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Home My WebLink About2814 FRANCIS LN - Building PermitsMp � � o. > = ��` py� ', . '�tro+m�°A''' 1'� (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA �' BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT dobAddress: 2814 FRANCISLN Suite: Vicinity: ON 2814 FRANCIS SIDE Parcel Nunmber: 14133204 Applicant: MARTINEZ, MARIO Address: Owner: BARNES, RICHARD D TR Address 2814 FRANCIS LN COSTA MESA,CA Contractor: Address: Zip: Arch : Address: Phone: BUILDING PERMIT Zoning: Phone: 909370.7428 Zip: Phone: Zip: 92626 Phone: License: � Eng: Address: "' PERMI� B98-02317 77 FAIR DRNE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/29/1998 Issued: 01/21/1999 Phone: Zip: License: License: SCOPE OF PERMIT 192 LINEAL FEET OF 6 FT HIGH BLOCK WALL, LOCATED ALONG SIDE AND REAR PROPERTY LINES AS WELL AS 25 FT FROM FRONT P/L. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $56.71 $87.25 $0.50 $0.00 $0.00 $0.00 $144.46 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: p NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEESUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0. 0 $3,840.00 so.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expirat7on of this permit. FOR INSPECTIONS CALL: (714) 7545626 . WORKERS' COMPENSATON DECLARATION: I hereby eMirtn under penalry of perjury one of the following tlecleretions: ❑ I heve entl will maintain e certllicate oi consent to setl-Insure lor workers' compensatlon, es provided tor by section 3700 af the Labor Cotle, tor the pertortnance of the work lor which Ihis permit Is issuetl. ❑ I heve end will maintein workers' compensation insurance, es required by seccion 3700 0l ihe Lebor Code, for the peAortnance ol the work tor which this pertnit is issued. � My workers' compensetion Insurence carrler antl policy number are: Cerrier: Policy NumDer: (Ihls section neeC nat be completetlll fhe permif is valued ef one huntlred tlollars ($ f 00) or less.) ❑ I certity �hat in the peAormence ot the work for which this permit is issued, I shell not employ any person in eny menner so as to become subject to the workers' compensation laws of Califomle, entl agree [hat if I should 6ecome subject to the workers' compensation provislons ol Section 3700 of t�e Lehor Code, I shell forthwith comply wit� these provisions. Applicent Signatura: Date: WARNINO: FAILURE TO SECURE WOiiKERS' COMPENSATION COVERAGE IS UMAWFUL AN� SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALilES AND CIVIL FlNES UP TOONE HIINDRED THOUSAND DOLLAFE ($100,000), IN AOORION TO THE COST OF COMVENSATION, DAA4IGES AS PROVIOED f-0R IN SEC�ION 3]O60F THE LABOR OODE, INrEREST, AND ATTORNEVS fEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirm thet I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code, entl my Ilcense is in full force antl eHect. Lia # Class a Contradors SignaNre: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby affirm that there is a wnstruction lending aganq br ihe pertormance of ��e work for which Nis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lendefs Address: Signature: Dele: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry oi per�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repelr eny structure, prior to its luuance, also requires Iha epplicant For such pertnit ta lile e signed statement that he w ahe Is licensed pursuent to t�e pmWsions of the Contrectors LJcense Law (Chapter 8(wmmencing with Section 70W) of Division 3 of t�e Business entl Professions Code) or Ihet he or she is exempt Iherefrom and tha 6asis tor the allegetl exemption. My vloletion ol Section 7031.5 by eny applicani tor a pertnit subjects the epplicant m a civd penalry ot not more than five hundred dollars (35W)J: ❑ I, es owner ot the pmperry. or my employees with weges es thelr sole compensatlon, WILL DO THE WORK, and the structure is not intentletl or oHered for sala (Sec. 7044, eusiness and Professions Code: The Contractors License Lew does not epply to en ownar of properry who builtls or improves ihereon, and who tloes such work hlmself or herselt or through his or her own employees, provided that such imp�ovements ere not intended or offered lor sale. If, howevar, the Dulltling or Improvement is soltl wit�in ane yeer af completlon, the owner-builder wlll have ihe burden.of proving ihet he or she ditl not builtl or improve for puryose of sale.). ❑ I, es owner of the pmpeny, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the praject (Sec. 7044, Businoss end Protessions Cotle: 7Te contractors License Lew does not epply to en owner of properry who bullds or Improves Ihereon, entl who contrects for such proleci with e contractor(s) Ilcense pursuant to the Contractors License LawsJ. �I am ezempt under sec. �7 u� Busineu antl Protessions Code for Ihis reason: neture: � . . � Expires: Vedficetlon of Ownership by (rype ol d ument, i.e. - pmperty tax hiil or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certiy Ihat no excevetlon Nve (5) or more leet In depth into which a person Is requlred to descend, wlll be made in wnneclion with work euthotlzetl by ihis pertnll, and that no buildinB strutture, SwHolding, felsework, or tlemolition or diSmanlling Ihereot will be more than thirty-si: (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to Co work whic� woultl require a pertnit iram the Division of Indusirial Sefery, es noted above, unless such person has a pertnit to do such work from the tlivision. Signelure: Data: Dlvlsion ot Intlustrial Satety Permil Number. CERTIFlCATE OF COMPLIANCE AND AUTFIORIZATION OF ENTRY: I certity under penelry ot perjury ihat I have reed Ihis epplication and state ihat t�e iniormation given is correct I egree to comply wlih all ste�e laws and ciry ordinances relating to building construction, end euthonze representetives ot the Ciry of Coste Mese to enter upon ihe above-described property tor inspeciion puryoses. I a9ree not to occupy or ellow occupency of any building aNhonzed by this permit until final ins0ection. cone �l INSPELTIONTYPE 1616 Fixed System Finel Fire Prevemion 1266 Pool Spa Final 200 Finel Ra-Roof 201 Finel8locWRetaining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition zaas�as Il�IALS /_ Date �^ % ' Date GOOEI INSPECTONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Pinal Electdcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QAg U�ElS � r—_ _ � -��c � ��uf �"� Y ��.. ��, ��, . , ' C ar�-a v��fa C� � ti),TYo-.�.�� 1�, � ��, S � � r� `f D� DI VlSIOIy OF�,-� ��°, - 2 3 I-1 l C►ry oF�UII,DING s„ A PP � 5 STq ME.SeAFETY f S— ��-� � cir� �'�� T�� S?q ��T QN,'VlN� p�� ESA BL�G• �fPT Rf� . �� ATf l9 /�., i i � 2, � �� DECLARATION OF _.UTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Z�/ y �s,/C+k(' �-W. Street Address Bldg. Permit # � �Cp - 23n This Permit # AP Number 1. I(we), ' v dC�- �a`Lr✓i , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: VYl r4✓�L' D l'i%1�42�w 2Z_ (/�i) .�%O -%�ld��'r�.- Name Telephone No. / .�� LA2l4/Q �'l�• Street Address State to obtain permits in my behalf, as owner/builder, for ___�(/�C.v ��,f at the above referenced property. Zip 2. Should any person become an employee engaged in the improvement of the property, I(we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be tiled 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 per- son, company or corporation. 4. I agree to indemnify and hold the City oi 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 _�� i c�7 i�.b'� ./�/a /Y.� ao'C Prmted Name � 19! "i-`-,/at �� , California. � / /�- / � - ��" Date NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for Iimited power of attorney to secure this permit in any behalf. r_r"- - -• • -� O114d61pev. 7i91) CITY OF COSTA MESA � -� ; _ � BUILDING D/VISION : DEVELOPMENT SERVICES DEPARTMENT � PERMIT M NUMBER �� M98-00478 (714) 754-5273 • Fax (7/4) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Jobnddress: 2814 FRANCISLN Suite No Vicinity: Parcel Nunmber: 14'133204 Applicant: GERLICH, JEFF Address: , . i i.�-'; � %�- Owner. BARNES, RICHARD D TR Address ,2814 FR4NCIS LN � - ' COSTA MESA,CA � � Contrector:: , MC KENNA'S"AIR SUPPLY Addressi. � " 761 n richman fullerton, w. ArchlEng: - ' - � Address: � � � " i 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 8TU 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 < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater Status: ISSUED Applied: 1 0/1 511 9 9 8 Issued: 10/15/1998 Phone: Zip: - , � �. _ � �,. _�-� �; , �� Phone: � � � Zip: 92626 ' � . Phone.'� 774-879-4444 . . Zip:�92632..•.. License�� 626029�' ' : -:�� - . � . . � �� i � Phone: Zip: License: SCOPE OF�P-ERMIT �- REPLACE F.A.U. & INSTALL NEW A/C UNIT. - Quantity $22.00 $73.25 $0.00 $0.00 0 $0.00 0 $1325 1 $0.00 0 � �$0.00 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 $0.00 0 $0.00 0 ' � FEE SUMMARY � � `� •' ��;'. _ Repair / Alt Absorbtion Unit Repair/ Alt Refrigeration Unit Ventillation�System . Evaporative Cooler , , �', Commercial Incinerator � . -Domesticlncinerator � . . . . , Compressors / Absorotion Svstems ;Upto3hp/100kBTU � � � - . , � 3 To i5 hp / SOO k BTU � . , , ' ' �" 15To30hp/1,OOOkBTU'.' � � � ' 30 To 50 hp / 1,750 k BTU � , . . � �'Over 50 hp /�Over 1,750 BTU � ' • . . .Boilers� � � Up to 3 hp 3 To 15 hp - '" � " , - 15to30hp ' . . " , 30to50hp'. � ," . � � � Over 50 hp - . � Other Mechanical Fee � � Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 '$0.00 0 � ' $0.00 0 $0.00 0 $0.00 • 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 i EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned '� for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and flnal epprovel must be obtained. Failure to obtain inspedions and final app�oval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATON DECLARATION; I hereby ettirtn untler penalry of perjury one ot th� fWlowing tleUaretions: ❑ I heve entl will maintein a certiticeta of consent to setl-Insure lor warkere' compensetion, es provitled for by sectlon 3700 of Ihe Labor Code, for the pedarmance o1 Ihe wOrk lor which ihis pertnit Is is5ued. ❑ I have end wlll maintein workers' compensation insurence, as required by section 3700 oi the Lebor Cotle, for the pedortnance af the work for which t�is pertnit Is is5ued. My workers' compensation Insurance cartiB� entl policy number ere: Cartier. Policy Number: (Thls sectlon need nat be comp/etetl il the perm/11s va/uetl ef one hundretl dollars ($ f 00) or /ess.) ❑ I certity thet In the peAormanca of the wo�k �or which Ihis permil is issued, I shell not employ any pereon in eny menner so es to become su6�ec1 to ihe workore' compensetlon lews of Calilomla, end egre9 hat N I should beco e subject to t�e workers' compensetlon pmvislons ot Sectlon 3700 0l t�e Labor Cotle, I ahell lorthwit� comply with thes visions. ApPIIceN SlpneWre: �. � . a Q�� Da�e: � f� � �� '�� WAFNINQ: FAILURE TO SE R ORI(E MPENSAT1dJ OOVERAGE IS UNL1W FUL ANO $HALL SU81ECf PN EMPLOYER TO CRIMINAL PENALilES AND qVIL FlNES UP TO ONE HUNDRED TFKKISAND OOLLARE (5100,000). IN A��rtIqJ TO THE (�T OF OOMPENSATIIXJ, DAM4GES AS PfiOVIDED FOR IN SECTION 31O80F THE IABOR COOE. IMEREST, AND ATfORNEY'S FEES. IJCENSED CONTRACTORS DECLARATION: 1 heraby atthm that 1 am torce end ettect. Lic. N_ Contrectafs SlgneNre: CONSTRUCTION LENUING AGENCV: oi Chapter 9(comme�cing wtth Sectlan 7000) ot DlWsbn 3 ot the Busicress sf W Protessions Cotle, antl my ficeree is In tufl Cless q O r oa�e: in--/S— $ ❑ 1 hereby ettirtn I�et ��ere is e construction Ientling egoncy for tha peAortnance of the work for which this permit Is issued. (Sec. 3097, CiNI Code). Lendefs Neme: Lentlers Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirtn thet under penalty of perjury that I em EXEMVT FROM THE CONTRACTOFS LICENSE LAW tor the following reeson (Sec. 7031.5, Business anA Professians Code: Any cly or counry which requires a pertnit ta canstruct, elter, improve, demolish, or repalr eny siructure, pdor to its issuance, elso requires t�e epplicent for such permit lo fila e sipned statament thai he or she is Iicensed pursuant to the proNsions ol the Contrectors License Lew (C�epter 9(commencing with Sectlon 7000) af DMsion 3 o11ha Business and Protessions Catle) or that he or she is exempt Iherefram arM the Casis tor ihe alleged exemption. My vidation ol Section 7031.5 by eny epplicant la e pertnit sub�ects ihe applicant to e civil panalry of not more Nan five hundred dollars �3500).): ❑ I, es owner ot the pmperty, or my employels v+ith wages as their sole compensetion, WILL DO THE WORK, end ihe structure is not imantletl or oXered for sale (Sec. 7044, Business antl Prolessions Code: The Cantractors IJcense Law does not appy to en owner ol properry who builds ar improves Ihereon, and who tloes such work hlmself or hersell or through his or her or,n employees, provldetl t�at such impmvements ere not Iniendad or otteretl for sale. tl, however, ihe builAing or Imprwemem is sold within one year oi compleGon, the owne�-builder will have the burtlen of proving that he or sha ditl not bulld or improve for puryose ot sale.). � I, es owner of the pmperry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business entl Professions Code: The cantractors License Law tloes not apply to an owner ot properry who builds or improves �hereon, and who conirads For such projact with a wntrecmqs) license pursuant to ihe Coniractors License L.ewsJ. ❑ I am exampt untler sec. Business and Professions Code tor �his reeson: SigneWre: Date: Owner ID vertlieC by Cnvers license. ❑ Ves ❑ No Drivefs License No. Vedticatlon ol Ownership by (type ot dwumant, i.e. - property tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CENT�FICA710N: ❑ I hereby certlly Ihat no axcevation tNe (5) or more leet in depih into whlch e person Is raqulretl to tlescend, wlll be matle in connec0on with work euthwizetl by t�ls pertnit, enC Net no builtling sWcture, scafld�tling, felsework, or tlemolition or dismantling thereot, will 6e more ihen thirry-siz (36) feet high. (C�ep. 32, Grp 2, An 2, Sec. 341, 71t1e B, Celilomle Administrativa Cade). ❑ As owner-bulltler, I wlll not employ anyone to do work which woultl require a pe�mii trom Ne Divislon ot Intlusirlel Setery, es notetl above, unless such person �es e permit ta do such wark tmm ihe divLsion. Slpneture: Date: Division ai Industnal Safery Permit Number: CERTIFlCATE OF COMPLUWCE AND AUTHORVA7�ON OF ENTRV: I certiy undar penalry of perjury ihat I heve r80d this applicaqon and s�ete ihat ihe informetlon give� is conect I agree ro wmpty with all state laws end cry ordinances releting to building construction, end authodze representativesbf the City ot Costa Mesa to emer upon Ihe ebove•dexrlbeC Droperty for inspection purposes. I apree not to occupy or ellow occupanry at any buil0ing authorized by ihis pertni� unUl tinal Inspeaion. LODE �. INSPECTIONTYPE 7ATF IIiI�LS Im! 1816 Fiaed System Final Fire Prevention 1288 200 Pool Spa Final Finel Re-Raaf 201 FIneI BIocWRetalning Wall 202 Final Fedory Fire Place 203 Final Sign 204 Finel Demolitlon 246&O6 cppE� ixsveenoN.vve 208 Finel Mechenlcal 20B Final Plumbing 210 Finel Electdcal 212 Final Flre Preventlon 220 Flnal Planninp Apprwsl 222 Finel SIIa 250 Finel Bulitlinp/Occupency � v =�s' -9.4 De�e �. � �"� �: u PflOJEtT AOONESS: z 8]. Q FRANC I S LN OWNEN'SNAME: BARNES RICHARD D TR aooeess; z814 F{tANCZS LN COSTA MESA;CA 92626 ANCH/ENGINEEN: ti ROONE55: XEG.NO.: UNIT: UNIT: " PEPMITTEE: RICHARD BARNES ('714 ) 540-3385 noosess: 2814 FRANCIS LN COSTA MESA CA 92626 LICENSEO CONTNACTOB OECIAflATION: I hereCy attirm IAaI I am licensea untler pmvisions of C�apter 9(commencing wi�h Sec�ion 7000� ol �ivision J o� Ihe Business antl Pmiessions Cotle. and my license is in lull �oae ana efleci. CITV LIL.: STNTE LIC.: CLASS: . . ' Oate: Signa�ure: WOBNEPS' COMPENSp710N DECIAPATION: I hereDy aflirm that I �ave a cenificate of consent b seli-insure or a certificate of Workers' Compensalion Insurance; or a cerlifiea copy �hereol (Seciion 38�0, Lab. C�. POLILY NO.: � EXP. ORTE: COMPANY: � Cenifie0 topy is M1¢reby �umished. ❑. CeRitietl topy i5 fileA wi�h �he ciry Builtling OiviSion. ; E%EMP�ION FflOM WOPKEflS'COMPENSATION OECIAflAI I ce�ify iha� in �he petlormance of Ihe work for which 1 sublecl �o �e Warkers' mpensation Laws ol Calilo Oale', �.4�� $ignaiu NOTI If, ai er makmg this ec aralion, you sh� CoOe. you mus� �otlhwilh campty with such pmu CONSTflULTION LENUING AGENCY: I hereby aifirm which ihis permil is issuetl (Sectian 3097, Civ. C). LENOFfl: li - `AODPESS' ' ` � � - s section nee0 not be completea if ihe permit is far one huntlre0 ($100) ar lessl. is issueeJ.ys�all notp,�ploy,a� Derson in any manner so as ro 6ecome b¢come suUle�� o �Ae�WorkeiS�Compen5aiion D�ovisions ol ��e Labor 5 or Ihis permi� shall De tleemea revaked. , �ihere is a consimction lentling aAency for the pedormance of ihe work tor OWNEN BOIL�Efl DELLNflRTION: I hereby at�irm Ihai I am exempl Irom �he Contraciors' S�ale �icense Law �or �he tollowing reason (Semion 7031.5 Business and Pm�essional Code: Any ci�y ol counry which repuires a permit to conslmc�, alier, improve, tlemolish, or repair any s�mclure, priar lo i�s issuance. also reQuires Ihe aD0licanl for suih permitto tile a signe� statemen� Ihat he/she is licensed � pursuant m the Dmvisions of Ihe Coniramors Siate License Law (C�apler 9(commencing with Section 7000) of Division 3 of Ihe Business antl Pm�essions CoOe) or Iha� he/s�e is exempt ��eretmm anA Ihe basis br the allege0 exemp�ion Any violalion o� Sec�ion 703L5 by any applicant lor a permi� sublects �he applicani lo a civil Denal�y ol not more Ihan five �undretl Oollars (5500�. � I, as�owner o7 �he pmperty or my employees with wages as ��ei� sale compensation, will do ihe work, antl ��e ❑ slmcwre is not intenGetl ar ollered �or sale (Sec�ion 7044, Business and Pmiessional Cotle: .The Contracmrs' S�a�e Licenu Law � , aoes no� apply to an owner ol a pmpeny who builOs or improves therean, and who Ooes �sucn work himseli/herseli or ihrouAh his or her own employees, providetl thai such impmvemen�s are not intended or otlered for sale. If, however the 6uilding or impmvemenl is 5010 wit�in one year o� comple�ion. Ihe owner will have �he hurden oi DmvinA �e�she tlitl nol builtl or impmve , 'lar t�e purpose ol sale). . , I, as awner ot �Ae pmpeny, am exclusively con�raciing with licensed conVac�ors �o cons�mc� �he pwjec� (Seition 7044, Business ❑' an0 Pmfessions Code'. T�e Contracmrs' State License Law Ooes not appy to an owner af DroDehY w�o bwltls or impmves thereon antl wha contratis lor Suth prole��s wii� a contraCior�s) litense pUrsuan� to the ContraCtors' Slate LiCense Law�. I am aware iha� pmo� o� their Worker'S Compensation insurance ShoWd �e O�ovitlea to me. '/� I am exempl untler Semion'. $ P% ��} Q 8. 8 P. C. � mr m'is /reason: ' NQO EMPLOYEES /BY k� Oa�e'. � 7`�� % 2 Owner/' �� Gi-Z�2�.� I Oo �ereDy cenity �hat I am aware of anU un0erslantl ��e requiremen�s of Cali�amia Health and Sa�ery CoOe Sec�ions 25505, 25533, antl ' 2553A an4lhai I or any lulure builtling accupani will/wilYnol (circle one) nee0 �o comply vnih said slate cotles anE Ilte reQuiremen�s for a permil lor consimqion or mo0tlica�ion �mm the Air �ualiry Managemenl DisVict. ReSitleniial cons�mc�ion apPlicalions are exem0� �rom Ihese provisi0ns., , Da�e: ADPlicant: I here�y cer�ifpihal I have read this applicalion and s�aie Ihal Ihe a6ove in�arma�ion is correc�. I agree to comply wilh allci�y and couniy � ordinancesantlslalelawsrelalinglobuil0ingconstmctionantlhere�yauthorizerepresenta�iveso��i ' �oenteruponthea�ove-men�ioned pmperly la� lnspeclion purposes. . ^+� . q � �i Oa1e'. �/ � �/ � SignaWre j� �L�i'L��" ori�ers �icense or Sociai Seadty a: , 1641�C6 White-9uiltling�, Green—Cotle Enlorcement: Canary—ApPlicanl: Pink—Revenue: � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H b ' PERMIT NO: B 056859 , PLAN CHECK NO: 01236-92 S'; GO CONSTRUCTTON TYPE:.S—N PERMIT TYPE: STR � , PURPOSE: ALT ' JOB DESCRIPTION �: 2134i SQFT 'SOLID SHEATHED' PATIO COVER SQ FT; 213 CLAIM VALUE::, � ' CALC—VALUE: 2,939.40 GROUP OCC; R-3 / � COMMENTS: SMOKE DfiTECTOR(S) RE�UIRED IN HOME, �. � **�r*x�t*****x��t*�****�r*�t*x�t�t* �+r�t******�t***�**�e**��r+�**+��r*�r*�t*��*�*****�t**�t�** Z O N I N G R E Q U I R E M.E N T S ' S E T'H A C K S + _" LEFTc ?5 FT IN RGATc 15 FT ACCESSORY HUILDING,--------- ------ MAIN BUILDING ---- FRNT: FT IN 'REAR; FT IN• ` IN LEFT; FT IN RGHT; FT IN PARKING RE(� • PROV• PARCEL; 4133204 ZNE; R1' REF NO; PLANNING N(STES> 200 SO �'T, PATIO COVER WITH POSTS SETBACK A MIN, OF 10'� > FROM fffiAR PL, REAR YARD COVERAGE O,K,- - �r�r*�r*x �t* ft�t+t�t****.�r�t*,�r********�t***+�**�r****x ** ******�tx�*�r*�r�r� *******�r**�;�****�t �*�t*�t D E V:E �L O� PiM 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 BYj� ; S CC DATE; �L'L; �. '� BUILDING APPROVED BY : � � DATE; � ' ` 'y i s G� APPLICATION ISSUED ,BY • '��f%� • DATE • 'U�•�v Y2 �FifiliElklfikiFiFifiEifiElEiEifiEif3f��fiFiE IE3kiEiFiElk3EiEi(�iE ifiE iFfEif'ifiEjflF�ElEiFlPkfFiEiF.iflFiE.iElEkiPiEifkifjfififiFiEiEiEjFiFiEiFifiEiEiFiFif�E3fjElfiEifiFlFiFiEiEiF'�f�E�E�iE1EklFiEifjEj(�ifiEiE�F'�EiFff�EiEifiE�E3E� r.-. -LEGALIZATION:N . F E E S U M M A R Y ' STRUCTURAL SEGMENT;Y �., ' BLDG.FMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES ' GRADING � PERMIT�:, 54.00 • � � �0 ' PLAN ' 35.10 , i SMIP/NON—RES ; ISSUE EEE � BUILDING—DIV—> PERMIT 'ISSUE_ PLAN—CHECK TOTAL PAID DUE TOTALS---->: 59.50 0.00 � 35.10 89,60 89,60 , ,00 REVENiJE DIVISION TOTALS--> COLLECTED; 89,60 OVER/SHOitT; ' ,00 BLDG PMT' PLUMBING ELECTRIC MECHANIC ' FIRE SMZP/TOT GRADING PLAN—CHECK � 54,00 � ,50 , 3,5,10 iE jF iE 1E iF �E jE iE 1E if �E �E iE if if iE if 3f 3E if iF iF iE iE !E iE 3E k k iE i� IF if 1E if iF iF 1F iE iE iE iE if iF if if iE 1F if 3E iF �E aE aF IE 3E 3E if iE iE iF 3F iE iE iF iF jE iE iE 1E iE iF iF if iE {E If 1E iF , INDI.V'SDU.AL, FEE B�REAK�D.OWN , � . . � TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 213 'RES—PATIO.�CUVER—POST 6 SOLID RUOF ' 13,80' _� 2,939,40 ' . __ _• END OF FEES , i } � 0 a 0 Q! �t1l121n"?—A�3F�32?3 3 C�T 4ATE' C41dT6l92 TIY�e a3:�-7 34 : E!1 C COhjTRUI ON AND PLANNING POOL+4 APPROVALS Permit # � Date Inspector APPROVALS Permit � Date Inspector 1. Temporary Electriwl Service or Pole � 52. Poo� & Equipment Location • � 2. Soil Pipe�Undrgmd. 53. Steel Reinforcement i� 3. Electrical Conduit Utilitv-Undrgrnd. � 54. Forms 4. Electrical Conduit��ndrgmd. 55. Electrical Bbnding • 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test 6. Efectrical UFER Gmd. 57. APPflOVAL TO COVER-GUNITE 7. Footings � 71I�y , Q�j' 58. Efecxrical Conduit-Undrgrnd. 8. Foundation l 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK ' ' 11. Pooperty Sewer Line & House Connection - 62. Backwash & ReceptorFinal � _ 12. Sewer Cap 63. Heater & Vent•Final � /� 13. Roof Drains 64. Plumbing Sys[em - Final • , � 14, Rough Plumbing ' �' 65. E�ectrical-Fina� ' � 75. Rough E�ectrical-Condu�t 66. Solar System-Finai � 16. Rough Electric Wiring 67. Fencing & Access Approvai 17. Rough Wiring Sign 68. APPRpVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts, in Strucmre ` � 70. Underground Hydro 22. Dutts, Ventilatin9 � �1. Product Pipin� OGas OOiI 23..Gas Pipe�Rough & Test 72. Underground Flush 24, Roof Framing ' 73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathin9 '� � L P/ 74. Overhead Hydro 26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical � 27. Frame and Flashing ' �.,/ L �� 76. Dry Standpipe - � LX' 28. Lathing & Siding � � 77.-. FIXED SYSTEM. F�NAL 29. Insulation ' - 78. FIRE PREV. FINAI 30. Drysvall Nailing - HEALTH bEPT. REQUIREMENT 37. Piaster Brown Coat � 79, FINAL INSPECTION 32. Electrical 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. Finai Plum6ing - 39. Water Service-Final , 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer i 43. Backflow Irrigation � 44. Landscape Irripation SYstem , . - 45. Sound Attenuation � � , 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING ��(j�ll�F: J' V 48. FINAL P�ANNING ' 49. Electric Release to Edison ' 50. Gas Release to Southem California Gas Co ' , 51. CERTIFICATE OF OCCUPANCY No. Date i NOTE� SHOW AND DIMENSION EL2_ PATIO COVER AND YA D ARE�PP � City of o t� T J._ _ _ - — - - ;�i j q i-r T' rYr"r'I I � ��Hrr i�ini P! 4r.1q....J S � I �X _ _ , i l5T C-U � T�C"r?�;!FR;, ROV�D i,�vlesa,�uil ing �DATE '� % IST BE ON �OP.. r'.T LL'i �iFS 9CU? PRIOR ,','rPi:O'�HL �r 'T. FANT:'JG C� A PFR!Ai " Oi AP?P.O lOhS SHP.Lt NGT N"c : 7hSTRUED 1'.E A fPHM�r�_ pp. hidY S".C'.41"tl�Y C.'- i� 'Y OF 1!S CO.'. N� � E i?`.qi' ;?C'i:9.§`ti^.7� �� IVE �c C' . - 5 �: ,��,.p,rt, II�c iJCE+",�' .,.,.�„ � I:iL VY,=�.a ` 1SE is i p/;.-�i�_ y N iH'. SSu, ••..= r`F n �:9F::.ii�'if.=,SFn ��'lr1 !��.'.' .i�lD SFECi� :...' �P 'L NO� ?i3FYFt=T ��r�t �.i'. :f _, " rAL FROAiI"F�C3FAI ��' caliii;�d:i3.lr;cL:�^'�F �;:,�vl.=v�.,.,` ;Vbl SAIC F�AP!S ."`l '-�Cir`�;itilOD:� �.A :A 7V. . I:G i �r r,:;, ;i Z� BLI .i .��Fi T�n; 4 n�i^:� Ct.'r.fi:E.', ut ,e;�cl _f� t: icN I\ Y� :.. :_ ta (` l H; : CG�3 Cii Cr P.fCI O i I EF. C•Hi p.1h .� OF TFk C, �. � ��L ADDITIONS, DELETION" OR RRECTIONS SHAL BE APi'ROVED t'iY TNE PLA�ri li�lG DEPARiMENT �� S T R E�,T ��a o iun,n� PLOT PLAN NS CALL 754-5626 SEE DETAILS ON REVQ�RSE SIOE 754-5627 ROOF SHEATHING OVERMANG X � RAFTERS �y O.C. / X BEAM T-STRAP EA. SIDE FOR POST- BEAM -CONNECTION. o �_ �� m Q J � N � J W � O � V � DROP PATIO� w LL Z fL00R 2' o c y` ay a SLOPE 70 DflAIN I ' j "26 GA. G. I. FLASHING WOOD FLOOR CONSTRUCTION L/�.,�. (Oi c_J > i � /CT` �hC (T. .� � REQUIREb a � a 2 � W f f N c( _ a � ¢ - O � � N Z X � � o PLATE 1" ` ABOVE SLAB�� W � Z Q 2 � � Z O 1� -r W O m a -" ~ 1 N � ( �L__ J 12�� SOJ� W Perm�t ,-�# S6 s'.5 Z SIDE ELEVA I� NUMBER MUST ACCOMP/ ALLINSPECTION REQUESTS NSTRUCTION DETAILS � 201M,ROOF CONNECTION DETAILS coNr. LEDGER CONT. LEDGE OLID BLOCK �I/2�� DIA. X 5� LAG SCR AT 32�� O.C. DETAIL I CR 9 CL ��TECO�� fiRIPS OR JOIST HANGER 3�g° DIA. % 5�� lAG SCR. aT �y" o.c. DETAIL 2 IOie�sOR LIGHT WEIGHT ROOFS ONLY CONNECTION DETAILS 0 2�X FACIA-MIN.REQ. RAFTER �� APPROVED METG� HANGER DE7AIL 3 D�pPr�rrr s�cEs n��urir�nrr BUILDING SAFEPY DIVISION ADDRESS� CONTRACTOR: ADDRESS� <5<� RAFTERS CAItPORT, PORCH OR PATIO NOT SUPPORTING CEILING SIZF. SPACING SPAN 2"x4" 12"O.C. 9'-6" 16" 8'-0" 24" 6'-6" 32" 6'-0" 48" 5'-0" 2"x6" 12" 16'-6" ��11 1 � _ �� `�—rv�� 48" .8''0" 2" x8" 24" 15' -6" .. 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" 15'-0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 1'6'-U". 4"xl0" 32" 22'-0" -• 36" 21'-0" ,_ 48" 20'-0" 72" 17'-0" n ,� , r� PATIO COVER TYP. PLANS DATE�_ PHONE � . LIC. N0. PHONE� RAFTERS LIGHT WEIGHf ROOF COVER OF LATH, FIBERGI.ASS, ALUM. SIZE SPACING SPAN 2"x4" 16"O.C. 9�'- � 24�� 8�_�� 32" 6'-6" 48" 5'-6" 2',_ltfi':' 16" - 16' -6" ,` 24" 14'-6" 32" 12'-0" 48" 10'-0" 2"x8" 24" 19'-0"' 32" 15'-6" 48" 13'-6" HEADERS " LIGHT WEIGHT ROOF ONLY SI2E POST SPACING 4x4 6'-0" .�- . ��- '- i 4x8 12'-0" •4x10 ... _._. 1'S'-0" R . CARPORT,� PORCH OR PATIO SIZE POST SPACING 5'-0" 4 x6 j _S_=p'_' 4x8 10'-0" 4x10 ]2'-6" APPROVED FOR BUILDING PERMIT By Da[e GIIiERAL NO'fES: 1, These plana must be kept on the job at all t ime dur ing cons[ruc[ion. 2. All framing to be Douglas Fir N4 � grade minimum, 3. Raf[ers may no[ a[tach [o facia ex- cept for l0�roofs as shown an details; 20IWroofs must use a continuous ledge attached as shown on de[alls �il��r`2. 4. Light weight roofs may a[[ach [o facia for 14' span max., spans over 14 must use a con[inuous ledger as shown in detail �i3, �� ✓ CITY OF COSTA MESA ' BUILDING DIYISION , _ � � DEVELOPMENT SERVICES DEPARTMENT �� PERMIT PERMIT NUMBER �� E98-01092 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 2814 FRANCIS LN A/C IN THE BACKYARD Parcel Nunmber: 14133204 Applicant: GERLICH, JEFF Address: -, �:;� . _ Owner: BARNES, RICHARD D TR Address 2814�FRP,NCIS LN �. - .�. ,". :, . , . " - "-COSTAMESA,CA - " - Contrador. ' MC KENNA'S AIR SUPPLY Aildress: � 761 n richman - � fullerton, ca. - � 0 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to thp Motors to 10hp Mo[ors to 50hp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT Status: ISSUED Applied: 10/75/1998 Issued: 10/15/1998 � �Phone: - � Zip: � ' - _ _ . � _ - � ' � �e �. Phone: 714-540-3385-�•��:'�� . ��..� �� = � c.`�� ' �'��,_. Zip: 92626 . ' . . � : � ' i Phone:y - 714-879-4444 ��.' Zip:_�92832 .�. � `" License: 626029 �� . , SCOPE OF PERMIT REPLACE F.A.U. & INSTALL NEW A/C UNIT. REF: M98-078, UP TO 10HP. MOTOR. 522.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00- $11.00 $0.00 50.00 E0:00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY ;.; - Tertip�Dist�System�! L'ighting.' , Busway I,100 k' �� -- Standing Section Misc Eleclrical Equipmenl Trensfortners up to 1 kva/kw ............:..:up to �10 kva/kw .................up to 50 kva/kw . .................up to 700 kva/kw � ::.......:........over 100 kva/kw Low Voltage Equipment Cow Volt Wiring System / Ckt Misa Conduit ' � Misa,Conductor� . � - Circus ( gen or ride) - � � `Circus (mech ride or lights) . Christmas Tree Stand Fireworks Stand � . Other Electrical Fee Quantity $0.00 0 $0.00 0 $0.00 0 � $0.00 0 $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 � $0.00 0 $0.00 0 $0.00 � 0 � $0.00 � investigation Fee . r � $0.00 � Plan Check Fee $0.00 . Reinspection Fee ' ' $0.00 TOTAL CALGULATED FEES E33.00 EXPIRATION: This permit shall automaticaliy ezpire and become void if work is not commanced within 180 days, or it work fs suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectione and finel epproval must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: � I here6y eHirm under penalry of perjury one of the following declarations: ❑ I have end will meintain a cenificate ot consent to self-Insure for workers' compensetlon, es provitled for by section 3700 of the Labor Catle, for t�e pedortnence of the wOrk for which thi5 pertnil is issued. ❑ I heve antl will meintein workers' compensetion insurence, es requiretl by section 3700 of ihe Lebor Cotle, tor the pedormence of Ihe work tor which this pertnit is issued. My workers' compensation Insurance carrier and poliry number are: Cartier. Policy Number: (Tlils secfion need nat be comp/etetl i! Me permlf is valued a( one huntlretl tlollars ($100) or less.) Tl/ certity hat in e pe rtnance the work tor which this pertnit is issued, I shall not employ eny person in eny manner so es to become subject m t�e workers' 7 com n atl a C' and egree hat it I shoultl Cecnme sub�ect b the workers' compensetlon provislons of Section 3700 ot the Le6ar Cotle, I shell forthwith ply wi these pravisions. � p � C� Applicent Signature: ��PJ � ,. . Dete: � h— �S — r� WARNINO: FAILURE TO SE O GY)MPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT PN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNDRED TMOUSAND DOLLARE (5100.000�, IN ADORION TO TME COST OF COtdPENSATION, DhW�GES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOF CODE, INTEREST, AND ATTORNEI^S FEES. '� LICENSED CONTRACTORS DECLARATION: I hereby aftirm that I am licensed under provisions ol Chapter 9(commencing with Section 7000) ot Oivislon 3 of the Business end ^Professions Cotle, end my Iicense is in full force end eflect. Llc. a Class q �. O'� Contrectors SlgnaNre: Date: 1 J— I S— S fi CONS7RUCTION LENDING AGENCV: ❑ I hereby affirm ihat ihere Is a wnsirucUon lending egenty lor ihe performance ol ihe work tor which this pertnit is Issuetl. (Sec. 3097, Civll Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby eflirtn that under penalry al perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reeson (Sec. 7037.5, Business and Professions Code: Any ciry or counry which requires a permit to consWd, alter, improve, tlemolish, or repair eny structure, prior to its issuance, elso requlres the apDlicaM for such pertnit to file e slgnetl stetement ihat he or she Is licensed pursuent to t�e D�ovislons of ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of t�e Business end Pmfessions Code) or Nat he or she is exempt therefrom entl t�e basis tor Ihe alleged e:emptlon. Any violation ot Section 7031.5 by any applicaN 1or e pertnit sub�ecGs Ihe applicani to a civil penalry ot not more than five hundred dollars ($500).): ❑ I, as owner oi the property, or my employees with weges es t�air sole compensation, WILL DO THE WORK, and ihe shucture is not intended or oHered for sale (Sec. 7044, eusiness and Protessions Code: The Contractors License lew does not appy to en owner of proparry who builds or improves thereon. and who does such work himself or herseli or through hls or her own emplayees, provitled that such Improvements ere not intentletl or ottered for sele. tl, however, the bullding or Impwvement Is soltl within one year of completion, the ownerbuiltler will have ihe burtlen ot proving Ihet he or she ditl not builtl or improve tor purpose of sale.). ❑ I, as owner of the propeRy, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projed (Sec. 7044, eusiness and Pmfessions Code: The coniractors License Law does not apply to an owner of properry who builds or improves Ihereon, antl who conirecis for such proJect with a coniractor(s) license pursuant to t�e COMractors License Laws.). ❑ I am esempt undar sec. Business and Professions Code for ihis reason: Signeture: Date: Owner ID veritietl by tlnver's license. ❑ Yes ❑ No Drivefs License No. Variflcatlon oi Ownership by (rype of document, i.e. - properry tex bill or deed�: DIVISION OF INDUSTRIAL SAFETV PERMfT CERTIFICATION: Expires: ❑ 1 hereby certify ihat no excavetlon tive (5) or more feet in tlepth into which a person is requiretl to tlescenQ wlll be metle in connection wlih work euthonzed Dy this pertnit, end that no bullding structure, scattoltling, talsewark, or demolition or dismantling Ihereot, will be more then thirry-six (36) taet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7tle B, Californie Administwtive Cotle). � ❑ As awner-builder, I will not employ anyone to do work which would require a pertni� from the Dlvision of Indusiriel Sefery, as noted ebove, unless such person hes a permit to tlo such work from Ihe division. SigneWre: Dete: Division ol Indusinel Safery Permi� Number: CERTIFlCATE OF CAMPLIANCE AND AUTHOR¢ATON OF EMRY: I cenify under penalry of perjury that I heve read this application and state that the infortnation given is correct. I flgree ro camply with flll slate lews end city ordinances relating to huilding wnstmction, entl euthodze representetives of Ihe Ciry ot Costa Mesa to enter upon the eDova-descdbed properry tor inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by this pertnit until final inspedion. COOE 1 INEVECTIONTVPE QAiF Itl�lLS i�e 1616 Fixetl System Finel Fire Prevention 1268 Pool Spe Finel 200 Flnel Re-Roof 201 Finel BIocWRetelning Wall 202 Finel Fedory Fire Plece 203 Final Sign 204 Finel Demalitlon 2466 46 yQp�j INSPECTIONTYVE 206 Finel Mec�enical 200 Finel Plumbinp 210 Finel Electtical 212 Finel Fire Preventian 220 Finel Plenning Approvel 222 Finel Site 250 FIne18uiltling/Occupency Date �7 ��i��s— 7B Date RAg II�EIS ./ ��r'li .7i � , �� Applicant to fill in all spaces ezceD� those wit�in heavy Dortler Iines anC sign all aDV�eD��ate Geclarations. ' ITY oF CosTn nnESA . CQIVSTRU,CTION PERMIT rojectAd{lress � � �^�'l"'�%� S APPlitant�s Mailing A dreu . � �.�U �.� . / / ..�. CQ, Cl✓� �'> Phone`�'��-�+ Owner's Name Addrea � � C- �S Arch/Eng. Licenu No. Address . � � 12� r� � Contractor'sNam �C G Pho e p.+o.•G��11//1 � Addreu Imw'i'na1 �%�!7 W. � �✓ �'1—L�/�7.(:G. l,'� ��% „�%-� � � City �icense No. LICENSED CONTRACTOR DECLARATION � 1 hereDy�a/flrm Ihat I am IicenSetl untl¢r provi5lon5 of Cnar[er 9(commencing '� with section 1000) of Divislon 3 of lhe Business antl Professions Cotle, antl I my Iicense is in full f rce antl efiect. \ License G1 �y��. �-- �% � � 0.��7C1 Date �/'� 5�9 t�� VORKERS'COMPENSATION DECLARATION nereby at/irm lhat I nave a certiiicate of wnsent to self-Insure or a certiflcate of Worke�s' Com�pyans/iytio�n, In�7su'�/ance, o� a ce/t\ifieltl �jcopy ther¢o-f (Sectlon 3800� Lab. Gl�..t�-/3�G`� �J/�i�/� �Gli�fif PoliCy No. �rlt's Company ,�Certifietl copy is hereby turnishetl. Certif' tl cQ9y�-� iletl with the city B i ing-W visiyn /� Dafe � 4_l� APPlitant� %.0 i!OP11ilC (�O. EXEMPTION FROM WORKERS' COMPENSATION DE ARATION (Thi55ection neetl no[ be campletetl if the permit is tar one huntlretl (S300j or less). • '" I[ertity Ihat in the PerformanGe Of the wo�k fo� wM1iclt tnl5 pe�m�l is iSSuetl, I shall not employ any Person in any manner so as to beGom¢ Subje[t [o [he ,4 Workers' Compensalion Laws of California. Date Si9nature NOTICE: It, alter making tnis tleclaralion, you shoultl become subject to the �.,J Worker5' COmptnwtlon provislons o/ the Lnbo� Cotle, You must iorcnwitn �` comply wi[� such provisions or thiz permit shall be tleemetl revoketl. � CONSTRUCTION LENDING AGENCV I hereby alflrm tnat th¢re iz a constructlon lentling a9ency Por the pertormance � of tha work for w01cn tnis permit is ISsuatl (Section 3097 Civ. CJ L¢ntler•s Name Lentler's Atlaress OWNER BUILDER OECLA0.ATION� � 1 herCby affl�m t�at I am exempt from lhe Contracto�'S LlcenSe Law 10r the tollowing reason (Sectlon 7031.5 Businexs ane Professional Cotlo: Any tltY or munry which r¢quires a pe�mit to cons[ruct, alter, improv¢, tlemolish o� r¢pair any structure, pdor to its is5uance, also requires the applicant tor such permit . tn (ii¢ a sianetl statemen[ [ha[ he/slte I5 licensetl oursuant to the provisions o( 'tne�eltom antl thG ba ]031.5 by any a00�� enally ot not more tl I, as ownet o( [h compensation, will tla for wle (Section 70� Licenze Lnw tloe5 not th<reOn, antl who tlo em0�0Yee5, p�ovitletl t sale. If, hOwever, tne pletloq tne owner wi �rove for the purpOse I, as owner of l�e [racrors to cansV uct c. Tne Con[rat[or's Liu builtls or Improve5 t� Iractor(51 license purs proof ol Ineir Worke ❑ I am exempi unAer for a permit subjects t�e ap0��ant to a civil ve huntlre0 tlollars (5500). �perty or my employees witn wages as [heir sole work, antl the structure is not intenaetl or ofteretl usiness antl PrOf¢55ional Cotle: The Contrat[Or's I to an owne� ot a property wha builtls o� imOroveS ch work hlmself/her5¢If o� tivOugh his or her own uch improvements are not intentletl or oiferetl for ing cr ImOrov¢ment is soltl wltbin one year of com- e lhe burtlen of proving he/she tlI0 not bulltl o� Im- e). erty, am exclusively contracting with Iicensoe con- oject (Sec[ion 7044, Business anC Prolessions Catle: Law dOes not apply [o an owner ot property wh0 �, antl wno contracts for such orojectz with a con- to t�e Conbactor's License Law). I am aware tnat ompen5a[ion insuranca ihOultl be provitlatl to me. ion 8. & P. C. for this reason Dato Owner _ I hereby certify [hat/fihave reatl Ih intormation Is correft Ilagfyetocy� Signature ,� Drivers' License or 55 CMF 0865-46, rev. 4/84 7 stdte [hat Ihe above dfld C011f1IY O(d�OdOCCS i¢reby authorize r¢pre- fniionetl Prope/rry otor � Date�_!�� Z ,.,,.,, �..,. �.,. ,.... �� . S� . cv TYPE OF CONSTRUCTION NEW A/DD ALTEaATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p# DESCRIPTION OF WORK/USE OF BLDG. S Main 8uildi E TVPE OF PERMIT GRqDING FOUNDATION STRVCTU0.A� T FrOnt ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � B Rea� ❑ -OTHER � %� PROJECT DESCRIPTIO(J��. F7. oCCUaANC/v' C Right CONSTRUGTIONTVPE��YOQ� �ALVATION $ 1 �9Sd K Le(� S 20NE GRADING CV. VDS. ACRES Ping. Ref.SW Remarks: Planning Notes: Sink Irrigation Dishwasher Drinking Fountains Floor Drains' Floor Sinks Gas Service OuUets Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee � $15 Duct - Untler Ground Duct - SVuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO � Heating System & Ducting ❑6100,000 BTU 0100,000 Reinspection Fee � S15 White - Builtling; Cana�y - Applicant; Pink - Atcounting; Goltlenrotl - AssesSor Showers ServiceSink ' Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank ' Swimming Pool w/Spa Urinal Water Closet Water Heater Weter $ervice . Issue Fae Hoodor Typel ❑ Canopy Typell ❑ Refrigeration SVstem ❑aioo,000aru ❑ioo,000eru System Repair/Alteration laue Fee g 3 $ 3 Automatic Washer Constructior Pole Sub. Cooking Unit D ishwasher Dryers �Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW C 9195 10/Ot/84 Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps � Merer ❑over 100 amps Sub Panel Motors�0.1 HP�1'h-8 InaSolar �9-15 HP 016�75+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor � Reinspection Fee � 515 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APProved By APPlicatiOn IaUed BV U . 37.00 ..TL FEES 3 3 2 O N I N G R E � M T S. 7 /p SUMMARV OF FEES �� BUILDING PERMIT $ 37. �J� SMIP $ PLAN CHECK 5 PERMIT PLUMBING g ISSUANCE S PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL 5 TOTAL FEE $ �� PLAN CHECK 25% $ ��f ,`� COiJSTRUCTION AND PLANNING � PO�� & SPA APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector � 1. �imporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utili[y-Undrgrnd. '' 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding •5. Steel Reinforcement � . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings , . 58. Electrical Conduit-Undrgrnd. ' B. Foundation �' 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Fioor System , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains . 64. Plumbing System - Final 14. Rough�Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. 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. Underground Hydro 22. Ducts, Ven[ilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 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 & Sidin9 � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical 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 Preventer 43. Backflow Irrigation . . ,. � 44. .Landscape Irrigation SYstem 45. Sound Atte�uation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING -I_8S 48. Special Requirements Completed 49. Electric Release to Edison � • - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY N0. Date . ,'� � �3�£�9 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MHBA. CALIPORNIA For Applieani fo Fill In Complefely TYPE OR PRINT � COSTA MESA CALIFORNIA ■ SIZE � EHT6�CK LINe PPOM C088C / I NO. O� pLpGp. � I LEFT �� I RIGHT � � DESCRIPTION OF WORK �ANO 9TATE THAT TI PLY WITN ALL GTY BUILDINO CONGTPW 81GNATURE OP � � aurHoaizeo ROOF (��p COVER❑ qND WORK TO BE THAT 1 HAVH RGD >ve �e coxnecr u IM10E8 AND BTATH DE� 9 19fiff Lot 5�1, PLRu 3I �.,"�Q' ;'_?,. APPLICATION FOR PERMIT�� :��-�.' BUILDING For Office Use Only M6CO�T NO. PCRMR NO. !Y ADDRE'SS 2814 Francia Lane CASTA MESA. CALIFORNIA ZONING ZON! I NO. OP I UBe OF N R�1 �LAMB ^ GUILDINO G L[OAL �J- � .i ✓1 _ YAROS APPROVED � (CrtMeR LIN6 BTJ AMIJGTION , TM! AMOUM lHOWN UND[R VALUATION IB FOR TX! IHC TO CAM• pUItP08! OP HBT�lL19XING • PCRNIT F¢6 ONLY. R60UIJ1TINO VALUATION ( $ I1/, l,�o. o-0 ;. � ,q� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIIDING ADDRESS I OWNEH ADDRESS I 7� � LJI TEL. ciTv � r7`!� .Mo ca1 No.S.�/e�4: BRANCN ADDRESS AFCMITECT � i /� TE CONTRACTOR �.�v -a-�<<w�L00 �os�Y �-�-72.62 APPLICATION FOR STRUCfURAL PERMIT EC51 Vp,p BV OATEAEQF�VED nnrc �ssucr ED � ✓.9 -/ — TE� Z NO.OF� USE OF NEW CITV NO. PLAtS BUILDING F STATE CITV �'AROS APPROVED VARDS AP� LIC. NO. LIC. NO. MAIN BVILDING AC ESSORV {y SIZE / � NO.OFBLOGS. (FROMC/LST T) �. OF LOT NOW ON LQT ! F a USE OF I /� � EXIST7NG BLDG. Q F � � // FSeparate permits aro required for � s o FT q electric, plumbing and heating work. REAR Fr. F USE O BUILD�N AND WOR TO BE PEFFORMED DISTANCE BET. Q � MAIN BLOGS. VAR. � J C.U.P.y� a � APPROVE r � a m w � I heraby aeknow�bCs t�et I �rv� natl t�i� eOD��cetion entl sie[e rY met me ebovs Informatlon I� correct antl a0�a to comply wIM a ell law� rap�lati�p bulltlinp conrtruetion, antl I s�ell nat amploy z eny parwn In vlolation o/ the workmen'� eomp�naetlon lew� 01 � the SUTe of CaUfornla. 3 I hereby certlfy thet I em OroDNly Ilcemetl ef e contractor under SQ. FT Ma Smte of Callfornle Buslnsu enE Vrofaplon� CoCs, Dlvlsion 3, THE AMOUNT S Chepter 9, entl S�et �uc� Ileanws ara In full forea enE Nfect, or 1 TME PURPO6E OF em azampt f�orr� t�e provl�ions of th� Stets o1 Celifornie Bu�ineu yqLUAT10N end Profa�sions Cotls, Olvido 3, C�apt�r 9 Slpneture of C/t �� Parmlttea � S � �{0 (� Authorized Apa�� DATE APPROVED nerc //� � � PERMIT FEE 3 PLAN CNECK f TA% S TOTALPAID 3 . n m i 0 m 7 m b N m n 0 LL i u