The URL can be used to link to this page

Home My WebLink About234 15TH ST - Building Permits CITY OF COSTA MESA 44 Ili> • BUILDING DIVISION o, • > r.,,,,, I t. • ... DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 1 . 1�in • PERMIT 07-00738 omr o •(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa-BtliiLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 234 E 15TH ST Status: ISSUED Suite: Applied: 05/30/2007 Vicinity: HOUSE AND GARAGE ROOF Issued: 05/30/2007 Primary Occ: R3U1 Type of Construction: V-N Parcel Number: 42533108 Zoning: Applicant: WETZEL, ASTRID • Address: - 234 EAST 15TH ST Phone: 949.646.1940 ISSUED BY: COSTA MESA,CA Zip: 92627 Owner: WETZEL, ASTRID AND MIKE; PEYTON, JEREMY Address 234 EAST 15TH ST Phone: 949.646.1940 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 • Arch : Eng: Address: Address: Phone: - Phone: Zip: License: License: • SCOPE OF PERMIT TEAR OFF(E)ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT ON A 1.5:12 PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 18 SQUARES.REPAIR AND REPLACE SHEATHING AS NEEDED. • FEE SUMMARY Plan Check: $0.00 • Calc Valuation: $3,120.00 Permit: $97.25 Claim Valuation: $3,120.00 SMIP Res: $0.50 SMTP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 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 244646(6/00) DECLARATIONS WORKER COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 if the permit is valued at one hundred dollars($100)or less.) :il denify.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. gp'W6�^a�'n ignwure: a k) e%" -^.�S- So — on- ARNW ING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOER 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•iltl 4tusiness and Professions Code,and my license Is in full force and effect.Lic.# e Y # Contractor's Signature: sate: 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 al• 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 e applicant to a civil penalty of not more than live hundred dollars($500).): I,as owner of the properly,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: *gnome: G l & '— Ct bwnn✓D verified by driver's license. Yes 0 No Dristt ansa No. Exp :=9 "z ?-09 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^ore 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 ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. iy e..ir. asSecto... ...o ea on..Health a.. y.. 4 If en RMPP is presently required,hes Section 25534 of the California Health and Safety Code been Fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 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. Sn-(>1 a w -�J s- 36— 0R- Signature Of Legal Owner(s) Date And/OrAuthorized Applicanl�,_-,_ CODE I JNSPECTION TYPL PAIL IN71TIALS CODE I INSPECTION TYPE PAIL IMMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof W -5-67 210 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 04: 40111a,..� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t 1 -11"...-r PERMIT E02-01128 J% (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 234 E 15TH ST Status: ISSUED Suite No Applied: 12/30/2002 Vicinity: • Issued: 12/30/2002 Parcel Nunmber: 42533108 Applicant: MC CARTHY, ALAN ISSUED BY: Address: 3100 SUMATRA PL Phone: 714-241-1946 COSTA MESA Zip: 92626 Owner: EILAND, MARK Address 3128 CALLE GRANDE VIS Phone: SAN CLEMENTE,CA Zip: 92672-3543 Contractor: MC CARTHY ELECTRIC Address: 3100 SUMATRA PL Phone: 714-241-1946 COSTA MESA Zip: 92626 License: 461872 SCOPE OF PERMIT SERVICE UPGRADE FROM 100 AMP TO 200 AMP.ADD 1 NEW CIRCUIT.FOR THE SPA AND ONE 20 AMP RECEPTACLE FOR THE SAUNA. •• -- - • FEE SUMMARY Quantity - Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section ' $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 _ up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $1.10 1 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' $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 $12.30 1 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 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 2446-46(6/00) 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. ❑ I have and will maintain workers'compensation ins rice,as required by section 3700 of the Labor Code,for the performance f the wprlc for which this permit is issued. My workers'compensatl0 sur carrier n ' number are: !l -A Carrier: \ Policy Number: WL//IlJ/�-`P��-N** his section need not be completed i)the permit/s slued at one hundred dollars($100)or less.) ertify that in the pe ante 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 o C Mamie,and agree that It I should become subject to the workers'compensation provisions of Section 700 of th abor Code,I shall forthwith comply with these pr via n . Applicant Signature: ---/..% `l n/ -2. 0 Date: '/ 0 Z WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AN 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 ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am lic ed under provisions f Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions G6d and ryy license is in full force and effect.Lic.tt Class a 1 (�/� Contractor's Signature: Date: IO ere 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). Lender's Name: Lender's Address: Signature: Dale: 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 end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toe 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. ❑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)? ❑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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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 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 COMPUAN 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 witI 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 i action purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ( i ;y p - Signature Of Legal Owner(s) I/D I(j."0' Date LL///1/l 'l V ( And/Or Authorized Applicant Date CODE 0 INSPECTION TYPE PAM RQIDASA ODE INSPECTION TYPE DAIg. MELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical Age Ria Air 201 Final Block/Retaining Well 212 Final Fire Prevention Pp 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • t` j CITY OF COSTA MESA BUILDING DIVISION %� „,,,. 4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F r j j4 l6 PERMIT tel bums.fii, (......,"'E-05-00343 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77FAIR DRIVE,-COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 234 E 15TH ST Status: ISSUED Suite No Applied: 04/19/2005 Vicinity: &..4.4.14 rye Issued: 05/27/2005 Parcel Nunmber: 42533108 Applicant WETZEL, ASTRID ISSUED BY: 'v y Address: 234 EAST 15TH ST - ... - ` Phone: 949.646.1940 • COSTA MESA,CA' - , . , Zip 92627 Owner , .WETZEL, ASTRID:&MIKE; PEYTON, JEREMY Address-"1234 EAST 15TH ST - -" ,, . Phone: 949.646.1940 . • COSTA MESA,CA Zip: 92627 . • Contract • or: OWNER-BUILDER_ _ .. Address: .. Phone: . Zip: License:000000 , SCOPE OF PERMIT LEGALIZE INTERIOR BATHROOM,CONSTRUCTED A NEW NON BEARING WALL,BATHTUB,TOILET AND SINK.REF.:B05-00646 ELECTRICAL TO INCLUDE: 1 LIGHTING FIXT, 1 RECEPT OUTLET, 1 SWITCH. 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 , 'r 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 - $1.10 b;- - up to 50 kva/kw,„` --`'$0.00' 0 Recept Outlets . $1.10' ` 1, up to 100 kva/kw .$0.00 . 0 Switches $1.10 . ' 1 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 to200a $0.00 " .' O. Misc.Conduit - $0.00 0 Service to 1000a • $0.00 i' 0. . . Misc.Conductor ' . $0.00 0 Service over 1000a -$0.00 0 Circus(gen:or ride) ' ' $0.00 . 0 Motors to 1hp ' $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 $26.80 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§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 r WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. „ ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be Completed if the permit is valued at one hundred dollars($100)or less.) • ,A certify that in the porter-mance of the Work for which this permit is issued,I shall not emplby 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. CalfI Data: -- 2 —CJS 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 it Contractors 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).): ❑ Inas owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 044,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 un r sec. . Business and Professions Code for this reason: Signature' '"' Ow er D yenned by drivers license. es '5 No D6vefs + Expires:-9- 2 3-09 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? ❑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,ora 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? ❑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 ❑N0 (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 5 Does or will the applicant Cr present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the Celifomia 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? 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 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-d cribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SignaturetLegal,Owner(s) S RI j .gar 'res.•' And/Or Authorized Applicant Date CODE t INSPECTION TYPE' ' - ' - ' ' QAIF '•INTmALS- ` • CODES -INSPECTION TYPE -. • PATE .1NTmAL$- 1616 Fixed System Final Fire Prevention - 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root " 210 'Final Electrical • . : (`-(p-'QS 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 • Fy CITY OF COSTA MESA BUILDIN$ DIVISION :4:111;:g71 DEVELOPMENSERVICES DEPARTMENT PER IT NUMBER te. 1.11411 PERMIT B05-00646 4t14.00 Rola.41" (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us NG PERMIT 77•FAIR IVE,COSTA MESA,CA 92626 BUIJob Address: 234 E 15TH ST Status: ISSUED Suite: Applied: 04/19/2005 Vicinity: BATHROOM Issued: 05/27/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42533108 Zoning: • Applicant: WETZEL, ASTRID F�� ISSUED BY: Address: 234 EAST 15TH ST Phone: 949.646.1940 COSTA MESA,CA- -- - Zip: 92627 Owner: WETZEL,ASTRID-& MIKE; PEYTON, JEREMY Address , 234 EAST 15TH ST - - • - .' Phone: 949.646.1940 _ COSTA MESA,CA Zip: 92627 - , Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: • i Phone: Phone: • - Zip: - License: License: SCOPE OF PERMIT LEGALIZE INTERIOR BATHROOM,CONSTRUCTED A NEW NON BEARING WALL,BATHTUB,TOILET AND SINK. LAND USE RESTRICTION RECORDED:2005000406622 • FEESUMMARY. • - Plan Check: $35.10 - Calc Valuation: $1,500.00 Permit: $54.00 Claim Valuation: $1,500.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: - $54.00 Inspection: - $0.00 - Total: $143.60 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 r -' Right, 0-0 PARKING Existing: 0Required: 0 Proposed: .0 NOTICE: The work authorized by,this permit shall.comply with all applicable handicapaccess.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 isnot commenced.within 180 days;or ifworkIs suspended or abandoned fora period-of 180 days. INSPECTIONS: Imorder for the'work,authorizediunder this permit to:be considered.legal, such work must'complywith all applicable codes, and all required:inspeetionsand,flnaLapproval:must.be obtained..F.ailure to obtaiminspectlonsanddinal,approval will result in the expiration of this permit. FORIINSPECTIONSCALL::(714)•754456261 244646(6/00) DECLARATIONS C) 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,9s providb'U 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 it the permit is valued at one hundred dollars($100)or less.) Ly.el5certify that in the performance of the vioik fol 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 Sgnc )-e4 Oe .'�S"Z• ARNING: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(5100,000),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.LIG.# 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). 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 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 empty 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: Slgnatt (2 rr-ad a �✓vF Date: S Z 7-OS W ner- lTmertB rifted by drivers license. Yes ❑No DLO.; oNO. - EiytL"es 4 2 3 - O 9 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(38)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 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No S Does or will the applicant or present or future building occupant require for the work which Ls the subject of this application a_oPermit 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 pan 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 California Health end 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,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. /2,tiJ 07 W,zFt wc� S 7 =0S viSigniuretOtLLe9S er(s) `'Date And/Or Authorized Applicant Date CODE I INSPECTION TYPE .,- "-' DAIS -' 1NIITIALE' CODEk PISPECT1QHTYPE ' DATE IIS 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 FactoryFire Place 220 Final Planning Approval 203 Final Sign 222 Final Site t� ,, /� F 204 Final Demolition 250 Final Building/Occupancy ( L __�) --- SLIDING DOOR 'N VP l�'L)v L'1� / Z':l_a 4 p 7� • DIVISION OF BUILDING SAFETY J c- rte• CI . ^� COSTA MESA All' P R p V E D r , ---- ------- Date Z , y � _ � ei - r4 I j.cations MUST be kept on this Icb at all limes and it is unlawful to ` Q C .'fps ,,,,.;m same wflhout w+tten rsrr-cion from the Division of Building 't ^ — — ��{�ake any cl,a ' €nd Safety • : • i' -r�.c.:ALL NGT be held to permit cr to be an approvals J� "T _ — ::ol the violation al on .EO �.,-S�a c. Costa —57 t . LJ�� 1 '-ol the violaao-;�ot,.; oro+'=ins ci aal)Cityior�d ba Mesa me nullainancendvoid it bu ld'mg or rJ thm void days of issuance. tr) — These plans and a i, I.,� — wokanotcomme �r'mair�' � EpeCdi -- §3 j' " (IOn �:1ewr, r, J e. V • W9tt 4 LIU LLti•Nc� /vr.0.-c ID PGE1. �� y SCpie 8 = 1 s I_ _ . yf, APPROVED 23E / sT. CITY OF COSTA MESA 1. PLANNING DIVISION I ' I C� ;::rREo. (�( 1//5- OC1 I l7 ORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. By:=_ DATE:7 45 - CITY OF COSTA MESA °�/ C P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 71 : :.�,,°. rS `�� . DEVELOPMENT SERVICES DEPARTMENT il e November 18, 2004 Astrid Wetzel 234 E. 15th Street Costa Mesa, CA 92627 . RE: MINOR CONDITIONAL USE PERMIT ZA-04-87 234 EAST 15TH STREET, COSTA MESA Dear Ms. Wetzel: • The minor conditional use permit for the above-referenced project has been completed. The application has been approved, based on the following project description and findings, subject to the conditions set forth below: PROJECT DESCRIPTION • The subject property contains two detached residences, a one-story residence at the front of the property (the subject of this request) and a two-story residence at the rear of the property. The subject residence is a two bedroom, one bathroom unit with a detached garage and room. Although not attached to the main residence by walls, the roof attaches the garage and room. The room at the rear of the garage is 352 square feet in size and contains a bathroom with a sink, toilet and bathtub, as well as a kitchen with sink, counter top, and two sets of overhead cabinets. The bathroom and kitchen were installed without permits, and under code the kitchen constitutes an illegal third unit on the property. The applicant is requesting a minor conditional use permit to legalize the construction as a bedroom by retaining the bathroom, removing the kitchen sink and counter top, and the overhead cabinets closest to the entry door. A condition of approval has also been incorporated requiring a land use restriction be recorded on the property to inform future property owners that the bedroom shall not contain a kitchen and shall not be used as a living unit. FINDINGS A. The minor conditional use permit substantially complies with Costa Mesa Municipal Code Section 13-29(g)(2) in that the proposed use is substantially compatible with the existing use. Granting the minor conditional use permit will not be detrimental to the health, safety and general welfare of the public or other properties or improvements Building Division(714)754.5273 • Code Enforcement(714)754-5623 • Planning Division(714)754.5245 FAX(714)754-4656 • TDD(714)754-5244 • www.ci.costa-mesa.ca.us November 18, 2004 J ZA-04-87 Page 2 within the immediate vicinity. Specifically, the recommended conditions of approval will ensure that the use will not be materially detrimental to the health, safety and general welfare of the public or otherwise injurious to property or improvements within the immediate neighborhood. A condition of approval has been incorporated requiring a land use restriction be recorded on the property to inform future property owners that the bedroom shall not contain a kitchen and shall not be used as a living unit. Additionally, the incidental residential structure shall be served from the same utility meters (electric, gas, and water) as the main dwelling unit on the property. The minor conditional use permit will not allow a use, density or intensity which is not in accordance with the general plan designation for the property. B. The proposed project complies with Costa Mesa Municipal Code Section 13-29(e) because: • The proposed development and use is compatible and harmonious with uses on surrounding properties. • Safety and compatibility of the design of the buildings, landscaping, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. • The project is consistent with the General Plan. • The planning application is for a project-specific case and does not establish a precedent for future development. C. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA), the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. D. The project is exempt from Chapter XII, Article 3, Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. The conditions of approval and ordinance or code provisions and special district requirements of ZA-04-87 shall be blueprinted on the face of the site plan. 2. The applicant may retain the bathroom, but shall remove the kitchen sink and counter top, and the overhead cabinets closest to the entry door. The bedroom shall not be used as a dwelling unit. 3. Any kitchen or kitchenette is prohibited in the bedroom. 4. A land use restriction executed by and between the applicant and the City of Costa Mesa, shall be recorded prior to the issuance of building permits. Applicant shall submit to the Planning Division a copy of the legal description for the property, and either a lot book report or current title report identifying the current legal property owner so that the document may be prepared. 5. The land use restriction shall inform future property owners that the bedroom shall not contain a kitchen and shall not be used as a living unit. 6. The incidental residential structure shall be served from the same utility • November 18, 2004 ZA-04-87 Page 3 meters (electric, gas, and water) as the main dwelling unit on the property. 7. The applicant shall obtain any necessary permits from the Building Services Division. 8. The applicant shall contact the Planning Division to arrange for an inspection of the structure once the kitchen has been removed. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. 9. The applicant shall comply with the above conditions no later than 90 days from the date of the approval. Eng. 10. Maintain the public right-of-way in a "wet-down" condition to prevent excessive dust and remove any spillage from the public right-of-way by sweeping or sprinkling. CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the developer's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections, final occupancy and utility releases will not be granted until all such licenses have been obtained. 2. Approval of the zoning action is valid for one (1) year and will expire at the end of that period unless building permits are obtained and business commences or the applicant applies for and is granted an extension of time. 3. Development shall comply with all requirements of Article 1, Chapter V, of Title 13 of the Costa Mesa Municipal Code relating to development standards for single-family residential projects 4. Any mechanical equipment such as air-conditioning equipment and duct work shall be screened from view in a manner approved by the Planning Division. Bldg. 5. Comply with the requirements of the Uniform Building Code as to design and construction and CCR Title 24 pertaining to "Disabled Access regulations". Eng. 6. A construction access permit and deposit of $350 for street sweeping will be required by the Engineering Division prior to the start of any on- or off- site work. Fire 7. Provide an approved smoke detector to be installed in accordance with the 2001 Edition of the Uniform Fire Code. SPECIAL DISTRICT REQUIREMENTS The requirement of the following special districts are hereby forwarded to the applicant: Sani. 1. Developer shall contact the Costa Mesa Sanitary District at (949) 631-1731 for current district requirements. November 18, 2004 ZA-04-87 Page 4 Upon receipt of this letter, your project has been approved, subject to the above-listed conditions. A copy of the conceptually-approved plans is enclosed. The decision will become final at 5 p.m. on November 29, 2004 unless appealed by an affected party or by a member of the Planning Commission or City Council. If you have any questions regarding this letter, please feel free to contact the project planner, Mel Lee, at (714) 754-5611, between 1 p.m. and 5 p.m., Monday through Friday. Sincerely, /P. • R. MICHAEL ROBINSON Zoning Administrator Enclosure: Conceptually-approved plans cc: Engineering Fire Protection Analyst Water District Building Division 4CITY OF COSTA MESA • '� BUILDING DIVISION >:f-a r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER In PERMIT P05-00277 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 234 E 15TH ST Status: ISSUED • Suite No Applied: 04/19/2005 Issued: 05/27/2005 . Vicinity: BATHROOM � f�/y� Parcel Nunmber: 42533108 ISSUED BY: t "T Applicant: WETZEL, ASTRIb Address: 234 EAST(ISTH ST - . Phone: 949.646.1940 ,;COSTA.MESA,CA -- Zip: 92627 . - . Owner: 'WETZEL,.A§TRID & MIKE; PEYTON, JEREMY / Address. 234 EAST 15TH'ST - ' Phone: 949.646.1940 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER'_. .,. Address:' . - . - ' , • . Phone: Zip: - License: -000000 , SCOPE OF PERMIT - • . • LEGALIZE INTERIOR BATHROOM,CONSTRUCTED A NEW NON BEARING WALL, BATHTUB,TOILET AND . SINK.REF.: B05-00646' PLUMBING TO INCLUDE: 1 WASH BASIN, 1 WATER CLOSET AND 1 BATHTUB. 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 $0:00 - -'0 , ' 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 0Water Heater/vent $0.00 0 Drinking Fountain $0.00 - 0 - - Sink,bar $0.00 .20' 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 - , 7 ,$0.00'-" 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) - $0.00 0 VIOLATION $52.90 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§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 penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the,performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued a1 one hundred dollars($100)or less.) fpO cenity that in the performance of the work for which this permit is issued,I shall not ample)",any person in any manner so as to become subject to the workers' i�' 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-witth hese ygvisions. App i ignat a1/ 22.roc-J4 F� ✓2t-1 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.If Class If Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore 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 exam I under sec. Business end Professions Code for this reason: Sigpatura.. �' `� Dete:S--S' Z — G-r Owinel'I verified by drivers license. Yes 0 NoDn'"ie` Llcensa yo. ExpH res`rresame -•9 . 2- 3 Verification of Ownership by(type 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). O 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)? ❑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 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? IYes No (Section 65850.2 of the California Govemment 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? 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. C �r� P S �� "CSS Sgnature.OHLegdl eqs) adi And/Or Authorized Applicant Date CODE s INSPECTION TYPE • - ' PAIE gnLa CODES INSPECTION TYPE' - - ' • PAT; MALE 1616 Fixed System Final Fire Prevention • 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -c,-05 Zrt 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 _ - 1In y CITY OF COSTA MESA BUILDING DIVISION };f 1. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER rgimO 4 • PERMIT / 10,ovcroo#1. P0k00843 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 234 E 15TH ST Status: ISSUED Suite No Applied: 12/08/2004 Issued: 12/08/2004 Vicinity: GARAGE ' Parcel Nunmber: 42533108 ISSUED BY: /Pa Applicant: WETZEL, ASTRID Address: 234 EAST 15TH ST • Phone: 949-646-1940 COSTA MESA,CA Zip: 92627 Owner: PEYTON, JEREMY Address 234 EAST 15TH ST Phone: 949.646.1940 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch / Eng: Address: - Phone: Zip: License: SCOPE OF PERMIT CHANGE-OUT OF A WATER HEATER IN AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. .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 $0.00 0 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 $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 • Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower - $0.00 0 Water Heater/vent $12.30 1 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 • 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 244846(6/00) DECLARATIONS WORKERS'COMPENSATION DECL"ATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to salt-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 if the permit is valued at one hundred dollars($100)or less.) 0is;1 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 pr isios. ,� n r� Applicant Signature: ,vW�"'-✓" �' -Y Date: /J - 0/ 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# Contractors 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 end 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 toe 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.). ' LI 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 eket uncle sec. Business and Professions Code for this reason: Signature: �u.Y'�✓J ..1 4",C.{-D-IS Date: /.- — r '-d 54 Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: (9/Z✓oc" 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 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). 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 greeter 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 ❑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? 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? ❑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? 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 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 in pection purposes.I agree n t to occupy or allow occupancy of any building authorized by this permit until final inspection. — y ignature Of Legal Ow r(s) Date And/Or Authorized Applicant Date CODE N INSPECTION TYPE ➢9TE INTITIAL@ CODE INSPECTION TYPE DATE 1NTMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �/ �f�i 5 �jL • 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 ADDRE%SOFBUILDING: 234 E 15TH ST UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERINAME IF MOWN:EILAND, MARK PERM NO: IE 076550 4)DRESsi5212 SINGINGWOOD ORANGE,CA 92669 PERMIT NO: IE' 0-76550 PLAN CHECK NO: N GOVT: N SUPP: Y a, APPL.KCMG ADDRESS . CONSTRUCTION TYPE: PERMIT TYPE: ELE 0TH PURPOSE: OTH ARCHITECT OR ENGINEER: UG.NO.: JOB DESCRIPTION : REINSPECTIONFOR EXPIRED G-22514 SQ FT: ARCH.OR ENG.'S ADDRESS: WMT: CLAIM VALUE: - CALC—VALUE: GROUP OCC: R-3 / CONTRACTOR'S NAME CONTRACTOR'SMMUNG COMMENTS : X ADDRESS: UC.NO.: ******************************************************************************* UMT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby Nim under penaky of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commendng with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect. CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dae: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors license Law for the blbwks reason(Section 7031.5 Business and Professions Code:Any cry or county whidi requires a puree to construct,atter,improve, PARKING REQ: PROV: PARCEL: 42533108 Z N E: REF NO: ?,anolmh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she ,-P--.caned pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING N TES> k=;isiness and Professions Code]or that he Of she is exempt therefor and the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permit subjects the applicant toe mil penalty of non more than five hundred dollars lSSWII. ******************************************************************************* ❑ I.as owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure is not intended D E V E L O P M E N T S E R V I C E S R E U I R E M E N T $ or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property Q who builds or improves thereon,and who does such work himself or horse,or thrash his or her own employees,provided that such improvements are rot intended or offered for sale.If,however.the building«'improvement is sold within one year of completion,the ZONINGAPPROVED BY DATE: ownerluilder mil have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as owner of the property,am exdusivey contracting with licensed contractors to construct the petted(Section 7044,Business end Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors Ucens. -w). • / ■ exempt under5ediorBp']044 B.AP.C.,rorlhis ��-' Oft II ILDER APPLICATION ISSUED BY: �_ DATE: - D 21Z.Co �L1C7 Owner: A 1 *************************************** *************AEF*********** ® *. LEGALIZATION:N F E E SUMMARY STRUCTURAL EGME T:N do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.end 25534,and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a panne to construction«modification1mm the A's uWananagement District.Residentit construction eppicatipre are exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 30 . 00 Dale: Apdicant: SO% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:1 hereby affirm under penalty of perjuryone of the followingdeclarations: PLAN declarations: ❑ I have and will maintain acertificate of consent to self-insure ler workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE . Code,for the performance of the workfowhihthispermitisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE o Ihave and wiImernenwwm, kers'compensationirsuranasrequiredbySection3700oftheLaborCede,f«theperd performance TOTALS > 30 . 00 0 . 00 0 .00 10 . 00 30 . 00 00 work for which this permit a issued.My workers'compensation insurance carrier and policy number are: Cartier: ' REVENUE DIVISION TOTALS--> COLLECTED: 30 .00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 4 section need nor be completed it the permit is for one hundred dollars(51001 or less.) 30 . 00 ❑ I certify that in the performance of the work for which the permit is issued,I shalt not employ any person in any manner so as to become subject to the workers'c«npensalbn laws d Catd«nla,and agree that d I shout bec«ne subject to the wakem' *******,***** ******************************************************************* compensation provisions of Section 3700 of the Labor Code,I shalt forthwith comply welt those provisions. Date: Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation Coverage Is unlswtsl,and shall*Woof an employer to criminal penalties and TYPE QTY D E S C R I P T I O- N UNIT COST TOTAL COST civil Inns up to one hundred thousand dollars($100,000),In addition to the coat of compensation,damages as provided for/n Section 37osafthe Labor Code,mroc e+ andaromeyalaes. ELE 1. ELECTRICAL RE—INSPECTION FEE 30 . 00 30 . 00 CONSTRUCTION LENDING AGENCY:I hereby effimr under penalty of perjury that there is a mutmction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,CN.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and sate that the above information is cored.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. • - - MARK EIS _ 1-- :_ ��._ Date:`2_--1-50'`00 Si9naturai. err:genVAPPlrant/ConOacl« (5151-46.WP) White-Buitis&Safety:Green-Fla Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOI 'PA • Date Inspector APPROVALS Permit# Date Inspector t e APPROVALS Permit # 1 o Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement C' - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement _ 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7..Footings ~ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final r.12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning_ - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - - - APPROVALS - Permit# 21. Ducts, in Structure ' - _ 70. Underground Hydro 22. Ducts:Ventilating : •- . 71. Product Piping 0 Gas 0001 - 23. Gas Pipe-Rough & Test . _ - 72. Underground Flush 24. Roof-Framing •73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Shea-thinge- __ - _ 74', Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat - 75_ Dry Chemical 27. Frame and Flashing - - - - 76. Dry Standpipe _i _ 28. Lathing&-Siding > ,- „' 77. . FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV- FINAL 30. Drywall Nailing . - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat : - 79. FINAL INSPECTION - 32. Electrical PowMeter-Final 7 er '80. FOOD CERTIFICATE ISSUED c2/%/ 33. Final Electric . 7, Notes 2 -a ?-Q6 /ocv Q � � 34. Final Heating &Air Conditioning- Ir .�. -. - 35. Final Gas Pipe-Test -. - 36. Hood or Canopy t' - , - • . -37. Final Factory Fireplace ' . ' - 38. Final•Plumbing ` '39. Water Service-Final . a 40. Gas Service-Final • - - - - • - 41. Solar Domestic-Final - 42. Backflow Preventer - 43. Backflow Irrigation - 44. Landscape.irripation System a 45. Sound Attenuation - -., - 46. Handicap Regulations _ - - 47. FINAL STRUCTURE & BUILDING - - - . - 48. FINAL PLANNING ' - n. _ - - - 49. Electric Release to Edison • - 50. Gas Release to Southern California Gas Co - • _ • . 51. CERTIFICATE OF OCCUPANCY ' - . No Date 1 ADDRESS OF BUILDING: 234 E 15TH ST WIT: CITY OF COSTA MESA - BUILDING PERMIT owNEWS NAME IF KNOWN EILAND, MARKPERM NO: IE 076550 ADDRES: 15212 SINGINGWOOD ORANGE, CA 92669 PERMIT NO: IE • 076550 PLAN CHECK NO: N GOVT: N SUPP: Y APPL.MAIUNG ADDRESS: • CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: 0TH ARCHRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REINSPECTIONFOR EXPIRED G-22514 SQ FT: ARCH.OR ENG.'S ADDRESS:"" WIT: CLAIM VALUE: CALC-VALUE: ' GROUP OCC: R-3 / CONTRACTOR'S NAME: CONTRACTORSMAIUNG h COMMENTS : X • ADDRESS: UC.NO.: *********************•******RE************************************************#i#* WIT: Z O N I N G R E Q U I R E M E N T S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect CITY LIC.NO.: UC.CLASS: UC.NO.:r EXP: MAIN BUILDING ACCESSORY BUILDING Date: Contractor: LEFT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT • IN LEFT: FT IN RGHT: FT IN - OWNER BUILDER DECLARATION:I hereby affirm under penalykof perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Basaess and Professions Code:Any city or county which requires a permit to construct,alter,improve, PARKING R E PRO V: PARCEL : 42533108 Z NE: REF NO: temoleh,or repel any structure,prior to hs issuance.also requires the applicant for such permit to file a signed statement that he or she ' licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Diasion 3 of the PLANNING N TES> usiness and Professions Code]or that he or she is exempt therefrom and the bash for the alleged exemption.My violation of Section > 7031.5byanYappiirent for apermd subjects the applicant to a civil penally o nes more than five hundred dollars[5.5009. jE*{(•.N•{E#1E1E1E1E1Eif1f1E1ElE1E1E1E1EdEdE*ih1E1ElE1E1EM'1Pif#iEifiElElfaElFiEifiEiEiEifiElEif1k1E1fiE1E#1(iEifiElEikiElE#1EiE9E#1E1E1fiF1k1(iEd *** • ❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure's not intended D E V E L• O P M E N T SERVICES- REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or bnproves thereon,and who does such work himself or herself or through his or her own employees.provided that such / improvements are not intended oro offered for sale.n,however,the building or improvement is sold within one year ofcomplmun,the ZONING APPROVED BY DATE: owner-builder will have the burden d proving he or she did not build or improve for the purpose of sale). I 0 I,as owner of the properly,am exclusively contracting with licensed contractors to construct the proles(Section'7044,Business and DATE: Professions Code:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who BUILDING APPROVED BY : contracts for such projects with a contraaor(s)licensed pursuant to the Contractors Lioens .w - -- h ` • I ptunderSectionBP7044 B.&P.C.,for this ,_.._,n:0 r -:1rLDER APPLICATION ISSUED BY: /�--- DATE: Ci 6 !Data: 2^''2,Co-�1(C1 Owner_ 1 *************************************** ************************** ® ** l LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGME T:N do hereby certify that I am aware of and understand the requirements of Calomia Heath end Safety Code Sections 25505,25533,and ,/ 25534,and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Airuulny Management Diaries.Residential conmuabn applications are exempt from these BLDG PMT• PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. • PERMIT 30 . 00 ' Date: Applicant: 503 SMIP/NON-RES • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjuryone of the following decimations: PLAN o I have and wil maintain a certificate consent to see-insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE maintaino BUILDING Code.for the performance of the work for which thispenniisissued. > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave and wamaintaiworkerscompensation insurance,asrequired bySecion3700of the Labor Code,for the perfomanceome TOTALS-- > 30 .00 0, 00 0 .00 30 .00 30 .00 . 00 work for which this permit is issued.My workers'compensation insurance carder and policy number are: • Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 30 . 00 OVER/SHORT: .00 policy Number.. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN-CHECK ;his section need OW Le complexed d the permit is for one hundred dollars(31001of less.) 30. 00 o I ceniy 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 compensmion laws of California, and agree that 7 I should become subject to the workers' ******************************************************************************* • compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Data: Applicant: Warning:Failure to secure wolf we'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY D E S C .R I P T I 0 N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000),In addltbn to to cost of compensation.damages es provided for In . Section 3706 of the Labor code,Interest,and attorney's leas. ELE 1. ELECTRICAL RE-INSPECTION FEE 30 . 00 30 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a oonanraion lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097.Ch.C). • LENDER'S NAME: LENDER'S ADDRESS: I certify,that I have read this application and sate that the above information is correct.I agree to comply with all city end county ordinances and state laws relating to buildug construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 01 00201274-00201274 TOT 30,00 MARK j&A1e}D- -- DATE: 02/26195 TIME: 14408 - 1 - r P-nt Name - Date: )...(.0-`{( s ' S:gsstmaof.Owner/Agent/APplicantConlractor (5151-46 WP) While-Buifdvg 8 Safety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor • - - Applicant to fill in all spaces except those w\lthin heavy border lines and sign all appropriate declarations. ,PLN ' ITY.OF COSTA/�1/J�ESA�/ CO ST UCTIOPERMI,T� gin. NO. �L'45/4 R C O. - Lois. UNIT ��• 13. ' Project Aidresa /' 34 r /b l/ Sr/_ C ! . — �� . Applicant's Mailing Address ib DG R/Ke.�16 91,E /72.02' TYPE OF CONSTRUCTION NEW U ADD U ALTERATION LI REPAIR j Jay t�U /Zl� [-.1 CONVERSION ❑ DE OLISH ❑ OTHER A.P.# y��'�,31.� Q�• Zone K�a- 'Owner' Mame DMFS L r E/L..9ti0 Phone J 41P W • 3 D SCRIE710N OF WOR1U.11SE OF BLD _ , e- , Address /214, J d {� ^ p _ Co.. a of O S Main Building: )� Accessory Building: z Arch/Eng. C//4 rif t• ✓ t. License No. `_3R•7 TYPE OF PERMIT I. GRADING S FOUNDATION N STRUCTURAL T Front /�^1//t! / /ale I/Cpt Ace 0 Address /5 93 - 1ci MAI ,vsn� 26 6 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBINGgq ❑ MECHANICAL `/.� B Rear /,Y" / J - - _ N ❑ .OTHER 20 . 1�/ 84 Ittauy S<a 7/ /! N ` Contractor's Name. _ Phone C Right Address(mailing) PROJECT DESCRIPTION. SQ. FT. /j 2i 3 OCC VPAN V K CONSTRUCTION TYPE J[ VALUATION$ S7 S Left 5 G City License No. ZONE GRADING CU.YDS. ACRES - f�Q �1 / E LICENSED CONTRACTOR DEC ARATION Ping. Ref. LI )�y— I Parking Req./Provided L 2 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: pc, E t -2/3. 20 pa . 7/q/ie� Planning Notes: /J{/// Qx Q• fl with section 7000) of Division 3 of the Business and Professions Code, and /]/ L��,� "'^^^^T"'.LPP/G�4PP000LS�[�l,yam . T my license is in full force and effect. PC, SAp ' B.SS' �"�`"s•"-C ��c• �/`� '�� S License Class License No. Date Signature PLUMBING FEES �(,2Bq AOin Frig corr.' orC ,WORKERS'COMPENSATION DECLARATION bar Sink Showers ELECTRICALre•1nL'4L111J FEES '.hereby affirm that I have a certificate of consent to self-insure or a certificate if Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer ,Service.Sink - 0 3800, Lab. C.) / Automatic Washer. Transformer 0 15-50 KW Policy No. - Company _ Backflow Irrigation 'Sewer Cap ,� Construction Pole'Sub. 0 50+KW El Certified copy is hereby furnished. - , • - - - 'L ' Certified copy Is filed with the city Building Division. / Bathtubs •.Sewer Connection T •, Cooking Unit 1 Meter LHup to 100 amps •C7 Date - Applicant . - -• i . EXEMPTION FROM WORKERS'COMPENSATION.DECLARATION Clarifiers • Solar,Collectors 2 /- Dishwasher . Meter Dover 1008mp5 / pp (This section need not be completed if the permit is for one hundred ($100)or . / Dishwasher • less). 'Solar.Piping ^, 09 Dryers as ❑Electric Sub Panel ., I certify that In the performance of the work for which this permit is Issued, I ,r shall.not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank - Fan / Workers' Compensation Laws of California. n•' - I Motors❑0-1 HP ❑1'h-8 / J . Date Signature '- Floor Drains' Swimming Pool w/Spa / F.A.U. Ina Solar 09-15 HP 016-15+ 'NOTICE: If,after making this declaration,you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks , - Urinal Fixtures - comply with such provisions or .this permit shall be deemed revoked. • / • Microwave 00 CONSTRUCTION LENDING AGENCY Gas Service Outlets a Water Closet 4/ OO _ , I hereby affirm that there is a construction lending agency for the performance p Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors / Water Heater 2 00 6' Outlets -+I / Range /Q 20 Lender's Name Lender's Address HOA./E' - / Kitchen Sink Water Service 2 0J b Switches• ' Sign 3 ZO OWNER BUILDER DECLARATION / I hereby affirm that I am exempt from the Contractor's License Law for the a Lavatories 4 Auto-Wash 01/ Garbage Disposal ^ Standing Sections / .0 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-6-KW 0.5-15 KW Trash Compactor any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions-of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of - - ''vision 3 of the Business and Professions Code) or that he/she is exempt _ , trefrom and the basis for the alleged exemption. Any violation of Section •i -' • 131.5 by any applicant for a permit subjects the applicant to a civil 1 penalty of not more than five hundred dollars($500). — I - LJ I, as owner of the property or my employees-with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ' t compensation, will do the work, and the structure is not intended or offered 1 - Reins $15 _`_i. •I. $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES~ " License Law does not apply to an owner of a property who builds or improves �� DEVELOPMENT-SERVICES REO UIREM�N, TLSr' /� /' ...ire` ''"1/:' � e thereon, and who does such work himself/herself or through his or her own Boiler / Hood or Type ❑ (�(-�,� employees, provided that such Improvements are not intended or offered forVP / i �0 . H. f' ''' 11' • sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type H. (N Zoning'Approved•By- !� �.J'� Date / pletion, the owner will have the burden of proving he/she did not build or im- , Duct-Under Ground Building Approved By et J • K.�� Date/2 20//�S r ve for the purpose of sale). ��/f�2 /Z;�1/ -pf ,1 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Applieation'Issued By Date ! V /tors to construct the project (Section 7044,Business and Professions Code: ' • The Contractor's License Law does not apply to an owner of property who Duct-ventilating 00-100,000 BTU 0100,000 BTU ,I S V OF FEES builds or improves thereon,and who contracts for such projects with a con- �/ • tractor(s) license pursuant to the•Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration r ' BUILDING PERMIT' $ •Ce SMIP $ T. g2 proof of their Worker's Compensatlo surance should be provided to me. 'PLAN CHECK $ ----�11��//------ PERMIT 0 I a xempt under gSe�ction B.& C r his reJayn Firepl/Pati.Bit. ICBO# Fire Dampers ' PLUMBING $ ISSUANCE $ (Owner C � ' // /I(,pwner -019/4", KJ ^"�7 / He9ting System& Ducting I Registers Lb DD PLAN CHECK • 25% $ '7 O ENERGY P.C. $ I he by certify - at I have read . application and state that the above 0-100,000 BTU 0100,000 BTL `ELECTRICAL L 6-, /00 GRADING $ information Is correct. I agree to c•• ply with all city and county ordinances _^ , ,,.w$ and state I. s relating to buil.'n•' ruction, and hereby a orize repre- • PLAN CHECK' -50% $ 30 MICROFILM $ sentatives this city to e• Cr pot the a••ve-mentioned roperty for 'PlSignatu�e ,t is ./ / Date - ,MECHANICAL rr.• $ / DO TOTAL FEE $ 40 •67 ;7 /94h -cense or SS* `— ' - Reinspection Fee $15 Issue Fee $ 3 [ ;PLAN CHECK, 25% $ /. 75 CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor u . •' CONSTRUCTION AND PLANNING - POO ,PA Date Inspector Date Inspector _ •APPROMALS Permit# APPROVALS Permit# - P. 1. temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. V/y/ ,,›Ree4f' 53. Steel Reinforcement fr 3. Electrical Conduit Utility-Undrgrnd. 54. Forms r 4.,Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rdugh Plumbing& Pressure Test - 6. Electrical UFER Grnd.. . 57. APPROVAL TO COVER-GUNITE 7..Footings ' . .y/3/f..4 p� 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water'Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DE K. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. SewerCap• 63. Heater & Vent-FFF///anal . 13. Roof•Drains' -1, 64. Plumbing Syst, m - Final 14. Rough Plumbing 7/17/ yirC 65. Electrical-Firhl 15. Rough Electrical-Conduit 71'0 TY 1,�_1 66. Sol�r.Sy.s -Final 16. Rough ElectricoA Wiring S)4aD -�- r nG. 67. cin A cess Approval '�} . 17. Rough Wiring Sign 68. AP R VED FOR PLASTERING ,18. Rough Electrical-T Bar Ceiling , 69. PO L/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning g/S-/'L ,ppC IRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ ' 21. Ducts, in Structure 70. Underground Hydro 2*.•,Ducts• , Ventilating , 71. Product Piping 0 Gas 0 Oil 2 .•., GasPipe-Rough &-Test 11 ,72. Underground Flush h. 24.`Roof Framing • 6 73. Undergrnd.Storage Tank LI Gas 0 Oil 25.Roof Sheathing /1310 �74. Overhead Hydro • 26.,T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical 27 ) Frame and Flashing fhb it 76. Dry Standpipe 28. Lathing& Siding i / / 77. FIXED SYSTEM FINAL 29: Insulation (1 516 t, 78. FIRE PREY. FINAL 30. Drywall Nailing' - ' . . 06 \Os' HEALTH DEPT. REQUIREMENT 31..Plaster Brown Coat f " •.... 79. FINAL INSPECTION j . 32. Electrical Power,Mefec-Final • 0 80: .FOOD CERTIFICATE ISSUED 33. Final Electric • t7 ( U Notes: 34. Final Heating & Air Conditioning .%/0 fe ( / .q --� �I i � 'p"4J�.I OR SPECIALAREQUIREMEit'is / �// 35. Final Gas Pipe-Test 7' - 1/6s/?r� ��' 41SL 2. dal QOUIN�S �c�K,e K�7( Y il 36. Hood or .. . , •••- , / /�y�� Q t/ %��AIL/ 37. Fi,^,(�,hFactory'Fi�eplIce ' ,;/- • - - Y•••,*'_ 38. Final Plumbing.' . .007Ji3'C t'�r/�L/APtl ` tef YA.57--A � 39. Wager,Service•Final ' ` !!l1(tile g" i-v, ,...., , a�� ' � 40. Gas Service-Final ,I�' . i%j/f� /j/' /gJ Stag/10- 0k- �� 41. Soldr'Domestic-Final .ii/l i. 42. Backflow Preventer �, _ '' r I.. ✓ 43. Backflow Irrigation r;',, hi . 44. Landscape Irrigation System• 'ter - 45. Sound Attenuation rl: 46. Handicap Regulations 7,' i 47. FINAL STRUCTURE & BUILDING S�1 lei o- 48. Special Requirements Completed i 49. El rid Release to Edison 1 '• 50. Gas Release to Southern California Gas Co . . - 51. CERTIFICATE OF OCCUPANCY ' No. Date • • . r I ( CITY OF COSTA MESA 8139 1/27/86 66100F TL PARK FEES nn.��'',, G Fee Payment Receipt 001023 234 E Project Address . 15th 01- AP. tA.P. Number LI 2-5 — 33/ — 05 • Building Permit Number Itx3.` ,., �,( Owner's Name JO S4 /LLVY ,/q// ��++ Mailing Address /t0(YP Tdtlf— P/Q.P. itt.KL 4 ( M 92.427 FEE: Single Family * Number of Units 2-Bedrooms or Less @ $ 861.76 = • 3-Bedrooms @ 1,205.67 = 4-Bedrooms @ 1,545.62 = 5-Bedrooms + @ 1,810.50 = Multiple Family ** Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = 2-Bedrooms / @ 881.51 = •5 3-Bedrooms+ @ 1,229.38 = • Lia * f/ Total Fee *** 81.5/ Planning Department Approval Date /N' 2..0.85ay uthavvonolullityku Applicant's Signature * City Ordinance 72-44 " City Ordinance 72-'"- ••• City Resolution 78-116 • ,,�jl`��(7n:�T� l(,B,�I CMF 0174-30,rev.7/85 White—Planning;Caner, .anning;Pink—Finance;Goldenrod—Applicant lNlll/l:.J1�VU • 9741v4 3C i 2 l7 �j�/� V • //O l VaaM1 ) Af sat-14j ,r7/ti °lr f Afri,,c6 cft1741 � � City of Costa Mesa INSULATION CERTIFICATION . Building Safety Division - Number and Street City County Subdivision Lot Number �> l. /DESCRIPTION OF INSTALLATION/�/�Q ' ROOF f—I�i�-< 7 G�.�S_ ! //� N!/L �-f Material Brand Name Thickness (inches) W r Thermal Resistance (R Value) /2 n — 17 EXTERIOR WALL/ ,(/�,/� Atkit!'� Thickness (inches) /Z it Thermal Resistance (R Value) _._ A? — 1� CEI LING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag lb. Area Covered (ft2) Thermal Resistance (R Value) FLOOR, ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material cool /ZJC rn Brand Name Thickness (inches) y U Thermal Resistance (R Value) - - Width (inches) FOUNDATION WALL Material C dN G 25 t.6 Brand Name Thickness (inches) f 2 Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). General Contractor(Builder) License Number Signature and Title Date //VC-LL) / 4,56i 44 N 3.;4/G if Sub Contractor(Insulation Applicator) License Number Signature and Title Date CMF 1106-46 00"1/4.9 CITY OF COSTA MESA 0- 0:'. CALIFORNIA 92628-1200 P.O.BOX 1200 F ! a e 411Ir J.`., •a' DEVELOPMENT SERVICES DEPARTMENT ciecr p �. January 24, 1989 CERTIFIED MAIL Mr. and Mrs. James Eiland 234 East 15th Street Costa Mesa, CA 92627 Re.: SATISFACTION OF CONDITIONS FOR DR-85-19 234 EAST 15TH STREET, COSTA MESA Dear Mr. and Mrs. Eiland: On December 21, 1988, I wrote you a letter informing you that the conditions of approval of the above Development Review had not been satisfied, despite the occupancy of the unit that was approved by this application. In the last letter, I listed the items that still needed to be completed and requested that you resolve these matters as soon as possible. I am writing this letter because I never heard from you as to when these items would be cleared. Consequently, I have no choice than to forward this matter to the Building Division for legal action. Sincerely, uuu0 LLA BOUWENS-KILLEEN Senior Planner WBK(2234E15T) cc: Bill Howard, Asst. Dev. Svs. Dir./Bldg. V Code Enforcement/Business License (714) 754-5234 Building Division (714) 754-5626 Planning Division (714) 754-5245 77 FAIR DRIVE