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Home My WebLink About2743 GANNET DR - Building PermitsAugust 6, 2010 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE � CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Edward Martindale III 2743 Gannett Dr Costa Mesa, CA 92626 PERMIT NUMBERS: E06-01394 - - - - . _ F1�L4.3IGannet Dr., C-_osla Mesa, CA',7 �FO : ir Conditioner & Furnace Our records ind+cate the above listed permit(s) were.obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permiis are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, piease contact this office so we may correct our reco�ds. If you do not have an approved final inspection, your permits will expire on August 18, 2010. Additional fees will be required to finalize expired permits. Requestinq an inspection - If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Requestinq an extension -If you wish to request an extension, requests must be made in writing addressed to Bill Nunes, Chief of Inspection at the above address, detaiiing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at 714-754-4871, between 8:00 a.m. and 4:30 p.m., and a staff inember will assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, IJcY1�f.vL,� � Barbara J. Zwart Office Specialist II cc: LT Air Corporation Building Division Qt4) 754-5273 • Coae Enbrcement (714) 754-5623 • Planning Division (714) 754-5245 FAXp14)75a-4856 • TDDp14)75a-52aa • wv.w,ci,cosia-mesa.caus GUKVNA,UA Owner: MARTINDALE, EDWARD III Address 2743 GANNET DR COSTA MESA, CA Contractor: L T AIR CORPORATION Address: 248 GLIDER CI CORONA,CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FiMs Recept Oullets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Molors to 1 hp Motors l0 10hp Molors to SOhp Molors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Li9ht Pkg Sign Circuits Temp Pwr Pole Intermed Pole up a�aau Phone: 714-5468022 Zip: 92626 Phone: 951-734-2260 2ip: 92880 License: 753788 SCOPE OF PERMIT REMOVE AND REPLACE WIHT NEW 90K BTU AND INSATLL NEW AC 40K BTU 1 SWITCH 1 DICONNECT $23.50 $0.00 $54.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 80.00 $0.00 Quantlty 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Sedion Misc Electrical Equipment Transtormers up to 1 kva/kw ................up to10 kvalkw .................up to 50 kva/kw ...............:.up l0 100 kva/kw ............:.....over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt � � Misa Conduit Misc. Conductor Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand � � ' Fireworks Sland Other Eledrical Fee Investi9ation Fee Plan Check Fee Reinspection Fee Quantlty $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 " $0.00 0 - $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 � 50.00 50.00 50.00 TOTAL CALCULATED FEES 578.00 COMMENTS I SPECIAL CONDITIONS NOTICE: The work aNhorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenc�d 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 pe�mit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspeetions end finel epproval must be obtained. Failure to obtain inspections and final approval will resufl in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448-661NWI WORKERS'COMPENSAnON DECLARAnON: � I hereby aNirm under penelry o1 per�ury one ol the followinp decleretlons: � ❑ eve and will melntein a cenificete of consent lo aell�lnsure for workera' compensetion, ea Orovltled for by sectlon 3700 of the Lebor Code, for ihe pertortnence of the work for wNU thls pertnit I9 issued. I �a antl wlll maintain workers' cwnpensetion insurence, es requiretl by section 3700 of the LeDor Code, for t�e pertortnance of the work for which this pertnit is Issued. My rkers' compensation Insurance cerrier and po`Icy number ere: (�� ry C/ Carrie� SiliT� �o.Af'£+vS�TlOrl I�.1S�E}�iC`'t r!J^�� PolicyN mber. ' O I O �ZO s section need nof be com0�eted i! the permit is velued et one hundred Ud/ers (S f00) or /ess.) . ❑ in Iha pertortnance ol the work tor which t�is permit is issued, I shell not employ eny parson in any manner so as to become subject to the workers' com tio laws ot Califomia, antl egrea thel if I should became sublect to Ihe workers' compensatlan provisions o1 Section 3700 oi the Labor Cade, I shall forthwith co vnth e5e ons. —�—�-�� ApPli tSty ure:1�J`� l � ��Gr-�/�!H �(Q;__1/2'O��O�o WARNING: FAILURE TO-SECURE WORKERS' COMPENSA ON COVEMGE IS UNLFWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED Til0U5AND OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, �AAMGES AS PROVIDED WR IN SECiION 31W OF THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I he um t�at I am licensetl under ions ot Chapter 9(commencing with Sedion 7000) of Div' ' sinass and P1pie5Aiqns Code, antl my license is in full �a� � 3�-� aass a' C' 'LC� onirac[ofs Sig� : �� Lua� �� /7,/ —p (o i CONSTFiUCT10N LENDING AGENCV: �--I hereby aHirm that ihere is a consiruction lending egency for the Dedormance ot tha work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lender's Adtlross: Signature: Date: OWNER-BUILDER DECLARAT10N5: I hareby aHirtn ihet under penalry of perjury that I em El(EMP7 FROM THE CONTRACTORS LICENSE LAW lor tha tollowing reason (Sec. 7031.5, eusiness antl ProFessions Code: Any city or counry which reQuires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant for such pertnit b file e signed statement that he or she is Ilcensed pursuant to Ihe provisions oi the Con�rectors Ucense Lew (Chapter 8(cammencing with Sectlon 7000) oi Divislon 3 of the Business end Protessions Cotle) or that he ar she Is exempt therefrom end the besis tor the elleged e:emption. Any violatlon of Section 7031.5 by any epplicem for a pertnit subjects ihe epplicant to a civll penelty c� not more Ihen tive huntlretl tlollars ($500).): ❑ I, es owner of Ihe property, or my employees with weges es their sole compensatlon, WILL DO 7ME WORK, and the siructure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contracmre License Lew does not apply to en owner ot property w�o builds or improves thereon, and who does such work himself or harself or Ihrough his or her own employees, providetl that such improvements are not intentled or oflered for sale. If, however, �he builtling or improvement is sold within one year of completion, Ihe owner-builder will have the Ourden of proving that he ar she ditl not build or improve for purpose ot sale.). ❑ I, as owner ol the property, em E%CLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to cons�ruct ihe project (Sec. 7044, Businass and Professions Cotle: TTe conirectors License Lew does not epply to an owner al pwperty who builds or Improves Ihereon, and who contracis for such proJect with a wntractor(5) license pursuant to the Contractors license Lews.). ❑ I am exempt untler sec. Business antl Professlons Coda /or this reeson: Signe�ure: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Driver's Liconse No. Venficatian oi Ownership by (rype ot dwument, i.e. - pwpeny tax Dill or tleetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify thet no excavation tive (5) or more feet in depih into which e person is requirad to tlescenQ wlll be made in connection wi�h work euthodzed by �his pertnit, and thal no building structure, scaflolding, talsework, or demolition or dismantling Iheraol, will be more then thirry-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Tltla 8, Celitomle Administrative Code). ❑ As ownerbuilder, I will not employ enyone to do work which would require a permil irom ihe Division of Industrial Sefery, as noted ebove, unless such person has a permit to tlo such work from ihe tlivision. Signature: Date: Divisian of Industnel Safery Permit Num�ec CERTIFlCATE OF COMPLIANCE AND AUfHOR¢A710N OF ENTRV: I cenity under penalry ot perjury ihat I have reatl this application and state that the intortnation given is wrrect. I agree to wmply with ell state laws end city ordinences relating to buil0ing construction, end authorize representatives of Ihe Gry of Costa Mesa to enter upon the above-descriDed O�aPerty lar inspection purposes. I egree not to acupy or allow occupancy ot any building authorizetl by Ihis pertnit until fnal inspection. CODE �. INSPECTIONTYPE — 1616 Fi:eC System Final Fire Prevention 1266 Pool Spe Final . 200 Final Re-Root 201 Final Black/Retaining Wall 202 Final Factory Fire Place 203 204 Finel Sign Final Demolilion �g � � Date COOEI INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Elet�rital 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Builtling/Occupancy )a a�• olo AB �'ya0� 08/11/2010 13:39 171454660084546600B MARTINDALE PqGt bl/tlt � i �� ' • �- � CITV Ct... �: "' -� � . � BUILDING SAFETY /ISION � �..__.._.........—.... . . . -- POST IN CdNS� � �US PLAGE O� fl.t}R • � �. JOTICE i �/�G�,,,�Ih • �.�1_._1] Schetlule inspaqtion one workday in advance. To schetlWe ifispections, call (77q) 754-5626> �(t>W ^'Q�� —"'� �) Permit n�mber, 2) Job atltlress. 3) inspection Rem number. QTi��'� 0 PERMITS EXPIRE 'I80 DAXS (6 MONTNS) FROM ISSIJANGE: OR LAST INSPECTION osbe.,s o-,.. ��a, - _ 08/11/2010 13:41 1714546808845468008 � MARTINDALE PAGE 01/01 NOTES l /�%r.f.9sc.a �i1'L ' fJ�f! .Sfi9 �� /�i►'vL� s} S�C. 1�-aa--S� iz� L�oT�e,-L r' i z_$clzc�.� T..� A�r'; �.. ,��,�l.�c.� o z /�i'�_ 3• I/'c� �� 51��/� �� Ssu„rz� -� Pfwt S S�r� 5� ��,,� ,�� -�o ►=.�u _ 2m �/�'• 7.s�' �9�45 . _ .... ... . --- — __._ ._ _. __ _. . . _ n: - -- �ar��'a.�Z,udar"� 8�I(-�o � p p MF 9 � � o. > F �.4�� fi, . .• • CITY OF COSTA MESA " BlIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE B_ROOF2 APN: 13947603 JOB ADDRESS: 2743 GANNET DR CM vicinity: Squares: 3500 PERMIT NUMBER: 609-00065 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 04/3012009 KJB �$19,600.00 SCOPE OF WORK: TEAR OFF SHAKE ROOF. RE-SHEATH. COVER WITH PRESIDENTIAL COMP SHINGLES. CLASS A. ROOF PITCH IS 4:12. INCLUDES ATTACHE� GARAGE. 3500 SQ Ff. � OWNER: MAR7INDAL�,'EDWARD III PHONE: APPLICANT: CUPITO, STEVE PHONE: 949-498•2971 CONTRACTOR: STEVE CUPITO ROOFING Address: 2818 VIA AMAPOLAUnit: City/State/Zip: SAN CLEMENTE, CA 92673 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: 12eroof Permit Fee: f2einspection Fee: Bldg Std Admin Fund +7 V TOTALFEES +r >� ., i F:`�� $0.00 $321.25 $0.00 51.00 $322.25 Address: 2743 GANNET DR City/State/Zip: COSTA MESA, CA Address: City/State/Zip: PHONE: License No. License No. Unit Unit: : , ?i��3-n0�.'tG,rT License No. 431240 949�98-2971 . . CELI: PHONE: PHONE: . .. \ ,..i;i:' Pll Ci i IS Un�l: �i:il: . �'':'-i)�.'4ti:Y �NOTICE: The work authoriZed by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all r'equired inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resull in the expiration of this permit. �: �OOEt. INSPEC710NTYPE D�T IN1111RL5 COOE� INSPELTIONTYPE , Q�� ':`:N AL �616 Fixed System Final Fire Prevemion 206 Final Mechanical �1266 Pool Spa Final � 208 Final Plumbing 'Z00 Final Re-Roof �'u'� 210 Final ElecMtal :`�:�t' }� 201 Pinal BIocWRe�aining Wall 212 Final Fire Preventian 202 Final Factory Fire Place 220 Final Planning Appmval �%'��' 203 FinalSign 222 FinalSite �f��-•-1i"j''i:�: 204 Final Demolition 250 Final Building�Occupancy WORKERS' COMPENSATION DECLARATIO� I hereby affrm under penal�y of perjury one of the following declarations: ❑ I have and will maintain a cerlifca�e of consenl to self-Insure (or workers' compensation, as provitletl for by section 3700 of the Labor Code, tor the erfor nce of the vrork for which this permit is issued. I have antl will maintain v.orkeis' compensation insurance, as required by section 3700 of the Labor Cotle, for the peAormance of the work tor vfiich this permit is issued. My vrorkers' compensation Insurance carner antl policy number are: �� Cartier. � (ThissM.onneedirofbemmqGetetlAl 9e�penimdava(lue�0alone�n-v7nO�retlOaNars(Et00)o�less) Policy Number. �� 0� l J\I � VJ ��S—� ❑ I certify lhat in the pedormance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o( Califomia, and agree that if I shoultl become subject ro the vrorkers' compensation provisions o! Section 3700 ot the Labor all lorihvrith comply with ihese prov ions. 4 � � ure Date WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNL4WFUL AND SHAIL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAR4TION: I here6y aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, antl my license is in full force and effecc. Lia Class # � I T V 0 or's Signawre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a constructbn lending agency fw lhe peAortnance of the v.ork fa which this permit is issued. (Sec. 3097, Civil CoOe). Lender's Name: Lender's Adtlress: Date OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Busines5 and Professions Code: Any cily or counfy which requires a permit to conslmct, alter, improve, demolish, or repair any stmcNre, prior to its issuance, also requires the applicant for such permit to file a signetl statement thal he or she is licensed pursuaM [o the provisions of the Contracrors License Law (Chapter 9(commencing vnth Seclion 7000) of Division 3 of I�e Business and Professions Code) or that he or she is exempt therefrom antl the basis for the alleged exemption. Any violation oF Section 7031.5 6y any applicanl lor a permit subjects the applicant to a civil penalry of not more than fve �untlred dollars (5500�.�: ❑ I, as ovmer of Ihe property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, antl the structure is not intended or oftered tor sale (Sec. 7044, Business and Protessions Code: The Contraclors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or lhrough his or her own employees, provided lhat such improvements are not intended or offered for sale. If, hovrever, the building or improvement is sold vnthin one year o! completion, the ovmer-builtler will have the burden of proving that he or she tlitl not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business antl Pmfessions Code: The conlractors License Law dces no[ apply to an ovmer ol property who builds or improves Ihereon, and who conlracts (or such project with a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code (or this reason: Sgnawre JOS]-n6�J/0]) ♦ . Owner ID verified by driver cense. ❑ Yes ❑ No • Driver's License No. Expires: Verification of Ovmership by (type of document, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certrfy that no excavation (rve (5) or mae feet in tlepth into which a person is required to descentl, will be made in wnnection with work authorizetl by this pertnit, and that no building sWclure, scaF(dtling, falsework, p demolitbn or tlismanlling thereof, vrill be more than thirty-six (3fi) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ As ovmer-builder, I will not employ anyone lo do vrork which would require a permit from the Division of Intlustrial Salery, as noted above, unless such person has a permil to do such work Gom the division. Applicanl'S SignaWre Division o! Intlustrial Safery Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applican[ or present or future building occupanl need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Cali(omia Health and Safery Code requires, with some exceptions, that a Business Plan be filed wilh Ihe Costa Mesa Fire Department by every business which has at any one time during a reported year a quamiry of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperaNre and pressure). 2. Does or will [he applican[ or presenl or future builtling occupanl need to file a registration form For acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of lhe Califomia Health and Sa(e[y Cotle, with sOme exceplions, requires registration with the Costa Mesa Fire DepartmeN by each business which at any one time has on hand a quantily of acutely hazardous materials equal to or greater than a weight o( 500 pountls, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or preseni or fuNre building occupant neetl lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous malerials)? ❑ Yes � No (Section 25534 of the Cali(ornia Health and Sa(ety Code provides that the Costa Mesa Fire Department may require the preparation, cenifcation an0 fling with the Fire Department of an RMPP by businesses which are required to register acu�ely hazardous materials wiih the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Ves ❑ No 5. Does or vnll lhe applirant or present or (uture builtling occupaM require for the work which is Ihe subject of this application a permit for such construction or motlifcation lrom the SouN Coast Air Quality Management Oistrict or (rom any other air polWtion control disirict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires Ihat the requestetl information be fumished on application5 for non-residential builtling permits�. 6. Will any part of the facility ro be constructetl under Ihis permit 6e within 7000 (eet from Ihe outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the lacility must mee[ [he requirement o( Sections 25534 and 42303 o( Ihe Cali(omia Heallh and Safe[y Cotle). 7. If a pertnit fmm the South Coast Air Quality Management Dislnct or other air pollution control tlistrict or agency is required for the work which is the subject of this application, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No B. Qf yes", attach certificate of compliance fmm lhe appmpriate air polNtion control officer). CERTIFICATE OF COMPLIANCE: I certity that under penalty of perjury the information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Sign�lare Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat I have read this application and state Ihat the information given is wrrecL I agree to comply with all state laws and ciry ortlinances relaling to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described propeAy for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorizetl by this permit until final inspection. , r al Ovmer(s) �D^ate � �.N And/o� Nulhonxe0 Ap0 �� Dale (714) 754-5273 • Fax (714) 754-4856 • www.ci.cosip-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, CA 92626 Job Address: Suite No viciniry: Parcel Number: Applicank Address: 2743 GANNET DR '13947603 LESLIE TING�EY 248 GLIDER CI MECHANICAL PERMIT CORONA,CA owner: MARTINDALE EDWARD III Address: 2743 GANNET DR COSTA MESA, CA Conuactor. L T AIR CORPORATION Address: 248 GLIDER CI CORONA,CA ISSUED BY: Phone: 951-734-2260 Zip: 92880 Phone: 714-546-8022 Zip: 92626 Phone: 9 7-7 ' - 26 Zip: 880 ' � License: 753788 SCOPE OF PERMIT REMOVE AND REpLqCE WIHT NEW 90K BTU AND INSATLL NEW AC 40K BTU ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt CoolingMeat Inst / Rep. Recess Wall Hlr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000dm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater > $23.50 $14.80 $0.00 $0.00 $0.00 sia.eo $0.00 $O.pO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantlty FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercia l I ncinerator Domestic Incinerator Comnressors / Absorption Svstems Upto3hp/t00kBTU 3To15hp/500kBTU 15 To 30 hp I 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 7,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspeclion Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 12/06/2006 Issued: 12/O6/2006 Quantlty $0.00 0 $0.00 0 $0.00 0 b0.00 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 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $53.10 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 9248, § i, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the vrork authorized under this permlt to be considered legal, such vrork must comply with all applicabie codes, and afl required Inapections end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2asas �sioo� WORKEAS'COMPENSAnON DECLARAnON: ' I hereby aHirtn under penalry of perjury one ot the following decleretions: ❑ I have and will meimain a certificate ol cnnsem b self-Insure Por workers' compensation, es provided for by section 3700 ot t�e Le6or Code, for Ihe pertortnence ot tha /work for which this Dermit is issuetl. {J and wiil maintain workers' compensation insuranca, az required by seccian 3700 ot the Lebor Cotle, for Ihe perlormanca oi Ne work lor which NIs pertnit is issued. My wo rs' compensatl Insurence certier entl policy mber are: (^ 'T Cartier. 'f1�iTF ��MOEaSA�TId� �rJS+/�^Ki f"i1�� Poli umbar:� 'g�g�Kl (This s need nat be completetl i! the permit is ve/ued et one huntlretl dollers ($100) or Iess.J ❑ I tertify t�at in ihe Derfortnance ol the work for which thi9 permit is issued, I bhell not employ eny person in eny menner so as to bOcome subject to ihe workers' compensation lews of Califomla, entl eqree ihet If I should become subject to the workers' compensatlon provlsions oi Section 3700 0l the Labor Code, I shall fort�with I hereby eHirm em licen �OfCB 8 -� ors ' ` CONSTRUCTION LENDING ❑ I here6y.aNirtn Ifi'et ther Lentlefs Name: Signature: !« o�e: /2-G-a� WORKERS'ODM ONC/JVERAGEISUNUWFUL-MUSHAlL5UB1ECTl� MPLOVERT RIMINALPENALTIESANDCMLFlNESUPTOONEMUNDRED INADOITIONTOTHECOSTOFCOMPENSATIQV,-DMMGESASPROVIOEDFORU �TON THEL4BORCODE,IMEREST,ANDATTORNEY'SFEES. DECLARATION: of Chapter 9(commencing with Sectlon 7000) af Division 3 of the B ntl Pro�fe1ssions1C''�ode, and my license is in tull a59 M l � ZV is e construction lending egency lor the pedormance of iha work for which this permil is issued. (Sec. 3097, Civil Code). Lender's Address: _ Date: OWNER•BUILDER DECLARATIONS: I hereby eHlrm ihat under penalty ol perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Cotla: Any ciry or coumy w�ich requlres e permit to construcL alter, improve, demolish, or repeir eny slmcNre, prior to Its issuance, elso requires tha applicant for such permit to tile e signed statement ihat he ar she Is Ilcensed pursuent to ihe provislons o1 the Contrectors License Lew (Ghepter 8(commencing with Secllon 7000) oi Divlslon 3 of t�e Business and Profassions Code) ar thet he or she is exempt therefrom entl the basis for the ellegad ezemption. Any violatlon of Section 7031.5 by any applicant for e permit subjecis the applicant to e civil penelry c� not more than five hundred dollere ($500).): ❑ I, as owner at the property, or my amployees wit� weges as thelr sole compensation, WILL DO TME WORK, entl Ihe siructure Is noI Intendad ar o%ered lor sele (Sec. 7044, Business end Professions Code: The Con�rectors License Law does not apply to en owner of property who builds or improves ihereon, entl who does such work himself or hersalf or throuqh his or her own employees, provided that such Improvements ere not Intended or oHered for sale. If, howaver, the buiiding or improvement is sold wi�hin one yeer ot completioq the owner-builder will heve the burden ol proving ihat he or she did no� build or improve tor purpose of sale.). � ❑ I, as owner of the property, em EXCLUSIVELV CONTRACTING WITH LIGENSED CONTRACTORS to Construct the pro�ect (Sec. 704a, Busine5s end Professions Cade: The comrectors License Lew does not apply ta en awner of propetly who builtls or Improves thereon, entl who comracts for such proiect with e contractor(s) license pursuent to the Contracbrs License LawsJ. ❑ I am exempt untler sec. Business antl Professions Code lor this reason: SignaWre: Date: Owner ID verified by driver511Cen5e. ❑ Ve5 ❑ No Drlver'S License No. Expire5: Verification of Ownership by (type oi dacumenL i.e. - propeny tex bill or deetl�: DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify t�et no excavetion five (5) or more feet in depth into which a person is requirad to descend, will be mede in connection with work authodzed by this pertnit, end that no building sirucWre, swHolding, lalsework, or demolition or dismaniling thereoi, will be more then Ihirty-sia (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, TiUe 8, Celifomia Atlminis�rative Cotla). ❑ As owner-huilder, I will not employ enyone to do work which woultl requlre a permit from the Divislon of Indusirial Safery, es noted above, unless such person has e permit to do such work irom Ihe tllvislon. Signature: Date: Division of Industrial Salery Pertnit Number: CEH7IFlCATE OF COMPLIANCE AND AUTHORPJITON OF ENTAY: I cehify untler penalry ot perjury that I have read this epplication and siate Ihat ihe information given is correct. I egree to compy with ell slate lews antl ciry ortlinences relating to bullding construction, ana authonza representetives of the Ciry ot Costa Mesa to enter upon the ebove-descnbetl property tor inspedion purposes. I egree not to occupy or ellow occupancy at eny building auiharized by this permii until fnal inspection. GOpE �. INSPECiIOXTYVE � 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 203 Final Factory Fire Place Finel Sign 204 Final Demolilion Qdg II�ELS COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Finel Electrical 212 Pinel Fire PrevenNon 220 Finel Planning Approval 222 Finel Site � 250 Final Bullding/Occupancy Date /2 9 .- � APPROVED PLANNING DIVISION SUBIECT TO BLDG. DEPT. REG. NOTE: ACDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. BY:� i: � • y�� r •.:_:v ; , �, (714)754-5273 • Faz(714)754-4856 CITY OF COSTA MESA - BUILDING DIVIS/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT ,lobnddress: 2743 GANNETDR Suite: Vicinity: ParcelNunmber: 13947603 npp�icant: SPELLMAN, JIM Address: BUILDING PERMIT Zoning: R1 R1 Phone: 714-531-1906 Zip: Owner: MARTINDALE, EDWARD III Address MARTINDALE,CAROLANN COSTA MESA,CA Phone: � 2743 GANNET DR Zip: 92626 Contractor:- � Address: - �. - Arch I Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: Phone: Zip: License:. � . � �Phone: � Zip: License: SCOPE OF PERMIT CHANGE OUT 74 WINDOW MASTER WINDOWS IN SFR. $0.00 $149.75 $0.90 $0.00 $0.00 $0.00 $150.65 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existing: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 PERMIT NUMBER / 77 FAIR DRIVE, COSTA MESA, CA 92626 Calc Valuation: Ciaim Valuation Right 0-0 Right 0. 0 Status: ISSUED Applied: 09/18/1998 Issued: 09/18/1998 ss,000.00 ss,000.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, o� if work is suspended or abandonetl for a period of 7 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapectlona end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLAflAT10N: — � I hereby afrirtn under penalry of perjury one ot the following declarations: ❑ I have will maintain e certificate of consent to selFlnsure for workers' compensatlon, es provitletl for by sectlon 3700 of the Labor Cotle, for ihe pertormence of ihe or which Ihis permit is issued. I have and will meintain workers' compensetion insurence, as required by section 3700 of the tabor Code, for ihe peAortnance oi ihe work fo� which ihis pertnit is issuetl. My workers' compensation Insuren cartier olicy number ere: /�/ C� � Cartier: � � � • Policy Number. ( � �^ � (This sec(ion nesd nof b�,eamryl�ted il the permif is velued et one hundretl dollers ($ f00) or less.) ❑ I certity ihat in e perfor ance of the work for which this pertnit is issued, I shall not employ any person In any manner so es to become subject to Ihe workers' compensatio aws oi al' om 'end agree pefl' should become subject to the workers' compensetion provlsions ol Section 3700 of Ihe Labor Cotle, I shell forthwlth plyw'ih tl e ovisi ns. / ^ � Z plicantSignet Dete: � C �� W�A yWG.fAi E TO SEC WORKERS COM NSA �N COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL PINES UP TOONE HUNDRED h10USAND RE(51 , ),INADDITIONT(�HE�TOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OBOFTHELABORCODE,IMEREST,ANDATTORNEPSFEES. LICENSED CONTR� I hereby ettirm thet I force andetfacL.Lic. with Section 7000) of Division 3 of the Business art�rofessions Code, end my Ilcense is in full Class M �--1 Date: ^ CONSTRUCTIOML�NyIKG AGENCY: �� ❑ I hereby eRirm Ihat there is a conslructian lentling egency tor Ihe performence of the work for which this permit is issued. (Sac. 3097, Civil Catle). LentleYs Name: Lentler's Address: Signature: OWNEH-BUILDER DECLAFATIONS: Date: I hereby efrirm thet under penelty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business entl Professions Cotle: Any ciry ar counry which requlres e permit to consiruct, elter, improve, demolish, or repelr eny simcture, prior to Its Issuence, elso requires iha epplicent for such parmit to lile e signed stetement Ihat ha or she is Ilcensetl pursuant to iha proNsions of the Contractors License Law (Chapter 9(commendnp wlth Section 7000) oi Dlvlsion 3 af the Business and Protessions Code) or that he or sha is exemp� theretrom and �he basis for tha elleged exemption. Any violation of Sectlon 7031.5 by any epplicant tor e pertnit subjects Ihe epplicant to a civil penalry of noi more than fve hunGretl tlollers (5500).): ❑ I, as owner of �he property, or my emDloyees with wagas as iheir sole compensation, WILL DO THE WORK, entl Ihe siructure is not Intenaed or oflered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Lew does not apply ta an owner of property who builtls or improves therean, antl who does such wark himselt or herself or Ihrough his ar her own employees, provitletl that such Improvemenis era not Imentletl or ottered for sale. It, however, ihe building ar Imp�ovement Is soltl within one year of completion, �he owneo-bullder will have ihe burtlen oi proving ihat he or she did not builtl or improve for puryose oi sele.). ❑ I, es owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnslruct t�e pmject (Sec. 7044, Business end Protessions Cade: The contractors Licensa Lew does nof apply to an owner ot propehy who builds or Impmves thereon, antl who contrects tor such project wlth e contractar(s) license pursuant to the Contrectoro License Lews.). ❑ I am exempt unGer sec. Business and Protessions Code for this reason: SignaWre: Date: Owner ID verified by drivef5liCenSa. ❑ Yes ❑ No Drivers License No. Expires: Venfication ot Ownerehip by (lype ol tlocument, i.e. - property tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: � I hereby certify that no excavation Nve (5) or more leet in GeOth into which e person Is requiretl ta tlescenq wlll be mede in connecHon with work euihodzed by this permit, antl ihat no 6uilding structure, scaffoltling, felsework, or demolition or dismantling thereot, will be more ihen thirty-six (36) feet �Igh. (Chap. 32, Grp 2, Art 2, Sec. 341, T�le 8, Celitomi0 Admini5tre�ive Code). , ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit iram the Division of Industriel Setery, es noted abave, unless such person �es e pefmit �o tlo such work from the tlivision. Signeture: Date: _ Division of Intlustnel Sefery Pertnit Number: � CERTIFlCATE OF COMPLJANCE AND Al7TT10RIZATION OF EN7TiV: I cenily under penelty of perjury thet I heve read this applicetion and state that the intortnetion given is conect I ree t wmply with ell stete lews end ciry ordinences relating to building constructlon, and euthorize representatives of Ihe Ciry ot Costa Mesa to enter upon the ebove scribed p operty for inspection Durposes. I egree not to occupy or allow occupancy ot eny building authorized Gy this pertnit until tinal Inspaction. 7616 Fixetl System Finel Fire Preventlon 1268 Pool Spe Finel 200 Finel Re-Rooi 201 Finel BIocWReteining Wall 202 203 204 26a6a8 Finel Fectory Fire PIeCe Final Sign Final Demolilion f1.ii�cluA.��9 LppEl ixsvernoxnre 206 Finel Mechanicel 208 Finel PIum6ing 210 Flnel Eledrlcal 212 Finel Fire Prevention 220 Final Planninp Approvel 222 250 Final Site Pinal Building/Occupancy / ��— C �— Date PA� I[�l18 AOVlieant to /ill in alt spaces exceD< <�osa witnin neavy eoreer Iines ana si9n all approDrtate tleclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CiTY OF COSTA MESA CONSTR CTION PE.R�M7I—T A.P. qW zo�e Proje.�A.�ess —Z' '1�3 �%�'�{/�✓G/ / . S Main Building: Flccessory Building: Applicant'sMa'il7in�gAddreu v. S a di�'. TYPEOFCONSTRUCTION rvEW ADD LTERA7l0 REPAIR E Front Z Owner'S N3me ' "�� }s PhOn2 � CONVERS�ON ❑ DEMOLISH ❑ OTHER B N �7�8 �}�✓��7T DESCRIPTION F O /USEOF�@ DG. _ � � Rear � Address �% � PE OF P RMIT GRADING FOUNDATION STRUCTURAL C Rlght � N Arch/Eng. Licenu No. —.,� I K G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' S- Left R ❑ �OTHER Pln R Q Contractor's Nam � d �� Phone 3�� 9� e�� # Perking Req./Provided E PROJECT DESCRIPTION 5�. FT. OCCUPA V Addresslmailing � D • �rR e'v� � Q PlanningNotes: M CONSTRUCTION TVPE VALUATION $ T City Licenso No. _ R I Z� ZONE GRADING CU. VDS. ACR 5 g. LICENSED CONTRACTOR DECLARATION I hereby allirm that I am licensetl untlar provislons of C�arter 9(commencing Remarks: P � � with seclion 7000) o( Division 3 ot the Bu5ine55 antl Protesslons Cotle, antl my Ilcense is in i Hforcap e�i s ELECTRICAL FEES License Class � 3 � s o,!(I;`��9.. � Date� — � SigndturC j � PLUMBING FEES Automatic Washer Transformer ❑ 15�50 KW WORKEFS'COMPENSATIONDECLAqATlO � ConstructionPoleSub. �SO+KW '�eby aftilm tbat I hdv¢ a celtlflcate ot con t to SGIf-IOSur< Or a Ceftiflcate BBI $ink $hOWEfS 'orkers' Compensation Inzurance, or a certifietl copy tnereof (Settion Backflow Preventer Service Sink �oking Unit Meter ❑up to 100 amps �, Lab. CJ Poiicy rvo. Company Backflow Irrigation ��,.�Q� �yp Dishwasher Meter ❑over 1p0amps eCerti/iea copy is hereby rumisnea. Dryers �Gas ❑Electric Sub Panel Certiiletl copy Iz filetl with tne city Builtling DiviSion. Bathtubs S¢w¢f ConnEction ' �ate APPlican[ F8n EXEMPTION PROM WORKERS' COMPENSATION DECLARATION ClarifiEfS $olar ColleCtors MotOfS 0.1 HP �1'h - B (This seclion neetl not be com0�at¢tl i7 the permit I5 for one nuntlretl (5300) or F.A.U. InC. $Oldr 09-15 HP � 16-1$+ less�. Dishwa5her Solar Pipin9 I certi/y that in the performance work for wh s er t i issuetl, I FixWres shall not employ any person In any C co e ub" c[ to tha �rinking Fountains Solar Tank Microwave Worke Co ¢nsa o LawS of il Datel��5ignatu — Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: It, after making this tletlaratl n, you sn tl b ome uGject to lhe ODUets Ran e Wo�ke�s' Comp¢nSatlon p�ovlsion5 O7 the Labo� Cotle, you musl fa�thwlth FI00� $ink5 U�Ifl81 9 comOty wi[h suc❑ P�ovl5iOn5 Or Ihls pe�mit shall be tleemetl rBvoketl. CONSTRUCTION LENDING AGENCV GasService Ou[IetS WaterClosft SWitChes gj9� I hereby alfirm that there I5 a construction lentling agency for tha Oer(ormance ot tne work tor whicn tnis permit is issuatl (Section 3097 Clv. C.) Interceptors Water Heater Gerbage Dispoul Standing Sections Lentler's Name Generator 00.5 KW �5-15 KW Trash Compactor Lentler's Aaaress Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby alfirm that 1 am exempt irom the Contractor's Lltanie Law tor the Lavataties Auto-Wash followin9 reason (Sectlon �031.5 Businasi an0 Pro(esslonal Cotle: Any <Ity or county wnlcn requires a permit to cons(ru<t, alter, imvrove, aemolish or repalr P—Trep Leundry Tra'ys any structure, prior lo it5 issuance, a150 raqUi/es lha dpPlicant for Suth pe�mit lo Bla a signatl statement that ne/sno is Ilcensetl pursuant to the provislons ol Roof Drains ^he Contra<tor's Llcense Law (ChaO�or 9(commencing with Sectlon 7000) of ''��sion 3 0l ihe Businass antl Protes5ion5 COtl¢� o� [bat he/sh� I5 exempt �from antl the bazis lor the allo9etl exomption. AnY violatlon of Section Reinspection ee 1 ssue ee 3 . 5 by any applicant Por d Pe�mit Subjects tha dppli<dnt to d Uvil alty ot not more tnan five hundreG tloiiars (5500). DEVELOPMENT SERVICES RE�UIHEMENTS: � I, as owner ot the proparty or my emploYees with wa9es as Ihelr sole Reinspaction Fee $75 laue Fea $ 3 Zoning Approved By Date COmpCnsalion, will tlo tlle wOrk, antl lh8 Stfucture i5 not IntentlCtl Of offeretl MECHANICAL tor salo (Section 7044, Business antl 7ratessional Cotle: The Contractor's FEES Building Approved By Date LICCnse Law tloe5 not apply t0 an owner OI a prop<rty who builtl5 Or improvei thorcon, antl who doei Such wOfk IIImSCIf/hefs6lt O/ thlough hI5 or heI own BOII¢I HOOd O� T 21 ❑ %�PP��tiOn ISSUBd By DBt�� '� employ ocs, provi0etl tnat sucn ImprovomonK are not in[entlatl or oflemtl tor �P ` sale. II, however, tna builtlin9 or Improvement is soltl wltnln ona year o1 com- Canopy Type II ❑ SUMMARV F F plellOn, lhe owner will have lna burtlen Oi proving hC/She tlIG nol bulltl O� Im- D�CI - UndC� GrOund p O prove �or tne purpose oi sale). BUILDING PERMIT $ �%'p ��'�% SMIP $ ❑ I, as owner of the property, am exclusively contracting wlth Iicensetl con- Dutt -Slruttural Re(r' ration Sys[em PLAN CHECK $ PERMIT tfactor5 t0 COnstruGl the pfojett ($CctiOn 7044, Buslne55 dntl P�0lassioni CotlB: Tho Contractor's License Law does not apply to an owner oi oroperty wno Duct - Ventilating 0�100,000 BTU ❑100,000 BTU PLUMBING $ �SSUANCE $ builds or Improves thereon. antl who ContraCtS br such orolac[5 wi[b a con- tractor(s1 license pursuane to �no Contractars License Law). I am aware thac Exhaust System ❑ MWtiple System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $ proo/ o( tneir Worker's Compensatlon Insuranca shoula oe provitletl to me. ELECTRICAL . $ GRADING $ ❑ I am exempt untler Section B. & P. C. br this reason Firepl/Fatt BI[. iC80 �k Fire Dampers MICROFIIM $ PLAN CHECK 50% $ /� Date owner Heating System & Ducting Registers MECHANICAL $ I hereby certit hat I have reaC tnis applicatlon ana state that tne above ❑6100,000 BTU �100,OOOB TOTAL FEE $ ��R • W InlarmaHo ' corre . agree to comply w all antl munry ortlinances PLAN CHECK 25% $ anA stale aws relating ns ct n n hereby authorize repre- santatives f t�is c' e o th a ve entionetl proper or InSpection . ,��5% Slgnature Date�� Drivers' Llcenu or 55 � ReinsPection Fee S15 Issue Fee S 3 O1 QQC21161�00�21162 T�7Y lUP.6l1 0865-46, rev. 5/BB White - Bulltling: Canary - Applicant: Pink - Accounting: Goltlenrotl - Assessor DATE� 1�{05�8� TTr(E% 12C J� CONSTRUCTION AND PLANNING POOI ',PA Date Inspector Date Inspector AdPROVALS Permit # ,� APPROVALS Permit # 1:lTemporary Electrical Service or Pole� 52. Pool & Equipment Location 1 2. Soil Pipe-Undrgrnd... ."1 ; 53. Steel Reinforcement � /, 3. Electric8l Conduif�U[ili[y-Undrgrntl'.� :F� 54. Forms ' / 4. Electrical Conduit-Undrgmd. ,�� ' 55. Electrical Bonding � �+ 5.'Steel Reinforcemenf: �� 56. Rough Plumbing & Pressure Test ' � 6. •Elect�jcal UFER'Grndr ' � �' i , 57. APPROVAL TO COVER-GUNITE �• �. i 7.��Footingi ;. � � �� 58. Electrical Conduit-Undrgrnd. . , �� r �t 59. Gas Pipe, O Undrgrnd., Test 8.'FouniiaCion ' 9.'Water Pipe-Undrg�nd. `��` .i,'r:� 60. Backwash Lines, P�Trap, � Undrgrnd. ' • 10..�St�uctural Floor System � ."' �� 61. APPROVAL TO DECK 11 . fProperty Sewer Line�& House Corine�tion � 62. Backwash & Receptor-Final , 12. Sewer Cflp , ' � � __ � 63. Heater & Vent-Final 13. Roof Drains , ,a, � � 64. Plumbing System - Final 14. fldugh Plumbing; � 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 1,6� ough Electric Wiring 67. Fencing & Access Approval 17. �Rough Wiiing Sign 68. APPROVED FOR PLASTERING 18r �Rough Electricat-T Bar Ceiling� 69. POOUSPA SYSTEMS FfNAL 19.��Rough He�ting & Air Conditioning FIRE DEPT. REQUIREMENT 20; ough Factory Fireplace � APPROVALS Permit# 27. Ducts, in,$tructure � 70. Underground Hydro 22. Ducts, Ventilating 'l 71. Product Piping OGas ❑Oi{ 23. Gas Pipe�Rough &.Test '-} � 72. Underground Flush 24. RoofFraming , _. 73. Undergrnd.StorageTankOGas ❑Oil � 25. Roof Sheathing -' �_ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Mbnocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing•& Siding 77. FIXED SYSTEM FINAL 29. Insul�tion " 78. FIRE PREV. FINAL 30. Drvwall fVailing " �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • ; 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric Notes: 34. Final Heeting & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Fadory Fireplace 38. Final Plumbing - 39. Water Service-Final . � 40. Gas Service-Final 41. Solar pomesticFinal �. � ;�`� 42. Backflow Preventer � � 43. Backtlow Irrigation '�� 44. Landscape Irrigation System ' � • � i �> 1 ... 45. Sound Attenuation ••• t 46. Handicap Regulations � �� 47. FINAL STRUCTURE & BUILDING a C�`� �� 48. Special Requirements Completed � 49. Electric Release to Edison ' • ,� 50. as Release to Southern California Gas Co � 57. C ATIFICATE OF OCCUPANCY ' :' � No. Date � � Lot 94 ? � �� COSTA MESq BUILDING-SAFETY DEPARTMENT P.O. BOX 9�7 GOHTA MB9A, CALIFORNIA For Applicant �o Fill /n Complefely TYPE OR PRINT BUILDINO �. Gannet Drive ADORESS COSTA MESA, CALIFORNIA E Verde Drive Ana """ 187318 „`. LIC. NO. NO. OF LOT � ��+5/�., 5 �� ` Na. oI BLOoe. O NOW ON IAT USEOF � Q�O k �� E%ISTING BLDG. 9ETBACK UNH F0.0M ( f ceNrertovernear 5� REARYARD 28 SIOE YAROI LEFF G� RIOHT 6� DESCRIPTION OF WORK N''- I x II e, r�eer,�ti I II ..,.,,.,�u I GNI�.I� ■ EXTERIOR US6 OF BUILDIno AND WORKTO BE PERFORMED d ara e. House 1 714 sq.ft. Gara e 425 sq.ft. Plan 41,C 1 HCHEBY ACKHOW�gOOH TXAT I M�V6 qqAO TMI9 �PPLIGTION �NO OTATe THAT TN! ABOV6 IB COFfllCT AND �Op¢e TO COM- PLY WITH �LL CITY OFOIN NCHB ANO BT�T[ LAWB fliOULATING ow�o�rvo conerxu�iorv./ SIGNATURE OP � PERMITTE / ^� AUTHORRHDAG@ T ' FEE RECEIVED Npp 3 1 1964 FINANCE� DEPT. AF�CIC�ION�FOR P^ERMR BUILDING For Office Use Oniy 11[C[I�T NO. pHqMIT NO. � er o�rc nccuveo , y,ie iseudt ZONINC; NO.O� U860PNtWS�IIJ. �� ILAND 2 DUILDINO W �Lt• YAR�SAPPROVED MAIN BUIL�INO VAR. $C � SHALL 9E LE59 THAN YARDS APPROVED ACCESSORYBUILDINO DATE �?u• G so. Fr. ^ TXH AMO!!NT BHOWN UNDHP VALUATION 18 FOq TX8 f PUHP09H OR 88TABLIBXINO A PHRMIT FEH ONLY. Q VALUATION � / ' n PERMIT FE6 $ �A � m s o?� 30� ' � � 3 0 TOTAL FEfi S �� - `