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Home My WebLink About375 22ND ST - Building Permits._—. dJECT AOUBESS: 3'� J 2 2ND ST OWNEP'S NAME: HERY FORD AODNESS: 3'�S 22ND ST CM CA 92627 AFCHIENGINEEB: 6 4 2— Q 1 4 0 qooxess: flEG.NO.: UNIT: uxir: PEHMITTEE: CRANK HROTHERS ROOFING ( 714 } 548-5569 aonsess: 126 COMMERCIAL WAY UceusEo coNTaacToF o�cuRanofl: � nereby aPorm inat � am �icensea unee oA ism9ns?tGcbap�r 5(commencing witn section 7000� of �Msion 3 of the Business antl Pm�essions Code. antl my license is in full force antl e��ect. CITY LIC.. $TATE IIC.: SS: 0 5993 408677 �C3_ 9 �� a�e'. — � Signa�ure: _ _ ��.(,� �� _ WOflKEBS' COMPENSFTION DECLABATION: I �ere�y atfirm tha e a cenii¢ate of consent ro sel4insure or a certificate of Workers' Campensa�ion Insurance, ar a ceni�ied copy thereaf (Seciion 3800. Lab. C�. roucrNo.: Zg522491 EXP.OpTE: OlIOlI9Z comvaNv: STATE FUN� ❑ Cetlified apy is hereby Wmishetl Certifie0 copy is fi�le0 wn1�7[he mry tlOmg �ivision Jate: � / / � t � Applican�'. / /'1 LC�i�.�'uGl� �/�vG�' E%EM7TION FHOM WORREfl3' COMPENSpTION OECIABAiION: (This se �ion neeA no� �B ComplB�ee If �he permit is �ar one huntlred ($1W) of IB55�- I certify tha� m �he petlormance ol Ihe work �ar which �his permi� is is5ue0, I shall no� em0loy any person in any manner so as �o become su�lecl to Ne Workers Compensation Laws oi Califomia. Oaie' 9gnaWre: NOTICE: I�. aRer making �his declara�ian, you should become sublec� to Ihe Workers' Compensa�ion Dmvisions of �he La6or Catle, you musl fotlhwith compry with such pmvisions or Ihis permit shall be aeemed revokeA. CONSTHOCTION LENOING AGENCY: I hereby affirm �ha� ihere is a consVuclion lentling agency for �he pedormance of Ihe work for which Ihis permi� is issued (Sec�ion 3097, Civ. C�. LENUEH: FODNESS: � ' OWNEB BUIL�EB OECIAXATION: I here6y aifirm �ha� I am exempt fmm ihe Con[radors' S�a�e License Law for �he following reason (Sec�ion 703L5 Business an0 Pwfessional Code: Any ciry o� counry which requires a permit m cons�mct, al�er, impmve, demolish, or repair any SlmcNre. prior Io its issuance, also requires �he applicant br such permit �o �ile a SigneU S�a�emen� tha� he/S�e is litensetl pursuam m �he pmvisions ol ihe Contracmrs' Sta�e License Law �Chap�er 9(wmmencing with Section 7000) o� Oivision 3 of �he Business antl Prolessians Cotle) or tha� helshe is exempt I�erefrom antl �he basis tor the alleged exemp�ion. Any viola�ion o� Section 7031.5 by any appl¢anttor a permi� sublec�s �he applicant to a civil penal�y of no� more �han five hunOred tlollars (5500�. I, as owner o� the pmpetly or my employees with wages as their sole compensa�ion, will tlo the work, antl �he ❑ slmclure is nai intended or o�fered for sale (Sec�ion7044, Business and Pm�essional Code: The Con[ractors' State License Law does no� apply to an owner o� a pmpeny who builOs or improves �hereon, and wha does such work himself/hersel� or �hmugh his or'her own employees, pmvitletl ��at such imD�ovemen�s are not intentlea or ofleretl �ar sale. I�, however �he 6uiltling or impmvemen� is sold within one year o� completian. Ihe owner will have �he burtlen af pmving he/she did no� build o� impmve �,f for ihe Durpose of sale)- 1/ I, as owner a� �he pmpetly, am exdusively contrac�ing with licensetl con�raclo�s �o cons�mc� �he pmlect (Section 7044, Business ❑ antl Pmfessions Cotle: The Coniradors' Staie License Law tloes no� applY �o an owner oi property who builtls ar improves thereon ane who caniracts �ar such pmlec�s with a contrac�mfs)license pursuent�o Ihe ConVacbrs' State Llcense Law),I am aware Iha� proof of iheu Worker's Compensa�ion Insurance shoultl be pmvitletl �o me- � I am exemp� under Seciion B. 8 P. C. for ihis reason: Date: Owner I tlo hereby cetlity �ha� I am aware o� antl understantl ��e requiremenls oi Califomia Health antl Satery Cotle Sections 25505, 25533, antl 25534 and thal I or any lu�ure bvilding occupan� willlwill nol (clrcle one) neetl to comply with seid s�a�e coaes and Ihe requiremen�s for a permil for conslmciion or modificalion from ��e Air Dualiry Managemen� Oistnct Fesitleniial cons�mction applications are exempt �mm these provisions , oate. AVPlicam: I hereby cer�ily �ha� I have reatl �his applicallon antl s�a�e Iha� �he above in�orma�ion is cortec� I agree �o compty wi�h all clry antl coun�y ortlinances antl slaie laws rela6ng �o butltling constmciion antl hereby au�horiie represanta�ives o� �his mty �o enter upan the above�men�ionetl properry �or mspectmn purposes. ��1� /� p // ��aie: � � I 7 . ( � Signaiure: �•� , oriver's Liwnse or Social Seanty a: t64t-46 Whpe-9utltling�. Green—Code Enfomemenl', Canary—Applman�; Pink—Revenue', Goldenmtl—Assessor 1 / � - � � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 053909 PERMIT NO; B 053909 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE; ALT SOB DESCRIPTION : T/OFF REROOF W/ BUILT UP W/GRAVEL SQ FT: 5,993 CLAIM VALUE: 5,943.00 CALC—VALUE: 5,993.00 GROI7P OCC; R-3 / COMMENTS; T/OFF REROOF W/ Bi3ILT UP—GRAVEL 1f iF iE iP iF 3F iE 1F iF if iF if iE iF if if fE iE ff iF iF ik ik 1E iF iE if �f 1F iF IF iE iF fE if iE iE iE iE iF if 1E IF iE iE iE iE iE iE iE ikiE iE iF k 1E 3E if iE iF �1F i4 iF iF IF ik jE iF if iF iE if �E !E i4 �F iE fE�F 2 O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT TN LEFT: FT IN RGAT; FT IN LEFT: FT IN RGHT; FT IN PARKING RE • PROV; PARCEL: 00000000 ZNE: REF NO; PLANNING N T'ES> i *�*�*�*�**�**��*�+�*�*,��*��,�*******�+�*****�***�**�***�,��**�*�***��*��*x*�*�*� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY , DATE; $UILDZNG APPROVED BY ; aE iE�E iE iFiE if �E if iE iF iF if iE iF lE 1E 1E iF if iF iE 3E iF ik if if iF iF �F i61f iE 3FlFif LEGALIZATION:N F E E DATE; DATE: �� iEiEiEiElEiFif3Fifif iEif �E ±E if iF iF if iF �E iE�E iE jE �Eif jf 1E 3f iE iE if jf 3F IF iF �F * 3k iE jE iE iE jF iE �1E iE 3F 3E 1E iE iE U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING E CTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81,00 ' S9- PL� , . SMIP/WON—RES I55Lt� P'LL" - � � BrU,�I.LD�ItNG—DIV—> PER,qMIqT I SU/�E�3 PLAN—CA`,EC/�(K� TOTAL . PAIIY"'� DUE �Cll.f'�JJ_—'_p '�1��7 iSIRI Cls�lli �.{�,�q � �1.'�Ji�� - .�0 �� REVENUE DIVISION TOTALS--> COLLECTED: 81.59 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK 81.00 .59,. �:� iF 1E iE iF iE iF iE 3E iE iElE 1E 3E fE 3F if iF iF �f i6 3F if �f if if iF �f 3f if if iE iE iF �kjE 3f �f iF iE if if if af if iF iE iE iE 3F iE iElf iE 3E iE iE IE �E 3F iE 3f 3F if 1f �FjE,1F iE if 3F iE jf iF 1E iF iE iF 1EiE I N D I V I D U A L F E E B R E A K D O W N ^` : . TYP.E QTY D E S C R Z P T I O N UNIT COST TOTAL COST SFR 5943 REROOF BY VALUE"�RESIDENTIAL NOZONE 1;00 5,943,U0. : END OF FEES „ ;'. �XpIF��. . lete InsP£�t�cn� ��j,� Incomp -� ' '� SI$ o�>��-' � `�1 Jy3sQ �--�_ $ 4 � J1 f'�� _ � r t`: �:y _ - �/ ',T�. .:i.'i.' : _�_ . __ i , � ' CONSTRUCTION ANDPLANNING P��,"S� r_ APPROVALS Permit # Date Inspector qppROVALS Permit # 1 1. Temporary Electrical Servicl,-e or Pole 52. Pool & Equipment Location �.;... 2. Soil Pipe-Undrgrnd. � �,r 53. Steel Reinforcement �'El�ctrical Conduit U�ility-Undrgmd),��'' 54. Forms .i� �: J4.,Electrical Conduit-Undrgrnd: � � 55. Electrical Bonding `�5- St�el Reinforcertlaqt J 56. Rough Plumbing & Pressure Test �6:,ElectricalUFER'Gind. - 57. APPROVALTOCOVER�GUNITE '-7. Footings ��' T 58. Eiectrical Conduit�Undrgrnd. 8. Foundation '.'� " 59. -Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Und��rnd. , .- �� 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Strucmral PloorrSystem ' � 61. APPROVALTO DECK 11. Property Sewer tine-& Hous�Connection 62. Backwash & Receptor-Final 12. Sewer Cap �'' ' .v 1 63. Heater & Vent�Final 13. Roof Drains �u _ 64. Plumbing System � Final 14. Rough Plumbing' - 65. Electrical-Final f 15. Rough Electrical:Conduit .. 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval 77. Rough Wiring Siyn 68. APPROVED FO�R P�ASTERING 16. Rough ElectricarT Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT - .. �, � u: F � 20.,diough Facto� Fiteplace i ��:�� [ . - C " ^� 'e. tAPPROVlkL3i�,^. �"Permit # �a �*' x.r: � �ti: �c . ra ,. a � �; �s�.. �: � + � : rc 1 t -.: ..-.� � .y. .� '" � .� �r �n 21. �Ducti, in�Strycture::i . „ „ . � ,, - `; � .'�p, l�nde�gro�nd I-ly�ro : 22. Ducts, Vehti�3ting� � � i+ *-7�, ProductYiqir�g Q�as ❑�Oil � ,- 23. 6arP,iperRough &�T'Qst � `�� 1, :,� T � ` 72. Undeigroufld.Flu"sh-.,_ ' "� 24. �RooT Framing� i . � � � �l� : > ' � r r :�.73. r�Undergrnd7StoragA-Tank [7 Gas ❑ Oit 25. Rooy',Sh�athin9 . '. ,'� + ��' ,7 . 'i'', -` �"74."Oyerhead�-lYdro;� "' r 26.�T-Ban Ceiling IStructural) & Monocoat +� � �� < :�7 ^ � 75�Dry Chemical ` :1 �• � _ . -. -' 27.,'Frame and Plashidg£ `T',l �i ' y � 76 � Dry Stand,�ipe ",; r'-� '' '28. �Lathing �& Si.dingv. -.: .��;'.i; � . � r.� �� 77.: FIXED SYSTEM_FdNAL* �� . �'29. Insulation "; �., - '� "" ; ' �� , �� } 78.�'FIRE PREV. FINqL .y .; u �., > =30. Drywall:Nailing r. � v � 'z �� . HEALTN�DEPT.: PEQUIREMENT ..37. Plaster Br.own CoaT.' � �:. . ,� ; K 79:'FINAL IfSSPECTION "� - -' ` 32. -Electrical PowRr Meter.-,Final � ' � „ ;,'1 '80 ��FOOD CERTIFI,eRTE ISSUED � .�33.��Fina� Electri4 ' i ,i ' ;; ' '�Not'es: - '�„ '� '"; 134. Findl•HBaiing:&Air.Conditioni�g., � � �- � -�r �� , �,,j 35. Final GasPipe'-Test' ' - ;' , � i� Y '_ � " v' •x � � -_ .. � - „ ;36. Hood or, Canopy { i , , , � , �� y s: ' � ; ,+ 37.��Pinal'Fattory Fireplace� •'•��r ` '�" , ' • �« - �' x ��, c � � i t_ � .... ��. , - a� ;38. Final�Plumbing , , • 1 � � � � , � a . - -�39. WaterSet:vice-Final� • � � ' t? ~ � �'- � -%: � � 1 Y � Y •• _ -40. Gas Service-Final " "� � � � r "� ' � i .�7 L.� l" � t l�' � 1 j'. _' . •J i. ?41. Solar pomesticFinal � �' � � �� . ! ' E+ � ` ' x - � _• 42. 'Backflow Preventer," ' �' �t � � . ' '' ' ` .,. ��, _ 43. Backflow Irrigation - -� �,� ' �- �t - �..�, . � r., . . � . ^ � - ;,44. Landscape Irrigation SYstem,. , - j� - � �'� � ` -•� � ,�. .. . . : _ : " " � fi:�� >45.�.Sound Attertuation�� -. �' � �- � - 1 ��r�pnS �• � �* `". Iet Ins2 • %16..HandicaR;Regulations ' � � ��1 � � � ' " " � t i 47. FINALSTRUCTURE&BUILDING � '� « ate.' � . 148.:'FIN�AL PLANNINGI i �� ' � * �1, �y ' •r _ - c49.�_Electric Release to Edison � . ' , .. �� . • _ Y l ,�50..Gas_Release to Southem California Gas Co .. � . . , - -. ;51. CERTIFICATE OF:OCCUPANCY _ _ , .. , , . No. Date Date Inspector � / � /�