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Home My WebLink About327 18TH ST - Building Permits(714) 754-5273 � Fex (714) 754-4856 Job Address: '327 E 18TH ST Suite No �'. � Vicinity: Parcel Number: 4250'1415 Applicant: ELESHA BERASON Address: CITY OF COSTA MESA BY/LD/NG DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT Owner: CAMPBELL, RICHARD D TR Address: 2567 IRVINE AVE COSTA MESA, CA Phone: Zip: Phone: Zip: 92627 Contractor: GEORGE BRAZIL PLUMBING, HTG. Address: 3801 LENAWEE AV CA Phone: (310) 253-5229 CULVER CITY Zip: 90232 license: 679898 ArchlEng: Address: Phone: Zip: License: FAU CHANGE OUT ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair I Alt Cooling/Heat Inst / R�p. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dainpers Smoke Dampers Inst or Relowte Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfin Floor Furnace Floor or Suspend Heater $23.50 $14.80 50.00 $0.00 50.00 $0.00 $0.00 $O.00 $0.00 $0.00 so.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 �/_ , SC � �OF PERMIT GG� Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY PERMIT NUMBER � M99-00466 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 70/7/1 gg9 Issued: 10/7/1999 ISSUED BV; � - Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporetive Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3 To 15 hp / SOO k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00' 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 pefiod of 180 deys. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl Inapectione end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECL/�AnON: I hereby attirm under penalry oi perjury one oi the tollowing declarations: ❑ I have antl will maintain a certlficate ot cronsent to self-Insure tor workers' compansation, as provided for by section 3700 of ihe Labor Gotle, for ihe pedortnance of the work tor which ihis permit is issuetl. ❑ I have and wlil maintain workers' compensation insurence, es requiretl by section 3700 0l the Labor Cotle, tor-the peAortnance ot Ihe work lor which �his pertnit is iuued. My wR rk91rs�' compensation Insura ca carrier and pollcy number re: /� n c ( � Cerrier: �[} o- C1 �R'� � o � 1c+--� � Policy Number: V � ��/� � � � _ ) '1 �� (Thls secfion need not be comp/etetl i/ the permi� /s ve/ued ef one huntlred dollers (Sl ) or less.) ❑ I certify Ihat in lhe peAortnance 0� � ork for which this pertnit is issued, I shall not employ eny person in eny manner so as to become subject to Ihe workers' compensation laws of Calitomia, and agre et if I should become subject ta the workars' compensation provisions of Section 3700 of the Lebor Code, I shall forthwith comply with �hese provis' s. ,� a� 2 ,� �Applicem SignaNre: �� Q �^ � y` C�� - Date: �� ` � 5 � WARNING: FAIIURE TO SECURE WORKERS' �MPENSATION COVEMGE IS UNLAWFUL AND SHALL SU61ECi AN EMPLOVER TO CRIMINAL PENAlTIES AND CIVIL FINES UP TO ONE HUNDRED TMOUSAND OOILARE ($100.000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PPOVI�EO FOR IN SECTION 3]O60F THE LABOR WDE, IMEREST. AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARAnON: I hareby affirtn �ha: I am li ensed under rovisions ot Chapter 9(commencing with Secti 7000) of Division 3 0l Ihe Busineu antl Professio Cotla, antl my licensa is in full torce and eHect Lic. u �� CIe55 # C..3 �.�e � Za _� ConirectorsSignature: 6 ,��\— /S — �—�_-� Date: (n—i S � y CONSTRUCTION LENDING AGENCV: ❑ I hareby aHirm thet ihere Is e cons�mction lending aqency tor ihe peAormence oi tho work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: SignaWre: Date: OWNER-BUILDEfi DECLARATIONS: I hereby aflirtn Ihat untlef penelTy of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW br t�a lollowing reason (Sec. 7031.5, Business and Pmfessions Code: Any city or couMy which requires a pe�mit lo conshuct, elter, improve, demWlsh, or repair eny strucWre, priw lo its issuance, also requires lhe appficanl tor such permlt to file e signed statement ihat he or she is Ilcensed pursuent to the provisions of ihe Contractors License Lew (Chapter 9(commencing wlih Section 7000) of Division 3 of Ihe Business and Protessions Code) or ihei he or she is exempt iharefwm and the basis tor ihe ellegetl ezemptlon. Any vlolatlon of Section 7031.5 by eny applicant tor e permit sub�ects the applicent to e civll penalty of not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with weges es their sole compensation, WILL DO THE WORK, entl the stmcture is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner oi property who builds or improves ihereon, entl who does such work himself or herself or through his or her own employees, provided Ihat such improvemenis are not intended or otteretl for sale. IF, howeveL Ihe building or imprevement is soltl within one year ot completion, the owner-builder will have the 6urtlen of proNnq Ihal he or she did not build or improve for purpose of sale.). ❑ I, as awner ot the pmperty, em EXCLUSIVELV CONTRACTING Wf7H LILENSED CONTFiACTORS to construct the project (Sec. 7044, Business and Prolessions Code: The coniractors License L9w does not apply to en owner of proparty who builtls or improves ihereon, and who coniracis for such pmjeci wi�h a comractor(s) liten5e pur5uant �o �he Con(rec�or5 Licen58 LawSJ. ❑ I em e:empt under sec. Business and Professions Code for this reason: SigneWre: Date: Owner ID venfietl by tlnveYs license. ❑ Yes ❑ No Onver's License No. Expires: Venfication of Ownership by (type of doGumen�, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PEAMIT CERTFICATION: ❑ I hereby cenity that'ro excavation five (5) w more feet in depth Into which e person is sequiretl to desc»nd, will be made in connection wtlh woAc authorized by this permit antl ihat no 6uiltlinq structu�e, scattoltling, falsework, or tlemolition or tlismantling Ihereot, will be more ihan thirry-six (36) teet hign. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminisiretive Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit trom ihe Division of Indusinal Safety, as noted above, unless such person has e permit to tlo such work irom the di�ision. Signawre: Dete: Division of Industnal Sefery Permit Number: ICERTIFlCATE OF COMPLIANCE AND AUfHORIZATON OF EHTTiV: I certiry under penalry of perjury that I have reatl this application antl state that the information given is wrrect I�agree t rpqiply with al� laws antl ciry ordinances relatin9 to building consiruction, and authonze represen�atives of ihe City of Costa Mesa to emer upon ihe ebove- cnbed {#o �rlY for Ins ttion p egree not to occupy or ellow occupancy of any builtling authatlzea by this pertnit until linel inspection. GODE �. INSYECTIONTYFE 76/6 Fi:ed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Fina1 BIocWRetaining Wall 202 final �actory Fire Place 203 Final Sign 204 Final Damolition L�9IE / D _ � ate /' _� Date � INTITIALS OEI INSPECTIONTYVE 206 Final Mechenical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Finat Planning Approval 222 Final Si�e 250 Final Builtling/Occupancy � �oonFssaea�m+a: ]27 E 18TH ST °w'aqa*""E"'an"": CAMPHELL, RIC'HARD D TR � A°°"��' 2561 IRVINE AVE ` COSTA MESA,CA 92627 �rv�. �uima �ooxEss u¢xrt[cr on Q,mi�+: uc w, uNr: uMr: D&E CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 079737 PI,AN CHECK NO; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR �"�""�T�^'s"""� PRIMO ROOFING (719)841-4456 cwm�croxs�uua 17066 PALMDALE ST �5% HUNTINGTON BEACH CA ��= 331120 92647 �: LICENSEO COMR�CTOfl4 DECIAPRTION: I Mesby alfrm wMx perolly d pejwy Ntl I em fcsustl uds pfwiebm d CMqr 9 ,enano wnn sx+on �000) a oiwon a a me evrirea .nd Raoeian, coee. ene mr uwima e m nm kR. m,d a�ka. c uc.r,o.:007639 uc.cuss: C_39 uc.no.: 3�31120 EXP: /0'3/97 Dets: ' V 1 � ComreUw: �1 �.A./�.� �'� �'�1/1 ��i .' � OW N BUILDEN OECIAPATON: I Mmby dfirm uMu pyy�y y perjury thet I un aYemp Imm IM Gonvapon " Lew la iM 1 ' p ieewn (Setlian ]W 1 S Buai�me eed Rdmaians Coda: AM <YY a oouM' xfiidi reC��ee e 0�� lo carolruct, dla. YnVaa. dih, u rapei vry evudurt, p'w lo Ga ueuvKe. ebo Rpuirea iM eppl'xxnt ta wch pxmG to fib e eymd Manent Net M a�he os�..d w�� m me wo�.�w a u» com,ae«. uo,,,,, �,w Icnaaa e(�m.�aro wnn saao� �owl a w.ew� a d �ro ,einm eM Prohseone Coda7 a thel ha a ehe is axemq thaelmm eM IM baaia la tlro ellped uemqion. My violetion d Seeion i031.5 Cy eny eppliwnt lor e permil eubjecL IM epWirsm ID e crvil penely d ml mas �hen Ma huMnE Edbn �5500�). � I,esoxnerdihepapenyormyampbyeeev.ihwepasaylhe'rwlecompemetion,xilldalhewoA,eMNsahuclunlsm�inlendaE a oflereE br eda (`�� )�. Buv�waerd Pmbasip�a Code: Ths Conlrmae Licams Lew does ml applyloen oxner d piape�ly wM Wide a inMw*! �herean, eM who Eom vudi wak Nmeetl or MneR aWaqh he a M own ampb�ae�. pw'�ded iMl eue� imqwemarde ere nd mteMed a dlsed la aab. X. hpw�. IM buik'up a inqwamam u wtl Mil�in ar yaer d mmplMion. tM ownx-0uiqm will Mw IM Euiden M pwaq M w elp AiA np pdd u impeova Iw tM qiryws d mb). p �... o� a m. nwero. �.•�^n �^��+:�e wm hc�e mwanas ro oonmw m. wa.d (sw4, ra.. aam.,.a PMwom Code: TM COMrtlm licenn law dom � epqy W y� �y d papMy who bu� a inpwr tlwwn mtl r.fio mnimW for wtli pqods xith e aomreao�e) IicemeC Wnuw to tM Cmuauore li�ave law�. � I am aromq urdx Sxtion: B. d P.C.. la �liu �eaeon: Dete: �Tbr. I do IwebV �Y Wt I em ewue W eM �NeiswM tta �eq�nsus d CeOmde FiaeM end SdY4y Cods Seaidu ]5505.255JJ. �d 2SS'f�. W IIW 1 a mY Mive Euildvq moiWN WI / wil e�u (ticb aa) mad ro wmp1Y wi� aid ptla mde� wd �M n@uamatla br • pmM lamn+mction a maEdrmimlmntMNOueIaY Me�y�yy py�y, q�yel amnwion eppimtiorom� awrW M1an Ns„ Vo+iv�^*_ om.: �vd�n: WORNEF'S COMPENS�TION DECLMITION: I Aereby etfi� �nAy perehy d papvy ar d IM bPowirp dedumbro: � IhmudWmeimenettM'wadmnnnt�oesMir��y��y�'�pip�.opwidaElabySatlbn�]Wd�MleEv Code. far iM peAormenca a� Me wak fa wfic� Mie pymE b uaueE. [] I hma end wil me'vuen w�en' ou�D�4^ �^��+^y. m nquinE by SSYian 3)00 d ihs lebor COM. br IM pAammin d IM f� »aM �> xhkA u,i. c«nm a mued. Mv wnkeeY comamamian nwe.ric. nrtia .ne ooticr mvnn« ma: c.m.,: arr. EXPIRES Pa�+'"�^^� 841t7^�� 11 /O1 /96 n, senion neea iwr ee mmd•red � rn. ro�x o ro, au nuneiee ew�ers /strol «rma.l � I cendy ihei in Ihe pe�tormenn d IM xroh br Mfic� Ihie peimil a ieaued. I ehdl ml ampby elry pe�eon In anY menMr o n to berome wblb io IM xoM1an' canpeneetion lewe d Calibmie. eM egrte thtl tl I ehouk becams abMd �o tM wkere' wm ion Dm'roiwi4d Satlion �)00 dtM LeborCoda.l tathr.ilh WY Oma paviau. m : � -C� 1- °I l� ��: �1.�� min0� F�Yun M��cun Mohen'romprwtlon rowtip� �� I�MN, erMalull �WJ�cf ur wmpley.r ro e�IMnl prrltlr mJ clHl fliw tp b on� MnCrM MouunE tlo1Hn (t/0q0UJA N M1/tlon ro Ms rosf al compxiufbry Wm�p� u provhlM bi In 9�ctlon 8I06 0l M� L�bor COJe, InMWt, end ettomsy'a /eq, CONSTNUC710N LENUINO �OENCY: I hxeby elfirm ury�r penetly al perjury �het Ihae u e muliutlun bMmp eparwy br ths qAwmuue d iM xdM br wfiich Oiu Vermi u 6weE (Sepion 309'l. Cw. C). LENOEN'S NAYE: LENDEN'S �ODFE54: 1 cMJy �hm I hew nad Nu eppl'x:mion end qete Ihet Na ebNe iMmnetion e canea. I epne �o oompy vrit� Y dry end mwvy ad"vxrcw uM swe laxe �e1vM lo huildiq mmUuacn aM MrebY eWvza reWemetivaa dihu W/ ro amx uD� tM eEo.a�nwnibnad popwry la irepeclion Wrpwae. BRIAN WHETSEL (515��6.WP) Whde-BuiNip Rnk-Rewnw: (3tlJanmA-Neaaor / � PERM NO: B 0797.37 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : REROOF W/1LAYER COMOP. OVER 1/LAYER COMP SQ FT; 3,105 CLAIM VALUE: 3,105.00 CALC—VALUE: 3,105.00 GROUP OCC: R-1 / COMMENTS: REROOF WITH 1 LAYER COMP. SHINGLES OVER EXISTING 1 LAYER COMP. it-iF�f�t*****ititit*it***�tx��t*�t�tat****x��t*�t�-*�t*�t�t�t�t*at�**�-�**i�-r****�-�-**�t�-irx�*x-fE*itit*irar+Ex�+ax�*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARRING REQ: PROV: PARCEL: 42501415 ZNE: REF NO:� PLANNING NOTES> i � ik ik iE iE 1f 1f if iE IE iE 1E 1E iE IElE 1E IE 1F ik ik If� if iE iE ik 1f 1f i! if iE iE iE 1E ih iP i(� 1k if� 1(� iF fE if IE 1E iE IE iE 1E iE iE iE N iE IE 1(' 1E iE if if 1E i(")f 1E ii 1E iE ik If.iE,ib if iE �E iE')f 1E 1E 1ElE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N"'T S . ZONING APPROVED BY DATE: %�' HUILDING APPROVED BY : DATE: �� / APPLICATION ISSUED BY: DATE: '"J I `� 181Fik1F1E1F1F1fk1Ei(�1EfE1E1EiE1I�iE1I�IkiF1k 1k1k�FifiEifiEiE1E1E iEiE iF1t LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE�, SMIP/RES GRADING PERMIT 87,25 50 PL� � SMIP/NON—RES ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECR TOTAL ;' PAID DUE TOTALS----> 87.75 0.00 0.00 87,75 �'' 87.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 87,75 OVER/SHORT: ,00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT,, GRADING PLAN—CHECK 87.25 .50 �:�, 1E IE 1E 1F If iF 1F iF 1E iE iElE 1E 1f 1f IE 1E 1t 1f IE iF 1F IE 1f * 1f if 1f if ii if 1f 1E 1E 1E If 1E i! iE 1E 1E 1E iE 1! IE iE fE �E 1F �E 1E 7E 1f iE Ik fE 1E 1E if If ii 1f 1E 1E 1E 1F iE if ib 1f 1f �E 3E jF 7!!E if IE 1E I N D I V I D U A L F E E H R E A K D O W N , TYPE QTY D E S C R I P T I O N UNIT-COST TOTAL COST SFR 3105 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,105.00 END OF FEES ,- � 01 OD21b108—DU216109 T Cl T 87,75 ORTE:'10/01/95 TIHE: 13�56 i1 Il ��: CONSTRUCTION AND PLANNING P�� `PA � jAPPROVALS Permit#� Date Inspector qppROVALS Permit# -� Date inspector � 1. Temporary Electrical Service orPoie 52, Pool & Equipment Location � . ' ' 2. Soil Pipe-U�drgmd. , 53. Steel Reinforcement -' . � 3. Electriwl Conduit'Utiiity�Undrgrnd. 54. Porms ' � 4. Electrical Conduit�Undrgrnd.` � 55. Electrical Bonding ' � ' � � 5. Steel Rein�orcement- 56. Rough Piumbing & Pressure Test 6._ Elettrical UfER Grnd. ' 57. APPROVAL TO COVEfl•GUNITE �^7: Footings � ' S8. Electricai Conduit•Undrgrnd. � 8. Poundation �;,� _ 59, Gas PiPe, O Undr�md., Test � '9. Water Pipe�Undrgrnd.. 60. Backwash Lines, P•Trap, [1�Undrgrnd. -' � l0. Structural Floor SYstem ' 61. APPROVAL-TO DECK � " 71. Property Sewer �ine & House-Connection 62. Backwash & Receptor�Final � 12. Sewer Cap � - ' 63. Heater & Vent-Final 73. 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 ' 1�. Rough Wiring Sign 68. APPROVED FO,R PLASTERING ' ! 18. Rough Electricat-T Bar Ceiiing- 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT c 20. Rough Factory Fireplace •��APPROVACS_ Permit # 21. Duas, in Structure � �, ;, -- - , � � _.. 70. Underground Hydro ' 22. Ducts, Ventilating' � � � � �' � 77, ProducY Piping ��Gas � Oil 23. Gas Pipe-Rough & Tesc ' _ 72. Underground Ftysh. ,. , 24. Roof Framing� - - .. �, - _ 73. Undergrnd. Storaqe Tank�O Gas OOiI 25. Roof Sheathing - , r _ � " �� 74:..Overhead Hydro� ' 26. T-6ar Ceiling (Structurall & Monocoat - � . n �� 75: Dry Chemical � - . ' 27. Frame and Flashing � =� 75 Dry Standpipe ._ �� ' �� . 28. Lathing&�Siding �' �. �-`"� z . .. '",` 77, FIXEDSY.STEfvL'FINAL T' . 29. insulation .,� -' ` 78; FIRE PREV. FINAL K - s 30. Drywall Nailipg ;. j c '� � HEALTH�DEPT.�REQUIRENIENT ' 31. Plaster Brown Coai"' �, � ' 79r' FINAL I�ISPECT1i0N • � � 32. Electrical�Power Meter-Final .`�� - � 80- FOOD CERTIFIGATE ISSiJED � 33. Final Electric - � "'- � - � t ' Notes: � - � � _ �� 34. FinaYHeating & F�ir Conditioning; ' � ` i; , _. "y . _- - 35. Final Gas PiPe�Test�� a . • �, . � r .,.< .. . - . 36. Hood_or Canopy :' ' ._ - ._ . - ' -� � ' � , �- 37. Final FactOry Fireplacr - " , � �:' . � 38. Final,Plumbing " - � ,, k y - . _ ' � 39. Water Service-Finaf�r. � • !- � � +� . - - 40. Gas Service-Final � � ' � . . : � � - 41. Solar pomesticF(nal - - •� _ - -� ' ' Y ' 42. Backflow PreventeTi° " . � ` `' . , a . 43. Backflow Irriga[ion � � :.. � C� �L � �f'/ -'' �� e� �� - �i..C/ 4!v P " "�� 44. Landscape Irripation System �" - � . , . ' � ° -' � 45. Sound Attienuation �: - .-+ . - ` 46. Handicap Regulations - ' . � �� 47. FINALSTRUCTURE&BUILDING `�.:Z_�� . - _ • 48. FINALPLANNING; . . "' ' 49. Electric Release to Edison �� . � � - 50. Gas Release to Southem Califomia Gas Ca ` ; - 51. CERT.IFICATE OP OCCUPANCY' - _ - _ No. Date Applieanl to f��i �� all CITY OF COSTA MESA CONSTRUCTION PERMIT T, Address within heavy bortlei lines anC siB� all aOProprin.. aeclarotions. - TRACT NO. �.OT NO. BLDG. NO. w 4. Y q / TVPE OF CONSTRUCTION ��}}}��I Phon�yi „_ +S ❑ NEW ❑ ADD ❑ ALTERATION vy/�Q ¢T� �t.n 9�j� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH �""� LicenSe No. ❑ OTHER OESCRIPTION OF WORK I hereby alfirm that I am IlcenSetl untler provlslon! mencln9 "/��h sectlon 7000) oi Olvlslon 3 of Profasslons Cotle,�ntl3my Ilcense Is In full License Class 6 ,� L�cense Ddi¢ �' "`� �T'� 519ndfUYO / _ WORKERS' COMVENSATION' ECLARATION I hereby atfirm [hat I have a terlHicate of cOnsent to sel/-Insure or a certifiwie of Workers' Compensatlon Insurance, or a certiiletl copy thereo( (Sectlo 3 , Lab. CJ. �P� ve r'�� P��icy No. Company �� vrtlflatl copy I5 hareby furnishetl. ' ertlfle0 copy I5 fllatl with the city Bui�tlln9 plvlslon. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �This sectlon neetl not ba completetl I( the p@rmit I5 for one huntlretl E1001 or Iess). � cert(ty tnat In the performance ot the work tor which this permit Is IszueG, I shall not emPloy any person In any mynner so as [o become sub7ect to the Workers Compensatlon laws ot �Iltornla. Date Slgnature NOTICE: If atter making this tleclaration, yoU shoultl become 5ubject to che Workers' Compen5ation provisions of the Labor Code, you must forthwlth comply wlth sucn provlsions or this permit shall be tleemetl revOketl. CONSTRUCTION LENDING AGENCV I hereby afflrm that there Is a construttlon Iehtling agency for the per- formance ot Ihe work tor whlth Ihis permit is Issuetl (Settlon 3097 Civ. C.). .. Lentler•s Nama , � �entler'S AOtlresS OW NER BUILDER �ECLARATION " ' i nw•nnv aHirm that I am exemot irom Ine Contrattor's Lic¢nse Law tor or county whith requlrez a or tnat ne is exempt tneretrom antl the - appli�'vnt for a permil subjects tha appliwnt to a NWI penalty rt more than'five huntlretl tlollars (E500], " , as ownei,of�the�property, or my employees wfth wa9esas their sole tompensation;'will tlo tha�work, antl the strutture is not intentletl n. n(fwrntl for sale. f5¢[tlon 7044. Bu51ne55'arltl Protessions Cotle: The w�o buiias or improves �nereon, ana wno'aoes.sucn work nimsei� or [nrou9h his own employees, provlCeE that suCh ImOrovement5 are not` intentletl or ofteretl for sale. It, however, the bulltling or improvemen[ is soltl witnln onc yoar ot �completion, the owner wlll hava [he burtlen of Oroving he tlitl not builtl or�improve for the purpose of sale). ❑ 1, a5 Owner'Of Ihe property, am Bxc145ively mntracting with licensetl coniractors ta contlruct the pro�ect (5¢tUon �044, Business antl PrOfl55Ion5 COtla: The COntlact0l'S Llcen58 Ldw tlo¢s not apply to an owner oi property who builtls or Improves [hereon, antl who ton- tracts from sucn pro�etts wi[h a contractor�s)-Ilcesnetl pursuant to the Conlractor's Llcense Law). ❑ I am exempt unCer Section B. & P. C. for this reaion that I hav8 rBdtl [his appllcdtlOq antl Stdte that th¢ dbOve <orrect. I a9ree to comply with all city antl county stato laws relaHng to tonstruction, antl hereby autnorize of th15 city t0 ente � upOn the dbove mentionetl 7cpactlon purpos�s. s O �Fl ��//// /" � TYPE OF PERMIT ❑ GRADING ❑ FOUNDAT�IO/N ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL 12}PLUMBING ❑MECHAI ❑ OTNER PROJECT DESCRIPTION 54. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRADING CU. VDS. ACRES REMARKS: PLUMBING BATHTUBS LAVATORIES KIT. $INKS SERVICE SINKS PLANCHECK SHOWERS URINAlS ' DOUBLE lAVS DISHWASHERS ' SUMPS FLOORDRAINS ORINKING FOVNTAINS INTERCEPTORS CLARIFIERS SWIMMINGPOOL PTRAP WATER SERVICE ALTERATION GASSERVICE OUTLETS CONNECTIONS TANK PIPING SVS. E FEE' . MECHANICAL -PLANCHECK HEATING SVSTEM 0-300,000 BTU_ AN�OUCTING 100,000+BTU_ REFRIGERATION 0-500,000 BTU_ SVSTEM 100,000+BTU_ BOIlERS BTV SYSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Slgnature �'��',�. � Date ' ' Drivers' Licensa or 55 � ISSUE FEE CMF 0865�46 White-Builtling; Canary-APpI{cant; Pink-Accountin9: Goltlenrotl-Assessor ��qpy 7065 6/08/82 A.P. 3 ZONE REAR YARD (TO P/l) PKG.SPACE RE�. STREET WIDTH ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL PLNG. REF. qp PROVIDED PARK FEE E PLAN CHECK GENERATOR 0-1 KW_ 1-30 KW _ TiiFNSFORMER APPLIANCE - ' 10-50 KW_50+{(W _ MOTORS 0-1 HP_1-10 HP _ (INC.SOLAR) 10-SOHP SO+HP_ FIXTURES OUTLETS SWITCHES GAS TV9E SIGNS POLE LIGHTS PANElS MAIN SUB SERVICE AMP ISSUE FEE AVPLICATION APPROVED BV DATE 5.00 SUMMARVOFfEES BUILDING PERMIT $ SMIP E PLAN CHECK $ PERMIT � ISSUANCE $� PLUMBING $ �'�. � " GRADING E PLAN CHECK 8 ELECTRICAL b � - b PLAN CHECK $ . MICROFILM E { � �� MECHANICAL $ TOTAL FEE $�""� PIAN CHECK - $ LE55 AD- VANCEPC $_ 2C' Y'/O FINAL FEE E � " I� 7 CONSTRUCTION AND PLANNING �' POOL & SPA . � - ' Date Inspec[or �� , Date Inspector, APPROVALS ' Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - Soi ipe-Undrgrn 44. Steel Reinforcement 3.. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn ' 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation ' 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection - 53. Backwash & Rece tor-Final • 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring � � 57. Solar System-Final � 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure. �- APPROVED FOR PLASTERING 16.. Ducts, Ventilating 19. GasPipe-Rough&Test 60. POOL/SPASYSTEMSFINAL , 20. Roof Framing 21. Roof Sheathin - 22. FrameandFlashin NOTES: 23. Insulation 5/3�/d' LE�r c.A2p LS+7 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas ipe-Test � /- - 31. inal Plumbin 32. ervice-Final ` 33. Gas Service-Final 34. Solar pomestic-Final `� 35. Landsca e S rinklin S stem . 36. Sound Attenuation � � - - - - � �f- - �- � - 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY No Date � � rxaen aooxess: 3 2 7 G 18 TH ST � � uxrt: " OWNEB'BN�ME: MR & MRS �RICHARD CAMPBELL � - . / IIOUflE33: ��, �� ' . �� . �Sb L �.e,o�.�a ., ' � RBCNIEMCINEEfl: �� 1 4� 6 4 6" 3� 1 j , • pE�.NO.: � .� f ', nooxess: _ . ' � , uert: r PEflMITTEE: PH1MU ROOFTNG CO.� � � �( 714 ) 841-4456 aooeess: 1,7066 PALMDAI.E STREET � � HUNTINGTUN HF.ACH CA 92647 LICENSED CONTMCTOB DECUMTION: I here�y affirm Ihat I am IicenseA un0er D�oNsions of Chapter 9(commencinq with Section 7000) of �ivislon 3 of t�e Business anE Pmtessions CoUe, antl my lic se is in full orce a ettect - cir'r uc.: 0 7 6 3 9 sreTe uc.: 3 31 1 cuss: 3s ; r1 � Date: � � � t/ Sipnatum: � � WOBKEBS'COMPENSRTIONOECIAMT10N: I�ere� aifirmthatlhaveacetllcateolconsenttoseli-insurearacertificateatWarkers' Compen5aiion Insurance ar a cenilietl copy ihereol �Sedian 3800; LaE. C). � � aoucr xo:: 6 6 2� 2 3-= 8 9 exv. o�Te: 01 / 01 / 91 . caMr�Hr: STATE FUND � e �J 7 Certifietl coDY Is hryereDy tumisAeE. � Certi/ie0 wpY is IileE wil t�e ciry Buil ' p Divi<.�� r�'% .' ( �% ' �_ ' - , . . IOate� Applicant: � � E)IEMPfION FPOM WOBKEBS' fAMPENSITION OECIAMTION: (fAis section nee0 nol e wmpletetl il ihe perm0 is for one hunOaA (5100) or less�. il1 ceNry Ihat in IAe Dedormance ol t�e work lar wAic� t�is Dermit is IssueO, I shal nat emDloy any person in any manr�er m as to bewme suEiecl to tna Worke�s' Compensaiion Laws ol Calilamia. � . , � Oate: � Sipnatura: ' NOTICE: II, aiter makinp this Eeclaration, yau shoul0 �ecame SuEjece to IAe'Workers' ComDensxtlon D�ovislons ai ihe Lahor COEe, you must tonhwiN compty vntn sucn pmvivons ar iNs.permit sAall De aeeme0 reyake0. ' CONSTBUCTION LENOINO �GENCY: I �ere�y aflirm tAat Ihem I5 a constmction lentlinq a0ency tar [he peAormance af t�e work lor wNc� tAis Oermfl is issuetl (Section 3W7, CN. C�. , ' LFNUEB: . � AOUflESB: - • - . OWNEH BUILDFq DEqAMTION: I �ere0y alfirm IAat I am exempt Irom the Contractors State License Law for the follawln0 �eason (SecGon 7031.5 Business and Prolesslonal CaOe: My ciry of counry wliicA rapuires a perMt to conitruct, alter, impmve, Eemol¢�, or repair any 5tructura, D�< <o Rs issuance, also, reQuims me epplkant lor wcA permii ro fle � sipnetl statemem t�at he/she i§ Iicen5e0 - pursuant Io t�e O�ovislans al t�a Cantractors' Slate License law (ChaDter 9(commencinp with Sectlon 7000) ot 0lvlslon 3 ai the Business anE Pmlessions COEe) or t�at he/sM i5 exempt Iherelrom ana tAe EaUs lor Ne allepeG eKemptlon. My violatlon of Sectron 7031.5 by any applicant tor a permit subiecis the appliunt ro a riNl penatry ol not more Inan INe nunOretl Oollars (5500�._ . , � I. az owner -of t�e DroDerty or my employees wiM wayes az t�elr wla compensxtron, will Oo the wark, �anU ihe � ❑ StmcNre is not intended or oHereU lar sale (Sec�on 70b7, Bus�new antl Pralessional Code: T�e Contactors' State License Law - � Oces iwt aDDh �o an owner ol a DropeM � �Was or Improves t�ereon, anA who Oaes wch woh �imsell/hersetl or thmuph his ar �er own employees, proviEeO tAat�suc� Improvemenis are not inten0e0 or ofle2tl lor sale. If, however the OuilEinp ar improvemenl I5 solA witAin one year ai wmplation, Ne mmer will have Ne hurden al proNnB �she OiU not OudO or imprwe ' lor t�e Durpose ol sale). . I, as owner ol t�e D�operty, am exUusiveN wnlraclin0 �� Ikensed contractors to wnsWct tlie prolect (Seclion 7041, Business ❑ anU Prolessions Cade: The Contractors' State License Law Oces �rot apply to an wmn of property �Mio bu�l0.s w improves Nereon anG wtro contracts lor wc� projacts wit� a wntractor�s)Ilcense pursuantta Ihe Cantrzctors' State License Law�. I am aware tlut proal of t�eir Worker'S Compensatlon insurance 5Mu10 Ge prwi0e0 to ma. , � 1 am exemD� unEer Sectlon: 8. d P. C. lar t�is aason: . . ' Date: � Qwner. I Eo hereEq urtity Vui I am axafe nf a� untlerstanA 1�0 rzpulrtments 01 Calitomia Healih an0 Sal¢ty CoOe Sections 25505, 25533, an0 25534 anE ttwt I or any tmure GuilEinp occupanf vnlVwill not (drtla ane) neetl to rqmpty with saiA state croAes anA the repuirements tor a Dermit lor conslruction or moEification Irom the Nr ualiry Manapement Olstncl. FesiGentul construction aDD��ions are exemD� �rom I�25E PrOvi51W15. Oate: Mp�wnl I �ere�y certiy tAat I Aava maOlAis apD�ication an0 state tAat the aEave irfarmation ¢ cortect. I apree ta cory �ty wtth all ciry an0 counry ardinanca aM strte 1aw5 iNauip to D�eNi�p conctruction arq �ereEy a r¢e represeni tNes of t' ciry p upon Ne a0ove-mentioneG propeM/ 7�orinspectlon Du oses. �'�. Datet�X '� 7 � � SipnaWre: Y � Driver's Licenu or Sodai Securiry x: ' t8n-48 W�ito—BullEtrq: Green—pppe Enlorcemant; Cenary—ApollcanC Pink—Revenue; GOIEanroC—Aseeawr .-� �, CITY OF CUSTA, MESA'— BUILDING PERMIT PERM NO: B 04G277 PERMIT.NO:.I? 046277 PI.AN CHECK NO: N GOVT:'N SUPE?::W . �, CONSTRUCTION TYPE: ' PF.RMIT TYPti::STR PURPOSE: ALT . JOH DESCRIPTION : REROOF/NEW CLASS A SHINGLES O/EXISTING 'SQ.FT:' 2,882 . CLAIM VALUE: " 2,882.00 CALC—VAL[lE: 2,882.00 GROUP OCCi R-3 /" _' COMMENTS: FRONT HUILDING ONLY '. ' ' _*��r��x*x�*�r�******��*+r***�r***�c*+r**xx*�r****r***�*�i�***��+��r*******x+r*�r***x****�� . ' Z O N I� N G R�E Q U I R E M E N T S , ,, ' ' S E 7' H A C R S � ----=---=--- MAIN HUILDING ---------r= --------- ACCESSORY HUILDING ------ --- , FRNT: '• FT IN REAR; FT IN 'FRNT: FT IN REAR: - FT IN':., LEFT:� . FT IN RGHT: FT IN LEFT: �FT IN RGHT: FT ,IN � , PARKING REQ; PROV: � PARCEL: 4250141.5 ZNE: REF NO: PLANNING NUTES> � , ' ' > � ��t*itatitif�**r******�f�it**��ie**�r+i��at'at**�it*it*ieir*+��r+r*+e�t*�ir��rit**itititat**ia*it**et'�r+t�t�r+tit*** D E V E L O P M E N T S F. R V I C E S R E Q U I R E M E N=T'S ZONING APPROVED HY � _ DATfi: HUILDING�APPROVED HY : " DATE: � ' APPLICATION ISSUED DY: DATE: �,��(� aEifiFkiEMiEiEififiF�fiEifiEifiEiE�lEikKit �IEikiklFiElEiFiE3EiE 1T 9(� 3kifiEiFiEkKjFkiEitifik�fikiEkifkikftiliFiEltiE161EkiklfiEklllEiFiEiFit3kiFiFkiFiEkiENitilifiElfiFiFiFiEikikilikiElEitiEiFiF3kiFiFiFifikititkifMiF LEGALIZATION:N '• ' -F E E S U M M A R Y STRUCTORAL SEGME�IT:Y ' , . � ' . BLDG PMT PLOMHING .ELECTRIC 'MECHANIC , FIRE SMIP/RF.S GRADING PEAMIT • 54.00 ' .SO � , , SMIP/NON—RES PLAN � � ISSUE FEE � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUL' " •TOTALS---=> 54.50 0.00 0.00. 54.50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHOltT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRG SMIP/TOT GRADING PLAN—Ci{ECK • $4.�U .S� aE�1E1FiF7E1E1EifiEiFikffiflF3kiEiEMiliEiEikftjEiFiFif�fMlFifkitlfiEKififikiklfiFlFifIfM9EkkMlEiEk�FlkiE�kifififiElkiEit7Fit�EiFIFIFiE1ENiEififkM3E - I N D I;V I D U A L F E E B R E A K ll O W N ; TYPE QTY D E S C�R I P T I O N UNIT COST TOTAL COST SFR 2882 ' REROOF BY VALUE RESIDENIAL NOZONE 1.00 2,882.00 � END OF FEES. ' . 01 00054958-00�54959 ' T rj T DATE: 02/27/90 TIf1E: i2:18 54.50 � POOL ._ SPA - CONSTRUC�ION AND PLANNING_� ' � �� r 'Date Inspector qppROVALS Permit# Date Inspector f APPROVALS Permit # , � ' 1. Temporary E�ectrical Servi'ceor Pole,r� � 52. Pool & Equipment Location •. 2.;�Soil Pipe�Undrgr,nd... �" :� �. 53. Steel Reinforcement � �: 3._Electrical Conduitlitility-Undrgrnd: � � ' 54. Forms �� _4.�Electri2al Conduit-UOdrgrnd. ;�S � 55. Electrical Bonding ` ��5.' 9teel Reinforcemeni: � �;�• 56. Rough Plumbing & Pressure Test t. - �"6.TEI�ectrical UFER:Gind. � . 57. APPROVAL TO COVER�GUNITE - 7�.'+,Footings . ti' ;� - 58. Electrical Conduit-Undrgrnd. t�8. Foundation .' �' •� 59. Gas Pipe, O Undrgrnd., Test '�'-� r� a' 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgmd. � 10. Siructural Floor SYstem _ - ' 61. APPROVAL•TO DECK � 1�f,. Property Sewer Line�& Ho�use Connection ' 62. Backwash & Receptor-Final � 1-2. Sewer Cap c. ,%/ _ �� 63. Heater & Vent-Final 13. Roof Drains �'� i,. '� 64. Plumbing System � Final -. 14. Rough Plumbing J' � „ 65. ElectriCal�Final - ° 15. Rough Electrica,I�Conduit .� 66. Solar SYstem-Final 16. Rough Electric=4Viring 67. Fencing & Access ApProval 17. Rough Wiring Sign � . 68. APPROVED FOR PLASTERING 18. Rough Electricai-T 8ar Ceiling , 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning Y� x n r h - FIRE DE.PT. REQUIREMENT - N 20rTRough Eacto,ry F'ueplace t;; ��. X. � - ., a. , ;APPROVALS��Permit# ,. '� � 21 Ducts, in Striuture •� •• �:i ?' ` C' '- �: * '70, Undergr"ound Hydro �^ r Yv r •^1 • R tiia 22 _Ducts, Ventilatin .�' ' �'= � ��` � J _ - � 9, c :r C ^' F a r a 71. Product-.Piping O 6as d;0il 23:�Gas�Pipe,Rough & Test �� x �- � 'c, ':,'� �� -7z, Underqround Flusti�" '' � C� 24=RoofFr'amin" "-- •'-' "� _ �' ~j,,f - '� `t `'-.� 9 n, �,; . ,;; �:� :: .:73,.Undergrnd.Storag�-Tank.�Gas ❑Oil 25. Roof Sheathing �. �; . r' , �:Ur t: 7q'�Overhead Hydro_' ' M A �7 [Y•iC �{ ' i l: V � C. 26;;T�8ar Ceiling (St�uctural) &-Monocoat ��. ; _ -� ; .� 75_ Dry Chemical ", J - M 27.`.�Frame and Flashing; ;i.�,c �: ^ 4:� � � 76.1 Dry Standpipe � r �� 28. Lathing:& Siding�y ' � `,�^ '� '- �' "'� .'' 77;,; FIXED SYSTEM;fINAL; ;. � �y29. Insulation �� ,: ` •• i � � ' �1 :t: 7g;_ FIRE PREV. FINA�L � ' - ^ �30. Drywall�Nait ng �='' t_ '� � _ � '� x ,�: 'NEALTN,DEPT; REQUIRfMENT ��31. Plaster 8inwn Coat� = � M!-+ ; i � �* + �79 � FINAL INSP.ECTION � r'32��Electrical Power Met�r-F.inab �� =� , F`� '+80�FOOD CERTIFICATE ISSUED,, �' _ �� , �� t i �W •. r �.: s c �: � :.. F : � :: . ., .:.. ,-33,;Final Electrie i- �; � ^ �Y � Nofes: -^] .;*� . ,.. c�n ��34i�Firtal Heatin`"g'�& Air�ConditionTng• ^ x ~ , � � +� � ` "'�' ! S "-'"y - �. �• - :*: I � � u • i- ; n - � =, � - � ✓' ,.. .. . � .. � ;: 35-�'Final Gas Pipe-Test,: �,"' •• ;� r -^�� ;; ', `;;.; x' '� 36_Hood or_CanoPv * � `� ; rr.- _ :c , � ' �� _ � :'.c. .z -- C' �.'� '1 '_ ..I l' .'KX. :T• :'O a:�n [_7 ��37�::Firia1 Factory Fireplac� �F: �, ;" � ; �: :` z �38. Fidal Plumbing � `[J . � j i� :!: 5 � �3 �-' . - �� x� .'K ' C i .� ;.'39. Water Seivica�Fina�r .� � '' � r. � � ";. ,� � 'L " . ' ' ='40. Gas Service-Final �� -, ��G' r.�� ; � '+ * ^' - h L^ T \: � �t M F-. V ' e' q. _ 41. Solar pomesiicFin'al` � " K '" � � x �o A , 42 Backflow Preventer � . • i�: x s ,--�-. • �. � - - :t < `tl;:' {-� 43. Backflow trolgatiorj: r-- �' ^ K�` s-�" ': - k ^ x =44. �andscape Irripation Sysrem�:�� '�_ �� t7 G� OT � t'.: .:^�� .v f.: _ � er <r .:: � e ^_ - .-, � - r-. ' -45='Sound Attenuatio. �' "'� ' r ' `" -,� '' ` , ` "' � '- . i: %� . .. g i-1 � � r, . r- ._ '. _ _ 46: Handicap Regu�ations �r �� a� C� z, � � r �c- • < _ (', ' _47=FINAL STRUCTURE & BUI�LDING ' ,' � ' vr'� . . Qo Pc B�: 46:,FINAL�PLANNING -4 r s: � '� . : . c - _. - /'t, r - . �. , . 49' Electric=Release to'Edison . � `� ` ` � =� ' ' � .. _ . .' �'e a i ' _ �. 50 =GassRelease to $outhern Califorrda Gas Co x % � ' � � h-� : �- - /�i :� - r = ti - 51. CERTIFICATE OF OCCUPANCY - � � - :. , . -- .. - _ � No. `- Date i � PHOJECT AOOHESS: 3 Z% E 1 8 TH ST owr+Er,�sflt�t"MRS. RICHARD CAMPBELL aoosess: z651 IRVZNE BL COSTA MESA CA 92627 � ABCM/ENGINEEB: �714�646-3713 AUOflE55: flEG.NO.: uxir: C 6 F uxiT: " 'E"MiTTEE: pRIMO ROOFING ( 714 ) 841-4456 aoowess: 17066 PALMDALE ST HB CA 94627 LICENSED CONTNACTOfl DECIABATIUN: I hereby affirm �ha� I am licensed under pmvisions ol Chap�er 9(commencing wiih Sec�ion 7000) o� Div�sion 3 0l l�e Business antl Pmiessions Code. and my license is in �ull torce anU e��ect. cirr uc.: 00Q�'7(�"�39Q sra.e uc.: 331 uss: Date: � `� / °2 Signalure: —�'�'� �� WOBKENS' COMPENSRTION OECIANRT10N: I hereby aifirm Iha� I have a cetliti� oi consent ro sel4insure or a certi�icaie ot Workers' Compensation Insurance, or a ceriilied topy thereoi (Section 3800. Lab. C�. iroucrxo.: 0662523-92 E%P.OATE: Ol/O1��J3 comraNv: STATE FUND ❑ Certified opy is � reby furnisAetl. I� Cenified coDY is lited wit Ihe ciry Bui in �iv�` � �ale: � Applicant �yA' E%EMPTIO FBOMWOflNEflS'COMPENSATIONOECNMTIOR (Thissectionneetlno ecamDleteOilt�epermitisioroneAunOretl(5100)arless). I certity Iha� in �he peAormance of t�e work �or which ihis permi� is is5ue4 I s�a no� employ any person in any manner w as to hecome subjec� m ��e Workers' Compensa�ion Laws o� Cali�omia. Oate: Signature: NOtICE: If. after making this tleclaration, you shoul0 become suClectto t�e Workers' CamDensation provisions of tAe La6or Cotle. you must fort�wi�h comply with such provisions or IhiS De�mit shall Oe deemed revoke0. LONSTPUCTION LENDING AGENCY: I �ere�y aflirm Ua� �here is a cons�mction lentling agency �or �he peAormance ol IAe work for whic� �his permit is issued (Sedion 3097. Civ. C�. LENOEfl: AOONESS: OWNEB BUILDEN OECLABFTION: I here�y aifirm tAat 1 am exempt imm the Coniractors' State License Law for the follawing reason (SeC�ion 7031.5 Bu5ine55 anU Praies5i0nal Cade: Any tiry Ot toun�y which requires a De/mil Io conSlmci, alier, impmve, tlem01i5R Or repair any S�mcWre. prior Io ils issuance. also requires Ihe ap0lican� �or suc� permit to file a signe0 5�aiemenl Ihai Ae/she is licensetl pursuant m tAe Dmvisions of ihe Contractors' State license Law (ChaD�er 9(commencinA with $ection 70W) of Oivision 3 0l the Business antl Pmfessions Cotle) or Iha� he/she is exempi t�erefmm and ��e Oasis tor �he allege0 eeemD�ian. Any viola�ion o� Sec�ion 7031.5 by any aDDlicantfar a permit suble��s [he applicant ta a civil penalry oi nat more t�an irve hunOretl tlollars (E500). I, as awner af �he pmpeny ar my emyloyees vnih wages as �heir 5ole compensa�ion, will Ea the work, antl t�e ❑ slmcNre is no� in�en0etl or offeretl �or saie (Section 7044, Business an0 Pmiessional Catle: The Contracmrs' State License Law does no� apPty �o an owner o/ a pmperty who builtls or impmves lhereon, anG who Aoes such work �imsel�/herseli o� lhrouAh �is or her awn employees. pmviaed [hai such imOmvements are no� intentled or oflereA for ule. 11, however I�e �uiiUing or im0�ovemeni is 5o10 within one year ot comple�ioq t�e owner will have �he OurOen of O�o�ing he/she tlid not bui10 of impmve lor ihe purpose of sale�. I, as awner oi ihe pmperty, am exclusively comracting with licensed comractors to consimtl t�e pmject (Section 7044, 6usiness ❑ anA Pmfessi0n5 Cotle: The fAntrac�ors' Slaie LirenSe Law tices not appty Io an ownef of proOeM �o DuilAS of imOmves �her¢on antl who conlracis for such prolects with a contracror(s) license Dursuam m the Contractors' State License Law). I am aware �hat pmn� of Ih¢ir Worker'S Campen5ation in5ufante S�oNA be pwvitle� Ia m¢. � I am eKempi under Sec�ion: B. 8 P. C. lor �his reason: Da�e: Ownec I tlo here�y ceriily ihat I am aware oi and un0erstand �he reQuiremenis al California Heal�h ane Salery CaOe Seciions 255Q5, 25533, antl 25534 ane thai I or any IUWre builtling xcu0ani will/will no� (circle one) neetl to comply with saitl s�a�e codes ana �Ae requiremenls �or a permit lor cons�mciion or mo0ifitation tmm the Air Ouah�y gem �isir t. Nesi eniial c s�mctio applicalion5 are eMemD� Irom these pr i a : AP � �I I hereDy t¢rlitylhal I �ave reatl lhis appliCa�iOn antl slaleihat�he abOve inlormati n is corr¢ti. I agree lo tOmply wii� all cily an0 Counry ar0inances and sla�e laws relaling 10 builtling consimclion an0 her¢by aNhonze represen�alives o�i` I�on �he above-menlioneG pmperiy lor in qedion urposes. � Oale: v Z— Signalure' � �( /� oriver's icense ar Social Securiry a: �� 16a1-46 WN�e—Builtling: Green—Cade Enlorcemem: Canary—Aoolicant: Pink—Revenue: GOldenro0—Assesror CITY OF COS'TA MESA — BUILDING PERMIT PERM NO; H 05766 PERMIT NO; B 057662 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : REROOF DUPLEX W/CLASS 'A' FIBERGLASS SQ FT: 3,155 CLAIM VALUE: 3,155,00 CALC—VALUE; 3,155,00 GROUP OCC: R-3 / COMMENTS• SMOKE DETECTOR(S) RE�UIRED IN HOME. ��VI�KE DETECTOR ***�txx**it�t**�t*�**�c*�***�e***�t** ��r*�r�r�t*******�r�*�t*****�t**�r�t** * *+t*****��p***�r�* Z O N I N GS ERTEB�A�CIxRSE M E N T S �EQU�SIED ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARRING REQ• PROV: PARCEL; 42501415 2NE: REF NO; PLANNING N8T'ES> � 1 ik iE IE iF iF iF 1t iE iF k IE 1E iE iF iF iE i! iklE jf ff iE 1f 1f �k if iFiF ik iF if iF iF iF iFiE iF iF M iE ik iE iE it iflt ikif iF iF1E �t �E iF�FiE �t iF if ik�k�F iFiE iE �k if iF �E iE iE ik if iF1E if if iF k 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 : DATE; � /. , APPLICATION ISSUED BY• DATE• ik�fifMfkiFifklF,�lif�Flfk�tlfltlFikif�Fik itifiFiFiFiFiFiFkif iFiF kiFiFikk3k1F1klElkifltikiFifiFiFiFiFlFlkifiEitikifklfiklkiFlkkifiFjfififiFiFfFikM F� ifiFlfikifiFifiFiflf�fll�flFiflflkiElFifiEiFdFiEif�fiElEilltlf�f�lliF LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERHIT 63,00 50 PL� SMIP/NON—RES ISSUE FEE BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 .50 �f 1k IFiF k iF Ik iF If IF 1E If ±t iE iE �E if ik iF IF iE �F �f 1FiF if if k iF k if iFiF if if if iF if iF iF if if it M iF kiF MiE iFif iF�t �f 1f if �F�F�f iE i! IE�E1f iF iF if iF IFiF if iF iF iE iE�E iE 1F�IE I N D I V I D U A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFR 3155 REROOF BY VALUE REENDEOFIFEESNOZONE 1,00 3,155.00 �1 C{Ji.E"1:— ^ii="7 i-= �' "� 6F.Ir: C�� "�� , ' � - � � � ' C�JNSTR C'YION AND PLANNING � � � � POOL _ SPA . � . . qPPROVALS Permit # �ate Inspector AppflOVALS Permit # Date � Inspector• )1. 7emporary Electrical Serv�e or.Pole.�,� 52. -Pool-& Equipment Location ' � :y,L�il P^pe�Undrgmd. « '�6 . � 53. Steel Reinforcement . Q!-- � .� . _: . • �i�iectncal Cond'w�tility�Oridrgrod,;; - - 54. Forms . • �4. E�c�ciPical Condu�t�Jndrgrnd. i�.� 55. Electrical Bonding r:. - -. r �'��t�gRl;Reinforce�tEnt �'d_� 56. Rough P�umbing & Pressure Test " x6��F"uctricai UFEN..Crzrnd. �•_ 57. APPROVAL TO COVER�GUNITE �� 7..�ooti�gs S': y 58. ElectricalConduit�Undrgrnd. - �: ��oundation � � . 59. Gas Pipe, fl Undrgrnd., Test � ,,: � Water Pipe-Undr jrtid. , ' - 60. Backwash Lines, P-Trap, O Undrgmd. . 10: Structural Fioor System - -. 61. APPROVAL TO DECK . , 11, property Sewer lin2�& Haflse Conrrection 62. Backwash & Receptor�Finai � � - 12. Sewer Cap .v c.� � y 63. Hearer & Vent•Pinal , 13. Roof Orains �� , - 64. Piumbing SYstem � Final '�� 14. Rough Plumbirfg � -- ' 65. Electricai�Final i: 15. Rough Electrical-Conduit 66. So�ar System-Final � 16. Rough Electric;Wfring 67. Fencing & Access ApProval ` 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,�78. Rough Electric�l'-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 19. Rough Heating & Air Conditio�ing FfRE DEPT. flEQU1REMENT ' " � - J7:-+ �1'. x i7 20.rRough Fact Fueplace I[q�r, aC =; e� J p � x.< ,�APPR'fYVAL'€J��er�iit # �t .>- n• L-. S '� F� ' u:'C i: C �-1 ":% •. �J 41', Q:NHF a- z �� ,y .� 2.T_ 1 ^,J • . X_ + ]� . �:J V� �.. a_ 21 'Ducu, in-Str'y_ctufe.� i . •• -+ , ,� S p �- •, �70. 4lndergroU�d.Hy.dro x 22. Duct's, VentiJ3ting-x iJ:S � �:x °--7�, p�pduct'p ih C]�Gas ffYOil 1 .� e;' ,•.�t _a,:s �t ,r11�? 9 � � I U: c , C � � lc X -- M , ,. . � Y `-... �, , 23.�as°eipe�Rou�h &�Test � .�y _. ,t• � y C-. �-,72. Undergrounc� Flu`sh= �.� .�. 24:iRoot. Framing >: Y .- ••n; �'' %� ,y a s735Undergmei;: Storage-sT��k C1 Gas 10 0ii . '1 ',Z':: �: ti �r IT, f❑ ilc r ' '" _ .. S, 25. Roof.Slieathing _�., ,� . ; � `, , r;,. , .7q_.�,Qrhead,Hydro_ � . 26i�T-Bar Ceiiing (Str.00iurall &11Aonocoat LL -�+�* r 75.= Dry Chemical J"� �+y �� ,.� � c � n. . w r� 27.`.� rameand Flashirlgt '� " �' '-' 'n.T: ^ :� s :� .� � .�. �., ��.. :��K � x� �.-' �. tu� t 76.'�LS'rY Stand�i.Be �� r �-28vLathing;& Sidin9-�p �'" �=,G.*,� � "� -`- ..i ..*' 77?'FIXED $YSTEM�FidNAL*- � � �" �29. Insulatia.� �'' °'� C �' .... � x � ~ ' . , ` ~ ,..x s * `,., �. 78,�FIRE PREV. FINR, L ;, � cc y �30. Drywall:Waiiing �--+� a u < f "' t - HEALTH:DEPT*R�EQL-iiREMENT � L rf .31. Plasier Biown Coai� ,-. � �' � . � �. r • � C . '? _ � .* � ., �,�.�, � � 'E �- ..;,79.`'FINAL INS�ECTION i. .`J32.;,-E�ectricai�Power Meter,:Final� �� .* a: � �t x-�BO.,rFOOD CERTIFICA7E ISSUED� � 'z ~ i_l's. .. .' V >;` in I ��t w tt LY :.z 4 rr . 33.SFinai Electric_ n7z Y� t K >. � �r q: x"No�s: .1� _'� V;U',y (.� U [ ) k1y v . H .r. .+. . ��. {� L . - , - «;34.�Finel Heating & �r,Conditioni�g� ; � � ^ � � �.f. U; ,� �i�� :x , �-1 r. �35.�Finat Ga�Pipe-Teit"�� "� y'�0 ,� l ..�` F '�. �. (`!.� � '' �.� � ;:_o -r *z a. ',y .. , ., . . > �` _ �36: Hood o�CanoPY;'�x � �;r y a ¢. ; i � "'.'�..�'r Z. g '�o s- a;,�' - ',-.� -... � .. 1 S<<' �.. u [*' , Y " .. ;,� �37.�in�i factory Firepfiace � t: O M � �� - W ' `-38.FirtalPl`umbin9 . [� i � m ...�� !rX S ' t'D C '.39. Wat�er Se�l+ice�Final" :. '• ",' m � �"t'` ~ �� `�M �' S ? �i' : g ' Q I - o. Y .5: % � . �� .. V . . l 1 „40. Gas Service-Final ; �,. ,Q�,..,, ,.s ;Y tr; � � � -,� x " `91. Soiar pomesttcFinalS ^ � •� �' � *� �1^� `'-� x , _ n� � :.. r � :�: ' + r -:O - �r x. r x[- R; Y.:: 1 ?,�. r L' i- x ' 42 `Backflow Preventer: .� x � f; � ,f, � .., . ,r .y '. 43. Backflow Irrigation' � �SS X * ` � .j��' 'k �� -• v i: ,� Y J. �3 s � : 1 , 1: 4 p a. � L• �A4. Landscage I�iga(ion Systeml�:^ �,; r �r. �. ;, �.. ;� ' pl •� - fu c . '� ' t • :45.<Sound Atterwatiorr +�� n -� � [-� -v * � �-- e . u.� x � rt� r �r. :e :ri ,T� in:1� +' � 7 tT �i =46.`,Handicap,Reg6latiops i i � i. "� . . ..� x �.: z ,S `p ' V 47.-FINAL STRWCTURE & BUYLDING r�� ' 7 nJo'� � � �., rc a �. 'K - x' r ' 46.',:FINA� PLANNING' i E ;�, � : i �` ' �p , i'• t` �.r, �i :�� w �l9 _Eleptric Release to �Eclison i r ( �� 1� ? ? r •`, > - L ^ � ` X ! � ..' 1 x �( .7 .17,1: s �� . ,�50.tGas�Release to Sou�em Cali�orni� Gas Co x � i �., . �� . pn! � ; 1; CERTIFICATE-OF:OCCUPANCY y i .< ;, �no >. • - c No, Date -� � � " I 8698 � /� f �' "rR15-f•'P�co9in'SR9i �*� � COSt.4 MESA BUILDING-SAFETY DEPARTMENT �"� V i `� P, p, BOX 91] C08Yp M68A. CALIFONNIA For Applicanf fo Fill In Complatoly APPLICATION FOR PERMR ' TYPE OR PRINT BUILDIN6 BUILDING FOI O�IC6 U$B OIIIY ADDRESS � � R8C8�PT NO. 1 T COS7A MESA, CALIFORNlA ,.......,., �� ,eYn,o � � � i� x v o r wre�`�vyv� �/^/ ula '� b � 6ETB�CK LINE PROM II HHPEBV �CK AND 6TATH TH PLY WITH ALL BUILOINO CONI � AUTHOftIZED AOENT � NO.OPBLOOB. OF WORK viAe O��'i I PL� 8P Z I BUILOIrNO W" / •` p I\ 3/aA`Tc. _ �a.� 07' 6 �s89 ueacn�mox A.P.NO.II7� Zy3-�OV �(� VL NOTE: NOEAVEOVERHAN08MALLBELESSTHAN 90' TO SIDH Q REAR P. L. � EAVES ALLOWEO (U. B. C. REQUIREMENT) � VAROBMPROVED YARDSAPPROVED MAIN BUILDINO AGCESSORY BUILDIN6 (FROMC/LeTREET�Jp � �-_ 1 • FRON Ff. �J_ s-_� __ �, M NABLD65 T� /� BET. MAIN Q "'�' ACGE55. BLD65. VAR.JR DATE C. U. P. APPROVED 0 PROVE��` oare � // �� v` �d e e FT. � MAVB PlAO TH�9 APPLICATION '�MH AMOUNT BHOWN tINOBN VALUATION IB POR TH8 CORHBCI /1ND AOH88 TO COM- PUFPO88 OP' 60TABLI8NIN0 A PBRMIT FH8 ONLV. ' O � �ND BTATB LAWB NH ULATINO yALUAT ON � m � O` N � PERMIT FEE $ j /j/�/ m 8/ VJ /�IJ E � O � � ¢ � � TOTA4FEE D� � ,.' 1869q ,J � _�' sOSTA MESA BUILDINCrSAFETY DEPARTMENT V .� P.O. BO%917 COHTA MBBA, CALIPORNIA For Appllcanf to Ftll In Complately TYPE OR PRINT BUILDIN6 i� / � ADDRES9 �•- COSTA MESA, CALIFORNIA � ARCHITECT BTATE LIC. NO. sae � OF LOT �. USE OP EXISfINO BLDO. BETBACK LINB RROq � BUILDINO T NO. OP BLDOl. OF WORK ' �T '1 HBRHBY ACI(NOWLHOOB THAT I NAVB RBAD TNIH APPLIGTION AND BTATB TMAT TNH ABOVH IB COHHBCT ANO AOR86 TO COM. PLY WITH �LL CITY_OPD�NANC88 �NO 9TAT8 L�WB R$OYLATINO , AUTHORIZED AGENT � PIRB "�R 15-f,' PII409TA ,{OQs �x�� APPLICATION FOR PERMR BUILDING for Offlce Use Only YARDB MPROV ED MAIN BUILDINO VAR. SF n, 7—,�. 38y° �l -- �- � � —o � �Q, 4N0 BHALL B8 LE63 TMAN / L. � V _ ` <U.B.C.REOUIREMENT) YARDSAPPROVHD ((\ ACCESSORY BUILDINO V FT. • _I �1 r �7. -r a „� nccess.e � DATE TH8 AMOUM eNOWN UNOHR V�LUATION IB FOq TX8 PUNPO88 OP HBTABLI8NIN0 A PEHMIT PH8 ONLY. VALUATION � PERMIT FE8 $/%d�.2 � � ��s