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Home My WebLink About437 20TH ST - Building Permits�. � � PflQIECT ROOflE55: �j 3'� E 2 0'.'H S'" OWNEB'SNRME: WETR� UAV1D D T1� aoosEss: gq35 I.i.OYDCRE.iT DR BEVSRLY HILLS,CA 90210 FPCH/ENGMEEfl: RDORE55: NEG.NO.: uNiT: uxiT: PEPMITTEE: UAVTD I�. WEIR ( 714 ) 54R-6197 nooeess: 4 3 7 t 2 0 TH S'T COSTA N.ESA CA 926'l.7 ❑CENSEU CONTBFCTOP UECIAPpT10N: I hemby ailirm �hal I am licensetl untler provision: ol C�apter 9(commencin8 witA Sedion 7000) of Divsion 3 oi IAe Business antl Pmlessions Cotle, antl my li[ense is in full force ana ellecl. CITY LIL.: STATE LIC.: CLASS: Oate: Sipna�ure: W08REN5' COMPENSATION DECLABpTION: I here�y atiirm thai I �ave a cetlilicate oi consent lo self�insure or a certilicate of Workers' Compensa�ion Insurance, or a certifieU coOY ��ereol (Section 3800, La�. C�. POLICY NO.: E%P. OATE: COMPRNY: ❑ Cenifie0 coOY is hereby fumishetl. ❑ CenilieG copy is lilea wit� tAe ciry Builtling Uivision. da�e: Applican�: E%EMYf10NFBOMWONREXS'fAMPFNSlITI0N0ECUflATION: QhissectionneednotUecom0leteAilOepermAisforonehun4reG(E100�orless�. I ceNly Ihal m Ihe petlormance ot t�e work lor whic� I�is De�mil is issued, I shall nol emplo any per5on in any manner so to become subjecl Io Ihe Wo�kers' Con ensalian Laws o� Cahiomia. � � rq � A Oaie: � Siqnawre: �!////'GC/ 0 Uj'� NOTICE: II, aler making t�is Oeclaration, y0v shoulG befAme suhjecl to tAe Workers' CAmDensdtion prOvi9ons of �he labOr CoOe. you must tanhvn�h comvN �� suU Wavisions or cNs Oermii shall 6e OeemeA rewke0. CONSiflUtTION LENUING RGENCY: I hereby allirm lhat I�ere is a consimction IenGing agency fOr ihe pedormance of lhe work for wnich ihis Dermit is issue0 (Stttion 3097, Civ. C). lENOEX: aooncss: OWNEfl BUILOEfl DECIAMTION: I hereby atlirm Ilwi I am exemp� Irom �M Contraciors' Siate License Law lar t�e idlowing reasan �Senbn 703t5 Busineu an0 Professional CoEe: My ciiy oi county whicn reQuires a permit to mnsvuct, alter, imprwe, tlemWish, or repair any slmnure. pAor to ils issuance, also �epuires ��e aDPlicant lor suc� Dermit to 61e a siAnetl siatement itat he/she is licensed Oursuant to Ihe O�ovisions ol Ihe Contraciors' Stale License Law (CnaO�er 9(wmmencing vntA Seclion 700U) of Oivision 3 af the Business antl Prolessions Cotle) or Ihal �e/she is exempl t�erefmm an0 Ihe �asis tor �he alleAeO eKemO�ion. Any nolation of Seclion 7031.5 by any applicanifor a permil suDiects ihe aDolicanllo a ciWl penalty ol no1 more Ihan live hunEreG Uollars (A500). I, as owner ol t�e O�oPeny or rtry emyloyees wilh wa0es as Iheir sole wm0ensa�ion, will tlo ��e waM1, antl ihe ❑ simcWre a not intenaea or oiferee for sale 15ecbon 70aa, Business and Pmieuional Cotle: The Contraciors' State License Law aoes nai ap01y la an ovmer of a pmperiy who Duilds or improv¢5 t�ereon, anG who d0¢5 sucli work himseli/herself or thmugh �is or Aer awn emDloyees, provbeC ihat such impmvements are not inlentleE or otlereG for sale. Ii, Irowever the huilJing ar impmvemenl is sold wi��in one year ol completion, ihe owner mll �ave I�e DurOen of proving �elshe Aid nat build or impmve lor Ihe Durpose ol sale). I. as owner ol �he properiy, am exclusively wmracting with IicenseA contractors to wnsimct tAe D�olect (Section 7044, eusiness ❑ antl Pmlessions CoUe: The Contractors' S�ate License Law Uoes not appty ro an owner of O�oDefty who bwltls or improves ihereon antl who conlracis for such O�oletls with a contracim�s) license pur5uant Io the Cani�ac�ors State LiCenSe Law�. I am awaf¢ Ihat pmol of ��eir Worker's Campensation insurance s�ou10 be pmviEeG ro me. � � am e�emp� uneer Section: BP-704 G B. 8 P. C. ronn�sre�� BY OWNER/NO F_MP�,}/.�EES i/ � I Ao Aereby cenity Ihal I am aware o� antl unde(slantl Ihe repuiremenls ol Califomia Heal�h antl SalelyLotle Sections 25505, 25533, an0 25534 antl iha� I or any IUWre building occupanl will/will nol (circle one) neea to comply wi�� saiA s�a�e codes and lhe requirements for a permil lor con5imclion or moAilica�ion Imm Ihe Air Ouality Manaqement Dislrici. ResiAenlial cOns�mc�ion applications are exemp� �mm Ihese pmvisioni Da�e: Applicanl: I �ereby cetlily I�at I have read��is applicalian antl sta�e�hal Ihe above inlormation is correcl.l aA�ee lo comply wilh all ci�y antl counry aramances anU slalelawsrela�inglo buil0inq consimclion an0 hereby aul�oriierepresentalives of�his cilylo en�er upanlhe above-men�ionetl pmpetly �or inspe ion pwp aes. \ � Uate�. ✓ Y � Signamre: � �lG� .P�l� oriver s �icense or Socia� Securiry x: t6a1-C6 W�ne—Bmlaing: Green—CoOe Enlorcomen�: Canary—Applicant: Pink—Revenue; GOICenrod—Assessor CI'"Y OF COSTA kESA — BJI..J�NG PER'NIT PF.RM :�0: B 0�7`,3: PF.RN,I'f NO: d 0�7532 I't,AN CHbCK NO; N GOV'l; N SUPP; N CONSTRUCi10N TYPE; S—N PERMIT TYNE: STA FURPOSr: AI�T JOB DESCRCPT:ON ; REPLACF. DOORBr:TWEEN DEN & ��V�NG ROOM SQ rT: 200 CLAIN. VALUE: 200.U0 CALC—VALUE: 200.00 GROUn OCC: R-3 / COMNEI3T5: REFLACIA]G DOOR THAT HAD'ORIGItvALLY' H�EN 1F ic iE 3'r ie 3E iF ii* ih iF if %� iF tF lf l4 IX� 3E ###�F k if 1f 1f� # it if # iE ii� �i� # if # K� i( #� #�If ## fk Y# lE ?"r ii* iF IF if if� 1E ie # if ik iE # iE ##� #!e 3E ii� iC )F ih ### iE #?[� # if if 'L O id I h G R E(�i U I R E K E N T S S E T B A C K 5 ------------ MAIN BUiLDING ---------- --------- ACCESSORY BiJILDiNG --------- FRN'P; FT IN REAR: FT IN cAN1': FT IN REAR; FT IN LEFT: FT SN RGHT; F'f IN I,EFT; FT ZN RGHT: FT IN PARKINC RE • PROV: PARCEL; 47631243 'I.NE: RE:F NO; PLANNING N '1'ES> > � #)f ff �7F # 3E IF �lE tf # iF 1F # iE iF ie if if• ## le 3f 3E 3E IE ## 1(� iF iE #�%iFif ## iE iF 3E 3i� 3P iF i(� 1f �K 3F iQ iF 3't # jE # iE if� ik i(� iE M if 36 iE If # iE iE 3F it # if'iF ii fE #� #F iF 9c iE 1E # D E V E L O P N: E N T S F. R V Z C E S�E Q U I R E`; E N 1 S ZO�ING APPROVED HY : ___________' DATE: :� BUILDING APPROVED HY : DATE; APPLZCATION ZSSUED BY: `�`� �--- DATE• S/�y� k%rt�lE3Ei��F7�i�if�l3E�lE�7�ii��Eit+rx�iEft*�F;,r�FlFiF7r.:�T#?�'lr<73F.iF'. . . -. ��1Eit��F�iF�rx�iF�iF*�riF�ii'��/k'iF�'#it� }fiEitlE#?EiFiEkiF#Fi!�iEiF3f3EiF#fEifiEii�iflE�t�EN�lEiEif3EiE�Rxif#�1fkiEiFiEi H riFi(�?t-IfiEjfiE�Eifikff#%Y.�?i�;}#1EiflEiFiciEi41F)FiEiEi'r�c##iE## LEGALIZATION:N F E F. S IJ M M A R Y STRUCTURAL' SEGMENT:Y �_ BLDG PMT PI.UMBING cLEC(RIC NECAANIC FiRE SMZP/RES GRADING PERMIT 15,00 ,50 SN.:P /NON—RES PLAN I55UE FEE BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE TOTALS----> 15,50 0.00 0.00 15.50 15,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 15,50 OVER/SHORT: ,00 BLD15��00 FLOMHINC EL£C9'RIC N.ECHANIC FIRE SMIP/TO�T GRAll2MG PLAN—CHzCK 7f if iE �e 3F i6 iE lE 1E if iF ie je # if iE iF ii iF ## if iE �)E iF iF iE if ## iE ic if iE #* ii- iE iE iF M fE it jE iF iF if �Jf 3f iF �E If 3F iE iF iF it� 1E 3E # iE 3E iE Y �c ?t it %� 3F ih �i� iF # le ## 3F Y.� 3b I N D i V I D ti A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N U�IT COST TOTAL CnST SFR 20Q ALTEk HY VALUE kF57DE,�'PIAI, NOZONE 1.00 2UO,OU ENn oF r��.s ii� �.ln io"�.�'1_iIU�SCUi: _ ' ' '" Cf.�.. V:i.t�, .. �.... � �1l' .. : CONSTRUGTION AND PLANNING � POOL TA APPROVALS Permit# Date Inspector AppROVAIS Permit# Date Inspector 1. 7emporary Electrical Service or Pole 52. Pool & Equipmen[ Location � � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Eiectricat Gonduit Ut�lity-Undrgrnd. - 54. Forms - 4. Eiectrical Conduit�Undrqrnd. 55. Electrical Bonding 5. Steel Reintorcemenc • 56. Rough Plumbing & Pressure Test 6. Electrlcal UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Fo�ndation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgmd. 60. Backwash Lines, P-Trap, �7 Undrgmd. 10. Struc2ural Floor System 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap � 63. Heater & Vent•Final 13. iioof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electricai-Final 15. Rough EleCtrical•Conduit 66. Solar System-Final 16. Rough Elettric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Eleetrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ` 79. Rou9h Heacing & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in St�ucture 70. Underground Hydro 22. DuMs, Ventilating 71. Product Pipin9 O Ga: ❑ Oil 23. Gas Pipe�Rough & Tes[ 72. Underground Flush 24. Roof Fram�ng 73. Undergrnd. Storage Tank � Gas ❑ OII 25. Roof Sheathing 74, Overhead Hydro 26. T�Bar Ceiling (Structuraq & 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 32. Electrical Power Meter-Final � S0. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe•Test 36. Hood or GanopY 37. Final FactOry Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service�F�nal 41. Solar pomestic-Fi�al 42. Backflow preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /,�(,Lp� 6 W� 17 ! ! 46. FINAL PLANNING - 49. Electric Release to Edison . 50. Gas Releasa to Southern California Gas Co �. 51. CERTIFICATE OF OCCUPANCY No. Date ADo��ant to iill in all spatts exceDt thase within neavy eoraer Iines antl sign all apvrovriate tleclaralions. CITY oF COS7,4 ESa CONSTRUCTION PERMIT . ProjectAddress �'3' �� ' /S�1t � � Applicant's Maili ddress � 3 w Owner's Name � � h� e� S�� °l�[ Address e✓e �� .4 Oo�� ArchlEng. Licenu No. Address Contractor's Nam � U P one7�,�a u� 0 Address (mailing�/�S 3-� � �/.f/ L�O .✓ �A/A/1C//1"/ Ciry License No. � �j� � � LICENSED CONTRACTOP DECLARATION ' 1 ne�e�y attirm that 1 am licensetl untle� provi5lon5 ot Charter 9(commencing with section ]000) of Divlsion 3 of tM1e BuSinesS antl Prolessions Cotle, anU my Iicense is in iWl)yr<e�np ef(ect. /��I,7 Licens Cla s �� ic se Date �-� Signatur WORKERS'COMPENSATION DECLARATION � 1 hereby aifirm tnat I nave a certllicate of consent to s¢INnsure or a certiticate of Worke�s' CompensatiOn InSuranGe, or a c¢rtlfi¢tl copy Ihe�eof (Sectlon '800, LaO. C.) ` roncy No. ��` �� Company PA✓�iP �/S �CerCfletl {�opy i5 f letlbwi�hmM1s�h�etly. ��Itlingp i W'sion Q Date �'�-�� APPlicant/��/H�'L��i l�/Nt:�Ge/ \ EXEMPTION FROM W00.KER5' COMPENS�ECLARATION (This section neetl not be completea it the permit is for ona huntlratl (5100) or less). I certity that in the pertormance o1 th¢ work tOr whlCh this perm�t is issuetl, I �. shall not employ any person In any manne� so as to become subject to [h¢ Workers' Compenzation Laws ot Calitornia. , . Date Signature 'NOTICE: If, atter making this tleclara[ion, you shoultl become subject lo the -Worker5' Compensation provlslons of the LdbOr Cotle, you must forthwi[h �comply with such provisions or this oermlt shall oe tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby af/lrm that there is a cons(ruclion lentling agency for the performance '� of the work for which Ihls permit is issu¢tl (Sec[ion 309] Civ. C.) Lentler's Name Lentl¢r'S AtlOress. OWNEq BUILOER DECLARATION I nereby affirm t�at I am oxempt lrom the Contractor's Llcense Law for the tollowing reason (Section ]031.5 BuSiness and Professional Cotle: Any city or <ounfy which requirei a permit to construct, aller, improve, tlemolish o� �epair any structure, prior to its Issuance, also reqWr¢s the appllcant tor such permit to file a signetl statement lhat be/she is Ilcensetl Oursuanl to Ihe provisions ot t�e Contractor's Licenze Law (Chapter 9(commencin9 wilh SecHon 7000) ot Division 3 a( the BuSiness antl P�ofe55ion5 Cotl¢) or Ihat he/sne is exempt thercfrom antl the basis fo� the alle9etl ezemption. Any vlolation of Sec[ion �031.5 by any applicanl for a permit subjecls the applicant [o a civil ienalty of not more than five hundretl tlollars (5500�. ❑ I, as owner of the properry or my employaos with wages as their sole <ompensation, will tlo the wo�k, antl Ihe st�ucture I5 not int¢ntletl o� otferetl for sale (Sectian 7044, Buslness.antl Professional Code: The Contractor's license Law tloes not apply to an owner of a proPerty wno builtl5 or improves thereon, antl who tloes such work himself/herself or through his or her own employees, Provitletl that such Improvemen[5 are nol Intentletl o� otfe�etl for sale. If, M1oweveq the bWltling or Improvement i5 soltl wilhin one year of com- pletion, the owner will hdve the burtlen Ot proving he/she tlitl no[ Duiltl or im- �rove tor the Durpose o7 sale). I, as owne� ot the property, am exclusively tontractln9 wiN Ilcensetl com t�actors lo construct lhe project ($ection ]044, Business antl Profession5 Cotle: The Contractor's License Law tloes mt apply to an owner of property who builtls or improves thereon, antl who contract5 for such project5 with a con- tractor(51 license pursuant�[o lhe Con[raCiar'i License Law). I am aware that proof of theii Worker'S Compensation, Insu�ance Shoultl bo 0/ovitletl to me. � L7 1 am exempt untler Section B. 6 P. G. for th6 reason � Oate Owner �I hereby certity that 1 have reaE Nis apolicatlon antl state that the above ' information is correct. 1 agree to com0ly with all city antl county ortlinanc¢s antl state laws relating to bulltlinq construction, antl hereby authorize repre- sen(atives ot Ibis city to en er upon the above-mentionetl properry tor insP¢ction Rurobses. �$/' . Siqnawre tt SC ?-.4- G/P-A�wo Date�O S—�� Drivers' License or SS � � %' � � av3�� TVPE OF CONSTRUCTION NEW HDD ALTERATION � REPAI R ❑ CONVERSION ❑ OEMOLISH ❑ OTHER q p# DESCRIPTION OF WORK/USE OF�BLOG. � S Main Buildi TVPEOFPERMIT GRADtNG ❑FOUNDATION STRUCTVRAL T FrOnt ❑ TENANT ❑ ELECTRICAL ��PLVMBING ❑ MECHANICAL B R¢ar ❑ OTHER A PROJECT DESCRIPTION Sc�. FT. OCCUPANCv C Right CONSTRUCTION TYPE VALUATION $ S Left ZONE GRA�ING CV.YDS. ACRES p�ng. Ref. � Remarks: ' Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service � Outlets Interceptors Kitchen Sink Lavatories � P-Trap Roof Drains Reinspection Fee . � $15 Boiler Duct - Under Ground Duct - Strucmral Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 sru O i oo,000 Rainspection Fae � $15 CMF 0865-46, rev. 30/84 White - Builtling; Canary - APplicanh Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink Sewer Czp Sewer Connection Solar Collectors Solar Pipinq � Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Au[o-Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeraiion System ❑0.100,OOOBTU ❑100,000 System Repair/Alteretion F ire Dampers Registers Issue Fee FEES $ 3 � . E3 Autometic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Garbage Disposal Generator �45 KW Fea �- � =�G 8343 6%26/86 Zone Building: Parking Req./Provided ELECTRICAL � . - Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps ' Sub Panel Motors�67 HP �1h-8 Inc.Solar �9-15 HP �16-75+ Microwave -- Pole Light Range � c:.... ; Standing Sections 5 KW Trash Compactor $15 Issue Feo 5.OD 'TI! FEES $ 3 2 O N I N G R E Q M T S �. DE.VELOPMENTSERVICESREQUIREMENTS: � �Zoning Approved By Date ' � Building Approved By Date��/�Q')� Applicition luued By � DatR �// �'�" �w �� SUMMARV OF FEES , � i BUILDING PERMIT $ SMIP $ PLAN CHECK $ MPERMIT PLUMBING $ �W��UANCE $ � � PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL y GRADING $ �'�'� PLANCHECK 50% § MICROFILM $ � ,,�,� MECHANICAL $ ' TOTAL FEE $ � PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL a SPA � - APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrnd. � 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trep, � Undrgrnd. 10. Structurel Floor System 61. APPROVAL TO DECK � i i. 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 OGas ❑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 (Structurel) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry S[andpipe 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 32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � Q_ �'i 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace .'� � ,:�., 38. Final Plumbing '��` 39. Water Service-Final 40. Gas Service�Final � 41. Solar pomestic-Final 42. Backflow Preventer "�" � �_. �43. Backflow Irrigation �; �44. -Landscape Irrigation System ;7F � �45. Sound Attenuation " � �46. Handicap Regulations � �47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed ;pry 49. Electric Release to Edison , " �, . . .� p� �50. Gas Release to Southem California Gas Co , . "� � �51. CERTIFICATE OF OCCUPANCY .- - � No � Date PERMIT TYPE • CITY OF COSTA MESA ' BUILDING DIVISION ;%kAIR D�21VE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 • �wvw.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER: M07-00502 MECH JOB ADDRESS: 437 E 20TH ST CM Vicinity: ATTIC , ' , SQ. FT: 0 . � . - • . SCOPE OF WORK: CHANGE=OUT OF��A'FAU IN THE ATTIC OF AN EXISTING SFD. 1 INST FAU < 100K BTU NO OTHER WORK AUTHORIZED WITH THIS PERMIT. .� STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 10l0912007 BJK OWNER: PETERSON, CLAYTON J' � PHONE: . � � � � APPLICANT: GAGE BOCK ' i PHONE: 714-7083664 � CONTRACTOR: COASTAIRE Address: 202 E�STEVENSUnit: UNIT G City/State: SANTA�ANA, CA �- . ZipCode: 92705 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: - � $38.30 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: . . � . ' $0.00 TOTAL FEES: $38.30 - , Address: �437 E 20TH ST Unit: �City/State2ip: COSTA MESA, CA � Address: 202 E STEVENS Unit:UNIT G City/State/zZip: SANTA ANA, CA Licerise No. 355425 PHONE: 714-7083664 CELI: :�� '� �`7 .��• �y� -Y: • E� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiralion o( this permit. COpE1, INSiEGiIONTYPE DRTE IN A CODE1 INSPEC710NTYPE � D� INifIIRLS 1818 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ZO6 Final Mechaniwl 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevemion 220 Final Planning Appmval 222 Final Site 250 Final Building/OccuOancy WORKERS' COMPENSATION DECLARATION: . I hereDy aHirm under penal�y of perjury one of the following decla2tions: ❑ I havB and will mainiain a Certifica[e of consent l0 5elf-In5ur8 Iw vmrkers' compensation, a5 pmvided for by seclion 7700 of the Labor Code, for the p,�e,rto�rmance of the vrork for which this permit is issued. � i have and will maintain xnrkers' compensation insurance, as required by section 3700 of the Labor Code, for the performance o1 the v.ork (a which this pertnit is issuetl. My workers' co nsation Insurance carrier antl policy number are: C/�'��7�-1} �_. 1/I� Cartier. ( \ 1 / A lL� � � �J (�hi�SeHunm m�pleletlONaparmlSvaluetlalone�wrtlretltlOEars(1100)p-less) Policy Number: �� • i'iti I I'�n l) ❑ I certify that in the peAormance of the work for v+hich lhis permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' wmpensation lavrs of Califomia, antl agree that it I should become subjecl t workers' compensation provisions of Sectio 3700 of Ne labor C . I sh forthwith comply wilh these provis ons. i sSig�Wre ate WARNING: FAILURE TO SECURE WORKERS' COMPENSA7ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensea untler provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of lhe Business and Professions Code, and my license is in full �fyorc7e and eKect. Lic. # r�7v'� Class # nt2ctw s Sie��ure te CTION LENDING AGENCY: ❑ I hereby a((mm that there,is a wnsWction lending agency for the peRormance M tha �wrk fa vfiich tlris pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Date OWNER-BUILDER DECLARATIONS: I here�y aHirm Ihat untler penalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS UCENSE LAW for the following reason (Sec. 7037.5. Bu5in855 antl Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed Dursuant to the pmvisions of the Contractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 ot the Business and Professions Code) or that he or she is exempt therelrom and lhe basis for the allegetl exemption. Any violation ol Seclion 7037.5 by any applicant for a pertnit subjects the appliwnt to a civil penalty of not more than five hundred dollars ($500).): . ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intended or oBeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an ovmer of property who builds or improves thereon, and who dces such work himself or hersel( or Ihrouq� his or her ovm employees, provitled lhat such improvemenls are not iNended or ofteretl for sale. I(, hov+ever, the building or improvement i5 soltl within One year of completion, the owneo-builder will have [he burtlen of provinq that he or she did not build or improve (or purpose of sale.). ❑ I, as ovmer ol the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS lo conslruct lhe projec[ (Sec. 7044. Business and Professions Code: 7he cont2ctors License Law dces nol apply to an ovmer of property who builtls or improves thereon, and who contracts for such project wilh a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions CoEe for this reason: 305]�a8(3/0]) Owner ID verifietl by tlriver's li .❑ Ves ❑ No Dnver s License No. Expires: Verification of Ownership by (type of tlocumenl, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby tertify �hal no excava[ion frve (5) or more (eet in tlepth in�o wfiich a person is required to descenq will be made in conneclion with work authonzed by this pertnil, and that no building sWCW2, scaHdding, falsework, a tlemolition or dismantling thereof, will be more tMn thirty-s& (36) feet high. (ChaD� 3.2, Grp 2, M 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As ovmer-builtler, I will not employ anyone to do vrork which would require a permit from the Division of Industnal Safety, as notetl above, unless such person has a permit to do such work (rom the division. ApvliranCs Sigiature Division of InausMal Sa(ery Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture building occupan[ need to file and certity a Business Plan lor emergency response lo release or threatened relea5e of a hazartlou5 matenal? ❑ Yes ❑ No (Section 25505 of the Calilomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed vrith lhe Costa Mesa Fire DeOartment by evary business v+hich has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet o( compressed gas aI standard temperature antl pressure). 2. Does or will Ihe applicant or present or fuWre building xcupaN need to fle a registration torm for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Salety Code, with some exceptions, requires registration vri[h the Costa Mesa fire Department by each business whic� at any one lime has on hand a quantity of acutely hazardous matenals equal to or grea[er Ihan a weight of 500 poun05, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard temperature and pressure). 3. Does or will the appliwnt or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials�? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides Ihat the Costa Mesa fire Department may require ihe preparetion, cartification antl (ling with the Fire Depariment of an RMPP by businesses which are requiretl to register acutely hazardous materials with the Fire Departmant. 4. I! an RMPP is presently required, has Section 25534 0! Ihe California Healt� antl Safety Code been lully complied withl ❑ Yes ❑ No 5. Does or will ihe applicanl or present or future building occupant require for the work which is the subject of this appliration a permit for such constmction or modification (rom the South Coast Air Quality Management Dislrict or from any other air polWtion control di5trict or agency? ❑ Yes ❑ No (Section 658502 of Ihe Califomia Govemment Code requires that the requesled in(wmalion be fumished on appliwtions fv ron-resitlential building permits). 6. Will any part of the faciliry to be wnsWcted untler this pertnit be wi[hin 1000 feet from Ihe outer bountlanes of a school? ❑ Yes ❑ No Qf yes", Ihe (acility musl meel [he requirement of Sections 25534 and 42303 of lhe Califomia Health and Safely Code). 7. If a permit from the South Coast Air Qualiry Management Dislnct or other air pollution control disMcl or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been matle't ❑ Yes ❑ No 8. (If'yes". attach cenifcate of compliance from the appropriate air pollution contml oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury ihe information given above is correcL I agree to comply vnth all state laws and city ordinances regarding Hazartlous Matenals and Emissions. SignaWre 113ie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o! perjury that I have read this appliwtion and state that the information given is cortect. I agree to wmply vrith all state laws and city ordinances relating to building wnsWction, and authorize representatives ol the Ciy of Costa Mesa lo enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by this permit until final inspection. 9nawiev al Qme (s) aqte � ( Antl/Or t 0 AOOliran� DO�E COUNTY OF ORANGi: . BUII.DING DEPT. " � 636 No. Broadway SantaAna�c�co�a /�pp�ication for Building. Permit P6o�e:KI2-6u1 ' � AND FOR A . Certificate of Use and Occupancy �/`�� nac�.. , Permit No.7Q_.3 �.v..... OWNER'S NAME _- - -... ..... .... - - - ....._ .._... -- � ......_.... .... PHONE :............_ ^- �-� - ---- MAILING ADDRESS ---�-•S -�%- ----Y!.._.r --1...�._....._./.... - - - .. CITY -��/ , -"" C,�. � .. ..._`t- .. ................. ( Name _....------------------'----------'-----.....--------...----...------=...._ Namc �.J'�;�. .._�''�....�'A:.'.?.`t. .G�'.1 ........ ..... ... .. . . .. ....................:....�.... (Architect or Engineer) (Concrac[or) Addre s City State Lic : PROPOSED � 2. JOB LOCATION.---------1-„�7.-�--------------- �. (House�t�lo.) 3. LEGAL DESCRIPTION: Loc ... .. ..... ....... (Metes and Bounds Desaiption—Use reverse si e oi Address...._ ........................_....... � City $tat¢ Lic. 7 -- _" � �� of Sveet) '. B (Tawn or Schoo] Distric[) .'%.L ......F�. l' --.�...0 ...Yl. .Q .....:.........--......... Tract.... 4. CORNER LOT ( 1.�iG1i�LT�RIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) :3 v i. SIZE OF BLDG.:---�—�..AREA:._.....--------------.---.SIZE OF LOT:-- ................_...........----AREA:......------ G. HEIGHT OF BLDG.:.....__-_--.J...�.----_-.------CEILING HEIGHT:..-----..�.-.'---_.-.----NO. OF STORIES-------------------------------- 7. S. 9. NO. FAMILIES ........................................Sizc of Sm Ilest Bedroom:...................._................... Sizc of Kitche EXTERIOR WALL CONSTRUCTION:...��.�./..�. .F��a�L�R'WALL COVERING...... (Frame, Stutco, Etc.) 'jj PlastcrvDryxall, Etc.) SETBACKS: Front Yard From Center Line of S[reet....._.. ...7�...' ...�.........L` ....�.� .................... _. _ Nearesc Side Yard...._...�_.....Rear Yard..... _._ ...�....Distance in Fcet Between Bldgs. on Same Loc..... 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUC7�URE5 AND USE OF.EACH. ]1. For Accessory Bldgs. and Similar Structures: (a) Footing: Width......... ��.._.......Depth in Ground._../�.�....P�........Width of (b) Size of Swd�:...�...�r_~<l.....Spacing--------��----...:'CC Material of Floor...--._ ....................................... (c) Size of Floor loists:...._ ............................--.....Spacing.........---�---------------........_.:'CC (d) Size of Rafcer6:....----...--�---�. �...........Spacing.._....-----f....�_�....--`-.....:'CC 12. VALUATION O S D WORK: ]nduding all labor, plumbing, elecvical �viring, heating, (ire =_prinklers, painting and sewage disposal $------ -- ...l.....-----"--------- � 13. I HEREBY CERTIFY THAT TO THE'BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Plans Filed:. Bldg. Permit Plan Check Total - - Receipt No. Paid to • FEES: o� • $-- �; P o � - � .... � � DATE.... �...:..IiJ .............................. Sign ed :.--'----`-'--- By FOR DEPARTMENTAL USE ONLY GROUP..�.......... ---��- TYPE.- - -�-- - .............. DIST. �p MAP....L......!.1.. �.----....... SHEET NO....,,$.....-----....... _....._...---- ( �wner) (Authorized Agent) APPLICATION .f.T/. ,V.J ZONING.---...... V.......... PLANS AND � SPEC'S . . ..........._.......... CORRECTIONS PERMIT ISSUED B�Y� .... .C��.... ..- - � �G BY HEALTH...... �- �� ._........ FIRE MARSHAL ......................... STATE................................ ENGINEER 5 M-8-51 V , r v COUNTY OF OAANGE ' BUII.DING DEPT. 636 No. Broadway ' Santa Ana, Cali(omia Phone: KI 2b211 ! 1. OWNER'S MAILING Name ......... Address ..... City ........_.. Stare Lic. No....... PROPOSED USE 4� 'j ��9 � Application For Builcling Permit AND FOR A Certificate of Use and Occupancy Permit No.�y.. �.. � � C! � JOB LOCATION..... -- ... - 1- .J.....{. ---- T/"..G..__-..� . w" A.... �v/..1SGf. /i.WV�T!�_�:V... _ .................... . ' ...... ....... ... ... (House NoJ ( me o Street) (Town or School Distric[) 3. LEGAL DESCRIPTION: Lot. � "-- ... ..... ock .�-�1��..........-, - - 7'ract ..................- -- - - ...- (Mcces and Bounds Description—Uee rwerse side o form) 4. CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:��..`�. {/......��----------........SIZE OF LOT:.� _..3 ..............AREA:-----�----------- _ � �� , � � G. HEivHT OF BLDG.:_.....------�-`--'----------CEILING HEIGHT:........_...._._...- ----....NO. OF STORIES ...........................--- 7. NO. FAMILIES..-.---._-..---./�...-------_-.__...Size of Smallest Bedroom:-_..--�-�---,r-.��--. Sicc of Kitchen....... .._-�_f...N....... S. EXTERIOR WALL CONSTRUGTION:_��.¢.�............INTEItIOR VJALL COVERING.�'""�?-::.^ �?.......�.. (Frame, Stucco, Ete) (Plas[erDrywall ) g— 9. SETBACKS: Front Yard From Center Line of Street........�.... �. �� ^9 D ...... ........ ..... .... ............ . .... ..... ..................... �....... Ncarest Side Yard............,..]........Rear Yard... ��......Distance in Fect 13etween Bldgs. on Same 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width---....----'./.'�"----'----..Depth in Ground ...............�. .Y.... Width of Wall..._`�...................... Accessory �� . Bldgs. and . .. � 1.�.._.......---.. Similar �b) S�ze of Smds:....___..��.�..Spacing.........��w........... CC Materi�l of Floor....._�,�.f..?:!. . S[ructures: � � (c) Size of Floor Joists:---��--�.-1-P.t .............---Spacing......�..............................:'CC �n, �� (d) Size of Rafters: --....—� �-- .........:................Spacing_.... -/...........................'CC TI OF �j �}' _ s� - Plans Filed:..._-'f-----�-`'_----------._..----------------'--....---- By: � (Authorized Agent) FOR DEPARTMENTAL USE ONLY IIldg. Permit Plan Check Tota] - - 2eceipt No. Paid to - Date ........... 'v M-0�51 � eleetrical ;J d,� �—_� �i .............:.-...... -- — (Owner) FEES: � 5....�.-. Q...e �............ �.."_�"""v 8....�.'. � 5....�-� ................... ..._ .i., GROUP....�i.. � ---- ---- TYPE -- � ................. llIST. • MAP..---�' ..Lr.�. �� ..... -- SHEET NO....�'r ................ DATE.......4J...-:..1..�... � �....... C%17CC:K1Nli tSY �sr.+t+z`^"�' APPLJ8A7KAA7'a .� HEALTH ............................ ✓ FIRE ZONIN G ................. ......... MARSHAL ......................... YLANS AND SPEC'S ............... V.-..... STATE........................----.... CORRECTIONS ENGINEER PERMIT ISSUED BY: ...�....� .� . ......................... ........ C`I� ER ADDRESS PROP. $WR. LINE I(/I HOUSE ROUGH HEqTING ANO AIR CON�ITIONING l:ifl F100R COAT PLUMBING, FINAL AND ELECTRIC, FINAL aur.�_niu� r �. DATE 5-18-73 BUILDING PERMIT N0. SUBCONTRACTOR W W 4- U � Z ZQ ON am J � J N Q W p] J m J Q U N Za W Q aw J Q m Z J � W w O= Z � W � N � � � 3b673 Pa1L � .. rn ....ia-T_�.._.p.�r�...,.. ..... �3 ._� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PP I TION FOR BUILDING PERMIT For Applicant ro Fil/ in Completely RE I ED Y DATE RECEIVED DAT IS$ D BUILDING � �7h/ r•�-� � ��%1 i ADDRESS / j'/ ^�/� • PERM17 d OWNER �/ IJI 'N/f"L� (/L/.�/ A.P.NO — .�Fl��' BUILOING 2 �� " �^ T� MAIL �j ADDRESS �j, �� / ri T� d ADDRESS 7�S �.L � ' �, T � TE L. 'j/'� W/09 L i A" CITV,�� _,�L,y' /:�j(,(,,,f NO.�S2-ctjGJ� TRACT E/r LO BLOCK CANSTRUCTION • W A P LENDER �• BflANCH ' ' � OWNER�, /iJ � .{/9L/� E/�G AODRESS VALUE ARCHITECT .� � TEL S J1 •�iDT� $ OR ENGINEER ' FIFE ADDRESS ZONE TVPE. ROUP APPROVED , CONTRACTOR (rjLC�N�� C,�.�� 6Y DATE ADDRESS TEL. ZON NO.OF' /USE OF NEW �T� CITV NO. � I P�'� L/ BUILDING QD/%/a� STATE ITY 1'ARDSAPPROVED VARDSAPPqOVED LIC. NO, IIC. NO. MAIN BUILDING ACCESSORV BVILDING SIZE /� t NO.OF BLDGS. (FROM C/L STqEET) OFLOTI(�7X3�J'.i NOWONLOT ROM � FT. FT. use oF 7�� ,n,EnicE EXISTING BLDG. iC.CS 5 FT NEZWBLDG. ��x� ROOMS / STORIES / L. SIDE FT. FT. EXTERIOR WALL/' ROOF i/ COVERING !/�-��%G� COVERING-r�/N�jC� REAF I FT. FT. USE OF BUILDING AND WORK TO BE PERFOFMED OISTANLE BET. BET. MA�N & T�Y A�U%� i MAIN BIDGS. ACCFSS. BLDGS. � VAR. # • DATE � � C.U.P.�W � APPROVED APPROVED ` �� ? ✓- .J STATE 1 horaby acknowlatlpe cha[ I have reatl this application antl rtata Nat No obove information iz correct antl aB�ae m eomply with all laws repulating b�iltlinp construetion, antl 1 shall not employ � ony perwn in violo[fon ol tha workman'e tomponsaHon laws ot the S[ota of Celifornia. I �eraby cnrtiiy that 1 em properly licansatl as a conirecior untler S�. FT. tha Stete of Colifornia Bustness enA Profassiona Cotlo, Olvisicn 3, TME MOUNT SHOWN UNDER VALUATION IS FOF Chaptar 9, antl Net such licenses ete In full torte and eifect, or I THE GURPOSE OF ESTABLISHING A PERMR FEE ONLV: am ezompt from tlip provisions of theState of Calitornla Businass VALUATION p�� antl Protossions Co ie, Division 3, opmr 9 �� i ��) PERMIT FEE § Slpnoturo of ° /J� � � ''�//////��1 /�`� � Permittau � .C/K.� $ � /�` PLpN CHECK $ � � �% � � �J �,j Cl-'l0 Au[horizotl Apont TOTAL FEE $ y{ ' ��