HomeMy WebLinkAbout888 PEACE PL - Building Permitsa
CITY OF COSTA MESA
� �p MFsq BlIILDING DIVISION
>t� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �+�vw.ci.wsta-mesa.ca.us
' �'
� � FOR INSPECTIONS CALL: (714) 754-5626
�qe.o.mm fi .
PERMIT TYPE
APN: 41805271
Zoning: R1,
B_M ISC
JOB ADDRESS: 888 PEACE pL CM
Vicinity: ROOF TOP
S�. FT: 0
PERMIT NUMBER: BX10-00194
STATUS: ISSUED
DATE ISSUED: 09/21/2010
ISSUED BY: KJB
SuitelUnit:
Primary Occ: Const Type :??
Valuation: $9,800.00
SCOPE OF WORK:
INSTALLATION OF A 4.05 KW ROOF MOUNTED PHOTOVOLTAIC SOLAR PANEL SYSTEM FOR A SFD. 2 DISCONNECTS, MISC
EL
EQUIP, MISC CONDUIT, 1 INVERTER.
OWNER: JONES, JEFFREY R
City/State: COSTA MESA, CA
Phone: 714-241-8882
APPLICANT: MORALES, TROY
City/State:
Phone: 805-2083555
CONTRACTOR:
Address:
Ciry/State:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
ADVANCED SOLAR ELECTRIC
3325 GRANDE VIS7A DR
THOUSAND OAKS, CA
91320
FEE SUMMARY
Building Plan Check:
Building Permit
Electrical Permit:
SMIP Residenlial
SMIP Commercial
Bldg Std Admin Fund
Address:: 888 PEACE PL
Zip Code: 92626-2916
Address:
Zip Code:
License No. 806929
Phone 818-889-9033
$117.81
$181.25
$62.10
$0.98
$0.00
$1.00
License No.
License No.
Cell:
Unit
Unir
Unit:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/1812010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Satrudays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the tollowing Federal Holidays:
New Years Day, Memorial Dav. Indeoendence Dav. Labor Dav. Thanksqivinq Dav and Christmas Dav
NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements under Cali(omia statutes antl related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work 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 fnal approval will resWt in the ezpiration of this permit.
LOOEi. INSPELTONTYPE ORTE INTITIALS Ci� INSPEL7IONTYPE � OpTE NPI TIRlS
161fi Fixed System Final Fire Prevention 206 Final Mechanical
7266 Pool Spa Final _ 20H Pinal Plumbing Y ! p�
200 Final Re-Roof 210 Final ElecMcal /�'I � 3D' ��D � hy c� �
201 Final BIocWReWining Wall 212 Final Fire Prevention "
202 Final Factory Fire Place 220 Final Planning Appmval
203 Final Sign 222 Final Site �/ �y ��1� (��
204 Final Demolition 250 Final Building/Occupanty /\� -1� �� Z��b `�'� /+_T
CT
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalry of perjury one of lhe following declarations:
❑ I have an0 will maintain a certifiw[e of consenl ro self-Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work !or which this permi[ is issuetl.
❑ I have and will maintain workers' compensatron insurance, as required by
section 3700 of the Labor Code. for the pedortnance of the wnrk lor vfiich this
permit is issued. My workers' compensation Insurance tarrier and policy
number are:
`/^CarrieY: �O�I�r'i2`B/�
�This ieCon neetl mt Oe cnmpeletl �the pemut is valvetl a( one hunpietlCWars (Sl W) w less )
(Po�icy.Numbec �. ��A I�(�3
❑ 1 certi(y that in the peRormance ot the vrork 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 o( Califomia, and agree that if I shoultl
become subject Io the workers' compensation provisions o! Section 3700 0(
the Labor Cotle, I shall forthwith e ply wilh these provisions.
9 Z� p
� -- �Signa� On1! e --,
�_
WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, It�fTEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with SectiOn 7000) o( Division 3 0/ !he Business and Professions Code, and
my license is in /ull force antl eflect. �J/
Cic'#� �� Class#—�- �-/b
9�
Co r nawr �Dale �
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a constructbn lending agency for the
pedortnance of Ihe work for wfiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lenders Atltlress:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm lhat untler penalty o! perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Pro(essions Code: Any city or county which requires a permit to
construcl, alter, improve, demolish, or repair any stmcWre, prior to its
issuance, also requires the applicant for such permit ro fle a signed statement
thal he or she is licensed pursuant to Ihe provisions of Ihe 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 Iherefmm and
�he basis for the alleged exemption. Any violation of Section 7037.5 by any
applicaM for a permit subjects the applicaN to a civil penalry of not more than
fve hundred dollars ($500�.):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and Ihe structure is nol 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, antl who does such vrork himself or herself or through his or her own
employees, provided that such improvements are nol intended or oRered for
sale. If, however, the building or improvement is sold within one year of
complelion, the owner-builder will have the burden of proving thal he or she
tlid not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCIUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and
Professbns Code: The contractas License Law dces not apply to an ovmer of
properly who builtls or improves thereon, and who conlracts for such project with
a cont2ctor(s) license pursuant to the Contractors License Lavrs.).
� I am exempt under sec.
Business and Professions Cotle for this reason:
�1057-46(3/07) SignaWre oa�e
Owner ID verifed by driver s license. ❑ Yes ❑ No
Oriver's License No. Expires:
Venfication of Ownership by (lype of tlocument, i.e. - pmperty tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certi(y that no excavation frve (5) or more feet in depth into v+hich a
person is required lo descend, will be made in connection with work authorizetl
6y this pertnil, and Ihat no building strucWre. scaf(dding, falsewurk, ar demolition
or tlismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Atlminist2We Code�.
❑ As owner-builder, I will not employ anyone ro 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.
Applitanl's Signalure
Division of Industrial Safery Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. will the applicant or present or (uWre building occupant neetl to fle and
certify a Business Plan for emergency response to release or threatenetl
release of a hazartlous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceptions, that a Business Plan De fled with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or tuture huilding occupant neetl to file
a registretion form for acutely hazardous malerials? ❑ Yes ❑ No
(Section 25533 of the Califomia Healt� and Sa(ety 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 o( acutely
hazardous materials equal to or greater than a weight o! 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre antl pressure).
3. Does or will the applicant or present or future building occupanl need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0! the Califomia Health antl Safery Code provides thal the
Cosla Mesa Fire Depanment may require the preparation, certification and
filing wilh lhe Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous materials vrith the Fire Department.
4. It an RMPP is presenUy required, has Section 25534 of the California
Health antl Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will lhe applicant or present or fu[ure building occupanl require for
Ihe work which i5 Ihe subject of ihis application a permit for such conslruction
or motlifcation from the South Coast Air Qualiry Management Districl or from
any other air polNtion control tlislric[ or agency? ❑ Yes ❑ No
(Sec�ion 658502 of Ihe Calilomia Govemment Code requires that tha requesled
infortnation be fumishetl on applications for nomresidential building permits).
6. Will any part of the lacility to be cons[mcted under this permit he within
1000 feel from ihe outer pountlanes o( a school? ❑ Yes ❑ No
Qf'yes", the faciliry must meet the requirement of Sections 25534 and 42303
of lhe Calitomia Health and Satery Code).
7. If a pertnit from the Sout� Coast Air Quality Management DisMct or other
air pollution control district or aqency is required for the vrork which is the
subject of this application, have all of the disclosures prescribetl by Califomia
Health and Sa(ety Code Seclion 42303 been made? ❑ Yes ❑ No
8. pf "yes", attach certificate of compliance from the appropnate air pollution
control o�cer).
CER7IPICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct I agree to comply with all stale laws and
ci[y ordinances regarding Hazardous Materials antl Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state ihat
the information given is correcL I agree to comply with all state laws and city
ordinances relating to building construction, and authonze representatives ot
the Ciry of Costa Mesa to enter upon the above-tlescnbetl propeny for
inspection purposes. I agree not to occupy or allow occupancy o� any building
authonzed by this permit until final inspection.
Signature of Lega1 Ovmer Date
� - �'-L/ ,�
" � ppli(anD . {Oale��
Job Aqdress: 888 PEACE PL
Suite:
Vicinity: REAR OF PROPERN
Primary Occ: R3 Dwellingsl Cong Res <70 Type of Construction: V-N
ParcelNUmber: 41805271 Zoning: R1
Applicant: JONES, JEFF
Atldress:
Owner: JONES, JEFFREY R
Address 888 PEACE PL
COSTA MESA, CA
Coniractor: O W N E R-B U I LD ER
Atldress:
Phone: 949394-5333 ISSUED BY:
2ip:
Phone:
Zip: 92626-2916
Phone:
Status: ISSUED
Applied: 04/OS/2007
Issued: 04/192007
Zip: License: 000000
Arch : Eng: DALE LOREN FORBES
Address: Address: 1800 E 16TH ST '
Phone: Phone: 714-865-2800
_ SANTA ANA, CA
Zip: " License: 92701 License: C30407
SCOPE OF PERMIT
CONSTRUCT 575 SF SOLID ROOF PATIO COVER AND CONSTRUCT A 13'-6" HIGH EXTERIOR FREESTANDING FIREPLACE LOCATED IN REAR
OF THE PROPERTY. �
' FEE SUMMARY
Plan Check: $172.41 Calc Valuation: S�s,soo.00
Permit: $26525 Claim Valuation: S�s,eoo.00
SMIP Res: $1.55
SMIP Com: $0.00
Other: . $0.00 -
Inspection: $0.00
7otal: $439.21
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
PLANNING & ZONING
Rear � 10- 0 Left 0- 0
Rear 0- 0 Lefl 0- 0
Reauired: 0 Pr000sed: 0
Right 0-0
Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This parmit shall automatically expire and become void it work is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required fnapectlons and final approval must be obtained. Failure to obtain inspections antl final approval will result in the ezpiration of this permit.
FOR INSPEC710NS CALL: (714) 7545626
zus-as �e�oo)
ti
WORKERS' COMPENSATION DECLARATION:
I hereby eXirtn under penalry of perjury one ol ihe following declerations:
❑ I have and will meintein a certificate of consent ro self-Insure br workers' compensation, es provided for by sectlon 3700 ot the Lebor Code, for the pertortnance ot the
work for which t�is pertnit is issuetl.
❑ I heva end will maintain woAcers' canpensatlon Insurance, az required by sectlon 3700 ot the Lebor Code, for the peRortnence of Ihe work for which Nis pertnit is Issued.
My workers' wmpensation Insurence carriar en0 policy number ere:
Cer�ier: Policy Numher.
(Thiysecfion need not be comp/eted i! the permit Is velued ef one hundred dWlars ($/00) or less.)
BI cetlity lhet in the perto nce of Ihe work for which lhis pertnit is issued, I shall not employ eny person In any manner so es to become subject to t�e workers'
� compensetlon laws oi Ca' nia, end egree thet If I shoul0 Eecome subject to lhe warkers' compensation provisions of Section 3700 0l ihe Lebor Cotle, I shall forthwith
comply with these provisio s. ' / �
Applicent�Slgfreture: Date�.�i �( � I�.,� ���%
x:;sc--�
WAPNINO:FAIWRETOSECURE RKE6'WMPNSATIONCOVERAGEISUNUWFULPNDSHALLSU&IECTANEMPLOVERTOCRIMINALPENALTIESANDqVILFlNESUPTOONEHUNDRED
THOUSAND OOLLARE (5100,000), M 01TI �N ME COST OF COMPENSATIIXJ, �AMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE UBOR CODE, IFIrEREST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirtn t�at I em licensed under provislons ot Chapter 9(commencing wilh Sectlon 7000) of Oivision 3 of Iha Business enA Professions Code, antl my Ilcense is In lull
torce entl ettecl. Lic. k CIa55 A
Comractols Signeture: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby eNirm t�at there is a construction lending egency tor the pedormanca ol Ihe work lor w�ich this permit is issuetl. (Sec. 3097, Civil Cotle).
Landers Neme: Lender's Address:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn that under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe lollowing reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or counry which requires e permit to conslruct, elter, Improve, tlemolish, or repair eny sWcture, pnor to its issuance, also requires the applican� tor such permit
to file e siBnetl stetement that he or she is Ilcensed pursuent to Ihe provisions ot t�e ContreIXors License Law (Ghapler 9(commencing with Section 7000) oi Divlslon 3 ot Ihe
Business end Protessions Cotle) or that he or she is exempt therafrom end the besis lor Ihe elleged exemption. Any vialatlon of Sectlon 7031.5 by eny applicent tor e Oermit
sub�ects the epplicant to a civil penalry of not more Ihan IWe hundred dollars (5500).):
❑ I, es owner ol the property, or my employees wlth wages as their sole compensailon, WILL DO THE WORK, entl Ihe structure Is not intentletl or aHered for sele (Sec.
7044, Business end Pmtessions COOe: The Contrectors License Law tloes not apply to an owner of pmperty who huiltls or Impmves Ihereon, and who does suc� work
hlmsetl or �erself or through his or �er own emplayeas, providetl that such Improvaments are not intendeA ar oMeratl tor sale. Ii, however, the building or Improvement is
�d within one year of completion, the owner-6uilder will hava the burden of proving that he or she did not build or improve lor purpose of sale.). '
I, e5 owner oi Ihe proparry, em E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTOflS to construct tha proJect (Sec. 7044, BuSinesS and Professions
Cotle: The contractors License law does not epply to an owner oi property who bullds or Improves Ihereon, and who contrecis lar such projact with e coniractor(s)
liConse pQs�iant to the Conirac�ors LicenSe Laws.).
❑ 1 em e:em r sec.
1SigneNr�:
`OwnerlDven y i fs
Vedlicetlan oi ' by (
ot
Business end Professions Cotla for this reason:
Yes ❑ No Drivel9 LIc8n3BNo.
v, i.e. � property taa bill or deed): �'�_
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no exwvation five (5) or more teet in depth into which a person is requireC to tlescenG, will be meCe in connection with work authodzed by thls
permlt, and that no building siruclure, scettoltling, telsework, or tlemolitlon or dismantling thereof, will be more Ihen Ihirry-six (36) faet �igh. (C�ap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celitomia AdministreNve Cotle).
❑ As owner-Duiltler, 1 will not employ anyone to do work which would requlre e Dermit irom Ihe Division of Industnal Setety, as noted ebove, unlass such person hes e
pertnit to do such work irom the divlsion.
Signeture: Date:
Division of Indusirial Safety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AN� AUiHORVJ1710N OF ENfAY: I cerlify under penalry of Derjury that I have reatl t�is applicalion end state that Ihe infortnatlon given is
crorrect. I egree to comply i� ell sia t800_dty ordinances relatinp to bullding wnstruction, and authodze representatives ot the Ciry of Costa Mese to enter upon ihe
above�descnbed pro ction purpases. I egree not to occupy or ellow occupency of any building authorized (yy �t�is permit uniil final inspection.
� "'1 � I L�' ' ZOD �
Sign w`re; 1 Lepal Owner(s)— :��e �
orizetl Applicant Oate
COOEI. INSPECTIONTYPE � L INTRIALg
1616 Fiaed System Final Fire Preventlon
12fi8
200
Pool Spe Final
Finel Re-Root
201 Final BIocWRetaining Well
202 Finel Fectory Fire Place
203 Finel Sign
204 Finel Demolition
COUE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning ApDroval
222
250
Final Site
Final Building/Occupency
PAiE V1�L$
�
(714) 754-5273 • Fax (7�a) 754-4856 • www.ci.costa-mesa���TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
.lobnddress: 888 PEACE PL
Suite No
Vicinity:
Parcel Nunmber:
PATIO AND FIREPLACE AREA
41805271
Applicant: JONES, JEFFREY R
Address: 888 PEACE PL
COSTA MESA, CA
Owner: JONES, JEFFREY R
Address 888 PEACE PL
COSTA MESA, CA
Contracror: pWNER-BUILDER
Address:
ISSUE FEE
Temp service test
Res. alc package
New Res (i-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors l0 10hp
Motors lo SOhp
Motors l0 700hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Phone: 949•394-5333
2ip 92626-2916
Phone:
Zip: 92626-2916
Phone:
Zip:
License: 000000
ISSUED BY:
SCOPE OF PERMIT
CONSTRUCT 575 SF SOLID ROOF PATIO COVER AND CONSTRUCT A 13'-6" HIGH EXTERIOR
FREESTANDING FIREPLACE LOCATED IN REAR OF THE PROPERTY. �
REF: 807-00405
1 LIGHT FIXTURE, 3 OUTLETS, 1 SWITCH, 2 MOTORS TO 1 HP
523.50
$0.00
50.00
50.00
50.00
50.00
51.10
53.30
51.10
50.00
so.00
50.00
50.00
50.00
59.50
50.00
50.00
50_00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
Quantiry
FEE SUMMARY
Temp Dis� System / Lighting
Busway I100 N
Standing Seclion
Misc Eledrical Equipment
Trensformers up to 1 kva/kw
................up l0 10 kvalkw
.................up to 50 kvalkw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Voll Wiring Syslem I Ckt
Misa Conduit
Misc. Conduclor
Circus ( gen or ride)
Circus (mech ride or lighis)
Christmas Tree Sland
Fireworks Stand
Other Elecirical Fee
Investigation Fee
Plan Check Fee
Reinspeclion Fee
Status: ISSUED
Applied: 04I19/2007
Issued: O4I192007
Quantity
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
50.00 0
50.00 0
50.00, 0
$0.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00
50.00
50.00
$0.00
TOTAL CALCULATED FEES E38.50
urc� i cncr�w� rnun�r�nuc�
NOTICE: The work authorized by this permit shall compty 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 antl become void if work is not commenced within 180 days, or ii work is suspended or abandonetl
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permlt to be considered legal, such work must comply with ell applicable codes, and ell
required Inspeetlona and tinal epproval must be obtalnetl. Failure to obtain Inspectlons and Ilnal approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 7545646
2aae-ae 1aro01
WOFiKERS' COMPENSATON DECLARATION:
I hereby eftirm under penalry of perjury one of Ihe following declaretions:
❑ I have entl will melntein a certifcete of consent to SelFlnsure for workers' compensetion, es provitletl for by section 3>00 of iha Lebor Cotle, tor ihe pertortnance o1 the
work for which this pertnit is issued.
❑ I have end will maintain workers' compensation insurence, as requiretl by section 3700 of the Lebor Code, for the pertortnance ot the work tor which this pertnit is issued.
My workere' compensatlon Insurance cartier end poliq number are:
Cerrier: Polity Numher:
�(Th/is section need not be canpleretl tl the pemtitls valued et one hundred dWlars ($100) or less.)
�[l I certify that in the�rtnance ol ihe work lor which this pertnit is issued, I shell not employ any pereon in eny mannar so as to become subject to Ihe workers'
compensetion law ' '- - � ----
comply with 1h05B
Ap� nt Signa ut re: _
WARNING: FAILUFE TO SE
THOUSAND OOLLARE 151d
that it I should become sub�ect to the workere compensation provisions oi Sectlon 3700 0l Ne Lebor Code, I shall forthwith
oa`.'� C--4' -1 Q/ - 2vU�
iATIIXJ COVEMOE IS UNUWFUT AND SHRLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES rWD GVIL FlNES UP TOONE HUNDRED
:OST OF COMPENSATION, DAhU1GES 0.5 PROVIDED FOR IN SECTION 3]OB OF THE LABOP CODE, INTEREST, AND ATTOqNEY'S FEES.
IICENSED CONTRACTORS DECLARATION:
I here�y eHirm thet I em Ilcense0 under praWsians ol Chepter 9(commencing with Section 7000) ot DiWsion 3 of �he Bu51n055 and Profeulons Code, antl my Iicense is In full
force antl eMect. Llc. s Cless k
CONrectofs Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirtn thet there is e construciion lending agancy for the pedormance of �he work br which Ihis permil is issued. (Sec. 3097, Civil Code).
Lentler's Nama: Lender's Address:
Signalure: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm that untlar penelty of per�ury lhat I flm EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business end Pratessions
Cotle: Any ciry or counry which requires a permit ro conswct, alter, improve, demolish, or repair any siructure, prior to ics issuance, also requires the applicant tor such pertnit
to file a signed statement Ihat he or she i5licensed pursuant to Ihe proNsions of the Contractors License Lew (Chepter 9(commencing with Sectlon 7000) ot DMsion 3 oi the
Business end Profeulons Gotle) w that he or she is e:empt therefrom and ihe 6asi5 for Ihe elleqed e:emptlon. Any violation of Section 7031.5 by eny applicant for a pertnit
sub�ects the epplicent to a civil penelry oi not more than Ma huntlred tlollers (5500).):
❑ I, es owner ol the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and ihe siructure is not intendetl or oHered tor sale (Sac.
7044, Business end Professions Code: The Coniractors License Law tloes not apply to en owner of properry who builds or improves Ihereon, and who does such work
himsetl or herself or through his or her own employees, provided ihat such imprwements are not intended o� oHered for sale. If, howaver, the building or improvement is
within one year of completion, ihe ownar-builtler will have the burden ot provinq Ihat he or she did not build or improve for purpose ol sele.).
I, as owner oi the property. em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projed (Sec. 7044, Business and Protessions
Cotle: The contractors License Lew does not apD�Y �o an owner of pmpeny w�o builds or improves ihereon, antl who contracts for such project with a coniraaor(s)
license�pursuant to iha Contractors License laws.).
❑ I am ezelpg�efider sec.
Ilcense.
(rype oi
Business and Prolessions Code tor Ihls reason:
Yes ❑ No
it, i.e. - property ta: bill or deed):
DIVISION OF INUtlSTAIAL SAFEN PERMIT CERTIFICA710N:
❑ I hereby certity ihet no excavetion tive (5) or more feet in depth Into which e person Is required to descend, will be matle In connectlon with work euthonzed by this
permit, and t�at no building sWcture, scaHoltling, falsework, or demolilion or dismantling �hereof, will be more than tAirty-six (36) teet �igR (Chap. 32, Gry 2, An 2, Sec.
341, Ttle B, Celilarnla Adminisirative Code).
❑ As ownervbuiltler, I will nat employ enyona to do work which would requlre e permit trom the Division ot Intlustriel Setety, as natatl abave, unleu such peraon hes e
permit to tlo such work Irom the division.
Signature: Oate:
Division ol Industnel Setery Pertnit Number:
CERTIFICATE OF COMPIJANCE AND AUTTIOR13ATION OF ENTRV: I certity under penalry of perjury that I heve reatl ihis application and state that the infortnetion given is
correct. I egree to comply wlth ew�d ciry ortlinances releting to building construction, end authodze representatives of !he Ciry of Costa Mese to enter upon ihe
above-descnbed property for' e c' n oses. I egree oot to acupy or allow acupancy ot eny bullding euthorized b his Oermit until finel inspection.
� �� — �C�Z% �
Signat Of Leg I Ovine�(s) . �- 1���—
L �--
nzed Applicant Date
GODE �. INSPECTIONTYPE Qd¢. IIi�1SL$
1616 Flxed System Flnal Fire Prevention
1266
200
201
202
203
204
Poal Spa Finel
Finel Ra-Roof
Finel BIocWRetelning W ell
Finel Factory Fira Place
Finel Sign
Finel Demolitlon
COOE 1 INSPECTION TYVE
206 Finel Mechanlcal
208 Final Plumbing .
210 Finel Elec�ricel
212 Finel Fire Preventlon
220 Finel Planning Approval
222
250
Final Site
Final Building/OCcupency
Q�g IN1111�LS
� • r:f�
(714) 754-5273 • Fak (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 888 PEACE PL
Suite No
Vicinity: OUTDOOR FIREPLACE
Parcel Nunmber: 41805271
npp�icant: JONES, JEFFREY R
Address: 888 PEACE PL
COSTA MESA, CA
Owner. JONES, JEFFREY R
Address 888 PEACE PL
COSTA MESA, CA
Contractor: OW NER-BUI LDER
Address:
Phone: 949394-5333
Zip: 92626-2916
Phone:
Zip: 92626-2916
Phone:
Zip:
License: 000000
ISSUED BY:
SCOPE OF PERMIT
CONSTRUCT 575 SF SOLID ROOF PATIO COVER AND CONSTRUCT A 13'-6" HIGH EXTERIOR
FREESTANDING FIREPLACE LOCATED IN REAR OF THE PROPERTY.
REF: B07-00405
ISSUE FEE
Backflow i«igalion
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Santl Auto )
AMT
$23.50
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
$fi.15
$0.00
$0.00
50.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
Oi
1
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub / Washer 50.00
Landscape Irrigation $0.00
P-Trap 50.00
Pressure Regulator $D.00
Process Piping (per 10 k) $0.00
Receptors $0.00
SepticTank $0.00
SewerCapforDemo $0.00
Sewer Connect $0.00
Sewer Private Line. $0.00
Shower - $0.00
Sink, bar 50.00
Sink, commercial $0.00
Sink, Floor 50.00
Sink, kitchen 50.00
Sink, service/mop 50.00
Spa (private) 50.00
Spa (public) 50.00
4N _
0
0
0
0
0
0
0
0
0
0
0
0
0
�0
0�
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 04/19/2007
Issued: 04/19/2007
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(7-4)
Vacuum B�cr 8k8ow(5+)
Wash Basin
Wash Basin Set
Waste and Vent Syslem
Water Closet (Toileq
Water Heater / vent
Waler Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOIATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
50.00
TOTAL CALCULATED FEES: 529.65
�
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. g2-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or ahandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized undar ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetione end finel epproval must be obtained. Failure to obtaln inspections and final approval will result in the expiration o1 this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2466-06If✓00)
WORKERS'COMPENSAnON DECLARAnON:
I here6y eHirm under penalry of perjury o�e of Ihe following declarations:
❑ I heve enA will meintain a cerliticete ot consent to self-Insure for workers' compensatian, es provitled for by section 3700 oi the Lebor CoAe, lor the pertortnance of the
wOrk for wMch thl5 permit 19 i55uetl.
❑ I heve and will maintein workers' cwnpensatlon insurance, as required by sectlon 3700 ot the LeOor Code, tw tha perfortnance of Ne work br which Ihis pertnll is issuetl.
My workers' compensetion Insurence carrier end policy number ere:
Cartier. Policy Number:
(This sectton need nof be completetl i/ Me pelmit is valued af one hundred dW/ars ($100) or less.)
�J certily thet in the pert000���mmm ance oi the work f�Woh this permit Is issued, I shall not employ eny person in any manner so es to become subject to ihe workers'
y compensation laws oi �lomla, and gr�that if 1 should become sub�ect to the workers' compensetion provisions of Sealon 3700 af ihe Lebor Cotle, I shell forihwit�
comD�Y w��� t�ese prons /, e
MPRcarH'SlgnlgNre: :-'': , ate: ' L�/ / ! — ZCi��%
WARNINO: FAILURE TO SECU �W R$' N54ilIXJ COVERAGE I$ UMAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMIWJ. PENALTIES ANO CML FlNES UP TO ONE HUNpRED
T/KKISAND �OLLARE (510D,OOO�,1N DD ON TO TH COST OF WMPENSATIIXJ, DAMAGES AS PROVIOED WR IN SECTION 3)OB OF THE LABOR CODE, IMERE57, rW0 ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I he�aby eHirm Ihat I em Iicensed under provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 0l ihe Business and Prolessions Code, end my Ilcense is In lull
torce entl eflect. Lla a Class x
Gontracbr's Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirm t�et there is e construction lentling egency for the pertormance ol the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlers Name: lendef5 Addre55:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn thet untler penalry of perjury that I am EXEMPT FROM TTiE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Buslness end Professions
Cotle: Any ciry or county which requires a Dermit to conslruct elter, Improve, tlemolish, or repair eny structure, pnor to its issuance, also requires tha epplicant tor such pertnit
to Nle a signed stetemant t�et he or s�e Is Iicensed pursuam ta the proNsions ol tha Cantrectors Lkanse Law (Chapier 9(wmmendng with Sectlon 7000) 01 Division 3 at the
Business end Professions Code) or t�et he or she Is exempt t�erefrom en0 the Oesis for tho elleged e:amption. Any violation of Sectlon 7031.5 by any epplicent for e pertnit
subJecis the epplicant to e civil penelty oi not more than five hundred dollers (3500).):
❑ I, es owner ot the property, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the strucNre is not Intendea or otteratl for sale (Sec.
7044, Business end Professlons Code: The Contrectors License Lew does not epply to en owner ot praperry who builds or improves ihereon, entl who does such work
himself or herselt or Ihrough his ar her own employees, pravided Ihat such Improvements ere nat intendetl or otterea lor sale. If, however, the building or improvement is
��sa d within one year of complation, the owner-builder will heve the burden of D�oving thet he or she did not build or improva for purpase oi sale.).
s owner of �he properry, em EXCLUSNELV CONTRACTNG WITH LICENSED CONTRACTORS �o consWci Ihe projec� (Sec. 7044, Business end Professions
� Code: 7he comrectors Llcense Law does not apply to an owner oi propeny who bullds or Improves ihereon, and who conirects tor such pro�ect with a coniractor(s)
license pursuent to the Coniractors.License Lawa�.
❑ I em exe u se<
$igne"tuie?
Owner ID ve Iad nver's
Vediicatlon ot r ip by
DIVISION OF INDUSTRIAL
eusiness ena Professions Cotle for this reason:
�s ❑ Na
i.e. - properry tax blll or deetl):
PERMIT CERTIFICATION:
❑ I hereby cenity thet no exwvation tive (5) or more feet in depth Into which e person is required to descend, will be made In connection with work euthorizetl by this
permit, and that no builtling siructure, scaHolding, telsework, or demolition or dismantling theraof, will be more then thirry-six (38) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Cellfomia Administrative Cade).
❑ As owneo-builder, I wlll not employ anyone to do work which woultl requlre a permit irom t�e Division ot Industrial Satery, es noted ebova, unless suc� person hes a
pertnit to tlo suc� wark from the division.
Signature: Date:
Division ot Indusinal Sefery Parmll Number:
CERTIFICATE OF COMPLIANCE AN i UTHORIZA710N OF RAY�I certify under penalty of peryury that I have read Ihis epplication antl state that the infortnatlon given is
correct. I egree to comply wlt� ell st w ntl ' inances releting to bullding construction, end authodze re0resentatives ot the City of Costa Mesa to enter upon the
ebove-described property for inspecti p . agree not to occupy or allow occupency of any building authoriz d�by Ihis permit unlil finel inspection.
-{ -�C7- "ZG27>�7
Sin hfra' aalOwneffs Dete'�
CQOE 1. INSPECTION TYPE
1616 Fized System Finel Fire Prevention
1266 Pool Spa Final
200 finel Re-Rool
201 FInaI8locWReteining Well
202 Finel Factory Fire Place
203 Finel Slgn
204 Finel Demolition
�:I. .ul :
COOE1 INSPECTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Eleclrital
212 Final Flre Prevenilon
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
ceg u�ei�
BUILDING PERMIT
Job Address: 888 PEACE PL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41$05271
Applicant: BAUMGARD; SCOTT
Address: 4829 MIRA SOL� DR
I �
MOORPARK,CA
Owner: JONES, JEFFREY R
Address 888 PEACE PL
COSTA MESA, CA
Contractor: SHELTER ROOF SYSTEMS
Address: 4829 MIRA SOL DR
MOORPARK,CA
Zip: 93021
Arch :
Address:
Zip:
REROOF RESIDENCE AND A
A COMP SHINGLES." 26 SQU
3 SKYLIGHTS WILLALSO BE
ICBO #ER-6075
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.65
SMIP Com: . $0.00
Other: $0.00
Inspection: $0.00
Total: $139.90
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Ezistinq: o
Zoning: R1 R1
Phone: 805-523-2461
Zip: 93021
Phone:
Zip: 92626-2916
Phone: 805-523-2461
License: 624196
Eng:
Address:
Phone:
License:
ISSUED BY:
Status: ISSUED
Applied: 08/24/2004
Issued: 08/24/2004
Phane:
License:
. - - - a�.�rcvr rcrtnn i .
GARAGE: T/O EXISTING WOOD SHAKE ROOF, 1/2" OSB, 1 LAYER 40# FELT, APPLY "50-YEAR CLASS
D:2-2'X4'AND1-2'X2'
FEE SUMMARY
Rear 0- 0
Rear 0- 0
Re uired: 0
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
, Left �0- 0 Right
Left 0- 0 Right
Proposed: 0 �
0-0" ,.'�
0- 0
3s,soo.00
ss,soo.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requfred Inspectiona and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
?dd616 (N00)
WORKERS' COMPENSATION DELLARATION: ' �
I hereby aRirm un0er penelry of perjury one oi the following tlaclarations: . �
❑ I have and witl maintain a certificate of consent to seN-Insure tor workers' compensetion, es pmvidetl tor by section 3700 of the Labor Code, tor the peAortnance of ihe
work for which this permil is is5ued.
��,I heve and will maintain workers' compensation Insurance, as requlred by section 3700 of the Labor Code, for the peMortnance of ihe work for which ihis pertnit Is Issued.
�My worker�ompe�s tian I�ance cayier antl policy number ere: C
Carner: —iz.�r y.+.�� Policy Number: O 00 / fJ F J –� 6 U y
(This section need'not be completed il the permit is valued et one hundred dollers ($f 00) or less.)
❑ I cartiy that in the pedortnence of the work for which lhis pertnit is issued, I shall not employ any person in eny manner so es to become subject to the workers'
compensation laws of Califomia, entl egr t ii I should become suhject to ihe workers' compensetlon provisions ol Sectlon 3700 of the Labor Code, I sha0 forthwith
comply with these pr ions. � U
ApplicantSignaWre: �� �/��' Dete: � �� �J
WARNING FAILURE TO CUiiE WORKERS' COMP,�NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES L1P TOONE HUNDRED
THOUSAND DOLLARE (5100,OW), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOq W SECTION 3]O60P THE LABOq CODE, INiEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby ettirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions e, and my license is in full
force antl ettect. Lic. d� �� s� 1 � Cless a «�i �
ConlractoYs Signeture: � +�— Date: .�` a5 � � S'
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that ihere is a construction lentling agency for the performance of the work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lentler's Neme: Lender's Address:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm thei under penalry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Profeuions
Code: Any city or county which requires e permit to construct, alter, improve, demolish, or repeir eny stmcture, prior to its issuance, elso raquires Ihe aDP�icant for such permil
to file a signed statement lhat he or she is Ilcensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 oi the
Busineu end Protessions Code) or thet he or she is e:empt therefrom and Ihe basis for ihe ellegad ezemption. Any violetion of Section 7031.5 by eny epplicant for a pertnit
subjects the applicant to a civil penelty ot not more ihan five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl �he structure Is not intendetl or oftered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law tloes not aOPly to an owner ol property who builds or improves thereon, and who dces such work
himsalf or herself or through his or her own employees, providetl Ihat such improvemenis are not in�ended or ottered for sale. H, however, Ihe building or improvement is
sold within one year ot completion, ihe owner-builtler will have the 6urtlan of proving that he or she did not build or improve for puryose ot sale.). '
❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Protessions
Code: The comracbrs License Lew does not epply to en owner ot pmpeny who bullds or improves thereon, end who contrects for such projact with e conirector(s)
license pursuent to the Coniractors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by dnver's license. ❑ Ves ❑ No
Business an0 Professions Cotla for this reason:
Veritication of Ownership by (rype oi tlocumen6 i.e. - property tex bill or deetl):
Driver's License No.
Date:
Ezpires:
DIVISION OF INDUSTRIAL 5,4PETY PERMIT CERTIFICATION:
❑ I hareby certi(y ihat no excavation five (5) or more feat in depih into which e person Is requirad to descend, will be metle in connection with work authorizetl by ihis
permit, and that no building siructure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) feet high. (Chap. 3.2, Gry 2, An 2, Sec.
347, Trtle e, Californie Adminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from ihe Division of Indusiriel Satety, as notetl a6ove, unless such person hes e
permit to tlo such work from the division.
Signature: Date:
Division of Industrial Safery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cenify under penalry ot perjury that I have read this application and state ihat the infortna�ion given is
correct I egree to comply with all state laws and city ordinances relating to building constmciion, and authorize represen�atives of the Gry of Costa Mesa ro enter upon the
above-descnbetl property tor inspection purposes. I agree not to occupy or allow cecupancy of eny building authorized 6y fhis permit until tinal inspection.
�� Si _ e Ot j gal Owner(s) r_
.G<il Jl .,Z S �
�� AndlOr Authorized Applicant ,
COOEt, INSPECTIONTYPE
1616 Fixed System Final Fira Prevention
1266 Pool Spa Final
200 Final Re�Rooi
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
o"re IHiIiIpLS
LODE I INSPECTION TYPE
206 Finel Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
2� INLmALS
1997 UBC HANDBOOK
�
MAX. 4 FT. O IN.
HEADER SPAN ,�
�� 4�- D/S�%/
TRIMMER RAFfER, TYP.
FAFfERS,TYP.
RECOMMEND THREE 16d COMMON
OR 80X END NAILS AND EACH
HEADER TO TRIMMER
For SI: I fnot = 361.8 mm. ..
FRAMING AROUND OPENINGS—HEADER SPAN <_ 4 FEET
HEADER SPAN GFiEATER THAN
4 FT. 0 IN. BUT LESS THAN OR
EQUAL TO 6 FT. 0 IN. �
DOUBLE TRIMMER JOISTS, TYP.— �
RECOMMEND NAIL TOGETHER WITH
i6d AT 16 IN. ON CENTER ALONG
EACH EDGE (ITEM 14, TABLE 23-II-B-1)
�r_n�
TAIL JOISTS, TYP.—SPAN LESS THAN
OR E�UAL TO 12 FT.
DOUBLE HEADER, TYP.—NAIL TOGETH
WITH 16d AT 16 IN. ON CENTER ALONG
EACH EDGE (ITEM 14, TABLE 23-II-B-1)
EDGE
JOISTS,TYP.
.E HEADER—NAIL TOGETHER WITH
16 IN. ON CENTER ALONG EAGH
�ING SAFETY
A MESA
VED
ATTACH DOUBLE HEADER TO DOUBLE � � o D2�8�
7RIMMERS WITH THREE 16d STAGGERED � ad� � d b���p
SUGHTLY ON HORIZONTAL LINE, TYP. o� ans ' spec� �� � k�� �«�
rqes M atleralbns m�^ w01aN'xt�le^1 P�e�^�,�s�sio1n Irom Ihe D'rfsbo d Buidng
DOUBLE TRIMMER— AECOMMEND NAIL TOGE� g(y, �, � c� Cosla M¢sa. /�J�j ti�7 f
WITH 16d AT 161N. ON CENTER ALONG EACH E "' �16T heU�dperto�ortobeaneppovel
S�amP°'9 oi Ih5 pWn a� specdra�are
uf Ihe violation ol any provisions o1 �ny City ot Casta Mesa Ordinance andlor Siffie Ww.
Fur 51: I I��n =�s.a �»,�. i foo� = 3na.a ��n,. s a� permB shall expire by limilalbn and becume nuq and'rod �� b�A a
n�se d� ,�+�eo axys a �e.
� � �� �,��� �rv± maintaned aclrve per UBC §303 (d)
FRAMING AROUND OPENINGS—HEADER SPAN > 4 FEET
FIGURE 2320-7
326
�� E Ll C < �/G C
�
/ �. � `____
_. .__. __._ .. ._.. ..__ �`
AI➢� ��'�;�`
CITY OF C SST.4 h4E:SA
PLANn[ IVISION
SUBJECT TO p�, pEPT. REG.
NOTE: ADp1`CIQNS, A�LET[ONS,
OR CORRkCT[�NS,S[�ALL BF..
APPROVED $Y THE PLANI�l1NG DIV.
�
---�--�-----_=.,_`--. -'
----`— ��'
' ___" ------r_
�---�--+
_ _ -- 6F r
� I ^
�����
u�NG SAFE'['y
TA MESA
VEU i
mllmanYdiangesaaAeraTmsmurRe �K�on�hisMbatau�imes/,y�5`7�'—
�e�ld Sa�ey': C9Y M Coslx Mpsy,�! "�� "TRten pertnissi�n 6anlM (�q� ���
�Ie sta��paig of ths plan ary s�atbns SH(�L N07 be I�¢b to pe�q or to be ao eyprp�
ol9+e rblatmn ot any provisions ol any Ciry ol Costa A�e� Orainanr,Q annr�� g�a1e �w,
MW�Ic � r��nf�rc A Sh20 expitg bylimdatKn and M nr�,a. nul� .�r.; vnrr, :+he ouilding nr
�ctc.g iw'r fi9,- , t
.o d�.tm,...p.,
vvc �f i55uanrc
��c1 �G,cP �/�c.0
f3D� O/S�9/
z� tis ,/�
W2=WW� F-a2 Twininq Laboratorie: �f ��uC/EETIl �a�:fo��, �.�.
� 3310 AvOon Way / Mad�ng AtlAress P O Bo. 4] / Long Beacn. CA 90801 / �2I3� 426�3355 / �213) 636�238fi /(71 a) 828�6432
TE$TING BAnNCH O�FiCf 151a�D Nortn Na�om Svee� / Sania 4na. C> 92103 / ilts� 5]t-20<5
October 17, 1980
E:amin�tion: SC80-5760
COMPRESSION TESTS ON GUNITE CYLINDERS
Richard L. Hubbard
17u22 Yellowstone Avenue
Yorba Linda, California 92686
vttOJECi SYlIhA1ING POOL & SPA (Lucas)
ADDRE55 888 Peace Place, Costa Mesa
SnMPtE FROM Spa - transition and deep end
•RCMITICT
ENOIHEE■
H. M. Hansen
MIX
DATE CAST
DATE TESTED
SPECIMEN NO.
4.?_ - 1
10-6-80
10-16-80
1
COMPRESSION 10—Dfly
TOTAL IOAD, LBS. 49 � 000
POUNDS PER SO. IN. 1�3a2
SIZE: 6" X 12�"
COMPLIANCE
w�oe �r
SPECIMENS Mike
DlfflUUfION:
Richard L. Hubbard - 3
-c?'c-33dg. Dept./Chuck Conner
' -/
CONTIIACTOR
California Pools
wao�n�cro�
- Same -
SPECIFIED
STRENGTH
SLUMP SIZE
10-1G-80
2
10-Day
50,000
1,773
6" x 12"
DEIWE�FD �T
Hubbard
2,000 psi
10-16-80
3
10-Day
57,000
2,021
6"x 12"
�iC�IY1D OM
10-7-80
R�CEIV�D
� N i �9$�
Neale Zuidema
•u w[•o•rs .oc s�a«rtr[o .s *�e eor+rm[vn.� .nwurv er euee+a. .or�o+iz.no. row .vsue�rio� o• oow evowrs, eor.ewam.�, oe ea.
:N�C13 �110M ON 4fG��D�NG �M[� IS P{SLOV(D �(MOi/�G OVA MNIiT[N �I�POV�L �5 � MUTV.�� VNOT[CTION TO Cll[NT{. TMC �U�LIC �ND OUI11[IVCf
330 i>
�� Zs
W2��WW� F.oy ?winiaq Laboratorie: �f ��«�Et,= �ac�fotn�, �,�.
� 3310 Avpor. NJa�� / Maibn� namess P O Bo� s7 / �o,�q Beacn. Ca 9080i / �213� a26�3755 � 12131 636-2386 / 1714) 828-6432
TESTING ea.,nc� mnce �s���o no�m �e�n,� s�,.�, -s.��. o�d ca sno3 � u»i s3�-+oas
November 7, 1980
Ex�mination: SC80-6192
COMPRESSION TESTS ON GUNITE CYLINDEAS
Richard L. Hubbard
1']422 Yellowstone Avenue
Yorba Linda, California 92686
PttOJECT SWIhA1ING POOL & SPA (Lucas)
AODRE55 888 Peace Place, Costa Mesa
SAMPLE FROM Transition spa & deep end
.\[CMIT[CT
[NOINEE4
H. M. Hansen
MIX
DATE CAST
DATE TESTED
SPECIMEN NO.
4.2-1
10-16-80
SLUMP
COMTII�CTO�
Ca2ifornia Poo2s
sueconrucro�
- Same -
SPEGIFIED
STRENGTN
11-5-80
2
512E
U1:
112:
COMPRESSION 20-Day 20-Day
Tornt LOAD, �ss. 56,500 63,200
VOUNDS PER SO.IN. 2,000 2,229
20-Day average: 2,115 psi
COh�v�IANCE 20-Day tests comply with specifications.
I�uD! �Y
SPECIMENS MSke
o�snuunon:
Richard L. Hubbard - 3
—6eska Mesa B.D./Chuck Conner
DEIIVE�EO er
Hubbard
2,000 psi
6" x 12�"
6" X 12}"
IECEIVfD ON
10-21-80
i: - - --.
.' -�
��^,' � 3 1980
��
Neale Zuidema
• w[e0��5 �w[ SVl�Ii��D �5 1ME COHf101NiI�L P90�CnT� Of CLI[MTS, � TMOoil+}�OM sOP vV�L1C�T10N O! Oun NEVOwT3. CONC�USIOM6. OR [l�
�A�CiS (RON D9 wFG��D�NG Tw[u i5 A[5[PV[D ofMO�wG OUo WY�}i[ry �enNOV�L �5 � MUiV�L V40TECTIOw �O Cll[MTt,iw[ �y�LIC �ND OVR�[LV[S
]00'12
CITY OF COSTA MESA
BUILDING SAFETY DEPARTMENT
Registered Deputy Building Inspector — Certificate of Compliance
Date of this Certificate ��— �` � n
Building Address �� �' PEAC.E, RL.
Owner ��o41ro i..vcnS
Contractor � p�-��e0.r� in i�oal_(
Address� �� O lJ� M(��P+ �\. ����aF.F. �.1�
Permit No. ���-.2y Date Issued NIA
To the Director of Building Safety:
I hereby certify that the following portions of work on the buildings at
the above address which required continuous inspection and which I was
employed to inspect, were �inspected by me and comply with the provi-
sions of the Building Code applicable thereto.
[ ] Concrete �
[ ] Reinforced Gypsum
( ] Masonry [ ] Welding ,
[ ] Special Cases
Swimming Pool Size ��� Q [�Gunite
Sacks of Cement ��'� Tons of Sand 3�
Approximate percent of water in aggregate 5�o
[ J Hand Pack
This report covers work completed during week ending � 0— 1/- S O
REMARKS:
SZ�i� Qorop,NG� EP0.11i-
` ` ��.1
C I��PV„Ary(,� b. W OQ`Mq�a S\, � Registered Deputy Building Inspector
SPl �SFncioRy.Pf�ntoiro6 C..1�,.�N.oS,'LName��v%•1�Co �U ISBP4.0
Q .ESuL�S
Addres�l7�''L2 VIE�wSZoNf QpE
U1o�nb 1..�uo��C�a 9`L68b
Laboratory�-w�"��N�a� Telephone�2Y-?i�Sg
CMF 0406<6 (BV 6)
�fP/o�
rtrcrYVEn
�^T ], p 1980
.
CZTY OF C�Z'A MESA
: a� la. a� • ��I�11J`:I45
x�.cr tao. /O S/ 3 n�z�e: /,'–/'� - 7�I
_ �—
rrn ►ao. / SI
aonxrss ��� �e�.�. P /�/c�.r.-e
�-ie developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been c�onpleted and its streets
accepted b� the City of �sta Mesa.
By exea�ting this agrc�nent, the undersigned acknowledges that he/she/they
was/wEre advised that this tract has not been given final inspection nor has
it been accepted b� the City of Costa Mesa as having ornQlied with the oonditions
of approval which �.ere vrposed.by the City at the time the Final Tract Map was
approved.
Zrie City assiares no liability for the enforcement of the conditions necessary
for appnoval other than those conditions protected b� surety bond.
The undersigned agrees to irxi�nuiify and hold the City harniless fz�n any claim
resulting in da�ge or personal injuty to the undersigned b� reason of the
aforanentioned unoonpleted coruiiti�(s).
APPROVED
CITY OP COSTA Mf.Sn
PLANNING DEPT.
SU8IECT TO BLDG. DEPT. REG.
DIRERO! O�
BY i%i�,! ,( � �fii-G4�t�
(Signature of Purchaser)
BY C�n�-��
(Signature of Devel°oper and or
authorized representative
�
an9 G
/ 4' /Y %r',� �� ' �"
(
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely — Use Ink Only
BUILDING � ��'� � ' ^
ADORE55 •�lX
OWNER Fbley Construction Co. , IS1C.
MAIL '�101. �'. F'OUY'ttl .St. � tt10�
AODRESS
cirv Santa Ana No`' S43-94
CON57RUCTION
BRANCH
A�DRESS
ARCHITECT _ _ . TEL.
CONTRACTOR QNIj]px�[�?V2,LOTJ2T
ADORESS Sc�R1E
TEL.
CITV .Sajlle NO.
STATE CITV
LIC. NO. �� LIC. NO.
SIZE NO.OF BLDCS.
OF LOT I NOW ON LOT O
USE OF
EXISTING BLOG. N�A
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I�velopnent of 41 single-
detacY�d residence Lmits.
I hereby ecknowledBe thet I have read this application antl state
t�at ihe above info�mation Is correct antl agree to comply with
all laws regu�eting bulltling consiruction, and I shall not employ
eny parson in violation of the workman's compensation laws of
the Stata of Calitornle.
I hereby ttrtify that I am properly licensetl as a conttecior under
the State of Celifornle Business antl Professions Cotle, Divlzion 3,
Chepter 9, and that such Iicanses are in full force and effect, or I
am exempt from t�e provisions of tha Stete of California Busineu
antl Profeuions Cotle, Oivislon 3, Chapte .
Sipnatura o
Parmlttae
Authorizetl Agent
3340
APPLICATION FO��'
RECEIVEDBV DATERE
BUILDING
ADORE55
VALUE
� S
ED
114.09 ,�.'
114.09CK
IT�• -IA '- •-
ZONE NO.OF USE OF NEW 5 t--
I PLANS a BUILDING � �
VARDSAPPROVED VARDSAPPROVED
MAIN BVILDING ACCESSOFiY BVILDI
(FROMC^/L/S]TREy5�T/) �n
FROM .�.C-// FT.- � Pcr�Gt �I
S ' FT O
REAR �C�) FT.O I
DISTANCE BET. BET. MAIN &
-1 b-79
THE AMOUNTSHOWN UNDER VALUATION IS FOR
THE PURPOSE OF FSTABLISHING A PERMIT FEE ON�V:
VALUATIOQN�/�� PERMIT FEE S
�JS�W PLAN CHECK $ �Ji�
5� TAX E L
TOTALPAID y / �
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'DEPARTMENT
IFORNIA 92626
For Applican[ ro Fill in Completely — Use Ink Only
BUILDING �i _ _
ADORESS ..i�1.Y.C�� •�U«—Q_
OWNER ��
MAIL
ADDRESS
CITV
CANSTRUC�ION
LENDER
BRANCH
ADDRESS
AFCHITECT
OR ENGINEER
ADORESS
CONTRACTOR
ADDRESS
CITV
STATE
�IC. NO.
SI2E
OF LOT
USE OF
TEL.
NO.
TEL.
TEL.
NO.
CITV
LIC. NO.
NO. OF BLOGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AN� WORK TO BE PERFORMED
I hareby acknowledpe that I hava reatl ihis applfcetton and rtate
ihet t�e ebove Informatlon is corract antl aprea to comply with
all lows regulatlnB builtlln8 connrucHon, end i s�ell not employ
any person In violailon of tha workman's compensaHon laws of
S�e Stace of Celifornla.
I hereby certify thai I am properiy Iicensetl as a contrector untler
the State ot Californla Busineas ontl Protettlona Cotle, Dlvision 3,
Chapter 9, antl that such Iicenws are In tull torce antl affect, or I
em exempt from the provislons ot tha Stete of Calitornia Busineu
end Professiona Cotle, Divialon 3, C�a ef 9,
SIB�atura of�
P¢�mlttea
Authorizetl Apent
"^i �+2 3L27[Z9 21.9.00 TU
8yG2 3%21/l9__._ _21'9.00CKT6
.67L2 b0004G7427 '"FQ �
�.� ...._- ., . -
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEOBV OATERECEIVED nercicciiFn
A.P. NO.
BVILDING
ADDRESS
TRACT
APPROVED
ZONE
VARDS APPROVED
MAIN BUILDING
(FROM C/L STREET)
BET
VAR. 9E
C.U.P. �$
APPROVED
PERMIT NO.
I -�(� �
LOT/ BLOCK
iI�LII • lXJ
VA�UE
5
—
GROUP
DATE
USE OF NEW
BUIID�NG
VARDS APPROV ED
BET. MAIN &
ACCE�. BLp
DATE
APPROVED
THE AMOVNTSHOWN UNDER VALVATION IS FOR
THE PVRP06E OF ESTABLISHING A PERMR FEE ONLV:
VALUATION PERMIT FEE E �
�- �/—�--\-}�— PLAN CHECK E
$ / / TAX 5
�/
TOTALPAID
N
n
m
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m
N
7
m
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�
0
CO
_71 LOT lA T
Pool Loca[ion .
Forms
Main Drain _
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
' r System Final
bo.,rcwash and Recep. Final
Fencing Final
Aooroval for Finish
BUILDING PERMIT N0.
CRIPTION of WORK pvt. Swim Poo�
EZONE VALUE$74.200.00
ROUP R-7 TYPE V i
SUBCONTRACTOR PER
Date �
Electric
.�.C.�� GS /S' O ',
Plumbing "
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' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BVILDING
ADDRE55
OWNEROR�� ����C
TENANT y� v
MAILING �
ADDRE55
CITV f '.t]<�Fd- ///�..�C/'� NOLI.�S//�-.tS�
BRANCH
ADORESS
ARCHITECT
T
CONTRACTOR L'/�{ J%-, �,p���
ADDRESSJIy�� ����
CITV _���t'� NOL�y
STATE CIT V
LIC.NO.����Qz LIC.NO.
SI2E i NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work:
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowletlga that I have reatl this application antl stata
that tha above information is correct antl agree to comply with
all laws regulaiing building consttuction, antl 1 shall not employ
any person in violation of the workman's compensation laws of
the Staie of Californie.
I hereby certify that I am properly licensed as a conttactor untler
tha State of California Business antl Professions Code, Division 3,
Chaptar 9, antl that such licenses are in full forca and effect, or I
am ezempi from the provisions ot the StaSe of Calitornia Business
and Professions Cotle, Division 3, Chapter . ^
Signatura of) n � �(
Permittee V t - . ���
or g �
A�thorized Agent Date ( �S— �
9476 9%15/80 108.99 T4
APPLICATION FOR STRUCTURAL PERMIT
REC VED PERMIT ATO 5 0 6 2 9
1V
A.P. NO.
BUILDING
ADDRE55 � �� �
UNIT OR
SPACE NO.
Tf�.NO_ _. � LOT i BLK.
'NEW ADD A TER REPAIR MOVING DEMOLI
OWNER D!/ / V C
VALUE
use L a
ZONE TVPE GROUP �
APPROVED �/C �
gy DATE �J
APPROVED BA
(FROM /LS F}EET)/� G�
FRONT .� FT. i /
A. SIOE FT.
� //,�/ l�
L SIDE S FT.V
� /� ��
REAR � FT. [ /
PLANNING ACTION
DATE
m
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a
m
SQ. FT. N
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
VALVATION PERMIT FEE $ �_Oa �
m
� AN CHECK $ `Q� o
g/ TAX $ U��
/ TOTA�PAID b�/�/J( . .//