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Home My WebLink About2720 GANNET DR - Building PermitsPflOJECi PDOflESS: 2 7 Z O GANNET DR OWNEP'S NAME: NAC DUFF, THOMAS R nooncss: MAC_ DUFF, JIJDITH A 2720 GANNET DR COSTA MESA,CA 9267.6 AflCN1ENGINEEfl: AODflESS: NEC.NO.: UNIT: UNIT: PEflM1TTEE: HARTICE CONSTRUCTION ( 714 ) 646-9474 nooness: 1948 ANAHEIM AV COSTA MESA CA 92627 IICENSE� LONTNRCTOP OELUMTION: I �ere0y allirm iha� I am hr.ree0 unGer o�odsions ol Clapter 9(commencinq vnt� Section 7000� ol DrviLon 3 ot IAe BUYness ana Professions COEe. anG my L:nu is in lull lolce and ellecl. ciTr uc.: 0 5 i 6 7 3 STRTE LIL.: z r) z c s: � oaie: _QLC �l12_� 9� _ siAnaw — — — — - — —r WOBREHS' COMPENSRTION OECLAHATION: I �ere0y atlirm ��at I tuve a cenilicate ot canunt io sell-insure or a cenilicate of Workers' Compensalion Insurance, at a Rtliliee fADY �nereol I�tbn 78110. ldD. CI. POLICYNO.: 1�41406-91 EXP.ORTE: O3IOSI9Z comrnxv: STATE FUND ❑ Cenified copy is Aere�y Wmishea. etlilieG copy h IileO � t�e y Buildr.gB 'sio / - . _Oc� 2 Z I APdican� - a iPfION FNOM WOflIIEflS' COMPEN TION OECLAMTION: (1�¢ 5ecim nttU mi be camp'e'sG il Itre pami k la ace hunOreC (5700� ar kss�. .�tily ��ai in ��e pedormance af lhe work tor w�ic� lNs permil i5 itiued, I slwll not employ any person in any manner so a5 io 6ecome subject to Ihe Nlorkers' Compensalian lavrs of Calilornia. Date: Sipnature: NO7ICE: II. after makinp inis e¢claratian. y0u snoul0 oerome suEjecl to tne workeR' fAmpensation provisians of tAe Labar CAee. you musl fonMnth rAmON ��h wcn v�aviAons or tNs pumil Stull Ge Eeemetl revokeG. CONSTBUCTION LENDING AGENCY: 1 �ereLy allirm �hal lh¢r¢ iS a tonSVuc�iOn IenCing a0enty lot �he petlormante ol Ihe work for whicn Ihis permit is issuee �Sectian 3097. Civ. CI. lENOEP: RODflE55: OWNEB BWLOEP OECIABRTION: I �ere�y allirm i�at I am aemD� ��am t�e Contracmrs' State License �aw lor the following reason (Seclion 7031.5 Business ana Professional COOe: Any city ol caunty wAicA reduires a permit to consiNct, aller, impmve, Oemolish, or repair any simclure, o��or lo its issuance, also repuires IAe aoV�iWn1 br sucn permil to file a sipnea statemenl lhat ne/she is licensee pu�suanno ��e orovisions ol ��e ComraUors' Siate License Law (Chapier 9(wmm¢ncinq vnih Sectian 7000) ol Division 3 of the Business antl Pm�essions Code) or ��a� �e/she is enemp� t�erelmm an0 t�e Gasis lor t�e alleAeU exemp�ion. Any violalion ol Sec�ion 7031.5 �y any applitani lof a p¢rmii Su�leti5 I�e applitanl la a dvil pCnaliy 0� nol morE ItWn live �unErBG AOIla1T (5500�. �. as owner oi tne o�openy o� my emp�oyees witn wapes as ineir w�e compensaiion, will Ao tne work, and ihe ❑ stmcwre is not intenaeA o� ollere0 tor sale Iseciwn 76aa, Buanea anA Pmleuional CoOe: The Contractors' State license Law tloes no� apply to an ownel ol a D�operiy who Oui1a5 or improve5lhere0n, anA who Oocs such work �imSelflAeRelf of �hmugh nis or her own employees, Dmvitle0 I�at suc� imprwemenis are nol intenGea or ollered lar sale. II, �owever the builUing or improvement is SolO within one year of completion, Ihe owner will have ine buraen af O�ovinp he/sne Oitl not ouiltl or imD�oue br Ihe purpose ol satel. I, as owner ol Ihe pmperiy, am e�clusively comracling wilh IicenseE coniraclars lo conslmc� I�e pmjecl (Seclion 7044, Business � ana Prolessions CoGe: T�e Caniractors' State Lkenu Law Ooes rrot aDPN �o an ovmer al pmpeny who 6mtes or imOroves ��ereon antl wM10 contratls br suc11 pmjecls wi�� a contrattoqs) license pursuant ta Ihe fqnVacbrs' Sta�e License Law�. I am aware , ihal pmof ol t�eii WOBer's ComDenSation insutance sAou10 be OronEeG lo me. I� i am exem0� un0er Seclion: B. 8 P. C. lar Ihis r¢ason: Oale'. Ownec I ao here0y ceitify Ihal I am aware o� an0 untle�slanOl�e repuiremenis ol Calilornia Heal�h ana Salely CoCe Seclions 25505, 25533. antl 255� ana Ihai I or any lulure OmlOing acupani will/will noi (cirUe one) ntta Io compty wil� saiG slaie to0e5 antl I�e �epuiremenis lor a permil lo� con5�mction ar moddicalion Imm I�e Aii Ouallty Ma�qement USIric1. NevCenlial consimttion aDDlications are evempl �mm Ihese provisions. Da�e� pOD�wam: I hereGy ceraty thai I nave reaa inis application G sta;e inat t�e a0we inlaimation is correct. I aqree �o compty vnth all ciry aM coun�y ordinance5antl5tatelaw5reWling�oGuildmgc SlmctbnanE�ereLyauthe rereD�esenW�ive o��i5ciry oen�eruponlheabove�me Goned pmper�y bnn5petuon purposes. oate �e'� ZZ_� �� SignaNre-.� L. � oriver's License oi Sociai Security r: .— �64t�a6 WM1ne—Bmltlmg. Green—CoOe Enbrcement; Canary—AOW��C PNk—Revenue; GdEenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 054679 PLAN CHECK NO: N CONSTRUCTION TYPE: JOH DESCRIPTION 5—N PERMIT TYPE:�ELE RUN GAS TO STOVE / ADD ONE OUTLET PEAM NO: E 054679 GOVT: N SUPF; N SQ FT: PURPOSE; OTH CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / *�*****�it�r***�*�t�*****�r��*�*�**4�t**��******�r�rx��r�t�r��r�**u�r�rx*��**�***�**s��r�r��r�tr 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FR2�T; FT IN REAR: FT IN FRNT; FT IN REFuZ: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RG$T: FT IN /PARKING REQ• PROV: PARCEL; 13947402 2NE: REF NO: PLANNING NtSTES> i � ikjF iE �F 3f if ik iF k 1E if if ff iE iE if iE iE if iE iE iE iE if )E if iE if iE if �E �E if iFiF iljE 1F if if if If if iF If iF if if iF if iE ik �F if iE iF if if 1F if 1E iF aE aE iE iE iE?E iF iE k iE iF if iF �E iE iF R D E V n L O P M E N T S E:.R V I C n S R E Q U I R E M E lv T S 20NING APPROVED BY ' DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY• DATE• \O'i'� � iEiflfiE3FiEifiFiE3EjE3EiFiEiElfifififiEifif . . .iF3EiEiFafae�FiE�Fif'3F7F'8� iEiE IE iE jE 3E #�F if 1F 14 jF * iE If if �E iE �f iF k 1f iE iF 3E if iE 1f if if if ik iE if iF 3P3F �Flf iE iR af If if 1E �E k iE * if 3f iF 1E 1? if 3f if �F 3f fE iE �F iF 3F if af i� jE 3F if if ii iE iE 3F �F iF 1F iE ie 3e LEGALI7.ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADiNG FERMIT 3.00 SOY SMIP/NON—RES PI.AN ISSUE FEE 15.00 BUILDING—DIV—> PERMZT ISSUE PLAN—CNECK TOTAL PAID DUE TOTALS----> 3.00 15.00 0.00 18.00 18,00 .00 REVENUE DIVISION TOTALS--> COLLECTEll: 18.00 OVER/SHORT: .OU HLDG PMT FLUMBING ELECTRIC MECHANZC FIRE SMTP/TOT GRADING PLAN—CiIECK 18.�� k if k k!f 1F if 1ElF it if if iF if 1E IE 3f if iE if IE iE k!! iE IE i%1Elt iElE 1E iE 3E iE iE iE IE if 1f If iE If if k i! iF 1k )k if iF iE fk 1E ik jE iF if iE?F 3! fF i! fk *je iF iE k?E �f iF iE 1F if �f !� i4 M I N D Z 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 Z P T I O N i7NIT COST TOTAL COST ELE 1 RES APPLIANCE NOT OVER 1.0 HP 3.00 3,00 END OF FEES CONSTRUCTION AND PLANNING POOL & S APPROVALS Permit #�- � L...e Inspectar AppROVALS Permit # Date Inspector i. Temporary Electrical Service dr Pole ,.= - 52. Pool & Equipment Location �� 2. Soil Pipe-Undrgrnd. �� y' 53. Steel Reinforcement .,� 3. �Electtical Conduit Utility-Undrgrnd. - 54. Forms 4. EleMrical Condoit�Undrgmd.� " 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER G�nd. 57. APPROVAL TO COVER-GUNITE 7. Footings � � '� 58. Electrical Conduit•Undrgrnd. 8. Foundation - •'� � 59. Gas Pipe, � Undrgmd., Test _ 9. Water Pipe�Undrgrnd. /�- � ` 60. Backwash Lines, P�Trap, O Undrgrnd. .�� 10. StructurEl Floor SYsiem � �� 61. APPROVALTO DECK • 7 t. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final 72. Sewer CaP •� ' � 63. Heater & Vent•Final , 13. Roof Dreins ' "' -� i;; 64. Plumbing System � Final 14. Rough Plumbing �� 65. Electrical�Final 15. Rough Elecvical�Conduit � 66. Solar System-Final � 16. Rough E�ectric Wiring � ,� 67. Fencing & Access ApProval ' . 17. Reugh Wiring Sign 68. APPftOVED FOR PLASTERING 78. Rough E�ectrical=T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPY. REQUIREMENT 20. Rough Faciory Fireplace APPROVALS Permit # 21. DuCts, in Structure � J0. Underground Hydro 22. Ducts, Ventifating 71. Product Piping O Gas ❑ Od 23. Gas Pipe•Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � �74. Overhead Fiydro � 26. T�Bar Ceiling (Structurall & Monowat ' 75. Dry Chemical � ' 27. Freme and Flashing 76. Dry Standgipe � � 28. Lathing & Siding 77. FIXED $YSTEM FINAL 29. Insulatio� 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTFi DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final S0. FOOD CER7IFICATE ISSUED 33. Final Electric /Q/,�� j,�i� Notes: ' 34. Final HeSting�& Air Conditioning � 35. Final Gas Pipe-Test ' � � , . 36. Hood ar Canopy 37. �inal FaGtory Fireplace 38. Final Plumbing - . 39. Water Service-Final - � 40. Gas Service-Fina� . � 41. Solar pomestic-Final � 42. Backflow Preventer 43. BackfloW Irrigation � 4�. Landscape Irriqation System . �45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STiiUCTURE & BUILDING 48. FINAL PI_ANNING - 49. Electric Release to Edison • � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Dace / �I AOONESSOFBNLqW: L/LV IaHNNtl llYt w�wEwsnweir,woxm: MAC DUFF, THOMAS R �, moxcss: MAC DUFF, JUDITA A 2720 GANNET DR COSTA MESA,CA APPI.IWIW� ADOPE54 . �PCNRECT ON ENf�NEFA: 41CX.OP F1Ni'4ADDRF55: CONf11ACT01Y9 NAYE: CONf11�CTOP'S YYlWO �oo�ss UNT: FLOOD: AE-46 92626 ua wo.: UNT: uc xo: UNT: 110ENSED COMNRCTOFS DECL�HATION: 1 heraby ellim uMx perely d pajury Ihet I em Icaroed uMx pwiebns W Chaqer B (mmmendrp xiih Soctian ]000) W Oiviaion � d Me Busma vM PMeaeiona COEe. eM my lioenee u in fuA Imce end eHeq. cm uc. No.: uc. cuss: uc. No.: EXP : om.: co�maeo�: OWNEH BUILOEN DECIAflATION: I hareby elfiim uMer penely d perpvy thei l em eumq fmm the Comreeaa lrcanae Lew Iw the lolbwing reewn (Seqion ]OJ1.5 Bueima eM Prdeason� Code: Airy cry a mmty MiiN nqu'vae e pertnu io motrun, allx. improve. damd'en, a rapei eiry avuauie. qia lo b bwanca, a6o reQws �he eypiraY f« wch pemW to fib e eipned elalemenl tlul M«ahe � is licenaed W�uenl �o tAe P�a�t��s d IM Gonlreqas Linnae lew �CMqe� 9(oommendtp wil� Setlon ]000) d DN6ion 3 d iM Buainase eM Prdea'vw Coda� «Ihet he a Ma B eumq iherNmn ud tha bess ta IM eAeped azemqion. My vidmion d Sedian ]031.5 b/ anY BGV�� ta� e petmil wbp b �he eppfrarY �o e wi penMy d tql moro Ihen Me huMred dWvs �5500�. �] I.mmmerdtMpWeMwnYemWi�rnhw�eamiha�lemmpmsetion.wiOEONexak.enENeeieueturoarw�'vpended or one.ea �w.de (satia,'lou. eusroa.ena riamvon, eom: rne canrmas L'nxua lew aoe. ew�ewh�o.� o��d wooam who WdM a improvee iherean, ud who doee auM r.aik NmseM a hene� a Mraqh ho a her own empbyaee, qmMeE Ihel euc� 'mP�*mems ere nd WeMeE a dlaed la eeb. tl. lawew. �Ae dn'tluq a inpwaneM b wk wit�in aa Yeer M comdaion. Ihe axne�-0uJCar wJl M1ew iM burden d O�iM M a 4�e tlid nal Wik a'unP�'�a In �M WNae d eekl. � I. es oxner d Ihe O�De�Y. em e�muney' murm�q xdh i�ed cavreclaa b mmhW ihe V�qed (Setlion ]Oa1. Businne eM Prolesaione Code: T�e Conlretlae Licenae law doee mi epply to an owm� d poperly wlw WiWs or impovee iMreon eM who eonVecta la wdi peopea wiN e mm�auor(s) IiceroeC qmuem lo iM1e Capreeon Li�me lar�. � 1 em eRemq under Seclion: B. 8 P.C., lor Nu reaan: Dele: Umer. i m n«�ev �«wv wm i� a...e a,�e �e..id,a n. ��,av, a c.uom. H„an .�a serar coe. sea:M. zssos. usv. �e zssaa. �d m� i o, �v nn�re wnemo «wo.�� wn i.n � �dRa onel neee �o cm� W.m.ae ne�. ooa.. �a in. �c��.�.m. m. epeim�Iwmmt�ionamodifiraiianhaniM�i�iuTl�t anyenwuGprin.Rsideeqblmwrupioneppiealiomanezemqimmlheee w�.. oe�a: ' �wm.�a: W OHKER'9 COMPENS�TION DECL�N�noN: 1 MreW dfrm uMer peneAy W pajuy an d the IOYoxirq dedueiun�: � I Mro eM wil meintan a cenGiuie d coneenl lo eetlimun la xaken' canpemvion, n povided ta by Seeion �)00 d iM lebor COCe. la iM peA«meMe d iM wak Iw wNcn Na pemm o usued. ❑ � nero ene .ne mdmen.nrken oomw�+o� iirn,re�o.. e�.ea�e M s.cion a�oo d m. Labor code. ror �ne w�«me�m a �ne work Iw xhiM Nb D�� b uaueE. MY wakon' mmW�ian imu�enca wris eM O�Y rwmCer me: c�.,: Pdiry Number: ,1i9 aRTion nesd nOt b ttMICb(!d / Ne G�+�( u b bM hYI1Ged ddLLs �%IWf Cv bA.) �] I eenty thet in Ua pMamarce d tb wark tar �Mie� �M peemit u ueued. I WII m� ampby vry prmn in ury menrw m n to becane wbjee �!o iM Mwkws' compevetion lewe d Cefdomu. aM epree Ihel ii l ehauk become wbptl Io iM wohari C� L/Y S�a s«aoo x�ao a ine �n« coae. i.nen i ��.nn �pp .;w i��i/��Q� �.�,/, Deta. Apqium: %(i[l/y Wem/np: F�Nun ro��eun wortw.'rompwu�tlon cov�rry� l� unYHW, uWYWI uChet �n �mp/oyer ro e�IMrW p�uMu �M clvll flms up b ons h�nLrq flrouurd tlolYn (SIOq0001. /n tlOtlon ro M� rost ol mmp�ruetbrt �+�p� sa provMM br In S�cHon .l]O6 0/ Me LeOai Code. /nMeat. �ne �ttomry i/ws. CONSTNUC110N LENMNO ?GENCY: I Irroby elfirtn uMu peneXy d perjury ihet �Mre ia e mnmrueon brdi�p epericy M �M peAamarim d IM xak IIX whiM IM1e pmml u eeuad (Sacun 304), CF. C�. IENDEfl'S NANE: LENOEN'4 ADDFE%: I<eniM IM1m I heve med Nia epdkeiion vd mma Oai tlro ebv+a iMamNion o wnea. I epna to canp�y wnA M ay eiM mumy ordineze� uM siete laxs Mmip w buikiq contruebn ud hersby eWv¢a �nteovn d tM10 dry�o enix upon �M abwa-mantiorwtl qopery �°`��'°°`�"'°"'°°"' THOMAS MACDUFF �� nl N Oma: �Z J � sq�v�.a d o.�« nw�•�o��« (5151<fi W P) WMaAuL�q 8 S#ery: GmemFie: Carery-Appiranl: Pink-Rv.enue: Gdtlenm0.Avsam , CITY OF COSTA MESA - HUILDING PERMIT . � PERMIT NO: B 072775 PLAN CHECK NO: 02227-95 5 CONSTRUCTION TYPE; PERMIT TYPE: STR �PERM NO: H 07277 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : 78LF CITY STANDARD HLOCK WALL SQ FT: 78 3_ CLAIM VALUE; 1,550.00 CALC-VALUE: 1,560.00 GROUP OCC: R-3 / COMMENTS: CITY STANDARXBLOCH WALL 1F if iF iF iF iF iF if iE iF iF K iE iF ih iF IE * if if iE If if iF iF ik If IE iE iE if If IE iE iE IE if if iE IE 1E iF iE iP i4 iE iE iE iF ih iE iE iF iE iE 1E'14 if if iE iE if i(' iE if 1E iF iF iE 1F iF iR if iF IE 1F if iF iF Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; 27 FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13947402 ZNE: R1 REF NO: PLANNING NOTES> CONSTRUCT A 6' HIGH, 78 LF BLOCK WALL INSIDE THE RIGHT SIDE > PROPERTY LINE, iE iF iF i! iI' iF 1E iE IE iF iF iE'!f iF 1E if iF if iF iE iF iE ii' iF ik 1F �f 1k 1F 1E ih iE iE 1E 1F iF 1E if iE iF if iE if iE iE ii' if !E'1f iE iE iE if if 1%1E ii' ii' If ih ih iFi%iI' if if iE ih i%iE 1E if iI-iF')f iI' iE ih iE 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 ZONING APPROVED HY �g�� DATE: �o��Z[a{- BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: �;�� DATE: G 2- � �F1EfEk1f1E1EiEffiEitilll41E1E1FiE�EiE1lif iF;�'iFiF{E{EiE1FfEiF1EfE1EfF fEi(� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL.SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 37,00 .50 SMIP/NON-RES PLAN 24.05 ISSUE FEE HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 37.50 0.00 24.05 TOTAL PAID DUE 61.55 61.55 .00 AEVENUE DIVISION TOTALS--> COLLECTED; 61.55 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 37.00 ,50 24.05 iE if iE M iE 1! 1E 1E 7E iE 1F fE 1E iE i! iF k iF 1E iE 1E iE if if IE 1f IE 1f 1E 1E iE iE ik 1E 1E iE iE 1E 1f iF iE iE ik fk if IE 1E if 1t if if if if IE ik 1F iE IE 1! 1E 1E 1E iE 1E 1k 1k 1k fE ik 1E iE IE iE if �E ik iF iE 1E I N D I V I D U A L F E E H R E A K D O W N TYPE (jTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 78 RES-CONCRETE BLOCK WALL / FT. 20,00 1,560,00 END OF FEES 02 001�393�,-DQ133936 T�C« bl rr �Af'E: DSi,2�v5 T?f�E: C9:32 • �,CONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit �F Date Inspector APPROVALS Permit #T- Date inspector _, 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatiorn' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement % 3. Electrical Conduit Utility-Undrgrnd. 54. Porms � -,4. Erectrical ConduirUndrgrnd. 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. �� 8: Foundation ' S9. Gas Pipe, � Undrgrnd., Test ' '�9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, C7 llndrgrnd. 10. Structural Floor System 61. APPROVA� TO DECK • 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final y 12. Sewer Cap 63. Heater & Vent-Final ' ..13. Roof Orains 64. Plumbin9 SYstem - Final • 14. Rough Plumbing 65. Electrical�Final � � � � 15. Rough Electrical-Conduit 66. Solar SYstem�Final � ' i 6. Rough Electric Wiring 67. Fencing & Access Anproval; . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. flough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Hea:ing & Air Conditioning FIRE REPT}REQUIREMENT 20.:�RoughFactoryFireplace �� _ , APPROVALS.r Permit#x J T 21. Ducts, in Str�cture � �� - _ • - • 70� "Unde�g'ro4nd Hqdro ' ,22. Ducts, Ventilatin§' � -� r- ` � � 71, product Pipin, O Gas �OOii 23. Gas �Pipe-Rough & Test �. . � � 72. Underground Flush - 24. Roof� Framing `" "'" "� ;- �, ,, Z3. Undergmd. Storaye�Tank � Gas ❑ Oil 25. Roof Sheathing ��, • �. - - 74. Overhead Hydro 26. T�Bar Ceiling (Structuraq & MQnocoat ` ' 75. Dry Chemical � , - 27..Prame and Flashiny', _ � � � � 76. DrY Standpipe- '� - � 28. Lathing�&Siding=, '� �';_'� � : ' `' 7.7„ FIXEDSVSTEM'FINttL - 29. Insulation � � � - �•�f . • 78. FIRE PREV. FINA� � ' � - - 30. Orywall.Nailing . ' _' ' '"' .HEAL'fH DEPT. REQUTAEMENT ,. . 31. Plaster Brown Coat - � 79. FINAL 1NSPECTION - 32. Electricaf�Po'wer Meter-Final `: ;� � 8d. FOOD CERTIFICATE ISSUED = 33. Final Electric. � ' � ' Notes: �e�V p�� ✓t / 34.� Final Heating-& AirConditioning.: - � ^ ��5 � �/ e i.. . /./ ��jj��• '. 35. FinalGas.Pipe-Test � ' ; � � -- !/-+i�i��`�' .-' 36. Hood or Canopy � - - � ' � - -, , 37..F.inal Factory Firepiace - �. � - � j �� 38.=Fina1 PlUmbing • "` - ' _ - ' - - 39. Water Service-Finat" � � , ' _� ' - � 4p. �Gas Service-Final . � - " ' ' 41.- Solar pomestio-Fin31 ' � � - . 42. Backfiow Preventer� � . . • • '. A 43. Backflow Irrigation` , � , �� : - ' ` ', 44. Landscape I�rigation System ' • � : ' � � � + _ " 45..Sound Attenuation' ' -. � • . -. - ` �' - - .�.` .` .. � . �46. Nandicap Regufations .= - • . � 47, fINA�STRUCTURE&BUI�DING � '�5r - " . � 48. FINALPLANNING ` • -49. -Elec[ric Release to Edison ' ' � a � 50. Gas Release to Southern Califor�ia Gas Co •• + 51. CERTIFICATE OF OCCUPANCY N0. Date -' ��id 85�f7 � � -�. � �, �� R �r� e. 5 _ � '�I� Piarrnin►� eFwr. - ' ,� : QlkiI�EC,T f0 610SE. DEVL QE4 �►� `�'�oa � .2. � 9 � ; ,i O�etcroe q r� i � , ' ' - - -- - -' - - , � '. ' - - � � � , , O -- � ' : .: .. . _. _ � i ! . � �� _ �.. _ ; —, . . . _ _�� . __� ' ; ; ; � ' . � ` .. - — � — ZD 6��— .. - . . . . .. . . . . ....N . _ _. . " _. , �O�E ADDITIONS, DELETIOIVS, OR CORRECTIONS SHF: ��1 BE APPROVED BY 7HE PLAi�NING DEPARTME[�; j , � , -- -.._ _. � , _ � -� � � I � � _ � .DMSION OF UII:DING SP.,�ETY ' � + ; 'CITY OF COSTA ��IESA ' ; _�1 � ' � . - ... _ � AP ROVED._ ,. . i _..' _ _ Da[e �9�12��✓_; �_+.. -' � Thb set Ot �ans and spetil'ica ons MUST be kept on this job at al times -y j aM Rb �ciarulul M inake;erry c anges or alleration on same without. wntlen . i. � - -f- pertnlffion Gan Ihe DNisbn of uiltling and SaleA/Ciry of Costa Mesa. /Y ' i -- ThB e�g ol tlUs plan aM pecfications SHAI � NOT be held to permit, '�� I � v QD DB en apprmrel of Uie vi lation of any prr � s�o7t iy City ot Costa� j ,_ __ J 1lese ONk�ance andla Slate I { : I 7.� ��, i � � - �- F � { _'� " ThBSBW.,�'lbazidpemfdshall xPirebyhmrta�on� d ��.m�r�l{>rdcaitli — , �k l 5 T�NG 8�e bu0dhg m work is not c menced and n�c ,, §30,, ; � (� wilhhN 180 days ot issuan a. � ' - iPGS%D!�NGG � �— — —�_-- --- � e — —` '� —�—— . � --� . — • ,— i � . .__ .��_..� � _ _ ; -' —. � � , ,-. �� . � --- —�__ -_'--37' " - - l, � 20 ;--- :_ .�--� _ � , ! : lo' ,- ; � - ; –, -- ; -- - ; - ---�-" , _ , . � , . f - -.;.._;_.� __ _._._. _��. N�'w S� u�Pai.crk wqL L �' n 7g � � __�.. � - , - --�-- - --- ' __ ' ' . . _ . _ _�. � NEw S�v/ti°l3��K w�}LL FO�; � ��- --> 'f/oNfIS �' /`1�}CD UrF _'. _i Z 7Z O 6/�.t/,t%E % v�2, � - �-- �- ' s t o.s iy iYc s�4� �i9 9Z6z � _'. _t � . .. � s Cement Coping Ootional � Channel Block With 1-3/8 � Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8"y5 at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. � Fill Cells Solid With Grout Where Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15�39 A.S.T.M. AllSteelto be Lapped 24" or to Code NATURALGRADE 7W0 3/8"54 BARS CONTINUOUS TOP & BOTTOM HOR7Z.STEEL MUS7 BE TIE� IN VLACE AT TIME OP TRENCH INSPECTION. TYPICAL 6�� CONCRETE BLOCK FENCE _ � � w z z i� W O U F 2 w n � .. n -1 1 ° I.11 I�W'I�TH � SEE CH[ 7 BELOW DI'. FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR; p�e Part Plasfic Cement, and Three Parts Sand GROUT; One Port Cement Three ona One Nalf Ports S�and COPING: One Part Cemeni, Three Paris Sand CONCRETE: Wel I Mixed 1:2- I/2: 3- I/2 Mar. of 7- V2 Gollons oi Water Per Sack of Cement GROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREASOF HORIZONTAL REIN- FORCEMENT SHAIL BE CLEAR, CLEAN & FREE OF AlL MORTAR DEBRIS, ETC. H GF E4RTNTCOTH V? if1E HEiGThf OF fENCE �OW BOTTOM OF FOGTiNG WIDTH 14�� 14'� . . . 12°. . THICKNESS 10��. . . 10�� 8��. DEPTH OF EARTHTOOTH . . 24" . . . _ 20'� . . 16��. . . . SPACING OF EARTHTOOTH 12' 14' . 16'. City of Costa Mesa, California Building Department �-�':!SEP NOV.82 SCALE: I/2��= I' 12° 8 �� I2„ 16' � ncsiccrcc � W W Q ►. N ■cs�ocMec R[DID[NCE STREET � _ R[fIOENC[ � PARTY WALL AGREEMENT �� THIS AGREEMENT, made and entered into this �� day of �r� r� , by and between _/hp�Q� � �(GG��7-i' hereinafter referred to as "LANDOWNER," and / L��1 va �! Cl� � hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between G 7/ y d- Z7� o G o.�.�7` Ui � vY _ (Address of Adjoininq in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book _��7 , Page 3�%_ of Miscellaneous Maps, in the office of the County Recorder . of said County. The party wall shall be permitted to encroach Dn}'fl ,e� jZ>e/' p/` .a,o�rJi� IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ADJACENT PROPERTY OWNER ��P�� J�� (Signa�ure) (Signature) / �M/f-$ �c . /`Ti/C.l�l/f/� �'�� \��C�`�� Name (Typed or Printed) Name (Typed or Printed) z �20 6�,�,�Fr.o,P z.�_l� C--_d�tyK�_� '� �. (Address) ( dress � ��` ��'�� NOTARIZATION REQUIRED 1906�A6 PLEASE SEE AITACHED ALI:PURPOSEACKNOWLEDOEMENT CERTIFICATE PARTY WALL AGREEMENT �� THIS AGREEMENT, made and entered into this �6 day of _ , by and between �s � /(G�-�v�� hereinafter referred to as "LANDOWNER;' and /lClSh v� /! ��'P� hereinafter reierred to as "ADJACENT PROPERTY OWNER." It is hereby agreed that a party wall will be constructed on the property line between Z��y �"Z%ZO Goa.�lf �� , (Address of Adjoining Properties) � in the City of Costa Mesa, County of Orange, State of California, as per map recorded ,! in Book _� , Page � of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach OH7'� �rT/�ef p/� �0 7� ,dra,a�r�i�f IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ADJACENT PROPERTY OWNER �G�/� n 1��J, � Cr�e�-/�� ' �"`�- — (SignaWre) � (SignaWre) TNar��}-s !�'. ft�9c.vd�.� —�`��V+.� ��F�'c Name (Typed or Printed� Name (Typed or Primetl) Z �ZO 6A.v,dFT,D,P Z.�_l� C--��-� '� �. (Address) ( dress � ��` m �'�� ` NOTARIZATION REQUIRED 1906�a6 PLEASE SEE ATTACHED qu�puaPoseaciwow�oa�utEHr CERTIFICATE PFOJECTROOHE55: 2'�� GANNET DR OWNEN'S NAME: MAC DUFF, TAOMAS R aoosess: MAC DUFF, JUDZTH A . 2720 GANNET DR C05TA MESA,CA 92626 PPCHIENGINEEN: ADOpE55: flEG.NO.: UNIT: UNIi: PEflMITTEE: HARTKE CONSTRUCTION � ( 714 ) 646-9474 aooeess: 1948 ANAHEIM AV COSTA MESA CA 92627 LICENSE� CONTBpCTOfl OECIABPTION: I �ereby alfirm �hai I am licensed unUer provisions of C�ap�er 9(commencing wiin Section 7000) 0� OIVISiOn 3 0� Ih¢ B11510¢55 dflO P�O�ESSIOf15 COd2, d04 rtly li nse is in tull force an eilec� c�Tvuc.:051673 STPTEUC.:FjOZSZB c ss:�— Oa�e'[_ — SignaWre'_ ___ - _ _ WONREBS' COMPENSATION � CLAflRTION: I hereby a�firm �ha� I �ave a cetli�icate af consent lo seli-insure or a certificale o� Workers' Compensalion Insurance. or a cetli�ietl copy Ihereol �Section 3800, Lab. C. ' roucvNo.: 1241406-91 ESP.DATE: �3IOS�9Z comraNv: STATE FUND ❑ Certilietl copy is hereby Wmi5�e0. � Cetlilietl coDY is lile wi�h �e ciry �eildin �ivi on. � Date: �.d ^ �y ��_ APPIic t. � . EXEMPTION FHOM WONREBS' COMPENSATION OECIABATION: (This sec�ion neea na� be comple�e0 il Ihe permi� is �or ane hundrtd �$100) or less). I cetlily iha� m �he pedormance ol �he work br which thi5 permil is issuetl, I shall no� employ any person in any manner so as lo become subject lo Ihe Workers' Compensation laws o� Califomia. pa�e: Signature: NOTICE: II, atter making this Oeclara�ion, you shoula become subie�< <o Ihe Worker5' Compensation D�ovisions of ihe labor Cotle. you mu5i Iorlhwiih comply with such pmvisions or this permit shall 6e Aeemetl revokea. CONSTPUCTION 1EN01NG AGENCV: t here6y a��irm ��a� Nere is a conSVuction lenaing aAency lor �he pedormance of ihe work for which IhiS permit is issuetl (Section 3097. Civ. C�. IENUEH: aooAEss: OWNEN BUILOEB OELIABATION: I hereby aifirm I�al I am exempl iwm t�e ConVactors' S�ale License law �or �he follovnng reason (Section 7031.5 Business ana Pwf¢ssional Coae: Any ciry o� counly w�ich requires a Oe�mi� Io constmci, alter, improve, tlemolish, or repair any simcWre, Drior to its issuance, also r¢quires Ihe applitani for SUch permi� ro tile a Signetl 5tatemenl Ihat he/She i5 liCenSed pursuant io t�e pmvisions oi the Comracmrs' S�aie License Law (Chapter 9(commencing with Sec�ion 7000) ol �ivision 3 0� Ihe Business and Pmlessions Coee) or t�ai he/she is exempl Iherelmm anJ Ue basis 1or �he alleged ecemplion. Any violalion o� Seclion 7031.5 by any aDPlican� br a permil su61eq5 Ihe appiican� �o a civil penal�y ol nol more IAan �ive huntlretl aollars (SS(p�. , as owner al Ihe pmperiy ar my employees wilh wages as �heir sole compensation, will do Ihe work, anU ihe ❑ slmcWre is not in�entled or ollered for sale (Section 7044, Business antl Pm�esSional Cotle'. T�e Con�raclors' Sta�e License Law tloes not apply �o an owner ol a pmpetly who bmltls ar impmves lhereon, antl who does such waB himseltlherseli o� �hrough �is or her own employees, pmvitle0 thal such impmvemenis are not in�enaed or oHereO for sale. I�, howeve� �he building or impmvemenl is 5010 wi�hin one year of completmn. �he owner will have ��e burden oi Droving he/s�e Oitl not 6uilA or impmve lor Ihe purpase ol sale�. I, as owner o� ihe pmpetly, am exclusively conlraciing with licensed contrac�ors b constmc� lhe pmlecl (Sec�ion 7044, Business ❑ antl Pmtessions Cotle: The Coniractors' State License Law tloes not aDDly Io an owner ol property who builds or impmves ��ereon and w�o conlracls for such prolec�s with a contractoqs�license pursuani to the ConVactors' State License Law),I am aware I�al prool o� Ihetr WaBer'S GomDensauon insurance sfioultl be pmvitled �o me. � I am exemp� under Section: B. 8 P, C. lar �his reason: oa�e: Owner 1 tlo hereGy cenify ��ai I am aware ol and untlerslan0 �he requirements o� Cali�ornia Healt� an0 Saleiy Code Sections 25505, 25533, and 25534 antl ihai I or any lulure bwldmg occupant willlwill not (eirda one) need �o comply wl�� said s�a�e eodes antl the requiremenis tor a permil lor consimqion or motlifica�ion �mm ��e Air Oualiry Management Dislrict. qesidential cons�mction applica�ions are exempt �mm Ihese pmvisions. . oa�e. Applicant: I hereby ceriity �hat I �ave reatl Ihis applicalion antl siate iha� Ihe a�ove intormalion i carrecl. I a ee lo compty wiih all city an0 county ortlinance5an�stalelaw5rela�mgto�uildingcon5�mc�ionanOheceby ihori repr enlairv o�Ni�cirytoenterupon(heabove�mentionea proDeriy lorinspecuon purposes. - Date' _(.(%�i=G� Signali e: oriver's I.icense or 5ocia� Seanry a: i6aLa6 WOite—Bmltling; Green—Coee Enforcemenl; Canary—Applicam; Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05444 PERMIT NO: P 054997 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSE: OTH JOB DESCRIPTION : RUN GAS TO STOVE / ADD ONE OUTLET SQ FT; CLAIM VALUE; CALC—VALUE; � GROUP OCC; R-3 / COMMENTS; Np 'BLDG.' PERMIT INVOLVED . ****** �******�****��x �*�t*�*�� **x*�t�**�***�e*��t*�x ��r��**��*****�*�t***�*•�****�� 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 REQ• PROV; PARCEL: 13947402 ZNE: REF NO: PLANNING Ni7TES> i �r��***�*�r�*�+�**�r��r�r**�r*�r****�t�t**********�r�*�*�t�tva*x***�**��tx **�r*******� *******� D E V E L O P M E N T S E R V—`i C E 5�=� � R E Q U I R E M E N T S i'� ZONING APPROVED BY " se� DATE; BUILDING APPROVED BY : APPLICATION ISSUED HY; ,f�}t��Yi� =' // lEiEjEaF1EiE�fifif�fiFiEiFiEiEiFIFiFifiEiEiF t IE3EiElEiElEififffifif�fiE1E1E1EiEiEiEiFiEiEifitikifiEifiEil�iFiF3f3Fif3fiEiE3f3fiFlEiFiEati i Eiiik LEGALIZATION:N F E E 5 U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC DATE; �lf IF iE 1f if if ik iE iF 1E iE �E iF jE dt 1F jF if if jF iF 141F 3F �F if 1E if STRUCTURAL,SEGMENT:N FIRE SMIP/RES GRADING PERMIT 2,00 258 SMIP/NON—RES PLAN ISSI7E FEE 3 , 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CRECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0,00 � 5.00 5.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK rJ , � � iE iE iE iE iE iE iE 1E �f fF iE jE if iE Ik iF �f iE iF iF iE if iE if iE lE 1E fE if 1F 1F 1E iE if if if iF iF iE 1E if 1E iE 1f 1E If 3F iF 3f iF IE 1E iE iE iE 1FlflF 1E ik iElF if iE if 1E iF 1E 3F iE iF ik iF iE If if if iF iF I N D I V I D U A L F E E B R E A R D O W N TYPE C�Atl QTY D E S C R I P T I O N UNIT COST TOTAL COST 1 GAS PIPING SYS OF i TO 4 OUTLETS 2,00 2,00 END OF FEES 'J: �ift�':0,4:�_�^",�AY:(s- .: 2^ . 1� ra'u• !u/1:!�'i rIn� ..�':i: CONSTRUCTION AND PLANNING �00� SPA . APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary EIeC[rical Service or Pole . 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. �: , ' 53. Steel Reinforcement - ' 3.,Electricai Conduit Utility�Undrgrnd. ' 54. Forms :�•.4. Elect�ical Conduit-Undrgrnd. • � 55. Electrical Bonding � 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test , 6. EVectrical UFER:6rnd. � 57. APPROVAL TO COVER�GUNITE -�7:� Footings . 58. Electrical ConduirUndrgrnd. - �';$: Foundation '' , 59. Gas Pipe, O Undrgrnd., Te;t � � 9. Water Pipe-Undr9rnd. . `� 60. Backwash Lines, P�7rap, O Undrgrnd. � 10. Structural Floor System �� l ` 61. APPROVAL TO DECK � 11. Property Sewer Line� & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap �+ ' 63. Heater & Vent-Final _� J L 13. Roof Drains . 'i , 64. Plumbing System � Final �� 14., Rough Plumbing ;� 65. Electrical-F.inal "' 15. Rough Electricyl�Conduiti' � � 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 Ceiting 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. RERUIREMENT 20.�Rough Factor.y Fireplace . - � � �APPROVALS �� 'Per.mit # 21.'Du�ts, in Structuie;. , „ ' ' '; �JO. Underground Hydro . ' 22. Ducts, Ventilating • , � ; .71. Product Piping O Gas ❑ Oil 23.` Gas Pipe�Rough & Test °• , . 72. Underground Flush , ' 24.,-Roof Framing `_ • • _ - �, �� 73. Undergmd. Storaye Tank �O Gas�O Oil 25. Roof Sheathing � : - ' ' � � '•74,'Overhead'Hydro-� 26.. T-Bar Ceiling (Scructural) & Monocoat �� 75. �rv Chemical � _ ' 27. Frame and Flashing _ i 76. Dry Standpipe - � - ' 28. Lathing.& Siding_ �> - • 77. FIXED SYSTEM F.INAL• � � � �'29. Insulatron . - - ' ' ' 78,. FIRE PREV. FINAL � 30. Drywal( Nailing .� HEALTH DEPT. REQUIREMENT ,31. Plaster Brown Coat ' 79. FINAL INSPECTIpN �- - t 32. -Electrical Power Mete��Flnal, .• "„ F, 80., FO00 CERTIFICATE ISSUED 33. �Final Electric _ ' . ,� � �- � 'Notes: � � ' ?34:-Final Heating & Rir Conditioning, " ' "�� , - . , � . . 35.� Final Gas Pipe-Test • � j Q� (�,0 _ � - 36. Hood orCanopY � , . , .- ' . - ' � . 37: Final Factory Fireplace. - � ' ' �• . _ % 38. Final Plumbing � , � � �Q (�� , . �- , - �39. Water Service-Final � � � ' � � �. � I . 40. Gas Service-Final ,�,, , . + �, . ; � ' � >':41. Solar pomestirFinal , �• '• ' - � � � r . . 42.`-Backflow Preventec � ` � � ' � � .. . . 43. Backflow Irrigation � r.-, . • � " . � 44. Landscape Icriqation System.�, - � ,,,• . - �" , 45. Sound Attenuation �.� � � � � � - � � ' _46. Handicap Regulations ' � '� � .. � _ _ ' � �47.,FINALSTRUCTURE&BUILDING� . , ,_ . - �� 48. �FINAL PLANNING ` �. :. � , � 49: Electric Release to Edison i �� , 50. Gas Release to Southern California Gas Co ; �� 4: �, ' 51. CERTIFICATE OF OCCUPANCY , .' , , . No. Date � So CITY OF COSTA �S,A, Project Address � ApNlicant's ftiailin Address Owner's Name � Address �� UCTION P �a w Applicant to fill in all spaces except lhose within heavy Dortler lines antl si9n all aOPropriala GeClarations. P M N TRACT NO. LOT NO. UNIT NU. .2�5�3 528 t `- - � � TVPE OF CONSTRUCTION NEW AD� ALTERATION REPAI R b i ❑ CONVERSION ❑ �EMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. Address • a' ' ^o"� w "� ��'�'r�� Contractor's Nam O v� �1v+ - L Pho('cJ �`L�,'��3.� Addresslmailingl 3�ilq .av.< e��, .Sa„�"4�4 �Y+a Ciry License No. ��7 b� � LICENSED CONTRACTOR DECLARATION I heteby allirm tha[ I 8m licensetl untler provisions of Charte� 9(commencing with section ]000) of Oivi5lon 3 ot the Businesz antl Pmtessions Cotle, antl my license Is in t u torte antl etiect. � O q C� V Licen'se= C� aVss_ GI cense No. �� 0 �atef� 5"g t " �� S' WORKERS'COMPEN$qTION DECLAfiAT10N I hereby afllrm that I have a tertificate of consent to selt-inzure or a certitiWte t Wo�kers' Compensdtion InsuranGe, o� a certifietl copy thereof (Sectlon BoO. Lab. C.� �sgO p ComPanY �OYyl�`a„d THS �. Policy No. � �Certifietl copy Ji5 herpby /umiSM1etl. ' . Oa[e�� 1'��C�ab/ilQtl wAPPhcanlY 4W1tl�n9 Divl on. n L�� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TM1i55ec[ion neetl not be cam0letetl it the pe�mit I5 fOt one hunOretl ($300) ar less). I certify that In lhe p¢rfo�mance of th¢ wo�k fo� whi�h this permit is issuetl I shall n0t employ any person in any manner so as to become sub]eGt to [{�e Workers' Compensatloq �yw5 of Calitornia. . Date 5�9��ture �NOTICE: I(, after making this tlnclaration, you shoultl become subjett to the Workers' Compensation provislons of tbe Labor Cotle, you mus[ forthwith comply with Suth pra�{sion5 or this permit shdll be tleemetl �evok¢tl.� CONSTRUCTION LEN�ING AGENCV I nereby a/ffrm thae tnBre iz a construcflon lentling agency for Ne pertormance of thu work for wGiqn thls permit is issuetl (Section 309] Civ. CJ LRnGer's Name � LentleYs Htlaress OWNER BVILOEH UECLARATIOfV � I hereby affiim lhat I am ¢xampt from tne COntractor's License Law for the tollowinq reason (Secqon 7031.5 Business antl Pro(essional Cotle: Any ciry or couniy whlth r¢quires a pe�mit IO cO�Struct, alter, im0�ove, tlemolish or �epair any SUUCture, prlor t0 its iSSuance, al5o requirCs the applican[ for such permi[ [o tile a signeE statem¢n{ that h¢/She I5 Iirensetl pwsuan[ to the provisions o( , tne Contrac(or's Licenze Law (Chapler 9(commencing with Section ]000) of � Division 3 ot [hc Bu3ine55 antl Prote55ion5 Cotl¢) o� thal he/sne i5 ezempt � erCirom antl the bai�s for the alle9e0 ex¢mption. Any violation of Sectlon 31.5 by any appllcant to�. d Pe�mit 5ubject5 �the applicant to a Civil :nalry ot mt more [han tive huntlretl tlollars (5500). ❑ I, as owner ol th¢ properlybr my employees wilh waqes as thei� sole mmp¢n5atioO, will tl0 the wOrk, and the Structure'i5 not Intentletl o� off¢retl for sale (Seclion 70q4, Businezs antl Prof¢SSiOnal Gotle: The Contracto�'s �icense law tloCs not apPly to an owner of a property wM10 builtls or improves thereon, antl who tlopz such work himself/harselt or through his or her own employees, provitletl that sucn improvements are not intentletl or oHereC for sale. If, however, tne bulbin9 or improvement is soltl witnin one year of cOm- pletion, ibe ownor will have tne burtlen of provin9 he/sne tlitl not bulld or im- prOva tor Ihe purpose of sale). ❑ I, as owner o/ the properry, am exclusively contracting with licensetl con- , trac[ors to construc[ lhe project (Section 7044, Business antl Professions Cotle: Tbe COnl�atto�'S Lic�nse law tloes nol apply�to an owner oi O�oPerty who builtls or'.improves ipereon, antl wno contracts for sucn projects with a com tractor(51 Ilcense pursuant�to tha Contractor's License Law)."I'am,aware that � proof of lhei��Worker'S Compen5ation Insurance shOultl be provitletl_[O.me: ❑ I am'exempt untler Sectlon B. & P. C. for this reason � Dale Owner 1 hereby certify that I have rea� information is correcl. I agree to antl 5la[e laws relatlng to builtlir sentatives o('t s uty m nter inspection pur s Si9na W re Drivers"license or SS � � f tbis applfwtlon and state thaf the above comply wi[b all city antl county ortlinances g consVUCtlon, antl her¢by Luthoriie rep�e;� � upon the above-mentlonetl property tor ...��-�`�. Dace��a � b - TVPE OF PERMIT�( GRADING}q FOUNDATION STftVCTURAI ❑ TENANT JGrELECTRICAL Wl PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 54. FT. yQG ocCuv c� CONSTRUGTION TVPE VA�UATION � ZONE GRA�ING CU. VDS. AC ES— Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers - rinking Fountains loor Drains loor Sinks as Service �Outlets Sink Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tankii ' JJSter Service Auto-Wash Rainspection Fee �` $15 I I Isue Fee I $ 3 I MECHANICAL FEES UnderGround sc��c�.ei Exhaust System ❑ Multiple FirepVFacL Bit. IC80 # Heating System & Ducting ❑0-100,000 BTU �700,000 Reinspection Fea � $15 CMF 0865-46, rev. 30/84 Wnite - Builtling; Canary - qpplitant: Pink - Accounfing; Goltlenrotl - Assessor Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System �aioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 A.P. �p �j ' S Main Building: E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures / 8619 2/03/06 Accessory Building: IClo�i 1 _ Zone R� ELECTRICAL Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps Garbage Dispoul Generator �65 KW �5�15 KW Fee DEVELOPMENT SERVICES R Zoning APProved By_�,� 8uildin8 APProved By � Inc.Solar I Microwave Pole Light Range P 1'/:-8 5 HP 016-15+ Standing Sections $75 1 I Issue Fee NTS: 0 FEES $ 3 2 O N 1 N G R E Q M T S S�vl¢9AR_]�OF FEES � BUILDING PERMIT $ Yf(� '�O SMIP $ �_ PLAN CHECK $ PERMIT , PLUMBING $ • 6 ISSUANCE $ PLAN CHECK 25% $ � ENERGY P.C. 5 ELECTRICAL $ .J��{L GRADING $ PLANCHECK 50% $ MICROFILM $ �MECHANICAL $ � TO7ALFEE $ � PLAN CHECK 25% $ � . � CONSTRUCTION AND PLANNING POOL �A IAPPR�OVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Elec`trical Service or Pole ' 52. Pool & Equioment Location � (�L 2. Soil Pipe-Undrgrnd. 53. Steel Reinforr,ement �� 3. Electrical Conduit Utility=Undrgrnd. 54. Forms 4. Electrical Conduit-Undryrnd. � 55. Electrical Bonding 5. Steel'Reinfortement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. 4PPROVAL TO COVER-GUNITE 7. Footings , . 58. Electrical Conduit-Undrgrnd. • 8. �Foundation 59. Gas Pipe, � Undrgrnd., Test Qiv 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK (� �y �G 11. Property Sewer, Line & House Connection - 62. Backwash & Receptor-Final 72. 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 SysteT•Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING b 18. ,Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ` . 19:,Rough Heating & Air Conditioning F1RE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # . 21. Ducts, in Structure 70. Under9round Hydro 22: Qucts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 4'^ 72. lJnderground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe 7.8. Lathing & Siding i 77. FIXED SYSTEM FINAL 29. Insulation -� 78. FIRE PREV. FINAL I 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat i 79. FINAL INSPEGTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning i.; 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 pomestic-Flnal' 42. Backflow Preventer � 43. Backflow irrigation ` 44. Landscape Irri9ation System _ ', 45. Sound Attenuation � ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. Special Re9uirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cn • 51. CERTIFICATE OF OCCUPANCY Np, Date � Applicant to fill in all spares ezcept those within heavy Dorder Iines antl si9n all aporopriate aeclarotions. ICITY OF COSTA MESA CONSTRUCT ON PERMIT . ProjectAddrlss �� 1 E �Y AppliLanYs Mailing Address � t`%� �Q�"` '� YS--__ . Owner's Name a �- ^�' Phone y �� Address �� Ga ✓�� v`/ Arch/Eng. License No. Address Contracror'sNam ' Phones�_y�123 Address Im �� „� � � � �j -Q � �� City License No. / � � '� � LICENSED COIVTRqCTOR OECLARATION I-hereby atfi�m tM1at 1 am licensetl untle� provision4 of Charte� 9(commencing witn Section ]000) of Division 3 of the Bu5ine55 antl Protessions Cotle, antl my license is in fu11 forc9( _antl etiect. �J (� (� LIC¢n5 CId55 VI �-' �+ �C2(ISB NOi � d �� Q Date��_l-ya-� _ $ignature ':�VORKERS' COMPENSATION DECLARATION hereby aHtrm that 1 have a certiflcate ot consent to self-insu[e or a certiflcate ,"of Workers' Compenution Insurance, or a certl{letl`copy thereot (Section 3800, Lab�. (C.) f�.� Poli[Y NOY � ��Q� � ComPanY � ""'m'��a � �Cer[ifietl copy is M1ereby fumisM1etl. , Certi ietl copy, .i filetl with the city Iltling Divl{� n. Da[e��^3'7� Applicant � 0 �'� )�� hs4�� ) E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissec[ion neetl not be completed it the permit is to� ane huntlretl ($300) or less). ' i certity that in tM1e performance of ihe work for Which this pe�mit is issuetl, I shaii not employ any person in any manner so as to become subject to the - Workers' Compensatlon LawS ot Calitomia. ' Date Si9nature �NOTICE: If, after_ making this tleClaration, you sh0ultl become subject to tite Workers' Compensation provisions of the Labo� Cotle, YOu must fortnwith , comply with such provlsionsr or •lhiz permit shall be deemetl revoketl. CONSTRUCTION�LENDING AGENCV. - 1 M1ereby affirm that there is a constr ction lentling A9ency for the perfo�mance of the wark for �whlCh this pe mit' is issuetl ($ection 309]. Civ. C.) ' tender's Name Lentler's Atldress OWNER 6UILpER �ECLA ATION � ' I hereby aftirm that I am exempt from the Contractor's License Law for the followin9 reason (Section �031.5 Business antl PrOfesslonal Cotle: Any ciry or county which requires a permit to construct, alter� �mprove, tlemolish or repair any structure, prior to its issuance, also requires tPe applicant tor such permit 'to fiie a signed statement that he/she is licensetl pu�suant to Ihe prOvisions ot � the Gontrattor's License Lzw (Chapter 9(commencmg with Section 7000) of �ivision 3 of the Buiiness antl Professions Cotle) o� that he/She is exempt .heretrom antl the basis for the allegetl exemption. Any violation of Section 1031.5 by any applicant ror a permit subject5 tne applicant'to a civll �eenalty of not more than tive huntlred tloliars (g504).� LJ I, as owner of the property or my �employees with wa9es as their sole compensation, will tlo [he work, antl the structur¢ is noi intendetl or offeretl for sale (Section 7044, Business antl Professional Cotlei The Contractor'S License Law tloes not apply to an owner of a prope�ty who builtls or improves � thereon, antl who tloes such work.himself/herself or through his or her own employees, provitletl that such improvements are not intentletl or offeretl fo! sale. If, boweveq the bulltling or improvemen[ is soltl within one ycar ot com- pletion, the owne� will have tne burtlen ot provinq hE/she tlitl not builtl or im- p�ove fo� lhe Purpose ot sale). � ❑ I. as owne� ot Ihe property, am exclusively cont�acting witb licensetl con- � tractorsto construcl tne project (Section J044, Busmess antl Professions Cotle: The Contrac[or's License Law does mt apply to an owner oi property who - builtls or improves thereon, antl who contracts fOr such projects with a can- Vacior(s) license pursuant�to-tne �conVacto}'s License Law). I am aware that proof of fM1eir Wo�keYs Compensalion insurance shOultl be provitletl to me. ❑ I am exempt untler Section — B. & P. G(ar this reason �ate I nereby certi(y that information is mrrect antl slate laws relatin senta[ives of IhiS ci� inspection pur o s. Signatur,e ' Drivers' License or 55 — Owner I have reatl this application antl state that tne above I agree to compty with all ��<Y antl munty ortlinances lo builtling wn5truction, tntl hereby authorize repre- � to nter upon tne above-mentioned Property 1or �ati� -3 -ilb Q � �� oZo� J�O TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER DESCHIPTION OF WORK/USE OF BLDG. TYPEOFPERMIT L-�GRAoiNG ❑ TENANT ❑ ELECTRICAL ❑ OTHER PROJECT DESCRIPTION S�.FT._ J FOUNDATION LJ STRUCTVRAL PLUMBING ❑ MECHANICAL ' CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. A( Remarks: Bar Sink Preventer Irrigation rinking Fountains loor Drains loor Sinks as Service Outlets' Kitctien Sink Lavatories P-Trap ROof Orains; Reinspection Fea Showers Service Sink Sewer Cap Sewer Connection Solar Coilectors --- Solar Piping. Solar Tank Swimming Pool w/Spa Water Closet � Water Heater ' ' Water Service � Auto Wash ' - Laundry Trays � $15 Issue Fee � Boiler . Duct- UnderGround Duct-Structural � Duct � Ventilating Exhaust System ❑ MWtiple ❑ Firepl/Fact.6lt.IC60# ^ Heating System & Ducting ❑0-100,000 BTU 0100,OOOBT fieinspection Fee � $15 CnnF 0865-46, rev. 10/84 Whi[e - Builtling; Canary - APPlicanh Pink - Accounting: Goltlenrotl - Assessor Hood or, Type I ❑ Canopy Typell ❑ Refrigeration System . ❑0-700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers . laue Fee FEES tl A.P. � S Main Buildi E T Front B Rear A C ftight K Left S Ping. Ref. # Planning Notes: Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eleci Fan F.A.U. ' Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW C $ 3 FEES Reinspection Fee • DEVELOPMENTSER Zoning Approved By_ Building Approved 8y Application laued By_ $ 3 8620 2/03/86 ��' _, 2one Accessory Building: Z O N I N G ' R Parking Req./Provided . E Q M T S ELECTRICAL i Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 700 amps - . Sub Panel Momrs �0-1 HP �1 % -.8 Inc.Solar �9-15 HP �i6-1 Microwave Pole Light � Ran9e Sign ' ; Standing Sections 15 KW Trash Compactor � 0 �$15 �� Issue Fee CES REQUIREMENTS: FEES $ 3 SUMMARV OF FEES � . BUILDING PERMIT $ SMIP $ - PLAN CHECK � $ PERMIT � PLUMBING $ .�� ISSUANCE . $ PLAN CHECK 25%, $ ENERGY P.C. �$ ELECTRICAL $ � GRADING •$ PLANCHECK 50% $ MICROFILM $ p�� MECHANICAL $ ,TOTALFEE . $ '� PLAN CHECK 25% $ � CONSTRUCTION qND PLANNING " POG. <SPA "APr''ROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe:Undrgrnd. � . � 53. Steel Reinforcement 3. Electrical'Conduit Utility;Undrgrnd. 54. Forms • 4. Electrical Conduit�Undrgrnd. ' S5. Electrical Bonding � 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical'UFER Gmd. ' 57. APPROVALTO COVER-GUNITE 7. Footings � � 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Wate� Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Siructural Floor SYstem 67. APPROVAL TO DECK 11.'Rroperty Sewer Line & House Connection : 4 3;/ �,i f� 62. Backwash & Receptor-Final 4 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 78: .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 79.' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.' Rough Factory Fireplace APPROVALS Permit # . 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-ftough & 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 & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat -� 79. FINAL INSPECTION 32. Electriral 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 pomestic-Final 42. Backflow Preventer �. 43. Backflow Irrigation 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 California Gas Co ' 51. CERTIFICATE OF OCCUPANCY _ No. Date �� CITY OF C� 'TA MESA ENGINEERIN� DIVISION APPLICATION AND PERMIT FOR WORK DESCRIBED BELOW u—j� / J �3 LJClass A Permit (Owner/Builder) ❑Class B Permit (Licensed Contractor) 24-Hour Emergency Contact Name of Insurance Co� Contractor's Name Telephone No. (Day) �i State License No./CI C — Applicant's Name �.�b Telepho�e No. Address or Location of Work Start Date f— �_�� Type of Work to be Done _ FEES Bond $ Cash Deposit $=s� i� Issuance 5 ) Inspection $ } rnTni c�) 3 COPIES OF SKETCHES OR PLANS WI LL BE REQUIRED PRIOR TO PERMIT ISSUANCE Developer's Na 8616 2/03/86 ; �p,p� 7HIS APPLICATION BECOMES A PERMI7 WHEN APPROVED AND VALIDATED , No. ��'8 ' TelephoneNo�y`1:1335 Date�'�5��g� Insurance Certificaj�e No.ls) Address ? 61 q W 1�-av�.� a nr. a� a 1 a City & State _ City Business License No. �� 7 � Not Valid After ��IExpiration Date) � `•� 5-S 48 HOURS MINIMUM REQUIRED FOF PROC Plan No. ING PERMIT Telephone No •� � �• . r.��c�CC�� • ,�.�a � �_ ��_- .�I��E��.�J�ll�l.w.u� � � • �nnno��nnc � � � . � :: . Permittee ahell contact the City Inspecmr's 05433 at least 24 hours prior ro commencing any work. Failure to ohtain proper inspections prior to commencement of work may be cause for its re�ection. THIS PERMIT WITH APPROV ED PLANS MUST BE ON THE JOB AND AVAI LABLE TO CITV gEPHESENTATIVES AT ALL i1MES. Vou are guided by Municipal Code Sec[ions 133, 15-25, 15-39, and 15-48. THE UNDERSIGNED PERMITTEE HEREBV CERTIFIES: 1. That all work shall be per(ormed in accordance with the Standard Specifications for Puhlic Works Construction Ilatest editionl; Standard Drawings of the City of Costa Mesa; spacial agency provisions; and all applicable laws and ordinances. 2. Tha[ throughout all phases of construction the work site shall be kept clean and free of rubbish, debris and dust and drainage shall be maintained. SUBJECT TO THE NOTES BELOW: (lnspector will initial in boxes) i. City wili provide inspection during normal working hours only (8:00 a.m. - 4:00 p.m., Monday — Fridayi. 2. Prior m placing Portland Cement Concrete or Asphalt Concrete (A. C.1, the following will have been inspected and approved; native ❑ and imported ❑ subgradesand forms Q 3. Maintain lanelsl of traffic in each direction with flagmen unless otherwise approved by Transportation Services Engineer. 4. Maintain all lanes open 3:00 p.m. -8:30 a.m., Monday through Friday, unless othrwise approved by Transporta[ion Services Engineer. 5. Bore under all ytreets, curbs and gutters, sidewalks, cross9utte�s and driveway approaches. Tunnelling is not allowed. 6. Open excavations must be backfilled or plated with spikes and A. C. tacked around edges during nomworking hours. �. Sidewalk shall be constructed per City ot Coste Mesa Standard Drawing No. . 6. Driveway approach shall be consvucted per Ciry of Costa Mesa Standard Diawing No. ,( su bject to review by Transportation Services Engineerl. 9. No treffic allowed on concrete for minimum of five days for curing. See 16 below. 10. Trench compaction and resurfacin9 shall conform to City of Costa Meza Standard Drewing No. . 1 1. Trenches exceeding five 15) teet in depth require a permit from the Division of Industrial Safety, State of California. 72. Permittee sfiall pay for all S. E., compaction and materials tests deemed necessary by the City. 13. All trenches shall be permanently patched within ten (10) tlays of completion ot work 6elow sub9ratle. 14. Permittee shall provide the City with record drewingsof permitted work before final inspection by the City. 15. The permittee shall furnish and/or install all signs, lights, barricades, [raffic control or warning devices, flapmen and flashing arrow board. 16. The permittee shall obtain opproval of the Transportation Services Engineer for ell sveet dosures, detours, tum restrictions, parking prohibition5 and methods of accommodating traffic. 17. The permittee shall notify Emergency, Fire and Police urvices and residents or businesses twenty-four (241 hours in advance of any access limitation or traffic restrictions. 18. Other: NOTICE: Contractor musl notify the following Utility Companies two working days before starting work: �� 1^ Custa Mesa Sanitary District Mesa Conwlideted Water Dirtrict UNDERGROUND SERVICE ALERT: Inquiry I. D. No. d (714) 631-1731 (714) 631-1200 Toll free � 1 E00-022-4133: After Hours & Holidays -(714) 7393031; (213) 6213171 I CER7IFY I HAVE READ AND UNDERSTAND ALL OF THE ABOVE AND�T TEMENTS MADE ARE CORRECT AND COMPLETE. CMF 0183-62, rev. 4/84 � 1�a�� Whl[e • ipsp¢ctars; Canary - En9��eering; � a�nk - Cinance: Goltlenrotl -/aPD��ant Applicant's Signawre Date i �aea�oeess: 2�z0 GANNET DR uxir: 0..�/'ikil'SNRME: THOMAS R. MACDUFF novi[ss: P7z0 GANNET DR ' COSTA MESA CA 92626 (714)751-6119 nwcx�excixeex: pETERG. TOGHIA REQNO.:z�'j2Cj'] RDONESB: 21Z91 ANTIGUA LN uxrt: HUNTZNGTON BEACH " CA 92646 PEflMITTEE: THOMAS R. MACDUFF ( 714 ) 751-6119 nooness: z�20 GANNET DR COSTA MESA CA 92626 OCENSED CONTMCTOR UECIAMTION: I here0y atlirm that I am Iicense0 wder D�ovisions ol C�apter 9(commencinp witA Sectlon 7000) of Division 3 of �he Business antl Pmlessions Coae, antl my license is in hll Porce anC ettect. CITY LIC.: STRTE LIC.: ClAS3: Oate: Sipnature: WOHKEPS' COMPENSATION OECIAMTION: I here6y aifirm lhat I have a certiilwta of consent to selbinsure ar a certificate ot WOM1ers Compensation Insurance, ar a certified copy [hereol (Sectian 3800, LaG. C). PoUCY NO.: EXP. D�TE: Certifie0 copy is hereby fumishetl. ❑ Cenified coOY is IileO wit� ihe ciry BuildinB Division. �aie: Applicanl: IXEMPfION FIIOM WOBKENS' COMPENSITON OECIANITIOM: Qhis uctian neeE not be completetl if Ne permit is for one huntlreU (5100) ar leu�. I cetliry that in Ne pertormance of the work tor w�ich ihis Dermit is issue0 I shall not emD�oy any person i'any manner o az to ecome su�iect ta/ tne/W_od-ers'.�Compenution Laws of Califomia. � Date: �C[ Sipnatura: — �� XOTICE: Ii, aR r maWnO �his Oeclaration, you s�ould become su6ject to Ne Workers' ComDensation pmvisions oi LaEor Cotle, you must forthwith comply with such pmvisions or ihis Dermil shall be AeemeE revake0. '� - •- CONSTBUCTION 1EN01NC RGENCY: I Aere6y aBirm tAat tAere is a constmction lenainp aqency lor I�e Dertormanca�ol tha woA far whicA Ihis permii is izsue0 (Seclion 3097, Civ. C�. • LENDEq: - ROOflE53: OWNER BUILDER OEClAN11710N: I here6y affirm t�at I am exempt Irom t�e Contractars State License Law for IAe followin9 reazon (Section 70.31.5 Business antl Pmlesslonal Cotla: My city of counry which requires a Oermit to construcl, alter, imprwa, Uemolish, or repair any stmcfum, Driar to its issuance, also requires the applicant for sucA parmh ro fle a siAneE statement that �e/she Is IlcenseC puauant ta the provisions oi the Comactors' State License Law (Chapter 9(commencing wiiA Sectlon 7000) ol Division 3 of t�e Business and Prolessions Coae) or [hat �e/sha is exempt Narefrom anU the 6asis lai tAe allepeE exemptlon. My violation ol Sectlon 7031.5 by any apDlicant for a Oermil su0jects Ne applicanl to a civil Denatry of nat mare than fiva hund2d Eollars (5500). I, as owner of ihe DroOeM or my employees with wapes as ihelr sola compen5aiion, wiil Oo I�a woM, anU fAe ❑ structure is nat inten0e0 ar oflered far sale (Section 7044, Bus�ness anA Professional CoEe: T�e Coniractors State License Law Oces not aDPty to an owner of a pmDe�y who builds or improves t�ereon, antl w�o tloes sucA woM himself/hersell or thmup� , �is or Aer own employees, Dmvitle0 that such improvamen[s are not inten0e0 w oflere0 Im sale. II, however Ihe CUIIEInp o� improvement is SoIU within ane year oi completion, Ihe owner will �ave Ihe hurEen of OroNnO hashe di0 no� builG or Improva for ihe Duryosa ol sale�. ' I,as ownerofthe proDerty, am exclusively contractinp wiNlicense0 wNrattors ro constmcttha projec�(Saction 7046, Business � and Professians CoOe: The ContracWrs' Sbte License Law Aoes not apPN �a an ovmer ot pmparry who CwIUs ar imOraves tAerean and wAa comraccs for sucA projecis witA a cantractor(s)license pursuant m tAe Coniracrors' State License Law�. I am aware ihat oroaf ol t�eir Worker's Compensation insunnce slloulG De proNEeG to me. ' � I am exempt unUer Section: B. 8 P. C. lor INs a % � oate: ��/�G Owner. I Oo here0y cenity ihat I am aware al anA unEerstanOlhe repuiremen6 al Calilomia HeatlA an0 Salery Cotle Sections 255 , 25533, anG 2553a antl Nat 1 or any tuture GuilEinp occuDant vnlUvnll not (cirtle one) neeE ta compty with sai0 sWte mUes anE the re uirements for a permit tor wnstruction or modifcation from t�6 Nr Oualiry Manapement astAct. HesiWniial constructlan applications are exempt fmm tnese omvisio�s. Date: Applicant I hereby ceNN �hat I have rea0 this ap0��wllon anG state that IAe above iniormation is correct. I a0ae to compry wit� all ciry anE counry ordinances an0 state laws relatlnp ro Ouiltlin0 consiructlon anE AereGy autl%al tl�is dtY t enhr uWn ttce ab entlone0 properry for inSpeciion urpaus. Date: � � SipreNre: � onver's �icenu or Sada� seeudry x: �f �— 1641-48 NTita--BUI1Einp; Groen—COEe Enbrtement; Cenery—Applicant; Plnk—Revenue: GOIEanroO—Avesfor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BEP 04,7824 PERMIT NO: BEP 047824 � PLAN CHECH NO: 04047-90 L GOVT: N SUPP: N CONSTRUCTION TYPE: S—N PERMIT TYPE: ELE PLU STR PURPOSE: ADD JOB DESCRIPTION ; 2—STORY ADD (EXTEND BD/RMS 6 ADD HATH) SQ FT: 358 CLAIM VALUE: 23,000,00 CALC—VALUE: 24,702.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETR(S) REQUZRED IN HOME!!:!!!!!! +ti�x�***�rit�t*ir�r*�r**�r**+tit�e*ieit*�**�t�t�t�t�r��ti��t�tx��t*�t*�tx��t�x**�t�x-�t�ti�****�t�*�r�ti�*it*�t**r*�t**x�** 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; 37 FT IN FRNT; FT IN REAR: FT IN LEFT; 42 FT IN RGHT: il FT IN LEFT; FT IN RGHT: FT IN PARKING REQ • PROV; PARCEL: 13947402 ZNE; R1 REF NO: PLANNING N(STES> 8' BY 24' MAXIMUM TWO STORY ADDITION TO AN EXISTING SINGLE >.-FAMILY RESI�,I�.ENCE; ADD BATH AND EXPAND EX. FAM ROOM & BDRMS +r*�r�t*i�*u�****�rir***�***xit**i� �t�rk�r�r****�r�r�r�r�rir�ri�*�r�rtx��r�t�t*�-*�e+t**i�ir+r***�e�r*x��*****�rrt�f�r 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 ' �; � ZONING APPROVED�BY - -� DATE: HUILDING APPROVED BY,: DATE: APPLICATION ISSUED HY. " DATE: O' ZO � if it iE iE �lF iE iF if iF 1f if if iE il9t it it IE #'%# # if it iE it it ik it iE iE iE iEiEiFiEiEi4iEikifiEiEiEiEiEifitifiEi6itiEiEiEififiEifififififiEiEiE1E�E , iE ififiEiEifif�EiEiEiEif�EiEitlk*if�ifi6iEiEifiEiEiFiEiE�EiEiEiFiEiEiEiflf LEGALIZATIONcN F E E� S U M A R Y �. STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC� MECHANIC � �ETRE SMIP/RES GRADING PERMIT 252.00 6.00 12.75 � 1.73 258 50� ;• �. SMIP/NON-RES ISSUE FEE 163.80 3.00 15.00- ,;.- BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL' PAID DUE TOTALS----> 272.48 18.00 163�.80 454.28 954.26 .00 REVENUE DIVISION TOTALS--> COLLECTEU: 290.48 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANSC FIRE SMIP_%TOT GRADING PLAN-CHECK 252.00 9.00 27.75 � 71.73 ik if iF if if iE ik if if ik if it ik iE �(� iE jf iE iE if if if iE iE i! ik it if iE if if iE it if !f i! * iE iE 1f ik i4 iE if iE if iE iF iF if it it iE if it'iF if jE if 1E iF �k it it iE ik iE iElk iE iE if 1E iE 1E if if if iE I N D I V I D U A L F E E H R E A K4D 0 W N TYf�E QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR ELE ELE ELE PLU PLU PLU 358 DWE-TYPE V-WOOD FRAME 5 FIXTURES, LIGHTING 1 ST 20 II RECEPT/OUTLET 1 ST 20 9 RECEPT/SWITCH 1 ST PO 1 SHOWER 1 WASH BASIN � , 1 WATER CLOSET (TOILET) END OF FEES / -GOUD : 69.00 24,702.00 EA, .75 3,75 EA. ' - ,75 6,00 EA, ''� .75 3,00 ,z.00 i.00 �, �' 2. 00 2. 00 •'' 2.00 2.00 D1 OOD63576-OQ063579 Yo.i'� 250.»E DATE� G6/20/90 TIME: i5:G5 � ' '. I � CpNSTRUCTION ANDPLANNING POO PA � APPROVALS Permit# Date Inspector qpPROVALS Permit# Date Inspector 1 rTempo�ary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 46 �� 53. Steel Reinforcement 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. Q �� 57. APPROVAL TO COVER�GUNITE 7. Footings 6 � 58. ElecTrical Conduit�Undrgrnd. , 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor Svstem 67. APPROVAL TO DECK 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final � 13. Roof Drains 64. Plumbing SYstem • Flnal 14. Rough Plumbing ��/[b L� 65. Electrical�Final 75. Rough Elec[riwl-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. POO�/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21 . Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil 25. Roof 5heathing p�/0 �p 74. Overhead Hydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing &-Si�ing !! � � 77. FIXED SYSTEM FINAL 29. Insulation �' 78. FIRE PREV. FINAL 30. Drywall Nailing � Z-�Q v� HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 1 PD 79. FINAL INSPECTION 32. Electrical Power Meter�Final ' 80. FOOD CERTIFICATE ISSUED 33. Fina1 Electric . 2_ � R,Qu Notes: �� 6 34. Final Heating & Air Conditioning �r 35.�Final Gas Pipe-Test � � !O-/O G 36. Hood Or Canopy �� F : � 37. Flnal �attory Flreplace i � 38. Final Plumbing �Z t� �� 39. Water Service-Final � � � �IZ�� 40. Gas Service-Final ' 41. Solar pomesticFinal � �2��s1/�0 _.. �i I__-�J„ - �ry�� J ��vp•v 42. BackflpwPreventer r..�LL iQJ�- qv 43. Backfl0w Irrigation 44. Landscape Irriqation System . . 45. Sound Atten�ation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ly�e `p,ki{�' 48. fINAL PLANNING , � � 49. Electric Refease to Edison ,� 50. Gas Release to Southern California Gas Co � 51�. CERTIFICATE OF OCCUPANCY No. Date ! 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 awner-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 a or and materials for construction of the pro- posed property improvement.;$�Yes i o 2. I aJ /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person ((irm) to provide the proposed construction: Name _ Address Phane ( City ContracroPs Lic. No.. 4. I plan to provide portions oi the work, but I have hired the following person to coordinate, supervise and provide the major work: Name _ Address Phone ( City ContractoPs Lic. No.. 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide Ihe 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 and Safety Code and have completed the above information to the best of my per- sonal knowledge,�m� wit his S ate I Signed: � Date: r0 � Name: / /�D/�//}-C � �� !�/�/G (Printed or Typed) C.D.L. N or S.S. #�� 754-5273 ,w:� L.TY OF C�STA &iES�_ CALIFORNIA 92628�1200 P. O. BOX 1200 insulation Certificate �-�.�-,,, �C �' f��P y7�zQ Z�2o (.PP-r+�Is�r �osT� ��sr1 Nw„te. ana street . c�ry , County Subdivisiam Lot Number Description of Installation ROOF Matertal i-�A—'��-1 - 5N7t�Gt=. Brand Name 7Tiiclrness (inches) 7Tiermal Resistance (R-Value) EXTERIOR WALL Matertal �S�,EYL�c.vss BrandName C�vJGr��S� ��.r��r�l� 'Ihickness (inches) 3' ly 'Riermal Resistance (R-Value) — 1 1 CEIl.ING Batt or Blanket Type �A.,_� �L�' Brand Name (a_,,� �..r ��- �Q.�-l� ri ls 'Ihickness (inches) �D � �Z 'Ihertnal Resistance (R-Value) 2— 19 I.00se Fill Type Brand Name Contrxror's minimum installed weight/ft !b Minimum thirlrness inches ManuCacuuer's installed weigh[ per square foot to acheive 7Tiermal Resistance (R-Value) RAISED FLOOR Material 'IhicFa�ess (inches) SLAB FLOOR Material 'iliic►Tess (inches) WidN (inches) FOUNDAT[ON WALL Brand Narne 7liertnal Resistance (R-Value) Brand Name 'Ihermal Resistance (R-Value) Material 8rand Name lhickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above locauon in conformance with the cw7ent Building Energy Efficiency Standards for new residenaal buildings contained in Title 24 of the Califomia Administradve Code. . �(�.orlS i� 7e v ew P. , (j � ( Gerrcrnl C�tracwr (Buil'l��_� \ cssw .••� � N fl�.a��l� Signenve end Title �J A Yv�, �C" SuaContrannr (Insuletion Installa) Signattue ard TiUe ��i �Z��!—q('I � 6'C,c� I� (_o n 2 S 2'rd . Licrnse Numbcr . �� I �0 � �d Dam . Licertse Nutnber �ot 11 . � �I8�0 CtiSTA MESA BUILDING•SAfETY DEPARTMENT P.O. BOZ �1] COHTA MBHp, GALIPORNIA For Appllcanf to Fill In Complefaly TYPE OR PRINT COSTA MESA, CALIFORNIA OWNER Pemba Subdividers, Inc. ^+^�� 2850 Mesa Verde Drive wooaess ��TM Costa Mesa No b490395 ARCHITECT �'. G Kaltenbach TE�.547804E ORENGINEHR � NO. ' Esg 1833 E. 17th St, , Santa Ana CONTRAGTOR � S� /// � BUILDINO LeO�L r�t Ittl,tlVtU MAR 3 1 196ti FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMR BUILDING For Oiiice Use Only RHC8IPT NO. I PHHMIT NO. ZONING NO. OP U8[ OP NHW PNNB �J BYILDINOy� 1 H 1 J L H HOTE: NO EAV E OV ERHANO BMALL BE LE83 THAN TfiL. 90' TO SIO6 @ REAR P. L. N . I HAVES �_ Ho.oPeLDae.O ALLOWED (�.B.C.REQUIREMENT: R. 4NOW On +w�T yARD3 APPROVED YARDS APPROVED O _x...[3�� ✓'yi��/�bx MAINBUILDINQ ACCES90RYBUIL�INB ' eETBACK LIN[ FROM 5O' } EFT RIaHT DESCRIPTION OF WORK 2, 556 NO^OP g ___.__ 2 ROOP House 2 004 sq.ft. Garage 552 sq.f� Plan 53-C 1 NEREBY ACKNOWLEUOE TXAT 1 X�VB pE�O THI9 APPLICAT�ON AND 8TRT8 THAT TH8 ABOVB IH CORHECT ANO AORE6 TO COM� PLY WITH ALL QTY OPOI ANCH9 AND BTATB L� R60ULATINO BOIL�INO CON9TNUCTIO / SIGNATUREOF �/,w.i, �// �/� � � AUTHORIZED VAR. iC LZVY� /9 y�-so. �.�' sdr a' THE AMOUNT BH WN IINOER VFLIIATION IB FO0. THE PURP09E OF H9TABLIBHIN6 A PHpMIT FEE ONLY. vw�unrion (J � PERMIT FEE S / s�// 3�— �� CH t � i� 24559 :. � C6STA MESA BUILDING-SAFEiY DEPARTMEM' P.O. BOX 9f7 COSTA MEBA, CALIFORNIA For Applicanf fo Fill In Completely TYPE OR PRINT eu��oiNo %!�ii G /LqI�G �„ AOORE&3 COSTA MESA, CALIFORNIA OWNER V B R/ /7i � MAIL N �f n ., i _ _ % •n.♦ RIRE C1TY aF C�STA NIESA AUG 17 1965'� APPLICATION FOR PERM �r�u�� Only pHC[I'T NO. PHqM�T NO. ZONING ZOfI[� NO.OP Y6EOPN6W j��o C ,O PLAN6 Z EIIILDINO � O w Ni E�C — u� / q �eow�.e...,.. cer� �� %/� `�'Z � / aLDo6. ■ eETBACK LINE FROM DESCRIPTION OP WORK BUILDINO NO.OF SIZE � C� ROOMS � EXTERIOR WALL�/r`�(�I ROOF GOVERING /`N V COVERIN6 USE OF BUILDINO AND WORK TO B6 PER I HEHEBY �CRNOWI.gOGB TX�T 1 XAVB RBAD TH�B APPL�GTION ANO BTATE TNA TH ABOyE �8 COHRECT ANO A�qHC TO COM. PLV WITN ALL ITY�ftDII/ANCfiB AND 9TAT8 LAW6 RHO�UTINO BUILOINOCONQTRUETIOW/ L, _�. „ ENT SHALL BE LESS THAN VARDSAPPROVED YAROSAPPROVED MAIN BUILDIN6 ACCESJSORY BUILDIN6 )NT'��/ Ff.�i� 'fo G�X/f7i�a�. i1DH '/ PI'.t FT. '� IID821 FT. �_ Pf. ,e z d � � VAR. # DATB TH! AMOUNT BHOWN IINOBR VALUATION 19 POH TNC PIIRPOSB Op 88TABLIBXINO A PHpMIT PEE ONLY. VALUATION � � � PERMITFEH $ � �V $ F TOTALFEE $ �