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Home My WebLink About3280 INDIANA AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • w�vw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3280 INDIANA AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13904110 npp�ican�: ARROSAGR.4Y, MARTIN Address: 2508 BOWDOIN PL COSTA MESA, CA Owner: GOLDEN, JAMES HENRY Address 32801NDIANAAVE Zoning: Phone: 714-556-8867 2ip: 92626 Phone: COSTA MESA, CA Zip: 92626 Contractor: MARTIN ARROSAGRAYS ALL SEASONS ROOFING Address: 2508 BOWDOIN PL Phone: 714-556-8867 COSTA MESA, CA Zip: 92626 License: 622480 Arch : Eng: Address: Address: Phone: ISSUED BY: Status: ISSUED Applied: 03/OS/2003 Issued: 03I05/2003 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYER 15# FELT, APPLY'30.YEAR COMP SHINGLES.' 2400 SQ Ff Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.00 SMIP Com: $0.86 Other: $0.00 Inspection: $0.00 Total: $112.11 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0- 0 PARKING Existina: 0 Rear 0- 0 Rear 0-0 Reouired: 0 FEE SUMMARY PLANNING 8 ZONING LeN 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Righl 0- 0 54,090.00 sa,oso.ao NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRA710N: This permit shall automatically expire and become void II work Is not commenced within 1 BO days, or Ii work Is suspended or abandoned ' for a period of 180 days. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all ., requlred Inapectiona end flnal approval musl be obtained. Failure to obtain inspec�ions and finel approvel will result in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545626 �maae �eroo� WORKERS'LOMPENSATON DECLARAnON: I hareby eMirm under penelty ot Oer'ryry o�e of the followinq dedaratlons: ❑ I heve end will maintain a ceNliwtB ol consent b selt-Insure for workers' compensetlon, es pmvided br by section 3700 oi the Labor Cade, br the pertortnance ol the ,S,, work for which Nis permit L5 issuetl. CJ 1 hava entl will mainUin workers' compensatirn Insurance, az requireG by sectlm 3700 ol Ihe Lebor Catla, for Ihe partorcnance oi Iha wofk tor whicn Ihis pertnit is iswed. My worl(9 �/p�pensatlon InsuranQa cartiar and poliq numDer are: /� {� Certier. �� 7�� _�L��I Policy Number l(� �S 7u �'— D� (This sectlon need nof be comple(ed tl the permit is ve/ued af one hundretl tlollars ($ I00) ar less.) ❑ I certify tnet in Ihe peAormanco of Ihe wark for which tNs pertnit is Issued, I shall no1 employ eny person In any manner so es to bewme subject to ihe warkers' compensatlon laws ol Cellfomie, end egrae et it I shoul0 Decome sub�ect to Ihe workers' compensetion provislons of Sectlon 3700 0l t�e Labor CoEe, I shell forthwit� comply with (hese r vi ons. ApPlicanl Slgnature: 'U �v� ' G� ��, �G� oa�a: 3 S=0� WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS Ut WFUL rWD SHALL SUBJECi Ml EMPLOVER TO CRIMIIUL PENPLTIES AND GVIL FlNES UP TO ONE MUNDRED 7110USAND OOLLARE (5100,000), IN ADDRION TO THE COST OF COMPENSATI , DAMAGES A$ PROVIDED FOR IN SECTION 7]OB OF THE LABOR COOE, IN�EREST, AND FTTORNENS FEES. LICENSED COMRACTORS DECLAiiA710N: 1 here6y eMirm Ihet I Bm torce entl eHed. L1c. p_ Contrectols SIg�eWre: ol Chapter 9(commendng with Sectian 7000) of Division 3 0l Ihe Business ey� Pro(gs�'rOns Cotle, end my license Is In full Cless x L -� / '� �� Date: � `� � CONSTRUCTION LENDING AGENCY: ❑ 1 hereby a„�� lhet ihere is a construcUon lending agency tor iha peAormance oi 1he work ior which INs permit is iuued. (Sec. 3097, Civil Cotle). Lenders Neme� Lendefs AUtlrau: Signature: Data: OWNER-BUILDER DECLARATONS: I hereby eHirm t�a� unCer penelry of perjury Ihet I em EXEMPT FROM TF1E CON7RACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business entl Protessions Code: Any ciry ar counry which requires e permit to construct, alter, Improve, demdish, or repair eny siructure, pnor to its issuance, also raquires the applicant for such pertnit to lile e signed stetement thet he or she is Ilcensed pursuem to the pmWslons oi the Contwcton Licensa Lew (Chapter 9(cammencing with Sectlon 7000) ol Dlvision 3 oi the Business end Frolessions Cotlej or thet he or sha is e:empt thereiran end ihe basis far tho allegetl ezempUon. Any violation of Sectiun 7�31.5 by any applicant far a pertnit su6ject5 the epP��^� �o e civll penalry ot not more than five hundred dollars ($500).): ❑ I, es own0r of the property, or my employees with wages as ihelr sole compensatlon, WILL DO THE WORK, and the siructure Is not intended or oNered lor sale (Sec. 7044, Business end Professlons Cotle: The Contractors License Lew does noi epply �o an owner of property who builds or improves ihereon, and w�o does such woM �imsetl or hersell or ihrough his or her own employees, provided ihat such improvements ere not intendetl or oHered for sale. If, however, ihe builGing or improvement is soltl within one year of completion, the owner-builtler will have �he burden of proving Ihat he or she did not huild or improve for purpose of sale.). ' ❑ I, a5 own�� of tha property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe prolect (Sac. 7044, BuSiness entl Profession5 Cotle: The ��ractors License Lew tloes not appty to an owner ol property who bulltls or Improves Ihereon, and who contracts for such pmject with e wntrector(s) license pU�suanl Io Ihe Contraqor5 LiCense Laws.). ❑ I am exem0� under sec. Business end Protessions Code lor this roeson: Signature: Date: Owner ID verili0d by drivers Ilcensa. es ❑ No Dr'rver's License No. Verilicetion ol Owners�ip Cy (type ol tlocument, i.e. - property tax biil or deetl): Expires: DIVISION OF INDUSTRIA4 SAFETY PERMR CER7IFICA710N: ❑ I hareby caNty that no excavaqon fNe (5) w more faet in tlep�h �nto which e person is required to tlescend, wlll he matle in connection wlih work euihodzed by this permit, end thet no building slruciure, scaXoltling, falsework, oi tlemolition or dismantling �hereol, will be more then thirry-six (38) feet hig�. (Chep. 32, Grp 2, Art 2, Sec. 341, 71Ue 8, Calltomla Adminisirativa Cotle). ❑ As owner•builder, I will not employ enyone to do work whic� wwltl repuire e pertnit Irom the Divlsion of Industnel Sefety, as noted ebove, unless such person has e permit ta do such work trom the d'Msion. Signature: Date: Division of InduS�dal Salery Permit Num6er. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I certiy untler penelry ol porjury thel I have reatl Ihis epplication antl state iha� �he infortnation given is correct. I egree to compty wit� ell state laws end ciry ordinances relating lo building wnstructlon, and euthorize representatives oi the Clry ol CaSla Mesa to enter upon the above�tloscnbed Oroperty lor inspection purpases. I agree not to occupy or ellow occupancy ol eny building eu�horized by this permit un�il finel insDection. eooe �. ItlSCECIWNrvve 1616 Fixetl 5ys�em Finel Fire Prevention 1286 200 201 202 203 204 Pppl SDe Fine1 Finel Re-Rool Final BIocWRetelning Well Final Factory Fire Place Flnal SiB� Final DemollUon 1t�Lfl �' 1 `0 :�/` �^ ^ D,ate� S C% Date �QQF2 INSPECTONTYPE 206 Finel Mechenical 208 Final Plumbing 210 Finel Elacincal 212 Flnal Flre Preventian 220 Final Plenning Appro�al 222 Final Site 250 Final Building/Occupancy QAg Iti�LS lob Address: 2138 IRIS PL Suite No Vicinity: BATHROOM Parcel Nunmber: 42615138 Applicant: SCOTT, MELISSA Address: 488 ABBIE WAY COSTA MESA, CA Owner: COATSWORTH,KEN Address 2138 IRIS PL COSTA MESA, CA PLUMBING PERMIT Phone: (949) 637-9911 Zip: 92627 Phone: 949-369-0305 Contractor. PREMIERE WOODWORKS INC. Address: 488 ABBIE WAY Arch / Eng : Address: COSTA MESA, CA 2ip: 92627 Phone: (949) 631-9911 Zip: 92627 License: 619755 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 05/292007 Issued: OSI29I2001 SCOPE OF PERMIT PLUMBING PERMIT FOR ADDITION 8 REMODEL OF EXISTING SINGLE FAMILY RESIDENCE. INSTALL 1 TUB, 1 SHOWER, 1 WATER CLOSET, 1 WASH BASIN, 8 1 GAS LINE. REF: B00.01191 ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Cladfier System Connect (Ice,Soda,etc) Dental Units Dishwa5h¢r Drain, Floor Drein, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Inierceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 so.00 $9.80 50.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 46J 5 50.00 50.00 50.00 50.00 50.00 QTY 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) 50.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap tor Demo $0.00 Sewer Connecl $0.00 Sewer Private Line 50.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor � � $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) 50.00 an 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 50.00 $0.00 50.00 50.00 59.80 50.00 50.00 59.80 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: 568.85 QTY 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 NOTICE: The work authorized by ihis permit s '� T quiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if wark is not commenced within 1 BO days, or It work is suspended or abandoned tor a period of 7 BO days. INSPECTIONS: In order for the work authorized under this permit to be cansidered legal, such work must comply with all applicab�e codes, and all required Inspections end flnal approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration ot this permit j FOR INSPECTIONS CALL: (714) 7545626 2d6&4818/00) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalry o� Perjury one ol Ihe following aeclare�ions: ❑ I have entl will maintain 9 �ertl9cata of consent to self-Insura tor workers' compensation, as providea tor by saction 3700 0l the Lebor Cotle, lor the pertortnance ol the ��work for which t�i5 Oermit is IssueU. I have a My wort pensetbn insurence, es requlratl Cy secUon 3700 of ihe Lebor Catle, for ihe pertortnance of t�e work tar whiGi thiy pertnit La Lswed ycertier and polity numEer ere: �J Policy Number.- - pemti! Is velued et one hundred Oollers (Sf 00) w IessJ �—� ❑ I certity that in the perto ance o e work lor ich th permit is issued, I shell not employ any person in any menner so as to becomo sub�ec� lo the workers' compensetion laws ot C �ar� I enC egree t ould �ecome sub�ect to t�e workers' compensatlon provisions of Sectlo 3700 of e Lebor Code, I shall foMwiN comply with thase proN �//{ �� Applicant Slgnetur�-� / {_ _ Date: � - �� WARNINO: FAILURE TO SECURE W�E0.5' COMFEN9ATKtt� CWERAdE IS UMAW FUL AND $HALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIE$ AND pNL FlNES UP TOONE HUNDRED THIXISAND DOLLARE (5/00.0OO�.IN ��OM TO THE COST OF OpAPENSATION, DMNGES AS PROVIOED FOR IN SECTION 3)O60F THE UBOR COOE, INTEREST, AND AT70RNE1"S FEES. LICENSED CONTRALTORS DECLARATION: I hereby ettirtn Ihat.� am Iicgnsetl un er� ro�vis�io,n.s� apter e(commendng wiih Section 7000) of Division 3 0l Ihe Bus�n§�s antl Proles io9% end my Ilcense is in full farce entl aMect!Lk.M �� `'o"�� Cless-a-�r,_ �� / � Cont`acrors s=eture: - ot ate: �- - CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn Ihat Ihere is e constructlon lending apency br �he pedormence of lhe work for which Ihis permit is issuetl. (Soc. 3097, Cihl Coda). LefWets Nemo: LBfWe(s Adtlress: Signature: Date: OWNER-BUILDER DECLARA'�ONS: I hereby ettirm �het under penalry ol per�ury ihet I em EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW to� Ihe lollowing reason (Sec. 7031.5, Business end Professlons Code: Any ciry or counry w�ich requires a Oertnit to consiruct, elter, improve, tlemolish, or repair eny sWcture, prior to its Issuence, also raquires t�e epplicant br suc� pertnit to flle e signed stetement that pe ar she Is Ilcensed pursuent to Ihe proWsions oi the Conirectors License Law (Chepter 9(commencing wlth Sactlon 7000) ot Didsion 3 of Ihe Busineu flnd Professlons Cade) or that he or she is eaempt therelrwn end t�e Desis tor the ellegetl eaamptlon. Any violetion of Sectlon 7031.5 Dy eny applicant tor e permlt subjects the epplicant to e clvll Penelry af not mare ihan live huntlreC tlollars ($500)J: ❑ I, as owner ot the propeny, or my employees wilh wapes as their sole compensation, WILL DO THE WORK, antl the stmcture Is noI intendetl or oflered tor sele (Sec. 704a, Business and Profsssfons Cotle: The Contrectors License Law does not apply to en owner of proporty who builtls or Improves thereon, end who tloes such work hlmseit or herself or through his or her ov.•n employees, pmNded lhet such improvemen(s are not Intended or oflered lor sale. If, however, Ihe building or Improvement is sold within one year oi completion, Ihe owner-builder will have ihe burden of proving that he or she did not build or improve for purpose ol sale.). ❑ I, as owner ot Ihe pmperty. em E%CWSIVELV CONTSiACTING WITH LICENSED CONTRACTORS to construtt the project (Sec. 70G4, Businass and Pmlessions Code: The contrectors LJGense Lew tloes not appty to en owner of property who builds or Improves ihereon, e�d who contracts tor such project wlth a contractoQs) licen5e pur5uent to the C0�«actors License Laws.). ❑ I em exempt under sec. Business entl Professions Code br ihis reason: Signature: Date: Owner ID venlietl by Crivets Iicense. ❑ Ves ❑ No Driver's LicenSe No. Vedficetion ol Ownership by (type oi tlocument, i.e. - properry Isc bill or tleetl): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION: Expires: ❑ I hereby certity thet no exCavetion five (5) or more feet in tlep�h into w�ich e person is required to descend, wlll be mede In connectlon wlih work euthoAzetl by this permil, anG ihat no Duiltlin9 structure, sceMolding, talsewark, or Cemolition or tlismanlling Ihereol, will De more than thirty-six (38) leet high. (Chep. 32, Gry 2, ArI 2, Sec. 347, Title 8, Celltomia AtlfNn�stretive Cotle). ❑ As owneo-bulltler, I will n0� employ enyone to do work which would require e permll irom the Division of IntlusMel SefeN. es notetl ebove. unless such person hes a permit to tlo suU work Irom Ihe division. Signature: Date: Division of Indusirial Sefery Permit Numher. CERTIFlCATE OF COMPLIANCE AND AUTMORQATION OF ENTRV: I certity under penalry of perjury that I have read this appliwtion and stete thal the information given is wrrect. I egree to compty wit� ell stete laws entl ciry ortlinances relating Io builCing wnslruclion, antl authodze representatives ol t�e Clty ot C0.5W Mesa to enter upon the ebove-descnbed properry tor in4pection puryos s. I agree not to acupy ar ellow occupancy of any builtling eulhorized by this permi� unlil linel inspection. i ure OI I ) � �� Date AnNOr uthoriz ,zedApplirant�— - � � `Date � LODE �. INSVECTONME PAIE INN�9L5 1676 Fixetl Sysiem Finel Fira Prevention 1268 200 207 202 203 Pool Spa Final Flnel Re-Raol Flnal Blak/Reteining Well Final Factory Fire Plece Finel Sign 204 Final Demollilon COOE I INSYECTION TY7E 206 Final Mechenical 208 Final Plumbing 210 Pinel Electdcel 212 Flnal Flro P�evemion 220 Final Plenning Approval 222 Finel SitO 250 Finel Builtling/Occupency •. 1 �111. � J� �� Applicant to till in all spaces except those wilhin heavy borGer lines antl sign all apProOriate tlecla�ations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERM 0.�� _ ,,� TRACT NO. LOT NO. UNIT N6. Project Address � 318 �1• T P C 7� il � ApplicanYs Mailing Address]_ ii� �% r''�" == �'- F+��l`= •. C. G. Owner'sName �=^1C"'1 — - Phon�=��'�a Address �R(1 T" r'i�'�-. C,�,._,a �•nc Arch/Eng. License No. Address c � /� Contractor'sNameT�-�-�='- i�l':It:�l"�-+�'=�PAd�e� -'�� 2`' Addresslmailing) =��='- iL'''=''.- LiVuTQ� Cs�'-i'�.�li Ci7.�J'c`- CityLicenseNo. '�06�- LICENSED CONTRACTOR DECIARATION . 1 M1ereby affirm that I am li[ensetl untler pro�isions ot Charter 9(commencing witM1 sectlon 7000) of Oivision 3 of the B ai etf sS� Professions Cotle, antl my license is in full force antl effect. License CIasS - � �cense No.� Oate %' -��_, ' - � n Si9vature r �RKERS'COMPENSATION DECLARATIO �eby af}irm tha[ 1 have a certificate of consent to self-insure o� a certiticate Workers' Compensation Insurance, or a certifietl mpy thereof (Section 3800, Lab. �C.) • • • . Policy No1�='�1'��::1�.� Com anyrvc.GlO:ll�l'ur? P �CertifieC copy is he�eby furnishetl. Gertifietl copy is tiletl with Ihe city BuiitliP9 Division. oate.�T APPlicant D - - � � :"�''i `�•; _r-"'. !- . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl mt be completetl it the permit is for one huntlretl (E300) or less). • I certify that in the perto�mance ot tM1e work Po� wbich this pe�m�t is issuetl, I shall no[ employ any person in any manne! so as to become subject to the Wo�kers' Compensation Laws of Califomia. Date $I9nature �NOTICE: I(, after making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the LAbo� Cotle, you must forthwith rompty witit such provi5ion5 or thi5 permit Shall be deemed revoketl. CONSTRUCTION LENDING AGENCV 1 nereby atfirm thac there is a construction ledtling a9ency for the pertormance of tM1e work for which this permit is issuetl ($ection 30W Civ. CJ Lentler's Name Lentler's Atltlress OWNERBUILDER �ECLARATION I hereby aHirm that I am exempt from the Contractor'S Llcense Law for the tollowin9 reason (Section ]03L5 Business aPtl PrOfessional Cotle: Any city or county which �equires a permit to construct� alter, improve, tlemoli5h or repai� any structure, p�ior to it5 is5uance, also reqUi�es the applicant fOr�such permit to file a si9netl statement [hat he/sne is IicePsetl pursuant to the provisions of 'e Contractor's License Law (Chapter 9(cornmencin9 with $ection,7000) ot ✓ision 3 of the Bu5ine55 antl Profesvons COCe) or that he/she is exempt xetrom antl the basis for the allegetl ezef*�Ption. Any violation of Section iO3L5 by any applicant tor a pe�mit sUbjects tne applicant to a civil �nalty of not more than five nuntlretl tlollars (5500). LJ I, as owner ot the properry or my emPloyees with wages as thei� sole compensation, will tlo the work, antl the structure is not in[entletl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Con[ractor's License Law tloes not apply to an owner of a Property wM10 builtls or improves thereon, ana who Eoes sucM1 work himzelf/Perself o� tbrough his or her own employees, provitletl ihat such improvemen[s are not in[entlatl or offered tor sdl¢. If, boweveY, the builtling o� improvement is soltl within one yea� of com- pletion, the owner �will have the burtlen ot proving he/she altl not builtl or im- prove fo� the purpo5e of sale). ❑ I, as owner of fhe property, am exclusively contracting with licensetl con- tractorsto constructtne project (Section ]044. Business antl Professions Cotle: The ConVactor's License Law tloes not app�Y to an Owner of property wM10 builtls or improves lhereon, antl who contr5c[5 for such projects wifh a mn- Vactor(sl license�pursuant to the Con[ractof's license Law). I am aware tM1at proof of tM1eir Worker's Compensation inSJ�anCe shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Oate — 1 herebv informatic antl state sentatives inspection Signature Drivers' L at tne above y OIdif1dOC¢5 ho�ize �ep�e- property for '_1�_RQ TVPE OF CONSTRUCTION LJ NEW LJ AOD Ll A�TERATION lJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P # DESCRIPTION OF WORK/USE OF BLDG. T:75 �711 [`;;i �21' f�23.`.3i E Main Building: TVPE OF�PERMIT � GRADING FOUNDATION ❑ STRVCTURAL T Front . ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A , PROJECT DESCRIPTION 5c3. F7. oCCuaaNcy C Ri9ht GONSTRUCTION TYPE VALUATION $ g Left 20NE' GRADING CU. VDS. ACRES p�ng. Ref. # aemarks: , Planning Notes: Preventer Irrigation rinking Fountains loor Orains loor Sinks asService � Outlets Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee � $15 Boiler Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FaCt. BIt. IC80 # Heating System & Ducting ❑ 0-100,000 BTU � 100,000 BTi peinspection Fee � $75 CMF 0865-46, rev. ]0/84 White - Bulltling; Canary - Applicant; Pink - Accountlng; Goltlenrotl - AssesSor Showers Service Sink Sewer Cap • Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool wlSpa Urinal Water Closet Water Heater Water Service A uto-W ash Issue Fee Hootlor Typel ❑ Canopy Type I I ❑ Refrigeration System - ❑0-100,000 BTU ❑ 100,000 BT System Repair/Alteretion Fire Dampers Registers Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole So Cooking Unit Dishwasher - Dryers ❑Gas ❑E6 Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator QO-5 KW Zone Accessory Req./Provided ELECTRICAL I Transformer ❑ 15-50 KW ❑ 50+ KW Meter LJup to 100amps Meter ❑over100amps Sub Panel Motors 00-1 HP � 7 Yh - 8 Inc Solar �9-15 HP 016-15+ Microwave Pole Light � I Standing Sections 15 KW Trash Compactor � Reinspection Fee �$15 � I luue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building APProved By Application luued By FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK S � PERMIT PLUMBING $ �,.._y_{L— �SSUANCE � � $ � PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING - $ PLAN CHECK 50% $ MICFiOFILM $ �/�/ MECHANICAL 5 TOTAL FEE $ _�L.�i.L �PLAN CHECK 25% $ _:'l' - :"U?141G • L y . , ' ., . ,e� '.ill>! l�r.: .. CONSTRUCTION AND PLANNING POOL & SPA Date Inspector Date Inspector APPROVALtS!� Permit #_ APPROVALS Permit # „ 1. Temporary�Electrical�Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -� 5. Steel Reinforcement 56. Rough Plumbing & Pressu�e Test 6. Electrical UFER Grrid. 57. APPROVAL TO COVER-G.UNITE � 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundatiort 59. Gas Pipe, O Undrgrnd., T.est 9. Water Pip tJndrgrnd. 60. Backwash Lines, P-Trap, CL��Undrgmd. 10. Structural Floor SYstem 61. APPROVAL TO DECK -- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina#� 12. Sewer Cap - 63. Heater & Vent-Final .•� ' 73. Roof Drains 64. Plumbing SVstem - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPASYSTEMS 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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: ��,'�� B9 LeFs" ��, �,�'.p . 34. Final Heating & qir Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 91�q L�o � . � 39. Water Service-Final 40. Gas Service-Final 41. Solar pomesticFinal , 42. Backflow Preventer ' 43. Backflow Irrigation � 44. Landscape Ir�igation System ' 45. Sound Attenuation 46. Handicap Regulations " 47. FINALSTRUCTURE&BUILDING ' 48. Special Requirements Completed � 49. Electric Release to Edison � 50. Gas Release to Sputhern California Gas Co - 57. CERTIFICATE OF OCCUPANCY � � No. Date , _ , � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 C08iA MEBA. CALIFORNIA For Applicani io Fill In Completely TYPE OR PRINT, BUILDING ____ _ .. _ 1 MAIL COSTA MESA. CALIFORNIA �arlson & Mi Garden Grove � ��t Ktt;tl�tU �+`cl� fNAY 15 1960 FlNANCE dEPT. '� CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING � For Offlce Use Only PBCHIR NO. PEflM�T NO. COSTA MESA. CALIFORNIA ADDRE55 419 E. 1 h st, ZONING CITY COSIiH Mesa ZONB I NO.OF I U8E OP R_1 vur+a rZ euu.nin 59 LeO"` Lot 42 Traci �`�rNo. 167293 Np; � g—ll oeacnirrioN S'ZE 5s � x 46 � I NO.OP BIDGB. �� NOW ON LOT � BLOG. nOne LIN6 PROM • �F BTH¢Ef 49 � REAR YARD � RD I LEFT 5� I RIGHT 7� DESCRIPTION OF WORK 8 ZE DING 1365 sQ�£t�ROOMS " STOF EXTERIOR WALL ROOF COVERING St.11CCO COVERING USE OF BUIL�ING AND WORK TO BE PERFORMED Sin le famil residence and attached aara¢e. 1 YARDS APPROVED ' IC6NT6R LINH 9TJ Plan lOC ' i HHPEOY �CKNOWLCD�B THAT 1 XAVB R6�D i5118 APPlJGT10N {HH AMOUM HXOWN UNDER VALUATION IG POR TX8 wxO 9T�TC TH�T TH6 ABOVE 18 CORHCCT ANO AORE6 TO COM- PUPP08H OP lBTABLIBHINO A PHRMIT pEE ONLY. PLV WITH ALL CITY OHDINANCH6 ANO BTATH UWB R80ULATINO BUILDIN6 CONBTRUCTION. . VALUATION I� SIGNATUR6 OF Dike PY CiOle rove Inc. PERMIT FEE $ 3�`L�� PERMITTE r� �J�///� q( /�/'�,� S 1�{�179�00 PLANCHECK $ lr�� AUTHORIZED AGENT /(/��q"fH//�--- Sl nn