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Home My WebLink About3216 NEW YORK AVE - Building Permits(714) 754-5273 • Faz (7ta) �sa-aa56 • www.c�.costa-mesa.c�sUMBING PERMIT �� FAIH UFIIVt, GUSIA MtSA, l:A 8Z626 Job Address: 3216 NEW YORK AV Suite No Vicinity: Parcel Nunmber: 13910229 � Applicant: NOCK, CANDY ISSUED BY: Address: 11612 KNOTT ST -- - --- -- � -o.-,, : SUITE 217 ; �,; J�i,%'Phone: -714z895-1246_ �; =� GARDEN GROVE, CA ;:::'•� ' � . r". Zip: J92841 - ' � - __' ";`� /�/':-, _-- .,� � . I �'1 -�:-�_�.. Owner: Address � em ,Soda; �" 5T Status: ISSUED Applied: 08/OB/2006 Issued: 08/08/2006 J', .� .� �, `, 1 ^' ` ,, �/�� r �,��` i )NA�L ; '� � "� � � G ' .1 � _ � � �.�' ��--� AVE . : -. .,_. .. ` , � � i'/ .' - ' . c �- -�.� � '- � �,.) 1 ( ��,� �� `/i( -�-� .Phone � �`�\ ��:;`\� �� / � Zip. 92626 �� \�� j ��\ / �/ ' \��\�� C � � '/ l``�� '� /� �;'� ,� � ING �� Phone:,�, 714-895-1246 tDENGROVE,CA � Zip:�/92841 � ,, , - ;License: - 707775=' � � 'r ' '/' _ __ ; �-� . '� / ' �i r„ � .%� ''i � (. � � : � ; s; .=<: ° SCOPE OF PERMIT -'_°j�� 'i%> � . ; � ,-\ _\ fER HEATER REPCACEMENT IN AN EXISTING DWELLING. ._�- � AMT � } ';��, i $23.50 1' I $0.00 �� s i $0.00 � �' 4 $0.00 � ' $0.00 �(o)!, ° $0.00 � ,. so.00 -� �1��1, $0.00 Drain; Floor�, ��\ � $0.00 Drain,�Rainwater � \,�� $0.00 Drain,Roof V�� A�$0.00 Drinkiog�Fountain-' \$0.00 ExpansionTank ,�, $0.00 Gas Earthquake Valve � $0:00 Gas (1-4 outlets) " $0.00 Gas (Over 4'outlets) $0.00 Gas Repipe A� �� 80.00 GasService � .�� $0.00 Interceptors (Grease;�0ip. $0.00 Interceptors (Sand Auto )'� �$0.00. �`; ;� WITH THIS PERMIT. �j� �r� r,-r�,� ,� �FEE SUMMARY ,• ;� �� '�� ' ' 1�, i, „, i - i c; �.1: _ � •.✓�it , ; . ! 1.I�AMTI.II �T_Y ' �' i --� �-`-=��-Cau`ntlryTuti/Washei �-==�$0.00 �-0= -`�-JSumpPump � ; 0'� Landscape Irrigation $0.00 `0� I Swimming Pool � �' 0 � ,.i P,�Trap �_ , _. $0.00 �On � TrapPrimer �? 0 -- - -PressureRegulator :�� 5000`�Of"�,�, y^�� Urinal �(� 0�"'"'Process Piping (per 10 ft) `""`$0 00' ,�0 r'" � Vacuum Brkr 8kflo� 0 i �� Receptors - -" `- - ---$0;00 % 0 - � VacuumBrkrBkflo� 0 i SepticTank y$0.00.�� 0 � WashBasin � O.i Sewer Cap for Demo - `� -$0.00'_ 0 �'-Wash Basln Selt � 0 Sewer Connect -s$0.00'_`..0 Waste and Vent�Sv 0, Sewer Private Line $0.00 0 Water 0: Shower ' ��rw'^�S=' $0.00 0 Water , -5:. .. - 0� Sink, bar;;...n',"';�` �,' � -x_$0:,00 0 Water 0� Sink,'commercial , .� �$0.00;.*�„0 Water , 0� _Sink�Floor � � �% $000 ,�`0� -� ;�,,,_Water, ��0 � '� �'F.Sink �kitchen� �� - $000 "'0 � - - .�'"Watei �0�� <� Sink.servicelmop ��`�=�'' $0.00 0 � �Y,.OTHEI 0�.A,A �<'Spa(privale) ,.; $0.00 0.: .-�%�iVIOLA � 0 �'��' ��•;Spa (publioy. - , �� $0.00 `0 � � =';%' PLAN� � � , (��., �` �~.,�� `-��-�.' ; '�'' =�_='_,. -��" � �\� RE�N< �C.��`I� 1 �, " � � _ TOTAL-CALI �,I��;l,-�,- � __ -_ .. _ �yt,�, v`' .� `COMMENTS`/ SPECIAL CONDITIONS �`'�`_.�,,^ 4-_-�::�`... .. .= J/'� fl �� _ _��c�--,;- ,. �,�1= _ - Qnst or e ��0 Bfjti � � � ; �I '. i__'ri U il �_AMT �Cg ��$0.00 � �,0 / $O.00 �„JO l y ^$0.00 �'� � 0 j-� $O:OO I�� 0 -4) . $Oi00�.; 0 +) --50.00 �� IO �_ $o 0010 ( �$0.00` 0 m��$0.00 0 � ) $0; 00 0 `��/ $12_30 1 ;ep.) I$0;00 0 ��$0.00 0 1l ' {$�.�� 0 $0.00 $0.00 $0.00 so.00 0 535.80 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord.:No; 92•28, § 1, 12•21•92) EXPIRATION: 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. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permfl. FOR INSPECTIONS CALL: (714) 7545628 zaaaas(arool WORKERS'COMPENSAnON DECLARArON: - � � I hereby ettimi�unCer penalry of perjury one oi the tollowing tleclaretlons: � - • ❑� I heve end �will'malntain e certificate ot consent to self-Insure far workers' campensatlon, as providetl tar by section 3700 af the Lebor Cade, far ihe peAortnence of the work for whlc� f�is permit is issuetl. �� I hev wlll mainWin xro* er5' COmpensa�on i uranCe, es req iretl by secti0n 3700 of Ihe Lebor Cade, for ��e perfomlBnce ot Ne work far whlch iMs pertnit Is Issued, M w rk /� ti,J,,','�`n�\ r ce tl r are: //y� /��-�%� //7 , 1 GCer � 1'I 1��1� J�IJ�� PWicyNumbeRJ.� 7�-{� l ��y_ (Thls sectl ot be completed il the permit is veluetl et one hundre0 dollars ($100) or less.) �%°'--^ ❑ I certHy Ihet In the pedormance o1 the wwk-fo� pertnit is issuetl, I shall not employ eny person in eny manner so es to become subject to the workers' compensatlon laws of Calit�r ile; en� et If I shoultl Cecome sub�ect to ihe warkers' wmpensatlon provlslons of Se 3700 af ihe Lflbor e, I shall forthwflh compty wllh these pro ' ions s � � �_ ��( � Appli`Signe� ��— Dete:_. WARNIN�: FAI ECURE WORKERS' COMPENS4TION COVEMGE IS UNLAWFUL M!D SHALL SU6IECT AN EMPLOVEP�TO CRIAUWIL PENPLTIES AND CML FlNES UP TOONE MUNORED hKK1SFN (5100,000), IN AODfT1IXJ TO TME COST OF COMPENSATIIXJ, OMMGES A$ PHOVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED COMRACTORS �ECLARATION: I hereby ettirm that I am Iicense u de r'sif torce end aflecL Lic. a ConiredoYs SigneWre: Chapter 9(commencing with Section 7000) at Division 3 of the Code, end my Ilcense Is in full CONS7RUC710N LENDING AGENCY: ❑ I hereby aMirtn that Ihere is e consirudion lentling egency for the pertormanca ot the work for w�ich ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lentler's Addreu: Signature: Date: OWNER-BUILDER DECLAAATIONS: I hereby flttirm ihet under penalty ot perjury �het I am EXEMPT FROM THE CONTAACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Buslness end Professlons Cotle: My ciry or counry which requires e permit to construq, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit to Poe e sipned stetement thet he or ahe is Iicensed pursuent ro Na provisions of the Contractars License Law (Chepter 9(cammencing wlth Sectlon 7000) of DlNsion 3 of ihe Business antl Professions Coda) or t�at he or she is exampt Iheretrom and the besis for Na elleged exemption. Any violetlon of Section 7031.5 by eny epplicent for e permit subjects the epplicem ro e dvil penelry of not more than tive hundred tlollers ($500).): ❑ I, as owner of the properry, or my employees with weges es their sole wmpensatlon, WILL DO Tl1E WORK, antl the structure is not Intentled or otteretl tor aele (Sec. 70C4, Business and Protessions Code: Tha Contractors License Law tloes not epply to an owner o� property who builds or improves Ihereon, and who does such work himself or hersetl or Nrough his or her own employees, providetl the� such Imprwemenis era not intentled or ottered for sale. If, however, the building or Improvement Is so10 within one year of completion, the owner-6uilder will have the burtlen of Dmving that he or she did not Duiltl or improve for purpose of sele.). • ❑ I, es owner of the property, em E%CLUSIVELV CONTRACTNG WI7H LICENSED CONTAACTORS ro construct the project (Sec. 7044, Business end Professions Code: The wntractors License Law tloes not eppy lo an owner oi proparry who builtls or Imprwes Iharean, antl who conirects lor such proJect wlih e conireqar(s) Ilcense Durauent to the Contrectors License Lews.). ❑ I em exempt untler sec. Business entl Professions Code tor t�is reason: Signature: Date: Ownar ID venfled by tlriveYs Ilcense. ❑ Ves ❑ No Drivers License No. Ezpires: Vedflcatlon o1 Owners�ID by (type oi tlocument, i.e. - property ta¢ bill or deed): DIVISION OF INOUS7RIAL SAFETY PERMR CERTIFICATION: ❑ I hereby Certify tha� no excavation five (5) or more feet in depth into which e person Is required to tlescen4 will be made In connectlon with work euthorized by ihis pertnit, antl �hat no building structure, scettolding, talsework, or demolition or tlismantling thereof, will 6e more ihen Ihirry-six (3fi) feet �ig�. (Chep. 3.2, Grp 2, Art 2, Sec. 341, 71t1e B, Celitomla Administretive Gode). � ❑ As owner-bulltler. I will not emplay anyone ta da work w�ich woultl require e pertnil trom ihe Division ot Intlusiriel Satery, as noted ebove, unless such pereon hes e pertnit to do such work irom the division. Signeture: Date: Division o1 Industnal Setery Permit Number: CEHTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: I certily under penalry of perjury that I heve read Ihis epplicetion antl state that fhe informetion given Is correct. I agrae to comply with ell sWte lews entl ciry ordinances relating to builtling conslrucllon, entl euthodze reprasenletives oi the Clry of Coste Mese to en�er upon the ebove-described D�operty for insDection purposes. I agree not to occupy or allow occupancy of eny building authorizetl by ihis pertnit until final inspection. COOE I. �xsvecraN*rve 1678 1266 200 201 202 203 Fi:ed System Final Fire Prevention Pod Spe Final . Finel Re-Roof Final Block/Retaining Well Final Fadory Fire Place � . Flnel Slgn 204 Final Demolition � 206 Final Mechanical 208 Final PlumDing 210 Finel Elecirical 212 Finel Flre Prevention 220 Flnel Plenning Approvel 222 Finel Slte 250 Finel Bullding�Occupency (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3216 NEW YORK AV Suite: Vicinity: Parcel Number. 13910229 Applicant: ANDERSON, BRIAN Address: Owner: BURNS, RAMONA L Address 3216 NEW YORK AVE COSTA MESA, CA Zoning: Phone: 714-543-5400 Zip: Phone: Zip: 92626 Contraaor: A 1 ALL AMERICAN ROOFING CO ORANGE COUNTY INC Address: 1218 E POMONA ST SANTA ANA, CA Zip: 92705 Arch : Address: Phone: (714)543-5400 License: 693307 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 71/28/2000 Issued: 11/28/2000 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF ROOF. APPLY NEW 4 PLY ROCK ROOF. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0-0 Rear 0- 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Re uired: 0 Pro osed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,500.00 $3,500.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related I Iregulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned I for a period of 180 days. INSPECTIONS: In order (or the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � zaasrs(wool WORKERS'COMPENSAnON DECLARAnON� � � ��. I hereby attirtn untler penelry ol perjury one of the tollowinq declaretions: ' ❑ 1 have entl wlll maintain a certiticate oi consent to self-Insure for workers' compensation, as provitletl for by section 3700 of the Labor Cotle, for the pertormence ot ihe work for which Ihis pertnit is issuetl. � ❑ I have end will maintain workers' compensation in rance, as required Dy section 3700 of the Labor CoOe, for the pedortnance of the work tor w�' i�his pertnit is issued. My workers' compensation InsurePce carner e poli number are: Cerrier. T➢'� Policy Number. (TM1is section need nof be completed i! fhe Oermit alued at one hundred tlallars ($100) or IessJ ❑ I certify t�at in ihe peAormance of the work tor which this permit is issued, I shall not employ eny person in any manner so es to becom uDject to ihe workers' compensation laws of California, end agree ihat if I shoultl becoma sub�ect to the workers' compensation provisions of Sectian 37 of Ihe Lepor Co�e, I shell fort�with �y with these provision ^�/ //_\ Applicant.Signature � v�(��f%//.Q—�- Data: �/ O�A / W WARNING: FNLURE TO SECURE WORKEi1S' COMPENSATIIXJ COVERAGE IS UNIAWFUL AND SMALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND VIL FINES UP TOONE HUNDRED THIXISAND DOLURE (5100.000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTIIXJ 3�O60f THE LABOR WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed under pryl�iyiap�ot Ch er 9 o ang wi�h Section 7000) ol Division 3 oi ihe Business antl Professions Code, end my license Is In full force ana eMect. Lic. a 0� Cless p Co� IoYs SignaWre: � .i� � � Date: � CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirtn Ihat thera is a constmction lenaing agency for ihe peAormance ol ihe work tor which ihis permit is issuetl. (Sec. 3097, Civil Code). Lendels Name: Lentlers Atldress: Signalure: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm Ihat under penalry ot perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Buslness antl Profeuions Code: Any ciry or counry whic� requires a permit to consWct, alter, improve, demolish, or repair eny sfructure, prior to its Issuance, elso requires the epplicant for such pertnit to tile e signetl statement that he or she Is licensed pursuant to ihe provlsions ol the Contrectors License Lew (Chapter 9(commencing wlth Sectlon 7000) ot Division 3 of t�e Business end Professions Code) or Ihat he or she is exempt theretmm end Ihe basis for the ellagetl exemption. Any violation of Section 7031.5 by eny epplicant tor e pertnit subjects t�e applicant m a civil penalry of not more than five hundred dollars ($500)J: ❑ 1, es owner ot the property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, antl t�e siructura is not intentled or oHered for sele (Sec. 7044, Business and Professions Cotle: The Contractors License Ww does not apply to an owner of propeny who builds or improves Ihereon, antl who does such work himselt or herseN or through his or her own employees, provided that such improvemenis are not intended or oHeretl for sele. If, however, Ihe building or improvement Is sold within one year ot com0�etion, ihe owner6uiltler will have the burden ot proving Ihat he or she did not builtl or improve For purpose ot sele.). ❑ I, as owner ot the pro0erty, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRAGTORS to consiruct ihe pro�ect (Sec. 7044, Businass and Professions Code: The conirac�ors License Law does not apply to en owner of property who builtls or improves theraon, antl who contracts tor such pro�eci wlih a contrector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Signature: Ownar ID venfied by dnvefSliCenSe. ❑ Ves ❑ No Business and Prolessions Code for t�is reason: Vetltication oi Ov.•nership by (type ot documeN, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CEqTIFICATION: Driver's License No. Date: Ezpires: ❑ I hereby cenify that no excavation five (5) or more feet In depih into which a person is required to descend, will be made in connectlon with work euthorized by this pertnit, and that no building sirudura, scattolding, felsework, or tlemolition or dismantling Ihereof, will be more ihen Ihirty-six (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle 8, Calilomia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a parmit from Ihe Oivision of Industnel Safety, es noted above, unless such person hes e pertnit to do such wark irom Ihe division. SignaWre: Date: Division ot Intlustnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZATON OF EMAV: I certiy under penalry oi perjury Ihai I have read this application end stete that ihe iniormation given is correcL I agree to compty with all staie laws and ciry ordinances relating to building construction, and authonze representatives of Ihe Ciry ol Costa Mesa to enter upon Ihe flbove-described properry for inspection purpases. I agree noi lo occupy or allow occupancy of any building authorized by this permit until finel inspaction. COOE I, INSPECTIONTYYE 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Rooi 201 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �. 1 .IIIL. /� � i CODE� INSPEMIONTYPE 206 Final Mechanical 208 Final Plumbinq 210 Final Eleciricel 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupency QSIF. II{�EL$ AGP��ant to fill In all s0acl5 withln �eavy bo�tle� Iinei anE si9n all approDriate Aecldrations. GTY OF COSTA MESA ' reanniTl,ilO.O�/ TRACT NO. LOT NO. �BLDG. NO. CONSTRUCTION PERMIT 5 � ProjecrAddress - TVPE OF CONSTRUCTION OWnef• > � ' PhOne ❑ NEW ❑ ADD -❑ ALTERATION � - " � Address,j"Z ' �[ \ i' � O REPAIR -� CONVERSION ❑DEMOLISH �Arch/Eng. ' -' ' • " "CiCenSeNo:' ' ❑ OTHER � Addreis � '� � " ' ' - ' ' - - - DESCRIPTION OF WORK ' Conbacfor - � -- "" - " � Phone TVPE OF PERMIT . � '�AddfMs �� ` � - � � ❑ GRADING � . ❑ FOUNDATION ❑ STRUCTURAL LICENSED CONTRACTOR DECLARATION � O TENANT ❑ ELECTRICAL ❑GLUMBING ❑MECHANI I hereby affirm that I am IlcenSeC unaer provisions of Charter 9(com- • ' mentlng -with settion 7000) o� Division 3 of the- Business antl -❑'OTHER - - Protessions Cotle: antl my Iltense is in fuu torce antl effect.. PROJECT DESCRIPTION - � - - License Class License No. Date Si9nature � • SQ.�FT. � � . . . . WORKERS'COMPENSATIONDECL-ARATION � OCCUPANCV_C TRUCTIONTVPE. il hereby affirm thal I have a certl(icate of consent to self-insure or a. VALUATION ZONE certificzte of Workers' Compensation Insurance, or a certifietl copy - eot (SeCtion 3800, Lab. CJ. ., GRADING CU. VD ACRES y No. Company � - � -' Certifieticopyisherebyfumishetl. �� '�• -REMARKS: � 7'�Q�l. - - - ❑ Certifletl copy i5 tiletl with the city Builtlinq Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl nat be completetl-if the permit is for one huntlretl - . � S$300) or IessJ. ' certify that In the performance ot the work for which this permit is . . _ __ izsuetl, I shall not employ any person in any manner so as.to become PLUMBING ' " PLAN CHECK . suGject to the Workers' Compensation-Ldws oi Cdlifornia.--- Date Signature BATHTU85 SHOWERS NOTICE: If after making fhis tleclaration, you shoultl become subject TOIL'ETS � URINALS to tM1e Workers' Compensation provisions ot the Labor Cotle, you must _. forthwi[h comply wi[h suth provisions or this permit shall be tleemetl LAVATORIES DOVBLE LAVS revaketl. - . . ' " - "-' - ' ' .. _ _ _ . � CONSTRUCTIONLENDINGAGENCV KIT.SINKS �DISHWASHERS - I hereby dtfirm [hat there i5 a consVu<[iOn lentling ag¢nty (or the per SERVICE SINKS SUMPS � formance of the work for which thls permit Is Issuetl (SeCtion 309] Civ. C.). � � � F�OOR SINKS FLOOR DRAINS Lentler's Name Lentler'S Atltlres5 DRINKING FOUNTAINS i OWNERBUILDERDECLARATION - - INTERCEPTORS CLARIFI �P �QI� I hereby affirm that I am exempt from the ConVac[or'S License Law for the following reason (Section �031.5 BuSinesS antl Professions'Coae: SWINIMING POOL P TRAP 1ete � Any city or counry which requir¢5 a pErmii to con5truct, alter, improve, tlemolish or repair any structure, prbr'to its issuance, also re- yyqTER SERV ICE - �� ALT ATIONC2 qui�es the appli<ant fo[ such permit to tilC a signetl statement tnat he Is licensetl pursuant to the proJisions of the-Con[ractor's License'Law' GAS SERVICE OUT � «' �oter 9(mmmencing with SettiOn 7000) of Dlvision 3 of the x5s antl Professions Cotle) or tfiat he is exempt therefrom antl the yyqTER HEATERS �.J VT �� ' ' br the alle9etl exempiion. Any violatiOn of Sec[ion 7031.5 by .pplicanf for'a permit subjects the applicant to'a civil penalty' SEWERCONNECTIONS �� '` o� not more than five huntlretl dollars ($500). ❑ 1, a5 owner of tM1e property, or mY employecs with wa9es as thelr SOLAR TANK COLLECTORS ' sole Compensation, will do lhe-work, antl�the sVuciure is not intentletl. __ or off¢retl for sale. (Section ]044, Business antl %otesslons Cotle: The Con[ra<tor's LiCenSe Law tloes not apply to an.owner of a property who builtls o� improv¢s thereon, antl who tloes suth work himself or throu9h his own employees,�provitletl that such imp�ovements are not intentletl or ofteretl tor zale. If, howeveq the builtling or improvement Is Soltl within onc year of completion, [he owner will have the burtlen of. proving h¢ tlid not builtl ot improve ior the purpose of sale). as Owner of the-property, artf ezcluslvely coniractinq with Ic¢ �setl conttactors to const�uct lM1e project (SetfiOn �044, Business antl Profe55ion5 CoOe: The Con[ractor'S License l.aw tlo¢s no[ apply to an ownEr of property who builtls or improves tlte�eon, antl wh0 con- ttacts from'such projec[5'with a conVactor(5) IiCeSnetl pursuant to the Contractor'S License Law). ❑ I am exempt untler Section � B. & P. C. for ibis reaion - - " ' Date � ' Ow AA�✓� ha[I ntl Drivers' License ar 55 �� SOLAR PIPING SVS. ISSUE FEE ' MECHANICAL PLAN CHECK HEATING SVSTEM 0-100,000 BTV _ ANDDUCTING 100,000+BTU_ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000 + gTU _ (BOILERS BTU SVSTEM REPAIR, ALTERATION EXHAUSTSVSTEM MULTIPLE � ISSCIEFEE` -" unting; Goltlenrotl-Azsessor 8427 7/08/�� 10.00 .TL `. 1:^ : " - f . , . � 'ONING REGULATIONS , ' � :ZONE B D �SETBACK L ST. � L�EF VARD CA ��IGHTA REAR YARD (TO P/L) PKG. SPACE RE(1. STREET WIDTH ZONING APPROVED BY ;SPECIA� CONDITIONS: ' ' �T- (v�C/i .(] � ELECTRICAL� ' VTGo. R�EJF. � � ��. - PROPEIRTOVNLWE• ' . . .� _ i PROVIDED�� ;� � PARK FEE $ DATE � PLANCHECK �GENERATOR p:l KW_1-30 KW _ 'TRANSFORMER - APPLIANCE '10-SOKW�SO+KW_ ,MOTORS ' p�l HP_1-30 HP _ �(INC.SOI.AR) 10-50HP SO+HP_ FIXTVRES �OUTLETS SWITCHES GA$ TUBE $IGNS' ' ' -' ;POLE'LIGHTS - � ' " - SERVICE MAIN " AMP ��' '- APPLICATION APPROV ED BV �� ' DATE - F SUMMARV OF FEES .• � � PERMIT G $�. 'SMIP ' $ . PLAN CHECK E PERMIT . � � - - - ISSUANCE $- PLUMBING $ � � . �GRADING "$ PLAN CHECK $ , , " �' ELECTRICAL $ � $ PLANCHECK $ � - � M�CROFILM $ MECHANICAL $' _. TOTAL FEE 5 � - LE55 AD- PLHN CHECK $ VANCE PC §`_ •- ' � . , _ FINAL FEE S� _�' Aoplicant to fill in all zoaces ezceot ��ose within heavy eortler lines and sign'all appropriate '_'''".'' ' _ ' '"__ + ' P MIT N TRACT NO. " ;LOi NO.� ;� UNIT NO. GI7v oF COSTn iviESn CONSTRUCTION PEF�� I� , � , Project Address �—.�J�_., / �� L n �1 '� � �,��-� O � AppliCdnUs Mailino Addraca � : �.'/W P/i � TYPE OF CONSTRUCTION NEW � /�DD ,ALTERATION REP ; - ' ❑ CONVERSION' 0 DEMOLISH � OTHER ! Owner's Name � � � Phone n �L7 r � - . -- -, ,�p J, ! DESCRIPTION OF WORK/USE OF BL�G. Address � � � � - � � � A�ch/Eny.�. LiC2052N0. � TYPEOFPERMIT � GRADING�(� :FOUNDATION � STRUGTVRAI � � Addt¢55 � � ❑ TENANT ❑ ELECTRICAL �u PLUMBING ❑ MECHANICAL � � ' ' • � 6 '❑OTHER..-_ � Contrector's Nam Phone � � � � : . . - - '- - ' - ' i � . '" PROJECT DESCRIPTION 'Sq. FT. oCCUPANCJ_ Addresslmailing) /� ' CONSTRUCTIONTVPE 'VALUATION$ ' CityLicenseNo 1' .� � � �ZONE � � �GRADINGCV.VDS.- ACRES� f LICENSED CONTRACTOR DECLARATION � - - 1 hereby affi�m that I am licensed untler�provisionsof Charte� 9(commencing Remarks: i�i • ' . r-� � I � wi[h sec[ion ]000) of �ivision 3 of the Business antl Professlons Cotle, antl ' -� my license�is in,iW fo e and eftecC t4 �' ��(/J n.. .�, �-i�R�% i � � � � i Licen e a s icgnse No. Date�� 5'9 t' �-�Yl /�— PIUMBING '.FE + 'ORKERS'COMPENSATION DECLARATION � � � _ � � � e�eby affirm�that I have a certiticate of consent to self-Insure or a certiticate 8af Sink ;;. � � :ShOw¢�5' � . Workers' Compen5ation Insurance, or a certifietl mpy thereot (Section ' � , _ - , � _ � 13soo, lab. /� /�� p , Backflow Preventer - : Service Sink _ �� Policy No:��.�la`T �C>� � Company � Backflowlrngation � 1 , .SewerCa .: ' � �rtifietl capy is hereby furnishetl. � U ifietl t-�with the citY tlin9 v)si5�n; /. � eathtubs _. � � .e: ; Sewer Connection ' ; • � ' Date' � Applicant �LU /�� . , _ 1 E%EMP O PRO WORKERS' COMPENS TION DECLARATION Clarifier5• • • . . �• ,SOIa� ColleCtofi:. - (Thissettion neetl not be completetl it Ihe permit is for one hundretl ($100) o� � .. � � . . less). ( . Disliwasher _ - �� Solar Pipin9 . I certily that in the pe�to�mance ot the work �fOr whith this pe�mit is issuetl, I �� ' shall not emplay any per5on in any manne�.so as to become subject ta the Drinking Fountains �SolarTank � ' i Workers' Compensation Laws of Caiifornia. • - - � ' � � - � �ate' ' Si nature - � � � ' ' • ' � 9 Floor Drains ' � . Swimming Pool w/Spa� -NOTICE: If, aiter makin9;this tleclaration, you shoultl tiecome subjectito�tlie-- WorkerY Compensation provisions:of the ldbor Cotle; you must torthwith Floor Sinks � ' � Urinal ' � comply witM1 such provi5iOn5 o�,this permit shall �be deemetl revoketl. CONSTRUCTION LENDING•AGENCV GasService �Outlets ' WaterCloset 1 hereby affi�m that there is a construction lending agency fonthe perfo�manGe of tM1e wo�k �foi -which this permit is issuetl (Section{ 309].:Civ. C.) ' , ' txntler's iVame ' � Interceptors �WaterHeater � I , � ; �ender's�AdGress -- - - KitchemSink , ' .. - Wa[erService� -� �-� OWNER BUILOEN bECLARATION ` � x � � 1 hereby atfirm that I am exempt trom the Contrzctor's License Law for the Lavatories � • Auto-Wash ' following reason (Section �031.5 Business antl Protessional Cotle: Any City or _ cOunt whith re uires a pe�mit to const�uct alter'improve demoli5h or repai� p �' � ' ons. ' , ' 2086 2%10/Bi , ' +5v00 :TL A.P..�k_ t � 1 Zone � � "' S Main Building: ' • 'Accessory Building'' � � TFront' ' ' � f � � , O ARear � ' ' i N C Right , r ' . . " . " „ ' "' r_ . 'N S Left � . . , ' t , � G . R Ping. Ref. # � � (Parking Req./Provided ' E Planning Notes:� � , _ - �' � � � i M � ' . ., � � , . + ' ' . � • S i ' � r ' � E�ECTRICAL` �- ,�, . i : 'FEES � - AutomaticWasher" � � , Transformer`�0�1550KW : � ❑�50+KW , Construction,PoleSub , '-� � � i = ' Cooking�Unit � i � � Meter ❑upro100amps - . ,- Dishwasher ' ' _. { Meter ❑over�100amps � , � : Dryers ❑Gas ❑Electric� ; - Sub PaneP • ` ' '� ' 1 ' Fan : Motors�0.1.HP�iX:B`. . . � F�.A.U. � �� Inc.Solar �9-15 HP �16-15> i Fixtures � � • Microwave � � ' Device Boxes � � Pole Li9ht � � � � _ Outlets • • � Range � � �. � � • -Switches . • — i' ' - Sign'r ' - � - ' "' - " i ' Garhage Disposa�l ' Standing Sections � ' any slructure, p9onto its issuance, also requires [he applicant fOqsuch pe�mit -�aP L3U�dry T�ayS Generator O0.5 KW'05-15 KVJ T�dSh�COrTpaCto� • I � to file a signetl ztatement that he/she is;licensetl pursuant to the provisions ot Roof Drains + - - ' , - i � Con[ractar's License Law (Chapter 9(commencing with Section ]000) of � � � ' ision, 3 0! tne'Buslness antl Professions Cotle) or that'he/she irexempY - . ' ' � ' -� - ' - ' - - refrom antl lhe basis for the allegetl�exemption. Any violation oi Section , � ' . , ' � � � , I � . j �, . d31.5 by any applicant for d permit sub�ects the applicant to ,a civil `� enaltyof not more,than'five huntlretl tlollars,($500). - ' I,I as owner of tne property or my employees witn wages as their sole Reinspection Fae $15 Isue Fee� $ 3 � � wmpensation, will tlo the wo�k, antl the stractu�e is not intentletl o� ofteretl � ReinSpBctiOn Fee ;$1$ • ISSue F¢e . _$ j tor saie (Section..]044, Business antl Protessional Cotle: She Contractor's ; ' ' MECHANICAL : . .FEES ' � � ' ! � License Law tloes�noVapply to an owner ot a Oroperty who bWitls o� imp�oves � � . � • thereon', antl wno tloes such work nimselt/herseli or through his or her own , i • DEVELOPMENT SERVICE$ REQUIREMENTS: � ' !^. ., . employees, providetl thai such impwvements are not intentletl or offeretl for Boiler - . . Hood or Type I ❑ . ,. , � , - �, ��wle: If; howeveq the bulltling or improvement is soltl within one year of com- � - CanOpy ' Type I I ❑ , . Z°ning Approved By ' � Date �� _ i, P�etlon, tM1e owner will'have the burtlen ot proving he/she tlitl not buim or im- Duct - Under Ground - . '' �Building Appraved By ' Dat� ptove tor the.pu�pose of sale). ' ' • � . ❑�I, as owner ot the property, am exclusively contracting with licensed con- Duct - Structural � � Refrigeration System' . � Application luued By � Dat . Iractors td construct the oroject (Section� ]044, Business antl Protessions Cotle: -- j The•ContractoPs License Law tloes not apply'to an owner of property who Duct - Ventilatin ❑0-100,000 BTU ❑100,000 BTU � ' �" � " ' butltls or improves thereon,-antl who contracts�for such projects wirn a com 9 , ... SUMMARV OF FEES • . � tractor(sl ucense'pursuant to rne Contractor's License Law). I'am aware thati, ' �� - ' BUILDING PERMIT $. � SMIP +`'-$` � proof of their Worker'S Compensation insuranie shoultl be piOvltletl to me. Exh2u5t Syit¢T ❑ MUltipl¢ ❑ System�Repair/Alteration . . . . - PLAN-CHECK $� � PERMIT �- . ' ��.I am ezempt untler 5ection - � B. & P. C. for this�reason Firepl/Fact Blt.`�IC80 #, Fire Damperr � � , t PLUMBI NG � $ 2' �`-T� ' �SSUANCE -' $ . Date' ' � � Owner � Heating System & Ducting - Registers _ � ' ' � - PCAN�CHECK 25%. $ � " ' ' ENERGV'P.C. $ ' '" X ' ' I hereby certiry mat I have ieatl tnis application antl state that the aCove ' ❑6100,000 BTU �100,0006T - " - � � - GRADING , $- - intormation is wrrect. I agree'to comply with au city antl county ortlinances'� ' ' � ELECTRICAL � $ .. �antl.state laws relating to builtling construction, antl hereby authorize repre-. ' � . � t � ' " � � : PLAN CHECK �50%'. $= ' �MICROF�ILM •, $ - � �� - sentatives of is city to enter upon. the above-mentionetl .property tor •' .;t _ . . . � _ • _ � � , . ^ �a.��.. ; inspection p p se � - MECHANICAL $ . , _TOTAL F,EE � $ �� U Signature ^ ' - oate_�� pains ction�Fee • '$15 � IssueFee " ' � � ' orivers' �icense or 55 � Pe $'3� PLAN CHECK �25%� $ � . GMF 0865-46, rev. 30/84 ' White - Builtlinq; Canary - Applicant; Pink - Accounting; Goldenrotl - Assessor CONSTRUCTION AND PLANNING ' � , POOL & SPA. . � - , APPROVALS Permit# Date Inspector qPPROVALS Permit# -� Date ' Inspector t.: , � 1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location " ' 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement �, � ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms� - G"� . t• � i <:.! 4. Electrical Conduit-Undrgmd. -55. Electrical Bonding . , � , ' � 5. Steel Reinforcement � 56, Rough Plumbing.& Pressure:Test - �• : 6. Electrical UFER Grnd. . � � 57. APPROVALTO COVER-GUNJTE . � 7. Footings �� . 58. Electrical Conduit-Undrgrnd�.i� � ' 6. Foundation . - 59: Gas Pipe, � Undrgrnd., TeSY" �� , . ' 9. Water Pipe-Undrgrnd. _ _ 60. Backwash Lines, P�Trap, � Undr9rnd. , 70. Structural Floor System 61. APPROVAL TO DECK ' , • • 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer Cap . . 63. Heater & Vent-Final � 13. 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 8ar 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 OGas ❑Oil ' 23. Gas Pipe-Rough & Test 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 76. DrY Standpipe � 28: Lathing & Siding � - , 77. FIXED SYSTEM�FINAL 29. Insulation ' 78. F�RE PREV. FINAL � 30. Drywall�Nailing . � HEALTH DEPT. REQUIFiEMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80.: FOOD CERTIFICATE ISSUED ' � 33. Final Electric � Notes: . . � � - 34. Final Heating & Air Conditioning � ' � 35. Final Gas�Pipe-Test � . 36. Hood or Canopy 37. Final Factory�Fireplace - , ' - �38. FinalPlumbing 3•3-U7 LEO � 39. Water Service-Final � �- 40. Gas Service-Final -. , 41. Solar�Domestic-Final � 42. Backflow Preventer � - ' 43. Backflow Irrigation _ ' � . 44. .Landscape Irrigation System - , 45. Sound Attenuation 46. Handicap Regulations � . � � � 47. FINAL STRUCTURE & BUILDING ' � 48.�,Special Requirements Completed ' . . � 49. Electrie Release to Edison � . . � 50. Gas Release'to Southem California Gas Co � . . � � 51. CERTIFICATE OF OCCUPANCY� ' No, � Date � � GENERAL CONTRACTOR � AP. No. LOT INSPECTIONS ��@./ep T OCCUPANCY Form 210—SM-11-59 S-8 P Vermont 9ve. Land Co.. Inc. CT 36L42S PIRE ZONE DATE I GROUP I Sc .J SUBCONTRACTOR DATE RIPTION OF WORK R25.S TYPE V ZONE � \ �'� . -- .� �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O: 80X 917 GOBTA MESA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT ADORess .3216 New �ork Ave. COSTA MESA CALIFORNIA �u,NFa Vnrmnnt Avenue Land Co.. Inc. & 7EL. OF LO7 V� X�.�� I NOW o� U6E OF EXI6TING BLDG. i1011e H6TBACK LINB PROM �nI p�we v � I LEFT S� I RIGHT S� DESCRIPTIOPI OF WORK I X II ee xaer�nu I II nnn�r�nu 6 Z EiN 6O SQ • Sti �ROOMS EXTERIOR WALL IROOF COVERING S'F.iV`On COVERII USE OF BUILDING AND WORK TO BE F EE RECEI� ED '��FINAI�C�1��PT. : `, (;�TY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only HECEIPT NO. P � ��`�� PECEIVE� �Y OATE RECEIVED DATE 19SUE� iew�n� �� n.-LA IIIIt n �nnn BUILDING COSTA MESA. CALIFORNIA �_��:c.v�aa ZONING ZO / NO. OP /� U8H OP N ,_i ` I PLANS `-1 � I BOILDING � Y LEGAL _ . _ _ _ _ _ . YARD6 APPROVED ' ICENffiR LINE BTJ APPROVED EVES 1 H6REBY ACKNOWLEDGE TNAT I XAVE READ TXIB APPLIGTION }Hg AMOUNT BXOWN UNDER VALUATION 19 FOR THE ANO 6TAT¢ TMAT THE ABOVE IS CORRECT ANO AGREE TO COM- pUFPOBE OF ESTABLIBXING w PERMIT FEE ONLY. p�v WITH wLL GITY OF�INAflCE9 ANO BTATE LAWe REDULATING 9UILDINO CONBTRUCTION. /J �q�( �� VALUATION SIGNATURE OF �( -� / `��/JAA A _ PERMIT FEE $ �6• � � ' $ � ��101• PLAN CHECK � l�• AUTHORIZED AGENT �ke �. C� grozre, I11C• � � OwNER FRANK BURNS / �. 139-102-"L9 LOT In_. ECTIONS DATE 6-24-81 "-- . SUBCONTRACTOR c�s � WATER Plum6in � ROIIGH PLl1MB�NG PROP. $WR. LINE n HOUSE CON. n . MISCELLANE0115 ROUGN HEATING FND �IN CONDITIONING TEMPORARV SERVICE OR POLE UN�ERGROUN� � POWER � ROUGM wIRING TRENCHES Il FORMS STEEL REINF. FLOOR SYSTEM BONO BEAM L STEEL REIN ORCE SHERTHING FRAME ANO FLRSMING 11TNINf. - IN I � OOT n PI 'EP 5 fU �ENT., REFRIG. AN� A.C., FINAL FIN4L RND WS TEST n FiNAL FINAL ,� , - . ��- COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 REGEIVE B For Applicant to Fill in Completely — Use Ink Only BUILDING / �(� V A.P. NO. � ADDRESS �� b� VeW ! drL ✓`� 6UILDING / OW� �� 5' �� QNS ADDRE55 �r/ VNIT OR MAILING �/ e,,, n O�� 57ACEN0. ADDRE55 Z 1 � �/ �-C/ �/�" T C IT V �- �S� N OL� r�� NEW ADD CONSTRUCTION LENDEF BRANCH ADDRESS AODRESS CONTRACTOR ADDRESS CITV F STATE � LIC. NO. {y SIZE 4 OF LOT a USE OF '„�. EXISTING BLDG. � ir TEL. TEL. NO. CITV LIC. NO. NO. OF BLDGS. NOW ON LOT FSeparate permits are required for � electric, plumbing and heating work: � USE OF BUILDINGIND WORK 70 BE PERFORMED F USE I//i . 0 �' � LTER RE� I n � � vAWE a� NING ACTION DATE PERMIT BLK. 90 TL S /r/ L L/�r� �/ �� C��.(1iE APPROVED � m✓��QI/l �O� l I✓L eQV �, • APP V D n� ..7 r a W � 1 hereby acknowledge that I have reatl this application anE state � � p,! thet the ebove information is correct antl agrea to comply wiffi � 4 all lews reBulating builtline <onstruction, anA I shall not employ ' ,L� � �any Oerson in violation of the workman's compensation laws of ��Z v- y the State of Calitornie. , � 9Q. FT. Q • •�_ � 3 I hereby certlfy that I am properly Iicensed as a contracior under , ihe State of California Business antl Professions Coda, Division 3, THE AMOUNTSHOWN VNDE VALUATION IS FOR m Chapter 9, antl that such licensas are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from the D�ovisions of the Staie of Calitornia B�siness VALUATION PERMIT FEE $ ,� entl ProfessfOns Cotle, Divislon 3, Chapter 9. � m Signatur PLAN CHECK $ v o Perm�r ee $� � TAX $ �, v u _AuthorizedABeni Date /� TOTALPAID $'f �, (//�