction, and authorize representatives of the Ciry of Costa-Mesa to enter upon the above-described propeny for inspection purposes. I agree not to occupy or allow occupancy o� any building authonzed by this permit until final inspection. � � SignaWreofLagalOwner(s) Date SignaWre . Date , ��'�� ! 3�57-46�3I0]) � QMEIo� IhonzedApDlicanl � aleJ � �oonrssaemidr� 3379 LARKSPUR ST °""E"s"""E"'wo"": RYAN, PEGGY TR "0°"�' 3379 LARICSPUk ST COSTA MESA,CA 92626 ,wtt. WuuNo �ooqEss: urcxrtEcr ow ��x: JiCN Ofl ENG'SIDDNE55: C0"'"'0T0fl'SNO1Ei CARSON ROOFING cwm�croas�uura 12U7 N. CITRON LN - - - �N,: � FLOOD: AH-38 uc no.: UNf: (714)635-49121 "0°"� ANAHEIM CA 1GN0 661526 92801 u�: LICENSED CONTNACTOPS DECLRXATION: I Mreby eRvm undar perepy d peljwy ihet I em IicenseE uMa pwiaime W Cheqm 8 ��ma,d�o �n s�i� �aoo� d o�� a d ma e��,,,,�e v�dd�, coea. �e mv i� ��o mn r«� �d �. cmuc.No.: 0 56 7 uc.cuss: C_39 uc.r+o.: 66!/'�`"� �XP: OS/97 oma: � ' � convaa«: OWNEN BUILOEH OECLAPATION: I hereby elfirm �Mer pxiely of pmjury thel I am memq fmm iM CaNretlae liceme lew la Ne lolbwip raeson (�ion 1031.5 Buei�ase arM Prdmsians Code: A'ry ciry a muntY �✓h nQuiree e pemiN �o ewpbup. epx. imprvae. demW'ah, a repei eny ewqure, prior b na ewenca, edo requiree tM eppl'renlla euch pe�mX to fib e cgrroE stetemeM Nm M a aM ie licensed W��t lo iM poNsiom d Hre Con�redon liunse Lew IChepim 9(oommendnp Milh Satlon ]OW) a�'sion 3 d �he Burinea arM Prdassone Code� a ihel ha or she u uempt Ihaelmm eM tha beaie lor ihe dbped ezemqion. My violation d Setlion ]031.5 by eny ep0lifanl Iw e permil wbjeps Ihe epdF�� o e avil pendy o/ nd mare ihenlrve huMred ddlen �f500U. � I, en mmer d IM propaM or my emWoyroe xilh weges sv iMi ade mmperrm�ion, xill do ihe wwk, enE Ihe sVuclun u M'vuended «ana.ee i« �a csa.,�� aa. e�� a v,w�s�. cea.: rne com�mw. uo�s.�.,aom �a.nwr �o� ��d v�o�r wlw buids a impovu Ihareon, uq who doea euch xwk IJmaell or heneC a Mmiph he a hm own empoyeae, povided ihet such impovememe ue ra inteMed «dlered Iw eeb. tl, howavar, iM buiki�p a'vnp�weineM ie coN wilhin me yeer d mmpk�un, lha ow�rbuiNbr will hare iM EurEen d provinp he a she Ek nd buiN a impmve /a iM purywe al aeb�. � I. m axner d tM propeny. em eRtlusively coniree'rq wnh lioenaed mniroctae ro contlrutl ihe projxJ (`�� . ��s aM Prdeaions code�. TM Canireeae Licerua law Eoes � epWY m en owrer a MWaM wlw Wilds « imP�ee t�eieon ud wfio wnirecn br mch propcb with a conlrepw�s) licensad pureueM to ihe Cantimon Lioeroe lew). � I am ecemp unJer Sac�ion: B. 8 P.C., M Nu ieeson: o�e. o�«: I do Mraby cenM � I em aware d vd uMerstarM tM repuiremanb d CalEomu Heellh aM $ei�Ry COEe SeGiom 25505. ]5533. enE 2553a, arM Mm I«eny Mure Wikiip arupam xill / wJl rwt (drele one) neeE to canpy wYh eeid aeta mdea aM Ihe reQu'vemeMv br epermnlamnsViwMimmmodifrmionhomtheAi u3�i l�y anapememD'nt�id.RsadeMWmneVuqionxppf�omareaxemphomiMr plOV1910119. Date: Applicenl: WOHKEN'S COMPENSA110N OKIAF�TION: I Mreby elfi�m uMer penahy d perjury one d tlro Mbwirp Mtleretione: C7 I heva uM hil meinlen a caNlkate d conaem ia eWinwre br xake'e' compeneetion. n pravked ta by 6eCion 3]OU d tM lebar 7C Cada, lor iM pe�amanca d ihe xak far wlich thie pe�mG ie iaetietl.� � I hwa end wil mvnlaF wwkein' oompenm�ion iimureMe, as repu"ved by Saeim 3]00 d tM lebor Lods. br tM pabeme�Ke d �M work fa whicM1 ihie peimit ie issueC. My warkere' mmpensetan inaurerce fenier enE poliry number ere: c�: vdKyN�mn�: lm;: sea;a, ��d �w ae m.,�dared. u» �..ma rs ro. on. n�nered ddi.,. R,00l w ross.l � I cenM �he� in Iha parloimenw d iM wak i« xfich Ihie parmu ia isaued, I dWl mi amplvy eiry penwi in vry manrcr ao m lo Exana wbl� to IM xvrken' comprumian lewa d Cdilwnie, eM apree Ihat A 1 ehouk become wbjaf m the xwkers' wmpan n d Seaion 9'/00 d iM Lebor CaEe. I shell la�hwuh canpy w' Mro proviaioiu. o�a � '�'�9 7 A��, �—� wam/np: Hllun ro szun workxs'rompsrwtlon covsnps /s un/awlu( mE alWl au6/�cf en employsr ro alM�ul poneltln eiH e/vll flnss �q ro ons nu�dred thouMnL oa/kn /SIOO,OOOA M etlaltlon ro M� ewt ol rompslusfbn, demep� a� provMM br In Sxtlon J106 0l the Lebor COM, /nferest, eM �ttorney'� Isu. CONSTii11CTON LENDING 11GENCY: I Mraby dfirm uMer panelry W parjury t!� Ihere b a condruabn bMi�p epricy for �ha peAameiroe d �he vroA Irn which iha peiml u eweC (Saqbn �091. CM. CI. LENDEN'S NAME: LENOEN'S RDOflE34: 1 cerliiy ihel I heve reed I�is epplieetbn eM 9ete ihq iM ebwe iMamelion is eomif. I epne to wmply wit� ell'ily eM ewnry oNinenoe� and nma levn mleiiq to WilEmp wmwdion enE MreEy authorae reqaeentetivea d thie oryto emm upon �ha ehove�meniioned pmpetty fa irepedan Wrpcses. - MIKE CARSON Pnnl Ngwc' , � oma: � ' � s�ao��,e a ow�«ina�unvou�ucom�a« . (515td6.WP� Whna-BuiM'vp 8 Sefery; OreeMFIe; Cenery-AppFceM: Fnk-Revewe; f3dEeniod-bmm CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; H 084262 PLAN CHECK NO: N CONSTRUCTION TYFE: V—N PERMIT TYPE: STR JOH DESCRIPTION : REROOF W/30 YR COMP. SHINGLES PERM NO• B 08426 GOVT: N SUPP: N PURPOSE: U1H SQ FT: 3,000 CLAIM VALUE: 3,000.00 CALC—VALUE: 3,000.00 GROUI� OCC: R-3 /U-1 COMMENTS: REROOF OVER EXISTING 1 LAYER WOOD SHINGLE W/1 LAYER COMP �ratitit**�*�r�rrt�*****�it�**�rtatititit�it*it**��*******9t�rititit�it�t*at*at*if******�**3t**it�tat*ar*it�:� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HIIILDING ---------- --------- ACCESSORY BUILDING ------�-- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT iN PARKING REQ: PROV: PARCEL: 41218257 ZNE: REF NO: PLANNING NOTES> i iE * iE jF iE if if iE �E d! jf iE jE �E �E iE 1E fE %iE iE 1E iE i! i(� iE f4 iF iE �f iE jE iE iE if if if iE iF iE iF ff iE �)E iE iF IE it if iF ff iF iF iE iE 1f iF ik iE �E if �E �f if if jE iE iF fk iE iE 3E iF �E iE if *'�f iE D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S ZONING APPROVED BY , DATE: ' _ BUILDZNG APFROVED BY : DATE: APPLICATION ISSUED BY • �/�(� DATE: �� FS� S iEifiFiFitiEiFiEiE3EiEifiE'lE3E'1E�1EiEiflEiFifiFiFieirififiE7FiF7Fif iF'3"riFiF�E7E 3F�F�fiFiF�FiF�F7FifiFiFiF7F�E*�EiEififiE�7EifiE� t "K'jt LEGALIZATION:N F E E S U M M A R Y STROCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE�'� SMIP/RES, GRA�ING PERMIT 79.75 !'SMIP/NON—RES PLAN ISSUE FEE f•'R BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL 4'� PAID DUE TOTALS----> 75.25 0.00 0.00 75.25 �.- 75.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER'/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK 74.75 .50'% f �f iE if iE iF iE #E!f if iE if 3f ik iE 1F iF iE iF ik i! iF iE �E 1E jE �F iE iE 1E if it M 1f �E ik 1E iE iF 1k i41f fE if iF iE 1E 3t if iE iP �E fE 1E iE it if it f(� it i6 �f if !t iE iF iE iE iE 3E iF jE if iE iP jE fF iE iF i6 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY SFR 3000 � D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT .e:OST TOTAL COST ' �:t 1.00 3,OOp,00 � F �,. � I� z � � � ! f �;09-IB-1397110:54 pp/575.25 PEf:hiIT eT@84�1�"s73 �'E;c _ l'� Y ICONSTHUCTION AND PLANNING' .�rOL & SPA - APPROVALS Fermit # Date Inspector APPROVALS - Permit # - Date Inspector 7. Temporary Electrical Service or Pole 52. Pooi & Equipment Location - .� � - 2. Soil Pipe•Undrgrnd. � � 53: Steel Reinforcement . - ' ; 3. Electrical Conduit Utility,-Undrgmd: - 54. Forms ; . � 4. Electrical Conduit�Undrgmd. � , -55. ElectricabBonding. . . , ' ' � ' � 5..�Stee1 Reinforcement -' � � 56. Rough Plumbing & Pressure Test � � ' 6.: Electrical UFER Gmd. - -' _ 57. APPROVAL TO COVER�GUNITE �. 7.' Footings - - ' _ - 58: Electrical Conduit-Undrgrnd. - . -$. Foundation ' ' ' 59. Gas Pipe, O' Undrgmd.,-Test � ' • 9. Water Pipe-Undrgmd. � - 60. Backwiash Lines, P-Trap, O Undrgrnd. i 10. Structurai Floor Svstem . t ' �'61. APPROVRl1;0 DECK � . 71. Property Sewer Line & House Connection �_ . � 62. Backwash &.Receptor;Final : � � 72. Sewer Cap ' ' , � � � 'S3. Heater & VenrFinai . ' � ' 13. Roof Drains � ' . " _ ^ � - -64. Plumbing System �finaf � � �. 14. Rough�Plumbing � . , � '65. Electrical-Final � - • 15, Rough Electrical�Conduit. .� - _ . 66: Solar�SYstem-Final- , � � t ' ' `l 76. Rough Electric W�ring . ' - . 67. Fencing,& Access Approvai I' �. � 17. Rough Wiring Sign ' - , , -- . � ' �68. APPROVE� FOR PLASTER{NG .� . 18. Rough ElectricaLT Bar Ceiling '.� '" �69. POOL/SPA SYSTEMS FINA� ✓ � ' `19.'Rough-Heating & Air Conditioning ' " ' -' ' ' � -- � FIRE DEPT. REQUIREMEN7 - � - �- � - ` � 20. RoughFactoryFireplace ' , APPROVALS Peimit# , � 27. Duets, in Structure �, .. 70. Underground Hydro 22. puMs, Ventilating� ' � �_ , -' 77. Product Piping O Gas Q Oil 23. Gas Plpe•Rough & Test , 72. Underground Ffush � � � 24. Roof Framing . - _' ' � 73. Undergmd. S[oraqe Tank O Gas ❑ Oil 25. Roof Sheathing � - t 74: Overhead Hydro. � 26. T�Bar Celling (Structural} & Monocoat - � �: D 75. Dry Chemical ` , 27. Frame and Flashing'' . � 76. Dry Standpipe .- 28. Lathing & Siding '. -� , � 77-,, FIXED SYSTEM FINAL � 29. Insulation � . � � � � 7$: PIRE PREV. FWAL • . 30. Drywall Nailing ! ' . HEAI.TH DEPT. REQUIREMENT 31. Plaster Brown Coat � . � �� 79:� FINAL INSPECTfON � 32. Electrical Power Meter�Final �. '80. FOOD CERTIFICATE ISSUED 33. Final Electrit . ' � ' Notes: . , . 34. Final Heating & Air.Conditioning . . � �� ' 35. Final Gas Pipe�Test � � . -', . �� 36. Hood or Canopy � . . 37. Final�Factory Fireplace _ ' . . 38. Final Plumbing • � � �• ` 39. Water Service•Final- ' 40. Gas Service-Final � . � 41. Solar pomestic-Final �� ' 42. Backflow Preventer �-43. Backflow Irrigaiion � . ,. ��/0��,�. �� ,/A , N�� d ��"� 44. Landscape Irripation System /' �r� l(d 45. Sound Attenua[ion � � � � �� 46. Handicap Regulations . � . 47. FINALSTRUCTURE&BUILDING : $'"�� /� i 4H. FINAL PLANNlNG ' � . � 49.. E�ectric Release to Edison . 50. Gas Release to Southern California Gas Co � 5b. CERTIFICATE OP OCCUPANCY No. Date � PP0.IECT AOOflESS: 3 3] q LAR KSPUF.. ST OWNEX'S NFME: RYAN, PEGGY . ADOflESS: j3�J� LARKSPUR'ST' COST7+ MESA,CA 556-1919 AHCN/ENGINEEN: RDOPESS: • I1NIT: J. 4267.6 HEG.NO.: UNIT: PEXMITTEE: G�N�RAL INSTALLATION ( 7.13 ) 7S a-7.541 AUOflESS: (SSA WEST BLVD L,A, CA 90043 UCENSED CONTBACTOP OECIABRTION: I hereby ailirm [hat I am licensed under Dmvisions ol C�apter 9(commencing wii� Seclion 7000) of Oivision 3 of Ihe Business antl Pmfessions Cotle. antl my license is in tull lorce antl el�ec�. cirv uc.: 0 0' 4 5 3 srnrE uc.: 1 518 3�� %;� Oa�e'. Signaiure: — �� `""�` WOflNENS' CO 1PENSFTION DECLAflRTION: I hereby a��irm ihai I have a cenificatPot.Eonseni lo seli-insure or a ceniliwte o� Workers' �ampen5aiion Ipswa c�p or c}�� e copy �hereo� (Section 38W. Lab. LICYNO.: hy�l��" � exr.oaTe: �4/OI/93 omvaxr: NMIC ,� ❑ Cenifietl copy is Aereby fumishetl. L'? Cetlifietl coOY �s filetl wi�� thne ciry Builtling/Dyi '�s'�p)n. Da�e: Applitanl: '��/� f i%'��/v , � — EXEMPTIONFB MWOflNEflS'COMPFNSATIONOECUflRTION: (fiissecuonnreano�becom0 it�hepermitisloroneAunUretl�31W)orless�. I ce�ily Ihat in the pedormance ol the work lor which ihis permil is issueQ I shall no� employ any person in any manner so as to Gecome sublec� to IOe Workers' Compensa�ion Laws of Calitomia. Oaie'. Signa�ure: NOTICE: II, alter making ihis declaration, you shoulU Decome sublect to ihe Workef5' fAmpensation p�ovisions of the La�or Cotle, you must lotlhwilh comply wi�h such pmvisions or Ihis Dermi� shall be tleemetl revoketl. CONSTBOCTION'LENOIN&RGENCY:- I.here6y a��irm �hatJhere is a ConS�mC�ion lending agenCy for the Dedormance oi t�¢ work tor which �his permit is issuetl (Sec�ion 3097. Civ. C). --'—'-- ------ — _ ____ _ _ _ __ LENUEN: FODFESS: OWNEfi BWLOEN OECLAHATION: I hereby attirm ihat I am exempt Imm ihe Coniractors State License Law for t�e following reason (Seclion 70.31.5 Business antl Professional Cotle: Nny city o� counly whic� requires a permi� �o conslmci, alter, impmve, 4emoii5�, or repair any s�mtlure. prior to i�s issuance. also requires �he applicani for such permii Io file a signed slatemen� Iha� he/she is licensee pursuant lo the pmvisions of Ihe ContractoK State license Law (Chapter 9(commencing with Section 7000) ol Division 3 of ihe Business antl Prolessions Code) ar t�al he/she is eKemp� Ihere�mm anA Ihe basis for Ihe alleAed exemp�ion. Fny violation o� Section 703L5 by any apolicanifor a permit su�iecis the applicam m a civil penalry of not more Ihan tive nunUretl Oollars (5500�. I, as owner oi ine pmpeny or my employees with wage5 as their sol¢ compen5a�ion, will Oo the wark, antl ��e 7 simcWre is no� imenaetl or ofleretl �or sale (Seclion 70a4, Business and Pm�essianal Code: The Con�racmrs' Slate License Law does not appty to an awner oi a pmpetly who builtls or impmves �hereon, and who does such work himsel�/herSeA or thmuAh his or her own employees. pmvitled Iha� such impmvemen�s are noi in�ended or oifereA for sale. IL Aowever �Ae Uviltling or impmvemeni is soltl wi�hin one year at compleiion. the awner vnil have the 6urden oi pmdng he/she Uitl no� Uuild or impwve lor �he purpose o� sale�. I, a5 owner o� the prope�y, am exclUsively contracting with licensetl coniractors to consimct t�e pmlect (Section 704d, Business ❑ an0 Professions Code: 7he Comractors' State License Law Ooes not aOPly to an owner of Dropeny who builtls or imD�oves iherean and who conirads lor such pmjects with a wmractor�y license Oursuant to Ihe Contracrors' Slale License Law). I am aware tha� pmol ol �heir Worker's Compensa�ion insurance should 6e pmvidetl m me. � I am exempt under Sec�ion: 8. 8 P. C. for ihis reason: �ate: Owner I do hereby cenity �hat I am aware oi and unders�and Ihe requiremenis oi Cali�omia Heal�� anA Salety Cotle Seciions 25505, 25533, and 25534 and ��a� I or any fuWre builtling occupant will/will not (circle one) neetl �o comply wilh 5ai0 Slaie co0e5 an0 ��e requiremenls lo� a permil for consimction or motlilicalion irom Ihe Fir Ouality Management �iSVici. Fesitlen�ial cons�mction apDlica�ions are exemp� imm �hese provisions. �aie: ADPlicanl: I hereby cetlify Ihai I have read �his applica�ion antl siale Ihai Ihe a6ove informa�ion is correcL I agree �o comply with all cily and counry ordinances ana slate laws rela�ing lo Euittling con5imclion and here0y aNhorize represen�atives ol ihis city to en�er upon the above�menlioned pmpetly �ar in50e��ion purposes. �/J �ate:��_ ��ignalure: � ' ori�ers �ice�se o� sociai Secunry x: i641-a6 White—Bmltlinp; Green—Gotle Enlorcemem�. CanarV—Aoolican�; Pink—Revenue: GoltlenroE—rlssxssnr CITY OF COSTA �SESA — AUSLDING PERMIT PERMIT NO: P 059288 FLAN CHECK NO: N CONSTRi1CTION TYPc: V—N PERMIT TYPE: PLU JOB DESCRIPTION ; WA'tER HEATER CHANGE OUT CLAZM VALUE; CALC—VALUE: PERM NO; I' U7`JG2itf GOVT; N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC; R-3 / COMMENTS • SMOKE DETEC'fOR RE�UIREL)—MAIL IN PERMI'P �K��f3F3fiE3F1E3Fif�iFlf3E-%�3f1faE§efFi(��7FfEjE�F�f7'riE��1F iFiPiE%3E-%if�7F*�lE?FiE3i�3Fif�1Ei(�iFif�lEiFiFjf�lFiE�(-lEiEiEiF�Elf3FaE-IEiE�1F��lFifiE3F3F#FK-aE3FifiFR3f� Z O N I N G R E Q U 2 R E M E iV T S S E T B A C K S ------------ M�.iN BUILDING ---------- --------- ACCESSORY B[JILDING -------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEF7': , FT IN RGHT: cT IN PARKING RE�• PROV: FARCEL: 41218257 ZNE; REF NO; PLANhING N TES> i x�*�**x*�*�c��*x***�c***�r*�*��x*��c�r��**x***��*'��,��x*��**��xxx****�-�±�**�*�� D E V E L U P M E N T S E R V I C E Sry� R E Q C] S R E M E N T S ZONING APPROVED BY � DATE; BUILDING APPkUVED BY ; ,� DATE: 'j/ APPI,ICATION ISSUED BY� '' D'ATE; 1��/ aEifif�%iEif�lflfiFiElFiE�lEiFifiEaE�1FiEK�3F%TrA�Rit-. �,cfi �.:x.n.i .x . . h. r . .�t � e �R �3ElEIfi(�iEihlFN�i'rifi(.F3FIt.: iFiE 3E3EiEiFiE3fif'iF'3E1F-1tiEiFiE�E�f-iEi(�%dE.if�3Fi(�.3(�.iF3(��1FX�i(-�1E3f#iE3fifific� ' .(iE1EiF3FlEihfE�Eif�lElEfFii�iEiEiEi(�IE3e�i(�jEiFi(�%iEiFlFiFieiE3E1PIFjE3c�7E#!�d(� LcGALIZATION;N F' E E S U M M A R Y STRUCTURAL SEGN,ENT:N HLDG P,yT PLUMBING ELEC'fRIC M£CHANIC FIRE SMIP/RES GRADING PERNfIT ��$ ,,., SN.IPfNOk—RES PLAN ;�. " ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE F�AN—CHECK TOTAL PAIll DUE TOTAL.S----> 7.00 20,OU � 0.00 27,00 27.00 ,00 REVENUE DTVSSION TOTALS--> COLT,ECTED• 27,00 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC M$CHANIC FIRE SMIP/TOT GRADING P�AN—CHECR 2%.�U if if 3(� ii� iE3h iE -IE iE ib 1E iE 3F jE iF �Jf iF if R iE i(-iF 1F i(' ft iE 3E dE if iF f4 if �If if;��ic iF # k fe tt iE iF jf iE iF1f it� iF tF �( if �lE iE iE 3E iF it �)E iF 3Elf if if !(� �e ie 3i K� iE � if� ib iF # 1E 3E if if� I N D'I V I D U A j2 F E E B R E A K D O W N 1 TYPE QTY D E 5 C R I P T I O N UNIT C051' TOTAL COST ^ PLU 1 WATER HEATER AND/OR VENT 7.00 7,D0 �$ND OF FEES ' �� ` � [� e: �'� !i� �.'f'I:',"'. ' ile ,t� j�pr:: t.•t�- — �.,�. ` :. - CONSTRUCTION AND. PLANNIN6. � : �� L & SPA , : APPROVA4S Permit # Date Inspector pppROVALS. Permit # Date Inspector 1. Temporary Electrical Service or Poie - - ' S2. Pool &-Equipment Cocation 2, Soil Pipe•Undrgrnd. ' • � � 53. Steel Peinforcement . 3. Electrical Conduit Utiiity-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ; 5. Sieel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. � 57. APPROVAL TO COVEP-GUNITE 7. Footings 58. Electrical Contluit-Undrgrnd. . 18� Foundation ' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pip¢-Undrgrnd. � 60.�Backwash Lines,-P-Trap, O Undrgrnd. . '10. Structural Floor System 61. APPROVAL TO DECK 11. Properiy 5ewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap - � 63. Heater & Vent-Final 73. Roof Drai�s .� � 64. Plumbing SY:tem � Final ; 14. Rough Plumbing � � 65. Eiectrical��inal 15. Rough Electricai-Conduit � - - 66. Solar System-Final � 16. Rough Electric Wiring . 67.` Fencing & Access Approval � 17. Rough Wlring Sign 68. APPROVED FOR PLASTERING ' 78. Rough Electrical-T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21, Ducts, in $tructure � 70. U�derground Hydro 22. Ducts, Ventilating � 77. Product Piping �Gas ❑Oil 23. Ga: Pipe�Fiough & Test 72. Underground Flush 24. Roof Framing . 73. Undergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing , 74, Overhead Hydro 26. T-Bar Ceifin9 (Strucwrail & Monocoat � 75. Dry Chemicat 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding � � i 77. FIXED SYSTEM FINAL i 29. Insulation f i � 78. FIRE PREV. FINAL 30. Drywall Nailing ��i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � - � 79. FINAL INSPECTION 32. Electrical Power MeterFinal - `- � 80. FOO� CERTIFICATE ISSUED � --1 33. Final Eleciric � ':':� Notes: f 1'Q�(� �(OOf�fE4:OQ�'�E �i.�,F1 C.JtRD'�+� 34. Pinal Heatinq & Air Conditioning ��`,i . 35. Final Gas P�Pe-Test , ��; '� - 36. Hood or Canopy � � r 37. Final Factory Fireplace ' 38. FinalPlum6ing �//��L� LIEfi ' r 39. Water Service�Final _ � , 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer � . � i I 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuatlon 46. Handicap Regulations . 47. FINAL S7RUCTURE & BUILDING ! ` , � 48. FINALPLANNING -;=-�, 49. Elec[ric Release to Edison ��i�� 5U. Gas Release to Soutfiern California Gas Co �- �� 51. CERTIFICATE OF OCCUPANCY � No.- Date �� OWNER HOFF: JOB ADDRESS GENERAL CONTRACTOR AP No. LOT INSPECTIONS SOIL GAS WATER FOUGM PLUMBING PROP. $WR. LINE Q MOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROU�H HEATING AN� A�ft CONDITIONING TEMPORARV SERVICE OR POLE UNOERGROUNO � POWER � ROUGM WIRING TRENCHES FORM$. STEEL RE FLOOR SVS�EM BONO BEAM ❑ ST�EL REINFORCE [ SHEATNING FRAME ANO FLASHING LATHING - IN n OUT rI P�ASTER, BROWN STRUCTURAL, FI� HEATING. VENT., BUIL�ING G. AND p.C., FINAL GAS TEST I-I ur Street DESCRIPTI� 771.8 FIRE ZONE re� Date ��ROUP DATE 4. BUILDING PE SUBCONTRACTOR -7� T N0. I � 364E3.7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completety BUILDING ADDRESS N j�' OWNER u Q-� h MAIL / � Z ADDRESS /., ✓ W W TEL. a U CITY LJ NO. 1-{(J, ,FZ Z Q CONSTRUC710N �_ . O N LENDER �BRANCH m J ADDRESS — - J m ARCHITECT _ TEL. � OF ENGINEER N . U Q w � ADORESS —' aw J O CONTRACTOR �(.(/ jj C �� mz J � ADDRESS W w TEL. � = CITY NO. Z F w � STATE CITV y� LIC. NO. LIC. NO. � � SIZE NO.OF BLDGS. OF LOT NOW ON LOT I USE OF EXISTING BLDG. D N'� Q � SIZE OF NO.OF Z NEW eLDG. ROOMS STORIES EXTEflIOfl WA�I ROOF COVEFiING COVERING � USE OF BUILDING ANO WORK TO BE PERFOFMED � F N Z 0 F U � � H N z FEC�EIyNE9� BV (ti I/ ` A.P. NO. 'a.()�YLL BUILDING � ADDRESS TRACT NEW ADD A OWNER Q� SE �� FIRE ZONE / APPROVE � / BV 'V 20N NO PV VARDSAPPR( MAIN BUILD (FROM GLySSjiE VAR. # C.U.P. # an�u rli�P 1n-73��'S��t� 91{�'i v:i;i:i.�3j.'�%Q I FOR BUILDING PERMIT TE RECEIVED D TE ISSUEI _I- �% -IPv- PERM J a 79 1-�l �'/c5 i�U 8 LOT J� BLOCK � E'eVALU$ O TVPE GROUP � � � DATE (j ^ OF USE OF NEW NS a BVILDING G VED VARDSAPPROVED FT � BET. M!+�N & I hereby acknowledge that I have reatl ffiis application antl ztaie . II '� that ffie above information is correct antl agree to comply with �- all laws regulating builtlinB consttuction, and I shall not employ � any person in violation ot the workman's compensation laws of the State of California. � m � I hereby certify that I am properly licensetl as a contractor under SQ. FT. o the State of California Business antl PrOfessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that�such licenses are in f�ll force antl attect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from t/ie provisions of the State of California Business Q VALUATION and Professiory5 Code, Division 3, Chapter 9. � N / ) � �� p.� PERMIT FEE $ � Signature o � � a m Permittee Q � ./liN-"'� $� DO PLAN CHECK $ E � 3 `o . Auihorizetl Agent � LL TOTAL FEE $ �os � 351�8 � COSTA MESA BUILDING-SAFETY DEPARTME� SOZCR P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely � BUIL�ING �+7 Larkspur Street ADDRESS OWNER ' MAIL Z ADOFESS W W TEL. a U CITY NO. ZZ Q CONSTRUCTION C H LENDEF i BRANCH m J AODRE55 J m ARCHITECT TEL. a OR ENGINEER NO. U N ' Q W K ADDRESS aw J O CONTRACTOF g 1R a' in m Z J � ADORESS w W � TE�. z � CITY NO. � W � STATE CITY N¢ LIC. NO. ' LIQ NO. � � SIZE � NO.OF BLDGS. OF LOT (�Q X 100 NOW ON LOT USE OF EXISTING BLDG. i� SI2E OF NO. oF ? NEWBlOG1��FO ROOMS STORIES EXTERIOR WALL ROOF WOOC� COVERING COVERWG J USE OF BUILDING AND WORK TO BE PERFORMED a a Q p Const ct Sin le Famil d ellin H N Z O VI hereby acknowledga that I have reatl mis application antl state HOLD FOR SPECiAL R n�. � that the ebove information is correct and agree to comply with � all laws regulating builtling r.onstruction, antl.l shall not employ � any person in violation of ffie workman's compensation laws of T� � the State of California. . � zI hereby certify thai I am properly licensed as a contractor under Q. FT. o [he State ot California Business antl Protessions Code, Divisicn 3, THE AMOUNTSHOWN UNOER VA�VATION IS FOR ' a Chapter 9, and that such licenses are io full force and effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q am ezempt f�om the provisions of the State of California Business VALUATION ' antl Professions Cotle, Division 3, Chaptet 9. � N Q,b PERMIT FEE $ � Signature ot ��%% ///(�'\,��/ -//�� /j�� m Permittee �e;�"7_'_ i�'-�-� Ii n0�4nc $/yy (/ (J PLAN CHECK $ E. / t � p Authorizetl Agant LL TOTAL FEE $ anio 142.35 AUG 15-7Z��.�SAOO1053� *** PPLIC TION FOR BUILDING PERMIT R CEI BV DATE RECEIVED DATE ISSUI _ - - _�y PERMIT NO OWNER LLJ�L(�/ SE �5 �� FIRE 20N""� APPR D BV 20NE NO.OF PLANS � YARDS APPROV ED MAIN BUILDING (FROM C{,� STREET) VAR. # C.U.P. # �( APPROVE� � , , � ,1 /� B � OATE �/�Z�' USE OF NEW St�J C� BUILDING ��/ �rr-G VAFOS AFPROVED BET. MAIN & ACCESS. BLD DATE APPROVED L