The URL can be used to link to this page

Home My WebLink About922 HYDE CT - Building Permits•�� CITY OF COSTA MESA � ;` _ �� BUILDIN6 DIVISION C �� DEVELOPMENT SERVICES DEPARTMENT �'�� PERMIT PERMIT NUMBER � 698-013R9 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 9ZZ HYDE CT Suite: Vicinity: � Parcel Nunmber: 41808223 Applicant CUNNINGHAM, ROY Address: 922 HYDE CT BUILDING PERMIT Zoning: - ` i� Pfione:"" 714-979=3986.— - . C.M. CA ,. � >,! �%" �- � , Zip: - . 92626 . ' � i ,�: / r{ IINGHHM ROY A � � ` /�� -� � i�� DE'CT �� t -� � � �� . i „ ,/�\ �V `� � / = _ eno�e�. � �aa-s�s ssse -_ � � ` ' ��. .MESA.C/A� ,� Zip: 92626 A\�,. :;�, � ' ��, \. i �/' lJ 1 � .\ �/ ��\�\\ � /. \ � /�/% a�.-� :\ \ � � � � /'��' �\�`�\ / .\\��\ %%/ \ \ �� \ll �� Phone: � �� .;, � �: �, �� . r� Zip i � .,,a� . . �t� ,�. :- � Licensei: I r ; - �y � - - � �'`. � � �� - . ��> '�f ' i � " � � � ' � - ( . �;� J_ � M �� .i � t.r -� .: Phone a w3 '�`.� ,.'.�- . ,A 1 � / � �..: ., _ _ . Owner: CU Address 922 ;.�r f i,�' �V �� ,�' V�.. .`.P f�� / - �y3E �� 1 �� i ��:� � �i ;'�-- , , ,r , . ` - � �� n.n '�'FIan,Check „� _ 1\�, Permit `- `^9 Status: ISSUED Applied: 08/OS/1998 Issued: OB/10/1998 , �-_- Zip: , ;/ �� . ` i , : �,�' : . - � License: , � . - '1 JI.V �SE NVO 2ND STORY BALCONIES (108 200M UNIT ( � ; ."� . . � �;r �,-,;+�... _FE 09 � . - 3.75 - - 70 00 ;' 00 , 00 ..,..� �, ....-:� _ — ..t � . 71NG BEDROOMS OF A <\ . MMARY% J �, _ �, , `� , - _` �' ` Calc Valuation - s�,000:oo Claim Valuation $�,000.00 ✓-_�� ' � i� �� -./ „� , , , , i : �' �;i; � ,,, , � -- � � ��\� ��% ��A . � -,:� i:,i ��-� ;i� , �, � �.\ . � � ��Total: .'$206.54�� » � r,-� � �' . � "i� ��, �\�. ; � �� _ .. �� /i/' � � � �A � PLANNING'& ZONING ; � �� - ' , 1 � ,. . SETBACKS �� , %� ' ` � . , . , � MAIN STRUCTURE F ont� 0�0_ ,- '�� ' Rear 0- 0 Left 0- 0 - Righl . , � , /. � , ACCESSORY Front �0-,0��..;.. -�! Rear 0-0 - Left �' 0-0. �� RigM - " , . , � ' - � , PARKING EKistina: 0�� Required: 0 Pr000sed: 0 - NOTES: .. 0- 0 ' 0- 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 780 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 inapectiona end final approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION DECLARATION: � I here6y aifirtn under penal�y of perjury one of lhe follovnng decleretions: '� � � ❑ I have end will maintain e certificate of consent l0 SelFlnsure for workers' compensation, es provided for by section 3700 of the Labor Code, for ihe paAortnence oi the work tor which lhis permll Is issuetl. ❑ I hava entl wlll malntaln workers' cwnpensetion insurance, es required by sec[ion 3700 of the Labor Code, for ihe peAortnence of the work for which this permit is issuea. My workers' compensetlon Insurance cerrier end policy number are: Certier: Policy Number. (Thls section need not be comp/etea il the perml( is velued et one huntlretl tlollars ($100) or /ess.) ❑ I certity Ihet in t�a paAortnance ot Ihe work for which this permit is issue4 I shall not employ any person in any manner so as to become subject b the workers' com0ensetion laws of Celifomia, end egrea t�at ii I should bewme suD�ect to the workers' compensalion provisions of Section 3700 of the Lebor Code, I shell forthwith comply wlih ihese pmvislons. Applicant Signeture: Date: WARNING: FNLURE TO SEIXIRE WOqKERS' COMPENSATION ODVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMP�OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TIqUSAND DOLURE (5100.000),IN A�DIiIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVI�ED F-0R IN SECfION 31060F THE LABOR CODE, INiEREST, AND NTTORNEV'S FEES. LJCENSED CONTRACTORS DECLARA710N: 1 hereby eHirtn Ihat I am licensetl under provisions of Chapter 9(commencing wlih Section 7000) of Division 3 ot the Business antl Professions Coda, entl my license is in tull force entl ettect. Lic.» Cless N Contractofs Signature: Dete: I CONSTRUCTION LENDING AGENCY: �❑ I hereby effirtn that there is a wnstruction lentling agency for the pertortnance of the work for which this pertnit is issueC. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Slpnature: Date: OWNER•BUILDER DECLARATIONS: I hereby eflirtn that under penelry ot perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a pertnit to consWct, alter, improve, demolish, or repair eny sirucNre, prior to its issuance, elso requires tha appliceN for such pertnit to 111e e slgned stetament Ihet he or she is licensed pursuent to ihe provisions of the Contractors Licensa Lew (Chapter 9(crommancing with Sectlon 7000) oi Divislon 3 of the Business end Professions Code) or that he or she is exempt thereirom and ihe basis for the alleged eaemption. Any violation oi Section 7031.5 by any applicant tor e pertnit sub�ects the epplicent to e clWl Denalry of not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employaes with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentletl or oflered for sale (Sec. 7044, Business and Protessions Cotle: The Contractore License Law does not apply to an owner ot properry who builtls or improves thereon, and who tloes such work himselt or herseN or t�rough his or her own employees, proviAed that such Improvemenis ere not intended or oHered tor sale. If, however, the building or improvement is sold within ane year of completion, the owner-builder will have ihe burden of proving that he or she tlitl not builtl or improve for purpose af sale.). ❑ I, as owner ot the property, em EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha pmject (Sec. 7044, Business end Pmtessions Code: Theya(�tracrors License Law Ooes not appty to enRwnar ot properry who builds or improves ihereon, antl who contrects for such project wlih a coniracbr(s) lirensa pefsu�t ro lhe Cpyr@ctors License LawSJ. / J ,� I am exe I nCer c SignaNre: Ownar ID veritl tl b nvel license. Yes antl Professions Code for this reason: VedBcatlon oi Ownerehip by (rype of document, i.e. - properry lex bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PEiiMR CERTIFICATION: ❑ I hereby certify ihat no excevation five (5) or more feet in tlepth into whlch a parson I5 requiretl lo descend, will be matle in connectlon with work authorizetl by this permlt, end thet no builGing structure, scettolding, falsework, or demolition or dismantling thereof, will be more than thirty-si: (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title B, Celifomla Administrative Code). ❑ As owner-bullder, I will not employ anyone to do work which would require e pertnit irom ihe Division of Industrial Satery, es notetl above, unless such person has a pertnit to Co such work from tha division. Signature: Date: Division o1lnCustnal Safery Permit Number: CERTIFl OF COMPLJANCE AND AUiHORVATiOJJJ�� OF ENTAV: I cenify under penalry oi perjury that I have read Ihis applicetion and state thet the intormation given is corre � egre to comp with ell staie laws end a'ry'qrtlinances relating to building construction, end authorize representatives ot ihe Ciry ot Costa Mesa to enter upon the ebov cr d�qae tor inspection purposes. ��ee not to acupy or allow occupancy of any building authorized by Ihis rmi ntil tinal' pection. e igne�ure f L a And/Or AUNorizad Applicant . Date CQUE �. INSPECTONTVPE PAIE I�LS 1816 Fixetl System Final Fire Prevention 1268 Pool Spe Final 200 Finel Re-Root 201 Finel8lacWRetaining Well 202 Finel Fectory Fire Place 203 Final Sipn 204 Flnal Demolitian zaaaae COUE t INSPELTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 Final Fire Preveniion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupanc PAg I�� CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT � ` PERMIT NUMBER E98-00843 ✓ (714) 754-5273 • Fax (774) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 922 HYDE CT Suite No Vicinity: Parcel Nunmber: 41808223 Applicant: CUNNINGHAM, ROY A Address: 922 HYDE CT COSTA MESA,CA� �/f. /i�� Owner: I:UNNINCi ��i i. Address 922'HYDE C r�� i ��/ � /./�COSTA MES .1 , � � '� ��i �}%i ,� i��,: Contractor.� Address� j� ! l�f �'•� ,I �i� ^ � �! r �\ 1;�,/ i� ; % '.�� - 1 ',�. , ,' i�f r 1\�- . i ��' /' _. � •� i ,, ya �.L' %� �� i, � F i / ; . :;�tr ; JTLETS & 2�SVe I�i '! �,�J }. � �, i�_'t � �' 'ISSUE FEE `v.,v-i �Tempservicetest��,,�� ;', Res. a%c`package � ��,,� < < New�Res (1-2 units) ��?�� NewRe`s�.(3lunitS) \ �-,., Pool % Spa� � � ��'a, lighting Fixls � � \ �. �. Recept Outlets� L -'' � '� Switches��A� ��; Non Res Appl�� Res Appl � �� - Service to 200a� � $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 t $8.00 ELECTRICAL PERMIT Status: I SSU E D Applied: 08/10/1998 Issued: 08/10/1998 ,-� ��.�, _r' -P.hone: � � - ." _ _ � ' . %7.' -'. - . ' Zip: 92626 . , ' , � �� OY Ai. � ' l � r,' , ` � ��.A ` � ; ,�.� -_'/� .' ` , \`�.:� � �� ~ Phone � �;�,` � �`.. \.' � / � �.\ /� � � Zip. 82626 A� ��,�A �i �� A , �� :� ��/ ) .��., �� ; . � ��y v �;,� �� "� / ��' � �� i � �`: �,� A1y`_ -� � Phone. � ; - ,-�� , � �A'� .' Zi � ' � , r� �� 1��, � P > �. � � _ .� , ,�� - f vy'License'^ = � �, , _ �� ,�� - ; -.. , , - � . �, ��.. � - . ;. . � � � � �. SCOPE OF PERMIT f,-��.,.r} ,- _, - .�;j, �� . ,:�r.��,, �` ; - .��,� , � � - � `. ti r . ; � 1 --- -_ �- FEE�SU�MMARY�:�ti ...._�, __ � 1 � � \ • -/ \4uantity �� Quantity' , � : r. t�,-�_ jy_,'`?;, _ ; Temp.DistSystem/,Lightingl $0.00 0 � �'�-/ _ . - .-. - Bdsway�/100ft i'".``1_ - $0.00 0,' ' ---� - Standin "SecCon ��` - � $000 0� ' � � 0 0 0 i g � .� t� '� ' �` Service to 1000a � ; /��$0.00�; ti +�� ,0� ` �' Service over 1000a'� $0.00 ' , j0 . � - Motorstolhp �-_ � $0.00;�. �`Q,'.� � -- Motorstol0hp � � �$0�.00 �t. � 0 � .� ''"� „ Motors to 50hp �' , $0.00 ' � �� , 0 Morors to 100hp ��$0;00 �. i l.� 0' �- Motorsover100hp ��$0.00, � "z�0 �' � Communiwtion drops $0.00 = �� 0� � , Subpanelto200a $0.00 �; ". -.'0 Pole Light Pkg $0.00 0 Sign Circuits - $0.00 0 Temp Pwr Pole $0.00 0 Intermed Pole $0.00 0 g �, MiscElectiical�Equipment $000 0�� - 1 � t Transfoimers up to 1 kva/kw ' - $0.00 i0 � _ � - �' � � .........:�:.-.:uptonl0kva/kw � $0.00 /OJ (� ��-../ ,'.t,. ..........._....up to 50 kva/kw $0.00 i.'.0 ^,,..... �; ' �, / ....up to 100 kva/kw � $0.00/�i%0 ' ' . �`-.�� -..... ....over 100 kva/kw $0.00 j % p .... �� i . �,1 �r: ��- Cow Voltage Equipment $0.00 % 0 i ' ��' Low VOIt Wring System / Ckt -:$0.00 0 � �� %�� _ �� Mi,sc: Conduit � �; ,' � - -, $0.00 . 0 � ' `! Misc; Conductor - .�$0 00%; � 0 i' ; � Ci�r'cus ( gen or ride) . - $0 00 :' , 0 � � �" "� ` �� Circus,(mech-ride or lights)� � $0.00'' `� 0<. � � � �� Christmes Tree Stand ;�$0.00' ; 0 j� Fireworks Stand � -$0.00, � � 0" Other Electrical Fee _ � � $0.00 ". � � .Invesfigation Fee. " �� $0.00 . Plan Check Fee � $0.00 , Reinspection Fee ' $0.00 TOTAL CALCULATED FEES 532.00 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. 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 Inapeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby effirm under penelry of Derjury one ol the Following declaratlons: ' ❑ I heve end wlll maintain e certificete of consent ta self-Insure tor workers' compensation, es providetl for by section 3700 oi tha Lebor Code, lor the pertormence of tha work for which lhis pertnit is issued. ❑ I have antl wlll mainiain workers' compensetion insurance, es required by section 3700 of the Labor Code, for the perfortnance of the work for which this pertnit is issuetl. My workers' compensation Insurance cartier end policy number are: Cartier. Policy Number. (Th/s secNon need nof be comp/etetl7! the permif is va/ued et one hundred dollers ($100) or Iess.) ❑ I certity ihat in Ihe pertormance o� the work for which this permit is iuued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws ot Calilomia, end egree that tl I shoul0 Cecome su6�ed to ihe workers' compensailon provislons of Section 3700 of the Lebor Cotle, I shell forthwith compty wIN these provisions. Applicant SlgneWre: Date: WARNINO: FlJLURE TO $ECURE WORNERS' WMPENSATION COVERAGE IS UNLAWFUL PND SHALL SU&IEGT AN EMPLOVER TO CPIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDRION TO THE CQST OF COMPENSATION, DANAGES AS PROVIDED FO(i IN SECiION �O60F TNE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LJCENSED COHTRACTORS UECLARA710N: I hereby etfirm that I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of t�e eusiness antl Professions Coda, entl my license is in full torce end ettecl. LJc. q Class # Conlractors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby effirm Ihat thera is a constmction lentling egency for the perfortnance of the work tor which this pertnit is issued. (Sec. 3097, Civil Coda). Lendels Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that untler penalry ot per�ury thai l em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7037.5, Busineu end Professions Code: Any dty or counry which requires a permit to construct, alter, improve, demolish, or repair eny slrucNre, pnor to its issuance, also requires the epplicant for such permit to file e slgnetl stetement Ihet he or she is licensed pursuent to ihe provisions of the Contractors License Law (Chepter 9(commencing with Sectlon 7000) oi Divislon 3 oi the Buslness end Professions Cotle) or Ihat he or sha is exempt therefmm and the hasis for the alleged exemptlon. Any violation of Section 7031.5 by any epplicant for a pertnit sub�ecls ihe applicant to e clvil penalry of not rtwre than five hunOrea dollars ($500).): ❑ I, es owner of the property. or my employees with wages as ir sola compensation, WILL DO THE WORK, antl the siructure I5 not intended or oNeretl for sale (Sec. 706a, Business end Protessions Code: The Contractors Li ns Law does not appty to an owner of property who huilds or improves thereon, and w�o tloes such work himseli or hersell or through his or her own employees, p videtl hat suc� Improvemenis are not Intentletl or oHeretl for sale. Ii, however, Ihe builtling or improvement is soltl withln one year of comple4on, the owner-builder wi have th burtlen of provinq i�et he or she tlid not build or improve for purpose of sala.). ❑ I, as owner ot the property, am EXCLUSIVELY CO RACTI WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business anC Protessions Cade: The contrectors License Lew Goes not apD�Y o en ow er of properry who builds or impmves thereon, antl who wntracts tor such prqect wiih a contrector(s) /license oucaeent to tne Cont�r5l.icense LawsJ , BuSineu and Protesslons Cotle for lhis rea5on: Vedfiwtlon of Ownership byU(rype of document, i.e. - Dmperry tau bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CEFTIFICATON: ❑ I hereby certify ihat no excevation Five (5) or more teet in depth into which a person is requlred to descend, will be metle in connection with work aut�orized by this pertnit, antl thet no building structure, scefloltling, falsework, or demolition or dismantling Ihereof, will be more then thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, lltla e, Cellfomla Administretive Code). � ❑ As owner-builaer, I vrill not employ anyone to do work which would require e permii trom the Division ot Indusirlal Safery, as noted above, unless such person hes a pertnit to tlo such work from the division. Signature: Data: Division of Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENfTiV: I cetlity under penalry ot peryury Ihet I have reetl Ihis application flnd state the� the intormation given is corted. I egree lo compty with all state laws antl ciry orCinances relating to building construction, entl euihorize representatives ot the City ot Costa Mesa to enter upon the ebove-tlescnbed properry for inspection purposes. I agree not to occupy or ellow occupancy of eny building authonzed by this pertnit until final inspedion. �� 51 egel Md/OrAUlhonzed Applicant . Date cooe .. ixsvecnoNrrve pAIE u�e6S 1616 Fized System Final Fire Prevention 1268 200 zoi 202 203 Pool SDe Final Flnel Re-Roof Finel BIocWRetaining Well Finel Factory Fire Plece Flnal Sign 204 Finel Damolitlon 244&48 COOE I INSPEC710N TYPE 206 Final MeChenlcal 20B Final Plumbing 210 Final Eledncal 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Finel Building/Occupency : � .�m. �f : 1� •^.�Ii1- z j. �ECT FDOXESS: 9 2 2 HYD E CT uNir: owxeesNamE: CUNNINGHAM, ROY A aooeess: 9 2 2 HYD E CT COSTA MESA,CA 92626 RflCMIENGINEEP: �+C/7 r"` C� u� I //� BEG.NO.: � A�OBESS: 5� o�n(� �. r� ir: VL�/" -f3�_ I �zf8t8 PEFMITTEF: A.._'. r.r Lnr.rr,. �.._ _"" (%Z�} J B':-"�-..-.�'i '_..� ."..ic�revvi PUOBESS: j 7 Y 1 GL tivv n H V E 1 1�. Y"::�inuiv�� ncnCH CA 92649 LICENSEO CONTNACTOB UECLABATION: I here�y aHirm ihal I am licensetl untler pmvisians of Chapter 9(commencing wi�h Seciion 700�) ol Div�sion 3 oi �he Business antl Prolessons CoOe, and my license is in full �o¢e antl eltect. c�Truc.: nc, �- ��;:,:,� ��'s'1.—:19 EXP; OS/95 Daie- ��/ SignaWre: — � �� WOFHEP�� ATIOy OEP CLAPIITION: I �ereby aflirm at I �av dicaie o� consen� to setl-insure or a cetlitica�e oi Workers' Compen5aiian Insurance. or a wtlified coDY �hereol (Seciion ab C). Poucvno.: 1200351 exv.oaTe: 07/O1/95 I camvnNr: STATE FUND 7 Cenified capy is here0y fumished. �' ; Ceni�etl copy is �ileC wiih iltling '' lon. oate: ApOlicanl: r E%EMPTIONFNOMWOFREBS'COMPENSRTIONUECIAflRTION: (Th eeUnotbecompletetlitihepermitisioronehunOre0�51W)orless�. I cetlity Iha� in Ihe periormance ot ��e woB for w�iCh this permii i5 i55Ued I S�all naI ¢mplay any persOn in any manner 5o aSlo betome subled to Ihe Workers' Compensalion Laws oi Cali�amia. �aie: SignaNre: NOTICE: II. alter making Ihis Oeclaration, you shoultl �ecome su�lect lo lhe Workers' Compensa�ion Drovisions ot Ihe Labor Cotle, you mus� tort�wiih tompry wilh Suth pmvisions or IhiS Dermi� Shall be deemeE revokeA. CONSTPUCTION LEN�ING AGENCV: I hereby aflirm Ihat IheB is a consimction lentling agency tor the pedormance of tAe work for whic� this permii is i<suetl (Seciion 3097, Civ. C�. LENDEP: AO�HESS: OWNEB BUILOEB OECIAHATION: I here�y atfirm Ihai I am exemp� �wm the ConVac�ors' S�a[e License Law for �Ae following reason (Section 7031.5 Business ana Pmlessional Cotle.- pny ciry o� counry which requires a De�mi� �o cons�mct, al�er, impmve, demolis�, or repair any slmclure. prior lo i1s issuance, also repuires ihe aDPlicani for such permit to file a signed statement that he/she is licensetl pursuam m the pmvisians of Ihe Comramors' S�ale Lkense Law (C�apter 9(commencinA wilh Sec�ion )00�) o� Division 3 of �Ae Business and Pmfessions Code� or Ihal he/she is eKempt iherefmm an0 the basis lor ihe allegetl exemption. Any violation of Sec�ion 7031.5 by any apPlican� for a permi� suble��s Ne apPlicant lo a civil penalty oi nol more than five hunOred dollars (E500�. I. as owner of ihe propeny or my emDloyees with wages as Iheir sole compensation, will do ihe work, and ihe ❑ SlmcWre is nol inientled or o�lerea for sale (Seciion 7044, Business and Pmfessional Cotle: The Coniracrors' Slaie License Law Aoes nal apply lo an owner ol a pmperty who 6uild5 or imD�oves thereon, antl wha tloes such work himself/herself or ��mugh Ais or her own employees. pmviEetl ��at such impmvemeP�s are nol in�endetl or o��eretl �or sale. I�, however lhe builtling or improvemenl a soltl within one year o� completion. Ihe owner will have ihe buraen al pmving he/5he di0 not builtl ar impmve lor ine purpose of salel. I, as awner af ��e pmpeny, am eKclusively con�mcting wit� licensed contractors ro conslmci tAe pmlect �Section 70ad, Business ❑ and Pmlessions Code: The ConVac�ors' State License Law tloes not appty ro an owner of Omperiy who 6ui1�5 or improves tAereon antl who coniracts br such O�ojects with a coniractoqs) license pursuantto Ihe Contractors' Stale License Law),I am aware Iha� proof ol Iheir Worker'S Compensa�ion insurance shoul0 6e pmviAetl �o me. � I am exempi unaer Semion: e. 8 P. C. �or Ihis rea5on' \ oaie: % ow�e�: I do here�y cenify ihat I am aware al antl untlerstan�Dihe reQuiremsnis of Califomia Healih ana Safety CoOe Sections 25505, 25533, anA 25534 and ma� I or any Wmre builtling occupam willlwill no� (circle one) nee0 io comply vn�h saitl slaie co0es an01Ae reQuiremenis for a permit lor consimclion or modilication Irom Ihe Au Ouali�y ManagBmen� District. FesiOen�ial cons�mc�ion applicalions are exempl fmm Ihese pmvisions. �� Oaie'. I here�y certity Ihal I have read ihis applicat or0inances antl stale laws rela�ing �o buil0ing � p�OpetlY �orinspecion pur oses. Date: � Drivefs License or Social Securi�y M: �* a�ove informalion is correc�. 1 agree �o compty wiN all ciry and county rv awAertlP'12p'ys¢n�ative5 o��his Ciryto enterupon Ihe above�mentioned 164Ln6 WM1ne—Builtl'mq�, Green—Cotle Enbmement: Canary—AOPlicant: Pmk—Revanue', Goltlenmtl—Assessor CITY OF C05TA MESA — BUILDING PERMIT PERMIT NO: B 068040 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: STR JOB DESCRZPTION : REROOF/T-0 RESHEATH & REROOF W/COMP_ PERM NO; B 068040 GOVT: N SUFP: N PURPOSE; ALT SQ FT: 1,100 CLAIM VALUE: 1,100.00 CALC—VALOE: 1,100.00 GROUP OCC; A-3 /M-1 COMMENTS: �� 1f iE'1E iE iE iI"II"IE i("N' Y')i' Ii' i�' �('1F iE iF iF iF if �E IF 9E if If iF if iE 3E i%i(� 1F IE'IF il' iF IF iE'IE iE iF iF 1F'Y- iE 1l 'I4 if h'' K")E' iE'x' # M' iP"N"JF IE iF'a' dE')I' ?F iE')f IE-IE'K"IE'X"X' 3f'Y iE'N"If'-)E Z O N Z N G R E Q U I R E M E N T S S E T 8 A C K S ----------- MAIN BUILDLNG --------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 41808223 ZNE: REF NO: PLANNING NOTES> .., a ' ��rit,r#xiti��t**�le�x��t�#ic�x�tt��r�i��r�t**ie�*it��ti��t�***x��tie�iti�i��tie�ir�itir**�r*�rit�it�x-*�Ei�iti�*�iti��*i��'+i�+r�t�#x�t�*�x- 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 APPROVEP BY DATE: %S BUILDING APPROVED HY : DATE; '� APFLICATION ISSQED BY: DATE; 1EY.�iEiF9F9EiFiFiFiEiF3fiE#*iFitiEiEiEdf1E it ir itRitif .fi yr h�i6ifiEiFjt?PiE?E�E��yt�r9t �F ib iF iF iE iF * iF� i�� iF 3F ic iF #� it i' iE iE iE iE i' 3F * iE M iF jC fE iE � iP iF iF 1E iF?E iF 3f 3F iE iE # iE # fE 1Elt iE iE 9E # iE iE iE iF iF �11� iE # if if if 9f iF ii� i� K- �16 iE 96 9f i6 �IE iE ib if 9F'3f LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GP.ADING PERMIT 27.00 50 PLAN SMIF/NON—RES ISSLJE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID PUE TOTALS----> 27.50 0.00 Q.OU 27.50 27.50 .00 REVENUE DIVISTON TOTALS--> COLLECTED: 27.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ?i,n� .rJ� k iF K�1E iF it iF iF iE iE if ic N-it iE # iE i(� i' if i! it # iE it � iE iE it iE iF # fE iE iE iE i(� �E ir iF iF Y.- iE iE # iE it iE ih iE if iF iE iF iE iE #!(- iE tE iE iE �1f iF iE iE iF �k iE Y; if M ir it iF if 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 SFR 1100 REROOF BY C'ALUE RESIDENTIAL NOZONE 1.00 1,100.00 END OF FEES Ui 00163961-00163962 T o T 27,gp AA?E� �?!L3/44 TIME: i3:01 CONSTRUCTION AND PLANNWG APPROVALS Permit # 1. Tempora�Y Electrical Servicel-Pole 2. Soil Pipe-Undrgrnd. � 3. Elecirical Conduit Utility-Undsgrnd. 4. Electrical ConduiFUndrgrnd. 5. Steel Reinforcement 6. E�ectrlcal UFER Grnd. 7. Footings 8. Foundation � 9. Water Pipe-Undrgrnd. L_ 10. Structura� Floor System � %� ' t i, Property Sewer line & House nnectio� 72.SewerCap ' �• 13. Roof Drains l4. Rough PWmbi�g 15. flough Electrical�Conduit 16. Rough Elec2ric Wiring 77. flough Wiring Sign 78. Rough Electrical-T Bar Ceiling 19. Fough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventila2ing 23. Gas Pipe�Rough & Test 24. Roof Framtng 25. Roof Sheathing 7 26. T-Bar Ceiling (Structurai) & Monocoac 27. Frame and Ftashing 28. Lathing & Siding 29. Insulation 30. Drywail Nailing 31. Plaster Brown Coat 32. Electrical Powzr Meter�Final 33. Final Electric 34. Final Neating & Air Conditioning 35. Final Gas P�De-Test 36. Hood or CanopY 37. Final FaGtorY Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Finai 42. Backflow Preventer 43. Backfiow �rrigation 44. Landscape irri9ation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BU�LDING i 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Ct Date �a2e i 1� , a POO� dPA Inspector pPpROVALS Pe�mit # 52. Pool & Equipment Location 53. Steel Reinfo�cement 54. Forms - 55. Electricai Bonding 56. Rough Plumbing & Pressure Test 57. APPfiOVA�TOCOVER�GUNiTE 56. Electricat Conduit-Undrgrnd. 59. Gas Pipe, � U�drgrnd., Test 60. Backwash Lines, P�Trap, G Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVEO FOR PLRSTERING 69. POOL;�SPASYSTEPfiSFINAt FIRE DEPT. REQUIREMENT APPROVALS Permi2 � 70. Underoraund Nydro 77. Product Pip;ng G Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank C Gas ❑ Oii pW� 74. Qverhead Hydro 75. Dry Chemicai 76. Dry Standpipe 77. F{XED SYSTEAI FINAL 78. FtRE PREV. FINA� NEALTN DEPT, REQUIREfv7ENT 79. FINAI INSPECTION 80. FOOD CER7IFICATE ISSUED Notes: 6 Date inspector _�.. � � � '� - � - ' ; � 'rxAcx ::o, 10445 DATE October 9, 1980� LO': N0. 23 AnD2FSS 922 Hvde Court, Costa Mesa, CA 92626 Development Services Dep�rt:�ent Planninb Division Ci[y of Costa T;esa 77 Fair Drive Costa Mesa, CA 92626 � Attention: Ttr. Paul Dudley Dear Dfr. Dudley: Please be aware that the undersigned are aware that a certifica[e of occupancy on the abave refcrenced lo[ and unit is being requested prior to the entire tract and its streets and co�on areas Ueing completed and accepted by the City of Costa Mesa. �.�� /,� , . - 1 p` ��l �gv = �