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Home My WebLink About2423 MINUTEMAN WAY - Building Permits(774) 754-5273 • fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2423 MINUTEMAN WY Suite: Viciniry: GARAGE ONLY Parcel Number: 41916267 Zoning: Applicant: MAUPIN, ANDREW Address: 923 N LOGAN ST , . " ' - "" ' " " - Phone: 714-5583707 SANTA ANA CA :� , ' Zip: 92702 , Owner. FINAt, NORA L Address 2423 MINUTEMAN WAY Phone: COSTA MESA, CA Zip: 92626 Contractor. SANTAANA'ROOFING & WEATHERPROOFING INC Address:. 923 N tOGAN ST Phone: 714-55&3707 ' SANTA ANA CA Zip: , g2702- License:- 463596 ' Arch.: --� � Eng: Address: ' � � � Address: � � Phone: Zip: � License: sc� REROOF: TEAR OFF EXISTING ROCK�ROOF. INSTALL 1 Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: ' Total: $0.00 $83.25 $0.50 50.00 S0.00 $0.00 $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: n Rear 0- 0 Rear 0- 0 Re uired: 0 Status: ISSUED Applied: 03/Ot/2002 Issued: 03/01/2002 ISSUED BY: � Phone: License: F PtKMI I 2 PLY AND ROCK. 1300 SF. GARAGE ONLY. FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 $3,000.00 $3,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period o� 180 days. � INSPECTIONS: In ordar for the work authorized under this permit to be considared legal, such work must comply with all applicable codes, and all required Inspectlons and final epproval must be obtained. Failure to obtain inspections and final approval vrill result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 a,wo �aw� WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one ot the following dectarations: ❑ I have and wlll maintain e cartiticate of consent to sel4lnsure br workers' compensatlon, as pmvidetl for by sectian 3700 of the Lebor Cotle, tor the pedortnance of the for which ihis permi� is issuetl. � I have and will maintein workers' compensation insurence, es required by section 3700 of lhe Labor Code, br the pedormance of the work for which this permit is issued. ✓ My workers' compensation Insurance carrier and policy number ere: er._� • Pdicy Number>i -j� �3 30 % ��ls section need not be comp/efed il e permil va/ued et one hundred dWlers (5100J or less.) -' ❑ I certity Ihat in the pedormanc o work which this pertnit is issueQ I shall not employ any person in any manner so as to become subject to the workers' compensation laws ol Califo ia e agree at il I shoultl become subject to Ihe workers' compensatian pmvislons of Section 700 o ihe Lebor Code, I shall torthwit� comply with ihese provisi . yAp�pli�cent Signa��-�� -ture:_ �' , a e•r � � � Z— WAR IN NG: FAILURE TO SECURE WORKERS' COMPENSATIO CO RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLL4RE (5100,000�, IN ADDITION TO THE COST 0 PENSATION, DAhNGES A5 VROVIDED FOR IN 5ECT10N 3]O60F THE LABOR CADE, IMEREST, AND ATTOFNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afli� thai I.am.licensed under provisic of Chapter 9(commencing wit� Sectlon 7000) ol Divislon 3 ot the Business nd Pw/essions Cotle, antl my license is in tull Class M' � � CI �r� f 21e. `� n i _ CONSTRUC710N IENDING AGENCY: ❑ 1 hereby ettirtn Ihat there is e construction lending egency for ihe pedormance of I�e work tor which this pertnit Is issued. (Sec. 3097, Civil Coda). Len�er's Name: Lentler's Atldress: SignaNre: OWNER-BUILDER DECLARA710N5: Data: I hereby aHirtn t�at under penelry ot perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Profeulons Cotle: Any cily or county which requires a permit to construci, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the applicant for such permit to lile e signed statement thet he or she Is licensetl pursuant ta ihe pmvisions ot Ihe Coniractors License Lew (Ghapter 9(commencing with Sectlon 7000) ot Divislon 3 oi the Business entl Professions Code) or thet he or she is exempt Iherefrom antl the basls tor the alleged exemption. Any violetion of Sectlon 7031.5 by any applicant for a pertnit su6�ects the epplicaM to e clvii penalty of not more than five hundred dollars ($500).): ❑ I, as owner of �he property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, end the structura is not intentled or ottered for sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builtls or improves lheraon, end who tloes such work himself or herself or t�rouqh his or her own employees, provitletl tha� such impwvemeNs are not intended or oHeretl for sale. If, however, the builtlinq or improvement is sold within one year of completion, ihe ownerbuilder will hava Ihe burden ol proving ihat he or she tlid not build or improve for puryose of sale.). ❑ I, as owner ol the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Cotle: 7Te contractors License Lew does not epply to an owner oi propetly who Oullds or improves ihereon, antl who contracis lor such projecl with a contractor(s) licensa pursuant to ihe Contractors License Lews.). ❑ 1 am eaempt under sec. Business and Protessions Code for ihis reeson: Signeture: Date: Ownar ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's License No. Expires: Venfication of Ownership by (rype ot dxument, i.e. - praperty tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: ❑ I hereby certify that rw excevetion tive (5) or more lee� In depih into which a person is require0 to descend, will �e made in connection with work euthonzed by this permit, and that no building struaure, scaflolding, talsework, or demolition or dismaNling ihereof, will be more ihan ihirty-six (36) leet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Califomla Atlminisirative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit irom ihe Division oi Intlustrial Sefery, as notetl ebove, unless such person hes e permit to do such work from ihe division. Signamre: Date: Division ol Indusirial Safery Permit Number. CERTiFlCATE OF GOMPLI CE AND AUTHO OA710N OF ENTAV: I certify under Denalry ot Deryury that I have read ihis application and state that the infortnation given is correcL I agrea to compl it II s:ate laws d city ordlnances relating to huiltling construction, and euthodze representatives of ihe City of Costa Mesa to emer upon the ebove-descnbed prope oy n�ection purpos s. I egree not to accupy ar allow accupency at any building euthorized by this permit until finel inspection. COOE t. INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool SOa Finel � 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �g � 3 ► - -�e 2- v oa�a-,— 40nE� INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Sila 250 Final Builtling/Occupanry �g 0 �� PflOJECTFOUNESS: ZQz3 MINUTEMAN WY OWNEP'SNAME: FINAL, NORA L nooness: zq23 MINUTEMAN WAY COSTA MESA,CA 92626 PflCH/ENGINEEH: RDOflESS: flEG.NO.: UNIT: UNIT: PENMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 FODPESS: j� O BOX 4 3 0 9 DOWNEY CA 90241 UCENSED CONTHACTOB �ECUHl.TION: I hereby aflvm �hal I am license� under pmvisions of Chapter 9(commencinB w��h Sec�ion 7000� o� Div�sion 3 0l Ihe Business and Pm�essions CoOe. an0 my license is in full force antl eflect. ciTvuc.: 59377 STATELIC.: �IOZS36 cuss: C 39 EXP: 10/95 Oale'. Signa�ure: �Y _� � � �� WOflHEBS' C MPE SFTION OECLl�NATION: I hereby aflirm �hat I have a certifica�e of consem m selbinsure or a ceni�icale of Workers' Compensa�ion Insurance. or a cer�ilie0 copy Ihereal (Sec�ion 3800. La�. C voucrxo.: 5822699 EXP.OATE: S/S9/9S COMPANY: AI G ❑ Cetlifietl copy is hereby fumishetl. � Cenifie0 coDY is tileC with tAe city euilding Oivision. aie: � Fpplicant:� I ESEMPTIONF MWO KEPS'COMPENSpTIONUECIAMTION: (Thi55eclionneeGnotUecompleteDit�hepermi�i5foronehuMre0�5100�or1e55�. I cetlily I�a� in I�e pedormance ol the work lor which I�is permil is is5ue4. I shall not empioy any person in any manner so as �D become su�le�� o IAe Workers' Compensation Laws oi Cab�omia. Date: SignaWre: NOTICE: II. alier making �his declara�ian, you shoultl become 5u�lect �o ihe Workers' Compensa�ion pmvisions oi ��e Labor Code, you musl lorthwith comply with suc� provisions or Ihis permi� shall be AeemeO revoke0. CONST811CTION LENOING AGENCY: I hereby aflirm Uai lhere is a conslmdion lentling agency for �he petlormante ol �he wo�k for which ihis permii is issued (Sec�ion 30W. Civ. C�. IENOEH: aooness: OWNEB BUILOEfl OECLANATION: I hereby aifirm �ha� I am exemp� Imm the CanVaciors' State License Law for t�e followinp reason (Section 7031.5 Business antl Pmfessional Cotle: Any ciiy ol counry which requires a Dermit to cons�mci, alter, impwve, demolish, or repau any slmc�ure, prior �o i�s issuance, also requires ��e applicant for such permi� �o �ile a signetl statement Ihai Ae/s�e is licensed Oursuam to �he provisions of Ihe Contracmrs' State License Law (C�apter 9(commencing with Sec�ion 7000� of Division 3 0l I�e Business and Pmfe55ion5 CoAe) or Ihat he/she is exemp� �herefmm anOltte �asis lor ��e allegetl exemption. Any violaiion o� Sec�ion 7031.5 Dy any aDDlicant lor a permi� su�lecis lne a001ican� �o a civil penaliy of nol more I�an live hundre0 tlollars (5500�. I. as owner of ine pmpeny or my employees with waAes as iheir sole comDensalion, win tlo tAe woA, an0 Ihe ❑ simcwre is not intended or oifered for sale (Section 70a4, Business anU Pmlessional Code: The Coniracrors' State License Law aoe5 not apDly lo an owner of a pwperty who huiltls or improves t�ereon, and who tloes such work �imsell/�erself onAmuAh his or h¢r own emDloyees, provi0etl tha� suc� improvemenis are noi in�entletl or otlered far Sale. Ii, however lhe EuilOinp af impmvement is solA within one year of completion, ihe owner will have ihe burtlen of pmNng helshe tlitl not buila or impmve for Ihe purpose o� sale�. I, as owner oi I�e pwpetly. am excWsively contracling wiih licensea contraz�ors �o constmc� �he pmlec� (Sec�ion 7044, Business ❑ antl Pmlessions CoOe: The Contractors' S�ate License Law tloes no� appty ro an owner of pmperry who bwltls or imOroves thereon and who coniracts for such pmlecls with a conlracio�(5)license pursuant�o the ConVactors' $tate License Law),I am aware Ihat prool o� Iheir Worker'S Compensation insurance 5houlU be providetl Io me. � I am eeempt untler Sec�ion'. B. 6 P. C. br I�is reason'. oaie�. Owner I tlo nereby cenily Ihat I am aware af and untlersland ine requiremenis of Calilomia Healih antl Safery Code Sections 25505, 25533, antl 25534 an0lha� I or any N�ure builtlmg occupan� will/will noi (circle one) neetl to comply wiih sai0 s�ate cotles antl t�e requirements lor a permii lor consiruclion or mo0ification iwm �he Nir �ualiry ManaAemen� Oisirict. Residemial constmc�ion aD0lica�ions are eKempi �mm Nese pmvi5ion5. Oate: Fpp�icanl: I hereby ceriity iha� I �ave rea0 ihi5 application antl Slate ��al the above information is correcL I agree Io compty with all ci�y antl couniy or0inanWs anA slale laws reiating to �uilding consimmion anA �ereby aut�orixe represenlaiives of ��is ci�y to emer upon I�e above-meniionetl pmpetly �or inspeclian purposes. �� I `� n �ale'. /T/ `6 Signa�ure: !�� V ✓ oriver's License or ociai Secuniy x: 16G1�46 WHue—Building', Green—Code Enlorcemen��, Canary—Applicanl: Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 06956. PERMIT NO; B 069563 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION ; T/O RESTH & REROOF W/COMP & HOT MOP SQ FT; 2,508 CLAIM VALUE: 2,508.00 CALC—VALUE: 2,508.OQ GROUP OCC; R-1 / COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET, RE�UIRED �x-ir*�ritititit*�tit�rx*itit�**�rirxir�tir�r*�tiririr�ritiairititit�t�tr�r�tirir�r�tifiritit�t�tit*�t*�r*�t�tit�t *�rir*iririt�t*�r*it�t*+r 2 O N I N G R E Q U T A E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT ZN REAR: FT IN FANT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 41916267 ZNE: REF NO: PLANNING N�STES> - 7 �f1ElEifiFitiE�kfk1lif itMlffl1f1k1f if ififikilMililihif Mffilifif kiFfkihiffEitlFifjFMMitiFiliFif1f1f1fif 4iF*1f4jE4iEifMlfkikilif iFilfF4lfiEff ffiE1F 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 , BUILDING APPROVED HY ; APPLICATION ISSUED BY; �• - i! if iE 1E jE �f if� 1F iE iM1 if �t if ih 1E 4 i4 �k jE 1E 9E iE��; �ii'if iEifiFiFiFiEiEjFiFjkMMit�klfM1l�EiEiFjF�EiFif�Eitif ik�liEiFifiEiElElEit%itiEiEiEjfitifitit3ffEifMiEMkiEif LEGALIZATION:N F F E S O M M A A Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE PERMIT 54,00 DATE: DATE: 7 DATE; I� *�****�*�F'�FF?�� * iF�FiEiElfif�EiFlfiFif j4iPif iFifiEiE STRUCTOAAL SEGMENT:Y SMZP/AES GRADING 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54,50 0.00 0,00 59.50 54.50 ,00 REVENUE D2VISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: ,00 BLD54P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CAECK i! 1f iE if ik iE if if 1E 1F iE it it M it ik 1k M if if if iF iE 7f if ih if it f! i! i! if if if it �t iE it itlt 1F iE if iF iF if i! if 1f iF iE ff ff ik k it it it iE iF it 1t iF iF 4 if if iF iF if iF �f iE iE iE if M iE �lf 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 SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,508.Q0 END OF FEES 01 [k71704ii-00170472 T+]T S4.5f! DRTE: IO/23l95 7ltfE: 12:t6 CONSTRUCTION AND PLANNING POOL & .� ' APPROVAIS Permit# Date Inspector APPROVALS Permit;r� Date Inspector � 3 i. Temporary Electrical Service or Pole 52. Pool & Equipment Location � I ' 2, Soii Pipe�Und�gmd. �� • � 53. Sceei Reinforcement � i • 3.'Electrical CondDit t1JilitY-Undrgrndi' 54. Porms 4.�ElectricalConduit-V�drg;nd. ° 55. ElectricaiBonding 5. Steel Reinfotcement 56. flough Plumbing & Pressure Test i ., 6._,�lectrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE � + 7.-Eootings ' • � � 58. Electrical Conduit�Undrgmd. � E 8. Foundaxion _. ' ' S9. Gas Pipe, � Undryrnd., Test ' 4 � 9. �.Water Pipe�Undrgrnd. 50. Backwash Lines, P-Trap, C Undryrnd. 70. St.uctural Floor Svstem 67. APPROVAL TO DeCK j 11, proper.y Sewer line & House Connection g2, 8ackwash & Receptor�Final i 12. Sewer Cap � � 63. Heater & Vent-Fina! � �. 73. Roof Drains ,- 64. Plumbin� System - Final 14. flough Plumbing '� 65. Electrica6Finai 15. Rough Electrira6Condu�: _ 66. Solar SVstem-Fir,al 16. Rough Electric Wiring 6Z Aencing & Access Approval � 17. Rough Wiring Siyn - '- � 68. APPROVED FOR P�AST'ERING � 78. Rough Electrical-T Bar Ceiiing ' 69, POOL(SPA SYSTE`:7S FINA� ' � ! 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT } ' i 20.-Roir9h Pactory Firep!ace � r �• : -] s �7 .APPROVALS`• • �Pervnit � : - o 21. "Ducts, in,Structur� t , ,. ' � : y70. tTnder'gr'ounc� Hj�dro � � 22, putts, VenTilating.s � " :x • -:77, producPPiping �'G's �Oil ! � 23. Gas�Pipe:Rough&"Tes. _ 'r � �: _ ;-'; • :,72, Undergroun�iFius:* . . '� � 24. Roof Pr,zmi g �� ._ . :. � , j �� 73:-�Underymct;Storaga._ank"�Gas �Oil � 25. Roo` Sheathing �' { `l: L3�-q�( .�e w6! � . 74• ,Overhead Hydro � � . 26. T-Bar Ceiling IStrucxural} &,{4lonocoat r �� r� �� • 75."'Dry Chemicai >� - � 1 27. Frame and Flashinq�', ' �_ ,; 76: b'ry Standpi.pe _ ' �� ' � ..Y -1�1� � \ ' � �, • . � -i 28. `,La.hing�& Siding.,�, ,-; _, c , _ �• • � � : 77,.-FIXED SYSTEM�FiNAL' . • 29. Insulation ._� F- '"" ' � � N� 78.. FIRE PREV. FINQ� � - � �30. D�v�vall,Nailing �� t �' f - � _ . - . MEALTH�DEPT. REQUIRE141ENT � 33. Plaster Brow�n Coat; . . � ` � � =.��'`'.,'79.1FINA� WSP_€CTI�N ' ' � � � 32. £iectrica.l Power MeierFinal « , __ f � � .c � � '.�'.- • �$Q.��FOOD CERT'IFIG�ATE ISSUED �� _ : , 33. -�inal Electric ' ,� ' .. , " i ' y ' '�Noies: , - - ` � , ( ' , - � 34. Finaf Heating & Air;Condtionin�g- � , i� . . '.,, . - , i - � 35.'Finai Gas Pipe-Test � � � . + . - ' - ` " � - � i• r _, . 36. Hood or CanopY . . � � . - I, � �, * _ _ , ' '37. FinafFactoryFireprace.: .�"' �� " � I i� �-•t; � i . . _ --n---z-- ----1 38. Final Plumbin9 : . ,,, .. . _ ' � }� ' c . i 39. Water Seivice�Pinal�� F � , � � ' ' • ' ' � 40. Gas Service-Final's'.'. s .,,,, ' � , i: ! ' " . . . 47. SO�ar pomesticFinal . •� � � ' � � ' � r-. , � 42. �Backflow Preventer _ � �;, " � � �, t - . � _, 43. Backf4ow Irrigazion•- � :i: S . ' '� -- "': ' -, - r . i �44. LandscapeircigatioriSystem; ;,' . . � �• � � �: -� • � � , : 45. Sound Aitenuatidn •, • ,� - . V _ i - � . '; - � _ `� �,. ,,. . . - 46. Handicap,flegulations __ - . � � � �� . � _ s � � � d7. FINAL STRUCTURE & BUILDING . �..L�s �(,�/� : �� - 48. FINALPLANNING; � � : , , ' ; t,,-;4�. �r �; • � 49. Electric Release to Edison � - ; �- + " a� 56. Gas Release to Southem California Gas Cn „ ��: �� ' . `;�;�� 51. C�RTIFICATE OF OCCUPANCY " : � ' - : .. No. Dace ,� Aoolicant to /ill in ali spaces ezeeot tnose witnin heavY �orOer lines ana sign all aDD�opriate tleclarations. CiTY oF CosrA'M'/ES}a� CONSTRUCTION PERMIT Proje�t Address �7�eL_� Applicant'sMailinoAddress �.�.33 /.f�� /C'/n 9 � �4/.?� Phone� D�� Owner's Name Address �%%�P Arch/Eng. Licenu No. Address Contractor'sNam ti..� ho e%21"3-1<'�a Address (ma �'n�l/.�.'� 3 �A �[.(�i��/.J .(�ALi�/Y� City LicenSe No. �3P LICENSED CONTRACTOR DECLARATION I hereby a//irm that I am Ilcensetl untle� provi5ions of Charter 9(commencing with seclion ]000) ot DivislOn 3 of Ihe Businesz antl ProleSsions Cotle, antl my license is in luu tor a eitect. �/ �� r� LicenzS� lass ' �Licynse,l�D.��/ 1 Dal¢ / �O � cnna� r /{ iC7 /T WORKERS' COMPENSATION DECLARATION � I hereby aitirm that 1 have a certiilcate ot consent to seH-insure or a certilitate of Workers' Compensation Insurance, or a cer[IfieO copy thareof (Section i8�00Y No. C' OT �T" ComPanY� � PA��r .JS ertilietl copy is �ereby furnishetl./ �� / Dateer�j/ieQcoPY 1_s }iletl wAPPI c n,t^ /'� in9 _i�I��S.L��2LL�L '/ ,JO —Q 6 EXEMPTION FROM WORKEqS' COMPENSATION DECLHRATION ' (This section neetl noI be compleletl If the permil i5 (Or On< huntlr¢tl (5100) or less�. I certify tha[ in Ihe performance of the wo�k for whith this p¢rm�t i5 izsuetl I shall not employ any pe�son in any manner So az lo become su0ject to t�e Workers' Compensalion Law5�.o1 CaIlfOmia. . Date Si9na[ure 'NOTICE: If, atter making this tleclaration, you shoultl becom¢ subject to the Wo�kers' COmpeniation provisions ot thG Labor Cotl¢, you must forthwlth comply with such provi5ion5 or this pe�mlt shall be tleemetl revOketl. CONST0.UCTION LENDING AGENCV I hereby atfirm tha[ Ihere is a construction lentling agency tor NC performance ot Ihe work tor which this permil is issuetl (Section 3097 Civ. C.) LenOe�'S Name Lentler's Aatlress OWNER BUILDEH OECLFRATION I hereby affitm lhal I am ¢xempt irom Ihe ConVactor't License Law tOr the tollowing reason (Section 7031.5 Businass antl Protessional COCe: Any city or county which requires a vermit to construct, alteq imorova, demolisn or repair any svucture, prior to i[s issuance, alm requires Me applicant for such permit to tile a signetl Statement that he/She is Ilcensetl pursuant to lhe prOvisions o( the ConVactor's �icense Law (Chapter 9(commendng with Sectlon 7000) o( Division 3 0( Ihe Busine55 antl Profe55ion5 Cotl¢) o� that he/She is exempt tberetrom antl tne ba5i5 fOr t�e alle9etl ¢x¢mption. Any viOlaHon of Se[tiOn ]03L5 Dy any applicant for a permlt subjects the applicant to a civil '. �enalty of not more than (ive huntlred tlollars (5500). ;�� I as owner ot the properly or my employees with wa9e5 as thel� Sol¢ -"compensation, will tlo the wo�k, antl Ihe st�ucture i5 not intentletl or o(f¢retl for sale.(Se[tiOn 7044, Bu5ine5z antl Pro(essional Cotle: Tho Con[ractar'S License l2w tloes not apply lo an own¢� ot a property wlto bulltl5 or improves thereon, and who tloes such work himselt/hcrsclf or tnrough his or ner own em0�oyees, provitletl that such improvements are not In[entletl or o�fered tor sdle. If, however, t�e builtlin9 or improvement Is soltl within one year of com- plelioq the owner will have the burtlen of proving he/she Oltl no[ builtl or Im- prove tor the purpose of sale). ❑ I, as owner of the 0/operty, am exclusively conlracting wilh IicCnsetl con- tractorsto cons[ruct tM1e project (Section 7044, BuSinesS and Pro(esslons Cotle: The Contractor'z License Law tloes mt appry to an owner of property who builtls o� improves thereon, antl who conVacts for such projects witM1 a con- tractor(s) license pursuant to the Contrac[or'S Litense Law). I am awar¢ that proof ot their Worker's Compensation insurance shoultl bo provitletl lo me. ❑ 1 am exempt unCer Section B. & P. C. lor this reason Date Owner � I hereby certify that I have reatl this applicaHon antl sta[e tnat the above intormation is correct. I agree to comply with a1l clty antl county ortlinances antl state laws relating to builtling construction, antl nereby authorize repre- sentatives oi is city to en r ihe abovn-mentionetl property tor inspection p p ses. / Signature l/=�f�;e'/ Date 3'O-� Orivers' Li �S� � / � Fii TYPE OF CONSTRUCTION Ll NEW � 1 ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p, # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi E TVPE OF PERMIT GRADING�y FOUN�ATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL CJ PLUMBING ❑ MECHANICAL A R¢d� ❑ �OTHER C Rlght PROJECT DESCRIPTION Sq. FT. OCCUPANCY K CONSTRUCTIONTVPE VALUATION$ S L¢ft ZONE GRADING CU. VDS. ACRES Ping. Ref. # Remarks: Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service �11LIC[5 Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Reinspactian Fea � $15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 sru O i oo,aoo eT Reinspection Fee � $15 CMF OB65-46, rev. 30/84 White - Builtling; Canary - Appllcant: Pink - Accountlng; Goltlenrotl - Assessor 0 Showers Service Sink Sewer Cap Sewer Connectian Solar Collecmrs Solat Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Au[o-Wash Laundry Trays Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee _2377 9/02/ Zone Acceuory Building: ELECTRICAL Automatic Washer ' Transtormer ❑ 15-50 KW ConsVuction PoleSub. � 50+KW Cooking Unit Dishwasher Dryers OGas ❑Electric Fan F.A.U. Fixtures Device Boxes Outl¢t5 Switches Garbage Dispoul Generator �65 KW �5�75 KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Momrs OO-1 HP Ol Yh - 6 Inc.Solar �9-15 HP �16 Microwave Pole Light Range Sign ; Standing Sections Trash Compactor FEES 2 O N 1 N G H E Q M T S $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Date � SUMMARV OF FEES � � BUILDING PERMIT $ SMIP $ � � PLAN CHECK � �� PERMIT PLUMBING $ ,� ISSUANCE $ . PLAN CHECK 25% $ ENERGV P.C. $ � � ELECTRICAL $ GRADING. $ PLAN CHECK 50% $ MICROFILM $ ' MECHANICAL $ TOTAL FEE $ � $ 3 PI.AN CHECK 25% $ � CONSTRUCTION AND PLANNING -� POOL & ��'A ' APPROVALS Pr.rmit # Date Inspector AppROVALS Permit # Date Inspector � 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit UtilitY-Undrgrnd. � 54. Forms ' 4. Electricai Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement . " 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. - 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. - $. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79, FINAL INSPECTION 32. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 5•�y-g7 [,,�,�T �q2p . �CO 34. Final Heating & Air Conditioning (��3 Q Z �A�G�G- 4d %aP2- 2.�.� UPG C.AEP 35. Final Gas Pipe-Test . 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final , 40. Gas Service-Final �-„ 41. Solar pomestic-Final �' 'Ct 42. Backflow Preventer �� 43�Backflow Irrigation , 44" Landscape Irrigation System� � 45�Sound Attenuation ;.� � 46�Handicap Regulations � _� 47. FINAL STRUCTURE & BUILDING • � •�i 48. Special Requirements Completed � 49. Electric Release to Edison ' 50."Gas Release to Southern California Gas Co � � � 51.��CERTIFICATEOFOCCUPANCY - - No. Date VYYIVL'1L �jl� �Il, JOB ADDRESS I' Date unar. �I�c�L BUILDING PERMIT NO. DESCRIPTION OF WORK FIRE ZONE VA SUBCONTRACTOR � � �9_ �� 2 �� :� �- �/� �-/� � � ��-r-�-��-y � 27473 COSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. BOX 11� COSTA MESA� CALIFORNIA BZ6tE t� For A pllrnM fo III In ComplNdyy Z"! z 3 ��NTr E O�PRINT��/ ADDNHDH Z� �� -V C�A C05TA MESA, CALIFORNIA � ecreweK ur+� D�SCRIPT{ON OF WORK � H61i6GY ACRNC AND OTAT6 TNA1 PLY WITM ALL'GI em�oirua eoxen a�aNeruae or PBRMITTB` AUT110RIZ[D A S eLDot. � ■[ouunho valn �;:::: f SEP -8-67��;5F,00 � �3�> G r.5� /1rPLICATION FOR PERMR BUILDING For Offln Us� Only wceurtHo. ��. �r ZONING wo. or u.� o. Haw ■uxs � eun.c�Ho pu[ce1L11moN�f�V / rE/LT� �/N� ,,.P.No. 930- a 3— z6 9 NOTH: NOlAVlOVERHAN08HALL�6L688THAN DO• TO BIDB 8 RPJ1R P. L eAVEH ALLOWBG fU.B.C.NCGUIRHMSNTI YARO�MPROVED YARDBAPPROVHD MAIN BUlLDlN6 AGC6880RY BUILOINO I❑ � vwR. �t DATH /1✓� � �D�a.�r. �'�'� � TI[ AYOUM /H N UND6R VALUATON 19 fOR TN[ � IURPOOI OI itTMLIlXIHO A PWYIT I�[ ONLY. �