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Home My WebLink About402 18TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.coste•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 lob Address: 402 E 18TH ST Suite No Vicinity: Parcel Nunmber: �1733240 Applicant: PALMER, MICHAEL B ,. Address: 402 E 18TH ST �" COSTA MESA, CA � � � � " � Ownei. - �'�PALMER, MICHAEL B - Adtlress 402 E 18TH�ST : - COSTA MESA, CA / Contractor: OWNER BUILDER Address: Arch / Eng : � , ,- � Address: � � � PLUMBING PERMIT Phone: 949-650-5906 . Zip: 92627-3160 Phone: Zip: 92627-3160 �. -. Phone: Zip: License: 000000 r� � _ ; ,; Status: ISSUED Applied: 05/24/2004 Issued: OS/24/2004 ISSUED BY: � . � \ `- �� ,�� , - - �. �; , . Phone: . Zip: . . -- -- - -License: " . _ _ . , . � SCOPE OF PERMIT � . . GAS LINE FOR BB�. (1-4 OUTLETS) , � - , � AMT ISSUE FEE '_ � 523.50 Backflow irrigalion - � $0.00 �,- BackFlow Preventer $0.00 Bathtub � .�$0.00 Clarifier System � $0.00 Connect pce,Soda;etc) � $0,00 � � Dental Units � $0.00 Dishwasher �� ' $0.00 � Drain, Floor � $0.00 � . Drain, Rainwater $0.00 Drain, Roof $0.00�' Drinking Fountain $0.00 Expansion Tank 50.00 Gas Earthquake Valve 50.00 FEE SUMMARY QTY s� _'t ; "� � AMT _ ATY Laundry�Tub / Washer .. $0.00 0� 0 i - , . ,��Landscape Irrigation -. . $0.00. ��0� ',- 0 � '�P-Trap ' $0.00 0 0 , PressureRegulator - -'- $0.00 0 0 � �� Process Piping (per 10 R) �$0.00 0 0 � � -Receptors, � � $0.00 0.- 0 � Septic Tank � � �� , $0.00 0 0 � SewerCapforDemo �. $0:00 0 0 , Sewer Connect $0.00 , 0 0 . � Sewer Pnvate Line ' $0.00 0' 0 ' . � Shower � �, . , � $0.00 0 0 , Sink, bar � . . $0.00 0 0 Sink, commercial 50.00 0 � 0 -Sink, Floor ' . _ , .�. � -g0.00 � � 0 " � �, AMT Sump Pump , $0.00 Swimming Pool ' - $0.00 Trap Primer $0.00 �Urinal � � ; � $0.00 - Vacuum BrkrBkflow(1-4)� $0.00 , Vacuum Brkr Bkflow(5+) 50.00 Wash Basin . j $0.00 ��WaShBasin�Set; $0.00 Waste and Vent System $0.00 Water Closel (Toilet) $0.00 Water Heater / venl $0.00 Water Piping (Inst or Rep.) 50.00 Water Re-pipe $0.00 W2�Ef $ENICE $0.0� QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 � NOTICE: The work au�horized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ortl. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically explre and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legel, such work must comply with all applicable codes, and all required Inspectlons and flnal approval must ba obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaau�an �wro� r WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm und�r penalry of perjury one of Ihe following declere�ions: � ❑ I have antl wlll "maintaln e certificate of consent ro selt-Insure tor workers' compensatlon, as provitletl tor by section 3700 of the Lebor Code, for the peAormence of the work for which 1}iis permit is issuad. ❑ 1 have antl will My workers' c Carrier: i, as required 6y sedlon 3700 of I�e Lebor Catle, tor (ha peAormance af t�e work for which Nls pertnit is issued. number era: t � Policy Numbec one hundretl tlollers ($100) orless.) M� ' tj]/ I certify Ihet in Ihe pertarmance of t�e work �ar whic� this pertnit is issuetl, I shell not employ any person In eny manner so es to become subject to ihe workers' L� compensetlon laws of Ca omie, antl egrea thet If I shoultl �ecome sub�ect to the woMers' compensatlon provisions of Secuon 0 o�eqor Cotle„I shall fonhwith compty with these pmvi _� � b U�I Applicant Signeture: �� Date: WMNINO: FAIIURE TO SECURE WORKERS' COMPENSATIIXJ COVERAQE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENAL IES AND CIVIL FINES TOONE HUNOREO TiIOUSPND DOLLARE (5100,000�, IN ADDITIIXJ TO THE �T OF COMPENSATION, DAMAGES AS PROVIDED FOH IN SECTION 31080F THE LABOR CODE, IMEFEST, AND ATTORNEV'S FEES. LICENSED CONTAACTOPS DECLARATION: I hereby eXirm thet I am licensad under provislons of Chap�er 9(commencing wilh Sectlon 7000) ol Division 3 oi lhe Business and Professions Coda, enA my license Is in full torca and eflect. Lic. N Class M Contrectors Signature: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby eftirtn t�at ihere Is a consiruction Ianding agency for Ihe peAormance of ihe work br which this Dertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lendels Atltlress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eXirtn thet untler penelry of per�ury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons Code: Any ciry or counry whlch requires e pertnit to construct, elter, Improve, tlemolish, or repair any structure, pdor to ils issuence, also raquires the epplicent tor such pe��t to file e signed stetement Ihet �e or she is Iicensed pursuant lo Ihe proWsions of the Contractors LJcense Lew (Chepter 9(cammendnp with Sectlon 7000) of Divlslon 3 of the Business end Profeuions Code) or that he or sMe is ezempt therelrom entl the Gasis for ihe alleged e:emption. Any violation of Section 7037.5 by eny appllcant tor e permit sublecis the applicant to a clvil penalry ol not moYe than five hundred dollars ($500).): ❑ I, es owner of the propeny, or my employees wlth wages as their sole compensetlon, WILL DO THE WORK, end Ihe sWCNra Is not Intentled or ofleretl lor sale (Sec. 7044, 8uslness and Professions Code: The Conirectors License Lew does not apply to en owner ot properry who builds or improves Ihereon, and who tloes such wo�k himsell or herself or through his or her own employees, provided that such improvements are not Intended or ottered lor sele. H, however, Ihe builtling or Improvement is �oltl within one year ot wmpletion, ihe owner-builtler will have ihe bu�den of provi� ihat he or s�e tlitl noi build or imprwe Sor purpose of sale.). es owner oi the pmperty, em EXCWSIVELY CONTFiACTNG WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business antl Pmfessions � Cotle: The wntractors Llcense Lew does not epply to an owner of propeny who bulltls or Improves thereon, and who comrans tor such proJect with a contrector(s) license Dursuant to lhe Contractors Ucense �ewsJ. ❑ I em e:e� y_�_up ec. Business and Professions Code lor ihis reason: Signatura: P(�� —y Owner ID verifietl by drivers Iicense. es ❑ Na Drivels License No. Expir : Vedfication of Ownership by (rype at documem, i e. - property len blll or deed): DIVISION OF INDUSTRIAL SAFETY PEHMIT CEAnFICA7ION: ❑ I hereby cenify that no excavation tive (5) o! more teet in depih into which e person Is requiretl to descend, will ba maAe In connection with work euthorizetl by this permit, and Ihat no building structure, scaN0ltling, falsework, or demolitlon or tlismantling iheraot, will be more Ihan �hirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Calilomia Administretive Code). ❑ As owner-builder, I will not employ enyone lo do work which would require e permit Irom the Division al Industrial Sefety, es notetl above, unless such person has e pertnit to do such work irom the divisi0n. Signature: Date: Division of Induslrial Safety Pertnit Number: CERTIFlCATE OP COMPLIANCE AND AUTHORIZATON OF ENTRY: I cetlity under panelry ot perjury that I have read this epplication antl state t�et ihe informetion given is correct. I egree to comply wlth all state laws end city ordinences relating Io bullding conslruclion, entl authorize representetives of Ihe Cily of Coste Mesa to enter upon ihe above-tlescribed pro� rty��nspectio�s. I agree nol to occupy or ellow occupancy of eny building au�horized th�ert9i� yntil fin inspection. f / / il i •: , �r� v Signature Of Legal 0�+'ner(s) —� te AnNOr Aulhorized Applicant COOE t. INSFECTIONttPE 1616 Fixad System Final Fire Preventlon 1268 Pool Spe Final 200 Final Re-Root 201 FInaI8lock/Retaining Well 202 Final Factory Fire Place 203 204 Final Sign Finel Demolition � �fl CQUE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OCcupenCy Pd� 1[I�BLfl 6 -i c� -oy � �;�:r.�., - q'a`'�..� � � ::..::: ; : � (714)754-5273 • Fau(71d)754-4856 Job Address: Suite: Vicinity: . • CITY OF COSTA MESA � BUILDIN6 p1YISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 402 E 18TH ST HOUSE 8 ATTACHED GARAGE Parcel Number: 11733240 Applicant: WILSON, BOB Address: 4$5 E 18TH ST CA COSTA MESA �%i Owner. PALMER,:MICI /l./ � Address 4/62,E-18TH ST / i/jj// \�\ iCOSTA MESA,CA �i�� j Contractor /BI WILSON�A� i , i � i// Address: �BSE.IBTH-� i �L CA l, /y �� // COSTA//M/ SE A �!/ �Zip� 92627/�` /,:, _ i�// BUILDING PERMIT NUMBER 529 77 FAIR DRIVE, COSTA MESA, CA 92628 Status: ISSUED Applied: 09/23/1999 Issued: 09/23/1999 Zoning: ISSUED BY: �-" �,P,hone:�"-(949)�646-1740.-��-�. '`��`,- Zip: 92627 � —� �-�'� �_ ` �,.., \E B & INA` S�`� `� -� l.I \_I'�j �(/' � �\\\� � ` � � L �� / �Phone -'- � � � i��-A�� j�% 5-_��Zip -�92627 � :_-� � �.-- �� / � S NS �\: ;:: � '. 1l' i �� \ �� /� �. Phone: (949)848-1740 �� / �Arch : � • . � j',�� : . _ Address: / ' � � � �y r I� 1 �i� I' `^ 1: � 'rl � , � Phone��''� �' +N� ` / i f � {� / i/"� ��Jii `!" :J � rr Licenset �� 377487 `s t� ,' �- • E�9. i ,�// /"'^ ',Address. T -.'111 �� ,,,{ `..`, _ _' ' ' i,..� �� <� �� , �� " Phone: � •� � � A � 71'1 �'P' �,'�fc`-� � �/License: - -_�' ��icense: � � �1 �_A `�:_! U � � � REROOF SINGLE FAMILY RE'� , lv �SHINGLES & REPLACE SHEA 3-DIMENSIONAL 25 YEAR CL '+ , �- . ` `, � �� ' _ - . �. � ` �` Plan Cfieck '�" $0.00 � Permit �� $83.25 ' ��\SMIP"Res `� s� $0.50 • ,`SMIP Com. ��; �, $0.00 � �\. Othe�:, �'� �$0.00 `�Inspection: ��, � �$0.00 ,�, � � A�:,;� \ ��TotaL• � $83:75, �� C�� _ _. ��:A\ � ACCESSORY PARKING NOTES: \ , , � SCOPE OF PERMIT \ �� IDENCE & ATTACHED'GARAGE (32;5�). TEAR OFF EXISTING 3•LAYERS OF COMPOSITION ' HING AS�NECESSARY: INSTALL��1-LAYER OF 15# FELT UNDERLAYMENT & ROOF WITH � SS'A' FIBERGLASS�SHINGL'ES:�1��b�'�J"� . � � ... ._ � � . " FEE SUMMARY ` ;�� i_ �fl�ay n � "�fi , � � �'l'`'/ � : �_Calc Valuation _ � _� � ` /� - Claim Valuation ,O '�— .., � ' . . '- - � / � :.,� "' � . "t � � � i r,ji� � - � , � ✓� �, � � n � .. u. . .�i� /j - ..o..ir��.i „� �.��,�„ .., ._ ,.j/� �� irx' i. i� �.rv�rvrvnvv a �vivn�v f �. !i /'• �-V��A� s. � �� , . .� .� �� 9i > IRE Front �0�0. � �� Rear � 0= 0-� ` � . %Left 0- 0� � / V V'� ' � ; �. _ ��. AC , � .. � �\ � � ` � � � � - ��\\' x—c'c� � _ � �Pront 0.0 �� \ ` � � � � ` , � �Rear 0 �0= �: � �Left 0. 0— � �:=, Aii �i��V '' Existin :�:0, �Requlred: ��10�-� f=-� iP_r000sed: 0�� ` � �,. - i � �)�, - .�� -- �� ..- �� _ �_ �� Li�1�; l� t. . •\7`- ��,"'�.Y-X'✓:t'��X� i '-- — — —� � ; / i /\ �; j /?v�l% Right � �0. 0 �A Riglit (�0=0 � �� `� //1� l,'' �� / � $3,000.00 ; sa 000.00� 1�; / � 'ti l ;� � �,, � �� / , ; ;; , � �� , , C�� _� �� r. NOTICE: The work aulhorized by this permit shell comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 72-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work is nol commenced within 180 days, or if work is suspended or abandoned tor 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 epplica6le codes, and ell requlred Inapeetlons entl final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of thls permit. FOR INSPECTIONS CALL: (71q) 7545628 WOHKERS'COMPENSAnON DECLARATON: ' � I hereby attirm untler penelry of perJury one of Ihe lollawing tleclarations: , •. � , ❑ I have antl will meintain e cenificate ot consent lo sell-Insure for workers' compensation, es provitletl for by sectlon 3700 of ihe Lebor Coda, for ihe peAormance of ihe work for which Ihis permlt Is 19sued. ,� I heve and will maimain workers' compensatian insurence, as raquired by saction 3700 of �he LeDor Code, for tha pertartnence of the work for which this"pertnit is Issuetl. My workers' compensa lon Insurance cerner and policy number ere: Cerrler. <<i��.� �ultd� PolicyNumber: O'.��7�(�/l1 % (7hls secBon need nat be cnmp/eted i/ the permiNs veluee et one hundred tlal/ers ($100) or less.) � ', ' �� ❑ I certity that in the pertortnence oi Ihe work for which this permit is issued, 1 shell not employ any person in eny manner so as to become subJecl to Ihe workere' compensation laws of Celifomia, and egree that if I should become subject to the workers' compensation provisions of Sectlon 3700 of the Lebor Code, I shell forihwith wmply with ihese provisians. Applicent Signeture: Date: Q�.7 �/�/ 1 WARNINCa: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL AND SMALL SUBJEGf AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FINES UP TO ONE HUNDRED TFqUSANO DOLL4RE �5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAN.AGES A$ PFOVIDED FOR IN SECTION �W OF TME LABOR ODDE, IMEREST, AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I here0y aftirm ihat I am licensed under provisions of Chapter 9(commencing wi[h Seciion 7000) ot Division 3 of the Business and Professions Code, antl my license is in full torce antl eHect Lia a 7 8 Class a Contrectors Signature: Dete: CONSTRUCTON LENDING AGENCV: ❑ I hereby eNirtn ihat there Is e construction lending agency for ihe pertormance of ihe work tor which this permlt Is Issuetl. (Sec. 3097, Civil Cotle). Lender's Neme: Lentlefs Address: Signeture: Deta: OWNER•BUILDER DECLARATONS: I �ereDy eMirm that under penelry of perjury that I em EXEMPT FROM TliE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requires e partnit to construct, alter, improve, tlemolish, or repelr any stmcture, pnor to Its issuance, also requires tha epplicani tor such permit to file e signe0 statement ihet he or she is licer.setl pursuant to Ihe pmvisions of ihe Conirectors License Law (Chepter 9(commencing with Section 7000) oi Division 3 of tha Business antl Professions Cotle) or thet he or she is exempt iherefrom antl the basis tor the elleged exemption. Any Nolation o1 Section 7031.5 by eny eOPlicent tor a permit su6�ects the applicent to e civll penelry at not more ihan fiva hundretl tlollars ($500).): ❑ I, as owner of Ihe property, or my employees wi�h wages as Ihelr sole compensation, WILL DO TFiE WORK, antl the ahucture is not intenaetl or otlered for sale (Sec. 7044, Business antl Professions Code: The Contrectors License Lew does not epply to en owner of property who bullds or Improves ihereon, end who tloes such work himself or herself or ihrough hIs or her own employees, provitletl �hat such improvements era not Intended or oflered for sele. It, however, ihe building or improvement is sold within one yeer at completlon, ihe owner-builder wlll have the burtlen of proving ihat he or she tlitl no� bulltl or Improve far purpase of sele.). ❑ I, as owner of the propeRy, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the pro�ect (Sac. 7044, Business entl Professions Cotle: The contrectors LJcense Lew tloes not apply to en owner ot D�oPerty who hulltls or improves thereon, entl who contracts tor such pro�ect with a contractor(s) license pursuant to Ihe Contrectors License laws.). ❑ I em e:empt under sec. Business and Professions Code lor this reazon: Signatura: Date: Owner ID verified by drivefs license. ❑ Ves ❑ No Drivers License No. Venilcation of Ownerehip by (rype ot document, i.e. - property tae bill or Geetl): DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION: Ezpire9: ❑ I hereby certily Ihet no excavation five (5) or more feet In depih into whlch e person Is requlred to descenG, wlll be made in connection with work authonzetl by this permit, anG that no builtling siructure, scattolding, lalsework, or demoliiion or tlisman�ling Ihereot, wlll be more than thlrty-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califamia Adminlsirative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require e pertnil trom the Division of intlustrial Satery, as noted above, unless such person has a pertnit to do such work iram the division. Signewre: Dete: Division of Industrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJT}iORIZATION OF ENTRV: I cenity under penelty of perjury that I have read this epplication and state that the Information given is correct. I egree to comply wlt� all stete laws antl city ordinances releling to bullding constructlon, and authoriza represen�atives oi the City of Coste Mese to enter upon the abova-descnbed property for Inspection purpases. I egree not to occupy or ellow occupency of eny buildin9 au�honzetl by thls permit until finel inspectlon. �SI neture Of Legal Owner(s) Date G,/_ Ba..._ � 3�q9 AnNOrAu�horizedApplicant Dete . COOE �. INSPECTIONTYPE 7616 Fixed System Flnal Flre Preventlon 1268 200 201 202 203 Pool Spa Final Final Re-Roof Final BIak/Retaining Well Final Fectory Fire Place Final Sign 204 Final Demolition 2446d6 p� " INiRIALS � �w�fL COOEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Flre Prevention 220 Final Plenning Approval 222 Final Site 250 Final Building/Occupancy �g �� CITY OF COSTA MESA _ BIIILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ��ia� �sa-sz�s • Fen p�a� �sa-aess Job Address: Suite: Vicinity: Parcel Number: ApplicanC Address: Owner: Address � Addre'ss:, �� ! ,1�� i �;!'� '�.__.i i • , �VJ Zip: % BUILDING PERMIT 402 E 18TH ST MASTER BATHROOM, LAUNDRY ROOM, & GARAGE 11733240 BOB WILSON 485 E. 18TH ST. CA COSTA MESA Pi�l CA\ Zoning: NUMBER 517 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/20/1999 Issued: 0912 3/1 9 99 ISSUED BY: '" fP.houe:Y-(949)646-1740'�--,�. �t�� — Zip:- 92627 , -- - _„ j`�-� �. �'� ' �� ' ) I � � /� � �' f _ � �_ �� i� 1� � � i� � ��A � �_ � � . � � �_ -_Phona- _� � �� . �� -_�--.Zip: 92627- �� _ � , � �� A'.� � . ., � �� \�A� ` ` �NS �.:\\�� < �%� �\:�� ; .�� . / Phone: 949-646-1740 �� A��, � i� � �`�� " � License:'„377487 A�.�\ � `�� . vS� �,��' �� / / ; ! ' �, J" `"Y � �'1 . / y �',�.�Phone?ns �'�sY_ � ./ �n%4�` (r' ' a.a'T _r---�_ ' Eng: , ' Address: - - , � i � . _... , '..,Y; �-`�� 'i = , � / '� `� , _ ,. � � n i. -,o-. ni � .,... ,� v,��. -' � � \\ _, ; ' % ,.:' �'✓� SCOPE OF PERMIT �� , ' �; � � , , � 360SF MASTER BEDROOM AND�180SF WORKSHOP TO BE ADDED8ENIEEN THE EXISTING SINGIE FAMILY RESIDENCE ��', '�AND THE�DETACHED GARAGE�(THE GARGE WILL NOW BE ATTACHED TO THE HOUSE). �, ,{ � �• f._ _�J�Ib'/J . -- .. .._.%,��i.... . .._ _ < ' , � i �,� ` � - FEE SUMMARY • -� , �, ,� Plan Check.'�'. $320.29 � � ' �, � Calc Valuation � ' � ' san;aao.00 ' > r , .� r �� >,-^,-.� -- � -�. ' l-�.._ r ,' -._ � � Permit: � $492.75 � _ � � ' ,!' `�, ; , ,--� Claim Valuation �;; � - - -. 30.00, �` SMIP Res ' .; $3.48 = - �— � ,">/ � . - �-- �;!� ` ��' � ',SMIP Com � � $0.00 � � �/ � ��%l , � �'11 � Other. $0.00 l -- `, ' ` < �` ; � ��Inspection: � $0.00 , ' . � _ � � — � � j � � � � ��1'� . , - ,��_ ,�,��, � ; ,Totat: $818.52 � ;�� ' � �,'� j�//��/ _, , �� 1�, � '�""�� , : � � �"i �'�*, .i}.,� I C//� .,l � �_/i�� a� � or�a.na - MAIN STRUCTURE Front \ ACCESSORY �. Front 0- 0 PARKING Existinq: 2 NOTES: ' . _-.�'?;` ,;�,PCANNING.&'�ZONING"" ' 3 7=., � . . �. � .�.��i,.' �� . _- " ' ' h' %�. � "`� _i,.� ..� r ,� Rear '�� 5- 0� � o ��.�Left� �36- 0 ��, ;�?� �;?�V ' �in �y � ` % �Rear '�0'ptir�-� Left-_5 0 0-� �� ,Requi2d: �� 2_ Pr000sed:,� -2; --�� -- �� -�'�� ; . _ �\,i �L `� � � � .. .i i-_ t_. _�%?: �.; � � %� <j \,. i / � Rig`hf� 13=0 v// ./ �l/.</ /_�� i� � Right C� 0-0/ /� V' � i' i / ` U�/��'% NOTICE: The work euthorized by this permit shali comply with all applicable handicap access requirements under Califomia stetutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legel, such work must comply with all applicable codes, and all requlred Inapeetlone end flnel approval must be obtained. Failure to obtain inspections end final epproval will result in the expiration of this permit. FOR INSPECTIONS.CALL: (714) 7545628 WORKERS'COMPENSATONDECLARATON: � I hereby ettirm untler penalry ol perjury one ot Ihe lollowing declarations: � � , � ' ❑ I have antl'wlll melnlain e cerliticate of consent to setl-Insure for workers' compensation, es provitled for by section 3700 ot Ihe Lebor Code, for the pedormance of ihe work tor which Nis permit Is issuetl. � � � � $ I have flnd will mainfein workers' compensatlon insurence, as reQulred by section'3700 ot (he Lebor CoCe, tor Ihe peRortnance of the work for wNch Ihis pertnit is issuetl. My workars' compensation Insurance cerrier end policy number ere: � Carrler. .�i %2�� !/n !I Poliq Number: �S`I </H B J (Thls secfion neeU nof be comp/eted U the perrn/f!s Jalued et one huntlred dollars ($I00) or /essJ � � ❑ I certiy that in the pertormance af the work for which this permit is Issued, I shall not employ eny pereon in any manner so es to become subject to ihe workers' compensation laws oi Calitomie, and agree thet ii I should become subJect to the workers' compensetion provisions of SecNon 3700 of ihe Lebor Cotle, I shall forthwith comply with Ihese provislo . " �� Appllcant SignaWra: � oeca: 9��99 WABNING: FAILURE TO SECIIRE WOPKERS' COMPENSATION OOVEFiAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED TFIOUSAND DOLLARE (5100,000�. IN ADDITION TO THE CQST OF COMPENSATION, �AMAGES AS PROVIOED FOR IN SECiION 31O60F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aflirm that I am licensetl untler provlsions ot Chapter 9(commencing with Section 7000) of Oivlslon 3 of the Busineu antl Protessions Code, and my license is In full torca end ettect Lic. e Class A Contractars SigneWre: . /i Date: �i�% r CONSTRUCTION LENDING AGENCY: ❑ I hereby aXirm Ihet Ihere Is a conswcNon lending egency tor ihe pedormence of the work for whlch this pertnit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lentlets Addreu: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby aHirm thel under penalry ot perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions Code: Any city or county which requlres a pertnit to wnsWct, alter, impmve, tlemolish, or repair eny structure, pnor to its Issuence, elso requires Ihe applicant for such pertni� to tile e signetl stetement ihat he or she is Iicersetl purouant to ihe proNsions of Ihe Contractors License Law (Chapter 9(commenGng wlth Section 7000) of DiNslon 3 oi t�e Business antl Protessions Cotle) or that he or she is e:empt therefrom end Ihe basis for Ihe elleged exemptlon. Any violation oi Section 7031.5 by eny epplicent lor a permit subJects the applicant to a civil penalry of not more Ihan fNe huntlretl tlollars (5500).): ❑ I, as owner of iha property, or my employees with weges es iheir sole compensation, WILL DO THE WORK, end the structure Is not intended or oftered for sale (Sec. 7044, Business end Pmfessians Cotle: The Contractors License Lew tloes not apply Io an awner at property who builds or improves Ihereon, end who tloes such work himself or hersett or Ihrough his or har own employees, provided that such improvements are not intentletl or ottered tor sale. If, however, Ihe bullding or improvement is soltl within one year of completion, Ihe owner�6uilder will heve Ihe burden of proving that �e or she dId not 6uild or improve tor purpose of sale.). ❑ I, as owner of the property, em EXCLUSIVELY CONTRACTNG WITH LICENSED CON7RACTORS to construct the proJect (Sec. 7044, 8uslness and Professions Code: The contrectors License Lew does not apply to an owner of properry who builds or improves Ihereon, and who conirects for such pro�ect with a coniracior(s) license pursuent to the Coniractors License Lews.). ❑ I am exempt under sec. SlgneNre: Owner ID venfied by dnvers license. ❑ Ve5 ❑ NO Business an0 Professions Code tor this reason: Venfication ot Ownership by (rype of document, i.e. - property tan Dill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Dnvals License No. Date: Expires: ❑ I hereby cenify thei no excavation five (5) or more teet In dapih Into whic� a person Is requlred to descend, wlll 6e metle In connection with work authorized by ihis permit, antl thet no building structure, scaftolding, falsework, or tlemolltlon or dlsmantling Ihereoi, wlll De more Ihen ihlrry-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Celifomia Adminis�retive CoGe). ❑ As owner-Dullder, I will not employ enyone to do work whic� woultl requlre a pertnit irom ihe Division of InEusirial Safety, as notad above, unleu such person has a permit m da such work irom the diNsion. Signature: Date: Division of Industrial Satery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EHTAV: I certify under penalry of perjury that I have read this eppliw�ion and state �hat t�e infortna�ion given is correct. I agree to comply wit� all state laws entl clry ordinances relating to building construction, and authorize representatives of the Giry of Cos[a Mesa to enter upon the aDove-descnbed property for inspection purposes. I egree not to occupy or ellow occuDancy ot any bullding authorized by ihis pertnit until 11na1 inspectlon. Signature Of Legal Owner(s) D te .�Q,e./ �/��.1.��-..� 9 � s �99 AnN-Or Author�Applicent � Dete CODE I. MSPEGTI�NTYPE 1616 Fixed System Flnel Fire Preventlon 1266 Pool Spa Final 200 Flnel RB-Rooi' 201 Final8locWRetelning Wall 202 203 204 2446d6 Finel Fectary Fire Placa Final Sign Final Demolition PA7E Iti��LS... COOEI INSPECTIONTYPE � 206 Finel Mechanical 20B Final Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 � Finel Planning Approvel 222 Finel Site 250 Finel Builtling/Occupency u: (714) 754-5273 • Fax (714) 754-4856 Job Address: 402 E 18TH ST Suite No CITY OF COSTA MESA ._. BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Vieinity: MASTER BEDROOM 8 WORKSHOP Parcel Nunmber: 11733240 �� ; ` PERMyI NUMBER , �J9-00551 V 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Applicant: WILS�N, B�B % r'�xX-�"-` � , , �i�/-�-__. -. �;.� Address: 485 E 18TH ST�� - -� � �, ', > ��-�, CA �� Phone�; (949) 648-1740 � . �,��-�� COSTA�MESA � � � 2ip: 92627; � �,� i� ,�A��. i� i ;,% � � ; %��, � ��n � � C•: � Contractor � " Address � , ArchlEng:� r Address: , i E Status: ISSUED Applled: 09/23/1999 Issued: 0912311999 � � � � � �� / �i �� /� __ __ ' �,Ji � / �� A� V�/_i /�.c_�� .�� V�`�� HAE�� TINA-S`� �` _�\ � � � � � �! , �\ ;: \ %�/ ��:\�\� �'� � \�� Phone: �� ,� � �\ 4 2ip: 92627 �� \`\� �VA�� `. � � i \ �� ,_� � �.� BI'WIL'SON AND SONS t � '�-�� , `�;;\ i /i�q _ 485'E 18TH ST . ; :. �� -�: . ' ' � ' , �� i '.CA�/� /t � Phone^,(949) 646-1740 . � � , .�, � in : � COSTAMESA � � � �OS� ��Zip: 92627 -�, � �, . , ,�, , i - � , , �� %� (� � �� '-� f �,�p� �� Cicense: 377487 - � �\ � -� ;/ , ,,., i , � ' r. ^'� i'� '� ' :i � / •\� �' ' _` . �,_ i \\ � � � ' `� � � � V � i V� '. � _ � Phone � � o�� . , ,. ` � � „�'3 C�, �r�� z�a!�ti��rl; ;�., . � �,- � �. __�.� �_. ', - - _ _ _ "�Cicense�-- --- . _, ' i ' � J'• � `'c✓ �rSCOP � , PLUMBING PERMILFOR MASTER BEDRO( `� 1-WASHER/LAUNDRY TUB, 7-SHOWER 1-1 . HEATER. _. �� / �� `� . � REF: 899-01511 �i , ' _ _ ��-- -. � � '� .� ' ' fION. INSTALL 1-TUB, 1-GAS OUTLET, TER CLOSET, 8 1 •WATER �- � , . �, ; , . �, i/ //i/ I i.�' . �/ii / . , . . � < •� . \ �` , �� , �. ��- � , FEE SUMMARY ��/,/ � � , ih o o v0 �, ��AMT -�.. QTY . ti , i i �. l � i' �/ � �A ��. AMT \ QTY ... tt �� , y� . � � AMT ISSUEFEE\�. � .523.50�� Laund`ryTub/Washei,� E980'.� 1 � Sump.Pump �� ,�$0.00 Backflowirri alion � $0.00�0 r' � �' '� ��O 4�' - i � g �,- jt Landswpe ImgaLon �� 80 00 �� 0 Swimming Pool �.; 50.00 Backflow PreJenter� 50.00 �0A � � �P Trap. `� , �� c , �J�£0.00'� "0 ,, .Trap Primer � ' S0.00 Bathtub , $980� � 7��Pressure Regulalor � � ' �� $0.00 . 0 %%Urinal.�. ` "�/ �/� E0.00 Clarifier System , �� . �SO 00' ' -0 �Process Piping (per-10 ft)� - $0 00 , 0 "� Vacuum Brkr Bkflow(14) $0.00 �� , � Connect pce,Soda etc) - �� $0 00 � 0/ �� Receptors?�_� ��x-c 580 00,� =0 `� � - Vacuurt(Bikr Bkflow(5+) $0.00 Dental Units �- �50.00� � 0 �� ,'�Sept�cTank� -- - -- 50.00 �0 � � Wash Basin.� "�� 50.00 Dishwasher �$0.00� 0�� ;SeweuCapforDemo E0.00 0,- � ��WashBasin�Set 59.80 Drein, Floor 50.00 ��,0 �/� CSewer ConneC i-� �� $0.00 0 `� �' Waste anil Vent System $0.00 qrain, Rainwater $0.00� � �0 � ��Sewer PiiJate Line�j �, �, 1 � $0:00 � � 0� � � � . --Water Closet (Toilel) $9.80 Drain,Roof $0.00 ��0�� Shower�J�f�J-1_$9.80`-"��1 .,,��'-1NaterHeater/vent 372.30 Drinking Fountain 80.00 0��'�-Sink-bar $0.00 -�0�;✓'i��- �� Water Piping (Inst or Rep.) $0.00 � _ Expansion Tank $0.00 0 �Sink; commeroial�X=� $0:00?'�0-� ` Water Re-pipe $0.00 Gas Earthquake Valve 50.00 0 Sink, Floor---- --$0:00� 0 Water Service $0.00 Gas (i-4 outlets) $6.75 7 Sink, kitchen $0.00 0 Water Softener $0.00 Gas (Over 4 outlets) 50.00 0 Sink, service/mop � $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) 80.00 0 VIOLATION $0.00 Gas Service 50.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: $90.95 COMMENTS I SPECIAL CONDITIONS QTY 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 NOTICE: The work authorized by this permit she�l comply with ell applicable handicap access requirements under Celifornia statutes and related regulations. (Ord. No. 9248, § 1, 12•21•92) EXPIRATION: This permit shall automatically ezpire end become void if work is not commenced within 180 deys, or If work is suspended or abandoned fo� e period of 180 days. INSPECTIONS: In order tor tha work authorized under thls permlt to be considered legal, such work must comply with all applicabie codes, and ell required Inepectlons end 11na1 epprovel must be obtained. Feilure to obtain Inspections and flnal epproval will result In the explration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARATION: � I hereby aHirtn under penalry of perjury one of the lallowlnp declaretions:, . . , ' ❑ I heve end will maintain e cenilicate of consent to self-Insure for workers' compensation, es provided for by sectlon 3700 of Ihe Le6or Cotle, for the peAortnance of Ihe work lor which this pertnii is luued. ' � {� I heva anA wlll malntain workers' campensaUon insurence, es required by sectlon 3700 of the Lebor Coae, for the OeAortnanca of the work fa which this pertnil Is issuetl. My workers' compensation Insurance carrier flnd pollry number are: Carrier. S'7Q i"r. �.nd Policy Number. OS�%'%Y 8� (T�/s sect/on neetl nof be cwnpleted I/ the pemJtls velued at aie AunCred dWlars ($100) or leu.) - ❑ I certlly that in ihe peAortnence of the work br which Ihis permlt is issuad, I s�all nat employ any person in eny menner so es lo became subJect to the workers' compensation laws of Calitomia, antl epree Ihat It I should become sub�ect to Ihe workars' compensetlon provlsions ol Section 3700 ot ihe Lebor Cade, I s�all fonhwith comply wlih Ihese Provisi�onj ,� Applicant Signature: �.o-/ l��n..l Date: q/.2.�//�% WARNIN(3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW FUL MlD SHFl1 SU&IECT AN EMPLOVER TO CRIh4W1L�PENALTIES M!D CML FlNES UP TO IXJE HUNDRED TIqUSAND OOLLARE (5100,000). IN ADDfiION TO TXE O0.ST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 3708 OF TNE IABOR COOE, IMEREST, AND AITORNEVS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eMirm Ihat I em licensed untler Drovisions of Chapter 9(commenclnp wlth Sectlon 7000) of Divislon 3 of Ihe Business end Professlons Code, end my license is In lull torce antl eHect. Lic. » Cless x ComrectolsSignaWre: wir.� Dete: % .Z3 99 � CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn that there Is e conswction Ianding egenq for �he pertortnance oi Ihe work for which Ihis pertnit is Issuetl. (Sec. 3097, CMI Code). Lentler's Neme: LenGers Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby eNirm thet untler penalry of per�ury t�at I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or county which requlres a pertnit to consWct, elter, Improve, demolish, or repair any sWcture, prior to Its IssuenCe, elso requlres the eppllcaN tor such permit to file e signad stetemant that he or she is Ilcer.setl pursuant to Ne pmvislons of Ihe Coniractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Prolessians Cade) or thet he or she is exempt iheretrom end t�e basis tor t�e ellegetl exemptlon. Any violetion of Secllon 7037.5 by any epplicant for e permit subJects the epplicant to e civil penalry o1 not more than iive hundred dWlars (5500).�: ❑ I, as owner of the pmperty, or my employees with wages as thair sde compensetion, WILL DO TME WORK, entl ihe structura Is not intenCeC or ottered tor sele (Sec. 70a4, Business end Professions Cada: The Contractors License Lew tloes not appty to en owner at property who builds or improves thereon, and w�o tloes such work �imself or herself or ihrough hls or her own employeas, provitletl that such improvements are not intended or oHeretl tor sele. tl, however, the building or Imprrnement is soltl within one year ot wmpletion, Ihe ownerbuilder will have ihe burden of proving that he or she did not builtl or improve tor puryose of sale.). ❑ I, es owner ot iha property, am E%CLUSIVELY CONTRACTNG WITH LACENSED CONTRACTORS lo construct the proJec� (Sec. 7044, Business antl Professions Cade: The comractars License Law does nat eppy to en owner ot DroDerry who builds or imprwes theraon, antl who coNracls br such pra�ect with a comractaqs) license pursuant to the Coniractors License laws.). ❑ I am exempt under sec. Business en0 Professions Code for Ihis reason: SigneWre: Oate: Owner ID verified by drivars licensa. ❑ Ves ❑ No Drivels Licanse No. Explres: Venlicatlon of Ownership by (typa ot document, i.e. - praperty �eu bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFILATON: ❑ I hereby certlly that no excavation fNe (5) or more teet in depih Into which e person Is requlretl to tlescend, wlll be made in connection with work authoAzeG Gy �his pertnit, arid Ihat no buildirg swaure, scettdding, falsework, or tlemditlon or tlismentlinp ihereol, wlll be more then thirry-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Callfomia AtlministreUve CoAe). ❑ As owner-6uilder, I will not employ enyone to do work w�ich wauld require e pertnit from t�e Dhnslon oi Induslrial Satery, as notetl aDove, unless such pereon has e permit lo do such work irom ihe tllvision. Slgneture: Dete: Dlvislon ol InCustdel Satery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF EMAV: I certity under penalty of perjury Ihe� I hava read ihls flpplication and stete that the information given is correct. I epree to comply with all state laws flnd ciry ortlinances relating m buliding consWClion, enO aut�orize represemetives of ihe Ciry oi Coste Mesa to enter upon Ihe ebove-described property for inspectlon purpaaes. I egree not to accupy or ellow occupancy of eny huilding eut�orized by t�ls permit until final inspectlon. �, Signeture Ot L�gel ner(s) / De)e y '7E�ol l!� Q �3 / 9 MdOr Authorized Applicent ' Date CODE I.' INSVECTIONTYPE 1816 Fixed SySlem Pinel Flre Prevenllon 1286 Pool Spa Finel 200 Finel Re-Roof 201 Finel BIaWRetaining Well 202 Final Fectory Fire Place 203 FIneI5lgn 204 Final Demolition 2d4&46 Q�, ' ��$ ' �j INSPECTIONTYYE 206 Finel Mechenical 20B Flnel Plumhing 210 Flnel Electdcel 212 Finel Fira Preventlon 220 Finel Planning ApOrovel 222 Finel Slte 250 Final Building�Occupency PAIF. It�ELS (714) 754-5273 • Fex (714) 754d856 Job Address: Suite No Vicinity: _ CITY OF COSTA MESA BYILpIN6 DMSION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT 402 E 18TH ST MASTER BEDROOM & WORKSHOP Parcel Number: 1 � 733240 Applicant: Address: WILSON, BOB 485 E 18TH ST CA ; �, , � \_i ICHAEL'. & , � ��i NUMBER M99-00452 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: /��y.�;'i?��x-2-�_-? -�_� Owner: ,F'ALPo Address'�02 E /,: �,:��, ,!'/ � � mtrector: BI�WI ; � , SONS � ��_---, . - �- �- ' � -^ � � � � � � '� � �- �� Phonei (949) 846-1740 �� ; �� V � Zip: 92627 � ,� � �� ,_� � ,_� �_ < NAS__= - = -� ��/�� , -"r.� ��'ti�'7. � �, � ' � � �� Y Phone: ^�� ., , Zip: 92627 \ � . ; ��,�� Aifdress:� 485E�18TH-ST �� i�; . � ' �_ CA�� Phon ��', (949) 646-1740 . ' � � COSTA MESA ZI ��,92627 ' P' ". . ; � ; _ , . . �i � . � � _ License:� 377487 � � i ArchlEng " ' . '� �r� C„�'�^ � . �' r 1 1`f,' C � �='_ - , . ' � �- �,� �Add�esa il � � � ��'�.� �' ' " _ .r . i,.�V , ' u' , � %�6.�-..t�-� Phone: ` � , i �� / ,- � i � � � . Y e.� /, Zip: . � . ' �A . f -.� �� License: � ! � - - � . / �- ' Status: ISSUED Appl{ed: 0912311999 Issued: 09/2311999 %" "� ;� �� ,' � SCOPE OF.PERMIT � � � MECHANICAL PERMIPFOR MASTER BEDROOM & WORKSHOP ADDITION. INSTALL 1-FAU OVER 100K BTU, 8 2-VENT FANS. -� \ , � REF: B99-01511 ' � �. � , � . .'�-/ � �.. � ' �"� i �l i . , ' ( �, . ISSUE FEE " � Inst FAU <100 k BTU ' � Inst FAU�>100 k BTU � . Repair / Alt� Cooling/Heat Inst I Rep; Recess Wall Htr Refrig Sys� 100 k BTU Refng Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers � Smoke Dampers Irist or Relocate Appl Vent Air Handlers < 1 OOOOcfm Air Hantllers > 10000cfm Floor Furnace Floor or Suspend Heater FEE SUMMARY ' " . , - _` , , �Quantity � � �� Quantity 523.50 � Repair / Alt Absorbtion Unit , ,� �� ,50.00�' 0 ; , � - $0.00 0 '� ' - Repair/AltRefrigerationUnit '��; ;�30.00, O�v � $1820 7 � � � '-�, VentillaUon System ' � ��-30 00 0; ` � r $0.00 0 � " �>Evaporative Cooler . � 50 00 ,' 0 � •� $0.00 0 i�,��'� o Comrtiarciallncineretor • -%/ l 5000� �^� � � �$0.00 0 .. � : �, �� 1 Domestic Incineretor . . � ,.� �� 30.00�� SO 00 0��..; - _ � ��`Compressors I Absorption Svstems !� � SO 00 0' �'/� � oUp l0 3 hp / 100 k BTU, � 1 a0.00� . � $0 00 �0 _ ' - ` �, . 3.To 15'hp I500 k�BTU - �� . /50.00 - $0 00 � 0 �� = � _ �75 To,30 hp I 1,000 k�BTU �� V � ��'y0.00 ., �EO00_ 0 -�� _ �'30To.50hp/1;750kBTU '% �� $0.00 � � $14.50 �2 , , � � �Over 50 hp l Over 1,750 BTU':� ��50.00 . $0.00 " � 0. -_ � � Boilers �� ,� /�// _ $0.00 � �0� ��% ^� � , � Up to3 hp , �� / �� $0.00 -$0.00 �0 ��,! �,�� ' . �' �3To75hp . ..� 50.00 � �' % $0.00-�0_ " �-�'i �15to30hp�' � -,�� 30.00 ,��I� $0.00 � 0 , - ; �_ 30 t0 50 hp - i✓� / � $0.00 $0.00 �0� _� - '� � ' Over-50 hp =' '� �� $0.00 ^' =✓X";7 50.00 0 -- ✓ ___ __ Other Mechanical Fee 50.00 0 Investigation Fee 50.00 � .Plan Check Fee 50.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E56.20 COMMENTS I SPECIAL CONDITIONS 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shell compty with ell applicable hendicap access requirements under Califomia stetutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This parmit shall automaticalty expire and become void it work is not commenced within 180 deys, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In otder for tha work authorized under this permlt to be considerad legal, such work must comply with all epp�lcable codes, and ell requlred Inapeetlone end final epprovel must be obteined. Failure to obtain inspeclions and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 WORKERS'COMPENSAnON DECLARAnON: I hereby eflirtn under penelty of OeQury one of Ihe Iollowinp CeGeratlons: � ' - � ❑ I heve end wlll melntain a certificate of consent lo sell-Insure for workers' wmpensetion, es pravidetl tor by sectlon 3700 at the LaDor Cotle, tor Ihe peAormance of Ihe work far w�ich this pertnit Is issued. • # I have antl will mainfeln wwkers' compenseUon insurance, as required by SecUon 3700 ot the Lebor Cotle, for Ne peAortnence at Iha work fw wttich Ws pertnit is issuetl. My workers' compenseLtlon Insur�an raMer and poliry number are: Cerrier. .�T/r r"nG� PoliqNumber. OS'�/�f�1S'I (ihls section need no( be comp/etetll/ the perm/t Is velued e� o6e huntlre0 tlo/lers (5100) or less.) �' ❑ I certily ihat in ihe pertartnance of the work lor which Ihis pertnit is issuetl, I shall not employ eny person In eny manner so es to become suD�ect ta Ihe workers' campensatlon laws ol Celifomie, and agree Ihat If I s�oulO becoma sub�ect b tha workers' compensetlon provisions of Sectlon 3700 of Ihe Lebor CoCe, I shall torthwith wmply wllh these provlsl s. / l / Applicem Slgnature: � C!/��..., oa�a: 9/2 3 s 9 WAPNINO: FAIWRE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNUWFUL M1D SW1LL SUBJECT M! EMPLOYER TO CfiIMINAL FENALTIES lWD dVIL FINES UP TO ONE HUNDRED THWSAND OOLLAHE (510D,000). IN AODRION TO THE ODST OF OOMPENSATIIXJ, OAM1NGES AS PPOVIDED FOF IN SECfIIXJ 3]OB OF THE IABOR COOE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLAiiATON: I hereby eHirtn that I em licensetl untler provislons ol Chapter 9(commenclnp with Section 7000) of OlNslon 3 0l the Business entl Professions Code, entl my Iicense is In full force end eNect. Lic. » % Class x /� Comrecrofs Signamre: 7!�.rf Oate: 9/:! 3 9�/ � i CONSTRUC710N LENOING AGENCV: ❑ I hereby attirtn Ihet there Is e consiructlon lentling epenty tor the peAormance of 1he work for whic� ihis permi� Is issued. (Sec. 3097, CMI Cotle). Lentlefs Neme: Lendefa AEtlress: SlgneWre: Date: OWNER-BUILDER DECLARATONS: I �ereby eXirm t�et under penelry of perjury Ihat I em EXEMPT FqOM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness end Proteuions Code: Any ciry or county which requires a pertnil to consWct, alter, Improve, tlemWish, or repair any structure, prior lo its issuance, also requlres ihe appllcaN tor such permit �o file e signed statemen� thet he or she is Iicer.se0 pursuaN to Ihe provlsions ot the Conirectors License Lew (Chapter 9(commendng wlth Section 7000) ot DlNslon 3 of the Business anA Professions Cotle) or Nat he or she Is axempt Nerefrwn arM Ihe besis tor t�e allegetl exemptlon. Any vidatlan ot Secllon 7037.5 by any appllcant for a pertnit sub�ects tha epplicant to a civil penalry oi nat mare then INe hunEred dollars ($500).): ❑ I, es owner oi the Dropeny, or my employeas wlth wages as their sole compensetion, WILL DO THE WORK, entl the slructure is not intentled or oHeretl lor sale (Sac. 7044, Buslness antl Profeulons Code: The Contractors License Lew does nm appy ro en owner ot property who builtls ar improves Ihereon, end who does such work himsalt or hereelt or through his or her own employees, provided Ihat such improvements are no� intended or oHered for sele. II, however, the bulltling or impmvement is sold within one year ot completion, the owner-builtler will have the burden ot proving that he or she 014 not Duiltl or improva tor purpose of sale.). ❑ I, es owner oi the properry, em EXCLUSIVELV CON7RAC71NG WI7H LICENSED CONTRACTORS ro construct the prolecl (Sec. 7044, Business entl Professions Code: 7Te wnirectors Llcense Law does not flppty to an owner of pmperry who 6uiltls or improves thereon, and who contrects tor such prqect with a wntractoqs) license pursuant to the Contrectors Licanse Lews.). ❑ 1 am azempt under sec. Business and Professions Code tor Ihis reason: Signature: Date: Owner ID venfietl by drivers license. ❑ Ves ❑ No Drivers License No. Expires: Venllcatlon o( Ownership by (rype of document, i.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: ❑ I hereby cenity thet no e:cevatlon tive (5) or more feet in dapth Into which a person Is reQUlreO lo tlescentl, wlll be matle In connection with work euihorizetl by ihls pertnit, antl thet no builtling siructure, scallo101np, falsework, or demolitlon or dismantling ihereol, wlll be more t�an tNrty-slx (38) leet �igh. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celitomia AtlminlstraWe Cade). ❑ As owner-Duiltler, i will noi employ anyone to tlo work which woultl requlre e pertnit from the DMslon of Industriel Safety, as notetl ebove, unless such person has e pertnit to do such work tmm Ihe di�nsion. Signature: Dete: Dlvislon of Induslnal Selery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTMORVATON OF EMAV: I certify under penalry of perjury thet I have reatl Ihis epplice�ion antl slete that the inlormation given is correct. I agree to wmply wlth all state laws enC ciry oNlnances relatlng to huliding consiructlon, end authodze representetives at the Ciry of Coste Mesa ro enier upon the above-described property lor �nspec�bn purposes. I agree not to occupy or ellow occupency oi any building euthorized by Nis permit untll Ilnal InspecUon. �SJgneture Ot Lepal Owne ) Dete 7��r ..._ `�'�� 3�%/r And/Or Authonzed Applicant Date eooe �. ixsv¢cnoxrrve 1618 Flxetl System Final Fire Preventlon 1268 Pool Spa Final 200 Finel RaRoof 201 FInaI BIwWRetelning Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolillon 2dd&66 ' - �� INSPECTIONTYPE 208 Final MeUaniwl 208 Flnel Plumbing 210 Finel Electdcal 212 Flnel Fire Prevention 220 Finel Plennlnp Approvel 222 Final Slte 250 Finel Building/Occupancy � � (714) 754•5273 • Fax (714) 754•4856 Job Address: 402 E 18TH ST CITY OF COSTA MESA ��- BUILDIN6 p1YIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT Suite No Viciniry: MASTER BEDROOM & WORKSHOP Parcel Nunmber: 11733240 Applicane WILSON, BOB Address: 485 E 187H ST =��j ;�i� - CA � �-, COSTA MESA' �� / � ` / :��// � 1 Owner: /I'F Address��40; i /�� ,i i ��'/ /I Contractor.� BI �; � '�-Address:-� 48 ✓i \ , ..: �'}'� i_ ' � 7" . ii . . � 1 �i�� , ' �f �''; i�i O ELECTRI � � � 24-RECE < NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 status: ISSUED Applied: 09/23/1999 Issued: 09/23/1999 ISSUEO BY: ;,�%xz�� -- ' =_'_ �<_ yy .Phone: (949)646=1740�,�-�' t�� ' Zip; 92627 ; '� /� �\\ ��'1 � �,- I- l �� '� � � - . � ` 'c�� =��\� - c_ . ��.: �� Phone: �\�.��,\\� :,� /,� �\��;.\ r szsz� �'�`��= � " i > v� �-_,.,_. ��,. ��. �� \ � / \� � ��\ �� , )N AND SONS /�",� ''�. �„.. ��. I ST FS 11 , ;-�A.� `�. � �; � Phon�(949) 646_7740 � � - � - � � � �. . [6A � � Zip.i82627 . ; , � � � � ,. � � � .License: 377487 � � > s��l.�"r�v� - - _ �� - , � � � � �:;IrU'�'i-� �.�� ,;/ � '•�� 1� �� _ . �� REF: B99-0151 � SCOPE OF PERMIT � - � � ��• + . _ _ � tM1T FOR MASTER BEDROOM & WORKSHOP ADDITION: INSTALL 10-LIGHT FIXTURES, `�. - .OUTLETS,=&SWITCHES, 1-200AMP�ELEC SERVICE. r ' � � r�, o �, �ii / ` - \ \ - . � I� I� ' , �..i �C I � ..�. .. �� .. ....A�.`iA%-` .�. �.._ � V / .' . . j,. - ., ',�A � - 1"-�.�_�*-FEESUMMARY`�,_��(�;�-. � `�. ,� ` ��'. ��; �� ' �Quantity -, " �'-, _� -� !- � ._-- Quantity �/i �' . �ISSUE FEE �� $23.50 � Temp Dist System I Lighting $0.00 0 �"� L�-� Temp service test �' �: $0.00 - Busway L100 ftl � 30.00 0 i� (��)�' 'Res. a/c package ' $0.00 � Standin'g SeCtion; � . $0.00 0 �i� / / ��/ �, New�Res (1-2 units)`� �'�� , $0.00 0 � � - -. Misc Elentrical Equlpment J ffi0.00 .0 ,� � „\ � New Res.(3+units) . $0.00 0• � • ' Transformers up to 1 kva/kw . -, 50.00 ;:,�0 % � � � ' Pool I Spa -. ' $0.00 ' "� 0 � �.,, � : � � ) a ....uP to 10 kva/kw 50.00 �0 �� Lighting Fiuts �' �$11.00 10 � c� � � up to 50 kvalkw $0.00 j��0 ✓ Recept Outlets � . ' $22.92 24 ' � � �' up, to 100 kvalkw 50.00� 0 � �y �/ Switches �V�� , �$8:80� -8.�^ "�� .. "�. �D...over�100kvalkw� � �50.00 0 LJ Non Res Appl _ . � 50.00� �� 0 �•�' � �� Lovi,Voltage Equipmenl � � -.50.00 �0 � '/ Res Appl � � $0.00�. � A 0 > � � Low Volt Wring System 1 Ckt � �� - 30.00 �� 0� �� Service ro 200a ' �- 530.50 � �1',� - _ `� . Misc: Conduit , ,� �� 50�00'. ` %0' � �� Servicetot000a � - 50.00�, 0�- '�� " � `�.Misc�ConduCor: ;.- -.5000'j 0/�� Service over 1000a �' � � V '$0.00 � , 0 �� -<Circus ( gen ocride) � � �� $0 00 � 0� � Motorstolhp ��", $0.00'� ;0-�� '�� _-Circus(rtiech-rideorlights) � �$0.00�0 Motors to 10hp ��$0.00 \�,' 0�.` i��- � Christmas Tree Stand`. � L$0.00 �� 0 Motors ro 50hp -�$0.00,� i��0 � �� 'Fireworks Sland •. ,',� �E0.00�0 Motors to t00hp 50.00 �� 0 Z/ " Other Electrical Fee � /� E0.00 Motorsover100hp $0.00'��0-, �-J.;�<<: lJ �' ` -j�lj� Communiwtion drops $0.00 -- .0 - �- - Investigation Fee , ,- - 50.00 Sub panel to 200a E0.00 0 � �� _- % - ✓,r Plan_Check'Fee � - � $0.00 Pole Light Pkg E0.00 0 - -- �-Reinspection Fee 30.00 Sign Circuits $0.00 0 Temp Pwr Pole 80.00 0 TOTAL CALCULATED FEES E96.72 Intermed Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap eccess requirements under Celifomia statutes and releted regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION:- This pertnit shall eutomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for tha work aulhorized under this pertnit to be eonsidered legel, such work must eomply with all epplicable codes, and all requlred Inapeetlons end final epprovel must be obtained. Failure to obtain inspectlons end final epproval will resuN in the expiretion of this permit. FOR INSPEC710NS CALL: (714) 7545628 WORKERS'COMPENSAnON DECLARATON: I hereby aHirtn under penelry of perjury one ot the lollawing tleclaratlons: �� . ❑� I have end will maintaln e certllicate of consent to sell-Insure tor workers' compensetion, es proNtletl lar Dy section 3700 of Ihe Labor Code, for the peAormance oi t�e work for which this permil Is Issued. ' � � I have end will malntain workers' compensetlon Insurence, es required 6y SeCtlrn 3700 ot Ihe Lebor Cotle, lor Ne peAortnenca ot ihe work lor which this.pertnit is Issued. My warkers' comp-e�nsa on Insurence carder entl policy numDer ere: CerAer. �j/4�. �riKe� PdlryNumber: O��%'I�IBT ((his secfion need nof be Complefed I! fho Oorm/t Is veluBd ef oile hundred dolleis (SI00) or less.) ❑ I certly thet In Ihe pertortnance of ihe work tor whlch Ihis pertntl b bsueq I shell not employ eny person in any mannar so as to becoma sub�ect to Ihe workers' compensation lews of Celilomia, end egree that II I should become su6�ect lo Ihe workers' compensetion provisions of Section 3700 ot Ihe Labor Code, I shall forthwith comply wlth t�ese pmNsions. � � �� Applicent SignaNre: �� t:f�l,t�C� an� Date: 4.l 3�4 /� WARNING: FAILURE TO SECURE WORKER$' CAMPENSATION COVEpAOE IS UNLAWFUL AND SFULL SUBJECT AN EMPLOVER TO CRIMINAL PENPLTIES AND qVIL FlNES UP TO ONE HUNDRED TMOUSAND DOLLARE (5100,000�, IN ADDITION TO TME COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION J]W OF THE LABOR COOE, ItJ�ERE5T, AND ATiORNEYS FEES. LICENSED COMRACTORS DECLARA710N: I hereby aNirtn thet I am licensea untler provislons oi Chapter 9(commancing wit� Sec�ion 7000) of Division 3 ot Ihe Business and Profes�y'ons Code, antl my license is in full force antl ettect Lic. # 3 7 7/✓8 % Clazs x .E5 contractors Signawre: �c9...--� �"� - Dete: 9 3 F9 CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm the� Ihere Is e conslructlon lending egency tor t�e peAortnence oi t�e work for which this permit Is Issued. (Sec. 3097, Civil Cotle). Lentlers Name: lentlefs Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereDy aHirm t�at unAer Oenelry ol per�ury thel I am EXEMPT FROM TME CONTRACTORS IICENSE LAW far the tollowing reason (Sec. 7031.5, Business antl Professlons Code: My ciry or counry which requlres e permit to consWcL elter, improve, demolish, or repair any structure, pnor to Its issuance, also requires the applicant br such permit to file a signed slatement thet he or she Is Ilcer.sed pursuant to Ihe provislons af the Contrectoro Ucense Lew (Chflpter 9(commenGng with SecUon 7000) of DlNsion 3 of tha Business and Protessbns Cade) or thet he or she Is exempt Iherefrom and the besis tor the allegetl eaempNon. Any Wolatlon ot Sectlon 7031.5 by any epplicant tor e permit sub�ects Ihe epplicant to e dNl penelry of not more �hen Ilve hundretl tlollars (S500J.): ❑ I, as owner oi Ne property, or my employees wlth weges es their sole mmpensatlon, WILL DO THE WORK, and the struciure is not intendetl or oHeretl for sale (Sec. 704d, Business antl Prolessions Code: The Contreciors License Lew tlaes not epply to en owner oi properry who builds or imprrnes thereon, antl who tloes such work himself or herselt or Ihrough his or her own employees, pmNded thet such imprwements are not inrentled or oHered for sale. It, however, tha building or improvemant is sold within one year oi completion, ihe owner�builtler will have t�e burden of proving Ihet he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, em EXCLUSIVELV CONTRACTNG WITTI LICENSED CONTRACTORS to conSUuct [he projecf (Sec. 7044, Business and Professions Code: The coniractors Llcense Lew tloes not epply to en awner of property who builtls or improves thereon, antl who contracts for such proJect with a contractor(s) iicense pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Buslness end Professions Code far this reasan: Signemra: Data: Owner ID verified by drivers Ilcense. ❑ Ves ❑ No Drivefs Licensa No. Veriticetion ot Ownership by (rype ol document, I.e. - properry tac bill or deetl): F�pires: DIVISION OF INDUSTAIAL SAFETY PERMR CERTIFICATION: ❑ I hereby ceNy thet no eacavatlon five (5) or more feet in Ge01h �nto w�ich e person Ls requlretl ro descend, will be made In connedlon wit� work euthodzetl hy this permit, enC ihat no builtling structure, scaHolding, lalsework, or tlemolitlon or dlsmantling thereof, wlll he more than thirty-si� (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomle AGmInlSlretive Cotle). ❑ As owner-builder, I wlll not employ anyone to do work which would raqulre e pertnit Irom the Division ol Industnal Safery, as noted ebova, unless such person has e permii to tlo such work irom the division. SlgnaNre: Date: Division of IntlusMal Satery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTMORVATON OF EMRV: 1 cerlity under penalry of per�ury thet I have read this epplicatlon end state Uat the Inlormetion given is cronect I agrea to comD�' �+'�th ell stete laws entl ciry orUlnances relatlng to builCing conswctlon, anO authorize representatives of the Ciry ot Coste Mese to emer upon Ihe e�ova-describetl properry for Inspectlan purposes. I egree not to occupy or ellow occvpancy ot eny building euthorizeA by t�ls permlt uniil Ilnal Inspection. Slgnature Oi Leggl ner(s) ate .�-G- lJ �.�, ��.? Q 9 AnNOr Authorized Applicant Date COOE I' INSPECTIONTYPE ' - 1616 Flzed System Finel Fire Preventlon 1266 Pod Spe Final 200 Finel Ro-Roof � 201 Final BIocWRetaining Wall 202 Finel Fedory Fire Place 203 204 2M&aB Finel Sipn Final Demolltion PAg Q�Aki COOE1 INSVECiIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 � Final Planning Approvfll 222 Finel Site 250 Final BulltlingiOccupency �.1 JIII. ��- �.�4�► � r � v � �� PH0.IECT ROOHESS: 4 O Z E 1 8 TH ST OWNEN'S NRME: SANDERS JAY A noosess:1704 AS�ENGLO'v7 DR ENCINITAS,CA pRCNIENGINEEfl: 6 1 9— 6 3 2� 8 6 9 5 nonnEss: uxrt: 97.029 flEG.NO.: uNiT: PENMITTEE: LEE ROOFING OF COSTA MESA ( 714 ) 642-727_3 aooeess: 1653 SUPERIOR C05TA MESA CA 92627 110EN5E0 LONTBACTOfl UECNBATION: I �er¢Ey atlirm IAa� I am li[ense0 unE¢r O�ovisions ol CIwO�er 9(cOmmenting with Section 70001 af Orvisian 3 0l ��e Buvness an0 Pmleuions Coae. an0 my license is in lull lorce an0 etfect. cirrue.:02'.,875p7 �sTareuc.:349686 ews.C—."9�/ Date: ,r�� SipnaWre: _ _ ��m WOflkEXS' COMPENSRTION DELLANATION: I �ere�y ailirm I�a� I havo a te/I ' ai oi consem to self-insua or a cenilicate ol Workers' Compensalion Insurance. or a cerulied cooY ��ereol (Section 3800, Lae C). roucrxn.:1300948-92 ExP.oATE:06/30/93 COMPANY:STATE FUND .� CenifiM w0Y � �qereby Wrnis�eE. � Cenilied copy is liletl with the ciry BudOin Oivision. Daie: ��'�— 1� Appliwni: �Y/, �+`�� .✓1'�%WVJ ' E%EA1PilONFXOMWOAI(E11S'CDMFENSATIONOELUBR710N: (iNsuctimneeG completeEiitlppermt¢Inonen�npr¢a�37WJorlessJ. I ceqi�y �hat in t�e peAotmance o� I�e work lor wNch this permit is issueE, 15Aall not employ any person m any mdnner so as to become Sublttl �0 I�e Work¢rs ComOensatbn Laws o� CalifOmia. Dale: SignaWre' NOTICE: II. after making Ihis tleclaration, you should 6ecome subiect to Ihe Workers Compensation pmvisions of ine La6or CoG¢. you mu5i fOrl�wii� tOmpry with SUch pmvi5ion5 ar lN5 permii Shdll be UeemeA remkeE. � CONS7qUC710N LENOING RGFNCY: I hereDy aflirm �ha� tllere is a constmction IenGing agency for ihe peAormance o1 the work for wnich Inis permii is issuee �Seclion 3097. Civ. C). LENOEfl: ROOflESS: OWNFN BUILOEN OEClAX11TI0N: I �eaby atlirm i�al I am exempi Imm t�a Contractors' State License Law lor Ihe lollowinp reason �Setlion 7031.5 Bu5ine55 anG PmIe5Si0nal CoOe: Any Ciry 0� touniy wAit� fequifes d p¢rmil �a ConSWti, atlef, imprOv¢, d¢mali5h, oi repair any 9mtture. Drior Io its issuance, also repuires I�e applicanl for suc� permil Io file a sipneA slatemeni �Aai �elshe is licensed pursuanl to t�e Omvisions al Ine ConVaclors' State License Law (C�aOier 9(commencing wiih Seclion 70W) ol Division 3 of i�e Business antl Prolessions Cotle) ar Iha1 nUsne is exempt tnerelmm antl Ihe basis lor ihe alleged exemo�ion. Any violatian ol Seclion 7031.5 Ov any appliWnt lor a Oermil subletls t�e aoo��nt la a civil penalry ol nat more I�an live huneretl aollars (5500). I. as owner ot tne pwveny or rtry employees wilh wag¢5 as iheit Sde fAmpenSaliW, wi0 Oo the work, and tAe ❑ i n I i r It r I ti n 7 in an P I' aI CaEe� � tractar ' i n suucmre s o menEeA o o e ea lar sa e Sec o Odd. Bus ess 0 m esvon . i e Con s SWte L ce se Law � aoes nol aDO�Y �o an mmer of a Woperty wM Ouiles or imo��'es ihEreOn, ana wtro aoes SimA noA him5elf/herself or t�rougn �is o� �er own employees, O�oviGeE I�ai suc� im0�ovemenis are noi iNenO¢E or oflerCG lor Shce. I1, MNNer ��e UuilDinA or � im0�ovement a sol0 wit�in one year o� Compleiion. t�e owner vnll �ave IAe EurOen o� Oravinp �elsAe Oi0 noi 6uiIG or im0�we lor t�e DurOose al sale�. 1, as owner of tAe Oroperty. am exCuSiveh crontracting wiN IiceiKeA crontractars ta canstrUc( tAe proiect fSection 70G4, BuSiness ❑ an� Prolessions CoOe: IDe Coniraclors' Sta�e License Law Uoes noi aODly ta an ovmer of pmperry who bwl0s or impmves thereon an0 who mntracis lor sucn O�ole��s wil� a coniracloqs) license pursuanl lo lhe Coniractors' $late Licen4e Law�. I am awdre Inal O�ool oi ineir Worker's Comp¢nsation insurance snoul0 be pmvidetl to me. � i am e�empi un0e� Section: B. 8 P. C. lor tnis reason: �aie: Qxne[ I Co n¢re0y cenity tlut I am aware ol an0 unaerstana tAe re0uiremenis ol Cahlornu HeLth ana Salety COCe Sections 25505, 25533, ana 2553C ana tlWi 1 or any fuWre OutlCinp OCcuDdnl wilUwill not (circle one) ne¢E to comDN ��h SdiO state mCeS aM Ih¢ ieQuiremenis lor a perrpii lor cOnArutlion or m00Aitali0n irom Ihe Ai� ManagemeN Oisirip. fle5i0en0al cOnytruttion apD��s are aempl �wm mese omvisioirs. Oale; AOPlitanl'. I hele0y cetlily ��a� I �ave �ead l�is aD0litaiion antl slale Ihal �he above inlormation i5 correcl I apree �o comply wilh all ci�y and counly o�tlirunces antl state laws relatinq lo bwltling conslmction antl here0y d ��rize rPD�eSenWtiveS ol IhiS uty lo en�er upon ��¢ a�ave�menlioned O�op¢eiy lor inspetli0n Omposes. O� � 2 1�, i '^ Dale: J` � V�� SignaWre: -- v` Dd�ers iicense o� sonai Secur�ty .: t64Pa6 WM1ne—BuilCmg; Green—CoQe EnlorcemenL Canary—AOP��am: Pink—Revenue; GdEenroO—Ayqesmr CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 061390 PERMZT NO; B 061390 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; V—N PERMZT TYPE; STR PURPOSE: ALi JOB DESCRIPTION : T/OFF REROOF W/BUILT—UP ROOrING SQ FT; 1,500 CLAIM VALUE; 1,500.00 CALC—VALOE: 1,500.00 �" R-3 /M-1 COMMENTS• SMOKE DETECTOR RE�UTAED, REROOF RESID b GARAGE �� ETECT R *�*��*��.��**�**,�� .��,��x_��*�,.��K.��*.��*�**�;� (� R��p��. Z O N I N G R E Q U I R E M E N T S QU� S E T B A C K S ------------ MAIN BUILDING ---------- --- ----- ACCESSORY BUSLDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN kEAR:' FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: F'.t IN PARKING REQ• PROV; PARCEL; 11733240 ZNE: REF NO: PLANNING N(ST'ES> ) I kiFiEifiFiEiEiEiliflEiF�If�1f1Fi(�!E!(�iEiFiE1FiE1k1f1FltiElE�lkifiEiflEiEiEiEihiflfi6lFiFiF#iFifil�lEK�ifif�E�N�1FiE�(-%iF%�%�K-1F3F14il�it�lFi(�IEi4ihlE-1F'M�iEifif 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 20NING APPROVED HY DATE; BUILDING APPROVED HY ; DAT'E; APPLICATION ISSUED BY; DATE• 3� if iE if iE iE iE iE if iF k# iE 1f iE iE x� K k i(� iE it iF iE i(� 1E iE iE if i4 k iF ih�'j'i iF iE ik if if iF iE iE if k iE i! 1f iE if it 1F i! it ik 1E ik it iF if iF!!iE i! i! # ik iFik k iE if iE ih iElh �lt iF 1t'lf !f 1t IE ik iF IE It if iFl4 if lE 14 iE iE iF ik iP fk ### If �M� i! it iE 14 ik iF N k iF 1! IF iF LEGALIZATION:N F E E S U M M A R Y STRUCTIIRAL SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35,00 �; 5p SMIP/NON—RES PLAN '�. ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID •� DUE TOTALS----> 35.50 0,00 0,00 35.50 35.50 ---- ,00 REVENUE DIVISION TOTALS--> COLLECTED: 35.50 OVER/SHORT: '�—• 00 BLD35P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING,_$LAN—CHECK fk 1f IE 1E IE iF ik 1k 1f iE iE iF fE i61E tt fE iE lf iElF 1E 1E iE �lE 3f i! 3E K� jFlE iE iE iE iE�iE iE j(-1E-If iE 1F IE 1E i(� iE %� 7f !F iF iF if !1 1F i4 iF iE lE iF 11� !E 1(�'IF �F-1E 1f -1F 9F if iE aF �)h iF 1E iF 3F iE IE iE I N D I V I D 0 A' li� F E E B R E A K D O W N ITYPE QTY D E S C R I P T I O N UNIT COST —�T'OTAL COST SFk 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 �� 1,500,00 END OF FEES /"�• �. " iEXPIRED Incomple?e Inspections lydtC _ ' ' '. $Ig _ _ ' — _ " �' . CONSTRUCTION ANDPLANNING APPROVALS Permit �} 1. Temporary Electncal Service or Pole i 2, Sod Pipe�Undrgmd. 3. Electrical Conduit UtilityUndrgrnd. 4. Electrical Conduit-Undrgrnd. 5. St:el Reinforcement 6. Electrica� UFER Grnd. 7. Footings I 8. Founda[ian 9. UVater Pipe-Undrgrnd. 10. Structural Ftoor System _ 11. Property Sewer Line & House Connection 12. SrNer Cap 13. Roof Drains 14. Rough Plumbing 75 Rough Electriwt-Conduit i6. RoughElectricWiring 17. Rough W�nng Sign 78. Rough Electrical-T Bar Ceili�g 19. Rough Hea[ing & Air CondiUoning 20. Rough Factory Fireplace 21. Ducts, in Structurc 22. Ducts, Ventilat�ng 23. Gas Pipe�Rough & Test 24. Roof Framing 25. Roof Shcathing 26. T�Bar CeJin9 IStructuraq & iNonocoat 27. Frmear.d Ffashir.g 28. Lxthing & Siding 29. Insulation 30. Drywall �admg 31. Plaster B:oc�n Coat 32. Electnwl Poe:er f.leterPinai 33. Fin�l Elnttric 34. Final Heating $ Air Conditioning 35. Final Gas Pipa-Test 36. Hood or Canopy 37. Final Factory Firepiace 38. Final Plumbing 39. Water Service•Final 40. Gas Service•F�nal 41. Solar pomestic-Final 42. Backflow Preventer . .. 43. Backflow Irrigation 44. Landsu,pe Irfiqation $ystem 45. Sound Attenfi�At;op-: � 46. Handicap Regu�3tidqt. 47. FINAL STRU�F�IRE_& BUILDING 48. PINAL PLANI�G.:'-: 49. Electric Release'tt� E�igbn 50. Gas Release to Southern California Gas No Date Date PO. & SPA Inspector qppROVAIS Permit � 52. Pool & Equipment Locauon 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 56. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Batkwash Lines, P�Trap, � Undrgrnd. 61. APPROVAL TO DECK 62. Backv�ash & Receptor•Final 63. Heater 8� Vent•Final 64. Plumbing Sys[em � F�nal 65. Electrical•Final 66. So�ar SYstem•Fina� 67. Fencing & Access ApProval 68. APPROVED FOR PLASTEFING 69. POOLlSPA SYSTEMS F�NAL FIRE DEPT. REnUIREMENT APPROVALS Permit # 0 70. Underground Hydro ]7. ProductPipingC7Gas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEAI FINAL 78. FIRE PREV. FINAL HEALTH DEPT, REQUIREMENT 79. FI�AL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes:.,A_ .w,..,,. �L..�o � �i EXPiRE� {ncom �e� � � q �a'J S�s Ti]tt- - � Date � Inspector - .ii'Obvor-DtCS^�SIItaams-.�cjSal'�'IriEri��'--- ' - 171 EAST 20th STREET ` �,rCOSTA MESA, CALIFORNIA FOR APE'LICAN� TO FILL IN waare� 01 f �y Ces.Q��s,� Costa Mesa, California Nea1'est r�. Cross St. J Owner Address Rf��Q / /j City G:l� �. proMitect or Engineer Addfess Contractor Qf(+Y�(j�_� Address Legal I Lot Description No. %.'Z� (Attach Metesa�d 8aun Size of Lot �'L : � =.7 Use of Existing Bldg. Setback Line from - Center of Street DESCR New I I AIU Repdir I I Mo� Bulldin9_'_--` ��'' � Add Cross s) �f�/L/ t�ldg �l9 � � INow on Lot A INo.of � I No.of 3- Familins Renm¢ Addition �PY.ICATION�'a� PERMIT � i � �tJ1LD��NG ' FOR OFP`dC� HJSE ONLY Receipt No. I ��It N� �e�py Date Rec'd. Date Issued � -�s-,� //- � -� n z- �- / �'`� osta Mesa, California %>-. - — e .. /� CORIiEC9'IONS ' APPROVALS �� Foundation Location I Inspecto Forms, Materials, I heYeby acknowledge that I have read this Application - and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and � 5tate L.aws regulating building constNction. Lath. Ext. Sig�ature o1�� Permittee Plaster, Int. Authorized t. � Plaster. Ext Valuation PermftFee$ /�, � " Masa 6 /-�f� '� Plan Check $ .�. � � Bond $ � `6 ToWI y � o — Fee $ �c , FINI � p04 S-BP 2M 8-55 � 2 D r ri.ui rx.�v " 8how locatlon and dlshancea from .- Property Iina and between buildings , .J .'?%SSoa� al�!'7:� V.\�� n � � � 'f�Yi'"7'�SP�WESA � � ��.7fit.Z�.C� '� � . ��g�� ;d \�911 :J�1.j`:, �L.\� _ .a.� �� - . . ' _ � _s��'.�..�s�� . _ _ � Pi�.. :� - �� . - �_ - � � .. . � , ��, � . .,. . . ,_ --- �' R -as�ya� - C�: ,.:�. � '� . � — - - �e" ' `�• -. - � � x � . - \ c• : ' y� e'C =�t�x: � . �1.� � a�+�ai� � a a � v'�4. . � �.,�..`�. .� �`�, �., :. _, . � .�,v:v.�� -�;�� . . -- > .. . � .;,. --- � =- . � . - - - - - � .. � ' i " 40078 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comp/etely � BUILDiNG / / ADDRESS �/ 11 � /� � G' T��T Fl OWNER (' r� � A.P. NO. I' I r- MAIL � � / C�„�C� ADfDR'E 5 �OC Z ADDRESS � GW- U CITV O%7-. (J G N�` � TRACT �� zZ Q CONSTRUCTION W O � LENDER d ¢] J � 6RANCH J � OWNEP mJ AODRESS q J m AflCNITECT TEL. S D� �/ a OR ENGINEER N U Q FIRE w � ADDRESS ZONE p, W APPROVED J O CONTRACTO � % L 8Y �% Z J � .4DDRE55 w w TEL. Z0�1 NO.OF � z � CITV NO. P�'� ( 0 STATE CITV VARDSAPPROVED y� LIC. NO. LIC. NO. MAIN BUILDING 7 O (FROM C/L STREET) SIZE / /j NO.OF BLDGS. OF lOT S o(� NOW ON LOT ONT FT. USEOF q-()f� g�Tl� 7J 1C1�/S%/A/G EXISTING BL6G' / f N 4�- T F� SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L SIDE T U EXTERIOR WALL ROOF COVERING COVERING REAR FT. J U E F UtL G AND ORK TO BE PEfiFORMED DISTANCE BET. a I CJ � s / MAIN BLDGS. a a %� o� m - � C URP. qW F APPROVED/ 1 y w z 0 UI hereby acknowletlpa that 1 �ave reatl thts application and stata � that the above informetion is corract end aprae to comply with � ell laws raB��etinB builtlinB connruc[ion, antl I shall not employ � eny person in violetiOn of tnB workman's tOmpensatiOn Iews of y tha Steta ot Celifom(a. Z� heraby certify i�at I em praperly Iicenaetl es e contractor untlar SQ. FT. the STate of California Business entl Professiona Cotla, Divisfcn 3, THE AMOUNT SNOl Chapter 9, antl that such lice�sez are in full force entl eftect, or I THE PURVO6E OF FS'1 am axempt from the provisions ot the State ot Californla Businaa VALVATION antl Prof¢ssionc(( C�otla, Divisiofn 3, Chapter 9. Sipnature o� � m�� / �� Permlttae /�-�1 J $ Autborized ABent � PAtD IIIi�'3'7S�Mc.00 064� *'�**f�5.5� ON FOR BUILDING PERMIT DATE Le� USE OF NEW BUILDING BET. MAIN & v� w 0 VALUATION IS FOR � A PERMIT FEE ONLV: Q m E S � � K 8 E o` � LL $ �