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Home My WebLink About376 20TH ST - Building PermitsCITY OF COSTA MESA - ' � , ' � � BUILpIN6 DIVISION : DEVELOPMENT SERVICES DEPARTMENT �- V ._ � '�� PERMIT PERMITNUM ER � 699-00357 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 376 E 20TH ST Suite: Vicinity: Parcel Nunmber: 42623116 npp�icant CARD, RICHARD Address: Owner: BECK, JEFFREY L Address 2233 HEATHER LN BUILDING PERMIT Zoning: Phone: Zip: Phone: NEWPORT BEACH, CA Zip: 92660 Contrector: CRANK BROTHERS ROOFING CO Address: 00126 COMMERCIAL WY COSTA MESA CA Zip: 92627 Arch : Address: Phone: 949-548-5569 License: 408677 Eng: Address: Phone: Status: ISSUED Applied: 03/i6/1999 Issued: 03/16/1999 Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF - T/O, NEW MIN. CLASS "C" 30 YR COMP. SHINGLE ROOF. 1 LAYER 30# FELT. 1/2" CDX SHTG. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $112.25 $0.58 $0.00 $0.00 $0.00 $112.83 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 $5,800.00 $5,800.00 EXPIRATION: This pertnit shall aulomatically 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: �n order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona end tinal epprovel must be obtained. Fallure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5828 WORKERS' COK7PENSATION DECLARATION: .. I here6y eXirm under penalty of perjury one of the following tleclaretions: . ❑ I have end will meintein e cartificete of cansent to salf-Insure for workers' compensation, as provided tor Cy sectlon 3700 oi the Le6ar Code, tor lhe pertormence of the work for which this pertnit is issued. ❑ I heve end will meintain warkers' compensation insurance, as required by seclion 3700 of the Labor Code, tor Ihe peAortnance of Ihe work tor which this pertnit Is Issued. My workers' compensation Insurence carrler end policy num6er are: Carriar: Policy Number: (Th/s sectton need nof be complefed il the permlt is valued et one hundretl tlollare ($100) or IessJ ❑ I certify thet in the pertormanca of ihe work for which ihis permit is issued, I shall not employ eny person in any menner ao es to become subject to Ihe workere' compensetlon lews oi Celitornia, and egree that ii I shoultl become subject ro the workers' compensetion provislons of Sectlon 3700 of Ihe Lebor Cotla, I shall torthwith comply wlth ihese provisioyns � �^ � Applicant Signeture: / L/� Date: �S % 7 "�9 WARNINQ: FAILURE TO SECURE WORKERS' fAMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED T/10USAND DOLLARE (5100,000), IN A�DITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOq IN SECTION 3/O60F THE LABOR COOE. IPREREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aRirm ihet I em Ilcensed undar provisions of Chapier 9(commencing with Section 7000) ot Division 3 oi Ihe Busineu and Prafessions Cade, entl my Iicense is in full farce and ettecL Lic. N �ilJ' fl li i% Class # G 3% Contrector'sSigneture: �� '� Date: `l 3 � 7� CONSTRUCTION LENDING AGENCV: ❑ I hereby effirtn �het ihere is a consiruction lending agency tor the pedormance oi Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Landefs Name: Lentler's Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn thet under penalry ot perjury ihet I em E%EMPT FHOM 7ME CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7037.5, Business end Professians Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any strudure, pnor to its Issuence, also requires the applicant for such parmit to fila e signetl statement t�et he or she is licensetl pursuant to ihe provisions of lhe Cantractore License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 of ihe Business and Professions Code) or Ihet he or she is asempt therefrom and Ihe basis for the elleged exemption. Any violetion of Sectlon 7031.5 by eny applicent for e permit subjecGs Ihe epplicant to e civll penelry ot not more than five hundrad dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as iheir sole wmpensation, WILL DO TME WORK, and the siructure Is not Intended or otfered tor sale (Sec. 7044, Business antl ProFessions Code: The Contractors License Lew does not apply to an owner of property who builds or improves Mereon, end who tloes such work himself or hereelf or through his or her own employees, provitlatl that such Improvemenis ere nol intended or oXered for sele. If, however, the bulitling or Improvemant Is soltl within ona yeer of completion, t�e owner-builtler will have ihe burden of proving Ihat he or she tlitl not builtl or improve for purpose oi sele.). ❑ I, as owner of ihe praperly, em EXCLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS to construct the projact (Sec. 7044, Business antl Professions Cade: The contractors License Law does nat epply to an owner ot property wha builds or improves ihereon, end who contrecis for such pro�ect with e contractor(s) license pursuant to ihe Contrectors License Laws.). ❑ I am axempt under sec. Business and Professions Code for Ihis reason: Signalure: Deta: Owner ID verifietl by tlriver's license. 0 Ves ❑ Na Drivefs License No. Veritication of Ownership by (rype oi document, I.e. - properry te�c blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereDy certlfy thet no excevatlon five (5) or more teet in tlepth into which a person is requiretl to descend, will be made in connectlon with work eutharized by t�is permlt, entl ihet no bullding strucwre, scaXolding, felsework, or demolition or tlismantling thereof, will be more then ihirry-aix (36) feet high. (Chap. 3.2, Grp 2, Atl 2, Sec. 341, Tltle B, CalNarnle Atlministrative Code). ❑ As owner-bullder, I wlll not employ enyone to do work which woultl require a permit from the Division of Indusinel Safery, es notetl ebove, unless such person hes e pertnit to do such work trom ihe division. Signeture: Date: Division oi Industnel Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRY: I cehity undar penalry af perjury thet I have reetl this applice�ion end stete thet ihe Informetion given is correct. I egree to comply with all stete laws end ciry ordinences relaling to building construction, and authorize representatives of the Ciry ot Costa Mesa to enter upon the above-described property for inspection purposas. I egree not to occupy or allow occupency of any building authonzed by this permit until finel Inspection. ��gne OI Legel O�v.ner(s) � Antl/Or Au� vp icant COOE I. INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rooi 201 Final BIocWRateining Well 202 Finel Feclory Fire Place 203 Final Sign 204 Finel Demoli�ion 2446i6 �� 1�� 3-� 3 -94 ��,� ipyEj INSVECTONTViE 206 Finel Mechenlcal 20B Final Plumbing 210 Final Eleciricel 212 Final Fire Prevention 220 Final Plflnning Appravel 222 Final Site 250 Finel Building/Occupancy �-/S �� Date f1-�i�I;�uim? � � � PHOJECTAOOflESS: 3-�6 E 20TH �'JT � OWNEP'SNAME: HECK JEFFREY L aooness: 500 �IGNAL RD NEWPORT BEACH,CA 92663 AflCNIENGINEEH: 6 S O— 3 3 3 S XEG.NO.: POOflE$S: uxiT: UNIT: PEpMinEE' AERO—THERM CONSTRUCTION ( 719 ) 696-3953 AOONESS: z$(� L I LAC LN COSTA MESA CA 92627 LICENSE� CONTPACTOP OECIAflATION: I hereDy allirm Ual I am Iicense0 under pmNsions o� C�apler 9(commencing wi�h Setlion 7qp� ol Orvis�on 3 ot IAe 9usin¢55 and Pmlessions CoOe, ana my license is in tull forte antl efleCi. cirx uc.: 9 g srnre uc.: 3 9 3 3 21 cuss: C 3 9 . Date: � _ Signa�ure: _�[.(/�y.��—�il/_%.� WOPNEflS' COMPENSATION OECLABA710N: I nereDy afiirm Inat I have a cenificate ol consent to self-insure or a cenificate ai workers' CampenSalion Inswance. or a cetlilietl copY ��ereo� �Seclion 3800, La�. C�. eoucvNo.: 1345101-93 E%P.�ATE: OZIOB/94 carnraxr: STATE FUND �] CeNhetl copy is �ere6y Wmi5Ae0. � Cetlilied copy is ��illed wiih Ihe ci�y Building Oivision./ / `� )��,�. �,// � Oa1e: _(� �/ ApPlicanC '��r'�+"� �l ["' E%EMPTION FNOM WOBNEBS'LOMPENSATION OECIAHRTION: Q�i55eciion neetl nol�ecompleteOi�IheOermitisforone hunare4�S100)orless). I tertify I�ai in Ihe petlOrmanCe ol ihe wOrk lor w�i[h IhiS permi� is issueq I Shall not employ any person in any manner so as �o beCome sub�ec� lo Ihe Workeri' ComOensaiion Laws ol Calilomia. Date: Sipnalure: NOTICE: II, aiter making Ihis �eclaralion, you 5�ou10 Uecome subjecl �o Me Workers' Compensation pmvisions ol Ihe Labor Code. you mu5i farlhwiih camply wi�� suc� pmvisions or ihi5 Dermii shall be tleemed revakeA. CONSTBUCTION LENUING AGENCY: I hereby affirm Ihal l�ere is a canSlmClion 1¢nding agenry lor �he pedormance Oi Ihe work for which I�is permil is issuetl (Seclion 3097. Civ. C). LENOEP: FDOflESS: OWNEfl BUILOEN OECLABRTION: I here0y allirm �hat I am exempi Iwm ihe Contractors' S�ate License Law lor the lollowing reason �Sedion 70.i1.5 Business antl Prolessional Coae: Any city o� county whic� rtpuires a De�mit to constmct, alrer, impmve, Aemolis�, or repair any Slmc�ure, piior �o ils issuance. also requires I�e aODlicant for such permit Io tiie a 5igneA sta�ement iha� Ae/she is �icen5e0 Ourwanna ihe pmvisions ol ihe CamracmrY Slaie license Law (Chapler 9(wmmencing w�t� Sec�ion 7000) ol Division 3 0l ��e Business antl Pmiessions Cotle) or Inai �e/she is eeempl ��ereimm antl ��e �asis �or tne allege0 exemption. Any Walation at Section 7031.5 by any aD�licanlfor a Oermil suUjetls ihe apDlicani to a civil penalry ol not more lhan live huntlretl tlWlars (85110�. I. as owner al ihe o�oeeny or my employees wi�� wages as iheir sole campen5alion, wi0 Uo Ihe work, antl the ❑ simcWre is nat imenCeO oi ouerea tor ule �Section 70aa. Business antl Prolessional Catle: The Coniractors S�ate License Law Ooes no� apply to an owne� ol a pmperly who �uilds or impmves l�ereon, antl who tloes such work AimSelB�ersell or I�mup� �is ot �ei own emDbyees. pwviEeG t�at such impwvemenis are not intentle0 ar olfere0 br sale. II. Mwever t�e builAing or im0�ovemen� is so10 wiihin one year ol complelion, t�e awnerwill �ave Ihe �ur0en of O�oving �e/she aid nat UuilA or impmve lor Ihe Ourpose ol sale�. I, as owner ol Ihe pmpeny. am exclusively mnlraclinp wilh licensed wntrac�ors Io constmcl ihe pmlec� �Sec�ion 70Ea. Business ❑ ana Pmtessrons COEe: i�e Comractors' State Lkense Law Oces rwt appN �a an mmer oi pmpeM � bml0.s or improves �hereon ana w�o conlracislor such pmlecls wii� a conlractor�s�license pursuanl to t�e ConVactors' Slate License Law),I am aware Uu� p�pol ol IAeir Worker'S COmDenSaiion insurance SMuld De proviUetl ta me. � I am exempt under $eclion: B. 8 P. C. for Inis reason: �ate'. 6n�ner. I ao here�y cenily thai i am aware ol antl unCerstanJ ine repuiremenis ol Califomia Healih anA Salety Cotle Sec�ions 25505. 25533. and 2557A antl Ihal I or any �Nwe EuilainB occupani will/will no� (circle one) need to compiY with said s�ate co0e5 and the requiremenis lor a permit foi consimclion oi motldication Imm Ihe Aii Oualily Managemeni OiSiricl. Fesiaen�ial consimc�ion applica�ions are exempi imm �nese pmvisions. Daie'. NppbcanP, 1 Ae�eEy cetlilythalihavereaa Ihis ap0licalion anA sta�el�at Ihe above inlormalionis correct.lagreeio comply wilh all city and counly OrtlmanCes antl 51aie laws relaiing Io butldmg cnns�ruclion dntl hereby aui�orize repre5entaiives ol I�is cily �a enler upon Ihe a6ove�meniione� property �ar inspeclion purposes. J/�/n.,_ J/5/��/ / y(�(/f/+�fAL C • Y ✓ ��NA,�..�, r Dale: I —lf�Y Signalure: �� river's License oi Social Securily M: t64bt6 Wnue—Buildmgl Green—Cotla Enlorcement; Canary—Applicanf, Pink—Revenue: Goltlenro0—Assessor CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06575 PERMIT NO: B 065759 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: ALT JOB DESCRIPTION ; T/O ROCK, REROOF W/CLASS "A" COMP SHINGL SQ FT: 1,970 CLAIM VALUE: 1,970.00 CALC—VALUE: 1,970.00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTORS REQUIRED PEIi 91 UHC, REROOF 100SF 2—UNIT APARTMEN *�r****ir***�***ir�+��r�r*****�t***+r**�r**�rx�x��t**�r+t�***r********+c��r�r*�*�r*�*x�****f�**+t+t*x�� ZON ING REQU IREMENT�MOKEDETECTOR S E T B A C K 5 ------------ MAIN BUILDING ---------- --------- ACCESSORY Bp1G1�b(�l(JIFl-E�---- FRNT: FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42623116 ZNE: REF NO: PLANNING NOTES> "% i �r*��r�r*�***�**x+r*�r�x**x�xxx��x�+r+r*+r�**+r+��r***�******r****+�+��**�x**�*****x��*�r*�� D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE: BUILDING APPROVED HY : DATE: "�' APPLICATION ISEUED BY: �PI— DATE:� I Cl itiElEifiEitit�fiElE%ikitl4iEil�lifffkiE1t3F3Fi�ifiF�� iFiEfEiE�FfElEihif�if F��F1EiF iE iE 1E 1f iE M 1E fk if 1E �Elf if iE fElf �F 1E if !t iE iE af ik iE �E if �t iF if 1k iF 1E if iE if M iE iF iE iE if if 1E if iE iF 1f ff if 1E if iE M fE if 1E iF iE if ik iE fE iE �E iF iF iE 9f if iE if iE iE if if iE if if LEGALIZATION;N F E E S U M M A R Y STRUCTORAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING PERMIT 95,00 ,50 SMIP/NON—RES PLAN � ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE TOTALS----> 95.50 0.00 0.00 45.50 45,50 ' .00 REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT: � ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN—CHECK 45.00 .50 �,. !E k 1E 1F if M if 1f iF if if if ik 1E iF iE if 1E ik 1! 1f fE iE fE iE fE iE k 1E if iE k iE ik 1ElE IE k if 1F 1E 1i 1f k 1E iF 1f k 1f if iE %iE iE %if iE iE iF %iE iE iF iE iF iF i! 1! if iE if �E i! 1E IF �f iE ff IE I N D I V I D U A L F E E B R E A K D O W N TYPE SFR QTY 1970 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES % UNIT COST TOTAL COST 1.00 .� 1,970.00 ! i` i 02 �G�.`:464'OOf5iS6` T CeY 45.5p CRiE: Gli19i?a TiME: C9:O;i r_�___ �:'_- _. v_-_- __ _- ___ ___- -___..__T_-�_ __-_ CONSTRUCTIOU AMD P�AURIiJG P��' 'PA ' I ' I APPROVALS Permii �`- Date Inspecior - , -- I Date ImPectnr 'i MPP�O\ ALS Pzrmn :' 1. Temnarary E�ecv�cal Ser�ica or Pole 52. Po�l m E4�`�Tert L�.cat �n �' _ �---T- � 2. Sod Pipe-Undrg�nd. 6 53. Stcel Reintorcement � --- - ---- - -- -- --- - �. - ' -� 3. Electnr.al Cond��it UtilltV•Undrgrnd. " 5h. F�rm; i ` �-. , -�._ - �-_ _ --_ _..�_. ;-_-... 4 cltctricel Condwi�l:r�drrrnd. � � 55 E�octrical Bord�ny , � i 5. Stae� Hz.nfo�ce�r,:^ 56 �t,.�di °I,-.h ^; F� P��<��rc T,� ---i ��" �---- -------i- ----------'- '- -- - ---�-�-t-- - -- i � F�-�t ,:i°�A�•..� F' nn✓onyP'� '^ C„"E,_ ,;. .... � �- -___-_-__. - --{- -j-._ _' -___._ __.__ - _ _ _ +___-- � _"' I 7 Fnot��gs I � 5i,. � �, .... ^o�c�� . d� ..�, � ti. F��-u�hon `_--�.__ ___' 59. G:._('.c=. . U��r�r..J_T.s -�_ .__ _-�_--1��___ __, 9. :".ater P�pe�Undrgrnci. � . 60. R�ckvr✓sfi L:i-.as. P TraP.. '; �.�.u��.�.,,.. ; I __ _ _ -�-_ -. __ _ _ __ __ __-_ _ - .�_ . 70. Structural Floor System � 67. AFPROVA� l'O CECK I � i --�------ - �i i. Pr�Pr'tY Sewe� Line P: Hnuse Gnncction �' - 62. �.c'c;:asl� iS� �ecevio� Fi,_' �-� �� _�-; ` � � � I � 12. Se.�er CaP � -____ _� _-_. __-___ __-__. ___I-_-_ _ ____ _-- �_ -- -- - 63 �rt�i 8 4'e� bF,:--- - -- � 13. Rcot ,7id ns ' �' , -.~_- , . umb ^^ S; stem F�al i ;---------�-----�-- -- -- - --rt- -i--- iv Fo,.a-� P.., .� �o -__-._ .__.�._ _ ��S_�__t��___? - . _ _ _ . m � i �15 Fc�;yl� E.cct�:Lai-Con��! � I fiu". Sa!,.r Sy:�::r:-F�r, �, ' _ .. - ,_�___J__ --_ - � - -_ __ -_ -� _ _ _ _ _�._ _ _ _ _ 16. Rou9h Eiec[nt �1v�ng - -� 67. Frnc.ng & Accesy r+pp�ov �I _ _ � 17. Rough\�V�nngS�gn 68 P.PPFOVEDPOPNlAS�ERWC; � � � -1-8 RoughEleciricaFTBarCeilmq 69. P;;OVSP.OS�ST�".1SFINAI ' ' � I 79. Rcc.�h Hrat�n� € Air Candrt,c�.ng -I'-� � F;RE CE�" RE�UIR'".-,C.- -�------ � - � . � 2C. ."��,a``. F�c y F;ren'acc-____ _� -_ __ _ .i AP?RC'd2: ° -�_��,i�.! - _. -.. _ _ ___ f- __-___ T ��__- __- _ __ - ___- __ _ -_.-`-__-..r__ _ � 2'. p_,_ _, ., Strri:..re 7C. 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' II ��--- -` -- - - ' - -- - - .... � ��:��':a,,:ng � � I �IEF'.LT`r:JFP'i..._QWFlC:.,rA- 37 �',esi��B�o�.vnCoai ---------- -� -- I---- %'�. ...�i I:J��ii,�iG'. - - - - - - - - �---- - ----"---- -- - --� ---- i --' - ------ ---- . - . .' - -- .. � 3� r-iei!ncal PoN'er '1�e:er�F�, .,, I � i 1 30. FC10L` Ct �_ ,,C. � i- � n � I �- - - - --- - --'--- --- - - - -+ - - -+ - -- - � - - - � -- - -- - - - - - - . . . - � - - - ��, L r.' E�P��dl" � � Not:r. �____'_' _-___ -'-_ -' _ _ __-_-__ __-_ _' __ _. _ -' _ _ '_ _ . � 74 = -,>i �'c._i.r:� 8: vrr Co^_' t c�, . �- -- -� � . F----- -------__'`---- I - -- ----- - - - . ._ _ . � 35. ' t"3 .P. 7,,ct _ •' __-_..}._._._ ___.� ___.. _.._ � � I �--- - - - �-- ---- -- - - � � � - - - - �u. i'_o7 0- :.,...p; I. , �7. ` B! f-�r.;C:\' FrcG,�-e '- __. _ _'" i __- __�- _ . ..: ' _ ' _ _ -_- ' - _' _ I '--- ----- - - - -- �- � -� -- -+' -. - - - -- s�. l�.ilei�Seiviee�Finaf �� : �. - .. nb„p I i,.- ----- - -� ----�---- - �--- - -- ---- - - - -- � - -- -. . �10. G,:[ Se'l'�[p.Fif'c"� -- -'�_ '-�.--- � -'- - - ------- - � ' - --- - - --- -'-----' � �-' - -- � --- ---- - �� - - -- -- - - ---- --- - �I �, � I - - --- i _1�:_� �'a� Uo:�. e Yc��rz_----- ---� - -�-- - ----- -------- -- - - - - --- -- - , i '', �'.Cd�IC.� �rJc9'1�f I_ -�- . 1 '_ - ""____ -� `�� _'�_-__" _" �__ _ - _ -__"_ _-_ '" - __-_.- - __ •.J �''.G:.f�O:: IirfdLG� _ . -._ __.__.._'_".-__ __�"--_. _'_ __ l_.�__ _ I' -____ _ �r��. � i:O,caPe 1�: iQ>[�o . ;G`� .:.:,r I i _ _ _'-_ _ - ' . _ __ ' _-_' __ __ __ I __" _ _ _' _ _ __ "_ . ' _' . __ _ _ _ __'t ' _ ' "_ " . " ' ' _ _ _ _ "_ " . ^.°. bund Atte^.uatiQr ��, _ � - I Iy � --- --- -'-�-r" - -- --- ' •i6 F'a^dicap qegu�ations ' ' ; 17. : IAP.LSTRUCiUR� "w.RU�LDI'� ; 2 ' ��-: =-- - � �:8 ; ;��AL PLANiVIi��G ;' ' '..'_ -- -- �'--'-'-r-- -- �i5. £:�c;��c Rcicase to Ec��u� � , � s iGC. Gas Release to Southfr+Cal�iorn�a Gas Co 51. C.PTiFICATE OF �UPG. :�' r�• �o -- '�- -- - � . -_� _":, - -- --- - --- -- -- � - 9-�l Y ��ai� fi-S`..'`-'-��-�--��-�1�='�`� -- - - - � --I--- --- ApPllcant lo fill in all sPac CITY OF COSTA MESA P MIT NO. CONSTRUCTIONPERMIT � ^'JC�� Pro ect Addres5 � / I . %!i� .�. �i%��-`�" S. Owner�F� �� Phone 0 Addrea . ��(� � �O C�' ��— ArchlEng. License No. Address �� ..__'___" _ . _ .. _ . _ / A.(L_' wilnin heavy DorEer Ilnas anC Address .�17�' �'--+ '(>fisjyt n.�ti � �FiC LICENSED CONTRACTOR �ECLARATION I hereDy attirm that I am ncensea unaa. Orovlsions of C�arter 9(tom- menUng wltn secUon ]000) ot Divlilon 3 of tbe Business anE Aofessions Code, awtl%j my Ilcense Iz In full force ntl e e. Licenze Class �J � Licen No ��l Date� ' 7�k� Si��-� ��"-� WORKERS'COMPENSATION DECLARATION - � � I hereby atfirm that I have a certillcate o enf to selidnsure or a <ertiflcate of Warkers111' aaaComp1en5ation Insurant , or Ia ,c/eJ/} ifletl copy thelcY No c�z'/_�//romPanY/ . /I/� , v� Cert tletl COpy is hereby tumiSnetl. �� ertl(ietl <opy is filetl with tha <Ity Bulltling Division. EXEMPTION FROM WORKERS' COMPENSATION DECIARATION �(Thls section Oeatl nOt be cOmplelatl il tha pe�mit i5 for one huntlr¢tl (E3001 or less). • 1 tert(fy tM1a[ in tne pertormanu oi tha work tor whicb thli permit is issuetl, 1 shall noLemploy any perion In any manner so as to become subjec[ to the Workers' Compensatlon l.aws of Czlitornia. - Date Signatura NOTICE: �( aftar mdking Ihis tletla�a�lon, you Should b¢cOmO SubjeCt to th¢ WO/kers' COmpensation provl51on5 ot lhe LdbOr COtle, yoU must forlhwith comply with suGh provislons or this permit Shall be tleem¢tl �revOkGa. - - � CONSTRUCTION LENDING AGENCV I nereby ailirm that there Iz a constructlon lentling agency tor tha per- tormdnte o1 th¢ work lar which tN5 p¢rmil IS i55uetl (SeCtion 309� Civ. C.). Lentler's Name Lentler'S Atltlrezt me muowm9 reasan �xawn ivai.a eusmess ana rro�asvons cooc: Any clly or munty whith reqWroi a pCrmil to conSVucl, alter, Improv0, tlemollsh o� repai� any SVucWre, prior to its issuanco, alio ra- quires ino aOPliwnl tor Such p¢rrtilt_to flle a signetl itatement lhat he is IlcenSetl pursuanl to the provislons ot the Contractor'S License Law (Chapter 9(comm¢n<ing with Section ]000) ol Dlvision 3 0l the Bu5Ine55 antl Prdessions Cotle) ot lhat ho ii ex¢mpt thpr0lrOm antl [ne `�als for ibo allogetl exemption. Any violatlon of Sectlon 7031.5 by appllwnl lor a permil subjecB the applifznt ro a Civll penalty iot more t�an Ilve huntlretl Eollars (E500). u I, as ownv ot the prop¢rty, or my BmpIOyG¢s with wages az lheir sol¢ Compensation, will tlo Ihe work, antl iha slructure is nOt Intentletl or oHeretl ror sale. (Sec[ion 7044, Buslneis antl Aotezslons Cotlo: Tne ContraGtOr's LI<Cnse Law tloes not apply to dn owne� of a propmty who bulltls or ImOroves thereon, dntl wh0 tl0¢s such work hlmSelf or �throuqh his own employees, O�ovitletl tM1al suc� Improvamnnts aro not Intentletl or olf¢retl tor sal¢. I1, howevar, Ihe builtlin9 Or Improvement is soltl wi1Mn ona year ol completlon, lha owner will have [he burtlon of proving ha tlitl not builtl or Improve tor tne purpose of zale). ❑ 1, as owner ot t�e property,'am oxclusivery contractinq wi[h Iicensetl conlraclors to cons[ruct the project (SeCtiOn 7044, BuSiness antl ProfezsiOnz COG¢: Th¢ GonlractorY Litenze Law tloe5 nol appry to an owner ol property who builtlz or improves thereon, antl who cOn- VactS from Such OrOfects"with a con[facior(5) IICeSn�tl pursUdn[ to tbe Contractor's Licenze Law). ❑ I' am exempl untler Section B. $ P. C. tor lhis re5son " Oate� Owner .I h¢rCby certily thal I have reatl [his appliCation anU statG that the dbove intormation ' �ecL I agree lo compty w1lh all tlty dnG munty ortlinanc¢s tl sta I wz relatinq lo ConSt�uction, antl hereby autho i12 reoresent Ives o( t ty to enter upon tne aoove ment' ned prop¢rty for i�s c u�po � n n � � /' _$i9na[ur¢ �' � '-'�-�!v Date `�'� �,...e... � ...,.,.e ... « ., _. all approoriale tlecla�ation LOT NO. BLDG. NO. TVPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCftIPTION OF WORK TVPE OF PERMIT . ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL ❑ TENANT ❑ ELEGTRICAL OPLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION . SQ. FT. OCCVPANCV_CONSTRUCTION TVPE VALUATION ZONE GRA�ING CU. VOS. ACRES PLUMBING TOILETS LAVATORIES KIT.SINKS � � SERVICE SINKS FLOOR SINKS DRINKING FOUNTHINS INTERCEPTORS SWIMMING POOL GASSERVICE WATER HEATERS SEWERCONNECTIONS SOLARTHNK PLAN CHECK SHOWERS VRINALS FLOOR DRAINS CLARIFIERS PTRAP ' ALTERATION BTU OVTPUT ISSVEFEE ' MECHANICAL P�AN CHECK HEATING SYSTEM 0-300,000 BTV _ AND DUCTING � 100,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+BTU_ BOILERS BT,V SVSTEM REPAIR, ALTERATION EXHAVSTSVSTEM MULTIPLE ISSVE FEE CMF 0865-46 White-Builtlin9; Canary-ApPliwnq Pink-Acwuntinq; Goltlenrotl-Assessor 0102 6/D9/83 5.OIJ TL A.P. q ZONE REAR VARD (TO P/L� PKG.SPACE REQ. STREET WIDTH ZONING APPROVED BV $PECIAL GONDITIONS: ELECTRICAL PLNTGp. 0.gUEF. pyp PROPE��TYNLINE PROVIDED PARK FEE E DATE PLAN CHECK TRANSFORMER �-� KW_ 1-30 KW _ APPLIANCE 10-50 KW_50 t KW _ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) ]0-50 HP 50 t HP _ FI%TURES OUTLETS� SWITCHES GAS TUBE SIGNS POLE IIGHTS PANELS MAIN ' SUB SERVICE F ISSUE FEE BV SUMMARV BVILDING PERMIT S PLAN CHECK S PLUMBING § � � O U � PLAN CHECK S, ELECTRICAL S PLAN CHECK E - MECHANICAL S- PLAN CHECK E i �AT �EES , _ � / SMIP E PERMIT ISSUANCE �E . GRADING E E MICROFIWI E TOTAL FEE 5 LE55 AD- VANCEPC S `� ./ FINAL FEE § v • CONSTRUCTION ANO PLANNING � POOL & SPA , � APPROVALS Permit # " Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - . il ipe-Undrgrn 44. Steel Reinforcement 3. Electrica� Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bondin . tee ein o�ce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER•GUNITE - 7. Footings �49. Electrical Conduit-Undr rn 8. Foundation ' ' 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 57. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVALTO DECK - ' 11. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final 12. . Street $ewer Connection 54. Heater & Vent-Final � 13. Rough Plumbing � - � 14. Rough Electric-Conduit �56. Electrical-Final ' 15. Rough Electric-Wiring ' � - 57. Solar System-Final � " � 16. Rou h Heating & Air Conditioning -- � encing & Access Approval - 17. - Ducts in Structure - ' APPROVED FOR PLASTERING - - 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test -� � 60. POOL/SPA SYSTEMS FINAL 20. Roof. Framing � � � 21. Roof Sheathin . - . 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding ' 25. Drywall Nailing � �� 26. Plasier Brown Coat 27. Electrical Power MeterFinal � � 26. Final Electric - 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe-Test ' 31. Final Plumbing S �( L�J 32. Water Service-Final , 33. Gas Service•Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem � 36. Sound Attenuation � 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed 40. Electric Release to Edison � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date