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Home My WebLink About600 THAMES WAY - Building PermitsK� R CITY OF COSTA MESA ' "' BUILD/NG D/YISION F�, .. � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ra.us °.�m�. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER�E07-00907 PERMIT TYPE ELEC JOB ADDRESS: 600 THAMES WY CM Vicinity: KITCHEN . - STATUS: ISSUED DATE ISSUED: 11/19/2007 ISSUED BY: BJK Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT FOR INTERIOR KITCHEN REMODEL. 3 RES APPL (MICROWAVE, DISHWASHER, RANGE), 1 MOTOR TO 1 HP FOR RANGE HOOD, 1 SUB PANEL TO 200A NO OTHER WORK AUTHORIZED WITH THIS PERMIT. OWNER: STRICKLAND, NORMAN 0 PHONE: APPLICANT: DETCHMAN, PATRICK PHONE: 714-879-5z59 CONTRACTOR: A-1 ELECTRIC DISCOUNT SERVICE INC Address: 9408 VIA VICO ClUnit: PHONE: 714-879-5259 City/State: BUENA PARK, CA ZipCode: 90620 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $73.00 Reinspection Fee $0.00 TOTAL FEES � $73.00 Address: 600THAMES WY Unit: CitylState2ip: COSTA MESA, CA Address: 9408 VIA VICO CI Unit: CirylStatelzZip: BUENA PARK, CA License No. 493623 CELL: NOTICE: The work authofized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ortl. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fmal approval will result in the expiretien ot this permit. cODE/ INSFECTIONTYGE onh ixmuis COOE� INSPEGTIONTYPE � ixnn��s 1816 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 FinalRe-Roof 210 FinalElectriWl P/�, ��EfA7�x...�.4/ ��..t•—��1' Y'-_ /1 �— 201 Final Block/Retaining Wall 212 Final Fire Prevention V 202 Final Fac�ory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building�Occupancy WORKERS' COMPENSATION DECLARATION: ' . I hereby affirm under penalty of perjury one of ihe following declarations: ❑ I have antl will maintain a cartifcate of consent to sel(-Insure for workers' �ompensation, as provided (or by section 3700 0( the,Labor Code, (or the peAormance of lhe vrork for which this permit is issuetl. b I have antl will maintain workers' compensation insurance, as requiretl by sectbn 3700 of the Labor Code, for the peRormance of the vrork for which this pertnit is issued. My vrorkers' compensation Insurance carner and policy number are: Carrier: (This sec(on need rrol be mmpeled A(�e permrt is valued af ine Irun0�e0 dollars (E1M) a less ) policy Number: �I certify thal in the peAormance of the work for which lhis permit is issued. I shall not employ any person in any manner so as to become subject �o Ihe vrorkers' compensation laws of California, and agree thal if I should become su6ject to the workers' compensation provisions of Section 3700 of �he LaDor Code, I shall forthvnth comply with these provisions. �/1.8--6`� �l— I9— o� AppLGinfsSignaWre Daie � WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS 1$700.000), IN ADDITION TO THE COST OF COMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE U+BOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARA710N: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full lorce and eHect. Lic.if 4c%3�Z3{�� Ciasstt G—/o �_.2��cfb4�.�7 //^/%� 0"7 Comranw's Signature Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a consWctbn lending agency for the peRormance of the work for wfiich this permit is issued. (Sec. 3097, Gvil Code). Lender's Name: lender's Atldress: Signalure Date bWNER-BUILDER DECLARATIONS: ' I hereby aKrm that under penalty ot perjury that I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for the followin9 reason (Sec. 7031.5. 9usiness and Professions Code: Any city or county which requires a permit to tonsWct, alter, improve, tlemolish, or repair any strucWre, prior lo its �ssuance, also requires Ihe applicant for such permit to file a signed slatement lhat he or she is licensetl pursuant to the provisions of the Contractors Ucense Law (Chapler 9(wmmencfng with Seclion 7000) of Division 3 of the Business antl Professions Code) or thal he or she is exempt Iherefrom and the basis (or the alleged exemption. Any violation o( Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five hurtdred dollars ($500�.�: ❑ I, as owner of the property, or my employees with wages as their sole compensaHon, WILL DO THE WORK, and the stmcNre is not iNentled or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply ro an owner of property who builds or improves Ihereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvemenis are not intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder wiU bave lhe burden of pFovin9 that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of lhe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the projecl (Sec. 7044. Business and Professions Code: The contractors License Law dces not appiy (o an owner o! property who builds or improves thereon, an0 who cont2cts for such project with a contracta(s) license pursuant to the Contractors License Lavrs.). ❑ 1 am exempt under sec. � Business and Professions Code !or this reason: Signalure Dale 305]<6 (3/O)) t �w Ovmer ID veri(etl by dnve, :nse. ❑ Yes [] No ' � Driver's License No. Expires: VenfiCation o! Ownership by (type of document, i.e. - property Iax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I here�y certify Ihal no excavation frve (5) or more (eet in depth into wfiich a person is required to descend, will be made in connectbn wim work authorizetl by Ihis pertnit, antl that no building sWcture, sc�ffolding, falsework, p demolition or dismantling Ihereof, vrill be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ A5 owner-bu'dtler, 1 will rrot employ anyorte to do vrork which vroutd require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permit to do such vrork from the division. Applican�'s SignaWre Division of Indus[rial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will Ihe applicanl or present or future building occupant neetl to 51e antl certity a Business Plan tor emergency response to release or threatened release oi a hazardous material? ❑ Ves ❑ No (Section 25505 of the Califomia Heal(h and Satety Code requires, with some exceptions, that a Business Plan be filed vrith the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a weiqht of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet o( compressed gas at stantlartl temperature antl pressure). 2. Does or will the appliwnt or present or fuWre building occupant need to file a registration form (or acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health arnt Safety Code, with some exceptions, requires registration with the CosW Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater than a vreight of 500 pounds, or a volume ot 55 gallons, or 200 cu6ic feet of compressetl gas at standartl temperature and pressure). 3. Does or will the applicant or present or future building occupant neetl to prepare an RMPP (Risk Management and Prevention Pro9ram for acutely hazardous materials)? ❑ Yes � No (Section 25534 of Ihe Califomia Health and Safety CoOe provitles ihat the Costa Mesa Fire Department may require Ihe preparation, certification and filing with the Fire Department o( an RMPP by businesses which are required to register acutely hazardous malerials with Ihe Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of lhe Calitomia Health antl Safely Cotle 6een tulty complied wiih? ❑ Yes ❑ NO 5. Does or will lhe applicant or presenl or fuWre builtling occupant require (or the work which is the subject of this application a permit for such constmction or modification from Ihe South Coasl Air �ualiry Management District or from any other air pollution wntrol district or agency? ❑ Ves ❑ No (Seclion 658502 0l the Califomia Govemmenl Code requires that the reques[ed informatbn be fumishetl on applicatbns la noo-resitlential builtling pertnits). 6. Will any part of Ihe faCility to be constructed under this permit be within 1000 feet from lhe outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry must meet the requirement of Sections 25534 antl 42303 of the Calilomia Heatth and Sa(efy Codej. 7. If a pertnit from the South Coast Air Qualiry Management District or o[her air polWtion coNrol distriq or agency is requiretl for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Ves ❑ No 8. Qf yes", attach certifiwte of compliance from the appropriate air polWtion cOntrpl oKcer). CERTIFICATE OF COMPLIANCE: I cetlity that under penalry of peryury the infortnation given above is mnect 1 agree to comply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. Signalure Da�e CERTIFICATE OF COMPLIANCE AND AUTHORI2/1TION OF ENTRY: I certify untler penaliy of perjury Ihat I have reatl this application and state Ihat the information given is correcL I agree to comply with all stale laws and ciry ortlinances relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon ihe above-descnbetl property for inspection purposes. I agree not to occupy or allow occupancy of any builtling aulhonzed by lhis permit until final inspection. � ' 9gnalureotlegalOwner(s) Da1e .�- F�c�(�� Il — i9—Q7 tllw Aol�onze0 AOd�� Dale � CITY OF COSTA MESA � BUILDING DIVISION � � 77 FAIR � Ri\t�E�, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.c a-mesa.ca.us °.�m� ��/�I�i� FOR INSPECTIONS CALL: (714) 754-5626 F� ' PERMIT NUMBER: BX07-00220 PERMIT TYPE B MISC i' � STATUS: ISSUED APN: 93405149 DATEISSUED: 11N4/2007 Zoning: , �; ISSUED BY: SOK JOB ADDRESS: 600 THAMES WY CM ` Suite/Unit: Vicinity: ' �-•PrimaryOcc: �� . � . ConstType :?? SQ. FT: 0 - � ' Valuation: $1,700.00 � i SCOPE OF WORK: REPLACE 2 SLIDING GLASS DOORS LOCATED IN THE LIVING ROOM AND 1 KITCHEN WINDOW TO MEET 1997 EGRESS � � - - � � REQUIREMENTS. - - � ` - OWNER: City/State: Phone: APPLICANT: City/State: Phone: STRICKLAND, NORMAN O,, ' Address: 600 THAMES WY ,� Unil COSTA MESA,-CA- � '. �" Zip Code: 92626-3128 STRICKLAND, NORMAN O � Address: 79542 LIGA ' Unit lA QUINTAj CA .. - •" Zip Code: 92253 �- 760-564-6007., ". CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone OWNER-BUILDER Unit:" — .Phone FEE SUMMARY Building PIan�Check: . �' . $0.00 Building Permit: $60.10 Electrical Permit:: . . $0:00 - SMIPResidential ��•.� � �� "$0.00 SMIP Commercial , • . $0.00 $O.00TOTAL FEES $60:10 License No. � 000000 , License No. License No. Cell: 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) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in ihe expiretion of this permit. CODE/. INSPEC710NTYPE OpTE IN7IML5 CODEt INSYEC110NTYPE DATE IN1RIpL5 1616 Fized System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Eleclncal 201 Final BIocWRelaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Pinal Planning Approval 203 Final Sign 222 Final Site � 204 Final Demolition ' 250 Final Buitding/Occupancy 7/� �S WORKERS' COMPENSATION DECLARATION: � Owner?D venfied by drive�. Ves ❑ No I hereby aKrm under penalry o( perjury one of the (ollowing declarations: ��i�ense No.--�- -' � iExpires: -/0- C�. ❑ I have and will maintain a certifcate of wnsent to sel(-Insure for workers' ''"',Ve�rificatfon'oPOimership by (rype of document, i.e. -�property tax bill or deetl): compensation, as provided for by, section 3700 of the Labor Code, for [he pertormance of Ihe work for which Ihis permit is issued. ❑ I have and will maintain v.arkers' compensation insu2nce, as required by sectbn 3700 of the Labor Code, for ihe pertormance of the work for which this �IVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My vrorkers' compensation Insurance cartier and policy � I hereby certdy that no excavation frve (5) or more feet in depth into wfiich a numher are: .. person is required lo tlescend, will be made in conneclan with work aulFwrizetl by Ihis permit, and ihat no building stnic�ure, scaHdding, falsework, or demolition Cartier. or dismantling thereo(, will 6e more than thirty-sa (36) feet high. (Chap. 32, Grp (ThdsectionneeerpfDemmpe(etlAfnepeim✓isvaluMatarehundretlddlars(E100)oilessJ 2 ArtZ Sec.311,Ttle8,CalifomiaAdminis[2tiveCotle). Policy Number: ❑ I certify that in [he pertormance of the work for which this permit is issued, I shall no� employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree that if I should become subject to ihe workers' compansation provisions of Section 3700 of the Labor Code, I shall torthwi[h compty with these provisions. Appliwm's SignaWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, antl my license is in full (orce and effect. Lic. # _ Class # Coniraclor's SignaWre CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a construction lending agency for the peRormance of the work fa which this pertnil is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: SignaWre OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury lha[ I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the follovdng reason (Sec. 7037.5, Business and Professions Code: Any ciry or counry which requires a permil to consWc[, alter, improve, demolish, or repair any structure, prior [o its issuance, also requires the appliwnt (or such permit to fle a signed statement that he or she is licensed pursuant b the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or lhat he or she is ezempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any appliwnt for a permit subjects the applicant to a civil penalty of not more than five huntlred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcture is not intended or offeretl for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or throu9h his or her ovm employees, provided Ihat such improvements are not intended or offered (or sale. If, however, the building or improvemeM is sold wi[hin one year o( completion, the ovmer-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.�. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply ro an owner of property who builtls or improves theieon, antl who cont2cts for such project wilh a contractw(s) license pursuant to the Contractors License Laws.). -,0 � I';am ezempt under sec. Business antl Professions Code for Ihis reason: � " �,� - �.,--. �--,.�.._. i��, ''�_; T''.,wa'-...519 AWre �ti�P�Date _sr.'..'_ _ 305)=CB�j!)0]) ❑ As owner-builtler, I will no[ employ anyone lo do work which woultl require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to tlo such work from the division. Apphcanfs Signature Dale Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to fle and certify a Business Plan for emergency response to release or threatenetl release ot a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safety Cotle requires, with some exceplions, that a Business Plan be fled with Ihe Costa Mesa Fire DepaNment by every business which has at any one time during a reported year a quantiry of hazardous materials equal [o or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard lemperature and pressure). 2. Does or will the applicant or present or Wture building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Satety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which a[ any one time has on hand a quanlity of acutely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at slantlartl temperature and pressure). 3. Does or vnll the applicant or present or tuture building occuDant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cotle provides that the Costa Mesa Fire Department may require the preparation, certifcation antl (ling wilh ihe Fire Department of an RMPP by businesses which are required to register acutely hazardous malerials with the Fire Departmenl. 4. If an RMPP is presently required, has Sec[ion 25534 of Ihe California Health and Safety Code been fully complietl with? ❑ Yes � No 5. Does or vrill the applicant or present or �uture builtling occupant require for Ihe work which is the subject of �his applicalion a permil (or such consWction or modi(cation from the South Coast Air Quality Management District or from any other air polWtion control disinct or agency? ❑ Yes � No (Section 658502 ot the Califomia Govemment Code requires Ihat �he requestetl infortnation be fumished on applications fa nornresitlential builtling permits). 6. Will any part of Ihe facility to be constructed under this permit be within 1000 feet from ihe outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 o( ihe Calitornia Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control disirict or agency is required tor the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Ves ❑ No 8. Qf yes", attach certificate of compliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is covect I agree to comply with all state lavrs and city ordinances regarding Hazardous Materials and Emissions. Signalure Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi/y under penalty of perjury [hat I have read this application and sta[e that Ihe information given is correcl I agree to comply with all s�ate laws and ciry ortlinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described propeAy for inspection purposes. I ree not to occupy or allow occupancy o( any building ed by t' er til f I inspec[ion. i//�� .."¢:: i :s5ignature of legat Owner(rs) � Ty �N� a .' � � � . 'Date . � y C.f..c:l��dk..�i. �-. AnC/or Aul�orizetl Appliwnt Pfl�'ELi noelcss: 600 THANES 'RX OWNEe'SNAME:BROOKVIEW CONDOS nooeess: HOMEOWNERS AS50CIATION 630 PAULARINO COSTA MESA CA RHCHIENGMEEN: �87_Q399 aooaess: flEG.NO.: UNIT: uxiT: 'E"minEE:MESA ROOFING (714)548-30i2 aooREss: 8 y j W 1"7 TH CM CA .97.627 LICENSEO CONTBACTOF OECIABATION: I here0y allirm Iha� I am licensed un0er pwvisions oi Chapler 9(commencing with Seclion 7000� ol Division 3 of Ihe Business ana Pmiessions Cotle, antl my li[ense is in full lorce and e�lect. ciTv uc.: 3 S 6 8 l sTaTe uc.:� 6 41 51 �`°''� /J/�I//) �' — �8aie' Signaiure'. � '�i� e.sl�lifJ7 WOflRENS' COMPENSpTION OECLAflATION: I �ereby atfifm Iha� I have a certifica�e o� ConSenl Io Sell-insure ar a CehifiCate of Workers' Compensa�ion Insurance. or a cenitietl capy thereoi (Section 3800, lab. C�. POIICYNO.:IJjejC 'Q16'�'rj�Q E%P.ORTE:OJIOLI94 ,comenxr:GOLDEN EAGT�E � Certitied copy is �ere�y Wmishe0 Cehified copy Builtlin �iviion. �ale: � ((,L�� APPlicant �� E%EMPTION FflUM WOPREHS' COMPENSFTION OECIFNFTION: (This se��ian need noi 6e tompl¢tee if t�e permit is �or one huntlred ($100) or less�. I ceN�y that in Ihe periormance ot ��e work for which ihis permi� is issued. I shall not employ any person in any manner so as �o become . su�leci to the Workers' Compensalion Laws o� Calilornia. Da�e: SignaWre: NOTICE: II, aM1er making Nis declaration, you should become yuUjec� Io ��e Worker5' Compen5aiion O�ovisions o�ihe LaGor Code. you musl �orlhwii� com0ly wi�� such pmvisions or I�is p¢rmit s�all be deemeA remketl. CONSTFUCTION LENUING AGENCY: I hereby affirm ��at ��ere is b cons�mction lenaing agency �or the Derformance o� Ihe work �or w�ich Ihis permii is issued f5ecllon 3097, Civ. C). �exoes: PDUNESS: ' OWNEfl BUILOEP �ECLABATION: I hereby allirm Ihat I am exemp� ��om Ihe Coniradors' S�a�e license Law �or the lollowing reason �Seclion 703L5 Business and Professional Cotle: Fny ciry oi couniy whic� repuires a permit Io conSlmci, alter, impmve, tlemolish, ar repair any SlmcWre, prior to ils issuance, also repuires ihe applican� lor such permit ta lile a signetl statement that he/she is licensetl pursuam m the provisions of I�e Contracmrs' S�ale License Law (Chapter 9(mmmencing with Section 7000) o� Divisian 3 0� the Business antl Pmlessions Code) or Ihai he/she is exempl Ihcre�mm antl Ihe Gasis br ihe alleged ewemp�ion. Any viola�ion of Sec�ion 703t5 by any applicani �or a permi� suble��s the applicanl �o a civil penalty p� nol more �han five hunUreO Oollars ($500). I, as owner oi me oropeny or my employees wi�h wages as their sole compensation, will tlo �he work, an0 �he ❑ sirucWre is not inteneea or ot�ereA �or sale (Seaion 7044, Business and Pm�essional Cotle: T�e ConVacmrs' Slaie License Law does not apPty Io an owner o� a pmpetly who huilds or imp�oves t�ereon. and who Ooes 5uc� woB himsell/her5el� or �hmug� �is or her own employees. pmvitled Ihat suc� impmvemen�s are noi intentletl or o��eretl lor sale. If, �owever the builtling ar impmvemen� is sold within one year oi completion. the owqer will have the burtlen ol pmving he/she aitl not builtl or impmve for the purpose ol sale)- I, as owner ol Ihe pmperty. am excWsively caNraqing wi�h licensetl conVactors �o cons�ruc� �he pra�ect (Section 7044, Business ❑ an0 Pmlessions Coae: The ConVaclors' Sla�e License Law tloes not apply to an owner ol pmpehy who builds or impmves thereon and who conlracls lor suc� pmjects wi�h a conirador(5) lic¢nse pursuant �o Ihe Coniractors' S�a�e License law). I am aware Ihai D�ooi of Iheir Worker s Compensa�ion insurance shoultl be pmvidetl to me. � I am exempi untler Section: B. 8 P. Q. lor �his reason: �ate'. Ownec I tlo hereby cerlAy ��at I am aware of antl untlerstantl �he requiremenis ol Cali�omia Healih anU Sale�y Cotle Sections 25505, 25533, antl 2553G antl Iha� I or any lu�ure building ocwpanl willlwill no� (cimle one) neetl to comply wi�h saitl s�a�e codes antl Ihe reQuiremenis for a permii lor conslmction or mo0ilica�ion �mm t�e Air Oualiiy Managemenl DistricL Fesieenlial cons�mction applications are exempi �mm Ihese pmvisions. �ate: � ApplicanL I hereby ceriify �ha� I have reatl Ihis apPlicalion and s�ate Iha� I�e abryve iniormallon is correcL I agree�o comply wlih all cl�y antl counry ordmances antl staie Idws mlaling to �ulltling consimction and hereby authorim repre5entallvo5 0l �hls clty to enter upan the ebovemenlianed pmperly for inspec�ion purposes. Signawre: Driver's License or Social Securiiy qpplicanl, Pink—Revanve; Goltlenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063358 PER,NIT NO: B 063358 PT.AN CHECK NO; N GOV7': N SUPP: N CONSTROCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; A1�'P JOB DESCRIPTION ; T/OFF RESHT REROOF W/TIMBERLINc 30YR COM SQ FT: 8,645 CLAIM VALUE; 8,695,00 CALC—VALUE; 8,695,00 GROUP OCC: R-3 / #�*****#***�R*#**#�***D�**00*60�4r��f��*�*08*##*i�**�u��***�x#*xu��#x##��cxx Z O N I N G R E Q U I R E� E N T S S E T B A C K S ------------ N�AIN HUILDING ---------- --------- ACCESSURY HUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT' IN REAR; FT IN LEFT; FT IN RGHT: FT IN L'r:FT; FT IN RGHT; FT IN PARKING RE • PROV: PARCEL: 93405149 ZNE; REF NO; PLAnlNING N TES> % iE %' !k %iF 74 i! 1E #!E 7F #-lh 3E ik i� iE ri� 7f %iE ik IE 1F iE 1F-1FlE iElE !F 1E iE iE iE 1(�!E �X�%# If ih f! if N� 1E iE if 1E iF 3f # ib �f� iF-k� iE � i(� iE 7E 1E )F % 3E K� jf Ih.M.;E iE ##�If 3(�%# # iF D E V E y O P M E N T S E R V I C E S R E Q J I R E M E N'T S ZONING APPROVED HY DATE: - BI]ZLDING APPROVED BY ; LtATE; APPLICATION ISSUED BY; ` DATE; !}'5-9-3 iF iE it �t * � �+� �-x� x� * * *ie * �� ft it �rt x� �F �rFR'SFi�7F7F �3�R'�SF'fE7EiFiF iFSf iF .`ii SF3F7F � i'r 3F'z �i-'Tr eT-i7"t� � �r * �- �t x� ft � x��x�* *�i�£� iE k If fE ## iE x� iE # ft iE 1E 1F iE it �IF 1E iE k�lE #�7E 3! k it lE lE tt it *iE 1F IE 3( 3t �E if it H� *# �E it �lE it iF-x� iE ##�f� iF If # ik 3E x-# # if fE u� 3f-i(-iE 3(- 3E # lh 3F it # 1t iE fF u- 3E 3F !E LEGALIZAI'ION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING PERMIT 108.00 RG SMIP1iVON—RES PLAN ISSCJE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOT'AL PAID DUE TOTALS----> 108.86 0.00 0.00 108,86 108,86 .00 REVENUALDGVPMT�PLUMBING ELECTRIC�MECHANSC` FIRE��SMIP�/TOT/SGRAUING PLAN—CHECK 108, �� , fi�J 3f -k if if it 3F %� # f! if !F if iE iE i! iFlE 1E �1PlE if ik 1F if K� i! k it i! ik )h i! ff 1F if�'1F iF dE fb #j(� iE ik-k iF 1E 3k �1f� if )f if ff 3E �f iF �1F k iE-kiflE 78 iE �X�91� i(� 1( iF fF ik if iF 3E �1f iF fE iF #- N I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS7' SFR 8K45 REkOOF BY VALUE RESIDENTIAL NOZONE 1,00 ti,E95,00 END OF FEES �i �Q14i435-00?44336 TO T iQ8.86 D47E� 07/Obf93 7IME: 15:01 CONSTRUCTION AND PLANiVING ' APPROVALS Permit m Date i. Temporary Electrical Service qr Pole _ 2, Soil Pipe-Undrornd. . 3. Eiectrical Conduit UtditY•Und+gmd. A. Electrlcal Conduit�Undryrnd. 5. Steel Reinforcemen2 6. Eiectr�cat UFER Gr�d 7. Foqtings 8. Foundation 9. !':ater Pipe-Undrgrnd, i 70. StrucYural Floor SYstem `; 71. Praperty Sewer Line & House Ctmnection 72. Se�ver Cap . � 13. Roof D�ains � � 14. Rougn Plum6ing 15. Rough Electrical�Conduit � -_ 76. Rough Electrvc�Ninng 17. RouSh iV.rieg Sign 18 Rouyh EIECVicai-T Aar Ceiiinq 13. Ro�gh Heat�ng & Air L'o�d��t�.on�ng 20. Rocgh Factory pirepiace 21. Ducts, in Structure 22. Ducts, Vent�fating 23. Ges °ipe�Rough & Tes[ _ 24. ftoo` Fram�ng 25. Roo� Shcathing C1'/!y/f ! ! 26. LBar Ce�iing (Structurall � „Sonocoat 27. Frame znd FfaShing 28. Lathing tS Sid�ng 79. InsulaUon 3�. G�ye:a' ��.ai4ng 31. P;astrr Bro�yn Coai i` _ 32. Electr�.cai Po�+�er tti4eter-F�nal 33. Final Elec[nc 34. Rnai Hcat�ng & A'v Cor.d�,:�or�„o 35. Fina? Gas Pipe�Test 36. Hood or Canopy 37. Final FactorY F�repiace 38. Finai Piumbing 39. 6Vater Service�Final 40. Gas Serv�ce-Final 41. So!ar pomesticFinal 42. Backfiow Preventer 43. Backflow irr�gation 44, (andscupe Irnpatior, SYstr.m 45. Sound Attenuation 46. Handicap Regulations �iT /.-_ 47. FINAL STRUCTURE & BUILDING 31�� 48. FINAL PLANNING 49. Electric Release to Edison 50. Gat Release to Sou.hern Catifomia Gas Co 51. CEPTIFICATE OF OCCUPANCY lo. Date u Inspector u a POL . SPA i APPROVALS Permit � i Date Inspector � � 52. Pool & Equlpment locauon I 53. Steel Reinforcement 54. Forms � I 55. Electricai Bondin�j ( ' 56. Raugh Ptumbing & PressurE Test � ' 57. APPRQVAL7CCOVER-GU'•.iTE ' � � - -+-� 5S. Elactncal Condu�t�Undr�rnd. �_� � 59. Gas Pipe, O Ur�r�n,�i„ Te,t ii 80. Backvoash Llnes, P�TiaP. �: '�'^.J�)•r,o. - --� 67. AFPROVALTOCECK -� 62. Dack�vash & Recei�tu��Fl�ia� I - '__ 63. Heater & Vent�Firai � 64, P:umbirg SYstem F��al _� ' 65, Elecxrical�F�nal � ; 6fi. Solnr SVstem�l�:n„' i - - ---� - -. , 67 Fencin� & Acc�ss Appro4ai � I '. 68. APPROVED FOR PLASTERING� � � 69. POOUSPASYSTfM1ASFINAL � ; -- - � -�-' -- - � � � FIRE DEPT. RE�UIREME':' I ' APPROVALS Pe��::i,t;k ! -- --t----' 70. Underground Hv��o �__ _� �-77. -Product Piping : l Gas _ Od I 72• U' nde�grou.�ci FLn'- ----- - -_--- � ----�. I7J. Undergrnd. Stnran_ ��nk C Gas :0�� _t- �, �� 74. OverheaU Hv�r^--i�- ---- - -- -' ;r-- -- - ----- --- --- . . '��, 75. O�y Chem•.ca� �� 76 Dry Star.dp:p�. �'�� 77. FIkED SYSTci� i INAi. � ', 78. FIRE PREV. FI��qL '� ' HEALTFI DEPT. REQUIR3.'JIE�1T �� 79. FINAL INS":C?,C� ---- �- - � - -- �.. 80. FOOD CERTiFiC/��E ISSUEC � -�^ -- - --- -------I---- i---- ' ��. IVotas: l , - City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive I•!��j (��j Costa Mesa, California 92626 IJ[��l91�J� (7 7 41 5565245 REQUESTFOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. �� -�� Lot No. Address _ � � � Date a ^ u� � / / The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that �he, she, theyl_yZq�lwas or werel�advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECt1VEp C:� �' ,� C';.,i i,IESA P!_`�;:�i..:. ,... . AU G 5 1977 nr� P� 7i8i9il0ii1i12i1�2i3i4i5i6 � CMF p569-26 11131 IRVINE BOUIEVARD, SUITE 210 il1STIN. CAIIF(1RNIA 976R0 City of Cosca Mesa Plc �g Department Post Office Box 7200 ' 77 Fair Drive I �j(� Costa Mesa, California 92626 � 19�1� 171415565245 REQUESTFOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. � ' z Lpt No. �.�`�� Date r7 `30 — /'c/%7 �y The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they)��(was or werel�advised that this trect has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncomple �kCt1Ut� r�.l i ;�f r• •\ �1![J.� li:.'.`t•.:.,v� �....... ElU G 5 I'J77 A�l Ph7 7�8�9�10�il�li�l�2�3i4i5�6 Q CMF 0569-26 THE COL�dEII C0,59�ANY 17731 JRVItdE BOULEVARD, SUITE 1IQ TOSiiM. Cat �FnRwin a��o� M City of Costa Mesa Plan�„ng Department Post Office Boz 1200 77 Fair D�ive ICosta Mesa, California 92626 ��Qi (71415565245 Tract No. — Lot No. /S� Address REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Date �� — 7 / 7 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (He,--she, th �(was_o� er ��advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the finai tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. �J I.,IPI/.IZIi-G�/GvCC�Z,� �CG= RECEIVED CITY OF COSTA MESA PLF^;:Jii•!; ^c?r. AU C 5 1977 �i8i9i10�i1�12�? �2�3i4i5 6 CMF 0569-26 eY � � BY D eloper an Representative BY i HE COLWELte�1PANY 1713i iRYINE BOULEV�RD, SUITE 210 �USTIN, CAiIFORNiA 92680 � City of Costa Mesa Plan. Department Post Office Box 1200 77 Fair Drive I I�j (� Costa Mera, California 92626 �i.� U�� (714155&5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) (3�a�K�l'lLc� Tract No. p o� � L �_ Lot No. /� �_ Address � Date � � � �7 / � � The developer of the above entitled tract desires to seil the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that .4hsa�e, they) (�er were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa � as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED C!TY OF COSTA MESA PLki�iiil!:d; �r�°T. AU G 5 �Q� i PMI g►gi9i10i11i12i1i2�3i4i5i6 � CMF 0569-26 By [i �LL �Li�G�/ ►�l/!!i/ / %' 17131 I�VIPdE BOULEVARD, S�JI�E 210 TUSTIPI, CAiIFOR�IA 92680 City of Costa Mesa Pia 3 Department Post Office Box 1200 ' 77 Fair Drive I p� p� Costa Mesa, California 92626 U l90 � (714) 55E5245 REQUEST FOR OCCUPANCY (Single Family Residential or , Condominium Units) � Tract No. �.�Z 4�� Date �C(��G�/. /9%� Lot No. /s3 Address The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (h the ,e�Ewe�er wer �/�n. 2�ddvised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � RECEIVED �-�`"`�� CiiY 0� CGS;r� C7ES�1 By I�L'�`�� >I C.�,.�.�:,. ,_u�. v/��. �__ P �eur.r,� (�.i! G 5 1977 RA1 PM 7i8i9il0illi12ili2i3i4�5i6 � � CfvtF 0569-26 By sy ..� T� COL ELL COi�iffdY 17731 iRV1�9E BOt1tEVARD, SWiE 21�' TUSTI�V, CALIFOR�diA 92680 co�Ga ��csa CMF 0569-26 City of Costa Mesa Plai � Department Post Office Box 1200 77 Fair Drive Costa Mesa, California 92626 (714) 55E5245 � REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. �/.t=Y7 "" % Lot No. ��J `�'� � � Date / '�/-' �� % 7 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (#�e--sl� they)��wes-erwerel�advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. \ The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted co ' on. ' �/� `�� e � _�� < / �r�CtiUt� C.I : - �� . �1 �':iLJr� p: ��ii'i'::: �:_.:.. AU G 5 1977 pM PNl 7i8i9i1Qi�i�ili2i�i4i5�6 L•.1 THE COIWELI CO�IPkNY 91131 IRVINE DOULfYARD, SUlTE 21� iusT�N. r..ai_�iFnRA!ra !�a�89 Pfl0.1ECT AOOPESS: �j O O THAMES WY OWNEH'SNpME: RODRIGUEZ FELIX aooeess: 600 THAME� WAY COSTA MESA, CA 545-0906 AXCHIENGINEEfl: ADUHESS: flEG.NO.: UNIT: UNIT: PEflMITTEE: NOCK PLUMHING ( 714 ) 895-1296 ADOPE55: S1GSO SEABOARD CIR STANTON CA 90680 LICENSEO CONTHACTOB OECIAflATION: I �ereby aflirm ��at I am licensea under pwvisions of Chap�er 9(commencinB wi�� Sec�ion 7000� ot Drvision 3 0l Ihe Business an0 Pm�essions CaOe, ana my license is in full force antl eifec�. c�Truc.:0503 6 srnreuc.:511971 S 6 �te: Signamre'. � _ _ / /OflKEBS' COMPENSATION OECLAflFTION: I hereby aifirm Ihal I �ave a cetlificate ol consen� [o sel4insure or a cenificate of Workers' Compensaiion Insura c r a c rtifie capY �hereof (Sec�ion 3800, Lab. I. roucvxo.: 11��/�39�195 E%P.ORTE: 3IOS/JS comvnxr: STATE �v ❑ Certified copy is hereby tumished. Ln Ceriilietl copy is filetl wilh the ciry Builtli Division. Ie: �\ �OI�� ApplicanL E%EMPTIONFBOMWOHNEflS'COMPENSATIONOECLABATION: Qhis ectionnee4no�6ecomplete4iltheDermi�i5foronehuntlre0�51W)oNess). I cetlity ��al in Ne Oedormance ol �he work �ar whic� ��is permil is i55ued. I shall not employ any person in any manner so as to �ecome su�leCt lo I�e WOrkers' Compensaiian �aws ol CalifOmia. �aie: SignaWre: NOTICE: Ii, a��er making ��is tleclaraiion, you should become su�lec� to Ihe Workers' Compensation provisions ot t�e La�or Code. you must forihwith comply with suc� pmvisions or IhiS permit shall be Oeemetl revoked. CONSTBUC710N LENOINC RGENCY: t here0y altirm �hat inere is a consimction IenAing aAency lor ihe pedormance oi the work tor wh¢h this permii is issuetl (Section 30W, Civ. C�. LENOEP: A�OflE55: i f OWNEX BUILDEB DECLANATION: I hereby a9irm �Aatl am exemplimm ��e Conlractors' Sta�e License Law for��e �allowing reason (Seclion 7U31.5 Business and Pmfessional Cotle: Any city o� coun�y w�ic� requires a permit ro constmc6 alter, impmve. Oemolish, or repair any simclure, prior Io i�s issuance, alsa requires Ihe applican� for suc� permi� lo file a signetl statemen� Iha� hels�e is IicenSeU pursuan��olAe pmvisions ofthe Con�ractors' State License Law�Chapler9�commencing wilh Seclion 7000)oi �ivision 3 of�he Business mtl Pmlessions Code) ar Ihat he/s�e is eeempl therefrom antl Ihe �asis �or�he allegetl exemp[ion. Any violalion ol Seclion 7031.5 by .ny applicani for a permi� su�lecls Ihe aOPlicantto a dvll penalry oi not more �han five hunOred dollar6 ($500). I, as owner of ine pmpeny or my employees with wages as iheir sole comDensation, will tlo the work, an0 ihe ❑ stmcture is not imenaetl or ofteretl tor sale (Section 70a4, Business and Pmfessional CoOe: The Conirac�ors' S�a�e License Law aoes nol appty �o an owner o� a pmperty who 6uild5 or impmves Nereon, and wha does 5uch xrork himself/herself or �hmug� his or her own employees. pmvitletl �hat such impmvemen�s are nol intentletl or oflered lor sale. I�, however Ne huilding m impmvemenl is soltl wi�hin one year o� complelion. �he owner will �ave the Durden o� pmving �elshe ditl na� huiltl or impmve br ihe purpose ol salel. - I, as owner of �he propef�Y. am exdusrvely con�racting wi�h licensetl contrac�ors �o constmct the Orolect (Sec�ion 70E4, Business ❑ ana Pmiessions Code' Tne Comractors' Siale License Law does not appry m an owner o� pmperty who builAs or impmves Ihereon and who cantrams �or suc� pmlec�s wiih a conVacmqs)license pursuam to the Contractors' S�aie License Law). I am aware Iha� proaf o� their Worker's Compensalion insurance shoultl be provi0etl to me. � I am exempt under Sec�ion: B. 8 P. C. lor lhis reason: �ale'. Owner. I tlo hereby cenify ��at I am aware oi an0 untlerslana the requiremems ol Calilomia,Heal�h an0 Safety Coae Sec�ions 25505, 25533, antl 25534 ana Ihal I or any fuWre builtlmg accupant willlwill nal �circle one) neetl lo camply wilh said s�ate cotles and Ihe requiremeNs br a permit lor constmctian or moddication Irom ��e Air Oualiiy Management Disirict. flesi0eniial con9mc�ion applicaiions are exempi Irom �hese pmvi5ian5. �ate: Applicant: I hereby cenilythal I have read ihis apDlical�on antl siatetha� Ihe above in�armation is correct. I agree to comply wiih all ci�y antl counry mainances and state laws relaling to builAing consimction and here�y aNhorize repre5enia�ive5 0l lhis ciry to en�er upon the ahove�mentioned propei�y �m Inspeclion purpose5. �„ - / / �v v '✓ Dale'. �'l��`�11 _ Signa�ure'. �� Driver's License ar Social Security 1641�a6 W�i�e—Bmlding; Green—Cotle EnlorcemenL Canary—ApPlican��. Pink—Revenue; Goldenrotl—Fssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05107 PERMIT NO: P 051072 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE; OTH JOB DESCRIPTION ; CHANGE OUT WATERHEATER SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS; CAANGE OUT OF WATER HEATER �e*+�+�***x��e***�*************x*+�*�****�+�*****�****�x�*****x�***x�*+�**�**+r+�***�*x�+�x�*** Z O N I N G R E Q U I R E M E N T S , S E T B A C K S ------------ MAIN 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; 93405149 ZNE; REF NO; PLANNING Nc�TES> � It iF af if af if iE �t iE iF iflE iF iF iE �MlF i1 ik ik if 1E iE ik iE IF it 1F if iF dF 1F k if if iF 3F 3E IF 3f �F 3k if 3E iE iFik if iF 3F 1f 1EiF 1f 1E iF iFiE iE if k 3f iE iE 3f K if if IFiF iE If iF IE 1E iF iF if iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: BUILDING APPROVED BY APPLICATION ISSUED HY• if 3F M iF k 1F �F iF±Eif it lE iF iF IF if !f IE iE �E If k it aF iF it k K iE k iF if iE if 1F iE if if iF iF iF 3f if if� k�k If if �tlE k�E * �F 1k M iF 1E 'LEGALIZATION;N F E E BLDG PMT PLUMBING ELECT DATE: DATE• 2"�/�%� F'aFiFiF'If �f 1E 1f if 3F 1E If iE iF iF��F'iFiE IF %�F iE iE �F iE iF if if iE k iE if iF if if iF iF �F �f iF iF IF 3E 3f �f 1f af IF iEif !f iElf IE iF If IF 1f 3f S U M M A R Y STRUCTURAL SEGMENT:N ZC MECHANIC FIRE SMIP/RES GRADING PERMIT 2 00 '�St SMIP/NON—RES PLAN ISSUE FEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0,00 5,00 5.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADZNG PLAN—CHECK 5.�� iF IF iP iE M if if if M�f %3F M iflf k aF iF iE 1f 1f if iF �E k iF iE jF iE iF 1F if fF 1f iF M iE �E �E iE iE �E if �f if �k iF 1F )f If if if IF�k �f �E if iF if If �E1t 1! k 1f if iE IF 1E 1f iF iF iF 1k�k aE if iF iP I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 2.00 2.00 END OF FEES V �J I COtl3241fl-6�08'!4 iL' w s_5-" �, ;,U 6ATE: 03/1?/9i 7'TISE: ?,:�£ � �. r� CONSTRUCTION AND PLAM..AG ' POOL & SPA APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Servise�or Pol � L . 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd.. %= '�� . 53. Steel Reintorcement - rn. - i�: cc ,t- 3.rElectri`c_al Cond�t3itvUtility-Undrgrndy�''� 54. Forms a"4�.f1€ctrical Conduit=U�drgrnd. y 55. Electrical Bonding ,. '.��'�"�teel Reinforcem�ntS 56. Rou h Plumbin & Pressure Test ti' ��' 9 9 �y ��i�.ElectricalUFER�rnd. 57. APPROVALTOCOVER�GUNITE �'� 7��ootings �.?;� 58. Electrical Conduit-Undrgmd. ;,� .r�.. ;.�,g. Foundation " � 59. Gas Pipe, O Undrgrnd., Test a, 9. Water Pipe�Undrg�d. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Sy:tem ' �.. 61. APPROVAL TO DECK 11. Property Sewer Line & Ha4se Conrrection 62. Backwash & Receptor�Final 72. Sewer Cap `- � .� 63. Heater & Vent-Final 13. Roof Drains �c 64. Plumbing System - Final '� 3� 14. Rough Plumbing `� 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectricWiring 67. Fencing & Access ApP�oval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT - ' - - ' - t.,�-tu- X r 20S�Rough Factor Fiieplace i x!T? �y": :+ !:� ^"� x rp,ppqaVp;'g3DCperihit # >' "'- t„ �;� S_� " i Sv^ �r,•x t :s Ca x„ iK ;u�-�[� c ?,: ;�.r .*;`, •. �-. �� :,.. . ,.-, i�a . 21:1DuCfs, in_�Str'�ictur�.x i'.. .. ,ti;r Y S p H. :. -70. UndeigroUtuL Hys7ro x " 22. Ducts, Venti]ating� � i !'iS P y S stw Y�7�, producL°P�in9 O'C��s O'Oil y 23:';Gae_PiperRough &'�f,�est � �G� �; ,h � ,¢ �y r ;72. Underg'ound Flust`�r„ _ .lL 24._�Rooi Framing� FC � ,�i-� c- > � C _' �� x 5�3,�Undergrn�'.Storage-.l'ank�OGas✓OQVI ..m 7 ir .-�t. i t�.F. 25. Roo`f Sh�athing W y � �j . �� "' �� j :�; r :T" 574,�Overhead �iydro`- `- ,. 26�.T-Bar Ceiling (Struaural) &:Monocoat '� � 'n? � 75�Dry Chemlcal '"'-+ = 3 �c-�c � 1 v -'>'r r. 'K d 27:�rameand Flashin'g'. ' Y 1P. � u v ?�$ �n. tli 7) '. i - rc] �r� i� �, �.� �c�;k y c y,rv� �+ 76." �Dr Stand�i e ;-28�Latfiing & Siding�y.:n ;�:C�� = Y ••� �••�: :i 77; FIXED 5Y EN��IAIAL� v - s-� s � � � I �k r. �'29. Insulation Y'` �-' � �' " „ �_ `� � � F� ,. 78a�FIRE PREV. FINAL �i > c; � c.. � . r�30. DrywalliNailing 3� • , �� -y•�� ` �HEALTHsDEPT� R�QIIIREMENT �nv : -. ;.31. Plaster Biown,Co�Btf � � �r�r � � c--, � r79�'Flf�'ALi'N�SP�CTION ;R � " ,y �32.�Electrical;Pov¢er MeterFinali �^� =.v I '„�=. �n +:80:i-FOOD CERTIFI.CliTE ISSUED . i .33"Final Electric ��'` ^• ' r �` � ' °Notes: r '"'x * O 5 'S . � "�T .r I ¢; < �' • �. -.�r, ;a � �l .:e�i n� .. :.". . �.< .-...� � . �. •, i- j i., . c34.-Fin�l Heating.& Air.Conditio/�igjg ; � :, I I k`.� o; S i�� S ?G ..-• , �_,. ��M1 135P_Finai Gas�Pipe-Test` l �r ' � ' � ` ; � =� �°:s r h' SC � [ i r y�s :k r-� I � i � a �C: C� , [-t�' t.- 'a: • r � • .K • . A iii 436' HootJ or Canopy , i;r- �, ;� I � G x- ^o t [r � �,�n � ;i� ::i ''37�Final Factory Firepla"ce,` � S�`� a• '��' { . k�- 2= Cl � V: - �" � t- E' t� { i+' '� .' r , ' � _ .. . i :,, ' �-38. Finel Plumbing T�} r��i, (�� ;S r-: �. .-�. � '.39. Wafe7 Service-FinaD� y ti� ' '; '' .F ^ . � '^• "',�; Y .z .. �K I �� :. � �z.: � �r ;.(S0. Gas Service-Final x :;, �i,.�,- S t :n � � f� �n :i't� �i�; � � � >'41. Solar pomestioFinal > ."1� � ^ '. �` � I `. x t^ �0 7' Y - rr. .r �-42.'Backflow Preventer';: �- �" '' � :� �' ' � " .' 1 ti� � I , v �,P ^>;-, v r_, 43. Backflow Irrigation• ��5.`-- � ��- � ' -� �. : �;., . �� i .. ` • �'0.4. landsca e IFki ation S stem rFU� �� ^ �� y I�i B 9 Y Dtq,^ t:. �: J O�' a.� -�3 - .t _ S'A5_:.Sound Attewatiom ��:i� t=' � ?. � I-- -_.• , - `, sv c�� :.. - i.• n .n nt �q+� K L Q• [ l.� ��'' 1 '._% .� .I. �If • � ..! Y _' i .i" r�l[�- •=46.`.NandicaP.Regulatiops i.; ;� ,� . - � � ,� . G ..j . `47.5PINAL STRIdCTURE & BUItDING a � � � � .��Fn .+ ` N :5' � � �� t ., i� 1 tF .w I :1 !-� 48.'�FIN'�AL PLANNING: i"�:.. �r. r.,7 I �'�. �. .`; t`-�- i `J i t `' c49.;,Electric Release to Edison �< i �";_ -r: '' u; � • : . >. r. <; :30.SGas Release to Soutj�em Califomia Gas Co ; � (• ,�: _ � i- .,- y -. ; 51. CERTIPICATEOF.pCCUPANCY ,; : ;; ; �; ,_, ':; x � o No. Date nr'L1LL.A Ldv1GRFRl.IGJ "^'� a-LV-/D JOB ADDRESS 600-610 Thames Wav BUILDING PERMIT N0. 42507 P � ' � 0.41 R-M 1 -M I. cCTIONS sou GAS WATER(�(' � IO.� ROIIGH PLUMBING� PROP. SwR. LINE � HOUSE SPRINKLING SVSTEM MISCELlANE0U5 ROUGH MEnTING ANO RIR C0� TEMPORRRY SERVICE OR POl UNDEHGROUND [� POWER HOUGH WIRING TRENCHES FORMS FLOOR SYSTEM BONO BEAM � STEEL RE SNEATHING FRAME PNO FLnSHIN � LATHING — IN OUT P PLASTER, BHOWN COPT 5' iURAL, FINAL M! ,IG, VENT., NEFRIG. Af. PLUMBING. FINAL AND G45 T ELECTRIC, FINNL BUILOING. FINaL SUBCONTRACTOR � ,., .,• / . � � / , �� • , ' 'r , , , , , , F � a a � y S F G � H Q 0 ..1 � � C W a O a a Z G.1 S 3 �. 42507 COSTA MESA BUILDING-SAFETY DEPARTMENT P,O. BOX.1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only OWNE MAIL CITY CT : ADDFE55 CITV STATE IJ�a LIC. NP. � SIZE OF LOT USE OF TEL. NO. L. TEL. NO. CITV LIC. NO. �NO. O LBF�DGS. NOW ON LOT Separate perrttits are required for electric, plumbing and heating work. BUILDING AND W0�7K TO BE PERFORMED I herebV eeknowlatlpe thet I have reatl this epplication end ztaca Mat Mo abova Informatlon is corract antl aB�ea to comply wi2h all lawa repulatlnB builOinB conrtruetion, antl 1 shell not amploy any pa/so� �n v�olaHon of Me workmen's eompenution lewa of t�e Ste[e of Celifornla. I herobV cartify that I am proPerly Iicansatl as a cantreetor undar Mo Stafa ot Celifornia Buainau end Profauions Code, Dlvislon 3, ChaptaY 9, antl thet suc� licen�ea are in full forea and effect, or 1 am exeTPt from tha pravislons of t�e State of Celifornia Busineaa antl Profanlons Code, Divislon 3, CheDier 9. s��,�feO� G ��ctr� �. /rv Parml[tee I au2horizatl Apent ��, �a•�h�.",—��OOis��e�. ��*821.5Q APpLICATION FOR STRUCTURAL PERMIT RECE�VEO BV D T ECEIV D D E ISSUED ' - ��d - G A.P. NO. / —D —O� ` BUILDING ADDpES � TRACT � LOT Z BLOCK W A P x OWNfiR L�-ZE� VI�// d/�li� ALUg 0�% FIRE ZONE TYPE 6ROUP APPROVED -� ��Qi BV DAT NO.OF USE OF NEW � UN T PI,AN$ BUILDING VARDSAPPqOVED VAROSAPPROVED DIS7ANCE MAIN 8LD VAR. iW BET. MAIN & ACCESS. BLDGS. DATE APPROVED pqTF lJ I � 1 1][/11 �1-�� THE AMOUNT SHOWN UNDER VALU THE PURP�E OF E5TABLISHING A PERI VALUATION PERMIT FEE E /� PLAN CHECK S 5 G. ��DOO TAX S TOTALPAIO S N � m i m m N i m /f e J N m � � 0 LL � _ � U