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Home My WebLink About991 TRENTON WAY - Building Permits(��a) 75a-52�3 • Fax (7�4) 75a-aB56 • www.ci.costa-mesa.ca.us 77 FAIH OHIVE, GUSIA MtSA, GA d"Lti2ti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 991 TRENTON WY 14105240 Applicant: JAMES ROSS MADDUX Address: 14736 BEACH BL WESTMINSTER, CA Owner: WIGMORE, JEAN M. Address 991 TRENTON WAY COSTA MESA, CA Contracror: JAMES ROSS MADDUX Address: 14736 BEACH BL ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Nan Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a WESTMINSTER, CA Phone: (714) 897-4595 Zip: 92683 Phone: 2ip: 92626 Phone: (714)897-4595 Zip: 92683 License: 224975 Status: ISSUED Applied: O6/03/2003 Issued: 06/03/2003 ISSUED BV: (�� SCOPE OF PERMIT REF: 803-00642 .CONSTRUCT NEW 960 SF ADDITION TO�AN EXISTING SINGLE-STORY SFD TO CREATE A 2ND STORY AND EXPANSION OF THE 1ST FLOOR. FIRST FLOOR 110 SF ADDITION TO INCLUDE A NEW CLOSET AND EXPANSION OF THE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADDITION TO INCLUDE A NEW MASTER BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL BE LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE EXPANDED BY 105 SF. REVISED PLANS TO ENCLOSE 158SF UNDER THE MASTER BEDROOM ELECTRICAL TO INCLUDE: 17 LIGHT FIXTURES, 27 OUTLETS,I7SWITCHES. AMENDED: 9/11/03 - INCLUDES SERVICE UPGRADE TO 200 AMP. $23.50 50.00 50.00 50.00 50.00 50.00 $78.70 527.17 $18.70 $0.00 50.00 $30.50 50.00 50.00 Quantiry 0 0 0 17 27 17 0 0 1 0 0 FEE SUMMARY Temp Disl System / Lighting Busway/100ft Standing Section Misc Electrical Equipment Transformers up to t kva/kw ................uP l0 70 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Contluit Misc. Canductor Cirws ( gen or ride) Quantity S0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlona and final epproval must ba obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2ab6d6(N00) WORKERS' COMPENSA710N DECLARATION: � � I hereby aHirtn under penelry of perjury one at the following decleretions: � ❑ I heve end will m�mein a co(tlHcate ol consent to self-Insure tor workers' compenselion, as provided for hy section 3700 0l Ihe LaDor Catle, for the partortnence of ihe , work for which this permit is issued. end will mainuin workors' compensetion insurance, as required by section 3�00 of Ihe Lebor Cotle, for the parlormance oi Ihe work for whic� ihis pertnit is issueC. rkers' compensatlon Insurance carrler antl pollcy number ere: �T4f1.-r �++^�!� Num r: 229'a°'�3 � neetl not be comp/eted il fhe permif Is valued ef one hundred dallers ($100) or Iess.J ❑ 1 certity that in the peAormance of ihe work br which this pertnit is issued, I shall not employ any person in any menner so es to hecoma subject to tha workers' compensatlon laws of Celif entl egree tha 1 I sh uld coma subject to the workers' compensation provisions ot Sectlon 3700 of Ihe Labor CoOe, 1 shall forthwith ' ihese ions. icam Si ur `_�� i —�sro� 9- Z 3—� � W G: FAILURE TO SECURE WORKERS' COMPENSA ON COVERAGE IS UNL4WFUL AND SHALL SUBJECT EMPLOVE O CRIMINAL PENALTIE$ AND CIVIL FlNES UP TO dJE HUNDPED THOUSANDDOLLAflE($t00,000�,INADDITIONTOTHECASTOFCAMPENSATION,DANAGESASPROVIDEDFORIN 3'lOBOFTHELABORCADE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereb ' , am licansed under provisions of Chaptar 9(commencing wiN Section 7000) ot DiNsion 3 8usinass and Protessions Cotle, end my license is in full e antl eNect. uc. a 2 —�i'/ Cless a B� 1 cmt ?i . �y � �q. 2'3. c CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirtn that there is e construction lending agency for the pedortnance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penelty ot perjury thet I em EXEMPT FROM THE CONTFiACTORS LICENSE LAW tor the following reason (Sec. 70.31.5, Buslness end Prafessions Code: Any ciry or county which requires e permit to construct, elter, improve, demolish, or repair eny structure, pdor to its Issuance, elso requires t�e appliwnt for such permit b file a signed statement �hat he or sha is IltenSad pursuent to Ihe provisions oi ihe Coniradors License Law (Chaptar 9(wmmenGng wlih Sectlon 7000) af Division 3 oi lhe Business antl Professions Cotle) or Ihat he or she is axempt therefram end the basis for ihe alleged exemption. My WoleHon oi Section 7031.5 by eny applicant for a pertnit subjects the epplicant to a dvil penelry oi not more than live hundred dollars (3500).): ❑ I, as owner o1 Ihe propeny, or my employaes with wages es their sole compensation, WILL DO THE WORK, and the sWCWre Is not Inlendetl or ofleretl for sale (Sec. 7044, Business and Professions Code: The Coniraciors License Law does noi apply to an ownar of properry who builds or improves Ihereon, antl who Cces such work himself or herself or ihrou9h his or �er awn employaes, provided ihat such improvemenis are nat intanded or offered lar sele. If, however, t�e building or improvement is sold within ona year ol completion, the owner-builder will heve the burden of proving Ihat he or she did not build or improve for purpose of sale.). � ❑ I, as avnar of the property, em EXCLUSIVELV CONTRACTING WIT}f LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business entl Protessions Code: The con�rectors License Lew does not epply to an owner at pmpeny who bullds or improves t�ereon, end w�o comracts for such pro�ect with a conirecloqs) license pursuent to t�e Contrectors License Lews.). ❑ I am exemp� under 5ec. Signature: Ownat ID verified by dnvar's license. ❑ Ves ❑ NO Business and Professions Code br this reason: Ventication of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: Drivefs License No. Date: Expires: ❑ I hereby certity Ihel no eacavetion five (5) or more teet in depth into which e person is required ro descenq will be matle in connection wit� work authodzed by ihis pertnit, end ihat no builtling s�mcture, scallolding, falsework, or demolition or dismantling ihereof, will be more than ihitly-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title 8, Celitomia Administretive Code). ❑ As ownerbuiltler, I will not employ enyone to do work which would require a permit fmm tha Division of Intlustrial Safery, es noted ebove, unless such person has e pertnit to do such work from lhe tlivision. Signature: Date: Division of Intlusirial Safery Pertni� Number: CERTiFlCATE OF COMPLIANCE AND AUfHORVATON OF EMAV: I certity untler penalry ol perjury Ihat I heve reatl Ihis apDlication en0 state t�at the information given is correct. I egree to comply wlth all state lews end ciry ordinances relating to building consWctlon, and authorize representatives of iha Clry of Coste Mesa to enter upon the ebove-descnbetl property tor Inspection purpases. I egrea not to occupY or allow occupency of eny building euthonzed by Ihis permit un�il final inspection. CODE �. INSPECTIONTYPE � 1676 Fixe� System Final Fire Pi 1266 200 Pool Spa Final Finel Re-Roof 201 Final Block/Retalning Wall 202 Final Fectory, Fire Place 203 Flnel Sign 204 Final Demolition � �' 2�—� 3 Date �Q" �Qp� INSPEC110NTYPE ' 206 Final Mechanical 208 Final Plumbing 210 Final Elecidcal 212 Final Fire Preventlon 220 Final Planninq Approvel 222 Final Site 250 Final Builtling/Occupancy � .tu�. ' p7a) 75M1-5273 • Fax (71a) 75a-aess • www.ci.costa-mesa.c�t`sECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 991 TRENTON WY 14105240 npp�icant: JAMES ROSS MADDUX Address: 14736 BEACH BL WESTMINSTER, CA Owner: WIGMORE, JEAN M Address 991 TRENTON WAY COSTA MESA, CA Contracror: JAMES ROSS MADDUX Address: ISSUE FEE Temp service test Res. a/c package New Rss (1-2 units) New Res (3+units) Pool / Spa Lighling Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 7000a Motors to 1hp 14736 BEACH BL WESTMINSTER, CA Phone: (714) 897-4595 Zip: 92683 Phone: Zip: 92626 Phone: (714)897-4595 Zip: 92683 License: 224975 / I YXIn Unl vC, l,vJ 1/� mCOM, \.N `✓ceco ISSUED BY: Status: ISSUED Applied: 06/03/2003 Issued: 06/03/2003 SCOPE OF PERMIT REF: B03-00642.CONSTRUCT NEW 960 SF ADDITION TO AN EXISTING SINGLE-STORY SFD TO CREATE A 2ND STORY AND EXPANSION OF THE 1 ST FLOOR. FIRST FLOOR 110 SF ADDITION TO INCLUDE A NEW CLOSET AND EXPANSION OF 7HE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADDITION TO INCLUDE A NEW MASTER BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL 8E LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE EXPANDED BY 105 SF. ELECTRICAL TO INCLUDE: 15lIGHT FIXTURES, 22 OUTLETS, 15 SWITCHES. AMENDED: 9/11/03 - INCLUDES SERVICE UPGRADE TO 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $16.50 $23.46 $16.50 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 Quantity 0 0 0 15 22 15 0 0 1 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway /100 ft . Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw �� ...............over 100 kva/kw Low Voltage Equipment Low Volt Winng System / Ckt Misa Conduit Misc. Conductor Circus ( gen ar ride) - Circus (mech ride ar lights) Quantity $0.00 0 $0.00 0 So.00 0 $0.00 0 $0.00 0 So.00 0 $0.00 0 $0.00 . 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 12-2b92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period ot 18o 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 Inspectlons 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) 7545626 zaasae (a�aol WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalry of perjury one of Ihe following decleretions: }r ,1 ❑ I heve end will mdintain e Q tificate ot consent to sel4lnsure for workers' compensatlon, es provltled for by section 3700 ot the LeDor Cotle, tor Iha pedormence oi tha work for which this pertnit is issuatl. ❑ I have and wlll meintain workers' compenutlon Insurance, es requiretl �y section 3700 ot the Labor Code, for the perfortnance ol the work for which this pertni� is issued. My workars' compensatlon Insurance carrier and policy number are: Cartier: Policy Number: (This sectlon neetl not 6e crompleretl i/ the permit is veluetl et one hundred dollers (3100) oi less.J ❑ I cenify that In ihe peAormanca oi the work for whlch this permit is issued, I shall not employ any pereon in eny manner so es to become sublect to the workers' compensetlon laws ol Celifomia, end egree t�at I� I should become sub�ect to the workers' compensation provisions ol Sectlon 3700 ot the Labor Gotle, I shall torthwit� comply with these provisions. ' Applicant Signeture: Date: WARNINO: FAILUFE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINQ PENALTIES AND CIVIL FINES UP TOONE HUNDRED i/iOUSAND OOLLARE (5100,000), IN A�DRION TO THE COST OF COMPENSATIdJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE L480R CODE, IMEPEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirtn Ihat I am licensed under provisions ot Chapter 9(commencing with Section 7000) ol Division 3 of the Business end Pmfessions Code, and my license is In full force antl eHect. Llc. p Class # Contrectofs Signeture: Date: CONS7RUC710N LENDING AGENCY: ❑ I hereby aMirm that there is a construction lending agency for Ihe pedormance of the work for w�ich this pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lentler's Adtlress: � Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn ihat under penalry of perjury ihet I am E%EMPT FROM THE CON7FiACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Buslness and Professlons Code: Any ciry or counry which requires e permit to construct, altar, improve, demolish, or repair eny strucWre, pnor to its �ssuance, also requires Ue epplicam far such pertnit to file a slgned statemem thet he or she is licensetl pursuent to the pmvisions of Ihe Contractors LJcense Lew (Chepter 9(commendng with Seccion 7000) of DlNslon 3 oi Ihe Business end Prolessions Code) or that he or she is exempt iherelrom end the basis lor the elleged exemption. Any violation af Sectlon �037.5 by any applicant for a permit subjects Ihe applicent to a civil penalry oi not mora then live huntlred dollars ($500).): ❑ I, es owner ot Ihe property, or my employees with wages es their sde compensetlon, WILL DO THE WORK, and Ihe structure is not Intended or oflerad far sele (Sec. 7044, Business and Professions Code: Tha Conlractors Ucense Law does not apply lo an owner oi properry who builds or improves Ihereon, and who does such work himself or herself or through his or �er own employees, provided that such Improvements ere not Intended or ottered lor sele. If, �owever, lhe building or improvement is sold within one year of comDletion, the owner-builder will heve ihe burden of proving ihet he or she did not build or improve tor purpose of sale.). ' ❑ I, es owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consirucf the project (Sac. 7044, Business end Prolession5 Cotle: The contrecrors License Lew does not epply to an owner of propeny who builds or impmves thereon, end who comrects lor such project with a comractor(s) license pursuent to the Contractors License Lews.). ❑ I am eaempt under sec. Business and Professions Cotle tor this reason: Siqnature: Data: Owner ID venfied by drivers license. ❑ Yes ❑ No Drive/s License No. Expires: Venflcetlan at Ownership by (rype ot document, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenify that no excavetion five (5) or more feei in depih into which a person is required to tlescend, will ba made in connection with work autharized by ihis permit, end that no building swcture, scaHoltlinp, falsework, or demolition or disman0ing t�ereoi, will be more �hen thiny-six (3fi) feet �igh. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Callfomia Administretive Code). ❑ As owneo-builtler, I will not employ enyone to do work which would require e permit tmm Ihe Division of Industnel Sefety, as notetl ebove, unleu such pereon hes a permit to da such work irom the division. SignaWre: Date: Division of Intlusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I cartify under penalry of perjury ihat I have read this epplication end stete that the infortnation given Is correct. I agree �o comply with ell s�ale laws enC city orCinances releting �o builCing consVuction, entl au�honze represenlatives of the City ol Costa Mesa to enter upon the ebove-tlescnhetl property tor inspectian pur{wses. I egree not to accupy ar allow accupancy ol eny building authonzed by this permit until tinel inspection. Signature OI Legal Owner(s) And/Or Autharized Applicant tooe �. ixsveenoxrrae pAIE 1HfIDALS 1616 Fizetl System Final Fire Prevention � 1268 200 201 202 203 Pool Spe Finel Finel Re-Roof Final Block/Retaining Well Final Fenory Fire Place Final Sign 204 Finel Demolition COOE� INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Elacirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy l PAIE CITY OF COSTA MESA . B!/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 991 TRENTON WY 14105240 JAMES ROSS MADDUX 14736 BEACH BL WESTMINSTER, CA Owner. WIGMORE, JEAN M Address 991TRENTON WAY , COSTA MESA, CA Convactor: JAMES ROSS MADDUX Address: 14736 BEACH BL ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+uriiLs) Pool / Spa Lighting Fixts Recept Outlets , Switches Non Res Appl Res Appl Service to 200a Service to 10o0a Service over t000a Motors to thp Motors to 10hp WESTMINSTER, CA Phone: (714) 897-0595 Zip: 92683 � ` \\. �\ Phone Zip 92626 ♦ Phone: ( 14)897-4595 Zip: 2683 icense: 224975 ,,;. . : � . PtRM1T NUMBER E03-00419 � 77 FAIR D �VE. COSTA MESA, CA 92626 Status: ISSUED Applied: O6l03/2003 Issued: 06/03/2003 ISSUED BY: REF: B03-00642.CONSTRUCT NEW 960 ADDITION TO AN EXISTING SINGLE-STORY SFD TO CREATE A 2ND STORY AND EXPANSIO OF THE 1ST FLOOR. FIRST FLOOR 110 SF ADDITION TO INCLUDE A NEW CLOSET AND EXPAN ON OF THE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADDITION TO INCLUDE A NE MASTER BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL B LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE E ANDED BY 105 SF. ELECTRICAL TO INCLUDE: 15 LIGH FIXTURES, 22 OUTLETS, 15 SWITCHES. $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $16.50 $23.46 $16.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEESUMMARY Quantiry Temp Dist System / Lighting ' Busway I100 ft Sfanding Section � 0 Misc Electrical Equipment 0 Transformers up to 1 kva/kw 0 ................up l0 10 kva/kw 15 .................up to 50 kva/kw 22 .................up to 100 kvalkw 1 ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt 0 Misc. Conduit 0 Misc. Conductor 0 Circus ( gen or ride) 0 Circus (mech ride or lights) 0 Christmas Tree Stand Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 7, 72-21-92) 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 ihe work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end tinal epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-as �eroo� WORKERS' COMPENSATION DECLARATION: — a, I hereby eMirm under penalry oi perjury one ol the following tleclara�ions: • � ❑ I have and will m�ntaln e Atllficate ol wnsent to self-Insure br workers' compensation, as pmvitled tor by sectlon 3700 0l the Lebor Cotle, tor the pertormance of the lor which this perml� Is is5ued. I have entl will maintal worke compen ' Insura �, as uiretl by section 3700 of the Labor Code, for Ne perfortnance of the work tor wNch �his pertnit Is issuetl. M workers' ans Ilon I ce carder d oli num are: � O� Z Carner: : � VL � Policy Number: � 9� 3 S �s seclion need nat be comp/eted I/ the permit is velueU et one hunOretl tlollars ($100) or less.) I certiTy that in the peAormence of ihe work tor which this pertnit is issuetl, I shall not employ any person in eny manner so es lo become subject to the workers' compensetlon laws ot Calilomie, end egree t�et if 1 should become subject to the workers' compensation provislons ot Section 3700 of Ihe Lebor Code, I shell farthwllh camply with these provisi (�� Applicant Signatur . s � 1��,� Date: _ W �. J—�--� c WARNING: FAILI/RE TO $ECURE WORKERS' COMPENSATIqJ WVEPAGE IS UNIAWFUL PNO SHALL SU6IEGT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOIXJE HUNDRED Tli0U5AND DIXIARE (5100.000), IN ADDITIdJ TO THE COST OF COMPENSATION, �AMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CO�E, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLAHA710N: I hereby eMirm ihat I am Ilcensetl under provislons of Chepter 9(commencing with Section 7000) of Dlvision 3 of the B force and eflect. Lic. N 2 Z`� �� Class p ContractoYs SignaWre: 'Z�L� i �• Daie: _ Code, end my Ilcense is in full CONS7RUC710N LENDING AGENCY: ❑ I hereby aNirm t�at there is a consiruc�ion lending egency for the pertormance ot Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Coda). ��. Lendefs Name: Lendefs Atldress: � Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn thet under penelty of per�ury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far Ihe following reason (Sec. 7031.5, Business and Protessions Code: Any city or County whiCh reQuireS e permi� to con5lruct, aller, improve, demolish, Or repair eny 5truc�ur8, pnor to i�5 i55uant8, elso require5 the epDliCant for SUCh petmii �o file a signetl stetement Ihat he or she is licensetl pursuanl to lhe provisions of the Coniractors License Lew (Chapter 8(commencing wilh Soction 7000) ot Division 3 of Ihe Business entl Professians Cada) or that �e or s�e is exempt I�eretrom and t�e besis tor the allegetl exemptian. Any vialation af Sectian 7031.5 by eny applicant for a permlt subiects the applicant lo a civll penalry of not more then five hundred dollars ($500).): ❑ I, as owner ol ihe property, or my amployees with wages as their sole compensation, WILL DO THE WORK, end Ihe siructure Is not intended or oflerad for sale (Sec. 7044, Business end Professions Code: The Contrectors License Law dces not apply to an owner ot properry who builds or Improves Ihereon, and who does such work himself or hersell or ihrough his or her own employees, providetl Ihat such improvemems are not imended or offeretl for sale. II, however, ihe building or impmvement is sold wilhin one yeer of completion, the owner-builder will have.the Durden of proving that �e or s�e tlitl not Duild or improve lor purpose ol saleJ. ' ❑ I, as owner of t�e pwperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS Io constmct the proleci (Sec. 704a, 8usineu and Profeuions Code: The conirecrors Llcense Lsw does no� epply �o an owner of pmperty who builds or impmves t�ereon, end who contrects lor such prqeci with a contrecior(s) license pursuant to the Contractors License Laws.). ❑ I am exemD� under sec. Business and Professions Code for ihis reason: Signature: Date: Owner ID varilied by driver's license. ❑ Ves ❑ No Driver's License No. Venfication ol Ownership by (rype ot documenL i.e. � property tau bill or deed): Ezpires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cerlify �hat no excevation five (5) or more teet in depth into which a person is required to descend, will be mede in connactlon wlth work authonzed by this permit, and thai no 6uilding structure, scaHolding, felsework, or demolition or dismantling ihereof, will be more then ihirry�six (36) feet high. (C�ap. 32. Grp 2, Ar12, Sec. 341, Title B, Celilornla Admini5�retive Cotle). ❑ As owner-builder, I wlll not employ enyone �o tlo work whic� woultl require e permit from the Division of Indusinel Sefery, es noied above, unless such person has a permit to do such work irom the division. Signature: Date: Division ol Intlustrial Salety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJfHORVATON OF EMAY: I cenity under penelry oi perjury I�at I have reed Ihis applica�ion ena state that the information given is correcL I agree b comply wl(h all stete lews end ciry ordinences relating to building construction, antl euthodze represen�etives oi the Ciry ot Costa Mesa to enter upon Ihe ebove-descn6ed property tor inspection purposes. I egree not to occupy or allow occupency of eny building authonzed by this permit until final inspection. sianaiure �OJt Lege Owne (5/ � � , nu�honz icent COOE �. INSPECTONTYVE PAI€ 1676 Flaed System Final Fire Prevenuon 1266 Pool Spa Final i 200 Final Ra-Rool 201 Final BIocWRetalning Wall 202 203 204 Final Factory Fire Place Finel Sign Final Demolitlan r J � -' 1 va�e �P L) � ) Date COOE 1 INSPECTION TYPE 206 Finel Mechanical� 208 Final Plumbing 210 Finel Eletldtal 212 Final Fire Prevantio 220 Final Planning A rov I� Fd'k� 250 Final Site / Finel BuildingiOccupency unl. (714) 754-5273 • Fax (714) 7g4-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: 991 TRENTON WY Suite: Viciniry: Parcei Number: 14105240 Applicant: MAbDUX, JIM Address: Owner: WIGMORE, JEAN M Address 991 7RENTON WAY COSTA MESA, CA Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL Zoning: R1 R1 Phone: 714-897-4595 Zip: Phone: Zip: 92626 Phone: Q14) 897-4595 ISSUED BY: Status: ISSUED Applied: 04/17/2003 Issued: O6/03I2003 WESTMINSTER, CA Zip: 92683 License: 224975 nrch : Eng: PIN CHfNG LI Address: Address: ' Zip: Phone: License: Phone: 905-595-7755- License: 38408 SCOPE OF PERMIT CONSTRUCT NEW 960 SF ADDITION TO AN'EXISTING SINGLE-STORY SFD TO CREATE A 2ND STORY AND EXPANSION OF THE 1ST FLOOR. FIRST FLOOR 11D SF ADDITION TO INCLUDE A NEW CLOSET AND EXPANSION OF THE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADD1710N TO INCLUDE A NEW MASTER BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL BE LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE EXPANDED BY 105 SF. PLANS WERE REVISEq TO ENCLOSE 158SF AREA ON TO THE FIRST FLOOR UNDER MASTER BEDROOM. ZA-03-23 Plan Check: $671.42 Permit: $1,032.95 SMIP Res: $10.63 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $'1,715.00 SETBACKS MAINSTRUCTURE Front 17-6 Rear 27- 0 FEE SUMMARY PLANNING & ZONING Left 5- 0 Calc Valuation: Claim Valuation Right 5- 3 s�Os.2ss.e2 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in �he expiration ot ihis permit. FOR INSPECTIONS CALL: (774) 7545626 xaas-as �sioo) WORKERS' COMPENSATION DECLARA710R+. ' _ I hereby affirm u�der penalry of perjury one of ihe followin�declarations: � ❑' I have and wlll meint�n a cehificate of aonsent to sel6lnsure for workers' compensation, as providetl for by section 3700 of the labor Code, for tha pertormance of the ork tor which ihis permit is issuetl. � ' I and will maintain workers' canpeqsation insurance, es requiretl by section 3700 ot Ne LeOor Cotle, for Ihe peAortnance ot the work tor which this pertnit is issued. y wo ers' compensation Insurence ca,�r'0r antl policy number are: -'� � artier: < < f� I�•+��! a�ua�-u«mMr 2'Z-�1 ^��i one oNess.) peAortnance ot �he work for which this pertnit is issuetl, I shall not employ eny peison in any manner so as to become subject to ihe workers' g.W�6elilortti ntl agrea Ihat I I shoul/� sub�ect b the workers' compensatlon pmvisions of Sec�ion 3700 of the Labor Code, I shall forthwit� provisians. � ? 7 / oate: 1' Z' �-� 7 WARNING: URE TO SECURE �ISRKERS' COMpENSATIIXJ COVEMGE IS UNLAWFUL AND SHALL SUBIE M' EMPLO O CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNDRED DOILARE(5100,ODO�,INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFO 3/060FTHEL/•BOFCOOE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I here ' licensetl under provisions of Chapter 9(commencing with Section 7000) of Div' ' e siness nd Professions Code, and my license is in full mrce and ettect uc. a 22 — C�ass a E' � �aa�rt'awra-7 _ i 7/ � � �, 23-03 CONSTRUCTION LENOING AGENCY: ❑ I hereby aHirm that ihere is a constmction lending agency for Ihe pedormance of �he work for which this permi� is issued (Sec. 3097, Civil Code). Lenders Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Atldress: Date: I hereby attirm ihet under penalty of perjury that I am EXEMVT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness end Professions Code: Any ciry or county which requires a permit to constmc�, aiter, improve, tlemplish, or repair any stmcture, prior to its issuance, also requires the applicaN for such permit to file a signetl stalament ihat he or she Is licensed pursuant to the pmvislons of the ConVactors Llcense Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she itexempt theretrom and the basis tor ihe elleged exemption. Any violation o� Section 7031.5 hy any applicant tor e permit sublects ihe applicent to a civil penalry of not r�ore fian five hundred dollars ($500).): • O I, as ow�er of the property, or my amployees with wages as ibeir sole comqensation, WILL DO THE WORK, and Ihe siructure is not iotended or ofleretl for sale (Sec. 7044, Business and Professions Code: 7he Coniractors License Law tloes not apply to an owner of properry who builds or impmves Ihereon, and who does such work himseN or herself or ihrough his or her own employees, provitled �ha� such improvements are not intended or ottered lor sele. If, however, Ihe building or improvement is sold wit�in one yeer of comp�etion, the qwner-builder will hava the burtlen of proving ihat he or she did not build or improve for purpose of sale.). � � I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimcl tha pmject (Sec. 7044, Business end Protes5ions Code: The contracmrs License Lew tloes not apply to an owner of property who buiitls or Impmves thereon, antl who comracts for such prqect with a comractor(s) license Dursuant to the Contractors License Laws.). ❑ I am exempt untler sec. SignaNre: Owner ID veritied by drivar's lirsnsa. ❑ Yes ❑ No eusiness antl Professions Code for Ihis reason: Verification ot Ownership by (type of document, i.e. � property tex bill or deed): OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Data: E:pires: ❑ I hereby certiy ihat no excavation five (5) or more faet in depih into which e person is requiretl ro descend, wiil be made in connection with work authorized by this permi�, and that no builtling swcWre, sCaHolding, falsework, or tlemolition or dismantling thereot, will be more than thirty-siz (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitornia Administretive Cotle). i ❑ As owner-builder, I will not employ enyone to tlo work which would require e permi� fwm the Division of Industnal Sefety, as noted above, unless such person has a permit to da such work from �he Civision. Signature: Date: Division oi Intlusinal Sefery Permit Number. CERTiFICATE OF COMPLIANCE AND AUh10RIZ4710N OF ENTRY: I cenity under penaHy ot perjury that I have read ihis eppliration antl state that the information given is correct I agree to comply with all state laws and city ordinances relating to Guilding construc�ion, and euthorize represematives of the Clty of Costa Mesa co enter upon Ihe ebove-described property tor inspection purpqses. I egrea not to occupy or allow occupancy ot eny builtling authorized by ihis permii until tinal inspection. COOE t. INSPECTIONTYPE � QSjE INTRIALS 1676 Fixed System Final Pire evention ' �.�--- 1266 200 201 202 203 204 Pool Spa Final Final Re-Roof ' Final BIocWRataining Wall Final Factory Fire Place Finel Sign Final Demolition CO�E 1 INSPECTION TYGE 206 Final Mechanical 20B � Final Plum6ing 210 Final Electrical 212 Final Fire Pravention 220 �Final Planning Approval 222 Final Site 250 Final Building/Occupancy PdIE Ir+rm��S (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.c��SILDING PERMIT �� FAIFi DRIVE, GOS7A MESA, GA 92626 ,lobAddress: 991 TRENTON WY Suite: Viciniry: Parcel Number: 14105240 Applicant MADDUX, JIM Address: owner: WIGMORE, JEAN M Address 991 TRENTON WAY COSTA MESA, CA Contracmr. JAMES ROSS MADDUX � Address: 14736 BEACH BL WESTMINSTER, CA Zip: 92683 Arch : Address: Zip: :ON TRUCT N W 960 SF LOOR. FIRST F OOR 110 �EC ND FLOO ADDITI01 IEW4(v1ASTER DROOM/ 7AST�R BEDR OM.THE Zoning: R1 R1 Phone: 714-897-4595 Zip: Phone: 2ip: 224975 IS ED BY: 1 � � Enq: F'IN (;F11NCi LI Address: Status: ISSUED Applied: 04/17/2003 Issued: O6/03/2003 Phone: 90S 59S775S License: 38408 6DITIC�N TO AN EXISTING SINGLE-STORY�SFD TO�CREATE A 2ND STORY AND EXPANSION OF THE 1ST �F AD ITION TO INCLUDE A NEW CLOSET AND EXPANSION OF THE EXISTING ENTRY. THE NEW 850 SF TO 1 6 DE A t�T, WAL IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL BE LOCATED OUTSIDE THE 1 T OF E EXISTING GARAGE WILL BE EXPANDED BY 105 SF. Plan Check: $609.54 Permit: $937.75 SMIP Res: $9.17 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,556.46 SETBACKS MAINSTRUCTURE Front 17-6 Rear 27-0 FEE SUMMARY y PLANNING 8 ZONING Lek S 0 Calc Valuation: Claim Valuation Right S 3 Ss�.�oo.s2 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIHATION: This permit shall automatically expire and become void if work is not commencetl wlthin 180 days, or it work Is suspended or abandoned tor a period of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply vAth all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiratlon of ihls pertnit. FOR INSPECTIONS CALL: (714) 754-5626 26a8�a8(8�00) WORKERS' COMPENSATION DECLARATON: c " I herehy effirm under peneltyol per�ury ona of the following tleclarations: ❑ I have entl will malnteln e cenlficete of wnsent to self-Insure for workers' compensation, es provided tor by section 3700 at the Labor Code, for Ihe peAormence ot the work tor which ihis permit I Issued. �I heva entl will main n ork rs' com nsation insura e, es required b"section 3700 of the Lebor Code, for ihe peAortnance of Ihe work for whic� tNs pertnit Is Issued. My warkere' comp I � ier end polic ber are: 22� � ��L3 � Cerrier: � � " Policy Numbar: (This secf/on need not be complete il the permit is velued t ane hundretl dollars ($100) or Iess.J ❑ I ceniy thet in the peAormanco ol t�e work for which this permit is issued, I shall not employ any person in any menner so es to become su�ject to Ihe workers' compensatlon laws of Californle, antl egree that if I should hecome sublect to Ihe workere' compensalion provislons of Section 00 ot ihe Lebor Cotle, I shell forihwllh comply wit� th/ese��p 5--�/ AppliCant SIgnFW14: �� / —� / � Dete: � WARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVEfiAGE IS UNLAWFIIL AND SHALL SU&IECT Ml EMPLOYER TO CRIMINAL PE TIES D GVIL FlNES UP TOONE HUNDRED THOUSANDDOILARE(5100.OW),INADDRIONTOTMECOSTOFCOMPENSATION,DAMAGESASPROVI�E�FORINSECf10N3]O60FTHElA80FC E,INTEREST,PNDAiTORNEY'SFEES. LICENSED CONTRACTORS DECLARAiION: I hereby eflirm Ihet I em licensed under provisions of Chapter 9(wmmencing with Seclion 7000) ot Division 3 oi Ihe Busin ss and Protessions Cotle, entl my Ilcense is In full lorce entl ettect Lic. M `t — -7 qass a �— �. � Comrectors Signetur � Z� Date: i� � (�2 1—.i -rv—T— CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirm that there is e construction lending agenty for ihe Dertormance ot iha work lor whic� this permit is issuetl. (Sec. 3097, Civil Code). LentleYs Neme: LendeYs Atltlress: Signature: Date: OWNER-BUILDEp DECLARATIONS: I hereby eMlrtn thet under penalty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu end Prolessions Code: Any city or counry which requires e permit to rqnstruct, elter, improve, demolish, or repeir eny structure, pnor to its issuance, also requires the epplicant for such pertnit to tila e signetl statement thet he ar she Is Ilcensetl pureuam to Ihe pravisions oi the Contrectore lJcense Law (Chapter 8(wmmencing with Sectian 7000) ol Dlvision 3 at the Business antl Profession5 Code) or thet he Or 5he is eaempt therefrom entl lhe be5is for ihe alleged exemption. Any vialatlon ot Section 7031.5 Dy eny epplicant tor e pertnil subJects t�e applicant to e civil penalry of not more ihan live �untlretl dollers ($500).): ❑ I, es owner of I�e property, or my employeas with weges es their sole compensation, WILL DO 7ME WORK, end Ihe siructure Is not intended or offered tor sele (Sec. 7044, Business and Professions CoOe: The Coniractors License Law tloes not apply to en owner of property who builds or impmves Ihereon, and who does such work himself or herself or ihrough his a her own employeas, provided iha� such improvemenls ere not intended or oMered for sale. tl, howaver, the building or Improvement Is sold within one year of completion, ihe ownervbuilder will havelha burden oi proving ihat ho or she did not build or improve for puryose of sale.). � ❑ I, es owner ot �he pmperly, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo constmct ihe project (Sec. 7044, Business antl Prolessions Cotle: 7�e contrac�ors License Lew tloes not apply to en owner ol property who bulltls or Improves thereon, and who coniracis tor such project with e conirector(s) licensa pursuant to ihe Contractore License Laws.). ❑ I am exempt under sec. Business and Protessions Cotle br ihis reason: SigneWre: Date: Owner ID verified by drivers licensa. ❑ Yes ❑ No Dnvers Ucense No. Expires: Vedflcation ol Ownership by (rype of document, i.e. - property tes bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no e:cavation five (5) or more feet in depth into which a person Is requlretl to descend, will be mede in connection with work euthodzed by Ihis pertnit, end ihat no building siructure, scaHolding, falsework. or demolition or dismantling Ihereof, will be more than thirry-si: (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle B, Califomla Administrative Code). ❑ As awner-builder, I will not emplay enyone to do work which would require e permit Irom the Division of Industnal Sefery, es noted above, unless such person has a permit to do such woM irom the diNsian. Signature: Division of Intlusirial Satery Permil Number: Date: W III Ihe epplicant or present or fuWre bullding ocapent need to file en0 cenify a Business Plen lor emergency response to releese or threatenetl releese ol e hezartlous meteriel? ❑ Yes ❑ No (Section 25505 of the Celifornia Health and Safety Code requires, with some ezceptions, thet a Business Plan be liled with Ihe Costa Mesa Fire Department by every business which has et eny one time during a reported year a Quantiry ol hazardous materlals equel to or greater Ihen a weight of 500 pounds, or a volume o155 gallons, or 200 cubic teet ot compressed gas at stantlartl temperature and pressure). ..._..._ ..................................................................................................'__................................_..........................._......................................................................................_...._.._........................................................................................ Does or will the epplicant or present or future building occupant need to file a registra�lon torm tor eately hazardous materials7 ❑ Ves ❑ No (Sectlon 25533 ot the Celllamla Heelth and Satery Code, with some e:ceptions, requlres registretion with the Casta Mesa Fire Department by eech business whlch at any one time has on �enA e quentiry ot acutety hezerdous metedals equal to or greater then e welght of 500 pounds, or a volume oi 55 gallons, ar 200 cubic feet ot compressed gas at standard IemperaWre antl O�essure). es or will I�e applicant or present or future building occupant need to prepare an RMPP (Risk Management end Preven�ion Program for acutely hazartlous metenals)7 Ves ❑ No �ction 25534 ot the Calilomie Heelih and Safery Code provitles that �he Catta Mesa Fire Department may require the preparation, cenifica�ion end liling with the Fire oanment of en RMPP bv businesses which are reQulred to register acutely hezertlous matenels with Ihe Fire Departmem. a u an Nmrr is presentry raqmrea, nas secvon zsbx oi me camomie neaim ana seiery coae oeen imry compuea vrt ......._ ....................__......................._..... _ ........'__'_".....................'__'....................._._._._................__............................_.. 5 Does or will t�e applicant or present or future building occupent require for the work which Is the subject oi this a p /rom ihe Souih Coest Air Ouellry Menegement DisMct or from eny other eir pollutlon contml dlstdct or agenc�? �' (Section 650502 oi the Celifomia Govemment Coda requires thel the requested Infortnation ba tumished on applical ........_ ......................................................._._.................__._...._.__.._......................................_".......................__..._................._._._._..._................... 6 Will eny pan of Iha feclliry to be consiructed under Ihis pertnit be within 70001eet fram Ihe outer boundaries of e schc Qf yes", Ihe faciliry must meet Ihe requiremem of Sections 25534 an0 42303 oi the Californie Health end Safery Cod ........................................................................................._................................................................_....................................................................................................... 7 II e permit irom tha South Coesi Air �ueliry Management District or other air polNtion contml tlistrict or agency eoolicetlon. have ell oi the tllsclosures orescribed hv Calibmla Heelth antl SafeN Cotle Section 42303 been matle? tor nomresidential a� or CERTIFICATE OF COMPLIANCE: I cenify that untler penelry ot Oerjury the Inlormetion given ahove is correcL I agree to comply with all state laws antl ciry adinances regartling Hazartlous Meterials end Emissions. SigneWre: Date: CERTFlCATE OF COMPLIANCE AND AUTMORIZATON OF EN7AY: I certify untler penelry ol perjury Ihat I heve read this applicati n antl ate t�at the information ' en is correct. I egree to comply with ell stete lews end ciry ortlinances releting to building consiruc0on, entl euthodze representetives ot t e Cit f Cos Mese to ent u n Ih ebove-descnbed property for insDeciion puryoses. I agree not to wcupy or ellow occupency ol eny building euthorized by Ihis p�it u til� in ion. � COOE I. INSFECTONTYFE 1616 Fixetl System Final e Prevention 1266 Pool Spe Fin 200 Final Re- oof 201 Fin loc et ni W 202 inel Fact re P 203 Finel Sign Finel DB ion / ,1/�/L�� ►r��,`-_�`� - ---- um: � � y��.�./ �.� 1. + �� : . ��1. , „ ' �� ._ ' . : . `�. ■■ r� . . . ��,�, t� •t�� : . . • .: _ � � NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANf`It7A� 1600 AND AB 181 To: ( City of Costa Mesa ( ) City of Newport Beach ( ) Counry of Orange Applicant: Address Telephone N°• 4268 DisUict Receipt N�' / �� Plan Check Nd/�3 � W(OTL TracUParcel and Lot N��+narr��• Loca6on of Project: � Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaUlndustrial Project is: (Check One) _ Warehouse _ R&D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial This project is exempt because �_ x E1.84 z E .30 _ Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical Office O(fice Park To�� i.o� . � Total _ Preschool _ Auto Repair _ Hospital _ Large Office _ Office Bldg. _ Restaura�t _ Fast Food This certifies that the above-named Developer/Applicant has paid school faality fees in comptiance with Govemment Code sections 53080 and 65995. The Building Pemils for this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to NewpoR-Mesa Unified School ANhoriiad The above representation as to squate footege is We. Appdcant agrees that if it is later determined that such representations are not true, then this certificate shall automatically terminate and the appropriate CitylCaunty shali be notified. Date: �3� �� Ia � s K� P,c �e��.✓�'- �V �1ro� ,�r� Q�1� /.�V f' �- � � C� NEWPORT-MES�i UNI`rIED SCHOOL DISTFtICT NO CJ � J' �G �� ^�� CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 S7� ll 1"r. ��<<I) . To: City of Costa Mesa � Ciry of Newport Beach ( ) Counry of Orange R/rtcdy �J�a��l 4721 Distrid Receipt �o � �S � Plan Check No: �- no p4Z Applicant: -�q� �� 1 �i %'1 o R-1 Address: \ � � ��L 1�1�TJ /V �I A y e � �"�� `1" [ �j 7 � Telephone Number: �, I11� �� _ S� � TracUParcel and Lot Number(s): 1�� - Ci 52-- �v �ocation of Project: -1 -1 � T� C V�� t/°� �. Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaVlndust�al Project is: (Check One) _ Warehouse R&D _ Movie Theater _ Mini-storage _ Heavy IndusGial _ Regional Shops _ Light Industrial _ This project is exempt because � S 1i x 31.84 z E .30 _ Motel Bank _ Neighborhood Shops _ RacquetMealth _ Hotel Medical Office Office Park Q ,2 Total 2 I J �_ Total Preschool Auto Repair Hospital Large Office Office Bldg. Restaurent Fast Food This certifies that the above-named Developer/Applicant has paid school haaflty fees in compfiance with Government Code secGons 53080 and 65995. The BuikJing Pemits for this square footage in this proposed development may now be issued by your jurisdic8on. Checks are to be made payable to Newport-Mesa Unified School Oishid. The above representation as to square footage is We. AppBcant agrees Mat ii k is later determined that such representations are not true, then this certificate shail automatically terminate and the appropriate Cit�rlCounty shall be nod�.p3 2083/11:37 AM/f 298.72 RCPTH:81-8125673 120b51 Date: S- z-g — e� , _ � — INSULATION CER. 'ICATE ��i �� /LitN_L� County Description of Installation 1. ROOF Material C�"" Po-s i fi°"-' Thickness(inches) 2. CEILING Batt or Blanket Type ��----.� Thickness (inches) Loose Fill Type G5-��- �I� iry Subdivision Lot Number Brand Name Thermal Resisfance (R-Value) Brand Name Thermal Resistance (R-Value) Brand C Contractor's min installed weighdfr2 _Ib Minimum thickness iitches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) EXTERIOR WALL Frame Type A. Caviry Insulati n Material �' � �j Brand Name Thickness (inches) Thermal Resistance (R-Value) (Z - (�� B . Exterior Foam Sheathing Material Thickness (inches) 4. FLOOR Material Thickness(inches) 5. S,LAB FLOOR/PERIMETER M%ial Thickness (inches) Perimeter [nsulation Depth (inches) 6. FOiJ 'fION WALL Matenal Thickness(inches) Declaration Brand Name' Thertnal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) Brand lClame Thermal Resistance (R-Value) IC-1 1 hereby certify that the above insulation was installed in the building at the above location in conformance with the curren[ 6nergy 6�ciency Standords for residential buildings (Titte 24, Part 6, Califomia Code of Regulations) as indicated on the Certificate of Compliance, where applicabie. . �� /-/3-� ��soD�X �°n`�� Item #s ig ature,�l ate Ins[alling Subcontracror (Co. Name) OR General Contractor (Co. Name) OR Owner Item #s Item #s Signamre, Dare Signature, Date Installing Subconhactor (Co. Name) OR General Contractor (Co. Name) OR Owner Installing Subconhactor (Co. Name) OR General Contractor (Co. Name) OR Owner Revised March 1, ]996 SUBCONTRACTOR LIST -� City of Costa Mesa — Planning Divis�un P. O. Box 1200, Costa Mesa, CA 92628-1200 Buildcr {' �ADD � F �GNSiiL✓��✓ Address��?36 �� ' Phone n� � - �� '� Job Sitc �61� ��2F -%T�p W ny' Da[e. �"�j -`� Pennit # a� -cco�H2 Valuation TRADE t15PI1AL'I' CABI N E'I'S CARPF f:S CARPI:\'"I'IZl' CEMENT CONT. CEMLNT TRANSIT CLASSIFIED SPE�C. CLEANUP(HAULING DOORS (GARAGE) DRAPL'RIES DRY WALL ELECTRICAL ELEVA"I'OR EXCAVATION FENCING FIRE E-XTINGU[SHER FLOORING/DECK[NG FORMICA FOUNDATIONS GLAZING HEATING INSULATION LANDSCAPING LATIiI NG LINOLEUM/ASPHALT TILE/GUNITE MASONRY PAINTING PLASTERING PLUMBING POOL REFRIGERATION ROOFING SANDBLASTING SEWER SHEET METAL SHOWER DOOR SOLAR SPRINhLERS STEEL RElNFORC. STEEL STRUCT. STUCCO TRUSSES/GLU-LAMS TV ANTENNAS WALL COVERINGS WEATHER STRIPPING OTHER SPECIALTY CMF 0�01�30, rev. 30/85 SUBCONTRACTOR r`'�P00�•r C�NSiL . M ao�✓� �J� � '""t A0'J� �onr5(' � rR N- wr� � � .. _ �^/i^ fn� M nUO�•� (�N`�(i'L D�da s N�a7,�., �, M�FOD�X � M /1UDJX �cNS(/1. � y ADDRESS I PHONE a8/ -�,0 2 2 77220 CITY OF COSTA MESA DEVELOPMENT SERVICES DEPARTMENT PLANNING DIV[SION OWNER BUILDER CERTIFICATE OF EXEMPTION I am fully aware of [he responsibilities as owner builder. The persons named below are my employees and 1 agree to withhold the following required deductions: Federal and State Income Taxes, Social,Security payments, and Workmeds Compensation Insurance Premiums. My employer's number is . Further, I hold no objection to a copy of this certificate being forwarded to any govemmental agency upon their request for same. Employee's Name Address Social Security No. Under penalty of perjury, I declare that the above statement is true and correct to [he best of my knowledge and belief. Signature Date (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 Job Address: 991 TRENTON WY Suite No Vicinity: Parcel Number: 14105240 npp�icant JAMES ROSS MADDUX Address: 14738 BEACH BL= � � WESTMINSTER, CA Owner WIGMORE, JEAN M Address: 991 TRENTON WAY COSTA MESA; CA Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL WESTMINSTER, CA MECHANICAL PERMIT Phone: (714)897-4595 Zip: 92683 Phone: Zip: 92626 � Phone: (714) 897-4595 Zip: 92683 License: 224975 ISSUED BY: Status: ISSUED Applied: O6/03/2003 Issued: O6/03/2003 SCOPE OF PERMIT REF: 803-00642..CONSTRUCT NEW 960 SF ADDITION TO AN EXISTING SINGLE-STORY SFD TO CREATE A 2ND STORY AND EXPANSION OF THE 1ST FLOOR. FIRST FLOOR 110 SF ADDITION TO INCLUDE A NEW�CLOSET AND EXPANSION OF THE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADDITION TO INCLUDE A NEW MASTER BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 SF BALCONY WILL BE LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE EXPANDED BY 105 SF. MECHANICAL TO INCLUDE : ALT/REPAIR TO EXISTING SYSTEM. 3 ZONES. ISSUE FEE . Inst FAU <100 k BTU Inst FAU >100 k 8TU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall HV �, Refrig Sys <100 k BTU Refrig Sys >100 k BTU� Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct` � Appliance , Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace $23.50 $0.00 $0.00 $41.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Repair I Alt Absorbtion Unit Repair / Alt Refrigeration Unit • ' Ventillation System Evaporative Cooler Commercial I nci nerator Domestic Incinerator - : Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU , 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU � Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp - _ " Over 50 hp Other Mechanical Fee Duantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � � � � 0 0 0 0 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 780 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 inspactlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this perml�. FOR INSPECTIONS CALL: (714) 7545626 244&48 (BI00) WORKERS'COMPENSATION DECLARATbN: I hereby ettirm under penalty of perjury one ot ihe following tleclarations: ❑ I have antl wlll maintein a cerliticate of consent to selt-Insure tor workers' compensation, es provided For 6y section 3700 oi Ihe Lebor Gode, tor the performance of ihe tor which this permit is issuetl. I have and will " in orkers' mpe '' surance, as r�d by section 3700 ot the Labor Code, for Ihe pertortnance ot the work tor which this pertnit is issuetl. My workers' co t s cerner a policy numbe ere: � Z�.� Carner: Policy Number: 2 z4 (This sectlon need not be compleretl i/ the permif is valued at one hundre0 dollers ($100) or less.) ❑ I certiy ihet in the pertormance ot ihe work for which t�is permit is issue0, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation lews of Celiforni d ag�ee that ii I should become subject to the workers' compensation provisions of Secllon 3700 ot ihe bor Code, I shall forthwith comply wi�h ihese ns. / /�2 ApplicaN Signeturfl��- � �L� Date: U � \ WARNING: FAIIURE TO SEC�RE WORKERS' fAMpENSATION CAVERAGE IS UNL4WFUL AN� SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIE AND CIVIL FI P TO ONE HUNDRED THOUSAND DOLLARE (E100,000), IN ADOITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�O60F THE LABOR CADE, INTEREST, AND ATTORNEY'S FEES. � LICENSED CONTRACTORS DECLARATION: �� I hereDy aHirm Ihat I am licensedl� der provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, and my license is in full force end eHecL Lic. M �lC2�l�9iC Class # �- � ConVactols Signetur � - � Date: � �— � CONS7RUC710N LENDING AGENCY: ❑ I hareby aflirtn thet ihere Is a consiruction lending agency tor the peAormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm thet under penelty ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any city or County which requires a permit to consimcl, elter, improva, demolish, or repair any structure, prior to its issuance, also requires ihe applicanl for such permit to tile e signed statement that he or she is licensed pursuent to ihe provlsions ot ihe Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 ot the Business and Protessions Cotle) or ihat he or she is exampt therefrom and the basis for the elleged exemption. Any vloletion of Sectlon 7031.5 by eny applicant for a pertnit suhjects the applicant to e civil penalry of not more than tive hundred dollars ($500).): ❑ 1, as owner ot �he property, or my emplDyees witb wages as ihelr sole canpensation, WILL DO 7HE WORK, and the sirucNre Is not iniended or oHeretl for sale (Sec. 7044, Business and Professions Code: Tha Coniractors License Law tloes not apply to an owner ot propetly who builds or improves ihereon, entl who does such work himself or herselt or through his or her own employees, providetl �het such improvemenis are not intended or oHered for sale. It, however, the builtling or improvement is sold within one year of completion, iha owner-builder will hevelhe burden of proving that he or she ditl not build or improve for purpose of sale.). ' ❑ I, as owner of the property, am ERCLUSIVELY CON7RAC71NG WI7M LICENSED CONTRACTORS to consiruct the prolec� (Sec. 7044, Business and Professions Cotle: The comractors License Law doys not apply to an owner ol property who builds or improves thereon, antl who wntrects lor such project wi�h e contractor(s) license pursuent to the Coniractors Licqnse Laws.). ❑ I am exempt untler sec. eusiness antl Professions Code tor [his reason: Signalure: Date: Owner ID venfietl by tlrivers license. ❑ Yes ❑ No DnveYs License No. Expires: Verification of Owners�ip by (type of document, i.e. - property �av bill or Oeea): DIVISION OF INDUSTRIAL SAFETY GERMI7 CERTIFICATION: ❑ I hereby certify thei no ezcavation five (6) or more teet in tlepih into which e person is required to descend, will be made in connection with work authonzed by thls permit, entl thet no building stmcture, scaffolding, talsework, or demolition or dismantling thereof, will be more Ihan t�iM1y-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomie Administrative Cpde). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe Division of Industriel Sefety, es noted above, unless such person has e permitto do such workirom the divisio�. Signature: Dete: Division of Indusirial Safety Permit Numbar: CERTFICATE OF COMPLIANCE AND AUTHORVAl10N OF ENTRV: I certi(y under penalry of perjury that I have read this application and state that the information given is correct I egree to comply wil� all state laws and ciry ordinances relating to 6uiltling consiruction, and authonze representelives of ��e City of Gosta Mesa to enter upon ihe ebove-describetl property for inspection purposes. I egree not to occupy or allow occupancy of any 6uilding authonzed 6y this permit until final inspection. , ' nature�s I Oj^ er s) �O — �� And/OrAuthori�gb plicant ae CODE L �INSPECTIONTYPE Qd¢, )yjQlg$ 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Finel 200 Finel RB-Raof 201 Final BIwWRetaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demalition � - CODE♦ INSPECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 ' Final Building/Occupancy � Q� � -j 13 O�f � (714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: ,991 TRENTON WY Suite No Vicinity: Parcel Nunmber: 14105240 Applicant: JAMES ROSS MADDUX Address: 14736 BEACH BL�. � WESTMINSTER, CA _ i . ; � : Owner: , WIGMORE, JEAN M Address . 991 TRENTON WAY COSTA MESA, CA Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL. Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathlub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher WESTMINSTER, CA PLUMBING PERMIT Phone: (714)897-4595� Zip:. 92683 Phone: Zip: 92626 Phone: (714) 897-4595 Zip: 92683 License: 224975 Phone: 2ip: . License: ISSUED BY: Status: ISSUED Applied: O6/03/2003 Issued: 06103l2003 SCOPE OF PERMIT REF: B03-00642.CONSTRUCT NEW 960 SF ADDITION TO AN EXISTING SINGLE-STORY SFD TO� CREATE A 2ND $TORY AND EXPANSION OF THE 1ST FLOOR. FIRST FLOOR 110 SF ADDITION TO INCLUDE A NEW CLOSET AND EXPANSION OF THE EXISTING ENTRY. THE NEW 850 SF SECOND FLOOR ADDITION TO INCLUDE A NEW MASYEF2 BEDROOM/BATH, WALK-IN CLOSET, AND A MASTER RETREAT. A 26 5F BALCONY WILL BE LOCATED OUTSIDE THE MASTER BEDROOM. THE FRONT OF THE EXISTING GARAGE WILL BE EXPANDED BY 105 SF. '- - '� PLUMBING TO INCLUDE: 1 SEWER CONNECT ON-SITE, 1 SHOWER, t WASH BASIN, 1 TOILET. AMT $23.50 , $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY Q7Y AMT Laundry Tub / Washer $0.00 0 Landscape Irrigatlon $0.00 0 P-Trap . $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0'-- Receptors � $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 QTY 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 QTY 0 0 0 0 0 0 1 0 NOTICE: The work authorized by ihis p�rmit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (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 ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and atl requlred Inspecllona and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 244646 (6/00) WORKERS' COMPENSATION DECLARATIbN: - I hereby anirtn under penalty oi perjury one of the following declarations: ❑ I heve entl will maintain a ceniticate of consent to self-Insure for workers' compensation, as provided tor by section 3700 of the Lebor Code, for the pertormenca of the work for which �his permit i issued. �Tave antl will maint ' ork rs' co nsation i rance, as requi by section 3700 0l the Labor Code, for Ihe peAortnance of the work Por which this pertni� is issued. � My workers' comp n ier and li y um6er ar Z Carner. � Policy Numbec ZZ4 -��Z'3 .] (This section neetl no( be compleretl i/ the permit is val d at ane hundred dollars ($100) or /ess.J ❑ I certity ihat in ihe pertortnance ot the work for which ihis permit is iuued, I shall not employ any person in any manner so es to become subject to Ihe workers' compensation laws oi Califomia, and agree that if I sh uld become subject to the workars' wmpensation provislons of Section 3700 oi ihe Lebor CoCe, I shall torthwith comply with ihese prov /�/' 1/�, //�� }�/7� ApplicentSignatur�:� _ � � ,yy-�- De�e: V ' � J l / / WARNINCa: FAILURE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE P TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITIqJ TO T}�E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE LABOR CODE, INrEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm Ihat I am licensed under provisions of Chapter 9(commencing with Seciion 7000) of Division 3 ot the Business anA Prolessions Code, and my license is in full forca and aNect. Lic. k Z Z ^ 4 Class M Q-� Contractors Signature: � Z �� Date: G- 3�3 CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn ihat there is a construction lending agency tor the pedormance of �he work tor w�ich �his pertnit is issued. (Sec. 3097, Civil Code). Lender'S Name: Lentler's Atltlress: SignaNre: Da�e: OWNER-BUILDER DECLARA710N5: I hereby effirm that untler penaity ot perjury ihat 1 am E7(EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Protessions Cotle: Any ciry or county which requires a permit to conswct, alter, improve, demolish, or repair eny strucWre, prior to its issuance, also requires t�e epplicant for such permit to tile a signed stelement ihat ha or she is licgnsetl pursuant to ihe provisions of lhe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professians Cade) or ihat he or she is exempt therefrom and the basis tor ihe alleged exemption. Any violation of Section 7031.5 by any epplicent tor e parmit suhjects the epplicent lo a civil penalry of not More ihan five huntlred tlollars ($500).): ❑ I, as owne� oi the propeny, or my employees with wages as their sole compensation, WILL DO THE WORK, and the struciwe Is not intended o� oSe�ed tor sale (Sec. 7044, Business and Professions Cotle: The Conirectors License law does not apply to an owner ot property who builds or Improves thereon, antl who does such work himseN or herself or through his or her own employees, provided that such improvemems ere not intended or oHered for sele. If, however, the building or improvemen� is sold within one year of compietioq the owner-builtler wiil have.ihe burden of proving thet he or she did not build or impmve for purpose of sale.). � ❑ I, as owner of ihe property, am E%CLUSIVELY CONTRACTING WIT1i LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Code: The contrectors License Lew doas nol apply to an owner oi propeny who builtls or Improves Ihereon, end who conirects for such projact with e contracbr(s) license pursuant to ihe Contraclors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID veritied by drivets license. ❑ Ves ❑ No eusiness antl Professions Code for ihis reason: Vertlication ot Ownership by (type of tlocument, i.a. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certify ihat no excavation five (5) or more taet in depth into which a person is required to descend, will be made in connection with work euthorized by ihis permit, and that no building sWcture, sCattolding, talsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, 71tle 8, Califomia Atlministretive Cpde). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom the Division ot IndusMel Safety, as notetl aDove, unless such pereon has e permit to do such work irom the tlivision. Signature: Date: Division ot Industrial Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF EMRY: I certity under penal�y oi perjury that I hava read ihis epplication end state thet the information 9iven is corrad. I egrae to comply with ail stete lews end city ordinances relatinq b buiitlinq constmction, and authorize represemztives of the Clty of Costa Mese to enter upon the ebove-described propeAy for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by ihis permi� until tinal inspection. GQOE 1. INSVECTIONTYPE 1676 1266 200 201 202 203 200 Signe re Of_Legel ne� �-2 ^ ��.-�ete �` � � And/OrAothon;edAp lic t � ate Fizetl System Final Fire Prevention Pool Spa Final Final Re-Roof Final BIocWRetaining Well Final Fectory Fire Place Final Sign Final Demolilion DpTE INiITIpLS COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planninq Approval 222 Final Site 250 Final Building/Occupency PAIE Iti�L@ 1 t3-c�'� � April 10, 2003 Jean Wigmore 991 Trenton Wy Costa Mesa, CA �:ITY OF COSTA ML•�A P.O. BOX 1200 • �7 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOP�dENT SERVICES DEPARTMENT RE: MINOR DESIGN REVIEW ZA-03-23 991 TRENTON WAY, COSTA MESA Dear Ms. Wigmore: The minor design review for the above-referenced project has been completed. The application has been approved, based on the following project description and findings, subject to the conditions set forth below: PROJECT DESCRIPTION The existing single-story, single-family residence consists of 4 bedrooms, 2 bathrooms and a nonconforming garage (20' interior width required; 18' existing�. The applicant requests a minor design review for a second story addition and an exemption from the garage width requirement. The proposal is for a garage extension, living room/entry extension and a closet addition at the front of the first floor, and a new master bedroom suite on the second floor. The first floor closet addition necessitates a minor modification, but encroaches into the required 20' front setback no further than the existing main structure (17.5'). ANALYSIS A minor design review is required for any 2nd floor addition in the R1 (Single Family Residence) zone to ensure proper design consideration and compatibility with surrounding properties. • With exception of the nonconforming garage, the proposal conforms to all development standards and the residentiai design guidelines. The second story floor area is approximately 42% of the first floor area (932 sq. ft. including area Building �ivision (714) 75a-5273 • Code Enforcement p1a) 754-5623 • Planning Division (774) 754-5245 Fwcpia��sarase • roopia��saszaa • .�,,,.�;.�osia-mesa.�.os ZA-03-23 April 10, 2003 Page 2 open to below/2,213 sq. ft) and is well integrated with the first fioor configuration. The proposed construction also incorporates variation in roof forms and orientation. Staff has conducted a site inspection and determined that the addition would not negatively impact the surrounding properties or aesthetics of the neighborhood. Although there are no two-story homes immediately adjacent to the project site, the proposed addition would not appear out of place or obtrusive because the second floor area is relatively small in comparison to the first floor, and building mass is reduced since it is set back further than the first floor and incorporates variation in building heights and forms to create a smoother transition from the first to second story. The proposed 2"d fioor addition will not intrude on adjoining properties because it is centrally located on the property with approximately 23' left (east) side setback, 1 6' right (west) side setback, and 27' rear (south) setback. The Zoning Code allows an exemption from current parking requirements (20' x 20' interior garage dimensions) for an existing residence with legal, nonconforming garage dimensions if the existing structure on the lot precludes reasonable compliance with off-street parking requirements. In this case, there is not enough side yard area to allow expansion of the garage to meet current garage width requirements. Since the garage can still accommodate 2 cars and the driveway provides 2 open parking spaces, no parking impacts are anticipated. Code allows a minor modification for minor building additions that encroach into required setbacks no further than the existing main structure. The existing structure has a nonconforming front setback (20' required; 17.5' existing) for a 1 5' portion of the house. The 4' closet addition on the first floor will line up with the existing main structure and would not negativeiy impact the neighborhood. FINDINGS 1. The information presented sub.stantiaily complies with Section 13-29(e) and 13-29(g)114) of the Costa Mesa Municipal Code in that: a. , The proposed development and use is compatible and harmonious with uses on-site as well as those on the surrounding properties. With exception of the existing nonconforming garage width, the project meets or exceeds all residential development standards and design guidelines. b. Safety and compatibility of the design of the buildings, parking areas, landscaping, luminaries, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. c. The project is consisient with the General Plan. ZA-03-23 April 10, 2003 Page 3 d. The planning application is for a project-specific case and does not establish a precedent for future development. e. The proposed development is substantially compatible and harmonious with existing and/or anticipated development on surrounding properties. This includes site planning, landscaping, appearance, scale of structures, location of windows, and any other applicabfe features relative to a compatible and attractive development. The second floor addition is relatively small in comparison to the first floor and incorporates varying roof heights and forms to create an interesting building mass. Consideration is also given to the effect of proposed development on the light, air, and privacy of adjacent properties. The exemption from current parking requirements will not create an impact in the neighborhood because the nonconforming garage can still hold 2 cars inside and the driveway provides 2 open parking spaces. 2. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA1, the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. 3. The project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. Street address shall be displayed on the fascia adjacent to the main entrance or front door in a manner visible from the public street. Numerals shall be a minimum 6" in height with not less than Yz" stroke and shall contrast sharply with the background. 2. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. 3. The conditions of approval and ordinance or code provisions of minor design review ZA-03-23 shali be blueprinted on the face of the site plan as part of the plan check submittal package. 4. The applicant shall contact the Pianning Division to arrange for a Planning inspection of the site prior to the reiease of occupancy/utilities. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. Eng. 5. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and promptly remove any spillage from the pubiic right-of- way by sweeping or sprinkling. 2A-03-23 April 10, 2003 Page 4 CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. Approval of the Zoning Action is valid for one (1) year and will expire at the end of that period unless buiiding permits are obtained or the applicant applies for and is granted an extension of time. 2. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections wil� not be granted until all such licenses have been obtained. Bldg. 3. Comply with the requirements of the California Code of Regulations, Title 24, also known as the California Building Standards Code, as amended by the City of Costa Mesa. 4. Prior to or concurrent with the submittal of plans for grading/building/ plan check/submittal of final subdivision map for engineering plan check, the applicant shall prepare and submit documentation for compliance with the State Water Resources Control Board (SWRCB) Water Quality Order 99-08-DWQ; National Pollutant Discharge Elimination System (NPDES) Permit No. CAS000002 for Storm Water Discharges Associated with Construction Activity (General Permit); the California Regional Water Quality Controi Board (RWQCB) Santa Ana Region Order No. R8-2002-0010 and NPDES Permit No. CAS618030; and, the City of Costa Mesa Ordinance No. 97-20 for compliance with NPDES Permit for the City of Costa Mesa. Such documentation shall include a Storm Water Pollution Prevention Plan if over 1 acre (if over 5 acres if submitted prior to March 10, 2003) and a Water Quality Management Plan (WQMP) identifying and detailing the implementation of the applicable Best Management Practices (BMPsI. Fire 5. Provide approved smoke. detector to be installed in accordance with the 1 997 Edition of the Uniform Fire Code. Eng. 6. At the time of development submit for approval an off-site plan to the Engineering Division and grading plan to the Building Division that shows sewer, water, existing parkway improvements and the limits of work on the site, both prepared by a civii engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City of Costa Mesa. Pay offsite plan check fee to the Engineering Division. An approved offsite plan and fee shall be required prior to engineering/utility permits being issued by the City. 7. A site access permit and deposit of 5350 for street sweeping will be required by the Engineering Division prior to the start of any on- or off- site work. • ZA-03-23 . ' April 10, 2003 Page 5 SPECIAL DISTRICT REQUIREMENTS The requirements of the following special districts are hereby forwarded to the applicant: Sani.. 1. Developer shall contact the Costa Mesa Sanitary District at (949) 631-1731 for current district requirements. School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved site plan is enclosed. The decision will become final at 5:00 p.m. on April 17, 2003, unless appealed by an affected party or a member of the Planning Commission or City Council. If you have any questions regarding this letter, please feel free to contact the project planner, Wendy Shih at 714-754-5136 between the hours of 1 p.m. and 5 p.m., Monday through Friday. Sincerely, � V � PERRY V/aLANTINE Zoning dministrator Enclosure: Conceptually-approved plans cc: Engineering/Development Services Jim Maddux Fire Protection Analyst 14736 Beach Blvd. Water District Westminster, CA 92683 Building Division PLANNING APPLICATION SUMMARY Location: 991 Trenton Way Application: ZA-03-23 Request: Minor desian review for a second-storv addition to an existinq single-familv residenc� and an exemotion from qaraqe width reauirements 120' required; 18' existinql i� coniunction with a minor modification for a closet addition in the front setback tc match existinq. SUB.IECT PfiOPERTY: SUHROUNDING PROPERTY: Zone: R1 __ North: R1 Single-FamilyResidence General Plan: Low Density Residential South: R1 Single-Family Residence Lot Dimensions: 60 ft. x 100 ft. East: R1 Single-Family Residence Lot Area: 6,000 sq.ft. West: R1 Single-Family Residence Existing Development: Single family residence and a legal, nonconforming (interior dimensions! garage. DEVELOPMENT STANDARD COMPARISON Development Standard Reauired/Allowed Lot Size: Lot Widt lot Area TOTA 2"° to 1" Flo Buildin Heic Setbacks Ihc Front Side Ileft Rear I1°' Parkin : Covered O en Guest TOTAL ft. OQO sq.ft. 445 sa.ft. stories/27 ft 20 ft. 5 ft. 10 ft./20 ft. 2 2 N/A 4 Proposed/Provided 000 sa.ft. 1 7 17 ft.' 5 ft./Sft. 27 ft. 2 2 N/A 4" Driveway Width: � 10 ft. � 18 ft. NA = Not Applicable or No Fepuirement CEQA Status Categorical Exemption: Class 3 Final Action Zoning Administrator � ' Existing nonconforming. '* Minor design review requested to devfate from required garage dimensions. s a � o. > _ : J •~'^^ounm� (7/4)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BlIILD/NG DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 991 TRENTON WY Suite: - Vicinity: Parcel Number: 14105240 npplicant: TRAVIGLIA, TONY Address: � Owner: WIGMORE, JEAN M Address 991 TRENTON WAY BUILDING PERMIT Zoning: R1 . � Phone: 539-5824 - Zip. I:il a , i� PERMIT NUMBER I 699-01390 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: - ISSUED � Applied: OB/31/1999 - Issued: OB/31I7999 ISSUED BY: / /!o� � . � � Phone; � " - - , COSTAMESA,CA �� _ - � Zip: 92626 � ' - - � �- , ,- Contractor. A. J. CUSTOM POOLS ,_, � `�� , '� Address: . 12342 LOUISE � � � " ��, � � Phone: 714-539-5824 . . . . GG CA ' Zip: 92641- License: 452652 , � Arcn : Eng: B .C. ADAMS Address. ' , / � Address: Zip: Phone: License: SCOPE OF PERMIT '� WSTACL NEW POOL AND SPA IN REAR YARD OF EXISTING SINGLE FAMILY RESIDENCE. , . INGROUND GUNITE POOL � ' � AND SPA. ` Plan Check: $199.71 � Permit: , ' $307.25 SMIP Res: $1.85 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $508.81 SETBACKS MAIN STRUCTURE �Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0- 0 Rear 5- 0 Required: 0 FEE SUMMARY i — . , PLANNING & ZONING Left 0- 0 Left 5- 0 Proposed: 0 Phone: . License: C70183 . Calc Valuation: Claim Valuation: Right 0-0 Right S 0 sia,soo.00 sia,soo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and becoma void if work is not commenced within 1 BO days, or if work is suspended or abandoned for e period of 1 BO 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 requlred Inepeetlona 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) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby eflirtn under penalry of perjury one of the following tleclaretions: ❑ I heve antl wlll maintain a certificata of consent to sell-Insure for workers' compansation, as provided far by sectlon 3700 of Ihe Labor Cotla, for the pertormence oi the wark for which this permit is issued. ❑ I have and will maintain workers' mmpensation Insurance, as required by section 3700 ot the Lebor Cotle, tor the peAormance ol Ihe work tor which this pertnit is issuetl. My workere' compensation Insurence carner antl policy number ere: Cerrier: Policy Number: �(Th�is secfion need nof be completed il the permif is velued af one huntlretl tlollers ($100J or IessJ Idt I certify thet In the pertormance of e work tor which this permit is Issued, 1 shall not employ eny person in any menner so es to become subject to ihe workers' Tompensatlon lews of C lifornia agree thet If I should becoma subject to tha workers' compensetion provisions of Section 3700 ot Ihe Labor Cotle, I shall forihwlih comply wi� hese row ' . - � / /�' A ignetu . � �J�' / � URE TO SECURE W RK RS' COMPENSAiION COVERAGE IS UNLAWFIIL AND SMALL SU&IECf��E+A CRIMINAL PENALTIES PND GVIL FINES UP TOONE HUNORED THOUSAND OOILFRE (5100.0OO�.IN RION TO THE COST OF COMPENSATIIXJ, DAMAGES PS PROVIDED FOR IN SECTIIXJ 31060F THE LABOF CODE, IMEREST, P.ND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: ect. Lic. a, Signature: 9(commencing with Section 7000) ol Division 3 oi ihe Date: CiSNSTRUCTION LENDING AGENCY: ❑ I �ereby efli�m Ihet ihere is a conslmctian lentling agency for Ihe pertormence ot the work tor whlch ihis permit is issuad. (Sec. 3097, Civil Code). LentleYs Name: �enders Address: Siqnature: Date: and my license is in lull OWNER-BUILDER DECLARATIONS: I hereby ettirm thet untler penalry oi perjury �hat I em E7(EMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to construct, el�er, improve, demolish, or rapair any strucWre, prior to i�s issuance, elso requires the applicant tor such permit to tile a signetl statement �hat he or she Is licensed pursuant to the pmvisions ot the Comrectare IJcense Law (Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business antl Proteuions Code) or that he or she is axempt theretrom and the besis tor the allegetl ezemption. Any violation of Section 7031.5 by any applicant br e pertnit sub�ects Iha applicam to a civil penalty oi not more ihan tive hundred tlollars (5500).): ❑ I, es owner ot t�e property, or my employees with wages as iheir sole compensatlon, WILL DO THE WORK, end ihe siructure is not intentletl or oXeretl tor sale (Sec. 7044, Buslness and Professions Code: The Conirectors License Law does not epply to en owner of property who builtls or Improves ihereon, and who does such work him5aif or herself or thmugh his or her own employees, providetl that such improvements ere not intendetl or oNeretl for sale. tl, however, tha builtling or improvemant is sold within one yeer of completioq ihe owner-bulltler will have ihe burtlen oi proving thet he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business antl Profassions Code: The contrectors License Lew tloes not apply to an owner of property who builtls or impmves ihereon, end who conirects for such prolect with e contractor(s) license pursuant lo lhe Coniractors License Laws.). � ❑ I am exempt under sec. eusiness and Professions Cotle for this reason: Signature: Date: Owner ID verified by drivefs license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (rype ot document, i.e. � properly �arz bill or deed): Expires: DIVISION OF INDUSTRIAL SP.FETV PERMIT CERTIFICATION: ❑ I hereby certify t�a� no excavatlon five (5) or more leet in depth into which e person Is requlrea to tlescend, will be made in connection with work authorized by this permit, end ihet no building simcture, scattolding, falsework, or demoli�ion or tlismantling ihereol, will be more than ihirty-sis (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifornia Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the Division of Indusirial Satety, as no�etl ebove, unless such person has a permit to do such work from the tlivision. Signature: Data: Division of Industnel Safe�y Pertni� Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certi(y untlar penalry of per�ury that I have raad Ihis application end state that Ihe information given is correct. I agree to comply with all state laws antl ciry ordinances relating to builtling consWction, antl authorize representatives ot Ihe City of Costa Mesa lo enter upon Ihe ebove-described property tor inspection purposes. I agree not to occupy or allow occupanty of eny building authorized by this permit umil final inspection. F�77�l�'�l�iYi�P.�NI� 1616 1266 Fixed System Final Fire Prevention Pool Spa Final 200 Final Re-Root 201 Final BIocWRe�aining Wall 202 Finel Factory Fire Place "" '- 203 Final Sign ppTE 1 AL � � - �Final'�Damolitlon"" ""' — ^'-" -_ - '." ' � 2d46-db COUEA INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site ' 250 Final Building/OCcupancy o� wuuus�� CUSTOMER: MCBE� DON JOB NAME: ADDRESS: ARCHITECT: ENGINEER: B.C. ADAMS Laboratories of c�� ,tcsn eaiifo�nia. �nc. 3310 Airport Way Long Beach, CA 90806 Mail: P.O. Box 47, 90801 Compression Test on Gunite 5292 BRYANT CIRCLE WESTMINSTER, CA 92683 DON McBEE: VARIOUS SITES (SEE BELOW "SAMPLED FROM" FOR JOB NAME & ADDRESS) FSAX (562) 426-8424 www.twininglabs.com EXAM NO: DATE: JOB NO: PERMIT NO: OSH PD: OSA AP #: FILE #: PAGE #: CONTRACTOR: A.J. POOLS SUBCONTRACTOR: D.J. GUNITE CO. 99-1-233256 10/11/99 70521002 1 -------------------------------------------------------------------------------- SAMPLE FROM: Wall of swim pool, Wigmore, 9h'i Trenton, Costa Mesa, CA. 99� MIX: 4 1/2 to 1 SPEC. STR. (PSI): 2000 SLUMP: N/A CAST: 09/23/99 -------------------------------------------------------------------------------- DATE TESTED 10/07/99 SPECIMEN NO 1 AGE (DAYS) 14 TOTAL LOAD (LBS) 88750 LBS PER SQ IN 3020 SPECIMEN SIZE 6.120 12.230 AREA `SQ IN 29.42 SPECIMEN SHAPE: Cylinder SPECIMENS DISTRIBUTIONS: MCBEE DON, 1 t ! 5 � ! f :� ; � - ------------------------------------------------- Lab #10024/Test Method: ASTM C39 BY: Fidel DELIVERED BY: Don McBee RECEIVED ON: 10/O1/99 CLIENT-FURNISHED SAt�1PLE5 This test hos been performed and report prepored based upon the specific somple(s) provided to us by above client. We ass•�me no responsibilEiy for variations in qvality (tomposition, appearance, per'ormance, etc.) or any other feature of similar s�bject motter produced (manufactured, fabricated, etc.) by persons or un er conditions over which w= have no control. , � / �. ,:i�.. ii i.:�t...v � r ALL REPORTS RMAIN TME PROPERTY OF TW INING LABORATORIES OF SOUTHERN CALIFOi1NIA, INC. AUTHORIZATION FOR PUBLICATION OF OUR REG.ORTS. CONCLUSIONS, OR E%TRAGTS FROM OR REGAROING THEM IS RESERVED PENDING OUR WRITTEN APPFOVAI AS A MUTUAL-PROTECTION TO CLIENTS. THE PUBLIC AN� OUflSELVES. 1 (714) 754•5273 • Fax (714) 754-4856 • www.c�.costa-mesa.��LDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 991 TRENTON WY Suite: Vicinity: Parce� Number: 14105240 Zoning: R1 R1 Applicant: JUAN PEREZ Address: 622 E STEARNSAVE � . . , �. Phone: 562-6911948 LA HABRA,CA � Zip: 90631 Owner: WIGMORE, JEAN M Address .991 TRENTON WAY - _ � . � . � � Phone: , 'COSTA MESA; CA Zip: 92626 Contractor: PROTECT ROOFING COMPANY Address: 622 E STEARNSAVE ' � Phone: 562-691-1948 � LA HABRA,CA Zip: 90631 License: 772205 Arch : Address: Phone: Eng: Address: SUtus: ISSUED Applied: 09/08I2003 Issued: 09/08/2003 ISSUED BY: � \ Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF COMP. SHINGLES INSTALL 7 301B FELT AND � � . � � 40 YEAR COMP. SHINGLES TO INCLUDE THE ATTACHED GARAGE. -- Plan Check: Permik SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS, MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Exlstinq: o FEE SUMMARY _�>� — , . PLANNING & ZONING Rear 0- 0 Rear 0. 0 Required: 0 Left 0• 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sa,soo.00 sa,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes end related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced withln 180 days, or if work is suspended or ebandoned � br a period ol 180 days. I INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply vrith all applicable codes, and all Irequired Inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this pertnit. FOR INSPECTIONS CALLi (714) 754-5626 tan6a8 (5ro0) WORKER�JCb�MPENSA�ON DECLARATION: � . � I hereby aHirm un0er penalry ot per�ury one o1 the Iallawing tlederetions: ❑ I have entl wlll maintein e certificale of consent to seli-Insure for workers' compensation, es provldetl for by section 3700 of Ihe LebOr Code, for the pertortnence of the � work for which this permit is IuueO. workers' �, es require0 �y secllon 3700 of the Lehor Code, iw Ne peAortnence oi the work br w�ich Nis pe�mit is issuetl. number are: PolicyNumbe: .,ZA .�—� '�n/� 1o�i�, -r�i./)/)� one hundred dollers ($f 00) or /ess.) ❑ I certify Ihat in the pertorme of ihe work far Ich�I permit is Issuetl, I shall not emplay eny in e enner sa es to becoma sub�ect la the workers' co n laws o1 Celifo e, end egree t i I 9lioul ecome subJect to the warkers' compensailon provlsio of Sectlon 37Q0 of Ihe Lebo�ode, I shell }orthwith se provisions. � � � � icam Signeture: �� Date:� �'� G� � ARNI�NG: F�llR O SECURE WOfil ' ENSAT10fJ_� ERA�E IS UNIAWFUL AND SHALL SUBIECT AN EMPL'OTEIRO CRIMINAL PENALTIES rW 0 GVIL FlNES UP TO ONE NUNORED R��DOLLNiE�El00,OW),INADU OKfOTHEWSTOFCOMPEN$ATIIXJ,DAMNGESASPHOVIDEDFORINSECTIIXJ3lOeOFTMELABORCODE,IMEREST,ANDATTORNEI^SFEES. LICENSED CON7RAC70RS DECLARATION: ' I hefEhy.aHl_aaapatl,em Ilcensed under pro s of Che{ker 9(commancing wllh Section 7000) of Divis oi t Buslness entl Prolessians Cyde, end my Ilcense is in full CONSTRUC710N LENDING AGENCV: � � ❑ I hereby eXirm Ihat tt+ere is e consiruction lending egency for Ihe perfortnance oi the work for w�ich ��is pertnit Is Issuetl. (Sac. 3097, Civil Code). Lenders Name: Lenders Addreu: SlgnaNre: OWNER-BUILDER OECLMAT10N5: Dete: I hereby eHirtn Ihet untler penelry of per�ury Ihel I em E%EMPT FROM THE CON7RACTORS LICENSE LAW tor the follawing reeson (Sec. 7031.5, Business flnd Professions Code: Any ciry or county which requires a permit to construct, elter, improve, tlemolish, or repair any structure, prior to Its Issuance, also requlres the epplicant lor such partnit to file e slgnetl stetement that he or she Is Ilcensed pursuent ta Ihe provisions af the Contrectors License Lew (Chepter 8(commendng with SeIXlon 7000) oi DlNslon 3 of the Business and Professlons Cade) or thet �e or she is exempt theretrom and the besis tor the elleped exemptlan. Any vldation of SecUon 7031.5 by any epplicant for e pertnit su6jacis the ep0licent to e �M�I penelry ol not more t�an flve �undred dWlars ($500).): ❑ I, es owner of the proPerry, or my employeas wi�h wages es iheir sola wmpensation, WILL DO THE WORK, entl Ihe struqura Ls not Intende0 or afleretl tor sale (Sec. 7044, Business and P�ofesslons CaCe: The Contractors License Lew does not eppty to en owner of properry w�o builds or Improves therean, anC who does such work hlmseN ar herseN or throuBh �Is or her own employees, proviAed thet such imprwements ere not Intended or otterad for sele. Ii, however, the building or improvement is soltl within one yeer 01 completion, the owneobuilder will heva the burtlen of pmving thal he or she did not build or ImOrove lar purpose of sale.). � ❑ I, as owner of the Droperty, em EXCLUSIVELY CONTRACnNG WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business entl Professions Cade: Tha con�rectors License Lew does nat epply to an owner ot prapeny who bullds or improves Ihereon, end who contracts tor such prolect with e coniractor(s) license pursuent ro tt+e Contrectors License Lews.). ❑ I em exempt under sBc. Business antl Profeuions Code lor this reason: Signeture: Dete: Owner ID verilied by driver's Ilcense. ❑ Ves ❑ No Drivels License No. Vediicetlon oi Ownership by (rype of tlocument, i.e. - propeny tex blll or deed): DIVISION OF INDUSTRIA4 SAFETY PERMR CERTIFICATON: Expires: ❑ I hereby certity Ihet na excavetlon Ilve (5) or more feet In depth into which e person is requiretl to tlescend, will be metle In connedlon wit� work authotlzeC by this permit, and thet no bUilding strucWre, sceHoldinp, falsework, or demolition or tlismantling thereof, will De more Ihen Ihiny-six (38) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title B, CeIHomIA Atlmini5iretive Cotle). ❑ As ownar-builtler, I WIII not employ enyone to tlo work which would requlre e permit irom Ihe Divisian oi Intlustrlel Setety, es notetl ebova, unless such parsan has e permit to do such wor� <<om the dlvision. Signeture: Date: DiWsion ot Intlustrial Safery Pertnit Number. CERTIFlCATE OF COMPl11WCE IWD AUTNOIi1ZA110N OF ENTRY: I certify untler penelty of perjury that I have read this appGcaUon and state that the Into�maUon given is correct. I agree to comply W��h ell stete laws end ciry ordlnances relaling to bullding constructlon, end euthodze representetives oi the Ciry o1 Caste Mesa to enter upon the ebove-described properry for inspection purpases. I egree not to occupy or allow occupancy of eny building euthonzed by Ihis pertnit until final inspection. COOE t. INSiECT10NTYPE 1676 Fuetl System FIna1 Fire Preventlon 1268 Pool Spe Final 200 Finel Re-Raat 207 FIneI8locWRetelnl�g Well 202 Final Feccory Fire Place 203 Finel Sipn 204 Final Demolitlon QejF I� f�,Qf�fj INSGECiIONTYPE 206 Final Mechanical 208 Flnal Plumbing 210 Finel Electtical 212 Finel Fire Prevention 220 Final Planninp Approval 222 Flnal Site 250 Flnel BuildinglOccupency PdIE II�IG • q��' ;.:_::; �; (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA - BUILDING DIV►SION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Job Address: 991 TRENTON WY Suite No Vicinity: Parcel Nunmber: 14105240 Applicant: TRAVIGLIA, TONY. y ' " � � � ' ' Address: 12342 LOUISE � ' �� - '. � � � : Yi`�� , Phone: 714-539-5824 ; , . . � . Zip: 92641 � GG CA /-. - � ', � % i .� � / '/ \ � ' owner - � : WIGMORE, :IEAN M � " ' Addrass`�991TRENTON WAY �- � � i > �!- �\ : i / �'-�,; �_, � � 60STA ME9A'�CA �, � PERMIT NUMBER � P99-00511 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 08/31/7999 Issued: 08/31/1999 � ` - � �'� � � �� . �� Phone: ` . � . ' Zip: 92626 , � � , � `\._ � Contrector: A. J'CUSTOM POOLS Address: '12342 LOUISE � � � � � � � ' �, , � � .. ,r.- Phone': '714-539-5824 " =�.GG CA. '' „� '., ; ` ;' � ' ' � Zjpi 92641 .. . � - �,. � ' � - ' • �� ` License: 462652 � r� , � ,ArchlEng: � " �`_ , � � � . �," � . . '?� - ; Address:, � , _ � . . � _ , -P,hone:� .. - ,,.. ; . . � - � . . , - ' Zip: . ... . . . "� � � �icense: . � � � =�" SCOPE OF PERMIT ' ' t ''" ,. r - - � , ,GUNITE POOLAND SPA. REVF BPP-01390.;= . / � - AMT ISSUE FEE �` $23,50 Backflow irrigation - `, $0.00 Backflow Pieventer $0.00 Bathtub . $0.00 Clarifier System � � $0.00 Connect pce,Soda,etc) $0.00 Dental Units � � $0.00 Dishwasher � ' , , $0.00 Drain, Floor , , ,� $0.00 Drain, Rainwater - � $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 Gas (1-4 outlets) $0.00 Gas (Over 4 outlets) $0.00 Gas Repipe $0.00 Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY 0 �, 0 0 o, 0' Q 0 0• 0 0 0 0 0 , 0 0 0 0 0 0 FEE SUMMARY:_ - - � .. . _ - AMT QTY - Laundry Tub / Washer , $0.00 0 Landscapelrrigation �- ": $0.00 0 P-Trap � � - , � $0:00 0 Pressure Regulator $0.00 ' 0 . - Process Piping (per 10 ft) $0.00 �� 0 �� Receptors . $0.00 0 � Septic Tank � ' $0.00 0 , Sewer Cap for Demo "$0.00� 0 � Sewer Connect . . $0.00 0 Sewer Private Line �� - $0.00 0 Shower $0.00 0 Sink, bar $0.00 0� Sink, commercial $0.00 0 �- Sink, Floor , � $0.00 0 Sink, kitchen . - $0.00 0 Sink, service/mop $0.00 0 Spa(private) , - -$0.00� 0 Spa (public) $0.00 0 COMMENTS / SPECIAL CONDITIONS s SumpPump Swimming�Pool , Trep Primer � . Urinal Vacuum Brkr Bkflow(1�) Vacuum Brkr BkFlow(5+) Wash Basin� � Wash Basin Set � Waste and Vent System Water Closet-(Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SOftener OTHER VIOLATION PLAN CHECK REINSPECTION Y t � AMT $0.00 $60.75 $0.00 $D.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $84.25 �, QTY 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7, 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 e 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 requlred Inspectione and (inal approval must be obtained. Failure to obtain inspactions antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / WORKERS' COMPENSATION DECLARA7�ON: I hereby aHirtn untler Oenalry oi perjury one oi t�e tollowing declerations: ❑ I hava end wlll meintein a certificate of consent lo self-Insure for woAcers' compensation, as provided tor by sectlon 3700 of iha Lebor Cotle, for the peAormance of the work tor which this pertnit is issued. ❑ I have and will melntaln workers' compensa6on insurance, as required by section 3700 ot the Labor Code, for the peAortnance ot the work tor which ihis pertnit is issued. My workers' compensation Insurence carner antl policy number are: Carner: Policy Number: �(Th' sectlon need nat be comp/eted tl the permit is velued et one huntlretl tlollers ($100) ar Ie55J certity ihet In tha pertormence of the work for which this permit is issued, I shell not employ any person in any menner so es lo bacome suhject to ihe workers' �ompensation lews of Califomi nd dgree that it I should become sublect b the workers' compensation provislons of Section 3700 ot the Labor Coda, I shall forihwith com I ' ovisio . —�—��—� / /�/ Ap � igneture� _ E3(e: d��7' �—/ A I�NG'.FAILURESSS��ENOADDITIONT�OMTHESCOSTOFCOMPENSATIONDAhNGSASPROVDED RNSEGTIIXJ�FRTHELABORCODIE,I ERESTLANDA'170FNOEO3FEESDRED Ci00�A E I h aHirm t�et I am licensed or antl ettect Lic. k CONSTRUC710N LENDING AGENCY: 9 (commencing with Sectian 7000) Class a Date: and Profe�5,sions Cotle, and my licensa is in full ❑ I hereby eNirm thet there is a consiruction lendinq eqency lor the peAormenca of the work for which this permit Is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendels Address: Signature: OWNER-BUILDER DECLARA710NS: Data: I hereby aHirm �hat under penelty of perjury that I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permi� to constmct, alter, improve, tlemolish, or repair any simcNre, prior to its issuance, elso requires the appliGant for such permit b file a signed statement Ihat he or she is liGensed pursuent to Ihe provlslons of ihe Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 oi the eusiness and Professions Coda) or Ihat he 0� she Is exempt therelrom ena l�e basis for Ihe allegetl exemption. Any violation of Sectlon 7031.5 by any appliwnt for a permit subJects the appllcant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner of Ihe property, or my empbyees with weges es their sole compensation, WILL DO 7HE WORK, entl tha sWcture is not intentled or oNered tor sale (Sec. 704a, Business and Professions Cotle� The Conirectors Licensa Lew does not apply to an owner of property who builds or improves ihereon, antl who does such work himsell or herself or ihrough his or her own employees, providetl tha� such improvemenis ere not intendetl or oNered for sale. If, however, ihe building or improvement is soltl within one year of completion, the owner-builtler will have the burtlen of proving thal he or she did not buila or improve for purpose of sala.). ❑ I, as owner of the pmperty. em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 704d, Business and Professions Code: The conirectors License Lew tloes not apply to en owner of pmperty who builds or improves thereon, ena who conirecis far such project with a contractor(s) license pursuant Io ihe Contractors License Lews.). ❑ I em ezempt untler sec. Business and Professions Code for ihis reason: Signature: Dete: Owner ID venfietl by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Venfication of Ownership by (type ot document, i.e. - propeny tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity ihet no excavation five (5) or more feei in depth Into which e person is requiretl to descend, will be made in connectlon with work aut�onzetl by ihis permit, antl that no building stmcNre, s�attolding, falsework, or demolition or tlismantling ihereoL will be more than ihirty-slx (36) teet high. (Chap. 32, Gry 2, Atl 2, Sac. 347, Title 8, Celitornia Administrative Cade). ❑ As owner�bulltler, I will not employ any0ne to do work which would requlre a permlt irom ihe Divislon of Industrial Safery, as noted above, unless such person has a pennit t0 tlo SUCh wurk irom lhe division. Signawre: Data: Division ot Industrial Safery Pertnit Number. CERTFICA7E OF COMPLIANCE AND AUTHORVATION OF ENTRV: I cenity under penalty ot perjury ihat I have reatl ihis epplication and state ihat ihe information given is correcL I agree Io comply with all state laws antl ciry ortlinances relating to building consiruction, and authonze representatives of the City of Costa Mesa to enter upon the above-descnbed property for inspection puryoses. I egree not to occupy or ellow occupancy ot any builtling authonzetl Oy ihis pertnit until linal inspection. �i.] ]31�CFi1�3161:i(19�. 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final8locWRetaining Wall 202 Finel Fectory Fire Placa 203 � Finel Sign 204 Final Demolition 2466d6 Pdff ItIIIDSLH C�DF_/ INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final Eleciricel 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupency o� iwrmn�s 7.i (714)754-5273 • Fax(714)754-4856 Job Address: Suite No Vicinity: CITY OF COSTA MESA BUILDING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 991 TRENTON WY MECHANICAL PERMIT Parcel Number: �4�05240 ' � � Applicant: TRAVIGLIA, TONY . . - , . Address: 12342 LOUISE ; , . ' l . , � � � ;-i�; . Phone: 714-539-5824 ,. i GG CA � . . Zip: 92841 � �i PERMIT NUMBER I M99-00405 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Owner: WIGMORE, JEAN M i � Address: �'�'991 TRENTON�WAY�� _ _ ._ � . ., ' - , � � �:�: // � � i . . Phone: � _ ./. A i. , , , . COSTA MESA; CA= � % � Zip: 92626 - � A <� �; _ � i//��._-i . .. i .%i'-i Contractor: A:�J.'CUSTOM POOLS ,, �Address:, 1234210UISE � . � Phone: 714-539-5824 , GG CA . Zip: � 92641. . . � . � ' ' � � License: 452652 . ArchlEng: „ , r , �.'.. -. � ' �. � � � Address: t , ' .f �� - i ;' - - . � " ' - � : .� '-�' Phone: . , . ' � �, Zip: � � � � License: , , � � SCOPE OF PERMIT � GUNITE POOL AND SPA. REVF BPP-01390. � � �� ISSUE FEE � Inst FAU <700 k BTU Inst FAU >100 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Retrig Sys <700 k BTU Refrig Sys >100 k BTU � � ' Gas Piping Factory Fireplace � Hood w/Mech Exhaust VAV Box ' Vent Fan / Single Duct . , Appliance � � Fire Dampers , - Smoke Dampers � � Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater � fEE SUMMARY , Quantity � - ' , � � � � $23.50 $0.00 _ 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 . �$10,65 1 . $0.00 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Repair / Alt Absorbtion Unit Repair I Alt Retrigeretion Unit Ventillation System Evaporative Cooler Commercia l Incine rator � - Domestic Incineretor Compressors / Absorption Systems: Up to 3 hp I 100 k BTU , . . 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU � 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU - Boilers , Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee � � Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAI CONDITIONS Status: ISSUED Applied: 08/31/1999 Issued: 08/31/1999 Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 � $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 534.15 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia 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 vrork 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 requlred Inspeetlona end flnal epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSATON DECLARATION: I hereby aHirtn untler penalry of perjury one of the tollowing decleretions: ❑ I heve end will meintain e cBrtifiCete of Consent to self-Insure for workers' compansation, es provitlad For by sectlon 3700 of the Labor Cotle, tor Ihe Oedormence ot Ihe work for which Ihis pertnit Is issued. ❑ I have antl wlll maintain workers' compensatlon insurence, as requiretl 6y sectlon 3700 of Ne Labor Code, for Ihe peAortnance oi the work for which Ihis pertnit is issuetl. My workers' compensation Insurence carrier end policy number ere: Cerner. Policy Num6er: (This section need not be cromplefed!! fhe permit is valuetl et one hundred dollers ($100) or /ess.) '�I�ceniy that in the pertormance ot the work for which Ihis permit is issued, I shall not employ eny person in any manner so es lo become subject to the workers' compensation laws oi Califo le, end egree that Ii I shoultl become subjact to the workers' compensetion provisions of Section 3700 ot t�e Labor Code, I shall forthwith compn�Pr, '� 173tc—� �� / Ap ur , � W TO SECUR W KERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINPL PENALTIES AND qVIL FINES UP TOONE HUNDRED THOUSANDDOLLARE�5100,000�, A�DITIONTOTHECOSTOFCOMPENSATION,DAh41C+ESASPROVIDEDFORINSECTION31060FTHELABORCODE,IMEREST,ANDAITORNEY'SFEES. LICENS RS DECLARATION: I here aflirm ihet I am licen etl untler provisli forc d ettect Lic: a omractoYs Signeture: CONSTRUCTION LENDING AGENCY: (wmmendng with Section 7000) of Division 3 ot the Business antl6Professions Code, and my licensa is in full � � 3 ❑ I hereby ettirm ihet there is a construction lending agency for ihe pertormance of ihe work for which this permit Is issuetl. (Sec. 3097, Clvil Coda). Lentler's Name: Landefs Adtlress: Signature: OWNER-BUILDER DECLARA710NS: Date: I here6y attirm �het under penalty ol perJury ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires e permit to constmct, elter, improve, tlemolish, or repair any slrucWre, prior to its issuance, also requlres the epplicam for such permit to file a signed statement that he or she Is licensed pursuant to Ihe pmvislons of the Gonirectors License Ww (Chapter 9(commencing with Section 7000) of DlNslon 3 oi the Business and Professions Cotle) or thet he or she is exempt therefrom entl ihe Desis tor Ihe alleged exemption. Any violation of Sedlon 7037.5 by any epplicant for a permlt subjecis ihe applicant to e civil penalry of not more then Ilve hundretl tlollers ($500).): ❑ I, as owner ol ihe property, or my employees with wages as lheir sole campensation, WILL DO THE WORK, antl the structure is not intended or oNeretl for sala (Sec. 7044, Business antl Protessions Coae: The Conirectors License Lew tloes not apply to en owner of properry who builds or imOroves thereon, and who tloes such work himseif or hersell or through his or her own employees, provided thet such improvements are not intentled or oHeretl for sale. If, however, the building or improvement is soltl within one year at completlon, the owner-builder will heve Ihe burtlen of proving thet he or she tliA not build or improve for purpose al sale.). ❑ I, as owner of the property, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRAC70R5 to consiruct the prqect (Sec. 7044, Business antl Protessions Cotle: Tha contrectors License Lew does not applY to en owner oi property who builds or impmves ihereon, and who coniracts tor such project with a comractor(s) license pursuant to the Contrectors License WwsJ. ❑ I am exempt untler sac Business antl Professions Code for this reason: Signeture: Date: Owner ID verifietl by tlrivafs licensa. ❑ Yes ❑ No Oriver's License No. Expires: Veritication ol Ownership by (typa ot document, i.e. - propeny tae bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity ihat no excavetlon five (5) or more teet in tlepth into which a person is required to descend, will be made in connection wi�h work euihorized by Ihis pertnit, antl Ihat no builtling structure. scafloltling, felsawork, or demolition or dismantling thereol, will be mora than thirty-six (36) leet hlqh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitornia Atlminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit trom Ihe Division of Industrial Safery, as noted ebove, unless such person has a permit to do such wark from Ihe tlivision. Signature: Date: Division of Industnal Safety Pertnit Number. CER71flCATE OF COMPLIANCE AND AUTHORVA710N OF EN7AV: I cehify under penalry of perjury tha� I have read ihis application antl state ihat the information given is correct. I agree to comply with all stete laws and ciry ortlinances relatinq �o builtling consiruction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon tha above-tlescn�etl property for inspection purposes. I egree not to occupy or allow occupanty of any builtling auihorized Dy this pertnit until linal inspeqion. COpE �, INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rool 201 Final Block/Retaining Well 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demolition 2a46-ae jff0g INTRIALS CODE� INSPECTONTYPE 206 Final Mechanicel 20B Final Plumbing 270 Final Elec�rical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Builtling/Occupancy DR / // (714)754-5273 • Fax(714)�54-4856 CITY OF COSTA MESA BI/ILD/NG DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT JobAddress: 991 TRENTON WY Suite No Vicinity: PERMIT NUMBER � E99-00818 77 FAIR DRIVE, COSTA MESA, CA 92626 Parcel Nunmber: 14105240 ISSUED BY: Applicant TRAVIGLIA, TONY Address: 12342 LOUISE - , r � � Y � � � " ' . -- i" C `� � � 'Phone: 714-539-5824 � � - GG CA , "-� "/ �� - � , � Zip: 92641 i� . -' Owner � WIGMORE, JEAN M ' Address -7-.997`TRENTON WAY`� ' - ' /.�,. / : . "/, - , , /� / _ Phone � COSTA MESA; CA �i � Zip .`.. ., j/l�,i'. � -' �- �.� jM . Contractor: A. J: CUSTOM POOLS �%� �� , ' � Address: 12342 LOUISE � � Phone:- 7145335824 � . -GG CA ' ' � j Zip: 92641 . • � . ' � � � ,Licerise: 452652 �"� � , " - ` "� . . „ . _ , �" . � _ .. . i Status: ISSUED Applied: 08/31/1999 Issued: OB/31/1999 i /. � ; �_ �-,..� . � . =_� � ,�, `\ � 92626 '"� � - ��,��, �, ��, � , �' � � SCOPE OF PERMIT ` �- � GUNITE POOC`AND SPA. REVF BPP-01390. / ' ,. " .. . .. . . . .. . ' . , ; , ,. � ISSUE FEE . _ ,' Temp service test ��Res. a/c package , New Res (1-2 units) - � New Res (3+units) � Pool I Spa � � Lighting Fixts , � � Recept Outlets . Switches,� � - Non Res Appl Res Appl ' Service to 200a . Service to 1000a , Service over 1000a Motorstoihp � Motors to 10hp � Motors to 50hp � _ Motors to 700hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Inlermed Pole ' FEE SUMMARY � Quantity , $23.50 . �. , $0.00 - � . ' ... $0.00 - _ $0.00 0 $0.00 - 0 $49.50 � 1 so.00 o - $0.00 -0 ; ,�$0.00 ' 0 � � $0.00 0 ' _ � "$0.00 0 � � - �$0.00 . .0��. � � $0.00 � . �0� ' . $0.00� � 0 - $0.00 � "0 ", - $0.00, 0 ' , $0.00 ' � 0 - � $0.00 0 $0.00 0 � $0.00 � 0 $0.00 ^ 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ---Temp Dist System�/ Lighting� -�� Busway /100 ft� � - ` . _- Standing Section Misc Electrical Equipment Trensformers up to 7 kva/kw ................up to�10 kva/kw � .................up to 50 kva/kw . :' �� .,� ..............up to 100 kva/kw . :....:.t.._._..over 100 kva/kw � Low Voltage�Equipment Low Volt Wiring�System / Ckt Misc: Conduit . � � Misc Conductor Circus ( gen or ride) � , -Circus (mech ride or lights) Christmas Tree Stand �. � �- Fireworks-Stand � Other Electrical Fee Quantity ' $0.00 0 $0.00 0 . $o.00 o < $0.00 0 i $0.00 0 � $0.00 0 , � so.00 : o $0.00 ; ' 0 ` � ' $0.00 � �� .0 � . � $0.00� " : 0 . � 50.00�. 0 � � $0.00 0 $0.00 0 $o.00 0 $OAO 0 � $0.00 � � 0; �'-' $0.00- " , 0 , $0.00 Investigation Fee-. $O.Oq "� Plan Check Fee $0.00 Reinspection Fee � � $0.00 TOTAL CALCULATED FEES E73.00 COMMENTS / SPECIAL CONDITIONS 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, 72-21-92) 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 requlred Inapeetions end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / WORKERS'COMPENSAnON DECLARATON: I hereby aHirtn untler penalry oi per�ury one ot t�e lollowing tleclaration5: ❑ I have end wlll maintain a cenHicace of consem lo seN-Insure tor workers' compensetion, as pmvided for by sactlon 3700 of ihe Lebor Code, tor Iha peAortnance of the work tor which this pertnit is issuetl. . ❑ I have antl will maintein workars' compensation insurance, as required by seMion 3700 ot Ihe Lebor Code, for the peAortnance of tha work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Cerrier. Policy Num�er. (This section need wt be camp/eretl i/ Me permi( is veluetl e( one hundred dollers (5100) oNess.) �� certity thel in the peAortnence ot t e v compensation lews oi Califomla, r� comply with Ihese provisions. Applic AHN G: FA1 SECURE WORKER PE OOLLARE (5100.OW), IN AD01TI O M LICENS NT�ECLARATION: re6y aflir at I am license under p isic force and HecL Lic. k Comraci s Signatur � �— CONS7RUCTION LENDING AGENCY: for which this pertnit is issued, I shall not employ any person in eny manner so es to become subject to the workers' at tl I should become 5ub�ecl to the workers' compensetion provi5ions of Section 3700 of the Labor Cotle, I shall farthwith - --9e1e:_ Y, .�1 "'7 � IS UNLAWFUL AND SNALL SU&IECf AN EMPL IMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED �TION, �PMAGES AS PROVIDED FOR IN SECfIIXJ 31O80F THE LABOR CODE, IMEREST, P.ND ATfORNEY'S FEES. af Chapter 9(cammencing with Section 7000) ot Oivislon 3 oi the Date: ❑ I hereby attirm Ihet ihere is e conslrucUon lentlinq eqency lor Ihe pedormance ot the work for which this permit Is Issued. (Sec. 3097, Civil Code). Lendafs Name: Lendets Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: antl my license is in tull I hereby aNirm that under penalry of perjury t�at I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for iha following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or county which requires e permit to construct, alter, Impmve, demolish, or repair eny structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ihat he or she is licensed pursuent to the provisions oi iha Contractors License Lew (Cheptar 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or thet he or she is exempt therelrom end the basis tor the ellepetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to e civil penalry of not more then live hundred dollars (5500)J: ❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO THE WORK, end the siructure is noi intended or oftered for sala (Sec. 7044, Business and Professlons Code: The Contrectors License Lew tloes not apply to an owner oi property who bulltls or improves thereon, antl who tloes such work himseN or herself or through his or her own employees, provided ihat such improvemems ere not Imended or ottered for sale. It, however, Ihe building or improvement is sold within one yeer of completion, ihe owner-builder will have the �urden of proving thet he or she did not builtl or impmve for purpose of sale.). � I, as owner of the property, em E%CLUSIVELY CONTRAC7ING WI7H UCENSED CONTRAC70RS to constmct Ihe project (Sec. 7044, Business and Professions Code: The contrectors License Lew does not apply to en owner of propeny who 6uiltls or improves thereon, entl who conirects lor such project with a contractor(s) license pursuant to ihe Contracbrs License Laws.). ❑ I am exempt untler sec. eusiness end Professions Code tor lhis reason: Signature: Date: Owner ID veritietl by tlriver's license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownership by (type ol document, i.a. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity Ihat no excevalion five (5) or more leet in depth inlo which e person is requlretl to tlescenq will be mflde in connection with work authorized by Ihis permit, entl thet no building sirucWre, scaHolding, falsewolk, or tlemolition or tlismantling thereoi, will be more ihen Ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7itle B, Celifornia Adminisiralive Code). ❑ A5 owner-huiltler, I will not employ anyone ro tlo work which woultl requlre e permit fmm the Divislon of Indusirlal Sefety, es noted above, untess such person has a permit to do such work from the division. Signeture: Data: Division of Indusirial Safety Permil Num6er: CERTFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I cerlify under penalry ol per�ury that I heve read this application and state that the intormation given is correct I agree to comply with all state laws and ciry ordinances relating to building coretrucUon, anC authorize representatives of the Ciry of Costa Mesa to enter upon the ebove-tlescn6etl properry tor inspection purposes. 1 egree noi to occupy or allow occupancy of eny bullding authorized by this pertnit until final inspection. COpE �, INSPELTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 204 2046-06 Final Si9n Final Demolition �E �� COUE� INSPECTONTYGE 206 Final Mechanicel 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/OCCupan� �A� INTffaLS t J PflOJECT ADOXE55: UNIT: OWNEfl'SNAME: 991 TRENTON WY nooness: WATERS JOHN J 991 TR�NTON WAY /_ � COSTA MESA,CA 92626 APLN/ENGINEEH: � 7 1 4 � 7 S 1 — 7 6 2 7 flEG.NO.: nooxess: uNrt: PE"mmEE'SIERRA ROOFING � (714)847-1773 aooxess: 16631 KETTLER LN HUNTINGTON BEACH CA 92697 UCENSEU CONTXPCTOfl DECLPflFTION: I herehy allirm thal I am licensetl untler provisions o� Chapter 9(commencing wilh Section 7W0) af Oivision 3 0� the Busine5s and Pmtessions Cotle. an0 my license is in lull force antl eifecl. cirr uc.: 0 5574 $TRiE LIC.: S 1 S 7 ss: 9 Oate: g" � �' �� ; Signamre: _ _ _ WOPNENS' COMPENSpTION OECIAHATION: I herehy rm t�at I have a cenilicate oi consem o selbinsure or a certificate oi Workers' Compenuiion Insurance. or a cerlifieC wpy ��ereof ( c�ion 3800, Lab. C). roucrxo.: 1094965-93 E%P.ORTE: O%IOII9�I comrnxv: STATE FUND �� Certilietl copy is here�y �umished. � CehilieA co/pyj is hletl with he ciry Bu�il ' /g Oivision. a�e: � �7=—� APPlican�—� ✓ a�/►�+� E%EMPTION FROM WOflKEflS'COMPENSATION DECLAPRTI�jThissemion neetl no16e complete0iflh ermi�isforonehundretl�$100�orless�. I cerlity that in I�e pertormance ol lhe work lor w�i�h this permi� is i55ueQ I shall noI employ any Oerson in any manner so as Io hecome su�leci �o Ihe Workers' Compensation Laws o� Calilomia. �ale: SignaWre: NOTICE: I�. ai�er making ihis tleclaraiion. you ShoUld b¢tome Subjett to Ihe Workers' Compen5ation pmvisions of Ihe Labor Cotle, you must �otlhwi�h compry wi�� such O�ovisions or �his permit shall Ge deemed revoke0. CONSTPUCTION LEN�ING BGENCY: I hereby a��irm tha� Ihere is a conStNc�ion lentling agenty �ar the pedormance o� �he work fof whic� I�is Oermn is issued (Senian 3097. Civ. C�. LENOEfl: A�OXE55: OWNEfl BUILOEP OECLANATION: 1 hereby atlirm t�al I am exempi imm ��e Conirac�ors' State �icense Law tor Ihe tollowin8 reason (Seclion 7031.5 Business and Pmiessional CoOe: Nny city of counly which requires a permii to constmc�. alteL improve, tlemolish, or repair any s�mcture. prior to its issuance. also requires �he apDlican� lor suc� permit to file a signetl slaiemen� �ha� helshe is licensed pursuant lo Itle pmvisions of Ihe Conttactors S�a�e License Law (Chap�er 9(commencing wilh Sec�ion 7000) ol 0ivision 3 of Ihe Business and Prolessions Gotle) ar tnat he/sne is exempt Iherefmm an0 ine 6asis for ine allegetl exemption. Any violation of Section 7031.5 by any applican� �or a permi� subjecis t�e applicani to a civil penalty of not more than tive hunEreA dollars (5500�. I, as awner ot ihe pmpeny or my employees wit� wages as ��eir sole compensation, will Ao the work, and ihe � slmcture is nol inlenaed ar ol�eretl �ar sale (Seclian 7044. Business and Pmtessional Cotle: The ConVac�ors' S�a�e License Law Aoes not apply to an owner ol a propeny w�a �uilds or impmves ihereon, an0 who Ooes such work �imselt/herself or ihmugh Ais ar her own employees, pwvitleA �hai such impravemen�s are no� inlenAea or oHereU lor sale. II, however the builtling or impmvemenl is SoIA wiihin one year oi comple�ion. Ihe owner will �ave ihe bur�en oi DmvinA he/she tli0 noi builtl or impmve lor ine vurpose of sale). I, as owner of the pmpetly, am excNsively contracting wiih IicenSeU conlractors to consimct the prolect (Sec�ion 7044. Business ❑ antl Professions Cotle: T�e Contrac�ors' State License Law Aoes no� appty �o an owner of pmperty who GudAs or imDmves Ihereon antl who toniratls fOr SUCh pmlet�s wi�h a tOntractor�s) �i[en5e pursuan� l0 �he COnttatloK S�ate License Law�. I am aware Ihai pmof oi Iheir Worker'S Compen5aiion insurance shoul� be pmvided to me. � I am evempt under Section�. 8. 8 P. C. IOf ��IS fCd50fl'. oate: Ownec I ao �ereby tenity Iha� I am aware o� anU under5tan01he reqUiremems o� Calibmia,Healih an0 Safery Cotle Sec�ions 25505, 25533, and 25534 antl Ihal I or any lulure builtling accupan� willlwill na� (circle one) nee0 �o tompty wilh saitl stale codes and �he requiremen�s fo� a permit lor constmction or motli�¢atmn Imm �he Air �uabry Management Di5Vic1. Residen�ial consimc�ian applicalions are exem0� ��om ihese provisions. Oale'. ApPlicanC I here�y certity Ihat I have reatl Ihis applicalian and sla�e �hal Ihe a0ove information is correcl. I agre a comply wiih all ciiy and counry or0inance5 antl staielawsrelating�o butleing consimction antl hereby aulhorrze reDresen�a�ive oll�is o enieruponthe above�mentionetl pmperlpy br inspection purposes. �a�e'. 6 � � � ' 9�3 _ Signaiur Onver'S License or Social Seanly a: t6at�46 Wbite—ButlEing�, Green—Cotle Entorcemem; Canary—ApplicanC Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06376� PERMIT NO: B 063761 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMZT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/O SHAKES,RESHEATH 1/2"CDX,APPLY COMPO SQ FT; 5,900 CLAIM VALUE; 5,900.00 CALC—VALUE; 5,900.00 GROUP OCC: R-3 /M-1 COMMENTS• SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC *�**�r�**��r�r�*��r��r�e*��r��r�r�r�r�* �r�r*�r��r��r#�r�r***�r�rx�***�r***��r***�r*�e�r**�*�r*�r****�r***�r Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- 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; 19105240 ZNE; REF NO; PLANNING NtSTES� � / 3f if iE iE iE if iE 1E iE �t �E �E iE �F k iE1E 3! k �E�F 1F if iE if iF if iE if iE if k 1E �E if iE iE iE 3f if �k fE iE * iEiE if iEaE if iE k ikiE iE if iE if iF 3F iE �E �f iE �EiE iF iE iE iE iF ik iE iE iE iE�E iF �1E D E V E:L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S 20NING APPROVED, BY DATE: • BUILDING APPROGED BY ; DATE; ��'� APPLICATION ISS[lED �r*+t*�r�r*�r*****�r��r�*�* *��****�r*�+�*��**�* LEGALI2ATION;N BLDG PMT PERMIT 81.00 PLAN ISSUE FEE BY; • �a�-� DATE: J� % ifiFiF�F�F7F iF 7F7F3FiF � 7FiF7F# 3Fi� 3F3F 'iF3F3F •3f7F'�FiEiEifibifiEiFiFiEif IEiE if1ElEiEiEifiFiF9EitiFiFiE3ElEifiFlEiElEififiE�E�fifiEiE iEiEiEiEjEiEiEiEiE3f3EifiEiEiEikit iFiElEiEiEiE9fiEiEiE1E F E E S U M M A R Y STRUCT AL SEGMENT;Y PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 59t SMIP/NON%-RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81,59 0.00 0,00 81,59 81.59 .00 REVENUE DIVISION TOTALS--> COLLECTED: 81,59 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING�PLAN—CHECK B1.00 .59 ��'. if if if iE jF iE iE iE iE iE 1f iF ik if iE 3E 1E iE 1E if k�Eif if 1E �E if iE iE iE �E if iE �f if iE iE �f if� 1E iP if iF�1E �Fif iF 3E 1ElElE iE iEif if iFiE iE 1f ib if 1E iF if 1E 1F �1f fE iE iE iF iE 3E iE iE �E 1E if if I N D I V I D U A L F E E B R E A K D O W N r,. ; TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5900 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5,900.00 END OF FEES i r LI Q�146Q75—�014607ti TO 7 El.ig DNTE: 08/31l�3 TIME: 13:27 CONSTRUCTION AND PIANNING � ' POOI .� SPA Date Inspector Date Inspector APPROVALS Permit #-., � , . APPROVALS Permit # ,.„� 7. Temporary Electrical $ervice or Pole � 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. �� - 53. Steel Reinforcement �- 3: Electrical ConduiI 4tility-Undrgrnd. '� 54. Forms " ..� � 4.. Electrical CondvibUndrgrnd. � �`` 55. Electrital Bonding 5.-Steel Reinforcement . 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnii. 57. APPROVAL TO COVER-GUNITE 7. Footings ' 58. Electricaf Conduit-Undrgrnd. 8. Foondation " ` � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgmd. �% 60. Backwash Lines, P-Trap, G Undrgrnd. ,., 10. Structural Floor SYstem 61. APPROVAL T0 6ECK � 11. Property Sewer Line & HouSe�Connection :, 62. Backwash & Receptor�Final � r-- 12. SEvJer Cap "- 63. Heater & Vent�Final ` ,' f 13. Roof Drains � ,1 64. Plumbing System - Final � 14. Rough Plumbing • • 65. Electrical-Final ' 15. Rough ElactricaL-Conduit � � 66. Solar System-Final � 16. Rough Electric Wiring � •• 67. Fencing & Access ApProval ; 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 1H. Rough Electrical=7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . . �� ry � . �� • ' 20. �Rough Factory Fi(eplace � n.� � - - � � �,�. � �AppROVALS�'� �•Permit # 3 � r.� �+ - 21. DuCts, i�'Structur�": � �.��.. "• � �. i � � � � ' �� : � (� ' , . i . � � l0. Undergiound Hydro 22. �Ducts, Ventilating �. i � d; ' * 71. Product Pipirig O G�fs � Oil 23. Gas�Pipe=Rou &'Tesc � ' ' I' _ , � �.�' ' � ��' . , 9i� ��,. n• , • . ,�2. Underground�Pfu$fi,�,i . � , 24. Roof'�Framing� . � � i ; •� a ;. O � • � �� . �73.�ndergrnd:StoragC'Tank L�' Gas OOif � i 25. Roof Sheathing � :��^ f�-�'.� Fy,(�✓ 74..Overhead Hydro �, " � 26. �T�Bar,Ceiling (StrUcturap & Monocoat � � - . 75. Dry Chemical � � �- 27. �Frame and Flashing ^ ; ,1 ' 76. � Ory Standpip¢ ' � ' �28. Lathing&Sidi�g•� ��+ �'�r�'� � �- �• 77,�-pIXEDSYSTEMFINAL '� �29. InsulatioK � ' "'� �'� �� 78.� FIRE PREV. F�NAL � � � �30. Drywali Nailing c� � � I I HEA�TH DEPT.REQU�IREMENT �37. Plaster Brown Coat,� � , ' ,79.'FINAL INSP�CTION :. �- ' , . � �� i32.-Electrical.AowQr Meter;Final i� ,� � �� S0. FOOD CERTIPIGATE ISSUED 33. Fin�l Electric� ' � -r '� � t. ' ' Notef: - � � , t34.,Fina7'Heating & A1r Conditioning ; , , � (� 'i . , �,` � ,:_, 35. Finai Gas Pipe=Test '" ' ' - { � � �• �• ' ' - i. 36. Hood or Canopy '.' � -�� ` . . � , , _ i � . '37.�Finai.FactoryFireplace � � _' ' � �_' ' 38. Final Plumbing • t. , �� ' � ; � �39. Water.Service�Finat • : � - " �40. Gas Service-Final � ' � .47. Solar pomesticFinal � � � . i , � '42.�Backf�ow Prevente� ' '" "� � �' � I � 43. Backflow Irrigation � ., . _ . . 44. Landscape Irrigation SYstem � - . - - � ' .,� 45. Sound Attenuation � • - - . .� � � ^ , A6. Handicap Re§ulations ' �� . " .- 47. FINAL STRUCTURE & BUI.CDING � `��tt�' �'� �1c � �.Q . ,Q'�. � /G - /'G�. v �t ( (9 48. �FiNAL PIANNING ` - I � , 4. � .49. Elect�ic Release to Edison - , _i . � 50. Gas Release to Souihem Calitorn,ia Gas Co . I �� _ � � �, �t. CERTIPICATE OF pCCUPANCY _ , . _ , , . � - No. Date Lot is 28�45 COSTA h1ESA BUILDINGSAFEfY DEPARTMENf P.O. BOX 1200 COSTA MESA� CALIFORNIA 92E2E For Appilmnl ro F(11 In ComplM�ly TYpE OR PRINT �WLDlNO C/ �I � A�DR6YG 1 COSTA MESA, CALIFORNIA arwTe ua N� SIZE �:� 0 NA 24-68P�10001996* ****99.00 cesa A►PLICATION FOR PERMR 6UILDING for Offin Us� Only R[eflR NO. � /�(r ZONIN(i p 1"� mx xo. or � usa or H ►ueu wuou`�,y�, s R. Schmid '��•� La r i8 �2 S� r__J_l._�_ �__. OtYCIVTOM reL NO. l / [Tr 3- RQAR / EFf RIOffT DESCRIPTION OF WORK BXTERIOR WALL COVERINO usa oF euaoiN 1 N6R6pY ACNNOWL[OO� YMAT.1 NAV6 piAD TIII ANO 6T�T6 TNAT iX[ AOOV� IB CORRiCY AND AG GLY WITH ALL <ITY OROIHANCB� A[l0 �TAR I.AYf1 BUILOINOCONBTqY ON. 816NATV CO � �, ��1 PHRMITTB=' �� - AUTHORIZ[D AOW'[ YAR08 MPROV [D MAIN BUILDINO arr TMt AMOYNT ►URPoB[ Of snwu ee �ess rHwn YARD9APPROVHD ACC8880RY BUILDIN6 eer. Mw�N e wccess. e� DAT6 a m � �� / � vwwwnon �e row rHe � A PlRtlli PEH OMLY. N�� (Q IT FE8 s CMECK s 3,.�'� � C �