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Home My WebLink About2379 ELDEN AVE - Building Permits r t CITY OF COSTA MESA BUILDING DIVISION FqJW LT •"...Ka �I 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us °• FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: P08-00011 PERMIT TYPE PLUM STATUS: ISSUED APN: 43927215 - DATE ISSUED: 01111/2008 • - - - - ISSUED BY: • BJK • JOB ADDRESS: 2379 ELDEN AV.CM _., •Suite/Unit Vicinity: 2379 AND 2381 ELDEN:AV d • SCOPE OF WORK: WATER SVS FOR THE COMMON AREA FOR A CONDO CONVERSION-PROJECT AT 2379 AND 2381 • ELDEN AV. ' • OO, OWNER: ELDEN STREET PARTNERS' - Address PO BOX 15126 PHONE: 949-230-542611 �• t ,L City/State/Zlp '',NEWPORT;BEACH CA1,7: n••p • APPLICANT: ZEHNDER,,PETER_f •Y,� '�'• - ••Address P0,BOX'15126 PHONE: 949-230-5426 ; ( _ City/State/zZip: NEWPORT BEACH CA: t _ „Prjy CONTRACTOR: OWNER BUILDER r• 4� ;,_..,.,., .- . .License No.' 000000 - Address: City/State: " ZipCode: - - CELL: ARCHITECT: ,d License No - PHONE i ENGINEER: • PLUMBING PERMITFEE SUMMAR • Y 1351 PLAN CHECK FEE - "80.00 • PERMIT.FEE $33 30' TOTAL FEES:• "$33.30 1;711 • • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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: CODE t INSPECTION TYPE DATE INTIDALO CODES INSPECTION TYPE DATE.)2381 INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 'd--`�--r-/-1.+•�-\--�--- 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign - - 222 Final Site . .) 204 Final Demolition • 250 Final Building/Occupancy r . I WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver%/ a. 0 Yes 0 No 101/0 I hereby affirm under penalty of perjury one of the following declarations:. Drivers License No. � Expires: 1/ ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. " O I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: - person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffdding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed d the pemrt is valued at one hundred collars($100)or less) 2,Arlt Sec.341 Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless sued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the worker compensation laws of California, and agree that if I should become sub'e•t to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor C..:,I shall f: hwith comply with these provisions / Division of Industrial Safety Permit Number: Ai.li..n' Sr. re to HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: i•ILURE Ti ECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAW L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes . ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). completion,the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the.property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. • • ENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business nd Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for Iinspection • rposes. I agree not to occupy or allow occupancy of any building t/,11' ' {^` authorizedrb this permit u it final inspection. S nag�rp�- / Date las ' Cwner(s) Da 3a6]-461 ••• \\\))) r/ A .Lor Authorized ppliwnt Date CITY OF COSTA MESA '`@ BUILDING DIVISION >,210, 1:s.-1. . _. , 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us "• FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: E07-00798 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 09/13/2007 ISSUED BY: BJK JOB ADDRESS: 2379 ELDEN AV CM' Suite/Unity Vicinity: TEMP POWER POLE - SCOPE OF WORK: ONE TEMPORARY POWERPOLEFOR FUTURE CONDO CONVERSION PROJECT,-.NO OTHER WORK AUTHORIZED WITH THIS PERMIT. • .' ` OWNER: ELDEN STREET PARTNERS . ' Address: PO BOX 15126 Unit: - - PHONE: 949-230-5426 '. - - ' City/State/Zip:, NEWPORT BEACH.CA. APPLICANT: VALDOVINOS,AGUSTIN' • - Address: .1550-E'CHESTNUT AV .Unit: PHONE: 714-285-0243 City/State/zZip: SANTA ANA,CA . — CONTRACTOR: NATIONAL CONSTRUCTION RENTALS License No. 687160 - - .. Address: 1550 E CHESTNUT AVUnit: ' PHONE: 714-285-0243 City/State: SANTA ANA,CA ZipCode: 92701 CELL: ELECTRICAL PERMIT FEES ' Electrical Plan Check Fee: . . .- $0.00 Electrical Permit Fee: $47.00. Reinspection Fee $0.00 _ TOTAL FEES ' . $47;00 ' . • • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE I INSPECTIONTYPE 0 1 INIITAL5 CODER INSPECTION TYPE OA INTIMAL¢ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 FinalATE OF LAgliti 200 Final Re-Roof 210 Final Electricalex 1 10 9-07 R-WA 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Signm 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver ase. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: 4 - Driver's License No. -Expires: , • ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or,deed): compensation, as provided for by section.3700 of the Labor Code, for the performance of the work for which this permit is issued, _ 1a' I have and will maintain workers'compensation insurance:as required by' ,a section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are:T1-c1 V C(Q, Carrier: S (moo ''-- II person is required to descend,will be made in connection with work authorized Procer{-1 1 fvl 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 (This Seaton need notbe comp'etedathe perm is valued tone hundred dollars(Stoo) Less) 2,Art 2,Sec.311 Title8,California Administrable Code). Policy Number: 'j�GZ JUB 4z4 6 B 9aA0� 0 As owner-builder, I will not employ anyone to do work which would Cj I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the worker,'c.a pensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I s :� comply with these provisions. /;/I' 1Permit Number: I\ar'+•r Q 9 e Division of Industrial Safety Apt� � - Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARM - : FAILU\- r! CU'E WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWF - - I SHALL .UBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CI L FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADD' ION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No laic.# — i I • • Class# C I0 C13 CG I 0'. I (Section 25533 of the California Health and Safety Code, with some # exceptions. requires registration with the Costa Mesa Fire Department by %I:eSH1_ I n f 30 } each business which at any one time has on hand a quantity of acutely con 41.11,:' Date 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 CONSTRUCTION • : • AG NCY: temperature and pressure). b I hereby affirm t at there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from Construct, alter, improve, demolish. or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other Compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the Offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for Sale. If, however, the building or improvement is sold within one year of control officer). Completion, the owner-builder will have the burden of.proving that he or she CERTIFICATE OF'COMPLIANCE: 'certify that under penalty of perjury the did not build or improve for purpose of sale.).. information given above is correct. I agree to comply with all state laws and ❑• I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of signature Date property who builds or improvesrthereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). r certify under penalty of perjury that I have read this application and state that 0 I am exempt under-sec: the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason:. the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fi - ' spection. is alit Signatur- . taij-ti, .' Date Signature Date tl�ri 691 U 3057-46(3/07) Aria Andlor Autry,•)Alca Date ri IN CITY OF COSTA MESA a . z•, BUILDING DIVISION . . f y AI, 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us "• . FOR INSPECTIONS CALL: (714)754-5626 ' • • `""wfi PERMIT NUMBER: E08-00021 PERMIT TYPE ELEC STATUS: ISSUED APN: 43927215 DATE ISSUED: 01/11/2008 - `a --"T•'' : ISSUED BYi BJK • JOB ADDRESS: 2379 ELDEN AV CM Suite%Unit. .., Vicinity: 2379 AND 2381 ELDEN AV p - - . 4 9 i ,r c - , SCOPE OF WORK: ELEC SVS FOR.THE COMMON;AREA,FOR A CONDO tCONVERSION PROJECT AT 2379 AND 2381 ELDEN AV. • I'• ' i`e-' °int OWNER: ELDEN STREET PARTNERS' Address: PO BOX 15126'Unit. • " ' PHONE: 949-230-5426 i' , ' ' r -- City/State/Zip: !NEWPORT BEACH CA} , ;_ .. APPLICANT: ZEHNDER, PETER ii;:1". Address -, PO BOX.151261Unit - - 1r;z'� , PHONE: 949-230-6426 i;,v City/State/zZip: NEWPORT BEACH CA*-, 1. • CONTRACTOR: OWNER BUILDER '-, License No. 000000 ' V ' :1 Address: City/State: , 'ZipCode ' _1_ • ELECTRICAL PERMIT FEES - ° "' / l= Electrical Plan Check Fee:. $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00- ; ,r . - ..1 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) • , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of,this permit. CODE$ INSPECTION TYPE DATE INTIDALS CODES INSPECTION TYPE - DATE INP11ALS. 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical .-3_41:A0'A0 l% 201 Final Block/Retaining Wall 212 Final Fire Prevention _ 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site . . 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION Owner ID verified by dri ,,er. ❑Yes 0 No I� I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: J)I i U ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the perfomtance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not bewmpleledI the perm&is valued at one hundred dollars($100)or less.) 2,Art 2,Sec.341 Title B,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would AI certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless ired, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the wrkers' compensation laws of California, and agree that if I should become!''ubject to the workers' compensation provisions of Section 3700 of I Applicant's Signature Date the Latpr ode, I shall forth h comply with these provisio 11 ( Division of Industrial Safety Permit Number: ppll 1's"r at e 1 oatel� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARN G: ILURE.TO SEC 'E WORKERS'COMPENSATION COVERAGE I. Will the applicant or present or future building occupant need to file and IS UNW UL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0.No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: _ _ 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): . of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own g (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. CENSED CONTRACTORS to construct the project(Sec.7044, Business and V ' Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 ..I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances rel. ing to building construction, and authorize representatives of Business and Prpfessions Cod for this reason: the City of'C..ta Mesa to enter upon the above-described property for I �' inspection purl).-es. I agree not to occupy or allow occupancy of any building ` 1� authorized by'thi. permit und..pfinal inspection. t /' 'iv Legal e 1 ( Itiatel/X �V} gnalure Dale - / V) 3057-46(3/07) A a/or•utborized Applicant ' Date a • CITY OF COSTA MESA -. �'w��Tr BUILDING 'DIVISION F;...." : ,,; 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us ' Te. FOR INSPECTIONS CALL:(714)754-5626 . 4taboiiivvfi PERMIT NUMBER: P07-00558 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/30/2007 ISSUED BY: BJK . JOB ADDRESS: 2379 A ELDEN'AV CM . , 'Suite/Unit: .- A\ Vicinity: UNITA- ; " i• I ' . .J.. . SCOPE OF WORK: PLUMBING WORK FOR:UNIT A OF DUPLEX. INCLUDES: 1 BATHTUB, 1 DISHWASHER, 1 GAS(1-4 • OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUB'M/ASHER, 1 SHOWER, 1 KITCHEN SINK; 1:WATER HEATER AND 1 WATER . REPIPE. ''�` - • / - I - • , OWNER: ELDEN STREET PARTNERS' . `' _ - Address: . PO BOX 15126 ' . PHONE: 949-230-5426 .'. ( 'tr�,,:: '''�" City/State/Zip: NEWPORT BEACH,CA_. . APPLICANT: PETE ZEHNDER, „ - Address: PO BOX 15126• .: ' "` PHONE: 949-230-5426 i - - y • .. City/State/zZip: NEWPORT.BEACH;CA. ' '.r• CONTRACTOR: OWNER-BUILDER . '+ 1 � - f License No. 000000 Address: - PHONE: City/State: - ZipCode = - --. .. :CELL: - - _ :r . . PLUMBING PERMIT FEE SUMMARY • . • ' PLAN CHECK FEE: $0.00 PERMIT FEE: $110.55 ' -iiit ._ . • . ,..:,:.. . . .. - TOTAL FEES: $110.55 ,x` .- p : 3 • .. . . . . 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. , 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. CODE A. INSPECTION TYPE SAM !AMNIA CODER INSPEC110N1Trt DATE, INTTALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical M/yC 1266 Pool Spa Final. 208 Final Plumbing vL 200 Final Re-Roof ' _ - 210 Final Electrical 201 Final Block/Retaining Wall • 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval _ 203 Final Sign 222 Final Site 204 Final Demolition ' . 250 Final'Building/Occupancy WORKERS'COMPENSATION DECLARATION: • Owner ID verified by driver's .e. Yes 0 No '' /- I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: _/O/ __ ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Cartier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section nes nol be oampleled if Mhepermi valued al one hundred cblars(Pfbe)or less.) 2,Art 2Sec.341 Title B.California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would t�Wr I certi i that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above.unless issued,I shi II not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the work rs' compensa'•n laws of California, and agree that if I should become • .ect to the wo •rs' compensation provisions 7ection 3700 of Applicant's Signature Date the Labo C..e,I shall forth •th comply with these provisio / 30 0'7 Division of Industrial Safety Permit Number: ppgcanl7 .na re o HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: '•(LURE TO SE URE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? IDYes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required -r• to register acutely hazardous materials with the Fire Department. Signature 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: '- ; Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW fort the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:."Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve,"demolish, 'or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or.,she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Lawr(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and �nf( I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. • LCENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that CII am erupt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business an Professions Code for this reason: the City of osta Mesa to enter upon the above-described property for inspection p •oses. I agree not to occupy or allow occupancy of any building /`� authorized •, is permit until final i spection. V 34 a, • Date Signa ure ` Dat 1 `_ • 10(76'(r) 305]J6 0]) dr. 77.nZed A.•hca t 1 Date 11 CITY OF COSTA MESA r—11r BUILDING DIVISION ) am .• .1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us om FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: BC07-00424 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 01/10/2008 ISSUED BY: JOB ADDRESS: 2379 A ELDEN AV CM Suite/Unit: A APN: 43927215 - Zoning: , , ' Vicinity: UNIT A Primary Occ: Const Type: V-N SQ. FT: 0 Valuation: $60,000.00 SCOPE OF WORK: UNIT A: RENOVATION OF THE CONDO CONVERTED UNIT. REPLACE WINDOWS(TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOOR AND SLIDER. NEW INSULATION, DRYWALL&FINISHES. MISC GARAGE REPAIRS. ELEC: 17 LIGHTS, 29 OUTLETS, 21 SWITCHES: MECH: 1 FAU <100K BTU, 1 APPL VENT. PLUMBING: P07-00558. REF: BX07-00119, 806-00060, PA-06-29 OWNER: ELDEN STREET PARTNERS • - Address: PO BOX 15126 Unit: . .., Phone: 949-230-5426 City/State/Zip: NEWPORT BEACH,CA .`7.00.4 2 4 APPLICANT: ZEHNDER, PETER Address: Unit: : Phone: 949-230-5426 City/State/zZip: CONTRACTOR: OWNER-BUILDER - .- - - - License No. 000000 Phone: • - Address: Unit: Cell: City/State: - ZipCode • ARCHITECT: License No..-- PHONE: ENGINEER: - - , License-No. . PHONE: • • COMBINTATION PERMIT FEE SUMMARY • • Building Plan Check: $463.94 Building Fees: $713.75 Electrical Fees: $93.50 ' 'i:i'?;RS. Mechanical Fees: $49.15 • - "LEI.EI Plumbing Fees: • - $0.00 SMIP Residential: $6.00 . SMIP Commercial: $0.00 TOTAL FEES: $1,326.34 •7•C.,l "Refer to fee receipts for all foes paid for project 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE I. INSPECTION TYPE RATE INImALs CODES INSPECTION TYPE Tan INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final - 208 Final Plumbing • 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site ../ I' 204 Final Demolition 250 Final Building/Occupancy it b WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers Has. ❑Yes 0 No• I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. -property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap. 3.2,Grp (This section need no(be completed!the permit is valued alone hundred cellars(SIW)orless.) 2 Ant Sec.341,Title S.Califomia Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certi that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless ued, I sh•ll not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the work: s' compensation laws of Califomia, and agree that if I should become ubj-ct to the .rkers'compensation provisions of ecti n 3700 of the Lab&Co.e,I shall f. hwith comply with these provisions. Applicant's Signature Date A It Division of Industrial Safety Permit Number: ID le HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARN! I.: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLA FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractors Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (It yes". the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? El Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and yI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. CENSED CONTRACTORS to construct the project(Sec.7044,Business and ofessions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractors)license pursuant to the Contractors License Laws.). certify u der penalty of perjury that I have read this application and state that 0 I : exempt under sec. the infor'"alien given is correct. I agree to comply with all state laws and city ordinan -- relating to building construction, and authorize representatives of Business and Profe• ions Code for this reason: the Cit if Costa Mesa to enter upon the above-described property for inspec'. purposes. I atree not to occupy or allow occupancy of any building authori -. by this permi until final inspection. . . 1 , -, �` a tature of L•.- Ovmegs) • Date t •31!7aure, Dte \ U 3057 •(3I0]) 1 Andlor Authonzed Applicant Date • CITY OF COSTA MESA , 312 . BUILDING DIVISION F; ,I � . 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714).754-5273 • Fax(714)754-4856 • wvnv.ci.costa-mesa.ca.us • 1.041 • , , FOR INSPECTIONS CALL:(714)754-5626 4%3/4.1504.. , ' PERMIT NUMBER: BC07-00425 • PERMIT TYPE: B_COMBO • STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 01/10/2008 ' ISSUED BY: BJK JOB ADDRESS: 2379 B ELDEN AV CM Suite/Unit:. - B APN: 43927215 Zoning: J Vicinity: UNIT B Primary Occ: Const Type: V-N •• Valuation: $60,000.00 . ' ' SCOPE OF WORK: UNIT B: RENOVATION OF'THE CONDO CONVERTED UNIT. REPLACE WINDOWS (TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOOR AND SLIDER. NEW INSULATION, DRYWALL& FINISHES. MISC GARAGE REPAIRS. ELEC: 19 LIGHTS, 25 OUTLETS, 17 SWITCHES; MECH: 1 FAU <100K BTU, 1 APPL VENT. PLUMBING:"P07-00559. REF: BX07-00119, , B06-00060, PA-06-29 . OWNER: ELDEN STREET PARTNERS - ' Address: PO BOX 15126 • Unit: .,,-, Phone: 949-230-5426 " H City/State/Zip: NEWPORT BEACH,CA - " .00425_ APPLICANT: ZEHNDER,'PETER • • ._Address: - - Unit: : Phone: 949-230-5426 . City/State/zZip: CONTRACTOR: OWNER-BUILDER - License No. 000000 Phone: . . Address: Unit: - - .. Cell: City/State: ' . -ZipCode ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: COMBINTATION PERMIT FEE SUMMARY Building Plan Check: • $463.94 '2EScP:T Building Fees: $713.75r.•,a. c,cuAIRS. Electrical Fees: .• $88.75 • Mechanical Fees: • $49.15 Plumbing Fees: $0.00 SMIP Residential: $6.00 , . . SMIP Commercial: $0.00 TOTAL FEES: $1,321.59 ' ':1'12 —Refer to fee receipts for all foes paid for project NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. COVE 1 INSPEC'PON TYPc pig INTIMAL$ CODE CINSPEc'noN TYPE g_Ag INMMALS 1616 .Fixed System Final Fire Prevention 206 Final Mechanical c`245'.T • 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval ' 203 Final Sign 222 Final Site . ' 241 204 Final Demolition - 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION. Owner ID verified by driv�Y0 e. Yes 0 No - x I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. > Expires: /ul/b O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-sbi(36)feet high.(Chap.3.2,Grp (This section need not be competed ethe perm is valued al one hundred dollars($100)o'Iess.) 2,Art 2Sec.341.Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I ertify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless i ued, shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the •rkers' compensation laws of California, and agree that if I should become ubject to the orkers' compensation provisions of ecti n 3700 of Applicant's Signature Date the La..r ode,I shall f. hwith comply with these provisions I - _ Li Division of Industrial Safety Permit Number: ,Ap'1tune D to HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARN (G: AILURE Ti -ECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UN •WFUL AND 'HALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.4 Class 4 (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031,5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes-,the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): , of the California Health and Safety Code). ❑ I, as owner of the property. or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own B (If yes-,attach certificate of compliance from the appropriate air pollution employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer), completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors Ucense Laws.). certify under penalty of perjury that I have read this application and state that 0 I am -xempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Busines-an' Professions Code for this reason: the City if Costa Mesa to enter upon the above-described property for inspecti.' purposes. I a.ree not to occupy or allow occupancy of any building authoriz•by this permi ntil final inspection. ,� I' Owner(s) \ M Sign to Date 305]-a8( r') 1 ' AT or AT ori ;I_1Slicant Date CITY OF COSTA MESA . I BUILDING DIVISION • F y �. 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us z- ipcs FOR INSPECTIONS CALL:(714)754-5626 *N.G.nm e PERMIT NUMBER: P07-00559 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/30/2007 ISSUED BY: BJK JOB ADDRESS: 2379 B ELDENAV CM . 'Suite/Unit:. B ' Vicinity: UNIT B . - SCOPE OF WORK: PLUMBING WORK FOR.UNIT B OF DUPLEX. INCLUDES: 1 BATHTUB,'1'DISHWASHER, 1 GAS(1-4 OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUB/WASHER, 1 SHOWER, 1 KITCHEN SINK, 1,WATER HEATER AND 1 WATER • REPIPE. - - , OWNER: ELDEN STREET PARTNERS - - Address: PO BOX 15126 ' PHONE: 949-230-5426 ! City/State/Zip: NEWPORT BEACH,CA- ` APPLICANT: PETE ZEHNDER Address: PO BOX 15126 : - PHONE: 949-230-5426 .. City/State/zZip: NEWPORT BEACH,CA ' CONTRACTOR: OWNER-BUILDER License No. 000000 Address: - . PHONE: - City/State: ZipCode:.._ - - CELL: . - PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 - .' 440 - PERMIT FEE: $110.55 . Ip - TOTAL FEES: $110.55 . . • . .. . • 3 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE E INSPECTION TYPE DATE IN1n1Ati CODE[ INSPECTION TYPE 126TE IN1TI1ALi 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 3 -1K•01 200 Final Re-Roof 210 Final Electrical - 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy • WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's .e. Yes ❑No /O I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: /`ra ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffdding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need mol be completed/the perm)is valued al one hundred dp¢ars(S100)or leu) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certify hat in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless is X. I sha I ot employ any person in any manner so as to become subject such person has a permit to do such work from the division. X to the work:vs compensation laws of California, and agree that if I should become su•ec, to the worke•'compensation provisions of Section 3700 0l Applicant's Signature Dale the Labor C.•e,I shall forthwi comply with these provisiopef A 1 V 3610-) Division of Industrial Safety Permit Number: gp'li 'f�'Sign.t 'e Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: AILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1, Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class U (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: _ 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. Signature ::a Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: • , . , ' Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty,of'perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE,LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Coder Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,'alsorequires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or, she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law'(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 6. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and yyq I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors Ucense Laws.). certify under penalty of perjury that have read this application and state that O I am ex pt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business a ofession ode for this reason: - the City of r•sta Mesa to enter upon the above-described property for 1 \ inspection p ses. I agree ot to occupy or allow occupancy of any building (`�/ J, authorized •, ••s permit until nal inspection. • //��I4 ''1 3U 0-7 EEt w.w j '^ �Sianature \ . Date I /ST of S+ 1 3057-46(3/071 f• ,or Authorized Applicant Vg Date r , CITY OF COSTA MESA ""fir" BUILDING DIVISION ' F`N `) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us °• FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: BC07-00426 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 01/10/2008 ISSUED BY: BJK JOB ADDRESS: 2379 C ELDEN AV CM Suite/Unit:' C APN: 43927215 • • Zoning: . - Vicinity; UNIT C - - - Primary Occ: - . Const Type: V-N , _ Valuation:. $60,000.00 SCOPE OF WORK: UNIT C: RENOVATION OF THE CONDO CONVERTED UNIT. REPLACE WINDOWS (TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOOR AND SLIDER. NEW INSULATION, DRYWALL&FINISHES..MISC GARAGE REPAIRS. " ELEC: 17 LIGHTS, 31 OUTLETS,20 SWITCHES;MECH: 1 FAU <100K BTU, 1 APPL VENT. PLUMBING: P07-00560. REF: BX07-00120, _. - 7 B06-00060, PA-06-29 . OWNER: ELDEN STREET PARTNERS - Address: PO BOX 15126 - k '' , Unit: . .,7 ,.�t., 9,1 F, Phone: 949-230-5426! ' - City/State/Zip: NEWPORT BEACH,CA' • 't "'"='3 APPLICANT: ZEHNDER;PETER • - " ' "Address: " . Unit: : Phone: 949-230-5426 ' ' ' ',City/State/zZip: •. - CONTRACTOR: OWNER-BUILDER -, License No. 000000 • - Phone: _ 'Address: Unit:. - Cell: City/State: - . " - -ZipCode ARCHITECT: . . License No. PHONE: ENGINEER: License No. PHONE: COMBINTATION PERMIT.FEE SUMMARY 11 Building Plan Check: $463.94 Building Fees: $713.75 . PRESENT Electrical Fees: • $94.23 <E REPAIRS. Mechanical Fees: ,$49.15 - 19 Plumbing Fees: $0.00 SMIP Residential: $6.00 SMIP Commercial: $0.00 TOTAL FEES: $1,327.07 'I . t • '71::t **Refer to foe receipts for all fees paid for project • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE II INSPECTION TYPE QBE !Miele cmOE. INSPECTION TYPE 28Th ammo 1818 Fixed System Final Fire Prevention 208 Final Mechanical ''n SI-141 1288 Pool Spa Final 208 Final Plumbing -. 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign 222 Final Site r 204 Final Demolition • 250 Final Building/Occupancy 1.—Z/1T • WORKERS'COMPENSATION DECLARATION: Owner ID verified by drii�terre. ❑Yes 0N I lI io I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: U1/ ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Owner ip by(type of docdment,i.e.-properly tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need ow be compered eThe permit valued at one hundred days(5200)or less.) 2,M2,Sec.341,Title B,California Administrative Code). Policy Number: El As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless Ntg ued, shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the .rkers' compensation laws of California. and agree that if I should become • bject to the workers'compensation provisions of ectio 3700 of Applicant's Signature Date the L'Dor ode,I sh: forthwith comply with these provisions. I L i Division of Industrial Safety Permit Number: • pdimra' Si. are Dat HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WAR I ING: /ILUR: • SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS U LAWFUL AN ii SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES, 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 LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (Section 25533 of the California Health and Safely 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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ElNo (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications fa non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? El Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). El I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and s}�,�� I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. /u(CENSED CONTRACTORS to construct the project(Sec.7044, Business and ((( Prrrrfessions Code:The contractors License Law does not apply to an owner of signatureDate property wh. builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contract. .-)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am e -mpt under sec. the informa .n given is correct. I agree to comply with all state laws and city ordinancesfrlating to building construction, and authorize representatives of Business ran. Professio • Code for this reason: the City of osta Mesa to enter upon the above-described property for ( inspectionlp poses. I agre not to occupy or allow occupancy of any building I III �]/� authoriz'. b this permit un it final inspection. • .r� ) ... I� er(s) f to M • Y • Sign- re - Dae 5 LA (fib 305]d6( Si) An•T.r Authonze.A-plicant Date • CITY OF COSTA MESA br BUILDING DIVISION _ ., 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 1.1 k / .� �• FOR INSPECTIONS CALL:(714)754-5626 ‘11.0....Tm... PERMIT NUMBER: BX07-00120 PERMIT TYPE B_MISC STATUS: ISSUED APN: 43927215 DATE ISSUED: 09/14/2007 Zoning: ISSUED BY: BJK JOB ADDRESS: 2379 C ELDEN AV CM : - - - Suite/Unit: C Vicinity: DUPLEX UNITS C ANDD - Primary Oce: - - • Const Type :7? SQ. FT: 1600 - . Valuation: •- $2,000.00, • - SCOPE OF WORK: UNIT LAND D - - INTERIOR DEMOLITION OF A-1600SF DUPLEX:IN PREPARATION FOR A FUTURE CONDO CONVERSION. REF: B06-00060 OWNER: ELDEN STREET PARTNERS. Address:: PO BOX 15126 - , ' Unit City/State: NEWPORT BEACH,CA "...r - Zip Code: 92659 Phone: 949-230-5426 ' - • APPLICANT: ZEHNDER,'PETE ' ' '- Address: PO BOX 15126 - - : - - ;Unit:.• City/State: NEWPORT BEACH, CA' Zip Code: 92659 Phone: 949-230-5426 •' CONTRACTOR: OWNER-BUILDER , . ' . - .r - _ - _ - - -, License No.: 000000 Address: City/State: • - - . Zip Code: - Phone - Cell ARCHITECT: - License No. - Phone _ - i- ,i:, ENGINEER: ' — � - License No. Phone FEE SUMMARY_ . R. Building Plan-Check: $0.00 A • Building Permit: $69.25 SMIPElectriRel Peridential - $0.00 Residential $0.00 SMTP Commercial ;;,.; ..,.....$0.00:..-..-. $0.00TOTAL FEES $69.25 - 3 . , • • ..... • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No. 92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE II INSPECTION TYPE o> IN11TIAt$ CODER INSPECTION TYPE, ORT INTITIALS 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing • 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall • 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign /p � 222 Final Site rn`tc 7Z/,yamOE, 204 Final Demolition >'t 0 q 250 Final Building/Occupancy 3-1V .: f I WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. .ise. yJ Yes ❑No /b U ))O I hereby affirm under penalty of perjury one of the following declarations: ,' Driver's,LicNo.ense �•> �-[ 7y� Expires: 2 I have and will maintain a certificate of consent to self-Insure for workers' ' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the-Labor Code, for the , . . ' , performance of the work for which Ibis permit is issued. .. b I have and will maintain workers'compensation insurance,as required by' section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet h depth into which a number are: person is required to descend,will be made in Connection with work authorized Carrier. by this permit,and that no building structure,scaffolding,falsework,cc demolition (Pis segos need not be completed Cho permit s valued al aronundred doears(5100)akss) 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). Policy Number: 0 As owner-builder. I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless ed.I shall not -mploy any person in any manner so as to become subject such person has a permit to do such work from the division. t0 the workers' c: pensation laws of California. and agree that if I should become subject • the worker 'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code, - all forthwit comply with these provisions. /I t.y(t1 Division of Industrial Safely Permit Number: q.•i.�s 7 re Date l HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAI ! R TO SECU- WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL UBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. • 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affcm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date . 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penally of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance.also requires the applicant for such permit to file a signed statement (Section 65850,2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 live hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044.Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own • 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement,is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale;). information given above is correct. I agree to comply with all state laws and CaI. as owner of the property,am EXCLUSIVELY CONTRACTING WITH • city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044.Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFIC• E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a cailractorfs)license pursuant to the Contractors License,Laws.). certify undo penalty of perjury that I have read this application and state that ❑ I am a erupt under sec. the informoti•n given is correct. I agree to comply with all state laws and city ordinance dating to buil.Mg construction, and authorize representatives of Business 9 Professions Code for this reason: the City •f este Mesa • enter upon the above-described property for inspectio pu poses. I ogre: not to occupy or allow occup ncy I any building is permit ural final inspection.I 91/q/( ' I� ('i{ Si. ur.of -at•' ens) Date l/ Al////1�L(.�grtDate I �• 305746(3l ) / \/ `Q Anblor Authorized Applicant Date CITY OF COSTA MESA zw1l BUILDING DIVISION > yam'� t .� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754.4856 • wiwi.ci.costa-mesa.ca.us �. FOR INSPECTIONS CALL: (714)754-5626 • PERMIT NUMBER: P07-00560 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/30/2007 ISSUED BY: BJK JOB ADDRESS: 2379 C ELDEN AV CM Suite/Unit: - C . 1 . Vicinity: UNIT C - - .. SCOPE OF WORK: PLUMBING WORK FOR UNIT C OF DUPLEX. INCLUDES: 1 BATHTUB, 1 DISHWASHER, 1 GAS(1-4 OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUB)WASHER, 1 SHOWER, 1 KITCHEN SINK,-1 WATER HEATER AND 1 WATER REPIPE. ' OWNER: ELDEN STREET PARTNERS,' ` Address: PO BOX 15126 . PHONE: 949-230.5426 City/State/Zip: NEWPORT BEACH, CA APPLICANT: PETE ZEHNDER - Address: PO BOX 15126' : • PHONE: 949-230-5426 ' , City/State/zZip: NEWPORT BEACH,CA CONTRACTOR: OWNER-BUILDER - License No. 000000 Address: PHONE: City/State: ZipCode: . CELL: - , • PLUMBING PERMIT FEE SUMMARY • • PLAN CHECK FEE: $0.00' PERMIT FEE: $110.55 • TOTAL FEES: $110.55 lit^ . • • . . 3 • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . 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. CODE P. INSPECTION TVP( DATE IN1mALS CODES INSPECTION TYPE mg INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 3:1E01 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall • 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers. ,e. es ❑No '�IQ� K I hereby affirm under penally of perjury one of the following declarations: Driver's License No. $ ! Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding.falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Thissedbn need not be completed i the permit is valued et one hundred WAars(SI0O)dr less.) 2,Art 2,Sec.341,Title B,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above.unless i sued,I sh. not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the wo - .' compensati• laws of California, and agree that if I should become s • : t to the work. 'compensation provisions of ction 3700 of Applicant's SignatureDate the Labor I shall forth h comply with these provisions Q 50 G'-'1 Division of Industrial Safety Permit Number: 1 f..AI6 nt's Signor 'e to HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required Signature i, to register acutely hazardous materials with the Fire Department. Date a• 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: r- Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and•Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given.above is correct. I agree to comply with all state laws and IXI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. EJCENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors Ucense Laws.). certify unde penalty of perjury that I have read this application and state that O I am exempt under sec. the inform. •on given is correct. I agree to comply with all state laws and city ordinance. dating to building construction, and authorize representatives of Business and ofessions Code for this reason: the City • Costa Mesa to enter upon the above-described property for inspectio • rposes. I agree not to occupy or allow occupancy of any building i I / authoriz.. this permt til final inspection. a re 1 �I Date lime ells) IOJsoo 305]66(3/0]) And/or Aut orized"•plicant Dale t CITY OF COSTA MESA p BUILDING DIVISION N y • ' ,• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.cf.costa-mesa.ca.us T.I. 0.4111 . FOR INSPECTIONS CALL:(714)754.5626 , PERMIT NUMBER: BC07-00427 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 01/10/2008 . ISSUED BY: BJK JOB ADDRESS: 2379 D ELDEN AV CM_ _ Suite/Unit:-, D APN: 43927215Zoning: . , , Vicinity: UNIT D . Primary Occ: ' ._ ' • Const Type: V-N ' ' SQ. FT:-'` - "0 - • Valuation:, $60,000.00 mss i <` -SCOPE • OF WORK: UNIT D: RENOVATION'OF THE CONDO CONVERTED UNIT. REPLACE WINDOWS(TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOOR AND SLIDER. NEW INSULATION, DRYWALL&FINISHES. MISC GARAGE REPAIRS., ELEC: 17 LIGHTS, 31 OUTLETS,20 SWITCHES;MECH: 1 FAU <100K BTU, 1 APPL VENT. PLUMBING: P07-00561. REF: • BX07-00120, B06-00060, PA-06-296 • ' . . - ' OWNER: ELDEN STREET PARTNERS y - . : Address: PO BOX 15126 - " Unit: . . . Phone: 949-230-5426- ' ' _ . `.,City/State/Zip: NEWPORT BEACH,CA'- • • APPLICANT: ZEHNDER, PETER Address: ,Unit: : Phone: 949-230-5426 City/State/zZip: CONTRACTOR: OWNER-BUILDER License No. 000000 •' . • . Phone: - Address: Unit:. - . - • - Cell: City/State: - ' r ' -ZipCode ' ARCHITECT: . I Licerise No. PHONE: ENGINEER: ' License No. PHONE: • • COMBINTATION PERMIT FEE SUMMARY . Building Plan Check: $463.94 Building Fees: $713.75 . . • ' :<I,�T Electrical Fees: $94.23 4iR Mechanical.Fees: $49.15 Plumbing Fees: • $0.00 • SMIP Residential: $6.00 SMIP Commercial: $0.00 TOTAL FEES: $1,327.07 —Refer to fee receipts for all foes paid for project • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. ODE t INSPECX4 TYPE 2661 INIMAL4 SODS E INSPECTION TYPE 2�1F IN1ITIAL$ 1818 Fixed System Final Fire Prevention 208 Final Mechanical - '' 1288 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical . 201 Final BIockfRetaining Wall . 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign • 222 Final Site 204 Final Dmolition 250 Final Building/Occupancy kale' /t WORKERS'COMPENSATION DECLARATION:: Owner ID verified by drie. ❑Yes f:NO I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to sett-Insure for workers' Verification of Owner p by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • O I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Gm (This seCun need not no completer/sthe pem,a us valued at one hundred dollars($100)or cess.) 2,M 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certi that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless is tied.I s .,II not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the war • s' compen-'tion laws of California, and agree that if I should become su• =ct to the • ers' compensation provisions o Sect*pn 3700 of Applicant's Signatureoaie the Lab• a.,e,I hall fort-with comply with these provis'on tr) o Division of Industrial Safety Permit Number: ;.pliwmb Si!`ure Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING FAILURE TO S CURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect, a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes El No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes-,the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property,or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer). 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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. J NSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor: license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am ex: pt under sec. the informati• given is correct. I agree to comply with all state laws and city ordinances H.I. ing to building construction, and authorize representatives of Business and •rofessions • ode for this reason: the City of/C..ta Mesa to enter upon the above-described property for inspection •urp.ses. I agree n•t to occupy or allow occupancy of any building authorized by thi. permit until fi al inspection. ( r Signatu • Date 3057-46(3/0 r 11 And/or Authorized Applicant Date CITY OF COSTA MESA • t't'`rr BUILDING DIVISION • >I y , 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us F "• FOR INSPECTIONS CALL:(714)754-5626 • PERMIT NUMBER: P07-00561 • PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/30/2007 ISSUED BY: BJK JOB ADDRESS: 2379 D ELDEN M/ CM • Suite/Unit: D Vicinity: UNIT D SCOPE OF WORK: PLUMBING WORK FOR UNIT D OF DUPLEX. INCLUDES: 1 BATHTUB, 1'DISHWASHER, 1 GAS(1-4 OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUB/WASHER, 1 SHOWER, 1 KITCHEN SINK;1 WATER HEATER AND 1 WATER REPIPE. • OWNER: ELDEN STREET PARTNERS - Address: PO BOX 15126 PHONE: 949-230-5426 I - - City/State/Zip: NEWPORT BEACH,CA , • APPLICANT: PETE ZEHNDER Address: PO BOX 15126 : •• PHONE: 949-230-5426 City/State/zZip: NEWPORT BEACH;CA • • CONTRACTOR: OWNER-BUILDER License No. 000000 Address: PHONE: City/State: ZipCode:- - CELL: • PLUMBING PERMIT FEE SUMMARY • PLAN CHECK FEE: $0.00 PERMIT FEE: $110.55 • TOTAL FEES: $110.55 , kip • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE$ INSPECTOR TYPE Cn&I INTTAl. DOPES INSPECTOR TYPEA�Fi I/MALS 1616 Fixed System Final Fire Prevention • 206 Final Mechanical 7 y 1266 Pool Spa Final 208 Final Plumbing 3�r4�o 1 t 200 Final Re-Roof • 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition • 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: • Owner ID verified by driver's. .e. Yes 0 No I I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: /o 45) ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,c'demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (This section need not be completed rthe pens is valued at one hundred chars($100)orless 1 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I ce ify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless ued, I :all not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the ikrs compens. 'on laws of California, and agree that if I should becomeect to the wo ''rs'compensation provisions of Section 3700 ofApplicant's Signature Date the Lab• de,I shall forth 'th comply with these provi on 1 A 1b 3(.g 1 Division of Industrial Safety Permit Number: •.•ire''s 'g j Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNI : FAILURE TO S'r RE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UN •WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: '\--. Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the.following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any;city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter,_improve. demolish; or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also require's the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): - of the California Health and Safety Code). ❑ I.as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the /� diddinot build or improve for purpose of sale.). information given above is correct. I agree to comply with'all state laws and /pyJ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. • LII ENSED CONTRACTORS to construct the project(Sec.7044,Business and t Professions Code:The contractors License Law does not appY'I to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exethp rider sec. the informs 1n given is correct. I agree to comply with all state laws and city ordinances :tatting to building construction, and authorize representatives of Business and P • -cions Code f.r this reason:i I . . the City Dela Mesa to enter upon the above-described property for inspection • poses. I ogre' not to occupy or allow occupancy of any building authorize• 'his permit un I final inspection. , 6(36101 ii r �oltal5)0 1 t 71 Date 3057-46(3107) 'An.or Authorir•Ap•icant Date CITY OF COSTA MESA ea �"L1'_r • BUILDING DIVISION F y. .I.. :�,J 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www. ci.costa-mesa.ca.us • °• h . • FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: BC07-00428 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: • RES_RRIP DATE ISSUED: 01/10/2008 ISSUED BY: BJK JOB ADDRESS: 2379 E ELDEN AV CM=. _ ',. Suite/Unit:-.;:::E APN: 43927215 - Zoning -i ' r _ . Vicinity: UNITEPrimary Const Type: V-N ',/' - •' SQ,.FT'r- " " 0 ':`: Valuation:: $60,000.00 • SCOPE OF WORK: UNITE: RENOVATION.OF THE CONDO CONVERTED UNIT. REPLACE.WINDOWS(TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOORAND SLIDER. NEW INSULATION, DRYWALL g.FINISHES:.MISC GARAGE REPAIRS. ELEC: 17 LIGHTS, 29 OUTLETS, 21,SWITCHES; MECH: 1 FAU <100K BTU, 1 APPL VENT.'ELUMBING: P07-00562. REF: . BX07-00121, B06-00060, PA-06-29 ' ' - OWNER: ELDEN STREET PARTNERS r"` Address:• PO BOX 15126 ' y Unit:, �, flf.,4` 8 i Phone: 949.230-5426 , City/State/Zip: NEWPORT BEACH, CA - APPLICANT: ZEHNDER,PETER - ;' ,Address: ' '.Unit: : Phone: • 949-230-5426 :t - `;City/State/zZip: - - - - - - CONTRACTOR: OWNER-BUILDER, ; '-,- - -- - : . 't -- License No. 000000 ,, : k • Phone: - "Address: Unit: .( . - • - - Cell: • City/State: , , P( ZipCode • ARCHITECT: License No. - - ' 'PHONE: ENGINEER: - - - License No. . PHONE: COMBINTATION PERMIT FEE SUMMARY • - Building Plan Check: • -< ..$463.94 ,,. • . �,r't.5'r n1 r ' Building Fees: $713.75• :.• . • ..:.r . c[- J1 . Electrical Fees: V,1V $93.50 - Mechanical Fees: . $49.15. " . • r<<E. Plumbing Fees: $0.00 ' SMIP Residential: $6.00 — -- • - SMIP Commercial: $0.00 TOTAL FEES: $1,326.34 • y-+,"rft4 23 **Refer to fee receipts for all fees paid for project • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. • 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. • CODE M INSPECTION TYPE ELM INTITIALS COOEf INSPECTION TYPE DATE INi111ALS 1616 Fixed System Final Fire Prevention • 208 Final Mechanical ' :S E`11 1286 Pool Spa Final 206 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign • 222 Final Site sl 2'.<' 1 204 Final Demolition 250 Final Building/Occupancy f0"214D dela WORKERS'COMPENSATION DECLARATION Owner ID verified by dri /vim e. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. 70 Expires: I 0 O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership- y(type of doc(ment,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This redion need not be competed it the permit is valued at one hundred collars(s100)ales,.) 2,Art 2,Sec 341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certify at in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless sued,I shal .t employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the wo - ' compens.'ion laws of California, and agree that if I should become su. ect to the wo kers' compensation provisions of Section 3700 of Applicant's signature Date the Labor C•de, shall fort with comply with these provisi ns. I A i (I Division of Industrial Safety Permit Number: Apt.'s nye B irre Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: j AILURE TO CURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAW'UL AND S • L SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 ' LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lit.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ElYes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: • 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2furnished othe California Government not Code requires dithne thee requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be on applications far non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feel from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). . completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ?.74 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am e.-mpt under sec. the information given is correct. I agree to comply with all state laws and city ordinances -lacing to building construction, and authorize representatives of Business an. Professions ode for this reason: the City of osta Mesa to enter upon the above-described property for inspection . .oses. I agree not to occupy or allow occupancy of any building authorized . his permit unti final inspection. • • t �r. _ ,- Date ��. / E . � • r(s) •. � 3057-46(3/.') � Ind`-r Authorize.Agli.:nt Date CITY OF COSTA 7�CMESA 1. r BUILDING DIVISION ;4' 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ce.us %-t). "'�I� - FOR INSPECTIONS CALL:(714)754-5626" PERMIT NUMBER: BX07-00121 PERMIT TYPE B_MISC STATUS: ISSUED APN: 43927215 DATE ISSUED: 09114/2007 Zoning: ISSUED BY: BJK JOB ADDRESS: 2379 E ELDEN AV CM - Suite/Unit: E Vicinity: DUPLEX UNITS E AND F Primary Occ: Const Type :?? • SQ.Fr: 1600 Valuation: $2,000.00 - SCOPE OF WORK: UNIT E AND F INTERIOR DEMOLITION OF A-1600SF DUPLEX IN PREPARATION FOR A FUTURE CONDO CONVERSION. REF: B06-00060 OWNER: ELDEN STREET PARTNERS Address:: PO BOX 15126 , - Unit City/State: NEWPORT BEACH,CA Zip Code: 92659 - - Phone: 949-230-5426 - , • APPLICANT: ZEHNDER,'PETE - • Address: PO BOX 15126 - Unit: , City/State: NEWPORT BEACH,CA Zip Code: 92659 - - ' Phone: 949-230-5426 . CONTRACTOR: OWNER-BUILDER License No. 000000 Address: Unit: . City/State: i .i Zip Code: Phone Cell: ARCHITECT: 1 - - - - --- License No. • Phone . - ENGINEER: • - License No. Phone FEE SUMMARY Building Plari Check: $0.00 it . Building Permit: $69.25 Electrical Permit: $0.00, SMIPResidential - $0.00- SMIP Commercial $0.00 I $0.00TOTAL FEES .. = , $69.25 . It. .... . . 3 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. gm 1, INSPECTION Mt mg INTITAI4 cOOrt INSPECTION TYPE PAIS annul-4 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 - Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 2 itIj ,. 250 Final Building/Occupancy 34g.05 1*, a& �1 I WORKERS'COMPENSATION DECLARATION: - • ' •Owiner ID verified by drives se. des ❑No ,Ir IVO I I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 7 ❑ I have and will maintain a certificate of consent to self-Insure for workers'• Verification of Ownership by(type of document,i.e.-property tax bill or deed): - compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by • section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Ma sedion need nor be completed if thepermx a valued et one hundred dollars(SI 001orleas.) 2,Art 2,Sec.341,Title 8.California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certify th. in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless is§ued.I shall n• employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' •mpensation laws of California, and agree that if I should become subj'ct t• the worke s' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Cs•1,I .hall forthwi i comply with these provision I • `U/V 1 V Division of Industrial Safety Permit Number: • ds' d!� r e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: F•!LURE TO SEC ,'E WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFI L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect, a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: • temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License,Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If yes attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvementis sold within one year of. control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). . information given above is correct. I.agree to comply with all state laws and I, as owner of the property, am EXCLUSIVELY CONTRACTING WITHcity ordinances regarding Hazardous Materialsand Emissions. ENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE ..v F COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contracto(s)license pursuant to the Contractors License Laws.). • certify under p• %Ity of perjury that I have read this application and state that ❑ I am :•'mpt under sec. the information •iven is correct. I agree to comply with all state laws and city ordinances rel-t g to building construction, and authorize representatives of Business and •rofessions Code for this reason: • the City of ••ta Mesa to enter upon the above-described property for inspection pu : CITY OF COSTA MESA • >411%,p . . BUILDING DIVISION • . F ygt .AI. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us • . IFNI FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: P07-00562 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10130/2007 • ISSUED BY: BJK JOB ADDRESS: 2379 E ELDEN'AV'CM • Suite/Unit: E . Vicinity: UNITE a.. .' - \'rte ti ' SCOPE OF WORK: PLUMBING.WORK,FORUNIT E OF DUPLEX. INCLUDES: 1 BATHTUB, 1'DISHWASHER, 1 GAS(1-4 OUTLETS), 1 GAS REPIPE, 1ILAUNDRY TUB/WASHER, 1 SHOWER, 1 KITCHEN SINK; 1.WATER HEATER AND 1 WATER ' REPIPE. , OWNER: ELDEN STREET PARTNERS ' Address: . PO BOX 15126 / ' PHONE: 949-230-5426- City/State/Zip: 'NEWPORT BEACH,CA _ r APPLICANT: PETE ZEHNDER - Address: PO BOX 15126' i •�'t PHONE: 949-230-5426 ,_ ' I' ;4 _ -.City/Stale/zZip: NEWPORT BEACH,CA CONTRACTOR: OWNER BUILDER ' - License No. 000000 - ,, Address: , ,,I.1 PHONE: - ' - - City/State: - - ZipCode .CELL: 1 F -i� • .. , . ti PLUMBING PERMIT FEE SUMMARY ' PLAN CHECK FEE: -' $0:00 ' - ' • 4-. 4 . . . PERMIT FEE: $110.55 • TOTAL FEES: $110.55 • • . . 3 . • , .. . . . • . . . 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.' 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. CODE S. INSPECTION TYPE DATE INDTIALS CODE INSPECTION TYPE OAST INITITALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical �d 1266 Pool Spa Final 208 Final Plumbing i^/0a ee.q SC 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy _ WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's .e. Yes 0 No , I hereby affirm •under penalty of perjury one of the following declarations: - Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work for which this permit is issued. • ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authored by this permit,and that no building structure,scaffolding.falsework,a demolition Cartier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Thisseao,need not be ornpleted edmpemve valued onerundreacaars(fICO)or lets.) 2,Arta Sec.341,Title B,California Administrative Code). icy Number: ❑ As owner-builder, I will not employ anyone to do work which would I certify 'at in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shal .1 employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the work: compensation la - of California, and agree that if I should become su.j: to the workers'c,mpensation provisions of Section 3700 of Applicants Signature Date the Labor C••: I s .11 forth 'th . ply with these provisions. ' ' Division of Industrial Safety Permit Number: Ia.v.irant's S'•naiure Da1B HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: •AILURE TO SECUR' WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No Lender's Address: rr_.�. (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and • 4:?' -' filing with the Fire Department of an RMPP by businesses which are required •a - to register acutely hazardous materials with the Fire Department. Signature i .c-t Date: , t' 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: ' Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW'for•the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Code:Any'city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct. alter.,improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also.requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). • Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and AI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044,Business and L • P fessions Code: The contractors License Law does not apply to an owner of Signature Date • property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s) ' ense pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that the inform tion given is correct. I agree to comply with all state laws and city 0 I am eex-rn.t tinder sec. ordinan :S relating to building construction, and authorize representatives of Business a d P .fessions Code fo this reason: the City . Costa Mesa to enter upon the above-described property for inspecti• •urposes. I agree not to occupy or allow occupancy of any building authori•-. by this permit un final inspection. •■►y• re to m 1 5) I D'�d O7 I Date 3057-46(3/071 1 'ndbr Aua rg ...Omani Da • • • CITY OF COSTA MESA BUILDING DIVISION 0 >• ; �`,• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.cosla-mesa.ca.us J. 0r+• FOR INSPECTIONS CALL:(714)754-5626 w PERMIT NUMBER: P07-00563 • PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/30/2007 . ISSUED BY: BJK • JOB ADDRESS: 2379 F ELDEN'AV CM Suite/Unit: F Vicinity: UNIT F _ -_ . N SCOPE OF WORK: PLUMBING WORUNIT K,FOR. F OF DUPLEX. INCLUDES: 1 t--.....!- ATHTUB, 1-DISHWASHER, 1 GAS (1-4' OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUB/WASHER, 1 SHOWER, 1 KITCHEN SINK;1 WATER HEATER AND 1 WATER REPIPE. OWNER: ELDEN STREET PARTNERS - - Address: PO BOX 15126 PHONE: 949-230-5426 • - - City/State/Zip: NEWPORT BEACH,CA - . APPLICANT: PETE ZEHNDER Address: PO BOX 15126 : PHONE: 949-230-5426City/State/zZip: NEWPORT BEACH,CA . . CONTRACTOR: OWNER-BUILDER - License No. 000000 Address: PHONE: City/State: ZipCode:::': - - CELL: . • rt.' PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: . $0.00 PERMIT FEE: $110.55 '' - • • : Alp.k ',, TOTAL FEES: $110.55 3 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No. 92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. Nal INSPECTION TYPE, PAN INTn1ALS WOE INSPECTION TYPE p) IN1mAI$ 1618 Fixed System Final Fire Prevention 208 Final Mechanical 1�j 1288 Pool Spa Final 208 Final Plumbing ,Z,^/ qb 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition • 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers .e. Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License Expires: 6 ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Owne ip y type of document,i.e.-property taxb I or deed): compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is issued. • ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed dthe permit is valued al one hundred dollars($100)orless) 2,Ant Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would I certif, that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless eliised,I s .I not employ any person in any manner so as to become subject such person has a permit to do such work from the division.tu to the worker ' compensation laws of California, and agree that if I should become s'bje t to the workers'co pensation provisions ofection 3700 of Applicant's Signature DivisionDate the Labor •od-,I shall forthwi co ply with these provis' sI I AI �r 3� O of Industrial Safety Permit Number: 11 "Si. ature ( Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNINt\ AIVRE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLA ��II UL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# (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 Contractors Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is'issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date.- 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: s .' ? Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW.for the following'reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Ariy city,or'county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve. dernollsh: or'.repair any structure, prior to its any other air pollution control district or agency? ❑Yes ' ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she-is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Lay;(Chapter 9(commencing with Section 7000)of Division 3 of the Business and'Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes,the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044,Business and' Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)li ense pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am ex / t under sec the information •iven is correct. I agree to comply with all state laws and city ordinances re I ing to building construction,and authorize representatives of Business an r fessions C de for this reason: the City of , ••to Mesa to enter upon the above-described property for inspection porp.ses. I ag•'e not to occupy or allow occupancy of any building authorized • th Is ppeermit •ntil final inspection. g d )U V am Owner(s) I 1111 nature 1 Date 305746(3107) 1 Anelo Authoriz • •pageant sate • + CITY OF COSTA MESA BUILDING DIVISION • • e 4011* >y •,. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 1.1'f.).4 /11101:11 • , FOR INSPECTIONS CALL: (714)754-5626% ' PERMIT NUMBER: BC07-00429 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 01/10/2008 ISSUED BY: BJK ' . JOB ADDRESS: 2379 F ELDEN AV CM.1. . i - Suite/Unit:.'- F APN: 43927215 _ . Vicinity: UNIT F _'` 'Primary Occ:/ '. Const Type: V-NSQ..FT: : 0 ' • Valuation $60,000.00 ' SCOPE OF WORK: UNIT F: RENOVATION OFTHE CONDO CONVERTED UNIT. REPLACE WINDOWS (TO MEET PRESENT EGRESS REQUIREMENTS), ENTRY DOOR AND SLIDER. NEW INSULATION, DRYWALL 8 FINISHES: MISC GARAGE REPAIRS. ELEC: 19 LIGHTS, 25 OUTLETS, 17,SWITCHES; MECH: 1 FAU <100K BTU, 1 APPL VENT:PLUMBING:P07-00563. REF: BX07-00121, • - - B06-00060, PA-06-29 - ' -: • ' - • ' ' OWNER: ELDEN STREET PARTNERS Address: PO BOX 15126 - . - Unit:,-, ZQ Phone: 949-230-5426 - City/State/Zip: NEWPORT BEACH,CA' • -�' APPLICANT: ZEHNDER, PETER - ..•Address: ,Unit: : Phone: 949-230-5426 City/State/zZip:', - - CONTRACTOR: OWNER-BUILDER - - _ - License No. 000000 • -- • . Phone: . . Address: Unit: . Cell: , . City/State: .-.-ZipCode ARCHITECT: - License No. PHONE: ENGINEER: - License No. PHONE: COMBINTATION PERMIT FEE SUMMARY Building Plan Check: 1463.94 ;, Building Fees: $7.13.75 , 1 t,i_,I- Electrical Fees: •- -,, $88.75 ' . '= .... A.RS. Mechanical Fees: $49.15. - ` Plumbing Fees: '$0.00 SMIP Residential: $6.00 • - , • SMIP Commercial: $0.00 . TOTAL FEES: $1,321.59 .'7_='-D429 "Refer to fee receipts for all fees paid for project 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. QQPF I INSPECTION TYPE IRF, IN111ULS CODE I INSPECTION TYPg Can INTMAIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical • 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign 222 Final Site 7_1-C. " ,, 204 Final Demolition • 250 Final Building/Occupancy 1 ZFHD . WORKERS'COMPENSATION DECLARATION: Owner ID verified by Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax ill or deed): compensation, as provided for by section 3700 of the Labor Code, for the • performance of the work for which this permit is issued. 0 I have and will maintain workers'compensation insurance,as required by • section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .' permit is issued. My workers' compensation Insurance corner and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-sec(36)feet high.(Chap.3.2.Grp (This section neednn be cmpleted♦the pared isv ed at are hunched celery(SIOOlnress.) 2,Arlt Sec.341,Title 8,California Administrative Code). Policy Numbe: 0 As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shal not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the worke compensation laws of California, and agree that if I should become s bj: t to the .rkers'compensation provisions o S tion 3700 of Applicant's Signature Date the Labor I. I shall f. hwith comply with these provision .� It Division of Industrial Safety Permit Number: sinal ate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNIN FAILURE T• . CURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and ruling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fcr non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): - of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes',attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044.Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contracted.)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ 1 am : -rept under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of Business an. Profession- Code for this reason: the City of osta Mesa to enter upon the above-described property for I inspection p .uses. I agree not to occupy or allow occupancy of any building n.1,M • authorized by his permit ntil final inspection. Li nir a 1E Ow eqs) ■ \ Date A signztu t Date . ri 30574( .I I ) rials AWN) -0 •pplicant .ale CITY OF COSTA MESA • ' L` BUILDING DIVISION t ;� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us ). FOR INSPECTIONS CALL:(714)754.5626 � PERMIT NUMBER: I BX07-00119 PERMIT TYPE B MISC STATUS: ISSUED APN: 43927215 DATE ISSUED: 09/14/2007 Zoning: ISSUED BY: BJK JOB ADDRESS: 2379 A ELDEN AV CM - - Suite%Unit: A Vicinity: DUPLEX UNITS A AND B . - Primary Oci: Const Type :?? SQ. FT: 1600 - • . Valuation: ,$2,000. 00 SCOPE OF WORK: UNIT AND B + r INTERIOR DEMOLITION OF A..1600SF DUPLEXIN-PREPARATION FOR A FUTURE CONDO CONVERSION. REF: B06-00060 OWNER: ELDEN STREET PARTNERS , Address:: PO BOX 15126 A.,---' 4. ';':L Unit City/State: NEWPORT E3EACH,CA ''(- Zip Code: 92659 • - Phone: 949-2305426' ` - - APPLICANT: ZEHNDER,PETE• _ -7'.-12- Address:' •- PO BOX 15126 "Unit:', City/State: NEWPORT.BEACH,CA' I _ Zip Code: 92659 . ' - Phone: 949-230-5426 - CONTRACTOR: OWNER-BUILDER • - - License No.'' 000000 Address: - Unit: City/State: - - - - Zip Code: . Phone Cell: ARCHITECT: ., - - . - - • License No. - . Phone _ i ENGINEER: . . • - - 'License No. Phone • . . ' FEE • _ SUMMARY Building Plan Check: $0.00 ' - Building Permit: - $69:25' Electrical Permit:' $0.00 SMTP Residential $0.00 SMIP Commercial C1-..,11;'''' 2,1. $0.00 3$0 OOTOTAL FEES $69.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODER INSPECTION TYPE - DATE INTRIAL@ ODER INSPEC11ON TYPE DATE, INTIMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign �,7q( 222 Final Site 204 Final Demolition wIC2 250 Final Building/Occupancy ' l 66)/AD WORKERS'COMPENSATION DECLARATION: . . Owner,ID verified by drive tse. fAI Yes ❑No I hereby affirm under penalty of perjury one of the following declarations:. •, Driver's License No. document,i.e.-property ax bill or deed): compensation, as provided for by section 3700 of,the Labor Code, for the . performance of the work for which this permit is issued. - ' . ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This setagn need not be completed the permit is valued at one hundred dollars($100)0rless) 2,Art 2,Sec.341,Title B,California Administrative Code). Policy Number 0 As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I sh.11 not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the wo 1'e s' compensation laws of California, and agree that if I should become s gl-ct to the workers' compensation provisions of ection 3700 of Applicant's Signature Date the Labor t i t e,I shall fo hwith comply with these provision (ti Division of Industrial Safety Permit Number: re ate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FARE T• ) CURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLA FUL AND STALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec, 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer). 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 ' CERTIFICATE OF COMPLIANCE-1 certify that under penalty of perjury the did not build or improve for purpose of sale.). - . • information given above is correct. I agree to comply with all slate laws and • IcityI, as owner of the'property,'am •EXCLUSIVELY CONTRACTING WITH ordinances regarding Hazardous Materials and Emissions. ENSED CONTRACTORS to construct the project(Sec.7044,Business and _ Professions Code: The contractors License Law does not apply to an'owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)�� license pursuant to the Contractors License Laws.). certify under .enalty of perjury that I have read this application and state that ❑ I arryexempt under se the informa o given is correct. I agree to comply with all state laws and city /� ordinances re acing to building construction, and authorize representatives of Busines'aid Professions liode for this reason: the City Of I osta Mes- to enter upon the above-described•property for inspection tit poses. I ag -e not to occupy or allow occupa cy o any building authorized r this xernit u til final inspection. u � lrwner(s) G Dat '/,1-`'{g�natur , 14_34 f to , 3057-46(3 7 sr And/or Aolhpriz¢d Applicant Date CITY OF COSTA MESA 4 BUILDING DIVISION Y % «' ,� DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4i.74'Mitt llain . PERMIT OPIrw.mc�c"F BO6-00060 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2379 ELDEN AV Status: ISSUED Suite: Applied: 01/13/2006 Vicinity: Issued: 01/13/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number: 43927215 Zoning: Applicant: ZEHNDER, PETER ^ Address: P.O.BOX 15126 1/244° n/f4J Phone: 949-230-5426 ISSUED BY: Y�' `�� NEWPORT BEACH,CA Zip: 92659 • Owner EVANS, BEVERLY A Address 4709 SEASHORE DR - Phone: NEWPORT BEACH,CA - - - Zip: .92663 Contractor: = - - • Address: ' Phone: Zip: License: Arch : Eng: Address: Address: Phone: • Phone: Zip: License: - - License: SCOPE OF PERMIT INSPECTION FOR 12 CONDO CONDO CONVERSIONS. FEE SUMMARY • Plan Check: $0.00 Calc Valuation: so.00 Permit $0.00 Claim Valuation: So.00 SMIP Res: $0.00 SMIP Corn: $0.00 Other: $0.00 - - Inspection: $0.00 Total: $0.00 " • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front �0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front '0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING ' Existing: . 0 Required: 0 Proposed: 0 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 • 2446-46(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: ` I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have end will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be A,mated If the permit is valued at one hundred dollars($100)or less.) . O--1'certity that in the•e •rmance of the wo for which this permit is issued,I shall not employ any person in any manner as to become subject to the workers' compensation law-'•f alifornla,an gre that if I should become subject to the workers'compensation provisions of S ction 300 of the Labor Code,1 shall forthwith comply with these• o Bions. I Ap licant,Signature: 'y\ ate:� 1 Q o WARNING:FAILURE TO SE R. O'. -• COMPE AT COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100•..) N ADDITION TO THE OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATrORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.tic.a Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ 1,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(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 contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). o 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 Driver's License No. Expires: ' Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,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 pres nt or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes Li No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comp) with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described prope for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Lege Owner(s) ZDat /T‘ And/Or A zed •plicant -- ( 'Da ) • CODE f INSPECTIONTYP, ( PATE 1NTmALS CODE I IIISPECTIONTYPE PATE INIILIALS 1616 Fixed System nal Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �Y _p f 204 Final Demolition 250 —F-. i o,;dinglocanpaacy - t-(.7 ADDRESS CC BUILDING: 2379 ELDEN AV D"'` C 6 D CITY OF COSTA MESA — BUILDING PERMIT OWNER'S NAME IF MINN: EVANS, BEVERLY A PERM NO: B 083734 \.,.. "'": 4709 SEASHORE DR T 1 NEWPORT BEACH,CA 92663 PERMIT NO: B 083734 PLAN CHECK NO: N GOVT: N SUPP: N "PP`'MARINO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT ON ENGINEER: LK.NO: JOB DESCRIPTION : T/O 6 RESHEATH 6 REROOF W/COMP. SQ FT: 6, 996 ARCK OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 6, 996 . 00 CALL—VALUE: 6, 996 . 00 GROUP OCC: R-3 / (*ma-mama SENTRY ROOFING CO ( 714 ) 751-7663 CONTRACTORS WADE 3364 NEVADA COMMENTS : RESIDENTIAL REROOF ADDRESS: COSTA MESA CA uCNO.: 678801 **********************->Fac*ar;�r***x*ar*ar*�r*�rar�t***atat�t**atx�c*It�f*-x >E****N-ttN*attT*eters ***stat 92626 INT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby dim under penalty d perjury tat I on armed tinder mdeba d Chaplet 9 SETBACKS (commencing with Section 7000)d Division 3 d the Business end Professions Code.and my Sens is in fun l and Sled. UC.NO.: UC.CLASS: .N 06 4 9 C-39 •-:-7•-• F.,P: 01 /98 MAIN BUILDING ACCESSORY BUILDING Owe: % / _ Contractor FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT. reason IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 0 ER BUILDER DECLARATION:I hereby dImn under penally d perjury tna I e n exempt Iron the :adore arms Law for the wnd6n. repairca Business5 .ard wt. 'M"ant county which requires. « p« Beaslgaoneeew«n.mconstnxt ma'n.«�: PARKING REQ: PROV: PARCEL : 43927215 ZNE: REF NO: 1 t licensed pursued to the provinces of the Commas Lioeae Law[Chapter mm 9(commencing with SeaTMO Section O)of Division 3 of the PLANNING NOTES>. sins and Professions Code]or Ills he or she is exempt therefrom end the al f«the awedexe.rpl'on.Any Motion Sean T .031.5 by any aPDkcen fora permit subjects the arca to a dvi peaty d mTie oom more then hundred d ($5001). > ❑ Lae owner of the pnopemY«my employee.with was mNei sole compensation.ova do the work end the vinare is not'Mended **************jk******************************************************ie********* «off emdfor sae(Section 7044,Business ness end Professions Code:The CLicense Law does appy to an Mar oI properly D E V E 'L O P M E N T SERVICES R E Q U I R E M E N "1` S who dads or improves thereon.and wan does such work Small or head or trough he a he own=PAryase.provided that such 2— improvements ars m wended or offered to sale.E.however,the ridding or improvement is sold van one yew d completion.the - /' owner-balder will the burden «des Sm o den d proving he or brad improve for purpose pose rale). ZONING APPROVED BY DATE: • o I.es ore,d the property.ern malady cortsdip with based m«mwa to mtxeud p the poled(Section a lon 7044,Business and Prdaeses c,038:The iocooped=Utensil mmmmd law does who builds or Mare daathereon and sola BUILDING APPROC!ED BY : DATE: contracts for wdm projects with a cntreda(s)awed pursuant to the Contractors License Law). ❑ Iern exempt under Section: B.AP.C..lathis awn: APPLICATION ISSUED BY: DATE: Date: Owner: _._. *******************************************x>t i�F3Fiex,r ********** - ® .. .* ** Idohereb,andythaImawmdand trdmwdu»remeetnmofCaD«dewdhwSdeyCode Smkns2swsu33and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S "GMENT:Y 25534,and that I or any Mm bldec comment.rY/all no(nide one)need to comply Mn said ewe ales and the rsmdamroe ler a permit tor cantructOn or nudification Irom the Ar Quaky Menegement Diericl.Residerdel constaxtion OnlikethUn•MO exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 124 . 75 . 70 Dale: Appad: SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby Nan alder presby of parlay one of the loiowirq dadratkne: PLAN ❑ I hand wit maintain alma d caaere ler se to sa waken'compensation,a Bean fpr by Be3700 d the Labor ISSUE FEE ave Code,fothepedamenp.dlneworkfoMichdwaperm66eard. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I MVO end WI manual workers'compensation Murano*.as required by Section 3700 cd the Labor Coda,la the performance of the TOTALS----> 125 . 45 0 . 00 0 . 00 125 . 45 125. 45 . 00 work for which this penia 6 issued.My wabn'comprualion insurance anler and peke number w e: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 125 . 45 OVER/SHORT: . 00 Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �nhis"when need w be coaxed a the an/is b one hundred dollen(Jtgg)or km) 124 . 75 . 70 Y I candy that in da pedoma ce d Ike work for which this permit Is Swed.I ad m .. any preop N any mi a as Io become subject tolhe w«Mn'amprsetion awed Cafdonda, red res fm .r .. becme willed / "abs' *************************aF*********-lF**************************aF**************** .. ..ion peeve d Smarr 37 of the Lebpr Goriest . ' ' y.. povdona. / rife / �-� INDIVIDUAL F E E BREAKDOWN 0 •• Appian: // �/ _ /. e y ..:FaNun n acus workers'eornparuadon coverage la unlawful,and Mal sub;t a amdgrro menet penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST nes tat to one hundred thousand dollen(S104030),In ad kion to the coat of conpansedo,demean as provWe for In don• 37°dprn.L.borcwAamandshaman t .oaneefa. SFR 6996 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 996 . 00 • CONSTRUCTION LENDING AGENCY:I hereby Sin under penalty d perjury that Nen is a ceatndan lending agency for the END OF FEES performance of the work lot which this perm is issued(Sean 3097.Cie.C). LENDER'S NAME • LENDER'S ADDRESS: I canny that I have read this application and oats that the above War/nation is correct I epos Io comply with all city and county ordinances ed state taws relating to trading coon maion sad hereby authorize rapaoradw el this pity to enter upon the above-mentaned property for inspection purposes. / LARRY SWORD 87-14-1997/82:32 PII/$125.45 /, / �d • 8:083734 i //L �.�� Dm: it -8909091 PERPIIT:B83734 (5151 J6.WP) White-Building 8 SW*y:Oren-Fle:Carry-Appkant:Pink-Reenue:r.. rod-Assessor w • CONSTRUCTION AND PLANNING POOL PA •F4°PROVALS Permit # Date Inspector APPROVALS Permit # - Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - I' 2. Soil Pipe•Undrg.rnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit4Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test ��- 9. Water Pipe-Undrgrnd. ! ' 60. Backwash Lines, P-Trap, O:Undrgrnd. 10. Structural Floor System 2 ? 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final 12. Sewer Cap 7 63. Heater & Vent-Final f i1 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 ❑Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 7_17 `17 Q44e 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing _ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation .'_ ':, • 46. Handicap Regulations 47.. FINAL STRUCTURE & BUILDING 23-C fegfre 48. FINAL PLANNING �I 49. Electric Release to Edison .�•1 50. Gas Release to Southern California Gas Co .51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF 2379 ELDEN AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS"'ulEl N EVANS BEVERLY A pF•PM Mn. n 0875, 1 4709 SEASHORE DR NEWPORT BEACH, CA 92663 PERMIT NO: B 087571 PLAN CHECK NO: N GOVT: N SUPP : N • APpL.MA OGAWRF55. . CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH SRC/HMI oRENCdIEER. NCxo. JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 6, 200 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 6, 200 . 00 CALC-VALUE: 6, 200 . 00 GROUP OCC : R-3 / CCHIRACTCMS NAVE: CONTRACTOR'S rullxa SENTRY ROOFING COMPANY ( 714 ) 751-7663 3364 NEVADA AV COMMENTS: SMOKE DETECTORS ARE REO AS PER 94UBC, REROOF 3200SF RESIDENCE ADDRESS: COSTA MESA CA MHO.: 6801 ********************************4*******3t3E****3e*******-********s****s*********** 92626 ° ZONING REQUIREMENTS • UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury dud I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Cods,and my license is in full force end effect CITY LIC,NO.: UC.CLASS: LIC.N .: 060429 C 39 6288 EXP 01 /99 MAIN BUILDING ACCESSORY BUILDING 1-4 Dale: 4-3-9 Contractor: .X /e/ /(/�jy' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am esemq�otpt Contredors License Law for the LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN following reason(Section 7031.5 Bushesa and Professions Code:Any city or county which requires a permit to construct.atter,improve, demolish. repel any structure.prior to its requires applicant such to Md e a signed statement that he a she PARKING REQ: PROV: PARCEL: 43927215 ZNE: REF NO: r tensed pursuant to the provision d de Contractors License Law(Chapter 9(commencing with Seod n 7000) Divisiond the 3 e PLANNING NOTES>� Mess and Professions Code)or that he or she is exempt therefrom and the beat to the alleged exemption.Any viobtS Of Sedan J31.5 by any seaman!for a pemhb erbjeds the applicant to a civil penalty d real mars than fire hundred defers tS500p. > ' ❑ I,as owner aim progenyormy sensors,wthwages as thee ode compensson,wgdothe work.and the slrudure inolimended ******************************************************************************* or offered for sale(Section 7044.Business and Professions Code:The Coc lra «o License Law does notepply loan od ;owner ptepsly DEVEL OPMENT SERVICES R E Q U I R E M E N T'S who builds or improves thereon,and who does such work himself or herself or through he or her own employees,provided that such impartments mems ere not mended or offered for sale.I.however,the bwklbg or improvement is sold within ale year d completion.the owner-builder p .rwiburden da lhvatebeproingheenedidndwBdorimprovefao»wmweofse). ZONING APPROVED BY DATE: o I.as owned the properly.em exp contracting with foamed contactors to cenatnce the project(Section 7044,Business and ProfecdTh ene Code: e Caaredam itply e lataw does naptone owd properly Ma e builds improves there"'end who BUILDING APPROVED BY : DATE: 2 crts for such projeds with a cen radats)licensed pursuant to the Contractors License Law). _ - ❑ ^7 exempt under Section: B.AP.c..rowareeso : APPLICATION ISSUED BY : DATE: Lt3jCle Dale: 4,1-4' 4 ? Owner Own ************************dS*********************** ******************* ********* I do hereby cediymat l am aware of and understand the regdrememao California Health.nd Safety Code Sections 255o5,'Keel.and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 25534,and peril or any haute building occupant will I will not(circle one)need to comply with said date coda and the regdrsmrm for a permit log ocestruction or mcdifraionfromthe AiowiyMrhpertsd Medd.Reddamslconeingion eppfutiom ere exempt Iran these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 124 . 75 . 62 Date: Applicant: SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the following dedemtbns: PLAN ❑ I have end Ml maintain a certificate of consent to self-insure for workers compensation,as provided for by Section 3700 d the Labor ISSUE FEE Code.f«the md«manaedr theworkforwhichthispmitisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 125 . 37 0 . 00 0 . 00 125 . 37 125 , 37 , 00 work for which this permit is issued.My workers'compensation insurance carder and policy number are: CB1ter REVENUE DIVISION TOTALS--> COLLECTED : 125 . 37 OVER/SHORT: . 00 P""Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 1 section need not be completed I the pennk is tor one hundred dollars($100)or less.) 124 . 75 . 62 I welly that in the performance of the work for which this permit le issued,I shall employ any In any manner so as to became subject to the workers'compensation laws of California.and agree f I Mould subject to Ow workers' compensation provisions d Section 3700 d the Labor Coda with those ******************************************************************ii'************ Date, 4-3-94 APptkam.J4 ./ INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage la unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST dad fines up to one hundred thousand dollars(6104000A M addldn to the coat of corrpensadn,damages as provided ler In Section 3706 of the Labor Cod,Interest,and attorneys lea. CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a mmtrdion lending agency for the SFR 6200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 200 . 00 performance of the work ler which this Fermi is issued(Seam 3097.Civ.C). END OF FEES LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read the application and date that the above kdamatton is coned.I agree to campy with all city and county ordinances and stale laws rotating to building construction rd hereby authorize representatives of this city to enter upon the above.memsned property r OR for inspection purposes. n 1 1 4b AH/f125.37 LARRY WORD cNAOKE ,wYT r+Nan,e i p(�(�N:(11-0821891 v� fele: /��f�� xS`�{ //'��..�� idFikwi�!987571 / aSpnatu Owmr/Agent/Ap rector �l "-'r 1 SE (51s1-46.WP) White-Building&Sdey;Green-Flt;Canary-Applicant;Pink-Revenue;Oddemod-Assessor CONSTRUCTION AND PLANNING POOL PA 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - -"60. Backwash Lines, P-Trap, Q 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 ❑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 I 6-8( 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical - • 27. Frame and Flashing 76. Dry Standpipe " 28. Lathing & Siding 77- FIXED SYSTEM FINAL 29. Insulation 78. FIRE KIEV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. 'FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer -43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - - - 46. Handicap Regulations t 47. FINAL STRUCTURE & BUILDING Lf�-=ety 48. FINAL PLANNING vP_G�[� 49. Electric Release to Edison • ' 1.� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRE95 op etglDMO: 2379 ELDEN AV WIT: E & F CITY OF COSTA MESA — BUILDING PERMIT ONNENSNAMEIRIINONN:MIKE EVANS PERM NO: B 077824 ADDREss:1720 WHITTIER AV COSTA MESA PERMIT NO: B 077824 PLAN CHECK NO: N GOVT: N SUPP : N A 92627 ( 714 ) 646-1185 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: OTH ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/O SHAKES,RESHEATH, INSTALL NEW FIBRGLS SQ FT: 6, 350 ARCH.OR ENG.'S ADDRESS: WE: CLAIM VALUE: 6, 350 .00 CALC—VALUE: 6, 350 .00 GROUP OCC: R-3 / CONTRACTOR'S NAME:SENTRY ROOFING COMPANY ( 714 ) 751-7663 clk4TRacroRSMNUNG 3364 NEVADA AV COMMENTS: RESHEATH AND REROOF DUPLEX ADDRESS:COSTA MESA CA UGNO.: 678801 ****ItYtIE+E*** Est -*IEEE*****-IE*****a(-*********IE***********HESE*sE****IE*****1(+tlEIEIE+E****sE** -* 92626 WIT: Z ONING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby effim under penalty of perjury that I em I' need under pr of Chapter 9 SETBACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my ' e in full effect. cmLlc.No.060429 Llc.cuss:C 39 LIC. o.: 8 0 EX 10/96 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dae: S' i76 Contract / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Con ors license Law for the following reason(Section 7031,5 Business and Professions Code:Any oily or county valid,requires a permit to consnwm,aper,improve, PARKING REQ: PROV: PARCEL: 43927215 Z N E: REF NO: demolish.or repair any structure.prior to Is issuance.also requires the applicant for such permit to file a signed statement Thal he or she PLANNING NOTES>"Y i,licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the / usiness and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section > - r031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fWe hundred dotal'l$50011. ************!E********************************1E*****EE**EE*************1EEEEE******** ❑ I,as owner of the properly or my empkyee°with wages as their sole compensation,will do the work,and the structure S not intended D E V E L O P M E N T SERV ICES R E Q U I R E M E N T, S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Lew does not appy to an owners propend who builds or improves thereon,end who does suchwork Nmset or herself or through his or her own employees,provided that such improvements we riot intended or offered for sale.If,however,the building or inprovemem is sold within one year of completion,the ZONING APPROVED'B Y DATE: owner-builder will have the burden of proving he or she div not build or improve for the purpose of sale). ❑ I.as owner o the properly,am exdusivey contrasting with&tensed contractors to consgutl the project(Section 7044.Business and BUILDING APPROVED BY : DATE: , Professions Code:The Contractors License Law does not appy to en owner of property who builds or improves thereon and who contracts for such projects with a antrada(s)licensed pursuant to the Contractors License Law). .y l{ - ❑ I am exempt under Section: B.aPC..for this reason: APPLICATION ISSUED BY: EF C'!/!� (jf DATE: 2 **************-***********4 *** * * *** *** ***** *************** ** Date: al ° LEGALIZATION:N F E E SUMM R Y STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,end 25534.end thai'or any future building occupant will/wit not(circle one)need to amply win said state codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES' GRADING provisions.pemit for construction kny ana modification Iran the Agemem mhmwuthese District.Residential rnappiraticas ars exempt from PERMIT 124 . 75 . 64 Date: Applicant: PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE ❑ Ihave and will maintain acertifiateofconsent losel-insure for workers'arnpenmlkn,asproectoft prodded for BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for m the eothe wakfor wkmlt issued. TOTALS----> 125 . 39 0 . 00 0 .00 125 . 39 125 . 39 . 00 o I have end wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance tarter and policy number are: Cartier: REVENUE DIVISION TOTALS--> COLLECTED : 125 . 39 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK is section need not be completed I the pemat is lot one hundred dollars/8100)or less) 124 . 75 . 64 AL] I codify that in the pedamence of the work for which This permit is issued,I shell cwt em•• any person in/manner iso as to become subject to the workers compensation laws of California,and that I I • • Id become a 1,':. to the workers' ******************************************************************************* compensation p ir"a of • 3700 of the Labor Cale,I ahel .e •,.prevoimnv/ IND IVIDUAL F E E BREAKDOWN Date: pe O //J Applicant: / , A Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clvll fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided for In Section3706oftheLaborCow,Interest,anddmrney'alees. SFR 6350 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6 , 350 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this perml is issued(Section 3097,Civ.C), LENDER'S NAME: LENDER'S ADDRESS: I caddy that I have read this application and state 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 representatives of this city to enter upon the above-mentioned propend for inspection purpos 0aSWORD, LARRY i — j 0 (DiU727r-- O:wa 'ei '• _ �il9 // � Dee: S Div ; n7 -1-.,j:- t: E; ' ,::.i s :uread owma .: vAv - dmuarta C (5151-46 WP) White-Building&Safety:Green-Ale:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor 1 CONSTRUCTION AND PLANNING - POOL 'A Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # ", - 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. i 55. Electrical Bonding , 5: Steel Reinforcement", 56. Rough Plumbing & Pressure Test . -,6. Electrical UFER_Gznd. - 57. APPROVAL TO COVER-GUNITE • 7h Footings `T58. 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 j.j.'., 13. Roof Drains - 7 , 64. Plumbing System - Final - 14. Rough Plumbing" ,z 65.65. Electrical-Final ' 15. Rough Electrical-Conduit _'. - 66. Solar System-Final . • 16. Rough Electric Wiring _ 67. Fencing & Access Approval 17. Rough Wiring Sign c: 68. APPROVED FOR PLASTERING ' ' 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning. -.- r, - FIRE DEPT.-REQUIREMENT c 20. Rough Factory Fireplace -y - Y APPIOVA�t Pelmit# ' - ~ 21. Ducts,in,Structure- - �;' ,: _, _ _ _ ��.a -: 70. Underground Hydro • 22. Ducts', Ventilating- °- _ `' 71. Product Piping ti Gas G Oil _ x 23. Gas Pipe-hough &Test _ _ 72- Underground Ffueh_, . - s _ 24. Roof-Framing " . T �± 73. Undergrnd.StoLage.Tank ❑Gas ❑Oil • 25. Rooi.Sheathing - _: 0'7_Cire 064-------74:',overhead Hydro-- 26. T-Bar Ceiling (Structural) & Monvcoat �-r� '< n • • 75. Dry Chemical 7,z I ,., rc 27. Frame and Flashing ' - ; :: - 76. Dry Standpipe �," .� r , . 28. Lathing & Siding - mc-'- R 1 7T. FIXEDfSYSTEM FINAL 29. Insulation: `__'`' _- - -- _ ,.- 78i FIRE PREY. FIN-AL f 30. Drywall Nailing _ - r - _ HEALTH DEPT. REQUIREMENT 31. Plaster Browd Coat - r r . 79. FINAL (NSPECTSON - :1 80 FOOD CERTIFICATE ISSUED - 32. Electrical Power MeterFinal 33. Final Electric,. __,� cz. Nates: . R!r" x - _ 34. finaLHeaiing_& Air Conditioning'- }; > • •e c: r-r-• --.1 _ - -_ '- - > "- - t--. e ,r _ ` 35. Final Gas Pipe-Test ' * f-. rr -• -_�.. _ rr. 36. Hood-or Canopy : _ _ . . Ir - i-. - _ a' ^- 37. Final Factory Fireplace : - - 'i t - , 38. Final Plumbing V . •. - 39. Water Service-Final • - `' - u - ;• r- 40. Gas Service-Final _ • - X - ✓ - 41. Solar Domestic-Final 4 ' T - " 42. Backflow Preventer ,. - _ r r, -. - r - .- ,. - , . - 43. Backflow Irrigation • ` ' f ` '44, Landscape IrrigationnSystem jj c " z 7 j t 45. Sound Attenuation - I"' r• ' -- - ` ' t_ - 1- K • 46. Handicap Regulations t- ., ,r S I - 47. FINAL STRUCTURE & BUILDING ,j r- ` 48. FINAL PLANNING' , . ,r: c, - •a 49. Electric Release to Edison - I ,�'j"� r-, r :, i. _ ' 50. Gas Release to Southern California Gas Co ` ` ' : 51. CERTIFICATE OF OCCUPANCY No. Date 17987 FE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 1 11962 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATIOPIIFOR1rPERa% MESA 2 TYPE ORPRINT . /� } BUILDING • ADDRENG a3I� 01CA• 0 tbo 1, JC�(O�S{T/A]M/'ES�A. CALIFFyR�/ RNII/A.. For Office Use Only OWNER )2 0O y \Pit.S.J/y„ / te-ar • I RECEIPT NO. I PIT Ai MAILR / /- RECEIVED BY DA'l/� EC. DATE/ISSUED ADDRESS I F3 .7 3' K/ . Ifl 1 5 J �. I A 3-I�='�� a_/y.-4.; 1I /y TEL. j'LI 1 BUILDING CITY / 1,7 A /fel 1'I- - NO.e,.cd'(/7= ADDRESS ORCENGINEER%lL7• L 7Et. COSTA MESA. CALIFORNIA I o. LI; N/o. // �/�`� ADDRESS Z/��fP • I 'W ryG L a I//�luIRE % ZONE TYPE V GROUP ��/ CONTRACTOR .9/0.e.. Co APPROVED (/ BY DATE ADDRESS ZONING 0. „ ECti NO.OP /USE OP N CITY /y�" 1 {1�\iyl PUNS Y BUILDINGSTA 1 �1I L CTNO.E I_• J'I �� NO. LEGAL LOT „T 3 -r ? 30 0 SIZE DESCRIPTION L-ll�j j 1/� OF LOT G< X ?1)-J I NOW ON LOTNO. OF S A.P.NO II N ,-o/ a_ - `y USE OF YARDS LJ 6I EVES EXISTING BLDG, _ APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) L/- D CENTER OF STREET / REAR YARD FRONT i ,/ FT. /, Q/ IN. SIDE YARD I LEFT I RIGHT n R.SIDE U. FT. LLL IN. DESCRIPTION OF WORK QQQ NN L.SIDE y� /r/FT. ,td IN. NEW 1 SII ALTERATION I II ADDITION I REAR J 7 I4,(T FT. /'(�/1 ((IN. REPAIR J� L II MOVING II DEMOLISH - I APPROVEDO/ ✓ b DATE �'�,7 i6))- SIZE DING en 7. ROOMS �y STORIES r +A LAV10 EXTERIOR W' ROOF COVERING OCC A ICOVERING 5�ri 14 a. USE OF BUILDING AND ' ORK TO BE PERFORMED • DL; rLo'c-I A j i• a , /0 / . /spy S/ .z I HEREBY ACKNO GE THAT.II HAVE READ THIS APPLICATION THE AMOUNT SHOWN 'NIGER VALUATION IS FOR THE AND STATE THAT ABOVE JIB RRECT'AND AGREE TO,COM• PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CI ORDINANCE ND STATE LAWS REGULATING BUILDING GONG oN. n//i VALUATION /�_Y SIGNATURE �_ ` ---(--4.-. V )!,j PERMIT FEE $ FJ/ PERMITTEE l✓Z - .. . -"'"�J / /)6--/0 o i ' / S 5/0-- PLAN CHECK $ ,-23— 4 AUTHORIZED AGENT 11 Z E ( TOTAL FEE $ 7*--- 2 17988 F E RECEIVE® COSTA MESA BUILDING-SAFETY DEPARTMENT P. 0. BOX 917 COSTA MESA. CALIFORNIA OCT 1 1 1962 FINANCE DEPT. For Applicant to Fill In Completely APPLICATIdNYFOR • P, 1ITMESA TYPE OR PRINT _ BUILDING BUILDINGDRESS ^ ^7 /] r Y 4-11: / Lr11- ADDRESS COSTA MESA. CALIFORNIA I/G For Office Use Only OWNER J2'1 do 0 CleA $7$1 ._I /4 0 ' I RECEIPT NO. I p8R`y2p03 MAIL f� �� / RECEIV1�O BY DAT$ DOTE/ DATE ISSUED ADDRESS jD -5"._ LV . ('> L it, li .I K i / U%/ 6 /y �- qq TEL. y{4 1 BUILDING CITY A v7/3 j/ ///t-/ NO.6 97 ADDRESS ARCHITECT / TEL. /, OR ENGINEER ' • ie,.. •' LCJ•L-1/borat40. COSTA MESA. CALIFORNIA ( / I{ ADDRESS g�/ f ii L�Td( /N Gin,/'/ //y,l FIRE r / �/�/,{ / ZONE TYPE GROUP CONTRACTOR OAcaC.d/ i APPROVED v BY DATE ADDRESS " ZONING II BUSIELDOIFNGNEW�' $'I Zp � NPO.OpppICITY I. I I LIC.NO. 14.i �`/ TEL. NO. LEGAL ' ' T 3 - 1 DESCRIPTION '—tJ'_ lb SIZE {/ NO. GF BLOGB, OF LOT c U-/ Now ON LOT •..., A.P,NO. I I q _l 1/� 1 a. - I USE OF 9 YARDS- EVES EXISTING BLD- APPROVED ALLOWED SETBACKF ��LINE TM (CENTER LINE BTD 3 � A CENTER OP STREET REAR YARD FRONT *e!\ FT. ,/(/ IN. SIDE YARD I LEFT I RIGHT 3 R.SIDE 1-I I ,4-- FT. IN. DESCRIPTION OF WORK ` L.SIDE 3 'I.1 FT. IN, NEW Icii ALTERATION I II ADDITION I REAR L FT. IN. REPAIR I II MOVING I H DEMOLISH I APBYPROVED DATE , - _ BUILDING 46 L NO. OF L,/11-K� f �� SIZE 1 ROOMS ( STORIES COVERING. EXTERIOR WAS ,d I I COVERING 71A ROOF h�i USE OF BUILDING AND ORK TO BE PERFORMED • • U yP -9—/7/71) , /7/yam _ I _ 74,2 LT. I HEREBY ACKNOWL THAT 1 E R. •rHf6 APPLI I• THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT T BOVE IS •'-ECT 'AGREE T. C• PURPOSE OF ESTABLISHING A PERMIT P88 ONLY. PLY WITH ALL CI RDINANCED A LAWS REGU • G! BUILDING CONSIR CTION. Or / //yy' VALUATION //' II J • PERMIT FEE $ (L.3 SIGNATURE F (�Gij,C , SiS' =„%�/' ' _ N PERM ITTEF ' ' ( ' I I 9 h/� 6 D S /// �//G PLAN CHECK $ L7 AUTHORIZED AGENT v ?) ¢ , TOTAL FEE J rt/t KECEIVED 17986 OCT 1 1 1962 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE RESS ORRJNTn _ BUILDING • r ADDt 3 �cle ' l- \= ti COSTA MESA, CALIFORNIA For Office Use Only /y{ ^'�� RECEIPT NO. IP R� ND OWNER I moi\l�!C_ (•) `\ rn r\`_l.- I n ._ .-j 1 Q_ TyB� /g/y_ /1" 9" ADDRESS I ['; �jC) A a L II I G i • RECe1,v�D BY I A(/ RE//'Eq I O/ �B/�ED 6y TEL OA 7 " BUILDING / N. 6J-I CITY AMA I-% Fa"- 1 M NO.r,Cj LI 73 ADDRESS ARCHITECT- i�`` ++ ., TEL. �^ J COSTA MESA. CALIFORNIA OR ENGINEER f • µ'a _\IV I I-1-1 44/NO. i�' L ADDRESS L) () I I'l a I J�(S I I�Jt ZONE TYPE V GROUP jj CONTRACTOR 'I Ag Com''.i ~4 APPROVED DATE U ADDRESS �(� ,Y ` I ZONING • I. Z NO.OP USE OF NEW V"-c W CITY •' I PLAN82� I BUILDING f \ MMM LEGAL LIC.TNO. )/qrOJ i q q Na IN I E' 4/7 DESCRIPTION +'Ot ) • 1 R tS 0 O OF LOT !/! . X 1 ` I NO. OF SLOGS. I I ^ _ o/ i U NOW ON LOT A.P.NO. C(J Y USE OF /� ��_�� EVES EXISTING BLDG. Y'��"^ ' %.r 6jLC-C-- APPROVED ALLOWED SETBCENTEECK R OPLINE STR ETM D REAR YARD)5- (CENTERRLINE ST.) 5--71 Li FT. IN. SIDE YARD I LEFT IS--- I RIGHT / 3 R.SIDE 13 '45 FT. IN. DESCRIPTION OF WORK ..---- L. ADE .S FT. IN. NEW I xII ALTERATION I II ADDITION I REAR `. I S FT. b REPAIR I II MOVING I V DEMOLISH I APPROVED 11/ 1......„/0 � ,�nDAfTJEfp(3 4 r SIZE ELDING QC 7 RNO. OF OOMS LI STORIES / ,/( (� '/J EXTERIOR WALL ROOF // COVERING '5 ✓QC° COVERING S/TA )c _ USE OF BUILDING AND WORK TO BE PERFORMED b `_f. y /5-/Y a ' I HEREBY ACKNOW THAT I MAVE REAV'pI18 APPLI O T E AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT AB VE IS;CORRECT AGREE TO PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CI ANCES AND STA *LAWS REGU T ��ii BUILDING CONBTR ON. ��/ . .: VALUATION PERMITTL / � Y 7 ./ - r /C�. PERMIT FEE $ 6 3/ N (' $ / �/O PLAN CHECK $ .31 / 'J �- AUTHORIZED AGENT Q4/sd � A TOTAL FEE $ / LL 1 19201 5E RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2 7 wffi P.O.ROE 617 COSTA MESA,CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATI W Fp emw MESA TYPE OR PRINT BUILDING BUILDING I-�p h For Office Use Only ADDRESS 73 / / gi- {J�N A-YE RECEIPT NO. iEgMy ii COSTA MESA, CALIFORNIA ((�J7]]''!<JJUU ('fix c�a p RECEIV DBY DATE'EC$I,EDc p,LT c)ISSa 3 OWNER ArFGCO - C., CAI ST '5-.An //''��////-'J�` ✓..,/ Sis- /�� J� wry- BUILDING ADDRESS /f 3 S a i. F m .s/ • ADDRESS FIRE /� l/ J CITY/TVH// /'IM - TEL. NO. ZONE TYPE GROUP { ARCHITECT APPROVED / JI7 DATES 7 OR ENGINEER NO. - Y�/� ----- ZONING // r////// ) ADDRESS e� �� /� p _ PUNS �/� BUILD N°EW CONTRACTOR ,A J A J 170 2 ll4///�� OSI ADDRESS �} L� PL /-VI� yI S /C 1-Mt/.- s °LE�DAL /JO 1S 3 3 cRIPT1DN 3 (/ TR3o0 CITY I/I7Ain// F /M A.P.NO. I / 7- 0 /3 - / �7 NOTE: NO EAVE OVERHANG SHALL BE LESS HAN LIC..NO. O'3 lici/ No a y-2p 62 SO"TO SIDE a REAR P.L. EAVES SIZE & / ./l/J o r- NO.OF BLDOS.3 ALLOWED (U.B.C.REQUIREMENT) OF LOT tV NOW ON LOT USE OF A YARDS APPROVED YARDS APPROVED EXISTING BLDG. v [// MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) a SETBACK LINE PROM ` CENTER OF STREET REAR YARD FRONT FT. 20 FT. re 1 SIDE YARD I LEFT - I- RIGHT - I R.SIDE r FT. FT. I /• DESCRIPTION OF WORK L.SIDE FT. • ! ' ‘ 11 -NEW IJ�[ ALTERATION ADDITION REAR FT. 1 '� �`` �'e�r� DISTANCE BET. Q BET.MAIN a ) MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH - BUILDING NO Oma- VAR.# DATE SIZE "�—ROOMS STORIES C.U.P.# APPROVED . APPROVED fiEXTERIORRWAALL O^OF APPROVED � 3 ��/ 3USEERIBCOVERING DATE USE OF BUIL ING AND TOBEPETORMED �ei ULOL/� I N SQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION • BUILDING CONSTRUCTION. N SIGNATURE OF PERMIT FEE $ _ _ L PERMITTEF �� A 2 F / $ 7� PLAN CHECK S Q AUTHORIZED AGENT 0.,........y TOTAL FEE $