The URL can be used to link to this page

Home My WebLink About466 16TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626 Job Address: 466 E 16TH ST Suite No Vicinity: Parcel Nunmber: 42515103 Applicant: ANDRONESI ,IERONIM Address: 466 E 16TH ST COSTA MESA, CA Owner: ANDRONESI ,IERONIM Address 466 E 16TH ST COSTA MESA, CA " - Contractor: OW NER-BUI LDER Address: - Phone: 949-645-3234 - Zip 92627 Phone: 774-292-9667 � Zip: 92627.. . .. Phone: Zip: License: 000000 iSSUED BY: Status: I SS U E D Applied: 09/272005 Issued: 09/27/2005 SCOPE OF PERMIT ; ADD 1,3t9 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: ADD 439 SFFOR 2 BEDROOMS AT THE ' ( FIRST FLOOR AND A NEW 2ND FLOOR 880 SF RUMPUS ROOM AND MASTER BEDROOM . ADD NEW � WINDOWSlN THE GARAGE. REF.: BOS-00925 - � ISSUE FEE Temp service test � Res. a/c packa9e New Res (1-2 units) � New Res (3+units) Pool / Spa LightingFl�Rs Recept Outlets Switches Non Res Appl Res Appl `. .. . Service to 200a Service to 1000a Service over 1000a Mofors to 1hp Motors to 10hp Molors to 50hp Molors to 100hp Molors over 100hp Communitation drops Sub panel to 200a Pole Light pkg Sign Circuits Temp Pwr Pole Inlermed Pole ELECTRICAL TO INCLUDE: 6 LIGHT FIXTURES, 15 OUTLETS, 10 SWITCHES AND t SUB PANEL TO 200 AMPS. - - � $23.50 ' $0.00 $0.00 $0.00 $0.00 50.00 56.60 $16.50 $11.00 $0.00 $0.00 $0:00" $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' $30:50 $0.00 ' so.00 $0.00 $0.00 Quantiry 0 0 0 6 15 10 0 0 0 0 0 0 0 0 0 0 0 ' 0 0 0 0 FEE SUMMARY . Temp Dist System / Lighting � Busway/100fl Standing�Section. Misc Electrical Equipment Transiormers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit , . Misa Condudor .� � Circus ( gen o[ ride) � Circus (mech ride or lights) Christmas T�ee Stand Fireworks Stand ' Other Electrical Fee Investigation Fee Plan Cfieck Fee Reinspection Fee Quantiry�� , $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 �$0.00 0 = $0.00 0 $�.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATED�FEES 588.10 COMMENTS / SPECIAL CONDITIONS NOTICE: 7he work authorized by this permit shal! comply witn all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) � EXPIRATIpN: 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. B' INSPEC71pNS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codea'fand all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot� permit. FOR INSPECTIONS CALL: (774) 7345626 _ zaae�ae �e�oo� WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penalry oi perjury one of the following declarations: . ❑ I heve entl will meintein e cenHicate of cron5ent to selFlnsure for workers' compansation, as provi0etl tor by section 3700 ot Ihe Labor Code, for Ihe peAortnance o1 the work for which Ihis permit Is issued. � ❑ I have antl will maintain workers' compensation Insurence, as requiretl by section 3700 of ihe Labor Cotla, for the perfortnance of the work for which this pertnit is issued. My workers' compensation Insurence carrier entl policy num6er are: Carrier: Policy Number: (Tbls section need not 6e complefed il the permit is veluetl et one hundred dollars ($100J or Iess.J � I ceriify that in ihe peAormence o�e� ork for which this pertnit is issued, I shall not employ any person in any manner so as to become sublect b the workers' compensation laws of Calii rni , d ag e thet if I should become sublect to the workers' compensatlon provislons of Saction 3700 ot Ihe Labor Code, I shell forihwith comply with ihese provisio . Av� — Applican�Signature: / oeca:� ��a--7—,(J,� WARNINQ: FAILURE TO SECURE WORKERS' CAMPENSATION COVEIiAGE I UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIWSL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF COMP tION, DAMAGES AS PROVIDED WR IN SECTIqJ 3]Ofi OF THE LABOR CADE, IMEREST, ANO ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Protessions Cotle, and my license Is in tull torce antl eflect. Lia # Class e Contractors SignaNre: Dete: CONSTRUC710N LENDING AGENCY: ❑ I hereby eifirm that there is a wnstmction lending egency for ihe performance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Address: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby aHirm that untler penelry of perjury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe Following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a pertnit m construcL alter, improve, tlamolis�, or repair any structure, prior to its issuance, also requires Ihe appliwnt for such permit b tile e signed statement ihat he or sha is licensed pursuant to Ihe provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Dlvlsion 3 oi the Business end Protessions CoOe) or ihat he or she is exempt therefrom and t�e basls for the allegetl a:emption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penelry of not more ihen tive hundred dollars ($500).): . ❑ I, es owner of ihe property, or my employees wi�h weges as iheir sole compensation, WILL DO THE WORK, and ihe struc�ure Is not iniended or oflered for sele (Sec. 7044, Business and Professions Cotle: The Contrac�ors License Law does not apply to an owner of property who builds or improves thereon, and who tloes such work himseN or herseN or through his or har own employees, providad that such improvemenis are not intended or offered tor sale. If, however, the building or improvemen� is sold within one year ot completion, the owner-builtler will have the burden of proving that he or she did not build or improve tor purpose of sale.). � ❑ I, es owner oi ihe proDerry. am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions Cotle: The conire rs License Lew tloes not epply to an owner of property who bullds or impmves Ihereon, and who contracts for suc� projact with a contractor(s) license pursua th Contractors License Wws.). ❑ I em exe er 5 c. Business and Protessions Cotle for this reason: Slgnalure: ii1J�/LE � � �_ Expires: 0 Vedtication of Ownership by (type of document, i.e. - propetly taz �ill or tleetl): DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ I hereby certify ihat no excevation tive (5) or more teet in depih into which a person is required to descentl, will be made in connection with work euthonzetl by this pertnit, and ihat no building siructure, scaHolding, talsework, or demolition or tlismantling Ihereot, will be more then �hirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calilornia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom fhe Division of Industrial Safety, es noted ebove, unless such person hes a parmit ro do such work irom the division. Signature: Date: Division of Indusirial Sefary Permit Number: CERTIFlCATE OF COMPLI AND AUiHORVATON OF ENTRY: I certify under penalty oF perjury ihat I have read Ihis application and state that the infortnaiion given is correct. I egree to comply ' I tate laws antl city o�tlinances relating to building consimction, and authonze representatives of the Ciry of Costa Mesa to enter upon ihe ebove-described propgll � s tion u� � gree t to o�y or allow occupency of any building authorized by ihi��rmil nti�nal�ction. \ � ) ) / � SignaWre 611�iJ31�OwnHt(s)— � Date And/Or Authorized Applicant Data CQOE t. INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 126fi Pool Spa Final 200 Final Re-Root 201 Final BIocWRataining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QdjE I RL CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy P� 1t�45 � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.��pLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 466 E 16TH ST Suite: Vicinity: Primary Occ: R3 Parcel rvumber: 42515103 Applicant: ANDRONESI, IERONIM Aqdress: 466 E 16TH ST COSTA MESA, CA Owner: ANDRONESI ,IERONIM Address 466 E 16TH ST COSTA MESA, CA Contractor. Atldress:' Type of Construction: V-N Zoning: Phone: 949-645-3234 Zip: 92627 - . Phone: 714-679-0309 Zip: 92627 � Phone: ISSUED BY: Status: ISSUED Applied: 06/08/2005 Issued: 09/27/2005 Zip: License: Arch : Eng: DONALD INMAN Address; - Address: 2015 S SHERBOURNE DR Phone: - Phone: 310-836-8427 Zip: License: L.A.,CA 90036 License: C11888 SCOPE OF PERMIT ADD 1,31g S.F. TO EXISTING S.F:D. WORK TO INCLUDE: ADD 439 SF FOR 2 BEDROOMS AT THE FIRST FLOOR AND A NEW 2ND FLOOR 880 SF RUMPUS ROOM AND MASTER BEDROOM . ADD NEW WINDOWS IN THE GARAGE. ' � - � � � Plan Check: $729.66 Permit: $1,122.55 SMIP Res: $12.29 SMIP Com: $0.00 Other: � $0�.00 Inspection: $0.00 7otal: $1,864.50 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0-0 PARKING Existin : o Rear 0-0 Rear 0-0 Reouired: 0 FEE SUMMARY Calc Vaivation: siz2,a�s.so Claim Vaivation: so.00 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 �� " Right - 0-0 Proposed: 0 • NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Qrd. No. 92-28, § 1, 12-21-92) EXPIRATION; This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 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 requiretl Inspectlona and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of t/hi�s�p'ermit. FOR INSPEC710NS CALL: (714) 7545626 E/ za+aae �aroo� WORKERS' COMPENSATION DECLARATION: • � . I hereby eXirm under penalty of peryury one oi ihe following declarelions: ' ❑ I have antl will mainiain a cenificate ot consent to sell-Insure for workers' compensation, es provided for by section 3700 of the Labor Cotle, for the paAormance of the work for which ihi5 permil Is Issuetl. - ❑ I have and will maintain workers' compensation insurance, es requiretl by seIXion 3700 of the Lebor Code, for the pertormance of ihe work for which Ihis pertnit is issuetl. My workers' compensatlon Insurance carrier and policy number era: �! Carnec �" "" ' •- ' Policy Number: (Th/s sectlon need not be completetl i/ the permit is velued et one huntlretl tlollars ($100) or less.) hcertiy Ihat in the pedormanc oi the work for which Ihis permit is issued, I shall not employ eny person in any manner so es to become subject to the workers' f� compensa�ion laws of C�i , end agrea that it I shoultl become su6ject b the workers' compensalion pmvisions oi Section 3700 of lhe Labor COCe, I shell forthwith comply with these pro ion ApJplicem Signature: ./��L_ . � r�ate:_ g I��/i�.S 'WAqNiNO:FAILURETOSECUREWORKERS'C/JMPENSATION ERAGEISUNLAWFULANDSHALLSUBIECTANEMPLOYEA.TOCRIMINALPENALTIESANDGVILFlNESUPTOONEHUN�RED �TFIOUSANO DOLLARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATIqJ, DAMAGES PS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATfORNET"S FEES. LICENSED CONTRACTORS DECLANA710N: I hereby ettirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professions Code, entl my license is in tull force entl eHect. Lic. # Class # Con�rectors Signa�ure: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aftirm ihat ihere is a construction lentling agency for ihe performance of the work for which ihis permit is issued. (Sec. 309'7, Civil Cotle). Lender's Name: LendaYs Atldress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that under penalry of perjury ihat I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, eusineu and Protessions Cotle: Any ciry or counry which requires e permit to wnstruct, elter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicant tor such pertnit ro file a signetl statemem t�et �e or she is licensed pursuant to Ihe provisions ot the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Protessions Code) or thet he or she is exempt Ihereimm and the basis lor t�e alleged e:emption. Any violation of Section 7031.5 by any epplicent Por a permit sublects the appliwnt to e civil penalry of not more than five hundred Aollars ($500).): . ��J, as ownar of ihe property, or my employees with wages as iheir sole compensation, WILL DO TXE WORK, and ihe stmcwre Is not intendetl or oflered for sale (Sec. ..'�-�-7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of propeny who builds or improves Ihereon, and w�o does such work himselt or herselt or ihrough his or her own employees, provided that such improvemenis ere not Intended o� ottered for sele. If, however, the building or improvement is sold within one year of completioq the owner-builder will have the burdan of proving that he or she tlitl not build or improve for purpose ot sele.). � ❑ I, as owner of ihe propetly, am E%CWSIVELV CONTRACTING WITH UCENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business antl Professions Code: The c ntwctors License Lew does not apply to en owner of propeny who builds or Improves thereon, and who contrects for such project with e contractor(s) license � nt to ihe CoNrectors License Laws.). I am d sec. Busineu end Professions Cotla for this reason: ��.�.� ��igna - NLLE� '� :...�.DaleT-' �% P.i -- i.�----'— __ Oviner ID venfied by dnvers licensa Yes ❑ No Dnver's Licerea No. ' Expires:• � Vedfication of Ownership by (type of docu ent,'.e. - pmperry tez bill or deed): �-^- � ;"'—' }� DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavetion tive (5) or more fee� in depih into which a person is requiretl to descend, will be made in connection with work euthonzed by t�is pertnit, end that no building simcture, scaHolding, falsework, or demolition or tlismantling ihereof, will be more ihan Ihirty-sia (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title B, Calitomia Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would raquire a permit trom the Division of Indusirial Safety, es noted above, unless such person has a pertnit lo do such wark from the tlivision. Signeiure: Da�e: Division of Intlustnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury that I have read this application and state that t�e infortna�ion given is correct. I egree to comply with ell laws and city ordinances relating to builtling consimction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon the above-descnbed properry for iR eo' n prposes. I agree not to occupy or aliow occupancy of eny building authorized 6y this permit until iinal inspection. r` - �i-1as-� � E� : � O�i'/�- ,7�� ,.Sig. ureOfiegafOwner(sy'� • Date,� _ AnNOr Authonzed Applicant Date COOE 1. INSPECTIONTYPE 1616 1266 200 201 202 203 Pixetl System Final Fire Prevemion Pool Spa Final Final Re-Roof Final BIocWRetaining Well Final Fadory Fire Place Final Sign 204 Final Demolition Q� INTRULS COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 2tt Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy Qeff, INIRULS �%, � .. . NEWPORT-MESA UNIFIED SCHOOL DISTRICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 781 To: (�) City of Costa Mesa ( ) City of Newport Beach ( ) Counry of Orange . , Applicant: /� ��/ � �� N4 5629 Distrid Receipt No. Plan Check No. �Jr' Address: � �T(�� / � � � ' `� - �� `�� Telephone Number�� " q� w T� `� `—� � TracUParcel and Lot Number(s): Location of Number of Square Feet of: Residential Space Commercial and Industrial Space �. CommerciaUlndustrial Projed is: (Check One) _ Warehouse _ R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial _ This project is exempt because �1 � /'� ' < I3r� x 51.84 z E .30 _ Motel Bank _ Neighborhood Shops _ RacqueVHeallh _ Hotel Medical Office Oi�ce Park �J , '-/ . /�� / 7ota1 � � �� Total Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school fadNty fees in comptiance with Government Code sections 53080 and 65995. The Building Permi� for this square footage in Mis proposed development may now be issugd by your jurisdic8o�. Checks aie to be made payable to NewpoA-Mesa Unified Schooi Disfict. By: AWwrixad RapreseNadve The above representaUon as to square footage is We. Appticant agrees that ii it is later detetmined that such representations are not true, then this certificate shall automatically terminate and fhe appropri t County shali be notified. Dat . � o� � `r/ \ �� lMf � / npp�C.m � -- (714) 754-5273 • Fax (714) 754-4858 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 � M CNYkNICA ER IT �ob Address: 466 E 16TH ST- Suite No Viciniry: Parcel Number: 42515103 Applicant: ANDRONESI ,IERONIM Address: 466 E 16TH ST COSTA MESA, CA Owner: ANDRONESI ,IERONIM Address: 466 E 16TH ST COSTA MESA, CA Contrector: OW NER-BU I LD ER Address: Phone: 949-6453234 2ip: 92627 Phone: 714•292-9667 Zip: 92627 Phone: Zip: License: 000000 Status: ISSUED Applied: 09/27/2005 Issued: 0927I2005 ISSUED BY: SCOPE OF PERMIT ADD 7,379 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: ADD 439 SF FOR 2 BEDROOMS AT THE FIRST FLOOR AND A NEW 2ND FLOOR 880 SF RUMPUS ROOM AND MASTER BEDROOM . ADD NEW WINDOWS IN THE GARAGE. REF.: BOS-00925 MECHANICAL TO INCLUDE: 1 REPAIR/ALT COOLINGMEAT, 2 FACTORY FIREPLACES AND 4 VENT FANS. ISSUE FEE Inst FAU <100 k QTU Inst FAU >100 k QTU Repair/Alt CoolingMeal Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood wlMech Exhaust VAV Box Ven� Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Venl Air Handlers < 10000cfm AirHandlers> 10000cfm FloorFurnace Floor or Suspend Heater 523.50 30.00 so.00 513.70 $0.00 50.00 30.00 50.00 527.30 50.00 $0.00 529.00 so.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 Quantity FEE SUMMARY Rapair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncinerato r Domes�ic Incinerator Comoressors I Absorotion Svstems Uplo3hp/100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU ilers Uplo3hp 3To15hp 15fo30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Quantity so.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 80.00 0 $0.00 0 50.00 0 50.00 0 so.00 0 50.00 0 50.00 50.00 50.00 587.50 NO710E: The wbrk authodzed by this permit shall compty wiih all applicable harWicap access requ'iremenis urMer Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or aba d ned for a period ol 180 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must wmply vrith all applicable es, and all requlred Inepeetiona and Ilnal approval musl be obtainad. Failure to obtain inspections and final approval will result in the expiration oi tFiis permit. FOR INSPECTIONS CALL: (714) 7545626 za+asn�aoa� WOHKERS'COMPENSAnON DECLARAnON: I hereby aHirtn under penalry oi per�ury one ot Ne following deGarations: ❑ I heve entl will meintain a certificate oi consent to sell�lnsure tor workers' compensetion, es proNCed for by section 3700 of the Labor CaAe, tor the pertormance ol ihe woM tor which this pertnit is issuetl. ❑ I heve and will maintein workers' compensatbn insuranca, es raquired by 5ectim 3700 ot the Le6or Code, for tha pertormance of Ihe vrork tor whiU NI5 pertnit is issuetl. My workers' compensation Insurance carrier and pdi�y number era: Certier. Policy Number: (This secfion neetl nof be comp/efed i! fhe pemti! is vs/ued et me hunOred dW/ers ($100) w less.) '�_ I certity thet in ihe pertortnance of t woAc br whic� tMs permit is IssueA, I shall not employ any Dereon in eny manner so es to bacome sub�ect ro the workero' canpensetion laws of Calitomia a ee Ihat if I should became suD�ect to the workers' campensetlon provislons ot Sectlon 3700 of the Lebor Coda, I shell torthwith compty with t�ese proNsions. q� / Applltant SlpnaWre: �- W�._� . Dete: _Q / a' � � `!' WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAC 5 UNLAW FUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PEW�LTIES AND CML FlNES UP TO ONE HUNDRED T/IOUSAND OOLLARE (5100,000), IN RDDRION TO TME COST OF COMP SATON, DMNGES AS PROVI�ED FOR IN SECTION 7/OB OF THE UBOR CODE, IMEREST, AND �TTORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I hereby effirm thai l em Iicensed under provlsions oi Chapter 9(commencing with Sectlon 7000) oi DMsion 3 0l the Business and Prolessions CoOe, end my Ilcense is in lull torce end ettect. Llc. q Cless x ContrecioYs Slgnature: Date: 'I CONSTRUCTION LENDING AGENCY: ��. ❑ I �ereby effirtn ihet ihere is a construction lending egency tor the peAormanca ot tha work lor which this permil is Issued. (Sec. 3097, Civll Cotlej. '�, Lendars Name: Lentlers Address: '�.. Signatura: Date: OWNER-BUILDER DECLARATIONS: I hereby eftirtn that under penalry of perjury thei l em E7(EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reasan (Sec. 7031.5, Business entl Profassions Code: Any ciry or counry which requires a permit to construct elter, improve, demWish, or repair any strucNre, prior to its issuance, elso requires Ihe applicant tor such pertnit to fla e slgneE statemeni that �e or she is licensed pursuant to ihe pmNsions of the Contractors Llcense Law (Chapter 9(commencing wit� Sectlon 7000) o} Division 3 ot Ihe Business end Pmtessians Cade) or Nat he or sha is exempt Nerefrom and tha besis tor the allegetl e:emption. My vidation of Section 7031.5 by any epplicant for e pertnit subjects the epplicant to a civil penalry at not mare than tive hundred tlollars (5500).): �{�] I, as owner ol Ihe properry, or my employees with wages es t�eir sole compensatlon, WILL DO THE WORK, and the structure is not Intentlatl or otlerad for sale (Sec. 7044, Business and Professions Code: Tha Conirectors License Lew does not appty to en owner of properry w�o builds or Improves thereon, antl who does such work himsetl ar herself or ihrough his or her own empbyees, providetl that such improvemenis ere not intentletl or oHered tor ule. If, however, ihe builtling or improvement is sold within one year of wmpletlon, the owner-builder vrill have the burden of proving that he or she did not builtl or improve tor purpose oi saleJ. • ❑ I, as ownar of the properry, am E%CWSIVELY CONTRACTING WIT}1 LICENSED CONTRACTORS to construct the prol�t (Sec. 704a, Business antl Pmtessbns Cotle: The wniwct License Lew tloes wt apPly to an owner ol pmperty who bullds or Improves Ihereon, antl who wniracis lor such pmjact with a contracior(s) license Dursua o� ContraIXors License Laws.). q ❑ 1 em exempt e Business and Prolessions Coda tor this reeson: 0/�� 7/A-� SiqnaWre: W�e � � Ezolres �0 B-4 Vedfication of Owners�ip by (type oi document, i.e. - property tac bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATON: ❑ I hereDy certily that no excavatlon five (5) or more feet in tlepth Into which e person is required to descenq wlll be mede in connectlon wlih work euthodzed by this pertnit, end that no building structure, sceflolding, falsework, or demolition or dismantling ��ereof, will be more Ihen thirty-six (36) leet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Tltle B, Califomie AdministratNe Code). ❑ As owner-bullder, I will not employ enyone to do work which would require e permit trom the Divislon ol Industrial Selery, as noted ebove, unless such person has e permii Io tlo such work Irom the division. Signature: Data: Division ol Industrial Safery Permit Number: CERTIFlCATE OF COMP E AND AUTHOR¢ATON OF ENTRY: I cenity under penelry ot perjury thet I have read this epplication antl state thet the information given is correct. I agree to c pty v�l( II state laws end dry ordlnances relating to building consfruction, end authodze representatives ol the Ciry ot Coste Mese to enter upon Ihe ebove-described pr s ctio purposes. I egre not to occupy or allow occupancy of eny building euthorized by this permii until finel inspecUon. �� -�9�� /�� i nalJfB'Of�Legat�Owner(s Date AnNOr Authonzed Applicant Date ^ [dq9�J� ,F97 �il¢]J�77a 1616 1266 Fixetl System Flnal Fire Prevention Poal Spa Final 200 Finel Ra-Raol 201 FIneI BIxWRetalning Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demoliiion �� LODE� INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Pinel ElecMcel 212 Finel Fire Preventlon 220 Finel Planning Approvel 222 Finel Site 250 Final Builtling/Occupency i �1 �J4 �J ✓1 ��c_ive� CI � . OF COSTA MESd DEVFI •^+o��cNt SF�u��" „'r•�nRfiM€NT Memorandum To: bevelopment Services. From: Dusty Bent, Treasury Management Date: June 30, 2005 Re: I2ETURNED CHECK Payment has been received for the following check: South Coast Home Care You may now continue inspections for 466 E. 16'� St. Should you have any questions, please contact me at X5072. JU� ' 1 2005 a �� WEIDENKELLER, MARY JANE From: BENT, DUSTY Sent: Tuesday, July 05, 2005 8:32 AM To: WEIDENKELLER, MARY JANE Subject: RE: B05-00925 466 E. 16th St. 1'�S IT IS OK r0 2�L�,4S�. I SENT ,4 M�MO TO ��VfLOi�M�NT S�12VIC�S ON �12ID�lY IN�IC,�ITING Tfi-f� �'�1?'M�NT �fAS T3��N 12�CEIVE�. T�-E�l NKS, �usrY X5072 -----Original Message----- From: WEIDENKELLER, MqRY )ANE Sent: Tuesday, ]uly O5, 2005 8:05 AM To: BENT, DUSTY Subjed: 805-00925 466 E. 16th St. We have a copy of a receipf that appears to show that the fees covered by a returned check have been paid. Wanted to check with you before I released the hold on it. Is it OK to release? Thanks, Ma�y Jane I3uilding/Snfety Lxt. q87i i �Y Memorandum RECEIVED JUN 2 1 2005 CITY UF CUSIA MESA BUILDING DIVISION To: Development Services From: Dusty Bent, Treasury Management Date: June 20, 2005 R¢: RETURNED CHECK The following check did not clear the bank: South Coast Home Care -$729.66 - Amount now due $754.66 L1ac.�vti A�G OSTA��c� P�M�Nt C�TY � }�py1GE� .. DE�E��r�'.E,. ;�,::i �+ 0 2''o�J ',S Please discontinue Plan Check for 466 E. 16"' St. until payment has been received by this office. Should you have any questions, please contact me at X5072. �do� - ��9a � : Date: 06-29-2005 � � �_-- ---...__- _ , " CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR ORIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT � ACTIVIIY NUMBER: BOS-00925 r SITE qDDRESS: 466 E 16TH ST Unit / Suite APPLICANT: DAVID KOVACS 71a-2s2-9667 OWNER: ANDRONESI ,IERONIM 714-292-9667 Transaction Receipt TYPE: Add Single Family Res CONTR: STATE LICENSE CITY LICENSE TOTqL FEES: $1,864.50 TRANSACT. AMOUNT; $729.66 BALANCE: (PERMIT FEES) $1,134.84 PAYMENT METHOD: Cash NOTATION: TRANSACTION RECEIPT DETAIL INFORMATION FOR TREASURY: 2005 Building Plan Check 0320 $729.66 B000003068 CAC BuiMirg D'rvision (77a) 754-5273 • Code Enlorcement p14)7505823 • Planninq Div'ision (774) 754-5245 FAX(71a)754�aB56 • TDDp14)75a-52aa • www.ci.msta-mesa.ra.us . April 21, 2005 CITY OF COSTA MESA P.O. BOx 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT leronim Andronesi 260 E. 16`h Street Costa Mesa, CA 92627 RE: MINOR DESIGN REVIEW ZA-04-99 466 EAST 16T" STREET. COSTA MESA Dear Mr. Andronesi: The minor design review for the above-referenced property has been completed. The application has been approved, based on the following project description and findings: PROJECT DESCRIPTION The applicant proposes a first floor expansion and a second story addition to a singie- story, single-family residence. The proposal consists of the addition of two bedrooms and two bathrooms behind the two-car garage and a new rumpus room and master bedroom suite upstairs. ANALYSIS A minor design review is required for a two-story addition that does not comply with all the recommended residential design guidelines to ensure proper design consideration and compatibility with surrounding properties. The proposed construction conforms to all residential developmenY standards and the intent of the residential design guidelines. The second floor area is approximately 36% of the first floor area (896 sq.ft./2,476 sq.ft.) and incorporates architectural articulation such as quoins and shutters to provide decorative contrast on the elevations. Although the second floor average left side setback does not meet the residential design guidelines (10 ft. average recommended; 5 ft. proposed), visual relief is provided through breaks in the elevation utilizing shutters and a roof plant-on. A condition is included to require an eyebrow roof on the left elevation that is consistent with the second floor roofline (rather than a gable). Privacy impacts are minimized since the adjacent residence to the left is single story and has no windows on that side. A condition is included to require that the rumpus room window on the left elevation be raised to a minimum 5 feet above the floor so as to minimize views into the neighbor's Building Division (714) 754-5273 • Code Enforcemenl Q14) 754-5623 • Planning Division (714) 754-5245 FAX (714) 756-0856 • TDD (714) 754-5244 • www.ci.costa-mesa.ra.us � „ ZA-04•99 April 21, 2005 Page 2 ,� backyard. The second floor is located 20 feet away from the rear and 49 feet away from the right side property lines. A minor modification is also requested to allow a 4-foot encroachment into the front setback (20 feet required; 16 feet proposed) for a window pop out. The plans submitted show the entire room (20 feet wide) encroaching into the front setback. A condition is included to require a redesign of that area for a window pop out only, as shown on the plan as modified by staff. The pop out would provide architectural articulation and interest on the front elevation and would not negatively impact the neighborhood. Since the staircase is not well integrated into the existing floor plan, a condition is also included to require that a land use restriction be recorded against the property to provide notice that the addition may not be used or converted to a second dwelling unit. FINDINGS 1. The information presented substantially complies with Section 13-29(e), 13- 29(g)(6), and 13-29(g)(14) of the Costa Mesa Municipal Code in that: a. The proposed development and use is compatible and harmonious with uses on-site as well as those on the surrounding properties. The proposed construction meets or exceeds all residential development standards and the intent of the residential design guidelines. b. Safety and compatibility of the design of the buildings, parking areas, landscaping, luminaries, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. c. The project is consistent with the General Plan. d. The planning application is for a project-specific case and does not establish a precedent for future development. e. The 4-foot encroachment for a window pop out will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. f. The 4-foot encroachment for a window pop out is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, appearance, scale of the structure, and any other applicable features relative to a compatible and attractive development. g. The project complies with the City of Costa mesa Zoning Code and meets the purpose and intent of the Residential Design Guidelines, which are ZA-04-99 April 21, 2005 Page 3 intended to promote design excellence in new residential construction, with consideration being given to compatibility with the established residential community. This minor design review includes site planning, preservation of overall open space, landscaping, appearance, mass and scale of structures, location of windows, varied roof forms and roof plane breaks, and any other applicable design features. Although an average 10 ft. left side setback is not provided, visual relief is provided through architectural articulation and a horizontal break in the elevation. The addition will not have any windows that align with adjacent residences. 2. 7he 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. 3. 7he project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONpIT10NS OF APPROVAL Ping. 1. Per the approved conceptual plans as modified by staff, the left side elevation shall be revised to provide an eyebrow roof that matches the second floor roofline, the rumpus room window on the left side elevation shall be raised to a minimum of 5 feet above the second floor, the dormers shall be deleted, and only a 4-foot window pop out is permitted at the front elevation. This condition shall be completed under the direction of the Planning staff. 2. A land use restriction, providing notice that the addition shall not be used or converted to a second dwelling unit, executed by and between the applicant and the City of Costa Mesa shall be recorded prior to the issuance of building permits, to inform future property owners of the restriction. 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. Ping. 3. Street address shall be visible from the public street and may be displayed either on the front door, on the fascia adjacent to the main entrance, or on another prominent location. Address numerals shall be a minimum 6" in height with not less than Yi' stroke and shall contrast sharply with the background. 4. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. 5. The conditions of approval and ordinance or code provisions of minor design review ZA-04-99 shall be blueprinted on the face of the site plan as part of the plan check submittal package. 6. The applicant shall contact the Planning Division to arrange for a Planning inspection of the site prior to the release of occupancy/utilities. This ZA-04-99 April 21, 2005 Page 4 inspection is to confirm that the conditions of approval and code requirements have been satisfied. 7. Grading, materials delivery, equipment operation, and other construction-related activity shall be limited to between the hours of 7 a.m. and 8 p.m., Monday through Friday, and 8 a.m. to 6 p.m. Saturday. Construction is prohibited on Sundays and federal holidays. Exceptions may be made for activities that will not generate noise audible from off- site, such as painting and other quiet interior work. Eng. 8. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and promptly 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 applicanYs reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. Bus. 2. Lic. Bldg. 3. 4. Fire Eng. 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 or the applicant applies for and is granted an extension of time. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections will not be granted until all such licenses have been obtained. Comply with the requirements of the California Code of Regulations, Title 24, also known as the California Building Standards Code, as amended by the City of Costa Mesa. Prior to or concurrent with the submittal of plans for grading/building/ plan check/submittal of final subdivision map for engineering plan check, the applicant shall prepare and submit documentation for compliance with the State Water Resources Control Board (SWRCB) Water Quality Order 99-OS-DWQ; National Pollutant Discharge Elimination System (NPDES) Permit No. CAS000002 for Storm Water Discharges Associated with Construction Activity (General Permit); the California Regional Water Quality Control Board (RWQCB) Santa Ana Region Order No. RS-2002-0010 and NPDES Permit No. CAS618030; and, the City of Costa Mesa Ordinance No. 97-20 for compliance with NPDES Permit for the City of Costa Mesa. Such documentation shall include a Storm Water Pollution Prevention Plan if over 1 acre (if over 5 acres if submitted prior to March 10, 2003) and a Water Quality Management Plan (WQMP) identifying and detailing the implementation of the applicable Best Management Practices (BMPs). Provide approved smoke detectors to be installed in accordance with the 2001 Edition of the Uniform Fire Code. A construction access permit and deposit of $500 for street sweeping will be required by the Engineering Division prior to the start of any on- or off- site work. ZA-04-99 April 21, 2005 Page 5 SPECIAL DISTRICT REQUfREMENTS The requirements of the following special districts are hereby forwarded to the applicant: Sani. 1. It is recommended that the developer contact the Costa Mesa Sanitary District at 949.645.8400 for current district requirements. School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. Upon receipt of this letter, your project has been approved. The decision will become final at 5 p.m. on April 28, 2005, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) 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, Wendy Shih, at (714) 754-5136, between 1 p.m. and 5 p.m. Sincerely, R! MICHAEL ROBINSON Zoning Administrator cc: Gary Wong, Engineering Fire Protection Analyst �Water District Building Division David Kovacs 520 Encanada Dr. La Habra Heights, CA 90631 (714) 754-5273 • Fa�c (714) 754-4B56 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 466 E 16TH ST Suite No Viciniry: Parcel Nunmber: 42575103 nppiicant: ANDRONESI ,IERONIM Address: 466 E 16TH ST COSTA MESA, CA Owner. ANDRONESI ,IERONIM Address 466 E 16TH ST COSTA MESA, CA Contractor: O W N ER-BU I LD ER Address: PLUMBING PERMIT Phone: 949-645-3234 Zip: 92627 Phone: 714-292-9667 Zip: 92627 Phone: Zip: License: 000000 Status: ISSUED Applied: 09272005 Issued: 09Yt72005 SCOPE OF PERMIT ADD 1,319 S.F. TO EXISTING S.F.D. WORK TO INCIUDE: ADD 439 SF FOR 2 BEDROOMS AT THE FIRST FLOOR AND A NEW 2ND FLOOR 880 SF RUMPUS ROOM AND MASTER BEDROOM . ADD NEW WINDOWS IN THE GARAGE. REF.: BOS-00925 PLUMBING TO INCLUDE: 1 BATHTUB, 1 LAUNDRY TUBNVASHER, 4 SHOWERS, 1 BAR SINK, 4 WASH BASINS, AND 4 WATER CLOSETS. ISSUE FEE Backflow irrigation ' 8ackflow PrevQnter Balhtub Clarifier System Connect (Ice,Soda,etc) Dental Uniis Dishwasher Drain, Floor Drain, Rainwaler Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outleis) Gas Repipe Gas Service tnterceptors (Grease, Oil) Interceplors (Sand Auto ) AMT $23.50 50.00 50.00 59.80 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 so.00 50.00 50.00 50.00 � FEE SUMMARY AMT LaundryTub/Washer 89.80 Landscape Irrigation 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receplors $0.00 SepticTank 50.00 Sewer Cap for Demo $0.00 Sewer Connect 30.00 Sewer Private Line 50.00 Shower $39.20 Sink, bar $9.80 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 � 1 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping pnsl or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 $0.00 50.00 50.00 50.00 539.20 E0.00 50.00 $39.20 $0.00 50.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E170.50 QTY 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void it work is not commenced within 180 days, ar if work is suspendetl or abandoned tor a period of 1 BO days. INSPECTIONS; In order for the work authorized under ihis permit to be considered legal, such work must comply wilh all applicable codes, and ell requlred Inapectlona and Iinel epproval must be obtained. Failure to obtain inspections and final approval will resWt in the expirati�:of'this permit. FOR INSPECTIONS CALL: (714) 7545626 @�� 244&68 (B�W) WORKERS'COMPENSAnON DECLARAnON: I �ereDy ettirm untler p0�elry of perjury one ot the followinq deGaretlans: � -�. ❑ 1 heve entl wlll meintein e certflicate ol cansent to self-Insure lor workers' camp@nsetlon,.�y� tletl for by section 3700 of the Labor Code, br Ne peAortnance of the work for which this permit is issuetl. , .yt � ❑ I heve end wlll main[ain workers' compensetlon Insu2nce, as requiredp y sec[lon 3700 0l Ihe LeEor CoAe, for the peAortnance of tha work lor which this permlt is Issua�. My workers' compensatlon Insurence carder entl policy number ere: p �' -q" Cerder: . �' � Policy Number: (This secNon need not De completed l! the pemYtls va/ued et one ��ndrod dollars (5/00) or less.) �=.1 certity thet in the paAormence ol t e wark tor which this pertnil I5 IssueO, I shall not employ any person In eny manner so as to become sub�ect to the workers' .— compensatlon IaWs oi Calitom , ree Ihat if I should become suD�ect ro Ne workers' compen5ation provislons of SecOon 3700 0l the Lebor Cotle, I s�all Porthwith wmply with Ihese provision % ApplicantSlgnature: � �� .Deta;..�/�7/p� WAIRNINQ FAII.UHE TO SECURE WORNERS' COMPENSATION CAVEM E I UMAW FUl AND SHALL SUBIEGf AN EMPLOVER TO CRIMINAL PEw�LTIES AND CML FlNES UP TO ONE HUNDRED TF1IX15AND OOIURE R�� IN ADIXiIIXJ TO THE CQST OF CAMPEN PON, DMMGES AS PFOVIUED FOR IN SECfION �Og OF THE LnBOR CODE, IMEREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm thet I em Ilcensed untler proWslons at Chepter 9(commencing wilh Section 7000) of DlWslon 3 of Ihe Business end Protesslons Cade, antl my Iicense is In tull force entl eltect. Lic. q Cless N Contractors Slgneture: Date: CONSTRUC710N LENP�NG AGENCV: ❑ I hereby aflirtn tha� ��ere is a construction lentling egency tor t�e pertormanca ol the work lor which t�Is Dertnit is issued. (Sec. 3097, Civll Code). Lendals Name: LendeYs Atldress: Signelure: Date: OWNER-BUILDER DECLARATIONS: I hereby eflirtn thet unde� penelry of Oerjury that 1 em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe fallowing reason (Sec. 7031.5, Business entl Pratesslons Cotle: Any ciry or counry which requlres a Oertnit to construq, elter, improve, tlemolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnit to Ille e si8netl statement that he or she is Iicensed pursuant ta the provisions at t�e Gontractors License Lew (Chapter 9(commencing with Secilon 7000) of Division 3 of Ne Business end Professlo�s Code) or thet he ar she is exempt therefrwn end Ne besis for the ellaged e:amptian. Any violation ol Section 7031.5 by any applicant lar e pertnil sub�ects the epplicant to e ciNl penelry of not more Ihan five huntlretl tlollars ($S00).): {�•-1, es owner oi Ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, entl Iha sW dwe Is no� Intended or oMered tor sale (Sec. 1J044, Business and Professions Code: The Contractors License Lew tloes not apply to an owner of property who builds or improves thereon, and who tloes sUch work himself or herselt P� t�rough his or her own employees, pmvided that suU imprwements are not Intendetl or oflered tor u19. If, however, the builtling or imprwement is sold within one yea� ot wmpletion, the owner-builtler will have ihe burtlen ot pmving that he or she did not build or impmve br purpose oi sale.). ' ❑ I, as owner of the property, em E%CLUSIVELV CONTPACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The contreGtors Llcense Lew tloes not appty to en owner of propeny who builtls or impmves thereon, entl who coniracts for such project with a contractor(s) .,.,license,pursuant tofJlaCRnirecmrs License LewsJ. 0_I�am�ezemp un ec. Business end Pmlessions Cotle for this reeson: Signetuie: Eapires: Vedfication ot Ownership by (rype ot tlocum ,.e. - properry taz bi➢ or tleed):��'J — DIVISION OF INDUSTF�N. SAFETV PERMR CERTIFICATON: ❑ I hereby cenily t�e� no evcavatlon live (5) or mora feet in tlepth Into which a person Is requlred to descentl, will ba metle In connection with work eut�odzed by this permlt, and that no buildinp siructure, scettolding, lalsawork, or tlemolition or dismantling thereot, will 6e more than ihirty�six (38) leet high. (Chap. 32. Grp 2, An 2, Sec. 341, 7111e 8, Celifomia Administrelive Code). ❑ As ownor-builder, I will not employ anyone to do work which woWC requlre e permit from the Division of Industrlel Safery, es noted abave, unleu such person �as e permil Io tlo SUCh Work from �he diWSion. Signature: Data: Division ol Industrial Selery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AllTMOR�TION OF ENfAY: I cenily under penalry of perjury that I have read this epDlicatlon end state that the informatlo� gNen is correcL I egree to compty w�ih ell state lew ry ortlinences relating to bulltling constructlon, en0 euthodze representatives ol the Clty o� Costa Mese m enter upon Ihe ebove-descnbed property tor Inspection p o I rea not to occupy or ello occupanry of eny builaing euthorized by this permit until tinel inspection. ( e� � O %7� 05'— ( Smneture Of_ epa ner Sr--- ' �(�,�_Date ,__ �r� And/Or Authonzed Applicant Date COOE I. INSVELTIONTYPE QLTE IiiI�ELS 1618 Fixed System F�nel Fire Prevemion 1266 200 201 202 203 Pool Spa Final Finel Re-Roof Flnal BIocWRelelning Well Finel Fectory Fi�a Plece Final Sipn 204 Finel Demolilion COUE� INSPECTIONTYPE 20fi Flnal Mechenlcal 20B Flnal Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Finel Planning Approval 222 Flnel Site 250 FinalBuiltling/Occupency �g 1/C17 �y ACplleant to illl in all spaces within naavy DorEe� Ilnef antl sign all approp�iate Geclarations. �CT Y�LF COSTA MESA PERMIT NO. TRACT NO. LOT NO. ' �BLDG. NO. CONSTRUCTIONPERMIT /%�%�a �' Addrea E ' �h �9- � Arch/Eng License No. Address � Contrector �". r � Phone \ Address j �n�� SL,iIPf �r.0 i�..� q 1 heraby affirm that I am IiGensetl un0er provislons o/ Charter 9(<om- mancin9 wit� section 7000) oi Divlzion 3 of the Buziness antl �1 ProfeSzions Cotle, antl my Ilcense Is In fult lorce antl effect. ucenze ciass [-- Z� LI<ense No. Z� ��N� Date r�-aT �'�T � Slgn2tureX WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certifiwte ot <onzent to sel!-Insure or a tartiticale of Work¢r5' COrPP¢�sation InSurdnce, Or a�rliflatl `opy thereof (Section 3800 120. C.�. C � \ PoIicYNo.��\J"�n ComPanY >��•F� �A'�fY ^erU(ietl copy Ii hereby furnished. :ertltietl.COpy IS tileC witn the clty Builtling Divi510n. ei(EMPTION FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be cOmptetetl It Iha permit Is for one huntlretl SS1001 0� leu). <ert(fy that In the perto�rtlance of the wo�k 1or which l�is perTit Is issuetl, I shall not employ a�Y person in any manner so at to become zuEje<t to the Workers' Compensatian Laws of California. Date Signdture NOTICE: If atter making th�s Oeclaration, you 5houltl becomo subject to [he WOrkGrS' Compen5ati0n provlsions ot the LabOr Cotle, you must fo�thwlth comply with such p/OviSiOns Or th15 pe�mlt shall be tlaemetl /evOkltl. CONSTRVCTION LENDING P.GENCV I nereby atflrm that there is a constructlon lentling aqency for Ihe oer- formance of the work for Wnich this permit is issuetl (SectlO� 309] Civ. C.I. Lentler'S Name Lentler's Atltlress OWNER BUILDER OECLAi7ATION I he�¢by a(fi�m [hat I am ezempt f�om.th2 Contractor's License Ww fo� any s[ruc[ure, pnor [o rts rssuance. aao re- qulre5 the dpplican[ fOr suGh Permrt to tue d SigneO 5[a[ement ina[ nC Is Ii<ensetl pursuant to the p�ovisions of th¢ COntrdctor'S License Law (Chapter 9(commencing w�th Section 7000) of Division 3 of the Business antl Prdessions Code) or [ha[ he is exempt Iherefrom antl the basis for the alle9e0 exempt�on. Any.vlolatlon oi Sectlon ]031.5 by a� appli�ant fo� a pe�mit sub�ects the applitdnt [o a clvll Penalty • [ mOr¢ Ihan fiv¢ huntlfetl tlollars (E500). �ds Owner ot fhe property, o� my employees with wag¢S a5 thelr sme �compensstion, will Do [Pe work, antl Ihe structure is not intentlee or ofterea for wle. �Section �044, Business antl Profes51on5 Cotla: The Contractor'S LJcense Law tl0es not apply to an owner of a property wh0 bulld5 or improve5 theYeon, antl who does such wo�k hlTself Or m.nuan nic nwn amninvaa.c orovitl¢tl [hat suth imorovem¢ntz a�e not IS sol0 wi[tlin On¢ y¢af Ot cOmpiecion, me owner wui nave me vuraen ot p�oving he ❑i0 nol bui�tl ot Imp�ove fo� Ine pu�po5e O7 sale�. ❑ I, as owner o( the proPerty, am excluzively mntracting with Iicense� cOnt�acto�s lo const�uct lhe O�oject ($ectlon ]044, Bu5ine55 antl F'ofessions Cotle: Tne Contractor's Llcense Law tloes not aPPIY to an owner ot property who builtls or imprOv¢5 therCon, antl who COn- t�aGts trom such projectz W��h a COn[racto�(s) Iicesnetl pursuant t0 the Contra<tor's License Law). ❑ I am exempt untle� SectioP B� g P� 0.�Or thls reason Date � Owne� I h0�¢by Ce�tify tnat I nave �edtl this appliCation antl State that the above Information is correct. I agfee to comply with all tity antl county ortlinantes an0 state laws rela[ing to const� tlon, antl hereby aU�hOrize representatives f[his city to e Br on the above ntlon a property tor i spectlon purP s Si9nature / Date � Orivers' License or 55 CMF 0865-46 Whi e-Build�ng; Canary-Appliwnt; Pink-Accounting; Goltlenrotl-Assessor TVPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_�CONSTRUCTION TVPE VALVATION ZONE GRADINGCV..VDS. ACRES PLUMBING • PLANCHECK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES DOVBLELAVS KIT.SINKS DISHWASHERS SERVICESINKS SUMPS FLOOR SINKS FLOOR DRAINS �0.1NKING FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMING POOL PTRAP WATERSERVICE ALTERATION GASSERVICE X OUTLETS S' WATER HEATERS BTU OUTPUT SEWER CONNECTIONS _ • SOIAR TANK COCLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SYSTEM 0-100,000 BTU _ ANO DUCTING 300,000 + BTV _ REFRIGERATION 0-100,0008TU_ SYSTEM 100,000 + gTU _ BOILERS BTV SVSTEM REPAIR,AITERATION EXHAUSTSVSTEM MULTIPLE ISSV E FEE a 6481 5/27/82 u A.P. # ZONE REAR VARD (TO P/L) PKG. SPACE REO. STREET WIDTH ZONI NG APPRO V ED BY SPECIAL CONDITIONS: ELECTNICAL PLNG.REF. PROVIDED PARK FEE PLAN CHECK GENERATOR p_1 KW_1-10 KW _ TRANSFORMER . APPLIANCE 30-50KW_SO+KW_ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 10-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES GAS TVBE SIGNS POLE LIGHTS PANELS SERVICE MAIN SUB AMP APPLICATION APPROVED BV DATE SUMMARV OF fEES BUILDING PERMIT S SMIP _ S PLAN CHECK E PERMIT DD ISSUANCE $ PLUMBING $ PLANCHECK E GRADING $ ELECTRICAL 8 $ PLAN CHECK g MICROFILM § MECHANICAL E TOTAL FEE $ PLAN CHECK g LE55 AD- VANCEPC $ 5.00 TI,� FINALFEE E s�'oa � 1 , CONSTRUCTION AND PLANNI G `� �^�7 `'�- � '� � POOL & SPM• �� ' - �� APPROVALS Permit# �✓�J ' Date Inspector qppROVALS .' Permit# Date Inspector 1. Temporary Electrical Service or Pole ' 43. Pool & Equipment Location 2. Soil ipe-Undrgrn � 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn " 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding ! . tee ein orce � 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn � 48. APPROVAL TO COVER-GUNITE 7. Footings - 49. Electrical ConduibUndr rn � � 8.� Foundation � � - 50. GasPipe, ❑Undr rn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra � n rn 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection � � 53. Backwash & Rece tor-Final � � 12. Street Sewer Connection � 54. Heater & Vent-Final ' 13. Rough Plumbing � 14. Rough Electric-Conduit �56. Electricai-Final � 15. Rough Electric-Wiring � - 57. Solar System-Final ' ' 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure � APPROVED FOR PLASTERING 18. Ducts, Ventilating � � � 19. Gas Pipe-Rough & Test 6D. POOL/SPA SYSTEMS FINAL � � �- � 20. Roof Framing � 21. Roof Sheathin , 22. Frame and Flashin NOTES: 23. Insulation � 24. lathing & Siding 25. Drywall Nailing ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final E�ectric ' 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final � ' 33.' Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations " 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date OWNER JACOB2, D(JNALb J. DAT� 8�5�59 JOB ADDRESS 466 East 16th Street BU[LDING PERMIT NO. �9995 GENERAL CONTRACTOR owtier-builder VALUE S 11 ��00' AP. No.117-361 � LOT TRACT FIRE ZONE DESCRIPTION OF WORKpBS.W�8t.t.�ar. INSPECTIONS b� f� � DATE GROUP T R. .T TYPE V ZONE RI� Wa[er Form ✓ SU6CONTRAGTOR MBER s �� 9935 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO F/lL /N COMPLfTELY T'YPE OR PRINT BUILDING � ADDRESS .GOS7A MESA. CALIFORNIA _..___ � ,i � i �: � MAIL iEL. Y ARCHITEGT R LEGAL I LOT A.P. NO. / "P– _ ., �h � SIZE I NO.OF BLDGS. C OF LOT ~� �� NOW ON lOT USE OF EXISTING BLDG. ��rp ,O s. . SETB�CK LINE FflOM c[n'rEa or sirsE�T b�7 � REAR YARD�� SI�E YARD I LEFP Y'� -�� I RIGHT �� " DESCRIPTION OF WORK REPA�ri I IIMOVING I BUILDING NO.OF SIZE f/.�r—Xc i'��'/�.ROOMS � EXTERIOR WALLSS�j f�' .. ROOF COVERING / COVERING USE OF BUIID N ND WORK TO BE F ' ' r, .- " . �� r-.+v�3��[�� P"' JUL 31 ig59 FIf�Fl�!CE DEPT. CI�1 l�i ��CTq PflF$A APPLICATION FOR PERMIT BUILDING fOR OFf/CE USE OMLY BU i_��:i•i��.: COSTA MESA. CALIFORNIA c i � onre ONING NO. OF USE OF NEW PLANS � BUILDIN6 //� ' , DATE / % EVES (CENTER LINE 6T.j �' i � 1 HEREBY ACKNOWLEOGE THAT I NAVE HEAD THIS APPLICATION TNE AMOIINT BXOWN IINOER VFLUATION IS FOP THE AND STATE THAT THE ABOVE IB COHRECT AND AGREE TO COM- pUNPOBE OF E6TABlISHING A PERM�T FEE ONIY. FLY WITH FlL CITY OROINANCES PND SfATE LAWB REGULATING 9UILDING CONBTRUCTI VALUATION SIGNATURE OF � %� � i.y/ .� PERMIT FEE $ � (��— PERMITTEE / � 7J $` D 7y � PLAN CHECK $� y �— AUTHORIZED AGENT /3,, — TOTAL FEE $ �— (r . `.1!' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 CO6TA MEBA. CALIFORNIA For Applicant fo Fill In Complefely TYPE OR PR1NT BUILDING � AO�RE6S COSTA MESA. CALIFORNIA OWNER p GYL�Ob/ MAIL A��RE65 3 � cirr i+o�/ .�5• ARCHITEGT TEL. � $IZE � � . �. _ I NO. OP BLO09. � BETBACK L�NE FROnt DESCRIPTION OF WORK BUILDING NO. OF SIZE ROOMS EXTERIOR WALL ROOF COVERING COVERI! USE OF BUILOING AND WORK TO 6E FIRE Z� LE6AL FEE RECEIVED �1�. �-��a-�� APPLICATION �Tc�p�i�EPT. BUIL��INGF COSTA MESA For Office Use Onl rseceirr No. �r�� _r�q� �G6� � /G � � COSTA MESA. CALIFORNIA � \� / TVPE GROUP OATE T! � ONING IPLAN6 � I BUILDING EW /�/y�// YARDS APPROVED (CBNTeR LINe BTJ ^ FRONT � � / R CIf1F � / t � EVES 1 HEREBY ACKNOWLEDGZ �HAT 1 HAVE R¢AD TNIB APPLACATION AND BTATE THAT TNE A00VE IB COpRECT ANO AOREE TO COM- TME �MOUNT BXOWN UNDEH VALUATION 18 FOR THE PURP09E OR E9TqBL19HING A PENMIT FEE ONLY. PLY WITM ALL CIiY OfiO1NANCEB AND 9TATE LAWB HEQULATINO BU�LDINO CONBTRU VALUATION � 81GNATURE OF � PERMIT FEE $ �' ��. PERMITfE Z' /)� �j (/ $ /(�JJ PLAN CHECK $ � AUTHORIZED AGENT �. � TOTAL FEE