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Home My WebLink About2824 NEVIS CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 2824 NEVISCI Suite No Vicinity: HA�LWAY CLOSET AND SIDE YARD Parcel Number: �3943157 Applicant RODRIGUEZ, ILDEFONSO Address: 7050 LAMPSON AVE GARDEN GROVE, CA owner: BUFFA, PETER F Address: 2824 NEVIS CIR COSTA MESA, CA � CootracWr: EMPIRE PLUMBING Address: 7050 LAMPSON AV GARDEN GROVE, CA Phone: 714-379�757 Zip: 92841 Phone: 714-751-0418 Zip: 92626 Phone: 714-530-7320 Zip: 92841 License:794154 � ISSUED BY: Status: ISSUED Applied: OS/29/2007 Issued: 05/29/2007 SCOPE OF PERMIT MECHANICAL PERMIT FOR A FURNACE AND A/C CHANGE OUT FOR A SFD, SAME LOCATION . REF#: E07-00524 WORK TO INCLUDE: t INST FAU > 100 K BUT AND 1 COMPRESSOR UP TO 3 HP. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair I Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys > 100 k BTU Gas Piping Fadory Fireplace Hood wlMech Exhausl VAV Box Vent Fan / Single Dud Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Healer $23.50 $0.00 $1820 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (luantlry 0 1 0 0 0 0 0 0 0 0 0 0 o' 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Com mercia l I ncinerator Domestic Incinerator Comoressors / Absomtion Svstems Up to 3 hp I 100 k BTU 3 To 15 hp I 500 k BTU 15To30hp/1,OOOkBTU 30 To 50 hp / 1,750 k BTU Over 50 hp./ Over 1,750 BTU Boilers Uplo3hp ' - � 3To15hp 1510 30 hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspedion Fee , TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Gluantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $14.70 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 556.ao NOTICE: The 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 or abandoned for a period of 180 days. � INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply wilh all applicable�codes, and all requiretl Inspeetlona antl flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration'of ihis permit. FOR lNSPECTIONS CALL: (714) 7545626 � zaasa (voo) WOFKERS'COMPENSAnON DECLARAnON: I hereby aflirtn under penalry of perjury one of the following declarations: ❑ I have ana will maintain e certificate of consent to satf-Insure tor workere' compensation, as provided for hy section 3700 of the Lebor Code, for Ihe peAortnance of Ihe work For which this pertnit is issued. ' � Yhave and will maintein workers' compensation insurance, as required by section 3700 of ihe Lebor Cotle, for tha performance of the work for which this pertnit is issued. My wor�ki rs' co pensetion Insurence cerrier end policy number are: �-'� �/ �Cerciei: /i../�.r('��G l.�PolicyNumber:. �w��/tr0� (This sectlon n'e�nof be complefed i! the permlf Is velued ef one hundred dollars ($100) or less.) V ❑ I certiTy Ihat in the pertormance of ihe work for which ihis pertnit is issueQ I shell not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, entl agree that if I should become subject to the workers' compensation provisions of Sectlon 3700 of the Labor Cotle, I shell forthwith Comply with Ihese p visl __ Applicent Signature: - �Da et : � Jr" � 4— Q� WAPNING: FNLURE TO SECURE WORI ' COMPENSATION CAVE E 5 UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED THOUSANDDOLLARE($100,OW),INADDITIIXJTOTHECOSTOFCAMP ATIIXJ,DAM4GESASPROVIDEDFORINSECTION3]O60FTHELA90RCODE,INTEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn Ihat I am Ilceny��d 'nd�e�r p�rovisic force end eifect. Lic. M �,�,SJ� CONSTRUCTION LENDING AGENCY: ot Chapter 9(commencing with Section 7000) of Division 3 of Ihe Busines,s.snd Pmfessions Code, and my license is in full Class'p, � � �� Dete:-- t �� Li ❑ I hareby aHirm thet ihere is a constmction lending egency for the pertormance oi the work for which this permit is issued. (Sac. 3097, Civil Code). Lentlers Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm [hat un0er penalry of perjury that I am EICEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires a permit to consiruct, altar, improve, demolish, or repair eny structure, prior to its issuance, elso requires ihe applicant for such parmit to file e aigned statement thet he or she Is Iicensad pursuent to ihe provisions oi the Contradors License Lew (Ghapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Code) or ihet he or she is exompt therefrom and ihe besls for the alleged ezemption. Any violation of Section 7031.5 by any applicent for e permit sub�ecis the applicant to a clvil penelty of not more than five hundred dollers ($500).): ❑ I, as owner of the properry, or my employees with weges es iheir sole compensation, WILL DO THE WORK, antl ihe siructura Is not intendetl or oHered for sale (Sec. 7044, Business end Pwfessions Code: The Contractore License Law does not apply to an owner of pmpery who 6uilds or improves thereon, and who does such work himself or herselF or ihrough his or her own employees, provided that such improvaments are not intended or oHered for sale. If, however, the building or improvement is sold within one year ol completion, the owner-builder will have ihe 6urtlen ot proving ihat he or she ditl not builtl or improve for purpose of sale.). • ❑ I, as owner of the properly, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolect (SecJ044, Business and Professions Code: The contractors License Lew does not epply to an owner of pmperty who builds or improves ihereon, antl who contracts tor such pmject with a coniractor(s) license pursuant to t�e Conirectors License Laws.). ❑ I am ezempt under SeC. Signature: Owner ID verified by drivefs license. ❑ Yes ❑ No Business antl Protessions Code for Ihis reeson: Vedfication of Ownarship by (ype ot tlocument, i.e. - properry tan bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Drivefs License No. Date: Expires: ❑ I hereby certity thet no excavetion Tive (5) or more feet in depih inlo which e person is required to descand, will be made in connection with wark authonzed by this permit, and that no building simcWre, scaHolding, falsework, or tlemolition or dismantling thereot will 6a ^ore than thirty-slx (38) feet high. (C�ap. 32, Gry 2, An 2, Sec. 341, Title B, Califomla Adminisira�ive Code). ❑ As owner-bullder, I will not employ anyone to tlo work which would require a pertnit from ihe Division of Industnal Safary, as notetl above, unless such person has e permit to do such work from ihe division. Signature: Date: Division ot Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I certify untler penalty of perjury that I have read this applica�ion and state thet the intorma�ion given is wrrect I egree �o comply with all state laws end clty ordinances relating to building conswction, end authorize representetives of the Ciry of Coste Mesa to enter upon the ebave-descnbed property for inspection purposes. 1 egree not to occupy or allow occupancy of any building euthorized by Ihis permit until finel inspection. COOE �. INSVECTIONTYPE 1616 Fixed System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Rooi 201 Finel Block/Retaining Wall 202 203 204 Final Factory Fire Plece Final Sign Final Demolilion ORTE INTITIpLg 5'�d T'i� ate COOEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Flnal Flre Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy (714) 154-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.gVi {LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2824 NEVISCI Suite: Vicinity: ROOF PrimaryOcc: R3 Parcel Number: 13943157 Applicant: HUAPAYA, YOLANDA Address: 10522 BRIER LANE SANTA ANA, CA Owner: BUFFA, PETER F- Address 2824 NEVIS CIR- - CO�STA MESA, CA Status: ISSUED Applied: 09/142005 Issued: 09/14/2005 Type of Construction: V-N Zoning: R1 K� Phone: . 714-393-6251 ISSUED BY: 1�GJ�' . . e . .� Zip: - 92705 � � - Phone: � ., �. � � �. � Zip: 92626 � Contrector .' 'MG` CORMACK ROOFING Address: � � 4091 E U1 PACMA.-. ,- - , - .. . � : . ' • '."�SUITE D ' ', Phone: (714) 630-5543 - - � �. . "- ANAHEIM„CA>.� _ - :�• Zip: 92807 , License: 643700 � � ' � � � Arch : .,. . . � En9: , ... . Address: - � Address: - ' � � • ' �� - � ... . . . Phone: - � . . ` Phone: ,.. .. � . ` Zip:., . �. . . . . . License: � . . . . .. .: ., �. License: � ?.. � . SCOPE OF PERMIT � �-�- T/O WOOD SHAKES AND CAP SHEET TO SHEATHING, USE EXISTING SHEATHING, 1 LAYER 3-0F FELT, 14 SQUARE$ OF GERARD METAL � � SHA'I�S W/BA�fENS ON PITCHED AREA AND 13 SQUARES OF TORCH DOWN ON FLAT SECTION OF ROOF, FOR SFD. .� � FEE SUMMARY �rµ�t Plan Check: $0.00 ; � � Calc Valuation: $s,�oo.00 � Permit ��.°; $�125 25� � � < SMIP Res : $0.57 ��'- SMIP Com. ' $0.00 ; Other: $0.00 ` Claim Valuation: $s,�oo.00 Inspection: - $0.00 � � � � � �TotaL �- �$125.82 "` � . PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear� 0-0 Left ' 0-0 � Righl '0-0 ., ACCESSORY � Front .0-0 - Rear � PARKING �.Ezistina: 0 � Re �uired: . .. , , ., ,;.:, xn . , 0- 0 LeH 0- 0` -- 0- � - - � Pr000sed: ^^0 � Right - 0- 0 , 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlona 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 2468d8 (8/00) . . WORKERS' COMPENSATION DECLAFiATION: I hereby eflirm under penalty of perjury one of the following tleclarations: ! ❑ I have end will meintain e certificate of consent to setl-Insura for workers' compensation, as provided for by section 3700 of the Labor Code, for ihe pertormanca of the P !'work for which this permit is issued. �� l I have end will maintain workers' compensation insurance, as required by section 3700 of tha Labor Code, for the perfortnance of the work for which this pertnit is issued. M rkers' com ensation In ance carrier d oli nu r � �4,,,� , 1 carder:Y OM I�LL�I � $ Z��'�' �� PolicyNumber:'—^"°'•1��"��'y (This�sec �on neetl not be complete � Ne permlf �s valued et one hundretl tlollars ($100) or less.) . , ❑ I certify ihat in the pertortnance of the work for which this pertnit is issued, I shall not employ any pereon in any manner so as to become subject to the workers' compensation I s oi C omla, d agre t t ii I should become subjact ro the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall forthwith comply with e rovi i �--� q� 14�� ApplicenLSignetur ' . � Daley=� WARNINO: FAILURE O SEC RE WORKERS' COMPENSATION COV RAGE U WFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIE AND qVIL FINES UP TOONE HUNDRED THOUSANODOLLA ($100, ),INADDITIONTOTHECOSTOF ENS TION, AMAGESASPPOVIDEDFORINSECTION3]060FTHELABORCADE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm Jhat I am licens u � rov' ' n pter 9(commencing with Section 7000) of Division 3 of.the Busine an ro s n otle, and my license is in full force antl eHec(%Lic. # Class�N`*• i i" �" _ Contrabofs�Slgnzture: fDate: -� t_ ' r-.'-' -.' L.��. CONSTRUCTION LE ING ENCV: ❑ I hereby aHirtn ihal t s a construction lending agency for the pe rmance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Sig ^'�'n Date: . •i OWNE ILDER- CLAR I here6y rtn that under pen of ury that PT FROM THE CONTRACTORS LICENSE LAW tor ihe fallowing reason (Sec. 7031.5, 8usiness end Professians Code: Any city or county which requires e permit to constmct, alter, improve, demolish, or repair any stmcNre, prior to its issuance, also requires the applicant for such permit m file a signed statement ihat he or she is licensed pursuant to the provisions of the Contracmrs License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 ot ihe Business and Professions Code) or Ihat he or she is exempt thereirom and ihe basis tor ihe elleged exemption. Any violation oi Section 7031.5 by any applicant for a permit subjeds ihe applicant to a civil penalry oi not more than five hundred tloliars ($500).): . ❑ I, as owner oF the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe siructure is no� in�entle0 or offered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herealf or ihrough his or her own employaes, provided ihat such improvaments are not intended or oflered tor sale. N, however, the building or improvement is sold within ona year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purposa ot sale.). ' ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CON7RACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The conirecrors License Law does not appty to an owner of property who builtls or improvas ihereon, and who contrects for such project with a contractor(s) license pursuant to ihe Contradors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for Ihis reason: Signa�ure: Date: Owner ID verified by tlriver's licensa. ❑ Yes ❑ No OnveYs License No. Expires: Veritication ot Ownership by (type of document, i.e. - properry tax bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavetion tive (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthorized by this pertnit, and Ihat no builtlinq simcWre, scaHolding, falsework, or demolition or tlismantling thereof, will be more ihan ihirty-six (36) teat high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ti�le B, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit irom ihe Division of Indusirial Satery, as notetl a6ove, unless such person has a permit to tlo such wark trom the division. Signature: Date: Division of Induslnal Satery Permit Number: CERTIFICATE OF COMPLIANCE AND AIJT}IORIZATION OF ENTRV: I certify under penalty of perjury that I have read ihis application antl sta�e �hat the infortnation given is correct I agree to comply wi�h all state lews end city ordinances relating to builtling constmction, antl authorize representatives ot ihe City of Costa Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to occupy or a�low occupancy of any building authorized by ihis permit until tinal inspection. 167b�JFixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition �,�AI€ II12IIJ86ff COOE� 206 208 �[�'„Z,��'�� 210 212 220 222 INSPECTIONTYPE Final Mechanical Final Plumhing Final ElecMcal Final Fire Prevention Final Planning Approval Final Site 250 Final Building/Occupancy n�_T€ L�UJAL@ F COSTA M�E�A A"ddress _�"Z mYs Mailitw Address Applicant to fill in all spaces exce0< those wi(hin heavy bortler lines antl sign all appropriale tleclarations. 3UCTIO�v PERMIT PER T NO. �TRACT NO. LOT NO. �UNIT NO; v�s Cl�t-. � a S�� . . Address �00� % N4VLV L /L ' Arch/Eng. License No. Address i Contractor's Name ' Phon= Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION � 1 hereby atflrm that I am licensetl untle� provisions of Charter 9(commencing with section ]000) of DiviSion 3 0l the Business antl Professions Cotle, antl my license is in tull force and eitect. License Class License No. Date Si9nature "�ORKERS'COMPENSATION DECLARATION :reby affirm that I have a certificate of mnsent to self-insure or a Certificate Worke�s' Compensation Insurance, o� a certifietl wpy the�eot (Section e800, Lab. C.) Policy No. Company ❑ Certitietl copy is hereby fumishetl. � ❑ Certifietl copy is filed with the city Builtling Division. Date APplicant . EXEMPTION FHOM WORKERS' COMPENSATION DECLARATION (Thi55ection neetl not be completed if the permit is for one huntlretl ($100) or less). I certify that in the performance ot the wo r which this per �s5uetl, I shall not employ any person in any ma sa as to beqo - ct to tt{e WorkersS..ompEnsa�ypr� Laws of Califo /i. . / � �� d1� n TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ, ALTERATION LJ REPAIR � ❑ CONVERSION ❑ DEMOLISH 'Q OTHER A p # DESCRIPTION OF WORK/USE OF BLDG. , S Main Buildl TVPE OF PERMIT GRA�ING ❑ FOUN�ATION E ❑ STRUCTURAL T Front ❑ TENANT ❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAI B Rear ❑ OTHER A PROJECT DESCRIPTION ' SQ. F7. oCCuaaNCv ' C Right K Ceft CONSTRUCTIONTVPE VAIUATION$ $ � Z.ONE GRAOING CU. VpS. ACRES Ping. Ref. # Remarks: Planning Notes: Date _d �,(i_�_�Signature � � � " - — NOTICE: If, aiter making this tlecl a ion, you sh ultl b me subject t he Workers' Compensation provisions of the Labor Cotle, You must torthwith compry with such p�ovisions or tM1is permit 3ha11 be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I ltereby affirm that there is a construction lentling agency for the performance ot the work for which this permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILOER bECLARATION I hereby affirm that I am exempt trom the Contractor's License Law for the following rea5on (Section J031.5 Business antl Professional Cotle: Any city or county whicn requires a permit to construct, alter, improve, tlemolisn or repair any structure, prior to its issuance, also requires the applicant to� such permit to file a signetl statement that he/she is licensetl pursuant to the provisions of ,;'he Contractor'S License Law (Chapter 9(commencin9 with Section 7000) of ;°':vision 3 of the Business antl Pwfe55ions-Cotle) ov tha[ he/she is exempt `+ xxref om and the basis for the alle9etl exemption. Any violation of Section �{�� 03 by any applicant for a permit 5ubject5 the applicant to a civil e Ity of not more than five huntlretl tlollars ($500). ' 1, as owner of the property �t � +pow9eAcafdu� will tlo the work, antl the structure is no mtentled or offered for sale (Section 7044, Business,antl Professional Cotle: The ContractoYS LicenSe Law tloes not appry to an owner of a pwperty who builtls or improves thereon, and who tloes such work himself/herself or tivough his or he� own employees, provitletl that such improvements a�e not intentletl or otferetl for sale. If, however, the builtling or improvement is soltl within one year ot com- oletion, the owner will have the burtlen of proving he/she did not builtl or im- p�ove for the purpose of sale). � ' ❑ I, as owner ot the pro0erty, am exclusively contracting with licensetl con- tractorsdo mnstruct the project (Section ]044, Business antl Professions Cotle: The ConVactor's License law tloes mt apply to an owne� of property who builtls or imOroves tM1ereon, antl who contracts for such projects with a con- tractor(s) imense pursuant to the Contractor's License Law). I am aware that proof oi their Worker's Compensation insurance snoultl be provitletl to me. ❑ I am�xempt untler Section � B. & P. Cyf�Ythis reason � Date [ Il�- J I hereby �i�rtit information is � antl state laws sentatives ot t inspection ourp Signature _/ Driv¢rs' �ens� � owner � 1 have rea�this I aqree to compl to builtlmg cons i to enter upon or55� that the above Sink Preventer Irrigation 7rinking Fountains Floor Orains Floor Sinks � Gas Service Outlets Interceptors Kitchen Sink ' lavatories P—Trap Roof Dreins ' Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust SYstem ❑ Multiple ❑ Firepl/Fact Blt. ICBO # Heatin9 System & Ducting ❑ 0-7 00,000 BTU O 100,000 BT Reinspection Fee � $75 CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicanh Pink - Accountinq; Goltlenrotl - AsSessor FEES Showers Service Sink Sewer Cap' Sewer Connection . $013f COII¢C20fi � Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash . ' � Issue Fee I $ 3 IANICAL FEE Hood or Type I ❑ � Canopy TYPe I I ❑ � Refrigeration System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration Fire Dampers Registers - u Issue Fee $ 3 Automatic Washer Construction Pale Sub. Cookin9 Unit Dishwasher - Dryers ❑Gas ❑Elec Fan ' F.A.U. Fixtures Device Boxes Outlets Switches � Garbage Disposal Generator �0-5 KW � 34�7b , 8/ j 2/37 Zone Accessory Building: Parking Req./Provided ELECTRICAL . � ' - Ttansformer ❑ 15-50 KW ❑ 50+KW Meter ❑upto100amp5 Meter ❑over100amps Sub Panel Momrs �0-1 HP O1 %- 8 InaSolar 09-15 HP �16-15+ � Microwave Pole Light Range I I Standing Sections 5 KW I I Trash Compacmr 3 ;6p TL FEES 2 O N I N G R E Q M T S I ReinsPection Fee . - I $15 I I Issue Fee ' I $ 3' DEVELOPMENTSERVICESREQUIREMENTS: � Zoning Approved By Date Building Approved By � Date�� / Appliption Issued By n Data p� � SUMMARV OF FEES BUILDING PERMIT $ SMIP - $ PLAN CHECK $ PERMIT PLUMBING �$ ISSUANCE $ �, PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL � $ � GRADING $ . PLAN CHECK 50% $ MICROFILM S l MECHANICAL $ 70TALFEE $ � V PLAN.CHECK 25% $ � � � ' POO L & SPA . CONSTRUCTION AND PLANNING - � APPROVALS Permit # � Date �Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd.. . 53. Steel Reinforcement � ^ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .- 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE ' 7. Footings 5S. Electrical Conduit-Undrgrnd. � . 8. Foundation --- ' 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. � �.. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Dreins � � 64. Plumbing SYstem - Final , 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final . 16. Rough Electric Wiring �,,,n 67. Fencing & Access Approval 17. Rough Wiring Sign �� • 68. APPRO.VED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. ProductPiping OGas ❑Oil � 23. Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (5tructural) & 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 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . - 3.- " C Notes: , 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy - 37�. Final Factory Fireplace - 38! Final Plumbing . ' � 39. Water Ser,vice-Final � . 40. Gas Service-Final f � ' �41 . Solar pomestic-Final � � � ` � .i 42; Backflow Preventer - - " � � t; , 43. Backflow Irrigation �� ' i o 44. Landscape Irrigation System ( � • � � � , 45. Sound Attenuation � � � � • 46. Handicap Regulations j �� 47. FINALSTRUCTURE&BUILDING . - -' . , , 48. Special Requirements Completed - 49. Electric Release to Edison 4 � . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY. • , No. Date � CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19630, shail attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and reguire the return of, an owner-builder verifiwtion. Attention P�operiy Owner: An 'owner-builder' building permit has been applied for in your name and bearing your tignature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid �nnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 7. I personally pla� to provide the ajor labor and materials for construction of the proposed prop t improvement. es ❑ No 2. 1 ave�ave not) signed an application for a building permit for the p sed work. 3. I have contrected with the folfowing person (firm) to provide the proposed construc[ion: Name Address Phone ( Contrac[or's Lic. No City 4. I plan to provide portions of the work, but I have hired�the following person to coordinate, supervise and provide the major work: Name Address Phone ( Contrattor's Lic. City 5 I will provide some of the work but I have contrected (hired) the following persons to provide the work indicated: Name Address ' Pho� Type of Work I hereby affirm that i have received a copy of the information set forth in Seaion i9830 of the State of Glifornia Heal i nd Safety Code and have compteted the above information to the best of my personai knowledge ' pliance with tkis State- � Signe • - �� / Date; � l�/ ^ �/ Name: S .� � � Cz PF (Printed or Typed) � C.D.L. �kor S.S. # �� / CMF 304246 7545273 �: f � <l . . - .. . ApD��ant to fiil in all soaces exeept tnose within heavy ooraer Ilnes antl sign a11 apvropriate tleclarations. CITY OF COSTA MESA CONSTR�CTION PERMIz PERMIT NO. TRACT NO. LOT NO. . UNIT NU. � 2C_ ?F1 /_llll d2dl . 2;� ProjectAddressa��y�nis�is�+ lRC1� eM ��a6�6 Applicant'sMai�lin9�.f�ddress' � yc�.,/� Mt` L Owne��5Ndm2 �7T �T�S��Vr�}1 _ Phnnn IJ1�77� Address Sn !{� ArchlEng. License No. Address Contractor's Nam Phone Address (mailing) City License No. LICENSED CONTFHCTOR OECLARATION I hereby affirm that 1 am licensetl untle� provisions of Char[e� 9(commencing with section ]000) of Division 3 ot the Business antl Professions Cotle, antl my Iicense is in full force antl efiecl. License Class LicenSe No. , Date Signature WORKERS' COMPENSATION DECLARATION ' 1 hereby afiirm that I have a certiticate of consent to seli-insure or a certificate ot Workers' Compensation Inswance, or a certifietl copy the�eof (Section 3800, Lab. C.) Policy No. Company BCeriifietl copy is he�eby furnishea. Certifietl copy is tilea with lhe city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neetl not be com0leted if the permit is fo� one huntlretl ($100) ar less). I c2rtify thal in the performance t the wor �or w cfit�fAi5 peim�t is i55uetl, I shall not� nplp y ny person in y manne� s a' to b bme ject to the Work�/yp� t LawS of C' Date �1(!�. $ignature NOTICE: H, after making thi5 tleclaration, you shoultl b¢co bject to the Workers' Compensation provisions of the Labor Catle, yo st torthwith comply with such p�ovisions o� thi5 permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there iz a construction lentling agency for the per(ormance ot the work to� which this permit is issued (Section 3097 Civ. C.) Lentler's Name � Lentler's Atltlress OWNER Bt/1LOER �ECLARATION� I hereby affirm Ihat�l,am exemp[ from the Contracto�'s LiG2nse Law for the e,.i .. .�e vnai s wucinacc antl Prnfassinnal Coae: Anv CitV OI ounty which requires a permlt to conzVucq alte ny structure, prior to its issuance, also vequires o file a siqnetl statement tnat he/she is licensea Division 3 of the Busine55 antl Protessions COGe) or tha[ he/sne Is exemp[ the�ehom antl tne ba5i5 for tlte alle9etl exemption. Any vlolation of Section �l 5 by any applicant for a pe�mit subjects the applicant to a civil Q}y of not more tban five huntlretl tlollars ($500). las owner of the prope�ty or my employees witn wage5 as their Sole comoensation, will do ihe work, antl the structure is not intentletl or ofterea for sale ($ection ]044, Business antl Professional Cotle: The Contractor'S �icense Law tloes not appry to an owner ot a property who builtls or improves thereon, ana who tloes such work himself/herselt or throu9n his or her own em0�oyee5, provitled [hat sucM1 improvemenb are not in[entletl or offeretl (or sdle. If, nowever, tM1e builtling or improvement is soltl within one year of com- pl¢tion, [he owner will have Ihe burtlen ot proving he/she tlitl not builtl o� im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively mntracting with licensetl con- t�actorsto mnst�uct the projecf (Section ]064, BuSiness antl Profes5ion5 Cotle: The ConVactor's License law does not apply to an owner of property wha builtls or improves thereon, antl who contracts fot such prolect5 with a con- tractor(s iicense pursuant to the Gontractor's License t2w). I am aware that p�oof o� tM1eir Worker's Compensation Insurance shoultl be provitletl to me. ❑ I am exempt untler Section� �� s�'�& P. C.�jor tnis reason Date have reatl this application antl agree to Comply with all city a O1WiIdiM COIISLIUCk1011. dfltl Ilf L ISignature �_� Drivers' License or 55 � � TYPEOFCONSTRUCTION LI NEW LJ ADD L7ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHEj TVPEOFPERMIT�..,/ LIGRADING LIFOVNDATION I�STRUCTURAL ❑ TENANT IJ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.FT.'/ oCCUaA v CONSTRUCTIONTVVE J VAWATION$� ZONE GRADING CU. VDS. ACft 5_ Remarkz: � Sink kflow Preventer kflow Irriga[ion htubs ifiers iwasher iking Fountains or Drains Gas Service Outlets Interceptors Kitchen Sink Lavatories P=Trap - Roof Drains " Reinspectian Fee $15 Duct - Under Ground Duct - SVuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact.6lt. IC80 # Heating System & Ducting �0-100,000 BTU 0100,OOOBT peinspection Fee � $15 CMF 0865�46, �ev. 30/84 White - Bulltling; Canary - Applicanp Pink - Acmunting; Goltlenrotl - A55e55o� PLUMBING ShOWClS Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimmin9 Pool w Urinal � Water Closet Water Heater Water Service ` ' Auto-Wash •� LaundryTrays Isue Fea Hood or Type I ❑ Canopy Type II ❑ Refrigeration SYstem ❑0-700,OOOBTU ❑100,000 System flepair/Alteration Fire Dampers � Registers luue Fee FEES $ 3 FEES $ 3 A.P. # � � — S Main Building: E T Front B Rear A C Right SLeft Ping. Ref. # Planning Notes: iii� f0/09/B7 � � Accessory Building: Parking Req./Provided Automatic Washer Construction PoleSub. Cooking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Swi[ches Garba9e Disposal Generaror �0-5 KW C ELECTRICAL Transformer ❑ 15-50 KW ❑ 501 KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors00-i HP �1'/:-8 IncSolar �9-15 HP 016-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor � Reinspection Fee . DEVELOPMENTSERVICES 2oning Approved By Building Approved By — Appliwtion Issued Bv $15 � � Issue Fee 97092 TL FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES BUILDINGPERMI7 $ ��SD SMIP $ D.Sa PLAN CHECK $ 3� • %2 pERM1T PLUMBING S ISSUANCE $ PLAN CHECK 25% $ �— ENERGV P.C. $ ELECTRICAL $ �7• QO GRADING $ PLANCHECK. 50% $ O•� MICROFILM $ MECHANICAL $ TOTAL FEE $ �7 9Z PLAN CHECK 25% $ �CONSTRUCTION AND PLANNING � . POOL & SPA � - �APPROVALS Permit# ,Date Inspector �yppROVALS Permit# � Date Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. , 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • - 12. Sewer Cap 63. Heater & Vent-Final , 73. 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. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ' 20. Rough Factory Fireplace APPROVALS Permit #�- 21. Ducts, in Structure . 70. Underground Hydro � �. � 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil .. " 23. Gas Pipe-Rough & Tesi 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � � 27. Frame and Flashing a �q � 76. Dry Standpipe - • i� r 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 (,� 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Q No s: , 34. Final Heating & Air Conditioning .� . 35. Final Gas Pipe-Test � 36. Hood or Canopy , 37. Final Factory Fireplace • 38. Final Plumbing . � 39. Water Service-Final - i 40. Gas Service-Final ' . � ' 41. Solar Ddmestic-Final � ' 42. Backflow Preventer ; 43. Backflow Irrigation ! ., 44. Landsca�pe Irrigation System � � '� j 45. Sound Attenuation �� ;� 46. Handicap Regulations ' • ' � 47.'FINAL STRUCTURE & BUILDING � �L �� : '� � ,. ' � 48: Special Requirements Completed � 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co . � 51. CERTIFICATE OF OCCUPANCY-�.t . . No. Date . � � OwNER JOB AC GENER AP No. INSPEC SOIL c�s W ATER ROUGN NE�TING �ND AIR CONOITIONIHG �) TEMPORqRV SEPVICE OR POLE jUNPERGROUNU � POWER � AOUGH WIRING TRENCHES FORMS STEEL RE FLOOR $VSTEM y BOND B@nM [, �STEEL REINFORCE [ SME�THING fRAME qN0 FLASXING �RTXINC — 1_�UT [� PLASTEp,BROM'N CORT STRUCTURAL. FIH�L ME�TING, VENT., REFRIG. ANp �.C., FI PLUMBING, FINAI RND GAS TEST �] ELECTR�C. FINAL BUILOING, FINRI DATE LDING PERMIT NI SUBCONTRACTOR �on . - -�4s�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only F � f8 0. a � y � F C W F G .� a > r .� a v� o. 0 a O� {zr� S 3 MAIL ADDRESS pTV CONSTFUCTION BRANCH ADDRESS CITV STATE LIC. NO. SIZE OF LOT TEL. NO. CITY LIC. NO. BLDG. Separate permits are required for electric, piumbing and heating work. .UILQING AND WORK TO BE PERFORMED SEP 16-77PAt0OO 817 10.50 CMSA # **** 1 CA ON FOR STRUCTURAL PERMIT = BY D E RECEIVED D yEJsSUED ' � � 6e 3 ` // [� PERMIT NO. 7 :� `s ' ! �/E(/ G�%,P IACTy� LO� O BLOCK A J OG� L H . �T. %7� ° � E � � TV E GRO P� � ED A %%/ '"'_ �AI_�� rvc rv�r.ur � PLANS � VARDS APPROV EO V AR. � USEOFNEW �/q,/ BUILDING �jL� �`�C- VAR�S APPflOVED ACCESSORV BUILDING FT. � � r �' / FT. � l ��T. BEf. MA�N & � AOCESS.BLOGS. � DATE APPROV�D 9' / _/. �7� I �ereby acknowletlBe thet I heva reatl ihls eppllcallon entl steta thnt tha ebova Information la correct and apree to comply with ell lews requletlnp builtline conRruetion, entl I ehall not amploy any pereon in violatlon oi xhe workman'f compan�ation laws of tha Stete of Californla. I hereby cartify t�ai l em proporly Iicenutl na a contrector untler � SQ. FT. tha Smte of California Buainass end Protoulona Cotlo, Divlalon 3, THE qMOUNT SHOWN VNDEF VqLU Chaptar 9, ond i�at such Ilcenms era In full fOrce antl effoct, or 1 THE PURP06E OF ES"fABLISHING A PEHI em axampt from the provislana ot tho Stnro of Celif rnle Buslnau VALUATION PERMIT FEE E ontl Professlons o, Dlvialon 3, ChepmlG9. Slpnat e /�.�.� � PLAN CHECK S Permltta S/�(% � TAX b AuNorizetlApent TOTALPAID E n m i m N FOR m JLY: ' e a n n 0 � U • l979� ' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOI 917 COSTA MESA. CALIFORNIA For ApplicanT �o Fill In Completely Tr. 4341 TYPE OR PRINT Lot30 ADD E'S9 'X�'�"\� ��\' L� .V� C Q COSTA MESA, CALIFORNIA owr,eR ,Grove Park Construction, Inc., MAIL 1653 Minorca Drive ADDRE88 ��T. Costa Mesa No • KI 9-03! ARGHITECT E.G.Kaltenbach TE�• 772-336 ORENGINEER NO. A�DRE53 9772 Katella Ave.,Anaheim GONTRACTOR Mesa Verde Development Co. ADDRES9 1653 Minorca Drive c�rr Costa Mesa �i� No. 181322 No � KI 9-0395 SIZE 70 X I O(�, NO. OR BLOOB. O OF LOT I NOW ON LOT USEOF ___ E%ISTING BLDG. HETBACK LINE PFlOM cerviaw ov eine� 5 REAH YARD BIDE YARDI LEPT 5 I RIGHT II DESCRIPTION OF WORK ..�... I X II .._��._._..I II ---.-.--. I 20oG Sl• �tpR'OOM9 � gTOR1E8p L WALL WOO� q ROOF S S1 Pn Ck ana a 1 Plan 2 AR I1 HEHEBY ACKNOWL¢OOe TNAT 1 w•ve�eeo nue APPLIGTION AND 9TATE TNAT THE ABOVE 19 CORHlCT AND AOH86 TO COM� PLY WITH ALL ORDINANCE9 ANG 9iATq y�We q80ULATINO 6U�LDINO CON TR ION. � � AUTHORIZEDA6ENT FEE RECEIVED C�kt: �t.� ��.� �6� dun��T FwvPrtiaa.TI�1V�FOR PERMR CITr OF CO�iBol6fiSA For Office Use Only I REC81p� NO. pl 1 FIRE ZONING zo�y � NO.OP� useor� runa euao LEOAL Y _ 1_E1 '(� � n � NOTE: NO EAVE OVERHANG SHALL BE LE9S THAN 90' TO SIDE @ REAR P. L. EAVES ALLOWEO fU.B.C.REOUiREMENT YARDSAPPROVEO YARDSAPPROVED MAIN BUILOING ACCESSORV BUILDIN6 <FROMClL EET) R. SIDH 1' Ff. FT. L.SIOE ��. FT• RenR Fr. Fr. , DISTANCE BET. BET. MAIN @ � MAIN BLOG9. ACGE55. BLDG3. VAR.JC DATE C. U. P. APPROVED APPROV � �%� BY ATE �i,�i" � ��/ �n n.r 4i nhJ�D Oi� ��/_�%� THE AMOUNT BHOWN UNOEq VALUATION 19 FOP TH8 PUNPOSB OR E6TABLIBXINO A PEHMIT P2H ONLY. VALUATION �� PERMITFEE $ $� ' /� � � (.�O �,� A � ..� s�