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Home My WebLink About1993 Tustin Ave - Building Permits • w CITY OF COSTA MESA . , BUILDING DIVISION • :5' . 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us • v ��. PO • WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive ,me. /❑ Expres:—O / -U 1 o I have and will maintain a certificate of consent to self-Insure for workers' Verificationol Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the • performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by DIVISION•OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work lot which this permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seddlneed not be completed A the perm%is valued at one hundred dollars($100)or less.) 2,Aril Sec.341,Title 8,Califomia Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would 'I;certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor ode,I shall hwith comply with these provisions. 7/5/a.-) Division of Industrial Safety Permit Number: Ap..- — 's Signature__ D e . =� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish- or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). 0_--.Las owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No, thereon,and who does such work himself or herself or through his or her own 8. (If"yes-,attach certiftcate•of compliance.from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). - - completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify,thet under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ' ' - ❑ I, as owner of the.property, am EXCLUSIVELY CONTRACTING WITH , , I LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of Signature _ . Date. • property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that I the information given is correct. I agree to comply with all state laws and city 0 I am exempt under sec. ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by t1's p-rmit u it final inspection. / Da/Sj/U7 . 9� 7 �� / . s. (fj.,Legal Owner(s)'. -_ s Dxk _- I�.gnature — — . �C6ate'' ]OS]-661310 • / And/or Authorized Appiicant Date 4414114... `, • F . CITY OF COSTA MESA BUILDING DIVISION 4-. ,-,t.-1, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER I. t w.�ia ' I.4. PERMIT E01-00298 %%promo 0' (714)754-5273 • Fax(714)754-4856 • wnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL_PERMIT Job Address: 1993 TUSTIN AV Status: ISSUED Suite No Applied: 04/18/2001 Vicinity: Issued: 04/18/2001 Parcel Nunmber: 42630410 Applicant: BAKHTIARI, NICOLE M ISSUED BY: Address: 1993 TUSTIN AVE Phone: 949-722-6116 COSTA MESA,CA Zip: 92627 Owner: BAKHTIARI, JEFFREY K& NICOLE M Address 1993 TUSTIN AVE Phone: .�1 COSTA MESA,CA Zip: 92627 `Y) , 403S, • Contractor: OWNER-BUILDER t4 a Address: 9/6fr Phone: Zip: License: 0 SCOPE OF PERMIT CHANGE OF MAIN BREAKER BOX&.BREAKER FOR AN EXISTING SFR. 1 SERVICE TO 200A FEE SUMMARY Quantity Quantity ' ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft - $0.00 0 Res.a/c package $0.00 Standing Section- $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 , 0 ' Recept Outlets $0.00 .0 up to 100 kva/kw $0.00 " 0 Switches $0.00 ' . 0 over 100 kva/kw ' $0.00 0 Non Res Appl , $0.00 , . 0 . Low Voltage Equipment $0.00 0 , Res Appl $0.00 - ;0 Low Volt Wiring System/Ckt $0.0o 1 0 , - Service to 200a $30.50 - 1- ' Misc.Conduit - $0.00 ' 0 - Service to 1000a $0.00 0 Misc.Conductor • ' $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 ' 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 . 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $54.00 Intermed Pole $0.00 0 COMMENTS/ SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS ; P.-- 1 ( j WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed II the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that It I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: 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 DOLLARE(6100.000).1N ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm 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 force and effect.Lic.It Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ILK I,as owner ofnthe property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and,Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one-year"of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law,does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors-License Laws.). ❑ I am ex��e��J^,,fPP��^tt under sec. Business and Professions Code for this reason: Signature: "lVJ%A C '/ 4`r.-. Date: �j/F/6 Owner ID verif by drivers license. 0 Yes 0 No Drivers License No. ,4xpires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person hes a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions.requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 85850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final insp ction. , Sign re O(Legal Owner(s) ��` ` /Date And/Or Authorized Applicant Date CODE f INSPECTION TYPE DAIS INDRALS BODE r INSPECTION TYPE PAIS 20gBalS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ,• Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA , _ ' pERptl L1¢// TRACT NO. ' LOT NO. BLDG.NO. • 7302 I';/14/ - 7e ' T CONSTRUCTION PERMIT Job #8391 ' ///✓// Y Applicant's Mailing Address- TYPE OF CONSTRUCTION '. Li NEW Li ADD U ALTERATION U REPAIR' ' \,� Project Address 1••3 T is tin . S- .- • e - • 0 CONVERSION 0 DEMOLISH 9 OTHER - J� ' Owner's Name - Mr. & Mrs. The Martin phone548-0427. DESCiO�FWORK �Ff/14C6M 1ciNI plc • l jHj ZONING REGULATIONS 4,4 Address 1993 Tustin ER Costa Mesa. CA 97677 TYPE OF PERMIT UGRADING UFOVNDATION U STRUCTURAL ' A.P.Si- - - ZONE j Arch/Eng.' License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING I MECHANICAL •PLNG. REF. BUILDING . �, - Address '❑ OTHER TO BUILDING 5.ETRnrK rn ST - ContractorsNameGraham Rrot• hars Heat/A66one 546-1653 - PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE REAR YARD(TO P/L) - 6.0 ' Address(mailing) 7952' Century Pl are Costa Mesa 92626 CON ST RUCTION TYPE VALUATIONS' LEFT SIDE YARD RIGHT SIDE YARD • ' License No. 7_48604 Class C-70 & C-44 ZONE U GRADING C .YDS. • • AO /ACRES PKG.SPACE'RE . • PROVIDED • LICENSED CONTRACTOR DECLARATION Remarks: , STREET WIDTH PARK FEE$ I hereby:affirm that I.am licensed under provisions of'Charter 9(Commencing _ , a4ith section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: �%IIt license Is in full force and effect. • • f cense Class• r- a - Lice se o. i '. PLUMBING Date• - S Signaturj/ Ate . WORKERS'COMPENSATION DEL t:ARATION Bar Sink Sewer Cap ELECTRICAL — -Lherebyaffirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Sewer Connection • Automatic Washer , Meter [Dover 100 amps ' _, • • of Workers' Compensation Insurance, or a certified'copy thereof (Section ' •3800, Lab. C.�^ 1 Backflow Irrigation Solar_Collectors- • 5 Construction Pole Sub Panel i Policy No. llJ�..IP-1/45343 Company C - - Cooking Unit , Sub Pole ' (Certified copy Is hereby furnished. \ Bathtubs Solar Piping Certified ppy lied with the cltvs-8�uil ivi�. ) Dishwasher Motors ❑0-1 HP 01X-8 Date /0--/ -5 Applicet 'C. "'-'-'ti/// Clarifiers ' - Solar Tank • 1 EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION ' Dishwasher SwimmingPool w/SpaDryers ❑Gas ❑Electric - Inc.Solar ❑9-15 HP 016-15+ ' (This section need not be completed If the permit is for one hundred ($100)or . -_ less) DrinkingFountains Fan 1 ,Microwave I certify that In the performance of the work for which this permit is Issued I Urinal • i . shall-not employ any person In any manner so as to become subject to the - ",i F.A.U. Pole Light ' Workers' Compensation,Laws of California. ' Floor Drains Water Closet I , i Date Signature - - - Fixtures • NOTICE:If,after making this declaration,-you should-become subject-to the •:• Floor Sinks ' • - -: - - - Water Heater - --• - __ - - - ,/ - Range- - • �_ _ Workers'. Compensation provisions of the Labor Code, you must forthwith ' - ' • comply with Such provisions .or this permit I shall be deemed revoked. •. , Gas Service- ' ,Outlets Water Service - Device Boxes Sign CONSTRUCTION LENDING AGENCY - - Outlets i I hereby affirm that there Is a'Conebuetion lending agency for the performance interceptors - Standing Sections of the ,work for which.tins permit Is issued (Section 3007 Civ. CJ - - ,Trash Com Landers Name _ Kitchen Sink . - • -• - i - Switches - pactor Lender's Address' ' - ' - • - OWNER BUILDER DECLARATION - -• - - Lavatories • - - , l' ' r t Garbage Disposal r - I hereby affirm that I am exempt from the Contractor's License Law for the - - - - Generator ❑0.5 KW ❑5-15 KW • following reason (Section 7031:5 Business and Professional Code:Any city or P-Trap , - "county which requires a permit to construct,alter Improve;demolish'or-repair - _ - Transformer ❑15.50 KW •• • any structure, prior to its Issuance,also requires the applicant for such permit - Roof Drains - '• •- I ' ,..-Ale a signed statement that he/she is licensed pursuant to the provisions of ❑50+KW ' *nil:,Contractor's License Law(Chapter 9(commencing.with Section 7000)of • - - - ' 'Reinspection Fee $15 : Division 3 of the Business and Professions Code) or that he/she is'exempt Showers ' 41 - - Reinspection.Fee $15 - ' therefrom and the basis for the alleged exemption. Any violation of Section - Meter ❑up to 100 amps Issue Fee' ' $ 3 7031.5 by any aDpIicant fora permit-subjects-the applicant to a:civil ' nay ofnotmore than fivedollars($500). - , : , ' pelthundred - ' Service Sink - ' IFee $ 3 ' - Zoning Approved By • Date �� . Issue • • I, as owner of the property or my employees with wages as their sole compensation will do the work,and the structure is not intended or offered MECHANICAL Application Approved By nate ' • for sale (Section 7044, Business and Professional.Code: The Contractor's - `� p License Law does not apply to an owner of a property who builds or Improves Boiler - - • Refrigeration System L///I /� /0 '/T-p thereon, and who does such work himself/herself or through his or her own Application Issued By �' 7`r 7 Date employees, provided that such improvements are'Inot intended or offered for Duct-Under Ground' ❑0.100,000 BTU ❑100,000 BTU - sale. If, however, the building or improvement Is sold within one year of com- _ , j SUMMARY OFFEES pletion,the owner iwlll have the burden of proving he/she did not build or im- ' - , . move for the purpose of salep. D • uct-Structural System Repair/Alteration 'BUILDING PERMIT $, SMIP + $ ' U I,as owner of the property,am exclusively contracting with licensed con- _tractors to.construct the project (Section 7044,Business and Professions Code: . Duct:.Ventilating. --i . . _. ._ I _ PLAN CHECK $' PERMIT ' The Contractor's License Law does not apply to an owner of property who t - - - • ' . bullas or improves thereon, and who contracts for such projects with acon- Exhaust System 0 Multiple 0 i - PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law).• I IPLAN CHECK ! $' - . GRADING • i $ . 0 I-am exempt under Section, 1 B.&P.C.SOT this reason • Fiiepl(Faci.BIt.ICBG+ - l $ Date - owner - • ' i - ' I Heating System&Ducting ; - f i 4( / ELECTRICAL $� -1 hereby. certify-that-l+have•read this•application-and state that the above -:"-/ -,�0100,0001BTU ❑100,000BTU'- - --- --- --r Y PLAN CHECK $ MICROFILM $ , -'information is correct. I agree to comply with all city and county ordinances • I' 1 �l c0 ; TOTAL,FEE• $ ' f and state laws-relating,to building construction,and hereby authorize repre- • •MECHANICAL $'. /• ' j I j sentative;-6f'this ,y>o enter__ •on the above-mention-d property for • . Hood or Type I 0 i Reinspection Fee $15 $ LESS j • Inspects n purpos- - • Canopy Type I I 0' 1 I PLAN CHECK: ' Signet iii -- _ . Oat e- Z-% \ / I i •I I ADVANCED PC $ Driers' Lfcen'se or SS#- • � • i •• Registers , Issue Fee $ 3 y . j /\ ' • FINAL FEE•_ , $ I CMF 0865-46 rev.12/82 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor n `r.dONSTHUCTION:AND3PLANN ! r- ,o•• r. - ___• t, _POtTL&SPA ,- :. ; -" -`- _ --_ __ r - • A� Day, 'I -' ' {f - , Date Inspector :APPROVALS r Permit#- /" 1/17• T •° APPROVALS Permit# '' d-. Temporary.Electrical Service or Pole ' 52.- Pool &.Equipment Location _ _ 2: Soil Pipe-Undrgrnd: 9: '' ' ?., 53.; Steel Reinforcement _ _ - - = - 3? Electrical Conduit Utiliiv-Undrgrnd. 1.-.. r. r•' 54W' Forms :' - 4 Electrical Conduit-Undrgrnd. • I1 :'55.- Electrical Bo'nding'' 5: Steel:Reinforcement . ; _' .' 56. Rough Plumbing& Pressure`Test r - - 6: 'ElectricalOF ERGrnd., _ 57. APPROVALTOCOVER-GUNITE- 7. Footings • i' • - ;'58.` Electrical Conduit-Undrgrnd. . 8. Foundation ' j - - ° 59. Gas Pipe, D Undrgrnd.,Test - , 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines,P-Trap, 0 Undrgrnd. -, , 10. Structural Floor System - • • 61. APPROVAL-TO DECK • r 11. Property Sewer Line &'House Connection - .62. Backwash & Receptor-Final 12. Sewer Cap - - 63 Heater & Vent-Final 13. Roof Drains ,. , 64. Plumbing System - Final" ' _ - • 4 14. Rough Plumbing ' ' - 65. ElectricaitFinal' - 7 -' 15. Rough Electrical-Conduit-; - ' - ' 66. Solar System-Final '16. Rough Electric Wiring - i'% . 67: Fencing&Access Approval' . - - ,17. RoughrtWiring Sign` : 68.1 APPROVED FOR PLASTERING - ' , . 18. ;Rough"Electrical-T Bar Ceiling ;69. POOL/SPA SYSTEMS FINAL - • 19. ♦Rough-Heating & Air Conditioning ' i FIRE DEPT. REQUIREMENT ' • , . 20. Rough,Factory Fireplace { APPROVALS, . Permit# - . 21: Ducts, in Structure . • 70., Underground Hydro ' .22. Ducts, Ventilating ' , 1 ' 71. Product Piping El Gas 0 Oil ' .;23. Gas Pipe-Rough & Test i 72. Underground Flush' °"'24. Roof Framing '' _ - 73.• Undergrnd.Storage Tank DGas DOil • -25. Roof Sheathing i - : 74.' Overhead Hydro 26. ,T-.Bar Ceiling (Structurap,& Monocoat 75. Dry Chemical - - - 27. Frame and Flashing - , • 76. Dray Standpipe ' 28. ;Lathing & Siding 77.' FIXED SYSTEM FINAL _ II 29._ Insulation 78. FIRE PREY. FINAL 30- Drywall Nailing ' 'Notes: . ' I 31. Plaster Brown Coat 1 -- - - - 32.'Electrical Power Meter-Final • 33. Final Electric _ _ _ 34. Final Heating & Air Conditioning ,//7-C 41 i - 35. Final Gas Pipe-Test - - _ 36. Hood or Canopy - i _ ,. 37. Final Factory Fireplace . , 38. Final Plumbing 1 - ' 39. Water Service-Final' , I 1 40. Gas Service-Finl ' I ' 41. Solar Domestic-Final . i 42. Backflow,Preventer, - i _ _ - .- n - _ CZ 43. Backflow Irrigation - • ', .' - . 44. Landscape Irrigation"System . ' • - - - 45. SoundtAttenuatioo ' ice . • . 1 . i . 1 I • , . , 46- Handicap Regulations ,. i - , _ • 47. FINAL STRUCTURE & BUILDING ' 1 1 = 48. Special Requirements Completed , ! ' 1 - 49. Electric Release to Edison. ; ' • 50. Gas Release to Southern California Gas Co T 51. CERTIFICATE OF OCCUPANCY • - ' No - Date • OWNER GUERIN, J. P. / DATE 7-19—S JOB ADDRESS 1993 Tustin BUILDING PERMIT NO. 3557 • GENERAL CONTRACTOR J. D. Dov rapikg, VALUE $ 11,280.00 AP #118-213-5 LOT 1 BLOCK TRACT 278 Single Residence GROUP I TYPE V ZONE 13,11 FIRE DISTRICT #1571 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench / 6 7'20 Foundation Forms and Grade to Garage 7 -s9-3 Rough Framing_ t,a__^e___ ; =fr S! Plumbing,Rough to Slab ,�✓✓ v'' Plumbing,Rough Completclo. /U-/j , jr-...7-y-(J c � /,t� J (rq -olio-SS --to i3 Temporary PolePp(j��p,,,� Q/u1- .(' I� CdGUQa-a- 7-da.55 /1/'/ ?IV Wiring, Rough # ktg4J5 r% xge.UCL1 £ .a . - /39 ,r- '• Heating,Rough [ U Heating, Final 7�r / — — ..97- — e /,/ s - __2 sewer, House/ Sewer,St/ c' ww..,ea- .64.,,..&.0.• 7-n-55' as-yr Septic Tank or Cesspool _ / Lathing, In - Out —'i �� 4, /1 Plasteringr Mr ��7' Plumbing,Final,Fixtures Camp e , 7- ,J _di_ Plumbing, Final Gas Test...ti ,'<' ` rt ,,! />0 - d Y a. � Wiring,Final SS/ Occupancy �lili�. / —45 1:..,-..,')ln r_u 1cnn 1_c ,` osta Mesa Building Department /APPLICATION-1-9R PERMIT 111 EAST 20th STP "' B U i'• �� N G 15`71 ,,��., ,- COSTA MESA, CA` IA i A _ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY '/ Receipt No. Permit No. Build Addreiss Ana �G/ST/i7 I /r\ .S 7 Costa Mesa, California Received by Date Redd. DateIssued (� Nearest `fist �1 -S a Cross St. �Q Building Address Owner �. F, Cry r r r7 Costa Mesa, California Mail e l8 ( C Address lQ.J� V77Nearest Tel. Cross St. City COS-4 ffeb Cl No. �' B7/gt Zone /f I No .of I Type Group Architect or Lie. A Engineer No. Approved by Date Address CORRECTIONS �.--•-^� ,...-1 / City Li r Contracted-V /✓Q i/e.e y�//� a No. 8 3 b Address Legal I Lot I .y.,p Description No. � /Block) I Tract27S ,, ,w :,�■ (Attach Metes and Bounds) /tt•�i '�I3' ,S-- -2 63 1 ' y T) Size of Lot 12/ K-/.-. Now on Lot (� ..11..JJ11 Use of No.of No.of c� CC 701 Existing Bldg. 0 I Families I Rooms • - 1 8 IJ.ci5 3 Setback Line from / Rear Yard rCenter of Street .�/� Side Yard 7 t'f y DESCRIPTION�COF WORK CITY OF COSTA r New I /\I Alteration I I Addition Repair I I Moving I I Demolish I Building No.of Size / Rooms Cr Stories / Exterior Walltt,, // 1 Roof C/ , / Covering ..�/pj/C CQ I Covering Vg'nty a APPROVALS Use of New Building ,S/Wag c;€o Foundation Location Inspector Date Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int Iwith all City Ordinances and State Laws regulating buildbuilding cronetr¢rgion. .), Lath. Ext sSignaure o /� Permittee J Plaster,Int Authorized Agt. �J Plaster,Ext Valdatio�%z. PermihFee $ ,?.C: oD MasonryeReI nforeed �� Plan Check$ - d� Bond Beam $ Total Fee $r37OV FINAL \CnRM 204 S-PP 2M e.55 N C Y 1.14 • • J � COSTA. E d 18-55PnIiEsn 642T *:',**37.000 • a Street PLOT PLAN • • Show location and distances from property line and between buildings.