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Home My WebLink About2377 FORDHAM DR - Building Permits� . . � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Jobnddress: 2377 FORDHAM DR Suite No " i Vicinity: Parcel Number: 14148407 � Applicant: LAURA YENULONIS Address: - , � � - Phone: �' Zip: Owner: RUBENSTEIN, ELIZA Address: ' ,2377 FORDHAM DR � - � .. , ,� . ��. � . Phone: � COSTA MESA, CA " Zip: 92626-6317 � Contrador �ALLIED PLUMBING - HEATING - AIR CONDITIONING . ,Address: 422 JENKS CI � � ' � � Ph ' � 714 998 4300 CORONA,CA one. - Zip: 92880 License: 610780 SCOPE OF PERMIT , REPLACE FAU < 100 K BTU FURNACE IN CLOSET , ) _ FEE SUMMARY � , �, � Quantity ISSUE FEE 523.50 Inst FAU <100 k BTU 5�4.80 -,1 - � � -, . � , Insl FAU >100 k BTU 50.00 �� 0 Repair/Alt CoolingMeat 50.00 0 _ . �,Inst / Rep. Recess Wall Htr $0.00 0 Refrig Sys <700 k BTU $0.00 0 �� RefrigSys>100kBTU� ' S0.00 .0 � . ��,- . Gas Pi in ' ' $0 00 - 0 - -- � - - P 9 _ FactoryFireplace $0.00��-�0 � Hood w/Mech Exhaust 50.00 0 VAV Box � 50.00 0 Vent Fan I Single Duct'., �' $0.00 0 Appliance ' � � � $0.00 0 Fire Dampers . � 50.00 0 Smoke Dampers - _ 30.00 0 Inst or Relocate'Appl Vent .:, �� $0.00 0 _: Air Handlers < t0000cfm � . $0.00 0 Air Handlers >`10000cfm � '� �� $0.00-:-=0 � -! _ , FloorFurnace � _ �'$0.00 0� � Floor or Suspenii Heater - 50.00 0 � . / `� � � ' _ � \ % Status: ISSUED Applied: 12I05/2006 Issued: 12/05/2006 � , ISSUED BY: � • �•r�i,�� ,� / Repair / Alt Absorbtion Unit , � - Repair / Alt Refrigeralion Unit Ventillation Syslem� � ' � Evaporative Cooler Com mercia l I nci n e rato r Dameslic Incineretor , . Compressors / Absorption SYstems . _ Upto3hp/100kBTU . , 3To75hplSOOkBTU 75 To 30 Fip / 1,000 k BTU 30 To 50 hp / 1,750 k BTU � Over�50 hp / Over 1,750 BTU 8oilers , , ,Up to 3 hp '3To15hp � 15 to 30 hp , - � . 30 to 50 hp.'r _ Over 50 hp-- �_ T , � - � Other Mechanical Fee � � Imestigation Fee Plan Check Fee � � , , . Reinspectio,n Fee ' - , . - .. " � - . TOTAL CALCULATED FEES,. COMMENTS7 SPECIAL CONDITIONS , .,\,� �uantity 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 , 0 30.00 $0.00 50.00 $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and �elated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. �' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapections end flnel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit. FOR INSPECTIONS CALL: (714) 7545626 2446d8I8�00) WORKERS'COMPENSAnON DECLARAnON: . . I hereby ettirm untler penalry of parjury one of the tollowing tleclarations: ', . , ❑ I heve end will meintein e certiticete of conseni to selbinsure for workers' compensation, as provided tor by section 3700 at tha Labor Code, for the perfarmence ot ihe work for which t�is pertnit is issue0. . ��ave antl will maintein workers' compensation insurance, as required 6y saction 3700 ot the Lebor Cotle, for the pedortnence of ihe work for wNch this pertnit is issuetl. My workers' compensatlon surance carner and policy number are: 1 '^ C,� � �a�e�1 7_IY.C� 1�'D-v� IiqFlumex: �J�' a� �J dlo�i�—Q� (JAirsBction need not be wmpletetl i/ the permit is veluetl et one hundred tlollers ($f 00) ar less.) ❑ I certiy ihat in the pertortnence of the work for which this pertnit is issued, I shall not employ any person in any manner so es to become subjact to ihe workers' compensation law oi CalHomia, antl egrea thet if I shoultl become subject to the workers' compensatlon provisions of Sectlon 3700 of the Labor Cotle, I shall forthwith comply with the e ohsi� s.1 /1�� __-�` ry ^' _ ApPllcanYSign9lure: V1f��(`AA�C.�'�l/0 Datb'� \G��S—llW x � � • WARNI�.'FA7CORE TO SECURE WORKE� ' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVEPTO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRED THOUSAN�DOLLARE�El00,000�,INA TOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDF-0RINSECTION37060FTHELABORCODE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRAC70RS DECLARATION: I hereby aMirtn that I am Iicensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 torce en0 eNeciddcrk-� LQ \01 �C?!1 Code, end my license is in full CONSTRUC710N LENDING AGENCY: ❑ I hereby effirm Ihat there is a consiruction lending agency for ihe performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby ettirm Ihet untler.penalry at perjury Ihat I em E%EMPT FROM 7ME CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessians Code: Any Ury or wunry which requires e pertnit to consiruct, alter, improve, tlemolish, or repair eny siructure, prior to iis issuence, elso requires the applicant tor such permit lo file e signed stetement that he or she 15IlcenseA pursuant to the provisions at Ihe Cantraciors IJcense Lew (Chapter 9(commencing with Sectlon 7000) 01 DiWslon 3 of the Business end Professions Code) or that he or she is exempt therafrom antl the hasis for Ihe alleged exemption. Any violation of Section 7031.5 by any epplicant for e pertnit sub�ects Ihe epplicant to e civil penelry c� not more ihan five hundred dollars ($500).): ' ❑ I, as owner of the property, or my employaes with wages as their sole compensatlon, WILL DO THE WORK, and the structure is not intended or oHeratl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not aOPly to an owner of properry who builds or improves Ihereon, and who tloes such work himself or herself or Ihmugh his or her own employees, provitlatl that such improvements are not intentled or oftered br sale. H, however, ihe builtlinq or impmvement is sold within one year oi completion, the owner-builder will have the �urden ot proving that he or she ditl not buitd or improve for purpose oi sele.). • ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Profeuions Cotle: The conirectors Ucense Law does not apply to en owner ot propeny who builtls or improves thereon, end who contracts lor such projact wit� a comractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempi under sec. Business and Professions Code for ihis reason: Signature: Date: Owner ID verllied by tlriver's license. ❑ Yes ❑ No Drivers License No. Veniication of Ownership by (rype of document, i.e. - properry tan bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION: Ezpires: ❑ I hereby certity ihat no exwvation five (5) or more feet in depth into which a person is requited to descend, will �e maCe in connection with work euthorizetl by this permit, and Ihat no Duiltling sWcture, scaHoltling, falsework, or demolition or dismantling thereof, will be more ihan thirry-six (36) teet high. (Chap. 3.2, Grp 2, Ar12, Sac. 341, Title 8, Califomia Atlministrative Code). ❑ As owneo-Duilder, I will not employ anyone to do work which would require a permit fmm the Division of Indusirial Sefery, as noted above, unless such pereon �es a permit lo do such work from the tlivision. Signature: Date: Division ot Indusirial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AU7TIORIZATION OF ENTAY: I certify under penalry of perjury that I have read this epplication antl state that the infortnetion given is correct. I egree to wmply with all state laws and ciry ordinances relating to building consiruction, and authorize representatives ol Ihe City ot Casta Mesa to enter upon ihe ebove-descnbed proper�y tor inspection puryoses. I agree not to occupy or allow wcupancy of any building authonzed by ihis parmit until final inspection. G �AnNOr'Rutfiarized Ap licent � CODE�. INSPECTIONTYPE . Qd¢, ' INfITIALS 1616 Fixed System Final Fire Prevention 1288 Pool Spa Final 200 Finel Re-Root 201 FIneI BIocWRetaining Well 202 Final Factory Fire Place - 203 Finel Sign 204 Final Demolition � CODE 1 INSPEC110N TYVE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Finel Planning Approvel 222 Final Site 250 Finel Building/Occupency �.1 IIL ' •• L� t Pfl0.1uT ROOFESS: z 377 FORDHAM DR OWNEfl'SNAME: EVANS ROSEMARY nooeess: z 377 �'ORDHAM DR COSTA MESA,CA FBCHIENGINEEfl: 5 4 0— Q$ 4 7 AODflE55: � UNIT: 92626 HEG.NO.: UNIT: PEHMITTEE: ROSEMARY EVANS ( 714 ) 590-4847 aoowess: 2�Q37'�'7� MFO�'RGDHAM DRIVE 9 ' UCENSEO CONTBpCTOFbECLAHATION:��re�by allirm thai I am licensetl untlerCpr�avisia9n��iiap�er 9(cammencing wilh Section 7000� ol Orvision 3 oi Ihe Business antl Pmlessions Cotle. antl my license is in tull lorce antl e��ecL �� ' CITY LIC.: ' STATE LIC.: CLASS: � Oate: SignaWre: WOB¢Efl5' COMPENSATION OECIABATION: I hereby aifirm Ihat I have a cenificate of consent to self-insure or a certificate oi Workers' Compensalion Insurance, ar a certified coDY Ihereof (Sec�ion 3800. Lah. C�. ' . POLICY NO.: E%P. DPTE: COMPPNY: � CerlilieA copY is hereGy �umished. ❑ CenilieU copy is filetl wit� the city Building Division_ Oate: ApplicanC E%EMPTION FflOM WOHREPS' fAMPEN5FTI0N DECLANRTION: (This settion n¢¢4 nat be completea il Ihe permil is lar one hunAreA (5100) or 1¢55). I cerlity Ihat in �he petlormance oi the work for which �his permi� is i55ueQ I shall no� employ any De�son in any manner so as b become 5u�lecLio Ihe WorkerY Compensa�ion Laws o� California. Oaie'. SignaWre'. NOTICE: I�, aller making Ihis declara�ion, you shoultl become SUElect Io Ihe Workers' ComOensa�ion pwvisions af the Labor Cotle, you musl forlhwiih compry vn�h such pmvisions or this Dermii shall be Oeemed revoketl. CONSTBOCiION LENDING RCENCY: I hereby affirm iha� Ihere is a constmciian lending agency for the petlormance o� the work �or w�ich inis permii is issued (Section 3097. Civ. C). LENUEH: FODBESS: � - � ' ' OWNEB BWlOEB OECIABATION: I hereby allirm Iha� I am exemp� �rom �he Contraclors' S�a�e License Law �or ihe following r¢ason (Sec�ion 7031.5 Business anU Professional Code: Nny ciry o� couniy which requires a permil b consimCt, al�¢r, impmve, demolish, or repair any simcture. vrior to its issuance, also requires ihe applicant lor such permit to file a signe0 statement that he/she is licensed pursuan� Io �he prw¢mns ol Ihe Comrac�ors' S�a�e License Law (ChaD�er 9(commencing with Section 7000� o� Oivisian 3 0� (he Business anE Pmfe55ions Code� or ihal he/she is erempl Iherefrom antl Ihe �asis �or the allegeJ exempiion. Any viola�ion oi Sec�ion 703L5 by any applicanl lor a Dermi� subleqs Ihe applicanl lo a civil penalry o� no� more �han �ive hundre0 dollars ($500). I. as owner ot ine pmpeny or my employees wilh wages as iheir sole compensation, will tlo ihe work, ana the ❑ simcWre is not intenaetl or al�eretl �ar sale (Section 7044. Business antl Protessional Cotle: The Con�ractors' S�a�e License Law tloes not apoty to an owner oi a propeny who huiltls or impmves thereon, anA wno Ooes such work himselflherseli or ihrough his or her own employees. provideA Iha� such impmvemenis are noi imende0 or oflered lor sale. 1�, however the buil0ing or impmvemenl is sold wiihin one year ot completion, �he owner will haue the bur0en o� pmving he/she tlid noi �uild or impmve �or Ihe purpose al sale�. ' I, as owner ol Ihe pmpehy. am exclusively coNractinA wilh Iicense0 coniractors to conslmct ihe Droiect �Section 7044. 9usiness ❑' and Pmfessions Code'. The Conlraciurs' S�a�e License Law doe5 no� appty to an owner of property who �uilds or improves �he�eon antl who contrac�s br such pmle��s with a coNracbr(s) license pursuant �o IAe C nlractors' State License Law). I am aware iha� pmol ol thei� Worker'S Campensa�ion insurance shaultl be pmvitlea Io m . �I am exempt untler Sectwn� 6. 8 P. C. mr mis reaso�. LBWORK4BY OWNER a �LL �� Owner: I tlo hereby cerlily I�at I am aware o� antl understantl �he reQuiremenis ol Califomia hleal�h and Safe� C tle Sections 25505, 25533, and '2553a an4.inai I or anV �Nure building occupan� willlwill no� Icircle one) need lo comply wi�h saiU st odes and the requiremenls �or a Oermit br consimclion or modilica�ion irom t�e Air �uab�y Management DiSVicL Fesidential canst �ion applica�ions are exempi �mm these pmvisions. � - � Oale: � Applicanl: _ I M1ereby cetlify Ihat I hzve reatl��is applicalian antl s�a�e �h3i Ihe ardinances antl slate laws relating to Ouiltlmg consimction antl �ere� propeny brinspeclion purposGesy. 4a e�. �_��/ � L_� Signamre: _� Oriver's License or Social Secumy a: � �( ma�ion is correcL I agree �o comply wi�h all city antl county reD�esenta�ives of t�is citylo enter upon Ihe a6ave-mentione0 t6aba6 Wnite—Bmltling: Green—Cotle Enforcement; Canary—Applican�; Pink—Revenue: Goltlenmtl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; H 05550 PERMIT NO; B 055505 PLAN CHECK NO: N GOVT: N SUPP: N ' CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP. SHINGLES SQ FT; 3,500 CLAIM VALUE: 3,500,00 CALC—VALUE: 3,500.00 GROUP OCC: R-3 / COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME ifiFkiFlFiEif�FlfkIF�FIF�FiFififikiFdFiFiFiFiEkiE3f iFiEafiEafifaElfafiFikM�FifiFiF�F�f�FifiFiEifiEjkjfiflfitiF�EMlFiflFiEiFiE1F�FIFiEif�FiF�EiFifilikiE 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 BUILDING --------- 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 REp • PROV: PARCEL; 14148407 ZNE: REF NO: PLANNING NfSTES> �% **�***�e**■*****�***�*�r�e**�r*******��***�r**�******�*��**�r*****�**�*��**�r�«��*��*� D E V E;;,L O P M E N T 5 E R V I C E S R E Q U I R E M E N-�T 5 �� ZONING APPROVED:BY DATE: '� BUILDING APPROi1ED BY : DATE; ';;?• "2 APPLICATION ISSUED BY; ` DATE: ��I�� ifiEiFMMMiE�Fif3FiEifififififiF�FififififiFiFiF'i . . . fiF'iF7F7Fit�if��±F�EiEiFifiEiFjflEiFiE 3fik �fif�FiFiFiFifiFiFif�ltiFififltifiFiEaE1FiP�EkiFifiE1llt�FiFitiFiFifkiFklFikki �ik3E�FlEIFiEkIf�EkifiFlEiflEififiFiFiFif�lf�FiFifiFififiFlE�EiEiEifiF�lk�lE LEGALIZATION:N F E E S U M M A R Y STRUCTURAI,,.SEGMENT:Y , ,. HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES�' GRADING PERMIT 63,00 .SOn; PL� ' SMIP/NON.,-RES ISSUE EEE ' �� .BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL�I PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 ' 63.50• . .00 J�f REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: i` .00 BLD63P00 pLUMHING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING,P.LAN—CHECK � �� . if !F 1kiF ik iF if if iE if 1F�f iF iF if it iF iF k iE iFiE iF if k i! iE IE iEiE i! iFiE 1t iFif iF k M!f if if iF iF �F 1k 3f It k IE iE 1FlE Ik if M if if iF iE �k iF M iF 1F iE if if M iF �l! it N 3E if *�E k iE 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 rTOTAL COST SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE ', 1,00 ` 3,500.00 END OF FF.F.S ' c' r: � � R ai onra4��za-ort�;4s� -� c�s�- DAiE: 12/1;i?? T:i7E: ir1t55 , �J�JL � 1 � CONSTRUCTIONAND"PLANNING _ PQ "SPA , ♦ APPROVALS Permit � Date Inspector qppROVALS Permit # � Date Insp�ctor . '1�. Temporary Electrical Service oi Pole � 52. Pool & Equipment Location •^ 2r So� Pi�e-Undrg'nd. . _' 53. -Sieel Reinforcement � ` ,.- �3t�legtri,`�"I Cond , ;��ity-Undr9md. � 54. Forms �:.' i L-49E1e€tric3l Cond�:F�ndrgrnd. 55. Electrical Bonding �-; . �T �S ��yl Fj`ejnforcer�tM ' 56. Rough Plumbi�9 & Pressure Te'4�`c�, � !l�• t Ct3��Els'ctrical UFER=GcrtB. . 57. APPROVAL TO COVER-GU x � " . .� `�v',:�o�tings S� - � 58. Electrical Conduit-Undrgrnd. y "• r�,:fipundation � o . 59. Gas Pipe, O Undrgrnd., Test .�; „'j p 9. Water Pipe�Undrgr'�i'd. _ 60. �Backwash Lines,.P-Trap,� Undr�nd. �.'i;, n 10. Structural Floor System ' 61. APPROVAL TO�DECK � � - i. 11. Pro�perty Sewer Line1'& House C6nnection 62. Backwash & Receptor�Final �' Ia .-. 12. Se`�er Cap N 63. Heater & Vent-Final .. j�. ` .7 13. Roof Drains � - 64. Plumbing System - Final ;� �- '� . , 14. Rough Plumbin�, � - 65.'Electrical-Final .- .%-� r ' �. 15. Rough EtectricaLConduic 66. Solar System-Final . � -' , : �•�_ 1�6. Rough Electric�iring 67. Fencing & Access Approval f '�' 17. Reugh Wiring Siqn . 68. APPROVED FOR PLASTERWG '" 78. Rough Electric�P-'T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.'Rough Heating & Air Conditioning '' FIRE DEPT. REQUIREMENT - � St�IPH fT. �V: F C�. 20.!Rou�T FGLto F'(raplace ��M K`= � O 7 Crt.* 7TPPROVAL'�y�:%`E�eriiilt# .+� '�' �r '.^. W S+c i SM Cf�iS :% .S N Ty A� fJ . �: titiF- :e: G` c[ � R:. .E '� 1 .. :.. �- ,?�. y: ,,, :.. n; 21.� uc � StrutuG9�a� �.... .�s x S � f;W:�;' 0. �dergrpvptl y(�o �: 22. �Ductr�. V�htif3tinQ-x � ^S ?'. 'S �tx� x �07. Product'Pi`"r�g Q� ❑� il n ^1 a 'L•'r � �'l .w.:' c..x: a: 23. ��as''.�P�'Pe`-�ough &'1�st i � s W, .;, �^:r .r F . + CL� x C> w ��_ _ � � „ ..ti p� :. J2. Undergroip+d�Fit�ct�;�r, * r, ;v 24..floo�Framing• ix � Fi- �•F a> O c * F:a3.^FlndergrncG.Stora � a�k �Gas ❑Of? lf rr. i,[ �..:-: c. . '1 m:.: Y N �[r 'h �i r.t�- � � �- i-�f,�0 8. 25. Roo�;Sh'e�athing M* t� ,� /,�JO '�` � ' # S/4.�lvgrhead F�ydro � ,� f l� 26. T�BaqCeiling IStr�ural) & Monocoat µ.� [t+ C� [�?' �5 75.� ry Chemi�al "7 �c �-? C7 K � 27.'t.,�ra e aod F ashi + w .x � �L' . .� .s � �r'o C� .x. S Ri � 6� �. �:., �c:�X x� >: a;:• x 76. �i Y Stand�lP�e F-C7 �t �, t28. ��Lat�ing Z$ Sid'en96-ac c^ `:etx �: w S_ ••W t 77.c^FIXED SY�EM�IAL�x � nv" .�. r• -� -.� ..r. .-. � .� rr p :Z:r L` H •• •• � � (n i `K � .K �G �29. Insulation , .� 5 ., y; i ,� 76.�IRE PREV. Flf�l, � 7 a;,, c.. C30. DrywalldUailiag p7a z I��.." ��w r; M€ALTH�qEPT.iREQW4R�MENT 7. Plaiter , ""� 1 M, I`' k� r � '��. @r,Own1C°�s �S t t-'tr ' �� .�9.'fINAL IN��CTI(�'�! * C` a ..y� Y. ;22.;,Electrical Power Q4¢.Fec;Final i � �:: n� i �-- � t tfi0. �FOOD.CE TIF14.'�CSE ISSUED � �� i� ~v: � � '^ :# !� `, x [� ~ � ""S .'C ^l 33. �in�7'Elg�tric �Joti�'S' s 7 � �-+x .+7 � 1 :f- V � ` :? '-7rn � � Q n.h; i+ a a' !-iH � •- : --• 1 f�4.;�ina�He_ing Air:,�onFlitiOnia� n � ( �': � iF S :lx �: :S. CO �:-.. , � r 35.!'kin3YGa,f,Pip$=TeSi•" - r-t� '--' M •` � �.f.` �..y ;7 !l Es1S x [+' SO �. w. a H ! 1 � i7 :C::.� C7H :1' [-+�r C F i :• .K � � �:. D • . R� �-- rt36.'hioodor.CanoPY;L'.�.p •IT.•� .� ;k;1 •:S F :lo +' �CD• '97.�binErFa�Tory Fire�Nace'^ ; StT' -+ Y t*; t. x: E t` + Jt*: �F 7' . Hf.. � . �: � .r: n� 38. Fin .Plumbin y� � � f � j� �' ` � '� d�J 9 :s �J 1 a. :R � �. >: S ��1 'K rA ^v C39. WataY S6aLice-Final= � � � " � � �!� * .^ �tT =k � ^ _: i r.x i �Y?. c.� x `s `40. Gas Servi�e-F`]�nal � ' " '� �i�"' ''`7 ' ' �:, V �[-i �SL�'fT' s r� [*7 I I 'Y tJ nJCii '}: • F41. Solar pomesdc�Finai S �: •• a O+ � � e-- �¢r� ^r-� x. r�• tn 4'X "7C CT' :'.0 r42.-Backflow Preventer.�� 4"' n' :' � � '��" `i v% �s: t. [� a. ( I k± .e' lZ � 17-G� l'�' � ti//' �, -�- _ � f... . r Y�-4�f /.� 43. Backflow Irr � tion=� � �SS x x :• �F.o : :, - `ir � �✓ �.: .i. 1k OJ .� p, (") l a cr �� a�. x- �. c. �,44. Landscape I�'ruigatio� Systemr��n;� r .y. �q � d,: .z a n� N �;.:c., x p� � .., � s . .. .. � . � .:. -. . . .' _. _. _ .� . . . :45.t5ound Atterffiationx H'xF� C� .r: F i-� �•?- �� .r (l r+. r-� ' tT•�� cC.Z .c � T.' r:�. �n c; Y. i �r m r c.. :� .< Il t �J � Y. Cr7 . .. ..;Y X'"` i i ly.�J ..H .T �6. �;Flandicap Regylatio�s r� . •. � x x.:., � � •S �� .� 47.�EIMQLSTRF/LTU.RE&BU' DING � *`��s� y` :� _ � ,., Y. �=,� :� I � � � ,�.. �.�..rr 48.�FINAL PI_ARIIJING�: i FE� � n, , �:;� �� ir � .Z �� c.� c..� ,� e. :_49.�lecitic elease to Edison i .�r�. i �� Y � tc � i �'r ^7 n! rr +: o _ .,. ' r I �� s r_. o:� x ^, o ,;50. Sas��el �e to Sout�ern California Gas Co x 1 �� e- H O• eta �J • .,'51. CERr�IFICATE OF:ACCUPANCIP � � y �, � �„� ;, x .- � No. Date r � CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement. C� Yes O No 2. I(have/have not) � signed an application for a building permit for the proposed work. 3. I have contracted with the following Name �d�/��1 � Address (firm) to provide the proposed construction: City C�T�' �� Phone (,/.p) S�m '�fr � Contractor's Lic. No. r 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No.. 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health an�. ty Code and have completed the above information to the best of my per- sonal knowledge, in o liance with this Sj te law. Signed: �� --� Date: �L "�{rL/ / Name: D Lr'i'Y!'�F %✓/t'I'� �i- ( rinted or yped) C.D.L. # or S.S. # ��-- �� r 754-5273 i' i� PflOJECT AOUPESS: z 37-� gORDHA:v DR OWNEfl'SNAME:Ma:THEW P?PKSN AOONESS:z�7=� pORLHAM r7R COSTA MESA,CA NBCHIENGINEEB: ADOFESS: c. _ _ • UNIT: 926�6 PEG.NO.: UNIT: PEflMITTEE:UONALD M. PERRY ( 714 ) 536-6228 aooeess: 3 2 5 2 ND S i HUNTINGTON BE:4CR CA 92648 LICENSED CONTFACTOB OECIAHATION: I �ereby aifirm thal I am licensetl un0er pmvisions oi C�apler 9 �commencing with $ection 7000) o� �iv��sion 3 ot Ihe Business ane Pro�essions Code. antl my license is in fu0 �orce and eltect. CITY LIC.: (� STATE LIC.:S 1 � 6� O /,,n/ C1AS5� �—'3 6 Oate: _7�� SignaWre'. —[tiK�P _ W�BNEHS' COMPE! pTION OECLIBATION: I hereby aflirm Ihai I have a CertifiCaie ol tOnsent to I ertitica�e o� Workers' Compensaiion Insurance. ar a certifie0 coDY �hereol (Section 3800. Lab. C). POLICV N�.: EXP. DRTE: COMPANY: .� Cetlified copy is �ereby fumished. ❑ Cetlifiea capy is tiled wilh ��e cily Builaing Uivision. Date: Applicant E%EMPTION FflOM WOflHEflS' COMPENSATION UECIAflATION: Qhis section nee0 not be campletetl if ihe permit is for ane huntlre0 (5100) or less�, I cetlify I�ai in Ne pedormance o� ihe work �or w�ich �his permi� is i55ue0, I shall no� employ an person in any manner so as to 6ecome subiect lo ihe workers' Co pensalion Laws of Califomia. oa�e: � � Q Signamre: NOTICE: II, atler ma �ing Ihis declaralion. you s�ould hecome suUlecl Io ��e Workers' Ca e ation provisions of �he Labor CoOe. you mus� torlhwAh comply wi�h suc� pmvisian5 ar Ihis De�mit shall �e tleemed reaol tl. CONSTPUCTION LENDINC AGENCY: I here�y aifirm Ihal there is a con5�mction lending agency lor �he peAormance oi ��e work br w�ich Ihis permil is issued (Seciion 3097. Civ. C). LENOEB: � AOOBESS: OwNEN BUILOEB oECIABATION: I nereby affirm that I am exempt Imm Ihe Coniractors' State License Law for ihe following reason (Seclion 7031.5 Business antl Pmlessional Code: Nny ci�y of coun�y w�ich requires a permii to conSlmci, aller. improve, tlemolish, or repair any simtlure. prior �o i�s issuance, also requires the applican� �or sucA permit �o �ile a signetl stalemen� that he/she is licensetl pursuanl to Ihe Om�sions ol l�e Conlraclors' S�ate License Law (Chapier 9(commencing wii� Seclion 7000) ol �ivision 3 0� the Business and Pmlessions Catle) or Ihal he/5he i5 erempl l�ereimm and ��e Dasis lor Ihe allegetl exemptian. Any violation oi Sec�ion 70.31.5 �y any aODlicam for a permit sublects I�e aODlicanl to a civil penalty oi not more Ihan �ive hunAred OollaR (5500�. I, as owner ot the pmpeny or my employees wi�� wages as iheir sole compensaiion, will do �he wo�k, anA �he ❑ slmc�ure is no� imentletl ar al�eretl �or sale (Sec�ion 7044. Business an0 Professional Coae: The ConVacmrs' Sta�e License Law tloes no� apply to an owner o� a properly who builds ar impmves Ihereon, an0 who tloes such work himself/hersel� or �hmugh his or her own employees. D�ovitletl Ihal such impmvemenis are not in�ended or offere0 for sale. II, however the �uiltling or impmvement is soltl wi�hin one year ol completmq the owner will have ihe burden of pmving helshe Uid no� build or impmve for �he purpose ol sale�. I, as owner ol �he pmperty. am exclusively contracting wilh licensetl conVac�ors to cons�mct the pmlect (Section 704d, BuSiness ❑ and Pmlessions Code: The Conlractors' Slate License Law Does not aODly lo an ownerot pro0erty wha builtls or impmves Ihereon ana wh0 conirac�s �or Sut� pmjeClS wilh a con�mttoq5�licen5e pursuan� to Ihe COnirat�ors' Siale LiCense Law),I am aware �ha� pmol o� their Worker'S Compensa�ion insurance 5�ouitl �e pmvitled ro me. � I am exempt un0er Seclion�. B. 8 P. C. for Ihis reason: oaie�. Owner: I tlo here�y certity ihal I am aware o� ana unders�an0 ihe requiremen�s oi California Healt� antl $alery Cotle Sections 25505, 25533. and 2553d ana Ihat I or any Wmre builaing occupam�will/will not (circle one) neetl �o comply wiih sai0 slaie co0es an0 the requiremenis �or a permil br conslmclion or motlilicalion irom �he Nir Oualrty Management �iSVict. Fe5i0ential conSVuction applications are exempi Iwm these Dmvisions. �ate: ApPiicani: I hereDy cetldy Ihai I �ave reatl Ihis ap0licalion antl state Iha� �he above inPormalion is correcL I agree �o comply wi�h all ciry and counry ortlinances antl sta�elawsrelalinglo building conslmc�ian antl hereby authorizerepresen�aiives ofthis ci�ylo enlerupon�he above-mentione0 pmpeily br ms�pC�tiion./�purpo2sos. y�.� �aie: ��_ SignaWre: ��S�GLZ��7/.u/J'�'Y� oriver's License or Sociai Securny a: Canary—Applicam: Pink—Revenue: Goltlenrotl—Assessor � CZTY OF rOSTA N_SA — BUILDING PER,+1iT PEiMIT NO: P 061995 ?LAN C?:ECIC NO: N CONSTRUCTION TYPE: 5—N PERM_i TYPE; P�il JdH DESCRIPTION : NEW WATER SERVIC� & WATER RcPSPE Ci,AIM VAL'JE: CALC—�TA:,i3E: PERM NO: P U5194� GOVT: N SUPP: N PUftPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: PLUMH�NG I�ORK. ONLY if 3f 9f if �?E ie 3F-%� i.` 3.` �)f i!� iF iE . iF iF '�rt iF jE 1(-�iC jF �f iE iE iE i!-i(' i(� ik if iE i(� M. -� iE iEiE if iE iF iF iE iE if if �7k i4 if iF �7h�K-if i(� �Y. �)EiEY,- 9i� i( -IE if dE �T: ie a't iE � iE �1E-%if iF �Y. �iE jE 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 ----------- NA�N BJIi,DxNG ---------- --------- ACCESSORY BtIIiDINr_, --------- FRNT': FT IN EAR; �F'i IN FRNT: FT IN REAR: FT IN LErT: FT ; IN 2'.GHT: '•'FT IN LEFT: rT IN RGHT: FT iN PARKIN� Rap • �RO��; PARCFL: 14148407 ZNE: RPF NO; PLANNING NCSTES> i �r�*?��r��e**+�*��:***z��c�*: �*#******+t�****��***��r*#*�*.�:�:-rt*��r#*rt*x*�*+r*#rt�*�c�***�*�c��e*� D E V E L O P M E N T S E R V; C E S�- �2� E Q U I Ft E M E N T S ZUNING APPRr�VED 3Y ��r DATE; HUIi�T_NG APPROV�U BY APP�ICATION ISSUED BY� ��.t.�.�,�1� V/ �. 3f1FiE#k3f#fiEiElE�3f3Ei(�i(�3E#t}fiEffiE #3F��- fi�fiiF3E<gir`�i�'t3F'it'�FiFiF . ��F J �iF' i'r �fi� iE iE ic �If u if !E iE?f iE iE iF # iE if if ?!-i(� iE!IE �lE �f iE if if )E ?f iE )E iE fE ff iE iE?E i't 3E �lf �E �ElE 1E ic iF if iE' #�, LEGALIZATION:N ,' , F E E S U M M A k Y BLDr,�pMT PLUMHI,�3G �'LECTRIC MECHANIC PERMZT 14,00 2JR DATE: +�. DAT� • 2 .� iFir—�+.-`�iFiElEie?EiEiFiE�EiPlflet tlFitlEn--R iEiE if %if iE aE iE if 1E �E �f if if iE df i4lf �F �f jE!E iF if if 3E 1E iE jE if STRUCTURAL SEGMEN'i:N FIRE SMIP/RES GRADING SMIP/NON—RES PLAN ISSi7E FEE � Z0.00 BUILD=NG—D3V—> FEFZMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 19.Op 20.00 0.00 39.00 39.00 .00 REVENUE DIVISI��N TOTALS--> COiLECTED: 34.00 OVER/SHORT; .00 BLDG PMT PLUMSING EiEr'_r�IC MECHANiC F3RE SMIP/TVT GRADING PLAN—CHECK 39.00 iE iE iE i: iE iE jE iE 3f 1E?c 1E iE if !E if iEi(� i(� M ih iE if iE �lE aFlf �%iF if 3Elf 1E if If �IE iE �F iE �lf ?f iF dF-k 3E if iE if?f dE iF ihlf 3ElF �lE �7(�iE iE-If iE-)f iF if iE iE 1E if # it iE iE ih iF !F i6 iF iE?E I N D Z V 3 D 0 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 c�'LLi Z Tr1ATER S.^".RVICE 7,00 7,00 PLiI 1 WATER RE—PiPE 7,00 7,00 E\D Oc FEES 01 001381E4-0013E1E4 T�] T 34.OQ DATE: 04/29/93 TItfE: 09:5` , .f � CONSTRUCTION AND PIANNING � APPROVALS Permit � � 7: Temporary Elec[rical Serviceoi Pole 2. Soil Pipe-Undrgrnd. " 3. Electrica� Conduit Utility•Undrgrnd. 4. ElecVical Condurt-Undrgrnd. 5. Steel Rainto�cement 6, E�ectrica: UFER Gmd. 7. fooungs ' 8. Foundat�on ' 9. Water P;pe-Untlrgmd. i 10. Structural Floor SYstem � 11. Property Sewer Line�& 12. SeNer Cap f3. Roof Dra�ns � '.�4. ftough Plumbing �i�. Rough Electrical-Conduit i6. ftough ElectricWinng 17. Ro�gh Wiring Siyn 18. Rough Electrica67 Bar Ceiling 19. Rough Neaiing & Air Conditioning 20. Ro�gh Factory Firepiace 21. Ducts, �n Structure 22. Ducts, Ventitating 23. Gas Pipe�Rough & Test 24. Roof Pramirg 25. Roo4 Shtaihing 26. T-Bar Ceiling IStruciuraq & Monocoai 27. �rame and Flashing 28. Lam�r.g & Siding 29. Insulat�cn 30. Drywali Naihng 37. Piaster Brown Coat ' 32 Electncai Po�.ver M11etec�Final 33. Fira' Electric ' 34. Final HeaUng & Air Conditioning i35. rinal Ges Pipe-TesT 36. Hood or Canopy 37. Fnal Pattory F�repiace 38. Finai Plumbing � 39. Water Service�Final 40. Gas Service-Final 41. Solar Oqmestic-Finai 42. Backflow Prevente� 43. Backflow Irrigation 44. landscape Irngacian System 45. Sound Attenuation 46. Handicap Regulatiuns 47. fINAL STRUCTURE & BUILDING 48. ftNAL PLANNING 49. Electric Reiease to Edison 50. Gas Release to SoUthern California Gas 51. CERTIFICATE OF OCCUPANCY No. _ Date , � I _ . I PO� _ & SPA ! Date Inspector Date finspector i 6 o� � APPROVALS Permit # 52. Pool & Equipment Location _ 53. Stea� Reinforcement 54. Forms 55. Electricai Bonding 56. Rough Plumbing & Pressure Test 57. APPROVF4� TO COVER�GUNIT[ 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � U�drgrnd., Test 60. Backwash lines, P-Trap, O Undrgrnd. 61. APPROVALTO DECK 62. Backwash & Receptor-Finat 63. Heater & Vent•Final 64. Piumbing S;stem � Final 65. Electrica6Fina1 66. Solar SystertrFinai 67. Fencing & Access Appruval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEh7SFINAL FIREDEPT.REQUIREMENT . APPROVALS Permit,-k�._ 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground F(ush .73. Undergrnd. Storage Tank 'L� Gas '� Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEA7 FINAL � 78. FIRE PREV. FINA� - HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICAtE ISSUE� Notes: c N N '.� F W i� COSTA Ni�SA BUILDIPIG DEPARTMENT ' P. O. BOX 317 COSTA MESA CALIFORNIA C•L. OF STREET ___��PROP LINE T — — T. FOR 60 FT. STREET— � � � �W �a lo� �d LLEY pR �a' _1iPROP. �INE __ _ C.L. OF STREE f�ll: F a � a �� F l7 o a Z J m z O Z. F- ¢ � U aw •~ m Z 4 u�i a � m � I � I ------� , FEE RE E6VED ��7�� I ��,�_w FOR APPLICANT TO FILL IN FIIIANCE EI!1. BUILDING ADDRESS � 3 � � ��-� �-� � � CITY I OF ao FT so F W W K H N � 0 J U S T. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED IINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES , City � �-�. Ph. No. �- Contractor�i%A('v � ��='Y ph. No . „_ _ � City Lic._No. _ _ _ _ _ St te ic. No. _ _ _ _ _ _ Size of Lot 7e2 x/co •-G�� , � Setbacks: C/L Street .S-o 't Rear � �� Side Yard - Right ;xi�' O� Left QT� �' Type of Fence �-��+-Q —� �, -Q�.-=-�t •�� i �� _ .. -,i% 1 L / _ V . . �_. s//D _. � I hereby ackno�rled4e'thqfiI have read this application and�state that the above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. FOR OFFICE USE ONLY '7�3� //- %- S��' � �/ - � - S� VALUATION 'I � 6-0 Permit Fee $ (�% "�. I P1an Check $ � TOTAL FEE $ `� � ` U.SE REVERSE SIDE FOR DETAILS i r,'s� OWNER Costa Mesa Estates 2377 Fordham Drive DATE ��52�5O .. . „ ._ .. ,.,, JOBADDRESS BUILDINGPERMITNO. "��63.-� GENERALCONTRACTOR Roven-Spiegel �o VALUE a 11f�OO.00 � 63 BLOCK TRACT 2�5o Single Res W�att gar GROUP I� J TVPE V ZONE �-t FIRE DISTRICT 2685 � � PERMIT$ ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE � NUMBER Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temoorarv Pole Heatin Sewer, St. Septic Tank or Cesspool L -�g, In Out '//_ Plumbing, Fin.al, Fixtures Complete �/%.S /-/9-J`7 � Plumbing,Fin.alGasTes�lS /Yjfdf y-i9 s7 a-� � 9, MAY �i951 VC�� '��, _ Wirin Final Occupancy MAY 1 1957 VCB FOqM210 3M 10-05 ' OWNER GUFFIN, MFt. & MRS. GEORGE H. DATE 11-7-58 � JOB ADDRES$ 23']'J FnrAham TlrivP BUQ.DING PERMIT NO. �7Q47 � � GENERAL CONTRACTOR Owner Bu11dEt VALUE $ p7C�.On AP. No. � LOT 63 TRACT275p FII2E ZONE � DFSCRIPTION OF WORK 6� CoriC. B].k. Wall ( IP TYPE ZONE PLAN NO. � INSPECTIONS I oq7E I SVBCONTRAGTOR � PERMITSISSUED AI � DATE I NVMBER H� "ng Final I inq Fixty Pinai Gas Test �osta Mesa Bailding Department 171 EAST 20th STFiEET �. COSTA MESA� CALIFORNIA FOR APPLICANT TO FdLL IN � �3') � rr� Costa, Mesa, California Nearest f'j Cross St. � C��l��l-C� -%�� Owner AU�iTi� �E'�� 5��-"i Mail .r�J,C� /r�/ ,3 t� G� , Address -B5 �i�_�-05 ? � Tel.� � _ r% �� City / .yU^ No..�/_ �/cl/�� Architect r �1Y� y� ��L'G; Lic. " Engineer� �J No. dress S��/iPGt�d /��C�G %/%>�'iil�- �i/✓f%" ��tij�E�✓ �r�- C-' c�tY u�. ContracMrl� ' � No. /J.�$�6 J AddreSs �.S�C- �i i � `�iy.J ,1�9�,jljECES ,� Legal Lot � I Descriptian No. L� Block I Tractz��O (Attach Metes and Bounds) �'�� 7n " Nn. of Bldga Size of Lot ,�C. •X �2�C� Now on Lot Useof No.of No.of Existing Bldg. - I Famflles Room Setback Line from / Hear Vard CenterofStreet ��C� �— ciAeVa�d _� k�L New I�I- Alteretion I I Atldition ` No. of / �/ � G � . Rooms `-� Stories II � I Roof �dij-�C_ S� ✓� � Coveri na Sif/A/./- I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Iaws regulating building construction. � Signatureof e�r,9 �� /��S Permittee Valuation PErmit Fee $ V[„ �� Plan Check $ -� $ �� % Total Fee $ o -� � 4 ROd R_AP 9M R_45 APPLICATION FOR PERMIT 3� BUILD��NG � FOR OFFICE USE ONLY I �Recefpt No. Permit No. ��.3 Received by � Date Rec'd. � Date Issued Costa Mesa, California Nearest Cross SS. Zone � � No. of � Type f� 0 APEROVALS �n Location I Inspecto Materials, Date O A � 2 D r