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Home My WebLink About1953 PELICAN PL - Building Permits • Jity of Costa Mesa California 92628-1200 P.O.Box 1200 • Insulation Certificate Permit Number I Oso I -17 I=1 53 PaucaN PL. GS Number and Street City D2wr\-) gzs9 tat County Subdivision Lot Number Description .of Installation ROOF Material Brand Name Thickness (inches) ti Thermal Resistance (R-Value) EXTERIOR WALL ,H Material _( L, N IL Brand Name J_f_AN L rr Thickness (inches)3 1/4- Thermal Resistance (R-Value)R-1_I ' CEILING Batt or Blanket Type )" Brand Name IAA s"' "le- Thickness i1e- Thickness (inches)_(- (At Thermal Resistance (R-Value) R. - 19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2_ lb. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL Material. Brand Name Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Adminstrative Code. °WM61z- 13u,LDE2- fGeneral Contractor(Builder) License Number /1//C4 - oWM6-2 /2-- !-9 Signature and Title Date Sub-Contractor(Insulation Installer) License Number • Signature and Title Date 1907-46 ` PND' JECTADDNEss: 1953 PELICAN PL UNIT: -/j' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EMP 0501 /e OWNER'S NAME: GREG TUPPAN ADDRESS: SAME PERMIT NO: EMP 050178 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PLU PURPOSE: OTH 549-3495 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 495SF RESIDENTIAL ADDITION SQ FT: ADDRESS: UNIT: • CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / PERMITTEE: GREG TUPPIN (714 ) 549-3495 • ADDRESS: 1953 PELICAN COMMENTS. REF B50177 • CM CA 92626 ***+E�E�P*�EiE�E�E�E�E�E�EEP�E�E �E*�E�E�E�E�E**�E�E*�E�P�E�L�E�E�EkP�ELE�E*�E�P+E�E�t�P*�E�E�6�E�P* *****�E�E�E�E**�E�6**�P�P�E**** I LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date. Signature: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY EXP.DATE: COMPANY: f5 PARKING REQ• PROV: PARCEL: 13947302 ZNE: REF NO: � ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES> > Date'. Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1W)or less). D E V E L O P M E N T(//�� /S� E R V I C E S R E Q U I R E M E N /'T� S' I certify mat in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ZONING APPROVED BY - `4 l.. -j / [-�,/ 0 subject to the Workers'CompensationenLaws of California. DATE �• Date'._12--� - La Signature'� rRy '� BUILDING APPROVED BY DATE: NOTICE:If,after making this declaration,you should become lest to the rkers'Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for APPLICATION ISSUED B _ _�_�_ ___ �_ _______ DATE: /7,��/Y`/� G/�0 which this permit is issued(Section 3097,Civ.Cl. ********************** " s"-" - ***********3F Fl ifiF fEiE lF it*** LENDER: ************************************** *************************************** ADDRESS: LEGALIZATION:N F E E UMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I Hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL, TRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 20 00 3375 27 pp 50 repair any structure, prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5% i 5' 0% L 5% SM I P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the Business PLAN and Professions Code)or that he/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). ISSUE FEE 3,00 15 , 0 0 15. 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT IS'UE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 81 . 25 33.00 0. 00 114 . 2 5. 114 . 25 . 00 does not apply to an owner of a properly who builds or improves 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 sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 114 . 25 OVER/SHORT" 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN-CHECK lthe puens of sale). 23 . 00 48 . 75 42 . 50 mI,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business na and Professions Code The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon ' and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.Si P. C. for this reason: /�/}y TYPE - QTY DESCRIPTIO N UNIT COST TOTAL COST Date: l2 - it-96 owner/�/ ELE 10 FIXTURES LIGHTING 1 ST 20 EA. . 75 7. 50 I do hereby certify that I am aware of and understand the requirements of California He h and Safety Code Sections 25505,25533,and ELE 20 RECEPT/OUTLET 1 ST 20 EA• . 75 15. 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 7 RECEPT/SWITCH • 1 ST 20 EA, , 7 5 5. 25 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE 2 MOTOR/POWR APPARATUS 0 ,0 - 1 ,0 H3 . 00 0 6, 00 these provisions. MEC 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS 9 . 00 9 . 00 Date: Applicant: MEC 1 GAS PIPING SYS 1 - 4 OUTLETS 3. 00 3. 00 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county MEC 1 FACTORY FIREPLACE 6. 50 6. 50 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned MEC 2 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 9 .00 property Lor inspectiontipurposes. PLU 1 BATHTUB 2 . 00 2 . 00 - Date:_!/on`jo PLU 2 LAUNDRY TUB OR WASHER 2, 00 4 . 00 Signature PLU 2 SHOWER 01 000?5°90-0007557; TnOT 4 • 00 Driver's License or Social Security v: DATE: 12/04/90 TIME: 15:01 _ 1641.46 White-Budding:Green-Code Enforcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor /r I l P00,_-, SPA CONSTRUCTION AND PLANNING 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 , r _ 3:4lectrical Conduit,.Utility-Undrgrnd. 54. Forms I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 6. Steel Reinforceent 56. Rough Plumbing & Pressure Test r� Reinforcement 6: Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE : 7. Footings 'S 58 . Electrical Conduit-Undrgrnd. i 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. r:- 60. Backwash Lines, P-Trap, 0 Undrgrnd, 10. Structural Floor System ,' 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 7._ 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 ElectricalT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - .. - _ .. :.r (I;:1 - - : CT 20.'Rough Factory F,iieplace - '` `f ' APPROVALS Perfiit# . S.r .- :el. :I, :'''1,7. t .t amu. *± - . -. __ > • _ :70. Underground-Hydro 21. Duc.. in.Structure- � .. .. _ . a ; . �. y ) '�" '' `-. ., 22. Ducts, Ventilating,• ! 7:.15: _ , L`.-T ' ;71. product Piping QGas O'Oil 23.;Gas'PipetRough & test .r .` c .r - - ' . , . 72. Underground Flush^ 24 Roof Framing 'r;r. t • - _. .T t 73-1"Undergrnd:StoragetTank O Gas ❑Oil`s"-- - • 25. Rood SFleathing . . +- ;. .. " '•r ^. 574:=Overhead Hlydro f a 26. T --Bar Ceiling (Structural) &.Monocoat = '- .• Ft:, p 757Dry Chemical a - - "'3 + 'r: = r4•'• - 'u% - ' - - . < 'c :c -..4.- -. '. a 5, r .Thr S•, ; •e C. r 27-: Frame and Flashing; L _ t �; .. 76.-Dry Standpipe - t a. '`r' '- - r. 1C _. l 1: .' ." _ r . •. 28. Lathing-& Siding . . "pd..ll: i. •' '>: •,� 77?FIXEDSYSTEM-FINAL, +-c'u± -.i J _ _ _r_. ..I ..I ,h -. ..0.-.-- r �,1- ,r Y.rrr � - 29. Insulation , - 5 " s n I 1 I. . 78�EIRE PR EV. FINAL v tr, 3 3`i N r 130. DrywallNailing • ,: 'l 9: •• LLv. ' P HEALTH'DEPTt REQUIREMENT .-C.S s • 31. Plaster Biown Coat - r . ,• ,79:r'F7N`AL INSPECTION-, t - 7. �'Cr'- _ -•32._Electriral'Power Meter,-Final, e_ ' �� ` .80.tsF00D CERTIFICATE ISSUED 3 33.1Fin�l Electric i* ' •r .r :> s No'tes� - _ _ S }u34.-Final Heating & Air.Conditioning� _ I ��: - 5 r.:: .S ,I•r,r r, r.: 35.Final Gas Pipe-Test: jr I ' t''.. J [ S - Y - •, a7c r • _ JCJ C: ,36. Hood or_Canopy ;' • r - . . !, • n. ••� ;V i ... -r` �. - ., it z: S- D L i: :. 37=Final Factory Fireplace h: r+ • ' Y, N s x - a . lif' I• ' . o. .. 38. Final Plumbingc - t. "39. Water Service-Final- - t.' a - ;'l ' t rOa c - - :. 1. • I rt '' I I k ,.: i- t .`'i 40. Gas Service-Final ;. y r:-'7. r • Ir . _ ., -;t! • ;741. Solar Domestic-Final_ . - 'Di I lot :- 42.•Backflow Preventers _ re c..._--- " 43. Backflow Irrigation. -7.a S ° - ,�_ a •t - - -- v. > r .. sis o . . . 44. Landscape Irr.i,ation System,- '- ' - ' ' ' r P 4 V _ s �; _•a +' >. .. , :r tU�.l ..:`p TG'. OC'. -45.:Sound Attenuation _ > - • - • ."-i 5"e*. - - - .. .. .tr - = r . .. .46.•.Handicap Regulations 't ' ""- . i cK S _ 47. FINAL STRUCTURE & BUILDING rr i ' , r• - - :1 :t -, i :x.. -. I F _ 48.•'FINAL PLANNING; '• H its s - .49:;Electric Release to Edison 7 14 -. i:. i 50.,SGas.Release to Southern California Gas Co I. 1 •i . ' _ �� C '' pro % _ a.,. 51. CERTIFICATE OF:OCCUPANCY _ , - n _ � Nr-z Date PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: EMP 050178 PLAN CHECK NO: 06990-90 N PAGE: 2 * PSE***********+E**********************************************************:6***** ARCH/ENGINEER: MO.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 WASH BASIN 2. 00 2. 00 PERMITTEE: PLU 1 WASH BASIN (SET) 2, 00 2 . 00 ADDRESS: PLU 2 WATER CLOSET (TOILET) 2 . 00 4 . 00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00_ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section END OF FEES /000)of Division 3 of the Business and Professions Code, and my license is in lull force and effect. CITY LIC.: STATE LIC.: CUSS: Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: i COMPANY: ' • ❑ Cenified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. Date: Applicant I ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). I certify that in the performance 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 California. Dale: Signature: NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ,e ,, Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . 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(Section 3097.Civ.C). UNDER: ' ADDRESS: • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/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($510). 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 on offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves 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 sale.II,however the building or ' improvement is sold within one year of completion,the owner will have the burden Of proving he/she did not build or improve • for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant la the Contractors State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.3.P.C. for this reason: Date: Owner: _ I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 'St'D U P 1-i C IA T E R E C E_I F' T '"- 25534 and that I or any future building occupant will/miil not(circle one)need to comply with said state codes and the requirements for a 01 00075576-00075578 TOT 114.: permit for construction or modification from the Air uality Management District.Residential construction applications are exempt from these provisions. DATE: 12/04/90 -t?hd: 1:'D1 Date: Applicant: I hereby certify tnat I have read this application and stale that tee above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorbe representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: _ - - Signature: Driver's License or Social Security A: 1641.46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor POC SPA CONSTRUCTION AND PLANNING - APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector .,,y 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 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..rRough Factory Fireplace APPROVALS Permit # 21 Ducts,iri Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23TGas,Pipe-Rough& Test 72. Underground Flush 24:•Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil • s 25. Rodf Sheathing 74. Overhead Hydro 26.3-Bar Ceiling,.(Structural) & Monocoat 75. Dry Chemical 27.-Fralne and F.t i i{p9'• 76. Dry Standpipe 28. Lathing'& Siding '-, 77. FIXED SYSTEM FINAL 29. Insu •"-�'lation -•' - 78. FIRE PREV. FINAL r HEALTH DEPT. REQUIREMENT 30. Drywall-Nailing -: . 31. Plaster Town Coate 79. FINAL INSPECTION 32. Electrical Power-Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric ,�- ' tri frran Notes: 34: Final Heating& Air Conditioning 1.}l/frk fy�y� 35.tFinal Gas Pipe-Test �- ?/ / �/�///' 36:Hood or Canopy 1/4-#„.. 37:,F it Factory Firepl e 38.'Final Plumbing 39'Water Service-Final' 4o'.GasService-Final -'' 41:1Solar Domestic-Final 42_SBackflow Preventer 43. Backflow Irrigation.- �:v-C 44. Landscape IrrigatioK System 45. Sound Attenuation 46. Haridicap Regulations '47::FINAL STRUCTURE & BUILDING 48.;FINAL PLANNING 49. Electric Release to Edison 50. Gas Release'to Southern California Gas Co 51. CERTIFICATE:0F000UPANCY No. Date PROJECT ADDRESS: 1953 PELICAN .PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0501 / 4 OWNER'S NAME: GREG TUPPAN ADDRESS: SAME PERMIT NO: B 050177 PLAN CHECK NO: 03921-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 549-3495 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 495SF RESIDENTIAL ADDITION SQ FT: 495 ADDRESS: UNIT: CLAIM VALUE: 30, 000. 00 CALC-VALUE: 34, 155 .00 GROUP OCC: R-3 / PERMITTEE: GREG TUPPIN ( 714 ) 549-3495 ADDRESS: 1953 PELICAN COMMENTS: CM CA 92626 ***********************************************FF*+EBF*********************+F****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 71100)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS ITY LIC.: STATE LIC.: CLASS: Dale. Signature: FRNT: 32 FT MAIN INBREARING20 FT IN FRNT: FTCESSINYREARLDING FT IN WORKERS'COMPENSATION DECLARATION: I hereby ailing that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.CI. PCOMP : EXP.DATE: iCOMPANY: PARKING REQ• 2 PROV: 2 PARCEL: 13947302 ZNE: R1 REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ADDITION TO AN EXISTING SFR WITH A TOTAL > PROPOSED ADDITION OF 524 SF. Date: Applicant **********************************************iF******************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is to one hundred(51001 or less). D E V E L O P M' E N T• . E- R V//-IC -E S. R E Q U I R E M E N T S I certify that in the performance of work for which this permit is issued.I Snag not employ any person in any manner so as to become ZONING APPROVED BY._ • - • i ' /— DATE: / toil-W) subject to the Workers'performance then Laws of California. Date:_L/CS=/O Signature. -`��,/Q/ BUILDING APPROVED BY DATE: NOTICE:If.alter making th s declaration.you should become Subject to t Compensation provisions of the labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - ' __ - -. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED : ' ��1111 --� =�- DATE: / ZOO'20 which this permit is issued(Section 3097.Civ.C). ******************' . . �. i:::s's•s'w" ' • ********** ****** **** LENDER: ********************** Wwr,.ts.4,re ,.— **************************************** ADDRESS: LEGALIZATION:N F E E ,;SU, M MCA".R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt Irom the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL' • TRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 317. 00 "r 2 . 39 repair any structure.prior la its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 206 . 05 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(5500). . BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 319 . 39 0 . 00 206 . 05 525.44 525 . 44 . 00 ❑ , structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves(hereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 319 . 39 OVER/SHORT., ,00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK for the purpose of sale). 317. 00 2. 39 Ag I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . and Professions Code: The Contractors'state License Law does not apply to an owner of property who builds or improves thereon - *************************,*******,*************,*,********************************* and who contractsfor such protects with a contractor(s)license pursuant to the Contractors'State License Law(.I am aware I N D I V I D U A L F E E B R E A K D O W N that prooflof theirrWorker's Compensation insurance should be prowdetl Io m¢. • o I am exempt under Section: B A P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST •---I Date:_/2=y 90 °""'"0-1.4,4"--- SFR 495 DWE-TYPE V-WOOD FRAME -GOOD 69. 00 34 , 155 . 00 1 do hereby certify that I am aware of and understand the requirements of California and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply With said state codes and the requirements for a I 1 . permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. EXPIRED Dare: Applicant. Incomplete Inspections 1 hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned G '� property for inspection purposes. _ _ •_ - / Q,} //�• 4-"- Sig - 01 0007.7.,1 ,-,,4(7)7.7: �. Date: (42,- Se Signature: _ 1l4 -- DATE: i=:Uy' CU : i, :.n, • Driver's License or Social Security a: 3 164146 While-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor :1 ! I', CONSTRUCTION AND PLANNING POC ;PA 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 r• . , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UPER Grnd. 57. APPROVAL TO COVER-GUNITE rr - 7. Footings 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 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap 1 63. Heater & Vent-Final ` 13. Roof Drains t 64. Plumbing System -Final 1 14. Rough Plumbirig ' 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' 1Rough Factory iiieplace Cr _ rAPPROVALS''='CPerfnit # ' . 21. Ducts,in-Structuc$: .. ,. :'��- - ? '' • S -.70. Underground Hydro 22. Ducxs, Ventilating '• _ _ • .x;71. ProducttPiping Of Gas O:Oil 23That Pipe'-Rough Crest72. Undergio�,nd Flu` sh,-`` • 24.xRoof Framing ' t - -1 `:73. Undergrnd'.Storag Tenk O Gas 0 Oil • 25. Roof Sheathing ; ' : �� •••• •• nf1LWLlilr n1111a111 u. vcat a., r� JOB ADDRESS 1953 Pelican Place BUILDING PERMIT NO. 35697 GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Patio Cover AP No.139-473-02 LOT TRACT FIRE ZONE VALUES 500.00 IN CTIONS Signature Date GROUP J TYPE V ZONE R-1 SO. PERMITS ISSUED 4GASISUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING @PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS 0 STEEL REINF. 0 FLOOR SYSTEM BONO BEAM n STEEL REINFORCE in SHEATHING FRAME AND FLASHING LATHING - IN ❑ OUT f1 PLASTER, BROWN COAT STR""-TURAL, FINAL Electric HE 3, VENT., REFRIG. AND A.C., FINAL PLU,,.CING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL /PA° md•21.72- SPECIAL REQUIREMENTS PAID 35697 NO7 }5-7?crso00 561 •,.. *,x;r,tsu 5.04 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R£C V BY DATE RREECEIIVEE/D D•TE ISSUED BUILDING ADDRESS /76-3 /7e4/CAA/Re.NGS -- '{47/23 j:J�//' /s' 2/. OWNER /LL/ . Alt Aur S I /l c A.P.NO. //2J—O L •ERMI �. (:)- MAIL BUILDING /75•Q _ /f _ %� ADDRESS .S/-�.✓1E ADDR E55 / ..77 riff ��/��(�iJC/ Z Ill TEL. "0,545-354S�Q 1 LOT�9 BLOCK a C) CIT e:n-557Ai /%E.S/I. C M . TRACT rZ a< CONSTRUCTION NEW/ ADD ALTER REPAIR MOVING OFMOI ISH O-) LENDER am BRANCH — . l � ��j/q OWNE `-' CK-GC m J ADDRESS VALVE J m ARCHITECT TEL. USE $ Q OR ENGINEER �WN�� NO. U co FIRE w ADDRESS — ZONE TYPE,JP 0- w APPRO {/�/ /J Ill CON TRACTORQh/A/kie�BU/GOE/q BY ,(� DA , / I - Z y) f"/r L/j /�vse Press Jim ADDRESS H5 /94Q//� / LULU TEL. • ZONE// NO.OF USE OF NEW Z= CITY 5.Q.l.-/C NO. /\ / P � BUILDING a�/ Or 0 STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 7 SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT re K/z NOW ON LOT / FRONT FT. FT. USE OF EXISTING BLDG. /�/e-ez/ R.SIDE FT. �P FT. I— SIZE OF • NO.OF 2 NEW BLDG. /2 X.2O ROOMS STORIES L.SIDE FT. /177/ FT. ,,IIB Q EXTERIOR WALL ROOFtI COVERING COVERING 4T/C REAR FT. -30F us5_91F BUILDING AND,WORK TO BE PERFORMED / DISTANCE BET. BET.MAIN& 1 "'leg 770 -� /?FaG�CS .c.)(_/..57.41.16_ MAIN BLDGS. ACCESS.BLDGS. Q t7O/= VAR. DATE C / .�C.9 cJPtS 4 f39T/O Cct-e.e C.f.i.'''. . * APPROVED APPROVE Co RY t DATE /J /•� //r/ —7 /01-----', 0. ~ I hereby acknowledge that I have read this application and state �i� C) that the above information is correct and agree to comply with1\2 OSIAIV) Dall laws regulating building construction, and I shall not employ U any person in violation of the workman's compensation laws of'R Q) the State of California. mk 2 V)I hereby Certify that I am properly licensed as a contractor underSD. FT. o (((V�. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAL5 t\ Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PEe C am exempt from the provisions of the State of California Business m and Profe4slons Code, Division 3,Cha ter 9. VALUATION PERMIT FEE $ . 6t N A� ` O 'V Signature of // D Permittee (� ,{{��[[ i� $ PLAN CHECK $ E k in V Authorized Agent TOTAL FEE $ o` ' V�, LL + .9 21848 FEL . RECEIVED MAR. 81 1964 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 1953 Pelican Place RECEIPT NO. �11�' • COSTA MESA, CALIFORNIA I !� LHX48 ! RECEIVED BY DATE RE i DDATE ISSUED OWNER Pemba Subdividers, Inc. k.-- 3-. 6 cal 4 1964 MAIL BUILDING ADDRESS 2850 Mesa Verde Drive ADDRESS FIRE TEL. 549039- ZONE TYPE GROUP CITY Costa Mesa NO. AR' ' TELTAPPROVED OF INEERE• G. Kaltenbach N,.TEL. 547804' BY DATE 1833 E. 17th St. Santa Ana ZONING ) ADDRESS ZONENO.OP ^4 . Le. USE OF NEW Ehi 1 Pall R-1 PLANSI CONTRACTOROwner' G\J L� R-1 2 G BU ILDINOW/ mtt gar. . LEGAL DESCRIPTION Lot 29, Txa ct 5289 ADDRESS CITY A.P.NO. none 18731 O NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. SO"TO SIDES REAR P.L. ' LIC.NO. NO. EAVES SIZE 5 70x /yplx.No.or BLOCS. 0 ALLOWED (U.B.C.REQUIREMENT) OF LOT �j NOW 9N LOT i 3 J{ x i q YARDS APPROVED YARDS APPROVED UX SOF BLDG. —�— MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM 53+ 431 FRONT 5 CENTER OP STREET pREAR YARD ` '��' 1 I RIGHT 5' R.SIDE SFT, SIDE YARD LEFT 5FT. DESCRIPTION OF WORK L.SIDE CF-1% Fr. NE X ALTERATION _ ADDITION REAR I/a) FT. FT. DISTANCE BET. 1 BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING ��(( NO.OF VAR.# DATE SIZE 2 p 4"1 ROOMS �yHj,C��LTRIES 2 C.U.P.# APPROVED EXTERIOR WA�L�S UCCO COVERING 5+++'+•le APPR 1 3.-3 COVERING �J I @Y '�� DATE USE OP B LDI G ANDWORK BE RF RM D VVV��L Single famiy with attached garage. Qh House 2,030 sq.ft. Garage 451 sq.ft. Plan 54-C 1 ;20317 FT. ./1 - 9Al. a o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE £ AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m . BUILDING CONSTRUCTION. �/ /'//n/�/� G PERMITTEE' SIGNATURE OF �m9A/I ;( `j'/,/ a PERMIT FEE _ ,/ al D • soy !O /�. 'LA. .E . Y Sa AUTHORIZED AGE/ t TOTAL FEE $ /D13e ` O