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Home My WebLink About950 19TH ST - Building Permits� � CITY OF COSTA MESA BUILDING DIYIS/ON 77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.0 FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER M08-00002 PERMIT TYPE MECH STATUS: ISSUED APN: 42252412 DATE ISSUED: 01/07/2008 ; , ISSUED BY: SOK JOB ADDRESS: 950 W 197H ST'CM �`�� '�- � � �, SuitelUnit:� � vicinity: , - � _ . ' -. - - � SQ. FT: 0 ,'� � � SCOPE OF WORK: REMOVED 2 WALL" FURNACES AND INSTALL NEW CENTRAL.HEATING�FOR S.F.D. z, OWNER: FRANKIEWICZ,RONALD E'. 5 � Address: 950 W 19TH STREET��Unit PHONE: 949-631-80N ' ' , � City/State2ip: ; �COSTA MESA, CA - APPLICANT: BRIAN SIMKO, � � -;;-i�� Address: � 1953 FEDERAL AV-,UniE> �. PHONE: 949-548-5665 , . ' - � _ _ . � -City/Sfate/zZip� COSTA MESA; CA CONTRACTOR: ALLTEMP HEATING AND AIR CONDITIONWG License No.�� 70,8775 �'- Address: 1953�FEDERAL.AVUhR �.-PHONE: 949-548-5665 �� -� ,�„ ....: .... ...:� �: � ;..:'� CitylState: COSTA MESA, CA .. -ZipCode� ;,92627 � � � ° i' �', . = "' -' � .CELL: ' � ' � � - � .. .. - ' . . P . , � ' MECHANICAL PERMITtFEE SUMMARY MECH ITEM FEE: � �'_� . � � $38.30 �� - � � � � �'�i� ', PLAN CHECK FEE: ' _ -_. �� $0.00 - � � `�F, � , � � INVESTIGATION FEE: _ $0.00., �� ;?J� ` � � ' � , REINSPECTION FEE: �',�*, � ;'.'+.' $0 00�,.� -�-` - .., �� , ,- TOTAL FEES: $38.30 y , '-` - NOTICE: The work authorized by this p@rmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permil. COUEk. INSPECTIONTYPE ORTE INTIMLS GODEt INSPELlIONTYPE OATE INTITIALS 1616 Fixed System Final Fire Prevention 208 Final Mechanical � � 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition 208 210 Final Plumbing Final Electnwl 212 Final Fire Prevention 220 FinalPlanning Approval 222 Final Site 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of parjury one of Ihe following declarations: ❑ I have and will maintain a certifcate of consent to self•Insure for workers' compensation, as providetl (or by section 3700 0( the Labor Code, for the peAormance of Ihe work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by secfron 3700 of the Labor Code, (or the peAortnance o( the work for which this pertnit is issuetl. My vrorkers' compensation Insurance carner and policy number are: Carrier: (7Ms sedion neetl irot be romplefetlYlhe peimd B valuetl al one hundietl0ollars (S10p10� less ) Policy Number: �p1m1l.l-ceAify that in the performance ot the vrork tor which this permit is � issued, I shall not employ ayn$ erson in any manner so as to become subject to t ers' co p s�ie6laws ot Califomia, and agree that i( I should b e subjec �rkers' compensation provisions of Section 3700 0( the Lab al xthwith comply with these provisions !i Q O � _ ---AppliranCsSgnaWre —Dale._ - WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full force an ffect. �//� Lic ;#_ �Class # r� LF J � Gonlratlor's Signature" - � a�e— �___ CONSTRUCTION LENDING AGENCV: ❑ I hereby aKrtn [hat there is a cons[ruc['ron lending agency fw the peAortnance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OW NER•BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7037.5, Business antl Professions Code: Any city or counry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires [he applicant for such permit to file a signed slalemenl tha[ he or she is licensed pursuant to the provisions of the Conlracrors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Professions Code) or ihat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicaN for a permit subjects the applicant to a civil penalty of not more than fve huntlred tlollars ($500).): ❑ I, as owner of the pmperry, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intendetl or ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himself or herself or through his or her own employees, provitletl that such impmvements are not intentled or ofleretl for sale. If, however, the building or improvement is sold within one year of comple[ion, the owner-builtler will have the burden of proving [hat he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to cons[ruct the projecl (Sec. 7044, Business and Professions Code: The contrectors License Law does no[ appty to an owner of properly who builtls or improves thereon, antl who contracts for such project with a contractw(s) license pursuant ro the Contractors ucense Laws.). ❑ I am exempt under sec. Business and Pm(essions Cotle for Ihis reason: SiqnaWre Dale 305]-46(3/0]) Owner ID verifed by driver's lics. .❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownarship by (type of document, i.e. - property tax bill or tleetl): �IVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certdy that no excavation frve (5) or more feet in depth into which a person is required to descend, will be made in connecCron with v.ork authorizetl by this pertnit, and that no building stmcWre, scaffdding, falsework, a demolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Califomia Adminislralive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted ahove, unless such person has a permit to tlo such work from the division. Applicanfs SignaWre Date Division of Industrial Safety Permi[ Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater t�an a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or fuNre builtling xcupaM need to file a regisiralion (ortn for aculely hazardous matenals? ❑ Yes ❑ No (Sec[ion 25533 of ihe California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal m or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic fee� of compressetl gas a[ standartl temperature and pressure). 3. Does or will the applicant or present or tuWre building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Heallh antl Safety Code provides [hat the Costa Mesa Fire Department may require the preparation, certifcation antl filing with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials vrith lhe Fire Departmenl. 4. If an RMPP is presently required, has Section 25534 of Ihe Cali(ornia Health and Safe[y Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will [he applicant or present or fu[ure building occupant require !or ihe vrork which is [he subject of this application a permit for such wnstruction or modifcation fmm the South Coast Air Quality Management District or from any other air pollution control tlistrict or agency? ❑ Yes ❑ No (Section 658502 0( the Cal'rfomia Govemmen[ Code requires that the requested in(ormation be fumished on applications fa non-residential building pertnits�. 6. Will any part of the faciliry to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If'yes", the facili[y must meel lhe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit from the Sou[h Coast Air Quality Management Districl or other air polWtion control distnct or agency is required for Ihe work which is the subject of this application, have all of the tlisclosures prescribed hy California Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certi(cate of compliance (rom the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signawre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have reatl [his applica[ion and state that lhe information given is correcL I agree ro comply wilh all state laws antl city ordinances relating [o building construction, and authorize representatives o( the City of Cos[a Mesa to enter upon the above-descri6ed property (or inspection purposes. I agree not to occupy or allow occupancy o( any buiiding authorjzaA�6yt � rmit u�f fnal inspection. � � /$J'1 }a� 1 Legal Owner(s) / Dale jv 7 O� AnC!crAulho�izetl .4pplican�'"- ' - - _ Q �e— _ �-\ CITY OF COSTA MESA � q B!/ILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-.1856 • www.ci.costa-mesa.ca.us �.��Ro � FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER E08-00015 PERMIT TYPE ELEC STATUS: ISSUED APN: 42252412 DATE ISSUED: 01/07/2008 ISSUED BY: SOK , :, �_' - . JOB ADDRESS: 950 W 19TH ST'CM - Suite/Unitc' -. Vicinity: . .. � . - ' . � ' � - .. - � �, . . SCOPE OF WORK: INSTALL 1. LIGHT FIXTURE, 1 OUTLETAND 7 SWITCH�FOR FURNACE�IN ATTIC;;REF.: M08-00002. OWNER: FRANKIEWICZ,RONALD E- Address: 950 W 19TH STREET Unit: PHONE: 949-631-8071 �. - City/State/Zip: COSTA MESA, CA � APPLICANT: BRIAN SIMKO � � � --�, Address: 1953 FEDERAL AV Unit - PHONE: 949-546-5665 ' � � - " - City/State/zZip: -�COSTAMESA,CA.- ; CONTRACTOR: ALLTEMP HEATING AND AIR CONDITIONING Address: 1953FEDERALAVUnit: PHONE:..949•548-5665 ,- City/State: COS7A MESA, CA . ZipCode: 92627 � - ELECTRICAL P�RMIT FEES ' Electrical Plan Check Fee: $0.00 Electrical Permit Fee: ' $26.80 Reinspection Fee $0.00 - TOTAL FEES � $26.80 ;. License No. 708775 CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler Califomia statutes and relatetl regulations. (Ord. No. 92-25, § t, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order £or Me work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COUEt, INSPECTIONTYPE DRiE INnneis G OER INSPELPONIYPE OATE INTI11RL5 1616 Fized System Final Fire prevention 206 Final Mechanical 1266 Pool Spa Final . 208 Final Plumbing � 200 Final Re-Roof 210 Final Elecirical �� 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Plac¢ 220 Final Planning Approval 203 Final Sign 222 Final Site 20d Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the following declarations: ❑ I have and will mainUin a certificate of consent to self-Insure far workers' compensation, as provitled for by section 3700 of the Labor Cotle, for the performance of Ihe work for which this permit is issued. ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of lhe Labor Code, fw the perfortnance of the v.vrk for which Ihis permit is issued. My vrorlcers' compensation Insurance carner antl policy numberare: �� Carrier (Tnis sedqn neeC mt oe mmpletetl d the pe�mrt is valued at one n�nOretlOdlars (StM) w less.) Policy Number: _� I certify tha[ in the pertormance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become subjecl to the workers' compensalion laws of California, and agree that if I should be� su �ec lo the �' compensation provisions o/ Section 3700 of [he L or C/od , I Spn rthvnth comply wi[h these provis' ns. ,� L� ApWifanfs SignaWre Dal WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRrm that I am licensetl under provisions of Chapter 9(commencing wilh Seclion 7000) of Division 3 of the Business and Professions Code, and my license is in full force and e((e . Lic. CIaSs # �r �� nvacmr's Signawre Dat CONSTRUCTION LENDING AGENCY: ❑ I hereby af(um that there is a conSWction lending agency fw lhe pedormance of tha v.ork fa v.fiich this pertnit is issue0. (Sec. 3097, Civil Cotle). Lentler's Name: Lentler's Atlaress: Signature Date OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty o( perjury lhat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or ihe following reason (Sec. 7031.5. Business and Professions Code: Any city or counly which requires a permit to construct, alter, improve, demolish, or repair any sWclure, pnor to its issuance, also requires the applicant for such permil lo Lle a signed statement that he or she is licensed pursuaN to [he provisions of the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Divisi0n 3 of Ihe Business and Professions Cotle) or t�at he or she is exempt therefrom and [he basis for the alleged ezemption. Any violation of Section 7031.5 by any applicaN for a permit subjects the applicaN to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the propeRy, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oftered for sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himselt or herself or through his or her own employees, provided that such improvements are not intendetl or oflered for sale. I(, however, the building or improvemeN is sold within one year of completion, Ihe owner-builder will have the burden of proving thal he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consvuct the projea (Sec. 7044, Business and Professbns Code: The contraclors License Law dces not apply to an ovmer of pmperty who builds or improves lhereon, and who wntracts for such projecl with a cont2cta(s) license pursuant to the Contraclors License Laws.). ❑ I am exempt under sec. Business and Professions Code (or this reason: aos�rs �sron Owner ID verifetl Cy driver's licc. .❑ Yes ❑ No Oriver's License No. Expires: Veriflcation of Ownership by (lype of document, i.e. • property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAify Ihat no excavation frve (5) or more feet in depth into wfiich a person is required m descend, will De made in connectan with work authorized by ihis permit, and that no builtling structure, scaf(dding, falsework, a tlemolition or dismantling thereol, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 7�1e 8, California Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Sa�ety, as noted above, unless such person has a pertnil to do such work trom the division. Signawre Date Division of Induslnal Safe[y Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, vrith some exceplions, thal a Business Plan be filetl wilh lhe Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity o( hazartlous materials equal to or greater ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic fee[ of compressed gas at stantlartl temperature and pressure). 2. Does or will the applicant or present or future builtling occupant need ro fle a registralion foim for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 ot the Calitomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one lime has on hand a quanli[y of acu[ely hazardous ma[enals eQual to or greater than a weight o/ 500 pountls, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at standard temoerature antl pressure). 3. Does or vnll the applicant or present or fuNre building ocapant need fo prepare an RMPP (Risk Managemen[ and Prevention Program lor acutely hazardous materials)? ❑ Yes ❑ No ' (Seclion 25534 ot the Califomia Health and Sa(ety Code provitles t�at Ihe Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials wilh the Fire Depatlmenl. 4. If an RMPP is presently required, has Seclion 25534 of the Cali(ornia Health and Safery Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will the applicant or presen[ or future building occupant require for the work which is Ihe subjecl of Ihis appliwtion a permit tor such cons�ruction or modification fmm the Soulh Coast Air Quality Managemenl District or from any other air pollulion control disMct or agency? ❑ Yes ❑ No (Section 65850.2 of Ihe Califomia Govemment Code requires that the requested infortnation be fumished on appliwtions (a nornresidential builtling pertnit5). 6. Will any part of the facility to be constructed under this pertnil be vnthin 1000 feet from the ouler boundanes of a school? ❑ Yes ❑ No (If yes", the facility must meet the requiremen[ of Sections 25534 antl 42303 of the California Health and Satety Code). 7. If a pertnit from the South Coast Air Qualiry Management Distric[ or other air polWtion wntrol disMct or agency is required tor the work which is the su6ject of ihis application, have all oF the disclosures prescribetl Oy California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qt yes", attach certifcate of compliance from the appropnate air pollution control oKcer). CERTIFICA7E OF COMPLIANCE: I certify Ihat under penalty of perjury ihe information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazartlous Materials antl Emissions. Date CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is correcL I agree to comply with all state laws and ciry ordinances relating lo Duilding construction, and authorize representatives ot the Ciry o( Costa Mesa lo enter upon ihe abovetlescribed property for inspection pur s. I agree not to occupy or allow occupancy of any building author e y thi permil u' mal inspeclion. Si na gal eqs) Da e / � D � A�d�or Authorimd Applirant Daie JobAddress: 950 W 1gTH ST , Status: ISSUED Suite: � � Applied: Ot/192007 Vicinity: THROUGH OUT HOUSE Issued: 01/19/2007 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42252412 Zoning: npplicant SILVESTER, BECKY Address: 2425W COMMONWELTH DR Owner: Address �; Contrector. j Address:-� � ' � / i ZiO: ArCh : Address: Zip: FULLERTON,CA , � i�,c--�- , l' ; i��/ _ . / . FRANKIEWICZ;RON, QLD E � � , 950 W 19TH STREET� ,-' � � , " � , �. _ %� ' COSTA�MESA,CA� � � � - :o� ( � � �� t �'':;. , < �-_" - RENAISSANCE'DOORS AND WIN � .; ., �� i /, %� j' i i�%� `i;�, 1�i ,,, �� '� 9 WINDOWS AND 1�I � COMPIY WITH 1997 Phone: 714-578-0090 _Zip: �. 92633 i ISSUED BY: Phone: 949-631-8071 ' - , . _ Zip 92627-4533 � . ' _ „ . � .. .. Phone: 714-578-0090 �� , � License: 490375 � �`� '� , , Phone: . � .\. ,).: � _ / , _� <.�� . � _-License:, � , ' �f�� - � Plan Check: � � ' $0.00 ' Permit: $167.25 , SMIP Res: $0.81- SMIP Com: $0.00 � � ' �, � Other:��, �: , $0.00 � �� Inspection> � $0.00 \ - � ��,' _Total: �;�, .5168,06 � ,, Eng: Address: Phone: License: $C.�F't VY PCKMI I " ' � � '� �' IANGE OUT, UKE FOR LIKE THROUGH OUT HOUSE. NO CHANGE IN HEADER. WINDOWS SHALL �iQUIREMENTS. t � ' i \ � �-^� - FEE SUMMARY ,, ;� . r+ � '� ' � �� - � �� '��Calc Valuation: �� se,ioo.00 . . . _ �.� _ _ � _ . . .. � Claim Valuation: 5e,ioo.00 � , y - i. � r , .,� - ' - � ,.,�' � _' _ _ _ i: -�A .- � _ / , _ _ `� . ' _ — � '_ - - .� , : % - - ' �' � ,�' _ , - � ' � � � � �. PGANNING & ZONING SETBACKS � - � � �' MAIN STRUCTUR Fro��O- 0 � Rear 0 0 � Lefl 0 0,� � .,Right , �0. 0'�� .�\ " �\ �e.;-,a�c< .>" '�r,�,' - . .. . -., . - , ACCESSORY Front 0 0�� Rear 0 0 ,� Laft 0- 0 Right --� 0- 0 � ' ��i� AA � A � . - � --__ . , PARKING�� ExisLn �� ,�0, \Reauired '0� . . Pr000sed: 0 ��i �� ' �.� " , . , . . . � A . /' .A . _ . , ._ � . . ' ��A;�r . , ' _ _.- . � . _� . � \� � �- � rJ/� �� J �__A, _.�i __ �� . :r / �c" � U � A'�V �l _ l I � � ' -��--� -'''' � \�- -��` ��_ /. .�' '_ ., ` -�_- � '_ _' ' i''_''_ _ . . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 72-21-92) EXPIRA710N: 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 (or fhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 zaawe �eroo� WORKERS' COMPENSATION DECLARATION: . I hereby eMirm U�tler penalty of perjury one o� the fallowing declaretions: � ❑ I have and �'�� maintain a certilicate ol consent to selt-Insure tor workers' wmpensation, as pmddetl tor by section 3700 of the Lebor Catle, for the pedormance ol the work for whiCh Ihis pertnit is 155ued. ❑ I have and will mainlain workers' compensation insurance, as requiretl by section 3700 ot iha labor Cotle, for the pertortnance ot the work tar wNc� this pertnit is issued. !'�My.w rs' compensat on Insur nce errier a�nrd policy numb//gr ere: I /'�� /. �Camer.—�„i_[ r Cl (�� %i J- �/J a!( %i'1 1/��— �Polipy Number. �//I�F DC!(LZ / ((lhis section�neea nof be comp/eted 1! fhe permu is va/ued a! on undretl tlollars (S/00J or /ess.) ❑ I cenity Ihdt in ihe peAormance of tha work for which t�is partnit Is issued, I shall not employ eny person in eny manner so es to becoma subject to the workers' compensetion laws oj,Cefrtrnpi�gree � at it I s�ould become subject to tha workers' compensatlon provisi—o`ns of Sec=n 3700 oi the Lab� ode, I shall fort�with comply with ihese pkvigYyM� �� -- > /� � ApPlicenf Signature: ��1 �pa�a. � WRRNIN(3: FAI WFE TO SE PIXl E WORKERS' GY)MPENSATION WVERAGE IS UMAWFUL rWD SHAl15UflIECT AN EMROYER TO CRIMINAL PENALTIES AND CNR ES UP TO ONE HUNDRED TFi0U5MlD OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PIiOVIDED FOfi IN SECiION 3]Ofi OF THE LABOR OODE, INTEREST, AND ATTORNEYS FEES. LICENSED CON�ACTORS DECLARATION: I.hereby.ettirm.tBat I am �force and ettect.�Lic.�N� Contractors SlgnaWre: 9(commencing wiN Section 7000) at DiNsion 3 0l t1Business antl Professions Cotle, and my license is in full �Clau M (� �j � CONSTRUCTON LENDING AGENCV: ❑ I hereby aN�� Ihal there is a consiruction lending aqency for the DeAormance oi Ihe work br whirh t�is pertnit is issued. (Sec. 3097, Civil Code). Lentlers Neme: Lender'S Address: SlgnaNre: Date: OWNER-BUILDER DECLARATIONS: I here6y eNirm Ihat under penalry ol pehury Ihet I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry of county which requires e permit to construct, elter, improve, demolish, or reDair any slmcWra, prior to its issuance, also requires ihe applicaN for such permi� ro file e signea s�atemem Ihat he or she Is licensed pursuant to �he provlsions ol the Contractors License Lew (Chapter 9(commencing with Saction 7000) ot Division 3 ot the Business end Pm�essions Code) or Ihat he o� she is exempt theretrom entl t�e basis tor ihe allaged exemption. Any violation oi Section 7031.5 by any applicam for a permit subjects the epplicant to a Uvil penalry af not more than live huntlretl dollers (5500).): ❑ I, as wv�ar a< <he pmPerty, or my emplayees with wages as lhelr sole wmpansation, W0.l DO THE WORK, antl the structure Is'wl INerWeA or oHeretl for sale (Sec. 7044, Business and Professions CoOe: The Contraciors License Law Oces not epply to an owner of property who builds or improves ihereon, end who tloes such work hlmself or nersell or through �is or her own employees, providetl t�at such improvemenis ere not Intended or oHered for sale. If, however, the building or improvement is soltl within o�e year of completioq t�e owner-builder will heve ihe burtlen of proving iha� ho or she did not 6uild or improve lor puryase ot saleJ. ❑ I, a5 Owner ol �he property, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmject (Sec. 704d, Business and Profeuions Cotle: The �oniraaors Llcense Lew Ooes no� apply to an owner ol property who builtls or impmves Ihereon, antl who comrac�s f0� such project with a contractoqs) license purSuant to the Contractors License Laws.). ❑ I Bm exempt undar sec. Signature: Owner ID venfied 6y tlrivers license. ❑ Ves ❑ No Business antl Protessions Cotle lor this reason: Veriticetion ot Owaership by (type ot tlocument, i.e. - proparty tu bil! or tleetl)�. DIVISION OF INPUSTRIAL SAFETV PERMIT CERTIFICATION: Dnvers License No. Date: Expires: ❑ I hereby ceN1y Ihat no excavetion tive (5) or more feat in depth into which a pereon is requlrad to tlescend, will be made in conneclion with work authonzed hy Ihis permit, and ihat no building structure. scaHoltling, lalsework, or Oemoli�ion or disman�ling thereot, will be more ihan ihirry-six (36) leet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla e, CaliPornia Atlminisiretive Code). ❑ A5 owner-builder, I will not employ enyone to tlo work which would require e permit fmm the Division of Industrial Safety, as noted aDove, unless such pe�son has e pertnit to tlo such work Irom �he division. SignaWre: Date: Didsion ot Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHOF7IZATION OF ENfFiY: I cenify under penal�y of perjury lhat I have read ihis application antl s�ate ihat Ihe information given is correct. I egree to comply with all state laws and ciry ordinences rela�ing to building consimction, entl auihodze representatives ot ihe City of Costa Mesa Io enter upon the ebove-descnbetl D�operty tor inspection purposes. I egree not to occupy or allow xcupancy of eny building eu�honzed by this permit until final inspection. COUE 1• �p� Q�IE V�L�i 1616 Fiaetl System Final Fire Pravention 1266 200 201 202 203 204 Pool Spa Finel Finel Re�R�� Final Blo�k�Retaining Well Final FaG1ory Fire Place Final Sign Final Demolition tODEt INSPECSIONTTPE 206 Fina� Mechanical 208 Final Plumbing 210 Fina� Elecirical 212 Final Fire Prevention 220 Final Planninq Approval -iy-v i Date � D�iE IMRULS 222 Final Site 250 Final Builtling/Occupancy � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: Applicant: Address: Owner: Address 950 W 19TH ST 42252472 LIT'rLEFIELD, SCOTT 24707 SAN FERNANDO RD SANTA CLARITA, CA FRANKIEWIEZ, RONALD 950 W 19TH STREET C05TA MESA, CA � Phone: 661-259-7131 Zip: 91321 Phone: 949-631-8071 Zip: 92627-4533 Coniractor: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA 1 WATER HEATER CHANGE OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn Phone: 661-259-7131 Zip: 91321 License: 627368 SCOPE OF PERMIT FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation 50.00 P-Trap $0.00 Pressure Regulator 50.00 Process Piping (per 10 ft) $0.00 Receptors - $0.00 SepticTank -$0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial � $0.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop 50.00 �' Spa (private) 50.00 Spa (public) S0.00 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS � � Status: ISSUED Applied: 03/15/2006 Issued: 03/15/2006 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-A) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 535.80 � 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (914) 7545626 WORKERS'COMPENSATION DECLARATON: I hereby affirtn untler penalry of perjury one of the foilowing declarations: ❑ I have and will maintain a cenificete of consent m sell-Insure for workers' crompensation, as pmvided for by section 3700 of the Lebor CoOe, lor the pedortnanca of the ork far w�icn �hi5 permit is issuetl. ve an0 will maintain workers' compensation insurance, es requiretl by sectlon 3700 ot iha LeDor Cade, for the peAortnance of ihe work for which t�is pertnit is issued. — workers' compensation Insurance cartier and policy number are: r� er. Ti�2 �n��'� Policy mber. � Ji07 �f1b %0 � (Tliis secfion nestl0of be completed i! (he permif is valuetl af one hundred dallars ($100) ar less.) ❑ I certity ihat in the peAorm nce of the work for which Ihis pertnit is iuued, I shall not employ any person in any manner so es to become subiect to Ihe workers' compe n lews oi Cali rnia, end egree that if I should become sub�ect to c�e workers' compensation provislons oi Sectlon 3700 of the LaDor Code, I shall forthwith with t 5e provisi 5. P,. re: r.�,� �a: s-• �- oe WARNING:FAILURETOSEW WORKERS'COMPENSATIONCOVERAGEISUMAWFULrWDSHPLLSUflIEGTANEMPLOYERTOCRIMINALPENALTIESANDCMLFlNESUPTOONEHUNDRED THOUSANO OOLLARE (5100. �, IN ADDRION TO THE COST OF COMPENSATION, OAMAGES AS PROVIOED FOR IN SECTIIXJ 3]O60F TME L4BOR fADE, INTEREST, AND ATTOIiNEYS FEES. LICEN�NTRACTORS DECLARATION: I h a ir hat I am licen ed under provisi� f r e ic. a 3 Gontr aIs ' eture: of Chapter 9(commencing with Section 7000) of Di :' t�e Busir�sgayd Professions Code, and my license is in full ` 2 -IS• n� CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm that ihere is a constmction lending agency for ihe Dedormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendels Address: SigneWre: Daie: OWNER-BUILDER PECLARATIONS: I hereby ettirm ihet Under penalty of parjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which requires e pertnit to construd, aller, improve, tlemolish, or repair any strucWre, prior to its issuance, also requiras the applicant lor such parmit to lila a signed statement ihet he or she Is Iicensad pursuant to the provisions ot the Coniractors License Law (Chapter 9(commencing with Sec�lon 7000) of Divislon 3 of ihe Busineu end ProfeAs�ons Code) or thet he or she is exempt theretrom and the 6esis tor Ihe allogetl exemption. Any Noletion at Section 7031.5 6y any epplicant for a pertnit suh�acts the applicaN to e civil panalry oi not more Ihan live huntlred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as Ihair sole compensation, WILL 00 THE WORK, and the siruc�ure is nol intended or oNered tor sele (Sec. 7044, BusinesS antl Professions Cotle: The CO�iractors License Law does not apply to an owner of properry who builds or improves Ihereon, and who does such work himself or herselt or through his or her own employees, provided ihat such improvemenis are noI intended or oNered for sale. If, howaver, ihe building or improvement is sold within ona year oi completion, the owner�builder will have Ihe burtlen of proving that he or she did not builtl or improve for purpose of saleJ. ❑ I, as owner of ihe praperty, am EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Profe55ions Code: The wntrecrors License Lew tloes no� epply to en awner of Dropeny w�o builds or Impmves thereon, and who coniracts for such projact with a contrecioqs) license pursuan� to the CoNracbrs License Laws.). ❑ I am exempt untler sec. Signature: Owner ID venfietl by tlnvefs license. ❑ Yes ❑ No Business and Professions Cotle tor this reason: Venfication of Ownelship by (rype ol tlocument, i.e. - pmperty tex bill or deed�: Drivers License No. Date: Ezpires: DIVISION OF INDU5TRIAL SAFE7Y PERMIT CERTIFICA710N: ❑ I hereby certify that no excavation live (5) or more feet in depih into which a person is required to tlescend, will be matle in connec�ion with work authonzed by Ihis pertnit, and tha� no 6uiltling structura, scaHolding, talsework, er tlemolition or dismaatGng thareot, will be mwe than tRirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Celitornia Atlministrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permi� from tha Division of Indusinal Sefety, as noled ebove, unless such person has a permit to tlo such work from tha division. Signature: Date: Division of Industnal Sefery Permit Number: CERTIFlCATE OF CtlMPLIANCE AND AUTHORIZA710N OF ENTRY: I certify under penalry ol perjury ihat I have reatl ihis epplication and steta that the information given is correct I agree to comply wi�h all stata laws end city ordinances releting to builtling constmction, antl authorize representatives of the City of Costa Mesa to enter upon Ihe ebove-descnbed pmperty tor inspection purposes. I agree not to wcupy or allow occupancy of any building authorized by this Oermit until tinel inspecfion. Signature Of Lagal OwnQ(� �_� 5_,,,,Date �� AnNC!(A thonzetl li�nt ate CODE �, INSPECTIONTYPE � PAIE IMRIALS 7616 Fixed System Final Fire Pravention 1266 200 207 202 203 Pool Spa Final Final Re-RoO� Final BIocWPetaining Well Final Fecmry Fira Place Final Slgn 200 Final Demoli�ion COOE� INSPECTIONTYPE 206 Final Methanical 20B Finel Plumbing 210 Final Eleclncal 212 Final Fire Prevention 220 Flnal Planning Approval 222 Final Site 250 Final Builtling/Occupency �ooxEssareuwv� 950 W 19TH ST owx�xar+uieRu+o� ZARTLEA COARINE RAE �ss 950 W 1 JTH ST COSTA MESA,CA 92627 I�l.�uuaa �noq�ss: �IwcxrtE« on �+aa¢x ua w_ u�ex. on u+a.B �no�: coxm�aars ru�: CONfp1CfORSY.UI/q I�OOpE9i 11G ND: uwr: uNr: uNr: 11CFNSEO GONiN�CTOA3 DECUN�TION: 1 Mreby ellim udx paW y d pxjuy tlu1 I am f�nwtl udar pmmo�u d Cheqr G (mnms�aq wa� Sed'a� loJO� d Divuun 3 N Ne &�rou xM PNwabu Code. W mY fonos u in M fww mtl �lha. cm uc. No.: uc. cuss; uc. No.: EXP : � �Daa: Comreaa: OWNEH BUlLDER OECLARA710N: I lwoby �!!um uMnr perWy d peijvy IMI I an uwnq hom Ne GaV�aaae Liwns� lew fw tlw toq�iq rraon 1SeCian'!W 1.5 &oirv end AWm�'vu COAe: �nV uY o edvuY MJd� �p�'mu e G�Y b metrur; Wr.'vnpo.a. Wwleh. a rpv mry mucMs. p'v m't+�enm. aMu �Wu'vae tM eppimN la wrl� pemy to file e qyad men�xu tlW Ir a�M �icauee w+wm �o �ne n�+ a u» cavmaa. I.iunw lew Icheq« e(mmman�o .an s.eon mool a av'sw� a a ��r .4eero�s md Admiam COMI a tNt Ir a Ma u uemq therehan and iM Weu la Ns sAeped ssenWion. MY videtbn af Saaion '/m�.5 M�r eop� �« e o� �I�+�na wWF�� o e ri.il w�M a na mas �nen Me Iw�maa aa0en IssooU. y41 i.a.o..,�wu.o�roertr«mr�aw�.Y+��+�+me:.a.o�w�..amm..�x.�an.w�.:yoa�m�e o.,wawd..a n.�,. ms wa.o d aa+m n. «.n. etl �a wue «�wo,+�> u,e o�w�+• a.r.>. C] 1. m owrw N �he pW�Y. vn utlusveH oonlreqvro wGh lironwd conuMm b mwutf IM pMb ISsqbn )OM. BwLrs aM vN..tlom coee: Th. caarenm I.tan+. lew mn m� eypy w en ovmer a ww„r w,o wild. « unpw« �nraon .m wno CpNeqt b pd� pqWs wYA � mN�etl01�s) �ra� WnueN lo IM CpNefnt Livoe farj. qI am aumqp �vMx qSetim: ` B. 8 P.C.. M this�y\ on: OW: 1� �\-� i Ownu � 1 �Q� p^—�� i ao n«sW �«iey mn i�..+ro a.oa we.nw�d m. na��«v, a cwom. �h.ih.�d smw coa swno. zssro. assa�. w x$y�..,d m.� � a enr nn�u. did'vq omw+ win �.�Ip na (ercr m.) nase m mmply.rin vd m. aoa.. a�e me �w�:�amw. br . p�m. e«m+waion«modirmionawnm.�:�i "�%m.m«a anh,. a.:a.cuaanaruncn.w�b�... cnw �mn m.. pwhvs. Dpa: �VW�: WORKEfl'8 COMVENSATON OECIAR�TON; I MroCy dfirm uMer pmelry W prjW one d iM bOvrAnp tl�dwiom: q Ihmadrrilmaaen.c�N'w.dm�w�tlowllti�wnbrwakan•mmp�tion.npvriMdtahyS�manSloOa�Mlebar CoEs. la IM perlmiuics d M wdk Iv wNc� tlfv psmY o iwuM. ❑ �n....nawmov,i�.aF..�avnv�4,��.^�^.dAw�nrsaionarooalM1.lae«coe..au»v«bmvoau,. wak la Wud� N'e V� u u�uW. My w'orkan' mmVe�Wion 4uunnce mrtiar uW V�Y mmEr m: c�: PdiY Numbr: !b axYion rrM rwt Ee ttmdKed l(hs 0�! u br w» hurMreE Co6em �Sr001 n bnJ �] IoenA'NwenNsv�umenosdthewkbrxhiclrNisO�oisweC.ItlWmenWWem'Od+�i�em'nwxernnw bacmr �upjed �o �M xvM1xY mmpanWion Nvn d CaWmm, mtl apns CW Y 1 Jcup paopir eSjetl �o tM wwbn' wnpmmion Pa+sioro tl Seaion �i00 d �M lebor Cods. I�MO lalhvrit� wmVh wVh �hoee pv.'vim�. '' Wirn4iy: F�Ovn ro ucun wik�n' �tlon rov�np� l� unYrvM, uW Ntll udfM ur �rryloyr ro ahNnl pwltlM aM rlW nni iq b aM nuWiM UouwdCWhn (J104000A N�11tlbn ro M cmt ol conp,nuWn � n prvvMM br In b�ctlm J10B ol IM L�DorCotM, INr��C eM �fromq'� Iw. CON9TIIUC110N LENMNO �QENCY: I herapy �Im undx penelry d par'�.ry RW IMrs u e amprutlbn IwMirp apency la IM PMamenm d IM Mak lor wNd� �M M^^Y b bwed (Seaion �09). CN. CI. LENOEN'SNAYE: LENOEP'S MOPES4: I csWy Ihet I Mv� ned Nu epq' �ion md a+b Ihat Ne ebova intamNion b oonaq.l epna tommply vA� e0 �Yy nd mnry oMWnan hM �� Mw roWnY m Mu1dnJ can�wlim W MrebY eullKKcs �epemmdi�m d Ihb dY b aMr �N� IM ebo.srtwulnW PW�Y �°`�"°°°°�°""°°°�°'' JOHN ZARTLER „ _ Pma Neme /� q Deu: `i•1 \`q� u W VAppManUCorurmor (5151M.WP) Whas,BuidnpdSefey:Oraen-We:Cuwy-Appiwv:Pmk-Mw+r:GaMsnad-A�auv ,� / CITY OF COSTA MESA - BUILDING PERMIT / PERM NO: B 079523 PERMIT NO: H 079523 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH JOH DESCRIPTION : T/OFF S REROOF W/COMP SHINGLES SQ FT: 2,500 CLAIM VALUE: 2,500.00 CALC-VALUE; 2,500.00 GROUP OCC: R-3 / COMMENTS: AEROOF 12005F REISDENCE W/COMP SHINGLES 1tlfikiklflFMltkiflkMlflklkififMMlfiFkiEiFlF1Ek1E1k1Fk1kiE1f�k1l1f1k1fik1k1F1f/kM1E1fk1f1E1k1E1EikkiElklEiEiEiElkiF1E1EM1f'M1E1f1kiElkMkikikiEik 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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PAAKING REQ: PROV: PARCEL: 42252412 ZNE: REF NO: PLANNING NOTES>� � 1E 1F 1F M iF if it 1E 1E K if if 1E IE 1f if if 1E ik ik 1f iE 1416 if IE Ik iE 1f 1f M k if 1f iF 1k iE 1f iE 1F if if 1E 1h 1E it 1E If iE if Ik 1F iF 1E iE 1E 1E 1E'IF iE 1E 1k k 1f 1E ii iE iE 1E 1f 1E 1E fh 18 fE 1f ik iE if D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY : APPLICATION ISSUED BY; iF 1E 1F 7E M 1t if if iF M iE ik 1E 1k iF M i(� Ik 1k iF iE iF��7F LEGALIZATION:N BLDG PMT PLUMBING PERMTT 74.75 F E E S U M M A R Y ELECTRIC MECHANIC PLAN ISSUE FEE BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK TOTALS----> 75.25 0.00 0.00 AEVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 74.75 DATE: DATE: DATE: �� 7i"1FiFMifKifiFiEiEiFMM ifif STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING SO SMIP/NON-RES TOTAL PAID DUE 75,25 75.25 .00 75.25 OVER/SHORT: .00 FZRE SMIP/TOT� GRADING PLAN-CHECK ik iE 1E 1E'Ih 1f if k 11' iE IE M 1F M iF iE iE 1t M 1E IF iE IF 1E if 1F iE 1f 1E 1E 1f 1E 1F 1E iF 1k 1f 1E 1E 1E 1E 1E M if iE iE 1E 1F 1f k 1E iE iF 1f iE M if if k 1f 1f fE it ik 1E Ik iE 141! 1F i! 1E fE 1f fE 1E iE k iE .,_ 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 2500 REROOF BY VALUE RESIAENTIAL NOZONE 1.00 2,500.00 END OF FEES EXPI�E DATE `'� '� 01�002t5240-00215241. TOT 75.25 DATE: Q9f19/95 TInE: 11:53 '_ CONSTRUCTION AND PLANNING. . POO' 'PA APPROVAL5 Permit # - Daie Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical $ervice or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' `3,�lectrica� Co�duit UtilitY•Undrgmd. �- 54. Forms �,: ;4: �Electrical Co�duit�Undrgrnd. 55. Electrical Bonding ' ` ��^5. �teel Reinforcement 56. Rough Plumbing & Pressure Test � Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE � _ ��: � ' � :7. �ootings 58. Electrical Conduit-Undrgrnd. !' -nr., �. T 8: "Foundation 59. Gac Pipe, O Undrgmd., Test F•r9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. �10. Structural Floor System 61. APPROVAI. TO OECK ��i1. �property Sewer Line & House Connection !�62. Backwash & Receptor•Finai 12. "Sewer Cap 63. Heater & Vent•Final 13.`Root Drains 6A. Plumbing SYstem � Final 14. Rough Plumbing � 65. Electrical•Final 15. Rough Elect�ica�•Condu�t �' 66. Solar SYstem�Final 16. Ro�gh Electric Wiring 67. Fencing & Access ApProval 17. Rough 4Virin9 5�9� 68. APPflOVED FOR PLASTERING 18. Rough ElectricaLT Bar Ceiling 69. PQOI/SPASYSTEMS FINAL 79. Rough Heating & Air CorWitioning FIRE DEPT. REQUIREMENT 20.�Ro F cto�YF�RPIace .f.: > �. t� S�d`� w � -�� t�igh p Ct �;., ct APRi;OV�A1:3�J Pmmit#R i� �r �... rn�r ^ F-. '� r rr C 21.�ua�.in.Struau[er ;E;F. �� ,; O rt 70.;.Und�a,%�,u�d�Fydro �r '' J 22. Ducy,�entilHting-�x � :< t. � ^�r, 7�, prod�7�t-`PiVing'Q'Gas �Oil ., 23.Q�asHiperRouBh &'T.�st � � � � ,.n � 6 �; � 72. Unde�r.6uhd '� a FC., t� ?, ,., . , • � � . y . . 24.�Rooi'•Framing• ;n.: �f-,�. ••r. z. O e� �r._ T3. Undermd.Stora�,eFanle�Gas O�il rr 9 rt 25. Ro Sh thin Oi " �' � 9 ;� � ;�-'�� . Overhea� Hvd�`� J � 26.�T�Baf- Ceiling IStrueiuraq &?ilpnocoat � c G ms 7Ey, Dry Chemical � 7 �� ri C? c 27.�'Frameand Flashi�+� 'Z^ x^ m x i� OS x= n'" •�. z-, v x c�:Q v:^ i+ a�r �S. OrySta,�JPe�,- r � ♦ 1 ' �i : lTlli ; " L' '-'� 5 1V 1) . 28."Lathing � Sidjng�y: u. -_�z x= �••< T3+. FIXED-S�STEP�FINFi+I. . . . � 29. Insuiation � �� "" ^ w'� � � � 7�, FIRE PREV. �'IN{�L ' -� j � 30. Drywall Nailii+g .m.: - � x- I �r. r, �HEAL DEA7,.RE!]UIEEMENT _� 31. Plaster � w.Coj�;� r,,.z„ �. � � I` 79. F�NAL.r�t�S,PEC'C[ON *�,�' - _ ; 32.t£Iectric�Po er [Mpie�-,Final ��r ;: p; � � �c , 80; FOOD CE TIFIG�ATE 4S UED � '," � 33.�ina?EI trir� ' m � �, <<" � « t$tes: y �,� �_ C �_�., - j 34..FinezHea;ing�$ AN;Cor�ditionigcj�� ;� S - _ � = _ � 35.:ginal�GaF:Pi�e-TebiM ..a1 '7 � ^ ! n �� rs X .* SC, . r u f � H I ^C'� C� x' -C 36.'Hoo or- noPY �' � # i I r' • •.� � • � - t � � c� c. ,: o � -.� -� .. . ,� � ('i c .� ` �c - - - r� 37.�Fin5l:Factorv Fire,�Facp ^ : S r �^ i M � � ^ .' � � ��r. , � . n r-. �. v � i I kr s� .. �' :d� G i .. .. .. i: fl1 q� . 38. fina�;Pl�bin9 ,x c: ' r ' � 't: � y. C ' ' � � 39. Water Ser.vica-Fina�s � � � ..� � ( .:R � �� V,-.! ' .� _ r t i.'i, i �` U s � � 40. Gas Service-��'j+ai �.n ��T�T y (!7 ! �K �' VDJ • 1 I ° 41. Solar pomescto-Finai _. C� � •. � rr � I r;:.� y � r� r � ^� t� � 42.�ackflow Pre�enter L r' .�� ` � ( � x � � "T " i � � * - � 43. Backflow Irr��tionx a'.`.:' * i ^E"'� �� _ - ,� x r YC:- '. X= *a _ �4. Landsca�e IrtiGatiop SYstempm� �. >.� p � px II, n; n; �,: .- :. 65.�Sound ActenLaciorn r-�a' �[�' * g m F ti� � �� c,'v G< � � ... ;i . � • � � . .. .. � i : r::.i� � ,. - �46.'liandica'p,'Regulatio�s N - � �' � ,� �„ ~S r - � �47.�FINALSTRHCTURE&BUrtDING � *� � �? N�S � k '`.: �+- >• �t �- ia � Cr i' �- 48.FINALPLANNING.` r'� ;;` �� -�i�. : �.�,-j .i ,',. r .• � `49.=Eleciric Release to Edison . � } � 4 (� � Y: . � � .� � 150.SGas.Release to Sout�iern Cali#o,r_pia Gas Co k I �_ , k � �.�r 'r = `. �51. CEf�TIFICATE OF ACCUPANCY Y n „ ;.;�, z � � No_ Date CITY OF COSTA MESA - CONSTRUCTION PERMIT Addrea Address Contracror in aU witnin heavy borEer lines anC sign all appropriate Eeclaralions. TRACT NO: ' LOT NO. � BI�G. NO. � �� )Ti TVPE OF CONSTRUCTION � L' 8� ❑ NEW ❑,ADD ❑ ALTERATION - ��REPAIR ❑ ONV�)ERSION�❑DEMOUSH LiCense No. ❑ OTHER ��Y �p �" DESCRIPTION OF WORK CTOR DECLARATION dm Iicansetl unCer provlsions � 7000) of �Ivislon 3 of tl, my Ilcense is in full Phone Dat�y�' - •�•- "•Si9natum WORKERS' COMPEN$qT10N D A ATION I hereby aHirm that I have a ce _i wte of tonsent to � �r •" VPE OF PERMIT � �� ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL 9'(tom- ❑TENANT-�ELECTRICAL',E�IPLUMBING�OMECHAI fss antl ❑ OTHER 'efiect. PROJEC7 DESCRIP.TION � SQ.FT. OCCUPANCV_CONSTRUCTION TVPE ura ar a VALUATION ZONE B OOY I GRADING CV. VDS. ACRES _ PoIICY No.v� i �u� �3VComDanY 'ertifietl topy is hereby furnlshc0. ' REMqRKS: ' :erHfletl coDY �s filetl wlth the Nty BWltlln9 Divlilon. �E%EMPTION FROM WpRKERS' COMPENSATION DECLARATION (Thls 5action neetl not be complatetl-It the pe�mit I5 for one huntlreE SS100) or lessl. . � cerlify Ihat ln t�e performanta o/ the work for whlth.this permit is Issuetl, I snall nol amQloy any person in any manner so as to batome PLUMBING sub�ect to tha Workers �pmpen5ation Laws ot Calltornia. " Odt¢ $I9ndturB BATHTVB$ NOTICE: If after mak��g thls tleclaratlOn, you snoUla become subjett TOILETS to the Workers' Comppnsation provislons of tne Labor Cotle, you mus[ farthwlth camply with su<h provisions or thiz permit s�all ba tleemetl LAVATORIES revoketl. . . '� KIT.SINKS CONSTRUCTION LENDING AGENCV I hereby atffrm t�at t�ere Is a construcUon lentl(ng agenty for the perv SERV ICE SINKS formanca of the work for which thiz permit is Issuatl (Section 309] Civ. C.). � ' FLOOR SINKS LlntlGf's Ndme Lentler'S,AtlOross — ' - DRINKING FOU Y , as sole con �epau any scrucmre, pnor io rzs issuance, aiso re- �nt tov suCh p¢rmit to flle a signetl 5[alem¢nt tnat he �ant to the plovl5i005bf [he ContfdCtOl'S LICCnse ldw �mmencing with Section )000) ot OlviSion 3 of ihe pfEssioqs Cotle) or thdl h! is exempt tharef�om antl'ih¢ le9etl exemption. Any vlolation of 5e�tion ]031.5 by br a permit sub�etts the appliwnt to a Uvil pena�ty an tive huntlretl Gollars (5500�. oi the property, or my Bmployees witn wagei a5 their on, wiq Co [�e work, antl the svucture Is not IntenOetl ale. (Se[tion ]044. Buziness antl Rofesslons [otle: The wor mrou9n ms own empioy¢es, proviaea Ina[ sucn Improvem¢nI5 dr¢ n0[ Intentletl or o/tarea for sale. H, however, the builtling or improvemen[ Is soltl witnln ona year of complation, the owner will have the burtlen ol proving he tlitl not builtl or improve for [he purpoie OI sale). ❑ I; a5 owner ol the prOOerty, am extlu5ively �pntratting wilb IlcenSetl COntrattors to cOnstrutt the projett (Settion 7044, BUSiness antl Professlons Cotle: The Conirac[or'S Llcanse Law tloes not apply to an owner of property who bulltls or improves theraon, antl who con- ItdCts ftOfll SUCII ptOjNtts wlth a COntfactaf(s) Iicesnetl puf5uant (o the Coniractor•s Licensp ��.,.), ❑ I am exempt untler $¢�tlon 8. 6 P. C. !or thi5 reasOn Date Owner I hereby certity that I heve reatl t�ls application antl itata that ch0 above In/ormation is corrett, I agree to comply with all city antl county OftllnanC¢5 aptl SIdt01d�y5 relating to conSlfuCtion, dnd h¢feby authoriie representaHvas 1 lhiS Cityyy��[0 en[Br upon lha dbOvO mentiOnetl property for I 5 ��.s, �V Signature �� Dale% �ZL Vi �� _ 1 PLANCHECK SHOWERS ,VRINALS � ' DOUBLE LAVS ' DISHWASFIERS SUMPS FLOOR Df3A1N5 � INTERCEPTORS CLHRIFIERS SWIMMINGPOOL� �PTRAP ' WATERSERVICE • ALTERATION GASSERVICE � OVTLETS � WATER-HEATERS BTU OUTPUT SEWER CONNECTIONS SOLAR TANK COLLECTORS SOIAR PIPING SVS. ' ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-100,000 BTU_ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-100,0008TV_ SYSTEM 300,000 + BTU _ BOIL@RS BTU SVSTEM REVAIR,ALTERATION EXHqV5T5V5TEM MULTIPLE Orivers' Lite o or 55 ;p ' �SSUE FEE CMF 0865-46 Wltita-Builtling; Canary�Appliwnt; Pink-Accounting; GolOenrotl-Assessor Z( A.P. � ZONE �� S�ETBACK� C�/L ST. I VAFD" � 5Eo R�IGHT REAR VARO (TO P/ PKG. SPACE RE�. STREET WIDTH ZONI NG APPRO V E[ SVECIAL CONDITIO ^ � : VINGREGUL-ATIONS T�{' PLNTGp. RVEF�. p$ ' � PROPE�RTVNLINE - I PROVIDED PARK FEE b' gy DATE 5. ELECTRICAL PL.AN CNECK GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER APPLIANCE 10-50 KW=50 + KW _ MOTORS 0-1 HP_1-30 HP _ (INC.SOLAR)- 7p-50HP SO+HP_ FIXTVRES OUTLETS SWITCHES GAS TVBESIGNS POLE'LIGHTS PANELS MAIN ' SVB SERVICE " HMP APPIICATION APPROVED BV DATE SUMMARV OF FEES BUIIDING PERMIT § SMIP � E PLAN CHECK 5 7ERMIT PLVMBING g�_ ISSUANCE E PIANCHECK E GRADING E ELECTRICAL E § PLAN CHECK g MICROFILM E � MECHANICAL 5' - TOTAL FEE S PLAN CHECK S LE55 AD- VANCEPC E_ FINALFEE E-a� � .• - - � CONSTRUCTION AND PLANNING POOL' & SPA ' /,!� 9 Date Inspector Date Inspector APPROVALS Permit# qPPROVALS , Permit# 1. Temporary Electrical Service,or Pole 43. Pooi & Equipment Location 2. Soi ipe-Undrgrn 44. Steel Reinforcement 3. Electrical �pnduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee e�n orce 47. RougFi Plumbin & Pressure Test 6. Electriral UFER Grn 48. APPROVALTO COVER•GUNITE 7. Footings � � 49, Electrical Conduit-Undr rn 8. Foundation - � 50. Gas Pipe, ❑ Undr m Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ n r rn 10. Structural Floor System 52. APPROVAL TO DECK ' ' 11. Property $ewer Line & House Connection 53. Backwash & Aece tor-Final 12. Street Sewer Connection �� ' 54. Heater & Vent-Final 13. Rough Plumbing ' ' - 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Ele�ric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in $tructure APPROVED FOR PLASTERING 18. Ducts, Ven[ilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing / � 21. Roof Sheathin MOTES: n%D �' � �1 . 22. Frame and Flashin - 23. Insulation 24. Lathin & Siding ' - � - 25. Drywall Nailing 26. Plaster Brq�vn Coat 27. Electrical Power Meter-Final 28. Final Electric - 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final � 35. Landsca e S rinklin S stem 36. Sound Attenuation ' 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY . No Date , _ Costa Mesa Building Department ' 111 EAST 20th STREET —� COSTA ME&A, CALIFORNIA FOR APPLICANT TO FI�L IN � rest s St Size Use Buildin9 Costa Mesa, .�.s�-��.LNotY ��.a a �. � . 3 8 v I Blxk I Tract%%/2 tounde) No: of Bldga ( i I O Nowon Lot No.ot No.of Familtes Rooms .S S 3idevard k-i� IPTION OF WORH A�ttratlon I I Addition I Moving I I Demoifsh I No. of / �� Rooms (n Stories � �APPLICATION FOR PER � BUILDING FOR OFFICE USE ONLY Costa Mesa, California Plans � V CORILECTIONS ring ��a � Coveri�g Lpy�,.�J. APpR,Q�Tj��' . Use o{ New �7 Building �j(�yt� . Foundation Location Inspector Forms, Materfals, Under-Plnning Frame: Fire Stops, Bracing, Bolte I hereby acknowledge that I have read this Application Lath. I nt. and state that the aboVe is correct and agree to rnmpiy Lath. Ext. with all City Ordinances and State Isws regulating building construMio �. Signatureof � Plaster, Int Permittee C�G - Plaster, Ext Autho�ized Agt. Masonry Reinforeed Valuation Permit Fee $ � /� Plan Check $ 6 Bond Beam S �O � (� ! Total o-d Fee $ 3� ^ FINAL r..e.. �.... r.0 ou a_an Date � z D r �� :'ti'� �. � � �.�.� � �..��. Show loeatlon and distances .irom property line and between buildings . . .. • � . .. ' ' f 0 � `'