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Home My WebLink About595 GRAND HAVEN CIR - Building PermitsMESA-BERGER C0. THRIFT CORNER P. O. Box 855 Llaenir 8�3548 1�/O Ep$T ��JTH BTREET COSTA ME9A CALIFONNIA August 25, 1965 City of Costa Mesa Building Department City Hall 695 West 19th Street Costa Mesa, California Re: Lot 11 Tract 5698 Gentlemen: We wish to notiiy your office that the garage at the above captioned lot is being used as a sales office. Therefore, it does not have a one-hour fire wall at the present time. Before the house is occupied, we intend to complete the garage according to building code standards and will call for re-inspection at that time. /cvl Very truly yours, MESA-BERGER C0. ��-�s'� �� Patrick Healey � March 1, 1973 To Whom It M�y Concern: 4!o ieaued permit �r 35�1 to legalize a bathroom at 595 Graad Haven Circle. We have not been requeate8 to make aqy inspections nor have we made atly iaepections. RICfIARD HANHART IyIRECPOR OF BUIL17I2�`i SAFETY NAM1fE. ADDRF.SS AND TELEPHONE NUM1IBEN OF A'I"I'OflNF:Y(S) ROBERT L. SASSONE Attorney at Law 900 N. Broadway, Ste. 725 Santa Ana, California 92701 (714) 547-5611 ATTORNEY�)FOR Plaintiffs SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF ORANGE KENNETH HOUGHTON, et al., Plainli(t(s) vs SP�NCER M. CRUMP, JR., �t al., Defendant(s) CASG NUMl3M;Ii 200162 SU��E�� Duces Tecum �rE�E �Fo��e or �rE�E sT,�TE or c��roE��i��, V'.�R.t� BLUM, Senior �lectrical Inspector, Building Safety Department 'I'o .......................................................................................................................................................................................................................................................... for the City of Costa Mesa, 77 Fair Drive, Costa i•tesa, California 1'OU ARE CObI\IAA'DED to appear and attend a sessio❑ ot the above entitled court to be held December 12 1973 9•00 a of Department 1 on..........................................t................................. nt........�.............. , m., �n the courtroom................................................................................... ��PTEI (TIME) IOF OEPqPTMENT NO.. IF.�NV) 700 Civic Center Drive t4est , Santa Ana ofsnid court, at ............................__.................................................................... �n the city of .........................................._...._............................, (TXE COVPTX0115E� OR ST4TE OTNEP LOCfTION OF TXE COUXT)� plaintiffs California, then and there to testify as n witness produced by the ................:..._................................................................ in the above cntilled �ction, now pending in said COLI'L (P�AINTIFF/DEFENORNT� 1'OU ARE I'UR7'HER NEQUIRED to bring with you and produce, at said time and place, the books, papers and documents or other things in your possession or under your control, described in the copy of the decla- retion Eor this subpoena duces tecum on the reverse hereof, which is incorporated herein by reference. Disobedience [o this subpoena may be punished as n contempt by the above-entitled Court, nnd for such disobedience you will also forEeitthe party aggrieved the sum of one hundred dollars (S100.00)and nll damages which such party may sustain b} vouriailure [o a[[end as hcreinabove required. aVRT.O��. g`�� ^ � � G r". � _ '•-''"G��` J�%j% � 0�:• ++ �••:� � � •' q ..:: �:O �L�r%'�'�. � � W°►�� k'� WILLIAAf E. ST OHN 7�'•�� 1Y��'�`Z Count Clerk ,�nd Clerk o( the .Su erior Court of the s'' f�••'�'C State oI Calilornia, in and for the�Count of Oran e pa;...........P. Y g "I'RUS'I' UEPOSI'I' G'OR APPE.ARANCL OF NI'I'NGSS 8 .................................................. AS PER REC�IP'1' NO............................... DA�I�F. WILLIAM E. ST JOHN, Gerk By.................................._........................_................................................, DEPU9'1' THIS SUBPOE�\'A IS VAI_ID IF SERVLD UPO�\' A �HESIBLR OF THE CAIJFORNIA HIGHWAY PATROL, A SHERIFF, DEPUTY SHERIFF, AIARSHAL, DEPUT}' dIARSIIAL, OR A CITY POI.IC!'vtirlN IVIfEN RFQUIRED TO ATTEND PURSUANT TO SFCTIONS G8097.1 ro 68097.4 LVCLUSIVE, GOVERN�NE��'T CODL ONLY WHH�\' TRUST OFPOSIT FOR APPEARANCE ENDORSED ABOVE. � FOi82-10.0 SUI3POE\:1 Uucr.s Tecum DECLAR:�'I'10\ FOR SUIiPOE\A UUCES '1'ECUi�t STA"fE 01� CrU.I1�OH\9;\. COIJNTI' OF ORr\1CG "I'6e undersigned st.�tes: '1'hat he is attorncy of record (or Plaintiff7�kH�i7t in the above entitled ac�ion, ih.it s��a �:,�5� �,:�5 d��i�� 5�;� d�„-� r�� .�i...........December...l�..r..p^1973 ...............Ezb........��_._9.�.�9._.A.,M,ME.. in Departinr,nl .................ONE._........._........._._..............................oE [he above entitled Courl. Vern Blum Thac..................................................................._.................................._.........._................................................_.._........_... ........................._........................ NAME has in his possession or under his control the �ollowing documents: (Designn�e nnd nnrne �be ezncr �bings ro Ge produced.) All documents and records pertaining to the inspections of said home at 595 Grand Haven Circle, Costa Mesa, California, since January 1, 1970. 'I'hat snid books� papers, and documents or other things are material to the proper presentation oI his case, and good cause esists (or their production bJ� reason of the following (acts: It 1S neeessary t0 SilOW Wilj� an escrow relating to the sale of said home did not close. Novemher 26 73 Santa Ana Executed..................................................._...._......... , 19.............. � nt.................................._........................................................................� Cali(ornia. 1 decla�e under pe>ralty o/ pe�jury tbnt tbe /aregoing is true nnd correct.. R.O.BE�RT....L,...SASSONE ($igna[uec o( Declamm) ROBFRT L. SI�SSONE PNOOF OP SERVIC� I sen�ed the foregoing Subpoena Duces Tecum by sh'owing the original Ihereof to each of the follo�cing named persons, and delivering a copy thereof together �vith a cop}' of the Affidavit/Certi[icate/Ueclaration upon which said Subpoena Duces 'fecum was issued, to each of said persons, personallr, on the date ond place set torth opposite each name, and 1 oEfered to each oE said persons �t the same time, if demanded bq such person as set forth herein- after, and peiid t6e fees to which such person is en�itled for vaeelto and from the place designated, and one duy's attendance [here, to wiL . Name o( Pe�son $erved ree for service Address Where Secved , i17ileage S. � No� a regiseered California process server (CCP 417.40) � Regis�ered :...................................................................... CountY� Number: ............................................................................................ Fecs Demanded? Dace of Service (Yes/Na) Fees Paid .................................... .............................. � ........................ .................................... .............................. � .............................. � 'Ibtal 3 ......................_.............................. 1 dec/are rrnder pennlly o� perjury Cbaf lfie �oregorng is bue and correc[. Gxecutedon ...............:................__....................................................� at........................................................................................................, CaliEornia. .................................................................................................................. (5erver) (774) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERA"'T JobAddress: 595 GRAND HAVEN CI Suite No Viciniry: Parcel Nunmber: 41804177 Applicant: HOUGHTON, CATHERINE E Add�@ss: 595,GR D HAVEN CIR [r co �� SA, CA Yy� Owner: FI • GHTON, CATHERINE E Ad6d�re5.,��95 GRAND HAVEN CIR �`ti,'�.�+ , COSTA MESA, CA a �Ga c OWNER-BUILDER '��Address: Phone: 714-549-0190 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 12/30/2005 Issued: 12/30I2005 ISSUED BY; `--� EXpIRES CHANGE OUT WINDOWS AND SLIDERS THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. REMOVE/REPAIR DRYWALL AS NEEDED IN EXISTING BATHROOMS. REF,: BOS-02474 PLUMBING TO INCLUDE:'I RAINWATER DRAIN, 1 GAS EARTH�UAKE VALVE, 2 P-TR4PS, 1 WASH BASIN, AND 1 WATER HEATER. ISSUE FEE BackOow irtigation Backflow Preventer BathWb Clarifier System Connecl pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof �rinking Fountain Expansion Tank Gas EaRhquake Valve Gas (1-0 outlets) Gas (Over 4 oupets) Gas Repipe Gas Service IMerceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 so.00 $0.00 50.00 50.00 $0.00 59.80 50.00 $0.00 30.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $19.60 Pressure Regulator $0.00 Process Piping (per 10 fl) $0.00 Receplors $0.00 Septic Tank $0.00 Sewer Cap for Demo 50.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower 50.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor � 50.00 Sink, kitchen $0.00 Sink, service/mop 30.00 Spa (private) $0.00 Spa (public) , $0.00 Qrr 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS �� SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(14) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Wasle and Vent Syslem Water Closet (Toilet) Water Healer / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 50.00 $0.00 50.00 so.00 59.80 $0.00 $0.00 $0.00 $12.30 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 586.00 gN 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 NO710E: 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: 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 1 QO days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such woric must comply with all �plicable codes, antl all required Inspectlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the e piratio `of this pertnit:,�,�+, FOR INSPECTIONS CALL: (714) 7545626 � 1��" �- 26C6-46 (flN0) WORKERS'COMPENSAnON DECLARATON: ' � 1 �ereby aflimi wWar penalry ot perjury one of tha tolfowing tledarations: d I have and will malntain a certiticate of consent to self-Insure for workers' compensetion, as provitled for Dy section 3700 0l the Labor Code, for the pertormence of the work tor whic� Ihis parmit is issued. ❑ I have entl wlll maintain workars' compenution insurance, as required by sectlon 3700 oi Ihe lebar Cotle, tOr ihe pertormance oi the work for which Ihis partnit is Issuetl. My workers' compensation Insurance carrier antl policy number ere: _ Ca��er: Policy Number: ((his sectlwr neetl nof be comp/eted if fhe permit is val�ed et one hundretl dol/ars (S 100) or /essJ � I c � N�Tthet in the pertormence of the work for which this pertnit is issueQ I shall not employ any person in eny manner so as to becane suD�ect to the warkers' mpensetlon laws oi Califomla. antl agree Ihat if I shoultl Decome sub ect ta t�e workers' compensation provisions of Section 3700 o the Le r Code, I shall forthwith c p y Ud �hese Drovisions. °y ` � -' f�'-Y, /2 2� /� S plicenl Sign6ture� �• � Date: +? .. : FAILURE TO SECURE WORKERS' COMPENSATION ERAGE IS UN FIIL AND SUBJEC EM RiQGqIMINAL PENALTIES AND IVIL FlNES UP TOONE HUNDRED 7//OUSAND DOILARE (5100,000�, IN AOOITION TO THE WST OF CAMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3]O60F THE LABOR CA�E, INTEREST, AND ATTORNEV'S FEES. LICENSEDCONTRACTORSDECLARATION: � I hereby eflirm ihat I am Ilcansetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 0� the Business and Pmfessions Code, and my license is in lull tolce end eflecL Lla a Class a ppntractor's Signatura: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby a8irm �hat ihere is e consiruttion lending agenty for t�e peAormance ot Ne work tOr which Ihis permit is issued. (Sec. 3097, Civil Code). Le�ders Name: Lentlar's Atltlress: Signe�ure: Da�e: pWNER•BUILDER DECLARATIONS: I hereby ettirm Ihat untler penalry oi perjury tha[ I am EXEMPT FROM THE CON7RACTORS LIGENSE LAW lor the following reason (Sec. 7031.5, Business antl Professions Cade: Any ciry or counry which requires e permit to construcL alter, improva, tlemolish, or repair any siruciure, pnor to its issuance, also requires the applicant for such pertnit �a file a signetl statement t�et he or she is licensed pursuant m the pmvisions ol the Contrectors License Law (CheOter 9(cammencing with Sectlan 7000) of DlNslon 3 of the Business end Professions Code) or �hat he or sha is exempt therefrom entl ihe basis lor Ihe elle9ed exemption. Any violation oi Section 7037.5 by any epplicant for e pertnit supjecis ihe applicant to a civil penalry of not more Ihan five hundretl dollars (5500).): �] I, s owner ol the pmperry, or my employees with wages as thelr sole compensetion, WILL DO THE WORK, and the strucWre is not intended or oflered for sale (Sec. -�7044, Business and Professions Code: The Contracbrs License Lew tloes not apply to en owner of propeny who Duilds or improves thereon, antl who tloes such work himself or hereelt or throug� his or her own employees, provided that such improvemems are not imendetl or oHered for sale. If, however, Ihe Duiltling or impwvement is sold within one year of completion, the owner-builtler will have the burden ot proving that he or she did not build or improve for purposa oi sela.). ' � I, es owner ol the propehy, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business end Professions Coda: The coniraciors Licensa Lew tloes noi appty to an owner o� propany who builds or Improves ihereon, and who coniracts for such project with a contrector(s) �.cen�e pursuent to ihe Contraclors License Wws.). / �n _ Professions Code for�his Yes l�l No Ved�iw�ion of Ownership by (rype ol tlwumeni, i.e. � propeny tan bill DIVISION OF INDUSTRIAL SAFETY PERMIT CEFi71FICATION: ❑ 1 �ereby cenity t�et no excava0on fiva i5) or more feet in depih inm which e person is requiretl to descenq will be made in connec�ion with work aNhonzed by Ihis permit, and that no building siructure, scaHolding, falsework, or tlemolilion or dismantling t�ereof, will be more then thirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Calilomia Administretive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit Irom Ihe Division ol Intlustrial Safery, es noted above, unless such person hes e pertnit to do sucti work irom the division. SignaWre: Date: Division ol Industrial Safery Pe�mit Number: CEq71FlCATE OF COMPLIANCE AND AUTHORIZAiION OF ENTRY: I certify under penalry ol pe�ury ihat 1 have read this application and state that the inlortnation 9iven is correct I agree to comply with all stete lews and ciry ordinances relating to builtling consimction, end euthonze representatives of ihe City of Coste Mesa to enter upon �he ebove-described� r .inspection puryoses. I egree not t occupy or allow occupancy of any building authorized by �his permit un%fl �tinel inspection. (�3Q�'Lo_ ^ �% b � v %1 .l.clC!/Q`� Signewre OT'Cega vmer(s) � �,-a a D-� r,�� •c ." And/OrAuthorizedApplicant �-� Dala S&45-L UiSPEScL9NTrPE 1616 Fisetl System Final Fire Prevention 7266 200 201 202 203 204 Pool Spe Final Final Re-Root Final BIOCWRetaining Wall Final Factory Fire Plate Final Sign � Final Demolition LMjF �LS CODEI INSYECTIONTYPE 206 Finel Mechanical 20B Final Plumbing 270 Final Electrical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy �_ 1 I111 , Q� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT � Jobnddress: 595 GRAND HAVEN CI �� p� Status: iSSUED Suite No � I, Applied: 12/30/2005 OA Issued: 12/30/2005 Vicinity: Parcel Number: 41804117 � ISSUED BY Applicant: HOUGHTON, CATHERINE E ' Address: 595 GRAND HAVEN CIR P h o n e: 7914�,,,549 190 1 COSTA MESA, CA Zi : 9262��,; Owner. HOUGHTON, CATHERINE E ��.,�� Address: 595 GRAND HAVEN CIR �`r� Phone: COSTA MESA, CA Contractor: O W N ER-BU I LD ER Address: Zip: 92626 Phone: Zip: License:000000 � G/� SCOPE OF PERMIT CHANGE OUT WINDOWS AND SLIDERS THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS R�pUIREMENTS. REMOVE/REPAIR DRYWALL AS NEEDED IN EXISTING BATHROOMS. REF.: eos-oza�a MECHANICAL TO INCLUDE: 3 VENT FANS. ISSUE FEE Insl FAU �100 k BTU Insl FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall HIr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Fadory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $21.75 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Repair / Afl Absorbtion Unit Repair / Alt Refrigeration Uni� Ventillation System Evaporative Cooler Commercia l I ncine retor Domestic Incineretor Comoressors I Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp 1500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To75hp 15 to 30 hp 30 to 50 hp Over 50 hp Olher Mechanical Fee Investigation Fee Plan Check Fee Reinspeclion Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS 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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 Sa5.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and regulations. (Orcl. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or aba for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable es, required Inspeetlons and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of s per FOR INSPECTIONS CALI: (71q) 7545626 eaoo-aa �wu� WORKERS'COMPENSAnON DECLARATON: � 1 hereby eHlrm untler penalry of perjury one ot the following tleclaretions: . ❑ I heve and will maintain e cartificate oi consent to self-Insure for workers' compensetian, as provided for by section 3700 of Ihe Lebor Code, lor Ihe peAormence ot the work for whic� Ihis pertnit is issued. ❑ I have and wlll maintein workers' compensation Insurence, as requiretl �y section 3700 oi the Lebor Code, for Ihe peRortnance oi [he work for which Ihis pertnit is issuad. My woikers' compensation Insurance wrrler and policy number are; Carrier: Policy Number. 1(This section need no( be complefed il fAe permit is valuetl at one huntlred dollers ($f 00) or less.) $�. I certify thet in the pBrtortnance of t�e work for which this permit is iSsueG, I shall not employ any person in eny manner so as to become subject to the workere' compensetlon laws oi C lifomla, entl egree that if I shoul become subiect �o Ihe workers' compensation provislons ot Secti 3700 oi e La6or Code, I shall forthwith comply with these p� ' � C Appliwnt SignaWre: Date: WARNWG FAILURE TO SECURE WORKERS' CdAPENSAiION VE GE IS U WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTI S AN� CIVIL FlNES UP TOONE HUNDRED T/IOUSAND DOLLARE �5100,000f, IN ADOITIqJ TO THE COST OF COMPENSATI Ah1AGE5 A$ PqOVIDED FOR IN $ECTION 31080F THE LABOR COD , IMEREST, AND ATTORNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm ihat I em licensed under provisions of Chapter 9(commencing with Section 7000) of Divis�on 3 of ihe Business entl Professions Cotle, and my license is in full torce entl ettect. Lla p Class p Contrector's SigneWre: Dete: GONSTRUCTION LENDING AGENCY: ❑ 1 �ereby attirm ihal there Is a conSWclion lending agency for Ihe pedormance oi ��e work br which Mis pertnit is �ssued. (Sec. 3097, CPriI Cotle). Lendafs Name: Lentle�s AAtlress: yigneture: Date: O�MNER-BUILDER DECLARATIONS: I hereby efllrm the� under penel�y of periury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professions Cade: Any city or counry which requires e permit to consiruct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the epplicant for such pe�nil to tile e signed stetement thet he or she Is Ilcensed pursuant to ihe provisions of Ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Protassions Cotle) or tRat �e or she is exampt there/rom and the basis iw t�e alleged exemption. Any viWetion of Section 7031.5 Dy any appficaM tor a pertnit subjec�s the applicant to a civil penalty of not more than five huntlred dollars ($500).): ❑ I, es owner of the property, or my employees with weges as their sole compensatlon, WILL DO TNE WORK, and the swcture is not intendetl or offered for sale (Sec. 7044, Business and Professions Gotle: Tha Contractors License Law tloes not apply to an owner of property who builds or improves Ihereon. and who does such work �imsell or herself or Ihrough his or her own employees, provitled that such Improvements are not Intendetl or oHeretl for sale. If, howevar, Ihe building o� improvement is sold witnin one year ot compietion, the owner-Ouilder witl have the burtlen ol proving that he w she did not build or improva tor pwpose of sale.). � � I, as owner of ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct the prolect (Sec. 7044, Business antl Professions Code: The contractors License Law tloes not epply to an owner oi property who builtls or Improves thereon, end who contrects for such pwject wlih a comwctor(s) license pursuan� to ihe Contractor5 License Laws.). � I em eae t under sec. Business end Professions Cotle for ihis reason: Signewre: Owner ID venlietl by dnvers license. ❑ Ves No Drivefs License No. Verilication of Ownership by (typa ot daument, i.e. - property tax bill or deetl�: DIVISION OF INDUSTRIAI. SAFETY VERMIT CERTIFICATION: [a I hereby cenity that no excavation Iive (5) or more leat in tlepth imo w�ich a person is requiretl to descenq wlll be made in connaction with work authonzetl by Ihis pertnit, and Ihat no building sWcture, scaMoltling, falsework, or demoli�ion or dismantling ihereoi, will be more �hen Ihirty-sia (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Califomia Atlministrative Cotle). p As ownerbuilder, I will not employ enyone to do work which woultl require a permil (rom ihe Division ot Industnel Satery, as noretl abo�e, unless such person hes e pertnit to tlo such work irom Ihe division. $igneNre: Date: Division of Intlustnal Safery Pertnit Number: CBATFICATE OF COMPLIANCE AND AIfiHORIZATON OF ENTTiY: I cenity under penalry ot Derjury �hat I have read this epplication end state Ihet the infortnation given is colrect. I agree lo comply wilh ell state laws entl ciry ortlinances relating to bullding consimction, anG euthorize reDreSeNatives ot Me Ciry o� Cosie Mesa to enter upon Ihe ebove-described properry for inspection pu�s 1 g�ree to occu y or allow acupancy of any 6uilding authorizetl by t�is ,rmit y�� I i� ction. / ��'g'k'�O 9 f� in . � / / // i n re t Le � Ow �a And/Or Authodzed AppliGant Data [�7�'1�1[F�7i�i1b17�77� 1616 Fixed System Final Fira Prevention 1266 Pool Spe Final 200 Final Ra-Roaf p01 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final S�gn 206 Final �emolition �,j€ INTRIRLS SODE� INSPECTIONTVPE 206 Flne� MeChanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 , Final Building/Occups�y (��a) �sa-5z�3 • Fax (7ta) �sa-aess • www.ci.costa-mes ELECTRICAL PERMIT �� FAIFi DHNt, GOS IA MESA, GA 926'L6 Job Address: Suite No Viciniry: Parcel Nunmber: Applicant: Address: 595 GRAND HAVEN CI 41804117 HOUGHTON, CATHERINE E 595 GRAND HAVEN CIR COSTA MESA, CA Phone: 714-549-0190 Zip 92626 Owner: HOUGHTON, CATHERINE E � Address 595 GRAND HAVEN CIR � Phone: COSTA MESA, CA � 9 6 Contractor OWNER-BUILDER Address: Phone: Cy Zip: C/1 � License:000000 ISSUE FEE Temp service test Res. afc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 7hp Motors l0 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuils Temp Pwr Pole Intermed Pole Status: I SS U ED Applied: 12/30/2005 Issued: 12/302005 II ISSUED BY SCOPE OF PERMIT CHANGE OUT WINDOWS AND SLIDERS THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. REMOVE/REPAIR DRYWALL AS NEEDED IN EXISTING BATHROOMS. REF.: BOS-02474 ELECTRICAL TO INCLUDE:'I LIGHT FIXTURE, 3 OUTLETS, 2 SWITCHES AND 1 SUB PANEL $23.50 $0.00 $0.00 $0.00 50.00 $0.00 $1.10 $3.30 $2.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 530.50 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System I Lightin9 Buswayl100N Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Vofl Wiring System / Ckt Misa Conduit Misc. Condudor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Sland Fireworks Stand Other Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee Duan�ity 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 50.00 0 50.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES E60.60 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 1241-g2) EXPIRATION: This permil shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 1 BO days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred tnspectlons and fi�al epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (714) 754-5626 eaaeaa �tiw7 WORKERS'COMPENSATION DECLARAnON: � I hereby eNirm under panelry ot perjury ane of ihe fallowing tleclaretions: , ❑ I have antl will maintain a certificate ot consent to self�lnsure tor workors' compensation, as provitled for by section 3700 of ihe Labor Gode, for the pertarmance of the work tor which Ihis permil is issued. ❑ I heva antl will main�aln workers' compensation insurance, es requiretl by section 3700 of the Le6or Cotle, tor t�e performance of ihe work for whic� ihis parmit is Issued. My workers' compenseHon Insutence carrier and policy number sre: Carrier: Policy Num6er: (Th/s section neetl nof be completetl i/ the permif is �alued at ane hundietl tlollars (5100) or /ess.) Ihel in the pertormance ot Ihe work for which ihis isatlon laws oi Calitomia. antl agree that it I shoul wiih �hese provisions. // / _ i D SECUFE WORKERS' COMPENSATION 1 (310p,000�, IN ADpITIdJ TO THE COSLOP is i5sue4, I shall not employ eny person in eny manner so as to become sub'eCt Io Ihe workers' � sub}ect to the workars' compensation proNsions of Setlion 3700 of Ihe bo� Code, 1 5ha0 toRhwith UN ULMIDSHALLSUBJECTANEMPLOYERTOCRIMINALPENALTI SAN CIVILFINESUPTOONEHUNORED 7N, D GES AS PROVIDED FOR IN SECTION 3!W OF iME LABOF CODE, IMEREST, PNU qTfOPNEY'S PEES. LICENSED CON7RACTORS DECLARATION: - I hereby aflirm ihat I em licensed under provisions of Chapter 9(commeniinp with Section 7000) ot Division 3 ol tha Business antl Pmfessions Cotle, entl my license is in full torce end aHeci. Llc. a Cless � Contractor's Signeture: Date: CONSTRUCTION LENDING AGENCV: [] I hereby attirm ihat there is a consiruqion lending agency for ihe pedormance of ihe work for which ihis permi� is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: 5ignature: Dete: OWNER-BUILDER DECLARATIONS: I hereby atfirm thet untler penelry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Busineu and ProFessions Gade: Any ciry or county which requires e permit to consWct, alter, improve, damolish, or repair any sirucWre, prior to its issuance, also requiws t�e applicanl lor such pertni� tP tile e signetl statemeM thet he or she is licensetl pursuant to the p�ovisions ot tfie Conllanors lJcensa Law (Chapter 9(commencing wiiT Secilon 7000) of Didsion 3 ot ihe 6usiness and Prolessions Code) or that he or she is eaempt the�efmm and t�e basis tor t�e allegetl ezemption. Any violetion ol Sectlon 7031.5 by eny applicant for a permit subjec�s the epplicant to e civil penalry oi not more Ihan five hundred tlollers ($500).): ��h es owner of Ihe pmpeny, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the siructure is not intentled or oflered tor sale (Sec. 7044, BUsiness antl Pmfessions Code: The Comractors License Law does not apply to en owner ot property who builtls or improves �hereon, and who does such work himself or harself or ihrough his or her own employees, provitletl that such Improvements are no� intendetl or otieretl for sale. B, �owever, Ue bulltling or improvement is soltl within one year of completion, ihe owner-builder will heve the burden of proving that he or she did not build or improve for purpose of saleJ. • ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSE� CONTRACTORS to construct ihe prolect (Sec. 7046, Business antl Professions Cade: The coniractors License Lew does not apply to an owner oi property who builds or Improves thereon, antl who contracts for such proiect with a contractor(s) �nse pursuant to Ihe Comractors License LawsJ. exempt O�ID veri�ietl by dnvefs license. ❑ Yes' ❑ No (I Vedfication of Ownership by (type ot tlocumem, i.e. - propeny tez blll or end Professions Code for this reason: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity t�a� no eacavation five (5) or more feet in tlep�h into whiGh a person is requiratl to dascenq will be matle in connac�ion with work euthonzetl by this parmit, and that no buifding structure, scaHolOing, talsawork, or demolition or dismantling ihereot, wiil be more Ihan thirty-sia (36) feet High. (Chap. 32. Gry 2, Art 2. Sec. 341, Title 8, Celilornia Atlministrative Code). q As owner-builtler, I will not employ enyone m do work which would require e permit irom ihe Division of Industdal Setery, as notetl above, unless such person has e pertnit to do such work Irom the division. Si9neWre: Date: Dihsion of Industnal Safery Pertni� Number: CEAnFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I certify untler penalty ol perjury i�at I have read ihis epplication end state Ihat the infortna�ion given is correct. I egree to comply wlth ell state lews end clty ordinances relating to bulltling consimction, entl authonze representetives of the Ciry ot Casta Mesa lo enter upon Ihe ebo�e�described property for inspection puryoses. I egree n d to occupy or ellow occupancy of eny building authorized by�� until lin� s�tion. ��c�� i// / �e� �� ' 'egaP wna A� �J � ' 1 Antl/OrAulhonzed Applicant Date ` COQE_!. INSPEC110NTYPE PAI€ IIiSIDBLS 1616 FixeO System Final Fire Prevention 7286 200 201 zoa 203 20d Pool Spe Final Final Ra-Roof FInaI8locWRetaining Wall Fi�al Feciory Fire Place Final Sign Final �emolition COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElectriCal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupanry (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COS7A MESA, CA 92626 ,lobAddress: 595 GRAND HAVEN CI s�ae: Vicinity: Primary Occ: R Type of Construction: V-N ParcelNumber: 41804117 Zoning: R1 npp�icant: HOUGHTON, CATHERINE E Address: 595 GRAND HAVEN CIR COSTA MESA, CA Owner: HOUGHTON, CATHERINE E Address 595 GRAND HAVEN CIR COSTA MESA, CA Contractor: O W N E R-BU I LDER Address: Zip: Arch : Address: Zip: License: Phone: 714-549-0190 Zip: 92626 PhocE�y� Zip;:, ;92626 'S �� ti �. Phone: �;�� License: 000000 Eng: Address: us: ISSUED e � 12/30/2005 EX,P a � p� �onoo5 DA'� ISSUED BY: C'/i v' _ EXTENSIOlV ALI,OWED PER EXPIRES 7 Phone: License: SCOPE OF PERMIT CHANGE OUT WINDOWS AND SLIDERS THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. REMOVFJREPAIR DRYWALL AS NEEDED IN EXISTING BATHROOMS. Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.15 SETBACKS ACCESSORY PARKING Front 0- 0 Front 0- 0 Rear 0. 0 Rear 0- 0 Exis�ina: 0 Reauired: 0 FEESUMMARY Calc Valuation: 5e,000.00 Claim Valuation: se,000.00 PLANNING & ZONING Lefl 0. 0 Right Left 0- 0 Right Pr000sed: 0 0- 0 0- 0 NOTICE: The work authorized by ihis permit shall compiy with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 7241•92) EXPIRATION: This permit shall autamatically expire and become void it work is not commenced within 180 days, or ii work is suspended or abandoned tor a period ot 1B0 days. INSPECTIONS: In orcler for the work authodzed under ihis permit to be considered legal, such work must comply wi�h a�l applicabta�codes-arK1'all reqWred Inspectlona and flnal epproval must be obtained. Fallure to obtain Inspections and Bnal approval will result in the expiratlon of"this permit. FOR INSPECTIONS CALL: (714) 7545626 , zaa+e �eroo� WORKERS'COMPENSAnON DECLARAnON: I hereby eK� under penalry of perjury one o1 �he following dedaretions: -� -� ❑ I heve antl wlll maintain a certllicata ol consent to sell-Insure tor workers' compensetion, as provided tor by section 3700 of the LeDor Cotle, lor the pertortnance ot the work for which Ihis permit Is issuetl. ❑ I havB entl will maintain workers' compensation insurence, as requiretl by section 370Q ot Ne La6or Cotle, tor tha pertortnence ot tt�e work tw whtch this pertnit is Issued. My workers' compensatlon Insurance carrler antl pdi�y numDer are: Cerner. Policy Number. (This secfio� �eed nof be cromp/eted i/ the permit is va/ued et one hundied dollars (5100) or less J I �ertity,;Met in ihe pertormante ot Ne work for whi( c�mpensation laws at Calilomla, end agree that if I wmply with thase pmvis�a . (5100,Opp), IN ADDff10N T07HE COST OF OOMPENSAiION, I shell not employ eny person in eny manner so es to become subject to the warkers' �', t t�e workers' compens9tion pmvisions ol Section 37_00 0/l the La%b r Cotle, 1 shell fonhwtlh oe�e... �f�-�—��//%� . AND SHALL SUBIECT ��_�� ALT1E$ qry NIL FlNES UP T� p pNE HUNpqEp IES AS PROVIDED F-0R IN SE�TIQY 3]OB OF THE IABOF CADE, IM�T, AND ATTORNE`fS FEES. IICENSED CONTRACTOFiS DECLARATION: `' I herehy aHi� lhat I em Ilcensetl under provlsions ot Chapter 9(commencing with Section 7000) ol DlWsion 3 of �he Business and Prolessions Cotle, antl my license is in full fOfCa en0 BnACi. LIt. p CI855 M Coniractor5 SignaWre: Dete: CONSTRUCTION LENDING AGENCV: ❑ I horeby eflirm t�at �hare is e constructlon lentling egency for Ihe padormance of Ne wo�k lor which this permit is issued. (Sec. 3097, Civil Cotle). Lendar's Name: Lenders Address: �� SigneNre: Date: OWNER•BU�LDER DECLARATIONS: I �ereby eHi�n Ihat under penalry of perjury that I am EXEMP7 FROM THE CONTAACTORS LICENSE LAW tor the following reasan (Sec. 7031.5, Business entl Prolessions Cotle: Any Ciry or wunty which raquires a pertnit to construct, elter, improve, demolish, or repair eny strucwre, prior to im issuance, elw requires Ihe epplicent br such pertnit to file e signed statement that he or she Is licensetl pursuam m the proWsions of t�e Contractors LJcense Lew (Chapter 9(commencing with Section 7000) oi Dlvision 3 of t�e eusiness end Professions Cotle) o� that he or she is ezempt therelrom entl I�e basis tor the ellegetl exemption. Any violetion of Secuon 7031.5 by any epplicent for a permit su6lectr.ip�Plicant to a civil penalry of not more then five hundretl tlollers ($500).): '� I, as- ner of Ihe properry, or my employees wit� weges es iheir sole compensation, WILL DO 7HE WORK, antl Ihe struc�ure is not intended or ottered for sale (Sec. 7044, Business antl Pmfesslons Code: The Comractors License Law does not apply to en owner of pmperty who builds or Improves thereon, antl who does such work himself or herself or through his or her own employees, provided that such improvemeNs are not intendetl or ottered for sale. If, however, the builtling or improvement is soltl wilhin one year of complation, the owner-builder will have Ihe burden of pmving �hat he or she did not 6uild or improve for puryose ot sale.�. � ❑ I, as owner of the pmperty, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmjaci (SecJ044, Business and Professions Cotle: The contrectors Llcense Law tloes not apply to en owner ol pwperty who builtls or Improves thereon, and who comracts tor such prqect with a comractoqs) J:�e^s6pUrsyam to the Comractors Licensa Laws.). sec. by drivefs license. H Yes 1/� NO Verification of Owners�ip by (type o� tlocumeni, i.e. - property ta: blll or for this reason: DIVISION OF INDUSTRIAL SAFEiV PERMIT CERTIFICATION: ❑ I hareby cenify ihat no excsvation tive (5) or more teet In depih into which a parson is requiretl �o descend, will be mede in connac�ion with work euthodzed by this permit. end that no builtling s��ucture, scaHolding, talsework, or tlemUition or Cismantling �hereof, will be more Ihan thirry-sla (36) tee� �igh. (Chap. 32, Grp 2, AM1 2, Sec. 341, Tltle 8, California Administrative Code). ❑ As owner-builder, I will not employ enyone to Ao work which woultl require e pertnit Irom Ihe Division ot Intlustnel Sefety, as notetl ebove, unleu such person has e permit �o tlo such work from ihe diWsion. Signature: Date: Division of Intlus�rial Salety Permil Numbec CERTIFlCATE OF COMPUANCE AND AUTHORRA710N OF EMAY: I cenify untler penalry ot perjury that I have read this epplica�ion end state that the inlortnetion given is correct. I egrea to comply wilh all stete lews and city ortlinances ralating to builtling consWction, antl authorize representatives ol lhe Ciry ot Caste Mese lo enter upon the ebovo-described pmIperty for, ;pectior],�mp�. I gree not �o pyar ellow occupancy of any building euthorized by ihis p�mit unYl �fin�el i��pectl� �4tQ - G s�!i//�L �t�— 61 t�roOt' g Owner(s) r. �•_a_� ,.� � AnNOr Aulhorized Ap0litan� Date COOE �. 1N,,,.��_oEGTIONTYPE 1618 Fizetl System Final Fire Prevention 1286 Pool Spa Final 200 Finel Re-Rool 201 FIn81 Block/Relalning Well 202 Fina� Factory Fire Place 203 Final Sign 20a Final Demolition �g � CQOE1 �ECTIONTYPE 208 Final Mechanicel 20B Final Plumbing 210 Flnel Elecidcal 212 Finel Fire Prevantlon 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupency , . QSIE 15�44 y � PflOJELTADOflESS: S9S GRAND HAVEN CI ur+iT: OWNEfl'SNAME: HOUGHTON, CATHERINE E aooaess: 595 GRAND HAVEN CIR COSTA MESA,CA 92626 .� • AHCHIENCINEEH: flEG.NO.: ADOflESS: UNIT: PEflMITTEE: CATHERINE iIOUGHTON (719)549-0190 AOOPESS: S 9 S GRAND HAVEN C I COSTA MESA CA 92627 UCENSE� CONTHACTOfl DECL/1BATION: I hereby a��irm Iha� I am licensetl untler pmvisions of ChaO�er 9(commencing wilh Sec�ion 7000� ol �ivisinn 9 of Ihe Ousiness anA Pmlessions Code. and my license is in full force and eliect. CITY LIC.: STATE UC.: CIASS: Dale'. Signamre: WOflNENS' COMPENSATION OECLAflATION: I nereoy affirm ihat I have a cenilicate ol consent Io sell-insure or a cenilicate of worker5' Compensation Insurance. or a cetldiea copY thereol (Seclion 3800. Lab. C�. `OULY NO.: E%P. OATE: COMPRNY: I ❑ Ce�ified copy is hereby lurnished. ❑ Cerlilie0 coDY is filetl wilh Ihe cily Building Division. Daic: ApPlicanC EMEMPTION FROM WOHNEHS' CUMPENSATION DECLRNATION: (7his seclian nee0 not be comple�etl il �he permil is lor onea �hundre� ($100) oNess�. I cetlity I�at in Ihe petlormance o� Ihe work for which Ihis permii is i sueq I s'all nol employ any person in any m ner so as lo become sublect Io Ihe Woders' Compe salion Laws ol Calilomia. �1 . r.�•—►_ Oa�e:�� Signalure: ��,._, ��g/! ��'�� NOTICE: II. alier making ihis d claration. you 5�oW4 �ecome Sublecl Io IAe Wor eK m ensa�io mvisions o� �Ae La�or CoE¢. you mu5i Iorl�wii� com0ly wil� suc� pmvisions or t�is permil shail Ue tleemea revakea. LONSTHUCTION 1EN01NG AGENCY: I �er¢�y alfirm t�ai f�ere i5 a wnstmCtion lending agenty lor lhe pedorman[e of the work tof wnicn Inis permil is issued ISection 3097. Civ. C�. LENOEN: aooeess: OWNEfl BUILOEN OECIAHRTION: I �ereby allirm �hat I am exemp� imm ��e Contraclors' State License Law for Ihe lollowing reason (Seclion 7031.5 Business an0 Pmlessional Code: Any cily of counly which requires a De�mil �o con5imc6 al�er, impmve, Demolish, or revair any simcture. o�ior to its issuance, also reouires ihe applicant tor sucn permit to hle a signea statement Inat helshe is licensea Oursuam lo tAe pmvisions ol ine Conlraclors' Stale License Law (Chapter 9(commencing wil� Section 7000) af Division 3 of IAe Business anU Pmlessions Code� or iha� �e/she is exempl t�ere�mm ana Ihe Dasis for the aliegetl exemption. Any violation ol Setlian 7031.5 by any aD0licam lor a permil 5ubjeci5 I�e ap0�icanl to a civil Denaliy of noi more IAan five hunOreO Oollars (5500�. � I, as owner of IAe Dmp¢�Y or my employees with wages as t�eir sole compensation, will Go t�e waM, an0 ihe simcwre is not imen0e0 or ollereU for sale (Section 70aa. Business anG Pmleuional Cade: The Caniracmrs' State License Law Ooes no� apply Io an owner ot a D�operty who Oui1Cs or im0�ove5 Ner¢on, and who Aoes 5uch work himsel0�ersel� or Ihmugh �is or her own empl0y¢es. pmviAeO Ihal such impmvements are nol inlentletl or oflerea tor sale. If, however the builtling or impmvement is soltl wilhin one year ol compleiion. �he owner will have Ihe burtlen ot pmving he/5Ae tliU noi Duiltl or impmve lor Ine purpose ol salel. I, as owner o� I�e pmperiy. am esclusively conVacting with Iicense0 conVacbrs to cons�mci �he pmleci (Sec�ion 70.14, Business ❑ anA Prolessions Coae: The Conlraclors' Sla�e License Law aaes nol aDDly b an owner ot pmperry w�o 6uiltl5 or improves thereon and who canlracis lor such pmjecls with a coniratlor(s) li[ense pursuani lo ��e Contrac�ors' $tale License Law�. I am aware Inal D�ool of Ineir woiker's CamDensalion insurance should oe O�avided to me. � I am enemp� unaer Seciion: B. d P. C. lor Inis reason: oa�e: 5 �/2 �Ov- O�vner: I Uo �ereby certily t 1 I am awa ol a untlersland �he requiremenls ol California Meal�h antl Sa�ery Cotle ecliu rs 2550 25533, antl 2553C an� ��ai I or any lulure DuilEing accupanl wilVwill no� �circle one) neea lo com0ly wilh 5ai0 Slaie codes anG ihe req remenls for a peimil loi conslmclion or mo0dicalion Imm �he Air �uahty Managemeni �i5Vic1. fle5i0ential constmclion apD��a�ions are exempi irom ��ese p�ovisions. �ale: Applitanl: I he�eGy ceriily I�all �avereaai�is applicalion and S�ale Iha� lhe aGoveiniormaUonis correct I agree lo comply vn�� allci�y antl caunry oitlinancesanos�atelaxsrelatingtobuii4ingconsimnionandnerebyamlwraerepresentaiivesof�hisutyt enterupont�eaUove-mentione0 OrOpetly IorinSDec�ion Durposes. Date: j G Signamre: Oiiv¢r's License or onai se niy �: 16aLa6 Wpne—BmlEmg: Green—Coee Enlo¢emenL Canary—Applicanl: Pink—Revenue: GOltlenroC—Assessor CITY OF COSTA MESA - BUILDING PERMIT , b ivi PERMIT NO: B 067147 PLAN CHECK NO: 01686-94 S , , CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : INSTALL ALUMINUM WINDOW SQ FT: 300 CLAIM VALUE: 300.00 CALC-VALUE: 300.00 GROUP OCC: R-3 /M-1 COMMENTS: NO OTHER OTHER WORK AUTAORIZED BY TFiIS PERMIT *r.*�r********x�*x�**�r*�r**+�*�r��t*****�r**+�**+�x�r*�trt*�x*��r��r****r�t**+�*�*x��r******�c**�-**** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGHT: ET IN PARKING REQ; PROV; PARCEL: 41802330 ZNE: REF NO: PLANNING NOTES> i *+��r*�r*****�r*******�r�r�t*'�r�r**+r�r+�**+t��r*****�r***�r***x�********+��-+r�-�r+r**+�*+r***�fr*****�c*** D E V E L O'P Nt E N T S E R V I C E S R E Q U I R E M E N'-T S ZONING APPROVED BY �. DATE: .. BUZLDING APPROVED BY :. DATE: APPLICATION ISSUED B.Y;� DATE; " I�L iFiFIF�F3fifiFiEif3F�EfEifiFiF�E1EiF�FIF�1ejf iFifiFiF�FiEMiElFip ifif ih iF iF iE iF iE %if * iF iE if * iE iF iE if if %iF iE iE iE iE �1i 1E iP if if if �lf jF iF iE if if if iE if iF it if iP iE iE K iE iE iF iE if iF iE iE iF if iE 1E iE iF iF iE iF if iF iF iF iE it iE iF iF 3E it if 3f iE af iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTitIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15.00 .50 • 'SMIP/NON-RES PLAN 9.75 ISSUE FEE . HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 15.50 0.00 9.75 25.25 ,. 25.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 25.25 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 15.00 . ; ;50 9.75 �. if 1E if iF if iE i: if �f �E if 3E * if if if if if �F 1f jF jf iE ib iE jF iElf iP K�E fF aF if iE if if iF iF iF dh jE iF ff i41E * iF 1E if iF ff if if if iE af'iF �E iE if iE iE iE iE if aE iF iF iE iF if iE ih it if if 1f jE I N D I V I D U A L F E E B R E A K D•O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST �SFR 300 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 300.00 END OF FEES � r O1 Q016044Z-00160443 T�] T 25.25 DATE: US/12195 TI17E: 14:27 CONS`RUCTION ANOPLANNING APPF?'JVRLS Permit � 1. Temporary Electrical'Service or Poae 2. Soil Pipe�Undrgrnd. 3. Electrical Conduit Utihty•Undrgrnd. ` 4. E�ectc�cai Cnndu2-Und�9��d. 5. S'.ee' Relnforca:nent � G. Elsctnca' UPER Grnd. 7. Footings _ I8. FoundaUon '_ 9. !^.,�ter P�.pe-Undrgrnd. r10. S!ructural =ioor System � 11 • ''roF�'� �Y 5eaver L�r.e $�'F�C�'eiSE �OY._'ut4oi { � 72. Sev�rr Cap � � t - � 13. Ruaf Drains ' � �- • 14. Neunh Clumbing L_'___ � t5 F:,�n E;er.iriw!-Conduit.. . �---- '�,G. fiou9hElecirlc4Viring � 77. Rouyfi LYring 5ign . 18. Rough Etectricai-T Bar Ceiling 19. Rough Neating & Air Conditioning 2C. R;:.yh Factory FireFlscs . - 21 Ducts, in Strucwre 22. Duct,, Ver.til;ting 23_ G�s P�pe-Rough & Test ��f Framing � Z� Rcuf $heat�`,ting � � �- �j�� -� ::ar C: �Iing {Structu�atl & Gbnocoat 2%. ��am,e ��-.c Flashing � 28. L2Thmg & S�ding � 29. Ins�latipn j 30. 'Jryo,ali Nalhng �3, '.*.:cer �3ro�vn Coat �-_- ' 32. E'rct;.c':� Po�.^,er M1ieterFina: -- 33. Finai Electric 34. Fi�al Heatir.g � Air Cond�tioninc� 35. Fnai Gas Pipe-7est 36. Hcod o• Canopy 37. Final Factory Fireplace 38. Final PWmbing 39. iVacer Sarvice�Final ' 40. Gas Sen�ce�F�nai ( 41. Sniu ComesticFinal 42. Backfio.e Preve�mr h3. Rackflo�v Irrigation 44. Landscane irrigation System � 45. Sound Attenuation 4E. Handicap Regulations t 47. FI':�AL STRUCTURE & BUILDING G8 FINALPLANNING 49. Electric Release to Edison 50. Ga: Release to Southem California Gas Cn 55. CERTIFICATE OF OCCUPAfVCY Date Date � inspecior 4� r_JLBrSPA APPROVALS Permit -;r Date inspector 52. Pool & Equipment Locat�on 53. Steel Reinforcement � 54. Forms 55. E�ect��ca4 Bond�ng i 56. Rou3h Plurt,bing 3� Precswe Test 57. PPPROVALTOCOVER�GUNVTE 58, Electrical ConduirUndrgmd. ' 59. Gas P�pe, � Un�rqrnd., Test 60. B�ck�:�ash Lines, P�Trap, C' U;,d�grrd. � J 61. APPROVAL TO DECK 62.'9ackw85h&Raceptor-P�n;l ' ' �" � G3. Heatcr & Vent-Final ' ' 61. Plumb�ng System Final 65. Elcctrical-Finaf , 66. SniarS�istem�Final �. � I i 67. f-encing & Access Ap(.:ro�al � 68. APPROVED POR PLASTERING �, 69. POQUSPA SYSTEMS FINAL - �. FIRE DEPT. RE�UIREMENT � �� /��PFlOVALS Permn,r � I I 70. Underg'our.d Hydro � � 77. Product Pip;n9 [: Gas �; Oii 72. Underc�round Flush 73. Undergrn�.StoraoaTank � Gas ��0�1 �"7A i)serecad Hyd�o : � ^-� i - ` 75. Dry Cnemical I � -- - - �---- _'_'� 76. Dry Standpioe I 77. FIXEDSYSTE�".FIPJAL 1 � .. � 78. FIRE PREV. PINAL � � HEALTH �EP-i . REQUIREI;E'�1T - -- � 1 79. FINAL INSPECT'O'; I _ -� 1- S0. FOOD CERTIFiCi',i E 'SSUED I � . --- -1_- �-1 �lotes: r'-(6- 9% L�sf ��Z�Qy,_i v�- -i -�,, � w - 6 G-h� 7-- -- - 1 ------ ------ --- i ---- -- - � --� I n�--� ---- --I �G �_� ��-- � 7�iDraooeess: 595 GRAND HAVEN CI owxcxsnaME: HOUGHTON CATHERINE E nooxess: 595 GRANb HAVEN CIR COSTA MESA,CA 92626 ABCHIENGINEEH: AOOflESS: XEG.NO.: UNIT: UNIT: PEHMIiTEE: ALL—COAST ROOFING (719 ) 650-2294 nooaess: 2107 WALLACE AV COSTA MESA CA 92627 LICENSEU LONTflRCTON OELIAPATION: I IiereOy allirm Itut I am FCensea unGer O�a�s��s ol Ctupter 9(tammencing wit� Seciion 70041 ot Drvision 3 0l ��e Business ana Pmlessions Code. and license i5 in lull torSe�and . ic.: �Z sure uc.: 5 9 8 4 4 0 cuss: 3 Oa�e � � Signature: � _ _ _ — _ _ — — W HEBS'CO ENSRi�ONDECIAMTION: I�ereOyallirmitutltwveacenific co enitosell-inmreoracehifiwteofWarkers' mDensation insurance. or a ttnifiee mpY ��ereol �Section 78W. Lab. C�. roucr No.: 13 81618 — 9 9 E%P. URTE: O I� O S comraNr: STATE FUND ilied co / is �ere0y lurnishea. � CerlifieE Npy 6� A m�� l�e Gry BWI g Di �n. . D e: A041iwn1'. XE ION FH M WOXME 5' COMPENSRTION DECIAPATION: � ha Se[Od1 nee oi h wmpkteG il Ne pamii b Iw one �uMrM �St00� or less�. � i ily itu� in ��e Dehormance o� t�e xrork lor w�ic� t�6 Oermii is 6sue0, I all nol emD�% any person in any manner so as ta Cecome su�letl Io i�e Worker5' Campen5aiion Laws af CaGtomia. Date' SigwNm: NOTICE: If. aiter making W5 UetWraiion. yau SMula 0¢[ome SUEjett l0 1�¢ Worker5' ComDenSaiion D�Ovisi0n5 0� t�e La�Or coae. you mus rortim�im comoN ��n sucn o�oviswns or etris cerm� snau ee eeertcea rewkea. CONSTHUCTION LENOING �GENCY: I �ereby aflirm tlut Itrere 6 a con5imclion IenEinp agenry lor t0e petlormance of t�e work lar w�ic� Ihis permii is isSueE �Sttlian 3097. Civ. C�. LENOEfl: ADONESS: OWNEfl BUILOEF OECUBRTION: I hereUy aHitm tlui I am eKempl trwn t�! COnlratiaR' State Lkense Law fo� me lallowinp reason (Seclion 7031.5 Business ana Prolessional COEe: Any cily ol c0uniy w�ic� repuires a p0rmii 10 con5iruct, alier, imD�ove, Oemolis�, o� repair any 9rutlure. Dria la �6 iiwana. al5o repuirts t�e apv�� a� wcli Oermil to lile a 9pnea statemenl tlWl ne/She i5 licensea Owsuam lo I�e p�Ovision5 0� I�e ConVatloR' Slaie Lit¢nse Law �CIND�er 9(tOmm¢ntinp vnill S¢tiion 7000) o� OiviSion 3 0l I�e eu5ine55 an0 Prot¢Ssions Cod¢) or Ihat �tlslie ¢ eaempt ihtr¢Imm an0 ��e Dasis �Or l�e alle0� eRempti0n. My NOW�iOn ul SetliOn 7031.5 Uy any a00�icant lor a permi� SUGiecis l�e appliWni to a citil penalty o� n01 mort I�an live �unE2G Oollars (5500). I. as owner of ine proDeny or rtry em loyea witn wape5 as Ineit Sole comvenution. will tlo Ihe wOrk, an0 Ihe ❑ siruCture ¢ nol intena¢E or ollere0 fot ule (�ibn 70CA. Busml55 ana %ole55iondl CoOe: ine fAntractors' Slaie Littnse Law Ooes nol apON �a an owner of a O�oDeny w�p OuilEs or improves t�erCOn, aM wtro Ooes suc� wOtlt t1irtLSelll�erself or iMoup� nis ar her own emD�oyees, proviGeE Ihal suth imptOvemen6 aie not intenattl or offe�e0 fo� 5ale. II. nowever Ine Ouiltlinp or imDmvement i5 so�tl vni�in one year ol com0�e�ion, ItM o-xntt will tuve I�e EurOen ol provinp �e/s�e Gi0 nol Duild ar improve for ine Duro�se ot Shcel. I, as owne� ot I�e propeny. am e�clusivelp comraciinp wit� litensea comractors lo consimcn�e pmjec� (Sec�ion 70aa, Business ❑ an0 Prol¢ssians CaOe: The Contracmrs' Siate L'au¢e law Gces not appry �o an ovmer of pmperty wno Eu�lAs or improves tnereon antl who canlracis lor suc� Orujec�s �t� a mnVacior(5) littnse pursuanl ta I�e Coniractors' Slaie License Law�. 1 am aware �hai D�aol ot t�eir Worktr'S Comp¢nsation irtm�ance shoulG EC proviOeO lo me. � I am exempl under Section: B. 8 P. C. for I�is reason: Oa�e� Owner. I Oo �ereGy cenilY ��at I am aware o� an0 unGerslanG ItR ceQuiremenis o� Cdlilomu Healt� anE $d�eiy Cotle Sec�ions 25505, 2553J, and 25534 and Iha� I or any tulure �uil0inp ottupant wilVvnil nol (ci¢le one) neetl �o comply with SaiU state codes antl I�e iepuiremenls lor a permii lor consimciion oi modAiwtion Irom Ne Ai� Ouahty ManaAemeni USlrict. ReSiEeniul consiruc�ion appliwtions are e*emD� ��om III¢5¢ p�Ovi5i0115. Da�e: Npplitani: I herCOy ceridy Ihai I �ave reae I�is application and 9ale Iha� Ihe aGOve in�o�ma�jen is cor cl. gr 10 CamO�Y �^'��h all tily an0 toUn�y oremance5and5la�elavrsrelatinglaOuilOrtgcaa�mGianaMhe Oyaultpriieceyesealativ ol o �oenteruponlheaEove-memionea pmperly �orinsoec�ion OurOases. .�a : SignaWr rrver's �icense or Sociai Sewniy a: 164�-46 While—Builemg'. Green—Cotle Enlorcemem: Canary—Applicant: Pink—Revenue; Gol�enrod—Nssossor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06699 PERMIT NO: H 066990 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION ; T/OFF RESHEATH 6 REROOF W/COMP. SHINGLES SQ FT: 4,800 CLAIM VALUE: 4,800.00 CALC—VALUE: 4,800.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B.C. ****rr*r**+t****x�*x�**.+�*x-�+��r�r+r**�*�*******�*��r***�-��*ir�-�r***�r**�r*x�*�r**�****�r�*�* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; ET IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 91802330 ZNE: REF NO: PLANNING NdTES> � iF 1t if �k if !f iE if 1E iklE if !f iE 1f if iE ff if iE if 1E iE iE if fElf IE 7f !! iE k ff k fF iE if iE 1! if iE iF 1F iE 1E iE if iE iE i� iE iE iF if iE �t it iE iE k iE if iE iE if 4 iF 1F %1E!! if fE iF �Elf iE if 1E D E V E L O P M E N T S E R C� I C E 5 R E Q U I R E M E N�T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: QQ\ itlfifffiEititiFit%1t1E1FitiFlElFit4lE1lit lfitiEifiE1lifitiElt iliE ififitiPi�ifiElEiFffiEiflfiEiFfFiPiEiFlfifiEiFifiEififiEififiti(�iEiFlEifitiEffiEiEfEiEiFifififififiEk�fMiEiFifMiflfiFif�kiEjfifififiElF1F ififiEiF kifiE LEGALIZATION:N E E E S U M M A R Y STRUCTURAL SEGMENT:Y , BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 .SO PLAN SMOKE DETECTO.R SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISS�/EallAql�A7iK TOTAL PAID DUE TOTALS----> 72.50 0. V�v ��d0 72,50 72.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECFiANIC FIRE SMIP/TOT GRADING PLAN—CHECK iz,�0 � ,rJ� 1F iE IF 1f 1E if 1t if i! 1E if if ik iE iF if if iE if iF if iE 1F ff iF %i! if iF if 1f iE 1E iE ik i! IE iE �f if ik if it iE iF iF * iE iE if if if iE iE iE iE if 1E Hf iF iE 1E iE if 1P if if 1! ft if it iF iF 1f 1f if if 1f if I N D I V I D U A L F E E B R E A IC D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4800 REROOF BY VALUE AESIDENTIAL NOZONE 1.00 4,80U,00 END OF FEES , OS �0159720—OD1597Z1 T GT 7q,gp ,, • DA7E: 04/29/94 TIHE: 15:20 ' 1� CONSTRUCTION AN� PIANNING �� APPROVALS Permit;; 1. Tempora�Y Electneal Serv�ce or voie r,.JL&SPA --�-- Date I I�spec.or AppROVALS Permit �� I Uate -+-'-- . I 52. r'ool & Equlpment LocaOo�� -� - Ilnspe[tar I . _ ------ - � . 2. $0'I Pioe'Undrrmt{. . i 53. Staul ReinfO'eeT�:nt � � I a.__ -_--_____T_�_.�_-�..._.--__,___ __ _______._._____ . . E�ectr�r�� Cn^.d::,t l:t' .. ,�w�«3,.-�. �a. Fnrm, - -'---^-�----'---- -�---- ------J- - ------- 4. E:ecincal Cond,..t C^d�.-, ��.tl. I I � h5 E�ect�ieal Bondinq � 5. Stz^i R�•��fo�c:m r•--- -- � ---� G�. Rough PIum6�ra b°�cs .ir_ T�.t --, �-- �-- -�--j-- ---- --- -t---. ' � F:.:r.c.' L'FER G,� ...- ---- -- -- -� h7. APPROVAL 10 COVEN r;� '. -� � -__ .-- _ _ _ _ _ _ +, _ - _ '. __ _- _ _' _ _ ' _' - _ _-+ +--- /. (-ooting: i � 58. �Inctncal Cordu�t�l,i-d� pi a. -_ __ -___ '�.r__�____ ._�__- - _. __ � _ __ -I _ _ 8. Foundation . I . � 59. Ga; Rpe. I] Undrernd.. T�;t __� i � _- - _ __'___ __-y- _�_ _-''_____-- : � 9 Water P�pe�Untlrg.cd. I.' E 60. Bar'cwash Lii�.^x, P�Trap ',- _.,r��,ri � i , �------_------ - - - -�- --- - ��------ 10 �nuctu•d� ��no� Sysh n i 67. AFPRQVAL lQ JCCK _ ' � i -.Y___ '__'__{� __ __'_-_-_-_ . __ _ _� _____'.�_ _ _-, 11. Prap'rty S"c.er Lir, e� t'-•. _G*J^.'.Get�on� � � �2. BaCicl:�ih ISt Hec.:Pte' Fin.i ; ,� 12. S�.verCaP ` -- --- -- -- - - -�-i-----i- -' -; � T � 63. Ha�[er & Vent-Fina� -�-- --- - --! --''- - - - � 13. Roat Drd'.n- ----- � � G4. ?'.�mbin9 Svst^m � F„�-�I I ' -- . ____--_-r�-�,_.1 - _- _I__._�___`._-___ _-_ _ _ _ -_ _-Y- _ ._ _ _ �_- , Q, l i ��. �i-:1�. il�f'J��j I ' 'J5. L'�E:triC21�F,^3� � -r_- r 75 Ru�.:��. F,�r,��u:�-Co�� --- +- -'-- - E6. Solar S4st.m�Fin„�- -- - - - _- � - -- -�_ -_ 1G. Rau9h Electric'::�r�c� � � -�--- � �- - - - � � _ i 67. Fencing & Access Ana�o�a-- --.---- --- - ---- � 7/. Nouqh lV n�9 S�gn , I� I u8. APPROVED FOR P:,45TcP.'�;G ' 18. Ro��hElecbic.,��?B�rCc'.-.y � G9. POOVSPASVSTc'.'.SFI�:AL ^- � -�---� 19. Ro�ah H=:.t�n3 & A.r Co� 1'' an.�.9 '�� FIRE DEPT. NEQUIREi.�E'r'T , ---- 20. Rough F:�eto.y Firep;,.c� j^ APPROVF�LS Pe.r��ut �r ___; 21. Duc+s.inStructurc -� �--- I 7p Underground Fiy�l n--------'---t------r------- -- t - - - --+ �- - - 27. D�a;, Vent Wt�.�y - -- I�--�----]1. Pr��„ct P;pinn'. G.,. :- 0�. � - ------ --�- --- - - -- --- -' ----- - - -�� - '--}------ - 23. G.:S P,pv�Fluugl�, fi: �e�,: . I . '� ;2. Uncle��ro�+�u i i��i� -__.__..,___-.__ _-._- J�'___. _�___ . ' 24. HaOf Fra��^,y ' � i � )3. Undc�nmd. Slnr �. T..nlc ; :i�� . �- _ :- - - - __ _ _-� ____ ._ _ _ /� _ .r _ ____' _ _ _____. - _ . _ . _ _ __ __ - .__ __ _ - '� 25. H�u� 5!,-a�--y --�- - -I�'`�`il � ' -2 �c�. n n., � �a �+.:,�,,. rt- " �jg �.g��,.:.c'S: .... _ ...,��,.,., _- ; __� �_'1;5.✓�yG,u:.,�„_. __'-_ _ �_ _ �?7. F ,.i:.:�d Fi..,---- - --------i--- �- - � 76. Di'! St... �f:rc - -- - - -- - -'��.. �. - .- ------- �., � �., i -- - - - � -- T------ ---- - - ----- - � .. . I 2II. �th�nn � S�d,•�9 I ' I /7. F!:;ED c��s-�',,: ,-�p�n� - - �I -- - I - __'._ _ _ ---_�_-_" -_ .. _ __ '� ______- ;'_ _ . _ _ I7C.. �nsu'vt.un----------'t-- I !8 FIHFPAEV.`i'�.Al � -- ----- ----i---. '.t------ -- - -_ ._ _ .. _ . _ . _ . . �3:1. ;i y:-.. ._',rn ;... h(EALTH UEPT .^,Pl]'.:I^E:.�'='.� � -------' ---- - -- -- - ---' -�- -'-I_ --� - - -- -- - - . - 3L 7,;.P'r u�o�vn Co.,t -- - , _-- --' -.I.._. . I /p. FIidA.l'Ifti::.^.CC1i��. � i $2. Fleclric'�I PoVrvr h�'.��Ivt.F • ,�I _ � r ' -_ �("�''.•t. __ _ . � . 80. FOCji�y-,E�j'�IF�Cl�-'F i;SUfi) � �. ------�--------�-- , . - - -- - --= - -- - - -� , -- - ---- � - - - -- -- - - - - - -- - - 33. F r I E�rcb � � }- ��o'..s: •��-w. � �34 i .i ri�.�t�.r:r t � , - - � �' I � L�� 6'j� i P.li/�p �f' ��Y�'�cf/7 '� - - � -- 7� n� r35. Fir I C.,__� Pi� ,.Te.t � . _ I_ _�� I _ h�"'�r/_'� ._G-�'. � �I`1'�'d.N[ �/�•t �"�- � - � - � ti �`^i // c 36. I-!ocJ or C.roP';� i _��`"g� "'�cX`S'_ _ leG.`'..-v,G �'B-�¢v �-- t - -r�---- I o7. F.r:.V r�,.ctc•v F--'- ----- --- -- - �kiR � - - - t--- - � •'e y.�= - �Gv� - - - - - 3L'. Fi,e� P!umo�r� i �_ � �.- � ---- '�- - ----- -- -- ----- - � 09. !'at_r S'rvice-Fni; � I 40. �id5 $2rY�C'�F�n91 41. £alu� Datne:t�.cF.r� 4?.. Bacicflova P�evcntcr � h3. Backflow Irngation �----- ------ � 44. Landscap= Irnqation Systcrr � �:5. Sound F�tt2nuat.o,- - i �iG. Hardlcap Rcyu'a' or, ----- ! -- - -- - - -. � �i7. i-ii'VALSTRL'CTUPE2 F,;I�DIft� � 48. f-;Z�AL PLAt:�!IP!G I � - -- _ - 4^.. E�.E: 'ie Re'�a<a ta '_d�so� 50. Gas Rele�se to Southr; n CG:utomla Gas 51. C[(i?IFICATE OF CCCU?ANCY _.__ i ._ _--- _ _ __ __ _ ___ ____- _ ._ _ . � _'_ _ _ _ __ ' __ ' _ -_ _ _ _ ____. _ 1 ,-�----- --------- - - ------ - -'-- - - ----r-- _- � -._: �CG' (� - - -�-- � Aoo��ant to Iill in all spaces except tnose within neavy Goraer lines ana si9n all aDGroDriate aeclarations. CITY OF COSTA �M qqq('' /C�O{�N�ST��R,j�J'CTION PERMIT PERMIT ^^ � ,� TRACT NO. LOT NO. UNIT NO. ,ProjectAddress +��L-iT_{I(j �� C�`h�� Applicant's Mailing A dress � S� �- �M L,n L ��' Owner's Name ��^��I'e a'�" �I'hone Address Arch/Eng. License No. L� 3 Address �� a��/� '� Gw � ,�1 A Contracror'SName�n-S�'t�/s• . �%t-"�" ��Phonaa)�,�S��nQ Address (mailingl n +✓ ` ! f C `� �� '�"�".�,F" Ciry License No. � �� LICENSED CONTRACTOFi OECLHRAY��N I hereby af(irm that I am licensetl untler Provisions of Charter 9�(commencing with section 7000) of Division 3 of tna Business antl Professions Cotle, antl my license is in t�fl force antl ettect. 321�'32 Vicep 4e Class � � �� °' ^� .(e '—,�' �/F. /T6 Si9natiHe.._, a.- � ..ORKERS'COMPENSATION DECLARATION I her¢by affirm that I M1ave a c¢rtifitate of �onsent to self-insure or a Certificate of Workers' Compensation Insurance, J� a certilietl Copy the7r�eof (Section 3800, Lab. C��1 .� u�ps Cort�Pany S��L� r�%'�1C �P licy No. �� certitietl copy is hereby fumishetl. ' � Cer ified copy i fi}etl with the city BU� ��9��y�T � q Date ��0^�6 ApPlicant� �� 16 �p'Z E%EMPTION FROM WORKERS' COMPE�`15A'f�ON OECLARATION ' (This Section neetl not be completetl if the permit iS tor one huntlretl ($100) or . Iess). 1 certity that in the perto�mance of the H'o�k ior wNU th15 pe�mi� is i55uetl, I shall not employ any person in any mAnney so as tp� become subiect to the _� Worke s ot Califo:.'.- � - a�� Oat _ �Signature � `NOTICE: It, aiter u this tleclaration, yo oWtl become subje o e Workers' Compensation provisions ot tPe Labor Cotle, You must fortltwith comply with such p�ovisions o� this Pe�mit Shall be tleemetl revoked. CONSTRUCTION LENDING AGENCV I hereby affirm that the�e is a construction lentling agency fo� the pertormanCe of the work for whicn this permit is issuetl (Sectlon 309� Civ. CJ IxnCer's Name Lentler'S Atltl�ess � OWNER BUILDER DECLARATION I her2by affirm that I am exempf from tbe ConVactor'S LicenSe Law fo� the following reason (Section 7031.5 Business and Professlonal Cotle: Any city or rounty which requires a pe�mit to con5truct, alter, improve, tlemolish or repai� �y strucWre, prior to its issuance, also requires the applicant tor such permit file a signetl statement tha[ he/she is ��¢n5etl pursuan[ to [he ptovisions of .ae Contractor's License Law (Chapter 9,(commencing with Section ]000) of Division 3 of the Business antl Profess�ons Cotle) or that he/she is ezempt ther0from antl the basis fo� the allegetl,exemption. Any_violation ot Section ]031.5 by, any applicant for a perm�t subjects the applicant to a civil pehdlty ot not more than fiv¢ huntlretl tlollais ($500). � ❑ I, as' owner of the property o� my employees witM1 wages as their sole compen5ation, will tlo the work, antl the structure is not intentletl or offeretl tor sdle (Section 7044, Buziness antl P�ofessional Cotle: The Contra[tor's License Law tloes not apply to dn owner o� a proper[y who builtls Or imp�ove5 thereon, antl who tloes such work himselt/hersell or tnrou9h his or her own employees, provitletl [hat sucM1 improve�nents are not intentletl or offeretl fo� sale. I1, howeveq tM1e builtling or improvement is soltl i[M1in one year o( com- Dletion, lhe owne� will have the burtlen of provinq he/she ditl noi builtl or im- prove (or the purpose�of sale). - ❑ I, as owner ot the pro0erty, am exdusively mnira<ting with licensetl mm tractorsto construct [ne projec[ ISection �044. Business antl Professions Cotle: Tlte Contractor's License Law dOes no� apply to an owner ot property who builtls o� improves Ihereon, antl who contracts for such projects with a wn- tractor(SI license Du�suant�to tM1e Contrdctor's License Law). I am aware that proof of tM1eir WorkeYs Compensation in5urance shoultl be provitletl to me. ❑ 1 am exempt unaer Section B. & P. C. (or [his reason Oate Owner — I hereby ceitify thai I have reatl thid application antl state that the above intormation s correcL I agree to complY with all cIty antl county ortlinances antl state laws relati t builtling construction, antl hereby autnorize repre- senlatives of this, cit o¢nt¢r p fe ove-�nen[ionetl Property for inspection ourposes. � /p � Signatu�e � _� Date Drivers' License or 55 � — vv� WVv �- TYPE OF CONSTRUCTION NEW A�D ALTERATION � REPAIR � ❑ CONVERSION ❑ DEMOl.ISH ❑ OTHER � A p # � DESCRIP.TION OF WORK/USE OF BLDG. � - S Main Buildi TVPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL �O PLUMBING O MECHANICAL B Reaf ❑ �OTHER � � %� PROJECT DESCRIPTION 5Q. FT. occuPaNCV C Right � GONSTRUCTIONTVPE VALUATION$ g Left ZONE GRADING CU. VDS. ACRES Ping. Ref. # Remarks: " Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiere � pishwasher Orinkin9 Fountains Floor Drains Floor Sinks Gas Service Interceptors � Kitchen Sink ' lavacories Roof Drains ,Reinspection Fee , � � $15 Boiler Duct-UnderGround Duct- Structural Duct-Ventilating ' Exhaust SYstem ❑ Multiple ❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting ' ❑0-100,000 BTU 0100,OOOBT Reinspection Fee I $15 CMF 0865�46, rev. 10/84 White - Builtling: Canary - Applicanp Pink - Accounting; Goltlenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection y�� Solar Collectors - Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Warer Heater Wacer Service ' Issue Fee Hood or Typel ❑ Canopy Type I I ❑ � Refrigeration System ❑0-t00,0006TU ❑t00,000BTU System Repair/Alteretion � Fire Dampers Registers Isue Fee FEES $ 3 $ 3 906t 2/10/86 Parking Ren./Provided ELECTRICAL .�— Automa[ic Washe} . Construction Pole�Su67 � Cooking Unit - . �ishwasher Dryers ❑Gas '.DElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal . Generator 00.5 KW �5-15 KW 2one Transformer Cl 15-50 KW � � 50+KW Meter ❑up to 100amps Meter ❑over 100 amps � ' ' Sub Panel Motors �0�1 HP �1'/x-8 Inc.Solar d9-75 HP �i6-15+ Microwave Pole'Li9ht Range Sign ; Standing Sections Tresh Compactor � Reinspection Fee !$15 ' I Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: 2oning APProved By Building Approved By ' � ApplicatiOn Issued By %o�. TL Z O N 1 N G R E Q M T S FEES $ 3 0 � � SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK , � $ �F��y �- pERMIT � PLUMBING � $ _(i.� �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ � PIAN CHECK 50% $ � MICROFILM 5 ��7 MECHANICAL $ TOTALF.EE $ %,ti%-� PLAN CHECK 25% $ � ; � CONSTRUCTION AND PLANNINV � • L& SPA I_ APPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole J 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. , � ' 53. Steei Reinforcement 3. Electrical Condujt Utility�Undrgmd.. ' �i � 54. Forms � ' _ 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. Electrical Conduit-Undrgmd. 8. Foundation ' ' . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undr9md. . � 60. Backwash Lines, P-Trap, O Undrgmd. . 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection .i3-}f6 („f�Q ' 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 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test _a 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.StorageTank O�Gas ❑Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Ory Chemical 27. Frame and Flashing 76. Dry Standpipe 7.8. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT I 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: I34. Final Heaiing & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy i 37. Final Factory Fireplace 38. Final Plumbing Z'l,j��L � 39. Water Service-Final 2�17/6L 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation � . 44. Landscape Irrigation System 45. Sound Attenuation . 46. Handicap Regulations ' 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ' � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . Nn. Date � ,x� Deeember 3� 1973 Mr. Nilliam E. St. John� Clerk Superior Court of the State of California For the County of Orange Santa Ana� California � ,' REs PROPERTY LOCATED AT 495 Grand Haven Circle Dear Sirt On June 2� 1965 a pecmit vas isaued by this artment to build a aingle family reaidenee vith an unfiniehed bonua room upsta ra. On November 30� 1970 a peimit s isaued to replace a water heater which vae inapected. On Novemher 13, 1972 a pezmit vas is ued to legalize a bathroam ahich ia Loeated ups[airs in the bonus room� which has never had any inapec[lons to Chis date. These records are pub and can be reviewed at anytime by reques[. In order to legalize [hi oom the plumbing W111 have to be uncovered and certain testa run to see that it 1 noY leaking and that the proper materials have beea used that meet the plumbing eode. We hope thia letter ia auffielent to cover the infotmation you requeated. Very truly youra� VERN C. BLUM Depu[y Building Official VCBicb i / '. �/ J� � / 1%_ �y��ai�� %� ,p� / y�� ' � L ) . i�`v K F N O' I3 R I F 1\' � A S S O C� A T E S . � � � . � , , � , �� ..��ii �r,,..� .i�1�c� . - City of Costa t•leea Buildinp, TYVpsrtment �95 West 14th Street Costa 24esa, Cxlifornia Attention: t•'s. PYank Hruza June 28, 1�e5 ,1UN 30 �965 CitY of CAsta M�a gmldmB �eP SUBJECT: TinUer Trusa Inspection, Trussco, Inc., Fabrication Yard, Housing Pro,ject at Ludington and Grand Haven Circle, Costa btesa, California Gentlemen: We have completed the inspectton of' 1�9 timber trueses construr.ted on June 2b, lAF�S at the fabrication ,yard of Trussco, Inc. in Oran�;e, CaliPornia. These trusses crere assembled in accordance with approved engineering dravings using galvanized "tnise-tite" plates and pre- cut lumber. The trusses inspectr_d are tdentified as: Quantity Span 12 13 9 4 11 2�: 1', 25 1 << i3 11 11 9 i69 27'-10" 10'-j-1/2 20'_n" 17' _Ii^ 20'-10" 27'-10 21'-10" 27'-10" �� _�� 27'-l0" 15'-0" 22` _(•�� 21'-10" Pitch li !� L /]2 1� /12 4 %12 �+ �12 4 �72 :� �12 1: /12 �+ � 12 b/� li /12 4 /12 4/12 7Yuss Style T-32-i�-?5 raa2-h-35 T-22-L�-35 T-n-��-35K T-n-�+-25 T-32-�-35 T-22-�+-35 T-32-4-35 T-22-1:_�� T-?z-4-35 rt-16-�,-g5 T-22-l+_?5 T-22-b-25 House Plan 4h_S7c 44_S% 4h_BX kb-IDc 44 $X ��S�X 45_5g�, IiF-AX � �J 46-aX 49_� 4q_� k9-CR 49-Cx Worlananship for this �-oup oP trusses appeared quite satisfactor,y and l�nnber with stress grade equal to or gi-eater than that spectfied 1•��-;�r�� . i'.li •�ri �:� CONSULT[NG FN�:L1'PEIiS ��n�l�iii Ii ii �� . � � , r City of Coatr �sa Buildine Depa_,ment Attention: t•tr. F�-enk Hruza June 28, 1965 Pate �+o wae used for all const n�ction. The connections were tig,ht and individual trusses in acceptarle con�ition vhen marked with oui• initials in the ahippin6 area at the Tnaesco yard. tde hereby certif� that t?-e above trusses r�hen inspected were constructed in accordnnce vtth approved plars t�nd are acceptable for ruilding �onstn�ction in the City of Costa 1•fesa. Respectflilly sut�mitted, Y•EN 0'BRIf%! . A OCIATES \.:U Herbert J. M x Civi1 En�,*ineer CE 13,�35 HJD:vg cc' Trussco, Inc. 7{I:N n'}3}Z�}�N K.A8SOC7r1'1'NS i i �� I J / , I a y,. . COSTA MESA BUILDINGSAFETY uEPARTMEM P. O. BOZ 919 COSTA M68A. CALIFORNIA For Applican! ►o Fill In Comple►ely TYPE OR PRINT ADDRESS S T,% C U C COSTA MESA, CALIFORNIA � MAIL F2GQ0{ �.�tia �� USE OF EXISTINO BLO6. BETBACK LINE FHOM �� / REAR YARO CENTER OP BTRE6f SIDEYAROI LEFT S/ I RIGHT '�` DESCRIPTION OP WORK � COYERINGWALS[UCCO. I CO\ US¢..QF BUILOING AND WORK TO �1 HEREBY �CNNOWLEDOe THAT � XAV6 pBAO THIe APPLIGTION AND 6TATE TNAT THH PBOVE 18 CORRECT ANO AOREE TO LOM. pLY W�TH ALL CITY OROINANC68 ANO 8 T8 LAWB qEOUTAT� BUILDINO CONSTRIICTION. SIGNATUREOF � SL� M� PERMITTE ' /^// , AUTHORIZED AGEN�' �/ � ��an.c�.Q [� �4-C�4. carv �� sa MAY 24 1965 PPLICATION FOR PERMIT For �c�@ Qn� .'(%��IOJ ZONINCi N 1 NO.O U880PN � I.� �I PUNB��_ OUILOU �a�LAI L O �aa�A��a.. % �T// m � � � �� —t� � f �— � iAVE OVERHAN6 SHALL BE LESS THAN YAR�SAPPROVED MAIN BWlDINO VAR. jR YARDSAPPROVED ACCESSORYBUILDINO 1•lY�� r 75� 6a. �. SoA �"' T' � TH8 AMOUNT BNOWN UNDBfl VALUATION 19 FOR TXE F PURP098 OP E9TABlIBHIN6 A PERMIT FEE ONLY. p VALUATION `� /pi0 N PERMIT FEE $ ` 3 j $� � � 7� LA C EC�� 0 / � /� � 4, TOTALFEE $ I JOB ADDRESS ` AD vo. 141-( I: sCTIONS or 8 ural, Final � DESCRIPTION FIRE ZONE SUBCONTRACTOR l:i� .� Z . d U �- Z Z Q O �~i7 a m J � J � Q W ¢1 J J m Q U N Z a W � p_ W J Q m Z J � W W 0 = ZF w� Vl ¢ � � .. -: '� 3. 8. I COSTA MESA BUILD�NG-SAFETY DEPARTMENT P o. RnX 1200 COSTA MESA_ CALIFORNIA 92626 PAiO ,,OV 13-72cws:.�0 �+��.� *u,r-*5.03 APPLICATION FOR BUILDING PERMIT ForApplicanttoFil/inCompletely RECEIVEDBV oaTE cei eo 7 � � 55 � BUIIDING i _ ADDRESS S � . / � / � /� O � PERM TrNO. OWNEF u i.ti,,' A.P. NO. �l M A I L BUIIDING p ADDRESS 1 (� _ /aDDRESS S/� � C G , TEL. TRAGT.J (� LOT BLOCK CITY ..{� �� r -No. -/Y CON5TRUCTION W DD A P LENDER BRANCH OWNEF E ll� U/i/ ADDRESS / VALUE - ARCHITECT TEL SE�C $ � OR ENGINEER N . FIRE ADDRESS ZONE TVPE GF:OUP APFROVED WNTRACTOR BV DATE ADDRESS TEL. ZON NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV VARDS APPROVEO VARDSAPPROVED U0. No. LIC. NO. MAIN BUILDING ACCESSORY BVILDING SI2E NO.OP BLDGS. (FFOM GL STREET) OF LOT NOW ON lOT RONT FT. FT. USE OF ' EXISTING BLOG. S T. I SIZE OF NO. OF NEW BLDG. ROOMS STOFIES L. SIDE FT. EXTERIOR WALL ROOF COVERING COVERING RE F FT. FT. USE OF BUILDING AND WO�K TO BE PERFOFMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE55. BLO(35. � ••� � TG2�OQ V URP # APPROVED APPROVED /2 ✓ I hereby acknowledge that I have reatl this application antl state ffiat ffie above information is correct antl agree m comply with all laws regulating builtlin9 consttuction, antl I shall noi employ � any person in violation ot the workman's compensatiOn laws ot the State of Calitornia. j/QC � 1 hereby certify that I am properly licensetl as a conttactor under SQ. FT. i the State of California Businass antl Protessionz Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in tull force antl effect, or I THE PVRP�E OF ESTABLISHING A PERMIT FEE ONLV: � am exempt fro e provisions ot theState of California eusiness VALVATION antl Professio Co , DivisiOn 3, Chapter 9. ��i < PERMIT FEE $ ! Signature ot /,�/� � � �/� �� Permittee 'z' ✓ �— $ �Q �' rd�/ PLAN CHECK $ i Authorize Agent TOTAL FEE 5 �� TRACT FIRE ZONE SUBCONTRACTOR ROUGH PLUMBING PROP. $WR. LINE HOUSE CON. SPftINKLING SYSTEM MISCEIlANE0U5 . ROUGN HEATING AND AIR CONDITI TEMPORAFV SERVICE OR POLE UNDERGROUN� � POWER � ROUGH WIRING TRENCHES � FORMS STEEL REINF. FLOOR SYSTEM BON� BEAM � STEEL REINFORCE � SXEqTHING FRAME AND FLFSXING LATNING — IN � PLnSTER, BROWN OA' STv^-iURAL, FINAL Hi i, VENT., REFF PLUMBING, FINAL AND ELECTRIC, FINAL BUILDING, FINAL