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Home My WebLink About730 20TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 730 W 20TH ST SIDE OF PROPERTY 42225221 Applicant: SILVA, ANTONIO Address: 730 W 20TH ST COSTA MESA, CA Owner: SILVA, ANTONIO AND MARIA Address 730 W 20TH ST COSTA MESA, CA Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res ('I-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Molors to 1hp Molors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a OWNER-BUILDER Phone: 949-722-7781 Zip 926273400 Phone: 949-722-7781 Zip: 926273400 Phone: Zip: License: 000000 SCOPE OF PERMIT UPGRADE SERVICE TO 200 AMPS. Staws: ISSUED Applied: 04/13/2005 Issued: 04/13/2005 04/21/05 REVISION: ADD/REPLACE 7 LIGHT FIXTURES, 32 OUTLETS AND 5 SWITCHES THROUGHOUT S.F.D. $23.50 $0.00 $0.00 $0.00 $0.00 so.00 $7.70 $30.76 $5.50 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 7 32 5 0 0 � 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electncal Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech nde or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (714) 7545626 Le1 �.fY1.U}Il WORKERS'COMPENSA��N DECLARAnON: I harehy eRirm under penelty ot perjury one ol the lollowing decleretlons: ❑ I heve end will meinlain e cerllficete of cansent b sell-Insure br workers' compansetion, es provltled for by section 3700 of the Lehor Code, for Ihe poAormance of the woM tor which �his pe�ii is Issued. ❑ I heve end will maintain workers' compensetion insurence, es required by section 3700 of Ihe Lehor Code, for the pedormance of tho work for which this permlt is issued. My workers' crompangation Insurence cerder end pollcy number ere: Cerner: Policy Numboc (Th/s section need not 6e cnmplefed il fhe permif is veluetl el one hundred dallers ($ IOOJ or IeSsJ �1 certity that in the peAortnence of tM1e work tor which this permll Is Issued, I shell not employ eny person in eny manner so es to become suD�ect to ihe worknrs' �.bompensalion laws oi Celifomie, en0 egree Ihel if I should 6ecome subjecl lo ihe workers' compensation provisions oi Section 3700 of the Lebor Coda, I shell fonhwith cromply with these pro,`'�ions. � �icant'$ig� na� tur�::''�/jil� : Gn. E6, �� 1 V/. �e;.. /v/_1/' ��— Q� WAHN�NG FAIWRE TO SECUPE WORKERS' COMPENSATION COVERAOE IS UNIAWFUL AND SHRLL SUBJECT AN EMPL V�CRIMINAL PENALTIES ANDCNII FlNES UP TOONE HUNDRED THOUSAND p01.LARE (5100,000�. IN ADDITION TO THE COST OF COMPENSFTION, DAMAGES AS PL10VIpED FOR IN SECTION 3'!O6 OF THE L480R CODE. IMEREST. AND ATTORNEY'S FEES. LICENSED CONTRACTONS DECLARATION: I hereby aNirm that I am lic9nsed undar pmvlslons of Chepter 9(commencing wilh Secllon 7000) ol Dlvlsion 3 of Iha Business antl Protessions Code, entl my Ilcense is in full force antl eHecL Lic. b Cless M Coniractois Signature: Dete: CONS?AUCTION LENDING AGENCY: ❑ I �ereby aNi�m ihat ihera is e consiruciion lending agency lor ihe pedormance o� I�e wark tor which ihi5 permi� is issuetl. (Sec. 3097, Civil Cotle�. Lenders Name: Lender's Address: Signature: Dete'. OWNER-BUILDER DECLANA710N5: I hereby aHirm that under penelry of perjury �he� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5. Business anC Professlons Code: Any city or coun�y wp�c� requires e parmit to construd, eller, improve, tlemoli5h, or repair eny stmcture, prior �o i�s issuanca, elso requires Ihe apDlican� tor such pertnil to file e signad statemem tPet he or she is licensetl pursuant to the proNslons ol Ihe Cantractors License lew (Chapter B(wmmencing with Sectlon 7000) ol DlNsion 3 of the Business end Professions Code) ar t�et he or she Is a:empt lherelrom en0 t�e besls tor Ihe ellegeU ezempiion. Any Nolation af Section 7031.5 by 0ny a001icant for a pertnit subjects the epplicant to e c�dl penalry of not more then Ilve hundred dollers ($500�.): �I, es owner ot the property, or my employees with weges as thelr sole compensatlon, WILL DO THE WORK, end Iha structure is not intentled or oHered for sale (Sec. 7044, Business and P�ofessions Cotle: The Contrectors License Lew does nol apply to en ownor ol property who builds or improves thereon, and who tloes such work himself or herself or tnrough his or �er own amployees, provided ihat such improvemenis are not intended or offeretl lor sele. If, however, Ihe building or improvement is 5old within one yeer of compiallon, Ihe owner-builder will heve (ho burden ol proving tha� ho or sha Aid noI build or improve for purposa of 9ale.�. ❑ I, es owner ot the pmperry, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projoct (SecJ04a, Bus�ness and Professions Cotle: The wn�racto5 ��ense Lew Ooes no� epply to en owner ol property who bullds ar Improves Ihereon, antl who coniracis lor such proleci wlih a conirector(s) �7bense�pursuant to Ihd Conirattors License Laws.). Business antl Profession5 Code br ihis r085on: ID venfied by drivef5 license. � Yes ❑ No Venfication ot Ownership by (rype a� tlocu�n�nt, i.e. - property ta: bill DIVISION OF INDUSTAIAL SAFETY ❑ I hereby ceniy that no excavetion tive (5) or more feet in depth into which a Derson is requiretl Io descend, will 6e made in connection wiih work authonzed by Ihis permit, and that no building SWcture, scaXolding, falsework, or tlemolition or dismentling ihereof, will be more ihen ihirty-siz (36) feet �igh. (Ghap. 32, Grp 2, An 2, Sec. 341, TNe B, Galitomia Atlministrelive Cotle). ❑ A5 ownerbuiltler, I will not employ anyone to do work which would require e pertnit Imm the Division ol InAusMel Sefery, as noted above, unless such person has a permit to do such worK �rom t�e division. Signature: Date: DiviSion ol InduStnal SafBty Pertnit Numbar: CERTIFlCATE OF COMPIJANCE AN� AUfHORRATON OF ENTRY: I certify untler penally ol perjury Ihat I �ave reatl this epplicalion antl state that ihe inlormalion given is correct. I agree to comply With ell stele laws end ciry ordlnences rela�ing lo building consimcllon, entl aulhonze representelives ol l�e Cily ot Casta Mesa to enter upon the above-tlescAbed pro y lor inspeclion purposes. I egre nal lo acupy or ellow occupency ol eny huilding aut�orizetl by thl9 Oermil until linal inspeclion. ��"=o,,,,� ,. ._._S� l�_ � y-Z �� o s Sig a� Iure�.OflegalOwneqe) °��, .Data"., And/Or Authorize0 Ap0licenl Date CO�E 1. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Root 201 Final BIocWRetainl�8 Well 202 203 Final Factory Fire Pleco Final Sign 204 Fina10amolition U�TE ItlIIIlALS COOE 1 INSPECTION TYPE 206 Finel Mechanical 20B Final Plumbing 210 Final Eleqrical 212 Flnel Flre Prevenlion 220 Final Planning Approval 222 Final Sila 250 Final Builtling/Occupency OATE I[{IIDEL� -39 �d7 �k's` (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applirant Address: Owner: Address 730 W 20TH ST SIDE OF PROPERTY 42225221 SILVA, ANTONIO 730 W 20TH ST COSTA MESA, CA SILVA, ANTONIO AND MARIA 730 W 20TH ST COSTA MESA, CA Contrector: OWNER-BUILDER Address: ISSUE FEE Temp service test Res. a/c packa9e New Res (1-2 uniis) New Res (3+unils) Pool ! Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to thp Motors to tOhp Motors to SOhp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Phone: 949-722-7781 Zip 92627-3400 Phone: 949-722-7781 Zip: 92627-3400 Phone: Zip: License: 000000 SCOPE OF PERMIT UPGRADE SERVICE TO 200 AMPS. $23.50 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 50.00 30.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electncal Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lighls) Christmas Tree Stand Fireworks Stand Other Electncal Fee Investigafion Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 04/13/2005 Issued: 04/13/2005 �. � : ',✓� Quaniity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 ao.00 TOTAL CALCULATED FEES $54.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas 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 wlthin 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered lagal, such work must comply with all applicable codes, and all required Inepeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �I��l+.l:� �if� ] WORKENS'COMPENSAnON DECLARAnON: 1 here6y eHirtn untler penalry ot perjury one of the tollowing decleretlons: ❑ I heve end will maintain e certifcete oi consent to selbinsure /ar workers' compensatlon, es pmvided for by section 3700 oi the Le6or Cotla, tor the pertormence of the work tor whic� this permit is Issued. ❑ I heve an0 will meintain workers' compensetlon Insurence, es requlretl hy sectlon 3700 ot iha Le6or Code, for the pedormance of the work br which this pertnit is issuetl. My workers' compen58ilon Insurenca cerrier Bnd policy number era: Cartier: Policy Number. (This section need not be completed il the permil is velued al one hundred dollers (S I00) or less.) ❑ I certity ihat in the Dertormance of the wark for which this permlt Is issued, I shell not employ any person in eny manner so as to 6ecome subject to the workers' mmpensetion laws ot Celilomie, end egree ihet It I should become sublec� Io ihe workers' compensaiion provisions of Section 3700 oi the Lebor Cotle, I shell fonhwith comply with Ihese provisions. Applicent Signature: Dete: WARNING: FAIWRE TO SECURE WIXiNERS' COMPENSATION COVEMOE IS UNIAWFUL AND SHALL SUBIECT RN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDPED hKN15AND DOLLARE (5100.000), IN ADDITION TO THE COST OF COMPENSRTION, DRMAGES AS PROVIOEO FOF IN SECrIIXJ 31O60F THE LABOR CODE, INiEREST. AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I herehy aKrm that I am litensed under provlsions ol Chepter 9(commencing with Seclion 7000) ol Division 3 of the Business entl Profes5ions Code, and my license is in full force and effect. Lic, x Cless a Conhactor's SignaWre: Dete: CONSTAUC710N LENDING AGENCV: ❑ 1 hereby aflirm that there is a construction lentling egency lor Ihe pedormanca ol iha work br which Ihis Dermit is issued. (Sea 3097, Civil Cotle). Lentler's Name: Lentler'S Atltlre95: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn thet untler penalry oi perjury thet I em E%EMPT FROM T1E CONTRACTORS LICENSE LAW lor Iha tollowinq reason (Sec. 7037.5, Business antl Professions Code: Any ciry or county which requires e partnit to construct, ellar, improve, demolis�, or repeir any slmcWre, prior to its issuance, also requires the applicant for such pertnit to file a signed sletement t�et he or she is Ilcensed pursuenl to the pmNslons ol Ihe Conlrectors Llcense Lew (Ghepter 9(commencing with Section 7000) ot OlWsion 3 at �he Business end Professions Cotle) or t�et he or she Is exempt Iherofrom end Ihe besis tor tha alleged exempiion. Any violation of Section 7031.5 Dy any applicant for a permit subjects the epplicant to e civil penalry ot not more then five huntlretl dollere ($500�.): � I, es owner ot the praperty, or my employees wlth weges es thelr sole compensatlon, WILL DO TME WORK, end the siructure is not intended or otteretl tor sale (Sec. 70a4, Business and Professions Cotle: The Contractors License Lew does not appty to en owner of property who builtls or improves thereon, and who tloes such work himself or hersell or ihrough his or her own employees, provided ihat such improvements are nol Intentletl or oAered br sale. If, however, the 6uiltling or improvement is sold within one yeer ol completion, Ihe owner-builder will have Ihe burdon of Oroving that he Or she did not Duild or imDrove for Ourpo9e ot sale.). ❑ I, es owner ot lhe properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ih0 project (Sec. 70aa, Business and Protessions Cotle: The rnntrectors License Lew tloes not epply to an owner ol property who bulltls or Improves ihereon, antl who wntracts for suU project wiih a contrector(s) license pureuent to ihe Conirectors License Laws.). sec. by tlrivefs license. ❑ Ves ❑ No Business antl Pmfessions Code br ihis reason: Vedfication of Ownership by (type af document, i.e. - property �a: bill or DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFIGATION: ❑ I herehy certify that no e:cavation Bve (5) or more teet in tlepth into which e person is requiretl to descend, will be made in connection with work authonzed by this permit, and that no builtling siructure, scaflolding, talsework, or demolition or tlismantling ihereof, will be more ihan thirty-siz (36) laet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitornie Adminisire�ive Code). ❑ A5 owner-builtler, I will not employ enyone �o do work which would require a permit fmm Ihe Division ol Indusinal Safery, as notetl above, unless such person has a permit to tlo 5uth work Irom Ihe divisi0n. SignaWre: Date: Division of InduSirial Safety Permit Number: CERfIFlCATE OF COMPLIANCE AND AUfHORIIATON OF EMRY: I cenify untler penalry of perjury iha� I have read ihis application and state that the infortnation given is wrrect. I agree lo wmply with ell sta�e laws antl cily ortlinences relaling to bullding consimction, ena aWhonze representalives of the Clty ot Casta Mesa lo enter upon the ebove-d�e cnbed propeey tor inspection pprpases. I agree no1 lo occupy or allow occupency of eny huilAing aut�orizeA by this permit until linel inspection. f/i-nn�.i� 5',Iva. O`/-i3 -DS ��aceLflrinerls�"� �„_.:- ;v�a;.e_ '�_ And/Or Authorized Appllwnl Dale COUE I, 761 Fised System Final Flre Pi 1268 Pool Spe inal 200 Final Re-R 1 201 Final ' Ing Well 202 Final Fetto Fire Plac 203 Final Sign 204 Final Domolition QAIF WIIIIeLi � COOE 1 INSPECTION TYPE YB6� Final Mechanical 20B Final Plum6in 210 ' I Eledr al 212 Flnal FI P ven 222 Finel Sile 250 Finel Building/Occupancy w. IT _ (714) 754-5273 • Fau (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 732 W 20TH $T Suite: Viciniry: THROUGH OUT HOUSE Primary Occ: R3 Parcel Number: 42225221 TypeofConsWction: V-N Zoning: Applicant: SILVA, ANTONIO AND MARIA Address: 730 W 20TH ST COSTA MESA, CA Owner: SILVA; ANTONIO AND MARIA Address - 730 W 20TH ST � - COSTA MESA, CA Contractor: O W N E R-B U I LD E R Address: � Arch : Address: Phane: Phone: 949-722-7781 Zip: 926273400 Phone: 949-722-7781 2ip: 92627-3400 Phane: License:. ; 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/07I2005 Issued: 07/07/2005 C�� Phone: Zip: � License: � License: SCOPE OF PERMIT �. 9 WINDOWS CHANGE OUT THROUGH OUT HOUSE, NO CHANGE IN SIZE. �� ' Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0. 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING 8 ZONING Left 0- 0 Lefl 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0. 0 Right " 0- 0 $2,500.00 $2,500.00 NOTICE: The work authonzed by ihis 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 expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeclions end flnel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2at64816'00) WORKERS' COMPENSATION DECLARATION: I hereDy ettirtn untler penelry ol perjury one of the following tleclaratlans: ❑ I have end will malntein a cenifcate ot consent to self-Insure lor workess' compensatlon, es proWtled for by section 3700 at the Labor Code, for the pertortnance ot �ha work tor which Ihfs pertnit is IssueA. 1 "� ❑ I heve entl wlll maintaln workers' compensation Insurance, es required by sectian 3700 af the Lebor Code, for Ihe peAortnence o} Ne wark for which Ihis pertnit Is Issuetl. My workere' compensetlon Insurence caMer end policy number ere: Cartier. Poliry Number. (lhis sec(ion need not be cnmpletetl il Ne pe�mit is valuetl at one hunQretl tlallers ($100J oi less.) ❑ I certify �het In the pertormence of the work for w�ich ihis permit is issued, 1 shall not employ any pereon In eny menner so as to becoma subject to the workers' compensation laws ol Celifomla, antl agree ihet II I should become suD�ect to the workers' compensatlon proWslons of Sectlon 3700 of the Lebor Code, I shell fort�with comply with Ihe50 proNslon9. Applicent Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION CqVERApE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED TFIOUSAN� DOLLARE (E100,000). IN ADDITIIXJ TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTIIXJ 3�O60F THE LABOR CODE, INrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby atfirtn Ihat I em Ilcensed under provisions of Chepter 9(wmmencing with Section 7000) ol Divislon 3 ot Ihe Business end Professlons Cotle, end my license Is in tull force end ettect. Lic. q Class q GontractoYs Signeture: Dele: CONSTRUCTION LENOING AGENCY: ❑ 1 hereby aHirtn that there is e construction lentling agency for t�e pedortnanca of ihe work for which this permit Is issuetl. (Sec. 3097, Civil Code). Lendefa Neme: LendeYs Adtlress: Signetura: Date: OWNER•BUILDER DECLARATIONS: I heraby aHirtn ihet under penelry ot perjury Ihat I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professlons Cotle: My ciry or wunry which requires e pertnit to construd, alter, improve, tlemolis�, or repair eny struMure, pdor to its issuance, also requlres �he applicant for such pertnit to Ole e slgneG stetement t�at he or she is Ilcensetl pursuam to the pmvisions oi ihe Contredors License Lew (Chapter 9(commendng wit� Section 7000) of DlNslon 3 of Ne Busine end Prolessions Code) or thet he or she is ezempt Iherefrom and the basis for Ihe ellegetl exemption. Any violation of Section 7031.5 by eny applicant for e pertnit sub�e �the applicant to e civil penalty of not more then five hundred dollars ($500).): I, as owner of �he DroOerty, or my employees with weges as their sole compense�lon, WILL DO TME WORK, end ihe structura is not intentlea or offered tor sale (Sec. 044, Business entl Pratessions Code: The Contractors License Lew does nat apply to an owner ol property who builds or improves thereon, ana who tloes such work h mself or herself or through his or her own employees, provided Ihet such Improvements ere not IntendeC or oMered for sale. Ii, however, ihe building or Improvement is sold within one yeer of completion, the owner-builder will have ihe burdon of Droving thel he or she did not build or improve for puryose ot sale.). ' ❑ I, es awner af the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the project (Sec. 7044, Business and Pmfesslons Cotle: 7Te conirectors Llcense Law tloes not apply to an owner of property who Dulltls or Improves thereon, end who contrects for such pro�en with a contrector(s) license pursuent to the Cantracbrs License Laws.). ❑ I em exempt u er sec. Business ana Protessions Cotla tor this �� rifiatl by drivels liCenSe.�yes ❑ No /Onvers LiCense _ Vedfication of Ownership by (type of daument, i e�D�operty �ac bill or de� DIVISION OF INDUSTRIAL SAFETV PERMR CEPTFICATION: ❑ I hereby cenity that no exwvetion tNe (5) or more feet in dep�h Into which e person is requiretl to descend, wlll be made in connection wiN work aut�orizetl by t�is permit, enC ihat no builtling sWCWre, sceHolding, falsework, or demolition or dismantling Ihereot, will be more than thirty-six (36) feet high. (Ghep. 32, Grp 2, Ar12, Sec. 341, Title 8, Celitomia Administretive Cade). ❑ As owner-builder, I vrill nat employ enyone to do work which would require e permit trom t�e DiNsion ot Industrial Satery, es noted ebove, unless such person �as e pertnit lo tlo suc� work trom the division. Signature: Data: Division ot Industrial Safery Parmit Numbar: CERTIFlCATE OF COMPLIANCE IWD AIfTMORIZATION OP EMRV: I certify under penelty of perjury ihat I have read this epplication and state that Ihe Intortnetlon given is correct I egree to comply wllh ell state lews end ciry ordinences relating to building conslructlon, end suthorize representatives of Ihe Ciry of Coste Mesa to enter, upon the ebove-describetl p 9 rty ior InsDection purpases. I agre not to occupy or ellow occupancy of eny building authorized by ihis permit until tinel inspaction. `�..—GNic}�✓i, Q %-a�'/- �.�5 Slgna 'Of legal Or.ner(,s�' � Antl/Or Authorized Applicant Dela COOE 1. INSPECiION TYPE 1618 Fixetl System Finel Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Rool 201 Flnel BIocWRetelning well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolltion PAIF. It�IALi COOEt INSFECTIONTYPE 206 Finel Mec�anical 208 Finel Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Flnel Site 250 Flnel Bullding/Occupency PAg 1III�L$ —C LD��'� � (714)754-5273 • Fau(714)754-4856 ,lob Address: 732 W 20TH ST Suite No Vicinity: Parcel Nunmber: 42225221 i , CITY OF COSTA MESA BU/LDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: CURIEL, ROMAN DIAZ TR Address: 9 SHILOH IRVINE, CA owner: CURIEL, ROMAN DIAZ TR Address 9 SHILOH Contractor: Address: ArchlEng: Address: IRVINE,CA REPAIR EXTERIOR GAS LINE. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 50.00 50.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 50.00 S0.00 50.00 50.00 50.00 50.00 59.80 S0.00 50.00 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 PLUMBING PERMIT Phone: 714-8383495 Zip: 92620 Phone: Zip: 92620 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) 30.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen 50.00 Sink, service/mop $0.00 Spa(private) $0.00� Spa (pu6lic) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS r � PERMIT NUMBER P99-00566 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/6/1999 Issued: 10l6/1999 ISSUED BY: �� SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater I vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECT�ON AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 80.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $33.30 on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlone end flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMVENSATON DECLARATION: I hereby atfirm under penalry oi peryury one ai Iha tWlowing tleclarations: ❑ I have ana will maintain a certilicate of consent to selt-Insure tor workers' campensation, es provided for by section 3700 oi the Lahor Code, for the peAormance of Iha wark for which ihis permi� is issued. ❑ I have and will mainiain workers' compensation insurance, as required by section 3700 ot the labor Code, for tha peAortnance ot t�e work tor which this permit is issuetl. My workers' compensatian Insurance carrier antl pdiry number are: Carder. Policy Number. (This sectlon need not be complefed i! t�e pemuNs valuetl e( one hundred dollars (5100) or /ess.J ❑ 1 certity thet in the peAormance at the work lor which this permit is issued, I shall not employ eny person in any menner so as to �ecome subject lo the workers' compansation laws oi Califomia, and egree thet il I shoula become subject to the workers' compensetion provislons of Section 3700 ot the Lebor Code, I shall lorthwith comply with these provisions. ApDlicant Signature: Dete: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERFGE IS UNUWFUL AND SHALL SUBJECT AN EMP�OYER TO CFIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOILARE (5100,000). IN AODRION TO TME COST OF COMPENSATION, OAMAGES AS PROVI�ED FOP IN SECTION 3]O60F THE IABOR CODE, IMEREST. AND ATfOPNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHirm Iha! I am licensed undar pravisions ol Chapter 9(commencing wiN Sectlon 7000) ot Division 3 of iha Business end Protesslons Cotle, antl my Ilcense is In full force entl ettect. Lic. a ' Class a ContwctoYs Signature: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHirtn that there Is e consiruction Iending agency tor t�e pedormance of i�e work tor w�ich this permit is issuetl. (Sec. 3097. Civil Cotle). Lenders Name: Lenders Address: Signawre: Date: OWNER-BUILDER DEClARA710NS: I hereby affirm the� under penalry ot perJury thai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Businass end Professions Code: Any city or wunry which requires a pertnit to construc�, alter, improve, demolish, or repair eny siructure, prior to its issuance, elso requires the applicant tor such permit to tile e signetl statement Ihet he or she is licensed pursuent to t�e pmvisions of ihe Comractors License Lew (Chepter 9(commencing with Section 7000) ol Division 3 of the Business antl Professions Code) or that he or s�e is exempt Iherefrom entl lhe basis for Ihe elleged ezemptlon. Any violelion of Section 7031.5 by eny applicant tor a permit su6�ects the epplicant to e civil penalty ot not more Ihen Ilve hundretl dollers ($500).): ❑ I, es owner of the property, or my employee5 with weges as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered lor sale (Sec. 7044, Business and Protessions Cotle: The Contractors License Lew does not epply to en owner of propeny who 6uilds or irnpraves therean, antl wha tloes such work himself or herselt or through his or her own employees, provitled that such improvemenis are not intended or oHered lor sale. If, howaver, the builtling or improvement is sold within one year of completion, ihe owner-builtler will have ihe burden ot proving that he or she did not bulld or improve for purpose of sale.). ❑ I, as owner oi the properry, am EXCLUSrvELY CONTRACTNG WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business end ProfeSsions Code: The contrectors License Law tloes not epply to en owner ot propeny who builds or impwves lhereon, end who contracts for such prolec� wl�h a comractor(s) license pursuam to the Contracioro Licensa LawsJ. �"� under sec. Business and Professions Cotle for this reeson: Si� awre� n i.t0 Date: ! - 9 O venfied by dnver's license. �es ❑ No Verilication of Ownership by (rype of daumeni, i.e. � property tas bill or DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICAiION: ❑ I hereby canity Ihat no eacavatlon fiva (5) or more leet in tlep�h into w�ich a person Is requlred to dascend, wlll be mada in conneciion wlih work euthodzetl by tNs permlt, antl that no building siructure, SceNolding, lalsework, or demoli�ion or tlismantling thereof, will 6e more then thirty-sis (3fi) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Galifomia Atlministretive Cotle). ❑ A5 ownar�builder, I will not employ enyone to tlo work which would require a permit from lhe Olvislon of Intlustnel Salety, as notetl ebove, unless such parson hns a perml� �o tlo such work Iwm the tlivision, Slgnature: Dete: Division ol Indusinal Safery Pertnit Number. CERTIFICATE OF COMPLIANCE AND Al7T}iORIZATION OF ENTRY: I certity under penalry of perjury that I have reed ihis application and state that Ihe information given is correct. I agree to comply wl�h all stata laws and city ortlinances relating to builtling construction, end authodze representatives ol ihe Ciry of Costa Mesa to enter upon the ebove�tlescnb property for inspection purp es. I egree rot to occupy or allow occupancy of eny builtling euthodzotl by this permit umil tinal InsDection. �� naiure Of Legel �e And/OrAuthorized Ap0licant Date COpE I. INSPECTIONTYVE Qa¢, I�LS 1616 Fizod System Final Fire Prevention 1268 200 201 202 203 204 2998.66 Pool Spa Final Final Re-Root Flnal BIocWRetaining Wall Final Factory Fire Place Finel Sign Final Demolitlon COOE I INSPECTION TYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel Eletincal 212 Final Flre Preventlon 220 Finel Plenning Approvel 222 Final Site 250 Final Builtling/Occupenry P9IE IMtfIRLS I�'m'�i�l � a,. v i o-.s' 7 OWN�R Yll1LTON, B.C. � i3 - 3`7 DATE 4-10-56 JOBADDRESS 732 lK. 20th St. av-5"7 BUILDINGPERMITNO. 2596 GFN��AL.GpNTRACTOR �mer-�ilder VALUE $ 7,772.00 AP. No. LOT TRACT FII2E ZONE - DESCRIPTION OF WORK �"/9111i1� GROUp i TYPE V� ZONE R4 PLAN NO. 2605 ECTIONS � DATE I $UBCONTRACTOR C. �!'t.cci �C�,a-f� a..�.oE. �Gf �vr� -1,s- `� �iY%a.b�aw �ii'�-��' � ..c,...�n.6 �.u,;cx a'r.r' . �' �. � - 9-sG� _ Costa Mesa Building Department •� P. O. Box 3!7 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building � � � G� o) v Address /'\ Costa, Mesa, California Nearest Cross St. U Owner � Mail Address City C� Arohitect or Contrector �4l//Y/R'la�l Address �� . d Metes and 8i ot S –Ii ., . e . Alteration nepair � Buildin9 � / � No. Lic. Lfc. /'- I Trect (�/� •-3yl-I � �. af Bldgs. � �_ r �w an Lot (C7�Ac .of No.of milies Rooms� ;ear Vard �G / R � Atldition Demolist Stories :�PPLICATION FOR PERbIIT 2605 BUILDING � � FOR OFFICE USE ONLY �.. Address ' Costa Mesa, California Nearest Cross St. 2one /� _, � No. of � 7ype / Group .-..-.. ✓ ,...;) Covering . I /��f�jjZ laCoverin9 %✓4'1//1c�a�l � APPROVALS Use ot New Buildin�� Foundation Lacation Inspector — Forms, Materials, _ iu e�� Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have rcad this Application and state that the above Is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. ' �ath. Ext. Signatureof G � / Permittee �-�� %i Plaster.lnt. �' Valuation � PermitFee$ ��• � � M+ � Plan Check $ O• v� g� \6 /, �� Total � Fee '3 D. � d FI .M ona m.ns o. r. e s. O S � 2 D r V i J n R Street � PLOT PLAN 6how locatlon and tlistances f�om property Iine and between buildinga � � � pCOSTl. ¢ �...^ . r. �,".�i-n�S;PU;lESA S8a '` �30. � 1. ` • � � . r, .` •'- , . � i �. �'.' � %�'� �- .�. �, � , ,1_ �� .. � �:� .•,, , _ � V '� � ` f � . _ _ � -- ' ` � - �. . ... . , . �. � � • ' h _ _ .� � � 1 � ...` � . .�. �- - . � � � . , � i �. � - ' _ � -. . _�'� �