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Home My WebLink About408 FORD RD - Building PermitsJOB ADDRESS ✓V OV ~FOT'd or Final Date BUILDING PERMIT NO. ' SUBCONTRACTOR OWNER T�EMONS, Scott JOB ADDRESS 0 Ford ; W ATER ROUGH PLUMBIH� PROP. SWR. LIN� SPRINKLING SVS MISCELLANEOUS HOUSE CON. ROUGH HEATING AND AIR CONOITIONING TEMPORARY SEflVICE OR POLE UNDERGROUND � POWER � ROUGH WIRING TRENCHES ��ORMS �/STEEL ftE FLOOR SVSTEM BOND BEAM n STEEL REINFORCE [ SHEATHING FRAME AND FLpSHING LqTHING - IN n OUT n 1TER, BROWN COAT .JCTURAL, F�NAL HEATING, VENT., REFRIG. ANO A.C., FI PLUMBING. FINAL AND GAS TEST n DATE 6-3o-7i BUILDING PERMIT N0. RIPTION of WORK Encl.Patio & H< ZONE VALUE$5.000.00 JUP TYPE 2 SUBCONTRACTOR PER OWNER W. G. AP. No. INSFECTIONS w CT �3712� FIRE ZONE DATE I GROUP I SUBCONTRACTOR DATE f��'�'S�1 WOAK OCCUPANCY Form Y1�SM-11-59 SB PUNITSNR��OB HOLD FOR SPECIAL REQUIREMENTS „ ��. �,, o DATE JOB ADDRESS IiOfi-A & C� FnrA RA _.-d ��o� '7a., o�� BUILDING PERMIT NO. � I�kao. ... ✓ OCCUPANCY DATE SUBCONTRACTOR I PERMITSISSUED Form 410-SM-11-59 5-B PUNITS��n��C (�jOLD FOR SPECIAL REQUIREMENTS � 1��8 . �,:. C05TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COffiA MEBA. CA1-�FORNIA For Applieanf fo Fill In Compleiely �-/D X—h' �nai< COSTA MESA CALIFORNIA ' 88TBACK LIN6 PROM K7 � � BUILDING � U6E OF BU NO. OF BLDOe. 1 ^ � LEFT � RIGHT 1 I DESCRIPTION OF WORK �� FEE RECEIVED ;� �a A� 2 6 i.�i fINANCE DEPT. APPLICAttON FOIiPERAMiPESA BUILDING For Office Use Only , I ..�_...�. ...,. � -��O�R� Ii6C61VP-0'�Y I ��:/ CJ�IY /� V� � (C BUILDING //.. //� /� FOQU ADDRHSS '�/'(/J( Fl COSTA MESA. CALIFORNIA ZONING NO.OF � OF N8W PLANB BUILDINO L80AL , , (C6NT[R LJNe BTJ 1 HEPEBY AIXNOWL8D08 THAT 1 XAVB RBA� TM�B APPLIGTION AND BTATE TNAT TX8 ABOV6 19 COPNCCT AND A6R86 TO COM- PLY WITH ALL CIiY ORDM�NC69 AlID BTATBJJJ��''' 8 PHOULATINO 9UILDINO CONBTRI{Q�IO� � � i� SIGNATURE OF r �... � � AUTHORIZED AGENT � �L EVES TNE AMOUNT BXOWN UNDHR VALUATION ls POP TH6 PUIiPOBe OP HBTABLI9HINO • PERMIT FE6 ONLV. $/if-'� / � �0,�76 ��, 1�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 3f7 C06iA MEBA. CALIRORNIA Fo� Applieanf to Fill In Completely iYPE OR PRINT BUILDING �OQ �'iPG. /—��D l�.?�� ADDRES6 COSTA ESA CALfFORN1A OWNER ✓I/ V� L � K U' C.D • MAIL ` 200 //V COAS � N�+I��y AD�RE65`� crrv//� c�lPa R7" ,��Ac!-� i�o'/yii �7�= I ARCHITEGT �, Lo�G Ce�`,. c�n �'i PoRT .�ig.4�N. LICTNO. /��7I F' / NO. / / /..-�'/ `3� SIZE / y' � / NO. OF BLDGB. OF LOT ((J O /1 I �O NOW ON LOT O SELOACK LINE PROM � /? � CeNTeR oP s*rseer D '�L'T� . REAR YARD /N / / SIOE YARO ILEFT � • RIGHT � DESCRIPTION OF WORK EXTERIOR W LL ROOF �J0- ✓ COVHRW C GOVERIN6 /�- �-/` USE OF BUILDING AND WORK TO BE PERFORMED �t� P L,E X L% n/ i TS f Cf� �C' i'o .�i— ...D-�'TRCff.�. I HEREBY ACKNOWLeDUe THAT 1 HAVE RHAD THIB APPLIGTION AND 6TRTE THAT THE ABOVE IB GORRECI' ANO AGREE TO COM- PLY WITH ALL CITY OMIN NCEB AND eTA l�AWe F6OUL�TING fiU1LA1N0 CONBTRYCT ON. SIGNATURE OF PERMITTE �.��.EE� RE�CEIVED �4- �+av 2 6 �ssy - fINANCE DEP�T�.�p APP�I�A�61�� 'PEAFJIIT BUILDING For Office Use Only �0� y�D�� COSTA MESA. CALIFORNIA ZONING Z NO. OF BE OP NEW I PLANe � BUILDING LEOAL � U� N I V� DE9CR�PTION A. P. NO. � �� YARDS EVES APPROVED ALLOWED (CENTER L�NB 8TJ � , / y /RLUAiION IB FOR THE' A PERMIT FEE ONLY. $ oZ �j { / j � PLAN CHECK $ � �' AUTHORIZED AGENT � TOTAL FEE 6'I s r 2343� COSTA MESA BUILDING-SAFEfY DEPARTMENT � P.O. BOX DI7 COBTA M88A. CALIFONNIA For Applicanf fo Fill In Completely TYPE OR PRINT �y�� COSTA MESA, CALIFORNIA �� TEL. rtt RECEIVED FINANCE 9DEPT CITY OF COSTA MESA APPLICATION FOR PERMfT BUILDING FOr OHicB Uie Only � R[CCIPT NO. PHpMIT NO. ev XO. OP UD6 Or N6W PLANe � pUILDINO ��_, D[DCI11IflON � � V ' A. P. NO. � S^ � NOTE: NO EAVE OVHRHANG SHALL BE LE89 THAN �"— - NQ • 90" TO SIDE @ REAR P. L. . EAVES /� !' I no. oFetooe. ALLOWED <U. B. C. REQUIREMENT: !o now oH i.or ' �i YARDBAPPROVED YARDSAPPROVED __ MAIN BUILDINO ACGESSORY BUI�OINO S BETBACK LIfiB PROM DESCRIPTION OF WORK NO. OP ROOMB ST R WALL ROOR � COVERIN6 IIL�INC AfID WORKTO B8 PERFORMHD 1�BY ACI(NOWLHD08 THAT 1 XAVB qBAD THIB APPLICAT�ON A eTwTB TH�T iNe A60VB 18 CORFleCT ANO AO H TO COM. PLY WITH ALL CITY O (((lUNCHB AND BTAT6 u 0 ODUTIryO BUILOINOCONBTPU O�PI SIGNATUREOP v PERMITTE AUTHORIZ6O AGHNT ' VAR. ii I.L�i� 'l 0 CJ 60.FT. TX6 AMOIINT 9HOWN UNDEfl VALIIATION 19 FOR THH F PURP08H OP HBTABL�BHINO A PBpMIT P88 ONLY. Q VALUATION �(. �7 � ry PERMIT FEE $ I L j m s�� 23-d � _ 0 , , _.. 3322G COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fil! in Complefely Z . aU Z z Q C (� J � J � Q W (t1 J J m Q U N Z Q W � p, W J � m Z J � W W O= Z f- w � N Q �O F Z Q U J a a Q Q H y Z O H V � � � y Z OWNER � � MAIL /' ADDRESS'7'D �O� ��T� n�sf� MQ i� 1UN30-71PA��O07032�` ****43.50 �MSf APPLICATION FOR BUILDING PERMIT fiECEIVEDBV ATERECEIVEO D TEISSUED �.,� .-sa _�� r_ � ��_ �, 'l OH� A.P. NO. / BUILDING C��,�j2 ADDRESS '!AZ /!'� TRACT BRANCH ADDRESS ARCHITECT % � TEI. ORENGINEER �/r �P/S�QNJO�_ ADDRE553o �Rvo�� CONTRACTOR (� LU %1 Q � ADDRESS TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. 512E /'` y J 7 J I NOW ON LO S OF LOT(pV �/\{�) C� USE OF ,[ EXISTING BLDG. ��CI � SQ �U i� O SIZE OF � NO. OF • NEWBLOG��X FOOMS STORIES I EXTERIOR W L1� Q+1CK qpOF COVERING�(fIe1SS COVEFING VSE OF BUILDING AND WORK TO BE PERFORMED �Neles�.�. i0��'o d- �f ��s� Q OWNER FIRE 20NE APPROVED �N� NO.OF USE OF NEW pMC10: PLAN$ a BUILDIN� �'(D a VAROSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDI FROM C/ �STFiEET) �� DI5TANCE BET. BET. MAIN & MAIN eLDGS. ACCESS. BIDGS. CURP##c_��—�� APPROVEDIO�I�� APPROV WI f1IV�T nnrc `�� 1�(' Ly I hereby acknowl¢dge that I have reatl this apPli<ation antl state � � a ivn sh Il ,}� �� Net tha above information is correct and a0ree to comply with all laws reguleNng builtling construction, an0 I shall not employ • I any pe�son in violation ot the workman's compensation laws of 5 a � �%g � the Sta[e of Colitornla. • a ��,y ua m I hereby certify that I am p�operly licansetl as a contracto� untle� , I I I SQ. FT. �S ' o tha State ot California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chepte� 9, antl that suc licenses are in tull force anA effect, or I THE PURPO6E OF ESfABLISHING A PEFMIT FEE ONLV: am exempt from tne � visions ot t State of California Business VAIVATION � ¢ antl Protassians Cotl ivislon 3, C a�ter 9. � °� ' PERMIT FEE $ j Sipnatura of � m Permlttae $ 50�0 PLAN CHECK $ � E � O � Authorizatl Agant -LL TOTAL FEE $ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 408 FORD RD Suite: Vicinity: Parcel Number: 41920102 Zoning: SWtus: ISSUED Applied: 71/18/2002 Issued: 11/18/2002 App�icant: BEYENBERG, J.W. I ED BY: Address: 9582 GOLDEN ST � _ - - _- � -- _ - _ �_ ,�7"_,. .= d>�� - -�� o' ' - _ Phone: 909-481•8838� - ALTA LOMA,.CA, � -� - � � ' Zip: 91701 �' - / �� _�� - �� ' : i; A��:.;��. Owner: LA.PLANT,�MARYLOUISE� / � �'� ' � � . Address �408 FORD RD #A � , , � - _ - ^ , i ,��, �� , �� .� ��A ��- Phone: � � ��,= �� i , � - '/ COSTA MESA, CA � _ � . Zip: 92627 .� � �� % �� ',i . . . " �� v" � /� -��:�.•. Contiecfoi `-HORIZON"PRO'S ROOF TEAR OFF ��,� ��;� �� `"� � �Address: 9582 GOLDEN ST �� C � � ` � �.A �.. � .�'. ' i ,,, � i % Phone:��909-481-8838 �': , ,�V . � • � � ALTA'LOMA, CA - � � � � � �� ` . � ': � � � .� � � Zip: � 91701 � � License:a 481967 � . , � . . �� - �'; � � �" '�' . . � . �� , � � Arch : , � - . � �- ., � Eng: .. � � � � A �1 , Address: , � . .. % , �, � "i i '. . - .. Address: --.� ' . , � , - � � `. A ' � �", �;�:�Phone� � ;-� : � P-hone: . . �. , -'_ � � - _ ��;.. . � . �� _ ,�, �Zip: ��,� \ �License: �_- ' �'License: � . � � > � ' � � SCOPE�OF PERMIT �� TEAR OFF EXISITING, COVER WITH 30 YEAR COMP. �� ' � -� � /, � i_. ° � �� _ ; � I' � � FEE SUMMARY `�` ` , Plan Check:, , $0.00 , � �„ - i � � Calc Valuation: ;� : '. � r,, - Permit: $167.25 - ---- = — - - � ,Claim Valuation: , �� SMIP�Res:�. � $0.90 . . . � • - < _ �, � �� - __ — , �,, � �� SMIP Com: , $0.00 � �� , Other. '. $0.00 � �� Inspection: $0.00 � i �, s9,000,00 ss,000.00 � '' ?`. �. " i - _. - �. � � �, ,- ��,.Total: $168.15 �;''=�'� � � �� ; ; , � . ' � - �� , �- �� PLANNING&ZONING � � � ` ' , � SETBACKS\ ✓�i: �' = ,<' , // . MAINSTRUCTURE�Front 0-�0-` �_Rear.-�0-0-� �� ` Lek ,0-0 ��Right� �00_`��' ,j , • � .. . - - ,.. , -'i ACCESSORY ��Fronh 0-�0' � � ;� ; Rear 0- 0 _ Left - 0- 0- , Right : . ' 0-�0 � � ��. . � , - • � . � � : - : ,: PARKING ExisNnq:� ,0 -�, � Required: , �0 � `� Proposed: 0 � / � NOTES: �• ` •.. . , _. . . � � '� �,, ; . � , , i�i� NOTICE: The work auttrorized by this permit shall comply with all applirable handicap access requirements untler Califomia statutes and related regulations. (Orcf. No. 92-28, § 1, 1241-92) EXPIRATION: This permR shall automatically expire and become void if work is not commenced within 180 days, or it work Is suspended or abandoned for a period of 1 BO tlays. � 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 Inspectiona and final epprovel must be obtained. Failure lo obtain inspections and final approval will result in lhe expira�ion of lhis permit. FOR INSPECTIONS CALL: (714) 754-5628 >.4L6d8 (8�00) WORKERS'COMPENSAnON DECLApATON: I here6y aXirm under penalry of perjury one ol the following tleclarations: I have entl wlll malntain a certlflcete of consent to self�lnsure for workers' comDensetion, es pmvitletl Por by sectlon 3700 of ihe Labor Cotle, for lhe pertormence of the work far whlch this permit is Issued. '' – ave antl wlll malntaln workers' compensati� insurance, es required by sectlon 3700 01 ihe Lebor COGe, tor ihe peAortnance of Ihe work for which Ihis permlt Is Issued. My workers' compepsation Insurence carner antl pollcy number ere: Cernec � PoliCy Number: (This secfiar need not be comp/eted I/ fhe permif �s velued et one hundred dollere ($700) or less.) ❑, I cehify ihet in the peAormence of Ihe work �or which this permit Is issuetl, I shell not employ eny person in eny menner so as to become subjecl to ihe workers' compensetion laws of Celifornla, end egree that If I should become sub�ect to the workers' compensetlon provislons of Section 3700 of thejj..ebor Cotle, I shell totlhwith comply with Ihese provisions. 1�� // ��L— ApplicentSigneture: Date: '� �/ WARNING: FAILURE TO SECURE W CERS' CAMPEN COVERAGE IS UNIAWFUL AND S/ULL SU&IECT PN EMPLOYER TO CRIMINAL PENALCIES AND IVIL FlNES UP TOONE HUNDRED THOUSANDDOL1AflE(5100,0OO�,IN �OITIONTOTHE STOFCOMPENSATION,DAMAGESASPROVIDEDFORINSEGTION3]080FTHELABORCODE,INiEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm Ihat I am Ilcensad untler provisions of Chapter 9(commencing wlth Section 7000) ol Division 3 of ihe Buslness end Prolesslons Cotla, end my license is In full force end ettect Lic. q Class a �_ _. r ContractaYs SlgneNre: Date: CONSTRUCTION LENDING AGENCY: ` ❑ I hereby altirm Ihet there is e construction lending egency for ihe peAormence of the work for which ihis permit Is issued. (Sec. 3087, Civil Code). Lenders Neme: i^'Lendor's Adtlress: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby atfirtn thet under penalry oi per�ury �hat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Professlons Code: Any city or county which raquiras e permit �a consiruct, elter, improve, demolish, or re0elr eny slructure, prior to its Issuence, elso requires Ihe applicent far such permil lo file e signetl stetement that he or she is Ilcens6tl pursuent to Ihe provisions of the Contredore IJcense Lew (Chepter 9(commencing with Section 7000) oi Divlslon 3 of ihe Business an0 Professions Code) or that he or she Is axempt Iherefrom end the hasis br the elleged exemptlon. Any violetlan of Sectlon 7031.5 by any eppllcant tor e pertNt subjects the appllcant to a civil penalry ot not more ihan flve huntlretl dollars ($500).): � I, as owner ot the Droperty, or my employees with wages as their sole compensetion, WILL DO TXE WORK, end ihe structure is not intendetl or oMeretl lor sale (Sec. 7044, Business end Professions Cotle: The Contrectors License Law tloes not epply lo en owner of properry who builds or Improves Ihereon, and who does such work himself or hereelt or through his or her own employees, provided ihet such Improvements ere not intended or oHereA for sale. If, however, the bullding or Impmvement is soltl within one yeer of completion, the owner-bulltler wlll heve tha burtlen ol proving that he or she did not Duiltl or ImDrove for purposa of sale.). ' ❑ i, as ownar oS the proparty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha pro}ect (Sec. 70A4, Business entl Professions Code: The cantractors License Lew tloes no� epply to en awner of property who bullds or Impmves thereon, and who comracts for such pro�ect with a comrecior(s) license pursuent to ihe Contractars License L.ews.).J ❑ I am exempt untler sec. " Business antl Professions Code lor this reason: Signeture: Oate: Owner ID verifled Dy tlnvef5liten9e. ❑ Ves ❑ No Drivefs License No. Verificetion of Ownership by (rype of documenL I.B� - Property tax biil or AeeA�: Eapires: DIVISION OF INDUSTRIAL SAFETV PERMIT CHFiTIFICATION: ❑ I hereby certity ihat no excavation live (5) or more feet In Oepth Into which e person is requlreE to tlescend, will be matle In wnnectlon with work euthorizetl by t�is pertnit, end that no builtling structure, scaXolding, falsework, or demolllion or dismantling Ihereot, will be more ihen thirty-six (36) feet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, Ttle B, Celifomia Administretive Cotla). ❑ As owner-Dulltler, I will not employ anyone �a tlo work which would require a permit irom the Olvislon of Industrial Safery, es natetl above, unless such person hes e permit to do such work tram the division. Signature: Date: Division ot Industrial Safery Permit Number. CERi1FlCATE OF COMPLJANCE AND AUTHORVA7�ON OF ENTpY: I ceM1ity untler penalty ol perjury that I have reatl this application entl stete thet the intormetion given is correct. I agree to comply with ell state laws end ciry ordinences relating to bullding construction, entl euthonze representetives of t�e City ot Costa Mesa to enter upon t�e ebove-described property tor inspection purposes. � egree nol to occupy or ellow occupancy of eny building authorized by this permit until linal inspection. Signature 0llegal 400E �. INSPECTIONTVPE 1816 Fixed System Final Fire Preventlon 1266 Pool Spe Final 200 Finel Re-Roof 207 Finel BIocWReteining Well 202 Final Feclory Fire Place 203 Final Sign 204 Final Demolilion PdIE / 1NNIQIdIS � "� �1 r 1 � Date � V Date CO�E I INSPECTION TYPE 206 Final Mechanicel 208 Finel Plumbing 210 Finel Electricel 212 Finel Fire Preventlon 220 Final Planning Appraval 222 Final Site 250 Final Builtling/Occupency PAIE 1t�Li • , - - -- - - . . .. _. . . oan�vu��a rcrtrvu � Job Address: 408 FORD RD Suite: Vicinity: Parcel Number: 41920102 Applicant: LA PLANT, MARY LOUISE Address: Owner: LA PLANT, MARY LOUISE Address 408 FORD�Rp #A , / � � 'COSTA MESq;CA,�=,�=-�, / Contractor. � ' Address: Zip: Arch : Address: Zip: � Phone: License: Zaning: � � Phone: 949-645-4757 Zip: ' : Fhone: 949-645-4757 . - Zip: 92627 �.. Phone: License: Eng: ��'� � Address: ,. Status: ISSUED Applied: 08/04/2003 Issued: OS/04YL003 Phone: License: SCOPE OF PERMIT 9'9" X 24' PATIO COVER AT ATRIUM AREA OF AN EXISTING�SFR. INSTALL TWO�SKYLIGHTS IN THE PATIO COVER ALSO. FEE SUMMARY ' Plan Check: $63.21 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $160.96 SETBACKS MAIN STRUCTURE Fmnl 0- 0 ACCESSORY , Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear ' 0- 0 Required: 0 PLANNING & ZONING Lek 0- 0 Left 0- 0' ' Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Righl 0- 0 $3,481.92 so.00 NO710E: 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 Inspeetiona end final approVal must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. POR INSPECTIONS CALL: (714) 75M5626 2446d6(N00) WORKERS'COMPENSAnON DECLARAnON: � I hereby attirtn untlar penalry oi perjury one of the following tleclarations: � • ❑ I have entl will maintain a ceniticeta of consent to self�lnsure for workers' compensetion, as provided for by section 3700 ot the Labor Code, for Ihe peAortnance ot the wark for which this permit Is issued. � . ❑ I have antl will maintain workere' wmpensation insu ce, es requiretl by section 3700 0l the Lebor Code, for the peAormance of ihe ork for which Ihis permit is issued. My workers' compenseti� `Ins_uren-ce ca•rrier olicy number are: . � � ' . Cerrier. �,� Policy Number: (Th�s sec ion need nof be p/eted i! the pe it is veluetl at one hundred dollars ($100) or IessJ - certiFy that in the peA mance of ifie work �or which this permit is issueQ I shall not employ any person in eny mannar so as ro bac e suDject to the workers' • compensation laws oi Celifomie, end agr that if I ho Cecome suDject ro Ihe workars' compensation provisions of Saction 370 f ihe bor Code, I shall forthwith comply with ihese provisio Y Applicant SignaNre: Date: WARNING: FAILURE TO SECURE WORKE COMPENSpTION COVEMGE IS UNUWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TOONE HUNDRED TIKKISPND OOLLARE (5100.000�, IN ADDITION TO iHE �T OF COMPENSATION, DMMGES AS PROVIDED WR IN SECTIIXJ 3'1O60F THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that t am licansed under p�ovisionS of Chapter 9(cnmrtrencirtg wifh Section 7000) of Division 3 ot !he Business and Professions Code, arM my license is in tull brCe entl e80Ct Lic. A Class N Contractors Siqnature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat there is a construction 19ntling agency for the performance ot Ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle�. Lender's Nema: LenOers Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that under penalry oi perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Protessions Coda: Any ciry or counry whic� requires a permit ro construct, alter, impmve, demolish, or repalr any sWcture, prior to its Issuance, also requires ihe applicant for such pertnit ro file e signed statement ihet he or she is licensed pursuant to the provisions of the Contrectors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is eiempt t�ereirom antl ihe basis for the alleged ezemplion. Any violetion of Sedion 7031.5 Dy eny applicent for a parmit �s ihe aOP��nt m a civil penalry ot not more ihan five huntlred dollars ($500).): I, as owner of �he properry, or my amployees with wages es iheir sole compensation, WILL DO THE WOFiK, and the structure is not Intentletl or oHered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law tloes not apply lo an owner of property who builds or improves ihereon, antl who does such work himself or hersel� or through his or her own employees, provided �hat such improvements ere not intended or ottered for sele. If, however, ihe builtling or improvement is sold within one year ot completion, the ownar-builtler will �eve�the burtlen of proving Ihet he or she did not build or improve tor purpose of sale.). � ❑ I, as owner of ihe property, em E%CLUSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business entl Protessions Cotle: The contractors License Lew tloes not epply to an owner ol property who builds or Improves ihereon, antl who contracis tor such project wl�h e contractor(s) license pursuant to tha Contractors �icense �ws,1. _0__I.emexem ersec. Signature: ___i�� 'Owner ID veniie by nvers license. Verificetlon oi Ownership by (type ol antl Professions Code for this reason: Date: Drivefs License No. Expires: ��e. - pmperry tez bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMI7 CEp71FICA710N: ❑ I hereby cartity ihet no eacavation tive (5) or more teet in depth into which a person is requlred to tlescand, will ba mede in connection wlth work euthorized by this permit, and ihet no builtling siructure, scaftolding, telsework, or demolition or dismantling thereot, will be more Ihen ihirty-sia (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341. Titla e, Calitornie Administretive Cotle). ❑ As owner-6uilder, I will not employ anyone to tlo work which would require a permit irom the Oivision oi Industnal Satety, as noted ebove, unless such person has a pertnil lo do such work from Ihe tlivision. Signature: Date: Division ot Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiMORIZp710N OF ENTAY: I certily under penalry of perjury that I have reatl this application and state ihat the iniortnation given is correct. I agree to comply with all state s en city ordiyypanc9� relacing to building consiruction, and authorize reD�esentaY es ot the City oM1 Cos�a Mesa ro enter upon the above-desc � property foi inspectiy p os gre�mt7'�',tboeupy or allow occupancy of any building euthorized by t� r it yntil fi_ nal inspection. � ��; �0��` I L� J ignaNre Of Legal wn �- T Date C__'__" __ __._-_ AnNOr Aut�onzed Applicant Dale COOE 6 INSPECTION TYPE " ' ' ' ' - " 1616 Fixetl Sys�em Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIxWReteining Wall 202 Final Fattory Fire Place 203 204 Final Sign Final Demolition • .. Q�g � . IMIfUdS . . . CODEt INSPECTIONTYVE. � � - � � 206 Final Mechanical � - . 200 Final Plumbing ' 210 Final.Elecirlcal.� 212 Final Fire Prevention 220 Final Planning Approval - 222 � Final Sile �� 250 Final Building/Occupan�cy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT ' .lob nddress: 408 ' FORD RD Suite No Vicinity: ,,'; ,• -"' � � �� Status: ISSUED Applied: 12/13/2006 Issued: 12/13/2006 Parcel Nunmber: 41920102 � Applicane DONNA:BAT-TOCLETTI a � � ISSUEDBY: Address: 408 FORD RDT'� � �� _ �: �, y;,; - � Phone. 949.645.4757 � _ COSTA MESA; CA'�'.. . � � � Zip: 92627 - , - � '�' , � , _ , • / � _ A� /.%. . . , ' � , - .•� �j � � � Owner: ,LA PLANT-, MARY LOUISE ' . _ , _ � � Address ��408FORD�RD#A � � - �. �.� � � , � � , , � � , � � � : :, _ . Phone: ' - - , , ' COSTA MESA, CA � � Zip: 92627 . i � . � . A �� . _ � . , �, �-,�. . . , , � ' Contracfor: OWNER-BUILDER �'�,��'' � ,. , , �, �_ ,_. �� Address:� .�'. �." � /\: l_;\ . . - �,� � Phone:� �`. . , .� . _ \ - - Zip; � , . . - , . . , � � . , - , � � "` • • � , License: 000000 � i � - `5` ' " ' ' . , . ' } . �.� .�.. , � . � , . . SCOPE OF PERMIT ' , � REPAIR FIRE DAMAGE. WORK INCLUDES: REPAIR FIRE DAMAGE TO ROOF AND INTERIOR FRAMING, , ' SHEATHING, AND GARAGE DOORS. REF.: BO6-02106 ` �� - � � , ' PLUMBING TO INCLUDE: 1 GAS (1-4 OUTLETS).AND 1. WATER PIPING. � � � . � � . _ �' ' l ( � - . - - •- FEE SUMMARY' _-. ' ':. . _', • _ _ _� � ,� -�� AMT QTY AMT �QTY AMT QTY ISSUE FEE 523.50 Laundry,Tub / Washer $0.00 0� � Sump Pump � 50.00 � 0 Backflow irrigation . $0.00 0 i � - � Candscape Irrigation .\ ' ' � $0.00 ��0' :.' � Swimming Pool„ ,� -� $0.'00 �- 0 Backflow Preventer � $0.00 0 - - 'P+Trap ' �� - - � � �,$0:00�� ; -`0 ' - ' Trap Primer . . - $0.00, � 0 Balhtub � $0.00 0 � � Pressure Regulator � -$0.00 '- 0� - � Urinal ;� , 50.00 - 0 Clarifier System " �� 50.00 0 Process Piping (per 10 k) .$0.00 0 ' Vacuum Brkr Bkflow(1-4) 50.00 � 0 Connect Qce,Soda,etc) $0.00 0 � Receptors � � $0.00, . , 0 �- � Vacuum Brkr Bkflow(5+) � $0.00 � 0 DentalUnits � . ' ., ,80.00 0 SepticTank ��<�$0.00. : 0 WashBasin�� - � '� �.'$0.00/ 0 Dishwasher . -', $0.00 0 Sewer Cap (or Demo $0.00 0 Wash Basin Set � �$0.00� 0 Drain, Floor ' �$0.00 0� Sewer Connect_ `�'�"•��: -, 50.00 0 Waste and Vent System� 50.00 0 Drain, Rainwater� � `$0;00 0 Sewer Piivafe Line :�.)50.00 0 Water Closet (Toilet) �:$0.00 0 Drain, Robf � $0:001 0' Shower`� � � . "$0�00':',._0 WalerHealer/vent ,� $0.00 0 Drinking Fountain . $0.00 0 � � Sink, bar - $0.00 . 0,:: � �; :;,,� ,WaterPiping (Inst or Rep.)� � 59.80 1 Expansion Tank $0.00 � 0�� ' Sink, commercial � 50.00 ��- 0� ' ' - � Water Re-pipe` '� �$0.00 0 Gas Earihquake Valve $0.00 0 . . Sink, Floor ., � , � $0.00 0 � ,�,Water Service � �� $0.00 0 Gas (1-4 outletsj , � $6.15 - �1� � ��' � Sink, kitcfien :� � � $0.00 , 0 � �;; WaterSoflen'er , $0.00 0 Gas (Over 4 outlets),. • _$0.00 -0 � � Sink, service/mop � , 50.00 0 ' OTHER�',- i �" $0.00 Gas Repipe � - � � $0.00� � �0 - ;;Spa (private) � - �$0.00 = ;0=�� _VIOLATION , , '� 50.00 Gas Service � ; $0.00 0: � Spa (public).� "� � � �..$0.00 '- -0 � `` ��P,LAN.CHECK `" 30.00 Interceptors(Grease,0il),��$0.00'`' 0 � , - � . ' --- - �" . . �-,REINSPECTION� $0.00 0 Interceplors (Sand Auto ) ' $0.00 �0 �- , . - � " , �� " - - ' � - ' . - - "' TOTAI: CALCULATED FEES: 539.45 . ._ .. - ' : , �� . , ' , � - - . . ..-. .. , i"�� . - , � .. \. `. �:, � ,. � t: . 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, 1241-92) � .� � EXPIRATION: This permit�shall automatically expire and become void if work is not commenced vnthin 180 days, or if work is suspended or abandoned ' f6r, a period of 1 BO days. '��, INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such �work must comply with all applicable codes, and all required Inspectlona 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) 7545626 2aa�as (eiaol. WORKERS'COMPENSATON DECLARAnON: � I herqby eHirtn under penalry of per�ury ane of the following decleretions: . . . ,�� I �ave end wlll meintein e certificete of consent to self-Insure lor workere' compensation, es provltletl tor by sectlon 3700 of the Lebor Cade, tor the pertormence af ihe for whlch this pertnit Is issued. I heve antl will maintain workers' compensation insurance, as requiretl by secUon 3700 of Ihe LeDor Code, for ihe peAwmance ot the work tor which Mis pertnit is issued. / My workers' compensatlon Insurance cartier and policy numbar ere: Carriec Policy NumOer. �(This tion need no( be canpleted i/ the permit is velued et one hundred dollers ($700) or less.) . - rtity that In the pertortnance of the work br which this pertnit is issued, I shall not employ eny parson in eny manner so as to become subject lo the workers' compensatlon laws of Califomia, enA egrae at i I shoultl becoma subJect Io Ihe warkero' compensallon proNsi0n5 of Seclio 3700 o Ihe Lebor Cade, I shall forthwlth compry with these yr64]S�ns� Applicant Signature: � Data: � WARNIN(3: FAILURE TO SEIXIRE W ENSA I COVERAGE IS UNL4WfUL AND SMALL SUBIEGT Ml EMPLOVER TO CRIMI ES M!D CML FlNES UP TO ONE HUNDRED TM(%15AND DOILARE (5100.OW), IN ADDITION TOTHE COST OF COMPENSATION, DMlAGES AS PROVIOED WP IN SECTIpJ 3]OB OF THE R CODE.INTEREST, AND /TTORNEY'S FEES. LICENSED CONTHACTORS OECLARATION: I hereby aMrtn ihat I am licensetl under provisions of Chapter 9(cammencing with Sectlon 7000) of Dlvision 3 01 the Business antl Professlons Code, end my license is in tull torce and ettect Lic. q Cless M Conlractols Signature: Date: CONSTFiUCT10N LENDING AGENCY: ❑ I hereby attirm ihat Ihere is a construction lending agency for Ihe peAortnance of ihe wark br which this pertnit is issuetl. (Sec. 3097. Civil Coda). Lenders Name: Lendefs Address: Signature: �+• Date: OWNER-BUILDERDECLARATIONS: �'Q�'� I hereby affirtn thet under penelry ot perjury Ihat I am EXEMPT�FROM TME CONTiiAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: My ciry or counry which requires a pertnit lo construct, elter, improve, demolish, or repair eny structure, pdar ro its issuance, also requires the applicant far such pertnit ro file e signed statement that he or sheis�llcensed pursuent to the provisions of the Contradors LJcense Lew (Ghepter 9(commencing with Seclion 7000) ot DMslon 3 of t�e Business entl Professions Code) or that he or she is exemp(tharelrom and the besis for the ellegetl ezemption. Any violetlon of Section 7031.5 by any epplicant tor e pertnit suhjects the applicant to a civll penalty M not more than tive hundred dollers ($500).): � ❑ I, es owner of the property, or my employees with wegas es thelr sole compensetion, WILL DO THE WORK, entl Ihe structure is not Intended or oflered tar sale (Sec. 7044 usiness and Pmfessions Cotle: 7Te Contractors License Law does not apply to an owner ol property who builds or improves thereon, end who does such woAc hI elf or herself or through his or her own employees, providad ihat such improvements ere not Intended or oMered far sele. If, however, the building or improvement is old within one year ot completion, the owner-huilder will heve �he 6urtlen oi proving tha� he or she tlitl no� build or improve for purpose oi sele.). I, es ownar ol lhe property, em E%LLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the Dro�ect (Sec. 704a, Business end Professions Code: 71ie contractors License Lew does not eppty to an owner of property who builds or Improves thereon, entl who conirects tor such project with e contrector(s) license pursuant to ihe Contractors License Saws�). ❑ I em exemp r Signeture: OwnerlDvenfetlbydrive cert. Verificetlon of Owners�ip by (type Business end Professions Code for this reeson: �5 ❑ No Odver's License i.e. - property tex blll or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICA710N: ❑ I hereby certify Ihat no excavation five (5) or mora feet in deplh into which e person Is required to descend, wlil be mede in connection with work euthorized by this permit, antl thet no building simctura, scattolding, felsework, or demolition or dismantling ihereof, wlll be more ihen ihirty-six (38) leet high. (Chep. 32, Orp 2, Art 2, Sec. 341, Ttle 8, Celitomla Administrative Cotle). ❑ As owner-builder, I will nat employ anyone to tlo work which would require e pertnit fmm the Division ol Industnel Sefety, es notetl above, unless such pereon has e pertnit to do such work from the division. . SigneWre: Dete: Division of Industnel Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTNORVJITION OF EMRV: I cenify under penalry of perjury that I have read this epplicetion and stete that the intormetlon given Is correct. I egree to compy with all state lews end ciry ortlinances ralating to bullding construdion, end eulhodze representetives of t�e Clry of Cwta Mesa to enter upon t�e above-descnbed property tor inspeclion purposes. I agree not to occupy or ellow occupancy ot any building euthorized by thls permil until final insDeclion. ��, y..%�t:.. i��..r��%i' //;'r - - .:- CODE �. INSPECl10NTYiE 7616 1268 Fi:ed System Final Fire Prevention Pool Spe Flnal 200 Final Re-Root 201 Final BIacWRetalning Well 202 Final Factory Fire Place 203 Final5i8n 204 FinalOemoliiion COUEI INSVECTONTYPE 206 Final Mec�enical 208 Finel Plumbing 210 Flnal Eleciricel 212 Flnel Fire Pravention 220 Finel Planning Approvel 222 Finel Site 250 Final Bulltling/Occupenry �g �� + (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�.ItdLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 408 FORD RD ,�� , Status: ISSUED Suite: � ' � �Applied: 12/13/2006 Vicinity: GARAGE Issued: 12/73R006 Primary Occ: U Type of Construction: V-N Parcel Number: 41920102 Zoning: Applicant: DONNA BATTOCLETTI Address: 408 FORD RD Phone: 949.645.475 ' ISSUED BY: COSTA MESA, CA ., Zip: 92627. Owner. LA PLANT, MARY LOUISE ,�. � _ Address 408 FORD RD #A= � - , � ' / , � � . . � .: �-�. � Phone' ' . . COSTA MESA, CA, � � � Zip-�-�-9 627 � "+ , f �� .f�:��.0 � � �, Contractor ��'OWNER-BUILDER : � Address: � - � � , - ' � , ;�. , . . Phone: ". � � , � ' ' - ' ' ' , , .A . Zip: � ,' � � License: 000000 � , � � �. , �� , Arch : � ` � ' � , Eng: �,� , `.� - . Address:' � � �i' � Address: � � � � � • � - ' Phone: � � � � - Phone: � �. , �`'. ��.q'--• - .n .i -. ,. ,� . �� ` . A .��. _ � ' �. ' ..�.:" , . Zip: � � ' , � License: - * . • License: " � - SCOPE OF PERMIT - � REPAIR FIRE DAMAGE. WORK INCLUDES: REPAIR FIRE DAMAGE TO ROOF AND INTERIOR FRAMING, SHEATHING, AND GARAGE DOORS. � " FEE SUMMARY _ � � � � ; Plan Check , $0.00 � �� • � � �,�„ �� . � -. � - . � Calc Valuation: Sio,000.00 Permit $18125 � -- - ,� . - • . --'. . ... . . ' � ` Claim Valuation: ` $io,000'.00 SMIP Res: 31.00 � � SMIP Coin: 50.00 � � . � � � � � Other: S0.00 � - � � - � � - = ' - � � �>� �� . Inspection: � S0.00 . '' J . �% i_ ' �. / Total: $182.25 ,'� , � � . � � PLANNING&ZONING .�"-.� � ' ' SETB,ACKS -' � -,:- - . �'=�� ' � MAIN-STRUCTURE Front -� 0- 0 Rear �' 0�'0� � " Lefl ` � 0- 0 ,. Right 0- 0".� � � " " � � � ACCESSORY � Front �0= 0 , ! � ' �' Rear 0- 0 - � Lefl 4 0 � � ��' �'' � Rlgfit : , 0 �0 � � �. , � PARKING Existin : �. 0� ' ' �Reauired: 0 .; � '. Pr000sed: 0 . � s � �.�� ' / . � ,�i��.; _ � •• V�� .� ,�� , . � � � , ./, . �� . �- - . , . . . � ' . :� _ , . „ . . � , , ; �'-''-- ' , .�� - , ..' •-- .� ij � , _ ,. • +�. � . • � . . � .\, �� . � e � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92•2B, § 1, 12-21•92) ' EXPIRATION: This pertnit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned 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 Inepectiona and finel epproval must be obtained. Failure to obtain Inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 aasea �eroo> WORKERS'COMPENSAnON DECLARAnON: . . � . �I h by emrtn under penelry of perjury one of the tdlowing CeUaretlons: � I heve end will meintein e certllicate of consent to sell-Insure for workars' compensetlon, es O�ded tor by sectian 3700 of Ihe Lehor Code, for Me pertarmance of ihe wOrk for whlch thls permlt is luuetl. �• � I have antl xa11 maintain woflcers' compensatlon insurance, az required by secUm 3700 oi Vre LaDor CoOe, for the peAormance of Ihe vrork tw which Ihis pertnil is iswed. My workers' compensation Insurence carrier end pollcy num6er ere: Cartier: Pdiry Number: (This sectlon need not be completetl i/ the peimit is va/ued et one hundredOW/ers ($100) or /ess.J . 4 � I certify that in Ue peAortnance of the work for which t�is pertnit is issuetl, I shflll not employ eny person in eny menner sa es to bewme subject to the workers' compensation laws of Celitomia, and e e t I sh Id e sub�ect to the workers' compensation provlslons o1 Section 3700 of th Leb Coda, I shall forthwiih � comply with Ihe i wns. � i licent Signature:�� '� �D§�p.-a W INO: FAILURE TO S WORKERS' ENSATIqJ COV IS UNIAWFUT AND SHALL SUBJECf PN EMPLOVER TO CRIMINPL PE TIES pVIL FlNES UP TOONE HUNDRED TFqUSANDDOILAHE(5100,000),INFDDITIONTOTHECOSiOFCOM SATION,DMU�ESASPROVIDEDFOfiINSECilON3IWOFTHEUBORCODE,I EREST,MIDATTORNEY'SFEES. LICENSED CONTRACTORS DECIApAT10N: I hereby alfirm Ihat I em licensed untler provisions of C�t force antl eHect. Lic. q ._ _ . '_ . Contractofs SlBnature: CONSTRUCTION LENDING AGENCY: ❑ I hereby aXirm that there is e construction lending Lend8Y5 Name: Signature: 9(commencing wit� Section 7000) of DlNsion 3 oi Ihe Business entl Profeulons Code, and my license is in full Cless k Date: lar Iha peAormence ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lentlers AOdress: Date: - OWNER•BUILDER DECLARA710N3: I hereDy affirtn that under penelry ot perjury t�et I em EXEMPT FROM THE CONTHACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Busineu antl Protessions Cade: Any ciry or counry which requires a permit to canstruc6 elter, imprave, demolish, ar repair eny sWctura, prior to Its issuence, also requires Ihe epplicant for such pertnit to file a signad stetement Ihet he or she is Ilcensed pursuent to ihe pmvislons of the Contractors License Lew (Chepter 9(commenclnp with Section 7000) of Division 3 of the 8usiness end Profeulons Gode) or that he or sha is ezempt therelrwn entl the basis br I�e alleged exemptlon. Any Woletion of Section 7031.5 Cy eny epplicent far a permit subjects ihe epplicant to a civil penalry c� not more ihan live huntlreG tlollars ($500).): ❑ I, es owner ot the property, or my employees wit� wages es t�eir sole wmpensation, WILL DO THE WORK, end the structure is not intentletl or oNeretl tor sele (Sec. 7044, Business antl Professions Code: The Cantractors License Law does nat apply to an owner of property who builds or improves ihereon, antl who daes such work himself or herselt o� through his or her own employaes, provided ihet such improvements ere not Intended or otteretl for sele. If, however, the building or improvement is /sold withln one year of completion, ihe owner-builder will have ihe burden of proving ihat ha or she tlid not build or improve for purpose oi sale.�. �I, es owner oi the property, am EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to conslrucl Ihe project (Sec. 7044, Business and Professions Cotle: T�e comrectors License Lew does not apply to en owner ol property who bulltls or Improves thereon, and who coniracts tor such project with a contractor(s) license pursuant to lhe Contrectors License Laws.). lem Verificetion of Ownershlp by (type of Bu51ne59 end Prolossions Code lor this reeson: s ❑ No a I.e. - property tez blll or deotl): DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION: ❑ I �eraby certify that no excavatlon five (5) or more feet in tlepth inm which e person is requiretl to tlescen4 wlll be mede in connection with work euthonzed Dy this permit, antl that no huilding sWcture, sceHolding, felsework, or demolition or dismentling thereol, will be more then thirty-six (36) feet higR (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Adminisirative Cotle). . ❑ As owner-Guilder, I will not employ enyone to do work which would require e permli from the Division of Intlusirial Safery, es noted ebove, unless such person hes e pertnit to do such work from ihe divislon. Signature: Oate: Division of Industrial Safery Permit Num�er: CERTIFlCATE OF COMPLIANCE AND AUfHORRATON OF ENTRY: I certity under penalry of perjury that I hava reatl this epplication and stete ihat the intortnalion given is wrtect. I egree to wmpty with all stete laws and dry ordinances relating to building consiructlon, antl auihodze representatives ot the Ciry ot Costa Mesa to enter upon the above-tlescnbed properry for Inspadion purposes. I egree not to occupy or ellow occuDency of eny building au�peria�d by this pertnit until final inspection. COpE1, INSPECTIONTYPE QdjF, 1616 Fixetl System Flnal Flra Preveniion 1266 Pool Spa Finel 200 Final Re-Root 207 Finel BIocWRetaininB Wall 202 �� Final Fectory Fire Plece ' 203 Final Sign 204 Finel Demolition uut. � COOEI INSPECfWNTYVE 208 Final Mec�anical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 ' Final Planning Approval 222 FInalSite 250 Flnal Bullding/Occupenq .� .y .i� � PflOJECT R�OflESS: Q Q 8 FORD RD � o� UNIT: OWNEB'SNAME: LA PLANT, MARY LOUISE � I nooeess: q08 FORD RD li� COSTA MESA,CA �"""' 92627 PflCN/ENGINEEH: AOOHESS: xec.xo.: IINIT: PEflMITiEE: LA PLANT MARY LOUISE ( 714 ) 722-0718 ADOflESS: QOB FORD ROAD A C.M, CA 92627 LICENSEO CONTBACTOB DECLABFTION: I here6y affirm I�at I am licensetl untler pmvisions ol Chapter 9(commencinp with Section 7000� oi Division 3 0� I�e BuSiness antl Pmtessions Cotle. an0 my license is in full lorce antl e�fect. LITY LIC.: STRTE LIC.: CLASS: �a�e: SignaWre: � WOflREflS' COMPENSATION UECIABATION: I hereby alfirm tha� I have a cetlifica�e of consenl lo selbinsure or a cetlilicaie ol Workers' Campensaiion Insurance. or a certi�ietl copY ��ereof (Section 3800, LaE. C�. POLICY NO.: E%P. ORTE: COMPANY: �� ❑ Cetli�i¢tl [opy is Aere�y lurnis�etl. ❑ Certifietl copy is filed with t�e ciry BuilCing Division. Oate: ApD�icanc � �' E%EMPTION FBOM WOPREBS' COMVENSIITION DECLAflATION: (ihis SeClion neeA na� be Camplele0 if fAe permil is lOrone hUnOretl ($100) or less�. I cetlify �ha� in �he petlormance oi ��e work lor whic� Ihis permil' etl. I�all� mp a per n in a ma e� �o �ecome suDle�� o ��e Workers' C pensalio Laws of Caiilomia. • Oale: SignaWre: /// NOTICE: If. a�ter akinB �� 4eClaraiion, y0u S�ou10 betOme SU�let� �o �he WO ers omp sa�ion pmv ns ol I�� Cotle. you musl otlhwi�� omply wi�h such provisions or �his permit shall be deemed revokeA. �f � CONSTBUCTION LENOING RGENCY: I nere�y allirm inat tAere is a consimciion lentling agency lar tAe perlormance ol Ne work lor w�ic� Ihis permii is issued (Section 3097. Civ. C�. ' �'/�,/ lENOEN: RO�flESS: OwNEB BUILOEP OECLAPRTION: I nere�y allirm ihal I am exemD� ��om ihe Coniractors' Slale License Law lor Ihe followinp reason (Section 703L5 Business antl Pwlessional Code: Any ci�y ol counry w�icA reQuires a permil m consimc�, alt¢r, impmve, demolish, or re0air any s�mcWre, prior to its issuance. also repuires Ihe a00�icant for such permit �o lile a signetl sia�emen� ��al he/she is Iicense0 pursuam Io Ine pmvisions ol ihe Comraaors' Stale License Law (Chapler 9(commencinp with Seclion 7000) ol Uivision 3 0� Ihe Business antl Pmfessions Cotle) ar Iha� he/she is exemD� therelmm an� Ihe basis for �he allegetl e�em0iion. Any violalion o� Seclion 7031.5 by any applican� �or a permii SUUjeC15 I�e aDPlitant Ia a tivil p¢naliy oi n0i more ��an live �unUretl tlollars (5500�. I, as awner of ihe DmDeny or my employees with waAes as Iheir sole comoensation, will tlo the work, anA �ne ❑ simcWre is no1 intenAeU or o��ereA for sale (Secuon 70aa. Business anA Pmieuional Catle: The Coniractars' State License Law , tloes nal apply �o an oxmer ol a pmp¢rty who builas Or improves ther¢on, anC who doe5 suc� work himSelBAersel� or IAmupA his or her awn employees, O�ovitlee ��al such improvemenls are not intenEetl or oflered br sale. I�, however Ihe huilaing or imD�ovemenl is sold withm one year o� comple�ion, Ihe owner vnll �ave ihe burtlen o� pmving �¢/she tliG noi buila or im0�ov¢ � lor �ne ourpose of salel. I, as owner ol ihe pmpeny, am exclusivety comracting wiih IicenseA cantraclors to consimct Ihe pmjecl (Sec�ion 7044, Business ❑ antl Pmtession5 CoGe: IDe Contractors' State License Law Eaes not appty io an ovmer of D�operty who bmltls ar imprwes �hereon and w�o conlracts lor such prole��s wi�h a coniractor(s) license pursuanl �o Ihe Conlraciors' Slaie License Law�. I am aware Uat D�ool ol Iheir Worker'S Compensa�ion insurance ShoulE Ce provitled to me. � i am eKempi unoer Sec6on: $ p'J Q q 4 e. s P. C. mnnisreasom (1WNEF.-P`;TLDER oaie: �-1 Ownec I ao nereoy cenily ina I am aware I and unAerstanA Ne reauirements oi Ca omia Healih antl Saleiy Cotle Seclions 25505, 25533. antl 2553A ana i�al I or any WWre �ui mg occupan� wilVwill not (circle one) neeG Io comply wilh uid s�a�e codes and Ihe repuirements �or a permil �or con5lmciion or moUil¢a�ion hom Ihe Air Oualily Managemen� DiSVitl. flesitlen�ial wnSVuclion applications are e�emp� imm these provisions. Daie: Applicanl: I �ere0y Cetlity Ihal I �ave read ��is aD0litaii0n ana Siale Ihai I�e aDOve iniorma�ion is rorrecL I agree Io tomply wilA all cily and Cauniy oi�inancesanesiatelavisretalingto�uJdingconsimcimnantl�er Ihoriz r entat,i ,� olihi ityl' e rupon��eabove�mentionetl pmpehy lorin5pecti n purpos 5. 1 Oate: — Signaiure: od�e�'s ��cense i soci Securuy r: b<6 W�ne—Butlding: Green—Cade Enlorcemem: Canary—Applicam; Pink—Revenue; GWdenroa—Nssessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 0'�5103 PERMIT NO; P 065103 PLAN CAECK NO: N GOVT; N SUPP; CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PUAPOSE: ALT JOB DESCRIPTION : 2 SKYLIGHTE, BATI-IRM DOOR S BEDROOM DOOR SQ FT: CLAZM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS; REF;B-65101 it it ik iE if il� if �lE �k it it if �iF #� iE iE �if N� iF if 9F iF i!� it if if iF iF it ik i(� it if �Jf iEiE if if-it it if �M iE ik ## it �k� 1E i!� i/� if # 1! �It 1E i!� it #�Y # ff -Y-IE i! -Y-lf lE if 1F-k it-� #±! # iE �It if Z O N I N G R E Q U I R E�t E N T S S E T B A C K S ------------ MAIN HUILDING ---------- ------ -- ACCF�'�.�Y Hi7ILDING --------- FRNT: FT IN REAR: FT IN FRNT: � IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 4192010� ZNE: REF NO: PLANNING NOTES> > **+�**�r***+t�****�r�r�r*+t*x��t+r*�+t*�**�-�ri�-**�c*+t**ir�**�r***�ri �**�c�*�Y �c*******�+�r��t*****x� D E V E L 0 P M E N T S E R V I C E S F E �, t R�E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: '� ` 41 �t**�f*********��t*�f***** +� �r F��iF*�**DA****'iF�'��1��3iIW�i/�. ifiF9E1t1E�EifiG3fiEifiFMitiEiffEiEififiEliaEiEifiFiEiEiEiElEif3EiEiEiEif�lfifiEifiFffiEiEiEiFififlEiEM `iEjfjfifjFjEiElEiFdEif�fi6?fiF3fiE�EiFifiEiFjFiE�Xr* LEGALIZATION:N F E E $ U M MfA R-X �, STRUCTURAL SEGMENT:N �i};t1� �j�'j�' N�Fj�.1�tAl(� ELE�`I`ECI6;�. I+1gc"�(VIC=- (f FIF.E SMIP/RES GRADING PERMIT 1 0 �. - , �,!� �5$ � � :, � ^ ,_ �r, � SMIP/NON-RES PLAN . ) � v� ISSUE FEE 20.00 " ,,, HOILDING-DIV-> PERMIT ISSUE FLAN-CHECK ,r ��iOTA , PAID DUE TOTALS----> 14,00 20,00 0.00 �"' 3� � 34.00 .00 r � i � �.- RE�'ENUE DIVISION TOTALS--> COLLECTED.: ' 34.0� :OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC �.-FIRE...SMIP'/TOT GRADING PLAN-CHECK 34.�� . --.:. �,_ � � 1� . iliFifif�lEiEiEiFifi:if�)fitifiliFifihiliFififil/tiFififiEikitiEiPit�iPiP#iEititiEll�iE9fifi6�4�}.jf3tif;�iEiF�1F� itiElE�lE�1EiFiEifiEiM1iFit�E�1E3c3FiF*3Ei(��7E�F�lE Z N D I V Z D U A L F E E ,$,R ^.E A�2C� p O W N -� 1 �. —� TYPE QTY D E S C R I P T I O N> j' �' -U29IT COST TOTAL COST i PLU 1 HATHTUB ' �" ",; �.? a � L PLU 1 WASA BASIN _, �,Y, � 7,�p ��-�S�T/� 7�00 �TE: ?il;n;43 .1 CON57RUCTIQN AND PLANNING APPROVALS Permit# t. Temporary Electrical Service or Poia 2, Soil Pipe�Undrgrnd. 3. Electricai Conduit Utility�Undrgrnd. A. Electricai Conduit-Undrgrnd. 5. Steet Reiaforcement 6. Electiicat UFEf: Grnd. 7. Footings -ti 8 ��oundation 9. �Vater Pipe-Undrgrnd. � iQ. Structural Fioor System ' 71 . Property Sewer Line & House Connection 72. Sewer Cap 13. Roof Drains 14. Rough Plumbing jZ 75. Rauyh E1ec(rical•Conduit 16. Roagh Elecvic Wiring �, 7 i.�Aough Winng Sign 18. Rough ElectricaLT Bar Ceihng 79. Rough Heating & Air Conditioning 20. Rough Factory Firaplace 21. DucYs,in Stracture 22. Oucts, Ventiiating 23. Gas Pipe�Rough & Test 24. Foof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Fiashing 2$. Lathing & Sidin9 29. Insulation 30. Drywall Na�l;ng 31. Piaster Brown Coat 32. Etectrical Power RAeterPi�a� 33. Final Electric 34. Final Hzating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Piumbfog 39. Water Service-Fina1 �'S� 40. Gas Service-Final � 41. Soiar pomestic-Final A2. Backfiow Preventer '� 43. Baakflow Irrlgation ; ( 44, l.andscape Irrigation Syst� i '� 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Eiectric Release to Edison 50. Gas Reiease to Southem Caiifornia Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date POOL & SPA � / Date Inspector RPPROVALS Permit �F Date � 52. Pool & Equipment location 53. Steel Feinforr,ameni ' 54. Forms ,� . 55. Electricai Bonding . 56. Rough Plumbing & Pressure TesT � � 57. APPROVAL TO COVER�GUNIYE� �' 58. Electrical ConduiFUndrgrnd. �' �' 59. Gas Pipe, O UnGrgrnd., Test � '( 60. Backwash Lines, P�Trap, O Undrgmd. . �'d � 61. APPROVALTODECK �� ` ' '1S L� - 62. Backwash & Receptor-Final ; �� . . � � 63. Heater & Vent-Final � r- ; � . 64. Plumbing System - Finai i� � . �/ ��6 65. Electricai�Finai O � 4:- _� 6fi. SolarSystem-Final ;��.- `� , 67. Fencing & Access Approval � • 68. APPROVED FOR PLASTERiNG 69. POOUSPASYSTEMSFINAL FIRE DEPT. REQUIREMEN7 APPROVALS �Permit# 0 � 70. Underground Hydro 77. Praduct Piping C7 Gas ❑ Oii 72. Underground Flush 73. Undergrnd. Storage Tank G Gas ❑ Oil 74. Ovarhead Hydro , 75. Dry Chemical 76. Dry Standpipe 77. FIXEO SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIF�CATE ISSUED Notes: �-�`t'P/."Y.- /'71.7 �n�»�.A. .r:�7�i VNOJECT RDUFESS: Q O II FORD RD OWNEP'SNAME: LA PLANT, MARY LOUISE nooeess: 408 FORD RD #B COSTA MESA,CA 92627 AflCN/ENCINEEfl: RUONESS: NEC.NO.: uNiT: uxir: PEflMITTEF: LA PLANT MARY LOUISE (719)722-0718 aooxess: q 0 8 FORD ROAD A C,M, CA 92627 LICENSEO CONTflACTOP OECIABATION: I hereby affirm tha� I am IicenSetl untler provisions o� Chap�er 9(commencing wi�h Sec�ion �000) ol �ivision 3 0l ihe Business antl Pmlessions Coae, ana my license is in lull lorce antl eflecl. CITY LIt.: STATE UC.: QASS: Oale: Signa�ure: WONKEPS' COMPENSATION OECLAflATION: I �¢reGy allirm thal I tuve a cenificaie al wittent m 5¢II-in5ure Or a certiliW�e ol Wark¢r5' � ComOensalion InsuranCe. or a cenili¢tl COpy I�ereol ($¢tlion 3800. LaU. C). 1 POLICY NO.: E%P. ORTE: COMPANY: ❑ Cerlilietl coOY is here�y �umishetl. ❑ Cerii�ied capy is �ileA vn�h �he ciry Buil�ing Division. Oale: ApplicanL I E%EMPTIONFNUMWOPREBS'COMPENSATIONOECIAflATION: Qhi55eclionneeUnolDecompletetlittheperm1i51oronenunEreU�$100�orless�. I cetlity Ihal in �Ae Oerformance al I�e work IOr w�ic� ��is permi issue�, I shall nol e la y D on in fy n ¢r So as Io become subjecl lo Ihe Workers' mVensaii L w i Califomia. � oaie: Sipnamre: NOTICE: II. afl makin0 thi Ueclara�ion, you s�oula hecome subletl lo Ih rs ompensatian Dmvisions al the LaDor CoOe, you must fonhwiln complY w��n such provisions ar tlNs permit snall be eeemetl revokea. CONSTBUCTION LENOING AGENCY: I here6y aifirm t�at ihere Is a constmc�ion lenaing aAency for the pedormance oi Ihe work for whic� I�is permil i5 issued (Seclion 3097, Civ. C�. LENOEP: AODflESS: � OWNEB BWLOEN OECIANRTION: I hereUy affirm that I am eeempt irom t�e Canvactors State License Law for tAe following reason (SetliOn 7031.5 Busfne55 and 7mleisional Cotle: Any tily oI couniy whitA repuire5 a permii ro[onSVUCC al�er, impmv¢. Oem0lish, of reDair any 9mcture. prior to i�s issuance, alm rtquires I�e appliwn� lar suc� permit �o �ile a signed slaiement lhai halshe is licent¢E pursuant to �he pmvisions ol tne Camrapors' State license Law �Chapter 9lcommencing wi�n Section 7000) ol 0ivision 3 0( tne Business ane Pmlessions Cotle) or iha� he/she is exempt �nerelmm ana ihe bas�s for the alleAeA exemption. My Nolatian ol Section 70.37.5 Ey any applicant lor a permit SU�lects t�e ap0lican� lo a civil penalry ol not more I�an five Auntlr¢0 tlollars (SSIXI�. I, as owner ol Ih9 P�openy or my employees with wapes as Iheir sole compensation, wlll Oa Ihe wofk, an0 ihe ❑ stmcwre is nol inten�etl or oifereU for sale (Seclian 7044, Busmess ana Pmfessional Code: The Coniractors' State License Law Uoes not apOry m an owner of a DmDeny who buittls or impmves ihereon, anA wlw Ooes such wark himsetl/herself or NrouAh nis or her own employees, proviaetl Ihal suth improvemenis are not intenaea or otterea for sale. If, however the Guiltlinp or impmvement is soltl wil�in ane year ol comple�ion, �he owner vnil hare the �urden o� provinq he/she ditl �ol builtl ar impmve tor t�e purpose al s9�e�. I. as owner ol lhe O�oDeny. am eMclusively conlracting with licensea cOntratlars lo wnstruct ihe pwjecl (Setlian 70GC, Busineu ❑ antl Pmlessians CoOe: T�e Con(raciors' Siare License Law ace5 noI appty ro an wmer ai properrywho bmlAs or imDroves thereon antl who wniracis fOr such pmlecis wilA a canlractoqs�licen5e pursuanllo the Con(raclors Slale �ic¢nse Law),I am aware Ihal pmol o� ��eir Warker'S Campensation in5urance 5�oultl Ge proNtletl �o me. � I am r.xemo� un0er 5ec�ian'. H P 7 0 4 4, B. 8 P. C. mrm's`eas°7�E -BUILDER �ryyJ��-/7y�j�� Oa1e � 6wner. ��/_��`��{L_ I Oo �ereby cetlily ha� I am are ol an0 untlerstantl t�e reQuiremen�s oi Califomia Heallh antl Safety CoAe Sections 25507, 25533, ana 2553A anE t�al I or any fuNre �uilaing occupanl wilVwill nol (tircle one) neeE la compry vntA saiG slate CoOes anE ihe repuiremenis for a permit lor conslruction or mOtlificalion imm ihe AirOualily Management Oisifict. FesiOential tonsiNclian apDlications are eaemD� ��om 1025C Of0V1Y0115. �ale: Appl¢an�: I nere�y r,etlily Ihal I have re8a I�is apPlicalion and slale Ihat I�e ahove inbrmalion' correc� I aA�¢e �o compty wit� all city anC counry ortlinancesantlsla�elawsrelalinglobuil0inpconslmctionantl Oyauthoriteiepres ivesoi hlsc � uponlheaUove-menlionetl pm0erly lor m5pecli n purpa s // Oa�e: fy,� Signamre: Drrver's uren e or Sai . Securny �: i6A446 Whne—Bwltling; Green—Cotiv Enb¢emem: Canary—ApplicanL Pmk—Revenue: GOIEanrotl—Assessor CITY OF COSTA MESA - BUILDING PERMZT PERM N0: E 06607i PERMIT NO: E 066077 PLAN CHECK NO; N GOVT: N SUPP: Y CONSTRUCTION TYPE; V-N PEfiMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION ; 2 SitYLIGHTE, BATHRM DOOR & BEDROOM DOOR SQ FT: CLAIM VALUE: CALC-VALIIE: GROQP OCC: R-3 / COMMENTS; REF;B-65101 & E65102 *+t**+t�x�+r�r-�r�r+t*�r�r�r**-�rx�-rt�t�rr**rt*�r�r�r�r**x��r**x�x-**�r*�r�r**�t�r�t*�**�t�r�r+r�r�r�r-�rx�r�r�rv��t**�r**�r�r�r�* Z O N I N G R E Q U I R E M E N T S� 5 E T H A C K S ------------ MAIN BUILDING ---------- --------- ACC FRNT: FT IN REAR: FT IN FRNT: LEFT: FT ZN RGiiT; FT IN LEFT: FT PAAKING REQ• PROV; PARCEL: 91920102 E: PLANNING NiJTES> T 1Fif1ElEfkiflfiklfiElfiEif%i6itiEiEfEiEiflfififiEiEfElEkififiEiliflEiEiE1flfiEiEiFltif�tiE3fMifiEiE �f D E V E L O P M E N T S E Ft V Z C E S R E. ZONING APPROVED BY , HUILDING APPROVED HY : GRY BUILDING -------- IN REAR: FT IN IN RGHT: FT IN NO; iE if if 1E 1k iE iE 9F iE if jE iF iE it iF if iF iE 1f iE iE iE I R E M E N T S DATE; DATE: APPLICATION ISSUED BY; DATE: � �� itiEiliElEjEiEiFifiEiEiEififiEiFiEiEitiEiEiE iF jEiE+fiEiEiFiEiE�7EiF )FiE ilifaElEi6jfififikiFiffEiElElEifiEiEiFiilElflEiEifikiEifiEitlF1llflFiFikiEiEjliElE�EiFifiElfiFiEiEiFfEif�EifiE fiEiEiElfiElEifiEififiFiklF�fiflFiFftiFifiEif LEGALIZATION:N F E E "S U M M A R Y STRUCTURAL SEGMENT:N ,� BLDG PMT PLUMBING ELECTRdG' MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00 " - SOt• ' SMIP/NON-RES PLAN - � ` s � ISSUE FEE � 4:;50^ BUILDING-DIV-> PERMIT ZSSUE PLAN,-CHECK TOTAL PAID DUE TOTALS----> 11,00 4.50 _ 0�.00 15,50 15.50 ,00 REVENUE DZVISION TOTALS--> COLLECTED: 15.50 OVER/SFIORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CfIECK 15.50 . -_ it ik 4 i! iE iE iF if iE it iE if if !E k iE iE it 1t it it it if iE iE if jE iE iE it i! iE if ik if iE,it iE iE if iE i! iE iE �f �E if !E if iE it if iE ik iF ik iE iF M 1E %iF if iE iE k if iE iF �E f! k iE fE i! iF 3f jf iE I N D I V I D U A L� �F"E E H R E A K D O W N TYPE QTY D E S C R I P T 2 O N' -- UNIT COST TOTAL COST ELE i SUS-PANEL ' � '1.00 11,00 _ END^ OE FEES 1 1�.r1I� . n . _ � C'. b�.1,4IW6� L i �: . , CONSTRUCTION AND PLANN�NG � POOL & SPA � APPROVALS Permit # Date i�spector pPpflOVALS Permit �k Date �nsue�,... 7. Temporary Electrital $ervice or Pole 52. Pool & Equipmeni Locauon > , 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement 3. Electrical Conduit Utiiity�Undrgmd. " 54. Forms 4. Electricai ConduiY•Undrgrnd. 55. Electrical Bonding - � 5. Steel Reinforcement 56. Rough Plumhing & Pressure Test �� 6. Electrica� UF6R Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrical Conduit�Undrgmd. 8. Foundation .'� 59. Gas Pipe, � Unciryrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Undrgmd. J� i 10. Struaural Floor Syscem 61. APPflOVAL Tp DECK � .. 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final . � r - `i ! ; 12. Sewer Cap i' 63. Heater & Vent�Final � ' " 73. Roof Drains �:: 64. Plumbing System - Final �' �, �. �• 74. flough Plumbing 65. Etectrical-Final ' '�•' 15. Rough Electritai-Conduit � 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access ApProvai ' 17. RoughkViringSign 68. APPROVEDFORPIASTERINO ' 78. Rough Electrical�T Bar Ceiiing 69. POOL/SPA SYSTEMS F�NAL 19. Rough Heating & Air Condtioning fIRE DEP7. REQUIREMENT 20. Rough "ractory Fireplace APPROVALS Permit � 21. DuC.s, in StruGture . 70. Underground Hydro 22. Ducts, Ventiiatiog 71. Product Fiping O Gas � Oil 23. Gas Pipe�Rough & Tesi 72. Undergroand Flush 24. Raof F�aming 73. Underymd. Stora9e Tank O Gas O Od 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling 1Structurail & Monocoat 75. Dry Chemical 27. Frame and F!ashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL �, 29. Insulation 78. PIflE PREV. PINA� .� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � -= 37. Plaster Brov��n Coat 79. FINAL WSPECT�ON .. 32. Electrical Powar hl2terFinal 80. FOOD CERTIFICATE iSSUED -, �, • aj y_sr� 33.FinaiElectric 3 � ' Notes: !�-a�,�%�-C�7it-C�1C��--'�Q � 34. Final Heating & Air Conditioning � `� C��- _ A�:_ 35. Final Gas Pipe�Test _ I_ 36. Hood or CanopY ) �_! '9-%�� - - - - 37. Final Fac:ory Fireplace � 38. Final Plumbing - 39. Waier Service-Final . '_ 40. GasService-Final �� . �� 41. Solar pomesticFina! � � l�- � �'�. 42. Backflow Preventer 'r � - r �i 43. Backflow Irrigation . . . 44. Landscape IrriGation SYsiem � .�. 45. Sound Attenuation /� � , 46. Handiup Regulations ' -' , • _ .° 47. FINALSTftUCTURE&BUtiLDtPSG � - 48. FINAL PLANNING ., : ' ' . 49. Electric Release to Edison ^� � - 50. Gas Release to Southern California Gas Co � • 57. CEATIFlCATE OF OCCUPANCY �`' No. Date � � , I 1/. vi �--� , nooxEss: 408 FORD RD I'SNAME: LA PLANT, MARY LOUISE nooaess: 408 FORD RD ItB COSTA MESA,CA 92627 ♦ AflCM/ENGINEEfl: nooxEss: NEC.NO.: uxiT: PENMITTEE: LA PLANT MARY LOUISE ( 714 ) 722-0718 aoosess: 408 FORD ROAD A C.M. CA 92627 IICEN5E0 CONTPACTOP OECLANFTION: I �¢re0y aifirm tlul I am Iicense0 unaer provisions ol C�apter 9 �commencing wilh Section 7000� ol Oirsion 3 0l t�e Business anU Pmlessians CoUe. an0 my license i5 in IW torce an0 ellttl. CITV LIC.: STRTE LIC.: C1A55: ' Oate: SigwW�e: WONKENS' COMPENSAiION oECIAPAiION: I hereGy allirm tnat 1 nave a tenilicale al consent to selFinsure or a tenilitate ol Wo�kers' ComDensation Insurance, or a cendieE wpy t�ereof (Section 3800. Lab. C�. POLICY NO.: E%P. ORTE: COMPANY: ❑ Ce�i�ietl copy is hereGy �urn5t�ed. ❑ CertiheE wpy is fileE wit� the ary BuilOing Oivision. Oaie: AOW�fa��: EXEMPfION FNOM WOPKEflS' COMPENSIITION DECLIflAT10N: (it45 5ec4m iReO ro( Oe mmpete0 i� IAD perml 6 �d one IniMrN (5100� or less) I wrlity Itut in ihe petlarmance ol Ihe work lor wNU Ihis permit ¢ i sue0, I stal ' � person in any manner w as �o beco su�le�� o ��e WorkerY Cam nsation L lilomia. �a�e: ignatuR: NOTICE: II, atler makin tliis aec ra w�, rou snoma ea wGject io t�e Workers� Compenutmn provisions ol the La�or Caae. you mus� fanhw.n com wiln sucn pronLart or 11is Oermii slwn be tleeme0 revokea. COKSTflUtT10N lENOING RGENCY: I nere0y affitm inat tnere 6 a mf5iruciion lenai�p a0e�' �or Ine ceMormance of the xroA lor wnicn mis oermil is i=suee �Section 3097. Gv. C�. LENDFfl: aooness: OWNEB BUILOEB OECIAflRTION: I �er¢Oy a�lirm Ihdi 1 am exempi Irom Ihe Contratlors' Stare License Law lor ine fallawing reason (Section 7031.5 Busness ana PmfeS4ona1 CoEe: Any nly ol COunty wNt� repuire5 a perrtul Io wiatNp, alter, imprOve, aemolisn. or reDair any SlrutWre, ptior �o its i55uante, ako rppuire5l�e applitdn� lor SUC� permil 101i12 a 5igneG 5lalemenl IIWI hNs�e is litensetl pursuant Io Ine Drovivons of �I¢ Comraqors' Slate Licenu Law �CIaD�er 9(commentinq witli $eciion 7000) 0� OiviSion 7 of tne Buvneu ano PmIe55ions COtle) oe ihat npJsne 4 exemo� Ihe�eltom ane ihe Oaps for Ihe allepea evemplion. My vioWtion of S¢tlion 7031.5 ey any aov��m lar a Dermi� w�jects the apo��wnt Io a 1ivil penalry ol no� more rtun live nuMreA OOAars (35UD1. I, as awne� ol tne propeny or rtry em byees witn wapes as tAeir sole compensatian, wi0 Oo tne woM1. ana �ne ❑ simcwre is noi imenUeU o� otferea for sale I�c�wn 70aa. Business anG Pmfessional Cotle: T�e Contraclors' Sla�e License Law Ooes not appty ta an Ovmer of a D�openy wtn Uui105 ar improves tMrCOn, a�M wtq Ace5 suUl w0A Nmulf/hersell or I�roup� �is or �er mvn employees. O�oviGeE Ilut suU improvemenls are not inlenE¢E or allereJ lar sale. II, �awever Ihe buil0ing or imprmemeni is SdG miNn On¢ year 0� tamdeiian. I�e owner will IuvO ttM EurCen of OrOHnO ��e 4i0 nol UuiW or improve br ihe purpose of 5a1e1. I, as owner ol t�e O�oceny, am eeclusiveN Comraciinp wii� Iicense0 coniraclors �o wnsirutl l�e pwlect �Seciion 70aa, Business ❑ an0 Protessions CoOe: T�e Coniraciars' State Lkeme Law Ooes mt appy to an ovnrer of o�opertyx1p Euil05 a improves itiereon ana wp0 [oniratls tor Sut� proletls wii� a COniratlor(5� li[ln5e Dursuanl Io Itle COnlrat�af5' $Iale LitenSe Law�. I am aware tlwt prooi o� t�¢u Worker'S Comp¢nsatqn in5urant! sMu�E De 0�� io me. �]i i am exempt unaer Secuon: B P 7 0 4 4 e. 8 P. C. mrmrsreaw�: NER-BUILDER - oate: Ormer. I ao nere�y cenify ihat I a aware of an unAerstanOlne teauiremenis ot Calilomu Heallh an0 Salety CoGe c0ons 255Q5, 25533, antl 2553a ana mat 1 or any imure ouiwmg a upant wiNvrill rot (drtle me) nee0 m comON �+�� itl state cotla an0 the repuiremenis far a permit lor consimtlion or ma0dication Iwm Ihe Air Ouabty Manaqemenl Oi51ric1. RevOeniul tonslmciion aOYlicalions are eKempl Imm inese provisfons. Da�e: ADOlicanl: I �¢�e�y ceNty thai 1 have reaG �N5 applicati0n an0 Slai¢ Ilui I�e a0ove iniormalion is corre[I. I apre¢ lo comON �^�� all tiry anG coun ortlinances an0 s�aie Ww5 reldling to buildmg conStNclion aM �ere0y auttqr¢e repre5en1d1ivCt ol lhit d�y lo en�ei upon Ihe above-mentione Omperly tor inspectian pure 5e5. Daie: Signalure: Oiivefs Liwnse o� Social ecurity x: I6aPa6 W�ite-6uilEmg; Green—GaEe Entorcemen�: Canary—ApPlican�: Pmk—Revenue: GOIEenroE—Assessor CZTY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 065102 PLAN CHECK NO: N CONSTRUCTZON TYPE: V—N PERMIT TYPE: ELE JOB DESCRIPTION : 2 SKYLIGHTE, BATHRM DOOR 6 BEDROOM CLAIM VALUE: CALC—VALUE: COMMENTS: REF:B-65101 *x�**�r#+r*+t**�c*�+r*.�+r�-��-�-**x�+t�r***�c***+r+r+rs*+��w#�+��a� �-*�+t�* 7. O N I N G R E Q U I R E 1 E N S E T B A C K S , �PERM NO: E 065107. GOVT: N SUPP: N PURPOSE: ALT SQ FT: GROUP OCC: R-9 / a�s*�s��c**r ------------ MAIN BUILDING ---------- --------- yc;CESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FANT: 'T IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: iT ZN RGHT: FT IN PARKING REQ • PROV: PARCEL; 91920102 ZNi� REF NO: PLANNING NC3TES> > it tk it if if iE it if� if i! if if if if 1t it # if if if-41! iF it it iF ik if it if it iF �lt YF 16 ik k i! if 1E iE iE iE it itlE if k if if if iE 1f� iF if iE it iE if )f if iF iF % iE M iE �1f 9E if iF iE iE it iF # iF �Y # D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY — DATE; BUILDING APPROVED BY : DATE: APPL3CATION ISSUED BY: � , DATE: 1lI`�� i� if 1E if 1f fkif 1f it iE if 1! if iF1i'if')f ffif if 1f 1f 1f x rt� i��il�x 1E if 1f iE 1h %'if if if')fi�.�if i� �f< 1'c 3F �Fic�re kifititifiFititifitiFlflfitititiFifiEkkltilkikititkififqiEf:it�lkitiliFitlkffiEltifkilffMitlfifMkififiElEiF3flkiEfFffiEiEifiEilifiElfiilEiElffEkif LEGALIZATION;N F E;E" S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC'� MECHANIC FIRE SMIP/RES GRADZNG PERMIT �O.,SQ. • SOE�: SMIP/NON—RES PLAN ` ISSUE FEE �15.tl0 bUILDING—DIV—> PERMIT ISSUE PLAN—GHECK TOTAL PAID DUE TOTALS----> 10.50 15.00 `d'�00 25.50 25.50 ,00 REVENUE DIVISION TOTALS--> COi�LECTEp: 25.50 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANTC FZRE SMIP/TOT GRADING PLAN—CHECK 25.50 • , � , i4'kiF if 1f i! if iE 1f 1f 1! if 1F itlEiFifif 1t 1f 1f 1f 7! 7f 1f if 1f N iE ff if 1f�lf fE iE if.1t{f it M 1f !f 1f if if ik �! ih 11'1E ifif�ifi(�iF 14 if iE !F if 1f % jfif 1f lFiE 1E�lE iF ih 1E if iE iE if If iE # I N D I V I D U A,L ` F E E B R E A K D O W N �TYPE QTY D E S C R I P T I O N' � � " IT C ST TOTAL COST ELE 1 FIXTURES LIGHTING' �7�" � � � ,75 .75 ELE 2 RECEPT/O�)TLET �' .75 1.50 ELE 3 RECEPT/SWITCH p) ,75 2.25 ELE 2 MOTOR/POWR APPARATUS[; i� 3.00 6.00 / E�PL ; I _}'1 je7��H (�il'7e., J, ,� � ,�ti� ,. , _ �� /� 07 / /_0(�%� r( J � 0 !� /�a•�� l '—q� , Gi D0:5i4;�:-001�145; Ta�'f �5.5�� D GP.T[: 1?/30iS3 "iirE: 15::: ��s� � ��'� 7^7 � ��Cl1�rg _ -�.. - - -�— � I '� NSTRUCTION AND PLANNING :��PROVALS Permit # r � 1. Temporary Electrical Service or Pole 2, Sod Pipe•Undrgmd. 3. Electrical Conduit UtiIrtY�Undrgrr.d. 4. ElectriCal COnduit�Undrgrred. 5. Steel Reinforcement 6. Elcctrical UFER Grnd 7. Footings B. Foundation 9. Water Pipe�Undrgrnd. 10. Structural F�oor System 17. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rouyh Electrical-Conduit i6:flough Electric Wiring 17. Rough 1Viring Sign 78. Rough Electrical-T Bar Ceil�rg 79. Rough Heat;ng & A�r Cond�non�cg 20. flough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilatir.g 23. Gas Pipe-Rough & Test 24. Roof Framing 25. floof Sheathing 26. T•Bar Ce�ling (Strucmrall & ?lonocoat 27. Frame and Flashing 28. Lathinq & Siding 29. �nsulation 30. Drywall Nailing 31. Plaster Bro�vn Coat 32. Electntal Power Nie[er�F�nai 33. Final Electric 34. Final HEating & Air Cond�tioning 35. Final Gas P�pe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbin. 39. Water Service-fP�nai 40. Gas Service-F nai 41 . Solar pomeStic-Final � �� r 42. 8acktlo+ri Preventer %/ ✓ 43. BackflA� Irngation'� fP' 44. Landscape Irriqati ,n Sysrem 45. Sound Attenuation ' 46. Handicap Reg�lations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southem California Gas Q Date Date � Inspector 0 i• � POOL ,PA \` i APPROVALS Permit,� Date inspector ' 52. Pool & Equipment Locauon 53. Steel Reinforcement � � 54. Forms � � 55. Eiectrical Bonding � 56. Rough Plumbing & Prssurc Tast , 57. APPROVALTOCOVER�GU�!iTF, ! ' 58. Eiectncal CondwrUndrgmd--�� - t- ' 59. Gas P�pe, O Undrgrnd., Trst I� + -- I 60. Backwash Lines, P�Trap. C� Undrnnid. � -- + 61. APPROVAL TO OECK • � � - �- - 62. Backwash & ReceptorPinal - � I 63. Heater & Vent•Final • � 64. Plumbing SYstem � F�nal � " 65. Electrical�Final � 66. Solar System-Final j � 67. Feocing & Access AnProaai � � 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEU'SFINAI ' FIRE DEPT. REQUIREMEN7 � � APPROVALS Permit �'r- i 70. Underground Hydra -' -. 71. Product Plpin9 G Gas :j O�� 72. Un�ierground Flush �, 73. Undergmd. Storaga Tznk (� Gas � U�I �- 74. Overhead Hvdro 75. Dry Chemical � �6. Dry Standpipe 77. FIXED SYSTEAA FINAL --a 78. FIRE PREV. FINAL I__1__ _-_� HEALTH DEPT. REQUIRENiEf�T 79. F�i�AL INSPECTION � � - ��. OOD CERTIPiCATE ISSUED_ � _ _ � -� ",. �t� ll��? /�1S- 9u��- -�e� . '�;�,,,�:� ,1�-r_{-e.��.ac..Ec�- -=.�C-- - -� ; 3��q�..��e 4�c-�.- ; _ G��-�-� __; _y I � J PflO�ELT AUOflESS: Q Q$ FORD RD � • .9WNEN'lNR�: LA PLANT, MARY LOUISE ,� aooRess: q08 FQRD RD 1tB COSTA MESA,CA 92627 AflCH/ENGINEEH: noosess: flFG.NO.: uxir: / ' uxit: PEflMITTEE: LA PLANT MARY LOUISE ( 714 ) 722-0718 nooness: q08 FORD ROAD A .C.M, CA 92627 LILENSEo CONiHpCTOX OECUPR7lON: I nerety altirm inat I am �irenseE unaer o��Msions ot Cluo�er 9 �commencinp vn�n Seclion 7IX10) o� Drvision 3 0l I�e Business aM Pra1e55ions CaOe. an0 mylicense 5 in iNl larce anG ellCcl. CITY LIC.: SiRTE L�C.: CUSS: �ate: S�g�ature: WONREBS' COMPENSATION OEClAM7�ON: I �ere0y atlirm tlw� I �ave a certi�i[ate ol cOnSeni to 5elbinsure or a cehifica�e al Workers' Comoensation Insurance, or a cetlilied coDY �nerool I�clion 3800. Lab. C). � PULICY NO.: E%P. DRTE: � COMPANY: ' � ❑ Cetlihetl copy is hereby Wmished. ❑ Cenifi¢a copy is IileU with t�e city Builtling f�ivision. . oate: Applicant: E1fEMPTION FNOM WONNEXS' fAMPEN511TI0N OEQAMTION: iN5 s¢tlq ¢¢d irot Ge complete0 il Ihe permit is �or one AunEreE 5100) or less). 1 cetlify ihat in I�e petlormance a� the ork lor w�ic0 t�is oer ' " d. I shall not em010 p rson - n ma me sublec� to I�e Worker5' mpensali Laws al Calilomia. Oare: Sqoature: NOTICE: If. alt mdkin . i5 aee��aGd1. y0u SIIouIE he me suCjttt ta �he Workers penSaWn provi9oR5 al Ihe LaCor Cade. you musi Iori�vnl complY �I� Suth Omvisiortt or Ittis permi� Shall Oe CeemeO revOkeO. CONSTNUCTION LENOING �GENCY: I �¢reCy atfirm tldt i�ere 6 a canswction lending agency lar tl1e pedormance af Ihe work lor which Ihis permii is iSsu¢E �5¢cli0n 3��. Civ. C�. LENDEfl: aonness: INSTALL SLZDING DOOR IN THE BATHROOM, REMOVE OwNEB BWLOEB oEtuMiION: I �ereey allirm IINt I am exempt Imm the Cqntracta�s' Stale LitGISC Law bt ine Iallowulg reatOn (Section 703L5 BuSineR ana Pmte55ional CUOe: My Gty ol county wNU reQuires a pe�mit to WnSiNct. alter, improve, tlertqlish, ar reoair any sVucture. prior lo its itsuance. also repuires Ine applicant tor sucn permil to lile a signea stalemenl I�al nUsne is licensea pursuant io t�e pmvisions ol ine Comr�ctors' Siale License Law (C�ap�er 9 �cammencinp vnth Seclion 7000) of Oivision 3 al Ihe Business and Pmlessions CoOe) or ��al �e/slle i5 e�empi I�erelrom and Ihe Oa5i5 for I�e all¢peG e�emption. Any violation of Seclion 7037.5 Ey any applicanl lor a permil 5u01eCI5I�E appliCant 10 a civil p¢nalry 0� no1 mor¢ Itun livt �unEr¢E EOAar3 (5500�. I, as owner of t�a pmperlY or my em loyees mt� waqes as ��eir sola CompenSaliOn, vnll Co t�e work, and Ihe ❑ structme is nol intenCee or ailereA br sale (�tmn 7044, Business an0 Pwlessional COOe: Tne CAntractors' Slale Licensa Law tlaes nol ao0ly to an owner ol a D�oDeriy who �uilAs or imprOveS Ihereon. an0 wno tloes such work himself/hersell or ihrouAh �is or �er own employecs, proviQetl ItWI sucll improvemenls are not inlenUetl o� offeretl for sale. II, however I�e Duildinp or imDrovemenl i5 5010 wil�in One year 01 Compleiion. Ihe awner vnll �ave Ihe Eurden 01 provinp he/S�e tlitl n0� �Uild Or impmve lor iM1e purpose al sale�. i, as ow�e� oi me orooen , am excwsiveiy cOnVat6ng with li[en5¢G conlraclor5 io cOnsimc� Ih0 Dmleci �Seclion 7044, Business ❑ ane Pmlessions COUe: TXe CO��raciors Staie Liceme Law Oces rrot aodY to an ovmer ol propeny wlio EuAOs ar impmves I�ereon anG w�o comrans lor suc� p�al��s vnt� a camracmqs) license Ourswm lo ��e Canira rs' Slaie Lkens w. em aware Ihat pwol ot tneu Worker's fAmOensatbn insurance SAou1A he O�a � ta me. — (�' I am eaemo� uneer Section: � P% O 9 9 B. 8 P. C. mitnis�easan: OWNER— UILDER �. �Dale: Owner. I Oo nereUy cenify Itwt I am aware ol a un0erstan0l�e repwertrenis of Ca4 rma II� anG Saleiy CaOe Seciion5 25505. 25533, an0 �. 255Ja an011ia1 I or any Imure �udding ouupani wilWdl noi (drde one) need Io co y vnm u�a s�me coeu ane me repu�remems �or a ipermii br conslmction or m00iliwlion Imm I�e Au OuaLly Management District. fleAaentul cOnstmction applications are eKemD� ��om I�ese provisions. Oate: AOVlican�: I hereby certity ina11 nave reaa inis atl��ication ana state IMl lne aDove inlormalion is car2ct. I aAree to comply wiln all city antl County or4inancesanU s�atelaws Blalingto �u�ICing conSlrucli0n � autlqnze repr¢sen�a ' �IMS 'ryla¢nter pon� bove-menlione0 pmperiy fo� inspectio o�urposes ,/� Date: �� 9U Signamre i �� . �� i " i �river's License 6r Social ��v �: i6a1 eb While—Butlding: Grean—Coae Enlorcemenl: Canary—Appliwn�: Pink—Revenue: GOltlenraE—Ass¢ssor ✓ C�� CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: B 065101 PLAN CHECK NO: 04678-93 S CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOH DESCRIPTIOPI ; 2 SKYLIGHTE, BATHRM DOOR S BEDROOM DOOR CLAIM VALUE: 1,500.00 CALC—VALUE: 1,500.00 COMMENTS; DOOR AT MAST BEDRM 6 INST. 2 SKYLGHT ICBO# 3933 x��ir�rx��rx*fr****�r�rrir�r�r�r�r�ririr�r*�t*�t+fx�+�+�*�r+r*+r�r*�r**�rir+t+�*�+r�*x�*** Z O N I N GS ERTEB�AUCIKRSE M`E/ PERM NO: B 065101 GOVT: N SUPP: N PURPOSE: ALT SQ FT; 1,500 GROUP OCC: R-3 / —UBC.5207(A)4 *x�*i��t*+a�r+a****ir�rr** ------------ MAIN BUILDZNG ---------- --------- \CCESSORY UILDING --------- FRNT; FT ZN REAR: FT IN FRNT; T I'" rtEAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; f' .�J RGHT: FT IN PARKING REp • PROV; PARCEL; 41920102 Z�'- R2 REF NO: PLANNING NdTES> INTERIOR ALTERATION TO UNIT A; INSTAL ING A SKYLIGHT�^AND INT > ERIOR DOOR. ' *�r�r*�r*�r*�rx-�r�rr�r�***��**�t*i�*�**+rx-***�r*****x-�r�r+t+t**��+r*+�** *a�****�c*x****��-*****�r*** D E �' E L O;P M E N �T S E R V I C E S R E Q' I R E M E N T S ZONING APPROVED BY �^ : � I�A"� . DATE: _�I-� 2� I S� BUILDING APPROVED B1F : � �� "' , ��'L DATE; !�_l_ Z� I�� APPLICATION ISSUED BY: i DATE: ��I� ifiFiEiEit�EiEifiEifififif�iEiEil�lEiF�lFiF if�Ex'�M iEiE3f3FicaF{FiFiF9E�A �h.c � iEiE if�fiEifiFifieifjliFiEif3EiffFiFitlEiFMMKafififjfiEMififiEiFiFaF1F1!ifaEMififKkifiFiE9EiP+fiFif#tiEdEiFjfif{EiFj4�Fi:if{E**iF�e ifi�fFj4�f?f+E*afK LEGALIZATION:N F E E S.0 M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC--"MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 � .50 � SMIP/NON—RES PLAN 22,75 - ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN-C,El;ECK TOTAL PAID DUE TOTALS----> 35.50 0.00 '22..75 58.25 58.25 .00 REVENUE DIVISION TOTALS--> COLLECTEDi; 58.25 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRZC MECHAN�C FIRE SMIP/TOT GRADING PLAN—CHECK 35.00 ;. .50 22.75 iF * ie iE if af at if aE at �t �f it x� it ic af iF iF * if ik it it it i� it it iE ** iF * it�K i[�+F+t+it ih:: * iE if i(� iF �E it it iF+r iF iF ** x. ic if if iF it �F * iF ic ac ic iF +f if it at iF if ** iF if +t I N D I V I D U A U" .F—•E E B R E A K D O W N TYPE QTY D E S C R I P T I� N,�, UNIT COST TOTAL COST SFR 1500 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 1,500.00 END OF. FEES _ � �,�� , SMOKE DETECTOR REQUIRED &� ��d c�c�r. q�rslsG ._... CrM'%�v� p/Yti�l M� E�C� E+J:a.. � T�� c�o�. $v�A ,� �, i� /=x�oti�.4►� Meo�u-�t..Q�_ Gi�. . �L�T 1e�54 SS — �� r � .• . .: �LONSTRUGTION AND P�ANNING � .tPPROVALS Permtt # ;t. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electricai Conduit Utility-Undrgrnd. � 4. Ele�-ctrical Condui2�Undrgrnd. 5. Sieei Reinforcement � 6. Electricai UFER Gmd. + 7. Footings " ' �8. Poundation � ' 9. N,'ater Pipe�Undrgmd. � 10. S.ruczural Fiuor System . 1 7. Property Sewer Line & House Connection � 11. Sewer Cap 73. Roof Drains 14. Rough Piumbing 75. Roirgh Electricai�Conduit �- Torflough Electric Wiring � 77. Rough Wiriny Sign 1$. ftough Electrica6T Bar Ceiling 19. Rouyh Heat.ing & Air Conditioning 24. Rouyh Factary Fireplace �- 21. Oucts, in 5tructure 22. Ducts, Ventilating � 23. Gas Pipe�Rough & Test 24. Raof Framing 25. Roof Sheathing 2S. T-Bar Ceiling (Siructurail & Manocoat 27. Frame and Flashing Z 28. Lathing & Siding 29. insulation 30. Diywail Nailing 3- 37. Piaster Brown Coat 32. Electriral Power MeterFinai 33. Final Eiectric 34. Final Heat(ng & Air Conditioning 35. Final Gas Pipe-Test 36. Nood or Canopy 37. Final Facto.y Firepiace 38. Final P��mbing 39. iVater Service-Final 40. Gas Service-Final �� H 41. Solar pomestic-Final 42. Backflow Preventer �i .� 43. Backflow Irrigatio�� C4. Landsczpe i�rigauon Systen� 45. Sound Attenuation 46. Ha�diwp Regulations � 47. FINAL STRUCTURE & BUfLDING Q, O 48. FINALPLANN�NG 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Dete Date � I nspector / � POOL & SPA APPROVAIS Permit ,$ _ 52. Pool & Equipment Location 53. Steei Reinforcement . 54. Forms 55. Electrical Bonding � 56. Rough Plumbing & Pressure Test ' 57. APPROVAL TO COVER�GUN�Tfi� 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash �ines, P-Trap, O Undrgrnd. 61. APPROVAI. TO DECK ' --` 62. Backwash & Receptor-Final �'�` 63. Heater & Vent•Pinal ' � 64. Plumbing System - Final � � '' 65. Electrical�Final � ' ' i' r; 66. Solar System-Pinal �. � � 67. Fencinc� & Access APproval � �� - 68. APPROVED FOR PLASTEPING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 7D. Underground Hydro 71. Product Piping C7 Gas OOiI 72. Underground Flush 73. Undergmd. Storagc Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemicai ' � 76. Dry Standpipe 77. FIXED SYSTEM FINAI . : 78. FIRE PREV. FINA� HEALTH DEPT. REQUIREM 79. FINAL INSPECTION � 80. F000 CERTIFICATE ISSUED Notes: ��/�/ Ljs ' /�i„ /�-L v�... .., c _. - � �