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Home My WebLink About907 HYDE CT - Building Permits(714) 754-5273 • Fa�c (714) 754d856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 907 HYDE CT 41808208 npplicant: NEUMANN, DAVID A Address: 907 HYDE CT , ., , COSTA MESA, CA '� - . � Owner: NEUMANN„DAV�D A Address ',907 HYDE CT ' i, , , . . �. . . � COSTA MESA,.CA, � � Contrector: � Address: ' � - � Phone: 714-034-160Z� , �- .. Zip: 92626 � , . �" Phone: Zip: 92626 Phone: r'. Zip: � , e, , , . . -License: -� Status: ISSUED Applied: 09/17/2004 Issued: 09/17/2004 ISSUED BY: � SCOPE OF PERMIT �� ` � • � • ' � ' . � ENCLOSE 2ND FLOOR98 SF BALCONY TO BECOME PART OF THE HABITABIE REAR BEDROOM; REF.:� � -� . ,. B04-01572 , , .-,'� . . - .- v � :-,_;. 1 , , . �, . �- ' ,..-- - '��' --'---' �--'-- � ' ' - �.i� �, ` ELECTRICAL TO INCLUDE: 2 LIGHT�FIXTURES, 4 OUTLETS; AND 2 SWITCHES. ` � `� �� , � � , - -- = --FEE SUMMARY - • , . _ ...� Quantity .. ___ �" -- :�/': ' _ - � Quantity ij�� ' _ _' , , , ISSUE.FEE , $23.50 Temp Dist System / Lighting , $0.00 0 ,��. (��' �� ' .� ; Terrip service test ' - � � $0.00 � Busway,/100 k ; � ^ � $0.00 0;^,`t r .. � �� ! ; ! Res. a/c package $0.00 Standing"Section ' $0.00 �0 ;°; ~� � '' New Res (1-2 umis) �� '� � . $0.00 0 . . Misc.Electrical Equipment $0.00 , 0' ' � � �.,,; �� /� New Res�(3+uoits) ��, - $0.00 0 �� Transformers up to 1 kva/kw $0.00 :%; 0' �' -� .� i ��1�� i _.. Pool / Spa �� " $0.00 0 -' >'$�' �..�_ � ...........: `.: up�to,70 kva/kw $0.00 �;' `0 � ; , . � - �.......;Z.....up' _, Lighting Fixts. �, . �$2:20 2 � %" � ,"� to 50;kva/kw : $0.00%� 0 ; ! � 1� Recept Outlets � ' $4.40,. 4 ; , , ,..........up to 100�kva/kv,%4. ; $0 00 ' 0 � - , % ,; J Switches \ti �� $2.20y� . 2 : � - . .. .:... ..over 100 kva/kw �'$0 00 .,- , 0 �,', / Non Res Appl � �� $0.00�- 0 �_ � � . ' � � Low Voltage�Eqwpment „ � $0 00 �� j 0, � , � Res Appl � $0.00 .0-� , Low Volt Wiring Systern / CkC" $0�00" '� 0 , � ;� Serviceto200a �� , $0:00� 0`� ' �'Mlsc`Conduit� _ � $000--�`� 0 � � . Service to 1000a � � �$0.00 : -� 0 -- - ' � Misc. Conductor . � $0.00"�� ,0. ` � � � Service over 1000a � � �$0:00 � ' , _ 0" Circus (�gen�or}ide) � . � $0.00 '-0 .% Motors to 1hp ' ..,$0.00 � � � 0 �' = Circus (mech ride or lights) , $0.00',, � � 0� Motors to 10hp ��.$0.00� -, 0;� �_ � Christmas Tree Stand � $0.00 -' 0 Motors to 50hp $0.00 . � 0' � � Fireworks Stantl - - ' ,- �$0.00 0 Motors to 100hp $0.00 ��' - -0• ._ �-- � �Other.Electrical Fee ' -$0.00 Mo[ors over t00hp $0.00 " 0 � . , � . , . ,- NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 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 requlred Inspeetione and final approvel must be obtained. Fallure to obtain inspections and final approval will result in the expiration o�f lhis perinit. �Y � FOR INSPECTIONS CALL: (714) 7545626 <G6WU �G'WJ WORKERS' COMPENSATION DECLARATION: � ' . I �ereby eHirtn under penalry oi perjury one of Ihe following tleclarations: ' ' ' , . ❑ I have entl wlll maintain a certificate ol consent to selGlnsure for workers' compensation, es pmvided tor by section 3700 of the Labor Code, tor Ihe pertortnence of ihe work for which lhi5 permit Is iuuetl. - ❑ I have antl will maintain workers' compensation insurence, as required by section 3700 ot Ne Labor Cotle, for ihe pertortnance of the work for which Nis pertnit is issued. My workers' compensation Insurence carner and policy number are: ' Carrier: Policy Number: (This section need no( be completed i/ the permit is valued e( one huntlred dollars ($100) ar less.) „ , � I certiry t�at in tha perto 4nce of the work for which th' pertnit is iuued, I shall not employ any person in eny menner so as to become subject to the workers' compensation laws ot C �orni�. entl ay ree that If I Id become subject to Ihe workers' compensation provisions of Section 3700 oi ihe Lebor Cotle, I shall forthwith comply wilh Ihese pro� � uns. � AppliwntSignaWre: � n � Date: 9'�7� il WARNING: FAILURE TO S IIRE WORKER CQNPENSA�qJ COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMMOYER TO CRIMINA� PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/iOUSPND DOLLARE (5100,000), IN ADORIIXJ TO THE CQST OF COMPENSATION, DAMAGES AS PFiOVIDED FOR IN SEGTION 3]W OF THE LABOR CODE, INrEREST, AND ATTORNEI"S FEES. LICENSED CON7RACTORS DECLARATION: I hereby attirm ihat I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0l the Business and Professions Code, and my license Is in full force antl eHect. Lic. e Class a Comrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm Ihat thare is a construction lentling agency for the pertormance of ihe work for which this permi� is is5ued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: SigneWre: Date: . OWNER-BUILDER DECLARATIONS: I hereby attirm that untler penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Business entl Professlons Coae: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicaN tor such permit to tile e signed stetement that he or she is licensed pursuant b the provisions of the CoNrectors License Law (Chapter 9(commencing with Seaion 7000) ol Divislon 3 of t�e Business end Proleuions Code) or that he or she is exempt therefrom and iha basis for the alleged exemption. Any vio�ation of Section 7031.5 by any applicant for e pertnit subjects the epplicent to e civil penalry ot not more ihan five huntlred dollars ($500).): ❑ I, as owner oi ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the siructura is not Intended or oHeretl for sale (Sac. 7044, eusiness antl Protessions Code: The Contractors License Law tloes not appty to an owner of property who builds or improves ihereon, and who tloes such work himself or herselt or ihrough his or her own employees, providetl that such improvements are not intended or oHerad tor sale. If, howaver, the 6uiltling or improvement is �sold wiMin one year ot completion, ihe owner-builder will have ihe Curtlen of proving that he or she did not build or improve for purpose of sale.). ' I, as owner of Ihe propetly, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct tM1e projett (Sec. 7044, Business and Protessions Cotle: The contractors Licensa Lew tloes noi eppty to an owner of proparry who builds or improves t�ereon, and who contracts tor such pmject with a coniraaor(s) license purPsuan o the ontractors Lic se Laws.). ❑ I am exem er c. Business and Professions Code for ihis reason: IS1gnaWre: �� y �� Date: – Ownar ID veriKed by drivel9licensa. ❑ Ves ❑ No Driver's LicenSe No. �[ ',�� Expires: I TS� OG� Verilication of Ownership by (type of tlocument i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no evwvation five (5) or more teet in depth into which a person is requiretl to descend, will be made in wnnection with work authonzed by this permit, and that no building strucWre, scalloltling, talsework, or demolition or tlismantling ihereof, will 6e more �han thirry-six (3fi) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 347, Title B, Califomia Adminisiretive Code). ❑ As ownerhuilder, I will not employ enyone to do work which would require a permit irom the Division of Indusirial Sefery, as noted ebove, unless such parson �es e pertnit to do such work trom the division. - Signeture: Date: Division of Industrial Sefery Parmi� Num6er. CERTIFlCATE OF COMPLJANCE AND AllTHORIZA710N OF ENTAV: 1 certity under penalry of perjury that I have read this epplication and siate t�at the infortnation given is correct I eg��y with all ste aws and ciry ordinances relating to building construction, and euthonze representatives oi the City of Coste Mese ro enter upon the above-des ed o tor i puryoses.l agrea frot to occupy or allow xcupancy oi eny buildinq authorized by this permif onfil tinal inspection. i��7-5� —TT—'��gnature Of Legal Owner(s) Date AnNOr Authonzed Applicant CQOE t. INSGELTIONTYPE 1616 Fiaed System Final Fire Prevention 7266 Pool Spe Final . 200 Final Re-Root 201 Finel8locWRetaining Wall 202 Final Factory Fira Place 203 Final Slgn 204 Final Demolition x4 PdIE 1� CODE I INSPECTIOH TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention �� 220 Final Planning Approval 222 Final Slte 250 Final Building/Occupency �. 1 .1111. 1��' �II.. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 907 HYDE CT Suite: Vicinity: 2N� FLOOR REAR BEDROOM Parcel Number: 41808208 Applicant: NEUMANN, DAVID A Address: 907 HYDE CT COSTA MESA, CA i � . Owner. NEUMANN,'DAVID A Address 907-HYDE CT � . . � ' ". � � COSTA MESA, CA � . . Contractor: " � Address: ` ' � � Zip: Arch : Address: Zoning: ISSUED BY: .� Phone: 714-434-1607� ; � Zip: 92626 .- . i �Phone: - �- , � . Zip: 92626 � : .. Phone: License: . � .. ; E�9� � � " � �Address: � , Phone: �. . -. � `-. Status: ISSUED Applied: 09/08/2004 Issued: 09/17/2004 Phone: \ Zip: , , � License: - " � �; License; . _ , SCOPE OF PERMIT ENCLOSE2ND�FLOORgB SF BALCONY TO_BECOME PART OF THE HABITABCE REAR BEDROOM. �� ' , . ,-_. . - - . _ �� , - � , i � � � � �- - FEE SUMMARY�' -"- — � ' ` Plan Check'. $117.81 Permit: ,��$181.25 SMIP Res: $0.91 SMIP Com: " $0.00 , Other: � �, , $0.00 Inspection:,� `.,'$0.00 �. �, ' ,�,Total:=' $299.97 � . ;� �. �V '., ., ` ��" Calc Valuation: � � , Ss,oss.zo � - _ � �^ ; Claim ValuaYion: � � _ ,SO:oo ' � — - _ - � � �/ =�_ _� 'U r t � . � r _. . . , .. �- -- �,�� . � , �, � /� �� ,,. �--_ �� i l -� t " � ` — - _ s�!/! � ' _ ' ! � � r � .%/� ' \ / ' //`t., . r. _ ., � %�• � i `" ' - PL ` ' � , . . �' � SETBACKS� ,i�; =�� '' ', MAIN STRUCTURE Frpnt 0-A �=•Rear : 0- 0� � i. \ �' � � � � ' = ' � _ ACCESSORY \; ��FrOnC'- 0- 0 ~ � \Rear 0>'�0 �� PARKING Existina:: - 0 . - Required: 0 � ' � NOTES: - ', ` � — 4NNING & ZONING - + � � ''�-� � �� '� ', � . _ , _' %j , , , �� ,,� � , �`LefP 0-0 , �� 'Righf 0=0`•', - �,',�� " o "- :' �.\ : / �. :.Left - 0 0-��- � �Right � �0�0'! i. �'� • , ,, Propased: - 0 � � . - ,� , � _� �r ,— NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. � INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply with all applicable codes,.and I required inspeetlone end finel approval must be obtained. Failuie to obtain inspections and final approval will result in the expiratlon of t��rmit. FOR INSPEC710NS CALL: / (714)754-5826 2M&ae (N00) WORKERS'COMPENSAnON DECLARAnOIr ' � — I hereby aflirtn untler penalry oi peQury one ol the tollowing tleclaiations: � - � ❑ I have end will maintain e certilicate of consent to self-Insure tor workers' compensetion, as provitled tor hy section 3700 of Ihe Lebor Cotle, tor ihe peAormance of Ihe work lor which IhiS permii i5 155ued. � ❑ I have end will meintain workers' compenseiion insurence, as required by secGon 3700�of tha Labor Code, for tha pertortnance oi the work for w�ich Ihis partnit is Issuetl. My workers' wmpensatlon Insurance carder and policy numDer are: - Carner: Policy Number: (This sectlon neetl nof be wmplete0 il the permit is valued et one huntlred dollars ($100) or less.) . BT• I certify that in ihe pertortn pca of ihe work for w�ich � permit is iuued, I shall no� employ any person in eny manner so as to become suDject to Ihe workers' �� wmpensatlon lews ot C�6mia, ntl agree that i ultl become subject to Iha workars' compensation pmvisions of Section 3700 ot ihe Labor Cotle, I shall fort�wlth compty with these pro � ns. q�'`g�} Stpneture:""�" � C�at�- � l�^ � � WARNING: FAIL— U O SECURE WORK S' COMPEN ATION COVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNORED TIiOUSAND DOLLARE (5100,OW), IN AODITION TO iHE COST OF CAMPENSAiION, DAM4GES AS PROVIDED FOR IN SECTION 3]O60F iHE LABOR CODE, INTEREST, AND AiTOFNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eftirtn that I am licensed untler Orovisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professions Code, end my licanse is in lull larce and eHect. LJa A Class x Contrectofs SignaNre: Date: CONSTRUCTON LENDING AGENCY: � ❑ I hereby aMirtn that there is a conswction lending agency tor ihe pedormance of Ihe work for w�ich this pertnit is issued (Sec. 3097, Civil Cotle). Lenders Neme: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereDy aHlrtn that untler penalry of perjury thai I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professlons Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires t�e aDD�IcaN tor such permit to file a signetl stetement ihet he or she is licensetl pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business and Protessions Code) ar that he or she is exempt therefrom and the besis tor ihe elleged e:emption. Any violation oi Section 7031.5 by any applicant for e permit subjecis Ihe applicam to a civil penalry of not more than five hundred dollars (3500)J: ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, anC �he structure is not intentletl or oflerad for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tices not apply to an owner of properry who builds or improves thereon, and who does such work himself or herseH or through his or her own employees, provided that such improvements are not intended or oflared for sale. It, howaver, the 6uilding or improvement is .--, �sold within one year ot completion, the owner-builder will have the burden of proving that �e or she did not build or improve for purpose ot sale.). � �-,i i, as owner ot the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protassions Cotle: The contrectors Lic� nse Lew does not apply to an owner ol proDerty who builds or Improves thereon, and who coniracts for such project with e conirector(s) license oursuantAo ihe 06mractors LicensrLews.1. ❑ Owner ID ven}fetl by tlnver'S Yes ❑ No Business and Professions Code for this reason: Vedfiw�ion of OwnerShip by (type of document, i.e. - pmpeny tez bill or DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certify ihat no excavation five (5) or more leet in depth inio which a person is requiretl to tlescend, will be matle in connection with work authorized by this permi6 and that no building siructure, scattolding, felsework, or demolition or dismantling i�ereoi, will be more than thirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work w�ich woultl require a permit from the Division ol Industrial Sefery, as noted above, unless such person hes e permit to tlo such work irom the division. Signature: Date: Division ot Industnal Safery Pertnit Number: CERTIFlCATE OF CO PLJANCE AND AIJTMORIZA710N OF ENTRY: I ceniy untler penalry ot perjury that I have read �his application and state that the informa�ion given is correcL I egree Io ply all state laws and 'ty ortlinances relating to building consWc�ion, and euthonze representatives of ihe Ciry o� Costa Mesa to enter upon the above-describe r e r in cti o . I agree not to occupy or allow occupancy of any building authorized by this permit until 7tinal inspection. ' ignatu er O I,Owner(s)__ __� �/ 1� �� AnNOr Amhorized Applicant [d•17�1<fSFiJt�iIG7J�YJ� 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 ' Final Demolition PAffi IMRIALS �� COOEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Pinal Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site ' 250 ' Final Building/Occupancy �}11�1:1111/1�] / / I ♦ / ' I / � / ♦ / / OWNER-BUILDER VERIFtCAT10N A city or county, which is required to givc notice pursuan[ [o Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and reyuire the reWm of, an owncr-buildcr vcrification. A�tention Property Owner. An 'owncr-builder' building permil has becn applied liir in yuur name and bcaring your si�gnature. Please complete and retum this informa�ion in �he emclupc prnvided at your earliest opportunity iu evoid unnecessary del�y in processing and issuing your building pennii. No buildin� nermit will he issued unul �his verifica[ion is received. I. I personally plan to pruvide the major labor and materials for construclion of the proposed property irnprovemenL ❑ Ycs � No 2. havc/h ve not) signed an appiication for a building permit fur thc poscd work. , 3. I have contracied with the Collowing pection (�im�) tu provide �he proposed conciruction: Name �6�p1 �-Q� � Adclresv �/7 � �/i?�Y� Ci[y ��i��C/� � Phone (9�) S'u�" "�� ConVactur's Lic. No. 4. I plan lo pruvide portiuns of thc work, bw I huvc hired Ihe fullowing person to coordina�c, supervisc and provide thc majur work: Namc Addretiti City _ Phone ( ) Conlractor's Lic. No. 5. I will provide some of the work but 1 have contracted (hirod) Ihe following persons to provide the work indicuted: Name Address Phonc Typc of Work iM2-a5 �REV.9i9P) I hereby affirtn that [ have received a copy of the information set foRh in Section 19830 of the State of Califomia Health and Safety Code and have comple[ed the above infortnation to Ihe bes[ of my personal knowledge, in compliance wi[h this State law. Signed: �� v�— Name: IDI� v�I� �I NE��t�v �t/ (Printea or Typea> C.D.L. # � � �� / � Date: �'��! For more information call City of Costa Mesa Building Division at ('114) 754-5273. iaxac IREv. aeel :s.�cT ::o. 1 i..0': ti0. 8 n,1T� August 26, 1980 ,1DDRL'SS 907 Hyde Court, Costa Mesa, CA 92626 Developmc�t Services Dep:trt::mnt Planning Division Ci[y of Costa ?fesa 77 I'air Drive Costa Mesa, CA 92626 Atten[ion: Pir. Pau1 Dudlcy Dear htr. Dudley: Please bc aware [hat the undersigned are awnre that n certificate of occupancy on [he above referenced lot and unit is bcing requcsted prior [o the entire tract and its streets and cor.vnon areas beino completed and accepted by the City of Costa Ftesa. G L AUT110RIZED REPRI:SE[vTATIVL:) BY_ � _ :SIG;:;.T . OF i.EtdllF:R) ?3'1'f'��i�L''ji �� 261980 PflOJECT A11DBE55: C3 � 7 HYD E CT ��OWNEfl'SNAME: INBODY, PATRICIA L POOPESS: (3O-� HYPE• C•i• COSTA MESA,CA 92626 AHCM/ENGINEEX: aooness: NEG.NO.: UNIT: uxir: reaMirree: HILT—WELL ROOF AND MATERI (719)739-1288 nooeess: 3310 VERDUGO ROAU LOS ANGELES CA 90065 LICENSEO CONTHRCTOB OECNflPTION: I hereDy affirm tha� I arn licensetl under pmvisions of C�apter 9(commencing wi�� Section 70�0) oi �rvison 3 o�ihe Business antl Pmlessions Cotle. antl my license is in �ullfarce and eHec�. c�Tv��c.: p3qn�,7�6 STRTELIC.: QSBOOJ 39 EXP: OS/95 Date: ��'� " r Si9namre: WOFNEPS' OMP 75R71011 oECLAfiATION: I �ereby aff m t�a� I a ce ificate oi consent m selbinsure or a certificate of Workers' Compensalion Insurance. or a certibetl copy Ihereo� (Secli . Lab. C�. roucvNo.: W9371U2989 exe.onTe: 07/13/99 comenxv: CAL COMP � Cetlifietl copy is herebY �umishetl. �. Cetli�ied copy is file0 wiih BmlOinp D' ' ion. �a1e' ApplicantG��---� E%EMPTION FpOM WONREflS' COMPENSATION UECIAHRiION: ' S c�ion ol �e comple�e0 il�he permi� is tor one huntlretl �5100) or less�. I ceriify Ihal in the pedormance ol the work for which �his permit is issuetl, I shall no� emDloy any person in any manner so as �o become subleci Io Ihe Workers' Compensalion Laws ol Cali�omia. Oale'. Signa�ure: NOTICE: If. af�er making this declamlion, you shaultl �ecame subject to ihe Workers' Compensation pmvisions of the Labor Cotle. you musl lorihwil� compty with such provisions or Ihi4 permit shall 6e deemed revokeA. CONSTflUCTION LENOING PGENCY: I hereby affirm �hat ihere is a consimction lentling agency �or Ihe pedormance of Ihe work lof � w�lch �hls permi� ls l,suad (Sectian 309�. Civ. C). LENUEH: p00HESS: OWNEP BWLUEB OECLAPATION: I herehy alfirm t�at I am exempl Iwm the Coniractors' State License Law br t�e �ollowing reason (Setiion 70315 Business antl Pmfessional Cotle'. Any ciry oi COunly whiCh require5 a pefmit �o COrefmt6 al�er, impmve, demolish, Or repair any slmciure. prior to its issuance, also requires ihe applic3nt �or such permil ta lile a signe0 sta�ement Iha� he/she is licensed pursuant to ihe pmvisons oi ihe Cantracmrs' Slate License Law (C�apier 9(commencing with Section 7000) o� Division 3 af �he Business antl Pm�essians Cotle) ar �ha� �e/she is exempt Iheretmm and Ihe basis tar �he allegetl exemp�ion Any viola�ion of Section 703L5 by any applicant tOr a Dermit Sublec�s ihe aD�litani to a civil penalry ot not more �han five hundre0 O011ars (SSOU). I, as owner ol the pmperty or my employees vnt� wages as �heir 5oi¢ compensa�ion, will Oo �he work, antl Ihe ❑ simcture is nol imentled or o�fereU lor sale (Section 7044, 9usiness antl Prolessional Cotle: The Conirac�ors' Sta�e License Law aoes na1 applY �o an owner of a D�oDerty who builtls or imP�oves Ihereon, and who Ooes such work �imsel�/hersel� or Nrough his or her own employees, pmvided Ihat such imD�ovemems are nol in�entleU or ofiered for sale. If, however the 6uilding or impmvement is solA within one year o� completion, Ihe oWner will have Ihe 6ur0en of Dmving he/she tlid not builtl or improve for ine purpose of salel. I, as owner ol Ihe pmperty. am eeclu5iveiy contracling wi�� licensetl contracmrs m constmc� Ihe D�oleci (Sec�ion 7044, Business ❑ anA Professions CoOe: The ConVaciors' Sia�e �iCenSe Law d0e5 n0� apply (0 an Owner o� Oroperty w�o OuilGs or impmves thereon and who contracis for such pwle��5 with a contractor�s)license pursuanl to ihe ConVac�ors' S�a�e License Law),I am aware Iha� pmo� ol their Worker'S Compensation insurance StloWd be pmvidea to me. � I am exemp� untler Sec�ion'. B. 8 P. C. for this reason'. oaie: Owner I tlo hereby cenify t�at I am aware oi and un0erstand ihe requirements of Califamia Health and Safety Catle Sections 25505, 25533, and 2553a antl thal I or any lulure huilding occupan� wtll/wtll noi (circle one) neetl to comply with saitl state cotles antl Ihe requirements br a permii for constmction or motli�ica�ion imm Ihe Nir Ouahty Management OisVic�. Fesitlenlial construction applications are exem0� ��om Ihese pmvisians. Oaie: Applicanl: I h¢reGy cer�ity �hal I have read Ihis aD0litalion antl sta�e Ihal I�e a�ove informalion is rorrecC I agree Ia Camply with all ciry antl counry ortlinances antl stalelawsrelatingto builtling conslmction antl hereby aulho ' prese � ives otthis ciryto enterupon the above�mentione0 properiy �orinspe/c�f'��,n� pu/ryy�os�es Da�e', ____'�� Si9naiur ' �( ' % Drivefs L¢ense or Sociai Securiiy d: � i6aLa6 Whne—Builtling: Green—Cotle Enlorcemenl: Canary—APPlicant Pmk—Revenue'. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068005 PERMIT NO: B 0680U5 PLAN CHECK NO: N GOVT: iJ SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOII DESCRIPTION : T/OFF 6 REROOF WITH COMP. & BUR IN BACK SQ FT; 1,100 CLAIM VALUE: 1,100.00 CALC—VALUE; 1,100,00 GRdUP OCC: R-1 /M-1 COMMENTS; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY iE if iE 1F it %iF it iF 16 94 3F # 1F iE if ?E iE tE # jE if iE iE %it 34 iE iE iE rt it iF 3E k�x- if # iF �tE 3E iE iE iF �F iE iE iF if � iE T:� fE ��Ie 34 iE iE iE iE iE �l[� IE �t Y,- # iF �14 iE #-iE iE �f iF if it �1E iF iF Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR� FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGFIT: FT IN LEFT: FT IN RGHT: £T IN PARKING REQ: PROV; PARCEL; 41808208 ZNE: REF NO; PLANNING NOTESi � � ` ia ik iE ih i@ iE 3(� iE iF ih iE # i: iE:l¢ iE iF if iF iE �!(- if } IF iF iE # ic iF iFlf f! fk it 1! iE iE # iE it if 3f iF iE %iF iE!@ i!� ## i(� if i(� iE fF 1E # if # iE ### iE 3F �If iF3f 1c iE �lE �7E # fh fE �1E iE iE D E V� 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 APPROVEP BY UATE: HUILDZNG APPRC�VED BY : DATE; APPLICATION I55UED BY: Dt1TE: �•7� ��Qy �(�'K'N�x-3Q-iE9tiEiEitlfrtitiEfEiFiEiF�itiFiE4r��xr)r x rr . - n� :?Trtrx�eiriF�tTrTfiF�ir�rre;'$"r�rr'FiriEiPiFit3EitaEiciE��lrr3.iF"i�iSiFjFit # if # df # ii jF #�%� 9f iF 3F �IF j4 iF ik N� iF i!� #-k- #'� 9E �)F {F iF iE # iE jF 36 3E iE iF!(- dF # if iE!(-1t # iF iE �1( ik k-iE ii- # iE #'- Y- iF iM1 iE iF iE �)E if �)f� iF 9E lE il� #!P �fE iF 3f 9i 3k il� iE if iE iE iF 3k LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBItJG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 27,00 SU PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> TOTALS----> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 27.50 0.00 0.00 27.50 27.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: "17,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHaNIC FIRE SMIP/TOT GRAUING PLAN—C_'HECK 2%,�� ,5� iEiElEk�k#iFk1ElE1(�ifiEiFiFiEiEfk#3EiEiliFlt#fE#i-.` i°)EiP1EiFiFibiEiFiE1F�)E#1Eil�ikiElEiF1E�E�lEiEiEii#1Fit%##�E#*iF1EiF?FitifiEiEfE�-i;#1!#1EiE# 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 Q N UNIT COST TQTAL COST SFR 1100 REROOF BY VALOE RESIDENTIAL NOZONE 2.00 1,100.00 END OF FEE5 01 00168951-00t6395Z r� r �;,�r DA7E� 07/13/4< T1flE: 12:5E -�CONSTRUCTION AND PLANNING POOL .. SPA APPROVALS Permit� Date Inspector APPROVAlS Permit# Date Inspector � 1. Temporary Electrical Service.�of.Pole 52. Pooi & Equipment Location . 2. Soil pipe�Undrgrnd. , 53. Steel Reinforcement ' � 3. Elecirical Conduit Utility-Und�grnd. 54. Forms '�i' 4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electricai Conduit�Undrgrnd. ( � I 8. Foundation - ,' '`, 59. Gas Pipe, � Undrgr�d., Test �� f( 9. Water Pipe-Undrgrnd. !I : • 60. Backwash Lines, P-Trap, O Undrg:nd. �:� ' 10. Structurel Floar Svstem '� . i �� 61. APPROVAL TO DeCK �_ 11. Roperty Sewer Line & House Conneciion� _-'. 62. Backwash & Receptor�Final ,' 72. Sewer Cap � 63. Heater & Vent-Final : �: 13. Roof Drains 64. Plumbing System - Final -- 14. ftough P�umbing 65. Electrical�Final - ,, i 15. RougM Electricai�Condu�t 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Aparoval 17. Rougt� W�ring Sign 68. APPROVED FOR PLASTERING 78. Rough Electricai�T Bar Ceiling 69. POOUSPA SYSTEPIS FINAL � 79, flough Heating & Air Conditloning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVAIS Permit = 21. Dutts,�n Structure 70. Under9round Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil � 23. Gas PiPe�Rough & Test 72. Underground Ftush 24. Roof Framinq 73. Underymd.StorageTank OGas n0ii 25. Roof Sheathing �..Z��f' (�w�l 74. Overhead Hydro � � 26. T-6ar Ceiling (Structural) & AAonocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEh1 FINAL 29. Insulztion 78. FIRE PREV. FINAL 30. Dryw811 Nailing HEALTH OEPT. REQUIREN7ENT 37. Piaste� Brown Coat 79. FINA� INSPECTION i 32. Electrical Powzr MeterF�nal 80. FOOD CERTIFICATE ISSUED � 33. Final Elec;ric Notes: 34, Final HeSting & Air COnditiOning . 35. Final Gas Pipe-Test 36. Hood or Canopy ' � 37. Final Factory Fireplace i 38. Final Plumbing � 39. Water Service�Final 40. Gas Se�vice-Final 41. Solar pomesticFinal 42. Backflow Preventer - 43. Backflow Irrigation - 44. land5caPe Irri9ation SYsiem 45. Sound Aitenuation 46. HandicaP Regulations � 47. FINAL STRUCTURE & BUILDING �`7�4/ �(�.-�L 48. FtNAL PLANNING 49. Etectric Release to Edison '� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ',_ No. Date