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Home My WebLink About2147 IRIS PL - Building Permits� i � '�•� . . CITY OF COSTA MESA - � B1/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wvw.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER: BC10-00300 PERMIT TYPE: B COMBO Sub Type: RES_ALT JOB ADDRESS: 2147 IRIS PL CM APN: 42615134 Vicinity: KITCHEN Const Type: V-B Zoning: , , SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 07I1512010 ISSUED BY: RMD Suite/Unit: Primary Occ: Valuation: $9,500.00 SCOPE OF WORK: KITCHEN REMODEL. REMOVE PORTION OF INTERIOR WALL BETWEEN KITCHEN AND FAMILY ROOM. NEW ELECTRICAL, NEW CABINETS, 20 LIGHT FIXT, 12 OUTLETS, 4 SWITCHES, 1 DISHWASHER, 1 GAS OUTLET, 1 KITCHEN SINK, 1 APPLIANCE VENT. OWNER: LEVENE, MATTHEW AND MICHELLE Address: 2147 IRIS PLACE Phone: 949-644-7946 City/State2ip: COSTA MESA, CA APPIICANT: LEVENE, MATTHEW Address: 2147 IRIS PLACE Phone: 949-644-7946 City/State/zZip: COSTA MESA, CA CONTRACTOR OWNER-BUILDER Phone: Cell: ARCHf7ECT: STEVENA MCCASLIN ENGINEER: COMBINATION PERMIT FEE SUMMqRY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: � SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: Address: Unit: City/State: License No.C32377 License No. $117.81 $181.25 $63.10 $30.75 $49.25 $0.95 $0.00 $1.00 $444.11 License No. 000000 Unit: Unit: : ZipCode PHONE:916-865-7199 PHONE: HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3N8/2010 - PER CMMr S��. +s. Monday thru Frlday-7:00 am thru 7:00 pm. Saturtlays-9:o0 am ehru 6:0o pm. Prohihited all hours - Suna• . New Years Day, Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav __ ..�mstmas D � g�Q�'.� �y V � NO710E: The work authonzed by this permit shall comply with all applicable handicap access iequirements under California staWtes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply vnlh 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 lhis permil, LOpEf, INSPEC710NTYPE DTTE IN1111RL5 UE� INSPEC710N7YPE �AIE NITRIAlS 1616 Fixed System Pinal Fire Prevention ZO6 Final Mechanical /�J�� //� 1266 Pool Spa Final 208 Final Plumbing l � �yir 200 Final Re-Roo( 210 Final Electrical 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fira Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Oaupancy � �-7 �1 ;� /_ ��(%t .� �• WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty o( perjury one of the (ollovnng tleclarations: ❑ I have and will maintain a certificate of consenl to sel4lnsure for workers' compensation, as provitletl (or by section 3700 of the Labor Code, for the pertormance of the work (or which Nis permit is issued. ❑ I have antl will maintain workers' compensation insu2nce, as requiretl by section 3700 of the Wbor Code, for the perfortnance of the work tor which this pertnil is issued. My workers' compensation Insurance carner and policy number are: Carrier: (�his sec(.vn nee0 no( Oc mmde�� Ihe permrt is valved af one �untlred tlotlars (5100) oi less ) Policy Number: � certi(y that in the peAormance of the work (or which this permit is issued, I sha not employ any person in any manner so as to become subjecl to the vrorke ' compensation I of California, and agree that il I shoultl beco e s j t b the vrork ' compensation provisions of Section 3700 of [he L or� a e, shall fo with comply with �hese provi3jp .� V / �� ii dirau4i�Signature Ce WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby affrm that I am licensetl under provisions of Chapler 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in tull fOrce and eHec[. Lic. # Class # CAnlratlor s Signalure CONSTRUCTION LENDING AGENCY: ❑ I hereby atfum that there is a consWction lending agency !or the perfortnance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: �.`�' �'. -��_.�"`,'�, � Signalure --""' " '"� Ddte OWNER-BUILDER DECLARATIONS: ..T,R: � I hereby affirm [hal Under penally o( perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe f011owirlg reason (SBL. 7031.5, �a�siness and Professions;Code:,Any�ctiry or county which requires a permil to �Stryc4 Iter, improve, demolish; or�€�(falr any strucWre. pnor to its issd`ar�/�so requires"trie appiicant (or suoh �ermit to file a signed statement thal he or sl�'Isylicensed pursuant ro ihe'provisions of lhe Contractors License Law (Chapler 9(commencing withAS�ction 7000) of Division 3 of the Business and Prolessions Code) or ihat�he�or she is exempl there(rom and the basis for the allegetl exemption. Any violation of Section 7031.5 Dy any applic for a permit subjects the appliwN to a civil penalry of not more than five undretl dollars (5500�.): ?, I, as ovmer of ihe pmperry, or my employees with vlages as their sole cbmpensation, WILL DO THE WORK, and Ihe strucWre is not intended or ofleied for sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law does not apply to an owner of propeAy who builds or improves thereon, and who does such work himself or herself or through his or her ovm employees, providetl that such improvements are not intendetl or oftered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder vrill have the burden of proving thal he or she tlitl not build or improve for purpose of sale.�. ❑ I, as owner of ihe property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro consin�ct the project (Sec. 7044, Business and Protessbns Code: The contractas License Law dces not apply to an owner of property who builtls or improves Ihereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am ezempt under sec. Business and Pro( sions Code fo his reason: � -`a"'.".... l ..--"`� ]OS]-a6 (3/Ol) ,�. Owner ID verified by Criver's license. Ves ❑ No • p��v�er..'sr�Lit�nse No. � _� �. E�zpires: Z er� ification of Ovmership by (lype of tlocument, i.e. - property tax ill or deed): DIVISION OF INDUSTRIAL SAFEN PERMI7 CERTIFICATION: ❑ I hereby certdy thal no excavation Me (5) or more feet in depth into which a person is required �o descend, will be made in connectbn with work authorized by Ihis permit, antl that no building struc[ure, scaffdding, falsework, or demolition or dismantling thereof, will be more than Ihirty-six (36) feet high. (Chap. 3.2, Grp 2, AA 2, Sec. 341, Title 8, Califomia Administrative Cotle). ❑ As owner-builtler, I will not employ anyone to do vrork which would require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permit to tlo such work (rom the division. Appl¢anfs SignaWre Division of Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applican[ or present or future building ocwpant need to fle and certiFy a Business Plan (or emergency response to release or threatenetl release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safery Code requires, with some exceptions, Ihat a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity o! hazartlous materials equal to or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or fu[ure builtling occupant need to fle a registration form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Cali(ornia Heallh and Safety Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business v+hich at any one time has on hantl a quantity of acutely hazardous materials equal to or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard �emperaNre and pressure). 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of lhe Califomia Health and Safety Cotle provides lhat the Costa Mesa Fire Departmenl may require the preparalion, certification and filing vnth the Fire Department o( an RMPP by businesses which are required lo register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the California Healih and Safety Code been fully complied vrith? ❑ Yes ❑ No 5. Does or will ihe applicant or presen� or future building ocCupan� reqUire (Of fhB WOrk whiCh i5 the SubjeCl of this applitation a pertnil for such constmclion or modification from the South Coast Air Qualiry Management District or from any other air polWtion control tlistnct or agency? ❑ Ves ❑ No (Sed'an 658502 of the Califomia Govemment Cotle requires Ihat the reque5ted infortnation be fumished on applications for non-residential building pertnits). 6. Will any paA of the faciliry ro be constructed under this permit be within 1000 feet (rom lhe outer bountlaries of a school? ❑ Yes ❑ No Q( yes", the (acility musl meet the requirement o( Sections 25534 antl 42303 ot the Calilomia Health antl Safely Code). 7. 1f a permit fmm the South Coast Air �uality Management District or other air pollution conVol tlisMct or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (I( "yes", atlach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials 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 information given is correcL I agree to comply vnth all state laws antl ciry ordinances rela �ng to building construction, and authorize representa[ives ol the Ciry ( Co a Mesa to ter upon the above-tlescnbed property (or inspection u s. I agree ot to occupy or allow occ pan ot any builtling authoriz b i rmit u final inspection. / h �� 9-� �BN��^�Is) V AnClo� A W honie0 AOOliwni �ale : :Y'""'=++. =— ----�-•--� Costa Mesa City of Costa �V[esa �uiCding I�ivision 77 Fair Drive, Costa Mesa, CA 92626 714-754-5273 / Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit# 1.� �� UU 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 submitted in your name listing�,Xourself as the builder of the property improvements specified at L�`�1�' �S�S i��« � �aS-� 'I�le� , C� q:-62� . We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you 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. Read and initial each statement below to signify you understand or verify this information. }; 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Bw' r" 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 wilifully acting as an Owner-Builder ��i am aware of the limits of my insurance coverage for injuries to workers on my property. �i 2. I understand building permits are not required to be signed by property owners unless they are F �hsib/e for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his name 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. understand if I employ or otherwise engage any persons, other than California licensed Contractors, total value of my construction is at least five hundred dollars ($500), including labor and materials, I may dered an "employer" under state and federal law. 6_I understand if I am considered an "employer" under state and federal law, I must register with the state a federal government, withhold payroll taxes, provide workers' compensation disability insurance, and con ibute to unemployment compensation for each "employee." I also understand my failure to abide by these la s may subject me to serious financial risk. 7 I understand under Califomia Contractors' State License Law, an Owner-Builder who builds single-family r ential'structures cannot legally build them with the intent to offer them for sale, unless all work is pertormed 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 1 of 2 .� , i . . 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable financial or personal injuries sustained by any subsequent owner(s) that result from any latent c uction defects in the workmanship or materials. 9� I understand I may obtain more information regarding my obligations as an "employer" from the Internal ue 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 a ut licensed contractors. 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand ttSa -1=am the R�rty legally and�nancially responsible for p�oy�osed constru�tion activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will � by all applicable laws and requirements that govern Owner-Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the inf 'ation 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 be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarizatior or other verification acceptable to the agency is required to be presenied when the permit is su to verif "the property owner's signature. r--,�_x,.- �� Signat�,property�owner r,Dates � 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: Tel No 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: 3148-30 CA�BO Jan 1, 2009 OB Packet template 2 Of 2 (714) 754•5273 • Fex (714) 754-4856 • wWw.ci.costa-mesa.��.sCTRICAL PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicini�y: Parcel Nunmber: ApplicanC Address: Owner: 2147 IRIS PL LIVING ROOM AND MASTER BEDROOM _, 42615134 I �--� S L� LJ � STEVEN JANOSIK CDL D6923436 Phone: Zip REIFEL, MITCHELL H, Address 21471RIS PLACE COSTA MESA, Cq Yz�`'�� ,.. lu � � Phone: 949-642-0862 Zip: 92627-1805 Contractor: DIAL ONE WINDOW REPLACEMENT SPECIALISTS Address: 1621 ESTANDR�W PL ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�As Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors l0 1hp Motors l0 10hp Motors to 50hp Motors lo t00hp Morors aver 100hp Communication drops Sub panel to 200a Pole Light Pkg Si9n Circuits Temp Pwr Pole Intermed Pole SANTA ANA, CA Phone: 714-259-5120 Zip: 92705 License: 523043 � ISSUED BY: Staws: ISSUED Applied: 12/132006 Issued: 12I13R006 SCOPE OF PERMIT WINDOW CHANGE OUT. REPLACE 1 WINDOW WITH LIKE SIZE. REMOVE 1 WINDOW AND REMOVE WALL TO F�OOR, INSTqLL FRENCH DOORS WITH 2 SIDELIGHT WINDOWS. REROUTE ELEC, INSTALL LIGHT SWITCH AND EX7ERIOR LIGHT. REPAIR STUCCO TO MATCH EXISTING. 523.50 50.00 50.00 50.00 $0.00 $0.00 51.10 50.00 $1.10 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 �uantity 0 0 . 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist Sysiem / Lighting Busway I100 fl _ Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................uP l0 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Vollage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc.Conducror Circus (gen or ride) Circus (mech ride�or lights) : Christmas Tree Stantl' Fireworks Stand Other ElecUical Fee Invesii9alion Fee Plan Check Fee Reinspection Fee $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 518.20 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $43.90 COMMENTS / SPECIAL CONDITIONS Quantiry 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this pBrmit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 180 days, or it work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order tor ihe work authorized undei thls permit fo be considered legal, such work must comply with all applicable codes, and all required Inapectione and final approvel must be obtained. Fallure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 zwo-no �aw� WORKERS'COMPENSATIONDECLARAnON: �� I hereDy eNirm untler penalty ol perJury one of the following decleretlons: ❑ I heve entl wlll melntein e certificete ot consent to self-Insure lor workers' compensetlon, 89 provltletl for hy eeCtlon 3700 at l�e Lebor Cotle, tor t�e peAartnance of ihe �work lor w�lch this pertnit Is issuetl. �e antl will mainteln workers' cwnpensation insurence, az requireA �y section 3700 ot Ne Labor Cotle, for t�e pertormance ol tha woflc for which Nis pertnit is issued. My workers' compensatlon Insurence carrier end policy number ere: q � n /� _Certiar:.. . J� F A �R \ �<� Pdicy Number. _ �i�.l � �C\ (C, �i iIC `�% �aectirn neea nof be comD�eted il the permit is velued af one huntlretl dollars ($f 00) or less.) yr�. ❑ I certiy that in ihe paAormance ol the work for w�ich this pertnit Is issueQ I shall not employ any person in eny manner so es to become subject to the workars' compensatlon laws ol Califomia, and egree tha� if I sho Id become sub�ect to Ihe workers' compensetion provislons ot Section 3700 of Ihe Labor Code, I shell lonhwith complywilhthe5e v+ ions. �ApPiice tn SlpnaWre:_ - � ` rDate?— � I�- � 4� a� ARNI FON NLURE TO SECURE WORKEq ' CO ENSFTION COVERAGE IS UNLhWFUL Ml� $MALL SUBIECT AN EMPCOYER TO CiiIMINAL PENALTIES ANO CML FlNES UP TO IXJE HIAJDREO T/iOUSfWDDOLLARE(5100,000),INAODfil�l THECQSTOFCOMPENS4TIpJ,DAMAGES0.5PROVIDEDFORINSECilON3)080FTHElJ�BORCODE,INTEqEST,MlDATiORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm thei l em licensetl untler provisions of Chepter 9(commencing with Section 7000) of Divislon 3.ol.the.Busine�and Pmfessions Code, end my Ilcense Is in full tace-end�eBeci: cic. a � ' - . �.,�aaa.y. r� ^ i,y� ��.__ ..:.._I m � oF .(`T � n Eontrectoi's'Si neWre: _1 A� i. d�-d � bate: 0� �'f"' —' 1 1F'i �,^-,_ CONSTRUCTION LENDING AGENCV: ❑ I �ereby aHirm ihat there is a consiruction lending egency For ihe peAormance of the work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentlefs Neme: Signature: _ OWNER-BUILDER DECLARATONS: Lender's AOtlress: Oate: I hereby ettirtn Ihet under penalry of perjury Ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counly which reduires a permit ro construct, alter, improve, tlemolis�, or repair eny siructure, pdor to its issuance, also requires the applicant for such permit to file e signetl statemen� that he or she is Ilcensed pursuanl ta tha provislons ol the Conirectars lJcense Law (Chepter 9(commencing with Sectlon 7000) af DlNslon 3 of the Business entl Professlons Coae) or that �e or she is exempt theretrom antl the besis for the alleged exemption. Any violetion o1 Sectlon 7031.5 by any applicant tor e pertnit subjects the eDPlicant to a civil penalry c� not more than live �untlred dollers ($500).): ❑ I, as owner ol Ihe properry, or my employees with weges as ihelr sole compensation, WILL DO THE WORK, entl ihe siructure is not intended or oftere0 for sale (Sec. 7044, Business end Professions Code: The Contrac�ors License Lew does no1 apply [o an owner of properiy who builds or improves �hereon, and who tloes such work himself or herself or Ihrough his or har own employees, providad that such improvements are not Intendetl or oHeretl tor sele. Ii, however, ihe building or Improvement is sold within one year of completion, the owner�builder will havo ihe burdan ot proving that he or she did not builtl or Improve for purpose oi sele.). ❑ I, a5 owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projetl (Sec. 7044, Busine5s and Professlons Cotle: The contrectors License Law tloes not apply to an owner ol property who builas or Improves ihereon, and who contracts for such prolect with a contrector(s) liten5e pur5uan� �o �he Con�ractors License Laws.). ❑ I am exempl under sec. Business and Prolessions Cotle for this reason: Signature: Date: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Veriticetion of Ownership by (rype ot document, i.e. - property tax hill or Aeed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CEfiTIFICATION: ❑ I hereby cehify that no excavation tive (5) or more teet in depth Into which a person is required to descend, will be matle in connection wiN work authorized by ihls permiL antl ihat no builtling structure, scaffoldinp, falsework, or demolition or dismaniling Ihereof, vnll be more than Inirry-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Titla 8, Calilarnia Adminisirative Cade). ❑ As owner-builder, I wlll not employ anyone to do work which would require a permit irom �he Division ot Industriel Sefety, as noted abava, unless such person hes e permit lo do such work irom the division. Signature: Date: Division ot Industnal Salery Permit Number: CERTIFlCATE OF COMPLJANCE ANo AUiHOR¢ATON OF ENfRY: I certiry under penalry of perjury that I have reatl this eppliwtion and state that the information given is wrrecL I egree to comply with all state laws end city ordinences relating to builtling construction, and euthonze representatives ol the Ciry ot Costa Mesa to enter upon ihe ebove-describad property tor Inspecilon purposes. I egree not to occupy or allow occopancy of any building auMorizad by ihis permri untii final inspaction. Si e Ot Le wneqs) �/ � _ ��N, r� L �t iorize •Ap Ilcant=—",�_ a CODE t• INSVECTIONTYPE V QA7E 1I�19L5 1616 FIxeA System Final Fire Prevention 1266 Pool Spe Final 200 Final RB-Root 201 FIneI8locWReteinin9 Wall 202 Final Fadory Fire Place 203 Final Sign 204 Final Demolilion � � COOE 1 INSVECTION TYPE 206 Finel Mechanical 20B Finel Plum�ing 210 Finel Elecincal 212 Flnal Fire Preventlon 220 Final Planning Appraval 222 Final Site 250 FinalBuilding/Occupancy �IY'•�U_Y� �/, Dlate �E �� i RealQuest.com � - Report Tax Information: Total Value: $547,828 Land Value: 5429,613 Improvement Value: 5118,215 Total Taxable Value: $540,828 Assessed Year: 2009 Improved %: 22% Tax Year: 2009 Property Tax: $6,163.40 Tax Area: 15044 Tax Exemption: Page 2 of 2 http://pro.realquestcom/jsp/report.jsp?&client=&action=ca�6rm&type=getreport&record... 07/09/20 ] 0 JobAddress�. 2147 IRIS PL .�1 StaWs: ISSUED Suite: ! �i Y.� Applied: 12/13/2006 Vicinity: LIVING ROOM AND MASTER BEDROOM �'�[ Y�.�� Issued: 1 2/1 312 0 0 6 Primary Occ: R3 Dwellings/ Cong Res <10 Type oi Conslruction' ��!�Ly---'�� ParcelNumber: 42615134 Zoning: Y� �- Applicant: STEVEN JANOSIK �.� O,A� ' ^ Address: CDL D6923436 �1 �.� �y � Phone: 714.3492182� �`�SSUED BV� Zip: � � �` Owner: REIFEL, MITCHELL H Address 21471RIS PLACE , . Phone: �949-642-0862 COSTA MESA, CA Zip: 92627-1805 Contractoc DIAL ONE WINDOW REPLACEMENT SPECIALISTS Address: 1621 E ST ANDREW PL SANTA ANA, CA Zip: 92705 Arch : Address: Phone: Phone: 714-259-5120 License: 523043 Eng: Address: � � Phone: Zip: License: License: SCOPE OF PERMIT WINDOW CHANGE OUT. REPLACE 1 WINDOW WITH IIKE SIZE. REMOVE 1 WINDOW AND REMOVE WALL TO FLOOR. INSTALL FRENCH DOORS WITH 2 SIDELIGHT WINDOWS. REROUTE ELEC, INSTALL LIGHT SWITCH AND EXTERIOR LIGHT. REPAIR STUCCO TO MATCH EXISTING. , NOTE: BEDROOM WINDOWS MUST MEET EGRESS REQUIREMENTS. � FEE SUMMARY Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Calc Valuation: 53,zoo.00 Claim Valuation: Ss,zoo.00 Total: $97.75 PLANNING & ZONING SETBACKS _. MAINSTRUCTURE Fronl 0-0 Rear 0-0 Lek 0-0 Right 0-0 , ACCESSORY Front 0- 0 Rear 0- 0 . Lek 0- 0 Right 0• 0� ' PARKING , Existinq: 0 Reauired: 0� Pr000sed: 0 � � ', NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 1 BO 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 Inapectione and final epproval must 6e obtained. Failure to obtain inspections and final approval will resuli in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (8�00) WOHKERS' COMPENSATON DECLARATION: � I heraby efflrm under penelty ot per�ury one of the tollowlnp declaratlons: ❑ I heve entl will maintain e certificate oi consent to sell-Insure tor workers' crompensetlon, es Drovided tor 6y aection 3700 oi the Lebor Code, for the peAormence of the work for whiCh this partnil Is issueG. �tiave a�W will maintain workers' compensetion insurance, as reduiretl by section 3700 of tha Lebor Code, for the paRo�mance ol che work lor which Nis pertnit is issue0. My workers' compensation Insurence certier and policy number era: �� Q� Q�O � ceMe�� - ,�C A�R, C<c-�'r yu�v'c�c__ QAis%ectlon need not be comp/eted il fhe permif is velued et one hunOred dollers ($100) oNesS.J ❑ I certify that in the peAormence af che work for which this pertnit is iuued, I shall not emplay eny person in any manner so es to becoma subject to Ihe workers' compensatian la s of Califomia, end egree that If I sho become sublect to t�e workers' compensatlan proNsions ol Section 3700 ot Ihe Labor Catle, I shall forthwith tromplywithth e vi5ion5. � / ApplicantSigneture " ! �.Dete:._ �,�i — � 4� a J� W, �aarnrJG:.EAILURET SECURE WOW RS' OMPENSATIIXJ COVERAGE IS UNL4WFUL AND SNNLL SUBJECf AN EMROYENTO'CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED hKK1SM�DOLLARE(St00,000�,INAD TOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECfIIXJ3'1O80FTHELABORCODE,IMEREST,ANDATTORNEY5FEE5. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed undar pmvi�sions of Chapter 9(commencing wit� Section 7000) ol Divislon CONSTAUC710N LENDING AGENCV: Professions Cotla, end my license is in full ❑ I hereby aHirtn Ihat Ihere is a construction lending egenty lor Ihe peAortnance ot t�e work tor which this permit is issued. (Sac. 3097, Civil Cotle). Lenders Neme: Lendefs Address: Signatura: OWNER•BUILDER DECLARATIONS: Da�e: I hereby eMirm Ihat under penalry of perjury Ihei 1 em E%EMPT FROM THE CON7RAC70RS LICENSE LAW for the following raason (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires e permit lo construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the epplicant tor such pertnit to file e signed statement Ihet �e or she Is Ilcensed Dursuant to the pmvisions ot t�e Contractors License Lew (CheO�er 9(commencing with Sealan 7000) of Didsion 3 of the Business antl Pmfessions Code) or that he or she is e:empt therefrom and the basis br the alleged exemption. Any violetion of Sactian 7031.5 by any applicant tor a pertnit subjects ihe epplicant to e civil penalry ci not more ihan five huntlretl dollars ($500).): ❑ I, as owner of the properry, or my employees wlth weges as iheir sole compensation, WILL DO THE WORK, antl the structure is not intended or olferetl far ule (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does not aOPly to an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his a her own employees, pmvidetl t�at suc� improvemems are not intentled or oflered br sele. II, however, the building or improvement is sold within one year ol completion, the owner-builder will have the burtlen of proving thal he or she tlid not 6uild or improve tor purpase of sale.). ❑ I, as owner ot Ihe O�oDerry, am EXCLUSIVELY CONTRACTING WITH LICENSEO CONTRACTORS to construct Ihe pro�ect (Sec. 7044, Business and Professions Code: The contractore License Lew Coes not apply to en owner ot pwperty who builtls or impmvas thereon, entl who contracts tor such project with a contractor(s) license pur5uan� to �he Con�raC�orSliCBnSe L9w5.). ❑ I am exempt under sec. Business end Prolessions Cotle for Ihis reason: Signature: Oate: Owner ID verllietl by tlriver's license. ❑ Ves ❑ No Dnver's Ucensa No. E:pires: Venfication ol Ownership by (rype of documem, i.e. - praperty tex bill ar tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no ezcavation flve (5) or more feet in depth Into which a person Is required to descentl, wlll be mede in connection with work authonzed by this permit, antl that no building strucWre, scattoltling, lelsework, or tlemoli�ion or dismantling ihereof, will be more than thirty-six (36) teet higR (Chap. 32, Gry 2, An 2, Sec. 341, Ttle B, Califomla Adminisirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permit from the Division of Indusirial Safety, es notetl ebove, unless such person has e permit to do such work trom ihe division. Signature: Date: Division of Intlustrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I ceni(y under penalry of perjury that I have read this appliwtion and state that the information given is correci. I agree �o compty with ell slete laws end ciry ordinances relatlng to building conswction, and authorize representatives of the Ciry of Cosia Mesa to enter upon Ihe ebove-descnbetl property tor inspet�ion Durposes. I agree not to occuOY a� ellow accupancy at any building authorized by this pertnit until final inspec�ion. CODE t, ixsvecnonTrve — pAiE 1616 Fixad System Final Fire Preventlon 7266 200 201 Pool Spe Finel Finel Ra-Roof Flnel BIocWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition COUEI INSPECTONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Finel Electrical 272 Finel Fire Preventlon 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupency uziE L�,4 JobAddress: 2147 IRIS PL Suite: Vicinity: FRONT SFD Primary Occ: R-3 Dwellings/ Cong Res �10 Parcel Number: 42615134 Applican�: PEARSON, JASON Address: Type of Construclion: V-N Zoning: Phone: 714-931-7601 , , , Zip: Owner: REIFEL, MITCHELL-H,- ' � � Address 2147 IRIS PLAC6�'.-� � � � ;, . ,,,� . --� Phane: � , . COSTA MESA; CA - � � Zip_ 92627-1805 � /,,,,.. , � _ � . . - Contrector.'. RICK HAMM�CONSTRUCTION; �INC - � , � Address: , �201 W. CARLETON AVENUE ' � " Phone: 714 532-0815 � - � ORANGE,CA' ' ' Zip: 92867.'.=� � License: 495184 'Arch : � _ � Eng: Address: � � • Address: . ISSUED BY: - . Phone: ' ' ' ,Zip: _ . . �/ , ; . .� .License: ' ' � - � � /_ '- _ '- � � ` � SCOPE OF PERMIT REMOVE EXISTING SIDING AND REPLACE WITH STUCCO ON THE FRONT OF AN EXISTING 2-STORY SFD. � FEE SUMMARY Plan Check; $0.00 - � ; . Calc Valuation: Permit: �13925 ' - - - � � Claim Valuation SMIP Res: $0.70 : SMIP Com: $0.00 Ofher. $0.00 Inspection: $0.00 , _ - -._ " ' " � Total: '� ` � $139.95 !� � � � PLANNING 8 ZONING SETBACKS . •�`2 : MAIN STRUCTURE Front \�0- 0 Rear �0-'0 `� � Lek -.0= 0.- Right 0- 0 � �. �. i ��i . .. - � _ - � ACCESSORY " Front �0=0,' _'�-+'- 'Rear 0-0 � Left 0-0 , -Right � 0-0 - - / �.:_.. . PARKING .� � Existina ;� 0��,�Required: � 0- , �� Pr000sed: 0 � � �. :�� „ .�� . i . _ . - � . , - ` - � �� - ' - Status: ISSUED Applied: Ot/24/2007 Issued: Ot/24/2007 Phone: License: $�,000.00 s�,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-20, § 7, 72-21-92) EXPIRATION: This permit shall automatically ezpire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 tlays. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ms-as �sroo� WORKERS' COMPENSNTION DECLARATION: I hereby aHirm under psnairy of perjury one of the tollowinq declarations: ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, as provided br by section 3700 of the Labor Code, tor the performance of the �work tor which thi5 permit is issuetl. � I �ave and will meintain woBers' crompensalion insurance, as required by section 3700 of ihe Labor Code, for the pedortnance of the work tor which this permit is issuetl. My workers' compensatlon Insurance carner and policy number are: Cerrier �YVG�G. �nS1/fc�ti[C- (^ Xi�qNw-L PolicyNumber�-1AM� ��S 3 (7his section neetl not De completed it the permit is valued et one untlretl tlollars ( 00) or less.) .. ❑ I certify Ihat in t�e F compensation laWs _ comply with these F 'Applicant Signature: � WARNING FAILURE TO 9 THOUSAND DOLLARE ($ C�, of the w'� for which this pertnit is issueq I shall not employ any person in any manner so as to become subject to the workers' , end r e Ihat if I should become subject to the workere' compensation provisions of Section 3700 of the Labor Cotle, I shall forihwith - Date:� � "��'"'D / 95' MPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CPIMINAL PENAlTIES rWO pViL FlNES UP TOONE HUNDRED I TOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABOFCA�E,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am lice sed under provisions of Chap�er 9(commencing with Section 7000) of Division 3 of tha Business and Pmfessions Code, and my license is in full lorce and eMect. Lic. a� �j..,s 1 fi LI Class N �^�-. Contrectors Signature: _7 .f.H— Date: 1-� ti - U� CONSTRUCTION li � I here6y affirm Landels Neme: Signature: ING AGENCY: there is a consfmction lending agency tor the pedormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Adtlress: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirm thet undbr penalty of perjury ihat I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl ProFessions Code: Any ciry or counry which requires a permit to constmcL alter, improve, tlemolish, or repair any simcture, prior to its issuance, also requires ihe applicant for such pertnit to fiYe a signetl statement ihat ha or she is licensatl pursuant to the provisions N tha Coniractors Licensa Law (C�apter 9(commencing with Saclion 7000) oi Division 3 oi lhe Business and Protessions Code) or tha� he or she is ecempt therefrom and ihe besis br the alleged ezemptlon. Any violation of Section 7031.5 by any applicant for a permit subjects tha epplicant td a civil penalry ot not more than five huntlred tlollars ($500).): ❑ I, es owner of ihe property, or my employees with weges as their sole compensation, WILL DO THE WORK, and ihe siructure is not imanded or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herseN or through his or her own employees, providetl �hat such improvements are not imentled or oflered for sale. If, however, ihe building or improvemem is sold within one yea� of completioq the ownar-builder will hava the Durden of proving ihat he or she did not build or improve for purpose of sala.). ❑ I, as owner ot the p�operty, em E%CIUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe D�oject (Sec. 704a, Business and Professions Code: The coniraG�ors License Law tloes not apply ro an owner ot property who builds or improves thereon, antl who coniracts for such project with a contracto�(s) license pursuant m Ihe Coniradors License Lews.). ❑ I am ezempt under sec. Business and Profassions Code for �his reason: Signature: Date: Owner ID verified by dnvers license. ❑ Yes ❑ No Driver's Licensa No. Ezpires: Venfication oi Ownership by (type of document, i.e. - property tau bill or tleed): DIVISION OF INDUSTFIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby cenify tha� no ezcavetion tive (5) or more teet in depih into which a pereon is required ro tlescend, will be mede in conneaion with work amhonzed by fhis permit, and that no building siructure, scaHolding, felsework, or demolition or dismamling ihereof, will be more ihan Ihirty-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ti�le B, Cali}omia Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would reQuire a permit from ihe Division of Industrial Safety, as noled above, unless such person has a permit to do such work from the division. Signature: Date: Division ot Indusirial Safety Permit Number: CERTiFlCATE OF COMPLIANCE AND AIJfHORIZATION OF ENTAV: I cenity under penalry ol perjury ihat 1 have read ihis application and state �hat ihe information given is wrrect. I agree to comply with all state laws and ciry ordinances ralating to building construction, and authorize representatives of ihe City of Costa Mesa to enter upon ihe ebove-descnbed propetly for inspedion puryoses. I agree not to occupy or allow ocwpancy of any 6uilding authodzed by this permit until final inspection. COOE �, n v 1616 Fiaed Sy em Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Rool 201 Final BIocWRetaining Wal� 202 Final Factory Fire Plece 203 Final Sign 204 Final Demolition u�re INTITIALS Date ( -a- �l- 07 Date COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval . 222 Final Si�e 250 FinalBuiltling/Occupancy j1�LTE NTL RIRLS ' - 0? CITY OF COSTA MESA � BUILDING DIVISION � > _ � � DEVELOPMENT SERVICES DEPARTMENT �• PERMIT PERMIT NUMBER �� 898-01777 ✓ (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2147 IRIS PL Suite: Vicinity: Parcel Nunmber: 42615134 Applicant: CRANK, RICHARD Address: BUILDING PERMIT Zoning: Phone: Zip: owner: RITfEY, PETER E Address RITTEY, LOUANNE COSTA MESA,CA Phone: 2147 IRIS PL 2ip: 92627 Contractor: CRANK BROTHERS ROOFING CO Address: 00726 COMMERCIAL WY Phone: 949-548-5569 COSTA MESA CA Zip: - 92627 License: � .408677 Arch I Eng : . � .. - Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: Phone: Zip: License: SCOPE OF PERMIT TIO EXISTING ADN REROOF WITH COMP. SHINGLE, ROOF CERT ATTACHED TO PERMIT. $0.00 $99.75 $0.50 $o.00 $0.00 $0.00 $100.25 SETBACKS MAINSTRUCTURE FrOnt 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0. 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 Status: ISSUED D' q Applied: 10l01/1998 f-'�' Issued: 10I01/1998 $4,651.00 sa,s5i.00 EXPIRA710N: This permlt shall automaticaly expire and become void it work is not commenced within 180 days, or if work is suspended or ebandoned tor a period ol 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with eil applicable codes, and all requlred inapeetiona and flnel epproval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration ot this pertnit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION �ECLARAT� — / ,� I hereby etfirtn under penelry ot perjury one of the tollovnng declarations: ❑ I heve antl wlll meinlain e certiticate ot consent to self-Insure for workers' compensetion, es provided lor by section 3700 ot the Lebor Code, for the pertortnence oi the work for which ihis permit is issuetl. ❑ I have enC vnll maintain woMers' compensatian insurence, as reQuired by section 3700 0l the Labor Code, tor Ihe peAortnance of the work tor which Ihis permit Is issuetl. My workers' campenution Insurence cartier entl policy number are: Carrier. Polity NumDer. (Thls section nsed nat be comp/efed i! the permi!!s velued et one �untlred tlollars (5100) or /ess.) ❑ I certity Ihat In Ihe pertormance of tha work tor which Ihis pertnit is issued, I shell not employ eny pereon In any manner so es to become sub�ect to Iha workers' campensation laws of Celifomia antl agree at II I should become subject to the workers' compensatlon proNsions oi Section 3700 ot t�e Labor Cotla, I shall forthwith wmpy wlih these pr /�d �7 . / Applicem Signature: �� `-G'� f ��` Dete: � �� ' 9�i' WMNINO: FAILURE TO SECURE WORKERS' COMPENSATION NVEMOE IS UNUWFUL AND SHALL SUBJECi Ml EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDRED TIIOUSAN� OOLURE (E100,000), IN ADOfiION TO THE COST OF 001AFENSATION, DAhNGES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOR ODOE, INrEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hareby eHlrm Ihet I em Ilcensed under provisions ol Chepter 9(commendng with Section 7000) ol Divislon 3 of ihe Business entl Professions Code, entl my Ilcense is In tull torce end eflect. Lic. a Cless q conc�ec�orssia�aw�e: . oa�e: — /r- i CONS7RUCTION LENDING AGENCY: ❑ I hereby eMirm thet there is a construcuon lending epency tor the peAortnance of t�e work for which this Oermit is issuetl. (Saa 3097, Civil Cotle). LentlOfs Neme: Lentlers AtlGre55: ' Signature: _ OWNER-BUILDER DECLARATIONS: Date: I hereby eHirtn Ihet untler penalry of perjury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7037.5, Buslness entl Professions Cotle: Any ciry or counry which requires a pertnit b con5iruct, elter, Improve, tlemolish, or repeir eny structure, pdor to its luuance, elso requlres Ihe eppllcant lor such pertnit to file e slgneC statement Ihet he or she is licensetl pureuent to the provisions ot Ihe Cantrectore License Lew (Chepter 9(commencing with Sectlon 7000) of DiNsian 3 of Ihe Business and Prolessions Code) or Ihat �e or she Is exempt therefrom end ihe basis tor the allegetl exemption. Any violation of Sectian 7031.5 by eny eppliwnt tor e pertnit sub�ects the epplicant to e civil panalry of not more Nen five huntlreC tlollers �$500).): ❑ I, as owne� of the pmperty, or my employees with wages as their sole compense�ion, WILL DO 7HE WORK, and the structure is not Imantletl or oflered lor sale (Sec. 7044, Business end Professions Code: Tha Conirectors LJcense Law does not eppty to an owner ol properry who builtls or improves thereon, antl who tloes such wark himsetl or hereelf or through his or her own employees, proWtleC that such improvements are not Inlentled or oltered for sale. If, �owever, the bullGing or improvement Is sold vnihin one year of completion, the owner-builder wlll �ave the burden ol proving thet he or she AiC not build or impmve for purpose of sale.). ❑ I, as owner oi the propery, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha pmject (Sec. 7040, Business enC Professions Code: The contractors license Law tloes not appty ro en owner ot pmperty who builds or Improves Ihereon, end who wntracls for such project wit� a coniractor(s) license pursuant to the Contradors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID veriiled by drivers license. ❑ Ves ❑ No Drivefs License No. Vedfication of OwnersNp by (rype of document, i.e. - property tau bill or tleetl): DIVISION OF INDUS7HIAL SAFE7Y PERMR CERTIFICATION: Fxpires: ❑ I hereby cenify that no ezcavation Ilve (5) or more leet In depth into which e person Is requlred to descenQ will ba made in connecllon with wark euthodzed by this permlt, end that no builtling structure, scattoldinp, lalsework, or demolition or tlismemlinp thereoi, will be more then tniM-six (36) feet hiph. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title e, Cellfomia Atlministrative Cotle). ❑ As owner-bullder, I will not employ anyone to tlo work whlch would require a pertnit iram the Dlvlsion ot lndusirial Sefery, es note0 ebove, unless such person �es a parmil to tlo such work Irom the division. Signeture: Date: Divlslon of IndusMel Sefery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMFiY: 1 certify under penalty ot perjury Nei I heve reed this applicaUon flnd slate ihat ihe inlortnatlon given is Correq. I egrea to comply wiih all slate laws end dry ordlnances relatlng to 6uiltlinq conslruction, antl eulhodze represeNatives of Ihe Ciry of Coste Mesa to enter upon the ebove-descnbeC praperry tor inspection purposes. I epree not lo occupy or allow occuDancy ol eny bulltling authoAzed by this parmit until final inspecllon. �� Signatu egfllOwner(s) / � _ / Datc� ✓ / AnNOr AuthodzeU Applicent Deta y{jpE_/, INSPECTIONTYPE 1816 Fixed System Flnal Fire PreventlOn 1286 Pool Spe Finel 200 Flnel Re-Roof 201 Final Blak/Retelning Well 202 Finel Fectory Fire Plece 203 204 2N8J8 Finel Sipn Finel Demolitlon OAiF It{�6L5 i � � - ��s�i i�a� iQpF1 INSPECTONTYPE 206 Finel Mechenicel 208 Finel Plumbinp 210 Finel Electrlcel 212 Finel Fire Prevenfion 220 Fnel Planninp Apprwel 222 Flnel Site 250 Fnal Builtlinp/Occupancy �g �{a CI1 � OF COSTA MESA GALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/ BUILDING SAFET V DI V ISION Novanber 29, 19.82 Ms. Lynne E. Prindle , 9842 Vexde Mar Huntinqkon Beach, CA 92646 Re: C�wliance Insoer.ti,on #71.df1?/!_MR� "�?? 21A7 Iris Place, Costa Mesa, CA Dear Ms. Prindle: At your request oo�liance inspection was made at the above referenced address and the follaaing cornections will be necessary to bring the structure to code: STRUCTf7itAL: Inspector - Dave Schuyler 1) Room addition added without permits. 2) Patio cover added without permits. 3) GUardrail/handiail altered; not to code. FrFr-rnr�ps,; Inspector - Bcb Cochran 1) Ftoari addition wiring not in oo�liance with �de. 2) Jacuzzi installation not in conforn��ce. Ite� to be oorrected after structural confornance. 3) Electrical plans not sulinitted, permits were not obtained. PL[A�IBING: Inspector - George Echniston 1) Ear sink, no uraste or vent, not connected to sewer. 2) 5ink outside of kitchen not to code, illegal waste and no vent. 3) P.V.C. pipe used for potable water s�ply inside of building. Not to oode. 4) Gas pipe illegally installed wider the house slab. 5) Waste from Usr sink & spa back�rash drain to outside surface area. 6) Pllunbing permits not obtained. Sincerely, Davi Schuyler Bob Cochran George ston Structural Inspector Electrical Inspzctcr Plwnbiny Inspector 77 FAIR DRIVE (774) 7545273 L6/BC%GE: Ilil] ADVlicant to flll in all spaeas azeept t�ose wlt�in �eavY �ortlar Ilnm anG sign all aoorooriate eeclaratlons. CITY OF COSTA MESA' ' ' � CONSTRUCTION PERMIT •' � Applicsnt's Mailin Address i . Project Addresr � '.E R � hOnFL�/ Owner's Neme � ' Address' ��s '�' � Arch/Eng. . License No. - Address . Contractor's Nam � 0 � � hone - Address (meiling) , License No. ' LICENSED CONTRACTOR DECLARAT��N � I hereby, ai(Irm Ihat I am Iicensetl under provislons oi Charter 9�(commencing with section 7000) 07 Divislon 3 ot the Business anG Grofessions Cotle, antl my Ilcense is in fulllorce antl afiect. . , ILlcenu Clasz - LI<ense No.' � Data Si9natura �RKERS'COMVENSATION DECLAQATION veby affirm that I have a certlflra[e o( consent to self-insura or a terGticate .'Workers' Compansatlon InsurSnce,�or a <erUfietl copy [�ereof (Sactlon � 3800, LaG. CJ �. Policy No. Company ' 8Certiilatl�copy Is hereby furnlshea. CerHtietl <o0Y I5 flled witn the tlty Builaing Dlvision. . Data Applicant . . EXEMVTION FROM WORKERS' COM7ENSATION DECLARATION ,(This section neeE not be completetl ii tha permit I5 tor ona huntlretl (5300) or less): . I certify that In the parTormanca of tt+e work tor whl<h thls perm�t is issuea I �. shall not employ any person In any manner so�az to Dacome suDje<Cto t�e Workers' Compansatlon,Laws ot California. . Date Signa[ure NOTICE: If, after making this tleclarat�on, you 5hou1C bacoma sub7ect to the Workers' Compansatlon O�ovislons o1 the labor, Cotle, you must (orthwilh ' � comply with• such .D�ovlStons or th+s �permit ihall be deemetl revoketl. CONSTRVCTION'LENDING AGEN��' � I hereby afTirm that t�ere is a construd�on IenOing agency br tha parformance of Ihe 'work tor which lhis perrt�� Is �issuetl (Sactlon 3097 Civ. C.) ' LenAer's Name ' Lentler's AGEress � OWNER BUILDER OECLARATION . - ' I hereby afilrm-that I am exertipt from �he Contraclor's License Ldw for the following reason (Sactlon 7031:5 BuSl�ezs antl Profeszlonal Cotle: Any city or countv whit� reaulres a oermlt to construct, alter, ImO�ove. Oemoliz� or repair rom anA the Dasls for the alleg0a exemption. Any violaUon of'S[ $ by -any applicant 1or a• permit 5ub�ects the applican[ to a y o! not more than five nuntlrea aollars (S500J. � - as,owner of tne property or r�Y amployaes witb wages�as thei InsatlOn. wlll tlo the wOrk, antl', the strutture IS nol IntenEoa o� 01 anSB Ldw aoes mt appry [o an owne. o. a proparty wno ouuas or improves �eon,�antl who tloeYSuch wo�k nimseit�nerseu o� through �Is o� he� own >loy ees, provitlad tbat such improvements are�not Intentloa or offered for . II, howeve�, the DUIIUIng o� Imp�o�ement is Soltl wlt�ln one year of com- Jon, the ownor.wlll hava tha bura0� of proving he/she CIG not bu110 or im- vefort�e purpase of sale). � . ' I, ds owner of the p�o0e�ty, am e%�luslvely con[raGiing'with Iican58tl Con- :torzto cons[ruct tha projec[.(SGC[IP� 7044�$I151f1855 d�G Pf010551005 COtlO: �. Contractor's �icanse Law doez qot appry to an owner of property who , 'tls o� ImOroves Inereon. and wh0 �Ontract5 for Such prO�ects with a con- tor(s) Ilcensa pursuant to the Cont/actor's License Law). ' � , I_am axempt unaer Section , , B. & P. C. for this reason TVPE OF CONSTRUCT�Oy� LJ � ❑ CONVERSION �`BEMOLIS .DESCRIPTION OF WORK —sL TYPE OF PEpM1T GRADING ❑ TENANT ❑ ELECTRICAL ❑ OTHER PRQIECT DESCRIPTION 5�. F7._ ADD LJ ALTERATION JFOUNDATION U STRVCTURAL PLVMBING ❑ MECHANICAL � CONSTRUCTION TVPE VALUATION $ ZON� GRADING CU. VOS. A< Hemarks: ' ' G% AA'Q �' �7 � ' /"C c� L Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Jrinking Pountains =1oor Dtains =1oor Sinks � uai SErvice ' Interceprors Kitchen Sink. Lavatories ' P—Trap Roof Dreins � Showers � , ' Servica Sink ' SewerCap Sewer Connection Solar Collectors � Solar Piping � Solar Tank � Swimming Pool wlSpa Urinal ' Wet¢r Cioset � � i Water Heater, Outlets Water Service � Boiler � , Duct - Under Ground Dutt-Structural � ' Duct-Ventilating ' i, � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Date Owner Heating'System & Dutting � I hereby�cerilfy� that I have-reatl [his application antl-sta[e ttiat the abova ❑0-100,OOO�BTU �100,000 I Information is correct. 1 aqree to comP�Y w�th all tlry. antl county ortlinances ' : . ana:state laws relating to buiitlin9 co�structlon, antl �ereby autnorize repre- Hood oi TypE I ❑' ' sentatives ot�this'Nty to enter{upOn the above-mentionetl pro rty for ' In50ectlon ourOoseL � �ano � -T ¢ II ❑� Siynaturo ! Date � , � �� DAvers' License or55 � Registers , CMF 0865-46 rav. 12/82 Wnite - Buiitling: Canary - Appli<ant; Pink - Accounting; GoltlenroG - Assessor Feinspection Fee laue Fee ❑0.100,OOOBTU ❑100,OOOBTU System Repair/Alteration � Reinspection Fee; ' • laue Fee , ZONING A. P. 9W ' 20 PLNG. REF. qW � TOBUILDING. • ' RE PROPERTV LINE �LEFTSIDE VARO RII PKG.SPACE'REQ. � � , STREET WIDTH ' ' . ' SPECIAL GONDITIONS: � ELI Automatic Washer ' � Conitruction Pole Cooking Unit , Dish�vdsher ' Dryers �Gas ❑Electric Fan ' F.A.U. ' Fixtures � i Device 8oxes . . , uaroage uisposai � � - Generetor �0-5 KW 05-15 KW Transformer 015�50KW ' ❑5U+KW $15' Meter ❑up to 100 ampi � S 3 Zoning Approved By ApPlicetion ApProved By � Applimtion laued By � T SIOE VARD PROVIDED PARK FEE $ amps Sub Panel Sub Pole Motors OO-1 HP ❑ InaSqlar ��9-15 HP Microwave • Pole�Light Range . �� - � � � 1983 � ✓ Ta MESA .. ,.—�rr...n� 1'hb ' � 164 5+ Tresh Compactor � ; � �Heinspeetion Fee $75 Issue Fea. 'S 3 Deta ^ate natB �� SUMMARV OF FEES � " • BUILDING PERMIT $, � ; S�� SMIP � , ' $ . '� � ' PLAN CHECK� $ �/ 3 PERMIT � ' , � . :' �PLUMBING � $� � � ISSUANCE , : $ ' ' . 'PLAN CHECK' $ � . GRADING � � $ � � !ELECTRICAL $ � � ' � ' • � $ � ' PLAN CHECK , $, � MICROFILM � $ � �.MECHANICAI , $ � TOTAL,FEE� � $ • �.515 pLAN CHECK, � $ � ADVANCED.PC + $ � p � .,� �$ 3 . . . , ' , FINAL FEE ` 1 $ ;['� / . --- - - - - - - - - ' CONSTRUCTION AND PLANNING, ' . �' - � . � :' - POC�� •'��iPA � • _-, ? - _ �� ; � , o �-(�Fjg � Date � � �Inspector �� " � � ' Date � Inspector _ '.APPROVALS � Permit# � -- APPROVALS �Permit�# rW - 7•. Temporary Electrical Service or�Pole � � ; - - ;52:. Pool &.Equipment, Location ' � � 2. Soil Pipe-Und �grnd. _ '. _ � . � 53. Steel Reinforcerrient " � _ _ �� 3. Electcical Conduit Utiliiv-Undrgmd. - 54:. Forms � � . � � - . 4: Elec[rical Conduit-Undrgrnd; ` ' � - , 55.. Electrical Bonding � � ' -, � � - 5. Steel Reinforcement ;, ' - - � - � 56. Rough P.lumbing & Pressure Test - - ' 6: Electiical UFER Grnd. '• . - 57. APPROVAL TO COVER-GUNITE . . � • 7. Footings ' � - - - •�+ �58. Electri,cal Cqriduit-Undromd.' • ' , . 8. Foundation �� _ �!59. Gas Pipe, � Undrgrnd., Test _ � - � 9. Water Pipe-Undrgmd. � � _ 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System � � � � 61. APPROVAL TO DECK ' - � ._ 11. Property Sewer Line'& House Conneaion � � 62. Backwash &�Receptor-Final - 12. Sewer Cap ; � 63. Heater & Vent-Final � - - � 13. Roof Drains ' � � o � 'g4, Plumbing,System-�Final' � _ , • 14. Rough Plumbing � ' � - 65. Electrical-Final - � � - � 15. Rough Electrical-Conduit-• , . � - � i" "' 66.-,Solar System-Final , � -�' � • " 1.6:R�Rough Elect�ic Wiring . � . ' 1- _ - � 67.' Fenciny & Access Approval � ''- � - �-� - - 17. Rough Wiring�Sign � � ' , • � , _ � 68.� APPROVED FOR PLASTERING � � - 18. �Rough Electrical_T Bar Ceiling -. � � 69. POOUSPA SYSTEMS FINAL � �- 19.;Rough Heating & Air Conditioning � � �• FIRE DEPT. REQUIREMENT" . � 20. �Rough Factory Fireplace : ' , APPROVALS � Pe�mit # � ' ' � � � 21. Ducts, in $truc[ure � . � � � ' � , 70., Underground Hydro � . � 22. Ducts, Ventilating _ � � j � i 71.� product Piping O Gas ❑ Oil �23. Gas Pipe-Rough & Test � �� _ , T � � 72. Undeiground Flush � . � 24. Roof Framing ' � � , � � � + � , 73. � Undergrnd. $to �age Tank O Gas ❑ Oil � - 25. Roof Sheathing � • ' � � 74.' Overhead Hydro � � - � ' 26. T-Bar Ceiling (Structural). & N�onocoat � 75. Dry Chemical '� - � .� 27. Frame.and Flashing , , 76.' Dry Standpipe � � � � � 28. Lathing & Siding � � � ' , � � � 77,' FIXED SYSTEM FINAL , . _ 29. Insulation ' �, - � ' ' ; � 78. FFRE�PREV,. FINAL ' . 30. Drywall Nailing -�� •�� •� � ' ' � Noter., �.c! � � b �' �.� .' ! y��' 3-3�-�' 31. Plaster Brown Coat � ` �� ' � � ? � � �� - � [�CIT' 32. Eleetrical Power MeterFinal - � � ' � � ' � � � 33. Final Electric � � . � � � 34. Final Heating & Air Conditioning � - � 35. Final Gas Pipe-Test � � - � ' � � i 36. Hood or Canopy' � • � ' � : � - � . ' . . �� . - 37. Final Fac[ory Fiieplace" _ . , � ; i � ' , � - i � , . � - ' 38. Final Plumbing j . . ' � , � . ; � .. _ - . . .� 39. Water Ser'vice-F�nal' � ! � ' � � � � �, , 40. Gas Service-Final � � � i ' � .�� • ' 41. Solar pomesticFinal � i _' _._j_ , _ �._ ._ '_, _ . - . ,��" � 42. Backflow Preventer ' , � - .- - . - - -- � . . . 43. Backflow Irrigation - � - " � 44,: LantJscape Irrigation System j r.'. � _ � " ' -, � . ,. � � � . - - � 45: Sound Attenuation ; � ' , ' ' ' � � • � : ' . � � i ' � •� ;'�46. Handicip Regulations . ' � , � � � � � � � � ` • �� i . 47. FINAL STRUCTUBE & BUILDING ' �, � . , G_ �� i ; i � : � '�•48. Special Requirements Completed� � � i -� � � • � ' ' i � . ' �'.'49. Electric Release'to Edison� � : .. . . _ �. _ _ _ �,. • . . . 50. Gas Release to Southern Califomia Gas Co : ' ' � ; , � ,' . . 51. CERTIFICATE OF OCCUPANCY _ __ .. _' ' .. ;_ � � • i . _. No Date ' CIT1 OF COSTA MESA CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE OEVELOPMENT SERVICES DEPAR7MEN7/ BUILDING SAFETV DIVISION March 9, 1983 Ms. Lynne E. Prindle 9842 Verde Mar . Canpliance Irupection CNII - 373 2147 Iris Place Costa Mesa, California AP No. 426-151-3�� Dear Ms. Prindle: CERTIFIED MAIL At your re3uest a canpliance inspection of your property was made last November. As of this date there has been no activity on your part in abatirx3 the violations set forth in the letter dated November 29, 1982. The xlditions tn your property were conducted without plens, engineer- irg calculations, diagra� and other supportive data for approval by the City Buildir� Division. Please take notice that within ten (10) days of receipt of this letter you will be required to obtain a demolition pennit tn deamlish said struct�es arcl restnre the structure tt> its original state or submit detailed plans, calculations of the addition for review t� the Building Depart�nent. Failure to canply within the allotted time will result in initiation of a cccnplaint investigation for cmnpliance with the Code arx3 referral to the City's legal staff for disposition. If you need assistance in this matter, please contact me at (714) 754-5230. Sincerely, �Cmo - �%7aymi�# G!G% �% .f"`'�� / �1 �o �{'��0.�3 �,,,a 7+0..�✓!y ee�rr�ii%r Ji�4 Ge E�O�CHRAN Chief Deputy Building Official �/�`S'� RLC:}aam (C-3-27) 77 FAIR DRIVE (714) 7545273 S - j 1�--8� W ��o"�'� � CIT � OF COSTA MESA � CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE Oi THE DEVELOPMENT SERVICES DEPARTMENT/ BUILDING SAFETV DIVISION March 9, 1983 Ms. Lynne E. Prindle 9842 Verde Mar Huntir�ton Beach, California 92646 Re; Canpli; r:ce Irspection ChB - 373 2147 Iris Place Costa Mesa, California 92627 AP No. 426-151-34 Dear Ms. Prirrlle: CEt�'i'IFIED MAIL At your request a canpliance inspection of your property was made last Noveirber. As of.this date there has been no activity on your �xrt in abating the - violations set forth in the letter dated November 29, 1982. The a9ditions tA your property were conducted without plans, engineer- ir� calwlations, diagrans and other supp�rtive data for approval by the City Buildirg Division. Please take notice that within ten (10) days of receipt of this letter. you will be re3uired to obtain a dermlition permit tr� demolish said structises arcl restc�re the structure to its original state or submit detailed plans, calculations of the addition for review b� the Building Uepartrrent. Failure ta oanply within the allotted time will result in initiation of a complaint investigation for ccanpliance with the Code arxl referral to the City's legal staff for disposition. If you ne�l assistance in this �mtter, please contact �re at (724) 754-5230. Sincerely, E�� Chief Deputy Building Official RL�C:YaaRl (C-3-27) 77 FAIR DRIVE (714) 7545273 March 9, 1983 m � Ms. Lynne E. Prindle 9892 Verue Mar Huntirz3ton Beach, California 92646 Re: Canpliance Inspection C7�A - 373 21A7 Iris Place Costa Mesa, California 92627 AP �to. 426-151-34 Dear Pis. Prirclle: Fi� , � �A� �CQ� CE[iTIEIED MAIL At your r�uest a crnq�lianoe inspection of pour pra�erty was made last Nov�aid�er. As of this date there has been no activity on your �rt in abatirrJ the violations set forth in the letter dated Novertt�er 29, 1982. The �ditions to your �operty were conducted without plans, engineer- ing calculations, diagra�s arci other supportive data for ap�a:oval by the City Buildi� Division. Plepse ta4ce notice that within ten (10) days o£ receipt of this letter you will be roquired to obtai.n a demolition permit � dem�lish said stzuct�ses ard res�re the 3tructure to its original state or �ubmit detailed plans, celcul�itions of the addition for review tr� the �3uildi[x3 Departrrent. Failure to oanply within the allottec7 ti�m a�ill re�ult in initiation of a ca�q�laint investigation for ccmpliance with the Cocle and referral bo the City's legal staff Lor disposition. . � If yw need assistance in this �tter, please co�ntact tre at (719) ' 75A-5230. Sincerely, ROpERP L. OOCiiRAtQ Chief Deputy Buildin9 Official RLC:ierm (C-3-27) nnonessaew�wno: �147 IRIS PL a"'EAs"'WEi`aa�"": RITTEY, PETER E � "D°"�" RITTEY, LOUANNE 2147 IRIS PL ` COSTA MESA,CA �vri. �uw+o woxEsz NCNRECTOPFNtlNFEN: u�cx. on u+o.�s wo�ss: CONfNACTON'S NAYE carm�croas�uura AD�NESI u"' CITY OF COS'fA MESA - B�ILDING PERt41'1' PERMIT NO: B 082535 PLAN CHECH NU: U1630-97 L 92627 CONSTRUCTION TYPE: V-N PERMIT TYPE; STR uc xo: uc. wo.: uxr: UNT: 110EN5ED COMNRCTOHS DECIAF�TION: I he�eby dlim ivds pmaly d{wjury Nm I un IiceiueA widu pari4one d Chepler B (mmmend�p wnh Seaim )000) d Oniaun � M iM &�eiMas vd Pmlmvona Cods. ud mY liceme e in lull brte eM Nled. cm uc. No.: uc. cuss: uc. No.: EXP : od,: co�m.e�: OW NEF BUILOEF DECIAHRTION: I hereby effnm uMm pendy d pmN�Y �� + ��q �� ee lew la Iha Ibw'vq �eewn (�� ]W 1.5 Buaii»s end AdemW fude: M�'tiy a m�vtly v.ltitli iapu'vee e pamG lo wnsW t. e11«. impova. md'oh, a repei any slrutlure, pirc b Rs vaiv�oe. eho nywm IM npp4rant la euch pdmu lo fib e apred sWemenl Ne� M a eM e licensed W�� lo IM pa�ieioro d tlw Convetlorm lioame lew �Chepler B(oommamip xilh Seeun ]OW) M Di+oion 3 M �M Buemms eM Rdma'aa Codel a ilut he a#�e o ezemq tharehwn ard the beve b Ne eAegeE exemqian. MY vioW ion d Seaion )OJ1.5 by enY eDdK�� Ip e parmn nd'pda the eppli ant �o a tlr'tl pamtly d na mae IMn ( s hiudred ddlan �SSW�. ❑ �.moxn«a�neww�r«mra^dM�winw�eae.�ne:.dewmoe�sdan..mauthexaM1.enem..�n,niuesnam�mded or dlmad lor aeb l5er.iion ]oa.8uriroa vd Pmlestlw Cab: The Cwrmon lioanee Lew Eoea m� evGN �o en owrier d WWaM who Wdds w inywas tMrean. ad who daee suN xak Funxtl a hmaM a Waqh he a her oxn empb�ees. pmhdeC �hel euch ITPw�M19 VB M Nf0114B� IX O:�BfBd �OflB�l, d. �1OWQTf. �iM tV1�Nll�i IX��IIpIP9110N O fOb Ol1�Xt1IXN Ybf Oi CORIpBl911. QIB ow�«a��a., w�u ne� in� w,d� a o�m na «.n. ed �a naa « �mwa« �« me wm�e a aw). ❑ �. a. owner a �ne noP«H. em mdi�elr mnireeno �.'vn tioenaee convenon w ca�mw Ne wqw (seeion tae. eue'uws v�d PMessiare Code: The Conireaas L'cenu lew Aam rw1 eOdY W en owmr d pwMY xfio bultla a imG�'a Ihe�eon aM x1w convMa la arA qojecb wuh a mnrepuln) Wmad P�uen �o tM Carurmm limme lewl. '0 °'°'"a" S°"'°" 7044 e.aa.c..ro,��,:OWN�R/ ILDER e: 2 �: ��. MreM ceniM thet I em ewere d eM istle�eieM Na nVuiremwa d Cellomie lbetlh end Sdety s Saebro 25505.25St3. uq � 530, eM �hel I w eny Murt DuiMiiq aoulpent will / wil m� (a�cY an) med to canply wYh s mCm enE �he �puiromeme tor eVerm�lamnavunnnamodifrslianhamiM�i�anpenw�Diqrid.RmidMwl meGVG'miaroereezemNhom�heea pro�iaions. Dete: AGW�av: W ORNEP'S COMPEN411TION DECL�NATON: I MreEy e/fiim urMa perieliy d pr'ryry aw d ihe IdbMrp Aetleretoru: � � nm. ene wi� meime:�. c.nauu a co�s.m �o sen;iuure n. v.wen• comro��an. n wa;d.d �w M s«,im a�oo d �na laear Cada.la ihe pMamuKa d ihe wak fa which thb penNl b baustl. � � nw..�e xie mdme,i .oni«.• oomw�� wi.no.. m mw�.e M swion aroo e me �.nor wd.. e« ine wao�meno. a m. waM la xAitli Uu V� e oued. MY wakaa' oomD�bn'vmrercw wrier W VdKY wmber me: c�«: Pdry Number: (This uaion neW rrof M romWuaC / Ne pamt u b aro huM�ed JdWs /Strol a hu.1 � I eMry tM1et in Ns pMm�unee d Ne wak br whch �h'v qemn e muaE, I WII m� employ eny pason in eny mennar p v �a ne�ano wM«i m in. won�en• ca�w�.v�on m.. a cdnana. ene ro�ee mn e i.nau n.cm�. wqea �o ine waken� comDa^aeixn V�+��iom d Seeion a100 d iM laEa Cads. I JuA Ianhr.nA mmW Wh IMr qwmms. o�a: �cp�: W�mlrp: F�Nun ro xc�n noAai rorrpw�tlon eovw�p� I� unpwNl, �ntlWll ulNet an �mploysr roWMivl p�neltlu mtl clHl llro� up ro om hisMrM Hauuntl Evll�n (SIOQOW), M Mtllfbn b M� m�f o/ mmpmut/on, tlamep� �a provMW br In Sxtlon �1P6 0l M� laDor Cotle, Intwul, �M artomsyi lwa CONSTFUCTION LENDINO �QENCY: 1 Mreby �rm uMer penNry d pmjury ihM IMm i� e cmprudion MMiip epeMy br IM �»nom�eMe d in. wax ro. wnitli me oeimi u ewse (seaun �On. civ. cl. LENOEN'S NMIE: LENDEH'S ADOHE55: � cenly mm � neve reae inu evd"cmim.�d am. �nm me mwe idmnmon o cmea. � roree m cwnyN �nn d� w ene mumv «eineraee arM elete 4xa MmM w buJd�q caufrutlion ud hereb�' eWar¢e rtpmeruetivm d �hu aYb enla uD� �he ebv.e�meNiuied pWeM lorinapeabn Wrposea. PETER RTTTEY (5151-,b.WP) White-BWd�qBSdeiY oma: ��n i �- ��Y-�GV�^�: Fnkaieveewa: GdEmimE-Asaeaa 082535 GOVT: N SUPP: N PURPOSE: CON J'GB DESCRIPTION : 300SF' OPEN TRELLIS PATIO SQ FT: 300 CLAIM VALUE: 1,500.00 CALC-VALUE: 4,836.00 CROUP OCC: R-3 / COMMENTS: SMOKE DET'ECTORS ARE R�EUIRED #if�ifieiEiEiEkitiEiEifiENkiF4�ifiEifiliFitlEiFi6iEi(�if-kiE RiEititffiFfEikjF3Fil�k�iE#iFikiEifikH-iEiF#1EK-iEiEiF9EikiElEiciEiEit�iEifil-iEiE#ifiE?E# Z O N I N G R E Q 0 I R E M E N T S S E T D A C K S ----------- MAIN BUILDING ---- --------- ACCESSORY BUZLUINt; --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: F7 IN LEFT'; FT IN RGAT; FT IN LEFT; FT IN RGHT; FT IPI PARKING REQ: PROV: PARCEL: 426151J4 2NE: R1 REF NG: , PLANNING NOTES> 3005F PATIO COVER, 15'6" FROM REAR P/L,23 FT. FROM SIPL- > P/L,21 FT. FROM L SZDE P/L, £3 FT. HI. MAX. if iE iE iF iF iF iF # iElE f:-3t>F IF �f if ik 1!� iE �E fE' ##�li iE iE'}f 1f 1f'Ik k� iE 1k 1(� �E iF 1E IE iE �lE ## if if iE iE iE fE Y.� jt 9E iE i! #'.E 1E f 1F 1f if' iE iE # je'k'lE iF ## iE ## iE iE ii-jf # ie if D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N�T S 20NING APPROVED BY �� DATE; `� -- BOILDING APPROVED BY ; DATE: ��y�� APPLICATION ISSUED BY: DATE: � i!i(�fElEik1FlkiFlflffEiEiEiElrlfif-iEfEififiEiclr��A'iF�iFiF#3fiEfF3FiF3fSFiF3flFii-f'tii3F3Fiiit3FlFlfkfEk#iE1EiE1F .�z `�iFiFkfh LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99,75 .50 � SMIP/NON-RES PLAN 64,84 . ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAZD DUE TOTALS----> 100,25 O,UO 64,84 J65.09 165.09 .00 REVENUE DIVISION TOTALS--> C'OLLECTED; 965.09 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAD]-CHECK 99.75 .50 64.64 iE ik iE ii� iE iE i4 ih # if iE 1E iF iE iE fE k if iE fk iE iF ii� iE fE iE ik iE iE k## it 1F fE iE % fF �1E k It # jE fE iF i!� iE iE 7F iE iE iF iE � iE iF iE i4 if 1E iE iE iE k i[�!E iE iE iF iE k�IE �lE iE iE jE �1(- # it I N D I V I D�J A L� F E E B R E A K D O W N 7 TYPE QTY D G S C R I P'f T O N UNIT COST TOTAL COST .t SFR 300 RES-PATIO COVER-POST 6 TRELLIS 16.12 4,636.00 END OF FEES ' ^ f n.� �f—a� '�"�,,,n'a. .. / � � � �r, ` , ,W � � , . � ;,-,. � �-+ A�R 2 3 1997 � GIiY UF COSTA M.ES14 COi;STRUC71pN AND PLANNING APPROVAlS Permit s`� 1:iTemporary ElecCrical Seryice or Pole 2. Soil PiPe�Undrgrnd. 3. Electricai Conduit Utility�Undrgrnd. 4. Electrical Conduit-Undrgrnd. li 5. Steel Reinforcement i 6. Electrical UFER Gmd. I 7. Footings I 8. Foundation 9. Water Pipe-Undrgrnd. 'i 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap � 13. Roof Drains 74. Rough Plumbing 15. Rough ElectricabCondnit 16. Rough Electric Wiring t7. Rough Wirin9 Sign 18. flough ElectricaPT Bar Ceiling 79. Rough Heating & Air Conditioning - 20. Rough Factory �ireplace 21. Ducts, in Structure 22. D�cts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling IStructurall & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & A�r Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Finai Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Se*vice-Fina� 41. Solar pomestic-Pinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape lrrigation System 45. Sound AttenuaT�on 46. Handitap Regut�tions 47. FINALSTRUC7UqC&BUILDING / u� 48. FINALPLANNING 49. Electric Retease to Edison 50. Gas Release to Southem California Gas Co 51. CERTIPICATE OF OCCUPANCY Date Date � Inspecior PC �SPA APPROVALS Permi2 # 52. Pool & Equipment Location 53. Steel Reinforcement . 54. Forms 55. Electrical8onding � 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., 7est 60. Backwash Lines, P-Trap, O Undrgmd. • 61. APPROVALTO DECK � 62. Backwash & Receptor�Final 63. Heater & Vent•final 64. Plumbi�g System • Final ' 65. Electrical-Finai 66. Solar System�Final 67. Fencing & Access Approval 6$. APPROVED FOR P�ASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVAIS Permit # 70. Underground Hydro 71. Product Piping O Gas OOiI 72. Underground Flush 73. Undergrnd.StorageTank OGas ❑Oil 74. Overhead Hydro 75. Ory Chemical 76. Dry Standpipe 77. FIXEDSYSTEMFINAL 78. FIRE PREV. FINAL HEALTH DEPT. PEQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: t � Date I Inspector I �� NUT� .SHOW AND DIMENSION PROPOSED PATIO R ANO YARD AREAS i�, �` ` I� �, /S�6" ` . � . '` 3S, � � � 6,6., . � _ 8� , -��-,-e,,�� __, � � I 1 9� . ___`�,_. C_.. �� , � � �, I � � /3I6° I 2��6" � 8y ThI � t� �� fie , ar or t h� M pr -- �'. fhe buil6t (� WI(�IIl1 TN �'cef Go uED? v XZ��i'% �f-��O.G. � STREET PLOT PLAN ] `.ON OF CITY OF plans and sDeciOcations MUST be �awM to make arry chang or eltez from tha Divisip� of Build g�q S� �g of mis pl�n an0 speci 6ons S� aPP�oval of the violation f arry pro� �nce anym State law. � a'id Oermit shali expire 6y limitatiorit �r work is not commence an7 mei�,+, ) eay$ or issuance. 1 11.H�i�� CITY OP COSTA PLANMNG C F�T TO BLDG. I REG. SEE DETAILS ON REVERSE SIDE .� S �i� �s k6 at � g�g o( Cos��Me�,� ROOF SHEATMING OVERMANG RS � %� BEAM� IT- STRAP EA. SIDE FOR POST- BEAM ICONHECTIOH. I f be held tn pertrd a f any City of Cas� y ti me nuil and wid tl = �ive pei UBC §303 � � DROP P 10 W LL Z � _ � � y Q SLOPE TO DRAIN I � —� o .o a � u ¢ Z = � w � � � � N v N _ a p _� Q n o � � � o N = U O W x J Z � O Z O U . : o':. . ..a. . '.a.' . � . . . . . . .< . .. _ 26 GA. G. I. FLASHING WOOD fLOOR CONSTRUCTION IDE ELEVATION W � Z Q ¢ � �_ Z -o � -� W > O m Q , _„ � 1 N � � —L1__J PIERS 12�� SOJ� o a ¢ u z � CONSTRUCTION DETAILS CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. t. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement.�Yes ❑ No 2. I(have/hamemet) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _ Address Phane ( City Contractor's Lic. No.. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No.. 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, in compliance ith this State law. Signed� "f Date: � �3 Name: �� /� (Printed or Typed) C.D.L. # or S.S. N �� ` 754-5273 aonnEssorem�wnc: 214'7 IRIS PL °NT CITY OF COSTA MESA — BUILDING PERMIT °w"E"s"""E"'a°'"': MALLIN, GEORGE T PERM NO: B 07547.6 "0°"Eu MALLIN, LEANNE S 2147 IRIS PL PERMIT NO: B 075416 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 ,` �av�.uuunc�ooxess: CONSTRUCTION TYPE: V—N PERMST TYPE: STR PURFOSE: OTIi � � IGPCNRECTOPFMiNHN: 1NCM.ON FNG.'S AUUHES: uc.xo.: I JOB DESCRIPTION . T/OFF & RE—ROOF FLAT,PART W/BUILT—UP SQ FT: 1,300 uNr: CLAIM VALUE: 1,300.00 CALC—VALUE: 1,300.00 GROUP OCC: R—J / mam�c,arsru�e: LEE ROOFING OF COSTA MESA ( 714 ) 642-7223 cartnacrorcswuuNa 1653 SUPERIOR aoo�ss: COSTA MESA CA uc.ra: 349686 92627 uwi: LICENSEU COIRNACTOHS DECLARATION: I hereby eflim under penetly d perjury ihet I em " urdm pwaiom o/ CMpter 9 (mmmencirp wilh Seclion ]000) of Divieon 3 d ihe Buainesa enE Profess , wenae is in hll lo¢e enE eMM. cmuc.No 028751 uacuss: C-3 �� //� �3�49��./�/%/� EXP: 03/96 oa�e: / U �' co�vaea: .//�KLC i"/�K-- OWNEH BUILDEH OECLAF4TION: I hereby effirtn unEar penely d perlury �he� I em eRemp fmm IM CoMreeas licenae Lew Iw Hre Ibw"vg reemn 1�� )03t.5 Buamne arA Pmlessions COEe: AnY crty a munry',vhi h reQui�ea e pe�mA lo mmVucl. eller. imOrove. amolah, or repe'r eny ewcWn. pnor lo na oauarce, e6o reQuirm the applirent for euch permtl io file e aiB�� s�ament ihel M w ahe lironaed pursuent lo Ihe provisions d Ne Conveqore Liceree Law �Cheqer 9(oommemip xilh Saqon J00p) d Drvebn 3 d Ihe Businesa eM PrMembns Code� or thm he a aha ia eaemq ihaehom eM IM beaia br Iha ellepeE e:�emptun. My videton N Sed'wn �oa�.s ny �,y mvi�� o� a w�mn wqaas me eoui�� io e civii oenanr m �a m�a ma� r. nu�d�aa aaiers Issao]). � I, ea owner d the propany or my employaea wih wepea ea ttix role oompenaetion, xill do the xvek. end the etrueYura e na inlanded or oHered la ade (Secuon ]061. Busnasa aM Prdeesiona COEe: The Convmon Licenae Lew doan nM epply lo en ownerd proparry who W1Ea a mpovea tM1erean, ard v.fio doee auM wak himeeX w henef a Nraph h's a her ovm empbyeee, prwided thm euch improvemenb ara ml imeMed w oHered for cele. X, howeveq tha buiNing a impovement in ealtl wi�hin me yeer IN compleibn, the awner-WiNer will heve �M buNen d D��rq he w aha d'M rwl Wik a improva lor iM puryoae d eele�. ❑ I. m ovmer W the propaM. � extlusivaN �trecYinB �h liwnaed wnveciwa lo canelrud ihe qol� (Seaion )OCd. Buaineee eM Prolessione Coda: Tha Comrenma License law Eoea iwt epply �a en oxmier d qopehy who WiNe w impovee Ihaeon eM wlw Cq11Rtb IOf SUtlI OroIM9 WIN e tAnlretl01�9) Iren9ed WRU8n1 �o �M COI��IBtlOR llGellfe ldw). � I em eumpt under Senion: B. 8 PA.. lor Ihie reeson: oei<: ow�a�: I do MroEy eenAy that I em aware d eM uMermtvM tM requi�emanta d Cellanie Hmlih e�M Sdey Cada Saqiom 25505, 255JJ, aed 25536, enE ILeI I w eny INun buildinp o¢upenl will / wJl nM (dreb o�ro) need �o comDly wi1M1 eaid e1a1a mdee anE Ihe reQuiremaMe br ePo�mM1lamnelrucYonormodifiralionhwnlMA'r u ie�y arav��t0iariq.ReaiEentielmrsfivaionWV��iwnwuemqtramtheae prwiaiann. Dete: ApqiceM: WONKER'S COMPENS�TION DECLANATION: I Mreby effiem unCx penelty d pe�jury wre d�hs bllowiip detiveliwu: ❑ I heva end wil meintan a cenJcde d mneent lo eaM-inaure for vroMars mmpanambn, u prwided la Ey Seclian 3100 d iM Lebor coes, i« ma �no��ca a ma.on� �w.m�n m�. �a �. ��,e. � I heva enE wil muntein vrorke�e' campenutbn inaureMe, m requireE by Seaim 3100 of the Lebor Code. lor iM pa�lwmenm d iM WOIII I0f WIIII�I IAIH �IBl1111119 9fYBE. My WRM89 compansetion inaurance cerrier vM poliry numEar are: c��: STATE FUND EXPIRES Po�icyNumba�: 19(1(19dR-9S 06/30/96 (Thia axfion rieM rw� bs eanpb�ed i fM pemrl ia /w one hundred Odlars RIIX)1 a b.v.) � I cenLy ihm in iha pe�ortnenca d iM wwk Iw whch thia permA ie ieeueE, I Mall iwl empby eiry penon in eny menner w m to becoma e�bpo lo �M xorken' companaetion 4we d Celilanie, eM epiea thet il I ehouM br,oma wbjetl lo iM v.ohe1e' mm0 seiion :mvisions oi Sedan 9]ao ol t�e Lebor Code, I ehell lonhwM� mmp/yyph Ihoee prmvsione. Dele: Apd�L �� /`L��Hy W�m/n0� F�Ilun ro��cun wontw�'romp�nutlon roveqp� b vnNwNl, mtlWl/ utl/�cf m xnployw fo eAMnd pxvMw uW c/vll fliros ,q N ons �undM tMuurd eollen (5/00,000), In elGlHon b tlis cwf o/ co��wHOR ��p� �+ prov/LM br /n 9scHon 9)O6 0l Ms L�bo� Cods, Infensf, enC ettomsy'a /wi. CONSiRUCT10N LENDINO AGENCY: I Mreby elfirtn under peneMy d parV�Y ��d tMre ie e connmaion bnEinB epenry lor iM performarce d ihe work la whi h Ihn peiml ia oeued �SeUion 3091, Cir. C). LENOEP'S NAME: LENDEP'S ADONESS: I carliry Ihet I heve read this eppikelion end atete ihm the ebave iniwmelion ia corteG. I prw io com0ly wnh ell dry eM counry ordinencm arM etels kxa nle�np to buiWinO �o��tlion enE �ereb/ eWwrue 2qecenteiiuee ol lhe dly to en�er upon ihe eEwe�meMonaE properry lorinapeqbn purposea. XSON /y�j� Pnnl Nem '"`_�S� ��— o.,e: // 70 �i'- gnewre of OwnedApenVApvliranVConlmclor (5151�Ie.WP) White-BuilEip 8 Sefety: GreaMFle; Cenery-Applirant: Pink-Fevenue; OdtlenmE-Aseesxr COMMENTS: REROOF 200SF PART OF RESIDENCE, SMOKE DETECTORS R UIRED PER 91UB�� **�****t�*��*�*�*�***�*x***�+�****�**********��*�*t��**�**�*** �S�f'+cif�� ("� Z O N I N G R E Q U I R E M E N T S !J 6' ��, ,,9 �P S E T B A C K S �� .... ------------ MAIN HUILDING --------- --------- ACCESSO�' � -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: E'T IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42615134 ZNE: REF NO: PLANNING NOTES>. 5. 1F iE if ik 1E �E iElE iE iE 9E fE 1ElE fE jE fE fE 1E 3E 3E iE iE 1ElE 1E �)E iE iE iE �E iE jF jE iE aE 1E if 3E iF if ik 3E ik 1k dE 9F 3E fE �E �)F 3E 3E iE iE 1E if if dE iklE fE �E �)E iE iE iE iE iE �F �E �E k 1F iE if iE 3f fE D E V E:•L O P M E N T S E R V I C E S R E Q U I R E M E N T S � . ZONING APPROVED BY DATE: HUILDING APPROVfiD BY :______ . DATE: Y APPLICATION ISSUED BY: 1E1EiEiElflEi6�fifiE3FiEiFiE.1E�EifiEjF3Ei(�iF��E��iF��F�E��F��Fi�F�F3f�Fjf Tf��E LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 31,00 PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> PERMIT ISSUE PLAN—CHECK 31.50 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 31.00 iE 1E iE if iE iF iE iE iF 9E iE if 9E i �3E if 9E jf �f iE �)E dE 3E ff iE STRUCTURAL SEGMENT:Y FIRE SMIP/RES' GRADING 50 SMIP/NON—RES TOTAL PAID DUE 31.50 31.50 .00 31.50 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK .50 iE 1ElE iE 1E iE ik jf iE if ff iE dE iE iE iE if iE iF ff iE iE k 1E 9E 3E �E iElE 1E dE 9E 1F jE 1E iF k!E iE jF jE iE jE 1E 3E fE 1E �E jE �E IE iE iE 1F iE iE 1F * iE 3f �f IE if 1f iE fE jE fE jE �E ik if iE iE iE 9E iE �E �E 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 SFA 1300 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,300.00 END OF FEES "' 6G]` _",-��7I5`.;;?2 ""a�',�� '� [Ai�• ::.._ F� Tif'�:t G;:=t .. , CONSTRUCTION AND PLANNING P� y SPA APPROVALS Permit # Date Inspector pppROVALS Permit #-� Date Inspector i. Temporory Electrical Service or Pole 52. Poo4 & Equipme�t �ocatiori , . 2. Soil Pipe�Undrgrnd. 53. Steei Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Eiectrical Conduit-Undrgrnd. - 55. Electrical Bonding � 5. Steel fte�nforcement 56. Ro�gh Plumbing & PressUre Test 6. Electrita� UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Co�duit�Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undr9rnd. 60. 8ackwash Lines,P�Trap, O'Llndrgrnd. i , 10. Structural Floor SYstem j � 67. APPROVAL TO DECK i i. ProperxY Sewer Line & House Connection 62. Backwash & Receptor�Final! 12. Sewer Cap .� 63. Heater & Vent-Pinal 13. Roof Drains I . 64. AWmbing System � Finaf . 74. Rough Plumbing 65. Electrical-Pinal - 75. Rouqh Electrica6Conduit 66. Solar System�Final - 76. Rough Electric Wiring 67. Fencing & Access Approval t7. Rough W+ring Sfgn 68. APPROV£D FOfl PLAST£flfNG 78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 79. Rough Heating & Air Condrtioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure ' 70. Underground Hydro 22. Duas, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. floof Sheathing /L//�f/. 74. Overhead Nydro G 26. 7-Bar Ceiling (Structurol) & Monocoat 75. Dry Ghemical 27. Frame end Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT _ 37. Piaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood o� Canopy 37. Finai FactorY F��eplace 38. Final Plumbing 39. bVater Service-Finai 40. Gas Service�Final 41. Solar pomesticFinal 42. BackfloW Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicdp Regulations 47. FINAL STRUCTURE & BUILDING �Z/�� I 48. FINAL PLANNING � -- 49. Electric Release to Edison �. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date � ��:�Q COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MEBA. CALIFOitN1A For Applicani fio Fill In Complefely TYPE OR PRINT BUILDING __ � _ — _ —. ..COSTA MESA. CALIFORNIA oWNER Irvin C. Jordan MAIL 3�p0 NEWPORT BLVD. AOORF_SS D. Southworth. COSt$ 1`'183& '6:�#ER- S cs�-�. SAME uc. No. D.�- SIZE OF LOT O USE OF EXIBTING BLDG 98TBACK LINi PROM onNatnoe.o ILEFT 7� V" I RIGHT �� 6�� DESCRIPTION OF WORK I X IIALTERATION I IIAD�ITION wA�tUCO I c°o°eR�N�Shingles 1ILDING AND WORK TO BE PERFORMED Fi88. W� fltt. 2flT"dRP. r �- r;r��IRd�� 1 i_ i.. � i�b- 5�' �'. r^�-- APR 2 � �:;61 17 FINAP;Cc DEPT. CITY Of COSIA MESA APPLICATION FOR PERMIT BUILDING For Oifice Use Only ReLE�PT NO. P6RMIT NO. a� COSTA MESA. CALIFORNIA APPROVED ZONING ZONE I NO. OF I 119G OP NHW R-1 Pu.,e 2 e�aomoyr/ `�°"` Lot #9 Tr. #3 oeecrsirrioN A. P. NO. T10II2 YARDS EVES APPROVEO ALLOWED 1C6NT8X 1JN6 9T.) / � ( .� APPROVED � Plan 161 B I 1630 s. ft. J 620 s . ft. I HBRBBY ACNNOWLEDO6 THAT I HAV¢ Re�� THIe MPLJGTION THE AMOUNT eNOWN UNDER VALUATION IB POR THH ANO 9iAT¢ THAT TXC ABOV6 I6 COPRECT ANO AQRlB TO GOM- PUHP086 OP 88T/�BLI9HIN6 A PBRMIT p!E ONLY. PLY WITH ALL CITY OflDINANCEB AND BTATE UW8 RBGULATING BU�LDINO CONBTtUQION. ` �� VALUATION r J /� ( p 81GNATURE OF -I ✓�i t f 1. \ l',.�c 1 c.r �.. PERMIT FEE $ J 7� OO $ 17,198 � AUTHORIZE� 0 1 F 0 n