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Home My WebLink About984 19TH ST - Building Permits� (714) 754-5273 • Fax (714) 754-4856 • www.ci.coste-mesa��TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 984 W 19TH ST Suite No Vciniry: Parcel Nunmber: 42253115 App�icant: PRADO, SOFIA Address: 915 LAKE ST Owner: Address Contreclor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighling FiMs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motoro to thp Motors to 10hp Motors to 50hp Molors to 100hp Molors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole HUNTINGTON BEACH, CA LEISCHNER, ERWIN ATR 984 W 19TH ST COSTA MESA, CA � " � f J K CONSTRUCTION 915 LAKE ST � HUNTINGTON BEACH, CA Phone: (714) 404-9846 CELL 2ip 92648 Status: ISSUED Applied: 09IO2l2005 Issued: 09/02I2005 Phone: . Zip .; � 92627-4146 .: ' . �. . Phone: (714) 404-9846 CELI Zip: �92646 License:450297 , . scurt �r rercmi i . REPLACE BEDROOM WINDOWS WITH DUAL GL4ZE, VINYC WINDOWS TO MEET 1997 U.B.C. EGRESS , REQUIREMENTS. HEADERS WILL REMAIN THE SAME. ELECTRICAL, MECHANICAL AND PLUMBING WORK. REF.: BOS-01499 , . , � ELECTRICAL TO INCLUDE: 1 NEW LIGHT FIXTURE OVER GARAGE DOOR AND 1 SERVICE UP TO 200 AMPS. . � .. . , - .,, ' . . � � 523.50 $0.00 50.00 50.00 $0.00 $0.00 $1.10 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 . � $0.00 $0.00 , 50.00 $0.00 50.00 $0.00 ` $30.50 $0.00 50.00 50.00 50.00 �uantity 0 0 0 1 0 0 0 ..�;�0:�.; .�, 0- ' p 0 'p 0 ' 0 �.. � . 0 '� ,w� .. ,µ� �. ., 0 0 0 FEE SUMMARY . ' " Quantity � -. Temp Dist System ) Lighting - $0.00 0' �- Busway /100 ft ' - � ` $0.00 0 -- Standing�Seclion � - 50.00 0 Misc Electrical Equipment $0.00 0 Transfortners up l0 1 kvaBw � $0.00 ��0 ..........:.::..up to 10:kva/kw $0.00 0 .................up to 50 kvalkw �$0.00 0 . �--�� : ....:............up l0 100 kva/kw 50.00 � 0 " � ..................over 100 kva/kw $0.00 0 .LowVoltage�Equipment 50.00 0 - Low Vol� Wiring System I CkL r 50.00 0� - . , : Misa Conduit � , - ' ` - $0.00 0 � . � � Misa Conductor . . ,.. $0.00 0 . � Circus ( gen �oc�ide) . � ` $0.00 0 . � Cirws (mech ride or lights) � ,$0.00 0 � � � Christmas Tree.Stand � � .. $0.00 0 ' � ` � Fireworks S[and� - - 50.00 - 0 - Other Eledrical Fee , '� $0.00 ' �-' �:�Investigation Fee, _ � - �,� $0.00 � - __��Plan`CheckFee� - $0.00 _ Reinspection Fee �� " � - � 50.00 - - �-TOTACCALCULATEDFEES 555.10 R R I NOTICE: The work authorizetl by this permit shall Comply with all applicable handicap access requirements under Califomia statutes and relatetl regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shell automatically ezpire and become void it work is not commenced within 180 days, ar If work Is suspended or abandonetl lor a perlod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply vAth all epptieable codes, 8nd all required Inspectlone and flnal epproval must be obtained. Feilure to obtain Inspactlons and final approvel will result In the expiration ol this pertnft. FOR INSPECTIONS CALL: (714) 7545628 / zaae�ae (eiool - � WORKERS' COMPENSATION DECLARATION: � � I hereby eXlrtn under penalry of per�ury one o1 the following tleGaratlons: ❑ I have antl will maintein e certiflcate ot consent to self-Insure for workers' compensallon, es pmNdetl for by sec�ion 3700 0l t�e Lebor Cotle, for ihe pertormance of Ihe work for which this parmit is issued. ��I.have entl will mainiain workers' canpensatlon Ins rence, es requlre0 by sectlon 3700 oi Ihe Lelwr Code, for the pertortnence of the work Iw whidi Ws pertnli is Iswed. �/ ' My worke camp nsatlon I cartler tl Ii�y number ere: ceMa�:. , �7 �" , �Q aa��N�� %�/� i/�]t-� �0�6 �(,Thls sectlon n nof cromplet i! the permitls ve/uetl et one hundred dallers (E100) or IessJ ❑ I cerUly that In Ihe peAormance of the work for which Ihls pertnit is Issued, I shall not employ eny person in eny menner so es ro becorne sub�ect to Ne workers' wmpensatlon lews o elifomla, e epre� Ihet I I ould Decome sub�ect lo Ihe workers' compensetian provlslons of Sectlon 3700 of Ne Lebor Code, I a�all forthwiN comply wlih these D " ip� P, ,� /,, //�" �,� a+�S_ Applicent�6lp}ture: U1�6((!!/tA/ ��:�, WMNINO!FAILURE TO SEC RE WORI� RS CO�dPENSATION COVERAGE IS UNUW NL AND SMRLL SUBIECT AN EMPLOYER TO CRIMIWIL PENALTIES M1D CNIL FlNES UP TO ONE HUNDRED THOUSANDDOLIARE(E100,OOO�,INAD fTIONTOTHECQSTOFCOMPENSATION,DAA416ESASPROVIDEDFORINSECTION3]080FTHEUBORCODE,INTEqEST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECIARATION: I hereby eHirtn t�at I am Ilcens u�n-�7 �, provis n�s Q1 Chapter 8(commendng with Sedion 7000) ol DMslan 3 of t�e Businesa�gntl Prolessions Cade, end m Ikense is In tull forCBand611ecLUG.M•� � �V ��!'�T�/ / �yq'p� ( Y Conl�rectafe'Sfgneture:"`��`�7I . /, �A�� DeIB:%r �/�'a- � CONSTRUCTION LENDING AGENCY: ❑ I �ereby eNirm Ihet there is a constructlon lending egenq tor Ne peAortnanca ol the work lor which ihis permit is luuetl. (Sec. 3097. Civil Code). Lenders Name: Signeture: _ OWNER•BUILDER DECLARATONS: Lendels Address: oe�e: I �ereby eHlrm t�et under penelry of per�ury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counry which requires e pertnit lo cansiruct, alter, improve, demolish, or repair eny structure, prior to Its issuance, elso requires the eppliwnt tor such permit to flle a signetl statement that �e or she Is Ilcensed pursuant ro Ne provlslons ot Ihe Contrectors License Lew (Chapter 9(cammendng with Sectlon 7000) of Dlvlsion 3 of Ihe Business end Professions Cade) or Nat he or she 4a ezempt therefram and the basLs for Ihe ellegetl e:emptlon. My Ndation ai Sectlon 7037.5 by any epplicent for e pertnit suhjects the epplicam to a civil penalry oi not more then frve hundred dWlars (5500).j: ❑ I, es owner of tha properry, or my employeas with weges as Iheir sole compensation, W ILL DO 7HE WORK, end the sWctura Is not intentled or aHered for sale (Sec. 7044, Business and Profassions Code: The Contractors License Lew tloes not appy to en owner of Droperry who builtls or improves thereon, and who tloes such work himselt ar herself or through his or her own employees, pruvided ihat such imprwemenis ere not Intended or oMeretl for sele. It, however, the builAing or improvement is sold wi�hin one year ai compleibn, the owner-builtler will have the burden oi proving ihat ha or she did not builtl or Improve for purpose W sale.). ' � I, as owner ot the praperty, em EXCLUSIVELY CON7RACTiNG WRH LIGENSED CONTRACTORS to wnshuct the projact (Sec. 7044, Business and Professions Code: The comracrors Llcense Lew daes not eppty to an owner of pmDerty who bulltls or Improves thereon, antl who wntrects for such project wIN a contrenor(s) license pursuant to the Contractors License laws.). ❑ I em eaempt under sec. Business enA Profeulons Code lor this reason: Slgneiure: Date: Owner ID vBAiIBC by tlriver'S Iitense. ❑ Ves ❑ No Drivers Llcen58 No. Verillcation of Ownership 6y (rype of document, I.e. - property tex bill ar deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFlCATION: Expires: ❑ 1 hereDy ceNly thet no excava0on five (5) or more feet in depth into which e person Is required to descend, will be mede in Connection with work euthodzetl by thb pertnll, and that no building siruIXure, scettdding, lalsework, or demolition or dismentling thereof, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tltle 8, Calitomia AtlminislratNe Code). ❑ As owner-builder, I wlll no� employ enyone to do work which would require e permll from the Divislon ol IndusMel Sefery, as noted ebove, unless such person hes e permit to do such work fmm the division. Signeturo: Date: DlNslon oi Indusirlal Sefery Pertnit Number: CERTIFlCATE OF COMPIIANCE AND AUTliORVJ1T10N OF EMRY: 1 certl ' enelry of perjury thet I heve reatl iNs eDPliwtion and state that the inlortnation gNen is wnect I egree to compry with all stete laws entl dry ordinances r lating t constructlon, end euthodze representetives at tha Ciry of Costa Mesa to enter upon t�e ebove-descdbed D�operty lor inspection purposes. I egree ryok�py or ency of eny Duiking authorized by this pertnit until final inspection. GOUE /. IN9PECTIONTYPE 7818 Flzed System Flnel Fire Preventlon 1288 Pool Spa Finel 200 Finel Re-Rool 201 Finel BIocWRetalning Well 202 Final Fedory Fire Place 203 Final Sign 204 Final DemollUon Qd¢, �¢ �,� INSPEGfIONTYPE 206 Flnel Methenitel 20B Finel Plumbing 210 Flnal Electrical 212 Final Flre Preventlon 220 Flnal Plenning Approval 222 Final Site 250 FinalBuilding/Occupency ��V� � oata " QAg Q� 1L� � (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob nddress: 984 W 19TH ST Suite No Vicinity: Parcel Number: 42253115 Applicant: PRADO, SOFIA Address: 915 LAKE ST HUNTINGTON BEACH, CA Owner: LEISCHNER, ERWIN A TR Address: 984 W 19TH ST . . COSTA MESA, CA' ° Contracror: J K CONSTRUCTION Address� 915 LAKE ST MECHANICAL PERMIT �Phone: (714) 404-9846 CELL 2ip: 92648 Phone: � - - . � Zip. 92627-0146 . � Status: ISSUED Applied: 09I022005 Issued: 09IO2/2005 R �. R�. � . - Phone: .(714) 404-9846 CELL � - � HUNTINGTON BEACH, CA Zip: , 92648 ' ' � - '- ' .� � " � �License:450297 ' , " - . . - � - �� SCOPE OF PERMI7 REPLACE BEDROOM WINDOWS WITH DUAL GLAZE; VINYL WINDOWS TO MEET 1997 U.B.C. - . � �EGRESS REQUIREMENTS. HEADERS WILL REMAIN THE SAME. ELECTRICAL; MECHANICAL AND PLUMBING WORK. REF.: BOS-01499 . ' ' - ' - " . � ' MECHANICAL TO INCLUDE: REPLACE 1 INST FAU < t00K BTU. f �" � ' �, , � ` ' ' ? FEE SUMMARY ISSUE FEE - � Inst FAU <100 k BTU Inst FAU >100 k BTU � ' Repair/Alt Cooling/Heat ` Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys ?100 k BTU Gas Piping , Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct �� , Appliance Fire Dampers Smoke Dampers � Inst or Relocate Appl Vent Air Handlers < 10000cfm � Air Handiers > 10000cfm - FloorFurnace � Floor or Suspend Heater � �uantiry 323.50 51a.80 1 • 50.00 ' 0 . $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 , 0 So.00 �` �0' �` 50.00 0 $0.00 . 0 50.00 0 $0.00 „ 0 � -�$0.00 "�,0; $0.00 . 0 $0.00 0 m Repair I Alt Absorblion Unit .-Repair / Alt Refrigeration Unit : .. Ventillation System �. � Evaporative Cooler �� _ � Comme rcial I nci nerator Domestic Incinerator Comoressors I Absomtion Svstems Up to 3 hp / 100 k BTU 3Tot5hp/SOOkBTU � �,15 To 30 hp / 1,000 k BTU - 30 To'50 hp / 1,750 k BTU ' Over 50 hp / Ovec 1,750 BTU Boilers- ' � - � . ' Up to 3 hp • . . _- 3To15hp' 15 to 30.hp _ �30 to 50 hp �_r .- ' ' . � >.Over50�.hp. � , . � -- Other Mechanical Fee �.� � . Investigation Fee� � . __ _ • � - - � .�� Flan Check�Fee � � � � � • - - Reinspection Fee - - " � ' � . � ` � . , � ,, ,' TOTAL�CALCULATED FEES COMMENTS I SPECIAL�CONDITIONS �uantity $0.00 0 50.00 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 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 50.00 538.30 NOTICE: The work authorized by ihis permit shall comply with all appllcable handicap accass requirements under Califomla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced within 180 days, or If work Is suspended or abandoned for a period oi 180 days. INSPEC710NS: In order tor the work aulhorized under this permlt to be conside�ed legal, such work must comply with all epplicable codes, arM aIl requlred Inapaetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 . / zaas as �e�oo� WORKERS'COMPENSAnON DECLARAnON: - — I hereby ettirm under penalry ot per�ury one o1 the following tleclaraUons: ❑ I heve and wlll maintein e cenificete ol consent to sell-Insure for workers' compensetion, es pravided tor by sectlon 3700 0l the Lebor Code, for the peAormance of the wark for which this pertnit is IssueO. N I heve arM will maintain workers canpe tbn insurance, as raquireG by sectlon 3700 of Ihe Lebor Code, for �he perfortnance of t�e xrork for which NIs partnit Is Issuetl. My wo rs' m sa-ll��1n sure Mar anC pollcy number ere: /y�/� �7 /-/ )�/� �Cerrler.�" - �"�/%�� Pdlty Ner: __Q,fil'/7"/� y ,i��/l��j (Thls secNon ne not be rnm e' 1! Rie pertnit !s vaNeO at one hundred dollars (St00) or less.) ❑ 1 certify Ihat in the peAortnance of the work for wNcli this pertnil Is issued, I s�all not employ eny person in any manner so es to Decnme sub�ect to tha worken' compensetlon laws� 1 Califomia, entl eg e thet II I should becwne sub�ect to the workars' mmpensatlon provisions o1 Section 3700 of the Lebor Code, I shall fonhwlth ca�h these i 'o . %% �Ap� n4SigneNre: � � �Dete: 1 �/ � � �O �� WARNINO: FAILUNE TO SE RE WO (ERS' COMPENSATION COVERAGE IS UNLAW FUL M!D SMALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES iVlD CML FlNES UP TO ONE HUNDRED TKKISAND �OU.AFE (E100,000�, IN ON TO THE C0670F COMPENSATION, DAM4GES r1S PqOVIDED FOR IN SECTIIXJ 3]OB OF THE Lr1BOR CODE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirtn that I.em force entl eflect. IJc.-k _ CanVe�s $Igneture: oi C�apier 8(wmmencinp with Sectlon 7000) 01 Dlvlsian 3 0l Ihe Buslnesa en�rotesslons Code, entl my Iicense is in lull I— �CIas9 M �(/ DetBr �_ �—O; CONSTRUCTION LENDING AGENCY: ❑ I here�y atfirm that there is e conStruCtiOn Iending egency for Ihe peAortnance ot t�e work for which ihis pertnit is Issued. (Sec. 3097, Civil CaAe). Lendefs Name: Signeture: _ Lentlels AdOress: Deta: OWNER-BUILDER DECLARATIONS: I hereby eHlrm thet untler penalry ot perJury t�at I am E%EMPT FHOM THE CONTRACTORS LICENSE LAW for the fallowlnp reeson (Sec. 7031.5, Business end Professlons Catle: Any ciry or counry which raquires a peJyeh�nstruct. alter� impmve� demolish� or repalr eny structure� Pnor to Its Issuence� elso requlres the aDPlicant tor such pertnit to flle e signed stetement ihet he or she Is I%i�p ursuam to the provisions of the Contrecbrs LJcense Lew (Chepter 9(commenUng with Sectlon 7000) ol Dlvlsion 3 ot Ne Business end ProfessionsC�da� Dr Uet he,d7� s exempt theretrom end the besis tor the elleped exemption. Any violetion o1 SecGon 7031.5 by any epplicent far a pertnit subjecl9lhe aOPllcant to �tS�W'deii�ly oi not 771-We< < Me hundred ddlers ($500)J: ❑ I, es ow f Ihe property;or�my empl�es wlih weges es their sole compensatlon, WILL DO THE WORK, antl the sWCWre Is not intended or aNered tor sele (Sec. Bu� and Profe55ions COdefThe Contractors License Lew does not appty to en owner of property who builtls or improves thereon, end who tloes such wofk seH orherself or through hls w her own employees, provided that such improvements ere not intendetl or oHered tor sele. H, however, lhe building or improvement is �, d within one year of completion, ihe owner-0ullder wiil have Ihe burden ot provinp that he or she did not build or improve for purpose of ule J. ' [] �'9�'s owner oi the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to construct the prqect (Sec. 7044, Business antl Professians Cotle: 7Te cantractars License Lew daes not eppty lo en owner of propeny who builtls ar impmves thereon, antl who contrects for such project with e contractor(s) license pursuant to the Contractors License Lews.). ❑ I em evempt untler sec. Business end Professions Code tor this reeson: Signature: Date: Owner ID veritietl by drivers license. ❑ Ves ❑ No Dnvers LJcense No. Verificetlan af Ownership by (rype oi tlocument, I,e. - property tax bill or tleetl): DIVISION OF INOUSTRIAL SAFE7Y PERMR CER7IFICA710N: Expires: ❑ I hereby certity �hat no e%cavetion fNe (5) or more feet in Cepth into which e person Ls required to descend, wlll be metle In connecUon wllh work euthorizeC Dy thls permit, entl that no building stnitture, stettolding, telsework, or tlBmollUon or tli5mentling thereot, will be more Ihen Ihirty-sla (38) feet �ig�. (Chep. 32, Orp 2, Art 2, Sec, 341, Tltle 8, Celifomia AdministretNe Cotle). ❑ Ae owner-builder, I wlll not employ enyone to tlo work which woultl require e permlt from ihe D'mslan ol Industrlal Sefery, es noted ebove, unless such person �as a pertnit to do suc� work irom t�e tlivision. Signature: Date: DiWsion of Indusinal Safery Pertnit Numbar: CERTIFlCA7E OF COMPLIANCE AND AIfTT10R¢ATON OF EHTRY: I certily under penalry of perjury thal I have raed thl9 epplicetion and siate that t�e Intortnallon given is wrtect I egree lo compty with ell stete lews and ciry ordinances relating to building construction, and euthonze representetives ot t�e Ciry of Costa Mesa to enter upon Ihe above-described property for inspection purposes. I egree not to occupy w ellow occupency of eny building euthorizetl by ihis permil until final inspectlan. GOOE I. INSPECTIONTYPE 1616 Flxed System Final Fira PreventlOn 1286 Pool Spe Finel 200 Final Re-Rooi 201 Final BIocWReteining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolition �. � �un. ', CODE I INSPECTION TYPE 206 Final Mechenicel 208 Finel Plumbinp 210 Finel Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Finel Bullding/Occupency �. 1 �11!1. : /► 1 (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT n FAIH UHIVt, (:VSIA MtSA, (:A'JLti'LD JobAddress: 984 W 19TH ST Suite: Vicinity: BEDROOMS Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 42253115 Zoning: Applicant: PRADO, SOFIA ' Address: 915 LAKE ST HUNTINGTON BEACH, CA , Ownec LEISCHNER,•.�RWIN"ATR ' Address 984 W 19T}i ST ; ,. COSTA MESA, CA Contractor: � �'J�K CONSTRUCTION��'='�„ Address: 915 LAKE�ST - ' Arch : Address: Zip: HUNTINGTON�BEACH,CA Zip: 92648 . ��. . . -. , �, Phone: .� ., - � . �License: - - _ Status: ISSUED Applied: 09I022005 Issued: 09/02/2005 � ' Phone: (774) 404-9846 CELL ISSUED BY: -. . - - Zip: 92648 - . Phone: , .- Zip: - 92627-4146- Phone: (714) 404-9846 CECL License: 450297 Eng: Address: '. Phone: ' License: - - SCOPE OF PERMIT „�� REPLACE BEDROOM WINDOWS WITH DUAL GLAZE, VINYL WINDOWS TO MEET 1997 U.B.C: EGRESS RE�UIREMENTS. HEADERS WILL REMA . , SAME.:.- . , - . �:. ., . �;,. :a WORK TO�ALSO INCLUDE REPLACE�OF"A SCIDER (LIKE-FOR-LIKE). ' - � , . � .. . . � . � i.. � - _ .�� ELECTRICAL, MECHANICALAND PLUMBING WORK. -- _ " � ' , � •' -� � ' ". 10N4/O5: SUPPCEMENTAL ACITIVITY TO�ADD CHANGE-OUT OF 2 DOORS. � - FEE SUMMARY . Plan Check: . : $0.00 - . - Calc Valuation: $e,eoo.00 Permit: $139.25 ' ` ' ` Claim Valuation: 5s,aoo.00 . SMIF Res: ;' $0.68 SMIP Com: $0.00 � �Other: '� $0.00 ' - ` - • � Inspection: $0.00 Totai: , - $139.83 - . , `PLANNING & ZONING SETBACKS • - ' . MAINSTRUCTURE Front -0-0 - -Reai�=�0.0``� , �Left .0.0�� Right 0-0 s: ACCESSORY '� Front � 0= 0 " ` - �� Rear `- 0= 0� ' . � �efl � -� 0-'0 � Right -0- 0 ° � � � � � PARKING Existina:' 0 "rReauired:'- 0' - Pr000sed: 0' ,_:. �. . ' � RR NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requlremenis under Calitornia statutes and related regulatlone. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall autometically expire and become void if work is not commenced withln 180 days, or if work is suspended or abandoned lor a period ot 180 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply wlth all epplicable codes, and all requlred Inepeetlone end tinal approvel musl be obtained. Failure to oblein inspections and final approval will result in the expiratlon of thls permit. FOR INSPECTIONS CALL: (714) 7545826 � zaaeae �aroo� WORKERS'COMPENSAnONDECLARATON; ' � - . .• ' I hereby attirm under penalry ol perjury one of ih6 following declaretions: � � � ' • � ❑ I have end will malntein e certificate of consent to sell-Insure for workers' compensallon, as provitled tor by sedlon 3700 ot Ihe Labor Code, for the pertortnance of the �work tor which Ihis pertnit is Issuetl. �I�ave and will maintain workers' compensat(� insurenca, es reduiretl by section 3700 oi the Lebor Cotle, for the peAortnance of ihe work Por which this permit is issued. �worker� m s lon surence carner entl po Icy number er� / � GGv9 arJrer;-��% r�:[ z./' . . � � . . . Po�icy_ ivuml�er. %(J.�� eZDO,� �is secN�etl not e comp/eted 1/ the pe/mit /s valued at one undred dollers ($100J or less.) �,.--� ❑ I certity that in the pertortnance oi the work �a� which this partnit is issued, I shall not employ any Dersan in any menner so as to become subfect ta Ihe workers' compensation laws 1 Calllamle, and egree thS[7rPed Id become sub�ect to the workers' compensetion provisions of Section 3700 ot the Lebor Code, I s�all tonhwit� camplywiththes pr hslons. ��. �� :y � � y- �s WARNING: FNLURE TO S RE RKERS' TION COVEMGE IS UNUWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENFLTIES AND CMl FlNES UP TO ONE MUNDRED THOUSAND DIXLARE ,000), IN ADDRION T TiE C0.ST OF COMPENSATIIXJ, DAMAGES AS PROVIDEO FOR IN SECiION 3]OB OF THE IABOR CODE, IfJrEREST, ANDATTORNEI"5 FEES. LICENSED CONTRACTORS OECIARATION: I hereby aHirtn that I am Ilcensed under provisions�Q� C er 9(commencing with Sectlon 7000) of Division 3 oi t�e IorceandettecCYtC'Y -U �nd 2�/ ___.__ .cC185• Cotle, end my Ilcense Is in tull �T7 CONSTAUCTION LENDING AGENCV: ❑ I hereby aflirm Ihat Ihere Is e construction le�tling agency tor t�e pertormance of t�e work tor which this pertnit Is Issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lentler's Address: Signeture: OWNER-BUILDER DECLARATONS: Date: I hereby eHirm t�et untler penelty of perjury ihat I em EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Buslness entl Professions Coae: Any ciry or counry which requires e pertnit to construct, alter, impmve, demolish, or repair eny sWCNre, pnor to Its issuence, also requires t�e epplicant br such pertnit to file e signetl statement �het he ar she Is licensetl pursuent ta the provisions oi ihe Conirectors License Lew (Chepter 9(commencing with Sedlan 7000) of DMsion 3 of the Business and Professions CodeJ or that he or she Is exempl therefrom and Ihe besis far Ihe elleged exempiion. Any Woletion oi Section 7031.5 by eny epplicent for e pertnit subjects the applicem to e civil penalry at not mara than tWe hundretl tlallars ($500)J: ❑ I, as owner ot the property, or my employee5 with wages es t�elr sole compensetion, WILL DO THE WOHK, antl ihe structure Is not Intended or ofleretl lor sale (Sec. 7044, Busineu antl Professions Code: The Cont2ctors License Law does not eppty Io an owner of property who Cuilds or improves thereon, and who Goes such work himself or herself or ihrough his or her own employees, pravidetl Ihet such improvemenis ere nat intended or oNeretl tor sale. If, however, ihe building or Improvemenl is soltl within one yeer af completioq the own��-builder will heve the burtlen of pmving Met he or she did not builtl or ImO�ove tar purpose of sele.�. • ❑ I, as owner of the properly, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS 10 construct the project (Sec. 7044, Business entl Professions Caae: The contrectors License Law does nat apply to en owner ol property who bullds ar Improves ihereon, end who contraqs tor such pro�ect wlth e comrector(s) license pursuant to the Contrector5 License �ews.). ❑ I em eaempt untler sec. Business antl Professions Code for ihis reason: SignaWre: Date: Owner ID verified by drivefs license. ❑ Vas ❑ No Drivels License No. Ezpires: Venlicetlon of Ownership Oy (rype of document, i.9. - p�operry lea bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CEAT�FICATION: ❑ I hereby certify Ihat no ezcevetion tive (5) or more feet In depih into which e person Is required ta descend, wlll be made In connection with work euthorized by Ihls permit, entl ihat no building structure, scaHolding, falsework, or demolition or dismantling thereot, will be more than thlrty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifornla Atlministretive Cade). ❑ As owner-bulltler, I will not employ anyone m do work which would require e permit tmm the Division at Industriel Sefery, es noted above, unless such person has e pertnil to do such work irom Ihe division. Signature: Date: Division of Industrial Safery Pertnit Number: COUE I, INSPECLIONTYPE 1616 Fized System Final Fire Pravention 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIocWReteining Well 202 Final Factory Fire Place � 203 Final Sign 204 Finel Demolition . QAg II�1AL5 � CODEt wsaecnoxirve 206 Final Mechenical 20B Final Plumbing 210 Finel Electrical 212 Flnel Flre Prevenlion 220 � Final Wanning Approval 222 Final Site 250 Final Builtling/Occupanq ,lob Address: 984 W 79TH ST Suite: Vicinity: BEDROOMS Primary Occ: R-3 Dwellin9s/ Cong Res <70 Parcel Number: 42253115 App�icant PRADO, SOFIA Address: 915 LAKE ST Type of Constmction: V-N Zoning: Phone: (714) 404-9846 CELL ISSUED BY: HUNTINGTON BEACH, CA Zip: 92648 owner. LEISCHNER, ERWINATR : " � � - -- ��;� - Address 984 W 19TH ST ... � � . � -', . . , - � Phone: , _. ' COSTA MESA, CA �� Zip: �, 92627•4146 � , , Status: ISSUED Applied: 09/02/2005 Issued: 09/02/2005 �� ..:<'}� . -� ., ._ _ .. , � . Contrecror. J K�CONSTRUC710N:� ' � � � ' ��; Address: 915 LAKE ST ' � � � " � . . � , � . � .. , Phone: (714) 404j9846 CEIL � � . - �' HUNTINGTON BEACH; CA ' � ' � � ',.•'7;^:f-' « - -�� ,Zip:' 92648,' , License: 450297 ' . - - Arch : � , ' Eng: ... Address: . . � . Address: ��' � ' - � - - � . - Phone: � ' � - �4', Phone: � 2ip: � License: , - .. ' . � Liceuse: � � .- ;r' . . , . _ . - . . . � . � SCOPE OF PERMIT' � ` q� �,�. ..� ' REPLACE BEDROOM WINDOWS WITH DUAL GLAZE, VINYL WINDOWS TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. HEADERS,WILL REMA SAME. ' , . . . . i��: ��, WORK TO ACSO INCLUDE REPIIACEOF. A SLIDER (LIKE-FOR LIKE) .�� ,�, � ; ELECTRICAL, MECHANICAL AND PLUMBING WORK. � "`� � �� - -� , � - ' j . � -: ' - . � r "7r . `P . � � � � FEE SUMMARY `-:' ` Pian Check: $0.00 Caic Valuation; %` Sa,eoo.00 � �- Permit: $�1,11.25 � . �_ --- �.� Claim Valuation �� sa,soo.00 �SMIP Res. ,.t�$0.50 .. � € ., `'.. � . f < � . .; �, , � =r e. � � . ;. SMIP Com: $0.00 _..- � ; Other: $0.00 ..;.��s. , � � _ . Inspection: ' � '�$0.00 � .- � >_ Total: �$117.75 �' ��" `,,,;e° ` PL'ANNING 8 ZONING , ,r SETBACKS,`;,. .� � ; � � ,�.r: � . ,. , . e -� � MAIN S7RUCTURE -Front �= 0- 0 . Rear 0�0 ^ LeR' 0 0 >�� ' Right 0- 0':'�` - p �.. `� :.� �� ,_..,. . ,.., ry., . . ., ACCESSORY -�-Front 0-0�- �' Rear 0 0 � Le8 0 0�� Right 0-�0�= � - ' f- " � . . - . . . �•: .„ ,�._ .� .. .�` .-_ - - PARKING Existina: 0 Reduired: 0 " Pr000sed: . 0. ,- '�ai " �"„^*� ` ,t� � .� '.� �> t ��L, �. ' . ,� " ..� ,� �€, �iir . d,.°; «'` ? _ . � �, � � RR IP NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Caiifomia 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 wi�hin 180 days, or If wotk is suspended or a6ando�ed 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 Inspections and final appYovel must be obtained. Failure to obtain inspeclions and (inal approval will resul� in ihe expiration of ihis pertnit. FOR INSPECTIONS CALL: (774) 754-5626 / i 2a46d616'W) // 1/ WORKERS'COMPENSArON DECLARATON: I hereby aHirm untler penalry af perjury one of the following deGaretions: ❑ I hava and wlll maintain e certlficate of consent to setl-Insure for workers' compensation, as provided for by section 3700 of the Lahor Code, for the pertormance of the � jwork for which Ihis pertnit is IssueA. �3 I have antl will maiMain workere' crompensation in@urence, es required by seclion 3700 of the Lebor Coda for the peAo�ance of the work for which I�Is ermit Is issu tl oa�e�a: ' oO9Q�S�Jn��O�� Poncy'Numoe � hundred tlollers /$100) or/euJ `'� � ❑ I cenify that in Ihe peAormance of the work for which IMs permit is issued, I shell not employ eny person in eny manner so es to become sub�ect to ihe workers' compensation laws of elitomia, end �[h ii I s�oul�sub�aq to lhe warkera' compensetlon provislans of Secllon 3700 ot Ihe LeDo�e, I shall foMwith comply with these p I i o9/ // � a_ o s J �%�r. I�7 �pllcenLSlgnature: V `�VI I �p8� � � WARNING: FNLURE TO SEC RE WORKES ' COMPENSATION COVEMOE IS UNIAW FUL AND SHP11 SUBIECT Ml EMPLOVER TO CRIMINAL PENALT�ES AND CNIL FlNES UP TO ONE HUN�RED hKK15Ml� DOLLARE (5100,000), IN ADD1710N TO THE GUST OF 00lAPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SELTION 3lOfi OF THE UBOR CODE, INfEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atFirtn Ihat I am licens under provis n�s Qf Chapter 9(commencing with Section 7000) ol Division 3 of the Buslness a Protessions Code, end my Iicense is in full lorce entl eRect LIcrM, -�)'�-� / i Cie'ss'#Y � CONSTFiUCTION LENDING AGENCV: ❑ I hereby aNirm t�et there is e conslruction lending egency for iha peAortnance ot the work for which this pertnit is issued. (Sec. 3097, Civil COCe). Lentler's Name: Signeture: _ OWNER-BUILDER DECLARATONS: Lendefs Adtlress: Dete: I hereby affirtn thet untler penelry ot per�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Protessions Cotle: Any city or county which reQuires e pertnit to construct, elter, improve, demalish, or repelr eny strucNre, prior ta Itg issuence, elso requires the epplicant for such permit to tile e signetl statement that he or she Is licensed pursuent to the proNsions oi the Coniractors License Lew (Chepter 9(commencing with Sectlon 7000) of Dlvision 3 of ihe Business entl Profasslons Code) or ihet he or she is exempt t�erefrom end tha besis for the alleged exemption. Any vlolation of Section 7031.5 by any epplicent for e pertnit sublects the epplicant ro a civil penalry of not more then tive hundred dallero ($500)J: ❑ I, es owner of the properry, ar my employees wi�h weges es thelr sole campensailon, WILL DO TME WORK, entl the siructura Is no� Intendetl or oHered for sale (Sec. 7044, Business and Professions Code: The Contfactors License Lew does not apply to an owner ot properry who bulltls or improves thereon, antl who does such work himself or harself or through �Is or her own employees, provided the� such improvements ere not Intended or oNered lar sele. It, however, �he building or improvement is sold within one year o� completlon, tha owner-builder will heve the burden of pmving that he or she did not builtl or Improve for purpose of sele.). � ❑ I, as owner of the property, em EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to construd Ihe projeM (Sac. 7044, Business and Pmteuions Code: The contrectors License Lew does not apply lo en owner of pmpeny wha bWltls or improves Ihereon, and who contracts for suc� pmlect with a contrector(s) license pursuanl to lhe Contractors License Wws.). ❑ 1 am ezempt ufWer sec. Husiness and Prolessions Cotle tor lhis ceason: Signature: Date: Owner ID venfied by drivefs license. ❑ Ves ❑ No Drivefs License No. Vetlfication of Ownership by (rype of tlaument, i.e. - praperty tex bill or tleetl): DIVISION OF INDUS7qIAL SAFE7Y PERMIT CERTIFICATION: Expires: � I hereby certify Ihat no excave�lon flve (5) or more feet In depth into whlch a person is required Io descend, will be mede In connec�ion wlih work euthorized by Ihis pertnit, antl ihat no building siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more �hen Ihirty-sia (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Califomia Adminisiretive Cade). ❑ As owner-builtler, I will not employ enyone to tlo work which would require e permit trom the Division of IntlusMel Satery, es noted ebove, unless suc� person has e permit lo da such work from tha division. SignaNre: Date: Divisian af Industnal Satety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EHTRV: I certily under penalty ol perjury that I have read Ihis epplication and stale Ihat the inlortnation given is correct I egree to comply with all state lews and clry ortllnances releCing lo building conslmctlon, end eulhorize representetives of ttia City of Cwta Mese to enter upon ihe ebove-described property for inspection puryoses. I agree not to occupy or allow occupency ol eny buiiding authorized by this permit until final inspection. CODE �. INSPECTONTYPE PAIE INIIDsIfl 44GEd INSPECTIONTYPE 1616 Fized System Final Fire Prevention ' / 206 Fi Mechanical 1266 Pool Spe Final `��/�� r 2 Final lumbing 200 Final R8-Rooi � j \ L� F" Eledrical i 201 Final BIocWRe�aining Well 212 Final Fire Preventlon 202 Final Factory Fire Place _ 220 Final Planning Approvel 203 204 Final Sign Final Demolition , 222 Final Site 250 Final Builtling�Occupency Date _ _� (�ia) 75a-5273 • Fax (7ta) 75a-ae56 • www.ci.costa•mesa.�LlSJMBING PERMIT �� rA�n unrvt, c�raiN meaN, �A azozo Job Address: 984 W 19TH ST Suile No Viciniry: Parcel Nunmber: 42253115 Applicanl: Address: Owner: Address GRIFFITH, JUDY 915 LAKE ST HUNTINGTON BEACH, CA LEISCHNER, ERWIN A TR 984 W 19TH ST COSTA MESA, CA Phone: (714) 404-9846 CELL Zip: 92648 . Phone: Zip: 92627-4146 ISSUED BY: Status: ISSUED Applied: 10/142005 Issued: 70/14/2005 Contrador, J K CONSTRUCTION � � � Address; 915 LAKE ST � Phone: (714) 404-9&46 CELL HUNTINGTON BEACH, CA Zip: 92648 License: 450297 SCOPE OF PERMIT PLUMBING PERMIT TO REPLACE 2 WASH BASINS IN AN EXISTING 2 SHOWERS SFD. REF: BOS-07499 2 WASH BASINS ISSUE FEE Backflow irrigation BackOow Preventer Bathlub Clarifier System ' Connect Qce,Soda,etc) Dental Unils Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earihquake Vaive Gas (1-4 outlels) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 ao.00 $0.00 so.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 50.00 E0.00 50.00 50.00 50.00 gN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation $0.00 P•Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 N) $0.00 Receptors $0.00 SepticTank 50.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $19.60 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen 50.00 Sink, servicelmop 50.00 Spa (private) $0.00 Spa (public) , $0.00 � 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 ' 0 0 COMMENTS / SPECIAL CONDITIONS. Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(14) Vacuum Brkr BkBow(5+) Wash Basin Wash Basin Set Waste and Vent System water Closet (Toileq Water Healer I 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 so.00 50.00 $0.00 50.00 519.60 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 50.00 562.70 QTY 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. Nq. g2-28, § 1, 12-21-92) E7(PIRATION: This permit shall automatically expire and become void it work Is not commenced withln iB0 days, or If work Is suspended or abandoned for a period o( 180 days. INSPEC7IONS: In order for the work authorized under ihis permlt to be considered legal, such work must comply with all applicable codes, end all requlred inapeetlona end finel epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONB CALL: (714) 754-5628 �'T^:^,•@iJl � WORKERS' COMPENSATION DBCLARATION: � � I hereby elTirtn under penaly of pellury one of ihe following tledarations: ❑ %have end will meintaln e ceN�icate ot consent ro sel4lnsure for workers' compensetion, as proNded tor by section 3700 of the Lebor Cotle, tor the pertortnance o1 the / work for which this pertnit is issued. �-. _ a antl wlll maintein workprs' compensatlon Insurance, es required by sectlon 3700 oi the Lebor Code, lor the pertortnance of the work for which this pertnit is issuetl. My w e comq�nsa4pNasurence er enA pollcy number ere: � �!/>hP f'_�l11/L� . eoi a �: (.��/�J / .� = �"% �— (This sect/on ne no�plet6d I/ the pertnif !s va/uetl er one hundred dollars (S100J or less.) - ❑ I cenily Ihat in Ihe peAartnanCe of Ihe work lor which this pertnit is issued, 1 shall not employ any person in so as lo becoma sub�ect to the workera' tompensatbn laws t Celllom� , and grae at ii I should become suqect to the workers' compensa0on proHslons of Section 3700 of the Lebor Code, I shall foMwlN PP complywithth i s. --_—_�` ///O//OC— A Iice neture: gae:. ,.7 W NO: FAILURE URE RKERS' GYMIPENSATION WVEfUGE IS UNLAWFUL ANO SMALL SU6IECT AN-� {/^PLOVER TO CRIMINA ENALTIES AND CIVIL FlNES UP TOONE HUNDRED SAND E(5100.000),INADPRIONTOTHECQSTOFCOMPENSATION,DAAWGESASPROVIDEDFORINSE�41�pEAI qCODE,IMEREST,ANDATTORNEI"SiEES. LICENSED COHTRACTORS DECLARATION: I herebygffirrr ha�l em Ilcen��Ayn�¢rEroNsbns of Chepter B(commendng with Section 7000) ot Cless anO Pro�ssions Code, enG my license is in tuli CONS7RUC710N LENDING AGENCY: ❑ I hareby eHirtn ihat t�ere Is e consiruction lending egency tor the peAortnance ol �he work lor which ihis permit is Issued. (Sec. 3097, Civil Coda). Lenders Name: Lentlefs Address: Sipneture: Date: OWNER•BUILDER DECLARATIONS: I hereby attirtn Ihet under penelry ot perjury Uat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Protess(ons Cotle: Any city or counry which requ��es e permit to consWct, alter, imprwe, demolish, or repair any strucwre, pdor to its issuance, elso repuires the epplicant tor such permlt to file e signed stetement Ihat he o! she Is licensed pursuent to Ihe provisions of Ihe Conirectors License Law (Chapter 8(commencing wit� SeMion 7000) of DhAsion 3 oi t�e Business and Pmfessions Cade) o! that �e or she is ezempl therefrom end tha basis for ihe alleged eaempllon. Any violation of SeMion 703/.5 by eny epplicant for e Oertnil sub�ecis ihe appllcant to e civll penalry of not more ihan Ilve hundred tlollars ($500).): ❑ I, as awner ot the properry, or my employaes wit� weges es their sole wmpensetion, WILL DO THE WORK, end the strudure IS not intentlad or ottereG for sale (Sec. 7044, Business entl Professio�s Code: The Cont2ctors License Law does not epply lo an owner of property who builds or improves Iheraon, and who does such work or hers or through h�s or her avn employees, providetl that such Impravements are not Intended or oNeretl for sale. If, however, t�e building or imprwemeni is . �in one�r of co�e owner- i der will have the buMen ol 0��ng that he or she did not bulld or impmve fo� purpase of sale.). • C" .. ❑ I; as owner of the properry; em E E. USIV ACTNG WIiH UCENSED CON7RACTORS to consiruct Ihe prqect (Sec. 7044, eusiness arW Professions Code: The cantrectars Licensa L.aiv tloes n6t -- an awner ot pro0erry who bulltls or improves thereon, antl who contracts tor such pro�ect with a cantractor(s) license pursuant to Ihe Conire�iors License Laws.). f � I em exempt untler sec. SlgnaWre: Owner ID veritied by drivefs Iicense. ❑ �es ❑ No Business and Professions Code for this reeson: Vedficetion of Ownership by (type o� tlocument, i.e. - praperry tac bill or deed): DIVISION OF INDUSTRIAL SAFET�' PERMR CERTFICATION: Drivers License No. Date: Expires: ❑ I hereby certity thet no excave�on five (5) or mare leet in tlepih into which e person is requireA to descend, wlll be mede in connectlon wlth work authorized by Ihis pertnit, end ihai no builCing stNcture, scaflolding, lalsawork, or tlemolilion or dismantling Ihereot, will be more then ihirty-six (38) feet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Tule B, Calllomle AtlmInl4lratNe Code). ❑ As owner-bullder, I will not employ enyone lo do work which would require e pertnil Irom ihe DNlslon ol Industnel Setety, as natetl ebove, unless such person �es e permit to do such work trom tPe diNsion. SlgnaNre: Data: DlNsion of Indusirial Salery Pertnit Number: CERTIFlCATE OF COMPUANCE AND AUTMORQATION OF EMRY: 1 certify untler penalry of perjury that I heve read this epplication and state that the inlormalion given is cortecl I agree to comply with ell stete laws entl Gry ortlinances relating to Dullding consiruction, end authodze representatives of the Ciry of Casta Mesa to enter upon the ebove-describad property for Inspeclion purposes. I egree nol to occupy or allow occupency ot any building euthodzed by thispermilrntil final inspectian. COOE �. INSVECTIONTYPE 18/6 Fixetl Syscem Final Fire Pre�ention 1288 Pool Spe Finel 200 Finel Ra-Raol 201 FInaI BIocWReteining Well 202 Final Fectary Fire Place 203 Finel Sign 204 Final �emolltion � .�w. i•797��Fi9ttirt9:i�7Jq PAffi It�Eki 206 Finel Mec�enical 208 Final Plumbing �� 210 Final Elocirical 212 Final Fire Prevenlion 220 Final Plenning Approval 222 Finel Slte 250 FlnalBuilding/Occupency (714) 754-5273 • Fex (��4) 754-4856 • www.ci.costa-mesa.ca.us n rnin unrvt, wa i N meaM, �N awm PLUMBING PERMIT Job Address: 984 W 19TH ST Suile No Viciniry: Slatus: ISSUED Applied: 10/14/2005 Issued: 10/14/2005 ParcelNunmber. 42253N5 � - Applicanr. GRIFFITH, JUDY - ISSUEDBY: Address: 915 LAKE ST ,.. . , - ' -- . - " .. � � Phonec (714) 404=9846 CELL -� � _ HUNTINGTON BEACH,�CA' �> � Zlp: 92648 ' � � � - Owner. CEISCHNER; ERWIN ATR Address �,, 984 W 19TH.ST>. j�� . � . � COSTA MESA, CA' ' coniractor: � '".Address: � JI J K CONSTRUCTION 915�CAKE ST Phone: Zip: 92627-0146 ' Phone: -(714) 404-9846 CELL HUNTWGTQN BEACH, CA • Zip: 92648 - � ` ' - `License: 450297 ' � ' PLUMBING PERMIT.TO REPLACE 2 WASH BASINS IN AN EXISTING SFD. � ' ' � . � REF: BOS-01499 � ' .. � ; �, ; , - .� ; �,. � �� : ` - - � . � . . _ , , - � j , t.�z .. , . 2 WASH BASINS ��;.�. � . _ -.�,:-- • . <,. . . '� > -- = d - � - � � - `PEESUMMARY � - - � � AMT , QTY qMT QTY .� AMT QTY ISSUE�,FEEt - �; $23:50 - Laund.ry,Tub/Washer. $0.00 �0 . ��SumpPump�� - $0.00 ` 0 Backflow irrigation � . $0.00 0 � -' '" " Landscape-Irrigation • , $0.00, ' 0 - - Swimming Pool - � $0:00 0 � BackOow Preventer -,` , $0.00 0 ' --- , � .P-Trap � � � - - -'" ' � 50.00 � 0 _ � , �� Trap Primer 50.00 0 Bathtub , $0.00 � 0� . Pressure Regulator �� $0.00 � 0 ' Urinal - �� $0.00 0 qarifier System �� , $0.00 0 Process Piping (per 10 (t) $0.00 0 Vacuum Brkr BkFlow(1-4) .$0.00 0 ConnectQce,Soda�,etc)� �„ $0.00 � 0 Receptors . � $0.00 -0 VacuumBrkr:.Bkflow(5+) - $0.00� � 0 DentalUnits �, �.$0.00 0 SepticTank -$0.00 0 WashBasin' � '$19.60 2 Dishwasher �� "$0.00 �� 0 Sewer Cap for Demo, 50.00 0 Wash Basin Set $0.00 0 Drain, Floor ' $0.00 0 Sewer ConnecG �,. g0.00 0 Waste and Vent System 50.00 0 Drain, Rainwater 50.00 �� 0 Sewer Piivate Line $0.00 0 Water Closet (foileq 50.00 0 Drain, Roof � . . $0,00, .- 0 Shower . - � „ $0.00 � � 0 Water Healer / vent $0.00 0 Drinking Fountain . $0 00 ' 0 Sink, bar g0.00 � 0. ,.,. Water Piping (Inst or Rep.) .$0.00 0 ExpansionTank. $000^,� ��0 x¢'• � Sink,�commercial - g0.00 °,0 .:. � •�-`-WaterRe-pipe � � '�$0.00 0 Gas Earthquake Valve $0.00 0 �� Sink, Floor �� $0.00 0 � Water Seivice $0.00 0 Gas (t-4 outlets):.. � $0.00 � 0. --�. Sink;�kitchen . • - $0.00 '`0 , - "-' . Water Softener � $0.00 0 Gas (Over 4 outlets), 50.00 0 - � Sink, service/mop : g0.00 � 0 OTHER , $0.00 . Gas Repipe - . " � $0-00 ;' � -0 � -�-; Spa'(private) $0.00 <�-'-�0 � '� �� .:�VIOLAT�ON � $0.00 Gas Service . -, �� $0 00.;,, 0 Spa (public), ' _ � $0 00.��,b� 0 �-�.PLAN CHECK . � $0.00 . Interceptors (Grease, Oil) ' �$0.00 � � 0 -. ` � � ' - � REINSPECTION $0.00 0 Interceptors(SandAuto) $0:00-„ 0�..�. , , _ _ ,_ , ._ � , � - � . � . TOTAL CALCULATED FEES: §43.10 COMMENTS ! SPECIAL CONDITIONS ;� R R � A NOTICE: The work authorized by thls permit shall comply with all applicable handicap access requirements under Califomla statutes and related r9gulatlons. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permlt shall automatically expire and become void if work Is not commenced withln 180 days, or If work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the vrork eut�orized under this permit to be consiCered legal, suc� work must comply with all applicable codes, and all rBqulred Inapectione and flnel approval must be obtained. Fallure to obtain Inspections and final approval will result in ihe expiratlon of this permit. FOR INSPECTIONS CALL: (714j 754-5828 � � zawe lerool WORKERS'COMPENSAnON DECLARAnON: ' •' � • ' I hereby eHirm untler penalry of perjury one oi ��e following declarations: � ' � i � ❑ I heve end will malntain a cenifiwte of consent to self-Insure for workers' wmpensetlan, es provided tor by seMion 3700 of the Lebor Code, Por Ihe peAortnance oGthe rwork lor whlch this permit is issuetl. �,L� ��have anG wlll maimain vrorkers' compensation Insurence, as required by secUon 3700 ol the Lelwr Cade, for Ue perfortnance of Ihe work for which this pertnit Is issued. ��M workers' my ensati n InsyjP nce cerder antl oli nv�e r are: /�/` .Gerrier.� �f �c l"G!y/ ✓..o�C.P A�//(�Gl. (70/7� /[� � —�V �ii Po i^rtyTlil r. :/This'section need r�at be completed il.the p� I( fs velued et ane huntlred dollers ($100) or /ess.) . . , �� I certity Ihat In Ihe DeAormance of the work for whlch t�is permit is issuatl, I shell nol employ any person in eny manner so es to become subject to the workers' compensatlon la of Celifomia, antl e ethati4 shoultl become subject to the workers' compensetion provisions o1 Section 3�00 of the labor Cotle, I shall forthwlih comply with ih e provisio /r� ' O APP�katlt'Sipnflt , .�--OstO:� f (%� / � WARNINO:FFILURE CUREWORKE ' PENSATIONCOVERAGEISUNLAWFULANDSHALLSUBJECTM'EMPLOYERTOCRIMINPLPENALTIESANDGVILFlNESUPTOONEHUNDRED TNOUSANDDOILARE OO,OoO�,INADDm TOTHEWSTOFCOMPENSAiION,�AMAGESASPROVI�EDWRINSECfION3lOBOFTMEUBOfiCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihat I a�m licensed urJtl�pr�siyqs qt��apter 9(commencing with Section 7000) oi Division 3 oCllteh�e �usin§t�s end Professions Code, antl my license Is in full force end etfect. LIC. �� S `�J �/ ^ C co;v�or�siyr'e...�"`�-��;/�-- �oat� f �— ly _ o CONSTRUCTON LENDING AGENCV: ❑ I hereby effirtn ihat there is e construction lentling agency for Ihe peAortnance ol ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Neme: Lentler's Adtlress: Signeture: Date: OWNER-BUILDER DECLARATONS: 1 hereby eHirm that untler penalry of perjury that I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair any structure, prior to its issuance, elso reQuires �he applicant for such permit to lile e slgne0 stetement Ihat he or she is Iicensed pursuem to the pmdsions ot the Comrectore LJcense Lew (Chapter 9(commencing wit� SecOon 7000) ot Division 3 0l Ihe Busineu and Protessians Cade) or ihat �e or she Is exempt �hereirom and ihe besis for t�e allegetl exemptian. Any violatlon of Seclian 7031.5 6y any applicent for a pertnit sub�ecis the epplicant to a civil penelry ot not more Ihen five huntlretl tlollars ($500).): ❑ I, es owner oi Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure Is not Intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Coniractors Licensa Law does no� apply to en owner of property who builds or improves thereon, antl who does such work himsetl or herseli or through his or her own employees, provided that such improvemants ere not Intended or oHered lor sele. II, however, iha builtling or Impravament Is soltl within one year of completion, ihe owner-Duiltler will have the hurden of proving ihat he or she tlitl not build or improve tor purpose of sele.). • ❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTOHS to consWct the project (SecJ044, Business antl Pmfessions CoOe: The coNractors License Lew Uoes not apply to en owner of propeny w�o bullGs or Improves ihereon. an0 who comracts lor suc� proJect with a coniractoqs) license pursuent to the Contrectors License Lews.). ❑ I em exampt under sec. Business and Professions CoOe for ihis reason: SlgnaNra: Date: Owner ID verified by drivels license. ❑ Ves � No DnveYs License No. Expires: Venfication o1 Owners�ip Dy (type o1 tlocument, I.e. - properry tart 6ill or Aeetl): ____ DIVISION OF INDUS7RIAL SAFETY PERMR CERTFICATON: ❑ I hereGy certity Nat no excavation five (5) or more feet in dept� inro which a person Is requiretl lo descend, will 6e me0e in connection with work aulhorized by thls permi�, and ihat no building sirudure, sceMolding, falsework, or demolition or dismantlinp ihereot, will ba mare Ihen Ihirty-sIx (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Calitomla Adminisirative Code). ❑ As owner-builder, I will not employ enyone to da wark which wauld require e permll from ihe Division ol Industnel Setety, es noted ebove, unless such person hes e permit to do such work from ihe tlivision. � Signature: Daie: ' Division of Intlustrial Salery Pertnit Number: XAZAfiDOUS MATERIALS AND EMISSIONS CER7IFICATON: 1 Will t�e epplicant or present or fuNre bullEing occupant need to tile flnd certify e Business Plan for emergency response to releese or threatened releasa of a hazartlous meterlal7 ❑ Yes ❑ No . (Section 25505 of ihe Califomle Healih end Sefery Code requires, with swne exceptlons, thet e Business Plan be liled with the Coste Mesa Fire Department by every busineu which has at any one time tluring e reported year a quantiry of hezardous meterials equal to or greater than e weight ol 500 pounds, or a volume ot 55 gallons, or 200 cubic faet oi wmpressed gas at stendard temperature and pressure). .........................._.........................."_'......................._.........................................__..................._._._.................�....................._._.............._..__............................................. ._....._._......... _.............__........'— 2 Does or will ihe epplicant or present or future building occupant need to tile a registretion form for acutety hazardous materials7 ❑ Yes ❑ No (Section 25533 of ihe Calitomla Health and Selery Code, with some azceptions, requlres registretlon with the Costa Mese Fire Department by each busineu which et eny one time has on hand e quantiry of ecutely hazardous materials equal to or greeter ihen e weight of 500 pounds, or e volume oi 55 gellons, or 200 cublc feet of compressed gas at standard temperature entl pressure). ........................................................................................_.............................................................................................................................................................................................................................................................._................_............ 3 Does or will the applicant or presenl or tuWre building occupent need to prepere an RMPP (Risk Manegement and Prevention Progrem tor ecutely hazerdous me�enels)? 25534 of the Califomia Heelth end Salety Code provides that the Coste Mesa Fire Department may require the preparation, certificetion antl filing with Ihe Flre ent of en RMPP by businesses which ere required b re9ister ecutelv hezerdous metedals with the Fire Depanment. a u an nmrr is presenny reqwrea, nes secuon zsxia or me cauromie neaun ana �eiery coae oeem m�y compuea wnn�r LI res U rvo _' ....................—__................._.__..........................._....—_................_................_.._.........................._................._—._............._......_........_.............................__............_................. 5 Does or will the apD�� or presenl or future builtling occupant require for the work which Is ihe sub�ed of Ihis e pliceiian e pertnit lor 5uch cons[rutlion Or �rom the Soulh Coest Air �uallry Menegemen� Dls�rlct or from any olher air pollution cantrol tlistrlct or e9enty7 � Ves �J No (Sectlon 65850.2 0l tha Califomia Govemment Coda requires that the requested information ba tumished on applications for non-residentiel builtling pertnits). .............._................................_..................................._.................._..............................._.__........................................................................................................................................................................................................ 6 Will eny part of the faciliry to be wnsiructetl under this pertnit be within 1000 feet irom lhe outer bountlaries of a schod? ❑ Yes � No (II'tijas", ihe facitiry must meet ihe requirement of Sections 25534 and 42303 of the Callfomia Healt� antl Safery Code). ..........................................__..................................._._..._................__..........................._._...................__.........................._.......................__..........................................................................._..._................_.._...... 7 If e pertnit from the Souih Coest Air Oueliry Management District ar other elr pollution camrol tlisinct or agency is requlred br tha work which is the su eDDllcetlon, heve flll of the disclosures prescdbed hy Celifomia Health end Satety Cotle Sectlon 42303 baen metle7 ❑ Ves ❑ No B pf yes", ettach cenifiwte of compliance Irom the eppropriate air polNtion conirW otticer). CERTIFICATE OF COMPLIANCE: I cetlity thet under penalry of perjury the Infortnetion given ebova Is correct. I egree to comply with all atate lews antl clry ordinences regerdinq Hazerdous Materials en0 Emisslons. SigneNre: � Date: N CERTIFlCATE OF COMPIIANCE AND AUTHORIZA71 @F Y: I ty nder penelry ol perjury that I have read this application antl sWte that the information given is correct I egree to compty with ell�state lews�end ciry o.�Nanie'§ relati g o building constructlon, anA authodze represeMatives ot the Clry of Costa Mese to eMer upon the above-tlescnbed properry torinspection purpoees. I egr6anotf6'bccupy or ellow occupancy ol eny builtling authanzed by Ihis pertnit until finel inspedion. 4-, , � :V ,Ln� ��• GODE I, INSPECTIONTYVE 1618 Flxetl System Final Fire Prevantion 1268 Pool Spa Final . 200 Finel Re-Roof 201 - FIneI BIocWRetaining Wall 202 � Finel Factory Fire Plece 203 Final Sign 204 Final Demolition P� I�L� .COUEI 206 20B 210 212 • 220 222 = 250 INSPECTIONTYPE Final Mechanical .Final Plumbing , .. Finel Electrical Flnal Fire Prevention Final Planning Appioval - � Final Site - Final Builtling�Oxupency • �� (774) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa�y�MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 984 W 19TH ST Suite No Viciniry: Parcel Nunmber: 42253115 Appliwnt: PRADO, SOFIA Address: 915 LAKE ST Owner: Address cant�eaor:;. Address: , HUNTINGTON BEACH, CA LEISCHNER, ERWIN A TR 984 W 19TH ST � COSTA MESA, CA . , J K CONSTRUCTION 915 LAKE ST Phone: (714) 404-9846 CELL Zip: 92648 , . . �:Phone:� . , . . ' . . . Zip: 92627-4146 , Status: ISSUED Applied: 09/02I2005 Issued: 09/022005 ' A . � Phone: ' (714) 404-9846 CELL � � ~ HUNTWGTON BEACH, CA Zip: 92648 ., � , License: 450297 �� - � �� . - . . ,. . - , 't• , . < _ . , . . ' SCOPE OF PERMIT . REPLACE BEDROOM WINDOWS WITH DUAL GL4ZE, VINYL WINDOWS TO MEET 1997 U.B.C: EGRESS . REQUIREMENTS. HEADERS WILL REMAIN THE SAME. ELECTRICAL, MECHANICAL AND PLUMBING � � ..WORK. REF.: B05-01499 .._ . ... . . ,__. .. . . . y.' . , . , PLUMBING TO INCLUDE: 1: KITCHEN SINK�AND�REPLAQE MAIN WATER�,LINE. FEE SUMMARY " - AMT alY AMT �N , AMT � ISSUE FEE � 323.50 Laundry Tub / Washer -' S0.00 0 Sump Pump ' $0.00 0 Backflowirrigation $0.00 0 �Landscapelrrigation-'��-��$0.00 0-� '�m•�� SwimmingPool� $0.00 0 BackFlowPreventer $0.00 0 - � P•Trap � � � �----$0.00 0 �` �' � � �� TrapPrimer " 50.00� 0 Bathtub $0.00 0 Pressure Regulator $0.00 - 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc) $0.00 0 Receptors -�$0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Denlal Units S0.00 0 Septic Tank $0.00 0 Wash Basin 50.00 0 Dishwasher � $0.00 0 � Sewer Cap for Demo �� $0.00 0 Wash Basin Set 50.00 0 Drain, Floor $0.00 0 Sewer Connect � -$0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater .: $0.00 .� 0 , Sewer Private Line . � $0.00 -,:, 0 Water Closet (Toilel) $0.00 0 Drein, Roof $0.00 �0:, . � �Shower. . . , . Y$0.00 �', 0•� � � �� = Water Heater /vent $0.00 0 � Drinking Fountain �� $0.00 0� .� � i Sink, bar - - ' ;=50.00 0� �- �� Water Piping pnst or Rep.) $9.80 1 Expansion Tank `� 50.00 0 Sink, commerciai .,: ;$0.00 0 � _ Water Re-pipe $0.00 0 Gas Earthquake Valve �� $0.00 0�" Sink, Floor , $0.00 ,- 0 ,. Water Service $0.00 0 Gas (7-4 outlets) 50.00 0� , Sink; kitchen �.$9.80 � 1:- Water SoRener , 50.00 0 Gas(Over4outlels) � $0.00 � 0 ' Sink,-service/mop . �;;$0.00 r'0 �' .� OTHER 50.00 Gas Repipe 50,00 0,� . Spa (privalej -.,, �,;$0.00 '� 0 � VIOLATION ,' 50.00 � Gas Service 50.00 0 � � � , Spa (public) � � - � $0 00 , 0 ' : PLAN CHECK 50.00 Inlerceptors (Grease, Oil) $0.00 � `� 0 - ' � - -. . `" '' �' REINSBECTION 50.00 0 Interceplors (Sand Auto ) 80.00 .0- -" .' � � ' � � . - � ' � " � � �, _ - ' � -; �TOTAL CALCULATED FEES: 543.10 COMMENTS FSPECIAL'CONDITIONS NOTICE: The work authorized by thls permit shall comply with all applirable handicap access requirements under Califomia statutes and related regulations. (Orcl. No. 92-28, § 1, 1241•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or II wOrk is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and ail requlred Inapeetiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545828 / zaae�as caroo) l/ WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn under penalry ot perJury ona of the fdlowing tledarations: ❑ 1 have entl will maintein e ceNlkste W consent lo sell-Insure for warkers' compensetlan, es proNded for by sedlon 3700 oi �he Lebor Code, tor the pertormance af the work 1or which this permll is Issued. I have and x�ll malntein wo'kers' campensaUon rance, es requlred by sectlon 3700 af the Letwr Code, for the pertortnence of Ne xrork for whiCh thLq pe�mlt is issuetl. ��My work m ef �setlo ce certler d pollq numbar ere: �� S �� 'Cerrler:.--�"��TG �� 'Po�iry Number. •(lhis sectlon need not be comp/et ll fbe permit is velue0 af one hundred dollers ($100) ar IessJ ❑ I cenNy Ihat in Ihe peAormance of the work for which this pertnit la issued, I s�all not employ eny person in any menner ao es to becwne suD�ect to Ihe workers' compensation lew 1 Cellfomi end gree thet I I should become suD�ect to Ihe workera' cwnpensetlon provislons ot Sectlon 3700 of ihe Lebor Code, I shell torthwlih comply wiih �hese ��s�a��a: � Coa�-� 9—a —os— �.. WAPNINp AIF WRE TO 5 RE W�RKERS' OOMPENSATION OOVERA(iE IS UNUWFUL M1D SHML SU&IECf Ml EMPLOVER TO CWMINA� PENALTIES AND CML FlNES UP Tp pNE MUNDRED hKK15ANDDOI.LARE(E100,000),I ADOrt10NTOTNECOSTOFCOMPENSFTiON,DAI.NGESASPROVIDEDWRINSECfIqJ3/O80FTHElABORCOOE.INfEREST,ANDATTORNEYSFEES. LICENSED CONTRACTORS DECLARATION: I hereby atlirtn that I em Ilcensed u p ions of Chapter 9(commenGng wit� Sectlon 7000) ol Dlvlslon 3 0l the Buslnesa and Protessions Cade, enE my Ilcense is In full force enA ettecc IJc'a��—v T1�7�7�7-��G/ � Cless.s- �, ContrectoYs' gSl�nature W/17! IAlll�i i� Date: � q—a --(��' 1�-�--�' �— /' ��. CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirtn t�al t�ere Is e construMion lending egenry tor Ihe peRormance ol tha work lor w�lch this permit Is Issuetl. (Sec. 3097, Civil Catle). Lendefs Nema: Sipnature: _ OWNER•BUILDER DECLARATONS: Lendels ACtlress: Date: I hereby eHlrtn ihet under penelry�perjury E7(EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Code: Any dry or wunry whicf�aqujtes e pe ' '� � trua, elter, improve, demolis�, or repair any 56ucture, prior to Its Issuance, elso requires t�e epplicent for suc� pertnit ro file a signed st�(Qment ih�( he e Is Iice � p4 ant lo Ihe proNslans of Ne Contrectom License Lew (Chepier 9(commendng with SecUon 7000) of DMsion 3 of Na Business flnd Pr�Gsions (btl0�t ha o is enempt Iherefrom and the basis for Ihe elleged evemptlon My violatlon of Sectlon 7031 S Dy an applicant fo rtNc 0 � ra Pa C¢y�'�he epplice�t to e dW�ff „p�nel�y01 not more than fve hundred dollars (5500),j: I�e}owner �� properryQor my emplqrees with weges es iheir sde compensatlon, WILL DO THE WORK, antl Ihe slructure Is not intentletl or oflereC far sale (Sec. �Busine dnd Professions Cade: Tha Contractors License Lew tices not apply to en owner of properry who bullds ar improves ihereon, antl who Coes such work hi f or herselt or through his or her ov.n employees, provided that such improvements ere not intended or oHered lor sele. If, howevar, Ihe building or Improvement is solil within one yeer oi wmpletion. Ihe owner-builder will �ave ihe burden of proving that he or sha did not build or improva tor purpose ai sale.�. ' I, as owner ot the property, em EXCLUSIVELY CONTFiACT1NG Wli}I LICENSED CON7RACTORS to construct the projact (Sec. 7044, Business and Profeuions Code: The coNractors Llcensa Lew tloes not eppty to en owner ol property who builds or Improves ihereon, end who coNrecis for such prqect with a coniraaoqs) licen58 pur5uant to lhe CoNrectOrs License Laws.). I am exempt under sec. Business antl Professions Code lor this reason: SlgnaWre: Owner ID venfied by drivers Iicense. ❑ Ves ❑ No DriveYs Llcense No. Vedflcatlon of Ownership hy (rype o1 document, i.e. - properry tav blll or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby ceniry that no escevatlon tive (5) or more teet In dei Date: Expires: ❑ As owner-builder, I will not employ enyone Io do work which would require e permlt trom the Divislon ol Industrlal Setety, es nated eEove, unless such person hes a permit to do such work tran the division. Slgnature: Date: Divislon ol Intlustdal Safery Pertnit Number. CEHTIFlCATE OF COMPLIANCE AND AllT}IORIZATON OF ENfRY: I certity under penelry of perjury thet I have reatl t�ls epplicetion and siate Ihat the intortnation given is correct. I egree lo comply wit� ell stete laws en0 ciry ordinences relatlng lo bullding canstructlon, end authorize representetives of the Ciry oi Costa Mesa to enter upon the ebove-descnbed praPerry lor Inspection purposes. I egree not to occupy or ellow occupancy oi eny building euthorized by t�is pertnit until finel inspection. [L•7•I;1II:Fi9i9iDl:��l9 � 1818 Fl:ed System Final Fire Prevention 1288 Pool Spe Final 200 Finel Re-Rool 201 Finel BIxWRetelning Well 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demollllan FdIE It�NLfi COUE 1 INSPECTION TYPE 206 Final Mechenicel 200 Finel Plumbing 210 Final Electricel 212 Finel Flre Preventlan 220 Flnal Plenninp Approval 222 Final Sita 250 Flnal BuilCing/Oaupenry �l—°�e —d5 Date PAffi Ui�IS � � � Job Address: 984 W 19TH ST Suite: Vicinily: RESIDENCE AND ATTACHED GARAGE Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 42253115 Zoning: ,4pp�icant: GRIFFITH, JUDY Address: Owner: Address Contractor. Address: Phone: 909-268-4828 ISSUED BY: Zip: � LEISCHNER, ERWIN A;TR��; ,"� � 984 W 19TH ST � . .- - •-' � . , . - � Phone: ` � , - .. COSTAMESA,.CA ., � 4:Zip :92627-4146 • , . , R,-.. , , t �� ..��` � - . � ._. � y � J K,CONSTRUCTION'-� - -- � - .915 IAKE ST� < ' i s `� _ _ .,� -� - ... - � . , •. . . .. _ , , -;�-,�..-�- Phone: (714)404-9846CELL - HUNTINGTON BEACH, CA , 92648 . ' License: 450297 - Slatus: ISSUED Applied: 08/15/2005 Issued: OB/15l2005 Arch : � � � Eng: � , . Address:. � �� Address: � - " '�'�. Phone: , v _ ' ' �� ,Phone[� _ � �, �' � " ,e= � Zip: ; . r ".License: � , License: c�' . � '- . , _ F9 . ...`s., ' 'A . . . . . . . . � �" : " _ _ ' SCOPE OF PERMIT '°; ' , � � - 3 REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACESHTG AS NEEDED;�FELT.PER MFGR'S SPECS, APPLY 30XEAR COMP SHINGLES. 2500 Sa Fi ` ' �� , �� z; �-- , , .• _ e . ... 3 t� .. f% �� r FEE SUMMARY �-� �� P,lan C,heck �3; $0 00 "�" r` � �,' Calc V: Y, , � Permit • �, � $181 25 -'� �` " `" � ` �' ' � �'Claim \ SMIP'Res: ,,', $1.00-. ^� , ; SMIP Com: ,K $0.00 --� ' � . , , " . . ,'. :� � , ,,. Other.. . $0.00, . � �:: - ' Inspection: ` $0.00 � ;,Total: �� $182:25 � iation � ` 3s,sso 00 luation: �• �f � $s,s5o.0o , �. _.� , :; . r �'; � - , ., - � �' ,:,�PLANNING`&ZONING F;, >' SETBACKS �i=.a k `��"=�" � ;. ' MAINSTRUCTURE Fronl 0-0�=� ��:�=Rear�"0=0 = '�Lefl;` 0 0� ��. -�•sRight=_ � 0.0 _..�_ .• ACCESSORY ��' Front r 0-A � Rear _.0.'0 �t � LeR' � 0- 0 Right. 0, 0� . . �. - :,;&., -4e - ? .x � .m � . . ' . � :.... ' �. _:: ' _ PARKING ' Ezistm <0- Reauired 0„ Pronosed ..Or . ... c.. . ..- ..' .: ' . � "�, � �: _.. .. . � � , ' .� S �� i - ,:,, v r '` j„ .,t , �� .�, .; ,,,� �Y `�2"=3� 4° � �S `� � Z'..� �w�.. sA Jx�" ^ :6 �" . i ;': ._. "- �., e ,.. - � -.dn. s N077CE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be Conside�ed 18ga1, such work must comply with ell epplicable codes, and all required Inspections end final epproval must be obtained. Feilure to obtain inspections and final approval will result in the expiralion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 cwwe {aw� WORKERS'COMPENSAnON DECLARAnON: I hereby aNirm under Denalry of perjury one oi ihe following daclarations: ❑ I heve antl wlll melntain e certiticate ot consent to selt-Insure tor workers' compensetion, es provided for by section 3700 of the Lebor Code, for the paAormance of the �work tor which Ihis pertnil Is issued. �6�ve antl will malntein workers' compensatlon insurance, as required by seclion 3700 of Na Labor Code, for the pertortnence of Me work for wNch this pertnit Is Issued. y wo rs' mp satlon Insurence certier an Iiq number ere: �ema�: Po,�,,N„��t�� 765 (TTit��secty nsed not be complefed il the ermlN �lued et one buntlre0 dollers ($100) ar less.) Zda S- ❑ I canity that in t eAor ce of ihe work or which this rtnit is issued, I shell not employ any person In eny manner so es ta become subject to ihe workers' compansetio ew of Celifo agr t t it I should b wma sub�ect lo the warkers' compensetlon provisions of Sectlon 3700 of Ihe Labor Code, I shell forthwith comply with es rovisions �'+ // APPIkanPSignetu _ � ' �PtB'�� / CJ � .�% � WARNINO: FAILUR S RE WORKERS' ENSATION COVEMGE IS UNUWFUL AN� SW1LL SU6IECT AN EMPLOYEPTO CRIMINAL PENA�T�ES AND qVIL FINES UP TOONE HUNDRED THOUSAND (5100,000), IN ADDITI THE ODST OF ODhiPEN5ATIIXJ, DAMAGES AS PROVIOED FOR IN SECiION 3)O60F TME UBOR OD�E, INfEREST, AND ATTORNENS FEES. LICENSED CONTAACTORS DECLARATION: I herehy atiirtn ihat I em Ilcan under provisions Chept@r 9(commencing wllh Section 7000) of Division 3 ot Ihe Business and Professlons Code, end my Iicense Is in Full force end eHect. Lic.�R C1e95' ComreaoCs.Signature:, Dete� . r� :a i CONSTRUCTONIEN AG NCV: ❑ I hereby aKrtn that there is a consiructlon lending egency for [he pertortnance of t�e work tor which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lendels Name: Lentlers Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby attirtn that under penelry ot perjury thet I am E%EMPT FHOM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business an0 Professions Code: Any city or counry which requires a permit to construct, alter, improve, Cemolish, or repair any sWcture, pnor to its issuence, elso requires the applicant tor such pertnit to file e signed statement that he or she is Iicensed pursuam ro the provislons ol ihe Contrectars License Lew (Ghepter 9(commendng wIU Seclion 7000) of Dlvision 3 of the Business and Professions Cade) or that he or she is exempt iheretrom antl Ihe besis tor tha ellegetl eaemptlon. Any violatlon of Section 7031.5 by any epplicent for e pertnit subjects iha applicant to a civll penelry of not more then five hundred dWlars ($500)J: ❑ I, as owner of the properly, or my employees with weges es thelr sole compensetion, WILL DO THE WORK, and ihe siructure Is not intended ar oHered far sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ol property who Duilds or Improves thereon, anC who does such work himseN or hersetl or ihrough his or her own employeas, provided ihet such Improvements ere not intended or oHered for sale. tl, however, the bullding or improvemant is sold within one year oi completion, the ownar-builder will have the burden ot proving that he or she did not build or improve for purpose of sele.). ' ❑ 1, as owner of the propery, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business en0 Pmtesslons Code: The comractors License Lew does not epply to an owner oi property who builds or Impraves thereon, and who contrac�s tor such projed with e contwctor(s) license pursuent lo lhe Contractors License Lews.). ❑ I am exempt under sec. SignaWre: Owner ID venfied 6y drivars license. ❑ Vas ❑ No Business end Professions Code for Ihis reason: Vetlficetian of Ownarship by (type ot document, I.e. - property tax bill ar deed): Ddvels LJcensa No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify Ihet no a:cavetion five (5) or more teet in depth into which e pereon Is raquiretl to descend, wlll ba matle In connection with work euthonzeC by this pertnit, and thet no building siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) leet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle B, Celifomia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Industrial Sefery, es noted ebove, unless such person hes e pertnit ta do such work from ihe division. Signatura: Date: Dlvision of Industrial Salety Pertnit Number: CERTiFlCA7E OF COMPLUINCE AND AUTHORVJITON OF ENTRY: I cerlity under penalry of perjury that I have read ihis eppllcation antl state Uet ihe Iniortnation given is correct. I egree to wmply wllh ell state laws end ciry artlinanres relating to builCing construction, and authorize representatives of the Ciry of Coste Mesa to enter upon the ebove-descn6ed property for inspection purpgSes.Fegree+wLLoccupy or allow occupancy ol eny building authorized by �his permit until tinel inspection. cooe .. 1616 Fi:etl S t Final Fire Preventi0n 1268 Pool Spa Finel 200 Final Re-Root 201 Final Block/Retelning Wall 202 Final Fadory Fire Place 203 Final Sign 204 Final Demolitlon PAIE II�S I'J� �u u / COOE I INSPECiION TYPE - i b .—v � � Date � �� 206 Finel Mechanical 208 Finel Plumbing 270 Finel Electncel 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final BuildinglOccupancy MF CITY OF COSTA MESA � ' � BI/ILDING DIVISION � F DEVELOPMENT SERVICES DEPARTMENT �� . �- PERMIT , . PERMIT NUMB R M98-00508 1/� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 984 W 19TH ST Parcel Nunmber. 42253'I'15 Applicant JEFF GERLICH Address: owner. LEISCHNER, ERWIN A Address: 984 79TH ST �. � �, A . = �'j COSTA MESq,CA� � � ti - Contractor. MC KENNA'SAIR SUPPLY Address: � 761 n richman � � � - tullerton, ca. ArchlEng: Address: n ISSUE FEE Inst FAU <700 k BTU Inst FAU'>100 k BTU • Repair/Alt Cooling/Heat . Inst / Rep.�Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping � - Factory Fireplace � , Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct . Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfrn Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater MECHANICAL PERMIT Phone: Zip: . Phone: � ",. Zip: 92627 � Phone:- 714-879-0444 . . Zip' 92832 ' , ' 'Licens`e:- 626029 Phone: Zip: License: SCOPE OF PERMIT WALL FURNACE CHANGE-OUT.��NO�OTHER WORK AUTHORIZED BY THIS PERMIT. . ;FEE SUMMARY �' • ,,. 4uantity � - __ _ _ ' � $22.00 $0.00 $0.00 $0.00 0 ' $13.25 1 ' $0.00 0 .. � so.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 $0.00 0 $0.00 0 Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation�System Evaporetive Cooler Commerciallncinerator - ' Domestic Incinerator Compressors / Absorption Svstems "Upto3hp/100kBTU " 3 To 15 hp I 500 k BTU - � 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU � �Over 50 hp / Over 1,750 BTU '' " ' Boilers- � - Up to 3 hp , � 3To15hp � � -. � 15 to 30 hp 30 to 50 hp � � - � ., Over50hp � Other Mechanical Fee . Investigation Fee � Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 11/02/1998 Issued: 11/02/1998 Quantity $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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 535.25 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 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 requtred inapections and final apprqval must be ob�ained. Failure to obtain inspections and final approval will result in the expiration ot �his permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalry of perjury one of Ihe following declaretions: ❑ I heve and will maintain a cenificate of consent to self-Insure for workers' compensation, es provided for hy section 3700 of Ihe Lebor Code, tor the peAormance ot the work for which ihis permi� is issuetl. ❑ I have and will maintain workers' compensation insurenca, as requiretl by sedion 3700 of the Lebor Code, for the peAortnance oi the work for which ihis pertnit is issued. My workers' compensation Insurance certier end policy number ere: /� /� 'Z Cerner. L{JL �' � i1'�.() � PolicyNumber(�CI�ry1��. �S 7- � (Ihis secHon neetl not be comp/ete�permit is velued af ane hundred tlollers ($1 ) or less.) ❑ I certity Ihat in Ihe pedormence of Ihe work for which this permit is issued, I shall not employ any person in any manner so as ro 6ecome subject to the workers' compensetion laws ot Celifomia, end agrea th t if I sho d become su6ject to ihe workers' compensation provisions ot Section 3700 of iha La6or Code, I shell fonhwi,(p � comply with thesa provi�sions.� p � p ,� Applicant Slgnature: 7t'L>—xKl /O / Date: �(— Z—�[ J WARNING FAIWRE TO SECURE KERS' C NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES Ml� CIVIL FlNES UP TOIXJE HUNORED THOUSAND OOUARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAA4IGES AS PROVIDED f-0R M SECIION 3/060F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirtn ihat I em Ilcensed yndar provisions of Chepter 9(commencing with Secti9�-7000) of Division 3 of the Business and Professiurs Code, and my Ilcense is in full toma and effect. Lic. # (9 0� � ( Cless n G— Z D � Contrador'sSignature: ��. � / Date: 11— 2— f? CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn �hat there is a wnstruction lentling agency br t�e perfortnance oi Ihe work tor w�ich ihis permit is issuad. (Sac. 3097, Civil Code). Lender's Name: Lendefs Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aflirtn ihat under penalry of parjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repalr eny structure, pnor to its issuance, also requires the applicant tor such pertnit to file a signeU statement ihat he or she is licensed pureuent to the provisions of the Conirectors License Lew (Chepter 9(commencing with Section 70W) of Division 3 of iha Business entl Professions Coda) or thet ha or she is exempt therefrom and the basis for the alleged exemption. Any violetion of Section 7031.5 by any appliwnt for e pertnit subjecis Ihe eppliwnt to a civJ peneHy of not more ihan five hundred dollars ($500).): ❑ I, es owner of the properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intended or ottered tor sale (Sec. 7044, Business and Professions Cotle: The ConVactors License Law does not apply to en owner ot properry who builds or improves thereon, and who does such work hlmseN or herself or ihrough his or �er own amployees, provided that such improvements ere not intended or oflered for sele. If, howaver, the building or Improvement is sold within one year oi completion, the ownar-builder wlll have the burden oi proving ihat he or she did not builtl or Improve for purpose of sale.). ' ❑ I, es owner of the prope�y, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The con�rectors License Law does not apply �o an owner of property who bullds or improves thereon, end who contrects tor such projec� wlth a contractor(s) license pursuant to the Conirectors License Lews.). � I am exempt under sec. Business antl Professions Code tor ihis reason: Signature: Date: Owner ID ventied by dnvefs license. ❑ Yes ❑ No Drivers License No. Expires: Veniication of Ownershlp by (tyDe of tlocument, i.e. - praperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certify �hat no ezcavetlon tive (5) or more teet In depth Into which a parson Is required to descend, wlll ba made in connection wlth work authodzetl 6y ihis pertnit, end thet no builtling stmcture, scaHolding, felsework, or demolition or Cismantling thereof, will ba more than ihirry-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifomla Atlminlstretiva Catle). ❑ As owner-builder, I will not employ enyone to tlo work which would raquire a pertnit trom the Dlvision oi Intlusinal Safery, es noted above, unless such person has a pertnit to do such work trom the tlivision. Signeture: Data: Division of Industnal Safety Pertni� Number: ICERTIFlCATE OF COMPl1ANCE AND AUTMORQATON OF ENfAY: I certify under penalry of perjury thet I have read this epplicetion and state that the infortnation given is I correct I egree to comply wlih ell stete laws and ciry ordinences releting to building construction, and authorize representetives of the Ciry of Costa Mesa to enter upon ihe ebove-described pmpeAy for inspection purposes. I agree not to occupy or allow occupancy of eny building authonzed by ihis permit until final inspection. L�UE �. INSPECTIONTYPE PAiE II�QIALS 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Rooi 201 Final Block/Reteining Well 202 Final Factory Fire Plece 203 Final Sign 20a Final Demolition 2446 a6 COOE� INSPECTONTYVE 206 Final Mec�anical 208 270 212 220 Final Plum�ing Final Electncal Final Fire Prevention Final Plenning Approvel 222 FinalSile 250 Final Building/Occupancy �. 1 1111. . ♦ ♦ � ` • -Costa Mesa Building Department. '_ .�� 111 EAST 20th STREET ��. '- ' COSTA MESAi CALIFORNIA C:'_ FOR APPLICANT TO FILL IN Addre�ss yg� �-/�� Costa Mesa, California Nearest oro� st. W` �i � r` e' r Owner lri7Yi7n✓ ✓i5'�8 Zhl� . Metes and Bounds) ot 67�'C il o Bldg. Lfnafrom 5 � r a�.�..� � �iC�^J J 6 '^ri _ ri L__ ot P/ City Lic. Demolish � stories / I hereby acknowledge that I have read this Application and state that the above is coirect and agree to rnmply with all Clty Ordinances and State Iaws regulating building construction. Signature ot � / Q )� n� Permittee 1't�'i-TM4. �A.2.Y� Y�G�G • APPLICATION FOR PL�'KMI� BUILD,�NG ' FOIt O&'FICE USE ONLY Recelvetl by I Dafe Rec'tl. �7Data OC'o7 Buliding Addrew Costa 1Vaesa, California Date CORRECTIONS 0 � APPROVALS �undation Lxation Inspector Forms, Materials, Under-Pinning �ame: Fire Stops. V alUation U Perm�t Fee � � ta •�' p Plan Check $ -$, crp Bond Beam S��i 3 O Total o�y Fee $ � � — FINAL FONM 294 �-H 2M 5-54 Date 0 z � . , � , ,.. . . � . �: . _ �.' _ .. . ;:S,rrY{�. �-. . . � .. � _ . ' e'_ ' y . y.,cC. � .. .. . _ . . . . . . . , '- . - .. , .. ' .,� .. u '-- . � � . � - ; r. c �' ; J. . _ � . . . . . � . � J � _ .. . , . _ .. 6 � . • ' " ' . o d — — °' - - --- - ` - -- .. a - - - �_.� „ .� . . : i J , ' _ , - . . . .. :: � . . �.. .. - - - . _ .� � •� . , . _ _ • . . . - ' � ' --- - - � . - - . -. __ _ . . - - i � _ . _ _ _ _ - - -- -=- - - - -- ; -- - - � . _ . . _ _� ` -�i i•:' i. , ' . .. r.•� . _ . � Ja. • � ' , _'_ I ._ _ . .,i�f'�J " " . . . . _.... ' .. ,. ' � . � J''J >�. � q � i � i .. - , . ii . _ - � ��,.� � � � rj. i� -Street � � . ;_..�c�� .°'...-, . ...: •�• �. . PLOT�PL•AN�. , ---=Q-✓�j:�:, ;.:�.1 .".,,_- t-.- _� � Show loeation �'and distances .Trom•. ! � ' ' . . . � J,��' �1 Property;line and between bulldings. ,� � � iac, � . .. ; _ � � _ , . .� ., . ___"' __ _". ' . �� ` . � 1 . . �, ._. . . _' ' _ _ ___ I` 'c'f+ '�� ` � Y � E� ... ._ �. ._ , •�1 ,'� � � � - . �. ,. : . -�r ' Q�:�� ) � -- . - - ` - - :�:, ; . .� �� .��:.�.. :� � .. : ,. _ �, -� �, ' � t _ - - - . ,,.�- -- � � . eS � �_ � ; . pS: � y � . � p_��_ _`.,�� -- . . ,. ; ._, ,_�—,'J_ -. � '�.:/ ---- .,. . , 1 :,,'�.�r, . . . � ", .,- . -._ . . . � � = .. - -- - - - — - ' . -� . .. .