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Home My WebLink About3286 TURLOCK DR - Building Permitssj�.� a. ..,�1� "i��:,."' "'�L/:�.!/. 1 RICHARD LUIZ 6071 �Loyola Aven�a� Weslminster, CA B26B3 Report of Specia! Tnspection ?:- -c� ?�':mc & Address `'ERGUSON - 3286 Turlock Drive, Costa P�esa �. _: ti�_.5c: B03-00345 ' .>�c=:ion Typc(sl __ Gunite-- �:io� Dzic(s) 4/18/03 ( J Pcriodic [XXXX ) Coniinuc�_s _...,,�: !:-,speciion htaec, including Locations: Continuous gunite inspection of the swimming �ool @ the above address on qJlg��_ _...?:r.sMadc: Cast gunite cylinder report to follow �. _._, in�;��:�tion'�imc �ach Day � _.:. :.crns Rcquiring Corrcc�ion, includc uncorrecied i�cros prcviously lis�cd '�•�::..;,_„�.r. _.. '_:s�. ci :n; know!edgc, thc work inspcc�cd wss in accordancc with ihc Building Dcpar.c.r .. �-ro.:� c:sign drawings, spcciGca�ions and applicable workmanship provisions e( �h.: U._ � _ __ „�.:.:d =_bov- �j �i_rr�� ` °�'(� " � Datc 4/19/03 - ' i.C._„�.- - ,. ti'_,�,:. R�chard T Luiz Rcgislraiion No.�075691-49 Concrete roF�,: s�, -. .. 28 MECHANICAL PERMIT JobAddress: 328G TURLOCKDR Suite Np Vicinity: Parcel Number; 41210602 Applicant: FERGUSON, JAY AND SHEILA Address: 3286 TURLOCK DR COSTA�MESA, CA . Owner � FERGUSON, JAY AND SHEILA Addresb: 3286 TURLOCK DR COSTA MESA, CA Contractor: OWNER BUILDER Address: Phone: 714-979-3958 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 03/04/2003 Issued: 03/04/2003 ISSUED BY: � SCOPE OF PERMIT 797 S�. FT. IN-GROUND POOL AND 28 SQ. FT IN-GROUND SPA. POOLISPA IS HEATED. MECHANICAL TO INCLUDEA 400 BTU HEATER; REF: 603-00345. , . ISSUE FEE Insl FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Boz 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 $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00, $0.00 $0.00 $0.00 Quantity 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY , , Repair/AltAbsorbtionUnit -- � - - � Repair / Alt Refrigeration Unit � Ventillation System Evaporative Cooler Commercial I n ci nerator Domestic Incineretor Compressors / Absorptian Svstems . � " Upto3hp/100kBTU . _ � 3Toi5hp/500kBTU � 5 To 30 hp / 1,000 k BTU . 30 To 50 hp / 1,750 k BTU � Over 50 hp! Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Quantity $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 $27.15 1 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $50.65 NOTICE: The work authorized by ihis 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 180 days, or if work is suspended or abandoned for a period of 1 BO tlays. INSPECTIONS: In order for �he work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons and ttnal approvel must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24C6-08 (6�00) WORKERS'COMPENSATONDECLARAnON: . � . � I hereby aHirm under penalry oi perjury one oi the tollowing declaretions: , _ ❑ I have and will maintain a certificate ol consent ro selbinsure tor workers' compensation, as provided tor by section 3700 ot the Lehor Cotla, for the pertormence of t�e work tor w�ich this permit Is issued. ❑ I have and will maintain workers' compensation insurance, as required Dy section 3700 of the Labor Code, For Ihe pedortnanca of e woAc for vchic� thls pertnit Is IssueO. My workers' wmpensation Insur n cerder a tl p cy number ere: � p Cartier. � `l � �� Policy Number: � A A /T �-- /This section need not be comP�e e�d i/�iiie permlN valued af one hundred dollers ($100) or less.) - . certity Ihat in ihe pertormary�e ot ihe wo f r which t�is pertnit is issued, I shall not employ any person in any manner so as to 6ecome suDject lo the workers' compensatlon laws of CalifQml , end eg, e at If I should become subject to the workers' compensation provislons of Sectlon 37�0 of t e Lebw Goda, I shall fotlhwith comply with ihese provisiqh5. I / � Applicem Signature: �� Date: o� i v ✓ WAPNINO: FAILURE TO SEWRE �EIO (ER ' CO�d EI S f�N COVERAGE IS UNUWFUL AN� SHFLL SUBJECT AN EMPLOYER TO CiiIMINAL PENALTIES AND IVIL FINES UP TO ONE MUNDRED T/IOUSAND DOLLARE (5100,000). IN A DITI TO TN OF COAIPENSATION, OAMAGES AS PROVIDED FOH IN SECTION 3%OB OF THE LABOR CODE, IMEPEST, AND ATTORNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby atfrtn ihat I am licansed under provisions of Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business and Professions Cotle, antl my Ilcense is in tull }ro�r n!d tf . Lic. a Cless M YY.d7OHn�e� ru�tura / D9te: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is e consiruction lending agency for Ihe pedormance of the work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirm that untler penelry ot perjury that I am EXEMP7 FROM 7HE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Busineu and Professlons Code: Any ciry ar counry which requires a permit to construct, alter, improva, tlemolish, or repair any siructure, pnor to its issuance, elso raquires the applicant for such permit to lile a slgned statement that he or she is licensed pursuent to Ihe provisions of the Contrectore Licanse Lew (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of Ihe Business antl Professions Cotle) or ihet he or she is exempt therefram end the basis tor the alleged exemption. Any vialetion of Section 7031.5 by eny epplicant for a pertnit ys_u,b%'ects the epplicant to e civil penelry of not more than fiva �untlretl tlollers ($500).): pA I, as owner ot ihe property, or my employees with wages es their sole compensation, WILL DO 7HE WORK, end Ihe structure Is not intendetl or oflared for sale (Sec. �� 7044, Business and Protessions Code: The Coniractors License Law does not apply Io an owner of property who Duilds or improves Ihereon, and who tloes such work himselt or herself or through his or her own employees, pravidetl that such improvements are not Intendetl ar oRered lor sale. If, however, ihe building or improvement is sold within one year oi wmpletion, t owner-builder will have the burden of proving �hat he or she did not builtl or improve for purpose of sale.). ' ❑ I, es owner of Iha prap rry, em EX L SIVELV CONTRACTNG WITIi LICENSED CONTRACTORS Io construct Ihe prolact (Sec. 7044, Business end Professions Cotle: T�e comracto icense La(v d s not eppty to an owner ot property who builds or improves thereon, and w�o con�recis for such pmject with e comractoqs) license pursuant to e omractors Li nse Lews.). ❑ I em e:empt untler se . � Business and Professions Code for this reason: Signature: �� Date: Owner ID venfied by ve lic nse: es ❑ No Dnvers License No. xpires: Vedfiwtion ol Ownership y( e of a ument, i.e. - properry tax 6111 or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihet no excavaiion five (5) or mora teet in tlepth into which a person is required to descentl, will be matle in connection with work euthorized Dy this permii, antl that no building siructure, sceHolding, talsework, or demolition or dismantlinq Ihereot, will 6e more Ihen ihirty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division of Industnal Safery, es notetl a6ove, unless such person has e permit to tlo such work irom the tlivision. Signature: Division of InduSMal Safety Permit Number. Date: WIII �he applicant or present or future building xcupant need to file antl certify a Business Plan for emergency response to release or Ihreatenetl releese of a hazardous me�eriel? ❑ Ves ❑ No (Section 25505 of ihe Califomia Health antl Safery Cotle requires, wi�h some e:ceptions, t�at e Business Plan be filed with the Costa Mesa Fire DeOariment 6y every busineu which has at eny one time during a reported year a quantiry of hazardous matenals equal to or greater then e weight of 500 pounds, or a volume ot 55 gallons, 2 uoes or wm tne appucam or presem or mmre omioing occupam naea to tne a registranon rorm tor acutely hazartlous matenals7 �J Yes ❑ No (Section 25533 of the Califomia Healih and Sefety Cotle, wIN some e:ceptions, requires reglstration with the Coste Mesa Fire Depertment by aach business whlch at eny one time has on hentl e quamiry ot awtely hazartlous matanals equal to or greater then a weight of 500 pounds, or e volume oi 55 gallons, or 200 cublc teet ot wmpreued gas a� stantlard temperature antl pressure). ............................................................................................................................................................................................................._................................................................_...................................................................................................... 3 Does or will the applicam or present or imura building occupant neetl to prepare an RMPP (Risk Management and Prevention Progrem for acutely hazerdous matenals)7 ❑ Yes ❑ No (Section 25534 ot �he Califomia Health and Safery Code pwvides ihat ihe Costa Mesa Fire Deparimem may require the preparation, certification end tiling wlth the Fire Depertment oi an RMPP by businesses which are required to register acutely hezardous materials with Iha Fire Department. .........._ ......................................................................................................................................................................................................................................................................... ........................ ................................................................... 4 If an RMPP is presently reQuiretl, ha5 Settion 25534 ot �hB Calitomia Heall� and Safe�y Code been tully complied with7 ❑ Ves ❑ No ............_ .............................................................................__.................................._..___......._............................................................................................................................................................................................_...................................... 5 Does or will �he epplicant or present or fuWre CUIICing occupant require for iha work which is the subject ot Ihis e plica�ion a Permit tor such construction or modification irom ihe South Coes� Air Ouality Managemen� DiSlntt or fmm eny other air polWtion control tlis�rid or egeno/7 � Ves LJ No (Section 658502 0l the Califomia Govemment Code requires Ihat Ihe requestetl infortnation be furnished on applications lor non-residential 6uiltling pertnits). .........._ ...................................................................................................................................................................................................................................................................................................... .................................................................. 6 Will any part ot the facility to be constructetl untler this pertnit be within 1000 feet fmm the outer boundanes of a school? ❑ Ves � No (If yes", the faciliry must meet the requirement of Sections 25534 end 42303 oi the Califomia Health antl Safery Code). .................. ...... .................................................................................................................................................._..................................................................................................._........._..........................................................................__, 7 If a pertnil fmm ihe Sout� Coast Air Ouali�y Menegement Disincl or olher eir pollu�ion contral tlisiric� or egency is requiretl tor ihe work which is the sublect o� this epplicatioq have all oi the tlisclosures prescnbed by Califomia Health and Safary Cotle Section d2303 been made7 ❑ Ves ❑ No ............................................................................................................................ ............................................................................................................................................................................................................ 8 (If yes', attach certificate oi compliance trom the eppropriate eir pollution conirol oHicer). CERTIFICATE OF COMPLIANCE: I certity that under penalty oi perjury the informetion given abova is correcL I agree to comply with all state laws antl ciry adinances regarding Harardous Materials and Emissions. Signa�ure: Daie: CERTIFlCATE OF COMP/ CE AND A ORVATON OF ENTRY: I certity under penalty of perjury that I have reatl �his epplicetion antl state ihat the information given is correct I egree to comply ith all st� a la� s end ciry ordinances relating to building construction, and authodza represeniatives of Ihe Ciry of Cosia Mesa to eNer upon ihe ebova-described pro�'rry r inspec on p rposes. I a ree not to occupy or allow occupancy of any building authonze�1his pe(m� until finel inspection. / iana ure f 9al Owner�s) T��'Dere CODE I. 7616 1266 200 201 202 203 204 AncUOr INSPELTION TYPE Fixetl Sys�em Final Fire Prevention Pool Spe Final Final Re-Roof Flnal BIocWRetaining Wall Final Factory Fire Place " Final Sign Final Demolition QejF . 1 pL ... LOpEt INSPECTIONTYPE - 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site ' 250 Final Building/Occupancy (714) 754-5273 • Fa�c (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3286 TURLOCK DR Suite No Vicinity: Parcei Nunmber: 41210602 Applicant: FERGUSON, JAY AND SHEILA Address: 3286 TURLOCK DR COS7q MESA, CA Owner: FERGUSON, JAY AND SHEILA . Address 3286 TURLOCK DR COSTq MESA, CA Contractor: � OVVNFR BUILDER Address: � .. Arch / Eng : Address: � Phone: 714-9793958 Zip: 92626 Phone: Zip: 92626 Phane: Zip: License: 000000 Phone: Zip: --License: - ISSUED BY: Status: ISSUED Applied: 03/04/2003 Issued: 03/04/2003 SCOPE OF PERMIT 797 SQ, FT. IN-GROUND POOL AND 28 SQ. FT IN-GROUND SPA. POOUSPA IS HEATED. REF: B03-00345. PLUMBING FOR POOUSPA. . , FEE SUMMARY . AMT �TY �� AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub / Washer 50.00 0 � Sump Pump $0.00 0 Backflow irngation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $60.75 1 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub 50.00 0 �� Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifer System $0.00 0 P�ocess Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc) $0.00 � 0- Receptors $0.00 0 Vacuum Brkr Bkflow(5+� g0.00 0 Dental Units $0.00 0 � Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $Q.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line 50.00 0 Water Closet (Toilet) 50.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater / venl $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping Qnst or Rep.) $0.00 0 Expansion Tank $Q.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 0 NOTICE: The work authorizetl by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 249fr48(6/00) WORKERS'COMPENSAnON DECLARAnON: I hereby aflirm under penalry ot perjury one of the following declarations: - ❑ I have entl will meintein e cartificate of consent to selbinsure for workers' compensatlon, as provided for by section 3700 of �he Lebor Coda, for the peAormence of Ihe work tor which this pertnit is Issuetl. � ❑ I h�ve arM will meintain workers' compansation Insuranca, as required by section 3700 of the LaDor Code, For the peAortnance of U work for whith Ihis pertnit is issuetl. M dwoMers' cWnpaQalio I urMnc� � r a lity number are: �� CnrriwJ \ i 4 r � Policy Number: need ,�. I certiy that in the pedoi compensation laws ot C comply with Ihese pmvi: ApplicentSignatura: � WARNINO: FAILURE TO SEW FE THOUSAND OOLLAFE ($100,0001. of the i. and TO or less.) �hich this pertnit is issued, I shall not employ eny person in any menner so as to 6ecome subject to the workers' if I should become subject to t�e workers' compensation provislons of Sacti n 3700 t the Lebor Coda, I shall fonhwith ��—�� Date: � �v� JN COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE MUNDRED ' OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 310fi OF THE IABOR WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirm that I am licensetl untler provisions ot Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and Pmtessions Code, and my licanse Is in full force end ettecL Lic. x qass x Contractofs Signeture: Date: CONS7RUC710N LENUING AGENCV: ❑ I hereby attirm that there is a wnstruction lending agency for the peAormance ol ihe work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lander'S Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn Ihat under penalry of Derjury Ihat I em EXEMPT FROM THE CONTRACTORS IICENSE LAW for the followinq reason (Sec. 7031.5, Business and Prolesslons Code: Any ciry or counry which requires a permit to wnsiruct, alter, improve, tlemolisq or repair eny strucNre, pnor to its issuance, elso requires �he epplicent tor such pertnit to lile a signed siatemant thet he or she is licensed Dursuant to the provislons oi the Contrectors License Law (Chapter 9(commencinq with Section 7000) of Divislon 3 oi the Business and Professions Cotle) or thet he or s�e is exempt therefrom and the Dasis For ihe alleged exemption. Any violation ol Section 7031.5 6y any aOP�icant for e pertnit �subj�e Ihe epplicant m a civil penalry of not more than fiva hundred tlollars (5500).): ,�' I, as ov.ner ot Ihe properry, or my employees with wages as Iheir sole compensa�lon, WILL DO THE WORK, and ihe structure Is not intentletl or oHered tor sele (Sec. 7044, Buslness antl Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves Ihereon, antl who does such work himseN or herseli or t�mugh his or her own employees, provided that such improvements are not intentled or oMered for sale. I(, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving thet ha or s�e ditl not build or improve for purposa of sala.). ' ❑ I, as owner of the properry, am XCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, eusiness antl Professions Cotle: The contwcJqrs Licens aw Coes not appty to an owner of propeny who builtls or improves Ihereon, antl who contracts tor such project wit� a contracbr(s) licensa oursuant,tb�he Contr c rs License Laws.). ❑ I am exempt Signature: _ Owner ID venfied I Vedficetion ot Owr _ eusiness and Protessions Cotle tor this reason: � Date: ❑ No Drivefs License No. Ezpires: i.e. - property tat bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no excaveiion five (5) or more fee� in tlep�h into which a person is required to descend, will be made in conneciion with work authonzed Dy this pertnit, and that no building siructure, scaHolding, falsework, or tlemoliUon or dismantiinq thereof, will be more than �hirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Title B, Celifomla Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division oi Intlusinel Satety, es noted ebove, unless suc� person hes e permit to do such work from ihe division. SignaWre: Date: Divisian of Industnal Sefery Permit Number: COOE 1, INSPECTIONTYVE 1816 Fixetl System Final Fire Prevention 1266 Pool Spe Final , 200 Final Re-Root 201! � Final BIocWRetaining Wall 202 Final Factory Fire Place 203 FinelSign 204 'Finel Damolitian �DI�I:YIYII.IFj 40UE� INSPECTIONttPE � 206 Final Mechanical , . 20B Finel Plumbing 210 Final Eleclncal 212 Finel Fire Prevention � 220 Final Planning Approval 222 Final Site � -� 250 � Final BuildinglOccupancy P9IE lti�4$ (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DAIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: 3286 TURLOCK DR 41210602 FERGUSON, JAY AND SHEILA 3286 TURLOCK DR , COSTA MESA; CA owner: FERGUSON; JAY AND SHEILA Address 3286TURLOCK.DR � - COSTA MESA, CA Comractor: OWNER BUILDER Address: � . 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 Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a � Motors to 1hp Motors to 10hp Molors lo SOhp Motors to 100hp Motors over t00hp Communica[ion tlrops Sub panel to 200a Phone: 714-9793958 Zip: 92626 Phone: Zip: 92626 ,Phone: Zip: License: 000000 ISSUED BY: SCOPE OF PERMfT 797 SQ. FT. IN-GROUND POOL AND 28 SQ. FT IN-GROUND SPA. POOUSPA IS HEATED. ELECTRICAL FOR POOVSPA.-REF: 803-00345 � - � � $23.50 $0.00 $0.00 $0.00 $0.00 $49.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ` FEE SUMMARY Quantiry . - - 0 0 1 0 0 . - - 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Volta9e 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 Investigation Fee Plan Check Fee Status: ISSUED Applied: 03/04/2003 Issued: 03/04/2003 Quantity $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 So.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire 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 Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaaaaeldoo) WORKERS'COMPENSAnON DECLARAnON: ' . I hereby affirm under penalry oi perjury one of the followinq tleclarations: . " � ❑ I have entl wlll meimein e canificate of consent ro selt-Insure tor workers' compensatlon, es providad for by section 3700 oi �he Lebor Cade, tor the pedormence ot Ihe work lar which this permit is issuetl. ' • ❑ I heve and wlll maimain workers' compensetlon Insurance, as requiretl Dy seclion 3700 of t�e Lebor Gode, for the pertortnance of Me wo for whlch [his pertnii is issued. My woAcers' compansatlon Insur(enc� ca ar antl policypor I�areF: j � Carrler. \ U��/� �� Policy NumDer. l /� �%'� i ./Th(s section need not be crom0�eted it t e Dermu is vp�u�ne hundred Uollers ($100) or less.) . . . . �1 certiy that in the pertoi compensetion laws oi C comply with these provi: Appllcant Signelure: _ WAqNING: FAILURE TO SECURE THOUSPND Dq1ARE (5100.000). work fp4 hich this pertnit is issued, I shall not employ any person in eny manner so es to 6ecome subject to ihe workers' �grae }h It I should become subject to the workers' compensetion provisions ol Section 3700 f the Labar C^ode, I shell fort�with Date: vL� �� J MP N A COVERAGE IS UNLAWFUL AND $HALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES rW D G L FlNES UP TO ONE HUNDRED ITFIE OFCOMPENSATION,DAMAGESASPROVIDEDWRINSEGTION3]O60FTHELABORCOOE,It�REFEST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi Ihe Business antl Professions Code, end my license is in full force and ettect. Lic. q Cless R Contracmfs Signature: Date: CONSTFiUC710N LENDING AGENCY: ❑ I hereby aHirm that there is a construction lentling agency for 1he peAormance ot the work lor which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendar'S Address: Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry which requires a permit to consWcL elter, improve, tlemolish, or repair eny siructure, prior m its issuence, elso requires the epplicant tor such pertnit to file e signed stetement that he or she is Ilcensetl pursuent to the pmvisions ot ihe Contractors License Lew (Chapter 9(commencing wlih Sectlon 7000) of Dlvislon 3 oi the Business and Protessions Code) or that he or she is eaempt theretrom end the basis tor ihe allegetl exemption. Any violation of Section 7031.5 by eny applicent for a pertnit subjects ihe flpplicant to a civil penelry of not more Ihan five hundred dollers ($500).j: ❑ I, as owner ot t�e properry, or my employees wi�h wages as iheir sole compensation, WILL DO 7HE WORK, and the structure is not Intendetl or oHered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves theraon, end who does such work himsetl or herseN or through his or her own employees, provided Ihat such improvemen�s are not Intended or oHeretl for sale. II, however, the building or impmvement is soltl wit�in one year ol completion, the ownervbuilder will have ihe burden of proving that he or she did noi build or improve tor purpose of sale.). ' ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct t�e prolecl (Sec. 7044, Business entl Professions Code: The contra mrs License w does not apply to an owner oi properry who builds or improves i�eraon, and w�o conirems for such pmject with e coniracror(s) licensa pursuan t the CAntr rs License Laws.). / ❑ I am axempt und sec. Business and Professions Code for this reeson: , ��_ Signature: � � Date: � _ Owner ID verifie � y river lic�e ❑ Ves ❑ No Drive/s License No. Expire�- Verilicatlon of Own rship y( e of d ument, i.e. - proparty lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihe� no excave�ion Five (5) or more feet in depth into which a person is required to descend, will be made in connec�ion with work authorized by Ihis pertnit, and that no builtling sirucNre, scaHolding, falsework, or demoliiion or tlismantling thereof, will be mora fhan thirry-six (36) taet high. (Chap. 32, Grp 2, Art 2, Sec. 347, TiUe B, Calitomia Administrative Cotle). ❑ As owner-builtler, I will not employ enyone to tlo work wnich would raquire a permit from the Division of Industnal Safery, as noted ebove, unless such person hes a pertnit to do such work from the division. Signa�ure: Division of Industnal Salery Pertnit Numbar: Date: Will the applicant or present or future builtling occupaN neetl to file end certity a Business Plen for emergency response to release or threatenetl releese of e hazerdous material7 ❑ Ves ❑ No (Section 25505 oi lhe California Healih end Safety Code requires, with soma exceptions, Iha� a eusiness Plan be filed with Ihe Coste Mesa Fire Department Dy every busineu which has at any one time tlunng a reportetl year a quantiry of hazardous materials equal to or greater ihan a weight of 500 pounds, or e volume ot 55 gallons, or 200 cubic feet of compressed gas at stantlard temperaNre and pressure). ........................................_............................................................_................................................................................................................................................................................... ....................... .................................................. Does or will the applicant or present or future builaing occupaN nead to lile e registretion fortn br ecutety hazerdous materials9 ❑ Ves ❑ No (Section 25533 ot Ihe Califomla Health antl Safery Code, with soma exceptions, requires registration with the Cosia Mesa Flre Depertment by each business whlch at any one time has on hand a quentiry ot acutely hazardous meterlals equel to or greater ihen e weigN oi 500 pountls, or e volume of 55 gellons, or 2oo cubic feet of compresseC gas at stantlertl tempereture entl pressure). .................._...................._.................................._............................._................................................................................................................................................................................................................................................................. Does or will the applicant or present or future building occupant need to prepare an RMPP (RiSk Management and Prevention Progrem tor acutely �aiartlous meterials)7 (Seclion 25534 ot the Calitomia Health and Safery Cotle pmvides that the Cosia Mesa Fire Depertment may n Department of en RMPP by businesses which are required to register ecutely hazartlous materials with Ihe Fire ....._.........._. ............................................................................................................................................................................................................................. If an RMPP is presently required, has Section 2553a of the California Healtn end Safery Catle been fulty complie .................._..................._......................................................................................................................................................................................................, Does or wlll the applicani or present or tumre bullding occupant raquira tor Ihe work which is �ha SUbjett oi Ihis from �he Sou�h CoeSt Air �uality Management DiStdd or frOm any other air polWtion contwl tliscrict or egency? (Section 650502 of �he Calitomia Government Cotle requires that the requested information be fumished on ap� ................................................................................................................................................................................................................................................. Will eny pan of tha faclliry to be constructetl untler this permit be within 1000 faet from the outer boundanes of a (N yes", the tacility must meet the repuirement of Sections 25534 and 42303 0l ihe Califomia Health ena Satety ...__ ......................................................................................................................................................................................................................................... uire the preparatioq certification entl filing with Ihe Fire apanment. . ........................................................................................................................ wi�h7 ❑ Yes ❑ No ......................................................................................................................... pplication a�ermit for such cons�ruction or motlificatlon J Yes No ations tor non-residential huilding pertnits). .................................................................................................. ;hoo14 ❑ Yes ❑ No If e pertnit irom �he South Coa51 Air Ouahry ManegemeN Distnct or o�her air pollution wntrol disinct or egency is requirea tor Ine r ap0�icatlon, have ell of Ihe disclasures prascnbed by California Health and Safery Code Section 42303 baen made? ❑ Yes ❑ No Qf'�es", attach certificate of wmpliance fmm the appropriate air polWtion control otticer). CERTIFICATE OF COMPLIANCE: I certiy that under penalry of Oerjury t�e information given above is wrrect. I egree ro comply with all stete lews and ciy ordinances regarding Hazartlous Materials and Emissions. Signature: Date: CERTIFlCATE OF C LIANCE AN� AIJTTIORVATON OF ENTAY: I cenify under penalty ot perjury Ihai I have read this epplication antl state that ihe information given is correct. I agree to o ly with al( s te lews and city ortlinances relating fo building consiruction, antl authorize represematives ol Ihe Ciry ol Costa Mesa to amer upon the ebove-described rop� for�spe ion purposes.� ccupy or ellow acupancy of any building autho��by this�e until finel inspection. � 4� t ' Si� a e Of Legal Owner(s) -�— ate COOE �. INSPECTONTYPE 1616 Fixed System Final Fire Pravention 1266 Pool Spa Final 200 Final Re-Raof 201 Final BIocWRetaining Well 202 Final Feciory Fire Place 203 Final Sign 204 Final Demolition � Applicant �[� � EQQf.� INSPECTIONTYPE 206 Final Mechanical 20B 210 212 220 222 250 Final Plumbing Final Electncal Final Fire Preventlon Final Planning Approvel Final Site . Final Building/Occupency� CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. /'2 Lt S' DATE �� LOT N0. !,� ADDRESS � Q gG �- ��„ `� �„n � 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 were) �j 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(7Y OF COSTp, '�ESA JUid �; i9;; A� PM 7�Si9iI0i11�12i�i2o3i4�5i6 & BY` ll�.�._.t... ` 1 ) . � � �lt , 7 Pur aser BY \ i,,. Develope and/or orized representative BY Lender TEST SPECIMEN AND COMPRESSIVE STREf:GTH DATA SHEET VROJ[CT NnA1E: FCfCU50l1 F2ESiU2nCE INSPE[i0R'S NaME: RiLhdftl LOIZ PftOJECiaU0RE55: �180 11fIO�LilDfni6��—.-n^.-cv�r--�ri�%.. INSPECTOP'SUCENSENO.: �jOFIIO Costa hfesa. C.: INSPF.CTOR'SSIGhATURE: /�/�� — iERS11TSU1'?E2' �iVP.� T� s(�j�/��!..: �_SETIOFNTIFICATID4NUR:8ER: GAST DATA (ATTACN �ATA SHEET OF OTHcRS WMEN AVNVaBIE) CASTOAIE iH(i8iQ3 OESCNIPTION C::1::E1¢ � G'oul � Ih=]ar '$M1pic:e�?I baso�ry%:is:n IO�heCGONITE CONTR�CTOR ��VOefJB'JII�2f iPECIFlEDF'c�F51 Z,QQQ CEMENTTYPE �/ SUCCOHTRACTOR �TfiFOfCO CnSTBY C2f�05 AO!dIXTURE �fljh ENGMEER ,(3,V,itdB[OS NOAPSAf�FI[5 �� V(ATE0.AO�ED Nl4 CONC.SUPPIIER ;J%A TOTALYDS.PIACED I,�!/A SLUMP ,N((� PL.1NT �i/A TICNETNU�iBER I�y'IA AIftCONTE6T �r;jA MIBDESIGfJnO. J 1,'2-1 CASTiIME �N�N qIqICONC.TEN.F. NIA �ocano"� ir+s�cc : IBottom o( The S•iimming Pocl Horss: INR = Not Repor;etl � ISam,�:es cast using wi:c mash (no moltl used). Test specimens r�ere sawcut into 3-ir., x 3�in. x o"•ia SF,apes for compression jt=sliny. COIdPRESSIVE STR��GTH pATA yPEUA!EN I AGFAT �� iEST i iEST TEST _ 5PECIMFND�tAEN510N5JM1:' AREA � LOA� F'C 'BqEAH IOE�IIFICATIOc � TE51 OfTE 'IME Dl1FAT10N � 1 �, Y I ) I 4 SG.IN. �85. � j�SI TYGE' NUMB[ft I OAYS h11N. I 5 � 6 ] d �M1II� � 5/9/OJ i 3.009 I 3.29? 3.304 3220 I 1�20 � i C002592A I 2� I 1:1EGR� i 7:30 ----,------- -.—� 35.993 3,527 ' c � ; 6.004 6.009 6.015 6.017 j itee� � � I —��'j� � Sr9!C3 ��; d.13i f 3,175 ;' 3.159_�3.768 I 9.98 C9C2592D �� r---I T31pm j tt15 ------�-- — � 23,420 2,SA7 ` c � i 1 I � �.�994 5.602 � 5.999 6.014 � n.e�; � � - � �—� �---i-- �—�----� i i � -- ' -- _—,I i — I Avg. F'tza = 3,'187 � JOQCIT4�'.UII�•C�i]iY11S�-•�-w�u��uiiu�ciiy��v.co��io�.cr...�.r��v��.��.�........y..v-..r .............�..�i��o�i�i��rv�vii�� 3rea� ly^; e desiyna�lun o?� /+STbt Ci9 FiSure 7 a=Cone, 6=Cone ano Spl f, c=-Cor�e an0 Sh=ar, a=Shear, c=Co:umnar COMPLIWJCE WIThi SPECiFlED STBENGTN 7 COIdME 5: Camplies , /` . — '�` _ � — AUTHOR� D SIGNATUR tvo� i 10600 Pioneer Boulevard, Suite G• Santa Fe Springs, allfornia 90670 •(562)903•0032 Fax (562;9033534 91'd eiE�ii f0 iZ �eW (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.caUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3286 TURLOCK DR Suite: Vicinity: Parcel Number: 41210602 Applicant: FERGUSON, JAY AND SHEILA Address: 3286 TURLOCK DR . COSTA MESA, CA owner: FERGUSON; JAY AND SHEILA Address ,3286 TURLOCK DR COSTA MESA; CA Contractor: Address: Zip: Arch : Address: Zip: Phone: License: Zoning: R1 R1 Phone: 714-9793958 � Zip: 92626 Phone: Zip: 92626 Phone: License: ISSUED BY: Eng: B C ADAMS � Address: 11022 ACACIA PKWY STE E GARDEN GROVE, CA 92840 SCOPE OF PERMIT 797 SQ. FT. IN-GROUND POOL AND 28 SQ. FT IN-GROUND SPA.-POOUSPA IS HEATED. ' � FEE SUMMARY Plan Check: $254.31 Permit: $39125 SMIP Res: $2.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $648.06 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY ',Front 0-0 PARKING Existinp: o NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Propased: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 Status: ISSUED Applied: 03/04/2003 Issued: 03/04/2003 Phone: 714-636-0294 License: C10183 Szs,000.00. szs,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or iF work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(fl�00) WORKERS'COMPENSAnON DECIARATON: � . I here6y attirm untlar penalry ot perjury one oi the tollowing declarations: , • . . . ❑ I have entl will meintein e certificate ot consent to seH-Insure tor workers' compensation, es provided tor by section 3700 of the Labor Code, for ihe pertormence ot the work for which this permit Is issvatl. � � ❑ I �ave entl will meintain workere' Myworkers` mp9nsat{on�� Carrier: U N �I certify that in Ihe perl compensetlon lews oi comply wifh thesa pro� Applicant Signature: _ WMNING FAILURE TO SEWF TFIOUSMID OOLL4RE (5100.OIX � insurance, as required by sectlon 3700 of t�a LaDor Cotle, for the pertortnance of the work or which this pertnit is issued. entl policy number are: / � p Policy Number. � /t /tJ� . � vplqed at one hundred dollaro ($f00) orless.) . , f the work for w lich this permit is issuetl, I shell not employ eny person in any manner so a5 io ecome subjact to tha workers' antl egree`that 1 I shoula become sublecl to Ihe workars' compensatlon provisions of Section 00 oi h Lebor Catle, I shall fort�with / / Date: ✓� �+ ' CO!(e N� COVERAGE IS UNLAWfUL AND SHALL SOBIECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FlNES UP TOONE MUNDRED NJTOTI�IE OFCOMPENSATION,DAAMGESASPROVIDEDFORINSECTION3/O60FTHELABORWDE,IfdrEREST,ANDATTORNEY5FEE5. LICENSED CONTRACTORS DECIARATION: I hereby eHirtn that I am licensed untler provisions ot Chapter 9(commencing with Section 7000) of DiWsion 3 of the Business and Prolessions Cotle, and my license is in tull force and ettect. Lic. M Cless A Contrectors Signawre: Dete: CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirm that ihere is e consiruction lentling agency for the peAormance of the work for which ihis permit is issueG. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signawre: Data: OWNER-BUILDER DECLARATIONS: I hereby affrm Ihat under penelry oi perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or wunry which requires a parmit to consiruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires Iha applicaN for such pertnil to file e si ned statement Ihat he or she is licensed pursuant to the provisions of the Contractors License Lew (Ghapter 9(commencing with Sectlon 7000) oi Dlvision 3 of the Busines end Pmtessions Code) or that he or she is exempt therafrom and the besis tor the ellegetl exemption. Any violation ol Section 7031.5 6y any applicent for a pertnit subje the applicant to a civil panalry af not more ihan five hundred dollers ($500).): I, as owner of Ihe proDeny, or my amployees with weges as their sole compensailon, WILL DO THE WORK, antl the swcWre is not imentled or oHered tor sale (Sec. 7044, Business and Protessions Code: The Contracbrs License Law tloes not apDty to an owner of properry who builds or improves thereon, and who does such work himseN or herseli or through his or her own employees, provide0 i�ai such improvements are not intended or oftered for sale. If, �owever, ihe building or improvement is sold within one year oi completi , ihe owneo-huilder will have the burtlen of proving that he or she tlitl not build or improve tor puryose oi sale.). ' ❑ I, es owner ot tha properry. a CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS m wnstruct the pmjea (SecJ044, Business antl PmFessions' Code: The conlr rs Licer�se w does not apply to an ownar o1 propeny who 6uilds ar improves ihereon, entl who contrecis tor such project wlth a coNrector(s) IicenSB pursua to the Co he ors LicenSe Laws.). ❑ I em e:empt tle sec/ Business end Professions Code tor this reason: Signature: Date: Owner ID veritie � y riv g�,li ❑ No Drivels Licensa No. Expires: m�z � Venficetion ot Owne �i by ( documeni, i.e. - property tax bill or deed): DIVISION OF INDUSTfiIAL SAFETY VERMR CERTIFICATION: ❑ I hereby certify Ihat no excavation five (5) or mora feet in depth into which a person is required Io tlescentl, will 6e matle in connection with work euthorized by Ihis pertnit, antl t�at no building slrucNre, scaffolding, talsework, or demolition or dismamling Ihereof, will be more than Ihirry-six (38) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tlile B, Califomla Atlministrative Code). . ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit Irom the Division of Indusirial Sefery, es noted ebove, unless such person hes e pertnit to do such work from the division. Signature: Date: Division of Intlustrial Sefery Permit Number: CERTIFlCATE OF COMPLIANC U A 1 710N OF EMRY: I cenify under penalty of perjury ihat I have read Ihis epplication and sta�e �hat ihe iniormation given is wrrect. I agree to comply wi state la a ciry ordinancas relating to builtling consiruction, antl authonze represen�atives of Ihe Ciry ot Coste Mesa m enter uDon the above-described properry��inr�ctio� rpo s. I agree not to acupy or allow occupancy of eny building authonzed by this permit u�til finel inspection. •- ��I �f' l/? i SI awre e IOwner(sl �— Date AnNOr Auihonzetl Applicant Date COOE 1, INSPECTIONTYPE 1676 Flxetl System Final Fire Prevention 7286 Pool Spa Final . 200 Final Re-Root 201 Finel BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitlon ' UI1TE ��ny@ COUG I IXSPGCIIOX LTY[ 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy � GIIIILIb �� °� L,aa,ta ��leda S�u�:�ili y Diui�i POOL AND SPA REQUIREMENTS The following information is required in a clear and legible manner. All information shall be complete and on the plans. Three sets of plans showing all of the following with measurements shown from property lines, buildings, patio covers or other swctures. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Name, address, phone number of owner. Name, address, phonz number, type of license of any contractors or subcontractors. Pool and/or spa location. Equipment location. Gas and electrical meter loca[ions. Overhead service lines and serving pole location. Type of gas and elec[rical conduits to be used. Size of main electrical service (if less than 100 AMP, service is probably inadequate and will have [o be upgraded to minimum City requirements.) Rating (horsepower, voltage, amps) of all electrical equipment. BTU rating of gas heater. Dis[ance and size of gas line. All electrical ouUets within 15 ft. of pool/spa. 13. Capacity of spa (spas only). 14. Handrails, ladders, slides and diving boazds (if any). 15. Location and details of solaz panels (if any). 16. L.ocation of doors and windows within 5 ft. of pool/spa. 17. The type of constmction—gunite, poured concrete, prefabricated fiberglass or other. 18. The pool dimensions, including [he depth and adequate cross-sections drawn to scale. 19. Computations, stress diagrams and o[her data sufficient to show the correctness of plans; including reinforcing steel schedule and details. 20. A statement by the applicant concerning [he an[icipated na[ure of the soil under and around Ihe pool structure (expansive, moderately expansive, non-expansive). (A soils repoR may be required by Building Division prior to permit issuanceJ 21. The Engineer's wet ink signa[ure is required on pool plans and calculations. 22. All semi-private pools and spas shall conform to California Administrative Code Title 24 handicapped requirements (hotels, motels, recreation areas for lease to public or publicly funded projects). 23. Where a permanendy installed pool is constructed, at least one 120 volt receptacle shall be ins[alled a minimum of 10 fee[ and no[ more than 15 fee[ from the inside wall of the pool and shall be protected by a ground fault circuit interrup[er. 24. Indoor installation of spas and hot [ubs, receptacles shall not be closer than five (5) fee[ [o spa/Wb. 25. Receptacles located within twenty (20) fee[ of a spa or hot mb shall be G.F.C.I. 26. Receptacles for spa/hot tub motors shall be G.F.C.I. pro[ec[ed. 27. Comply with Costa Mesa City ordinance 93-12 requiring protec[ive barriers, fencing and/or enclosures. t � ! . 1 1 GENERAL REQUIREMENTS 1. If capacity is 750 gal. Or more, backwash and P-Trap shall be installed. 2. All P-Traps shall tie in at lower terminus of house drain. 3. If permanent fill line is no[ installed, neares[ hose bib shall have an anti-siphon valve. 4. All PVC shall be 18 inches underground. 5. PVC gas lines shall be tested at 60 P.S.I. 6. Pressure test required on entire system (35 P.S.I. air test or water fill) prior to back fill. TYPICAL SETBACK REQUIREMENTS Equipmenr 4 ft. from property line 4 ft. from doors/windows 4 ft. from attic vents l8 inches from house/garage Pool/Spa: 5 ft. from property line 5 ft. from swctures 1. Overhead Edison drops shall be installed per NEC 680-8 (see attachment). 2. It shall be unlawful for any person [o install, remove, alter, repair or replace any plumbing, gas or drainage piping or any fixture, swirtuning pool hea[er or veating equipment in a building or premises without first obtaining a permit to do such work from the City Building Division. 3. Clarification or additional information may be obtained by telephone: (714) 754-5273, between 8:00 a.m. and 430 p.m. FENCE AND GATE REQUIREMENTS (see attached) 1039-46 (REV.lA07 1998 CALIFORNIA BUILDING CODE FiGURE 3tB-4--PERVENOtCULAR FENCING DIMEIJSIONS ON SLOPING GROUND (NSIOE OVTSfOE 5' � dear � sPaca �/ _ ///� FIGl1RE 318-5--EFFECTIVE FENCING HEIGHT CHAP. 318, DIV. I FIGURE 318-4 FlGURE 318-5 1-294.15 �n,ur. d � o, u�v. u 3150B . 1998 CALIFORNIA BUILDING CODE 3150B Division ll—PR/VATE SW/MM/NG POOLS (STATEW/DE) ,\'OTE: Thrct rrgiJutinna rtrc rul jrct m lural �nvrmmen� mudifit'n�iun. Tlre app(i� nMe lu�n( t'nrrnunrnt rrquirenm�us at die time nf application for a buildi�g prnnlr sim�JJ Le reri��rA. �'OTE: Thru• �« mJurd.v becurue applitahle onnunrntin,q Junuan' 1. /995. m u prirnre. siriglr-(amilc hnrne Jnr vhich a t'nartruclian pmnil for a nen' nvirrnning pun/ hu Lren i�sued on m� n%�er' lununn� l. 199R. SECTION 3750B — DEFINITIONS As used in d�is division, the following tenns liave die following rneanings: APPROVED SAFETY POOL COVER means a manun[ly or pm��ervopernted sufen� pno! cover rhat meets al! of the perfnr- rrmnce smndards of �he American Sncien� fnr 1�esting and Materi- nls (ASTM), in compliance wi�h Smndard F/346-9l. ENCLOSURE means a fence, wall or other barrier that isa- lmes n swimming poal from access to the home. E.rIT A[ARMS mearrs devices that make audible. conrinuous nlarm sounds �chen tme dnnr nr windou' that pennits access from the reside�ice m rhe pool nren, rhnr is �i•idiout nn}• intervening en- closure. i.r apeneA a� is (eft njar. E.eit almms mac be bnrterv oper- �ued or mnp be conr�ecred ro rhe elecrrrca! •.viring of the building. PCBL/C S�Y/MM/NG POOL meais n s�cinuning poo! oper- nted for the use of die genern( pub(ic widi ar rcitha�t charge, or for Jre iae ojdre members and guestc of a pri�nte club. Pablic swirn- ming pnol dnes not inc(udr a swimming pool locnted an the qrounds of n privnte singfe fimiik home. SWLNMlNG POOL or POOL memrs nm� srructure i�vended for suimming or recrentionn[ bnthing dtnt co�rmnts un�er over l8 inche,s (4J7 rnm) deep. "Swimming poo!" includes in-grourtd ai�d above-ground strucrures and irtc(uAes, but is not limited to, hn� ruGs, spus, pnrrnble spns mrd nnnpormble �radiny ponls. Reference: Hea(�h nnd Safen• Cnde Sectian 1l �92! Aurhnrinc Henitli nnd Safem Code Secrio�r 18942(h) AB 3305. Srnru�es /996. C.925 SECTION 3157B — CONSTRUCTION PERMIT,� SAFF_TY FEATURES REQU/RED Comrnencing lnnunn• 1. /998, e.rcept as prnviAed irr Sec�ion 3l54B. whenever a constructinn pennit is issurd for co�istruction of a ne�c swimmirrq pool u� a pricnte. sing(e jmnik hmrte. i� shn/( be equipped wirh at lens� nne of �he fo!low�ing snfen� fenn�res: l-The pon!'slia(!'Ge�isnlared jram nccess m n liome Gy nn enclo- siire thnt rrteers�the"reauiremenrsof-Secrinn-3I �28. �� =� L C ?: The pool shnll be eyuipped �ridi nn npprored snfery pool i rA- cover. �J^^The residence shnll Ge eyuipped-n�irh-e.cit afnmi.r �� d�ose doo`rs.prrn•iding'Virectaccess m the ponL — ` a. --17! �lnnis prnriding direcr access from �he harrre to �he s�vim- ming pool slral! be eyuipped tcid� a selJ=closi�rg, selj-lorching de� vice �rith a relense mechanism p(nteA no lo�rer d�an JJ inches (l372 mmJ nbnve d�e jlnnr. 5. Odrer mean.r of pmlectinri, i% Ihe degree oJ prnrection nf- fnrded is equul m nr greuier than �hat n�nrded b�� nnv nf 1Bc de- ricea .rei fnrrh in /tenta l-d. inclu.cire. as deterrni�ied by tlre huJding o�cial uf die jm�isdicrinn i.s.suirrg the npplicnble building penni�. Anv ordinm�te gnrerning cliild nccess m ponls udapte� by. n pnlitical.suhdivi.ciun un or Gefore Jnnu�nz� !. /99i, i.r presi�med 1-294.16 � to nfford prorecrion dmt is equal ta or greater than lhat aJfarded by nm• of Ihe deviCes se( farth in lrems !-I, inc(usive. Reference.� Henith nnd Safep� Code Section //5922 Authoriry: Heakh mid Safen� Code Section 18942(b) AB 3305, Smrutes 1996, C.925 GSEG,TION-3152B = ENCLOSOR� E R QUIRED-^ c6HARACTERISTICS— --� /�- ---- - - - " _�. 31526:1-An-encfosure shall have nll of rAe folla�ring charncreris- (ics: 1. Am� nccess gates thrnug6 the enclosure open awarfram the svimming pool mid are se(j-closing �ridr a se(f-latching device placed no /ower dian 60 inches I��?4 mntl abore the grourtd. Z. A mirtimum height of 60 inches (/J3�1 mm7. 3. A ma��imum i�erricnl clenrance from tlir ground m rhe 6atmm of the enclosure of? inclies (�1 nun). J. Gaps or roids. ij m�p, dn nor allow passage of a sphere eqim! m or greater rhmt J inches (!OZ uunJ in dinmetec �. An outside swfnce free of protnisrars, caviries or orher phe.sicnl charncreristics �hnt u�ou(d sen�e ns hnndholds or foat- holds dmt could ena5(e a chi(d be(aw dre nge nf Jire �•ears to climb nver Reference: Heald� und Snfen� Code Sectimi IIJ923 �lurhorinc Health nnd Snfety C�de Secrian 18942(b) AB i.305. Smtutes 1996. C.9_'S � SECT/ON 3153B — AGREEMENTS TO BUILD; NOTlCE OF PROV/S/ONS A�rv person etttering irtm nn ngreement m build a s�vimming pao[ shal( give the consumer notice af the requirerrrertts of this arride. Rrference: Henith nnd Snfen� Codr Secrion 1/�924 .4uth�rinc Henith and Snfen� Cade Secrion l39�12/b) AB 330.i, Smtutes /996. C.925 SECT/ON 3154B — EXEMPT FAClL1TIES 315J.1 B The requiremems of diis ariic(e slmll nat appk m am� of the following: 1. Pub(ic swimming pnaLc. , ?. Hnt tub.c nr spns �rith lucking snJen� corers dmt cnmp(y with tlie American Socien• for Te.rting �blaterinls—Emergenc}� Perfor- mmice Specificutio�� (AST:bI-£S 13-59). 3. Ain• pnu! �vithia the jurisdicrior� oJ nqc palitica( suhdii�ision rhnt aAopet mi ordinnnce fnr sn�inimi��e pao! snferv d�� indude.t requirernents th�t nre at fen.r� n.t srringent ns this dirisinn. J. An nparrment c'nniple.r nr mn� resideniial ce�ting ndier rlmn u sin,Gle fnmik liome. Reference: Nealth nitd Snfen� Codr Section 1l �925 A�uhorin�: Heal�h mid Snfen• Code Sec�ion l39d_'(h) AB 9.305. Smrures l996, C.925 i,00x�ssaem�owo: 3286 TURLOCK DR wmexsr+u�eiv�u�vn++:GFtAMS, CAROL ANN �ooxcss:3286 TURLOCK DR COSTA MESA,CA AVPL.IWING AOOPESS: �xcxrtecroneawrtn: x MCN OP ENQ'S MDPE55: uxr: FLOOD; AH-38 92626 uc xo.: uHr: cor�m�cTarsxu� NOCK PLUMBING ( 714 ) 895-1246 ca+m�cTarsxuuxa 11612 KNOTT ST �om�ssGARDEN GROVE CA uewo: 707775 92891 uMr: 17 110EN5ED COMflACTOFS DECLAPATION: I Mreby allmn uMm penetly d paejury NPo I em IkeneeE uiMar provisiona d Cheqer 9 (cwnmmonq wilh Seclion ]000) d Divreion � o/ ihe Bueimae enE Prdesaw Coda, vd my licenae e in hA lace enE eflM. cmuc.r+o.:050386 uc.cuss:C-36 uc.xo. �7� EXP; 02/98 o�e ,�S —5� �em,�a o 0 OWNEfl BIIILDEH OECLRNIITION: I hereby eifirm uMer penelly d perNrv �� em eumq hom tM Canirerion lironse law ta ihe 'dbwmB ��n (Sedion ]031.5 &ni�eas vd Pralecsims Code: Airy cLy a mumY �� Vuiree e permil to cambuct. ellx. enprwe. bmole�, w rapeir ury strui.lure, prior to As osuarwe, ebo reQuine ihe epd�� fa wc� pa�mn b file e apmd ewemeni thet he or ehe w iK,�e p,a�i io ina poa�. a ma com.aao� um�., �.. �Cheqa 9(canmeMiip vmh Sedion lOW) d Diveien 3 d the ' Buainme eM PrWmaions Code� or IM1et he ar ehe is examq �herehom eM iM Eesie la tM elbpeE ewemqion. My videtnn d Sedion )OJ1.5 by enY eDWiranl lor e permil cubptls IM eppliceM b e avd ponelry d �wl mare Ihen Me hundred dd4n �5500)1. � I.moxnerdlMpoperlYamY�WW��hwegeamlheiedecompan�elion.willAothawwk.eMNeeW�YureemliMeMed w oflered la eab (Sedion 10i0. Buvmv eM PMeesiona Code: Tha Comreqwa Licenae lawdaes mt epplyto en ownerd popeny .no wws « inw� �nereo�..�a wno eoas eucn ww�c Mm:n «nenw «uraan w«ner own empw�. ww�eea md .u�n impwemeMs ere nd inteMad a d1ereE Iw sele. tl, however. �he Wiltli�q a inqwemeM ie eold wilhin one Y� d compb�ion. Ne ownerbudder xill heve tM burAan d D�'i�q M w ehe d'd ria Wik u impmve I« the puryme d aeb�. ❑ I. av owner d IM wWaM. em e�dusiveN conveclM wi�n li�xnsad canVxton ro conehua in. V�lee (Seaion )o4a. Bwi�rova vM Fdeuiom Cotlo: The Cantredae Licenae Lew doea nd eppF� to en owrer d qopeM �o buikM or imqovm ihmaon enE who conlrecn la eutli pqeCe xdh e ooM�eda(e) IicenaM WnuaM lo IM1e Conlredwe Ucame law). � I em eaemp under Sectiom B. 8 P.C.. fa ihrs raeron: Dme: O�mer i eo ne�eW camv �nv i� e.are a a,e unaenw�e me �w��.��= a c�rom�e Heenn .nd s,rmv cm. sw�. zssas, usaa, ene zss�e. ene mm I«enr lulure wiWim �w�� will / wai iat (dreb au) neee ro can W w11m aid aste codee eM iha requiremema tor e paemn /wwuvuetionamoEifKalionhanlM�r�epament Diarie. Reaidentiel wm�utlion eppirmbmen uemqlmm Iheee wrn;aiw,s. Dem: Appl'reM: WOflKEF'S COYPENSATION OKLIPATION: I Mroby elfi�m wWar peruliy W peej�vy aw d tM idbvriip Aetleietiona: ❑ � neve a�a w meim.n. eenn�. a oonean� io.en;�reme m,..wken• eomro�+mron... a� e« M s«fon a�ao a in. �mn. COEe.I« tlr pMmrence W ihe wM lor xlich thu peimn u iaued. � I heve eM �1 meintah v.orken' mmpenution ineurence. d fpuired by Seqbn 3]00 d ihe Lebar Code. lur IM pa�amence of Iln wak lor which Ihn pemiA is iea�eE. My worMenGO�D EN EAGL E�i�y numbar ara: EX P I R E S c.� aaimy N�mn«: 0 9/ O 1/ 9 8 (This seaim need � be comd�� rM pem�t in M one M1unOied ddbra @'1001 w bx.) � I centy thet in ihe peAameze d tM wwk br whch thia pe�mii u eeuetl, I ahell ral empby erry pnean in vry mennar p n to becwre wbjw io IM v.oMre campeneetion kwa d CelJam' apree d I ehouk becoma wbjed to iM xvken' cpnpe�ue�ion P�sone �M,`Seaun ojlM Lebor Code. I I/Mh h comqy � h tlwe qavisioru. v Dete: �� L i I ApplceM: i W�mlrp: F�llun m��cun Moikni �o�.�wno� �ow..o. �, w�r.wwi, .�e,n.n,w�«� •� smomr.. ro eNmn.i owm...�e clvll 11rws up ro ons hunJroO tlwusW tlo/Yr� (S10q000A M eJdltlon ro M� cwf ol carrp�rwt/oR Wmepa u proHCW tor In SseHon 91f16 0l Me LeDor CorN. InNIs�S aM attomsys Isu. CONSTFUCTION LENdNG �GENCY: 1 hereby elfirm uMer penelry d perNry tlul iMre b e cvnn�uaian IeMinp epeMy /a the penamaMe a me won� �« wnia, me oemi� i. mwed (s«ain, sw�. ci.. cl. LENUEfl'S NMIE: LENOEH'S ADOPE55: I cerlify �Mt I Mve reM Nia eppfration erM bale Ihet Ma ebwe iNwmelion ia coned. I epiro lo camply Milh ell dry eM counry «direraar ud etaie lawe rNm'vp to builEiq consUueon ard harabY e��¢e repesentetivee W this dty io enier upon tM ebwa.men�ioneE qopMy �«��'°'��0��"'RON NOCK o�a: l � � d (5f51d6.WP) While-Buikiq d Se1My; OreerrFle; Cenery-Appifanl; Pink-Revenua; Gddenro�Aeseswr CITY OF COSTA MESA — HUILDING PERMIT �� D�D�� PERM NO: P 086464 PERMIT NO; P 086464 PLAN CAECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH TfiIS PERMIT ***�c**�***� �c*�t*�*�t*��+t****+t�t+�****+�*�t�t**��r*�**+��t+t� �t**x�*�t*******�****�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: 41210602 ZNE: REF NO: PLANNING NOTES> % � iE 1f iE i! 1E iE jf k 1k ik 1f jf �lF if iF if �lE if if 1E iF 1F if �f iE if if �f if iE ff iElt 1E 1f 1t if 1t iF 1k it iE iF ik 1E M iE 3E if iF 1! i! 1k 1E �E fE jf iE 1F k iE if iE �f iF iE iF iE iF i! 1f �1(� ik i! iE 3E �E 1E iE 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 �r ZONING APPROVED HY `� DATE: HUILDING APPROVED BY : APPLZCATZON ISSUED HY: � - �t �t �t �t+r �t �t �r �-�t �t �t it it+t �+� �+t �r �t �t�iF' LEGALIZATION:N F E E S U M M R Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 11.00 DATE: DATE: � �F�FiFlfiEiEjEil�tiF1F1E 1Elt STRUCTURAL SEGMENT:N FIRE. SMIP/RES GRApING 25t `_ � SMIP/NON—RES PLAN , ZSSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLF1N—CHECK TOTAL PAID DUE TOTALS----> 11.00 22.00 ��. 0.00 33.00 33,00 .00 REVENUE DIVISION TOTALS--> COLL�ECTED: 33,00 OVER/SHORT: Op BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 ,-' iE ik if !t!F 1E 1E fE fElE iE if 1E ff �F k�E if iE ik if jE iE ik iE if 1E 1F jF ik ib iE iF iF if iF if !f �Flf itlt 1E 1k �E �k iE 1f!! iE �f �1EiE 1E jk iE iElE j! 1E �)E iE iE 1F iF iE ik ik if aElf �)E IE iE fE if �* jF I N D I �� 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 CpST PLU 1 WATER HEATEA ANU/OR VENT 11.00 11,00 END OF FEES J 81-15-1998/89:53 Ntl/f3�,8g RCPTN:01-881d172 _ � �_�_.DF.GMT_T_�.1��<.w.__" . " CONS7RUCTION AND PLANNING- �U� & SPA � APPROVALS Permit #. � Date � Inspector APPROVALS Permit.# Date Inspector 1. Temporary Electrical Service.or Pole - _ 52. Pool & Equipme�t Location r _ 2. Soil Pipe-Undrgrnd:� � �, _ . 53. Steel Reinforcement � . . � 3. �Electrical Conduit:;Utility-Undrgrnd. 54. Forms � � � '! 4. Electrical Conduit•Undr9md. �55. Electrical Bonding .5t Steel Reinforcement �.� 56. Rough Plum6ing & Pressuie Test � 6.� Electrica� UFER Grnd. - 57. APPROVAL TO COVER�GUNITE -� 7.� Footings , - � 58. Electrical Conduix�Undrgmd. � St Foundation � � � 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe�Undrgmd. �, . �• - 60. Backwash �ines,�P-Trap�� Undrgmd. 10. Structurai Floor.Svstem _� . �, � 67. APPROVALTO4DECK�'`� 17. -Property Sewer Line'`& House Connection � 62. Backwash & ReceptorF.inal� _ - 72. Sewer CaP = � � 63. Heater & Vent-Final � �•13. Roof Qrains � , 64. Plumbing System • Final � - "14. Rough Plumbing _ ' � 65. Electrical-Final �15. Rough Electripl-Conduit �� 66. Soiar System-Final � -76. Rougb Electric Wirmg; -, �.. - 67. Fencing.& AccesszApproval �, 17. Ro�gN Wiring Sign _ i 68. APPROVED FOR P�ASTERING 18. Rough Electrica�-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. RougN Heating & Qir Conditioning - n Z•. -- � F1RE'DEPT:AEQUIREMENT � ^.1.� .) .*I >� 20."Rough Facto `ry FiFeplace ' = r ' �": ;'. r ~ APPROV_AJ5'� Permit # " ''� ' 21._Ducu, in Structure � _ i� -� •* 70.` Underground Hydro � 22. Ducts, Ventilating•' .- . "', �- 71. produccPiping,O;Gas j=70i1 � 23. Gas PiPe_Rough & T.est - �v - .� � _ �� 7Q, Underground Flush + . � 24. Roof Framing �i- ` 7 '; '•'� 7,3. Undergrnd.StorageTank OGas ❑Oil 25. -Roof�Sheathing „�, �� a -� ` � -- 74. Overhead Hydro-� - 26.'T-Bar Ceifing (Stru'cturall &_Mo'nocoat � '� �" � � 75. Dry Che'mical -" � �. �_ 27. Frartie and Fiashin � -`� ' J� ' '': -� " - � '� . 9, �•-q, . +: �-, •. 76. Dry $tandpipe • . �o _ � 28. Lathing&Siding-�� _ - �' i, ' ' 77. FIXED'SYSTEM.FINAL" � � '� 29. Insulation - j � �� * -�- . 7B, FIRE.FREV. FINAL ? - � 30. DrywallNailing �= - '" � �� -; '?'�HEALTHDEPT._REQUIR�EMENT � 37. Plaster6rown�Coai:t' .,'_ : , , ' 79. FINAL�I(V_SPECT.�ION . _, . 32. Electrical Power MeterFi�a� , 80. POOD CERTIF�CATE ISSUED � ; 33.-Finai�.Electric. - `� '� - ' ;' � � C --� . `� ; Notes: J .i Jl- �%�� ZL � 1- . - . '�.= �; 34. Fina( Heating & AinConditioning � -y a : : .. ;_.,,y^, • - • u 35. Final Gas Pipe-Test' . " ; �' - ', - ' ; . ' V ` J ' =; 36. Hood or CanoPY a . �� :co �i r s c 37. Finai'Fattory Fireplace �' . „ ., -: : �� , � � � �.; ' 38. FinehPlumbing �.'* :*1 v '� �-� - � �. � 39. Water Service-Final' �- ' � � � % ,,: ' 40. Gas Service-Final � . . , , � ' } i:: . ". ,,, ; .y� ' 41. Solar pomestic-Finai ~ `�� - , `*� � � -- ' " • '� -� � i, . 42. Backfiow Preventer; �� - _ - .� -, -�-� : ` .. .. 43. Backflow irrigation�. _ y=� _ ;:.. J ' -, - . -, • . � �, , . , ;44. Landscape Irrigation System-, �:'� ,? x :t . ' ._ y_ .,•.'- fi ; _ r ^ � r� 45. Sound Attenuatiod" : .. i� ^ � -r "• , ` � . _ � I:46. HandicaP Regulations .. . w f; , , { - ,; _ .�,,,... . , -47._FINALSTRUCTURE&BUILDING � - �,,r"'� ,� ` • � ' 48. PINAL PLANNINGr � +-/� �, . � • 49. Electric Release to Edison ' �r � . . '� _ � . � ..: � . . •50.'Gas•Reiease to Southem California GasCo � t-^ �� . i_, . � - � 51. CER7IFICATE OF OCCUPANCY 0 � � �... Date � � � i (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3286 TURLOCK DR Suite: Viciniry: Parcel Number: 41210602 Applicant: MC CLAIN, KIM Address: Zoning: R1 R1 ISSUED BY: „ � .-. Phone. 714-897-1780 � _ . i . �� . � � Zip: , ' � � � � �, '�l%�- ' _ _ . '/ � � owner. FERGOSON; JAY�AND`SHEILH . / � � � ` /' �.A Address /3286 TURLOCK DR � � - - - - , � , i .�. /.,e� j�� =�'. .. _ Phone: - �^ ; _ . �U V-ti � ,'COSTA MESA, CA, - , �� - . Zip: 92626 � � � " � �;= � ,, ' -.. i . .;.',< �' �.�.;`. i/ / � .�� :� i � - " �� \ `._ �� Coniractor: �-MCCLP,IN ROOFING INC � �� ` \;'.� . �' �„-,' /Address: 128�2 VALLEY VIEW ST � � � ' �'� ��. ',A. ,, - , � � �. , ' . ' �.y j,- Phone:F�(714)897-1780 �� ,, , �,�,'. � " GARDEN GROVE CA - � - . '�� ` ' � „ ' , Zip: � 92845" � License:% 825013 ' _.�"� �-'��'� � V��A � � o � -- . � � `� � , . Arch : ' . ' ^ � Eng: . � �'\ \ � j�'�" . ' �� ,, � Address: � ,' , ; >, � Ad,dress:- ,� -�` � � ', - .. �� - " ��, � � - , . . Phone: . - � - . � � - �� . Phone: — � , \ - f ' ' _ _ '�r� , A . „��. ` 1 �`' . i ,� � �� / � - . . -, -Zip: � -� �� - ��License: � � License: s_ . '-. � `� � � , � SCOPE OF PERMIT - _ � _. . � �� ,„� �' � �- TEAR OFF EXISTING SHAKE ROOF AND INSTALLSHEATHING AND COVER WITH 30�YEAR�COMP. � ' ; _ �� \J. � � . ._ __ ...__..�1 J: ._._.. � \ �. � FEE SUMMARY '„f �; `'. �, Plan Check: • $0.00 , ,�, �' �^ Calc Valuation ' �' , �$s;00000� Permit: �$125.25 -- ---= � �- �' � ClaimValuation � $6,000.00 , SMIP Res:, � $0.60 . � . - — � �` . � ' � �" �. ;SMIP Com: � $0.00 � i,' t � � �. � Other: "� $0.00 ` � � , i � �, ��; ' , Inspection:'� �,��,$0.00 � �', I ' - ' � � � �,�i � � �, '� �.,= ,. � Total: $125.85 "` � %% %,✓, V� _ . `�'_ � � � / �- � z � � _ - . , . . � � �: n; _ ., � . _ � Status: ISSUED Applied: 12/18/2002 Issued: 12/18/2002 `,�- - `; �� .. � � - PLANNING & ZONING � , � � , ` % SETBACKSV � j , ; � � � .. : � . ' -�i/'� ::':,!`� / � , , MAIN STRUCTURE� Fron[ ,0- 0� �, Rear � 0- 0 � Left �, 0-'0 "�Right� ;�0- 0�� i j � �� "�� --- �'' . , . . . . _ .1� �> ��; i ��i. � � �: ACCESSORY _Front-, 0- 0� ".� . Rear 0- 0 �eft 0- 0 Right ,�� 0- 0,' '/ � �� , . . . .� . �� PARKING Existing:'-, 0_. �Re uired: , 0 ' Praposed: 0` �' �" :� %� , �., � . � NOTES: �'��, _ , ��' j �/• NOTICE: The work authorized by this permit shall comply wilh all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned lor a period of 180 days. � � NSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all equired Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 'OR INSPECTIONS CALL: (714) 7545626 a6-ae (voo) WORKERS'COMPENSAnON DECLARAnON: � I hereby attirm under penelty o� parjury one oi ihe following declarations: ❑ I heve and will maintain a cenifiwte of consent to self-Insure for workers' compensetion, es provided tor by section 3700 of the Labor Code, tor the pertortnance ot ihe work for which this pertnit is issued. ave antl will maintain Workers' compensatlon insurance, es requiretl 6y section 3700 of the Labor Code, tor ��e peAormance of t�e work for which this pennit is iuue0. My workers' compensation Insurance cerrier antl policy num6er are: � Cerrier. Policy Numoer. (This section need not be comp�efed ll (he permit Is valuetl et one hundred dollers ($100) or less.) ❑ I certity that in the pertoR�anca oi the work for which this permit is issued, I shall not employ any person in eny menner so es to become subject lo the workers' wmpensatlon laws ol Califomia, anC agree that tl I shoultl become subject to Ihe workers' compensation provisions of Sectlon 3777��111000 ot th9/L¢bor Cotle, I shall forthwilh Comply with these p)�owh47� � I/� ) � j � Ap0licanlSipneture: �"//�� Date: I/�E I j� WARNING: FAILURE TO $ECURE H'ORKEPS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TFIOUSAND OOLURE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVI�ED FOR IN SECiION 310fi OF THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy aHirtn that I am licensed untler provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business end Prolessions Code, antl my license is in full force end eRact. Lic. q Conireciols SignaWre: _ _ _ _ _ _ Class A Date: _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a conswction lending agency for the peAormance of ihe work tor which Ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lenders Address: SlgnaNre: OWNER•BUILDER DECLARAnONS: Date: I �ereby flNirm Ihei untler pendlry ot perjury ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business anC Professians Code: Any ciry or counry whicP requires a permit to consiruct, alter, improve, demolish, or repair any siructure, prior m its Issuance, also requires the epplicent for such pertnit to tile e signed stetemem that he or she is Ilcense0 pursuant to Ihe provisions ot ihe Comracrore LJcense Lew (Chapter 9(commenGng with Sectlon 7000) of Divisian 3 ot the Business antl Protessions Gode) or that he or s�e is exempt therefrom end the basis for the alleged exemption, Any violation ol Sectlon 7037.5 by eny appllcant for e permit sub�ects the eppliwnt to e civil penalry ot not more than five hundretl tlollars ($500).): ❑ 1, as owner of t�e propeRy, or my employees with wages as their sole compensation, WILL DO THE WORK, and the s�rucNre is not intended or oflered tor sale (Sec. 7044, Business antl Professions Code: The Coniractors License Lew tices not apply to an owner of properry who builtls or improves ihereon, end who does such work himselt or herself or Ihrough his or �er own employees, providetl that such improvements ere not intendetl or oNered for sele. If, however, t�e building or improvement Is sold within one year of completion, ihe owner-builtler will have the burtlen of proving that he or she ditl not Guild or improve for purpose of sale.). � � I, as owner Of lhe propeRy. em E%CLUSIVELV CONTRACTINC WITH LICENSED CONTRACTORS to canstrutt the pro�eCt (SeC. 704G, Busines5 e�d Professions Catle: The contractors L�aense Law does nol apph/ b an owner oi property wtw bulWs or improves ihereon, afW who contracts tor such project with a coniractor(s) license pursuant to ihe Gontrectors License Lews.). ❑ I am exempt under sec. Business and Pmtessions Cotle tor this reason: SignaNre: Da�e: Owner ID veritied by drivefs licensa. ❑ Yes ❑ No Dnvers Licensa No. Verilicatlon ot Ownership by (type af tlocument, I.e. - properry tax blll or deed): DIVISION OF INDUSTRIAL SNFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certify �hat no e%�evation tive (5) or more feet in depih in�o which e person is required to descend, will be meda in connectlon with work authorized by t�is parmit, end that no building structure, scattolding, lelsework, or demolition or dismantling �hereof, will be more Ihan thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 347, Ttle B, Celitomia Administretive Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit irom the Division of Industnel Sefery, as noted above, unles5 such pereon �es e pertnii �o do such work tlom ihe division. Signature: Dete: Division of Industrial Safery Pe�mit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalry of perjury that I have reatl this applicetion and state ihat the information given is correct. I agree to comply witP all state laws entl ciry ortlinances relating ro builtling consWctlon, and authorize representetives of ihe Ciry of Costa MeSa to enter upon the ebove-descnbed properry for inspection purposes. I agree not to occupy or allow occupancy of any builtling autho�zed by this pertnit until final inspection. �_ S��atpr LegalOwner(s) � � � � ter,�, �Yh 7rr<' lJ ( pntl/Or Authonzed Applicant � D a�_ COUE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 PoolSpe Final 200 Final Re-Roo1 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition 0\I 1'uWdF � �� ' l�1�7 � ✓ LOOE 1 INSPECTION TYGE 206 Finel Mecnanical 208 Finel Plum6inq 210 Final Electncal 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy P�Ii It�ELS ,= - � 3�2�y . • — „_ 9 Z . d U z z¢ ON am J � J N ¢w p] J • O] J Q U N Z a W ¢ aw WZ �p m:Z J � ww � ZH W � � � F Z Q U J a a Q Q � � z O F- U � � r N Z �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . For Applicant to Fill in Completely BUILDING ,3�86 ,y�(f�LO�N� O�� aooRess � OWNER Heltzer Enterprises-Costa Mesa ADORESS 740 No. La Brea Ave. TEL. cirv Los Angeles No. 937-21 LENOEF Unit@d CaliTornia t5anl BRANCH Main Office nooaess600 So. Spring St. Los Ai ARCHITECT TEL. ()R FNf.INFFR David Freedman N(l CONTRACTOR UeoYRe J. Aeltzer ADDRE55 740 N. La-Brea Ave. � cirv Los Angeles No�Q.y��, STATE CITV uc. No. 3144 LIQ NO. ]O� SIZE ' NO.OF BLOGS. OF l0T I NOW ON LOT USE OF EXISTING BLDG. SIZE OF . NO. OF ' NEW BLDG. FOOMS � STORIE; EXTERIOR WALL plaster A�OF COVERING COVERING USE OF BUILDING AND WOFK TO BE PEFFORMED Single Residence Plan �k407E �/f'r'-�-�I,- �r. �l �uc 3O'7ZPA70QOZO3HR *�*173.45 � � 5, APPLICATION FOR BUILDING PERMIT RECEIV6D BV; DATE RECEIVED nnrv icci u A.P. NO. '��' � I . __._�J.JL.�I ADDRE 5 ��b 1 �/ �'� �%� N �\ . TRACT 6245 LOT �F BLOCK FIRE 1S ZONI R VEO VAIUE % ZONE NO.OF USE OF NEW S(/�J Fiiilt'� ✓�'� R�� PLANS � BUILDING �} � CA' GC VARDSAPPROVED VARDSAPPROVED MAIN BUILDING : ACCESSORV BUILDING (FROMC/LSTREET) _ VAR. # I hereby acknowledge thax I have reatl this aDPlication and state ./ c� that the above intormaiion is mrrect antl aB�ee io comply with T�� all laws regulating building construction, antl I shall not employ T� any person in violation ot the workman's compensation laws of Me State of California. f I heraby certify that I am Oroperly licensed as a contractor untler � �n• FT.�2 the State of Calitornia �usiness and Protessions Coda, Divisicn 3, THE AMOUNT SH( Chapter 9, antl that such licenses are in tull force antl etfect, or I THE PURPOSE OF E am exempt from ihe $rovisions ot the State ot Celifornie B�sinezz VALUATION entl Professions CotlG(,L}7vision 3, Chepter 9. . Signature of / T� ' � Permlttee f" � $�SD-'�-rf �� Authorizetl Agent FT. � BET. MAIN-& ACCESS. BLOGS. DATE APPROVED 1 /%/� �— S ��:AL F.�`iiZ_ZE�ir.•.�-rr, m � �/ �Q O J UNDER VALU TION IS FOR � .BLISHING A PERMIT FEE ONLV: m ¢ � m ERMIT FEE $ � � 7 � m LAN CHECK $ S E � LL OTALFEE $� � OWNER JOB AD GENER, AP No. Gn5 W ATER ROU6H PLUMBI PROP. SWR. LI SPRINKLING 5` UNDERGROUND ROUGH WIRING HELTZER ENTERPRISES HOUSE CON. AIR CONOITIONING OP POLE POWER I-I BONO BEAM n STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTORAL, FINAL HEATING, VENT., REFRIG. AN� A.C., I PLUMBING, FINAL /NO GAS TEST n ELECTRIC, FINAL BUILOING, FINAL_ T DATE 8-28-72 BUILDING PERMIT N0. RIPTION of WORK es, w a� . gar. ZONE VALUE$ � �UP TYPE ZONE SUBCONTRACTOR PERMITS ISSUED l• r-'' , " � 'dAR 17-7�PA�`00 584 0'*-*-�1121.00 [+'� � COSTA MESA BUILDI� G-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applica�t fo Fill in Completely RECEIVED BV DATE RECEIVED DATE ISSU BUILDING ,/ ADDRESS L. � / _ 7 E —��`_ OWNER �' 1� „[ Q 2 A.P. NO. Z— n/. _ F� �J '{ Ci I�NO MAIL '/� BUILDING Z . ADDRESS 0 �L�p JG V ADDRESS Z ( � U TE�' TRACT Z CITV p_ � NO. — � Z Q CONSTRUCiION W ADD A ON LENDER d m J � BRANCH JN OWNER C�Q m J AODRESS J m ARCHITECT _ TEL. S D %G`�� a OR ENGINEER P1 U Q FIRE W 2 ADDRESS ZONE a w n APPROVED JO CONTRACTOR L� �(%,\. eV m Z J � ADDflESS 4 BLOCK 0 w w TEL. Z�NE NO.OF USE OF NE Z= CITY ry0. P�� Z BUILOING F w� STATE CITY �'AROSAPPROVED VAROSAPPROVED y� LI0. NO. LIC. NO. MAIN BUILDING ACCESSORV BIIILoII �O (FflOMGLS RI SIZE � � NO.OF BLDGS. OF LOT �(' ��G 0 0� 5� I NOW ON LOT RONT I VSE OF �O /� � EXISTING BLDG. H SI2E OF NO.OF Z NEWBLDG. Z ROOMS STORIES L.SIDE 1 U EXTERIOR WAL :�OOF COVERING tiCCG COVERING �HO REAR F J USE OF BUILDING AND WOfiK TO BE PERFORMED DISTANCE BET. a MAIN BLDC>S. a Q � _ VAR. # y � O / . Q l.l C.U.P. �T�L' r APPROVEDf_ 1 y ��J � Z O UI hereby acknowletlge thei � have reatl ffiis applicetion antl state � that ihe ebove intormatio� is corract antl agree to comply with � all laws reguleting builtlinB �o^struction, antl I shall not employ F„ any person in violation ot the workman's compensatiOn laws of y tha State of Celifornia. ^ ? I hereby cartify that � am P�operly licansed as a contracior untlar �J S tha State of Celifornia Business antl Profeuions Cotle, Divisicn 3, THE AMOU ' Cnepter 9, and that such licenses are in tull force anA effect, or I THE PURP06E am exempt from the provisions of the State of Californie Business VA W ATION antl Professlons Cotle, DiviS�on 3, Chapte� 9. $ignat�ra of �c,,�� R-6 �'a.l,� e��c . 7Sya o 0 Permittee $ niJ n �_ DATE III/ m V— b 0 IN UNDER LUATION IS FOR ' ABLISHIN PERMIT FEE ONLY: Q m PERMIT FEE $ 1 � � ] m PLAN CHECK $ � E / \ O � ��A� LL TOTAL FEE $ OWNER nunisac� JOB ADDRESS 32� `� J GENERAL CON�TR'ACa�7 AP No. �7-' - �� INSPECTIONS ��soi� GAS WATER ROUGH PLUMBING PFOP. SWR. LINE � HOII< SPFINKLING SYSTEM MISCELLANEOUS ROUGM MEATING AN� AIR C UNDERG1i0UN� U POWEq U ROUGH WIRING TRENCXES L,fZ' FORMS STEEL REINF. FLOOR SVSTEM � BOND BEAM ❑ STEE4 qEINFORCE ❑ SHEATHING FRAME AND FLASMING � LATHING - IN ❑ OUT n PLNSTER. BROWN COPT BUILDING ZONE VALUE PE V GROUF SUBCONTRACTOR IT N0. HEATING, VENT., REFRIG, ANO A.C., FINAL I/�jf�/7LPy , 3•I -7,y `-}QQ3 D PLUMBING, FINAL PNO Gq5 TEST j� � � r \! / �, i . •� JO I I O r � FF'F:li Si:� �c'�'ecir % S , aa.,, � ��;:5�00 �;s_ 2"..5. COSTA MESA BUILDING-SAFETY DEPARTMENT � P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC IV D BV DATE RECEIVE p/�A(TE ISSLUED ADIDflESS �L�Ei L4FZOC� Ji�: � �'/� � �/�/L/ � PE�1 OWNER ReMP.�KO�BT � " A.P. NO. ,2 — E+ 'D�% �/ • MA I L *� BUILDING Z . ADDRESS �" LH6 �lual�� i Wl :�DDFESS 3a s' �7' � J� a U CITV COSfii LV1QS '" NO�. � 8, TFACT LOT BLOCK H Z Z Q CONSiflUCTION W ADD A P O � IENDEFl ' "' am J � BRANGH ' ' J N OWNER �{J m J ADDRESS u.� � . J m ARCHITECT TEL. U�t'iCB iWmpus a OH EN �NEER uwner N UN FIRE- '• ' W� ADDRESS ' ZONE TVPE , GROUP — aw W Z O�e�. � . / APPflOVED J O CONTP/aCTOfl T/ BV DATE m Z J p� ADDRESS " W W ZONE NO.OF USE OF NE Z= CITV NOL P�� z BUILDING � H W � STATE CITV `�ARDS APPROVED VARDS AFPROVED j Q LIC. NO. �" a a� o• 2�' LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE y ��y NO.OFBLIX'aS. (fROMGLSTREET�q)� , . OF LOT �A=cci�y u� NOW ON LOT l. RONT �Tc. � FT. EXISTINGBLDG. ISOQLP. S � CN' � FT f' SIZE OF - NO. OF Z NEWBL�. ROOMS STORIES L.SIDE FT. � FT. U EXTERIDRWALlB+..C� COV�ERING 7O�.V�H�IDO � REAR FT. PL FT. COVER�NG �� J USE OF BUILDING AND WORK TO BE PERFORMED, DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCESS. BLDGS. 0 a ) OYI;�.C2 tiTld r(�Impua C URP � ZF -—_D 6 �ROVED /�9lJ,�°CH� — y APPROVED � ^ P'A' _ _ , L/ Z 0 VI herebV acknowletlBe that I �ava reetl this application antl state STATE � that th8 ebove information is correct antl agree to comply wiih � all laws re9ulaiing builtling conrtruction, end I shall not employ � + F any parson in violaiion of Ma workman's compensetion laws of y tha StaTe of Californta. /� m ( � Z I hereby certify that I am properly Iicensetl as a contractor under SQ. FT. T��:,�' O the State of Californla Business antl Professions Code, Divisicn 3, TME AMOUNT SHO�^1N UNDEF VALUATIbrv IS FOR � Cheptar 9, antl ahat auch licenses ere in full force anC effecc, or 1 THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: ¢ am ezamPt from Me provisions of the Siate of California Business �A�VATION antl Profeszions Cotle, Division 3, Chapter 9. � i/ ' O N PERMR FEE $ y � Sipnature ot � � �f �� ///�� '/� � � � m Permittme I�MJ.� ! l � $ /�/�Q] "�' P�p,N CHECK $ i E /�J"/(J , `o Authorizatl Agent • ' LL ' TOTAL FEE C�� . OO %