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Home My WebLink About907 VAN NESS CT - Building Permitsp14) �5a-5273 • Fau p�4) �54-4e56 • www.ci.costa-mesa.ca.us 77 FAIR DHIVE, GUS IA Mt5A, GA 92tiZti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: 907 VAN NESS CT 41808335 MC ELHENY, CRAIG 907 VAN NESS CT COSTA MESA, CA MC ELHENY. CRAIG Address 907 VAN NESS CT Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole COSTA MESA, CA Phone: 714-4343671 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: Status: ISSUED Applied: 09/18/2000 Issued: 09/18/2000 ISSUED BY: �/' ' � SCOPE OF PERMIT ENCLOSE108SF TO EXPAND AN EXITING BEDROOM ON YHE EAST SIDE AND 65SF TO EXPAND AN EXIST BEDROOM ON THE SOUTH SIDE. OPEN A DOOR BEN/EEN THE BEDROOM AND THE EXIT WELL. REF B00-01492. 1 LIGHT, 5 OUTLETS AND 7 SWITCH. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 $5.50 $1.10 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Temp Dist System / Lighting Busway /100 ft . Standing Section Misc Electrical Equipment Transformers up to i kva/kw ._._....._...up.to 10 kva/kw .................up to SO.kva/kw .................up to 100 kva/kw = � ..................over 100 kva/kw� � Low Voltage Equipment Low Volt Wiring System / Ckt Misc Conduit � Misc Conductor Circus ( 9en or ride) , � Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $31.20 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali�ornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 780 days, or if work is suspended or abandoned for a pe�iod of 180 days. - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zans�ae (doo� WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalty of perjury ona of the tollowing declarations: ❑ I hava entl will malntein a certificate of consent to seli�lnsure for workers' compensation, as provided for by section 3700 of the Labor Code, for the perfortnance of the work for which this permit is issuetl. � ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Lebor Code, for the peAortnance oi the work for which this pertnit is issuetl. My workers' compensation Insurance carrier antl pollcy number ere: Carriar. Poticy Number. (This section need not 6e completed i/ the permif is valued at one huntlretl dollars ($f 00) or less.) ❑ I certily that in tha pertormance of the work for which this pertnit is issued, I shall not employ any person in any manner so as to become sublect to the workers' compensation laws ot Calitomia, and agree that if I should become subject to t�e workere' compensation provisions oi Section 3700 of Ihe Labor Code, I shall forihwith comply with ihese provisions. Applicant SignuNre: Da�e: WARNING PAILURE TO SECURE WORKERS' C/,NAPENSATION COVERAGE IS UNLAWFUL M1D SMALL 5061ECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAND DOLLARE (Et00,ODD). IN ADDRION TO THE COST OF WMPENSATION, DNMhGES AS PROVIDED FOR IN SEGTIQV 7/O6 OF THE IABOR CODE, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy aflirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license Is in tutl force and eflect. lic.a Class N Coniractor's SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat Ihere is a constmction lending agency for the peAormance ot the work for which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atldress: Signature: OWNER-BUILDER DECLARATIONS: I hereby aXirm that under penalry ot periury �hat I am E%EMPT FROM THE C Cotle: Any ciry or county which requires e permit to construct, alter, improve, to file a signed stetement thet he or 5he Is licensed pursuent to the provision. Business entl Professions Code) or that he or she is enempt thereirom and I supjects the epplicant to e civil penally ot not more ihan five hundred tlolla�( Da�e: LICENSE LAW for the followinq reason (Sec. 7031.5, Business and Professions air any struclure, pnor to its issuance, aiso requires lhe applicant for such permit ors License Law (Chepter 9(wmmencing with Section 7000) of Division 3 of the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit 5 I, as owner of Ihe pwperty, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the s[mcWre is not intentled or oReretl for sale (Sec. , 70a4, Business and Pmfessions Code: The Comrectors License'Law does not apply to an owner of properry who builds or improves thereon, and who does such work himselt or herself or through his or her own employees, proviGed ihat such improvemenis are not imentlea or ottered for sale. If, however, ihe 6uilding or improvement is sold within one year ot completion, the owner-builder will heve Ihe burden ol proving ihat he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe Droject (Sec. 7044, Business and Professions Code: The contractors Licensa Law does not apply,to an owner of property who builtls or improves ihereon, and who coniracts for such prolect with e contractor(s) license pursuant to Ne Coniracmrs License Laws]. Verification ot sec. by Business and Professions Code for this reason: i.e. - properry la�c bill or No. DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in tlepth into which a person is required to descend, will be mada in connection with work authorized by ihis permit, and Ihat no building sWcture, scaHolding, lalsework, or demolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which woutd require a permit irom Ihe Division of IndusMal Satery, es notetl above, unleu such person �es e pertnit to do such work irom the division. Signature: Date: Division of Industrial Safety Permii Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify untler penalty of perjury that 1 have reatl this application and state that the inlormation givan is correct. I agrae to comply wi�h all state laws and cit ordinances relating to building consWction, and authorize represenlatives of the City ol Costa Mesa to emer upon the above-descn propyry tor inysp ion purposes e not to occupy or allow occupancy of eny building authonzed by this permi ntil fi al spection. .�_ 9%i�� re OfLegal er � Date Eir uthonzed Applicant Data COOE X. INSPECrIONTVPE 1616 Fizetl System Final Fira Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Finnl Sign 204 Finnl Demolition LL.�y ixrrtia�s CODEN INSPEGTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy BAIE 1 . r) �w: �� (714) 754-5273 • Fax (714) 754-4056 • wv+w.ci.costa-mesa.��LDING PERMIT 77 FAIR DFIVE, COSTA MESA, CA 92626 Job nddress: 907 VAN NESS CT Suite: Vicinity: Parcel Number: 41808335 Applicant: MC ELHENY, CRAIG Address: 907 VAN NESS CT COSTA MESA, CA Owner: MC ELHENY, CRAIG Address 907 VAN NESS CT Contracror. Address: Arch : Address: Zip: COSTA MESA, CA Phone: Zoning: Phone: 714-4343671 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address: Status: ISSUED Applied: 09/18I2000 Issued: 09/182000 ISSUED BY: �� Phone: 2ip: License: License: SCOPE OF PERMIT ENCLOSE708SF TO EXPAND AN EXITING BEDROOM ON YHE EAST SIDE AND 65SF TO EXPAND AN EXIST BEDROOM ON THE SOUTH SIDE. OPEN A DOOR BETWEEN THE BEDROOM AND THE EXIT WELL. Plan Check: $154.21 Permit: $237.25 SMIP Res: $1.35 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $392.81 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: D NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING 8 ZONING LeN 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $13,500.00 $73,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shali automatically expire and become void il work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order tor the work euthorized under [his permi� to be considered legal, such work must comply wi�h all applicable codes, and all requlred Inapeetions and flnel epproval mus� be obtalned. Failure to obtain inspections and final approval will result In ihe expiration ol this permit. FOR INSPECTIONS CALL: (714) 7545628 2C4648 (8�00) WORKERS'COMPENSAnON DELLARAnON: I hereby aHlrtn under ponalry oi perjury ona of the Idlovring tleclaratians: ❑ I have and will maintein a certiticaie ol conseni to self-Insure lar worker5' compensalion, es providetl tor by section 3700 af Ihe Labor Code, lor the peAormence ol the work lor whic� this permil is issued. ❑ I �ave antl will maintain workers' compensation insu2nce, as requiretl by sectlon 3700 0l Ne LaDor Code, for the peAortnance of the work for wh�h Uus perml( I515weE, My workers' wmpensation Insurance carrier end poliry number are: Cartier. Policy Number. (This secNon need no( be canpleted i! (he pertrtif !s vaNed ef one hulMred dd/ers (S 100J or /euJ ❑ I certily that in the pedortnance ot Ihe work for which Uis pertnit is issueQ I shall noI employ any pereon In any manner so as to become SuD�ect to the workere' compensetlon laws ol Celllomla, entl agree thet If I should become SuD�et� tO lhe warkers' compensation provislons ol Section 3700 0l Ihe Lebor CaOe, I bhell forthwiih comply with Ihese provisions. Applicent Signetura: Date: ' WFRNING'. FAILURE TO SECURE WORNERS' COAIPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES M1D GVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE �5100.000�, IN ADDRIqJ TO iME COST OF WMPENSATION, OAMAGES AS PfiOVIDEO FOR IN SECTION 3!W OF THE LABOR CODE, IMEFEST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aflirm ihat I am Ilcense0 untler provislons ol Chapter 9(commenUng with Sectlan 7000) ol DlNsion 3 0l the Business entl Prolessions Cotle, entl my Iicense is in tull force and eflecL Lic, M Class k Coniractor'S Slgneture: Date: CONSTRUCTON LENDING AGENCV: ❑ I hereby atfirm thal lhero is a construction lentling agenty for the peAormence oi I�e work lor whic� this permit is issued. (Sec. 3097, Civil Code). Lendels Neme: LenOer's Atldress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirm that under penelty af perjury that I am EXEMPT FfiOM THE CON7RACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business en0 Protessions Cotle: Any ciry or counry which raquires a permit to conswct. alter, improve, tlemolis�, or ropair any swctura, prior to its issuance, also requires Ihe applicant for such permit to fle e signetl stetement that he or she is licensetl pursuani to the provisions ol the Contractors License Lew (Chapter 9(commencing with Sealon 7000) ol Divisian 3 oi the Busine end Protessions Cotle) or that he or she is exem0� �herefrwn and the besis br the ellegeA ezemption. Any violation of Sadion 7031.5 by any epplicant for a permit subl s the applicant ro a civil penalry of not mora than tive hundred dWlars (5500).): I, es owner ot the property, or my employees wiih wages as their sole compensation, WILL DO TT1E WORK, and the structure is not intentled or oHered tor sele (Sec. 70a4, Business end Protessions Cotle: The Contractors License Law does not apply to an owner ot propeny who builds or improves thereon, and who tloes such work himsell or herselt or lhroug� his or her own employees, provided that such improvemenis are not imended or oNered for sale. If, howevar, �he building or impmvement is sold within one year of completion, tha owner�6uilder will have the burden of proving that he or she did not Duild or improve for purpose ot sale.). ❑ I, as owner ol Ihe property, am EXCLUSIVELY CONTRACTNG WITH UCENSED CONTRACTORS fo construci the pmject (Sec. 7044, Businass antl Proteuions Cotle: The conirectors LJcense Law does not appty to an owner ol pmperty who 6uilds or imOroves thereon, end who contracts tor such project with e contractoqs) license pursuant to the Contractors LicensQ.j�iws.). ❑ I em exe ndarsec. Business end Prolessions Code tor this raason: Signature: Owner ID veniied ' afs license. es No Dnvefs License No. Venlicetion of rship Cy (type oi document, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: Expire9: ❑ I hereby certity ihat no exwvatlon tive (5) or more feet in depth into which a person Is required co descenq will be made In connectlon wlth work euthodzed by this pertnit, and thet no building sWcture, scatfWding, talsework, or demdition or tlismantling �hereot, will be more ihan thirty-six (36) tee� high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 71tle B, Calilornle Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permil trom the Divislon ol Industrial Safery, es noteA above, unless such person hes e permit to tlo sucli work Irom the d'Msion. Signeture: Data: Division ot Intlustnel Safety Pertnit Numher: CER7IFICATE OF COMPLIANCE AND AtJTHOR1ZA710N OF EMRY: I certify untler penalty of perjury that I �ave reatl this application entl state ihat I�e information given is correcL I e ree to comply wilh ell slate lews ciry orAinences releting to builUing consimction, and aulhonze representalives of lhe City of Costa Mesa lo enter upon Iha ebove-�ibed propert i invp�itio s. I egree not to occupy or allow occupency of any building authorized by this p u unf final inspection. ��""�% Signeture Of Legel (�y (s) � Date � AnNOr Authorized Applicant Date CODE 1. INSPECTIONTYPE 7616 Fi:ed System Final Pire Prevention 1268 Pool SDe Final 200 Finel Re-Roof 201 Finel BIxWRetaining Well 202 Final Fectory Fire Placs 203 Final Sign 204 Finnl Domolition PAg II�ELS CO�E I INSPECTWN TYPE 208 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Flnel Fire Preventlon 220 Final Planning Approval 222 Finel Site 250 Final BuiltlingiOccupency PAIE Q�ELS At.,�'s. , ;� . , n.:... ..-d •r, .i � eti', . ,. r-�, : . ' � i. �. , -f . �. . . -. � . - I9 � � ' . � � " ^ t' ' • • � . � . .. � �. � _ . - � d.'�3.J fr. ... ' , . , .. �l , . r`. , . . . .� ' R y .. . . . .. , �.k " . � . .. ' � . . . . ' "'i:' . - . • ' ' � . . . .. T.y�, . . - . : ; . . � . � ' . " � � . � . TRACT ::0. 10445 i>�»'�. January 8, 1981 � .:;;^�lu �. �• ,� ' _ . , , . R'y M• q .i ' � ' �.V3 ��• � �lo . . . • . �tq:.• ; r�,',� a, . . �` ---- ,.,,, ;`'`�`'^^' � —. nn�x�Ss 9Q7,Van 'Ness Court, Costa Mesa,_CA 92626_ ' :i' y . � . ' ' . . . . � ,U"��' pevelopm�nt, Servfccs Dep:ut:acnG `�+.IrEa-. �, � - 9_ � . �=,��aa'+ Plannin Division �£��1;�"f� ;�. '�:. �' ' . '". City c�f �asta Mesa -. .. . �� :+ 77 Fair Drive. ,- . � Costa !4esa, CA 92626', ' \ � ., :� . , �i,�. � At[ention: Atr. Paul•Dudlcy -. xs: y :.-,<!, ""Dear Dtr:.Dud1eY� - . , , ,. �`'"_'•" � Please be aware that the undersigned are aware [hat u certificate of .occupaney _.r, F. ' ';,'r;,',.;,' .' on the nbove referenced lo[ and uni[ is bcinF requc,ted prior to [hc entire . �;'^r'�y�`;'� ' tract' and its streets. and cur.vnon areas Ueing completed and accep[ed by the '�'� •' . City of Costa,Mesa. • �:�r`ir.a.' *. �, � e BY � . � n ____�4��EZ�,c� � �«/�-�"� •;r�y� ' � (S �NAT OF'PUFClU15 ;�;;,�'- � _ . RE�ilii � - . (�YGNA UR: OF UEVELOPCR A�D Oii � ��. ,,.. . �'Yq M1'�R' �AN� 16 �� . �„ nt� Atffl!�R 'LEp REPRESEP;TATIVI;) C� sY ,' v--C�._,�cco.�_ . �'sict::,TIJP�F. tet:urtr.) ., �: ' � y � ��g�9�1WU�LZ�i��l��s�F ..'..' . . PN0.IECTP�DflE55: �j�"J VAN NESS CT OWNEP'S NAME: MC ELHENY CRAIG . ,�osess: g07 VAN N�SS CT '— COSTA MESA,CA 92626 ANCHIENGINEEfl: nooness: flEG.NO.: uxrt: uxiT: PEflMITTEE: HILT—WELL ROOFING ( 719 ) 758-3501 aooxess: 3310 VERDUGO LOS ANGELES CA 90065 LICENSEO CONTflALTOfl OECLAflATION: I hereby allirm Iha� I am IicenseC untler pmvisions o� �pdpY �ncinp wi�� Section 70�U� ol Oir.sian 3 0l the Business aM Pmfessions Catle, antl my license is in lull force CAf�ect. crcvuc.: O�aO„7 sTar��c.:456005 cuss: —3 •'XP: O1/94 oare: �� `/ Sipnatur . � WOflREBS' COMPENSRTION UECLABRTION: I �efeUy allirm �tui I hav¢ a certi�iwle 01 ConS¢ni Io Se f- ure ar a t¢nifita�e oi Workers' Compensa�ion Insurance. or a certilietl copy t�ereoi (Sec�ion 3800. Lab. C�. vaucv xo.: W 9 3 710 2 4 8 4 E%P. URTE: O% I 3 1 I 9 A COMPPNY: CAL COMP ZNS, ❑ Cetldied caoY is hereby i misnea. �. CenifieA copY is IileO with the it ' in Oivision Dale: '�v ` ADDlicanl: � E%EMP110NFPOMWOPREPS'COMPENSFTIDN�ECUflATION: Q�i55et1ionneednOlhetOmplele4i�i�eper IoronehuntlrM�5100�OrIP55�. I cetlity Ihai in I�e De�ormance o� t�e w0�k for w�ic� Ihis permi� is issuetl. I shall not employ any person in any manner so as to 6ecome 5u01e�� o Ihe Workers' Compensalion Laws oi Calibmia. pa�e: $iqnaWre: NO7ICE: II, alter making inis declaralion, you snoul0 e¢COme suGi�� o ihe Workefs' CAmpensd�ian provisions of ihe LaOor . CaGe. you mu5l laM1�witn comON wi�h suc� pmvi5i0n5 or IN5 Oermit shall he Oeemetl revokeA. CONSTNUCTION LENUING pGENLY: I �ereby allirm Ihal I�er¢ is a cansiruction I¢nEing ap¢nCY lor �he Oe�OrmanCe al ��e work for wAic� this permil is i55ued �Setlion 309�. Civ. C�. LENOEfl: ROOHESS: OWNEN BWLOEP OECIAHRTION: I he�eby aifirm I�al I am exem0� ��om the Conlractors' Staie License Law �ar Ihe �ollowinA reason (Seclian 7037.5 Business and Professional Coae: Any tiry oi counry which requires a Dermil ro conslmcL alier, impmve, demolis4 or repair any siNclure. prior lo its issuance. also reQuires ihe aoPlicant for such permit to file a signee statement that he/she is Iicense0 pursuanl lo I�e pmvisions of Ihe Contraciors' State License Law �Chapter 9(commencing wit� Section 7000) ot DNision 3 01 the 9usiness anG Pmlessions Cotle� or that he/she is exempt Iherefmm antl �he �asis br t�e allegeG exemD�ion. Any vialation oi Section 7031.5 6y any applican� lor a permi� suUjec6 the BVOlicant to a tivil penalry ot not mare Ihan live hundRA Eoilars (5500�. 1. as wmer af tne D�oPeny a� my employees vnth wages as their sole compensation. wiil Do ihe work, and tne ❑ stmcwre is not intended ar ofier¢4 �ar ule (SecUon 70a4, eusiness anE Pmiessional Coae: TAe Comractars' State Licenu Law Coes not aDPly �o an owner ol a P�openy w�o �uilas ar impmves t�ereon, an0 w�o Cces such work himself/hersell or Nmug� his ar her own em0loye¢5. pmNtleG I�al 5ut� imOmvements are not intentle0 ar ottereE br sale. It, however the 6uilJing or impmvemeni is 5o10 within one Year ol compl¢Iion. tAe owner will have �he �u�Aen oi pmvinp he/she tliC not Eviltl or improve lor ine purpose ol sale�. I. as owner oi the D�oOetly. am e�clusiuely conVactinp wit� Iicensetl convacmrs m cons�mct the pmle�� (Section 70dd, Business ❑ antl Pmfessions Cotle: The Com�actors' State License Law tices not apply to an owner al pmperry who 6uilOs ar improves ihereon and w�o ton�ratts lor suc� proletts wil� a COnlfaCior(5) litense purSuanilo Ihe ConVattors S�a�e LiCense Law),I am aware Ihal pmOf Of Iheir WOB¢r's ComPenSaiion insurance S�oUIU be pwvitled �o me. � I am exempl unCer Seaion: B. 8 P. C. �or Ihis r¢a5an'. � Oale: Ownec �. i eo nereoy cenity inat I am aware ol and understan0 the repuiremems ai Calilomia HealtA anU Salety CaUe Sections 25505, 25533, anU � 2553a anU Ihai I or any lulure builaing ottupanl vnlVwill nOt (tirtle one) neetl �o camply with saitl siate codes antl Ihe reQuirements �or a iDermil lor canslmciion or mo0ilicalian irom Ne Air Oualily Managemeni Disiritl. flesitleniial consimc�ion aDPlica�ions are exemp� Irom Ihese O�ovisions. Oale: _ Applicanl: I M1ereOy c¢riilylhal I have rea0i�i5 aDplitalion anU Slale��a��e abOve informalion i5 COrreCi. I apree lo comply with alicil or�mante5 and S�a�elawsrelaiing�o builtling Constmc�ion and hereby auihoriZer¢presenlalive5 ollhis Ci�y�o enleru praDe«Y �arinspectwn purpos /.' Oate: Z'� 7 � Sipnalure: Oiivei's license or Social Securily a; �6<t�a6 Wnne—Bmltlmg; Green—CMe Entorcemeng Canary—Applicanl: Pink—Revenue; GolOenroO—huessor ana CITY OF COSTA MESA — BIIILDING PERMIT PERMIT NO: B 067785 PLAN CHECK NO: N PERM NO: B 067785 GOVT: N SUPP; N CONSTRUCTION TYPE; C�—N PERMIT TYPE: STR PORPOSE; OTH JOB DESCRIPTION ; T/OFF S REROOF WITH COMP, & BUR IN BACK SQ FT: 1,100 CLAIM VALUE: 1,100.00 CALC—C*ALOE; 1,100.00 GROUP OCC: R-1 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM E HALLWAY �r**�+t+t**��r*�*+t*****�r�r�**#�r*+r*+r*�r**+c�+t�r�r�r*�***x�**#***�*****�r+r**�r�r�r�r#�r�r***+r�**x�x�** Z 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 IN LEFT; FT IN RGHT: FT IN LEFT: FT ZN R�HT; FT IN PARKING REQ: PROC�; PARCEL: 41808335 ZNE: REF NO: PLANNING NOTES> , ? 1EififlfiEiEikiFiliEiEifit#ilHtihlEiFiEiElflEikiEiEfEiEiEiE#kiliEi(�##iEifiEi(�1F#1ffF#!fil�iflEiFiEiE�E#1l�iFiElEit###ifiFiF##9kiFfEiFiffEiE#iflf# 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 APFROVEb BY DATE: BOZLDING APPROVED HY : DATe: 9 APPLICATION IS$UED BY: DATE: G— Zp— 1� ik***�1F*****iE*iEiEiE**ifiEitif*iF�T�iF3riF3riF .�, ��F3Frrx,riF3.iFiF,F��F7F,TiFx'ir;F��i�ritit�#it*�i�r�*�� iE it iF iE iE �E iE iE iE �E if if aE IE iE iF jf iF iE 1E iE iE 3k iF iE iE if iE �E ff iE 1E iF iF iF iE IF iF 3c iE iE iE iE if if iF iE iE if if 3E 1F iF if iS 3E iE iE iP fE if 1F iE iE if iE iE 1F jE iE iE 3E iE it �E if �t iF if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 27,00 5p PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL TOTALS----> 27.50 0,00 0.00 27.50 SMIP/NON—RES PAID DUE 27.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 27,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAP7—CHECK 2%,�0 .5� 1E1E#lfihifiElEiEiEi'tiE1FiE*�FiffEitiEifiEiEiklflE#ftiElfiE1lifiEfEiflEiflfi4ililiEfElFif1E1E1l11�iF1Eif±FiEifiF�kilfEihlEiElkfEiEiE#iE'rt?EiE#fEffif#iEif I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1,OQ 1,100,00 END OF FEES O1 U016.iD�8—�0163039 T 4T 2�.50 DATE: Oh/29194 TIME: 16:06 (�NSTRUCTION AND PLANNING POOL .. �PA 1 Date Inspector Date I�spector APr�ROVALS Permit� APPROVALS Permit# t.�Temvowry Eiectrical Sen-iceor Pole 52. Pool & Equipment Locat�on 2. Soii Pipe�Undrgrnd. 53. Steel Reinforcem�nt ' 3. Electrical Conduii Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgmd. 55. Eiectrica� Bonding 5. Stee! Reinforcemen: 56. Rough Plumbing & Pressure Test 6. Eieetr.cal UFER Grnd. 57. APPROVAL 70 COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 1 � 8. Poundation 59. Gas Pipe, O Und�grnd., Test � { 9. Water Rpe-Undrgrnd. 60. Backwash Lines, P�7rap. O Undryrnd. � i 70. Svuctural Floor System 67. APPROVAL TO QECK ; 11. Property Sewer �ine & HouseConnection 62. 8ackwash & Receptor�Ffnal 72. Sewer Cap 63. Heater & Vent-Final 73. Roof Drain> 64. Plumbing System - Fir.al 74. Ro�gh Plumbing 65. Electrical•Final 75. flough Electrical-Conduit 66. Solar System-Finai 76. Rough ElectricVJiring 67. Fencin9 & Access ApProval 17. Rough Wiring Siyn 68. APPROVED FOR P�ASTERING 78. Rough Elec:�ical-T Bar Ceiling 6S. POOUSPA SYSTEfviS FINAL 19. Rough Heat�ng & Air Condinoning ' FIRE DEPT. REQUIREMENT ' 20. Rough ractory Firepiace APPROVALS Permit # 2L Ouas, in Siructure 70. Undesgrovnd HYdro 22. Ducts, Vent:iating 71. Product Piping ri Gas G Oii 23. Gas PiPe�RPugh & Test 7Z Undergroi�nd FIusL � 24. Roof r=raming 73. Underymd. Stora9e Tank u Gas ❑ Oil Z5. Roof Sheathing 7�?,�Y �K� 74. Overhead Hydre _ � i 26. T�Bar Ceiling {Structural) & AAonocoat 75. Dry Chemical I 27. Fremeand Flashing � 76. Dry Standpipe � I 28. �a.hing & 5�ding 77. FIXEO SY5TEM FINAL i 29. Insuiation 78. FIRE PREV. FINAL 30. Drywali Naiting HEALTH DEPT. REQUIREMENT �_� � 31. Piaster Broovn Coat 79. FINAL IfVSPECTION � � � 32. Electrical Power Meter-Final 8Q. FOOD CERTIFICATE ISSUED ---� � 33. Final Electric � ' Notes: 34. Final Heatin4 & Air Conditioning �_ � 35. Finai Gas PiPe-Test � � 36. Hood or CanopY 37. Finai Fac:ory Fireplace ' 38. Final Piumb��g 39. Water Service�Final 40. GasSe:vice-Final 41. So�ar OomesticFinai . 42, Backflow Preventer 43. Hackflow Irrigation 44. landscape Irripation System 45. Sound Aitenuation � 46. Handicap ftegulations 47. f�NAL STflUCTURE & BUILDtNG � `C�� L� ; C 48. FINALPLANNING i 49. Electric Release to Edison 50. 6as Retease to Southesn Ca4ifornia Gas Co � 5L CERTIFICATE OF OCCUPANCY . No. Date