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Home My WebLink About3190 CHEMIN DE FER WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cg��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 dob Address: 3190 CHEMIN DE FER WY Suite: Vicinity: DETACHED GARAGES Primary Occ: U Parcel Number: TPN98079 nppiicant: VES PEARSON Address: P O BOX 3908 Status: ISSUED Applied: 08/02/2006 Issued: 08/03/2006 Type of Construction: V-N Zoning: Phone: 562-029-7663 ISSUED BV: � SEAL BEACH, CA .---�" � . .- ��...-Zip:__"90740, "'— � iG.�., .. .s , � — Ownec FRENCH QUARTERS HOA `i; � ' � '� Address 2020 E FI,RST ST�,-r ,� �— � � . , -� j' SUITE 500 % i �r, -.� � Phone 714�285 2626 X211 � ,� �. � SANTA ANA; CA� ` ,. t � S - � _'_ Zip � - 92705'- ,+ � � � -� �. ��. � �� i � ' -= l _ : _ - � _ _ ` � . �� r,aaress: C�'� i -.. 'Zip: ��,TEAR OFF r �'. REPAIR/RI /� r �-.— e_ �. ��... +., f`� A � A G"M�ROOFINGCOMPANY �� ` �� ` �. l� � " �,A ,.� i i.�� . " , f � � ,,Pb�eoxssoa,, , -: � � � � ,� ��'� � �%% � Phone. 562-029-7663 �- � ` " ��\'`� � � �/i� �� \ `SEAL BEACH; CA �,� � /� � 80740��%� License_ 472566 ��.�� ' /,iG/ .�.�,��✓, " Eng: } ; Address: Phone: ��'� � - - � � " . ° ,I ., - License. � , � �`:/ �.. . _ - . � � �� `� "-- "-� SCOPE OF PERMIT � � JSTALC2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED C � AS NEEDED. 24 SQUARES FOR DETACHED GARAGES FOR�3190 �u_ � i / ' +i � , i ' ' Plan Check:�' , $0.00 , ; ; ', Permit: � '$11125 SMIP Res; ;� ' $0.50 ,� � . , , SMIP Com , � ` - $0.00 Other' : . $0.00 ,' Inspection: c e � $0.00 � ��' '� r. �; � � Total ` � `,� $111.75 � �;� -, • . t. °. \� �\:\\ . _ — -� �- '= , . ` ,-��Phorie: , Llcense:� �7r�� )MPOSITION �SHINGLE; "HRU 3196 CHEMIN DE r,_:'� <<� �,,, �,.� rtFEE SUMMARY �_. f ., ', , i _C .� ' '':� .. �:-,�-0 .%t- .,,, .r ��CalcValuation <� '.', -- _ _ . . _ - -_ � - - - Claim Valuatiorr � �!�; �� :9 ; ,�,: ,; ; ' h �Y,' � .�i �� - �.�f�J� J •'�! � � ` .0 �.� .�`-' . � . „rf, .... -. w.--.-. _ ��" ` ' _ _" �.�i � �.�. � � �� AND -: ER WY. ' 1 � � \. � ' _i � sa,zoo'.00 ` sa;zoo;oo, `_�' � � 1- s �. i ( c' _" ..� 1 i l. ��",��, i i ---: _.. i l,_:, � `-�' ' � � � "� � � P.LANNING & ZONING '� � j � SETBACKS / �.� y ' , .xt,n" � . `` j i �. � ', !' �\,. MAINSTRUCTURE-Front��0 0 Rear�rn0 0. Left. 0 0� Right 0 0 - � � •!{- � � / \:� ✓, �� `i.H.. �$_iX - �� 'y '�/�/ } 1 -' ACCESSORK Fronb 0 0�'� Rear � 0 0- �� - Left 0 0 �� Right j�0 0_� " t r /� � � �� i f , i : � ; `,'� �.. . . � „� `. i � ,�/�,� � L ; PARKING ,'�-� Existina ,� o �'�.. Reauired o �' ,." . Pr000sed: 0 . ' � �r , 1�,,,' / , ti ( ��"� -�_ � � =� � ,� � ��'�� A. �^n � "^ ".. - _ - r , =�r„ ' � �� /f % � � ti, � ir,'.-. - V1� �� . . �, �, ..i%_;� � . � �" -�% �`1 ; i' _ �' �. i�„ � �;; � ,' - � � ; �_ „� 1 NOTICE: The work authorized by ihis permit shall comply with all applicabla 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 wi(hin 180 days, or if work is suspended or abandoned for a period of 180 days. � . ' .. '� ' INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration o( this permit. FOR INSPECTIONS CALL: (714) 7545626 2<96�46(N00) WOHKERS'COMPENSAnON DECLARAnON: I hareby ettlrm under penalry of perjury one oi ihe following tleclaratlons: ❑ I heve end wlll malntain a certificate of consent to self-Insure tor warkers' campensatlon, es provitletl for by section 3700 of the Labor Cotle, for ihe performence ot ihe or which this pertnit is issued. _-_ I have end vnll maintain workers' compensaiion insurance, as require0 by secUon 3700 ot the Lebor Code, for the pertortnance of ihe work for which Ihis pertnit Is Issuetl. My wotkers' wmpensation Insurence caMer and Dolicy number ere: `Ceirier. �1 ��(�j�� , � PdicyNumber--5 �� i�2- Z�U6 -(7hls"secfion neetl nof be completeC Jl the perm/f !s velued at one hundred dWlars ($100) or less.) �---tt ❑ I certify Mat in ihe pertortnance of the wark tor which this permit is issued, I shall not employ eny person in eny manner so as to become subject ro t�e workers' compensation lews of Califomia, end agr��@@ ihet it I should become suDject to the workere' compensetion proNsions of Se on 9700 of ihe LeDor Code, I shall torthwit� compty with these pro ion �) // Ap�pli�nt Signemre: ��- � � � l. ;��--_— Dete:_ � � /O� WARNINp: FAILI/RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOVER TOCRIMI 'PE T1ES AND CIVII FlNES UP TOONE HUNDRED TIKKISAND OOLIARE (5100,000). IN ADDITION TO THE COST OF CAMPENSATION, OAMAGES AS PROVI�ED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihat I em licen.s�,dy{�der pr vi io^� ot Chapter 9(commencing wit� Section 7000) oi Division 3 ot Ihe Business and Professions Cotle, end my license is in full force enE"eflecl. �'c..�� 1�.�� v r-Cless q� � 7� CONS7RUCTION LENDING AGENCV: ❑ I hereby affirm t�at there is e construdion lending agency Por Ihe peAormence of ihe work foi which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lantlers Neme: Lender's Address: Signatura: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn ihet under penalry of perjury Ihat I flm E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cotla: Any ciry or counry which requires e pertnit to construct, alter, improve, demolish, or repair any struclure, pnor to its issuance, also requires the epplicant for such pertnit to file a signed slatemeni thet he or she is Ilcensed pursuent to the provislons of the Contrectors License Lew (Chepter 9(commencing with Section 7000) af Division 3 of ihe Business entl Professiorsg Code) or that he or she is exempt iherefram and the basis for ihe allegeA ezemption. My vidation of Seclion 7031.5 by eny appllcant for e pertnit subjecls ihe epplicent to a civil penalry of not more ihan five hundretl tlollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as thelr sole compensation, WILL DO TME WORK, entl ihe structure Is not Intended or oflered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Lew does not apply �o an owner oi properry who builds or improves thereon, end who does such work hlmself or herselt or �hrough hls or her own employees, pmvided thet such Improvements ere nat Intentletl or oHeretl for sele. Ii, howeve�, Ihe builCing or improvement Is sold within one year of completion, the owner-builder will have tha burden of proving ihat he or she did not builtl or improve for purpose of sele.). ' ❑ I, es owner of ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to construct the project (Sec. 7044, Business end Professiona Cotle: The contractors License Lew does not apply to an owner oi property who bulltls or Improves thereon, antl who contrecis tor such proJect with e conirector(s) license pureuant to the Contractors License Laws.). ❑ I em exempt under sec. Business end Protessions Code for this reason: Signature: Date: Owner ID veritietl by tlnveYs license. ❑ Yes ❑ No DriveYs License No. Verlfication oi Ownership by (type of Document, i.e. - properry tez 6ill or tleed): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICA710N: ❑ I hereby certity thef no exceve�ion five (5) or more feet in depth Into which e person is required to descend, will ba mede in connection with work euthorizetl by ihis permit, and �hat no building siructure, sceftolding, falsework, or demolition or dismantling ihereof, will be mora than �hirty-six (36) fee� hiph. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomla Administrative Cotle). ❑ As owner-builtler, I will not employ enyone to tlo work which woultl raquire e pertnil from ihe Division ot Intlustnel Safery, as notetl ebove, unleu such person hes e permit to do such work trom the tlivision. Signeture: Date: Division oi Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certity under penalty ot perjury ihat I have read Ihis epplication end state that the infortnation glven is correct. I agree to wmply with all stete lews end ciry ordinances releting to bullding constructlon, entl authorize represenletives ot Ihe Clry o� Caste Mesa to enter upon the above-tlescribed property for inspeclion purposes. I agree not to occupy or ellow occupancy of any building authonzed by ihis pertnit until finel inspection. COOE 1, INSPECTIONTYPE 1616 Fized System Final Fira Praventlon 1288 Pool Spe Final � 200 Final Re-Roof 201 Final BIocWReWining Well 202 Final Facrory Fire Place 203 Finel Sign 204 Final Demolition UATE � j� r�i //I COOE� INSPECIIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Finel BullAing/Occupency � 1�LL (�ia) 75a-527s • Fax (�ia) 75a-ae55 • www.ci.costa-mesa.� +�LDING PERMIT n FAIfl DRIVE, CASTA MESA, GA 92626 Job Address: 3190 CHEMIN DE FER WY Suile: Vicinity: 31903196 Primary Occ: Rt Type of Construction: V-N Parcel Number: 41814524 Zoning: R2 ApplicanC PEARSON,VESS . - �"� - . _ Address: P O BOX 3908 � . �� - , . - - . "- r � =% � , " . - Phone: 562-429-7663 � _ �i, - . SEAL BEACH; CA� �� ' . Zip: 90740 Owner. FRENCH QUARTERS HOA " - Address 2020 E 9ST ST � � "� i � � � _ _ - - _ � � _ � . SANTA ANA ,CA , � ; � � �� - � � Phone: 714-2857663 � � �� a � ' � SUITE 500 - �;; �-%�- � � Zip: 92705 '� ��:'� � �r i. Contracror. G M ROOFING COMPANY . � Address: P O BOX�3908 . " . ., � Phone: 562-429-7663 � ' � SEAL BEACH, CA - � ' , � Zip: 90740 . '� ' ' - License: • � 472566 � Arch : , Address: � � � Phone: Eng: Address ,',� Slatus: ISSUED Applied: 05/70I2005 Issued: OS/70I2005 ISSUED BY: , � Phone: ' Zip: . � License: License: SCOPE OF PERMIT REROOF CONDO UNITS 3171- 3177 , TEAR OFF , INSTALL P LAYERS 75# FELT UNDERLAYMENT, INSTALL 40 YR COMP. SHINGLES AND BUUILT ROOF ROFF AT T HE DECK AREAS. TOTAL .37 SQUARES. _� � � FEESUMMARY � � Plan Check:, $0.00 � Calc Valuation: Ss,aoo.00 Permit: . $181.25 Claim Valuation: , Ss,aoo.0o SMIP Res: $0.94 SMIP Com: $0.00 ' " Other: �; $0.00 Inspection: $0.00 � ,- � � Total: $182.� 9� � . �. . � , �" � � , � � � ' , ' �,-� � ; � � - �,, � � :_ : �PLANNING�& ZONING �">,; � .' -' � �' �;'i - SETBACKS ,� � - .' , ;�� MAIN STRUCTURE Front 0- 0- �' Rear 0- 0� - Left 0. 0� Right -0- 0 � . � -. :�� _ � '. '- - - � �., . ACCESSORY Fronl `�0. 0 � � ��Rear 0- 0 - � � � ' Left - 0= 0 — f` '� � . Right �0-�0 � '�`' -� . . - . PARKING Existinq: 0'� Required: 0 Prbposed: 0 _ �:' ' . ,.�� , NO710E: The work authorized by this permit shall compty with all applicable handicap access requirements under Calitomia statutes and related regulatlons. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticalty expire and become void it vrork is not commencad within 780 days, or II work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions end finel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot thts permit. FOR INSPECTIONS CALL: (714) 754-5628 2aa&d8 (fl�W) WORKERS' COMPENSA710N DECLARATION: � � - � . ' ' I hereby eHirtn under penalry af perjury one ol t�e following tleclaretions: � � � � • ❑ I have end will maintein a certi/icate ol consent lo selFlnsure lor workers' compensatian, es pmvitled tor by section 3700 of tha Lebor Cotle, lar Ne performance oi Ne • �work for which this pertnit is issuetl. • � � '- . , I have antl wlll meintaln warkers' compensetb� ��ance, es require0 by sectlon 3700 of ihe Letwr C�nce oi Ne work br whkh Nis Vertnit Is Iswed. �M workers' compensallon Insurence carder end pollCy number ere: oO 11 �� ^2 U� ' er. � p¢r: cmm �eed not be complefeC if Me pemtif lt velued ef one huiMred ddlars (5700) a less.) ❑ I CBNty Ihat in ihe peRormanie ol No work IOr which ihis pertnit u issued,-I shall not employ any person in eny manner so es to 6ecome sub�ect to Ihe workers' ' � naeap laws ol Celifomia, entl apree that if I shoultl bewme sub�ect to ihe workers' comp mvisions ot Section 3700 at t�e Labor CoCe, I ahell foMwith / Ih tR SB O! N n4. °�(�� j I Ap icant SI n : `Be{e: � I�� D S WAPMNO: FAILURE TO SEWRE WORi(ERS' COMPENS�TIp! CpVERAGE IS UMAWFUL AND SHALL SVBJECT AN EMPLOYER TO CRIMINAL PEWV.TIES AND CML FlNES UP TO ONE HUNDRED THOUSAND DIXAARE (5100,000�, IN ADDfiION TO THE CQST pF �pMPE1J5q71pN, DAA+AGES 0.5 PRWIUED FOP IN SEGTION 31O60F iHE IABOR COOE.IMEREST, AND nTTORt�EYS FEES. LICENSED CONTRAC70RS DECLARATION: I hereb t I em licensetl untler p sians of C�epter 9(commencing wit� Secfion 7000J of Oivisio e Bustness antl Prolesstons Code, and my license fs tn tull m«a a �. » �� cia� x !� 14 Ca actor's ' ature: �_ �� f� 07 CONSTRUCTION �ENDING AGENCY: ❑ I �oreby eNirtn Ihet (here Is a construalon IenGing egency lor tho OeAormence of t�e work tor whic� ihis pertnit is issued. (Sec. 3097, Clvil Catle). Lender's Namo: Lenders Addre9s: Signatura: Dete: OWNER-BUILDER DECLARATIONS: I here6y eHirtn thet under penalry ol per�ury lhat I qm EXEMPT FROM TME CONTiiACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Pratesslony CoUe: Any city or counry w�lc� requires a Oermit tq conswct, elter, improve, tlemalish, or repair eny structure, pnor to its issuence, elso requlres t�e epplicam tor sucf� pertnit to file a signed stetement i�et he or s�e is licensetl pursuam to the provisions of the Comrectors License Lew (Chapter 9(commencing wlih Sectlon �000) at DlWsion 3 0l t�e Business and Professions Code) or ihat he or sho is e:empt therefmm anA the basis for Ihe ellegetl exemption. Any violaHon of Sectlon 7031.5 by eny aDO�lcant for a pertnit sub�ects ihe epplicant to e civil penelry oi not more than fiva hundred dollars ($500).): ❑ I, es owner ol Ihe property, or my employees with wages es iheir sda compenseUon, WILL DO THE WORK, and ihe strucNre Is not Intentled or ofleretl for sale (Set. 7044, euslness end Prolessions Cada: The Coniractors License Lew does not ep01y �o an owner of property who bui105 or improves ihereon, end who does such work himself or �ersell or through his or her own employees, proviEetl that such Impmvements are not Intendetl or otteretl lor sale. If, however, the Duiltling or improvement is soltl wit�in one year ot completbn, ihe owner-huiltler will have tha burden ol proving thal ha or she did not builtl or Improve for purpose ot saleJ. � ❑ I, as owner ol t�e Oroperry, em E%CLUSIVE�Y CONTRACTING WITFi LICENSED CONTRACTORS Io conslruCi the projeCi (Sec. 7044, Business and Prolesslons Code: The contrectors License Law tloes not eppty to fln owner oi pmpetly who �ullds or Impmves thereon, and who contracts br such Orqeci with e cantractor(s) license pursuant to ihe Contrattors License Laws.). ❑ 1 am exempt under Sec. Business end Profession5 Code tOr lhis raason: Signawra: Date: Owner ID veAfied by drivers Ilcensa. ❑ Yes ❑ No Driver's License No. Veritication of Owners�ip by (type of tlocument, i.e, � properry tex bill or deed): Enpires: DIVISION OF INDUSTRIAL SAFETY PERMR CEpnFICA710N: ❑ 1 �ereby cenity that no excavalion tive (5) or more teet in depth into which a person is required �o descenQ will be meAe In connactlon with work euthodzetl Dy this permil, entl Ihat no building swcture, swHoltlinp, talsework. or tlemolltion or tlismantling t�ereof, will be more then �hirry-sla (38) feet high. (Chep. 32, Grp 2, An 2, Sec. 347, Title B. Califarnie AtlminislreUva Cotle). ❑ As owner-builtler, I will not emD�%' o�Y�^e Io do work whic� would require e permit Irom t�e Division of Intlustnel Safery, es natetl ebove, unless such pereon hes e permil Io tlo such work Irom 1he tlivision. Signawre: Date: Division of Intlustrial Salery Permit Number: CER7IFlCATE OF COMPLIANCE AND AllTHOR¢qT10N OF ENTAY: I ceniry untler penalry ot peryury t�at I have read this application and steta thet ihe inlormation given is wrrecc I agree Io compty wlih al� state laws and dry ortlinances relaling to builtling construction, end authodze representatives of the Ciry ot Coste Mesa to enter upon Ihe above-descnbed properry lor inspection purposes. I a9ree nai to acupy or allow oaupancy of any building authanzed by this permil until linel inspection. COOE L INSPECTONTYPE " ' � 1616 Fixed System Final Fire Preventlon 1266 200 Pool SOa Final Final Re-Root 201 FInaI Block/Retalning Well 202 Flnal Facrory Fi�o Plate � 203 Final5lgn 204 Flnal Demolition �$ -u-�l�z � COOE� INSPECTIONTYPE 206 Finel Mechanical 208 210 212 220 222 250 Finel Plumbing Final Electrical � Final Fire Preventlan Final Plenning Approval Final Slte Final Bulldinq/Occupancy veg u�e4s (714)754-5273 • Fax(714)754-4856 Job Address: Suite No Vieinity: CITY OF COSTA MESA BUILDING D/YISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT 3190 CHEMIN DE FER WY Parcel Nunmber: 418�4509 Applicant: NOCK, RON Address: Owner: JUNO, MARIE L Address 3190,CHEMIN DE FER COSTA MESA,CA Contrector: NOCK PLUMBING Address: 11612 KNOTT ST ArchlEng: Address: GARDEN GROVE , CA INST DISHWASHER. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake VaNe Gas (7-0 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) AMT $22.00 50.00 50.00 50.00 50.00 50.00 50.00 58.75 50.00 50.00 50.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 $0.00 50.00 Qrv Phone: Zip: Phone: Zip: 92626 �� Phone: 714 895-1246 � Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEESUMMARY AMT Laundry Tub / Washer 50.00 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank $0.00 Sewer Cap tor Demo $0.00 Sewer Conned $0.00 Sewer Private Line S0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PERMI UJ �M�BER P98-00735 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/24/1998 Issued: 0924/1998 SumpPump Swimming Paol Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 so.00 so.00 50.00 50.00 $0.00 $0.00 $30.75 �N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work Is suspendetl or abandoned fOr e perlod 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 Inapectlone end flnal approval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5828 WORKERS' COMPENSATON OECLARATION: I hereby attirm under penalry of perjury one of Ihe following declarations: ❑ I heve end will maimain e cenificate of consent Io seli-Insure for workers' compen58tlOn, e5 provided for by seCllon 3700 of �he Labor Code, for Ihe pertortnance of t�e w or whic� Ihis Dermit is issuetl. I have and will maintain workers' compensatlon insurance, fls requi�eC by section 3700 of Ne Labor Cotla, for the peAortnance of the work lor which Ihis pertnit is issuetl. My workers' crom� saypn Jps{i�ncqearrier end policy number are: Y �n� �� / / Carner. �ir Polic Number. (Ih/s section nee0 nof be cnmpleted i! fhe peimil is valued et one hundred dollars ($700) or Iess.J ❑ I cenity thet In fhe peAormance of Ihe work tor whic� this permit is issued, I shell not employ any person in any manner so es to become subJect to the workers' compensatlon lews oi Califomia end egree that if I should become subjact lo the workers' compensetlon provlslons of Sectlon 3�00 of the Labor Gode, I shall forthwith comply with these provisio n �q Q' Appllcan� Signeture: � Dete: / Yl !/� � WNRNING: FAILURE i0 SECURE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES PND pVIL FlNES UP TOONE HUNDRED TFIOUSAND OOLLAHE (5100.000), IN AD�ITIdJ TO THE CQST OF COMPENSATION, DAMhGES AS PflOVI0E0 FOF IN SECTION 3)O60F THE IABOR CO�E, INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I am licensed un Ch ter�W('commencing with Saction 7000) of Dlvlsion 3 of Ihe Business en�ro(B�sslyns Code, end my Iicense is in tull force end effect. Lic. a � � Cless a 7�0 Contrectofs Signeture: 1 T�� _ Date: �'� � b' � CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm thet there Is a coretruction lending egency for ihe pertormence of Ihe work tor whic� this permit is issuetl. (Sec. 3097, Civil Catle). Lenders Neme: Lender's Address: Signatura: _ Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm thet under penalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any siructure, pnor �o its Issuance, elso requlres the appliwnt for such permit to file a signetl statement ihat he or she is Iicensed pursuent to the pmvisions ot the Goniractors License Lew (Chapter 9(wmmencing with Section 7000) af Division 3 of Ihe Business and Professions Cotle) or that �e or she is exempt therefrom and the besis tor Ihe alleged exempiion. Any violation of Section 7031.5 by any applicant tor a pertnit subiects the eppliwnt to e civil penalry oi not more Ihan five hundrad dWlars ($500)J: ❑ I, as owner of Ihe property or my employaes with wages as iheir sole compensation, WILL DO TME WORK, and the 51rucNre is not in�entletl or ottered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himselt or herself or through his or her own employees, provided that such improvements ere not intentletl or oHared for sale. If, however, Ihe builtling or improvemem is sold within one year oi wmpletlon, the owneabuilder will have Ne burden of pmving that he or she tlid not build or improve for purpase ot sale.). ❑ I, es owner oi the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe D�a1e�t (Sec. 7044, Business and Pmfeuions Gode: The conirectors License Law does no� appty to an owner of properry who 6uilds or improves Ihereon, and who contracts for such project with e contrector(s) license pursuant to Ihe Contraclors License LawsJ. ❑ I am exempt under sec. Business and Professions Code for Ihis reason: SignaNre: Date: Owner ID verified by dnver's license. ❑ Yes ❑ No Drivefs Licanse No. Vedficatlon of Ownership by (rype of tlocumem, i.e. - pmperty tac bill or deed): DIVISION OF INDUS7RIAL SAFE7V PERMR CERTIFICATION: Expires: ❑ I hereby certify that no excavetion five (5) or more feet in depth into which a person is requlred to descentl, wlll 6e made in connection with work eut�orizetl Dy this permit, entl that no building structure, SceHolding, telsewark, or demolition or dismantling thereol, will be more then thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Califomla Adminlstretive Catle). - ❑ As owner-builder, I wlll not employ anyone ta da work which would require e pertnit from Ihe Divislon ot Industriel Sefery, es noted ebove, unless such person has e permit to tlo such work from Ihe division. SignaWre: Date: Division ot Industrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AIJTHORQAl10N OF ENTAY: I cenify under penalry af perjury thet I heve reed this applicetion end state that the infortnation given is correct. I agree to comply with all state lews end ciry ordinances relating to building construction, and authorize representatives of the Ciry ot Costa Mesa to enter upon the ebove-tlescnhed property for inspection Duryoses. I egree not to occupy or allow occuDency of eny building authorized by this permit until final inspection. � Signeture Of Legal Owner(s) - (]_��ete �� y �� AnNOr odzed Applicanl F Deta' CO�E �. INSPECTIONTYPE 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 Final Fectary Flre Plece 203 Final5lgn 204 Finel Demolitlon 2aG48 QAiE U1iIDEL5 SppEl INSPECTION TYPE 206 Finel Mechenlcel 20B Finel PIum6ing 210 Finel Elecirical 212 Final Fire Preventlon 220 Flnal Plenning Approvel 222 Final Site 250 FInalBuilding/Occupency � I�� . 2269� �bSTA 'Iv1E5A BUIIDING-SAFEfY DEPARTMEPIT P. O. BOX 91] COBTA M69A. CALIFORNIA For Applicanf fo Fill In Completaly TYPE OR PRINT _./_ COSTA MESA, CALIFORNIA ADDRE59 P• O• BOX ZOiJV Santa Ana ' ..'HITECT g,y Levanas ORENGINEER Y ADDRES8 3w32 Via Oporto, CONTRACfOR �etime Res. �,,,1e«a P• o. sox zo66 NO. —`�2O �ONE APPRI No'673-7010 BY :wport Beach �o � dg. Corp. �a.� DHBCfl A. P. 1 NOTE: 5�+9-2zo5 30' T V�GV� exisnno e�oo. None 6ETBACK LINB PROM 1S, CENTER OR 6TREHT REAR YAR[ SIDE YAftOI LEFT � 'I RIGHT 0 DESCRIPTION OF WORK wFv.r I X I a�rFwa�nora I I aoo�T�oe � EXTERIOR AND WORK TO BE I HEftEBY ACKNOWLEOOe TH�T 1 HAVH RGD THI9 �PPLIGTION ANO BTATE THAT TXE ABOVB IB COqRER AND AOp6E TO COM. PLY WITH ALL CITY ORDINANC68 AND BiAT! I.AWB P80l1UTIN0 BIIIL�INO CONBTflIICTION. SIGNATURE OF PERMITfE AUTHORIZED AGENV . � f EE RECEIVED AUG 3 1964 �t No.F�flAi�(D�RT320 AP�CfCAYIb��TR� pE1LF1T BUILDING fo! �(f/cB {�40 �nty ' . R[C[PT NO. I �� ZONING NO.O� n UB80PN6 PLANB�( DWI.U�NO �� O� �� "'�/1 —JCl iRHAN6 BHALL BE LESS THAN YARD9APPROVEO I YAR�SAPPROVED MAIN BUILDINO AGCESSORY BUILDIN6 iOM GL BTREET) _ /. �(j � � • � REAR Pf. FT• DISTANCE BET. BET. MAIN @ � MAIN BLDG9. AGGE55. BLD69. VAR. # ^J \— �ATE —' � ,�/� {� Q U. P. iC/'V"� �1 APPROVEO f� a � � - �fC a A�PROV BY 1 DATE w " a , Q // 00 ea. �. �//�3 ° o � TH8 AMOIINT eHOWN UNOBR VALUATION IB FOq THE PlIRP098 OP EBTABLI6HIN0 A PEPMIT FEe ONLY. p O VALUATION . // n � PERMiT FEE $ �% � � Q s/� �7�3 �— � a/-- o 0 4 � TOTAL FEE $ � � CITY OF COSTA MESA CONSTRUCTION PERMIT fill in all spaces within neavY �orEer Ilnes anC si9� all aOProoriate Ecclaration iM�NO. ... � ' TRACT NO. LOT NO. BLDG. NO. Addrea ,j/�/'Q �!/�i,.i��iiJ ��`' t Arch/Eng. License No. Address Contractor ��'/�� A �t.S�A��gho� AddreSs 7ti.t/J �.. i�L�rnw:.i �a,�./.:. I hereby affirm thal I am Iicensed untler provisions of C�arter 9(com- mencin9 wlt� sectlon 7000) of Divi5lon 3 of the Business antl Rofessions COUe, anU2my�icense I5 in tull force antl effec Licenze C ss �S� �4 lee� se,f.�o: � oate � —,� :—k/s�9 t .N> 5�-n-� �.L, "]RKERS'COMPENSATION OECLARATION Greby aifirm Ihat I have a Certlfitdt¢ O( COmm�t t0 self-insure or a tlflwt0 Ot WorkCrS' CompenSaUon In ance, or a certlfletl copy ..�ereof (Settlon' '38'00�, �D." .j. Policy No._.�a��ComPanY �C'� � /(:cf • ❑� C� rtl(iatl copy IS horaby turnishetl. l�J'Certltietl copy is tlletl with tho city Bulltling Division. EXEMPTION FROM WORKERS• GOMPENSATION DECCARATION (This. secHon neetl not be complatetl if the permit I5 for one huntlretl (5300) or less). I C¢rtify thdt in Ihe' performdnce of the work (or which this permit I5 ISSuetl, I shall not employ any po�ion in any manner so as f0 b¢Come Subj¢Ct t0 the Workar5' ComperlSdtiOn LawS of California. Da[e Signature NOTICE: If aftar rtiaking th15 tlecldra00n, you ShOultl b¢come subjCc[ to t�e Workers' Compeniatlon provisions oi tno Labar Gotlu, you mus[ iorthwith comDly wilh Such provi5lons Or th15 pmmit Shall be tleemotl �avOketl. CONSTRUCTION LENDING AGENCV I herGby aHirm that Ihere IS a conStruCUOn I¢ntlin9 agency for the per � formance of the work fOr whith this permit is issu¢tl (Settion 309] Civ. C.). ' . . . Lentler'S Name Lentlet's AOar¢ss OWNER BUILDER DECLARATION I hereby atFlrm that 1 am exempt from the Contractor's License Law /or the tollowing reason (Sectlon 7031.5 Buslness antl' Professions Cotle: Any cily or wunty which reqWres a permit to consiruct, alle�, Improve, tlemolizh or repair any stru<ture, prior to its issuance, also re- �5ine55 antl Ro1e551o05 Cotlej o� tha[ ne is caampt tne�lfrom antl [hc bazis 1or the alleged exemo��on. Any violation of $ec[ion 7031.5 by any applifznt for a permit suD�octs the applicani-to a tivil penalty of not more Ihan five huntlretl dollars (E500). ❑ I, az owner of th¢ property, or my employees with wa9e5 as th¢i� sole <ompensation, will tlo lhe work, antl the struc[ure is not intentletl or ofteretl for sale. (Section 7044, Businezs antl Professions Cotle: The ConVactor'S LicenSe Law tloes not appry to an owner Ot. a p�opmry who builtl5 or improve5 thereon, anC who tloes such work himself or (hrou9h N5 Own employCeS, provltletl thal SUCh Improveme�[5 dre not in[¢ntlGtl or o1f¢rCtl tor sale. 1�, however, [ho bull�inq o� improvement is so�tl within ona year ol completion, the.owner will have the burtlen o( prOvin9 hC tlitl not bulltl Or ITProve to� the purpose ol salo). ❑ I, a5 Owner of tne p�ape�ty, am oxclusively contracting with licensetl contract�.s to consvuct the proj¢<[ (Section 7044, Butiness antl ProtessiOnS Cotl¢: Tne ConVaCror's License Law tloe5 not appry ro an owner Of propCrly wh0 builtls o� ImprOveS Ihereon, dntl who com tracts trom sucn p�ojects with a conlratlor(z) lic¢sned �purzvant [O lhe Contractor'S License Law). ❑� 1 am exemp[ untler Sec[ion B. & P. C. for this reamn Date Owner I.h¢rlby c¢r[itythal I have �uatl �his appllcation antl stat¢ [hal [he dbovn information is mrrec[. 1 agree to comply wilh all City antl county oltli0an<¢s dntl State IawS fcla Ing to COnStruCliOn, antl hefeby auillofl2p represen[atives f this N[ to enter upon the dbove menlionetl P�oPe�lY tor ' S c lon rPo� ��" / Signature • - Date Drivers' License or 55 � -- /// %!/.!�! TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION �O REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK ❑ GRADING ❑ FOUNDATION ❑ STRVCTVRAL ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHN ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCVPANCV_CONSTRUCTION TVPE VALUATION 20NE GRADING CU. VDS. ACRES PLUMBING� BATHTUB$ TOILETS S�iPfCE SINKS FLOOR SINK$ DRINKING FOUNTAINS INTERCEPTORS� $WIMMING POOL WATER SERVICE GASSERVICE WATER HEATERS SEWER CONNECTIONS SOLARTANK SOIAR PIPING SVS. ISSUE FEE MECHANICAL PLANCHECK ' " SHOWERS URINALS DOVBLE ISLiWq5HER5 SU FLOOR ORAINS ' CLARIFIERS P TRAP ' ALTERATION OVTLETS �� BTU OUTPUT - COLLECTORS � . ' i PLANCHECK HEATING SYSTEM 0-]00,000 BTU AND OUCTING 700,000 t BTU REFRIGERATION 0-300,000 BTU SVSTEM 100,000+gTU BOILERS SVSTEM REPAIR,AITERATION E%HAUSTSVSTEM MULTIPLE i55UE FEE CMF 0865-46 White-Builtling; Gnary-Applicanh Gink-Accounting; Goltlenrotl-Assessor A.P. � ZONE REAR VARO (TO P/L) PKG. SPACE REQ. STREET WIDTH SPECIHL CONDITIONS: ELECTRICAL SL;=�' �_�_��°� �� NG REGULATIONS PLNGp. gRUEF�. p$�ry �ROPE�RTY LINE PROVIDED PARK FEE S PLANCHECK �crvcnri�n 0-IKW_1-lOKW_ TRHNSFORMER FPPLIANCE 10-50 KW_50 * KW _ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 30-50 HP 50 * HP _ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS PANELS MAIN SERVICE ISSUE FEE 'APPLICATION APPROVED BV SUMMARV OF FEES BUILDING PERMIT § PLAN CHECN�� PLUMBING PLAN CHECK 5 ELECTRICAL S PLAN CHECK S MECHANICAL S PLANCHECK E SMIP PERMLT ISSUANCE GRADING E E E- MICROFILM S_ TOTAL FEE b _ LE55 AD� VANCEPC 5_ FINAL FEE E� CONSTRUCTION AND PLANNING - POOL & SPA �,� �� APPROVqLS Permit # Date Inspector ppppOVALS Permit # Date Insaector.,4 1. Temporary Electrical Service or Pole ' 43. Pool & Equipmeni Location - � � 2. Soil ipe-Un rgrn 44. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bondin . tee ein orce 47. Rough Plumbin & Pre:sure Test ' � - •• 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE ' ' � ' 7. ootings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ n r�rn 10. Structural Floor System 52. APPROVALTO DECK � 17. Prqperty Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � � � 14. Rough Elec[ric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final i 6. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating ` 19. Gas Pipe-Rough & 7est 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - - 21. R6of Sheathin 22. Frgme and Flashin NOTES: 23. Ingulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Finat 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing /0 9 32. Water Service-Final � 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem "36. Sound Attenuation 37. Handicap Regulations � � - 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. , 42. CERTIFICATE OF OCCUPANCY IVo Date