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Home My WebLink About3074 GIBRALTAR AVE - Building PermitsQ§TN MF . �o. • . > j J � y�a•�,,,,.,'�,• �I7Y'OP COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Pax p14) 754-4856 • www costamesaca.aov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 13918504 Zoning: R1, B_MISC PERMIT NUMBER: BX12-00185 JOB ADDRESS: 3074 GIBRALTAR AV CM Vicinity: SIDE Primary Occ: SQ. F7: 480 Valuation: STATUS: ISSUED DATE ISSUED: 0 5121 /2 01 2 ISSUED BY: Suite/Unit: 31 Const Type: ?? $9,600.00 SCOPE OF WORK:INSTALLATION OF 80 LF OF 6' HIGH CONCRETE BLOCK WALL TO BE BUILT TO CITY STANDARD BETWEEN 3047 AND 3078 GIBRALTAR. CITY STANDARD AND NEIGHBOR AGREEMENT ATTACHED TO CITY PERMIT AND JOB CARD. OWNER: ARENSDORF, MICHAEL FRED City/State: 3074 GIBRALTAR AVE Phone: APPLiCANT: TONGILAVA, AJ Ciry/State: Phone: 714-402-1854 CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone OWNER-BUILDER Unit: FEE SUMMARY Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund Address:: TR UnitCOSTA MESA, CA Zip Code:92626-2356 Address: Unit Zip Code: License No.000000 Phone Cell: License No. i License No. i0.00 5181.25 $0.00 $0.96 $0.00 $1.00 TOTAL FEES $183.21 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18I2010 - PER Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours � New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Da� ��ec.13-279 and the following Federal Holidays: 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. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. LODE /. �NSPECTIONTYPE �TE INIIIIALS L0� INSPECiIONTYPE �Ag IN7RIAL5 7616 Fixetl System Final Fire Prevention 206 Final Mechanical 12fi6 Pool Spa Final 208 Final Plumbing 200 Pinal fte-Roo1 210 Final ElecMcal 201 Final BIocWRetaining Wall 212 Final Fre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Si9n 222 Final Site �y�J 204 Final Demolition 250 Final Building/Oaupanty ��ti G r� %'f� WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certifcate of consent to self-Insure for workers' compensation, as provided (or by section 3700 of the Labor Code, for ihe pertormance of the work for which this permit is issued. � I have and will maintain wo�rcers' compensation insurance, as required by section 3700 of the Labor Code, for the peAormance of the vrork for which Ihis pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. (1tu's se[fion nectl not Oe wrtrp'etetl Afna permrt is valuetl el one hurMretl tldlars (f 10p) w kss.) Policy Number ❑ I certiry that in lhe pertormance of t�e work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Cali(omia, and agree that if I should � 6ecome subject to workers' compensation provisions of Section 3700 0( th b de, I I forthwith comply with these provisians. 5-2-{-a-o i� plicanfs Signawre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAVJFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensetl under provisions of Chapter 9(commencing wiih Section 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class tt ConUacmfs Signature Data CONSTRUGTION LENDING AGENCV: ❑ I hereby affirtn that there is a construction lending agen�y for the performance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signawre Dale OWNER-BUILDER DECLARATIONS: I hereby affrm that untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business antl Professions Cotle: Any city or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicaN for such permit to file a signed statement that he or she is licensed pursuant ro lhe provisions of the CoNractors License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of ihe Business and Professions Cotle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than fve huntlred dollars ($500).): ❑ I, as owner of lhe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWcture is not iNended or oHered for sale (Sec. 7044, 8usiness and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employees, Drovided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the pro0erry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business antl Professions Code: The wntractors License Law does not appy lo an owner of property who builtls or improves thereon, and who contracls for such prolect with a wniractor(s) license pursuant lo the CoMractors License Laws.). ❑ I am exempt under sec. Business and Pmfessions Code tor this reason: s -a i-�-o �z gnawra Date 3057J6 (3101) OwneriD velfied by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Venfication of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation fve (5) or more teet in deplh into which a person is required to descend, will be made in connection vrith vrork authorizetl hy this pertnit, and that no buildin8 structure, scaRolding, falsevrork, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from the Division of Industnal Safery, as noted above, unless such person has a permit to do such vrork from the division. Applicdnl's Signalure Oate Division of IntlusMal Safery Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Heallh and Safety Code requires, wilh some exceplions, that a Business Plan be filed with the Costa Mesa Fire Depariment by every Dusiness w�ich has at any one time during a reported year a quantiry of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressetl gas at standard temperaWre and pressure). 2. Does or will the applicant or present or future builtling occupant need to fle a registration form for acutety hazartlous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safery Code, with some exceplions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a Quantity of acutely hazardous matenals equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard IemperaNre and pressure). 3. Does or will the applicant or present or fuNre building occupant need lo prepare an RMPP (Risk Management and Prevention Program for aculety hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the California Heal�h and Sa(ery Code provides that Ihe Costa Mesa Fire Department may require the preparation, certification and filing with Ihe Fire DeDartment of an RMPP by bu5inesse5 whiCh are reqUiretl to register acutely hazardous materials with Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or future builtling occupant require for the work which is the subjeCt o( this applica[ion a permit (or such construction or modification from Ihe South Coast Air Quality Management District or from any other air polNtion control tlistrict or agency? ❑ Yes ❑ No (Section 658502 of the Calitomia Govemment Code requires Nat lhe requestetl information be lumished on applications for non-residential building pertnits). 6. WII any part of the (aciliry to be consWcted under this permit be wit�in 1000 fee� from ihe outer boundaries o( a school? ❑ Yes ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Sa(ery Code). 7. If a pertnit from the South Coast Air Qualiry Management District or other air pollution control tlistrict or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribetl by Califomia Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No B. (If'yes', attach certi�wte of compliance from ihe appropriale air pollulion conirol oKcer). CER7IFICATE OF COMPLIANCE: I certiy that under penalry of perjury the information given above is correct. I agree to compty with all state laws and ciry ordinances regarding Hazardous Materials antl Emissions. Signalure �ate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury lhat I have read this application antl state thal the information given is correct. I agree to comply with all state laws and ciry ordinances relating ro builtling consWction, and authorize representatives of the City of Costa Mesa to enter upon [he above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any Duilding authonzed by this permit until fnal inspection. iB�aW re ol Ovmer( Date 5-1a�2-��a AnElotAuthoriz tlAp imn� Oalo Block /Masonry Walls on Private Property Building Permit Application Submtt To DevelopmenT Services Department 77 Fair Drive, Costo Mesa CA 92626 (City Hall, 2nd Floor) � Complete Section A, OR Section B Section A Indicate Lengfh & Heighf oi Wall � IL,X fH) \ —•— •—•—•—•---.1 � a�a a� "� � Z � _ , �. a �� I y g 8 • x � � � "� I 8� — , v z � ! � 3 Properfy .�/ �� Intlicate Fronf Line /" Setback r��i� i ��-��r�i-i�a,��..-NING InteriorLot qppROVq� S b'°f CO8� Mesa Planning 1e�t to Buildfng Division R � Revlslon must be approv Section B Reouira� o.�,..._ .. .. . �YES --.....�� nn� NO Zoning Inspecfi rJYES O haKr/ par Indicate lengm & Height ot Fe� — (L) x _gy. ( � L._._._._._.J �ate. = I Pro{wsetlblockw�omv ' � � x • • x � Fiouse � � � _ p�o��y � � � Indicote Front Line Setbock FBEt 1 1-I' I'� i I' I'I-I - Comer Lof Note : See fences and walls handout fa sefback requiremenis. 32a1.a6 wh:e-Gry.1tGo.+�ApPGcan � Complete Section C, OR Section D Section C ❑ IHAVEobtalnedthefdlowingFbrtyWallAgreement: tt Is hereby agreetl fhot a parry wall wlll be con5hucieU on ttie property Ilne between (provlde addresses below). �o�/� G'ib�al�✓ 2,D�g Crl br�1�-ad In Costa Mesa. The party wall shall be permitted fo shadtlle ihe property line. The following paAles hwe entered Into fhls agreement. Property Owner Signature: ��"� PriniName: _ /v5 �� Address: ��7`�7�(7l(�l�' (C7�� .. - ..- • • • - II �vl�../[�1L.Li� • ►i , ��/il1/ .,,_ +� � �•:� �,� _ Section D ❑ I HAVE NOT oblalned a Parfy Wall Agreemeni: Attached are speclficatlons for a masonry wall to be COnshucted enllreN on my own properfy. Landowner Slgnature: _ Pont Name: _ Address: \� —. � -�� Costa Mesa City of Costa �I�lesa �uiCding 1�ivision 77 Fair Drive, Costa Mesa, CA 92626 714-754-5273/Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit # � ✓ Z ��" � Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. �1-�untlerstand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Buiid`eT building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable.and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. �2^I understand building permits are not required to be signed by property owners unless they are es` pons7ble for the construction and are'not hiring a licensed Contractor to assume this responsibility. �3. I untlerstand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that �I.may'protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �4. I understand Contractors are required by law to be licensed and bonded in California and to list their hcensanumbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and-the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �6> I untlerstand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. '�7=1 understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CA�gO Jan 1, 2009 OB Packet template 1 of 2 M-1' -8..1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable �for"any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal � venue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. �10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that.l'am the party legally and financially responsible for proposed construction activity at the following address: 1�. 1`. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by,all applicable laws and requirements that govern Owner-Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy-of the-pr,operty-owner'� 2driver_'s.license=form notarization, or other verification acceptable to the agency-is^iequired"t`o`be piesented when the permit is issued to verify the property owner's signature. �Signature of-property o te: �'�� a"��% Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. ,� �� I� Scope of Construction Project (or Description of Work)_ �'�� Project Location or Address: Name of Authorized Agent: �j �j�a(�"�% Address of Authorized Agent: Tel No �l �' �-Ld 2' � y/�% I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy o( the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. _ � , Property Owner's �:..�`._ �?'a� 'L'J�2� 3148-30 CALBO Jan 1, 2009 OB Packet template 2 Of 2 �I � / I�ONESSOFBNLqNG: 3074 GIHRALTAR AV �,,,EasN,wEiF�am:ARENSDORF, MICHAEL F ��53074SG�IBR'ALTERRAVE K OSTA MESA,CA 92626641-1453 �vv�.wiuNc �ooxEss: UNT: �xcxrtecr ox e��tn: uc. ra.: u�cx ow �o.�s woaew: uxr: ��s� COAST ROOTER 6 PLUMBING (714)241-1414 CWIFl�CTOk4YYl1NG 2737 S CRODDY �pE�SANTA ANA CA ��.: 529127 92704 urr: D LICENSEU COMNIICTOHS DECLAXATION: 1 hereEy aR'vm ander penely d peGury ihel I am Icensed uMer providona d Cheplm 9 (mmmendrp wilh SMion ]000) W Divivon a d iFe Buaimsa eM PMeaeione Codo, eM mY license' n lull rort� vM aMaq. cmuc.No.: 9514 � /uc.cuss:C-36 uc.No.: 127 E P: 06/98 ome�� Cl coimeaor OWNEfl BUIL�Efl DECIAHATION: 1 haeby alfirm uMer panelly af rj.iry ihet I em saemq hom IM Conlretlan Licenae Lew fa ihe �abw+iu �eeson (saabn 1w�s &n:b.. end vm�esslons Coda: Mr �+r a owmv whid� rea�� a va�a m mn.wc+. en>. imwwe. demd'oh, a reyei any st�uclure, pnor lo ds cauar�m, e6o requiras IM epplkant la u h paimil lo fib e aqmC etalemant Net M a sM . i��a q,�� io me a�.�«�. a ina cooveao� u�va Lew [Cheqer 9(mmmena�q xilh Setlun )000) d DNeion 3 d iM duaineae aM PrMmauna Cade� ar Ihet ha m ehe ia axamq iharehom enE Ihe bavia la IM elbgatl mempian. My vide�ion d Sed'an ]031.5 by e�ry eppimnt lor e parmil +ubjetla IM epplicaM to e avil panely d m� mae �hen live hurdred dollere �5500j�. ❑ I, ea ovmer oi the O��Y or my empbyeae wRh wegea m Iha'e eale mmpenaetion, xill do �ha wwk, end the evucture u nd intendeJ a ollereE fa eab (Seciion )OaO. Buvreee end Prdesaions COEe: TM Comrenon License law Eoes nW eppyto en owner o/ proparly .no wdas or imwo.re. me,em, ene wno aoae euch �ax �:m�on «nenen a mraron na a n�. �.mWwea•, w�+aaa mm sucn imprwameMs ere mt imendeJ or ollaaC Iw aeb. H, however, tha Witlieq a inpoveme�u u add wnhin me yeer d mm0leiion. iM owror-buikbr will heve the Wrden W qwinp M a slie dq � build w impmve la IM p�ryme of aele�. � 1. m owner d IM pmpMy. em udmrely con�re[lip xiN IicenseE wn�ra[�on b conWud Ne piqad (�� )�. �sineee erW r�or.�. coea: rn> wm�.ea. �eao� �. eo� m ewn w„� o.,w a wwsnv wno w�m a �mwo+.. �na.o� ,�d .�no mnire�v �« .udi w4«fs wnn e cono.e«I.1 ��osee wn�� o ue comeeaon licane Lewl. � I em ezemp uMer Sadion'. B. 8 P.C., M Nc emaon: Dete: Umer: i eo nercM wnM me� i em awme d e�d ��a.re�d me rea��<w a ce��an,ie Heenn e�,e sme�v coae s<aone zssos. zssaa, ena 25534, enE ihet I or eny Mure builEinB �Pa^� ��I / wil na (arcb one) naed to comply wih uid a�eta codee ard tM reyuiremmb M epeimnlwconewc�bnamotlif�aionhwntMRv ue-GTy7ianepemenlDiatrid.ReeiCenlialeonslrud'nnepD��iomveeRemqimn�hesa o�e: WONKER'S COMVENS�TION DELLAFATION: I Mreby effimi uMv pxuXy d perjury one d Na fdbwieq detlerm'vn: � IM1e�avdwilmeiMenecMCratadouuenlloseMinwrtlav.pkde'compenWon.mpwidedtabySetlion3)OOdtMlabv coe.. i« ma rort«�a d m..on� ia w:�n mg o�n s m�.d. �J � nev. ene vri� meiman wM.n� mmro�� renca. a, rw��rea M s.aion alao a uie Lmo. cod.. b �ne wdwmence a �ne ,.�i«..n�mo�nba.�,ea.Mrw«kanMI�D� CEt�i��,��Um��: EXPIRES c�«: Pa�� ,�m,,,: O 1/ O S/ 9 9 �mb sxr�on naee nm ea comnbree a nre v�a u ro, wa n��d,ad dwbrs Is�ool w resa.l � I mrl/y Uul in iM pMwme�we d IM xrork br whch thia pertnn is ivaued, I ahdl m� amploy eny pemn in any menner eo m lo baeome subl� ta tM workaes' eompeneation kwa W Celilomie. eM tAet il I sh M become eubjeq lo �M wakan' compansa n provisi e ol �S{atlion 3)00 W the lebor Code. I ahell l ' py ' /��^sona. Dete: �/ Md� j / / Wamlip:Fellunroaacurowo'ken'nrtpewtlonrorereysl� t.�cwn.�e��,�.,�,�ar..ro�Nmwn..�.ro...�w clrll IIMs 1q ro wp hurtlietl lMuvM ddYn (S1pq000), M s0aldon b M� cest ol comesn�etbM1 Gm�pu u poNtls! br /n Sectlon J105 0/ fM 6nborCode, InNnst, uM elromsy's less. CONSTqUC110N LENDINO PGENCY: I Mreby eifirm uritler paneMy d perM'Y �� a e conatrudion bMirp epercy br tM �1BI�0lT911CB O�IhB MVf�t�OfYr}IlChlh6 pB1Ri1 19 49YB��$BCIAM 3D3l.CN.{�i�. LENOEfl'S NAME: LENDEP'S ADDXESS: 1 cenM �het I heve reed thia epplceiim eM e�ele �Mt �he ebove inlamation is mrted. I pree to mmpy wnh ell �ty arM counry adinencea anE atete lews relating to W ilEvq coneUudim eeE hareby aNhwrsa repesemauvee d iho dly b anter upon iha ebwa-men�ioned propary �°`��'P"'"°°"`°°�JOSH GLOVER � Dm�� '' �- -.�.---•�--- °__.�__.___. (5151-48.WP) Whne-Buildiip 8 Selety: Greeo-Fle; Cenary-AppYrant; Pink-Ravenue; GdEenroFAeavaor CITY OF.COSTA MESA — BUILDING PERMIT PERMIT NO: P 087421 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU � B �oo RM NO: P 087421 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : WATER HEATER CHANGE—OUT SQ FT; CLAZM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT ******�r�t�c***+t+t*+t****x�tx*****x�***�+t*�t+r+�+t�c+c*�*****�*+t***�t+��c*******+t�t+�*x�*�t******x* Z O N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT SN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ; PROV: PARCEL: 13918504 ZNE: REF NO: PLANNING NOTES> i 1f ik it ik iF 1F 1E fE �F 1E 1E iE iE 1E iE iE 1k fF iF if IElE iF i!!E iF if !E iF if 161F 1F iE iE iF iE 1f 1E 1E �F 1k 1E 1t 1k �F iE if iF if if iE 1t iE M�E �ElE 1k iF if iE iE df iE iE iE 1F iFlf !F �lk * 1E 1f 1F dF ik i! D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 3 23�� 1E if if 1E 1k iE ik iE it 1F it i4'lE iE iE 1F if it iF iF iE iE i6 iE 1f iE �l(�'% 1E 3E')k �ki��'1E iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11,00 25� SMIP/NON—RES PLAN ISSUE FEE 22,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECFC TOTAL PAID DUE TOTALS----> 11.00 22.00 0.00 33.00 33.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 33.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 iF if iE if iE 1f i! jk 1f iE iE jE iE * 1f 1E �E jf if iF iE iE iE 1E iE iE iE �E �E 1f !E if iE iE ik i! ik iE iE if if 1E iF ik 1E k�E 1E iF ik iE 3FiF if iF if ik iE iE �F iE if iE iE 1E iE af if iE aE �)F ik iE iE iE if iE ik iE I N D I V Z D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR C�ENT 11.00 11.00 END OF FEES EX��E�,D DATE J--'� A3-23-1998/03:53 Pn/533.80 PERMITRT08742i CONSTRUCTION AN� PLANNING POO� .� SPA APPROVAI.S Permit # � Date inspector qppROVAIS Permit # Date Inspector 1. Temporary EleCtricai Service or Pole 52. Pool & Equipmeni Location 2. Soil Pipe-Undrgmd. - 53. 5teel Reinforcement � ��3. Electricai Conduit.Utility�Undrgrnd. 54. Forms 4. Electrical Cond�it•Undrgrnd. 55. Electrical Bonding .5. Steel Reinfarcement � 56. flough Ptumbing & Pressure Test 6. :Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE • 7. Footings 58. Eloctrical Conduiz�Undrgrnd. : 8. Foundation . 59. Gas Pipe, l3 Undrgrnd., Test ', 9. Water Pipe-Undrgrnd.-' 60. Backwash l.ines, P-Trap, L� Undrgrnd. 10. Structural Floor Svstem . 67. APPROVAL TQ DECK 71 . Property Sewet��ine & House Con'nection 62. Backwash & Receptor-Final . � . 72. Sewer Cap �. '. � 63. Heater & Vent�Final � 13. Roof Drains , 64. Plumbing System � Pinal 14. Rough Plumbing . � � 65. Electricai-Final 15. Rough Electrical-Conduii 66. Soiar System-Final � 16. Rough Electric Wiring 67. Feocing & Access.ApProval � � 17. Rough Wiring S�gn _ - � 68. APPROVED FOR PLASTERING � 18. Rough Electrica�-T Bar Ceiling 69. POOL/SPR SYSTEMS FINA� � � 79. Rough Heating & Air Conditioning �� . FIRE DEPT'REQUIREMENT i 20._ Rough Factor'y F�reptace - �� APPR�VALS , Permit #� 21:.DuCts, irt-Structure .' = � � � 70. Underground Hydro 22. Ducts, Ventiiating� � � '" ' �� " 77, Producc P)ping O Gas D Oil - 23. Gas Pi e,Rou�h RrTest - ' � �� - �` � . P 9 ��_, * 72. Underground Plush , 24. Roof Framing �; _ '� . � _ ' : 73. Undergrnd.StorayeTank OGas ❑Oil 25. Roof Sheathing '�. : � � �J. 74, Overhead Hydro 26. T-Bar Ceiiing (5trFlctural) & Monocoat - ' ` �' }5. �ry Chemical - . t` 27. Frame and Flashing, ""i � 76. Dry Standpipe ��• _ ,� . � 28. �athing & Siding , �� . ' � 77. FIXED SYSTEM FINAL ' � � � � . .. 29. Insulation � ' • �- �' + �8. FIRE PREV. F.iNAL - - 30. Drywall Nailing ' - ' �' -, iHEALTN DEPT. REQUIREMENT - 37. Plaster Brown Goat, 79. FINAL�INSPECTION ' 32. Electrical.Power Me2erFinal 80. FOOD CERTIFiCATE�ISSUED - � - - : �:�i ; : . c� i 33. Final Electric � � , , . •� ' Notes; _� ;;j:�� r - 34..Final Heating'& AirConditioning - � ' . � � _ 35. Final Gas Pipe-Test . � . �" , - , -, .. - 36. Hood or CanopY � - • - � � - � � 37. Fina! Factory �ir'epi,ace ' _; . ' . , r � 38. Final Piumbing ' . I �.��' ' : ' , -, 39. Water Service-Final � • � � _ i 40. Gas Service-Finai ., � ' . , • �, � � ' 41. Solar pomestirFi�al � � - 42. Backflow Preventer .. , - . �43. Backflow Irri9ation � ' � - `'44. Landscape Irrigation System � * � �. . . � . . .. � - 45.-Sound Attenuation , . ' ' - � ' �"' 46. HandicapRegulations � : .;, � ; � 47.� FINAL STRUCTURE & BUILDING ' � ' -' . �� `� 48. FINALPIANNING � _ • , - . --49. Eiectric Reteasa to Edison ' • ' -' � . y. 5Q. Gas Release to Soufhem Califomia Gas Ca - 51. CEiiTIFICATE OF OCCUPANCY No. Date -OWtvER • hfesa Verde Estates � DATE �'31-58 ]OB ADDRESS Gib altar BUILDING PERMIT NO. 83�13 GENERAL CONTRACTOR T. _(; _ Rnhi nann VALUE S 1 n 2•� AP. No. LOT YQtj TRACT C'`"�UP 7&J 1'YPE IhaPECTIONS coat DA,SCRIPTION OF WORK AZ P�.AN DATE I 8U8CONTRACTOR I DATE Res. & Att. NU .� - ` u:��`> C�STA MESA BUILDING DEPARTMENT • P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN aooRe�ss 307k Gibreltar �'� � OWNER COSTA MESA. CALIFORNIA Y(V1 OOetB EG088 ARCHITECT OR f 'NEER ADDRE55 1701 Gisler �[cw� LOT DESCwIPtION NO. lOS A.P. NO. ,. , i4s.11�..BL�... � J�i� 5 ��., � (��'�.',�;�t ��g�. �,�i, � ,^C.c. ..�_�y .,... �.� , ... .. APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. FCGti�LW rNo:gi. 5-1751 pDD EI55 N�o.(;-2170 COSTA MESA. CAIIFORNIA C�TV LIC. � '-.. NO. rN�' %1 5-1751 BPPROVED NO.OF BLOGS. USE OF E%ISTING BLOG. SETBACN LINE FFOM c[Nr[A oF siaEEi SO� r.11U8 REAR YAR�O � SIDE YARD RIGHT �py� LEFTI�[JyUB DESCRIPTION OF WORK NEW p ALTERATION qDDITION REPAIR MOVING OEMOLISH BUILDING 1578 Sq.Fti• ROOMS / STORIE51 SIZE E%TERIOR WALL ROOF COVERING AtlyCCO COVERING �� BUELDFNGEWRBSSd2ISCe & AtbBchCd STRTE TXiT TNE FBOVE I$ CORRECT RND FGRtE1�E TO COMPI CITY OFDIN<NCE$ FNp STATE �4 T RO LII,V��LOING "°" L GRAN 4 SIGNATURE OF 84ii SOU7WMADRE 5T. PERMITTEE ' noN1A ]:lY]�.: L' OATE CORRECTIONS ♦LL mc- VALUATION Q.� � PERMrt FEE $ �S^ / PLAN CHECK S � 7- 1� /�S ��, �v6�• TOTAL FEE S S�. S C) v°A°