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Home My WebLink About2563 OXFORD LN - Building Permits: , _ �� CITY OF COSTA MESA � ' _ BI/ILp/NG oIVIS/0N 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 _ ,�:7 �41 � �. 111 ��i I� �:1� -�K�fE�DiiF:�:] PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 07/1112007 --, :, ISSUED BY: 5�/}� �os aooRess: 2563 OXFORD LN CM , ,, SuiteNnit: Vicinity: GUEST BATHROOM . • Primary Occ:' ConstType: V-N �-� SQ. FT.. -�- 0 Valuation: $3;000.00 _ SCOPE OF WORK: BATHROOM REMODEL.!CHANGE OUT 1 VENT FAN, 1 TOILET-�; 1�'SHOWER/TUB, 1 WASH BASIN, 3 LIGHT FIXT, 4 OUTLETS AND 2 SWITCHES. - � � OWNER: DOYLE,DAVIDA PHONE: 714-557-0003 APPLICANT: DOYIE, DAVID A PHONE: 714-557-0003 CONTRACTOR: OWNER-8U ILDER Address: Unit . � City/State: ; ARCHITECT: � � � ENGINEER: � � PHONE: , �ZipCode:,_ �. Address: 2563 OXFORD LN Unit; �( D Cify/StatelZip: COSTA MESA, CA � �� L i� Address: 2563 OXFORD LN Unit pj �!i � City/State/zZip: COSTA MESA, CA DA� License No. 000000 , - .. - � CELL: License No. � License No. ' - COMBINTATION PERMIT FEE°SUMMARY Building Plan Check: . . . �$54.11: - Building Fees: � _,�-,-, ♦$83.25 .. . . . Electrical Fees: ' . - , ' $33.40 '' � . . Mechanical Fees: $30.75 .. Plumbing Fees: _,�_�,,;� $62_70 �- . � � - � SMIPResidential: � ? �$0.50�' �'...�• �� ' ' � � SMIP Commercial: $0.00 _ . - , � ` � - � � TOTAL FEES: $264.7_1 -. : . , .,.� ;, "Refer to fee receip[s (or all fees paid for project ""` -"'-"- PHONE: : PHONE:' NOTICE: The work authorizetl by this permit shall comply with all applicable handiwp access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF 19SUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit lo be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. cyo�� ixspcCnonrvce �g iNmulS Cooer n+uecnoNr�ve � iNimuS 1878 Fixed System Final Fire Prevention . 206 Final Mechanical 1268 Pool Spa Final � 208 Final Plumbing —4--�/=� 200 Final Re-Rool 270 Final Electnwl � 201 Final Block/Retaining Wall 212 Final Fire Prevention � 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site � �� 204 Final Demolition 250 Final Building/Occupanry WORKERS' C�MP.EtJS71TION DECLARATION: . Owner ID verified by drivE .ise. ❑ Yes ❑ No �q I hereby aKrm under penally of perjury one of the faiowing declarations: '�� - �Z - �CJ � �T- Driver's,License No. � Expires: ❑ I have and will maintain a certificate of consent to self-Insure�for woikers' / Verification of Ovmership by (type o( document, i.e. - property tax bill or deed): compensation, as providetl for by section 3700 of the Labor Code, tor the , pertormance of Ihe work tor which �his pertnit is issued. - � � � ' � ❑ I h ntl wiil m int in rk n C 'n r ' d 6 � ave a a a wo ers compe sa ion i su ance, as require y section 3700 of the Labor Code, (or the performance of Ihe work for which this permit is issued. My workers' compensation Insurance carrier antl policy number are: Carrie[ (Thu sedbn neMirof be complefM tl(he permrt is valuetl a( one huntlmtl aallars (5100) w less ) Policy Number: ❑ I certify that in the pedormance of the vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree that if I should become subject to [he workers' compensation pmvisions of Section 3700 of [he Labor Code, I shall forthwith comply with ihese provisions. Appliwnfs Signatore �ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL7IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in /ull force and eHect. Lic. # . Class # Conlrac�ar s SignaWre CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that Ihere is a conshuctbn lending agency for �he peAortnance of the v.ork for which this pertnit is issued. (Sea 3097, Civil Code). Lentler's Name: Lender's Atldress: Signature Dale OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury lhat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to consWc[, alter, improve, tlemolish, or repair any stmcNre. prior to its issuance, also requires the applicant (or such permit to file a signetl statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Ihan fve hundretl dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole compensa[ion, WILL DO THE WORK, and the structure is no[ intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves .thereon, and who does such vrork himself or herself or through his or her own employees, provided ttiat such improvements'are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the ownerbuilder will have the burden of proving lhat he or she ditl not build.or improve tor purpose of sale.). ❑�� 1, as owner of Ihe.property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRAC70RS to constmct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and who contracts for such prqect vnth a conlracta(s) license pursuant tothe Contractors License laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: � � \ L g_ 12�0� / . SignaWre , Oate 30 IW � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certrfy ihat no excavation fve (5) or more fee[ in depth into wfiich a person is required to descend, will be made in connectbn with work authorized by this pertnit, and that no building slrucNre, scaffdding, lalsework, a demolition or dismantling thereof, will be more than thiny-six (36) feel high. (Chap. 32, Gry 2, Art 2. Sec. 341, Title 8, Califomia Atlministrative Cotle). ❑ As ovmer-builtler, I vnll not employ anyone to do work which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work (rom the division. Appliwnfs SignaWre Division of Intlustrial Safety Permil Number: _ HAZARDOUS MATERIALS AND EMISStONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to file and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantily of hazartlous matenals equal to or greater than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will Ihe applican[ or present or fuWre builtling occupant neetl to (le a registretion form for acutety hazardous matenals? ❑ Yes ❑ No (Section 25533 of the California Health antl Safery Code, vnth some eaceptions, requires regis[ra[ion with the Costa Mesa Fire Department by each business which at any one time has on hand a quanlity o( acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 3. Does or will the applicant or present or future building occupaM need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cotle provides tha[ Ihe Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to register aculely hazardous matenals with the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 of Ihe Califomia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fWure building occupant require tor the work which is the suhject of this application a permit for such consiruction or motlifcation (rom the South Coast Air Quality Management District or trom any other air polWtion contml district or agency? ❑ Yes ❑ No (Sectbn 658502 of Ihe Califomia Govemment Code requires that the requested infortnation be fumishetl on applications fa non-resitlential building pertnits). 6. Will any part of the faciliry to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", lhe facility must meet the requirement of Sections 25534 antl 42303 of ihe Cali(ornia Health and Safe[y Code). 7. If a permit (rom the SoUth Coast Air QUality Management Dislrict or other air pollution contml dislrict or agency is required for the work which is the su6ject ot this applicatioq have all of the disclosures prescribed by Califomia Health and Safety Code Seciion 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance fmm the appropriate air pollution contml oKcer�. ' _ � .-CERTIFICATE OF COMPLIANCE: I certify thabunder penalty of perjury the information given above is correcL I_ agree to comply with all state laws and city�ordinances regarding�Hazardous Materials and Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penally of perjury �hat I have read this application and s[ate that ihe information given is correcL I agree to comply with all state laws and city ordinances relating [o building con5truc[ion, and authorize represenlatives of the City of Costa Mesa to enter upon the above-described pmperty (or i hon purposes. a ree not to occupy or allow occupancy of any building authoriz by tAis�ermit ' final inspection. � \ � � C ��3-12'�f�, � AnCbr AW�onzetl AOClican� • .. a r ' � L�it�y a� G'�ta �2e�a �u�;�� u�� OWNER-BU[LDER VERIFIC�TION Address: ��10 J � � � � U"�+"'' Permit #: A city or coimty, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent [o issuing a building permit, require the completion and require the retum of, an owner- builder verification. Attention Property Owner. An `owner-builder' building pertnit has been applied for in your ��ame and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buildine perntit �vill be issued until this verification is received. 1. [ personally plan to provide the major labor and materials for construcCiov of the proposed property improvemenL ,� Yes ❑ No 2. I(have/have not) �'��L signed an application For a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide Ihe proposed constniction: Name Address Cfty _ Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work bu[ I have contracted (hired) the followine persons to provide the work indicated: Name n � 1042-a6 (Rev.t1104) Phone Tvae of � , . :� j � ' CITY OF COSTA MESA � BlIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 _' . PERMIT NUMBER: 608-00257.. PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 14137412 DATE ISSUED: 0910712008 ISSUED BY: CAC JOB ADDRESS: 2563 OXFORD tN CM ' Suite/Unit: ' Vicinity: ' �� - _ ' � . � . �� . Squares: 0 - . _ - , � -� Valuation: $7,000.00 SCOPE OF WORK: T/OFF COMP. SHINGLES INSATLL 1-30 LB FELT AND 30 YR COMP SHINGLES. 2500 SF , ! OWNER: DOYL�, DAVID A� ' - � Address: 2563 OXFORD LN , PHONE: 7143194555 � City/State/Zip: COSTA MESA, CA APPLICANT: MARKAMARAL ,. , PHONE: 714-71g-0032 � CONTRACTOR: MqRKAMARALROOFING � Address: 14087 APPLECROSS WUnit: � - City/State/Zip: HUNTIN6TON BEACH, CA 714-960-3032 - ' ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES $o.00 $139.25 $0.00 $139.25 �� Unit� _ ... � Address: 74087APPLECROSS LN- - . � Unit: : „ - City/State/Zip: HUNTINGTON BEACH, CA'�" •� - . - License No. 696775 , . . _ PHONE: . � 714-719-0032 � �. 92648 CELL: _ License No. �� -- -.. . . .. �: PHONE: � �� License No. PHONE: NOTICE: The work guthorized by this permit shall comply with all applicable handicap access requiremen45 under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in lhe expi2tion of this permit. CODE/, INSPECilON7YPE O�TF IN7171A15 �QD�F,t INSPECTIONTYPE ' D� INTITIRLS 1818 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 20o Final Re-Roo( �� 210 Final Electncal ' 201 Final BIocWRataining Wall 212 Final Fire Prevention 202 Final Factory Fir� place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENS � ON DECLARATION� ' I hereby affirm under penalry of perjury one of the following declaralions: ❑ I have and will maintain a ceAifcate of consent to self-Insure for�workers' compensation, as provided for by,section 3700 of.the Labor Code, for the p ormance ol the work for which this permit is issued. I �ave and will maintain v.orkers' wmpensa[ion insu2nce, as requiretl by s' n 3700 of [�e Labor Code, for the pertolmance of the work (or which this pertni[ issuetl. My workers' compensation Insurance carrier and policy nu ar �\ e /` � � T •E-�t (ID�ion nee0 /noIl �be �romWefed,fA1theCermR u valuetl a! one hvnaied tlollars f3100J orless ) Poli Nu er W��rJ� � �� ❑ I certify that in the perfortnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I lal � hwilh comply with [h se provisi ns. � AP liwm's Signa� e Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my li e is in full force and effe L� 6 class — r � Cont cors aWre Da CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm tha[ there is a construction lending agency for [he peAortnance of the v,ork for which this permit is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby a(firm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Bu5ine55 and PrOfessions Code: Any city or county which requires a permit �o construct, alter, improve, demolish, or repair any structure, prior lo its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or Ihat he or she is exempt therefrom and the basis for l�e alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees vnth wages as their sole wmpensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who builds or improves ihereon, and who tloes such work himself or herself or through his or her own employees, provitled ihat such improvements are not intended or of(ered for sale. If, however, ihe building or improvemenl is sold within one year of completion, the owner-builder will have the burden of proving lhat he or she did no[ build or improve (or purpose of sale.). , ❑ I; as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consWct lhe projecl (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who contracts for such project with a conlracta(s) license pursuant to Ihe Cont2ctors License Wws.). ❑ I am exempt under gec, Business and Professions Code for this reason: T � Owner ID verified by dri ense. ❑ Yes ❑ No Driver's License No. Expires: � � Verifcation o( Ownership by (type o! Cocument, i.e. - property tax bill or deed): i . DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: -�� ❑ I hereby certify tha� no excavation frve (5) or more teet in depth in�o which a person is required [o descend, will be matle in connection with work autFrorized by this pertni�, and iha[ no building structure, scaf(olding, falsework, or demolition or dismantling thereof, will be more than thihy-six (36) feel high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Atlminist2tive Code). ❑ As ownerbuilder, I will not employ anyone to tlo vrork which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work fmm Ihe division. Appliwnfs SgnaWre Date Division of Indushial Safety Permit Numher. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future builtling occupant need b file and certify a Business Plan for emergency response [o release or threa[ened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Heal[h antl Safety Code requires, with some exceptions, [hat a Business Plan be fled vn[h the Cosla Mesa Fire Department by every business which has at any one time tlunng a reported year a quantiry o( hazardous matenals equal to or greater than a weight o/ 500 pounds, or a volume of 55 gallons, or 200 cubic feet of comp�essetl gas at standard temperaWre and pressure). 2. Does or will the applicant or present or fuNre building occupant need to fle a registration form (or awtely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Sa�ety Code, with some exceptions, requires registration wi[h the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas at standard tempera�ure and pressure). 3. Does or will the applicant or present or (uture building occupant need to prepare an RMPP (Risk Managemeni and Prevention Program for acutely hazardous materials)? ❑ Yes � No (Sec[ion 25534 of ihe Califomia Heallh antl Safety Code provi0es that the Costa Mesa Fire Department may require the preparation, certi(cation and fling wi�h Ihe Fire DepaAmenl ot an RMPP by businesses which are required [o regis[er acutely hazardous materials wi[h [he Pire Departmenl. 4. If an RMPP is presently requi�ed, has Section 25534 of the Califomia Health antl Safety Code been fully complietl vnlh? ❑ Yes ❑ No 5. Does or will the applicant or present or (uture builtling occupant require for the work which is the subject of this appliwlion a pertnit for such conslmction or modifica[ion from the South Coast Air �uality Management District or from any other air pollution coNrol district or agency? ❑ Yes ❑ No (Section 658502 of the Cali(omia Govemment Code requires lhat the requested infortnation be fumishetl on applications for non-residential building permits). 6. Will any part o( the facility to be consWc�ed under this permit be within 1000 feel from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", [he faciliry mus[ mee[ [he requirement of Sections 25534 and 42303 of [he Califomia Heallh antl Sa(ely Cotle). 7. If a permit from (he South Coast Air �uality Management District or other air pollution control district or agency is required (or [he work which is the subject ot Ihis application, have all of the disclosures prescnbetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach ceAificate of compliance from the appropriate air pollulion cantrol aKcer). - - � - � � � CERTIFICATE OF COMPLIANCE: I ceAity thal under penalry of perjury tFie informalion given above is correcL I agree to comply with all.state laws,and cityordinances,regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o( perjury [hal I have read this application and state thal Ihe information given is correct I agree to comply with all stale laws and city ordinances relating to building construction, and authorize representa[ives of the Ciry of Costa Mesa lo enler upon the above-described property (or inspection purposes. I agree not to occupy or allow occupancy of any building au�honzed by Ihis permit until fnal inspeclion. •, . ,�. . Signa eo( Owner(s) �ale Sigoawre Oale � Q' � J05J-06 (3/OI) AnG/orAul�onz m a�e (714) 754-5273 • Fax (714) 75d-4856 • www.ci.costa•mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2563 OXFORD LN Suite: Vciniry: Primary Occ: R-3 qwellings/ Cong Res <70 Type of Conslrudion: V-N Parcel Number: 14137412 Zoning: Applican�: DOYLE, DAVID A Address: 2563 OXFORD LN COSTA MESA, CA Owner: DOYLE, DAVID A Address 2563 OXFORD LN COSTq MESA, CA coniractor: O W N ER-BUI LDER Address: Zip: Arch : Address: Phone: Zip: License: Phone: 714-319-2522 Zip: 92626-6122 Phone: Status: ISSUED Applied: 12/112006 Issued: 12/11I2006 ISSUED Y: _ � EX RED � � Zip: 9262 22 Phone: � 1 � License: 000000 Eng: Address: Phone: License: SCOPE OF PERMIT KITCHEN REMODEL. REMOVAL OF INTERIOR NON-BEARING WALL AND ADDITION OF A NON-BEARING PONY WALL. AT POSTS. MISC ELECTRICAL, PLUMBING AND MECHANICAL. CHANGE OUT FOUR WINDOWS BETWEEN HOUSE AND GARAGE AREA. LIKE FOR LIKE IN SIZE. Plan Check: $208.81 Permit: $321.25 SMIP Res: $2.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 FEE SUMMARY Calc Valuation: Szo,000.00 Claim Valuation: $zo,000.00 Total: $532.06 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY front 0. 0 PARKING Existina: p Rear 0- 0 Left 0- 0 Right 0- 0 Rear 0-0 Lefl 0-0 Right 0-0 Reauired: 0 . , Pr000sed: 0 NOTICE: The work authorizetl by this parmit shall comply with all applicable handicap access requirements under Ca�ifomia 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 wflhin 180 days, or il work is suspended or abandoned for a period of 1B0 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compy with all applicable codes, and all required Inspeetiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 754-5626 !aaaae �aov� WORKERS' COMPENSATION DECLARATION: ' I hereby eRlrm under penelty of perjury ona of t�e following tleclarations: ❑ I heve end wlll mainteln e certlficate oi cansent to self-Insure lor workers' compensetlon, es provided for by sectlon 3700 of the Lebor Code, for the peAarmence of the work for wni�h Ihis permit is issuetl. ❑ 1 have entl wl�l maintain workers' compensatlon insurance, es required by section 3700 of Ihe Lebor Code, for ihe pertormance ol the work for which this pertnit is Iswetl. My workers' �mpensaUon Insurance car�ler antl pollcy �umbar ere�. Carrier: Policy Numbar. (Th� sect/on ne9d not be comp/efed I! t�e pemul As valuetl ef one hundred CW/ers (S (00) or less.) �I certily t�at in the pertarmance of the work for which NL5 permit is IssueC, I shell not employ any person in any manner so as to become subject to the workers' crompensatlo lilamie, aM egree that il I should become sub�ect to the workers' compansation provislons at Sectipn 3780 of the Wbor Cotle, I shall lorihwith comply wltM se 0 ovim � l J /� ApPllcant SlpnaNre� '� � I � Date: � Z I� 1 I Q p WARNINp: FAILUHE TO SECU ERS' COMPENSAiION COVEMGE S UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL P NALTI 5 AND GVIL FlNES UP TOONE HUNDRED TIIOUSAND OOLLAPE (5100.000�. IN ADDfi10N TO THE WST OF CpAPENS�TION, OAAM�ES AS PROVIDED F-0R IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLAflATION: I hereby aHlrm tha� � em licensed under provis�ons ol Chapter 9(commanpng wlih Sectlon 7000) ot Division 3 0l the Business end Professlons Code, anA my license is in tull force end ettecl. Uu N Class N ' Conireaafs Slgnature: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby eHi� thal there is e construttion IenCing agency tor the perfortnance ol ihe work tor which Ihis permit is Issuetl. (Sec. 3097, Civil Coda). Lendels Name: Lendete Address: Slpnature: Dete: OWNER-BUILDBA DECLARATIONS: I hereby eHirtn th&t under penelry of perjury thai I am EXEMPT FROM TME CONTFiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions Code: My ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair eny structure, pnor to Its issuance, elso requires ihe epplicant for such pertnit b flle e signetl statement Ihet he or she is Ilcert5ed pursuam ro the proWsions of Ihe Comractore License Law (Chepter 9(cammencing with Sectlon 7000) of �Ivisian 3 01 the Business and Proless�ons Code) or Ihat he or s�e is exempt therefram and the basis for the elleged exemption. Any violatlon ot SecUwi 7031.5 by any epplicaN for a permit subjecis the eppli�ent to e civil penalry M not more than five hundred dollars ($500).j: ❑ I, as ownar ol Ihe pmperty, or my employees with weges as �heir sole wmpansation, WILL DO 7HE WORK, and Ihe strucNre is not intended or ofleretl for sele (Sec. 704A, Business a�M PrWessions CoGe: The Coniraciors License Law does not apply lo en owner ot properry who builds or improves ihereon, and who does such wotk hlmsel� or herself or Ihrough his or her own employees, proviCed ihat such improvements are not in�ended or oflered for sele. If, however, the building or improvement is sWtl within One year ot completion, Ue ownerbuilder will have the burden of Oroving that he or she did not 6ulld or improve for pumose ot saleJ. I, es owner of the properry, flm EXCLUS��ELV CONTRALTING WITH UCENSED CONTRACTORS to con5trutt lhe pro�ect (SecJ044, Busineu end Pmfesslons Cotle: The Ganiractors License Lew tloes �ot eppty to an owner ol propeny w�o bullds or improves t�ereon, and who con�rects lor such pmject with a contractor(s) license pursuant to the Coniractors License Laws.). � I em e em nder s�c Business and Professions CoOe lor ihis reeson: Signature� � \� Date: Owner ID v0ri' drivers license. ❑ es ❑ No Dnver'S LICen58 No. Expire5: Vedticetion ot Ow�ership by (rype ol documeni, i.e. - properry teu bill or deatl): DIVISION OF IN�USTRIAL SAFETV PERMR CERTFICATION: ❑ I hereby ceN�y Uet no azwvatlon five (5) or more leet in depth into which e pereon Is reqWreC to descend, wlll De matle In conneciion vrith work authorizeC Dy ihis permit, and thet no builtlinp sifuMure, sceffolding, lalsework, or demolltion or tlismantling Ihereot, will be more ihan t�lrty-si: (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia AdminlstratNe Code). ❑ As owner�DV�lder, I vrill not employ enyone to do work which would require e pertnil Irom the Division of Intlustrial Sefery, es notetl ebove, unless such person hes e permlt to do such woM trom the division. Signature: Date: DlWslon ol Indust�al Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHOA�TON OF ENTAY: I certiy under penalry at perjury ihal I have reetl this applicetion entl state t�at ihe Inlortnation given Is correct. I egree to �mpty wlih ell stete lews and dry ordinances relating to huilCing constiuction, and authorize representailves ot ihe Ciry of Cosia Mesa to enter upon the \ - escdbed p��e �a�JasP@�b� purposes. I egrea not to occupy or ellow occupancy ol eny building authodzed by t s pe it uqGl finel inspection. j`1 L� �Z�1 � �io �— Siq'BTure Of Leual Owner(s) Date An<UOr Authorized Applicant COOE �, ItlSP.EG➢4MIYPE Gdg It�4fl 1618 Fixed SyStem Final Fire Preventlon i288 Pool Spe Final 200 Final Re-Rooi 207 Finel BIOCk/iletelning Wflll 202 Finel Fettory Fire Place 203 Finel Sign 204 Flnel DerpWition cooer ixsvernoNnre 206 Finel Mechanicel 20B Finel Plumbing 270 Final ElecMcal 212 Fine� Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Fina� Bulitling/Occupency PA� It�64 � (714) 754•5273 • F0X (714) 754-4856 • www.ci.costa-mesa.��sCTRICAL PERMIT !7 FAlli DRIVE, LOS IA MtSA, GA y"16Lti Job Address: Suite No Vicinity: Parcel Nunmber: Applicanl: Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+unils) Pool / Spa LigMing Fiuls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Molors to 1 hp Motors to 10hp Motors to 50hp , Motors to 100hp , Motors over t00hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 2563 OXFORD LN 14137412 DOYLE, DAVID A 2563 OXFORD LN COSTA MESA, CA DOYLE, DAVID A 2563 OXFORD LN COSTA MESA, CA OWNER-BUILDER Phone: 714-319-2522 Zip 92626-6122 Phone: Zip: 92626-6122 Phone: Zip: License: 000000 status: ISSUED Applied: 12/11/2006 Issued: 12/112006 ISSUED BY: `� SCOPE OF PERMIT KITCHEN REMODEL. REMOVAL OF INTERIOR NON-BEARING WALL AND ADDITION OF A NON-BEARING PONY WALL. AT POSTS. REF: BO6-02073 ELECTRICAL TO INCLUDE: 18 LIGHT FIXTURES, 17 OUTLETS, 10 SWITCHES $23.50 50.00 30.00 $0.00 $0.00 so.00 $19.80 $18.70 $71.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 18 17 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway I100 ft Slanding Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Olher Eleclrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 . 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $73.00 /�/I�I�IC�ITC / CROl4111 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•28, § 1, 72-21-92) 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 o1 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all requlred inepeetions and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 2dd8-00 (B�W) WORKERS'COMPENSAnON DECLARAnON: I hereby eRirm untler penalty of perJury one ol the following dacleretlons: ❑ I heve end wlll mainreln e cerlificate of consent ta selbinsure tor workers' compansetion, es provided �or by sectlon 3700 of the Lebor Codo, lor the pertortnence of Ihe work for w�ich Ihis pertnit Is i55ued. ❑ I have antl will maintain workels' compensatlon insurance, es requlretl by sectian 3700 of the Lebor Code, lor ihe peAormance ot ihe work tor which Nis permit Is IssueO. My workers' compensatlan InSurenca cartler and policy number ere: Certiec Policy NumDec (Th/s secNon neetl not be corttpleted It Ne pemtif Is valuetl at one hundred dW/ars (S I00) or less.) � I cenlly t�at in Ne pertormance ot Ihe work lor which Ihis permil L9 Issued, I s�all not employ any pereon In eny manner so as to become subjact to Ne workers' compensetio aillomle, end epree that II I should become suD�ect to t�e workers' compensetlon provisions oi Se�tion 3I700 ot the LeDor Code, I shall forthwit� tomply wit� t�e5e rovisi � / /' AppliceM Sipnature: \ � Dete: � 2 � I l7 1� WARNINO: FAILURE TO SECUREW6fV EiS' COMPENSATION COVERAG IS UNUWFUL AND SHALL Sl1B1ECT AN EMMOYEF TO CRIMINAL PENAL IES ANDGVIL FlNES UP TOONE HUNDRED TVKKISAND OOLLARE (5100,000�. IN AD0�710N TO THE WST OF COMPENSqTION, DMMGES AS PROVIDED WR IN SELTION ]]OB OF THE UBOR CODE, IMEREST, AND NTTORNEVS FEES. LICENSED CONTRACTORS DECI-N7ATION: I hereby eflirm ihat I am Iicensed under provlsions of Chapter 9(commenUnp with Sectlon 7000) of Divislan 3 ot the Business end Professlons Code, entl my license Is in 1 W force entl eHecL LJc. k Cless a Contrectors Slpnature: Dalo: CONSTRUCTON LENDING AGENCY: ❑ 1 hereDy eNirm thai Ihere Is a Gb�siruction lendinp agenq br ihe pedortnence ot the work lor which ihis pertni� is Issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lender's Adtlress: Signeture: Date: OWNER-BUILDER DECLARA710NS: ' I hereby aHirm ihat untler penalry ot per�ury that I em E7(EMP7 FROM THE CONTRACTORS LICENSE LAW tor I�e lollowing reason (Sec. 7031.5, Busineu enC Professions Code: Any ciry or caunry which requi�es a permit to consWct, alter, Improve, demWish, ar repair eny sirucW re, pdor to Its issuance, also requires Ihe applicant for such permit lo lile e signed stetement thet he or ahe is Iicensed pursuant to the provisions ol the Camractors License Lew (Chepter 9(commendng with Section 7000) af Division 3 of Ne Business end Pmtessions Code) or ihat he or she is exempt theretrom anG Ne basis tor the allepetl e:emptlon. Any vlWation of Sectlon 7031.5 by eny epplicant for a pertnit subjects Ihe epplicant to a civil pene�ry c� not more Ihen Tive hundred dollers ($500)J: ❑ I, es owner ot Ihe properry, or my employees with weges es their sole compensation, WILL DO THE WORK, antl ihe siructure Is noi Intended or oHered tor sala (Sec. 7044, Business and Professlons Coda: The Contractors License Lew tloes not apply to an owner of property who builds or improves ihereon, antl who does such work himself or herself or through his or her awn employees, provided thet such improvements ere nol intendetl or oRered lor sale. If, however, Ihe building or improvemeni is soltl wit�in one year of comple�ion, ihe ownerbuilder will have the burtlen of proving �ha� he or she did no� build or improve for purpose ot saleJ. j� I, es owner of ihe property, err� EXCLUSIVELV CONTRACTNG WIT31 LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business antl Professions Code: The contrac[oro Licens9 L.ew does not apply to an owner ol property who �ulltls or Impmves ihereon, end who wniracts for such project with e contractor(s) license pursuant to ihe Contra��a�s License Laws.). ❑ I��°�� under se Business entl Professions Code lor this reason: Signatura� \ \ � Date: Owner ID veri i efs licensa. ��es ❑ No Drivefs License No. Espires: Vedtiwtton ot Owners�ip Ey (rype of tlocumem, i.e. - property tax bill ar AeeA): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ereby certify t�et no excava��on Me (5) or more teet in depth Into which e person Is required to descentl, wlll be made in connection with work authorized by this permit, end that no Duiltling swcture, scefloltling, falsework, or demollllon or dismentling thereof, will ba more than thirty-six (38) leat hig�, (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Gellfomla Admini8�retive Code). ❑ As owner�builder, I will not emp�oy enyone to tlo work which would require e partnit trom the Divlsion ot Intlustrial Salery, as notetl ebove, unleu such person hes e pertnit to do suU work tmm Ne tllvLalon. Sipnature: Date: DlNslon of Intlustdal Satery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTNORIIATION OF EMRY: I cerllty untler penelty oi perjury thal I have reed this application antl state thet the information given Is I ecL I egrea Io wmpty wlth ell slate laws end dry ordinances relating to building construction, end emhodze representa rves ol the qty ol Costa Mesa to enter upon the flbove- 'hed prdperlKfofilispepl�o�� agree no� Io oaupy or ellow occupancy oi eny building eulharized 6y;qi�pertnit until tinel inspectian. �, 1 17.I11 ��, I— T .S;nn ne Of eaal Ownerfsl Deie AnNOf AuthoAzetl ApD��cant Date COOE 1, INSPECTIONTYGE 1816 Flxotl System Finel Fire PrU�emion 1268 PoolSpa Finel 200 Finel RaRoot 201 Flnel Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demoli�ion Q� �C� 4QQf�y1 INSPECTIONTYPE 206 Finel Mechenlcal 208 Finel Plumbing 210 Flnel Eleciricel 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Sile 250 Flnel Bullding/Occupenty QLg It{�L9 (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2563 OXFORD LN Suite No Viciniry: Parcel Number: 14137412 Applicant: DOYLE, DAVID A Address: 2563 OXFORD LN COSTA MESA, CA Owner: DOYLE, DAVID A Address: 2563 OXFORD LN COSTA MESA, CA Contractor: O W N ER-B U I LDER Address: MECHANICAL PERMIT Phone: 714319-2522 Zip: 92626-6122 Phone: Zip: 92626-6122 Phone: Zip: License: 000000 Status: ISSUED Applied: 12/112006 Issued: 7 2/1 7 12006 ISSUED BY: I��v SCOPE OF PERMIT KITCHEN REMODEL. REMOVAL OF INTERIOR NON-BEARING WALL AND ADDITION OF A NON-BEARING PONY WALL. AT POSTS. REF: 806-02073. MECHANICAL TO INCLUDE: 1 KITCHEN VENT FAN. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU RepaiilAlt CoolingMeat Inst I Rep. Recess Wall Htr Retrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood wlMech Exhaust VAV Box Vent Fan I Single Ducl Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000c(m AirHandlers> t0000cfm Floor Furnace ' Floor or Suspend Heater $23.50 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 87.25 so.00 50.00 $0.00 50.00 30.00 50.00 $0.00 $0.00 Quantily FEE SUMMARY Repair / All Absorbtion Unit Repair / AII Refrigeration Unit Ventillation Syslem Evaporative Cooler Comme rcial I nci nerator Domeslic Incinerator Comoressors / Absorolion Svstems Upto3hpl100kBTU 3To15hp/500kBTU 15 To 30 hp I 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU eoilers Uplo3hp 3To15hp 1510 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity 50.00 0 50.00 0 S0.00 0 30.00 0 30.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 so.00 0 so.00 0 $0.00 0 50.00 0 30.00 0 $0.00 0 50.00 $0.00 50.00 E30.75 NO710E: The work authorized by this permit shall comply with all epplicable handlcap access requirements under California statutes and related regulatlons. (Ord. No. 92-28, § 7, 7241-92) EXPIRATION: This permlt shall automatically expire and become void il work Is not commenced within 1 BO days, or if work is suspended or abandoned for e period of 160 days. INSPECTIONS: In order for the work authorized under this permit to be cons(dered legaf, such work must comply with all applfcable codes, antl all raquired Inapectlona and tinel epproval must be obtained. Failure to obtein inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 2aa&48 (e'W) WORKERS'COMPENSAnON OECLARAnON: I here6y aHirm untler penelry of per�ury Pne of Ihe lollowing dedarations: ❑ I have end will melntein e certiticate of consent to sell-Insure tor workers' cnmpensetlon, es provided for by section 3700 oi Ihe lebor COCe, br ihe pertormance of the work for whlch this permit 15 issued. ❑ I �ave entl wlll melnlaln workera' cOmDensation insurence, as requiretl hy section 3700 of the laDor Cotle, lor the pedortnance of the work for which this permit is issuetl. My workers' wmpensatlon InsuraP�e cerrier antl policy num6er are: Carrier: PoliCy Number: (lhls secNon need rrot be completetl il Me permills ve/ued et one hundred Oallers ($100) or Iess.J � I certify that in the perlortnence ol the work lor which this pertnit is issued, I shell not omploy eny porson in any menner so es to hecome Subject to the workers' compensation ellfomla, e�tl agree thet II I should become sub�ect to the workere' compensetlon provislons ol Sec n 37 of the LaDor Gode, I shall forthwlih comply wIU the proWsw , '� �` \ ( �� Applicanl SlgnaNre: ,�� 1� � Date: WARNIN(3: FAILURE TO SECURENPORKERS� �1PEtJSAT�ON COVERAGE IS UMAW FUL ANp SHALL SUBJECT MI EMPIOYER TO GRIIMNAL PENAlT1ES AND CAVII FlNES UP TO ONE NUND{iED TFVOUSAND DOLIARE (5100.0OO�.IN ADpT70N TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'1O80F THE LABOR CODE, IMEREST, AND ATTORNEY'S fEES. LICENSED CONTRACTORS DECLARATON: I hereby ettirtn thet 1 em Iicensed under p�ovisions of Chapter 9(commencing wit� Section 7000) ol Divislon 3 0l Iho Business antl Professlons Cotle, and my license is in lull force entl eHect. Lic. a Class a Contrectors Signature: Date: CONSTRUCTION LENDING ACENCY: ❑ I hereDy eHlrm Ihat there Is e cons�Nction lentlinp egency for the peAormenca ol the work br which this Dormit is issuetl. (Sec. 3097, Civil Catle). Lender's Name: Lenders Address: Signawre: Date: OWNER-BUILDER DECLARA710N5: I hereby effirm ihet untler penelty of per�ury Ihet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW lor the following reeson (Sec. 7031.5, Business entl Prolessions Cale: Any ciry or counry which req�ires e permil to wnstruci, ette�, imprme, tlemolis�, or rapair eny structure, prior to Ils issuance, elso requires ihe appliwN lor such permit to file a signed stetement thet he or sha �s Ilcensed pursuant fo tha provislons of the Contractors License Law (Chepter 9(commencing with Section 7000) ot DlNslon 3 ot iha Business end Prafeuions CadeJ or t�al ha or she is enempt therelrom end the basis br the ellegad ezemptlon. Any vloletion oi Section 7031.5 by any epplicent for e pertnit subjects the applicent to a civil penalry c� nat mare ihan five huntlred dollars ($500)J: � I, es ownar ol t�e property, or my bmployees wit� wages as their sole compensaiion, WILL DO THE WORK, and Ihe siructure Is not intendetl or oNered for sale (Sec. 7044, Busineu and Professions CNde: The Coniradors License Lew does not ap01Y to an owner of properry who builds or improves thereon, and who tloes such work himself or hersetl or through his or �er own employees, provided Ihat such improvements ere nol intendetl or oflered for sale. If, however, ihe building or improvement is ��/// sdd within one year of completion, ihe owner-builder will have the burden ol proving that he or she did not builtl or imprwe for purpose of sale.). p� I, as owner ot the property, em EXCWSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct �he pmject (Sec. 7044, Business and Pmfessions �� Cotle: 7he conirectoro License Lew does not appty to en owner ot pmperry who builtls ar improves Ihereon, entl w�o wntracis for such prqect with a coniracior(s) license pursuant to the ContratlOrS ��ense LawsJ. ❑ I�am ex�T� under� Signature: ` \ ,.y — Owner ID ve tlrNers licens ' L'J Yes ❑ No BuSiness end Prol85sions Code for this reeson: Vedlication of Ownership by (rype ol doC�mem, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PEAMR CER7IFICATION: Drivef5 Litense No. Date: Z D Expires: ❑ I hereby canNy that no axcavat{on �Ne (5) oc more teet in deplh into whkh a person is �equlreC to tlescend, will be made in connaction wiID work emfiodzatl by IDis pertnit, end lhet no building swcW�e, scefloltling, falsework, or tlemolition or dismamling Ihereat, wlll be more than thlrty-si: (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tltle B, Calllomla AOministreti�e Cotle). ❑ As ownor-bullder, I will not employ anyone to tlo work which would require e permi� from Ihe Division of Indusirial Sefery, es notetl ebove, unless such person �as e pertnit to tlo such work irom tho tli�sion. SignaWre: Deta: Divlslon ol Intlusirial Salery Permit Numpar: CERTIFlCATE OF COMPLIANCE AND A�1iMORVATION OF ENTRV: 1 cenity under penelty of perjury thet I have read this epD�ication and state tMt the Inlortnation given is wrrect. I egree ro comply with ell stete laws end ciry ordinances relating to Duilding construction, entl euthodze �epreseqtatives of the Ciry of Costa Mesa to enter upon the . e ribed prop f, lion� e�gree no� to acupy or ellow occupancy ol eny building euth1ri�Q bi ihio rmit until final inspection. II I l 1 —�Tnn�t Lbaal Owner(sl Date AnNOr Authorized ApDliwnt Date COOE 1. INSiECfIONTTE 1816 Flzetl System Final Flre Preven�� 1268 Pool Spa Final 200 Final Re-Roof 201 Flnel BIacWRetaining Well 202 Flnel Factory Fire Place EZ�kI 204 Final Sign Flnal Demolillon P.EIE I[ffiALS yQUE 1 INSPECTION TYPE 208 Flnal Mechanlcal 208 Final Plumbing 210 Flnel Electrical 212 Finel Flra Prevenilon 220 Finel PlannMg Approval 222 Final Slte 250 Finol Bulltling/Occupanty i,mi.. 1 Y (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��s MBING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626 JobAddress: 2563 OXFORD LN Suite No Vicinity: Parcel Nunmber: 14137412 Applicant: Address: Owner: Address Contrector: Address: DOYLE, DAVID A 2563 OXFORD LN COSTA MESA, CA DOYLE, DAVID A 2563 OXFORD LN COSTA MESA, CA OWNER-BUILDER Phone: 714319-2522 Zip: 92626-6122 Phone: Zip: 92626-6122 Phone: Zip: License: 000000 I� Status: ISSUED Applied: 12/11R006 Issued: 12/11/2006 ISSUED BY: 5'.: - F � -i +A SCOPE OF PERMIT KITCHEN REMODEL. REMOVAL OF INTERIOR NON-BEARING WALL AND ADDITION OF A NON-BEARING PONY WALI. AT POSTS. REF: 806-02073. PLUMBING TO INCLUDE: 1 DISHWASHER, 1 GAS SYSTEM _1-4 OUTLETS), 1 LAUNDRY TUB, 1 SEWER PRIVATE LINE, 7 KITCHEN SINK, - ISSUE FEE Backflow irrigation ' Backflow Preventer Bathtub Clari(ier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) � Gas Repipe � Gas Service Interceplors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 $0.00 $0.00 50.00 $0.00 59.80 $0.00 50.00 50.00 $0.00 , $0.00 $0.00 $6.15 50.00 $0.00 50.00 $0.00 50.00 Qn 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT LaundryTub/Washer $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 fl) $0.00 Receplors $0.00 SepiicTank . $0.00 Sewer Cap for Demo $0.00 SewerConnecf $0.00 Sewer Private Line $24.65 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink,kitchen $9.80 Sink, service/mop $0.00 Spa (pnvate) $0.00 Spa (public) - $0.00 � 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bk(low(5+) Wash Basin Wash Basin Set Waste and Vent Syslem Water Closet (foileq Water Heater! vent Water Piping Qnst or Rep.) Water Re-pipe W ater Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 TOTAL CALCULATED FEES: $83.70 QTr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requi�ements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRA710N: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 1 BO days. INSPECTIONS: In order for the work authorized under this permlt to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlone and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 246&48(8�W) WORKERS'COMPENSAnON DECLARAnON: � I hereby eHirm untler penalry of perjury one ot the following deGaretions: ❑ I have and will maintain e certitifate of consent to sel4lnsure for workers' wmpensation, es provided for by section 3700 of Ihe Labor Code, for the peAormence oi �he work for which ihis permit is issuatl. ❑ I have entl vnll maintain workers' compensatlm insuranca, as requiretl by section 3700 of tha Lebor Cotle, for the perfortnance of the work for w�ich this pertnit is issuetl. My workers' compensatlon Insurence ceMer and pollcy number ere: Carner: Policy Numbar: (Th/s secfion need not be cromp/efed il the permif fs velued et one huntlred dollars ($100) or less.) � I cenity ihat in Ihe peAormence of Ihe work lor which ihis pertnit is issued, I shall not employ eny person in eny manner so as to 6ecome subject m the workers' compensetion laws ol Celifomia, e\ agree that it I should becoma sub�ect to the workers' compensation provislons of Se`�ion 3700 oi the Lebor Cotle, I shall lorihwith compty with th se p s. � 2; /� ( Applicant Slgneture: 1 L— Date: � + �' I U io WMNINO; FnILURE i0 SECU ORKERS' COMPENSATION COV iiAGE IS UNL4WFUl M'D SHALL SUBJECT AN EMPLOYER TO CRIMINQ PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TIKK!$rW0 DOLLAFE (5100,0OO�.IN ADORKKJ TO THE WST OF WAIPENSATION, DNAAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CO�E, IMEREST, ANU ATTORNEI^5 iEES. LICENSED CONTRACTORS OECLAHATION: I hereby eHirtn thel I em Ilcensed under provislons ot Chapter 9(commencing with Sectlon 7000) ot DIWsIon 3 of the Business antl Professions Cotle, and my license is in tull force end eNect. Uc. p Cless q Contractols Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn ihet there is e consiruction lending egency lor iha pedormence ot the work for whic� ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lenders Atltlress: Siqnature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby eMirtn that under penelry of perjury Ihei I flm EXEMPT FROM THE CON7RACTORS LICENSE LAW tor lhe following reason (Sec. 7031.5, Business en0 Pmtessions Code: Any city or counry which requires e permit to consWcL aiter, improve, tlemolish, or repair any simcture, prior to its issuance, also requires the applicant tor such pertnit lo file e signed statement that he or she is licensetl pursuant to Ihe provisions ot the Contracrors Ucensa Lew (Chapter 9(commencing with Sectlon �000) of Division 3 of the Business entl Protessions Code) or that he or she is evempt therefmm and the basis br the allegeA ezemption. Any violetion oi Section 7031.5 Dy any epplicaN for a permit subjects the epplicant Io a civil penalry c� not more Ihan tive huntlred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as ihelr sole compensetion, WILL DO THE WORK, and the structure Is not intended or oNeretl for sale (Sec. 7044, Business and Professions CoOe: The Con�ractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who tices such work himself or herself o� ihrough his or her own employees, provided that such improvements are not intended or otteretl for sale. If, however, ihe building or improvemant is sold within one year of completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve tor Ourpose of sale.). � I, as owner ot the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business and Professions Cotle: The contracbrs License Law tloes not apply to an owner of pmpeny who builtls or improves ihereon, end who contrecis for such pm�ect wlth e coniractor(s) license pursuant to the ContraIXors License Laws.). ❑ I a� under seE Business end Prolessions Cotle br �his reason: Signature' l \ \ ��...� Date: z � � Owner ID verifie nver's license. ❑ Yes ❑ No Driver's License No. Expires: Venficetion of Ownership by (type of document, i.e. - property tac bill or deed): DIVISION OF INDUSTPIAL SAFETV PERMR CERTFICATION: ❑ I heraby certlty that no ezcavation five (5) or more feet in depth into w�ich a person Is required to descend, wlll be mede in connection with work authorizetl by ihis pertnit, end that no builtling siructure, scaHolding, talsework, or tlemolition or tlismantling thereof, will be more then Ihirry-sis (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Calilornla AOministrative COAe). ❑ As owner-builder, I will not employ enyone Io do work whic� would require a Oermit from the Division ol Indusinel Salety, es notetl ebove, unless such pereon has e pertnit to do such work from the divisian. Signature: Date: Division of Indusirial Safery Permil Number: CERTIFlCATE OP COMPLIANCE AND AUiHORVA710N OF ENTAV: I certify untler Denalry of perjury that I heve read ihis epplication and state Ihat the inlortnetion given is ecl. I agree to wmply with all ste�e laws end ciry ordinances releting to 6uiltling consiruction, and euthorize representatives of Ihe City of Coste Mesa to enter upon ihe above- ed prop r in pec Rwses. I agree not to acupy or allow occupancy ol eny building authonzed by th� pe it until finel inspeIXion. � � �� c� Sinnnlu al, nertsl D31B And/Or Authonzetl Applicent Date CODE �, INSPECTONTYPE Qa¢, II�LS 1616 Fized System Final Fire Preven�lon 1266 200 201 202 203 Pool Spe Final Finel Re-Root Finel Blwk/RetaiNng Well Final Factory Fire Place Final Sign 204 Final Demolition COUE� INSPECTIONTYPE 206 Finel Mechanical 200 Finel Plumbing 210 Finel Elecldcel 212 Finel Flre Prevention 220 Finel Planning ADO�oval 222 Fina15ite 250 Finel Building/Occupancy �� CITY OF COSTA MESA BUILDING DIVISION ` 77 FAIR DRIVE, COS7A MESA, CA 92626 • p14) 754-5273 • Fax p1d) 754-4856 • www.d.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER P08-00196 PERMIT TYPE PLUM APN: 14137412 JOB ADDR�SS: 2563 OXFORD LN CM Vicinity: SCOPE OF WORK: INSTALL SEWER CLEANOUT. STATUS: FINALED DATE ISSUED: 0910312008 ISSUED BY: CAC ,'^a� ' r � $UI�C/Ufllt: .�"� ''Y'. , � i" , .r, " � . OWNER: DOYLE, DAVID A / �`\`� Address:, �' 2563 OXF.O 0,6N' PHONE: ` � ;j, _ �, � ? Ciry/State2p: ' �COSTA ME$A; CA APPLICANT: pOYLE, DAV�D A �� ^'� � Address�''��,' 2563 OXFORD'LN PHONE: 714•319-2522 ��' .-'- •"�� CitylState/zfip: � COS'fA MESA, CA CONTRACTOR: Address: �'� •`�. ^ . � , � • . . , - OWNER-BUILDER'�e��,:s;'�'� � c r. .'�,_ � � "--- ' �, . �a, ,.r�� i •' t Ciry/State: �- _ x�, �p�ode: �:_. ,.,. � f-'� . .� � ,�, t� -.�.,• , :. a ARCHITECT: � ' - - T � � , �,�� Liiense�No� ENGINEER �;�' f �" - f License,Na'" � . 9 R ,tW ' ' � . � .�y � r.• ;, . , . . �', '�-q� „ '� �t� �,r , . �.'S. �,� 1 -'.-.•r , . M .'.�: �•�ti. �y�j� / ' •j 7.E1+. {:: l�.ii'iA � ^.'( I 4".,..'.. .t I '..''�^� r i __PLUM �G ,_ . � A� ' t' ,.. r :_ , . � , '•,. ' ', ;. :'{ i� •� : ,, , � �1��. , �.(� q. ., ; _ / r .� �_ '3�_;( ;; ;, , : /. ! �1 J . '. ! Y _ . yj/ �v� _ ,-:p:. � ' `y. ��i ' TOTAL FEES: �, PHONE �`,. � „ir.- `� CELL: F3 `'. _;{e.i u �¢� , � � �a ... : . 000000 � ... y.'..= PERMIT FEE SUMMARY $0.00 $48.15 $48.15 PHONE: PHONE: � NOTICE: The vrork authorized by Ihis permil shall comply vrith all applicable handicap access requiremenls under California slatutes and related regulations. (Orq. No. 92-28, § 1, 12-21•92) . EXPIRATION: PERMIT EXPIRES 780 DAYS fROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required inspections and final approval must be obWined. Failure lo obtain inspections and final approval will result in the expiration of this permit. COOE A. �� ,� � PA� — -' LKD3�5 S�4PF.! ItlS�S➢4tl2� : . • '. . � PdIE Ri�►S �1818�' . FL<ed Syatem Final Fire Prevemion ," � � 208 Final Mechaniwl �� V 1268, . Pool SOa Fnel ' � ' ' - � � 208 Final Plumbing �/!L � . o . r .. �- !' . . ( /T '�200 �- � Final Re-Rool' j " � ' 210 Final Electrical ..107 � �.r Final BIocWRetaining Wall � . . . � . � 213 � Final Fira Prevendon - 202 ,-� Final Factory Firo Place �� i � ' : 220 Fnal Planninp Approval ' ;.203'"' `Final Sig��/:• �_ y �� . ' � . 22T �- Final Sita . '�f,204 „y,�Fina�DerqWi6on� �� 250 �� FlnaleuiltlinglOccupancy .. . _" . . . ..` - _ . . . , : WORKERS' COMPENSATION DECLARATIO! I hereby aKrm under penalty ol perjury one o! tY4 �wing declarafions: ❑ I have and will main�ain a cehificate of consent to sel6lnsure br vrorkers' compensation, as provided !or by section 3700 of the LaDor Cotle, for the peAormance o( Ihe work lor whicn Ihis permit is issuetl. ❑ I have arM will maintain workers' compensatbn insu2nce. as requiretl by seclion 3700 of the La6or Cpde. Iw Ihe peAamance of the uork fw vfiich this pertnit is issued. My workers' Gompensalion Insurance carrier and policy number are: Cartier. (��5 seqqn neeC rof Oe mmdeleC <Ne permR a vahietl af ine ��MrcOWlari (SIGO) or /ess ) Policy Num�er. ❑ I cerlity Iha� in the pertormance ot the work for which this permit is issue0, I shall not employ any person in any manner so as lo become subject to the workers' compensation laws ol Califomia, and agree that if I should become subject lo the workers' Gompensation provisions ol Section 9700 of the Labor Code, I shall forthwith comply with ihese provisions. Appiifam's 9pnaWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOILARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aifirm ihat 1 am licensea untler provisions of C�apter 9(commencing with Section 7000) ot Division 3 0� the Business and Professions CoOe, and my license is in lull lorce and eflet�� Lic. t! Class # Convanor's S�gnaWre Uaie CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that Ihere is a consWction lending agency for the performance of the v.ork tp wfiich Iltis pertnit is issuetl. (Sec. J097, Civil Code). Lender's Name: Lender's Address: oate OWNER•BUILDER DECLARATIONS: I nere0y aKrm that under penalry ot perjury thal I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 70J1.5, Business an0 Professions Code: A�y ciry or county which requires a permit to conslNct, alter, improve, demoli511, or repair any SiNcture, prior to iIs issuance, also requires I�e applicanl for such permit ro(le a signed slatement that he or she is licensed pursuant to the provisions of Ihe Contracrors License Law (Chapter 9(commencing wilh Section 7000) ol Division 3 of Ihe Business antl Professions CoOe) or Ihat he or she is exempl therefrom and the basis for the alleged ezemption. Any violation ol Sectian 7071.5 by any appliwnt lor a permit su0jecls the appliwnl to a civil penalry ol not more than fve hundred dollars (3500).): ❑ I, as ovmer of lhe property, or my employees with �rages as their sole compensation, WILL 00 TME WORK, and the strucWre is not intentletl or oflered loi sale (Sec. 7044, Bu5inE55 antl Professions Code: The Coniractors License Law tloes not apply to an owner ol property who builds or improves thereon, and who does such work himself or herself or lhrough his or her own employees, provided that such improvements are not intendetl or offered for sale. If, �owever. Ihe Duildin9 or improvemeM is sold within one year of completion, the owner-builtler will have Ne burden ol proving Ihal he or she did nol build or improve for purpose of sale.). ❑ I, as ovmer o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro consWct the project (Sec. 7044, Business and Professbns Code: 'The cont2ctas License Law dces not apPN to an ovmer ol pmperty who builds or improves Ihereon, and aho cont2cts Iw sucn project vnth a contractor�s) license pursuant to tde Cont2ctors License Laws.). ❑ I am exempt under sec. Business ana Professions Code lo<<his reason: 9gnamre Dale ]OS]-a6 p/W � Owner ID veri(ed by tlnv nse. ❑ Yes ❑ No (' � Driver's License No. _ Expires: Verifcation ol Ownership Dy (rype ot document, i.e. - propeny cax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certdy Ihat rw excavalion frve (5) or mae (eel v� tlepth into v.fiich a person is requiretl to descenQ will be made in connection with work authorized by INs pertnil, and Ihat no building structure, sc�fdding, lalse�wrk, v demolition or Oisman�ling Ihereol, will be more ihan thihy-six (36) feel high. (Chap. 32, Grp 2. M 2. Sec. 947, Title 8, Califomia Administralive Code), ❑ As owner-builder, I vnll not employ anyone lo do work which would require a permit from the Dlvision ol Intlustrial Safety, as noted above, unless such person has a permit to do such wurk from Ihe tlivisi0n. Appi�nl's S�gnaluR Division ol Indus�rial Salety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicanl or present or fuWre Duilding occupant neetl to file antl certify a Business Plan lor emergency response to release or threatened release of a hazartlous matenal? ❑ Yes ❑ No (Seclion 25505 of the Calilornia Health and Sa(ery Cotle requires, with some exceD��ons, that a Business Plan be filed with the Costa Mesa Fire Departmenl by every business which has at any one lime during a reporte0 year a quantily of hazar0ous materia�s equal to ar greater than a weight o( 500 pounds, or a volume ot 55 gallons, or 200 cubic leet ol compressed gas at stantlard temperature antl pressure). 2. Does or will the applicant or present or luture builtling occupant neetl lo file a registration (orm for acutely �azardous materials? ❑ Yes ❑ No (Seclion 25533 ot the California Health and Safery CoCe, with some ezceptions. requires registralion with the Costa Mesa Fire Department by each business which at any one lime has on hantl a quantity o( acutely hazartlous materials equal to or greater than a weight ol 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature anA pressure). , 3. Does or will the aDP��ant or present or future buildinq occupant need to prepare an RMPP (Risk Mana9emenl and Prevenlion Program for acutely hazartlous malerials)? ❑ Yes ❑ No (Seclion 25534 0� the Calitomia Heallh anU Safery Code provides thal the Costa Mesa Fire DepaAment may require lhe preparation, certifwtion an0 lling wilh the Fire Department o! an RMPP hy businesses which are requireA to register acutely hazardous materials wilh the Fire Oepartment. 4. If an RMPP is presently required, has Seclion 25534 0l Ihe Calilomia Health antl Salety Code been fully complietl wiN? ❑ Yes ❑ No 5. Does or will the applicant or preseN or tuture Duilding occupant require tor ihe work which is the subjecl ot this application a permil lor suc� wns'ruclion or modification Irom lhe SoW� Coast Air Quality Management Di5Mc1 or trom any other air pollulion conlrol dislricl or agency? ❑ Yes ❑ No (Section 658502 0( the Califomia GovemmeN Cotle requires that the requested information be lumished on applications �a noo-residential building pertnils). 6. Will any part of Ihe lacili�y lo be conslructetl under this permit be within 7000 (eet Imm the ouler bountlaries of a school? ❑ Yes ❑ No (11 yes", the tacility must meet the requirement ol Sections 25534 antl 42303 of the Calilomia Health and Salety Cade). 7. II a permit Imm Ihe South Coase Air Ouality Management District or other air pollution conlrol districl or agency is requlred for the wvrk vTich is the subject ol lhis applicalion, have all ol the tlisclosures prescribetl by Calilomia Health and Salety Cotle Section 42303 been matle? � Yes 0 No B. pf'yes', atlach certifcate ol compliance Irom Ihe appropnale air pollution control affcer�. CERTIFICATE OF COMPLIANCE: I certi(y lhat untler penalty of perjury Ihe inlormation given above is correct. I agree to comply with all state laws and city ordinances regarding Hazartlous Materials and Emissions. Si�nalure Odle CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalry of perjury ihat I ha�e read this application and state that the information given is correcL I agree to comply with all state lavrs and city ordinances relating to building consiruction, and authorize representatives of Ihe City ol Costa Mesa to enler upon Ihe ahove4escribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until final inspeclion. Sigwlure of Legal pwneqs) AnOlor AutM1or¢ea AOOlqanl Dale •�i PHOJECT RODHESS: 2 S 6 3 UXFORD LN :..' owxeasxnme: pATELSKI„ KA2IM1'fYJ JR TR aoosEss: 1295 STONEFIELD ST COSTA MESA,CA 92626 557-4537 AXCH/ENGINEEfl: AEG.NO.: ROONESS: UNIT: UNIT: vesrninee: K.S. PATELSKI ( 714 ) 557-4537 PDDRE55: LZ9S STONEFIELD ST COSTA MESA CA 92626 LICENSEO CONTBPCTOH OELLPflATION: I here�y aflirm Ihat I am IicenseU untler pmvisions o� C�apler 9(commencing wi�h Sec�ion 7400� ot Division 3 al ��e Business and Pmlessions Cotle. an0 my license is in full foae an0 ¢flect. CITY LIC.: STRTE LIC.: CIASS: oate: SiB�alure: WOflNEHS' COMPENSATION DECLAflATION: I Aereby afiirm I�al I have a cenilicate ol consent to sel4insure or a certificate a1 Workers' Campensalion Insurance. or a cer�i6e0 copy ih¢reoi (Sec�ion 9800, La�. C�. IPOLICY NO.: EXP. DRTE: COMPANY: ❑ Ce�ilie0 topy i5 hereby Wrnished. ❑ Cetli�ietl topy is fil¢0 wi�h Ihe tiry BUiltling Division. �ate: App�icam: E%EMPTIONFNOMWOPIIEP$'fAMPEN5A710NDEClANRTION: (i�i55ec1ionnee0irot0emmpleteGitllie0�ml61aarehunOred�SiOU�orless�. I cetlily I�al in I�e petlormance o� ihe work lor whic� Ihis Oe�mil is i55ue0, I shall no� employ any Ders in any manner w as to become SubleCt ihe WOrkeri Compe Salion Laws ol Calibmia. �j �� '/ A q rG�1/� ,,,/��{� , -0ate: `�' �` 'l SignaWre: 1 m u/��`-� 1 NO7ICE: If. alte� making ihis Ceclaratian. }rou snoul0 Uecome iecl lo ine workers' Compen5ation O�ovisions al Ihe Labor C tl ou must forihwiU com I with suc� provisions or t�is permit shall Oe tleeme0 revokeA CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M S8 PERMIT NO; M 058720 PLAN CHECK NO; N , , CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE; OTH JOB DESCRIPTION ; FURN, CHANGE OUT SQ FT; CLAIM VALUE: 1,200.00 CALC—VALUE; GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED ��r***�rx��r�ex*x��r�t*�*�r*x***x*�r *�r�t*�r*�e*�t�r***x�r�t*�t+t�t�r***��r*�t�t�t�r**��x�*��t**�r�xx��xx+��r� Z 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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FANT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: £T IN RGHT: FT IN PARKING RE PROV; PARCEL: 14137412 ZNE: REF NO: PLANNING N �'ES> i +t*�t�t**�t�t�t�t�t*�t**�t�t�r*,r�r�r�t�t*�r�t�r�r**�r*��t�rit��r+t+t�t�r**�t�r*�t,r**x �r�r*�r�r*�t**x �r�r*�r�tx�+t�t�t*�r�r�t�r�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 ZONING APPROVED BY �� DATE; HUILDING APPROVED BY n � i DATE• oe.y nv APPLICATION ISSUED BY: �/ r/ CONSTHUCTIONLENOINGRGENCY: I�erebyallirmthatihereisaconstmc�ionlen0ingagencyfor�hepeAormanceoit�eworkfor ********************** � wAic� I�is Oarmil is issueA �Section 3097. Civ. C�. LENDEN: ik �k k if iF iF if if if ik if if if iFif iE iF ik ik ik ik iF Ik iE ik ff 1F k!f �E If if �E k �E iF1f nooxess: LEGALI2ATION;Y F E E S U OWNEP BUILOEB OECLAflATION: I hereby a��irm I�a� I am exemD� ��om �he Coniracmr5' Slale License Law �or I�e following reason BLDG PhiT PLUMB ING ELECTRIC �Seciion 7031.5 Business and Pmlessional Coae; Any ci�y o� counry w�icA requires a De�mi� Io consiruci, all¢r, impmve, Oertwlish, ar PERM I T repair any simcWre. priar to its iuuance, alw repuires ihe ap0�iwnt for suc� permit to file a SigneO stalement that he/she is IicenseG pursuam m i�e pmvaions ol ihe Contractors' Slaie License law (Chapier 9(cammencing wi�� Sec�ion 7000) ol Division 3 0l IAe Business pLAN � I h � t t� t m ntl �h ba is lor �he alle ea eeem lion An violation of $ection 7031 5 U DATE • � ��L' iEiElfiE�k3FMfE1EiE �E�f �f iFkkiFikiFMikiF�Fff�kkiEkiEikkifiFiEiE�fIF3Fif�fififiF3E�t�tiEiEif�k M M A R Y STRUCTURAL SEGMENT;N MECHANIC FIRE SMIP/RES GRADING 18 00 '15i SMIP/NON—RES anE Prolessions Code) or Ihai e s e is exemp ere m a e s g p . y . Y a��r.am m� a no�mn ciiniects me aoniicant m a civi� oenauv o� no� more tAan �ive huntlretl donars ISSOOL ISSUE FEE ], 5, �� I, as owner ol IAe pro0erty or my employees with wdges as IAeir 5ole compen5a6on, will do the woA, an0 lhe ❑ sirucwre is not intendeA or oflere0 for sale (Section 70aa, Bus�ness anE Pmiessional Cotle: The Contracmrs' State Licenu Law Goes noi aOCly �o an owner ol a DroperlY w�o �uilds or impmves �hereon, ana who does such work himsel�/�ers¢I� or IAmug� �is or Oer own employees, D�o��4¢0 t�at such imDmvemenls are not intentlea or ofterea for sale. II, �owever ihe builAing or impmvemenl is soltl within one year oi comple�ion. Ihe owner will �ave ��e Durden o� pmving �e/she Oid not build or impmve lor �he Durpose ol sale). I. as owner ot Ihe proDeny, am exclu9vely coniraciing wilh licensetl coniractors to conslNct the o�olect (Section 7040, Busine55 � and Prolessions CoOe: T�e Contracmrs' State License Law Eoes not aDPH �o an owner al DropeM �o bmlOs ar improves tAereon an0 who toniracis lor SUth pml��s wil� a tonirat�or(5) licens¢ pur5uan� Io Ihe Conirat�ors S�ale Litense Law�. I am aware Ihal O�ool ol ��eir Worker'S Compensation insurance s�oula �e pmvitletl �o me. � I am erempi wCer Section: B. A P. C. for Inis reason: � � , � �f l � Owner: I tlo nere0y cenily inal I am aware o� and un0erslantl Ne requiremenis o� Cali�orn Health an0 Salery Catle Sec�ions 255Q5, 25533, anE 2553d antl Ihai I or any Wture 6uiltling occupant wilVwill noi �circie one� neetl to comDlY wi�h sai0 Slaie co0es an4 i�e requiremeNs for a permi� lar conslmclion or mo0ilica�ion irom I�e Air Ouahry Manaqement Dis�rid. fle5i0enlul con5imction appliCaiians are exem0� ��om ��ese pmvisions. Daie: ApplicanL I �ere0y cerlilyihat I havereadl�is ap0lica�ion antl ilatet�al IM1e aGove intormationis correcl. I agree�o comply with all ci�y antl counry orOmances and slale laws relaling to builaing con5imclion an0 �ereEy aulMrrze repre5enlalive501 tllis dry to enier upOn tli¢ a00vE-mentiW¢tl pm0e�y lor inspecl)io�n}_purposes!�. q !///,� � � Oale'. ��G1 �T � � / /� Sipnalure: � ✓ " � Oriver's�icenseorSacia�Securityw: ��Btrt�46 W�i�e—Bmltlmg', Gmen—Gatle Enlorcemenq Canary—Applican�; Pink—Revonoo; Goltlenroa—Assessor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,00 15,00 0.00 33.00 33.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 33,00 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR 33,00 ik iF iflf k iF �E iF �f ik k k jF �E if 1t �E �E it iE k ik i! iF if if 1! 1E i! iE 1E if k iF if k �k if if if iE if �f �f �kik iEik fE k k iF iE IE if *�f * k iE iE �F ik �k iE 1E if it �E �t it if IF k it iF it if 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 I O N UNIT COST TOTAL COST MEC 1 ZNST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 END OF FEES ' �. .1�.. . .. � , i.�'. CONSTRUCTION ANDPLANNING POOI A APPROVALS Permit# Date Inspector qPpROVALS Permit# Date Inspector i. Temporary Eiectrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd; 53. Steei Reinforcement � 3. Electrical Conduit�Utflity-Undrgrnd. 54. forms 4. Electr'rca� Conduit�Undrgmd. 55. Electrical Bondmg 5,�Steel ReinforceMen=� 56. Rough Plumbing & Pressure Test � - 6.+Electrical UFEA Grnd. 57. APPROVAI TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgmd. •- 8, foundation � 59. Gas Pipe, O Undrgmd., Test !9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structurel Floor System 67. APPROVAlTO DECK 49. Property Sewer Line & House Connection , � 62. Backwash & ReceptorPinal � 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains �. . 64. Plumbing SYstem - Final �. 14. Rough Plumbing � 65. Electrical-Final , 75. Rough Electrical-Conduit 66. Sofar System-Finat i6. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - � _ , 20.-Rough Fact1ry Fireplace 'j �^ �' � - !" ^ + �qpPROVAI'5;= -:Perrhit # i 21'Ducis,inStFucture . , �^� ,� _70. UndergiotmdHy�ro +. 22. Ducts, Uentilating ' -_ :i ��' � 77, Produc��iping CS��{s q.0il 23. Gas�ipe-Rovyh &�Test 4_ J� r, 72, Undergto�d FIu2F -. 24: Roof Framing S. � • ' " '� > � _ . . x , �'73.- Undergrndt SrorBg'Tank'O Gas ❑ Oil 25. Roof Sheathing'� �; . - - `' :`".; �7q.:=0verhead Hydro-� � 26. T�Bar Ceiiing (Structuraii &.Mor��oat _ - �" Y 75,' Dry Chemical ' - 27. �Frameand Flashing� _ _ � _ r [ : 76. Dry Stanckpipe ." < ' � - �-28. Latbing.$t Siding- a:- ,. ., ••�x q 77; FIXED SY�fEM E�NAL" _ `_ �29. Insulation � T , �� , � ` '�. 78.`FIRE PREV. FIIVAL . � 30. DrywallNailing = � > � HE�ALTH_DEPT: R�EQUIREMENT i� �,37. Plaster Brown Coat . 79' PINAL If�$R�CTION _' ' : 32. Electrical Po�ver Mete��Final � � 80.- FOOD CERTIFICATE ISSUED , 33. Final Eiectric i � �-�°„ '�No{es: ''' � - � 34.-Final Heating& Air•Conditioning- =' � .' � G� ^ , - . . • � � 35. Final Gas Pipe-Test" • � i ` `� - 36. Hood or Canopy .- t . - , � 37. Final Factory Fireplace ` ' .. � `38. Pinal Plumbing � . � .. _ � ,, � . . - �39. Watcr Service�Final � ' ` '� ` ' r - . � 40. GasService-Final , � , � . �ti . �� - - 41. Solar pomesticFinal - "' • z � ' �42.'Backflow Preventer.. � ` ', - ; ' 43. Backflow Irrgation => > • _ � � � � , . ,44. Landscape Irrigation Sysiem� • - , - - � . � : ._ � �45. Sound Atteduation - • - ' " � � � n� �� =46. Handicap Regulations ' - ' _� � - 47. PINALSTRUCTURE&BUI:LQING ! 1' a " 48. FINAL PLANNING ' � � . > ,. :49.•EleMric Release to Edison I I I. - � '50. Gas-Release to Southem Calitomia Gas Co : �� I. . - -� - � 51. CERTIPICATE OF OCCUPANCY , � � - No. Date (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c$li/ILDING PERMR 77 FAIR [JHIVt, GOSIA MtSA, GA 9'162ti Job Address: 2563 OXFORD LN �jX J� �� Status: ISSUED Suite: T � Assoed: 12/11/2006 Vicinity: RESIDENCE AND ATTACHED GARAGE �JJO Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 14137412 Zoning: PER npplicant: DOYLE, DAVID A EXPIRES Address: 2563 OXFORD LN �� Phone: 714-319-2522 ISSUED BV: COSTA MESA, CA Zip: 92626-6722 Owner: DOYLE, DAVID A Address 2563 OXFORD lN COSTA MESA, CA � Contractor: � Address: " ' ' Zip: Arch : Address: Phone: 2ip: License: �C �%�% ��::. .h j Phone: License: Eng: Address: ,; � EX.pIRED Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING. REPAIR/REPLACE SHTG AS NECESSARY. COVER WITH 30 YR COMP. INCLUDES RESIDENCE AND ATTACHED GARAGE. APPROX 20 SQUARES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 � $69.25 $0.50 $0.00 $0.00 $0.00 $69.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existina: o Rear 0-0 Rear 0- 0 Reauired: 0 FEE SUMMARY Calc Valuation: S2,000.00 Claim Valuation: S2,000.00 PLANNING & ZONING Left 0-0 Right Left 0-0 Right Pr000sed: 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO 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 Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 204fi-4fi(N00� WOHKERS' COMPENSATION DECLARATION: - I hereGy aNlrm untler penalty of peryury one ot t�e following tleclarations: ❑ I heve entl wlll meintein a cenificate of consent to self-Insure for workers' compensetion, es Drovidetl for by section 3700 oi the Lebar Code, lor Ihe pertortnance of the work for which ihis permit is lssuetl. ❑ I heva end will maintain workers' compensa�ion insurence, as required by section 3700 of the Lebor Cotle, tor Ihe pertorcnance of the work Por which Ihis pertnit is issuetl. My workere' wmpensatlon Insurance carder end palicy number ere: Cerrier: one orless.) Policy Number: �I certiy ihet In the pertormance of tha work tor which this permit is issueq 1 shall not employ eny person in any manner so es to 6ecome subject to ihe workers' compensatlon laws qf6ek �a, end egr � et if I s��pppuWWI�� become sub�ect t` o the workere' compensation provisions of Saction 3700 of tpe�bo� e, I shall torihwith comply with Ihese provisipns. ` \� �� I I I I ApPlican(�Signature: � � � � Date: ! ARMaQ�FAICl7RETO SEWRE W ENS�TIdJ COVE E IS UNUWFUL AND SHALL SUBJEGT AN EMPIOVER TO CRIMINr1L PE TIES AND pNL FlNES UP TO ONE HUNDRED THIXI$rW D Op1ARE ($100,000), IN MDITION TO TME COST OF COMPENSATIqJ, DAN.FGES AS PROVIDED FOR IN SECfIdJ 31O60F THE LABOR COOE. INiEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 0l ihe Business and Professlons Coae, and my license is in full forCB end ettect. Lic. N Class k Contractors Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I here6y aHirtn that there is e consiruction lending egency for Ihe pertortnance of ihe work for w�ich this Dermit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn thel untler penalry ot perjury thet I em EXEMPT FROM T}IE CONTRAC70RS LICENSE LAW for the followin9 reason (Sec. 7031.5, Busineu and Professions Code: Any ciry or counry which requires e permit to construct, alter, improve, demolis�, or repair any structure, prior to its issuance, elso requires lhe a0��icant for such pertnit lo lile a signed stetement ihat he or she is licensed pursuant to the provisions of the Cantrectore License Lew (Chapter 9(commencing wlth Secllon 7000) of Division 3 0l Ne Business entl Professions Code) or that he or she Is eaempt t�erefrom and the basis for the alleged axemption. Any violetion of Section 7031.5 by eny epplicant for a pertnit subjects ihe epplicant to a civil penelry M not more then five hundred dollers ($500).): ❑ I, as owner of Ihe properry, or my employees wlih wegas as their sole compensetion, WILL DO THE WORK, and ihe structure Is not Intendea or ottered tor sale (Sec. 7044, Business and Professlons Code: The Contrectors License Law does not apply lo en owner of propeny who builds or improves lhereon, antl who does such work himself or herself or througd his or her own amployaes, provitled that such improvemen�s ere nat intentled or ottered for sela. If, however, Ihe building or improvement is �Id within one yeer of completion, the owner-tuilder wlll have ihe burden of proving that he or she did not 6uild or improve for purpose of sale.). 85 owner of Ihe pro0erty. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS Io constmct the prolect (Sec. 7044, Business entl Professlans Code: The comrectors License Lew tloes not epply to en owner ol pwperty who bullas or Impwves thereon, and who contrecis br such projec� with e comractor(5) license oursuant to the Coni�actors License Lews.). Business and Professions Code tor this reason: � Date: license. � � Ves ❑ Na Drivefs License No. Expires: Venfication ot Ownarship 6y (rype oi dxumant, i.e. - properry te�c 6ill or tleed): DIVISION OF INDUSTRIAL SAFEn' 7ERMIT CERTIFICA710N: ❑ I hereby certity ihat no exca�etion five (5) or more feet in depth into which a person Is required to tlescend, will be mede in connection with work authonzeC by Ihis permit, and Ihat no building sirucWre, scaflolding, telsework, or demolition or dismantling thereof, will be more than thirty�six (36) feei high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, 7tle e, Calitornia Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require e permit fmm the Division of IndusMal Safe�y, as noted above, unless such person hes a pertnit to do such work from ihe divlsion. SlgnaWre: Date: Division ot IntlusMal Satery Pertni� Num�er. CERi1FlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTAY: I certity under penalty of perjury that I have read this ap0licatlon entl state Ihet ihe information given is correct. 1 a ree to wmply with all steta lews end ciry ordinances relating to building constructlon, end euthonze representatives ol Ihe City ol Costa Mesa to enter upon Ihe aDove- cn e erty,te uryoses. I a(grea nol to occupy or allow occupancy ol eny building authorized by ihis pertnil unYO final inspection. � ��-1-\�---. � `C._ - � � 'n lo SignaNre Ot Lepal ner(s) � Date Antl/Or Authonzed Applicant Date COOE t. INSPECTIONTYPE 1616 Fi:etl System Final Fire P�even�ion 1266 Pool Spe Final 200 Final Ra-Root 207 FIneI8lock/Rataining W811 202 Finel Fectory Fire Place 203 Final Sign 204 Finel Demolition PdiE INTITIALS COOE I INSPECTION TYPE 206 Finel Mechanical 20B Finel Plumhing 210 Finel Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 FIna1511e 250 FinalBuilding/Occupency QdE Itl�1dL8 June 7. 2007 � . � CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92G28�1200 DEVELOPh1ENT SERVICES �EPARTMENT David Doyle 2563 Oxford Ln Costa Mesa CA 92626-6122 BUILDING DIVISION EXTENSION NOTIFICATION PERMIT NUMBERS: BO6-02077 FOR: Re-roof PROJECT ADDRESS: 2563 Oxford Ln., Costa Mesa This is to advise you that the request for an extension on the above permits has been approved by Ed Petros, Chief of Inspection. The extension is valid for 180 days. The new expiration date of the permits is December 6, 2007. You may call 714-754-5626 for inspection at any time prior to this date or your permits will expire. Additional fees will be required to finalize expired permits. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working with us to resolve this matter. Sincerely, Mary Jane Weidenkeller Office Specialist II Buibing Division (714) 754-5273 • Cotle Enforcemen� p14) 75a-5623 • Planning Division (71a) 753-52a5 PAX(7�4)754a856 � TDDp�a)75a-524a • www.ci.costa-mesa.ca.us REQUEST FOR EXTENSION OF PERI�T,#L�;5-02077 . : WEIDENKELLER, MARY JANE From: David Doyle [David.doyle@ci.diamond-bar.ca.us] Sent: Tuesday, June 05, 2007 12:53 PM To: buildingsafety Subject: REQUEST FOR EXTENSION OF PERMIT #806-02077 Dear Sirs Page 1 of 1 I respectfully request an extension of Permit # 606-02077 (Re-Roo�. Originally when we pulled this permit along with our permits for our kitchen remodel, we had anticipated doing all of the work at the same time. Unfortunately, we hatl financial issues beyond our control that forced the delay of the kitchen remodel until May. We have initiated that project and it is well underway; inspections for rough in plumbing were conducted last week, and electrical rough in inspections should occur sometime this week. In addition, during this period of time, my wife became pregnant with twins and we have had significant medical issues that delayed fhe commencement of our construction projects. In order to re-roof, we must relocate an unsightly gas line that runs across of roof which was cOnstructed many years ago by a previous owner. This work should be completed in the next few weeks. We anticipate the roofing work to begin in the next 90 days, depending on the delivery of our first children. My wife is due in August so our hope would be to complete the project before then. If that is not possible, we most likely could not commence the project until October or November. Therefore I would like to request that PERMIT 606-02077 be extended until December 12, 2007. Along with the re-roof we anticipate additional work to improve the look of our residence from the public street and address years of neglect by the previous owners. You may notify me as to the status of this request via e-mail, by phone at 714319-2522 or at my home address which is 2563 OXFORD LANE, COSTA MESA, CA 92626. Thank you for your cons'rderafron. David Doyle Assistant City Manager City of Diamond Bar 909-839-7012 Confitlential Communications The information contained in this e-mail message is intended only for the use of the individual or individuals named above. If the person actually receiving this message or any other reader of the message is not the named recipient or the employee or agent responsible to deliver it to the named recipient, any use, dissemination, distribution, or copying of the communication is strictly prohibited. If you have received this communication in error, please immediately destroy AND notify us by telephone at 909.839.7058. 06/OS/2007 �u� � . � �, ��,�. � � � 5� �� 06/05/2007 12:59 9098613117 .r. � CITY OF DIAMNOD BAR CITY OF COSTA MESA BUILDING DIVISION ATTN: BUILDING OFFICIAI. Dear Sirs: I respectfully request an extension of Permit # B08-02077 (Re-Roo�. Originaily when we puiled this permit aiong with our permits for our kitchen remodel, we had anticipated doing all of the work at the same time. Unfortunately, we had financial issues beyond our control that forced the delay of the kitchen remodel until May. We have initiated that project and it is well undennray; inspections for rough in plumbing were conducted last week, and electrical rough in inspections should occur sometime this week. In addition, during this peri0d of time, my wife became pregnant with twins and we have had significant medical issues that delayed the commencement of our construction projects. In order to re-roof, we must relocate an unsightty gas line that runs acrass of roof which was constructed many years ago by a previous owner. This work should be completed in the next few weeks. We anticiapte the roofing work to begin in the�next 90 days, depending on the delivery of our first children. My wife is due in August so aur hope would be to complete the project before then. lf that is not possible, we most likely could not commence the project until October or November. Therefore I would like to requesi that PERMI7 B06-02077 be extended until December 12, 2007. Along with the re-roof we anticipate additional work to improve the look of our residence from the public street and address years of neglect by the previous owners. You may notify me as to the status of this request via e-mail, by phone at 714- 319-2522 or at my home address which is 2563 OXFORD LANE, COSTA MESA, CA 92626. Thank you for your consideration. Sincerely � ��--� �.____ i Doyle PAGE 01/01 OWNER COLLEGE °aRR CO, C'E B-I.!!-Sb JOBADDRESS 2$63 dxi'ord Lane BUILDINGPERMITNO. �J�+91 GENERALCONTRACTOR Eiarbor COtl9t� CO� VALUE $ ZZ,ZOO�OO LOT 75 BLOCK TRACT 2%2"j Residence w/det �8T GROUP I& J TVPE Q ZONE RIl FIRE DISTRICT jS�l PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR . � _/ / DATE I NUMBER Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab u � Plumbing, Rough Complete 7emporary Pole Wiring, Rough Heating, Rough ' Heat(ng, Final B'ewer.House �D Sewer,: Lathing,ln Out Plastering Plumbing, Final, Fixtures Complete + Plumbing, Final Gas Test � Wiring, Final MAR 2 Occupancy MAR 2 FONM 210 3M 10�'JS r �-•;s a esa ai mg epartment ._' 171 EAST 20th STREET � � COSTA MESA, CALIFORNIA � FOR APPLICANT TO FILL IN Bullding Address 2563 Oxford Lane Costa Mesa., California Cross St. Owner CO Mail Address 2 City $Bllt Archlte�C o� :�a�o,.Harbor Const.CoNo,' ""' 3761 ress r Pito� � r�iot 75 � eiook j Tract 27 ach Metes and Bounda) No. of Bldgs of Lot 6� X Z��J Now on Lot of I No.of I No.of ting 9ldg. Familles Rooma ack 4ine from Rear Vard �sr of 8treet 5� Sida Vard 5 New Repair Building Size Exterior Coverfnc Use of N X � Alteration Roof Demolish I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building Construction. Signature of Pe�m�ttee �Iarbor Construction Co. Valuation $ 11,200. SORM 204 S-UP 2M 8-55 Permit Fee $ � � � Plan Check $ / � � Total // Fee $ T�'� APPLICATION FUR Y�nivu'� ,�t.5�� BUILDiNG FOR OFFICE USE ONLY Receipt No. Permtt No. � 3 �L /�/ Recefved by I Date Rec'd. Date"Isvued �'- - S � AUG 1.4 1956 Bullding Adtlress Costa Mesa, California Nearest Cross St. Zone No. of Type Grou I Plans I y � Approved b Date CORRECTIONS APPROVALS in Lxation Inspector Materials, >inning �-`-.-, Ire Stops, - , Bolts = ,� .i i �c. • --7 Ext N ✓N � Reinforced � am �v � PLOT PLAN - _ Bhow location and distancea Trom ' .. property Iine and between buildings . i � ' �.1 � . . OWNER ��q� M. JOB ADDRESS 256j O�dord 7 GENERAL CONTRACTOR g�� AP No. 1�F1-374-12 LOT 75 INSPECTIONS SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINNLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPORARY SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TRENCHES C� FORMS {FI STEEL REINP. BOND BEAM Lj STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATHING - IN,'F OUT PLASTER, 9ROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFFIG. / PLUMBING, FINAL ANO GAS ELECTRIC. FINAL DATE BU' 'NG PERMIT N0. DUP I TYPE $UBCONTRACTOR - 30326 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Completely ra±o �{AY23-69cwsnOdi43o� =�*�39.00 APPLICATION FOR BUILDING PERMIT E VED BV DA E E EI E DATE ISSUI . . ' �I .. •,, �� lii. !`�,� _ ; ! ��i BUILDING � � MAIL ADDRESS Z ADDRESS SA P � � a U CITV ��'j � %��A Np�. Z' � TRACT Z Z F Z ON �NDER�ION ON(r am J � BRANCH -� N OWNEF m J ADDRESS m ARCHITECT TEL. 5 J a OR ENGINEER Z Q FIRE � w � ADDRESS ZONE TV d w / APPROVED W Z CONTRACTOR (, B�' J Q m Z J � ADORESS � /q VALUE �� w w TEL ZO NO.OF USE OF NEW Z= CITV �� N —� P�� BUILDING F w � STATE ./ CITV �'AROS APPROVED VARDS AI y R LIC. NO. ZSSD ry L LIC. NO. �9/ (� MAIN BUILDING ACCESSOR� 7 O (FROM C�L�R�ET� SIZE NO.OF BLDGS. OF �OT �pOK /Q ^ NOWONLOT �L qpNTH�/ /'�'FT USE OF /� -- EX15TING B�DG.S�i(B � z Z 7 M� SIZE OF NO. OF Z NEWBLDG. �7'X L$ ROOMS I STORIES � L.SIDE � FT.^_ EMERIOR WAL . ROOF //' �/ V COVERING COVERINGYY.PQ ✓ REAR �( FT. J USE OF LDING AND M� K TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. a a �AR. �. O C.U.P.qW F APPFOVED� N � Pr W �. VI hereby ecknowletlge tHet 1 have reatl this eppllceHon antl state � that the above intormatlon is correct antl apree to eomply with � ell Inws regulatinp builtli�9 conrtruccion, entl I shall not amploy F any person in viOlatlon of tha workmen's compensetion laws ot y [ha State ot Calitornle. zI hereby certify thot I en� Proparly licenaetl as a contracror untler n. FT. the Sta[e ot Celifornia Business entl Professions Cotle, Dlvisicn 3, THE AMOUNT SHOWI Chepier 9, antl thet such licanses ara in full forco nntl efiect, or I THE PURPOSE OF ESTP am axompt from tho pro��sions of thaSte[e of Celifornie Business VALUATION nna Pratessiom Co e, DiVision 3, Chapter 9. � � �( / ' $IBIIOLUlB /� Permlttea i // /..� P �Y IV AuMorizatl Agent l i i/ OET. MAIN & AOCESS. BI.O OATE APPROVED y'—� 9 \ � 0 UNDER VALUATION IS FOF ' LISHINCa A PERMIT FEE ONLV: � ¢ RMIT FEE $ m N � Q m AN CHECK 5 �J • E `o L� ,/�� LL iTAL FEE S / • If�/ Ow1vEa DOtI0H0E, Mr- Daniel G. �A'r$ 3_7_5g ]OB ADDRPSS 2563 Ox£or. .ane �1ILDING PERMIT NO. 6Ii88 11 E R CONTRACTOR pc.mer-Builder VALUE $ P. o. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Fence GROUP TYPE ZONE PLAN NO. INSPECTIONS I DATE I SUBCONTRACTOR DATE `I VNUMBER coat Pinal Gas Tut . C: COSTA MESA BUILDING DEPARTMEMT P. 0. BOX 317 COSTA MESA CALIFORNIA H UJ w � F� 13T. C•L. OF STREET ' �iPROP. r 10 FT. FOR 60 FT. S � I � � � � � IIN IW �a lo �d NE =ET LEY QR PROP, LINE a� . /ol�i'` i� �� i PROP LINE -��-=--�---- C.L. OF STREE � � 2I _ _J� a OI ¢ a� � �� - � ------� i 5�� F w w ¢ H N � O J U �� TA M A I ��F �._ .-.ca RE T. I s�8s (��C�� 8�9�� n �nn� r FOR APPLICANT�TO�FIIrL�II�• BUILDING ADDRESS � �� u',� ��%�D�E$,9� �� Owner Mie ��.4�'i EL. CT• �0 n/'O ff o 1= Mail Address oZ. S(� 3 � x FO R 11 �/4A! 6= City �O StA_ MES/i- ---Ph. No. �%. s_ 8 ia G Contractor aW N�2 Ph. No. Cily Lic. No. State Lic. No. Size of Lot %d� X ! �c AP No.//�'; � •�S � " �.� Setbacks: C/L Street ,�� t Rear - �— Side Yard - Riaht Leff'- �� I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- incxnces and State Laws regulating building construction. Signature � � • n /1_ � � ' oi Permitiee w+�-��-e-�- I✓ I FOR OFPICE USE ONLY e `Jo �c L' J� S /z /arl � a w %- - 7 -s VALUATION I �� Permit Fee $ � " J u U� I Plan Check $ � TOTAL FEE MAXIMUM 4 FT. FENCE MAY BE PLACEO ON DOTTED LINES------ " ' ' , MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS �