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Home My WebLink About3001 JEFFREY DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.��LDING PERMIT Job Address: 3001 JEFFREY DR Suile: Vicinity: DINING ROOM Primary Occ R3 Type of Constmclion: V-N Parcel Number: 41812215 Zoning: R3 App�icant: BATIOFF, JOHN Address: 1456 E 33RD STREET SIGNAL HILL, CA owner: ST JEAN, DOtJALD Address KANEMOTO, GLEN COSTA MESA, CA 3001 JEFFREY DR # A Contracror. ; HOME DEPOT USA WC Address: 1456 E 33RD STREET� - SIGNAL HILL, CA � Zip: 90755 ' Arch :,, Address: Zip: Phone: License: a - Phone: 714-981-1600 Zip: 90755 Phone: 714356-9962 Zip: 92626-2928 :.� Phone: 714-981-1600 License: 602331 Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Stalus: ISSUED Applied: 0928/2005 Issued: 09/28/2005 Phone:, License: SCOPE OF PERMIT �.J2EPLACE 1 SLIDING OOOR, LIKE FOR IIKE IN THE DINING ROOM OF A SFD. - -, �'� - �-� � � FEE SUMMARY � � � � Plan Check: $0.00 Calc Valuation: $i,000.00 Permit: $38.75 Claim Valuation: 8i,soo.00 SMIP Res: $0.50 SMIP Com`. " "$0.00 ' Other. $0.00 . � Inspection: $0.00 � Total: $39.25 � P PIANNWG & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear 0.0 Lefl� 0=0 Right 0-0 ' ACCESSORY Front 0- 0 . Rear 0= 0 � - Left 0- 0 ,- � Right 0- 0 PARKINCi Existina; 0 � � Re uired: ;0 - Pr000sed: 0.� �� . � . NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � � �aao-co �aw� WORKERS' COMPENSATION DECLARA710N: � I hereby aHirtn under penalry of perjury one of the following declarations: ❑ I heve entl will meintain e cenificate of consent to self-Insure lor workers' compensetion, as provitled foi by section 3700 of iha Labor Cotle, tor Ihe pertormance ot ihe �rk for which Ihis permit is issuetl. . ❑ I have entl wiil maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pedortnance of the work for which this pertnH is issued. My workere' compensation I'n�jurance carner end policy number era: ` /� �+ Carrier: - ��'C � G�G�.wa-t... policy.Number. � . 7��? Ql Y�'7 (This section need not be completetl i/ the permit is velued at one hundretl tlollars ($f00) or less.) . i ❑ I cerlity ihat in the peAormence ot iha work tor which this permit is Issued, I shall not employ eny person in any manner so as to become su6ject to tha workers' compensation lews of Celifomla, and egrae thet if I shoultl bacome su6ject Io the workere' compensalion provisions of Section 3700 ot the Labor Code, I shall forthwlth comply with these provisions. @ c� t ApP�wM.Signeture: �A.� !i IDete"' - � Zd — •7_ WARNIN(3: FAILURE TO SECURE WORKERS' PENSATIO CAVERAGE IS UNLAWFUT AND SHALL SUBIEC� AN EMPLOYER TO CR�MINAL PENALTIES AND CIVIL FINES UP TD ONE HUNDRED THOUSANO DOLLARE ($10p,000), IN AODITION TO THE COST OF COMPENSATION, �AM4GES AS PROVIDED FOR IN SECTION 3)O6 OF THE LABpR CODE, IfJrEREST. AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn thai I am licensed under provisions of Chaptar 9(commencing with Section 7000) of �ivision 3 of the Business er�0.R�fessions Code, end my license is in full force,end eNea. Lic. a � G 2�'; 1 [Clau a l� 'S Contrectors Signature>' v�2. u ('Date: �- i, � - � "i ^ �l�vV' CONSTRUCTION LENDING ❑ I here6y aflirtn that there is a constmction lentling agency for Ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby attirtn that under penalry ot perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Protessions Code: Any city or counry which requires a permit to consimct, alter, improve, demolish, or repair any structure, pdor to its issuance, also requires the applicant tor such pertnit to file e signed 5latement that he or she is Ilcensed pursuent to the provislons oi the Contractors License Law (Chepter 9(commendng with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt Iherefrom and Ihe besis for the alleged exemption. Any violation of Section 7031.5 by eny applicant for e pertnit su6jacis the applicant Io a civil penalty of not more than five huntlred dollars ($500).): , ❑ I, as owner of ihe property, or my employees wi�h wages as thair sole compensation, WILL DO THE WORK, and the structure Is not intendetl or oflered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Ww does not appty �o an owner ol property who builds or improves ihereon, and who tloes such work hlmself or herseli or ihrough his or her own employees, provided ihat such improvements ere not Intended or otteretl ior sele. If, hawever, the buiiding or improvemem is sold within one year of completioq the ownerbuilder will have ihe burden of proving �hat he or she did not buiid or improve tor purpose oi sale.). ' ❑ I, as owner of the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The contractors Llcense Law tloes not epply to en owner of property who bullds or Improves thereon, and who contrects for such project with a coniractor(s) license pursuant ta the Conirectors License Laws.). ❑ I am exempt under sec. Signawre: Owner ID ventied by tlnver's license. ❑ Yes ❑ No Business and Protessions Code for ihis reason: Verificetion ot Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Drivefs License No. oate: Expires: ❑ I here6y certify ihat no azcavation Tive (5) or more feet in depih into which e person is required to descend, will be matle in connection with work authonzad by this pertnit, end ihat no building simcNre, scafloltling, talsework, or demolition or dismantling thereof, will be more then thirty-siz (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Galifomia Administra6ve Gode). ❑ As owner-buiider, I will not employ anyone to do work which would require a permit irom the Division oi Indusiriel Safety, as notetl above, unless such person hes e permi� �o do such work from ihe division. Signature: Date: Division oi Industrial Safety Pertnit Number. CERTIFICA7E OF COMPLJANCE ANU AUiHORVA710N OF ENTRY: I cehify under penalty ot perjury ihat I have reatl this application and state ihat ihe information given is correct. I agree to comply with all stale laws and ciry ortlinances rela�ing to building cons(ruc�ion, an0 euthodze representatives of t�e Ciry ot Casta Mesa to enter upon ihe e6ove-described p�opetly for inspection purposes. I egree not to occupy o� ellow occupancy oi any building authorized by this permil umil finel inspection. COOE t. IXSiECTIONTYPE 7616 Pixetl System Pinal Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Fina181ocWRetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition jIL1jE II�R j CiQ.QF� INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Otcupancy Date pAIE I�LS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.PcLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 �obAddress: 3001 JEFFREYDR Suite No Viciniry: Parcel Nunmber: 41812215 Applicant: Address: Owner: Address NOCK,CANDY 11612 KNOTf ST SUITE 217 GARDEN GROVE, CA KANEMOTO,GLEN 3001 JEFFREY DR " UNIT A COSTA MESA, CA � Contrador. NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 GARDEN GROVE, CA Phone: 714-895-1246 Zip: 92841 Phone: Zip: 92626-2928 Phone: 714-895-1246 Zip: 92841 License: 707775 SCOPE OF PERMIT CHANGE-OUT OF A WATER HEATER IN AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roo( Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe . Gas Service � Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 : 0 ;'• 0 0 0 0 FEE SUMMARY AMT LaundryTub/Washer $0.00 Landswpe Irrigation $0.00 P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 SepticTank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private �ine - $0.00 Shower $0.00 Sink, Fiar $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) $0.00 � 0 0 0 0 0 0 0 0 0 0 0 0 0 '' 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS ISSUED BY: Status: ISSUED Applied: 02I15/2006 Issued: 02/152006 SumpPump Swimming Pool Trap Primer Urinal 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 Qnst or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NO710E: 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under ihis permit to be considered legal, such work must comply with all appliceble codes, and all requlred Inspeetions end flnel epproval must be obtained. Fallure to obtain Inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zanere (aroo> WORKERS'COMPENSATON OECLARAnON: _ I hereby aMR� untler penelry ol perjury ona of t�e fWlowing Aedarations: ❑ I heve and will maintein e certiticate oi conseni to sell�lnsure for workers' crompenSaUon, es provided tor by sectlon 3700 0l Ihe Labor Cotle, tor the pertortnance of the � v(ork for which t�is pertnit is 15suetl. as one secUon 37W ol the Labor Code, fw Ne p¢Aortna�e ot Ne woflc tw whkh this p�e-rtn`/it is issued. P,olicy,Num r: �/�1�B`_ Ilars ($100) or IessJ ❑ I certity ihat in ihe peAormance of the work for which this permit is issued, I shall not employ any person in eny manner so as to �ecome subject to the workers' compe�sation lews of Cel' -��agreathat i/ I should become subject to the workers' compenSaJon pmvislons ot Sectlon 3700 ot the Labor Code, I shall forthwith comply with th�se�o I/ !1 / . cani� m�aMe—c--�-��—'- ��D��ete�.� � V L.% ��.'FM�URE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNLAW FUL AND SMA1L SUBIECT AN EMPL �OVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HIINDRED TNOUSAND Da-�AAE (5100,000), IN ADDITION TO iHE COST OF COMPENSATION, �AMAGES AS PROVIDED WR IN SECTION 310fi OF THE LABOR CODE, INTERESf, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm ihat I am lice ��Sfdns of Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business,�+P�p� ofeIssions Cotle, and my license is in full force and ettact.�� J ciess � r'SC� _ _ Gontwaof 6ig�lure:. j -� �Date'. �(L �+�- � CONSTRUCTION LENDING AGENCY: � I herehy aHirtn that ihere is e consiruction lending egency for ihe performance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). �� Lendar's Name: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm Ihat untler penelry of perjury Ihet I am EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW br ihe tollowing reason (Sec. 7031.5, Business entl Professions Coae: Any ciry or counry which requires e permit to construct. elter, improve, demolish, or repair any structure, pdor to its issuance, elso requires ihe applicant for such pertnit to tile a sign�d statement thet he ar s�e Is licensed pursuant to t�e provisions of tha Contreaors License Law (Chepter 9(commendng with Seclion 7000) of Division 3 of the Business and Professions Code) or t�at he or she is exempt lherefrom entl the 6asis lor tha ellaged exemption. Any violatlon of Section 7031.5 by any epplicant for a permit subjeas Ihe epplicant to a civil penalry ot not more ihan tive hundred tlollars (5500) J: ❑ I, as oW�er of the properry, or my employees with wages es their sole compensation, WILL DO TME WORK, and Iha structure Is not intendetl or otteretl lor sale (Sec. 7044, 8usiness end Professions Code: The Contractors License Law dces not aDPly �o an owner of property w�o builds or improves Ihereon, and who does such work himself or herself or through his or her own employees, provitletl that such impmvemems ere not Intendetl or oXered tor sale. If, however, ihe huiltlinq or impmvement is sold wil�in one year ot completion, the owner-builder will heve the burden of proving that he or she did no� build or improve lor purpose oi sale.). � ❑ I, es owner ol Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct the Orojecl (Sec. 7044, Business end Professions Code: Yhe contractors Ucense Lew does not apply to an owner oi property who builtls or Improves Ihereon, antl w�o contracis br such project with e contrador(s) license Pursuant to the Contrectors License Lews.). ❑ I am exempt under sec. Busineu antl Professions Cotle for Ihis reason: SignaNre: Date: Owner ID ven�ietl by drivar's license. ❑ Ves ❑ No Drivefs License No. Venfication af �wnership by pype ol tlaument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFE7V PEHMIT CER7IFICATON: Expires: ❑ I hareby certify that no eacava�ion five (5) or more taet in depih into which a person is required to descend, wlll be metle in connection with work euthorized by ihis permit, end ihat no 6uiltling s�ructure, scallolding, falsework, or demolition or tlismantling Ihereof, will be more ihen (hiny-six (38) teet higR (Ghep. 32, Gry 2, Art 2, Sec. 341, TiUe 8, Californla Atlminlsiretive Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which woultl require a permit fmm the Division of Indusirial Salery, as notetl above, unless such person hes e permil to tlo such work from lhe division. Signature: Date: Division oi In4usirial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRY: I cenity under Denalry of perjury that I have read this application and state ihal lhe infortnation given is wrrect. I egree lo comply with all state laws and city ordinances relating m builtling constmction, and authorize represenlatives ol the Clry ot Costa Mesa lo enlar upon [he ebove-descdbed property far inspection purpases. I agree nol to occupy or ellow occupancy of eny huildinq euthorized by Ihis permit until final inspection. CDUEI, iumcCnONTYPE psjf, �@ 1676 Fixed System Final Fire Prevention 1266 200 207 202 203 Pool Spa Final Final Ra-Roof Flnel Block/Retaining Wall Final Faciory Fire Plece Final Sign 20a Final Demolition CO�E� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevenlion 220 Final Planning Approval 222 250 Flnal Site Final Building/Occupency pag nrim� • � � ► (��a) �sa-s2�s • Fe�c (714) 754•4056 • wwo+.ci.costa-mesa.cg��LDING PERMIT JobAddrsss: 3001 JEFFREY DR Suite: Vici�ity: ROOF Primary Occ; R-3 Dwellings/ Cong Res <10 Type of Conslruction: V-N Parcel Number: 41812215 Zoning: R3 App�icant: BRENNON, RICK Address: PO BOX 304 HUNTINGTON BEACH, CA owner: KANEMOTO, GLEN Address 3001JEFFREY DR UNIT A COSTA MESA, CA ContraMor: A-1 FACTORY DIRECT ROOFING INC Addr@ss: PO BOX 304 Arch : Address: Zip: HUNTINGTON BEACH, CA 2ip: 92648 Phone: License: Phone: 714-799-7300 Zip: 92648 Phone: Zip: 92626-2928 Phone: 714-799-7300 License: 797789 Eng: Address: 77 FAIR �HIVE, GOSTA MESA, GA 92626 ISSUED BY: Status: ISSUED Applied: 1024R005 Issued: 10/24R005 SY� Phone: License: SCOPE OF PERMIT TEAR OFF Fj(ISTING ROOF. INSTALL 1 LAYER OF 3QIt FELT, 40 YEAR COMPOSITION SHINGLES AND REPAIRIREPLACE SHEATHING AS NEEDED. 2,800 S.F. INCLUDES ATTACHED GARAGE. PROJECT IS A TRIPLEX. FEE SUMMARY Plan Check: $0.00 Permit: $181.25 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: sio,000.00 Claim Valuation: sio,000.00 Total: $182.25 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0. 0 Rear 0. 0 LeR 0- 0 Right 0- 0 ACCESSORY Front 0-0 Rear 0.0 Lek 0-0 Right 0-0 PARKING Existina: 0 Reauired: 0 Prouosed: 0 NOTICE: The work authorized by ihis permN shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ;. �: EXPIRATION: This permlt shall eutomatically explre and becc:.ne void ii work is no� commenced within 180 days, or if work is suspended or abandone0 for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit to be consldered legal, such work must comply with all applicable codes, and ell �� required Inapeetlona end final epproval must be obtained. Failure to obtain Inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zas-as �aroo� y WORKERS'COMPENSAnON DECLARAnON: I herehy affirm under penelry ol perjury one ot the lollowing tledarations: ❑ I heve entl wlll meintain a certilicate o1 con5ent to selt-Insure tor workers' compensetion, es proWtlea for by section 3700 of the Labor Cotle, fOr the pertortnence o1 the work tor which t�is pertnit is IssueO. ❑ I have end will mainiain workers' compensatlan insurance, as required by section 3700 0l the Lehor Cotle, br the pertormanca ot Ne work for which NIs pertNt Is lswed. My workers' cam ansatlon Insure carrier d policy number ere: / Q i Cerrier. �f �t� �o �. � Policy Number. / � 3 �2 /d � �-�'ds (Th/s sec(ion neetl not be cromp/afed i! (he permu is velued et one hundred dW/ers ($ f00) or less.) � ❑ I certity thet in the peAormence ol Ihe wark tor w�ich this pertnit is issued, I shell not employ eny person In eny menner so as to become subjact to the warkers' compensatlon lews ol Celltomia, enE gree that II I s0oultl bewme sub�ea to t�e warkers' compensatlon pmvisions ol Section 3700 at the Lebor CoAe, I shall torthwith comply with tho5o Drovi5ion9 ApPlicant Sipneture: � � y� . � A . � Date: � WARNINO: FAILURE TO SECUR WOPo(ERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SMALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN AODRION TO THE W5T OF ODMPENS/TION, OAMAGES AS PROVIUED FOR IN SECfION 3)08 OF THE UBOfi CODE, IMEREST, AND /TTORNEI"S FEES, IICENSED CONTRACTORS DECLARATION: I hereby eHirtn Ihet I em Iicensed tome end eflact. Lic. p � � Conirectofs Signeture: _� 9(commencing with Sectlon 7000) ol Divislon 3 of t�e Business en0 Prolessians Code, entl my Ilcense Is in tull � Gless p CONSTRUCTION LENDING AGENCV: ❑ I �ereby eHirtn Ihei Ihere is e wnstruction lending agency for Ihe pedormence ot the work tor which ihis partnii is issued. (Sec. 3097, Civil Cotlej. Lenders Nama: Lendefs Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn ihat untler penelry ol perJury that I em E%EMPT FFOM 7HE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Pmfesslons Code: Any ciry or counry which requires e pertnit ro construct, alter, improve, demolish, or repair eny sWcture, prior to its issuance, also requires the epplicem tor such pertnit to file e signetl atatement �het he or she is licensed pursuant to ihe provlsions ot the Cantrectors License Lew (Chapter 9(commendng with Sectian 7000) ol DMsion 3 0l the Business entl Professlons Cotle) or Ihet he or she is exempt Iharetrom and the basls for the elleged asemptlon. Any vloletion oi Section 7031.5 by any applicant for a pertnit sub�ects t�e epplicant to e cidl penalry ot not more ihan five hundred dollers (5500�.): ❑ I, es owner ol the property, or my employees with weges fls their sole compensation, WILL DO TF1E WORK, end Ihe structure Is not intentletl or oXeretl for sale (Sec. 7044, Business and Professions Cotle: Tlie Contractors License Lew does not appry to an ownar of property who builds or Improves thereon, and who tloes such work himself or herself or through his or her own employees, provided that such improvemen�s are not intendetl or oflered for sale. Ii, however, the building or improvement is sold within one year ol comDletion, the owner-builder will have the hurden of proving that he or she did not build or improve for purpose of sale.). • ❑ I, as ownar ol Ihe property, em El(CLUSIVELV CONTRACTING WI7M LICENSED CONTRACTORS to construct the prolect (Sec. 7044, eusiness anC Professions Code: The contraaors License Ww does not appy to an owner ol pwpeny w�o bullas or Imprwes Ihereon, and who conirects for such projeci with a contracwr(s) licensa pursuant ta the Contractors Licanse Laws.). ❑ I em e:empt under sec. Signatura: Owner ID veritietl by tlriveYs Ilcense. ❑ Yes ❑ No Business end Professions Cotle tor this reason: Vedllcatlon ot Ownershlp by (type ot tlocumeni. I.6. - pmperty laz blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: Drivefs Licensa No. Date: Expires: ❑ I hereby certlty Ihe1 no excavetion tive (5) or more feet in depth inio which e person Is required to tlescentl, wlll be mede in connection with work eut�orized by this pertnit, entl t�at no Duiltling strudure, scaffolding, falsework, or demolition or dismanUing Ihereol, will be more Ihan thirty-six (36) leet hig�. (Ghep. 32, Grp 2, An 2, Sec. 341, T1tle 8, Celitomia Atlminisiretive Catla). ❑ As owner-builtler, I wlll not employ enyone to Ao work which would requlre e pertnll Irom the Divislon ol Industnel Sefery, es noted ebove, unleu such person hes e permit to do such wark fmm the divisian. Signeture: Date: DlNsion of Indu9triel Salory Permi� Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfAY: I certlly under penalry of perjury Ihat I �ave reatl ihis application antl state �het ihe Infortnation given is wrrect. I egree to comply wlth ell stete lews end ciry ordlnances relating Io bullding construction, end euthotlza representetives ol the City ot Caste Mesa to enter upon Ihe ebove-described propeny tor inspection purposes. I agree not to occupy or ellow occupency al eny building authorized by this pertnit until tinel inspec�ion. I n Signeture Ot Legal Owner�s) Date � /X% .!I/ (.,�� / f�/q�/�D� nd/Or Authonzed Applicant �— �— Date GODE �, wsveenoxTrve 1818 Fixetl System Final Fire Preventlon 1266 Pool Spe Finel 200 Flnel RaRool 201 Final BIocWRelalning Well 202 203 Final Factory Fire Place Finel Sign 204 Finel Demolitlan �.1 JIII . � �,� /�, cooe� ixsvecnoNnae 206 Finel Mechenical 208 Final Plumbing 210 Flnel Elecirical 212 Final Fire PrevBntion 220 Final Plenning Approval 222 Finel SIIe 250 Finel BuildingiOccupancy � I�� F � a a ..y. � r�i F G W F Q O ..i a > .�.1 a w 4 � � a z x 3 �" - �a�� : - - 4- . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 120tl COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only � BUILDING __ _ _ __ OWNER MAIL CITV BRANCH ADDRESS ARCHITECT TEL. NO. L. AODRESS j'�Fj RM}1PR�PY� C714 .a P.S."i CONTRACTOF �1j'jpx' ADDRESS TEL. CITV NO. STATE CITV LIC. NO. ZS161H BZ LIC. NO. SI2E i NO. OF BIDGS. OF LOT NOW ON LOT USE OF EXISTING 6LDG. Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING �+ND WORK TO BE PERFORMED I hareby acknowletlpe thet I heva raatl this applieetton and state thai the above Info/matlon ia corract antl aprea to comply with ell Inws repuletinp builtlinp conrtructlon, antl I ehall not employ eny Darcon In vlolaT�on of tha workman't compenution lawa of che Stete of Californ�e. I hereby certity that I am propariy Iicencad ea a connecror untlar tha Stete of Californ�a Buelnesa end Profeutons Cotla, DIvlslon 3, Chapter 9, entl that such Iicantes are in /ull forca entl effact, or I em ozempt from tha Groviaions of t�e S[ete of Celifornia Buslnasa entl Profeisions Code. Dlvielon 3, Cheptar 9. SIB�etaraof /�//r /,i�� Permlttee //� V �/l // Authoriza pent patv �EB-2-77�,�s,QO 154•"• �s:'*1620L APPLICATION FOR STRUCCURAL PERMIT RECEIVEDBV DATERECEIVED neTcwcimr A.N.N J�/g��/ BUILDING „ � OWNER /�, 515= FIRE ZONE APPROVEO 8V ��L[/� VARDS AP MAIN BV (FflOM C/ ROfYT � R. SIDE S � cv.c /iJ a . VALVE DATE BET. � BET. MAIN & VAR. � �.�.P. �-76 APPROVED HOLD FOR BLOCK ED n m m' SQ. FT. � OSI � rv � /�/ � THE AMOUNTSHOWN UNDER VA�UATION IS FOP m THE PURPOSE OF ESTABlSHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE E a N �]��JJJ G "� /�G PLAN CHECK E ^� � o $/�/ �Q� TAX E LL / � � U TOTALPAID E Q ' �.3��52 l� COSTA MESA BUILDING-SAFETY DEPARTMEN P.O. BOX 1200 COSTA MESA, CALIFOflN1A 92626 � For Applicant to Fill in Completely — Use Ink Only AODFESS 3001-A B C Jeffr Dx'ive C.r OWNEfi RirharA Rawall Tn�_ CITY TEL. NO. ��H—n'7iPAfCOO 6zs �i:-��24i.00 f.N.r APPLICATION FOR STRUCTURAL PERMIT ECEIVEDBV OATERECEIVED nnTciccimr BUILDING ADORES�3aa/ BRANCH OWNER L ADDRESS ORENGINE a Sam Abu-Da eh NEL. 4,z-4 USE I�G FIRE ADDRESS 136 Rochester St. Costa Mesa ZONE T APPROVED CONTRACTOR Qpjjj�' BV ADORESS TEL. . ZONE NO.OF CITY NO. P�� F STATE CITY �'ARDSAPPROVED LIC. NO. 2$161H Bl LIC. NO. MAIN BUILDING {�,� SIZE NOAFB�DCS. (FROMGLSTREET) O. OF LOT NOW ON l0T ROM FT. a USE OF � EXISTING BLDG. y FSepacate permits are required for L. SIDE Fr. � electric, plumbing and hea[ing work. REAR FT. [,.�. USE OF BUIIDING AND WOFK TO BE PERFORMED p�{ANCE BET. OMAIN BLDGS. VAR. $ aTri lex with at ara e c.u.P. # � APPROVED r J CC W � I hereby acknowletlge thet I heve reetl this applicaiion antl state � that the ebova Informatlon Is correct an� agree to comply with all laws reBulatinB buildln0 �o�atruction, and 1 shall not employ z any permn in vtoletion ot Me workman'z compensation laws ot � the Stete of Celitarnie. 3 I hereby certlfy thet I em properly IicanseA as a contrector under Sn• ihe Steta ot Callfornie Buslnau and Professions Cotla, Dlvislon 3, THE AMOUNT SHO� Chapter 9, antl thet such iicanaes are In 7ull torce antl etfaci, ar I THE PURPOSE OF 6' am exempt from the proviclons of the Stata of Callfornia Businen VALUATION antl Profeszions Coda, Divi6lon 3, Chapter 9. SIB�atura Of Permittee 5 Authorizetl A S PERMIT NO. VALUE USE OF NEW 6UILOING VARDS APPROVED ACCESSORV BUILDING BEf. MAIN ACCE�. BI DATE PERMIT FEE � PLAN CHECK $ TAX $ TOTA L PA I D�.{ IS FOR ip ONIV: � �� a N m 0 LL E U .�