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HomeMy WebLinkAbout1859 PARKVISTA CIR - Building Permits • sq CITY OF COSTA MESA • r 54tt BUILDING DIVISION PG� F r ' DEVELOPMENT SERVICES DEPARTMENT PERMIT / PERMIT NUMBER 'T�'y�� B98-02001 (714)754-$273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1859 PARKVISTA CI . Status: ISSUED Suite: • Applied: 11/02/1998 Vicinity: Issued: 11/24/1998 Parcel Nunmber: 4243111, Zoning: �... Applicant: SIGGINS, DENNIS Address: Phone: 714-961-1878 Zip: Owner: JAMES SISCO Address 1859 PARKVISTA CI , COSTA MESA,CA Phone: 714-646-2020 Zip: 92627 Contractor: Address: • - Phone: Zip:. f License: Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT 399 SQ.FT. SINGLE-STORY ROOM ADDITION TO AN EXISTING SFD. 10 FT. REAR YARD SETBACK, COVERAGE O.K.(420 sq.ft. REAR YARD COVERAGE OK;224 PROPOSED) FEE SUMMARY Plan Check: $274.14 Calc Valuation: $32,518.50 Permit: $421.75 - Claim Valuation: $0.00 SMIP Res: $3.25 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $699.14 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 10-0 Left 16-0 Right 17-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Righ' 0-0 PARKING Existing: 2 Required: 2 Proposed: 2 NOTES: • • • 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 final 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 6 DECLARATIONS 1 ( 1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insure ce carrier and policy number are: �T (,,,/ �//? Carder: S/• ?JJt1Policy Number: /0.7 -'7 6 S-9 / (This section need not be completed It the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the pert. . ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of alit. nla,and agree that it -hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p •vis'• s. `7 4 Applicant Signature: r --r.4 C7� Date: l/— Y-9 t� WARNING:FAILURE TO SECURE WORKERS'COMPENSATION. 0 E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COSTO .ggl.NSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DE •RATION: I hereby affirm that I am kens: er provisi s of Chapte (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# TTTT 3 9 I Class# Z3 1 Contractor's Signature: . _ �"r,.,.,./1 Date: // -.'/-t CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: , Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5.Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o1 not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the DMsion of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 ' Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes L-I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health end Safety Code Section 42303 been made? ❑Yes 0 No B (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:('certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri d property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. if Slgnaluti Legal Owner(s) Date %�ay - `j `d And/Or Au 4 d Applicant Dale CODE t IBSPECT10N TYPE 1 DATE INIMM.6 CODE I It$PFCTION TYPE PATE RDIDAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ (� 204 Final Demolition 250 Final Building/Occupancy 1/ ap— L '03 2446-46 • 1 F 4-,0 is CITY OF COSTA MESA - y .is BUILDING DIVISION P F r '..... . .;•:. ' DEVELOPMENTC2ERVICES DEPARTMENT �, PERMIT NUMBER 1MIT P98-00868 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • PLUMBING PERMIT Job Address: 1859 PARKVISTA CI Status: ISSUED Suite No Applied: 11/24/1998 Issued: 11/24/1998 Vicinity: Parcel Nunmber: 42431115 Applicant SIGGINS, DENNIS Address: C/O DENNIS SIGGINS CONSTR. Phone: 714-961-1878 Zip: Owner: JAMES SISCO - Address 1859 PARKVISTA CI - COSTA MESA,CA Phone: 714-646-2020 Zip: 92627 Contractor: DENNIS SIGGINS Address: 1313 MILLER STREET ANAHEIM,CA Phone: 714-961-1878 , - Zip: 92806 License: 327341 Arch/Eng: Address: • Phone: Zip: License: SCOPE OF PERMIT REFERENCE: B98-02001 --PLUMBING WORK SHALL INCLUDE: RELOCATE KITCHEN SINK AND DISHWASHER. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00. 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $8.75 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof . $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $8.75 1 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TcTAL•CALCULATED FEES: $39.50 9 '4 ,R, 1 COMMENTS/SPECIAL CON IT4 j$_ 3.1 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 final 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 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have end will maintain workers'compensation Insurance,as required by section 37r 6te Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: 1 - �-1 / / �+ Carrier: S7- /7JA)D Policy Number: /9-7766 S-97 7 (This section need not be completed if the permit is valued at one hundred dollars($100)or ss.) ❑ I certify that In the pert. ?.nee of the work to which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of al".mia,and agree of I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p .vi .ns. Applicant Signature: _a"...4.1-+4r „^4 Date: ll—a-4/-?f,? %f WARNING:FAILURE TO SECURE WORKERS'COMPENSATIO;4• •'GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($103.000).IN ADDITION TO THE COST• 4,.PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DE 'RATION: I hereby affirm that I am lice der provisions of C apter 9(commencing with Section 7000)of Division 3 of the Businessd Professions Code,and my license is in full force and effect.Lic.4 3a-niN _ Class k /%�'�T Contractor's Signature: - ir 0(/fJ Date: //— z/--7 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 1,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safely Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describe property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. e Signatur Legal Owner(s)^ Nie And/Or Auth ri pplicant Date COL.. INSPECTION TYPE DATE INIMALS 000F 6 INSPECTIOJLUPE DATE RaIQ=ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical L� �1 1266 Pool Spa Final 208 Final Plumbing "7 -a9•r3 3 131 w . 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446-46 • + MFS CITY OF COSTA MESA 4� F x tA4 BUILDING DIVISION Ir DEVELOPMENT SERVICES DEPARTMENT �• PERMIT ERMIT NUMBER '*raxmm a E98-01223 (714)754-5273 • Fax(714)754-4856 • 77 FAIR DRIVE,COSTA MESA,CA 92626 • ELECTRICAL PERMIT • Job Address: 1859 PARKVISTA CI Status: ISSUED Suite No Applied: 11/24/1998 Vicinity: Issued: 11/24/1998 Parcel Nunmber: 42431115 Applicant: SIGGINS, DENNIS Address: C/O DENNIS SIGGINS CONSTR. Phone: 714-961-1878 Zip: Owner: JAMES SISCO Address 1859 PARKVISTA CI • COSTA MESA,CA Phone: 714-646-2020 Zip: 92627 Contractor: DENNIS SIGGINS Address: 1313 MILLER STREET ANAHEIM,CA Phone: 714-961-1878 Zip: 92806 License: 327341 SCOPE OF PERMIT REFERENCE: B98-02001 -ELECTRICAL WORK SHALL INCLUDE12-LIGHTING FIXT.;20-OUTLETS; AND 6-SWITCHES FEE SUMMARY Quantity Quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft ' $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $12.00 12 up to 50 kva/kw $0.00 0 Recept Outlets $20.00 20 up to 100 kva/kw $0.00 0 Switches $6.00 6 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp . $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication props $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $60.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CO DIT n / )0-----r--\\ 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 final 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 • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurer=carrier and policy number are: �f �7// Q Carrier: F-2111-1V Policy Number: `97 /6b 6- [ (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the pe•• ance of the work for which this permit is issued, I shall not employ any person In any manner so as to be me subject to the workers' compensation laws fomia,and agree If I should become subject to the workers'compensation provisions of Section 3700 of t Labor Code,I shall forthwith comply with these• ons. • // Applicant Signature: J 1-t#S.�Ge .rrq Date: lb0Le-9 WARNING:FAILURE TO SECURE WORKERS'COMPENSA ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDRION TO THE ENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEC RATION: I hereby affirm that I am license. er provisions of Chap 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a ' L1/ Class# Contractor's Signature: � Date: //.-- Y^5 CONSTRUCTION LENDING AGENCY: U/I ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: • Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341.Title B,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business whldh at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes O No (Section 85850.2 of the California Govemment Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made'? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.pe 441, Signat�.Of Legal_Owner(s) //oZ ^9t And/Or• .o :d Applicant cli Date CHF I INSPECTION TYPE DATE DltMAU ggnE. INSPECTInN TYPF DATE UOIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing c 200 Final Re-Roof 210 Final Electrical (4-Z 03 1049 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy _ 2446-46 Ola t•> CITY OF COSTA MESA P7 �.► BUILDING DIVISION •"� _ DEVELOPMENT SERVICES DEPARTMENT PERMIT ERMIT NUMBER ''""""++��•r000��rowwccccaammmm�����ceeeeee 4' - M98-00540 • (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ( MECHANICAL PERMIT Job Address: 1859 PARKVISTA CI Status: ISSUED Suite No Applied: 11/24/1998 Issued: 11/24/1998 Vicinity: Parcel Nunmber: 42431115' Applicant SIGGINS, DENNIS Address: C/O DENNIS SIGGINS CONSTR. Phone: 714-961-1878 Zip: Owner JAMES SISCO Address: 1859 PARKVISTA CI - !COSTA MESA,CA Phone: 714-646-2020 Zip: 92627 Contractor: DENNIS SIGGINS Address: 1313 MILLER STREET ANAHEIM,CA Phone:. 714-961-1878 Zip: 92806 • License: 327341 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT REFERENCE: B98-02001 -MECHANICAL: EXTENDING SOME EXISTING DUCTS. FEE SUMMARY .• Quantity Quantity ISSUE FEE $22.00 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 Repair./Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $12.25 1 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 • Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 - 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 • Boilers Fire Dampers $0.00 0 • Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp . . $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED j%__ ' / FEES $34.25 COMMENTS/SPECIAL CONQITIONS� • • 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 final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. A FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS I ( 1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: , ��� / �_ Carrier. „S rs ��Nb Policy Number: C (This section need not be completed it the permit is valued at one hundred dollars($100)or less) O I certify that in the pert.- - ce of the work for •hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of•alit, nia,and agree thil should become subject to the workers'compensation provisions of Section 3700 of the La r Code,I shall forthwith comply with these pr. is'• s. -- /// �3 (L Q Applicant Signature: - ' F if Date: ?' J / WARNING:FAILURE TO SECURE WORKERS'COMPENSATI. •jiRAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COS •• PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license n er provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Businesspn j Professions Code,and my license is in full force and effect.Lic.u -13a.734// Class a 'V--(.. `, Contractor's Signature: - Date: II-6l4/—' 1S CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors LicenseLaw does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). O I am exempt under sec. . Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). • ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air(Duality Management District or from any other elr pollution control district or agency? ❑Yes ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). • CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-desc' property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. /� Stgnatu;!• Legal Owner(s) /7--P-V-'Y1` ,67 And/or Aut rze pplicant T' /U Data CODE I INSPECTION TYPE (DATE IKIIDSLS COOEI INSPECTIONTYPE II gATj QBEMIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical -1/Z8/03 C,/N 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval • 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446-46 ADDRESS.OF BUILDING: 1859 PARKVISTA CI URI: CITY OF COSTA MESA — BUILDING PERMIT ONNERSNWEIFIOCW?l: MORRISON, JOHN C PERM NO: B 08321E ADDRESS MORRISON JEANNENE R 1859 PARR VISTA PERMIT NO: B 083216 PLAN CHECK NO: 02227-97 S GOVT: N SUPP: N COSTA MESA,CA 92627 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: 5-N PERMIT TYPE: SIR PURPOSE: ALT ARCNDECTORDCIEEN: LANGSTON 6 ASSOC LK'N0' C29373 JOB DESCRIPTION : T/O SHEATH RERF 1200SF W/TILE ICB0#2310 SQ FT: 7, 900 ARMOR ENG.'S ADDRESS: 1810 E 16TH ST DMT: S .A. CA 92701 CLAIM VALUE: 7, 900 . 00 CALL-VALUE: 7, 900 . 00 GROUP OCC : R-3 /U-1 CONTRACTOR'S NAME LINNERT ROOFING, INC. (714 ) 639-7040 CONIRACi0R5MMLI 2851 E LA CRESTA AV COMMENTS: REROOF 1200F RESID W/TILE 9PSF MAX WT 800SF W/BUILT-UP ADORES& ANAHEIM CA uCNO: 664319 *it;Eit*ttit*iEitst*it**rtrtir**At*;r**;rsr**it*it;r;e****il**iriE***+rfr*rtrtN*itrts<•StitStiE*itSt**yt*>tstxrtkitx**;(it>f 92806 WIT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ahem under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)d Division 3 of the Business and Professions Code,and my license is in fun force and efect CITY UC.No.: 062160 UC.CLASS: C39 uc.NNO.: 664319 EXP : 05/97 MAIN BUILDING ACCESSORY BUILDING • Dete, G _9-93— coweaa:J` by a . FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury Thal I em erempt from the Connecta.License Law for The Wowing reason(Section 7031.5 Business ad Professions Code:Any ciy or county when requfree a penni m construct affer.improve, demdeh,or repair anysaucture.priori is issuance,alonqubss theepplicer4 for such Parma lo fib s signed 5Wemerd des he o she PARKING REQ:- - , PROV: PARCEL : 42431115 ZNE: REF NO:, is tcensed pursuant to the provisions d the Contractors License Law)Chapter 9(commencing with Section 7000)of Di'eion 3 d the PLANNING NOTES> Business end Professions Code]or that he or she is exempt therefrom and the basis for the eloped esemplicn.My vdation ci Section 7031.5 by any applicant tor a Wnnt wdpds the applicant to a dvi penalty of not more than linhundred dolt=1$5000. **k*********4**k**************************************JE************3E3fikk**)b***** ❑ I,as owner d the pnopeny on my employees wih wages as their sole compensation,wig do the work,and the structure is not intended or oferedfo sale(Section 7044.Business and Professions Code:The Cono rada License Law dnotoes napply to an Owner of propend DEVELOPMENT SERVICES REQUIREMENT S who builds ae ds or improves thereon,end who does such welt limM or herself a Weigh he a her own employees.provided Met such su improvements we nal intended or offered for sale.If,however.the building or improvement is sold within one year of completion.the er.w ownas.nwil have the burden c1provinnghe oshe ddnot bwa build or d lhepurposeeab). ZONING APPROVED BY DATE: ❑ I,as mineral the property,em exclusively contractile with Icenaed contractors to cenproct the pojos wan(S 7044.Business and Professions Code:The Convectors License law does riot apply ban ovmer of property who wor buildsimproves thereon and who BUILDING APPROVED BY : DATE: ' ' ' contracts for such projects with a contractor(*)licensed pursuant to the Contractors License Law). ❑ Iamexemptunder Section: B.AP.C..for Ibis reason: APPLICATION ISSUED BY: SDATE: CD I. lime: Omer: ****************************rt******************** *******N******irk ' . . . . . • ** Idohereby certify that Iamaware dardunderstand mrequirements LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 25534,and thmloerry Mune WJdir°om1MAwiR/wRncl gem one)need tOgomptydhsaldmtaceclesend the remptfrom thfor ese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING that i clan Mu eifbu ng occuhe Ar /wi aneaid eon District to c mply will said ate ocmiom w exempt lmmNeee provisi0Os. PERMIT 137. 25 . 79 Dale: Applicata: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm oder penally of perjray One of the following decimations: PLAN 89 . 21 ❑ I have and veil maintain a certificate of consent to self-insure for wancom workers' pensation,as provided ford th by Section 3700 e labor ISSUE FEE i Code.for the performance of the work forwNch this permit is issued. BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I have and wit meinten waken'wnpenamion insurance.as required by Swim 3700 of the labs Code,for the performance SIM TOTALS----> 138 . 04 0 . 00 89 . 21 227 . 25 227 . 25 . 00 work for which this permed is issued.My wakes'compensation insurance carrier and policy number are: Caner: STATP Frtttn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 227 . 25 OVER/SHORT: . 00 . Policy Number: 2B5-CI7UYST1539 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not he completed i the perms is for one hundred dollars($1001 or less.) 137 . 25 . 79 89 . 21 o I coolly that in the performance of the work for which this pima is issued,I shall not employ any person in any manner op as to become subjectto the workers'compensation taws of California, and agree that a I should became abled to the worker' ***************M**************************3k****Jk*****krt**k**********7EJk********* compensation provisions of Section 3700 d the Labor Cole.I o wah corn*oath Mase provisions. Date: 6-9-97— Applicant: INDIVIDUAL F E E BREAKDOWN _ Warning:Failure to secure workers compensation coverage la unlawful,and shall subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollen(!100,000),in addition to the coal of comperuation,damages as provided for In Section 3704PIthe Labor Corti,Interest,end attorney's fees. SFR 7900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 900 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm uncle perjury that there commotion lending agency for the END OF FEES performance d the work for which the..... a Dau on 3097.Cb.C). LENDER'S N 'E: LENDER'S ADD'ESS: KE DETECTORS REUIRED PER 94U: thm I codify I have reed this appr n'.. and stale that the s information ....... agree to comply with all dry ad county ordinances end stele taws relating to Wilde°coma ... .reby author' . • . .-if terms d this city lo enter upon the above-mentioned properly to inapedon purposes. GEORGE CAUCAS ©5-6'9-1997/1x.:22 Ari/5227.25 Print Name k6'P4:LiT-t9u©7434 . � t�CLI�.— Dale: re—, '�/� F'EEif7Ii9E832._ p e or to enUAppkcant/Conhwd (5151.44 WP) Whore-Builds°&Safety:Green-Rte:Cenery-Applicant;Pink-Revenue:Goldenrod-Aseeemn *CONSTRUCTION AND PLANNING PC & SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. - - 53. Steel Reinforcement -3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System - I 61. 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. 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 ❑Gas ❑Oil 23. Gas Pipe-Rough & Test // 72. Underground Flush 24. Roof Framing 61�/�/�/6( -�73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing (7(�� l "' (/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations qq 47. FINAL STRUCTURE & BUILDING 6 ' 17�-(?I 64-e 48. FINAL PLANNING _ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date • LANGSTON& ASSOCIATES SIeuC:u':.i Ce::SIIIIAfIS • May 19, 1997 Job # T2997 Linnen Roofing Dt�:ISi-ON G" B JILDi1NG SAFETY CITY OF COSTA ;MESA 2851 E. La Cresta %s V iP t4 D V E D Anaheim, CA 92806 rS Casa I et I_ Re: Tile Roof Addition for: cs cat ct plans and spacilicailcns MUST be kept on this jab at all times and it is uril'tarn:ti die any changes or alteration on same withmdwritten permission from ihzO;v cr,o.Lu.,r_ Morrison Residence •rdSafary,City otCosta Mesa, p Z � r 1859 Park Vista Circle tach^ping of this plan and spedCG..6cn$SHALL NOT be here tcpermitcrwa;ean---, Costa Mesa, CA f the violation of any provisions of any City of Costa Mesa Ordinance au:rar !et:a L- i�Icc�plsaaand permit sitaii expire by l;miiai C4'andbaset:c n..'cad void i.the bai:dir: �r Dear Sir. v.'-'•. scmmenc^d>rdr:l;r,laincdac8:3perliee o(d)vMhndays sofis... Attached are two sets of calculations for your use in obtaining a building department permit for the addition of a tile roof (10.5 p.st maximum) at the above residence. Following is a list of the recommendations for bracing the roof structure only. This is a limited investigation and should not be construed to be a complete analysis of the structure. 1. The maximum allowable unsupported (horizontal) span of the 2x6 rafters is 11'-8" for 24" spacing. Rafters exceeding this span shall be braced. 2. The maximum allowable unsupported (horizontal) span of the 2x8 rafters is 17'-7" for 16" spacing. Rafters exceeding this span shall be braced. 3. The 2x8 hips/valleys require braces at 11'-9". Add additional braces as required. 4. The 4x6 D.F. #2 beams at the porch are adequate. 5. The unbraced length of all (struts) braces shall not exceed 8' and the minimum slope shall not be less than 45 degrees from horizontal. 6. Garage framing: (a) The 4x14 D.F. #1 garage header is adequate. (b) The 4x16 D.F. #1 beam is adequate. TEL 714.836.3555 FAX 714.836.8087 1810 E. 16th ST. SANTA ANA, CA 92701 e A • Linnert Roofing Page 2 • Re: Morrison Residence 7. All conventional framing shall conform to Section 2326 of the UBC. The engineer shall be made aware of any deficiencies prior to the application of the tile roof Please note these are recommendations for bracing only. We accept no liability for method of bracing, construction technique, or for implementation of all bracing recommendations either implied or stated. It is the contractor's responsibility to notify our office as to conditions not covered by this report. It is the owner's responsibility to provide the engineer all information not available by visual inspection. Thank you for requesting our services, if we can be of further assistance please call. Sincerely, LANGSTON & ASSOCIATES • G4A-r— Jim Langston P.E. 29373 • • LANGSTON & ASSOCIATES 1810 E. 16TH Street Santa Ana, CA 92701 (714) 836-8655 Job # T2997 PROJECT: Tile Roof Addition for: Morrison Residence 1859 Park Vista Circle Costa Mesa, CA CLIENT: Linnen Roofing D►Ji5iOiv OF BUILDING SAFETY CITY OF COSTA MESA 2851 E. La Cresta APPROVED Anaheim, CA 92806 __Cas__—,---------- BUILDING CODE: Existing Framing pret l,B,,Gf 1:99.4•pecriications MUST bekept onthis bt all tim!times an itisun 3u:cr( New Construction U.B O:w19949s° gelationa'aamewithout�lRttenpermission •rd Salary,city of Costa tJssa. •;r.. a ^.DIED of this p!er,and eciFu;6ons SHPJ1fi0T be held Ord nn rme anc!ior S apta!;.' MATERIALS, Except as otherwise s ecifie therein; •of anyrovisiions.et are:City of Cos Concrete 26 000 PSI at 28 da s.- rt;,,! r4vSiaysotis:r' `• Y.,:.a�rA pern;t ShaS s:;pi;a Gy lirnz:!on:.0 i.,.•N�„o e%;!tnd void it iha Cua,a Concrete Block rade N. Ltwt. Unit, ASTIVkC=6r2'�""" Brick Masonry Grade MW, 2,500 PSI Units, ASTM C-62 Reinf. Steel 20,000 PSI (ASTM A615, Grade 40) Structural Steel 24,000 PSI (Compact) (ASTM A-36) Structural Pipe 22,000 PSI (ASTM A-53, Grd. "B") Plywood Sheathing D.F.P.A., Structural II, INTR. P.S. 1-83 Glue Lam. Beams 2,400 PSI (D.F. - Larch, Comb. "A" or Comb. 24F Lumber Grade Marked D.F. - Larch, W.C.L.B. Grdg. Rule 16 Soil Pressure See Foundation Plan for Complete Data DESIGN REFERENCES, including Charts and Tables from: Lumber & Timber Wood Structural Design Data (Volume 1 National Forest Products Association) Steel Manual of Steel Construction, AISC Concrete Reinforced Concrete Design Handbook, ACI: Ultimate Strength Design Handbook, ACI Gon rete;Block Masonry Design Manual, by Masonry Industry QpOrcEs ryn. track Advertising Committee ai O c v �, ^ Z a� .„.101:4:716,„ C.E. 29373 1-11h40411 4(} .,:1: "9 Registration No. Date 4..,,OF�cpVtA PROJECySHEET NO. i kse,„ or ..,t.i AIivi&;41e.1.4-,04 LANGSTON & ASSOCIATES FOR JOB NO. ' LisklOzr P.a.°F rui or STRUCTURAL CONS I ANTS teiltil LOCATION eoexA t,t:::e_;,ADATE 1810 EAST 16TH ST.,SANTA ANA,CALIFORNIA,92701 13-41-91 ITEM: -TILE Poz-f (714)1336-8655 ENGINEER ---. ._______ . I ; . 1 i 1 0 ttAT i! l' 1 I I 1 1i , „,„ r.,t.r.,e_i ” r..-5,-• • '..1,4--,-..0 1 JL________---1.14-. —4.--11 6:. • ' i; •S 1: e Sr:: I k --,. 7,- --(air:, • : I „ ‘ i • .C\I ; • . eat / I 4 ',.. . I li / • I/ • .7„,_ , . 11 .‘‘;`• .-Q"}---4 . • s3 cI "x .tlES/6-.1) . • • g:-r;” r .4.:_gee 1 _. 1. 9- — A „ vc ,_i .,:.H.! 1'4 ‘7-(11‘ • A- 11. 1.# / , . PROJECT SHEET NO. ,) LANGSTON & ASSO^IATES A` ' FOR JOB NO. STRUCTURAL CONS TANTS T2"1 _I • LOCATION DATE AA 1810 EAST 16TH ST.,SANTA ANA,CALIFORNIA,92701 5-1QQ-7 "1 -1 I • ITEM: (714)836.8655 ENGINEER goat' Loa r OatIrµiA TRE. 10. 5 ?'?F F. = I'r;,C7 pc,' b (.'.{n ofte) I P;F1-pKZ (E) 41Ai& I.a f r \ = 1450 p;i UPie 14 (TG I. 5 c rte TaAL11P16 2,5 tili.e o.5 DEA, LDAP 167,o PAX DvE WO Ith.a p-,F 32.0 P4-it PP Hle/VAL,.EY } 1At = (.?`)axI. %x 1 .1{ v4A, I'i133 >< Ii2 x 'Gi/l/ = 0 ,e4' t'0� r417) ' r -e14,1, _ I.1)(10' C } x 41.(04 )/Q44 x //,�('a x O.oI�G�i r, ;_,Ys ifi.'1' (DEE) UD1E 2x v HIr /vtutfy - P..AkA cf 0 11.5,' r,ix. + 1 nrtf12 W: S2( 'L) = 64- Of n r LA? = I (I(1+5d xI. :'S x7.5%i x 80/( 12 x &4)] I = 11 . x' (1.3E-.1,12) L - .,04„. = L2a.e/('2A 104 x 6o4)j/�= II.1' (OE rt.) Veil: 2x to gaf'rfu2, L24 t'le , PtIAX• •s II : 11.01 A- ZAF1f 1 W : 3 i(I.°31 41.(a Pit I`4 I(/I 11,: --e �C:Cd'J} = o x',L'J y 1 ,14' K e:)/IL('1' ) ( = itgl / J MA, (i)it.) = 1l41.&4/( 'Z't ID 4X�j ) _ 1-1.0 .L'C'E CX 3 p•AFTE.ki.....aii 1(O' ele' _.:.._.I.I AX ._._ .fAt 17,i1; PROJECT SHEET NO. LANGSTON & ASSP^IATES . FOR STRUCTURAL CONS TANTS JOB NO. �r<<,� LOCATION 1810 EAST 78TH ST.,SANTA ANA,CALIFORNIA,82701 DATE ,_12• - r/ ITEM: (714)836-8655 ENGINEER 11 ' 3'i(24/2) + 32 = 4110 rf,f 11€- 17741 10 _ 136%7 rrti 19/5.!.& I�' (o. `: t2 •T}:l:-‘2,ii-✓) 1.29( 11'9c) A : 14(c0 ( IQI.i/2)](65) 145 010 a 4g. 6, hiy %%. 00 :rt` A , _ 1'120( 416v) (tQ 5)4 = 1- ' i. /tQ%r - I.: i Ire 7ig'4 ( I.& .6)( 1014.4) 4x (Ox ( Qi -o ° PJM 14' AOEo"UAte -k 4 x04 x 15'-Co" +-cue Lu = 57( + 8,5/ ) + 20 = I t'e' pcc M = 5a4b'* - 5Co4(2 ( (2) _ 44,40 /r!' C 104.41141 rr7 fl = Llbb(15.5)/2 1.5 1.25 (q5) = 19'.4 Irl ' /46. i9' Ih A _ 5(748)(18'3)(155)4 = O, ? 14 1" et‘ 'E&-)(&713..) 4x 14 x 15-10 '' H14' 1S RDECSU/+?� �k 4x (P P Al L_ 2I W= '3'2(4) 4- 112,414 1184'" 11E24-0e) r r�I 1, 29(1 9,0) A [14°%(4)1 l,y 1. IN• �i�.4 II % % A _ ;(1-720204 )_.(P)4_.... = D. 16 M C ST ' i ?b-4 ( 1.8EO (4b.5 ) 4x Co V'Ata I AUcravar4 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA 96�'] J/oi l;Lj - P IT NO TRACT NO. LOT NO. BLDG.NO, , • 5°Lk; TL CONSTRUCTION PERMIT t3 /ate Applicant's Meiling Ad rens ��I'-/� ai, PE OF CONSTRUCTION ❑ NEW U ADD U ALTEOATION .0 REPAI R • • Project Address, 2�9 .. e 2%.57 //' 0 CONVERSION 0 DEMOLISH 0 OTHER - _ Owner's Name id / - / -#. • ••honer4��at DESCRIPTION OF WORK - ZONING REGULATIONS - . Address 725-9 �'v.e.e j_ - , '� TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL A.P.91 ZONE Arch/Eng. License No. .0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG. REF.# BUILDING ' • Address 0OTHER cnrR erx rn «' _ - TO BUILDING REAR YARD (TO P/L) Contractor's Nam: q ...1. ay ' — �- 'hone d PROJECT DESCRIPTION SQ. FT. OCCUPANCY . PROPERTY LINE Address(mailing//7 +� p, • O�70 et) /4• CONSTRUCTION TYPE VALUATION$• 'L•EFT SIDE YARD RIGHT SIDE YARD , License No. __ 02,,,SYS. ZONE GRADING CU.YDS. ACRES PKG.SPACE RED. . PROVIDED LICENSED CONTRACTOR DECLARATION Remarks; STREET WIDTH PARK FEE S • I hereby affirm that I am licensed under provisions of Charter 9 (commencing _ with.section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: my license Is In ful/_ ce an• effect. jl ��IV 721 / _ license Class Se a LI ."- No. �"`"I G/G PLUMBING ',ate Signature "ar • �� �� 1f • HIKERS'COMPENSATION DECLARATION Bar Sink Sewer Cep ELECTRICAL Rreby affirm-that I-have a certificate of conse o -.If-Insure or a certificate ' Backflow Preventel Sewer Connection Automatic Washer Meter Elmer 100 amps , • of Workers' Comp nsatlon Insurance, or a •-HUM. copy thAt of (Section - 3800, Lab. C.) Backflow Irrigation Solar Colleors Construction Pole . • Sub Panel Policy No. O��`�/ /Co ate-- -Ire - .- ct -- r Cooking Unit Sub Pole Cer d copy Iz hereby furnished, , Bathtubs - Solar Piping rtlfieq�o Isjjied with the cit • , Dishwasher Motors 00-1 HP 01X-8 • Date C'? -5 Applicant /�L- i � Clarifiers • Solar Tank + + EXEMPTION FROM WORKERS'COM' ATION DECLARATION - Dryers OGas ❑Electric • Inc.Solar 09-15-HP 016-15+ (This section need not be completed If the permit Is for one hundred($100) I was �•-aC'0 Swimming Pool w/Spa ,2 - less). Fan Microwave • . I certify that In the performance of the work for which this permit is Issued I Drinking Fountains Urinal . . shall not employ any person in any manner so as to become subject to the F.A.U. Pole Light ' Workers' Compensation Laws of California. Floor Drains Water Closet ' Date Signature Fixtures Ran e NOTICE:If,after making this declaration,you should become subject to the Floor Sinks - Water Heater - - 9 , Workers' Compensation provisions of the Labor Coda, you must forthwith Device Boxes comply with' such .provisions or this permit shall be deemed revoked. . Gas Service Outlets Water Service Sign CONSTRUCTION LENDING AGENCY Outlets - ' I hereby affirm that there Is a construction lending agency for the performance Interceptors Standing Sections , of the work for, which this permit Is Issued (Section 3097 Civ: C.) Switches Trash Compactor Lender's. Name - ' , Kitchen Sink p Lender's Address' - Garbage Disposal - OWNER-BUILDER DECLARATION Lavatories;- I hereby affirm that I am exempt from the Contractor's License Law for the P-TiapGenerator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter improve,demolish or repair , - . • - Transformer ❑15.50 KW any structure; prior to its Issuance, also requires the applicant for such permit Roof'Orains - . p file a signed statement that he/she Is licensed pursuant to the provisions of ' - _ 050+ KW "'•`�'Contractor's License Law (Chapter 9(commencing with Section 7000)of Reinspection Fee $15 v 4- slon 3 of the Business and Professions Code) or that he/she Is exempt Showers ' Reinspection Fee $15 • ffirfom and the basis for the alleged exemption. Any_violation of Section Meter ❑up to 100 amps • Issue Fee -$ 3 7031.5 by any applicant for a permit subjects the applicant to a civil ' - enalty of not more than five hundred dollars($500). Service Sink' Issue Fee ' _ $ 3 Zoning Approved By Date I, as.owner of,the property or my employees with wages as their sole MECHANICAL compensation, • will do the work,and the structure is not intended or offered .• • Application Approved By Date for sale'(Secion 7044, Business and Professional Code: The Contractor's L y/)(�( License Law does not apply to an owner of a property who builds or improves Boil& ' • Refrigeration System Application Issued By Date / / -(3� • thereon. and who does such work himself/herself or through his or her own . - employees, provided that such Improvements are not Intended or offered for • Duct-Under Ground ❑D-100,000 BTU ❑100,000 BTU • sale. If, however, the building or improvement is sold within one year of com- ' SUM ARV OF FEES elation, the owner will have the burden of proving he/she did not build or im- • . orove for the purpose of sale). . Duct-Structural System Repair/Alteration BUILDING PERMIT $ SMIP $ I,as owner of the property,am exclusively contracting with licensed con- - • tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating, ' • PLAN CHECK • $ `_ PERMIT , The Contractor's License Law does not apply to an owner of property who PLUMBING $ Ic 00 ISSUANCE $ builds or improves thereon,an(' who contracts for such projects with a con- Exhaust System 0 Multiple 0 • tractor(s)license pursuant to the Contractor's License Law). • - - • , GRADING $ 0 I am exempt under Section- - B.6 P.C.for this reason Firepl/Fact.Bit. ICBG# PLAN CHECK $ ' ELECTRICAL $ $ Date - Owner Heating System& Ducting • MICROFILM $ - I hereby certify 'ha a read t application and state that the above• 00.100,000 BTU 0100,000 BTL PLAN CHECK $ •information Is rect. a ee to c with all city and county ordinanc - TOTAL FEE $ and-state la relating o until r tion,and hereby authorize re e- MECH • ANICAL $ sentatives o th ci to pen above-mentioned proper for Hood or Type I ❑ - Reinspection Fee $15 LESS PLAN CHECK $ Inspection rpos �� / • Canopy Type 11 ❑ ADVANCED PC $ • • Signature L �! Date • - • Drivers' License or.SS 3 €- • , Registers Issue Fee $ 3 FINAL FEE $ CMF 0865-46 rev.12/82 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor '..• r1CONSTRUCTIN ' -ON-AD`PCA ING' __ - - _ PO( SPA -- ' a - Date ;. Inspector ` Date Inspector ' APPROVALS - Permit# 73� APPROVALS • -Permit# 1: Temporary'Electrical Service or Pole' ' - 52. Pool & Equipment Location • 2: Soil Piee-Undrgrnd: _ r - 53.;Steel Reinforcement - ` . 3: Electrical Conduit Utility-Undrgrnd: - 54. Forms c.. - 4: Electrical Conduit-Undrgrnd: :- ', 's• s , ,- I. 55 Electrical Bonding . . - I 5. Steel.Reiriforcement; , 56. Rough Plumbing & PressureTest . . 6. Electrical OF ER Gipd. ' - - ' " 1: - " 57:.APPROVAL TO COVE R-GUNITE - ' 7. Footings I , _ 58. Electrical Conduit-Undrgrnd. - - ' 8. Foundation . ' ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd.' � _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.- 10. Structural Floor System - - -- r ' 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection r l .62. Backwash &-Receptor-Final 12. Sewer dap I• i - 63. Heater & Vent-Final - - • 13. Roof Drainsf % . • 64. Plumbing-System - Final c 14. Rough Plumbing " i • 65. ElectricalFinal- ' - . • , 15. Rough Electrical-Conduit ' - f- r -- - - 66:SolarSysfem-Final - - " - 16. Rough•Electric Wiring , ' - i 'F , _ '�67. Fencing& Access Approval - - - • _77• . Rough Wiring Sign- _ , _ - I t" ' , 68. APPROVED FOR PLASTERING ' - - 18. "Rough Electrical TlBac Ceiling i i ! ' 69. POOL/SPA SYSTEMS FINAL ' ' - • 19. ,Rough Heating &'Air Conditidning • ' -- - • FIRE.DEPT.'REQUIREMENT,: 20. Rough'Factory Fireplace I ! I, APPROVALS Permit# 21. Ducts,in Structure, ' ' ' I I I - ' 70. Underground Hydro ' i 22.'Ducts, Ventilating . , 71. Product Piping 0 Gas 0 Oil 123. Gas Pipe-Rough & Test r '• • • . 72. Underground Flush. - 24. Roof Framing, i • . . •I - : . 73.' Undergrnd.Storage Tank CI Gas 0 Oil • 25. Roof Sheathing ' , ' I 74.. Overhead Hydro ' - -26. T-Bar Ceiling (Structural)-& Monocoat I 1 75. Dry Chemical I 27. Frame and Flashing, I 176. Dry Standpipe 28. Lything& Siding ' I •, 77. FIXED SYSTEM FINAL 29. Insulation - . ; 78. FIRE PREY. FINAL '30.,Drywall Nailing I Notes: , 31.•Plaster Brown Coat • 32. Electrical Power Meter-Final ' r , . I i . 33. Final Electric I ' • 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test - - - - . - 36. Hood or Canopy : - • - . - . 37. Final Factory Fireplace * •;-!. - - ' 38. Final Plumbing 6/1 /Qs, ter , ' - - 39. Water Service-Final - ' 40. Gas Service-Final ' l I i ; 41. Solar Dometic-Final I I 42. Backflow Preventer - i • , • 43. Backflow Irrigation , _ , 44. Landscape Irrigation System - i , 5 i . , 45. Sound Attenuation : e . • • 46. Handicap Regulations • I -. • '" ; I • 47. FINAL STRUCTURE& BUILDING '' 1i ; . L 48. Special Requirements Completed i ' 49. Electric Release to,Edison 50. Gas Release to Southern California Gas Co . , ' ' 51. CERTIFICATE OF OCCUPANCY . _ _ __ _ ' No _. _ I Date - I ' CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 'JO y3 DATE S---- 1,3-71 LOT NO. 3'3 • /J • ADDRESS /6-3'9 /O/2K//374 �tGt:• The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa . The undersigned, by executing this agreement, acknowledges that (he-she-they) ,4 - (was or were) 4 5 advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied • with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. • • The undersigned agrees to indemnify and hold the city harmless ' from any claim resulting in damage or personal injury to the undersigned by reason of the. aforementio uncom/�p�ilete ondition. BY4c .( /1 Purc> aser CA CGNJ nit c?/b o " 4,0. fig B& Developer and or authorized representative • BY •Le •*ft/A4 July/.v S V.,i.f ' ae ender " rn- .: .. PAI° o. -.1fLe DEC -2-70r1A00 173* ***133.50 11. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 47:5-5ror Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECERID_BN: i 1DATE,RECEIVED DATE ISSUED BUILDINGAD oREssra_9_ "Xi..4 wel./.04 7;5 79 /./e/ •.... (--,!.LYW -•-•6, - 9 t9 07 --07-7C L./ PERMIT NO. OWNER ......e A , r v" , 1 A.P. NO. .7)ns.)0 ...,.. a,i _ . . - _ MAIL ...i. sf • ... BAUDILDDRIEN1 j 2 sq 6::), , / , , ADDRESS cr e h-,.57 _4:00 z . lif ILI C I T Y MTEL., NO.Ainilia TRACT 70 c LOT SS-I BLOCK CL (..) ild4/720 acireasccol s 1-- Z Z < CONSTRUCTION" NEW„, A•D ALTER REPAIRMOVING DEMOLISH - I- LENDER -594,0 e ilt Ow a_ 03 _J D BRANCH J V) 0 W NiEarait 11116ra...:' < LU ADDRESS 03 J i frxractitktli.1 gni\ .co ARCHITECT TE L," USE J .c( OR ENGINEERAgoSonn_c N 0 tf Yd-71. o FIRE I/ . IC w CC ADORESSy1/32......_#.040„,„,,o , , /s'A 8 ZONE TYPE GPO U P=2,+ Z 0_LIrl APPROVED lil Z CO NT R AC TO Re........../..........0 47.-77 Ao•Aorrietc dveieliv. BY DATE J 0 - 03 zr :I CC ADDRESS lirjoe dp/pet. 77 USE OF NE LLI tu ZO(g\ I NO.OF TEL. 0 r PLANS2--- BUILDING 7 a reI Z 1-- CITY .04.4g..7°APT'. Ban NO.Lirnirn - 0 STATE CITY • YARDS APPROVED YARDS APPROVE LU ul CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 SIZE a / NO.OF BLDGS. 0 (FROM C/L STREETp/ OF LOT,froo NOW ON LOT -ONT es7-0 FT. I L-- FT. USE OF ....--------• EXISTING BLDG. R SLIDE 64-FT. FT, . I- SIZE OF ,a, NO.OF77/ Z NEW BLIDG. 2‘210 ROOMS 7 STORIES 1--------L.SIDE 7_ f FT. FT. < EXTERIOR WAil_ -... - ROOF 5.40-4/41:‘ •-sf- , . 0 COVERING ,_...,,Viv a-0 COVERING REAR / b FT.4-- FT. - -I USE OF BUILDING AND WORK TO BE PERFaEO/47 DISTANCE BET. BET.MAIN 84 0- 0- MAIN BLOCS. ACCESS. BLDGS. < VAR.x1E---7 DATE O 6/2-2SeLei Ca sit:0 C.U.P.ti{ 'I 3-70 APPROVED 6_7 ).-7Q i- Appeov.v, a CA DATE i•-,--( --'7C-) 0 _ I- (..) I hereby acknowledge that I have read this application and state HOLD FOR SPE:IAL REOUIREMENTs D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of CO the State of California. 40 y ... °4 z SQ... 41ZS- o ... I hereby certify that I am properly licensed as a contractor under . FT ... the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER \ -UATION IS FOR Chapter 9, and that such licenses are In full for e and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 40 CC am exempt fr••• -. •rovisIons of the Ste California Business and Profe • •ivIsion 3,Chao B. 4 . VALUATION PERMIT FEE $ D m Signature • ) Perm I .5Stt-tee -maga itor_,...) are,10.5yea s (}4 PLAN CHECK $ E 8 u. TOTAL FEE $/d2 ' Authorized-Agent ... 5."61