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Home My WebLink About124 20TH ST - Building Permits CITY OF COSTA MESA BUILDING DIVISION I. • .. , DEVELOPMENVSERVICES DEPARTMENT PERMIT NUMBER 1"..1 PERMIT ° � BOS-01349 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 124 E 20TH ST EXTENSION Status: ISSUED Suite: g gggg ��jj Applied: 08/10/2005 Vicinity: BATHROOM,BEDROOM AND KITCHEN e,� ,p .®,1:1D Issued: 09/19/2005 Primary Occ: R1 Type of Constru !- Parcel Number: 42618118 Zonin?ER Applicant: MACEDO, CONRAD EXPIRES I u Address: 10 JUNIPER �/. -r1 Phone: 949-9 9-0673 ISSUED BY: �/�� IRVINE,CA Zip: 92612 Owner MACEDO, JULIO J Address 124 E 20TH ST � Phone: 949-293-9204 iii��r�`✓fN l -9 COSTA MESA,CA Zip: 92627 Contractor OWNER-BUILDER moi✓_ Address: Phone: Zip: License: 000000 . Arch : Eng: Address: Address: Phone: Phone: • Zip: License: License: • SCOPE OF PERMIT ..420 SF OF INTERIOR REMODEL.WORK TO INCLUDE:REMOVE EXISTING NON-LOAD BEARING WALL AND CLOSE OUT 2 DOOR OPENINGS TO EXISTING CLOSET FOR MASTER BEDROOM,INSTALL 1 NEW SLIDING DOOR IN MASTER BEDROOM AND 1 NEW WINDOW IN CLOSET,REMO'v NON-LOAD BEARING WALL AND CLOSE OUT 2 DOOR OPENINGS TO ENLARGE EXISTING MASTER BATHROOM,INSTALL 1 NEW SLIDING DOOR AND RAISE HEADER IN KITCHEN. FEE SUMMARY Plan Check: $353.11 Calc Valuation: $40,000.00 Permit: $543.25 Claim Valuation: $40,000.00 SMIP Res: $4.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 RRIP Total: , $900.36 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,rel to ed 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 a !cable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the ex t ation of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(8/00) • DECLARATIONS' WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: Y O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. O 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 end policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) M� :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 Califomia,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 pro s LAppNcant_iggeturer Date: , +* '? O- 05 — WARNING:SAILURE TO SECURE WORKERS' ENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOI I ARE($100,000),IN ADDmON 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 1 am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.N Class If 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: Lenders Address: Signature: =- Y Date: OWNER-BUILDER DECLARATIONS: I I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 6,Califomia Administrative Code). ❑ As owner-builder. I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICA N µµ 1 Will the applicant or present or future building occuWne to file antl certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature 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 Califomia 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 akPermit 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 LJ No (Section 65850.2 of the Califomia 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? ❑Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes El 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. , Sig ure Of Legal Ow er(s) Date And WOr.Authonzed-AppiicaTlt" VDate. -Y CODE t INSPECTION TYPE PAIL 1N1UAL5 ODE I INSPECTION TYPE PAIS RiiIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy DECLARATION OF AUTHORITY Bldg. Permit# FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit# Street Address: )24 t. ZC7t, 5+ Citr6 ` zs ` AP Number: 1. I (we), mac„q fYilntCPA) , declare that I am the Owner of Title of the above referenced real property, and that I (we)hereby authorize: Name: Crtrel(71 f)o to Telephone Number: 1/47.1 - 000�� Street Address: /fl J._'v�rrae.V City: ) -V4-11 AO State: CA zipe?te) to obtain permits in my behalf,as owner/builder,for chni riti2,010 — I ZL1 E zoo t* at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this day of //- L.3u5- 1oi200C,at //7 ,California. Print Name: V 41. ✓ 1 c,L.PI710 Signature: Date: 8 - S ` 2003)_ Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. 077946(rev.11/00) September 12,2006 In reply to:Courtesy notice of permit expiration.Project address 124 E.20th Street,Costa Mesa,CA 92627 PERMIT NUMBERS: BO5-01349,E05-00840,MO5-00454 AND P05-00614 City of Costa Mesa Building Division Attn:Ed Petros,Chief of Inspection P.O.Box 1200 77 Fair Drive Costa Mesa,CA 92628 Dear City of Costa Mesa Building Division, I am requesting and extension for my remodel permits because of financial and personal time delays. I will have my remodel completed and permits finalized by October 31",2006.Thank you in advance for your understanding in this matter. Sincerely,///1 ,/ 1, Julio Ma do (949)645-7548 124 E. 20TH ST COSTA MESA, CA 92627 9 CITY OF COSTA MESA \-__ 4 OlBUILDING DIVISION F i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT E05-00840 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaEEsCTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 124 E 20TH ST Status: ISSUED Suite No Applied: 08/10/2005 Vicinity: MASTER BED,BAHT AND KITCHEN EXTENSION Issued: 09/20/2005 Parcel Nunmber: 42618118 AL,L® D Applicant: MACEDO, CONRAD PER �� Address: 10 JUNIPER ISSUED BY: Phone: 949tIfsi ES /( 0 v s IRVINE,CA Zip 9261- Owner: 11% J Owner: MACEDO, JULIO J EXPIRED Address 124E 20TH ST I Phone: DA's .14'Y COSTA MESA,CA Zip: 92627 N�' Contractor: OWNER-BUILDER It R I p Address: Phone: Zip: License:000000 SCOPE OF PERMIT ELECTRICAL PERMIT FOR INTERIOR REMODEL OF MASTER BEDROOM,BATHROOM AND KITCHEN. REF#805-01349 WORK TO INCLUDE: 10 LIGHTING FIXTS, 16 RECEPT OUTLETS AND 10 SWITHCES AND 1 LOW VOLTAGE EQUIPMENT. FEE SUMMARY I Quantity Quantity ISSUE FEE $23.50• Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) ' $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $11.00 10 up to 50 kva/kw $0.00 0 Recept Outlets $17.60 16 up to 100 kva/kw $0.00 0 Switches $11.00 10 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $18.20 1 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $81.30 Intermed Pole $0.00 0 / NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statues and related regulations.(Ord. No.92-2B,§ 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. V 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(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ 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 carder and policy number are: Carrier: Policy Number: (Thi fiction need not be completed it the permit is valued et one hundred dollars($100)or less.) lc l 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 proal C� Aeolian.nt.Sfgna�ture: — LDate:-• x ! .- ?�—C WARMNG:'FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT MY EMPLOYER TO CRIMINAL PENALTIES AND CNR FINES UP TO ONE HUNDRED THOUSAND DOl1ARE($100,000),IN ADDION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.IJc.0 Class A 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: 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 th or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit 'a subjects the applicant to :f ;benalty t mor ii -hundred dollars($500).): ieti 13I,as owner of the property,or my loyees Wytywages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and•Pr`ofessions COCO:The Contractors Ucense.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:Der own employees;provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feel 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). Ke _.—....._......._...._r._ _ _ _ _ _ 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 meterials)7 ❑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 tho subject of this Implication aLLJJ No apermit for such construction or modification LI from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ (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? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cafe). �.__ ___..._ o 7 If a permit fromn the South isclost s Quality ed Management District or other airpollution ooncontrol district3 agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by CaliforniaCaliloHealth and Safety Code Section 42303 been made? 0 Yes 0 No B (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. CSignature�l L\egel O�/(e(s) _ to 2 O ^ cos rw. And(OrAuthortz�ed Applicant4.— ( ate---if CODE 0 INSPECTION TYPE QM INTITIAL5 CODE( INSPECTION TYPE PATE. MALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy �l t -'1' , CITY OF COSTA MESA ( BUILDING DIVISION o )• • DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t I • PERMIT M05-00454 SbeP t no e4. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job SuiteAddressNo: 124 E 20TH ST EXTENSION Status: ISSUED Applied: 08/10/2005 g "WT' Issued: 09/20/2005 Vicinity: MASTER BED,BATH AND KITCHEN �Li w ,u Parcel Number 42618118 PER ° Applicant: MACEDO, CONRAD EXPIRES it /r � ISSUED BY: O Address: 10 JUNIPER ��r Phone: 949-929-0673 EX {i{Wr, IRVINE,CA Zip: 92612 FY. Owner: MACEDO, JULIO J DATE Address: 124 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor OWNER-BUILDER R R ' P Address: Phone: Zip: License:000000 SCOPE OF PERMIT MECHANICAL PERMIT FOR INTERIOR REMODEL OF MASTER BEDROOM,BATHROOM AND KITCHEN. REF#B05-01349 WORK TO INCLUDE: 1 INST FAU TO 100 K BTU AND 1 HOOD W/MECH EXHAUST FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $10.65 1 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 • 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $48.95 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No,92-28,§ 1, 12.21-92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work Is:suspended or abandoned fora period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-48(8100) 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: Cartier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) qdila artily 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' ompensation laws of Calif a,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 provi s. Appilcant-Signature: _ ( — (Dalai�-- • �j1 '? O— © 7 WARNINDIFAILURE TO SE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(Sl X,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 end effect,Lic.4 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). 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,atter,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(5500).): ❑ Sec. 7044, es antthe d Professiocor ns Code:The Cones tractwaorsUcerise Law does eealtheir sole not apply to an owner f tion,WILL DO property who builds or improveWORK,and the structure Is s thereon,and who does Intended or offered for suceh 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,wiU'have.the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of ttie 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 en owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ore 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 filo 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 then 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 appplicant 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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 pert 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 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? 0 Yes 0 No ...... .. 8 (I1f1"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. Stature OI Legal Owner(s) 2e0_ ©�T_ 1 IA'+rOr.Authorized'Applicant �, Date') CODE t INSPECTION TYPE PATE INn1TIALS CODES INSPECTION TYPE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 1, 9 CITY OF COSTA MESA 4 � BUILDING DIVISION . .j „,,, ,. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F 1 ..._ . I e. IFNI14# PERMIT 4fretwrommtiPOS-00614 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.46MBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 124 E 20TH ST PLUMBING EXTENSION Status: PENDING Suite No Mal �1 O Issued: 08/102005 Vicinity: MASTER BED,BATH AND KITCHEN H PER ., v Parcel Nunmber: 42618118 EXPIRES h' l o b �fAI� Applicant: ISSUED BY: Y Address: Phone: EXPIRE), DD Zip: Y 11KL+�+• Owner: MACEDO, JULIO J DATE Address 124 E 20TH ST R R 1 Phone: COSTA MESA,CA Zip: 92627 Contractor OWNER-BUILDER Address: Phone: Zip: License: 000000 SCOPE OF PERMIT PLUMBING PERMIT FOR INTERIOR REMODEL TO MASTER BEDROOM, BATHROOM AND KITCHEN. REF#B05-01349 WORK TO INCLUDE: 1 BATHTUB,1 DISHWASHER, 1 GAS(1-4 OUTLETS),2 P-TRAP AND 1 KITCHEN SINK. FEE SUMMARY AMT � AMT QTY AMT GUY 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 $19.60 2 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 $0.00 0 Dishwasher $9.80 1 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 $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 • Water Service $0.00 0 Gas(1-4 outlets) $6.15 1 Sink,kitchen $9.80 1 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $78.65 • COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or If work s 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 -h all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result infthe expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(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 carder and policy number are: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($700)or less.) 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' ----cdmpensation 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 proyistfgls. CQ Applicant,Sig attire: l/ --'7�i •,....-t_...____-.____ .-1-3±11.9; ! ZO—dS WARNaNOrF�URE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML RNES 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.0 Class 0 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: r - • 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 co ich 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 state t 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 Profes C C. e)or thal;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' I penaltv4 not mo ~I a e hundrgid)doll#(5500).): ❑ I,as owner of the property,or my employees with wages as t er so a compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 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 presen--- 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). eure building _ ardous ._..i.__ 3 Does or will the applicant or present or future occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes 0N (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 Celitomia 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? U Yes U No (Section 65650.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). -- 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safely 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 li the subject of this application,have allot the disclosures prescnbed by Califomia Health and Safety Cade 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 end 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 intonation 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. Sig c¢OI Legal s) 9 Er lAnd/Or-ytltorize3Applican L_oate--„, CODE I INSPECTIONTYPE PAIL toms CODE' INSPECTION TYPE DAIf, RilmA 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • July 1,2005 Chief Inspector City of Costa Mesa Building Division 77 Fair Drive Costa Mesa,CA 92627 Ref: Permit numbers 076472,076474,076473,076937. Address of building: 124 East 20th Street,Costa Mesa,CA 92627 Owner. Julio Jay Macedo Dear Chief Inspector, I am requesting your attention to my expired permits. I am planning another remodel and need to finalize my old permits. I will happily pay any fines, re-inspection fees and or new permits to expedite the process. I believe my home is ready for final inspection. And if I need to make any changes to comply with today's current code I will do so accordingly Sincerely; Julio Jay Macedo Home Owner Cell(949) 293-9204 Office(949) 645-7528 ADDRESS OESMLDNc: 124 E 20TH ST WMT: CITY OF COSTA MESA - BUILQJJ4G-PERMIT ONNEWSNMBEWIDC*N: MACEDO JULIO PERM NO: E 076473 =x coa124 E `20TH ST COSTA MESA,CA 92626 PERMIT NO: E 076473 PLAN CHECK NO: N GOVT: N SUPP: N 286-6484 - AWL.WULM3 ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT • UK:NDECT OR NI>DIED; LK.NO.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: ARCN.OR ENO.Y LONERS: WIT: CLAIM VALUE: CALC-VALUE: GROUP. OCC: R-3 / CaITNACTOWS NAYS comacTDWSNmm COMMENTS- NEW BATHROOM ENLARGE MASTER BEDROOM MISC ALT, REF B76472 ADDRE9x IK.Ip_ ********4*************4***********************&******************************** DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I herby rim we*only of penury that I ate Serured aka provisions d Chapter 9 S E T B A C K. S (commencing nth Section 7000)d Drake 3 d the Business and Professions Code,and my Spens is in M lace and OWL CITY LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING - FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN l"• Cordedot LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN ,WNER BUILDER DECLARATION:I hereby Mum under poly at perjury that I am vamp Iron the Cameo=Liove Lae Io the Ifollower;reason(Swbn7031.:Bunivae and Professions Code: mono requites permit to censure=,aa.improve. PARKING REQ: PROV: PARCEL: 42618118 ZNE; REF NO: demolish.dprape wardtotepraimnepeor aMe�tan�Lmn*Lriquiree`IC�9(cannmawpsuch Parrs wstiSeatonMD)da+ssion3aait•e PLANNING NOTES> nems rk Pydeaava Code)a ihr he a she is vamp thaelmm and t e bus for the aged=``plta nn vioWbn d Swop > / /031.5byany woken foe•permit subjects the applicant toseri penalty Snit more than live hurkreddome 15503D. ********************************k****LE***************************************** ❑ I.as owns d the property a my employeesisnds woes a.Code: ecanwmabn"adp the Vali.dose and the Ware s nal intended DEVELOPMENT S E R I C E S REQUIREMENT or) a dloed br.Ns(Serson 7o=.Business W Prcleseaaa Cde:The Codram Limns.Law dor rcl•poly to an&earn d property t9 ///]]�/� who bolds orWowsthereon end erne der such was limed ce heraN a Graph hs a M awn meadows,amided iho pooh 9� inpraemero re r Naked adlwd to sal.N.hoots.the Pullin;a inprwapw s sold Whin one year d mmpletnn,the ZONING APPROVED BY DATE: >�L'�/ ownwt ilde,era have the burden d provip he or as did ml bald or improve la the one.d We). ❑ I.es war d the aopry.am=Suer*Mede;WI bewsed contractors b w ua the project(Section 7044.Bwneae and Processions Cole:The Cunnwm Low Law dery eery b an ower d .Uan Mb Sikh pr arorwea Ihereorr and Mb BUILDING APPROVED BY DATE: 7 contracts lot with The end•aNrwae L icaread Pursuant to the emeradas Lowe Law). ® 1ern IMMiLIMN Stalen: P7044 6.a P.C..kr ' wean: APPLICATION ISSUED BY. --Mkt kta Dot a-�� MMM****************************** **tM ************L�*********** ' ** Q °`"' LEGALIZATION:N FEE A R Y STRUCTURAL SEGMENT:N Ido hereby trey Ura I an Nine d and o seretak the nadrrm.na d Callan wM ark Safety Cob Sectors 25505.45533.rk 25634.and mat I a any Mum&WdwppnIMA ei/WR not(cede w)need b comply enh said rate ads and the e.nfllnew kr •preelarronstmaionamoddmiarNomttaM"C-E'7y raamerdDstdd.ResiartialoatanctimWIWalian.re=anninmthw BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING Irpwmcnt. PERMIT 65 45 WT Date: & rart 50% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I May adl adorn under penalty d penuryone d oOa lboS.0 dedio atce: PLAN ISSUE FEE 15 , 00 ❑ Ihew and wBmaser•andisadpawNtoewiuvmroato ian.asprw�dedlotby8•b3700altheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE cas.lathe°"l"canna" "`rl the soh this Iher`ad.r"d' mgTOTALS----> 65 . 45 15 . 00 0 . 00 80 . 45 80 . 45 . 00 3 I have end ME maid.n anthem'wmpreatsn insurance,es tepnoed by Swton 370001 the Labor Cole,la the performance d the wear la which Ms pasta issued.My workers'compensation insurance earner and pat,number are: I Crier: REVENUE DIVISION TOTALS--> COLLECTED: 80. 45 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK her section pod not be completed l the permit's b tea hwWed dolan(3I00)a snJ 80 . 45 ❑ I wily that in the perlonnance d the work bo With the Dema is issued.I she no employ any perm n ern mor ear In Sterne subjeo to the wMars'caroeneation ser d California end wee that tl should boas subject to Ow *Woos' ******************************************************************************* compensation twain d Swim 3700 d the Labs Cole.1 wall Iatwmn cant*wh*oee ptonire. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure bsecure radars'compensation memo Isunlerut end Mall sublets en employer tocAMnlprWOn and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST cMl Ila rpt to as Modred Mouserk dollars isogon In adfllbn to the coal of corrpensdancesn•danes es pcovlded lot In Section 3706 37oftheL otCor.Inrea rd.Romr'•la•• ELE 14 FIXTURES LIGHTING 1 ST 20 EA. • . 75 10. 50 CONSTRUCTION LENDING AGENCY:I May aMm under pwhy d perjury the there in accent/1Wtaap weary lending to the ELE 20 RECEPT/OUTLET 1 ST 20 EA. . 75 15 . 00 pedamwd mthesockhywhcIMmsissued ELE 11 RECEPT/OUTLET ADDITIONAL EA. . 45 4 . 95 LENDER'S NAPE: ELE 18 RECEPT/SWITCH 1 ST 20 EA. . 75 13 . 50 LENDER'S ADDRESS: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3. 00 3 . 00 e Icertify that Ihavnodths Rogation and ewe that teebme idamatks wwee comply wdhaI city otdnatr d county ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50 1 and swots.Swim go buAday vomM &Wrz canon and eby ene nr prenwvee dthell),y mamewl).to enter upon the eb .mentionemewl). END OF FEES for inspection purposes. AMY M. SESSNER Pm Nora ^y`�l�Q /L DW. AD° 1 W • /AperrtiAwfruNComrwa Al :TESSINBULBWG 124 E 20TH ST BMT: CITY OF COSTA MESA - BUILDING PERMIT awNERSNmEIFIOC* MACEDO JULIO AB0RES& 124 E 10TH ST PERM NO: P 076474 COSTA MESA,CA 92626 PERMIT NO: P 076474 PLAN CHECK NO: N GOVT: N SUPP: N 286-6484 NPL.MAILWO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT .. ABCBRECTORENGINEER: L/C.NO.: JOB DESCRIPTION : PLUMBING FOR RES. ALTERATION SQ FT: NCM.OR 5110.1ADDRESS: Witt CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / CONTRACTORS NATE: CONTRACTORS NAILING COMMENTS: UPGRADE EXISTING BATH/ADD SECOND BATH MISC REF B76472 UMT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby eltrm under penaly of perjury that 1 ern licensed under provisions of Chapter 9 SETBACKS (commencing mush Section 7000)of Division 3 d the Business and Professions Code.and my license S in IW Ince end effect CRY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Cwrwr LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that Ism exempt from the Conire:on License Law fa the blowing nage Business and Professions Code.Acyciy or mums whin leyuites a permelocaubmn,altar,improve, PARKING REQ: PROV: PARCEL: 42618118 ZNE: REF NO: pdrepo pthrapplicant f °"yt ° Qnro'othe ishe iame « IAwhetoest Lahr'Chain 9IrommennnSedoniroo)dwa:c . PLANNING NOTES> .tusmes and Profession Code)Of than he or she is exempt therefrom and Ihe basis for the alleged exampton.My violation d Session > 7031.5 by eery eppk azi for ep rrrs aumjwslhe epplcanl loss dvg penny doil more than live hundred dollies 1550011. ******************************************************************************* ❑ I.as owner of the Progeny or n"tinniness with wages as mei sole compensation,will do the wor`•and the stn'cm'e is not Sanded DEVELOPMENT S E R V C E S R E U or offered lawe(Section705C Business end Pmlassms code:The Conttmas license Law does not.ugly to an owner d MontanQ I R E M E N T S who build,a intenssfn helmet,thereon,and o does susok himself or ea or through his a her orm.emplolass.a«nded that such mprnernens a new mla sa ended a&feed We.1improvement's completion,,however.Ihe Willemsold within ayearcompletion,the ZONING APPROVED BY DATE: ownerbuKdar wig have the burden d proving he a she did rd build a maps f«the Panne d the). ❑ i IIP Prsol�ms Cthe odde:The property, dusnely eLLew°does nwith ot�to an lo'wisarr or'a prcpeny who biconstrua Me lds°orUN:coovvaMen7044, ai and wwho BUILDING APPROVED BY : IJ et n— DATE: � /rj"� a contracts b much owned,wen a controorn)licensed pursuant to the Contractors License Law), ® Ian ee,.empt"�under selonBP7044 BAP.e_,(gkL�re.m: 0 N L(��(� / • APPLICATION ISSUED BY: DATE: idAr�� Dale: p)'l -)—(eco Owner: t j(/S*� »\\1M0. ' _ ********************************* *if ****************************•, . , - . , ,. . - - ** — LEGALIZATION: N F E E S U M ' M A R Y STRUCTURAL SEGMENT:N Ido hereby corny dee I em&wee a end mderstad the requirements e) et and Sedan Cole Sections 25505,25533,-and 25531,and mai I or any future building occupant will)wit rat(circle one)need to comply mush sad Oen codes and the requirements ler , •pomp fmseacdwfrom apedDiasslmmrvaoenamellers rchRdasnenameaseanimptlmMersa BLDG PMT PLUMBING ELECTRIC ' aMECHANIC FIRE SMIP/RES GRADING tewisons PERMIT 49 . 00 . oats: Applicant: 2 52 SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby anon under penalty of perjury one at the tdowong declaration: PLAN o I have and meinlaina oenaiund consent Iosenasure kr waken mnnpensanon,s provided Ire by Swim 3700d the Labor ISSUE FEE 20 . 00 code,,«,n.pedam.g.dd,.w,«w;n,:.p.dssued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave dveilmeidaneaken'compensator compensation 3700dn.laborCode,bperformance TOTALS -> 49 . 00 20 . 00 ' 0e00 69 .00 69 . 00 00 a work for witch this pens is Sued.My wo kers'compensation insurance caner and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED.: . 69e00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK semis section need not be completed!IS perm!s b as Mended delis(SMOOor less.) 69 .00 ❑ I only dee in the performance of the work for which the panne is®nod.I arid)not employ any person in any manner ea es to become subject to the workers'compensation Ian d Cddornis and agree dee d I ehaudd become subject to the even' *********************************** ******************************************* cmpenseinn provisos of Swan 3700 d the Labor Code,1 shall forthwith mmpl with mss positions. Dae: App cant: INDIVIDUA L' F -E E BREAKDOWN Warning:FANowlesecure worts&conperlsdoncoteraga la mWwt*and than sweetsn ewployr tocriminalpenalgtl and TYPE QTY DESCRIPTIO N . UNIT COST TOTAL COST ofd)fines up to one hundred thousand dollars($I0p000),In ad)Idon to IM cost of compensation,damson 55 provided for In Section 3705 of rhe Labor Cod,interest,and aftomay'a fes , PLU 1 BATHTUB 7 . 00 7 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury the there is a construction lending agency for the PLU 1 SHOWER7.00 7. 00 nama p. m. tnwaa work for perms;issued(Gwen 3o97.c .c). PLU 3 WASH BASIN 7 . 00 21 . 00 LENDER'S NAME: PLU 2 WATER CLOSET (TOILET) ' 7 .00 14 . 00 LENDER'S ADDRESS: I certify has I have read this apptmecamis,on d state that the above ormation cond,eI agree to canply with an fray and county advices END OF FEES • and hate laws relating to budding construction and hereby amh`abs representatives d this city o enter upon the ehw0 menloned properly . for impecopurposes. AMY M. SESSNER E ✓IW/ED nt Nene Lin, • Swh, sig. ` _ �� l/ te d e .UPM/APpecenUCorerwa - • (5151 I&WP) White-BuildingA Safety;Green-Ale;eury u -ApbkanI;Pink-Revenue:Gdmdm dead- ee ' Essa9aLGUC t ::4 E -(7'IFt Sr gMTI CITY OF COY! . ME.:.?' - 10171,0.1'0C FERMI DMlERS NAME NKHMER: NACEDO, JULIO i'ERM Hi): a 0 : 1. 75 ADDRESS: 1 2 4 E 20TH S'T OSTA MESA, CA 92626 PERMIT NO: M 079 -.1 ? PL I _,0' IJ :I.11-I : I( 286-64c34 UIIG ADDRESS: ..,�,J.F S']-Ft1-.TICIId TYPE: FEF:M7T TYPE: FJE: i,;t't•'.F':. .i_ : AL". wcxrtECT OR ENGINEER. UC.No.: JOE E'E` CRIPT inlJ t' LUME ING FOP.. RES. P.l TFRATTON i3 -; .m,Ua . DDRESS: UNT: ._ ..: CLAIM VALUE : CALC- VA_.UE: r=ii('UP OCC : R - / CONTRACTcIrs NAME: COMMENTS: 1): -T, L,F FXIPT/ f , FATE/AFL, SE OOT DATA, MI REV 1.47;--; 72 CONTRACTORS MMUNG iikgs . A. ha .•tf.al. a. .... - aYf f.4: . i mh..♦.e.75.555* # - . wp Y:Yia .e. ..4i- ... „ i'1 - F n uADDRESS. UC,NO.: IJ I N F I P. E M E IJ T ,r E. LIM F. T P A C F: ._ LICENSED CONTRACTORS7O DECLARATION:I hereby affirm under penal):Professions ode aIdF I am I iensen unala moaaions d Cnepler 9 ITYUC. g west Sgtion 7000)d DrvaiC.]d IM Bus'Wea aleLIC.N .: Code-and my dpeese s in ha lace she effect. Cm UC. UC.CLASS: UC.No.: - . _. . - - TI-.Ili ::TiTI i'. ':•- • - __ _ --- . - - ;_.';I-i:cr_.-)F.'i l•�i? t-j,rLJ( FENT : FT ' N PFLR : FT IN FRN1 : FT IN RF? FT IU Dep: Contractor. LEFT: F', IN R:"HT: FT _TN LEFT: FT IN PMT : FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly d periury that I am eaempr from the Contractors License law for the I 1 r.I r,l•' . I T C r-F) • 'j• 1 f t:C �' ) Nit: following reason(Season 7031.5 Business and Professors Code:Any ay a county whin requires a perms to construct,alter,improve, F'�.Y.E' ! " RFC : - -. ILPCEL :__ . . . ._ l ) . . P...F , yemdnh,or repair any structure.prior Was issuance,oleo requires the aplWc 1 la such porno to file a signed statement that he or she : iL A.N I-)I Nle N: T L`- licensed pursuant to the provisions of the Comrades rads License Law Chapter 9(commencing with Seatond d 70001 Derision 3 the 15 business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Sedan _ 7031.5 by any applicant for a permit sugeds the applicant to a oat penalty din mom than Ire hundred dollars($5001). o I. :•a,..a. g 5 s r- a r r ..+ _ r_ _. ,. .. w . 'q+ . w .r:• +r r r -+ . . .-- r ,. -1-.«>. . . —_ _ I."owner of pmp.rlyor my wages there sole oompensatson.will do the work.and the structure not attendee E - . I. C• P M F N T S = R V I C ` « F. - i;. (ri U IF y .. F M _ ri I c or offered for sale(Section 7044,Business and Prolessions Code:The Conraaas License Lew does rwl apply to an owner d property who builds or improves thereon,and whon does such wad himself a herself a a through hisher own employees,provided that such improvements me not intended a need for sale.IL however,the burning o improvement k soid within ere years completion,the r.)bJ I IJ�� ::.-- -- r.:n �.y ; -—- -- .-_-..,. -- - .._. -. -_ F� T L. owner-builder wig have the burden of moving he or she did no(build a improve for the purposed sate). 0 I.as owner of the property.am eaduvivey contracting wan(caned contractors to construct the protect(Section 7044,Business and B t_J D D F•Ji.. -'I-• R.Il'F.D I.\' TI A-i L . Professions Code,The Contractors License Law does nor appy Wan ewner 01 property who builds a improves thereon and who - - __ _. ._.. _.. _ { __ cmuacls Ia Ka milieu wan A maradprc1)licensed pursuem to the ConnyMsaaapp Lipense Law). \ ( 1"�•' / rite Q lam eaem .J: /Ue•t )151TIGK APD1 T - )T . N S.SUF - EV: c_i. t— l u ) V ` e pt under Seqtion'. B.SP.C..IaN son: - • Dale. 3 • 7--7 • 9 cp owner: 7 j FGALI7ATTI)N: N ..:- F F S U M M_A F YSTRUc STRUCTURAL SEGM NT: N I do hereby candy met I am aware dud understand the requirements al Chelan Health and elety Code Sedans 25505 25533,and 25534,end that l a any lours buildug«tuners will/wll not ramie gel need to comply with said stale end the requirements la BL[C, PMT PLUMFINc ELECTRIC ML:CHRIdT'" J-- f( c EMI: TIT.: tCSAD1Nr: a perms forconetmclion or modifcationhonthe Ai uary arem peem Deana.Re denaconaructon applicationsarelnplr ions e exempt these ' provisions. r�.F.h:•; ; 9 . 00 ".51 SMIP /NON - FRE Data ' APplcant: PLAN WORKERS COMPENSATION DECLARATION:1 hereby affirm under penally of perjury one of the following dedaruuns: I E S U F F E E 15 . 00 O I have and MI mantes a cendcwed consent lo self-insure for workers'cc nsation,as prodded fa by Section 370pd the Labor FUTLDINC.-D IV-> PERMIT ISSUE PLAN-CHECK TOTAL LAID LUr dth Cade.for the performance e word lot:Mich this perils e aissued. TOTALS- - - - ? 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 00 ❑ I have and Fid mainlae workers compensation insurance,as required by Seddon 3700 of the Labor Code,for the performance of the wok Ica which this perm s issued,My workers'compensation insurance carter and policy number me FE JE DIVISION T: T ,S -5 C( LEC TFI . 24 . 00 '9 . :0 l - /L TUFT : ::1 0 Ct . Poky - t,This sector,need be completed the pmfor one hundred dollars/5tJ BLDG PMT PLUMBING ELECIFIC MECIANTC 24 . 00 FIRE SMTP/TOT GRADING nr ^N-CHEC.1 s K O 1 cm*that in IM performance d the wad la whin(his penins issued,I shell nd employ any p.m.)in any manner so es t0 become subject to the workers'compensation laws d Caleane. end spree that d I should become subject to the workers • .55:a s'. 5. 5 r a : i T...- W -5-i w t .f F f. .. i a teeA. i, ## v> .4 55-51555-515 -5555.i-: V -... ..-5:5-.... compensation provisions d Section 3709 d Ilse Labor Code.l shell forthwith comp*with those provisions, T N'D T V T FI U A L F E E F R E e_ J D U W N Date: Applcar.: TYPE (;•(•Y DESCRIPTION UNIT 00177 TOTAL COST Waning:Failure to secure workers'compensation coverage Is on/await,and shall subject an employer to criminal penalties and cog Sines up to one hundred thousand dollars($1 00,000),In amltlon in as Coat Of conapatfo e an,damages as provmed In for Section 3706ofthe Labor Code,lnte.at.andattorneyslees. Fiia' I TI! -T/FELrt'.= PEi'EC 'Ffl W;LL 13EATP.R o - 00 9 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury tthroe s•« oi a nslmon nc lending agey ter the _ END l)F FEES E S hein pedamen e of the work to whin the penia is issued(Seaton 3097.Cr.Cl. LENDER'S NAME: ' LENDER'S ADDRESS: I candy that I here read this application end male Iii the above idamaldn S coned.I agree to comply with W sly and county ordinances end elate laws relating to building construction and hereby eulhabe representatives of this ay to enter upon the above-mentoned property I«Nspedinpagses. JU•••�/.I0 MAC PDC) `n'1 Due: •Z7 •94, Signature rid AgengAp dWnVDomratla BATE ( `"I L__:),(\) ADDRESS OF BUILDING. 124 E 20TH ST um: CITY OF COSTA MESA - BUILDING PERMIT °WNERy"""`"KNOWN: MACEDO, JULIO PERM NO: B 076472 ^� ADDRESS. 124 E 20TH ST COSTA MESA, CA 92626 PERMIT NO: B 076472 PLAN CHECK NO: 00558-96 A GOVT: N SUPP : N 286-6484 APPL.WIUNG ADDRESS. CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE : ALT ,.......---- ARCHITECT OR ENGINEER: LIC.NO: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: 25, 000 • ARCH.OR END'S ADDRESS: UN1: CLAIM VALUE: 25, 000 . 00 CALC-VALUE : 25, 000 . 00 GROUP OCC: R-3 / • CONTRACTORS MAIZE: CONTRACTORSIZULC COMMENTS : NEW BATHROOM, ENLARGE MASTER BEDROOM, MISC ALT ADDRESS: UC.NO, ********w****+t***********************************************+t***************** uN1: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Can under penaly of perjury that I so licensed under provisions of Chapter 9 SETBACK S (commencing oath Section 7030)d Oiveun 3 of the Business end Pic/fissions Cole,and my license is it tull lace and effect. CRY LIC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: 16 FT IN REAR: 47 FT IN FRNT: 47 FT IN REAR: 32 FT IN Dais: t«Preaa.__ _ LEFT: 18 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: 45 FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally d perjury that I un exempt from the Contractors License Law for the Idlowi g reason(Sedbn 7031.5 Business aro Praes:Pont Cow:Any oily pr county which requires a permit to construct,aver.improve. PARKING REQ: l PRO'? : 1 PARCEL : 42618118 Z N E: RI REF NO: demdnor repair Ilsaroomns to tseContrrsoorsonee se Lares (Chapteapplicar:faeerma tofile a hSedon signedstatementDsione3 orf the NOTES> REMOVE & REPLACE WINDOWS MODIFY EX . BATH; ADD NEW BATHRM; licensed iolah, prepaid to the structure, prior t the Contractors ab L;ecu Law applicant f(commencing derma oar seam d stat d ntthai a of the PLANNING Comes,and Profession Cafe(Orthn heor she is anima therefrom and the base for thealleged exemption.Any•idat'on dSeaon > MODIFY EX . MASTER BDRM• REVISE ELECTRICAL THROUGHOUT. '7031.5 by any opphcant for a pared subjects the applicant to a art penalty of not more than Ins hundred dollars MOOD. ******************************************************************************* ❑ I,as owner of progeny or my employees wan wages as thew sole mmpensuon,son do the won.and the smiths is not intended DEVELOPMENT S E R V 3 C/ S REQUIREMENTS a Oland for sale(Sects"7044.Business and Professions Cone.The Contractors License Law does rift appy to an owner of proper /�' T _ who twins or snprwes thereon,and who does such work hose/or herself or through his or her own employees.Provided that such . (1 improvements are no Intended or offered to sate.N,however,the balding orenpovemw is sold within one year of oomddon.th ZONING APPROVED BY DATE: " '' / owner-bidder win have the burden d proving he a she cad not build or improe la the purpose d sale). BUILDING APPROVED B Y DATE: �� A"❑ I,as owner of the proper.am exclusively ooruractag wvcontractors n nmua ensed contractors co the project(Section MM.Business and BUILDING Professions Code:The Comecon License Law ayes ea appy to an owner of property who builds or improves thereon and who contracts la such projects sth a mdraaonls)licensed pursuant to the Contractors License Law). • .y� g1 Iw..empr edansmo BP7044 B,APC.. OWNS ` E ^^ _ , APPLICATION ISSUED BY : DATE: OV or i Dole: /72-60-"Cit0 Owner: �� ********************************** ** **************************** . . . ** LEGALIZATION: N F E E UMMARY STRUCTURA SEGMENT: Y I do hereby candy that I am aware d and understand the requirements d Callan ah and Safety Code Sections 25505,25533.and ala per wdthatlprwtmcdthtutors uwgo the Aint aktyMa(gecbDana. ucvmaywall constndswawMaWtMregptIransae BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING permit larmtI or anis a meduwmrtam IpeAi Oua*y no Management o one)need Residers W mess said to codes n are exempt Iron these pr°np• PERMIT 252 . 00 2 . 50 Date: Applicant' SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby Man under penally d pen ry one d the Wowing t•reos: PLAN 40 . 95 ISSUE FEE ❑ Code,tndwum.ima*•ccwrweofcowwtoeen:naelowued, onpenscion,as proa.afor bySection 3>Dodthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Cme.latw penomencedthe w«klo with this perms is iesrea. TOTALS----> 254 . 50 0 . 00 40 . 95 295 . 45 295 . 45 . 00 ❑ I ha.end al maiden workers'mmp•nsetun anurance.es required by Sea 3700 d the Labs Cont la the performance of the work for such this penin is issued.My workers'compensation nwrance carrier and policy number we: Caine.: REVENUE DIVISION TOTALS--> COLLECTED : 254 . 50 OVER/SHORT: . 00 ` Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK , [yds warty need not be completed I the perms is for one hundred dollars rSIX)orless.) 252 . 00 2 . 50 0 I rarity that in the performance of the work for which this perm/is issued.I shall not employ any person in any manner so as to become subject to the workers'compensation laws d Calania.end agree that l l shook' become sube0 to the workers' ******************************************************************************* provision of d compensation provision Section 3700 the Labor Code.I shall lonhwah comply with those provision. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Fella to secure workers'compensation cordage b unlawful,and shall subject an a ployer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000).hi ad idon to the coal of compensation,damages as provided ler In Section 37asol Me Labor Code,interest,end.Dom.y:tees. SFR 25000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 25, 000 . 00 CONSTRUCTION LENDING AGENCY: I hereby emus under penalty of penury that there is a construction lending agency for the END OF FEES eenamance of the world for which this peonit is issued(Sedan 3097,Co.Cl, LENDER'S NAME: LENDER'S ADDRESS: EXPIRED I curry that I here read Un soplutvr and stale mat are above ird representatives cones.I eggs*to comply with myand courtly ordinances and stale laws relator;to budding ansruam and hereby authorize representatives d the qty to enter upon the Nos-mentioned proper Cl-Th �1 r) la inspection purposes. t nI A: V . AMY M. SESSNER DATE -_.:-Y - - - ,` Print Name — . %�_ \ %.1.., Date.11.0a-Ci W �•gnwur•d Owne.'apam'AprlranLfanrector (515t J6 WP) Who-Baldry&Safely.Green-FN:Canary-Appfc nt:Pith-Revenue.Goldenrod-assessor ADDRESS OF 191CDINa: 124 E 20TH ST MT: CITY OF COSTA MESA - BUILDING PERMIT I ON"ENs"'MIEI°'aoww MACEDO, JULIO PERM NO: B 076472 ADORES': 124 E 20TH ST COSTA MESA,CA 92626 PERMIT NO: B 076472 PLAN CHECK NO: 00558-96 A GOVT: N SUPP : N 286-6484 APPL.YAI1lN0 AOORE54: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT ARCHITECT OR ENGINEER: UC.No.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: 25, 000 ARCN ... '%AOORE59: UMT: CLAIM VALUE: 25, 000 . 00 CALC-VALUE: 25, 000 . 00 GROUP OCC: R-3 / CONTRACTORS NAME: caNTNAcrowsMMUic COMMENTS: NEW BATHROOM ENLARGE MASTER BEDROOM, MISC ALT • ADDRESS LlC,NO_ M**3klk1Edk9kkiEklEM*33E/E33k3#4*Mk************************IEIt3N3h33*4d!%lb3333333if333331E31E3 UNIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Mkm under penely of perjury then I am lensed under provtera Of Chapter 9 S ETB ACK S (commencing yah Seton 7000)of Division 3:Atha Business and Professions Code.and my teen O in MI hen and effect. CITY UC.NO.: UC.CLASS: sac.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: 16 FT IN REAR: 47 FT IN FRNT: 47 FT IN REAR: 32 FT IN Dale: Cauda: LEFT: 18 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: 45 FT IN OWNER BUILDER DECLARATION:I heady affirm under porta,d petjay That I am esampl from the Correctors License Lew for the followingreason(Section70315BusnessandPobssonsCde.Anyone°uetywhichrequiresapermittoconsenit,aner.improve, PARKING REQ• 1 PROV: 1 PARCEL: 42618118 ZNE: R1 REF NO: • smdee h.a repair any structure.prior to a interne.ala repro.,the forapplicant such canf ch penal to tie a signed statement Mal a he she U .licensed pursuant to the provisions ten Connors Oc.n.eLaw[Chaplet 9(mth(commencing wSedan 7003)d DMeion3 o the PLANNING NOTES> REMOVE & REPLACE WINDOWS, MODIFY EX. BATH; ADD NEW BATHRM; urines,and Probssions Code(or that hes she is exempt therefrom and the basis for the alleged exempton.Anyv'gWun o Section > MODIFY EX. MASTER BDRM; REVISE ELECTRICAL THROUGHOUT. armless by any akrant for a perms subjects the appT&Je to a dinten palty d no more than five hundred dons(SSUOI). *if*if iE 3 k df k k fF ilk iE***ick*ilk*3E**dE dE iE if 9E*ilk df dE df*1E 9E dE dE dE*k 3f 3f 1E if 3f k***1E if lE 1E IE 1E iE iE 1l iE 3*if iE*1E**k*#lE iE fE*iE*if fE ❑ I,as own. dthe acpenyormyemployee*eh wages as their zee mmpenatim.will dothe nark.and the structure snot intended D E V E L O P M E, N T S E R Ve S REQUIREMENTS or offered for sale(Section 7044,Burma and Professions Code:The Cenlrwon License Law does not apply loan owner of properly who bunds a improves thereon.and who does such work himself or hose'a through lie a he own employees,provided the such �� improvements are coMended t Meor Olen for sale.Ithowever.the Wilding or improvement d br provement is sold within e year campbl .the ZONING APPROVED BY - DATE: owner-builder won have the burden d proving he or she did not build or improve for the purpose of sole). / �� ss ❑ I.as ower d the property,am endue ly contracting with licensed contractors to carwtoe Me project ct (Seo n 7044.Business and 7 / Professions Code:The Contractorso s License law does no apply an ownof property who builds or improves thereon and who DATE:AP P ROC ED BY ✓ +" DATE: contracts for such projects with a amradon(sl licensed pursuant'o the Contractors License Law). • '7 x.11 gJ lamee^xe�maudasea�w:yBP7044 o.&PC.. OWN (`,E��/ ( (� _ , APPLICATION ISSUED BY: DATE: 0�/ AlIPAP Dee: 0/� 'l(o owner: N � 1^ esC�°^ �V 7C�l/'� iE1k1E1klfiEikiEiEiFlEiEifiFifiFiFlEiElfiE1E1f1EtEiEiElEiElE**** #tt if#iFiE3IF3*3lf*#1E333iFiFiEiElkiEiElEiElErif- . - - - - - - - ifif LEGALIZATION:N FEE UMMARY STRUCTURA SEGMENT:Y I do hereby candy that Ian aware d and understand M requirements d Ceram ed Safety Code Sesicm 25505.25511.and 2553x.and that I or any haute building occupant will/will nor(circle one)need to comply with said gee codes and the requirements for ameloconstruction o.rcdnk th ion ion from e Ai- ae egem °Dorn.Reademmmw anbm naopialoaGenet ere BLDG PMT PLUMBING ELECTRIC M p. ECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 252 .00 a 2 . 50 Date: AROppan: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby wally eby Mhm under y Perlin One et the blowing ddeaons: PLAN 4 0 . 9 5 IULE FEE • 1:1a eadhAmeMn ac dconsent g. nlo9a-insure bo workers'compensation,es ion, prwddlaSection by aLater BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance or Ms oak to which this penia a issued. o Ihave awimaintainworkers'wngeagnmunano ni ,.asrewiwthe performance TOTALS > 254 . 50 0 . 00 40 . 95 295 . 45 295 . 45 00 dl work for which this penin is issued.My workers'compensation insurance terrier and pilin numb are: Caner' REVENUE DIVISION TOTALS--> COLLECTED : 254 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK rase nmwnao.mnplgd0theperm(abonehund dmlam(stap)aw.) 252 . 00 2 . 50 • ❑ I ceniy Mal in the performance d the work for which this peons is issued.I shell no employ any person in any manner vas to become subj d to the workers'compenamn laws of California, and agree the d I should become subject to the workers' ick**9E**3E**3E lh 3E*****ick ick*lE ick*1f*dE dE*ds Il*M'df M k********lE**M*****9E*M***M**M*9f 9E*iE lk*if M******** compensation provisions d Sworn 3790 d the Lab Code.I gel Idhwan mmol/with Mose pronatus. IND I V IDUAL F E E B R EAK DOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject en employe to criminal penalties and TYPE QTY DESCRIPTIO N . UNIT COST TOTAL COST civil fines W to one Manfred thousand dollars(swum M eddidon to Me cost of compensation damagee as podded for In Section 3706 of M.L.)0.coo:,Innre,L.d.trom.y:o... SFR 25000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 25, 000 . 00 CONSTRUCTION LENDING AGENCY:I hereby tam ode peaty d perjury the then is e aonstrwion lending agency for the END' OF FEES performance of he work for which the permit is issued(Swan 3097,Cm.CI. LENDER'S NAME: �ar� ' LENDER'S ADDRESS: EX I1 L•D Icornsata the I hove read this apprentice and gatethe the above intormalen u coned.I agree to comply with an ate'county ordinances r• and stale bon reefing to building canebuebn ad hereby authorize naesentatiess d the pry to we upon the abwemem and property I for inspection purposes. � - - L_ n riATII /-� AMY M. SESSNER ,,L/�1 I - ( Iw pont Name Dom_, �i \ /\\ , \�\J y�~� ignature d OwerlAgennori anVContreaor V �L/�EWL// (515141 W PI WWhhae-Buildig A Safety:Green-File:Canary-Appicam:Pink-Revenue:Gddenrod-Assessor , I 7----' I I CONS,I ',ICTruN AND PLANNING I Pout. 'A I I Date I Inspector I 1 Date 1 Inspector i APPRO. 1LE Perrnittstr• I APPROVALS Permit #--_- i I • I 1. lernprgary E Ictrical Service or Pole 52. Pool Sr Equipment Loiation I i .--t 2. EI Pipe-Untl'utricl. I . 53. Steel Retnforcernent I I t ----I- I '... _F7_7 .. Elect. ca. Conduit 111!titsr-Uncirgritrf 54. For:715 , f - L 1_ . Elect- ca. Cord 2.1 Und'grnd. 5 . Electrical- 5Bonding I I5. Steel tir? rrorternEnt II 56. Fioutin Pturnoinci 82 Pressure lest I 1 _ t 6. Plec'• strt 1,3t-'EP Ci-no , 1 57PPROVAL To CR• OVEGUNIFE. i---r---; - _ _ . A -- II 1 58. Eif•CtriCal Conduit Linttrorno. I i 9 F r.r< it dl I 59 Gas Pipe, C Undroritcl . Test I Ii--------- -- -4----- . -- ! 60 Pact:wash Line, Cr 1 rap. 11 Z--- -- -1 ---I-- --, APPROVAL YODECn: P-.2st t• -re. •.., r• .r: h 31.,31:Cornecl)on -t. 62 Bactssvests F.! Peceroto F.( a 1 63. floater 8: Vent•Fnai 64. P xr•Inect Sys•cr• r : a! - i ! 1.1 , ;:' ''' ,• "-; 1 -- 55. EctricalFtl r_ ----- 1 I 66 5..,:ar Syste--F !! • a _L .!. 67 t PrtGIng al, AC• , , •• I !0,•' . ... • - I3 6AnPROVE,1 I . i4 -'' A511•' 1,3 -_- _ - ' Celi 1 I , ' .41 4..q C CI rI''‘`, '' - '-' '. -• r ''• ' --I- ! DEPT RFOUIRF"Pi. ' T --; -- - ,-.. . . ".•• .72.: IV; ; ,...4. 1 F -e4-.. 'a _ , APPribV...„1...S Petb' ' It -- : - - - Lii.,C,'S ' t:2 -.'-t,.•,!' • ' ' t 'r Vri.!Prt:rt•trd -1•/C ' • ..! :-, - , $. 71 I•..-rt•et Pint -f50 i - I 4,, i-;( r ::!$• i - ' • i '2 . -2r:., ,,I• •.! FlUrl, I r • _____ .r. , C 7 fa , -..eturr6 Stnracs5.1.a..., L .. • -. I . •-4- r /4 s.••-rhol! tt ''''' I .• di 14., . . . .. -.--- I 14*-110 ' l'•, 1 11 i' r! c 'r..clo•t! S "ilohocoat I 75, Dr 1' Chemiudl - : 2.' I Y- • • t I t ish!• g 3-1/-46 . Cs-64..„ 76 ' ; . Stantfprirr • ‘•••••• I I 7? r. ct• •; 'Id f. . " . . 1 _ I ' -7. •.r . SS'S" 1ci F 7 : ._ . 5 I :id . I I 78. r itEPPtSt -MAL I.--;-7- - . - .• . -> .2G-00. . ' ' - . -91 r- -- 1 . • '3 -C'e 4T-4 ;--Ii-ctIQC44--- iI HEAL TN DEF'T. 0 IQUIREI.I.E%T..,,I. • I • -- i ' . ; ! - • rr Ill. Ce. ! • L7n '•Ai %Si'f I 1.10 • ;' ,: E.• - Le P'' .it' 7..Cdr•141 •,, I - ,L, .. ' P-MC :CA-' '. :;3I. . . . .. . L 3:3 ::...;' :P E. •ttr • I • .. 1-Nors --- ---- -7---- -"-!- --- _ . I- ---. iz_ -2___. ___ . _i____ ___ . __77 s r. ran le ;lit . .514 A. r Dontli-tc,-.-iir,(1 r 5 rini ), r . • Te.t . 36. ,-; $ C.a . •, - LCI-- me - - 04- /e-5c LK:go/4 Ake_ 1'1- 44 V nal, -- -CCAPC-- _ ; .38 F;tra Pityro nu I • s: 1-• - .." 1-33 SVate- Se-vicr!-Fintis 1 • • • -- - --------- --- - - - -1 ' I 1 - ..t I 40. Cs ..tc!,"CP-' na! r-- • I . --.. -- _ { 41 S-:a, 3,--ne c•1; sal . ' . . - -1 I 42 r`I3,C1'.1••,V. P'..a^:er ‘ , - I- • --4- ----, 43. Back' • 1? lertIrrl . . _._... : .1 . .44 LanOszarte I-,itsmon s!,sirs •. - . --__7,_ _ - . ---4 I45. Scoot- Atte- tabor- • ,-., . 1_ .- I '46 H,,MI ',:alt`.;•',ita t ens; ' 1 _ . I- 57. FINAL STF. 'OTIJRE Ft" BUILDINbr , F-18. FINAL P1-4'•NINO . ' -- -- -- - - - 719. Elecule Relrate to F.disol - .SO, Gas tielease 'aS011t.h8rn Caitfor Ilia Gas Co . . .:... Si. CERT'FICA"E OF OCCUPANCY . . Nit, Date 1 I - ___ ---i- .._- 1 01 ssorawLGNG: LZ4 c . ') tH S1 UNE C1TY OF COSTA MESA - BUILDING PER!-!IJ. OWNERS NAME IF IDIOWN: MAC EDO, JULIO PERM NO: It U !b': 1 , ADDRESS: 1 2 4 E 20TH ST COSTA MESA, CA 92626 PERMIT NO: M 076937 PLAN CHECK NO: 11 GOVT: N SUPP : PI 286-6484 ApPL MuuxcADDREss: CONSTRUCTION TYPE : PERMIT TYPE: MEC PURPOSE : ALT ARCHITECT CM ENGINEER: LIC.No.: JOB DESCRIPTION PLUMBING FOR RES . ALTERATION SQ FT ; ARcx.OR ENc.I fr000Ess: uNr: CLAIM VALUE : CALC-VALUE: GROUP OCC : R-3 / CONDUCTORS NAME: COMMENTS : UPGRADE EXISTING BATH/ADD SECOND BATH, MISC REF B76472 Ca4TRACTORS MNLWS **Kai:*#k:-#<r-fE##«+sit Ek+.i-tE*x4!ffi**ix*xif*****itM*Nxw.kniyic*ftft*if#1rh*Ic4rt**0-*N1,/ria*>•:s. WOW Lt.NO.: ZONING REQUIREMENTS OMT: SETB ACKS LICENSED CONTRACTORS DECLARATION:I hereby afire wider peroly of Penury that I am fcensed wider provisions of Chapter 9 (commencing with Section 7000)of Davison 3 d the Business and Profession Code,and my license is in full lace and effect LIN - - - -- ----' - -- ACCESSl E$.�ORY BUILDING - CITY uc.No.: accuse: LIG.NO.: r_x: : ------ ----- ----- MAIN BUIL , i r _ �' - -- ---_ FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN Dale: Comedo: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OSWNER BUILDER DECLARATION:I hereby affirm undo'penaty d WNW that I am waffle!from Warms the Conbadanse Law for The PARKING REO: P R O V: PARCEL : 42618118 Z N E: REF NO: wipe reason(Section 70315 Banns W Pmfauons Cade:Any W or county which requires a puma to construct.alter.improve, imoleh.ce repair any stricture.prim to as issuance.also requires the applicant for such pelmet to fib a signed tWement that he or she PLANNING NOTES> •licensed pursuant to the provnms d the Contractors License Law(Chapter 9(commencing watt Seem 70001 at 01,11°.,3 of The > Business and Professions Code)or OM he a she is exempt therefrom W the bases for the alleged exemption.Any vwatm d seam 7031.5 by any applicant for apenat subjects the spoken!toacod peealtydr,d more than tIehWred dollars 1550011. ***,F*********irk***[4******* *********************t#*****�K**********************f ❑ 1.as owner(Atha INOOMIY Or my employees(nth wages as thei sole compensational!!do the wock.end the structure is not intended - DEVELOPMENT SERVICES REQUIREMENTS or offered far sale(Section 7044.Business and Professions Code:The Contractors License Law does net applyto en owner of Nope/ who Wide a improves thereon.and who does such work Meese a lima or through his or her own employees,provided that such BY improvements are not intended or offered for sale.e,however,the building a inpeovenent is sold within one year d completion.IM ZONING APPROVED —_—______-.—_.__—_ _.. DATE: -______ owner alder wit have the burden of proving he aisles dd net build or improve for Use pumose of sob). ❑ I.es owner al the property.ern exclusively coot/acing enth keened coeitiactca lo construe'the praise(Seelne 704e.Ekisumes end BUILDINC APPROVED BY : DATE: _ _ Professions Code:The Contractors License law does net apply to en owner d property who builds or improves thereon and who ) _. vcontracts for such projects erg aadad )licensed punuW 10 the CAW a e)awl. Z / .CI('HP /V4° Ua�i fir tr( APPLICATION ISSUED BY : DATE : 7V {'V I ex ands Section: B. P.C.. ' ********y,.s.:*4#4.<f* +mak##a*!f#4i****-**k w4***#7'7-W4ifAt****0-K********-7**# ..) Date: 3 ' •z7 . (rico Owner . LEGALIZATION: N F E F SUMMARY STRUCTURAL SEGMENT: / I do hereby cooly that I am aware d W understand the requirements d California Health end afety Code Solicits 25505.25533.and 25534.and Neelore,yfutoebuiumgmoment dlwnnor(acleo,e)needtocomplywan mtecodeendlheregwremetsfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a perms forconstructm or modification hon lhAi uaMr anagement Dmrid.Resident conennm epplcabmue exempt from these PERMIT 9 . 00 provisions. 25% SMIP/NON-RES Date: Applicant PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm Wer penally d Rodney one d the Slowing dedergms: ISSUE FEE • 15 . 00 ❑ !have and MImaitanacntimedran.ernm..nneaekrworkerscampens.m.asprdvuedfonyS.mo,37mdtheLabor BUILDING•-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Cole,for the pada-mance d the*ark for which this derma is inued. TOTALS- -- -> 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 - 00 ❑ I have and win maintain workers'compensation insurance,n required by Sedco 3700 d the Labor Code,for the performance d the woe*for which the peeneda issued.My waken'comp»nsatm insurance carrierer4 porky number ere: REVENUE DIVISION TOTALS--> COLLECTED : 24 . 00 OVER/SHORT : . 00 Carder: a BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK Policy Number: 24 . 00 IThis section need not be completed I the panful b use hundred dollars(5f001 a Ins.) . ❑ Icatty the in thepedornunce S thewok for W,ch the Lamas issued,I shag net employ any person ineny manner so No ************#* *neemexc ****Na. ***************K+*k*x-*N-R**ik7 *XX*** far*k *Ky become subject to the wonlaw.d workers'compensation Gardenia. the. end agree that I should become subject to workers F• P. E A F D O W N compensator provsmd or d The e Sect3700 Labsd,CoI shag forthwith comply with Nn I N D L LJ LE E I 7 I 1 I A, Boprovisions. Date: Apple.„: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Warning:Failure to secure worts:con,ansaxon coverage la unlawful,and WWI subject en employer to cdndrul penaltes and civil gnaa'e to one hundred thousand dollars(5104000),In addlden to ma coal of compensation.damages se provided for In (-u— C r C Section 2706 of me Labor Code,Interestendarromay'afeMEC 1 INST/P.EL C. RECESSED WALL HEATER. 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby dSwrier m uer penallya y d penury that there e conarudm leading agency Sr the END OF FEES performance of the web for which this penni is issued(Sedon 3097.Cw.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and ace the the above Wamatm a coned.I pita to comply eon W cdy and county advances and state laws reW ng to building canseumon end hereby authorize representatives of this coy loader upon the ebwemernicned property forin"CliWPWP" JULIO MACEDO 227 q pant Date: 7 Z7 • 1� . � //E, D ` �y/�Y� Signatuad IAgrWAoolc ndCatrada .' -DATE "7 L Ja - �� / 7 (5151-46.WP) White-Bodsg S Safety:Green-RI.:Canary-Appfunt:Pink-Revenue:Goldenrod-Mersa r I POOL SPA 'y: , (;OPiSTUCTION AND PLANNING 1 oDate • InspectoAPPROVALS Pe-nit ". ---_ - Dale ilnzrector j APPROVALS Perron #- — 1. Temporary E'ec:r,caI Serace o' Pole 62. %'..,d Y,/ E:elumn.e:t Lpt:at.o • 2. ;k)d P!ce.1lnrh yr 1 I [ `,:rel t. I I rti, i3. F.'.nior��. f 3. Eiec Ct, hi Ut t .v-Undlcrnd -- � -- jt—f„•ns— — -_ --___-______- 3. ^ --- I 4. Elect..cal Cn•'-lu ..Und-9•na I 55. ' anc,l Ru r.. I 5. Ste'I Pe n'c• emen• -1----- I 56. "•,J;h 1 iur.�hu.: R "r,,;r,ur c,t y � � ' {4t E Ier-r.r.i r '? •3mt — I ._- I'_- ii ,,.'PR(1dAE (I. :VER (.. QTc' __ '.--� I i. Foot -ac I I I 58. t -tct„t-II Cm t u,t Ut.hc•r, t I I8 i.lunna• O- --f _-- _-- 1 f�g_11 ,=P.-••-_ I11,,aarnJi.. �'0 9. i„ace..—e- .ri _ .,t, ---' --t — ___-I UO._ --wd.1, I-r^,.I__._1_._---I�- - - - -- . .-. 1 10 S •.'r rt.a .. . 5}5- ,. I I` .- (ii. d.'7u,tlt(A; 1. UE.C6 . 111. Poo P. CA” _.re :•. Horse Connection I 87 4.i: h Ptr FnFt. 12 J'•v. -r I (,.'i. at('r /\...I,t. I_ -_--__. -_.- --__ -_—_ 7 __-. —_.. _._ . ._ _._ ' . 66. 5 :-.E Pt F-- -_ tg ,.,.. • 1:7 .t ev ;r I I — ` 1 «?; - .-1( \ c•• '1 e., .y -- ----- . . ,'ut;l F i• -- - -- - - • • r" --,____ "J:ng•. -_- I_--_ i-- _ 74 - .. _-..• . --'- __ . __• _ _. .. _ . _ __ -_ t __. 1-..__ _ _.. - - ._... _ _. _ _. .- 1 26 . 8a- C' .I , 'pc_ el ,s Mcncco, 75 1--- - .__-_ ----__-- - -- i-- - -- - . ---- -` ' -- - . - - - - I -- ---• ---.- . .-- -- '_ - - -_ 1 fr 12d a. .tU" t . 78 .,t1"L.V • ir.!„ 9"/ , .3p '---.' --- — , —_ lit • TFI ['Ern , ' R .I_ - - -r J :) E --- - --- - - --- -- I - -i --- - -' -"- .. - - -- - - - it:- r ra 1,r.', —r N.I.. r. 57-__.-'36 _ ^ exn�zcct "_:'. 1 Ioa F -a1 -r. F. q.: Co : on''np I _i_3. 1. _ (l zavbe_ t4 ...a _ . I I 3 FPal °a t: , i. .eola I I '----- — -- - -- -- ' -. _- -- - -- - - - - -- 38. F '-.al Pturrt, -. I 1 } --1 ___ . -- ___ .. 5 •-,... nal - - — — — — - I 43, S:..s :.n.cis- ..a I I :1 Ca, It C.n E. - .al I 1 42. .ack' :iv, .r=.a^t,- I iI 1 _ _ —._ 1 ---___ I___ ^.____ ...__. . ___ _ ___ _- _ __ _ _ - -__. nn, Larc\Cane I-:scat on ;•.s.--t I . 45, 9-4411r: Atte iv'ton ' I ( i— - .__-. _ . -_- - _ • ._ _ .- .. . . r .� - _.- -Y .._ 1"� . .. _ -. _ _ 46. I!,iltllr;Ju q,Il;'at.nn• I —_ I I -_ . 17 F NA -rtF. RE y E-.LCu. 1 —( — — 48. FINAL 'LA1.NINC1 't9. C ,ctr t C:, PE-, e En cry - --—_-.-I_-. _ .-_. . - _ _ _ -- 50• (...-,ISRel,.;sc ; cauthm^t Cailfomia Gas CO `- -- -- - - __ _ --- - - - i I--.v - _ -..- .- - - - -- .. .. - - - .. Sit ('=RTIF!Cn' EQC OCCUPANCY j INc __ Damn I l—_--._._..___-_. _. _ __-__ _- _- _ -- . .4 • iv IESSaeMLMNm 124 E 20TH ST UST: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF MOWN: MAC EDO JULIO PERM NO: P 076474 ADDRESS: 124 E "20TH ST COSTA MESA,CA 92626 PERMIT NO: P 076474 PLAN CHECK NO: N GOVT: N SUPP : N ' 286-6484 a.SWUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : PLUMBING FOR RES. ALTERATION SQ FT: ARCN.OR ENG.'S ADDRESS: INT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTOR'SNAME: Cdrt1ACTORS MAKING COMMENTS: UPGRADE EXISTING BATH/ADD SECOND BATH MISCREF 876472 - ADORES& LIC NO.: .- *********SESr*+E+EfE1ESrSESE�EftfEIr�E1EiE1EiElE+titiEfESrit�E*Ir IrSESE�ExSrlE1Ei 4**Slat,fIESE*(E*SE+t*,tr,tSrtt*,t+t*eE****rSE+E* UNE ZONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury thai I an.licensed under provisions of Chaplet B SETBACKS (commencing sixth Section 7000)of Divisum 3 of the Business and Professions Code.she my(sense is in IW forte and Bled. CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN • V°°: Domero LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereb/affirm under pen*Yy of perjuy that I am exempt ham the C«graaas License Law for the ',Bowing reason(Section 7031.5 Busies,and Professions Code:Any ay o muds whim requires a panne Io mrelrod.ellerat,improve. PARKING REQ: P RO V: PARCEL: 42618118 Z N E; REF NO: imolai,. or uvaoper ia the p`ovtsions to prior Il,.C«Nraits ear�i,`nesnae yaw[Chapter a«(m(commencing such cermet I.',Inasw'o r T gned statement owmiart i orhe Ilse PLANNING NOTES> Business and Professions Coded a the he or She in exempr therefrom and the basis for the alleged exemption.Any notation of Section > 7031.5 by any applicant pernM subjects the applicant CM penalty not mom love hundred dollars 135GD1). ******************************************************************************* tr ❑ L as owner of lhepropeny a rmemplwees with wages es theirsole cameenalimtel do the work,amd the structure bona intended DEVELOPMENT S E R V C E S REQUIREMENTS or offered for sale(Section)ON ,Business and Professions Code:The Contractors License Law does not apply lo en owner of properly who Mason.bolds or improves ason, such and who does swork Sneed or hie'or throughnprga h or her own a .Provided the msuch ON improvements are l intended or Weal for sale.If,however,the binding a impressment - ,e91 sent is sod within oneyear completion,the ZONING APPROVED BY DATE: owner-0uMer*if bap. of hathe burdenproving he or she did nor build or improve or the pvpose of Wal. �r ❑ I.ofesions Codde:Theethe rty.ern exclusively Limen., Law` dooeesmtat licensedaanowner p 'ihe project fiection 7044.Iy.Me thereonendmono BUILDING APPROVED BY : .6 ¢� DATE: , ' contracts for such project,with a mntrador(s)licensed panuanl to the Contractors License Law). /or RI lamesem ..-CI(07044 e.aPc..l APPLICATION ISSUED BY: DATE: ✓��L " Date: �Le)7 � ower«: \Q� 1t ********************** ********** ** ****************************-,. . . . . ... - . ** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N Ido hereby candy the I am aware d end understand the requirements of Calif and Salary Cada Sections 25505,25533.and ' 1 I .✓ 25534,and that I of any future beading ompent wet I w0 not(circle ane)need to comply wth said state codes and the requirements for ' aPenne ler constmdwnormodrlicelwn/TM thAi ua y anegememDiania.RWdwdnio v'alconnn°ppfmen tianaexemptfromthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING prowsions. PERMIT 49 . 00 Dale: Applicant 52 SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby alhunder penalty o r"polaone d the Rowing declarations: P LAN rm ' o IM1ewendwilmenlenscsnd'ceedcan°enitoaaEinwnl«wakae'mmpenwon.nprwitladlaby5emon3r00dlMlabor ISSUE FEE 20 . 00 a thepedormcnceoteworkfor*niceltepemeisissued. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Code.f ❑ Ihave end wileinlau mwan'co kempaceatkminsurance.Oareqtnm5for dbySection3700teLaborCode, thepedamanceoftM TOTALS > 49 . 00 20 . 00 ' 0 . 00 69 .00 69 .00 . 00 work for which this penis is issued.My waken'compensation insurance carrier and policy number we: .. Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 69 .00 OVER/SHORT: .00 Polley Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the Dema is for One huayed Star,MOW of last.) 69 . 00 - ❑ I certify thai in the performance of the wane for which this perms is issued,I shall not employ any person in any manner so as to t . become subject to the workers'compensation laws of California.andth agree e 11 mould become cabled to the workers' ******************************************************************************* compensation pro/Sinn dd Sean 31c0 of the Labor Coda,I shall forthwith oomph with rose Provisions INDIVIDUAL F E E BREAKDOWN Date: Applicant: • Warning:Failure to secure warners'compensation coverage Is unlawful.and shall subject an employer to criminal pe aldu and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines rep to one hundred thousand dollen($104000).In addition Io the coat of compensation.dame.as provided for In e Section 3)O6oI me Labor Cools,Insley, aanomey'a fees. agPLU 1 BATHTUB - ' ' 7. 00 7 . 00 ' CONSTRUCTION LENDING AGENCY: I hereby earn under penalty of perjury thethere e a construction lending agency for the PLU 1 SHOWER 7 . 00 7 . 00 ' penormameafth*orb tor wish the mane eissued(Seugn309T.Cu.CI. PLU 3 WASH BASIN 7 . 00 21 . 00 LENDER'S NAME: PLU 2 WATER CLOSET ( TOILET) 7 . 00 14 . 00 LENDER'S ADDRESS: END _OF FEES candy the I have need this apnnn and sea that the above information a correct.I epee to comply with gore endminty rdinw as and slate rurpIerobhafong c wv onsrhand hereby authorizede tenterupon above-mentioned epreeentanrve, tnYlothe 9bove mlkmed property 1m66 iR�� . Dae., for inspection purposes. I{pr J^J E711/11.(`W/Vis^/ V/^I - ' AMY M. SESSNER nt Name a�41(0 DATE • LIN ur //gentrAppicant/Cograd« l (5151 46,WP) Whee-Budding B Safety:Green-Fle:Canary-Appicant:Pink-Revolve:Goldenrod-Assessor i , 1, f'A l : CONSTRUCTION AND PLANNING - I. :, 1 Dat,' • :n:n'•clor . Date I Insoeao• APPROVALS Pcrn.It _ I- I— APPROVALS Talc r=.- _____ 1 I 1. Temporary Eectr cal Servico o: Pole I 152. f',•ol & Lyumv...e•.' : o' a'.a' I I 2 5.20'2P1pe-Und'hi-nd. l 53. `:L.;dR:.:nfo.re ..,. r { I I '3 • _ai C „r:ur Url•+y Incas od• 54. r •:115 t — - - II 1( - -_.f___- 1 i d. E...-11.R1' c.. C''. •.yrs-id J -- 55 t •I Et-rd •_ ;,reel a. ^4 .. I I ! 56. P • :!:ti +'!un•n•r •'rr‘'.ur' ,..t I I. 6.• Pier t.., I ' • ER : '. i I - 157. TI'i'ROVAl TI •JEI{ C . Tr I I I 7. roc. Y ! 55. - .cn.t!I C. Ir , ..I Irur 1• i' ' j 9. V.ale . ,i r.r. _--_ 60 r• ' .'<::a 111 r, P Tr.In r. ) rrr- 1 -- _ _—� I—�— 11 II —1---- t0. Sir u' r- r• �----_�-1 .._�-- - -'t 6' ,ti 1C1 R03.143' --r [- - -- -... --_- .._ 2_ — . - 1- t3 II ,tet: r. •n I 1 _ _— —__ _ -_—_-1._ —. . .__ 1 • . _ . _ .--___ _ _ _. _ _ _ I c.. PE . v. 1.11 -,4,1 ( AF'G•-11.1 :,1.>i- rP _ __ - _- _ I. - = ---. 1. - - y - - - - - s St , , , ' I2: ld( 7 ,.r r.r ih S I ,u.,, . Lr::I -. - - - - - _ .> - - ', .at I -1 I r' -- - - -- - --- - -- - -- -- -- - - - __- - - iy' .• i*• 1 IIP— - _--- ---- — ---- -� HU ' Inf FI i :I_• G1E-Ni -T • f, . 1. \'rt;,. 2.12/L4G rte, G.-1.3 M.t6� F11 •, ; ' - -i• = - I Z`Z Z`�6 _7 elICIC 4- E)Pe `i .' ' 'e.: - ---I- I ' +eg- re. -$4. /N 41(,krjfiN'3 PSL iaG - L38 F 't3I P _•n? .. 1 -' I I / 1 39 ---- --- --- I I- _i-3/A..615.1.‘_ c-,11--44-tic.' Tiss-j_ At07/��---l-D --_riV_: 1 I _ _ __ ___ r r 44. L. n;1 sace I:A',nn:•.>;c'• I —1 - 45. s_eu4,-• lat' n I n. : G - - - a6• Fi,. • i i .I:at ors I "-'-- - .—. _...--- ---- - - - -- -- - - - - --- - -- . - - - -- - - 1 El:,-n'•. {' r t:• Ed•:o• I - JO. G.;), •,l''e•i`: X:' ;hPrn C: 'Jlma l:3>CAI . 51 Rt!F.r;o.":- OF pCCUP4NC; ---- ---- . __. ..—. _ - _- . ...------ - -- --J N,: v--__ —.-- flat. ---- I 1 --" --------1—'- - - -- '- - -'- — '- - -- ----' ----' I• ADDRESS OF BUILDING: 124 E 20TH ST OMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN MACEDO JULIO PERM NO: E 076473 ADDRESS: 124 E 20TH ST COSTA MESA,CA 92626 PERMIT NO: E 076473 PLAN CHECK NO: N GOVT: N SUPP: N 286-6484 ARPL.M•RMG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT r ARCNRECTORENGINEER: LIC NO.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: • ARCIL OR ENC.'S ADDRESS: OMT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / CONTRACTORS NAME: CONTRACTORS MAROC COMMENTS : NEW BATHROOM, ENLARGE MASTER BEDROOM, MISC ALT, REF B76472 AMMO: • �_ *********************************************************M***iklllfiEiEfFiFRif1E1f1E****** OMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby efim wider penaAy Of Perim?Owl I.m Wowed Lode,provisos of Chat"9 SETBACKS (ammenong with Section 7000)d Pain.,3 of the Bu.inen and Prolusion.Code.and my Ow is in IW tome and effect. CITY UC. UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dee: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECORATION:I hereby affirm.eater perwy a peojvy that I amu e.md from the Courson Liam.Low for the "'twig reason(Sedion703t.5 Busies=rind Pmfesson.Code.Any city a county which requires•permit to construed Wer.iprave. PARKING REQ: PROV: PARCEL: 42618118 ZNE: REF NO: licensedehapursua,.m to the provisions v` im a the Cauradon Limns*Lts inusnot also maitre aw(Chapter 9(000mmmeienp I*ohh Sedmni0)d Onioiion thai 3 eett she PLANNING NOTES> men and Prdencre Coda)or that he or she is exempt therein=and the bees to the depth exe mplion.My violation of Seton > lm1.5 Oyaaanpliam l«•Poona wbjt slh applicant to•old penalty of not monlhm five hundred dawn(1500)). ******************************************************************************* o Les owners the aaedya my=Player with wean n thee.decompression.such de the wok erdme.mouerded DEVELOPMENT S 'E a I C E S REQUIREMENT a d«ed For sale(Section 7044.Business end Profusions Coda:TheComnm License Law don not applyoenwerd pnp.ny IFC:, budd s :throws don such ws thereon.a . work Smog or hind or Morph his providedor her own employees.provided such / improvements ere on.intended«cftered for sale.K.however.the bolding or inpmwnert is sold within one yeas of completion.the ZONING APPROVED BY DATE: owner.buidar e d have the burden d proving he or We did rot bud or improve for the pine d sed). ❑ I.n reeler d the praanty..m exclusively waredip lath Iicaru•d eadrectpn m www Ihe pitied(Section]MC.,Duenesslad i ....r7/ Al e. Pmn eoContrContract=re Code:The Contract=Limn n to Law dot apply to on owned a r ap.ny 00.0 bat.a b =proves thereon and who BUILDING APPROVED B Y DATE: conusct.for such projed.mai a concerts)lensed pursuant to the Contractors license Law). '+ • ® P a&P.C..la ream I� , • APPLICATION ISSUED BY: v� DATE: �, • Dat.: t: -' 21 l Ouwr: ,E,E*****IE***♦E,E*w*»,P***if LF 1f 7F 1f iF****1E pF *if �. *,E***)4*********3flHE********** ' *if Q LEGALIZATION: N F E E UMMARY STRUCTURAL SEGMENT: N I m hereby certify that I am aware at and understand the requirements of Cdioma teeth and Safety Code Section 35505.25531,end 25534.and that 1 Or any Mole buddmp pcap•d will I yea nal(amt one)need to comply such amid date codes oral the requirements lot •WMlaanewctianor motion from the AA y amgemwamia,Reededelwtetwen•pplatomm wetheplmmmee BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING nw peon•. PERMIT 65 . 45 Date: Applicant: 5 0% SMIP/NON—RES PLAN WORKERS COMPENSATION DECLARATION:1 hereby affirm oder peneay d perjury ore d the blowing deet nuns: ISSUE FEE 15 . 00 o Ihs,and Imowoo•aneoeedragoon'to. Inweforwahers'commnal.nwid Mouthed for bySection 370MlheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code for the peranen.awork al« .cper ma TOTALS----> 65 . 45 15 . 00 0 . 00 80 . 45 80 . 45 . 00 ❑ I have end wit maintain waivers'amps n.elpn insurance,as rewired by Sero,3700 of the Labor Code,for the performance of the coot l«Muic h this amt is Sued.My waken'cannon-maim/Insurance ant and policy number ere: Caner: REVENUE DIVISION TOTALS--> COLLECTED : 80 . 45 OVER/SHORT: . 00 Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK his section need not be completed I led donna is for one Minded doges(51001m Ins) 80 . 45 ❑ I caddy that in the pedorm•nce d the eak for which Me permit is inued,I that not employ wry parson in any men No as to Scorn*subject to the when'compensation leas of California. end agree the ilshould become subject to the weakens' ******************************************************************************* compensation provisions a soon DTW el the Lata Caw,I Wall forthwith campb with those provnore. INDIVIDUAL F E E BREAKDOWN Del.: Applicant: Warning:Failure to secure wolfr«rronlp.na.Non corny,la unlawful,and shall m/act en employe to criminal palmitin end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clad fines up to one hundred thousand dawn(SIGtPDa).b addition to me coat or cOmPenutlon damage es provided new in • Section 3ro5oathe Labor Code,Interest,and.Mmw%I». ELE 14 FIXTURES LIGHTING 1 ST 20 EA. . 75 10 . 50 ' CONSTRUCTION LENDING AGENCY: I hereby affirm under panty anury pethat then i. n •COIMMOn lending agency for the ELE 20 RECEPT/OUTLET 1 ST 20 EA. . 75 15 . 00 performance dm eworkforwhchthepemmissued ELE 11 RECEPT/OUTLET ADDITIONAL EA. . 45 4 . 95 LENDER'S NAME: ELE 18 RECEPT/SWITCH 1 ST 20 EA. . 75 13 . 50 LENDER'S ADDRESS: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 Icediry that have reel tu•ppliceion W dalethal the Wovew at tis coned.I agree to candy with a dysod conlYadirencee ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 and state laws retain;to bidding oanmuonn sad hereby authorize ragn.rd.Mea of Ilis aty to enter upon the ebouemwuioned propend for iratectww purposes. END OF FEES \r�\GAMY M. SSEESSNEERR �y 1 1'�` QiL Date igrd firrorrnil AppM•nWCagreda (515146 WP) Wide-Gatdip A Safety:Oran-Ede:Canary-Apphant:Pink-Revenue:Gaderuod-Aaseeeo 'CONSTRUCTION AND PLANNING eOt. PA - I - � 1 Date I)! InspectorDate I Insn?ctor I APPROVALS Permit qj- ( 1APPROVALS Pelmit 114------114------ I -- � `—}, Temporary Electrical Service or Pole 152. foot & Egvn•re^, t trraa,ro�-- I -- 4 2. Sotl Pipe•Undrecnd• i 53. 51eel Reinforer -3. Electrical Conduit Uol:ty-Undrgrnd. H 54. Forms __--.-___.__. I I 4, Electrical Cor•ciuit-Uncrgrnd. 155. E',ctnral E3n•d •'q I ' 6;r$t BCI Re of or cc men[ ____ I 56. Ro;Igh='iUnib r•e f.[ f':Pasta; lE!Slt "6;Elcctr cal U"ER Card • I ; 57± i '± : 7\'5R L NTE I 7. Fo•)t.••gc i ; 58. • nub,11 (-ur ' i!t I,-11 I -_ 9 11 .^ {i p 1 —I 50. r • N.}• i, III t r'l.: 1" 1 _ --y ! 8 V,: , 'C, •r: "el I ,1 fi0. ' -i' IiI re I rr _ - r1; ___ _ __ 11I 1_.____ • n c•-...... •, c. - I, .. lin: ,c I.on„ectwn I 62 4 , . 1— __- . _ _ _ _. _ _ I I II I _ .. r' I ! 1 .. ' - -- 13 1•7.1 •0- I hF. ' r ( t.! 13 .n• 4ip. q. r_ • ' s"- -g I 1 -T- _.-- - ..- -.-_ __-- __.- —_ . C .yn . .r • ,;by:_. , I . - Rr ALS ::I —! - ;I ' -– -- – ' –. . .__ - I . (IA •,re P. a} & It - - I_ - ,. _ _ . _ . _ • • I ---_ — .--.-1-- - _ - -- --— - - - . r .--...25o` $v`".Hi _ —�— — _ —� _ . __-__.�-}. - - —'.1 -- - —. .. . . _ . _ _ ter_ -- -i _ - _ • ' ;`6 T Pa' G ' r S•r.]Ctur:!. C •s'!onoco 1' I :6. . . -I__ _ 1 27 i.-re a •o • ' •r, I - t . - �cJr.• I . Ir.l :t .n .. -- — — =y-- — — _ — •.i V1 _ HI r.. Ill DLI•T I. r (Pti ElVISNT - ` 32 . • . P-. .. telt P.r: I — i. . y...' , _ I 33 Fir _n;. ;it (CC• - - ' Noy!. I ']4tt , Fir as-sr. . ,".3. :is Ce7d ' r r.,116i {t - . Cay •-.j 'i` I`3' r 1'a.Fa CD' c rep!acr i t — -- 1 .3s - --I - - - - - --- --- - - _ - -. ._ . r . •'• titin Service Fvlai 1.--4O. Cas Sc:v ce. F na4 ` • - — ' 42. B r•.• ten o.,, erne- - Ilr . . I -- - -- --- '-- -- -- -- -- - I '13. P•c!! ns.. . 'Ijetion , i 1- I 44 L . :Is:epe I'•ical.on-s rsl:^ - ' I E-_�- - ..- 45. Uun^ i+FE'"ltatlop . _.—! _— -_ __ _-- _. . . . _ — 46. Hand ;Jo ':.•,1!ato^! 1 1 I_.---.-- _ — -- — - - . 4--4r :ILIAL f-T'• .C11:REE IN 3 'LDING _ ----- ---_,_.. - - -- `-"-- -- -- -- "-- - - - -- . 46. FiN;AL F. ,,,•.G I. 49. E'e tr c 'it r t • Ed.so• - , 50. Gas Peicre • :;o.ntlorn Ca fornix Ga.. Co --- -- - -- - -- - - - - -- •I --. T 51. C TIFICArE OF OCCUPANCY ` ,r-.,0�1`�4; CITY OF COSTA MESA 4 AC BUILDING DIVISION , � DEVELOPMENT SERVICES DEPARTMENT PER NUMBER P • PERMIT P05-00535 %wooRow" (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 124 E 20TH ST Status: ISSUED Suite No Applied: 07/08/2005 Issued: 07/08/2005 Vicinity: BATHROOM Parcel Nunmber: 42618118 ISSUED BY: Applicant: MACEDO, JULIO J Address: 124 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Owner: MACEDO, JULIO J Address 124E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: _ Phone: Zip: License: 000000 SCOPE OF PERMIT REPLACEMENT PERMIT FOR P076474:UPGRADE EXISTING BATH/ADD SECOND BATH,MISC. WORK TO INCLUDE: 1 BATHTUB, 1 SHOWER,3 WASH BASIN AND 2 WATER CLOSET(TOILET). NEW REF#B05-01131 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 Landsdape 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 $29.40 3 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) $19.60 2 Drain, Roof $0.00 0 Shower . $9.80 1 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop - $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 • 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 appllcabiecodes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the ezpjrat(on of this permit. FOR INSPECTIONS CALL: (714)754.5626 !/ 2446-46(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Cartier. Policy Number 0section need not be completed if the permit Is valued et one hundred dollars($100)or less.) cerfify 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 p1pvis1 hs. 2 Apj51�gIBSTgnatifra:- ��ss�7��,- C. ' �7 / `Date:--- - / 2 - OSr- WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE/ IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000).IN ADDtTK)N TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Uc.# 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 end 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 dull 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? 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 Replication aagermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IQ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 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 .__.__ _..._.._ _ .__...._...i_._n n___.r)_ ._._______.___.__ 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. qature Of Legal Owner(s�� /` • S ��-u p 0 lO e L rAnrL r utho—:ApplicanlwJ l._ela_-"--F—ma=y BODE i NISPECTION TYPE MAIE IIIMIALa CODEI INSPECTION TYPE QM 11U 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 7,27-ns -N 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 i stt, CITY OF COSTA MESA 4 BUILDING DIVISION ).:�' ..sr DEVELOPMENT SERVICES DEPARTMENT PER NUMBER . P!* PERMIT e �; M05-00383 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 124 E 20TH ST Status: ISSUED Suite No Applied: 07/08/2005 Issued: 07/08/2005 Vicinity: BATHROOM �� /�� ISSUED BY: (I dN J Parcel Number: 42618118 Applicant: MACEDO, JULIO J Address: 124 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Owner: MACEDO, JULIO J Address: 124 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor OWNER-BUILDER Address: Phone: Zip: License:000000 SCOPE OF PERMIT REPLACEMENT PERMIT FOR M076937:NUPGRADE EXISTING BATH/ADD SECOND BATH,MISC WORK TO INCLUDE: 1 INST/RELOC RECESSED WALL HEATER. NEW REF#B05-01131 FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 - Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $14.80 1 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct . $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance 50.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 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 ay" applicab�s, 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(6V0) • 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 t0 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 ere: Carrier Policy Number: / (This sectiontineed not be completed if the permit Is valued at one hundred dollars($100)or less.) 'L -1.cenrry 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, 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 Applieerrt-SI hat j c.�. Dater 7 /2 - �D WA N 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($110,000),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.N 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 1 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 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 drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ _ _ _ _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 Califomia 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 he So the applicant or Duality Ma or Management building occupant at requirehr for the wonk which is the or this a estion a0p Nnit for such construction or modification from the South Coast Air Oualiry Management District or from any other air pollution control district or agency? �Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes;the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 Ifa a permitn from tae South Coast res presbygement eal or and Safely goltion control district3 agencyeis required for the work which is the subject of Ihis eppllcation,have all of the disclosures prescribed by Californiaia Health and Sefery Code Section 42303 been made? 0 Yes 0 No �_........._.._ _ ea 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 penally of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws end 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. Signa re Of Legal Owner(s) C - Oe--a0 /2 Date ulmo' 'Applicant "Date CODE/ INSPECTION TYPE FAM flTIASS CODEC WRFC-110N TYPE ➢elf. 1616 Fixed System Final Fire Prevention 206 Final Mechanical 7-27-OS 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site - 204 Final Demolition 250 Final Building/Occupancy i i CITY OF COSTA MESA BUILDING DIVISION ). rc3/4-.) :P ,�: DEVELOPMENT SERVICES DEPARTMENT PER NUMBER �: IIPPERMIT wd: B05-01131 Pomm (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 124 E 20TH ST Status: ISSUED Suite: Applied: 07/08/2005 Vicinity: BATHROOM,MASTER BEDROOM Issued: 07/08/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42618118 Zoning: Applicant: CONRAD L. MACEDO ISSUED BY: Address: 10 JUNIPER Phone: 949-929-0673 IRVINE,CA Zip: 92612 Owner: MACEDO, JULIO J Address 124 E 20TH ST Phone: 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 REPLACEMENT PERMIT FOR 8076472:NEW BATHROOM,ENLARGE MASTER BEDROOM,MISC ALT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $25,000.00 Permit: $391.25 Claim Valuation: $25,000.00 SMIP Res: $2.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $393.75 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 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes,. all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of thispermit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS D .a 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 L.hor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carder and policy number are: Cartier: Policy Number: (77ils ssls s need not be completed if the permit is valued at one hundred dollars($100)or less.) 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 Calif° ,and a e that If I shId become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi �J Ar011m Sig ti. . v /`Date:. �..0 „ /2- O WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT MI EMPEOVERWORMiLAa PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0011),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 em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.it Class 4 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: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: • Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 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 tarn 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 ❑No __ _ ._ TM_._.... _.__..s-...._— _ 5 Does or will the CoasttcAir orQuality presentaor emen buildingsorfrom occupant-require other for the work which districtis the subjectr of this a estion a0BNnli for such C0r15INCtlon or modification from the South Air Management District from any other air pollution control or agency? �Yes LI No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the 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 T 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply 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. Sig�r tcure Of Leal Owner(s Date L 9 I.Ahd/Or Aurnodzed Applicant"--" '`Deter:-r r CODE INSPECTION TYPE PAM ItallAL$ CODE t INSPECTION TYPE DAIS I4ITIT1ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing - 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site ` __ 204 Final Demolition 250 Final Building/Occupancy (� FROM :CITY DF COSTR MESR FAX ND. •:714 754 4856 )Jul. 08 2005 08:25RM P3 I DECLARATION OF AUTHORITY ;&ds.Permit FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS X19 P0f"'t a Street Address: 12- Li C.4 C 20 -5;--7AP Number. I. I(we), U 1 t 0 S tk"1 (M PCC)0 , declare that I am the Owner of The of the above referenced real properly,and that I(we)hereby authorize: CD A-2 CO on -c£ 'D o ' Name: 0 o • / = 1 cY�-2 ?3- J2oLt Phone Number: Street Address: _flv 10 7vntcc 2 CA y�zit(,�E _^ City; State: � Zip: crez6/2 to obtain permits In my behell,en owner/builder,for ---&—,1 ( C-E.2)CD at the above referenced property. : 2. Should any person become an employee engaged In the Improvement of the property. I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the CRY Of Coate Mesa.as required by State of California laws, 11 3. As ownerbullder In fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation, . 4. I agree to Indemnify and hold the Gly of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by chip permit's from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing Is true and correct. I Executed this day of 20 ,at California. I itiell Pont Name: Wil Jay r /eaLI O Signature: %!2 Cate: -7• e • zoos 1 1.1 Nota: Tile authorization does not grant au9mrization b perform the wak as owner, It cola& prwtdry ear knifed parer al eewmey to secure this purnit ie any banart. • • Wr9N(rat 1 tqq I . ADDRESS a MONOI 124 E 20TH ST Way: CITY OF COSTA MESA - BUILDING PERMIT ONT1ER9&ANE If IOCMt MAC EDD, JULIO AD0REs& 124 E 20TH ST PERM NO: B 076472 COSTA MESA,CA 92626 PERMIT NO: B 076472 PLAN CHECK NO: 00558-96 A GOVT: N SUPP: N 286-6484 APDL.HAWN ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT • ARCHITECT ORE/KMIEEA: DC No.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: 25, 000 LRLN^'""'4 ADDRESS: UHT: CLAIM VALUE: 25, 000 .00 CALC-VALUE: 25, 000 .00 GROUP OCC: R-3 / w CONDUCTORS NATE: cwmACP3ISWC COMMENTS: NEW BATHROOM ENLARGE MASTER BEDROOM MISC ALT ADORES& No LC. _ *****+E�E+E�t�E*******�Er�E** tar*************�tr�r+ter****4***�E+F*** ESE*******�t�E****�r�E+Eir***** UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Nim under P.nahy d pray that I am kneed ods provisions a Chapin 9 SETH ACK S (oomm.adc with Section 7000)at Dina*a of the Buenas and Prolusions Cale,and my boson is in lull tort and Ned. CITYUC.NO.: IC,CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: 16 FT IN REAR: 47 FT IN FRNT: 47 FT IN REAR: 32 FT IN Dalt Opgdc LEFT: 18 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: 45 FT IN OWNER BUILDER DECLARATION:I herA/Num seder penalty d perjury that I am mama from the Ccntrado.License law lot the Iobwgtenemt$ dtn70St.58sne.atd Pramums Cod.:Afrynyaas4S:mnq:..aPenal oam.Nutalle :wro... PARKING REQ: 1 PROV: 1 PARCEL : 42618118 ZNE: R1 REF NO: Lmolsh,a reps any Maur ,aur ton Smarm.eso requires the applicant la such perm.to De•signed eutenwq dl M a end m Tcmaprovision pursuant to e proon d theCettedas License Law(Chapter 9(eqmmmg w awatt San 7000)d Deleon O d lM PLANNING N6 TES> REMOVE 6 REPLACE WINDOWS, MODIFY EX. BATH; ADD NEW BATHRM; tailless and PMeasnCafe)or that Mand SMss NWss she therefrom and the fur .ringed Malin a .MY Sada: > MODIFY EX. MASTER BDRM; REVISE ELECTRICAL THROUGHOUT. '031.5 by sty apoflnl Int eGenie aA1ec the applcan low ad penalty of not mon than free hamd.d dope"(psmD. ******************************************************************************* ❑ I.aowns/alMMIMSronamai =wshwagesnlhscnmmponWis:.MIdotMwA,andtMwus dwenotMeabd D E V E L O P M E..N T S E R V C S R E or offered for sale Paton7044.Basins and Professions Cede:The Coatadm License Law don rot soh to an dproMS QUIREMENTS who bads or imam Mama.and who don such work himself or Mrsad a through ha a Mr own mirages.Padded hat such (�1 anproverneae rn"mi odedaaf"edforMs.17haww^r'N"huldigorinsomnia S ed'with"one year r.'complain.the ZONING APPROVED BY ` f DATE: • / own.rbader MI have the burden d inning M a she did tea broad a inaow•la the papo.e d aw). /Jr' " ❑ I.as owner of Os The Contreras .clionely s«Lew dm.�mt anlioand ownerci propertors to ty who bails rove,tih«eon ane and BUILDING APPROVED BY : �J� / DATE: contracts la such projects.du a ardtedouts)teemed pumas 10 the Cadra:ars Lists.law). /19 $f Ianne.npe detsemm:BP7044 B.+PC OWNE7 APPLICATION ISSUED BY: DATE: Date. 00X)..43(p Oa: 11 % \\ k ********************************** ** **************************** ** . LEGALIZATION:N FEE UMMARY STRUCTUR• SEGMENT:Y Ido hereby candy that 1 an aware d g understand we meanness e)C.N. 4., and Safely Cods Sealy 25505.x533,and . . 25U.. for WpWlaary Mtn budding upire the ASiR yriagesia. to comply waliaadman mdearaee exemptfrom ts for these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING pa34. lama I or an l mosArmun from the Ai l i of(arc aro one)need, to cop Residential mmwor npodeimm exempt from these ptha.ons. PERMIT 252 . 00 r 2 . 50 Dae: Apparent: SM I P/NON-RES WORKER'S COMPENSATION DECLARAI10N:!hereby Nam I de.penalty d perm w of the loomingdedantion.: PLAN 40 . 95 ISSUE FEE ❑ Coanandebi.,n'"last:atlrt�sTSccinwhcaSpwm'a'eumued, enmm.aaor'dedkir IS.dion37OOdIMtate BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE o Ihave and errenra lmawaaaa' mpmn,aluninsurance.astmui.dbySedm5 5700heLamCode.l«thepedaar performance TOTALS - > 254 . 50 0 . 00 • 40 , 95 295 . 45 295 . 45 00 wok la which this perms u ivtas key waken'mnpensaen leante carrier and policy numb«are: Carver: REVENUE DIVISION TOTALS--> COLLECTED : 254 . 50 OVER/SHORT: . 00 • Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK its section sad nits completed l the Penni is is one eundndddWaMON a esu) 252 .00 2 . 50 _ ❑ I wily that in the pedamaae of Ma wand for wits this perms is issued,1 shad not employ any person in any manner so as to become subject the mama' lawn of Calanie,and agars Mt banwblad to the salad ******************************************************************************* compensation organ s it Section 3700 a de.I,hall fthe Labor Cforthwith comply with those provisions. INDIVIDUAL F E E B R E A K D O W N Dae: App'tw: Warning:Failure to noun wafters'compensation canape la tnlavrtd,and Mill Baled an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tine.up to one hundred thousand dollen(SIMEON.).M tllltbn to me coat of compensation.dame.se podded e n In SectionSection5703 of N. .barcae..Ian.cw.ran.y:7n.. sagSFR 25000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 25, 000 . 00 CONSTRICTION LENDING AGENCY:I her.br Num ander perery d perjury that(hers is a conmudlon lending agency for the ENDOF FEES performance of the wan to whits the patene is issued(Section 3097.Cid.C). • LENDER'S NAME: ��\\ LENDER'S ADDRESS: EXr I certify that!have read this application and nate that thehereby informal:),is coma.I agree to campy el a nth y and county ordinances and state laws relating to wttdibalding narmm and authorize repesereanes of file Cry to tenser upon the abw..menti ed popery 1 1 -' for inspection eros.,. SESSNER I -'llv/v • //''�� AMY M. (/��)�-E._—/�/-�J11� /� I l� , Pion Nrs Date:V W , W\ (\ \,`lJ`�••`�- _ \ a.a Own/AprstAocecasarCaafeda` . (5151 J0.WP) l�WiWhia-Bitidig 8 Safer:Gm en-Fl.:Carrow-ApPkwa:Pink-Revere:Gddwod-Asse®r • • , . • • • . C.ONST t 116Th-IN AND PLANNING 1 I PO. 'A I . i Date ! Inspector Date I Inspector APPRO' •sL2 Permit Jah--- APPROVALS Permit 4it 1. Temporary 8 f ctricat Service ce l'ole 52. Pool & Equipment Location -±-ti 2. Sort Pine-linctrgrnd. . t 53. Steel Reinforcement I 1 8. Electrical Conduit 1 lot,ty.unct,,,,,,i. 54. Forms lit4. ,Electi Ica! t.onduit•Undrtkind. .. - „ 55. ElectricaBonding - 5. .ctee ' !`, )'''2'"1..n I 1 II. . • •Ii ' 56. Pooch Plumping & Pressure Test I - a • I 13; Efi.icti tea I OF I'R CI:tt,i • 57. APPROVAL TO COVE R-GUNI TE 1 1 i, Fer)'1,11-. -1--- 58. Electrical Grinduit•Undrtirod. G. r()LI 70.4:P' 59. Gas Pipe, ti;) llrairortiti.. Test 1 i . _ - --------.-------1 60. Backwash Lines, P-Trap. CI Ltriciriand. I I • - - ! '0 Spt ni. t • t. tt ty; -t-ra, .-. 1. APPROVAL TO DECK 0 iectie ,t;').3 1) = ; . Backwash Ft Pc -Fri al t 1 1 ; :., , • .. •, . .. . it 4-1 . n 62 1 i 63, Heater & Vent-hitt& 1 , _ _ I ;.1 t „' '• r • 64. Ploinhinci Systern F .-tr-ii t 1- I ' 55. E'ectrical-i1 trial . . . . 0- . .; .J '4;:i• . 6. Fiolat System-Pk-a i • •• .. . . - t-- . • '• ' • 1 . ,i - •-• . I . . . • 63. . i I 461 F. I Pt IL't_; 24 SY Ii:t 1. S I:I',r. . . •1 In fl-.,.,-.L !i-.' ra ! ' r• - • ' - I - - t r --,-- , _ 1 i _• . FIRE DEP'? REQUIRE F1ENT - •• ; ' ift:i, ;O. t .r.:::'•'i A.rtiniat-- I ' . i - ---=-71 0 si LI - . LAPPROVA.I LS:7 : Perim: a __._; . .- 7.:77: 7:4[7140' • - 1 t •• ••• 7 13,.: c,:,,,, •„,c,,i•,•d ,_•,..„,.., ,.. . , t. _ .... .. :-..„.. • -1 --- :- : I- , .... _ -_-_ ••••1 c-• , , , i ', -...,:,. pi,,ii,:, _ . - - ThHI 1 • t 1'73,, ,,:atcrtand.r;torage•-.;se1. i • t ow :31 ' 7' ' • 7 :• • • # i I ' - • • • I 7,13 _ ' ' 4 iti rahat .it i it orr, ;- _ t ., 1 tl.t (2 . • • '••••••:cut. 1: 'ein"inco ' Jill i -f- --,4 :,. i • , i5. Di a i... noicat 1111 -- I ic ll I .' n,'.'11 l'i '-' ii:‘ ' V4 •V IP' Op fl- -T.-. LIV . 6 1.• . 41..c6144•••Ni 7 • "r'. r.:ttItThi0P - • 1 .'". . I -;:; . , - , - •••• , . . I i• , j'd ' •:H i : , ' . 1-..' •St.S.f :.•:;ti F if.; -3--26-% 1 6.5441,-i 73. It 1i!r. 111:111.. c iraAi i II-ley __ L - ,-Ce 4(4C- 16-1/..ctCQ1411- i •It :1 EALT.9 DEP r R LOU I P.E11.1EN ir c't .. i -, • i • ' , 7 'tit (71.74 • I 1 • I - • '•• :•••.• •NSPA.0 7.IC r. • .- 1 -. . li• :;- E-11":'•'' • 7••••.•,..7 !•:7.-,' I 1 7 . .. --.. . t I . Fm. riciL) r. ; :. 11::CA7 [ I i.3I,JF... I _. - • _s_ - - I 1 . .• 1:illanii•atirc .!:'Air Ocattit-trni:,a: I 1ITTi2 22-- - _,. . ___ . i__ --, - .--[ ,!!, lc,'.-11!!!!1 - -- • 1 ' :111 woo!! CA 7--•.nr't r,‘,4 '. . c-•--7 • : 1 t.-36-6/6 : • ..--JO enC_. - rg-- "2 ...S.s: I . . I - [It....fly:.•6...1-F2 Tii•71 7"7:17.°2_1711______ ____ __. - .-t. !,---;, ;pi.,-,•,, 1 . r ' I- --- - - , - t ------------------ -3,:,. ,17•E4..P4' SP;V C•• H47441 ., • 71 -1.-- ---- , • - -4 i 42. 'Sas S.::ti.tti -c.na I - **-- ' . i , I -- • I '11. III '.t••:•.-1;[nal .._ i-- . . ---- ---- [.. I42 Sack'kr., rt.at.entre t _ I . I I • . - i .13. Eack F tow i•-trastion . 14 LiftilS;;Iitte It i0:3T10.•, System -• ' - . ... ,i: 1 C • .: : 1 - t 't• ‘ 14. rdcond Atter: :atic:tit - . I ..- ... 1 46 itiatuticittiennietto ,t; - • i • I t " • , t't• . i I t.,1011...3 PC•. it iltiii..ni E:1--- ! r. - -. 1 '. • : i . .: 1 B. !IR':AL PLANNING - • - . _ 1 • ---.---.--- -n i I 49. 1R1tc. rtt: P.t.':-.fl!"? to T.C.IISC"' I , • • 1..._________ _ • • 50. Czas 4elayse to Southern t.Iiiiiteinte Gat.f.-71 • .., I ' ,•- • . i . I r---- • D411•:: ___ _1 1 l..._ __ _ . ..i__________1. I y - 11.1L! CITY OF COSTA MESA BUILDING DIVISION - •J r.' ' ,�1 DEVELOPMENT SERVICES DEPARTMENT PER NUMBER Nxt r% t PERMIT �I�%%, ve° E05-00718 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 124E 20TH ST Status: ISSUED Suite No Applied: 07/08/2005 Vicinity: BATHROOM ANDMASTER BEDROOM Issued: 07/08/2005 Parcel Nunmber: 42618118 Applicant: MACEDO, JULIO J ISSUED BY: Address: 124 E 20TH ST Phone: COSTA MESA,CA Zip 92627 Owner: MACEDO, JULIO J ' Address 124 E 20TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License:000000 SCOPE OF PERMIT REPLACEMENT PERMIT FOR E076473:NEW BATHROOM, ENLARGE MASTER BEDROOM,MISC ALT. WORK TO INCLUDE: 14 LIGHTING FIXTS,31 RECEPT/OUTLETS, 18 SWITCHES, 1 RES APPLIANCE, 1 SERVICE UP TO 200A. NEW REF#B05-01131 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 Eijuipment $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 $15.40 14 up to 50 kva/kw $0.00 0 Recept Outlets $30.03 31 , up to 100 kva/kw $0.00 0 Switches $19.80 18 over 100 kva/kw $0.00 0 Non Res Appl . $0.00 0 •Low Voltage Equipment $0.00 0 Res Appl $4.75, 1 Low Volt Wiring System/Ckt $0.00 0 Service to 200a - $30.50 1 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 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. 77 INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable des, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration fiis permit. FOR INSPECTIONS CALL: (714)754-5626 2448-46(600) ' DECLARATIONS I 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 it the permit is valued at one hundred dollars($100)or less.) ��.� compensation y that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' complaws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provl s. � Apppcan4Signa}ura> /f . /2- . o.- � C l ��- �Oele:=+�*-=-.: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($l00,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E 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.U0.k Class p 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 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 Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutelyhazardous materials)? ❑yes ❑No (Section 25534 of the Califomia 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 a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes LI No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 if a permit from the South cast 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 ell 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. Sigy�t re Of Legal Owner(s) n�-,',"�y vc; [AnOJpr.Authodzed.Applicant=--"'-" I Da- to-� DODEI INSPECTION TYPE DAIS DEALS f,ODE I INSPECTION ME DATE gfTnw.s 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 7-P7-CC201 Final Block/Retaining Well 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 ADDRESS OF MALCINO: 124 E 20TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT O°MEWSNAME IF"WN: MAC EDO JULIO PERM NO: E 076473 ADDRESS: 124 E 20TH ST COSTA MESA,CA 92626 PERMIT NO: E 076473 PLAN CHECK NO: N GOVT: N SUPP : N 286-6484 - APPL.MAILING ADORERS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT a ARCNITECTORENGINEER: UC.NO.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: it ARCH.OR END'S ADDRESS: WIT: • CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTORS NAME CONTRACTORS NAILING COMMENTS: NEW BATHROOM, ENLARGE MASTER BEDROOM, MISC ALT, REF B76472 ADDRESS: IK.NO.: IfdEdEEhM**Eh♦EMM♦E/EHEMHP***kkttSh EEEE*iF*EEM*MM*HfkEEEE*EEEEHEdEMHE**kk MdEMSEMMMHEdFEEHh Ef HE*MMMMaFaE**MSE****Mich UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ahem under penny of perjury tlua I am licensed under provisions of Chapter 0 SETBACKS (commenting with Section 7000)of Division 3 of the Business and Profession Code,and my tones is n Intl lame.nd effect. Cm LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penny of perjury Ther I am exempt from the Conlradon License law for the tokens reason(Serle 7031.5 Sane*and Professions Code:Any cit o county Will rewires a permit to conevucl,iter,improv.. PARKING REQ: PROV: PARCEL: 42618118 Z N E: REF NO: demolish,or repo any structure,pro Ion issuance,Wo requires the applicant for such peons to file•signed statement that M or she licensed punnet to the provisions d Ihe Conrad.License Law(Chapter 0(oonunerorq*eh Sedan 7000)of Dance 3 of Ike PLANNING NOTES> airmen end Prdeesos Code)or that he Or she is exempt therefrom end the bans In the aleged eaempo.Any vidato of Section > 7031.5 by and applicant for a panne subjects the applicant to a add penally d red mon than On hundred dollars[S5500]). 1E 1E EF k iE M 1E k 1E***M 1E 7E iE M M k iE fE 1E k k**iE M SE ick*ik*iEM M1E1E M M*kk1E iE*M iE M 1E k 1E k k k 1E Ek 1E k iE 1F 1E iE iE 1E 1E*1E*iE**1E iE 1E iE*M ❑ I,iownerdthepropendomyemployerwithwagesatheirsalecomparuato,Wdidotedwok,endthearninuetindintended D E V E L O P M E N TS '£ R I C E S R E Q U I R E M E N T or oft wed for We(Section 7044.Business and Pretensions Cade:The Contractors License Law dose rid apply to an Owner d popery Q • who bolds or Minuses Iherem.and no does such work himself or Med or through hi or her own employees,provided That such / Q/ _ improvement we rya intended pr offered lot sale.I,however.the buildup or inprovemerd s sold within one year d completion,the ZONING APPROVED BY DATE: /SQ ownerbWker will harm Ihe burden d prong he or end did not bWM or Impcee for the pupae d sale). ❑ I.s owner d the property.arm axth n corer:slim nth trued contractors b c d Oe pitied(Sean 704,Business and �r7 ' Professes Code:The Contractors License Law doe.nes apply ben owner d progeny who built or improvse thereon and who BUILDING APPROVED B Y : DATE: contracts for such projects wih a codreors)Idnsed pursuant to the Contrarian License Law). •. ari a ® Iame.empunder Section:Lp+P7044 B.AP.C.,b reason: APPLICATION ISSUED BY: �� DATE; �� —M�1 € IFMIEMMMiE iE iEMkMiE4,f kiE lf,f k,E if if Ef lF if if if Ef if if is,F ifW **************************** . ' • . ' . . ** Dale: NU l ° LEGALIZATION:N - F E E / UMMARY STRUCTURAL SEGMENT: N I do hereby candy that I am swan d and understand the rgwemwb d CWmW FWh W Safety Code Sector 25505,35533.sad • 25534,and this I or any Inure bulking ocdnpaf wit l will not(circle del need to comply wih eek date codec and Ihe requirements for a permit lot contention ommnmknlr=thsAiity .nagemenlDesna.Residential oons:rrdknapplications emsown lmnthew BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 6545 . Date: Applicant: 502 SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I herebyunder penally d y perjury one the IOSo'w.g dedra abts: PLAN '_ albite ISSUE FEE 15 .00 ❑ Ihave andMImaintain arnica,dconsent b"°Insuefor workers'oo"wersh:if.es prended foe by Secbon 3700 ot the Inn BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,Io the parlament*d the work for which this permit is Wood. e 0 Ihen and eMrennet wenn compensation insurance,n .q ru'vedbySeimdperformanced 3700teLaborCede,torthetM TOTALS----> 65 . 45 15. 00 0 . 00 80 . 45 80 . 45 . 00 work In who this peen is issued,My workers'compensation insurance siker and policy number we: Caner: REVENUE DIVISION TOTALS--> COLLECTED: 80 . 45 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK his section need not be completed I the perms is for one hundred data's($1001 or late) 80 . 45 ❑ I candy that it the panomunce at the work for wNiN the permit is issued,1 shall nigl employ any parson in any manner.o O to become subject Io the workers'oanpemate laws d California. and agree that H 1 should become subject to the workers' MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMEEMEEMMMMMMMMMMMMMMMMMMMM compensate pmwision of lade 3700 of the Labor Cob,I OW fanhwdh comp/wen Owe wino. INDIVIDUAL F E E BREAKDOWN Dat.: Appcere: Warning:Failure to secure workers cOnwM4Bon coverage le unlawful,and shall aublect an employer to cmmn&penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST co!nn.up to.re hundred thousand dollar otoacOOA n addition to dM cool of compensation,damages es prorkled lot In • Section 3asolthe Labor Coot Interest,and ammeyareea. ELE 14 FIXTURES LIGHTING 1 ST 20 EA. 75 • 10 . 50 — CONSTRUCTION LENDING AGENCY:1 hereby drum under penny d perjury that tan's a mnsintcte lending agency for IM ELE • 2 0 RECEPT/OUTLET 1 ST 20 EA. . 75 15 . 00 p. .n,.dtMm winwnmin.wme::.ued(seonaoo7,Ck.D). ELE 11 RECEPT/OUTLET ADDITIONAL EA. . 45 4 . 95 . � dqmLENDER'S NAME: ELE 18 RECEPT/SWITCH 1 ST 20 EA. . 75 13 . 50 LENDER'S ADDRESS: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 IceaeylhdedN: lhaereapp� information is cared. cal, ordinance* ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 and state laws relating to binding construction and hereby authorize representatives of this dy to enter upon he ebae.m°nloed property END OF FEES ..1 fat inspection purposes. I AMY M. SESSNER Print Name ( - --91� ]S AA]\pyn{Li Dat. . ra• ppundContren (5151-I6.WP) witka ddng&Safety;Green-Fla:Curry-Appfurd:Pink-Revenue Gddeeod-Asssasor r .a y r r PUL PA I CONSTRUCTION AND PLANNING ' Date Inspector I I Date � InsVeetor APPROVALS Permit i APPROVALS j-Penni-i-- !-_-- -+_ 1. Temporary Etecnical Set vice or Pole • . 1 52, Pool & Equipnontt t-or:auun � - 2. Foil Pipe-Undrgrnd. . -•,I 53. Steel Rcinforcepeo.. - :3. Electrical Conduit Uali;y-Undrgrnd. ) _- I ..__ I 5e. F(;rms '---�--•-'-' I •--- -! t -4, Eienrica Co ru ul'-Uridrgrno. I 551cr„rico Bone' u7 I 11 I ` -_ 1 -T-- -__ 5-ISteei Re first orcein;:n! 56. ii t)ugh Plunlbiny c. ;11,52315u list __ :'f�:'Fl.�r,:rlcal LIFER CJI nO- ! - I 57, APP iCHAL Tc Ci;Vt:RC,UiNITE I ._7. F ocunes I 581. Eluc..r•C.1; I8 F.:A.nca5;onI 5@. C:.,: r t'Ipo, tiff n 811:., 1 e;t ,---_- _-_.____--____- r.� _-_-.. -_...._.._.__._____._ I .l'J,r:r p. rL.' -i 5G. ' '• ./:osh lore' I' f-, Ur Jou rc. 10. St,oc:urel 'bat Sys: l' IGi. al,,,;i Cl /!,. F! l t -- 1 ! P-w w,;, '3, .5e- ' •t,.' :. F •tl,n t.nn'1ec5Ion 1 . E' r. , r. flit 1!12 • i I f''2 -F I F 12 '✓r.;et Ca.- I fid. F.r LIP r .''.! `!.;IIPI I. I i 13 rt x,t D•;L: fi4. 1r.'.:n !nogfi'se. ) I ::II_ _. __ - _ _I I tEt F'.o et EI r . . u )i •-• - I_ E•° I ':' si I I I i f•:' ' P- n s T- '.1 t r F .5 . - - (-pc' r i a • - .1 1 21 Lucta, 51 t.clu e . -.I I r r .• t) 1 ( I._. 1 22 Duets, V n:': y' • • 1 _ .r__,»,__ -_._._.___._-__.-; - ._._ 4.__ ._ I22 c5 .'tlie'nt;t..-4P Ot .2i -j I ',) ,_i , F! 'Th r: aaV • -,.I ... IC:..:(.:I k. I1'!p: OaC d+. J•. IIrTi.', _ _ -__. , I %7 r`r;l rot. arta .• 'ask, 15 _ i /t� •:..'IC)pii''e _ _ I • I -23 LatrL ? .'')0 - - t ;:1 l• I. I" SYS: rr:1r t L. • _ L_29, In:ulaaon _._- - • ---i' - __ , 1 v= I_ t,,.. _`). FL!rs - 1 • I -_-_-L I 11!:Tt_ DEPT F{ECUli1EMENt,- :�). Dry:)dli \'e ' I', .. t - 31. ri:s:or ?ro+•,n'Cp,: f iNCDI :.: ;Ir) - -, . .. -, I . _ 3.:. Epi_t. Ce''P„C.el ..i2!9• E'• Bf]. {. ill :PIC ti...;`,.;i.Li_ 33. Fn'al:r teal r; ( Plote, I34. Find^{erltu.•_ - •-.COn_ i•iomi i) - ' I - 35. Fiila' 1:.e5 Pig e.Te i( _ / .: . 4._-____-__•- i _ - l I" 37 r,ia'da.io Fv:p_iatx--•--- --j---`--- -f - - , L___-_-_.. , 30 • II • • -. • aminal;P!urtl!):n(: I : ,ata J':ater Servu.e-Final - - . - __--_____ I • , _ ai0. (i.s Jeraice'-:oat . " . .r r 1 xli 41 Sfax Dome-lieu'toil. I 42, Bacf.tIov.• Plel'ent•r ' _• 4 II.). b;.10'.t IC/IV it r lyat ion I e' I I . r.irn:'on .. 4a. Landscape ! ... - -- - - - I 45. �;un Rctenuatwo : - • 45. Handicap "R 1j Int10'15_--_.-._- -_- I 47 FINAL SI FUCTI.JR8 & I `ll-I(' . - , 48. FINAL PL:•IdNIKG ' - ._.. "----- --- ------ -- 49. Electric R..:lease to Edi or -._.__._--- --- ----'--__-- 50. Gds Release :o Southern California Gus Co ' r : ' - .--- -- -� 51. C!iRTIFICA EDF OCCUPANCY -' -- ' INo----__-_ ,_,- Dale ,----- 1---"---- -� ------ _----.i.._.-----__.-.._.---------------'--------------1 •• BUILDING PERMIT LOG EMPLOYEE: ADDRESS: J Z L} I e !‘c"7 1--r PERMIT NUMBER: L� 7 /7 3 TYPE OF PERMIT: VALUATION: SQUARE FOOTAGE: PERMIT FEES: 1o:k J DATE: TIME IN TIME OUT ACTIVITY i? ; 2t,"--cit, )\44/ >C;Erl .�'��Y�CC.'�% 00 .t?c, "L i Y1 „dc.^rf•LeC treitellt-<Y ctUTt" - �Y Ifv'((diS'. Yn HJ ice94, 4?c -h a a.�rre> , Ga K{ n't u-J nl CAW r'; _ dy (-Qh..^ .-Cy aa'TIYtit LL tC Cf_ ' /u-Y t"rum rfu - .id. ;m 95 3.22-4f, /yj,n a �A!/! / f � Ate,/, , : Y- 1_101.1 _ I)J► r Libn °IA0 cel , 6 ,I/5 ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES ADDRESS aBMLY : 124 E 20TH ST INT: CITY OF COSTA MESA — BUILDING-PERMIT OMIERSNAIIEIFIWO.m: MACEDO JULIO PERM NO: E 076473 Ammo 124 E 720TH ST • COSTA MESA,CA 92626 PERMIT NO: E 076473 PLAN CHECK NO: N GOVT: N SUPP; N 286-6484 APPL.SUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT • ARCHITECT OR ENGINEER: lit NO.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: u1CN.OR END'S ASSAM: WIT: CLAIM VALUE: CALL VALUE: GROUP OCC: R-3 / ' CONTPACTdrs NAYS: CCNTRACTORS SARIS COMMENTS: NEW BATHROOM ENLARGE MASTER BEDROOM MISC ALT REF B76472 ADDRESS UC No. MMMMMMMMMMMMMMMMMMMMMMk*MMMMMMMMMMMM**********4*MMMMMMMM4MMMit*MMMMMMMMMMMMMMMMM INT: ZONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby Nim order pealy of perjury Na I am licensed under provisions of Cha$er B SETBACKS (ammenvag se h Section 7000)of Division 3 or the Buunese and Professions Code.and my license Is in full force and effect CITY LIC.No.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Comedo: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby arum sada Porn a Perjury than ern exempt from the Contractor License Law for the following soon(Section 7031.5Business and Professions Code:Any or or county etch require apermsto construct.after.improve. PARKING REQ: PROV: PARCEL: 42618118 ZNE: REF NO: —demoreh.or repel soy structure.prior to b'vaunce.also requires the applied for such perm l0 Bea signed statement that he or she r Ikensed pursuant to IN provisions of to Contractors License Law(Chapter 9(commencing vWr Seaton 7000)of Division 3 d the PLANNING NOTES> nines,end Professions Code]or that he or she is exempt therefrom and the basis for the eleged exemption.Any violation of Section > ./ ) 1031.5 by any applicant to a permit sutras the soprano'toe dvi penalty of rid more than fie hundred dollars(2500]). MMM M M M MMMMMM M MMM*ititit*M M itititit*M MMM*,MMM i*Mit*MMM*i*Mit*******MM MM MM it******it it*****itoo ❑ I.onset w the perrymy employees wth wages as their compensation. do the work. the starers is not intended DEVELOPMENT _S -E R I C E S R E Q U I R E M E N T o offered for sale(Section 7044.Business and Professions Code:TheCotradar License Law does rel apply to an Owner of property Q who bolds at improves therm.and who does such work lined,or hotel or through his or her own employees,provided that such SO 9c impmwamess are not Intended or offered for sae.IL however.the Siding or improvement is and within one year of completion.the ZONING APPROVED BY DATE: !!!///"`+++ owner-builder will have the burden d proving he o she did no build or Improve to the purposed ear. //�� ❑ I.as ownerd IM property.am rdueWly contracting with licensed contractor o construct the pealed(Secton 7044.BASSI and }J/ /�7 ' Professions Code:The Contractors Leese Law dor not apply to an owner d property wbo builds d improves thereon and who BUILDING APPROVED BY / DATE: moue=for such projects with a mgradoris)licensed pursuant to the Conoco License Law). - Da I am exempt under Stoehr:te ner::Bp7044 B. n ' reason: APPLICATION ISSUED BY: - DATE: -MAL a Date LEGALIZATION: N F E E tr UMMARY STRUCTURAL SEGMENT:N I do hereby certify that I an aware of end understand the requirements d Catomaned,h and Safety Cods Sections 25505.25533,and 2553s,and NatlaenyMutbdkvpanthentwiA/will yMa(dmleons)need Raamptywthssctbnepldssad teenqutm these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2 peri to chat I or nn mmodibuilon honuMAwsue y of(Sr o e) e. 10aiom l ems said sl to codes ns and t exempt emm Nese provisions. PERMIT 65 . 45 Dae: Applicant 50% SMI P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deda:aatonPLAN ISSUE FEE 15 , 00 o Ihave and nil maintain te ci tcw d Parent to srinanrs for wued, compensation r provided for by Section 3700 d the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.fprthe peddm.P.am.eadfdwNhmlspambl.wee. TOTALS----> 65 . 45 15 . 00 0 . 00 80 . 45 80 . 45 . 00 ❑ I have end wll maintain workers'compensation Insurance.as required by Election 3700 of the Labor Code,for Ihe performance of the work for which this permit It Sued.My workers'compensation insurance carrier end policy number we: Cada: REVENUE DIVISION TOTALS--> COLLECTED: 80 . 45 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK iia section need not be comgafed I the permit is M one hundred dollar 1$100jor less) 80 . 45 ❑ I and,that In the pMarnance of the work or which this perk I Word.I Nell not employ any person in any manner so es to become subject lag the workers'pdnpen ation laws of California.and agree that i I should become subject to the workers' MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMint compensation provisions d Sedan 3700 of the tabor Code,I Nal forthwith amply with once provisions. INDIVIDUAL F E E B REAKDOWN Data: Applicant Warning:Failure to secure workrs'conpwaaUon coverage Is unlawful,and snail Sallee(an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines p to one hwdred thousand dollars(5104000A In addition to the coal of compensation,damage.as provided for In s.admm .. 37oeor .L.bprCodlnwest mm .ne. eyafe . ELE 14 FIXTURES LIGHTING 1 ST 20 EA. . 75 10 . 50 CDNSTRUCDON LENDING AGENCY:I hereby affirm under penalty perjuryconstruction that there is constructioneg agency th lending for e ELE 20 RECEPT/OCJTLET 1 1 ST 20 EA. . 75 15 . 00 performance d the work k eh:Aran: S penuSuea(Sednn3og7.Cir.Cy ELE 11 RECEPT/OUTLET ADDITIONAL EA. . 45 4 . 95 LENDER'S NAME: ELE 18 RECEPT/SWITCH 1 ST 20 EA. . 75 13 . 50 LENDERS AODRE99: ELE 1 RES APPLIANCE NOT OVER 1 .0 HP 3 . 00 3 . 00 lurdy the thew tad this application end was that the above udonnatbnecorrect.I roe rocomply with al city and county ordinances ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 , for laws building comoudon and hereby authorize representatives of the thy to enter upon the ahwe.mentoned property END OF FEES \/ AMY M. SESSNER —(] �L Y `�`��l reil..]}i]ppear1e/ Date: -7-g0-49 W - - _ AS-10 t ApanVAppluntCotrsdor (5151 e5.WP) WMe-Buidip&Sauey Green-Fit:Ca er-Appfpn:Pink-Revenue:Oaowvod-Assessor 7.1111111,7 e 'CONSTR&UCTION AND PLANNING - POOL ?A APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4, Electrical Conduit-Undrgrnd. ' - 55. Electrical Bonding . '5.4teel Reinforcement 56. Rough Plumbing & Pressure Test _-6_4Electrical 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 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System -Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit '-' /� a 66. Solar System-Final - 16. Rough Electric Wiring 3h /t'/' Of 67. Fencing & Access Approval 17. Rough Wiring Sign L� 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 <,;t . , _ J-• , APPROVAL$^.: Permit# - - 21. Ducts,in Structure .. = : ,. 70. "U,ndergrouod Hydro 22. Ducts, Ventilating-'' ' : - 1:-- - 71. Product Piping 0Gas soil 23. Gas Pipe-Rough & Test _ 4 : 72. Undergrpund Flush 24. {iooi-Fraihing -h ' - - .: �' 7$ Undergrnd.Storage Tank 0Gas 0Oi1 25. Roof Sheathing - . . • _ 7 - 74. Overhead Hydro -. t 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and.Flashing ,. _ :.- - - 76. Dry Standpipe - = - -28. Lathing &Siding - - A. 72. FIXED SYSTEM FINAL • 29. Insulation- ;i •• • 7✓�3 FIRE PREV. FINAL s 30. Drywall Nailing , ; s HEALTH DEPT. REQUIREMENT ti 31. Plaster Brown-Coat • �• * -�.3. FINAL INSPECTION - 32. Electrical Power Meter-Final _� 80: FOOD CERTIFICATE ISSUED- - 33. F.inabflectric - - Notes: - • 34. inakHeatng'& Alt'Conditioning C ^-'2 / ' 4.'t: _ - - . _ _ 35. Final Gas Pipe•Test-t ' - 36. Hood'or CanoPY �-•+. - - n •- - - ' - 37. Final•Factory Fireplace - - • - - - .38. Final;-Plumbing _ " . _ - - :'39. Water Service-Final - - - 40. Gas Service-Final -:T ' - ` 41. Solar Domestic-Finalr .. . 42. Backflow Preventer - _ - 43. Backflow Irrigation • '- - - , 44. Landscape Irrigation.System -- t ''• r - _ 45. Sound Attenuation .. . - - - - 46. Handicap Regulations - _ • ' 47. FINAL STRUCTURE &BUILDING _ - tr 48. FINAL PLANNING - 49. Electric Release to Edison - . 50. Gas Release to Southern California Gas Cn - • - 51. CERTIFICATE OF OCCUPANCY '' No. Date BUILDING PERMIT LOG , • EMPLOYEE: ADDRESS: )Z Lt a- Zt91 i-} PERMIT NUMBER: E 7,q7 3 TYPE OF PERMIT: VALUATION: SQUARE FOOTAGE: PERMIT FEES: i WA5 DATE: TIME IN TIME OUT ACTIVITY RCS Z-267-611. G'1'ri4.u.LLr.f m riin hr.u-!1/ ux c ,t2n�at-e) 1,50 r I$"i 2• Z7-9!0 (c r ,I.ehv vc,C'S�ry e�c&,�fM-�Y c( Q,e (O,r� r y A5 RL . 7-90 _ , 1 4 /00 1 'cc*e4 - (v-�tl�x.KC, 7t � ..tM Set ref rev u-+`0 g-ux m rt t1 Ir rl • Ler( G�7�lag dL = I4`uk. S r� �CPr ter¢ Ii-Al a. �irc Cnn r n _t 1 m1 /� J x' rim, e ' ri/. -,15 ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES ; I �,iEssaBtmwc: 124 E 20TH ST iter: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IR IOgM: MAC EDO JULIO PERM NO: M 0 /693 , ADunsss: 124 E `20TH ST COSTA MESA,CA 92626 PERMIT NO: M 076937 PLAN CHECK NO: N GOVT: N SUPP : N 286-6484 APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ALT r JOB DESCRIPTION : PLUMBING FOR RES . ALTERATION SQFT: ARCHITECT OR ENGINEER: UC.NO.: MICE.OR ENO's ADDRESS: UMT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTORS NAYS: COMMENTS : UPGRADE EXISTING BATH/ADD SECOND BATH, MISC , REF B76472 CONTRACTOR'SMAILING ********************************************************k** ******************* ADDRESS` MHO.: ZONING REQUIREMENTS DAT' SETBACKS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Cheater 9 (commando°wnh Sadism 7000)of Division 3 d the Business and Professions Code.and my license is in flaw and effect. MAIN BUILDING ACCESSORY BUILDING CrrY UC.NO.: LIC.CLASS; UC.NO.: X.LY' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: _ Contractor; LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under Penalty of perjury that I am exempt from the Contractors License Law for the PARKING REQ: PROV: PARCEL : 42618118 ZNE: REF NO: following reason ISedion 7031.5 Business end Professions Code:Any cy o county which requires a permit to conatmn,after,improve, -demolish,or repel any structure,prior to its issuance.So requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> .i licensed pursuant to the provisions of 0s Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the > Jusiness and Professions Caper that hestshe Nexemptt and basis the Memelexemption. 5violetiondSection 7031.5 by applicant a permit subjects the applicant to a civi penalty cth not more than Ike hundreddoge [9500g. ,******************************************************************************* ❑ I,ea owner of thepropem omyemploleeewith wages asthei sole compensation.win dome work.and the sin/dare is not intended DEVELOPMENT SERVICES R EQUIR EMEN T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an owner of properly who buids or improves thereon,and who does such work Nmseff or herset or through his or her own employees,provided that such !ZONING APPROVED BY DATE: improvements are not intended or offered for Bale.B.however.the bugling or improvement is sokl within one year of completion,the wner.builder will have the burden of proving Ne or she did not build or improve for the purpose of sale). ❑ I,as owners the property,em exclusively confredig with licensed contractors to construct the project(Section 7044.Business and ' BUILD I NG APPROVED BY : DATE: Professions Code:The Contractors License Law es not apply to an owner of property who builds or improves thereon and who ' 4' �� /_ - convects'co such projects )licensed pursuantto thea Law), �+ i✓✓✓I /V- " �`�° Corbin ;APPLICATION ISSUED BY: DATE: I am exempt under Section: B.AP.C.,M4-iEiflEfEiE)EiEiE9EiE9E3EiEiEiE9E9E3E9E9fiEiE1E1E1fififiEiEiflEiE)E****If1E***iE*** **IEiI***iE****IE1EiE*4**jF3E3E3L-iE3E)Ei *** Date: 3 ' Zr? • CUM. _ owner: 4tr�� LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N 1 do heresy certify that I am aware of and understand the requirements d Cdt«nie Health end dory Code Sections 25505,25533,end / 25534,and that I building occupantwill not one)need to comply sue codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction ormoddcation Iran the A'5 YManagement Didrd.Residential condndion applications are exempt from these PERMIT 9 . 00 provisions, • 25% SMIP/NON—RES Date: — Applicant: PLAN • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following decimations; ISSUE FEE I .,- 15 . 00 ❑ Haws and wilmaintain acertificate dcadent tossd4n reforwoken'compensation.=provided for by Section 3700othe Lebor BUILDING—DIV—> PERMIT ISSUE PLAN,CHECK TOTAL PAID DUE Code,for the perormanceoowl theworkfichthispenissued. TOTALS----> 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00 ❑ I have and wit maintain workers'compensation insurance,as required by Section 3703 of the Labor Coda,for the performance of the work for which this permit aissued Myw« d ae' mpetaonnsarercead«anepoDTnamb«ae: REVENUE DIVISION TOTALS--> COLLECTED : 24 .00 OVER/SHORT: . 00 Oen"' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK Pdiy Number: 2,4 . 0 0 ,This section need not be completed I the perm'is for one hundred dollars/51001 or lens) 1 ❑ I canythat in Owperfamenceof the work forwhk11 this permit le isesd.I shall no employ any person in MY manner on to ** E*)F******IE1E** f1ElE* E)E*1E***********1E*i�*,**IE*IE*** E)E***IE***********1E**)E**)E****)F*#** become subject to the workers'compensatbn laws of Gardenia.and agree tat if I should become subject to the workers' compensation provisions of Section 3700 o the Labor Code.I Shen forthwith complythosewith those provisions. IND I V I D U A L rF EE B RE AK DOWN Date: Applicant: TYPE QTY DESCRIPTIO N') UNIT COST TOTAL COST Warning:Failure to secure workers'conteansaddn coverage Is unlawful,and shall subject an employer to criminal penalties and Seddon 3706 of 111.1 Labor civil ones up to one Cods,Intans�ndaflars f(om ees.000A ill�Itlonro Mcwtol compensation wrtsgasuproNdM lento MEC 1 INST/RELOC RECESSED WALL HEATER 9 .00 9 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under peat'of perjury that there is a construction lending agency t«the END OF FEES performance of the work for which this permit is issued(Section 3097,CW.C). i LENDER'S NAME: , LENDER'S ADDRESS: / fi I certify that I have read this application end erne that the above information is coned.I agree to comply with at city and county ordinances / - end Bate laws relating to building construction end hereby authorize representatives of Iha city to enter upon the above-mentioned properly for inspection purposes. JULIO MAC ED �J �//� F■T/ nPOnt2 Date: Z7 • •Y' EXEEY Signature s /ApenUAiPiconUtcntncta �. "<--Y-1-4:2 — CI-- L� DATE n (515145.WP) White-Builig A Safety Green-File:Canary-Appicant;Pink-Revenue;Goldenrod-Assessor __ ((. CONSTAUCT%ON AND PLANNING POOL SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Iilectrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 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, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 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 3W FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL rte• 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT C11 h E 31. Plaster Brown Coat 79. FINAL INSPECTION �^ i� M 32. Electrical Power Meter-Final 80- FOOD CERTIFICATE ISSUED gY 33. Final Electric Notes: 3`Z S -36 - orruz ccz �. 34. Final Heating & Air Conditioning 3 / ,� ` �. 'It1/ 35, Final Gas Pipe-Test 6 U�(/ CJS �VVV��'��"" 36. Hood or Canopy 37, Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING , 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date "MESS OOUILDINO: 124 E 20TH ST UMl: CITY OF COSTA MESA - BUILDING PERMIT CWME"SNAMEIFIODA'h MACEDO JULIO PERM NO: P 076474 ADDRESS: 124 E 20TH ST COSTA MESA,CA 92626 PERMIT NO: P 076474 PLAN CHECK NO: N GOVT: N SUPP : N 286-6484 APDL.MAURO ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT ARCHITECT OR ENGINEER: LC.M3.1 JOB DESCRIPTION : PLUMBING FOR RES . ALTERATION SQ FT: ARCiI.OR EMI ISORESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / CONTRACTORSNAME: CONTRACTORSIMMO COMMENTS : UPGRADE EXISTING BATH/ADD SECOND BATH MISC REF B76472 ADDRESS: UC.NO.: MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMIEMMMMMMMM1fMMMMMMMMMMMMMMMMMMMMMM WIT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby Slim under prang of Perluy Net I an. ONINGREunder awAsiao of Chagr S SETBACK S (commencing with Section 7030)of Dalann 3 d the Business end Professions Code.end my Scene is in fug force end effect. CITY UC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under peraly d perjury that I ant teeing an the Contredon License Law for the fdfowig reason(Soden 70315 Burmeseand Ptdwdona Cade:Any W a county watch requires a permit to constmd.after.improve. PARKING REQ: PROV: PARCEL : 42618118 ZNE: REF NO: j demolish,or repel any structure.prior tom issuance.etas requires the applicant la such peal to Idea signed statement that he or she 6 s['pe ['ceased pursuant to the provisions d Ne Covredon (commencing Law(Chapter S(comm .g wall Section 7000)d Division 3 d the PLANNING N TES> drsiness and Professions Ca el or that he or she is ernmpl therefrom and the basis for the alleged exemption.My violation of Section > )031.5 by any applicant tor a atone subjects the applicant maone penalty dnuc mea then tats hundred doges j$5331). MMMM*3fifififiE3EiEiEiElEIEIEiE1ElE1ElEiElflEiElEfE1E**M 1E1EiEiEiE1E*aE#1ElE1EIElfififiEifiEff1E1E1E1EiEfElE1E1EfEfE1E1EiEiE#1EIEIE3EiEiEiElE*** ❑ I.as owner ol the propertyor mY orroPlaYses eth wages as thew sole compensation.will do the sodo.and toe stnicture is not intended DEVELOPMENT S E R C E S R E U I R E M E N T S «offered for Bards sale(Section 7044.Bess and Profesio sCode:The Coa trads license law does not appy to en od r' wnerproperty Q who Wads or in proves thereon,and who doss such work tinsel or bevel or trough his or her ow,empbyees,provided that such 'improvements are rt intended or offered la w sale.IL however.the bidding« mb dipinprnrtl adan d within e year d complain.the ZONING APPROVED BY DATE:V - „91M as owner-builder will awing have the burden ing he a the did a not build nerve la the purpose d Wel. ❑ I.as owwr d the property,am exclusively contracting with lice sed contractors to corona the project(Sear.7044,Business and Professions Code:The Coaradas License Law does MC aptly to m owner d property who Stills«'emrww thereon and who BUILDING APPROVED BY : DATE: O" a contracts for such projects with a apand«(s)licensed pursueN to the Camredas License Law).I .or, /� i ® Irme!.ee�mgl�//uynnddrsedfon:BP7044 B.&PC..( ' raasa' 0 N � y� / APPLICATION ISSUED BY: DATE: i �Dre: .Yin--)... Owner: `Itl�.. VAR Y\\VNO IE iE 1E 1t 1k fF iE lE M1E 1F 1E 1E 1E 1f 1E k1E iEM 1E 1E iF lF if iF iF iF lE iE iF 1E 1F 1F 1F if iF iF if lF if if if if lF if iF lE if if aE iE if lE if lE iE lF 1E lE 1F iE 1E •,. . #aE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N I do hereby caddy the I am swan d and understand the requirements d Cali end Salary Code Sections 25505,25533,and n t to f✓= 25534.end that I a any future building occupant ell will/wnot(circle one)need toand comply with said nate codes athe requiremt for I a penmen for construction«modecetianfrom the As DraktyMaragemrdarid D .ResidenResidenResidentialaappreciatesein coronation appreciates eine from m Nese BLDG PMT PLUMBING ELECTRIC ' MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 49 . 00 ' V' 1:::: Dale: APPIran: 2 5% `' SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby am under Ard aby penury y one the blowing declarations; PLAN o Ihmandwlmevtlanacratsofconsent to sa0ssaewoolen'comeationn fapnsAswidedlorbydthe ISSUE FEE 20 . 00 . Cede,la the pen«mameaNework for wicNbprma .wwd. Section 3700 BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave awaim math, m workers' Sean required the d performance TOTALS - > 49 . 00 20 . 00 ' 0! 00 69 .00 69 . 00 . 00 and work for which this permit b Sued.My wana workers' mpensatlon inuterrier ree raand porky number are: ( , Caner: REVENUE DIVISION TOTALS--> COLLECTED,: - 69 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC , FIRE SMIP/TOT GRADING PLAN—CHECK (This section need n« completed l the perm(is for one as hundred doers/S1o0i Assaf 69 . 00 7 ❑ I certify that in the pedard mre the work tor which this permit is perissued,I not enplw ra any Pm nnt amanes w to I. •. 1 , become subject to the when'compensation laws of CWmie,and agree the a I should become wbjea to the waken IEaEiEk*lk7E***1Ea ak*aMMMa*Ma*MM MMMMMMMMl*'MMMM*M IE M MMMMMMM**aE******aE*aE**lflf***1E*1i****li** coupe leis provisions d Section 3700 of the Labor Code.I Nall Ionhwlh comp&with See precisions. INDIVIDUAL:. F-E E BREAKDOWN Dale: Apgiad: Warning:Faure to secure workers'compensation coverage rY age is unlawful, shall staled lean employer to aamnalprWtles end TYPE QTY DESCRIPTIO N'" ' UNIT COST TOTAL COST civil fines up to one hmdnd thousand dollen(Slog 0001 In addldrn to the cost of conpanasrbn rases as provided for Inl R Swam 3706 of Me Labor Code•Interest and attorney's a PLU 1 BATHTUB ," ei 7 .00 7 . 00 CONSTRUCTION LENDING AGENCY:I hereby arm oder piney of perjury the there is a mmtnwion lending agency for the PLU 1 SHOWER7 .00 7 . 00 performancea the work lavtiN the pat (Section 3097.Cir. PLU 3 WASH BASIN .n 7 . 00 21 . 00 LENDER'S NAME: LENDER'S ADDRESS: PLU 2 WATER CLOSET (TOILET) ..• 7 . 00 14 . 00 END OF FEES I certify the l have read this application and state that the above information is oared.I agree to comply withallcity and county ordinances ad state law reeding to buadng censfrudicn and hereby authorize representatives d ea city m enter upon the above-mentioned property for inspection purposes. EXPIRED -� .: - AMY M. SESSNER r�� '^ -".1 � ' ��m� _ o7t��0 v I Dae: L Wy (\ AgwVAppMarvG«rreda 4 P (5151-443.WP) White-&mdng&Safety:Green-Re:Crary-App4a s:Pink-Revenue:Goldenrod-Assessor CONSTRUCTdON AND PLANNING POOL SPA e APPROVALS Permit# Gate Inspector APPROVALS Permit # Date Inspector ! C. ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Etaetrical Conduit Utility•Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding •5,Steel Reinforcement 56. Rough Plumbing & Pressure Test T . 6.- Electrical UF ER Grnd. i 57. APPROVAL TO COVER-GUNITE - 7...Footings 58. Electrical Conduit-Undrgrnd. . B. 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 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains /'`' 64. Plumbing System• Final 14. Rough Plumbing 3'22-5:6 Of O,,��CC::JJJ) 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.81 Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Fa.Ctory Fireplace - ,, •.APPROVAL'S' Permit# _ 21. buctsrin Structure •• - . 170. Underground Hydro - 22. Oucts:'Ventil ing , -"� CJGas 71. ProdugF,Piping L7 Oil 23. Gas Pipe-hough & Test - • -• i 72. Underground Flush 24. Roof Framing . - ; r73`:,Undergrnd.StorageTank 0Gas 0Oil 25. Roof Sheathing • - - 74: Overhead Hydro 26. T-Bar-Ceiling IStructOral) & Monocoat - 75. Dry Chemical 'I 27. Frame and Flashing76. Dry Standpipe _ ✓4 28. Lathing & Siding ._- 77. FIXED SYSTEM;FINAL - - ;'_^r . - 29. Insulation • _ 78:- IRE PREY. FINPL - - '•'X 1 • 30. Drywall Nailing _ : -"HEALTILL DEPt, REQUIREMENT ; 31. Plaster Brown Coati - 79. FINAL INSPECTION 7 32. Electrical Power Meter-Final 80,T•FOOD CERTIFICATE ISSUED . 1 • 33. Final Ele tric � '• /' Notes:21.41740 it67 � �au 34. FinalNeating&Air-conditioning. ' - 272.2-,.:.. 6720.12G9EE7 Ue_-E • 35. FinalGa5Pipe-Test ' 36. Hood or Canopy - -rte' l. - - 1 72- 654-C; L• /*C." / l' "� ./- ."'L, 37. Final Factory Fireplace - ,/fj 38. Final'Plu bin9 n - �l x/46 C--/t5 „'t-i elitist nItelif_ p EAf 39. Water Service-Final .. 40. Gas Service-Final • • - • .- . - • _ '41. Solar Domestic-Final, - - .-i - 42. Backflow Preventer 43. Backflow Irrigation , 44. Landscape Irrigation System -- :,..I. - - - _ - 45. Sound At{en anon - - 46. Handicaptlegulations - 47. FINAL STRUCTURE & BUILDING - 48. FiNkL PLANNING • - 49. Electric Release to Edison . - 50. Gas Release to Southern California Gas Co -' ' 51. CERTIFICATE OF OCCUPANCY - - - No Date IADDRESS OF BUIL0IN0: 124 E 20TH ST °NT' CITY OF COSTA MESA - BUILDING PERMIT ONNERS NAMEIF IGlOMI: MAC EDO, JULIO PERM NO: B 076472 A0°R 124 E 20TH ST " COSTA MESA,CA 92626 PERMIT NO: B 076472 PLAN CHECK NO: 00558-96 A GOVT: N SUPP : N 286-6484 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT 5 ARCHITECT OR ENGNEER: UC.NO.: JOB DESCRIPTION : MISC RESIDENTIAL ALTERATION SQ FT: 25, 000 ARCIJ ADDRES: UNT: �^ CLAIM VALUE: 25, 000 .00 CALL—VALUE: 25, 000 . 00 GROUP OCC: R-3 / i COMPACTOR'S NAME: CONTRACTORS WRUNG COMMENTS : NEW BATHROOM• ENLARGE MASTER BEDROOM MISC ALT ADDRESS: 11C.NO.: *************************************RE****RE***lid******************************** WIT: ZONING REQUIREMENTS s LICENSED CONTRACTORS DECLARATION: hereby aim under penalty d perjury that I am licensed undo provinons d ChatterS SETBACK S (commencing with Section 7000)of Denson 3 of the Business and Professions Code,end my license is in full forte end effect. CITY LIC.NO.: LIC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: 16 FT IN REAR: 47 FT IN FRNT: 47 FT IN REAR: 32 FT IN Dale: Contractor: LEFT: 18 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: 45 FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury the I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve, PARKING REQ• 1 P RO V: 1 PARCEL : 42618118 Z N E• R1 REF NO demolish.«repair any structure,prim to to ewenm.aeo requires the applicant for such permit to fib a signed statement Net he Or she b &I �licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencng with Section 7000)d Division 3 of the PLANNING NOTES> REMOVE & REPLACE WINDOWS, MODIFY EX. BATH; ADD NEW BATHRM; ' ueinemand ProfessonsCode]orthalheor she isexempt therefrom and the basis for the alleged exemptin.Any violation ofSection > MODIFY EX.. MASTER BDRM• REVISE ELECTRICAL THROUGHOUT. A31.5byanyapplimntforapermfaubHastheapd'ranttoaantpenetydndmorelhenlvehundreddden l$500I). **************************************1E**************************************** 0 I,as ovmer of the property or my employees with wages as their sole compensation,will do the work,and the structure a not imended D E V E L O P M E:-N T S E R Vat CE S REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property T who bolds or improves thereon,and who does such work himself or herself or through ha or her own employees,provided the such q improvements are not inmMedordlared for sale.If.however,the building mknprovementaeok within one year of completion,the ZONING APPROVED BY f / DATE: /J1 owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ] /y'/^ Business end Prof enowner code:The Cont�ractotaa ars Lausively w does ctile slicensed contractorsap to an owner ofprop property wconstruct ho buildspproject(Section thereon and who BUILDING APPROVED BY ✓ DATE: � j�� AP contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). r a'� / $f lameemtunder Section:$p7044 B.AP.c.. OWNE APPLICATION ISSUED BY: DATE: / ATP Dela: CO Oen/ 4I(O Owner: �� _ ********************************** ** **************************** , ** LEGALIZATION:N FEE UMMARY STRUCTURA SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Calton h and Safety Code Sections 25505,25533,and • 25534.end that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for apemitfor construction«modlnmtionfmmtheAiouaktyManagementOimna.ResidentidmmmaanappNmionaeeexemptfrom tese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 252 . 00 , ' } 2 . 50 Dale: Applicant SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN 40 . 95 ISSUE FEE ❑ Ihave and wiimaintain acertfficaledmrmenno self insurefor workerrscompensation.asprovidedfor bySedton3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Coda.f«the mn«maneedthe w«kf«w hm.pem is issued. TOTALS----> 254 . 50 0 .00 ?40 . 95 295 . 45 295 . 45 . 00 o I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance d the worths:which this permit is issued.My workers compensation insurance caner and policy number ere: carrier: REVENUE DIVISION TOTALS--> COLLECTED: t. 254 .50 OVER/SHORT: 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK is section need not be completed I the permit is for one hundred dollars(4100/or less.) 252 . 00 2 . 50 L] I certify the 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 Cedomie, and agree the d I should become subject to the workers' ******************************************************************************* compensation provisions d Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL ' FEE ' B R E A K D O W N. Dale: Applicant: Warning:Failure to securewmkeri compensation coverages unlawful,and shell subject an employerto criminal penalties and TYPE QTY . DESCRIPTIO N : UNIT COST TOTAL COST chill fines up to one hundred thousand dollars($504000),In addition to the cost of compensation,damages as Provided for In Section 3706 of the Labor coda,/ntsre.t,endetforneys fees. SFR 25000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 25, 000 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there e a construction lending agency for the END' OF FEES' performance d the work for which the permit a issued(Section 3097.Civ.C). LENDER'S NAME: i�u LENDER'S ADDRESS: �� ■_� Ind thou sreling t building setnThatthe above lirepresentatives eamesaf tsreett complywithh abvol entbn«dinveea , /J �-v end stale lawsourinise to bulking construction and hereby authorize of this city to enter upon the above mentioned pmperly Ice inapealOn purpoeee. / r . AMY M. SESSNER { Print Name (�/��.0D-41(..0‘,. �( � /� I' __ �� C,1,�� Dee: V l� f V../\ , _'. . ignature of Owner/AgenUAppkmnt/Cantraa« (5151'46.WP) White-Building A Safety:Green-RIe:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor .. CONST(lICT'1N AND PLANNING - POOL 'A APPRO'',L'' Permit# I Date Inspector APPROVALS Permit# Date Inspector 1. Temporary E °ctrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3:.€lectrical Conduit Utility-Undrgrnd. 54. Forms . -:::.4;. Electrical Conduit-Undrgrnd. L. 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 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. BEQUIREMENFT , , 20. Rough Factory.Fireplace _ . -• -. 'C' 12 A. -'APPROVAL$Y,F 'Per`rhit# r-,`. 21. Ducts, in Structure--, - ;70. Underground Hydro ;. 22. Ducts; Ve?tilating .. - , ,a .:71. Produce_Piping 0 Gas dOil 23. Gas Pipe-Rough& Test _ - - 72. Underground Flush . 24. Roof-Frang • ". . . - --, ; 73,Undergrnd.Storage:Tank0Gas ❑Oil ...{, 25. Roof Sheathing _ _ : • : 74. Overhead Hydro‘.._, <'yr�� - 26. T+Bar Ceiling (Structural) & Mohocbat • - . _ - 75-. Dry Chemical y 1.- - t- '• 27. Frame and. Flashing 8-9G 76. Dry Standpipe _ ` - 28. Lathing & Siding ` _ - I 77,- FIXED SYSTEM FINAL ._ .. '.�.. , ' 29. Insulation. - _ 3-2G-- 6c4..44:- 78.„;FIRE PREY. FINAL - • 1 ' 30. Drywall Nailing 5{� (. =Y_(8-`tte Qcc.2- HEALTH�DEPT. REQUIREMENT':- -,31. Plaster Brawn Coat- • , -79. FINAL INSPECTION - 32. Electrical Meter-Final • 80.•_FOOD CERTIFICATE ISSUED_ . z33. Fnai Electric -' _ . Notes: - - •34. Finar-Heating&'Ail Oonditioning - ` '' 35. Final Gas`•Pipe:Test - . - -, • "36 Hoo&or Canopy _ - • - --, Q - q-g-_q6; '-J44.--- _0 /L •Lac 37. Final Factory Fireplace '_ -. i Gy r - r- p_` 38. FinalPlumbing . , 39. Water Service-Final•'r -- •. 40. Gas Service-Final `r 4 ' ' i _ •• -- 41. Solar Domestic-Finai ', r. -- 42. Backflow Preventer - ' - - - - 43. Backflow Irrigation .. - ,-._ . 44. Landscape Irrigation System ' • - r. 45. Sound Attenuation -- --i_; - 7 46. Handicap Regulations- r - ^" '' 47. FINAL STRUCTURE& BUILDING t r 48. FINAL PLANNING •- - r ' 49. Electric Release to Edison I - r r - 50. Gas Release to Southern California Gas Co • - = -- _ - - .. J J 51. CERTIFICATE OF OCCUPANCY A `t- . - No. Date