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Home My WebLink About3064 TYLER WAY - Building Permits 4`0"MF 9 - CITY OF COSTA MESA _. BUILDING DIVISION e qiDEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT M06-00545 Mame) (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite No Applied: 09/05/2006 Issued: 09/05/2006 Vicinity: tilt\ cm. Parcel Number: 14160450 7 , ISSUED BY: /' i r I Applicant: ZAPPIA, VICTOR J TR ✓, U Address: 3064 TYLER WAY Phone: 714-751-7170 COSTA MESA,CA Zip: 92626-2833 Owner: ZAPPIA, VICTOR J TR Address: 3064 TYLER WAY Phone: 714-751-7170 COSTA MESA,CA Zip: 92626-2833 Contractor OWNER-BUILDER . Address: Phone: Zip: License:000000 SCOPE OF PERMIT LEGALIZE THE INSTALLATION OF AN A/C UNIT WITHOUT A PERMIT. • 1 AC UNIT<100K BTU 1 AC PACKAGE FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 .. _ Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 - Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $14.80 1 1 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp, .!i k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 •. - =1'0 k BTU $0.00 0 VAV Box ..r.___„•.A.iie, 0 0 To 50 p 'T 0 k BTU $0.00 0 Vent Fan/Single Duct i•`" 0 Over 50 by ! 1,750 BTU $0.00 0 Appliance 0 Boilers Fire Dampers •;.0.00 0 Up to 3 hp $0.00 0 Smoke Dampers. '.0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0. 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00. 0 ' Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater . $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 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 �' 244648(8/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirmenderperalty 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 i^sued. My workers'compensation Insurance carrier and policy number are: Carrier: - Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) O 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 if 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 NI EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOUARE(5100.000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS 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.N Class k 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). Lender's Name: Lender's 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 Be 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).): ❑ 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 for safe(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.). ❑ am azem•t under , Business and Professions Code for this reason: a. - ,i i•. _ —m •'.:s: Verification of Ownership by( •:of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 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 has 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 end 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). . .l e. 3 Does oor r 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? 0 Yes ❑No ..-- __.._ ._ _...._._ n._ _ _ - 5 Does h coo the ap sicAir ou iMa ar emen b ist ict occupant yrequire r for the wonk ontch Is the sor age of this application apeNnii for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 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? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 D 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 COMPUANCE 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 wit all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa t enter upon the above-described property f• h •- '; imrp• -__ • ee not to occupy or allow occupancy of any building authorized by this permit until fin` tectj /.r — 9C /' /lvss' — ,Lit/ i Sig : ure Of Leg. ') ' Dat And/Or Authorized Applicant Date CODE 4 INSPECTION WPC RAIL thaws. CODE! INSPECTION TYPF IQ�� Lp l 1616 Fixed System Final Fire Prevention 206 Final Mechanical /l^L.p/.:•lJ.�/C^! I77/ /~,,(�ix'^,-•� 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 APPROVED CITY OF COSTA MESA PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVEDR/ BY THE PLANNING DIV. BY:( DATE: ?AV% 3061 Tv w i r4 5 I , 0501 Mly9 CITY OF COSTA MESA 4 BUILDING DIVISION o rj�..I• 1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F ( "w:^7 t S PERMIT + °K."- E06-00961 (714)754-5273 • Fax(714)754-4856 w.ci.costa-mesa.G . TRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3064 TYLER WY t tl: Status: ISSUED Suite No Applied: 09/05/2006 Vicinity: Issued: 09/05/2006 Parcel Nunmber: 14160450 Applicant: ZAPPIA, VICTOR J TR 1' Address: 3064 TYLER WAY ,r 1\''-,; • ISSUED BY: Phone: 714-751-7170 LI COSTA MESA,CA Zip 92626-2833 j Owner: ZAPPIA, VICTOR J TR Address 3064 TYLER WAY Phone: 714-751-7170 COSTA MESA,CA Zip: 92626-2833 Contractor OWNER-BUILDER Address: BB19 Phone: Zip: ' License:000000 • SCOPE OF PERMIT LEGALIZE THE INSTALLATION OF AN NC UNIT WITHOUT A PERMIT. 1 AC UNIT< 100 K BTU 1 AC PACKAGE 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 $54.50 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 $0.00 0 Service to 200a $0.00 0 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 $78.00 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 WORKERS'COMPENSATION DECLARATION: I hereby affirm under percaltYi 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: Carrier: - Policy Number: (This section need not be completed i/the permit Is valued of 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 If 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($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby 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.# Class# 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: Lender's 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).): ❑ 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 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.). DKle 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.). ❑ am exem.t un. sec ' Business and Professions Code for this reason: re: _, te: 9— �A neer ID ver led bydriver's license. e' ❑No 'river's License Nat Ex s: Verification of Ownership by(type of ument,i.e.-property tax bill or d:=tl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feel 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 B,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 has 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). o.f.t building .l.i c. pa need 2 Does or will the applicant or present or future bg occupant to file a registration form for acutely hazardous materials? ❑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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes 1111 No (Section 65650.2 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? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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? ❑Yes ❑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 w'h all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-de -',ed piope • inspectii :. .- '' not to ggeupy or allow occupancy of any building authorized by this permit unci 'ttal inspection. I� _ice Sif rf'(s) Date And/Or Authorized Applicant /Date CODE f INSPECTION TYPE PATE marls coon INSPECTIONTYPE RAIL IITRALS 1616 Fixed System Final Fire Prevention - 206 Final Mechanical • 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 • l MINOR MODIFICATION Reference No.: C06-1788 Status: APPROVED Applied Date: 09-15-2006 Approved Date: 09/15/2006 Denied Date: MINOR MODIFICATION NO.: MM-06-25 Project Address: 3064 TYLER WY Suite: Parcel Number: 14160450 Project Applicant: ZAPPIA, VICTOR J TR PROPOSED MINOR MODIFICATION: MINOR MOD TO RELOCATE AN EXISTING 10'X 10' SHED TO HAVE A 8' REAR YARD SETBACK AND A 4' SIDE YARD SETBACK; AND RELOCATE A 7'X 7'ABOVE-GROUND SPA TO HAVE AN 8' REAR YARD SETBACK. REF: C06-1788 REQUIRED FINDINGS: Y The improvement will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. Y The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, land coverage, landscaping, appearance, scale of structures,open space and any other applicable features relative to a compatible and attractive development. PROJECT PLANNER: LEE_M NOTES: G cr / . i li I ,, ilI rt-. . ; I i /41 z ��l j-, ..-)e- i i co t A oh( ,2/ i o:+SIS ii , i )1 d9 p C--71) i II i f 4 I 4. `, • r CITY OF COSTA MESA 4 BUILDING DIVISION >:r" . 4r , DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER fl :+:�J 4 PERMIT 01-00767 ee W (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite No Applied: 08/30/2001 Vicinity: ADDITION @ REAR OF SFR Issued: 08/30/2001 Parcel Nunmber: 14160450 Applicant: MADDUX, JAMES ISSUED BY: Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER,CA . Zip: 92683 ` Owner: ZAPPIA, VICTOR J Address 9790 DEERCREEK RD Phone: - MORENO VALLEY;CA Zip: 92557 Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL .Phone: (714)897-4595 WESTMINSTER,CA Zip: 92683 License: 224975 " SCOPE OF PERMIT ELECTRICAL PERMIT FOR ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 10 LIGHT FIXTURES, 12 RECEPTACLE OUTLETS,5 SWITCHES,&1 ELECTRICAL SERVICE. REF: B01-01350 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 • $11.00 -" -10 up to 50 kva/kw $0.00 0 Recept Outlets $13.20 12 up to 100 kva/kw $0.00 0 Switches $5.50 5 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 $0.00 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 $83.70 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 fora 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 pl 244&4e(WOO) DECLARATIONS 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. L,1/I nave 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 wo rs' om enation Insuranc her�a pr Icy number are: 2 Carrier: 1� Policy Number: 6 1 ' 2-7 (This section need not be completed it the permit is pe /valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thenprovTh Applicant Signatur v/ �'� rDate:—" C-'3�—crJ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION CO ERAGE IS UNLAWFUL AND SHALL SUBJECT Mt EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($tO0,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensq,4u er o ter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# Class# "Contractors Signatuur< _ 7 1 //-i/,3 I' Date: % -r`7 V ! f 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). Lender's Name: Lender's 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 perrmt: subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 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.). ❑ 1,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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: 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 has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 Califomia 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this fppllcation apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes IU No (Section 65850.2 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 California 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 inspection. tuui�f Legal Owaer�s)� Date i /- G G_6 / And/OAutt(orzr etl ApplicaJd-" CODE t INSPECTION TYPE 2S IIIIIDd1$ CODE• INSPECTION TYPE PATE INRIUL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing ! A 200 Final Re-Roof 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 CITY OF COSTA MESA BUILDING DIVISION f 'r..�l DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT 1601-01350 4 •w�' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite: Applied: 08/30/2001 Vicinity: ADDITION @ REAR OF SFR Issued: 08/30/2001 Parcel Number: 14160450 Zoning: R1 R1 Applicant: MADDUX, JAMES ROSS ISSUED BY: Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER,CA Zip: 92683 Owner: ZAPPIA, VICTOR J Address 9790 DEERCREEK RD Phone: MORENO VALLEY,CA Zip: 92557 Contractor JAMES ROSS MADDUX Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER, CA Zip: 92683 License: 224975 Arch : Eng: PIN CHING LI Address: - Address: Phone: Phone: (905)595-7755 Zip: License: License: 38408 SCOPE OF PERMIT CONSTRUCT NEW 498 SQ FT ADDITION TO REAR OF EXISTING SINGLE FAMILY RESIDENCE(384 SQ FT FAMILY ROOM & 114 SQ FT BATHROOM). FEE SUMMARY Plan Check: $372.81 - Calc Valuation: $42,579.00 Permit: $573.55 Claim Valuation: so.00 SMIP Res: $4.26 SMIP Com: $0.00 Other $0.00 Inspection: $0.00 • Total: $950.62 - PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 2446.48(&OO) DECLARATIONS 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. .12-- 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 worke 'compensation Insurance carder and policy number are: Cartier: I Policy Number: 221 - 6r1 raj fr (This section need not be completed If the p it 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 if I should become;ubject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. / (//i Applicant Signature! rDate-- - - � l Ste— WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOUARE($103600),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensea7dy/L1de/�ry r(o/�pI'sions pter 9(commencing with Section 7000)of Division 3 of the Business and Prgfessions Code,and my license is In full force and effect.Llc.p C.- - l l" / Class G }l5 _ Contractors Signature: 1! 7' / �Ej /fi /� rDate: >O - 3 o 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 Cale). Lender's 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 perms' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires: 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,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Om 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 has e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Wit 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 ❑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 ❑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 en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully compiled with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application agermcat lt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Di Yes [U No (Section 65850.2 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 California 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 B (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 inspection. Signayire Of Legan s) Date 8 And/Or Authorizes Apblica r Date cODE t INSPECTION TYPE PAIL !FINALE QOpEE INSPECTION TYPE PATE dtlTIMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 CI-4Y' � 7 l / 204 Final Demolition 250 Final Building/Occupancy C/" .'-Ut- • `p 9 CITY OF COSTA MESA 4 BUILDING DIVISION 4‘-e.Pail/PT-EMI ,I ' DEVELOPMENT SERVICES DEPARTMENT PE NUMBER PERMIT B01-01947 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite: Applied: 12/12/2001 Vicinity: FRONT OF GARAGE Issued: 12/12/2001 Parcel Number: 14160450 Zoning: R1 R1 Applicant: MADDUUX, JAMES ROSS ISSUED BY: Address: 14736 BEACH BL , . • Phone: 714-897-4595 WESTMINSTER,CA ' Zip: 92663 - Owner ZAPPIA, VICTOR J Address 9790 DEERCREEK RD Phone: MORE/NO VALLEY,CA Zip: 92557 Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER,CA Zip: 92683 License: 224975 Arch : Eng: • Address: _ Address' • Phone: - Phone: Zip: - License: License: SCOPE OF PERMIT REMOVE SIDING AND APPLY LATHE AND PLASTER TO FRONT OF GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,250.00 Permit: $47.90 - Claim Valuation: $1,250.00 SMIP Res: $0.00 SMIP Com: $0.00 • Other: $0.00 Inspection: . $0.00 • Total: • $47.90 PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 fl n WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: Lt 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 awork for which this permit is issued. 4I - e 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. t •y workers'comperbation Insurance carder and policy number are: • artier: Policy Number: (This section need not be completed if 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 if 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: `�7yCA 7924,1Date: j /'7- I C-_/ C) I WARNING:FAILURE TO SECU WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE Tt7IES AN CML FINES UP TO ONE HUNDRED THOUSAND OOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.A Class M 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). Lender's Name: Lender's 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).): ❑ 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 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: _ Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: 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 has 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)? es No (Section 25534 of the California Health end 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 II en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 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 California 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 ❑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 end 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 inspection. _____14 re Of Legal Owner(s) I �//I /O Date And/Or Authorized Applicant �(/ (/ I Date ;ODE 1 INSPECTION TYPE PAIL INTRIAIa CODE{ INSPECTION TYPE PAIS !CNA 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -. 200 Final Re-Roof _ 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 2 204 Final Demolition - 250 Final Building/Occupancy it -o2 t& CITY OF COSTA MESA BUILDING DIVISION : r.A. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER tql-irtva PERMIT v+4� M0't 004AI (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite No Applied: 08/30/2001 Issued: 08/30/2001 Vicinity: ADDITION @ REAR OF SFR Parcel Number: 14160450 ISSUED BY: • Applicant: MADDUX, JAMES • Address: 14736 BEACH BL - Phone: (714)897-4595 WESTMINSTER,CA Zip: 92683 Owner: ZAPPIA, VICTOR J Address: 9790 DEERCREEK RD Phone: • MORENO VALLEY,CA Zip: 92557 Contractor JAMES ROSS MADDUX Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER, CA Zip: 92683 • License:224975 SCOPE OF PERMIT MECHANICAL PERMIT FOR ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 2 • VENT FANS. - - • REF: B01-01350 FEE SUMMARY -Quantity - - - Quantity ISSUE FEE $23.50 - Repair./Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator - $0.00 0 Refrig Sys<100 k BTU $0.00 0 - - -Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 • Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00:_ 0 - 3 To 15 hp/500 k-BTU• $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct • $14.50 2 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0,00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 - Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.00 • COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with au 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 f 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) a- DECLARATIONS 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 rk for which this permit Is issued. 1 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 work 'compensation Insurance carrier an �ppili v number are: Cart ('')Carrier: \ / Policy Number: G 2-4 r 6 1 2'3 2/ (This section need not be completed it the ermit 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 shell not employ any person in any manner so as to become subject to the workers' compensation laws of Californi&an ree that if I shoyyyId beco e subject-to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. 17 Applicant Signature: / \ Date 01� �'a , WARNING:FAILURE TO SECURE WORKERS'COMPENSATIO!/COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license? pr I nsgf 9(commencing with Section 7000)of Division 3 of the Business and PrgWysions Code,and my license Is In full force and effect.Lic.# !� "'L / Class it_ IVS Conlractor's Signature: f rDate: ' a—r''/ 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). Lender's Name: Lender's 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 perms' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 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 properly,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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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,Califomia 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 has 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 ❑No (Section 25505 of the Califomia 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 Califomia 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 end 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. ...e has Section o....... lif.r.i..... 4 If an RMPP is presently required, Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? El Yes LI No (Section 65850.2 01 the California Government Cede 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 California 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 prescnbed by California Health and Safely 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 inspection. �ipaa4t[�Leg marc$- /J O c�' cv D�/ — And/Orr Authorizzed Applicant '- V (Date. ;ODE I I$SPECTIONTYPE PAIS RETRIALS CODE I INSPECTION TYPE Z 1616 Fixed System Final Fire Prevention 206 Final Mechanical ` 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 CITY OF COSTA MESA a ` 9 BUILDING DIVISION o, � . L r.,,r. r1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t7 PERMIT ittveftionm le 1/P01-00521 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 3064 TYLER WY Status: ISSUED Suite No Applied: 08/30/2001 Issued: 08/30/2001 Vicinity: ADDITION @ REAR OF SFR ISSUED BY: • Parcel Nunmber: 14160450 Applicant: MADDUX, JAMES • Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER, CA Zip: 92683 Owner: ZAPPIA, VICTOR J Address 9790 DEERCREEK RD Phone: MORENO VALLEY,CA Zip: 92557 Contractor: JAMES ROSS MADDUX Address: 14736 BEACH BL Phone: (714)897-4595 WESTMINSTER, CA Zip: 92683 License: 224975 Arch / Eng : Address: Phone: Zip: License: SCOPE OF PERMIT PLUMBING PERMIT FOR ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 1 BATHTUB, 1 SEWER CONNECTION, 1 WASH BASIN,8 1 WATER CLOSET. REF: B01-01350 FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub • $9.80 1 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System -$0.00 0 Process 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+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $9.80 1 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 • Sewer Connect $24.65 1 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $9.80 1 Drain, Roof $0.00 0 Shower $0.00 0 Water.Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $77.55 NOTICE: The work authorized by this permit stpomitiemitS PSPEIIt tfolitymepps 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 1 v 2446.4600) WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. 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' pensatlon n�nce card r and po Cyauyber are: �CI " G �3 Carder: 1 Policy Number: 21 (This section need not be completed it the perm 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 Califomla and agree that if 1 shgu[d beco su ect the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pjoWsio `�� if `p o �t' ---- -WARNING: �s G� rAPPlicant Signature: � �� /D�-- THOJ NO:FAILURE E(SECURE WORKERS'COT ENSO COMPENSATION, TI UNLAWFUL AND SHALLSUBJECT IN EEMPLOYER 76OCRIMINAL PENALTIES AND CML AND TUP OTOONEEESDRED THOUSAND[CLARE(5100,000),IN ADDITION TO THE COST OF CYM/PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR DUDE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under•ro• I.as of • •er 9(commencing with Section 7000)of Division 3 of the Business and P,rpfessions Code,and my license is in full force and effect.Llc.q Class x CVL Contractors Signature: SSM. r--Date:-5' e'—CD/ I i 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 fore perm' subjects the applicant to a civil penalty of not more then five hundred dollars($500).): ❑ 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 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 exempt under sec. Business end Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 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 has 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? ❑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 DOGS 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 en 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this!application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LI No (Section 65850.2 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 ❑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? ❑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,end 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 inspection. Signature.•f Leg. •wner(s And/Or Authoriz-•Applicant- - r (Date 2" CODE 0 INSPECTION TYPE PATE INTITIAL§ CODE I INSPECTION TYPF Q,AIE INTmAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical d 1266 Pool Spa Final 208 Final Plumbing 4- I—OZ. 200 Final Re-Roof 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 OWNER SEAVIEW HOMES, INC. DATE6-19-62 JOB ADDRESS 3064 Tyler Way BUILDING PERMIT NO. 17331 GENERAL CONTRACTOR S-V. Hunsaker & Sons VALUE $ 15,411.00_ AP No. LOT 40 TRACT 14565 FIRE ZONE DESCRIPTION OF WORK Res.wjatt.Gar- I' }'ECTIONS Signature DATE GROUP TYPE V ZONE Rl S..al-L4(ts- Iinkr.? f-9? /YWS 2-s--...6 2. PERMITS ISSUED Gas s Q.•-e-Gy SUBCONTRACTOR DATE NUMBER Water 7C S— .e i Rough o -frig. 0 -it Con.. 0 y Rough Heating 14.f f ` .7,7:27 .g., Z7 J Rough Plumbing /14-*C_iS--/�-fi7-a; ,4-ocee ,,,107a: Y _Zth ,?L!C/t � Miscellaneous �t �� Pro Swr.Line use Con. G-St.-Swr. 0 - r! ✓`�</'CI Sprinkling System Construction Pole _ e, Underground 0 Power D 41.114 Rough Wiring ;2/2J . 29 .n. ,,-rim ,(1.„ / i. / �/ Irene es r 'orms 2 tee 'em . • I`� S _47 r _ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing (' ri Su-2-UL Frame and Flashing ''EP • / 6161 Lathing - In ®i Out El- Ni',S y P;.,tter, brown coat Gr/jy / Q-7.6-al. f#'^;;�"gig, 0 Air Cond. 0 Final l �g;iing, Final /17 /076-6 . Plumbing Fixtures, Final /rTS .41 a2152. Final Gas Test/3- Electric Fixtures, Final 7-f /o. 76-c t, Building, Final r fit /n — 6.. :y OCCUPANCY FORM BU4-5M — 7.61 1 r331 1 733 1 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT / JUN 13 at P. O. BOX 817 COSTA MEGA. CALIFORNIA *FINANCE DEPT. OF MESA OSTA For Applicant to Fill In Completely APPLICATIOTN Y FORCPPERMIT TYPE OR PRINT 00 BUILDING 3c>r YP(45./2- BUILDING ADDRESS / 7 L/45� �� COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. BI V V� OWNER SeaVieW Homes, Inc. I732 MAIL 1602 Si. Almond RECEI. :D BY I Dye pHiyeD 1 DATE ISSUED ADDRESS ' !O 4, �+UII 1 >1 1962 i TEL. BUILDING CITY Orange NO. ADDRESS ARCP'tECT ER Ramberg & Lowery No I. 7613 COSTA MESA. CALIFORNIA r ADDRESS 2127 N. Main St., Santa Ana FIRE [I/ (�/I v ZONE TYPE GROUPL� CONTRACTOR V Hunsaker & Sons APPROVED BY DATE ADDRESS 15855 E. Edna P1. ZONING ZONE/� NO.or J USE OF NEW -T-`7 4, e.- y CITY rwindale _i I PLANS L I BUILDING 4,/,Eztp2 STATEO . 164929 No. ED. 87361 LEGALL4,i- v0 2-A. ys-e-.T DESCRIPTION SIZE 6 9 9/ I NO. OF BLOGB�- OF LOT �/ NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG --- APPROVED ALLOWED SETBACK LINE FROM / (CENTER LINE ET.) CENTER OF STREET � REAR YARD 7 7 FRONT 0 / FT. IN. SIDE YARD I LEFT I RIGHT C / R.SIDE .S— FT. IN. DESCRIPTION OF WORK — - - L.SIDE -s FT. IN. II NE' I R II ALTERATION I IIZ ADDITION I REAR 7 FT. — IN. II REPAIR 1 II MOVING II DEMOLISH I APPROVED O/I��a DATE 6/� t'/c BUILDING�hx ti, NO. OF 7 WT'(l SIZE T' ROOMS / STORIES EXTERIOR WALL stucco I ROOF CONI COVERING _pi1Pg COVERING 8 ngses 49(fs,t /y2a USE OF BUILDING AND WORK TO BE PERFORMED 11 - famil dwelli • with — . .- _ 34 i . attached garage Pla-n 99 - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STAT$ THAT THE ABOVE IB CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF S. V • V .;P SONS PERMIT FEE S Si`�/ PERMITTEE _ h Uat-3-471Z e_ • $ /, / //� PLAN CHECK S at�� AUTHORIZED AGENT k I E TOTAL FEE $ 7�..5 0 LL • LAW IA, V. 1.1" L 2-11-76 I JOB ADDRESS 3064 Tyler Way BUILDING PERMIT NO. 41273 GENERAL CONTRACTOR D. W. Mc Ferran DESCRIPTION of WORK Encl . Patio Cover ry A . 141-604-50 LOT TRACT FIRE ZONE VALUES 800.00 • �IN-SrECTIONS Signature Date TYPE IV GROUP J ZONE R—I `Y SOIL SUBCONTRACTOR PERMITS ISSUED -, GAS Date Number Signature a WATER Plumbing J ROUGH PLUMBING ,jPROP. SWR. LINE Q HOUSE CON. ❑ 4 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER El ROUGH WIRING Heating and Vent. . TRENCHES fl FORMS Li STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE [n SHEATHING FRAME AND FLASHING LATHING — IN ["7 OUT _ PL" '.N, BROWN COAT Si URAL. FINAL Electric HEATING, VENT., REFRIG. AND A,C., FINAL PLUMBING. FINAL AND GAS TEST [7 ELECTRIC, FINAL r� // BUILDING, FINAL R a41-4, ,,. t 41273 PAH. FEB 17-76[1, ,00 450µ *i,***8.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only REC VE BY O•TERECEIV 0 DATE ISSUED BUILDING /J e/ - _ ADDRESS // (/ 20.1 PJ .ter • /-�'}1 QJ_ • �IIJ/S f OWNER V s z4'Az . A.P.NO. 141-6)(A - J P7OI •. ADE MAIL ADDRESS --WI L ADDR ESS SOCA -r`Y W1 A4 CITY Cos,44- filer 4— ENV TRAcrC e LO-1510 BLOCK _ CONSTO ANEIW ADD ALTER REPAIR MOVING IIFMOLISH LEND v\ ` BRANCH • OWNS f . 4j4 ' ADDRESS ALOE ��{ wav ARCHITECT TEL. USE ♦ . $ !r6/ OR ENGINEER NO FIRE GROUP ADDRESS ,sit ZONE /�/1�) TYPE ��777 CONTRACTOR. /Me A/J/r/r/(,'/r/�� APPROVED E/'/ 1. GATE /� ADDRESS 7618 VV LJ//Y /,`/ `r /J /'' y� }s` 2 NO.OF USE OF NEW -LOS CITY G(J�j�s.�//f t N(/3�. /IV t k PLANS Z BUILDIN9 0 [Vat/ F. STATE ++11 CITY YARDS APPROVED YARDS APPROVED F4 LIC. NO{T?,y,4- LIC.NQ319[f MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BL//DGS. (FROM C/L STREET) 0. OF LOT / �/�NOW ON LOT FRONT AM y� FT. FT. CO*4 USE OF EXISTING BLDG. 5��r$ (.�,4% R.SIDF Sn. FT.& FT. CO FSeparate permits are required for L.SIDE 5 FT. FT. electric,plumbing and heating work. 2--FT. } Cc -t� REAR / (FT. FT. USE OF ILDIN AND WORIlJjE PERFrit, DISTANCE BET. BET.MAIN& Qfr Ars -r //iattnt MAIN BLDGS. ACCESS. BLDGS. :"3..• c /'5, ' OCG I ,- Le / / �� VAR.. DATE 3C/� L L7C 'V V- C• C.V.P,VA APPROVED ROVE 3' DATE 2. -41 -76 W`�(�IVJ W 0 I hereby acknowledge that I have read this application and state to u, X that the above Information Is correct and agree to comply with 0' all laws regulating building construction, and I shall not employ m Z any person in violation of the workman's compensation laws of o the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. el. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that suc licenses a In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the vislo•- • the State of California BusinessVALUATION PERMIT FEE E G '0 and Professions Cod •ivli• ,Chapter • O s _ n Signature of A- /� it PLAN CHECK $ ,,/ o u. Permittee //. ....... I $ U/( A ,V�' TAX $ r �D Autholiz /Agent -- \ 0 O✓`J TOTAL PAID 5 67, J� U Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P RMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT r14' 673 19•.56• _ 2/11/62 6.00 TL,` Project Address -30/cf r4 W41 TYPE OF CONSTRUCTION Owner 2 Fpt'�R (/ `- Ph e59, --43113❑ NEW 0 ADD 0 ALTERATION 1 Address. ,4 /7.Lf 0 REPAIR 0 CONVERSION ❑DEMOLISH `f/ ZONING REGULATIONS Arch/Eng. License No. 0 OTHER • A.P. .* Address DESCRIPTION OF WORK ZONE ,PLNG. REF. Contractor ...Jac �. . .c....—it Phone: 1 / TYPE OF PERMIT BUILDING IQ BUILDING SETBACK CR_ST. PROPERTY LINE Address rL//nn7 i/yp,7 (^ .C, 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIIDE YARD LICENSED C NTRACTOR DEC ATION 0 TENANT 0 ELECTRICAL YJPLUMBING ❑MECHANICAL LSIDEE YARD I hereby affirm that I am licensed under provisions of Charter 9 (com- �� RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions g�Cod and my license is In full force ark ff L REAR YARD(TO P/L) / PROJECT DESCRIPTION LicensS Cl az U se No. PKG.SPACE REQ. PROVIDED Oaten(--t Signature /-'/-�I(s /17.7 SQ. FT. - WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, orAa emitted copy thereof(Sec n 38800, Lab. C.). � GRADING CU.YDS. ACRES SPECIAL CONDITIONS: PPoolicy No. n- Sy/'1/ Company , e, 'Rifled copy is hereby furnished. REMARKS: • -tified copy Is filed with the city Building Division. - . ,EAEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed If the permit Is for one hundred $100) or less). ' certify that In the performance of the work for which this perms Is Issued, I shall not employ any person in any ma nor so as to /°time PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subje< t1)8 Wprk¢rs'Compensation WwS. f Ca for nla. j BATHTUBS SHOWERSI of _C'Y X l 7( ,All.' UW tLLINb (�A HAGt - Date !1' Signature ,/ 7� SO. FT. SO FT NOTICE: If after making this declara(lon, you should become subject' TOILETS ' ,• URINALS ._ - GENERATOR - 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW revoked. - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP_1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+HP formance of the work for which this permit Is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS • FIXTURES OUTLETS SWITCHES Lender's,Name • Lender's Address -• - • ` • ,-DRINKING FOUNTAINS GAS TUBE SIGNS • OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the•Cohtractor's Llcende'Law for . the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL -. P TRAP LUNSI HUL I IUN Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he Is licensed pursuant to the"provisions of the Contractor's License Law GAS SERVICE OUTLETS ' SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the _ _ ,— Business and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT '3 30 basis for the alleged exemption. Any violation of Section 7031.5 by a' applicant for a permit subjects the applicant to-a civil penalty SEWER CONNECTIONS t more than five hundred dollars ($500). as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself or ISSUE FEE 'D (Z.,1 APPLICATION APPROVED BY DATE ' through his own employees, provided-that such Improvements are not Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES Is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING ❑ I, as owner of the property, am exclusively contracting with - _• - - PERMIT $ SMIP $ licensed contractors to construct the project (Section 7044, Business AND DUCTING `�z�,c�- P 1 100.000 + BTU PLAN CHECK $ PERMIT q and Professions Code: The Contractor's License Law does not apply to /s�1 ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tS'tF tracts from such projects with a contractor(s) Ilcesned pursuant to SYSTEM - GRADING $ the Contractor's License Law). 100,000 + BTU PLAN CHECK S - ❑ I am exempt under Section B.& P.C.for thisBOILERS BTU ELECTRICAL $ $ reason MICROFILM $ Date ' Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$ O MECHANICAL $ - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- information Is correct. I agree to comply with all city and county PLAN CHECK $ LANCE PC ordinances and state laws relating to con ruction,and hereby authorize ^ -� / ,{ representatives of th' city to a er upon the above enc ionetl • -LX -'(/O� ��8'4_ J\ property for.X/�','s ti ur o es yn ///��`��`/`J' Signature �` � Date(L_1L[1 / 7!<2J , FINAL EE $ Drivers' License or SS* - ISSUE FEE ✓/ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA . ' • • APPROVALS Permit# Date Inspector •APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Stee[Reinforce 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings • _ 49. Electrical Conduit-Undrgrn 8. Foundation _ - 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55 Plumbing System - Final 14. Rough Electric-Conduit •56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: yvn d yIs't✓F✓/ A rt z-/7-n- 23. Insulation /�Ji{�/(��f�/IN��I 24. Lathing & Siding L 1 -/L�y��, J G .1.0m, �/��`6 ir-0`•� ' z� 25. Drywall Nailing K "[Y�' ‘ //- 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning _ 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36.-'Sound Attenuation 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date