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Home My WebLink About839 GOVERNOR ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIP ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 839 GOVERNOR ST Suite: Vicinity: ROOF Parcel Number: 42243312 Applicant: DAVID ELLIS Address: 2012 PORT WEYBRIDGE NEWPORT BEACH CA Owner: LAIDLAW, BRIAN A TR Address 29642 NOVACELLA ' LAGUNA NIGUEL, CA - Contractor: D R ELLIS ROOFING Adtlress: 2012 PORT WEYBRIDGE Arch : Address: NEWPORT BEACH CA Zip: 92660 Phone: Zoning: Phone: (949)759-5088 Zip: 92660 Phone: Zip: 92677-7903 Phone: (949)759-5088 License: 504943 Eng: Address: Status: ISSUED Applied: 04/29I2003 Issued: 04/29/2003 i s�/-/ � / �/ Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALI 30# LEFT, NEW GALVANIZED SLFASHINGS, 30 YEAR COMPOSITION SHINGLES, NEW TORCH ON FLAT ROOF (PATIO). 2,200 S.F. - ' - - Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $9725 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lek 0- 0 Lefl 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $a,000.00 sa,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 �aas-as (e�oo� WORKERS'COMPENSATIONDECLARATON: I hereby effirm V�tler penelry of perjury one of the following tleclarations: ❑ I have en0 will melntain e certificate o� wnsent to sell-Insure tor workers' compensatlon, es provided for 6y sec�ion 3700 ot lhe Lebor Code, for the pertormance of the work for whlch Ihis pertnit is issued. ❑ I �ave and w��l maintain workers' compensation insurence, as require0 by section 3700 of Ihe Lebor Code, for Ihe peAortnanCa of tha work for which this permit is Issuetl. My workers' compensation Insurance carner and poliry num6er era: Carder. policy Number: (This section neetl no! be comp/efed il (he perm/f is valued et one huntl�ed dollers ($100) ar /ess.) l.l I cetlity Ihel in the peAormance of t�e work br which ihis pertnit Is issued, I shall not employ any person in any manner so as to become subject to the workers' �� campense�io� laws of Celifornia, end egree thet il I shoultl become su��ect b Ihe workers' compensetion provislons ot Sectlon 3700 0l Ihe Labor Code, I shall fotlhwlth comply with Ihese pro�W��slons>. m Applicen� Slgna�ure: YJ��fG�- Date: �I eR I � 3 WARNINC+: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUI rWD SHALL SUBJECT AN EMPLOYER TO CRIMINAI P T S ANO CNIL FlNES UP TO IXJE HUNDRED THOUSAND OOLLARE ($100,000), IN ADOITIdJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTIIXJ 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby attirm that 1 em licensed under provisions ot Chaptar 9(commencing with Section 7000) ot Division 3 oi Ihe Business and Professions Code, and my license Is in lull force entl eHect. Uc. a �'�U q G 3 Class e C"3 Contrectofs Signeture: �Y ��— Dete: �-��a'S CONSTRUCTON LENDING AGENCV: ❑ I hereGy eft�Rn ihet there is a construction lending agenty br ihe pedormance ot the work for which ihis pertni� is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lendefs Adtlress: Signeture: Date: OWNER-BUILDER DECLAqAT10NS: I hereby afllrtn Inat under penalry oi perjury Ihat I nm E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city o� counry which requires a pertnit to constmc6 elter, improve, tlemolis�, or repair any sWcture, prior to its issuance, also requires the applicant for such pertnit lo lile e signad s�etement that he or she is Ilcensetl pursuem ro the provlsions af the Conirectors License Lew (Chapter 9(cammencing with Section 7000) of Division 3 of ihe Business end Plo�essions Cotle) or ihat he or she is ezempt therefrom end the basis for tha alleged ezamption. Any vlolatlon oi Section 7031.5 by any applicent for e permit subjecis ihe ep0�lcam co a civil penelry of not more than fiva hundred dollars ($500).): ❑ I, as awnel of the Droperiy, or my employees with weges es thelr soie compensation, WILL DO 7ME WORK, entl the stmcture Is not intentled or oHered for sale (Sec. 7044, Business antl Professions Code: The Contrectors License Law tloes not apply to an owner of property who builds or improves thereon, and who tloes suc� work himself or �erself or through his or her own employees, providetl tM1et such improvements are not imended or ofleretl br sale. II, however, Ihe building or improvement is sold within one yeer of completion, ihe owner-builtler will heva the burtlen of pmving that he or she did not build or improve �or purpose of sele.). � ❑ I, as owne! ol the properry, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CON7RACTORS to consiruct the project (Sec. 704a, Business antl Professlons Code: The �ontractors License Lew tloes noI epply lo en owner of property who bulltls or improves Ihereon, entl who conVects br such pmjed with a contrector(s) license pursuent to Ihe Coniractors Licensa Lews.). ❑ I am exempt under sec. Business end Professions Coda for this reason: Signeture: Deta: Ownar ID verified �y dnvers license. ❑ Yes ❑ No Driver's License No. Expires: Verilicatian of OW�ers�ip by (rype ol document, i.e. - properry Wx bill or deetl): DIVISION OF INDUSTRIAL SAFETY PEHMI7 CERTIFICATiON: ❑ I hareby cehi�y that no excavation five (5) or more teet in depih into whlch a person is required to descend, will be matle In connection with work authorizad by this pertnit, and that no builtling siructure, 5caflolding, falsework, or tlemolition or dismantling ihereot, will be more ihan thirry-s�x (38) feet hig�. (Chap. 32, Grp 2, A� 2, Sec. 341, 71t1e 9, Celifornie Administrative Gotle). ❑ As owner-bullder, I will not employ anyone to tlo work which woultl require e Dermit Irom the Division of IndusMal Sefery, es noted above, unless such person hes e pertnit ta tlo such work from ihe tlivision. SignaNre: Date: Division oi Indus��al Safery Permit Number: CERTIFlCATE Of COMPLJANCE AND AUTHORVATON OF EMAV: I certity under penalry of perjury that I heve read Ihis epplication and state Ihat the information given is correct. I egree to comply with all state laws entl city or0inences relating to building construction, end authonze representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed property for inspection puryoses. I agree not to acupY or allow occupancy of any building authorized by ihis permit until tinal inspection. �j ��aWre Ot Legal Owner(s) ate \-5.1�� l6L AnNOr Authonzed Applicant Date cooe r. INSPEGL9NTYPE 1616 Fiaed Sys�em Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roo� 201 Finel BIo�WRetelning Wall 202 Finel Fa��ory Fire Place 203 Finel Sign 204 Finel Demolition ,uu_ �1�2' �' COpE� INSPECTIONTYPE � 206 Final Mechanical 208 Final Plumbing 210 Flnel Electticel 212 Final Fire Preventlon 220 Final Planning Approval 222 FinalSite 250 Final Building/OCcupancy PerE li�e�s PFOJECT AOOHESS: R 3 9 GOVERNOR S T OWNEP'SNAME: LAIDLAW BRIAN A FDOPE55: �39 GOV�RNOR ST COSTA MESA,CA 645-6854 AflCNIENGINEEfl: R�OflESS: UNIT: 92626 HEC.NO.: UNIT: PEPMITTEE: ASCS ELECTRIC ( 7I4 ) 641-3550 ' AOOflESS: 1 3 S S EAS`f ST . ANDREWS PI.ACE C SANTA ANA CA 92705 LICENSED CONTflFCTOP �ECIANATION: I �ereCy a�lirm thai I am licensed unEer Dmvisions o� C�apler 9(commencinA wi�� Section ]000) of �imsion 3 oline Business antl Professions CoOe. and my license is in �ulllorce an4 eflecl. aTv uc.: pq 6 y p srnre uc.: 4 8 0 2 2 4 cuss: � _e„c ��q% Signa�ure:— _ _ WOBRENS'rCOMPEN5RTI0N DECLAflATION: I �Cre�y a��irm al I �av¢ a teN�¢aie ol ton5eni lo Sell�insUre or a Ce Iicaie ers' Compensation Insurance. or a cenAiea coDY Ihereol (Section 3800. LaO. q. voucvNo.: WPf3054U509 E%P.OATE: IOIOSI9Z comvaxv: F'IREMANS FUND � Cehilietl cqpy is here�y fumished. � Cenilied CODY is�leQwith ihe city BuildinA Division. ��1` �„ei)// / VI Ir Ppplicanl' ��n "J f/�✓ y" _r—( EAEMPTION FNOM WOPKENS' COMPENSATION UECLAflATION: (ihis sectian neetl na� be completetl i� �he permit is lor one hu retl (E100) or less)� I cetlify thal in Ihe performance of ihe work �or wnich Ihis permit is issue4 I shall nol employ any person in any mann� cn �� in noeortfe sublecl lo IAe Workers' Compensa�ion Laws ol Calilomia. Daie: Signamre: NOTICE: II. alter makinB ��is Declaration, you shoNd oecome subject b ihe WorkeR' Compensalion pwvisions ol Ihe Labor Code, you musl fatlhwilh comply wi�� such pmvisions or t�is permii shall he Oeemed �evoked. CONSTNUCTIDN LEN�ING AGENCV: I hereby allirm Iha� �here is a conslmc�ian lending agency lor the petlormance al �he work for w�ich Ihis permil is issued (Seclion 3097. Civ. C�. LENOEfl: aoosess: OWNEH BUIIDEN UECIABATION: I hereby alfirrn Ihat I am exempt Imm ��e Coniracbrs' State License Law for �he lollowing reason �Seclion 7031,5 Business and Pro�essional Code: Fny ciiy ol counly w�ich repuires a De�mi� Io conslNcl, al�er, impmve. Uemolish, or repair any slNCWre. o�ior lo ils issuance. also requires ihe applicanl for sucn oermit b lile a signed statement ihat he/sne is licensed pursuanl io the pmvisions ol I�e Coniracbrs' Slaie License Law �C�apter 9 �commencinp wi�� Seclion 7000) ol Division 3 oi Ihe Business ana Pmlessions Coae� or �nat ne/sne is exempt �herelmm and �he basis for ihe a�lepea eKemD�ion. Any violation of Section 7037.5 Uy eny applicanl �or a Dermit subjecis �he applican� lo a civil penalty ol not more �han five huntlretl Uollars (E500�. I, as owner of iha pmpeny or my employees with wages as Iheir sule comoensation, will do ihe wurk, antl the ❑ simcmre is not inten0ed or oflered lor sale �Section 7044, Business and Pmlessional Code: The Conlracmrs' State License Law tloes not aODly io an owner ol a O�openy who huilOs or improves ihereon, antl who Does suc� work himsell/�ersell or throuAh �is or her own employees. provi4e0 Ihat 5ut� impmvemenl5 are no� in�¢ntled Or O��ered lOr 5ale. If, haw¢ver t�¢ Luilaing ar improvement is sold wilhin ane year ol compleiion, Ihe owner will have Ihe UurOen ol prOving M1e/stie Uitl nol bui10 or improve for Ihe pur0ose o� sale�. I, as owner oi ihe pmperly, am exclusively conlracling wi�h licensetl contrac�ors �o canstmcl lhe pmleci (Sec�ion 7044, Business ❑ and Proles5ions Cotle: T�e Contractors' S1ale License Law aoes not aD01y to an owner ai DmDerty who builOs or imOroves thereon antl who comracts br suc� pmlecis wit� a contractoqs�license Dursuantto ��e Comracmrs' State License Law),I am aware �hal D�aol ol I�eir WDrkei 5 Compensa�i0n insurante ShoWC De pmvitletl IO me. . � I am e�emp� unaer Seclion�, B, B P. C. for Ihis reason: Date: Owner. I tlo hereby cenily Inal I am aware ol ane unaerslana Ihe repuiremenis af Caiifomia Healtn an0 Sale�y Coae Settions 25505. 25533, an0 25534 an0 I�at I or any fuWre OuilGing occupanl will/wiil noi (cirtie one) neetl lo tomply wiN saiA slaie co0es antl t�e re0uiremenis lor a permil lor conLmclion or modilicalion Imm Ihe Air Oualiry Managemen� �i5Vic1, fle5itleniial consimclion applicaiions are e�emp� irom IhCS¢ pfOVi5i0115. Date: Applicam', I here�y cetlity I�at I �ave rea01hi5 a0�licalion antl stale �hai Ihe a0ave informalion is correc�. I agree lo comply wil� all city an0 counly oi0inance5 ana 51alelaw5ielalinB�o �uiltling cons�mclion and here�y rirerepre5entalive5 o�lhis cily�o enteru ve�menlianed pfopetly IOf in5 CCIiOn urpO5C5. �i O�—!L�/-a-LL= S'9 t e� � ,L�_ � ori�ei's �icense o� sonai secudiy x: � 164b46 W�ite—Buildmg; Green—CoOe EnlorcemenL Wnary—AOP�icant: Pmk—Revenue: CSTY OF COSTA N,ESA — BJILDING PERMIT PERM NO: E 05491i PERMIT NO: E� 059917 PLAN CHECK NO; N GOVT: Y SUFF: N COIQSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRTPTION ; SERVICE CHANGE 6 CONNECTION SQ rT: CLAIM VALUE: CALC—VAL[JE; GROTIP OCC; R-3 / COMMENTS: �** CITY PRUJECT NO. 91-07 �� lf jE �IE iE iF �� iF9f �)E �N df �X �K iE �1F if ik-lE �F �M �k� if iE iE iF �E it iE �� jE iE �k df if iE �Jf if it iE �lf iE �7E if �16 iE �lf if if �iE iE �lE iF �M k if �N �E if iE iE k iF if iE �kiE �� # iE �IFiE it �E #iF �7f K� if if Z U N I N G R E Q U I R E M E N T S sETSAcxs ------------ MAIi�I HUZLDING ---------- --------- ACCESSORY bUILD.TNG --------- FRNT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REp• PROV; PARCEL: 42293312 ZNE: REF NO: PLANNZNG NZSTES> � 3f # iE if 3E i4 if iE iF �F If 1f 1E±E if �k iF iE if if k iF # iF 3f �1f� if # iF if # iF ie-1'r iF�h 3E �lE IE 1F �E # ik If iE ii- 3F if ih IE iE iE 1F iF 3f iE if iE if if i(� iE iE iP if iF iE i4 #F iE ie it 3(� ai• ac 1E iE �l'r lE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T 5 ZONING APPROVED BY DATE; BUILDING APPROVED HY :_ __ DATE; APPLTCA'i'ION ISSUED BY • DATE: �,� ^ I2; � iFiEifiElEiFiElfif�(�iE�fiFif�k1F1E1E3ElE1EiE'iF74'iF'3F3r3 � �iF'�ic +ri . . � iF3f�lhi6jFiFiFielE3Fx iE3F iFiE3fiEiEiE�%�iEiE�lfiE1(��1Ef43FifkiEif�lEiElEIFiFiflf-iFiEiFiEiFiEifiFif9E�l(�1Ek �iE*iE#'-7(•3f1FlFi(�ifffifjFif-iEi(�if��kiFiE#�E1Fif�aFr.afYiFiFafiE#i6aF1EiE�If3F LEGALI7.ATION:N F E E S U M M A R Y STRUCI'i3RAL SEGNENT:tv BI�DG FMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES C3RADING PERMIT 18�OR SMIP/130N—�ES PI.AN ISSUE FEE 15,00 BUILDING—DIV—> PERMTT ISSiJE PLAN—CHECK TOTALS----> O.UO O.UO 0,00 REVENUE DIVISION TUTALS--> COI,LECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC OTOU pA00 D00 .00 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECI{ IF jE if jF 1f df if if if iF iE IF i(� �1F IE iElE �)f IE iE %� 1E if iE If iE �(� 3f 1E If ih i(� 1F iF 3f if� i(- iF if 3E ih i4 iE 3E i(� 3F �(-� ie ±E iE iE iE iE+: �1F iF iE df * iF i41F �lE iE �lE i't iE 3i� li �1E iE iE ib af If iF # iF 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 ELE 1 SERVICES BELOW 600 V& BELOW 201 AMP 18.50 18.50 END OF FEES �� - !� . . �.�.. . . I `�,_ .,,,_- -- //�, CONSTRUCTION ANDPLANNING POO� PA - APPROVALS Permit # Date Inspector qppROVALS � Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Und�grnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding � 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVEF�GUNITE 7. Footings 58. Eiectrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System- 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Feugh Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in StrUcture , 70. Underground Hydro 22. Ducts, Ventiiating 71. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test � 72. Underground Flush 24. Wjof Framing 73. Undergrnd.StorageTank OGas ❑Oil 29'. Roof Sheathing 74, Overhead Hydro 26. T�Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27 Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Orywall Nailing - HEALTH OEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final + 80. FOOD CERTIFICATE ISSUED r 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test ' _ 36. Hood or CanopY 37. Final Factory Fireplacc 38. Final Plumbing 39. Water Service�Final � � 40. Gas Service-Final . 41. Solar pomesticFinal 42. Backflow Preventer , 43. Backflow Irrigation 44. Landscape Irriqation Sy:tem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. FINAL PI_ANNiNG � 49. Electric Release to Edison � 50. Gas Release to Southem California Gas Co •', �� 51. CERTIFICATE OF OCCUPANCY � No. Date ' • AOPlicant [o fill in all spaces witnin heavy Eortler lines antl sign all approprlate tleclara[ions GITY OF COSTA MESA P RMIT NO. TRACT NO. LOT NO. �BLOG. NO. CONS�TRUG-TIONPERMIT � �O�'Z �P>7z 5Z Project Hddress ' �/�£,�,j��/L � j.— �� TYPE OF CO�j�6TRUCTION l�wner. � one �� ❑ NEW C�i�ADD ❑ ALTERATION Address � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. License No. ❑ oTHER DESCRIPTION OF WORK !� Y� U Address Contrecmr ��'�/'A/,�2 - Phone Address LIGENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(com- m¢ncing with sectlOn ]000) ot DIri5lon 3 ot the Business antl PfOf2551005 COtlO� dlltl Ty ❑C¢f15¢ IS 111 fWl force Llld CffECf. Litense Class License No. Date ' Signature WORKERS' COMPENSATION DECLARpT10N 1 hereby affirm that 1 have a certititate of consent to Self-insure or a certitiLa[e o( WorkGrs' Compen5ation Insurance, o� a CertitieG copy thereof (Section 3800, l.ab. C.). y No. Company - .ertified copY �5 hereby furnishetl. � L� Gertitietl copy is tileE with the tity Builtlinq Divislon. EXEMVTION FROM WORKERS' COMPENSATION DECLARATION (This Sectlon n¢etl not be completetl if the permit 6 for one huntlretl SS300) or less). certify that In tne oerformance of the work for whlch this permit Is ISSued, I Shall nOt employ any person in any manne� so as fo become subject [o the Workers' Compensation Laws of Califomia. Date Signature NOTICE: If aft¢r making thls tleclaration, you shoultl become subject to th¢ Worke�s' Compen5ation prOvisiOns of the ldbo� Cotle, you must to�thwith cOmply wi[h such p�ovisions o� tHiS permit shall be tleemetl r¢vOk¢tl. � - . CONSTRVCTION LENDING HGENCV I hereb� affirm Ihat there is a const�uctlon lentling agenty for tM1e per- formance of the wor�which this permit is issuetl (Sectlon 309] Civ. CJ. � LenOer's Name Lentler's Atltlress OWNER BUIIDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section �031.5 -Business antl Professlons Cotle: Any city o� county whith requi�es a Oe�mit to ConStruc[, alter, Impwve, tlemolish o� repai� any St�uctur¢, prio� to its issuance, dlso re- qui�e5 the applicant fo� such p¢rrtlit to tile a signetl statem¢nt thaf M1e i5 litensetl pursuant to the provisions of the Contractor's License Law (Chapter 9(commencinq with Section ']000) -of Division 3 ot the B�isine55 antl PrWe55ions Cotle) or <hat he Is exempt tM1eref�om antl th¢ ' for the allegetl exemption. Any vlolation of Section �03L5 by applicant for a-permit'subjects the applican[ to a civll penalty ot more than five huntlretl tlollars ($500). � I, as owne� of Ihe property, or my employee5 with wa9e5 as their sole compensation, wlll tlo the work, antl Ihe structure is not intentletl or ofteretl for sale. (Sectlon 7044, Business antl Professions Cotle: The Contractor's License Law tloes noi apply to an owner of a property who builtls o� im0�o�es thereon, antl who tloes such wo�k himself o� [hrouqh his own empioyees, provitletl that such Improvements dre not intendetl or otferetl tor sale. If, however, tM1e builtling or improvement is soltl within one ycar of completion, thc owner will have the burtlen of p�oving he tlitl not builtl or improve fo� the purpose of sale). ❑ I, a5 owner ot the propxrty, am Gxclusively contracting with IicenSetl Coniracto�5 to mnstruct the project (Section ]064, BuSin¢ss antl Profes51on5 Cotle: The Conl�actor'S License Law tloes not apply to an owne� of property wM10 builtls or improves thereon, antl who con- t�acts f�om such projects with a contracto�(5) Ilcesnetl pur5uant to t_he�¢ontractor's License Law). �i'rl am Exempt untl¢r Section B. & P. C. fo� this reason Date ) � J I _1 J � I hereby certi(y [hai 1 have reatl this application antl state that the dbove Information is mrrecL I agree to comply with all cify antl county o�0inances antl state laws relatin9 [o conSlruCtion, antl hereby uth ize repres¢n[ativ p tK city to ente� upon the above en ' etl property Po ' s f}+�f pycas. Slgnature '�^"V Da[e Drivers'Licensao SSx ❑ GRADING' ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI ❑ OTHER PROJECT DESCR T N SQ. FT. � � , � OCCVPANCV �F �O.NyS�TRUCTIONTYPE� VAIUATION , / J v ZONE GRADING CU. VOS. ACRES PLUMBING TOI LETS , LA V ATO R I ES KIT. SINKS SERV ICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOL � WATEf3 SERVIC GAS SERV ICE� WATER HEAT 5 SEWERCONNEC SOLARTANK SOLAF PIPING SVS. � ISSUE FEE MECHANICAL PLAN CHECK SHOWERS VRINAL$ DOUBIE LAVS DISHWASHERS SUMPS FLOO� cHecK HEATING SVSTEM Od00,000 BTU. AND�UCTING 100,000+BTU, REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000 + gTV , BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE CMF OB65-46 White-Builtlin9: �nary-F�(iplicant; Pink-Accounting; Goltlenrotl-Assessor 57}7 9/c4/8{ .'.�_ �, ZONING REGULATIONS A.P.� lIS—H03-1 ZONE �—I PLNG. REF. � ��V TQ BUILDIN SEpTBHCK GL ST. �� PftOPERTV I L�EFTYARD 7,��• . �,IDE,VA .y; �ny REAR YARD (TO PKG.SPACE RE�. 20NING APPROVED BV SPECIAL CON�ITIONS: ELECTRICAL PLAN CHECK nrn "�- 34072 TL FEE $ -� GENERATOR 0-1 KW_ 1-10 KW _ TRANSFORMER PPLIANGE 30-SOKW_50+KW_ TORS 0-1 HP_I-10 HP _ (IN SOLAR) 30-SOHP S�+HP_ FIXT ES OUT�ETS SWITCHES QBE SIGNS LIGHTS PANELS MAIN SERVICE ISSUE FEE APPLICATION APPROVED�6V SVB AMP UMMARY OF FEES BUILDING PERMIT $ �O'�� SMIP g O,SO PLANCHECK $� PERMIT ISSUANCE $ PLUMBING $ GRADING $ PLAN CHECK $ ELECTRICAL $ � $ PIAN CHECK $ MICROFILM $ MECHANICAL $ TOTA� FEE $ LESS AD- PLANCHECK $ VANCEPC $_ FINAI. FEE � "� � . CONSTRUCTION AND PLANNING � POOL & SPA _ :, : � � . � . � � Date Inspector Date . � Inspectar APPROVALS permit # L APPROVALS Permit #' r 1. Temporary Electrical Service or Pole 43. Pool & Equipment�Location '� � ' � • � � . Soil ipe-Un rgrn 44. Steel Reinforcement " �� - 3. Electrical Conduit Utility-Undrgrn ' • 45. Forms 4. Electrical Conduit-Undrgrn 46. _ Electrical Bonding . tee ein orce . 47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE � 7. Footings .1S- / .1,�l. 49. Electrical Conduit-Undr rn 8. Foundation , 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53.� Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent�Final 13. Rough Plumbing • 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough E�ectric-Wiring � 57. Solar SYstem-Final 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating /�• 19. Gas Pipe-Rough & Test / � 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . . 21. Roof Sheathin �� 22. Frame and Flashin • NOTES: � 23. Insulation � ' � 24. lathing & Siding •� � 25. Drywall Nailing ' 26. Plaster Brown Coat � 27. Electrical Power MetenFinal � � ' .r- - ' 26. Final Electric ' � - 29. Final Heating & Air Conditioning � � 30. Final Gas Pipe-Test � � 31. Final Plumbing /� 32. Water Service-F,inal 33: � Gas Service-Final •�' 34. Solar pomesticFinal 35. "� Landsca e S rinklin S sf�in ' 36. Sound Attenuation • - • • 37. Handicap Fegulations 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. 42. �CERTIFICATE OF OCCUPANCY � No Date { �Y �� CQJC/t� �CITY Of COSTA M65A pItANNING DEPT. ' �y�i i0 BLDG. DEPT. REO. SY.�Gf.t,Uo oare.9�lZ-r/a,. q/{{9CT0! OF PIAY.NING � Qv � ' � •�' • r �5 / -.. �, L �� 1�7%�a G�e+�L' �% 9 / I i ��//1' ll / � � _ a�� .. � 3% � a ��/S�; KGUSE � �o r�c SC°.�L� �-� Y �'� _ ,. APPROVED ��y a� Mesa Building Dept. iHESE PUMS MUST BE ON JOB AT AL[ TIMES MAKE NO CHANGES WITHOUT PRIOR APPROVAI OF DEPT. THE ISSUANCE OR GRANTING OF R PERMIT OR RPPROVAL OF PLAyS AND SPECIFICATIONS SHFLL NOT BE CONSTRUE� TO BE A PERMIT FOR, OR AN APPROVAI OF, ANY VIOLATION Of ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE• SUMING TO GIVE AUIHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF 7HIS CODE SHALL BE VALID, EJ(CEPT IN SO FAR AS TNE WORN OR USE WHICH IT AUTHORIZES IS LAWFUL. iHE ISSUANCf Of A PERMI7 8ASE0 UPON PLANS ANp SPECIFICATIONS SHALI NOT PREVENT THE BUIIDING OFFICIP.i. fROM THEREAFTER FEQUIRING THE CORRECTIOI! pF CtR06S IN SAID p1AN$ qND SPECIFICATIONS OR FROM PREVENTING ; BUILDING OPERqT10N$ BEING CARRIED ON THEREUNDER WHEN DF.T E�� j�� E QR OF ANY OiHER ORDINANCE � i STRUCTURAL APPROVAL ONLY SEPARATE PERMI7S ARE REQUIRED FOR ELECTRICAL, PLUn981NG, HEATIiVG, VENTitATING AND REFRIGERATION WORK Permit # t' �0 8 Z THIS NUi11BfR MIJST ACCOMPANY ALL INSPECTION REQUESTS fOR BUiL�INGS 4'JNEtiE PERSOPaS ARE TO BE E�PLOYED, WE SUGGEST THAT THE STATE OF C.lUFORNIA DINSION OF INDUSTRIRL SAFETY BE COYSULTED FOR ADDITIONAL REQUIREMENTS. ( `�s= PATIO COVER DETAIL 6/1/67 � QOOF SNEATHdJC� : %y" f�y'WD, COX �? j, 25f% � ^ STATE--j�� $IZE SPACING SPAN OVERHANG RAFTERS:�� , � 'z •� __.��i cNGTH �� SLOPED FOR DRAIN _ % `BEAM �TE SIZE 3�16 x i z � � s �� = POST-BEAM ; � p.J� � CONNECTION i � �� 3/g K S�Lags 32% —� Predrill l.edqer � Pred�ill EKiefinq '/�-3 Deep JOIST NANGER or other approved _methods oi suppoH �� fie. ' j ALL LUMB£R DOUGLAS F/R �CONSTRUCTION� GAADE i � POST � � �� i''' �LZ"T ; �O i _ � SHOW SIZE SHOW SPACING i~ � SHOW LOCATION ON REVERSE SIDE. � �� T� -� SLOPE TO ORAIN— >. DROP PATIO FLOOR s .. .. ..� i ni�,n a�Ho - _L_ � ^ �� PUDDLED SAND FILL f �" z� � �� Remove Grnss And Weeda Doen To Nutural Grode tr��v � .:�.., � ' CONCRETE MIX 1�3�4 MAXIMUM WATER CONTENT POST ANCHOR � Is•��..�.� 7� GALLONS PER SACK CEMENT. Fo� Pipe Poaf. Embed �"12� � Provide 26 Ga G.I. Flas�ing A1 Wood Floor Const. Pipe In Footinq. Proride Flanq¢ Or Weld Plate Screwed Or Bolted To Frame. CMF 0012-46 (B1:40) CONTINUOUS LED�ER � . • < . . .. TYPICAL � JOIST ANCHOR NOTE � USE REVE� SID� FOR PLOT PLAN. NO I t —�H T NO 2 FOR OPEN EGG CRATE FOR SO�ID SHEATHING. ALUMINUM OR PLASTIC SHINGLES OR BUILT UP ROOF COVERING ROOFING. MAXIMUM SPAN S�ZE SPACING MAXIMUM SPAN 17� O�� 2 I�O 15� 1� I 6� 0" 'x 6' 16 "/e I 3" 3" 15� 0" a c 10� I1� I 2� 0' 2"x 4" t 2'% 9' I I" I I� 0� 2"x 4' I 6°k 8� 8" 10� 0 2'a 4" 24% 7� 1•• NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WAL�S ARE TQ�BE BUI�USE N0.2 CHART ONLY. W�DER RAFT�IZE M BE INTERPOLATED FOR SPACING ONLY. FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS ARE TO BE BUILT SU8M1T COMPLFTF HOUSE AN ADDITION PLANS E�• � �Gr'k-Q! ; ,�. ACCu,c-►.4 ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT � .. 636 Narth Broadwal w■.' ■ D' �� SANTA ANA, CALIFORNIA 6 V L . ... . -. . . : . . : .. - . _ �- . . . .. . , . . � .. � �. W - . _. . _ . . .� r _ ' .. . . . . . . . ' . Z . . . w - � - . - J. _ . . _ . . . . � Z . . .1 a . . � J . . .. . . . . O d _. , a�`��• ¢ _ _.. �' . C'�l^.'Ya'-� • -c . �. . �. - ,._ a , :,: � c . . , . . � , . �•', , . . . . _ •,' � � . i T r� J J� � � .•�� ' � �' � � . . •D�,_ Di •\ C - ^ . l• . �� .�� _ _ ��% _-i ,1; .p_ . . . . � � ' �: � � - . � "" . . . _ . . , .`e -. ... .,.� .. _ ',.�'. . . , ' „- '1 . -. �'� .._ . _� _`! , .''_"..4ar^.'131—'f'�'1 ��r�. , ...�.0 . _ ' . . _ '_ .. . _' ` ' ' �c "�i�__ ' ,Y'T t�... ,'r, . i . - 'y x " r..>: _ _mSi''l.�_ . ., n' . , i ' . . , jC'' _ , .. ' ._ . ". C . . i O.L _ � . . , ' STftEET� (�} � � ' - ' � 11"�l�i�il. . _ .f� ��` ' PLOT PLAN � — p':'_�.S': '.1 ' ,' :. �• -, Show location and distances from �- �,,-�� -r -property'line ond between buildings. ' - -- - , _ . _ _ �=—� L — . .. . . �r '� n,[ ! . _._ . ... . ' . cA ^�^��I�� ' ` �i�nr-iJ. . . _ . .. . ..._" " . J'...'S�r� ��".—q�"IIFI_[]>' ,. . 1 _ . . ' .. _ . . _ _ .' _ � . . . • . . . � . .�J• C' '. • ' ..T .. . . -- .0�. _. Jii _ . � . . _ . + .. ' ' ° ' ' " _ i •-�' _ _.. �. ' 1�'.�. . ^'�, � �� . ' '