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Home My WebLink About2936 PEPPERTREE LN - Building Permits0 ��ia»sa-sz�s • Fau(714)754-4858 • wv+w.a.costa-mesa.��LDING PERMIT Job%+ddress: 2936 PEPPERTREE LN Suite: Vicinity: DETACHED GARAGE FOR A FOURPLEX Parcel Number: 13920321 Applicant: PLAYER, MIKE Address: 11321 MAGNOLIA AV / GARDEN GROVE��/ %,��: �r Owner: JACQUES, DONA Address 2913 PEPP\ER TREEi , � n�COSTAMESA`CA'� , �,. � . �, ,�� Address: 11321,MAGN061A AV ///�% �1; ��n ;,;�; ,� � GARDEN GROVE ili'r , �Zip:� 92847� � ir �Atldress:�� lllf� l, � �� - ', i ;'�' �ZiP l� : � \ �--, � � D � E R OFF EXI: 4 � '. i!: � t�i i L.---, ;'�; � Plan_Check- l`�� 1 �� Permit, `` SMIP_Res: � �SMIP Com: �� otner: �` Inspectio'n: 1 \'� �` J \t�1r�._; Ij�/ / � �� !�� yfJ � _� /� /1 ` I <� ��i"� Li , t ,�j _� �_ �� r 7!-' _. INGROOF ON GARAGE ( 'i � �. ; t,,i $0.00 �� `� $57.05 I1 = 1 �� $0.00 I � �'? $0.00 � ` ��AA ��$0.00 �I ' 1; \1,. ! $57.55 � '�7 �V��. I•. . . �..,.�,..,. � \\\� -� , ., ! )n �� Zoning: R3 R3 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/22/2003 Issued: 04/22/2003 ISSUED BY: ��a: %�y�.``'� , �G�f _; Phone - -714-534-5696 � }_'�� _, _ � 1�.^ t"" � Zip:� 92841' t �� c� .\ F I� / `��:�� \ ,_� �-� �� _ �I�� r �, ,_\�. �' -�-�—,�_�-:�_'�� --�_`.,.� { J � � \� , %-"p'c-~""" Ph z P:� sz zs � � ��`.1,�,,' ` ��`~ � �� . . �� ^�\�� \� \ Phone: `�714-534-5696 ��\�/ /- � �� r�� ,� � , _�. �;��\ ucense:� oioiii ��— � =1 1�� e:�oo Q (f �, �(��`. o �� V� En9� { �� S � �iti�� RI ' 1! `-�`,� .�.C�...� _ Address:�l 4 j � �\, _ _'- �__,�-- " ' z}/ � a`r v� � �� / Lic ��,t ==�=-=SCOPE:OF-PERMIT �-�, I INSTALL�4`PLY'BUR;WITH ROCFC7� � `� � iL'11' 11 1!!(� 1']11LU �. ,. �� ` �FEE SUMMARY � l � i ,�,�"� -�'�- �� Calc Valuation: I, 1-„/0�- o�✓ r.� � 7 '� _� _.r /��'� �_,� /��„r`,�_ , Claim Valuation: ;: liiW��J� � ) ,b:;`, ;,,r�a �o .. c. c `�1ri: � . � '% n.�'e�b; � �'�' ''° u°iPLANNING & ZONING` � � „ r�� 11 � c o�� O��U .�Q�. � 0 0-�' : c v�iLe(l 0;0 _� , \�\ \� � � /� �� - -�"'•.�^•-�.� ti�c-,.�_''y '-_%"''/ '` �-�.�'_. _ — / ACCESSORY \Fiont\0�/�i / Reaf 0-0` __ Ceft_Y0=0— � C� \\/r��" ~ � PARKING Existinq:�.0 Reqw�e� �!'' +rProposed:'0 �, NOTES: �� "� � �J1J\.JI , ��; �.� ,`''�i �-��<;.`,� —,__� ---;i0� � J $i: __ f /u,�r,/ �_'� ` //, Right (0 0� C�� /� ' ii n ��1/ �� Rig,ht-� 0- 0 / �,� u NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 1 BO days, or if work is suspended or abandoned for a period oF 780 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 inspections and Tinal 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 i446-48 (6/00) WORKERS' COMPENSA710N DECLARATON: I hereby ettirtn untler penalty of perjury one oi the following declarations: ' ❑ I have and will maintain a certifiwte of consent to self-Insure tor workers' compensation, es provided tor by section 3700 ot the Labor Cotle, tor the pertortnance of the �work for which this pertnit is issued. , I have entl will meint in orkers' comp4ri! �ion insurence a requiretl by section 3700 oi the Labor Code, for the pedormance of the work tor which this permit is issued. �FAy workers' com - t n n car e antl policy ber are: s Carrier: � Policy Number..QU V 2-y� ��( � Zo°3 (This section need not be com IeteO il fhe perm�f is valued et one huntlre0 tlollars ($100) or less.) � _" +�:. J ❑ I cartity thet in tha peAormence of ihe wor for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensallon lews of Califomia, antl ee thet If I should become subject to tha workers' compensation provlsions oi Section�700 oi the Lebor Code, I shall torihwith comply with these provisio s. �/�� Applicen� Signature:_ Date: E �--- WARNING: FAILURE TO SECURE WORKE ' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHAL� SU&IECT AN EMPLOVER TO CRIMINAL PE LTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSANDDOl1ARE(5100,000),INAODIT TOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDF-0RINSECTION3]060FTHElABOqCODE,ItJrEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm that,l am licensed under pmvisions of ChaO�er 9(commencing with Section 7000) of Division 3 oi lhe Business and Profess�pns Code, antl my license is in full � farce and eHect. L�A � � F 71 `' Class A C�] q / ContrecmYs Signature: �, Date: . % , '! CONSTRUCTION LENDING AC,�ICV: ❑ I hareby aflirm that there is a consVuction lending agency for the pertormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn Ihat undar penalry of perjury Ihat I am E%EMPT FROM 7ME CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professlons Coda: Any ciry or counry which requires a parmit m construd, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit ro file e signetl stetement ihat he or she is licensed pursuant ro the provisions of the Conirectors LJcense Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Prolessions Code) or that �e or she Is e:empt Iheretrom antl the basis for the allagetl e:emption. Any violation of Section 7031.5 by any applicent for a permit subjects the applicant to a civil penalty oi not more than tive hundred dollare ($500).): ❑ I, as owner oi Ihe properry, or my employees with weges as Iheir sole compensation, WILL DO 7HE WORK, and Ihe siructure Is not intanded or oHeretl for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law dces not apply to an owner of properry who builds or improves ihereon, and who tices such work himself or herself or through his or her own employeas, provided ihat such improvements are not Intended or oflered for sale. tl, however, the building or improvement is sold within one year ot completion, tha owner-builder will have ihe burden ot proving that he or she did no� build or improve for purpose of sale.). � ❑ I, as owner of lhe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmd the project (SecJ044, Business and Professions Code: The con�recmrs License Lew does not epply to en owner of property who builds or improves thereon, and who comracts tor such project with a contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am ezempt untler sea Business antl Pmfessions Code (or ihis reason: Signature: Date: Owner ID ventied by tlnvers license. ❑ Ye5 ❑ No Driver's LiCenSa No. Veniication of Ownership by (rype of document, I.e. - property taz �ill or deetl): Enpiras: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ereDy certify Iha� no excavation five (5) or more feet in depih into which a person is required �o descentl, will be made in connection with work euthonzed by Ihis permit, entl that no builtling siructure, scaHolding, falsework, or demolition or dismantlinq ihereof, will be more ihan thirty-sic (36) feet hiqh. (Ghap. 32, Grp 2, Atl 2, Sec. - 341, Tltle 8, Califomia Administrative Code). ❑ As owner-buildar, I will not employ enyone to do work which would require a permit Irom ihe Division of Indusirial Satety, as notetl above, unless such person has e permit t0 do such work from ihe division. SiqnaWre: Date: Division ot Industrial Setery Permit Number: CERTIFICATE OF COMPLIANCE AND AUIHORIZA710N OF ENTAY: I cetlity under penalry oi perjury that I have read this application and state thet the information given is correct I agree to comply with all state laws end city ordinences relating to building constmction, and euthodze representatives of the City of Costa Mesa to enter upon the ebove-descnbed property for inspection puryose�ree not to occupy or allow occupancy of eny building authorized by this permit unlil finel inspection. COOE I. INSPECTION TYPE 1616 Fixetl System Final Fire Prevemion 126fi Pool Spa Final 200 Finel Re-Root 201 Finel Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ��j/ � ��/1/ �.� COUE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elacirical 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy PSI€ L�Lfl "'Y..{i4n'�4'.; (714) 754-5273 • Fax (714) 754-4856 a � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT .lob Address: 2936 PEPPERTREE LN Suite: Viciniry: ROOF OF EXISTING DUPLEX 77 FAIR DRIVE, Parce� Nunmber: 13920321 , Zoning: R3 R3 Applicant: CHRISTIANSON, CHARLES A. Address: 1939 MONROE ST � � -__----- —`--------__ � CA ,..---�'_� �%P.hone:��909_351:8556`-- � RNERSIDE /F�i �-�-,--"Zip, -92504 r---��--'-�� i � �� ,.-�� l �� . i � ��`-e" owner. JACQUES%DONALD F,l ,` ;�� ; ' � l�` � j� �l � Address 2913�P,EPPER TREE LN �. ,__ � f /f/J�/' ' =� ' � �u/ � � � '� // =-Phone .�,�� % �COSTAMESA,Cq�� ;,,�-�� Zip 92626 `��.,��,\'�� t ��/�7cA t;r�j ��{ RIVERSIDE uiii �! Zip: ��92504-5223 r �� i'�f r �.. >r.,--, i�. �J� � 'SL I �% �� ' � t � � 1 r�� ' �� ; il�/� ��1,'L ip: � r-�. �i . � � �i�� ; �- �; � '. -' � ,. �` I i Check �� ,��y$0.00 �Permit \�'+�$87.25 AIP Res: `��V`� �$0.50 � ��$o;oo � � $o:oo � �,��c� . i ,��tiSs�.�s� ; . r \�� V�4\ SETBACKS\`\ MAIN STRUCTURE . ACCESSORY � PARKING NOTES: CO.. INC. Phone: 909.351.8556 6T:kb1�b7 �%��. � ' r�� ,��, i,a � 9 �-�'+� Q- .. Address � ,..�� ' a ,r' ,�%�' -- ��, �/-/-� -- l =t-\`G/L./ a __ . U_ �d . =L �L MESA, CA 92626 Status: ISSUED � Applied: 02/02/1999 Issued: 02/02/1999 , �-„ ,� � �� -_ i � I l �� -; i `\ �Phone:_� � � 1 ��. t 7�i!`� \�rauv. l� �� - � �� . ` / �A'License: .��' , . ,, ,.� �'��i r`�-1 t� . �� !f,tl� i �-_— I IUPLEX. APPLY NEW 3 TAB �� '� � i � - � .L' �1 ' . r i. ! ' ""`� �-'� `�-='Calc Valuation �' /1,'1 L� sa,soo 00 - � � -Claim Valuation �'�� .��gs,eoo.00' r,�l � ��; . C'�; 1�� --__�._�- �_ � ,�1 �-�� r,�/ �, `, � j� <v//��/ ;��;�� r'/' s�, �.. �,�,*.�. . _._%%/� `. ��/�' � ��,�,c r`�'. ` ��r PL`P,NNING &z� ZONING- � ��%i' �� /,�`� ;` </ �(\� ` �\� 1 KA iJ �7m n � \ i/tjy\ J�n� �iti"i� h 5 %'� r iia�� ;J \\ / ,✓ ` . \l \\.�1.. � �. y T_ � �� { ,) �'�/ �'Ji/ Fiont � 0�0� /,% ) r � ._��'� � -� \� .� Rea)r 0 0 ,� - Left. . 0-0� ght�0-0�� Front�\;\�G1 Rear� 0� 0`` ,.Left r 0}0 7`\ , Ri M-' 0-'0� �..� ��- � �" �✓ '+ ' i � � E � �: l •� � 1 � i��„� 9 i � � Existina: 0A: " equired 0'� �-1--Pr000sed: � �0�., /�� -�; _ �° � _ `;" �. �%r.%'"� -' _ _t--:-;.��;.. - = ?�--_-,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 aufhorized under this permit to be considered legat, such work musf comply with all applicable codes, and all required inspections antl final approval must be obtainetl. Failure to obtain inspections and tinal approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: ,(714) 7545626 ; � WORKERS' COMPENSATION DECLARATION: � � I hereby eHirm untler penalty ot perjury ona oF tha following declaretions: ❑ I have and will mginiain a certiticate of consern ro selbinsure tor workers' compensation, es pmvided for by section 3700 of the Labor Code, for the pertortnance ot the work for which Ihis permit is issued. - � I have end will maintain workere' compensation insurance, es requiretl by section 3700 ot t�e Labor Code, for ihe performance oi ihe work tor which ihis pertnit is issuetl. My w /er ' compensation vIn!�surance carder end policy number are: ��Z �a�3 7Z(� Canier, l i!�¢NO(f.¢ �L/./S�Ji(�1Gii0 Policy NumCer. L ❑ I certify that in ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sublect to the workers' com0ensation leWs of lifornie, anp egree thet� I should become sublect to the workers' compansetion provisions of Sadlon 3700 ot the Labor Cotle, I shall forthwiM comply with �hesq i i .// ��//_ ApplicanlSigneture: s„�,6�� ( ��—� Date: � ��9 WARNING FAILURE TO SECURE WOFKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FMES UP TOONE HUNDFED T}IOUSAND DOLLARE (Stpp,pppj, IN ADDITION TO THE COST OF OpMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOP CA�E, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70RS UECIARATION: I hereby aRirm ihet I em licensed unde�rovisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Protessions Code, antl my license is in full force and eHecG Lic. N — C)ass N G'� �9 Caniractor'sSigneture: � ' ��_ Date: 7_—Z"9�/ CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm thet ihare is a conswclion lending agency for the peAortnance of the work for w�ich Ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Nama: Lentler's Address: Signature: Date: OWNER-BUILDER D�CLARATIONS: I hereby aHirm thet unqer penalry af perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor tha following reason (Sec. 7037.5, Business end Professions Cotle: Any ciry or coun�y �yhich requires a pertnit to consWct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant tor such pertnit to tile e signed statem9nt Ihat ha or she is licensetl pursuent to ihe provisions ot the Coniractors License Law (Chepter 9(commencing with Section 7000) oi Division 3 of Ihe Business and Protessibns Code) or that he or she is eaempt iherefrom and the basis tor ihe alleged examption. Any violation of Section 7031.5 by any epplicam for e permit subjects the epplicant to e civJ penelty of not more ihan five huntlred dollars ($500).): � ❑ I, as owner ot Ih0 property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, ena ihe structure is not Intendetl or oMeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not eOPly to an owner of properry who builds or improves thereon, and who does such work himself or �erself or ihrough his or her own employees, providetl that such improvemenis are not intendetl ar oflered tor sale. If, however, ihe building or improvemant is soltl within one year oi completion, the owner-builtler wlll have the burden of proving that he or she did not bulltl or improve for purpose ot sale.). ❑ I, es owner ot the property, em E%CWSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and Professions Code: The conirgdors License Law Ooes noi apply to an owner of propeny who builds or Improves t�ereon, and who conirects tor such project with a contractor(s) Ilcense pursuant Io Ihe Contractors License Laws.). ❑ I em e:empt under sec. Business end Professions Cotle tor this reason: Signelure: " Oate: Owner ID venfie0 hy dHvers license. ❑ Yes ❑ No Driver's License No. Expires: Venficetion of Ownership by (rype of documem, i.e. - praperry taz bill ar tleetl): DIVISION OF INDUSTpIAL SAFETV PERMR CERTIFICATION: ❑ I here6y cenly Ihat no e:cavation five (5) or more teet in depth Into which a person is required to Aescend, will be made in connectlon with work authorized by ihis permit, and that qo builtling structure, 5tettolding, falsework, or tlamolition or tlismanlling thereot, will be more Ihan thirry-5i: (36) feet high. (Chep. 32, Grp 2, Art 2. Sec. 341, Title B, Cellfornla AOministretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a parmit irom ihe Dlvislon oi Industriel Satery, as noted above, unless such person hes a permit ro do such work from ihe division. . Signature: Division ot Indusirial Setery Permit Number: Date: COUE �, IN�PECTONTVP� 1616 Fixed System Final Fire Prevention 1266 Pool Spe Fiqal 200 Final Re-Ropf 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 204 2446 4fi Final Sign Final Demoli�ion �g �� 3 Lt/-9'Y b�- CQOEt INSPECTIONIYVE 206 Final Mechenical 208 Finel Plumbing 210 Final Electdcel 212 Final Fire Prevention 220 Final Plenning Approvel 222 250 Final Site Final Building/Ocwpancy �: T ,RI� 1 �. � ', 1 � PB0.IECT RODHESS. � 7 . .. . UNIT: • _ ' ' . - . � . � . . . _ . _ ' " ..-'- ' . " " ' . � . 1 9� PERTRrE LN . D , CITY O=,COS'[;A�MESA =,3UILDSNG �P�r�MTi ,PERM'NO; t ,0`16(it .: OWNEfl'S NRME: �.TAC� i llQNAt,D 'F � • . . � . . . ., .. . _ . . f ., � . ; , � � a. � � �� . , �s , � . aooness: 7.�1 i ;}?.=�+ TRE:E ,`.,N , . � ' , ' ' . PERNIT �NO: E U516ot) ! � r ; ,. � PLAN� C-Ir.CK. NO: i . . ,� �N i . ! GOVT: N '�SUPP: -N+.- • , , ' COSTA,,:,n9'��;CA 52626� � ; . . � • - , _ -. �. _ + , � • ` � ' '� ' � .CONSI�UCTION TYP: c -V-N + c' f ° = ' PERMIT TYPE:: ELt � ' � .' � , . • � . = PJ�ROSE: OTH � ' � ' Ci�10°-5599: - ' � � . - ; i , . , � , . .- . , , :. � � �'r � � - � � � � � . AflCH/ENGINEEfl:; . ' ... ._ . - . . - , NEG.NO.: ' _ ' . JO� DLSCRSPTlUN, �. : METER' TURN ON 3 ' - �� ; f. ' � � r ; �, � '' S�1 F.FT�p � '. . .. ' � �i� ��. � . AOOflESSi - ' . � . UNIT: , . . , � . 'r� _ . - l' • . � - ' � � " ' � CLAIiH VALUE: � . � : , CALC-VA'LU&:� � _ . � ' GROUP UCC.: R-2 +, '/ ' - ' PEflMITTEE:�'JAC �IrGs DONA':.ia F, !'7i4 ) �45-5599� . , � � ' �' • - ' � � < . . • � • . � � � , = , � ' .. � - t . . AODPE55: L ��{ p(: �pgR'i'REc, LN ' COM� NTS • MEi�ER INS:TAi,LATION / NEEDS RELcASE ' � . � � ' �- ' � ' ' ; ' � • ' T ' + '� • ' t'M : .'CA' 92626 _ , :*��s�>x�,�x�vr:�:��t��*�:��xx��rt�u�*�*�x�.�**xt��x•�•��*��c��xii*��:��*�xt.��c*��*�+�*x IICENSED CONTHNCTOB'DFCLAflaTION: I hereby aifirm tha� I am licensed under pmvisions ol C�ap�er 9(commencing wi�h Seciion , ' '' ' ',/, ' n jQ S j�) G � E�[f I t� : N�, , j�i � 1 fj � �` � � • 7000� ol Oiv�sion 3 0l Ihe Business and Pmfessions Code. an0 my license i5 in tull lorce and ef�eci. ' � � '- � - S 1' $'A C F� S� ' � �� CITY LIC.:� - STATE LIC.:' . CLASS: . . ' � { . , , � i e ' � ' ' Y� ' ! � � ', '.� e _, . � oate: � �Sienawre: ` � ' " �---=-- .____ .NA1.N .Bi7�ZLD�NG ,---`----' � ----i -+- ; ACCES'SORY $UYLDING �---- .--=- � WoeKees' COMPENsnrlox oEcunatioN: . i nereny aitirm inai i na�e a ceni�icate oi consent to seu-insure or a cem�icate o� workers' � r�N'T ; ' FT '1 T1 R$I�R : FT I N r RN 1.,; � c T I N� R�A� : ,F7' : I h ( Compensation�lnsurance, or a cer�ifiea capy ihereol.(Section 3000. La�..Cl. ' . � LL[';f ;' : T j�i� R�1'IS : FT � -.ZN ' ' laE.t T': � T � 11N R(i1�T ;� �: T, � �1N . j �OLICY NO . � � E%P. UNTE: • '- 1 ' i . . ^ • • ✓ t . , '. � • , . f , ' . COMPFNV: -, � � PARXING �RE(}�� ' PROI�:� �PA.�C�L;� 13y20321 �ZiVE: ; ! + RE? NO;. � � ' ' Cerlilietl copy is hereby Wmis�ed' ❑ CerlilieA copy is �iled with Ihe ciry Building �ivision. , � PLANNING NVT ;J i I . � i � . • � � �',� � , . . _ _ . .._. .. . .. ' " ' ' ' . .. . ...... ._ . ? _.. .. �. ..-- _ . .. .;."_.. . . �.... , _._. _'.,i '� . _.-� _. _, . �_ .�.. .,-� !f•ifiE3Fi(�iE1f:3Fi6N�1'r1f3'tiPlF#�3(�afaE�lfif?e�l(1FY�4'�iEfEiEiF�YiE�k�i(�3E'�?E�IE3(-?EiPN�?6%�-1'r3EiE3P?M1h:•R%i4leabK�3ii(�i(�3ElE�jFi(��k�3t-,Y�.i'r%�i..K.Y:�F}'.�(.}3f•Y.��If-aF3P � Oate> ApDlicant: • �- , EXEMPTIONFBOMWOPNEflS'COMPENSATIONOECLANATION:��T�isSeclianneeAno�becompletetli�Ihepermitis�oronehunAreO(511p)orless�. � t� V G L � P M�E N Y��'S,;i.,eR Z� 1 C.0 $ � R L�'[J I� E N, 'E N T S, ' I certily Iha� in �he petlormance of Ihe work for which ��is permit is issue0, I shall not employ any person in any mannef So as to become ' ' I ' �� { I ,��. . I ! � � . � ' , - ; suble�� Io ihe Workers' Compensation Laws o� Cah�omia. ' ' � ` . � 7.ON1NG APPROVEL} ;�Y � L • � 1 I . , . . . � r•- � � � ' llATE: I � , Oa�e: . . _, . . .. SignaNre: _ . . . . ... . ' . ' _ .. ' ; ' ". , ' " ' ' _ . ' ' _ _ . ' . . _ - .. _ .. ' _ "'. ' _ '_ } .. " ' ' . NO710Ei IL a��er making �his Oeclaraiion.' you should becomesuble�� o Ihe Workers' Compenseiion provisions o� �he La�or BTJ iLD ZNii Ap}PROVt.D �'�Y; . i�� f � � � DA2 E; ' ' ' .Code. you must fonhwilh comply wiih such pmvisions or this permit shall be UeemeA revoke0. i � , � � . � + -- - —"'— - � ; ' � � . � LONSTNUCTION LENOING RCENCY: I Aereby aflirm Iha� there is a construc�ion lenaing agency �or the pedormance ol Ne wnrk br APPL I CAT I OI� 1 J"J� (JE Y; � ' UATE; � Z`') whi.A�hiSpermi�isi5suedlSeclion3097.Civ.Cl. ' . ' � i t i(..}f3EiFK�iF3flFiEi!�ifji��y�3t3i��(�3h ..-u" :i..,-. �.. r r ��F.�'3Y3'tjF361f1e7i�i:-Y1i-It(3i�F'�F�iE�N� � LENOEP: . � � � ' � � 16fE#%N�3iK.K'3(�ki'r+4N�M�%�XiiR.iElFiPuiE1ER . � ' . iF x�X:li�fF#�%IfYiF%fE%leifk�±EiEaf+i; Y�%i(} K�iBifN�if1(R)E.�IFiF?fai�iC�#+:�t{� noosess: - _ _ ; .' . "; . LEGALI2ATInN.:�l�i " . -��F� E E ' S ti M H A R Y � i ' s"TRUCTUr2AL `SEGDI�NT:N , . - . . . � � : � ,., " � � � � � i , . , _ . . . . , I.� . OWNE88UItoEPOECIABATION:.Ihere6yaffirminallamexempttramiheConiractors:StatelicenseLawiorihefollowingreason `' - _ ' BLUG1 �MT. plil)M�I�NCi � $I ..CZ'tZr�. � i`�1C.C$/�1VIC ; :'{1tZ` � Si`�1P/}ZL,S � GFZI'�l[QCG (Sec�ion 7031.5 Business an0 Pmfessional Cotle' Any ciry of caunty which re0uiresp permi[ Io cons�mc�, al�er. impmve, tlemolish, or Ej�RM 1 T � � { � " - � �' 1 8 5 � ' ' ' . � � repair any s�mcWre, prior lo i�s issuance, also requires,the applicant �or such permit �o file a signetl statement iha� he/sAe is Iicense0 , _�: , � ' ' � � . ? , � pursuanl to the pravisions ol lhe'Coniractors' Sta�e License Law (C�apier 9(commencing with Seclion 7000) of Division 3 of ihe Business � ' �., ��' � - 1 ' J � x � � ; � SM I Y/NOiV-�ES � ana Pmiessions cooe�,or tnat neisne is e.emPt inereaom ana ine'nasis mr�tne 5iieged eaemution, nny vioiation ot secuon 7o3?s hy •� PI�AN : _. �,� ,, _; �. _� , . ; � � � � any aDDli I �or a Dermi� Sublec�s the apDlitant �o a tivil penally ot n0i mOre �han �ive hUntlretl �oilars-�E500�. . I`.-� $vE FEE `� i� �� ' �� 2 5. 0 0' � � . i ' ', ' .• I, as owner�o� me pwpeny ar my em �ayees wi�h wages as �heir-sole compensation,�will Uo the work�anA the; HUZ'LD�NG�-nIV->" FnRMIT � ISSUE 1�LAN-C$ECK , � TOTAL � � PA1D� : Ull�: �. s�mcmre is not imendea or oueree tor sa�e (�ection �oaa, eusness and Protessionai coae:� ihe Contractors' State �icense �aw .' POTALS- -,---? ': �' � 1 fi', S�0 1 5,'� �: i)`, 0 0 � 3 3, S �. � 3.,�i 0• , l"} 4 � ' tloes not apply m an owner of a pwPerty who builds or impmves tfiereon, antl who tloes such work himselVherself or thmug� :, �' . ., '•: ,�F � � �� ' � • � �� . , � ' his or her own employees, pmvitletl ��a� suth impmvemenis are noi intentled ar oflered lor sale. If. hawever �he buil0ing or improvememissoiawithinoneyearo�compietion,the�ownerwinna�etneeumenoipmvin9he/s�eaidnotbuadorimprove 'R�VENUC� D.IVISION TOTAL5-->-� _ '.COLLcCTED• � -'33.,50 OVL'R/SH��T: d�' - � �o�tnenurPa'seo�sa�e�. � ,'- ' � , _ + - �BLD('o,PNT PLT7M�3ING EI,EGTR.I:C N:C.CHANTC F1RE ! SM1P/TOT GRADING PLAN-CAECK � i, as owne� oi tne nrooeny. am`excrosrvey commaing witn iicensea coniractors to constmci tne Pmieci �section 7oaa, eusines's . ' � ' '. �� k� 3 3. S O , � i ,_ ' , �' ; � � `0 � antlPmfes5ion5Co�e' TheConiractors'S�a�eLicenSeLawtloesnotapptyioanownerofpmperryw�obuildsorimpmves�hereon ' � , � � t .7 � _ � � � � %- . � { andwhocommcisforsuc�pmlemswilhacontracmr�s)IicenSepursuamlotheConiracrors;StatelicenseLaw�.lamaware :H�.��sfis.R.��y.g.j;��.�.�.:'.�.g'.}+�.}p�x.{i*qr.y.a��.}),tj'E}g.*q;.�.�.K.�.*..�.y;.��jp,�.1e�%3F}'��g.**�'r�'+'�a.�.,�<i��:{p}'�x{E'��y.*�y;p+,p.�.9c�*rt.*K. Iha� pmaf oi �heir Worker's Campensaiion insurance should be pmvitled �o me. � � . - � - �' "7 �, L � 1_ � - � I.N D I V� I ll i1��A 'L� F E n ; B-R � A K� D U W N � � 1 am exemu� un0er Sec�ion: B P 1 O 4 A B. 8 P. C. ' � � » � . , . . ' � � � � ' � . ' mrmisreaso�: .EDiSON KETE.R. "iNS'T '�NLY _ ' ' '' TYP,'^,' , S„lTY .D �r S C R I P T I O N ; '� � . ' 'JNIT C�OST � TGTAi, �CpST ' �oaie: �- � ownec. - �i�r : 1� � Sc,RVICaS'. B$'LOW 600 V 6 BEi�QW 201 AMP � 18, SO � I'8, SU � do hereDy certify Iha� xm aware oi antl unAer5tan4 ihe requirements of Calilomia Heal�h antl Sa�ery Cotle 5 ti 5 2 , 3, an0 � - ' i � , , ' � . � 25534 antl that I or any IUWm building occupanl willlwill not (circle one) neetl ta comply wiih 5aid Sla�e cotles a the requiremen�s lor a `• � i •-- +- ,- -- , - -`�' � _ t.Np .l�` .^ L �S' ' � permit �or cans�mction or mo0ilicaiion �wm Ihe Air Oualiry Managemem Oistric�. flesidemial consimction apDlica�ions are exempt �mm � . � '� . , ' j ' � � ' � f ' 1 i � � � f ihese pmvisions. , ' � i . � � . ' ' • r . ' � ' v � ' ; � I ' � � � ' � 1 � (. ; ,. . � . : _ ' ' � , � ' � � i ' , , 1 Oaie'. ' AVPlicani: - . . ' I . ' . � ' � . . I � i . I � , � I here�y cer�ify IAxI I �ave reaA Ihis aDPlication and s�a�e tha� Ihe above inlormaiion is correcL I agree lo comDly wilh all ciiy and counry � � I ' . � � '' � � f� 1- ' ' , • �or0inancesantlstalelawsrela�inglobuiltlmgmns�mclionantlhere�yau�hor¢erepre5en�ativesol�hisciryroenlerupon�heahove�menlione0�, - - . - � - - - � _ ' � ' , ^ � pmpetly �or inspeclion purposes. ' � � � ` � • � � � I � . � E'11 d�[I� i- ' ' 47S_ nt�084752 'i'aaT , ;33„SR, ;7-A- , � � � � — ' , . . . , ' ; � � >: TIMc,, �I.0 � �ate:/ �i / 7 g/ Signature: . . . �' ' D T�: r,#b/.j:lt`i�i �, '+ OI �. e 1' � � i � � orivefs License or�sacial Securiiy ' � � a ' � . � � � t � ' • 16<La6 �"/hite-Bwlaing: Green-Code EmorcemenL Canary-Apolicam: Pink-Revenue: Goltlenroa-Assessor ' � - - ' ' ' ' ' ' " � � ' ` ""' " ' ' ' ' ' ' '� "' " - �' ' ' " ' �' ' -' ' '- CONSTRUCTION AND;PLANNINGe , ' ' P��' SPA . � . . y-� � � Date Inspector � ''� Date -Inspector � ^ APPROVALS Permit # �' � � AP.PROVALS� Permit # . . - � � �1.`Temporary Electrical Service or Pole � - � ' � 52. �Pool & Equipment Location � Y .< 2.�Soil Pipe�Undrgind. „ � - '_"9 � ; 53. �Steel Reinforcement � � . � 3. Electrical Conduit Utility-Undrgrnd. '` "� 54.:Forms ' � . �Flectrical Conduit-Und�qrnd. ' . 55. Electrical Bonding � " .eel Reinforcement • c 56. Rough Plumbing & Pressure�Test - 6\'�tictrical UFER Grnd. � - � 57. APPROVAL TO COVER-GUNITE � ` 7, Footings � - - ._ 58. Electrical Conduit-Undrgmd. _ . 8. Foundation : -_ _ 59. Gas Pipe, O� Undrgrnd., Test � � ` 9. Water Pipe�Undrgrnd. � •� � 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structural Floor Systein � ' ' 61.�APPROVALTO DECK -: � I 11. Property Sewer Line & House Cqnnection - 62. Backwash & Receptor-Final � � � 12. Sewer Cap � , _ . 63. Heater & Vent-Final . ' 73. Roof Drains ,; � , 64. Plumbing SYstem - Final . , I' 14. Rough Plumbing � � 65. Electrical-Final � _ � 15. Rough Electriwl-Conduii 66. Solar System=Final , � 1 6. Rough Electric Wiring . � � . 67. Fencing & AccesrApProval ' " • ' M 17. Rough Wiring Sign � - -� ' 68. APPROVED,FOR PLASTERING r � S 18. RoughElectrical-TBarCeiling � 69.�POOL/SPA�SYSTEMS�FINAL � ' 19. Rough Heating &'Air Conditioning"' - - ' ' " ' � " - 'FIRE DEPT. REQUIREIVIENT � � � 20. Rough Factory Fireplace ' ' , - APPROVALS .Permit # _ 21.' Ducts, im Structure � . 70. Underground Hydro � 22. Ducts, Ventilating - � - � 71. Product Piping O Gas ❑ Oil � 23. ,Gas Pipe-Rough & Test . ' ,_ 72, Underground Flush 24. �Roof Framing � - 73.'Undergrnd:StorageTank �Gas ❑Oil • 25. Roof Sheathing . . _ ` � 74.�Overhead Hydro 26. T-6ar Ceiling (Structural) & M000coat ' ' 75.'Dry Chemical ' 27. �Prame and Flashing ', , ,' 76. Dry Standpipe - � � 2S. Lathing&Siding � • + � �� • 77. FIXEDSYSTEMFINAL ��29. Insulation ; '• 76..FIRE PREV. FINAL • �30. Drywall Nailing � • � � HEALTH DEPT: REQUIREMENT ,.31. Plaster Brown.Coat ' 79. FINAL INSPECTION 32. Eiectrical Power Meter-Final. t� �50. FOOD CERTIFICAT•E ISSUED - , 33. Final Electric Notes: .; , 34. Final Heating & Air�Conditioning � � � _. � � , % 35. .Final Gas Pipe-Test ,; ; ; � ' � ' ' • - � � j� 36."Hood or CanoPY . . . y - �� _ • 37. �Final Factory Fireplace � '. � � � ' '38. Final Plumbing ,. � . � - , � �' 39. Water Service�Final • ' �40. Gas Service-Final , � - , � � . . � 41. Solar pomestic-Final � � �• 42. Backflow Preventer� � ' � . ' , � .43. Backflow Irrigation• � ' � - � 44. Landscape Irripation System, , . � , ' . � �45.�Sound Attenuation � � ^ - 46. Handicap Regulations ' ' � ', ' , , ,� � 47. FINAL STRUCTURE & BUILOING • � � • - � ,q .i� 48. FINALPLANNING� , � . .^. � " � � 49. Electric Release to Edison �� . 50. Gas Release to Southem California Gas Co " _ , � . � 51'. CERTIFICATE OF OCCUPANGY No Date i. . � = � - � ��9 �=�� R�c��vED � �, : COSTA MESA BUILDING-SAFETY DEPARTMENT G P.O. BOX 31] COSTA MESA. CALIFORNIA /J ,_/O/ � � 'LG</ �3��G' . f:IM1IA'P!nr nr.�.-,� � fOR APPL/CANT TO F/LL �/N COMPLETELY - nPPucar�orv FOR, PERMIT � TYPE OR PRINT � C�r�� '�� "�`' �� , BUIL•DIIVG=A. ADDRE55 2 6 Pe er Tree lane r � r � U COSTA MESA, CALIFORNIA FOR OFfICG USG ONL7 � e rove� C• I RECEIPT NO. PERMIT NO. OWNER -� 0 MAIL I�, (] �/ .� RECEIVEO Y DATE FECEIVED. DATEn IrS�SUED ADDRESS N-�/ E• Zrt.rl Sti• . I �Ur�.Z�. S rOCT G l riQ arr Costa Mesa TNo:LIB-11 BUILDING ADDRESS oF iNEER Carlson $c PR1Gid1Bt4�O1S COSTA�MESA. CACIFORNIA ar en rove FIRE � ADDRESS ZpNE TYPE� GROUP' �� coN Dqc o& Colegrove� Zi1C�LIC. NTO. 167293 APPROVED BV DATE ADDRESS N�9 F'• Zfth `St�) Costa Mesa ' ZONING • LEGAL I LOT �7 I� I 2g22 ZONE NO. OF USE OF NEW DESCRIPTION NO. BLOCK TRACT ' f�'/I P��`�5 �-1 �I 9OILDING// / i �n ,%`/G ��^� /� P Vv/4� f A.P.NO. BYPROVED/�I /'L/J DATE G�t�� J�/"J / �/ � f SIZE C ' rvO.Oc e�oca. ypRDS V . �VEVES� � OF LOT �� X�-�J I Now oH �or none RE�UIRED ALLOWED - USE OF (CENTER LINE ST.) EXISTWG BLOG. FRONT J�� FT. IN. � SETBFCK LINE FROM �{ . ` CENTER OF STREET" SO' REAR YARD 17� R. SIDE �J Ff'. IN. SIDE YARD ILEFT S�� IRIGHT �� L.SIDE �FT. q ,/ IN. . � DESCRIPTION OF WORK ' REAR � �'�'FT� �' /LL(�U'�'CiYN. NE. I n II ALTERATION I II A�DITION I I � / ,� - REPAIR I II MOVING � I' II DEMOLISH I � � 5 ZIE DING 3516 : N�. Ms STORIES 2 � E%TERIOR WALlStuCCO ROOF , , . COVERING �� ICOVERING. P ' ' USE OF BUILDING AND WORK TO BE PERFORMED , Multi le famil dwellin � "h �Y' += 73 0. R. attached garage. Four livi.ng unitc. - 1 HEFEBY AGKNOWLEOGE THAT I HRVE READ THI6 l�PPLICATION yHE AMOUNT SHOWN IINDER VALUATION 13 FOR THE AND STTTE THAT THE ABOVE IS CORFELT pNO RGREE TO COM� pURPOSE OF ESTr�9LISHING A PEPMIT FEE ONIY. PLY WITH AlL CITY ONDINRNCES AND STATE LAWS REGULATING BUILDIN('. CONSTRUCTION. VALUATION � SIGNATURE OF �� PERMIT FEE $ SO�OO -- � PERMITTEE ' $ 30�97��p PLAN CHECK $ QS�QQ AUTHORIZED AGENT Dike olegz'ove� IRC. -. . TOTAL FEE S�TS•� . �