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Home My WebLink About3210 OREGON AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3210 OREGON AV Suite: Vicinily: BEDROOM Parcel Number: 13909310 Applicant: WILSON, BOB Address: 485 E�18TH ST COSTA MESA, CA owner: ENTSMINGERTRUST Address 3210 OREGON AVE , COSTA MESA, CA , ' Contractor: BI WILSON AND SONS Address: 485 E 18TH ST COSTA MESA, CA Zip: 92627 Arch : Address: Zoning: Phone: (949)646-1740 Zip: 92627 Phone: Zip: 92626-2223 Phone: (949)646-1740 License: -. 377487 Eng: - Addre'ss: ISSUED BY: Slatus: ISSUED Applied: 04/24/2003 Issued: 04/25/2003 �� . Phone: ' ; , , Phone: � - � �, Zip: � . License: , " License: SCOPE OF PERMIT 280 SQ. FT. FIRST FLOOR ADDITION TO AN EXISTING BEDROOM. �- � �'.' 40°/ OPEN SPACE REQ.; 59% PROVIDED. . � 25% REAR YARD COVERAGE ALLOWED; 10% PROPOSED. - Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $26120 $401.85 $2.59 $0.00 $0.00 $0.00 $665.64 SETBACKS MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0-0 PARKING Existinq: a Rear 14- 0 Rear 0- 0 Re uired: 4 FEE SUMMARY PLANNING & ZONING Left 5- 0 Left 0- 0 Proposed:, 0 Calc Valuation: Claim Valuation:. Ri9ht 6-0 Right 0- 0 $25,872.00 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or iF work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2448-46 (&00) WORKERS'COMPENSAnON DECLARAnON: I hereby efrirm untler penalty o� perjury one of the followinq declarations: ❑ I heve and will maintain a certificate of consent to self-Irisure for workers' compensation, es proviaad for by section 3700 of the Labor Code, tor the pertormanca of the work far which ihis perr*iit is i55ued. �, bhava and will maintain �+'orkers' compensation insurance, as requiretl by seciion 3700 oF the Labor Code, for the pertormance of Ihe work for which this permit is issuetl. --- My workers' r5ompensya�ion Insurance carrier and policy number are: Carner: VT4-/G ��.'ni? PolicyNumber. VS�S�Hy�J (This section neetl not be completetl i! the permit is valuetl at one hundred dollars ($100) or less.) ' ❑ I certity ihet in ihe peAtl�mance of Ihe work for which fhis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensetion laws of Galifomie, antl agree Ihat it I should become subject to the workers' compensation provisions of Section 3700 0l tha Labor Code, I shall forthwith comply with �hese provisions. �� / J� Applicant Signature: �� U oaca: � �%z S�2o� 'z WARNING: FAILURE TO SECURH �'�'ORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDPED THOUSAND OOIIARE (8100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTIqJ 31W OF iHE IABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn that I am licensetl untler provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull torce en0 ettecL Lic. N -s 7 Class q� r ConiractoYs Signawre: � C� - Date: y �/� O 3 CONSTRUCTION LENDING AGENCY: ❑ I hereby aftirm ihat there is a construction lentling agency for the pedormance oi the work for which this partnit is issued. (Sec. 3097, Civil Cotle). Lentlels Name: Lenders Address: Signature: Date: OWNER•BUILDER DECLAFAnONS: I hereby aHirtn that under penalry of perjury Ihat I am EXEMPT FROM 7ME CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Cotla: Any ciry or counry whiC� �equires a permit to construct, alter, improve, tlemolish, or repair any swcture, p�or to its issuance, also requires the applicant for such permit to tile e signea statement the� he or she Is Ilcensed pursuant to tha provlsions ol the Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of DlNslon 3 oi the Business end Professions COde) or that he or she is exempt therefmm end the basis For the alleged exempiion. Any violation of Section 7031.5 by eny applicant for a pertnit sublecis the applicani to a ciVil penalty of not more than five hundred dollars (5500).): ❑ I, es owner of the propBhy, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intendetl or oflered tor sale (Sec. 7044, Business and Prolassions Code: The Contractors License Law tices not apply to an owner of property who builtls or improves ihereon, and who doas such work himself or herself or through his or her own employees, providetl that such improvements are not intended o� ottered for sale. If, however, the huilding or improvemant is sold wit�in one year of Fomplation, the owner-builder wiil have tha burden of proving ihat �e or she did not build or improve for purpwe of sale.). � ❑ I, as owner ot iha prop6rty am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contrectors 4�aense Law tloes oot appry to an owoer ot pmperty who builtls w improves thereon, antl wtro contracis tor soch projed with a coMractor(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Business and Prolessions Cotle for this reason: Signatura: Date: Owner ID venfied by tlriver's license. ❑ Ves ❑ No Drivels License No. Enpires: Vanficetion oi Ownership by (type oi tlocument, i.e. - property ta�c hlil or deed): DIVISION OF INDUSTRIA4 SAFE7V PERMIT CEiiTIFICA710N: ❑ I hereby cartity that no ex��ation five (5) or more faet in depth into which e person is requiretl to tlescend, will be matle in connection with work authonzed Dy ihis permit, and ihat no building structure, scattolding, talsework, or demolition or dismantling thereof, wiil be more than thirty-sia (36) feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, Ttle B, Calitornia Atlminisirative Cotle). ❑ As ownerbuilder, I will not employ anyone to do work which would require a permit from the Division of Industrifll Salery, as noted ebove, unless such pereon has a permit to do such work <<am Ihe division. Signature: Date: Division oi InCustnal Safery Permit Number: CERTFlCATE OF COMPLJANCE AND AU7HORVA710N OF EMAV: I certify under penalty of perjury Ihat I have read ihis application antl state that the infortnation given is correct I agree to comply wit� all state laws and ciry ortlinances relating to builtling consiruction, and authorize represematives of ihe Ciry of Casta Mesa to enter upon tha ebove-descnbetl property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit untii (inal inspection. 5ignature Of Le al neqs) Date -�'� �� y/� ��o :; pnd/Or Authorizatl Applicant Date S COpE1. INSGECTIONTYPE 1L�� INTffIALS 1616 Fizetl System Final Fire Prevention 7266 200 201 202 203 204 Pool Spa Final Finat Re-Raat Final BIocWRetaining Wall Final Factory Fire Plece Final Sign Final Demolition CO�j INSPECTIONTYPE � 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Finel Fire Pravention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Qd$E INTff1AL5 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 3210 OREGONAV Suite No Vicinity: BEDROOM Parcel Nunmber: 13909310 Applicant: WILSON, BOB Address: 485 E 18TH ST COSTA MESA, CA Owner: ENTSMINGER TRUST Address 3210 OREGON AVE COSTA MESA, CA Contracror. BI WILSON AND SONS Address: 485 E 18TH ST ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl � Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Molors to 10hp Motors to SOhp Motors ta 100hp Motars over 100hp Communication drops Sub panel to 200a COSTA MESA, CA " Phone: (949)646-1740 Zip: 92627 Phone: Zip: 92626-2223 -PtSone: (949)646-1740 Zip: 92627 . License: 377487 Status: ISSUED Applied: 04/24/2003 Issued: 04/25/2003 ISSUED BY: �� SCOPE OF PERMIT 280 SQ. Ff. FIRST FLOOR ADDITION TO AN EXISTING�BEDROOM: REF: B03-00680. ELECTRICAL TO INCLUDE: 4 LIGHT FIXTURES, 12 OUTLETS, 4 SWITCHES AND 1 SERVICE UUPGRADE TO 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $4.40 $13.20 $4.40 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY Quantity Temp Dist System / Lighting Busway/100ft � Standing Section 0 � �. Misc Electrical Equipment 0 Transformers up to 1 kva/kw 0 , . . :� . ............:.:.up to.10 kva/kw 4 . ' .................up to 50 kva/kw . . �., � 12 . .................up to 100 kva/kw 4 ..................over 100 kva/kw _ 0 Low Voltage Equipment 0 Low Volt Wiring System / Ckt 1 Misc. Conduit 0 Misa Conductar 0 Circus ( gen or ride) 0 Circus (mech ride or lights) 0 Chnstmas Tree Stand , 0 Fireworks Sland 0 � Other Electrical Fee 0 - 0 � Investigation Fee 0 Plan Check Fee Quantdy so.00 a $0.00 0 $0.00 D $0.00 0 $0.00 0 $0.00 0 $0.00' 0 $0.00 D $0.00 0 $0.00 . 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 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. , - I INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlons 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 2446-46ifi/00) . � WORKERS' COMPENSATION DECLARATION: I hereby aRirm untler peoalry oi perjury one oi ihe tollowing tleclaratlons: ❑ I heve end will maintain a certificate of consent to self-Insure tor workers' compensation, es provitled tor by section 3700 of the Lebor Cotle, tor the petlormence of Iha work tor which this permit is issuetl. �y I have entl will mA��ain workers' compensation insurance, as required by section 3100 of ihe Labor Code, for the peAortnance of the work for which ihis pertnit is issuetl. My workers' compensation Insurence carrier and Dolicy number ere: Canier: • sr /`c l'n rn� po�icyNumt�e�: _ O.S�JH�/S % ' (This section need no( be completetl i! (he permif is valued at one hundretl dollare (5100) or less.) ❑ I certity that in thd peAormance oi the work for which ihis pertnit is issued, I shall not employ any person in any menner so as to become subject to the workers' wmpensatlon laWs ot California, and agree Ihat it I should betome subjecl Io Ihe workers' compensatlon pmvisions of Section 3700 ot Ihe Labor Cotla, I shall torthwith comply with Ihese provisions �� > ApplicantSlgneWra:._ '� �""o"""' Date:� �%L.5/.�a� �? WARNING: FAILURE TO SECURE WOFKEFS' COMPENSATIqJ COVEMGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CFIMINA� PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TFIOUSAND DOLLARE ($100.OW). IN AODITION TO THE COST OF COMPENSATIpJ, DAMFGES AS PROVIOED FOR �N SECTION 3]O6 OF THE LA60R CApE, IMEREST, AND ATfORNE�'S FEES. LICENSED CON7RACTORS DECLARATION: I here6y aflirtn Ihat I a�n licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Cotle, end my license is in full force and ettect. Lic. » Class # Contraaafs Signaturep -��'� Date: u Y CJ '� CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a constmction lentling agency for ihe peAormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lenders Address: Signawre: Date: OWNER-BUILDER DBCLARATIONS: I hereby aHirm thai under penalry of perjury that I am E%EMP7 FROM THE CONTRACTORS IICENSE LAW tor ihe tollowing reason (Sec. 7031.5, 8usiness and Pmtessions Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair eny strucNre, prior to its issua�ce, also requires the epplicant tor such pertnit to file a signed stetement thet he or sha Is licensed pureuent to the pmNsions ot the Contrectors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of the Business end Professions Cotle) or �hat he or she is e:empt thereirom and the 6e515 Por the ellegetl exemption. Any violation of Sadion 7031.5 by any epplicant for a pertnit subjects the epplicani to e civil penalry of not mora t�an five hundred doilars ($500).): ❑ 1, as owner ot tha properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the siruGture is no� intended or ofleretl tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not appry m an owner of properry who builtls or impmves thereon, ana who does such work himsell or herself or Ihrough his or her own employees, provitletl �hat such improvements ere not intentletl or oHered for sale. If, however, ihe 6uiltling or improvement is sold wiihin one y0ar oi completion, the owner-builder will have the burden of proving ihat ha or she did not build or improve for purpose oi sale.). � ❑ I, a5 Owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTFACTORS to construci the project (Sac. 7044, Business and Professions Cotle: The wntra«ors License Law does not apply to an owner of property who builds or improves thereon, and who contrects lor such prolect with a contrector(s) licen5e pur5uan� �o lhe Contractor5 License Laws.). ❑ 1 am e:empt untler sec. Business antl Pmfessions Cotle for this reason: Signature: Date: Owner ID venfietl Dy O��er's license. ❑ Ves ❑ No Driver's License No. Expires: Veritiwtion ol OwnersPip by RYDe of document, i.e. - pmparty tau Dltl or tleed): DIVISION OF INDUSTRIAIL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no exwvation five (5) or more feet in depth into which e person is requiretl to descend, will ba made in connection with work authodzed by tMs pertnit, and that no building structure, scallolding, fa�sework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Adminisirativa Code). ❑ As owner-builder, � will not employ anyona m tlo work which would require a permit fwm the Division of Industrial Safery, as notad above, unless such person has a permit to do such work trom the division. Signature: Date: Division oi Intlustnal Sa�ety Permit NumDer: CERTFlCA7E OF COMPLIANCE AND AU7HORIZA710N OF ENTTiV: I certify under penalty of perjury Ihat I have read this application and state Ihat ihe information given is correct. I agree to comply with ell state laws end ciry ordinances relating m building wnsiruction, and authonze representatives of the Ciry of Costa Mesa to enter upon ihe ebove-descnbetl properry �or inspeqion Durposes. 1 agree �ot to occupy or allow occupancy of any building authorized by this permit until final inspection. �� Si�galOwner(s) And/Or Authonzed ApD�icant GOOE I. INSPECTION TYPE 1616 Fixetl System Final Fire Preventian 1286 Pool Spa Final 200 Final Re-Root 201 Final8lock/Retaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition Q� INTRIALS uate � :�JY/i�OU'' � Date �� SODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupency DRTE � (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3210 OREGON AV Suite No Vicinity: BEDROOM Parcel Number: 13909310 Applicant: WILSON, BOB Address: 485 E 18TH ST - COSTA MESA, CA Owner: ENTSMINGER TRUST - Address: 3210 OREGON AVE COSTA MESA, CA Contractor: BI WILSON AND SONS Address: 485 E 18TH ST COSTA MESA, CA � . MECHANICAL PERMIT Phone: (949)646-1740 Zip: 92627 � Phone: Zip: 92626-2223 Phone: (949)646-1740 Zip: 92627 License: 377487 Status: ISSUED Applied: 04/24/2003 Issued: 04/25/2003 ISSUEp l.�� SCOPE OF PERMIT 280 SQ. FT. FIRST FLOOR ADDITION TO AN EXISTING BEDROOM. REF: B03-00680. MECHANICAL TO INCLUDE:�1 VENT FAN TO A SINGLE DUCT.� �- , , � ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst/�Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping � Factory.Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers � ' Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00.- $7.25 so.ao $0.00 < $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry 0- 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 FEE SUMMARY Repair ! Alt Absorbtion Unit Repair./ Alt Refrigeretion Unit Venlillation System Evaporative Cooler Commercia l I nci nerator Domestic Incineretor Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30'hp /,1,000 k BTU � � 30 To 50 hp / t,750 k-BTU ! Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mecfianical Pee � � dnvestigation Fee Plan Check Fee , Reinspection Fee 11ij i_LSN_l Sfl�l �i\ l� q y� xc' Quantity $0.00 0 $0.00 0' $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0� $0.00 0 So.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $30.75 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia 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 780 days, or if work is suspended or abandoned for a period of 180 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 Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (714) 7545626 i 2a46-CB(8/00) WORKERS'COMPENSATION DECLARATON: I hereby affirm untler penalry of perjury one of the following tleclarations: � ❑ I have and will meintain e Cetlifira�e ot consen� b seN-Insure for workers' compensation, as provitled tor 6y section 3700 of ihe Labor Cotle, tor ihe pertormence of �he work tor which Ihis permit is issuetl. �I have and will maintain workers' compensation insurance, as requiretl 6y section 3700 of Ihe Lahor Code, for Ne pertortnance of Ihe work for which this pertnit (s issued. My workars' compensation Insurance car/der and policy number are: Carrier. �ra %[ � Unc7 Policy Number. � S��y S I (This section neetl nof be completetl il the permif is velued et ane huntlred dollers ($100) ar less.) ❑ I certity that in the pertortnance of the work for which this Dertnl� is issue4 I shall not employ any person in any manner so es to become subject lo the workers' compensetion laws of Califomia, and agree that if I shoultl bewme sub�ect to Ihe workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shell forthwith comply with these provisian� Applicant Signawre: �%�-�-� �� Date: y/.l �/O 3 WARNING: FAILURE TO SEGURE WORKE0.S' fAMPENSATION CAVERAGE IS UNLpWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL flNES UP TOONE HUNDRED TFIOUSAND DOLLARE (St00.000). IN ADDRION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)O60F THE LABOR COOE. IMEPEST, ANO ATTORNE�'S FEES. LICENSED CONTRAGTORS DECLAHATION: I hereby aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business and Professions Cotle, and my license is in full torce and eflect. uc.�A ;i P 7 Class k, .Ci Contractors SignaWre; Date�. � y:z � o"'S CONSTRUC710N LENDING AGENCV: ❑ I hereby aflirm t�at there is a consiruction lending agency for the peAormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Adtlress: Signetura: Date: OWNER-BUILDER DBCLARATIONS: I hereby atfirtn thet under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7W 1.5, Business end Pmfessions Code: Any ciry or counry which raquires a permit m construcL alter, improve, demolish, or repair any strucWre, prior to its issuance, elso requires the applicant tor such permit ro fila e signetl stetement ihat he or she is licensed pure�ant b the Orovisions ot the Contrectors License Law (Cheprer 9(commencing with SecHon 7000) ot Divislon 3 of ihe Business end Professions Code) or Ihat he or she is eaempt thereirom and the basis tor t�e alleged exemption. Any violetion of Section 7031.5 by any applicant for a pertnit subjecis the applicent to a civil penalry ot not more than five �unared dollars ($500)J: ❑ I, es owner of Ihe P�operry, or my employees with wages as iheir sole compensalion, WILL DO THE WORK, an0 �he structure I5 not intended or oHeretl tor sale (Sec. �044, Business a�d Profassions Code: The Contractors License Law tloes not apply to an owner ot property who huilds or improves thereon, end who tloes such work himself or herselt or Ihrough his or her own employees, pmvidetl that such improvemems are not Intended or ottered for sale. tl, however, Ihe builtling or improvement is sold within one ydar ot completion, Ihe owner-builder will have the burtlen of proving that he or she did not builtl or improve for purpose of sale.). - ❑ I, as owner oi thp p�o0erry, em E%CWSIVELV CONTRACTING WI7H LICENSED CON7RAC70RS to consWct Iha project (SecJ044, Business and Professions Code: The coniraciors License Law does not apply to an owner of pmpeny who builds or improves thereon, antl who conirects for such project with a comractor(s) licensa pursuant to the Contractoro Licen58 Laws.). ❑ I am exempt under sea Business antl Pmtessions Code for this reason: Signewre: Date: Owner ID venfied by tl��eYs licensa. ❑ Vas ❑ No Dnvefs License No. Verifiwtion of Ownership by (rype oi tlocument, I.a. - property tax bill or deetl): Enpires: DIVISION OF INUUSTP�� SAFETV PERMIT CERTIFICATION: ❑ I hereby ceriify that no excavation tive (5) or more feet in depih into which a person is required to tlescend, will be ma0e in connection wifh work euthonzetl by Ihis permit, and Ihat no building structure, scattolding, talsework, or demolition or dismantling thereoi, will be more ihan ihiny-s�x (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifamla Administrative Code). ❑ As owner-builder, I will not employ anyone m do work which would require a permit irom ihe Division of Indusirial Safety, as notetl ahova, unless such pereon hes e permit to do such work irom the division. SignaWre: Date: Di�ision ot Intlu5lriel S81ery Permit Number. CERTIFICATE OF COMPLIANCE AND AUi}IORIZATION OF EMAV: I certiy under penalty of perjury ihat I �ave read this appliwtion entl sta�e Ihet �he information given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and euthonze representatives ot iha Ciry of Costa Mesa to enter upon the above-descnbed propady for inspection puryases. I agree not to occupy or allow occupancy of any building authonzetl 6y this pertnit until tinal inspection. COpE I. INSPECTONTYVE j�1�iE IIf�RIRL$ 1616 Fixed Sys�em Fnal Fire Prevention 1266 200 207 202 203 Pool Spa Final Final Fie-Root Final8lock/Re�aining Wall Final Factory F've Place Final Sign 204 Final Demolitian '7�/[l :� � � Date LOpEi INSPECTIONttPE � � 206 Final Mechanical 200 Finel Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 2W Flaaf Buildlag/Occupancy 7 monc�saem�wNc: 3210 OREGON AC' I°""E"s"""E'F'°'°"": VOTTERI, ELOISE .�. �oonEss: 3210 OREGON AVE COSTA MESA.CA IiPPL. MANNG ADDRE55: IAIICNRECTOHENOINEEN: ARCN.OP EtK.'S AOONE55: carmAcrarsruue: J R CONS TRUCT I Ol� ca+m�croasxuuxo 3218 OREGON AV �ooness: COSTA MESA 92626 UNT: 92526 uc. wo.: UNT: (714)641-7498 CA uc.r�o.: 485367 UNT: UCENSEU COMNRCTOFS OECLAflATION: I M'eby Nim uMer par�ety d parjury iM� I am IicenseE �Mer pwiama d Gheqer 9 (commeneip wnh Section )000) d OiNson 3 0l IM Buaineea anE ProMeiona Gada, eiM m� i an ia in lull lace eM eHed. cmuc.No.:037981 uc.cuss: g uc. . 5'�, EXP: 03/96 om,:�'—?9- 9 S �o�� ' OWNEN BUIlOEP DECIAXATION: I hareby effirm undar penelly r' m I em exempl irom Ihe Comraaae Ucenae Lew fa ihe fdbxiq reemn (�� J�1.5 Bwibsa end Prolmsona Code: �ry c Y �ny wfiid� mq�ires e pertnt m oomwct. el�m. improve. Eemoloh, m repeir vry el�uclure, prbr lo ila eauence, edo requirea iM epplirant lor auch permil �o file e aqned etelemenl lhm M a ahe n IicenceE Wnuent to Ihe pansbm d Ihs Conlreaon �icenae Law �Chepsr 9(mmmendng wilh Seclon 1000) d DNeion 3 W the Bwineaa eM Ndembna Godel a IIw he a she e axemp therehwn vM IM bsw In Ne Nlped wemqion. My violmion d Seaon ]031.5 by eny eppliunt la e porm� eubpae �he epplicanl �o e civil parielry d mt mon ihan five hunEreE Eollere �5500�). � I, n awrer M the popaMw my empbyees wIh wepee n �hei ade mmppyetim, will do ihe wak. aM IM alructure u na intendaE or oflareE lor aeb (Sec�ian ]OM, Businees arM Prdesaiona Code: The Conlredme Licenae lewEma not epplytoen oxner d propa�ry who bulde or'mprovea iMreon, end who Eoea euch work Mmeett or heneX or IhrouOh hu a Mr ovm employre, provideE ihet euch ' qwemmb are rot imeMed «olleied ia eeb. II, howeror, tM W ikirp a'vnpovemenl is edd hilhin ma yev d mmplalion, ihe owner-0uiker MII heva IAe WNen d pmvinp M ar ehe did iwl Wik or impmre la iM W�s d ada�. ❑ I. m mmer W iM properry. em e�tlusivey conireG'vq Mith lioeneed wnveclwa to mretrud Ne qqetl (�� . �aircn end Pmlmeione Code: TM Camrmon Lkenae lew Eom ia eppy io an ovmer d popMy who Wilds or impovp thsrson uq who ronlredf la euch pmlede wilh e canlreqor�e) liceneetl W�uenl �o Ihe Convetlpe Lirenea lew). ❑ I em ecemq uMar Senion: B. 8 P.C.. M ihia reavon: Dme: Omwr: I do heraby nnity ihei l em ewme d end uikenlenE ihe reQuiremeMa ol Celdomu Heellh entl Sdery COEe SaGiana 25505, 2553], anE Y55�i. eM iMt I a ury Mun buiNiip om�pam xill / w/l rwi (arcb aw) neeE to canply wYh eeiE nna mdp ud iha �puimmoms la e permelamnevuclon or moCifiratbn homlMAk�epement Oiatna. RmidenlW mnetrud'cn xppfutiamen uempt Irom Iheee pranapne. oeie: ncviicanc WOPKEF'S COMVENSATION OECL�flAT10N: I Mreby etfi'm under peneM1y d pxjury ww d ihe Mbwiip Jetlereliora: � I have ud xil meinlen e centicme d mnaenl to eatl�inauro la xnrken' campenwion. u pwided lor by Seaion 3]ao M Ihs labar cum. t« ine p.namwco d ue .rw �« wYcn �no pertnil I. ie.uee. � I Aeve eM wil meinlen waken' mmpeme�ion inauranm, m roquirsE by Saaim �)00 d I�e Lebar Code, br the Po�menca d �hs n work tor whiM Ihie parmit e iuueE. My workeie' compeneetbn iruurarca wnx erd poliry number era: carriec STATE FOND EXPIRES Pd'zy Number: n�14�� Y! i-F� - 4� 01 / 01 / 9 6 (This eection need nw be complefetl ]!hs perml'v br om hundied dWkrs j51oo1 a b.v.) � I eenly Uat in Ihe peelamerce d ihe work br whieh thie peimil n bauetl, I ehell ml emDlqI vry P�eon in ury manrer eo n to become wbjea io iM �wrkere' compansmbn k�n W Cel' " d a rD e et E I f LM ome wbjee to iM Mwken' mmprtnse�ion proviabne o/ Secl� �)00 W the lebor COEa, I all l hwy ( p�� wil iaione. - Dele�. t�� 7_� S AppliaM: Wem/ip: Fallun ro�xun woilrwv'rompwvetlon roverap� Is le I, itl M�11 wbNct m wlp/oy�r ro cNMml pen�Mu aM clNl flrw iy ro om Irundrsd flpuuN ea/kn (S10q000A ln eWlHon ro M� cosf ol mmpawtbn, Wmrpu u praHdM br In SscOon 9)OB ol tlie LMor COW, InM�st, end etbmsy i leo. CONSTqUCT10N LENDINO AQENCY: 1 Mreby eifirtn urdm penelry d px'ryry �hm iMn ie e oonmruaon Ie�Miip apenry br tM partomienoe d the wo�ic la whiW ihu perml ia'owad �Sed'an Jp3l, CH. C). LENOEF'S NAME: LENDEH'S AOOHE%: I cenity �hat I heve reeE ihia epdkdion end atate Ihet ihe ebova inlormetion ia wmcl. I apree io compy vrith ell tlty eM munry adinemee end eiele kxs relelinB �o �ilding conarutlbn end Mreby aulhorrze repraeameiivm W Ihia dry lo m�er upon Ihe ebove�meMioneE qopery lor inped'pn Wrpoeee. JEFF ,�T,IMER CITY OF COSTA MESA — BUILDING PERMIT PERMIT r10: H 074367 PLAN CHECK NO: N CODISTRUCTION TYPE: V—DI PERMIT TYPE: STR PERM h10: B 07{:SF,'% GOVT: 19 SOFP: �`� PURPOSE: uTH JOB DESCRIPTIGN : T/OFF RE—P.00F W/ 30 YR COMP SHINGLE SQ FT: q,p00 CLAIM VALUE; 4,000.00 CALC—VALOE: 4,000,00 GROUP OCC: B-2 / COMMENTS: Sh10KE DETECTORS REQUIRED PER 1991 OBC �*�t�******«*�**+�**��***��*��**��;�x*�*r**��******;r***�**�**+�*******�**#**�* Z O N I N G R E Q U I R E M E N T S S E T S A C K S ---------- MAIN HUILDING --------- ----- ACCESSGRY HUILDINt, ---- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: ^ FT IN LEFT: F'T IN RGHT: FT IN LEFT: FT IIV RGHT: F1' IN PARKING REQ• , PROV: � PARCEL: 42522303 ZNE: REF NO: PLANNING D]OTES>` ;.�' .)� 'r iE iE aE iF iF iE �E iF iFlE iE �E iE 3E}F 9E 3E k iF 1E iE jE k it iF �E �f �)E iE iE jE iE 1E iE iE iE jE 3f * iE iE IE iE 9E iE iE if 3E if if 3E iF df iE iE 3F iE iE 3E 3E iE if iE �F iE 3E if 3E �E�iF iE if 'rE 3E iF iE iE iE 9E U 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 APPRUVED�BY UATE: �' /.- BUILUING APPP.OI;ED SY : DATE: , 1 APPLICATION I3SUED BY: /J DATE:9 �-�-*iEitiEiEiF*iE*iE*ic-3E'iE*iEiF*iEx� . � -,e, ,F3FiF**iE�aE*+EiE** �� t Jr F��iE£?F� LEGALIZATION:r! F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIP.E SMIP/RES GRP.DIS�IG PERMIT 63.00 50 SMIP/NON—RES PLAN I55UE FEE BUILDING—DIV—> PERMIT ISSCIE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REC�ENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: ,00 BI,L�G PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—rHECK 63.00 .50 jE iE iE iE if 3f iE 3E 3f if 3E �f �E iE �E 3E if fE iE iF if ik 3E if 3E iE if if 3E iE 1E if 3F iE if iE iF iE iE 3E 3E 3f iF 1E 1E 1E 1F 1E jE IE 3E �F iE 9FlE fE 9't df i�?E iE iF iE iF �K iE iE 3E �ElE iE �F iE i(�!F jE 3f iE 3E I N D I V I D U A L F E E B R E A K D 0 W N TYPE �TY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,000.00 END OF FEES ; ^ < _ � tY1 04±?i0�!�—JG191033 "i'�aT �;; .,� � oma: —.2i"�TS �Rfc. 49l:. ;)5 TIIiEi 14�SE ^=- �7i' I s�� Nrm,,.. �.�u.�e�Amic�m,.ea (S151de WP) WhBo-BuildNg 8 Sefely:Oreen-Fle; Cenery-Appi'ani: Pink-Rewnue; OOldanro�Namror �.CONSTRUCTION AND PLANNING POOL & SPA . . APPROVALS Permit # "Date Inspector AppROVALS Permit # Date� Inspector � � t. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. ' 53. Steei Reinforcement � ` 3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms � ., , 4. Electrica� ConduibUndrgmd. � 55.� Electricai Bonding � ', 5. 5[eel Rsinforcement 56. Rough Plumbing & Pressure Test ��" �.} 6. Electrical UFER Grnd. 57. APPROVAL-TO COVER�GUNITE � 7. Footings � �� 58. ElectricaJ Conduit�Undrgrnd. � 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. ` � � 60. Backwash Lines, P-Trap,� Und�grnd. 70. Structural Floor System '=�•� - 61. APPROVAL TO DECK .�� .' - t i. Propert4 Sewer Line & Hpuse Connection _ 62. Backwash & Receptor-Final • ' ' 72. Sewer CaP ,:'i�i 63. Heater & Vent-Final l, 73. Roof Dtains , • ',; � 64. Plumbing System � Final� �' :' � 14. Rou9h Plumbing . 65. Electrical-Fina� � � �� 75. Rough Electrical•Conduit 66. Solar System-Finai - : �. 76. Rough Electric Wiring � � 67. Fencing & Access Approval � ` 17. Rough Wirin9 Sign � 66. APPROVED FOFi P�ASTERING � 18. Rough Electriql-T Sar Ceitfng 69. POOL/SPA SYSTEMS FIIVAL � 79. Rough Neatin9 & Air Conditionin9 , FIRE DEPT. REQUIREMENT 20. Rough factory Fireplace APPROVALS Permit # 21. Ducts, in Struciure � 70. Underground Hydro 22. Ducts, Ventilating 71 . Product Piping O Gas ❑ Oil 23. Gas Plpe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. S[orage Tank O Gas ❑ Oil 25. Roof Sheathing q�Lt�Ll � 74. Overhead Hydro 26. T-Bar Cei�fng (Structuraq & Monocoat 75. Dry Ghemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding � �- ' 77. FIXED SYSTEM FINAL - 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FO00 CERTIFICATE ISSUED 33. Final Electric Notes: � ' 34. Final Heating & Air Conditioning 35. Final Gas Pipe Test 36. Hood or CanoPY - 37. Final F2ctory Firepiace - 38. Final Plumbing 39. Water Service•Finai 40. Gas Service-Final �'� 41. Solar OamesticFinal � , "�� . - , 42. Backflow Preventer , 43. BackfloW Vrrigation 44. LandscaPe irrigation System � � � 45. Sound Attenuation - � . 46. HandicaP Regulations ' 4>_ F(NAL STRUCTURE & BU(LOiNG �� 1 �I/I�� Yi 48. FINAL PLANNING - 49. Electric Release to Edison ;. 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date AD�NESSOFBUILpH�: 3210 OREGON OWNERSNMIEIFp10WN: VO�I�TERI, ELOI ADDXE55: 3Z1O OREGON A COSTA MESA,CA 955-1859 MPL. YNIINfi Ii0DNE54: AqCXRECTOXENtlNEEP: AXCN.OP FNO.'S dWHE55: UNi: 92626 uc. xo.: UNT: CONfXACTOX'SNAME: NOCK PLUMBING ( 714 ) 895-1246 CONfNACTOR'4MAlIlNO 11610 SEABOARD CIR �noxEss STANTON CA „�.�,, 511971 90680 �N,, UCENSED CONTflACTOXS �ECLppATION: I M1ereby allirm under peneYy W pe�ury t�et I em Ikenaed uMer qoWuone d Cheptar 9 �mmmend�p wilh Seciion ]000) d Drvieion 3 0l �he Bueinew entl Pro/esaions COEe, end my lioenea o in lull brta erd aMatl. cmuc.No.:050386 uc.cuss: C-36 uc.No.: 5119;rJ 1 EXP: Q2/96 Deu: �� /y� Conbeqor. � ��/�C_ ��/�/ ��/l.iV OWNEN BUILUEF UECIANRTION: I he�eby eifiim uMer pane�y d perN'Y �� M�q Imm IM Cmiraqon Licenae Lew la ttro lolbwinp reawn (Setlion JW 1.5 Buemeae end PMmaione Catle: Any Ny a counry xfiidi rpui�ae e pertnit lo conalruct, allp, imprwe, demolbh, w repeb eny elmnuro, pnor to ib ueuence, eho reQuime Ihe eppliranl br euc� psimA to fila a eiprwd etetemem ihet M or eM ie licanasd pureuant lo �M pansiom d ihs Conlreqon Limnne Lew jChepbr B(mmmme�p wilh Sed'an ]000) d ONoion 9 d tM Buainw W Rdmioru COEsj a ihel he a Me ia exsmp �herelmm uM Ihe bseie Iw tM alMped avemqion. My videtion d Seaian ]031.5 by enY aOV�icenl Iw e permil subjsUe IM epplcenl to e snl parulry M iw1 mwe ihen Ma huMntl EdWe �55001). � I, ee owmr ol lhe prope�y w my empbyeae xil� wepee u ihe'r eols wmpeneetion, will Eo IM vroM, eM iha eVuc�uro b nd Inlended a oMered br W� (Sanim )ou, BuNnep and Prola�iwu Code: Tha Comrsclwe Licam� lew don'rol eppty lo en ownard O�WM wM WiM a inqovm Ihenon, eM who Eoee euM work h'unsaM w Misetl a Mraph he u Mr oxn emplqrom, pwidsd iM wch impanmeM� ua not inlendeE a allweC lar eab. tl, lawawr, iM buiNirp a inprovemsm b edd wllhin an ym d comWqian, iM ownor-0uiker aill heve IM WNm W pmvinp M or �he d'M rrot Euild or improw br IM Wm�e d Wa�. � I, ea owner d Ihs properly, em eRdueivey mnlreGhp xith lioenesd conVeclon to caMruq the prol� 1�4n 1014. Businw� arW Prolueioen Code: TM COMredon Lioenw Law Eoa� rid epyy to an owTMr af propeily who WiM� p imqova �hawn uM wlw wnVecU br eud� pojWe wnh a mnlreda(e) licanead W nueM to iM Comrapac Lkanea lewl. � I em e�empt unEar SMian: B, d P.C., br I�ie roeaon: De�a: Owner: I Ea Mrtby ceMXy I�tl I am ewvs d eM uMenuM tha royuiremame d Cdlwnu Neellh eiM beleiy Code SW iom 25505, 25533, uM 2553a, end thel I or eny Iu1uro W iki�p oocupenl will / wJl nM (dreb om) naed to epnpty wih uid tltle codm enE Ihe requinmanb br apertnXlormnewdianormodificatunhanlhsA'a ue-OTI.�enepementqnriq.RWdeniWooneliutloneppYmiorieersuemptiromihsee a��. oma: �op��: WOflKER'S COMPENSATION DECUflATION: I MraEy tlfiim uMw psndly d ps�ury ma W IM Idlowiip AetleruMc � I Mw end wil meinlen e canifcab d mnwM 10 �Nlimure /a xakmn' oompruetbn, �s prorided la by Sedion �)00 af Ih� leEor CaEa, la �he pe�ortnence d IM xwk br M�ich thie permn is inued. n I hew end wil mainlen workere campenuton ineurenoe, s� nqulrad by Beqbn 3)00 d ihs Lebor Code, M ihe parlormanm W Ihe !Y work la M�iM ihie permil i� iaued. My wmlmn' �m�mpiqq (�s�r�� d po�ky numbar ua: E X P I R E S c.m.,: ll t Iv t: vomy N�mee�: 0 9/ O L/ 9 6 (Thia settian rreeE no� bs camplMed / tM pemiA ie for ons hundred JMlars �SI00� w Iw.) � I canlY � in Ihe pmlormaMa d iM wak M whch Ihit pertnA ie iseueE. I ehell nol ampby anY W� N NY meniwr ao m lo becmie wbjaa io tM wvYen' compnae�ion lewe d Celibmia, rea Ihet il I becoma wbjatl to IM woMa' companution �una o1;�Uian 3]0o W ihe Lebor Cods, I ehdl ' comp�y xnh i p siare. Oete: � �j� �i i A,w�,�: Wam/np: FeNun b �ecun woM1x�' eomp�rwtlon rov�np� I� unbwNl, �ntl MH/ ud/�c� an w�ploysr M crlMnsl pen�Mu enG c/v1111mi up ro m� hundlW tMus�M GWI�n (5f00.000), In Mtl/flon ro M� ewt o/ comp�ns�tbn, tlam1pu u provlaW br In gw0on Olfl6 0l tiv LMorCON, Infen�f, end ettomey'� Mw CONSTNUCiION LENDINO �OENCY: I hmeby elfi�m under panely d perjury Ihel Ilw� u e mnn�ueion Iwq'up epeM.y lor tlN perlormeMa W t�a wdk W wf�iM ihu pamiY ia bauW (�An 3081. Cv. C). LENDEX'9 N11ME: LENOEH'3 ADDNE53: 1 cerlity Ihat I hew reed Ihis epplicnim eM elete Ihel iha ebove inlamelion ia canM. I epeee lo mmply xilh ell dry uM couMy ordinenue end aletela�nreleiina�o buildinp conslrudion eM heroby eulhor�s rcpresentelivae Mthiedlyloanlx uponiM ebo.a�mentionetl propeM ro.m=cea��a��w.� RON NOCK Pnm � - oms: � / Sipneture d OwnariqpeM/ApplranUCaniroda (St51-Oe.WP) Whns-Buildinp 8 Selely; Oreeo-Fle; Cenery-hppliunt; Pink-Rawnw; Ooldonrod-/uu�wr PERMIT NO: P CITY OF COSTA MESA — BUILDING PERMIT 074094 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOH DESCRIPTION ; CHANGE OUT DISHWASHER CLAIM VALUE: CALC—VALUE: PERM NO: P 074094 GOVT: N SUPP: N PURPOSE: REF SQ FT: GROUP OCC; / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ��*��**�**�***��****�*�*��*******�****��*��**�+�*��*+rx�*��****+��*�+��*�r*�� 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 5 ------------ MAIN HUILDING ---------- -------- ACCESSORY BOILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: F'T IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13909310 ZNE: REF NO: PLANNING NOTES> . > :'r iE if 1ElE df if iE 1f iE iE iE iE IE 3E jE �f if iE iE 1f iE 1E iE if 1E iE 1E 1E iF 1E 1Elb if !E 3E iklE iE fE iE iE IE iE fE 1E 1E fE jE.lE 3ElE jE �E iE IE 1E 1E ib jE iE if iE 3ElE �E iE fE 3f fE 1E iE iE jF 1f iE iE dE iE �)E D E V E L O P M E N T S E R V I C E S`rr' R E Q U I R E M E N T S ZONING APPROVED BY �' DATE: I� BUILDING APPROC�ED BY : '� DATE: APPLICATION ISSUED BY: �;-L 1E jE 3E 1E jf IE iP if �E iE iE iE �E 1E iE 1E iE �ElElE 1E aE LEGALIZATION;N F E E S U M M A�R Y DATE: STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRPC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 25$ n �^ SMIP/NON—RES PLAN ISSUE FEE 20.00 ry,r BOZLDING—DIV—> PERMIT ISSUE P.LAN�CHECK TOTAL PAID DUE TOTALS----> 7.00 20,00 i.:,�'% 0.00 27.00 27.00 .00 � ' �l REVENUE DIVISION TOTALS--> COL^LECTED; 27.00 OVER/SHORT; .00 BLDG PMT PLUMHING ELECTRIC M£CHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 �, / � fE 1E 1E 1F �E iE ff 1E 3E if if !E 1f !f if iF iF 3ElElE if !E iE iE iE fE fE fE 1f IE If iE iE IF iE�k iE �E 3E 1k 1E iE 1E 1E iE iE fElE fE �E iE �E �E iE �E ff k 1E iE 3E IE iE 9E 1F iF fE �lE iE iE 1E 1f jF iE 1E iflf iE 1F fE I N D I V I D U A L�i "jF 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 TOTAL COST PLU 1 DISHWASHER 3 7.00 7,00 END OF FEES =J � i' �. n / �� ao�so�zi-ao�9aazi r,�� i>A?E: av/:�/`v5 TI;1E: iEta49 '"' - CONSTRUCTION AND PLNNNING � POOL & SPA APPROVALS Permit # � Date Inspector qppROVALS Permit # ' Date Inspector -t. Temporary Electrical Service or Pole 52. Pool & Equipmenc Location 2. Soii Pipe•Undrgrnd. �� 53. Steel Reinforcement - 3. Electric3l Conduit Utility•Undrgrrid� 54. Forms � �, � " 4. Electricel Conduit�Undrgrnd. -�^ •- 55. Eleciricai Bonding - � , 5. ,Steel Reinforcemeni� ' 56. Rough Plumbing & Pressure Test , • � �_ � ,6: Electrical UFER-Gmd. 57. APPROVAL TO COVER-GUNITE '' 7. Footings : 58. Elearical Concluii-Undrgrnd. � 9. Foundation - � 59. Gas Pipe, G' Untlrgrnd., Test � 9. Water Pipe�Undrgrnd. � � - ' 60. Backwash Lines, P-Trap, G,' Un� drgrnd. 10. Structutai Ffoor Syztem �� 61. APPROVALTO DECK {;� 11. PropertV Sewer Line & House Connection 62. Backwash & Receptor-Final " 12. Sewer Cap �'- � 63. Heater & Vent-Finai 1. 73. Roof Drains �- r- � .64. Plumbing System - Final+ � . . 14. Rough Plumbing •� . 65. Electrical-Final • 15. Rough Eiectrical-Conduit ' !� 66. Soiar SVstem-Final � - . . /: 16. Rough Electric Wiring _ti� - 67. Fencing & Access Approvai ' 77. fiough Wiring Sign . .� ' 68. APPROVED FOR PLASTERING 78. Rou9h E�ectrical•T Bar Ceiling ,� "69. POOUSPA SYSTEA4S FINAL 79. Rough Heating & Air Conditioniny FIRE DEPT..REQUIREMENT _, 20.'Rough Fattory Firepiace "��; -�� - -- . � ; - APPROVRLS. �-� Permit # � 21. Ducts, in Struature ' � ' 70. _Undergrpynd Hydro � 22. Duct{, Ventilating ,- . � -� � e 77, ProduciPiping �Gas �Oil 23. Gas Pipe:Rougfi & Test �" � '? ' 72. Underground Flush � ' 24. Roof�Framing � � �, � ' _ 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing ` 74, Overhead Nydro _ �� 26.'T�Bar Ce��in9 (Structural) & Monocoat . � . 75: Dry Chemicai � - 27.�Frameand Flashing+ - r T • � 76. DryStandp(Pe- • . 7' ' � 28. Lathing&Siding : � � � ' ' � � �� 77. FIXED-SYSTEM.FINAL- . ' 29. Insulation - � • ' ' 78. FIREPflEV. FINAL � " � 30. Drywall Nailing - r _� = HEALTN DEPT. REQU�REMENT 31. Plaster 8rown Co2t � ' ' ' ` - " 79. FfNAL INSPECT'IQN ` � 32. Electric8l'Power Meter�Final ' � � 80. FOOD CERTIF�ICATE ISSUED 33. Final Eteciric � -� � � tvotes: Y"z z-9� T , -,• . , rta e,,�s,:e.r l�c�Ttart_ 7l_� 34. Final�Heating & Air Conditioning-• _ - 2�^c� S. �y- . � _ t--�`!t(�-�. .� - 35. Final Gas Pipe•Test . - � •� �� ' !i _ ' � . �.. 36. Hood.or Canopy '- . - �..�: ; � ; ` ' . _ .y 37. Final PaMory Fireplace � � T � 38. Final Plumbing �� _ . -� -' ��- � 39. Water Service-Final _ � - .; �� :� 40. Gas Service-Final " - * ' ; � i �,� . , � � ' 41. Solar pomesticFinal � �,,� �' - -� . - 42. Backflow Preventer � . _ � � � " � 43. BackfloW Irrigation � • ' ': 44. LandscaPe Iriigation System � � � ` � " ' ' , _ " 45. Sound Attenuation, • � - *'a r' .. 46. Handicap Regulations � - � . _ , , . - a�. FiNA� STRUCTURE & BUILDING . . `'� + � - - 48. FINAL PLANNING � � �� - � ' � � t 49. Elect'ric Release to Edison �' , ;� � 50. Gas Release to Southem California Gas Co _, ' 51. CERTIFICATE OF OCCUPANCY No Date � �/ - . � _�.�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALtPORN1A For Applicanf fo Fill In Complefely TYPE OR PRINT ADDRESS 3210 Oregon Ave. GOSTA MESA. CALIFORNIA OWNER �erst Develo ment Co. ADDRESS 1533 Baker St. �,s,, Costa Mesa. No: R191151 ARCHITECf � SOII� 1 �%O EL. ■STATE _.____ TEL. no. oF USE OF EXISTING BLDG BeTBAEK LINB FPOM �� CQ� REAR YARD��ZV CEM6R Op BTRCET SIDE YARD I LEFT S� I RIGHT 6� DESCRIPTION OF WORK N�w Ix II„r�oer,�Nl Ile��,r,�u I BUILDING11.6C $•f`t� NO. OF 6 1 SIZE 4 J Q ROOMS STORIES EXTERIOR WALL ROOF COVERING 9t.11CCO COVERING CO70.�j iOC�S , USE OF BUIl.O1NG AND WORK TO BE PERFORME� Single family residence with attached garage. Plan llC 1 XEREBY ACKNOWLEDGE THAT 1 NAVE REAO TH18 APPLICATION ANO BTATE THAi THfi ABOYE I6 CORRECT AND A6REE TO CAM- PLY WITH ALL CITY OROINANCEe ANO BTATE LAW9 REGULATINO BUILDIN6 CONBTRUCTIO ] SIGNATURE O " � ��JC��.�--- � AUTHORIZED AGENT Dike FIRE � LEpAL . ._ .. �. ;, . , .. �. ; � '� k,� � s, � � �_ . �� dAi� 19196@ ��"rlfd�'��'.CE DEPT. CIIY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only rseceiPr rvo. Aveg,y�r i BY owre �saueo COSTA MESA. CALIFORNIA TYPE ✓ GROUP ZONING No. ov � I use oF n Pune em�oieo YARDS APPROVED (CCNTEH LIN6 eT.1 APPROVED f THE AMOUNT BHOWN UNDeR VALUATION 16 POR THE PURP086 OF EBTqBLI9HIN6 A P6RMIT FEE ONLY. VALUATION J PERMIT FEE $ 3S�OO $ ZJ,139• PLAN CHECK $ y��0