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Home My WebLink About248 19TH ST - Building Permits • ,ADDRESSSCSMLDNO: 248 E 19TH ST WIT: CITY OF COSTA MESA — BUILDING PERMIT 9g° _ "' "' "`�Pi . `oWNERspsaw NOWW MICHAEL STEVEN J PERM NO: P 072835 . ADDRESS 248 E 19TH ST ' COSTA MESA,CA 92627 + ' s PERMIT NO: P 072835 PLAN CHECK NO: N GOVT: N SUPP: N • 642-8393 APPL.MING OGRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: NEW ARCNITECTOREJG EER: STEVE AHUNA ucNG: C34264 JOB DESCRIPTION : 1056SF DETACHED WORKSHOP SQ FT: ARCH.ORENG.•SADDRESS: 25101 VIA PORTOLA WIT: LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALL—VALUE: GROUP OCC : B-2 / CONTRACTORS RALE CONTRACTOR'SMAURO COMMENTS: NEW DETACHED WORKSHOP REF H-072832 ADDRESS UC.ND.: ******************************************************************************* WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elfin under penaly d perjury that I em licensed under provisions of Chapter 9 S E T B ACK S (commendng with Section 7000)d Division 3 d the Business and Pmfesaons Code,and my license is in hill late and effect. CRY LIC.NO.: LG.CLASS: UC,NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN RE : FT IN FRNT: FT IN REAR: FT IN °m Candor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • WNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I an exempt from the Contractee License Law for the lowip reason(sedion]rots Biiwess and Ptdeesohu Coda:AM w o cocnty wfiiN rpuiree a pensd m oon5NmL ane.impmw, PARKING REP ROV: PARCEL: 42627114 Z NE: REF NO: ,emolsh,or repair any Siructure.prior to its issuance.also requires the applicant for such permit to Me a signed statement that he or she is licensed pursuant to the provisionsd die e Contractors License law(Chapter 9(commencing with Section 7000)d Division 3 d the PLANNING NOTES> Business end Professions Code)or that he a she a exempt therefrom and the bade for the alleged exemption.My violation d Section > ]o31.5 by any applicant for epermit subjects the applicant toe aid penally of rid more than live hundred dollars($5000. ******************************************************************************* • 3 I,asowter01 the l.wenyaMSern*feeswith wages eathis sole compensation will dothe work,and the structure is not intended DEVELOPMENT SERVICES R E adferedfor sale(Section 7044.B edadla end QUIR EMENTS who buids or improves thereon,and who does such work Nmself or herself or through his or her own employees.provide)that such improvements are not intended or offered for sale.If.however.the building or inprovenent is sold within one year of completion,the ZONINGAPPROVED BY DATE: owner-builder will have the burden d proving he or she did nil build a improve fa the purpose d sale). _ ❑ I.as owner of the properly.am exclusively canmitg with licensed connectors to C0113171.1d the project(Section 7044,Business and Professions Code:The Contractors License Law does no(apply to an owner et properly who wise or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such t rojads with a c nirada(s)Stamen pursuant to the Contract ,License Law). . o I ant exempt under Section: B.AP.C.,fathe APPLICATION ISSUED BY; a J DATE: �. Date: 6IS-.75 ************* ** I do hereby codify That I am aware d requirements of e and understand the requirements Callamhealth and Safety Code Sections 25505,25533,and LEGALIZATION; N F E E SUMMARY STRUCTURAL S EGM ENT :N 25534,and that I or any Mure building occupant y anm will one) ply/wit nd(circle need to con*with said Sime codes end the requirements fa �� A "i 4`L a permit faconatmcton onodifamon from the Ai SegenwDistdd.Residsehmna andan applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 21 . 00 -; y V 1„ Done: hankers: 5% _ /r a SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under peony of Parton one of the flowing declarations: PLAN r, Cl, n '1 i it, ISSUE FEE 20 . 00 / T• ❑ I have and willmdoae acandidated consent to sre for wake:compenWion,es provided for by Shim 31001 the Labor V Code,lathe penamehaedNeworkforwhichNis epermit isinned. BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK (TOTAL PAID DUE 11 Ihaw end will maintain waken'compensation insurance,esrequired by Section 3]OOdthe Labor Coda,la the performance dthe TOTALS----> 21 . 00 20 . 00 0 . 0,��j0yyy 41 . 00 41 . 00 . 00 { wok la which the e a S pannued.My wan ke 'oampensaton insuranceal e a cand ptloy number aro: I kr / Carder: REVENUE DIVISION TOTALS--> COLLECTED: l)/ 'z � /411. 00 OVER/SHORT: 00 Pdicy Number BLDG PMT PLUMBING ELECTRIC MECHANIC �' ,FIRE> SMIP/TOT GRADING PLAN—CHECK ,, inectic ewnanpmdmedr9awmrtaft ehmdwaama(strola.®.) 41 .00 , , / C ' -r( f$ I certify that in the performance of the work for which this permit a issued.I shall nit employ any Person o and manner so as to , yl became subject to the kers'worconanwmAin laws d CaNda,anad ag 4.1 Oho become subject to the werM ********************************************** *,**�***************************** cons ovation provisions of Section 3700 of the Labor Code.I Nell lath IND IV I D U A L. at) yK D O W N Done: iS '?S Mdoany�� W°m/rng:Failure to secure workers'compensation coverage is unlawful,and shale subject an employer to criminal pene/f/es and TYPE QTY DESCRIPTIO N ti' UNIT COST TOTAL COST civil fines w to one hundred thousand dollars(Sf04000A n addition to the cost of compensation,damages as provided for in Saanm3lasofthe Labor Code,lnlweaLand atto eyafeaa' PLU 1 SHOWER ' El' rLL1 7 . 00 7 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under Penally of perjury that there is a conatrudion lending agency tar the PLU 1 WASH BASIN y') 7/ 7 . 00 7 • 00 performanceao the work for which (Stainesthe tomtit issued(Staines 3097.Cir.q. PLU 1 WATER CLOSET ( TOILET) ' iiyy 7 . 00 7 . 00 LENDERS NAME: AT :1 LENDER'S ADDRESS: END OF( F _ES i' h -I I certify that I have read this application and date that the above 4dormation is coned.I agree to comply with N day and county ordinances Q ,v 'n / le , and state laws relating to building gmstructcn and hereby authorize represerhtatives of this thy to enter upon the above-mentioned property /,'�-`� "1 la inspection purpoaea. C� �� ' / Y ' STEVEN MICHAEL •1 • a i T T1�. ---.. Print Nemo /' �\\� ` �� 5 �'/ y��' Age^VAwk®m6aara� Date:(7 r��x��_ \ `, ///" �� • '\ - Cot t hG C :2 -_ lii.-,J Signature d ownsd 1:: - ”r' ,-) \k•-•\ r' 1 (5151 J5.W P) Whee-Buidia y A safety:Green-He Candy-Appiro rant:Pink-Revenue:Goldenrod-Assessor t) CONSTRUCTION AND PLANNING P & SPA Date Inspector Date Inspector . OpROVALS Permit# _ I APPROVALS Permit# r , I 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location.. 2. Soil Pipe-Undrgrnd. 7.•17 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • r 54. Forms '/ - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical' OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 1 - I „' 7. Footings 58. Electrical Conduit-Undrgrnd. •8. Foundation ( 59. Gas Pipe, 0 Undrgrnd.,Test ,, r r 9. Water Pipe-Undrgrnd. f/ 60. Backwash Lines, P•Trap, 0 Undrgrnd. • t r 10. Structural Floor System •; 1 61. APPROVAL TO DECK I . 11. Property Sewer Line & House Connection tQ /3u_Ca I 62. Backwash & Receptor-Fina l 12. Sewer Cap __/' 4' , 63. Heater & Vent-Final t 13. Roof Drains '• 64. Plumbing System - Final/ 1;- 14. inal/ •14. ;Rough Plumbing • 18'iS`7 Getfr 65. Electrical-Final , 15.!lough Electrical-Conduit j• 66. Solar System-Final - ; 16. Rough Electric Wiring 67. Fencing & Access Approval- • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING :-zc) 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning _ - FIRE DEPT. REQUIREMENT _ 20. Rough Factory Fireplace , ' APPROVALS Permit # 21, Ducts, in Structure • - . 70. Underground Hydro 22. Ducts, Ventilating r . 71. Product Piping 0•Gas 0 Oil 23. Gas Pipe-Rough & Test • 72. Underground Flush - • 24. Roof Framing '. - - 73: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Mdnocoat • 75. Dry Chemical - 27. Frame and Flashing . 76. Dry Standpipe t _ 28. Lathing & Siding ' _ 77. FIXED,SYSTEMFINAL, 29. Insulation •• 78. FIRE PREV. FINAL - ' 30. Drywall Nailing ` HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat • t- 79. FINAL INSPECTION - 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 9._/2; 2_%1esrzs2cz7eG7s 34. Final Heating& Air Conditioning U7 -7-. � C,7 ,) A y lll��\'i 35. Final Gal Pipe-Test . - - _ /i5�� !�{� 36. Hood or Canopy • - p1 37. Final Factory Fireplace i,/'fes� 1'4j 38. Final Plumbing '- :i211, 6 39. Water Service-Final ' Z 7 I : t� SL-R se'' 5 t- '76- et 40. Gas Service-Final • . • . illf_• , 41. Solar Domestic-Final , - 42. Backflow Preventer r . ! ' ,a f 43. Backflow Irrigation • - , .44. Landscape Irrigation System ' 45. Sound Attenuation, • •. - - . - 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING' - r: 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY • .• . • No Date P, • ///AJJJ ADDRESS OF SUILdNG> •• WIT: v 1 Y 006, I !31EAsNiLIEIFmowv: 248 E 19TH ST CITY OF COSTA MESA - BUILDING PERMIT ADDRESS: MICHAEL STEVEN J P�'P.M NOL P 07A7A' •r 248 E 19TH ST COSTA MESA,CA 92627 PERMIT NO: P 074763 PLAN CHECK NO: N GOVT: N SUPP: Y MD ADDRESS: 642-8393 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: 0TH OR FNdNEEA: UC.NO.: 0.3 ADDRESS: STEVE AHUNA 017x4264 JOB DESCRIPTION 1056SF DETACHED WORKSHOP/ PLUMBING SQ FT: 25101 VIA PORTOLA crarSNALD: LAGUNA NIGUEL CA 92677 CLAIM VALUE: - CALL-VALUE: GROUP OCC: B-2rOhrAY RESS: COMMENTS : NEW DETACHED WORKSHOP REF 8-072832 ADDRESS: Uc.eco.: ZONING REQUIREMENTS D CONTRACTORS DECLARATION: hereby Nam under peneAy d perjury Ihel I em lcensed under provisions d Chapter 9 d g with Section 7000)of Division 3 of the Business and Professions Code d my licenses in lull force and effect. S E T B A C K S .NO.: UC.CLASS: UC.NO.: Oate: lO` ,�9s • • " .'MAIN BUILDING ACCESSORY BUILDING Contract FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT OWNER BUILDER DECLARATION:I hereby affirm under dd),d penury that I am exempl frail N the Contractors License law for e IN RGHT: FT IN LEFT: FT IN RGHT: FT IN IOPowa g mason(Session 7031.5 Bushes*and Professions Code:Any ay or county which respires a Perla to apaseud,alter,impove, demolish,orrepaa any awcture.prior Io as issuance.also requires the applicant lor such psora to fib a signed statement Nat he orshe PARKING REQ: PROV: PARCEL: 42627114 ZNE: REF NO: h licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Sedan 7000)of Division 3 of the Business and Prolamin Code)or that he Cr she is exempt therefrom and the basis for the alleged exemption.Any violation of Section PLANNING NOTES> 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars 13500D. > ' ® I,as owner d the property or my employees with wages as thea sole compensation.will do the work.and theduct rure is not intended ****iE iE lk aE lF jIE IE iE aE 1E)E aH if aF iF RE aF 1E*aE ab aE iF iH aH iH if dE iF lE aF aE Rt iE aE iE*1E*ak iE RE iE*k1k iE lH ik aE if aF lfkklf aH iF ak lk if aE lE iE if(ERE iE ik aF 41E 9k iS iE :1C) orofferedforsaeiSe n7044.Butnes dProfessionsCode:TheContractorsLicenseLawdoesnotappytoanownerofproperly 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 who baths or improves anprovthereon,and who does suchwork himself or horse.or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion.the (In owner-builder will have the burden of proving he or she did not build or improve for the purpose Of sale). ZONING APPROVED BY DATE: o I.es owner of the properly,ant exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does on apply to an owner of property who builds or Improves thereon and who contracts for such projects with a mmador(e)licensed pursuant to the License Law). BUILDING/APPROVED BY : DATE: 2 ❑ Ip,,o�ptlu_nd.«_ SSeedc': B.AP.C..c Nle APPLICATION ISSUED BY: DATE: ((1.234545—. Date: �/^/S owrher 7t*it****ik It it it********iE it iE*****iE*it********iE iE iE iE*7t* 1t****ib It*fE it it iE*it *******it7E it* I do hereby certify that 1 em aware of and understand the requirements d Caliornia Health and Safety Code Sections 25505,Pwcn1,and LEGALIZATION:N F E E S' U M M A R Y STRUCTURAL SEGMENT:N 25534.and than or any future bolding occupant war wit net(circle one)need to comply with said date codes end the requirements for Le eovrismit for nsWdipn«modtfic«ionharnlMAi u3TiyTarepementDiddd.ReeN«xmlooncrudioneppEWiwueraexemplmmiheee provisions. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 12 .00 Date: Applca t: M 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN (t o I have and will maintan a certificate of consent to sedthnsure for sorkens'compensation,as provided for by Section 3700 of the Labor ISSUE FEE 10 . 00 C.,- Code,for the performaeorlhewokforwhichthiepemaisiesaad. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE (] IhaveandwiimaiMaihwam•compensation d n3700iheLaborCode.fortheped«m«hmdthe TOTALS----> 12 .00 10 .00 i�11 , 0 . 00 22 . 00 22 . 00 . 00 work for which this perms is issued.My workers'compensation insurance caner and policy number are: Cartier: Policy Number: REVENUE DIVISION TOTALS--> COLLECTED : 22 .00 OVER/SHORT: .00 (This section need no.be completed I the perm1 a for one hundred dollars($100jor less,) BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ❑ I*way that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so es to 22 . 00 y become subject to the workers'compensation laws,of California,end aurae that d I should Scans subject to the workers' . n compensation provisions o Section 3700 of the Labpr Coda,I shall forthwith amply with Dose provisions. lE7E iF lF if if lE iF iE iE iE lE ik if lF iF#1E 1E ik lE iE if ik lit fE if if iE lE lE iE ik iE iE if iEtlE lE iE i6 iE#ik 101f aE 1f#iE 1f#iE iH if if lF lE iE lE if if iE lE lE iE iF if lElE if iE#1E if ik lE iE iE Date: Applicant: • I N D I V I D U A L/I /.F E E BREAKDOWN Warning:Failure to secure workers compensation coverage is unlawful,and shall subject an employer to criminal psnaldas and v /, civil Ones is to one hundredthouasnq dollars($104000A In addition to the cost of compensation,damages as provided for in TYPE QTY D E S C R I P T I O^N ' UNIT COST TOTAL COST Section 3705 of Na Labor Code,Interest.and attorney's tan. • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the PLU 1 WATER HEATER AND/OR'VENT 7 .00 7. 00 performance of the work for which this permit isissued(Section 3097.Civ.CI. PLU 1 PIPING SYS OF /ATO 4 OUTLETS 5 . 00 5 . 00 LENDER'S NAME: END,OF FEES LENDER'S ADDRESS: 11/4‘A Yl`_� I certify Thal I have read this application and date that Ne above intonation is coned.I agree to comply with all oft and county ordinances //L A , end stale laws relating to building consbunon and hereby authorize representatives of this city to enter upon the above.mentbned property ^,`fD //s_�,,e■� /ai��'//�7� // lot inspection purposes. -y�G Y ^' TV i� Ll_ C(.1 1;2- ]. fit, ..�_. . 1 -.VP .:..,MICHAEL ops D DAA` 6'4'r nameopt // f /y'� CRT.; 10J1 Ivi_ �' • Date:�Q 5'Sr9� , \ \Qtc\ Iiiii /!! Signature d Owry/AganVApplunUConlreda (5151-4a.WP) Whde-0aidip 8 Safety:Green-Fle:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor I _,,r_. - 1 CONSTRUCTION AND PLANNINu 0,0; .0OL & SP/,;.: , APPROVALS Permit Date Inspector, APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3 -BlEctrical Corrciu t Utility-Undrgfnd. . i 54. Forms :r! -B=.Elietcical Cnpat-Undrgrnd. ' 55. Electrical Bonding - 5. SteetReinfatcement 56. Rough Plumbing & Pressure Test ' _6.CE(ectrical trEI Grnd. 57. APPROVAL TO COVER-GUNITE `- r ' J7;, optings ,7-::-=;--; 58. Electrical Conduit-Undrgrnd. r-$7 Foundation Qy r f 59. Gas Pipe, 0 Undrgrnd.,Test - 9.Water Pipe-L14rgrnd. j 60. Backwash Lines, P-Trap,0 Undrgrnd. 10. Structural Floor System r' / 61. APPROVAL TO DECK 11. Property Sewer(Line& House Connection r".' 62. Backwash & Receptor-Final 12. Setter Cap -c... 63. Heater & Vent-Final 13 Roof Drains .f II 64. Plumbing System - Final 14. Rough Plumbing- rt 1 65. Electrical-Final 15. Rough Eleq ical-Conduit a+ 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval r 17. Rough Wiring Sign 68, APPROVED.FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning J1% '. R.EQUIRE$VIENT. `a. 20. RiLt:gh ac ry, ire ice ISP. S ti k 1... Tx tAPPROVA.gfH�rQerrxut# 1- cs -2-7- 21. Ducts,'.,nn SW,ucture ray- ' '• '• r'^ 4. r _ =, 770. U�Tdergr ncICHydro ' ..•r r: x - S 't t•' ,*' 4+.1, r t��nnn,,,,ppp,,,---yyy 22. Ducts, eniila4.9 n1Tt , "i r r .� - 41. ProductrRlping OGas DOH gg _ y tr 23. Gas Pi -RougPu Test t t -ZrJ.4; a fi '12. UndergotAdtFldsh" If 24. Roof f-ran- r`' 1i > I ) ;-,•^ M 9 -• a s ••n t tr.. -.t `73..41ndergrnd;Storageliank )Gas 0 011 25. Roof Stheathing Q ✓v* '- • ^J f 74•COyerhead Hydro - " l 71 n' Yt 1 '7* SST' 26. T-13.ar Ceilin (Strut all & Man6�oat a; C t'$ r m 1 * , o J 8 {tr. _,_ c a C s 75.2_Dry Chemical E] _',^- * a; x: e, . , . .. .. S h: - 27. Frame and•Elashingzi C o:'r: t =' >I l;,/:• 76. ='y..' Y [*l Dry Standij'p@ .38. Lathing& Iding '*a;1 11..F ^ Art. f ''* 77.7,FIXED S ME Lr _, n •_,- >29. Insulation v.' O* V •c +� + t I 78�S' E PREV. F1r41 > 30. Drywall Nailing Nt - t E' ' I .re x Soni TE LTH EPT.�RVQUIRE NT t- rT.* I .Y. • I T. +J.. "`• J,' ti - 31. Plaster Brown Coat 0* S 1 -r Cr• K • : ra t'79. FINAL INSPECTION 't d::, : T r , _ . . rnf_ r. i -, r•-, "- 71+ 1 r a 32. Eactrical fwetete*fg,aj 1 `v rt0. 00D CERTIFI�FTE IS 1FD ,....c _33. Final 9ectric > i*1* rr 1 e, x * Notes: Is-22;g1'!"' 2'-+pC-.271/144/7E)51:1- -2^ i) m 0 fir 34. Fina-al Meati &Mir & g tronirigS- r1 *. - it `•G ft' z- i' C' - * f I N' • �ItalLightsr 35. Final das Ppe-list 01.ty ., -r .-, 0-m al Ci- r -36. Hood or Canopy s* = ^ I rn rl a. '' n 44 S F, nc * I" • C1* n I rn •!a r. I I+ rn xo * Et n . T fii * I - E-' r td - ; - t• �- Q * o fli 37. Final Factory Fireplept. E x' i It -i 38. Final RIum¢ ng i C7co • " ^' I 'i Ix rt a: M .y Water y n. a ;1� f ) 39. Werviwe-Final . F t I v 2. F .- rr Ili -40. Gas Service-Final * m Cr• S rn ' ' '71Of.: a t (11-•.F-F- Cal a: I I 4 GN.F F • 07. 1• < s C- •. > o. ( KZ,v I. 41. Solar Domestic-Final * m :r I �' r,. -,c, * •s •_ 1 _ J - r 42. Backflow Preventer * • ro 1 ' ti G >E' t o " r. r r nI-.,- c 1-'1 - '+ t:11. '.-10 * h ' 43. Backflow Irrigaion .k -I1. G r r.; ...-- > i 44., Landscape lrrigation System turICJ i P7 r; D.P G It CO ^;:; is Cu oe "CT : Y- C d• <-* .D S f z, 'I a• s _ H 45-: Sotind Attenuation ,, `.., . .. s- s1 171 tit 1-4 a• o d:^ .. !' �; 46.. Handicap Regulations* C » m •t' tz •ro rocs r 4' ,VA u c • . - ' d' d, r C C.) 'f: IC 47,, FINAL�STRUCTURE:j.s BUILDING f E, � i?-• r 'U 1 c t E. - . * t I- • N - tr• . r • 48. FINALPLANNING * i -4-• e C.) 1 i .'1 t m m C F • 49: Electrie'Release•fo Ed{Eon I - r'24 •n _ • 5Q.Gas Release to Southern CalifornieGas Co * I 1 .: t 'r. IL, a • orr d 51. CERTIFICATE OF OCCUPANCY * ra ?i'J ' No Date • AbDRESS OF BUILDING: 248 E 19TH ST WE: CITY OF COSTA MESA BUILDING PERMIT �� d(�d� A ' a xNEnswwElFlwox•N: MICHAEL STEVEN J i PERM NO: M 072834 .. ADDRESS 248 E 13TH ST ' . ' COSTA MESA,CA 92627 " PERMIT NO: M 072834 PLAN CHECK NO: N GOVT: N SUPP: N 642-8393 APPL.MAIMNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: NEW ARCHITECT OR ENGINEER; STEVE AHUNA UC.NO.: C34264 JOB DESCRIPTION : 1056SF DETACHED WORKSHOP SQ FT: ARCH.OR ENG.'S ADDRESS: 25101 VIA PORTOLA Mat LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 / CONTRACTORS NAME: CWTDACTORS MNIAIG COMMENTS: NEW DETACHED WORKSHOP REF B-072832 ADDRESS UG NO.: *************AE***************************************************************** UNIT: ZONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em Icensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 d the Business and Professions Code,and my kens is in full force and effect. CITY LIC.NO.: LIG.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN )WNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the mllowing reason(Section 7031.5 Buenas and Professions Code:Any city or county which require.,a peak to Construct,after,improve. PARKING REQ: P ROV: PARCEL : 42627114 Z N E: REF NO: demolish,or repair any structure,prior to as issuance.also requires the applicant for such permit to the a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section •" > 7031.5 by any applicant I«a permit subjects the applicant to a dill penalty d not more than five hundred dollars IS5001) A 1,s owner of the property or my employees with wags s their ere compensation,will do the work.end the ewcture n not intended PD E V E L O P M E N T S E R V I C E S R E ((�� U I R orobuid oseasroesthreon.andiras oe ProfessionsudeoGoss:Thee herselforthruh License Lawrown a ployte, Owner M • who bolmsnls we not intended doesle.I work himself« or through e t herownhinoneyeaprovidedthis,the improvements we nov theor altereo in the H,he did thebulki imprveprthe psedf sails«s yeardoomplatxm,the such ZONING APPROVED BY ownerbuiker will have the burden of proving he or the alk not build or improve t«the purpose d sale). • ' ❑ I,as ovmer of the property.am exdusrreiy contracting with licensed contractors to conduct the projad(Section 7044,Business and WOO'BUILDING APPROVED BY !!lit __ Professions Code:The Contractors License Law does rhe apply to s owner of properly who bulks or improves thereon and who y_�I : D contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). i,_ � �y� � ❑ Ism exempt under Section: B.SP.C.,1«ihie : APPL ICAT ION ISSUED BY: AJGYJ DATE: /7 *.*************************************3F3F7F3F*** - ** - - Date:6 e/S • 9-s LEGALIZATION:N F E E SUMMARY STRUCTURA SE MENT:N I do hereby certify that I em aware of and understand the requirements of California Health and Safely Code Sections 25505,24413.and a25534,parniand Natloeany or mumbuikingomroentWinyWRou(drdeoa)need tee«nplywohsidmtecodas tions weeemptememake BLDG PMT PLUMBING ELECTRIC" MECHANIC FIRE SMIP/RES GRADING apemions. Wcton on moddication from the Av'6T1�agement Didnd.Reaideniat conatmdion applications we exempt from these PERMIT 4 ,50 provisions. Date: Applicant: PLAN 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby alfion under penalty of perjury one of the following dedetatons: ISSUE FEE L r, 15 , 00 ❑ Ihave and wit mantanacertificate ofconsent tosef"ireure for workers'eampensato ,sp nrovidedI«bySedd Section 3700 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,f«the peromepeedthe work f«w nlnepemh .asses. TOTALS----> 4 . 50 15 . 00 0`: 00 19 . 50 19 . 50 . 00 1 I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance cattier and policy number are: • Carer: REVENUE DIVISION TOTALS--> COLLECTED ; 19 . 50 OVER/SHORT: . 00 Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN- HECK section need not be completed y the peon/is for one hundred dollars($1007 or less.) 1 9 . 5 0 I certify that in the performance d the work for which this permit is issued,I shell not employ any person M any manner s s to vy become subject to the workers'compensation lows of California.and agree that ft I should become subject to the woM1«e' ****************************************tE************************************** compensation provisions/nsof Section 3700 of the Labor Code,I shall forth those provisions?. INDIVIDUAL F '-,E E BREAKDOWN -- Date: G •/S•—/s Applicant: cont ( % t . Warning:Failure to secure workers'compensation coverage s unlawful,end shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N. . UNIT COST TOTAL COST c/vll fines up b one hundred thousand dollars/3100.000),M addition to the coat of compensation,damages as provided for In Section 3706ofMeLabor Code,Interest,end ardrneyafees. MEC 1 VENTILATION FAN CONN TO"SINGLE DUCT 4 . 50 4 . 50 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END—OF FEES performance of the work for which the permit is issued(Section 3097,Cir.C). J LENDER'S NAME: - r LENDER'S ADDRESS: \ 11 _�' ', r` / , t I certify that I have read this application and stale that the above information is correct.I agree to campy with all dry and count'ordinances r(S`� L�F'Cr MJ / // f " and state laws relating to building comaructon and hereby authorize representatives of thsdlylo enter upon theabove-menloned property Prr8700 ,..y % k.,., f«inspection purposes. ' r•k S VEN MICHAEL I I l�9 ///s/g7 • ht„,0 m I `t Signature of OwnertAgenVAppid« cant(Contra - Or (5151de.WP) White-Building A Safely:Green-Ale;Canary-Appicant:Pink-Revenue;Goldenrod-Assessor , CONSTRUCTION AND PLANNING L& SPA • - ti1PPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector l 1. Temporary Electrical Service or Pole -- 52. Pool & Equipment Location. it r .. ' 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' I ''r; j 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1 t 'i , 4,. 'Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I t 6: Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE -7. Footings ' 58. Electrical Conduit-Undrgrnd. c 8. Foundation I 59. Gas Pipe, 0 Undrgrnd.,Test . 9. Water Pipe-Undrgrnd. id. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 105;Structural Floor System LI I 61. APPROVAL TO DECK /' 11-; Property Sewer Line & House Connection- r ,j 62. Backwash & Receptor-Final, 12! Sewer Cap 63. Heater & Vent-Final / 1 13. 'Roof Drains ' I 64. Plumbing System - Final i i • 14:Rough Plumbing , . 65. Electrical-Final j • 15:'Rough Electrical-Conduit - I1 66. Solar System-Final •1- %i 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING r 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning 9 9 y FIRE DEPT.REQUIREMENT 20.rRough Facto.ry. Fireplace ; r APPROVALS ;- Permit # ' 21. Ducts, in Structure • •• + . _ : _ 70. Underground Hydro . 22. Ducts., Ventilating' _ 71. Product:Piping bGas OOil 23. Gas Pipe-Rough & Test - -" - 72. Underground Flush 24.-Roof Framing' ' _ 'F' ...' : 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 1 74. Overhead Hydro 26. T-Bat Ceiling (Structural) &Menbcoat ' - 76. Dry Chemical 27. Frame and Flashing. 76. Dry Standpipe • 28. Lathing & Siding. `r . . ' - • •• 77.. FIXED SYSTEM FINAL 29. Insulation - -• • 78. FIRE PREV. FINAL 30. Drywall Nailing :: i HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat. -• - t: - 79. FINAL INSPECTION fan , 32. Electrical Power Mefei-Final , - -. ; -- 80: FOOD CERTIFICATE ISSUED 33. Final Electric ,.., i f Notes: 9,l Z -lc - Corzn / - ZT TD+{_ - 34. Final Heating& AirConditioning- - + ' i1 t7-(z -�'� : Prete r/Az 'i . 35. Final Gas Pipe-Test . /n. - . qtr _ 36. Hood:or Canopy ; - ' •- _ 37. Final'Factory Fireplace - • r - . ' - 38. Final:Plumbing - : ' ' ' 39. Water Service-Final'. .- 40. Gas Service-Final .1- r • 41. Solar Domestic-Final :- _, t _ 42. Backflow Preventer T t - - 43. Backflow Irriigation.. , C 44. Landscape Irrigation System: , ' • • 45. Sound Attenuation' ,, • s , • - ' 46. Handicap Regulations t„,, - + n 47. FINAL STRUCTURE & BUILDING 2 ; , 48. FINAL PLANNING. • • • - r' 49. Electric Release to Edison 4 / - • 50. Gas Release- to Southern California Gas Co T - 51. CERTIFICATE OF OCCUPANCY • No. Date -/--- O4Tq S. - 40S CITY OF COSTA MESA }r BUILDING DIVISION i ERMIT NUMBER i; DEVELOPMENT SERVICES DEPARTMENT °' PERMIT BOO-00847 M1`Oq'ONOrf ,,' (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 248 E 19TH ST Status: ISSUED Suite: Applied: 06/09/2000 Vicinity: SECOND FLOOR ADDITION Issued: 07/24/2000 Parcel Number: 42627114 Zoning: Applicant: MICHAEL, STEVEN ISSUED BY: Address: ��/// Phone: 949-642-8393 Zip: Owner MICHAEL, STEVEN J Address 248 E 19TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch : Eng: DESA STRUCTURAL • Address: Address: 2 SALTAIRE DR Phone: Phone: (949)887-9500 LAGUNA NIGUEL,CA Zip: License: 92677 License: SCOPE OF PERMIT 2,070 SF 2ND FL ADDITION AND 630 SF ENCLOSED DRIVEWAY UNDER THE ADDITION.AND 192 SF FRONT COVERED PATIO.3 BEDROOMS,2 BATHROOMS AND AN OFFICE.. FEE SUMMARY Plan Check: $977.18 Calc Valuation: $190,235.64 Permit: $1,503.35 Claim Valuation: $0.00 SMIP Res: $19.02 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,499.55 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0.0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. / INSPECTIONS: In order 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 approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit./ FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS " �:. • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: i (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CD/IL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,asner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions e:The contracto License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) (cense pursuant t Contractors License Laws.). I am exemptecr„ow Business and Professions Code for this reason: Signature: Date: 2 yfr0 Owner ID veri led by drivers license. 0 Yes 0 No Driver's License No. ? Expires: WD$700 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec, 341,Title 8,California Administrative 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 above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit 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 material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the 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 to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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 hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). 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. Signature: Date: CERTIFICATE OF COMP • CE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to c.5,•^t"w' . all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described y -- i. n agree not to occupy or allow occupancy of any building authorized by this ermit until final inspection. iG� / Signature Of Legal• ner(s) Date And/Or Authorized Applicant Date CODE 4 INSPECTION TYPE O_!TE INRTiL$ CODE( INSPECTION TYPE pATg INTITUL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 4.103 204 Final Demolition 250 Final Building/Occupancy 1/6 4''03 2446-46 `05Ta MFS . �9 . CITY OF COSTA MESA ri' ^a` BUILDING DIVISION PE IT NUMBER DEVELOPMENT SERVICES DEPARTMENT ' •'' PERMIT M00-00296 (714)754-5273 • Fax(714)754-4856 • 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 248 E 19TH ST Status: ISSUED Suite No Applied: 07/24/2000 Issued: 07/24/2000 Vicinity: Parcel Number: 42627114 ISSUED BY: Applicant: MICHAEL, STEVEN J Address: 248 E 19TH ST Phone: 949-642-8393 COSTA MESA,CA Zip: 92627 Owner. MICHAEL, STEVEN J Address: 248 E 19TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch/Eng: Address: • Phone: Zip: • License: • SCOPE OF'PERMIT ADD 2070 SF 2ND STORY ADDITION,REF B00-00847. 2 FAU, 1 GAS PIPING,3 VENTS,. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $29.60 2 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst I Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $6.15 1 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $21.75 3 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $81.00 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all le required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)7545626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: • Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.N Class it Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Soc.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions ode: The contractor„, en - Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant b e�ctors License Laws.). 6. I am exempt - :- _ Business and Professions Code for this reason: Signature: 0" Date: 7 1 2'�/D O Owner ID verified by drivers license. L1 Yes 0 No Drivers License No. Expires: 205/170 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,end that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative 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 above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit 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 material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Calif omia 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 to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes El No (Section 25534 of the California Health and Safety Code provides that the 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 hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this.application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? p Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with at state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF CO ,-LIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree tall state laws and cit ces relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describ:..•! re �..4•<i•n. .•+ : . not to occupy or allow occupancy of any building authorize by this ermit until final inspection, Signature Of Legal Owner(s) Date ArberSalittesieraildlaplint __aDL-- 9,00E A INSPECTION TYPE PATE EMUS CODE A INSPECTION TYPE r� PEE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 13-i S-nzY� 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 +l CITY OF COSTA MESA '-� a , BUILDING DIVISION PERMIT NUMBER f I ' DEVELOPMENT SERVICES DEPARTMENT. v PERMIT Stbmalso.4. . P00-00404 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 248 E 19TH ST Status: ISSUED Suite No Applied: 07/24/2000 Issued: 07/24/2000 Vicinity: 1/4...... ISSUED BY: Parcel Nunmber: 42627114 • Applicant: MICHAEL, STEVEN J Address: 248 E 19TH ST _ Phone: 949-642-8393 �- COSTA MESA,CA Zip: 92627 Owner: " MICHAEL, STEVEN J Address 248E 19TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch I Eng:- ' Address: Phone: Zip'- --- , • - License: SCOPE OF PERMIT ADD 2070 SF 2ND STORY ADDITION,REF B00-00847. - . 2 BATHTUBS, 1 GAS UP TO 4 OUTLETS.2 SHOWERS,2 WASH BASINS,2 TOILETS AND 1 WATER HEATER.AND 1 LAUNDRY TUB. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $9.80 1 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $19.60 2 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 Dental Units $0.00 0 Septic Tank - $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $19.60 2 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(Toilet) $19.60 2 Drain,Roof $0.00 0 Shower - $19.60 -2 Water Heater/vent $12.30 1 Drinking Fountain ' $0.00 0 Sink,bar $0.00- 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $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(1-4 outlets) $6.15 1 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 ' - - TOTAL CALCULATED FEES: $130.15 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 / DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of tho following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number ere: . Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars(5100)or less.) ❑ I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARMNG:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE($106,006),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class 4 Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions e: The contractors ense Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) icense pursuant to nt rs License Laws.). I am exempt uq Business and Professions Code for this reason: Signature: pires: 2 oS 0 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permlt;and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative 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 above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the Califomia 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 to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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 hazardous materials with the Fire Department. 4 II an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes-,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes•,attach certificate of compliance from the appropriate air pollution control officer). 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. Signature: Date: CERTIFICATE OF COMP •' E AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to • •y wit e I: . :nd city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-desc••rr•.- .,- iAER1+�? .: •,.,-.p gree not to occupyor allow occupancy of anybuildingauthanz bythispermit until final inspection. �• -� P LY Pec Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE t IKSPECTI06TYPE PATE ff4TRIALE gOOL! INSPECTION TYPE PAIL MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 1.2-1B-09‘ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 4446.46 51pMh _ - 9 Lp44:. CITY OF COSTA MESA BUILDING DIVISION r i i' �`: JEoo-oo7l ERMIT NUMBER z• DEVELOPMENT SERVICES DEPARTMENT 2 yCO°Poeart°`' PERMIT (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 248 E 19TH ST Status: ISSUED Suite No Applied: 07/24/2000 Vicinity: Issued: 07/24/2000 Parcel Nunmber: 42627114 ^ ' Applicant MICHAEL, STEVEN J ISSUED BY: �'//t/ Address: 248 E 19TH ST V�' Phone: 949-642-8393 COSTA MESA,CA Zip: 92627 Owner: MICHAEL, STEVEN J Address 248E 19TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor: ' Address: Phone: - . ' .. Zip: • License: SCOPE OF PERMIT ADD 2070 SF 2ND STORY ADDITION, REF B00-00847. 40 LIGHTS,30 OUTLETS, 10 SWITCHES,2 SUBPANELS,3 MOTORS UP TO 1 HP. 2 FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $34.60 40 up to 50 kva/kw $0.00 0 Recept Outlets $27.30 30 up to 100 kva/kw $0.00 0 Switches $11.00 10 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $14.25 3 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $61.00 2 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $171.65 Intermed Pole $0.00 0 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order 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 approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5628 /-- --- /---- DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued My workers'compensation Insurance carder and policy number are: Carrier: • Policy Number: (This section need not be completed if the permit s valued at one hundred dollars(SI 00)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(s100,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.tic.a Class a Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors UI ..e Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to �actors License Laws.). ❑ I am exempt un. Business and Professions Code for this reason: Signature: / l� Date: 7(z• i/0 Owner ID verifi by drivers license. 7 Yes 0 No Drivers License No. Expires: Z t/ G ) Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,The 8,California Administrative 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 above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit 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 material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the 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 to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Coda provides that the 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 hazardous materials with the Fire Department. - 4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes%the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cade). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). 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. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comp Ir all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described .: on purposes.I agree not to occupy or allow occupancy of any building authorized bythls milt until final Inspection. 7(2Y 00 Signature Of Legal Owner(s) I Date And/Or Authorized Applicant Date CODE r INSPECTIONTYPE RdIE MUSS POPE# JNSPECTON TYPE PEE INRRALS5 1616 Fixed System Final Fire Prevention 206 Final Mechanical _ 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 / 9 _ 1111110wk OPIG 248 E 19TH ST LINT: CITY OF COSTA MESA — BUILDING PERMIT e9se- MICHAEL STEVEN J PERM NO: B 072832 +E='' 248 E 15TH ST .. • - trOSTA MESA,CA 92627 PERMIT NO: B 072832 PLAN CHECK NO: 01413-95 L GOVT: N SUPP: N 642-8393 APR..IlMUNGADDRESL CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW ARCNRECTORENtaREER: STEVE AHUNA UCNO: C34264 JOB DESCRIPTION : 1056SF DETACHED WORKSHOP SQ FT: 1 , 056 ARCILOREND:SADDRESS: 25101 VIA PORTOLA MT: LAGUNA NIGUEL CA 92677 CLAIM VALUE: 15, 000 . 00 CALC—VALUE: 19, 641 . 60 GROUP OCC: B-2 / CONTRACTORS NAME: CQNRACTORSMM18IO COMMENTS : NEW DETACHED WORKSHOP ADDRESS: LAC NO.: ****************141E***********************************************181E************ Wit ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 0 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license a in lull force and effect. Cm UC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: 25 FT 9 IN REAR: 10 FT 3 IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: 5 FT 9 IN RGHT: 5 FT 3 IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I an exempt from the Contractors License Law for the ninonCity PARKING REQ: 1 PROV: 1 PARCEL: 42627114' ZNE: R1 REF NO: LUR READ demolish.a repo any stridors,prior a a issuance.also requires the appkcant for such permit Se a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencig with Section 7000)of Division 3 of the PLANNING NOTES> . 1 , 056 SF, 1—STORY ( 11 ' HIGH) ACCESSORY STRUCTURE (PROP , WORK Business and Professions Code]or that he or she s exempt therefrom end thebam f«the alleged exempton.AoyvnWonof Section >„ SHOP, BATH, FUTURE 700SF GARAGE) BEHIND SFD , LUR RECORDED . 7031.5 by any applicant for epermit subjects the applicant loss Civil penalty of not more than fine hundred collets R5000. ******************************************************************************* §] I.esowerdthepropertyormyemlioreeewithwagesmlheieolecompensaion,willdothework,endtheetnatureisnointended DEVELOPMENT SERVICES R E /•y U I R E M E N T S or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to en ownerof properly M who bunds or improves thereon,and coda does such work himself or heraell or through he or her own employees,provided that such / /�' imprwemeas are net"ended a d0.red let fad”U, Behowever,the building or improvement is cold within aa d co Pim yempletion,Ne ZONING APPROVED BY 0d DATE: 6—'6---95- ownsnbuAler wolf have the burden of proving he or she did not build or improve for the purpose of sate). ❑ I.m«wsrdthemperry.amexduaveycomrmigwnhiwnsedmmracmnlownNWthepmed(Segon7D44,Buinesead BUILDING APPROVED BY : k"A DATE: L,—'(LS 9r Professions Code:The Contractors License Law does not apply to an owner of property who builds or impwes thereon end who contracts for such projects with a contrador(s)licensed pursuant to the Contract s License Lew). ❑ I am exempt under Section: • . B.SP.C.,MNiereeri , APPLICATION ISSUED BY: U DATE: _/ *********************************************** * *************** * Dat.: (p•IS•S1S LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby cantly That I am aware of and understand the requirements of Callomia Health and Safety Cods Sections 25505.girt.and 25534,and that I o any Mure building occupant win/w8 not(circle aa)need to comply wih said state Bodes and the requirements for a permit for construction or modification from the Ar Management Magement District.Residential construction applications we exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 207 . 00 1 . 96 Date: Applicant: • PLAN 134 . 55 SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under peraey of perjury one attire following dedeatons: ISSUE FEE o Ihweand will maintain acertificate ofconsent loself-insure for workers'compensation,mprovdf ideobSection 3700 of the Labor BUILDING PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Cole.1«Ihewdamaceofdawoxf«wichlhmpemnlswad. TOTALS----> 208 . 96 0 . 00 134 . 55 343 . 51 343 . 51 . 00 O I have end will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the __ work for which lbs permit is issued.My waken'compensation Insurance carrier end policy number me: Cada: REVENUE DIVISION TOTALS--> COLLECTED : 208 . 96 OVER/SHOAT: 00 PdicyNumber: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sswan neve no be competed 1 the perm/is for one hundred dollars(5100)or fees./ 207 . 00 1 . 96 IXI certify that in the performance of the work for which this permit I.issued,I Nell not employ any person in any meaner eo as to become subject to the workers'compensation laws of Celfomia, and aglps OW it I should become subject to the workers' ******************************************************************************* compensation-/n petitionsns d Section 3700 of the Labor Code,I NBA fon m Bas pmvieiaa. INDIVIDUAL F E E BREAKDOWN Dae: 6 S 475 Wean' Warning:Failure to secure womera'eomllerSSdOn coverage Is undWNl,and'Mall subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines to to one hundred thousand dollars f$100.000A in addition to the cwt of compensation,damages as provided for In Section 3706 of the Labor cos,,Interest,and atfomey'a fess. SFR 1056 RES—GARAGES TYPE V 18 . 60 19, 641 . 60 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES rm perfoance d the workissued for which this permit is (Section 3007,Civ.C). LENDER'S NAME: w ��{at�� -, LENDER'S ADDRESS: i4Fa trat erE NO 7;%1 ( _ • I certify that I have read this application and date Ihat the above information is correct.I agree to comply with all city end county ordinances aORRII LL�`�Y� C r 'is - " and state laws relating to buitdig construction and hereby authorize representatives of this city to enter upon the above.mentioned properly , fa pedion purposes. ��p s 1 1�.__.--.:.J. �... . i ) di/IC Air �1N�� 11 I i vi .lJ i� '.4 s.r�4/ ., i / Pmt, . Date: o ( e Signature of Oaar/AgenVApp4anUContreda (/�� l.46.wP) While-Budding 8 Sanely:Green-File:Ce coy-Applcaa:Pink-Revenue:Goldenrod-Asseev • . 1: i �TRUCTION AND PLANNING PuOL & SPA- 1411 " ts' 1/1 OVALS Permit# Date Inspector APPROVALS Permit # Date .:Ins��-_. I, Temporary Electrical Service or Pole 27 52. Pool & Equipment Location' I 1 2rSoil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms ' 4. Electrical Conduit-Undrgrnd. _ ,.GIG /.,- -� 55. Electrical Bonding 5. Steel Reinforcement - 2-.-12.-4/5- fL‘(*.y 56. Rough Plumbing & Pressure Test 6: Electrical LIFER Grnd, 7-1/2-cteiawit 57. APPROVAL TO COVE R-GUNITE _ I 7: Footings - 7-/.2.--15--- 4t 4 58. Electrical Conduit-Undrgrnd. :i8, Foundation 5 rib Pre7 /2....15-64._k 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. Y,/ 60. Backwash Lines,P-Trap, 0iL{iidrgrnd. 10. Structural Floor System °jr; 61. APPROVAL TO DECK ij•', 11. Property Sewer Line & House Connection .' : 62, Backwash & Receptor-Final ,--- 12. Sewer Cap • 63. Heater & Vent-Final 13, Roof Drains '_ 64. Plumbing System - Final Ii 14. Rough Plumbing65. Electrical-Final 15. Rough Electrical-Conduit /I 66. Solar System-Final I'` •? I :`I 16. Rough Electric Wiring 67. Fencing & Access Approval ' I . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL I 19.,Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.,Rough Factory Fireplace ` i , APPROVALS Permit# . - 21. Ducts,in Structure;• •• - * - _ 70..'Undergr'ound Hydro I 22. Ducts, Ventilating • 71. Product Piping OGas 0 Oil 23. Gas Pipe-Rough & Test • • '• 72• . Underground Flush • • 24. Roof Framing "` , - . ,- - 73. Undergrnd.Storage Tank 0 Gas 0 Oil C 25. Roof Sheathing - • 7 16-0-all 6.4 74. Overhead Hydro , a L: 26. T-Bar Ceiling (Structural) & Monocoat .= , 75.,bry Chemical 27. Frame and Flashing. 2-'�7-15 6 i 76. Dry Standpipe;.. - M 28. Lathing& Siding - - .. ' 77. FIXED SYSTEM FINAL - 4 29. Insulation - •• ' 78; FIRE PREY. FINAL - • C/ 30. Drywall Nailing : ; -- „HEALTH DEPT. REQUIREMENT f• 31. Plaster Brown Coat ♦ ._ ' - . • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 801. FOOD CERTIFICATE ISSUED 33.Final Electric 1 - - - Notes: - • 34. Final Heating& Air Conditioning' 3.5.'Final Gas Pipe-Test 36-.,,Hood or Canopy r - - ' 37. iRinal:Factory Fireplace ,- . 1 . • 38. Final Plumbing ' ' , 39. Water Service-Final -- _ 40. Gas Service-Final . - . 41. Solar Domestic-Final • ',+ . 42. Backflow Preventer - . r 43. Backflow Irrigation, -. . . r 44. Landscape Irrigation System _ " • 'T' ^ ' u : - - ♦ at S - P T _ -45. Sound Attenuation • , - - • . - • • •46. Handicap.Regulations • - /.-1 47. FINAL STRUCTURE & BUILDING , .. - I di t- 48.•FINAL PLANNING' '' 49. Electric Release to Edison v 50. Gas Release to Southern CaliforniaGas Co - - • 51. CERTIFICATE OF OCCUPANCY • • No. Date I (41 eivgv ' ma 248 E 19TH ST WIT: CITY OF COSTA MESA — BUILDING PERMIT 2) MICHAEL STEVEN J PERM NO: E 072833 s 48 E 13TH ST COSTA MESA, CA 92627 PERMIT NO: E 072833 PLAN CHECK NO: N GOVT: N SUPP: N 642-8393 APDL.MARINO MORES& CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW urcHOECTOREJCIEER. STEVE AHUNA Is 140., C34264 JOB DESCRIPTION : 1056SF DETACHED WORKSHOP SQ FT: ARMOR Etas ADDRESS: 25101 VIA PORTOLA WIT: LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 / CONTRACTarS NAME: cpiTRACTOAS IMMO COMMENTS: NEW DETACHED WORKSHOP ADDRESS: AIC.NO, ******************************************************************************* Wet ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ern under penally of Prpmy that I am bossed under Irevinone d Chanter a SETH ACK S (commencing with Section 1000)of Division 3 of the Business and Professions Code,end my kens is in IW forte end effect CRY UC.NO.: MC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale COnrador` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby afinn under penally of peiaay that 1 an mama ham the Contractors License law for the reason PARKING REQ; PROV: PARCEL: 42627114 ZNE: REF NO: demolish, t* or repany its:lure_Mia to its Soma.also requires the askant for such par*to Me a signed statement the he or she 0 is licensed pursuant to the prowsas d the Camradors License Law(Chapter a(mnunena ig with Section 7000)d Dieaio,3 of the PLANNING NOTES> Business and Professions Code)or that he a she is eaemp thoracic end the bears for the alleged erampbh.Ary notation d Section > 7031.5 by any applicant for a permit subjects the apWsnl to a Si penally of w more than rye hundred dolls 550O)). ******************************************************************************* c � 7�employees h wages as'ad sole bm »aon the'oao "rt DEVELOPMENT SERVICES REQUIREMENTSa �ale( BusinessandPProf Cade: eCCca oiwLwmmnaa tanwn«droowm who builds a inprose,thereon,and who does such work Swett a hent or through his a her own employees.Provided that such improvements are ltd intended or offered la sale.If,hewn,the budding a anpeenw is sold within one year of completion,Ihe ZONING APPROVED BY DATE: ownerbuilder willburden d have the proving he or she did w bald a improve to the purposed sale). ❑ I.as owner of the proge y.am exclusively tontrwig with Sensed contractors to construct the pealed(Section 7044,Business and Professions Code:The Comrww License Law does m apply 10 an Owner el propetywho builds a improves thereon and who BUILDING APPROVED BY : DATE: concrete for such projects with a oaarada(s)fawned pursuant to the Contractors License Law). ❑ Iamesmpunder Swion: B.IP.C.,for this ray APPLICATION ISSUED BY: , DATE: Deter. (av Ic -9S Owner / ***********************************************MIT * +i:********** ** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT : N I do hereby certify that I an swam of and understand the requirements of California Health end Safety Code Sorbs 25505,25533,and 25534,and that I a any future building occupant will I all not(cele os)need Io amply with said pate codes and the requirements for aposh for rnnswctiahaowdiraianmmNeAiIMParagemermDistrict wedwis)construction apPlealbeaee:ernpfrom Meee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 48 . 50 Date: Appraant: S0% SMI P/NON—RES WORKER'S COMPENSATION DECLARATION: by Stem tadPenal'Ped Perla?Perla? re d toa' pthe lobambiances,datba: PLAN awn* ISSUE FEE 15. 00 o I laveCode.and LameimanaccMsatadcoseraioeelaeralsued. ampaWion,aprovided taby ion 3700dIMLabor BUILD ING—DIv_> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.la the performance d the work for south this peen*a issued. o Ihave and wiimaimanwodw'prnprwamninsurance,aaguiredbySwion3700dd»Labor Code,for the pedamanceofthe TOTALS ---> 48 . 50 15 . 00 0 . 00 63 . 50 63 . 50 . 00 work for which the permit is Sued.My waken'compensation insurance aver and policy number ate: Carver: REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sedion reed no be completed I de panic is hr one tended dar.lsla01 arWO 63 . 50 . I cemiy that N the performance d the wank for which this permit is Sued.I dud not employ any pass in arty owes so es to tater*wlbisd to Me wwlrn'comcesuion laws d/ Csilomis.end irse Na 'i i *mid betas"Sett to the workers' ******************************************************************************* compensation Praehoadw Section d the Labor Code,I shell fn 3700 dNwa rovrsbne. INDIVIDUAL F E E BREAKDOWN ---- ch": e; '�? t /gC____ Applicant: Warning:Fallon a+«ure worker compensation coverage a unlawful.and shelf aepel an employer to Cmdnelperultise end TYPE QTY D E S C R I P T I OtN UNIT COST TOTAL COST civil Ores up to one hundred thousand cldbn(5IXODPA on addition to to cool ofconarssaffon,armies as Provided for In Soudan 37aofds LaborCock Interest end aromw feet ELE 15 FIXTURES LIGHTING 1 ST 20 EA. . 75 11 . 25 1, CONSTRUCTION LENDING AGENCY: Hereby efern under penalty d perjury that thea S a amarwion ending agency forte ELE 20 REC EPT/OUTLET 1 ST 20 EA. . 75 15 . 0 0 performance dthe"° for which thisPt""ieissued(Staten 3og'Civ.`)' ELE 15 RECEPT/SWITC 1 ST 20 EA. . 75 11 . 25 LENDER'S NAME: ELE 1 SUB—PANEL 11 . 00 11 . 00 LENDER'S ADDRESS: END OF FEES I tarty the I have reed NS eppfiathe end dee that above information S cones,I spree to comply with all city and county an peSordinces ^ endstwe relatinglg a to gd: mwwanend hereby authorize representative;of this oto enterm city theabove-menabove-menabove-mentioned properly fn 3 Ler ND7 ' 1 / la inspection purposes. MICHAEL Prom Nemo 1611S (IS) 9 '_ ) Date: l J f-v_ •._[ •).'. .�,..� i.,...- Signature 0/Ownedgentappocani Caai ea //�////��y�� DATE: u'6/15.'5.h LIFE: 1.2::: (St St<8 WP) WMe-Buldig&Seen':Green-Flt:Canary-Appkenl:Pink-Revenue;Goldenrod-Assessor . V • !II. STRUCTION AND PLANNING POOL & SPA I OVALS Permit # Date Inspector• I Date Inspector 1I APPROVALS Permit # ;/ porary Electrical Service or Pole 52. Pool & Equipment Location, r Pipe-Undrgrnd. ' 53. Steel Reinforcement , 1 /1 3. Electrical Conduit Utility-Undrgrnd. / 54. Forms t .4. Electrical,Conduit-Undrgrnd. 55. Electrical Bonding • './ I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i 6: Electrical OF ER Grnd. 57. APPROVAL TO COVER•GUNITE • 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation ,, 59. Gas Pipe, 0 Undrgrnd., Test, 9. Water Pipe-Undrgrnd. 'V 60. Backwash Lines, P•Trap, 0 l ndrgrnd. 10. Structural Floor System 7 LLI Si61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' I 62. Backwash & Receptor•Ficiai 12. Sewer Cap " (i 63. Heater & Vent-Final A 13. Roof Drains 64. Plumbing System - Final Iji 14. Rough Plumbing 1 65. Electrical-Final �. 15. Rough Electrical-Conduit ;/1 66. Solar System-Final 16. Rough Electric Wiring I 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING A 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning r, FIRE,DEPT.REQUIREMENT . 20. Rough Factory Fireplace - . - APPROVALS_,. Permit # 21. Ducts, in Structure ' ` • - 70. ,Underground Hydro 22. Ducts, Ventilating ' .- 71. Product Piping 0-Gas OOil 23. Gas Pipe-Rough & Test '*'. : r - : - 72. Underground Flush 24, Roof Framing ' , ' , • t 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing '- • •' - • 74: Overhead Hydro + 26. T-Bar Ceiling (Strui t lral) & Monocoat ' • 75. Dry Chemical t - - 27. Frame and Flashing k - 'a "/ , 76. Dry Standpipe• _ . r • 28. Lathing& Sidingit0 77. FIXED,SYSTEM FINAL 29. Insulation 78: FIRE PREV. FINAL - i 30. Drywall Nailing , HEALTH DEPT:REQUIREME 31. Plaster Brown Coal - . • 79. FINAL INSPECTION /'� /1j 32. Electrical Power Meter-Final t 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ Notes: 4-r l c) 6 - € ( 34. Final Heating & Air Conditioning L _. - • / � r 35. 'Final'Gas Pipe-Test , . . - 36. Hood or Franony k - r . 37. Final Factory Fireplace - . . t , • 38. Final Plumbing ' "• - , ' 39. Water'Service-Final , : • • 40. Gas Service-Final 41. Solar Domestic-Final • r .-. - 42. Backflow Preventer I - - ' 1 43. Backflow Irrigation - , ` r • 44. Landscape Irrigation System • :.I, :-" <' _ - 45. Sound Attenuation . '..�. r , 46. Handicap Regulations ' - 'x - . M1I , 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING• r' . 49. Electric Release to Edison a - - 50. Gas Release to Southern California Gas Co L N.- . 51. CERTIFICATE OF OCCUPANCY - r s No. Date " ING D : 248 E 19TH ST WIT: CITY OF COSTA MESA — BUILDING PERMIT ev� dos ?3 : MICHAEL STEVEN J PERM NO: E 076940 • 248 E 15TH ST Z:OSTA MESA, CA 92627 PERMIT NO: E 076940 PLAN CHECK NO: N GOVT: N SUPP: Y 642-8393 ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW ..TORENaNEEft STEVE AHUNA uc,ND, C34264 JOB DESCRIPTION : SUPPLEMENTAL TO E-72833 SQ FT: ,iRENG.im:gEss: 25101 VIA PORTOLA UNIT: LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALC—VALUE: GROUP OCC: B / CONTRACTORS NATE: COMMENTS : NEW DETACHED WORKSHOP, REF: B-72832 CONTRACTORUN S MM0 ******************************************************************************* ADDRESS: UCJlO ZONING R E Q U I R E M E N T S orUMT: S E T B A C K S LICENSED CONTRACTORS DECLARATION:I hereby affirm der penalty d(commencing with perjury that I en rased under provisions d CChapter9 , (commencing Section 2003)d d th Division 3 e Business and Professions Code.and my Ikons,is In full force and effect. CC.LIC.No.: LIC.CLASS: ue.No.: EXP : MAIN BUILDING --- ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: contsctor, LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby afinn under pe sly d perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Busies/and Professions cede:Any ray or panty wtich require.a Penne to(1St.env,MMus. PARKING REQ: P RO V: PARCEL : 42627114 NE: REF NO: demolish.or repo any structure,prior to d issuance,also requires the epplkent for such perm.to file a signed saernenl that he/she PLANNING NOTES> is licensed pursuant to the provisions of the Contractor*License Law[Chapter B(commendrp with Section 7000)of Drmion 3 of the > Business and Professions Code[or that he or she is exempt therefrom and the bas's for the alleged exemption.My violation d Section T031.5 by any applicant for a permit subjects the applicant los dM penalty of not more than/be hundred dollars 135001). *****************************************************************************141E •f I.as owner of the properly Or MY emPlorsee With wages as tlwi sole compensation,will do the work and thestrUCtUre is not Wended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors wn License Law does not apply to an Omer of property who holds or improves thereon. nN and who does such wcte lensed or hea through his or her own employees,provided that such improvements we not intended pr Oared for sale.I.however,the building or inroement is sold within one yearol completion,the ZONING APPROVED BY DATE: ownr-0oddr will have the burden of proving he ot ate did not bell or improve for the prrpcea d see). ❑ I,as owner dthe rapeaty.ern exdu:.wamedig with licensed contractors tocomma the poled(Soden 7044.Busienend BUILDING APPROVED BY : DATE: Professions Coda:The Contractor.Lcanse Law does not apply to an owner or property who bald.or improves thereon and who =tracts for such projects with a contractor(s)Tamed pursuant to the Contraction License Law). APPLICATION ISSUED B Y: DATE: ❑ Lem exempt under$ptdpn B.B P. lar tiv ***********************333***3***3***31E ePXiF iM iF1EiE1Ei4#i414141E1fiE1EeE1E1EfE3E1E1E1E*** 1E1E hma 3 �7 '�G owme; LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT:N ereby candy that I em aware d and Understand tit requirements d Callomia Health and Safety Code Sectfona 25505,25533,and one) and building occupantwill BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification from tit A'cothty mugenent District.Residential construction applicationsare menet from these PERMIT 18 . 50 provisions' S0% SM I P/NON—RES Dorm Applicant: PLAN WORKER'S COMPENSATION DECLARATION:I hereby a.m under penally of=jury one d the following dedrmiae: ISSUE FEE 4 . 50 ❑ Ihave and wilmantaMacertificate dcontent tofl ya.lorwork.:compen.m„n,sProvidedfobyld Sect 3703 ed BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for theperformance orthewonforwhichlhisPeneiissued. TOTALS----> 18 . 50 4 . 50 0. 00 23 . 00 23 . 00 . 00 ❑ I have and will=Mail workers'compensation maraca,an required by Section 3203 of the Labor Code.for the performance of the work for which tni'p°rmit la issued.My wak«.'mnrowati°"i"aan insurance cares, policy number e' REVENUE DIVISION TOTALS--> COLLECTED: 23 . 00 OVER/SHORT: . 00 Canter: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK Poky Number: (This section need nor be aa,pmad e'the semi is tor one hundred dollen 131001 er km/ 23 . 00 ❑ Icandy that in the pedarnance of the workdor which this permit is Issued,I shorn not employ an Person Many manner so as to ******************************************************************************* become subject to ths=ken' rm that if I shouM become compensation provisions d Sedgy 3100 d tit de Lakbor Co .I shall Iotthwipensation laws of California, and thh amply with those provisions.subject to the workers' IND IV IDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage/a unlawful.and shall reject an employer to onmrselpenalties and TYPE QTY D E' S C R I P T I O N UNIT COST TOTAL COST civil fines u to one hundred thousand donna 0100.000A In addition to the cost of contpenaabn damages as provided lar In Intoner,and ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 3706 of the Labor Code Ira CONSTRUCTION LENDING AGENCY:I hereby Slim under smokeof perjury the there leagency a constndion landing for theEND OF FEES performance of the work for Midi this Penn)Y issued(/Min 3397,CN.C). LENDER'S NAME: /� LENDER'S ADDRESS: /' Tt PJ Q 11 I certify that I have read Ibis application and state that the above information S correct.I agree to comply with all city end county ordinances {- I 1 I S te, x and state laws rearing to Wilding construction and hereby authorize represents/ryesd tiro city to enter upon the above'menhned moony1 -• forinspodianpa°°'°s. STEVEN MICHAEL '1 cu. ry Primchar ' 'qv-` = - t Date:3•z7 'a!G Sgnsture merl ra/App (5151<B.WP) White-Suikisg 8 Safety:Green-Rio;Ca ary-Appicem:Pink-Revenue Goldenrod-Assaaar ON AND PLANNING f '-y f,UL & SPA S Permit# Date Inspector_ APPROVALS Permit# Date Inspector . porary Electrical Service or Pole •• 52. Pool & Equipment Location r, Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ,r 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . / 62. Backwash& Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15, Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric R�+B kine ,�j .votes: 34, Final Heating & Air Conditioning �U{�' 35. Final Gas Pipe-Test - 36. Hood or Canopy ' • 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date • 2431 CITY CESTA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT CIT:::: Z s 1965 P.O.BOH 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPLIC;, ON FO$ P. ; R TYPE OR PRINT .19I4.b. IY�J L. _^/ ./ n„ Ou;.�-. _ 2;1. BUILDING/N 1'Q /.� `7� /IJ ADDRE8g A� J /� RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 2.1. 90 T � ['�/ RECEI BY /DAT/q RECEI ED`` TB IBS ED OWNER G LduNdcJy Nr en 4'1,6/6�J 7t (Cc MAIL l' BUILDING ..0 G' I ,)� ADDRESS/ ' •- ---///,12. Q �f ADDRESS i' r r. CITYC o5 h.4. /II ctG l NO .74U-•jeoiI ZONE 3. FIRE GROUR-1. ARCHITECT TEL. APPROVED DATE ^I{�J-GS OR ENGINEER NO. ZONING 4-41-4� � ��"��/� ADDRESS ZONE RI HO OP USE OF NEW �•��a1��.w Il /, r.ONS( . I PLANS G� I BUILDING ,�J ez..0 t l CONTRACT�O✓R Ilc:it/ley /1. / O /c J �/ ,tip( `1 U .(/•� 11 ADDRESS JI2I u/GYf^t�><•��6�� N��C! DEII7AC5ROIPTIION�i77�v(/�� 0/ -73, k ,I+. A.P.NO. // V + O / / // CITY ..77 (� /,' __ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO,J.�s-si l7 TEL,u! 7 21 � ) 90'TO SIDE a REAR P.L EAVES OF LOT ��(/� las-, I NO.OF NOW ON LOTS / ALLOWED (U.B.C.REQUIREMENT) USE OF 1 YARDS APPROVED YARDS APPROVED \C_l EXISTING BLDG. . ',1 k ti/1/7/11\/ 7(-70:_s, MAIN BUILDING ACCESSORY BUILDING f (FROM C/LL B�T'RH TI /J SETBACK LINE FROM - FRONT OZZ/ Y ' FT. \ CENTER OF STREET REAR YARD FT. 7 F ``\ R.HID � SIDE YARD LEFT RIGHT E, T. DESCRIPTION OF WORK L.SIDED'./�/� FT. FT. C " IlNEW _ ALTERATION I ADDITION, X REAR ✓ FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS. BUILDING /G NO.OF / VAR.# DATE SIZE ROOMS i fSrTORIES C.U.P.#�/ n APPROVED / r / EXTERIOR COVER NGWALL/. .S/O,�I COVERING ROOF (YI IS-p BY7V(j Y : !t1 .,7 DATE �s? USE O awl-nine AND WOR TO BE PER`F'ORM/gD"� I li' / A c(J R-0 0 /i! �GcN ,92-i �f 0 44Dt 10 /-aS / r 4/ / (U 60.FT. �1�./ A0.44-- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. C PLY WITH ALL CITY ORDINANCES AN TT LAWS REGULATING VALUATION M .�p BUILDING CONBTRU N. C� 5 /2 N /L71 PERMIT FEE � SI G NATO RE OPL PERMITTEE ! ` / _-Z »,"'C"_---'77!//////// S DC 7-9 PLAN CHECK $ .'SCO o l p9 4 AUTHORIZED AGENT / rTOTAL FEE $ / Q d�