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Home My WebLink About2827 NEVIS CIR - Building PermitsJobAddress: 2827 NEVISCI Status: ISSUED Suite: Applied: OS/17/2006 Viciniry: Issued: 05/17/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number: 13943152 Zoning: R1 npp�icant: UNKNOWN Address: Owner: HORGAN, NEIL J Address 2827 NEVIS CIR COSTA MESq, CA Contractor: . Address: . � Lp. Arch : Address: Zip: Phone: Zip: Phone: Zip: 92626 Phane: License: Eng: Address: Phone: C License: SCOPE OF PERMIT 416 SQ FT PATIO COVER AND REPL4CING DOOR TO PATIO, NO CHANGE IN DIMENSIONS. FEE SUMMARY Plan Check: $81.41 Permit: $125.25 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inapection: $0.00 Total: $207.26 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear 15-0 � ,. ACCESSORY Front 0-0� , Rear 0-0 PARKING Existina: ; 0 Reduired: 0 8 LeN 0- 0 Left 0- 0 Pr000sed: 0 ISSUED 8Y: Phone: License: Calc Valuation: gs,000.00 Claim Valuation: ge,000.00 _Right . 0-0 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, § t, 12-21-g2) 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 780 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 requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 ....��.: r�n WORKERS'COMPENSAnON DECLARATION: I hereby aHirm under penalty of perjury one of the following declarations: ; ' �� .� , ' ❑� I heve end will maintain a cenificate of consem to self-Insure Por workers' compensetion, es provided for by section 3700 of the Labor Cotle, tor the pedormance of the � work for which ihis permit is issuetl. . ❑ I heve end will maintain workers' compensation insurance, es required by 5ection 3700 of the Labor Code, for the petlortnance of the work br whlch ihis pertni� is issuetl. My workers' compensation Insurance carner and policy number are: Carrier: � Policy Number: (This section need not be completed il the Dermif is valued at ane hundretl dollars ($100) or Iess.J ❑ I certify Ihal in the performance of the work for which this permit is issued, I shall not employ any person in any menner so as to become subject to ihe workers' compensation laws oi California, end egree that if I shoultl bacome sub�ect to the workers' compensatlon provisions of Section 3700 oi the Lebor Code, I shall forthwith comply with ihese provisions. Applicenl Signature: Dete: WARNINO: FAILURE TO SECURE WOFKEFS' CAMPENSATION CAVERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDPED TMOUSNND OOLLAFE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMqGES FS PROVIDED FOR IN SECTION 3]W OF THE L4BOF CADE, IMEREST, ANO ATTORNEPS FEES. LICENSEU CONTRACTORS DECLARA710N: I hereby ettirm that I am licensed under provisions of Chapter 9(commencing wit� Section 7000) of Division 3 oi ihe Business antl Protessions Code, antl my licanse is in full force antl eflect. Lic. k Class A CONrectors Signature: Date: CONSTRUCTION LENDING AGENCY: ' ❑ I heraby aHirtn ihat there is a constmdion lending agency for Ihe pedormance oi �he work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Neme: Lentler'S Adtlress: Signa�ure: Date: OWNER-BUILDER DECLARATIONS: I hereby eftirtn ihat under penalry ot perjury ihat I am EXEMP7 FROM 7HE CONTRACTO(iS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicant for such pertnit to tile a signetl stetemem thel he or she Is Iicensed pursuant to ihe provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 ot the Business and Prolessions Code) or that ha or sha is exempt therefrom and the basis for the allaged exemption. Any violation of Section 7031.5 by eny epplicant foi a permit subjecis the applicant to a civil penalry ot not more ihan five hundred dollars ($500)J: ❑ I, as owner of the property, or my amployees wlth wages as thelr sole compensation, WILL DO TME WORK, antl ihe structure is not intended or olferetl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who builds or improves ihereon, antl who does such work himself or herseif or through his or her own employees, provitled that such improvemenis are not intended or offered tor sale. If, however, the building or improvement Is' sold within one year ot completion, �he owneabuilder will have the burden of proving that he or she did not builtl or improve for purpose ot sale.). I, es owner ot the praperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business entl Professions Cotle: The coniractors License Lew tloes not epply to an owner of property who builds or Improves thereon, entl who coniracts tor such proiect with e conirector(s) license pureuani to the Contragtors License Laws.). Business antl Profession5 Code for Ihis O�D verf(ied by tlmefs license. /$4(es ❑ No Venlication of Ownership by (type ol cumenti.e. - properry tax Dill DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cehify ihat no excavation five (5) or more teet in depih into which e person is required to descend, will be made in connec�ion wi�h work amhorizatl by Ihis permit, antl that no building structure, scaffolding, talsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) teet hiqh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Adminis�retive Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require e pertnit from the Division of Intlusinal Safery, as noted ebove, unless such person hes e permit to do such work from �he tlivision. SignaWre: Date: Division of Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I certify under penalty ot perlury ihat I heve read Ihis application end state ihat the infortnation givan is correct. I agree to comply with al stete laws end city ordinances relating to building cons�mction, and euthorize represematives of Ihe Ciry of Costa Mesa to enter upon the above-desc' propert�kc' s{� ierrpv ree not to occupy or ellow xcupancy of any building authonzed by Ihis pe � il finel inspection. �,/�'vn v 6 Signature f Legal Owner Date And/Or Authonzetl Applicant Date COOE �. INSPECTIONflPE 1616 Fized System Final Fire Prevention ' 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIxWRetaining Well 202 Final Factory Fire Place � 203 Final Sign 204 Final Domolition AE COOE�� INSVECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval � 222 Final Site 250 Final Building/Occupancy P�I€ � nmru�s 'L� �6 GrrCl� � I LL I Owner Adtlress G' �;t.�y a� L''o�ta yi�eda �'u�;�duuy Dic�i�io�c BUILDIN� PLAN REQUIREMENTS FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) i u �— i �i Post I, r..,.. � � Edge af — � patio cover i i i i i I 1 I I � �i m i E i N i w � gy � i This sel f � make an i and Salety. I!hE sid�lpii !of the viola ❑2 P.L. — House � Feet DNISION OF BUILDING SAFE7'y CITY OF CO�`TA MESA Garag�lPPRQVED n �/1_ . � �� 6 s and specifcations MUST be of Costa Me� ihis plan aM sped(ip�ions gF of any provisions of any City � Permd sF�zpire by limitali '�enced amimaonaiied aaive � I� � a0lmies and ie z❑ INOTbehaytopertrNortobe� I Costa Mesa OMinance anyor Slate and become nu9 and Joid'A the bwl�g �� 4�31d) w4tur18o daYs of ' T --�----��. - m � — — 02 P.L. Street 1❑ I — J � Scale: —" _ _ INSTRUCTIONS - 3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. 10 Show owner's name, project address, norih arrow and scale. Q(� Show and dimension all property lines, easements and driveways. tJ Show locations of existing and proposed structures, including all setback dimensions 40 Show dimensions of proposed structure. 05 Show setbacks from property lines to proposed structure. 1� (3'-0" min.; verity if Planning Dept. requires greater selbacks) U Dimension overhangs a .. ... �. : :' . • ... : ; :.' . • . . . . • ..' ..... • , .. ... ,; ••; ... ;:��QN�T�t1BL��S.� . -. LATTICE PATIO COVER SOLID PATIO COVER 1997 UBC 2]]3�i6 Tables APPROVED CITY OF COSTA MGSA PLANNING DIVISION SU4JL,CTT0I3LDG. DLPT. REG. NO't li AUUITIONS, D6LI'TIONS, Ok COkRECT[ONS SHAL.L !3G APPKOVED }3Y TEIE PLAtiNING DI� �Y: �� ` i�t��r�:�5 � �� .�,�IIAGr, dag�'� � � . � g,o�,-oa� , � ' �-> -� � �.� . G �, -, �,; • �\ ♦ �r \`�� i f „ .,.� ,�-• __ � ,'- i �_I :"ti� a /'S �� /�9'' �� , �,� , �.. �� _.---�_- -.._-____._. . -..------� -- I ;'7 �A4� � e� .. . .. . . .... . _ c,��,�� z.�,�,�, Hous� C /8'9" 16 `_- — , . C'/� i � ,� • / \�� ' �FZ1Vc� � �� % / G- . --- -�------_ .'y..�. �s�"_. . � �S�nL�� • • • • / / /G• • • • • •• • 4y�� • • • � � • • • •• • � � � �� i • • 1.� il I . � ^^�...+.r��, � ��/ I �i��%� �'L��( S� �i�� / --'� �• • /Y • • •�• -� � � • • _ � � • •�• • � / --- 2'£3'�'7 � � �lE'Y /� � 1 t� _ � c'7-... O ;1 f'1 ��:'� i ��? '� �! :;�? ;.:: t:�' �h7"... _.__ 7/" . _._._ -- � � � i +� VA `�'�, •. �'J'1N1iDW� � . ' i. � `� � _._'-_ \`_._._______ , � . _ \ � , � .� � t, ._.._.._... ... . 1 �_ _._...�---'---.'-----_...__......._.._....,.__.__ ; _.._._-----__..__._--------`_ -----_ _... j--- -----------------__.....__... � -- ---- -_ __ . . __.. ---- ---------- ; _._ -----_...- - -- ..-------- _-_ _ _ _ , �. ._ . _.__._.._..._ ._._---- , __ _._ 2 X '� � (� �� ` ; lU � � ,� B' . .v i� .J%/�% � STAEDTLER° No. 937 8116 Engineer's Computation Pad 7la" 7b'� � 3 '� —,. 1 1 ', i \ 1 \ , :; tvinl�orv i,-: "`; , `,� '� �� - �-- � , _ - - - _. _. . ;_ ... . . - -- - •----M ` - _ _ _. _ _ L' - -- _ _ _._.._ __� - �--� _ - --__ - (�-. f �� 1 X _._ __. �x `�. X IJ __ � �� pH __ ---_._--..-----.._ _._.___..... �._..__._ .� DovGL./� s�"1/Z � �OU -r►t.-,� �a a k°�''r.r . , .... ,•,.. • „ : . , . . .... :.;;;, . ;,• ... . . :.. . ... • .. • /`� '� .J f-�0,�' c..;. i� 1�•% , ... : . ■ r � . . a: .:� ;�. ,:�.. �,;F a � � ,-, 0 � Vr, �,� �-�u>iA 1�I�>� N i` 0 a m Lattice Cover . Lattice � Lattice Rafter.•-�� Joist Hanger Ledge� � 2% Slab ' Slope to Drain � Lattice Y COVBf Rafter Header -- f---► Solid Floor Cover I L Raof Covering 26 Ga. L Roof Sheathing FRAMING PLAN Flashin\ Roofing a �z" Sheathing � _ v Header Rafter � �. � . . � � Joist Hanger 2� Past , SI = Ledger � � . „ , c � Footing SECTIONS Slab Solid Roof COVEf _'� 2% Slope to Drain ,' ! ' CONSTRUCTION MATERIALS �, SPECIFY LUMBER: � OF ❑ Redwootl ❑ Hemfir SPECIFY GRADE: ❑ No. 1 ❑ No. 2 CONCRETE: 2500 psi min. @ 28 days CONNECTIONS: ICBO approved or equal 1. Roofcovering: Slope:_ 12 2. Roof sheathing: Maximum spans: tattice: x_ @_" o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10' solid: _" CCX plywood or `' lumber: 1" - 2' - 8"; 2" - 8' - 0" � 3. Rafters: �x� @ �" o.c. [�Single ❑ Double 4. Header: C�x� � G� X� �Single ❑ Double ' S. Ledger: 2__x�__ (2x min) 6. Fascia: z_ (2z6 min) 7. Post: �x L� (4x4 min) Raise 1" min above slab surface 8. Footing: �x_ j1 12"x 12" min for up ro 66 sf tributary area; 18"x18" min for 67-150 sf tributary area " depth (Expansive Soil Zone _� 9. Slab " thick (Expansive Soil Zone _) 70. Connections: a. Joist to Ledger - Metat joist hanger b. Joist to Header - Solid blocking with framing anchor c. Doubled joist or header to post -(2) 1/2" dia. Ihru bolts w/ washers d. Joist to Fascia - Metal framing anchors each side (min. capacity = 0.5" joist span "joist spacing' 15) e. Header to Post - Column Cap f_ Post lo Slab or Footing - Metal AnchodPost Base g. Roof Sheathing - 8 d@ 6" o.a Edges and 72" o.c. Field 2'33�a6 back DETAII OPTIONS Check the ones Ihat apply: latlice Cover: OA �e OC OD OE OF Solid Cover. ❑A ❑0 OE OF Post Anchor Posf 6' min Footing Depth PAD FOOTING A 750k max �erpost P6st 6' min '�-sus SLP6 rOGTING B 2x6 Mln --I zM Joisl, Faz�� / Ewsbng I Anchc'� wall & roo(_ —"�`'-- "">I �Max Mar Sn�n EAV� CCNNECT'ON C. 1!2' w 5' Jois• ' - ' Lag Sarew= Qa is-�.c. Exishr3 � Joist wall Hanger Ledger WALL CONNECTION D �atlice Bolis RaBer ❑ummy Posl '=5upport Post � 8eyontl RAFTERlHEADER E Roo� S�eathing or LattiCe Ratte� Framing Anchor Eac� Block Heatler Z X Blocking Post Column Cap JOIST/HEADER F i99) U6C Address: �� °� �� %Z%Qa �'u�uP�i�uy Z�u<idio� OWNER-BU[LDER VERIF[CATION Permit #: 5 A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the,completion and require the retum of, an owneo- builder veriFication. Attention Property Owner. An bwner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildin�permit will be issued until this verification is received. 1. I personally plan to provide the major labor a�d matenals for constmction of the proposed property improvement. ❑ Yes ❑ No 0 2. I(�/have not) �%'�� signed an application for a building permit for the proposed work. � I have contracted with the following person (firm) to provide the proposed construction: Name �!?�v �,t°,� Cv�1Y-�1�,7 ��1�/l b c_.f/ ' �f ! Address %��y/V• �-Y201��.Ti 3%'� �i City��VQ��/M �'�qiz�D�i Phone� ��% ) F'J'� ��/G y Contractor's Lic. Ne.s�dj �b� 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 ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name �c%� Address .L�� 69a�,3� ,�LAG�,�q£�!-y�' // Z`��7 7�� rv ��s-a Phone Type of Work r 1002-06 (Rev.11/04) ' , � ,� �I � PflOJECTA0DHE55: Z8z7 T�EL�IS CI OWNEH'SNPME: xORGAN NEIL J AODflE55: Z8Z7 N�L�I$ CIR COSTA MESA,CA RPCMIENGMEEfl: 5 4 6— 8 8 6 � nooness: UNIT: 92626 NEC.NO.: uxiT: PEPMITiEE: ULTRA LITE ROOFING ( 714 ) 895-4521 aooxess: 13301 ANAWOOD WY WESTMINISTER CA.92�i�3 LICENSEO CONTPRCTOfl DELIFBATION: 1 hereby a��rtm �hai 1 am liCensed un0er Orovisioni a apier 9lcommencing with Section ]000� ol Orvision 3 oi the Business antl Protessions COGe, antl my license is in lutl lo¢e an0 eHect. CITY LIC.: STATE LIC.: CLASS: 0�-6166T� 39 CP: 09/95 IDa�e'. _�= SignaNre: � �"`� WOPNEBS' COMPENSFTION oECLAB11TI0N: I hereby affum inat I nave a cenificate ol consen m If-insure or a ceniticate of workers' I Compensalion Insurance, or a cerUhetl mpY thereof (Section 3800. LaU. C). �OIICY NO.: E%P. DATE: COMPANY: � � Ceni�ietl caDY is hereby fumishetl. �( Ceni�ietl copy is filetl with �he ci�y Building Divisian. Oata Appllcant'. E%EMPTION FBOM WOBKEflS' COMPENSATION OECIAflATION: (Thi55ec1ian neeU noI be comple�e0 i� the permi� i5 forone hunOretl ($1W) or 1e55). I cetlify I�a� In ihe petlormance of ihe work �or which thls permi� is issue4 I shall not empl any pe�so In any manner so as to 6eeome su�lec� o Ihe WorkerT Compensalian Laws of Cah�amia. ,.,� (� � Date: � Signaiure: _`/� ( NOTICE: If, ailer making this Oedaralion, you shoultl become subject lo Ihe Wo�kers' Comp 5 n Dmvisions o� ihe Labor CoOe. you must forlAwilh comply wi�� such pmvisions or Ihis permit shall Ue deeme0 revak d. CONSTPUCTION lENOING RGENLY: I hereby atiirm ihat ihere is a cons�mction IenAing agency for the peAormance ot ihe work for wAic� Ihis permil is i=5uee �Seclion 3097, Civ. C�. LENUEfl: AOOPE55: OWNEB BWLOEX OECIAflRTION: I hereby a8irm Ihat I am exem0� �mm Ihe Contractars' State license Law for the foliowing reason (Seclion 7031.5 Business ane Professional Cotle: Any city of counly which repuires a permit to cansimct, alter, impmve, demolish, or reDair any 51mcWre. prior lo i�s issuance. also requires lhe applicanl �or 5uch pe�mit �o file a signetl Sla�emen� �hat he/she is licensed pursuam m the D�ovisions oi ihe Coniractors' State �icense Law (Chapler 9(commencing wit� Section 7000) of Division 3 of Ihe 9usiness an0 PmIe55ion5 Cotle) or Iha� �e/She i5 exempi I�erelwm and the ha5i5 fof I�e all¢petl exemp�i0n. Any viola�ion ot Seciian 7031.5 Uy any aOPlicant lor a permit suDlecis t�e applicanl to a civil penalty of not more Nan Irve hundred Ooliars ($500�. I, as owner of Ihe pmpeny ar my employees witn wages as ineir sole compensation, will tlo ihe work, an0 the ❑ svucture is not intenaea or olferetl for sale (Seclion 7044, Business anU Professional Cade: The Contracrors' State License Law does nol ap01y to an owner of a propertV wha builds or impwves ihereon, and w�o does such wark himself/herself or ihrou8h his or her own employees, pmviAetl ihat such impmvemen�s are no� in�ende0 or ofteretl lor sale. I�, however Ihe builtling or 'mpmvemen� is sold within one year o� complelion. �he owner will have 1he bur0en oi proving �e/she tlid nol bui10 or impmve �ar Ihe purpose oi sale). I, as owner o� the pmpeny, am exclusively comraming wil� licensetl comracmrs to constmc� �Ae prolec� (Section 7044, Business ❑ antl Professions Cotle: The Contractors' S�a�e License Law Ooes nol apply to an owner ot pmpehy who builas or impmves �hereon anU who contracls lor such pmlec�s wi�h a contrac�oqs�license Dursuam m the Comrac�ors' S�a�e License Law�. lam aware Ihal pmoi oI iheir W�rker'S Compensa�ion insurance shaulU 6e D�oviUetl to me. � I am eRempt untler Section: B. 8 P. C. I lol IhiS r¢d50n: Daie�. Pwner. I Do hereby [enity Ihai I am aware oi antl untlerstan0lhe requiremems ol Calilomia Healih and Satery Code Sec�ions 25505. 25539, antl 2553a ana �Aal I ar any lu�me builtling occuDant will/will noi (ciale one) nee0 �o comDly wiih 5ai0 s�a�e cotles and ��e requiremenls lor a permil lor con5imciion or motli6cation imm Ihe Fu �uably Management DiSiricl. flesitlential con5im[�ion applications are exempi �mm IA¢SP p�Ovi5i0�5. Date: ApPlicant: I hereby certi�y Inai I �ave reatl�his applicaiion and state�ha� Ihe aboveinlorma�ion is wrrecl lagree�o compty with all city antl couniy oramances and stalelawsrelaling�o builtling canstmclion antl hereby aNhorizerepresentatives oi��is ciryto enter uponthe ahove-mentionetl pmperly for inspection purpases. 1 Dale'.I�I�� SignaWre:�/1 V li� oriver's Liwnse or Social Secunty 16nL46 White—Bmltling', Green—Cotle En�omemenf, Canary—ApplicanC Pink—Revenoe; Goldenmtl—Assessor CITY OF COSTA MESA — BUILDZNG PERMIT PERMIT NO: B 070738 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR JOB DESCRIPTION ; ZNSTALL 2 SKYLIGHTS ICBO#3933 CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 PERM NO• B 070738 GOVT; N SUPP: N PURPOSE: OTH SQ FT; 1,000 GROUP OCC: R-3 /M-1 COMMENTS: X *�r**�e�rr�rr*�r****�r***+rr*****�r***r*******�r**�r�rr�**�r***+t*****�c****rt�c**********ir-***�r* 2 O N I N GS EATEBQAUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR• FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PAAKZNG REQ: PROV; PARCEL: 13943152 ZNE; REF NO: PLANNING NOTES> ' > iF iE if if i! iF k if iE if �k if iE iE iE it if iE if if i! if if it if i! ik M 4 iE i! it iE %il� if 1f iF iF iF iE aF # it if iE if �4 if 9f 1F 1f fF iF if k 1E M if iE iE �E if �F if aE if it if 3f if �f iE if if if it iM1 af 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: ��. HUILDING APPROVED BY : DATE: ' APPLICATION ISSUED BY: ��; DATE: ��.I Cl/ �r�r�t*r*r**�r+�*�r****r*�t**3F�FiFiF3F�FiF�iFFiFiFiF±F3F"RTt3FiFiFi�iF F'iFiF'iF'iF�iF�r�r******�- ** if 1f ik if ff �If 1f it iF if if if iE if if if iF if if 1f 4 if if 1f if iF iE M if if i! if it 1! iF if if M M M k if iF 1f �t 1f if if if ff M M iF i41f N iF if i! if jf 1f IE i! M iE x iF iF il� if if M if it ik M M il� LEGALIZATION:N F E E S U M M A R Y' STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25.00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 25,50 0,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; HLDG PMT PLUMBING ELECTRIC MECHANIC 25.00 TOTAL PAID DUE 25.50 25.50 .00 25,50 OVEA/SHORT: ,00 FIAE SMZP/TOT GRADING PLAN—CHECK .50 ie if iE if if 1F iF if if M iE k at 1t �t if i! it if %iF if if if if it iF �f if if M 1F i4 if iE if iF if if if iE if M if if if it If r if if fF if M iF if if M if 1f if M iE if iF if iE if M iF if iE if if it if �f if M I N D I l7 I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 i,000.OQ END OF FEES CS C�17a072—�Oi'r5u7J T1[[g ?$,5[i DATE: GS/li/95 TI11E: 11:3? � _ , GONSTRUCTION AND PLANNING P. _� & SPA APPROVAIS Permit # Date Inspector AppROVAIS Permit � Date lnspecto* t. Temporary Elecvical Service or Pole 52. Pool & Equipment �ocation 2, Sqi� Pi�pe-Undryrnd.,.. 53. Steel Reinforcement �3;'�k�lectriCal Conduit.Ufility�Undrgrnd. 5A. Forms -q;: �lectrical Condirit�Uhdrgrnd. 55. Electrical Bonding , 5.� Ste2! Reinforcement_. 56. Rough Piumbing � Pressure 7ast 6. Electrica� UFER Grnd. 57. APPROVFl� TO COVER�GUMTE '7. �'pt5tings . ' 58. Electrical Conduit�Undrgrnci. 8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test 9. Va'ater Pipe-Undrr�rnd. 60. Backwash Lines, P-Trap, C;� Undrymd. 1Q. 5tructural Floor SYstem 67. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Recep.or�Finai �Z. Se°`'e� CaP �, - 63. Heater & VenbFinai 73. Roof Drains � ' ' _. 64. Piumbing Sye2em - Fina! 14. iiough Plumbing ,. � 65. Electrical-Finai 15. Rough Eiectrical�CondJrt 66. Solar SYstem-Pinai 76. Rough ElectricVJiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVEO FOR pLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEA?S FINAL 19, Fiough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ,`*- . 26, pough Futory Pir€d{ace � �',�, ' _ ��' , APPAOVAIS,;z'-' �Perroit?F � ' 27, QuctsS in Strqiture ��•• •� • ' -� - Z0. Underground�Hyci:n 22. Duc{s, Ventilating ,. - �: �'77, product Piping i�Gag OOii 23. �Gas Pipe�Qo�gh & Test � .- -r 72, Undergrounii Fiush - : .> 2A. Foof"rraming' �' ''-,� y� y°, �)3. ZJndergrnd.'Storaoe Tank � Gas �� Oit� 25. RooE,Sheath+ng _ _ ` � � .:7 � 74. Overhead Hydro : 26. T�Bar Ceiling (StructuraU & MoOOCoat , � �' - ;]� 75. DcY Chemical �� 27. Frameand Flashing' `;r:. ,� � �� .,.� . - � -,; � l��q� �W�- 76. �Dry StandP�pe 28. Lething &'Siding .. .:t,-�.i: .- " � " 77. '.FIXED SY�$TEM4,F'tNAL.r ,� ,� 29. InsulationJ . : � • •• �� I F• � 78. FIRE PREV. FINA�I'+ ! = � � 30. OtY�vafi Na�tirig � � '' ' 4i�ALT?�i DEPT. ftE0U4REl41ENT i �37. P�aster Brown Coat � • � ,r�,;•� } ;F � �79. FINAL INS.BECTIOR7 � :� ``�= -� 32. Electrical.PowEr Meter-Final ' '' ,,, ' 80. FOOD CERTIFICr�T'E ISSUED _ C. . � �� . n � i n r =�._ � - �. 33. Final,Elec:ric � ,, i . ( , Notes: �-� �-fr., , , G .� :: 34. Finab+leaiing & Air Conditioning�: ��; .. � �, • 'r . - . � . 35. F+nai Gas Pipe'�Teu „ � ' _ . _.., _ �. .. . � � , _ . , _ �, � 36. Noodor Canopy . "� �� - ' . �� - �'' i .� i T' �-. .'. :.h. � 5 � 1 .i. . .:� 37. Final,FactOry Firepiace' . ' . a � ..� �: p. . ,� 38. Final'Plumbing + � � � � 'i!` - � - - � h �-� �] 39. Water�Service�Final ; � �' : �. � . „ ' _. " 40. Gas Szrvice-Pinal . �� ' � - - ' � � i. .� 4i, Solar pomestiofinalF `- " " - � � ' � r • 42, gackflow Preventer : • ' �r - � � - . , �i 43. Backfiow Irrig'ation � � � .,. �y '- - . , . 44. Landscave�Irri9ation.SYstem �.n �: . .. .. -' :�; " •� . . . � 45. Saund Attenuation '�;, , " �, , :� , _ 46. Handicap Regulation: -� � • _ . - ;' ' 47. PINAL STRUETURE & BUILDING � � ' '�` ' �� T .�G G!/�i� i 4$. FINAL PLANNING . - �� ' " , _ - ; ' � i, 49. E�ectric Release to Edison ' ' ' ' � ' � . . 5�. Gas Release to Southern Califomia Gas Co j - � '� . � , • 51. CERTIFICATE OF OCCUPANCV '� " � No. Date Y� jflO1ELT AOOHESS: Z E 2 7 D7EV I 5 C I OWNEfl��+ME: HORGAN NEIL J � ADONESS: 2H2% N�Lt1S CIR COSTA MESA,CA 546-8860 AflCHIENGINEEfl: �. AUOflESS: / � / � 92626 UNIT: flEG.NO.: UNIT: PENMITTEE: ULTRA LITE ROOFING ( 719 ) 895-4521 AOUHESS: 13301 ANAWOOD WY idESTMINISTER CA 92683 LICFNSEU CONTNACTOP DECLl�flFTION: I �ere�y aifirm I�at I am IicenSeE un0er pmvisions oi C�apler 9 �wmmentinp wit� Section 7000� ol Oivisian 3 0l the Business an0 Prolessions Coae. antl my license is in tull farce and eflect. ciTruF.:j �5-`�82 srreuc.:539�' ewss: C 39 £`( : 09/95 Daie: _) (�� —�1 `� Siqnaiure: _ — WOXNEflS' COMPENSATION OECIANATION: I A¢reby allirm I�at I have a tetliliCate 0� cOnSeni seu-insure or a cenilica�e oi Workers' Compensation Insurance. or a certilietl copY �hereol (Section 3800, Lab. C�. `OLICV NO.: E%P. OATE: COMPpNY: ,�,( ❑ Cetlified capy is hereby �urnishetl. IJ CerlilieA co ' ile wi�h t�e ciry ��inp �iv�si . Date: ' � � PpplicanL � E%EMPTIONFROMWOflKEflS'COMPENSATIONUECIAHRTION: RAiSstt�ionneeCnotOecompleteGil he ermli5lafaneAunOretl�5lW�orless�. � I cehi�y Ihal in the pedormance ol I�e �.rork lor whic� I�is permit isICsugd I s�all not emyyy oy any pers 777��in any manner so a5 io Gecome suoiec1 p Ih¢ 1L'pr+pf;fqmp¢[�Sal� LdwS 01 CdlitOmia.�/ �� i� `/ ....(a 4 Oate. ( � 1 SiqnaWre: L NOTICE: II. a��er making �Ais detlafalion, yroV S�oNG Gecome SuUjet� (o ��¢ WOrk¢r5' CAmD sati Drwisions of Ihe LaOor Cotle. you must lonhwitn camply wilh sucn pmvisions or t0is permit shall be aeemea revoke0. CONSTBUCTION LENOINC PGENLY: I �ereUy altirm (hat Ih¢re i5 a mnSlmCiion lentling agency for Ihe pedormante 01 �h¢ wark lot w�ich I�is permi� is iisued (Seclion 3097, Civ. C�. LENOEB: aoosess: OWNEfl BWLOEH oECuflRTION: I Aereby allirm Ihal I am exempt Imm Ihe fAniraciors' State License Law lar ine lollowinp reason ISection 7Q31.5 Business and Pmlessianal COEe: Any tiry al county wnith reduires a permil ta constNct. alter, imprOve, aemolis�, or re0air any StmcWre. priar 10 it5 i55uante, also repuire5lhe appliCanl �or Sut� Oefmi� to tile a Signed Statemeni IAa� �e/s�e is litensetl pursuam �o i�e D�a�sfons ol the Contracmrs' State License Law �Chapter 9(commencin9 ��h Section 7000) al �Nision 7 al ihe Busineu anC Pmlessions CODe� or �hal �e/she is eKemO� therelrom and the Dasis lor ��e alleqeG e�empiion. Any violation ol Sttlion 7071.5 Gy any apDlicani for a permit subjetls the applicanl �o a civil penal�y of nol more t�an five �un4reC tlollars (E500). I. as owner of the pmoeny or my employees with wages as iheir saie campensation, will tlo the woln, anA tlle 7 simcWre is not inlentlea or oflered lor sale (Section 7044, Business antl Pmiessional Cotle: The Contracbrs Siate License Law aoes not apDly Io an owner ol a pwpeny who builAs or imDmves Ihereon, and who Aoes sucA work himself/hersell or ihwuAh his or her own employees, pmvidetl that such impmvements are not intentletl or oifereJ for sale. II, however Ne builtlinp or impmvemen� is saltl wi�hin one year ol completion, Ihe owner will have ihe burtlen o� pmving helshe Oid no� �uild or impmve �or Ihe purpo5e o� sale). I, as owner of the property, am exclusively contracting with licensee coniractars to conslNct ine prole�� (Section 7044, Business ❑ and Pmlessions CoOe: T�e Contracmrs' Staie License Law Aoes not apply to an owner of DroPetlV �o bmltls or imprwes thereon ana who Conirat6 �Or Sut� projetls wii� a contrattor�s)litense pUrSuan� to th¢ Contrattor5' S�ate LiCense Law�.l am aware Ihat O�oof oi Iheir Worke(5 Comp¢nsation insuran[e should be O�ovitletl to me. � I am e.emp� untler Section: B. 8 P. C. , lor Inis reason: Date: Ov+nec I Co here�y cemfy ��a� I am aware oi anA unCe�slantl Ne repuirements of Cali�arnia Healih anG Safeiy CoOe Sec�ions T5505, 25533, antl 25534 an0lnat I or any tulure �uiltlmg occuDanl witl/will not (circle ane) neetl lo comply wit� Saia state coaes and ihe requiamenls for a permil lor consimction or modilicalion Imm t�e Air Ouality Managemenl Disiricl ResiEential conslmction applications are exempt Imm I�ese pmvisions. Date: ADPlicam: I �ereby te�idythal I have readi�i5 ap0litation antl S�al¢ t�al I�e above in�Orma�ionis Corretl I agree�0 Camply wilh allCiiy anA [ouniy ortlmances anE slate lavrs relating lo Guilding conslmclion antl hereby aut�or¢e representatives ol thi5 ciiy enler upon ihe above-men�ioned ��aDetlY��ojrin50e<�ion purDaseS. Oa�e'. 1 J'�J —�� Signature: oriverS �icense or Sociai Securi�y Appbcanf, Pink—Revenue', Goltlenmtl—Assessor CITY OF COSTA P1ESA — HUILDING PEP,MIT PERM NO; 3 070U5: PERMIT NO: B 070053 YLAN CFiECK NO; N GOVT: N SUI'P: N CONSTRUCTIOI3 TYPE; V—rl PERMIT TYPE: STA PURPOSE: OTH JOB DESCRIPTION ; T/OFF REROOc WlFIRE FREE ROOFG IC801575 SQ FT; 6,000 CLAIM VALUE: 6,000,00 CALC—VALUE; 6,000.00 GROUF 6CC: R-3 /M-1 COMMENTS: SMOF:E DETECTOORS REQOIRED PEA 91UHC, REAOOF 1950SF AESIDENCE �f if df iE ±F1h iE if if�lf if�lf if�lF i(-iE iF if iF ifd4 # ifY iR iF if if if iF iF af af-iFif if �i� iF i�-iF iF if M'M'if M iF1E +f if 1ii1 ififiFiFIF iF if 1(��k-if 1f Y i� �i�y-/'�� 1(- Z O N I N G R E Q U I R E M E N�'lr.S��C� ��El/ 1 VR S E T B A C K S ('� ------------ MAIN BUILDING ---------- --------- ACCESSOP.Y �&fAP!,��1'1tS�D------- FP.NT; FT IN REAR; FT IA] FRNT; FT IPJ F,cAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IDJ RGkT; FT IN PP.RKING REQ; PROV; PARCEL; 1394�152 ZNE: ??EF NO; PLANtdING NOTES> > ' ��r*�r*+t+�.**;t�rit�t+r�tr*�.***ri��r*rr**�*�*+r******+r�r�r*�rr+�*+rr.rr*****�r-�***+c**r+�***x�*i�*�*r� D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N'T S ZONING APPROVED BY DATE: BUZLDING APPROVED BY ; DATE: APPLZCATION ISSUED BY; CJ�`f_,— DATE; 1 Z-3�Ci frir*�t+e+r�e+r***it�it*��r�tfrr+�*it+r�rit+��t*+�*+aac*x�t�r*+�r*��ir*�t±r+�a*+r.r�*�r�r*r*r**rxs*acwritr .c**+rsraf k iF 1f # tif if it if if V!f if iF if +f it> M iF ii if �h it i* if iE iF if if it?f Y�iE Y?f +F 1E 4 iE i� if i� if if ik+t iFY if 1F 1f 4 r+F 1F 41F iE ie!F Y� # if 1f if it if� if 41F it if il� it if 1t iE ic 1F LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81,00 ,60 SMIP /110N—AES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TUTALS----> 81,60 0.00 0,00 81.60 91,60 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 81.60 OC'EP./SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT. GRADING PLADJ—CHECK 81.00 r(Q. : iEifaf+flEalafaEiFaF�FMifif+triFMili�iRlf+fiflfifafil�Iflf*jfiFiEiFifitiEjfiri!ritiF+fiFiElErtitY�RiFrV+FaFikfFiFi��lEifr{�iFi�ici�aFitiEiFiRiFafafi4 I N D I V I D U A L F E E H R E A K D O:•I N TYPE QTY D E S C R I P T I O N UNIT COST ' TOTAL COST SFR 6000 REROOF BY VALUE P.ESIDEAJTIAL NOZONE 3:00 6,000.00 END OF FEES � 02 Oc172353—oDi7?354 T r_�T OkT£: !1/'_3r44 TTflE: 14:20 31.60 .� .� , � f�_ ":,.CONSTRUCTION AND PLANNING � � & SPA ,ApPROVALS Permit# . Date Inspector APpqOVALS Permit# Date Inspector � I �"�. 7emporary Electrical Service or Pole 52. Pool & Equipment Location 2, $oil Pipe�Undrgrnd. � 53. Steel fteinforcement 3. Electrical Conduit Utility�Undrgrnd. , 5A. Forms ! � 4. Electrlcai Conduit�Undrgrnc. � 55. Elactrical Bonding ! 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. �Iectricai UFER Grnd. 57. APPflOVAI TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation � 59. Gas PiPe, �.� Undryrnd., Tesc I ,t 9. Water P�pe-Und�grnd. 60. Backwash �ines, P�Trap, C Undrymd. 10. Structural Ploor SYstem 67. APPROVAL TO DECK � 71, Proper,y Sewer Line & House Connection 62. Backwash & Recepior�Pina! � I 72. Sewer Cap 63. Heater & Vent�Final ' 1 73. Roof Orains � � - �� _ 64. Plumbiny System � Final i 74. Rough Piumbing • - 65. Electrical-rinal ' i, 15. Rough fiectrical�Condu�t 66. Solar System�Final � 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wirinq Sign 68. APPROVED FOR P�ASTERING j 18. Rough Electricai�T Bar Ceiling 69. POOLlSPA SYSTEMS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ! 2�. Rough Fac;orq- Firepiace APPROVALS Permit # I 21, Ducts, in Structure 70. Under9round Hydro i 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Tes. 72. Underground Ft�sh 24. Roof Framing 73. Underyrnd. Storaye Tank O Gas ❑ Oil ( 25. Roo� Sheathing fljO,Lt[( �(A/ 74. Overhead Hydro i 26. T-8ar C>iling IStructurat} & ftAonocoat 7 75. Dry Chemical f 2J. Flame and Flashing . 76. Dry Standpipe I 28. Lathing & Siding 77. FIXED SYSTEM FINA� � 29. Insulation 78. PIRE PREV. FINAL 30. D�Y+vall Nailin9 HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat . 79. FINAL INSPECTION 32. Electricai Power Meter�Flnai 80. F000 CERTIFICATE ISSUED � �� _� 33. Fina� Electrc � Notes: � � 34. Final Heating & Air Conditioning I 35. Final Gas Pipe�Test 36. Hood or CanopY � 37. Final Factory Firepiace � � ( 38. Final Piumbing � 39. Water Service�Fina� , 40. Gas Sarvice-Pinal 41. SOlar pomestic-Finai i 42, Backfiow Preventer �.� Z�� Cl y k� (�/�,v./G S- vJ2� J`�o�l t 43. Backflow Irri ation �' L / / � 9 /�T G({�a � �to GGC Pr �_I 44. Landscape Irrigation System � ��` 45. Sound Attenuation .Z-q-�((� �� _ �_ _/�, � � ` u`�c'��.-� 46. Handicap Regulations, ; � ��, `�� /� `�'Z"-�- � G"� . � 47. PINAL STiiUCTURE & 3UILDING 9�7(7 (Q�j ' 48. FINAL PLA.NNING, �� 49. Etectrlc Refease to Edison . 50. Gas Release to Sou�hern California Gas Co _ 51. CERTIFICATE OP OCCUPANCY � No. Dece � � � PflOJECT p00PES5: OWNEH'SNpME: ZSZ% NEVIS CI noosess: HORGAN NEIL J 2827 N�VIS CIR COSTA MESA,CA : 546-8860 AFCMIENGINEEP: � nooxess: UNIT: 92626 flEG.NO.: uxi�: PEflMITTEE: ULTRA LITE ROOF2NG ( 719 ) 895-9521 nooness:1F3�30�1..�7'ANN7AGW'�OOpD WY (`p q pq LICENSEO CONTNACTOfl�EC�HATfOfli i F2rebyEallirm ��at I am IicenseA un0e7pr➢vi53n�o�C1(apler 9(commencing wi�h Se[tion ]000) ol �imsion 3 ol the Business anE Pmlessions CoOe, anE my license is in lull lorce antl etfeq. CITY LIC.: STATE LIC.: ClASS: � 0$;0�< 6166 39 XP; 09/95 Oale: I.=� �j�2-- Signa�ure:_ _ WONNENS' COMPENSFTION UECIANATION: I Aer¢�y allirm ��ai I �ave a terii�ita�e ol ConS t to elbinsure or a cenificate af workers' Compensaiion Inswance. ar a ceriifiea copY ��ereol �Seclion 3800. La�. q. POLICY NO.: E%P. URTE: COMPANY: ❑ C¢rtiliea copy is here0y fumished. � Certifietl copy is file0 wilh I�e ciry BuilainA Oivision. Oate: ADDlicani: �� E%EM7TION FHOM WOHI(EflS' COMPENSATION OECIAflRTION: (TAis sedion ne¢tl nol h¢ tomplete0 ii �he p¢riN1 i51a Me huMreE (4100) or IeSS�. � I cerli�y Iha� in Ihe pedarmance ol ihe work lor which Ihis Oe�mit is i55ueA. I shall no� em loy any persoppp in any manner so as to Decome subleq Io I�e Norkers' Compensation Laws ol Cabfomia.�� _ 111 \1 Date: ` Signamre: NOTICE: II. alier making Ihis Jetlamlion, y0U S�oula �eCome 5ublet� IO ihe kefs' Comp n5aii� pmvi5i0n5 0� lhe Lahor Code. you musl �otlhwi�h compty with such pmvisions ar �his permii 5hail he tleemeA revo ¢a. CONSTflUCTION IENOINc pGENCY: I Aere6y affirm that inere is a conslNction IenAing agency for ihe vadormance of ihe work tor wAic� Ihis permit is i=5uee (Seciion 3097. Civ. C�. LENDEfl: ROOPE55: OWNEB BUILUEN OECIAflRTION: I �ereby allirm �hai I am exempt Iwm Ihe Con�raclors' State License Law far �he following reason (Sec�ion 7031.5 Business antl Professional Cotle: Any city o� [ounry whic� reQuires a permit �o conslmc4 alter, imDmve, tlemolis�, or repair any siructure, prior to its issuance, also requires ine applicanl for such Dermit to lile a signed slalement ihat he/she is Iicense0 pursuam to �he pmvisions ol the Contracmrs' Sta�e license Law (Chapler 9(commencing with Sec�ion 7000) ol �ivision 3 of Ihe Business an0 Pmlessions Coae) or ina� helshe is exempt therefmm an0 Ihe Oasis lor ihe alle0e0 exemp�ion. Any violation of Sectian 7031.5 6y any apOhcan� �or a permii suhle��s Ihe apPlicanl �o a civil penalry ol noi mo�e than live �undred Jolla�s (E500�. I. as owner ot Ihe pmpe�Y or my employees wilh wa9e5 as �hei� sole compensaiion, will Uo �he work, anJ �he ❑ stmcWre is not inlenaed or offered lor sale (Section 7044, Business anU Professional Cotle: The Coniractor5' State License Law aoes nol apply to an owner of a Oroperty who builds or impmves ihereon, and who does sucn work himselVllerself or ihrough his or her own employees. pmviAetl I�at such impmvemenis are not mtende0 or olleretl tor sale. If, however the builtling or impmvemeni i5 5old wilhin ane year of compleiion. Ihe owner will have �he bufden Oi Oroving he/S�e did nol bui10 or impmve for ihe purpose af sale). I. as owner ot the pmperty, am excNsively coniracling wi�h Iicense0 conVac�ars �o cansVud Ihe pmject (Section 7044, Business ❑ antl Pm�essions Code: The Coniramors' S�ate License Law does no� appry �o an owner o� D�opetly who bwlds or impmves �hereon and who comracts lar such Orole��s with a coniractm�s�license Dursuant m the Coniractors' State License Law�.l am aware ihat prool of their Workei s Compensation insurance shoultl 6e pmvitled m me. � I am exempl untler Section: 0. 8 P. C, �ar �his reason: Daie' Owner. I Do hereby ceni�y I�a� I am aware o� and unders�antl Ihe requiremen�s ol Cali�omia Heal�� and Salery Code Seclions 25505, 25533, antl 25534 and thal I or any future �uilding occupan� willlwill no� (circle one) need �o comDly wi�h said s�ale codes and �he requirements �or a permit lor constmclion or matli�icalion iwm I�e Air �ualiry Managemen� OisVict. flesitlen�ial consimc�ion applications are exemp� �mm these pmvisions. �aie'. Npplicant: I hereby certity Ihat I have read Ihis application antl 51aie Iha� Ihe above inlormalion is correct. I aBree lo comply wi�h all ciry antl counry ortlinances and 5latelaw5relalingio buileing consimc�ion ana here6y aulhorizerepresen�atives oflhis city�Q enteruponihe a0ove-men�ionetl pmpetly la; In�pectian purpo5es. � �"�I Oa�e'. I �� Signalure: o ��— �river's License or Social Securiry 1641d6 Wbite—Builtling: Green—Code EnforcemenC Canary—AOPlicanl; Pink—Revenoe; GOICenrotl—Assessar C2TY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 070737 PLAN CHECI{ NO: N CONSTRUCTION TYPE; V-N PERMIT TYPE; STR JOB DESCRIPTION : T/OFF REROOF W/BUILT-UP PERM NO• B 070737 GOVT: N SUPP: N PURPOSE; OTH SQ FT; 1,200 CLAIM VALUE: 1,200,00 CALC-VALUE: 1,200,00 GROUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTOORS RE�UIRED PER 91UHC, AEROOF 900SF ART O�Fa� RESID it*jt*�r**iF*�t**�r********at�tt�r�tx�+rftit irir*x-�r�tiF�t**ir*r*w*it�r*+t*ie****r**�d�li��**itx�**�r�t Z O N I N G R E Q U I R E M E N T S r` �� S E T B A C K S � ------------ MAIN BUILDING ---------- --------- ACCESSORY BUI FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; , FT�� LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT ZN PARKING REQ• PROV; PARCEL: 13943152 ZNE: REF NO; PLANNING N6TES> > if if iFMfEif 1lifiFitiE ifif Mif it iF ifit M if if if iFifif if 1f 4 if iFit iFif Mif % r 1f M if 1fM1f 1f 1f 1f M1f 1FiM i:ififif 1f if iFiFifif it if if k it if if if if ifiFiE if ififiE iE iE D E C� 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 BY ; DATE: � APPLICATION ISSUED BY• DATE; �•:�� ifiFif3FiEiFifiFififififiFiFifiEifitifiEiEif 3fiFiElfifiFiEiF�RM iEiE if iE jE iF iP if 9E ik if jf iF iE iE iE if iE if if if iE if it if if iE jf %x 1f if if 9f iF af iE iF 9f if if iF if ib r iF if 1: iF %iF iF if it if �f iF it 1c K ic 1E if if K 3R 1c if if iF 9f iF i� if if iF iF if if iF # LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29.00 PLAN ISSUE FEE .50 SMIP/NON-RES HUILDING-DIV-> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 29,50 0.00 0,00 29,50 29,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 29.50 OVER/SHOAT; .00 BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CAECK 29,00 .50 iE if it ih iE k iE k iF i! �E iF iE if i! it it if i! it if it if i!!f iF if M iF iF if 1f if if if iF it it if if �f if i! 1f it 1f if if M M 1f it iF if M if iE iF iF iF if if it if if IF iE M iF if if iE iE if iF iE if iE iE I N D I V I D U A L F E E B R E A K D O W N TYF'E SFR QTY 1200 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 1,200.00 ni oot;so�c-Do175o75 T C�T 29,5� vaTe: oiix7i55 TIME: 11:35 CON'�RUC IT ON AND PLANN�NG P00� & SPA APPROVAIS Permit# Date inspector APPROVALS Permit# Date Inspector I i. Temporary Electrical Service or Po1e 52. Pool & Equipmenc Location 2, Soil Pipe-Und�gmd. . ' 53. Steel Reinforcement � �3:: Electrical Conduit Utility-Undrgmd. 5A. Forms 4. Elestrical Conduit-Undrgrnd. 55. Elecirical BondinG ;5. Steel Reinforcemenc , 56. ftough Ptumbing & Pressure Test 6.' Etectr�ca{ UFER'Gsnd. � 57. APPROVA�TO CQVER�GUNITE .7.�Footings ' � 58. Electrical Conduit-Undrgmd. 8, Foundation „ � 59. Gas Pipe, 0 Undrgmd., Test � 9. Wa[er Pipe-Undrg: nd. 60. Backwash Lines, P�Trap, CI Undryrnd. 70. Structural Floor SYstem ' 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection gQ. Baekwash & Reczptor-Final I 12. Sewer Cap , : 63. Heater & Vent-Finai 53. Roof Draint ' � . .� 64. Piumbing Sysiem - Finai 74. Rough Piumbing ' ', - 65. Electrica6Fina1 15. Rough Electrical-ConduiY _ 66. Solar SYstem-Pinai � 76. Rough Elecuic lM1'iring ' 67. Fencing & Access Apurovai � I 17. Rough Wiring Sign � 68. APPROVED FOF PLASTERWG 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTe;;7S FINAL � 19, Rough Neating & Air Conditioning � FIRE DEPT. REQUIREMENT I . . . . ,-� . _ �, . 20. Rou9h Faotory-Firep9ace ' ' ,:, ' �; �� _`' .. A�'pRO,�VAL.$„�,:,'P'erri�it #____...,__.._;` , � 21, DuCts, in Structure � � •� •• �,i � � ' �• � � . 70. UndergroaritJ� Fiyd:o I 22. DuctS, Veht"stat�ing " ' ,;; .'7.}, product P.iping O�G:fS Obif 23. Gas Pipe-(jough & Test �� - , . � � �+ �7,2. Undergrouqtl�F�us+�'� .: � • 24. R'oof Framing.. .-. � ` ^ .. .. ::' _. _ ��3. ,(jnderyrnd.:Stora��}r'(ank �] Gas ❑ Oii � � 25. floof�Sheathing f , !.$_q�: (Q� 74. Ovorhead I-iydro 'i ' � � 26. T�Bar� Ceiling tStructural) & Monocpat ''' 75. �I�ry Chemi.cai �' ; � .;; � � 27. Frame and Fiashing, � " , ... � ,.: '� , ' ; � - � ,;� : 76. Dry Standpipe �! 28. Lathing & Siding _ �� '�� - " � 77. �PIXED SYSTfA4.FtNAL - . 29. Insulation �. _. " .. .. • • �. � j� � 7$. FIRE PREV. FINAL�i . ^ . 30. Drywall Nailirtg �, . � -' HEALTH D'EPT.yREQUIRE141EN7 , 31. Ptaster Brcivvn,CoaC�'y .. ��:•,:� I J-`� 79. FINAL 4NSPEC�iSOTI, � �. i -_;_..__._.:.; � `� 32. Electrical_Po�vzt Aneter-Finai � � " . • 80. FpOD CER7lFICATE ISSUED _ � �� 33. Einal Electric � F . � � Notes; - - ,; � , 34. Final_Heating & Air Gonditioning -� � � :� , .. . +: + .. ' � � v 35. Final Gas PiPe�Test � � '' , � � � ' .7, , . ' ; . 36. Hood:orCanoPY , . .•'� • � �* - . �'- ..- . " ., � - , :� 37. Finai;Faaory Fireplace �, _, '� � " � � . ' . � ^ i � 38. Final'Plumbing � ' .... • '�� . _ -- ��- � ----�--� � �;. 39. WaterService�Fi�aP � � . . ;� . '- ;'� ` - . 40. Gas Service-Final ,:� ,• - . �� ' � • r.` 47. So�ar pomestic-Final ' ' ` '�' j ;` � ' � - - • 42. Backflow Preventer , .n : � � ' �� • _ � j 43. Backflow Irrgatioo' ' ' ' - ` t . ,�� .,. . �, "'� � � r J • � A4, landscape,IrrigationSystem : r . : :i _ + . .� � 45. Sound Attenuation - ' " • � -• -' r't ' ^ ' = - , . -i 46. Handicap Regulations � . i� . . - I 47. F.INAL STRUCTURE & BUILDING ,�� , ' � � ' , r • � ,,. . � , 48. FI,NAiPLANNiNG � ��.�� ! � -+ - i• 49. Elpctric Retease to Bdison ': ' ; - �' ` '�' ' �� z p, - 50. Gas Release to Southern Califo�rmia Gas Cn � � < <- - � � _ . � . 51. CERTIFICATE OF OCCUPAN.CY ' • � �• c No. Date 19�G0 ' COSTA MESA BUILDINGSAFEfY DEPARTMEM P. O. BOX 917 CO3TA MCSA. CALIRORNIA For Applican► fo Fill In Complefely Tr. 4341p/�TYP�E-/ OR PRINT Lot 33 BUILDIN6 )'�ep�� /��; � ADDRESS O� l � �t' wJ COSTA MESA, CALIFORNIA MAIL 1653 Minorca Drive AD�RE59 ci�. Costa Mesa No•KI 9-0 OR EN61NEeR E. G. Kaltenbach No 772-33� ADDRE59 9772 Katella Ave. Anaheim CONTRACTOR Mesa Verde Develo ment Co. nooRess 1653 Minorca Drive ��TY Costa Mesa �ic".Treio. 18�322 NEo KI 9-0395 SIZE �J X IOZ NO.OPBLDOB. O OF LOT I NOW ON tAi USEOF __� EXISTING BL�G. BETBACN LINE FROM z5 CENTER OP BTRE6T REAR YARD SIDE YARDI LEFT 20 I RIGHT 6 DESCRIPTION OF WORK NEW X ALTERATION I—I DEMOL 6H REPAIR MOVINa I I BUILDING 'IOH'z $.ft. NO.OF 7 .1 VAR.# SIZE yygROOMS 6LTORIE9 C. U P. EXTERIOR WALL W�O a�C ROOF 51+ake 8 APP COVERING 5}UCCOI COVERINa $�llfl �0 BY USE OF BU LDI[J ANO �V RK TO BE P RF RM D sinale �ami�v resicpence anc�at�ac�ied qarag FEE RECEIVED �lura i o ise.a P CITY�O F�C�a�1�APE RMR For Office Use Only ZONINCi NO.OP U8H PLAN9 �UII � 0'T- 3,� YARDSAPPROVED MAIN BUILDIN6 I HERBBY ACKNOWLEOOE TXAT I XAV6 qBAD TH�B APPL�CATION ANO 6TFTE THPT TNH ABOVB IB COHHECT ANO AOHEB TO COM. PLY WITH ALL EIT�OpDINANCBB AND 8TAT8 LAW9 R80YIATINO BUILDINO CONATROc}ioH. _ A w � AUTHORIZEDAGENT wra �saueo 7N 1 9 1963 BHALL BE LE55 THAN YAR�SAPPROVED ACCESSORY BUILOING OATE APPROVED DATE � — l�'—`� ` � /��d `'� a � b / os�- " TN8 AMOUNT BXOWN UNOER VI PIIRP08E OP 88TABLIBHINa A VALUATION PERMIT s,�/� /�'/�D ".3 � �