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Home My WebLink About3029 GARFIELD AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 - 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: 3029 GARFIELD AV 14113428 ELECTRICAL PERMIT npp�icant: GRISWOLD, SAMUEL & AUDREY Address: TR Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept OuNets Switches Non Res Appl Res Appl Service to 200a Service to t 000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Morors over 100hp Communication drops Sub panel to 200a Pole Light Pk9 Sign Circuits Temp Pwr Pole Intermed Pole COSTA MESA, CA 3029 GARFIELD Phone: 714-966-0535 Zip: 92626 GRISWOLD, SAMUEL & AUDREY TR COSTA MESA, CA 3029 GARFIELD INSTALL 3 LIGHTS. 523.50 $0.00 $0.00 50.00 $0.00 50.00 $3.30 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 $0.00 50.00 Quantity 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: 714-966-0535 Zip: 92626 Phone: Zip: . License: SCOPE OF PERMIT FEE SUMMARY Temp Dist System / Lighting Busway/100h Standing Section Misc Electrical Equipment Trans(ormers up l0 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Vollage Equipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 06I23I2000 Issued: O6I23I2000 ISSUED BY: C_ Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $0.00 50.00 TOTAL CALCULATED FEES $26.80 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it work is suspended or abandoned for a penod of 1 BO days. INSPECTIONS: In ortlar for tha work aulhorized under this permit ro be considered legal, such work must. comply with all applicabie codes, and all requlred Inepectlone and (Inel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSA710N DECLARA710N: I hereby eillrm untler penelry of perjury one a� tha tollowinq declarations: ❑ I �ave antl wlll maintein a certificate o� consent to self-Insure lor workers' compensetion, as provitle0 lor by sectlon 3700 0l the Labor Cotle, for Ihe pertormance of Ihe work for wNch thi5 permii is issued. . ❑ I have end wlll maintein wwkers' comPensetion insurance, as reQuired by seclion 3700 0l ihe Lebor Cotle, tor ihe peMortnance ot Ne work for which this permit is Issuetl. My workers' compensation Insurance cerrier end policy number ere: Cerrier. Policy Number. (Thls sectlon neeU rrot be completed it (he penNtls valued et one nundred tldlers (5100) or less.) ❑ I certlty t�et in the paAormence of tne work lor which Ihis permit is Issued, I shall not employ eny pemon In eny manner so as to become subject to the workers' compensetlon laws of Celifomia, and agree that tl 1 should becoma sub�ect to iha workars' compensatlon proNsions af Sectlon 3700 of t�e Labor Cotle, I shall torihwlih comply wilh these provisions. Applicam Signeture: Dete: WnRNING: PAILURE TO SECURE WORKERS' OOMPENSATIqJ COVERAGE IS UNLAwFUL AND SHALL SU&IECT AN EMPLOVER TO CHIMINAL PENALTIES AND QNL FlNE$ UP TOONE HUNDRED T/KK1SrWD DOLIARE (E100,000), IN ADDRION TO TME COST OF COMPENSA?ION, �AMAGES AS PPOVIDED FOq IN SECiION 3�OB OF THE 1A80R ODOE, INTERE5T, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATON: I hereby aNirm t�et I am Iicensed under prohsions ol Chapter 9(wmmencing with Section 7000) of Division 3 of Ihe Business antl Professions Cotle, and my Ilcense is In lull lorce end eHeCI. Lic. p Class a Comraaors Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I heraby eHirm ihet ihere is a consiruC�ion lending egency lor the pertormanca ol the work lor which ihis pormlt Is Issuetl. (Sec. 3097, Civil Code). Lentler's Neme: Lendefs Address: Signeture: Date: OWNER-BUILDER DECIARATIONS: I hereby aHirm ihat under penalry ot perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Prolessions Cotle: Any ciry or counry which requires a pertnit to construct, elter, imprwe, tlemolish, or repair any sWcture, pnor to its issuance, also requires the eppliwnt tor such pertnit to file a signetl statement thet he or she Is li�e�sed pursuam to the pmvisions of ihe Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 af the Business and Protesslons Cotle) or that he or she is exempt theretrom flnC Ihe besis for the elleged exemptlon. Any vloletlon ol Sedion 7031.5 by eny apPlicaN br a permit sub�ects the epplicant to e civil pertalry oi na� more than tNe hundretl tlollars (5500).)�. ❑ I, as owner of the pro0eny, or my emp�oyees with wages es �heir sole compensation, WILL DO TME WORK, entl ihe sWcture is not intentled or ofteretl for sale (Sec. 7044, Busineu antl Professions Coda: The Contractors License Law dces not epply to an owner of property who builds or improves thereon, end w�o tloes suc� work himself or herself or through his or her own employees, provided ihat suc� improvements are not intended or oHered tor sele. It, however, the building or improvemeN is sold within one year of completion, tho owner-builCer will have Ihe burden ot proving that he or she did not builtl or improve for puryose of sale.). ❑ I, es owner ol ihe properry, am EXC�USIVELY CONTRACTING WITH LICENSED CONTRACTORS �o construct t�e project (Sec. 7044, Business antl Professions /Cotle� The contrectors License Law dces not apply to an ow r of property who builtls or improves thereon, end who coniracts for such project with e contrector(s) „_'____..____.._.,._,.__'__'__"""'�_..._, i �ar ID veritied by tlrivers license. Verilication of Ownership by (type of usiness and Professions Cotle tor this reason: na�,. ❑ No Drivefs Licen No. � �� Frntrwc i.e. - prop ta:� bill or tlee : DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby cenity Ihat no axcavation live (5) ar more teei In tlepN Into which e person is require0 to descend, wlll be made in connection vrith work euthonzetl by this permlt, entl Ihat no Duilding structure, scattdtling, lalsework, or demolition or dismantling thereol, wlll be more l�an ihirry-six (36) teel high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Celitomia Atlministretive Gode). ❑ As owner•builder, I wlll not employ enywna to tlo work which would requlre a Oertnii trom the Divislon of Indusiriel Sefoty, as noted above, unless sucn person has e permil lo tlo such work irom tfie divisia�. Slgneture: Deta; Divlsion of Indus�rial Selety Pertnil Number: CERTIFICATE OF COMPLIANCE AND AUTMORVA710N OF EMAY: I cenity untler penalry of parjury Ihat I have reatl �his eppliwtion and state ihat iha inlormation given is correct. I agree to omply with II st laws �d ci or :nances relating building conswction, end euthonze represenletives of ihe City of Casta Mesa to enter upon the above-describe r peny for i p i pu s. e' e nolrto occup allow occupanry of eny builtling euthorizotl by Ihis perm't until lina nspection. � oa Signat _ egal r(s) Date � Date COOE �, INSPECTIONTYPE 1616 Fizotl System Final Fire Preventlan 7266 Pool Spa Finai 200 Final Re-Roof 201 Final8locWRetaining Well 202 Final Feciory Fire Place 203 Finel Sign 20a Finel Demolition 2d4&d8 Q�jE INiIiIAL$ �Qp�i INSVECTIONTYPE __. _ 206 Final Mechenical 208 Finel Plumbing 210 Final ElecMcal 212 Flnal Fire Prevention 220 FinalPlenning Approvel 222 Final Site 250 Finel BuilAing/Occupency P�g ul� May 01, 2003 � CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES �EPARTMENT Pete S. Chavez 3033 Garfield Ave. Costa Mesa, CA 92626-2841 Re: �3029 Garfiel_d_Ave,(% Dear Mr. Chavez: My name is Burt Morgan. I am the City of Costa Mesa's Chief Plans Examiner in the Building Safety Division of the Development Services Department. I am responding to your letter, dated 3/28/03 addressed to Mayor Karen Robinson, regarding your concerns over the property located at 3029 Garfield Ave. We have thoroughly reviewed the city's files for the subject property. The records indicate that we have had previous communications with you regarding your concerns about alleged building code and zoning code violations at this property. You have expressed particular concern that your privacy has been diminished because of windows on the second floor of your neighbor's home that make it possible for your neighbor to view your rear yard. We received your first written complaint on 11/19/90. Your concerns were fully investigated. City staff reviewed the property files, zoning requirements and performed inspections of your neighbor's property. An illegal garage conversion was found at that time. With the exception of the garage conversion, all else on the property was found to be compliant with the city's regulations. Your neighbor was required to legalize his converted garage by restoring it to its original condition. Building permits were obtained and the required inspections were performed on the restoration of the garage. Subsequent to the investigation performed in late 1990 and early 1991, we received a letter from you on 10/24/91, expressing your objections to additions your neighbor proposed and ultimately made to his property. You expressed concerns that your neighbor intended to build an excessive number of bedrooms as income rentals. Further, you indicated that you felt the home was too large and incompatible with the surrounding neighborhood. In your letter, you referred to the home as a"box type boarding house." You alleged that your neighbor would create parking problems in your neighborhood by renting the bedrooms to several individuais, each with their own vehicles. Staff gave ample consideration to the concerns you brought to our attention. However, it was determined that the improvements proposed by your neighbor at the time, were in Building Di✓rsion (7fa) 7545273 • Cotle Enforcement (774) 7545623 • Planning Division (774) 7545245 FA%(71a)7544858 • 7DD(774)754524a • w�+w.ci.costa-meu.m.us r May 01, 2003 Mr. Pete S. Chavez Page Two compliance with the development standards of the City. Your neighbor had legally elected to act upon his right to maximize the development of his home under the prevailing standards of the day. In addition to consideration of the proposed improvements, an additional site investigation was made following the complaint you filed on 10/24/91. No violations were found. Again, on 2/6/94, you filed another complaint alieging essentialiy the same probiems were occurring at your neighbor's property. Again, your neighbor's property file was found to be in order. City approvals, permits and inspections were obtained and perFormed in accordance with the city's regulations for construction. Additional inspections were performed at the site to verify whether or not a parking problem may have been created. No violations regarding claims of an excessive number of tenants or parked cars could be substantiated. In conclusion, to date, the City has made three investigations of 3029 Garfield Ave. following actions you have filed with the City. Since the original investigation of 1990/'91 that resulted in the legalization of your neighbor's garage, no further alleged violations have been able to be substantiated. Therefore, at this time, it is deemed not to be necessary to launch another complaint investigation of your neighbor and his property regarding the same concerns. Nonetheless, I'd like for you to know the following. We have informed our Code Enforcement Officer who patrols your neighborhood, to pay extra attention to the possible development of any parking problems that might require our attention. Also, though it may be of little consolation to you, the development standards for single-family dwellings in R1 zones, have been substantially modified since your neighbor made improvements to his property at the beginning of the 1990s. Under today's regulations, it probably would not be possible for a homeowner in an R1 zone to build what your neighbor built. Please feel free to contact me if I may be of further assistance. I can be reached at 714.754.5615 Monday through Friday, during normal business hours. You may also contact me by e-mail if you have access at bmorqna ci.costa-mesa.ca.us. Sincerely, ��--�� Burt Morga Chief Plans Examiner BM/so May 01, 2003 Mr. Pete S. Chavez Page Three Cc: City Manager's Office Rick Brown, Building Officiai Willa Bouwens-Killeen, Senior Planner Sandi Benson, Chief of Code Enforcement Jim Go1Fos, Code Enforcement Officer File ✓ < (714) 754-5273 • Fax (714) 754-4856 77 FAIR DFiIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jobnddress: 3029 GARFIELDAV Suite: Vicinity: ParcelNumber: 14113428 App�icant: GRISWOLD, SAMUEL Address: Owner: GRISWOLD, SAMUEL Address TR COSTA MESA, CA 3029 GARFIELD Contractor. Address: Zip: Arch : Address: Phone: Zoning: Phone: Zip: Phone: 714-966-0535 Zip: 92626 Phone: License: Eng: Address: ISSUED BY: Status: ISSUED Applied: O6/23I2000 Issued: O6/23/2000 Phone: Zip: License: License: , SCOPE OF PERMIT REPLACE EXISTING FRONT PORCH WITH NEW COVER (POSTS 25 FEET FROM FRONT P.L.) REPLACE 3 WINDOWS WITH SMALLER SIZE AND CREATE OPENING IN A WALL FOR NEW WINDOW, ALL BEDROOMS HAS TO COMPLY WITH 1997 UBC EGRESS REQUIREMENTS. Plan Check: $63.21 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $160.96 SETBACKS MAINSTRUCTURE Front 25-0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 5- 0 Right 0- 0 $3,304.88 50.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is nol commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. IINSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all , requlred Inepectlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnONDECLARAnON: � • I hereby ettirtn under penelry oi perjury one oi the lollowinq tleclaretions: � ❑ I have and wlll maintain e certitice�e ot cronsent to self-Insure br workere' compensation, es provitled lor by sectlon 3700 ot the Labor Cotle, tor ihe peAormance of tha work tor which lhi5 permit is issued. . ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Lebor Code, for Ne pedortnance of tha work for which Ihis pertnit is iuuetl. My workars' compensalion Insuranca carrier antl pollcy number e�e: Carner: Policy Number: (Th/s sectlon need nof be completed it the permlt Is valued e( one huntlred dollers (3100) or /ess.J ❑ I certify that in Ihe pertormence of �he work for which this parmit is issueQ I shell not employ eny person in eny manner so es to become subject to [he workers' compensation laws ot Calitomia, entl agree that II I should �ecome sublect to Ihe workere' compensatlon provisions oi Section 3700 of ihe Labor Code, I shall torthwith comply wi�h ihese provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKEFiS' COMPENSnTION COVEPAGE IS UNIAWFUT AN� SHALL SU6)ECT AN EMROYER TO CRIMINAL PENALTIES AND CI'!IL FlNES UP TO OIJE HUN�RED THOVSPND DOLLARE (5100,000). IN ADOITION TO THE COST OF CWAPENSATION, DAMAGES AS Pi70VIDE0 FOR IN SECTION 3]O6 OF THE IABOR CODE, IMEqEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Professions CoCe, and my license is in full torce and eHect. Lic. k Class N Contractofs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm ihat Ihere is e construction lending agency lor iha peAormance of Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lendels Name: Lentlefs Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby attirm ihat under penalry of perjury that I am E%EMPT FFiOM TME CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a pertnit to construc�, alter, improve, demolish, or repair any structura, prior to its �ssuence, also requires ihe applicant for such permit to file a signetl statemeni that he or s�e Is licensetl pur5uant to the provisions ol Iha Contractors License Law (Chepter 9(commencing with Section 7000) ot Division 3 of the Business antl Protessions Code) or thet he or she is exempt ��erefmm and Ihe basis tor t�e alleged axemption. Any violation ot Section 7037.5 by any aDO�icant tor a permit sublects ihe applicant to a civll penalry ol not more than �ive huntlre� dollare (5500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, antl the siructure is not intendetl or oftered for sale (Sec. 7044, Business antl Professions Code: The Contrectors License Law does not epply to en owner of property who builds or improves thareon, end who does such work himself or herseH or through his or her own employees, provitled that such Improvements are not intended or ottered for sale. If, however, Ihe building or impmvement is sold within one year of completion, the owner-builder will have the 6urden of proving that he or she ditl noi build or improve for purpose of sale.). ❑ I, as owner ol the propeny, am EXCLUSIVEI.Y CONTRACTING WITH LICENSED CONTRACTORS to conslmct ihe project (Sec. 7044, Business antl Professions Code: The coniractors License Lew tloes not epply to an owner ol propeny who builOs or impwves lhereon, and who contracis for such project with a contractor(s) /license pursuant to the Contrecto¢ Licensa Laws.). i by driver's � 9usiness antl Professions Code tor this reason�. Dat . -2 -qo ❑ No rrver's Licery�e No. � Verification of Ownership by (type of document, i.e. - property tax bill o� DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIF�CATION: ' ❑ I hereby cenity ihat no ezcavation tive (5) or more feet in tlepth imo which a person Is repulred to descend, will be made in conneciion with work authonzetl by ihis permit, and thet no building strucNre, swttolding, felsework, or tlemolitlon or dismanlling thareof, will 6e more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TiUe B, Califarnia Administretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industrial Sa�ety, as noted above, unless such person has a permit to tlo such work irom Ihe Oivision. SigneWre: Date: Division of Intlustnal Safery Permil Number: CER7IFICATE OF COMPLIANCE AND AIITHORVATON OF ENTHV: I certity under penalty of perjury that I have read this epplication and state ihat ihe information given is correcc I egree ro comply with all state law and ciry o mances,/eleting t � uAding construction, and authodze representatives of ihe Ciry of Costa Mesa to enter upon the ebove-descnbed property for ction p o . I a �e n �6ccupy Ilow acuDancy of any building authorizetl by this permit until final inspection. Sign wner s � ate � AnNOr Authorized Applicant CODE �. INSPECTIONTYPE GAIE LHIIDOLS 1616 Fizatl System Final Fire Preven�ion 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final Blak/Retaining Wall Finel Fectory Fire Place Flnal Sign 204 Pinal Demolition 2d46-46 CODE 1 INSVECTION TYYE 206 Final Mechanical 208 Final Plumbing 270 Final Electricel 212 Final Fire Prevention 220 222 250 Final Planning Approval Pinal Site Final Building/Occupancy P� � INTRIRLS 0 �x5 37„� 5� REVfSED DAiE� � � � � �°X5 � ,5' � 7 "� � � /0�� ! �-e�93S DIVIS(ON OP B DING SAFETY CITY OF COSTA MESA APPROVED ay �r1� o�.� �'l�'bO . , This set of plans a�d spedfiratiwa MUST be kepi on Ws job at aV tirties aM rt is inlanlul to meks amj dianges a aAeration on samewdh,o� va9!en pEmi�fon hamthe Div'sia�ot EAc]dng and Saety, Ciry o! CosW Mesa. The slam�g of Ihis plan and;pedfi�tions SHALL NOT be heA W pemrit or to be xn approval of ihe violation ot any pro�•isions ol any City ot Costa �Aesa Ordinance andlor State lavi. These pl�ns and �mA shall expire by dmitatbn eM become nun anC wid il the buikig w v�ark is n,! cr.,u�ne^�cd �r.d m�intanM aAive par 1�9C F303 (d) wi;hin tNL days of i;.`uenco. DI VIS��N UF BY � PPB�iLD E3 �7'Y C�STq G SA Rp�E A 1%;i�serolp�ns � D r7�, `�SaehCAg�� 1I��MUSTbe Date ;}dsj Yo1�laMe�Onsame��ePtaithisjuyataqf ?� _' olfhevro�noj�P�an� wnTlenpemli� �mesa�dit�s � rhesePfans �'�fiar�g ��O+�sbnWg��°�° anyP�ovisionsolan5'Crtyof �o�af�A ahltop�nd �sac. ,s,,�, ,,,,a�Pe�nrt shzAakPire 6v rim; '.Im� �JlIU� �7(f/R wr0 �B Si2iB na�ntar�:d,..�ronand ance� �Wo�a� Jf✓E,b� J��com7nti ��ran iBOdaYso 15�� g�'r 1 . � � n *g �A�� y�,r�, (��= i3u1LL:tvGS<'t%ETY � n,��I:CA�'�;j� 8y C,�� Data�s � f _ '"IS E2; G: pId113 0nd SjrBCiiiC3;i0C,S (�:tS7 be kep; on !his i�a ot z�� timzs aCA Il 13 L'f,idc�'UI iti m2k0 ?J:',1 Ciid�178$ tH2�i8fdU0!i G!� Sd.^.ie K'��'�0�4 kTilidf'. F2RRI$r!)(: i?CRI ilE Q\�SIOR fi� �ilL�tii�?(� . di^d Sa(el+, r_.Ay of Costa �4c�a. . '. ihe sismning oi Inis pia� and spec'tiraticns Sf'hLl PdG' ba he'd lo aermit er to 6e e� approva� , cf the �ola<;on et amr pro�rsions of any City oS Ca:ta Masa Or��inance zndlor Stale law.. � x� S.{- i �t Thsse p(�ns and pecm0 she�l expire by Iu7ritation and become nun ana void ii Ihe buitding or � � � v S"� , work is na! commenced and ma;;�iaincd aclive r.er UBC �3�3 (dj vilnin 180 days ot i,suance. -'2 U Zq �.. / ./ i�'�'I � �� S�` �� (rw� 0.St : ''---------_ R 0 2q� -�� Qo,�� op��i l �'i�' I 1�.� —o� 9 36' �� y �,� OSTq M�Sq P��ryr�G DlV. SUB,►fCT Tp BLDG. DEpT, aEG. 8Y Iil/,�, , �— � r+ c n yJ� L�' C/i��/ �6{7-$ ' ' . ! �' �encl.7;s�5�aN � Q�i-wC% L,, ( 0.x�(S, �.fea�,ol-S '�('Sun CTG.v,+ . `�, � �� P5�<le��(.r�� }� fr:.. 1'`n�'�.�., ��osT T� FrZo�c.�r-- � L Dr��twG, � �----, 2� � ii i ' . ----- � ,, ��.. ; ; .� -�•—.�.�,_�._„�-' _� _,__�..�'� ; �� x� �3 0 ;s�S ��v� ;tn�}��s 9 i r� '- 2G1b's.R0�7F , DETAILS CONT, I` LEDGER I CONNECTION SOLID BLOCK RqFrER �Q'.OF vVo �r Ay4Ti2�Ft FY -- BE TG� I 3�;ct�s AhUS7 bs kepl cn �n ��isse F e•o;y"emtir,�u:sz�n�wi:;;�"`.idt=.�4 c�ate ��Y r.fia �9' � C,=.i2 AM1ess. � ie;y, Cl�� e � I:^d � i: OS EG.!CcIIOtiJHA_LNU �i ..�.� (�.if�l ^i li�� lbes1iac�c�o1!�` �z'��_ioas_,•: c(�;h�v:o!zti^n :!, ^, ; p.�. ". �:Y;��iwa a.*�d i �e� c!ansy^<`•GRT!�h G@X:�� Q Qp�e pe� Ua, CONT. LEDGER pQFT R 3�g'� DIA. X 5�� LAG SCR. AT �(�� O.C. DETAIL 2 IOtnaOR UGHT WEIGHT ROOFS ONLY �CONNECTION DETAILS 2�7( FACIA-MIN.REO. RAfTER APPROVED METCL HANGER DETAI� 3 oEVEr.�Pn�tar s�ces nennrar�.rr BUILDIr]G SA! EI'Y DIVISION OWNER: ADDRESS� ;�OFI�TTRACTOR: ADDRES�� ,z .. ;<u-�a,;"o�,o �s�;�;h? Oivuie�cA�F � L� S �[. CARPORT, PORC�1 OR PATIO ,�!dNt�'i'Ti51J�P'�()��.�H6 CEILING 5—IZF,fiznd,;SP �ti�n9°� SPAN 2��x4":;n,�^.��1�RS0:��'i��''n 9'-6�� . - 16�� 8�_�� 24" 6'-6" 32" 6'-0" 48" S'-0" 2"x6" 12" 16'-6" 16" 14'-6" 24" 12'-0" 32" 10'-6" 48" ,8'-0" 2"x8" 24" 15'-6" 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" 15'-0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 16'-0" 4"x10" 32" 22'-0" 36" 21'-0" 48" 70'-0" 72" 17'-0" PATIO TYP DATE � PHONE � _ LIC. N0. _. COVER PLANS PHONE� RAF'fERS pppROVED FOR LIGHT WEICHT ROOF COVER OF BUILDING PERMIT LATH, FIBERGLASS, ALUM. By Date SIZE SPACING SPAN 2"x4" 16"O.C. 9'-6" 24" 8'-0" 32" 6'-6" 48" 5'-6" 2"x6" l6" 16'-6" 24" 14'-6" 32" 12'-0" 48" 10'-0" 2"x8" 24" 19'-0" 32" 15'-6" 48" 13'-6" HEADERS LIGHT WEIGHT ROOF ONLY SI2E POST SPACING 4x4 6'-0" 4x6 9'-0" 4x8 12'-0" 4x10 15'-0" CARPORT, PORCH OR PATiO SIZE POST SPACING 4x4 5'-0" 4x6 8'-0" 4x8 10'-0" 4x10 12'-6" GBiERAL NOTES: L. These plans must be kept on [he job a[ all time during construction. 2. All framing [o be Douglas Fit N� � grade minimum. 3. Rafters may not attach [o facia ex- cep[ for 10]�roofs as shovn on de[ails; 20lbsroofs must use a continuous ledger attached as shown on details 018�#2. 4, Ligh[ weight roofs may attach [o facia for 14' span max., spans over 14 must use a con[inuous ledger as sliown in detail i13. �qI n �� 19�� NOTE� SHOW AND DIMENSION PROPOSED PATIO COVER AND YARD AREAS � � I �� STREET PLOT PLAN N 0 � H N � Z � J � m H � X W SEE DETAILS ON REVERSE SIDE ROOF SMEATHING OVERHANG —X_RAFTERS AT_ O.C. —x—eenM T-STRAP EA. SIDE FOR POST- BEAM CONNECTION. o .� I a F U a Z i R �' � r N 4 N a p '� Q a O � � � O N Z V O w x J 2 � O Z O c� �� --� SlAB :1-, � N � m Q J N V Z J � v DROP PATIO w LL Z FLOOR 2" p p � � � � `a SLOPE TO DRAIN ' � e . . . �. . +� . . . 26 GA. G. I. FLASHING WOOD FLOOR CONSTRUCTION SIDE ELEVATION PIERS CONSTRUCTION DETAILS W o � Q _ ¢ � a_ Z � LL 'r w > O m Q io 1 I _J w 0 a a u z � �� 7997 UNIFORM BUILDING CODE Access to, and e�ress from, buildings required to be aceessible shall be provided as specified in Chapter I I. 6ascments in dwelling units and every sleeping room bclow the fourth story shall hnve at Icnst one operable window or door approved fo� emer,ene�� escape or �cswe tha� shall open directly into a publie street, public allev. ��ard or exit courl The emergency door or u�indo�v shall be operable fmm the inside to provide a full, c]enr opening��°iihout the usebf separate lools. EX � � ., ie ��'indme or door may open � ' atrium com- ying �ciih Seclion 40' pro�'ided the a�indaw or door o�c : nto un esit-access balcony antl �he d��elling unii or gues� roum has un e� or ezi�-acczss dooncay Ihm does not open inlo Ihe atrium. Escapc or rescue windows shall have a minimum net clear openable area of �9 square feci (0.53 m�). The minimum net clear openable hei;ht dimension ,hall be 24 inches (610 mm). The minimum net clear openable �cidth dimension shall be 30 inches (508 mm). When �aindo�vs are provided as a means of escape or rescue, they shall have a finished sill height not mora lh�m A4 in- �hes (I llS mm) above �he iloor. xape and rescue wi�do��s with a Cinished sill heioht the a��icent ground elevation shall have a window well. P wells a� , ape or rescue �rindows shall coinply wi e 1 ing: 1. The clear horiznntal dimensions shall allow the window to be fully opened and pro�•ide a minimum accessible net cicar open- ing of 9 square feet (O.Sd m'), wi[h a minimum dimension of 36 inches (914 mm). 2. Windoa wells �vith 9�vertical depth ot more than 44 inches (1115 mm) shall be equipped with an approved permanently af- fixed ladder or st5irs that are accessible wi�h the window in the fully open position. The ladder or stairs shall no[ encroach into the required dimensions of the �vindow well by more than 6 inches (152 mm). Bars, grilles, grates or similar devices may be installed on emergency escape or rescue �cindows, doors or windciw wells, provided: l. The devices are equipped with approved release mecha- nisms that are openable from ihe inside without the use of a key or special knowledge or eKorr and 2. The buildin� is equipped �vith smoke detectors installed in accordmice with Section 310.9. 310.5 Light, �'entila[ion and Sanitation. i_ight and vcntilation shall be as specified in Chapter 12. The number of plumbin� fix- tures shall not be less than specified in Section 2902.6. 310.6 Roum Dimensions. 310,6.1 Ceiling heights, Habitable space shal] have a ceiling height of not Less than 7 feet 6 inches (?286 mm) except as other- wise permitted in this sec�ion. I'vtchens, halls, bathrooms and toi- let compar�me�ts may have a ceiling hcighl of not less th�n 7 feet (2134 mm) measured to the lowest projeclion from the ceiling. Where exposed beam ceilin� members are spaced at Iess than 48 inches (1219 mm) on center, eciling 6eight shall be measured to [he boltom of these members. Where cxposed bcam ceiling members are spaced at 48 inches (1219 mm) or more on center, ceiling height shall be measured to the bottom of the dcck sup- ported by these members, provided that thc bottom uf the mem- bers is not less then 7 feet (2I34 ntm) abovc lhc Floor. [f nny room in a building has a sloping cciling, the prescribed ceiling hcight for the room is required in only one hal( ihe area thereoL No portion oF �he room measuring Icss than 5 fect (1524 mm) Gom the finished itoor to lhe (inished ceiling shall be in- cluded in ,i computatiomof Ihe minimum .vea thereof. K C• J 310.d 310.9.1.3 If any room has a furred ceiling, !he prescribed ceiling height is required in hvo thirds the arca thcreof, but in no case shall the height of the furrcd eciling be Icss than 7 feet (213� mm). 310.63 I�'loor aren. Dwelling units and congregate residenees shnll have at leas� croe mom that shxll have not less thxn !?� square [ee[ (ll.2 m'-) of floor arca. Other habitnble rooms exce�t ki[chcns shall have an arca of nut Icss lhan 70 square feet (6.5 m-). Effieiency dwelling units shall compiy with Ihe requirements of Section 310.7. 310.6.3 Width. Habitable rooms other ihan a kitchen shull not be less than 7 feet (3 GA mm) in any dimension. 310.7 Cfficieney Dwelling Unils. M efficiency dwclling unit �hall conform ro the requirements of the code except as herein 1. The unit shall have a living room of not Icss �han 220 square eet (20.4 mz) of superficial floor area. An additional 100 square feet (9.3 m'-) of superficial Lloor area shail be provided for each occupant o( such unit in excess o( two. Z. The unit shafl be provided with a separate cLoset. 3. The unit shall be provided with a kitchen sink, cooking appliance and refrieeration facililies, each haying a clear working space of not less than 30 inches (762 mm) in fronc Light and ven- tila[ion conformine to this code shall be provided. 4. The unit shall be p�ovided with a separate bathroom contain- ing a water closet, lavatory and bathtub or shower. 310.8 Sha�t and E%it Enclosures. Exits shall be enclosed as specified in Chapter 10. Eleva�or shafts, ��ent shafts, dumbwaiter shafts, clothes ehutes and other verticai openin�s shall be endosed and [he enciosure shall be as specified in Section 711. In nonsprioklered Group R, Division 1 Occupancies, corridors serving an occupant load of ]0 or more shall be separated from corridors and other areas on adjacem floors by not ]ess than ap- proved fixed wired ;lass set in steel frames or by 20-minute smoke- and draft-control assemblies, which are automutic elos- ing by smoke detection. 310.9 Smoke Detectors and Sprinkler Systems. 310.9.1 Smoke de[ectors. 318.91:1 General. Dwelling units, wngsegnte residences and hotel or lodging house guest rooms that are used for sleeping puo- poses shall be provided �vith smoke detectors. Detectors shall be . installed in accordance with the approved manu[acturer's instruc- tions. 310.9.1.2 Additions, altera[ions or mpairs to Group R Occu- pancies. When the ��aluation o( an additioq altera[ion or repair to a Group R Occupaocy exceeds $1,000 and a permit is required, or when one or more slecping rooms are added or created in exist- ing Group R Occupancies, smoke detectors shall be ins�alled in accordance with Sections 310.9.1.3, 31Q.9.1 A and 31Q.9.1.5 of this section. � EXCF,PI'ION: Repairs �o �hc cxtcrior sudaccti o( a Group 12 Occu- pancy are exempl from �he reyuirements oC this seclion. 310.9.1.3 Power source. In new consvuction, reyuired smoke de[ectors shall receive Iheir primary power from the bulding wir- ing when such wiring is served Gom a commercial sourec and shall be eyuipped with a battery backup. The dctce�or shall emit a signal whcn [he batteries are low. Wiring shall be permanent and without a disconnecting switch other than those required for over- current protectioo. Smoke detcetors may be solely battery oper- uted when inslalied in existing buildings; or in buildings withoul (�14) 75a-5273 • Fax (7i4) 754-4856 • www.ci.costa-mesa.ca.us 77 YAIH UHIVt, GVJ 1 A MCJA, GH yLOLO BUILDING PERMIT Job Address: 3029 GARFIELD AV Suite: Vicinity: TWO-STORY SECTION OF ROOF Parcel Number: 14113428 npp�icant: PEDUTO, DON Address: 19532 GREENWILLOW LANE ROWLAND HTGS. CA Zoning: Phone: 909-598-1474 Zip: 91748 Owner: GRISWOLD, SAMUEL & AUDREY Address TR COSTA MESA, CA Phone: 714-966-0535 3029 GARFIELD Zip: 92626 Contracror. THREE D ROOFING INC Address: 19532 GREENWILLOW LN Phone: 909-598-1474 ROWLAND HEIGHTS, CA Zip: 91748 License: 617467 Arch : Address: Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/O6/2000 Issued: 09/O6/2000 � Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF OVER 1 LAYER OF SHINGLES WITH 15# FELT 8 25-YEAR GAF SHINGLES. 20 SQUARES OVER TWO-STORY SECTION OF ROOF ONLY WITH THIS PERMIT. REF: B00-00935 (FOR SINGIE STORY SECTION). Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ezistinq: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $z,soo.00 sz,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. � INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. I, FOR INSPECTIONS CALL: (714) 7545626 2446-48 (N00) WORKERS' COMPENSATION DECLAfiATION: � I hereby aflirm under penalty of perjury ona of the tollowing declarations: ❑ I have and will maintain a certiticate of consent to salf-Inswe for workers' compensation, as providetl for by seclion 3700 ot the Labor Cotle, for the pertormance of the �ork for which ihis permit is issuetl. hava antl will maintain workers' compensation insurence, as requiretl by section 3700 of the Labor Code, for the perfortnance of tha work for which this permit is issued. My workers' compe sation Insurance carrier antl policy num6er are: .� p Carrier: ,�[�i�'i✓� �ti � Policy Number.O�a'S'A? !/N! J' 6[A�lL97�_ (This sectian need no( be complafed i! fhe permit is valued et one huntlretl dollers ($100) or less.) ❑ I certify that in the pertormance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of Calitornia, and egrae that��'ttt,,,I shoultl becoma subject to tha workers' compensation provisions oi Section 3700 ot Ihe Labor Code, I shall forthwith comply with these pr "ons. M� n n� / ApplicantSignature: �� `�s�G�G Date: ��lo� WARNING PAILURE TO SECURE WORKEPS' COMPENSATIpJ COVERAGE IS UNLAWFUL AND SHALlSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNDRED THOUSAN� DOLLAfiE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMHGES AS PROVIDED FOF IN SECTION 3]W OF THE IABOF CODE, IMEREST, ANO ATTORNEI"$ FEES. LICENSED CONTRACTOfiS DECLARATION: I hereby attirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pmfessions Cotle, end my license is in full �� force and eflect Lic. # (0! �'�{�o'� n _ .�� Class N� G,`) p ConlrecroYs Signeture: �--' QcQ �o Date: �/lb�PD CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat ihere is a construction lending agancy for the pertormance of ihe work br which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Neme: Lentler's Adtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm that under penaity ot perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, 8usiness antl Professions Code: Any ciry or counry which requires a permit to consimct, alter, improve, demolish, or repair any s�ructure, prior to its issuance, also requires the applicant tor such permit b file e signed statemem ihat he or she is Iicensed pursuent to Ihe provisions oi the Coniractors License Law (Ghapter 9(commencing with Section 7000) of Division 3 ot Ihe Business antl Professions Code) or thet ha or she is e:empt iherefrom and tha 6asis for ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subiects the eppliwnt to e civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, an0 the strucNre is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of pmperty who 6uilds or improves thereon, and who does such work himself or herselt or ihrough his or her own employees, provided ihat such improvements are not in�endetl or oNered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-builtler will heve Ihe burden ot proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha project (SecJ044, Business and Professions Code: The contractors License Lew does not appry ro an owner of property who builds or improves thereon, and who contrects tor such project with a contrector(s) license pursuant to ihe Contracbrs License Lews.). ❑ I am exempt under sec. SiqnaWre: Owner ID verified by drivefs license. ❑ Yas ❑ No Business and Professions Code for lhis reason: Verification of Ownership by (rype oi document, i.e. - property tax bill or Deetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify ihet no excavation Five (5) or more feet in depth into which a person is required to descend, will be matle in connection with work authorized by Ihis pertnit, antl that no building strucnre, scallolding, (alsework, or demolition or tlismantling thereoi, will be more than ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Calitornie Administrative Code). - ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from t�e Division oi Industnel Sefery, as notetl abova, unless such person has e permit to do such work irom the division. SignaWre: Date: Division ol Indusinal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTFiY: I certily under penalty of perjury that I have read ihis application and siate that �he information given is correcl. I agree b comply with ell state laws and ciry ortlinances relating to building consiruction, and authorize representatives ot ihe Ciry of Costa Mesa to an�er upon Ihe ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of any 6uildinq authonzed by this Dermit until final inspection. �R �\gn� L� e�al.Qv�ner(s) �, — Date �,�. 6 �CID AnNOr Authonzed Applicant Date COOE t. INSPECTIONTYPE 1616 Fixetl SySiem Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final B1ocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition .1 ' � %I �, COOE � INSVECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Eledrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupency PAg 1�L4 �` f I �- PflOJECT POUHESS: 3 O Z 9 GARF I ELD piV UNIT: ' OWNEN'SNAME: GRISWOLD SAMUEL SCOTT aooeess: 3029 GAR�'IELD AVE COSTA MESA,CA 92626 (714)540-7987 pflCN/ENGINEEH: ELMER THOMAS AMON NEG.NO.: 17QO9 aooness: q 1 Z S. COOPER ST uxiT: SANTA ANA CA 92705 PENMITTEE: SCOTT GRISWOLD ( 719 ) 540—'7987 aooness: 30 2 9 GARF I ELD AV COSTA MESA CA 92626 LICENSEO CONTNPCTOX OECLqqpTION: I hereby allirm thal I am IicenSetl unaer pmvisions ol C�apler 9 �commencing wit� Seclion 7000� ol Dimsion 3 of ihe Business antl Pm�essions Cotle. and my license is in lullforce antl el�etl. UTY LIC.: STqTE LIC.: CIASS: Da�e: SiAnamre: WOHKENS' COMPENSpTION oEClA811TI0N: I here0y alium t�at I have a cenilicate ol consenl lo sell�insure or a certifica�e ol Workers' Compensation Insurance, or a ceniliea cooY �nereof ISecnon 3800. Lao. CI. �POLICY NO.: E%P. UATE: �.rOMPANY: J Certilietl [opy i5 hereby �u�ni5he0. ❑ Certifie0 copY �5 filetl wit� the cily Building �ivision. Daie: AoW�cant: EREM7TIONFBaMWOflHENS'COMPENSATIONOfCIAHATION: Qhi55ec1ionnCeOnot�ecample�eUil�hepermi�isforanehunAre0�5100�or1e55). I cetlify I�at in I�e peda�mance o� Ihe work �or which Ihis permi� is i5sue0. I shall no� em loy ny person in any manner� so as to become 5u0�ec� lo Ihe Workers' Com�Oe��s.a��ion Laws ol Calilomia. �� i . Date: I Z' I?' LV SipnaNre: �/�7a �a.[ NOTICE: II, atler making �his tleclaralion, you shoultl �ecame suble�� a ��e Workers' Compen5aiion provisions o� t�e Labor CaEe, you musl btlhxAlh r,ompty wilh suc� pmvisiws or tNs permii 5ha11 Ee tleemetl r¢voke0. CONSTBUCTION LENOINC FGENCY: 1 neieby allirm Ihat ihere is a constmnion IenOing agency for ihe pedormance oi tne work br w�ith IhiS permiiis RSuea (Se�iion 3097. Civ. C�. LENOEfl: aooness: OWNEB BWLUEfl DELLAHRTION: I hereby af�irm I�ai I am eaempt Imm Ihe ConVactOrs' State License Law �or 1he IallovnnB reamn ISectiun 7�3t.5 Busi�ess and Prolessional CoOe: My city ol county wnich repuires a permit la consimct, alter, imprave. Aemolish, or repair any stmtWre. Drior �0 it4 issuante. also rEpuire5 the applicani lor SUC� permil to Iile a SigneG Siatement Ihai he/She i5 IicenSeA pursuani lo ��e pmvi5ion5 0l l�e Coniraclors' Sia�e License Law (Ghapler 9 �commencing wit� Seclion 7000) ol Division 3 01 Ihe Business anU Pmlessions Co0e1 ai that helsne is eKemO� �herefrom anJ tne �asis fot Ine allegeU exemo�ion. My violation ol Seclion 70.31.5 by any apDlicanl for a permit su�iecls the aDPlicanl to a civil penaliy of not more ihan five hunerea Aollafs (5500). ❑ I, as owner ol Ihe p�operty or my em0loyees with wages as their sole compensalion, will Oo Ne Work, antl t�e simcmre is not intenAetl ar olfered lor sale (Section 70aa, Busmess an0 Pmlessional Cotle: T�e Cantractors' Stare License Law tloes nol aODly �o an oWner o� a pmpehy who �uiltl5 or imD�oves I�er¢on, an0 who Ooes Suth w0�k himsell/hefselt Or IAmugh �is or Aer own employ¢es. O�oviEeG iha� suc� imprwemems are not imende0 ar otlere0 tor sale. Ii. Mwever i�e building or impmvemeni is soltl wi�hin one year o� comple�ion, the owner will tlave I�e burden of O�ovinq �e/she di0 nol 6Ui10 or imD�ove � lor ine purpose af Shce�. I, as owner ol �he proOErty. am erclusively conVacting wi�h licensetl conVac�ors to consimcl Ihe pmlec� (Seclion 7044, 8usine55 ❑ ana Pmiessions Coee: T�e Convactors' S�ate License Law does noi aDU�Y to an owner ol D�opehy who tmlds onmpmves tlrereon antl who conlracislor such pmlecls wilh a coniracbr(s�license pufsuani to Ihe ConVaciors' S�ate License Law�.l am aware Ihat pmoi of Inei� Worker'S Compensation insurance shoultl be pmviAetl Io me. � I am e�empt unaer Settion�. B Ij'� � 4 4 B. 8 P. C. mnnisreasore j{j,L WORK HY OWNER �y5��_�.��f��— Oate: �2`�� 96 O+mer:_�{� ( I Do hereby cenity tha� I am aware ol ana unAersiand lhe repuiremenis ol Cahfomia Health an0 Safery CoJe Semions 25505, 25533, antl 2553a andihal Ioranyluime Guilding occupanivnll/willnot (circle one) nee0to comply vn�h saia stale cotles antl Ihe reQuirements�ora permit lor conslmciion or motlificaiion Imm Ihe Air Ouahty Managemenl Dislrici. Resitlen�ial conslmciion applications are exemp� Imm ihese pmvisions. Oale: ApD�icanl: I �ereby cerVlylnal Ihaverea0��i5 appbcalion and stale�ha�the aboveinformalionis correcL lagree lo comply vn�� all ciiy an0 counly ortlinance�a'St-lelaws�elalipglo buil0ing con5iruc�ion ana nerebyaui�¢erepres�nta�ives o�i�is ci�yio enlerupanlhe ahpv¢�mentioned pioDetly brinspeclion Ourposes. � /1 / f // y /� . %li (L// /// Odle: L �_L�(y� Si nalure: ��Tl/ 7/ ��L�d' v Ca��L�.E�t Orivefs ticense or Sotial Securiiy x: 16aFC6 W�ne—ButlCmg; Green—Gotle Enlo¢emenL Canary—Applicant; Pmk—Revenue: Galtlenro�—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05033 PERMIT NO: B 050337 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: S—N PERMZT TYPE: STR PURPOSE: DEM JOB DESCRIPTION ; DEMO ILLEGAL GARAGE CONVERSION SQ FT: CLAIM VALUE: CALC—VALUE: 1,000.00 GROUP OCC: M—i / COMMENTS• TAKE THE TIME TO ASSURE "SAFETY"! �ZE F� C� �SS� - �*�t***��t�*****�r�**�t��r�r+r**�•�t�t*�t�t�t�tx�*�r��t**�x�t*�r�r*�+t�r *** +t***t�**�ru****�**�tx��*�*� Z O N I N G R E Q O I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT ZN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT ZN PARKING REp • PROV; PARCEL: 14113428 ZNE: REF NO: PLANNING NiST'ES> i �+�****�c�**�,�,�*�*��**,��*�*�***,�*�*x�*��,�*,�*x*�**�**�«+�**��*��***�**��*** * 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 � 20NING APPROVED HY D� BUILDING APPROVED HY : APPLICATION ISSUED k iF iF if if iF if if if iF IF if IE if If * iF iF iE iF iF k 1F K if iE if jf if if 3F iE IE if iF fF if if iE iF iE if IE LEGALIZATION;N . BLDG PMT PLUMBING PERMIT 25.00 PLAN ISSUE FEE DATE: _ DATE; _ * *x �D ��* *��'�'Z��F 1f 1f �F 3F iF if aF iF if if k 1F IF if if 1F if �E 7F If iP iF 7F �F 3F fE if M� * af iE iF 1F if #F IF 3E if �f 16 iF iE F E S U M M A R Y STRUCTURAL SEGMENT;Y ELECTRIC MECHANIC FIRE SMIP/RE$ GRADING SMZP/NON—RES .5a BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 25.50 0.00 0,00 25.50 25.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT; 00 BLDG PMT PLUMBING $LECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 25,0� ,5� !f 3f� iE k 3k 1E 1E �k # iE iF �! jE�%� 3E 7E if iF 3E if N-3f iE 1Elf !F 1F it �k iP IF �f if 1F lf 3F af iE IF iF iE� iE if �F aF�3f 3Elf ih 1E jE±E iF �F if K 1f if �IF IE iE �4 �Elf IF iF �f iF iF iE iF 1F iElFlF 3f IE iF iF I N D 2 V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT Q1 QQt3'te375—�UD?63?6 `�� 1 _` ,';'' DATE: 12/27/90 T?iii: ?:::J —. _. _—�I _ , CONSTRUCTION AND PLANNING PO. S SPA ' qpPROVALS ?ermit# Date Inspector APPROVALS Permit# Date Inspector 1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location � ' 2. $oil Pipe-Undrgrnd. 53. Steel Reinforcement '- 3. plectrical,Condul[_U[ility-Undrgrnd. 54. Forms '"� 4: Electrical=Conduit-Undrgrnd. 55. Electriwl Bonding ' 5.�St"eel Reinforcement; 56. Rough Plumbing & Pressure Test' . ��6. ElectritalUFER�Gmii. 57. APPROVALTOCOVER�GUNITE ''7 Footings -. �� 58. Electrical Conduit-Undrgrnd. 8. Foundation - ^�� 59. Gas Pipe, � Undrgrnd., Test _ ,j . � 9. Water Pipe:Undigrnd. � i. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System i� 61. APPROVALTO DECK � r�. 11. Property Sewer Line & House Connection ,%� 62. Backwash & ReceprorFinal ��.' � i . 1 72, Sewer Cap , j; 63. Heater & Vent-Final '' . 73. Roof Drains � F '� � 64. Plumbing System • Final . y � 14:'RoughPlumbing /� 65. Electrical�Final �� . 15. Rough Electrical-Conduit �� 66. Solar System-Final ' � „ 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING��' 18. Rough Electrical=T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. �Rough Factory Fireplace _;�r � -+'' APPROVALS% "-Permit # r ti v 21. DuEts, in Structure .- �., �. 70. Underground Hydro 22. Ducts, Ventilating_ . �_ �- `' 71, Product'.PPqing OGas ❑Oil 23. �Gas Pipe'Rough &.Test � . . - , � 72. Undergrou�nd Flush`: . 24. Roof Framing - . • - - �73: Undergrnd:StorageTank OGas ❑Oil 25. Roof Sheathing '; �'� 74.=0verhead Hydro_. � - 26. T-Bar Ceiling (Structural) & Monocoat � ' • 75?�Dry Chemical - .' � 27.� �Frame and Flashing„ _ ,,,i. � „ y , ` 76.'Dry Standpipe , � 28. Lathing:_& Siding>.- - � .. ' ' � • i •�i � 77.- FIXED SYSTEM�FINAL' � -. �29. Insulation � - � �- " � j I `�� 78..'FIRE PREV. FINAL • . . •30. Drywall Nailing � ` � �; , �• , HEALTH DEPT±REQUIflEMENT 31. Plaster Brown Co;at, , � � '� ��„ ,79 ��FINAL WSPECTION , - � - � i�i ' 32. Electrical Power MeterFinal i � •�80. FOOD CERTIFICATE ISSUED �� .33. Ffnal Electric � � �� '� `Notes: ' 34.-Final Heatinq & AinConditioning � � i ' ,� . � - , _. �. 35. Pinal Gas Pipe�Test• t ' � i� I j%�' , �, . .. � 36. THood or CanopY�� . • _ I � � >. � - < - 37. -Final Factory Fireplace �' _ � � ' � 38. Final Plumbing � , , � � � � i . • Y . � ' 39. Water Service-Final � ` ` . ,40. Gas Service�Final%� ,. �_ . � � � ' � i � _ 41. Solar pomestic�Final � � - �` � �42. BackflowPreventer � j I, : , ., _ - 43. Backflow Irrigation • ' ' '� ` 44. Landscape Irrigation SYstem} 1. • � • .�45. Sound Attenuation t ' � , • � � � � �46. Handicap Regulations -, - � � - _ . q7, pINAL STFUCTURE & BUILDING � � � � 48. FINAL PIANNING . ` �� , 49. -Electric Release to Edison I ; _ • 50. Gas Release to Southem Califomia Ga: Co j i l'�, , ` 51. CERTIFICATE OF OCCUPANCY �., . No. Date PPOJECT%DtlNESS: 3 O Z 9 GAR F I ELD AV u"�': OWNEB'SNM,AE: GRISWOLD, SAMUEL SCOTT aooees:: 3029 GARFIELD AVE ' COSTA MESA,CA 92626 (714)540-7987 � IINClL4NGINEEN: EL�"IER T?-IOMAS AMON HEG.NO.: 1'�009 - aoosess: 412 S. COOPER ST uxit: SANTA ANA CA 92705 PEPMITTEE: CLAY GRISWOLD (7191540-79B7 aoonEss: 3029 GARFIELD AV COSTA MESA CA 92626 LICENSEO CONTNpCTOfl OECNBATION: I hereby allirm Ihai I am licensed untler pmvision5 0l ChaO�e� 91�ommencing wiih $ection 7000� ol Oivision 3 0l Ihe Business and Professions Cotle, antl my license is in lull �orce antl eHecl. CITY LIC.: STRTE LIC.: CLASS: Oate: Signaiure'. . WOflNEflS' COMPENSAiION OECU1flAilON: I hereby affirm ihal I Iwve a cenifiCdte of fAnsent to selbinsure or a cenificate o1 workers' ,.+=$ompensation insurance, or a cenifiea copy inereol (Section 3800. Lae. C�. "�OLICV NO.: E%P. URTE: COMPRNY: ❑ CenifieU coOY is AereEy lumished. ❑ Certilie0 copy is liled wit� the cily Building DNision. Date: ApDlicanC EREMPTION FflOM WOflREBS' COMPENSATION OECIAMTION: (ThiS seclion nee0 noI Ge completeE iI the permit i5 tw one AuMreO �5100) or tess�. I cetlity ��al in iM1e Oetlormance o� Ihe work tor which ��is p¢rmil is issuetl, I shall not emDloy any person in any manner so as �o Oecome su�lect lo I�e Workers' Compensalion Laws ol Califomia. Daie: Signature: NOTICE: II. a0er making Ihis declaration, you shoultl become suble�� o �he Workers' ComDensalion provisions oG�he la�or Cotle, you must foMwith comply with such D�ovisions or Ihis permit shall 6e AeemeO revoketl. . CONSTXUCTION IENUINC AGENCY:• I.�ereby aHirm ��at �here is a consiruction lenaing agency for,ihe Derformance ol ��e work for WNLII IIIiS pCfmii i5 i$SU20 ($ECI10�,3Ui7. Civ. C�. LENOEB: � ADOflESS: 1 OWNFfl BUIIDEP OECLAfiATION: 1 her¢�y allirm Iha� I am eK¢mpl Imm t�e CAntraciors' SIaIe License Law for �he follovnng reasan �5¢tiion 7037.5 Bu5ine51 and Pmle55ional Gode: Any tiiy ol tounly whith fepuires a permilio conStruti, alier, imO�Ove, Uemoli5h, or reDai� any slm[ture. prior to its issuance. also repuires the applicant for such permit to lile a signe0 s�a�emenl Ihal he/she is licensetl pursuam to i�e Dmvisions ol ihe Com�aciors' State Lirense Law �CtuD�er 9(commencing wth Sectan 7000) oi Oivision 3 0l tAe Business and Piolessions Cotle) or ��al he/she is exempl therelmm ana Ihe basis for �M1e alleged exemption. Nny violaiion of Seciion 703L5 Gy any applicant �or a permil SUUjeciS the apPlicant to a ciWl penaliy al noi more �han �ive �unOreG tlollar5 (5500�. I. as owner ol Ihe pmpeny or rtry emplayees with waAes as their wle compen5ation, will tlo ihe work. and tAe a slrucmre is nal inienaed or oiferetl for sale (Section 7044, Business antl Professional Code: The Contraclors' State License Law ' Uoes not apply to an owner ol a Oropeny who builAs or improves �hereon, and who does Such work himsel�/herselt or �hmugh his or her own employees, pwvitled Iha� suc� impmvements are no� intentletl or olfered lor sale. I�, Aowever Ihe builAing or improvemen� is 5010 wiihin one year ol comple�ion. Ihe owner will have I�e burtlen o� pmving he/she tlid no� huild or impmve for Ihe purpose o� sale�. I. as owner ol tAe property, am eMclusively comracling with Iicense0 wniracmrs to consimc� the O�aiect (Sectian 704d, Business ❑ anE Pmfessions Code: The Comractors' Staie License Law tloes no� ap01y to an owner of pmpeny wAo �ml0s or im0�o'+es ihereon antl w�o coniracts lar such pmjects vnlh a contraclor�s) license Oursuan� to the Contractors' $Iaie Litense Law�. i am aware Ina1 D�ool ol Iheir Worker's Compensation insurance sAaNA he D�oviOeU Io me. � I am e�empl unAer Section: � P-� Q 4 4 B. 8 P. C. �m mis reason: ALI, WORH BY OWNL'R W�e: � 0- I q�� O Owne I tlo here�y cetldy Ihal I am aware ol an0 un0eislana ine reQuiremenis ol Califomia Heal 0 alely Cotle Sections 25505, 2 33, an0 2559a antl Ihat I or any fulure building occupani wilVwill nol (circi¢ One) neetl to comply wi�h saitl S�ate [oG¢5 and Ihe requirement5 �or a permii for conslmction ar mo0ihcation tram t�e Air dualily Management D' iricL Resitlential constmciion applicaii r153dre exempi �mm �AeS¢ provi5i0n5. Daie: �O=L_7=! � p0�licanL �� I h¢�¢Dy C¢ili�y I�di I have rPdtl �his applicali0n dnd SIa1C Ihaith¢ a�ovei matio is carre�ee to comply wilh all cily antl couniy ortlinancesan4stalelawsrelalingto�uilGingconstmclionanU�erebyauiho ere0�esentative5 t ily�oenleruponiheabave-mentionetl piopetly lorinspedion owoases. � Oate'. �v^ !� _ / �/ $ignature: _( Orivei's Lrtense a� Sacial Securiiy n: � -""-• •^�--^-"�-�-^-.�^ �.ENmce enl' CanarY-APP6cant: Pink-Revenuo: CITY OF COSTA MESA - BUI7,DING PEkM2T PERM NO: G 049550 PERMIT NU: G 049550 PLAN CHECK NO: OSE360-90 L GOVT: N SUPP: N CONSTAUCTION TYPE: 5-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: ADD JOB DESCRIPTION ; ADD BEDROOM 6 BATH ON EACH iST S 2ND FLR SQ FT: 1,200 CLAIM VALUE: CALC-VALUE: 82,800.00 GROUP OCC: R-3 /M-1 COMMENTS: TAKE THE TIME TO ASSURE "5AFETY"! �t*�t*+t+�*�*��t�r****�t�t�e��tx*�r***�*�t**�t�t********�*xnx*��****�*�rx*�t�t�e�t***��*x��t�**��x�+� Z O N I N G R E Q U[ R E M E N T S S E T B A C K S ------------ MAIN HUILDING --------=- --------- ACCESSORY BUILD'CNG --------- FRNT: 16 FT 6 IN Rf:AR; 6 FT 2 IN FRNT: FT IN REAR: FT IN LEFT: 5 FT 6 IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN PARKZNG REQ: PROV: PARCEL: 14113428 2NE: R1 REF NO: PLANNING NOTES> FOR A 1,200 SQ. FT. TWO STORY ADDITION, ONLY. � . �E 3f 1E if af �E if ik iE if iF iF 1F if %if if if af if if �e 1E if 1k iF iF iE if dE jE iE jE iE iE iE if !E �f �4 K iF if if lf it iF iE iF iE 1F if it iE ik IElE i4 iF iF iE iE 3f iE iE iE iE iF ��iE #%iF iF dE if ie �f �f D E V E L O P M E� 1N T 5 E R V I C�. S R E Q U I R E M E N T S 20NING APPROVED HY : l9-��. DATE: '%O J/y%/6 HUILDING APPROVED HY : W DATE: /v ��O APPLICATION I55UED bY: DATE: /0 / Z> 'lfif if')E if if iE'1f'Ifif if')f iE jfikdf if ii'iF if 3F 1f '�f i�'ii'iE'If iE ii iE ?f if ' iE iE aEiEiEKlEiflflEifaFiFaFifiElFifiFiflEff141fifiFifi4lFjE�f�Eif�lfiEiffE3fifiEififK iEiEdfiFiEifiEafififiFifiE�%itiEif�fifif�fiFiEiE%�iE��ifiFiFaEiEie�leiFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAi SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RI?S� GRADING PERMIT 563.00 12.00 19.50 9.00 S.E20. �� 258 508 25� SMI.P/NON-RES PLAN 365.95 - • ISSUE FEE 3.00 15.00 15.00 • BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAiD DUE ITOTALS----> 609.30 33.00 365.95 1008.25 1008.25 �.00 IAEVENUE DZVISION TOTALS--> COiLECTED: 642.30 OVER/SHORT: �' .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN-CHECH 563.00 15.00 34.50 24.00 5.80 � � • it iE if ik if iF iE 1f it ik 1E it if if iF it if iE iF iE iE iE 3t iE K iE iE it iE iE if iE iE if iE �f if ik if if iF * ff iE 1f jf af if iE if aF iF if iE jf iF # iE �E jE 1! iE iE iE iE ik iE �-k �k dF iF iF iE ik ff iF f'r jE Z N D I V I D U A L F E E B R E A K D O W N � . TYPE QTY U E S C R I P T I O N UNIT COST TO'I'AL•�COST SFR 1200 DWE-TYPE V-WOOD I'RAME -GOOD 69.00 62,800.00 ELE 12 FIXTURES, LIGHTING i ST 20 EA. .75 9,:00 ELE 6 AEC];PT/OUTLET 1 ST 20 E 75 " 6.00 ELE G REC�PT/SWITCH 1 ST 2 � � ��,7 5 ' 4-:50 MEC 1 REPAIR/ALT HEATING UNIT/SY� __ 1._tt_�`�i,�0 .' 9.00 PLU i BATHTUB yi 2'.�0 2.00 PLU 1 SHOWGR �" 2 0 - 2,00 +�� OCT 19 1990z:o a.00 PLU 2 WATP12 CLOSET (TOILFT) x PLU 2 WASH BASIN ��_____2 4.00 ENP oF FEtsC11Y OF COSTA MESA ' CONSTRUGTION AND PLANNIN(i JL & SPA AF?ROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector ` 1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location � - , 2. �Soil Pipe•Undrgmd. �( �p � '�tN� 53. Steel Reinforcement �- �- 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • � 4. Electtical Conduit�Undrgrnd. 55. Electrical Bonding ' 5.�Steel Reinforcement.�� RJ c�p �. 56. Rough Plumbing & Pressure Test ;,� '6. Elecuical�UFER Gr'rid. 57. APPROVAL TO COVER-GUNITE ;7: Footings � �� l� f D ff � 58. Electrical Conduit-Undrgrnd. . 8. Fou�dation' 59. Gas Pipe, � U�drgrnd., Test � 9.' Wate� Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System �`� 4 v �� 61. APPROVAL TO DECK 11. Property Sewer Line,& House Connection 62. Backwash & Recep[or-Final 52. Sewer Cap - , 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing SYstem - Final . 14. Rough Ptumbirig 65. Electrical-Finai � 75. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring �l.�'l . Fencing & Access ApP�oval 17. Rough Wiring Sign 68. APPROVED FOF PLASTERING - � 18. Rough Electrical�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT, flEQUIREMENT 20. Rough Factor,y Fireplace , � � ;��r . - , '' - APPROVAL$�� . Permit # �� ' ' � � 21. DuctS, in Struct�re �� " 70. Underground�'Hydro 22.,DuctS, Ventilating , ,'; �'. �,71. Product Piping 0'Gas ❑ Oil 23. Gas Pipe�Rough &�Test � �j , r c� �!� 72, Underground Flush � � ' 24. Roof Praming� : y � "' �- � ' � 73.� Undergmd: Storag'e.Tank � Gas ❑ Oil 25. floof�Sheathing � � . • , � � . � s 74.� Overhead Hydro� • � 26. T-Bar Ceiling �Structuraq &�Mbnocoat '[' - � �' 75.� D'ry Chemical ,:.� . � � ' � 27. Frame and Flashing, . , ,, � ., � �, • 76.� Dry Standpipe � •�� : �� i. 28. Lathing & Siding �,_ •; , � � ", ' � 77„ �FIXED SVSTEM�FI,NAL� , .� .i �29. Insulation . � � • i � � � • 7$,� fIRE PREV. FINA�L � ' 30. Drywall Nailing ,. '� 4' " .' 'HEALTH'DEPT. REQUIREMENT 31. Plaster Brown Coa't � ' � � �' i4 � i 79. �FINAL INSPECTION . � � . 32. Electrical Power Meter�Final '' �- i<� ; 80.,'FOOD CERTIFICATE ISSUED _ ' •33. Final Electric ; � � � .___ � �Notes:- . �i � ,� - • 34. Final Heating �& Air�Conditioning � /�� f (,bp� � � "' • - ' ' � - i., . � . � i 35.�.FinalGas'Pipe-Test; �' . �I" -t� �� J 36. Hood onCanopy . � ; � i , ',�'• - „ - � ,. � .�' : � . �i � 37. Final FaMory Fireplace � , _ � ' ' ,; �'� � , , _-� , � ., 6,! - 38. Finaf Plumbing J.� ( [y�':. � ' ' • � ' , ' _ i. 39. Wa(er Service=Final�� ` _ " ' � ' �. � -_ . � � , { � . �i � . y . . 40. Gas 5ervice-Final � � ' � . � � ` • � _ � 41. Solar pomestic-Final - F . . . -, . } - _ � , �� . - 42. Backflow Preventer. � • �� ' � 43. Backflow Irrigation; , � ^ ' �. . . ' � ` �' i .� . � - 44. LandscapelrripationSYstem �•�� ' � '� ' ' ' SU1� � � ' ' ,.� 45.. Sound Attenuation ' � � ' ' � � l'� . �. ' - '46. Handicap.Regulations - � . _ . 47.. FINAL STRUCTURE & BUICDING �^ � � ~ �r �// /'.L 0� LO c� 48. FINAL PLANNING ' � !• � h, 49.� Electric Release to Edison ' i,: - � � � • , '�. 50. Gas Release to Southem Calitornia Gas Ca . .. . .' � ,_ � 51. CERTIFICATEOF�OCCUPANCY • . . _ No. Date Developer/ Address: Telephone Tract/Parcel ana LOC numoer�s�: �CERTIh'ICATE OF COMPLIANCE � PAYMENT OF SCHOOL FACILITY FSES NEWPORT-MESA UNIFIED SCAOOL DISTRICT � Location of Proje'ct: Number of Square Feet of Residential Space Number of Square Feet of Commercial and Industrial Space 0 o�J S U x $�� x $0.25 Commercial/Industrial Project is: (Check One) Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial Total Total hlotel Banic Neighborhood Shops R & D Hotel Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food The provisions of G�vernment Code Section 53080 are not applicable. This certifies that the above-named Ueveloper/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to Newport-Mesa Unified School District. ��a�� O •�J��3� Business Manager Newport-Mesa Unified School DisCrict The above representation as to square footage is true. Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically Cerminate and the appropriate City/County shall be notified. Date: /��' I � —D �l � � Develop / pplicant OCT1�1990 / / Applicant to fill in all spaces exceDl those within heavy bor0er lin¢5 antl si9n all apD�opriale Oecla�ations. G��Y�bF�STq,R1ES9 C dST � l.P MIT ( •,-I��+y ?/roject Address �v�� Applicant's Mailin ress � (- Owner's Name Phone�'��d Address � W / Arch/Eng. License No. Address _ Contractor's Name Phone Address (mailing) City License No. LICENSED CONTRACTOR D CLHRATION � I hereby affi�m that I am licensetl untler provisions ot Charter 9(commencing with section ]000) of Division 3 of the Busine55 antl Grofessions Cotle, and my license is in full force antl effect. Lic n C as � '�se No. Date � Si ature WOR ER ' CO P NSATION D LA ereby affirm that I M1ave a certi/icate consent to s¢If-insure or a cer[ificate Workers' Compensation Insurance, or a certifietl copy thereot (Section .00, Lab. CJ- � Policy No. Company 8 Cer[ifietl mpy is he�eby fumishetl. ^ Certifletl copy is filetl with the city Builtling Division. , Date - Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThisSection neeC not be comple[ed if lhe permit is for one huntlretl ($100) or less). I certify that in the performance ot the work for which this permk is issuetl, 1 shall not empioy any person in any manne� 0 5 to b� me subject� Workers' o e.p5atio ol Califomia. � Date 5 Signature �NOTIC : If, after making this tlecla�ation, I ome �'ec[ to the Worke�s' Comp¢n5ation provisions ot the Labor tle, you mus thwith comply with such pwvisions or this permit shall be tleemetl voketl. CONSTRUCTION LENDING AGENCV I hereby affirm that tM1ere is a wnstruc[ion lending agency for the Performance of the work for which [his permit is issuetl (Section 3097 Civ: C.) Lenaer's Name Lentler's Atlaress OWNER BUILDER bECLARATION I hereby affirm that I am exempt from the ConVactor'S License Law for the foilowinq reason (Section ]031.5 Business and Professional Cotle: Any city or countY which requires a p¢rmit [o construct, alteq imp�ove, tlemolish or repair any sVu to file a 3 ot the BUNnesS antl i i antl the basiz for tM1e : iy any applicant for a f not more than five hun o requires tM1e applicant for such permit is licensetl pursuant to the provisions ot 9(commencing with Section 7000) of 55ion5 Catle) or that he/She is exempt tl ezemption. Any viola[ion of Section mit subjects the applicant [o a civil tlollars ($500). -L I, as owner oi ine propeny vrmy-cmiwvfae�n+•-wav== .•�� • e � ill tlo Ihe wo�k, antl the structure is not intendetl or offe�etl or sae (Section �044, Business and Professional Cotle:'The Contractor's License Law tloes not appry to an owner ot a property wno builtls or improves [heteon, antl wM10 tloes such wotk himzelf/herself o� through his o� he� own employees, provitletl tnat such improvements are no[ intentletl or offeretl fa� sale. I(, M1oweveq the builtling or imp�ovement is sold within one yea� of com- pletion, the owner will bave the burtlen ot proving ho/she tlitl not buiitl or im- i prove tor the purpose of Sale). - i � i, as owner of tne property, am exclusively contracting with licensetl con- � bactorsto conSVuct the project (Section ]044, Business antl Protessionz Cotle: The Contractor's License t_aw does not apply to an owner ot property who builtls or improves tnereon, antl who contracts for such proiects with a con- tractor(sl license pursuant'to tne Contracto}'S License Law). I am aware that proof of Iheir Wotker's Compp.p�tion inswance shoultl be provltled to me. ❑�I am exempt untler Section�� B. &'P. C. tor tnis re Date Owner ^ - I�nereby ertit that 1 have reatl Ih' ication antl state that ne above information is correct. I a9ree to co y with all city antl county ortlinances antl state laws relaling to Cuiltl�Ai q cOnstruction, antl hereby autho�ize �epre- sentatives of thi; city to gyer upon� the Abqv€jinentlpnecyproperty for PM�a i.�a� � i i� TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR O CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT ❑ GRADING FOUNDATION STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5q. FT. OCCucarvCv CONSTRUCTION TVPE VALUATION $ ZONE ' GRADINGCU.VDS. ACRES Remarks: J� �'� �)� F/-�—�� E� Bar Sink , Backflow Preventer . Backflow Irrigation Bathtubs Clarifiers Dishwasher . Drinking Fountains Floor Drains Floor Sinks . Gas Service � Outlets Interceptors ' Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct-Under Ground Duct-Sttuctural ' Duct- Ventilating Exhaust System ❑ Multiple FirepVFact. Blt. ICBO # I� Heating System & ucting ❑6100,OOOBTU�700,000 qeinspec[ion Fee CMF 0865-46, rev. 10/B4 �` White - guiltling; Canary - Applicanh Pink - Accountin9: Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors —�-- Solar PipiMg Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aum-Wash Laundry 7rays Issue Fee Hood or Typel ❑ Canopy Type 11 I'� Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee F A.P. # 5 Main Buildi E T Front 8 Rear A C Right K S Left Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit _ 295� iai�ei�a Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50 + KW Dryers ❑Gas ❑Electric Fan F.A,U. Fixtures Device Boxes OuHets Switches Garbage Disposal Generator �0-5 KW 05�15 KW Meter Llup to 100 amps Meter ❑over100amps Sub Panel Motors �0-7 HP O1 %- 8 Inc.Solar �9-75 HP �16-75+ Microwave Pole Light Range Sign ; Standing Sections Trash Compactor $ 3 _ ReinspeMion Fee $75 Issue Fee FEES �DEVELOPMENT SERVICES REQUIREMENTS: � Zoning Approved By Building Approved By � APPliption Isued Bv � �" $ 3 L� OL`.OwC• �l FEES $ 3 SUMMARV OF FEES BUILDING PERMIT• $ SMIP $ PLAN CHECK $ PERMIT . PLUMBING $ ISSUANCE � $ PLAN CHECK 25% $ •^ ENERGV P.C. $ ELECTRICAI $ I GRADING . $ PLAN CHECK 50% $ S•a'a MICROFILM $ MECHANICAL $ I�0•�� TOTALFEE $ � 3� P�AN CHECK 25% $ 3,a-� ' Z O N I N G R E � M T s - "ONSTRUCTION AND PLANNING � POC SPA . :� APPROVALS Permit # Date �Inspector qppROVALS Pe�mit # Date Inspector 1. Temporary Electrical Service or Pole_ • 52. Pool & Equipment Location '�� '�7:. Soil Pipe-Undrgrnd. �16/� 5 Lj�" 53. Steel Reinforcement ' �3. Electrical Conduit Utility-Undrgrnd:� 54. Forms h,� � 4! Electrical-Conduit-Undrgrnd. � 55. Electrical Bonding �• 5. �Steel; Reinforcement- . � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE ' � . 7. Footings '� � 58. ElectricalConduit-Undrgrnd. : � � � i � 8.. Foundation ^� 59. Gas Pipe, � Undrgrnd-., Test • 9. Water Pipe-Undrgmd, , ; j 60. Backwash Lines, P-Trap, O Undrgrnd.� ' 10. Structural Floor System � 61. APPROVAL TO DECK � it. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final , 12. Sewec Cap � 63. Heater & Vent-Final ' " 13. Roof Drains ' ,' 64. Plumbing SYstem - Final � 14. Rough Plumbing �� Z� � L�lJ 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final . . 1 6. Rough Electric Wiring � �� / 67. Fencing�& Access Approval . . � 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. DuCts, in Structure 70. Underground Hydra 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test -. 7,2. 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 � 7S. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric I�3 � Notes �� UN�� -��Sn G,��'�.�,L7 34. Final Heating & Air_Conditioning � � ��^ ��J � 35. Final Gas Pipe�Test ��3 �� ,fJ/ 36. Hood or Canopy � � � 37. Final Factory Fireplace 38. Final Plumbing ( � �6' (�%t� 39. Water Service-Final 40. Gas Service-Final . 41. Solar pomestic-Final 42. Backfloev Preventer � . 43. Backflow Irrigation � � 44. Landscape Irrigation System 45. Sound AttenuaYion � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison � - 50. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY No. Date ' � AOO��ant to fill in all iDaces except tnosa wit�in heavy CorGer Iinas anG sign ail aporopriate eeciaratians. - CI,T�V'OF COSTA ME�A� CONSTRUCTION PE li �� . Project Address Applicant's Mailing A ess ''��7�p . Owner's Name � Phone�7�z1t� Address Arch/Eng. License No. Addresz O Contracmr's Nam PhOn�,•L � Addreu (mailing) City Licen� No LICENSED CONTRqCTOR DECLARATION I itereby aHi�m lhat I am Iicensetl untlet proWslons ol CbarlCr 9(commencin9 with section 7000) 0/ Diviiion 3 oi [he BuSin¢is antl Pro(¢ssions Cotle, antl my Ilcense iz in full lorce antl eifect. License Class LlcenSe No. Date Si9nature '•'ORKERS' COMPENSATION DECLARATION ' veby atfirm that 1 have a certiilcate ol consent to selt-insure or a certlficate Workers' Compensation InSurance, or a cer[ifietl copY thereof (Section atl00, Lab. CJ Policy No. Company BCerti/ietl copy is h¢reby tumisbetl. n Certifietl copy is filetl wi[h the city B v� /// . Date APPlicani y /.��'drQ6/ EXEMPTION FROM WORKERS' COMPENS W R CLARATION (This section nectl not be complaletl if t�e permit i5 for one huntlretl ($300) or less). I tertify lhat in the pertormanG¢ Of the wo�k�wh Ch 5 permrt is iSsuetl shall nol employ any pe�son In any ma s ecome subje T to e Workers' np¢ � Calitor � Date � i9nature 'NOTIC : 11, a(ter aking tnis tleclaration, y u s ultl 1 ecome suk1C lp he Workers' Compensation pwvislons ol the r Cotle, you muSFTZtfi ith comply with such prOvisions or tltis permlt Shall b¢ tleeme� �evoketl. CONSTRUCTION LENDING AGENCV 1 nereGy aftirm that there Is a mnriructlon Ientling agency for the performance of Iha work lor which this pCrmit Is Issuetl (SeCtion 309'! Civ. C.) Lender's Name Lentler'S Htltlress OWNER BUILOEH CiECLARATION I hareby aifirm that I am oxompl lrom the Conbactor's Llcense �aw lor tne /ollowing reason (Sectlon ]031.5 Buslne55 dntl P�olessiOndl COtle: Any city or county which rCquirei a pe�mll to con5truct, alter, improve, demoll5h or re0ai� �..��.e nnn. tn ita la<uance_ also rmWres [Ite aoolicant br Such De�mit to Ille a Sl9netl StdlCment [ndt no/Sne Is ucenSCa pursuan[ �o mu u«+vnmm m e Conlraclor'S Ucenso law (Chapter 9(<ommencing with Sectlon 7000) of � `',��_yision 3 of lhe Busine55 antl ProlasSiOns Cotle) m thal he/she is exemp[ .� �refrom antl the basis tor tne alle9etl exempUon. Any viotatlon of Sectlon �-�"�J31.5 by any applicant for a Oermlt subjects tna applicant to a civil ��nal y ol not mOrc tnan liv¢ huntlr¢tl t1011ars (5500�. as owncr of tho proporty Or my amployces wiln wage5 as thei� sole comDensation, will tlo tne wO�k, antl th0 Struclwe IS not InlentleC o� oiter¢tl lor sala (Seclion 7044, Buiiness antl Prolessional Gotle: The Canlrac[or's License Law tloes noi"apply to an owner ot a Droperty who builtls or imoroves lhereon, dnd who tloes such wo�k hlmselt/bOr501/ or IhrOugh his or har own em0�oyees, Orovldutl that SUCh ImprOvem¢nts a�e nol Inlentletl Or otteretl for salo. N, howeveq N¢ Dufltlln9 or Improvamenl IS SOItl within one y¢a� ot com- Olelion, lha Owner wlll have the buetlen ot proving ho/sha tlld not builtl or Im- p�OVB lor Ihe purpase ot Sal¢). ❑ I, as owne� ol lhe property, am exclu5ively conl�actin9 wilh Iicensetl con- ttactoR tu con5lruct tho project ($eclion 7044, BuSin¢ss an0 Rofe55ion5 COtle: The ConVactor's License Law do¢s no[ apply to an owner oi Property who Duiltls or Improves tnoreon, ane who conVacts tor such o�oiects with a con- tractor(sl OcenZe pursuanl�[o the �ConVa<fOr'S Licensa Lawj. I am awa�e that proot of thei� Worker'S COmpen ilgn� In�s��'°nce ShOultl ba provitletl to me. ❑ I am exempt untler Sectlon �� L—`% _ ��— B. 8 P. C. forJfis reason Dale _ffL,Z� Owner �'ac" 1 hereby certify that I have reaa tnis I¢atlon antl state that lne above Intormation Is corr0ct. I agr¢¢ [O comp with all tlly a county ortllnances antl state laws relatin9 t.builtling construcHon, antl r by authorize repre- sentativez of tnis city ' e r up` Ine ab e- lone roperty for inSpeCtion purpOse �_ 11 ' Signature � � Drivers' LI---acd.lSS CMF 0865-46, rev. '�ia 48' . ..�, ,..,. �.,, ...,. ��.,, ��. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p�y DESCRIPTION OF WO(iK/USE OF BLOG. S Main Building: E TVPE OF PERMI� 1 GRADING FOUNDHTION STRUCTURAL T Front ❑ TENANT p.�j_ECTRICAL ❑ PLVMBING ❑ MECHANICAL B Reef ❑ OTHER / %� PR0.IECT DESCRIPTION Sq. FT. OCcuPANCV C Right K Left CONSTRUCTIONTVPE VALUATIONS S � ZONE GRADING CV. VDS. ACRE$ ping. Ref. # Remarks: /j�f�yn��/ �� TiA/.G G�.Gl///G A/ 5�p Planning Noces: Sink Prevenrer Irrigation Drinking Fountains Floor Drains Floor Sinks GasService Outlets IOtCILC{]LOfS Kitchen Sink Lavatories P—Trap Foof Dreins Reinspection Fee � $15 Boiler �uct- Under Ground Duct - Stmcmral Duct - Ventilating Exhaust System ❑ Multiple Firepl/FacLBIt.ICBO# - Heating System & Ducting ❑4100,000 BTU 0100,000 Reinspectio� Fea � $15 White - Builtlin9: Canary - Ap011cant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑o-iao,00asru ❑ioo,000 System Repair/Alteration Fire Dampers Registe�s Issue Fee FEES Automatic Washer ' Const�uction Pale$uh. Coaking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW �5-75 Zone Acceuory Bui Parking ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter .�up to 100 amps Meter ❑over 100 amps Sub Panel Motors00-1 HP �7Yh-8 Inc.Solar �9�75 HP �1615+ Microwave Pole Li9ht ! Standing Sections Trash CAmpactor S 3 � - � Reinspection Fee §75 luue Fee FEES' ' DEVELOPMENT SERVICES REDUIREMENTS: 2aning Approved By Building Approved 8y _ APPliotion Icsuad BV $ 3 Z O N I N G R E � M T S �FEES S 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PEPMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ � GRADING $ PLANCHECK 50% $ MICROFILM $� (� MECHANICAL $ TOTALFEE' $ x•� PLAN CHECK 25% $ , T:. CONSTRUCTION AND PLANNING P�� `SP'4 .�� APPROVALS 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-Undr9rnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. PropertV �Wer Line & House Co�nection 62. Backwash & Receptor-Final �12. Sewer Cap 63. Heater & Vent-Final �13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System�Final 16. Rough Electric Wiring 67. Fencing & Access Approval _ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T 6ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS Permit # 21. DuCts, in Structure '� 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & 7est 72. Underground 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 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. Electrical Power Meter-Final � /ji 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 Pfumbing 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. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison �� 50. Gas Release to Southern California Gas Co � . `-' 51. CERTIFICATE OF OCCUPANCY � No. Date ;' jt'� ' i e AOO��ant to fill In all spaces exce0� tnose wlihln �eavy Oo�Cer lines antl slgn all a00�o0riate Oecla�aliont. CITV OF COSTA MESA C NST GCTION PERMIT . q Pioject AdAress �/s Applicant's Mailing r ss Owner's Name � Phone.5�2_Z�� Address Arch/Eng. License No. Address � ��qeyj/� Convactor's Nam o�M e.}=7JL/� .S Addresslm ��' 1 �D�y�v.� ( � /i Ciry License No. IICENSED CONTRACTOR DECLARATION I her¢by aflirm that I am Iicensetl untla� pwvi5lon5 0� Cbarter 9(commencing witn seclion 7000) of Divlsion 3 01 the Buslness antl Professions Cotle, anA my license is in full lorce antl eltect. IJcenze Class llcense No. Dale � SignaWre . WORKERS' COMP,ENSATION DECLARATION ereby aifirm Ihal I have a certiilcate oi <onsent to selt-insure or a tertliicate Workers' CompenShciOn InSurance, o� a Certifietl copy tbereot (5¢Ction .tl00, lab. C.) �— � Policy No. Company� Certilietl copy is he�eby fumizh¢tl. Ce 'fIe <op=i5 'I tl wlth the ci[y ' nq Di Kion. � Date_ — APPlicant — EXEMPTION FROM WORKERS' CO PEN ION DECLH N (This section neetl nat be Compleletl ii Ih¢ permit is for one huntlred ($300) or iess). I certity that in the periormance ot Ihe work for wnlcn this permk is iszuetl 1 , sM1ali not employ any person in any man e� o as to fome subjec o t�e � Workers' Compens o Lawz of Callfo Date �'—L ,�99�atur¢ 'NOTIC '�ayftm ( a ang this tlecla�al on, y 5, ul become�eeW� t to th¢ Workers' Compensation provlslans o/ Ne Lnb r Cotle, You must forthwith comply wilh Such p�ovlsion5 Or fltis pe�mit shall be tle¢me� �evoketl. CONSTRUCTION LENDING HGENCV I hereCy affl�m that tM1e�e i5 a Constructlon lentling dgtncy fOr thC Pe�fo�mance of the work ror whiCh [his petmil IS ISTuutl (Sectlon 3097 Civ. CJ Lentler's Name LenOer's Atltlrass OWNER BUILDEN �ECLARATION I hareby alfirm that 1 am axompt Irom lhe Condactor'S License L.aw /or the �nunwino roason fSacNon 7031.5 BuSiness antl Professional Cotle: Any dty or to (iie a si9netl statemont t ,°�y.J31.5 by any a00�1<ant for a Permit subjects the apD��ant to a civn �enalty oi nol mora than five huntlretl tlollari (5500�. . LJ I, as ownar ol tho propurry or my amployeas with wa9es as their sole compensation, will tlo the work, anO lhn strutture is not IntentleC or oiferetl lor sale (Sectlon 7044, Business anU Protussional Cotle: Tne Contractor•s Llcense Law aocs not appty to an owner of a properry wtio builtls or imp�oves thereon, antl wh0 tloa5 Such work hl�n$elt/herse�t or through his o� her own em010yae5, prOvltlatl lhat such ImOrOvertSonts ar0 nOl Intentled or offere0 tor salo. It, howevor, lhe bulltlin9 or improvoment Is soltl wlthin onn year of com- pletlon, tho own¢r wlll have tba burtlan oi proving h¢/shc tlitl not builtl or Im- prova for tne purpote ot sale). �I, as owner oi the property, am axcluzively contractin9 with Iicensea con- tractors t0 conslru<t t�e prOject ISectlon 7044, Busine55 antl PrOtesslont Cotl¢: The Conlractor's LiGonse Lnw does not dpPly to an owner of pmperty wbo bulltls or imo�oves tnereon, antl who cantractt tor sucn projects with a con- trac[or(sl Ilcense pursuan[ to tha Contra<tor'S Licanse Law). I am aware that proof o( Iheir WO�ker'S Compen I I 5 r nce Should bo prOvitletl fo me. ❑ I am ezCmpt untl¢r 5¢ctlOn�� 8. & P. C. tol thi5 reaSon Date �' �T� v? Owner " I norebvi certifv tnat I-have r¢aa Ihis a pl' atlon antl state hat Ihe above informatlon is correct. I a9ree [o compi antl Stale laws relating o Dull u g COm sentatives of tnis i lo upon inspection purpo� Signature Drivers' License or 55� �-�079�7 Iti�3�,1�� 7l� � -_ . ._. TVPE OFCONS7RUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. ��`-�n ��y TVPE OF PERMIT LJ GRADING ❑ TENANT ❑ ELECTRICAL ❑ OTHER PROJECT DESCRIP710N Sc?. FT _ CONSTRUCTIONTVPE �nj VALVATIONS'. GRADINGCU.YDS. AC IFOUNDATION IW5TRVCTVRAL PLUMBING ❑ MECHANICAL Remirks: Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Ki[chen Sink � Lavatories � . Roof Drains Reinspection Foa $15 Dutt� UnderGround Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO # Heating System & Ducting ❑aiao,000 aTu Oioo,aoo Reinspection Fee � , $15 -� - - CMF 0865-46, rev. 10/84 wnite - Buil0ing; Canary - Applicanh Pink - Accounting; Goltlenrotl - Assezsor $f10WEf5 Service Sink . Sewer Cap Sewer Connectibn Solar Collectors' Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Warer Heater Warer Service Auto-Wash Laundry Trays Issua Fee Nood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑aioo.000eru ❑ioo,000eT System Repair/Alteration Fire Dampers Registers laue Fee FEES A.P. � I ' I � S Main Building: TFronl�%/ZLL ARear ./_a./� C Ri9ht s- �/ K Left / S Ping. Ref. dk Planning Notes: ,Q��i 0956 9/26/05 ELECTRICAL Auromatic Washer ' Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter Dup to 100 amps Dishwasher , Meter pover 100 amps Dryers ❑Gas ❑Electric Sub Panel . Fan Motors �0.1 HP �i'f, - 8 F.A.U. . Inc.Solar �9-15 HP �16�15+ Fixtures � � Microwave Device Boxes Pole Li9ht Outlets Switches Garbage Disposal Generator OU5 KW 05-15 KW ./Provided zone a 53I �e. Reinspection Fee FEES DEVELOPMENTSER : Zonin9 APVroved BY_ 'Building Appravad By � Applieation Issued Bv_ 5 3 S75 Sign ; Standing Sections Trash Compactor luue Fee :.:�0:7 TL FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES . r BUILDING PERMIT $ �� ..�� SMIP $ "Je �J� P�AN CHECK $ � � �.�� , pERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $' GRADING � $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ � . TOTAL FEE $ �^ � PLAN CHECK 25% $ ' ' �s CONSTRUCTION AND PLANNING POC SPA � � Date Inspector � Date Inspector APPROVALS Permit# APPROVALS Permit# � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms !� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. �{ 8. Foundation � 59. Gas Pipe, O Undrgmd., Test - ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor� c� 61. APPROVAL TO DECK 11. Property Sewer Line & use Conn ct n 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 7p, Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing i - 73. Undergrnd. Storage Tank � Gas ❑ Oil . 25.,Roof Sheathing � � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and FlashingO _ � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing �,�� p� HEALTH DEPT. REQUIREMENT 31. Plaster 8rown Coat - �2 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood�or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING ��, . 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY No Date ADO��ant to fill In all ipaees except lhosa within �eavy GorEer Ilnef anU sign all appropriate Ceclarations. A�M� �cCO�TR�1,�iQN PERMIT - '� �. d Applicant's Mailing Address Owner's Name ��4 •� 5/� Phone 5�C ��/ Address � —� '"�`� } �F.� — Arch/Eng. License No. Address Contractor'sName �� m "n r0' 9phone 3�'S�4{.% Addresslmailing) 00 g ZS��CI(� ��nSICn City Licenta No 3 � � LICENSED CONTRACTOR DECLHRATION � I her¢by affirm that I am licensetl untler provi5ions of Chatte� 9(commencing with section ]000) o( oivislon 3 ot the Business antl Professlons Coae, antl my Iicense is in tulijprce antl effect _,�� l� Date �^ � � �� Signatura 'r+ � �I WORKERS' COMPENSATION DECLARATION I hereoy attirm that I nave a certlllcale of consent to self-insure or a certi(icate of Wo�ke�s' Cortipensation Inw�ance, o� a certifietl cOpy [hereot Section 3800, Lab. C.) �cy No. 4!�: 39 4- RS Company .��G�e. �V Certitietl copy is hereby fumishetl. Ce titiectcn fileE with the Ut tlin9 D' ion. r Q�t I �� p oate � Applicant Q tt fe t /Y0.� E%EMP ION FROM WORKERS' CO PENSATION DE ARATION (This section neetl mt be compleletl i( the permit is (or one huntlretl ($100) or iess). I certity that in the performance of Ihe work tor which tnis permi( is issuetl, I . shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws o/ California. � Date Si9nalure 'NOTICE: It, aiter makln9 this tleclaration, you shoWtl become subject to che Workers' Compensation provislons of the Ldbor Cotle, you. must torthwith comply with such provisions or tnls pe�mit shall be tleemetl �evoketl. CONSTRVCTION LENDING AGENCV I hereby affirm Ihat there Is a con5t�uctlon lentlinq aqency for the pe�to�manCe ot the work for which thls permit i5 i55uetl ($ection 309] Civ. C.) Lentler'S Name Lentler's Adtlress OWNER BUILDER �ECLARATIOfi I nereby affirm that 1 am axempt trom tne Contractor's License Law for the �followin9 reason (Section �031.5 Business antl Protessional Cotl¢: Any city or <ounry whith requires a p¢rmlt to cons(ru<t, alte�, improve, tlemolish or repai� � any structure, prior to Its Issuance, also requlres the applicant tor such permit to file a signetl statement that he/ihe Is licenietl pu�suant to Ihe provisions of [he Contractor's LicenS¢ Law (Chapter 9(commencing wi[h Sectlon �000) of Division 3 ot the Businezs antl Protessions CoOe) or tha[ he/she i5 ezempt the�efrom antl the ba5is to� the allegetl exemption. Any violation ot Section 7031.5 by any applicant for a permlt subjects the applicant to a civil �enalty of not more [nan five huntlretl tlollars ($500). 1, as owner of the property or my empioyees with wa9es as their sole compensation, wi11 tlo the work, and the structure is not intentlea or ofteretl for sale (Sec[ion 7044, Business antl Pro(essional Cotle: The Con[rac[or'z License Law tloes not apply to an owner ot a property who builOs or imOroves thereon, antl who tloes such work nimzelf/herseli or through nis or her own employees, provitleC that such Improvemenls are not inienEetl or otfered tor sale. It, howeveq the bulltlln9 or Imp�ovement is Soltl within one year ot Com- pletlon, the owner will have Ihe burtlen Of Proving Oe/she tlld not builtl or im- prove for the purpose of sale). ❑ I, as owner of tne oroperty, am oxclusively contracting with licensetl con- tracrors to construct the project (Section 7044, Business antl Professians Cotle: The Contracto�'S License Law does not applY to an owner of Droperty who builtls or improves thereon, antl who conVacts tor such projects with a con- t�actor,(5 license pursuant to the Contractor'S Llcense Law). I am aware that proaf o� tM1eir Worke�'s Compensatlon Insu�ance Shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for thi5 rea5on TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTg ER A p � ^DESCRIPTIO 10�.�(� O K/USE 9FB}R G. r`Q'�Q�Z WR F-r ` 14��Me.�.re� I/IQ�C��/QL/!/fV1.:4��G =,�.na t? C. S MainBuildi TVPE OF P MIT GRADING F UNDATION STRU URAL T Ffont ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ❑ OTHER � PROJECT DESCRIPTION SQ.FT. oCCUaANCv �.n C Right K Left CONSTRUCTIONTVPE VALUATION$ $ ZONE GRADING CU. VDS. ACRES p�ng. RCf. # pemarks: ' Planning Notes: Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavamries P—Trap Roof Drains Reinspection Fce � $15 9oiler Duct- UnderGround Duc[ - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Date Owner Heating System & Dutting I h¢reby certify that 1 have reatl this applicatlon antl state that the above ❑a7�0,0008TU �100,OOOBI intormation,is mrrect. I agree to comply with all city antl county ortlinances and 5tate laws relatin9 to builalnq construction, antl hereby authorize repre- sen[ativez of tnis city [ ent up n t above-mentionea pro0erty for inspection es. • Sl9nature F o0 oaee � /3 Drivers' License or 55 $ Reinspection Fee $75 CMF OB65-46, rev. 30/86 White - BuliCing: Canary - Applican[; Pink - Accounting; Goltlenrotl - Assessor FEES ShOw¢!5 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w Urinal W3tCf C1052L Water Heater Water Service Auro-Wash Isue Fee � $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal 5813 12/I"�/B5 Zone Acceuory B ELECTRICAL � Transformer ❑ 15-50�K ❑ 50+KW Meter ❑up to 100amps Meter �over 100 amps Sub Panel Motars �0.1 HP O1'rS - 8 Inc.Solar �9-15 HP �16�15+ Microwave Pole Light Range Generator �0.5 KW OS-15 KW ; Standing Sections Trash Compactor IANICAL FEES Reinspection Fee $15 Isue Fee Hoodor T DEVELOPMENTSERVICESREQUIREMENTS: ypel ❑ CanoPY TYPe I I ❑ Zoning APProved By Building APProvad BY ,�� Refrigeration System ❑o-iao,oaaeTu ❑ioo,000eTu System Repair/Alteration � Fire Dampers Registers Isue Fae � S 3 I�o�O T_ Z O N I N G - R E Q M T S FEES $ 3 SU AR fjFEES BUILDING PERMIT $ �(� SMIP $ ,Sv PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ EIECTRICAL $ GRADING $ PLANCHECK 5096 $ MICROFILM $ �/ MECHANICAL $ TOTALFEE $ J��LLL PLAN CHECK 25% $ NSTRUCTION AND PLANNII�G POOL & SPA - PROVAIS Permit # Date Inspector p�ppROVALS Permit # Date Inspector . Temporary Electrical Service or Pole " 52. Pool & Equipment Location �2. Soil Pipe-Undrgrnd. �„ � 53. Steel Reinforcement %� � 3: Electrical�Conduit Ut'rlity-Undrg'rnd. + 54. Forms ' . ' 4.,Elec[ricati�Conduit-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinforcement�' s`" 56. Rough Plumbing & Pressure Test '6. �Electr�ical UFER Grnd. •� 57. APPROVAL TO COVER-GUNITE ' 7. Footings� � 58. Electrical Conduit-Undrgrnd. . ; , 8. _Foundation �, , 59. Gas Pipe, O Undrgmd., Test � 9. ,Water Pipe-Undrgrnd. � -• 60. Backwash Lines, P-Trap, O Undrgrnd. �-�.,i 10rStructuralFloor,Sy,stem : ." � 61. APPROVALTODECK " 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer. CaP . � `` � � � : ' 63. Heater & Vent-Final 13. Roof Drains ' .. �= •� 64. Plumbing System - Final 14. Rough Plumbing,, � � ': � 65. Electrical-Final , ' 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval >�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18.'Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough F(e'ating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rouyh Factory Fireplace APPROVALS Permit# 21. DuCts, in $tructure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Fr,eming 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 R �Z 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. FINAL STRUCTURE & BUILDING 2 48. Special Requirements Completed 49. Electric Release to Edison � � . 50. Gas Release to Southern California Gas Co ' � 51. CERTIFICATE OF OCCUPANCY No. Date �OT 76 rRACT �2 2 . � �,l �.a'i�OJ ,/,� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX H17 COSfA MEBA. GALIPORNIA For Applieant +o Fill In Complefely - TYPE OR PRINT �.'�%�'�'� #�ja ■ STATE COSTA MESA. CALIFORNIA NONE No. "_____ '_'___'__""'_"_'_'_'__"_ �EE RF��i,!!ED �FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Offlce Use Only neceirr xo. ER��r Ho. � � �� BY O/JT8 ReCe1V[O I DATE 188UEO ' I L{'.�`� L� /. Y.:0 .� n 10R� BUILDING ADDRH86 COSTA MESA. CALIFORNIA PLACE T A A U ZONING ZON6 NO. OF U88 OP NHW i% 7 �—� I PLANB � I BUIIDIN6 ��/ ; No: Mi 6�22� �a„� �,� 7� 7� v�s z DEBCPIPf10N NO. OP BlDG6. 1 ..�... _.. . _� /1 ' B6TBACK LINe PItON .ceMER oP BTf1eHT � REAR YARD � It SIDE YARD LEFf �7 � RIGHT 5� 7 DESCRIPTION OF WORK WALL ROOP R 0 L K STUGCO COVERING IILDING AND WORK TO BE PERFORMED � GARAGE IGHNTBR LINB 8T.1 � � FRONT R. SIDE � L. SIDE 3` o�.0 3 / APPROVED i H6RESY AGI(NOWLCOGB THAT 1 HAVB qG0 THIB APPLIGTION TN8 AMOUNT BHOWN �INpBR VALl1ATION 19 POP TXE AND 8TAT6 THAT THH ABOVE IB CORRBCT AND AORHE TO COM• pUliP086 OP 88TABLI6XIN0 A PBPMIT FE6 ONLY. PLY WITM ALL CITY OPDINANCEB AND BTATB LAW6 RGOULATING BUILoINo coHeTRucT1oN. VALUATION 6IGNATURE OF PERMIT FEE $ Jr � PERMITfE � � �j �— � p � l'J' j""" PLAN CHECK $ � � SD A(JTHOR2EO AGENT � TOTAL FEE � � �� y