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Home My WebLink About3180 CHEMIN DE FER WAY - Building PermitsY' (714) 754-5273 • Fan (714) 754-4BS6 • www.cl.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: $180 CNEMIN DE FER WY Suite: Vicinity: DETACHED GARAGES PrimaryOcc: U � Parce�Number. TPN98079 nppiicant: VES PEARSON Address: P O BOX 3g08 Type of Construction: V-N Zoning: SEAL BEACH, CA _ - ,i'�' Owner. FRENCH QUARTERS HOA Address 2020 E FIRST ST�� - . , SUITE-500%%� ' � . SANTA'ANA�,�CA��• �� ' /%'/��` '' � Contractor. . G'M`ROOF,ING COMPANY`'� Address'� POBOX3908/ �,-� � i � �. , �%„ i . �� Ci ��!-i '- i �`SEAL BEqCH; CA� �� , �Zip: 90740%/�%`/ ii /,�!� rCh':,: ��•_ „ij�/ i .ess:� � �� ,�,',, ' � �. , � Zip: � , � ,, . Phone: . "� License: . � �! � , ;� . --i ._ . , Phone: 562-429-7663 ISSUED BY: ,Zip; 90740 Stalus: ISSUED Applied: OBI022006 Issued: 08I032006 �'r � Phone: 774-285-2626 X211 � � �_ Zip:- � 92705� . � �' � :� � / � ��\ � ;. � ' � . � � -- �.A �' j - � '\ �� Phone: 562-429-7663 =�: � .� � ��:: ', � � . �� . License: 472566 - � = �� \ .: � , . Eng: Address: 2 OFF EXISTING ROOF..INSTALL 2 LAYERS OF 15# ASTM FELT GAF 4C 41R/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED � i �� . ��; :� �. � � Phone: _ A ' License: � � 'ED COMPOSITION SHINGLES-AND 3180 THRU 3786 CHEMIN DE FER WY. FEE SUMMARY , PI n Check�� $0.00 �� " � � ,��Calc Vafuation: Sa,2oo.00 Permit: 3111.25 � � � ~� � � Claim Valuation: � Sa,2oo.00. SMIP Res: ; $0.50 � SMIPCom: - $0.00 � �� , � . Other. � $0.00 � — -- � - '_ ' . . '� ,, - i � `.' Inspection: $0.00 - � .% Total: � $111.75 � �' � : • , � � � � � ��;�„ PLANNING & ZONING � � ,' SETBACKS � " . � � � MAINSTRUCTURE Front�;0.0 Rear �0-0 Left 0-0�� Right 0.0/" .. � � , _ �.�- . . /. , - � . �'c� '_- . , ' .i . i ACCESSORY FronU 0-0;: �� Rea� 0-,0- Left . 0-0 �. Right �.�0=0 . � ��, � �. . �,, �� , . -., .. - ' /, � , i ' �� % PARKING. . �Ezi linq:',' 0 �� Reauired: 0 � Pr000sed: 0 � ' �!� =� �� , � � i , , , �� - - ` � ._ _ - _ , , _�:� /; . � � �. < �/ � ��" / �� - �� _A A � i, - , , . _ '� _ ' `i _ . . -'„ � NOTICE: The work authorized by this permlt shall comply with all applicable handicap eccess requirements under Calilomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically expire end become vold if work Is not commenced wlthin 180 deys, or il work Is suspended or ebandoned for a period ol 180 days. , INSPECTIONS: In order tor the work authorized under ihis permit to be consldered legal, such work must comply with all appllcab�e codes, and all requlred Inapeetlone and final epproval must be obtainad. Feilure to obtain inspections and finel epproval will result in the expiration of this Dertnit. FOR INSPECTIONS CALL: (714) i54-5828 zaaa�e �eroo� WORKERS'COMPENSAnONOECIARAnON: I �ereDy flttirm under panalry ot perjury one of Ihe tdiaxinp dedaratlons: ❑ I heve entl will malntain e certilirate af consent to sell-insure fa workers' compensetlon, as provided for by section 3700 of the Lebor Cade, lor Ihe pertormance ot Ne WOfk IOf whlCh Ihl9 PBRf11i i9 i55Uetl. �_ I have enA will malntain workers' compensatlon insurancre, es reqWrad Dy sectim 3700 of the Lehor Cotle, fw t�e pertortnance af Ihe work br whid� Ws pertnit is issuetl. My workers' cumpensatlon Insurence certier entl pdicy numher ere: . � car�ar. ��if�oFS� ��.. �p �raky N�mnerl DO 1 I t � 2 Zo o c� �(ih19 sectlon nee0 not be comp/ated p Ne pemJt Av vaNed e1 me hurMred ddlars (S I00) or less.) ❑ I certity t�at In the peAormance of the work tor whlU thb pertnit Lq ISsueQ I shall not employ eny person in eny menner sa as to 6ecome sub�ecl to ihe workers' canpensetbn laws of Celif mla, gree Ihat II I shwld become wb�ect lo Ihe workers' compensatian proNsions ol Sectlon 3700 0l Ne Lebor Cotle, I shell fMhwlN comPM with thes9 P Wsi Appceli ntSlgneNre:�� i'� Date:""+ ��,`LIt�E� �._.. w .,.1 WARNINCi: FAILURE TO SEWRE WORI(ERS' OOMPENSATION OOVEMGE IS UNUWFUL AND SHAIL SUBJECf AN EMPLOVER RJ CqIMIW1L PENALTIES M1D CML FlNES UP TO ONE MUNDRED T11p1SMlD DOLL�RE (f/00,000�, IN AODfiION TO THE 00.5T OF COMPENS�TION, DAMFDES il4 PROVIDED FOH IN SECTION 31O80F THE LABOR CODE, INfEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I horeby eMirm that I em Ilcensa urMer pro IoRs oi Chapter 8(commendng wilh Section 7000) af DlWsion 3 oi Ihe Business end Prolessions Code, and my Ilcense is In tull lorce end eflecL Llc.�a --- �� Claas N'� � co�vea�orssiar,emre: ` " ,� �^ oere � . � � i,L . �—__ CONS7RUCTION LENDINO ADENCV: ❑ I hereby eHirtn ihat t�ero is a construdlon lendinp eBenq tor Ihe pedormence ot t�o work for whic� ihis permit is Issued. (Sec. 3097, Civll Code). lentlele Name: Lentlefs AOdress: Signeture: Date: OWNER-BUILOER DECLARATION3: I hereby etfirtn thet under penalry of perjury Net � am EXEMPT FROM THE CONTFiACTORS LICENSE LAW tor Ihe tollowing reason (Set. 7031.5, Buslness eiM Professbns Code: My dry or county which reQuires e pertnit lo canstrucc, elter, Improve, tlemdLsh, or repair any sWcture, pdor to Its issuence, elso requires Ihe applicent tor such permit to flle e signed stetement Net he or s�e Is Ilcensetl pursuent to tha provisiau o1 the Cantrectors Llcense Law (C�epter 9(wmmendnp wiN Section 7000) of DMsion 3 of Ne Business entl Profeasions Code) or that he or she is eaempt therefmm end the besis tor the elleped a:emption. Any Wolatian of Section 7031.5 Dy any epplicent for e pertnfl sub�ecis Ne epplicent to e dvil penalty of rwt more ihan tive huntlretl tldlflB ($500).): ❑ I, es owner af iha properry, or my employees with wages es Uelr sde compensatlon, WILL DO THE WORK, antl the s Wcture Is not iniended or otteretl lor eale (Sec. 704a, Business end Professions Code: 7he ConlreIXors llcense Lew does noI apDN �o an owner ot property who builtls or Improves Ihereon, end who does sucli work hlmsell or hersetl or Nrough Ns or her own employees, proviaetl Nat such imprwements ere not IntendeA or oNered tor sale. If, however, the buiking or Improvement is sald within one yeer of completion, the owner-6uilder will have Ihe burden ol proving thet he or she did not build ar improve for purpose oi sale.). ' ❑ I, es owner of ihe properry, am EXCLUSIVELV CONTRACTING WRH LICENSED CONTAACTORS to construct the proJea (Sec. 7044, Businesa end Professione Cotle: The contractors License Lew tloes not appty to fln owner of OmOerty who Dullds or Improves ihereon, and who coniracts for such pro�ed with e conirector(s) license pursuent to the Contradors License Laws.). ❑ I em exempt under sec. Business entl Professions Cotle br this reason: Slgneture: Date: Owner ID verlfied by drivels Ilcense. ❑ Yes ❑ No Drivefs LJcense No. Verlllcallon oi Ownership by (type oi daumenL i.e. - property tes �III ar tleeA): Eapires: DIVISION OF INDUS7RIAL SAFETV PERMR CERTiFICATON: ❑ I �ereDy cently thaf no excevetion INa (5) or more feet in tlepth into which e person is required to descenQ wlll be matle in connectlon wlth work eut�odzed by Ihis pertnit, and that no UuIlCing strudure, scaHoltling, telsework, or tlemWltlon or dismantlinp thereol, will ba more than ihlrry-slx (36) feet high. (C�ep. 32, Gry 2, Art 2, Sec. 341, Tllle 8, Celltomia Administretiva Code). � Aa ownar•bullder, I wlll not employ enyone to do work whlch would require e permit trom ihe Divlslon of Indusirial Safery, es notetl above, unless nuch pereon hes e permlt to do such work irom the tllvision. SlgneNre: oate: Dlvision ot Intlustnel Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiXORQATION OF EMAV: I certity under penelry at perjury thet I heve reaC �his applicetion antl stete Net ihe InfoimaUon gNen La cartect. I epree to compy w�ih all stete laws antl pry ordinances relating to EuilCinp constructlon, entl authorize representetives oi ihe Clry of Coste Mese lo enter upon Ne ebove-descAbetl propery br inspection purposes. i egree not to accupy w allow occupency ot eny bulidinp euthonzed by Ihis pertnit unlil flnal inspecUon. COOE /. INSPECTIONTTPE . 1618 Fixetl SyStem Flnal Fire PravenUon 1288 200 201 202 203 204 Pool Spa Final Finel Ro-Root Final Block/Retaining Wall Final Factory Fire Plece Finel Sign Finnl Domolltion PAff. Q�ELS 1 � /�� /�� INSPECfIONT'PE 208 Final Mechenical 200 210 212 220 % U eia / Date -� Final Plumbinp Finel Elecldcal Flnel Fire Prevention Final Planninp Approval 222 Finel Slce 250 Final Building�Occupancy (714) 754-5273 • Fex (714) 754-4856 • www.ci.wsta-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lobAddress: 3180 CHEMIN DE FER WY Suite: Viciniry: ROOF Parcel Number: TPN98079 Applirant: PEARSON, VESS Address: P O BOX 3908 SEAL BEACH, CA ' Owner: FRENCH QUARTERS HOA Address 2112 E 4TH ST SANTA ANA, CA Contractor. G M ROOFING Address: P 0 BOX 3908 SEAL BEACH, CA Zip: 90740 Arch : Address: Zoning: Phone: 562-429-7663 � 2ip: 90740 Phone: 714-2852626 Zip: 92705 Phone: 562-429-7663 License: 472566 Eng: Address: Phone: Status: ISSUED Applied: 07/292002 Issued: 07/29/2002 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30# FELT UNDERLAYMENT, GAF 40 YR COMPOSITION SHINGLES, AND MODIFIED TORCH DOWN CAPSHEET ROOF SYSTEM (FLAT PORTION). 3400 S.F. DOES NOT INCLUDE DETACHED GARAGES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $153.25 50.75 $0.00 $0.00 $0.00 $154.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0. 0 Rear 0. 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0. 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $7,500.00 s�,soo.00 INOTICE: The work authodzed by this permit shall comply with all applicable handicap access requirements under Californla statutes and related �. regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This parmit shall automaticalty expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 7 BO days. INSPECTIONS: In order for ihe work authorized under this perml� to be Considered legal, &uCh work must comply with all applicebie codes, and all required Inepeetions 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 tyae�e �eroo� WORKERS'COMPENSAnON DECLARAnON: � I hereby effirtn under penalry oi perjury ane ot t�e following tledaraUons: � I heve end will maintain a ceniticate ol conseni to setl-Insure br workers' compensation, es proWtleA tor by section 3700 0l the Lebar Catle, lor t�e peAormence ol Ne wOfk fOf which t�is peffllit i5 i55ueE. � I have and will maintain wwkers' compensetion insurance, as required by sectlon 3700 of the Labor Code, for the peAortnance of Ihe work fa whkh Nis pemtit Is iswetl. My workers' comye 4ation Insurence carder antl policy number ere: Cerrier. �f'1� FUIvQ PolicyNumber. �e —�� T i��Z (This secNon need not be completed i! fhe permil ls velued et one bundred dallers (5/00) or less.) . ❑ 1 certlly that in the peAormance ol the work for whic� this permit is issued, I shall not employ eny person in eny manner so as to becomu suhject to the workers' compensation laws ot Calilom e. and egre t�at If I should become sublect to t�e workers' compensetlon provislons ot Sectlon 3700 0l Ihe Lebor Cotle, I shall fonhwlih comply with these provisi s. Appllcant Slgnature: p` . �� n.r.�. Dete: �`L`1 (�JL WARNIN(3: FAILURE TO SECUPE WORKERS' COMPENSAiION COVEMGE IS UMAWFUL M'� SMALL SUBJEGT rW EMPLOYER TO CRIMIWU. PE TIES AND CML FlNES UP TOONE MUNDRED T}KKISAND DOLIAFE (5f00,000), IN A�DITION 107HE ODST OF COMPENSATION, UMMGES AS PROVIDED FOR IN SECTION 3108OF TME LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRALTORS DECLARATION: I here6y effirm that I am licansetl un0 r p� lorce and eHact. llc. N� Camractofs Signature: 9(commenting wit� Section 7000) ol Dlvislon 3 of �he Business antl P,�pfessions Catle, end my license is In lull Classp C�_—�� ,�� Date: a .—'�—!7i _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that Ihere Is a construciion lending agency tor lhe pertortnance ol tha work for whic� this permit is issued. (Sec. 3097, Civil Catle). Lendefs Neme: Lenders Adtlress: Signature: � Date: OWNER-BUILDER DECLARATONS: I hereby ettirm Ihat under penalry of per�ury ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW lor ihe following reeson (Sec. 7031.5, Business entl Professions Coda: Any ciry or counry which reQuires e permit to construct, alter, Improve, tlemolis�, or repair any strucWre, D�ior to 14s issuance, elso requires ihe applicant for such permit b tile e slgned stetement that he ar she Is Iicensetl pursuent to the provisions ot t�e Contracrors License Lew (Chapter 9(commencinq wIU Sectlon 7000) at Division 3 of the Business and Pmtessions Code) or that he or she is exempt theretrom end the basis br �he alleged ezemptlon. Any violation of Section 7031.5 by any applicant Por a pertnit sub�ects the applicani to e civil penalry ol not more than frve huntlretl tlollars (5500).): ❑ I, es owner of Ihe propeRy, or my employees with wages as their sde compen5ation, WILL DO THE WORK, antl Ihe siructure I5 not Intended or oMered lar sale (Sec. 7044, Business anC Profeuions Cotle: Tl�e Contraciors License Lew aoes not apply to an owner of propeny who builds or improves Ihereon, and who does such work himself or hersalf or ihrough his or her own employees, provitled that such impmvements are not Intentletl or oHered tor sale. If, however. Ihe building or improvement is soltl within one year of wmpletion, ihe owneo-builtler will have the �urtlen ol pmving t�at he or she tlitl not build or improve for purpose ol sale.). ❑ I, as owner ot t�e property, am EXCLUSIVELY CONTRACTING WITM LILENSED CONTRAGTORS to construct tha project (Sec. 7044, Business and Professions Cotle: The contracbrs LJcensa Lew does not appty Io an owner ot propeny who builds or impmves Ihereon, and who contracis br such project with a wntractor(s) license pursuanl to the Contractor5 Litense LawS.). ❑ I am exempt under sec. Bu5in855 end Profe55ions Codo for �his ree5on: Signature: Date: Owner ID verified by tlrivers license. ❑ Yes ❑ No Drivers License No. Expires: Venficatlon ol Ownership by (rype ot document, i.9. - properry tez 6ill or daed): DIVISION OF INDUSTRIAL SAFE7V PERMR CERTFICATION: ❑ I hereby ceNty ihat no exca�aUon Ilve (5) w more Ieel in Eepth into which e person is requlred to descend, will be mede in connection wilh work eulhorizeC by NIs pormit, and tha� no building sWcture, scaHolding, falsework, or tlemolition or dismantling Ihereoi, will Oe more than thirry-six (38) feet �Igh. (Chap. 32, Grp 2, Art 2, Sec. 341, 71�1e e, Califomla Atlministrative Cada). ❑ As owner0uilder, I will not emplay enyane to do work which wauld require e pertnit from the Divlslon of Intlustriel Sefery, es notetl above, unless such person hes a permit to do such work Irom ihe divislon. Signewre: Dete: Divisian of Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIIA710N OF ENTRV: 1 certify under Denal�y of perjury ihat I �ave reatl �his application and state Ihat the information given Is correct. I egree �o comply wi�h all s:ete lews entl city ordinences relating to buil0ing cronsiructlon, end euNorize representatives of ihe Ciry ot Casta Mese Io enter upon the ebove-descnbed property lor inspeaion purposes. I agree not to occupy or allow accupency of any builtling euthorized by this permit until finel inspection. \ Slgn re Of Legal Owneqs) Date -� 6 "�_''m � �l 'L5 0l, nd/ r Authorized Applicent ate COCF /, INSPECTIONTYPE 1616 Fixed System Final Fire Preventlon 1288 Pool Spa Final 200 Final Ra-Rool 201 Finel BIocWReteining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demdition �� .�t� �� 9.7 400E� INSPECTIONTYPE 208 Finel Mechenical 20B Final Plumbing 270 finel Elociricel 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Finel Builtlinq/Occupenry � It�� / t � O�CTFDOflESS: 3ZgO CHEMIN DE "rER WY OWNEN'S NAME: St.L3Y .TAMES L nooREss: �180 �iiEM.iN DE FER COSTA MESA,CA 92626 ABCHIENGINEEH: ( 7�' �� 6 4 1"n 9� 1 pEG.NO.: AUOflE55: uxir: UNIT: PEflMITTEF. MIL CONSTRUCTSON ( 7] 4) 730-0707 noonEss: 12231 NEWPORT AV S.A, CA 92%OS ❑LENSE� CONTPACTOF UECLABRTION: I here�y aflirm ihat I am licensetl untler provisions ol Chapter 9(commencing with Section 7000� ol �iv�sion 3 0l t�e Business and Protessions Code. ana my license is in full lorce antl el�ect. nTr uc: 0 5 2 3 2 7 srnrE uc.: 4 3 818 � ^cu's's: y �ate: �"Zx�� Signalure'.J�/Ol�_V�� . WONREBS' COMPENSATIaN DECIAHATION: I nereby affirm �ha� I Aave a cettificate of consent m selbinsure or a certilicate of workers' �'nmoensation Insurance. or a cenilietl capY lhereol �Section 3800. Lab. C�. oucrxo.:OSt8439-91 E%P.DATE: OI�O1�91 COMPANY: $TATE ❑ Ceriilied coDY is hereby turnishetl. � Certilied copy is lile�ly 9uil�ivi'�pn. Daie: �Z�— l ( APVlicanL � �U� �'�d E%EMPTION FROM WOflNEflS' COMPENSATION OECLABATION: Qhis sec�ion neetl not �e campleietl if Ihe permit is lor one hunAreO (311p) or less�, I certity I�ai in the pedormance ol I�e work for whicA �his permii i5 issued. I SAall noi employ any person in any manner so as to �ecome subject lo Ihe \4orker5' ComOensation Laws oi Calilomia. Date: SignaNre: NOTICE: If. al�er making �his tleclaration, you should �ecome subleci to Ihe Workers' Compensalion pwvisions ol ��e La�or COAe. you must fotl�wiih com0ly wi�h such provisions or Ihis Dermi� shall be deemetl revoketl. CONSTPUCTION LENOING AGENC7: I her¢�y affirm t�ai ��ere is a conslmtii0n lending agenCy for Ihe Oe�otmante al Ihe wOrk fOr whic� Ihis permitis issued (Section 3097, Civ. C�. LENUEP: aooecss: OWNEP BUILOEfl OECLABRTION: 1 �ere�y affirm t�at I am exempt irom the Coniracmrs' Stare License Law for the lollovnng reason (Seclion 7031.5 Business antl Pm�essional COAe: Any ci�y of counry which requires a Dermi� to conSVuct, al�er, impmve, tlemolish, or repair any Slmciure. pnor �o ils issuance. also requires Ihe applicant for such permi� to tile a 5igne0 5ta�emeni that �e/she is licensetl pursuant lo Ihe pmvisions ol �he Conbactors' Slate license Law (C�aO�er 9 �commencing with Sec�ion 7000) ot Division 3 oi IAe Business an� Pmfessions Code) or that he/s�e i5 exempt Iherelrom antl Ihe basis lar Ihe allege0 exem0�ian. My violaiion o� Setlian 7031.5 Gy any a0�licant �ar a p¢rmii su�jects t�e aDPlican� lo a tivil penalry ol not mare Ihan five huntlretl Oollars (5500�. I, as owner ol Ihe pmDeny or my employees wilh wages as Iheir sole compensa�ion, will Co �he wmk, and Ihe � stmc�ure is no� imende0 or oifereA for sale (Section 70EA. Business and Pmfessional CoOe: TAe Conlractors' $�ate License Law � Ooes not appty lo an owner ol a D�oDerty who builtls or impmves Iher¢On, antl w�o dces such vrork himseli/�ersell or I�roug� �is or her own employees. OmviAeO thai suc� fmprovements are noi intenee0 or oRerea to� sale. II, �owev¢r Ihe Ouiltling Or improvement is sold wit�in one year ot com0letion, ��e ovmer vnll have ihe �uNen oi Omving he/sAe Oitl not 6uiIE or impmve lor Ihe purpose af sale). I. as owner o� IOe pmDerty. am exclusively contrac�ing with licensed conirac�ors �o constmct Ihe pmlec� (Section 704d, Business ❑ antl Prafessions Coae: T�e Comractors' Stale license law Coes not apply to an mvner ol pmperty wAo �ml0s or imD�oves Ihereon an0 who conVacts �or such pmjects with a conVac�oqs�license pur5uani to Ihe Gontractars' State Li[ense Law�.l am aware Ihai pmof ol I�eir WaBer'S Compensaiion insurance s�oultl Ee pmWtleO lo me. � I am exempt unAer Section: B. 8 P. C. for this reason: �ate: Ownec I tlo nere�y cenify �hat i am aware of and un0erstantl ihe requiremems o1 Calitomia Heallh anU Salery Catle Sec�ions 25W5, 25533, ane 255Ja and thal I or any future Duileing occupant wilUwill not (�ircle one) neetl to compty with saie state coaes and ihe requirements 1or a Oermil Ior ton5imtli0n or modititalion irom Ne Air Oualiiy Management Ui5triC1. HevOenlial tons�mtlian applicaiions ar¢ e�empi �mm these provisions. oate: Nooiicant: I here�y certity tha� I have reatl �his applica�ion anA slale �ha� I�e a0ove inPormation is carreci. I agree Ia comD�Y wilh all city antl counly . ordinances and 5�aie laws relating �o Uuiltlmg cansim[tion and here0y aW�ar¢e re0�esentative5 Of �NS� Ihe aCove-mentiane0 pm0erly lor mspeclion purposes. �/ �� /1 Oale: �� q � Signature: 1"" ' "' oover's �icense or Socia� Secunty d: � �6<t�a6 Wm�e—Builaing: Green—CoCe EnlorcemenL Canary—AOOlicam; Pink—qevenue: Goltlenroe—Auessor CITY Ur C05TA MESA —$UILDING PEA,IIT PBRM NO; B 05145`. PcRNIT NO: B 051955 PI�AN CHECK NU; 01020-97. S GOVT: N SUPP; N CONSTRJCTIOh TYPE: �—N PERNfIT TYPE: SPR PuRPOSE: ALT J'OH DESCRIPTION : 1805Q iT PATIO ENCLOSURE (ICBO#3421P) S�i FT; 180 CLAYM VALUE; CALC—VALUE: 6,5�:.',OU GROUP OCC: r�-1 / COMMENTS: SMOKE DETECTOR(S) RE�UIRED ZN HOME, IP�Y�eiEiEiFiel(�lE�1F#a;.*�FiE1�iE3'r�EifKii.IFib#lE35i!�ii�it 1614aE1FiFlEiflE�clEk#Edf#i!�1f3f�16ik1f'f.a!(-fFiE#lfiflElEN�Y.-ifi(•dfX�tPf+ft�'�iE�kif�i?�iFiF� 7. O N't N G R E�i U I R E M E N T S' S E T B A C K S ------------ MAIN HI7ZLDING ---------- --------- ACCESSORY HUII,LIING --------- FR1vT; FT IN REAR: 10 FT IN FRNT; FT IN AEAR: FT IN LEFT: 3 FT IN RGHT: 5 FT IN LEFT: FT TN RGHT: rT IN PARKING REQ• PROV; PARCEL; 418]4505 ZNc; R2 REF Nc:); VI,ANNING N�'I'ES> ADD A13 ENCL, FATIO AT REAR UF EX. RES, CONDO, 3' STBK OK'D > TO MATCH EX, RES• B/C OPEN SPACE ADJ. S LOT LINnS NATCH UNIT �*#��*�*x*rt�*� *x �*� � ��+�*�r�*��r��r***�r*+�x�*�r***x��e+r+�x ��r��+�*i��*�**rr�rx�v vr*u� x x�� D E V E i, O P M E N T S E R V I C E S R E Q U Z R E M E N T S 7.ONING APPROVED HY DATE: BUILDING APPROVED BY • AATE; APPLICATION ISSUED HY:��F�s�r�� G( DAT�• c� � J�� 1FiflfifNififiF'IE#iFi%1�ififififY.�'IfiFi% t i l x�!Ififi:�t'i%iticitx�� ieX 16iFiFifiEiE3EiFV.�iEiRiEiF�k1E1EK�ifMif161f�iiflfif3fiE�f1(�i!�fiE±flEiF1(��1ElhN�if�i if iE�lf%iFM1e3cY.�if1'rifiPiEiflfiEi!�iFiFiEiE#(-iF#iFiE1FiF?FiE�14?fY3tiE LEGALI7.ATION;i� F E E S U M M A R Y STRUCTliRAL SEGMENT;Y BLDG PMT PL"JMB'_NG ELECTRIC MECHANIC FIRE SMIF/AnS GRAD P1G PERMIT 90,00 ,50 SMIP/NON—RES PLAN 58.50 ISSUE FEF. HUILDING—DIV—> PERMIT I55UE PLAN—CHECR TOTAL PAID DUE TOTALS----> 90.50 0.00 58.50 199.00 199,D0 .00 REVE�UE DIVISION TOTALS--> COiLECTED: 149.00 OVER/SHORT: .00 BLDG PMT PLUMBING iLECTRIC MiCAANIC FIRn SMIP/TOT GRADING PLAN—Cii�CK 90,00 ,SQ ;8,50 if ib 1F if If if 3E 3F IE # IE If if ii� 1f 3E �iF if iE if iE ih il' 14 IF if IE lF IF If If if iE if ii' iE'lE iE 3F 9E 3F iF iFiF'IF 1E iE 3E 3F iE i6'%Y.� R ii if iF if iF 3F iF iE 3f i41f IE �f 1f ie Y N' i! if iE If IF 7E Y.' iE T 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 T O 13 ScA 180 ,S�-��I�O�VER—ENCLOSED PATIO .�:.�i� END OF' FEES � 2 5199T � �l�l! OF GQST�E �IESA UNIT COST TOTAL COS'f 36.40 6,55;.00 � CONSTRUCTION AND PLANNINo , �OL & SPA `--' _._ APPROVALS Permit # Date Inspector AppqOVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit�Undrgrnd. . 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. ' 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' 63. Heater & Vent-Final � .� 13. Roof Dreins � . 64. Plumbing SYstem � Final 14. Rough Plumbing 65. Electrical�Final - 15. Rough Electrical-Conduit 66. Solar SVstem•Final � 16. Rough Electric Wiring 67. Fenting & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � � APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating � � 71. Product Piping O'Gas ❑ Oil 23. Gas Pipe�Rough & 7est 72. Underground Flush 24. Roof Framing 73. 'Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � � 74. Overhead Hydro , , {� ;,;,.:•:�t 26. T-Bar Ceiling (Struttural) & Monocoat 75. Dry Chemical `„' � �� • 27. Frame and Flashing . 76. Dry Standpipe "-! ^� 28. Lathing & Siding 77. FIXED SYSTEM-FINAL �'�; ,.r ', 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' ._ t= 37. Plaster Brown Coat � 79. FINAL INSPECTION , r- - 32. Electrical Power Meter�Final 80, FO00 CERTIFICATE ISSUED �-{��,�{�1 � Y _'+' 33. Final Electric Notes: . 34. Final Heating & Air Conditioning ' _ � 35. Final Gas Pipe-Test � `,., � � e . � � 36. Hood or Canopy . � �(�. i 37. Final Factory Fireplace . � 38. Final Plumbing � " 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesticFinal • � 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System � 45. Sound Attenuation 46. Handicap Regulations " 47. FINAL STRUCTURE & BUILDING �%/5=?� ��// 46. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to SouThern California Gas Co , 51. CERTIFICATEOFOCCUPANCY No Date . ��sQ� � COSTA MESA BUILDING-SAFEfI' DEPARTMENT P. O. BOX ]f 7 COSTA MHBA. CALIFORNIA For Applicont to Fill In Complately TYPE OR PRINT . COSTA MESA. CALIFORNIA Harbor Hall o£ Fame Homes, Tnc. e P. o. Box zo6f � Sant3 pna no' 549-2 REER �i' Levanas ryp' p7�7Q 93432 Via Oporto, Newport Beach cron Lifeti.me Res. Hlde. Corn_ ADDRH88 P•�o. Box 2066 � CITY Santa {�Tla� California 6TATE 'L08�6 T��. 5yq-22o5 LIC. NO. NO. siZE lEj X 80 Ho. or e�oas. O OF LOT NOW ON LAT USEOF None EXISTING BLD6. 88TBACK LINE FRbN, CENTER OP eTNEE} 1 S� REAR YARD il � l DESCRIPTION OF WORK BUILDING lOOV SIZE HXTERIOR WALL � witli J construction 1 H8R80Y ACKNOry�lDOB THAT 1 H�Ve RBAD TMIB APPLICATION AND BT/�T8 THAT THB ABOVH 18 CORqBCT ANG AORHH TO COM. PLT WITH �LL C�{y OHOtNANCHB AND 6TAT8 LAWB H80YLATIXO em�oino corvsrgum�ox. BIGNATURE OP I PERMITfE AUTHOR126D AGHN7 I D � I 1 l� FEE RECEIVED U� 3 b964� �t xo • f NANG�E DEPT CITY Of COSTA MESA APPLICATION FOR PERMR BUILDING Por Office Usa Only p[c61PT NO. /7'( ' L�-wurva a �o.� oescntrtian A. P. NO. � / � NOTE: NO EAV E OV ERI 90' TO 81D6 @ REAR P HAVE8 ALLOWED YARDS APPROVED MAIN BUILDINO ( FROM 4L STRE6T ) PRONT %i Ff. q. sme � F'r. �. eioe �. vr. REAR � Ff. D16fANCE BET. MAIN BL�GS. VAR. ii c� ,. ..- p /Gvya. �. � TME �MOUNT 9HON POHPO68 OP 88T� VALUATION $ j/ oy� HUl4i�lgu��i9 ZONINf3 SHALL BE LE88 THAN YARDSAPPROVED ACCESSORY BUILDING 19 � ��. y C.. ) �, � }� BET. MAIN Q � ACCESS. BLDG9. LL� �ATE / �� a APPROVED'1 /� � i� DATE ✓ _ ` 1� � Q 11 w �7, � � o' o cn - � P V�LIIAT�ON IB FOR TH8 q (� O A PBHMIT P6H ONLY. 0 � 9 � MIT FEE $ L.� / j .� C / �� U ¢ O- .—is _ u L