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HomeMy WebLinkAbout1383 BAKER ST - Building Permits 1,. ._=,..1 CITY OF COSTA MESA w BUILDING DIVISION •f >ce, DEVELOPMENT SERVICES DEPARTMENT PERMIT BER t11.41 PERMIT de 04-00675 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1383 BAKER ST Status: ISSUED Suite: Applied: 04/06/2004 Vicinity: Issued: 04/06/2004 Parcel Number: 14119105 Zoning: R3 R3 Applicant: FAUBERT, BRAD ISSUED BY: / Address: 8902 SAILPORT DR , Phone: (800)954-0011 HUNTINGTON BEACH,CA Zip: 92646-2664 Owner: EDLER, PAUL'M TR Address ,17220 NEWHOPE STE 224. ,\. Phone: i FOUNTAIN VALLEY,.CA- Zip: 92708-4288 �/ Contractor: `STAR COURSE ROOFING COMPANY Address; 8902SAILPORTDR - �-- Phone: (800)954-0011 , • ' HUNTINGTON BEACH,CA - Zip: . 92646-2664 ; License: 532778 Arch : , " - Eng: Address: _ Address: Phone: - Phone: • Zip: License: License: . SCOPE OF PERMIT. REROOF;TEAR OFF FLAT BUR ON GARAGE ROOF AND INSTALL SAME..: i ' FEE SUMMARY Plan Check: • $0.00 Calc Valuation: $1,400.00 • Permit: $50.95 — -- ,' - Claim Valuation: s1;aoo:oo • SMIP Res: $0.50 ' SMIP Corn: $0.00 Other: . $0.00 Inspection: 1. $0.00 • Total: . $51:45 •- PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0/0 Rearm 0-0 Left 0-0 - Right 0-0 ACCESSORY 'Front 0-0v' Rear. 0-0 Left 0-0 Right 0-0 " i PARKING Existing:.- 0- Required:. - '0 . Proposed: 0 NOTES: - - - ' r • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(6/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: r ) O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 0/1 IT ve and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'corppepsation Insurance carrier and policy number are: Q Cerner.`i(�� c� Policy.Number: ?7 l 1c '2o a- (This section need not be completed/f the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of S ction 3700 of the Labor ode,I shall forthwith comply with these provisions. Appfigli Signature: Date:_ CG " G (WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T7.fpUSAND DOI.LARE 01030001,IN ADDn'ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. ION:ILICENSED CONTRACTORS DECLAR•TION-:- I hereby affirm that I am fcen :d .•er pr. •t: commencing with Section 7000)of Division 3 of the�usiness and Pr$jessions Code,and my license is in full �1Orcei and effect.Uc.# alp - Sss�J C._3/ Contractor's Signature: -'i___fir VDatc Annir CONSTRUCTION • - •I' AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he o�heils licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)ot'tha);lie'or.she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penal(-y,of Site than five hundred dollars($500).): ❑ I,as owner of the property,or my employees withtwages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through hisor,her own employeassprovided that such improvements are not intended or offered for sale.if,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). V� ❑ I,as her of tra property, m EXCLUSIVELYapply owner WITH LICENSED CONTRACTORS tor construct,andthe nt (Sec.704Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a conirector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: • Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater then a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Application akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE •• • '• •-v. • • ` -rtify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comp) ' all state laws and city ordinances relati • to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described pr••- for in •• •• • •••ses.I agree not to oc •y or allow occupancy of any building authorized by this permit until final inspection. Signa:.%•!owner G - Date� A And/Or Aut ed Applicant ate •• L'F'a is A' DTI INTRIALS CODE INSPECTION TYPE 2 T€ WMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final • 208 Final Plumbing _ 200 Final Re-Roof / 210 Final Electrical 201 Final Block/Retaining Wall 1!.4 /ZlP tSill 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign - 222 Final Site 204 Final Demolition 250 Final Building/Occupancy PROJECT ' NAM1383 BAKER ST • ADDRESS: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 062507 AD OWNER'S ESS: TURNER, GEORGE C TR ADDRESS: TURNER, INVESTMENTS INC PERMIT NO: P 062507 PLAN CHECK NO: N GOVT: N SUPP: N 17220 NEWHOPE #224 FOUNTAIN VALLEY,CA 92708 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REPAIR WATER SERVICE SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / ADDRESS: VICn S PLUMBING' SERVICE ( 714 ) 638-0324 (1�y3p2}4�p2�DAPPLEGREY r COMMENTS: NO B PERMIT INVOLVED / REPAIR WORK ONLY. . . OTfDECDLID(fl� CTWWa €A 9 54 ************************************�E�E+Er�E�E�E�raE *�E�L)Earrr�E *�E�r**�E raE�E�E�E�E *�rar�E**�E*�L* LICENSED CONTRACT N: ere y affirm that)am licensed and r provision o C...ewer 9(commencing with Section Z O N I N G REQD I R E �1 E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in lull torte and effect. S E T BQA C K S 1 CITY uc.:OS�y'0 8 STATE Lie.- CLAS ,3 Date:_.A ' J Signature:—C. — _ _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN '. Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ' POLICY NO.: EXP.DATE: COMPANY: PARKING REQ" PROV: PARCEL: 14119105 ZNE: REF NO: ,',D Certified copy is hereby famished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: ****14**14***14iti4**X4***********it*******i4*14it341�14****.1ti4*d414**********i414ifit9414i434141494i4***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need nqi be completed it the permit is for one hundred(51 W)or less). DEVELOPMENT SERVICES-- REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not emppptoy any���000erson in any manner so as to become i f, subject to tie Workers'>/�Compensation Laws of Calitw�_/> ZONING APPROVED BY • . DATE: �- Date: 0— 743 Signature: !�V/(a /j•' NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. / /93 CONSTRUCTIONtispermit LENDINGoissuedAGENCY: 17.hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ` ��~i '/ �t�Ei�� �, DATE: * kiF 3f which this is (Section 3097.Civ.Cl. **********************T4** * * 9E 1F*1 1F*** *************** * * 14* LENDER: 1414141414************R4**********************R4*****1i *it*14*141E**1EB4i4141EB4*i4**i4*********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031,5 Business and Professional Code: Any city 01 county which requires a permit to construct,alter,improve.demolish,or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 7,00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commending with Section 7000)of Division 3 of the Business 251 SMIP/NON—RE S and Professions Code)or(fiat he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant Tot a permit subjects the applicant to a civil penalty of not more than the hundred dollars(1500). ISSUE FEE 20,00 I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE - ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 7. 00 20 .00 0 . 00 27. 00 27. 00 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 27. 00 OVER/SHORT: 00 • for the purpose el sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27.00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ****,,*,************************************************************************** that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.E.P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY . DESCRIPTION UNIT COST TOTAL COST • Dale, Owner: Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 WATER SERVICE 7. 00 7. 00 25534 and that I or any future building occupant wilUvnll not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. • Date: Applicant I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize re resentatives of this city to enter upon the above-mentioned property for inspection purposes 4 Dare: 6'71 93 signature: gliY�.11�t-E 01 00140563 001405b3 TOT 27.00 Driver's License or Social Security x: DATE: 06/08/93 TIME: OS:37 1641.46 Whore—Building:Green—Code Enforcement Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 NJ CONSTRUCTION AND PLANNING y POOL ,PA APPROVALS Permit `{`r Date II Inspector APPROVALS Permit ;: Date Inspector 1. Temporary. Electrical Service or Pole T 52. Pool & Equipment Location • 2. Soil,Pipe-Undrgrnd., 53. Steel Reinforcement -.-- --,__..s..„--__ - F:i� 3. .at'cal Condulbh:iritY Undrgrrd. L 54. Forms I 4. Flectrical Conduit•Urargrnd. I 55. Electrical Bonding t5. Steal Reinforcement -L 56. Rough Plumbing & Pressure Test • I 6. 'IitC:t7ical UFER Gritd. 57. APPROVAL TO COVER•GUNITE 7: Frotings 58. Electrical Conduit-Undrgrnd. 8. 'F oundation j 59. Gas Pipe, 0 Undrgrnd., Test i I 9. Watt'.P'pr•Undrnrnd. • . 60. Backtnsh tines, P•Trap, ;1 Undrerrd 10. tStruetural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection - 62. Backwash & Receptor-Final 12. Sewcr Cap • - I- 63. Neater & Vent-Final -� 13. Pool Drains __.t64. Plumbing System • Eno! 1-- ',4. Rough Plumbing 65. Electrical-Final ( I 15 Rough ElectricarConduit 66. Solar System•Final I 16. Rough Electric l:'iring 67. Fencing& Access Approval j I 17. Rough Wring Sign 68. APPROVED FOR PLASTERING +� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTE::S FINAL 19. Rough Heating& Air Conditionng ,,,JIRJE DEg. REQUIREMENT J 20. rotiih Flinty Fireplace r : _ s 7* > APPRC iAI,S� _-Perr t -i r • . 21.•Duc2i, inStri+tture ., - • , - ' ' -90. Lf ndergrthr,di-Iydro r 22.gcctq, Verrti'aUr t ' ` - e' I � t '}�u ,. a 31. Product P`Aing i�z'- :Oil 23. Gas Pipe,+lougtt & Test a T 1 - " 22, Underground�Flush - • I 24.4aool'Framlr9 ` ' - tr 1.. • ,< ; 23. Undergrnd:Storagt,Tank rGas ._;0'- 1 25. Rout Sheathing a •: _ •74..Overhead Hydro - r- ----- - , 26. T.Bar Ceiling IStrupll+rall & iylonucoat :r i r ` j 75.-Ory Chemical 27. Fraree and F!ash,r I .T. ryf 76. Dry Stend9i94t1he :In-. <..• • -- -- -- .28. Lathing1! Siding:,"; - ; s•` -t , - ••` ;r 77: FIXED Sy' EM,fi*iVALZ ,, r. 1 29. Insulation 78. FIRE PREY. FINAF. " :a i j 1 _ ;�_ _ -"--- --- -----1 30. Dryv.all 3ilmg ` , '. '�I _HEALTH UEPT::REQulRF.e:E';T 31. Pluste' Brow Coatis . r a rr79. FINAL INSPISCTION + _ -- - , <. ' _-' --- -j-- - - --4 132. Electrical.Poprer Metef•Finai - t• I _ ' . :80. •l000 CERTIFICATE IS U D ' -- - --ii--- . --y 33. incl Electric-- n - •Notes: •r . j -- - -34. Final-Heating& Air Conditiohg - r m .. . 35.•Final Gas Pips.Teit•• I �- - ,z:c• -�-- I JJ7���1 1 36. Hood or Canopy -' s> I ` x' s_ - T a -.. • - .i. -� .. I V. FinafFactory Firepiece ': . s ) 1 .'{ ' -.rte ---- '--- - 1 28. Final.Plumbing _ &Alb& c� , .` c l '39. Water Service-Firl [ L ' = - MO. Gas Service-Final , 'r. . ` ` X41. Solar Domestic-Final - c S j, 42. Backflow Prevanter .. ._ V I l' '' • > -1 rw i x r 43. Backf low Irrigation;, ' - . ,r -, -• r. .44. Landscape In igation System- - - - � ' ' 45. Sound Atterlaation. _ rr 46. Handicap Regulations - -c _c 1 _ r ,q 47. F114/51.STRUCTURE & BUILDING `° - . 48.•FINAL PLANNING* �� : _ - 49. Electric Release to Edison - I +I • I ' 50.-Gas Release to Southern California Gas Co i 1 I • I • • 51. CERTIFICATE OF OCCUPANCY - - • No. Date __ _ - _ - - ___ -_ - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERM NO. TRACT NO. , LOT NO. - UNIT NO. 6cJ8/i' I 4/22/87 5 OO IL Project Address 1393 + • lirt_1� i COS a // ,L �� 8/3 ' Applicant's Mailing Address V � • II I U / a G 0"L TYPE OF CONSTRUCTION N NEW-II ADD . ALTERATION . REPAIR - ' Owner's Name �r4/LYYI G'U1lb Phone SS's'/4 b Li CONVERSION' ❑ DEMOLISH �! OTHER CAMS �F/e A.P.# . Zone 44 DESCRIPTION OF WORK/USE OF BLDG. — Address S Main Building: Accessory Building: ' _ .. _ - - E • Z Arch/Eng License No . TYPE OF PERMIT ' ❑ GRADING FOUNDATION ❑ STRUCTURAL T Front 0 Address ^^ e • ❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL B Rear N Contractor's Name_ALL Il7/I P(n. Phone c' 'a2•-V ❑ OTHER -- - C c• M Q� I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Address(mailing) '144 fr��r.-_ SIreGn2rt /'•/37rX(aC DE1C. p CONSTRUCTION TYPE VALUATION$ S Left City License No. r r7— / 40'1 • ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 11 Planning Notes: (y) with section 7000) of Division 3 of the Business and Professions Code, and , �A�IC C. Cl4-1'AtJ(�-r - my license is in full force a d effect. • - T License ass - • ense y0.7076 S Date y'Z • Signature T PLUMBING FEES WORKERS COMPENSATION DECLARATION • Bar Sink. Showers ' hereby affirm that I have a Insurance,nre of consent toi d copy re or a certificateELECTRICAL Workers' Compensation or certified copy thereof I/9ection Backflow Preventer Service Sink - Y Automatic Washer Transformer ❑ 15-50 KW ,800, Lab. c.}� .,r users:" /'1L+ - Policy No.Nw Z� 74 Vy Company A/S • Backflow Irrigation _ Sewer Cap - El50+ KW. (Y"/1I - Construction Pole Sub. • El Certified copy reby furnished. •S Certi(tYifB/d,coo Is d with the city Buil g Di o C/ Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant • EXEMPT ON FR M WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter ❑over'100 amps (This section need not be completed if the permit is for one hundred ($100) or - less). Dishwashers Solar Piping Dryers ❑Gas ❑Electric Sub Panel - I certify that in the performance of the work for which this permit is issued,I • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. - • Date Signature Floor Drains . • Swimming Pool w/Spa • F.A.U. Inc.Solar ❑9-15 HP.❑i6-15+' -NOTICE: If,after making thirdeclaration,"you should become subject to the - - ) Workers' Compensation provisions of the Labor Code, you must forthwith .Floor Sinks ■ Urinal Ell - ' comply with such provisions or this permit shall be deemed revoked. l Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes I hereby affirm that there is a construction lending agency for the performance �' Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 'Outlets Range Name - an 9¢ Lender's Address - Kitchen Sink Water Service Switches - Sign OWNER BUILDER DECLARATION - I • - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories I ; Auto-WashGarbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap ' • Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor • to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - • the Contractor's License Law(Chapter.9(commencing with Section 7000) of .4#division 3 of the Business and Professions Code) or that he/she is exempt .(ki,}erefrom and the basis for the alleged exemption. Any violation of Section i31.5 by any applicant for a permit subjects the applicant to a civil • ' salty of not more than five hundred dollars ($500). . D I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • \ Issue Fee $ 3 • • 1 compensation, will do the work, and the structure is not intended or offered • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3 FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for • Boiler • sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I .❑ Zoning Approved By Date pieties, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By Date r���' prove for the purpose of sale). • D I, as owner of the property,am exclusively contracting with licensed con- , Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the protect (Section 7044,Business and Professions Code: • - ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100• ,000 BTU • SUMMARY OF FEES ' builds or improves thereon,and who contracts for such.projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that ,■Exhaust System CI Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ID'I am exempt under Section B • . & P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLUMBING $ S. ©C7 ISSUANCE $ Date • • Owner Heating System&Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ • I hereby certify that I have read this a•-tisanes and state that the above ❑0-100,000 BTU ❑100,000BIGRADING $ • information is correct. I fee to c.m• Ith all city and county ordinances ELECTRICAL $ and state laws relating o b • m c•. sties, and hereby author'ze re•re- • PLAN CHECK 50% $ MICROFILM $ sig atiure of this i u•% e above-mentioned pr••erty for . inspection purpos 5/ Z , ■ MECHANICAL $ TOTAL FEE $ c' 0 Signature L Date r Drivers' License or 55# a/ Reinspection Fee $15 IIIssueFee • $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit • 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydra C. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe N. 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • • 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISS* . 33. Final Electric Notes: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test LI''2.3-17 cL5'' y 36. Hood or Canopy 37. Final Factory Fireplace c. 38:�Final Plumbing Y-23-17 ac, ., b 39'Water Service-Final a _ -'- .`-• ' ' ' 40. Gas Service-Final /. .,,• 41. Solar Domestic-Final - - r- A2. Backflow Preventer '43. Backflow Irrigation •:, . i44./Landscape Irrigation System f.i -tie ,45. .Sound Attenuation .46. Handicap Regulations - ,,, 47. FINAL STRUCTURE & BUILDING ' e-�' 48'SpecialRequirements Completed �• _ ?� 49. Electric Release to Edison '-' ti -I • 50. Gas Release to Southern California Gas Co 't , 51. CERTIFICATE OF OCCUPANCY No. Date . 8975 EE rIECEJ1ED COSTA MESA BUILDING-SAFETY DEPARTMENT • 41A (1 ICcc P.O.BOX 317 COSTA MESA, CALIFORNIA FJN CL DEPT. CIFOR APPLICANT TO HU IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 3 383 A J,C Baker ADDRESSDSt. COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. I �Pci 7.5� OWNER Kendon Homes, Inc. AMAIL DDRESS 1555 Placentia, , Newport Beach RECEIVED BY DATE RECEIVED DATE ISSUED CITY 141 6-3227 TN O. BUILDING ADDRESS ARCHITECT LIC. OR ENGINEER Same NO. COSTA MESA, CALIFORNIA J •same type ou 7y fj- ADDRESS ZONE p K.ON RA OR Const. IID: STATE 61195 APPROVED \ 077.5 //n /G CONTRACTOR LIC.NO. BY DATE 0 r 7.5 ADDRESS same ZONING LEGAL el BE" 1644 ZONE NO.OF USE OF NEW ,. DESCRIPTION NO. I BLOCK I TRACT R y1.PLAN6 I BUILDING J /��,,��y/ APPROVED/'/ -n DATE i/, I - / 130 BY c.� Z.' SIZE 50 X NO.OF BLOCS. 0 YARDS C HCESS OF LOT NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) 7�--�� EXISTING BLDG. - . - FRONT V D FT. IN. SETBACK LINE FROM ��]7 CENTER OF STREET 50, REAR YARD2 5 R.SIDE S—FT. IN. SIDE YARD I LEFT 16 I RIGHT 8 L.SIDE Ff. IN. DESCRIPTION OF WORK X • REAR �`�Ff. IN. NEW I 6 II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I SIZE BUILDING 2710 ROOMS NO.OF 12 STORIES 2 EXTERIOR WAII,L ROOF COVERING STUCCO COVERING hot-mopped USE OF BUILDING AND WORK TO BE PERFORMED Tri nlpx reciIlonce anti gnraga I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE E OF ESTABUNDERSHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CO. UCTION. VALUATION nn SIGNATURE • G <9 PERMIT FEE $ 43.L/�/ PERMITTEE $ 23,060.00 PLAN CHECK $ 21.50 AUTHORIZED AGENT64.50 TOTAL FEE $