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Home My WebLink About901 POWELL CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 90'I POWELL CT Suite No Vicinity: Parcel Nunmber: 418b8302 Applicant: ALAP ASSOCIATES GP Address: 7338 ETHEL � � , � NORTH HOL�YWOOD, CA Owner: MARTIN; ROBERT J II( Address 901 POWELL CT' � . - COSTA MESA, CA Phone: 800-444-8865 Zip: 91605 Phone: Zip: 92626 Contractor: ALAP ASSOCIATES GP Address: 7338 ETHEL - � - � . � �. � Phone: 800-444-8865 NORTH HOLLYWOOD, CA Zip: 91605 License: 771905 Arch / Eng : ' . . - - � - , , Address: - - - - - - Phone: Zip: License: ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinkin9 Fountain Expansion Tank Gas Earthquake Valve C/O HEATER SAME LOCATION. AMT � QTY $23.50 $0.00 0 $0.00 `0 �$0.00 - 0� � $0.00 -� 0 �� $0.00 0 $0.00 0 $0.00 0 $0.00 , 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 SCOPE OF PERMIT FEE SUMMARY � AMT Laundry Tub / Washer $0.00 Landscape Irrigalion $0.00 P-Trap $0.00 Pressure Regulator $0:00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 qTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 07/28/2003 Issued: 07/28/2003 ISSUED 8Y: AMT Sump Pump $0.00 Swimming Pool $0.00 Trap Primer $0.00 Urinal � $0.00 Vacuum Brkr BkFlow(1-4) $0.00 Vacuum Brkr Bkflow(5+) $0.00 Wash 8asin $0.00 Wash Basin Set - $0.00 Waste and Vent System $0.00 Water Closet (Toilep $0.00 Water Heater! vent $12.30 Water Piping Qnst or Rep.) $0.00 Water Re-pipe $0.00 Water Service $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 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. 92-28. § t, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2bi6-061fi100) WORKERS'COMPENSAnON bECLARAnON: �" � I hereby aHirm untler penalty of pe�ury one ot ihe followinq declarations: � � I heve and will maintain a Certificate of consent to self-Insure for workers' compensation, as pmvided Por by saction 3700 of ihe Wbor Code, for the pertormance of the work far which this permit iy issued. wiil (This urence, as requiretl by section 3700 of lhe Labor Code, tor Ihe perfortnance oi Ihe work for which Ihis partnil is issued. poliry number are: one or less.) PolicyNumber: iNG2y7�'�/ �/ ❑ I certi iha� in �he pertortnence of the work for which ihis permii is issued, 1 shall not employ any person in any manner so as to become subject to ihe workers' pensatlon a f Celilornia, anC egree that Ii I shoultl become subject ro the workers' compensation pmvisions oi Saction 3700 ot the Labor Cotle, I shell Fort�with com ' _vi_si_o,ns�. %� ^�� --- plicentSign . w-ri'� /17�---� Dare: _ _ �r��'�i : FAILURE TO SECURE WbRKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHRLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTES AND CIVIL FlNES UP TO ONE HUN�RED TFIIXISAND OOLLARE (5100,000). IN qpDITION TO THE COST OF COMPENSATION, DAMAGES AS GROVIOED FOR IN SECTION 3106 OF THE LABOR CO�E, IMEREST, AND ATTORNEY'S FEES. DEClARA710N: etl under provisions of Chepler 9(commencing with Section 7000) ot SignaNre: � Business and Professions Gode, and my license is in tull Class a_> L �� lr nere. -��_.�.: CONSTRUCTION LENDING AQENCV: ❑ I hereby aNirm that there ia a conslruction lending agency for the pedormance ot the work for which this permit is issuetl. (Sec. 3097, Civil CoOe). Lentler's Name: Lenders Adilress: Signeture: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalty ot perjury thet I em EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constmct, elter, improve, tlemolish, or repair eny stmcture, prior ro its issuance, also requires Ihe applicant for such pertnit to tile e signeG statement ihat he or she is IicenseC pureuant to the provisions ot ihe Contraclors License Law (Chapter 8(commencing with Section 7000) of Division 3 of Ihe Business entl Professions Cotle) or thet he or she is eaempt t�ereirom and ihe basis for �he elleged ezemption. Any violation of Section 7031.5 by any applicant for e permlt subjects the applicent to a civil,penalry ot not more than five hundred dollers ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, antl ihe stmcwre is not intended or oflered for sale (Sec. 7044, Business and Profegsions Code: 7he Coniractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himself or herselt or through his or her own employees, provitled that such imD�ovemeNs are not intendetl or oflered for sale. If, however, Ihe building or impmvement is sold within one year of completioq the owner-builtler will heve the burden oi proving that �e or she did not build or improve for purpase of sale.). � ❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prqect (Sec. 7044, Business and Professions Cotle: The wntreccors LlcOnse Lew does not apply to an owner ot property who builas or improves thereon, and who contracts for such pmject wiih a contractor(s) license pursuant to the Contractors License Laws.). � I am exempt unaar sec. Business antl Protessions Code for this reason: Signature: Date: Owner ID veniietl by tlrivefs license. ❑ Ves ❑ No Drivels License No. Veriflcation of Ownership by (type ot document, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIfICATION: Expires: ❑ 1 hereby certity thal no excavation five (5) or more teet in dep�h inio which a person is required to descend, will be matle in connec�ion with work authorized by ihis permii, antl that no builtling structure, scattolding, falsework, or demolition or dismantling thereoi, will �e more than ihirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celitornia Adminisirative Cotle). ❑ As owner-bulltler, I will not employ anyone to tlo work which would require a permit irom the Division ot Indusirial Safety, as noted above, unless such person has a permit to do such work Irom the divisian. Signature: Date: Division of Intlustnal Salery Permit Number. CERTIFICATE OF COMPLIANCp /WD AU7HORIZA710N OF EMRY: I tertify under penalry of perjury ihat I have reatl Ihis application and Stale ihat Ihe information given is correct. I egree to comply wit� ell stata laws and ciry ordinances relating to building consiruction, and authorize representatives of the Ciry of Cwta Mesa to enter upon the abova�described propeAy lor inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this permif until final insDedion. CODE I. INSPECTION TYPE 1616 Fixed System I 1266 Pool Spe Finel 200 201 202 203 20C Final Re-Roof Final BIxWRetaining Well Final Factory Fire PIac9 Final Sign Final Demolilion IMRI�LS 4QQ� INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevantion 220 Final Planning Approval 222 Final Site � 250 Final BuilainryOccupancy Date Q�IE IMRI�LS ; (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 901 POWELLCT Suite: Vicinity: 2ND FLOOR Parcel Number: 41808302 Applicant: MARTIN, ROBERT J III Address: 901 POWELL CT COSTA MESA,CA owner: MARTIN, ROBERT J III Address 901 POWELL CT Contractor: Adtlress: Zip: Arch : Address: C05TA MESA, CA Phone: Zoning: Phone: 714-432-0189 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address: ISSUED BY: Status: ISSUED Applied: 06/06/2000 Issued: 06/O6/2000 Phone: Zip: License: License: � SCOPE OF PERMIT ENCLOSE EXIST. 64SF BALCONYY AS PART OF THE BEDROOM. Plan Check: $72.31 Permit $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $184.06 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ex(stinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $a,soo.00 $a,so0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned � for a period of 180 days. INSPECTIONS: In order fof the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and fl�al approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON OECLARAnON: ' '' I hereby ettirm untler penalry of perjury one ol the followinq declarations: ❑ I have end will maintain a certificate of consent to selt-Insure for workers' compensation, as providetl tor by section 3700 ot the Lahor Code, for lhe pertormance of the work for which ihis permit is iuued. - ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pertormance ot iha work for which this permit is issuetl. My workers' compensation Insurance carnar and policy number ere: Cerrier. Policy Number (This secfton need not be comp/eretl il the permif is velued et one hunarea dollers ($100) or less.) ❑ I certity that in the peAormence of tha work for which this permit is issuetl, I shall not employ any pereon in any manner so as to become subject to the workers' compensation laws ot California, and agree that ii I shoultl become subject to ihe workers' compensation provisions of Section 3700 ot the Lebor Cotle, I shali fonhwith comply with ihese provisians. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKER$' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE (5100,ODD), IN A�DRION TO THE COST OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SEGTION 31060F THE LABOR COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: I here6y aMirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, and my license is in tull forca end ettecL Lic. N Class # Comracmr's Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm that Ihere Is a consimction iending aqency for the peAormance oi ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: Signawre: Date: OWNER-BUILDER DECLARATIONS: ' I he�eby aHirm that under penalry ot perjury thal I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or wunry which requires a permit to construct, alter, improve, tlemolish, or repair any sWCWre, pnor m its issuance, also requires the applicant for such permit to file e signed statement ihat he or she is licensetl pursuant to the provisions of the Contrecbrs License Law (Chapter 9(commencing with Section 7000) ot Division 3 of �he Business and Professions Cotle) or that he or she is e:empt Ihereirom antl the basis for ihe allegetl ezemption. Any violation of Section 7031.5 by any applicent tor a permit sub�ects the applicant to e civll penalry o1 not more than five hundred dollars ($500).): . ❑ I, as owner of ihe property, or my amployees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentletl or offered for sale (Sec. 7044, Business en� Protessions Code: Tha Contractors License Law does noi apply to an owner of properry who huilds or improves thereon, and who does such work himself or �erself or through his or her own emploYees, pmvitlad that such improvements are not intentletl or oHeratl for sale. If, however, the building or improvement is soltl within one year oi completion, the owneo-builtler will have the burden of pmving that he or she did not build or improve for purpase of sale.). �I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Code: The comrectors License Law does not apply to an owner of property who builtls or improves ihereon, and who contrects for such project with a coniractor(s) license pursuant to Ihe Contractors License Lews.). ❑ I am ex p un r sec. Business antl Professions Code for this reason: t - er ID verified by iver's license. �es ❑ No ic ns .�.%� %�� Verification of Ownership by (typa of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify Ihat no excavetion five (5) or more feet in tlepth into which a person is requiretl to descentl, will be matle in connection with work authonzetl by ihis pertnit, antl that no building struciure, scaHolding, falsework, or demolition or tlismantling thereof, will 6e more than t�irry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Califomia Adminisirative Cotle). ❑ As owner-huiltler, I will not employ anyone to do work which woultl require a permit from the Division of Indusirial Safety, as notetl above, unless such person has a permit to tlo such work fmm the tlivision. Signeture: Date: Division of Industdal Safety Pertnit Number: CERTIFICA7E OF COMPLIANCE AND AI7TTi0RIZATON OF EMRV: I certify under penalty ot perjury thai I have read this application and siate ihat ihe information given is correct. I agree to comply with all stata laws antl city ordinances relating to building consimction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon the /a�6o`v' crib p operty tor i spection pu oses. I agree not to occupy or allow occupancy of any buildinq au�horizetl by ihis pertnit until final inspedion. %�/ SI a�ure Ot Legel Own (s) Date �_ And/Or Authorized Applicant Date CODE �. INSPECTIONTYGE 1616 Fisotl System Finel Fira Preventlon 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 2a48-4fi 29IE inrmn�s COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire PreveNion 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy �ATE INTRIALS (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / 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 to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 901 POWELL CT 2N� FLOOR 41808302 MARTIN, ROBERT J III 901 POWELL CT C05TA MESA, CA MARTIN, ROBERT J III 901 POWELL CT C05TA MESA, CA ELECTRICAL PERMIT Phone: 714-432-0189 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: SCOPE OF PERMIT REF. 800-00820, RELOCATE 1 OUTLET. $23.50 $0.00 $0.00 y0.00 $0.00 $0.00 $0.00 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 Quantity 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eleclrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 06/06/2000 Issued: O6/06/2000 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 524.60 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must cOmply wi�h all applicable codes, and all required inapectlons and fihal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby atlirm untler penelry ot perjury one oi ihe following declarations: ❑ I have entl will maintain a certiticate of conseni ro seH-Insure for workers' compensation, as provitletl tor by section 3700 of the Labor Cotle, for Ihe peAormance of ihe work for which this permit is Issued. � ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of ihe Labor Code, br ihe pertormance of tha work for which ihis pertnit is issuetl. My workers' compensatlon Insurance carrie� end policy num6er are: Carrier: Policy Number: (This section need nof be completetl il the pertnif is valued ef one hundred dollars ($100) or /ess.) ❑ I certity ihat in the performence oi tha work tor which this permit is issued, I s�all not employ any person in any manner so as to become subject to the workers' compensation laws of Celifomia, end agree that if I shoNa 6ecome subject b the workers' compensation provisions of Seciion 3700 ot t�e Labor Code, I shall forthwith comply wl�h these pravisions. Applicant Signeture: Data: WAHNING: FAILURE TO SECVRE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL PND SHALL Sll&IEGT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000). IN ADDRION TO THE CQST OF CO�dPENSAiION, DAMAGES AS PRWIDED FOF IN SECTION 3�06 OF THE IABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSEO CONTRACTORS DECLARA710N: I hereby aNirm that I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Cotle, and my licensa is in full torce ana eflect. Lic. a Class s ContractoYs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hareby aHirm lhat Ihere Is a construction iending egency for the performance ot the work for w�ich this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalty of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a permit b conswct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicaN for such permit to lile e signed stetement that he or she Is licensed pursuent lo Ihe provisions of the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Prolessions Code) or t�at he or she is exempt theretrom and the basis for Ihe alle9ed exemption. Any violation of Section 7031.5 by any applicant tor a permit sub�ects the ap0licant to e civil penalry of not more than tive huntlretl dollaro ($500).): ❑ I, as owner ot the properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl tha strucwre is not intended or oHered lor sale (Sec. 7044, Business end Professions Coae: The Cornractors License Law does not appty to an owner of properry who builds or improves thereon, end who tloes such work himself or herselt or �hmugh his or her own employees, providetl that such improvements are not intended or ottered for sala. If, however, tha 6uiltling or improvement is sold within one year of completion, the owner-builCer will have the burden ot proving ihat he or she did not builtl or improve tor purpose of sale.). �I, as owner ot the propany, am EXCLUSIVELV CONTRACTING WITN LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business antl Pmteuions Cotle: The contrectors License Law does not apply to an owner of property who builtls or improves thereon, and who contrects for such project with a contractor(5) license pursuant to the Coniractors License Laws.). ❑ I empt u tler se . Business antl Professions Code for this reason: ig ture: verified by driva license. ��es ❑ No e s icen o. . Verification ot Ownership by (type of document, i.e. - propeny taa bill or dee � DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICA710N: ' ❑ I hereby certity ihei no excavation tive (5) or more teet in depih into which a person is required to tlescenQ will be made in connection with work authonzetl by this permit, entl that no building sWCNre, scalloltling, talsework, or demolition or dismantling thereot, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Galifomia Administrative Code). ❑ As owner��uiltler, I will not employ anyone-to do work which would require a permit from the Division o( Indusirial Safety, as noted a�ove, unless such person has a permit to tlo such work fram tha division. Signawre: Dare: Division of InduStnal Safery Permil Number. CERTIFICATE OF COMPLIANCE AND AUTHORVJITION OF ENTRV: I cenity under penalry of perjury that I have read this application antl state Ihat Ihe information given is correct. I agrae to comply with all state laws and ciry ordinances relating to buildinq constmdion, and authorize representatives of the City ot Costa Mesa to enter upon the ab escri etl roperry for i spection pu s ree not to occupy or allow occupancy ol any builtling aut�n� /by ihi pertnit- u� I inspection. % � . /j � �/L!(/ Si na wner(s) Tf te Antl/Or Authorized Applicant COOE t. INSPECTIONTYVE i616 Fixotl System Final Fira Preveniion 1268 POoI Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 24a6ds o�re inrmn�s GODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � INTRIRLS PHOJECTpDOflF55: �jOS POWELL CT OWNEP'SNFME: COTNER, � DAVID aooness: 901 POWELL CT COSTA MESA,CA AflCNIENGINEEfl: ADOPESS: UNIT: 92626 HEG.NO.: UNIT: " aeeminee: BILT—WELL ROOFING (714)758-3501 aoon[ss: 3310 C�ERDUGO LOS ANGELES CA 90065 LICENSEO CONiflACTOB DECIAFATION: I �ereby a��irm ��ai I am licensetl unae� O�ovisions of Chapter 9(commencing with Se[tion 7000) o� �ivlsion 3 of Ihe Business and Pmfessions Cotle. antl my license is in lull force and efleci. ciTruc.: sTareuc.:q58005 /) r 39 EXP: Oale: � �-�� Signa�ure: _ //�J��{ WOBKEflS' COMPENSFTION �ECIABATION: I here�y athr t� ve a ceni mf ate of consent �o selhinsure o� a cetli�icate o� Workers' Compensa�ion insurance, or a certifietl copy �hereol (Secti 00. Lab. C). vaucrxo.: W937102484 E%P.OATE: O%/3I/94 comrnxv: CAL COMP INS, � Certilietl copy is �ereby fumishetl. �. Cehitie0 copy is filed with ��e city Builtling Divisian. �ate: ApDlicanL E%EMPTIONFqOMWOBHEBS'COMPENSRTIONOECLABATION: (ThissedionneeAno�becamplele0iithepermili5taranehunOreA�5100�orless�. I cetlity �hat in �he DedDrmanCe ol Ihe woB for whith IhiS permit is i5u . h t emDl y per5on in any mannef 5o as �o b¢tOme suble�� o �he Workers' mpen5aiion Laws al Califomia. �a�e'. Signa�ure: NOTICE: If. after making Ihis tledaraiion, you shoultl be' ct to lhe Workers' Compen5a�ion provisions oi Ihe Labor CoOe. you musl fonhwith compty with such pmvisions or ihis permit shall he deemed revoked. CONSTflUCTION 1EN01NG AGENCY: I hereby a��irm that Ihere is a constmction lentling agency for ihe pedormance o� the work for which Ihis permi� is issuetl (Seclion 3097. Cia C). LENUEX: AOUPESS: OWNEfl BUILDEfl OECIAMTION: I hereby a�firm ihat 1 am exempt �mm [he ConVamors' State License �aw �ar �he �ollowing reason �Section 703L5 Business antl Pmfessional Cotle'. Any ciry ol couniy w�ich reQuires a De�mil �o constmct, alier, imD�ove. Oemolish, or repair any s�mclure. O�ior Io its issuance, also requires the applicani �ar such permit to (ile a 5igne0 s�a�ement [hat he/she is licensed pursuam to Ihe provisions ol Ihe ConVacmrs Slaie License Law (C�ap�er 9(commencing with Section 7000) o� Oivision 3 0� �he Business antl Pmtessions Cotle) or Ihai helshe is exempt �hereirom and the basis for the alleged exemption. Any viola�ion ol $ec�ion 703L5 6y any applicant for a permil suUlecis ihe applicant to a civil penalty ot not more ihan five hunOred tlotlars (5500�. i, as owner oi ihe pmpeny or my emyloyees wiro wages as their sole compensation, will tlo ihe work, and the ❑ vmaure is na� intentletl ar altered tor sale �Sec�ion 7M4, Business ana Pm�essional COJe: TAe Can�ractors' S�a�e License Law Ooes not ap01y lo an owner o� a pmperty who builds or impmves ��ereon, antl w�o tloes such work himseltlhersel� or �hrauAh � his or her own employees. pmvitled ��ai such impmvemen�s are not intentled or oMereG �or sale. I�, �owever �he builOinA or improvemenl is sold wiihin one year of cample�ion. the owner will have Ihe �uraen of pmving �e/5he Eitl not bui10 or impmve lor ihe Durpose ol sale). I, as owner al the property, am excWsively con�rac�ing wit� licensed contraciors to cons�Ncl lhe Dmlec� (Sec�ion 7044, Business ❑ antl Professions Coae: The Coniractors' State License Law does not apply Io an owner oi pmperty wha builtls or impmves t�ereon and who contrads for such prolecis wit� a comracmr�s) license pursuant b the Contracmrs' State License Law).1 am aware Ihal pmoi oi Iheir Wofker'S Compensation insurance should �e Orovidetl lo me. � I am exempl un0er Section: 8. 8 P. C. CITY OF COSTA MESA — HUILDZNG PERMIT PERMIT NO: B 067936 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PEEiM NO; B C167936 GOVT; N SUPP: N PURPOSE: OTH JOB DESCRIPTION ; T/OFF 6 REROOF WITH COMP. S BUR IN BACK SQ FT: 1,100 CLAIM VALUE: 1,100.00 CALC—VALUE: 1,100.00 GROUP OCC: R-1 /M-1 COMMENTS; SMOKE DETECTt�RS ARE REQUIRED IN EI,�ERY BEDROOM S HALLWAY **�**�x*x*�%x*�*�***�x�*��***�u�*****�-�*��-�t�*�#**��#�*��**��c*�t**��*��t�x��*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUFLDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REt�; PROV: PARCEL: 41808302 ZNE: AEF NO: PLANNING NOTES>' ? f��i' i! iE iF if iE �1E jt if if iE iE iE if j�iE #' iF 1E 1e iF it iE if i4 fE iF iE if iE fE iF iE }�)E iE 1f iF �E iE iE if iElf iE iE iE 3E iE if 3f jE iE �t iF fE �k ih iE � if iF 1E 9E iE dE iF iE i63fif �E iE iE �E it iE iF 3E iE D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N';T S ZONING APPROVEP HY DATE; BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �/j�— DATE; � **irt�ft***�c+tx�*�c-�EY.�*x��*�*�*�*��**�*�*l��rt .�*�r��*�c�-ar�r*��*��*ir� ��t*ir�r�c�c-*�r�tet* � r�� -> ��r.r,i*jt iE 9c it i'r �M iE if �Yc 1E �lE IF iE iF iE 3E iE 3E ic if it iE iG iF �1E iF jf iF #' iE iE * iE it aE iF iF it ic iE �lE iF iE �1t if� i:� il� iE if i6 iE iF iE iE iE 9f iF iF iF iF �)(� 1E dF iF iE �lE iE # dF if ., iE 1E ., iE iF ie iF iE 3F LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECfiANIC FIAE SMIP/RES GRADING PERMIT 27.00 .50 SMIPlNGN—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 27,50 0.00 0.00 27.50 27,50 .00 REVENUE DIVISIC�N TOTALS--> COLLECTED: 27.50 OVER/SI-IORT: .00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE 3MIP/TOT GRADING PLAN—CHECK 27.00 .SU ' iE iF k if iE ib iE iF ii� iE if iE fE iE iF iF iF iE iF iE if 1F iF iE iE iE iF iE IF 3E iE iF iE 36 iE iE 3E itlE if i! iE 36 iE jE �1F # iP jE if iE iE iE iE iE 3f if iE iE iE 3F 9M1 # iP iF iE �)f iE if �E iP iF i` iE if if !E iE i6 I N D I V I D U A L F E E B R E A K D O W N rormisreason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oaie. owner SFR 1100 REROOF HY VALUE RESILiENTIAL NOZONE 1.00 1,10U,00 i do nereby cenify inat I am aware o1 an0 unaerstand ihe requiremenls oi Calilomia HeaVh ane Safery Code Sections 25505, 25533, ane END OF F E ES 25534 an0 ��a� I ar any IWure builtling occupan� willlwill no� (circle one) neetl �o comply with said siale codes antl �he reQuiremems lor a � permi� Ior constmclion or modihca��on irom �he Air �uali�y Managemenl OistricL Fesideniial cons�mction apDlicaiions are exem0� �rom � �M1CSQ PfOVI510f15. oate' NOPlicanc � I hereby cetlity tha� I have reatl �his applicalion antl state �hat t�e a�ave information is cortecL I aBree lo comply wii� all city antl c0unry ' ordinancesanasiateiawsrelatingro�uildingconslmcUonantlherehyamho' semative I�hiscirytoemeruponihea0ove�mentioned = pmperry�ormsecoo ��Poses. O1 OO1o3774-00163775 T��T 27,50 �ate: � Signa�ure: DATE: D7/11/94 TIttE: 11�27 Driver's License ar Social Securily - � I6a4a6 WOne—Builtlinq: Green—Cotle Enlorcement. Canary—ApPlicanit Pmk—Revenue; GOldenroG—Assessor : CONSTRUCTION AND PLANNING ' POG� & SPA APPROVALS Permit# � Oate Inspector AppftOVALS Permit# Date Inspector � . 1. Temporary Electrical Service4i� Pole 1• 52. Pool & Equipment Location �-' .j: � 2. Soif Pipe�Undrgmd. ,i' " 53. Sceel Reinforcement ,.� 3. Electrical Conduit Utility-U�gmd. �� 54. Forms �.'� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Preswre Fest �� 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE � 7. Footings 58. Electrical Conduit-Undrgrnd. i 8. Foundation � � � i" 59. Gas Pipe, O Undrgmd., Test '� �l � ,i 9. Water Pipe-Undr9md. �' � J� 60. Backwasfi Lines, P-Trap, O Undrgmd. �/ 70. Sxructurel Floor Svstem � i '� � 61. APPROVAL 70 DECK i'-'�� ; i t. Propert Sewer Line & Ho nnection �`'•�� `� `��' Y ��.� � 62. Backwash & Receptor�Pinal �� •, 72. Sewer Cap � �� , � 63. Hea[er & Vent�Final ��; '� 73. Roof �rains 64. Plumbing System - Final •.� 74, flough Plumbing 65. Electrical-Final 15. Rough Electrical�Condu�t 66. Soiar SYstam-Final 'S' 16. Rough Electric Wiring 67. Fencing & Access Approval � 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTER4S FINAL 19. Rough Heatioq & Air Conditioning E4RE DEP7. REQUIREMENT � 20. Rough FactorY F�replace , APPROVALS Permit � ( 21. Outts, in StNcture 70. Underground Hydro 22. Ducts, Ventil8ting 71. Product Piping � Gas CI Oil 23. Gas Pipe�Rou9h & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Rooi Sheathing ?��3��/ �Wb/ 7q. Overhead Hydro c 26. T•8ar Ceiling IStructural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Laihing & Sid�ng 77. FIXED SYSTEh9 FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dry�vall Nailin9 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power A4eter-Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric �l� Notes: I 34. Final Heating & Air Conditioning :;� i 35. Final Gas Pipe-Test , 36. Hood or CanoPY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-F�nal 41. Solar pomesi(cFinal 42. Backflow Pre�enter . , 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuacion � 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING � �.,cjy �cv�: 48. FINAL PLANNING , -- 49. Electric Release to Edison ' i 50. Gas Release ro Southern Califomia Gas Co �,.,5 51. CERTIFICA7E OF OCCUPANCY No. Date � . , TRACT N0, 10445 DATE Feb. 20, 1980 LOT N0, 57 ADDRESS 901 Powell Court, Costa Mesa, Calif. 92626 Development Services Department Planning Division City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92626 Attention: Mr. Paul Dudley Dear Mr. Dudley; Please be aware that the undersigned are aware that a certificate of occupancy on the above referenced lot and unit is being requested prior to the entire tract and its streets and common areas being completed and accepted by the City of C sta Mesa. BY / �in�/1jlO ��CG�c_a�- . (SIGNATURE OF PURCHASER) Richard C. Lauer sY P �i«.� GN T OF DEVELOPER AND� AUT ZED REPRESENTA IVE) BY � ( IGNATURE OF LENDER) FEB 2 01980 i�ri;�lilE� C!TY OF COS?,4 MESP, PLrN^lING �EPi. . e � �� AM PM "di8i9i�illi�i1i2i3i4i5i6 � CITY OF C06TA RF7Q[JFST FOR OCQJPANCY �� pp, 10445 IOl� NO. 57 ��; Feb. 20, 1980 ADI]RESS 901 Powell Court, Costa Mesa, Calif. 92626 �he developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been czxrQleted and its stteets accepted b�+ the City of Costa Mesa. By execvting this agreement; the undersigned ackna�rledges_that he/she/they was/�.ere advised that this tract has not been given final inspection nor has it been acoepted tr� the City of Costa Mesa as having caiplied with the conditions of, approval which aere in�ed b� the City at the ture the Final Tract Map was approved. The City ass�mies no liability for the enforc�ent of the oonditiau nec�essary for appro�l other than th�e conditions protected b� surety bond. The undersigned agrees to indemnify and hold the City harmless fr�n arry claim resulting in dam�ge or personal,injury to the undersigned b� reason of the aforanentioned unconpleted condition(s). . / BY �� (Signature of Purchaser) Richard C. Lauer BY ��,� � a Si ture of Devel r and or authorized representative �' ,/ (Signature of Lendez) ,.�� ;,;:�.: :._ �i r�,. ,, ;);�* �� - �. f CUS�GJ �IC ?