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Home My WebLink About427 HAMILTON ST - Building PermitsPERMIT TYPE APN: Zoning: , CITH""'JF�COSTA MESA BIIILDING DIVLSION 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.aov FOR INSPECTIONS CALL: (714) 754-5626 JOB ADDRESS: Vicinity: UNIT B SQ. FT: 0 PERMIT NUMBER: B_MISC STATUS: DATE ISSUED: ISSUED BY: � c��>" `-<—� -` - 427 B HAMILTON ST CM' s-` -. � , 'Suite/Unit: �� =`'%:�P�imaryOcc:_� i � 'ConstType:?? ��F=-�� vValuationi - -� 52;200.00'� - /: �A . _ - _ ,.I, _ , � • - l.: I J A. � J �.' �/� - - ' BX13-00087 ISSUED 0 3/1 312 01 3 RMD rc] SCOPE OF WORK:REMOVE EXISTING SIDING�AND:STUCCO UNIT "B".'�- °" ; ,;^� : '1 ;" ;::�,,;. OWNER: , ^:'; ,`� � ,j� =� ` Address: Unit: �"'' ' City/State: Zip Code: � �,;f '•'' j�',c�'.r., - . Phone: �.` ��, i � . . .. ..� — ._ ../ - ";I : i _ . 't � .�5 ;�Y APPLICANT: BRODER EDWARD , � � a , Address � P O BOX 2509 Unit ' City/State: HUNTINGTON BEACH CA f'`_ � Zip Code: 92647 0509 r,; ' Phane: 714-860-6177 � �;a. �.�,+s `: � -'• . � ' h� -. ;r.� , � , , . CONTRACTOR: OWNER=BUILDER." .-,.; �_ , �LicenseNo.000000 � � � � Address: Unit � - � - -- � - - • � �- � ' � , City/State: " ZipCode: � _ _ �—:,Phone� 11'.-:: -� Cell: ' �, s � —' _-- � _ ARCHITECT: � � � �,`-�°, _ "'�,License Na � � � Phone . . � __ -- .�.- ' � ENGINEER: . �i _, � ;. License No. , J' ' Phone -_ - . -,".. .�y: , .. . :.r . �, r , FEESUMMARY �, =.ti'; �''r' � �-., , � f,. c'�' Building PIan�Check � � � � � �,.; -. - � $0.00 �<" Building Permit: � '- 'r = $8325 � Electrical Permit: � � ' � �' ='.$0:00'� � ` � �� . `� � .'.i�� SMIP Residential ��'�. � �� ,--- �`�_ , $0.50.- �,' � �`'-' SMIPCommercial =��'_-._' � i��'.,-,$0.00�',�_.--'��`.._y� �� Bldg Std Admin Fund ' =_� ,$1�.00� __, c� ' - . c x.: Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Sundays and the following Federal Holidays: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California sta�utes and related regulations. (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 final approval will result in the expiration of this permit. COOE P. INSPECTIONTYPE 1616 fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition UAIE INRIIALS CODE6 INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Eleclrical 212 220 222 250 Final Fire Prevention Final Planning Approval Final Site Final Building/Occupancy OpTE IMRIpLS A . ��/ � �� WORKERS' COMPENSATION DECLARA7 I hereby affirm under penalry of perjury one o. ..: following dedarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensa[ion, as provided (or by section 3700 of the Labor Code, (or the performance o( the vrork (or which ihis pertnit is issued. ❑ I have and will maintain vrorkers' compensalion insurance, as required by seclion 3700 of the Labor Code, for the perfortnance of Ne vrork for which Nis pertnit is issued. My workers' compensation Insurance cartier and policy number are: Cartier. (ihis SecGon need nof be cwry�'efe0tl Ne pertrcf is veluetl af one hurMretl Cdlars /Ef00) wless.) Poli Number: �I certify that in the peAormance o( the work for which this pertnit is issued, I shall not employ any person in any manner so as to bewme subject to the workers' compensation I s of Califomia, and agree that if I should bewma ecy!?i�1e worker mpensation provisions of Section 3700 of th Co IC� s dl A mply with these pro 'sion .17 ^�m// � c./ o� � Appliran�'sSigna�ura �Oa�e � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL 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, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and eHect. Lic. # Class # Contrectofe Signatura Oate CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a conswction lending agency for ihe peAortnance of the vrork tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: SiB�wre Date OWNER-BUILDER DECLARATIONS: I hereby affirm thal under penatty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: My ciry or wunry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant (or such permit to file a signe0 statemen� lhat he or she is liCensed pursuant to the provisions ot the Contrectors License Law (Chapter 9(commencing with Section 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 applirant for a permit subjects the applicant to a civil penalry of not more than fve hundred d ($500).): 1, as owner of the property, or my employees with wages as [heir sole � mpensaUon, WILL DO THE WORK, and the structure is not 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 work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of wmpletion, the owner-builder will have the burden of proving that he or she did not build or impmve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CON7RACTORS to consWcl the project (Sec. 7044, Business and Professions Code: The conVactors License Law does not apply to an owner of property who builds or improves thereon, and v+ho contracts for such project with a contractor(s) license pursuant to the ConVactors License Lavrs.). ❑ I am exempt under sec. Business and Pmfessions Code for this reason: Owner ID verifletl b'�; ";'r lic-e7n�s% �...) fExpires: (� Verifcation of Ownership by (type of document, i.e. - property tax bill or deed): - >. �ao� SiB��ure . __ _ Date � 3051d8 (3I0]) `"" � �� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no exravation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by ihis pertnit, and Nat no builtling structure, scaHolding, falsework, or demoli[ion or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Tlle 8, Cali(omia Adminis[rative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Appliranfs SgnaWre Division o( Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will ihe applirant or present or (uture building occupan[ need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California 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 reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standartl tempereWre and pressure). 2. Does or will the applicant or present or future building occupan[ need to file a registration (orm for acutely hazardous matenals? ❑ Yes � No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, �equires regis[ration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or tuWre building occupaM need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides ihat Ihe Costa Mesa Fire DepaAmeM may require the preparation, ceAification and fling wilh the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials vrith the Fire �epartment. 4. If an RMPP is presen[ly required, has Section 25534 of the Cali(omia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the appliwnt or present or tuture building occupant require for the work which is the subject of this application a partnit for such construction or modifcation from the South Coast Air Qualiry Management DisMct or from any other air polWtion control district or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requestetl informafion be fumished on appliqlions for non-residential 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 (If "yes", the faciliry must meet the requirement of Sections 25534 and 42303 o( the Califomia Health and Safery Code). 7. If a permit from the South Coast Air Qualiry Management District or other air pollution control distria or agency is required for the work which is the subject of this application, have all ot the disclosures prescribed by Calitomia Health and Sa�ety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", ariach certificate of compliance from the appropnate air pollution control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the infortnation given is wmect. I agree to wmply with all state laws and city ordinances relating to building construC[ion, and au[horize representatives ot the City of Costa Mesa to enter upon the above{lescnbed property for inspection purpgs�s. I agree noyto occupy or allow occupancy of any building auth ize by ISis irtnit un �I Tal inspection. �_ I�^� D/' 1 ' S ure o/ egal Qxner(s) Dale ,--__ -- . MNor Authorized Applicant �ate '�`--'`� Cit o Costa �I�lesa �uiCdin I�ivision -�__..,_� y .f g Costa Mesa �� Fair Drive, Costa Mesa, CA 92626 714-754-5273/Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit #� I�' �� Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: - An application for a building permit has been tt in,Y�our narr��ligti� g�you `sglfas t�� builder of the property improvements specified at �� -IX�/i ✓i�l /�(�y � �i� We are providing you with an Owner-Builder Ac�wled me t and Information Verifica i Form to make ybu aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the � Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. and rnrtral each statement below to signify you understand or verify thrs rnformatron. �1�1 understand a frequent prectice of unlicensed persons is to have the property owner obtain an "Owner- Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder �m aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are ible for the construction and are not hiring a licensed Contractor to assume this responsibility. �rstand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his instead of my own. I understand Contractors are required by law to be licensed and bonded in California and to list their numbers on permits and contracts. " 'S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may o�sidered an "employer" under state and federal law. I understand if I am considered an "employer" under state and federal law, I must register with the state d federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these ay subject me to serious financial risk. 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family esidential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template � O{ 2 f ti --, _ understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable � or any financial or personal injuries sustained by any subsequent owner(s) that result from any latent ruction defects in the workmanship or materials. �understand I may obtain more information regarding my obligations as an "employer" from the Internal evenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information aboLilic�nsed contractors. f0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand am the party legally and financially responsible for proposed construction activity at the following address: 3ree that, as the party legally and financially responsible for this proposed construction activity, I will applicable laws and requirements that govern Owner-Builders as well as employers. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the ormation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can and returned to the agency driver's license, form notar presented when the permit is Signature of property owner C` be issued, this form must be completed and signed by the property ow er�,. responsi issuing e permit. Note: A copy of the property owner's '' venfi on acceptable to the agency is required to be th p erty owner's signature. Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I� hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): - Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled � out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization. or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 314830 CALBO Jan t, 2009 OB Packet template 2 Of 2 Applicant to fill in all soaces exceD� �1`ose witl heavy boraer lines ane sign all apvro0��ate tleclarations. CITY OF COSTA�M¢SA•��. � ' PERMIT NO: �c � •TRAC�. LOT NO. BLD . . - , - � � - � � � , � ; 'ri;ONSTRUCTION PERMIT c � = 9� C15! �.' : *' "`' ' � .. ' ,�?c •I c/U7/� .: ` ' I:la.!�'' T. ,I Pfo)eCtAddre55 -� � N' �' TYPE.OFC�NSTRUCTION NEW ADD ' ALTERATION� REPAIR - ' � � ` � ' � Applicant'SMailin Add�ess' S � � ' .. '/�// � CONVERSION ❑ DEMOLI FI OTHER - q,p,;# , _ � ' � ' -' ;Zone. „ -' . � ' ' / , S � u G `. . • �. "' /E� ' 'l 1'Y'7/f' `DESCRIPTION�OF.WORK � C �2 - ' - . - � Oivner's�Name - . -Phone - • � � •' � S' Main Bmidmg'� '� ' Accessory Bwlding: , � . Z t. O Address , N � 6� 'TVPEOFPERMIT, � � ��GRaDiNG FOUNDATION `STRUCTURAL � _ T Front.: i � ' � - N � Arch/Eng • _ ' �License No. ❑ TENANT �ELECTRICAL ❑ PLUMBING ❑ MECHANICAI � " B� Reaf 4 � " �� ' ` + . � ' ' Atldre55 ." i .. � .: � , � �❑ OTHER'. � . ' � � . '. ': A , . . � .� N 1 �� ,��PROJECTDESCRIPTION� Sq�FT., - 'occUaANCv- C Right . •.,, � Contractor's Nam � Phone � . , . � K - - - � ' � � � CONSTRUCTION TVPE � � 'VALUATION $ ' - g Left� � � ' R � Addreu (mailing) � � ' ' _ ,. . � , . . , . , ' ' E ' . �' ' . � i ZONE GRADINGCU.YDS._ ' �ACRE$ " '" ' � -.�-� • Q CitY.LicPnse No. . � . . � "� . � ` - � ` � . . . , Ping. Ref. # . . . Paik �Fees $ , , � . U : IICENSED CONTRACTOR DECLARATION . . j ' . G Remarks:� . f ��'� ; ,� � p�� G Parking Req./Provided . : � :. � �, � � �, , � 6fiereby affirm that P am licensetl untler provi5ions of Charter 9(mmmencing � ' � . , . R �, withisection 7000� of �ivision 3 of the Business antl Protes5ion5 Cotle, antl � � �, �', f '� f ' 'I � r � , '.U;eDf Building: . . I ; � r- , E' . my license is in full torce an6etfec4 ' ' �� : 1 � Plannin Notes: ' ' � - � � M � License CISss' � � � � � License No.� - � ; ' � ' LUM G - � : � FEES ' 9 - 1 ' � : ` Date ' ' . . .- Si9nature : ' . � � � ' �. . . . : � i ' • , • i. _ . ' . . , < I, N � . ,'i�ORKERS' COMPENSATION DECLARATION } �' (- � � ! �' v Bar Sink � � r � Showers _. ' � - �. I . • ' . - �. ,�F,,.^reby aflirm that 1 have a certificate ot consent to 5¢If-ip5u�e or a certifiCate � ''. Backfloav Preventer � '� I S¢�VICC $ink �� , � � , � � 1 � i � � �� ^ � ' `� � ''- � $ . i ,_ .�;-Workers'-Compensation Insurance; or z-oertifietlj�copy�thereot�(Saction �• � � � • ; ",eoo, la0. G:) I - ' �� , � . � ; ' Backflow Irrigation Sewer Cap ; j ' ��.; � " � . . . � � ELECTRICAL � I � � ; i , FEES ` - PolicY No. ` � - � ComPanY - - i . �' ' � ' . ' : '' • .' ; � BCertitiea copy is hereby fumishetl. � . ' ' ' Bathtu6s : � .Sewer Connection � f 'Automatic Washer ; � • �Transformer � 15�50 KW � Certitietl copy is tile0 with tne city Buildmg Division. , � � ./� � , � � - '.� .` Cla�ifiers � � . Solar Collectors , � Construcfion Pole Sub. ; � � � - � 50+ KW � . Date � Applicant ' .EXEMPTIONFROMWORKERS'COMPENSATION�DECLARATION - -��-��4�.Di5hW25h¢!"� "'�' `' ��'` �'S012fPilflg'- -�" "COOki❑ lJnit�"'^1"-�' ' ��Meter�O�u L01002m5 - � (This section neetl not be completetl if the permitis tor One huntlred ($100)-0� � . . � � - P + : ' , 9� � _ P ; . P � � � r � 'lecertif �tha[ in the pe�fo�mance of th¢ work tor�whith this erm� 5 is5uetl 1� �. Drinking Fountains � ' � Solar Tank ; -i �� I f.7 � ' �O � y p t i y� , � Dishwasher , � Meter ver t00amps, �; . shall, not employ any person in any manner so as to'become subject to t�e �, � , y . - . - ±, - " , , WorRersb'Compensation Laws of California.� < < � � � t Floor Dreins�- i- � � Swimming Pool w/Spa � � i� Dryers �Gas� DElectric � � jSub �Panel '� R, i� � DaCe Si9nature �� . , . � . ' " ' , NOTICE: If,'after making this tleclaration, you shoultl become subject to the �' FIOo� Sinks : ' Urinal � � ' ' Fan� �, ' Motors OO-1 HP O1 h- B� i, Workers(�Compensation_provisions-of Ihe-Labor Cotle,-you mus[ forthwith � . � . , � - - - - - - - � � ' ' ' � comply�witM SucF,provislon5�or.tnl5 permit shall'be tleemetl �evoketl. �. j� GasSer4ice�F QOutIEtS� •Wet¢lCIOS¢L _ -'� F.AU. ' �Inc.Solar;O9-15HP�1645+ � I. . �'�,CONSTRUCTION LENDING.,AGENCV.� �. � , � ' . .''� !_ . I • r � - '. " ' ' � , - � � � • ' � 1 hereby affl�m that ME/e id a con5t�uctlon lentling agency (or the performance '� Interceptors � Water Heaten '� Piztures � ' . ' . j � � � of Me �work -tor ,wnich this, permit�.is, issuetl (SecHon;�3097 Civ ,C.) .k ' ' ' ! '� - �' � �Micrbwave � �' � �� Lentler's Ivame� '� � : � Krtchen Smk ,s•� � Water Service - , � Device Boxes'; ;� Pole Light � i , ' I . - ' � � LentlCr's "AOG�e55 ' S'� - ` . � ' � ' � , , OWNER BUILDER DECLARATION 1 '. � - �' 4. - -' , - - : . Cav2tone5 r'� .. ��. � , � � •�� ' Outleti ' .. �' � Range : , �; 1 I'hereby, aff{rm that I am exempt from [he Contractor s License Law tor the •.� �- . � � ; following reason (Sectlon 7031.S�Buslnessantl-P�otessionaLCotle: Anypityo� i P-Trap� • ;;+ �, k - y i �` _ .- _ � Switch¢5( � �� : SIgO� " � ' county which reqWres a permitfo construct, alter,-improve, tlemolish or; repair . � � . ' �_ .. - ' �. :any structure�, prior to its:issuance, also requires the'applicant tor such permit • �Roof Drains' • � •' � • f -i� � I �- �'i ' � Garbage,Disposal '' .� � Standing'Sections ' ' � ' �., to tile a.signed sta[emenYthat:he/she i5�licensetl'pu�suant to�the provisions of �� ' � ' � � � - *he Contractor'S License Law (Chapter 9 (commencing with Section 7000) of � � '. � . '� - _ ' u � . � + +`vision. 3..of the Business antl Pro�essions Cotle) .or that he/she is exempt „ � J� - '� �:� �� Generatoi �05 KW 05-15 KW . Trash Coinpactor �� ,. � • - ;}retrom antl the basis for�the.allegetl ezemption. Any'violation�of Section ' � � ",�;315 by any-applicaM for a,permit�subjects�the applicant�-to-a c�vil : µ � " ' � � � � ' - � � j � • � . ; � ; ; � � � (SSool.i ; ' r s � Reinspecnon Fee� � . � 3 �enalty'obnot more than five fiuntlretl tlollais ` '$25� ' laue Fee � $ I, .a51 owne� o( thel prop2rty or my �employ2e5 with wages is their SOIC r � , R¢inipetti00 F.ee ' � �$25 i Issue Fee! �� t '$' 3 - . `comoensation, wiu tlo the work, 5ntl the structure.is not intentletl or offeretl : ' ' lMECHANICAL -' - FEES � for sale' (Section i7044, .Business antl' ProtessionaP Cotle:� The Contractor's � . ,' � , � . � PUBLIC $ERVICES RE�UIREMENTS: ' � � i ' ' " license Law tloes not apply to an�owner.of a property�who�builtls or improves f�� , , '�_ . , i " , ' • thereon; antl who�tloes zuch work bimzelf he�selYo�lh�ough his�o�•her own � BOi12Y �" .HOOd O/ Type I� ❑ � ; , , , / - i • i r'' Zoning Approved By ' ' Date ' . emOloyoos, provitletl that such'ImprovEments a�e not intendetl or offeredifor � Z - ' � ' � ' CdnOpy , Typ211 ❑ � �� , . � � „ sal¢. It, howev¢r, the builtling o� Imp�ovement i5 soltl within ane yea� of com- � r Duct'= Und¢f Ground � � - I � �ppplication Approved By Date ' pletioq Me owne�, will ihave.the burtlen oi proving he/she'tlitl not bwltl o(�m t � '" ' � � p,�roj'� for the purpose o! sale). � •: , � � � ; S Duct - Structural � Refrigeration System . ` ' � �Appliwtion luued By � � ' � � ' / ' Date)1'� + R41, ai owner of the property, ain ezclusively tontracting with licensetl con- � • �4100,000 BTU ❑700,000 BTU ' - � �Vatto�s to construct the pro�ect (Section �044, Businezs antl Pwtessions Cotle� ' Duct - Ventilating , . ; -; � , - ; . ' iSUMMARV OF FEES : , � " j ' ' .:TM1e Contractor's.LicenSe.law does noLapply to.an.owner.oi_Orope[ty who ..,. , .. . . ._ _ ' . . ' ' , ' ' ' ; builtls or. improves thereon,antl who coniracts for such projects with a com ' Exhaust System ❑ Multiple �� System Repair/Alteration .. ' BUILDWG•PERMIT �$ SMIP '$ i tractor(s) license pursuant to,the Contractor�s License Law). � ' . , - , PLAN CHECK ' $ � PERMIT ' ' - � ' . ❑'Pam exempt untler'Section' , B. & P. C. �or this reason � Fi�epl/Fact.6lt. ICBO # • ' � ' � ' i ' P�UMBING � ; $ ' ISSUANCE $ ' I nereby certity that I nave reatl thii application antl state that Ihe above 7 , ❑4100,000 BTU 0100 0008T. - , � P�N CHECK ': $� GNE�DGY�P.C. �$ Date � - - � Owner , � � � Heating System & Ductin ' -intormation is correct. 1 a9ree-totomply with all city antl�county�ortlinanres . . .--- ••- � - �� <� . � -'- �•--.} - . � . ,' ELECTRICAL � $ �.,L � R ING $ i i antl'•state laws'rela£ g-to builpin9 construction; and�hereby authorize reore- . - ' -PLANCHECK ,�$ � MICROFILM $ • sentatives of �hy ity to' � er upon he a ove-mentionetl .property tor � . ' j , I _ ; ; ,, T ' inspe<tion purpo ' - o�/ 3• ' ' , MECHANICAL ` $ • TOTAL FEE ' $ ' /O; �, C/ Signature I .i� � Date �-Z�/"r � , � , . . , �, brivers' �Licen r 55 �' � Reinspection Fee $25� ; Issue Fea � $ 3 � PL'AN CHECK '$� 'CMF 0865-46 re'v. 7/83 � White -�Builtling; Canary�-APPlicant; Pink - Accounting; GolOenrotl -Assessor _ . � .- - �._ . ' ' , _ , ' .,, , , ',,,_ , - , _„ , , , . ` ♦ . F �. .. , . ... . ' i . ` . S . ... � - \+.� ' - �, ,CONSTRUCTION AND PLANNING � ' - � - - � P�� bPA � . � ' � � --. APPROVALS ' Permit #�u�� '_ Date Inspector� � -;APPROVALS ' Permit # ' �' Date Inspector � ,•1. Temporary Electrical Service'or Pole� ' -. '.52. Pool,& Equipment Location� �< � 2. Soil Pipe-Undrgrnd. � � ' - - . . '53.-$teel Reinfoicement, � - � � � 3. Electrical Conduit Utility-Undrgmd. . � - - 54:: F.orms - �� . �� ' � ' � • , � ' 4: Electrical Conduit-Undrgrnd: : = - . . 55. Electrical Bondi'ng- • � . � ' ' 4 �5.-Steel Reinforcement � , � . - ` � ' 56... Rough Plumbing'& Pressure,Test � - 6: Electrical UFER Gmd. ._ ' • 57.: APPROVAL T.0 COV.ER-GUNITE " , 7. Footings � � - - - 58' Electrical'Conduit-Undrgrnd.'� .. � � B: Foundation � ' ' � - • � 59 Gas Pipe .� ��Undrgmd., Test , - � 9. Water Pipe�Undrgmd. z• � � � , 60. �BackwasFi. Lines, P=Trap, O�Undrgrnd. - 10; Structural Floor System . , ` � ' 61.'APPROVAL-TO�DECK _ - � . - � 11. Property Sewer Line & House Connection� : � � '162.• Backwash &,Receptor-FinaL ` � • � 72; 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 Approvai - � 17. 'Rough Wiring Sign ' � '. ' '68. APPROVED'FOR PLASTERING � ` ., � 16:� Roug'h Electrical-T. Bar Ceiling ' ' 68.. POOUSPA SYSTEMS FINAL ,: , 19. Rough Heating &.'Air Conditioriing ', FIRE DEPT. REQUIREMENT _, _ + �20. Rough Factory Fireplace ' � � APPROVAI.S Permit� � � � � � � 21. Ducts, in $tructure � . � � 70. Underground Hydio . ' � ' • �i2. Ducts, Veritilating , �, ' � - 71. Product Piping OGas ❑Oil . . . � .'-: " - - ... . �.r , -- -- .. . ��23. Gas Pipe-Roughi& Test, � � i � . i 72. Underground Flu;h , . 24'. Roof Framing . .' . ,- �73. �Undergrnd; StorageTank OGas ❑Oil � 25. Roof Sheathing; � ' � � � " _ • - � 74. Overhead�Hydro -, �� - � 26. T-Bar Ceifing (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 Naiiing . � . ; ; ' . HEALTH DEPT: REQUIREMENT ' � � 31. Plaster Brown Coat ' , � � 79. FINAL;INSPECTION „ � � � 32. �Electrical Power Meter-Final .�; � b �Ll C`' 80. FOOD CERTIFICATE ISSUED � � , 33. Final Electric � - �� _ i ; � • Notes: � � . - 34. Final Heating &;Air Conditioning ; � � ' ' . , �� 35. Final Gas Pipe-Test ' 1 � �.� � . � . ' ' ' � � - } r r_ � 36. Hood or Canopy ; �� . - ' � � � " , ' � � � ' � � � .' � i - 37. Final Factorq Fireplace � , � � � � . . � ; ' � , - , . ' ' -, ' �. . _ . . . . . . . . . 38. Final Plumbing ' , = , - , . � , . ' ' � � � ' ` � 39. Water Service-Final , � . � . ' _ , , � � ' : �. � 40. Gas Service,-Final ; � ' , � � , � � � � � � , � - � i- " . . . 47. Solar pomesticFinal � , _ y _, , _ �_ . • � � _ 42. Backflow Pieventer ' . , ' �_ - � " ' � ! . • �� '• _ � 43. Backflow Irrigation - . . . � : , � . � . ' � � - r 44. .Landscape Irrigation System , . . - � , , 45. Sound Attenuation � � � � ' - � ' ' . � • ' � � � . r ��, � � . . 46. Handicap Regulations I � ' � '� � ' � � ; � �� , ' � � � 47. FINAL STRUCTORE & BUILDING ' ' �. • ' ' ' ' ' � � 48. Special Requirements Completed . , � - • � : � . - �� i � � i 49. Electric Re�lease to Edison . -- -^ - - - � � � �- - � ' . . ' ' � 50. Gas Release to Southem California Gas Co ` j � ! � ' , . , ' � , ' i 57. CERTIFICATE OF OCCUPANCY� " . _ _ ' : _ . No. Date . ' ' � + ' • ' , , , , _y � OWNER P�,�}C, WAI.LACE R. �CT 2$ �95$ DA7'E 5-12-58 _ JOB ADDRESS �{2% H2t�1tOIl Street B[11LDING PERMIT NO. '(�(�25 LOT 10 TRAG�i,.�.�° Q�IRE ZONE DESCRIPTION OF WORK I ECTIONS I DATE � gUBCONTRACTOR I DATE I Gas C. ..mcG a �¢� � .r-P�-«, , o. PERMITSISSUED NUMBER •.• �.. 0 : ' : . -� �� GcOSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR,APPLICANT TO FILL IN eui�oiNc ..� b I/,._ _. �� COSTA MESA. CA�IFORNIA OWNER j / {// MAIL ADDRE55 f TEL. CITY r � NO. ARCHITECT IIC. OR F' VEER NO. AOL � �' arv uc. - CONTRACTOR NO. TEL. ADDRE55 NO. LEGAL LOT oESCRiP?iON NO. G BLOCK R CT A.P. NO. O � � SIZE �v O. F BL�GS. � OF LOT �� iow oN �oT USE OF E%ISTING BLOG. scrawcrc �irv[ rwom / J CENTER OF STREET � � REAR VARD ( 5� SIOE YARD RIGHT LEFT DESCRIPTION OF WORK NEW / ` ALTERATION ApDITION REPAi. MOVING OEMOLISH BUILDING NO.OF 512E ROOMS STORIES EXTERIOR WALL ROOF ° COVERING COVERING � t ..__ __ .._... � � o=E� ��"�� t2y . r+)15I�is .-30 00. o� • FINANCE DEPT. � • CITY OF �,�STA F:IE� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. P flMIT NO.. � J (icJ EV(EO 9Y DATE RECEIVED DwTE ISSl1EO�� S�� —� 6 �"�^'� �/L 7 ,re.r, � v,, , 0� 7 COSTA MESA. CALIFORNIA FIRE ZONE ZON / NO.OF TYPE P APPROV BY i � IA/G DATE � I RRECTIONS C�� t.'i' �n.rD7.t1 BY (4! `�'.� DA Q / STATE THTT THE ABOVE I$ CORRECT /NO 4GREE TO COMPLV WITM tLL jZ� S �/�� -��,� �� J� Ne� 1iYtIL � CITY OROINANCES PNO 6TATE LAWS REGl1LATING BIIIIDING CONSTRVC� nON. . VALUATION ' �''/ � PERMIT FEE $ �Q� u•-r! SIGNATURE OFW � PEFMITTEE � PLAN CHECN $ /O � �� $ 7 S� F�- � TOTAL FEE 5 �j ..J1 AUTHORIZED AGENT JO ^ V v