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Home My WebLink About920 PEACE PL - Building Permits� CITY OF COSTA MESA � euuauN� orv�s�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 • .lobAddress: 920 PEACEF Suite: Vicinity: Primary Occ: R3 Parcel Number: 41805246 Applicant: MAHIR BARKHO L/ i111LJ "1� / � Address: 'DO� SO^�._ I�r'. I �+ ,. ��_�•C`r (•� t^ Phone: 714-412-4926 (,�tu-YVl��-- ,CV} �121yu1 z�P: Owner: REYES, FIDEL EX��1rSl�l\ Address 920 PEACE PL ��y�qvi�g1�'�. 714-206-9808 COSTA MESA, CA w� ��+ 92626 � Contractor. OWNER-BUILDER PER � � Address: ` EXPIRES � Zip: Arch : Address: Zip: Phone: License: IR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/15/2005 Issued: 09/16/2005 ISSUED BY: 1`" ""—' iP R j �, — . r _ 1 License: 000000 �- � . i En9: NAZEM SKAF �-'- Address: N SAKF CONSULTAI7T INC LOMA LINDA, CA Phone: 909-799-3940 26147 WALLACK PL 92354 License: 46215 SCOPE OF PERMIT ADD 855SF MASTER BEDROOM, BATHROOM AND FAMILY ROOM. 3 BEDROOM, 2 BATH SFD TO�REMAIN. Plan Check: $554.94 Permit: $853.75 SMIP Res: $7.90 SMIP Com: $0.00 Other:. $0.00 t Inspection: $0.00 Total: $1,416.59 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY PARKING Front 0- 0 Existina: 0 Rear 10- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 36- 0 Left 0- 0 Pr000sed: 0-�" - Calc Valuation: Claim Valuation: Righ� 9-0 Right 0-0 $79,002.00 $o.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 the work authorized under this permit to be considered legal, such work must comply with all applicableycod and all required Inapeetlona and final approval must be obtainetl. Failure to obtain inspections and final approval will result in ihe expiration�tif this permit. FOR INSPECTIONS CALL: (714) 75¢5826 2446-06(N00) WORKERS' COMPENSAY�ON DECLARATION: - � I hereby eHirtn untler penalty of perjury one of the following declarations: ❑ I heve entl wlll maintein a certificete of consent to self-Insure for workers' compensation, es provided for by sedion 3700 oi the Labor Code, for the pertortnence ot the work for which this pe�� s issuetl. ❑ I heve entl wlll mainlein workers' compensation Insurance, as requirad by section 3700 of Ihe La6or Cotle, for the pertormanca of the work for which this pertnit is issued. My workere' compensetlon Insurence carrier and policy number are: Cerrier: Policy Number: (ThlS sect/on neetl not be comp/eted il the permit is veluetl at one huntlretl dollars ($100) or less.) ��I certify thet In ihe padormence of the work for which ihis pertnit is issued, I shall not employ any person in eny manner so as to become subject to the workers' wmpensetlon laws of Celiiomla, end agree thet if I shoultl becoma subject ro the workers' compensation provislons of Sectlon 3700 ot ihe Labor Code, I shall fotlhwith comply with these pm�i� �ns�. / / /J App�IcanYSlgnetuFeim--!:6 �/ �iJiLi/��J�J � �Dete.^"-; %�/l010 S WARNIN(3rFA1CURE TO SECURE WORKERS' COMPE TIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDqED TYIOUSAND DOLLARE (E100.00OI. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR CADE, INTEFEST, AND ATfORNEYS FEES. �, LICENSED CONTRACTOqS DECLARATION: � I hereby eXirtn thet I em Ilcensed under provislons ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, antl my Ilcense is in full force end eNect. Lic. M Cless u Contractor's Signature: Dete: CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirm that ihere is a cons�ruction lending agency for ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Landers Neme: Lenders Atltlress: Signature: Dele: .-..'+F'lk'�.�..�..�....�.._.._.ty".dYr,.�. e�. I here6y eHirtn�thebunder p9�alry ot pequry;the : am E�MPT;�h�OM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or;counry wli�h requires e:pertnit to consGuct,�l r, improve, demolish, or repair any strucNre, prior to its Issuence, also requires Ihe applicant for such pertnit to tile e signed sletemen� ihaKhe or 5�1�`is lice�setl purgienf t�tfie provisions of the Coniractors License Law (Chaplar 9(commencing with Sectlon 7000) of Division 3 ot the Business and Professions Cade) or thet he o'r she is ei['e(iipt 9i�iefrom and tha basis for the elleged exemption. Any violetion of Section 7031.5 by any applicant for e pertnit subjecis the applicant to e civil penelry of not mora than five hundred dollars ($500).): . ❑ I, es owner.ot t�e properry, or,my employees with wages as ihair sole compensation, WILL DO THE WORK, and ihe siructure Is not Intendetl or oftered 1or sale (Sec. 7044, Business and P�ofesslons Code: The Coniractors License Law tices not apply to an owner of properry who builds or improves ihereon, antl who doas such work himselt or hereelt or tnrough his,or her own employees, provided that such impmvements are aot intandeU ar otteretl tor sale. lt, twweae�, the builtling or impmvement is soltl within one yeer ot completion, ihe owner-builder will have ihe burden of proving that ha or she did not builtl or improve for purpose of sele.). • ❑ I, as owner ot the property;�em El(CLUSIVELV CONTRAC7ING WRH LICENSEU CONTRACTORS lo construct the D�olect (Sec. 7044, Business and Professions Cotle: The contractore License Law does not epply to an owner of pmperry who bullds or improves thereon, entl w�o contracis lor such proJed with a contrector(s) license pursuant to ih� Contractore Licanse Laws.). ❑ I em ezempt under sec. Business and Professions Code for this reason: Signatura: Dete: Owner ID venfietl by driver'4 �bense. ❑ Yas � No Onvers License No. Expires: Verificetion of Ownawhip by (rype oi documen6 i.e. - pmperry tax bill or tleed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby cartify ihe� no escevation five (5) or more teet in dep�h into which a person is required to descend, wlll be made in connectian with work eutharized by ihis permit, antl ihat no building structure, scallolding, falsework, or demolition or dismantling ihereof, will be more ihen Ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Californle Adminlslra0ve Code). ❑ As owneo-bulltler, I wl�l not employ anyone to tlo work which would require a permit from the Divislon of Industrial Sefery, es noted ebove, unless such person has a permit to da such worN <<om ihe division. Signeture: Date: Division of Indusirial Sefaty Permit Number: CERTFlCATE OF COMPLIANCE AND AUTHORIZATION OF, EMRY: I certity under penalty ot perjury �ha� I have read Ihis applicetion and stete that the information given is correct. I egree to comply Wlth all stete lews end clry ordlnances relating to building constmction, and euthorize representetives of Ihe Clty ol Coste Mese to enter upon Ihe above-described property fo! inspection puryoses. I egree not to occupy or allow occupancy ot eny building authorized by this permi� until final inspection. COOE t. INSPECTIONTYPE 1616 FixeC System Finel Fire Prevention 1266 Paol Spa Final 200 Final Fe-Roof 201 Final BIacWRetainln9 Well 202 Final Factory Fire Place 203 , Final Sign 204 Final Demolition y(�jg IN�R� �D�EN INSPECTIONflPE 206 Final Mechanical 208 210 212 220 222 250 Final Plumbing Final Elecirical Final Fire Prevention Final Planning Approval final Site Final Building/Occupency PAIE � DECLARATION OF AUTWORITY Bldg. Permit# FOR AGENTS OF PROPERTY OWNER � This Permit # TO APPLY FOR PERMITS StreetAddress: � `O ��/ 1~`� V � � APNumber: I(we), �`�"""'� V�-'�l-'r�� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Name: � g'}�-� 1 �� A 12 '�.�-�-e� Telephone Number: %/ y - `-7 �Z �' % ��, StreetAddress: �� c�� / ✓�J�1� J _ `---7 12. ___,_ Ciry: / ',C�J��' J '� ( �.f %� State: C��/'t Zip: �� to obtain pertnits in my behalf, as owner/builder, for 97,0 ��/�!'_� ,GC. • at the above referenced property. ' 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's Compensation Insurance coverage and cause a certifcate of ihat coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this �_ day of /—T' ✓�(% S� 20 ��at ��T�' y I � 2�-i� , Caiifornia. Print Name: �� — / _ � � � S Signature: ��i Date: C� �� _a Note: This autlrorization does not grant authorization to perfortn the work as owner, d soley provides for limited power of attomey to secure this pertnit in any behalf. 0119d6 (rev.HqO) (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mes��TRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 920 PEACE PL Suite No Vicinity: MASTER BED, BATH AND FAMILY ROOM Parcel Nunmber: Applicant Address: Owner: Address 41805246 BARKHO, MAHIR 1009 SECRETARIAT CIRCLE . Phone: COSTA MESA, CA Zip � REYES, FIDEL 920 PEACE PL COSTA MESA, CA Contractor: O W N E R-B U I L D E R Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) � New Res (3+units) Pool / Spa Lighting FiMs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors l0 10hp Molors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole LigM Pkg Sign Circuits Temp Pwr Pole Intermed Pole Y 9J�� 3� Phone: 2ip: 92626 R R Phone: Zip: License: 000000 SCOPE OF PERMIT ELECTRICAL PERMIT FOR ADD 855SF MASTER BEDROOM, BATHROOM REF#:B05-01616 Status: ISSUED Applied: 09/16/2005 Issued: 09/16/2005 ISSUED BY: IP i `. ��AJ�� LO WORK 70 tNCLUDE: 36 LIGHTING FIX7S, 30 RECEP OUTLETS, 12 SWITCHES AND 1 SUB PANEL TO 200A. S23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $33.68 $29.30 $13.20 $0.00 $0.00 $0.00 so.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 530.50 $0.00 $0.00 50.00 $0.00 Quantity 0 0 0 36 30 12 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 N Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit � Misa Conductor Cirws ( gen or ritle) Ciras (mech ride or lights) Christmas'free Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 $O.OD $0.00 TOTAL CALCULATED FEES E130.16 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) �� . EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl-or abandoned tor a period of 180 days. //� / INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with..ail eppl able codes, and all requlred Inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CqLL: (714) 7545626 26a6d8 (NW) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn under penalry of perjury one o1 the 1ollov.ing decleretlons: ❑ 1 have and wlll mainteln e certificate of consent to self-Insure lor warkars' compensetlon, as proNCed for by section 3700 0l ihe Lebor Code, far the pertormence of the work for whiCh �his pertnit 13 �ssuetl. ❑ I have and wlll maintain worKers' compensatlon Insurance, es requlred by section 3700 of the Lebor Code, for ihe peAormance oi the work for which Ihis pertnit is issued. My workers' compensatlon Insurence cerder entl pollcy num6er ara: Certier. Poliry Number. (fhis secfion need nat be campleted i! Ne perm/t is velued ef one hundred dolfers ($100) or less.) [�]=Lcertify.thet In)he pedormence al tha wark tor which this pertnit is issued, I shall not employ eny person in any manner so es to become subjec� to the workers' �_compen3etiori lews ot Celtlomia, anE egree Ihet II I s�oNE beco e sub�e t to th workers' compensation provl51on5pLSactlon 3700 of Ihe Lebor Code, 1 shall torthwith comply vrit� these Drodsi . �...-'^�_': � ��_,_ '�� / i ApPlicem Signehiie� ="1 � �� Oate: G b J WARNIIJG FAILUPE TO SECURE WO��' PENSA G1�V GE IS UNUWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIFVNAL PENALTIES M!D CML FlNES UP TO ONE HUNDRED TMOUSAND DOLURE (5100,000), IN AODfTION TO THE ODST OF COMFENSATION, DAMFGES AS PROVIDED FOR IN SECTION 3]OB OF THE UBOR CODE, INTEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I here�y ettirm thet I em Ilcensed under provisions ot Chepter 9(commencinp with Sectlon 7000) ol Divlslon 3 ot the Business and Professions Code, end my license is in full torce end eftact. Lic. A Cless k CantractoYs Signeture: Date: CONSTAUCTION LENDING AGENCV: ' ❑ I hereby aMrtn that there is e construction lending agency for the peAormence ot the work for which ihis permit is issuatl. (Sec. 3097, Civil Code). Lendefs Neme: LentleYs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eftlrm that under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl ProFessions Cotla: Any ciry or county which requires e permit to consiruct, elter, Improve, demolish, or repair eny sirucWre, prior to its issuance, also requiras the aOP��nt tor such pertnit to tile a signetl statement�thet he ar she Is Ilcensetl pursuent to the provisions ol ihe Contrectars License Law (Chapter 9(commencing with Section 7000) of DlWsion 3 of the Business end Protes'slons Code) or tKat ha or she is exempt therefrom end the �esis for ihe allegetl esemption. Any violetion ol Section 7031.5 by eny applicant tor a permit subjects Ihe applicent to e civil penalty of.not more then five hundred tlollers ($500).): . ❑ I, es ownar of Ihe�property, or my employees with wages es t�elr sole compensation, WILL DO T1E WORK, end ihe swcNre Is not intentletl or oHered tor sale (Sec. 7044, Business and ProfesS�ons Cotle: The Contreclors License Ww.does not apply to en owner of property who builds or improves Ihereon, antl who does such work himsel� ar herself or Ihraugd his or her own employaes, pravitletl ihat such improvemeNs ere not Intentletl or oflered tor sale. If, however, the 6ullding or improvement is sold within one year ol completioq Me owner-bullder will heve the burden ot praving thet he or sha did not 6ulltl or impmve tor purpose al sale.). • ❑ I, es owner of Ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sac. 7044, Business end Professions Catle: The coniredors LlcePse Lew does nat eppy to en owner ol propeny who bullds or Improves ihereon, end who contrecis lar suc� prolect with a contrector(s) licensa pursuent to tha Conlractors Ucense Lews.). ❑ I em esempt untler sec. Signature: Owner ID veniietl by drivefs license. ❑ Ves ❑ No Business end Professions Code lor ihis reeson: Vedflcatlon pf Ownership by (type af tlocument, i.e. - propetly tea blll or tleedj: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Drivers Ucense No. Date: Expires: ❑ I hereby cenity thet no esca+'ation tive (5) or more leet in tlepih Into which e person Is required to descend, wlll be mede In connection with work euthorized by Ihis permit, and ihet no building simcWre, scaHoltling, falsework, or demoll�lon or dismentling thereoi, will be more then �hihy�six (36) taet �igh. (Chap. 32, Grp 2, Ar12, Sec, 347, Title 8, Celifomla Administretive Code). � ❑ As owner-bulltler, I wlll not employ enyane ta tlo work whlch would require e permit fmm the Division of Industnel Sefery, es noted above, unless such person has e permit to do such work from the division. Signe�ure: Date: Division of Industnel Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTNORVJ1T10N OF ENfRY: I certity under penalry of perjury ihat I heve read this application end state that ihe infortnation qiven is cortect. I egree to comply wlth all state lews and ciry ortlinances relating to bulltling constructlon, antl aui�odze representatives of the Ciry of Coste Mesa to enter upon tne above-described property for insDeC�on purposes. I agree not to occupy or ellow occupancy oS eny building authorizatl by this Dennit uniil tinaV inspection. COOE I. INSPEC710NTYPE P�IE UIIID6L$ 1616 Fixed Sysiem Final Fire Prevention 1266 200 201 202 203 Paal Spe Finel Finel Re-Rool Flnal Blak/Retaining W611 Final Fectory Fire Place Flnel Sign 204 Final Demolitfon CODE� INSVECTIONTYiE 206 Finel Mechanical 20B Finel Plum�ing 210 Finel Elecincal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupency (774j 754-5273 • Fax (774) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 920 PEACE PL Suite No Vicinity: ADDITION Parcel Number: 41805246 Applicank BARKHO, MAHIR _ Address: 7009 SECRETARIAT CIRCLE COSTA MESA, CA Owner: REYES, FIDEL Address: 920 PEACE PL COSTA MESA, CA Contracroc OWNER-BUILDER Address: Phone: 714-412-4926 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 09/16/2005 Issued: 09/16/2005 �a 3� � V,�� BY: Y "' J t � � SCOPE OF PERMIT MECHANICAL PERMIT FOR ADD 855SF MASTER BEDROOM, BATHROOM REF#: BOS-01616 WORK TO INCLUDE: 1 VENT FAN/SINGLE DUCT ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst! Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000c(m AirHandlers> 10000c(m Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.25 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity FEE SUMMARY i,J� 1 +�l �� Repair I Alt Absorbtion Unit Repair I All Refrigeretion Unit Ventillation System Evaporative Cooler Commercial I nci nerator Domestic Incinerator Comuressors / Absorotion Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechaniwl Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS quantiry $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 80.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 $0.00 50.00 530.75 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. g2-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspendad or abandoned for a period of 180 days. s.y-�''� � % INSPECTIONS: In order for ihe work authorized untler this permit to be considered legal, such vrork must comply with all applicab e c�es, and all requlred inspeetlona and final approval must be oblained. Failure to ob�ain inspections and final approval will result in the expi�ation of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-46 (N00) WORKERS'COMPENSAnON DECI.N�AnON: — - I hereby ettlrtn under penelry ot per�ury one af the tollowing declaretions: ❑ I have entl wlll melntein e certifice�e of consent to self-Insure for workere' compensatlon, es provitletl tor by section 3700 oi ihe Lebor Coae, for the pertarmence of ihe wark tor whic� this pertnit is Issued. ❑ I have end will melntain workero' ca�pensatlon insurence, es requireA Ey sectlon 3700 ot the Labor Code, for the pertortnance of Ihe work for which this permlt is Issued. My workers' compensatlon Insure��e cerrler end policy number ere: Cerrier: (Rrls sec need no( be completeC i! the permlf is ve/uetl ef one Palicy Number: �% I cartity�tt�et in t�e pertortnance of the work for which Ihis permit is issued, I shall not employ any pereon in eny manne� so es to 6ecome subjact to Ihe workars' � compensatlon laws oi Celitomla, 8�tl agree N I s Itl b�e '" bject ro the workers' compensatlon provisions oi Section 3700 0l Ihe Lebor Code, I shell forthwith comply wiN these �pr '" �,m�l J �j �// G " MPlica_�ISi�ie //��;!"/ � /i�� Oate:�...--! // /�7� WMNINO:FAILURETOSECURE ORKERS��N NSATIqJCOVEMGEISUNUWFULAND5W1LL5UBIECTANEMPLOYERTOCii1MINALPENALTIESANDCIVILFINESUPTOONEMUNDPED hKK15AND DOl1ARE (5100.000),IN ADIXiION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiIIXJ 3/060F THE LABOR CODE, IMEHEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby attirtn Ihat I em licensed under D�oNsions ol Chepter 9(commencing with Seclion 7000) of Division 3 of the Busineu antl Pmfessions Code, end my license is in tull torce and ettec�. Lic. M Cless N Comractafs Signature: Date: � CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirtn Ihet there is e conslruMlon lending agency tor the pedortnance of [he work for which this permit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lentler's Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby afllrm'th t�'unde� penalry oi per�ury' Ihal'I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Pmtesslons Cotle: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair any structure, priw ta its Iswance, also requlres the epplicant br such pecmit to file a signea statement Uet �e or she Is Ilcensetl pureuent to the provisions oi tha Conirectors License Law (Chapter 9(commencing with Section 7000) ot Division 3 oi the eusiness end Profassions Code) or tha� he or she is axempt thereFrom end the besis for tha alleged ezemption. Any violetion oi Section 7031.5 by eny epplicant for e pertnit sublects �he applicant to e clvil penalty oi nat more then five hundred dallers ($500).): ❑ I, es owner of the pmperty, or my employees wilh wages as their sole compensation, WILL DO THE WORK, antl the sirucWre Is not intendetl or oNered for sale (Sec. 7044, Business end Professions Gode: The Contrectors License Law does not apply to an owner oF property who builds or improves ihereon, and who tloes such work himself or herself or through his oY her own employees, provided thet such improvements are not Intendetl or oHered for sale. If, however, the builtling or imp�ovement Is sold within one year of comple�ion. Ihe owner-bullder will heve the burden ot proving tha� he or she did no� build or impmve for purpose of sele.), • ❑ I, as awner at the praperty, em EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business end Prolesslons Code: The coniractors Llcense Lew tloes not appty to en owner of property who builds or Improves thereon, end who contracis lor such prolect wlih e conirector(s) licensa pursuem to the CoNrectorb License Lews.). ❑ I am avempt untler sec. Business end Professions Code for ihis reason: Signawre: Date: Owner ID vedtletl by tldvers license. ❑ Yes ❑ No Drivafs License No. Verlfication af Ownarship 6y (type ol tloCument, i.e. - properry tex bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y V�AMIT CERTIFICATION: Eapires: ❑ I hereby caritly ihat no excavetion �i�e (5) or more feet in depih inio which a person is raquired to tlescend, will 6e made in wnnection with work authorizeC Gy this permit, end Ihat no 6uilding structUre, scaHolding, falsework, or demolition or dismamling thereof, will be more than Ihirty-sia (38) feet high. (Chep. 32, Grp 2, Ar12, Sec. 341, Tltle B, Cellfomla Administreti�e Code). ❑ As awner-builder, I will not employ enyone to tlo work which would require e pertnit from the Division of Industriel Satety, es noted above, unless such person has e permit to tlo suc� work irom the di�sion. Signature: Date: Division ot Industnal SafeN Permit NumPer: CERTIFlCATE OF COMPLIANCE AND AUTMOR¢ATON OF ENTRY: I certify under penalry of perjury that I have reatl t�is appliwtlon entl state thet the infortnation given is correct. I agree to comply wiih ell state lews end ciry ordinences relating to building consiruction, and euthorize representetives ot Ihe Ciry ol Coste Mese to enter upon Ihe ebove-descnbed property tor inspection puryoses. I egrae not Io occy� or allow occupancy of eny builtling authorizetl by this Dermit uMil finel inspection. COOE t. INSiECTIONTYPE 1616 Fi:ed System Flnal Fire Prevention 1288 Pool Spe Flnal 200 Finel Re-Foof 201 Final Blak/Reteining Well 2U2 Finel Fectory Fire Plece 203 Finel Sign 204 Final Demolition PAg IMIf1AL5 COOE� INSPECTONTYPE 206 Final Mechanical 20B Final Plum�ing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Builtling/Occupancy 4.11 Clnl/lb � ' A� CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ��ia� �sa-sz�a • Fax (714) 754-4g56 • www.ci.costa-mesa��MBING PERMIT Job Address: Suite No Vicinity: 920 PEACE PL MASTER gATH AND LAUNDRY ROOM Parcel Nunmber: 41605246 Applicant: BARKHO, MAHIR Address: 1009 SECRETARIAT CIRCLE COSTA MESA, CA Owner: REYES, FIDEL Address 920 PEACE PL COSTA MESA, CA Contractor: OW N ER-BU I LDE R Address: Phone: 714-012-0926 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 PERMIT NUMBER POS-00718 FAIR DRIVE, COSTA MESA, CA 92626 RR Status: ISSUED Applied: 09/16I2005 Issued: 09/162005 BY: ,� IP JIJ��l:I��iV� �EJ-�� j7) L� ,o/ / PER �; �' SCOPE OF PERMIT �^� ��`��`-f'"� PIUMBING PERMIT FOR ADD SSSSF MASTER BEDROOM, BATHROOM AND FAMILY ROOM. REF/i: 805-01616 WORK TO INCLUDE: 1 BATHTUB, 1 SHOWER, 1 WASH BASIN SET, 1 LUNDRY TUBNJASHER AND 1 WATER CLOSET TOILET ISSUE FEE BackOow irrigation Backflow Preventer ' Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 $O.OD 50.00 $9.80 $O.OD $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 aTr FEE SUMMARY AMT Laundry Tub / Washer - $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 SewerConnect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QN 1 0 0 0 0 0 0 0 0 0 t 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urina� Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foileQ Water Heater / veM Water Piping (Inst or RepJ Water Re-pipe Water Service Water Soflener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 59.80 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 E72.50 � 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This parmit shall automatically expire and become void it work is not commenced within 180 days, o^it-worl�ls suspendetl or abandoned for a period of 180 days. r/� 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 Inspections end final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of thls permit. FOR INSPECTIONS CALL: (714) 754-5626 2da&d818�00) WORKERS'COMPENSAnON DEC�AnON: I hereby effirm under penalty ol perjury one oi ihe tollowing declaratlons: ❑ I heve antl wlll mainteln e certificate ot consent to self-Insure lor workers' rnmpensation, as proWdetl for by sectlon 3700 oi tha Lebor Code, for ihe pertormence of the work for which this pertnit Is IssueO. � 1 have and wlll maintsin workers' oompe�setlon Insurance, as required by section 3700 of the Lebor Cade, for ihe perfartnance oi the work for which this permit is issued. My workers' wmpensatlon Insurance caMer end pollcy number ere: Cartier. �SeEtlon n9ed nof be comp/eted I! Ne permlt d� Niy Ihat In the pertormancb of the work compensatlon laws of Callfomla, and apree WARNINO: FAILURE T EGtlTiE WOfIi(ERS' � hIOUSAND DdlAR 00,000�, IN ADDRION Palicy NumDer: one huntlretl dollars ($100) or less.) hic� this pertnit is iss , I shall not employ any person in eny manner so es to 6ecome subject to Ihe workere' Whould m �ect to the workars' compensatlon pmWsions oi Sec�tlon 3700 of the Lebopr CaAe, I shall forthwith C�r De�e�_-_ / /L �l �0 l �N ERAGEISUNLAWFULANDSMALLSUfl1ECTANEMPLOYERTO'CRIMINALPENALTESANDCNILFlNESUPTOONEHUNDRED OF Wh/PEN$ATION, DAMAGES AS PROVIDED FOR IN SECiION 37080F THE LABOR CODE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DEClAAA710N: I hereby eHirm thet I em Iicensed under provlslons ot Chepter 9(commencing wlth Section 7000) of Divislon 3 ot the Business end Prafessions Code, and my license is In full forca and ettect. Lic. # Cless N Contrectar's Signelure: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirm that there is e conslruction lending agency for Ihe performance af the work for which ihis pertnit is issueC. (Sec. 3097, Civil Coda). Lendels Name: LendeYs Adtlress: Signature: Dete: OWNER•BUILDER DECLARATIONS: I hereby atflrtn thet under penalry of Perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profeuions Gode: Any ciry or counry whic� requires a pertnit to construct; elter, improve, demolish, or repair eny sWcture, pdor to its issuence, also requires the appliwnt tor such permil to file e signetl eletement thet he ar she Is Ilcensed pursuenPto'the provisions oi ihe Camrecbrs Ucense Lew (Chapter 9(cammencing with Section 7000) of DlNsion 3 at Ihe Business end Prolesslons Code) ar thet he or she is exempt iharetrom antl the basis for the elleged exemption. Any violetion oi Section 7031.5 by eny applicent For a pertnfl subjects the applicent to e civil pena�ry a� not more than five hundretl dollars ($500).): ❑ I, es owner of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and Ihe structure is not intentleG or ottered for sale (Sec. 7044, Buslness end Professions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work hlmseN or herself or Ihrough his or her own emplayees, provitled ihat such improvements ere not imendetl or ottered for sele. tl, however, Iha building or improvemeN is sold within one year of comple�ion, the owner-builder will heve the burtlen ot proving thet he or she did no� builtl or improve for Durposa of sale.). ' ❑ I, 85 owner o1 lhe property, em E%CLUSIVELY CONTRACTNC WITH LICENSED CONTRACTORS to conslruct Ihe pro�ect (Sec. 7004, Business and Protessions Cotle: The contwctors License L.ew does not eppry to an owner of property who hullds or impraves thereon, end w�o contrects tor such pmjea wiih a coniractor(s) license pursuent to the ContraGtors Ucense Lews.). ❑ I am exempt untler sec. Business and Professions Code br this reason: SignaWre: Date: Owner ID verifietl Dy tlrivefs Ilcense. ❑ Yes ❑ No DnvaYs LJcense No. Expires: Vanllcation oi Ownership by (type ol document, i.e. - pmperry tex blll or deed�: DIVISION OF INDUSTRIAL SAFET' PERMI7 CERTIFICATON: ❑ I hereby ceriNy ihet no excavetion five (5) or more faet in depih into which e person Is require0 to descend, wlll be made In canneciion with work euthonzed by Ihis permit, antl that no building structure, scaHolding, talsework, or demolition or dismentling thereof, wlll be more than thirry-slx (36) teet high. (Chep. 32, Gry 2, Atl 2, Sec. 341, lltle 8, Cellfomia Atlminis�retive Coda). ❑ As owner-bulltler, I wlll not employ anyone to tlo work which would require a pertnit from ihe Division ol Indusiriel Selery, es noted above, unless such person hes e permit to do such work Irom Ihe division. Signelure: Date: Division af Intlusidel Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJT}10RIZATION OF EMRV: I certity under penelly of perjury thet I have read ihis epplication and state ihat the intormetion given is correc�. I agree to comply wlih ell stete lews end dry oNlnances rela�ing to bullding consiruc�ion, an0 euthodze representetives of Ihe Clty ot Costa Mesa to anter upon the ebove-descnbed pmperty lor inspection puryoses. I agree not to occupy or ellow occupancy of any building euthonzed by this permit until final inspedion. COOE 1. INSPECTIONTI'VE 1616 Fixed System Final Fire Preventlon 126fi Pool Spa Final 200 Finel Ra-Rool 201 FInaI BIocWRetalning Well 202 203 20G Final Factory Fire Place Final Sign Finel Demolition Q� - INTITULS COUEI INSPEC710NTVPE 206 Final Mechenlcal 20B Final Plumbing 210 Flnal Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Flnal Slte 250 Finel Building/OCcupancy � : -�-� 4��L DEC-07-2006 09:27 From: � � - 714 754 4856 P.1�2 � � � ,i LEWTS BR1SB01S BISGAARD & SMiTH �.i.p A9'TORNCYS AT LAW 650 TOWN CCNTER DRfvB, SUITR 1400, COSTA MI;BA, CA 92626 PrtoNu: �14.545.9200 I FnX: 714,850.1030 I WP,AsiTf;, www.lbbslaw.com December 7, 2006 Phone Nmnber Fax Number To: Ed Petros, Ghicf of Inspection 714.754,4d56 Ciry of Costa lviesa Frmn: Eidel Rtyes Pagea: 2 Ra: Pern�it Nos. BOS-01616, BOS-00971, MOS-00529, POS-00718 Addition; 920 Peace Place Messuge: Please see attuched letter. �LEASE CALI (7141646A2D0 IMMEOIATELY IF 7MERE AFiE ANV PROBI.fiMS WITN THIS TRANSMiSSiON. TNe Informetlan eenlalned In tl�la feeelmlle meealipe le Inlended only for the peroontd Md eonOdentld use of the dedgnetad reelpbnle nartnd above. Thla meeeupe mey be en attomsy�Glent carrrrunlcaUon, and ee auch, Is prlvlleped end confldentld. If the roeder of Mla messepe le not U�e inbnded reclplent a an ag�nt reapmelble fa dellvering 7t ta Ihe Inlanded roelplent, you m� hereby nofiflpd theY yau have rocelved Ihle doCument In ertar, entl tl�et eny revlew, tlleeemtnatlon, dlahibuUon, of Copying of thle meeaepe 19 6irkqy prohlhited. If you heve reCeNed tl�ls eomvurnlenUon In error, pleaae notl(y u� Irtrrodlataly by Iebph0l�e and rotum Iha ai�lnd mesa�ge m us 6y mall, T'henk yau. Q�G1G'dl I.�PAWfnt LANVHUA IRaANaqu6 Nttw�'OWC Rw@!qt '.7�rnnnac+m Sa+B1Yv+Anowo tlwOma� Sa+PnM7Cwrp 1lmN (SI3)}4Y171x (!77)J2637T7 (T111)N93.77Ki (Z13J1,50.1lIW (211)Z1Z13p1 (LOl)385.104u (9I�l64lMYI ('XM117ft7.119U (6I9)21YI(MM (41S)76y7SHo (SN)2�I•2363 .IobAddress: 920 PEACE PL Suite: Vicinity: ENTRY WAY Primary Occ: R3 Parce� Number: 41805246 App�icam: MAHIR BARKHO Address: 1009 SECRETARIAT COSTA MESA, CA Owner: REYES, FIDEL Address 920 PEACE PL -; � ' COSTA MESA, CA Contractor: OWNER-BUILDER r'' Address: - � - . Zip: Arch : Address: � . . , " . Phone: �' . ,Zip: � , �. License: 25SF ENTRY WAY EXTENSION FOR SFD. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $54.11 $83.25 $0.50 $0.00 ' $0.00 $�.�0 $137.86 Type of Constmclion: V-N Zoning: R1 Phone: 714-412-4926 Zip: 92626 Status: ISSUED Applied: 11/30l2005 Issued: 11/30/2005 `Vl ISSUED BY: Phone: 714-206-9808 � Zip: 92626 . - : � Phone: License: 000000 Eng: Address: Y, . SCOPE OF PERMIT ..-•� ' � . -� Phone: , Lioense:� FEE SUMMARY � �: '� Calc Valuation: " � � ` � Clairn Valuation: � ._ ._r...-�- ; ..: _. : r. PLANNING & ZONING , SETBACKS � ' %� ` � MAINSTRUCTURE�Front 0'0��-- Rear 00 ��Left� 0-0�=�".�' . Right 0-0'� ACCESSORY `� Front 0-0� Rear �0�-�0 ' �� Lefl� 0-0 ' ��Righf �%�0-0 PARKING Existin :�. 0,"� RehuiiedS- 0� '� -Pr000sed: 0- _ - � . - -' �^'':- �- - � - . _ - - -_ - - . .. 53,000.00 53,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permfl shall aulomatically expire and become void if vrork Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered tegal, such work must comply with all applicable codes, and all required Inspectiona and flnal epproval must be oblained. Failure to obtain inspections and final approval will result in the euplration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKEflS'COMPENSATON DECLARAnON: I hereby aNirm under penalty oi perjury one o1 the tollowing declarations: ❑ I heve end wlll maintein e certificate at consent to self-Insure for workers' compensetian, es provided far 6y seIXion 3700 of the Lebor Cade, For the peAormance oi the work for which Ihis permit Is issuad. ❑ 1 have end will meintain workers' compensation insurance, as required by section 3700 of Ne Lebor Code, tar Ne perfortnance of the work tor which �his pertnit is Issuetl. My workers' compensatlon Insurence carrier end policy number are: Cerrier: comp/etetl il the permif Is velued ef one orless.) Policy Number: �fcetlity thet in �he pertormance oi the work for which Ihis permit is issued, I shall not employ any person in any menner so es to become subject to the workero' compensatlon laws ol Celifomle, and eg e that if I Id beco subject to the workers' compensatlon provisions of Section 3700 of the Labor Cotle, I shall forthwlth comply w�ith ihe e pr lo . / ! n�Si'�3're: � i� � Date: .�;��!"�o /b� W FAILUR SEGURE WOR RS P SATION CO RAGE IS UNLAWFUL AND SHALL SUBIECi AN EMRAVER TO CHIMINAL P� AND CML FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADOITION TO THE COST OF CWAPENSATION, DNMAOES AS PRW IDED FOR IN SECTION 3]O60F TME LABOp CODE, IIJrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMrtn that I am licensed under provisions ol Chapter 9(commencing with Sectlon 7000) ot DlWsion 3 oi the Business and Professions Code, and my license is in full brte Bn0 eRect Lic. M CIe55 k Contractors Slgnature: Date: CONSTRUC710N LENOING AGENCY: ❑ I hereby affirtn Ihat there is e consiruction lending agency for the peAortnance of ihe work lor which this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aRirm ihet under penelry ot perjury thet I em E%EMPT FROM THE CON7RAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Buslness anC Pmfesslons Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair eny siructure, pnor to its issuance, also requires t�e epplicant tor such permit to file e signed stetement Ihat he or she is.licensea pursuaN ro the p�ovislons ol the Comrectore License lew (Chepter 9(commencing with Sectlon 7000) of Dlvislan 3 oi the Business end Professlons Code) or ihat lie or she Is exempt therefrom entl Ne besls tor the allegetl exemption. Any violation of Section 7031.5 by any epplicant for a permit subiecis ihe epplicent to a civll penalry oi not more than fiva hundred dollars ($500).): ❑ I, es owner of the property, or my employees wilh wagas as their sole compansatlon, WILL DO THE WORK, and ihe sWCWre Is not intendetl or oNered tor sele (Sec. 7044, Business entl Professions Cotle: The Cont[actors License Law does not apply to en owner of property who builds or improves �hereon, antl who does such work himsetl or herself or through his or her own employees, pmvided ihet such Impravemants are not Intended or oHaretl for sale. If, however, ihe builtling or impravament is sold within one yeer of completion, ihe owner-builtler will heve Ihe burden ol pwving that he or she did not build or improve tor purpose ot sale.�. ' ❑ I. as owner oi the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Prolessions Code: The con[ractors License Law does not epply to en ownar of property who builds or improves Ihereon, and who contrects for such project with a coniractor(5) license pursuant to �he Contractors License Lews.). ❑ I am exempt under sec. Signature: Owner ID veritied by tlnvers Ilcense. ❑ Ves ❑ No Business end Professions Cotle for this reason: Veriticetion of Ownership by (type of daument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Dnvers Licensa No. Date: Expires: ❑ I hereby certify thet no axcavatlan five (5) or more teet in depth into which e person Is reqWred Io descenq will be made in connection with wark authodzed by Ihis permit, end ihat no building sirucWre, swHoltling, talsework, or demolition or dismantling ihereot, will ba more than thlrty-six (36) feat high. (C�ep. 32, Grp 2, Art 2, Sec. 341, T1UB 8, Calitomla AtlmInlSlretNe Code). � As owner-builder, I will not employ enyone to do work which would require e pertnit trom the Division ol Indusirial Sefery, as noted ebove, unless such pereon has e permit to do such work irom the division. Signatura: Date: Division of Industnal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF EMAY: I certify untler penelty ot perjury tha� I have read this epplication and stala thet the Infortnetion given is cortect. I agree to comply with all stete laws end ciry ordinances relating �o builtling construction, end euthorize representatives of iha City of Coste Mese to enter upon the ebove-described property for inspec�ion purposes. I egree not to o� or ellow occupancy oi eny building authorized 6y ihis Dermit until finel inspection. GO�E I, INSPECTIONTVVE Qy�g II�EL6 1616 Finetl System Final Fire Prevention 1266 200 Paol Spa Finel Finel Re-Raol COOE I INSPECTON TYPE 206 Final Machanical 20B Final PlumDing 210 Finel EleCintal 207 Finel BIocWRetaining Well 212 Flnal Fire Prevention 202 Final Fadory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Oemolition 250 Finel Building/Occupancy PHOJECT FOOPESS: 9 2 O P EACE PL OWNEN'SNPME: REYES FIDEL aooeess: 920 P�ACE PL COSTA MESA,CA (714)641-743'1 92626 IINIT: ! FflCHIENGINEEN: NEG.NO.: AUONESS: UNIT: , PEHMITTEE: FIDEL & CAROLYN REYES ( 71 4) 641-7437 aooxess: 920 PEACE PL COSTA MESA CA 92626 LICENSEO CONTBACTOP UECLAflFTION: I p¢�eDy a��rtm ��at I am licensetl untler pmvisions ol Chapter 9 �commencing wi�� $ection 7000) ol Divlsion 3 of �he Business and PmiPssions Coae. an0 my license is in �ull larce and eitec�. CITY UC.: STIITE LIC.: CU1S5: Daie'. Signa�ure: WOPNEPS' COMPENSATION OECIAPATION: I hereby a�brm �hai I have a cetlifica�e of consenl Io selhinsure ar a certi�ica�e oi Workers' ComDensaiion Insurance. or a cerUfied copy �nereol (Seclion 9800. Lab. C�. POLICY NO.: E%P. OPTE: 'OMPANY: Cetlifietl copy is hereby lurnishe�. ❑ Certitied capy is fileA with Ihe city BuilOing Division. �a�e: Applicant E%EMPTIUN fBOM WOBIIEPS' COMPENSpTION OECLAHATION: (T�is section neetl nat be comDleietl if ihe permit is farone hunOrea ($100) oNess). I cetlily Iha� in Ihe peAormance ol Ihe work �a� which �his permi� is issuetl. I shall no� employ any person in any manner so as to �ecome sublecl �o the Workers' Compensalion �aws pl Califorma. Date: SignaWre: NOTICE: II. atter making t�is tleclaralion, you shoultl become SuUle�� o the Workers' Compensa�ion pmvisions oi Ihe Labor Cotle. you mus� lorthwi�h comply wiih such provisions or IAis permil shall be deeme0 revoke0. CONSTPUCTION LENOING RGENCY: I �ereby aflirm tha� ihere is a constmdion lending agenry lor ��e pertormance o� the work for which Itiis permii is issued (Seciion 3097. Ci�, C). LENDEN: aooness: OWNEfl BUILOEB OECIABpTION: I �ere6y afiirm Na� I am exempl Iwm Ihe Contraclors' Sta�e License Law for lhe following reason (Seclion 7031.5 Business and Pmlessional Code: Any ciry ol county w�ich requires a permi� Io conslruc4 alter, impmve, demalis�, or repair any slmcture. orio� to its issuance. also requires the apDlicant for such permit ta file a signed stalement iha� helshe is Iicense0 pursuanuo Ihe pmvisions of Ihe Coniracmrs' Slaie License Law �Chapier 9(commencing with Seciion 7pqq of Division 3 0� IAe Business ana Pmlessions Coee) or ihat ne/she is exempt iheretmm ana ihe basis lor ihe allegeA exemption. Any viotation ot Section 7031.5 by any applicanl br a permit sublecis Ihe app6r,am Io a civil Denalty ol no� more Nan live huntlretl Aollare (5500). I, as owner o� t�e pmpeny or rny emplayees with wages as �heir sole compensation, will do [he work, and �he ❑ s�mclure is nol in�enaetl or oi�ereU for sale (Sec�ian 70a4, Business antl Pm�essional CaOe'. The Con�rac�ors' S�a�e License Law tlaes no� apDly io an owner ol a pmperty who OmIAs or impmves Ihereon, and w�o does suc� work himsel�lherself of �Ilwugh his or her own emDloyees, pmvitletl ihat suc� impmvements are not inlentle0 or oflered lor sale. It, however the huil0ing or impmvemem is saltl within one year a� compleiioq Ihe owner will have the burtlen ol pmving helshe tlid no� builtl or imD�ove lor the purpose o� sale�. I. as owner of �he propeny, am exclu;ively conVacting wi�h licensetl conVactoR io conslmc� �he pmlecl (Sec�ion 7044, Business ❑ an0 Pmie55ion5 CaOe: The ConlraC10r5' Sla�e License Law does no� appry �o an ownerot properly who hm105 or im0�ove5 �hereon antl w�o contrac�s for such pwiecls with a conlrac�or(s) Iicense pursuam to the Contractors' State License Law). I am aware ihat pmof af their Worker'S Compen5aiion insurance s�oula be provitled �o me. � I am exempt untler Semion� BP�% ��i 9 9. 8 P. C m� mis reason ALL WQRK BY OWNE �ate: _- �� !_5� Owner Ir , I Qo hereby cerlity tha� I am aware of and untlers�antl �he reQuiremenis of Cal� mia Hea � an ely CoOe Secf 2 505, 25533, antl 2553d antl thal I ar any imure builaing occupant will/will not (circle one) nee0 �o compty vnt� i0 S�a�e tOtles antl lhe requiremen�s �or a permii loi consimction or mo0ilicalion Irom I�e AirOuality Manag¢m¢nt OiSiric�. Fesitlenliai ron5imc�ion applications are exempl Imm Ihese o�ovisions Oale: App6tanl: I hereby cetlity Ihai I have read �Ins applica�iGn and sta�e ��at ��e above intorma� n is correcL I aBr o camply wi�h all ciry antl counly ordinance5anU5ta�elawsrelatingiobuildingconstmclionandher byautharizere�sentalives ��i. ity ien�erupon�heabove�menlionea pmpertY lor inspec n purf es. �ale: !� � U SignaWre: _ _ Oriver's License o� sociai Sewriiy nr t64La6 Whpe—Butltling', Green—Code Fnforcement: Canary—ApplicanL Pmk—Revenue: Goldenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT . PERMIT NO: B 099859 PLAN CHECK NO: N . , CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRSPTION : REROOF W/ASPHALT COMP. SHING. O/WD.SHING SQ FT: 2,500 CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN AOME. ***�r**��***+t�r**��t***�****+�** ***�r*��r**�r**�*****+t�tx*+�*�r�t�t�******��t+t***�r**�r�*�* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING -------'-- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING R6Q� PROV; PARCEL; 41805246 ZNE: REF NO: FLl1NNING Nt5'I'ES> i ��+e***��****��*x��**��**��**��**x*+�******�****,�*�*��,��*�****�**��**�**�K*� D E V fi' 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 APPROVED HY : DATE: APPLICATION ISSUED HY: t DATE: ��i�R�F� IF�k*�E3klflEiE�f1E�E1E1F�lflEiflffl�lEjEif�f •��iF7F7F�1EififlFifdFifiFiFlf i(�M iFiEiFiEiE�141EaE�EiEiEiElFiflf�flhifiEif3ElflElfitlEifdklEiFifiFlFifkiFifik3EiklEiEiF IEifiEifiE%ikiFlfifififiEiflElffEiFiElkiFiFf(�Ifffi(�if3EiE�F�f1fiF LEGALIZATSON:N F B E S U M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50 ' SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0,00 ,0.00 54.SU 54.50 ,00 REVENUE DIVISION TOTALS'�--> COLLECTED: 54,50 OVER/SHORT: 00 BLDG PMT PLQMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 ,5� IF IE iF k iF iF !f iE iF k �(� iE iE if IF IE �!f if iE if iE if iE if� iE if �k #E iE jf jE iE iF k IF IE iF iE k 1E �E�E iE �F if if IF If fE 1E 3E iF iF iE IE ff ff �E if IE fE iE �F 3f iF iF 3f if if if iE ff iF IE k if iF iF 1F I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2500 REROOF BY VALUE RESIDENIAL NOZONE 1.Q0 2,500.00 END OF FEES �3? Ci00T33i—�70D73333 FL"�"� Sk.Si� '3HT�: lii�!8/9C� TEME: 1�:4b CONSTRUCTIOIC'AND PLANNING PO . SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Tempo�ary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd, � 53. Steel Reinforcement ". ��". in . �.:ElectiiGal Conduit,Utility�Undrgrnd. 54. Porms � ` � 4.cElectrical Condui4Undrgmd. 55. Electrical Bonding . . ;,�5,�Steel Reinforcement 56. Rough Plumbing & Pressure Tes2= � " ��'6.� Electcical UFE$�Grnd. 57. APPROVAL TO COVER�GUNITE ` _ 7. Footings 58. Electrical Conduit�Undrgrnd. '� '� 8. Foundation �' 59. Gas Pipe, � Undrgrnd., Test .- ��' T i� 9. Water Pipe-Undigrnd. 60. Backwash Lines, P-Trep, O Und�grnd. --" 10. Structural Floor System � 61. APPROVAL TO DECK �j �. '� > 11. P.ropertY Sewer Lins & House Connection � 62. Backwash & Receptor�Final -�,i ' 12. Sewer Cap z � 63. Heater & Vent-Final _'�' � ��' 13. Roof Drains 64. Plumbing System � Final i_ I�� 74. Rough Plumbing "' 65. Electrical-Final i�..: '?� 15. Rough Electrical-Conduit � 66. Solar System-Final � �"� . ij 16. Rough Electric Wiring 67. Fencing & Access Approval -� � . 17. Rough WiringSign 68. APPROVED FOR PLASTERING 18. flough Electrical�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ '� �-Y 1 . , - 20: Rough Factory Fireplace ' ' -� _ - ' "APPROVAtS7_ Permit # � " �'' = ir -i . - !�i . :r .' .. .i �: �. :R TS i -, - '. l �- �-��r�.� � • n 21:.Ducts, in Str.ucture; . .. , �,_, �� - - �a, . •' 70. �Unde`rg`round H;ydro � ' 22. Qucts, Ventilatiogr - .:.> � _ :'! ! ' 7�. �produci'Riping �7;Gas �Oil 23rGai�Pipe-Rough &.Test �.'�� ,�� . `� t ' � 7Q, Undergrpyrid FI'usfi ' _ � i„ � .,_, � . �., , . 24�Roof Frami�ng ,�+ • � _ _ _ � 73_' Undergrricl.StorageTank-�Gas.00il � T 25. Roof Sheathing _ : _ '�' ` '� 'r � ' ' 7q= Overhead�Hydro � ` r 26. T-Bar Geiling (Structurell &•Monocoat � � � �J , i 75'.- Dry Chemical _ � �7 27;�Frame �nd Flashing �. � 1 - � ' ' 76J'Dry Standpipe -; � ' � � ..28. Lathing;& Siding. ;. „_ - :r 1 : •� - �• + � 77T FIXED SYSTEMtF.INAL �' ' _ r. `29. Insulation = r�` `� ="" • _ ' I �' , 78� FIRE PREV. FINAL � - . 7 30. Drywall,Nailing� �• " ` I, , ��. � ,-' HEALTHiDEPT.iREQUIREMENT . 31. Plaster.8iown Coat` �_ '.� �, � ' �: �. -, i-7g: pINAL INSPECTION � " • . 32, ElectriC@I Power'MeterFinal ' � - i ' �. �� -.80�.. FOOD CERTIF,tGATE ISSUED ' � .33:�Final Electric '�" :. . -' . . � ','.,,.? '� �' Notes: �� ° _ - •^` i - �,�34` Final Heating&'Air Conditioning i' � `�' f r� , �: ` ;_ ; � _ - � .35_7Final Gas Pipe-Test ,� �' - , I. + � , � ,y � �.-T M �' •��. r - - r .36� HoQd or�CanoPV� � �' - - � :i�. �nc c � . .-, -=° 5 - 37:'Final Factory Fireplace_ • �' ' � V �� ' ' � ' T � J� %l.in� lJ ' _ .. : t i � .- .r i � . � . _ _ _38. FinalPlumbing „ i,. �� %✓� .�f!. ; - ' 39. Water Service-Finel � � -c � � - . �� :. _ - � ,'il � i 40. Gas Service-Final ` , I I ' ' _ _ ' � r ��41. Solar pomesticFinals �' � � _ � � � � � r+ v - - - ' 42` Backflo'N PreventeF =" , � � - ' - ' -- , . I i f� � .- 43. BackfloW Irrigation � ;� � . -':F �� -� �.7 � � 44. Landscape liripation System.',_ z , - • '; «' - - - ' - . ; } , . _ .� �'45: Sound Attenuation . . > - �• i i_ - - � •^ E r �. : 46.- Handicap Regulations � �: ' ' � � ; �- : '� � ; � 47. FINALSTRUCTl1RE&8UILDING � � � � - �'��" �� =. , 48',FINAL PLANNING , :' � ' �, /..� ' ` , - 49:-ElectridRelease to.Edison , i � i��: ; _ � _ � _ � i < i- c�.�• . , �� 50. Gas Reie,ase to Southem Califomia Gas Co ; �' i, ' -._� ,, . � 51 CERTIFICATE OF.00CUPANCY �.� .� :{ ;, ,_, i��; ,� ; j; _ No. Date / • 25 3 COSTA MESA BUILDING-SAFEIY DEPARTMENT P.O. BOX 7200 COSTA MESA. CALIFORNIA Y261! � For ApplicaM fo Fill /n Completoly TYPE OR PRINT COSTA MESA. CALIFORNIA cirY o�.eosr� M� MAR 23 1966` �n��E� £Y � : w ZONIN6 f NO.O/ UY[OINI Q �ux� 2 euaoina tcae�._._.. � . f'- `7 7 _ �" iecuco N0T6: NOUVQOV[11HAN08HALLDBL888TMAN LIC.TNO. 2 rTi`�' S110-0960 DO' TO HIDR 0 RBAR P. L HAVEH OFLOT ti--S 1 tnow�n�� -LOW[D (U.B.QREOUIRHMfiNT; YARDSMPROVHD YARDSAPPROVHD U6EOP MAINBUILDIN6 ACGE880RYBUILGIN6 EXISTIN6 BLDO. dPROM GLGTNHLTI BBiCACK LIX[ I110M 'F'-' �. CCNT¢R OP �TR[cf � RUR YARD � 6� �ONT ! PT, 8ID6 YARDI LiRT � RI6HT lO� R.IIID[ l� !T. Ff. DESCRIPTION OF WORK �. a�o rt. vr. n 1 �I H8R6lY ACKNOWL[D08 THAT 1 MAVI 116AD TMI{ APPLIGTON AND BT�TB TXI�T TH6 A�OV6 1� CORR[R�AND AORt[ TO COM• PLY WITX ALL CITY ORDJNANCi� 1WD �T/�T{ UWY R[OYLATINY BWLOINO CONBTRY�RIONp. �J ^ 816NATUREOP T P A ' I 0 vwn.# DATE �— a w � ��1 � ac. rr. �`f � � 0 TH6 AYOUNT BNOWM UNDHR VALUATON 10 POR TI8 j tYqPOoe 01 �HTAELI6NIN0 A PHRMIT P8B ONLY. f VALuw710N G� � PERMIT F8H s � 9 p�5 ��3 w TOTAL FEH $ �� /