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Home My WebLink About2423 NORSE AVE - Building Permits(774) 754-5273 • Faz (7/4) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2423 NORSE AV Suite: B Vicinity: Primary Occ: R-3 Dwellings/ Cong Res <10 Pa�cel Number. 11910208 Applicant: LOPEZ, MANUEL Address: 551 INDUSTRIAL RD SAN CARLOS, CA Owner: WAGNER, SEYMOUR L TR Address %CHARLENE GARTHWAITE HUNTINGTON BEACH, CA P O BOX 724 Contrector: ALLBRAND WINDOWS Address: 551 INDUSTRIAL RD SAN CARLOS, CA Zip: 94070 Arch : Address: � Phone: License: Type of Construction: V-N Zoning: Phone: 510-377-1075 Zip: 94070 Phone: Zip: 92648-0724 Phone: 800-400-0797 License: 827475 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/18/2006 Issued: 04/18/2006 Phone: License: SCOPE OF PERMIT CHANGE OUT 5 WINDOWS THROUGHOUT S.F.D. REPLACE WITH DUAL PANE, VINYL WINDOWS TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. LOCATED IN REAR OF PROPERTY. Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 � PARKING existina: o Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 sa,o�s.00 $a,o�s.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. + �� INSPECTIONS: In order tor the work authorized under ihis permit (o be considered fegal, such work must comply with all appllcable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46�6/00) WORKERS'COMPENSAnON DECLARArON: I hereby attirm under penalry ot perjury one 0� the lollowing declarations: ❑ I hava and will main�ain a certificate of consent to sell-Insure tor workers' wmpensation, as provided for by section 3700 of Iha Labor Code, for the performance ot ihe work lor whlch this permii is issued. �,ll have and will maintain workers' compBnsation insurance, as requiretl by section 3700 oi the Labor Code, for the pedortnance of the work tor which this pertnit is issuetl. ' My worker ' wa pens ion suran e Garrier and policy number are: /�� r�..:e.. �"(AT��I�/V� POIi NUmber. �� one �Y__ . . or less.) ❑ I certity that in the pertormance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to Decome subject to tha workers' compensetlon lews of Califomia, antl agrae that if I shoWd Dacome sub�ect to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall Forthwith comply with ihese provisio�nIs9. ,�//_ _�� y�" Appli� 3.igneture:_ —� l/� � A � i//Ll.i�l Date:r.- 1�� WARNING FAILURE TO SECURE WORKER$' CAMPE SATI � OVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE HUNORED THOUSANDOOLL4RE(5100,000),INADDITIONTOT�1EC05 FCAMPENSATIQY,DAMAGESASPROVI�EDFORINSECTION3IO60FTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat 1 am licensed under prov�sic . . . .. -.. .. - o-. � (i—. CONSTRUCTION LENDING AGENCY: 9(commencing with Section 7000) of Professions Cotle, and my license is in full � % ❑ I hereby attirm Ihat there is a consiruclion lentling agency for the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atltlress: Signawre: Date: OWNER-BUILDER DECLARATIONS: �' I hereby aHirm t�at untler penalry of perjury �hat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which raquires a pe�mit to consimct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires Na epplicant tor such permit to tile a signed slatement �hat he or she is licensed pursuant to �he provisions ot tha Contractors License Law (Chapter 9(commencing with Saction 7000) of Division 3 of the Business an0 Professions Cotle) or that he or she is exempt tharefrom and the basis tor ihe allegetl exemption. Any violation of Section 7031.5 6y any applicant for a permit subjects the epplicant to a civil penalry of nol more ihan five hundred dollars (5500).): ❑ I, as owner ot ihe properry, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and the structure is not intendetl or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of properry who builds or improves thereon, antl who tloes such work himself or herselt or throuqh his or her own employees, pmvidetl ihat such improvemems are not intended or oflered for sale. II, however, Ihe building or improvemant is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for puryose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of property who builds or Improves thereon, and who conVacis for such project with a comractor(s) license pursuant to the Comractors License Laws.). ❑ I am enempt under sec. Business and Pmfessions Code lor this reason: SiqnaWre: Date: Owner ID veniietl by tlriver's license. ❑ Ves ❑ No Driver's License No. Veritiwtion oi Ownership by (type of docum��. i.e. - pmpehy tax hiil or deetl): E:pires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehify tha� no excavation tive (5) or more feet in tlepih into which a person is required to descenq will be mada in connection with work authonzed by Ihis pertnit, and that no building stmcwre, Scattolding, falsework, or demolition or dismamling thereof, will be more Nan thirty-six (36) feat high, (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Californla Adminisirative Gode). ❑ As ownerbuilder, 1 will not employ anyone to do work which woultl require a permit irom the Division of Indusirial Setery, as noted above, unless such person hes e permil to tlo such work from the tlivision. Signature: Date: Division ot Intlusirial Satery Pertnit Number: CERi1FICATE OF COMPLIANCE AND AUTHORIZATION OF EMAV: I cenify untler penalty of perjury ihat I have read this epplication and state ihat t�e information given is correct. I agree to comply with all state law5 and city ordinances relating to building consWction, and authonze representatives of the Ciry of Costa Mesa to emer upon the above-describetl property for inspection puryoses. I agree noi to ocapy or allow occupancy of any building authonzed by t�is permit until final inspection. COOE 1• INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Root 201 Flnel BIocWReteining Wall 202 Final Factory Fire Place 203 Final5lgn 204 Final Demoliiion I Itl�C1111G1Sy '��! �..%� `rIL�.�% CODE1" INSPECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building/Otcupency QaIE 1N�1�4S r (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2423 NORSE AV Suite: Vicinity: RESIDENCE ONLY Parcel Number: 11910208 App�icant: FAUBERT, BR,4D Address: 8902 SAILPORT DR HUNTINGTON BEACH, CA Owner: WAGNER, SEYMOUR L TR Address �%CHARLENE GARTHWAITE HUNTINGTON BEACH, CA " P O BOX 724 Contractor. STAR COURSE ROOFING CO. Address: 8902 SAILPORT DR HUNTINGTON BEACH, CA Zlp: . 92646-2664 Arch : Address: Status: ISSUED Applied: 04/03/2003 Issued: 04/03/2003 Zoning: - ISSUED BY: Phone: (800)854-0017 Zip: 92646-2664 Phone: Zip: 92648-0724 Phone: (800)854-0011 License:�� 532778 _ Eng: Address: . . Phone: � � - . Phone: � Zip: � -License: . , . Licens,e: _ SCOPE OF PERMIT _ _ REROOF RESIDENCE ONLY: T/0 COMP SHINGLES, REPAIR/REPLACE SHTG AND ANY WOOD DAMAGE AS NEEDED, 1 LAYER 15# FELT, APPLY "30-YEAR COMP SHINGLES." 18�SQUARES ` - � � � � Plan Check: $0.00 Permit: $6925 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: �0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 $i,szo.00 $t,s2o.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-20, § 7, 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 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 required inspeetfona end 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 2406-46(H00) WORKERS' COMPENSATON DECLARATION: I hereby aflirm unaer penalry oi perjury one oi ihe following tleclareilons: ❑ I have antl will maintaln a certiticate ot consent to self-Insure for workers' compensation, as provitled for by section 3700 of ihe Lebor Code, for the peAormenca oi the worlc for which this pertnit is issued. �� I heve antl will maintain workers' compensation insurance, as requiretl Dy section 3700 oi the Labor Coda, for the peAortnance of tha work for whic� Ihis pertnit I5 issuetl. My wpa �rs' wmpe��ion Insurence cerder and policy number are: carr�er: Jl�} '�"M PolicyNumber. ��7n��3-c�� (Th/s secfion neetl nof be Gempletetl i/ the permit is valued af one hundred dollers ($100) or less.) � ❑ I ceNly thal in Ihe p wmpensation laws comply wlth these F ApplicflNSlgneWre: _ WARNING: FAILURE TO SEC THOUSAND DIXIARE (510D: LICENSEDCONTPACTORS 'fo� which ihis rtnit is issue0, I shall not employ any person in any manner so as to 6ecame suhjecl (o the workers' i.that N� C bacome sub�ect to tha workers' crompensation proNsions of Seciion 3700 oi the Labor Cotle, I shell forthwith Date: � �' � - G 7 ISATION CAVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALiIES AND GVII FINES UP TO ONE HUNDRED CQST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3108 OF THE LABOR CADE, IMEREST, AND ATTOFiNEY'S FEES. I hereby aflirm that I am licensed unde ovi ' apter 9(commencing Section 7000) oi �Msion 3 of the Business entl Profeuions Gotla, and my license Is in full force end eHecL Lic. #, �3 Z Class q� C Contredofs Slgnature� � Date: � - 7 �G? CONSTRUCTION l CY: ❑ I �ereby eNirtn thal Ipere is a consiruction lending agency to� ihe pedormance oi the work Por which �his permit is issued. (Sec. 3W7, Civil Gode). Lendefs Name: Lender's Address: Signature: Date: I hereby eNirtn,that under penelry of peijury that I em EXEMPT FflOM 7HE CONTFiACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or�county which re`qWres a permit to wnswct, alter, improve, demolish, or repair any siructure, prior to its issuance, elso requires the appliwnt for such pertnit ta tile a slgned stetemeN that he or she Is,licensed pursuent to ihe provisions ot Ihe Gontractors License Law (Chepter 9(commencing with Sectian 7000) af Divislon 3 ai the Business end Pmfessions�Cotle) or ihet he or she is e:empt Iheretrom end the basis for the alleged exemptlon. Any violation of Section 7031.5 by any epplicent for e permit subjecis the ap0licent to e civil penilry,o6not more ihan five huntlretl dollars ($500).): ❑ I, as owner oF the property, or my employees with wages es iheir sole compensation, WILL DO THE WORK, and tha structure is not intended or oHered for sale (Sac. 7044, Business and P�ofessions Code: The ConUactors License Ww dces not apply to an owner of property who builtls or improvas thereon, and who does such work himseft rn herseN or through his or her own employees, provided lhat such improvemeMs are nol intentletl or oftered tor sale. tl, however, the builtling or improvament is soltl within one year o� completion, the owner-buildar will have the burden ol proving ihat he or she ditl not Cuild or improve tor purpose ot sale.). - ❑ I, as owner ot Ihe prtlPerty. am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS ro construct the project (SecJ044, Business antl Professions Code: The contrecto/s License Lew does not apply to an owner oi propeny who �ulltls or Improves thereon, and who contracis for such prolect with a contractor(s) license pursuant to ine Contractors license Laws.). ❑ I am eaempt under sac. Business and Professions Code for ihis reeson: SignaWre: Owner ID verified by tlriver5licen5e. Venlicatlon of Ownership 6y (rype of ❑ No i.e. - properry tex bill ar tleetl): DIVISION OF INDUSTRIAI-SAFETV PEHMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby certify that no excavation five (5) or more feet in depih into which a person is requiretl to descend, will be made in rqnnec�ion with work euthonzetl by ihis permit, and �hat no builtling structure, swffolding, talsework, or demolition or tlismantling thereof, will be more than thiRy-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e B, Califomia Administrative Code). ❑ As owner-6uiltler, I Will not employ anyone to tlo work which would require e permit from ihe Division ot Indusirial Safery, es noted abo�e, unless such person hes e pertnit to do such wo�k trom �he division. Signawre: Date: Division ol Indusirial Salery Permit Number: CERTIFlCA7E OF COMPLJ�INCE AND AUTMORVA710N OF ENTRV: I certiy under penalry of perjury that I have read this application entl state ihat the information given is correcL I egrea to comply with all sta�e laws rtartC65'FeTe to building consWciion, and authorize representatives of Ihe City of Cos�a Mesa to enter upon the above-descnbed property iP� inspe ' rposes. I egree no upy or allow occupancy of any building authonzetl by this permit until final inspaction. CODE �. 1616 1286 ;Z Fizetl System FinAI Fire Prevention Pool Spa Finel 2oo Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion Uate � �, o, ��e IjdE I A COpE� �rySPECTIONTYPE � 206 Final Mechanical _ 208 Finel Plumbing ,� -/ - 6 �-Lc,J210 Final Electncal t� (1 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QA¢, INRfI�LS PHO�ECTA'JOH�SS: 'zq'13 NORSE AV OWNEP'S NAME: WAGNER SEYMOUR LOWELL TR FDOflESS: L�O CH.�9RLENE GARTHWAITE P O HOX 2884 SEAL BEACH,CA 90790 960-4394 FPCHIENGINEEH: XEG.NO.: aooeess: uxiT: UNR: PEXMITTEE: CHARLENE GARTHWAZTE ( 714 ) 960-4344 aooness: 527 20TH STREET HUNTINGTON BEACH CA 92648 UCENSEO CONTPACTOfl DECIABATION: I �ereby allirm ��at I am IicenseA untler provisions of Chap�er 9(commencing wi�h Section 7000� ol �iwsion 3 0� IAe Business anA Pmtessions Cotle. an0 my license is in lull torce an0 eifec�. CITY LIC.: STRTE LIC.: CLASS: Daie' Signamre: WOBREBS' COMPENSATION OECLABFTION: I �erehy aifirm �hat I have a certilicate of consent to sell-insure or a certificate of Workeri Compensation Insurance. or a cenilieG copy �hereol (Sec�ion 3800. Lab. C). POLICV NO.: E%P. UATE: COMPRNY: � Cerlifie0 coDY is hereby fumished. ❑ Cenifiea copy is filetl wiN tAe ciry Building Division. Oa�e'. FpplicanC E%EMP710NFqOMWONNEHS'COMPENSA710NDECLABPTION: QhissectianneeAnotbecompletetlil�he0ermitisforonehunOre0g100�oNess�. I cetlify �ha� in Ihe peAormance oi the work for which Ihis Dermil is i55ue4 I s�all not employ any person in any manner so as to �ecome sub�ec� to the Wor ers' Comp �ion Laws oi Calilomia. ��/ f� -Ba2 � � Signalure: "N� NOTI . I�. a�ter aking Ihis declaralion, you should become SuDlecl b �he Warkers' Compensa�ion pmvisions of �he La�or Cotle. you musl fonhwith compty wi�� suc� pmvisions or ��is permi� shall be tleemetl revaked. CONSTBOCTION LENOING RGENCY: I here�y a��irm Ihai there is a con5imction lentling agency tor �he performance oi Ihe work for whic� �his permit is issuetl (Sectian 3W7. Civ. C�. LENDEH: _� IIOONESS: . " OWNEfl BUILOEB UELIAflRTION: I herehy aHirm Iha� I am exempl imm t�e Coniractors' Sia�e License Law for Ihe following reason (Section 7Q3L5 Busness an0 Pmlessional Cotle: pny ciry o� counry which requires a De�mi� lo cons�mc6 alter, impmve, demolish, or repair any s�mcNre, priar to its issuance, also requires IAe applicanl lor suc� permi� �o file a signetl statement �hat he/she is licensed pursuan� Io Ihe pmvisions ai Ihe ConVac�ars' S�a�e License Law (Chap�er 9(commencing wiih Seclion 7000) oi Oivision 3 oi ��e Business antl Pmtessions Code) or tha� he/she is exemp� Ihere�mm anA Ihe basis �ar ��e allege0 exemp�ion. Any violation o� Seclion 7031.5 by any applican� �or a permil subjec�s �he applicani t0 a civil penally of nol more ihan live hunAr¢d tlollars �E500�. I. as owner oi me orooenv or my employees with wages as tAeir sole com0ensation, will tlo the work, an0 the ❑ stmcmre Is nol imen0e0 ar ofleretl for sale (Section 70aa. Business and Pmfessional COAe: The ConVactoK State License Law tloes nol ap01y lo an owner ol a pmpehy w�o Ouilds or impmves Ihereon, antl who tloes such work himself/herself or thmugh his ar her own em0loyee5. pmvitleE Ihai 5uch impmvemenls ar¢ not inlenJed or oflere0 for sale. Ii, however �he building or impmvemen� ls soltl vnt�in one year al compleiion, I�e owner will �ave Ihe DurAen ol pwdng �e/she Eid noi builA or improve �or �he purpose o� sale). I. as owner ol t�e Ompe�y. am e�clusively coniracling vn�h licensed wntraclors �o cons�mc� lhe pmlec� (Seciion 7044, Business ❑ an0 Pm�essions Code: The COnlfaClolS' State License Law aoes not appty to an wmer of Dmperty who �uilOs ar improves thereon an0 who contracts lor such D�olects with a comracmr�s) ticense pursuam m ihe Contracmrs State License Law). I am aware tha� pmot o� iheir Worker's Compen5ation insurance shoul0 be D��idetl �o me. � � am exemp� uneer Sec�ion: BP-�� q 4 B. 8 P. C. m�sr o�: AL WORK BY OWNER owner I Qo hereby cenity ihat I am aware ol an0 unaerslana the requirements of Calilomia Health antl Salery Cotle Sections 25505, 25533, and 2553a and ihat I or any IWure builtling occupant willlwill not (circle one) neea to comply witn said state coaes' an0 the reQuirements for a permi� for cons�mdion or moUihcalmn Irom ��e Air Ouali�y Managemen� Distric�. Fe5i0ential con5imclion apDlicaiion5 are exemp� imm these �mYisions. D$(e� � � � Applitanl: I �ereby cetlity �ha� I �ave reatl Ihis applica�ion ana s�ale Iha� Ihe a6ove inlormation is correci. I agree �o comply with all ciry and counry or0inances antl slate law5 relaiing to 6uilding consimction an0 herebV aNhorize represen�a�ives of �his ciry to en�er upon �he above-mentionea pmper lo inspeclion purpases. , Signature: onver's License or Socia� Securiry 16dt-a6 While—Bulltling: Green—Code EnlorcemenC Canary—Hppllcam; Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 05665_ PERMIT NO; E 056659 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : SERVICE UPGRADE—ADD FIXTURES SQ FT; CLAIM VALUE: 1,000.00 CALC—VALUE: GROUP OCC; R-3 / COMMENTS; SMOKE DETECTORE RE�UIRED IN THE HOME ***�r�r�t�t�***+r�r**x�r�r��r��r**�rx�** *ir�x+�*�r��r��t�rx�t�t***�r*�r*�t***�r��e*****�+t�t***�r�***��t*** 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 BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT I19 LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING RE � PROV; PARCEL; 11910208 ZNE; REF NO; PLANNING N TES> % �k �F if it iE iE 3E �t k iE �f if iE iE 1E iE iF iE 1E iE 1f iE iF iE IF iF iF if ik if �E iE iE iE �lE iE �E 1E aE 3E if iE iE iE fE if if if i! if if 1E if iF iF if iE iF if iE if i! iE k ik iE if iE �F iE �F �E iF iF *'�F if 1E if D E V E L O P M E N T S?ExR V I C E S R E Q U I R E M E N T S ZONING APPROVED HY � DATE: BUILDING APPROVED BY ;, ��. s- DATE: C�I;� �M �il. f �'i-Yil �11�:1•A//La LEGALI2ATION:N �F iE jE 3F iE IE iE iE if iF��iFiF 3F 1E1E�E�E�E � iE ifiEikiEiFiFifjFiFikif3FiEiEiE�Elfif3FiF1E�FiEiEiFifiFif�FifiE3F�lfiEif�FifiF�F F E.E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 42,50 SOY SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 42.50 15,00 0,00 57.50 57.50 ,DO REVENUE DIVISION TOTALS--> COLLECTED: 57.50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHEC3C 5%,50 if iF iE �E if if iF �k if �F if ik if iE iF iF k iF iE iE iE 1E iE 1E iF i! iE iF iF-1E jE iF iE iE iE iE 1E �E iF 1k �F �E iE iF i! 3t �f ±f iE iE if �F if 3f If 1E iF iE 1t jF 3E 3F if iF iF jf if iF i! �lf iF �E iE jF **{f if af I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST ELE 7 FIXTURES LIGHTING 1 ST 20 EA, .75 ELE 18 RECEPT/OVTLET 1 ST 20 EA, .75 ELE 7 RECEPT/SWITCH 1 ST 20 EA. .75 ELE 1 SERVICES HELOW 600 V 6 BELOW 201 AMP 18.50 END OF FEES TOTAL COST 5,25 13.50 5.25 18.50 oa ooi:±ama-o:�i�?..:�n , _ r(��E: ,-3�.�, r �'�; � . ; \ CONSTRUCTION ANDPLANNING � P�C SPA ! � � Date � Inspettor � Date Inspector : APPROVALS Permit # . - APPROVALS Permit # . � ` 7. Temporary Electrical Service or Pole '', 52. Pool & Equipment Location � Y 2..Soi1 Pipe-Undrgrnd., � - 53. Steel Reinforcement , 3: Electrical Conduit.Uiility-Undrgmd. � � � 54. Focros �� _ '� 4. Electricai CondQit�Undrgmd. � - 55. Electrical Bonding . �� 5.�♦Steel Reinforcement' . . . 56. Rough, Plumbing & Pressure Te'st-: ' . 6.'Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE . 7. `footings �` � � � 58. Electrical Conduit•Undrgrnd. . y � 8. Foundation . - 59. Gas Pipe, � Undrgrnd., Test ' 9. _Water Pipe-Undrjmd. � 60. Backwash Lines, P�Trap, O Undrgmd. 70! Structural Floo� System � � 61. APPROVAL TO DECK � 1�7. Property Sewer Line & House Connection 62. Backwash & Receptor�Final - 12. Sewer Cap ., 63. Heater & Vent-Final 13. Roof Drains "-, - 64. Plumbing System - Final 74. Rough Plumbing ��" 65. Electrical�Fina� � 15. Rough Electrical-Conduit _ 66. Solar System-Final 16. Rough ElectriC Wiring � Z_O/�� 67. Fencing & Access ApProval ! 77. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrica�•T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAI 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - 1 ^rr.� 20. �Rough Factory Fireplace 1'�� ' j� • _ APPROVACS� -,�Perriiit # "-- �;',� - .t. 21. Ducts, imStructuie . .. _ �� -- :70. UndergraundHyiiro • 22. Duces. Ventileting. . . �� , � �' : �q1. Product'PiPin9 �Gas ❑Oil 23.-Gas Pipe:Rou"h & Zest '`-� . , ; _ 9 �' � �72. UndergroUnd Fluslr. _ , 24.-Roof Framing : � - �"�4 * ' - - - �73`�Undergrnd.Storage.Tank C7Gas OOiI = "' 25. Roof Sheathing . � y� , :, � T~74.: Overhead Hydro_ :t. 26. T-8ar Ceiling (Str.ucturall &.tMonocoat ' s� -' � �^ 75.,bry Chemical ' ' "' `- '''S t.� ..�c �i fl . a D ..n :��r, 27. `Frame a d Flashin9� " � < - '" ' � 76: Dr `. -?� ' 'S n *: �: s. .(1 ?� .n�. .. Y StandPiPe ,�- - �p; �.�: � 28. Lathing & Siding. • . . - :;,L _ � _ � � .• + 77 =-FIXED SYSTEM'F�INALY _ s`-' J� �^: . 29. Insulation ' ,j- '" � "- � `� t �-; !; % 78:�FIRE PREV. FINAL . > � "�� -30. DrywallNailPng �r� A � '� '�" � ` HEALTH�DEPTrREQUiREMENT 31. Plaster Brown Coat' •� �„� } j �� i. �, :,79f-FINAL INSP_ECTIOPT. , ` i''�i � '-32.:Electrical Power Meter�Final y� 9� .,�FOOD CERTIFI.CATE ISSUED '� �t ` � 33. �Final Eleciric ' � l�� , � - �. � Notes: _ ; _ ., - '" � , � ' •� � .J �� . _ � 234. Final Heating & AIr Conditioning� � : � ' �4 � i. � �r, ; _�c �'�, �- �! 35: _Final Gas Pipe�Test` ._ `�' - ' �' ' �� r �' � ` - , - 1 � �� .::�.._ •�� , y . .. _ . _ . . 36. Hood o�,CanoPV - ' �-� �<: ; ' - >: ' >- ' (�. 4 tl ' 37. Final Factory Fireplace. ' :, " ; � ?, ' S - � czc = �s , � 38. Final Plumbing � � � '�.:- ' ' . :�- ^ _ ��39. Water Service�Final� ' '�� ` ' ' �� - �< tn:n ai�r �40. GasService-Final '. „ �;r �� ,r , � ' . L , . . - �.41. $olar pomesticFinal " � - �` � � � �' i � �� T r 42. Backflow Preventer • �� ' � � _ . _ _ 43. Backflow Irri9ation� � �'� ` '� - r i ,44. Landscape Irripation System: :�� _ .�� - .r �� *'' _, " �-,��; ± � a '�45. Sound Attenua[ion +a'- • - ' ^ , ' - r � ' �r 'r r,.T- . j - 46: Handicap Regulatio�s = � . - , � x 4l. FWAL STRUCTURE & BUILDlNG ' � � • ' � i - • 48. fINAL PLANNWG ' � i , ; �s � "r ;r �Z . 99. Electric Release to Edison x ; ,� n � �� • � _ 1 /. V 50. Gas �Release to Southem Calilornia Gas Co , � � l j� ,�' - '- ; - ��- . 57. CERTIPICATE OF OCCUPA'NCY � ; ; ,, �,�.� _ _ _ _. No. Date � PH0.IECTAUDNE55: �q'�3 NORSE �iV owxgesxnme: WAGNER SEYMOUR LOWELL TR nooxess: C/O CHARLENE GARTHWAITE P 0 BOX 2884 SEAL BEACH,CA 9074'0 AflCH/ENGINEEH: 5 4 B— 7� 6 9 FODflESS: UNIT: NEG.NO.: � , UNIT: PEHMITTEE: HOB' S RUOTER DRAIN & PI,BG ( 714 ) 73A-0281 ADUflE55: 39O$ E MIRALOMA � ANAHEIM CA 92807 LICENSED LONTPPCTOfl OECLAflATION: I hereby aflirm ��al I am licensetl unaer pmvisions o� Chap�er 9(commen ' i�� Section 7000) o� Oiv�sion 3 0� Ihe Business antl Pm�essions Code. and my license is in �ull lorce an0 ettecl. cirruc.:0 7600 sTnpreuc.:q46243 � ' �36 oate: .-��-� %� ' / Z Signawre_ __ —�.GL�t� .� � G'e WOBIIEfl$'COMPENSRTION�ECIABATION: Iherebya��irm hav¢ac¢tli�itdi¢a�COnS¢nII05¢I4inswea�acerti�ica�eO�WOde¢R' Compensation Insurante. or a cetlilietl cooY �hereof (Sectm 00, La�. C). POLICY NO.: E%P. ORTE: COMPIINY: � Ce�ilietl copy is hereGy lurnished. ❑ Ceni�ietl copy is �iletl wiih Ihe cily Building Oivision. Daie: Applicant E%EMPTION fBOM WOXKEflS' COMPENSPTION OECUflRTION: (This section need not be completetl i� the permit istor one hundred ($NO�pr less�. I cetlity �hat in Ihe petlormance o� Ihe work �ar which this permi� is issued. I shall not employ any person in any manner as l0 7ecome sublect �o Ihe Workers' Compensation Laws oi Califomia. .� �/� �a�e: � — �J � �� Signaiure: Esnfv�=�� .G`u .f�6"'r' �. NOTICE: II, a�ter making �his Oeclaration, you 5hoW4 o sublec�lo �he Workers' Compensation pmvisions of the Labor Cotle. you musi forthwiih comply with such provisio Ihis Dermit shall 6e AeemeJ revoke0. CONSTPOCTION LENUING AGENCY: I hereby aifirm Ihat �here is a conSVuction lentling agency �or �Ae pertormance o� the work for which this permil is issued �Section 3097. Civ. C�. LENOEN: AOOflE$S: OWNEB BUILOER OECUflRTION: I hereby aifirm Nai I am exemD� �mm Ihe Comracmrs' Slaie License Law far the following reason (Section 7031.5 Business an0 Pwiessianal Code: My city of couniy which r¢Quires a Oermit to consimci, alter, impmve, demolish, or repair any 9mciure. prior lo i�s issuance, also reQuires the aDPlican� for such DQ�mi1 to �ile a signe0 s�a�emenl �hal he/she is licensetl pursuam to ��e pmvisions of t�e Conlractors' State License Law (C�aD�er 9(commencing with Section 7000) oi Division 3 oi the Business an0 Pmiessions Cotle) or Ihal he/she is exempt there�mm and Ihe basis �or ihe allegeA e�emD��on. Any viola�ion af Seclion 7031.5 by any applicani IOr a permii SUGjecfs �he applicant �o a civil penalry o� no� mOre �han liv¢ AunAreA AOIIaR (E500�. I, as owner ol Ihe property or my employees wi�h wages a5 Iheir sole compensation, will do Ihe wo�k, antl the ❑ slmmure is nm intentletl or oliered lor sale (Sec[ion 7044, Business and Protessional Cotle'. T�e Contractors' S�a�e License Law Aoes noi apPty lo an owner ol a propeM1y w�a builtls or impmves Ihereon, antl w�o does such work himsel�/heaeli or UwuA� his or her own employees, pmvidea that such impmvemems are no� inrendetl or afterea tor sale. II, however Ihe Duilding or improvemenl is sald wi�hin one year o� cample�ion. �he owner wi0 have Ihe burtlen oi pmving he/she Oid no� builtl or impwve for �he purpose af sale�. I. as owner ol �he Dmperty, am exclusively conVacting wi�h licensetl conVactors �o constmct �he projem ($ec�ion 7044, Business ❑ antl Pmiessions CoOe�. The Contramors State License Law tloes not aDPly to an owner o1 pmperty who builtls or impmves ihereon an0 wno comracis lor such pmie��s with a coniracmqs) license pursuant to ihe Coniracrors' State License Law),I am aware Ihat O�ool ol Iheir WOBer'S Compensa�ion insurance shoultl be pmvitled to me. � I am exempl unaer Seciion: B. 8 P. C. lor I�is reason: Date: Owner I eo nereby certtly ihat I am aware ol and unaersian0lhe repuiremenis of Calilomia Health and Satery Coae Sections 25505, 25533, and 25534 and ihal I or any �uture builAing occupanl will/will nol (circle one) neetl Io compty wii� saia s�a�e rodes ana I�e reQuiremenis br a permii lor conslmciion or moailica�ion imm ihe Air Oualiry Management Distric�. Re5i0en1iai wns�mction applica�ians are exempt irom �hese pmvisions. Da�e: Applican�. � I �ereby certily Ihal I have read �Ais applica�ion antl slate �hat the above in�ormalion is mrrec� I agree b comply wi�h,dR211 an0 counry orUinances antl sla�elawsrelating�a �uilding cons�mction antl here6y aulhorizerepre5enlaiive5 o��is ciry�o en�er upon fie abo� -men�ione0 pmperly Qlar inspeciian purposes. „ �ale: {�J � �� ' / � SignaWre: �'� ` od�er's ucense or Sodai Sewdry Appllcanf, Plnk—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERh1IT PERM NO; P 05677 PERMIT NO; P 056779 PLAiJ CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; RELOCATE WTR HTR 6 REPIFE SFD SQ F,T; CLAIM VAT,UE: CALC—VALUE; GROUP OCC; R-3 / COMMENTS; WTR ATR LOCATED @ REAR OF SFD xx�e�**�**�******* ��*�**�r�r****�******�*�*********�***x��**�**�e�**x �*+�a�******* �*x�e 2 O N I N G A E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACC&�SORY HUILDING --------- 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 REO• PROV; PARCEL: 11910208 ZNE: REF NO: PLANNING Ni3T'ES> i �t�r�t�r�rr*+t**�r�t***��*�r�r**�e�r�t�t�t�t�r�r�t**�t*�t+t***�t*�r�t�t��t�t�t��t�t**�t�r�e*�r�*�**+t�t�t�t�e*�c+��r+��* 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 20NING APPROVED BY v DATE; BUILDING APPROVED HY ; " DATE; ______ _ APPLICATION ISSUED HY TE; O *+t��t�t�*�*�*�**�t*�t*�*** *+t�t*�r**�� ** if*IElFifiE�E3FiE1flE�EiE3E3EiE1EiEiliFiEifififkifkifiEiFif#fiE3ElFikiFif fFiFik�k�FiFifiFiElfiEifiEitiEifaEiEiEif�ElFitkiF3fiEiEiFik�EifiE�F�FiE1ElE#f LEGALIZATION;N F E E U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECT IC MECHANIC FZRE SMIP/RES GRADING PERMIT 4��Y SMIP/NON—RES PLAN �- : ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAZD DUE TOTALS----> 9.00 3.00 >" 0.00 7.00 7,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 7.00 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/T'OT GRADING PLAN—CHECK 7, 00 :�^ i iE iF iF jF iE iE iE iE iE �F if iE �E iE iE �E iF iF iE iE 3F iF iF �E iE * 3F iF it 1f if iE if if.lf * iE * 9t iE iE if if iE iE if �F iE iF iE iE iE if iF-}F iE iE ik iE IE if * aE 1E iE IP �1E aE �k iE iF iF iF iP iE iF iE 3E if I N D I V I D U A`L F E E B R E A K D O W N �' ' TYPE QTY D E S C R I P T Z,O N UNIT COST TOTAL COST PLU 1 , WATER HEATER AND/Ofi VENT 2,00 2,00 PLU 1 i WATER'RE—PIPE 2,00 2,00 E!ND OF FEES F ly� l�_i' `_ .l• y � {lr' i' -', - ' � t CONSTRUC710N AND PLANNING: , -` _� PO� . SPA � Date Inspector � Date Inspector: , APPROVALS Permit # . APPROVALS Permit # . 1. Temporary Electrical Service or Pole ' - 52. Pool & Equipment Location . 2. Soil Pipe�Undrgrnd.,. . � ' � 53.- Steel Reinforcemenf _ . " . _ 3.�Electrical Conduit:Utility-Undrgcnd. 54. Forms • . - • 4.��lectric�l Conduit�Undrgrnd. . - - 55. Electrical Bonding � `5. Sieel�� Reinforcement " � �, 56. Rough Plumbing & Pressure Test •6. 2iect?ical UFER_G7nd: - - 57. APPROVAL TO COVER GUNITE �7. Foot�ngs � � - ' . _ 58. Electrical Conduit-Undrgmd. 8. Foandation -. 59. Gas Pipe, O Undrgmd., 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�Pinai � �" 12. Sewer Cap � _ - 63. Heater & VenrFinal 13. Roof Drains � 64. Plumbing System; Final 14. Rough Plumbirig • 65. Electrical�Final . ' 75. Rough Electrical-Conduit . 66. So�ar SYstem-Final � i 6. Rough Electric Wlring ._ � '. 67. Fencing & Access Approval � 17. Rough Wiring Sign ` 68. APPROVED FOR PLASTERING 18. Rougfi Eleccricat�T Ba� Ceiling 69. POOUSPA SYSTEMS F1NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - i - 20.'RoughFactoryFireplace • _ '�APPROVAL•S �Permit# " 21. DuCis, in-Structure � � : � 7Q. Undergtound.Hydro - 22. Ducts,Ventileting _ . ,"�` '71, product�Piping�Gas ❑Oii 23. Gas Pipe�Rou§h & Test � . ^ - K J2. Underground Flush � � - 24. Roof Framing � � ` � _ � ' � .73.'Undergrnd: Storage-Tank � Gas ❑ Oii 25. Roof SheatNing � �� ' �� c ;_.. . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &.Monocoat . '- - - ^ 75. Dry Chemical - 27. Frame a2d Flashing, , . 76.- Dry Standpipe ' _ • 28. Lathing & S�ding' -' . ' . 77.• FIXED SYSTEM FINAL . 29. insulation . � • �: �, 78. -FIRE PREV. FINAL - _ '�' �30. Drywall Nailing ' � ,� i; '' � HEALTH DEPT. REQUIREMENT 31. Plaster B�own Coaz _ , � ' � � �. . -79,'`FINAL INSPECTION „ � i: 32. Electrical PaWer MeterFinal � - � i!1� 80. FOOD CERTIFICATE ISSUED , , " 33. Final Electric - , ' ' i ,�. �„{�.- 'Notes:l.� � C(Z !Z�(hP� c�Q[,- (�ED �34. Final Heatin9 & Alr Condltioning , � - "�i' - � � . - - y 35. Final Gas Pipe-Test_ � " � .' ' ' ' ' � �, '� 36. Hood or Canopv ' . , 'i. ,::k • � - . .. 37. Final Factory Firepiace , ' ' � � �!'�"' '. 38. Final Plumbing . . .' , j� �° � - �_ . _ �y/4 G�O : . 39. Water Service�Final � , ��';� y,�' ' � - - .40. Gas $ervice-Final � � ,, �S ��, �'� _ . - � H 41. Solar pomesticFinal � �:'�:�� ': ,_ . � 42. Batkflow Preventer � ` � � � , �. 43. Backflow Irfi9ation � � ih'' z� �- ' ! �� .'44. Landscape Irrigation System, � - � - . • - . � � � =. � '45. Sound Attenuation ' ' " �' ' _ �46. Handicap R¢gulations ' � • - - 47. -FIN.4L STRUCTURE & BUILDING � ' . 48.'FINALPLANNING �- . - 49. Elec(ric Release to Edison � � ..- � ' 50. Gas Release to Southern Califomia Gas Co �,� � , 51. CERTIFICATEOFOCCUPANCY �. ,` J No. Date .;�Y '.Y