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HomeMy WebLinkAbout2405 NARBONNE WAY - Building Permits\ � t • � CITY OF COSTA MESA ' S ° BUILDING pMS10N � , _ � � DEVELOPMENT SERVICES DEPARTMENT � ., _ n4n_n1925 •� � PERMIT PERMIT NUMBER (714)754-5273 • Feu(714)754-4856 gUILDING PERMIT nFAiRDRIVE,COSTAMESA,CA92626 �obAddress: 2405 NARBONNEWY Suite: Viciniry: Parcel Nunmber: 43914341 ,4pp�icant: HANSEN, DUKE Address: Zoning: Status: ISSUED Applied: O6/24/1998 Issued: O6/24/7998 Phone: Zip; Owner. MCILWEE, KAREN� i � _ � _ Address 2405 NARBONNE%� � � � " ; � : � /'./�� . '� � . Phone: � � . � - � A COSTAMESA;CA '� � � _ - - Zip: 92627 _ � �� �V ��\ �' ; i � V �� � "�� � � � ` . � � { �.', \ ',/�i , , , � -' . . _ -�- ;' i - '` �i �� . Contractor � ROSS�& BARROWS:INC. ` � .-., � � � / �� �� Address. �� �00260 E. ALTON AV- ���� �-� � " ` ' . i � , ' �: ;�i� ., . • , ; . � . � �_ � � /, Phone: A �; : � ��� �. ��;��' SANTAANA-CA%� Zip: 92707 ��",`\�• � � �li � /.i. � V , . � � ��� j; , ��,��' License:'327802 \- .� � . Arch'/ Eng' : " . , �, , ' . . ' ' � i�..� , ., �Address: � � � /� ,. . _ . . . , " - �� � _ - � . . , - - .. � _ , ".�Phone'. .. � .. , % � � � , . .. . � , . .'Zip:- .. .. . ���:- � . a - � . � _ . � . . ��' / � _ License:- . _ . . . , , -.. , _ - - - . .�. � � , SCOPE OF PERMIT � � , � � REMOVE EXIST BUR OVER THE GARAGE AREA & REROOF WITH BUR.�� � � . A'�, � �+� j � � � � .. .� . � . - � i . .� . , . , , . ' `.�_ . . � � . � � '� � , � FEE SUMMARY �� Plan Check: � � $0.00 � - ,', Calc Valuation: � Ssso.00 � Permit: . $34.75 . -- �-` ; ' ' ' • Claimed Valuation: $sso.00 � SMIP Res: '; $0.50 - ' •%, . SMIP,Com: $0.00 ,! , - `, Other: $0.00 ` _-,{ _ Inspection: ��$0.00 � -- - y', , � � � ` ��� ;�" , . ,� �Total: $35.25 � :�� � ,. , ,', - � � `� ;^ � � PCANNING & 20NING _ i _ � ��: _; � � .�� �: � �ti; r� , . SETBACKS,- _ . � , / %' . '' ���i MAIN STRUCTURE Front 0- 0, � �� �Rear� ��0- 0 L'eft- �� 0- 0- -�Right �. 0• 0- , � , � - . . , , . - - . , �� ACCESSORY Front 0-0�� � ;�Reai- 0-0 Left 0-0 Right � 0-0 ' . � , . - - .�� , . PARKWG ExistinA:� _o _ Required: o ` Pro osed: o � NOTES: EXPIRATION: This pertnit shall automatically explre and become void if work is not commenced within 180 tlays, or ii xrork is suspended or abandoned tor a perfod of 180 days. ' � ' � INSPECTIONS: In ordar for the work authorized urxler this permit to be considered legal, such work must compty with ail applicable codes, and ell requlred Inepeetlone end flnal approval must be obtained. Feilure to obtain Inspeclions and Onal epproval wlll resutt in the expiration of this pertnit. FOR INSPECTIONS CALL: (710) 7545828 WORKERS' COMPENSATON DECU1RA710N: . I hereby eifirtn under penalry of perjury one oi the following declaratlans: � ' ❑ I heve end will maintein e certlficate oi consent to selbinsure for workers' compenselion, es providetl for Dy section 3700 of tha leDor Cotle, for tha peAarmenca of the work tor whiCh this permil Is issued. �I heve entl will maintein workero' compensation Insurenca, es requiretl by sectlon 3700 ot the Labor Code, for the pertortnance of tha work for which this pertnll is iuued. My workers' compens tion Ins nce cerrier end policy number ere: Cerrier. �Sl �%� �['�✓� - , POIIcyNumber. (lhls sec0on neetl not be comp/etetl il Me Oerm/t /s ve/ued at one hundretl Collers ($ f 00) or less.) ❑ I certify Ihet In ihe peAormence of the work for whlch this permit is issued, I shall no� empby eny person In eny manner so es to became sublecl 10 1he workers' mpensetlon laws oi Celifomie, and egree thet if I shauld become su6�ect to the warkers' compen5etion praWsions of Sectlon 3700 oi the Lebor Coda, I shell forthwith I/�/ply with Ihese pro/v�p n���p / �J p�/ A plic I Signature: _ �_i � /n / l� e(9--� v � �i % ` C / WARNINO: FAILURE TO SECORE WORKERS' CdAPENSPTION COVEMGE I5 UNUWFUL AND SHALL SUBJE EMPLOY TOf. IMINAL PENALTIES MlO qVIL FlNES UP TOONE MUNDRED THOUSAND DOLLARE (5100,000), IN AD�ITION TO THE COST OF COMPENSATION, DAMFGES AS PROVIDED R IN SECTI ee6F TNE LABOR CADE, INTEREST, M1D ATTORNE`f5 FEES. LICENSED CONTAACTORS DECLARATION: I hereby ettirtn ihet I am IicenseO under provisions ot Chapter 9(commencing with Section 7000) at Dl�nslan 3 of Ihe Business antl Professlore Cade, end my license is in tull toroe ana ettect. Lic. q Cless q Conlredols Signeture: Dale: CONSTRUCTION LENDING AGENCV: ❑ I hereb aXirtn that Ihere is e consiruction lending agency for the perfortnance of ihe work for which NIs pertnit is issued. (Sec. 3097, Civil Code). Lend Lenders Atltlress: at �- oate: _ ^ L �- OWNER-BUILDER DEGLARATIONS: 1 hereby eftirtn that under penalry at perjury that I em E%EMPT FROM TlIE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business anA Prolessians Code: Any ciry or counry whic� requires a permit to consiruct, alter, lmprove, demolish, or repelr any siructure, prlor to Its issuance, also requires the applicant for such permlt ta flle e signad stetement Ihet he or sha Is licensed pursuanl lo Ihe pmvisions at the Coniractors License Lew (Chepter 9(commencing wlth SecOon 7000) of Divlslon 3 of ihe Buslness antl Professions Cotle) or t�at he or she is exempt iherefrom end the basis tor the elleged axemptlon. Any Wolatlon ot Section 7031.5 by any applicant tor e permit subJeds the epplicant to e civil penelry of not more ihen five �untlretl tlollars ($500).): ❑ I, es owner of the properry, or my emplayees with weges es thelr sole compensetlan, WILL DO 7HE WORK, end ihe structure Is not Intanded or offered for sele (Sec. 7044, Business and Professlons Code: The Conirectors License Lew does not epply to en owner o1 property who Duilds or improves Ihereon, end who tloes such work himself or hersetl or ihrough hls a her own employees, provltletl that such Improvements are no� Intended or otteretl tor sele. It, however, Ihe Duilding or improvement is sold within ane year of completlon, Ihe owner-bulltler wlll have tha burtlen of proving ihet he or sha did not bulltl or Improve for purpose of sale.). ❑ 1, es owner ot the praperry, em EXCLUSIVELV CONTRACTING WIiTI LICENSED COMRACTORS lo construct the project (Sec. 704a, Business anA Profeuions Code: The coniraclors License Lew doas not eppty to en owner of pmperty w�o bulltls or Impmves thereon, flnA who contracts tor such project wich a contrector(s) Iicensa pursuant to the Contrectors License LewsJ. ❑ 1 em evempt undar sec. Business antl Professlons Code for this reason: SlgneWre: ' Date: Owner ID veritied by tlnvefs Iicensa. ❑ Ves ❑ No Driver's License No. Vedflcatlon oi Ownership by (rype ol dacument, i.e. - praperty tex bill or deetl�: DIVISION OF INDUSTRIAL SAFETV PERMfT CERTIFlCATION: Ezpires: ❑ I �ere6y ceniy thet no excevation five (5) or more teet In tlepth into whlch a person is required to tlescend, will be mede in connection wlth work authoAzed Dy this permit. antl thet no bullding sWdure, scettolding, telsework, or demolition or Alsmentling t�ereot, will be more Ihen thirty-six (36) feet hlgh. (Chap. 32, Grp 2, Atl 2, Sec. 341, 7111e 8, Calitomia Administrefiva Code). ❑ As owner-builder, I wlll not employ anyone to do work which would requlre e pertnll irom the Division of IntlusMel Sefery, as noted above, unless such pereon hes e pertnit to tlo such work Irom �he division. Signeture: Date: Division of Industnal Satery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHOHQATON OF ENTAV: I certify under penalry ot perjury that I heve read this applicetion and state Ihat the information given is cortecc I egree to comply wlt� all stete laws flnd clry ordlnances relating to 6uilding construclion, and authonza representetives of the Ciry of Costa Mesa to enter upon �he abovadescribed property for inspectlon purposes. I agree nol to occupy or allow occupanq of any building authorized by ihis permll until final inspedion. Sipneture 4QpE I. qSPECTON TYPE �� 1818 Fixed System Finel Fire Prevenlion 1266 Pool Spe Final 200 Flnel Re-Roof 201 Finel BIocWRetaininq Well 202 Final Fectory Flre Plece 203 FInalSign 204 Final Demoll0on 2d4&s8 � �g �� 7-/D-f3 � LppF� INSPECTONME 206 Final Mechanical 208 Final Plumbing 210 Flnal Elecirlcal 212 Flnel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel BuildindOccuoanc � Ibml.ic PNOJECT qO�flESS: 2 e] O S NARBONNE WY OWNEfl'SNAME: PIERCE, MARK ADOPE55: z4OS NARBONNE WY COSTA MESA,CA pHCHIENGINEEP: R�OflESS: 1 � —{ UNIT: 926I27 I NEG.NO.: UNIT: PENMITTEE: NOCK PLUMBING ( 714 ) 895-124fi aooness: 11610 SEABOARD CIR STANTON CA 90680 LIGExSEo CoxTflACTOP DECUHRiION: I nereUy aHirm rtWl I am IicenseA un0er provisi0ns al Cnapter 9(commencinB wiln Section 7000� ol Orvismn 3 0l t�e Business ane Pmlessions Cotle. and my license is in lull force and eliem. ciTvuc.: �503� 6"(srnreuc.:51197 cuss: C- o �e: �_.]�_'��e�.�_ Siqnaiure: _ EFS' OMPEN�AilONOECIABATION: IAereUyaflirmthatllWveacenificalealtonsenitosell-insureoracertiliWteoiwarker5' Compensation Insurance. or a certihetl copy inereof ISeclion 3800, laE. CI. eoucvNo.: 1167992-93 eze.oare: 03/O1/9A icpmvaNv: STAT E U Cenified coOY is hereby �umished Q Cenifietl cap ii a with the cirv.eu' inp Division. � �aie'. � ADDlicant: � E%EMPiIONFXOMWOflKEHS'fAMPEN5ATI0NOECtAMTION: (iltisSecWnneetliw�GecompktetlilNeperrtntis�monehu�rea�411p�orie55�. I ceRify �ha� in �he pedormance oi t�e wark for which I�is Oarmi� is issueU. I 5hall nal ¢mpioy any person in any manner so as to become sublec� la ihe Workers' Compensa�ion �aws of Cali�ornia. �ate: SignaWre: NOTICE: if. alter making t�is Declaration, you shoWa become suUlect to the Wolrcers' ComDensation provisions of t�e Labor Cotle. you must Iannvnln comply wi�n such pmvisions ar ihis p¢rmil shan be aeeme0 revoketl. CONSTPUCTION 1EN01NG RGENCY: I �ere0y al�irm �Aat �here is a conSVuc�ion IenOing agenty �or Ihe petlormance ol the work �or which Ihis permii is issuetl (Seclion 3097, Civ. C�. LENOEfl: ADUPESS: � OWNEfl BUIWEP UECLAflAT10N: I here0y a��irm IAa� I am exempl �mm lhe Contrattors' State License Law Por �he following reason �Sec�ion 703t5 Business anA Pralessional Coae: pny city ol counry which repuires a permit in consimct, alter, improve, demolish, or �eoair any slmcture, prioi to ils iuuance, also Rpuires ihe apDliWnt lor sucn oermit 10 lile a siO�eA statement Ihat hpJshe is licensetl pursuanl ta ihe pmvisions ol l�e Contrauors' State License Law (C�apter 9(commencing with Section 7000) ol Division 3 of Ne Business m0 Prolessions Catle) or inat ne/she is e�empi 1�¢refmm ana rt1e Uasis 1or �ne allepea exemption. Any Violatian ol Settion 7031.5 by any apPlitani �or a permil SuUj¢tls lhe appliwnt lo a tivil penally 01 no� mOre Ihan �ive hun�a0 Aollars (SSIp�. I, as owner ol ine o�openy or my employees wit� waAes as t�eir sole compensaiion, vnll Do the work, anA ihe ❑ struclure is not intenUeO ar offeretl for ule (Secuon 70na, Busineu antl Pmlessional Code: The Contractors' State License Law tloes nol apply to an owner o� a D�opefiy who builds or impwv¢5 Ihereon. and who tloes sut� work himself/herself or �hmug� �is or her own employees. pmvbea i�a� such imprmemenis are not intentleA ar olleretl br sale. II, however t�e buil0ing or impmvement is so10 wit�in one year ol complelion, t�e owner will have ihe hurAen o� pwvinp �e/s�e Uitl noi bui10 or impmve lor @e purpose ol sale�. I, as owner al the D�operiy. am e�clusively comraminp wilh licensetl contracmrs m constmcl t�e project (Seclion 70aa, Business ❑ anU Pmiessions CoOe: Tl�e Camraclod S�aie License Law Oces noi appN to an owner o� pmperty wlro OuilOs Or improves Ihereon 3�d wh0 LOIIIfddS IDf SI1C11 plOjCQS wl�ll d COIIIfdCtOf(5� IiCPI15E DUf50dl1i �0 1112 �Altlfdt(Of5' $�d�C LICEfISE i.dW�. I dlll dWdfE . t�al prnnf ol �heir Worker's Compen5aiion insurante S�oultl Ue pwvidetl IO me. i� I am exempi waer Seclion: B. 8 P. C. fof IhiS r¢d50n; Oa�e: Ow'nec I ao nereby cenily Ihat I am aware al ana unaerslana Ihe repuirements al Calilomia Healtn ana Safery CoOe 5¢ttions 25505. 25533, antl 2553d antl Ihal I or any WNre �uildinp acupan� wilVwill nol (circle ane� nee0lo wmply wilh 5ai0 Slale coGes antl ihe Bquiremen�s �or a permi� lor consimc�ion or modilicaiion Imm �he Air Ouaiily Management Disirici. flesiaenlial conslmction apPlicalions are exempl imm IIICSC pfON5i0t15. Dale: AOOlicam: I hereby cerlity Ihat I have rea4 ihis apPlication and sta�e Ihal ih ve in�ormatian is correcl. I aA�ee lo comply wilh all ciiy antl cowry �manc¢santlslatelawsrelatingloGuildingcons�mc�ionan rehy'it�orizerepresenlativesolthiscirytoenterupontheahove-mentionetl pmperly foi i peclion ourposes. Dal '. Signa�ure er's license or Saiai 5 curity i4ba6 Wnne—BmlOina� Green—Code Enlorcemen�: Canary—ApplicaN: Pink—Revenue: Goltlenro0—Nssessar CITY OF COSTA MESA — BUZLDING PERMIT PERMIT NO: P 066158 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOB DESCRIPTZON : WATER HEATER REPLACEMENT CLAIM VALUE: CALC—VALUE: PERM NO: P 06615E GOVT; N SUPP; N PORPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY TFIIS PERMIT **�r�r+�*�r*+r�r*+t�r*x-**�r*rt�r*x***i�+r*****x�****�t*+r*x�*ir**�tt�**x-�**�r�r�r**�r�x�****�r*+c�******x�** 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 BUILDZNG --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 14167118 ZNE: REF NO: PLANNING N6T'E5> > _ �E if �f 1E if if if itlE iE iE iE?f ff iE �f �E if iE �E if �f �E 1E fE 1E if if i� #E fE if if it iE 1E �ElElf iE 1f iE #t fE �lk iE if it 7E fE 1E 1E if if 1! iE iF 1E jE 1E �f iE iF M ik iF if fE iE iE iE if �k iE fE if ��f iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : � DATE; APPLICATION ZSSUED BY: � �' DATE: � Z..� �� iF1EiEiEikiM1iEikifiElF1E?EiffE3FiFiFiEifiEik MiE1EaEif�fiEiEifiE��A iEiE jt iE ik iE j! iE iF iE iE �E 1E iE k!f iF it iE �E?f iE iE iE 1t if aF �f if iE iE jf �-iE iE %1t if 1E �E M if iE if iF if if iElf IF 1F 1f if iE iF if iF 3' �f if iE iE if iE 1f fE fE �)f 1E 1E jF * 9E i1 iE if iR if if if iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 25x SMZP/NON—RES PLAN ISSUE FEE 20,00 bUILDING—DIC�—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27.00 27,00 .00 REVErJUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SAORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 2%,�� k k iE if iE k iflt it ff ik k if 1!� 1E k �F tt if it if if if if iE iE iF iE fE iE if 1E iE � ihlF iE if iF fE iE iF if if 1f !t iE k 1F iE itlf iE i! 1E it it �k it iE iE iE iE k if if ik 3f if fE k if if iF iF 1E if if iE Z N D I V I D U A L" F E E B R E A K D O S4 N TYPE QTY PLU 1 D E S C R I P T I O' N WATER HEATER AND/OR VENT END OF FEES UNIT COST TOTAL COST 7,�� 7,�0 OS QD155331-0015`831 T GT 2?.QO OATE: 02/23/94 TIME: 09:5? CONSTRUCTION AND PLANNING POOI & SPA APPROVALS Permit # Date Inspecmr p,ppROVALS Permit # Date Inspector t, Temporary Electrical Service or Pole 52. Pooi & Equipment Locauon 2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Coriduit Ut�lity-Undrgrnd. 54. Forms 4. Electricai Conduit-Undrgmd. 55. Electrical 8onding 5. Steei Reinforcement 56. Rou9h Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNiTE �. Footings 58. Electrical Conduit�Undrgrnd B. Foundation 59. Gas Pipc, f� Undryrnd., Test �� 9. Water Pipe-Undrgmd. 60. Backwash Lines, P� irap, C Undrgrnd. 10. Structural Floor 5vscem 61. APPROVAL TO DECK i t. Property Sewer Une & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Pinal , 14. Rough Plumbin9 65. Electrical�Final� 15. Rough Electrical-Conduit � 66. Solar SVstem-final 16. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign 6$. APPROVEO FOR PLASTERING 78. Rough Electrical-'� Bar Ceiling 69. POO V'SPA SYSTEAIIS FINAL 79. Rough Heating & Air Cor,ditioning FIRE �EPT. REQUIREMENT 20. Fou9h Factory Fireplace APPROVAIS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventiiaung 77. Product Piping G Gus ❑ Od 23. Gas Pipe�Rough $ Test 72. Underground Flush 24. Roof Framing 73. Underymd. Smraye Tank � Gas ❑ Od 25. Fioof Sheathing 74. Overhead Fiyciro 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. Drywali Nailing HEALTH OEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPGCTION 32. Electrical Power MeterF�nai 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: L / �-'-�� �/_/��.Z=�l- �.F� 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test ' 36. Hood or Canopy 37. Final Fac:ory Firepiace 38. Pinai Plumbing _C-�' 39. Water Service-Final 40. Gas Service-Pina4 47. Solar 6omesticFinal 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigat�on System 45. Sound Attenuation 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. FINAL PI.ANNING 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co 57. CERTIFICATE OF OCCUPANCY No. Date - 18527 AGPlieant to flll in all spaces within CITY OF COSTA MESA ' PERMIT NO. CONSTRUCTION PERM17 p .� -r'/.�9 Address Address bortler lines antl s19� all aporoorlate aeelarations. TRACT NO. LOT NO. �BLDG. NO. TVPE Of CONSTRUCTION PhOne ❑ NEW ❑ ADD ❑ ALTERATION 979-0710 ❑REPAIR ❑CONVERSION ❑DEMOLISH LiC2n5e No. ❑ OTHER DESCRIPTIONOFWORK � WafPY }1E co�«a�to�Generat inscallation Address $ WB3t B V .� j,�. - LICENSED CONTRACTOR DECLqRATION 1 heroby aifirm that I am IlcanSetl untle� p�ovl51on5 Of Chd/[e� 9(Com- mancing with section 7000) of blvision 3 of the Business antl Professions Cotle, antl my ❑cense is in full forre antl eHect. License CIasS 36 ,,,�e No. 151839 Date a�S �5 F Slgnature �� '�%�����A— WORKERS•COMPENSATION DECLARATION I hereby affirm that I nave a tertft�ca[e o/ consent to self-Insure or a certifiwte of Workerz' Comp¢nSdUOn Insurante, or a certlfietl copy thereot (Sec ion 3 00, Lab. C.). PoliCy No. Company State COR1'��I ❑ Certlfietl copy is hereby turnished. � Certltietl copy is filetl wi[h the city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (This settion neetl not be completetl if the permit is for one huntlretl (E100) or less). � cert(fy that In the p¢rtOrmance of the.work for which thi5 pe�mi[ i5 issuetl, I shall not employ any person in any mdnner so as to become subject to the Workers' Compensation Laws of Glifornla. Ddte Signdtur¢ NOTICE: If after making this tlecla�ation, you shoultl become subject to th¢ WO/kers' Compen5dtlon ptovi5ion5 0( lhe Labor Cotle, you mvst to�thwith cOrtlply wi[h SUch p�ovi5iOn5 Or this pe�mii shall be tleemetl rovOk¢tl. CONSTRUCTION LENDING AGENCV 1 nereby aftirm tha[ there is a con54uttlon lentling agency for the per- �orman<e of tne work for whith this permit Is issuetl (Section 309] Civ. C.). �entler's Name Lentl¢�'s Atltl�ess OWNER BUILDER DECIARATION I hereby atflrm thal I am exempt irom tha Contractor'S Llcense Law for Ihe tollowina reason ISection 70315 Ausiness antl Professlons Cotl¢: city or COunty whiGh �eqWres a Bu51ne55 antl Prof¢55lons Cotle) or lhat h¢ Is exampl therefrOrtt dntl lM1C basls for tne alleged exemption. Aqy violation of Settion 7031.5 by any appllwnt for a permit subject5 Ihe applicant to a civil penalty oi not more tban five huntlretl tlollars (E500). ❑ I, as Owner ot the proPerty, or my employee5 with wd9¢5 a5 their sole compensation, will tlo the work, an0 fhe structure is not Intentletl or offeretl lor sale. (Sectlon 7044, �uslna55 antl Rotesslons Cotle: The ContrdCtor'S License Law tloes not apply to an owne� of. a prOPerty who builtls o� Improve5 lh¢reon, a�tl wM10 tloe5 Such work himself or [hrough his own emplOY¢e5, Provitl@tl tnal Such improvements a�e not Intentletl or of/¢r¢tl br SdIG. It, howeveq [he builtling or improvement Is Soltl withln ona yea� of completiOn, th¢ owne� will have the burtlen o/ provMg he tlitl nol bulltl or imProve for the purpo5e ot sale). ❑ I, ds owne� ot t�e p�op¢rty, dm exclu5lv¢ly Con[racting with licensetl contractors to cansVuct the prolecl (Section 1044, BuSiness antl Professions Code: The Contractor's Licensa Law tloes not appry to an owner of property wh0 builtls Or improves ther¢on, antl who Con- [racts from such pro�ects wlth a Coniractor(s) Iicesnetl pursuant [o the ContraGtOr'S �icense Law). ❑ 1 am exempt untler SecOon B. 6 P. C. for this reason Date Owner I h¢rEby certify Iha[ 1 have reatl thi5 dppliUtiOn antl sta[e thal the above TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL EIPIVMBING ❑MECHAI ❑ OTHER PHOJECT DESCRIPTION SQ. FT. OCCVPANCY_CONSTRUCTION TYPE VALUATION ZONE GRADING CU. VDS. ACRES PLUMBING TOILETS � LA V ATO R I ES KIT. SINKS SERV ICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATER SERVICE GASSERVICE WATER HEATERS SEWER CONNECTIONS $OLARTANK SOLAR PIPING SYS. ISSV E FEE MECHANICAL PLAN CHECK SHOWERS U R I NAl_5 DOUBLELAVS DISHW ASHERS SUMPS FLOOR DRAINS CIARIFIERS PTRAP ALTERATION OUTLETS BTU OVTPUT COLLECTORS PLANCHECK HEATING SVSTEM 0-300,000 BTU ANDDUCTING 100,000+BTU REFRIGERATION 0-300,000 BTV SYSTEM 100,000 + BTU BOILERS BTU SVSTEM REPAI R, AITERATION EXHAVSTSVSTEM MULTIPLE information is correct. I agree to �ompty with all city antl county orCinances antl stale laws relatinq to canslruction, antl hereby authorize repre5entatives of [his city to enter upon the above men[ionetl properiy to� nsy ect pu�po5e5. 5lqnature,�G' �`" - ��� Date�S Z6'Iy2, Drivers' �icense or 55 � � ISSUE FEE CMF 0865-46 WM1ite-Builtling; Gnary-ApO���ant; Pink-Accountinq; Goltlenrotl-Assessor 8718 6/21/82 • 6.00 TU ZONE � SETBACK C/L $T. SIDE VARD L5EpFT R�IGHTY�— REAR VARD (TO P/LJ PKG. SPACE RE�. STREET WIDTH ZONING APPROVE� BY SPECIAL CONDITIONS: PLNG. REF. � PROVIDED PARK FEE ELECTRICAL PLAN CHECK " SO- FT. GENERATOR ' 0-1KW_1-lOKW � TRANSFORMER • APPLIHNCE 10-50KW_SO+KW MOTORS 0-1 IiP_1-30 HP (INC.SOLAR) 10-SOHP 50+HP FIXTURE$ -OUTLETS $WITCHES GA$ TUBE $IGNS POLE UGHTS ' POLES METERED SUB PANELS MAIN SUB SERVICE ' AMP - ISSV E FEE APPLICATIONAPPROVEDBV DATE t/rf� SUMMARV OF FEES BUILOING PERMIT $ +� SMIP S PLANCHECK 5� PERMIT � PLUMBING g �SSVANCE . GRADING S PLAN CHECK b ELECTRICAL S a MICROFILM $ PLAN CHECK S TOTAL FEE $� OO MECHANICAL $ ' PLAN CMECK E �ESS AD- � VANCEPC E_ FINALFEE E��oa CONSTRUCTION AND�PLANNIN4 � POOL & SPA APPROVALS Permit # �� ��^ Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' 2. Soil ipe-Undrgrn 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrn - '� 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test � � 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE ' 7. Footings 49. Electrical Conduit-Undr rn 8. , Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 73. Rough Plumbing ' � ' 14. Rough ElectrioConduit �56. Electrical�Final 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18.' Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final ' 28. Final Electric 29. Final Heating & Air Conditioning '� 30. Final Gas Pipe-Test 31. Final Plumbing - ¢-�9 32. Water Service-Final � 33.•� Gas Service-Final ' � 34. Solar pomestic-Final 35. Landsca e S rinklin S stem � 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY No. Date - OwNEx DOYLE & SHIELDS Develo�ent Co..Inc. nA'rE JOB ADDRESS INSPECTIONS SUBCON'PitACTOR � PERMIT NO. �� - �s-��i COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applicant To Fill In Completely TYPE OR PRINT BUILDIN6 �l ADDRESS �.t COSTA MESA, CALIFORNIA . owNenDo le & Shields Dev.Co i ADDRHSB 831 So. Mancheste �,rY Anaheim No 2P80 ARCHITECT TEL. OR ENGINE6R Hal C• Tan N. ZONING �alth, „,.,,, UB80RN Fullerton �une'' ewtni ,� LHGAL Lot 147 Tract 343 DHBCPIRION � A. P. NO. n NOTE: NO EAVE OVERHANG SHALL BE LE66 THAN LIG.rNO1S1�2S1/�B�1 NE�. PR Z—HOZ 30"TOSIOEBREARP.L. ewves OFLOT 33 X rJ3�rJ0 I���oPet�oe. ALLOWED (U.B.0.REqU1REMENT; NOW ON LOT �� YARDSAPPROVED YARDSAPPROVED USEOF MAIN BUILDING ACCESSORY BUILDIN6 EXISTING BLD6. (FROM WL REET) BETBACK LINE FHOM cervrew on erassr 2 O. S O� REAR YARD -- FR NT •� PT. SIDEYARD� LEhT q��,�{{ R.SIDE V FT. P9'. DESCRIPTION OF WORK L. SIDE �� Fr. �. Same FE�RECEIVED dJ N 3 1963 FlNANCE DEPT. APP��(fI�J Q���� BUILDING For Office Use Only RCC61'T NO. pBRMI Y� DAT[q[C[IVjG �. ' s,i�eo�N 33X53 50 Ro°o°nis V STORIC: EXTERIORWALL. I ROOF SN�N �I HEREBY �CKNOWLEOOB TMAT I.AVB PEAO TH^8 APPLIGTI^N AN� BT�1TE THAT THH ABOV6 19 CONq6CT ANO AONEfi TO COM. PLY WITM ALL CITY OqDINANCBi AND YTATH LAWB P[QYLATINO BUILDINOCONB RIICTION. n A AUTHORIZEDA6fiNT � VAR. $R THE AMOUNT I ' PURPOSH OP VALUATION �9, ��� °=� �ATE APPROVEO �ATE �J ~ P'OQ� " m V�LU�TION 18 FOR TNH F A PERMIT FEH ONLY. p ____ ' /�o-► « 0