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Home My WebLink About459 20TH ST - Building Permitsc Job Address: 459 E.20TH ST Suite: � � � • Vicini�y: Primary Occ: R3 Parcel Number: 42632403 npp�icanr. GOLIAN, SUSAN Address: 459 E 20TH ST Owner: Address Contractor. Address: COSTq MESA, CA & Type of Conslruction: V-N Zoning: GOLIAN, STEPHEN S TRUST 459 E 20TH ST COSTA MESA, CA - % - � � - �OWNER-BUILDER�" Phone: 949-574•0520 Zip: 92627-2315 Phone: 949-574-0520 Zip: 92627•2315 Phone: Slatus: ISSUED � Applied: 09/08/2006 G' Issued: 11I212006 ISSUED BY: � / Zip: License: 000000 Arch : Eng: LEO BURKE ENGINEERING INC ' Address: Adtlress: 37351 AGUACATE RD � � ZiP. . � . Phone: e�1��'.! 1` �� , � - . . 'Licerrse: � j '• ' � � . Phone: 949-257-7662 ` SAN JUAN CAPISTRANO� CA '' Y U 92675 License: 67404 SCOPE OF PERMIT ADD 1136SF TO A SINGL�-STORY SFD, INTERIOR REMODEL AND ADD 215SF TO AN EXISTING ATTACHED GARAGE. WORK TO INCLUDE EXTENSION OF KITCHEN, qDD RETREAT, MASTER BEDROOM WNVALK-IN CLOSET, 2 MASTER BATHROOMS (HIS AND HERS), REMODEL OF (E) BEDROOM, N/LIBRARY, CREATE 2 NEW BATHROOMS, RELOCATE AN (E) FIREPLACE AND NEW SKYLITES THROUGH OUT HOUSE ICBO #2469 EXISTING 3 BEDROOM, 1 1/2 BATHROOM SFD TO BE CONVERTED TO A 2 BEDROOM 3 7/2 BATHROOM SFD. PLANNING: LOT SIZE = 8,100 SQ. FT. RESIDENCE = 3,133 S�. FT. GARAGE = 637 SQ. FT. DRIVEWAY = 490 SQ. FT. LOT COVERAGE = 4,007 SQ. FT. (49°h) Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Totale , $813.38 $1,251.35 $14.52 $0.00 �0.00 $0.00 S2,b79.25 � SETBACKS � � MAINSTRUCTURE Front 20-0 - � � �Rear 22-8 ACCESSORY f•7•\:731�[�' Front 0- 0 Rear 0- 0 ExiStina: 4 Reauired: 4 , � , , t � • FEESUMMARY Calc Valuation: 5�a5,iso.so Claim Valuation: So.00 PLANNING & ZONING Lek 5-0 Right 70-6 Left , 0- 0 Right 0- 0 Pr000sed: 4 � ' � NOTICE: The work authorizetl by this permit shall compty with all applicable handicap access requirements under Caiifomla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally ezpire and become void if work is not commenced within 780 days, Or if work is suspended or abandoned tor a pedod of 1 BO days. INSPECTIONS: In order lor the work authorfzed under this permit to be considered legel, such work must comply with all applicabl odes, agd��eli' required Inepeetlona and Iinel approvel must be obtained. Failure to obtain inspections and final approval will rasult in the expiratlon ot Is �it.�'= FOR INSPECTIONS CALL: (714) 7545626 � zaaa+e�aoo� WORKERS' COMPENSATION DECLARATON: I hereby eXirm under penelry o1 per�ury one ot the following tlecleretions: ❑ I heve entl will meintaln e ceNficate ol consent to self-Insura tor warkere' compensation, es proNdetl for by sectlon 3700 of the Lehor Code, lor the peAortnance ot the wark lor whlch Ihls permit Is issuetl. ❑ I �ave aM will mainWin workers' oompensatlon inswerke, as requiretl by secUon 3700 of the LaEor Code. for 1he pertortnance of �he vrork lor whiU NIs pertnit Is iswed. My workers' compensation Insurence ceMer entl pdiry num�er ere: Certier: irot be cwnpleted i! Policy Number: � 1 certity thet in the peAortnence oi the work tor wNch Ihis pertnil is IssueQ I shall not employ any person in eny manner so as to become subject to Ihe workers' compensation lews of Celifomia, end egra thet II I shoultl become sub�ect to the workers' compensation provisions of Section 3700 0l Ihe Lebor COAe, 1 shall IoMwith _�_c_o_m.�O�N'�'��h Ihese proN ��p�i canX t�.5ipnature; � �� Do'le�:�� i��n%. 0� W�INC7- NLURE TO 5 RE WORKERS' OOMPENSr1T10N NVEiiAGE IS UNUWFUL M1D SMALL SUBIECT rW EMPLOYEP 1D CRIMI ENALTIES M!D CML FlNES UP TO ONE HUNDRED TIIOl15AND DOLUflE (5100,000), IN ADDrt10N TO THE CQSi OF COf.IPENSATION, DAM4GES AS PROVI�ED FIXi IN SECTION 31O80F THE IABOR CODE, INTEREST, M!D ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirtn thet I em Iicensetl untler provlslons oi Chapter 9(oommencing wit� SecOon 7000) of Division 3 of the Business end Pmfesslons Codo, end my license is in tull torce end eMect. LJc. p Class q CantrectoYs SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn Ihet lhere Is e construction Ientlinp epency br �he pedormence of Ihe work for which lhis permit is issued. (Sec. 3097, Cidl Code). Lendefs Neme: LentleYs AAtlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby etlirtn that untler Denelry ol per�ury Ihet I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the lallowing reason (Sec. 7031.5, Busineu end Professlons Cotle: Any ciry or wunry whic� requlres e permit to consWct, altar, impmve, tlemolish, or repair any structure, pnor to its issuanca, also requlres lhe epplicant br such permit to file e signed stelement thel ha or she Is Ilcense� pureuent b the prodsions af the Contrectoro License Lew (Chapter 9(commencing with Seclion 7000) 01 Dlvlsion 3 of ihe Busines5 enC Profo55ions Codo) or thBl he or she is ecempt therefrom enC Iho besl5 for the alleged exemption. Any violeti0n of Section 7031.5 6y eny epplicant lor e pBrtnil su6jects the epplfcant to e chnl penelry M not more t�en Me huntlred dWlers (5500).): ❑ I, es owner oi Iha properry, ar my employees with weges es �helr sole compensetion, WILL DO 7HE WORK, end the structure is noI Intended ar aHeretl tor sele (Sec. 70a4, Business end Protessions Coda: The Contractors License Law tloes no� epply to an ownar of property who builds or improves ihereon, end who tloes such work him r herself or Ihmugh his or her own employees, provitled that such impmvemems are not intendetl or oHered for sale. It, �owever, the building or improvement is r wit�in one year of completion, ihe owneo-builder will have the burden of pmving that he or she did not tuild or improve for purpose of seleJ. !I, es ov.•ner ot Ihe pmperty, am E%CLUSIVELY CONTRACTNG WITH LICENSEO CONTflACTORS to consWct Ihe pro�ect (Sec. 7066, Business end Professions � Code: The contrectors LJcense Lew does not epply to an owner ol propeny w�o bulids or improves thereon, antl who contracts tor such pro�ect with e contractor(s) licensa pursuant to the Contraaore License Laws.J. ❑ lem 'OrmeHOVAAtietl by drivefs license. Venfication ot Ownership by (rype of Business and Professions Code for this reason: �s ❑ No ��kiceneeiyp. i.e. - PropeM tex blll or AeeCj: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: � I hereby certity Net na excavetlon Ilve (5) or more teet in depth into wNch a pereon is repuired to descand, wlll be mede in wnnection wlth vrork aut�orized by this permit, entl Ihet no Duiltling siruciure, scattoltlinp, talsework, or demolition or dismantling thereot, will be more than ihirry-six (38) leet hig�, (C�flp. 32, Grp 2, An 2, Sec. 341, Ttle B, Celifomie Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permit irom the Divislon ol Industrial Sefery, es noted flbove, unlesa suU person has e permit to tlo such work irom t�e tlMsion. SignaNre: Date: Division ot Industrial Sefery Pertnit NumOer CERTIFlCATE OF COMPLIANCE AND AUfliOROATION OF EHTRY: I ceNfy under penalry ot perjury that I have reaa this applicetion end state that the inlormatlon given is wrrect. I egree to compy with e�llesctete laws enC dry orClnances relating to building construc�ion, end euthodze represenla0ves he qry ol Coste Mesa to enter upon Ihe above-descdEed ply�yty}or ins Oon puryroes. I egr�occupy or allow occuDancy of eny builtling authonzetl by this p�t u I Mel iropection. /// �A��b � _ hJ��fi `/ / ♦ � Ig: LepalOwner(s)__ ti' Date- And/Or Authorized Applicant Date COOE t, ixsveerantrve Qdg R�15 1fi16 Flaed System Final Fire Prevention 1268 200 Pool Spe Finel Flnel Re-R0o1 201 Flnal BIocWRaleining Well N 202 '�d'Final Fectory Fire Place 203 Final Sign� 204 Final Demolitlon WDE� INSFECTIONTYPE 206 Finel Mechanical 20B Flnal Plum6ing 210 Finel Electdcal 212 Flnel Fire Prevantlon 220 Final Plenning Approval 222 Final Site 250 Final BulldingiOccupency � It� a � _ ., . ........�.� . �*' 4n . .. ... .. � NEWPORT-MESA UNIFIED SCHOOL OISTRICT ' I1-??-?�JDE/OS: 3'PF1 . _ .':E� ;�,+f� ooa-n��.��s�� . a �° 6325 CER71flCATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND A8 781 To: City oi Costa Mesa City of NewpoR Beach ( ) County of Orange Applicant: � Address: Telephone Number: O \ Z TracUParcel and Lot Number(s): �Q � r� �ocatlon of Project: ��J I C, '/.i� ,��M � Z�n 2'� Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaVlndustrial Prqed is: (Check One) _ Warehouse _ R&D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light tndustrial _ This projed is exempt because �„1.�0 S� x 51.84 z S .30 _ Motel Bank _ Neighborhood Shops _ RecqueUHealth _ Hotel Medical Office Oifice Perk Tofal Total Distrid Receipt No. Plan Check No. ��I�� a,u�ro, ay _ Preschool _ Auto Repair _ Hasqtal _ Large Office _ Office Bldg. _ Restaurant _ Fast Food This certfies that the abaye-named Developer/App6cant has paid school fadtity fees in comptiance with Govemment Cade sections 53080 and 65995. The Building PemiLs for this square Toofage in this proposed devebpment may now be issued by your jurisdicbon. Checks are to be made payable to Newport-Mesa Unified The above representation as to square footage is We. Appticant agrees that if it is later determined Mat such representations are not true, then this certificate shail automa0cally terminate and the appropriate Cil�r/Counly shall be notihed. Date: 6 � , i Job Address:. 459 E 20TH $T .. .... . - � Suite No Vicinity: Parcel Nunmber: 42632403 Applicant GOLIAN, SUZAN Address: 459 E 20TH ST 0 . � � Phone: 949-574-0520 COSTAMESA,�CA ;�'�.� - � Zip: 92627-2315 �� 'i � _ owner. GOUAN,�STEPHEN S TRUST Address � 459 E 20TH ST . , � - " COSTA MESA, CA -- � , Phone: 949-574-0520 Zip: 92627-2315 contractor: OW N ER-BU I LD ER Address:� - � , Phone: Zip: ` ' �� `' � � License: 000000 .f E- i a. ' . . �: ' , . ,, �� :} �� - ISSUED 8Y: ' Status: ISSUED Applied: 12/15/2006 Issued: 12/15/2006 SCOPE OF PERMIT PLUMBING PERMIT TO ADD 1136SF TO A SINGLE-STORY SFD, INTERIOR REMODEL AND ADD 2�5SF TO AN EXISTING ATTACHED GARAGE. , REF#: BO6-01497 - WORK TO INCLUDE: 2 BATHTUBS, 1 DISHWASHER, 1 GAS (1-4 OUTLETS), 3 GAS REPIPE, 1 LAUNDRY TUBNJASHER, 1 LANDSCAPE IRRIGATION, 1 SHOWER, 1 KITCHEN SINK, 4 WASH BASINS, 3 WASTE AND VENT SYST, 4 WATER CLOSETS, 2 WATER HEATERS AND 3 WATER PIPING (INST OR . ' REP). � � ' - , . FEE SUMMARY ,' : AMT QTY AMT � AMT � ISSUE FEE -- $23.50 . Laundry Tub / Washer �' $9.80 1 Sump Pump ' $0.00 0 Backtlow irrigation $0.00 0 Landscape Irrigation _$14.80 .-1 Swimming Pool � $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $19.60 2 Pressure Regulator. _: $0.00 0 Urinal ' � $0.00 0 Clarifier System � �$0.00 0 Process Fiping (per 10 fi)� $0,00 0 Vacuum 8rkr Bkflow(1-4) $0.00 0 Conned (Ice,Soda,etc) $0.00 0 Receptors � $0:00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units � ,�' $0.00' , 0�. SepticTank $0.00 0 Wash Basin $39.20 4 Dishwasher � � $9.80 .1 �� -. � Sewer Cap for Demo $0.00 0 � Wash Basin Set $0.00 0 Drain,Floor , � �� $0.00 ' � 0�� ' SewerConnect $0.00 �0 WasleandVentSystem $29.40 3 Drein, Rainwater-"-� /, $0.00, � 0; -_�1,-, - Sewer Private Line- � $0.00 0 . - - Water Closet (Toilet). $3920 4 Drain,Roof ��' � ($0.00,'..,0'��AC_ Shower - � - $9.80 7 ,'WaterHeater/vent . $24.60 2 Drinking Fountain A �`�� $OAO, "; �0 --_ Sink,�bar � , $0.00 0 � " .. WatefBiping (Inst or Rep.) $29.40 3 ExpansionTank , `��.$0.00 � 0 ,-`�, " Sink,commercial � $0.00 0- ' � WaterRe-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 $0.00 0 Water Softener $0.00 0 Gas (Over4 outlets) $0.00 :.0 � . Sink, service/mop , $0.00 0 OTHER $0.00 Gas Repipe $29.40 - 3 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 � . . , . - � � _ t • . TOTAL CALCULATED FEES: 5284.65 .a NOTICE: The work au�horized by ihis permi� shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1. 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(6I00) WORKERS' COMPENSATION DELLARATION: I hereby etFirm under penalty of perjury one of the following tleclarations: ❑ I �eve antl will maintain a certificate of consent to selFlnsure tor workers' compensation, es O�ovided for by section 3700 of the Lebor Code, for ihe pertormence of Ihe work for w�ich Ihis permit i5 issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for tha pertortnance ol Ihe work for which this pertnit is issued. My workers' compansation Insurance carner and policy number are: Cartier: (This,y FAI W RE TO i! fhe permit is Policy Number: or less.) of ihe work for wh' I�is permi(,{5 issued I shell not employ any pereon in any manner so es �o becoma suhjec� �o �he workers' , enC egree Iha I should be 6me subj �,to ihe workers' compensation provisions of Section 3700 of ihe Labor Cotle, 1 shall forthwi�h - �— �� (>t �SZ.�s RS' CO NSATION CAVERAGE IS UNUWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL P ALTIES AND CIVIL FINES UP TOONE HUNDRED 'IQVT ECASTOFCAMPENSATION,DAhU1GESASPROVIDEDFORINSECTIQV3]O60FTNELABORCOOE,INiEPEST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: 1 hereby eHirtn ihat I am licensed untler pmvisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Coda, and my license is in full force antl eHecL Lic. q Cless N Contracbrs Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm Ihat there is a consimction lentling agency for the pedormance of Ihe work for which ihis permi[ is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signawre: __ Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn that untler penalty of perjury that 1 am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW br the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which raquires e parmit to wnstruct, alter, improve, tlemolish, or repair any stmcWre, prior to its issuance, also requires ihe applicant for such permit to tile a signad statement that ha or she is licensed pursuant to the pmvisions ot the Contrectors License Law (Chaptar 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or that he or she is exempi therefrom antl the basis tor the allegetl enemption. Any violation ol Section 7031.5 by any applicant for a permit subjects the applicant to a civil pOnalry of not more than five hundretl tlollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as thair sole compansation, WILL DO TME WORK, and ihe strucNre is not intended or oHered for sale (Sec. 7044, Bu �ness and Profes5�ons Code: The Comractors License Law dces not apply to an owner of property who builds or improves ihereon, and who tloes such work hims or herself or througp his or her own employees, provitled that such improvements are not intendatl or offered Por sale. If, however, ihe huiiding or improvement is /s within one year of completion, the ownerbuilder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITM UCENSED CONTRACTORS to constmct the pwject (Sec. 70a4, Business and Professions Code: The contractors License Law tloes not epply to an owner of property who Ouilds or Improves Ihereon, and who coniracts for such projact with e contractor(s) liCense pUrSUanl to ihe Con�faCjor%iCense Laws.). ❑ I am exe � under sec. �6Y nature� Owner I er by tlnver's I cense Verificabon of Ownership by (rype o� `Business antl Professions Code bnhis reason: s ❑ No i.e. � property tax bill or deed): DIVISION OF INDUSTFIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlify that no exca�etion five (5) or more feat in tlepih into which a person is required to dascend, will be made in connection with work authorized by this permit, and that no 6uilding strucWre, scattoltling, falsewolrt, or demolition or dismamlinq ihereof, wifl be more than lhirty-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Admi�is�rative Code). ❑ As owner-builder, I will not employ anyone lo do work which woultl require a permit from �he Division of Indus�rial Sa�ery, as noletl above, unless such person has a permit ro do such work fmm the division. Signature: Oate: Division ol Indus�nal Safery Permit Num6er: CERTIFlCA F COMPLIANCE AND AUhiORIZATION F ENTAV: I cenity under penalty of perjury Ihat I have read this application and staie that ihe information given is wrrecL I ree to comply with all etDlaws an ity or nces relating to building consimction, and euthorize represenlatives of the City of Costa Mesa to en�er upon the ebov escribed property tor i tion puryos s. I agre not to occupy or xcupancy of any huilding authorizad hy t' R until final ins ection. � , � � t�`°��--� ' 8/� a ign9ture"_OLLegal.Owne�(s)---�� Date � Authorized Applicant �OpE �, INSPECTONTYPE �� INTRI 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Final Re-Rwf Final Block/Retaining WB�� Final Factory Fire Place Final Sign 204 Final Demolition COpE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupancy ILAT� INTRI //T�ob �361.N2 � / (714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.cosla-mesa.ca.us , _ . . , �ob Address: 459 E 20TH ST Suite No Viclnity: Parcel Number: 42632403 Applicant GOLIAN, SUZAN Address: 459 E 20TH ST COSTA MESA, CA MECHANICAL PERMIT i , Phone: 949-574-0520 Zip: 92627-2315 � Owaer: , GOLIAN, STEPHEN S TRUST �[��''r,�� Address: '459 E 20TH ST� ' 1�� f�y;� .r- � � . ' � - - � �-Phon : 94 5i4-0 20 � COSTA MESA, CA� - Zip: 9P�7-2� cantractor: OW N ER-BU I LDER �Address: � � Phone: Zip: License: 000000 , ' � , 77 hAIH UMNt, GVA I A MtJA, GA `JLbLb SWtus: ISSUED Applied: 12/75/2006 Issued: 12I75I2006 ISSUED BY: �� y.� ' - � - " � ' • ` ' SCOPE OF PERMIT �� '� MECHANICAL PERMIT TO ADD 1136SF TO A SINGLE-STORY SFD, INTERIOR REMODEL AND ADD , 215SF,TO.AN EXISTING ATTACHED GARAGE. � REF#: BO6-01497 WORKTO INCLUDE: 1 INST FAU < 100 K BTU, 3 GAS PIPING, 1 FACTORY FIREPLACE, 1 HOOD W/MECH EXHAUST, 1 FIRE DAMPER AND 1 COMPRESSOR 3 TO 15 HP/500 K BTU. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repai�/All CoolingMeat Inst / Rep. Recess Wall Htr Retrig Sys <100 k BTU Re(rig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust � VAV Box � �� Vent Fan I Singie Dud Appliance � � . , Fire Dampers Smoke Dampers � Inst or Relocate Appl VenP Air Handlers < 10000dm� Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater \ 523.50 514.80 $0.00 50.00 50.00 $0.00 $0.00 $18.45 $10.65 $10.65 50.00 50.00 $0.00 5725 $0.00 ' So.00 So.00 so.00 $0.00' 50.00 Quantlty 1 0 0 0 0 0 3 1 1 _0 0 0 �1 0 0 0 0 0 0, FEE SUMMARY .. � Repair / All Absoibtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporetive Cooler Com mercial I ncine retor Domes�ic Incinerator Comoressors / Absorption Svstems Uplo3hp/100kBTU 3 To 75 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 8TU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee � , Investigation Fee . . , Plan Check Fee� . � 'Reinspeaion Fee ' TOTALCALCULATEDFEES � Quantity 50.00 0 50.00 0 $0.00 0 so.00 0 50,00 0 $0.00 0 $0.00 0 $27.15 1 $0.00 0 $0.00 0 50.00 0 50.00 0 so.00 0 so.00 0 50.00 0 $0.00 0 50.00 $0.00 $0.00 §112.45 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for ihe vrork authorized under this permit lo be considered legal, such work must comply with all applicable codes, and all requlred Inepectiona end Iinal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration ol this permit. � FOR INSPECTIONS CALL: (714) 7545626 24d&ds (8�W) WOFKERS'COMPENSATION DECLAAAnON: I hereby eflirm under penalry of perjury one of lhe following declaretions: ❑ I have and will maintain a cenilicate ol conseM to self-Insure tor workers' componsetion, es provided tor by section 3700 of ihe Lebor Code, br ihe peAortnance ot the work tor which ihis permit is issuetl. ❑ I have end vrill main[ain workers' c�pe�sa�ion insurence, as requiretl by sectlon 3700 0l lhe Labor Code, lor the peRormance of Ihe work lo� which this partnit i5 issuetl. My workers' wmpensatlon Insurence carrier antl policy number ere: Carder. (7his sf l�certity ihat in ihe per compenuiion laws of comply wit� these pro � Poliry NumDer: one hundred dallers ($ f00) or less.) of Ihe wark tor which lhis pertnit is issued, I hell not employ eny parson in any manner so as to become subjeci ro the warkers' ,rgntl agree that if hQ�AO becom ub�ec � o�ne workers' compensetion provisions ot Sectlo�n 3700 0l Ihe Labor Catle, I shall lonhwith L1Ql�1 � �e=' i� t) o� 0 C R$' WM SA WVERqGE 45 UNLAWFUL M1D SHALL SU6IECT AN EMPIOYEF TO CRIMINAL PENALTIES AND GViL FlNES UP TO qJE HllNDRED �pN TO THE CQSi OF COMPENSATION, OAMaGES AS PROVIDED FOR IN SECiION 3]OB OF TME UBOR ODDE, INfEREST, PND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: � I �ereby aHirtn ihat I em Ilcensed under Provisions ot Chepter 9(commencing with Section 7000) ol DlWslon 3 0l Ihe Business entl Professions Code, end my license is in full forte entl BNBCL LiC. M CIBss p Contraaors Slgnemre: ouie: CONSTRUCTON LENDING AGENCV: ❑ I hereby aHirtn that there is e cons��+ction lending agenq for t�e peAortnance of the work tor which Ihis permit is issuetl, (Sec. 3097, Civil Cotle). Lentlefs Name: Lender's Atltlress: Slgnature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm �hel under penally of perjury Ihet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. )031.5, Business anA Profeuions Co6e�. Any ciry w counry which requires a pe�mil to const�ucc, alter, improve, demolish, or repair any simcture, prior to its issuance, elso �aquires the epplicant for such pertnit to lile e signed stetemani (hat he or she �s licensetl pursuani to the provislons ot t�e Contrectors License Lew (Chepter B(cnmmencing with Section 7000) ot Division 3 oi the Business entl Prolessions Code) or tha� �e or she is exempt therefrom end the basis for the allegetl e:amption. Any violation of Section 7031.5 by eny epplicant for a pertnit suhjacis the applicant to a civil penalry o� not more than tive huntlreA dollars ($500).�: ❑ I, as owner the property, or my empiqrees wlih wages es t�eir sde compensatlon, WILL DO 7HE WORK, en0 lhe structure is not intentletl or otteretl for sale (Sec. 7044 iness and Pmfessions Gade: The Contractors License Law does not epply lo an owner ol property who builtls or Improves thereon, antl who does such work hi elf or herself or ihrough his o! her own employees, provided that suc� improvemems are no� intended or ofleretl for sale. If, however, IAe builtling or improvement is old within one year ot completion, ihe ownerbuiltler will have ihe burden of pmving that ha or she tlid not build or improve for purpose of sale.). �I, as owner oi the property, am EXCLUSIVELV CON7RACTING WITH LICENSED CONTRACTOFS to construct the project (Sec. 7044, Businass an0 Pwlessions ' Cotle: The coniractors License Law tloes not appy to an owner ot O�operty w�o builtls or improves ihereon, entl who contracts lor such pmlect wiN a contractor(s) license Oursuant to the CONractors Licanse Laws.j. , ❑ I am ez�untler sec. Owner ID1t9uG69 by dnvefs license. Vedfication ol Ownership by (rype of antl Professions Code lor ihis roason: s ❑ No �,, i.e. - property tax bill or doed): DIVISION OF INDUSTRIAL SAFETV PEF7MR CERTIFICATION: ❑ I hereby cenify ihat no exwvation �Ne (5) or more leet in tlepih Into wNch e person Is requlred to descend, wlll be mude in conneciion wlth work euthonzetl by this permit, entl that no builtling sWctVre, swflolding, lelsework, or demolitlon or Cisman0ing ihereof, wlll be more then thiny�six (38) tael high. (Chap. 32. Grp 2, A� 2, Sec. 341, Tltle 8, Celilornia Administretl�a Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would mQuire e permit trom Ihe Division oi Intlusiriel Safety, es noted ebove, unless such person has e pertnit ta do such work Irom the dihsion. SigneWre: Dato: Division af Indusinal Safery Permil Number: CERTIFlCATE OF COMPtJANCE ANO A�MORQATON OF EMRY: I certity under penelty ot perjury that I have reatl l�is application and state ihat Ihe information given is correct. I egree to comply with el te laws e ciry ordi nces releting to builtling cons�ruciion, end euthodze representetives ol the City of Casta Mesa to enter upon the ebove-tl i ed propeny for in ioo Purpo s. I ag� �to occupy ar ency of eny Duilding euthoriz�tl b rmil until linal inspectian. �.�� L . O �.a �� . � Iure:PLLeflal,Owner(sl� Da__ �� COUE I. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 126fi Pool Spe Final 200 Final Re-Rool 201 Flnal BIocWReteining Wall 202 Flnal Factory Fira Plece 203 Final Sign 204 Finel Demolition PEIE irrrmn�s COOE� INSYELTIONTYPE 206 Final Mochenicnl 208 Finel Plumbing 210 Finnl Elaclrical 212 Finnl Flro Preveniion 220 222 250 Finnl Plenning Approval Finnl Slte Final Building/Occupancy �/ //I/0� /s��, �. � Job Address: ' 459 E 20TF{ $T Suite No � Viciniry: Parcel Nunmber: 42632403 Applicant: GOLIAN, SUZAN Address: 459 E 20TH S7 a COSTA MESq, CA - , � owner. GOLIAN; S7EPHEN�S TRUST Address 459�E 20TH S7 � �� ' COSTA MESq, CA.� � , � " Contractor. �OWNER=6UILDER � � r-----'? d � � � Phone: 949-574-0520 Zip 92627-2315 - P-hone: 949-574-0520 Zip: 92627-2315 , , ' , , status: ISSUED � /lpplled: 12/15/2006 � Issued: 12/15/2006 � ISSUED BY: �� Address: � Phone: Zip: ' � . License:000000 � � , _ �l _ ,✓; . . , , ' il �� . . . . ,. _ 1� � , Y � , ' SCOPE OF PERMIT � ' ' ELECTRICAL PERMIT TO ADD 1136SF TO A SINGLE-STORY SFD, WTERIOR REMODEL AND ADD � '- 215SFTO�AN EXISTING ATTACHED GARAGE. � , ' ' REF#: BO6-01497 � ISSUE FEE ' Temp.service test �Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa . . Lighting Fixts �' Recept Outlets Swilche5 Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Motors to 7 hp � Motors to 10hp � Motors to SOhp � Motors to 700hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole WORK TO INCLUDE:�101 CIGHT,FIXTURES, 63 OUTCERS, 47 SWITCHES, 1 SERVICE TO 200A. FEE SUMMARY 4uantlty , $23.50 ' �- ' 50.00 - -- -_- '-- $0.00 ' ' $0.00 0 $0.00 , 0 $0.00 0 $81.13 101 $53.39 63 �: $41.71 47 ',�$0.00 0 . ' � �$0.00 . 0 . - $30.50 � ..t._..�•. $0.00 0 �. $0.00 �� 0 ," �50.00 � �' ,0:.. _ $0.00_� � 0 � _' ` �$0.00 "-� - 0 ��. $0.00 , . 0 � . . � �$0.00 , 0� � � $0.00. � 0 " �$0.00„-�� 0 � '.,' $0.00��`� - 0 -- $0.00 -�_ 0 `� -- _ $0.00 0 $0.00 0 Temp Dist System / Lighting Busway/100�ft" -�- � Standing Section � Misc Electrical Equipment Transfonners up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit � Misa Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 , 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 ' 0 $0.00 Investigation Fee $0,00 . Plan Check Fee � . . � 50.00 , ��`� ReinsDection Fee '.- 50.00 � , .TOTAL CALCULATED FEES §230.23 : u NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abantlonetl for a penod of 7 BO 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 requlred Inapectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 �/j 2446d6(6D0) WORKERS'COMPENSAPON DECLARAnON: I hereby eHirtn under penalry ol perjury one ol ihe Iollowing tleclarations: ❑ I have end will maintein e cetlificate ot consent ta self-Insure tor workors' compensatlon, es provided br by seclion 3700 af the Lahor CaAe, br the pertormenca of the work tor which t�is permit Is Issuetl. ❑ I hevo antl will meintain warkers' compensation insurence, es require0 by secGon 3700 0l ihe LaDor Cotlo, lor the perlormance of the work for whid� thls pgrtnit I5 Issuotl. My warkers' CompOnsetlon Insurance cerder and pollcy number ere: Cerner. one or less.) Pollcy Number: � I certity that in the peAormanca of the work lor which thls pormit is issued, I shell not employ eny person in eny menner so as to �ecome subjecl to the workors' compensetlon laws ot Cali�oryia, end egree Ifdt II I sho� beco e sublec� Io the workers' compensoilon provislons ot Sec�lon 3700 0l Ihe Labor Coda, I shell fotlhwi�h Comply with the9e provi effs. � �� Appfkenl:S�pnat� Ure� L✓ K� �am:�l � � ( )2! � � WMNING: FAIIUHE TO OiU(ERS' MPENSATION COVERAGE IS UNIAWFUL AND SHALL SUflIEGT AN EMPLOVER TO CRIMINAL PE itES PND qVll FlNES UP TOONE HUNDRED T110USrWDOp1ARE(51 , �,I ADdTIONTOTHECOSTOFCOMPENSATION,D0.NAGES�SPROVIOEDPoRINSECTIIXJ3]OBOFTHEIABORCOOE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTAACTORS DECLARATON: I hereby aNirm t�at I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0l the Business and Professions Code, antl my license Is in tull torce entl eMecL LJc. a Cless M Cantrectors Signe�ure: Date: CONSTRUCTON LENDING AGENCY: . ❑ I hereby eHirm that Ihere is a construction lendinp agoncy tor the peAormance of the work tor which this permit is Issued. (Sec. 3097, CiNI Cotle). Lentlers Name: Lentlers Atltlress: Signeture: Date: OWNER-BUILDER UECLARATIONS: I here6y eHirtn that under penalty of per�ury Ihet 1 em E%EMPT FROM THE CONTRAC70R5 LICENSE LAW for I�e tollowing reeson (Sec. 7031.5, Business ena Professions Code: Any ciry or counry whic� requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires iha applicant lor such pormit lo lile a signed atetement Ihel he or she is Iicense0 pursuant to the proWsions oi the Contraciors License Lew (Chapter 9(wmmencing with Section 7000) ot Dlvislon 3 0l Ihe Business antl Prof055ion5 Cotle) or that he or 5he i9 eaompt therelrom and lha basis for Ihe ellegetl ezempiion. Any violation of Section 7031.5 6y eny appllcanl tor e permii subjects Ihe epplicent to a civil penelry ot not more Ihan five huntlretl tlWlars (5500).): ❑ I, as owner of Ihe properry, or my employees with wages es their sole compensatlon, WILL DO 7ME WORK, and the siructure is no� intandetl or offeretl lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not appy to an ownar ot property who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, providatl ihat such improvements are not intentletl or olfered lor sale. If, however, the builtling or improvement is Seitl within one year ol completion, the owner-builder will have Ihe burden ot proving that he or she did not builtl or improve lor purpose of sale.). � I, as owner of lhe property, am EXLLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 70a4, Business end Prolassions Code: The crontractors License Lew tloes not apply to en awner ol property who huilds or improves thereon, antl who contracts tor such proiect wtlh a coniractor�s) license Dursuanl to the Contractors License Laws.} ❑ lam Verilicellon ot Ownership by (typa ol Business and Protessions Catle for Ihis reason: �s ❑ No Ddvor3 License.No. i.e. - propetly tez bill or tleetl): �� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: c xP1as: ❑ I hereby ceRity the� no excevetion five (5) or more teet In depth Into which e person is required to descentl, wlll ba meda in conneciion with wark eut�odzed by this permil, end thel no building stnxture, scaHolding, telsework, or demolition or dismantling ihereot, will be more then thiny-siz (36) teet high. (Ghep. 3.2, Grp 2, An 2, Sec. 341, Titlo B, Celifomia Atlministrative Cotle). ❑ A5 owner-huiltler, I will not employ enyone �o do work w�ich would require a Dermit trom the Division oi Industrial Salety, es notetl above, unless such person hes e pertnit to tlo such work from the tlivision. SignaNre: Date: Division af Industrial Safery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENfFiY: I certify undor Denalty of perjury �ha� I heve reatl this eppliwtion end state that the information given is cartecc I egree to comply wlih te laws e ciry ordi anpes relating to builtling conswction, and euthodze represeNatives of ihe qty ol Coste Mesa to enler upon t�e ebove-tleys �property br i tian pu es. I agre t A occupy or allow occupenty ol any builtling euthorize b this permit until final inspection. �, n A[.� �' i�( .�'--- ' S� o• fi �a. � n ure'Ot�Ce wner(s)—� ,� COata� CO�E A. INSPECTONTYPE 7676 Fized System Final Fire Prevention 7266 Pool Spa Final 200 Finel RaRool 201 FInaI BIocWRetelning Wall 202 Final Fectory Fira Place 203 Finel Sipn 204 Final Domoiltion Qajj �§ 4QpFY1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Flre PrevBnilon 220 Final Planning Approval 222 Final Site 25a Final Building/Occupenq B6� urtma�s Aoa�icant to fill in all spaces exceot ihose within neavv boreer lines ana siqn all aoorooriate tleclarations CITY OF COSTA ES(�A. CONSTRUCTION PERMIT PERE "o. � 3 TRACT NO. LOT NO. UNIT N0. BI E% 5/ (9/87 10�5L� 1 ProjectAddress�� % �' zv�n�� %~ /, ' ' Applicant'sMailingAddress��' L/'��+✓ �� .d✓�L TVPEDFC�NSTRUCTION NEW ADO ALTERATION REPAIR Owner'SName ��D� L/�E-S�V phOneG�� CONVERSION ❑ DEMOLISH ❑ OTHEg p�p # Zone ��O r,�, 7 DESCRIPTION OF WORK/USE OF BLDG. �Z.� Address l [r .ZO � S'� S Main Building: Accessory Building: Z Areh/Eng. LicenseNo. TYPEOFPERMIT GRADWG ❑ FOUNDATION STRUCTURA� T Pront p Address � ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 6 Rear N COniractor'SNam �� one�4 �Q� � OTHER ' A � � ��p �; PROJECT DESCRIVTION SCZ. FT. occuPANCV C Ri9ht G Addresslmailing) - r'X �'. 4� �� K City License No. % 3�- � CONSTRUCTION TVPE VALUATION 3 g �eft ZONE GRADINGCV.Y�S. ACRES R LIGENSED GONTRACTOR DEGIARATION Ping. Ref. # P2�king Req,/Pro�id¢d E I M1ereby affl�m tbat I am licensetl untler p�ovision5 of Charter 9(commencing Remarki: Planning NOt¢5: M with seGtion 7000) of Division 3 Of the Bu5ine55 antl Professions Cotle, antl T my licenze is in fu�l force antl eHec 1 icense CI s � 1 V l' ense Na. -2 7 t 3� S oate � Si9natur PLUMBING FEES WORKE 5' COMPENSATION DECLARATION BarSink Showe�5 1 hereby aflirm that I have a certificate of conseM to sel�-insure or a certificate ELECTRICAL FEES NJorkers' Compensation Insurance, or a certlfietl copy thereof (Section gackflowPreventer ServiceSink - - 0, Lab. C.) '' Automatic Washer Transformer ❑ 15-50 KW licy No. � � "'Company gackflow Irrigation . Sewer Ca ❑ 50+ KW P Consttuction PoleSub. eCertifietl copy is hereby fumisheC. Certiti py is tiletl wirn the•city Builtlin9 Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 700 amps Oate APplicaut . EXEMP ION F�ROM WORKERS' COMPENSATION DECLARATION Clarifiers SOIa� COII¢cLOfS Di5hw25he� - Met¢� OVE� 10� amp5 (Thissection neetl not be cOmpletetl it the permit iz fo� one huntlretl ($100) o� iess). Dishwasher � Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performan<e ot th ork for which,this perm�t is issuetl, I . . shall not employ ny person in any anner so as to ecome subject t the Drinking Fountains Solar Tank Fan Motors �0-1 HP 01'h - 8 Workers' C m n %�� Laws of Cal� ia. / Date - I�7��ly—Si9natur ' %h� Floor Dreins Swimming Pool w/Spa F.A.U. Inc. Solar �9-15 HP �16-15+ NOTIC I t aWng [nis tlecl tation, you shouitl bewme subject to [he Workers' Compensatlon provisions of the Labor Cotle, you must fortM1witM1 FloorSinks Urinal Fixtures comply with such p�ovisions or thi5 permit shall be tleemetl revoketl. Microwave CONSTRUCTION LENDING HGENCV GasService �utlEtS Wdt2�C105¢t D2viC¢BOx25 POI¢Li ht I hereby aftirm that there is a mnstruction lentling agency fo� the performance 9 of the work for which ihis permit is issuetl (Se[fion 309] Civ. CJ IOtEro¢pt0�5 WdtO� H¢dt¢� O�tIEtS �entler's Name Ran9e Lentler's Atlarezs Kitchen Sink . Water Service OWNER BUILDER bECLARATION Switches Si9� 1 hereby affirm that 1 am exempt from the ConVacto!'s LlcenSe Law fol the LavatOliCS AUtO-Wdsh GdfbdJ2 DiSp0581 $tanding S2CLiOnS following �eason (Section 7031.5 Business antl P�ofessional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair P-Trap Laundry Trays Generator �0-5 KW �5-15 KW any siructure, plio! to it5 issuance, also requires the apD�icant for Sucll pelmit TfaSh COTpdGtO/ to file a si9netl slatement [bat he/she is licensetl pu�suant to th¢ provision5 of RoOi D�ainS the Conira[tor's License Law (Chapter 9(commencing with Section ]000) of Olvision 3 ot the Business antl Professions Cotle) or [ha[ he/she is exempt - � -.efrom ana tbe basis for the alleqetl exemption. Any vlolation of Section . l.5 by any applicani for a permit subjects the applicant to a civil ' dry of not more ihan five nuntlretl tlollars ($500). 3 u I, as owner of the pvoperty or my employe¢s wltM1 wage5 as their sole ReinSpection Fee $15 . ISSuO PB¢ $ compensation, will tlo the work, antl the structure is not in[entletl or offered Reinspection Fee $15 Issue Fee $ 3 for sale (Section �044, Business antl Professional Cotle: The Contracmr's MECHANICAL FEES License Law tloes not apply to an owne� ot a property who builtls or impwves Ihereon, antl wno tloes such work himself/nerseli or throu9h his or her own goiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: em0loyee5, provitletl tha[ such improvements are mt intentletl or offeretl Po� Zoning Approved By DdtO sale. If, however, the builtling or improvemen[ is soltl within one year o( com- CdnOpy TypE II ❑ , pletion, the_owner will have the burtlen o( proving he/she tlltl not bulltl ot im- DUct - Und2f Ground Building ApproV¢d By _ Det� ' p�ove for the pu�pose of sale). . - ❑ I, as owner ot the property, am ezclusiveiy caniracting with licensed mn- Duct -$tructural Refrigeration System Appliwtion luuad 8y Dat 4ractors to construct the project (Section 7044, Business antl Protessions Cotle: The Contractor's License Law,tloes not apply to an owner of property who Duct � Ventilating ❑0-100,000 BTU ❑100,000 BTU builtls or improves thereon, antl who contracts for such projects with a con- SUMMARY OF FEES tractor(sI ucense pursuant to tne Contractor's �icense Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteretion BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation inswance shaultl be provitletl to me. _ � PLAN CHECK $ PERMIT ❑ 1 am exempt unEer Section B. & P. C..(or tnis reason FirepUFact. BIL IC80 # Fire Dampers PLUMBING $ ISSUANCE $ Date owner Heating System & Oucting Registers X P I R E D ENERGV P.C. $ PLAN CHECK 25% $ I hereby c ify that I have read this appiication antl state tnat the above ❑0-100,OOOBTU �100,OOOBT � omp ete Inspection ELECTRICAL $�� GRADING - 5 � informatio � correct. I agr e to compty wiih all city antl county ortlinances and state a s relatin9 to wmin9 �onst cLon, and hereby authorize repre- � - �� - PLAN CHECK 50% $ MICROFILM $ sentatives this city en[e upo e above-mentionetl� opert for //� �� insoection r oses. � '� �9 V f ' � MECHANICA� S TOTAL FEE $� Signatu� � Dai� — - . - - . Driverz' License or SS � Reinspectian Fee $75 Issue Fee $ 3 PLAN CHECK 25% $ MF 0865-46, rev. 10/84 White - Builtling; Canary - Appliwnt Pink - Accounting: Goltlenrotl - Assessor '�.� 5 CONSTRUCTION AND PLANNING .- POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electric8l.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 UFER Grnd. � . 57. APPROVAL TO COVER�-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, O 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 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. DuCts, in Strucwre 70. Underground Hydro _ 22. Ducts, Ventilating • 71, Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test � 72, Underground Flush 24. Roof:Framing . 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof._Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27..Frameand Flashing 76. DrYStandpipe ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINA� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ?� 35. Final Gas Pipe-Test 36..5Hood or Canopy ' � _ 37. Final Factory Fireplace i � 38. Final Plumbing � � �� ._ 39. Water Service-Final � � ., � _ 40. Gas Service-Final � � . . 41. Solar pomestic-Final � � •`� 42. Backflow Preventer � - . �� 43. Backflow Irrigation � - � � 44. Landscape Irripation System - E�( P 45. Sound Attenuation Plete InsPecti � ' � 46. Handicap Regulations a e ; � � . � .y' : � . 47. FINALSTRUCTURE&BUILDING . - _� • , 48. Special Requirements Completed � - � i � `- �' , 49. Electric Release to Edison ` 50. Gas Release to Southem California Gas Co • �• . ' 51. CERTIFICATE OF OCCUPANCY - - � No. Date � � � COUNTY OF ORANGE BUII.DING DEPT. � 636 No. Broadway Snnta Ma, California Phone: KI 2-6211 / "'. Application for Building Permit AND FOR A Certificate of Use and Occupancy � Permit No.---- -�--�� 0 Date----9..�...�..:.�.J...-� --g 1_".------- 1. OWNER'S NAME..... �__�'.+�. .�"'�'. �^......��---- ------------------------ --- -----............. . PHONE:--------n�---------- -�-�-�---- MAILING ADDRESS...�'�`.'`�-'.�- =�':'.``� �„"" Y' �D'!0a'�' - _ CITY....�. � �n.�. � ...--�----- - -- ...- - ... . .............--- - ---�--------------- �=------- Name W� �` `� � `^""� Name.................----..................------......-----------....------�-----------� ------...........------------------�---------......_-----------....---------...---�-- (Architect or Engineer) �Contractor),� / � A�dress._.........._ .........................---------- ........-----...-.--... Address...�-:L�-�-----�.:4........:�Zl...-�?�^=.-`--...-----�J � City- --- - ------ ...... .. ..... - ......_-- - ----'---..... ............ City ....--- --......- --- -------........... --- ........ ---�- --------•- -...---- State • State y� 3� g 7-� O Lic. No.---......- --......---....__. Phone---- �----....--- .............. Lic. No.. -- ...--.... ------............. Phone/1..._-------.......--•--��--- PROPOSED USE 2. JOB LOCATION (Hoose No.) (Name of Stceet) NAME OF AND DIRECTION FROM NEAREST CROSS � 4. i. 6. 7. � (Town or School District) STREET_ 7�?-!:s2.�.�i,_....�. '- .. - - -- .......................... LEGAL DESCRIPTION: Lot.------�- ---�------��------� .... --------Block .......... .....•�--------- --�-- -� ---. Tract.....6 ��..------...... ---�- (Metes and Bounds Description—Use reverse side of form) � CORNER LOT ( ) INTERIOR LOT �X �Do HROUGH LOT ( ) SLOPE OF LOT (�) SIZE OF BLDG'.>.`5�..�-7J_-/�-...��.. REAo.f._3�-Z.--------- SIZE OF LOT:..SP...�r..ZS.._�.�..�AREA: ---....�..d..I.... n� � i / HEIGHT OF BLDG.:..L-_�----....-_--_---------------_CEILING H�IGHT:... g---..--_-------.-__--..NO. OF STORIES----.---.._......-.----.....--_ NO. FAMILIES___...� ...............................Sizc of Smalles[ Bedroom:_�Z.��.T�/.,.__.....___... Size of Kitchen._�.�'.L.. �� ^..!....... EXTERIOR WALL CONSTRUCTI N:.�?�`�!r..T .................INTERIOR WALL COVERING.....___�� ,...... (Prame, Smcco, Em.) i � (PlastcrDrywall, Etc.) ROOFING COVERING ........ ......._Q' - --...--� - � - ...... -- - .......... - � - -- - - ....-- ....................- --- ...---- - - ---... 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH._.....�L..�-.. �.�- ...................................... --- --- - - ...----� --- -- ......- .............. --....- -� - - -....../ ............-----� -...- - .ti .........'-� -- --- -- -... ............ �- 10. SETBACKS: Fron[ Yard From Center Line of Street.___....�..1.......1.� ..............._1.�._�_b..�,�._.....l..�..fu..'_� � -`-'_--"-'--- .............' Nearest Side Yazd..--iA.--..-----_-_..Rear Yazd.. ----�'a_- �Distan�ce�n Feet Between Bldgs. on Same Lot-_.-----_---------------------_--_---_. t� (Property I,ine) (Proper[y Line) Il. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. �� n 12. (a) Footing: Width-----��-------------------.....Depth in Ground..---�-�----------_---.Width of Wall-----.�i..........-------..... r� n b Size of Scuds:..._2 u.�.......___S acin 1-� "CC Material of Floor..L.:Cb ��_-....�y.._.......5 � ) P g -- *�--------- c Size of Floor oisu:------ �'X.�,�_-------------------Spacin �--tp-, �-_-...---•--. „CC ( ) J g ............... .. "CC hcating, fire sprinklcrs, painting and 14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE t1ND�BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. /. D �f%- J ,/ � �` '� 2 � (Oumer) Plans Filed:--- -.......�.'..,,1_i7_.:.--`S-� :............... / il /A \ _'�" (Autharized Agent) � �C�R DEPARTMENTAL USE ONLY FEES: —( Bldg. Permi[ ' S--� � --�..--u�-- GROUP__.....��F.-L1--- ------- Plan Check - $........S.t_Ur.."7�...-. TYPE.---- -...�..-- -- -----.. Total - - - $._3. ; ...-._d � DIST. [� / Receipt No. P/C- ....��_Ly �6-�--� --- MAP......._...�.-'F-..r-`• --- Paid to - • ..... .�.�.. ��:'!�v.--- SHEET NO..--- �------..... Date------....------� --- - ._... - i. -'�-9--�-S � -------- ...................- - . PERMIT DATE....----��/�.C..._�`.... - ------ s000--�-ss �HE KING BY APPLICATIO .__.... HEALTH ............................ ZONING---- -----....r..:--... FIRE PLANS AND MARSHAL ......................... SPEC'S ---------- -� -- ..1..( .. STATE- ....................��---- CO2RECTIONS ENGINEER i�usP��TOR 4yjOWNER LZVEgp,y� E'LC �JOB ADDRESS 459 E. e GENERAL CONTRACTOR " F �.11 -293-i �oT IN.,rECTIONS soi� �` GAS WATER ROUGN PLUMBING PROP. SWR. LINE rI HOUSE CON. I MISCELLANEOUS ROUGH NEATING AND AI IN SHEATHING �4P.i LqTHING — IN I I OUT I I PV°TER, BROWN COAT 5 �URAL, FINNL HEniING, VENT., REFRIG. ANO A, PLUM6ING, FINAL AND GAS TEST ELECTRIL, FINAL BUILOING, FINAL FINAL DATE 7_31-69 BUILDING PERMIT N0. SUBCONTRACTOR Z . 4- U F Z Z � ON am J7 J V1 Q W 0] J -m J a U N Z a w� d W W Z J � m Z J � W w � _ Z � W � �O � z Q U J a a Q 0 � � z 0 � U � � � y Z � �Q�86 COSTA MESA BUILDING-SAFETY DEPAI P.O. BOX 7200 COSTA MESA, CALIFORNIi For App/icant m Fill in Completely BUIIDING "L� � �TL± /�.��` ADDRESS jh7 lJ O�WNER F�II—(r/ Y[l• �/✓cSA� MAIL �� L �_7r/ /r,— CITY �S CAN5TRUCTION BRANCH AD�RESS ARCHITECT ADDRESS CONTFACTOR ADORESS CITV c��y� STATE 1.1Q NO. S�ZE / OF LOT (�� USE OF EX15TING BLDG. SIZE OF „ E%TERIOR wALL COVERING USE OF BUILDING 0 TEL. NO. (v TEL. � ae �s r. TEL. �/i t3A rvo.G�/6e CITY LIQ NO. NO. OF BLDGS. 3S NOW ON LOT NO.OF 3 ROOMS ROOF COVERI D WOfiK TO BE ED I hereby acknowledge that I have reatl this npplicetion antl state that [he above information is correct antl apree to comply with oll laws regulating builtling construction, antl I shall not employ ony pe�son in violafioP ot ffie workman's compansetion lews of the 5[ate ot Calitornia. I hereby certify that I am properly licensetl as a conttactor untler the State of Californie Business end Professions Cotle, Divisicn 3, Chapter 9, entl thet svch licenses are In tull torce entl effect, or I am exampt from the p/ovisions of the Sta[a of C' rnia Business antl Professions Cotle, ivision 3, Ch ter 9. Signature of i1 � �� Permittee �� AuNorizetl ABont M 31-69�Msp002716 �*****S.00 APPLICATION FOR BUILDING PERMIT RECEIVEDBY) DAT�RECEI,IY�D �oTF cciu A.P. NO. / I �/ ��•%. BUILDING y�- y � ADDRE55 � TRACT � � / APPROVED 7 NO.OF VSE OF NEWr'� + � PLANS� BUILDING YARDSAPPqOVED VAROSAPPROVED MAIN BUILDING ACCESSORV BUILDI DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS.BLD VAR.a1E ^ DATE C.U.P.� 1 1 APPFOVEO � m e S4. FT. o THE AMOUNTSHOWN UNOER VALUATION IS FOR � THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: m ¢ VALVATION � Y'L � ��1 N PERMIT FEE $ ] m S J�. PLAN CHECK 3 E , S o -_ LL TOTAL FEE 5