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Home My WebLink About793 GRAYLING BAY - Building PermitsO e � > � -- V �`a+w.�,�,'�`` (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA , BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 793 GRAYLINGBAY Suite: Vicinity: Parcel Nunmber: 93768052 Applicant: RICE,BOB Address: L. 0.�t�� oi ^�j�'.� Owner: -�F9�E�MIfS �� Address DIETZ, KING LENA COSTA MESA,CA 793 GR4YLING BAY Contractor. Address: Zip: Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: ' Phone: 949-574-5682 Zip: Phone: Zip: 92626 Phone: License: � Eng: Address: SCOPE OF PERMIT REPAIR DAMAGED HANGER AT CENTER POST ON SECOND FLOOR DECK. Plan Check: Permit SMIP Res: SMIP Com: Other: Inspection: Total: 50.00 $34.75 $0.50 $0.00 $0.00 $0.00 $35.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0. 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 . .. pEqM�� Eq ` V 898-02260 77 FAIFi DRIVE, COSTA MESA, CA 92626 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 12/17/1998 Issued: 12/17/1998 Phone: License: st,000.00 ai,000.00 EXPIHATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requfred inapectiona and flnal epprovel must ba obtained. Failure to obtain inspections and final approval will resul� in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARA710N: _ I horoby eHirm untlar penalty of perJury one ol the lollowing declerations: ❑ I have end will maintain a certificata oi consent to setl-Insure for workers' compansation, es pmvided tor by section 3700 of the Labor Cotle, for the pertormance of Ihe work for w�ich this permit is iuued. ❑ I heve end will meintain workers' compensation insurance, es requiretl by section 3700 oi �he Lebor Code, for the pedortnance ot Ihe work for which this pertnit is issued. My workers' compensation Insurance cartier end policy number are: Cerrier: Policy Number: (Thls section need not be comp/eted i/ Ihe permif is velued et one huntlretl tlollare (3100) or /essJ ❑ I certily that in Ihe performance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as to hecome subject to the workers' compensation laws of Celifomia, antl agree thet If I should bewme subject to ihe workers' compensation proNsions of Section 3700 of Ihe Lebor Catle, I shall lorthwith comply wit� I�esa provisions. Applirant Signeture: Date: WARNINO: FAILURE TO SECURE WORKEPS' CAMPENSATION CqVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINPL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAi7E (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST. AND FTTORNEV'S FEES. LICENSEU CONTRACTORS DECLARATION: I hereby eHirm thet I em licensed undar provisions of Chepter 9(commencing with Section 7000) ol DiWslon 3 ot Ihe Business end Protessior�s Code, an0 my license is in fuil force and eHect. Lic. u Class q Comroctofs Signature: Da�e: CONSTRUCTION IENDING AGENCY: ❑ I hereby aHirm ihat ihere is a consiruction lending egency lor tha pertortnance of ihe work for which Ihis permit is issuetl. (Sec. 3097, Civil Code). LentleYs Name: Lendefs Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: 1 here6y ettirtn thet under penairy of perjury thet I am EXEMP7 FROM 7HE CONTRACTORS LICENSE lAW tor the followinq reason (Sec. 7031.5, Business end Professlons Coda: Any ciry or counry whic� requires a permit ro construci, alter, Improve, demolish, or repelr any sirucNre, prior to its issuance, elso requires the eppllcant tor such permit to lile a slgned statement Ihat he or she Is licensed pursuent to Ihe pmvisions af the Comrectors License Law (Chapter 9(cammencing with Section 7000) ot Division 3 ot the Business end Prolessions Code) or that he or she Is exempt therefrom and t�e basis tor the alleged exempiion. Any violatlon of Section 7031.5 by any applicant for a pertnit sub�ects the epplicent to e civd penalry ol not more t�an five hundred dollers ($500).): ❑ I, es owner of the property, or my employees wlih weges es Iheir sole compensation, WILL DO THE WORK, an0 ihe structure is not intended or oMered for sele (Sec. 7044, Business entl Professions Code: The Contrectors License Lew does not apply fo en owner of propeny who builds or improves thereon, and w�o tloes such work himsell or �ereelt or through his or her own employees, proWOetl that such improvements ere noI Intended or oMered tor sale. If, however, �he bullding or improvement is sold withln one year ot completion, the owner-builder will have the 6urden af proving that ha or she Altl not bulld or improve for purpose ol sele.). ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnsiruct �he prqect (Sec. 7044, Business antl Profeuions Cotle: The contractors License Law does not apply to en owner of pmperty who builtls or improves thereon, and who coNrects for such project wlih e coniractor(s) liCenSe pursuant to Ihe Contractors LiCense Laws.). ❑ I em axempt under sec. Signature: Ownar ID varified by dnvers license. ❑ Yes ❑ No Bu51ne55 and Professi0n5 Cotle tOr IhiS reeson: Vedfication ol Ownershlp by (rype ot documam, i.e. - property tax 6iil or tleetl): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFEN PERMR CERTIFICATION: ❑ I hereCy cenity that no excavation five (5) or more teet in depth into which a person is reQulred to descend, will be mede In connectlon with work euthodzed by this permit, entl ihet no 6uilding structure, sceHolding, falsework, or demolition or dismanlling thereol, will be more then ihirry-siz (36) faet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Celifomia Atlministrativa Cade). ❑ As ownerbulltler, I will not employ anyone to do work which would require a permit trom Ihe Division ot Industdel Safery, as noted ebove, unless such person hes a pertnit to do such work from �he Givision. Signeture: Date: Division of Industrial Satery Pertnit Number. CERi1FlCATE OF COMPLIANCE AND AUTHORVJITION OF ENTRY: I certify under penelry of perjury ihei I heve reatl ihis application and sia�e thei the informa�ion given is correct I egree lo comply with all state laws and ciry ordinances relating to building construction, end authorize representatives ot ihe Ciry ot Coste Mesa to enter upon the above-descnbed property tor inspection Ouryoses. I agree nol to occupy or allow occupanty ot any building authorizetl by t�is pertnit until tinal inspection. COOE � INSPECTIONTYYE PA1E II{{�AL4 1616 Fizetl System Final Fire Prevention 1266 200 201 202 203 204 2d4Fd6 Pool Spe Finel Finel Re-Roat � Finel BIaWRetaining Wall Finel Fectory Fire Plece Final Sign Final Demolition COOE� INSPECTONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Eleclrical 212 Final Fira Prevention 220 Finel Plenning Approval 222 Final Site 250 Final Builtling/Occupancy �� L/ Applicant to fill In all ipaeei except ihose wit�in heavy EorGer Ilnes antl sign a11 a0vropriate Oeclarations. CITYOF COSTA11�p� __ C STRU TION PE IT Project Address � Applicant's Mailin Address I • �?.rt�l'M A � � Owner'sName _ Phone4��. Address � V - — Arch/Eng. License No. Address ^ 1 Convacmr's Name one Address (ma i��9� �'� � ,` Q Ciry License Na. ' �2� y LICENSED CONTRACTOR DECLARATION I hereby af�i�m t�at I am lirensetl untler provi5ion5 0� Chartei 9(commenGing with SecliOn 7000) of Oivy' �on 3 of tM1e Buslness antl PrOfesslons de, anG my license is in tuu (orce �a etr�eJl ��/ L�4 � Date�� S19nature WORK RS' COM E SATION OECLAR T 1 nereby affirm [hat I have a certiticate of consent lo sel4i ur¢ or a cerNficate '/ Wo�ke�s' Com sation Insu�ance, or d<ert � tl cOPy reof 0ction 800, Ldb. ♦�� / Volicy No. � �� bMpany � ,0 Certif copy'sherebyfurnishetl. f�'�er[ �Y � Y��ith the ci[Y B� Y '/ Date Y Applicant � EXEMPTI N F OM WORKERS' COMPENSATION DECL ATION (This seclion neetl no� be com0�etetl it [he permit Is �o� one ntl�etl ($100) or less). 1 cerii(y that In the performance ot the wo�k for which lhis pe�mR is i55uetl, I shall not employ any person In any manner so as to become subject to the Workers' Compen5dtion Laws of Cali(ornia. Date Si9nature NOTICE: If, afler makin9 this tleclaration, you shoultl become subject to [he Workers' Comp¢n5ation provision5 O( Ihe 12bot Cotle, y0u mus[ �or[hwlth tomply with sucn provlsions or tnis permlt shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby alflrm that there Is a construction lentling agen<y for the performance of the work tor which this permit Is issuetl (Sectlon 3097 Civ. CJ tPntler'S Name Lentler's Atltlress OWNER BUILOER DECLARATION I nereby affirm lhat I am ezem0� Trom the Contractor's License Law for the followin9 reason (Section ]031.5 Business antl Professional CoCe: Any clty or county wltich requires a permit to construct, alter, improva, tlemollsn or repair any ztrutWre, prior to its issuance, also requlres lhe applicant for such permit Io lile a zignetl Stat¢ment that he/zhe is licensetl pursuant t0 the p�ovi5ion5 oi Ihe Contractor'S Llcense Law (Chapter 9(commencing with Section �000) of Division 3 of the Business ana Professions Coae) or lhat ne/she iz exempt .,�,�erefrom antl the Dasis (or-the alle9etl exemption. Any vlolalion of Section _:�.4'031.5 by any applitant tor a pe�mlt sub�ect5 Iha applicant to a civil ,-:.ienalty ot no[ more than five huntlretl tlollars (5500). •0 I, as owne� o( the p�operty o� my employees with wdg¢5 as their sole CompensatiOn, will tlo lha wOrk, antl the structure is n0[ in[entletl o� otferetl for sale (Section 7044. Busine55 antl Professional Cotle: The Contracfor'S LiCenSe I�w tloes not apply to an owner of a property who bWltls or Imp�oves thereon, antl who tloes such work himselt/herseli or through his or her own empluyees, provitletl that such improvem¢nts ar¢ n0[ Intentletl or otferetl (or �� Salc. If, hOweveq tne builtling or improvement is soltl wl[nin one year of com- pletion, ine owner will M1ave the burtlen of proving he%she tlitl not builtl or Im- �rove for the purpose of sale). - I, as owner of the property, am exclusivaly contracting with Ilcensetl con- tractorsto construct tne project (Section ]044, Buslness antl Professions Cotle: The Contracror'S License law tloes mt apply to an owner of property wno builtls or improves ehereon. antl who contracts for such oroiects witn a r.on- traclor(s) Lttnse pursuani to me Conva<eor's License L.aw). I am aware tnat proo/ o( thei� Wotker's Compensation insurance ihoultl be provltl¢tl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I nereby certity that 1 ha ea� in/ormafion Is mrracL I a ee Sentatives OI this �i InSDattion purposes. Signdture Driverz' License or 55 � 0865-46,�ev. 5/88 �E OF CONSTRUCTION L1 NEW U ADD U ALTERATION LJ REPAIR � CONVERSION ❑ DEMOLISH O DE�SCRIPTION,OP WOflK[L1,9�F BLDC � I TVPE OF PERMIT LJ GRAOING LI FOUNDATION IJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL ❑ OTHER PRWECT DESCRIPTION Sq. FT. oCCUVArvCv— CONSTRUCTION TVPE VALUATION $ ZONE GRAD�NG CU. VOS. ACRES_ Remarks: T� �� Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Servic.e Outlets Interceptors - Kitchen Sink � Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duc[ - Structurel Duct - Ventilating Exhaust System ❑ Multiple FirepVFacc Blt. ICBO dk Heating System & Ducting ❑6100,000 BTU �100.000 Reinspection Fee � S75 White - Builtlin9; Canary - Applicant; Pink - Accountin9: Golaenrotl - AsSessor $hoWers Service Sink Sewer Cap Sewer Connection Solar Collec[ors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel' ❑ Canopy Typell ❑ i�e�fri eration System 'J'6100,OOOBTU ❑100,000 System Fiepair/Alteration Fire Dampers � Issue Fee FEES A.P. # S Main Buildi E T Front B Rear A C Right S . Left Ping, Ref. #` Planning Notes: Zone Accessory Building: Parking Feq,/Provided ELECTRICAI � Automatic Washer Transformer � 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Uni[ Merer �up to 100 amps Dishwasher Meter ❑over100amps Dryers OGas ❑Electric Sub Panel Fan Motors 047 HP � 1 S- 8 F.A.U. - Ina Solar �9-75 HP �16-15+ Fixtures Microwave Device BoxeS Pole Light Outle[s Range Switches Sign ' Garbage Disposal Standing Sections Generator 00.5 KW �575 KW Tresh Compactor FEES Reinspection Fee $15 laue Fee $ 3 S 3 DEVELOPMENTSEHVICESREQUIREMENTS: Zoninp Approved By Date FEES Building Approvad By Date � d Application Issued By Da2 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ - PLAN CHECK $ PERMIT J PLUMBING $ ISSUANCE $' PLAN CHECK 25% $ ENERGV P.C. $ ELECTFiICAL $ GRADING $ P�ANCHECK 50% $ MICROFiLM $ a� MECHANICAL $ z4'�� TOTALFEE $ �T'�J PLAN CHECK 25% $ � � N I N G R E � M T S. oi 000laoso-000�4oso �ot a{,00 DATE: L9/08l88 TII1E: 15:54 CONSTRUCTION ANDPLANNING ' X POO� oPA APPROVALS Permit# Date Inspector qpPROVALS Permit# Date Inspector t. Temporary Electrical Service or Pole '" .. 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. �' ,_ 53. Steel Reinforcement (��3= Electrical Conduit Utility-Undrgrnd, �'= 54. Forms ' (4.'Electriczl Conduii-Undrgrnd. � � ' 55. Electrical Bonding ' �. � ' , 5. Steel�Reinforcement -� .� - 56. Rough Plumbing & Pressure Test � , � � „6.'ElectricalUFER.Grnd. , 57. APPROVALTOCOVER-GUNITE - � �. . .• i � q! Footing5 ,� �� " 58. Electrical Conduit-Undrgrnd. , � ,8� Foundation , ; - � � � %�� 59. Gas Pipe, O Undrgrnd., Test � 9� Water Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, O Undrgmd. i !,�"" 10�1Strucwral Fioor System � 61. APPROVAL TO DECK 1if.;Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � ' r.., • 1�Sewer CSp - � 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! Fough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bar Ceiling 69. POOUSPA 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 & Test 72. Underground Flush i ' 24. Roof Freming . 73. Undergrnd.StorageTank �Gas ❑Oil: 25. Roof�Sheathing 74. Overhead Hydro = i 26. T-Bsr'Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Framear�d Flashing 76. Dry Standpipe 28. Lathirig & 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 80. FOOD CERTIFICATE ISSUED �� , 33. Final Electric Notes: , 34. Final Heating & Air Conditioning ��y�Y� (,£/� 35. Final Ga5 Pipe-Test 36. Hood or Canopy 37. Final FaCtory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final � I 41. Solar pomestic-Final 42. 8ackflow Preventer ' 43. BackfloW Irrigation A4. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Sper.ial Requirements Completed � 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY . No. � Date . � F � 4 a h y F G F Q c :� a > � � � w a O a L z W `S' 3 � �.iu C� ra Yltwq 8,a+i+ 775, 7� 79, 8; B,� 8SQ7, 8 9, �I �i y3� 959� 91 Bo � � � COSTAMESABUILDI G-��TSD�AfiTMENT�a3�2�PL� 2�� $FORS'fRUCNRALPERMIT2�� P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 �E�� I PE MIT� �Q � For Applicant to Fill in Completely — Use Ink Only 7 ADIDRESS Tract 10626 � A'P' N�' ITI�v �'�V � Q '�' T1Z �(�1 Z BUILDING 1'N �' / S °ENqry �R M.D. Janes Co., IiIC. ADDRE55 � i. VNIT 017 ADDRE55 2950 Airway Ave. , D-9 SPACE NO. TR.N�O�� LOT BLK. ciTv Costa Mesa No�979-3376 CONSTRUCiION NEW ADD LTER REPAIR MOVING DEMOLISH LENDER NOt selected ✓ /\ BPANCH N/A OWNER ADDRESS N/A VALUE ARCHITECT TEL. USE S ORENGINEER Danielian b E�SSOC. N - Ff� � ADDFESS .3H�iH CdID llS DL. N.B. ZONE TVPE GROUP APPflO V ED CONTiiACTOR owner BV �ATE ADORESS 8 TEL. CITV A NO. e STATE CITV APPROVEDSETBACKS LIC. NO. e LIC. NO. B SI2E � � NO.OF BLOGS. (FfiOM C/L STREET) OF LOT SSO x 334 NOW ON LOT e FROM FT. USE OF EXISfING BLDG. N A I Separate permits are required for L. SIDE electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WOIiK TO BE PERFORMED PLANNING ACTION .� 4 �- rr � 7q -0 A APPROVED Z 2b l � �,, ,�Ro� � ' .?-!5'-7 I heraby acknowledge t�et 1 have reatl this applicetion antl stete tha[ the above info�mation is correct and aprae to comply wiffi ell laws re0ulating builtling construction, antl I shall not employ any person in violation of the workman's compensation laws of the State ot California. I �ereby certify that I am proDerly licensetl as a coniracior unEer ' � SQ. FT. the State of California Busin¢ss and Professions Code, Division 3, THE AMpVNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses ere in full force entl effect, or i THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: am exempt trom t provisions of ihe $tata of Calitornia Business and Professions Co e, Divi '➢n 3, Chaptar 9. �/+LUATION PERMIT FEE E � PLAN CHECK E � � Signature of 5 �� M �J Permittae �'s/U TAX y Q/�m ! n AuthorizedAg _ D e HIL%�J9 / TOTALPAID $ 7 ;7 � T: m \N � �m � e Y \ n n � n 0 F�U t. F � {sl a a H H T F G W F Q L1 :] Q i i` J C W a 0 � a z w Z 3 fl�� • COSTA MESA BUILDINGSAFETY DEPARTMEI�Y"�� pPPLICATION EOR.STRU�C'I'URAL PERIv11T: „�.; P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 �» "�' ' == ' � � ` ' ' RECEIVEDBV PERMIT For Applicant to Fill in Completely — Use Ink Only BUILDIN�� /D /� / � q,V. NO. ADDRESS ( (0 (O BU�LDING OWNER OR ADDRESS TENANT MAIL�NG UNIT OR ADDRE55 SPACE NO. TR.NO. LOT BLK. CITV �\ TEL. NO. ��RU� N NEW ADD ALTER FEPAIR MOVING DEMOL�SH LENDER BRANC OW NER ADD ESS VALUE ARC ITEC TEL. USE E OR E GINEER ADD SS ZONE TVPE GROUP APP lz �� 7 CONTRACTOR BV DATE ADDRESS TEL. CITV NO. STATE CITV NPPROVEDSETBACKS LIC. NO. LIC. NO. SI2E NO.OF BLDGS. (FROM C/L STREET) OF LOT � NOW ON LOT M FT. USE OF E%IS7'ING BLOG Separate permits are required for L SIDE FT. electric, plumbing and heating work. REAR FT. VSE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION DATE APPROVED APPROVED I �ereby acknowletlBe thet 1 have �eetl this appllcatlon entl stnta n' that tha above intormation is cOr�ect antl ep�ea t0 tOmply with all laws reBulatin8 builtlinp cons[ruaion, and 1 shall nm amplov any perwn in violetion of the workmen'a compensation laws of m Me Stata of Califomia, m 1 �eraby certlfy thet I em properly Iicansetl as a eonttector �ntler SQ. FT. �`+ tha State ot Californie Business antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, entl the auch li enses are In full torta antl affect, or 1 THE PVRPOSE OF 6TABLI6HING A PERMR FEE NLY: � am exempt irom e prov' ions of t�a Stete of CallforNa Busineu VAlUAT10N PERMIT FEE 5!b ,D d antl Protessions , D� islon 3, Chepter 9. u� n AN CHECK j ^ SiB^eture ot o � LL Permittae TAX S f or u Authorizetl A n ate TOTAL PAID S lO a