HomeMy WebLinkAbout208 MAYFAIR LN - Building PermitsCITY OF COSTA MESA
BlIILDING DIVISION
77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa .us
FOR INSPECTIONS CALL: (714) 754-5826 �
PERMIT NUMBER. P08-00212
PERMIT TYPE PLUM STATUS: ISSUED
APN: 41901321 DATE ISSUED: 10/0112008
ISSUED BY: YH
JOB ADDRESS: 208 MAYFAIR.CN.CM Suite/Unit
Viciniry: - � � ' ` - '_�
:' �, _
SCOPE OF WORK: REPLACE�OUTSIDE-.GAS LINE FROM METER TO HOUSE.
OWNER: MC KINNEY, JEROME �C , :Address: 208 MAYFAIR LN '
:.
PHONE: ...'...;.: ,, �. ;.-�.: �. -:. - City/State/Zip: � COSTA'MESA CA .,:.� ;.',.
APPLICANT: BRYANT, BOB � � � Address: � - . -� 1525 MACARTHUR BL.� " �-�.i�
PHONE: 714-64�-1545 � ��' � � �� City/State/zZip:-,- S�,COSTA�MESA, CA,, ,�
CONTRACTOR: CAND,R DRAINSINC License No.�" 531746 -���''
Address: 1525 MAC,ARTHUR-BL � , - - � � PHONE:_:. 714•647-1545. ,
City/State: COSTA�MESA, CA � . ZipCode: 92626 � . �- ' � " - CELL�: -� � -
ARCHITECT: � - . . � LicenseNo.��� . �- ��'PHONE; ; ��:�
ENGINEER: �; ,, �. ->� � � ' � -: -� - License No.-- , ....-, PHONE;�` �r
.i h � . ..� . J .
�. ' . . �.. o . . .. . ... � ��
- RLUMBING PERMIT FEE SUMMARY �
, , ,,
PLAN CHECK FEEi $0 00
PERMIT, FEE. � _�, $29 65 _ ;"
TOTAL FEES: $29.65
' n',E ;:
�
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OP LAST INSPECTION. � . � , .
INSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all
required inspedions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
COOEi, INSYECTIONTYYE
1676 Fiaed System Final Fire Prevention
7266 Pool Spa Final
200 Final Re�Roof
20t FinalBb�Wftetaining Wall
202 Final Factory Fire Place
203 Final Sig�
204 Final Demolition
0� INTTIRLS GOOEt INSPEL710NTYPE
206 Final Mechanical %%%
208 Final Plumbing P/�
210 Final Elednwl �
212
220
222
250
Final Fire Prevention
Final planning Approval
Final Site
Final Building/OccupanCy
unre wnTIRLS
I I��
�
WORKERS' COMPENSATION DECLARATION.
I hereby affrm under penalry o( perjury one of the following AeUa2tions:
❑ I have and will maintain a ceAifcate of wnsent to self-Insure for workers
wmpensation, as provided for by section 3700 of the labor Code, for the
peAortnance of the work for which Ihis pertnit is issued. �� �
��'> I have antl will maintain v.orkers' compensalion insurance, as required by
secton 3700 of lhe Labor Code, for the peAortnance of the v.ork for which ihis
fpemiit is issued. My workers' compensation Insurance carrier and policy
number are: (� (�
Carner: !/��.ns %/f>.
(This seefpn nee0 nol De mmyeled d Ine pe�mit is valuetl at one hu�n/MeCWll/a,rs (E100) wieu )
Policy�✓ Eer. ��y� �� Il/� � Z�%�� `Y �R4
❑ I certify that in the peAortnance of the work For which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' wmpensation laws of Califomia, and agree that if I shoultl
bewme subject to the v.orkers' compensation provisions of Section 3 oF
the Labor ode, I s II forthvnth wmply wit ese provisions.
� � /
Aodi�anl's Si v Da
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF iHE L480R CODE, IMEREST, AND
A7TORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chap[er 9(commencing
with Section 7000) o( Division 3 of the Business and Professions Code, and
my license is in full force and eHect.
Cic:#� S��C.�.r ass#--
" � O//�• �� �
���Gontr ,,,D e
CONSTRUCTION LENDING AGENCY: �
.i�:,,
❑ I hereby affrm that there is a constructpn lending agency fw the
peAortnance of the v.ork for which ihis permil is;issued_ (Sec! 3097, Civil Code).
Lender's Name:
. - �
Lender's Address: `Fa�
OW NER-BUILOER DECLARATIONS:
I hereDy affvm tha� untler penally of perjury that I am EXEMPT FROM THE
CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions COde: Any city or county which requires a permil to
COnSWtt, aller, improve, tlemolish, or repair any stmcture, pfi0f l0 itS
issuance, also requires the avvlicant for such permit to file a signetl statement
that he or she is licensed pur5uant lo the provisions of the Contreclors
LitenSe Law (Chapter 9(commencing vrith Section 7000) of Division 3 0( the
Business and Pmfessions Code) or that he or 5he i5 exempt Iherefrom and
[he basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
five hunCretl tlollars ($500�.): �
❑ I, as owner of lhe property, or my employees wi[h wages as their sole
compensation, WILL DO THE WORK, antl lhe structure is not intentled or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply lo an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided�that such improvements are not intended or oRered for
sale. I(, however, [he building or improvement is sold within one year of
completion, ihe owner-builtler will have lhe burden of proving that he or she
� diA not build or improve for purpose of. sale.). _
❑ I, as owner of the propeAy; am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the projecl (Sec 7044, Business and
Pmfessbns Code: The contractps License Law dces not apply to an bwner of
propeAy who builds or improves thereon, antl who coniracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.)..
❑ I am exempt under sec.
Business and Professions Code for lhis reason:
305]<6 (3/0])
j ,
Owner ID.verified by dn, _ense. ❑ Yes ❑ No
.Driver's.License No. Expires:
Verifcaiion ot Ovmerehip by (rype of tlocument, i.e. - propeny tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - �
❑ I hereby certi/y that no excavation (rve (5) or more feet in depth iMo which a
person is.requiretl to tlescend, will be made in connection with work authonzed
tiy Ihis pertnit, and Ihat no building sWcture, scaffdding, (alse�wrk, or tlemolition
or dismantling thereof, will be more Ihan lhirty-six (36) feet high (Chap. 32; Gry
2, Art 2, Sec. 341, TUe S, Califomia Adminis[raWe Code�. ,
❑ As owner-builder, I will not employ anyone to do work which would
require a permit fmm the Division of Intlustrial Safety, as noled above, unless
such person has a permi[ to tlo such work from Ne division.
Apd����'s SignaWre
Division of Industrial Safety Pertnit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need lo file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Healih and Safety Code requires, wilh some
exceptions, that a Business Plan be filed with [he Costa Mesa Fire
Department by every business which has at any one time dunng a reportetl
year a quantiry of hazartlous matenals equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl pressure).
2. Does or will the applicant or present or future building occupant neetl to file
a registration (ortn for acutely hazartlous matenals? ❑ Yes ❑ No
(Section 25533 ot the Califomia Healih and Safety Code, with some
exceptions, requires registration vrith Ihe Cosla Mesa Fire Departmenl by
each business which al any one [ime has on hand a quantity of acu[ely
hazardous malerials equal [o or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet of compressed gas at stantlard
temperature and pressure).
3. Does or will me applicant or present or tWure builtling occupant need to
prepare an RMPP (Risk Managemen[ and Prevenlion Program for acutely
hazardous matenals�? ❑ Yes ❑ No
(Section 25534 of the Califomia Health antl Safery CoOe provides thal the
Costa Mesa Fire Department may require the preparation, certification and
fling wi[h the Fire Department of an RMPP by businesses which are required
to register acutely hazar0ous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safery Code been (ully complied vrith? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupanl require for
the work which is the subject of this applica�ion a permi� (or such ConStNclion
or modifcation trom the South CoaSt Air Quality Management Distnct or from
any Other air pollution con�rol tlislrict or agency? ❑ Yes ❑ No
(Sedion 658502 0/ Ihe Califomia Govemment Code requires lhat the requested
information be (umished on applications (a non-residential building pertni�s).
6. Will any part of the faciliry to be constructed under this permit be vnthin
1000 feet (mm lhe ouler bountlaries of a school? ❑ Yes ❑ No
(If'yes", the facilily must meet the requiremenl o/ Sections 25534 antl 42303
of the California Health antl Safety Code).
7. If a pertnit from the South Coast Air Qualiry Management District or other
air polWtion control districl or agency is required �or the vrork which is the
subject of this application, have all of the disclosures prescribetl by Califomia
Health and Safety Cotle Section 42303 been made? ❑ Ves ❑ No
8.� pf yes", attach certificate of compliance from' ihe appropnate air pollution
control oKcer). - • .
CERTIFICATE OF.COMPLIANCE: I certify that untler penalry�of�perjury Ihe
infortnation given above is correcL I agree to comply.with all state laws antl
ciry ordinances regarding Hazardous'Materials'and Emissions. �, �
CERTIFICATE OF COMPLIANCE AND,AUTHORIZATION OF ENTRV: I
certify untler penalty of perjury that I have read [his application and state Iha[
the intortnation given is cortect. I agree to comply with all state laws and city
ordinances relating to building consWction, and authorize�represeNatives of
the City of Costa Mesa to enter�upon [he above-0escribed property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
au[horized by [his pertnit until final inspection. . .
' Si lur ner j Dal
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(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
b V ' nJ.
Job Address: M �'"r� � �
Suite:
Vicinity: 208 - 210 MAYFAIR LN
Parcel Nunmber: 41901342
App�icant: PEARSON, VESS
Address:
Owner: GARDEN PARK VILLAGE
Address HOMEOWNERS' ASSN
POBOX
%HOME FEDERAL S & L ASSN
Contradoc G M ROOFING
Address: P.O. BOX 3908
, SEAL BEACH, CA
Zip: 90740
Arch :
Address:
Zip:
Phone:
License:
,.. • rt:
, , . PERMIT NUMBER :
899-00004
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: Ot/04/1999
Issued: 01/05/1999
Zoning:
Phone:
Zip:
Phone:
Zip: 92112 , . � "
Phone: 714-761-8173 ��
License: 472566 . . �
Eng:
Address:
Phone:
License:
.
SCOPE OF PERMIT
. REROOF OVER EXISTING 1 LAYER OF COMP. SHINGLE WITH NEW 25-YR. COMP. ROOF. CERTIFICATE ATTACHED TO '
PERMIT.
GARDEN pARK VILLAGE CONDO COMPLEX: `
.FOR ROOF "B" WHICH SHALL COVER 208 "f0 210 MAYFAIR
LN. / �
. /
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: Sz,sso.00
Permit: $74.75 Claim Valuation: ,$z,seo.00
SMIP Res: $0.50 �
SMIP Com: $0.00 �
Other. $0.00
Inspection: $0.00
Total: $75.25
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: 0
N07ES:
Rear 0- 0
Rear 0- 0
Reauired: 0
PLANNING & ZONING
Left ., 0-0
Left 0- 0
Proaosed: 0
Right 0- 0
Right 0- 0
EXPIRATION: This permit shall automatically expire and become void i( work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapectione and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSA710N DECLARATION: - �.
I hereby aHirm under penalry of perjury one ot the following declarations: � )
❑ I have antl will malntain a certificate of consent m self-Insure tor workers' compensation, as provided for by section 3700 ot Ihe Lebor Code, lor the pertormence of t�a
work for which Ihis permit is issued.
� I have an0 will maintein workers' compensalion insurence, as required by section 3700 of ihe Labor Code, tor ihe peAortnance of the work For which this permit is issuetl.
My workers' compensation Insurance cartier end policy number are:
Carrier: Policy Number:
(This section need not be complered il fhe permit is valuetl a( one hundred dollars ($ 700) or /ess.J
❑ I certity thai in the peAormance oi the work for which this permit is issuetl, 1 shall not employ any person in any mannar so as lo become subject to the workers'
compensation laws oi elifomia, d aqree that It I shoultl become subject to the workers' compensation provisions of Section 3700 of Ihe Lebor Cotle, I shell forthwlth
comply wi�� these w wns. �+
AppllcanL$ignature: �T, �`by �Dare:- ' � S ^ S 1
WARNING FNLURE TO SECIIRE WORKERS' COMPENSqTION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THp1SAND OOILAFE �5100,000). IN ADOITION TO THE �p$T OF COMPENSATION, DPfMGES AS PROVIOE� FOR IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION: �
I hereby aHirtn that I am licensetl untler provisions of Chapier 9(commencing with Section 7000) oi Division 3 of the Business end Professions Code, end my license is in full
lorca and ettect. Lic. # Class a
Contractdfs'SignaNre: ���� �,p Aatei ��
CONS7RUCTION LENDING AGENCY:
❑ I hereby aMirtn ihat Ihere is a consiructlon I�nding egency tor ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signafure: Date:
OWNER-BUILDER DECLARATIONS:
I hereby efiirtn thet under penaliy of perlury �hat I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Prolessions
Cotle: Any ciry or counry which requires a permit (a �onstruct, alter, improve, demolish, or repair any structure, prior to Its issuance, elso requires tha applicant for such permit
to file e signeC statameN that ha or she is licensed pursuant to Ihe provisions of the Contrectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 oi lhe
Business and Protessions Code) or that he or she is exemD� IhereFrom and the basis for the elleged exemption. Any violatlon of Section 7031.5 by eny epplicant for a pertnit
sub�ects the epplicent to a civ�l penalry ot not more than five hundred dollars ($500).):
❑ I, as owner ot tha property, or my employeps with wages as Iheir sole compensation, WILL DO THE WORK, end Ihe siructure is not intentletl or oNered for sale (Sec.
7044, Busineu antl Professions Code: Th8 Contractors License Law does not appty to an owner of property who builtls or improves t�ereon, and who tloes such work
�imself or hersetl or through his or her own employees, proNdad Ihat such Improvemenis ere not intended or oflered for sele. If, however, Ihe building or Improvement Is
so10 within one year ol completion, tha owner-builder will have the burden ot proving �ha� he or she tlitl not builtl or improve tor purpose of sala.).
❑ I, es owner ot Ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRAC70R5 to consiruct �he prolecl (Sec. 7044, Business antl Professions
Code: The contrectors License Lew does not epply to an owner of property who 6uilds or improves ihereon, and who conirects tor such project wiih a contractor(s)
license purSuaN to the Coniractors Licens� �y�ys.).
❑ I am exempt under sec. Business and Prolessions Code for Ihis reason:
Signeture: Date:
Owner ID verified by drivefs license. ❑ Yes ❑ No Drivers License No.
Verifiwtion oi Ownership by (rype of document, i.e. - pmperty tau bill or tleed):
DIVISION OP INDUSTRIAL SAPETY PERMR CERTIFICA710N:
Expires:
❑ I hereby cenity that no e:cavatlon five (5) or more feet In Cepth into which a Derson is requiretl to tlescenQ will Da mede In connectlon with work authodzed by this
permit, end Ihet no building sWcture, scaflolding, talsework, or demolition or dismentling thereof, will be mora than ihirty-six (36) feet high. (Chap. 32, G�p 2, Art 2, Sec.
341, Title 8, Calilomia Administretive Code),
❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit irom the Division ot Industnal Safety, es noted above, unless such person has a
permit m do such work irom ihe division.
Signature: Data:
Division of Industnal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIITHOqQA710N OF EMAV: I certify under penalry ot perjury Ihei I have read this epplication and state that the information given is
correc�. I agree to comply with all state laws end city ordinences relating to building construc�ion, and authonze representatives ot the Ciry of Costa Mesa to enter upon iha
above-tlescribed property for inspection purposas. I agree not to occupy or allow occupancy of any 6uilding authorized by this parmit until final inspection.
m" �
Siq ture Ot Legal Owner(s) DeteQ
� -/� - � '�. — i 1
An r Authonzetl qpplicant Date
CODE �. INSPECTIONTVPE
1616 Fixetl System Finel Fire Prevention
1266 Pool Spa Final
200 Final Re-Foof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
26a6d6
�ff ��
� _ "
�QQE� INSPECTIONTYPE
206 Finel Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Finel Plenning Approval
222 FinalSite
250 FinalBuilding/Occupancy
�E �
PHOJECTp��HESS: . zOS MAYFAIR LN
OWNEfl'SNaME: SIERRA RICK W
AODHESS: zOH MAStFAIR LN
COSTA MESA,CA
ANCHIENGINEEP:
p00flESS: ,
UNIT:
92627
HEG.NO.:
I1NIT:
rexminee: SOIL ENGINEERING ( 619 ) 560-7645
nooxess: 1317 SIMPSON WAY J
ESCONDIDO CA 92077
LICENSEU CONTBFCTOfl OECLAPRTION: I hereby affirm Ihal I am Iicen5e0 under pmvisions ol Chapler 9(commencing with Section
7000) oi Division 3 0� I�e Business anA Pmfessions Cotle. an0 my license is in full force an0 effect.
c�rvuc.:050999 srnreuc.:268082 cuss:A /y�
wie I.-30�9�---�Signaiure_ . —a /� ,
WONRENS' COMPENSRTION OECLANATION: I hereby ailirm Iha� I h a certilicaie of consenl to self-insure or a cehifica�e of Workers'
Compensalion }� a cf� $c¢ri ed coOY �hereof �Semion 3800. Lab �
iPOLICY NO.: �/�v�u j EXP. OATE: O�O I I9I �
comvaxv:C.E.� AEATH
❑ Cenifietl wpy is hereUy fumishetl. � Cenifietl copy is fileA with �he ci�y Building Oivision. .
Date: � � ��� � � ApplicanC .
E%EMPTION FBOM WONREPS' COMPENSpTION OECLABATION: (This seclion neeA 1 be tomplet¢0 i� Ue pefmi� is lOrone hunOrea (5100) or less).
I ceriily �hal in I�e pedormance ol Ne work br whic� Ihis permi� is issuetl. I s�all noi employ any person in any manner so as to Uecome
sublect lo I�e Workers' Compensalion �aws ol Cali�omia. , .
Da�e: � SignaWre'.'
NOTICE: If. a�ter making this declaratmn, you shoultl Eecome sublec� �o Ihe Workers' Compensation pmvisions ol �Ae Labor
CoOe. You mu5i forihwith camply with suCh pmvision5 Or Ihis permi� 5hall De tleemetl revoketl.
CONSTflUCTION LENDINC AGENCY: I �ereby aHirm ihat ihere is a conslmction lending agency lor ihe pedormance of the work for
whith IhiS permii is issuetl (Setlian 3097. Civ. C�.
LENOEP:
ROOPESS: �
OWNEH BUILOEB DECLANATION: I hereby affirm �ha� I am exempt Imm ��e Canlrac�ors' Sfate License Law tor Ihe �allowing reasan
(Seciian 7031.5 Business antl Pm�essional Cotle: Any ci�y ot county which requires a permil to constmc�, alter. improve, demolish, or
repair any simdure, prior to its issuance, also requires Ihe applicant for such permit to lile a signetl statement ihat helshe is Iicense0
pursuam m Ihe provivons oi the Comrac�ors' State License Law (Chapter 9(commencing wi�h Sec�ion 7000) of �ivision 3 ot ��e 9usines5
ana Pmfessions Cade) or �hal he/she is exempt Ihere�rom antl Ihe Uasis lor �he allegeA exemption. Any violation ol Section 7031.5 6y
any applicant for a Oe�mil suhlecis ihe applicant lo a civil penalty of noY more Ihan live huntlretl dollars'($500�. '
I. as owner o� Ihe pmperty or my emyloyees wi�h wages as ��eir sole compensa�ion, will Oo Ihe work, and Ihe
� s�mc�ure is no� imentletl or olteretl for sale (Section 7044. Business antl Pm�essional CoOe: T�e Contrac�ors' S�a�e License Law
. Ooes no� apply lo an awner of a pmpeny who builtls or impmves ihereon, antl who does such work himselt/herseli or Ihwugh
his or ner awn employees, pmvidetl ��at such impmvemems are no� imentled ar otterea Por sale. If, however �he builtling or
improvemeni is sole wi��in one year o� comDlelion. Ihe owner will �ave Ihe burden o� proving he/s�e tlitl no� build or impmve
for ��e purpose o� sale�. ,
I, as owner o� Ihe pwperly, am�exclusively conirac�ing wi�� licensed comraclors m consimc� �he pmlem (Sec�ion 7044, 6usiness
❑ antl Pmlessions Cotle: T�e Contractors' Siale License Law tloes no� apOty to an ovmer of pmpeny who bml0s or impmves �hereon
and who conlracis lor such pmjetis with a coNractor(s) license pursuant b ihe Coniraciars' State License Law�. I am aware
Iha� O�ool ot Iheir Worker's Compen5aiion insurance should 6e pmvidetl �o me.
� I am exemp� under Sec�ion'. ' B. 8 P. C.
. �lar Ihis reason: ,
Dale'. Owner.
I tlo hereby cenily Ihal I am aware of anA untlerstan0lhe requiremenis of Califamia Health antl Safety Code Sections 25505, 25533, antl
25534 antl I�at I or any luture builtling occupan� willlwill no� (circle one� neetl Io comply wi�h said sia�e cotles and Ihe requiremenfs for a
permilior conSVuclion or motlAicatianJrom Ihe Nu �uahry Management �isVict. flesiaentialconsimc�ion ap0lica�ion5 are exempiimm �
Ihese pmvisions. ,
Oa�e: Applicanl:
I hereby cetlify I�a� I nave reaU Inis applicaiion antl slate thal Ihe above iniorma�ion is correcL 1 agree lo comply with ail city antl counry
ortlinances an0 stalelawsrela�inglo builtling conslmtiion antl hereby aNhorizerepresentatives ol��is ci�y�o enieruponlhe above�meniioned
pmperly lar inspec�ion pury�oJses.
�ate; ��" �a � G � Signature' �� �
ormers nce�se or sociai secwiv a:
i6a1�46 While—Building; Green—Cotle Enbrcemenl: Canary—Applicanll Pink—Revenue: Goltlenrod—Assessor
, CITY.OF COSTA MESA - BUILDING PERMIT PERM NO; B 05083
PERMIT NO: B 050837_ PLAN CHECK NO: 00283-91 A GOVT: N SUPP:.N
CONSTRUCTION TYPE: 5-N 'PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : STAIR UNDERPINNING ' SQ FT: ' 2,439
CLAIM VALUE: 2,439.00 CALC-VALUE: 2,439.00 .GROUP OCC: R-3 /M-1
COMMENI'S: SITE ACCESS PERMII' #10564 . �'
iE 1FiEjE 9F�1F 3F iE ik dE 1EiE if iE iF iF if ik dE ik if -k 9E iFiE-%ik �7E iE 3E if iF �E 1E iF if� �f �1f�iF iE it �IE�E 1t aElE if * if 9t it iE iE�N� iE if iE i! �E%# iE-1k 3f iFlF iE jE iF iE 3t iE iE iE'�f 9F iE i(-•k
Z O N I N G R E Q U I R E M E N T' S
S E T B A C K' S �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT • IN FRNT: FT IN REAR: F'i' IN'
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT _IN
PARKING REO• PROV: PARCEL: 41901331 ZNE; R9 REF NO:
PLANNING Nf5'PES> FOUNDATION STABILI`LATION FOR PATIO'AND STAIRS OF EX. CONDO.
. � . .
iE iE iE 3F iF 1F if * if if iEiE iE iE * iF IE iF iE iE �E 1E if iF iE 3E if 3E iF iF �f iE if 1E iE if 1f %3F if iE i6 3f iE iE �E iE if d4 iF aE 1E iE iE if iE if if iE iE iF iE iE jf iE iE iE iE it if if 3E �F i� fE iF 1E 1E iF
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 8Y �� � 1-�-�� � DATE; d_/,3 0�/
BUILDING APPROVED HY : % �/ c� L- l�n9�� DA'PE:
APPLICATION ISSUED BY: DATE:
ifiFiFi(-iEiFikifikiFifihiFiFitiFiFiFiEififif r a iE1FiEiFiEiElEiEiEiE iFiE
iEifiE�163fih3ElEiEihifiFiE3Eif�iE*iEiEiEifikiFifififififififlEiElklEiElf3 E1EfEiFlEfEiElFiElfiflEiflfiEiElFkiElElElE9fiflEiElFiEififiElk3FiEiEiE9E1EiEif�EjE
LEGALIZ'ATION:N F E E "S`U M"M A R Y STRUCTURAL SEGMENTcY
BLDG PMT PLUMBING CTRIC MECHANIC F'IRE SMIPJRE5 GRp,tjING
PERMIT' . 54.00 SO
SMIP/NON-RES
PLAN 13.7$ �
ISSUE FEF. ' '
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECR TOTAL PAID DUE
TOTALS----> 54.50 0.00 8.78 63.28 63.28 ,pp
REVENUE DIVISION TOTALS--> COLLECTED; 63.28 OVER/SHOAT: 00
- BLD59P00 PLUMBING ELECTRIC MECHANIC FIRE SMIF/TOO GRADING PLAN-CHECK
8.78
3F iE iF IE �F �E If 1E �F af if 1E iF i4 if �f if iE �f K iF if iE 3E iF if iE 1E if �f iE 3E 1E iF iF if �F iF iE iE iF if 3E �E �F iF 3f �4 iF 3E if i4 iE iE iE iE IE iE if iF iE iF iF #'r if lE 3E 3f �F iE K� �1F iF 3E iF 1E iE if if
I N D I V Z 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
9PH 2d3'� ALTEA BY VALUE AESIDENTTAL PfQ`LONE 1.60 Z.d39,00
END OF FEES �
0
V
0] QOOiSS"Sz-�00�9534 3�:a"B" i,�2�
, n�l?E: 01130/9: 7'I�'IE: ]3:i5
CONSTRUCTION AND PLANNING . 1 _& SPA
Date Inspector � �Date Inspector
APPROVALS Permit #� � APPROVALS Permit # , -.
1. Temporary�Electriral Service or Pole . �. 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. .. . 53. Steel Reinforcement
�3` Electrical Conduit Utility�Undigrnd.: � - 54. Forms .. .
� 4. Electrical Conduit-Undrgrnd. �' 55. Electrical Bonding
" 5: Steel Reinforcement; 56. Rough Plumbing & Pressure Test .
� �6. ElectricalUFER�Grnd. 57. APPROVALTOCOVER�GUNITE
- 7�. Footings _ 58. Electrical Conduit-Undrgrnd. '
'8. Foundation � �� � 59. Gas Pipe, O Undrgrnd., Test :��
•
9. Water Pipe-Undrgrnd. ;�'�/ �''y� 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System - . ��� �' 61. APPROVAL TO DECK f�'
17. Property Sewer Line'.& Hou�e Connection �' 62. Backwash & Receptor-Final ��
i :.
12. Sewer Cap �/ - ��' 63. Heater & Vent-Final �'
13. Roof Drains - ' ��" 64. Plumbing SYstem � Final f�-
14. Rough Plumbing �"� � . 65. Electrical-Final •+
15. Rough Electrical-CAnduit ! 66. Solar System�Final 1-
16. ftough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG
18. Rough Elettrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rouc�h Heating & Air Conditioning �FIRE DEPT. REQUIREMENT
_ _r '
20. Rough Factory Fireplace � . t ' ' ` '"-!' + �APPROVALS �^ Permit # � �
. ,
21.'Ducts, in Structure; �.. .. • , ` �, � � t � �_70. Underground Hydro .
22. Oucts, Ventilating• r � � �= �: �, '77. Product,P,iping �,Gas ❑ Oil
- � . � _ ' ' �„ .. . , „ . .
23. Ga; Pipe�Rough &'T.est i ;. ,.i ,�• - ; � � �. �,72, Underground Flusfi. . , '
24. Roof Praming �.: ��� �� �• ' � �73.,Undergrnd.Storage;Tank�O Gas ❑ Oil �
r - .
25. Roof Sheathing � - ' � _ " -. '74.-Overhead�Hydro .
26� T-Bar Cei�ing (Structural) & Monocoat 75':'Dry Chemical ` -' . �
�
27. Frame and Flashing ` . ,` ` 76. ��Dry Standpipe •� � ,
� 28. Lathing & Siding : �+ ' � ' '!_ �'. ^� ••i �•���� � 77t•� FIXED SYSTEM�FINAL'
29. Insulati�on , ' �� �� .- � � �� � 78.: FIRE PREV. FINAL
.,1 - i .
� 30. Drywall�Nailing • ` ' � � •HEALTH�DEPT. REQUIREMENT
' 31. Plaster Brown Coat, _ ' � -I � � J9.'FINAL INS�ECTION ; � - ,
� 32�Electrical Power Meter:Final� � � �_ ' � ;' • 80.•:FOOD CERTIFJCATE ISSUEO
33. �Final Electric � ' .�F ' I .� '��; ! �Notes: �� � ;. , '
34. -Final Heating & Air,Conditioning � i� � � � ��- . � � . , ' !
,
35.•Final Gas Pipe-Test� ' - i 1 �I:� ' ' . a �' �
36. Hood or Canopy . • . � y '� � ,
37: Final Factory FirePlace � � -� ' � ' '
� � ��
38. Final Plumbing .. � - � ' � I . �
� 39. Water Service=Final' '' ' � i '' ' ' ' ' -•
i
� 40..Gas Service-Final � � � ' � � � ' '
.�41. Solar pomesticFinai � ' ' + I � �' . � �
i �� � � .
$2. Backflow Preventer ' . ' , ' ' ; �, t , �� . ,' _ , .
' �
43. Backflow Irrigatiom . + + � � � � _. • � �
44. Landscape I�rigation System ': . � � . � � � . ; � � ' . . ' � '
'-45.�Sound Attenuation • � .� � , ; _' ' . ' •
46: Handicap, Regulations ' � . • �� , _
47. FINAL STRUCTURE & BUILDING � �
z9-�t! 6we�. .
48. FINAL PIANNING' i � i. .
� 49. Electric Re�ease to Edison I I I. + .
� 50. Gas Release to Souther� California Gas Co , j I I� � '+ • �� • � - •
51. CERTIFICATE OF OCCUPANCY � , , . . . , ,
No. Date �
.'COSTA MESA BUILDI. .AFETY DEPARTMENT
/ P.O. BOX 1200 COSTA rv�tSA, CALIFORNIA 92626
i
For AppGcant to Fill in Completely — Use Ink Only
.BVIIDING •
ADDRE55 (� �"
OWNER ORIi7 pq'/� /jI ' (/�.£J'tl/ /PW/Y . �Y/ZL
TENANT //(� a�� ,h'
TEL.
NO. .
BRANCH
ADDRESS
ARCHITECT �^/A / /IO Ni / i!-�TE
CONTRACTOK//' Y�
CITY � Q' 1 � � NO.;'�'(L
F STATE/ �� CITV
i LIC. NO ' �d UC. NO.
I
{,ay� SI2E NO.OF BLO
W OF LOT NOW ON LC
a USE OF �
'� EXI5TING BLOG.
y
FSeparate permits are required for
� electriq plumbing and heating work:
H USE OF BUILDING AND WORK TO BE PERFORMED
a
o • � �LCi,L l'r�
> �
�.
.�
a
w
o.
� I hareby acknowledge thet I have �eatl ihis application and state
a! Mat t�e ebove information is correct anA a0ree to comply with
APPLICA _ .�FOI
u� .
RECEIVEOBV PER
A.P. NO.
BUILDING �
ADD RE55
UNIT OR�
SPACE NO.
�C_ �..+K� I LOT � � ti
NEW ADD ITER REPAIR MOVI
OWNER���`�.I/II/%IGN '�t'i
US ��� ��
ZONE TYPE
APPROVED
BV
Condo U
APPROVEDSETBACKS .
�i
PERMIT126.40 TL
PLANNING ACTION
Z� � 1� — S D APFROVED -L �-L
m
�
0+ al� �aws rapulatlnp building conrt�uction, entl I sha�l not employ �qQLp FOR SPECIAL RE UIREMEN'f :. u' /[�
,� eny penon In vlolation of the workman'a compensation lews of Q ' V
� the State of Califarnia. �f � � �
3 I hareby certify that I em properly Itcensetl as a contractor untlar � SQ. FT.
the SSate of California Business antl Protessions Code, Oivision 3, THE AMOUNT SHOWN UNDER VAIU
Chapier 9, antl that such licenses ere In full forea end effect, or I THE PURPOSE OF ESTABLISHING A PERI
am exempt from the provlsions of the State of Celitornie 8usiness
end vrofeasione e, Divisian 3, Chapter 9. VALUATION PERMIT FEE S
/ � J� �.// PLAN CHECK E
SiB�atura of // ��L '
Permittee l�I� $CO� 6 7� TAX E
or ��
Autho�izetl Ageni ate _ TOTAL PAID E
m �
) N �
FOR m �
JLV: �
7 �
r'^n
n
o �LL
� U _\
Yu v
`
v.
'z
F
COSTA MESA BUILD� >FETV DEPARTMENT APPLICA. . FO�I��TRUC��'1��. PERMIT� 89�
P.O. BOX 1200 COSTA..._�A, CALIFORNIA 92626
j RECENE PERMIT
For Applicant to F81 in Completely — Use Ink Only 4 9 3 0 8
ADORESS 208 Ma f�ar Lane A.P.NO. _ .
OWNER OR ADDRE55
TENANT McKinnon-Bibb Properties 208 a f� n
MAI LI NG SPACE NO.
ADDRE55 2737 E. Coast Hiway Plan B
TR.NO. LOT BLK.
TEL.
GITV Corona del Mar N�75-Z311 NEW ADD LTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LEN�ER Home Federal S 1,
BRANCH 1702 Main Street OwNERMcKinnon-Bibb Pro er ' s
ADDRESS SAn�a Ana, Calif. � va.�uF
ARCHITECT TEL. USE Townhouse W� attac�§eCl 1T
OR ENGINEER N
ADDRESS 833 Dover Drive N.B 20NE R4 TVPE v GROUP H.T
APPROVED
�CONTRACTOR Bell, Construction BV OATE �
ADORESS 1�5 E. 18TH. Street�
ci�N Costa Mesa, No�'642-437 Condo Unit
A7PROVED SETBACKS
� c No. 367816 �ic�n,o. 7420 As er a roved lan
S12E NOAP BLDGS. (FROM GL STREET)
OF LOT NOW ON LOT O ROM FT.
USE OF .
EXISfING BLDG. O I �
Separate permits are required for L. SIDE F7.
electric, plumbing and heating work: -
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED. P�ANNING ACTION
Townhouse w/ attached ara e ZE-79-58 APPOVED 4-9-79
APPROVED
I hereby acknowletlge that I have reatl this application and nate
thet the ebova Infotmetion is correct and ag�ae io comply with
all laws regulating builtling conscruction, antl I shall not amploy
any person in violatlon of the workman's compensation Iaws of
the State of California.
I hereby eertify that I am properly Iicansetl as a contractor untlar 13 � � sn. FT. J664 + 60. 5
the State of Californie eusiness antl Professions Cotla, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOF
Chapter 9, antl that such ' s are in full force an fact, or I THE PURPO6E OF ESTABIISHING A PERMIT FEE ONLV:
am exempt from the ovisio ot the State ot C or ' eusiness VALUATION
antl Profession3Cod , Divi 3, Che�npter 9. � PERMIT FEE E 181� . O Q
Signatura of � �// . PLAN CHECK S ^
Permittee / '� p $ TAX $ �^
AuffiDrized Agent Da[e ` /3 V� TOTAL PAIO E 18 9. 0 �
)D 7�;