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Home My WebLink About913 MACKENZIE PL - Building Permits(714) 754-5273 • Fau (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: 913 MACKENZIE PL 41805238 Applicant VARDIMAN, JACK Address: Owner: SAULNIER, KATHLEEN MARIE Address 913 MAC KENZIE�PL COSTA MESA, CA Convactor: VARDIMAN ELECTRIC Address: 17150 NEWHOPE ST SUITE 402 FOUNTAIN VALLEY, CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlels Swi[ches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motore l0 7hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp ISSUED BY�, Phone: 714 438-1182 Zip: Phone: Zip: 92626-2914 Phone: 714-43&1182 _ 2ip: 9270II License: 658493 SCOPE OF PERMIT . ADD 1201 SF TO EXISTING S.F.D. AND ADD 90SF TO EXISTING GARAGE. �� CONVERT 3 BEDROOM, 2 BATH S.F.D. TO A 4 BEDROOM, 4 BATH S.F.D. REF: 803-02028 Status: Applied: Issued: ISSUED 04/20/2004 07/16/2004 ELECT. PERMIT IS FOR 200 AMP. SERVICE UPGF2ADE, 86 FIXTURES, 83 RECEP & 76 SWITCHES. FEE SUMMARY r $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $70.18 $67.99 $62.88 $0.00 50.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 �uantity 0 0 0 B6 83 76 0 0 1 0 0 0 0 0 0 0 Temp Dist System / Lighting Busway/100ft - Standing Section � Misc ElecVical 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. Conduil Misa Conductor � Circus ( gen or ride) Circus (mech ride or lights) Chnstmas Tree Stand ' Fireworks Sland Other ElecVical Fee � �' Quantity $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" $D,00 -� ;0 �� $0.00 . : 0 50.00 .�" 0 $0.00 0 - $0.00 0 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. Nb. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlons and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zme-ae �aroo� WORKERS'COMPENSAnON DECLARAnON: � I hereby aHirm under penalry ot perjury one oi the following declarations: ❑ I heve anC wlll malntain a certificate oi consent to sell-Insure lor workers' compensetion, as provitletl for by section 3700 ot the Lehor Code, for the pertortnence oi the wark for which Ihis permit I5 issuetl. ❑ 1 have and wlll maintaln workers' compensetion Insurance, es required by seMion 3700 ol the Lebor Coda, for tha perfortnence of the work for which thls pertnit Is issuetl. / jy workers' compensa�tlon In urenca certler entl pollcy number are: / L/ /� Cartler: ��//� � �C./ /lJ[� plP�` Icy Number � T/'✓ O Z.. a�� (This sectlon�nof be crompleted i! the permlf Is veluetl et ane hunaretl Dollan ($100) or less.) ❑ I certify that in lhe peAormance ot t�e work tor which Ihis pertnit is issued, I shall not employ eny person in eny manner so as to become subjact to lhe workers' compensetlon laws oi Califomia, and gree het If I should betome sub�ect to the workers' compensatlon provisions of Sectlon 3700 oi the Lebor Code, I shell forihwlih /Compty wli� these proW s. �- (� Applicenl Signature: � -(�—�� . �ate:' %'�� J WARNINO: FAILURE TO SECUR ORKERS' MPENSATION COVEMGE IS UNLAWFUL AND SMALL SUBJECT Ml EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED T}10USAND Op1FRE (5100. , IN ADDITI O THE COST OF COMPENSATION, DAA41GE5 PS PflOVIDED FOR IN SECTIQY 3lO60F iHE L4BOR COOE, IMEREST, aND ATiORNE`f5 FEES. LICENSED CONTRACTORS DECIARATION: eHirm the� I em licensad i eHeci. Lic. N or's Signe�ure: ��, 9(commencing with Section 7000) ol Divlsion 3 of the Business end Professlons Code, end my license is in full �_ Class x � � i O CDate: �% % S��l CONSTRUCTION LENDING AGENCY: ❑ I �ereby aflirtn Ihat Ihere is a construction lending egency tor Ihe pedormance of ihe work for wNch this permit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lendefs Address: Signetura: Date: OWNER•BUILDER DECLARA710NS: I hereby eHirm that under panelry at per�ury thet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe fallowing reason (Sec, 7031.5, Busineu and Professlons Code: Any ciry or counry which requires e permit to consWcL elter, improve, tlemolish, or repair eny strucWra, prior to its issuance, also requires ��e epplicam tor such permlt to Ille e signed stetement that he or she Is Ilcensetl pursuent to ihe provisions ol the Contractors License Law (Chepter 9(commencing wlih Secllon 7000) 01 Divislon 3 of Ihe Business end Prafessions Code) or thet he or she Is ezampt therefrom an0 the basis for the ellegetl exemptlon. Any violetion oi Sectlon 7031.5 by eny epplicent for e permit suD�ects the applicant to e civil penalty ot not more then live hundred tlollars ($500).): ❑ I, es owner ol the property. or my employees wlth wegas es Iheir sole compensa�ion, WILL DO THE WORK, end the siructure Is not Intentletl or oflered tor sale (Sec. 7044, Business antl Pmfessions Code: The Contrectors License Law does not apply to an owner of propetly who 6uilds or improvas thereon, and who does such work himseN or hereelf or through his or her own employees, provitletl that such improvaments ere not Intendetl or oHered for sale. tl, howaver, Ihe building or impmvement is soltl wit�in ona year of completion, the owner-builder will have the burtlen oi Droving ihet ha or sha tlid no� build or improve tor purpose of saleJ. � ❑ I, es owner ol the property, am E%CLUSIVELV CONTRACTING Wli}f LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Buslness and Professions Code: The conireclors License Lew does not eDPly to an owner of property w�o bulltls or Improves Ihereon, entl who contrecis lar such pro�ect with e contractor(s) liCenSa pursuent to ihe Conlractors License LewS.). ❑ I am eaempt under sec. Busineu and Professions Cotle lor this reeson: Signature: Dale: Owner ID venfletl by drivefs license. ❑ Yes ❑ NO Drivefs License No. Varlllcallon of Ownership by (type of document, I.e. - property tex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby cerllfy Ihat no excavation flve (5) or mora feet in depth into which a person Is required to descend, will be made In connection with work euthonzetl by this permit, and that no building sirucNre, scaflolding, talsework, or demolition or dismentling ��ereol, will be more than ihiny-si: (36) feal high. (Chap. 32, Gry 2, Art 2, Sec. 361, Tltle B, Celifomie Admini5hative Code). ❑ As owner-builder, I will not employ anyone to do work w�ich would require a pertnit from the Division of Industnal Safery, es notetl ebove, unless such person has a permit to do such work tram the division. SignaWre: Date: Division of Indusinal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE ANO AUfHORRATON OF ENTAV: I cenity under penelry ot perjury that I have read this application and stete that the infortnation given is correct. I egree to comply with ell state laws end ciry ordinances relating to building mnstruction, end euthorize representatives ot ihe Clty of Casta Mesa to enter upon the ebove-tlescribed properry tor inspection purposes. I agree not to occupy or allow occupancy ot any buildinq authorized by this pertnit until final inspeciion. CODE �. INSPECTIONTYPE . 1616 Fisetl System Final Fire Prevembn 7268 Pool Spe Finel 200 Flnel Re-Rooi 201 FInaI BIocWRetaining Well 202 Final Factory Fire Place 203 Finel Slgn 204 Final Demolition D e � 7��.�� 'DatB Qej[ IN� CODE11 INSPEGTIONTYGE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Elecincal 212 Final Fire Pravention 220 FinalPlanning Approvel 222 Final Site 250 Final Builtling/Occupenty Pejf, INTiTIALg (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 9'I$ MACKENZIEPL Suite No Vicinity: Parcel Number: 41805238 Applicant: Address: Owner: Address: Contractor. Address: HAIGHT. LEE 63 VIA PICO PLAZA SUITE 414 Phone: SAN CLEMENTE, CA Zip: 949-361-3737 SAULNIER, KATHLEEN MARIE 913 MAC KENZIE PL COSTA MESA, CA HAIGHT AND HAIGHT INC 63 VIA PICO PLAZA SUITE 414 SAN CLEMENTE, CA Phone: Zip: 92626-2914 Phone: 949-361-3737 Zip: 92672 License: 351411 ISSUED BY: Status: ISSUED Applied: 06/29/2004 Issued: 06/29/2004 SCOPE OF PERMIT REF: B03-02028. ADD 1201 SF TO EXISTING S.F.D. AND ADD 90SF TO EXISTING GARAGE. WORK TO INCLUDE: NEW 783SF 2ND STORY WITH MASTER BEDROOM AND BATH, NEW WALK-IN CLOSET AND SITTING AREA. ADD OF 418 SF AT FIRST FLOOR TO INCLUDE A NEW BATHROOM AND EXTENSIONS OF LIVING AND FAMILY ROOMS. REMOVE EXISTING FIREPLACE FROM LIVING ROOM. MECHANCIAL TO INCLUDE; REPLACE FAU AND A/C, MISC DUCT WORK. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Hlr Refrig Sys <�00 k BTU Refng Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhausl VAV Box Vent Fan ! Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater $23.50 $14.80 $0.00 $13.70 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I nci ne rator Domestic Incinerator Campressors / Absorplion Svstems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp ONer Mechanical Fee Investigation Fee Plan Check Fee �uantity $0.00 0 $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 50.00 0 $0.00 0 $27.15 1 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untlar California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abantloned for a period of 780 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 inspections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot �this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (6/001 WORKEFiS' COMPENSATION DECLARA710N: I hereby aRirtn under penalry of perjury one of the tollowing tleclarations: ❑ I have en0 will malntain a certificate o( consent to self-Insure for workars' compensation, es provided br by section 3700 of ihe Lebor Code, br the pedormance ot the work for which this permit is Issuad. ❑ I have entl wlll malntein workers' compens tlon Insurence, as requlred by sectbn 3700 of t�e labor Code, for the pedortnance of t�e woAc for which this pertnit is Issuetl. My workers' co enSetJon Insurance er nd pollcy number are: Carrier� � q � Policy Number: is velued ef one hundred dollars (5100) or less.) �Q I certity that in the peAorm i the work for which this permit Is issuetl, I shall not employ eny person in eny manner so es to become subl�� o �ha workers' v wmpensation laws ot C fomle, ntl egre that It should beco ub�ect to the workers' compensatlon provislons of Secti000�� 3700 oi th Labor Code, I shall forthwith compty with Ihase proN ' � �^ � � "\ /, ApplicenYSlgnature: � �2i �'T Date: L U 'I WAqNING: FAILURE TO SECURE WORKERS' COMPENSAT CAVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL P NPLTIES AND GVIL FI ES UP TOONE HIINORE� THOUSAND DOUARE (5100,000), IN ADDITION TO THE COST OF COMPENSATIqJ, DAN.4GE5 AS PROVIPED FOR IN SECTIIXJ 3'/O60F THE LABOR COOE, IMEREST, MID ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing wiN Section 7000) ot Dlvision 3 of the Business and Protessions Code, arC my license is in tull torCe end etteci. Lic. M qess # Conlractors'SlarreMe: �.¢o . _ _ . _ Date: _ _ __ . r „ � �1 ti � / CONSTRUCTION LENDING AGENCV: ❑ I hereby alfirm that there is a construdion lending agancy lor the peAormance ol t�e work tor which this permit Is Issued. (Sec. 3W7, CiWI Code). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I heraby aHirtn thet under penalry ot perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, 8usiness end Professions Cotle: Any city or counry which requires e permit to constmct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the epplicant for such permit ta tile e slgneC stetement thet he or she Is Ilcansed pursuent lo lhe D�ovisions of the Contrectors License lew (Chapter 8(commencing with Sectlon 7000) af Divislon 3 ot ihe Business and Prolessions Code) or that he or she is e:empt thereirom entl the basis for the elleged e:emption. Any violation ot Section 7031.5 �y any eppllcent for e permit subjacts the applicant to a civil penelry of not more ihen five hundretl Collars (5500).): ❑ I, as owner ot the property, or my amployees with wages as their sole wmpensation, WILL DO THE WORK, and the structure is not InterWed or oHered lor sele (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not apply to an owner of propeny who builds or improves Ihereon, and who does such work himself or herselt or Ihwugh his or her own employees, provitletl ihat such improvements ere not imended or ottered for sale. It, however, the building or improvement is soltl within ona year of complatioq the ownerbuilder will have the burden ot pmving ihat he or she did not build or improve for purpose of saleJ. � ❑ I, as ownar of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC708S to constmct the project (Sec. 7044, eusiness end Professions Code: The contractors License Lew tloes not epply to an owner ol property who builds or Improves thereon, and who contracts tor such project with e coniractor(s) license pursuam to the Contractors License Laws.). ❑ I am exempt under sec. Business end Protessions Code lor this reeson: Signeture: Date: Owner 10 venlied by dnvefs license. ❑ Ves ❑ No Drivers License No. Vedficatlon of Ownership by (rype ot document, i.e. � property tex bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify that no excavatlon five (5) or more feei In depth into which e person Is requlred to descend, wlll De made In connectlon wlth work authorized by this permit, and lhet no building siructure, scaHolding, falsework, or tlemolition or Cismantling thereoi, will be more than Ihirty-sfz (36) fee� high. (Chep. 32, Grp 2, Atl 2, Sec. 341, Tltle B, Califomia AdmlNstretive Code). ❑ As owner-huilder, I will not employ anyone to do work whic� woula require a pertnit irom Ihe Division ot Intlustriel Safery, as noted above, unless such person hes e permit to do such work irom ihe tlivision. Signature: Date: Division of Industrial Safery Permit Number: ICERTIFlCA7E OF COMPIJANCE AND AllTMOHVATION OF ENTTiV: I cenify under penelry of per�ury that I have read this epplication and state that the Infortnation given is I correct. I egree to comply with ell steta laws entl ci�y ordlnances relating to builtling consiructlon, entl euthorize representatives ol the City ol Coste Mese to enter upon the ebove-tlescribed properry tor inspection purposes. I egree not to occupy or allow occupency of eny building euthonzetl 6y this permil until linal inspectlon. COUE A. INSPECTONTYPE 1616 Fixed System Final Pire Prevention 1266 200 Pool Spe Final Final RB-Root 207 Flnal8lock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition � D Zq � n�ata •�� a�e �j7/ j INiIilALS COOE1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Building/Occupancy 1: ,�:.�L;;i '.Ti= (714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, GA 92626 PLUMBING PERMIT Job Address: 913 MACKENZIE PL Suite No Vicinity: Parcel Nunmber: 41805238 App�icant: RAMIREZ, MANNY Address: 8367 REILLY DR HUNTINGTON BEACH, CA Owner: SAULNIER, KATHLEEN MARIE Address 913 MAC KENZIE PL COSTA MESA, CA Phone: 714-960-M1212 Zip: 92646 Phone: Zip: 9262G2914 Contractor: AFTER FIVE PLUMBING AND ROOTER SERVICE Address: 8361 REILLY DR Arch / Eng : Address: ISSUE FEE Backflow irtigatlon Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) DenWl Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Phone: 714•960-4212 HUNTINGTON BEACH, CA Zip: 92646 License: 793686 Phone: Zip: �icense: SCOPE OF PERMIT ADD 1201 SF TO EXISTING S.F.D. AND ADD 90SF TO EXISTING GARAGE. CONVERT 3 BEDROOM, 2 BATH S.F.D. TO A 4 BEDROOM, 4 BATH S.F.D 2 SHOWERS, 2 WASH BASINS, 2 WATER CLOSETS REF: 803-02028 AMT $23.50 $0.00 $0.00 50.00 50.00 30.00 50.00 50.00 50.00 30.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer 50.00 0 Landscape Irtigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptore $0.00 0 Seplic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $19.60 QTY 0 0 0 0 0 0 0 0 0 0 2 ISSUED BY: Status: ISSUED Applied: 04l20/2004 SumpPump Swimming Pooi Trap Primer Unnal Vacuum Brkr BkFlrnv(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent AMT $0.00 $0.00 50.00 $0.00 50.00 $0.00 $19.60 50.00 $0.00 $19.60 $0.00 �TY 0 0 0 0 0 0 2 0 0 2 0 NO710E: The work authorized by this permit shall compry with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor 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 final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � � zae.ae �eioo� WOFKERS'COMPENSAnON DECLARAnON: 1 hereby eHirtn under penalry of perjury one of t�e following declarations: ❑ I heve entl will maintain e certificete oi consent to self-Insum br workers' componsetion, as provitletl lor by section 3700 ot t�e Lahor Code, tor the pedortnence ol the wOrk tor which Ihis pettP�� Is IsSuetl. ❑ I have antl will meintain workers' compensatlon Insurence, es required by sectlon 3700 of the Lebor Cotle, br the pertortnence ol the work for which this permit is issued. My warkers' compensallon Insurenco carriar end policy number are: Cerner. not Ee or/ess.) Policy Number: '� I certify Ihat in t�e poAo�ence ol iha w rKfor iich this portnit is iuued, I s�all no� employ eny person in eny menner so es to Cotome sub�oCi Io Iha workOrs' compensetlon Inws ot Gelif�le, anE �roe t il I shoNA betome su0�ect to Ihe workere' cnmpensfltlon provisions ot SecGon 37W ot Ne l.flbor Ca1e, 1 shall tortfiwlth compty wlth Ihese provisio d ' y�v-� ApplicentSignaWre: " Date: WARNING: FNLURE TO SECURE W� CER ' ATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO dJE HUNDRED TFKKISAND DOl1ARE (5100,000�, IN ADDITION TO TME COST OF COMPENSATIOtJ, DAMAGES AS PROVIOED FOP IN SECTIdJ 3I06 OF THE LABOR CODE, INTEREST, / ND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am lorce end eHea. Lic. » _ Contracmrs Signature: ot Chapter 9(commencing with Sectian 7000) ol Division 3 of Ihe Business and Professions Code, anA my license is in tull Cless M i'�3 � Date: y-7 n -Ot� � CONSTRUCTION LENDING AGENCY: ❑ I here0y aNirm t�at t�ere is e conslruaion lending agenq for Ihe pedormance ol ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lontlers Name: Lentlefs Adtlross: Siqnature: OWNER-BUILDER DECLARATONS: Date: I �ereby eftirtn ihat under penalry of per�ury that I em EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW lor Ihe Iollowing reason (Sec. 7031.5, Business antl Professlons CaCe: Any pry or counry which requires e permit b consWct, elter, impmve, demWish, or repair eny structure, prior to its issuance, also requires the epplicant for such permit to file a signetl slatement thet he or she Is Ilcense0 Oursuant to the provisions ot Ihe Contrectors License Law (C�epter 9(commendng with Sedlon 7000) 01 Division 3 of Ihe Business end Prolessions Gade) ar that he or she is axempt therelrom end ihe basis lor the alleged e¢emption. Any violetion ol Seciion 7031.5 by eny epplicaN for e portnit sub�ects t�e appliwnt to a cidl penalry ol not mora than live hundred tlollars (5500).): ❑ I, as owner ot t�e pmperty or my employees wlth wages as their sole compensation, WILL DO T11E WORK, and ihe sWcture is not intendetl or otteretl for sale (Sec. 7044, Business and Professions Code: Tho Coniraaors License Law tices not epply to an owner of property who builds or improves thereon, antl who does such work himself or herselt or through his or her own employees, provitletl t�at such improvements are not Imentletl o� oflered for sale. If, however, the bullding or improvemem Is sold vrithin one year of fAmplation, the owner-builder will have the burden ol proving that he or she did not build or improve tor purpose of saleJ. ❑ I, as owner ot l�e propehy. am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS ro construct the projact (Sec. 7044, Business and Professions Cotla: The wntrectors U�e�se Law tloes not apply to en awner ot pmperty who builtls or Improves t�ereon, and who contracls br such pmjact wlih e contrector(s) license pursuant to Ihe Co��ractors License Laws.). ❑ I em ezempl under sec. Busineu and Prolessions Code tor this reeson: Signature: Dala: Owner ID verllied by dnvers license. VB9 ❑ NO Drivef9 License No. Expiros: Vodfication ol Ownership by ((ype ol tlocument, i,e. - pmpeny tax bill or tleetl): DIVISION OF INDUSTRIAL 5AFETV PERMIT CERTFICATION: ❑ I hereby cetlily that no exwvetion live (5) or more feet in depth Into which e person Is requlretl to descend, will Oe made in connection wit� work euthorizetl by this pertni6 end Ihat no building strucWre, sceHoltling, falsework, or demolition or tlismantling Ihereof, wlll ba more Ihan t�lrty-sia (36J teei high. (C�ap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Celilomia Adminis�retive Code). ❑ As owner-builtler, I will �ot employ enyone to tlo work whic� would requlre B permi� fram t�e Divlslon of Intlusiriel Selety, as no�ed ebove, unless such per9on hes e permii to tlo suth work irom the tllWsion. Signature: Date: Division of Indusirial Safery P9�mit NumDer. CER'f1FlCATE OF COMPLIANCE AND AUTNORIZA710N OF ENITiV: I certify under penelty of perlury �ha� I have reed this epplica�ion antl s�ate ihel Ihe infortnation givon is corract. I agree to comply witp ell stete laws antl clly ortllnences releting to bulltling cons�ruction, end euthodze represon�etives of the Ciry of Cos�a Mesa to enter upon the ebovo-descnCed OroPerty lor inspection purposes. I e 6hot to occupy or allow occupancy of eny building aulhorized by this permit until tinel inspectlon. yign. ner(s) l� Date y-`.Z�-C7 � p NOr A 1 o Applicant � Date COOE 1, IHSPECTIONiYPE 7616 FizeO System Final F��e Pravention 1266 Paol Soa Final 200 Final Re-Rool 201 Flnal Blak/Retaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demdition PdI€ IMIilALS CODE� INSPECTIONTYYE 206 Finel Mechanical 20B Finel Plumbing 210 Final Electrical 212 Finel Fire Preven�ion 220 Final Plenning Approval 222 Final Siie 250 Final Building�Occupancy �. 1 1111_ I, ��: ��i'� �.�..I" >. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob nddress: 913 MACKENZIE PL Suite: Viciniry: Parcel Number: 41805238 Applicant: WILBUR, SPARKY Address: Owner: SAULNIER, KATHLEEN MARIE Atldress 913 MAC KENZIE PL COSTA MESA, CA Zoning: R1 R1 ISSUED BY: Phone: 714-96&8607 Zip: � �f�(R- �L�- GL 60 Contractor: S W GENERAL CONTRACTING Address: 21522 NEWLAND HUMINGTON BEACH, CA Zip: 92646 qrcn � SCHWEITZER ARCHITECTS Address: 1400 W LAMBERT #E Phone: Zip: 926262914 Phone: 714-968-8607 License: 567257 Eng: Address: Phone: 562-690-3229 BREA,CA Zip: 92821 License: C21100 Status: ISSUED Applied: 11/21/2003 Issued: 04/OS/2004 Phone: License: SCOPE OF PERMIT ADD 1201 SF TO EXISTING S.F.D. AND ADD 90SF TO FJ(ISTING GARAGE. WORK TO INCLUDE: NEW 783SF 2ND STORY WITH MASTER BEDROOM AND BATH, NEW WALK-IN CLOSET AND SITTING AREA. ADD OF 418 SF AT FIRST FLOOR TO INCLUDE A NEW BATHROOM AND EXTENSIONS OF LIVING AND FAMILY ROOMS. REMOVE EXISTING FIREPLACE FROM LIVING ROOM. ALSO INCLUDES 46 SF CONVERSION OF EXISTING GARAGE INTO HA6ITABLE SPACE. ALSO INCLUDES 80SF BALCONY OFF MASTER BEDROOM WITH 52SF OF TRELLIS ABOVE. ALSO INCLUDES REFRAMING AND REROOFING OF EXISTING HOUSE WITH ASPHALT SHINGLES (APPROX 1639SF). CONVERT 3 BEDROOM, 2 BATH S.F.D. TO A 4 BEDROOM, 4 BATH S.F.D. ZA-03-B4 Plan Check: $824.30 Permit: $1,268.15 SMIP Res: $14.88 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,107.33 FEE SUMMARY PLANNING & ZONING Calc Valuation: 5iaa,�88.ss Claim Valuation: so.00 I� 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) EXPIRA710N: This permit shall automatically ezpire and become void if work Is not commenced within 1B0 days, or if work Is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be consitlered legel, such work must comply with all applicable codes, and all requlretl inepectlone and Iinal approvel must be o�tained. Failure to obtain inspections and final approval will result in the expiration of this parmit. FOR INSPECTIONS CALL: (714) 7545626 zaaaae leroo) WORKEAS'COMPENSAnON OECLARAnON: I hereby aHirm under Denalty of perjury ona of tha tollowing tlaclaretions: ❑ I heve and will maintain e certilicate of consent to self-Insura tor worker5' compensatlon, fl5 proNded for by section 3700 ot the Labor Code, for (he peAormenca of the work for which Ihis pertnit is issuetl. ave end will maint in worke comperoeti insurance, es required by section 3700 of Ihe Labor Code, Por tha pertortnance ot the woB for which this pertnit Is issue My workers' cerlf e ati ce carrier nd policy num r are: ', � Y I�� Xry i— O l� Certler. � �lic Number. U � � (Thfs sectlon ne t be wnp/eted il the permif 1 valued af one hundre dollars ($100) or less.) ❑ I certily that in Ihe pertormanca o work for w ich this permit is Issued, I shall not amploy eny person in eny manner so es to become suDject to the workers' compensation laws of Califomia, egree th I ould beco e sub ect to the workers' compensetlon provislons of SecNon��777 00 of fh Labor Code, 1 shall fonhwith comply with �hese provisio e. �/��0� Applicem Signeture: ' Dete: / WARNINO: FAILURE TO SECUR K S' COI ON COVERAGE IS UNUWFUL AND SMALL SUBJECi AN EMPLOYER TO CRIMINAL PEN TIES A D CINL NES UP TOONE MUNDRED TMOUSAN�DOI.LARE(5100,000), NADDRIONTO ODSTOFCOMPENSATION,DAMAGESASPROVIDEDFOfiINSECTION3�OBOFTHELABORCOOE,IMEREST,ANDAiTORNEY'SFEES. LICENSEO CONTRACTORS DF I hereby eHirtn that I am Ilcensed force and eHect. Lic. H ConirecbYs Signature:� CONSTRUCTION LENDING AGENCV: Section 7000) ot Divislon 3 of the B � Cless a � Da�e: Code, entl my license is in full ❑ I hereby aflirm ihat there is e construction lentling agency for the performance ol ihe work for which this permlt is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentlefs Address: Signeiure: OWNER-BUILDER DECLARATIONS: oate: I hereby eflirm ihat under penelry af perjury thet I em E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW for the follawing reeson (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires e pertnit to construct. alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the epplicant for such pertnit to file a signed stetement that he or she is Ilcensed pursuant to the pmvisions of the Coniractors License Lew (Chapier 9(commencing with Section 7000) of Division 3 oi Ihe Business antl Profes5ion5 Cotle) or thet he or she is e:empt therefrom and the basis tor the allaged exemption. Any violation of Section 7031.5 Cy any epplicant for e pertnil subjects Ihe epplicant to a civil penalry oi not more than five hundretl tlollare ($500).): ❑ I, as owner of tha properry, or my employees with wages es thelr sola compensation, WILL DO THE WORK, ena Ne sirucNre is not intendeE or otteratl tor sale (Sec. 7044, Business and Professions Code: The Coniractors Llcense Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employees, provided that such improvemenis are not intended or offered tor sale. If, however, ihe building or improvement is sold within one year oi completion, the owner-builder will have ihe burden of proving that he or she did not build or improve lor purpose oi sale.). ' ❑ I, a5 owner ot the pmperty. em E%CLUSIVELY CONTFiACTNG WITH UCENSED CONTRACTORS to consiruct the prolect (Sec. 7044, Business end Profession5 Cotle: The comraciors License Lew tloes not apply to an owner ot propeny who builds or improves thereon, and who contracis tor such pmlect with a contracior(s) license pursuant to the Coniractors Ucense Laws.). ❑ I am exempt under sec. Si9nature: Owner ID verifietl by dnver's license. ❑ Ves ❑ No Business end Professions Cotla for this reason: Verificetion of Owners�ip by (type of daumenL i.e. - property tat bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Orivers LiCense No. Da�e: Expires: ❑ I hereby certity thet no e:wvation five (5) or mora teet in depth into which e person is requlretl to descend, will6e made In connection with work authodzed by this permit, end that no building siructure, scaHolding, talsework, or demolition or dismentling iheraot, will be more ihan thirty-siz (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomla Administretive Coae). ❑ As ownar-builder, 1 will not employ anyone to do work which would require e permit from the Division of Industriel Safety, es noted ebove, unless such person has a permit to do such work irom Ihe division. Signeture: Oete: Division of Industrial Sefary Permit Number: CERTIFlCATE OF COMPIJANCE AND AUTNORIZA710N OF ENiAY: I certiry under penalry oi perjury that I have read this application and state that the infortnetion given is correc�. I egree to comply with all state laws end ciry ordinences releting �o bulltling consiruction, and authodza represen�etives of the Ciry ol Costa Mesa to enter upon the above-described properry for inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this permit until linal inspection. COOE t. INSPECTONTYPE 1676 Fixetl System Final Fire Prevantion 1268 Pool Spe Flnel 200 Finel Re-Roof 201 Finel Block/Retalning W ell 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolition PAg It�E1$ COOE 1 INSGECTION TYPE 206 Final Mechenical 208 Final Plumhing 210 Final Electrical 212 Final Flre Prevenlion 220 Final Plenning Approval 222 Final Site 250 Final Bullding/Occupency Qif. �ei$ � �CS .y 1 INSPECTION �,ONSULTING SERVICES Serving Southern Calijornia INSPECTION REPORT 349 N. Hartley SL • West Covina, CA 91790 (S00)925•7788 • Fax:(626)851-9375 Hours REGULAR 7.5 X 2 X u N�f - Mileage: Expenses: Q Reinforcement � Concrete 0 Masonry 0 Prestress Post Ten 0 Fireproofing � Siructural Steel � Epoxy ❑ Other r Mix Used �� Description of Work Inspected �E ofB��s r� �JC� � �� it �,Fo �' �� i.i✓T O^/ SB��fo�T� , t��? r > . � � .�20`� u/rJ-1' �/1'.�O i g.r Xs�//�EJ S�i� l i.G.� S Uf Design PSI Certification of Compliance I declare under penalty of perjury that all of the above statements are true, and that of own personal knowledge that the work during the period covered by this report has been performed and installed in every material respect in compliance with the approved plans, specitications and all applicable codes InspectorName: 4f'�'1/�`� ��J�'/r� Inspector Signature: /r ��iG1�/ /' O��I— InspectorlD's u�£�i?�3��—�O Cubic Yards Specimens ��c 3-O2�oL�_ /;� All Inspection based on a mi ' um oi 4 hours and over 4 hours - 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. If Inspector is called to a project and no work performed, a 2 hour minimum will be applied. /� �i ' Approved/Authorizedby: : - .L_""� � l -- -- - (Project Superintendenq l� Submitted (Inspectian Consufling Services) Page: of: iCS AEtlress INSPECTION'�:ONSULTING SERVICES Serving Southern California Eyinear INSPECTION REPORT Dalo a: BuiIE P n Nu boM Geneee Canimc�oL J U $ubGonhanw (II MY) yJ 349 N. HarHey SL • West Covina, CA 91790 (800) 925-77813 • Fax: (626) 851-9378 �o REOUIREMENTS: Limit of ona job number; ona pertnit number per sheet. Identify all work by rype and SPECIFIC location. Non-Compliant work must be specificalty identified. Communication (RFI Sketch , etc.) voiding previous noncompliant items must be listed. Record conversations and communications with project designers. building and permit granting authoriry oKicials. Hours Mileage: Expenses: 0 Reinforcement ❑ Concrete ❑ Masonry � Pres�ress Post Ten ❑ Firoproofing ❑ SWCNraI Steel ❑ Epoxy � Other Description of Work Inspected � i, F I 5 � S I/,��//1C ,E:� �,�� i,I r�-� �,��-� l�,� �o�� , ��-� �y i� '-� Mix Used � Design PSI Certification of Compliance I declare under penalty ot perjury that all of the above statements are true, and that of own personal knowledge that the work during the period covered by this report has been pertormed and installed in every material respect in compliance with the approved plans, specifications and all applicable codes InspectorName: ��%1��1 ��aL+U InspectorSignature: /I�lef-r�°'��I�1��— InspectorlD's Di7l�-%�� iJ Cubic Yards Specimens _ D-�F All Inspection based on a minimum of 4 hours and over 4 hours - 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. Ii Inspector is called to a project and no work performed, a 2 hour minimum will be applied. i-� � `_ ' i % _ �; � /,-� Approved /Authorized,by>-- ' (Projecl Superintendent) Submitted By: (Inspection Consulling Services) Page: of: , November 6, 2003 � . CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT Kathy Saulnier 913 Mackenzie Place Costa Mesa, CA 92626 RE: ADMINISTRATIVE ADJUSTMENT/MINOR DESIGN REVIEW ZA-03-84 913 MACKENZIE PLACE, COSTA MESA Dear Ms. Saulnier: The minor design review for ihe above-referenced project has been completed. The application has been approved, based on the following project description and findings, 5ubject to the conditions set forth below: PROJECT DESCRIPTION The appliCant requests an administrative adjustment for an 8 ft. encroachment into the front setback (20 ft. required; 1 2 ft. proposed) for a 1�` floor expansion and a minor de5ign review for a 2ntl floor addition to a single-family residence. The proposal Consists of first floor expansion of existing garage and living areas and a master bedroom suite upstairs. The addition will result in a total of 4 bedrooms and 4 bathrooms in the house. ANALYSIS MINOR DESIGN REVIEW A minor design review is required for any 2"tl floor addition in the R1 ISingle Family Residence) zone to ensure proper design consideration and compatibility with surrounding properties. The proposal conforms to all development standards and the residential design guidelines. The 2nd story floor area (including vaulted area above 15 ft. high) is approximately 50% of the 1s' floor area (1,220 sq. ft./2,421 sq. ft.). The single- Building Division (714� 754-5273 • Code En�orcemenl (714) )$d-5623 • Planning Divisi0n (714) 754-5245 FAXp14)754<856 • TDOp1a)75a-5244 • www,ci.wsia-mesa.ra.us ZA-03-84 NovEmber 6, 2003 Page 2 story gable roof height is proposed to be raised above 15 ft. high for a smoother transition from the 1�` to 2ntl floor. The roof slopes away from the front property line so as to reduce building mass as viewed from the street. The proposed construction also incorporates varying rooflines, projections and offsets to provide an interesting building mass. The 2nd floor area is also positioned to overlook the roof of the adjacent residence to preserve open-air effect from the neighbor's backyard. The proposed 2nd floor addition is well integrated into the 1�` floor configuration. No privacy impacts are anticipated because the 2nd floor bedroom window will overlook the roof of the adjacent residence. ADMINISTRATIVE ADJUSTMENT The subject site is located within a tract where many of the residences were built with less than 20 ft. front setbacks. The proposed expansion would be consistent in design with many of the residences in the area on similar size lots, where one half of the front elevation projects further towards the street than the other. A portion of the front elevation is proposed to align with the adjacent residence to the left (east) at 15 ft. from front property line. A porch roof is proposed to project 3 additional ft. into the front setback (12 ft. front setbackl, which would be in line with the neighbor's eave overhang. Based on the design of many homes within the same residential tract, it is staff's opinion that approval of the administrative adjustment for an 8 ft. front setback encroachment would not constitute a grant of special privilege and that strict application of the development standard would deprive such property of privileges enjoyed by others in the vicinity. FINDINGS 1. The information presented substantially complies with Section 13-291e) and 13-291g)114) of the Costa Mesa Municipal Code in that: a. The proposed development and use is compatible and harmonious with uses on-site as well as those on the surrounding properties. The project meets or exceeds all residential development standards and intent of design guidelines. b. Safety and compatibility of the design of the buildings, parking areas, landscaping, luminaries, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. ZA-03-84 November 6, 2003 Page 3 c. The project is consistent with the General Plan. d. The planning application is for a project-specific case and does not establish a precedent for future development. e. The information presented substantially complies with Costa Mesa Municipal Code Section 13-291g1114) in that the project complies with the City of Costa Mesa Zoning Code and meets the purpose and intent of the Residential Design Guidelines, which are intended to promote design excellence in new residential construction, with consideration being given to compatibility with the established residential community. This minor design review includes site planning, preservation of overall open space, landscaping, appearance, mass and scale of structures, location of windows, varied roof forms and roof plane breaks, and any other applicable design features. The visual prominence associated with the construction of a two-story house or addition in a predominately single- story neighborhood has been reduced through appropriate transitions between the first and second floors and the provision of second floor projections and offsets to avoid unrelieved two-story walls. f. The information presented substantiaily complies with section 13-29(g)11) of the Costa Mesa Municipal Code in that special circumstances applicable to the property exist to justify granting the variance from front setback requirements (20 ft. required; 12 ft. proposedl. Strict application of the zoning ordinance would deprive the property owner of privileges enjoyed by owners of other property in the vicinity under identical zoning classification. Specifically, the lot is located within a tract where many of the residences were built with less than 20 ft. front setbacks. The deviation is subject to such conditions so as to assure that approval of the 8 ft. front setback encroachment would not constitute a grant of special privilege inconsistent with the limitations upon other properties in the vicinity and zone in which the property is situated. Granting the variance will not allow a use, density, or intensity that is not in accordance with the general plan designation for the property. 2. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA�, the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. 3. The project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. ZA-03-84 Ndvember 6, 2003 Page 4 CONDITIONS OF APPROVAL Ping. 1 2 3 4 Eng. 5 Street address shall be displayed on the fascia adjacent to the main entrance or front door in a manner visible from the public street. Numerals shall be a minimum 6" in height with not less than Y=" stroke and shall contrast sharply with the background. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. The conditions of approval and ordinance or code provisions of minor design review ZA-03-84 shall be blueprinted on the face of the site plan as part of the plan check submittal package. The applicant shall contact the Planning Division to arrange for a Planning inspection of the site prior to the release of occupancy/utilities. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and promptly remove any spillage from the public right-of- way by sweeping or sprinkling. CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1 2 Bldg. 3 Fire 4. Eng. 5. Approval of the Zoning Action is valid for one (1) year and will expire at the end of that period unless building permits are obtained or the applicant applies for and is granted an extension of time. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections will not be granted until all such licenses have been obtained. Comply with the requirements of the California Code of Regulations, Title 24, also known as the California Building Standards Code, as amended by the City of Costa Mesa. Provide approved smoke detectors to be installed in accordance with the 2001 Edition of the Uniform Fire Code. At the time of development submit for approval an off-site plan to the Engineering Division and grading plan to the Building Division that shows sewer, water, existing parkway improvements and the limits of work on the site, both prepared by a civil engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City of Costa Mesa. Pay offsite plan check fee to the Engineering Division. An approved offsite plan and fee shall be ZA-03-84 . N'ovember 6, 2003 Page 5 required prior to engineering/utility permits being issued by the City. 6. A construction access permit and deposit of 5350 for street sweeping will be required by the Engineering Division prior to the start of any on- or off-site work. Park 7. Existing parkway tree shall remain. SPECIAL DISTRICT REQUIREMENTS The requirements of the following special districts are hereby forwarded to the applicant: Sani. 1. Applicant shall pay all current sanitary district sewer connection charges. School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved site plan is enclosed. The decision will become final at 5 p.m. on November 13, 2003, unless appealed by an affected party or a member of the Planning Commission or City Council, including filing of the necessary application and payment of the appropriate fee. If you have any questions regarding this letter, please feel free to contact the project planner, Wendy Shih at 714-754-5136 between the hours of 1 p.m. and 5 p.m., Monday through Friday. Sincerely, � _. PERRv�ALANTINE Zoning Administrator Enclosure: Conceptually-approved plans cc: Engineering/Development Services Fire Protection Analyst Water District Building Division Jamie Stahl 166 Cecil Place Costa Mesa, CA 92627 To: Applicant Address: Telephone TracUParceland Lot Location of Project: Number of Square Feet or: Residential Space Commercial and Industrial Space NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTifICATE OF COMPUANCE Of DEVEIOPMENT FEES RUR,SRIt�lJT TO AB 1600 AND AB 181 04-OS-2�)i]4l�v:�l PPt . _ U�ER:LE . . 001-0013CI885 . . N° -4986 (�Cily of Casta Mesa District Receipt Nol "`'' i1� ( ) City o( Newport Beach .� �7 ( ( ) Counry of Orange � Plan Check No (�x-� CommerciaUlndust�al Projed is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy Industri8l Regional Shops Light Industrial _ This project is exempt because 1 � ` � x 51.84 x E .30 _ Motel _ Bank _ Neighborhood Shops _ RacqueVHealth _ Hotel Medical Office Office Park Total �� 1 I . 't' (1 Total Preschool Auto Repair Hospital Large Office Otfice 81dg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facitity fees in comp6ance with Government Code sections 53080 and 65995. The Building Pemiits fot this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Unified The above representatlon as W square footage is true. App6cant agrees that if ft is later determined that such representaGons are not true, then this ceAi6cate shall automatically terminate and the appropriate Cily/CouMy shall be notified. Date: / (714) 754-5273 • Feu (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 913 MACKENZIEPL Suite: Vicinily: PATIO COVER Parcel Number: 41805238 Applicant: JAMIE STAHL Address: 166 CECIL PL COSTA MESA, CA Owner: SAULNIER, KATHLEEN MARIE Address , 913 MAC KENZIE PL � COSTA MESA, CA Con Vactor: O W N E R-B U I LD E R Address: 2ip: Arch : Address: Phane: Zoning: R1 R1 Phone: 949-6451863 Zip: 92627 Phone: Zip: 92626-2914 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 11/21I2003 Issued: 11/21/2003 Phone: Zip: License: License: SCOPE OF PERMIT DEMOLISH 300 S.F. ILIEGAL PATIO COVER AND RETURN TO ORIG. STATE. Plan Check: Permit. SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $23.50 $0.50 $0.00 S0.00 $0.00 $24.00 SETBACKS MAIN STRUCTURE Frqnt 0. 0 ACCESSORY Frqnt 0- 0 PARKING Ezlsting: o NOTES: Rear 0. 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0• 0 Righl 0- 0 S50o.o0 ssoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permlt shall eutomatically expire antl become vold it work is not commenced wlthin 180 days, or II work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under lhis permit to be considered legal, such work must comply with all applicable codes, and all I requlred InapecUona and final approval must Oe obtalned. Failure to obtain inspections and final epproval will result In ihe expiration of this pertnit. � FOR INSPECTIONS CALL: (714) 754-5626 ?aeae �am� WORKERS' COMPENSATION DEC!.ARAiION: � I hereby eHirtn untler penalry of perjury one ot t�e following dedaraUons: ' ❑ I heve end vrill maintain a certilicate ol consem to selFlnsure br workers' compensation, es provided tor by sectlon 3700 oi �he Lebor Cotle, lor the pertortnence oi the work lor which this permit 15 issuetl. , ❑ I �ave end will maintain workers' compensation insurance, as required by sectlon 3700 ot ihe Labor Coae, tor Iho peAortnence of I�e work for which this pertnit is Issuetl. My workers' compensatlon Insurence cerrier entl policy number are: Cerder. � Policy Number: (Thls secf/on need not be /eteC!/ the permlNs veluetl ef one hundred tlollers (5100) or /ess.J ❑ I cenity that in the erlo ance ol the work tor this pertnit is IuuoC, I shell not employ any person in any menner so es to Decoma subject to Ne workora' compensetion la s of Ilfomle, end agree 1 should become suD�act to the workers' compensetion provislons of Sectlon 3700 of he Lebor Code, I shall lanhwith comply with Ihe 'o . /�� Applicant Signe Dete: ["'_-� WARNING: FAILU E T CURE WORI(ERS COMPENSATION COVERAGE IS UMAW FUL M1D SHALL SU9IELT rW EMPLOVEP TO CRIMI�PE�ES AND CML FlNES UP TO ONE HUNDRED Tl10USAN0 (5100,000). IN nDDRION TO THE COST OF COMPENSATION, DAMA6ES AS VROVIDED FOR IN SELTION �OB OF THE LABOR CO�E, INTEFE5T, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLAHATION: I hereDy eflirm ihnt I am Ilcensetl under prodsions ol C�aO�er 9(commencing wit� Sectlon 7000) ol Divislon 3 ot the Busineu end Prolessions Cotle, end my Iicense is In tull lorce and eflect. IJc. N Class M Contrectofs Signeture: Dete: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby eMirtn Ihat there is e corelructbn lending agenry for Ihe peAortnance ot iho work lor which this permll Is IssueO. (Sec. 3097, Civil Code). Lentlers Name: Lentlofs Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn thet untler Denelry ot per�ury t�al I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor l�e lollowing reeson (Sec. 7031.5, Business enG Pmtessions Code: Any ciry or counry which requires e permit lo construc6 elter, imprave, tlemolish, or repair eny sWcture, prior to Its issuence, also requires the epplicam tar such permit to file e signed stetement Ihat he ar she is Ilcensed pursuant to the proNslons at t�e Comractore License Lew (Cheptar 9(commencing with Section 7000) ot Dlvisian 3 of the Business and Professions Code) or that he or she is exempt therefrom end t�e besls for the elleged ezemptlon. Any vlolation ol Section 7037.5 by eny applicant for e pertnit subjects tha applicant to a civil penaly oi not more ihan live hundred dollars ($500).): ❑ I, es owner oi Iha property, or my employees with wagas as their sole compensation, WILL DO THE WORK, end Ihe structure is not intendetl or ottered for sale (Sec. 7044, Business and Professians CoOe: 71�e Coniractors License Lew does not eppy to an owner ol property who builds or improves Ihereon, an0 who tloes such work himsell or hersalf or Ihrough his or her own employees, provided Ihat such improvements are not intended or oHered lor sale. If, however, t�e builAing or imprrnement is sold within one year of completion, ihe owner-builder will have�the burden ol proving ihat he or she did not build or improve for purpose of sale.). ' ❑ I, e5 owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTAACTORS to con5truct Ihe pwject (Sea 7044, Business entl Professions Cotle: The conireclors License Law tloe5 not epply to an owner ol property who bulltls or impmves Ihereon, end who coniracls tor such prqect wit� e contrector(5) liCenSa pur5uent to the Conlreciors License Lews.j. ❑ I em exempt under sec. Signature: ,[9� Owner ID vonfled by drivers l Verllicetlon of Ownership by ( end Professions Code lor Ihis reason: ❑ Ves ❑ No ol tlocument, I.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: Date: /l/1//D 3 DrivefsLicenseNo. //, �Expires: ❑ I hereby cenity Ihat no excavation Ilve (5) ar more faet in depth Into which e person Is requlred to descend, will be mede in connection wit� work eu�horizetl by this permit, entl Iha� no builtling structure, scaflolding, falsework, or demolition or tlismantling t�ereol, will De more �hen thirty�six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltla B, Calilamia Atlministretive Catle). ❑ As owner-hulltler, I will nat employ enyone to Oo work which would roquire a permillrom the Division ol Intlustnal Sefery, es notetl aCove, unless suc� person has a pormit to tlo such work from the tlivision. Signaiuro: Dete: Division ol Intlustrial Selery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIITHORQATON OF EMRY: I certity un0er penalry oi perjury that 1 heve read thLs epplication and slate t�fli the intormaGon given is corract. I egree to comply with ell stete lews entl dy ordinences relating to bullding Consiruction, entl euthodze representetives ot t�e City ol Coste Mese to enter upon �he ebove-tlescribed propeM �or inspection Ouryoses. I agrae,Pot to occupy or ellow occupanty of eny building euthorized by this pertnit until final inspectlon. COOE I. INlPESflON TYVE 1618 Fixed System Finel Fire Prevontlon 1268 Pool Spa Final 200 Finel Re-Roof 201 FIneI8locWReteining Well 202 Final Fectory Fire Place �7]13 203 Finel Sign / 204 Finel Domdition �p� �$ �Qp$( INSPECTIONTYPE 206 Final Mechanical 208 Flnel Plumbing 210 Final Eleciriwl 212 Final Fire Prevention 220 Flnel Plenning Approval 222 Final Site 250 Finel Builtling/Occupenry DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Street Address: t. I (we), referenced real property, and lhal I(we) hereby authorize: :.. ._ . �•1. •. •� . This Permit # AP Number: declare that I am the Owner of Title of the above Name: �e �n"�� TelephoneNumber. �� (O/��1��3 StreetAddress: /COL7 Gec �� (.��P- City: CC�.S /CI , �P� _ State: �-� Zip: / �6� to obtain pertnits in my behalf, as owner/builder, for . L)p�V�AA� at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers Compensalion Insurance coverage and cause a certificate ot that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, wmpany or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or oKcers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct . Executed this 0779i6 (mv.11/00) _ dayof_ Print Name: Signature: . Date: 20_,at �Z�-0 Note: This auttwr¢ation does not g2nt authorization to perfortn the work as owner, il soley provides for limited power of attomey to secure this pertnil in any behalf. Califomia. C� � C''a�ta 7��leda Su�r�� y'�i�� OWNER-BUILDER VERIFICATION A ciry or county, which is reyuired to give notice pursuant to Section 19830, shall attach to such notice, and, as a condi�ion precedent to issuing a building permit, require the completion and reyuire the retum of, an owner-builder verif ication. Auention Property Owncr: An 'owner-builder' building permit has been a�pplicd for in your name and bearing your signawre. Please complete and retum this infortnation in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildine pertnit will be issued until this verification is received. I. 1 personally plan to prov de the major labor and materials for construction of the proposcd property improvement. � Yes ❑ No 2. I(have/have noq /�'�iV✓ signed an application for a building permit for the proposed work. 3. I have convacted with the folloµ•ing person (firtn) to provide the proposed conswction: Name Address City _ Phonc ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Namc �hn?�� /Q./L� Address %�li, Ce� �L J�Icz.�Q_ Ciry a� �%%GSd.. Phonc¢7�) ��.5 ��l ,3 Contractor's Lic. No. 5. 1 will provide some of the work but I have convacted (hired) the following persons «� provide �he work indic•rted: Name Address Phonc 7'ype of Work IDa2a6 (REV.998� LOOPFSSOF6NLWG: qI3 MAi.:KE.N'LTE FL °NTi �, CIi'Y OF Ci�STA MESA - bUILUINii P6kM1'i o�,�asx.�E�F�xT+: yAULNIER K�1'iHY E'L�7�li: X 4 i 2-� P�iiM NU: 6 "v85115 wowess: �j3 MAC ftENl.lE PL ,'CGSTA MtSA,CA �LbZb PERMII NU: b GB5115 PLAN CIiECF NO; N GGVT: N 5'uPr: N ,vv�. Wuiwa �woncss: urcxrtECT on exa+�x: urcx an �c.s �ooxea: uc. ra.: urr: ��*�� ACT'IGN 15'1 RUGF CAAE ( 714 ) 842-9122 cam�croirs�uunc '/4 i2 :iT.ATEk AV �� IlUNTIN�;TVN &tAi:Ii CA ��= 50�90"v 92ti97 u�: UCp15E0 COMN�CTONS OECLINATION: I Mroby Nim urder peroly d pejury Nel I em Ir.enwd uMa pro+'vima M Cheplr 9 (earvna�q xq� Soelian )000) tl Oiveion J d Ne Bivum eM Vroleaeioeu COCe. eM mY 4mns o in futl bm end s11W. c.No.:045135 uacuss: L_ jg uc.N 5"v2 _il- EXF: OG/GG ete: Gaurnqr. OW R B ILDEN ECIANATION: I � y i�m uMer pe�Wy d perjiry iha I em ewnq liam IM Conlmtlon Licenee Lew la tln n0 iaum ISeqion 1W IS &wiwaa eM eaimm Cods: MY M' a mmiY wfiidi nG�eees a Po�e io ouvmn. eEr. imqow. �mdsh, a repi em� atructise. p'v b m uaence, dw mp�nre tM �WiraN Iv wch ppme to Ne e�pned WtrroN tlW M a eM i�.ed w�m io ms pw�* a m. com�aw. ��.e �. �cn.p.. e ��."am wnn s.ao� mool a oa.e�, a a�n� ueiros end Praimauna Codel or ihel he a eha u aumq tMohom enE Ihe bave lor Ns albY� memqbn. MY violYion d Seeun )W1.5 Cy am/ epp6wu Irc e periril abpa� �M epWkx4lo e c+d penetly d�w maa tAen IMs hunArM do0u� RSO011. � I.noxnerd�heP�YamyamN�J�wYhrnOentheisobmmG�+m�.�iAEONenwk.arMNe�t�ucWnwnd'waMd «MereE W�eb lSeciion )ou.6usirov vd Pmlmebne Code: Tlw Conlreaon Liwn�a Lew dme m� evVN �oen ownera piapeny who buida a inP�� IMreon. md r�}w Eoes ��ch wM1 himwC or MnN rc Waqh 1�'v a her own emi�W�. p�� tM wW impmanema me nal'upeided a WertE la vab, tl. howaver. �M bwlJuq u inV��stl u witl xithin ons Yer d mmNe�ion. the ow�«t��aa �n n� in� w� a w�m ne o� .ne eb oa a,aa « �mwa+�« me wm� d.w). ❑ �... o.iw a ina ww«n..m sseurvw muee�+:iu „dn uran..e ca,v.��a. ro oduu�e u» wdsa (s<aiw, ro... a�.:e,. w PMm'vn Code: TM Caureeon licros Lar do� roi epplY b en ox�r tl popMy wto bwlEa a'enpws tAsson end Mn wnlrecta la vuN pqeaa wilh e comrerior(e) �� WnueN to ihe CaMradae L'vue lnwl. � I em uemq uMs Section: B. 8 P.C., M Nu ieeson: nm. O.nw: i eo n�nv �nnv uw i.m a.ae a.ro �,�d.nww ue �a�� a cdro�. �.nn .�a se.�r cod. sw�. uws. usaa. w 25534. erd tlw I a vry Mun Euikinp oearyeni will / wil rid (�b one) neeA lo mmph� wIh eeW qete wdes aM ths �aquiramaem br epermiltwmvwciionormoEifiWionhaniM�i�eu i�ylT—wpament0idriC.Revidemieloomirudaneppimlimeenezemqtramtlwae pwiso�a. Dme: �DWiceni: i WOFNEfl'S COMPENS�TION DECLAX�TION: I Mreby elflrm u�der pereliy d per�ury one d iM Idlowi'q Eederetoro: ',, � I heua uM r.il meinten e cend'cme d owmenl m eatlimum br xwka�e' minpeneetion. m pwided ta by Swl'an 9]aa W 1M LeEa !�ods, lor iM paelormeiwe d tM wak la w1Jeh �hie permn ie ieaued. q�J ' heve vM xil meinlen woMn' compenwion in�renro. m nQuirM by Setlian 3100 d Ihe lebor Code.lor �M perlormenoe d Ihe ic work la xliic� i�u V�n u usued. MY wakxe' ownDeneetbn imurerca farrier end OdKY number ara: cema.: NArL. UNSUN EXFSkr.S ' Pdiry Numbm: l/ U U U � .] G 9% V 1% 9$ � ihis secfiar need �wt be cwnN'nM / IM Ymm! is br am huMmd c4.'Wa (Si Wf r bo.l � I mrlry Ihv in tha pMoimenee d �M work for whch I�u pem�n is ivued, I ehell eu� amplry vry pason in ury manner ro m�o bscome wEjetl lo iM xoMrs' cwnpame�ion lawe d CdJomie. uM ep'ss Ntl ! I ehwM Ecane wbjeif lo IM xaken' wmpenx�ien pwia' e al ' �MO d IM Lebar Code, I WA I Milh comp!/ ' p�v+nioro. Dete: � � AGdceN: We rp: Fe/lun b��e�n wM mpwu�tlon eov�rep� h unlnvNl, �M MYI sW(�ef sn r�vlqr ro eMYixl pw�Wtlp uM flros up b a�s �unOIM fMuund Cd/en (S10q000A M eddltlon b M� cwt ol rompauefbM1 demeps as provMW br In Sxtlon J105 oI1M LMor COW. InMnl. �ntl �ttom�Y'� �A CONSTPUCiION LENDINO RGENCY: I IeisW elfiim uMm pene�y d pmjury ihm tMn e e wnqvfon Ird'vq epency lor ihs peAumerica M iM �wM Iw whiM �h"v pennY n eauetl (�� . C'v. CI. LEN�EP'S NAYE: LOIUEN'S �O�PES4: I cenM �het I heva rud Nu WG�iwion end tlW IIW ths abwe iName�qn 4 mnoq.l e0� lo oomVN wGh eAtYy eM oduuy ad'vems eM aleb bw5 �Ntliq lo bWtlip oonM�v� ud Aeteby eNlnres 2pmeNe4wa d �hc ary b aNm upon IM ebwsmatliwied popeny la irepoaian PKGeses. L"YLE CiiGTEk ��, ie g � �1 �� Dme: �bqroiure M n (5�S1J6.WP) NTesBuJdiq6`B.QYY id�-�b,�^^mf-�GC�:Rnk-Aersuw:GdAmmaMaaea �� CuNS'1'RUCTIGN 'fYFE: 5-N PERMIT TYY�: S�Cit PUiiriis�: O'fii JUb LESCRIPTl(iN :'LJGFF RESIi7'H e RERUG2� W/C�iMP. SQ 1•"!': 3,8"vV CLAIM VALUE: 3,BOO.vO CALC-VAL'UE: "s,8"vO.G"v GRGuF Gi:C: it-3 l0-1 CuMMENIS; SMOKE fiETECfGRS kEQUIREL IN EVERY BF:liRtJOM e HALL'WAY iF i' if if �7F ie iF iF if ii if if if iF if iF iF iE iF iF ie it iF ii ii # ie ii if ii #'vF i'r if ii ii if ie it 3i'vk ie ie i'r i'r i'r ik ie if ie if'vi'vf 3f ii w�;e 3F # if iF iE �if iP ir ie ti ie ie 3'r iE ii iF ii ie-0i 're �,f di Z O N! N G k 6�j U I 1t E M � N f S 5 E 7 B A i: iC S ------------ MAIN BUILDING --------- --------- ACCES5uRY iiU1LDING --------- FRN9': FT IN REAFt: FT IN FNNT: F'i' IN kEe�2t: Fi iN LEF'1: FT 1N RGHi: E'1' IN LEFT: F'i TN ki;il'1': Fi' ]N PARKING RE�: PkOV: Pe1RCEL: 418"v5238 2NE: REF' NO: PLANNING NOI'ES> 1 if lf * 1!'�f 1f ***�'!t"iF � jf !t �{' ff f� 1' 1f 1F 1f 1� jt 9f � ff R 3! 1(' ff'h af lF'lf x� if if � 3! if 1f 1f jf'� ff �'If'%! 1{' at R Yt a� 1t 1t'R 1�' 1t Y{'IFlt �' fF ft lF 1! fF jl' I!!! 1Y f!'R 1' 1t a! � L E V E L U Y M E N T S E R V I C E S R t Q U I R �. M E N'P S :. ZUNING APPRUVEL HY . UAlY:: BUILDING APPROVED HY : A�PL'iCATIUN ISSUEL BY• % it'sei:i'r'seiFieiiifieiiii�FwifieiFiFiiiiififx�'w'xxirwxvisexxn7ri'%s'w w yra�erxs' LEGALIZA?IUN:N F r. E 5 U M M A R Y bLLG PMI PLUMbiNi; EiEi:TniC MLi:H11iYIi: rcRMIT 87.25 1 172r. .� ii A'i E : LATE: J ltf'ftf'1'RR1t'T- Xh.F 1R' R'K1'iF 5'iftUC'fUitAL S�i:GM�NY:Y SMlY%N1'.b lii(N1JlIVlv .JV SMIY % IVlJ1V—t<�J PLAf3 ISSUE F'EE bilILuING—L3V—> PEKMI2 ISSUE FLAN-CHi:�K iU'iAL Yl�tii uiJE TUTALS----> 87.75 'v.GG - �.GG 8%.75 8'7.15 .OG kEVENOE LIVIaTGN TGT11Ls--> CGLLECf�L: 8%.75 uVY:it/SHOItY: ."vG bLLi; PM7 PLUMBING ELECTR'LC MECHANZC 1�In6 SMiP/i01' �RAUlN� Pi.AN-i:li�:�K a�.z� .so 'X lt lt lt'R i! 1t 1t jt lt f! 1t'R � 1t 1t 1'!t F ft iR 1''k 1t'R l' l' �t f� x lt'R iF'%t 1! 1t k T' lt if %t �! 1t T 1\' JF Jt'R 3t'lt R'Rff It'R'It %Y R iF 1l��'It ft lF 1! 1F'R'T f�' T' a1' it'/t iF R i! It'R'R i� I N u I V I U U A L r E E d it r. A K ii u W N 7YPn Q'iY L'i �; � C R T P T I G N i7iJi'i Ciis'I 'iii'i�1i, i:ii5"i SFk 3b"vu RERirGF BY VALU£ kESIUEN7IAL Nvl�Nt i,vii 3,8"v"v."vv ENL uF Fr:F:S �e-ee-�s��ie�:ie wvtez�s RCDTl:81�813562 PERMITe985115 CONSTHUCTION ANDPLANNING - POC SPA APPROVALS Permit# Date Inspector APpROVAL$ Permit# Date inspector 7. �emporary Electrical Service or Pole 52. Pool & Equipment Location 2. $oi� Pipe�Undrgmd. ". 53. Steel Reinforcement �. �_3PE�ectrical Conduit.Utiliiy•Undrgmd. 54. Forms � �4. �lectrical Conduit�Uniirqmd. 55. Electrical Bonding --5� $teei Reinforcement ; 56. Rough Plumbing & Pressure Test 6. �lectrital UPER=Grnd. 57. APPROVAL TO COVER�GUNITE , 7; Footings � 58. Electrical Condui��Undrgmd. � 8. Foundation ' - - 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd: .= . � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural FloorSystem � 61. APPROVALTO DECK 51. Property Sewer Line & House.�onnaction fi2. Backwash & Receptor-Finai 12. Sewer Cap ' 63. Heater & Vent-Pinal 73. Roof Drains � f4. Plumbing System - Final 14. flough Plumbing -� 65. Electrical�Finai 75. qough Electricat�Coriduit ' 66. Solar SYstem-Final : 16. Fough Electric Wiri�g , . 67. Fencin� & Access Approval �- � 17. Rough Wiring Sign - 68, APPROVED FOR P�ASTERING � � 18, Rough Electrical;T Bar Ceiling� 89. POOL/SPA SYSTEMS FINAL � 19. Rouqh Heacin9 & Air Conditioning � � FIRE�pEPT. REQUIREMENT „ 20. �iouqh Fxttor� Fireplace � ;: _' � .' F ,-�� ,;� � ,` APPF2��DVALS: , Permit #t-�.� - ' _ . ' ' 3 27, {;7uct?1 iri'Strufltur�� • ^ •• �� •_> ' " 70. �Jndergrountl kydro � 22. OuCjs', Vartil2,fing '� __ e. Z _ �� 77. Prod�ct��iping rt-Cas Oil 23. Gas Ripe-F2ouph & Test r,_, r. *] 4 �_ s: .� 7z. �nderground Flush � � • � 24. Roo�Frafiing" _-� � - � " � � ' � � �J, , 73i Undergrrid. Storpr�e T;ank; O Gas ❑Uil 25. iioof.She�thing ,; i ... .�0�� y7 tij/ i. 74. -0verhead Hydt� -� _ � ��__ �.,r/ , 26. �T-Ba� Ceiling (Stru"c �uraq & �v�olloroat j : „ - _� � 75_ pry Chemical . ; �- 27. Frame and Plashing . _ �r� -r :: 76. Dry Scariduipe • _ ti - 28. Latti�ng �Siding .' k �_ :j� _ _ � • ••� ., .•�r 77, FIXED SYSTEM�FINA� _. 29. Insulation • �� - 5 •• • � � `f 7g FIRE PREV. FINAL � � " i 30. DrywaU Nailirig ;S ; ' ' � - ;{IEALTH DEP�.TiEQj11REMENT ' 31. Plaster B�owrrCoa2� , _ - - t � �;: � 79. FINAL 1,'ilSPECTtON - . 32. �lectrical Power tvtefer-Final �' t � :4 82, FOOD CERTIF-iCATE I�SUED, , 'y � T' t x, • . L � . 33. _�ina4 Ele�tric-; , r . s ' �� Nates: '. _ -� t ' " ' 34. FinayHeating'& Air Co�ditionirfg � - r ' �4 , r f 90�, il �,�. �T� J �/� O� C� ' ' N �. � 35. Final�Gas:Pipe:Tesi� :� - .: � � ' /t/ �"-�!/ �j r ' . r � � K � ��/-/ • 36. Hood•or CanopY - � - ' - ^ �` � " ` - � _ -_ _ .. r ..� K �. - r, 37. Final.Factory Fireplace': _ _ : . _r_ _ - 38. FinalP�utnbing = � � '^ - - . ---' 39. Water Service-Fina1, � ., .. � i `; . - ` '. 40. Gas Service�Final � - _ - - _ �' � �- : � -- 41. Solar pomestic�Fina� - , ' ' - �' , -, �, , � � -, ti' 42. Beckffow Pre�enter � - � � - - 43. Backflow Irrigation t � ' , � � � ' • 44. l.a�dscape Irrigation System z ' " � "- - " � � � = ; - - q5, $ound Attenuation' ,� � ' ' ,� ; , � , . ' . ' r, 46. HandicapRegulations � _ � _ - -� : ;°r 47. FINALSTRUCTURE & BUVLOING Gi_� !� � - � _ , � . . � -� / �� ... 48. FINAL PLANNING � � � , - _ - i_• .' , 49. Electric Release to Edison � . , , , , .}� ;; 50. Gas Reiease to•Southern California Gas Co _ � - %o;:� y 51. CERTIFICATEOFOCCUPANCY " - ' � . �h i�♦ No. Date H. /. LAWMASTER & CO. INC 7940 MAIN STREET — STANTON, CALIFORNIA 828-8040 68CM5-191AN -002 XXX Field Data on Test Specimens Core Concrete G�nite Grout/Mortar.—_-- Pro'ecf Permit No. Zy023 I F.-ed 8�ckwith Projeci Locetion 913 MacKenzie Co�sta Masa, Calif. Contrector Royal °ools Architect __ Shallow end, hond beam, Location in Sirudure deep end Engineer Date Moulded 9/z3/6B No of Specimens 6 Slump Specimens Marked Specified Strengfh at 28 days ZOOD p,5.1. Mix Designation Age to be tested 7 days �A days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition 1 Yd. —Yd. Batcfi Cement piversi TYPe I Cement, Ibs. _ Admix None Sand Specimens made by � E Spr�o �4 _ Date by n3 "`�� f �� `;.' �fT.-- — Delivered by i#2 ' 2 , i568 — -- Data Delivared # qM _ nea _ �� /�!" `�,8��L7�ll�'�1�2,3,4,5�a — REMARKS: ld� � Watar, Gals. � Leb. No. Dete of Teat Speclmen Dimensions Aree Ultimete Loed Lbs. per sq. In. H/D Corrected ShalloN end Test 2,iD3 RCE�6207 Deep end Tast No 2,055 Bnnd beam 7 Dey Test �p "' -- 6.UT7R S.B9X12.5 12.25 �� 29.13 Sn nnn 71�� ,-_ �.e..r—_ 1.992 2.437 � C \ t � �-, Q J(l,ta�un^� �` -r?'7.., ,.., _ Test . � CITY OF COSTA MESA CALIFORNIA P.O. BOX �'1200 FR�M THE OFFICE OF THE PLANNING DEPARTMENT Dacember 4, 1968 Fred Beckwith 913 MecKanzie Placa Coste Mesa, California Dear Pool OWnere The Costa Masa Planning Department has been notified of the completion of your swimming pool< So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9296o9s lo No swimming pool shall be co�nstructed closer than five'(5) feet to any property lines, measured from water line of pool, 2, No swimming pool shall be constructed under any electric power lines or on any electric power easement, 3, No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and has a self-closing and locking type gate or gates. This courtesy latter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area, Sincerely yourso William L, Dunn Director of Planning � JOB 10193 � �CITY OF COSTA MESA CONSTRUCTION PERMIT . Project Address 91 i Nlar'kn*1 ia Pl gpe Applicant's Mailing Address 1441 � S_ Anaheira B�.VCl. ��1E-'� � Owner's Name �'P� M_ Rac-lcvai th Phone 540-7049 Address Q,L.�L�S3C]�PmiP Vl,� ('nSYa M�sa 9�u2Ei � � Arch/Eng. � � License No. Address Contracror'stvamPKinnav A�r �`nnrl_ Phone 772-1441 Addresslmailingll�'�1 SO 'nP��iP�m Rlvrl, Anaht+�.^.; 92$�15 City License No. �II(i21$ � LICENSED CONTRACTOR OECLARATION I her¢by aftirm tM1at 1 am licensetl untle� provisiOnz oi Charter 9(commenGin9 with section 7000) ot DivisiOn 3 of the Business antl Pro/essions Cotle, antl ' my license is in full force antl effect. � License Class C%i1 /7 'ce rvo. Date��-R� S'g�ai , WORKERS' COMVENSATIONr�8II�11�C1IT11C�C--K_,N�IIiY A�C I hereby aftirm that I have a certiticate of mnsent to seli-insure or a certificate of Worke�s' Compensa[ion Insurance, or a certifietl cOpy Ihereof (Settion �3800, Lab. C.) ' - ' Policy No. r243�[�.3j� Company TNA ❑ Certifietl copy is hereby furnishetl. —`�(� � ' ��ertifietl mpy is filetl wi[h IM1e city Bu 'ng � ision. `-�_� Date g-$ g� Applicant EXEMPTION FpOM WORKERS' C�IIL"1131�I�dH��AI�Y• �1�C (This sectlon neetl not Ce completetl i( the Oermit is for one huntlretl ($300) or I¢SSJ. I certify that in th2 Oerformance of tbe wo�k fo� which tnis permii is Issuetl, I shall not employ any person in any manne� so as to Gecome subje[t to the Workers' Com0en5ation Laws ot CalifOmia. . , Date � Signature 'NOTICE: U, after makin9 this aeclaration, you shoultl become subject to the Workers' Compensation provlsions of the Labo� Cotle, you must torthwlth comply wltM1 such provi5ions or thi5 permi[ Shall be tleem¢tl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that [here is a consiruction lentlin9 a9ency tor [he performance 'of the wark for which this permit is issuetl (Section 3097 Civ. CJ LenAer's Name Lentler's Atltlress OWNER BUILDEH DECLARATION I hereby af8rm that I am exampt from the Conlydctor's License Law tor the followin9 reason (Section 7031.5 6usiness antl Professlonal Code: Any city or county wM1lch requires a Oe�mit to construct, alte�, Improve, tlemolish or ro0ai� any sVucture, prior to its issuance. also repuires the applicant tor sucn oermit to tile a Signetl slatement that he/she is licens¢tl pursuant [o [he provi5ion5 of the Gontractor's Lit¢n5¢ l.aw (Chapter 9(tommencing with 5ection ]000) of Division 3 ot the Businoss antl Profe55ion5 Cotle) o� lhat he/she is ezempt [here/rom anC the basis 1or the all¢getl exemption. Any violation of $eclion 7031.5 by any applicant lor a Oermll subjects [he applicant ro a civil �enalty of not more than tWe huntlred tlollars (E500). 1,'as owner o! the property or my employees wilh wag¢5 as thoi� sole compensation, will tl0 the work, an0 tne 5[ruGture IS not intentletl o� ofleretl for sale (Section 7044, Bu5ine55 and Protesswnal Cotle: The Contraclor's Llcense IJaw tloes not appiy to an owner ot a property who builtls or imoroves [he�eon, and who Does such work �Imsetl/�erself or tM1rough Itis or her own . employcos. Provitletl Iha[ such ImprOvement5 are no[ intendetl O� offeretl fo� � sale. It, howeveq the builtling o� improvemenl is soltl within one Year ot mm- � , Oletion, fhe owner will have the buttlen Of 0/oving he/She tlitl not builtl or im- ', , prOve tot the Dutpose ot sale). - l❑ I� d5 OWf1C( Of (�1C plOp2Yfy� dT C%CIUSIV¢ly COOL(dClll19 WI[h I�CCOSEtl COO- i tractor5 [o consVuc[ lhe project (Seclion ]044, Busine55 antl Prote55ion5 Cotle: The Contractor's License law does nol apply to an owner of property who ' builtls ot impwves lnereon, antl who con[�acts for Such projects with a con- Vactor(s Ocense pursuant'to'ihe ConVactor's License Law). I am aware that proof o� tM1eir WotkeYs Compensation insuran<e Shoultl be provlAetl [o me. ❑ I am exempt untler 5ection B. & P. C. for this reason Applicant to /ill in all spaces exce0t t�oze witnin heavY DorGer Iinas an0 sign all aDCroOriale tleclara[ions. PERMIT NO. � TRACT NO. LOT NO. UNIT NO � � - o`�-oG �Sd' ' ' y�7ry�'yp-E�OFCONSTRUCTION � NEW ADD ALTERATION REPAIR LJ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRfPT10NOFWORK/USEOFBLDG1p�Zl.3["F' �xieting fnrnar� TVPE OF PERMITp-� LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT LJ ELECTRICAL ❑ PIUMBING � MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. � Sn(1 c�,n�.�__i_..� oCCUPANcv_g11 CONSTRUCTIONTYPE VALVATIONS 3,981 ZONE GRADINGCU.YDS. ACRES— Remarks: Date ' Owner 1 hereby certity that 1 have reatl tnis application antl state that the above 1 inlo�mation iz co��ect. I'agree to comply with all city antl county ortlinances antl state laws relating to building constructi , antl hereby authorize reore- sentatives of lhis ci 'to enter pon the ve-men[ionetl property for insoe�tion p oses. Siqnature ' oate £i-R-AS Driver5' License or 55 � Sink Preventer Irrigation iShWdShEf ' rinking Fountains loor Drains loor Sinks 82 $BIVICE QI1LIEt5 Kitchen Sink Lavatories Roof Drains Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water CIOSe[ Water Heater Water Service Auto-Wash ' Laundry Trays Reinspection Fee ,� $15 I I laue Fae , I g 3 MECHANICAL FEE Boiler Duct - Under GrounJ , Duct - Structural Duct - Ventilating Exhaust System � Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting pda � oo,000 aTu O i oo,000 Reinspec[ion Fee � $15 Hoodar Typel ❑ Canopy Typell ❑ Refrigeration System �0-100,0ooB7u ❑100,000 System Repair/Alteration Fire Dampers Registers � Issue Fee § 3 A.P. qW S Main Buildi E T Front e Rear A C Right K g Left Ping. Ref. # Planning Notes: Automatic Washer Canstruction Pole Sub. Cooking Unit . � Dishwasher Fan F.A.U. Fixtures Device Boxes �UtIEtS Switches Garbage Disposai Generator �0�5 KW Fee 0502 9/19/85 Zone Accessory Building: Parking Req./Provided - , ELECTRICAL � - Transformer � 15-50 KW ❑ SO+KW, � Meter ❑up to 100 amps . � Meter ❑overt00amps 'ic - Sub Panel � ' � Motors �0.1 HP�1'h - 8 Inc.Solar 09-15 HP �i6-15+ � Microwave . - Pole Light Range ; Standing Sections 5 KW Trash Compacmr $15 luue Fee DEVELOPMENT SERVICES REQUIREMENTS: 1 Zoning Appraved By Data Buiiding Approved By ,q , Date IEoO� TL FEES 2.�0 $ 3 Z O N I N G R E � M T S SUMMARV OF'FEES BUILDING PERMIT '$ SMIP �$ ' PLAN CHECK $ PERMIT -�� PLUMBING § ISSUANCE $ PLAN CHECK 25% $ � ENERGV P.C. $ ELECTRICAL $ ^'�:B�S/6CL3RADING ,$ PLAN CHECK 50% $ 7M�ICFOFILM $ MECHANICAL $ �Sf1 �LQ �70TAL FEE $ : � n�no__ PLAN CHECK 25% $ ' CMF 0865-46, rev. 10/84 White - Buildinq; Canary - qpplicanq Pink - Acmunting; Goldenrotl - Assessor - - �- ' -- CONSTRUCTION AND PLANNING POOL iy SPA . APPROVALS Permit � Date Inspector AppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgtnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Tesi 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgmd. , 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Elec[ric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Cei�ing 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. �athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat . 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �( � � �i� Notes: 34. Final Heating & Air Conditioning !' / �� O 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factorv Firepface 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Flnal 41. Solar pomestio-Final � - 42. Backflow Preventer _ • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison - ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. Date ,_ , . _ _ . ` � � � 25429 �r � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7P00 � COSTA MEBA� CALIFORNIA Y26YE a For Applitanf to F711 In Comple�aly TYPE OR PRINT COSTA ME9A, CALIFORNIA A.S. � YLTDACW L1Xt crr 6' I R�oerr DESCRIPTION OR WORK 0 pp useoReui Y 1 XCR68Y ACRNOWL[D06 TNAT 1 �� CIT.Y OF. COST� �E�A MAR 23 1966 BUILDING for Offlca Use Only II�C61'T NO. � ��R� % /_/_ ZONING q0.0! UY[OINI �LAW � Ot11lDIN0 OV[RHANO SHALL BE Ll88 TNAN YARDe MPROV ED MAIN BUILOINO lPROM G/LYTR6[T) o�srwNca srr. MAIN BLD08. VM. �j YMDS APPROVfiO ACGELSORY BUILCIN6 DATB � �T�pN TX8 I�YOUN! BXOWN UNO6q VALUATION IB FOR TN6 CpY. �URPoO[ OP fHTApUeHINO A V[RMIT p68 ONLY. �T�� VALUATION . PERMIT FEH s/� ��35 3,� TOTAL FEE / ✓ a w � � 5; � Wp C w `� ' 29023 Gk � �Z�=� ' .** * � � i a: ! COSTA MESA BUILDING-SAFETY DEPARTMEPtT � P.O. BO% 1200 COSTA ME8A, CALIFORNU Y2020 �ti �I�nM 77iQJ*i �. hW L _� `1 ' � 440�a. ' �nv��a-7��.n��1109+` fi'��L�.JC1 i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 A C ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use [nk Only (j RE E BV DATE RECEIVED D�!ATE ISS E^�D AOIDFESS % �� MFII.� KL.NZI � PL . � \J'� � 1 � FRCy `��M,rI 1{` y �' O,'.3 PERMI NO. OWNER A.P. NO. ADOPESS 'J Mry� KVVCJ '� r �- .QD'DRESS �� Mr,C ��Zr� �L, CITY C�,��ry- /�� (� N0.5�•7 - TFACT'y� LOT BLOCK CONSiRUCTION NEW ADD AL R LENDER BRANCH . WNE FR�D $CClCWfTN ADDRESS /�_ �� VALUS '�`rO ORENGINE RSII�S�.-f2�lISNT'onl NEL. 5 �iOV J FIRE /T� ADDRESS ZONE T PE GROUP J CONTRACTOR/'I�A•I/'1]�OIL /'jGUN•W. ��• ByPROVED � DATE✓ ��%'�� ADDRESS2�Z B�U�rLr �� VC� ZONE NO.OF USE OF NEW CITY O�N � NOL83S y P�� BUILOING !�� STATE CITV �'ARDSAPPqOVED VARDSAPPROVED � ��.No. 3E41q LIC.NO. �ZQI� MAINBUIIDING ACCESSORVBUILDING (FflOM C/ STR E 0. OF LOT NOW ON l0 � I FIiONT �� ,G FT. .N.� EXISfING BLDG, S� �• �W�. 8 GF7�C!'/L`! fi� F. FT N � Separate permits are required for L SIDE ,i^f FT. FT. electric, plumbing and heating work. '� C REAR�� FT. FT. USE Q� IIDING AND ORK yTO� B RFORM/E D/� DISTANCE BET. BET. MAIN & j'�� I LU�' 1• I l V MAIN BLDGS. ACCE55. BLOGS. �' � ^ a '� �L�.OS� �TH � QQ CURP.#'• APPRpVED a y, � L��SS / N� navaov �-2 yC % .a CG � � 1 heraby acknowledpe that I have reed thia appltcaiion entl state � y� that the above info�mailon Is corract antl agrae to comply with m a ell lews regulaNnp bulldin0 consirueclon, entl I shall not amploy � z any permn In violatlon of the workman's compensation laws of m 5 ffie Siace of Celifornle. m 3 I hereby certify that I em proparly Ilcansetl as a contractor untler �5�. FT. rv the Stata of Californie Business entl Professions Cotle, Dlvlalon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chaptar 9, and thet sueh Iicencaa are in full force antl effect, or I THE PUHPOSE OF ESTABLISHING A PERMIT FEE ONLV: e em exempt from tha provisions af the State of Celifornia Businass VALUATION PERMIT FEE $ and Professlons tle, Division 3, Chaptar 9. � n � m �� (J• / / PLAN CHECK $ ^� SlBnatura of J �A, / "� o Parmittee �— V�•C�(�•'�-��`-�� $/3� TAX E LL i /J U AUMorizetl Apent �y�/L TOTAL PAID $ ! '