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Home My WebLink About2744 FREMONT LN - Building Permits� � CITY OF COSTA MESA � ' ` " � _ � BYILpING DIVISION � DEVELOPMENT SERVICES DEPARTMENT J 'y� � � PERMIT PERMIT NUMBER �sam�w B99-0�2%2 (714) 754-5273 • Fa�t (714) 7543856 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 2744 FREMONTLN Suite: Vicinity: SIDE PROP. LINE FENCE Parcel Nunmber: 14155201 Applicant: GRIEGO, MANUEL Address: Owner: WALTERS, BERTHA E Address 2744 FREMONT IANE COSTA MESA,CA Contractor: M.G. CONCRETE Address: 3134 S. RITA WAY SANTA ANA,CA Zip: 92704 Arch : Address: Phone: BUILDING PERMIT Status: ISSUED � � Applied: 02/25/1999 Issued: 02/25/1999 Zoning: R1 R1 Phone: Zip: Phone: � �� , Zip: 92626 ' , � ' , Phone: 714-5253844 � License: 384563 Eng: Address: , Phone: Zip: � License: License: SCOPE OF PERMIT � 78.5 LF OF 6'-0" HIGH CONC BLK WALL AND 5LF OF 2'-6" HIGH CONC BLK WALL PER CITY OF COSTA MESA STANDARD DETAIL. � Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total $56.71 $8725 $0.50 $0.00 $0.00 $0.00 $144.46 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistinq: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY , PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $3,200.00 $3,200.00 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 penod of 180 days. , INSPECTIONS: In order for the work authorized under this permit to be considerad legal, such work must comply with all applicable codes, and all requlred inspeetlona end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSATION DECLARATIO� �.T � I hereby effirm untler penelry oi perjury one ot the following declaratians: � , � � ❑ I have entl will maintain a certificete oi consent to self-Insure for workers' compensetion, es provitletl tor by section 3700 of the Lebor Code, for the peAormance of the work for which this permit is iuuetl. ❑ I have and will maintain workers' compensation insurence, as required by section 3700 of ihe Lebor Code, tor the pedormance of the wark for which this pertnit is issuetl. My workers' compensation Insurance cartier end policy number ere: CBRIBf: (This se one or less.) Policy Number: ❑ I certity Ihet In the perto @of e work tor which this pertnit is iuued, I shell not employ any person in any manner so as to becoma subject to Ihe workers' compensation laws 1 '\ egree thet If I shoultl �ecome sub�ed to t�e workers' compensation provisions o� on 3700 oi he_LeDor Code, I shell tonhwit� comply with Ihes p si � � �j Appllcent Signeture: � Date: � WARNING: FAIWiiE TO SEIXIRE WORKERS' �PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSANDDOLLARE(5100,000),INADDfiI TOTjECQSTOFCOMPENSATION,DAMAGE5A5PROVIDEDFORINSECfION3]O60FTHElABORCODE,INTEREST,FNDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm thet I am licensetl untler provisions ot Chapter 9(commencing with Section 7000) ot Divislon 3 of the Business end Professions Cotle, end my Ilcense is in full force and efFed. Lic. x Class N ContracmYs Signatura: Date: CONSTRUCTION LENDING AGENCY: ❑ I hareby affirm ihat there is a consiruction lentling egency for Ihe pertortnance of the work for which this pertnii is issuetl. (Sec. 3097, Givil Code). Lendefs Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby aHirm that under penalry ot perjury ihat I em EXEMVT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business end Profeulons Code: My ciry or counry which reQuires e pertnit to wnsirud, alier, improve, tlemolish, or repair any structure, pnor to its Issuance, also requires Ihe applicant for such pertnit lo file e signeC statement that ha or she is licensed pursuent to the provisions oi the Contredors License Law (Chapter 9(commencing with Section 7000) oi DlWslon 3 of Ihe Business and Professions Code) or thet he or she is exempt iheretrom end the basis tor the alleged exemption. Any violation of Seclion 7031.5 by any epplicent for e permit sublecls ihe applicant to e civil penelry ot not more than five hundred dollars ($500).): ❑ 1, es owner of t�e property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the siructure is not intentletl or oHeretl For sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to en owner oi property who bullds or improves thereon, end who tloes such work hlmsetl or herself or through his or her own employees, provided ihat such improvements are no� intenAed or ottered tor sale. If, however, ihe builtling or Improvement Is sold within one year ot compleGon, ihe ownerbuilder will have the burden of pmving Ihat he or she did not build or improve tor puryose of sale.). ❑ I, es owner of the property, em EXCLUSIVELV CONTRACTING WRH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business end Professions Cotle: The wntreclors License Lew does not epply to an owner of property who builds or improves thereon, antl who coniracts For such project with e wniractor(s) license pursuant to the CoNrectors License LawsJ. ❑ I em exempt under sec. Business antl Professions Code for this reason: SlgnaNre: Date: Owner ID venfied by drivefs license. ❑ Yes ❑ No Dnvels License No. Vedficatlon of Owners�ip by (type of tlocument, i.e. - property ta�c bill or deed): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CEPTIFICA710N: ❑ I hereby certly t�et no excavation five (5) or more teet in depth Into which e person is raquiretl to AescenQ wlll be mede in connecNon with wark euthodzed by this pertniL anA that no building siructure, scaHolding, falsewark, or demolition or dismentling thereoi, will be more Ihen thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Atlministretive Code). ❑ As owner-6ullder, I vnll not employ enyone to do work which would require a pertnit from the Division oi Intlusinal Safery, es noted ebove, unleu such person has a pertnit to da such work irom iha division. Signatura: Deta: Division of Industnel Safery Permil Number: CERTIFlCATE OF COMPIJANCE AND AIJTHOR¢ATON OF EMAY: I cenity under penalry af perjury thet I have read this application entl state ihat lhe iniarmatian given is correct. I agree lo comply with all stete laws ciry ordinances releting to building construction, and euthorize representatives ot the Ciry of Costa Mesa to enter upon the ebove-descnbed property tor inspeclio s. agree not to occupy or allow occupancy of any building authonzetl by this pertnit until final inspeqion. Sf at elOw r(s) i d/ iNon tl olicant ' ata � GODE I. INSPECTIONTYPE 1816 Fixed System Flnal Fire Prevenlion 1288 Pool Spa Final 200 Final Re-Roo1 201 Finel BIocWRetaining Wall 202 Final Fectory Fire Plece 203 Final Sign 264 Fnel Demolitlon 241&a8 �Z� � FQpE1 INSiECTONTYVE 206 Finel Mechanicel 20B Final Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Finel Building/Occupancy UAg It�ALS 0 � W � F. N = �n 270 ��.�� -�� CITY OF C0�'IA ^�^:c5A PLAfd�IIP:G DIV. SUE3JECT TO BLDG. DEPT. REG. GY TE • . �. / / e � /• � . � r i �/ i.• . ncsiocMec ■csiocrec �' ID S�NoOc'-k-�°'L a�� a DIVISION OF BUII.DiNG SAEETY CITY OF COSTA MESA APPROVED sr--��'1 0� 2• 25 - �l°l TNB 6d O�p�16 ald SpBC�BlIOIB All1ST bB I�110f191B �Ob8181(171B621d 1 b I�dBM(11 fi m�ce arydagea aat�m on s�ne a�ha;iw�pem�SsionhomtlieDl�dSlonatBuddmc end S�: C�p of Cos� Mese. of �dof ��SIfAL1NOTbehdabpennlabDe��ppiovzl e�Y P� ��Y CAp ol Coste Mesa Ordnsse m�a �ete kw. 7Aeee P�nsaM D� d�ll e�pim bY 6n�auon and beoome nuB �0 vdd q Oie DuAd'ep a woAcanotco!rmetxedandm3imai'ad azMep2rl�C,0.71L' (d►Mtldn 1� C3ysCf issuaKe. II[�ID[MC[ ��/'f`��" STREET � � a'/� `r,va.L(� 11[t10[MC[ w.•. �� ) V C : �.r3`�%'i Lot 51, Tract 1�2 5� an SEP 6 t�9 _ COSTA MESA BUILDING-SAFE7Y DEPARTMENT ' FINANCE DEPT. P. O. BOX 817 GOBTA MEBA, GALIRORNIA CITY OF COSTA MESA Fo� Applieant to Fill In ComplBtely APPLICATION FOR PERMIT TYPE OR PRIN7� BUILDING wocRe�ss 27�1� F4'emont Lane COSTA MESA. CALIFORNIA � FOr Office Use Only � aEcelpT No. 4P�TpN; owr,eRLlesa Del Mar Develo ment Co. MAIL aeaErv ev owre e1y o�re �esue� A�DRE8S 3800 E. Coast Highvray �� -/�!� �j �— / citr COirona del �aT . Ca1i£. NEoUR 34220 AODRE88 oa�ENciNEER �CCO Corporation Np�OR 3I1ZZ0 COSTA MESA, CALIFORNIA ADORESS 38� E• C035tr Hl P1W3,p � ZONE � TYPE GR0�1P`\. � CONTRACTOR �CCO Ci0 oration APPROVED BY DATE ADDRESS 3800 E. Coast Hi �wa,i,y ZONING r ZO NO. OF � U88 OF NE ''L L' ? CIN Corona del�'�ar,� Calif• 1'�� IPI,ANB �9UILDING ��'//�j S`� No. 98808^SB=1 Na: OR 3-�1220 �e°�� ' -�� Y�� 7-�� oeacairt�ox �F LOT VIJt/H S F �o. oF BtuGe. Ncw ON tAT nOn q p NO. USE OF nORe YARDS - EVE6 EXI8TING BLDG. APPROVED ALLOWED B6TB/�GK LINL PROM 21 REAR YARD ZU� � ��p LINB BT.) �� -_ j� CeNTCR OF eTReeT FRONT FT. �'� IN. SIDH YARD I LEFf 10 � I RIGHT V� R. SIDE `5 � FT. 2-- _— �/ IN. DESCRIPTION OF WORK - � S�oE /o FT. �— IN. NEW I�IIALTERATION I IIADDITION I REAR Z� �� FT. �� IN. REPAIR I II MOVING I II OEMOLISH I BYPROVED A Cl DATE a/�r/� � L ir [r S Z E'NG �9 ��"X��' ROOMS V STORIES 1 E7CTHRIOR WALL � .�d' ROOF coveeir+c S�uccol COVERING shake �,yvin area 16 2 S F US8 OF BUILDING AND WORK TO B6 PERFORMED - Sin le �i s' Gara e area S F w�attached gara e Covered porch� etc. 21 S F 1 H8f16BY ACKNOWLQDOE TXAT 1 HAVB RBAD TH19 MPLJGTION THE AMOUNT eHOWN IINOER VALIIATION IB POR THE AND 6TI1T[ TXAT TNE A9CVE 18 CORRBCT AND AOREE TO COl1- pUfiP086 OP, 68TABLIBXING � PERMIT FEE ONLY. ply WI}H ALL CITY OI�INANCE9 AND 8TAT6 LAW6 R80UlATING BUILDINO CON9TRUFT�ON. � � VALUATION ry PE �AT�EE OF esa Del Mar IIevelopment Co. PERMIT F�EE $� ,� (,� p Ey $ 17, 769�� PLAN CHECK $ � S L- AUTHORIZE SS�T/ o TOTAL FEE y .-� Applicant to fill in all spaces exeapt tnaze wit�in heavy borEer lines antl sign all approDriate Ceclarations. CITY OF COSTA MESA �C/ONSTRUCTION PERMIT PERMIT NO. � TRACT NO. LOT NO. UNIT NO. A P# Pro ect Address :"�- t�"� a�-• �� 2� 1 � � r/ � � � � - S Main Buildi Applicant's Mailing dress r 3 13 W�(J �� . _G . e Owner's Name L V c� /� s�� Ry phonaS�f C�Z � 7 Front B Address �� 4'� j't'� �� A Rear Arch/Eng. t��, License No. � I K Right Address ��7,� � g � Left Contracmr'sNamr/�� `�� ' t Ph e'j � PIng,Ref.# Addresslmailing) �3 �7I �� S�� G^�dL. G✓o� PlanningNotes: City License No. � � � � LICENSED CONTRACTOR DECLARATION I hereby afli�m tha[ I am lirensetl untler prOvi5ion5 af Charte� 9(comm¢ncing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in f W I to ce a ff � License C�sr�L=_^�� / �� LLcen�p-Wo �YD .�Date ''L4y c a� . .�/V..L°" Q e��JRKE ' COn PENSATION DECLARATION � "`^"ereby affirm that I have a certificate of consent to selLinsure or a<erti(icate �-5� Workers' Compensation Insurance, or a certifietl copY tM1ereof (Section 3800, Lab. CJ Policy No. Company BCertifietl copy is hereby furnishetl. Certitietl copy is filetl with the city Builtling Division. Oate - Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit 6 tor one huntlretl ($100) or less). I certify that n th¢ erformance Of the work (Or which thl5 pe� R i5 i55uetl, I shall not e loy a person in any man o as / om � ec e Workers' pep Laws of Califor Date �� Si9na[ure � NOTIC If, aft making this tleclaration, you shoultl ome subject to the Workers' Compensation provisions ot the Labor Cotl , you must torthwith comply wiN such provisions or ihis permit shall be tleemetl revoketl. CONSTRUCTION LENDING'AGENCV I hereby affirm that there is a wnstruction lentling agency for [he performance ot tM1e work for which this permit is i55uetl (Section 3097 Civ. C.) LPntler'S Name Lentler's HOtlress OWNER BUILDER DECLARATION � I hereby affitm-Lhat I dm eaempt t�om the Cont�actor'S LicenSe �aw for ttie followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or tounty whith requires a permit to con5truct, alte�, imprOve, tlemolish o� �epai any structure, prior to its issuance, also requires'Ihe applicant for such permit � file a sionetl sta[emen[ that he/she is licens¢tl ou/suant to�the prOvisions o( TYPE OF CONSTRUCTION NEW ADD ALTERATION PAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT GRADING�• FOVNDATION STRVCTURAL ❑ TENANT ❑ ELECTRICALl�C?TtUMBING ❑ MECHANICAL � ❑ OTHER ✓ PRQIECT DESCRIPTION 5Q. FT. OCCUPArvCv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: ision 3 of the Business antl Professions Cotle) or tnat ne/sne is ezempt _.arehom antl th2 bd5i5 fo� the allegetl exemption. Any vlolalion oT Section -]031.5 ,by any applicant for a permit subjects the aOP��ant- [o a civil �pe0dity o( not more than five huntl�etl tlollar5 ($500). ❑ 1, as owner of tM1e O�operty-or my employees with wa9es as their sole compensation, will Ao the wark, antl the st�uctu�e i5 �Ot intentletl or�off¢retl ior sale (Section 7044, Business antl Professional Cotle: The Contractor's License I.zw tloes not apply to'an owner of a property who builtls or improves theieon, antl� wha tlOes such work M1imself/herselt o� thrOu9h his or her own employees, proviGetl that such imorovements are not Intentletl or ofteretl for sale. H, howeveq the builtling or improvement is soltl wlthin one year of mm-. pletioq [he owner will have the burtlen of proving he/she tlitl not builtl or im- provC�or the purpose ot sale). � ❑ I, as owner of the property, am exclusively contracting with licensetl con- trattors to construct Lhe p�o7e[t (Section ]044, Business antl Professlons Cotle: Tne ConVactor's License Law does not appry to an owner of property who builtls or imoroves Ihereon. antl who-contracts ior such oroiects with a'ron- tracter(sl hcense pursuan[ m ine Cantractor•s License Law). I am aware that praof of tneir Worker's ComPensation insurance ShoWa be provitletl to me. ❑ I am exempt untler Section B. & P. C. ror tM1is reason Date Owner I'hereby certify that 1 have reatl this application antl stat¢ that the above information is correct. I agree to comply with all city antl county ortlinances antl state laws relating to builtlin9 construction, antl hereby autnorize repre- sentatives of. tM1is yyyt to ente� u on the above-mentionetl p ope�ty to� inspectlon pu�po�� D te� U Si9nature � � Drivers' License or 55 � —#- �� — $ink P�eventer Irrigation rinking Fountains loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fea � $15 Boiler . Duct - Under Ground D6ct - Strucmral ' D'uct-Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # - Heating System & Ducting ❑6100,000 BTU 0100,000 Reinspection Fea 0865-66, rev. 5/88 White - Builtling; Canary - Applican[; Pink - Accounting; Goltlenrotl - Assessor $15' Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Pipin9 . Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater ' Water Service Auto-Wash' laue Fee �ANICAL Hood or Typel ❑ _ Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 E System Repair/Alteration � Fire Dampers Registers � � Issue Fee' � , FEES Automatic Washer Construction Pole Sub. Cooking Unit �Diihwasher ' Dryers ❑Gas �DElectric Fen F.A.U. . D"evice Boxes G Outlet5 Switches Garbage Dispoul Generetor DO-5 KW Zone Accessory Building: Parking Req./Provided ELECTRICAI Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �Pl HP � 1 X- 8 Inc.Solar �9-15 HP �i6-75+ Microwave Pole Light � Standinq Sections 5 KW Trash Compactor / — Fee $15 Issue FEES $ 3 N 1 N G R E � M T S. $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Date FEES Building Approved By Date T' Application luued By ' Dat�� $ 3 SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ PLAN CHECK $ PEFMIT PLUMBING $ —�� ISSUANCE $ PtAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ � PLANCHECK 50% $ MICROFILM $ �._ MECHANICAL $ � TOTAL FEE $ S `�� PLAN CHECK 25% $ _ . r; coozss;�-ea�?.�sas -r� �-r s..co aarF: ova�is� rin�: t2:zz . .. . . .... .. , _ _ _. . . �.. , ' . .. .� +'... \:' . ti+'.�,� . . �:.t. . ' ..� , i • . CONSTRUCTION AND PLANNING P' & SPA APPROVALS Permit # Date Inspector AppROVALS Permit #�_, Date Inspector '! 1. Tempo�ary Electrical Service or Pole �' ' 52. Pool & Equipment Location I•' � 2. Soil Pipe-Undrgmd. .- _�; 53. Steel Reinforcement � �^' 3. �Elecffie�al Conduit�Utility-Undrgrnd: � ��`." l 54. Forms �,' 4. _Electrical Conduit �Undrgrnd. :� � 55. Electrical Bonding ' ' •� 5. Steel Reinforcement •- ' 56. Rough Plumbing & Pressure Test ' 6. • Electiical UFER Grnd.. � 57. APPROVAL TO COVER-GUNITE , 7. Footings � . ', 58. Electrical Conduit-Undrgrnd. � . 8. Foundation ' � �� 59. Gas Pipe, O Undrgrnd., Test 1 9.'Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � �� i a� 61. APPROVAL TO DECK i' �� 11. Property Sewer Line & House Co'nn9ction ��;� 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 Electrical-Conduit 66�, Solar System-Final 16' Rough Electric Wiring `6}: Fencing & Access Approval . 17`. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . 19! Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' � 20' Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Undergraund Hydro ' 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.Storage�Tank OGas ❑Oil 25.,Roof Sheathing �74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31.;Flaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80: FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & AicConditioning - � 35. Final Gas Pipe-Test ��- � (�� 36. Hood or Canopy 37. Final Factory Fireplace � . 38. Final Plumbing � Zb'' b�q (i� �; 39. Water Service-Final �� 40. Gas Service-Final - 41. Solar pomesticFinal � � ' 42. Backflow Preventer 43. Backflow Irrigation � �..t � '� 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison . �� . 50. Gas Release to Southern Califomia Gas Co � �`./ 51. CERTIFICATE OF OCCUPANCY '^ ' � 'i. : � No. Date � � . �• j PH0.1ECTp0UflE53: z744 FREMONT�LN owxew•sxune: SHIPLEY, HEVERLY A�DpESS: 2744 FREMONT LN' • , �COSTA MESA,CA 590-9285 ��RNCNIENGINEEH: • pODPESS: . . ' JEAN uxv: 92626 flEG.NO.: UNIT: - PEqMmEE: R.K. ROOFING ' (714 ) 978-2611 nooxess: z922 ASBURY PL ANAHEIM ; CA 92806 IlCEN5E0 CONTMCTOB OECUNRTION: I here6y affirm ihat I am licensetl un0er pmvisions oi Chapter 9(commencin0 with Section 7000� of Division 3 of the Buvness anA Pmfessions CoOe, an0 my license is in full torca anA effect. ciTr uc/.:` 0 2 8 5 6 /9� STRTE IJC.:3 � 2 3 3 /� c'uss: C 3 n9 �ate: i' 3Q 7 d � �5ipnature: P.ILR�-e JC07H-f) / qNENB' COMPENSRTION DECLAIUTION: I here�y attirm [ha[ I have a certilica[e oi conuni ro self-insura ar a ceniticate ol Warkers moenution�n��' aJ� r4ermie0 covv tnereo� lsection 3eoo, �ao.��3 / O 9/ 91 - oucr xo.: GOLDEN EAGLE �P' o"TE: COMPRNY: ,}(, ❑ CertifieE coDY i5 hereby lumished. C] C'/ieU copyis tiled vnih Iha ciry Buildinp Division. Uate: " �� APDlicant: �� / IXEMPf10N FNOM WORNEPS' fAMPENSRTION OEQAMTON: (ih¢ secUan nee0 not Oe completed ii �Ae permit is lor ane huMreO (5100) or less�. I cenity that in the Dehormance ot the work for which ihis permit is issued, I shall not employ any person in any manner so as to hecome suhlect ro ihe WOMers' Compensaiion Laws ol Califomia. �� ,n �`�-r i> oare: '�3�/`�O � Sipnature: � -�-� .' •�`v NOTICE: It, atter makinp this Oeclaration, you shauld 6ecome subject to ihe Warkers' Compensa[ion provisions of Ihe Labor Code, you must farthwith comDly with suc� Drovisions ur I�is permit shall 6e tlaeme0 revokeA. CONSTHOCTION LENUING 10ENCY: I here�y atlirm that Nere is a cons[mction lentlinp a0ency tor the DeAormanca ol the work for wAich this De�mit a iwue0 (Sectian 3097, Civ. C). tENOEP: aooness:� � , � ;, OWNEB BOILOFB OFCIAMTIONi I �erehy affirtn Nat I am exempt trom IAe Contractars' State License Law far t�e lollowinq reason (Section 7031.5 Business anA Pmfessional Cotle: 'My ciry' oi counry which requires a permiEto wnstruct, alter, impmve. Aemolis�, or repair any simcWre, pnor ro its issuance, also aQuires ihe apDlicant for sucA permit ta �le a siAneO statement that he/she is licensetl pursuant to Ihe Oravisians af the Caniractors' Staie Licensa Law (ChaD�er 9(Commencinq with Seclion 70W) ol 0ivision 3 of �AB Busines5 anA Pmfessions Code) or that he/she is exemD� ��ereirom an0 Ne �asis Por tAe allege0 exemD�ion. My violation ot Section 7031.5 by �aDVlican[ for a permi[ sublecis �he ap0licam to a civil penalry of nat more than five �unAreE Oollars (SSOU). I, as owner oi t�e pmperry�or my employee5 witA wages az t�eir sole com0ansafion, vnll Oa the woA, antl the structum is not intentleG or oHered for sale (Secnon 7044, Business anE Pmfessi0nal COde: The Coniractors' State Lic¢n5e Law tloes not apply to an owner of a pmpetly who builCs or impmves Iheraon, antl who does such work himsel�/Aerself or ihrouqh his or her own em0loyees, pmvitleE �hal suc� improvemants are not intentled or ofleretl for Sale. If, however �ha huildinp or imDrovement is mIA untAln one year of rpmpletion, tAe owner vnll have the 6urden oi proving Ae/s�e EiA not EuiIE or impmve farthe Durpose oi ule�.� � . I, as owner af tha pmperry, am exclusively coniractinp wii� licensetl conirac�ars to consWct t�e prolep {Sec�ion 7044, Busin¢s5 ❑ anE Pmieuions Coda: The Contractors' State License Law Uces not apO�Y �o an owner of Oraperry who 6uAds or imprmes t�ereon antl who coniracts lor suc� D�olecls with a con�rectoqs) license Dursuant to ihe Cantractors' State License Law�. I am aware that-Droof oi their Warker's Compensation insurance should ba proviEeA ro me. � I am exem0� un0er Section: . B. E P. C. tor this reason: , . Date: Ownec I Eo hereEy cenity tlut 1 am aware oi and understand the repuirements al Califomia Heatl� antl Safery Catle Sectians 25505, 25533, ana 2553C an0 ihat 1 or any future builUinp occupant wilUwill not (cirUe one) neeE ro comply witA saiG state caCes and the reyuiremenis for a permit for consimction or mo0iticatian irom t�e Air Oualiry Management Disirict. Hesidantial consimc[ion ap0�ications are exempt irom ihese pmvisions. �� Daie �� — �� Applicant: �` x Q�� I here�y ceniy tAat I Aave read tAis apPlication an0 state that I�e aGove information is correct. I agree to comply with all dry anG counry 'ordinances and state laws 2latinp to �uildinq con uction antl he2by aNharize 2D�esenWtNes of this ciry ro enter upon t�e above-mentlone0 proDenY �or inspectian purposes. � �r� � �j . /� % �1 Date:�T��o - 9n � =ea1 Wnite—tlmimng; ureen—c:oae tmorcement: cenery—wppucenr, rvnn—nevenue; uolaenroa—wssesam CITY OF COSTA MESA'—"HUILDING PERMIT PERM NO: B� 048818 �ERMIT NO: H 048818 PLAN CHECK NO: N GOVT; N SUPP: N :ONS.TRUCTION TYPE: f�ERMIT TYPE: STR PURPOSE: OTH �OB DESCRIPTZON : REROOF 2700SF W%CLASS "A" COMPOSITION.SH SQ FT: 3,700 � :LAIM VALUE: 3,700,00 CALC—VALUE: 3,7U0.00 GROUP OCC:�R-3 /M-1 ;OMMENTS: X �� EjEif�E�lEiE�Eilif�iEif�'lk*�1l3fiE3E#iEiElfiEiF�ElF�lfE1E�F1k1FiEiEiEiEiElFi4�IkfF1EiliEiElEi@jEiFit�EiEiEifiE�E�E1EiE1(�iEiEdFiE ��(�� Z O N I N G R E Q U I R E M E N T S �� r� (� p S E T H A C K S ��(`�/ ►'� �� `-'� 7 �S 4J ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ------� ?RNT; FT IN REAR: FT IN FRNT; FT IN REAR: . FT IN �"'"'%�xr �EFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN ?ARKING REQ; PROV: PARCEL; 14155201 ZNE; REF NO: ?LANNING NOTES> > • E 3F iE iE �t 1! iE if iE ik fk 3E iE if jFik 9E �E * iF it iE iE it if it it iE iE 3F iE ik iE iE iE iE iF it it iE iE iF iE iE iE iE iE iF 3f iE iE iE dE ik iE �E �! if iE it iF iE �)E it dE �E iE If i� iE.jE jE iE iE iE iE iE iE if D E V E•-L— O P M E N T S E R V I C E S R E Q U I R E M E N"T. S . �_' :ONING APPROVED�BY, DATE: �' 3UILDING APPROV,ED BY ; ' DATE; ' �.PPLICATION ISS.UED BY: DATE: �Y � b ! iE i4 iE iE dF 1E �)F i(� iE iE iE iE if i4 i(� * dt ih it 9! iF 3t iF iE if iE jE 1E 3E �E iE�3F� 9F E iE iE iF iE iF iE it if it iE iE 3E �E iE iE iE if iE iE iE �F iF iE if ik 3E �f 1(� iE iE 7k ik iF iE iE iE ik iE 3E iE jE 3E 3E iE �E i(- 3f 3t iF if �E �E iE iE i(� if i! iE 3(-3E iE iE iF iF if i(� iE 9E aE 3E iF iF it iE �f iF tE iE ;EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y ?ERMIT' �LD63P00 PLUMHING ELECTRIC? MECHANIC FIRE SMIP/kES GRADING .50 SMIP/NON—RES �LAN • C5SLIE FEE , 3UILDING—DIV—> PERMIT ISSUE PLAN`CHECK TOTAL PAID DUE COTALS---->' 63.50 . 0.00 :.0.00 63,50 63,50 ,00 2EVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63,00 \ ,L; .50 �E �lE �lt it if iE # iE jE ii iE iE iF i6 it it iE iE if it iE i! # if ik # iE if iF iE �lf it 1t iE it.iE.�IF�ik.iE �E jf iE iE iE iE iE 9E iE iE i(� iE iE ih 3E iE jE iE k iF �lE iE j(-iE i(-�lE 3F-)E it 3E 3t iE iE iE �)E iE iE 3E iE 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 TOTAL COST 3FR 3700 REROOF BY VALUE RESIDENIAL NOZONE END,OF FEES i? i f 1.00 3,700,00 01 �o068697-00o6869S T r_�T a3.5� '�ATE: 0&!30/90 TI11E: 09:44 CONSTRUGTION AND PLAN G - � _ OL & SPA _ ' � ' APPROVALS Permit # Date Inspector AppROVALS Permit # � Date Inspector 1. Temporary Electrical Service or Pole . 52. � Pool & Equipment Location . � 2. Soil Pipe-U�drgrnd. � - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54.. Forms - . 4. Electrical Conduit-Undrgrnd. ' - 55. Electrical Bonding 5. Steel Reinforcement . . � -" . 56. fiough Plum6ing-& Pressure Test 6. Electrical UFER �Grnd. . 57. APPROVAL TO COVER�GUNITE 7. footings ' 58. Electrical Conduit�Undrgrnd. 8. Foundation � �� 59. Gas�Pipe, O Undrgrnd.-, Test 9. Water Pipe�Undrgmd. _ . 60. Backwash Lines, P�Trap, O Undrgmd. � 10. Structural Floor System - _ • 61. � APPROVAL TO DECK , 11. Property Sewer Line &�House Connection � � 62. Backwash &�Receptor-Final , 12. Sewer Cap • 63. Heater"& Vent-Final ' � 13. fioof Drains .- 64. Plumtiing SYstem - Final 74. fiough Plumbing - 65.-Electrical�Final. • 15. Rough Electrical-Conduit . • 66. Solar System-Final � ' " 16. Rough Electric Wiring . '_ � 67. Fencing & Access'ApP�oval 17. Rough Wiring Sign � � � 68.� APPROVED-FO�R PLASTERING 78. Rough EleGtrical�T Bar Ceiling �� -� 69.-POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning , � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts,in Structure ' 70. Underground Hydro 22. DuMs, Ventilating . . 71. ProductPiping dGas OOII ' 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Fram�ng 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe , .. 28. Lathing&Siding � 77. �FIXEDSYSTEMFINAL 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing .HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electriwl Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: - � - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy , - 37. Final FactOry Fireplace � � 38. Final Plumbing � , 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesticFinal � 42. Backflow 7reventer 43. Backflow I�rigation _ � 44. Landscape Irrigation System 45. Sound Atienuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDWG � � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cv 51. CERTIFICATE OF OCCUPANCY No. Date