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Home My WebLink About429 20TH ST - Building PermitsDecember 8. 2006 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENT SERVICES DEPARTMENT OFFICIAL PUBLIC NOTICE OF ZONING APPROVAL RE: ZONING APPROVAL (BO6-01970) 429 20�h STREET, COSTA MESA The Planning Division has completed its review of the above-referenced project. Based on the following project description, the project has been approved. PROJECT DESCR/PTION: The property owner proposes to add 612 sq ft. (30 sq. ft. to the first floor; 582 sq. ft. to the second floor) to an existing 2,580 sq. ft. two-story single-family residence. A minor design review is not required because the addition complies with the City's Residential Design Guidelines. Privacy of the adjacent neighbors will not be impacted because of the proposed second-story setbacks and window placement. The zoning approval will become final at 5 p.m. on December 15, 2006, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) or by a member of the Planning Commission or City Council. If you have any questions regarding this notice, please feel free to contact the project planner, Rebecca Robbins, at (714) 754-5609, between 1 p.m. and 5 p.m., Monday through Friday. Distribution: File Peter A& Kirin E Barnett 429 E 20th St Costa Mesa Ca 92627 Jason C Towers 425 E 20th St Costa Mesa, CA 92627 Melanie Pualani Hao 421 E 20th St Costa Mesa, CA 92627 Christopher W ingails 421 E 20th St Unit D Costa Mesa, CA 92627 John W Mccray 431 E 20th St Costa Mesa Ca 92627 8uilding Div¢ion (7t4) 75a-5273 • Code Enforcemem (774) 754-5623 • Planning Division (714) 754-5245 FN( (714) 7544856 • TDD Q14) 754-5244 • www.ci.costa-mesa.w.us Job Address: 4Z9 E Z0�1 FI S I Suite: Vicinily: 2ND STORY PrimaryOcc: R3/U1 Parcel Numbec Applicant BARNETT, PETER Address: 429 E 20TH ST COSTA MESA, CA �L� D Applied� 1SS 2E 006 �� Issued: 12/15/2006 Type of Construction: V-I�ER . Zoning: EXPIRES o � Owner. BARNETT, PETER'A AND KIRIN E Address 429 E 20TH ST �- COSTA MESA, CA Contrector: � ' � „ � Address: � . Zip: �.� Arch : AUJAGHIAN AWADALLA CONSULTING ENGINEERS, INC Address: Zip: Phone: License: Phone: 949-650-7752 �ry ' �� f� ZiP: 92627 . . ��yx� �. 1 LJJ DA'� � Phone: 949-650-7752 Zip: 92827 �� . /�-1�) J Phone: � ��J License: Eng: Adtlress: 2711 E COAST HWY STE 203 � CORONA DEL MAR, CA 92625 Phone: 949-675-4103 License: C038570 SCOPE OF PERMIT CONSTRUCT 582 SF SECOND FLOOR ADDITION TO (E) TWO-STORY S.F.D. AND CONSTRUCT 30 SF FIRST FLOOR ADDITION TO (E) GARAGE. WORK ALSO INCLUDES: CONVERT 2 EXISTING BDRMS TO A FAMILY ROOM AND RELOCATE THE 2 BEDROOMS TO THE AD�ED AREA ; REFRAME ROOF/CEILING AND , -, , - � - ADD 4 NEW WINDOWS IN ALTERED AREA. ' - ` � ' EXISTING 4 BEDROOM, 3 BATH S.F.D. WILL REMAIN THE SAME. - FEE SUMMARY. Plan Check: $755.14 Permit: $1,161.75 SMiP Res: $13.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 �' �� Calc Valuation: 5iso,000.00 Claim Valuation: s�ao,000.00 Total: $1,929.89 � PLANNING & ZONING SETBACKS MAIN STRUCTURE � Front 0- 0 , , Rear 0- 0. � Left 0- 0 - Right 0- 0 ACCESSORY PARKING Fronl �� 0- 0 Existina: 0 f2ear 0- 0 Reauired: ' 0 Left 0- 0 Right 0- 0 Pr000sed: 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, 1241-92) � 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 Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 7545626 2046-4fi(N00) WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalty ot parjury one of the following declarations: ' ❑ I heve end will maintain e certificate ot wnSent to self-Insure for workers' compensation, as provitled for hy saction 3700 ot ihe Labor CoOe, for the pertormance of �he work for which this permil is issuetl. � I have and will maintain woAcers' compenulion insurence, es reQuired by seclion 3700 of ihe Lebor Code, for �he pertortnance ot the work for which this pertnit is issuetl. My workers' compensation Insurence carnd� entl policy numbar ere: Carner: Policy Number: (Thi�ecfion need not 6e campletetl il the permit is valuetl et one hundred dollers ($100) ar /essJ � I certity [hat in ihe pedormance of tha work tor which this permit is issuad, I shall not employ any person in eny manner so as to become subject to Ihe workers' compensation laws of Califomla e r at if I should become subjact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with �hese O�a`��sio�ns ( /�� Applicant Sig~ neture� ; / \ Date: ' •� � ( �� C..� r WARNING: FAIWPE TO SEWRE WORKERS' COMPENSATIIXJ COVERAGE IS UNIAWFUL ANO SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED hKK15AN0 DOILARE (5100,000). IN NODRION TO THE �T OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SECiION 31O60f THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTOAS �ECLARATON: . I hereby attirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 oi Ihe Business and Professions Code, antl my license is in full force and ettecL Lic. p Class a Contractors Signature: Date: CONSTRUCTON LENDING"AGENCV: - � � ❑ I hereby aHirtn ihat ihere is a cbnstruction lentlinq agancy for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler'S Address: Signature: �� Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn thet under penalty ot perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Professions Code: Any ciry or county w�ich requires a permit to constmct, alter, improve, tlemolish, or repair eny stmcWre, prior to its issuance, also requires the applicant for such permit to file a signed statement Ihat he or she is licensed pursuant Io Ihe provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code) or thet he or she is exempt therefrom and Ihe basis for the alleged ezemption. Any violation of Section 7037.5 by any applicant br a pertnit subjecis ihe applicant to a civil penalty of not mora than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Comractors License Law does not apply to an owner of property who builds or improves ihereon, antl who does such work himself or herseN or through his or her own employees, providetl that such improvements are not intended or oNered for sale. If, however, ihe building or improvement is j� /sold within one year of completioq the owner�builder will heve the burdan of proving that he or she did not buiid or improve for purpose of sale.). �, as owner of �he pmpetly, am E%CLUSIVE�� CONTRACTING WITM LICENSED CONTRACTORS to cons�mct the projeci (Sec. 7044, Business and Professions Code: The coniractors License Lew tloes no� apply to an owner af pmparty who builds or Impmves Ihereon, and who coniracts for such prolect with a contracror(s) license pursuant to ihe C�tra� License Laws.). under by dnver's license. .rJ Ve8 ❑ No and Professions Code for ihis reason: Varification ot Ownership by (type of tlocument, i.e. - property tan bill or daed): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihet no excavetion five (5) or more feet in depth into which a person is requiretl to descend, will be made in connection with work authorized by this permit, and that no huilding strucWre, scattoltling, talsework, or demolition or tlismantling thereot, will be more ihan thirty-six (36) feel high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ti�le B, California Adminis�retive Code)� ❑ As owner-builtler, I will not employ anyone to do work whlch would require e permit imm tha Division of Intlusirial Safety, as notad above, unlass such person hes e permit to do such work irom the division. Signature: Date: Division ot Industrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUiHOR17A710N OF ENTRY: I cenity under penalry of perjury ihat I have read this application and state ihat the infortnation given is correct I agrae lo com ith al�te laws end ciry ordinances relating to building consiruction, and authorize representatives ot ihe Ciry ot Costa Mesa �o enter upon Ihe above-described pr or sp e(on purposes. I agree not to occupy or allow occupancy of any building au�horized by ihis permit until final ins ection. �'Z-1 �- C� � � ignaiur Legal Pwner(5) t Date ,� —�_�_—_—, AntliOr Aut�orized Applicant Date CQOE �. INSPECTIONTYPE 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition PPIE INTRIALS CODE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ORTE IAL ... . , .. _ NEWPORT-MESA UNIFIED SCHOOL DISTRICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND A8 181 To: ( City of Costa Mesa ( ) Ciry of Newport Beach ( ) Counly of Orange Applicaht: �� Address Telephone Number: TracUParcel and Lot Number(sj: Location of Projed: Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaVlndustrial Project is: (Check One) _ Warehouse _ R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial _ This projed is exempt because / ' I l� .�8 � x 51.84 x S .30 _ Motel _ Bank , Neighborhood Shops _ RacqueVHealtli _ Hotel Medical Office Oifice Perk �° 6348 Oistrict Receipt No. Plan Check Nol�• Ol97L� Total / � �� • �CI Total O' ��,� � � 20�� Preschool ��E ��s� _ Auto Repair ' ` Hospital _ l.arge 01fice , Otfice Bldg. _ Restaurant _ Fest Food This certifies Mat the above-named DevelopedAppGcant has paid school fadtity fees in comptlance wiTh Govemment Code sections 53080 and 65995. The Building Pemils for this square footage in this proposed development may now be issued by your jurisdicBon. Checks are to be made payable to Newport-Mesa Unified School Disfid. AWarfiad The abave represeMtation as to square footage is We. Apptiwnt agrees that i(it is later detertrin�d�U�St such representations are not true, then this ce�tificate shail automatically terminate and ihe appropriate City/Couny shall be nodfled. Date: ��/lNJ � Job Address' Suile No v��ty: Parcel Nunmber: Applicant Address: Owner. Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I $pa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1 hp Motors to 10hp �� Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkq Sign Circuits Temp Pwr Pole Intermed Pole 429 E 20TH ST ��%�1 D Status: ISSUED Applied: 12/07/2006 PER Issued: 12/152006 42631250 EXPIRES � �a �'� BARNETT,PETER A AND KIRIN E 429 E 20TH ST COSTA MESA, CA Phone: Zip BARNETT,PETER A AND KIRIN E 429 E 20TH ST � � COSTA MESA, CA EXPIR BY `�� 92627 DATE Phone: - Zip: 926L2� � Phone: Zip: License: � � J SCOPE OF PERMIT CONSTRUCT 582 SF SECOND FLOOR ADDITION TO (E) PNO-STORY S.F.D. AND CONSTRUCT 30 SF FIRST FLOOR ADDITION TO (E) GARAGE. REF.: BO6-01970 WORK TO INCLUDE: 14 UGHT FIXTS�, 23 OUTLETS, 9 SWITCHES.- 523.50 50.00 50.00 50.00 50.00 S0.00 $15.40 $2a.19 $9.90 50.00 ' $0.00 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 30.00 50.00 50.00 Quantity 0 0 0 14 23 9 0 0 0' 0 0 0 � 0 0 0 0 � 0 0 0 0 0 0 FEESUMMARY Temp Dist Syslem / Lighting Busway /100 R _ Slanding Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................uP �0 50 kva/kw .................uP to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conducior Circus ( gen or ritle) Circus (mech ride or lighls) Christmas Tree Stand Fireworks Stand Other Electrical Fee Imestigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 50.00 so.00 50.00 TOTAL CALCULATED FEES 572.99 COMMENTS I SPECIAL CONDITIONS NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 1 BO days, or if work is suspended or abantloned 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 Inspectlons and tlnal approval must be oblained. Failure to obtain inspections antl final approval will result in the expira�ion of this permi�. FOH INSPECTIONS CqLL: (714) 7545626 2a4&68 (fi/00) WORKERS'COMPENSATION DECLARAnON: I �ereby attirm under penalry o� perjury one ol the following tleclarations: ❑ I heve entl will maintain a cenificate of consent to self-Insure br workars' compensetion, as provitlatl for hy section 3700 af Ihe Labor Code, for the pertortnance of the work for wnich tnis permit is issuea. ❑ I have end will maintain workers' compensatlon insurence. es required 6y section 3�00 of the Labor Code, for the performance of the work tor which this permit is issued. My workers' compensatlon Insurance carner and policy number ere: Cerrier. notbe one orless.) Policy Number: � I certity thel in the pedo�manca W the work lor which this permit is issued, I shall not employ any person in any manner so as to Decome sublect to ihe workers' compensetlon laws ot Califwry'g, antl �ay eee that it t shoultl bacome sub�ect to She woMere' canpensation provisbns ot Secilon 3700 of the Labor Cotle, I shall forihwilh comply with the5e provi5�o`�/ /( - � �, , � n /p Applicent!S�"� Ignetuie: 7%—��"�--'�—� Date: ' L' � �"'1..7�_ WARNING: FAINRE�TO SECURE'/'/ORKE0.5' COMPENSATION COVEMGE�IS UNLAWFUL ANO SHALL SUBIECt AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDqED THOUSAND DOILARE �5100,000). IN ADDITIIXJ TO THE COST OF COMPENSATION,� DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CADE, INiEPEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: . I hereby eflirm that I am licensed under provisions ol Chaptar 9(commencing with Section 7000) of Division 3 of the Business antl Pmfessions Code, antl my licanse is in full force entl eNeci. Lic. k Class ♦ Contrectofs Slgnemre: CONSTRUCTION LENOING AGENCY: Date: ❑ 1 hereby eflirtn that there is a construction lending egency lor.tha peAormance of ihe work br which t�is permit is issuetl. (Sec. 3097, Cihl Cotle�. Lenders Neme: Lender'S Address: Signeture: Date: OWNER-BUILDER DECLARA7�ONS: I hereby aNirtn Ihat under pendlty af perjury that I am E%EMPT FROM TME CONTRACTORS LICENSE LAW tor the follawing reason (Sec. 7031.5, Busineu end Professions Cotle: Any ciry or wunry whicP requires a Oermit to construct, aller, improve, demolish, or repair any stmcture, prior to its issuance, elso requires the eppliwm for such permit to Iile a s�gnetl stetemem that he or she is licensetl pureuant m Ihe proNsions ol �he CoNractors License Law (Chap�er 9(commencing wilh Section 7000) ot Division 3 oi the Business end Prolessions Code) or �hat he or sha is enempt therefmm and the �esi5 for Ihe allegetl ezemption. Any violation of Section 7031.5 by any appliwnt for a pertni� subjects Ihe epplicant ta e civll penalty of no� more than fiva hundred tlollars (5500).): ❑ I, as owner of the pwpedy, or my employees with weges as Iheir sole compensation, WILL DO 7HE WORK, ana Ne siructure is noI in�endetl or offered for sale (Sec. 7044, Business end Pm(essions Coda: The Conirectors Litense Ww does not apply to an owner ot properry who builtls or impmves ihereon, antl who dces such work himself or herself or ihrough his or her own employees, provided iha� such improvements are not imentled or oflered lor sale. If, however, the building or improvemam is 1 /soltl wit�in ona year of completion, the owner-builder will have the burtlen of pwving that he or she did not build or improve br purpose of sale.). I]I� I, as owner ol tha propeAy, am E%CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions V Code: The coniraclors Licensa Lew tloes not appy io en ownar ot pmpeny who builtls or impmves ihereon, antl who coniracts for such project with a contractor(s) license pursuanl to the Gontractors Licensa Lews.). ❑ I am ezempl u s Businass and Prolessions Cotla for lhis reason: �ignaturei" � Date: '� � �Owner ID vontietl by Onver's license. ❑ Ves ❑ No DnvorS Litense No. Expires: Vedtiwtlon of Ownership by (rype of tlocumant, i.e. � pmperry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no e%�avation five (5) or more feet in dapth into which a person is required to descentl, will be matle in connection with work authonzed by Ihis pertnit, and that no building strucWre, scattolding, falsework, or tlemoliiion or dismantling thereof, will be more than thirty-siz (36) feet high. (Chap. 32. Gry 2, An 2, Sec. 341, Title B, Calitomia Adminislretive Code). ❑ As owner-builtler, I will �ot employ enyone to tlo work which would require a Oertnil irom the Division ol Intlustrial Safery, as noted abova, unless such person has a permil to tlo such work Vom lhe tlivision. Signawre: Date: Divislon of Intlustnal Salery Pe�mit Number. CERTIFlCATE OF COMPIJANCE /WD AUfHORIZATION OF ENfRV: I cenity under penalty ol perjury ihat I have reatl this applica�ion and state �hat ihe inlortnation given is correct I agree �o mply w' I steta laws end ciry ortlinances relating to �uiltling construction, antl euthonze representatives of the City of Costa Mesa to enter upon the ebove-tlescn6e petl r� sp� n pu s. I agree not to occupy or allow occu0ancy of eny building authonzed by �his permit until final inspection. —. �'Z-/ �–U �o (�ignature Ol��qs)� Da pnd/Or Aut�orizeA ApDlicant - Data GOOE I. INSPECTIONTYPE 1616 Fi:eO Sys�em Final Fi�e Prevention 1266 Pool Spe Final 200 Final Ra-Rool 201 Final 81ocWRetalning Wall 202 Final Fectory Fira Place 203 Final Sign 204 Finel Domolition Q�jj Uj]�$ �Qfj�I INSPECTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Finel Building�Occupancy Qdjf, INLITIALS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT ,lob Adaress: 429 E 20TH ST Sui�e No Vi�inity: Paicel Number: 42631250 Applicant: BARNETT,PETER A AND KIRIN E Address: 429 E 20TH ST COSTA MESA, CA Phone: Zip: Owner: BARNETT,PETER A AND KIRIN E Address: 429 E 20TH ST - Contractor: Address:- COSTA MESA, CA EXTElo�SION 1�11JL� ♦1 ■ �•� PER.�� EXPIRES � o ° �BY: Status: ISSUED Apptied: 12l072006 Issued: 12/15/2006 F�� 92627 EXP IRED DATE1i�rqlo ��` Phone: �r� Zip: 92627 ' Phone: Zip: License: SCOPE OF PERMIT CONSTRUCT 582 SF SECOND FLOOR ADDITION TO (E) TWO-STORY S.F.D. AND CONSTRUCT 30 SF FIRST FLOOR ADDITION TO (E) GARAGE. WORK ALSO INCLUDES: CONVERT 2 EXISTING BDRMS TO A FAMILY ROOM AND RELOCATE THE 2 BEDROOMS TO THE ADDED AREA ; REFRAME ROOF/CEILIN6 AND ADD 4 NEW WINDOWS IN ALTERED AREA. REF.: B06-01970 TO INCLUDE: ALT TO EXISTING DUCT WORK. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/All Cooling/Heat Inst / Rep. ReGess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Box ,, Vent Fan / Single Dud Appliance Fire Dampers � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 70000cfm Floor Furnace Floor or Suspend Heatei 523.50 50.00 $0.00 S13.70 $0.00 50.00 50.00 50.00 50.00 50.00 �� 50.00 50.00 50.00 $0.00 , 50.00 50.00 50.00 50.00 . 50.00 50.00 Quantity 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorblion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler C ommercia l I n ci ne rato r Domestic Incinerator Comoressors / Absorption Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTALCALCULATEDFEES COMMENTS I SPECIAL CONDITIONS Quantiry 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 50.00 30.00 E37.20 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Qrd. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspendetl or abandoned for a period of 1 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 reqWred Inepecttona and final epproval must be obtained. FaiNre to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPEC710NS CALL: (714) 7545626 2ae�ae (eroal WORKEAS'COMPENSAnON DECLARATON: I hereby aHirm under penalry ol perjury one ot iha tollowing declarations: ❑ I �ave entl will main�ain a cenificate of wnsent to self-Insure lor workers' crompensation, as provided for by section 3700 0l the LaOar Code, lor the pertortnance oi the work for w�ic� this permit is issuetl. ❑ I �ave enC will maintain workeis' com7e�sation insurence, as required Dy section 3700 of the Labor Code, for the pertortnanca of the work for which ihis permit is issued. My workers' compensation InSurance ceMer end pdky number ere: Cerriar: Polity Number: f7liis section need wt be completed i1 t6e pemuf is ve/ued et one hundratl dW/ars (S I00) or /essJ �I certity that in the pertorma�e oi the work tor which this pertnit is issueQ I shall not employ any person in eny mannar so as to become subject to No workero' compansation laws ot Califam�a, end agree Ihef il I ShoulE becoma sub�ect to the workers' campensation provislons at Satlion 3700 0l the Lebor Coae, I 5hall lort�with comply vnt� Ihese provisi J� 1�'ApLp4.�caM Sig`--�n : �rs u at - � . � Deta: ! �" � � V� ARNINW O:FAILURETOSEWREWORKERS'COMPENSATqJGUVEMGEISUNIAWFULANDSHALLSUBIECTANEMPLOYERTOCRIMINp1PENALilESANDCMLFlNESUPTOONEHIINDREO hKK154ND DOl1ARE (5100,OW), IN ADtlR�1 TO TME COST OF COMPENS4TIIXJ, DAMAGES FS PiiOVIDED FOR IN SECiION 3]W OF THE LABOR CAOE, IIJrEREST, qND ATfORNEV'S FEES. LICENSED CONTRACTORS DECI-N7AnON: I hereby aHirm ihat I am Ilcensed under provislons ol Chaptor 8(commencinp with Section 7000) of Divislon 3 of the 8usine55 and Prafesslons Cade, and my license is in full torte entl eHect. Lla N Class a ComractaYs Signature: Date: CONSTRUCTION LENDING ACENCV: ❑ I herehy aflirm ihat ihere is a Conslmction landing egancy lor iho pnAormence ot Ihe work lor which this permit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lender's Atltlress: Signature: Data: OWNER-BUILDER DECLARATONS: I hereby alfirm Ihat untler penelry ot perjury that I em E%EMPT FROM 7ME CONTRACTORS LICENSE LAW for Ihe following reason (Soc. 7031.5, Business end Professions Code: Any ciry or counry which raqUires a pertnit to construct, elter. impmve, demolish, or repair any strucWre, prior to its issuance, also requires the epplicani br such permit to lile a signed statement that he or she is licensetl pursuent to t�e O��sions ol the Cantrectors License Law (Cheptar 9(commencing wilh Section 7000) o} DiWslon 3 oi the eusineu antl Pwiessions Coda) or that �e or s�e is ezempt iherefmm and the besis tor the allegatl ezemption. Any violatian of Section 7031.5 by eny applicant for a pertnit subjects the epplicant to a civil pena�ry ol not more than five huntlretl Aollars ($500�.): ❑ I, es owner ot t�e properry, or my employees wilh wages as iheir sole compensation, WILL DO THE WORK, end the structure is noi imendetl or otteratl br sala (Sec. 7044, Business and Protessions Cotle: lTie Coniractors License Lew does noi appty to an mvner of pmperry who builtls or imprwes thereon, antl w�o does such work himself or herself or thmugh h�s o� her own employaes, provided that such improvements are not intended or oRaretl br sale. If, however, Ihe builtling or improvement is old within one year of comple��w�. Ihe ownerbuiltler will �ave the 6urdan ol proving that he or she tlid not build or improve tor purpose of sale.�. I, as owner of the property, art� E%CLUSIVELV CONTRAC7ING WITH LICENSED CON7RACTORS to construct lhe project (Sec. 7044, Business antl Professims Code: The contractors Licens� �w does not apply to en awner ol Oroperty who builtls or impmves thereon, and who contracts lor such project with a contwctor(s) license pursuant to t�e Contractors License Laws.). ❑ 1 am ezempt sa Business antl Professions Code for Ihis reason: �6ig aNr� !i ♦ �l� Date: L � — � v O`viner ID vanfieC by dnvefs license. ❑ �es ❑ No Drivels License No. Eapires: Vedlicetion ot Ownership by (type ol daument, i.e. - pmpetly tez bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiy thai no exwva�ion live (5) or more leet in Oepth Into which a person is required to descend, will be mede in connac�on with work authonzeA by Ihis permit, antl that no builtling swcWre, scalloltling, falsowork, or demolition or dismanlling ihereoi, will 6e more then ihiny�six (36) feet �igh. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, lltle B, Calltomia AtlminiS�rative Code). ❑ As ownar-builtler, I will not er�p�oy enyone Io tlo work which woultl require a permit Irom ihe Division of Industriel Sefery, e5 noletl abovo, unless such persan he5 B permit to do such work imm the division, Signa�uro: Date: Divislon of Industnel Safery Permi� Num6er: LERTFlCA7E OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I cenity untler penalry of perjury ihat I have reatl Ihis epplicalion and state lhat Ihe infortnation given is correct I egree Io comply wilh ell 5(ate laws entl city or0inances relating to builtling wnstruction, and au�hodze representalives ol t�e Ciry ot Costa Mesa lo enter upon the ebave-described pwpe ns��Puryoses. I agree to accupy or ellow occupancy ol eny building authorized by this perm,t until linel inspection. � ____ . IZ- f � " c�j' . SignaN�a OI Legal.Owneqs)� Date AnNOr Aut�orizetl Applicant Dato WUE 1. INSPECTIONTYPE 1676 Fixetl System Final Fire Pre�ention 1266 Pool Spa Final 200 Finel RB-Rool 201 FInaI8locWRetaining Well 202 Final Faciory Fire Place 203 Final Sign 204 Finel Demditian Qlyj: 1�4$ fQQ[! fNSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Eloctncal 212 Finel Fire Preventian 220 Final Planning Approval 222 Final Si�a 250 Finnl BuilAing/Occupency PdIF II�.ALS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.PLUMBING P��T��101 R DRIVE, COSTA MESA, CA 92626 1� 1\ Job Address: Suite No Vicinity: Parcel Nunmber: 429 E 20TH ST �L��(�,iqJj; � U �� ? PE�� 42631250 EXPIRES ° � qpp�icant: BARNETT,PETER A AND KIRIN E Address: 429 E 20TH ST COSTA MESA, CA Phone: Zip: 92627 owner: BARNETT,PETER A AND KIRIN E Atldress 429 E 20TH ST Coniractor: Address: COSTA MESA, CA Phone: Zip: 92627 �i� V Phone: Zip: License: Status: ISSUED Applied: 12/07R006 Issued: 72/15/2006 ISSUED BY: I`�_J l % EXPIIRED DATE,��,L�� r,U� u� LI SCOPE OF PERMIT CONSTRUCT 582 SF SECOND FLOOR ADDITION TO (E) PNO-STORY S.F.D. AND CONSTRUCT 30 SF FIRST FLOOR ADDITION TO (E) GARAGE. WORK ALSO INCLUDES: CONVER? 2 EXISTING BDRMS TO A FAMILY ROOM AND RELOCATE THE 2 BEDROOMS TO THE ADDED AREA ; REFRAME ROOF/CEILING AND ADD 4 NEW WINDOWS IN ALTERED AREA. REF.: 806-01970 TO INCLUDE: 7 BAR SINK. ISSUE FEE Backflow irrigation Backflow Prevenler Baihtub Clarifier Syslem Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor '� � Drain, Rainwater Drain, Roof Drinking Pountain Expansion Tank ' � Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 50.00 S0.00 50.00 50.00 50.00 so.do 50.00 50.00 50.00 $0.00 $0.00 $0.00 30.00 50.00 50.00 $0.00 $0.00 Qn. FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation 50.00 P-Trap . 50.00 Pressure Regulator 50.00 Process Piping (per 10 ft) 50.00 Receptors 50.00 SepticTank $0.00 SewerCap�forDemo $0.00 Sewer Connect 50.00 Sewer Private Line 50.00 snower so.00 Sink, bar 59.80 Sink, commercial 50.00 Sink, Floor 50.00 Sink, kitchen 30.00 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) 50.00 QN 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 COMMENTS 1 SPECIAL CONDITIONS � SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (ToileQ Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 y0.00 50.00 50.00 50.00 50.00 50.00 50.00 SO.00 50.00 50.00 $0.00 $0.00 E33.30 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 BO days. INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 easo-aa �vw� WORKERS'COMPENSAnONDECLARAnON: I hereby aXirm under penalty of perjury one of the followinq declarations: ❑ I have end wiil maintain a cenilicate oi consen� �o selbinsure lor workers' compensation, as provided for by sec�ion 3700 of Ihe Lebor Code, tor ihe peAormanca ol the work for which Ihis permit is iSsuetl. ❑ I have antl will maintain workaR' �pensation insurence, es required by sectlon 3700 of the Lahor Cotle, for the perfortnance of the work for which this pertnit is issued. My workers' COmpensalion InSurence carrier entl policy number are: ��: Paliry Number. section need nol be comp/ered i� the permit is velued et one Aundred dollers (3100) or less.) � I certity t�at in Ihe pedormance ol the work lor which Ihis permit is issued, I s�all not employ any person in any manner so as to 6ecome subject to l�e workers' compensation laws ot Cali la, antl egree that It I should become sub�ect to ihe workers' compensation provisions of Section 3700 of ihe Labor Code, I shall torthwilh comply with these pro ' s� / /� ApF'.�Sipnat� u_�� Date: �Z�(��lJ� WARNING: FAILURE TO SECURE WORKERS' COMP TION ODVERAGE IS UMAWFUL M1D SW1LL SIIBIEGT PN EMPLOVER TO CPIMINAI PENALTIES AND CML FlNES UP TOONE HUNDRED TFIWSANO Dd1FRE (5100,000). IN ADtlR� TO THE COST OF GOMPENSATIIXJ, DNMGES AS PROVIDED WR IN SECTION 3]Ofi OF THE IABOR COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARAnON: . I �ereby aHirtn that I am licensea untler provislons of Chapter 9(commancing with Saction 7000) ol Division 3 of the Business and Pmfessions Cotle, antl my license is in full force and eflecL Lic. N Class k ContradoYsSignaWre: Dele: � CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that Ihere is a Gonsimction lending egency tor �he pedormance of the work Por which ihis permit is issued. (Sec. 3097, Civil Cotla). Lenders Name: Lendar's Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihel under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which reqdires a permit to consiruct, alter, improve, damolis�, or repair any stmcture, prior to its issuance, also requires the epplicant lor such pertnit to fila a signetl statement that he or she Is licensetl pursuant to ihe provisions ot Ihe Contractors License Law (Chapter 9(wmmencing with Section 7000) ol Divislon 3 oi the Business and ProfeSsionS Code) or thei he or she is exempi therefrom end �he basis for Ihe alleged ezemption. Any violalion of Section 7031.5 by any eppllceni for a pertni� subjects the applicanl ro a civil penalty ot not more then tive hundred tlollars ($500).): ❑ I, as owner ol Iha property, or my employees with wages es thair sole compensalion, WILL DO THE WORK, antl lhe structure I5 not intentled or oMeretl lor sale (Sec. 7044, Business and Pmfessio�s Code: The Comrectors License Law does not appty to an owner of properry who builds or improves ihereon, antl who Does such work himsetl or heroelt or thmugh his or her own employees, provitled that such improvements are not intentled or oflaretl for sale. ��, however, Ihe building or impmvement is sold within one year of canple�ion, the ownerbuiltler will heve ihe burden of pmving ihat he or she did not build or improve tof purpose of sele.). I, as owner of the property, art� E%LLUSIVELY CONTRAC7ING WITH LICENSEO CONTRACTORS to construct t�e project (Sec. 7044, Business and Prolessions Code: The comrac[ors LicenSB �w does noi apply to an owner of pmperty who builds or Impmves thereon, antl who cOntraci5 br such project with a contractor(s) license pursuant to ihe Contr clors License Laws.�. n �,Ham exempi u sec Business antl Pro�essions Code lor this reason: �w4$';_ Sig`ature-� �� Date: — � Ov.•ner ID verifietl Dy tlrivers license. ❑ Ves ❑ No Driver's License No. Expires: Verilication ot Ownership by (type o1 tlocument, i.e. - pmpeny lax bill or tlaetl): DIVISION OF INDUSTRIAL SAFET�' PERMR CERTIFICATON: ❑ I hereby cenify ihat no excavetion tive (5) or more leet in depih into which a person is required to tlescend, will be made in connec�ion with work authorizetl by this permit, and Ihat no building stn�c�ure, scaftolding, lalsework, or demoli�ion or dismantling thereof, will be more lhen thirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Californie Adminis�rative Catle). ❑ As owneo-huilder, I will not elnp�oy enyone lo do work which woultl require a permit Irom the Division ot InduStrial Safey, as noted above, unless such person ha5 e permit to do 5uch work Irom iha division. Signawre: Date: Division ot InduStrial Safety Permi� Number: CERTIPICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenih/ untler penalry of perjury that I have read ihis application and state that ihe information given is correct. I agree to ply wi� II slate laws and city ordinences relating to building construction, entl authonze represematives oi the City ol Costa Mesa to emer upon the above-tlescn perty in pec0on purposes. I a ee not to cupy or ellow occupancy of any building authorized by thi permit until finel inspection. �z-(�-d� Blgna�ure dl Lagal Owner(sJ�J Date i�-r--__-_ . Applicant COpER, INSGECTONTYPE Qd7E INTRIALS 7616 Pixed System Final Fire Pre�emion 1266 200 201 202 203 Poal SOa Final Final Re-Foaf Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Damolition SODE� INSPECTIONflPE 206 Final Mechaniwl 20B Final Plumbing 210 Final Elecirical 272 Final Fire Prevention 220 Final Planning Approval 222 250 Final Si�e Final Building/Occupancy PSI� INTRI�IS 5- 8-07: 9:034M:NORTHROP GRUMMAN � :3t0 33t9360 #�/ t 05��7��7 Re: Permit extension; 429 E. 20�' st. Attn: Mr. Ed Petros Mr. Petros I am writing to request an extension of the expiration date on the building permits issued 12/ 15/06 for the property at 429 East 20�'. Street, Costa Mesa. Conflicts with our preferred builder's schedule as well as other personal matters have delayed the start of the project. We expect to be able to begin as soon as 2 weeks from now. This however will exceed the 180 day limit. To be safe we are asking for an extcnsion of an extra 90 days. The permits in question have been issued to Peter Barnett, and are as follows: Building: B06-01970 Electrical: E06-1405 Mechanical: M06-00797 Plumbing: P06-01005 Thank you for your consideration. Peter Barnett 429 E. 20`" st. Costa Mesa, Ca. 92627 (949) 650-7752 (310) 331-7603 barnettdesignC3a earthlink.net � i ./ � ��IT-Y OF CBSTA � Prolect Address ! AppllcanYs Maili Owner's Na� Addreu � Arch/2Qy. —� NSTRUCTJ,ON PERMIT � '�./7��f,// C-L . APpiicant to (ill in all ipaces excepl those within �eavy OorAei Ilnes anE tign all appraDriate Geclaralions. PERMIT NO. TRACT N. . L,OT NO. UNIT NO. . Address (mailing) � City l.icense No. LICENSED CONTRACTOR DECLARATION I hereby atiirm that I am Ilcenzetl untler provisionz of Gnarter 9(commendng wilh section 7000) of olvision 3 0l tno Business antl Professlons Cotla, antl my Itcense is In t W I/orce antl eHect. License Class Llcen50 No. Oate Si9nature "ORKEqS'COMPENSATION DECLARNTION ereoy aHirm that I have a certificate ot conunt to self-insure or a certiticate Workeri' Campan5ation InSurdnt0, Or a CBrtifiGtl COpy thereot (Section ` 3800, l.ab. C.) Policy No. Company eCertifi¢tl copy Is �ereDy turnishetl. . Certitietl copy is filetl with the city Builain9 Dlvision. E%EMVTION FROM WORKERS' COMPENSATION OECLARATION (Thi55ection neetl not be com0�etetl if the p<rmit IS tor On¢ huntlrOtl (§300) or less�. I c¢rti(y that in tne parfo�mance oi Me wOrk fOr which [�is p �s Issuotl, I Shall nOt ¢m Oy a pelson in any mdnn¢r 50 as to beco su �ect to lhe Worke ws ot Ca1110 r �/. Date $i9natur � • NOTIC : 11, a er m in9 thls tle lon, you snoul om �ett to thp Workeri' ComOensation provisions ol tha Labor a, must lorthwith cOmply with Such O�ovlsions or thi5 pCrmil Shall ¢ tlGomCtl �evoketl. CONSTRUCTION LENDING AGENCV I �erety atflrm that lhere I5 a con5trucUon Ientlin9 a9ency tor lhe perlormance oi :the work (Or which [his p¢rTit is I55ueU (Sectlon 3097 Civ. CJ Lentler's Name Lenaer•s Atlaress OWf�lERBUILDER 6ECLARATION I hereby aftirm.that I am exempt trom [ne ConVactor'S License L.aw tOr the following reason (Section 7031.5 Business antl Professional Cotle: Any cl[y or county which requires a permlt to construct, alter Improve, tlemolisn or repair any structure, prior to it5 issuance, also require5 t�e applicant ior suth permit [o fi�e a signetl statement [hat ne/she is Itcensetl pursuant to Ihe provisions o1 '�e Contractor's License Law (Chapter 9(commencing witb Sectlon 7000) ot rhion 3 ot the BUSiness antl PmfeSSions Cotle) or [ha[ he/sbe is exempt uefrom antl the Dasis br the a11e9eU exempUon. Any violatlon ot Sectlon .J31.5 by any applicant for a pe�mit Subj¢Cls [he aOP��anl �O a clvll �enalty ot nol more [han tiv¢ hund�etl tlollar5 (E500). 1, as Owner ot lhe prope�ty o� my Cmployees wi[h wagCs as lhelr SOIo compensation, will tlo the work, antl the structure is no1 Intentletl or oHeretl fOr salC ($ection ]044, Busine55 and Pr01¢SSional Cotle: Th0 Contrattor'S LiCen58 Ldw tl0¢5 not apply to an Owner of a prop<rty wno builtlt or ImOroves thereon, antl who tloes such work himselt/herselt or throu9h his or her own em0loyee5, providetl thdl such Improvements are no[ inlentletl or ofiaro� �or 581¢. If, how¢v¢r, [hC bulltling or improvement is Soltl within ona y¢ar oi com- pleiloq the owner will nave the buraen ot proving he/sne tlia not bWltl or im- r 81a� the purpoia ot sale). I as owner of ihe Oroperty, am exclusively cont�acting wi[h IlcenSed cOn- ractors to cons[ruct the project (Seclion 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who Cuiltls or improves thereon, antl who contracts for such projects witn a con- traGtOr(S) IiCenie pu�suant [o tM1e Cont�actor'S LICCnse Law). I am aware that �pro t of their Worker'S Compensatlon inzurance sboultl be pravltletl to me. am ¢xemof untlA 5ection B. & P. C. lor f�is reason I nareby certl(y thai I have reatl lhls information is wrrocL I agree to comp antl 5tate laws rclatin9 [o builtlin9 �on sentatives ol thi � tq�entqVy{fy� inspectlon pur �I y�� Siqnahre �� Drivers' L ense or 55 � � co above , � l03 :5- �- PE OF CONSTRUCTION EW �� A ❑ CONVERS�ON ❑ DE OLISH ❑ O DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION LJ REPAIR TVPE OF PERMIT� GRADING�FOUNDATION�STRUCTU �Q TENANT ECTRICAL LVMBING � MECHANICAL ❑ OTHER PRQIECT DESCRIPTION $�Q.FTy..} OCCUPAN v '�CONSTRUCTIONTVVE y��L� VALUATIONS� � 20NE GRADING CU. VOS. ACRES_ Bar Sink Backflow Preventer Backflow Irrigation Bathwbs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks . GasService s OuUets, Kitchen $ink Lavatories ' P—Trep - Roof Ornins � Rainspection Fae � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.8lt. ICBO � Heating $ystem & Ducting �0.100,000 BTU 0100,000 Reinspection Fae � $15 CMF OB65-46, rev. 10/84 Wnite - Bulltling; Canary - APPlicant; Pink - q¢ounting; Goltlenrotl - Assessor Showers Service Sink S¢wer Cap Sewer Connettion Solar Collettors Solar Piping Solar Tank Swimming Pool w/Spe Urinal Water Closet Water Hearer Water Service Auto-Wash Issue Foe 41uotl or Type I ❑ Canopy Type II ❑ Refrigeretion System ❑0.100,OOOBTU ❑100,000 System RepaidAlteretion Fire Dampers Registers Issue Fee FEES $ 3 $ 3 A.P. 4P �'Fo! C S Main Buildi E T Front B Rear A C Right K Left S Ping. ReL •# F� Planning Notes: Aucomatic Washer Consvuction Pale Su6. Cooking Unit Dishwasher Dryers es ❑Elec Fan F,A.U. Device Boxes Garbage Dispoul Generator �45 KW 2one � � Accessory Building: z O N i N G R Parking Req./Provided E � M T $ ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW � MeterJ Up to l00 amps Meter ❑over100amps Sub Panel Motors�47 HP�1'/h-8 Ina Solar �9�15 HP 01645+ Microwave Pole Light • � Range Standing Sections � 5 KW Trash Compactor .. ' Reinspection Fee � 515 � I luue Fee DEVELOPMENT SERVICES REQUIREMENTS: ZoninB APProved By Building APProvad By Sr Aao�iwtion �auad sv � FEES S 3 ! SUMMARV OF FEES BUILDING PERMIT $ 3�Z'OD SMIP 5 f•�U PLAN CHECK $ o • PERMIT PLUMBING 3 � ISSUANCE S PLAN CHECK 25% $ ENERG� P.C. S ELECTRICAI 5 3�7j-�O GRADING S PLAN CHECK 50% $ �!%OO MICROFILM S MECHANICAL 3—. %'�� TOTALFEE 9 5�//, 9� PLANCHECK 25% $ I'7%Q CONSTRUCTION AND PLANNING � . POOL & SPA APPROVALS IPermit# Date InSpector . AppROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnci. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd� � 7 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding � ' 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROV,AL 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 i�i 14. Rough Plumbing 65. Electrical-Final 15. Rough E�ectrical�Conduit 66. Solar System�Final 16. Rough Electric Wiring /�/ 7 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling �.,f 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGss ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoa[ 75. Dry Chemical 27. Frame and Flashing :G' 76. Dry Standpipe • � 28. Wthing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation s G/✓• 76. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat D G. N• 79� FINAL INSPECTION i �2. Electrical Power Meter-Final 3 �� 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: �OLD FOR SPEC 34. Final Heating & Air Conditioning ,�. Fy / �� O 35. Final Gas Pipe-Test �a+�' (r� � � S 36. Hood or Canopy / � Q 37�.Final Factory Fireplace L38. Final Plumbing j� �Y7 ' 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer . � 43. Backflow Irriga[ion /44. Landscape Irrigation System f✓j / 45. Sound Attenuation 46. Handicap Regulations - 47. FINALSTRUCTURE&BUILDING .� � ; . 48. Specia� Requirements Completed �� 49. Electric Release to Edison !" . � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date ✓ " 6 CiTY OF COSTA �: Projett AddreSs � Applican�'s Ma/ilirr9]]ggg' A Owner's Name✓ �" Atldress Arch/E(q � Addreu r��i-' �. Aop��wnt to fill in all soaces eacept those within heavy Gorder Iines anc sign all aoCrooriate tleclantions. PERMIT �,.�� ... „ � �� . ,� , G a l 03 ;�- - .2,3 �j - TYPEOFCONSTRUCTION EW ADD ALTERATION REPAIR .� ❑ CONVERSION ❑ DE OLISH ❑ OTHER -Ph DESCRIPTIONOFWORK/USEOFBLDG. N��"J ��'�j 0 Address (mailinq) - City License No. LICENSED COIiTRACTOR DECLARATION 1 hereby a/firm that I am lirensetl untler provisionz ot Cnarter 9(commencin9 with section ]000) oi Division 3 0/ the gusiness antl Professions Cotle, antl my license is in full /orce antl elfect. License Class License No. Date Si9nature WORKERS'COMPENSATION DECLARATION I nereDy aifirm that I nave a certiticate oi consent to seH-insure or a certificate o1 Workers' Comp¢nsation Insurance, or a certifietl copy thereot (Seclion - 3800, Lab. C.) Policy No. ComDany BCerti(ied covY is nereby /urnisnetl. Certitietl copy is filed wilb l�e city Builtling Division. Date Applicant ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neeC nol be tompletetl i1 the permit is for one hundee0 (5300) or less). I cer[ify thal b tM1e Derformance of the work for which t(�is p � is issuetl, I shall not em oy a person in any manner so as to �eco e�su jecl lo the Worke ' w5 ot Calito �y �� Da[e - _�L—Si9natur� - NOTIC :If,a er mtTmg thi5 tle f ion, you snoWtl�om ject to [he Wo�kets' Compensation provisions o( the Labor L'6J¢, must tort�wlth comply witn sucb p�ovisions or Ihis permit shall e tleemetl revoketl. CONSTRUCTION �ENDING AGENCV I herety ditirm tbat inere is a construction IenGing agency for the performance Oi ;ihe wOrk to� which this permil is issuetl (Section 309] Civ. CJ Lenaer's Name Lentler's AGtlress OWNERBUILDER DECLA0.ATION I hereby ailirm that I am eaempt from Me Contractor's License Law tor the followinq reason (Section 7031.5 Businesz antl Profeszional Cotle: Any city or county wnicn requires a oermit to construct, alter, im0�ove, tlemolisn or repair any structure, prior to itz i55uance, also reQuir¢5 th¢�apP��anl tor Such permi[ fo li�e a si9netl statement that he/she is IioenSetl pursuant to ihe provi5ions of lhe Contracto�4 License Law (Chapter 9(mmmencing with Section ]000) of Dioislon 3 of the Business antl Profe55ion5 Cotle) o� that h¢/she is exempt Iherefrom antl the Oasis for ihe alle9etl exemption. Any violation of Sec[ion 7031.5 by any applicant tor a permit suDjecis the applicant to a civil �enalty o1 not more tnan tive huntlretl tlollars (E500). I, as owner ot [he O�operty or my employees with wa9es as their sole compensation, will tlo the work, antl the structure Is not intentletl or otieretl tor sate (Section ]OA4, Business antl Pmfessional Cotle: The ConLactoYs License Law tloes nol apply to an owner ot a property who �ui105 0� improves [hereon. antl who tloes sucn work bimself/hers¢If or throuqh his o� h!r own emo�oyees, provitletl that such improvements are not intentletl or oiteretl for sale. It, hOwever, the builtlinq o� improvement iz soltl within one yea� ot com- pletion, tne owner will have tne burtlen of praving he/she ditl not builtl or im- r < tor lhe pvrpose o1 sale). I, as owner oi the O�oDerlY, am exclusivety contracting with IlcenseU con- ractorsto conztruct tne project (Section J044, Business antl Proiezsions Caae: The Convactor4 License Law tloes not apply to an owner o/ pmPerry wno builtls or improves thereon, antl wbo conttacls for Suth projeG[5 with a con- I traclor(SI I�C¢nSe pursuant to tbe Contfactof'S License Ldw). I dm dwale Ihat '� '�pyro!D f Ol inei� WO/ker's Compensalion insuran[e zhOultl be provitletl to me. ��' �a'I am exemof untl¢t Section g, 6 P. C. for tnis reason .� / / �7 i �). i�� Signa[ure orivers' L � or55� above ances TVPEOFPERMIT GRADING FOUNDATION�TRUCTU �Q TENANT 'ECTRICAL LUMBING � MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�O.FT. � pCCUPAN � •CONSTRUCTIONTVPE `l� VA�UATION3� ZONE GRADING CU. VDS. ACRES Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers DiShwdsher Drinking Fountains Floor Drains Floor Sinks Gas Servire .0 Interteptors ' Kitchen Sink Lavatories ' P-Trap - Roof Orains � ' Reinspectian Fee $15 Boiler Duct - Under Ground Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple � Firepl/Fect. BIL ICBO # Heating Sys�em & Ducting �100,000 BTU O 100,000 BT Reinspection Fee � $�5 Showers Servite $ink Sewer Cap Sewer Conneciion Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Clozet Water Heater Water Service Auro-Wash laue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeration System ❑aioo,000aTu Oioo,000 System Repair/Atteration Fire Dampers Re9isters luue Fee 53 $ 3 A.P. Mt �"F�( CP — _ S Main Building: TFront Q S B Rear 23 � A C Ri9ht �f ��j� gLeft ,J / Ping. ReL # - g�j � Planning Notes: Automatic Washer Consvuaion Pole Sub. Cooking Unit Dishwasher Dryers Gas ❑Elenric Fan F.A.U. Fixtures Device Boxes Garbage Dispoul Generator 00.5 Kw �- Zone � � Accessory Buiiding: Z O N I � N G R �� Parking Req./Provided E Q M T S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW � Meter� up to 100 amps Meter ❑over 100amps Sub Panel MotorsOal HP �1X�8 Int.Solar �9�15 HP 016-15+ Microwave Pole Lighi . � Range I I Standing Sections 5 KW 1 I Trash Compacror � Roinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: 2onin9 Appraved By Building Approred 9y 51 Aaolication Issued By �% BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL S PLAN CHECK 25% S FEES SUMMARV OF FEE$� �( 37Z •OD SMIP E �."U � • PERMIT Q;�7 ISSUANCE $ ENERGY P.C. $ 'j']�� GRADING $ 1'f•OO MICROFILM $ � —�� TOTAL FEE $ sy�. � � . CONSTRUCTION AND PLANNING ' APPROVALS Permit # 1. Temparary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. r 3. Electrical Conduit Utiliry-Undrgrnd � 4. Electrical Condui�-Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings . , 6. Foundation 9. Water pipe-Undr9rnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 77. Rough Wiring Sigr1 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pi�e-f?ough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceilin9 (Structural) & Monocoat 27. Frame and Flashing� 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electriral Power Meter-Final 33. Final �Iectric Sm� 34. F(nal Heating & Air Conditioning i, 35. Final Gas Pipe-Test , 36. Hood pr Canopy 37.. Final Factory Fireplace 38'. Final Plumbing 39. Water Service-Final 40. GasSe�vice-Final , 41, Solar pomesticFinal - 42. Backflow Preventer 43. Backflow�lrrigation 44.' Landscape I«iqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric,Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY PO� @ SPA Date Inspector , APpROVALS 1-ermit # 52. Pool & Equipment Location 53. Steel Reinfarcement � 7 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final � 63. Heater & Vent-Final � . 64. Plumbing System - Final .��; 65. Electrical-Final 66. Solar System-Final �( 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEMSFINAL � FIRE DEPT. REQUIREMENT � APPROVALS Permit# _ 70. Underground Hydro 71. Product Piping O Gas ❑ Oil � 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe � 77. FIXED SYSTEM FINAL ' 78. FIRE PREV. FINAL � � �, HEALTH DEPT.REQUIFEMENT 79. FINAL INSPECTION ; 80. FOOD CERTIFICATE ISSUED Notes: HOI.n F(1�1 corre.� .,,•,.,,.,.,..... Date 6 Inspector Date I J ! . .. LA ROC6��/YROLL�R� ❑ ❑ � ❑ architecture, planning, interiors 12/i/s� City of Costa Mesa Engineering Divisio❑ 77 Fair Drive, Costa Mesa, Ca. 92626 Re: Finshed Line and Grade Conformance Project Address: 425 E. 20th St. Costa Mesa, Ca. 92627 City Project Numbers: 5-86-423 & PA87-OS Gentlemen This is to advise you that all building, grading and paving operations for the subject project are complete, and that all work has been accomplished in accorda ce with intent of the approved plans, as determined on/�Z �, 19�. Yours Sincerely�e,tL�,p�0.�� Denis LaRoche Lic. No. C013756 509 31st street, suite 201 o newport beach, ca 92663 0(714) 675-6333 r CityofCostaMesa INSULATION CERTIFICATION� suildingSafetyDivision �ir�� RST �O'`' S+ree_T �vs-fta- Wlesq- Graru�� . Number and Street City County Subdivision ROOF FIBERGLASS Material Thickness (inches) �1 EXTERIOR WALL Material FIBERGLASS i Thickness (inches) 3� CEI LING Batt or Blanket Type Thickness (inches) Loose Fill Type Minimum Thickness (inches) Area Covered (ft2) FLOOR,ELEVATED Material Thickness (inches� FLOOR,SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) DESCRIPTION OF INSTALLATION d� 1 Lot Number erand Name M�A'�ILLE Thermal Resistance (R Value) Brand Name MANVTT.LE Thermal Resistance (R Value) 11 Brand Name Thermal Resistance (R Value) Brand Name Number of bags Weight per bag Ib. Thermal Resistance (R Value) Brand Name Thermal Resistance (R Val Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value� DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code�. General Contractor (Builder) Signature end Title . 7N IT.ATTON OMPANY, TNC. Sub Contrector (lnsulation Applicatod G,%�y/ ��Q� PRES. Signature and Title CMF 1306-46 Licenu Number Date 3A4Fi97 License Number DECEMBER 9, 1987 Date � ADo��ant to HII in all soaces ezcept those within neavY borGer lines anG sign all appropriate tleclarations. CirY oF coSTA ME G CONSTRUC ION PERMIT Project Address ,` %-£•-f' � Appliwnt5 Mailing Address 7. - Owner's Name - �- Pho 1-G Address �'2S L� 2-�% 7� Arch/Eng. Licenu No. Address Contrnctor's Name Phone Address Imailing) Ciry �icense No. LICENSED CONTRACTOR DECLARATION I hereby atlirm tM1at I am licensetl untler provislons of Charter 9(commencin9 wi[h section ]000) of Division 3 of the Business antl Professions Co�e, antl my license is in full force antl effect. License Class License No. Date Si9nature WORKERS'COMPENSATION DECLARATION lereby affirm tha[ 1 nave a certiflcate of consent to self-tnsure or a cert(flcate wqrkers' Compensation Insurance, or a certifietl copy t�ereoi (Section .d00, �yb. C.) Poliry No. Company eCertifietl cooY is hereby furnisheG. Certifietl cOPy is (iletl with tne city Builtlin9 Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This;ection neetl not be completEtl it the pe�mit is for One M1uptlretl ($100) ot less). 1 cer[ify that in the pe�formance of the work fot which Ihis pe� : i isSueQ I shail not e oy a person in any manner so as to tieco ect to the Worke ' ws of Califo �, Da[e . Siqnature � NOT1 : If ai r making tnis tlecl6 on, you shoultl bec 'sub' c�to the Work@rs' Compen5ation provisiops of tM1e Labor �oGe, you mu forthwilh comply �yith such p�ovizions or this permit shall be tleemetl revoked. CONSTRUCTION LENDING AGENCV I nerefyy atfirm that there is a cons�ruction lentling agency for the performance of [he work for whicn this permit is issuetl (Section 3097 Civ. C.) L.entlar's Name LentlCr's AtltlreSz OWNER BUILDER pECLA0.ATION I he�Qby affi�m Ihat I am ezempt trom the ConVactor's Llcense Law for tne folloWing reason ($ection 7031.5 Businessantl Professional Cotle: Any city or county whiCh vequlres a pe�mit to construct, alter, improve, tlemolish o� repdir any structure, prior to Its issuance, also requires tne applicant tor such permit to file a signetl statemenf [hat h¢/she is licPnsetl pursuant to the pwvisions Of the Contractor's License Law (Chapter 9(commencing with Section ]000) ot �iyision 3 of the Business antl P�ofessions Cotle) o� lha[ he/she is exempt tref�om antl the basis for [ne alle9etl exempt(on. Any violation of Section ,31.5 by any applicant for a permit subjects the aOPlicant to a civil Nen ty of not more than five huntlretl tlollars ($500). I, as �owner of the property or rtyr�wPWyaac. with wages as their sole compensation, will tlo tM1e wnrk, antl [he structure is not int¢ntled o� offered for sale (Sec[ion 7044, Bu5ine55 antl Professional Cotle: The Gontractor'S Liceqse Law tlo¢5 pot apply to a0 owne� ot d p/ope�ty who b�iltl5 or improv¢5 Ihereon, antl who does such work himseli/herseli or through his or her own employees, 0/ovitletl that sucn fmprovements are not intentled or offeretl f0� sdle. If, however, the builtling o� improvemen[ is soltl within One yea� of cont- pleti0n, the owner will nave [M1e burtlen of proving he/5M1e Oitl not builtl or im- p�ov8 for the purpose ot sale). ❑ �, as owne� of tne propevty, dm exclusively contracting with IicenSetl con- tractorsto const�uct the project (Section 7044, BuSiness antl Professions Cotle: The Contractor'z �icense Law tloes not apply to an owner ot praperty who builtls or improves thereon, antl who mnVacts fot such D�oje<ts wiM a con- tractor(s i�cense pursuant to the Contracfor's License Law}. I am aware that �P�Y �o� their Worker's Compen5atian insurance shoultl be provitled to me. ��Q �8m exemDt untley5ection B. & P_C. for fJ�is reason Date have to � unv�r�SJercense or ss � � � CMF OBfiS-46, rev. 10/84 White - Builtling; above _.._. . __. _ . __ - P� -3 � �, a: 5 v► _ _ 7YPE OFCONSTRUCTION NEW ADD ' A�TFRA710N REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT ER A•P•# �Z� DESCRIPTION OF WORK/USE OF BLDG. �� a S Main Builtli TVPEOFPERMIT^ GRADING ❑FOVNDATION STRUCTVRAL T Front � ❑ 7ENANT iJ ELECTRICA� ❑ PLUMBING ❑ MECHANICA� B Redf ❑ OTHER %� PROJECTDESCRIPTION Sc�.FT. OCCVPANCv �C Right CONSTRUCTION TYPE VALUATION $ � 2�o U. t7J S Left ZONE GRADING CU. VDS. ' ACRES Ping. Ref. # Remarks: �� _rN(%p. (j/r�4 �✓A�Vf. PlanningNotes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Drains Floor Sinks Gas Service OuUets Intercepmrs Kitchen Sink Lavatories Roof Orains Reinspection Fea $15 Duct- UnderGround Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ U7 00,000 BTU O 100,000 � I I Reinspec[ion Fee I $15 Accauntin9; Goltlenrotl - As5e55or Showers Service Sink SeWer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundrv Travs Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑o-ioo,000alu ❑ioo,000 Sys[em Repair/Alteration Fire Dampers Registers Issue Fee $ 3 $ 3 - — T 9575 II/16/87 � 2 — _ 1 Zo�a ' Accessory Building: Z L . ' Parking Req./Provided / � O 4Z . 2�l� ,� ELECTRICAL . Automatic Washer Canstruction Pole Sub. Cooking Unit �ISf1Wd5hef Dryers ❑Gas ❑Electric Fan F.A.U_ Fixtures Device BOxes Outlets Switches Garbage Disposal Generamr �0-5 KW �5-15 KW I Reinspection Fee ' $15 DEVELOPMENT SERVICES RE�UI 2oning Approved By Buildin9 Approved By Aoolication luuad Bv Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Su6 Panel Motors 00.1 HP 01 `/: - 8 Inc.Solar �g-15 HP �16-15+ Microwave � Pole Light Sign Standing Sections Trash Compactor Issue Fee 86oB0 TL FEES $ 3 SUMMARV OF FEES � r BUItDINGPEFiMl7 $ 3Z.JV SMIP $ •7� PLANCHECK $ 1�.3o PERMIT PLUMBING $ - ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50°6 $ MICROFILM $ MECHANICAL $ TOTALFEE $ 3�n.flv PLAN CHECK 25°h $ 2 O N I N G R E Q M n CONSTRUCTION ANDPLANNING _ _ . �POOL&SPA ,APPROVALS Permit # Date Inspector �i APpROVALS Permit #' Date , Inspector . i i. Temporary Electrical Service or Pole 52. Pool & Equipment Lpcation � 2. Soil Pipe-Undrgrnd. � 53. Steel Reinfarcement . � 3. Efecvical Conduit Utitify-Undrgrnd. 54. Forms I . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � � . ' S. Steel Reinforcement : 56. Rough Plumbing & Pressure •Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation1. . i 59. Gas Pipe, � UndrgrncJ., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. i 10. Structural Floor System 61. APPROVAL TO DECK i • 11. PropertY Sewe� Line & House Connection 62. Backwash & Recepto�-Final, i • 12. Sewer Cap 63. Heater & Vent-Final � 1 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ' ' 15. Rough Electrical-Conduit 66. Solar System-Final �' . 16. Rough Electria Wiring 67. Fencing & Access Appro'val 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil , 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank O 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 �. 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailin�] HEALTH DEPT. REQUIREMENT 31. Plaster Brown�Coat 79. FINAL INSPECTION . ' 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: 34: Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or CanopY �7�;'Final F,actory Fireplace / , 38.� Final Plum�ing .• I' u� � ' 39. Water SeFvice-Final � _ � -I�40. Gas Service-Final ' 47. Solar pomesticFinal �. i. � � ° 42. Backflbw Preventer � • ; , i 43. Backflow Irrigation � � � 44. �J..andscape Irrigation System � ; � 45.'Souncl Attenuation � . . 46.iHandicapRegulations � � �� 47�. FINAL3TRUCTURE&BUILDING f�P'� -� / N.�-"_:, � 48.,�Special•Requirements Completed � � - . 49. Electric Release to Edison '- " � %50. Gas Relesse to Southern California Gas Co '�:' " 51. CERTIFIC�9TE OF OCCUPANCY,- - . No. � Date � - 0 TYPICAL 6" CONCRETE BLOCK FENCE Ceme�t Coping Optional — Channel Block With 73/8� Horizontal Top of all Fences , Fqr Fences 5' or Leu Vert. Ban 3/8"�at 4' �0" O.C. For Fences Higher Than 5' Ven.Ban 3/8"� at 32" O.C. � � �I Fill Cells Solid With Grout � Where Steel Oewr: R¢inforcing Steel Shail Conform to Sec.A-1�-39 A,S.T.M. All Steel to 6e Lapped 2q" or m Code NATURALGRADE TWO 7/8"O BARS �'-1 CONTINUOUSTOP � 6 BOTTOM HORtZSTEEL MUST BE TIED IN PIACE AT TIME OF TRENCH �NSPECTION. z � � W x� z t0 ' , d _L_I on D ' � W IDTH p SEE CHa � BELOW _ ola ING REQUIREMENTS CHART GENERAL- NOTES MORTAR: pne Parf Plasfic Cement, and TAree Parts Sa�d �ROUT; One Part Cemenf TNee and One Halt Parts S�and COPING: One Part Cemenl, Three Parfs Sand CaNCRETE: Well Mixed 1:2-I/2:3-i/2 Mar. of 7-I/2 �oll�ns ot � Water Per Sack of.Cement �GpOUT MAY BE POURED FROM iME 70P OF THE FENCE IN CEIIS WMERE STEEL OCCURS. . ' ' CELLSANDAREASOF HORIZONTAL REIN� FORCEMENT SHAL'L BE CLEAR; CLEAN & FREE OF ALL MORTAfl OEBRIS, ETC. M 0� EARTHTCOTH �/3 THE HEIGTM OF FENCE �LOW BOTTOM OF fOGT�NG SCALE: I/2" = I� WIDTH . . . . . . . . . . . . 14" . 14�: . . . i..12�,.,. 12° : 7HICKNESS . . 10° . !0" . . . . . . . . . . . g". 8., DEPTH OF EARTHTOOTH . 24" . 20° . . . . . . . . . . . 16�� . . . . 12" SPACING OF EARTHTOOTH. . 12� . 14� . . . . . 16'. . . . . 16� UWNERS NAME:��y � Cit of Costa Mesa ifornia �OB ADDRESS �y�-�_ ��,{:_ -_-_ Y 1 PERMIT NUMBER:_ _ _ _ _ __ _ _ _ _ __ _ _ _. Building Department SIGNATURE � •l'�� _ _ _ _ _ , -� ,A�PRO � : OF COSfA MESA PLANNING pEPT. - wu� ro e�us. ovr. �eo,, '.`: tY�. DA g '� �- 8� 4 ol![CfOI Or MANNINO � �{ , � � _ 51REE'� I . 0 0 s M M N � a n P O i A w e t � \��_. _ 57_ R�_ � � , �d� _ -F-- r -^ ' a 9 _ .. �Fn�Qe_,4� , �a pe �!'° : . :; �'^ � , . �{ Costa �1esa Bui4ding DCP} C}1Y nr,ie q�2� �4.�1 �_—� " �-- .�- . BTHESE !'�,'., - � t' �� i2't,ou<<� `.'�; ��; �, ' .. F NO Crt-�ti' -- `3' ,`�'J � _.. . ` 'S iNers`� . . .� `'" � .r ' � �. '�' " � PLA,45/.nD '' . . � �.n. • ' �Ip�15 An 1�"��'� � � �- PEFP.. , . . ' . . � . .Z VSE iHEFFCVVqd; � , .. ., A'C.,... . AUiHtiR!.', . _ ' . �.. ... COC�F.BPir.0 :. ` : t� • •.. qr:L WHIC.f11Y C.i,!:,:�rlc.. � � . . .. . ;;rIC'al . c A >La;:ni i: .. . �. n:C�:,3 = TNE 155Ui.WC2 ': .' " r Ci ifV.UhS � $NC.'-L r:C%1 'rACVf"C`G^:F�iiQ' 'rREvENTiNG SPEC�F�CATid'1_Q&iOWkING �H° �R pRc7M Wµ�N FROM THeRE. SpfCtHCATIONS y �KEREUN�Efi PipNg AND qpRIED 0' S..£R ORDINPNCY OF SAID �Eop.TIONS SfIN OR OF AN�f O Nv�OIA fON OF TMIS COD£ 111E CIT'(. �OTE ADDITIONS, QELETIOiJS, 0.� CO2'EGTIO;�S SHALL BE APPROVID BY THE PLAlViJii�G flLPARTMENT -r� ._ - - ' � � �� -° �Z o S� � � ��4� �� ' .�G�'Y�7�� na %2 � �'G � 3�''' �✓�.�� i�"xr�� ,� �� / C� �� wr �i � • i r�i �-�.r� � . CITY OF COST Project Address Applicant's Maili . O �e✓s Na Address � MIT Applicant to fill in all spaces except �hose within heavy �orGer IineS antl si9� all apOroDriate Cecla�ations. • �1`_ _ �--- �,. PERMIT NO. TRACT NO. LOT NO. UNIT NO. Address (mailingl � City License No. LICENSED CONTRACTOR DECLARATION I hereby afflrm that I am licensetl untler provision; of Charter 9(commencing witM1 Sec[ion ]000) 01 Olvlsion 3 of the Business,antl Protesslons Cotle, antl my license is in full torce antl effect. License Class Lic¢nsa No. Date Si9na[ure WORKERS' COMPENSATION DECLARHTION '�ereby aifirm lhat I have a cerlificate of consent to salt-InSure or a Certitica[e Workers' Compensation Insurance, or a certtfletl copy tnereof (Section �0, Lab. C.) Golicy No. Company 8 Certifiea copy is hereby furnishetl. Certifietl copy Is flletl with the city Builtling Division. Date APPlicant E%EMPTION FROM WORKERS' COMPENSATION DECIARATION (TM1is section neetl not be completetl if Ne permil is }o� one huntl�etl (5300) or less). I certiiy [hal in [he pe�formance of the work for which [his perm�t is i55uetl, I sball no[ emp an person in any mann so as to [�¢come to the Worker� pens ka s ot Calitor i , Da[e i9nature NOTICE� f, tte ing this tlecl�rd � n, you 5h4ultl become Subje [o�the Worker5 Compensallon provisions of [he labo� Cotl¢�� mu orihwlth comply wilM1 such provisions o� this, pe�mit Ahall be tleg eG �evoketl. CONSTRUCTION LENDING AGENCV � I M1e�eby affirm that Ihere is a construction lentlinq 8gency fot tM1e pertormdnce of Ino wark lor wM1ich thi5 permi[ is issuetl (SeCtion 309� Giv. G.) Lentler's Name Lentler's Atltlress OWNER BUILDEH UECLARATION I her¢by altirm that I am exempt from the Contracto�'S LlcenSe Law for the tollowin9 reason (Section ]031.5 Business antl Prq(essional Cotle: Any city or counly which �equires a permit to wnstruct, aller improve, tlemolish o� �epair any structure, prlor to its issuance, also requires t�e applicanl for such permit [O file a slgnetl Statemen[ �hat he/she is licensetl pursuant to llte provisions of tM1e Cm[ractor'S License Law (Chapter 9(commen[ing with Seclion 7000) of �tivlSiOn 3 of tne Bu5ine55 antl P�ofessions COtlE) o� that hC/She is exemp[ �refrom antl [he Dasis for the allegetl exemption. Any viOlatlon of Sec[ion f1.5 by any applitant fo� a permit subjects lhe applicant to a civil alty of not more lhan tive huntlretl tlollan (55Q0). I, a5 owner of lhe p�operty o� my emplOyees witn wag¢5 as their Sole "<ompensation, will tlo the work, antl the structwe is not in[entletl or offe�etl Ilor sale (Section ]044, Business antl Profeszional Cotle: The Coniractor's LicenSe l.aw tloe5 not apply to an owner oi a property wito builtl5 or improves thereon, antl who tloes Such wo�k himself/hers¢If or through his or her own employees, provlCetl lhat such improvements are not intentletl o� otteretl fo� sale. If, noweveq tne builtlin9 or improvement is soltl within one year of com� pletlon, tbe owner wlll have the burtlen of proving he/she tlitl not builtl or im- prova �or �M1e purpose of Sale). ❑ I, as own2r of the property, am exclusively contraGllnq wllh Iicensetl mn- t�actor5to construct lhe project (Section 7044, Business antl Professlons Cotle: The ConVactor's License Law tloes no[ apply to an owner of property who builtls or improves thereon, antl who conGacts for such projects wltn a con- tractor(sl iicense pursuant to the Contractor's LiCense Law). 1 am awaro that pra0f o( lhei� Worker'S Compensation insurance shOultl be provitletl lo me. �1 am excrM unCer Section B.1& P. C. ft�this reason / /` �/s 1 Da[e _�� Owner I her y cer rty chat I have rea� intormation n rorrecL I aoree lo Si9nalure y Drivers' Llc n5e Or 55 %f _ M 3 a�$Z TYPE OFCONSTRUCTION EW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DE OLISH ❑ OTHER q,p.# DESCFIPTION OF WORK/USE OF BLOG. S Main Building: E TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUM6ING�IJMECHANICAL A Rear . ❑ OTHER PROJECT DESCRIPTION 5q. FT. oCCUaarvCv C Right K Left CONSTRUCTION TVPE VALVATION 5 S ZONE GRADING CV.�'D5. ACRES Ping. Ref. # Rema�k�: ,��F _G 2 9l0 3. P. G.`�Z.36 - 7 Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation rinking Fountains loor Drains loor Sinks asService Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fea � S75 Boiler Duct - Under Ground Duct - SVuciural Duct - Ventilating Exhaust SYstem ❑ Multiple ❑ Firepl/FacL Blt. ICBO #� Heating System & Ducting ❑4100,000 BTU �100,000BT Reinspec[ion Fee � $15 GMF 0865-46, rev. ]0/04 Whit¢ - Builtling; Canary . qpp��dnh Pink - Accountinq; GOICenrotl - H55¢SSor ShOWEIS Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinai Water Closet Water Heater Water Service Auto Wash Laundry Trays laue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee F Accessory Building: Parking Req./Provided ELECTRICAL Auromatic Washer Transformer ❑ 15-50 KW Cons[ructiOnPoleSub. � 50+KW Cooking Unit Dishwasher Dryers ❑Gas ❑Elecvic Fan F.A.U. Fiatures Device Boxes Outlets Switches Gar6age Disposal Generator �0-5 KW �5-15 KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors � 0� 1 HP � 1 h- 8 Inc.Solar 09-15 HP 016�15+ Microwave Pole Liaht Sign Standing Sections Trash Compactor g� Reinspection Fee $15 15sue Fee FEES �, DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved BY . Building Approved By � Application Issued By $ 3 SUMMARV OF FEES BUILDING PERMIT $ - SMIP PLAN CHECK $ PERMIT PLUMBING $ - ISSUANCE PLAN CHECK 25% 5 � ENERGY P.C. ELECTRICAL g GRADING PLANCHECK 50% $ MICROFILM MECHANICAL S 7• �� TOTAL FEE P�AN CHECK 25% $ $ FEES $ 3 Z O N I N G R E Q M T S TL CONSTRUCTION AND PLANNING POOL & SPA - •APPROVALS Permit�# Date Inspector AppROVALS Permit # Date' Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �7 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding 5. Steel Reinforcement N 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. Svuctural Floor Syst�'m 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 Structure 70. Underground Hydro , � - 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ." , 24. Roof Framing 73. Undergrnd.StorageTank �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 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION . j, 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '" 33. Final Electric 'Notes: ��5 34. Final Heating & Air Conditioning �� 35. Final Gas.Dipe-Test ' • 36: Hood or Canopy . 37. Final Factory Fireplace / zp ,(�� - , 38. Final Plumbing � � � 39. Water Service-Final . � ' � . =. � 40. Gas'SeGGice-Final � � ' . i ,41. SolarpomesticFinal � � �� - � 42. Backflow Preventer :. � � � 43. Backflow Irrigation � ' 1' � • i � �44.. Landscape Irrigation 5ystem � �' � � r 45. Sound" Attenuation� , . ' , ' i - `46. Handicap Regulations �� , � i r 47. �FINAL$TRUCTURE & BUILDING � ; i , , ' � 48.'Special�Requirements Completed � � � � � � 49. Electric Release to Edison � . . 50. Gas Re�e�se to Southern California Gas Co - � i 51. CERTIFICATE OF OGCUPANCY � • +, No. t Date �+ - � Project Addre A.P. Number Building Perm CITY OF COSTA MESA PARK FEES Fee Payment Receipt 001091 Owner's Name Mailing Addre� FEE: Single Family' 2-Bedrooms or Less 3-Bedrooms 4-Bedrooms 5-Bedrooms + Multiple Family " � Bachelor or Studio 1-Bedroom 2-Bedroom 3-Bedrooms + Number of Units @ $ 861.76 = @ 1,205.67 = �_ @ 1,545.62 = � �•i1Ja'' @ 1,810.50 = @ 474.37 = @ 573.18 = @ 881.51 = @ 1,229.38 = , Total Fee *'« 1 `» S �'Z'' Plarining Department Approval Date By �� . ApplicanYs Signature • City O�dinance 72-4� Ortlinan 72-^s '* ReSolutlon 78416 CMF 017430, rev. ]/ W e—Planning; Cana I ing; Pink—Finance; Goltlenrotl—Applicant ��nL5j�}u� � n7� VIIVIJ� VW��U Ci�y of Cosia Mem Development Services Department Building Sate[y Division P. O. Box 1200 Costa Meu, Califomia CERTIFICATE OF OCCUPANCY No. 1.�:. � J.a The Buitding located at Q�A R.aui� 9(�hh Rhrnnf has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Y17 Occupancy. Use of Buitding SinaZn Familv Reafd�ncc� Le9al Description A25�3�2—n1 (See reverse side for Meces and Bounds) � �� ys Building Permit No � 29103 Elec[rical Permit No. G 29103 Plumbing Permit No. G 29103 Mechanical Permit No. G �g7.03� M 3 0/ 8� Number of apartments and/or guest rooms ISSUED TO: P3t=r Ritt�y �125 G. 20th SCrcet Cosca [desa, CA 92626 Building Official by Dace December 29, 19J7 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 3015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File