The URL can be used to link to this page

Home My WebLink About3037 JEFFREY DR - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 3037 JEFFREYDR Suite: Vicinity: EXTERIOR STAIRCASE Parcel Number: 41812204 Zoning: R3 R3 Applicant GARCIA,SANDRA _____ _ ISSUEDBY: Address: 3100 W WARNER �"_ ��c -� �!K r. -, - SANTA Owner: BOLAN;:JUHN ., . Address 8175 CENTERST� ��i/ ( ' � , in ' \ . // �H \TINGTON�BE � // Contractor. �COAST PEST� �,,.i ,Address: 3100 W WARNER � /� �iri� i,' ��. , / � ^ � � �� " � SANTA ANA, CA �`� Zip: � 92704�� ,.�/ i//ii� Status: ISSUED Applied: 04I09I2003 Issued: 04I09i2003 i ��/- /_,� /% = - -.. Phone: -714-708=6996 �; �� ;�- ,, % "- ' ' - Zlp 92704 j `� . � -�� -, �� l � / < _ A � ' l- � ,� � r`�� HARLES � ��_ _ _ �i! /,� -� C�i�.A �\ , � E�DR / ; --_" -- �`_ ( "��j ��A �. i � i '- Pfione _�_ � �� i .� -_-'_ � ,� � ��% �A� H.CA- � Zip 92646 8571 - ;�\ � ��, . A j '. i' �� i ,i G� � ' V � ' / . . � �'/ �� ' , AVJA VD TERMITE CONTROL ��:'�' � � � �✓� ' �V�� ' ; / ''� � � ,.��/ �� Phone�,714-708-6996 � �� . �� A`��.. r; � \�_�, � ', ;� A License�" PR2288 r. ��\ ') l� ��.\. ( f �� .a. iY�'\ o.. e _ rr _ -�n�� \�� 1� \��.\ i n"Arch • i ':;i � � �� -. l� ' � En9: �_�..�.�. ,� . i �1 ��,AA � - � � Addiess:� ,� i � j- � � �� . � � � �' �, Addrese: � �� A��` `� ' / 't � � : � - Phone� '. .. �_ � _ �� ,� �,� i Plione: � � � �' l �/, � J��v _ '�_ V.. A )f� � � , , � �,� �, �� ( � �� -�y ,i' _ , , � . � , � �ip: � i �� J ; , � V� /.License: �i' ��License: _.. , , ' � l i ��' : �r �� `� � � � _-' /i' -,� = �_ - _ __ ._SCOPE=OF:P.ERMIT_- _� ; �� , '� �� 1 � ; �' TERMITE DAMAGE REPAIR TO ONE EXTERIOR STAIRCASE�FOR-APARTMENTS: I�}i �� `, ��.. �, �I -i '� i �. '� l;;/1�' 1! 1IJ11� !`2i//'1 1 � � ;; � � ,A � � - -- i ' � _ � �i � `, FEE SUMMARY " � � � ' � � �. � Plan Check � �.� $0.00 ,_-��s �, _ , � Calc Valuation � `, �" SJoo.00 � -�i - ��^��1;_ �, , , Permit $23.50 _ _ `' / : � ' - Claim Valuation � _Si0o.00 � _ _ , � .:: � ` SMIP Res. $0.50 � --.- � / � - ',�' �' � � i J SMIP Com ,� $0.00 -- l/ %/ I i. : ' �1 Other: � ' $0.00 � � _ � �-� � ; .� � 4 r Inspection:' $0.00 ` - - -' ,,�� , � ,' �\ �� ,� � ��\ ; � J,� . ,i1� � � � . \� ,. / c �Total: $24.00 1 � �' � „% �_ � �, � � � ✓/% � ��`, , �'\. . `' r , :r-; . _ . _ , �c;.� " /. ��' � ,";PLANNING&ZONING`�� .',.%�,. , SETBACKS� // �.A , � �;,, =-- � -,' '/ � '� ��j, :�l ��A`�.�. - , _ - ' ' � � � - .� : %/ �)"�/: � i' , MAIN STRUCTURE,Fronl �0-�0� �� Rea �. 0- 0- � �. Left 0�0 _�_ � Right �0- 0., (, � V -��, l,i/ : � �� - a.��- , --.��. � ,� . � -. �., - , . i' g = . � � �� ACCESSORY �. Front, �0��0 / i i� �Rear - 0-0"� �--Lefl 0 0�"� Ri ht - 0 0 �'.'� � i/.�� ,_ ._ _.' .___ �1 � '� �>' �_J.' _'i; 1 -� _ r-� �'1 � �� ' ��'%i� PARKING Existinq.�� 0� �_�Re mred: "0-� t � �-- � - Proposed: `�=�0 � 1 ,: ,� , � �,� � -'' � f' ��Jr , '.� ' �� ;1�� , � c' � - NOTES: �� _ - .. �=f,�'��1, �J , . �� - i �. _ - �� ; ol'% , �`�. :��-J::ic=Jii './� / NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92Q8, § 1, 1241•92) EXPIRATION: Thls permlt shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. �� INSPECTIONS: In order for Ne work authorized untler this permit to ba considered legal, such work must comply wlth all applicable codes, and all I requlred Inspectiona end final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: Q14) 7545626 �I xue�e �e�ao� WORKERS'COMPENSAnON DECLARAnON: I hereGy eNirm under penalry of perjury one ol the lollowinp declaretions: ❑ �I have antl will melntain e ceNflcate ol consent to SelFlnsure tor workers' compensetlon, es pmvided lor by saction 3700 0l the Lebor Code, for the peAormance ai Iha work lor which th�5 permii is issuetl. ❑ I have anC wlil mA��in workers' compensetlon Insurence, as required by section 3700 0l lhe laDor Code, for the peAortnance of the work for which Nis permit is iswed. My warkers' compensation Insuranca certier and policy number are: . Carner: .,. Polity Number: (Tnls sec(lon nesd not De completed i/ Me permlt is veNeO el one �undred dol/ars ($100) or /ess.) ❑ I certity ihat in Ihe PeAartnence oi the work tor w�ich Ihis pertnit is issueC, I shall not employ eny person in any manner sa as to become subject to the workere' wmpensailon laws of Califomie, and epree that it I s�wld became sub�ect to the workers' compensatlon prodsians ol SecOon 3700 ot Ihe Labor CaCe, I shail fortMvith comply with these p�ahsions. Applicant Slgnature: Date: WPANINO: FAILURE TO SEWRE WORKERS' COMPENSATION COVEMOE IS UMAWFUL AND SMML SUBIEGT AN EMttOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED TFK]USAND DOILARE (b1 W0001� IN ADDfTION TO THE CQST OF COMPENSATION, DAMA�ES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOH CODE, INrEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eNirtn that I erfi Ilcensed under proNsions ol Chapter 9(commendng with Section 7000) of DlWsion 3 oi Ihe Business end Prafessions Cotle, and my license is In tull torce entl eMect. Lic. a Class a Contrectors Slgnature: Dflte: CONSTRUCTON LENDING AGENCY: ❑ I �eroby aflirtn ihat there is a consiructlon lending agency for the peAormence ot the work lor whic� ihis pertnit is issuad. (Sec. 3097, CiWI Code). Lontler's Name: Lendefs Adtlress: Signeture: Date: OWNER-BUILOER DECLARATIONS: I hereby eltirtn Ihet untler penalry oi perjury that I em EXEMPT FROM TME CON7RACTORS LICENSE LAW for Ihe following rea9on (Sec. 7031.5, Business anC Prolessions Cotlo: Any ciry or counry which requires e pertnit to wnsiruct, elter, improve, tlemollsh, or repair any strucWre, prior to its Issuence, elso requires the applicaN tor buch pertnit to file e signed statement that he or she Is Ikensetl pursuant to Ne D��sbns of the ContreMOB LJcense Law (C�apter 9(commendng with SecUon 7000) ol Dlvision 3 of Ne Business entl Protessitlns Code) or Ihat he or she is exempt Ihereirom and Ihe basis lor ihe allegetl enemption. Any vloletlon of Sectlon 7031.5 by any epplicant lor e permit suhjocts the applicant t0 e dvil penalry of not more then Trve hundrad ddlars (5500).): ❑ I, es owner ot the P�aPerty. or my emplqrees with we9es as Iheir sole wmpensatlon, WILL DO 7HE WORK, en0 �he structure Is not intendetl or otleretl tor sflle (Sec. 7044, Business antl Professions Cotle: The Contrac�ors License Ww does nol appty to en awner of property who builds ar improves Iheraon, and who tloes such work himself or herselt or through his or her own emplqreaz, provided Ihat such improvemems ara not Intended or oflered lor sele. If, however, t�e building or improvement is sold within one year ot completion, ihe owneo-builder will have ihe burden of proving ihat he or she tlitl not build or improve for purpose ot sale.). � ❑ I, as owner of the p�operty, am EXCLUSIVELV COMRAC7ING WITH LICENSED CONTRACTORS to consVuct the project (Sec. 7044, Busineu antl Professions Code: The contrec[ors License Law tloes not appty lo an owner of pmperty who bulltls or Improves Ihereon, end who wNracts lor such project vrith a cantwcior(s) licen5e pur5uant to the ContraCiors License Lews.). ❑ I em exempi untler sec. Business end Professions Code lor this reason: SigneWre: Date: Owner ID venlletl Dy drl�efs license. ❑ Yes ❑ No Drivers LJcensa No. Vedficatfon of Ownershfp by (rypa W documam, i.e. - proDerly len bilV or deetl): Expires: DIVISION OF INDUSTqIAI SAFE7Y PERMR CERTIFICATION: ❑ 1 hereby certity ihW� no excavation tNe (5) or more fee� in depih inio which e person Is requiretl to tlescen4 wlll be mede In conneciion with work aut�orized by t�is permll, antl �hat no building strudura, sceXdding, falsework, or demolition or dismanlling thereof, will be more then thirty-slx (36) leet high. (C�ap. 3.2, Grp 2, An 2, Sec. 341, Ttle 8, Califomia Atlminis�relive Cotle). ❑ As ownerbuiltler, � w�ll not emplay anyone Io tlo work which would requlre e Oermit from the Division ot Indusidal Selery, es notetl ebove, unless such person hes a permit to tlo such work irom the tlMSion. Signeture: Date: Division of Industnel Sa�ery Permit Numbor. CER7IFlCATE OF COMPl1ANCE AND AUfHORVA710N OF EHTRV: I certify under Denalry of perjury that I have read this eppliration and staie ihat the Informatlon given is correct. I egree to compy wilh all stete lews end dry ordinances relating to building wnstruction, antl authodze representatives ol the Giry ot Costa Mese to enter upon Ihe ebove-tlescribed properry �or inspecUon puryoses. I agree �ot to occupy or allow occupanty of eny building authonzed by this permit until final inspecGon. CODE �. INSFECTIONTYPE 1616 Flxetl System Final Fire Preventlon 128fi Pool Spe Final 200 Finel Re-Rool 201 finel8locWReteining Wall 202 Final Fedory F��e Place 203 Flnal Slgn 204 Final Demolitian Pdg It�dL9 '� /o°� oate CODE 1 INSPECTION TYPE 208 Finel Mochenical 208 Finel Plumbing 210 Final Elociricel 212 Finel Fire Prevemion 220 Finel Planning Approval 222 FinelSite 250 FinalBulldingiOccupancy L'it�y °� C?odta �I�leQa �'u�E'du.r� Du,�ia.io� PERMIT PROCESSiNG CENTER .;' � - SUBMITfAL APPUCATION Activity Number: ' ' Received By: ProjectAddress: �� CTI�� d/� � `��Q ��5� Suite/Unih EXISTING CHAIN LINK FENCE ❑YES ❑ NO SUBMITTAL TYPE: ❑ Building � ❑ Planning ❑ Electrical Other OFFICE USE ONLY ❑ Engineering ❑ Sanitary District ❑ Grading ❑ Sign ❑ Plumbing ❑ Mechanical ❑ Fire of work to be performed: (please be specrfic) (�e.�PA I V' WO � I� �� G � S� Sq. Footage: _ Occupancy 'i'ype: Owner/Tenant: Address: J.}V J ciry: Ei� \a m Type of Const _ Occupant Load: 1�i Valuation: Gradingi CudFill .. cubic yds. Phone No.: /1 Suite/UnniC State: l.� Zip: -I Applicant/A nh �1 'S/'�l ��r/a Va YC�G� Phone No.: �y 7 � b l� Address: �� W,/�•,,,, U r�V �� Suile/Unit: CDL !&311: % Ciry: csan�fa ITI IU . . State: � z,P: 9a�o y �ArchitectlEng.: N��" ' Reg. No.: Phone No.: � Address: Ciry: _ Contractor: �lN-tJT Tc Address: 3�� (� Q Ciry: L �pp State License No.: 1 I�22 Workman's Comp. Policy No.: Insurance Company: (Z54].66) 25CFd6 (rav. 1b02) Suite/Unir. State: ' Zip: _ �. Tevm� {e. CSY)�IYflI phoneNo.: 17��I� %OS-b /9� ' 7�}11'e �`� /y Suitelllnit:� State: l, Zip: a Class Expiration: Expirationi (SEE BACK FOR ITEM/ZED ELECTRlCA4 MECHANICAL AND PLUMBING) 254bd6 (rav. 1dU2) Aoolicant to till in all spaces except lhosa witnin neavY borGer Ilnes antl sign all approD�iate Oeclarations. CII�YAF COSTA M/E(S�[Q CON TR �TIol N P./�E R IT - PER I7 N� ��D TRACT NO. -:LOT NO. IJ�N` �' A P# : , " ' , Zane Prole�t Address • � V J � ' �e��, µ �7� �� ,y I . ' �K . g: , Y 9� ' � , TVPE OF'CONSTRUCTION. NEW � DD, TERATIO REPAIR. S Main Buildin Accesior Builtlin 'Appiicant's Mailin�+ ddress � � E ' ' . Z ❑ CONVERSION ❑ DEMOLISH - OTHER � _ ' T Ffont � p `Owner's Naym/e 4�e �or'Je-5 ir%QC �� ✓� pho7e9 �7 '�'s 5 DESCRIPTION�OF WORK/USE OF BCDG. � - A Rear �� ' ' � � � � N Address 1t�� 5 rWf O,f 125' SAn�fG1 KII% :, ' , ��. :..- :. ��TVPEOFPERMIT GRADING 'FOUNDATION STftVCTVRAL IC Right • . � N Arch/Eng. 'LicenseNo. � . ' K- , � G Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . g � Left • . , � , R 0 Ph � __ 70-� ❑�OrHER �� ' IPIng;ReL#� � � ParkingReq./Provided - � E Contracror's Nam Q - � � - � L - � - ' A � SA4I 1'�JI{- � Q� PROJECT�DESCRIPTION�. SQ.FT._�%00 oCcuPANCV � , . �� Address Ima'I' g) �y � � �� Planning Notes: . ry� 3 CON'STRUCTION TVPE VALUATION 5�� Ciry License No.' b' � 3 � �" � . 2oNE^ ' �� GRADING CU. VDS. ACRES' � " $, LICENSED CONTRACTOR OECLARATION � ' � , �� . . - � I hereby aftirm tha[ I am IicenSetl untl¢r prOvislons ot Char[er 9(comm¢ncin9 Remarks: ` � L� ' with section 7000) of Divislon 3 ot the Bu5ine55 antl Professions Cotle, ap tl . . . . ' ' ^� . � my license is in tuu tor an�Lyi ct. / '- ' ' _ _ , � ELECTRICAL- , , . FEES License Class S Lice se o. 1� -� - � ' _ � � ' - PLUMBING ' -FEES • %�uromatic Washer Transformer ❑ 15-50 KW OateB�� Signahre � � , �- � I WORKERS'COMGENSATIONDECLAiiAT10 Bdr$ink ' � ShOw¢f5 - -COnStrUCtiOnPOleSub. � � .�50+�KW - l �`�reby affi�m tbal 1 have a certificdte ot cOnsent o se f-insure or a ter iflCat¢ ' , 1 �orkers'. Compensation Inmrance, or a certifi copy thereof/(Section Backflow Preventer Service Sink � � . Cooking Uni[ � � - Meter �up to 100 amps � , J, Lab. �j �7/�D/ � Q��'_ Y � - - . �� . . Dishwasher. � Me(er ❑ovei 700amps PolicY No. �J � �' ;ComPanY 6�/� Backflow Irrigation � . �Sewer Cap . �fietl copy is hereby fumishetl. . . ' - Dryers ❑Gas� ,�Electric - �Sub Panel : -: Certified wpy i il with the cit � tling Di ' BBthtubi , S¢W¢� COnO¢CtiOn - Date �� —��-��.APPlican -- ' . - _ . . . . Fan _ - ' . EXEMPTIONFROMWORKERS'COMPENS TIONDECLARATION Clarifiers� ,SOIa�COIICCLOfS. MOt0�5�O-7HPOlYx-S .(Thiszeclion neetl not be complete0 if tne permit is for one huntlretl (5100) or .. F.A.U. � '' iess). /� Dishwasher . _ Solar Piping .� Ina Solar �9-15 HP 016-15+ 1 cerlify that in the periormance ot tne wp�K for which this perm�t i,�zsuetl, 1 � Fixtures" �.. - �. Microwave ' � � - �- shall not employ any pe�son in any m aner so as o come suC'� ct �o the Drinkin9 Fountains Solar Tank Workeq pe LawS of Caffo �6 7.� . �.- • DeJice Boxes '' ' ' ' Date N�� '99nature� Floor Drains' . � Swimming Pool w/Spa - _ � Pale Light � - .� ,NOTICE: It�, afle� making this tleCla�atlOn, y u,5houltl beCom¢ subject to the � -� � . Outlets " ' ' ' Range ' � '- ^ Wo�ker5' Compensation O�o'/isions of the Labor Cotle, y0u must forthwith FI00� $ink5 ' � � �UtiOdl i � wmply with such p�oviSiOns ot this permit Shall b¢ Oeemetl revOketl. ' . , � CONSTRUCTION LENDING AGENCV � Ga55ervice - OuLIEts ' 'WetefCl0i2t . . SWitches � $i9n 1 hereby alfirm Iha[ the�e�is a const�uclion lentling agency fOr Ine perfo�mdnce - ' . Garbage Dispoul Standing Sections oi the work for" which' this permit is issuea ($ection 309] Civ. CJ Interceptors j � ;Water�Hea[eM1 ' � � IxnGer's Name - � Generetor �0-5 KW �5-15 KW Trash Compactor � �entler; s Atltlress Kitchen Sink Water $ervice � _ _ OWNER BUILDEft DECLARATION � � - I he�eby affirm lhat 1 dm exempt from the ConVactor's LlcenSe Law for th¢ L2VlltO�iCS � AutO�WBSh - ' tollowin9 reason (Settion J031.5 Busine5s antl Protessional Cotle: Any tity or � " . - munty which requires a oermit to construct, alter, improve, tlemolish or repalr p-Trap ' � , Laundry Tra'ys any ztructure, p�Ior t0 It5 i55uance, alm �eqWreS the applicant fo� SUCh pe�mit - , � to file a signetl stdt¢ment that �Ile/She is IicenSetl pulsuant t0 [he prOvision5 o/ 'ROOf DldinS ': ' '� ' tne GonVactor's License Law (Chapter 9(tommencin9 with Section 7000) ot . ^'vision 3-�of tbe-�Businezs antl Professions Cotla) or-that be/sh¢ Is exempt - - � ♦ � . �� . - _ , • - RBinSpeCtian F80 $15 IAUe PBB . ' ' � • $ 3 elrom antl the basis for tM1e alleqetl exemption. Any violation of Section . � . � 1.5 by any ap0licant lor a permlt subjec[s the applican[ to a civll - � . .iany ot not more than five hundreC tlonars (E500). � - ., S 3 DEVELOPMENT SERVICES REQUIREMENTS: , �. ❑ I, as �owner �ot the' Property or my employees with waqes as their sole Reinspection Fe9 $15 IRue Fee 2oning Approved By ' ' -- Comp¢nsation, wlll tl0 Ille work, antl Ihe 5[ructufe i5 nOt In[entl¢tl Or Otfeletl � ' DatB for sale (Section J044, eusiness antl Professional Cotle: The Contracmr's . � MECHANICAL , - FEES Buildin8 APP�oved By Date License Law tloes nol app1Y lo an owner oi a property wbo builtls or improves . • ^ thereon,-antl who tloes�such work himself/hersel/ or thrOu9h bIs or h¢r own ' � � � HOOd O! TypE I ❑ %�PPIICdtl00 ISStIBd By � Dat� employees, prOvitletl lhat such Improvament5 are not InICntlCtl or ofleretl for BOiIC� •. -� . , , sale: Il, nowever, Ihe bulldin9 or imprOvement is Soltl within one year oi com- . Canopy �Type II ❑ ' ` � pletion, lne owncr wlll have tne buraen o/ proving he/she tlid not bulltl or im-. Duct - Under Ground SUMMA V FEES nrove tor tho purpose o( saie). � .. . .- . BUILDING PERMIT $� SMIP � 5_�� , ❑ I;.as owner ol the property, am exclusively mntractlng witn licensetl con- Duct- Strucmral . RefrigeraGon System , PLAN CHECK � $�' "PERMIT � ' t�actorslo con5t�uct lM1e�pro�ect ($ectiDn 7044, Busin¢55 antl Prote55ion5 Cotle: The ConVactor's License Law tloes not apory to an owner of property who Duct- Ventila[ing � ❑0�100,000 BTU ❑100,000 BTU - PLUMBING � $- � ISSUANCE $ , ,builtls or imOroves thereon. antl who ConVacls fo� Suth oroiect5 with a mn- tracror�sl license pLrsuanc-to ine'Convactors License law). I am aware tnat Exhaust System �' Multiple 0, System Repair/Alteration P�N CHECK 25% $. 'pwof o( tneir Worker'z Compensation insurance snoultl be v�ovitlea ro me.. " _ ' ELECTRICAL $ GRADING � $ ❑ I am exemot untler Sectioo '' e. & P. C. tor this reason ' Firepl/Fact:6lt, ICBO # .. Fire Damperi MICROFILM � $ � � ' � � Heating System & Ducting . ' Registers' • P4AN CHECK 50% $ ,� Date.� � � � � - Owner ' ' " - MECHANICA�L � � $ � ��_y`GJ �I nereby certify that I have reaa this ap 'c ion antl state that Ihe above ❑U100,000 BTU �100,OOOBT _ � TOTAL FEE $ in(ormation is correcL I a r toTompl �� tl counry ortlinances PLAN CHECK , 25%' $ � � � .. antl State laws atin ton � ereby autho/lie �epre- . �� .• ; _. , � Sentdtives O� i .ci e a i h -mention¢G Ptoperty -for - ' ' ' _ , . . . ' ' ' . , . ' . i . , . - InSPectian P es. - �` ' � 2�i • . ', ' . - Si9natu . - Date . - ', ' - . - � �� Reinspection Fee � . $15 . -laue Fee . _ • S 3 .. ' ' UI OAQ4O%JZ"DUO�O� ,T�� 54.5� Drl_� ' � e or'S 9f � . � ' '� . , 0865-46, rev. 5/88 Wnite - Builtlinq; Canary - APPlicant; Pink - Accounting: Goltlenrotl - Assessor � �� ' dAT�: G$i32/S9 �T?"IE: ?Q:C�D - CONSTRUCTION AND PLAPIIVING . POOL & SPA APPROVALS Psrmit# d% Date Inspector qppROVALS Permit�k Date Inspector ` 1. Temp �ary Electrical Se`vice o/Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms . 4. Electrical Conduit�Undrgmd. . 55. Electrical Bonding - 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings �,r ^� � 58. Electrical Conduit-Undrgrnd. 8. Foundation '� lJ�. 59: Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor Svstem 61. APPROVAL TO DECK 11..Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Elec[rical-Gonduit - 66. Solar Sys[em-Final 16. Rough Electric Wi�ing 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica67 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL,. iq, 19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT �� 20. Rough Factory Fireplace APPROVALS Permit # �• � �� ,> 21. Ducts, in Structure � 70. Underground Hydro }' � '� �'✓. 5 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil}'�, `� 23. Gas Pipe-Rough & Test 72. Underground Flush .� �' .^� 24. Roof Framing 73. Undergrnd.StorageTank OGe5�D0i1 25. Roof Sheathing 74. Overhead Hydro '� • � r 26. T-Bar Ceiling (Structural) & Monocoa[ 75. Dry Chemical � �� ` 27. Frame and F�ashing � � 76. Dry Standpipe / � � 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL Y 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �t! 31. Plaster Brown Coat ' 79.'FINAL INSPECTION � � i 32. Electrical Power Meter-Final 80. F000 CERTI ICATE ISSUED �� iJ 33. Final Electric Notes: �j � '"` /^� Q-�. 34. Finat Heating & Air Conditioning . Y� � � r�. 35. Final Gas Pipe-Test �' 36. Hood or Canopy _ ., 37.�. Final Factory Fireplace j ! , ` � � � � . t 38:1Final Plumbing �� J ;� �7� _,- { ^i � ". 39�.WaterService-Final � � �.� ' r` ' � � J � �1i . 40. Gas Service-Final '� '� � ,' ' - ' w 41. Solar pomestic-Final �� '�/�' ; �,;,/J . , . �42. Backflow Preventer �� :'� � � � � � � , / �- �s �-43�Backflowlrrigation � �, ,- ` �j.�� , � % '� v y . . . 44. .Landscape Irrigation System � � ��% M � � � i� r45 �S6und Attenuation � � . � ' - / i. N ' �46:�HandicapRegulations . j �t !✓� .. ' .- _, ✓ 4��FINALSTRUCTURE&BUILDING ' �p�a.pl N 7 U �y �' � 48; Special Requirements Completed ..ft op '1� �J � ,� } i � � 49:�Electric Release to Edison � ' � !;' h �� „� ' 50. Gas Release to Southern California Gas Co jR � �^ � .a 51. CERTIFICATE OF OCCUPANCY - " - � � . . r r No. Date �' . v ( . f �- --... . . ..__..... ... ._ . , . 1` ��- :;�) . Applicant to fill in ali spaces except t�ose wi(�in heavY �orEe� Ilnes anG sign all apprapriate Geclarations. OF COSTA MESA CONSTR}1 CTION P R IT PEy� IT N. TRACT NO. ' LOT NO. • UNI A P�y : i0 i� `5cs Y"��_�, '. . . Q � - �� • . ; . . . ec� Address - S Main Build� TVPE'OFCONSTRUCTION - NEW-� ADD TERAT N REPAIR' E ApplicanYS MailingAdd�¢55 � (� � -� ��-/� ❑ CONVERSION ❑ DEMOLISH OTHER� T Ffont- r'sName 2 � �Q�-f�� "Phone-L�1'�N �DESCRIPTIONOF WORK/USEOF BLDG. � - I B Rear � 3F37 5, c,rf�nr San a E-' /?F. �/2S . , A /Eng. License No. , TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL� •: i K Right � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �❑ MECHANICAL g� Left Address . � �1 . . � Contractor'iNam � � Phone 5 -37�/ �'�THER � - - .'. ° ' PIng.Ref.#, Address (mailingl /!��,f � q� S�%/� J^ PROJECT DESCRIPTION SQ. FT.• � OCCUPANCV� _y I'f �2%O� � ..,...,r� Planning NOtes: Cily Cicense No. -\ 1]� �10� CON STRUCTI�N TYPE VAIUATION $�i(ivV ZONE ' GRA�INGCU.VDS. ACRES LICENSED CONTRACTOR DECLARATION - ' 1 hereDy alli�m thal I am lice�setl untler provislOnS of Charter 9(commencin9 with section ]000) ot Divis�on 3 of t�e Business antl Professions Cotle, antl my license is in (ullif r and eHecL ,/ (a L: License Class Lice s No. 6 �U DateQ'Z� ��/S Signa�ur WORKERS' COMPENSATItlN DECLARA ON -�ereby aifirm that 1 have a certiticate of consent t s -insure or a certiflca Workerz' Compensation Insurance, or a certifietl copY lh reof (Section .00, Lab.'C.) - ` Pnoli,c.y_ No. g9-476 �� Company( �r'�7�n � 1� Ce�,1�ia caPY is hertlbwiMrtnehctY B�u tll 9- LRI-vISio Date �- ��' � /' APPlicant !/�///+y �� ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sMtion-neetl not be <omP�etetl if the oermlt is ior e hunaretl q0) less). � ' ' � I certiy that in the Oer(ormance oi the wqpk to m� i shall not employ any OersoP in any ma�fder so as to ome subj to the Worker;. Comye� sat}qn,Laws of Calif r 5 � Date V 7 �V�3 519na _ ' WorHers' CompenSaLon pro`/�s�ons or ine Laoor coae, you musi �orinw�m comply� witb such 'provislOns or tnis permit shall be tleemetl revoketl. � CONSTRUCTIONiIENDING AGENCV � � .. I nereby atfirm that there Is a construction lenaing agency for the per/ormance : oi lM1u work tor, which this permit is iSTu¢tl (SeCtion 3097 Civ. C.) ' Lentler's Name - ' Lentler's AtlCress � � OWNER BUILDER DECLARATION ` I hereby affinn lhat I am eXempf trom ttte Cont�actor's.Licen58 Lav✓ IOr the following reason.($ection 7031.S.Business antl Protessional Cotla: Any city or � counly which tequires a perml0.to const�utt, alter, improve, tlemolish o� repair ' any strucWre, prior to its Issuance, al5o requires [he applicant for such permit . to file a signetl s[atement tPat he/she is Iicensetl pursuanl to the Provisions of •�tne ConlractOr's License LaW. (Chapter 9(commencing with Section 7000) of �ivision 3-ot the Business antl Professions Cotle) br that he/she is exempt ereirom antl the basis tor the allegetl exemption. Any violatlon ot Section J31.5 by, any'-aOP��dnt for a permit subfects tbe appllCa�t to a civil �enalty ot not more than iive nuntlretl tlollars (E500�.. � LJ I, as owner of the proPerty or. my employees with wa9es as their sole � ��mmp¢nsa[ion, will'tlo [he Wo�k, antl Ihe 5l�ucWre i5 not intentl¢tl O/-offeretl � for sale�(Setfion 7044, BUsiness antl� Professlonal Cotle: The Contractor's License Law tloes nol apply to an owner of a property who.bulltls or improves thereon, antl who �tloes such work M1imself/h¢rSeH o/ Ihrough his o��he� own , - employees, provitletl tha� SUch improvements are not Intentletl 0/ o(faretl (or , Shce. H, however, Ihe bulltliP9 or imOrovement is soltl within ono Year of com- pletloq lhe owner will hav8 Ihe bu�tlen ot proving he/she tlid not builtl or Im- '. prove for Ihe Du�pose of sa18). , • ❑ I, as owner oi tne property, am exclusively contracting with Ilcensetl con- tfactorSto cons[ruc('the prolect (SCction 7044, Busine55 antl Pr01e55ion5 COtle: ' The ConVaclor's t'icense LA�+' does not ap01y to an own¢r of p/o0erty who 'DuiltlS' Or ImOroveYth¢reon� antl who conVaCtS �oI such oroie<ts with a�ron- . tractor(s1 Lcense pursuan[ to [ne ConVactor�s Licenu Law). i am aware tha[ ; prool o� their Worker's Compenzation insu�ance Shoultl be provitletl to me. . L7 Lam exempt under SectiOn � . � B: &�P.'C. ror this reason Date ' O�+ner � ' ' I-hereby: certi(y�that I have reatl tnis�ap0li atio antl state [hat Ihe above InformaHon is correct. I a9r e[o.compl ity.antl countY ordinances �antl itate laws �elati uil ing co �tl hereby autho�iie repr¢- SElILdl�VCS O� IS entionetl 0lOpCI(y f0l �Inspection 52 . � �f Date Y � Z� � � Sink kflow Preventer kflow Irrigation itubs Dishwasher � Drinking Fountains Floor Drains � Floor Sinks • Gas Service � InterceptOrs Kitchen Sink � Lavatories, , P—Trap Rnnf flroine - Reinspection: Fae Boiler ' Duct - Under Ground Duct - Strucwral � JtIQLS t $�5_ Exhaust System LJ Multiple Firepl/Fact Bit. �CBO # Heating System & Ducting � ❑0.100,000 BTU �100,000 Signature ' I I Drlvars' �icense ar S� Reinspection Fee 0865-46, rev. 5/88 White - Builtling; Canary - APPlicant; Plnk - ACCounting; Goltlonrotl - Assessor Showers Service 5 Solzr Tank Swimming Pool Urinal - . Water Closet Water� Heater Water Service Auto-Wash Isue Fae ! . � Hood or Typel ❑ , Canopy . Type II, ❑ " . Refrigeration System ❑aioo,000eTu ❑iob,000 System Repair/Alteration Fire Dampers � Registers � � � I�sue Fee � .: zo. .Accessory Building: � . . - i . . ' Parking Req./Provided '- , i ES Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher Dryers OGas ❑Elec� Fan , F.-A'.U. " � '� Fixtures Device Boxes ELECTRICAL � Transformer ❑ 15�50 KW ❑ 50+KW � MeEer ❑up to 100 amps Meter �over100amps Suh Panel '' _ � Motors DO-1 HP �iX-8 ' � Ina Solar �9�15 HP �16:15 Microwave i , . _ t $WIiChQS ' . Garbage Dispoul ' Generator �0.5 KW 05�15 KW ' ReinSpection fee $'3 �DEVELOPMENTSER � f� 2oning Approved By_ •FEES f Building Approved By Pole Light ' _� + • Range_ Sign Standin9 Sections Trash Compactor . $15 I I Issue Fee — REnUIREMENTS: • � . Q _ N I. N G R = E Q M r '_ T FEES $ 3 ' �� • ' � SUMM�A Y �O�F FEES � � � i BUILDING PERMIT, $�? T. t/J .SMIP $ . S� � PLAN�CHECK , $ • � �PERMIT - BTU ;. � PLUMBING $ ISSUANCE $ , � , �� PLAN CHECK 25% $ � ENERGV P.C.� $ � ' � . E�ECTRICA� $ ' GRADING $ � — PLANCHECK 50%� $ � MICROFILM � $ � f' , ' MECHANICAL � $ iTOTALFEE � $ � � ^�v PLAN CHECK 25% $ � .. � ; . � $ 3 �l 00040729-OOQ�OTO TC+T' S¢.SG �aTF: nsizsi�9 TIdE� Os^�49.... _ .. , ON. ON AND PLANNING APPRI. LS Permit # - � .. 1. Temporery Electrical Service-or Pole �- -2. Soil Pipe-Undrgrrid. -�3. Electrical Conduit Utility:Undrgrnd. � ' 4: Flectrical Conduit�Undrgrnd. 715-Steel Reinforcement`� � _ . „ 6. Elecirical UFER�Grnd. . �� 7. Footings � . � ;28 Foundation • - " , �r � . 9�. Water Pipe:Undrgrnd. • /,;, � '10:��SVuctu"ralFloorSystem 'j� - '71.'Property Sewer Line & House Connectio� y 12. Sewer Cap� . . . /� �' i.i . 13. Roof"D?ains , -, °'• 14. Rough Plumbing - ' • 15.'Rnugh•Electrical-Conduit - • � =•�6! Ruugh Electric Wiring , j � . � 17., Rough Wiring Sign � � � � � ..i� ..C'�. � - 18: Rough�Electrical-TBarCeiling,� . .i: . ,� (19. Rough Heating & Air Conditioning � ``20.. Rough Factory Fireplace � �� . ..� . • �21.' Ducts, in Structure - .� _ '- 22. Ducts, Ventilating ./r � � � 23. Gas Pipe-Rough & 7est � -� 24. Roof �Framing C - � „ tir � i 25 �Roof Sheathing � � ' .} 26. T-BarCziling (StruGtural) & Monocoat ,27. F�a�me�and Flashing y�� 28. Lathing & Siding . �� 29.� Insulation _ . � ,� � . 30. Drywall Nailing . L' ° � � -J �7-�PIas[er Brown Coat � , y � . ,'32�Electrical Power MeterFina�: . . ,� 33. Final Electric O: � ' � 34. Final Heating &�Air Conditioning � 35. Final Gas Pipe-Test� ' .� . 36. Hood or Canopy . , . 37. Final Factory Fireplace l ,�. � 38. Final Plumbing � ' � 39. Water Service-Final ' �'� � � 40. Gas Service-Final � � i ' 41. Solar pomestic-Fin81 � . ' 42. Backflow Preventer , , ' 43�Backflow Irrigation � . � 44.� Landscape Irriqation System , 45. Sounci Attenuation � 46.� FiandicaP Regulations � , 47. FIN,ALSTRUCTURE&.BUILDING , , 48. Special Requirements Completed �� 49. Electric'Release to Edison .._ ' � 50. Gas Release to Southern California Gas Ca . 51�. CERTIFICATE OF OCCUPANCY ; No. � �Date ' 7 . PO(. . SPA � Date , Irispector • ' Date y� ?,�, APPROVALS Permit # .. �' � '52. Pool & Equipment Location .� ' � � • � '�� 53. Steel Reinforcement � . ' . � . ;b . , . i � � . ,� 54. Forms " � � ' 55. Electrical Bonding � .. - - , � .- 56. Rough Plumbing & Pressure Tesf . ' r' 57. APPROVAL TO COVER-GUNITE - "C ' +; 58. Electrical�Conduit-Undrgmd. ,. � '»/ 59. -Gas Pipe, O Undrgmd., Test � �, - ' � � •�;y', 60. Backwash Lines, P-Trap, O Undrgrnd. '" � � �� - 61. APPROVAL TO DECK � � .��, �� ; t 62. Backwash & Receptor-Final . � �> ! � 63. 'Heater & Vent-Final . �{ S 64. Plumbing System - Final . � '� � 65. Electrical-Final � - -j�� - ��- 66. Solar System-Final " . ' -' - 67. Fencing & Access Approval • � � 68. APPROVED•FOR PLASTERING , � 69. POOL/SPASYSTEMSFINAL . , � FIRE DEPT. REQUIREMENT� � APPROVALS Permit# . r 70: Underground Hydro � � 71. Product Piping OGas OOiI ' ' '72. Underground Flush ' . ' � . . 7.3. Undergrnd. Storage Tank � Gas ❑ Oil � '� 74. Overhead Hydro - . � J5; Dry Chemical . , 76._ Dry Standpipe ' �77. FIXED SYSTEM FINAL � ' - � ' . 78. FIRE PREV. FINAL � HEALTH DEPT. REQUIREMENT � ' - , 79. -FINAL INSPECTION � � � ; '80. FOOD CERTIFICAT IS UED � �� • ' ' � Notes: iA N 9 /n . B ♦ � � 1 i � �" � � 'G. - . J i i � . . � ��a I . - i- ' [t,- � �; ,u � Inspector _'i - L� ;. A Ma� M I��I N�--� ASSOCI�,T�S 3631 South Harbor Blvd. Suite 125 Santa Ana, CA. 92704 Mr. David Hartke City of Costa Mesa 77 Fair Drive Costa Mesa, California 92626 xe: 3037 Jeffrey Drive Dear Mr. Hartke: � .. • �\ �. REAL ESTATE APPRAISERS Telephone (714) 957-2565 FAX (714) 755-5777 September 12, 1989 As per our telephone conversation of last week regarding the above referenced property, this letter serves as our certification that the smoke alarms in all three units are in and operable. We would appreciate your final inspection of the new roof at your earliest convenience. Sincerely, 4c_ PdUl G. MaCMillin PGM:djm cc: Mr. Kevin Hall Santa Ana Roofing _ " -•w �:4:lFF�'7 - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1T00 COSTA MESA, CALIFORNIA 92626 ' For Applicant to Fill in Completely — Use Ink Only BVILDING � ' ADDRESS — i� Drive„ ('.� OWNER jjJ.CY13TYI SEW211 IT1C. ADDRESS 136 �LiChe$�r Str�2t TEL. c�T� Cpsta Mesa 92627 No..642-49 CANSTRUCiION LENDER UIlIQ1Q�J11 BRANCH ADDRESS ' FEB -?-77�,;�00 144� *** 162.04 APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV DATERECEIVED DAT� E�� /�f/�/o� �o/�ar.��o3�05� Peq�' BUILDING ADDRES; TEL.�... .....� � USE ��J �� VALVE �� /�DOFESS 13b ttOCI125tPS' .JL. .IASZd 1°LESd <�rv� itrc �nwr � APPROVED � ' � CONTRACTOR Oqjler BV DATE AODRESS . TE� Z � NO.OF 'USE OF N W � CITV � � • NO. P�� BUILDI F STATE CITY �'ARDSAPPFiOVED YARDS PPROVE � LI0. NO. Z 1(iH 'Bl - LIC. NO. MAIN BUILDING ACCESSORV BUILDING (z� SIZE NO.OF BLDGS. IFROM ST T a OF LOT NOWON�LOT RONT FT. a USE OF � � EXISTING BLDG. S FT � ' FSeparate permits are required�for L SIDE .SFT. FT. electric, plumbing and heating work. WREAR FT. FT. [... VSE OF BVILDING AND WORK TO BE PEFFORMED � p��'qNCE BET. BEf. MAIN& Q� � MAIN BLDGS. ACC6S. BLDGS. � � � VAR. / . DATE _ �� a � C.U.P. l ,p— APPROVED � APPROVED PP � } /\ '� � a HOLD F�R SPECI �L REQU!?E w 0 I haraby acknowl6tlBe that� I heva reatl this appliceNon antl state � . � n y� that the above informatlon is correct and eprea to comply wit� - � all laws regulatin8 builtllnp construction, antl � shnll not employ m Z anY PersOn in violatiOn of ffie wOrkmen's.compBnsation laws ot � �+ - � . 2 the Stete of Califtlmla. � SQ. FT. V S a�/ ��I N 3 I heraby certlty tM1at I em properly Ilcansetl es e eontreeior untlar the State of Celifo�nie Business antl Professtons Cotla, Dlvlsion 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR m Chapter 9, antl th9t such Iicenses are In full.force ontl ef}act, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV: em exampt from tha orovisions of the SteSe of Celltornia Business � a end Profassions Cotl , Divislon 3, iapter 9. VALUATION PERMIT FEE S - � n PLAN CHECK S ^� Signaiure of OBD • � Permittee S�� TAX y �3 U � Authoriz Bant � ' TOTALPAID' S/`j / (J. F � {al a Q ► � "� F G 'F Q 0 � > �r .� x w L .� G. z � 3 COSTA MESA BUILDING-SAFETV DEPARTMENT „ PAI3QO 634 �*** a�,� —s-7�;�F:;� 24 i.00 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ' � APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEI VEO BV DATE RECEIVED DATEISSUED BUILDING ADDPESS PERMIT NO. OWNER ' A.P. NO. ' BUILDING n ADDRESS 136 Rochester Street �+DDRE55 �(/� / CITV CQ$�3 T']e$3 92627 � No��642-4905 TRACT LOT BLOCK CONSTRUCTION W P LENDER BRANCH OWNER a �C ELL ADDRESS VALUE ARCHITECT TEL. S 5 OR ENGINEER Sdifl AYxYDd 42-4 . FIRE ADDRESS 13 St. C,�SY� $3 Z�NE TVPE GFOUP APPROVED CONTPACTOR Qp7�']p,Y' - BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. P�� BVILDING STATE ' CITV �AfiDSAPPROVED ' VARDSAPPROVED LIQ NO. UC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE • NO.OF BLDGS. (FROM C/L STREET) ' OF �OT NOW ON LOT RONT FT. � FT. USE OF � � EXISTING BLOG. � � FT. FT ' SCP3I3I0 P0(IRISS 3fC I0(]UILBd COI . L SIDE FT. FT. elec[ric, plumbing and heating wo;k. REAR FT. FT. VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. - BET. MAIN & MAIN BLDGS. ' ACCE�. BLOGS. VAR.3W DATE �Tri 12X Wl�l dttdC112C1 di�d 2 C.U.P.Sy+ APPROVED � ' ' APPROVED I hareby ecknowletlpa that I hevo read ihls application entl stete Q '^ � ^ ' that the above Intormetion is eorrect antl apree io comply with m all laws repuletlnB buildln0 conrtrucNon, entl I shall not employ . . � any porson In vloletlon of the workmen's compansailon lows-ot m the State of Celifornla. • ' ' I hareby eertify thnt I om praparly Iicensetl es e conirector unAer SQ. FT. a tne Steta of Callfornle Buslnosf entl Profasslons Cotla, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, entl thot suc� Iiconws ere In tull force antl ef}act, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONIV: �� am exem0t from Me provlsiona of Mo Stete of Celifornia Businecs a nnd P�ofesslons Cotle, Divislon 3, Cheptar 9. VALUATION PERMIT FEE � m PLAN CHECK E ^� SlOnatura ot — � Parmittee � $ � LL TAX E � U AuMorizetl A t TOTAL PAID �