HomeMy WebLinkAbout324 20TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
.lob Address: 324 E 20TH ST
Suite:
Vicinity: APT BLDG
Parcel Number: 42622140
Applicant: WHITNEY, ROBERT
Address: P015396
NEWPORTBEACH,CA
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS,CA
1394 E HILLCREST DR
Contractor: WHITNEY ROOFING
Address: P015396
NEWPORTBEACH,CA
Zip: 92659
Arch :
Address:
Zoning:
Phone: (949) 548-0769
Zip: 92659
Phone:
Zip: 91362
Phone: (949)548-0769
License: 406022
Eng:
Address:
Status: ISSUED
Applied: 03I05/2004
Issued: 03/OS/2004
ISSUED 8Y:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF APT BLDG ONLY: T/O EXISTING B.U.R. ROCK ROOF AND REROOF WITH SAME. 65 SF
Plan Check: $0.00
Permit: $195.25
SMIP Res: $1.10
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $196.35
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
LeR 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
s>>,000.00
s>>,000.00
NOTICE: 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 abandoned
for a period of 180 days.
INSPECTIONS: In order tor ihe work authorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) �545626
2446d8 (B/00)
WORKEpS' COMPENSATION DECLARATION: .
I hereby aNirm untler panalry of perjury one of ihe following declarations:
❑ I have and will maintain a certificate of consent to self-Insure tor workers' compensation, as
�work for which ihis permit is issuetl.
I have antl will maintain workers' compensation insurance,�s required jf section 3700 o e
My workers' compensation Insurance ca�er and policy4fu1h6er ars! /
Carrier.
(This section need not be complete
❑ I certify [ha� in the pertorman�
compensation laws of Califori
comply with these provisions.
Applicant SignaNre:
WARNING: FAILURE TO SECURE WORI
THOUSAND DOLL4RE ($100,000), IN ADI
LICENSED CONTRACTORS DE
I hareby aHirm that I am licensed
force and ettect. Lia N
Contractors Signature:
ane
of ihe
COMPENSATION COVERAGE IS
by section 3700 of ihe Lebor Code, for ihe pertortnance of Ihe
Labor Cotla, Por the peAortnance ot Ihe work for whiccrh�this permit is issued.
PolicyNumber. �JC9[ ��� /
or less.)
I shall not employ any person in any manner so as to
to the workers' compensation provisions of Seclion f
_ Date:
AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
=5 AS PROVIDED FOR IN SECTION 3]O60F THE LAE
9(commencing with Section 7000) ot Division 3 of iha Business
. _ ... . . Class #
to the workere'
' Cotle, I shall forihwith
i AND CIVIL FINES UP TO ONE HUNORED
INTEREST, ANO ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY: �
❑ I hereby attirm Ihat there is a consimction lending agency for the pedormance oi the work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
SignaNre: Date:
my license is in full
OWNEfi-BUILDER DECLARATIONS:
I herehy aflirm ihat under penal�y of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe fol�owing reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit b constmct, alter, improve, demolish, or repair any stmcNre, prior to its issuance, also requires the applicant for such permit
to file a signetl statament that he or she is licensed pursuant to ihe provisions ot ihe Contrectors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business antl Professions Code) or that he or she is exempt therefrom and the basis for the alleged e:emption. Any violation of Section 7031.5 by any applicant tor a parmit
subjects the applicant to a civil penalry of not more than tive hundretl tlollars ($500).):
❑ I, as owner of the propetly, or my employees with waqes as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or offered for sale (Sec.
7044, Business and Protessions Code: The ConGactors License Law does not apply to an owner of property who builds or improves �hareoq and who tloes such work
himself or herself or through his or har own amployees, provided ihat such improvemenis are not intended or ottered tor sale. If, however, the building or improvement is
sold within one year oi completioq the owner-builder will have the burden of proving that he or she did not build or improve tor puryose of sale.). •
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Code: Tha contractors License Law does not apply to an owner of propeny who builds or improves Ihereon, and who comracis tor such project with e contractor(s)
license pursuant to the Coniractors License Laws.).
❑ I am exempt under sec. Business and Professions Code tor this reason:
Signature: Date:
Owner ID verifietl by tlnver's license. ❑ Ves ❑ No Drivefs License No. Expires:
Veritication of Ownership by (type of document, i.e. - property taz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cetlity ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in connection with work authonzetl by ihis
permit, and ihat no 6uilding sirudure, scalloltling, falsework, or demolition or dismantling thereot, will be more than ihitly-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title e, California Administrative Code).
❑ As owner-huiltler, I will not employ anyone to do work which would require a permit irom the Division of Industrial Safety, as noted above, unless such person has e
permit to do such work irom Ihe division.
Signature:
Division of Indusirial Safety Permit Number:
Date:
HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATION:
1 W ill the epplicant or present or fmure builtling ocwpant need to file and certify a Business Plan tor emergency response to release or threatenetl release of a hazardous
materiai? ❑ Ves ❑ No
(Section 25505 of the Calitornia HeaHh and Safery Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time tluring a reported year a quantity ot hazardous ma�erials equal �o or 9reater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperawre and pressure).
....... ....... ... .........................................
................................................................................................................................................................................................................................................ . .
2 Does or will Ihe applicant or present or tuture building occupant neetl m file a registretion torm for acutety hazardous materials. ❑ Yes ❑ No
(Section 25533 of the Calitornia Health and Safery Cotle, with some exceptions, requires registration wiN the Costa Mesa Fire Departmant by each business which at any
one time has on hand a quantiry ot acutely hazardous materials equal to or greater than e weight of 500 pounds, or a volume oi 55 qellons, or 200 cubic teat of
compressed gas at standard tempereture and pressure).
........................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will the applicant or present or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutety hazardous materials)?
l ot ihe Calitornia Healih and Safery Code provitles ihat Ihe Costa Mesa Fire Department may require the preparatioq certification and filing with the Fire
en RMPP by businesses which are required to register acutely hazardous materials wi�h the Fire Department.
4 If an RMPP is presently requiretl, has Section 25534 ot ihe Califomia Heelth antl Satery Gotle been fully compuetl witn't U ves LJ rvo
.............................................................................................................................................................................................................................................................................................................................................................
5 Does or will ihe applicant or preseM or fuWre building occupan� require tot Ihe work which is the subject of lhis �plica�ion agermil for such cons�ruction or
irom the South Coest Air Qualiry Management District or irom any other air polWtion conVol tlisVict or agancy? LJ Yes LJ No
(Section 658502 ot ihe Celifornia Govemment Code requires that ihe requested informe6on 6e furnished on applications for non-residential building permits).
..................................................................................................................................................................._................................................................._...........................................................
6 Will any part of the facility to be cronstmcted untler this permit be within 1000 feet from Ihe o er boundaries of a school? ❑ Yes ❑ No
. Qf "yes,',_ ihe tacility. must.meet, ihe, requirement. of. Sections_25534.and.42303, oi, ihe, Californ' . Health.and. Safety. Code):
7 fl a permit irom the Sou�h Coest Air Quality Managemen� District or o�her av polWtion�ntrol distnct or agency is required tor Ihe work which is ihe si
aoolication, have all of the disclosures prescnbed by Califomia Health and Safery Code S ction 42303 been made? ❑ Ves ❑ No
Qf "yes", attach certificate of compliance irom Ihe appropriate air pollution cor
CERTIFICATE OF COMPLIANCE: I certiTy Ihat under penalty of perlury ihe
regarding Hazardous Materials and Emissions.
Signature:
given above is wrrect I agree to comply with all state laws and ciry ortlinances
Date:
CERTIFICA7E OF COMPLIANCE AND AU7HORIZATON OF ENTRY: I ce � under penalty ot perjury that I have read this application and state that the iMormation given is
correct. I agree �o comply with ell state laws and ciry ordinances rela�i o builtling consimction, antl authorize representatives of the City of Costa Mesa to enter upon the
above-descri6ed property for inspection puryoses. 1 ag�not to occ or allow occupancy oi any building authonzed by this permit unfil final inspection.
COpEM, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
204
Pool Spe Final
Final Re-Roof
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
Final Demolition �
Q� INTRI
3 l� aY�
COpEN INSPELTIONTYPE
206 Final Mechanical
208
270
212
220
Final Plumbing
Final Elecirical
Final Fira Prevention
Final Planning Approval
222 Final Site
250 Final Building/Occupancy
P97E
wu.
�d
(714) 754-5273 • Fax (714) 754-4856 • w�w+.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob .4ddress: 324 E 20TH ST
Suite:
Vicinity: APT BLDG
Parcel Number: 42622140
npp�icant: WHITNEY, ROBERT
Address: P015396
NEWPORTBEACH.CA
Zoning:
Phone: (949) 548-0769
Zip: 92659
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 91362
Contractor: WHITNEY ROOFING
Address: P015396
Arch :
Adtlress:
Phone: (949) 548-0769
NEWPORTBEACH,CA
Zip: 92659 License: 406022
Phone:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 03/OS/2004
Issued: 03/OS/2004
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF APT BLDG ONLY: T/O EXISTING B.U.R. ROCK ROOF AND REROOF WITH SAME. 65 SF
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$195.25
$1.10
50.00
�0.00
$0.00
$'196.35
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
Calc Valualion: S�i,00o.00
Claim Valuation: S�i.000.00
PLANNING & ZONING
Lefl 0- 0 Righl
Left 0- 0 Right
Proposed: 0
NOTICE: The work euthorized by ihis permit shall comply with all applicable handicap access requlrements under Callfornla statutes and related
regulatlons. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: Thls permlt shall automatically expire end become void II work Is not commenced wlthin 180 days, or if work Is suspended or ebandoned
for a period ol 180 days.
INSPECTIONS: In order for the work euthorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inepectlons antl tinel approval must be obtained. Failure to obtain Inspecllons and tinel approval will result in the explretlon of this permlt.
FOR INSPECTIONS CALL: (714) 759-5626
saa�ee �emo�
WORKERS' COI�PENS.ATION DECLAppnON:
I hereGy eflirm untler penalty ot perjury one ot t�e tollowing tleclarations:
❑ I heve entl wlll meintain e cenilicatg of conseni to self�lnsura tor workers' wmpensatlan, es providetl lor by section 3700 ot lhe Labor Code, tor Ihe pertormance oi Ihe
work for which �his permit is luued.
�I have end wlll meintain workers' compensatlon insuraxe, az requiretl by section 3700 of ihe Lebor Code, br the peAormance ot ihe work for which thts pertnit Ls iswetl.
My workers' compensetlan Insuren� rrie/r end poli umber ere: � A� �� �
Carrier. f Policy Number. G
(Th/s secfion neetl no( be crompletetl i/ the ermitls ve/u d et on hundretl dollers (S 100) ar less.)
I cenly thet In the peAormance of ihe work 1 ich thi ermit is issued, I shell not employ any parson In eny manner so as to b�y ome ubject to tha workers'
� compensatlon lews of Calllomla, entl e at It I s Itl bernme sublact b the workors' compansntlon provlslons of Sectlon 3 00 0�6 Lebor Code, I shall forthwilh
complY with ihese provisions. � /
Appllcenl Signnture: Deta: -S � N
WARNINO: FAILURE TO SECURE WOPKE ' OM NSnTION COVERAGE IS UNLAWFUL AND SWLLL SUBJECT AN EMPLOVER TO CRIMINAL PE ES AND GVIL FlNES UP TOONE HUNDRED
THOI,l54tJD00LLARE(S1CO.00OAM'�� �iOTMECQSiOFCOAIPENS4TIQN,DNMGE5A5➢ROVIDEDFORINSECTION3]OBOFTME fADE,IMEAESi,M'DATIORNEY'SFEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aHirm Ihat I am Ilcensed under pro '
brce entl eHect. Llc. a
Gon�rectoYs Slgnawre:
9 mmencing with Sectlon 7000) ol Divislon 3 of the Business antl
��i0 Z � Class q
CONSTRUCTION LENDING AGENCV: /
❑ I here6y aHirtn that Ihere Is e construction lending egenty tor t�e peAormance ol tha wark lor which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlefs Neme: Lendefs Address:
Signawre: Date:
my license is in lull
OWNER-BUILDER DECLARATIONS: �
I here6y aflirtn that untler penalry at parjUry thet I em E%EMP7 FROM 7ME CONTRACTORS LICENSE lAW tor the lollowing reeson (Sec. 7037.5, Business antl Pmfessions
Code: Any ciry or coumy which requires e permit to cons�ruct, alter. improve, demolish, or mpair any siructure, prior to its issuance, also requires the epplicant for such permit
ro fife e stgnetl statement thaf he or she Is licensetl pursuant to the pmvisions of the Contrectors IJcense Law (Chapter 9(cnmmendng wiM Section 7000) ot DiWsian 3 ot Me
Business end Profeulons Code) or that ha or sha is axempt therefrom entl the Desis tor the alleged azemption. Any violatlon of Section 7037.5 by eny epplicant tor e permit
subjects Ihe epplicant to e civil penalry oi not more Ihan five huntlretl tlollers ($500).):
❑ I, es owner ot t�e pmperty, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, end the sirucwre Is not Intendetl or otteretl br sale (Sec.
7044, Business and Pmfesslons Cotle: Ttia Contractors License Law does not apply to an owner of propaay who builtls or improves thereon, and who does such work
himselt or herselt or thwugh his or her own employees, provided Ihat such improvements are not Intended or oflered tor sale. If, however, the builCing or improvemenl Is
soltl within one year ot complelioq the owner-builder will heve ihe Durden ol pwving that he or she did not build or improve for purpose oi saleJ. '
� I, es owner of Ihe property, em E%CLUSNELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the prolecf (Sec. 7044, 8usines5 antl ProfesSions
Cotle: The contractors License Law does not apply to an owner of propeny who bullds or Improves thereon, end who contrects for such project with a contrector(s)
license pursuant to Ihe Contractws Licensa Laws.).
❑ I am exempt untlar sec. Business and Professions Cotle tor this reason:
Signamre: Date:
Owner ID verifled by tlriver's license. ❑ Yes ❑ No Drivers Licensa No. Expires:
VenNcation of Ownership by (type ol documem, i.e. - property ta�c bill or deed):
DIVISION OF INDUSTRIAL SAFETY P�RMIT LERTFICATION:
❑ I hereby certify thai no excevetlm five (5) or more Ieel in depth into whic� e person Is requlred to descend, will be metle in connection with work euthodzed by this
permit, arW that no building siructure, ScaMoldmg, talsework, or demolitlon or di5mantling the�eol, will �a rtrora Ihan thlrty-s!x (36) /eet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Tule B, Calitomla AtlministreWe Cade).
❑ As owner-bulider, I will not employ enyone to da work which would require e permit irom the Divislon ol Indus�nal Sefery, as notetl above, unless such peraon hes e
permit to tlo suc� work tram Ihe division.
Signature: Dale:
Divislon ol Intlustrial Selery Permit Number.
:ARDOUS MATERIALS AND EMIS$�ONS CERTFICATON:
W III lhe applicent or present or future bullding acupaN need to lile ond cehlty a Buslnass Plen tor emergency response to releese or threatenetl release af e huzertlous
maleriel7 ❑ Yes ❑ No
(Sectlon 25505 0l ihe Celifornle Hgelth and Sefety Cotle roqulres. with some exceptlons, Ihet e Business Plen be filed with Ihe Costa Mesa Fire Depenment by every
buslness which has at eny one lima during e reported year e Quemiry ol hezertlous melerials equel lo or greater ihan a weight ot 500 pounds, or a volume oi 55 gallons,
or 200 cubic leet of compressed ga9 et stendard tempereture antl pressure).
............................................................__._-..._.____..._._.._"...__._.............__._._................................_...................................................................._.................. ...._................. ........._......................_...........
Does or will the apDlicant or presenl or luWre builAing occupem neetl to lile e regislration lorm br ecutely �azerdous matenals7 ❑ Ves ❑�No
(Seclion 25533 ot the Calllamie He01th flnd Sefery CaAe, wit� wme exce tlons, requires repisiretlon with ihe Costa Mese Fire Departmenl by eech buslness whlch et eny
one time hes on hend a quentiry 01 ecutely hezardous meterials equePto or greeter then e welght ol 500 pounds, or e volume of 55 gellons, or 200 cublc teet ol
compressed ges et stantleM tempereture end pressura).
..................................................................._.........,.......................................__.................................................................................................................................................................._.........................�............_........._........._
Does or will theep plicant or Dreseni or tuWre building oauDant neetl to prepare an RMPP (Risk Management and Prevention Program for ecNely harardous metedals)?
❑ Y85 ❑ No
(Section 25534 ot the Calitomia Health and Satety Coae provides that Ihe CosW Mese Fire Department may requlre �he preparation, certification flntl IiMg wlih the Pire
Depariment ol en RMPP by busine55es whic� ere required to register ecutely �eeardaus matedels with �he Fire Depenment.
,__ ................._ -.--,_'_'_' _'....._—............._.....�..........................................................'_'........_ _........_"—"___
II en RMPP Is oresenilv reauired, hes Section 25534 of the Califomia Heelih and SefeN Cotle been tulty wmplied with'I ❑ Yas ❑ No
Does or will Ihe applicant or presen� or tutura builtling occupem raqWre for t�e work which Is i�e sub�ect ot Ihls e plitalion e pertnii �or such
trom the South Coest Air Oualiry Management District or frwn eny other air pollutlon control dlstrict or egency? � Ves CJ No
(Section fi58502 of the Califomla Govemment Code requires t�at the reQuested infortnation Ee tumishetl on epplications for nomresitlential bi
..._ .........................__._..__......._._........................_..........._.................................._.................................._........................................................................................ ........................ .....
W ill eny part ol the fadliry to be construcied under this pertnit he vrithin 7000 leat trom the outer bountleries ol a school? ❑ Yes ❑ No
(II yes", ihe lacility must meet Ihe rgquirement of Sections 25534 and 42303 0l iha Calitomia Heelth antl atey Cotle).
.._ ................._"'_ ""'—___..._.................. ....___._........_..__........._.....—.._
If e pertnit Irom Ihe South Coest qir �ualiry Management Distnct or olher eir pollutian conirol distnc or egenry is required tor the work
aoollcation, heve ell of the tlisclosures orescribed Dv Calitomia Mealth and Sefery CaOe Secilon 42303 en matle? ❑ Yes ❑ No
COMPLIANCE: I certity t�at under penalry of perjury t�e infortnation given
�s Metedels and Emissions.
Signeture:
CERIIFICATE OF COMPLIANCE AND AUiHORVA710N OF ENTHV: I certify untler
correct. I egree to comply wilh ell state laws entl dty ortlinances r mg to huildl
ebove�descrihed pmperty lor inspection purposes. I agree no cupy or allo�
COOE I. INSPECTIONTYPE
1618 Fixetl Sysiem Final Fire Pravention
1288 Pool Spa Final
200 Final Re-Root
201 PInelBlocWRetaining Well
202 Final Fectory Fire Place
203 Final5lgn
204 Finel Demolltlon
{�g �S
or modiflca0on
perm�u).
correct. I egree to wmpty with ell state laws and dry ardinances
Date:
� ol perjury that I heve read this epplication and state ihat the intortnatlon given is
�ctlon, end authodze representetives ot the Clly ofFosta Mesa to enter upon the
of eny building euthonzed by this permit until lineljfispection.
COUE 1 INSPECTION TYPE
206 Finel Mec�enical
200 Finel Plumbing
210 Finel Eleclrical
212
220
222
250
Finel Fire Prevention
Final Planning Approval
Final Site
Final Building/Occupancy
PAg It�ALB
(714) 754-5273 • Fax (714) 754-4866 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
Job Address: 324 E 2pTH $T
Suite:
Vicinity: APT BLDG
Parcel Number: 42622140
Applicant: WHITNFY, ROBERT
Address: P015398
NEWPORTBEACH,CA
Owner: NIEUPQRT INVESTMENTS
Address %LANCOINVESTMENTS
7HOUSAND OAKS, CA
1394 E HILLCREST DR
Contractor: WHITNEY ROOFING
Address: P015398
Arch :
Address:
NEWPORTBEACH,CA
Zip: 92659
Phone:
Zoning:
Phone: (949) 548-0769
Zip: 92659
Pbone:
Zip: 97362
Phone: (949) 54&0769
License: 406022
Eng:
Address:
Status: ISSUED
Applied: 03/OS/2004
Issued: 03/05/2004
ISSUED BY:
Phone:
2ip: License: License:
SCOPE OF PERMIT
REROOF APT BLDG ONLY: T/O EXISTING B.U.R. ROCK ROOF AND REROOF WITH SAME. 65 SF
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$195.25
$1.10
$0.00
$0.00
$0.00
$196.35
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Fronl 0- 0
PARKING Existin : p
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Righl 0- 0
Ri9ht 0- 0
s� i,000.00
s� i,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1$-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 abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end ell
required Inspeetione and final epproval must be obtained. Failure to obtain Inspections and final approval will result in tha expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
244&d8I8100)
WORKERS'COMPENSAnON DECLARAnON: -
I hereby aHirm under penelry of perjury one ot the tollowing declarations:
❑ I have entl will meintain e certiticata of consent to self-Inswe for workers' c mpensatlon, es provitletl br by section 3700 of the Labor Code, for the pertormence ot ihe
�work lor which this'permit Is issuetl.
I have entl will mei in worker ' compensati0n insurance, as required by 5 tion 3�00 ot ihe Lebor Code, for lhe pedormance oi Ihe woM for which this pertnit Is issued.
My workers' co on ur ce carner and policy number are: p
Cerner: Policy Number: �Yl'.(� ii' 0� %
(This section ne wt be ca p/eted i!!he Oermit is valuetl at one hundr dollars (5100) or less.) .
❑ I certity Ihe� in the pertormance of the wo ch this pe is issued, I shell not employ any person in any manner so as to 6ecome suD�ecyto the workers'
compensatlon laws of Celifomia, s re � ii I shou ecame sub�ect ta t�e workers' compensetion provisions of Saction 3700 of t e La 6r Co4e, I shell torthwith
comply with Ihese provisions.
Applicant Signeture: � Dete: V �
WAFNING: FAILURE TO SECUPE WORK S' COMP ATION COVERAGE IS UNLAWFUL AND SMALL SUBIECT AN EMPLOVEP TO CPIMINAL PENALTIE AND VIL FlNES UP TOONE MUNDqED
THOUSAND OOLURE (5100,000), IN IT1PY TO TME Cp$T OF CQNPENSATION, DMNGES AS PROVIDED FOR IN SECiION 3/06 OF THE LABOfl CWE, IM EST, AND ATTORNEI"S FEES.
LICENSEO CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisions of Cha r 9(com ncing with Section 7000) of Division 3 of the Business and ProtQssi s otle, antl my license is in full
force end eilect, Lic. M Class p L�''PC
Contrecmr's Signetura: Dete:
CONS7RUCTION LENDING AGENCV:
❑ I hereby eHirm that Ihere is a construction lending agency for the peAormance of �he work br which t�is pertnit is issued. (Se . 3097, Civil Code).
Lentlers Neme: Lender's Adtlross:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm that untler penalry of perjury thet I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following raason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requlres a pertnit to conslrucL alter, improve, demolish, or repair any structure, O�or to its issuance, also requires the epplicant tor such pertnit
to file e signed atatament that he or she Is licensed pursuant to the provislons of t�e Contrectore License Lew (Chepter 9(commencing with Sectlan 7000) of Division 3 0l the
Business entl Pratessions Code) or thet he or sha is ezempt therefrom end the basis lor the elleged exemption. Any violation at Sectian 7031.5 Dy eny epplicent for e pemit
subjects the epplicent to e civil penelry oi not morp than live hundred dollars (5500).):
❑ I, es owner of Ihe propeny, or my employeeg with wages as thalr sole compensailon, WILL DO TME WORK, antl the structure is not intended or oHerad for sale (Sec.
7044, Business and Professions Cotle: The Contractors License law does not apD�Y �a an owner of property who builds or improves thereon, and who tloes such work
himself or harself or �hrough �is or her own gmployees, provided ihat such Improvements ere not IntenOetl or oHered tor sale. If, however, Ihe building or improvement is
sold within ono year of completion, the ownar-builder will have �he burden ol proving ihat he or she diA not builtl or improve tor purpose ol sele.). '
❑ I, as Owner of �he propeM. am E7(CLUSIVE�y CONTRACTING WITH LICENSED CONTFiACTOFS to wnstruc� Ihe prolect (Sec. 7044, Busine55 end Prolessions
Code: 7he contrectors License Lew does npt flpply to en owner ol pwpeny who builds or Improves theraon, and who contrects for such pro�ect with a comractor(s)
license pursuant to ihe Contractors License Laws.).
� I am ezempt under sec. Business end Professions Cotle tor this reason:
Signewra: Date:
Owner ID ventied by tlnver's license. ❑ Ves ❑ No �river's License No. Expires:
Verificetion of Ownership 6y (type of tlocumem, i.b. - property tar bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT C�qT1FICATION:
❑ I hereby certily that no excavetion five (5) or more teet in depth into which e person is required to descend, will be matle in connection with work authorized by ihis
permit, and thet no building structure, scaHolding, falsework, or demolition or dismantling Ihereof, will be more than thiny-six (36) feat high. (Chap. 32, Grp 2, Ar12, Sec.
341, Tltle B, Celifomla Atlministrative Code).
❑ As ownervbuiltler, I will not employ enyone to do work which woultl require a pertnil irom the Division of Industnel Sefery, as noretl eDove, unless such person hes e
permll �o do such work trom tha division.
Signature: Date:
Division ol Indusirial Safety Permit NumDer:
CERTIFlCATE OF COMPLIANCE AND AUTHORIip710N OF V: 1 certity untler penalty ot perjury Nat I have read ihis epplication entl state ihat the information given is
correct I egree to comply with all stete I s entl city ordin es releting to builtling consWClion, end euthonze representatives of the Clry ot Coste Mesa to enter upon Ihe
ebove-descnbed propeny tor i io rposes, I agre ot to occupy or ailow acupancy of any builtling authorized by this per�t uftil final inspection.
GO�E I, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Roof
201 Flnal BIwWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demoll�ion
P�g It�LS
CppE1 INSPELTIONTYPE //
206 Final Mechanical
208 Final Plumbing
210 Final Electriwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildinryOccupency
/,
(71a) 754-5273 • Faz (�14) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lob nddress: 324 E 20TH ST
Suite:
Viciniry: RECREATION ROOM AT CENTER OF AN APT COMP
Parcel Number: 42622140
App�icant: LANDRY, PHILIP T
Add�055: %LANCOINVESTMENTS
THOUSAND OAKS,CA
1394 E HILLCREST DR
Zoning:
Phone: 805�551-9372
Zip: 91362
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR 2ip: 91362
Con tractor: O W N E R-B U I LD E R
Address:
Zip:
Arch :
Address:
Phone:
License: 000000
Eng:
Address:
Phone:
ISSUED BY:
StaWs: ISSUED
Applied: 09/17I2002
Issued: 09/17I2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
CHANGE-OUT OF TWO 4' X 5'6" WINDOWS WITH TWO FRENCH DOORS (3°X 6'8") IN AN EXISTING APT
RECREATION
ROOM. HEADER SIZE WILL BE THE SAME.
Plan Check: $0.00
Permit: $69.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $69.75
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0. 0
PARKING Existinq: 0
NOTES:
Rear 0. 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
Calc Valuation: Sz,000.00
Claim Valuation: 3z,000.00
PLANNING 8 ZONING
Left 0- 0 Right
Left 0- 0 Right
Proposed: 0
. NOTICE: The work authorized by this permit shall compy wflh all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: Thls permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned
for a pedod of 18o days.
INSPECTIONS: In order tor Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlo�e and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 754-5828
zaase �eroo�
WORKERS'COMPENSATON DECLARAnON: � �
I hereGy eifirtn untler penalry ol perjury one of the following declaretions:
❑ I have end wlll malntain e certllicata at cpnsent to self-Insure tor workers' compensa�lon, es provitletl lor by section 3700 of lhe Lebor Catle, for the peAormence of the
work tor whiCh Ihi9 permlt IS ISsueA.
❑ I have eM wi0 maintain workers' comper�� inwrancq. ¢5 requlretl hy sectlon 3700 oi the Lehor CoOe. for Ne perfortnar�ce ot Ne wwk iw whkh thLs pertnit is Lawed.
My workers' compensatlon Insurence cerdar entl poliry number ere:
Cerrier: Polity Number:
(7his secrlon need not be canpleted i! fhe permi( 75 velvea ef one hwMred ddlers ($100) or Ie55J
❑ 1 cenily that In Ihe peAortnence oi the work lor which Ihls pertnit is issuetl, I shall not employ eny persan In eny manner so as to becoma subject ta Ihe workers'
compensatlon laws af Calilwnle, end egree t�at tl I shaultl become subl�� �o Ne workers' compensetlon pmvisions of Section 3700 0l ihe lebor Code, I s�all torthwith
wmply with Ihese provlsions.
Applicent Signeture: Dete:
WARNINO: FAILUFE TO SECURE WORNERS' COMPENSATION WVEMGE IS UMAWFUL AND SHALL SUBIECf M! EM%.OVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
T/10USAN0 �OLLARE (f100,000� IN ADORION TO TF1E W5T OF ODMPENSATIIXJ, DAAIAGES AS PROVIDED FOR IN SELTON 3108OF THE L1BOR CODE, INTEREST. AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirtn thet I em Ilcensetl untler provisions of Chapter B(commendng wlih Socilon 7000) ol Dlvlsion 3 al the Business enA Professions Cotle, entl my Iicense Is In tull
force entl eNecl. Lic. M Cless a
Conirectots Signeture: Daie:
CONSTRUC710N LENDING AGENCV:
❑ I hereby afllrtn l�el Ihere Is a conslructian lending apency tor t�e pertormance ol the work Por which this pertnit Is issued. (Sec. 3097, CIWI Cotle).
Lentler's Name: Lendefs Adtlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eNlrm Ihet under penalry of per�ury NaI 1 em EXEMP7 FROM TNE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Protesslons
Coae: Any Gry or counry w�lch requires e permit lo construct, elter, improve, tlemdlsh, or repair eny structura, prior ro its Issuance, elso requires the epplicant tor suc� pefmit
to ille e signed slatement t�a� he or she Is Iicensed pursuent to Ihe O���ons ol the Contrectors License Lew (Cheptar 9(commendng with SecUon 7000) ol Division 3 of Ne
Business end Profes5ion5 Code) ar that he or she is exempt theretmm entl the besis for the alleged exemption. Any violation of Section 7031.5 Dy eny epplicent for e pertnit
subj cis the appllcant to e dNl penalry ol not more than frve hundred ddlers (S500j.):
� I, es owner oi the properry, or my employees with weges as thelr sde compensatlon, WILL DO THE WORK, and the siruciure Is not inierbetl or oMeretl lar sele (Sec.
7044, Business antl Professlons Catle: The Contractors License Lew tloes not epply to an owner of propeny who builds or improves tharaon, and who tloas such work
himself or herselt or I�roug� his or her own employees, providetl thet such Improvemenis era not intended or aflered br sele. If, however, the building or impmvement Is
sold within one year ol completian, the ownar-builder vrill have the burtlen ot proving that �e ar she did not build or improve tor purpose ot sale.).
❑ I, as owner ot lhe property, em EXCW$NELY CONTRACTING WITH LICENSED CONTRACTORS l0 consiruct the pmject (Sec. 7044, Business anA Prote55ions
Code: The wntrectors License Lew does not appty ro an owner ol property who DUIICs or Improves thereon, end who contracts for such project with e contrector(s)
license pur5uent to the Cantraaars License Laws.).
❑ I em exe ntler c
Signature:
Owner ID verllletl y tlrivers
❑ No
Business end Pmlessions Code br this reeson:
Date: � 9^ /7 u 2
DdvefsLlcenseNo. � Expires:7-/7-��
Verilicetion ot Ownership by (type of document, i.e. - property la< �ill ar deed):
DIVISION OF INDUSTRIAL SAFETV VERM17 CER7IFICATION:
❑ I hereby cenify that no excavatlon tive (5) or more feet In depih Into which e person is requlred Io descend, will ba made in connection with work euthotlzed by Ihls
parmit, end that no bulltling swcWre, sCeryolding, falsework, or tlemolition or dismentling thereot, will be mora �hen ihirry-six (38) leet high. (Chap. 3.2, Gry 2, A� 2, Sec.
341, 71t1e 8, Celifomia AdminlslratNe CCWe).
❑ As owner-builtler, I wiil nat employ enyone to tlo work which would requlre a permit Irom Ihe Divislon ol Industriel Safery, es noted ebove, unless suth person hes e
pertnit to do suc� work tmm t�e division.
Signature: Date:
Division ol Industnal Salery Permit Number:
CERTIFlCATE OF COMPLIANCE M1D AUTHORIZA710N OF ENTAV: I cenify under penalry ot perjury thal I have read ihis appliwtion and state thet the Inlormation given is
correct. I egree to comply with ell stece lews en0 city ordlnances releting to bulltling wnstruction, antl eNhorize representatives oi the City ot Casta Mese lo enter upon the
ebove-descnbed p�� fyr inspe�n purp0.agr� � egree not to occupy or ellow occupanty oi eny building aulhorizeA by this permil until fnel ins0ection.
�4PE,J. INSPECTIONTYPE
1816 Fixetl System Finel Fire Preventian
1288 Paol SOe Flnel
200 Finel Re-Rool
201 FInaI BIocWF±eteining Well
202 Final Fectory Flre Place
203 Finel Sipn
204 Finel Domolilion
p� �" �QQ� INSPECTIONTYPE
208 Finel Mechanicel
20B Finel Plum�ing
210 Final Electrlcel
212 Finel Flre Prevention
220
222
250
Finel Planning ApP��'al
Finel Site
Finel Builtling/Occupancy
[?Date
�7_ ��' OZ
Date
QAg It�LB
� �-d '� �
NL
(714) 754-5273 • Fax (714) 75a-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
AT THI:
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
Job nddress: 324 E 20TH ST
Suite:
Viciniry: WEST SIDE APT BLDG
Parcel Number: 42622140
Zoning:
Applicant: GRAND PACIFIC ROOFING COMPANY
Adtlress: 8766 SAN FABIO
CA Phone: (714) 220.0711
BUENA PARK Zip: 90620
Owner: NIEUPORT INVESTMENTS
Address YoLANC0INVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 91362
Contractor: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK
Zip: 90620 License: 741260
Arth :
Address:
Phone:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 09117/2002
Issued: 09/17/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
Rear 0-0
Rear 0-0
Reouired: 0
ree aummrarcr
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right ' 0. 0
Right 0- 0
53,100.00
$3,100.00
NOTICE: The work aulhorized by this permit shall compy with all applicable handicap access requirements under Calilomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automaticaliy expire and become vold if work is not commenced within 180 days, or II work is suspended or abandoned
for a period ol 180 days.
INSPECTIONS: In order tor ihe work authoriietl under lhis permit to be considered iegal, such work must comply with all applicable codes, and all
requlred Inepeetlone end final epproval must be obtalned. Failura to obtain inspections and final approval will result in tha expiration ol this pertnit.
FOR INSPECTIONS CALL: (714) 7545628
tsos�e �aroo)
WORKERS'COMPENSATON DECLARAnqN: �
I hareby effirtn under penalry of perjury one oi the fdlowing dedarailons:
❑ I have end wlll maintain e ceNficele ot cpnsent to selt-Insure for workers' compensatlon, es provltletl Por Dy sectian 3700 of tha LaDor Cotle, tor t�e peAormence of the
work for wNcn cnis permit is issuetl.
�,
�have entl will meintain wOrkers' compen�g�pn Insurence. av requiretl by sectian 3700 ohlie Lebor Catle. br the perfortnence of Ne work tor whkh NLa pertNt Is Lssued.
My workers' compensatlon Insurance cerder end policy numbar ere:
Carder: PoliCy Numbec
(Thls section need nof be cwnpleted i! fhe pemti(!g vglued et one huntlred tld/ars (5100) w IessJ
❑ I certity ihat In t�e pertormance ol Ne wOrk tw whlch Ihis pertnit is Issued, I shall not employ eny person in eny menner so es to become sub�ect lo Ihe workers'
compensetlon la of Celifomia, end ree lhat il I sl u10 becyyymmm e sub�ecl to Ihe workars' compensellon provisions of S�on 3700 of the Lebor Code, I ahell foMwith
comply wit� t�ese ro on � �� I O�
Applicam Sipnature: � Dete: �
WFRNINO: FAILURE TO $ECUFE ORNERS' COMRpp! ION COVEfUOE IS UMAWNL AND SWLLL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES M1D CNIL FlNES UP TOONE HUNDRED
THOUSANDOOLURE�S100,000),INAODfTIONTOTF�E TOFGI�MPENSATIIXJ,DAMAGESASPROVIDEDFORINSECTION31080FTHElABORCOOE,IMEREST,ANDFiTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATON:
I hereby efllrm ihat I em Ilcansed under pmWsions ol C�apter 9(mmmendng wlih Section 7000) of Dldsion 3 al the Business entl Pmfessions Catle, end my Iicenae Is In tull
torce and eflect. U0. M CIe99 M
Cantractofe Signewre: Dete: � ( '��%Y% i
CONSTRUCTION LENOING AGENCV:
❑ I hereby eHirm Ihe� Ihere i5 8 con5truciian Ientling egency tor Ihe peAortnenCe ot Iha work for whiCh �hi9 perml� is 155uetl. (Sec. 3097, Civil CoOe).
Lendefe Name:
Signeture: _
Lendefs Address:
Dete:
OWNER•BUILDER DECLARATIONS:
I hereby afllrm thal untler penelry at perjury thel I em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor Ihe lollowing reeson (Sec. 7031.5, Businesa end Prolessions
Cotle: Any ciry ar county which require5 e permit to canstruct, elter, ImO�ove, demolish, or repair eny structure, O�lor to It5 issuance, elso require9 t�e eppllCenl lor 6uch pertnil
to Ille e signed slatemenl ihat he or she Is Ilcgnsed pursuent lo the proNsions ol tha Contrectors License Lew (C�epter e(wmmencing with Sectlon 7000) ol Divlslon 3 of the
Business end Prolesslons Catle) ar Ihat he or she is exempl theretrom enA t�e basis for the elleged exemption. Any vlalation of Section 7031.5 by eny applicent br e pertnil
sublecta t�e eppllcant to e civil penelry oF not more t�an tive hundred dollers ($500).):
❑ I, as Owner ot Ue p�aperty, or my emplaye¢y �vith weges as Iheir sole compensetion, WILL DO TME WORK, antl the struc�ure is not intentletl or oHeretl tor sale (Sec.
7044, Busfness anE Professions Cade: 7Fie Contractors LJcense Lew Cces not apply m an owner o( propeny who builds or improves thereon, entl who does such work
himself ar hersetl or ihwugh his ar har own emplqrees, D�ovided i�et such Improvements are not Intentletl or oHered far sele. It, however, tha building or Imprwement is
soltl within one year oi campletion, Ihe owner-builOer will have t�e burden of proving that he ar she did not bulld or improve lor purpose of sale.).
❑ I, es owner ot Ihe properry. am E%CLU$IVELY CONTRACTiNG WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business end Professions
Cotle: 71ie comrectors License Law tloes not appty m en owner ol property who builtls or ImO�o�es Ihereon, and who contracts lor such pro�ect wlth a contractor(s)
license pursuant to the Contractors License Lewi�.
❑ I em exempt under sec. Business anC Protessions Cotle lor this reeson:
Signature: Date:
Owner ID veritied by Ariver's Ilcensa. ❑ Yes ❑ No DriveYs License No. Expires:
Venlication ot Ownership by (type of documenl, i.e. - property tex blll ar AeeA):
DIVISION OF INDUSTRIAL SAFETY VERM17 CERTIFICATON:
❑ I hereby cenify ihat no excavation five (5) or mare feel in depih Into whlch a person Is requiretl �o Cescentl, wlll be mede In connection with work euthotlzed by t�is
permit, end that no builtling swcWre, sCeHolding, felsework, or tlemolltion or dismentling thereoi, will �e more than ihirry-six (38) leet hig�. (Chap. 32, Grp 2, Art 2, Sec.
341, 71t1e 8, Celltomia Adminls�retWe Cqtle).
❑ As owner-builder, I will not employ enyune to do work which would requlre a permit irom Ihe Divislon ol Industriel Sefery, es noted above, unlesa such person hes e
permll b tlo such wark fmm Ihe division,
Sigrreture: Date:
Divlsion ol Intlus�rlal Sefery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTMOR¢A710N OF ENfFiY: I cenity under penalry of perjury that I heve reaa this epplication anC state that Iha intortnation given is
correct. I egree to compy with all state laws and ciry ortlinences relating to bulltling conswction, end authodze representatives ol Ihe Ciy of Costa Mesa to enter upon the
ebove-descnbed property tor inspection purppses. I egree not to occupy or allow occupancy of eny Duilding euthodzetl by this pertnil until final inspection.
CODE �. �xsveenoNTrve
1fi78 Fixed Sysiem Finel Fire Prevention
1288 Pool Spa Finel
200 Final Ro•Roof
201 Finul BIocWRetelnlnp Well
202
203
204
Finnl Fectory fire Plece
Finel Sipn
Finel Demolitlon
Pdg ItffiIELS
/D -7 2_-"'- ��'
CODEI INSPECTONTYiE
208 Flnel Mahenlcel
208 Final PIum6ing
210 Final Eloctrical
212 Finel Fire Preventlon
220 Flnal Planning Approval
222 Finel Slte
250 Finel Buliding/Occupency
� L�a`� � O�
ate
p7H .uul.lSl
' °s
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us P FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 324 E 20TH ST
Suite:
Vicinity: EAST SIDE BUILDING - APARTMENTS
Parcel Number: 42622140
Zoning:
npp�icant: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK Zlp: 90620
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 91362
ConVactor: GRAND PACIFIC ROOFING COMPANY
Address: 8�66 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK
Zip: 90620 license: 741260
Arch :
Address:
Phone:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 09/17/2002
Issued: 09/77/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF MANSARD AREAS ONLY FOR AN APARTMENT COMPLEX. FLAT AREA NOT TO BE RE-ROOFED
AT THIS TIME.
Plan Check: $0.00
Permit: $57.05
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $57.55
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Fmnt 0-0
PARKING 6cistinq: o
Rear 0• 0
Rear 0. 0
Reouired: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
si,ssz.00
$1,562.00
NOTICE: The work authorized by this permit shall compty wlth all applicable handicap access requiremenis under Cali(omia statutes and related
regulatlons. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automaticalty expire and become void if work is not commenced within 780 days, or if work is suspended or ebarxloned
,, for a period of 180 days.
INSPECTIONS: In order for the work aulhoAzed urWer this permit ta be considered legal, such work must eompy with all applicable codes, and all
requlred Inspectlona and final epprovel must be obtained. Failure to obtain inspections and final epproval will result in the ezpi2tion of this permit.
FOR INSPECTIONS CALL: (714) 7545628
2saBa81d�00)
WORKERS'COMPENSATON DECLARAnON:
I �ereby aflirtn untler penalry oi perjury wre at t�e tWlowing tleGaratlans:
❑ t �eve end wlll meintein a cenificate ot consent to sell-Insure tor workers' compensatlon, as provlded lor by sectlon 3700 0l ihe Lebor Code, for the peAormance of ihe
work lor w�ich t�is pertnil is issuetl.
�t have arM will maintein workers' compensatlon insurence, es requiretl by seclbn 3700 01 the LaEor Code, for the peAortnance o1 the work for which this pertnit is Issuea.
�V My workers' compensetlon Insurence carrler antl pdiry number are:
Cartier: PoliCy Number.
(Thls secfion need not De wmp/eted il the perml( is ve/uetl et one hundred dollers ($100) or /ess.)
❑ I certity Ihat In I�e peAortnenca ol the wark tor which Ihis permit Is issued, I shell not employ any person In eny manner so as to become subject to tha workers'
compansntion lews ol 'tomia, e groa thet II I shoulA bec � sub' el'%t�e workars' compensatlon provislons oi Sectlon 3700 of the Lebar Cade, I ahell lonhwith
comptywiththe d i�� � � J' ^ _O /)
ApplicantSlgnaWre: � Date: / �J
WARNINCi: FA1 WFE TO�CU WOBI ' ENSATIIXJ GE IS UNLAW R1L AND 5lN11$UBJECT AN OYER TO CRIMINPL PENALTIES M10 CML FlNES UP TO ONE HUNDRED
hKK15M1D DOILARE (5100.00OI.IN �DDfTION TO THE COST OF COMPENSATION, ON.UGES AS PROVIDED FOR IN SECfION 3]OB OF THE UBOR CODE, INfERESf, AND �TTORHEVS FEES.
LICENSED CONTRACTORS DECLAFiA710N:
I �ereCy aNirtn that 1 em Iicensed under provisbns
brce end eNact. Llc. n� �
Comrectors SlpnaWre:
8(commendng with Seciion 7000) oi D'Msion 3 af Ihe Business end Professions Cotle, entl my Ilcense Is In tull
Glau a
_. . __ . .... Date:. — — _ .._� . .� __ _..� l i�%
CONSTRUC710N LENDING AGENCY: /
❑ I hereby eHirtn t�et there is e construction lending agency lor ihe pertortnence ol the work lar which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentle/s Neme: Lendef5 AtlAress:
Slgne�urB:
Date:
OWNER-BUILDER DECLARATONS:
I hereby attirm Ihet under penelty oi perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e tollowing reason (Sec. 7031.5, Business end Protessions
Cade: Any ciry or counry which requires e permit to conswn, alter, improve, demWish, or repalr eny siructure, prior to its issuance, also requiras the epplicant br such pertnit
to tile a 51gneC stetement thet ha or she Is Iicensed pursuenl to the D�oWslons of Ihe Conirectors Llcense Lew (Chepter 9(commencing wilh Sectlon 7000) ot DIWs{on 3 ot Na
Business antl Prolessions Code) or Ihat he or she I5 eaempt thereiran end the �asis for the ellegetl axemption. Any violetlon af Section 7031.5 by eny epplican� for a pertnit
subjects Ihe epplicant to e cldl penalry at not more then five hundred dollars ($500)J:
❑ I, as owner oi Ihe properry, or my employees with weges as Ihelr sole compensatlon, WILL DO 7HE WORK, end Ihe siructure Is not intended or oNered lor sale (Sec.
7044, Business and Prolessions Code: The Conirectore License Lew tloes not appry to en owner ot property who bullds or improves Ihareon, antl who does such work
himsalt ar herselt or through his or her own employees, provided ihat suc� impravements ere not Intended ar oMerad tor sale. II, however, the 6uilding or improvement is
sold within one year of completion, ihe owner-builtler will have the burden of proving thet he or she did not build or Improva tor purpose ot sale.).
❑ I, a5 owner ol the property, em El(CLUSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to construct t�e pro�ect (Sec. 7044, Business and Professims
Cade: The contrectors License Law tloes not eppty ta an owner ot pmpeny who bullds or Improves Ihereon, and who conirec�s for such Droleci with e contractor(s)
license pursuent to the Cantractors License LewSJ.
❑ I am exempt untler sec.
Siqnatura:
Owner ID verilied by dAvets Ilcense. ❑ Yes ❑ No
Business and Professions Catle tor t�is reason:
Venfication ol Ownership by (rype oi document, i.e. - property tax blll or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Drivefs License No.
Date:
Expires:
❑ I hereby certlty ihet no excavation live (5) or mora feet In depth into whic� a person Is requlred to tlescentl, wiil be made in wnnection with work eut�orizetl Dy thls
pertnit, and that no building sWcture, scaHoltlinp, lalsework, or demalition or dismantling Ihareol, will be more ihan Ihirry-sla (36) leet hiph. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Celllornle Atlministrative Cade).
❑ As owner•bull0er, I will not employ enyone to do work whiU woultl repuire e permit Irom the Divislon at Industrial Sefery, es noted ebova, unless such person has e
pertnit to tlo such work trom the division.
Signeture: Dete:
Division ot Induslriel Sefety Permil Number:
CERTIFICATE OF COMPLIANCE ANO AUfHORIZA710N OF ENfAV: I certify under penalry ot perjury that I have read thls applicatlon end state Ihet ihe Iniormatlon given Is
correct. I egree to wmply wllh all state laws enG dty ordinences relating to building construcilon, end euthodze representatives ot the Ciry ol Costa Mesa to enter upon the
ebove-describad property tor inspection puryoses. I egree not to occupy ar allow ocapancy ot eny building authorized by this permit unlil linel inspection.
40UE r.
1816
1266
200
201
202
203
204
Fixetl System Finel Fire Pi
Pool Spe Finel
Final Re-Rooi
Finel BIocWRetelninp Well
Flnal Factory Firo Place
Final Sign
Final Domalitian
Pdffi It�LS
/o—L2—e i� �
� _ D t
I � ' Date �
COOE I INSPELTION TYVE
208 Flnal Mechanical
20B Flnal PIum6ing
210 Flnel Elec�rical
272 Flnel Fire Preventlon
220 Final Planning Approvel
222 Finel Site
250 Finel Building/Ottupency
PAg It�l,4
(714) 754-5273 • Fa�c (714) 754d856 • www.ci.costa-mesa.ca.us 77 FA�R DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 324 E 20TH ST
Suite:
Vicinity: POOL BUILDING
Parcel Number: 42622140
Zoning:
Applicant: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK Zip: 90620
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 91362
Contractor: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK
Zip: 90620 License: 741260
Arch :
Address:
Zip:
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 09/172002
Issued: 09117/2002
Phone:
License:
SCOPE OF PERMIT
RE-ROOF MANSARD AREAS ONLY FOR AN APARTMENT COMPLEX. FLAT AREA NOT TO BE RE-ROOFED
AT THIS TIME.
COVER POOL HOUSE MANSARD AREA WITH SIMULATED SHAKE. CLASS C MINIMUM.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Fronl 0. 0
ACCESSORY Front 0-0
PARKING Existinq: 0
Rear 0- 0
Rear 0- 0
Reavired: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
$3,100.00
$3,100.00
NOTICE: The work aulhorized by this permit shall compy with all applicable handicap access requiremenis under Calitomia statutes and related
regulations. (Ord. No. 9248, § 1, 1241-92)
EXPIRATION: This parmit shall automatically expire and become void if work is not commenced within 180 days, or if work ts suspanded 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
requlred inepeetlone and finel approval must be obtained. Failure to oblain inspections end final approval will result in the expiratlon of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
240&IB (B�OD)
WORKERS'COMPENSAnON D�CLARATON: �
1 hereby eftirtn under penalry of peryury one ot t�e tollowing declarations:
❑ I have and will mainteln a cerylfiwte oi consent lo selbinsure tor warkers' campensation, as provided lor by sectlon 3700 of I�e Lebor Cotle, for t�e peAormence of the
�work for w�ich Itils pertnit Is iysuetl.
ve end will maintain workBrs' campensatlon Inwrance, a9 requiretl by sedion 3700 0l the Le6or Cotle, tor the peAortnence ol Ihe work far whkh this pertNt is issuetl.
My workers' compensatlon Insurence cerrier and policy number ere:
Carriac '� � PoliCyNumber:
(TT/s sec(ion need not be complete0 il Me permlf !s veluetl et one hundred dd/ars (5100) or less.j ' .
❑ I certify t�at in Iha pertortnanca ol Ne work br which tNs pertnit is Issued, I s�all nat employ eny person in any manner so as lo become subject to the workeB'
compensatlon �aws ol Califomia, entl egree t� i tl I shauld becwne sub�ect t the workers' compensatlon provisions of Sectiory.�700 0l th9 � r O�rthwich
comply with these pra ' /,j I
Applirant Sipneture: Date:
�� _
WARNINO: FAILURE TO SECURE Vji KERS' COMPENSATION OE IS UM.AWFUL AND SWLLL SUBJECf rW EMPIOYER TO CRIMIN�L pENALPES AND CML FlNES UP TO ONE HUNDRED
hKKAWJD OOLLARE R��•�%• If! AOpiqH 7p7ryE W5T O OMPENSI�TION, UAANOES AS PROVIDED FOR IN SECiION 31080F THE UBOR CODE, INTEREST, ANO ATTORNEYS FEE$,
LICENSED CONTRACTORS DECLARATION:
I herehy aHirtn Ihat I am IlcenseG under proNsions ol Chapter 8(commendnp wlth SecUon 7000) of DMslon 3 ot Ihe Businesy entl Professlons Cotle, and my Ilcense is In tull
torce enC eHeci. Lic. a Class a
Conirectors Signeture: 7�� Date: � �� �%
CONSTRUC710N LENDINO AGENCV:
❑ I hareby eHirtn that Ihere Is e consWciion lentling epenry tor Ihe peAormance of the work tor whlch Ihis permit is Issuad. (Sec. 3087, qvll Cotle).
Lendafs Name: Lendels Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hareby eflirm Ihet untler penelty ot per�ury thal I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe lollowing reeson (Sec. 7031.5, Business end Pmtesslons
Code: Any ciN or counry which requires e permit to cronstruct, elter, Improve, demolish, or repair any sWcture, pdor to its issuance, elso requlres the aOD����t for such pertnit
to tile a signed stetemeN that he or she is Ilcensed pureuent lo Ihe pmvisions of tha Contractoro License Lew (Chepter e(commendng wlth Sectlon 7000) of Dlvislon 3 of Ne
Business entl Protessions Cotle) Or thel he or sho is axempt tharefmm anA the basis for the ellegetl exemption. Any vialation oi Section 7031.5 by eny appllcanl tor e pertnl�
subjecis the apPlicant to e civil penalty oi nat mare than tive hundred dollers ($500).):
❑ I, as owner ot Ihe D�aPerty, or my employees wlih wages as �helr sole wmpensation, WILL DO TME WORK, entl the structure is not Intendatl or oHeretl tor sele (Sec.
704a, Business antl Protessions Cade: The Contractoro License Lew does not epply to en owner of property who builtls or improves thereon, and who does such work
himself or herselt or through his ar her own emD�%'ees, provitletl that such improvements era not intended or affered for sele. It, however, Ihe building or Improvement is
sold within one year of completion, ihe owner�builder will have the burden at proving that he or she did not build or improve lor purpose of ule.j.
❑ I, as ov.•ner oi tha property, am E%CLUSIVELY CONTRACTING WIT11 LICENSED CONTRACTORS to construcf ihe project (Sec. 7044, Buslnesg flrM Prolessbns
Cotle: The contractors LJcense Lew tloes not epply to an owner of pmperty who bulltls or Impmves therean, end who contracis lor such project with e caniractor(s)
license pursuam to Ihe Contreqors License Lews.).
❑ I am exempt under sec. eusiness and Professians Code tor this reeson:
Siqnature: Date:
Owner ID verified by drivefs license, ❑ Yes ❑ No DriveYs LJcense No.
Verifiwtion of Ownership by (rype ol document, i.e. - praperry tar bill or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFETy PERMR CERTIFICATON:
❑ I hereby cenity thet no excaveUon five (5) or mora teet In tlepN into w�ich e persan is required to descend, will be metle In connection with work euthwized by this
pertnit, antl ihat no builtling gtructure, scaHoldinp, telsework, or tlemolition or dismentling thereof, will be more Ihen thirty-six (38) tee� hiph, (C�ep. 3.2, Grp 2, Art 2, Sec.
341, Tille 8, Celifomia Admlqlslretive Cotle).
❑ As owner-builCar, I will not omploy enyone to do work whith would require e permit irom Ne Division oi Industriel Selery, es noted ebove, unless such person hes e
pertnit to do such work from the di�risbn.
Signature: Date:
Divislon of Intlusirlal Satery Pertnit Number.
CEB7IFlCATE OF COMPLIANCE qN0 AUTHORQATION OF EMAV: I certify under penalry ot perjury tha� I have read this epplicatlon antl state that tha Infortnatlon gNen is
wrrect I egree to comply with ell ytate laws entl Gty ordlnences reletinp ta building wnstruction, antl authonza representatives of Ihe Ciry oi Costa Mesa to enter upon the
ebove-described properry tor insp�ction purywes. I egree not to occupy or ellow accupanty of eny building authorizetl by this pertnit until linel inspection.
COOE t. INSPECTIONTYVE
1616 Fiaed System Final Fire Prevention
1268 Pool Spe Finel
200 Flnel Re-Rool '
(
201 Final BIocWReteining W411
202 Final Factory Fire Plece
203 Final Sign
204 FinalOemolifian
P6IE ItII�LB
(O�L2-o2 f-�
' I 1 °-Y� �
Date
QQQf�j INSPECTIONTYPE
206 Finel Mechanicel
20B Finel Plumbing
210 Finel Eledrical
272 Finel Fire Preventlon
220 Finel Planning Approval
222 finel Site
250 finel BWlding/Occupancy
PAg U{I�dl$
,(714) 754-5273 • Fex (714) 75a-4856 • vrxw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job nddress: 324 E 20TH ST
Suite:
Viciniry: SOUTH SIDE BUILDING - APARTMENTS
Parcel Number: 42622140
Zoning:
Applicant: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FA810
CA Phone: (714) 220.0711
BUENA PARK Zip: 90620
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 91362
Contrecror. GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK
Zip: 90620 License: 741260
Arch :
Address:
Phone:
Eng:
Address:
ISSUED BY:
Slatus: ISSUED
Applied: 09117/2002
Issued: 09I17I2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF MANSARD AREAS ONLY FOR AN APARTMENT COMPLEX. FLAT AREA NOT TO BE RE-ROOFED
AT THIS TIME.
SOUTH SIDE OF PROPERTY APARTMENT BUILDING.
Plan Check: $0.00
Permit: $57.05
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $57.55
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0. 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
Calc Valuation: Si,5s2.o0
Claim Valuation: S�,ss2.00
PLANNING 8 ZONING
Lefl 0• 0 Right
Left 0. 0 Right
Praoosed: 0
0- 0
NOTICE: The work authorized by this parmit shall compty with all appllcable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: ThIs permit shall automatically ezpire and become void il work is not commenced within 180 days, or it work Is suspended or abandoned
for a perlod of 180 days.
INSPECTIONS: In orUer lor the work aulhorized under this pertnit to be eonsidered legal, such work must wmpty with all epplicable codes, and ell
requlretl Inspeetlona and flnal epproval must be obtained. Fallure to obtein inspeclions and final approval will result in the expiratlon of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
2ad&te�&tl0)
WORKERS'COMPENSAnON DECLARAnON:
I hereby effirm untler penalry oi perjury one ol the lollowing deGareLons: �� 'r
❑ I heve end will maiNain a certifcate ol cansent to self-Insure br workers' compensetion, es pmNded for by section 3700 ot t�e Lebor Cotle, tor the peAormence of the
� w/ork for whiCh IhiS pertnit I5 iuuBA.
Ll/I l�eve end wlll maintain vrorkers' compenSaUon insurenca, es requlretl by section 3700 oi Ne Labor COAa, lor Ne pertortnance ot Ne wark for which Oris pertnit is iswed.
�� My workers' compensatlon Insurence cartler end po0cy numher ere:
Certier: f Poliry Number:
(This secHon need not be complefed i! Ne permiN9 velued el one hundred dW/are ($100) ar Ie55.J
❑ I certify that in tha peAormence af tha work fOr w�ich this permit is issued, I shell not empla/ eny person In eny menner so as to become subject to t�e woAcers'
campensation laws ot Calii la, anA ree th il I should become subject to the workers' compensatlon proNslons of Section 3700 of Ihe Lebor Cade, I shall forthwlth
comply with these p io � CG f� _�/� /� � I/� ��
Applicant Signeture: � j��C— Dete: �� �
�— i
W ARNINO: FAILURE TO SE E W RS' COTIPENS�?IpN COVE �I UNLAW FUL M1D SHnLL SUBJECT AN EMP�OVER TO CRIMINAL PENALTIES AND CM� FlNES UP TO ONE HUNDRE�
THOUSANDDOLLARE(5100,000),IN/ DRIIXJTOTHECd$TOFCOM ;NSATION,OAA4IGESASPPOVIOEOFORINSECTION3]OBOFTHEIABORCODE,INTEFEST,ANDATTORNEI"$FEES.
LICENSED CONTRACTORS DECLARATION:
1 herebyaNirtn thet i em
lorce and ettect. Lic. N_
Conirector's SigneWre:
Sec(ton 7000) of DlNston 3 of t�e Buslness end Professbns Code, end my license is fn (utl
Cilfi99 k _. _ _ _ _ _ _._ _
oa�e:
�
CONS7FiUCTON LENDING AGENCY:
❑ I hereby ettirm Ihet there is e construcibn lending egency lor ihe pedormence of t�e work for w�lch Ihis pormil Is IssueO. (Sec. 3097, CiNI Cotle).
ILendefs Nemo: Lendets Adtlress:
Signelure: Date:
OWNER-BUILDER OECLARA710NS:
I �ereby ettirm that under penalry oi perjury Ihet I am EXEMPT FROM TT1E CONTRACTORS LICENSE LAW lor ihe tollowinp reason (Sec. 7031.5, Business end Prolessions
Cotlo: Any ciry or counry which requires e permil Ib consWct, elter, improve, tlemolis�, or repelr eny alrucWre, pnor to Its issuance, elso requlres t�e eppllcaN Por such pertnit
to flle e signed stetement thet he or she Is Iicensetl pursuani to t�e prmdslons of the Coniractors License Lew (Chapter 9(commencing with Sedlon 7000) ol DlWsion 3 oi the
Business enE Professians Cade) or that he or she I5 eaempt t�erefrom and the basis for the elleged examption. Any violetian of Sectlon 7031.5 �y eny epplicent lor e pertnit
su�jects the epplicant to e clvil penalry ot not more then fiva hundred dollars ($500)J:
❑ I, es owner of the properry, or my employees with weges es thelr sole compensatlon, WILL DO THE WORK, and the structure is not intentle0 or ottera0 for sale (Sec.
70A4, Business and Professions Cotle: The Contrectors License Law does not apply to en owner of properry who builtls or improves t�ereon, and w�o Goes such work
himself or herself ar Ihrou9h his or her own emplayees, provided Ihe1 such improvemenis are not Intended or ottered lor sale. tl, however, ihe builtling or Improvement is
sold within one year oi completion, t�e owner-builder will heve the burden of proving Ihat he or she did not bulltl or Improve for purpose of sale.�.
❑ I, as owner of the pro0erty, em EXCIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business entl Protesslons
Cotle: The coniracrors License Lew does no� eppty lo en owner ot properry who builds or improves ihereon, end who contracts for such project with e contrector(s)
license pursuant to the Coniraaors License I�ws.).
❑ I em evempt untler sec.
Signeture:
Owner ID verilled Ey tlr'rvefs Iicense. ❑ Yes ❑ No
Business end Professions Cade lor this reeson:
Vedflcation ol Ownership by (rype of documeni, i.e. - property taz Dill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CEq7IFICATION:
Drivels License No.
Da�e:
Expires:
❑ I �ereby cenity that no excavation five (5) or more feel in depth Into which e person is required to Cescentl, wlll be made in connection with work aut�orizetl by ihis
pertnit, end ihat no bullding swcwre, sceHolding, falsework, or demolition or tlismentling t�ereol, wl�l Oe more �hen thirty-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec.
341, 71�1e 8, Celifornia Adminisiretive CoOe).
❑ As owner-buildar, I wlll not employ enyone to tlo work which wauld require e permit Irom the Divislon ol Indusidul Sefery, es noted ebove, unless auch person has e
permit to tlo such wark tmm the divislon.
Signeture: Date:
Divislan of Indusirial Safery Pertnit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTMORqpTION OF ENfiiY: I certity under penalry ot perjury thet I have reatl this epplication antl state thet the infortnatlon gNen is
correcL I egree to comply with all stata laws end ciry ordinences relating �o building conswction, entl auihodze representatives of the City of Caste Mesa to enter upon Ihe
above�descdbetl O�aPerty far inspection purposes. I egree not to occupy ar ellow accupancy ot eny bullding authodzetl by this permit until finel inspection.
CODE /. INSFECTIONTYPE
7618 Fixed System Final Flre PrevenUon
7288 Pad SOe Finel
200 Flnal Re-Roof
201 Flnel BIocWRetalning Wall
202 Flnal Factory Fire Place
203 Final Sign
204 Final Demalition
QdIE Ilii�eLS
�d .'L'L.O% � r-
� /�ate �
i I
Date
�E,( MSPECTIONTYVE
208 Flnal Mechenlcal
208 Flnal Plumbing
210 Flnal Eloctdcel
272 Flnal Fire Provention
220 Final Planninp Approval
222 Flnel Slte
250 Finel Bullding/Occupancy
� It�
(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 324 E 20TH ST
Suite:
Vicinity: CARPORT BUILDING
Parcel Number: 42622140
Zaning:
Applicant: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK Zip: 90620
Owner: NIEUPORT INVESTMENTS
Address %LANCOINVESTMENTS
THOUSAND OAKS, CA Phone:
1394 E HILLCREST DR Zip: 97362
Contractor: GRAND PACIFIC ROOFING COMPANY
Address: 8766 SAN FABIO
CA Phone: (714) 220-0711
BUENA PARK
Zip: 90620 License: 741260
Arch :
Address:
Phone:
Eng:
Address:
ISSUED 8Y:
Status: ISSUED
Applied: 09/17/2002
Issued: 09/17/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF MANSARD AREAS ONLY FOR AN APARTMENT COMPLEX. FLAT AREA NOT TO BE RE-ROOFED
AT THIS TIME.
COVER CARPORT AREA WITH SIMULATED SHAKE ROOF. CLASS C MINIMUM.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
PARKING Exislin : 0
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: 53,too.00
Claim Valuation: 53,ioo.00
Right
Right
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expira and become vold if work is not commenced within 180 days, or If work is suspended or abandoned
lor a period of 180 days.
� INSPEC710N5: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
I requlred inepectlons and final approval must be oblained. FaiWre to obtain inspections and final approval will result in the axpiration of this permit.
I FOR INSPECTIONS CALL: (714) 7545626 _
zaae�e �am)
WORKERS'COMPENSAnON DECLARATON: �
I hereby aHirtn under penalry ot perjury one ot the fallowing tleGaretions:
❑ I heve antl will mainteln a ceniticete of consent b selt-Insure tor workers' compensetion, as provldetl br by section 3700 of Ihe Labor Code, tor the pertormence oF ihe
work tor which this permit Is issued. ,
I have an0 will maintain workers' compensation Insurance, es required by section 3700 o/j,'he Lebw �o0e, for the performance of the work for which Nis permit is issued.
My workers' compensation Insurance carrier end poliry number ere:
Carner: Policy Num�er.
(Th/s sectlon neetl not De completed i! fhe permit is valued et one hundred dollers ($100) or less.)
❑ I certity that in the peAormance oi the work for which thls pertnit is issuetl, I shell not employ eny person in any menner so as to become su6joct to ihe workers'
compenseiion laws of Califomla, antl egree tha It I should becoma subl�� �he workers' compensatlon provislons ot SedlO� 00 of Iha Lebor Cotle, �e orthwlih
comply with these provisim'�,� ^/
ApplicaNSigneture: ��'�'���� Dete: � � I �
WMNING: FAILUFE TO SECURE WORKERS' COMPENSAT1dJ WVE GE IS UNLAwFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUN�RED
THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF CQUPENSATION, OAMAGE$ A$ PROVIDED FOF IN SECTION 31060F THE LABOR CODE, IfJrEREST, AND ATTORNEI"S FEES.
LICENSED CONTAACTOFiS DECLAfiAT10N:
I hereDy aNirtn thal I em licensed under provisions at Chepler 9(commencing with Seclion 7000) of Divisian 3 of the Business and Pmfessians Cotle, antl my Ilcense is in full
forca and ettect Lic. M_ �. / _ / Cless a ___. ..
Cantrectofs Signeture:
Dete:
CONSTRUCTION LENUING AGENCY:
❑ I hareby ettirm thet there is e consWdion lentling agency br �he peAormance oi l�e work br which ihis permit is issued. (Sec. 3097, CiNI Cotle).
Lentlers Name: Lender'S Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereDy aHirtn that under penelty of perjury Iha� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the follawing reeson (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, improve, Aemolish, ar repair eny strucwre, pnor to Its issuance, also requires the applicani for such permit
b tile e signetl statement that he or she Is Ilcensetl pursuant lo the provisions ol the Contractors License Lew (Chepter 9(commencing with SecUon 7000) of Division 3 at ihe
Business end Professions Code) or Ihat he or she is eaempt therefrom and t�e basis for the elleged exemption. Any violation of Section 7031.5 by any applicant for e permit
subjecis the applicent to e civil penalry oi not more than tive huntlred tlollere ($500).):
❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the siructure Is not intentle0 or oHered tor sale (Sec.
7044, Busineu antl Professions Code: The Contractors License Law does not apply to en owner ot property who builds or improves thereon, antl who does such work
himselF or herself or thmugh his or her own employees, pmvided thet such improvaments are not intended or ottered for sale. If, hawever, the builtlinq or improvemem is
sold within one year of complelion, the owner-builder vnll have the burden ot pmving that he or she did not build or improve for purpose ol salaJ.
❑ I, as owner of the pmperty. am EXCLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to constmct the projecl (Sec. 7044, Business and Professions
Cotle: 7Te contractors License Lew does no[ appty to an owner oi pmperty who builds or improves thereon, and who contracts for such pmject with a contrador(s)
license pursuant to Ihe Coniractors License Laws.).
❑ I am exempt under sec. Business and Pmfessions Code for ihis reeson:
SignaWre: Date:
Owner ID verifled Dy tlnvefs Iicense. ❑ Ves ❑ No Dnvets Ucense No. Expires:
Vedticetion of Ownership by (type oi dwumem, i.e. - properry taz bill or deed):
DIVISION OF INDUS7HIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby cenity ihat no excevauon tive (5) or more faet In Oepth into which e person is requiretl Io tlescend, will be made in connection with work authorized by Ihis
pertnit, and that no bullding strucWre, scattolding, lalsework, or demolition or dismantling ihereof, will be more Ihen thirty-sla (36) taet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Ttle e, Celifornia Adminisirative Code).
❑ As awner-6uilder, I wlll not employ anyone m tlo work which woultl require a pertnit tmm Ihe Division of Indusiriel Safery, es nated above, unless such person hes e
permit to do such work trom ihe division.
Signeture: Date:
Divislon of Industnel Satery Pertnit Number:
CERTIFICATE OF COMPLUWCE AND AUTHORIZA710N OF ENTRY: I cenity under penalty of perjury ihal I have read Ihis application antl state that ihe infortnation given is
correct I egree to comply with all state laws flnd ciry ordinances relating to builGing construction, end authodze represematives of Ihe Ciry ol Costa Mesa to enter upon the
ebove-descnbad property tor inspection purposes. I egree not to ocapy or allow occupency ot any builtling authorized by this permit until final inspection.
CQOE �, INSPECTIONTYPE
1616 Fi:eG System Final Fire Prevemlon
1266 Pool SDe Final
200 Finel Re-Rooi
201 Finel BIocWReteining Well
202 Finel Factory Fire Place
203 Finel Sign
204 Final Demolition
QAIE It�Li
p i'L4,�0'L .�i//
,A�_�
CODEI �xsveenoNTvre
206 Finel Mechanical
208 Flnel Plumbing
210 Final Electdcal
272
220
222
250
'� D��
Date
Finel Fire Preventlon
Finel Planning Appraval
Final Site
Final Building/Occupency
PAIE II{�IELS
�ooness a eutm+E :7 L 4 h L V ZFl 5 I
avrnxsruYeivanwrt LANLRY�_LAtiIU
.00xess: 3� 4 h L V 1 ti J 1 it 3
CuSTA MESA,CA JLbLb
" b95-u574
�vv�. wmwo �ooxesx
�APCXIfEtt OR ENCd/HA:
IiPCIl011 FN6'4 �OORE53:
c�m��Tarsru� MIKE LAkA kOOFING
ewm�croas�uiwe 155 S FEPPEk Si
uxt: :!
11C Iq:
U1�f:
(714)e39-831�
,�op� ORANGE CA ��, 7332%4
9 2 8 6 8 �,,,,
LICENSED COMXACTOPS OECL�PITION: I hareby eflim iiMer penety d pajury Nel I em Icenved uMr pa.'vime d Cheqr 9
(mmme�nY wnh Seciion )000) d Oivieion 9 d tlre Buamsa arW Pmlmdons Code. end mY 4oaree e in lup brta eM Nled.
cmuc.No_.:1 uc.cuss: C39 uc.No.Q: 733274 EXP:
Dms: � 1 lIT/ D�� Caqmdoc I I.i� ��
OWNEP BUILDEfl UECIANATION: I hreby dfirm ivder pmdy d pmjm� ihel I em ewnq hom ihe Cap�etlm Lioema law la iM
�dbv.6i0 reason (Saabn l0�ls Buviwse vd Rdmeine Coda: MY W a muav xAiN repws . w�i to mmeua. Wer. Inwwe.
nd'eh, a npei ury sVuelure, prur b ea evuenee, abo reVuiem iM epplimM In acl� pemil to fiM e eproA paiemeN Nel M a ehe
Eemed W�� �o Ihe pwivam tl Ne Conlratlon licertx law �Cheqm 9(mmmene�p wu� Swion MW) d Onreion 3 d tb
Jainen enE Prdmaime Codel n Ihd he a ehe ia examp �herehan eM iM batie ta IM dk6� exemAion. MY violmion d Seaim
lVlt.S Ey aery eppirani for e pmmil wbjeae Ihe epWieenl lo e ail penehy d ewl mae �hen Ma huMrad dd4n �SSOOp.
� 1.uownerdiMqopenyormyempbywewlhwepesaviheiademmpaneatim,willdathework,aMNeeVucluncrwintaMed
or aflered lor sele (SecUon ]OCC. Bumnev eM Pmlesaioru Code: The Contrmaa Limrtve law Eme nd eppyto en ownerd popeity
who buitla a inqwae thereon, vd x1w daea auM wak himaetl a Mne� a Mrouph he a her ovm empbyse�, po+ided thm wW
impwemanb ua rwi imendeE a allmed la eda. tl. lawever. the Wikiiq a inpv.emem a satl wilhin one Yw d mmpletun. Iha
awMr-0uiHer Mill M1eve iM1e burdm d proviip he a ehe d'd M WlE a imprv.e la tM qvpwe d Wa�.
� 1. u awmr d �M OAPaM. em uduinN mntradM wnh liemed canuec�on io cmmue the pel� (Seaon rol�. Bueineee enE
Prdaubm Code�. TM Caniradas l'swe Lew Cros na xDP�Y w en owner a O�OeM Ma bui16� «"unpwa tlwaon ud w1a
eonveeia M wdi peqeas xiN e mMetloH+) lieeroed WB� to iM Comrmoea L'vue law).
� I em eaemq wdar Seciion: B. 8 P C.. tar Nie reeam:
ome: o,�
I Ao Mmby cenAy Nel I em eware d eM uMentvk Ma repuiremema d Celdamie Heellh vM Selely Code Sediom 25505, 25533, vM
25531, enE Ihet I a eny Mun Wildinp ampenl will I wil �wl (rircb one) meE lo comON w�� ��e wdm erd tM reQuimmenb M
epermnbrmnatruelionamodifieelimhomiMR'r uaaTiTyl�anegemeniDislna.Raideruielmn�rudioneppieqqeroeramemptlrom�Mee
provisiane.
Deta: /pWcaM:
wonKen•s cowavu�na+ oEcurunoN: � nercM eKvm �Me. n.rony a pajwy on. a me �aw.;iy e.a.mlo�.:
F
� IhevaeedwilmeiMeneeMXktleGmneenitoaellinwreforMv�kenoompemmon.mprovidadlabySanbnJ]OOdtMlabor
Cods.la Ihe pmtamence d Me wak la wlic� tlib pamil b 6aueE.
❑ �neveenawi�meimen.ona.•mmv�:M����.%+�wN�eWs.aimaroodm.�.no,wee.bmew+«�wwsdm.
work la which ihie Pa�mil o usued. MY wvFan' mmGa�tion ineweiws umer end Vdi,y number ve: -
c�«:
Polcy Number:
n sMion need nw he comPlxed d tM pemiA is lor one hunCreLCdlers /SIDJI a Im.J
�I mrl/y ihm in Ne perlormenu d Ihe work /a whc� Iho Po�� ie beueE. I ehell iwl empby eny penon In eny men�ror o n to
becane eubjea �o �he wvkere' compemeiion lewe al Calilanu. uM eprae thm it I ehautl becoms wqae io tM xwken'
� ` compena an pwi. iom d SeUion 3]00 d tM Lebor Cade. I ehdl lon wnM1 com '�aau.
y Dma: Apd�� �
/ W�mllp: FeNu ro we n wNcen'rompwuetlon eovwaps /� un/aw�Nl, eM NWI ub�er! en w�nplay.r roWMnl puWtlr aM
dw nnu w ro ms nurer.d rrouwna adrn lt�aloaA b���n ro m. m.r o� romaen.edoq e.m.o.. u provtew ror in
s.cuon aros o� m. leao. coa, �mwt .�e.mms�'. r....
CONSiNUCT10N LENOINO �OENCY: I M1saby etfi'm uMer peiuM1y d perjury ihet ihsa u e mngruqion bMiry epric� M tM
paAamerce d IM xak fa which �h'v pami ie oaued (�� �). C'v. CI.
LENDEN'3 NANE:
LENDEF'S ADDPE53:
I ceniN �� I heve reed thia epplicmion and me�e ihet tlw ebove iniamelbn ia conw. I ep�ae io canpy wuh eA ary erd munry adirorcee
uM eltle lewa releliq b WiWip canNutlbn vd hereby eulhorrta iepuen�etivee o11hb cily W emx upan iM aDv.e-monlnnsd popeM
r«��oea�wm�. �1hSIEN LtIAA
\i /K � Dma: _���L{��
rsb�mwe a m,.wi oa�ucon��aw �
(StStJe.WP) While-BuiknpBSelely:0�earFb:Genary-Appfunl:Rnk-Peven�e:GdEervoE-b�eev
�IIii Gr COSiA M65A - bUIi,uING PEttMIi
rEFcM NG: H 08531-
PERMIi NG: b u8531G FLAN CHECF NG: N GGVi; N SUYY; N
CuNSTRUCTIGN iYPE: FERMIT TYPE: S'Ik PUnPt�Sr.: i�Iri
JUb LESCRIPTIGN :'TiGFF SiiEA'IH S RERGGF AS Ne;e.LEL SQ tI: S,OGu
CLAIM VAI,iJE: S,OG"v.OG CALC-VALUE: 7,G"vO.G'v GROUF Oi;C; U-1 i
COMMY:NTS: AEAOGF CARPOhrS W/bUILT-UP
iE if iE iF tii� iF iF ie si if iF it if iF ii ii ii ii iiiF ii iF if iF i'r iE if ie iEie ie wiEiE i'e iF iE if ii ieie if ii ii iE ie ie ieii ii se ii ii'seii ii iEie ie'si ii iF ie ie i't're tii iFif iF ii iiif iF ie i'r ie ie'vF
Z O N I N G A E Q U I R E M E N T S
S E T b A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY" BUILDING ---------
FANT: FT IN REAA; FT IN FRNT: F'T IN REAit: FT IN
LEFT: FT IN AGHT: f'T IN LEFT; FY IN RGHT: FI IN
PAAKING REQ • PA�JV; �ARCEL: GOGOGGGG 'LNE: REF NO:
PLANNING NGI'ES> �
%
iE ii ir #rt if ii iP iF iF it ik k M R ii w iF ii if if ie if ie iF if 1f iF vF iF w ie iF'sf ie±� iF ie iP iF iF iF iF if 'sF if iF if if 3i i4 it �f it if ii if iF ii iF i'r iF iF w w si �e i4 ie iF iF 3'r iE i't iF if ii ii iE
D E V E,L O P M E N T S E R V I C E S R E Q U't R E M E N'f S
ZUNING AP�ROVEU. BY 1iATt; ,.e
BUZLDING APFRGVEL bY ; LATE: i�
APFLICATIGN ISSUED bY; L11T�.: �� Zb "��
3FiFiFwi'tifiEiEiFifiEifiFieiFlFiFiFiFiiiFifsFiFiFaexfeyF±e�FsF3e7isF%sFsFseiFiF7iiF�F'iFi' xiise"iFiiirvFifwiFiFiFiFiiif�FiF3E�st'£iiie
LEGALIZATIt�N:N F E E S U M M A R Y STRUCTUC2AL S�:GMENT;z
bLLG PMT PLUMSING ELECiRiC MfiCHANIC FZRE *'SMIPiR�.S �kALING
FERMII' 99.75 ,50
PLaN ,
ISSUE FEE
bUILD2NG-LZV-> PEhMIT ISSUE PLAN-CHECK TOTAL FAIL u0E
TO'IALS----> 100.25 0,00 O.GO lOG.25 - 10u.25 ,OG
REVENUE DIVISIGN TOTALS--> COLLECTED: 100.25 UVERiSHURT; .uu
BLUG pMT PLUMbING ELECTRIC MECHANIC FIRE SMIF/'!UT-,iGRADING PLAN-CHfiCK
99.75 ,SG..
iF iF ii ie iF iF'vi # iE iF iF iF if iF ie ii if if 1F ii if if ii ii ir iF if �e K iF # 3F iF iF if ii iF ii iF iF iF if iF if iF �lF iF iF if if 'tF iF 3F'se iF if i4 it ie i'r #+F' iF iE ii 9F if'r't iF �k if * i<ie ie i?�w�k ii
I N L I V I D U A L F E E 6 R E A K L G W N
TYP�.
SFR
QTY L E 5 C R Z P? I u N
Su00 RERGGF bY VALUE RBSZLt.NTIAL NG�GN�.
tNL GF FE�:S
UNIT CGSZ 'iGIAi, i:GSI
1:UU �,VVV,VV
,/ .,
"�}, • �IB-2B-1997/B8:4B qM/fIB8.25
. RCDTN:81-6814899
PERMIT:985310
/'
�NSTRUCTION AND PLANNING FOO SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary �lec2rical Service or Poie 52. Pool & Equipment Locatiun� -
2. Soil Pipe�Undrgmd. :-,, � 53. Steel Reinforcement . �
� 3. �lectrical Conduit Utility-Undrgrnd. 54. Forms -�� -
� 4.,Electrical Conduit�Undrgmd. , 55. Electricai 8onding
�5�.,Steel Reinfoicemeni � 56. Rough Plumbing & Pressure Test -
"-' 6;'�Electritai UFER C�md. 57. APPROVAL TO COVER•GUNITE -
�u
� :; r
... , 7} -F�`ootings - 58. Electricai Conduit-Undrgrnd. y
8. Foundation ��� -� � � 59. Gas Pipe, O Undrgmd., Test
x
9..Water Pipe�Undrgrnd.- : 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Structurai Floor Svstem '% 61. APPROVAL TO DECK
.
11. �Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap �� .� ' 63. Heater & Vent-Final ��
13. Roof Drains .`� 6A. Plumbing SYstem - Flnat .,
14. Rvugh Plumbing 65. Electrical-Final
75. Rough Electricat-Conduit _ 66. Solar SYstem-Flnal _. �
i 6. Rough Electric:Wiring 67. Fencing & Access ApAroval - .
77. Rough Wirin� Sign 68. APPROVED FOF PLASTERING �
18. Rough Electrical-T Bar Ceiling - 69. PQOL/SPASYSTEMS FINAL
19. Rough Hea'ting & Air Conditioning FIRE DEPT. REQUIREMENT �
- n .-i - iT -1 Y,
20.!�iou�h F�ctojr'Y F�e�lace � j�" �S '„ �_ APPROVII�$,'��� Pe�.J'mit #` =____'r
21.��Ducts, irrStracture • � •• , S ` K " � a '. 70:-Under'gieq?d 13�ydro "
c' . � .l .'1 w
22.Dutti,Ventilating',� "� }_ y. �z` 77,Jprodu0t?iping�C�Gas �70i1
23.'Gas ��ipe_Rough & fest � r S �.n �� v�-� 72. Undergfound Ftusl}+ w -• �
�
24. 'flooT� Fiaming' '�- " A� -� _ r= 71. Undergr'n'd. S[a',a��'an� O Gas [�"Oil
25. Roo.LSheaxh�ng - _ `�_��� �u,f/p ` 73�:=0verhead Hydrd t
��
26. ��8'ar Ceilin 4Structural) & fJl ocoat ` r .r ` " : '� _ �r
9 , Qh _ }. .� .,, -, � 75.,bry Chemi.pal F,.� �. ;.,
27. F,rame and Flashiygt ;- s• i r r R 76. �Dry Stasc2ipipe- � v� � J
< .�,_
28. Lathing & Siiiin9 _ ` ' _ ^ y �� � 'E "� "� '��k �7�. FIXEQ�%�T��R FINqL� �
� 29. Insulation �• tii �� - � r . �r Z8. FIRE PREV. FINAL • - 'T• '�
' 30. Orywall t�ailing '-' V � � � �F '� �Fi�ALTIi DEprY:'FiEQUIB.EMENT
R•
, 31. Plaster0rown�Coat. � �-r e � � r: 7��, FINALtDJSPECTifON �� � �
• ti_
� 32.:Electrical Po�er hAe�er.Fi�al � �'U �� 8l� FOOD CERTIF�JC�FlTE fr5$UED �
• 33. •Findlj Electri�. „ r: ^ t � i � 'S � Notes �y �;r, �� � ) i �]
,. I ;;: �: S ~'.L • 5 7"
; 34.'FinaLHeatinq"& Ait•Conditio�i�l�_. ' � -
' r �� � k � � t •n,
35. finafGa;.Pipg:Test; - :. � � I 1 ��: _ ' ;.�.; �,� � �„
�-i
i �. - -
' 36. Hood or:CanoPY F : - = • '� � � 1'r :. E � � � • � ' T' .
� r -- � t 7 �
� 37. ina Facmr Fire �ace : ; ��
f.' 1: v a. -_ j I�. a r
, 38. Final,Plumbing � . �� � � � . ka �: � •: •a � "--
� � k �-� .�<, j -7
� 39. Wate7 Se�vicecFinal; � " K � �Y' ' ,� �' S
- i
40. Gas Service-F�nal � r��: t-i � � �� :+'� t� �
� I � �
41. Solar pomestic-Fin�l • � •' ::'} � '� ~ ` '
�� z �t �s' 7 N '� �
42. Backflow Preventer. n ; �e r. �- • e•7 �
"1' V f
- �43. Backflow Irr�gation; � `-• = ` " ' lp�Z��p�=T� �/ �r� ���„ _Q, ,
. - K :C � � � =( �. ,N[.LC.�./ ✓
A � '/
44. Landscape I�(ipation System� �� j � ,r, i = � � . �r ��; -� ' � � •v � �
- � s• � �1 r ��
�45. �Sound Attenuation' � ' ° " " ' ` � �' �'� �'= : , �r
. . r r r, �:7 x •
46. Handicap.Regulatiods - � i �� a ; _ ?'� S � �
47. EINAL STROCTURE & BUILDING ` �"'1� � = ' _ ; _ �
O i �:
48. PINAL PLANNINGs -� - > U � � 'x •i _ � �' .
�19. Electtic Ralease to Edison � ` �� ! � '
� r • �
�, ' .. .. , c . � � _
50. Gas Release to Southem California Gas Co � , (;: " .a ? • � �! . � • .
- i - a -
_ 51. CERTIfICATE OF OCCUPA�NCY � . , r � - , �
No. Dace
�