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HomeMy WebLinkAbout1762 PITCAIRN DR - Building Permits CITY OF COSTA MESA 'F= BUILDING DIVISION F` ern�d� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca,nov �7 . FOR INSPECTIONS CALL:(714)754-5626 *rmMaxv�o. PERMIT NUMBER: BX11-00394 PERMIT TYPE B_MISC STATUS: ISSUED APN: 13934106 DATE ISSUED: 12/14/2011 Zoning: R1, ISSUED BY: JOB ADDRESS: 1762 PITCAIRN DR CM Suite/Unit: Vicinity: Primary Occ: - , - - . Const Type :?? SQ. FT: 0 • Valuation: $5,600.00 SCOPE OF WORK: 71' LF BLOCK WALL,6' HIGH, PER CITY STANDARD OWNER: KEVIN HILL Address:: 1762 PITCAIRN DR Unit City/State: COSTA MESA,CA Zip Code: 92626 Phone: 949-683-1847 APPLICANT: KEVIN HILL Address: 1762 PITCAIRN DR Unit: City/State: COSTA MESA,CA Zip Code: 92626 Phone: 949-683-1847 CONTRACTOR: License No. Vin' Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $0.00 • • n,:. Building Permit: $125.25 ;:ni, Electrical Permit: $0.00 SMIP Residential $0.00 ' 11- SMIP Commercial $0.00 riFBldg Std Admin Fund $1.00 Unit: TOTAL FEES $126.25 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279 ..Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following°Federal Holidays: New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related • •regulations.(Ord.No.92-28, §1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE.OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE p. INSPECTION TYPE DATE INIITIAL$ CODE INSPECTION TYPE DATE 1 ..�! INTITIA 1616 Fixed System Final Fire Prevention 206 Final Mechanical '1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical '201 Final Block/Retaining Wall 212 Final Fire Prevention 02 Final Factory Fire Place 220 Final Planning Approval --------------- 203 Final Sign 222 Final Site •�; l ;204 Final Demolition 250 Final Building/Occupancy X "19_ 1/X !IR WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure forworkers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workerscompensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carder: (This seceon need not Oe completed tithe penettis vale e t at one hundredtlo i ($100) orless ) Policy Number: ❑ 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant's Signature Data WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # Contractors Signature Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency far the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature 305746 (3107) Data Owner ID verified by drive, —cense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feel in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signal.. Division of Industrial Safety Permit Number: Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.. rI agree not to occupy or allow occupancy of any building author ed by this p r it until final inspection. �l �l —�_ signatur of Legal 0wner(s) Date Andlor Authorized Appl,cant Date J City of Costa Mesa Bui(ding Division 7 FarCosta Mesa 7 7141754152 3 / Faxrve, Costanesa714-754-48526 6 OWNER BUILDER VERIFICATION Permit # 13X 11 dV? / Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initiated your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. JL(�2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 1- . 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. l 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. �6. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. (-A. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �F I understand under California Contractors' State License Law, an Owner -Builder who builds single-family res dential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2 >< 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable of r any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. lev- __9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. LILt-110. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: -Le, 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 912. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner L< Ce Date: 17- -/Y_ - / Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. Excluding the Notc�e to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owne`Builder Permit for my project. Scope of Construction Project (or.Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the addrss listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the own!Ss. license, form notarization, or other verification acceptable to the agency is required to be Kesen when the permit is issued to verify the property owner's signature. Property Owner's Signature: �- Date: 1 L 3148-30 CALBO Jan 1, 2009 OB Packet template 2 of 2 Block /Masonry Walls* on Private Property Building Permit Application Submit to Development Services Department 77 Fair Drive, Costa Mesa CA 92626 (City Hall, 2nd Floor) Complete Section A, OR Section B Section A Indicate F(L) & Height of Wall FL(L)x(A(H) Proposed block walls I z x a. o � " I House I x J v 15 ! l7Co ! r i Property F* Line iii L*ct to Building Division Any Revision roust be appri Div. DYES VNIO Zoning Inspection Section B ❑YE raffic/ Park Fees Date: L 1 Indicate Length & Height /.Wall I, (L) x ) L:_._._._._.J Proposed block walls I I x `x I House I I z Property I _ Indicate Front Line % = Setback Ir7� . � . _ _Feet Corner Lot Note : See fences and walls handout for setback requirements. * Masonry walls greater than 3 feet in height require a building permit. 3241-46 Pratte-CM.Yelbw-AWIl wf Complete Section C, OR Section D Section C ❑ I HAVE obtained the following Parry Wall Agreement: It is hereby agreed that a party wall will be constructed on the property line between (provide addresses below). and in Costa Mesa. The parry wall shall be permitted to straddle the property line. The following parties have entered into this agreement. Property Owner Signature: ) J.'� I—,.' Print Name: lif Address: t—) (9 Z 1n } C G, r — Adjacent Property Owner I j Signature: Print Name: Address: I HAVE NOT obtained a Parry Wall Agreement: Attached are specifications for a masonry wall to be constructed entirely on my own property. Landowner 1 Signature: d� Print Name: L_ r Address: (0 7 rte C;r' Applicant to fill in all spaces except those Within heavy border lines and sign all appropriate declarations. CITY OF COSTA ME.S./AICON TRUCTION PERMIT Project Address a' ' 16 /1 Pf2aA J2 Applicari's Mailing A _!�tjdress T r '1 J Owner's Name PhoneN5 ��y[J Address Arch/Eng. License No. Address Contractor's No � � One Address (mailing) '1 f•,(/aL City License No. L'1D LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full a nd effect. License Class r L' en5e Date Signature WORKERS O PENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure or a certificate if Workers' Compensation Insurance, or a certified copy the eof (Section 3800, Lab. 5:!%C /&,, yJ jD Polity No. l�iC Company Ceertified copy Is hereby furnished. s rti%P1 77Is i lad with the city B�i�i v' i������ Dale Applicant EXEMO:64 FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) 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. Date Signature 'NOTICE: If, after making this declaration, you should become subject to the Workers' 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 which this permit, is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of ,, �;he Contractor's License Law (Chapter 9 (commencing with Section 7000) of s'ivision 3 of the Business and Professions Code) or that he/she is exempt !'Atrefrom and the basis for the alleged exemption. Any violation of Section %031.5 by any applicant for a permit subjects the applicant to a civil Enalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's 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 sate. If, however, the building or improvement is sold within one year of Com- pletion, the owner will have the burden of proving he/she did not build or im. prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to Construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and _who contracts for such projects with a con. traClor(s1 license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner 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 repre- sentatives of this city to enter upon the above-mentioned prop ty for Inspection puJ�pse�f /� / /� /, _ Signature _7 /11(7�s P,11 - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee I S 3 Hoodor Type ❑ Canopy Type It ❑ Refrigeration System ❑0-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee 1 $ 3 A.P. # S Main Building: E T Front A Rear C Right K Left Ping. Ref. # Planning Notes: Automatic Washer ConstructjgryPble Sub. Dryers LJGas Ll Electric Fan F.A.U. Fixtures Device Boxes Outlets Garbage Disposal Generator ❑0-5 KW ❑5-15 9519' 9/U4/1?5 5e0. Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M T S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter IJup to 100 amps Meter Clover 100 amps Sub Panel Motors 00.1 HP Ell V, - 8 Inc. Solar.09-15 HP 1:116-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By FEES $ 3 - SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ A.r —,5j%) ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ IV ' CONSTRUCTION AND PLANNING ' APPROVALS Permit # Date Inspector PO & SPA APPROVALS Permit # Date Inspector l.. Te4nporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. J 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, 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 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 APPROVALS Permit 4#- 20. Rough Factory Fireplace 21. Ducts, in Structure 21. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil_ 25. -Roof Sheathing - 74. Overhead Hydro . 26. T -Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77. - FIXED SYSTEM FINAL 29. -Insulation -' 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. -Plaster Brown Coat ' 79. FINAL INSPECTION 32. ,Electrical Power Meter -Final 89.. FOOD CER-TIFICATEISSUED 33. Final Electric Notes: n4,_ y(, �rr � 2;4a L.Eo 34. Final Heating & Air Conditioning z ,S-C`/-�'G Nz ct-f, i4om rr; 35. Final Gas PipewTestLv(.,. - 36. Hood or Canopy C iCk' r IrS PEAZ_ 2o.3 u PC G+6' 37. Final Factory Fireplace ". 5 38. Final Plumbing 39. Water Service -Final - - 40. Gas Service -Final - 41. Solar Domestic -Final - 42. Backflow Preventer - 43. Backflow Irrigation. - - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - - 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date AODRES',OPBULDNO: 1762 PITCAIRN OR UNIT: OAf1IERS N3EIEKNONN: TAYLOR, RONALD W :+. ADDRESS-. 1762 PITCAIRN DR .p COSTA MESA,CA 92626 'PL. MAILING ADDRESS ARCHITECT OR ENGINEER,. lIG NO: ARCIL OR ENS'S ADDRESS: UNIT: CON UTWSNAIE' SHOWCASE BUILDERS (714)962-8906 caNmAcrowsmASUNG 10311 CIRCOLO DE JUAREZ ADDRESS: F.V. CA uara_ 729001 92640 M. LICENSED CONTRACTORS DECLARATION: I hereby ever under perry of perjury Nat 1 are fcwme l under mincipme d ChWar 9 (commencing with Sedco 70001 d Division 3 d IM Business aed Prdessions Code, end my loerna is in fM lace and Mect. C.NO.:068991 L"Ass: B UC. NO, -/29001 EXP: 12/97 Dat.: 4L Conowt. - OW R BUILDER DECLARATION: I hereby affirm under penalty of perjury Map I enn earnq ham the Carer neLinnee Lew la tln dela, ISetlbn 7031.5 Bwern end polnaiom Code: Am c'ry a wanly whits damn a pmni to fan el, Mer, imprm. ,temd"eh, a repo ary structure. prior to Ia ssuerce, also mourns the epplimnt la sucl, pamn to She a signed sWement Mas he a she '- licensed werawl to the provisions of the Conheam. license Lew lDhWw 9 (wmmerrdnc with Section ]000) of DM'sion 3 of the %usiness and Professions Cada] or that he a are I. ..It Iherehan aed the bits lor IM Whaged ... rapine, Ary ,blalimn of Section 7031.5 by any applicant for a permit subjerfs the applicant to a civil penalty d not mere than five hundred dellen 1m]). I, ne owner at the property or my employees with watt.. as Ihei.de wmpen.ation. will do 0r work, and the smuctun s not intended or Mend for sale (Section 7044, Businex aed Prelessiws Code: The Contractors License law does not appy to an ownerof MoneM who builds or infamies thereon, and who does such work Nmwf or herself or through his or har own employees. provided that such improvements we car invaded or afedd for sale, A. however, the Wildirq or improvemeru is sold within are year of completion, the ownerbuiksr will Moe rhe When d orpim, he or she do he buil or impmn la the punpoae of see). ❑ I. as owner of the pnopeny..m ss&sawaly wnrecthq with licensed owtrecrnd to co muct IM pnojed (Sial. 70th. Butte. d Professiwe Coda: The Contregon Loans law don not apply to an owns d property who balds or bnprwn Ihwacnr and who wntrecd la r.'A papas with a madnor(e) froemed farewell ID the Calm tors license Lew). I am n.em t oedor Sxtian: B. A P.C.. for the canon: Dna Owner. I,a hereby Carly Net I we aware of And urdedrerd the mpuimmenb of California lleabh and Salary Code Sections 25505.25533, Arai 25534, sed Net I or any Mum Waiting caupent will / wR rhe (dtla err) need to campy with said Mate codes end IM newriemams Aa a permit loroommicOcnor modifmion horn MeA,=yWirl Dstriq. ReaNeMM wmtruct. appF'anomen erampl from Nee provisbm. Date: Applbent: WORKER'S COMPENSATION DECLARATION: I hereby enfirm urder party of perp ry err of the blewin, Eadatatbro: Then me'vuwb aoerl ews wAarreramaMtimme orwhen'rornroeruetion,nprwidad fa by SeWw 3]OOd lM labor Code. la "Me IM Pat. of Mr kly wdich Ns pemM b oaucd. I f m W will maintain walws' mmpemeninn i sura ce, n melded by Session 3]IKI of the Lebar Code. Aw the performance of The work car which owner pek s .sued. My Mantras' wminsurance wM tion insurance and mer er poky amber Carrier: GOLDEN EAGLE EXPIRES Pd'ry Number: AIWA 4]9919—DD 11/15/9'7 this wegbn mad rhe be rompbred r rhe perm, is loc ons hundmd dollen 151001 or, Ins.) I aoam tet je Ura pedomrrre d the wore M wawa This pamf s issued, I ahM t employ any parson in eery metre n n to become tion to the coked' 3700 of tie owe C California sed agree the, i scud become abjw to IM wayen' rompaneenkr prwgsione d Section 3]00 d IM Labor Coda, I Mail forthwith comply cont Rex provisions. 4 Apq'raM: '. '(y/WTa.N/Ing: F.Nun re oscura wareai rompyratlon eovenys b un/awNl, incl aIWI a jvvl an emp/gw b adhered pwuMq sed c ill Rnu W m are hiambeef Ihousud Wrsn (SIOA 000)• at And/tlen ho the roar of romperusrbrL tlerrrges as pr.vMM for In Seatless 311A5 of Ns LMor COW, InferuL and AMmsy'A Ins. CONSTRUCTION LENDING AGENCY: I hedby affirm under penalty of perlurt, that them is e emattdon ladinc Mency for the padomance of the wok for whidi rhe perm s owned (Salon 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I eve read this application and Were that the above information u conal. I agree to campy with AS My Arai oounly adinerrces and state laws nstin9 to Wildig conarasion vel hereby Adhorba neaasendlivea of this city to ever upon Me al wementioned prop" lar inspection purposes. MIKE BURNS (51514O.WP) WNd-Buildip S Salary; Dena: in q7 Pink-Remnue; Gddwmr Aaaswr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: 8 06519' PERMIT NO: B 085192 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION 'TYPE: V -N PERMIT TYPE: STR PURPOSE: O'H JOB DESCRIPTION T/OFF & REROOF W/WOOD SHAKLS SQ i'T: 5,200 CLAIM VALUE: 5,200.00 CALC-VALUE: 5,200.00 GROUP OCC: R--3 / COMMENTS: CLASS C TREATED WOOD SHAKE if***iFif itic;E*iFiFiFii if ik iE *iFiF iE tE if *KiFihihwif iF ie iF*iFieie iE sF if iE irif ifiF4xiiiFiFif iEie if iF*if iFiPiE irifwir it if ii w'if iex;F ii ifkw ii it ii 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 BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT 1'N REAR: FT IN LEFT: FT 1N RGHT: FT IN LEFT: FT IN RIGHT: F1' IN PARKING REQ: PROV: PARCEL: 13934106 ZNE: REF NO: PLANNING NOTES> > M**wit*iF***if***iE iF*ii it**it iE iE*MSE'k*if it iF*;r*ie;f;4 iedt iE ikit ie*ie iF ik Ri to if i4it iF;+ir iF iF iF kit iE iF;f;r iF#>E li'if':f tF;F;f iF iH*ii iH 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 ZONING APPROVED BY DATE: _ BUILDING APPROVED BY : DATE:' APPLICATION ISSUED BY: IRATE: � it-N•iR***kit iFiE ff iF BFiF if*if dF if*iF iFia'siX�iSiiF3F�e iFiFiF"ti y� X- X X yF�'SF'X'%Kit9f 3f rr iF lit ii if if d�ii'X TeX wXXXtrfr LEGALIZATIONeN F E E S U M M A R Y STRUCTURAL SEGMEN'i:Y BLDG PMT PLUMBING ELECTRIC MECTIANIC FIRE SMTP/RES GRADiNG PERMIT 112.25 .52 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 112.77 0.00 0.00 112.17 112.77 .00 REVENUE DIVISION TOTALS—> COLLECTED: 112.77 OVER/SHORT: .00 BLD12P25 PLUMBING ELECTRIC MECHANIC FIRE SMTP/T52 GRADING PLAN -CHECK M M iF * * iF iF if k * iE * it** ii iF M * *;f �(' iE * *itis int * it w iE;t if *.)E * * *►ii * * *';r;F i0 sit oft ii ;t ie iE iE i:;r it iFie'li' ii ie ii ik st ii 3E ii ie w iE;t;r if iF ie ri k I N D I V I D U A..L F E E B R E A KD 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SER 5200 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,200.00 END OF FEES 18-14-1997/89:27 8M/4112.77 RCPPERMIT:IB85192 C7CrJSTRUCTION AND PLANNING PO( SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector A. l� Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. D - 53. Steel Reinforcement _ �3- Electrical Cond uu1Jtility-Uncjrbgrnd. 54. Forms ykr Electrical Condujt-Undrgrnd. - 55. Electrical Bonding - -• &eel ReinforcertWnt 56. Rough Plumbing & Pressure Test - - 18 ,H lectrical UFER_C�nd. 57. APPROVAL TO COVER•GUNITE _�� Footings y - 58. Electrical ConQ Undrgrnd. -'03, Foundation '. i 59. Gas Pipe, 0 Urtdcg'rncl , Test , T - lbF Water Pipe-Und�rAcl. 60. Backwash LinesSf,�Trap, 0 Undrgrnd. 10. Structural Floor S 61. ,u APPROVALTECK ©;Q:tem 11.'Ploperty Sewer Liffe & House•Conpection 62. Backwash & ReFe�tor-Final 12. S'gwer Cap 63. Heater &Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14, Rough Plumbing`, 65. Electrical -Final _ 15. Rough Electricat-Conduit •r � 66. Solar System -Final , Ir .., 16. Rough Electricoirirta 67. Fencing & Acce,ss,Approval ' 17. Rough Wiring Sign - 68. APPROVED FgPdPLASTERING - •n 18. Rough Electrica KT Bar Ceiling' 69. POOL/SPA SYS' -MS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1. APPOVj11$�'D Pp�init # " 20. Bough FaLtory Frcs^�place �T'T= 21. Ducts„ in§tri turas r •�+S k 70.AJnderg7r5Lrd�hwdro 22. Ducy�, Vi•+ti1a ingl K _- ✓w .� r 71. Produ�sl'in 'c ns I Oil 1 l k 1 :% I_� ., r k ,rig•, .•� g` 23. Gas IJpe- o h &'1 -est ; -� t+1'S -% of •T 'd D.k • 72. ' 4 - ' - UndergrnU d S:uSir. :e n _ _ _ k_ £ _ rk 24. Aoo&Framing•%:> '� J ?' 7� ,rp Undergr;.�d. Stdt Tan❑Gas 0bil ttt k r 25. RooCSheathing .. r S �`L 2i'f 7 -9verhead Hyd'�'cf-' Y 26..y -Bar, Ceiling (Str Jcturaq &17motoat r. ^'T1: 7f.Pry Che,Qical a r ~ 'r 27. ''Fra and Fla hi 'a �} .} k •K .r D x N IA �. 76. �L Ury Ste v0pe _'D r 28. LatttlhgBCSidngC+ - :� YE �k 7',':s FIXED'SYSTFv,@'INAIL. l � ,1 29. Insulation .j < ' S� % •k y71; FIRE PREV. Fi'l+k4Llz 30. Drywall Nailin'g .3 -HEALTH DEP�'k.-REQUI MENT 31. Plaster Br�own_po*i 7J. 'J k •_ _' FINAL I l.SJ'ECZ�JN ;j k 5 „_. ,% K , 4 - 32.'ElectricaEPower MkWr�inal +' ro I K �:.� - 801 FOOD CERTIFICATE 15S ED_ _ 33. ina4.Ele£tric-, _ +. , ; Ores: '% -7 'n r _ t 'j,n = J 34. .fiinai:Hea3ing-& Ai"r �onditionicw'- 35. 1Final'Ga�Pi4,Test~'� - _+ r ,'t ^• '' 5 S D k0, 36. Nood'.or Canopy k a ` I •*'� K ') k L r • 37. Fina PFac'1!ory Fireol�ce,: 38. Final,Plurpbing 1. U I .' 39. Water Service -Final f D L 40. Gas Service -Fal ^ 41. Solar Domesttc-Final S - •• k _' s < -+ K 9 ZZ 42. Backflow Preventer ; - r If 43. Backflow Irrigtion K - S'S :• ^'ter % - 1 k •Y r w 44. Landscape l2igatiort System -=j :-�, pr 7r. �. III •3 v r- N 45. Sound Attenuation- = Q 7: r 46. F7andicap Regulations S :L /� •• - i ''�- •S = -, 47. SINAL STRUCTURE & BU[LDING 48. FINAL PLANNINGh .49. Electnic Release to Edison i z 50. Gas Release to Sout(tern CafiforaiaGasCn- 51. CERTIFICATE OF OCCUPANCY No. Date 1.5:`53 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely r� TYPE OR PRINT BUI ADDREISS 1 /NG ' L T �{-��{v D If COSTA MESA. CALIFORNIA FES RECEIVED JUL 3 961 FINANCE 1DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only OWNER Pacesetter Jt. Venture RECEIPT NO. PERMIT NO. MAIL 1653 Minorca ADDRESS RECE VED BY I DA¢ RP„F YE I DATE ISSUED, �� L'[! TELKl CITY Costa Mesa NO. _ BUILDING ADDRESS ARCHITECT TEL. OR ENGINEER NO. COSTA MESA. CALIFORNIA ADDRESS FIRE ZONE TYPE Y GROUP Mesa verde Builders Inc. APPROVED CONTRACTOR BY DATE ADDRESS ZONING Costa Mesa CITY V�/ ZONE RSI I NO.OF z I use OF NEW pi� , .., BUILDING / LIC.TNO. 181269 NO. Ki 9-0395 �PLAASTA-NE DESCRIPTION •'P' //L9 SIZEI OF LOT NO. OF StD.S. 0 Now ON LOT A. P. NO. USE OF EXISTING BLDG YARDS EVES APPROVED ALLOWED SETBACK LINE FROM 0 of STREET SO REAR YARD (CENTER LINE ST.)CENTER FRONT 5-40FT. IN. SIDE YARD I LEFT RIGHT 6 R. SIDE FT. IN. DESCRIPTION OF WORK 6 L. SIDE FT. IN. NEW I x I ALTERATION II ADDITION I REAR ! FT. IN. REPAIR I I MOVING I DEMOLISH I APPROVED coDATE BUILDING NO OF 6 SIZE 1620 Sq. Ft ROOMS STORIES EXTERIOFi.y[A13S O ROOF Ingle COVER] N COVERING USE OF BUILDING AND WORK TO BE PERFORMED Sin le famil residence and ars e Standard Plan No. 20-A Attached garage ¢50 Sq.Ft. I HERESY ACKNO DOE AT I HAVE READ T IS A LICATIGN AND STATE THAT AS E IS C PRE AND AO TO COM- PLY WITH ALL ORD ANCES A D ATE GULATI G THE AMOUNT BROWN UNDER VALUATION IB FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION BUILDING CONS U SIGNATURE OF p PERMIT FEE S PERM ITTE I Jam[/ / A ,7 /, 0 0 - $ 40 PLAN CHECK S IA,(? TOTAL FEE AUTHORIZED AG T