The URL can be used to link to this page

Home My WebLink About1936 FLAMINGO DR - Building Permits Lot36 21855 FEE RECEIVED MAR 31 1964 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 OR PRINT BUILDING •BUILDING i3 For Office Use Only ADDRESS 1936 Firming° Drive RECEIPT NO. COSTA MESA, CALIFORNIA 2q� c 1855 REC r BY E RECEIVED DATE ISSUED OWNER Pemba Subdividers, Inc. K/� ..2-27-9( APR i 4 4.-• V L . MAIL BUILDING ADDRESS 2850 Mesa Verde Drive ADDRESS Vi CITY Cos t3. Mesa NO.. •5490p395 ZONE TYPE GROUP -0¢ ARCHITECT E' G. Kaltenbach TEL 547804F _BY APPROVED DATE OR ENGINEER NO. ADDRESS 1833 E. 17th St. , Santa Ana ZONING .Q pT� ZONENO.I iuN.2 I BUILDING_ a tiiaw � r. CONTRACTOR " " -- Ca ht� Lot Tract tt gar. LEGAL DESCRIPTION Lot 36. ,L�,acY S289 ADDRESS CITY A.P.NO. none NOTE: NO EAV E OVERHANG SHALL BE LESS THAN STATNO. 187318 TEL SO•TO SIDE B REAR P.L. EAVES SIZE I7.4ga5lar 4 4 f I NO.or'Loos.0 ALLOWED (U.B.C.REQUIREMENT) OF LOT L NOW ON LOT TO t, O,co �� o T`/l n-JYARDS APPROVED YARDS APPROVED .}� USE OF T �7, MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. .J 7 0.Y ( 1 (FROM C/L STREET) 50 SETBACK LINE FROM FRONT EAT.EEFr. CENTER OF STREET REAR YARD SIDE YARD LEFT 7' I RIGHT 91 R.SIDE /Q PT. FT. DESCRIPTION OF WORK L.SIDE '7 Fr. FT. p NEW X ALTERATION _ ADDITION REAR 4O DISTANCE BET. BET.MAIN e REPAIR MOVING . DEMOLISH MAIN BLOCS. ACCESS.BLD08. BUILDING NO.OF 1 VAR.# DATE SIZE EXTERIOR W2, 139,E ROOMS 6 STORIES C.V.P.# ' APPROVED ) (� ([/ COVERING OL uC��g I COVERING'SitROOF Se BYAPPROV D. 1.ry V'F DATE 3-) y 6 USE OF BUILDING AND WOR TOB PER OR ED 1 Single family with.a tachea garage. House 1 , 714 sq.ft. Garage 425 sq.ft. Plan 41-AR �f do.pT, �� ay. t.2pac I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UND VALUATION IS FOR THE _ 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. / '///1 PERMIT FEE $ (Q O .� D SIGNATUREEr OF ✓/ N PERMITTED AAA... ? m $ 0 3 a� PLAN CHECK $ 33 — o 4b. AUTHORIZED AG TOTAL FEE $ / 9 - CITY,OF COSTA MESA N 'DCVIR�� BUILDINGDIVISION TE: . FAy S:S..'1! 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.c ta-mesa.ca.us a. .4 . FOR INSPECTIONS CALL:(714)754-5626 ? • '. ytyVp �_ .: F?ERMIT NUMBER: BX07-00281 Jr i:PERMIT TYPE B_MIS STATUS: ISSUED APN: 13948168 DATE ISSUED: 12/14/2007 Zoning: R1, ISSUED BY: RMD JOB ADDRESS: 1936 FLAMINGO DR CM.. ' ' - ' - _ Suite/Unit: Vicinity: REAR OF HOUSE Primary Occ: 7 = Const Type :?? SQ.FT: 193 . Valuation:: $33,000.00. - ' SCOPE OF WORK: • , REVISED 01/08/08: REPLACE WINDOWS THROUGHOUT S.F.D.TO MEE-12007,CBC EGRESS REQUIREMENTS AND ADD 14 RECESS LIGHT FIXTURES AND 4 SWITCHES. . • ADD 193 SF TO EXTEND THE (E) LIVINGROOM W/4 ELECTRICAL OUTLETS FOR A SFD. OWNER: KLEIN, STEVEN A AND ELIZABETH, Address:: 1936 FLAMINGO DR nit City/State: COSTA MESA, CA _ Zip Code: 92626 Phone: 562-761-1690 . _ ' APPLICANT: GONZALEZ, ROBERT Address: 16222 GRAND AVE Unit: City/State: BELLFLOWER, CA . Zip Code: 90706 Phone: 562.981.4890 • _ CONTRACTOR: OWNER-BUILDER License No. 000000 Address: . - Unit: City/State: . _ _` - Zip Code: • Phone . Cell: • ARCHITECT: - = License No. Phone ENGINEER: . • ' License No. Phone • FEE.SUMMARY Building Plan Check:; - $307.16 . Building Permit: - $472.55 Electrical Permit: $47.70 SMIP Residential .. . $ .30_ SMIP Commercial ' -$0.00 $0.00TOTAL FEES $797.65 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 DATE INC CODES INSPECTION TYPE, DATE INTIIIALS 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 Dm 222 Final Site 204 Final Demolition 250 Final Building/Occupancy P//1 b WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. _Am ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: • D s License No. ( Expires— /4 .—11-(2 ❑ I have and will maintain a certificate of consent to self-Insure for workers' .r. cation of Ownership by'(lype of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the Venli 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,Gm (rms sector need not Oe canp'eted(the perm(is valued of one hundred&tears(51001oflessl 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 wouldC�•4_1..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:1 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 workers' compensation provisions of Section 3700 of Applicants signature Date the L bor Code.I shall forthwith comply with these proveons. f506 Division of Industrial Safety Permit Number: �, Applimnt's Sgnalure =--' l to _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: -"N COV 1. Will the applicant or present or future building occupant need to file and WARNING: FAILURE TO SECURE WORKERS'COMPENSARION COVERAGE 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.TOIONE 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. i 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 feel 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 effe5t. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 Date 4, If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safely 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 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). Cr1�''— leas 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 `--"� mpensation, 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). 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: 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 city ordinances regarding Hazardous Materials and Emissions. 01-1. 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 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 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 authonzed this pe it u til final inspection. •—- (/rt/Q,� Signature of Legal Ovmegs)` ;'Date Signatuurre..v_.-- :t ._ t94De¢/_ Andlor Authonzed AppliWnt Dale CITY OF COSTA MESA 4BUILDING DIVISION >:l rillir'-4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t ' •• I®0 PERMIT � IPA P03-00823 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1936 FLAMINGO DR Status: ISSUED Suite No Applied: 12/16/2003 Issued: 12/16/2003 Vicinity: Parcel Nunmber: 13948168 ISSUED BY: Applicant: SZABO, KEVIN Address: 2737 S CRODDY STE D " Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 Owner: JONES, MILFORD LEE Address 1936 FLAMINGO DR- \Phone: COSTA MESA,CA Zip: 92626 Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 License: 529127 Arch/ Eng: - Address: Phone: Zip: License: " SCOPE OF PERMIT WATER HEATER CHANGE OUT. • FEE SUMMARY AMT QTY AMT "QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 : Sump Pump '$0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 It) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set" $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 - Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 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 03/00) 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 tlVs permit is issued. re and will mdintain workers'compensation:nsurgpce,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'compepsatlon Ins�ance carrier. d p611c it mbar are: Cartier: r Is Policy Number: _ Alibis section need not be completed the per it Isad of one hundred dollars($100)or less.) ❑ I certify that in the perform se of th fo ich this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of al rola,an r the f I should become subject to the workers'compensation provisions of Se on 3700 the Labor Code,I shall forthwith comply with these prov ' ns. (72 Applicant Signature: yy�, Date: 17 i I.L WARMNG:FAILURE TO SECURE W�aKBS' NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND NES UP TO ONE HUNDRED THOUSAND DOLLARS(S103,000),IN ION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,MD ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provi ' s of Chapter 9(cammendng with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lic.4 - Class 4 Contractor's Signature: \A`, Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Q^ Lender's Address: Signature: • .4. 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 fore permit subjects the applicant to a civil penalty of not moreihan live hundred dollars($500),): ❑ I,as owner of the property,or my employees with wages as their sole compensation.WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions 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.). ❑ 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,falsewark,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California AdminlstratNe 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 W III the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ --- 2 _2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ -- _...._ .__ .__....._.i__..._ _.....__r__ 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 ❑No __ r._......._..__..__ construction 5 Does he So the CoasttcAir or present or emen building occupant at requirer for the wonk ontch Isdistrict the t or of this application apermit for such or modiflcatlon' from the South Air Quality Management District or from any other air pollution control tlistrict or agency? �Yes P 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 0 No ___.._ —._____—__.._ __._.__. ___ _____ ____ .._.__.._ .V .... 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 COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the Information given Is correct. I agree to comply 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 properly for Inspection•urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • / 1Legal Owner(s) -- - And/• Authorize•Applicant Th2414jte CODE I INSPFCTION TYPE DATE IM11145 LODE( INSPECTION TYPE PATE NOELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing LQ-3o-OS ...1]_•N 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 ADDRESS OF SWOOP: 1936 FLAMINGO DR WET` - TY OF . COSTA MESA - BUILDING PERMIT eta/ER1NANEIFKNOWN: JONES, MILFORD LEE — PERM NO; B 082948 lama 1936 FLAMINGO DR COSTA MESA, CA 92626 PERMIT a : B 082948 PLAN CHECK NO: N GOVT: N SUPP: N 557-7338 APPL.SWUNG ADDRESS: CONSTR CTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR Ma1EER: MHO.: JOB DESCR • ON : T/OFF 6 REROOF W/COMP SHINGLES SQ FT: 7, 000 ARCM OR ENt'S ADDRESS: UIIT: CLAIM VALUE: 7, 000 . 00 CALC-VALUE: 7, 000 . 00 GROUP : R-3 / Co1TRACTdfa NINE • CONTRACTORS SUM COMMENTS : REROOF 1750SF RESIDENCE W/COMP ADDRESS: LIC Kt: ******M*)e****3FIf********if********************3E**3E***3E*if* ********************* Wa: ZONING REQUIREMENT LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury the I am licensed under provisions of Chapter S SETBACKS (commencing with Section 7000)of Division 3 d the Brines ed Professions Cods,and my Gown is in full oro and diem. CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESS UILDING FRNT: FT IN REAR : FT IN FRNT: FT I REAR: FT IN - Dale: Contractor LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury them I am exempt from the Contractors license Law for the following reason(Section 7031.5 Busiten and Professions Code:Any city or Comfy which requires a permitconstruct.toconstruct.alter.improve. PARKING REQ: _ P RO V: PARCEL: 13948168 Z N E: REF NO: demolish,or repel any structure.prior to b issuance,also requires the applicant for such permit to file a signed statement that he or she i. 'w licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of oration 3 of the PLANNING NOTES 5 3usiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section ' ^> u (a 7o31.5by any applicant tor a namesutiects the applicant toectad penalty of not more than lwehudred dollars(5.5001). MMMMM MMMMMMM*MMMMMMMMMMMMMMCo MMMMMMMMMM1e*MMMMMM ********MMMMMMMMM ❑ I.as owner of the poperlyr my employees with wages rthee sole compensation,cell do the work,ad the strucane i hat GnendedEL O P M E N T4f S R E Q U I R E M E N^T S or offered or sale(Section 7044,Business end Professons Code:The Contractrs License lawdoes not applytoan ownerof property rY1 who bolds or disproves thereon.and who does such work himself or herself or through his or her own employees.rodded that such �,//]]—�!!]]�=�`((�1 ,{�� improvements are not intended or offered for sale.If.honors the bedding or improvement is sold within one year d completion,the ZON fiT•OI/e) DATE: '' v owner-builder will have the burden of moving he or she did not build or improve for the purpose of sale). Is L f I.as owns!dM mry. Iopr .am exclusively contraconstructMm iq with licensed contractors to construct goct(Section 7044,Business d Professions Code:TM Contractors Ural law dor not apply bproperty d an oner prapy who builds improves thereon awho BUILDING "O V E Y : DATE: contracts for such projects with a contlador(s)Ikensed pursuant to the Contractors License Law). .h ❑ tem Tempt under Section: B.A P.c..ro me reason: APPLICATION ISSU BY : DATE: i., *************W******************************** M MMMMMMMMMMMMMMMMMMMMMMM Owner: Dale: LEGALIZATION: N F E E SUMMA O STRUCTURAL SEGMENT: Y 1 do hereby certify that 1 am aware of and understand the requirements of Celionis Health and Salary Code Sections 25505,Pearl,and 25534,and that I or any future building occupant will/wit not(circle one)need to comply with said rote codes and the requimmentsM BLDG PMT PLUMBING ELECTRIC MECHANIC ' E MIP/RES GRADING a permit for construction r modification from the Aire SIsTE nm ag° enl District.Residential eonanwtionapplicationwe exempt from these provisions. PERMIT 124 . 75 70 ' Date: Applicant SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of penury one the following declarations: IS ISSUE FEE o Inave ani veil edrmnceffmwdmrhichhisinrnibrsued. camperrsetlon.nprodddfrby5amm37aDdtMlebr BUILDING-DIV-> PERMIT , ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the pedamence of the work for which this permit Is issued. ❑ IMradwDmaw:rwrkrscomprmininrnrr..rr«dredbySecion37aatheLabrCode,frtheperformanrdtM TOTALS > 125 . 45 0 . 00 0 . 00 125 . 45 125 , 45 . 00 work for sten this permit a Sued.My workers'compensation insurance carrier ed poky number we: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 125 .45 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK CMS sectton need not be complete l de perm4 t tor one hundred dollar MOO)r less) 124 . 75 . 7 0 ❑ I certify that in the performance of the work for which this permit is awed.I dug not employ any become subject to the workers' laws el California, onia,end agree that l I should MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM compensation provisions of Section3700 of the labor Code.I sell Irthwith complywiththose provisio s. IND IVIDUAL F E E BR EAKDOWN Dale: Applicant: Waming:Future bsecure workriucomprsdon covragelaunrefut and andIampd roan employer arlydmol prnes w tEPI***************************************MMM QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand ddfen(S100,000A In addition to the cwt of compensation damages as provided for In Section 3705ofthe Labor Cods lnrs,tend,romay,sea SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 7, 000 ,00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a mmnwioh landing agency for the END OF FEES performance of the work for whish the permit is trued(Section 3097.CM.C). LENDER'S NAME LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct!agree to comply with all any and county ordinances and state Laws relating to building conduction and hereby adhorire representatives of this cry to enter upon the Move-mentioned properly for inspection purposes. MILFERD LEE JONES Print Name Dose: Signature of Owrr/ApanVApplcankConumor //`/ (5151-4tWP) White-Building A Safety;Green-Ale:Carry-Applcanl:Pink-Revenue;OddmMora eod- 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 UF ER Grnd. . - 57. APPROVAL TO COVER•GUNITE 7. Footings - 58. Electrical Condult-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd, 10. Structural Floor System - . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-F' cal' 16. Rough Electric Wiring 67. Fencing & Access!!lproval 17. Rough Wiring Sign 68. APPROVED FO F(€ ASTERING 18, Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEE %S1fkNAL ' 19. Rough Heating& Air Conditioning --- FIRE DEPT. REdI1IREMENT 20. Rough Factory Fireplace - APPROVALS Permit / 21. Ducts, in Structure ' 70.70.-Underground Hydro 22. Ducts, Ventilating 0/� 71. Product Piping OGas OOil 23. Gas Pipe-Rough & Test (( - ?) 72. Underground Flush 24. Roof Framing � 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing �Zyt��=') t�w 74. Overhead Hydro v 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 111 33..Final Electric - Notes: A 34. Final Heating& Air Conditioning - 35. Final Gas Pipe-Test - 36. Hood or Canopy -J 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final . ' CJ 40. Gas Service-Final - - ,3 41. Solar Domestic-Final - 42. Backflow Prevent& 43. Backflow Irrigati n ____, 44. Landscape Irrigation Syste fi/ ' ► V 45. Sound Atten,Uation /7 - 46. Handicap Riulations /,i 47. FINAL STRUCTURE & BUILDING X3-27 16# _ 48. FINAL PLANNING l L 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date . A