HomeMy WebLinkAbout203 MAYFAIR LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�i.�TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
203 MAYFAIR LN
41901327
Applicant: qAN ARONSON
Address: 9329 ELM VISTA DR
SUITE 106 Phone: �888-545-9555
DOWNEY, CA - . � , _ Zip 90242
owner: OZUNA; RAMONJULISES, . ' ' ,
Address 203 MAYFAIR LN � � . � .
'�Phone: � � �
COSTA MESA, CA - ... � Zip: 92627-1673
Contractor UNIQUE'REMODELING INC
� Address: 9329 ELM VISTA DR
� � SU1TE 106
� �OWNEY. CA
Phone: � 888-545-9555
Zip: 90242
License:848475 _
Status: ISSUED
Applied: 04/24/2007
Issued: 04/24/2007
ISSUED BY: �[/
�
\
" SCOPE OF PERMIT -
;- REMODEL EXISTING KITCHEN � WORK INCLUDES: REPLACEIUPGRADE-FIXTURES; DRYWALL PATCHING,
, ELECTRICAL,.MECHANICAL AND PLUMBING. NO STRUCTURAL CHANGES. REF,.:�807-00515
E�ECTRICAL.INCLUOES: 7 LIGHTS, 60UTLETS, AND 2 SWITCHES.
� . i
i.
_ , - FEE SUMMARY ' : ; :.:; I
• � �uantity; " �� �.. . , .. - - ' � Quantity -. , �
ISSUE FEE $23.50 Temp Dist System I Lighting 50.00 0 '� �,
Temp service test 50.00 ' Busway /100 ft � $0.00 0, " � .
Res. a/c package � 50.00 . , � . �. Standing Section , � 50.00 0 � � ,
New Res (t-2 units)�� �� 50.00 - 0- _ -- -__ _� _-_ �" Misc Elecirical.EquipmenL _ 50.00 0 ' • �.
NewRes(3+units) � � 50.00 - �. 0 - - _ . -,Transformers"upto.t'kva/kw.'i �0.00 0,�� � � �'
Pool/Spa ; ,�,, $0.00 0 �
................up to,10 kva/kw $0.00 0 : . . : ,
Lighting Fixts ,, $770 , 7 -.-.-..-.:. :..up to 50 kva/kw � $0.00 0�� ` . � _ � � - ,
Recept_Outlets •. ` '; $6.60 ' � 6 ............::..:up 10-100 kvalkw - . $0.00 , 0� � � � ; ..' �
Switches "' � � � � � 5220 � 2 ....._`:'......oJer100kva/kw � 50.00 .�'�0' � ' . ' ,�
Non Res Appi � _ � �0.00 0 .-:.Low Vol�age Equipment � 50.00 -;� �-0 '
Res Appl - �.� � 50.00 ' 0 '�-:� - y �Low Volt Wiring System / Ckt 50.00 � �� " 0 � � , �
Service to 200a � \�'.�. 50.00 0 ` � Misc. Conduit $0.00 ,�. � 0 .
Service to'7000a �° SOAO ' 0 .,;- ' Misc. Conductor. . 50:00�' 0 �, ,' ,
Service over 1000a � , � $O.W, i.,.� -. ,0,-" =� �"^ � Circus ( genbr {ide). �' -�'_,=,-,-.-�- - $0.00 0 .
Motors to 1 h . � �0.00�^, - '0; "'` ` -� � � Circus mecti ritle or li hts ��" � � � "
P =• /: i 9 )�•... : "$0.00 0 � •
Motors to 10hp --, .� : / t $0.00 : : :, �, 0 � - � Christmas Tree.Stand - -- �. $0.00� 0
Motorsto50hp � �l/, �,$0.00 ,:�_`�0':�;.�� � =�FireworksSland,��--�- � $0:00�,,,- 0 . ��,��
Molors to 100hp� . � ; $0,00�, � �" �0 ;� _ ,: � - : - Olher, Elecirical Fee �,'- �� � $0.00� ' % � '
Malors over 100hp ;`� ", $0.00 ' � 0 . � . - � -
Communication drops - '�- `50.00 - 0 � _ - Investigation Fee- � ' --$OAO � � �
Subpanelto200a ' 50.00'� � 0� -- PlanCheckFee. ' �' ` �'�$Q00;;,��,�-�
Pole Light Pkg ��'';90.00 �, 0 � ; - , �, �, - , ,Reinspection Fee -� � 50:00- �
Sign Circuits � $0.00 � - '�0 1 � � � ' � � - '�'' � �
TempPwrPole $0.00 - 0 � � TOTAL�CALCULATEDFEES/$40:00�
Intermed Pole $0.00 �- - ' 0' � � ' � � � � '' '
- �,_;_`i�.- � . - _ . �,.' i'� , .
COMMENTS l SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
reguiations. (Orci. No. 92-28, § 7, 12-27-92) � �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period ot 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
requlred Inspectiona antl tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. �
FOR INSPECTIONS CALL: (714) 7545626
24d8d61N00) -
WORKERS'COMPENSAnON DECLARATON:
1 hereby eXirtn untler penalry of perjury one of the following tleclarations:
❑ I heve entl will melntein a cerlificate of wnsenl to seli-Insure tor workers' compensalion, as provided for 6y section 3700 ot the La6or Coda, for t�e pertortnence of Ihe
work for which t�is pertnit is Issued.
'❑ I �ave antl will maintain workers' cwnpensation insu2nce, es required by sectlon 3700 of ihe Labor Code, for the peAortnance of the work for which ihis pertnit is issued.
��My v`rorkers compensation Insuran cartier antl policy number are: �',� �
ca 0: Seof� �a�+,2�ns��%on ;,,s��Rani_e �_ Po1ltyNumber., 1�3���
,(This'section need not be cofipleted il the Oerm/t is valued et o`ne hundred dollers ($100) or less.) •
❑ I certity ihat In the pertortnance ot t�e work for which Ihis pertnit is issued, I shall not employ eny person in any manner so es to become sublact to tha workere'
compensetion lews of Caltlomla, end agree that it I should Decome subject to Ihe workers' compensatlon provislons of Section 3700 01 the Labor Code, I shell torthwith
co�ply with ihese prohsia f� `
'Applicent SlBnature:� rDate: ^^N•� � �.i 1 ��
�
,WARNING FPILURE SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEq TO CRIMINAL PENALTIES PND GVIL FlNES UP TOONE HUNDRED
TLIOUSRND DOLLARE (E100,000). IN ADDITION TO THE COS� OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F TNE LABOR CODE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATON:
provisions oi Chapter 9(commencing with Section 7000) oi
ect. ua a ,
Signeture:
- Class N
and Professions Cade, antl my license Is in lull
CONS7AUCTION LENDING AGENCY:
❑ I hereby eHirm that Ihere is a construction lending agency far the pedormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Address:
Slgnature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby ettirm Ihet under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which requires e permit to wnstruct, alter, impmve, demolish, or repair any structure, pnor lo its issuance, also raquires the applicant for such permit
lo file e signed statament thet he or she Is Iicensed pursuant to ihe provisions oi the Contradars License Lew (Chapter 9(commencing with Section 7000) of DlNslon 3 of the
Business end Proleuions Code) or Ihet he or she is exempt therefrom and the basis tor Ihe alleqatl e:emption. Any vloletion of Section 7031.5 by eny epplicant for e permit
sub�ects t�e applicent to e civil penalry of not more than fiva hundred dollars ($500).):
❑ I, as owner ol the Droperty, or my employees with weges es their sole compensaiion, WILL DO THE WORK, antl the siructure is not intended or otteretl tor sele (Sac.
7044, Buslneu and Pmtessions Cotle: The Coniractors License Law tloes not appry to an owner oi pmperry who 6uilds or improves iheraon, end who tloes such work
himsefl or hersetl or through his or �er own employees, D�ahded that such improvements are not intentlatl or ofleretl for sale. Ii, however, Ihe building or improvement is
sold wit�in one year at completion, ihe awner-builtler will �eve ihe burden of proving ihat he or she did nat build or improve For purpose of sale.). '
❑ I, as owner of the properry, em EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct t�e project (Sec. 7044, Business ana Professions
Code: The contractors License Lew does not apply to en owner of propeny who builds or Improves thareon, and who contracts for suc� proled with e contrector(s)
license pursuent to the Coniractors LJcense LewsJ.
❑ I am exempt un0er sec. Business and Protessions Cotle for this reason:
SignaWre: Date:
Owner ID verilied by tlriver's license. ❑ Yes ❑ No Dnvels License No. Ezpires:
Vedilcailon ol Ownershlp by (rype ot daument, i.e. - properry tex bill or dead):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certlly that no eacavaGon five (5) or more feet In tlepth into which a person is required to descend, will be mede in connection wlth work authorized by this
pertnit, end �hat no building strudure, scaflolding, talsework, or demoliiion or dismantling thereot, will be more then thirty-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle B, Celitomia Administrative Cade).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Intlus�nel Sefery, as noted above, unless such person hes e
permit to tlo such work from the division.
Signature: Date:
DivLsion oi Industnel Sefery Pertnit NumDer:
CERTIFlCA7E OF COMPLJANCE AND AllTMORVATION OF ENiFiY: I certify under penalry of perjury ihat I have reatl t�is application antl state that ihe Intormation given is
correct. I egree to comply with ell stete laws and ciry ordinences relating to building consiruction, end euihorize representatives of Ihe Ciry ot CaSta Mesa to enter upon the
ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of eny building euthorized by this partnit until final inspection.
CO�E I. INSPECTONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 FIneI8locWRetaining Well
202 Final Factory Fire Place
203 Flnal Slgn
204 Final Demolition
QBjE INiffIALS COOEI INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbinq
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Builtling/Occupency
o�re
���
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
,lob Address: 203 MAYFAIR LN
Suite No
Vicinity:
Parcel Number: 41901327
Applicant: DAN ARONSON
Address�. 9329 ELM VISTA DR
SUITE 106
DOWNEY, CA
Owner:
Address:
Contracror:
Address:
MECHANICAL PERMIT
OZUNA, RAMON ULISES
�203 MAYFAIR W � � �
COSTA MESA, CA ' �
UNIQUE REMODELING INC
9329 ElM VISTA DR
Phone: 888-545,9555 .. '.
ZiP:.. 90242 : , . _
� �
Phone: �.. " �
Zip: 92627-1673 � � ��
SUITE 106 Phone�: 888-545-9555
DOWNEY, CA Zip: ' ; 90242 .
� . . - •Licensei848475� ',
Status: ISSUED
Applied: 04I24/2007
Issued: 04/24/2007
ISSUED BY:
' ". SCOPE OF PERMIT' `_, `. � '
REMODEL EXISTING KITCHEN. WORK�INCWDES: REPLACE/UPGRADE FIXTURES, DRYWALL " '
� � ��� -PATCHING, ELECTRICAL, MECHANICAL AND PLUMBING. NO STRUCTURAL CHANGES. REF.: . .� ;
� ' B07-00515 ' . ' • � ' . •
� � � �
. . � ,�, �MECHANICAL INCLUDES�. 1 HOOD W/MECH EXHAUST. � � � ,
,.. . . .. .. .. . .. .. _ _ ., .
< < � ' � � ,FEE SUMMARY � � ,� � ` �. • �
�� A �
. _ Quantiry � - . . -� �'- � �� . � , � � - Quan�i�'y
ISSUE FEE_ . � 523.50 Repair/AIt�Absorbtion Unit ,� $0.00 0
- Inst FAU <700 k BTU $0.00 0 '' � Repair / Alt Refrigeretion Unit �' 50.00 0
Insl FAU >700 k BTU • 50.00 _ 0' . � � . �.Ventillalion System , - - 50.00 , 0
' Repair/Alt Cooling/Heat 50.00_ .0 = - -_---� _ ; Evapore�ive,Cooler�_- • �S0.00- 0
Inst/ Rep. Recess Wall Ntr � 50.00 ��'0 -� � Commercial Incinerator �' - 50:00 0 -�
� Refrig Sys <100 k BTU � $0.00 0 Domestic Incinerator .' S0.00- , 0'� �
Refrig Sys >100 k BTU. $0,00 0 Compressors / Absomtion Svstems �- ,
Gas Piping , $0.00 0 Up.lo 3 hp / 100 k BTU •�$0.00 ; 0��•
Factory Fireplace '� �`� , $0.00 0 3 To 15 hp / 500 k BTU �$0.00 � 0'
Hood w/Mech Exhaus( � 510.65 1 ..,. � - 15 To 30 hp / 1,000 k BTU � i ��� ��50.00 `0 �
VAVBax, � " ����' , $0.00 0 '"��:'��� �� 30To50hp/1,750kBTU � " � $000 � 0%
� Vent Fan hSingle DuCt ���� $0.00 0 '.''',�1,��,�' � Over�50,hp / Over 1,750 BTU '���� $0.00� - 0
Appliance - • � ; - $0.00 0 - ' - Boilers � " �' . - '
', . %
FlreDampers� - ' „��$0.00=:,0:; '_"_' , � Upto3�hp:�%�-�� �.'_ ';'��". � 50�.00 0
Smoke Dampers� , !� $0.00 � 0' ' - 3 To 15 hp �- � 50.00 0
Inst or Relocate Appl VenC - � 50.00 . 0 �: . _ � - .15 to 30 hp . - � - � � ,�50.00 0
Air Handlers < t0000cfm � ; %�, ,50.00� 0,- , � �, , � 30, to 50 hp� • - . - � � . � 50.00 0
Air Handlers > t0000cfm �,' � � 50.00 �-0� � � � � �. �� � Over SO hp � , , ` ✓ 50.00 0
Floor Furnace � `�`�. �� " $0.00 ; 0 ` , Other Mechanical Fee . ' ' � -
Floor or Suspend Heater`�� ; $0.00 • � 0 - , � � Investigation Fee � - 90.00
�\�-�, ti - � � - , ' Plan Check Fee- � �� � � „ � 30.00
. , . � � , _ ReinspectiodFee, ; ;� ,; 50.00
. _ � l f
- � . • - � l TOTAL CALCULATED FEES $34.15
COMIVIEIVTS I SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automafically expire and become void i( work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable.codes; �and all
required Inspectiona and tinal approval must ba obtained. Failure to obtain inspections and final approval will result in the expirvation'of ihis permit.
FOR INSPECTIONS CALL: (714) 7545826
2aasas (e�oo)
WORKERS' COMPENSATION DECLARATION:
I hereby eflirm under penalry of perjury ona of the following decleratlons:
❑ I heve and wlll maintain a certificate of consent to self-Insure tor workers' compensa�ion, as provitled tor by saction 3700 0� lhe Lebor Code, for the peAormence of �he
work tor which this Dertni� Is issuetl.
�
❑ I have flntl will maintain woAcers' compensatlon insurance, as requiretl by section 3700 oi the Labor Code, tor the peAortnance ot the work tor which this permit Is issued.
�--My workers' compensation Insurencg carriar and poliry number are:
i(fy! A[+� ����J� RPp1It,yNumDer.� IO����`-�
va/uea et one hundred ddlars ($100) or less.) ��� '
❑ I cenify that in Ihe peAortnance oi Ihe work for which this Dermit Is iuueq I shall not employ eny person in any mannar so as to bewme subject to the workers'
compensation laws ot Califomie, end egree Ihat if I s�oultl 6ecome subject to the workers' compensation provisions of Section 3700 of Ihe Labor Cotle, I shell forthwith
� comply with these provisions. I '
'Applicant _Signatu_re: �� i �Date:—�-t�1Vu1��
,WARNINO: FAILURE TO SE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER.TO CRIMINAL PENALPES AND GVIL FlNES UP TOONE HUNDREO
TVqU$!W D DOLLARE (3100,OW), IN ADDfTIIXJ TO THE COST OF COMPENSATION, �AMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES.
LICENSED COHTAACTORS DECLARATION:
provisions oF Ghapier 9(commencinq with Section 7000) of Division 3 ot Ihe Business�ntl Protessions Code, entl my license is In full
SlgneNre: "_
CONSTRUCTION LENDING AGENCY:
❑ I hereby eftirtn that there is e construction lending agency for Ihe pertormance of the work for w�ich Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Neme: Lendefs Address:
Slgnelure:
OWNER-BUILDER DECLAHATIONS:
Date:
I hereby aXirtn ihet under penelry ot per�ury that I am EXEMV7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sea 7031.5, Business entl Protessions
Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair eny swcture, Prior to iis issuanca, also requires the epplicant for such pertnit
to ille e signed stetement thet he or sha Is Ilcensed pursuant to the provisions of Ihe Conireclors License Law (Chapter 9(cammencing with Section 7000) of Divislon 3 of ihe
Business end Profeuions Code) or thet he or she Is exempt therefram end the basis for the allegetl ezemption. Any violatlon of Section 7037.5 by any epplicant for e pertnfl
su6�ects the apP�iwni ta e civil penalry of not mora than five hundred dollers ($500).):
❑ I, es owner oi the properry, or my employees with wages es iheir sole compensatlon, WILL DO THE WORK, and ihe structura is not intenCeO or ottered lor sele (Sec.
7044, Business and Prolessions Cotle: The Conirectors License Lew tices not apply to an owner oF property who builds or improves Ihereon, and who does such work
himsell or herselt or through his or her own employeas, pmvided ihat such improvements are not Intended or oflered for sale. If, however, ihe builtling or improvement is
sold wiihin one year o1 completion, ihe owner-builder will have Ihe burden of proving ihat he or sha did not build or improve for purpose oi sale.). '
❑ I, es owner of Ihe property, am E%CLUSIVELV CONTRACTING WRH LICENSED CON7RACTORS to construct the pmject (Sec. 7044, Busine55 end Pmfession5
Code: 7Te comractors Llcense law does not appty to en owner ot property who �uiltls or Improves thereon, and who wntrects for such projact with e contrector(s)
license pursuant to ihe Contractors License Laws.).
❑ I am e:empt undar sec. Business and Protessions Code for this reason:
Signature: Date:
Owner ID varifiad by tlriver's license. ❑ Yes ❑ No Drivels License No.
Vedficatlan o1 Ownership by (type at document, i.e. - properry tex blll or tleetl):
DIVISION OF INDUSTRIAL SAFETV VERMIT CERTFICATION:
Expires:
❑ I hereby cenify ihat no exwvation tive (5) or mora feet in tlepih into which a person is requiretl to tlescen4 will be metle in connection with work euthodzed by this
permit, end t�at no building sWcture, scaftoltling, falsework, or demolition or dismantling thereot, will be more Ihen Ihirty-six (3fi) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Tltle B, Califomia AdminisVatNe Code).
❑ As owner-builtlar, I will not employ anyona to do work which would require a permit irom ihe Division ot Indusirial Satety, as noted a6ove, unless such person hes a
pertnit to do such work irom the division.
Signature: Date:
Division of Indusirial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUiFiORIZATON OF EMRY: I certify under penalty of perjury �ha� I have read this epplication and sta�e ihet ihe Information qiven is
correct. I agree to comply wlth all state laws end ciry orCinances relating to builtling construction, and authorize representetives oi t�e Ciry of Coste Mesa to enter upon the
flbove-descnbed properry for inspec�ion purposes. I agree not to occupy or allow occupency ot any building authonzed by ihis pertnit until final inspection.
CODE �• INSVECTIONTYPE
7618 Fixed System Final Fire Prevention
1288 Pool Spa Final
200 Final Re-Root
201 FInaI BIxWReIalning Well
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolltion
QAjE IRL
CODEt INSPECTONTVPE
206 Final Mechanlcal
208 Final Plumbing
210 Final Elec�ncal
272 Final Fire Preventlon
220 . Final Planning Approval
222
250
Final Site
Final Building/Occupency
Da�e
7/� 2
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
JobAddress: 20$ MAYFAIRLN
Sulte No
Vicinity:
Parcel Nunmber: 41901327
Applicant: DAN ARONSON
Address: 9329 ELM VISTA DR
SUITE 106
DOWNEY, CA' ,
" Phon'e: 888-545-9555 "' � , , ��
' . � Zip:'. 90242 .. . .
Qwner: OZUNA, RAMON ULISES
Atldress 203 MAYFAIR LN , -
COSTA MESA, CA � `
Contrector UNIQUE REMODELING INC
Address: 9329 ELM VISTA OR
SUITE 106
DOWNEY,CA '
Phone:
Zip: 92627-1673
�
Phone:'� 888-545-9555
Zip: 90242 '
' License: ' 848475 .
Status: ISSUED
Applied: O4124/2007
Issued: 04/24/2007
ISSUED BY: O
,
SCOPE OF PERMIT '
REMODEL EXISTING KITCHEN. WORK INCLUDES: REPLACE/UPGRADE,FIXTURES, DRYWALL�PATCHING, �� �
ELECTRICAL, MECHANICAL AND PLUMBING. NO STRUCTURAL CHANGES. REF.: 807•00515' �,�'' , �
- �
PLUMBING INCLUDE$�-1 KITCHEN SINK: �, .�-, , - � -, �
FEE SUMMARY `
`"' • AMT QTY � AMT QTY , , � AMT . OTY
ISSUE FEE ' $23.50 _ Laundry Tub / Washer 50.00 0� __ , Sump Pump � 50.00 0
Backflow irrigation � 50.00 0 _ Landscape Irrigation �_ 50.00; 0' - - Swimming Pool -� _ 50.00 0
Backflow Preventer 50.00 0�.: P-Trap � - 50.00 � 0 - ,, Trap Primer - 50.00 � 0
Bathlub - , ' $0.00 0, Pressure Regulator 50.00 � 0 Urinal � . 50.00, , 0
Claritier System 5Q00 0 Process Piping (per 10 ft) , 50.00, 0 ', Vacuum Brkr BkFlbw(1-a) ; 50.00 � 0
Connec� (Ice,$oda�,etc) , 50.00 0� Receptors $0.00, �•0 � Vacuum Brkr Bkflow(5+) $0.00 , 0
Dental,Units' �.� 50.00 0 SepticTank -�$0:00 -•0 WashBasin� '-� � �50.00 0
Dishwasher �' . , $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set ^� � , 50.00 0
Drain, Floor �� - �� 50.00 ' 0 Sewer ConnecL '� � 50.00 0 Was�e and Vent System �. 50.00 0
Drain, Rainwater� �50.00 0�. Sewer Pri�ate Cine ��S,OAO 0 Wa�er Closet (Toile�) �- ' i0.00 0
Drain,Roof � 50:00- 0 Shower ���- � $0.00�;�.0 WaterHeater/vent '� $D.00 0
Drinking Fountain � , $0.00 , ' 0 � � � , �_ ; Sink;'bar � $0.00 "� 0-� ` ; �, �-Wa)er�Piping (Inst or Rep.)`� $0.00 0
Expansion Tank• $0.00��. �0�, , , �. Sink, commercial $0.00 " �� 0�',� �T' ` Water Re-pipe �•� . " $0.00 0
Gas Earthquake Valve -�,$0.00 � �0 � : Sink;.Floor . � $0.00 , 0 �. Water Service � $0.00 0
Gas (1-4 outle(s) �� ; $0.00 0 ` � ��� Sink, kitchen -. -� 59.80 - 1 _ Wa�er Softener � ,' 50.00 0
_ Gas (Over 4 outlets) �' � � 50.00,' ' 0 ' , �; � Sink, service/mop. . $0.00 0 -_ " OTHER. � � � 50.00
Gas Repipe '�� 50.00 � 0 � Spa (private) - , 50.00 � 0� - " � -, VIOLATION � , ' j 90.00
Gas Service �: ��'S0.00-�, 0 � Spa (public) � �� � $0.00- ' 0 `' `-,`PLAN CHECK �, ' $0.00
Interceptors (Grease, Oil) -�'�50.00 � 0 - �� ; � � - � , , -REINSPECTION $0.00 0
Interceptors (Sand Auto ) �50;00 ,� 0 � � - , , , - • � � � - �� .
, � � � �t,' ' ' � - � , � , TOTAL"CALCULATED FEES: $33.30
� � � �COMMENTS I SPECIAL CONDITIONS ' -�� �
NOTICE: Th0 work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended� andoned
for a period of 180 days. (i�
INSPECTION$: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46(6/00j
WORKERS' COMPENSATION DECLARATION: .
I �ereby ettirtn under penalry ot perjury one af the tollowing decleretlons:
❑ I have end wlll maintein a certificate of consent to setl-Insure for workers' compensetion, es provided for by sactian 3700 of the Lebor Goda, for the peAormanca ot the
work for which Ihis pertni� is issuetl.
.❑ 1 have and wlll meintain workers' compensatlon insurance, as requireA by section 3700 oi Ihe Labor Coda, for ihe peAortnance ot iha woM for which Ihis pertnit is issued.
—My workers' compensetlon Insurarce carrler antl policy number arer., � �
PoliCy Number: ���.3Y i'1—�"
orless.) � "� �
❑ I certity that in the pertormance of the work tor which Ihis permit is issued, I shall not employ any person in eny menner so as to become subject to the workers'
compensatlon lews of Celifomia rae Ihat if I should Decome subject to ihe workers' compensatlon pmvisions ot Section 3700 of the Lebor Coda, I shell fotlhwith
comply with ihese provisio ,I
Ap0licaniS� �Date _���{�oZ�1���
WPANINO:�FFILURE TO SEWRE WORKERS' COMPENSATIIXJ COVEMGE IS UMAWFUT AND SHALL SU6IECT AN EMPfAYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
TIiOU$AND OOLURE (5100.0OO�.IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTIXJ 3�O60F THE LABOR COOE, INTEREST, AND ATTOHNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I.hereDy.aflirtn�that 1 am Ilcens under provisions of Chapter 9(commencin9 with Section 7000) ot Division 3 0l the.8usiness and Professions Cotle, and my licanse Is in full
force end eHect. Llc. H�jti��� Cless H �
CONrectors Signature: ���— �Date: c Li�o1�- O
CONSTRUC710N LENDING AGENCV:
❑ I hereby aflirm Ihet there is a consiruction lending agency tor the pedormance oF ihe woAc tor which Ihis permit is issued. (Sac. 3097, Civil Cotle).
LenAers Name: Lender's Address:
Signature:
OWNER-BUILDER DECLARAT10N5:
Date:
I hereby attirm that under penelry oi perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Iha tollowing reason (Sec. 7031.5, Business entl Protessions
Code: Any city or counry which requires e permit to construct, alter, impmve, demolish, or repair any stmcture, pnor to its issuance, elso requires ihe epDliceM for such permit
to flle e signed statement thet he or she Is Iicensed pursuant to ihe provisions oi the Contrectors License Lew (Chepter 9(commencing wit� Sectlon 7000) of Division 3 oi the
Buslness and Profeuions Coda) or ihat he or she is exempt therefrom and Ihe basis for ihe allegetl esemptlon. Any violation of Section 7031.5 by any eppllcent for e pertnit
sub�ecis the epplicant to e civil penalry of not more than fiva huntlretl tlollars ($500).):
❑ I, es owner of Ihe properry, or my employees with wages as thelr sole compensa�ion, WILL DO THE WORK, and the strucWre is not intended or otteretl tor sele (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, antl who does such work
hlmseN or hersetl or through his or her own employees, provided ihat such improvements ere not intendetl or ottered tor sale. Ii, however, tha building or improvement is
sold wit�in one year oi completioq the ownerbuilder will have the burden of proving that he or she did not build or improve for purpose ot sale.). '
❑ I, es owner ot the property, am E%CLUSIVELV CONTRACTINC WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business entl Professions
Coda: The contrectors Licensa Lew does not apply to an owner of propeny who builds or Improves ihareon, and who coniracts lor such pro�ect wl�h e contractor(s)
license pursuant to the Coniractors License Laws.).
❑ 1 am exempt under sec. Business and Profas5ion5 Code for this reason:
Signature: Date:
Owner ID venfietl Dy drivers license. ❑ Yes ❑ No DrivaYs License No.
Vedficatlon oi Ownership by (type of document, i.e. - properry tex bill or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N:
❑ I hereby certity that no excavation tiva (5) or more feat in depth into which e person is required to descend, will be mede in conneciion with work euthorized by this �
pertnit, end that no builtling sWCNre, swNoltling, falsework, or demolition or tlismantling ihereof, will be more Ihan ihirty-six (36) feet high. (Chap. 3.2, Gry 2, Atl 2, Sec.
341, Title B, Califomia Adminlstrative Code).
❑ As owner-builtler, I will not employ enyone to do work which would require a permit trom the Division ot Intlustnal Safery, es noted abova, unless such person hes e
permit to do such work from the division.
Signature: Date:
Division of Indusirial Sefery Pertnit NumDer:
CERTIFlCATE OF COMPLJANCE AND AUTMORIZATON OF EMAY: I certify under penelry of perjury Ihat I have reed ihis application and state thet the inlortnation given is
cortect. I egree to comply wiih all state lews end ciry ordinences releting to building consiruction, antl authodze representatives ot ihe Ciry of Costa Mese to enter upon iha
flbove-descnbad property for inspeIXion purposes. I agree not to occupy or allow occupancy ot any building euthorized by this pertnit until final inspection.
�Signatura Of Legal Owner(s)
l
�. And/Or Authonzed Applicant ,
CO�E �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1286 Pool Spe Final
200 Final Re-Root
201 Flnel elocWRetelning Wall
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolition
P�SF IrrtmA�s
SOpE 1 INSPECTION TYPE
206 Final Mec�anical
200 Finel Plumbing
210 Final Elecirical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
PLiE l�lfl
�obnddress: 203 MAYFAIR LN
Suile: �
Vicinity: KITCHEN
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Cons�ruclion: V-N
Parcel Numbec 41901327 Zoning:
Appiicanc DAN ARONSON
Address: 932g ELM VISTA DR
SUITE 106
DOWNEY. CA
Owner: OZUNA, RAMON ULISES ;
Address 203 MAYFAIR'LN • �. � . �
Contrador
Address:
Zip:
Arch : "
Address:
COSTA MESA, CA . '
UNIQUE REMODELING INC
932g ELM VISTA DR � �
SUI7E 106 . -
DOWNEY, CA�
90242 �
Phone: 888-545-9555
- . Zip: 90242 . _.
Phone: - , �'`.
� - Zip: 92627-1673 �
Phone: 888-545-9555
License: 848475
Eng:
Address:
Phone: - � . -
Status: ISSUED
Applied: 04/24/2007
Issued: 04/24I2007
ISSUED 8Y: ��/
Phone:
Zip: License: -. �- � � � � � License: � �
� ' - SCOPE OF PERMIT'
REMODEL EXISTING.KITCHEN. WORK INCLUDES: REPLACEIUPGRADE FIXTURES, DRYWALL PATCHING, ELECTRICAL. MECHANICAC AND
PLUMBING. NO STRUCTURAL CHANGES � ' ' � � � �
_ - - - FEE SUMMARY . - - -
Plan Check: $0.00 ..' _ . -. : � . . _ : Calc Valuation: , Sio,000;oo�
Permit:' $181.25 ` Claim Valuation: Sio,000.00
SMIPRes:" $1.00 ;
SMIP Com: � $0.00 � . � ,.-_�
, Othe'r.' ` 50.00 � _ � _ - -_- -,,., .
Inspection: $0.00 � � y , � ' �
� � � �� �7 i �' � C .
. Total: �. ' �.�$182.25 � � __ ' �, ��, , _
..PL'ANNING & ZONING `
SETBACKS ., �:,, � � ,r,: s-, � � _ ,., ; %
MAIN STRUCTURE�Fronf � 0- 0 Rear - 0 0 Left 0:0 --�r Right 0�0 �' ,� ''
!
� � � � t—r tJ tiu �r - s ^.r •; : - ,
' ., � �. „ ,� r �
ACGESSORY Fron�-`0 0 , �Rear'' 0-0� � . � Lef� 0-0 � Right� �-0-0- � �,. �
.�. i�,.j � . " . � . /
, I � i
PARKING _ Exi_stina-:- 0,, Reauired: � 0 . Pr000sed: _0 . ' , � i '
,-� _ ' . _ - , ._ . - � :' - .
. : .. , -. .. - ..
` . . ,. �
' . , _ , ; �. . ' �' '. - . •- . ,
, " _ . , _ " '� , ..
. . ' �..�� � . � . , -_/,�J.i:.'' : ,
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 1 BO days, or if work is suspended or abandoned
for a period ot 180 days. /
INSPECTIONS: In order for ihe work au�horized under this permit to be considered legal, such work must comply with al��able codes, and all
-required Inapeetiona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244fi-4fi�8/00)
WORKERS'COMPENSAnON DECLARATON:
I hereby affirtn under penalry of perjury one of ihe following tleGarfliions:
❑ I heve and will mflintain a canificete of consent to self-Insure for workers' campensation, es provitletl for by section 3700 ot Ihe Lebor Code, for the perfortnance of the
work for which thls pertnit is issued.
�❑ I have and will meintain workers' compensatlon insurence, fls requiretl by secuon 3700 of the LeDor Code, tor Ihe peAortnance ot ihe work for which ihis pertnit Is issued.
' My�workers' wmpensation Insur nce carrler antl policy number er �
'fQ Cx�—��Tl iUS.i��M.2 �1�1 {jj'�� P`—oli'c�yN^umber:`-'�C1,�fi�l�%_"1
need nat be � mp/efed i! the permit is ve/u et one hundred dollers ($100) or less.) �—"------ -•
❑ I certity that In the pertortnance of t�e work for which Ihis pertnit is iuued, I shall not employ eny person in any manner so as to become subject to the workers'
cortipensetion lews of Califomla, antl agree that if I ahould become sub�ect to the workers' compensation proNsions of Section 3700 0l the Labor Code, I s�all forthwith
comply with these provisions. I'� \ j
Applicant SlgnaNre: � -; -��+ �r�ate: �l101�I��
WqRNINp:�FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL PND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDPED
7/1IX15AND DOLLARE (E100,000), IN ADDRION TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDED iOR IN SECTON 37080F THE LABOR COOE, IMEREST, AND AT70RNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
aflirm that I am licensetl under provisions of ChaD�er 9(commencing with Sedion 7000) oi Divisioa3 otthe,Business and Protessions Cotle, end my license is in lull
3 eHed. Glc. #- -- qrass x__
ors�Signature: � � f%Date: —
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm Ihat there is e constnution lending egency for the Dertormance oi �he work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Neme:
Signeture: _
OWNER-BUILDER DECLARAT10N5:
Lendels Address:
Date:
I hereDy aHirtn that under penalry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Buslness end Protessions
Cotle: Any ciry or counry which requires e pertnit to construct, alter, improve, demolish, or repair eny siructure, pnor to Its issuance, elso requires the applicant for such pertnit
ro flle e siqnetl stetement that he or she Is Iicensed Dursuent to �he pmvislons oi the Contractars License Law (Cheptar 9(commencing with Section 7000) of DlNslon 3 oi ihe
Business and Professions Code) or that he or she is exempt therefram and the basis for ihe ellegad exemption. Any violation ot Sectian 7031.5 by eny epplicant for e permlt
sub�eds Ihe epplicant to e civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner of Ihe properry, or my emDloyees with wages es thelr sole compensation, WILL DO 7HE WORK, an0 ihe structure Is not intended or ofleretl for sale (Sac.
7044, Business end Professions Cotle: The Contractors License Law tloes not aDPly lo an owner of property who builds or improves thereon, and who tloes such work
himself or herself or through his or her own employees, provided that such improvements are not intendetl or oNered for sale. If, howevar, �he huiltling or Improvement is
sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). '
❑ I, as owner oi the properry, am EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTOHS to construct the project (Sec. 7044, Business end Profeuions
COCa: The conirectors License Lew does not apply to en owner ot property who builds or Improves thareon, and who contracts for such pmject wlih a contrector(s)
license pursuant to t�e Contrectors License Laws.).
❑ I am exempt under sec. Business and Pmfessions Coda for this reason:
SignaNre: Date:
Owner ID verified by tlnver's license. ❑ Yes ❑ No Dnvefs License No. Expires:
Vedfication oi Ownership by (rype ot document, i.e. - properry tau 6i11 or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certily that no exwvation five (5) or more feet in depth into whic� e person is requiretl to descend, will be metle in connection with work authodzetl by this
pertniL and ihat no building structure, scaHoltling, falsework. or demolition or tlismantling thereof, will be more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Celifomia Atlminisiretive Code).
❑ As owner-builder, I will not employ anyone ta do work which would require a permit trom the Division of Intlustrial Safery, es notad above, unless such persan has e
permit to do such work trom fhe division.
Signature: Date:
Division of Industnel Safery Pertnit Number.
CERTFlCATE OF COMPLIANCE AND AUT}tORIZATION OF ENTHY: I certity under penalry oi perjury that I have read this application end state thet the information given is
correct I agree to comply with ell state laws and ciry ortlinances relating to Oullding construction, end authodze representatives of t�e Clry ot Coste Mesa to enter upon the
ebove-described praperry for inspection purposes. I egree not to oaupy or allow occupancy of eny building euthonzed by this pertnit until finel inspection.
Signature OI Legal Owner(s)
CQOE I. INSPECTONTYPE
i616 FixeG System Final Fire Prevention
1286 Pool Spe Final
200 Finel Re-Roat
201 Finel BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Sign
204 Final Demoliiion
PAg 1t�lA6i
CODE A INSPEGTION TYPE
206 Final Mechanical
208 Final Plumbing
270 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�
'��O Y/lClr._
�
0
AVGlicant to till in all spaces exceDt those witnin heavY eoraer Iines ana sign all aDoropriate tleclarations.
CITY OF COSTA MESA CO STR CTIpN PERMIT � � PER N0. _ _ TRACT NO. LOT�NO. UNIT Nb.
Pmject Address �
Applicant's Mailing d ress
Owner's Name Phone
Address � � �
Arch/En9. License No. '
Address '
Contractor's Nam q, Phone
Address (m '�' � (� �/�� � /y
City License No. � `�5
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensetl untler provisions of Charter 9(commencinq
with Section ]000) ot Divisian 3 of the Bu5ine55 antl Profeszions Cotle, antl
my license is in fu f antl elfecL , ///111 ��/ ���Q�/
Licen cl s Ic ���$�/��y�
Date Si9nature
2KE 5' COMGENSATION DECLARATION
�by affirm thal I have a certificate of wn5ent to self-insure or a cer[ificate
Jotkero' Comnpensationa �In]surance, o� a certitletl cop y thereof (Section
stl00, Lab.f.h�N3 U / /'1��,//�, �
Polity No. <`'1 �� Company 0-�����`'f'
❑ GeYtifietl copy is hiletlbwithrthehc�ty BY fin 1{�/y�y�/y� �/�
EXMPT O-�RKERSaCOMP��S��N DEC A ATION
(This sec[ion neetl not be completetl if the permit is.for one hundreG ($300) or
less).
I certity thal in tbe pe�to�mance ot the wo�k fo� which thls perm�t is issuetl, I
shall not employ any person in any manner So as to become subject to the
Workerz' Campensa[ion Laws of California.
i Date Si9nature
NOTICE: If, after making this tleclaration, you shoultl become Subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with such p�ovlsions o� this pe�mit sttall be tleemeG revoked.
CONSTRUCTION LENDING AGENCV �
1 hereby affi�m that tM1ere is a construction lentling a9ency for the perPormanCe
of tM1e work for which thi5 permit is i55uetl (Section 3097r�Civ. C.)
�.entler'S Name
Lentler's AtlEre55
OWNER BUILOEIt �ECLARATION �
I hereby affirm that I am exempt from [he Contracto�'s License law for lhe
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair
any structure, prior to ics issuance, also requires the applicant for sucn permit
� file a signetl sta[ement that he/she is licensetl pursuant to the p�bvi5ions of
Contractor's License Law (ChaOter 9(commencing witM1 Section ]000) of
�ion 3 of the Business antl Professions Cotle) or that he/she is ezempt -
:from antl the ba5is fOr the allegetl exemption. Any violation ot $ection
A.5 by any applicant for a permit subjects Me applicant to a civil
penalty of.not more than five huntlretl tlollars ($500).
❑ I, as owner of the proDe�ty or my employees with wages as thei� sole
compensation, will tlo the work, antl the structure is not intentletl or o(tered
for �sale (Section 7044, Business and Prolessional Cotle: The Con[ractor's
Licen.e Law tloes not apply to an owner of a properry who builtls ar improves
thereon, antl who tloes such work himselt/herself or through his or her own
employees, p�ovitletl Ihat such improvements a�e not intentletl or offeretl for
sdle. If, howevEr, the builtling or improvemen[ is soltl within one year of com-
pletion, the owner will have the burtlen of provinq he/she tlitl not build or im�
p�ova for the purpose ot sale).
❑ I, az owner of the property, am exclusively mntracting with licensetl�con-
tractorsto const�uct [he project (Section ]044, Business antl Profession5 Cotle:
The eontractor's License Law tloes not apply to an owner oi property who
builtls or improves thereon, antl who coMtacts for such pro]ects with a con-
tractor(s) hrense pursuant to tne ConVactor'S License �aw). I am aware tbat
proof oi their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for thi5 reason
Oate Owner
I hereby cerlify ,Iha[ I have reatl tM1is application antl state that the above
information is correcL�l agree to comply witM1 all city antl county ortlinances �
antl stale laws �elating to builtling construction, antl hereby autM1orixe repre-
sentatives of jhis,sity, to enjer�qp,pn me above-mentionetl Rropgriy�,(or_
n
TYPE OFCONSTRUCTION �U NEW IJ ADD LI ALTERATION �ynEFAIR
❑ CONV ERSION - ❑ DEMOLISH ❑ OTHER - q,p, # '
DESCRIPTION OF WORK/USE OF BLDG. , � g Main Building:
TYPEOFPERMIT GRADING ❑ OUNDATION STRUCTURAL T FrOnt
❑ TENANT ❑ ELECTRICAL ' PLUMBING ❑ MECHANICAL B Reaf
❑ OTHER . � %�
PROJECT DESCFIPTION Sp. FT. OCCUPANCY C Right
CONSTRUCTION TYPE VALUATION $ g Left
ZONE GRADING CU. VDS. ACRES Ping. Ref. #
Remarks: ' . ' . , Planning Notes:
Sink
Preventer.
Irrigation
eathtubs
Dishwasher
Drinking Fountains .
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink �
Lavatories
Roof Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct - Strucmral
Duct - Ventilating
Exhaust System � Multiple ❑
Firepl/Pact. Blt. ICBO #
Heating Syscem & Ducting
❑ 0-100,000 BTU � 7 00,000 BT
I Signature 1¢n / �'�+� _ Daie ��� �� I I
Reinspection Fee
Orivers' LiwnSe or 55 �
^ CMF 0865-46, rev. ]0/84 White - Builtlinq; Canary - Applicanp Pink � Accounting; Goltlenrotl - Assessor
`
$15
Showers
Service Sink
Sewer Cap
Sewer Connection .
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Isue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration SYstem
❑aioo,000eTu ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
luue Fee
FEES
$ 3
$ 3
I
2050 12/23/87 5v00 TL
Accessory Building:'
Z
. ! :. O
, N
I
" ' , ' _ -.... , N
G
R
Parking Req./Provided � � ' E
Q
� M
�vEo nFr. � s � s
ELECTRICAL
Automatic Washer � Transformer
Construction Pole Sub. .
Cooking Unit _
Dishwasher • '
DrYers OGas ❑Electric•
Fan
F.A.U.
Fixtures '
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW �5-15 KW
FEES
LJ 15-50 KW
❑ 50+KW '
Meter LJup to 100 amps
Meter' �over 100 amps ' - �
Sub Panel
Motors �0-1 HP O1'f. - 8
Inc.Solar 09�15 HP �i6-15+
Microwave ' '
Pole Ligh[ �
Range
Sign - �
Standing Sections
Trash Compactor ' ,
� Reinspection Fee �$15 � � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Aoolication Issued BV n'
$ 3
SUMMARV OF FEES �
BUILDING PERMIT $ SMIP ' $
PLAN CHECK $ PERMIT � . „ -
PLUMBING $ � ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C, $. �
ELECTRICAL . $ GRADING $
PLAN CHECK 50% S MICROFILM �$� ..
MECHANICAL $ TOTALFEE $ �� •
PLAN CHECK 25% $ ' , �
CONSTRUCTION AND.�PLANNING POOL & SPA � ,. . . •
�� '" Date' ' Inspector " " - � �' ' � � `Date . Inspectoi
APPROVALS Permit'# . , APPROVALS Permit #-'" . � •
�
1: Temporary Electrical.`Service or Pole ' � 52. Pool & Equipment Location � !
2. Soil Pipe-Undrgrnd. "" � 53. Steel Reinforcement _, � . �
3. Electrical Conduit Utility-Undrgmd. � � 54. Forms � i_- . . � .
4. Electrical Condult-Undrgrnd. 55. Electrical Bonding -' � • �
5. Steel Reinforcement � 56. Rough Plumbingi& Pressure Test � -
6� Electrical UFER Grr�d:._ � _57. APPROVAL TO COVER:GUNITE '
7. Footings . �i,,,� • . � 58. Electrical Conduit-Undrgrnd. -
8. Foundation _ 59. Gas Pipe, � Undrgmd., Tesi � �
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 & VenrFinal • ,
13. Roof Drains' . � 64. Plumbing System - Final � '
14. Rough Plumbing " 65. Electrical-Final � ' � .
15: Rough Electrical-Conduit 66. Solar System-Final _
16. Rough Electric Wiring � � 67. Fencing & Access Approval - �
17.-Raugh Wiring Sign 68. APPROVED FOR PLASTERING � '�
18: Rough Electrical-T Bar Ceiling . ' � 69. P.OQL/SPA SYSTEMS FINAL '
19. Rough. Heating & Air Conditioning ��FIRE DEPT. REQUIREMENT �'
� h
20.� Rough Factory Fireplace APPROVALS Permit # �•
21. Ducts, in Structure 70. Underground Hydro � "-
22. Ducts, Ventilating � 71. Product Piping 0 Gas ❑ Oil
23. Gas Pipe-Fiough & Tesi 72. Underground Flush '
24. Roof Framing 73. Undergrnd�. Storage Tank O Gas ❑ Oil •
25. Roof Sheathing � 74. Overhead Hydro �-
26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical
27. Frame and �Flashing - 76. Dry Standpipe' " " - - " '
28. Lathing & Siding 77. FIXED SYSTEM FINAL � -
29. Insulation � 78. FIRE PREV. FINAL � •
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT . �
31. Plaster Brown Coat � 79. FINAL INSPECTION - t%',+
32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED ' ��'�'' �
33. Final Electric � Notes: ' ' ' � '� � � � �'�
„ .
34. Final Heating & Air Conditioning � � ., �'
35. Final Gas Pipe-Test � - � -
36. Hood or Canopy
37. Final Factory Fireplace � - � �
38. Final Plumbing 3•��.(�� (�D ' '
39. Water Service-Final � ' �-
40. Gas Service-Final - � �
' k } "•�
41. Solar pomestio-Final - � - • "
42. Backflow Preventer . - • - o � � � � � .� � i�
43. Backflow Irrigation _ , ; . . ', .
44. Landscape Irrigation SVstem � . ' � � � ' _ . � .• _ ' •.ti
' 45. Sound -Attenuation . � . � ,{ � - ! •
46. Handicap Regulations , , � � _ ' � _ � ' �' .
47. FINALSTRUCTURE&BUILDING , - � , . - ' ,
48..Special Requirements Completed ' � " � � '
' 49. � Electric Release to Edison � � . � . ' � - ' `
50. Gas Release to�Southem California Gas Co • � . .
'51. CERTIFICATE OF OCCUPANGY � � ._
No. Date ' � - ' - ' "
. ' � - - - -' ' ' -
i� � �� _ .
.. �•
��2� 2�� i�o �d1a� �l��0�10�1�� of csoutnttn �aufovxia, �itc.
s a
� � 3310 Airport Way 1514-D North Susan Street
(� O Long Beach, CA 90806 Senta Ana, CA 92)03
b2 � y Mail: P.O. Box a7, 90801 (714) 554-2645
(213) 426-3355 FAX (714) 554-4980
TESTING (714) 828-6432 FAX (213) 426-6424
Compression Test on Concrete
CUSTOMER: PRECISION ENTERPRISES EXAM NO:
ATTN TRACY HART
4075 E LA PALMA UNIT X DATE:
SANTA ANA, CA 92807 JOB NO:
PERMIT NO:
JOB NAME; VARIOUS PROJECTS (PREC. ENTR.)
See "Sampled From" for
ADDRESS: Job Name & Address
ARCHITECT:
ENGINEER:
SAMPLE FROM:
MIX: 3940
DATE TESTED
91-1-624103
04/04/91
00724202
OSH PD:
OSA AP #:
FILE #:
PAGE #: 1
CONTRACTOR:
SOILS ENGINEERING CONSTRUCTION
SUBCONTRACTOR:
----------------------------------------------------------------
LANDING #203 - STAIRS 201 & 200
#203 MAYFAIR LANE
SPEC. STR. (PSI): 4000 SLUMP: --- CAST: 03/28/91
----------------------------------------------------------------
04/04/91 04/25/91 04/25/91 28 DAY AV
SPECIMEN NO 1
AGE (DAXS)
�
3
� zs 2e
TOTAL LOAD (LBS) 120000
LBS PER SQ IN 4240
181000
6400
184000
6510
6455
SPECIMEN SHAPE: Cylinder SIZE: 6 x 12 AREA/SQ IN: 28.27
--------------------------------------------------------------------------------
COMPLIANCE: 28-DAY TEST RESULTS COMPLY WITH SPECIFIED STRENGTH.
TEST METHOD: ASTM-C-39
SPECIMENS BY: GEORGE IBANEZ DELIVERED BY: TLSC RECEIVED ON: 03/29/91
-------�------------------------------------------------------------------------
DISTRIBiI'I'IONS :
PRECISION ENTERPRISES, 3
s�
Mohammad fiakharpour
Laboratory Manager
�
ALL REPbRTS REMqIN THE PROPERTY OF T W INING LABORATORIES OF SOUTHERN CALIFORNIA, INC. AUTHORlZAT�ON FOR PUBLICATION OF OUR REPORTS. CONClUS10N5, OR
EXTRAC75 FROM OP REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVnL AS R MUTUAL PROTECTION TO CLIENTS. THE 4UBLIC ANp OURSELVES.
� � ?''" i� L�bo�to�aes �f ��u�z� ea�f���, ��.
4 'rA
W�' �1
? � 3310 Airport Way 151 a-D North Susan Street
U' �,(�}y� O Long Beach, CA 90806 Santa Ana, CA 92703
'�2 AIY Z Mall: P.O. Box 47, 90801 (714) 554•2645
4y (213) 426-3355 FAX (714) 554-4960
TES7ING (714)B28-6432 FAX(273)426-6424
Compression Test on Concrete
CUSTOMER: PRECISION ENTERPRISES
ATTN TRACY HART
4075 E LA PALMA UNIT X
SANTA ANA, CA 92807
JOB NAME: VARIOUS PROJECTS (PREC. ENTR.)
Sae "Sampled From" for
ADDRESS: Job Name & Address
ARCHITECT:
ENGINEER:
----------------
SAMPLE FROM:
MIX: 3940
EXAM NO:
DATE:
JOB NO:
PERMIT NO:
OSH PD:
OSA AP #:
FILE #:
PAGE #:
91-1-624104
04/04/91
00724202
1
CONTRACTOR:
SOILS ENGINEERING CONSTRUCTION
SIJBCONTRACTOR :
isANDING #20 IRS 201 & 200
#203 MAYFAIR LANE
-------------------------
DATE TESTED 04/04/91
SPECIMEN NO 1
fi'PR�(P— I): 4 0 0 0
--�_ _-.------------
04/25/91 04/25/91
2 3
AGE (DAYS) 7 28 28
TOTAL LOAD (LBS) 123000
LBS PER SQ IN 4350
141000
4990
146000
5160
SLUMP: - - - CAST: 03/28/91
-----------------------------
28 DAY AV
Eia
5075
SPECIMEN SHAPE: Cylinder SIZE: 6 x 12 AREA/SQ IN: 28.27
--------------------------------------------------------------------------------
COMPLIANCE: 28-DAY TEST RESULTS COMPLY WITH SPECIFIED STRENGTH.
TEST METHOD: ASTM-C-39
SPECIMENS BY: GEORGE IBANEZ DELIVERED SY: TLSC RECEIVED ON: 03/29/91
--------------------------------------------------------------------------------
DISTRIBUTIONS:
PRECISION ENTERPRISES, 3
Mohammad Fakharpour
Laboratory Manager
NLL REPORTS REMAIN THE PROPERTY Of TW W W G IABORATOPoES OF SOUTHERN CAIIFORNIA. ING AUTMORiZATiON FOR PUBLiCf TiON OF OUR REGORTS, GONCLUSiONS, OR
EXTRACTS FROM OR qEGARDING TMEM IS RESERVEp PENDING OUq WRITiEN APGROVAL AS A MUTUAL PROTECTION TO GLIENTS. TME PUBLIL AND OURSELVES.
PflOJEti ADONESS: z O 3 MAYFAI R LN
OWNEN'S NAME: FIAREN�r; RONALD L
noosess: pARENT, MARY
203 MAYFAIR LN
COSTA MESA,CA 92626
FflCHIENGWEEN:
ADOHESS:
flEG.NO.:
UNIT:
UNIT:
�:
PEPMITTEE: SOIL ENGINEERING ( 619 ) 560-7645
nooAEss: 1317 SIMPSON WAY ' J
ESCONllIDO CA 92027
LICENSEO CONTHIICTON OELLABNTION: I �ereby allirm �hat I am licensetl unUer pmvisions oi Chapter 9(commencing�wiih Seclion
7000� ot Oivision 3 oi the Business and Pmlessions Cotle, and my license is in full tarce and etfect.
ciTv uc.: 0 5 0 9 9 9 STRTE LIC.: Z G S O H 2 CIASS: j{�y—
Oate: �— 3C% ^ g f Signamre: _ �_/
WOflNEflS' COMPENSRTION OECIAflATION: I hereby aHirm �hal I h a ceni�icaie o� consent m sel4insure or a cenifica�e ol Workers'
� Compensation Insurance. or a cenihetl capy Ihereo� (Section 3800, ab. C)
, ro�icv xo.: WOA008 3 3 E%P. OATE: S O I O S I 9 S
comeaNr: C. E. H EATH
❑ Cenified copy is hereby lumishetl. � Certitietl mpy is �iled wiih the city Builtling Division.
Daie: � �3 � � ��_ ppplicani; _� ���/ ���
EXEMPTIONFBOMWONHEPS'LOMPENSATIONOECIABATION: (i�issec�ionnfy notUecomoleie0ifihepermitisforonehunOre0�5100�orlew�.
I cenily Ihal in the penormance of ihe work lor whlcn Ihis permil is issuetl, I shall not employ any person in any manner so as �o become
sublect Io I�e Workers' Compensatian Laws of Cali�omia. '
Oale: � �Signa�ure:
NOTICE: II, a�ter makmg ihis declaratian, you shoula become su�lec� �o ��e Workers' Compensation provisions of t�e Labor
Code. you musl fotlhwrth mmply with such pmvisions or �his permit shall he deemed revaketl.
CONSTBUCTION LENOING AGENCY: 1 hereby afhrm Ihat �here is a constmc��on lentling agenry for �he pedormance oi �he work �or
whic� �his permit is i=.suetl (Secnan 3097, Civ. C�. . ,
IENOEB:
aooeess:
OWNEF BIIILOEB DECLABpTION: 1 hereby a��irm Ihal I am exemDt �mm ihe Contradors' Stale License Law br �he bllowing reason .
(Seciion 7031.5 Business antl Pmiessional COAe: Any ciry ol wunry which requires a permit �o cons[mci, alter, impmve, demolish, or
repair any stmclure. priar to i�s issuance, also requires �he applicant �or such Dermi� b file a signetl sta�ement thal he/she is licensetl
pursuanl lo I�e pmvisions oI 1M1e Contraclors' Siale License Law (Chapter 9(commencing wi�� Section 7000) ol Division 3 of Ihe Busine54
antl Pmiessions Co�e) or �hal he/she is exempt �heretmm antl �he basis for �he allegetl eKemp�ian. Any vialation o� Sectmn 7031.5 by
any aDPlican� for a permii sublects �he applican� to a civil penally of no� more Ihan five �undred AOIlar5��5500�-
I, as awner of ihe pmpetly, or my emplayees wiih wages as �hei� sole compensation, will tlo ��e work, antl ��e
❑ stmcWre is nol mtentletl or otfere0 for sale (Seclion 70Ad. Business an0 Professional Cotle: The Contractors' State License Law
tloes no� apply to an owner o� a pmpetly who �uilds or impmve5 ihereon, and who Ooes such work himsel�/he�sell or �hrough
his oi her, own employees, pmviaetl ��at such improvemems are nm imendetl or o�teretl for sale. I�, however �he huiltling or �
impmvemenl is soltl wi��in one year o� comple�ioq Ihe owner will have Ihe �urtlen ot pwving he/she tlitl nol 6uild or imDmve
for ihe purpose of sale�. ,
I, as owner of the pmpeny, am exclusively contracting wi�h licensetl conlracmrs m cons�mct Ihe pmlecl (Seclion 7044, Business
❑ and Prolessions Cade: 1he Con�rac�ors' State License Law tlaes no� apply lo an owner o� pmperiy who builAs or impmves thereon
antl who coniracts br such pmlems with a conVacloqs) license pursuanl �o �he Contractors' Staie License Law�. I am aware
thal pmoi of Iheir Worker's Compensation insurance shoultl be pmvided ta me.
� I am ewemp� under Section: ' 8. 8 P. C.
for Inis reason: '
1
oaie: Owner. '
', I Qo hereby cenify t�a� I am aware of antl unAerstantl ihe requiremenis ol Cahbmia Healih and Safety Code Sections 25505, 25533, antl
� 25534 antl Iha� I orany Iuiure building occupanlwilllwill not(circle one) neetl to comply wi�h said s�a�e cotles antl the requiremen�s�or a
permi� �or conSVuc�ion or modilication Imm �he Air Oualiiy Managemenl OiSVict. Nesitlenlial con5�mciion aDP�ica�ions are exempt Uom
Iih¢SE prOvi5i0n5. '
Date: NpplicanL
I hereby cerlily Iha� I �ave reatl this ap011eation antl s�ale Iha� �he above inlorma�ion Is correcL I agree Io comply with all ciry and counry
ortlinances antl slatelawsrelaiing�o builtling conslmc�ian antl hereby authorizerepresentaiives o�this cilyto enterupon�he a0ove-mentionetl
pmpeny loi inspeclion purposes. '
�aie: _(=3 S,� — f� SignaWre: ��� �
Driver's Llcense or Socia� Security ro:
16ai�46 Whi�e—Builtling: Green—Cotle Enbrcement: Canary—ApPlicant: Pink—qevenue: GolEenratl—Assessor
\
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B Q50839
PERMIT PJO: B 050839 , PLAN CHECK NO: 00281-91 A GOVT; N SUPP: N
CONSTRUCTION TYPE:, 5-N �. PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : STAIR UNDERPINNING _ �� SQ FT: 2,439
CLAIM,VALUE: CALC—VALUE: , 2,439.00 'GROUP OCC: R-3 /M-1
COMMENTS: SITE ACCESS PERMIT' #10564
�at�r*�r***�**�t�*xx*at*�*x *** �****�r*x*it�x�r***�rxir�c�it**�x+r�r��x*�***'�-***it�r**at�t+rjt�tx�****
Z O N I N G R E Q U S R E M E N T S '
S E T B A C K S .-
------------ ---------- --------- BUILDING ---------
MAIN BUILDING ACCESSORY
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT:, FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN '
PARF(ING REQ� PROV: PARCEL:,41901331 ZNE: R9. REF NO;
PLANNING IJZ7T'ES> FOUNDATION STABILZZATION FOR PATIO AHD 'STAZRS OF EX. CONDO.'
� "
!E 1E iI� it iE iE iflE 1f if iE iE if.iE iF iF 1ElE IE IF 3E if iE iF 1f iF if if 1f dE 3f fE 3E iE 1E lh 1F 1ElE lE iE 1E lh iF IElE !E !E iF iE lE if 1klf 7E�iF iF 1E dklF 1E if iE �% ]F )f 3F lF 1f� 1E �Elf �JE I4 iF iElF iE 1E
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 �—s�c� �--- � DATE: C�/3 d� /
BUILDING APPROVED .BY : L--% i �. c. DATE; �' �
APPLICATION ISSUED BY: DATE:
iE dF if� �k 1E �f af if iE �E iF 1f iF 3E iF iF jE 3F 3F 1(� iF iF !f 1f 1E iE �1(� iE 3E if �E if��iiFiElf
iEiElf�EiPlfiEifififiFififiFjF�EiE*ifiEifiEiE3Eif�FiE3E3EiE1EN�ifif�lElE3E�f fiF*3fiE�EiEiFfEifiEiEififiEiFiElEififiEiEiEiE�1(�iflF3EitIF3EikaEiflfiEiF�EiFiE
LEGALIZATION:N F E E U M M A R Y STRUC'TURAL SEGMENT:Y
HLDG PMT 'PLUMBING ELEC'RIC MECHANIC FIRE SMIF/RES GRqDING '
PERMIT 54.00 " .50
SMIP/NON—RES
PLAN 8:78 . .
ISSUE FEE
BUILDING—DIV=> PERMIT ISSU& PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54:50 0.00 8.78 63.28 ; 63.28 .00
i
REVENUE DIVISZON TOT'ALS--> COLLECTED: 63�.28 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
54.00 ,50 g,7g
�E iE if �E jElE 3E iE �Elf jE 16 if IF iflf )E iF 3E iE 1f !E fE 34 fE 1E iE if IE fElF fE 1Elf 1E ik iF iE 3E iP jE if �F iE if jf iF iE IF iE 1F if ii 1F iF if !E �E 3E iF 3f iE ik iE if iF 3E 1E iE iF #!E if iE {f iE if iE 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 UNIT COST TOTAL COST
SFR 2439 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,439,00 ,
END OF FEES
A
a± cG��44co-;,Qo7s=ti2 �� t �*
GE�TE� @f/�Q(9?. 7'Z�!t; 13:I7
['+,2c
CONSTRUCTION AND PLANNING . � P� S SPA '
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service;or Pole,_ i, ,!. 52. Pool & Equipment Location -
2. Soil Pipe�Undrgrnd. ' '� � 53. S[eel Reinforcement '
3:'Electrical Conduit Utility�Undryrnd. _ � 54. Forms . „�^
4. Electrical Conduit-Undrgrnd. �_ � 55. Electrical Bonding �
5� Steel Reinforcement ', 56. Rough Plumbing & Pressure Test
6. �ElecYrical UFER:Grnd. - 57. APPROVAL TO COVER�GUNITE
'7. Footings ' � 58. Electrical Conduit-Undrgmd.
. 8. Foundation , a �;.�.� 59. Gas Pipe, O Undrgrnd., Test '�
��
9. Water Pipe-Undrgrnd. j� /' ''i 60. Backwash Lines, P-Trap, O Undrgmd. -
i•
10. Structural Floor SYstem �� � f 61. APPROVAL TO DECK � ,�'
11. Property Sewer Line & House Connection ;�' 62. Backwash & Receptor-Final �
12. Sewer Cap . ,� ' `, 63. Heater & Vent-Final !��
73. Roof Drains • ! -ji 64. Plumbing System - Final %�
14. Rough Plumbing; � ` 65. Electrical�Final '�,'
15. Rough Electriwl-Conduit � 66. Solar SYstem-Fina� '
16. Rough Electric,Wiring � 67. Fencing & Access ApP�oval �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & A�r Conditioning � � FIRE DEPT. REQUIREMENT
' ' � �".-. .
20. Rough Facmry Fireplace i � - ' " - APPROVdLS� ' Permit # ' �
_� a
21. ��Ducts, in Structu�e . _. .. , . -. • + ��70. Underg:ound�Hydro
22. Ducts, Ventilating ' ' ✓ � " •, - _ � �77, Product.Ffping OGas O,OiI
23. Gas Pipe-Fiough & Test � �� : � . � � , . 72. Underground Flush� _ ��
24. Roof Framing� � . •' * �� '- 1' , � �. ' �73. `Undergrnd. Smrage Ta�k O Gas ❑ Oil
25. Roof Sheathing '; , . ' . �� - . 74. -Overhead Hydro : � ,
26. T-Bar Ceiling (Structural) & Monocoat .� , � ��� 75. Dry CNemical � �' -
27. Frame and Flashi�g; � � 4 ` _ � . " � � 76�� D'ry Standpipe " , � ,
- 28. Lathing & Siding ' � ' " � � x '• ^� • + 77: � FIXED SYSTEM+FINAL' � �
29. Insulation ' .. ' ., � � '� � + � I : � 78..FIRE PREV. FINAL ��.,- �
, i . . .
30. Drywall Nailing ,� • `� ' HEALTH DEPTFREQUIREMENT
' 31. Plaster Brown Coat r _ `" ' , � !;� ; , 79. `FINAL INSPECTION � � �
� 32. Electriwl Power Meter:Final � � � ��• { . � �_ + �80. FOOD CERTIFICATE ISSUED
�
33.:Final Eleciric � , � � � Notes: � � , ;' , , '!
i
34. �Final� Heating,& Air,Conditioning; ; � . � I � �, . -� ✓�''�
35. Final Gas Pipe:Test' - � I ' � ' � '
. •, .
36. Hood or Canopy • . .. . I ' I • � - � �
37. Final Factory Firepiace _ � � � _ �
� .)
. - - . .. .� I. .
38. Final Plumbing � . .. �� , �
' 39. Water Service-Final' • � , � � I ' � =�'� _
.40. Gas Service-Final � . , - . . � " '
I' '
�41. Solar pomesticFinal • '• ' s I ' • `
�• � •
' 42. Backflow Prevencer . � " , ' � , j {, c � - ' , , •
43. Backflow Irrigation , - - � ' � ; ' ' ' ` �? , ;
,,44. l.andscape Irrigation System , ; � ' � . � � � + . ., � . - ,_
45. Sound Attenuation• V � ' " ' ' . .
�46. ,Handicap Regulations ' � � � . � , . '� , �" �
47. FINAL STRUGTURE& BUILD(NG �L� ��G _ - _ �- •
48. FINALPLANNING. � _ , "
49.� Electric Release to Edison � ' �� � _ .
� � �•
50. Gas Release to Southem California Gas Co , � � I. .. � _ � '. � ,, �.
.51. CERTIFICATE OFACCUPANCY : , - � ; �
No. Date -
COSTA MESA BUILD AFETY DEPARTMENT
.? P.O.BOX1200 COST.. :SP.CALIFORNIA92626
�� For Applicant to Fill in Completely — Use Ink Only
BUILDING
AD�FESS (
OWNER O I��YIIYY % /I/U/ //AU71//� �
TENANT
��T�r-;i�ar,v
CONSTRVCTION
LENDER
BRANCH
ADDRESS
ARCHITECT L
APPLICA. ! FOR STRUCNRAL PERMIT
RECEIVEDBV PERMIT � //1���
i�y
A.P. NO. I� � I '� OI � � I—I ��
BVILDINC.
ADDRE55 MA`f�+liR t1�•lE
UNIT OR �O�f�H : �/�J
SPACE NO.
'R.N LOT r
NEW ADD LT R
c
G
T
/�/� APPROVED
CONTRACTOfl � �� "�✓ G � I BV DATE
ADDRE /V /'��
CITV � � / NOL (� Wn� V, 1 � 1
F STATE /JyI' � CITY APPROVEDSETBACKS
� LIC. NO�Y ��� / LI0. NO.
{s� SI2E NO.OFBLOGS. �/� (FROMC/LSTfiEET)
�+ OF l0T NOW ON LOT '�l ROM FT.
a USE OF
.�. EXISTING BLDG.
�
� Separa[e permits are required for L SIDE Fr.
Q electric, plumbing and heating work�, aena F-r.
� USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
I"�
a
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a -� ,C e -
� �� Q
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.-1
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QI hareby acknowletlpe ihat I have reatl this applieeNon antl state
(,K thet She ebova InformeNon Is cOr�ect entl eg�ea to cOmply with
�+ all laws reBuleting buildlne construcsion, antl I shell not employ
Wany penon In violetion ot ihe workman's eompensetion laws of
x the Siate of Californla.,
3 I hereby certity that I am properly Il�ensetl as e contractor untler �SQ. FT.
ihe State of Californle Business and Professtons Cotle, Division 3, THE AMOUNT Sh
Chepter 9, and that sueh Ilcenses ere �� full force antl effect, or I THE PURPOSE OF
am exempt trom th provlsions ot th85tate of California Business V ALUATION
entl Professions Cotl , Division 3, Chapter 9.
Signature of / `
Parmltiae � �`� Lr% 7 i!'�i
or � �J� J��'�
Author(zatl ABant D
DATE `' p
APPROVED '`—_/
m �
.�. ,OI
' CIqL REQUIREMEN't:� > �
a
J r 7s m �
VN UNDER VA�UATION IS FOfl m
'ABLISHING A PERMIT FEE ONLV: �
9 �
PERMIT FEE $ N
m
PLAN CHECK $ "° .�J
o Yv
TAX S �, 3 f
U
TOTAL PAID S-f � � �/.S%
�
(
COSTA MESA BUILD', AFETY DEPARTMENT
P.O.BOX1200 COST.. oA,CALIFORNIA92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS 203 Mayfair Lane
°eNAN°RMcKinnnn-Rihh Pronerties
ciTv P.orn
CONSTRUCTION
BRANCH 1 YU Z Ma 1n
ADDRESS Santa Ana
ARCMITECT �. _ _ „�_ _
TEL.
NQ,7C-
TE
APPLICA'�";�`"FO�I��I'R�IJC�'�,l�If��,PERMIT,�.95.00 TI.d
".'. "o. 419 - 012 -
BVILOING 203 Mavf
ADDRE55
VNIT OR
SPACE NO. P].'d CR
TR.NO. LOT
NEW ADD
X
OWNER
use T wp
-554
CONTRACTOfi Bell Construction
ADDRESS 1�5 E. 18Th. Street
TEL.
CITY N . _4
F
� �ic No. 367816 uc�No. 7420
{y SIZE NO.OF BLDGS.
LL OF LOT NOW ON LOT
a USE OF
^ EXISTING BLDG. O
y
FSeparate permits are required for
q electric, plumbing and heating work:
F USE OF BUILDING AND WORK TO BE PERFORMED
a
0
� Townhouse w/ attached garage
Q
�
r
a
a
w
n.
APPROVED
SETBACKS
PLANNING ACTION
ZE-79-58
APPROVED
0 1 hereby eeknowletlge thai i hava reatl thls applicaiion and state
pQ that tha above info�mation is cor�eci anA agree to comply with
a all laws reBulaUng building construction, and I shell not employ
Z any perwn in vlolation of Me workman's compensation laws of
� the State ot California.
3 I hereby certify that I am properly licensetl as a conVector untler 14 S 6. S �'
the SWta of Califo�nie Bus' d Professions Cotle, Division 3, THE AMO
Chapter 9, antl that su licensas re in full torca affect, or I THE PURW
m exempx from the rovision f the State of alit nia Business VALUATION
end Professions Co , Divis 3,�ter 9.
Signature of � � �
Permittee 4� $
or ! � 8�
Authorizatl Agant Date
REPAIR
OATE 4-9-79
APPROVED
m.
�
i
y
r. J664 +87.75 �
SHOWN UNDER VALUATION IS FOR m
�F ESTABLISHING A PEiiM1T FEE ONLV: e
PERMIT FEE $ e
n
m
PLAN CHECK S "�
TAX E �^ f
TOTALPAID s 195.00 u