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Home My WebLink About1608 PRIMROSE ST - Building Permits CITY OF COSTA MESA (�s`""'Fsq`` BUILDING DIVISION c� 2 ). .0 77 FAIR DRIVE, COSTA MESA,CA 92626 t• (714)7p4-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4. 1 FOR INSPECTIONS CALL: (714)754-5626 '"°•°^ '`0 PERMIT NUMBER: B11-00107 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 13929102 DATE ISSUED: 03130/2011 ISSUED BY: KJB JOB ADDRESS: 1608 PRIMROSE ST CM Suite/Unit: Vicinity: Squares: 2700 . Valuation: $7,000.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF.REPAIR/REPLACE SHEATHING AS NECESSARY. COVER WITH CLASS A-30 YEAR COMP SHINGLES.APPROX 2700 SQ FT. INCLUDES RESIDENCE AND ATTACHED GARAGE. ROOF PITCH IS 3:12 NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s)is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card OWNER: SANCHEZ,KATHERINE Address: 1608 PRIMROSE ST Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: RAY, ROSS Address: 2192 AMERICAN AV Unit: :SUITE A PHONE: 949-646-8694 City/State/Zip: COSTA MESA,CA CONTRACTOR: ALL WEATHER ROOFING License No. 739271 Address: 2192 AMERICAN AVUnit: SUITE A PHONE: 949.646-8694 City/State/Zip: COSTA MESA,CA 92626 CELL: ARCHITECT: License No. PHONE: .tr ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $139.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $140.25 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. Prohibitied 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#. INSPECTION TYPE DATE INTITIALS CODE# INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final X 1 I !1 I,1 ,0-0—* //L� l 208 Final Plumbing 200 Final Re-Roof 14-5- )1 RR /394.9— 210 Final Electrical 201 Final Block/Retaining Wall •J 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. have and will maintain workers'compensation insurance,as required by ection 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My o�rkeers compens tion Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: /�I✓ " _" 11 person is required to descend,will made in connection with work authorized by this permit,and that no building or structure,scaffolding.falsework, demolition Carrier: • or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This sedion need nate cgproµered dthe permit is valone hundre0 dollars WOO or tees-) 2 Art 2Sec.341.Title 8,California Administrative Code). Policy Number: 'o/1l°7 2 (Xjl/V�1 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date f 1 r Code,I all with comply with these provisi s( ^ I f V Division of Industrial Safety Permit Number: Applicant's Sign ore D to HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is.in7/fu�ll force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No Lie R.ST1/� •4 Class# (Scetio 25533 re the California Health a SafetysaCode, with sometb (t exceptions, requires registration with the Costa Mesa Fire Department by Q! each business which at any one time has on hand a quantity of acutely Contractor's Si4ure o. - 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale, If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and 0 I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature erfs) pate Signature Date 3057-46(3/07) ^C 312 It And/or Authorized Appipant Date Prescriptive Certificate of CompL_-.ce: Residential CF-1R-ALT Residential Alterations (Page 1 of 5) 1'ro Name: Climate Zone #of Stories hoc ,3 i' eo.e K.4-E yo S ,cirez__ General Information • Site Address:160 cr"luwroce c Enforcement Agency: Date: 3�30-r/ . Building Type ingle Family C Multi Family Circle the Front Orientation:N,E,S,W,or degrees /" 2 WProject Type: C Alterations 0 Envelope 0 Fenestration 'ILoof O HVAC Conditioned Floor Area(CFA): Replacement or Change Out 0 Duct Replacement 0 Water Heater _NOTE.'This Jorm is nal to be used fiff Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration \ 0 Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the .- \_ mandatory mininnnn insulation value per§150 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H. 0 Replacement of entire assembly-Replacement of an entire wall,ceiling,or floor assembly requires the installation of Component _Package-D insulation values in Table 151-C. Fill in Columns A-J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. -A I B C D E - - F G Proposed S"rote Standard Values From JA4 Table Framing Thickness, I Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly IDI or Ty,er and Size or Other' facto?' Number' R-4alue6 R-Value' Cell Values U-factor9 II' Note:For fun-ed assemblies,accounting for Continuous Insulation R-value ,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and Fur'r'ing Construction table belme. I.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size::For Wood, Metal, Metal Buildings,Mass, enter 2x4, 2x6, or etc...see JA4 for other possible frame type assemblies. • 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"0C;or Other far all other assembly description such as Concrete Sandwich Panel, Spandrel Panel,Logs,Straw Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U facto'from Table 151-B, C or D far each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0". 8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U facto'in Column J 9.The Proposed Assembly LI/actor. Column J, must be equal to or less than the Standard U-facto'in Column E to comply. Furring Strips Construction Table for Mass Walls Only A B C 1) E F G J H I J IC L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation • Walls From Reference in Furring Space from Reference Joint A pendis Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13 iu . v. li p .9' a� r/Assembly z. j 1 0 `c o F- F o y,"= <' "• Final Mass Name or .IA4 Table O = i v _ m R o t m •o P ° m Assembly Thickness' Type' Number' < j u u 3 r' �. = j w w U-factor Comment 1 1 � - Registration Number' Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-1R-ALT R• esidential Alterations (Page 3 of 5) Project Name: Climate Zone# #of Stories • ROOFING PRODUCTS(COOL ROOFS)§151(/)12 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 fr', whichever is less,the new roofing area must meet the roofing product"Cool Roof'requirements of§l52(b)lHi,152(b)1Hii,or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements.Note:/f any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §l e not of equiino li fiat te e below. - ❑ of Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. Cool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 51b/ft2. Alternatives to§152(b)1Hi and §152(b)Hii,Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft2•"F/Bm or at least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(1)10;or ., O In climate zones 10,12 and 13,with I 112.of free ventilation area of attic ventilation for every 150112 of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or O Building has at least R-30 ceiling insulation;or •❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or O Building has no ducts in the attic;or ❑ In climate zones 10,11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)1Hiii,Low-slope roof(pitch 5_2:12) O Building has no ducts in the attic. Other Exceptions . ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. _0 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/f1-2 is exempt from the below Cool Roof criteria. Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar ' Thermal CRRC Product ID Number' 5 2:12 >2:12 < 516/ft2 > 51b/ft2 Type' Reflectances'4 Emittance SRI5 ❑ 0 0 0 ❑4 ❑ 0 0 0 ❑4 ❑ ❑ • ❑ 0 0 4 . O 0 0 0 04 ❑ 0 0 0 ❑4 /. The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at www.coolrools.ore/oroducts/seorch.nhn 2.Indicate the type of product is being used for the rooftop,i.e.single-ply roof,asphalt roof metal roof etc. 3. //the Aged Reflectance is nor available in.dre Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation(0.2+0.705,,,,nt,t—0.2)to obtain o calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5.Calculate the SRI value by using the SRI- Worksheet at hap://www.energyca.kov/title24/mrd enter the resulting value in the SRI Coturmr above and attach acopy of the SRI-Worksheet to the CF-IR. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§118(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other i i . Registration Number: Registration Date/Time: HERS Provider: • 2008 Residential Compliance Forms ' August 2009 • Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 5 of 5) . Project Name: Climate Zone i} co 4 of Stories • HERS VERIFICATION SUMMARY The enforcement agency should par special attention to the HERS Measures specified in this checklist below. A completed cind signed CF-411 Form.for oil the measures specified shall be submitted to rite building inspector before final ins'pecnon Duel Sealing & Testing HERS verification is required for this measure. ❑YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per§152(b)IDii and the newly installed ducts are to be insulated pen §151(f110. O EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. 0 YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing space-conditioning system (HVAC equipment and ducting)is replaced,the ducts are to be sealed per§152(b)1Di. ❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the funrace heal exchanger)the ducts are to be sealed per§152(b)IE. ❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS verification ill accordance with procedures in the Reference Residential Appendix RAS. 0 EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space.- ❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required for this measure. 0 YES ❑ NO YES:In Climate Zones 2 and S-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per§152(6)1F. • Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of§150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. - ❑ YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced,the airflow and fan watt draw shall be verified per§152(b)1 Ci to meet the requirements of§151(f)76 Documentation Author's Declaration Statement - - • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Qte, Q4 I Signa J SS • Co at�L Da Lar/c �Fig/ • Ad 5 : �] If Applicable 0 CEA or O CEPE /"I'jr{.t_ JC'G,.� �-t//� (Certification 4): Ci /Sate/Z h tom. res/. s ('2 � c4 &l_ 7 Pir• _• X32 7 63 Responsible Building Designer's Declaration Statement • I am eligible tinder Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,Pans I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance lorms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City//State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Nuntber: Itegistra,ion Date/Time' HERS Provider: 2008 Residential Compliance Forms Aztgusl 2009 4`p F 9 CM CITY CF COStA MESAIll BUILDING DIVISION > %j'n .,4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER �.yMM. i I PERMIT `.1. PO4-00498 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT • Job Address: 1608 PRIMROSE ST Status: ISSUED Suite No Applied: 07/19/2004 Issued: 07/19/2004 Vicinity: ISSUED BY: Parcel Nunmber: 13929102 . Applicant: SZABO, KEVIN ' Address: 2737 S CRODDY STE D• I Phone: (714)241-1414 ' ,SANTA ANA,CA Zip: 92704 Owner: SANCHEZ,KATHERINE Address 1608 PRIMROSE ST w Phone: "`'/' COSTA MESA,CA Zip: 92626 11 , Al 'f , D Contractor: COAST ROOTER PLUMBING HTG &NC Address: 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 License: 529127 Arch / Eng: - • . • Address: • Phone: ' Zip: . License: SCOPE OF PERMIT CHANGE OUT WATER HEATER FEE SUMMARY ' AMT QTY AMT QTY , - AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 - Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer • $0.00 0 Bathtub . $0.00 0 ', Pressure Regulator $0.00 0 Urinal ' $0.00 0 Clarifier System ' $0.00 0 . Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 . Septic Tank $0.00 0 Wash Basin' / $0.00 0 Dishwasher $0.00 0 " Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 : Shower $0.00 0 -Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 , Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00- 0 Water Re-pipe $0.00 0 ' Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28, §1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for period of 180 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 required inspections and final 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 244 6-4 6(6/00) DECLARATIONS r ) e WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the 'FD work for which this permit Is issued. 't' I have and will maintain workers'compensation 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: SThr E Ft;•4L D Policy Number Fl Le sass 2-tie? (This section need not be completed if the permit Is valued at one hundred dollars($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 Celifoml ,and agree th f I s uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision . IA� Applicant Signature: h Date: 77/ 9/0 7 WARNING:FAILURE TO SECURE WORK S' PEN ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADD ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.# 52.-9 121 )� Class# 3 LG / Contractor's Signature: /� �-./�✓ Date: 7/71 o Y 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.(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 contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 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 feet 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. Signature: Date: Division of Industrial Safety Permit Number: 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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 Califomia 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing 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 Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or wit the applicantsAiru lity n building occupant at requirer for the work which isi the subject of this application ape mit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? Yes Lj 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 pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 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 Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 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: Date: 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.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SI• atu : •f Legal Owner(s) Dat -•• • Authorized Applicant to CODE t INSPECTION TYPE QA-E INTITIALS CODE( INSPECTION TYPE 12111E BMW 1616 Fixed System Final Fire Prevention 206 Final Mechanical q o pI /] l_1 1266 Pool Spa Final 208 Final Plumbing 1`I O- Q L N 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy DRESS OF B01LGMm�, _ _.._ .-. _ _. _ f�7 - 00 Ogg SNAYEIF 1010MN: ..i VVtS PRIMROSE ST °NT' CITY OF COSTA MESA — BUILDING PERMIT ADDRESS:. SANCHEZ, ALFRED . SANCHEZ, KAIAtkiivE M PERM NO: (P 087159 1608 PRIMROSE Si PERMIT NO: TP 085159 PLAN CHECK NO: N GOVT: N SUPP: Y pCOSiA MESA,CA 92626 APDL.MULaigp°"Ess: CONSTRUCTION TYPE: PERMIT TYPE: 0it1 PIM YUltPOSb: UtH ARCNRECT OR ENGINEER: BERNARD ADAMS- UC.NO.: 10183 JOB DESCRIPTION : TO REPLACE EXPIRED P-72934 SQ FT: ARCH.OR ENG.'S ADDRESS: 11022 ACACIAP1i'WY WIT: RADEN GROVE CA 92640 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTORS NAME: catinucroFrs MMUNG COMMENTS: REF: IB-85158 ADDRESS mm, *...................'db*-*wxibxit iiibiexiiit iF..xie ie*xxiEdrx..ieivisis iewzieiecidiiwwx*isiewiewwieiiwxiiiewwxickiFkisww***it ear: v Z N G R E Q U I R E M E N T S (commencing CONTRACTORS DECLARATION:)ofsion3I hereby affirm under essd ea Net I em licensed in under provision.reof Chepre 9 j G T 1Y A �- K S (commandrg with Section]000)d Division 3 of the Business and Professions Code,and my license a in fug force and effect. CITY sac.No.: um class: sac.No.: EXP; MAIN BUILDING Dale: Contractor: FRNT: FT IN REAR: FT IN FRNT: F7 IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGH'i: EY IN r NER BUILDER DECLARATION:I hereby elfin under pearly of perjury thin I am exempt ham the Contractors License Law for the reason(Section 7031.5 Business and Professions Code:Any ay or county which requires a perms to c«mtud,ober,improve, PARK Z NG REQ.: PRO V. PARCEL: 13929102 Z IV Y.; It EF NO *Imams,eh,or repastuds,prior le ib eawncerequireso requires the eppGmN for such permit to Sea signed statement NN he or she of licensed pursuant to the provisionsthe Contractors (commencing License Law]Chapter 9(commencing with Section 7003)d Derision of 3the PL ANN Z NG Nui ES> Business and Profession Code]or that he or she is exempt therefrom end the basis to the alleged exemption.My voWion d Section > . , 7031.5 by MY applicant for a pend subjects the applicant to a civil penalty of M more than fee hundred dollen]55001). ..... ....... . xx xxx xx xxxnx xxxdF xxxiexdr it ii itxxxxxxsE it iwx ii ii ii ii it Isis ie it ie it ii ii ieRwx sir id iF iE if ii II Ic ii ie iE id dY Yi 3i•3(-ie.ie hi es.iE ie:w ii• ❑ oasexamrIthe mpeon wmY employees with andProfessionsCodi:Th Contrdorswillsedo the doessadpthe ytoan Oar oiproMed or who bolds imposes(Section 7044.aedinsasand Pcwoel Theeoelf orthr ghis Lawherdoes not own pyteenowrxdgosMy R E V E L lei P M h N T S E R V 1 C t $ t( E Q .0 i R E M i; N I 5 beide or improves thereon,and wW does such work himself b ldirg through e or her owe employees,providedp ettio such imprOvsmenta are not bur or catered sale.If, ehowever,the Wilding or ase for he purpose a add fwithin ae one year of completion,the owner-builder wit have the Wrdend proving he or she did not Wile or improve for the pugcaedeeb). ZONING APPROVED BY DATE: _ ❑ I,as owns d the popery.em exclusively contracting with lcerued-. ., . to.. ,. .I' project(Sedan 7044,Business W Professions Code:The Contractors License Law does not apply m. . . . {^ .Wide or improves thereon end who BUILDING APPROVED BY : �t DATE: tracts fpr suds projects with a contractor(s)licensed pursuant . .. :. . + Law). ' pawl am ion/Vet /on:8 pj(G�4 B'ovme� for • -'j U• LDER APPLICATION ISSUED BY: '. DATE: 'e .� ifiFiEiiirve***kiEiFiFiFiftieifiiii***hxtfxdi twFxx.'xxx Rkxxxxx+friwxirx ex niFvi**ie****ir�Fye It IV • xx **r I moon certiythalem.wm.dandundersadlmrsqui- Ream and saleycndes.dga25505.zssn.and LEGALIZATION:N F E E , U M M A R Y S'IRUC'IiJi2Ai, SE:L,MEN'i:N and that I w any hdure building occupant will/w0 M(: ) .- to oomph/wih said stere codes and the requirements ler permit for coasNdionormodifimonhgmthe Ai uMiy anagnnme Dia -.Resdnriel odmmaim spokei«nmeexempt nom Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/Ek ES GRADING provisions_ PERMIT 44 . 25 ` Date: Appli2 5% L J cant: SMTPINON' RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the Wowing deda,st e: I PLAN '1 - ❑ I hes and wM maintain a certificate d consent to eebinsureb workers'CompnueCbn as provided iq by Section 3700 dlhe Labor BUILDING—DIV FEE Cade,fwthe peddmmencedNework for which Nbpemmheissued. bUZLLING DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DOE ❑ Ihmandwilmaintaihworkes•camtenatoninsurance,asrequiredbySmsm3700oteLebcrCode.krthepmMmenceothe TOTALS----> 44 . 25 0. 00 -1 0. OG 44 . 25 44 . 25 00 work for which this permit is issued.My workers compensation insurance carrier and policy number ane: ,0 Carrier: REVENUE DIVISION TOTALS —> COLLECTED: 44 . 25 OVER/SHORT: GG Policy BLDG PMT PLUMBING_ ELECTRIC MECHANIC FIRE SM.LP/'iOT GRADING PLAN CHICK (This section need notbe completed d tat pmol S or one hundred dollars(SIM less.) 44 . 25 ' ❑ I caddy that in the performance of the work for which this pemhh Is iced,I shag not employ any person in any manner so as to _ became subject le the workers'eonpensalon owe d Cardmie, and 99,04 that d I should become snbjed to the worker'. ********************4•141• _. compensation provisions d Section 3)00 d the Lobar Code. akWl forthwith morph/who those provisions. ..r ..w1f i!*xxlfxxwn::�T "{ di*Ri!'R�'x1'iF i1•ifi'h1F,i{1!'Rx KttlA'it i'1F'Rx1'f R'It'w'R il1l'JRx • Dale: Applicant; I froD I V Z D U A L `'F E E - R EAKDOWN Warning:Failure to secure workers compensation coverage la unewM,,and shad subject an employer to criminal penalties and TYPE QTY DESCRIPTI 0 N/# UNIT COST TOTAL COST civil fines rig to one hundred thousand dollars(S100,000),In addition to the coat or compensation,damages as provided for In Section 3706 of the Labor Coe.,Interest and atlomay'a yes.. FLU 'S PLUMBING RE—INSPECTION FEE 44 . 25• 44 . 25 CONSTRUCTION LENDING AGENCY: I hereby:Rum under penally of perjury that there is a conanlaon lending agency ler tat END -OF FEES pedennance d the work for which this perm is issued(Section 3097,Civ.C). < LENDER'S NAME: • r^• .e LENDER'S ADDRESS: �` 1'ire I certify that I have read this application and stale that the above information b carred.I agree to Comply with all ay and county ordinances 'Lis 11b and stale ewe relating to building omen-Mice and here. . .rze • lathes d this Cyto enter upon the aboe-mentioned properly � j 1'ty ek �Q� for inspection purposes. Y ALI'RED S inner / / 1 pmt V)/ �U ��q� DATE aS4 �S-toR� 1&IB-199744 93 sgmmare d d ... , �, Date: [ 1 o � PT/1110133:881%51159 PIE (5151.46.W P) White-Building A Safety:Green-Ale;Canary-Appicam:Pink-Revenue:Goldenrod-Assess FRU!ION AND PLANNINPA VALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1.'Tem1orary Electrical Service or Pole -• 52. Pool & Equipment Location 2.,So1.Pipe-Undrgrnd. 53. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrnd. - 54. Forms - 4.,EflctricalConduit-Undrgrnd. 55. Electrical Bonding 5..Steel Reinforcement 56. Rough Plumbing & Pressure Test S 6. Eledtrical'UFE_R Grnd. - 57. APPROVAL TO COVER-GUNITE 7! Footings y 4. 58. Electrical Conduit-Undrgrnd. - 8: Foundation ' - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-lDndrgrnd. 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. Sther Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System -,Final 14. Rough Plumbing7 65, Electrical-Final ' y ' 15. Rough EPactrical-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 FINA L 19. Rough Heating& Air Conditioning , FI,pE DEPT. REQUIREMENT 20. Rough Factory Firerilace ' _ ;, r` _ ; APPROVALS" ' Permit# ` 21. Duct in Strutture_ F •• •• ~ I _ V ,� ' 70. einderdioXnfl Hydro 22. Ducts, Ventilating:, ' • • a , r r 71. Product f iping ti Gas 0 Oil % 23. Gas P-ipe:Fough & Test • r r _ ; •-' 72. Underground Flush r - ' 24. Roo(Framing' , r • ' - -,, 73 Undergrrid.Storage Tank4O Gas .O Oil 25. Roof-Sheathing - ' ' 74. Overhead Hydro' 1 a :- 26. T-BaPCeiling (StructUral) & Moriq`doat - '-', 4 75: Dry Chemical - - 27. Frame and Flashing 1, n ;; z 76. Dry Standpipe - 28. Lathing §,Siding a " - ..4... • ' •- I "' 77. FIXED S.YSTEIy1 FINAL - 29. Insulation y 78; 'FIRE PREY. FINAL ' r 30. Drywall Nailing ; -, a �: ;� ;HEA LTI4 DEPT. REOUIREMENN-, t. 31. Plaster Brown-Coat i ' • ' ! • �i ' 79. FINAL INSPECTION' t _ r 32. ElectricatPowar Metkr-Final ` 1 I I' - 8Q: FOOD CERTIF4pATE ItSUED_ <' . 33. Final-,Electric- , , �, l i+ Notes: - j 7 r 'j O _ /tt t 7 . 34. Finafl-1eaiing& Air Conditioning I, !ZOO? b7c CS.rjI to 35. Final-Gas Pipe,.Test , .. t I_ � r _ - ' r .- e 36. Hood-or Canopy ° " - • �� - . _ r r I T. -Q I !r • 37. Final-Factory Fireplace ' ,7, f :38. Final-Plumbing - 3-a(o.v` (yDN - , ' 4� r '39. Water'Service-Final - - I I'' ` • 40. Gas Service-Final c r r -41. Solar Domestic-Final - " ' - - , 42. Backflow Preventer . - ` 43. Backflow Irrigation r ; , r • 44. Landscape Irrigation System " • _ _ _ • 45. Sound Attenuation - -' • - _ - - - . , `. r. . M 46. Handicap-Regulations - r _ - •. ' 47. FINAL STRUCTURE & BUILDING - , - r ' 48. FINAL PLANNING _ . - - 49. Electric Release to Edison ; , ", iV 50. Gas Release to Southern California Gas Co ' - I - •-.:-.`3, . t 51. CERTIFICATE OF OCCUPANCY , - - No. Date ESSOFBw$741 fhb8 PRIMROSE STumu: CITY OF COSTA MESA - BUILDING PERMIT atNBSNAME IFwavx: SANCHEZ, ALFRED,- • • _ PERM NO: P 072934 pg°RESs SANCHEZ, KATHERINE M • 1609 PRIMROSE ST PERMIT NO: P 072934 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92626 APPL.MAIIING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: 0TH ARCHITECT ORENWNEER: BERNARD ADAMS UC NO.: 10183 JOB DESCRIPTION : CONST. GUNITE POOL & SPA SQ FT: ARCH.OR ENO:S ADDRESS: 11022 ACACIAPKWY WIT: RADEN GROVE CA 92640 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / CONTRACTORS NAME: SWAN POOLS ( 714 ) 859-8466 CONTRACT0 SMNUNO 24512 BRIDGER RD COMMENTS : REF: B-72932 AODRES9: EL TORO CA GC.NO.: 440333 +tit**BEiE*RE*+c-x-atBE**io-ic-aEREBE****** **it'******+c***;tt******ae**** -*************BES-*********** 92630 utli NONE ZONING R EQUIR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)of Orviaion 3 of the Business end Professions Code,end my license is in full force end effect. N0i028825 UC.CLASS: C-53 L/C. 44033 EX� 00/00 MAIN BUILDING ACCESSORY BUILDING 6 e23-95 %P�hGuz t/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN I Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN BUILDER DECLARATION:I hereby affirm under penalty a perjury that I am exempt from the C«arecors License Law fo the reason(Section]oatsBuairessend ProfessionsCode:Anycity«countywhich requiresapannemmwwaarts,improve. PARKING REQ: PROV: PARCEL : 13929102 ZNE: REF NO.or repel any structure,odor to its issuance,aso requires the applicant for such permit to fib a signed statement that he or she ed pursuant to the provisions of the Contractors License Law Chaser 9(commencing with Seaton]030)a Division 3 a the PLANNING NOTES> 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 soy applicant for apermit subjects the applicant rosea penally stet more than five hundred dollars($500)), ******************************************************************************* ❑ I.as owner ofthe property or my employees with wages as Mei sole compensation,will do the work,end the strictures not intended DEVELOPMENT SERVICES R E U I R E M E N T S or offered for sale(Section 7044.Business and Professions Cab:The Contractors License Lawdoes not apply to an owners properly Q who bulls or improves thereon,and who does such work himself or hersei or through he or her own employees,provided that such improvements are not imeded or offered for sale.4,however,the building or improvement is sold within one year of osmdeon,the ZONING APPROVED BY : DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). —_ ❑ I.as owner of the property.ern exdushehy contradig with lcenaed contractors to construct the project(Section 7044,Business end Professions Code;The Contractors license Law does not apply to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contraaor(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: # 40 DATE • 21 C C ********************** is ********iti(-' W*'*** * Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL S GMENT:N I do hereby ceniN that I em aware of and understand the requirements of Catomia Health and Safety Code Sedias 25505,25533,and 25534,and that I or any future building occupant will Iwill not(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for «constructionmodification from theAi risky °nm ageent DistrictResidentialmmrucioneppiretiars are exempt from these proesions. PERMIT 7. 00 Date: APPlicant PLAN 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaratons: ISSUE FEE 20 . 00 ❑ Ihave and will maintain°certificate of consent to seff-Mtn for workers'compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Cods,for the performance ol the work for which this pennis S Sued. TOTALS > 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00 1nave and soil mermen workers'compensation My oration insurance.esrpuired by cane aril of the labor Cab.for the pe/01 dill work for which this pante s issued.My workers'compensation insurance carrier end policy number are: Carrier: STATF. FUND EXPIRES REVENUE DIVISION TOTALS > COLLECTED : w� 27 . 00 OVER/SHORT: 00 Policy Number: 1 -1151A,5-94 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (litThis section need not be completed/the permit s for one hundred dollars($100)or loss.) 27 , 00 ,- _ ❑ 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 • became subject to the workers'compensation Laws of California.end agree Nat H I should became subject to that workers' ***********************************************.******************************** ompensation provisions of Soon 3700 of the Labor Code. onhweh comply wen mate-�pro�vizona / I N D I V I D U A L F E E B R E A K D O W N Dae' /Ar 2 3_ S APpfcve: V /L/�'LdL.�/gh—!/<.4 L,LZ✓ Warning:Failure to secure workers'compensation coverage is unlawful,and shall sub/act an employer to criminal penalties end TYPE QTY DESCRIPTIO N' UNIT COST TOTAL COST civil lines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided for In Section 3105 of the Labor Code,Interest,and arromeyitees. PLU 1 SWIMMING POOL 7 . 00 7 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF- FEES performance of the work for which the pent'is issued(Section 3097,Civ.C). - LENDER'S NAME: . , - - LENDER'S ADDRESS: • I certify that I have read this application and data that the above inlametionsconad.l agree to comply wish all dry end county ordinances -• _ - EXPI ED and state laws relating to building condruNion and hereby authorize representatives of this city to enter upon the above-mentioned property •\ .,. ' for inspection pu / • ' `� Ai,>rn T PRA-Y:10 Ifs p , . DATE t 2 `� �t/YLQ� .L Dale: �'f 'f" _ .. . -- Signature a I UC r (5151'46.WP) White-Building&Safely:Green-Ale:C°n°ry-Applicant;Pink-Revenue:Goldenrod-Assessor . 11SICTIONANINNIN# . SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # . • 1:. Temporary Electrical Service or Pole 52. Pool & Equipment Location : -'• .r s 2. SalPipe-Undrgrnd. 53. Steel Reinforcement • ,\'`3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , c 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .-'�S r _L 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �! 7. Footings - 58. Electrical Conduit-Undrgrnd. s _ 1 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test �-3,�ib 4�/. -9. Water Pipe-Undrgrnd. e. y 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 3- �>�r, 10. Structural Floor System i • 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 i 15. Rough Electrical-Conduit I 66. Solar System-Final ! s 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTEfiING 1 18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS . Permit # 21. Ducts,in Structure _ 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test ' T 72. Underground Flush J 24. Roof Framing , 73. Undergrnd.Storage Tank ❑Gas ❑Oil %'-i • 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 1 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing 'HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,��{" 33. Final Electric Notes: 9.27 -5C' L'1/'�Z72Czreo'y `-f/' it 34. Final-Heating& Air Conditioning C7----3-4, S -if C2-1 xr - fiettek_ 35. Final Gas Pipe-Test • 9.-/g-25 CL. e-rLn t,, - "dr/ 36. Hood or Canopy t .L _ 37. Final Factory Fireplace T F .w _ 38. Final Plumbing , 39. Water Service-Final . . . . 40. Gas Service-Final - - . 41. Solar Domestic-Final - _, al 42. Backflow Preventer - 43. Backflow Irrigation - . 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison L i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 9 �� CITY OF COSTA MESA • t `a � f '' ' „! BUILDING DIVISION ( : DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUMBER B98-01975 (714)754-5273 • Fax(714)754-4856 I BUILDING PERMIT77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1608 PRIMROSE ST Status: ISSUED Suite: Applied: 10/30/1998 Vicinity: Issued: 10/30/1998 Parcel Nunmber: 13929102 Zoning: i Applicant: UNKNOWN I Address: Phone: - Zip: _ + Owner: SANCHEZ, ALFRED Address SANCHEZ;KATHERINE M . , , - - COSTA MESA,CA Phone:, • - . 1608 PRIMROSE ST Zip: 92626 , �. Contractor: ` �`�, Address: ' - A� ' - , Phone: O Zip: . License:i Arch/Eng: . - - . - Address: • - - - `; `Phone:_ - ', Zip: . License: - , SCOPE OF PERMIT , INSTALL FRENCH.DOORS,REPLACE DOOR WITH WINDOWS , FEE SUMMARY - Plan Check: ' $48.59 • , _ - - Calc Valuation: $2,500.00 ' Permit: $74.75 - --Claim Valuation: $2,500.00 / SMIP Res: $0.50 SMIP Com: $0.00 - -_ / , Other . $0.00 _ • Inspection: $0.00 ” Total: $123.84 PLANNING &ZONING SETBACKS ' MAIN STRUCTURE Front 0-0 Rear 0-0 ' • Left - 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • • • 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 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, FOR INSPECTIONS CALL: (714)754-5626 • • a WORKERS'COMPENSATION DECLARATI I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'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 workers'compensation 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: Cartier: Policy Number. (This section need not be completed if the permit is valued at one hundred dollars($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,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these provisions. Applicant Signature: Date: 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 DOLLARE($1 C0,030),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 for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders 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 end 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).): d( d, r, ❑ 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, es owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions /Cale: The contractors ,cense Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such project with a contractor(s) ( , license nt t• e/antra' rs License Laws.). am= n•: s= . Alii 0 L Business and Professions Code for this reason: signature' __ glip /2-a-oz 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 feet 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 B,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. Signature: Date: • Division of Industrial Safety Permit Number: I 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? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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? 0 Yes 0 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 filing 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit 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 0 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? 0 Yes 0 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: Date: CERTIFICATE OF COMPLI. 7 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 r e to c ply wi :II st- , .ws and ci. •rdinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above- scri ed p • erry,for spec on•u •• - agree not to occupy or allow occupancy of any building authorized by this qpperrit until final Inspec ion. ✓/ 1'« /u 3 v S'_ at Legal Owne(s) cDate- An. • •. •nzed Applicant `Date 011E 1. INSPEC1 NTYPE QM MEALS you I INSPFCTIDN TYPE DATE IN)MAIS . 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 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 3.n, ( 9 - 1-( / 2446-46 516 9 CITY OF COSTA MESA BUILDING DIVISION r+;,n, ,• IDEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER � r J PERMIT M97_Onn2F1 (714)754-5273 • Fax(714)754-4856 • www.ci.casta-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1608 PRIMROSE ST Status: FINALED Suite No Applied: 03/24/1998 Issued: 10/10/1997 ISSUED BY: y)c Vicinity: Parcel Number: 13929102 Applicant: SANCHEZ, ALFRED ®P 41 Address: SANCHEZ,KATHERINE M COSTA MESA,CA Phone: 1608 PRIMROSE ST Zip: 92626 Owner SANCHEZ, ALFRED Address: SANCHEZ, KATHERINE M COSTA MESA,CA Phone: 1608 PRIMROSE ST Zip: 92626 Contractor: Address: Phone: Zip: License: SCOPE OF PERMIT MECHANICAL REINSPECTION OF EXPIRED PERMIT M72935 FEE SUMMARY Quantity Quantity ISSUE FEE $0.00 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 Commercial incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This 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 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. FOR INSPECTIONS CALL: (714)754-5626 24413-46 WOW DECLARATIONS 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 for workers'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 workers'compensation 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: Carrier. Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars($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,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 Signature: Date: 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 DOLLARE($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.Llc.A Class It Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a constructio ding agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: I - Lender's Address: Signature: (4— Date: %It OWNER-BUILDER DECLARATIONS: V ' .' ♦J 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 contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 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 feet 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,fatsework,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,Califomia 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. Signature: Date: Division of Industrial Safety Permit Number: 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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? 0 Yes 0 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 filing 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 Califomia Health and Safety Code been fully complied with? ❑Yes 0 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 ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the Califomia 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? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safely Code). 7 If 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? 0 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: Date: 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.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date §ODEA INSPECTION TYPE PATE INTMALS cOOEf INSPECTION TYPE �f 2M (TRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical n-(7 _09 \1 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ti:4 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $44.25 TOTAL CALCULATEDFEES $44.25 COMMENTS/SPECIAL CONDITIONS 111 4Lo ' F 9 CITY OF COSTA MESA BUILDING DIVISION > y ,� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER J � : PERMIT E01-00503 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1608 PRIMROSE ST Status: ISSUED Suite No Applied: 06/15/2001 Vicinity: Issued: 06/15/2001 Parcel Nunmber: 13929102 Applicant: SANCHEZ, ALFRED ISSUED BY: Address: 1608 PRIMROSE ST Phone: 714-556-9185 COSTA MESA,CA Zip: 92626 Owner: SANCHEZ, ALFRED Address 1608 PRIMROSE ST Phone: COSTA MESA,CA Zip: 92626 • ,' • • s, •tit ' Contractor: A , fl Address: Phone: Zip: License: SCOPE OF PERMIT NON-STRUCTURAL KITCHEN REMODEL.PLUMBING AND ELECTRICAL WORK ONLY.4 LIGHT FIXTS.,3 SWITCHES,3 OUTLETS. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft - $0.00 0 Res. a/c package $0.00 Standing Section - $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $4.40 4 up to 50 kva/kw $0.00 0 Recept Outlets $3.30 3• up to 100 kva/kw $0.00 0 Switches $3.30 34 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 , Low Voltage Equipment $0.00 0 Res Appl $0.00 0, Low Volt Wiring System/Ckt . $0.00 0 Service to 200a $0.00 0;: Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0. Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 - 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0' Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0, Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 , Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $30.50 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This 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 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. FOR INSPECTIONS CALL: (714)754-5626 246(WOO) 446. .• . WORKERS'COMPENSATION DECLARATIO : I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation 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: Carrier: Policy Number: is section need not be completed it the permit is valued et one hundredida,, rt(.3t%90)or less.) I certify that in the performance of the work for which this perm' is i ued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia,end agree f I should m • ubject to the workers'compensation provisions of Section 300 of the bor Code,I shall forthwith comply with these provisions. /' Cc/ i 5ro I Applicant Signature: _ 1// Date: WARNING:FAILURE TO SECURE WORKERS' pre ION COVERAGE IS U FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S1c0,000),IN ADDITION HE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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 for 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 tor 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 EX ' SIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contract cense L oes not appl .to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant th Contract r icense s.). ❑ I am exempt der s c. Business and Professions Code for this reason: Signature: N/ Data: l/ 7( is /U Owner ID verifl river's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet 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. Signature: Date: Division of Industrial Safety Permit Number: 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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? 0 Yes 0 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing 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? 0 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (II yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). _i__. _.— — _ contra ._....requd f_ 7 Ifa a cation tram the South isclst res prescri ed by gement Di Heal or ndother eir pollution iondistrict3 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? 0 Yes 0 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: Date: CERTIFICATE F COMPLIANCE D AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I ree comply with : state laws a . city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above- scrib properly(Orr'.fnot to occupy or allow occupancy of any building authorized by this per it until fin inspection. ''� iieaocrt,ioeAnuotphstrigeaedis.0Apwlpanligecie(esn:not atet Date CODE t INSPECTION TYPE E8IE 1N1II1AL5 CODE! INSPECTION TYPE Nrl mALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �� 200 Final Re-Roof 210 Final Electrical S-I'7-oi Cki 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 1608 PRIMROSE Si MIT: CITY OF COSTA MESA BUILDING PERMIT A07-oo0 NCHEZ, Rig ALFRED PERM NO: IM 085160 NCiiEZ, KAIHERINE M 608 PRIMROSE ST PERMIT NO: IM 085160 PLAN CHECK NO: N GOVT.: N SUPE: Y COSTA MESA,CA 52626 .MM ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: MEG OT1i PURPOSE: CiTH ARCHITECT OR FIIC�NEEP: BERNARD ADAMS UG NM: 10183 JOB DESCRIPTION TO REPLACE EXPIRED M72935 Sl;� FI : ARCN.OR ENG.'S ADDRESS: 11022 ACACIAPKWY axr: RADEN GROVE CA 52540 CLAIM VALUE: CALL VALUE; GROUP OCC : it- 3 / CONTRACTOR'S NAME CONTRACTORS MARINO COMMENTS : REF: IB-85158 ADDRESS: UC.NM: it it di it ii ii*db it it ii it it iE it it*it it it kt it ii iE*it it it it iF it**F*itfisc*it ii is•it wirisrtit itit*itiiit it it it**tis st it aitx%ii it it a:kit it ititir:74*Si LOC: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions a Chapter 9 SETBACKS (commencing with Sectbn 7000)of Ohiaion 3 a the Business end Professions Code,end my license is n full force and effect. CITY LW.NO.: UGCUSS: 1.1C.NO.: EXP: MAIN BUILDING --- ACCESSORY BUILDING -. Date. rRNT: FT IN REAR: FT IN FRNT: FT IN REAR: Fir' IN LEFT: FT IN RGHT :, FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty a perjury that I em exempt from the Contractors License Law for the aern Idmwiyne«n(Seaion7mtsB«i»seendPTaesomaCode:Anyayamavywtthrquir«aprmitmmretrWamr.it1 roe. PARK/NG REQ: aka.or meat any structure.prior to its issuance.also r«dr«the epptend for such permitto Me a signed statement that he or she tensed pursuant to the prodsions a the Contractors License Law(Chapter9(commencing with Section 7000)d DenimDenim3 of the N LAWN.0 AIG WgTE S) PRVV: PARCEL: 13929102 GNF REF NO: Business and Professions Code]or that he or she is exempt therefrom end the base for the alleged exemption.Any mviolation d Section > . ' 7031.5 by any applicant fore permit=Nods the applicant to a civil penalty d not more then fire hawed dopers]S500D. ... ..... ... ❑ it it i<ir lir it it ii it aft***new xxyL it ii it it>r it it it it it it iF it wee se***************-- .. ;.. r :..5.. ... it kir ititirdt*** I,as owner d the property or my employe«with=epee as tart sole oanpensNon,win ea Nework.end the structure era eroded DEVELOPMENT S E R 'V I C s. S �c 1. I S or offered ler sale(Section 7004,Basins«end Professions Code:The Connactm License law does not appy to an=mrof popery who boils or=proves thereon,and who does such work himself or hereto a through he or her own employees.provided that such , .i'I enprwerneres ere no intended aoflend fa sale.I.however.the building or inprovernm a sold=thin ore year d completion,the ZONING APPROVED By I iaii1• owner-hu/der will have the burden d proving he or she did no bald or improve for the puma.aside). - •. ❑ 1,as owner a the properly.am exclusively contredng with licensed cantors to the project(Section 7044,Business and -r- D' Professions Code:The Cadrram License Law do«mapply bmownrof into balsa «Ihenonend who OVED x xxxx xdt xatxyt - DATE: _- contracts for ad(projects with a oaarma(s)tensed. . .t v Contractors a Law). M� ('s— I] . .mph under SedionaPQj004-y4 B.BP.C.,I,- his • :V ' BU DER APPLICATION ISSUED BY; DATE: ell- ID /D -/(%�- l ` Ono& �. ***********************wit* ie iy4xxyt srx t�i r -R°Lfesexx RT-xkir'R ir>r iP iF iv kirx"se'x x - s it>t LEGALIZATION:N F E E SUMMARY STRUCTURAL, SEIMENT :N that I am aware d and understand the req yn of Cd'/oma Meath and ry Code Sections 25505,,ct s3,and 2 that I or any future building occupant will t will not arca one)need to comply with said state codes end the requirements for h foravatrman or modifcationfrom the tSfyMaagemenl District.Residential construction applctionsare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC Flits SMIP/RE:i GRADING provisions, PERMIT 44 . 25 Date: Applicant: 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby armunder penaltyd perjury one of the foaming declarations: PLAN ISSUE FEE ❑ IhaveadnilmaimeinatenraPoeaconsenttoeelf-i«umMworkers'compensmian,asprovidedforbysWion3700atheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,la the pedormence of the work for which Na permit a issued. ❑ lhave and nil masa(workers'compensation insur. required o dbySedan3700teLaborCode,brtheprformanceofth. TOTALS- > 44 . 25 0. 00 0 .00 44 . 25 44 . 25 . 00 work for which this permit a issued.My workers'compensation insurance carrier and pokey number are: ilb Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 44 . 25 OVER/SHORT: GG Poky Number: PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'TOT GRADING PLAN-CHECK (This section need not be completed ai the Fermi is yon one hundred dean(S1001 or less) 44 . 25 ❑ I certify that in the performance of the work for which this permit a issued,I shall not empty any person in any maaw an as to Pecans subject to the work 'ersponpaeaion laws d Californiaand agree that E I should subject tthe he worker' - .. ed b *............ .xis it it iF kir ytrt***********is sot it iv iF iF irfiF it irXx atstir iE..........itir:w it kirk it it it ii:�i i4 if ii•it ii ie k+r itxit ii xie i4 mnpwnazan provisions d Sadiron 3700 d the Labor Cods.I Nell IaTh=th ompH with Now provisions. INDIVIDUAL F E E BREAKDOWN Done: Applicant Waning:Falun m secure workers'compensation coverage Is unlawful,and the subject an employer m entrains,penam«are TYPE QTY DESCRIPTIO N UNIT COST TOTAL COS T dm fines w to one hundred thousand dollars mourn In atr9Uon to the cost of compensation,dernp««provided roc In Secdon 3706 of the Labor Cods,Interest,and slmmey'fees. MEC 1 MECHANICAL RE-INSPECTION FEE , 44 . 25 44 . 25 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is e construction lending agency for the END OF FEES E•S .. • _ performance of the wale for which this penes is issued(Section 3097.Cir.C). LENDER'S NAME: LENDER'S ADDRESS: IL .- /�'-e�2y'' vC{ I cents that I have read this application end state that the udorma- is oared.I agree to comply with allhe ab and county acclimates p�e_CJ1Y\L - end state laws relating la buildxg conmudion and her. Monza n..j..lathes d thin dry to enter upon the above-mentioned property - 4' d for nspeaanpurposes. y�, 1cc4D IB 18-1997/11:34 AN/(44.25 ALFRED S 1t i_Fn�1) �(� _ �J = RCPIII:81-8813694 Print N. (' 1 ' `�� PERMIT:085160 / Dae: A 1 cr.•,. •• (5151 d5 WP) White-Building 8- Teen-Rte;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor 111111117- 11ROCTION AND PLANNING PO>L • SPA LS Permit# Date Inspector APPROVALS Permit# Date Inspector ry Electrical Service or Pole . 52. Pool & Equipment Location -Undrgrnd. 53. Steel Reinforcement l Conduit Utility-Undrgrnd. 54. Forms•, -Undrgrnd. _ 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test - ,6;^tferiricaCUER Grnd. 57. APPROVAL TO COVER-GUNITE .Z Footings -; 4 58. Electrical Conduit-Undrgrnd. :13•. Foundation : 59. Gas Pipe, D 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 r 62. Backwash & Receptor-Final 12. Sewer Cap -r 63. Heater &Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing q 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Soler System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-I Bar Ceiling - -= ' • - '69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air. Conditioning _ - FIRE DEPT.:REQUIREMENT i. 20. .gough Factory F, ace ` r-e J . ' .' 1,APP{9OVL`S A _ ', Permit# 21. Ducts-, in Structure' i• •• •• + - - 2; A 1 70. 'Undeeg4roynd Hydro i. 22. Ducts:, V®ntilaiing'- ' - T " 1, 71. Product Piping a-Gas 0 Oil 23. Gas Pipe-Rough & Test • - _ r 72. Underground Flush i 24. and Framing• 7, 1: •• .1 ' - . - ; „ :7 Undergrnd.Storage Tank O Gas 0 0111 • 25. RoofySheathing :- - 74. Overhead Hydry „ 4k, �} 26. T-Bar'Ceiling (Strticturall & M&lotoat . 75. Dry Chemical _ ` `�I . --T--- 27. Frame and Flashing ;: r ,, i. _ _ - _ _ • �, 76. Dry Standpipe - I I 28. Lathing&Siding _; ': ' - ; r ' • • '•i. 77., FIXED SYSTE7.1.F!NAL -: -, 29. Insulation' r - •• _ 7( FIRE PREV. FINAL i - j 30. Drywall Nailing r - _ ;� .HEALTH DEO".Ft - 31. Plaster Brown-Coat « ; . • • ,• Y 79. FINAL INSPECTION 32. EiectriwCPow:er Metter:Final 80` FOOD CERTIFICATE ISSUER •c 33. ,ina{tElectric t '" Notes: rt ', ' ` 34. Fina -Heating& Air Conditioning - - • r 3-�8 oq [3N �r ; 35. Final Gas:Pipe Test ' ' I _ - -• p 36. Hood or Canopy e _ r _ it Z. IC • 37. Einat:Factory Fireplace - T . �, • I '•,,, - 38. FinaiPlumbing ' u • ' r i / ti Ph - t . • 39. Water•Service-Final ,. _ °�341/21 u R. n . ^, 40. Gas Service-Final r r E j _ uf 41. Solar Domestic-Final . : - a 42. Backflow Preventer ' 4 `v _ . --43. Backflow Irrigation 2 I - 44. Landscape Irrigation System s- •- • iti, d _ 45. Sound Attenuation . .. _ - • 46. Handicap Regulations _ - _ •? 47FINAL STRUCTURE & BUILDING - - , �. 48. FINAL PLANNING r 49. Electric Release to Edison ,• ._ . v ........ 50., Gas Release to Southern California Gas Co - - _ ' 51. CERTIFICATE OF OCCUPANCY - - No. Date PI.W ...wwill. m.e. cfmulO: 1608 PRIMROSE ST °Ni' CITY OF COSTA MESA —,..... BUILDING PERMIT •EIFItc*N: SANCHEZ, ALFRED•-." - a � � PERM NO: M 072935 A0DRE53, SANCHEZ KATHERINE M ' 1608 PRIMROSE ST PERMIT NO: M072935PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA , 92626 Mu'mGADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: 0TH Toxeada BERNARD ADAMS �� 10183JOB DESCRIPTION : CONST. GUNITE POOL 6 SPASQFT:OR ENG.'S ADDRESS: 11022 ACACIAPKWYI witRADEN GROVECA 92640 CLAIM VALUE: CALL VALUE: GROUP OCC : R 3 / OMRACTURSNMtSWAN POOLS ( 714 ) 859-8466 timmWSMutaD24512 BRIDGER RDCOMMENTS: REF: B 72932ADDREss: EL TOROCA uc.No.: 440333sEx-iESEdE* -** * ** *** sE - - -sE* sE�ESE +E* dE** *x+E*dESE*itirsE*sE*moiFSE*E9** +Ex-* -sESE*sE *sESE***** 92630U6* NONEZONINGREQUIREMENTS ENSED CONTRACTORS DECLARATION:I hereby dram under penalty d per ury thatI em licensed oder prwwmu of Chapter 9SETBACKS mmencing with Section 7000)of Division 3 d to Business and Professions Code,and my license a in lull face e d den.YUC.NO.:028825 UC.CUUSS: C-53 LIC.NO.: 440333 EXP: 00/00MAIN BUILDINGACCESSORY BUILDING Centred«: FRNT: FT IN REAR: FTINFRNT: FTIN REAR: FTIN LEFT: FTIN RGHT: FT IN LEFT: FTIN RGHT: FT IN i - BUILDER DECLARATION:I hereby affirm under Pendly of perjury thio I am exempt Imm the omit Loon License law fa dw .wng rorrepaSadstruct31.5 Busmtoe and Professions Code;Any dyor county whip repair«a permn to statement ahan,Improv, PARKING REQ: PROV; PARCEL : 13929102 ZNE: REF NO:doh,a rayl try structure.prig to nor eeuaaa,aero requires the[Chapanl 1«such petit to th a signed statement that he a sheicensed purment to the provisions d the Contractee License Law(Chaps 9(o for Meng with Sectipn TODD)d DNion o 3 of thepLANNING NOTES>iness end Profesaons Cale]a that he a she is exempt therehom and the bans la Ne dbged exemption.Arty violation d Sedan >1.5 by owany er of thecant foa pemk employcts es appinaesrtt to a Mil pendtydnrtmae thanothe huedredddentr500o. eFeEeFiFeEeE♦E*iEeFef♦E**eEeE*eE♦EeEeEeEeEeFeFeEeEeEeEeFofeE♦EiFeEeEeEeEeFeF*iFeFiFlEKifeFif*eEeFeFeFiF*eEeEifeFeE*eEeEofeEeEeFeFeF♦E1E1EeF*eEeEeE* I. wort.and no. DEVELOPMENTSERV I C E SRE UIREMENTS adored oiotamy**thran,andwho aid Profeeafons Cade:Theend orthr limas Lew Araeneeppyto, ownerofproperty Qwho bolds a fare not i thereon,ad weer dose sold wwk limaeh a head«tivagh he o hat own emoloyees,provided thio such Dmprcvrnan.tem mended ora dlted la she B,he didn the W orimase m for the d n Bald within an pens d camplrion,dns sew «-0ildersllharethebdmdpovigheoreneld otbildorimproefortnepemceedsale). ZONING APPROVED HYDATE:I.a owns of the properly,am extAaieM/maa3ig with licensed contractors to cowruc the project(Sven 7044.Business and Profession Code:The Cmradaa Liense Law does not apply to an owns d property who builds o improve.threon and whoBUILDING APPROVED BY DATEcontracts fa sudr projeda h a contrtaa(s)licensed pursuant to the Contrmas License Law). p G Iem.xampraderSedn; B.AP.C..forthisramp: APPLICATION ISSUED BY: DATE : Z3 15 e: Cweer: dFaFFiF3tiF # s o hereby mty thatlam awaredend undraund therecce«tewdCdlania Nedhedsafety Code softers um,25533.adLEGALIZATION: NF E ESUMMARYSTRUCTURAL S GMENT :N 34,ad thatI o any tenure building occupant will/coil nor(circle aa)need to comply with said iote codes end the requirements toermit foconmadion omoddrmtanhanlheAkWanaagemn 0idnkx.Residentidmnanxtion applictiaaere exempt fmn tinsBLDG PMT PLUMBING ELECTRIC MECHANICFIRESMIP/RESGRADING ^afeets. PERMIT 6 . 50 .: Appliead: 5tSMIP/NON—RESRKER'S COMPENSATION DECLARATION:I hereby af@rn under penalty of injury oe of the following dederatins: PLAN In.vadwumaintei.o.nn�tedmre.retro..R;nwrafor waiter:mnynsmin..srr�dedforbysavon3700at .Labor ISSUE FEE 15 . 00 Code,forthepedormaaeoftheworkfowlichthispemmi•issued, BUILDING DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE • p IhaveadwMImaintaiwokar:compenealianinsurance,asrequiredySedion3700oftheLaborCode,fortheperformanceofthe TOTALS----> 6 . 50 15 . 00 t0a. 00 21 . 50 21 . 50 . 00 work for which this permit is issued.My waken'compensation insurance carrier end poky number are: • Carden: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : ./ 21 . 50 OVER/SHORT: 00 Policy Number: 1115165-94 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIVE SMIP/TOT GRADING PLAN—CHECK (7h,section need-not be completed i the Fame is for one hundred dollars IMO;or cess.) 21 . 50 ❑ I ossify that in the performance of the work for which this permit a issued.I shell not employ any WOOS in any manner so as to became sutHd to the walnre compemmian laws d CaBarde,and agree that n l dank become subject tothe waken' ibeFeFeFeF#)F1FiF9EiFiFiFlFiFlfiFiFlFdflFlEiF1EiF1FiFiFiF1FlFlEiFiF7FlFiF9FfFfFeFiFfFlF7F1t1F9FiF9FiFiFlF1EIFiFiFlElEiFiklFdFiFlFfFiFfFiElFiFiF1FfF7FlF1(-1Fit compensation provisions at Section 3700 of the Labor Code,I Mag forthwith comply nth those provisions. INDIVIDUAL F E E BREAKDOWN Applitan: �, ng:Faiure fo secure workers'comperwation coveragel.unlawful,endshall subject an employer to cdnitW penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST - I lines up to one hundred thousand dollar.(5104000,,in addition to the cost of compensation damages as provided for In Sectlon 3705 of the Labor Code,interest and attorney's lee., MEC 1 EACH APPL NOT IN OTHER CAT UNDER FEE 6 . 50 "6-. 50 . CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a condntdion lending agency for the END OF FEES performance of the work for whits the permit is issued(Section 3097.Gin.C). LENDER'S NAME: LENDER'S ADDRESS: • , E)(PIRED I certify that I have read the application and stale that the above information is coned.I agree to comply with all dry end county ordinances • •• LL'XX 1L,(�`La" and state laws notating to building construction end hereby authorize representatives ofthis cityto enter upon the above mentioned proper •ly ?_ -- ,C • for inspection proposes. '. ...J DATE —(1 1� • Pant Nemo .• sen I ('' - t . I •r .all Date: -.J , ,. . `1 Signature of• . 'Rf.CApp'.. d • P) While-Building 6 Safety;Green-File;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor r � 111k-r UCTION AND PLANNING. PO�i SPA LSPermit # Date Inspector APPROVALS Permit# • Date (51514 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2._Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1-_ - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test / 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test - s3. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK -ill1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil _. 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil t • 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 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 4-/9 _/mt 111441t4")'' 36. Hood or Canopy - _:14 37. Final Factory Fireplace 38. Final Plumbing - - 39. Water Service-Final 40. Gas Service-Final - - `'8 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. FINAL PLANNING 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY - No Date • y1a5SCfSMLDWG 1608 PRIMROSE ST WIT: CITY OF COSTA MESA — BUILDING PERMIT I ' - OATS'. Ivyn SANCHEZ, ALFRED.'" " I$ PERM NO: M 072935 "' '"0SANCHEZ KATHERINE M ' r. 1608 PRIMROSE ST PERMIT NO; M 072935 PLAN CHECK NO: N GOVT: N SUPP: N i kw' WILING � COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH ARCNRFCT O"ENONFFR BERNARD ADAMS ucN0. 10183 JOB DESCRIPTION : CONST. GUNITE POOL & SPA SQ FT: 'scam Eia'S°DDR/S& 11022 ACAC IAPKWY LINT: • RADEN GROVE CA 92640 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / owmgrocmotSWAN POOLS ( 714 ) 859-8466 COITRWTONSMMI"3 24512 BRIDGER RD COMMENTS: REF: B-72932 AODftS& EL TORO CA IL"D: 440333 *)F**eei+eee1t*e******x*****"t***)Erle**********+r**K-*N -w****+r***it***+r****edea*ee**See** 92630 oar NONE Z ONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby aWnn under penalty d pejay the l an licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)or Divifbn 3 of the Soiree and Professions Code and my license is in he face end doe. mfuc.N0.:028825 uC'cuss' C-53 L'C-NO" 440333 EXP : 00/00 MAIN BUILDING ACCESSORY BUILDING ContractorFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • BUILDER DECLARATION:I hereby affirm under penally d perjry the I en exempt Iran the Connectors License Law for the asmdeA,«,ap„Mean($p°a„y10;Tama;:prior to Buissuance,also eend Profession*nas m~"n„a�'ovlairo"i"n`fasuch pemaia nwhich requires`y,°"maip"„ew„„"'niyd'h,"",°`„'�h; PARKING REQ: PROV: PARCEL : 13929102 ZNE: REF NO: is Eansed gaunt to the provision d the Contractor+Litre Law(chapters(oaanerdrg with Seale moo)of Dtveim 3 of Et* PLANNING NOTES> Suers and Prolamin Codel or that he a she a came therefrom ed the beat for the elkeel esemgbn.My violation of Sedan > Teats by soy dig cant to e penn subpar the aPPrcara hoer cid peeler dna man the hats horded doMre(S500D. ***********************************************fee te********tete*******tete********** p fended or dieteedfo sdhee(Section70property a u employees uses mov Prwagons ICodode:see Thetor�teamu sece will:Laawe�the work.otaPplytstructure oo an'bvm aaweny DEVELOPMENT SERVICES REQUIREMENTS who beds a improves thereat.and who does such nark tense/or heed or through he a her awn employees.provided the such impraemerbwenm intended«°tieredlasale.it'hawses.the building inprwernw is"id wthinoneYear doomplelion,the ZONING APPROVED BY , DATE: owner-builder will have the burden d proving he or the did not bed a Mproee for the purpose d sale). p I.as owner of the prapely.am exclusively contracting with tiered commies to construct the prc4ed(Seale 7044,Steam and PrdevaeCodetheCaeetmLemseLAwdaeraVefemmmerdpwwlWsbiWahrpwrthereonWwM BUILDING APPROVED BY ; . DATE: cones,b seri Greaser a cesrwM(s)'te sed Mmes to the Canrame License Law). p I under urdcea 6.d P.c..be:meat APPLICATION ISSUED BY: DATE: � 03 �5 Date: 1 ow.er. ************************************* tete *********************** IfiFT * I do hereby certify that I am awared ed undersand the requirements d Code Calibres Heath and Safety Sections 25505,25533.and LEGALIZATION:N F E E SUMMARY STRUCTURAL S MENT:N • 2553i.and that I a any haus buildg occupant will I wit not(circle bre)need to Cary web sad state cods and the requirements h , . •permit fa construction or mode:are,fronlheAtii irenagnwn OLah:a.Resides.co rwion apiuuin,are exemptlrom then PERMIT BLDG PMT PLUMBING ELECTRIC% MECHAANICC FIRE SMIP/RES GRADING provisions. Date: Apdixa 25i SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby alarm order penallyd par lay one d the following declarations: PLAN ' 7. El lhasedw*ImaSainacoerces dconsent tosdimurekrmean?wrgsoticespraidMfabySaim370DdthLabe ISSUE FEE 15 ,00 Gob.ler the pedamarcs d the wk is wbm this pane a issued. BUILDING—DIV—> PERMIT ISSUE PLAN—CI4ECK TOTAL PAID DUE or. 01! !have Mel w;bean„alhwarkaewml>merlin insurance,aemonied bySoden 3Toodthe Leta Ced,for Daperf«,md performance TOTALS----> 6 . 50 15 . 00 0`. 00 21 . 50 21 . 50 . 00 work for shah the permit is issued.My wan'kecompensation nsmd rce renis epolicy number are: ' Cattier: CTaTE 71.3 hill EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 21 , 50 OVER/SHORT . 00 Policy Number 1315165-9d 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FI'KE SMIP/TOT GRADING PLAN—CHECK (Th.section n;ed nor be completed i the amnia is for one hunted dawn(5100/or less) 21 . 50 p I cooly the in the pedommnce of the work for which this permit a issued.I tel cot employ any person in any manner eq as to become sbpc to the waken'comWnwion laws of CaMaen and Kee Neil should beoana wblea to the wmken' ********************************0ee***!f*****************************if******tette* compensation provisions of Section 3700 d the Labor Code.I tel forthwith comply with those provisions. INDIVIDUAL' -.F E E BREAKDOWN Appeal: - :Faure b secure workers'wmpewdon coverage la unlawful,and shed sublet',w anPiayer to Minima Owns end TYPE QTY DESCRIPTION 7- UNIT COST TOTAL COST ' dnn w to one hundred rhoussd dollars(3f04000A in addition to the cost of compensation damages as provided for In Section 3706 of N.Labor Code interest and.+ro.rrey./sea MEC 1 EACH PApar 1'0Tn6IN OTHER CAT UNDER FEE 6. 50 CONSTRUCTION LENDING AGENCY:I hereby affirm under posey d perjury the there's a conanWbn larding agency le the performance d the work for which the panne is issued(Swan 3097.Ce.C). S n 5 eCy,10 END OF: FEES LENDER'S NAME 1 oat ,,, �n P . LENDER'S ADDRESS: .. 'SMC ❑ ' I candy the l ere mad this application end stets that the ears l/amel}l a hater!.I qwe to camp*wet d ay and county edemas* 11 _ �S1ti f. - e end state lens reline to bniide;construction and hereby repressions d this city lo enter Wm the abosmenbned properly l la inspection purposes. )at‘ :\� . ! . . I . t • Print Nemo • '' m _ .,. i l 1 _ - .. Der. - r Signature d ChenT rant, WAppj ' .. .. .. P pY .y w wf.,c07-.0°‘;p1.."-0-0 ds - - - . --- `°� ttAc 0C 11 a` 64' Jr," ° •. GL & SPA �''• Aa ass•NNI NG 'p : r'' N"'t'.WOV l�� oN ,,, Date Inspector • Date Inspect rws °'i+dir:" • `47 2:0,,„.• APPROVALS n^unit # '•yrtp % pyo°p0 t"asi� •' '- ''°'O tev` ,er •vice or•Pole ! 52. Pool & Equipment Location o y Z',P r;�).ra',yp1Not:4 rc•j' ' _ - - 53. Steel Reinforcement t 90oi 'w Os„5.,e9 Utility.Undrgrnd. 54, Forms ' le b AS'Oa NC4ruit-Untfrgrnd. 55. Electrical Bonding 0c,--7 100`-'94,0112Od •rceme t 56. Rough Plumbing & Pressure Test ��a5- :0- u•-d UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • Y+'' e9s 58. Electrical Conduit-Undrgrnd. cndation - 59. Gas Pipe, 0 UraLgrnd., Test SVater Pipe-Undrgrnd. 60. Backwash Lines, P'Trap, 0 Undrgrnd. ,ifL926 a: se :. Structural Floor System 61. APPROVAL TO DECK I 1. Property Sevmr L i e & House Connection 62. Backwash & Rea^•:or•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 r 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 P< Air Conditioning 'FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace . APPROVALS . Permit # 21. Ducts, in Structure - 70• Undergrou'n 1 Hydro ' 22. Ducts, Ventilating . - - , 71, Product Piping I`I Gas 0 Oil 23. Gas Pipe-Rough & Test ' 72. Underground Ffn h 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75.: Dry Chemical , 27. Frame and Flashing - ' . 76. Dry Standpipe i - ?"'"•. 28. Lathing &.Siding - 77, FIXED'SYSTEf.1 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 I ' 8d:, FOOD CERTIFICATE ISSUED, t 33. Final Electric • Notes:A"_2 ... S < I- a 34. Final Heating & Air Conditioning '- < 35. Final Gas Pipe-Test . . .. 97 .9 96-- - atat,-44 2 - 36. Hood_or Canopy - .` I "\ ' • _ , 37. Final Factory Fireplace . t _ - 38. Final Plumbing ! - _ 39. Water ServiceFinal ~ 40. Gas Service-Final •-• • , . r • • 41. Solar Domestic-Final -.42. Backflow Preventer . ' • 1 .. Y . 1 .T -. . 43. Backf low Irrigation ' . -. 44. Landscape Irrigation System _- ' _ "` _ 45. Sound Attenuation , - lri et r • - • 46. Handicap Regulations - - . 47. FINAL STRUCTURE & BUILDING _ 48. FINAL PLANNING . I. 49. 'El•ect?lc Release to Edison ( , , ; 50. Gas Release to Southern California Gas Co _ I. 51. CERTIFICATE OF OCCUPANCY ; iii i j -- fl YetAZA4a_a:_:5 e e---±rat - *el egiiciaolk Litt can_et7joall_all_n_ _ j -thuza_92j!ece-tAi-ei-62-100 7 11 - - !I} I'! 1 � I►I • CITY OF Ca MESA PROPERTY DETAILS 4p3RT 1608 Primrose • Costa Mesa, CA 92626-3717 Owner: Sanchez Alfred Sanchez Katherine M Phone: (714)556-9185 Resident: Sanchez,Alfred Phone: (714)556-9185 Site Address: 1608 Primrose Tax Address: 1608 Primrose St City/Zip: Costa Mesa/92626-3717 City/Zip: Costa Mesa/92626 Parcel Id: 139-291-02 Own. Occ.: Yes Location: Costa Mesa City School District: Newport-Mesa Unified Neighborhood: Unknown Census Tract: 063802 Legal Desc.: N Tr 2822 Lot 179 Usage: 122: Single Family Residential Style: Unknown Construction: Unknown Year Built: 1959 Tot.Rms.: 6 Blktop Paving: Unk. Stories: 1 Bsmt.Type: Unknown Concrt Paving: Unk. Bdrms: 3 Bsmt. Fin.: Unknown Carport: No Baths: 2 Full Gar.Type: Attached Garage Deck: Unk. Heating: Unknown Gar.Sq.Ft.: Patio: Unk. Cooling: Unknown Roof Mater.: Unknown Pole Barn: Unk. kr.Lot: Unknown Roof Style: Unknown Pool: No Terrain: Unknown Attic Type: Unknown Fireplace: 1 Water: Unknown Condition: Unknown Gas: Unk. Sewer: Unknown Lot Dim: Electric: Unk. Sqft 1st: Lot Size: .149 acres Sqft Total: 1357 Market Value: $200,492 Gross Tax Semi Ann.: $1,134.92 Assessed Land: $71,375 HB920 Credit Semi.: Assessed Bldg.: $129,117 RB Credit Semi Ann.: Assessed Total: $200,492 RBA Credit Semi.: Tax Semi Ann.: $1,134.92 Homestead Exemption: Spec.Assmt. Semi.: Sale Date: Aug-16-1983 Mortgage Date: Sale Amt.: $130,000 Mortgage Amt.: Deed Type: Unknown Mortgage Type: Volume&Page: Volume&Page: Seller: Lender: Title Company: Unknown Mortgage Term: Multi-Parcel: N Mortgage Rate: • The information is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2002 Haines Printed Sep-23-02 9uILaNG: 1608 PRIMROSE ST DHT: CITY OF COSTA MESA — BUILDING PERMIT R'RHID"*A SANCHEZ , ALFRED PERM NO: E 072933 1 ADDRm SANCHEZ KATHERINE M 1608 PRIMROSE ST PERMIT NO: E 072933 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA,CA 92626 APPL.MMLDIG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH ARCNRECT OR ENGINEER: BERNARD ADAMS LIC.HO.: 10183 JOB DESCRIPTION : CONST . GUNITE POOL & SPA SQ FT: ARCH.OR ENG.'S ADDRESS: 11022 ACACIAPKWY UHT: RADEN GROVE CA 92640 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTORSNAME SWAN POOLS ( 714 ) 859-8466 calmAcroWSl UNG 24512 BRIDGER RD COMMENTS : REF: B-72932 somm: EL TORO CA LUC.040.: 440333 ****tk*******+6****************AEE********RE*tb**at-AEit-**+E**tE*tb***+E*******tkx*** -******* 92630 DHT: NONE ZONING REQUIREMENTS LI NSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury That I em licensed under provisions of Chapter 9 S E T B ACK S ., mend,,:with Section 7000)of Division 3 of the Business and Professions Code.end my license le in Iull force end ailed. uc.CLAss: C53 uc�/N///o��r.: 4403 / '1y,�(� EXPAO//00 MAIN BUILDING ACCESSORY BUILDING DJ•.:028825 caNetior: rW/� INV/ U G u//� FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • ILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contract License Law tor the reason(Section 7031.5 Smiles,and Professions Code:Any city o county which requires a permit to consm v,alter,improve, PARKING REQ: P ROV: PARCEL: 13929102 Z N E: REF NO: demolish.or repel any structure,prim to Is issuance.also requires the applicant for such permit to fib a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> , 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 perms subeds the applicant to a mil penalty of not more than fere hundred dollen MOOD. ******************************************************************************* El I.as owner o the properly or my employees with wages as thele sole compensation,will do the work,and the structure is not intended D E V E L O P M E N T S Ent R V I C E S R EQU I R E M E N T S or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to en owner of property who bolds of improves thereon,and who does such work Nmseff or herself or through his or her own employees.provided that such improvements are not intended or offered for sale.ff.however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY : : owner-builder will have the burden of proving he o she did not build or improve for the purpose of sale). _. _ ❑ I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and Professions code:The Contractors License Law dose not appy m an owner of properly who bums or improves therein and who BUILDING APPROVED BYy". DATE: contracts for such proieds MO)a ccntradotjs)licensed pursuant to the Contractors License Law). -- .. — q .. ❑ Iamexemptunder Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: / : DATE: 2r i') Date: owner: ********************************** *iFI WWR *IF iF **********' * ** Ido hereby unify that I ern aware of and understand the requirements of California Health and Soley Code Sections 25505.p55ro.and LEGALIZATION:N F E E SUMMARY STRUCTURAL S GM EN T: N unify 25534.end that I or any future building occupant will/will not(circle one)need to comply with said dale codes end the requirements for J a permit for construction or modification fromtheAiue3adylragement District.Residential construction appicatkmsam exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 30 . 00 • owe: Applicant: 50$ SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:t hereby affirm under penalty of perjury one of the following declarations: PLAN 1.."-' . Ihave and MI maintain a certificate of consent toeea: w -insure for workers'compenion,as provided for by Section 3700 of the Labor ISSUE FEE 1:5 . 00 Code,fothe ped«manceonmit the work BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I have and MN maintain waken'compensation insurance,as required by Section 3700 of the Labor Code,for theped«mann of the TOTALS----> 30 . 00 15 . 00 , 0 . 00 45 . 00 45 . 00 . 00 work for which this permit is issued.My workers'compensation insurance cagier and policy number are: - . Carder: STATF FT]Nf EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 45 . 00 OVER/SHORT: . 00 Policy Number. 111S1t5-44 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GRADING PLAN-CHECK (ml,section need nor be completed I the punt is for one hundred dollars(4100/or lase) 45 . 00 - ❑ I certify that in the pedomence d the work 1«which this permit S issued,I shell not employ any person in any manner iso as to become subject to the workers'compensation owe of California,and agree that d 1 subject to the worken' **********************************f(-.fE******************************************* Pensnion provnions d Sect 3700 o the Labor Code,I forthwith comply proesio e. ®® s23 -%S Appy en': frn.7z.A ) .4.(,i ,17.-4-----' INDIVIDUAL; F E E• BREAKDOWN • ,^. 9:Failure to secure workers'compenudon coverage is unlawful,and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTION ' , UNIT COST TOTAL COST civil fines rpt to one hundred thousand dollars(5100,0001.In addltlod to the cost of compensation,damages as provided for In Section 3706 of the Labor Code,Interest,and atromey'i Nu. ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 30 . 00 30 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm tinder penalty of perjury that there is a condmdin lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: , LENDER'S ADDRESS: I • I certify that I have mad this application and date that the above information an coed.l agree to comply with ell ply and county ordinances i. and state laws rg to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property a' lot inspection pun ' , Alif al ltd'Name I - .• - • r. L.,. J ,z) 1 Fr Date: i->Z3 7.S ./.“ --r: '!/ r h Signature, Owner lent/A•.-cant/C• tractor a • (5151-46.WP) While-Building B Safety;Green-Fie;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor :ONSTRUCTION AND PLANNING it ?C . SPA APPROVALS Permit # Date Inspector APPROVALS Permit # ,• Date Inspector 1. Temporary Electrical Service Or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms• /�� 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding '�•3 666: 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER 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 - Fine 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test , 72. Underground Flush 24. Roof Framing . - 73. Undergrnd.Storage Tank 0 Gas 0 Oil ,�_, - •25. Roof Sheathing - 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I 27. Frame and Flashing 76. Dry Standpipe - - , 28. Lathing& Siding 77. FIXED SYSTEM FINAL •. 29. Insulation78. FIRE PREY. FINAL . r 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION / 32. Electrical Power Meter-Final // 80. FOOD CERTIFICATE ISSUED / 33. Final Electric s/5° Notes: •�. 7,.r e- etyLf .e� 0o 34. Final Heating & Air Conditioning 7 l-f < p i'fypt.( 0/6.-- O/C � 35. Final Gas Pipe-Test �• -3145- V/ / / ier� ( OC . PP 36. Hood or Canopy /i _(-17 • 37. Final Factory Fireplace 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. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date STAIR wG L l Axel Posh C ,,fri � ,'a 9 / � _ o — NO 1 Tv �A c �a/� rmE/C T l�ca-riDIUS !ditzat: oNoor` C �� t � a t Cc Am I 60 B P 1 I��0Se ' ELEC.. ril ... b C /Pi r 1 - - FiftE2 14EATGR- — Durno i . L/ . , Fes � '> / iO 0 U 6. npQ� CotcPerG pF!() - - t 771/ / I/V-' / W .t u re, mace Trod 1608cfrrarosc (06/16/97) DING PERMIT SYSTEM (09:22:21 ) BP74 B SE INSPECTION RESULTS NUMBER: 1608 STR: PRIMROSE ST UNIT: PERMIT NO: E 072933 PLAN CHECK NO: 9502389 PARCEL: 13929102 OCC: R-3 / NOTES: PERMANENT CERT. OCCUP: DATE: TEMPORARY CERT. OCCUP: EXP DATE: CODE DESCRIPTION DATE INIT Y/N 0000 CONDUIT 07/27/95 RB C 0000 CORR. 07/28/95 RB F 0000 PARTIAL 08/03/95 RB P 0000 ELECT. 08/10/95 RB P 0000 EXPIRED 04/14/97 LW F 0000 LOCKED 05/01 /97 RB F 0000 LOOCKED 05/02/97 RB F 0000 FINAL 05/30/97 RB P FUNCTION: F:FORWARD N:NEXT T:TOP U:UPDATE X:EXIT NEXT CODE: MSG: NO MORE RECORDS FILE: ACT PRINTER: REM 1608 PRIMROSE ST DMT: CITY OF COSTA MESA - BUILDING PERMIT M+DNN: SANCHEZ, ALFRED PERM NO: 18 085158 ADDRESS: SANCHEZ, KATHERINE M 1608 PRIMROSE ST PERMIT NO: IB 085158 PLAN CHECK NO: N GOVT: N SUPP: Y COSTA MESA,CA 92626 .MMLDdG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: V'TI1 STR PURPOSE: OTH dRCNITECT"xa+EER: BERNARD ADAMS ucNO: 10183 JOB DESCRIPTION : TO REPLACE EXPIRED 8-729322 SQ FY: ARCH.OR Et 'S ADDRESS: 11022 ACACIAPKWY DIT: RADEN GROVE CA 92640 CLAIM VALUE: CALL-VALUE: GROUP OCC: Ii--3 i CONTRACTORS NAME: CONTRACTORS MARINO COMMENTS: CONST. POOL 6 SPA ADDRESS LIC.N0. ****************d*SE d iE iiiE W 7a it ie de iE iE it iE dE iE it it iE iE ie ie*iE if d dE ie d ii d x k ie d d ii d d it ie iE old ie ie d d d iE id dr 7r yE ie iR ie ire ie ie x DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby them under penaly d penury that I am licensed under provisions of Chap er 9 5 ETBACKS (commencing with Saxon 7000)of Division 3 of the Business and Professions Code,end my Goethe is in full force end effect CITY UC.NO., UC.CLASS: LIC.NO.: EXP: MAIN BUILDING • --- ------------- ACCESSORY BUILDING ----------- -- FRN'I: FT IN REAR: FT IN ERNT: FY IN REAR: F'I' IN Dale: Coiretla LEFT: FT IN RGHT: FT IN LEFT: FT iN RGHT: i T IN OWNER BUILDER DECLARATION:I hereby dfirm under penally of perjury that I am exempt from the Contradas License Law for the following reason(Section 7031.5 Business and Professions Code:Any sty o county which requires a permit to construct aha.improve, PARKING RE(); PROV: PARCEL: 13929102 Z NE: REF NO: Mt Modish,or repany structure,prior to hpermit s issuance,also requires the applicant for such to Be a signed statement that he or she licensed pursuant to the proyiatos d the Contractors License Law IChasem 9(commencing with Seaton lam)of DiSion 3 d the PLANNING N i ES> - rsinaa and Professions Cade)or that he or she is exempt therefrom and the beds for the alleged exemption.My Walden of Section ) / • 7031.5 by any applicant for a come subjects the applicant to a dvi penalty of not more than free hundred dollars M5001). 'dad dada***ad ad a ad a add*addaaiE ad*a**a ad a a da**dada**dr***a ad dada:died**a'a ad.))'-da ad a as ❑ I.art owner of the prmedyor my employees with wages as thee sole compensation wa do the mirk and the structure i not herded DEVELOPMENT SERVICES R E Q U I R E M E N S Or dieted for sale(Section 7044,Business and Professions Code:The Contractors s License Lew does napplyto en Omar of property . who buids or improves thereon. such and Ma does work himself or herself or through his or her own employees,provided that such improvements ere not Intended a Slated for sad It however,the building or improvement a sold within one year of completion.the Z VN I NG APPROVED 13V DATE: v mr'bu °widee wig have the burden d proving he or she did nal bund a improve fa the purpose d sale). ❑ I.as owner of the property. recluse*•• ,-ig with licensed comma=to construct the project(Secon 7044.Business and • Prof...:.. Coda:Tact; aeon _ .. .w does not apply to ahwnrd property whobuilds or improves thereon and who 11UILL)INI'7 APPROVE[ BY DATE: -. . f'^a"" a and -or(s)licensed pursued to the Contractors License law). •r I r E I , -pee'. BP -V44 BAP.c..bnlhi.reason: �:W LDER APPLICATION ISSUED BY: DATE: nk / / y iEiF***... tiEiEieii#iEiEiEieiEiEiE#seir7eswitsw*warsrwsew n xesr+e***rww+efl****iEieiE*”,-*iErennh pew 'w m,c .A- �� / 1`. Owner ! LEGALIZATION:N F E E S U M M A Ii Y STRUCTURAL; S13GM'itNi :Y frisifI aw el end understand the requirements el Cdiomia Health end Solely Code Sections 25505.25533,and �, • �,t moues. •ng occupied will/wN not(date one)need to comp&with said pate codes and the requirements to e•. •'Dons err or modification from the Ai mulyManegemea Didiid.ResdeaScomemdidh applcationereexempt nom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/itr.s GRADING; a• PERMIT 42 . 00 (A_ Date: Applicant . ' - SMIP/NON-RE S ir WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally d perjury one d the following declarations: PLAN , d/ ISSUE FEE ❑ '• I have and wiL maimed a caniicale of consent to sed;nwn for workers'compemaioh,m provided for by Section 3703 of the Labs BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK 'DOTAL PAID DUE Code,for the wince d the work for which this permit is issued. ❑ Ihave dMImaintaworkers'cannonade',insurance,r required bySedion0700eltheLabor Cade,erthe pedad ch this ormxethe TOTALS - -> 42 . VV V , VV V . VV 42 . UV 42 . VV 00 an work for which permit is issued.My workers'compensation insurance carrier and policy number are: t' •1 Caren: REVENUE DIVISION TOTALS--> COLLECTED: , ' 42 , 00 OVER/SHORE: . 00 Policy Number: BLDG PHI PLUMBING ELECTRIC MECHANIC -FIRE SMIP/TOT GRADING PLAN-CHECK nits section need not be competed t the paint is for one hundred dollars MOO]or less) 42. 00- 0 I teddy that in the performance of the work for which this permit is issued.I shall mol employ any penal in any manner s es to - d' become w to the eskers'oompeemthen laws d Caiforne,end°gree that ill should become to the workers' ..**..**.•..... W. a .... ' ' gectwwwwwwwww7txxiewwwdeieiriTirwwir I """"'iFieieieieieiEifE-.,eiEicirieieieieieieA•ieieiehiEieiexxiEieiEiExiiieieiFxRrRxieie compensation pvds'as d Swop 3703 of the Labor Cade,I shall forthwith comply with those provisions. , I N D I V Z D U A L " F4. E -•, 13 It EAKDONN Dole: Applicant TYPE - -- - I - .. _ _ ..N . COST TOTAL COST Warning: tip to ucndwahosand dollars sudldon tl,are shall f bonyenemployer ropenalties and 1YYt QTY L h S L- It 1 Y T 1 V N UNIT lUS1 LlJiAL l-V:J1 civil Rata 06 to one Labor Co e,Sore olden tSmey's f M eddlton to the cost of ronperosfbd damages as Provided for In Settler 3706 of the Lebon Cods,Sweat arMefromry%e fen INS I BUILDING RE-INSPECTION FEE 42 . 00 42 . 00 CONSTRUCTION LENDING AGENCY:I hereby all under penehy of perky that there is a mrutmdon lending agency for the END': OF FEES ' ' pad«mance d the work for which the perms a issued(Section 3097.Civ.C). '1 -f LENDER'S NAME: C LENDER'S ADDRESS: I tarty that I have read this application and state that the above information is coned.I agree to can with all thy and county ordinances end state laws neem;to building construction end her a« auves of the city to upon the above-meted proper& 2 nspetialDron purposes. ALFRED S NC IED 18-18-1997/11:37 IH/$42.88 � d —7 re / / /0 -10 / PERMZTpT9851158 Signature d o (5151e6.WP) White-Buikig 8 SSW.0 FM;Canary-App4em;Pink-Revenue;Goldenrod-Assessor ,TRUCTION AND PLANNING - - POOL 'PA clOVALS Permit# Date - - Inspector APPROVALS Permit# Date Inspector Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _3: Electrical Conduit Utility-Undrgrnd. 54. Forms -4. Electrical Cohauit-Undrgrnd. . •• 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. 'Electrical) FER Grnd. 57. APPROVAL TO COVER-GUNITE . ,•7.; Footings. 58. Electrical Conduit-Undrgrnd. - •,8r• 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 t. •-, 64. Plumbing System - Final 14. Rough Plumbing Al -' 65. Electrical-Final • 15. Rough Electrical-Conduit ., •66. Solar System-Final l' 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 _ , I _ - r FOE gEPT...REQUIREMENT 20. Plough Factory Fireplace L ; )APPROVALS. Permit# 21. Ducts, in'Structure • '• • - - • -• y. 1 70. Underground Hydro '' 22. Ducts, Ventilating.. t ' . 1.1. 'I 71. Product Piping P]Gas Oil 23. Gas Pipe-Rough& Test `• - 72. Underground F!L's?i'- • 24. Roof-Framing' .: -'"' " " _ j 7 73.1 Undergrnd`Storag-e Tank.❑Gas Oil 25. Roof,Sheathing -• •. • _ - • 74. Overhead Hydra , • 26. T•Bar Ceiling (Strgctural) & Mo-no_coat ;' -A ° 75: Dry Chegtical _ j - I" 27. Frame and Flashing . •, r. • L I 76. Dry Standpipe .� ' 28. Lathing &Siding - ' _ _ - •' '• '-,[ 7Z; FIXED SYSTEM'FINAL _, I: 29. Insulation - • i q 78r FIRE PREV. FINIAL ° ' 30. Drywall Jailing I �h .../ -HEALTfi DEPt.1gEOUIREMENT 31. Plaster Brown Coat i = - I. * 79. FINAL INSPECTION e 32. Electrica(;Qoer Metier-Final , l' w I; ' 80' FOOD CERTIF4`CATE ISUED_ - 33. Final Electric-. .. I I II Notes: A -I D 34. Final-Heating & Air Conditioning 1 i' /e (le- ` - µlb - it.o /_A,� t. 35. Final Gas Pipe-Test r - ( /�`�-v / :cat- __I N`KJ` _ 36. Hood or Canopy - , �., • 37. Einaf'.Factory Fireplace . - - f --'(� q7 -f / , Q -tte 38. Final.Plumbing - 39. Water Service-Final ' - . -,-1�/ 40. Gas Service-Final - , i : r 1 - - • --.E 41. Solar Domestic-Final _ _ _ 42. Backflow Preventer - 43. Backflow Irrigation . " - r .. 44. Landscape Irrigation System - •'• = ? _ . r 45. Sound Attenuation' ' , ,,t . -• I' - . -• 46; Handicap•Regulations _ - - 5_ ._ 47. FINAL STRUCTURE & BUILDING /j /L 7 - .: - •A.: ti 48. FINAL PLANNING 49: Electric Release to Fdison l 50. Gas Release to Southern California Gas Co t - ' ;..• . 51. CERTIFICATE OF OCCUPANCY - :4' No. Date Q ACORES?OfBUILDING: 1608 PRIMROSE ST UMT: CITY OF COSTA MESA — BUILDING PERMIT - 6wNEtrM11lFloawN° SANCHEZ, ALFRED {T RM NO: B 072932 ADDRESS: SANCHEZ, KATHERINE A. A 1608 PRIMROSE 5I,. PERMIT NO: B 072932 PLAN CHECK NO: 02388-95 L GOVT: N SUPP: N COSTA MESA,CA . 92626 APR-VINO VNO ADDRESS:, ,/' CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT ORENGINEER: BERNARD ADAMS uc-w, 10183 JOB DESCRIPTION : CONST. GUNITE POOL & SPA SQ FT: 14 , 800 ANCH.ORENG.'SAODRESS: 11022 ACACIAPKWY UMT: RADEN GROVE CA 92640 CLAIM VALUE: 14, 800 . 00 CALC—VALUE: 14, 800 . 00 GROUP OCC: R-3 / CONTRACTOR'SNAME: SWAN POOLS ( 714 ) 859-8466 CONTRACTORS MAILING 24512 BRIDGER RD COMMENTS : CONST. POOL & SPA ADDRESS: EL TORO CA UC.NO.: 440333 ********* k********x*suis********it***Rt Stat*3tatit**pit***Sk****a********Bloc*** *********x 92630 UNIT: NONE ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect. • CITY LIC.NO.:028825 LIC.CLASS: C-53 LIG. 440333 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING �7 S /� � � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dm Contractor ?�W1J-.L/ -nirr�� s�iiS LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,altar,improve. PARKING REQ: PRO V• PARCEL : 13929102 Z N E: R1 REF NO: demolish,or repair any structure,prior to its issuance,also requires the applicant for such peed 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 Diyeian 3 of the PLANNING NOTES> INSTALL A POOL IN BACK YARD . 3usiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 031,5 by any applicant lorepem4 subjects the applicant toe dvil penalty of nalmore than Me hundred dolts.[S500]). ******************************************************************************* ElI.as owner of the property or my employees with wages as their sole compensation,will dothe work,and the structure anot intended DEVELOPMENT S E R V I C E S R E Q U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property Q who builds or improves thereon,and who does such work Nmself or herself or through he cc her own employees,provided that such /' 9 �" 1 improvements are not ro intended or offered for sale.If,however,the building or bmpvement is sold within one year of completion,the ZONING APPROVED BY 1/\ DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ElF , _�. �A;� I.as owner of the property,am exclusivelycontracting with licensed contractors to construct the project(Section 7044.Business and Professions Cade:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : I /!J, DATE: contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law)., V V —47 ❑ lamexempt under Section B.&P.C.,for this reason: APPLICATION ISSUED BY: DATE: I �— *************************************** *********1F*********** • I' lF** Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGM NT:Y I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Sections 25505.25533.and 25534,andonlaranyrmodificadingoawpeAtORT)l1 agemetDin°edmcdmpyconstth ndanapodeins&eerempitfrmmafoe BLDG PMT PLUMBING ELECTRIC MECHANIC` FIRE SMIP/RES GRADING r 2peak/od construction n future nhwminent wiia ililnot°gemeoDistad.f to Residential caMadistte codes anathe requirements provisions. PERMIT 162 . 00 • Dale: Applicant: . SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following ded°mtions: PLAN 105 . 30 3 . 11 ElI have and willmawntair a certificate of consent to self-insure for Maker'compensation,as provided for by Section 3700 of the Labor ISSUE FEE Code,for the performance of the work for which this permit isissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 1p e and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 165 . 11 0 . 00 105 . 30 270 . 41 270 . 41 . 00 �saTM for which this permit is issued.My workers'compensation insurance earner and policy number are: Cartier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : ^ 270-. 41 OVER/SHORT• 00 Policy Number: 1 "11S1F,5-94 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed y the permit is for one hundred dollars($0001 or less.) 162 . 00 3 . 11 105 . 30 o 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 Celifommi an agree that it I should become subject to the workeo' ******************************************************************************* • compensation provisions of Section 3700 d the Labor Cede,I del with campy with p cions. INDIVIDUAL F E E BREAKDOWN ' id-a3—� Applicant: 11-71--r.-0.-}} J ._.4-L.. ' a :Failure to secure workers'compensetIon coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCR IP T ION t'. UNIT COST TOTAL COST res up to one hundred thousand dollen($100,0001,In addition to the cost of compensation,damages as provided for In • Section 3706 ofths Labor Code,interest,and attorney's fees SFC 14800 POOL & SPA " ' 1 . 00 14 , 800 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END' OF FEES' performance of the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: • LENDER'S ADDRESS: , I certify that I have read this application and date that the above information is correct.I agree to comply with all city end county ordinances 1 • I , and state laws relating to building construction end hereby authorize representatives of this dry to enter upon the above-mentioned property D + ,rs for inspection purpo _ 1 cc Z"I/70 � R4��✓L �1�001P �2 iUg1'k82r'' J., 1 �_••1 0. 5. ja _ :`i , nt Name T' T r:r-.r'. .- . &ht4.az X_-/A4I�. Date: 6-139. - Signature of Owner/AgenUApplicant/Contractor ,: - ' (5151-4e WP) White-Building A Safely;Greer-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor \" \ -\ . • CONSTRUCTION AND PLANNING -. K, L& SPA ' APPR'VALS Permit # Date Inspector APPROVALS Permit # _ - Date Inspector 1. Temporary Elevtrical Service or Nile 52. Pool & Equipment Location Z-z_47' 6' ' 2. Soil Pr'e-Undrgrnd. 53. Steel Reinforcement 7.7-2 S IC CIL/ `s 3. Ele'c$ical Conduit Utility-Undrgrnd. 54. Forms I 7-‘75- t-4 4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding I f7-9y----Cc e, 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE iti---7-2er&w6� 7. Footings - 58. Electrical Conduit-Undrgrnd. v ) ; 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • I 9. Mater Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,Ll Undrgrnd. q • ' T-, (5- c4 10. Structural Floor System 61. APPROVAL TO DECK O- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ) 12. Sewer Cap • 63. Heater & Vent-Final ' 13. Roof Drains - i 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical-Final 15. Rough Electrical-Conduit66. Solar System-Final 16. Rough Electric Wiring 67.67. Fencing & Access Approval L L �7 (Q.4* 17. Rough Wiring Sign68. APPROVED FOR PLASTERING ci-2-1'-"1-6 6-46 18. Rough Electrical-T Bar Ceiling i 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure i - 70. Underground Hydro ; • 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil - 23. Gas Pipe-Rough & Test72. Underground Flush '�-j�� 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas 0 Oil 3-,f• - t 25. Roof Sheathing - 74. Overhead Hydro t.> 26. T-Bar Ceiling (Structural) & Monocoat . 4 75:, Dry Chemical , '�7-i j - 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 ._ ' 80: FOOD CERTIFICATE ISSUED 33. Final Electric - - Notes: 7. 2-Y-q� �� le)C 34. Final Heating& Air Conditioning - P C O/L 7 35. Final Gas Pipe-Test . j29 [[[999��"'"- lll6 36. Hood or Canopy 37. Final.Factory Fireplace 2-g' tQ'q_- - Gc. /ti_ 38.-Final Plumbing - /� /00, erG ` C-(G _C" ` CSC--. 39. Water Service-Final - /g'--3--p� At-ea / ) , 40. Gas Service-Final ( / GO- /- 644(41- , +'/7 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System -- ' 1 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING • `( 49. Electric Release to Edison ' . - \ 50. Gas Release to Southern California Gas Co e - - ~ 51. CERTIFICATE OF OCCUPANCY No. Date /' C • • ( POOL AND SPA REQUIREMENTS The following information shall be required in a clear and legible manner. All information shall be complete or pre-site inspection will not be made. Information shall be on plans or cover sheet. Two sets of plans showing all of the following with measurements shown from property lines, buildings and patio covers. 1. Name, address, phone number of owner. 2. Name, address, phone number, type of license of any contractors or subcontractors. 3. Pool and/or spa location. 4. Equipment location. 5. Gas and electrical meter locations. 6. Overhead service lines and serving pole location. 7. Type of gas and electrical conduits to be used. 8. Size of main electrical service (if less than 100 AMP, service is probably inadequate and will have to be upgraded to minimum City requirements). 9. Rating (horsepower,voltage, amps) of all electrical equipment. 10. BTU rating of gas heater. 11. Distance and size of gas line. 12. All electrical outlets within 15 ft. of pool/spa. 13. Capacity of spa (spas only). 14. Handrails, ladders, slides and diving boards (if any). 15. Location and details of solar panels (if any). 16. Location of doors and windows within 5 ft. of pool/spa. 17. The type of construction -gunite, poured concrete, prefabricated fibreglas or other. 18. The pool dimensions, including the depth and adequate cross-sections drawn to scale. 19. Computations,stress diagrams and other data sufficient to show the correctness of plans; including reinforcing steel schedule and details. 20. A statement by the applicant concerning the anticipated nature of the soil under and around the pool structure (expansive, moderately expansive, non-expansive. (A soils report may be required by Building Division prior to permit issuance). 21. The Engineers wet ink signature is required on pool plans and calculations. 22. All semi-private pools and spas shall conform to California Administrative Code Title 24 handicapped requirements (hotels, motels, recreation areas for lease to public or publically funded projects). 23. Where a permanently installed pool is constructed, at least one 120 volt receptacle shall be installed a minimum of 10 feet and not more than 15 feet from the inside wall of the pool and shall be protected by a ground fault circuit interrupter. 24. Indoor installation of spas and hot tubs, receptacles shall not be closer than five (5) feet to spa/tub. 25. Receptacles located within twenty (20) feet of a spa or hot tub shall be G.F.C.I. 26. Receptacles for spa/hot tub motors shall be G.F.C.I. protected. ( / CMF 1039-46 (OVER) as j��l O1�1(l Il 0 �1J GENERAL REQUIREMENTS 1. If capacity is 750 gal. or more, backwash and P-Trap shall be installed. 2. All P-Traps shall tie in at lower terminus of house drain. 3. If permanent fill line is not installed,nearest hose bib shall have an anti-syphon valve. 4. All PVC shall be 18 inches underground. 5. PVC gas lines shall be tested at 60 P.S.I. 6. Pressure test required on entire system (35 P.S.I. air test or water fill) prior to back fill. TYPICAL SETBACK REQUIREMENTS Equipment: 4 ft. from property line 4 ft. from doors/windows 4 ft. from attic vents 18 inches from house/garage Pool/Spa: 5 ft. from property line 5 ft. from structures Notes: 1. Fiberglass type spas may be located 3 ft. from property lines and/or structures with prior written approval of jurisdiction. 2. Overhead Edison drops shall be a minimum of 10 ft. horizontally or 18 ft. vertically from water line and 16 ft. vertically from diving board or platform and shall be triplex service cable. 3. It shall be unlawful for any person to install, remove, alter, repair or replace any plumbing,gas or drainage piping or any fixture, swimming pool heater or • treating equipment in a building or premises without first obtaining a permit to do such work from the City Building Division. 4. Clarification or additional information may be obtained by telephone : 754-5230 or 754-5231, between 8:00 a.m. and 8:30 a.m.,or 4:00 p.m. to 5:00 p.m. ADDRESS OF BUILDING: 1608 PRIMROSE ST UMT: CITY OF COSTA MESA — BUILDING PERMIT • AMEx3NAMEIEroa"MSANCHEZ, ALFRED PERM NO: B 073048 • AbDRESS SANCHEZ , KATHERINE M . 1608 PRIMROSE ST PERMIT NO: B 073048 PLAN CHECK NO: 02507-95 L GOVT: N SUPP : N COSTA MESA,CA 92626 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: LIC NO.: JOB DESCRIPTION : 6 ' X130 ' BLOCK WALL SQ FT: 130 ARCH.OR ENG.'S ADDRESS: UMT: CLAIM VALUE: CALL-VALUE: 2, 600 . 00 GROUP OCC : R-3 / CONTRACTORS NAME: CONTRACTORS MMUNG COMMENTS : 6 FT X 130 FT BLOCK WALL TO CITY STANDARD ADDRESS UC.NO.: ******************************************************************************* UMT: ZONING R E Q U I R E M E- N T S LICENSED CONTRACTORS DECLARATION:I hereby effkm under penalty of perjury that I am licensed under provisions of Chapter e SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect. art LIC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury That I ern exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to consbuct,alter.improve, PARKING REQ: P RO V: - PARCEL : 13929102 Z N E : R1 REF NO: 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 SeMion 7000)of Division 3 of the PLANNING NOTES> CONSTRUCT 130 LINEAL FEET OF CONCRETE BLOCK WALL ALONG SIDE Business and Professions Code)or that he orshe is exempt therefrom and the baso for the alleged exemption.Any violation of Section > AND REAR PROPERTY LINES, SETBACK 30 FEET FROM FRONT P/L . 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1350011' *R(..I ***.IE.N..IE.1f.lE.M..IE.lE*************3E.A.i(.i(**.x.*****k*************,N************************* ❑ I,es owner of the property or my employees with wages as their sole compensation.will do IM work,and the structures not intended DEVELOPMENT SERVICES R E U I R E M E N T S v or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an avatar of property Q who builds or improves thereon.end who does such work Hmsef or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.II,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). — ❑ I,as owner of the property.ern exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon end who : DATE: contracts for such projects with a contractor(s)licensed pursuant to Cant ors Li.*-e Law). _q }0 Iamexempt under SectionBP7044 B.aP.c.,for M O R Y OWNER APPLICATION ISSUED BY: DATE: 7.4:--"Y" 95— I ********************** ********************** *************************�F** oats: "30-95Owner: C 4 LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware d and understand the,aqui a of eliomia Health and S ty Code Sections 25505,25533,and 25534,and that l or any future buildingominent will/will not(circle one)need to comply wth said stale mdes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit for construction or modification from the Ai ueaTyllfinm ageant District.Residential oonsuueun applications are exempt from these Provisions. PERMIT 54 , 00 • . 50 Date: Applicant: PLAN 35 . 10 SMIP/NON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaratons: ISSUE FEE ' o I have andwit maintain acedificate of consent lo self-insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance athe work for which this permit iaissued. TOTALS----> 54 . 50 0 . 00 35 . 10 89 . 60 89 ,•60 . 00 ❑ I have and wit maintain workers'compensation insurance,as required by Radice 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance carver end policy number are: Carder REVENUE DIVISION TOTALS--> COLLECTED : 89 . 60 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK Tis section need not becompletedi thepanni is for one hundred dollars($100101less./ 54 . 00 . 50 35 . 10 3 1 certify that in the performance of the work for which this proms is issued,I shell not employ any person in any manna ea as to become subject to the workers'compensation laws of Calilomia. and agree that f I should become subject to the workers' ******************************************************************************* compensation provision of Section 3700 of the Labor Code,I shell forthwith comply with those provisions. INDIVIDUAL FEE BREAKDOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage'.unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(S1001000),In addition to the cost of compensation,damages as provided for/n . Section 37o6ofthe Labor Code,Interest,and attorneys Nes. SFR 130 RES-CONCRETE BLOCK WALL / FT. 20 . 00 2, 600 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which the permt is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I canny that I have reed this application and state that the above information is correct.I agree to comply with all ply and county ordinances - :_ and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. s ALF ED SANCHEZ Ex( (L�r ' riot Name ddFFTTbbLS r'-�J" qqp ! (�j `� 'f�I 07 t3'.liB ?11._;;eT� 2_J �',: I :.CI / � H Date: "�7 DA' E 1 1 v, Dr,TE: rt ',O:/95 cit; Sg atureof AganVAppliaNConla or ''C;` (5151-46.WP) White-Building&Safety;Green-File;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor g /' !Iir . r CONSTRUCTION AND PLANNING POOL ` A , 'APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical•Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement l 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement Z-3--4 S 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE 7. Footings 7->-qt.- 66-47` 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 • X64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplacer APPROVALS Permit# 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil r. 25. Roof Sheathing 74. Overhead Hydro r'". ,8 26. T-Bar•Ceiling (Strucfural) & Monocoat 75. Dry Chemical r" . , 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding77. FIXED SYSTEM FINAL "I 29. Insulation78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 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 - 7- (0 -7s-- °it. la p. '- ‘Ce--I4- 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co t 51. CERTIFICATE OF OCCUPANCY No. Date A k A .1 j PARTY WALL AGREEMENT • THIS At EEMENT, made and entered iin�tothis / wGARY e16-1114- day of JVne !• -zit fs by and between IFa-F=19 5 G'(4el hereinafter referred to as "LANDOWNER," and e ^ fy/' hereinafter referred to as "ADJACENT PROPERTY OWNER:' It is hereby agreed that a party wall will be constructed on the property line between 760 f /Pie/m/ZO5Er. ST (Address of Adjoining Properties) 4"0 /6 /2— PRwose S in the City Jof Costa Mesa, County of Orange, State of California, as per map recorded in Book I1 �� , Page 3-18 of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNEt / ADJACENT PROPERTY OWNER / . I e . . i . , s �g .tff (Signature) �IFI?Eu swaktZ . 6 RQCK / Name (Typed or Printed) Name (Typed or Printed) /Goe allnirox& Ste' CM- • /4 /GL PK/nxosE CH . (Address). (Address) 72C 26 2C Zl NOTARIZATION REQUIRED 1906-46 PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 3/\ ✓ day of JU/! /? _c , by and between ��tc-9 SA//C��g Z hereinafter referred to as "LANDOWNER," and 16604 kin t-soa hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between /60e /0/S'//1%%Sc ST, C, M1 CA , q262— (Address of Adjoining Properties) 4//lire 64K- C to • 64 - % ZG Z� in the CityofCosta Mesa, County of Orange, State of California, as per map recorded in Book I 1 G , Page SH 8 of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. L, I .OWN• - ADJACENT PROPERTY OWNER & ,i, Thm (Signal = • (Signature) .4\1 r (kr) SAWOREZivi t� L . �./c7e-s�� .l Name (Typed or Printed) - Name (Typed r Printed) 4108 PRAM Si CM- 92626 _[Log wt-n7t- omit_ ; 04 (Address) (Address) 9'vd La NOTARIZATION REQUIRED 1906-46 • . . / /U a 600c/ca -_- 14- 2 _-loc1C (-J4 (75 2 — � I� I��c� � 3 � 6c ( Grtiromt. 1--e— c---c � 4 DIVISION OF BUILDING SAFETY i MP}PR®VIED CITY OF COSTA MESA CITY OF COSTA MESA APPR 1 VED PLANNING MT. i NW= TO BLDG. DEWY. 9!..S By II / :,: / 30 l; DA 6 cni . This set of plans and sped icaliona MUST be kept on Ohs job at all&nes q c and it Is unlawful to make any changes or alteration on same without written pennissbn from the Division of Buldmg and Safety,Ci y of Costa Mesa. The stamping of Ns plan and specifications SHALL NOT be held to pent Of to bean approval of the violation of any provisions of any City of Caste Mesa Ordnance and/or State law. These da s end pemut shall expire byBrntafcn and become null and void) I.) Ore Wilding or work Is not commenced and maintained active per UBC§303 Si (d)R thin 180 days of issuance. C7 CJ.,,, li c' ' %.. u .a � lei RESIDENCE RESIDENCE RESIDENCE RESIDENCE iQ. 1?- . I / b°E) W W W N mr Ct~ VI 35/ In I 2 I STREET 6 PRICTIRO5L= �'. TYPICAL 611 CONCRETE BLOCK FENCE • Cement Coping Optional q® I GENERAL— NOTES Channel Block With 1-3/80 it In Horizontal Top of all , Fences MORTAR: One Part Plastic Cement, and 11 ...:�,.. Three Parts Sand For Fences 5'or Less to i �q}.�'- -' ,yv -v .„'.GROUT: One Part Cement Three and Vert. Bars 3/8"¢at 4' 0" O.C. MP o . - - a . �1 %: i�ti0. r CO One Half Parts Stand f� a 'I ' V� f u lA COP4NG: One Part Cement, Three For Fences Higher Than 5' t' w r Ptirt$ Sond Vert. Bars 3/8"chat 32" D.C. > ,Ti _ _ CONCRETE: Wel I Mixed 1;2-{/2; 3-I/2 S a z IL MCx. of 7- 1/2 Gallons of Fill Cells Solid With Grout S > w-i,i S t c tit_�3z4WOter Per Sack of Cement Where Steel Occurs 111 > , -,'A®�1®�~- � u C�- - a I _^t: _I"�Cn3 _-.G OU JdfMAyp 1 Reinforcing Steel Shall N3 a .£x-1 ,�=-'-�-�' vi��^-....• tOF�HE FE NCEEIN CEL L3 WHERE STEFROM THE EP Conform to Sec.A15-39 IIIYYYYCCCS"' w o - it:: �_ �� OCCURS 117 wz , 3 a: uCtCELLSMENLSEAS OF HORIZONTAL REIN. • II w n ��:'•�,_a!_.>� I��-- w' .FORCEMENT.SHA LL BE CLEAR,CLEAN& All Steel to be Lapped w I Jam. " , 24"or to Code pi FREED F A'L`L MORTAR DEBRIS,ETC. in f'-3Z-d istyl.; T.1_ 1.�-_-v • r:.i }�.7DV2-J.IVY 4 NATURAL GRADE SII 'C:��Git(':.:�(E) /may /K.. , :yA n e 2 TWO 3/8"0 BARS 'Q� n CONTINUOUS TOP 7 & BOTTOM � I+—WIDTH TO 16 0 C. MAX, } . SEE CHART ' I °. HOR!2.STEEL MUST BE TIED IN BELOW LDE PTH OF E ARTHTCOTH PLACE AT TIME OF TRENCH , 1 I/3 THE HEIGTH OF FENCE INSPECTION. \ SLOW BOTTOM OF FOOTING k-tQ-� ,"0- 2'. L_ SCALE: 1/2 I' FOOTING REQUIREMENTS CHART 1 WALL HEIGHT 6 ' 51---------7-1' 3! WIDTH 14" 14" . . . . . 12" . . . . . . . . 12" ` THICKNESS . . . . . 10" 10" 8 " . 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . .20" . . 16" 12" SPACING OF EARTNTOOTH, . 12' . . 14' . . . . . 16' . . . . 16' • City of Costa Mesa, California. Building .Department ,-„_...„5„) Nov.B:. . - - - ..h •.r. hwhew i •n-.. , v ...�.iL..e.a.c.-t eiais Gne� :e,.t.rt...��-.,.. ..--15,:. ._L.r.,L / •A� _ - AlNmasasuLDva 1608 PRIMROSE ST l 0mT: CITY OF COSTA MESA - BUILDING PERMIT •cm7 Euaawrt SANCHEZ, ALFRED PERM NO: B 072932 A00AE SANCHEZ ROSES_KATHERINE 1608 PRIMROSE S PERMIT NO; B 072932 PLAN CHECK NO: 02388-95 L GOVT: N SUPP : N • COQTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE; STR \ PURPOSE: 0TH wcBnECT0BwaNEI BERNARD ADAMS L/cNc= 10183 JOB DESCRIPTION : CONST . GUNITE POOL & SPA SQ FT: 14, 800 ARCIL°REM"ADDRESS: 11022 ACAC IAPKWY WIT: RADEN GROVE CA 92640 CLAIM VALUE: 14, 800 . 00 CALL-VALUE: 14, 800 . 00 GROUP OCC: R-3 / co vcTorseuw SWAN POOLS ( 714 ) 859-8466 mmAm SMMLDo 24512 BRIDGER RD COMMENTS : CONST. POOL & SPA ADDRESS: EL TORO CA meta: 440333 ******************************************************************************* 92630 sax: NONE ZONING REQUIREMENTS LJCENSED CONTRACTORS DECLARATION:I hereby affrm under penalty or perjury tin I am licensed under provisions or Chapter 9 SETBACKS (commencing with Section 700))of[BONN,3 or the Business and Professions Code,and my license is in full face and effect. ClTruc.NO/.:028825 uaCLJSS: C-53 uC.No.: 440333 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING oat - (�� --95 contraga: ?d/V-d.,L/ �/-tine �iJ>/S„t,1�d-set-tlFRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penely d perjury that I an,sxamq from the Contractors License Law forth. following reason(section 7031.5 Bwness and Professions Coe:Arty cry a county which requires a permit to construct alter,improve. PARKING REQ: PROV: PARCEL : 13929102 ZNE: R1 REF NO: demolish,or repair any structure:prior to is issuance.also requires the applicant for such panne to Be a signed statement that ha or the is licensed pursuant to the provisions of the Contractors License law[Chapter 9(commencing with Section 7000)err DSion 3 ci 1h PLANNING NOTES> INSTALL A POOL IN BACK YARD. • rheas and Professions Code)or that he a she S exempt therehom and IM basis for the alleged exemption.My violation of Sadie > 031.5 by any applicant for a permit subjects the applicant to a civil penally or not more than five hundred dollen 155001), ******************************************************************************* J I.eaown.r of the property or my employees w.h wages as thea sole compensation,will do the wort,and the structure is not intended D E V E L O P M E N TS E R V I C E S R E a offered toTh sale(Section 7041.Business and Professions Code: e Canraaorsucsma seLaw does applyto an Owner el property Q U I R E M E N T S who bolds or inproves thereon,and who does such work himself or hen*or through his or her own employees.provided that such othe , �� improvements re nintended aoffered for sale however.,thebuildina s g inprovemen sold within one yen d cemperon,tlr ZONING APPROVED BY DATE; 2S ) y awwhuider will have the burden d provcrg he or she did not build or improve fa the purpose d sale). ❑ L as operon d the property,am exclusively contractile with kereed oontrecrs to construct the project(Schuh 7044.S 'S”and , v e '—t h Professions Code:The Contractors Loose Law does not apply to an owner of properly who builds a improves thereon and who BUILDING APPROVED BY Cirk, DATE: contracts for such projects with a msractapitman(s)licensed puari to the Contractors License law)..El �� ^ lart exemp.underSecion: B.AP.c..for this meson: APPLICATION ISSUED BY: • DATE: *************************************** ********************* ** : Date: ONe LEGALIZATION:N F E E SUMMARY.r STRUCTURAL SEGM NT:Y7 ad I do hereby caddy that I ant aware of u and deratad the requirements d Calromia(Matand d Safety Code Section 25505,25513,and , 25534,and that I or any hairs building aspen wit/wit M(circlecne)need to comply with said stale codes and the requirements b -' '/ e permit tacantacionamnddmde hantMNQuay Maneperras Mend.Residential epp5caliauas easmgltant a BLDG PMT PLUMBING ELECTRIC MECHANIC•, FIRE SMIP/RES GRADING •• proesiorte. PERMIT 162 . 00 •. Date: Applicant: SMIP/NON-RES I WORKER'S COMPENSATION DECLARATION:I hereby affem under penaltyd re d perjury othe I*owMrm ing dios: PLAN 105. 30 ;/ r 3 11 ISS ❑ Ina and veil maintain ace arcate dmer *inr nsstosure fes waken'co psation.=provided for by Section 37004 the Labor BUILE FEE Code.tar the prformaceof the work for withthis pried. BUI permit DIV-> PERMIT ISSUE PLAN CHECK : TOTAL PAID DUE I[_7 y Ih .adwilmainta:sworka nresa nowshoeinsa . required bysedien3700or the Labor Cede for the peramaceortn TOTALS > 165 . 11 0 . 00 105 , 30 r' , 270 , 41 270 . 41 00 C for which this permit is issued.Ary workers'compensation insurance carrier arid policy number are: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 270-. 41 OVER/SHORT; 00 Poll Number 1111F)5-94 07/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sedion need nor be completed it the permit is for one vended dollars maul or fess./ 162 . 00 • 3 . 11 105 . 30 ❑ I henty that in the performance of the wok for which this permit is issued,I she(not employ any person in any macer so oto . become subject to the workers'compensation lam d Califon aWree that at l should become ehhpct to the wads& ******************************************************************************* h compensation provisions cl SSe!ction 3700 d the Labor Coe.I?hal L�with oo n'py�ted ..p wcaha I N D I V I D U A L. F E E BREAKDOWN J . `) a :F.Nunesscunwodrr.'mat,p niOncavey.4mesM,rWandlStt clanam9/oyrftanntlgneltlorN TYPE QTY D E S C R I P T' I O N ' . ° UNIT COST TOTAL COST `Ll—___D4'23-91— res cc to one hundred thousand dollars($io{000A In add/0on to 1M cost o/conprwtes damps as podded/ore _ Section 3706 of m.Labor Cods Intelsat,and attomys ler SFC 14800 POOL & SPA -I - 1 . 00 14 , 800 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under party Or prjay that Ilea is a constndion enm�gge agency w tat. %' ENDOF FEES prromenoe el the work for which the perms is lived(Sedbn 3097.CNC). - / • ,t LENDER'S NAME LENDER'S ADDRESS: • I candy that 1 have read this application end state that the above informdion is cored.I Mem to comply with all city and county adsaoo p ppgq9 f,. h ,h. end state laws releteg to building construction and hereby elation¢.representatives d the dry to enter upon IM above-mentioned property E x I R A_ v r . ata inspection ver f�1• t • aiil;vir Name � � 1JP Lye.,YLce , Dat.: 6-..)-39-S— • Signature d Owns/AgenuA UMo Contr - ' I 7 Eke - . 7,, • A rHOVALS . Permit - . Date Inspector n..c o: Pcle 52. Pool & Equipment Location v 7-?Cp '''6 b 2' Soil Pir -Undrgrnd, _ 53. Steel Reinforcement 4 7 S 7-G !Cele I s �3. EIc 4i al Conduit Utility-Undrgrnd. 54. FormsI 7-1 J/.G 4. Electrical.Conduit-Undret rad, 55. Electrical Bonding I 8j-7-9'§--- (i !\. Steel Reinforcement 56. Rough Plumbing & Pressure Test ElectricalUFER Grnd. 57. APPROVAL TO COVER-GUNITE C-Zi?y�`64.r� Footings -' 58. Electrical Conduit+Undrgrnd, v ) , 1 oundation. 59. Gas Pipe, 0 Undrgrnd., Test a ter Pipe-Undrgrnd. , 60. Backwash Lines_yP-Tran, 0 Undrgrnd. o q� //r'� m uctural Floor System 61. APPROVAL TO DECK -�Q- (7 'a 'u perty Sewer Line & House Connection I 62. Backwash & Receptor-Final I i O 'is' er Cap 63. Heater & Vent-Final ' � { k(' ,f Drains 64. Plumbing System - Final , ,N.% �jh Plumhing 65. Electrical-Final h Electrical-Conduit . 66.66. Solar System-Final ' Electric wiringt 67. Fencing & Access Approval cd-2d L Q��p,(s,�/ Wiring Sign 66. APPROVED FOR PLASTERING G-u el 6X4ig- Electrical-T Bar Ceiling 4 69. POOLJSPA SYSTEMS FINAL tsaiing & Air Conditioning- FIRE DEPT, REQUIREMENT . t ictory Fireplace . ..,. - _ - APPROVALS .c Permit at- Structure- ' . - ' + l, ' 70. Undergiound Hydro rtilating ; - , _ . 71. Product,Piping 0 Ga: 0 Oil . ,ugh & Test • ; r - ' 72. Underground Flush c ,, ` n9 - 73. Undergrnd.Storage Tank 0 Gas 0 Oil . Roof Sheathing •, 4. . - ••• " c. 74. -Overhead Hydro' 26. T-Bar Ceiling (Structural) & Monocoat - ` , 754, Dry Chemical - 27. Frame and Flashing. - - . a 76. Dry Standpipe 28. Lathing & Siding . :: I : • . "- r 77, FIXED:SYSTEM FINAL a.29. Insulation �, - ._ .I: 78: FIRE PREY. FINAL : - 30. Drywall Nailing . ; -. 't "HEALTH DEPT: REQUIREMENT ' I 31. Plaster Brown Coat • , `f: ; 79. FINAL INSPECTION ' 32.-Electrical PoSverMeter-Final ' ' ��' '- 80:- FOOD CERTIFICATE ISSUED 33. Final Electric i ,• s Notes: 7. 2. 34.,Final:Heating & Air Conditioning== ? n/ `� -.- r<-&----- S; _� '- 35. ,Final Gas Pipe•Test . r . - /„t y C f-a�^/ ({��" . Hood or Canopy . ••' . " 36. ,-, .- - ,r 37. Final Factory Fireplace . . ' �'-216- elle "- /pry d- _ - i( 38. -Final Plumbing '.. ! . E,sN,/ stcsG - efG -Ge-rl- 39. WaterService•Final ' ,` `. /B_ p� /1..t7/," / .44,6_)t-t E-a-� 40, Gas Service-Final p.oe Le��L C �/ L 41. Solar Domestic-Final - • , 4 42. Backf low Preventers .. 4 43. Backflow Irrigation : _ .44. Landscape Irrigation System r . _, -- , 45. Sound Atte nation' 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING • " s. 48. FINAL PLANNING - 49, Electric Release to Edison _ 50. Gas Release to Southern California-Gas Co - - ' 51. CERTIFICATE OF OCCUPANCY - 1 No. Date "" I t ‘-‘,.."411..14,4, CITY OF COSTA MESA • � ' �,� BUILDING DIVISION t r ". ,.:: DEVELOPMENT SERVICES DEPARTMENT .,o. rail PERMIT PER NUMBER E98-01144 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT • Job Address: 1608 PRIMROSE ST Status: ISSUED Suite No Applied: 10/30/1998 Vicinity: Issued: 10/30/1998 Parcel Nunmber: 13929102 Applicant: SANCHEZ, ALFRED Address: SANCHEZ,KATHERINE M COSTA MESA,CA Phone: 714-556-9185 • 1608 PRIMROSE ST 7 Zip: 92626 ,i . . - Owner: SANCHEZ ALFRED Address SANCHEZ, KATHERINE M COSTA MESA,CA Phone: , 1608 PRIMROSE ST Zip: 92626 _ Contractor: Address: - - Phone: . Zip: License: / SCOPE OF PERMIT INSTALL 1 VENTILATION FAN IN THE BATHROOM, REF B98-1975. - -�FEE SUMMARY - • Quantity Quantity ' • ISSUE FEE $22.00 _ .- -Temp Dist System/Lighting $0.00 0- Temp service test $0.00 - rBusway/100.fl' '- $0.00 0 ; Res.a/c package $0.00 '- -- - - Standing Section - $0.00 0 ' New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformersup to 1 kva/kw $0.00 0 • Pool/Spa $0.00 0 - - up to 10 kva/kw $0.00 0 , Lighting Fixts . $0.00 0 up to 50 kva/kw $0.00 0 , . Recept Outlets $0.00 0 • - up to 100 kva/kw $0.00 0 Switches $0.00 0 , - - over 100 kva/kw $0.00', 0 . . ' Non Res Appl $0.00 0 Low Voltage Equipment $0.00 ' 0 Res Appl $0.00 0 _ - Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00' 0 _ Misc.Conduit - - $0.00 0 Service to 1000a $0.00 ,,, 0 Misc..Conductor . $0.00 0 Service over 1000a $0.00 0 'Circus(gen or ride) - $0.00 0 Motors to 1 hp $4.25 1, >Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 ' 0 - • - ,Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee-. $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $26.25 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 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. FOR INSPECTIONS CALL: (714)754-5626 I\ .. 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 for workers'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 workers'compensation 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: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($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,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 Signature: Date: 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 DOLLARE($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# Contractor's Signature: Date: 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.(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 pr.•erty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:Th. tract . Li : se Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license a.rsu.nt to e C• tr..os License Laws.). I am: .-mp ••: ec. r. 17 'D L. Business and Professions Code for this reason: a. ;..•..lie: ii ./ 1W Date: 4/ ~ V 4 Owner ID eri •:*ive s I cense. a Yes ❑No P : s License'^. xpres: --11-d Verification of Ownership by(type of document,i.e.-property tax bill or dee : � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet 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. Signature: Date: Division of Industrial Safety Permit Number: 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? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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? 0 Yes 0 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 filing 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 0 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_kerma 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 Govemment Code requires that the requested information be fumished 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? 0 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? 0 Yes 0 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: Date: CERTIFICATE OF COMPLIANCE AND • • --ORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is corr' I agree to co• pl r ith all s. e laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a•• _ •:sc'•ed •r�•e'or ins.actio •• •• -• ..e not to occupy or allow occupancy of any building authorized by this permit until final inspection. gnature Of Legal Owner(s /0/41,,- at •n•fOr Authorized Applicant Date CODE L INSPECTION TYPF DATE =ALS CODE( INSPECTION TYPE DATE It1iIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical /7 1266 Pool Spa Final 208 Final Plumbing (', // 200 Final Re-Root 210 Final Electrical 3 '-/ r 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy 2446.46 p CITY OF COSTA MESA �i ►9 BUILDING DIVISION >:e" ;.4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER rir 4j PERMIT 4. Vika P01-00369 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1608 PRIMROSE ST Status: ISSUED Suite No Applied: 06/15/2001 Issued: 06/15/2001 Vicinity: KITCHEN Parcel Nunmber: 13929102 ISSUED BY: Applicant: SANCHEZ, ALFRED Address: 1608 PRIMROSE ST • Phone: 714-556-9185 COSTA MESA,CA Zip: 92626 Owner: SANCHEZ, ALFRED Address 1608 PRIMROSE ST Phone: COSTA MESA,CA Zip: 92626 Contractor: Address: Phone: Zip: License: Arch/ Eng: Address: Phone: Zip: License: SCOPE OF PERMIT NON-STRUCTURAL KITCHEN REMODEL. PLUMBING AND ELECTRICAL WORK ONLY. RELOCATE ONE KITCHEN SINK. FEE SUMMARY - AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00/ 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 ' Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 - Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 - Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $9.80 1 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $33.30 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This 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 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. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS fI 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 for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the �L.�work for which this permit is issued. [1�f/I't(ave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ___VVV••�"'�� My workers'compensation Insurance carrier and policy number are: Carrier: • Policy Number: s section need not be comp/et the permit is valu a one hundred dollars($100)or less.) I comity that in the perfo once of a work for w i r his permi . Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of elifomia, nd agree th 1 t ould b' • e subject to the workers'compensation provisions of Section 3700 of pt e Labor CCC000ddde,I shall forthwith comply with these p visions. J Applicant Signature: I Date: / /0/ WARNING:FAILURE TO CURE WO ER COMP • •• ERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED t THOUSAND DOARE(S1 ,000),poomON TO THE cos 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.ft Class N Contractors Signature: Date: 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.(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 contractor(s) license pursuant to the Co •actors license Laws.). ❑ I am exam• der ec. Business and Professions Code for this reason: Signature: / Date: ?/0715/Di Owner ID v: -•b• : ars Ilc=n : 0 Yes 0 No Driver's License No. xpues: 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 feet 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,Callfamla 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 frem the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or prest or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has et 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 0 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 filing 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? 0 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 Duality Management District or from any other air pollution control district or agency? f�Yes IJ No (Section 65850.2 of the California Govemment 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 0 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: Date: 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 t• comply with a I state laws and ci • : ances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri•:• 'ropertfor,fInpecti0n purposes :gree not to occupy or allow occupancy of any building authorized by this&niit uptil fine action. s_f i atu gr. egal Owner(s) Dat iir '00"zF " And/Or Authorized Applicant Date •19. T INSPECTION TYPE PAU INTRIAL$ CODE( INSPECTION TYPE p IKTI1IALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical x� 1266 Pool Spa Final 208 Final Plumbing 8-q- Oa M 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy „?.-iiittctr CITY OF COSTA MESA - P;+' .4 BUILDING DIVISION UP‘--�p t' ' DEVELOPMENT SERVICES DEPARTMENT l/P'- PERMIT RMIT NUMBER M98-00503 (714)754-5273 • Fax(714)754.4656 77 FAIR DRIVE, OSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1608 PRIMROSE ST Status: ISSUED Suite No Applied: 10/30/1998 Issued: 10/30/1998 Vicinity: Parcel Nunmber: 13929102 Applicant SANCHEZ, ALFRED Address: SANCHEZ,KATHERINE M , COSTA MESA,CA Phone: 714-5566-9185 1608 PRIMROSE ST . , Zip: 92626 Owner SANCHEZ,,ALFRED", , Address: SANCHEZ, KATHERINE M - , - ' COSTA MESA,CA Phone: 1608 PRIMROSE ST - Zip: 92626 - Contractor: -, - - . " Address:: Phone: • ,.. , Licenser `. Arch/Eng: - - \ .- - ' N Address: , , Phone: , Zip: License: SCOPE OF PERMIT INSTALL 1 VENTILATION FAN IN THE BATHROOM,REF B98-1975. • / FEE SUMMARY ' ' ' Quantity - - . / Quantity ISSUE FEE $22.00 Repair/Alt Absorbtion Unit - $0.00 0 Inst FAU<100 k BTU $0.00 Repair/Alt Refrigeration Unit '$0.00 0 Inst FAU>100 k BTU $0.00 Ventillation.System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 , . Commercial Incinerator - $0.00 0 Refrig Sys<100 k BTU ' $0.00 0 . .Domestic Incinerator ', $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping - • $0.00 0 / , Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 • , ' 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 - 15 To 30 hp/1,000 k BTU / $0.00 0 VAV Box $0.00 0 • , ' 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct . -$6.50 1 . ' ' ' ' :Over 50 hp/Over 1,750 BTU '$0.00 0 Appliance $0.00 0 ' ' ' - , . .Boilers - Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 / 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 .- 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 . Other Mechanical Fee Floor or Suspend Heater $0.00 0 - ,Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $28.50 COMMENTS/SPECIAL CONDITIONS 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 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. FOR INSPECTIONS CALL: (714)754.5628 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 sell-Insure for workers'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 workers'compensation 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 end policy number are: Carrier: Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($ioo,oco),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 N Contractor's Signature: Date: 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.(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 properly,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:Th. tractors 'cense Law does not apply to an owner of property who builds or improves thereon, and who contracts for such prof. t with a contractor(s) license• rsuaif to th ontractors Licens) .ws.). / 4' .,• e e pt d s .- or 1 'A `I Business and Professions Code for this reason:l 7.9.ignatore r .r Is venire driv s Q(Yes ❑No F Na • Verificat an of 0 n r ' p• ( coument,Le.-progeny tax bill or de. - - DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet 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. Signature: Date: Division of Industrial Safety Permit Number: 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed 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? 0 Yes 0 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 al 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 filing 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑No (Section 65850.2 of the California Govemment 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? 0 Yes 0 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 Safely Code Section 42303 been made 0 es 0 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: Date: 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 con t.I agree to •amply with all state law- -nicity ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a v'-described,y�.rty for inspectio. • poses.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. And/Or Authorized Applicant /�/ / �� Date COW), IBSPFrTlnN TYPF DATE ISL$ CODEI INSPECTION TYPE DATE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 8-9 -C") . thidIV 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 240846 ADDRESS OF SWUM 1608 PRIMROSE ST UMo CITY OF COSTA MESA - BUILDING PERMIT ►avxERS NAME IF*KW SXNCIi EZ, ALFRED PERM NO: B 085157 ADDRESS: SANCHEi, KATHERINE M 1608 PRIMROSE ST PERMIT NO: B 085157 PLAN CHECK NO: N GOVT : N SUPP: N COSTA MESA,CA 92626 APDL.MIUM3 ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : 6 'X130 ' BLOCK WALL SQ FT: 130 ARCM OR ENG.'S ADORESS: WIT: CLAIM VALUE: CALC-VALUE: 2, 600. 00 GROUP OCC: ti•-3 / CONTRACTORSNAME CONTRACTORS MAURO COMMENTS: *** EXTENSION FOR PERMIT NO. 073048 *** 6 FT X 130 FT BLOCK WALL ADDRESS, UC.NO.: *ii**3i*ii ii•3i*******iiR*3i********ii************iiiiiiiiiiii i*R3 ii3i3i**3i ii.*3k****'3RRii**3iilii*:AC bi*ii3i*i' OMT: ZONING R E Q u :i ii E M E N I S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provision,of Chapter B S ETBACKS (commencing with Section 7000)of Divis'vn 3 d the Business and Professions Code,end my license bin full force end Sled. CITY NC.NO.: UCCLASS: LW.NO.: EXP: MAIN BUILDING - ---- ACCESSORY BUILDING Dae: ContractorFRNT: FT IN REAR: FT IN FitNI : FT IN REAR: F- IN LEFT: FT IN RGHT: FI IN LEFT: Ff IN RGH1: FY IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Conflation!License Law la the r rolket ereason(section]031.5 Busies endProfessonsCode:Anycryacountywhichasn Permit wek toaonsn. er,'vnpgva PARKING RE9_ PROV: PARCEL: 13929102 ZNE: RI REF NU: mddh.o regi any structure.prior b e°esuen e,abo requires the Wilma 1«such permit to file a Mewl ssemera Net he sir she - .11.0011M id pursuant to the povrsws d the Contractors License Law[Chapter 9(commencing with Sion]000)of[Ninon 3 d Oe PLANNING NVi ES> CONs'TfuLT 130 LINEAL FEET OF CONCRETE BLOCK WALL ALONG SIDE BUMMI*and Prdeuons Code)ortha hes she b exempt thank=and the bash to rhe alleged asmpr'wn.Arty yiit d Section > AND REAR PROPERTY LINES . SETBACK 30 FEET PROM FRONT P/Lr anymoredollars7spoken applicantii***3E ii ii ii ik ii 3b it ii*ii***iF it*3i ii ii ii Rit ii ii ii**ii 3i ii**ii ii**ii*ilii*ii ii ii*ii****ie ii iF ii 3i 3t ii 3i ilii*ii 3i:ie ie kk*ii ii 3i*** ElI.asownw oftheprepentyamyemployees with wages as Nei sole compensatian,wiE do the work.and the structure iendintended DEVELOPMEN T S E 2( V 1 l 1. S It E Q U L r( F M E N 1 S or offered for sale(Section 7004,Business and Professions cods:The Contractors License Law does not apply to en ownerd properly who bolds or in proves thereon.and who does such work himself or herself a Neo gh his or her own employees,provided that such r impeemena ere not intended or offered tor sale.k.however,the building or )ere year of templet ism the ZONING APPROVED by DATE: 17 owner-Wilder wall have the burd°h d poring he or ehe did not bui• . ins lor ❑ I,as owner of the properly.am exduvvely contractile with .. .r•. .,• - ., .• .. .to.. .. -the. (Sector 7044,Bovines and Profession.Code:The Caaredod License Lew does not to an. ..1.. who• '•-a e improvthereon end cera if U I LD I NG APPROVED BY : DA i t: contracts for sut Protects with a contractor(s)licensed Pu.'. Ito .``` ., f License ). /� /� °1"Bx°opt under$°"1O^'b P7V44 B.&P.D. thb� 'HER BY OWNER APPLICATION ISSUED BY: II �"// ��( DATE: ono S' •ata: ' Own ***x**xxx*x*xxxx*xx** *xx*WRit ft it�I..x sl'it aft Pea txxit at fa Ptx*RR#3in'Pt RW3i*xxxx •*wit x32 I T LEGALIZATION: F E E SUMMARY STRUCTURAL SEGMENT : do • certify that I am aware dd au derstand the :•uirem C.•• b Heath end Safely Code Sections 25505.P&Sv.and .and Nal I a any future building nears wig/wit . (:sees )need to comply wth said else ode end the rpuiremenb for e permit for construction ormodWmwion from the Ai•u• tyrj,•.men:*Strict Residential construction applications are exempt fon Nee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/REI GRADING Provisions. PERMII 54 .00 Date: Appirant: SMIP/NON--RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under pesky of perjury one of the blowing dedssims: PLAN o Ihave and MI maintain aemirate of consent toseguuunfor workers'compenWb,as provided labySaction3700dthe Labor ISSUE FEE Code,for d N the performance e work for which thin permit is issued. BUILDING-1)1V-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I neve end wil mints:In workers'tompensmith insurance as required by Sedan 3no of the Letts Code.for the perforrnonoe of the TOTALS----> 27. 00 0. 00 0.00 27 . 00 27 . 00 . 00 work for which Ni penne b issued.My workers'comnession insurance carrier end policy umber any Carder: REVENUE DIVISION TOTALS--> COLLECTED: 27 .00 OVER/SHORT: .00 Polly Num ben BLDG__PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'.iOI GRADING PLAN-CHECK (This section need not be completely the pearl is Ar one hundred dollen($100)or Ices) 2 7 . 00 ❑ I cert that in the oede arse of the work for which this permit is issued,I shall not employ any person in any manner so as to bec«ne subject to ihe workers cameraman laws d GIManie, and pre Nat B I Swnld became subject to the wcrkan' *.. .. ... .... .. ... . 'Ai*** ........... sees conpensatonpovbk,s oSedion3700of the Labor Code,ISull falhwithoompywkh those provisions. iixxxw**********************************F Exx xxxx x xx xrtx xxx xx xx xxx Rx xxx xxz I N D I V I D U A L F E E B REAKDOWN Date: Applicant: Warning:Faun to secureworkers'compensation coverages unlawful,and shad subject an employer ro criminal penalties and TYPE %NY DESCRIPTIO N UNIT COST TOTAL COST chill fines up to one hundred thousand dollars(3/op000),in addition to the cat of compen°ann,damages a rented for In Section 37O6olthe Labor Cods interest and attorney's/eaj SFR 130 RES-CONCRETE BLOCK WALL / FT. 20. 00 2, 600. 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury has phos b a commotion la6ng agency for the END OF FEES ES performance of the work for whirr this permit is issued(Section 3097,Cit.C). LENDER'S NAME: LENDER'S ADDRESS: I ce"ily the I have read Ni appiicalbn and see that the above id«maton is cared.I pre to comply Milian dry and oaayadinaror and see laws Sating to building drnaudian and hereby authorize reps.eaalvea of this city to enter upon the above-menoned property to inspection purposes. ALFRED S'ANC. Z P�Name 10-I0-1997/11:36 1-8,136% -7 R040:111-8813695 yea-/may A Dae: ��- / PERMIT:085157 Sp� Os"eI i (5151-46.WP) Wh/le-Buildng&Seely;Green-Rle:Cavy-Apnecent:Pink-Raceme:Goldenrod-Assessor CONSTRUCTION AND PLANNING PO( SPA - `-APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical.Service or Pole 7.: 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r3. Electrical Conduit Utility-Undrgrnd. 54. Forms 42,Eledtrical Conduit-Undrgrnd. / 55. Electrical Bonding 5?'Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. 6lelctrical 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 n 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 8/Air Conditioningr, r FIRE iEPT. REQUIREMENT 20. .ftough Etc- tory. Fireplace t.:.,-, it .; ; x APPROVALS"i Pegnit 4 ' r' , 21. Ducts in_Strdcture- r •• -1 •I ^ - 70. Underground Hydro 22. Ducts, Vedtil in _ - t ' i -. 4i, - _ _ • 71. Produce Pjping CS ,as 0 Oil 23. Gas Pipe-hough &i.Test - ' It D 'r. d _- _, 72. Underground FlY�sh 24. (400f Frarping•" i `, • z ',; F -: 73; Undergrrid.Storage Tank,0 Gas ❑Oil 25. Roof:Shegthing y . •• _ 74. •Overhead Hydra , • - - r I. 26. T-Bar. Ceiling (Structural) & ,Modocoat _ ' 'i ',' 75.. dry Chemical ., 27. Frame and Flashing ' 1 ' - I 76. Dry Standpipe ' -,_ • , '28. Lathing&Siding r = era p . Euu `;Ol J5socautDaa 1608 PRIMROSE ST WIT: CITY OF COSTA MESA — BUILDING PERMIT • wMEwoom% SANCHEZ , ALFRED PERM NO: B 073048 �., - - Am+% SANCHEZ, KATHERINE M . ,� 1608 PRIMROSE ST PERMIT NO: B 073048 PLAN CHECK NO: 02507-95 L GOVT: N SUPP : N - .9 COSTA lsd ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH MESA,CA 92626 • �� Is fr NalECT Of ENGINEER: LICK: JOB DESCRIPTION : 6' X130 ' BLOCK WALL SQ FT: 130 ' R ENOB ADDRESS: WIT: r )IYNOIS CLAIM VALUE: CALC—VALUE: 2, 600 . 00 GROUP OCC: R-3 / �Avi, on' oNAME metes IIMNa COMMENTS : 6 FT X 130 FT BLOCK WALL TO CITY STANDARD LVN`'al'P ADDRESS MHO.: *****************************************************************************34* DIST: ZONING REQUIREMENTS OSED CONTRACTORS DECLARATION:I hereby affirm under peaty d Perim,/that I am G:eroed under prw6ivn d Chau'P S E T B A C K S j0 A. nrnsapq with Section 7000)d Division 3 d the Swings and Professions Code.and my'Sense 6 in full force end stied. 1'03yUC.No.: LIC.CLASS: LAC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING adNllino Sr War '(V e: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN Cpaason LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN OI tI)tu._,up gINER BUILDER DECLARATION:1 hereby Crtn Leder randy d perluy that I em exempt horn the Gated=License Law for the 99ePOV1ne pp mac man(Section 7031.5 Business ed Prolesaorts Code:Arty ply a countyMold requires it berme antrum it to antruer.Marron. PARKING REQ: PROV: PARCEL: 13929102 ZNE': R1 REF NO: OQLlM ssAAeleino'Sh,or rept,any structure.poor to is issuance,tleo repass the applicant for such permit to fib a signed statement that he or she Ag pponoweMeed pursuant to the provisions of doe Contractors License Laww[Chapter B(commencing with Section 7000)d Dynan 3 of the PLANNING NOTES> CONSTRUCT 130 LINEAL FEET OF CONCRETE BLOCK WALL ALONG SIDE • Aelop 3pllsiea and Prdeasions Code)a that he a she 6 exempt therefrom and the basis la de stoped exemption.Arty volition of Section > AND REAR PROPERTY LINES. SETBACK 30 FEET FROM FRONT P/L. '01 t.S by any applicant tor a permit subjects thappfwl to aoivi penalty d M mote than lite hundred doWs135O0D. ******************************************************************************* 4PROmended SSd01d•u'SOJO it orasorr.°`"se i«We1"s«nmy laa+�.,eBuus anployees d yr rt,`hei cm m.Cora `rdmlinenss..(S des telapthe wok and�pym.r structure «�`a1atp DEVEL OPMEN T SERVICES REQUIR EMENTS dwi'tuoftlpu03 who builds a imparts thereon,and who does such work tithed or hash or through his or her own employees.provided that such O stnelop 10t571G inpnonmenn ere.+intended a Mata lor We.S.however,the ddtling or improvement n sold within one yr d mmplelm.Ue ZONING APPROVED BY DATE: lwulelp'uMIe,0 owner-0uitler wit new the burden d prwbp he or the cid not bunt or improve for the pirpte of sale). l lelsrey. Bulgp4V3 CBu.J- I.as 8888i 8I the popery.an edusadymmrediq weh'tined ccaremn IO0r UO the aoject(Section>oa.Business endBUILD le Gopljpp p„es Professions Cods;TN Contractors License not ense Lew appb nw d y en opresslondo y who bs improves thereon ad rho BUILDING APPROVED BY DATE; ioildwntte Aut waste ler such projects with a c 1rador(a)Icersod pawn to ry •.+j. Laww), f� o Ips RB tpl ;pop] len„seemed Leder Sed;a,BP 7044 B.B PL..to ' : C R Y OWNER APPLICATION ISSUED BY: DATE: LO—a)—/ fIps Ile al:IJV , ********************************************* *************************63(3* nJfPe,6l0 snide: 6 --3o-cis Oxw: ,/ 1. ieu"'npwOH At tr �j LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 100 01 B31 Anop!do hereby eerily that I am aware of and understand the • of omis Heath end y Code Sections 25505,255.33,end epos oeq ute)tl'5534.end that I or any future building occupant will/AI not(circle ore)need to mouth(with said nate codes end the requirements for 01uysaid&Ho permit lamiatnictronanwernxeion Mandl A:ewerrypenyeneen D6trid.R.W«x6l camnndoa n appia;sesexemo front/MaBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING leg 96Buppli flak,. PERMIT 54 . 0050. olop al onsw • BBIMIeq)o typos': Applhea: SM IP/NON—RES e100d Lel But PLAN 35 . 10 '.atIWORKER'S COMPENSATION DECLARATION:I hereby Cam under penally of perjury ore d the following dedaalw: ISSUE FEE 4n�ui Nis arw❑ IC ode Iador �camein re/tint/the e of the WM ImnsaoratActo hhe:, is mai mmperrwbn.o provided la by6asion 3700dIM labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE logo '❑ INeswMlmaintataker'mooenet nisasra.astquaewyction37ood/eLaborCode,,athep«amnae.dtN pj TOTALS > 54 , 50 0 , 00 35 . 10 89 . 60 89 : 60 . 00 VI lu_•call work for whthis permit issued.My wannpe workers'cdeatw on the renc. oe end policy number ore: spissleA sP edop chREVENUE DIVISION TOTALS--> COLLECTED: 89. 60 OVER/SHORT: . 00 Pe CI pppp3B1 Poky BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK e�UNspewp (Thea srd• rr nese not be cornpsled t the lame i,Ar ore harmed doers 13100)a Wei 54 . 00 . 50 35 . 10 Nolprrige p g 0 I eerily eat in the pedormance of 0e work la*Nth this permit is Swot!Wet cad employ any person in arty mantes s es to iexelps sols becorne subject!o the workers compensation hand Catania.and agree that Il should become subject to the waken' ********SE****SC***************SC**********IA*****if***********it****if*************** sul W uope,, oaree Baton provisions d swore 3700 al the Labor Code.Theft forthwith comply with/ore provisions INDIVIDUAL F E E BREAKDOWN rpalul ow Ci kJ/MVO Ou 1 Date: Applicant: !wog Wenrinp:Falun to secure worteri comperwdon twerps Is unI.*1U(end shall atNcf en employer to criminal mettles end TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS T ' pV 'Cupp doll fines ter to one hundred thousand dollars(51040001.N aedlan fo Mr cost of compensation.damages es provided for In pun mtiol Bps ow wtti section 3705 of Mr Labor Cede,Interest.sit stainer%fere. SFR 130 RES—CONCRETE BLOCK WALL / FT. 20 . 00 2 , 600 . 00 :$LW CONSTRUCTION LENDING AGENCY:I hereby Cam rade'penalty al perjury that there is•mMmdim lending agency for the END OF FEES DNIM0111 perform ince al the work to,atlas this permit it issued(Sedan 3097.Cit.C). VILLN03 I LENDER'S NAME: 'uO1WAe3 LENDER'S ADDRESS: • a'Osnaw • grsuOGceAp I catty that l have reed this eapfrm"vn and mate that the abort idanation is correct.I agree to comply with t,4 qty and county ordinances , ireu Leto SAl. erd state laws naticc to balding ar+tlmace and hereby authorize reptewdefves al this thy to iter upon the ebon.maikred properly • tTR kr inspection purposes. 90336 ALF ED SANCHEZ �gp.-.T 73'efleu ris Name ,(/ /,y// Dae: '3 ��✓ DA �� •r u�iVN Sip ureal r.'ApefVAppiwarCartractor _ ,lam l Ai I r„ 'I , 6 t' i 4 Pt. . & SPA 4 CONSTRUCTION AND PLANNING 1 APPROVALS Permit _ Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Ser vice or ?me 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 7-5-q5- 4p-4i 56. Rough Plumbing & Pressure Test ' . 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE . 7. Footings 7->-q5.-- 6‘....4/ 58. Electrical Conduit•Undrgrnd. 8, Foundation .59. Gas Pipe, 0 Undrgrnd., Test 9. Vater Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Su uctural 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 rt 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 • • I :68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough'Heating'&"Air Conditioning ' - - - - - -' -" 'EIRE DEPT:REQUIREMENT 20. Rough Factory Fireplace .. APPROVALS Permit # 21. Ducts„in Structure : - - • 70: Underground Hydro 22. Ducts, Ventilating • , ' .. 71. Product Piping 0 Gas Cl Oil 23. Gas Pipe-Rough & Test I 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank Cl Gas 0 Oil • - r' 25. Roof Sheathing 74: Overhead Hydro e" r -' 26. T-Bar_Ceiling (Strucfurall & Monocoat 75. Dry Chemical . ,.- - 27. Frame and Flashing. • ' • 76. Dry Standpipe . -.• � I 28. Lathing& Siding', ' ; t • 1 77. FIXED SYSTEM FINAL , 29. Insulation - - 78. FIRE PREV. FINAL - ` 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • ;. r 79. FINAL INSPECTION • I ^ 32 .Electrical Power Meter-Final ' _ 80. FOOD CERTIFICATE ISSUED 1 33. Final Electric Notes: • • 34. Final Heating & Air Conditioning ._ 35. Final Gas Pipe-Test 36. Hood or Canopy • ' - 37. Final Factory Fireplace 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 .7 48. FINAL PLANNING, r: ' 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 1 - • 51. CERTIFICATE OF OCCUPANCY - No. Date ,f ADDREuaeuLowm 1606 PONDEROSA ST WIT` CITY OF COSTA MESA - BUILDING PERMIT ayffERSNAME 1Fh3atm: BANFER, DAVID C PERM NO: B 087324 ADDREss' BANFER, DONNA G 1606 PONDEROSA • PERMIT NO: B 087324 PLAN CHECK NO: N GOVT: N SUPP: N :OS TA MESA,CA 92626751-8251 APR..MMUNG ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH • is ARCHITECT OR OK1NEEIa uCw: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 4 , 500 ARMOR ENG.'S ADDRESS: WIT: CLAIM VALUE: 4 , 500 . 00 CALC-VALUE: 4 , 500 .00 GROUP OCC: R-3 /U-1 CONTRACTORS NAND: CONTRACTORS MARINO COMMENTS : SMOKE DETECTOR REQUIRED PER 94UBC, REROOF 1620SF RESIDENCE W/COMP ADORES& 11C.NO.: *dkikiElEdkdkikiElklk*1kiE*iE*lkikrlkkkd6dkiklEkiklkiE****MdE***1k*k***dE*ikk*dk**k*♦E1EkNik***iE#*lbik*ik■ikiF*k1klEik uNT: \ Z O N I N G R EQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Minn under penaly of perjury OW I am leaned other provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 ol the Business and Professions Code,and my Soense is in Null law and effect. CITY LIC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: Contrada: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under peneky of perjury that I ser exempt frau the Contractors License Law for the folfowingreason(Sedan 7031.5 Butane and Professions Code:Any ay o county which requires a perml town5wot.after.improve. PARKING REQ: PROV: PARCEL : 13931108 INE: REF NO: demolish,or repair any structure.poor to asuch s issuance.also requires the applicant for permit to file a signed statement that he or she ,, u licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Reion 7000)of Division 3 of the PLANNING N TES> , Business end Professions Code}or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section ); - 7031.5 by any applicant to a permit subjects the applicant to a civil penalty o not mere than fire hundred dollars MS500D. iE14lElE1E1Fjt'ik3F1E1EiflElhlf.df3E1f1f1EiflFlEdl'#fEiliElklE****1L'#1EttttifikdklE#1E1E#343fik1E1E1fiffhlEiP1E1E#jE1E1F#'1E9ENik1E1E1E1f1F1E1EttfEiEiE ❑ I.as owner el the prepeny Or my enlolo+ees wih wages es their sola compensation,veil do the work,end the structure c not intended j or offered for safe(Section7044.Business and Professions Code:The Contractors License Law does not apply to an Owner of property D E V E,iL O P M E N T SERVICES REQU IR EM E N _T--$ who builds or improves thereon.and who does such wet(himself or herself or through ha or her own employees,provided that such n improvements are not intended or offered for sale.I,however.the building or aprovernei is sold within one year of completion.the owner-Dokter will have the burden of proving he or she did nit build or improve for the purpose ol sale). ZONING APPROVED BY DATE: ... ❑ I.es owner d the property.am exclusively contradag with licensed contractors to cammud the project(Section 7044,Business and • Professions Cole:The CeramCa Lienbe Law dew m appy fo an owner d Property who duce or eunpeWe thereon and who BUILDING APPROVED BY : DATE: contracts ler such projects with a coneon(s)teamed pursuant to the Contractors Llcarse Lew). . rr 30 la wwth3��n�P7044 B.6P.C.,fawapeon:pM WQAK $3t NER APPLICATION ISSUED BY: S V DATE: -31 ( s'j bre X �/,p 01 �`/ �i7 1E1EiF1E1E#1f1r#1E1E1c#1E1r1r1E1r1r1f#N1E#1FiF1F#1F1F1E1f1F1E1E1r1F#1E1E1F#1F#1E1F1F1E 1E1f1f1F1E1E##1E1E1E1E#1E1E1E#1E1E##1F#1r # it* Date: Omer: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 1 do hereby coney that I am aware ol and understand the requitement,(circle e) eliaria Health and Safety Code Se' 25505,25533.and 25534,and NmlorMere ietionfomtheA needOywOna(deburD) toeomply with saidstateapnoeas leeempt than these lar BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2lamnlmd any MereduwtanbaclMN will enpercra District Roederaelmeructante codearoane requirements empteme Nee prn. PERMIT 99 . 75 . 50 Date: Applicant: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under pensWone d Mow*of penury t Mow*declarations: PLAN ❑ Ihave and w massa a certificated consent tosea:mme for workers'compeestim,a provided for by Seism 3700 m acmofthe ISSUE FEE Cods.for the performance theworkfopent whichthispeisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE o Ihave and will mmaaasa,workers'compensation Insurer-town regwmdbySean37O the lake Code.tor the performance athe TOTALS----> 100 . 25 0 . 00 0 . 00 100 . 25 100 . 25 . 00 work for which this permit is issued.My workers'compensation insurance carer and policy number we: Curran: REVENUE DIVISION TOTALS--> COLLECTED : 100 . 25 OVER/SHORT: . 00 Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ...is section need not he compacted i the permit is M one hundred dollars l$rO01 o WA 99 . 75 . 50 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any pear in any manner so as 10 become sulsisct to the workless compensation lawn of CaMana,and Wree gnat if 1 should berme sable to the norkai1E1k1fiE*1E**1E1E1E1E#1E*****1Ek*Sk*SE1k1E#*SESESEk*1E****************kik**********1E1k1E*1E*1E1k****ik1E*1E compensation aonanns o Section 3700 of the Labor Coe.I shell lothwah oomph,with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant Warning:Failure to secure worn&compensation cease Is unl M.,and shell subject an clover rowmml veneers and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines w to one hundred Thousand dollars($704000).In addition to the cost of compeneab4 damages as provers for In Section 3108 oI the ballon Cob.Interest,and attorney's feet SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 500 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under pemhy of perjury that there is a constrwan lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'SNAME r/ TOR LENDER'S ADD voice. DETECTOR ET{EC 1 DRESS: 1 I candy thin 1 have read this application and date that the above imamWion is correct.I agree to comply with al cry and county ordinances end state laws rakig to b illag construction and hereby authorize representatives of the ray to ewer upon the abasnentioned propend EO V'RED for inspection purposes. n -DONNA °BANFE/R�_ ,_ 83-16-1998/12:83 PM/$188.25 ,J o7/nQ �+ ,J �/ onset 3-�6 gk mn PERMIT:087nm:Ri324 ( Signature of Owner/Apent/AlMkwn✓CaN (5151s15.WP) Whee-BoRdag A Safety:Green-Fla;Canary-Applicant Pink-I eta»:Gotlamod-Mom t_ • CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit # Date Inspector APPROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 44.3. Electrical Conduit Utility-Undrgrnd. 54. Forms - .4:Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6i Electrical UF ER 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 20. Rough Factory Fireplace . • • APPROVALS Perynit # 21. Ducts, in Structure - ' - �� 70. Underground Hydro 22. Ducts, Ventilating ) • - 71. Product Piping 0 Gas Q Oil 23. Gas Pipe-Rough&.Test • •' _ 72. Underground Flush 24. Roof Framing • -, - '' '1. • 731i Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' . �, 11,/S8 ,y, verhead Hydro • , 26. T-Bar Ceiling (Structural) & Monocoat 75,'Dry Chehiical t 27. Frame and Flashing ; . 76. Dry Standpipe F,`�, ,, . 28. Lathing&Siding si, ' 77.' FIXED SYSTEM FINAL 29. Insulation 78:. FIRE PREV. FINIL 30. Drywall Nailing - - HEALTH DEPT.-REQUIREMENT 31. Plaster Brown Coat: - 79. FINAL INSPECTION _ 32. Electrical Power Meter•Final 80.i FOOD CERTIFICATE ISSUED #I 33. Final Electric : ,' - ' Notes: 34. Final Heating & Air Conditioning 4 35. Final Gas Pipe-Test' - . . 36. Hood or Canopy .37. Final•Factory Fireplace_ - 38. Final Plumbing ` 39. Water Service-Final ' "- . .40. Gas Service-Final - . - , r. 41. Solar Domestic-Final - 42. Backflow Preventer. - . 43. Backflow Irrigation . r • 44. Landscape Irrigation System •_ _ . 45. Sound Attenuation ' " " - 46. Handicap Regulaticnf .- . n - ,_ ,{ 47. FINAL STRUCTURE & BUILDING S .(L(JlT/'{7Q 48. FINAL PLANNING /J { ' 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co , • 51. CERTIFICATE OF OCCUPANCY No. Date 'ECTAL INSPECTOR REGISTRATION . Job Address 1608 Primrose St. Costa Mesa. CA lig e g I V g D Name Mrgpe O f OFr TA MESA DinN 5292 Bryant Circle Residence Address 1M'wnmsfptCi► 92683 AUG 1 41995 Number & Street City State Zip Laboratory Twining Labs in Long Beach does my testing - I am an independent Address Street City ZIP All licenses listed below must be currently valid and legible copy(s) and must be attached to this registration. DISCIPLINE L.A. COUNTY L.A. CITY ORANGE COUNTY OTHER CONCRETE RC/R93-2214 ICBG 35788 DUCTILE MOMENT RESISTING FRAME REINFORCING STEEL PRESTRESSING STEEL WELDING HIGH STRENGTH BOLTING STRUCTURAL MASONRY REINFORCED GYPSUM CONCRETE INSULATING CONCRETE FILL SPRAYED ON FIRE PROOFING PILINGS, DRILLED PIERS, CAISSONS SPECIAL GRADING, EXCAVATION OR FILLING SPECIAL CASES UNUSUAL HAZARDS I hereby certify that I am qualified by trainingLand experience to perform the inspections for which I hold the above listed Special Inspectors licenses, and will provide all certifications required by the City of Costa Mesa. I will inspect and certify the following procedures: Continious Gunite inspection of swimming pool @ the above address on 8/11/95. Lab reports to follow. I will certify not only to the job conditions but that they are in conformance with the approved plans. If at any time, progress occurs on the above mentioned job relating to my areas) of responsibility, without my knowl- edge or approval,. I will stop the jobs progress immediately with notification in writing to the job superintendent and notify the Building Division of the situation. A record of my tests and/or inspections as agreed to above will be available upon request by the Building Division. Upon request I will submit a complete package of testing and inspection results. A letter certifying satisfactory comp) ion will be provided by me upon completion. 2) f-4‘ee 8/11/95 Signature Date This registration is accepted and approved by: (Plan Check Engineer) (Building Official) (Date) CMF 1068.46 White-Building Division; Canary-Special Inspector; Pink-Developer • Twining Laboratories of couUe=n Cafrfoutia, Ono. � W� A IN-,, _ 3310 Airport Way (310) 426-3355 20 '► JP 1 O,y Long Beach, CA 90806 (714) 828-6432 14'• �� '� Aa Mail: P.O. Box 47, 90801 FAX (310) 426-6424 • TESTING Compression Test on Gunite CUSTOMER: MCBEE DON EXAM NO: 95-1-148738 5292 BRYANT CIRCLE DATE: 08/25/95 WESTMINSTER, CA 92683 JOB NO: 91228002 PERMIT NO: JOB NAME: Don McBee (Various Site) OSH PD: SEE SAMPLED FROM FOR JOB NAME OSA AP #: ADDRESS : & ADDRESS FILE # : PAGE #: 1 ARCHITECT: CONTRACTOR: SWAN POOLS ENGINEER: SUBCONTRACTOR: B C ADAMS ARCO GUNITE CO SAMPLE FROM: Floor of pool, Sanchez, 1608 Primrose St, Costa Mesa, CA. • MIX: 4 1/2 to 1 SPEC. STR. (PSI) : 2000 SLUMP: N/A CAST: 08/11/95 DATE TESTED 08/25/95 SPECIMEN NO 1 AGE (DAYS) 14 TOTAL LOAD (LBS) 59750 LBS PER SQ IN 2040 SPECIMEN SIZE 6 . 100 12 . 500 AREA - SQ IN 29 . 22 SPECIMEN SHAPE : Cylinder COMPLIANCE: 14-day test complies with specified strength. Lab #8396/Test Method: ASTM C39 SPECIMENS BY: Juan DELIVERED BY: D. McBee RECEIVED ON: 08/17/95 DISTRIBUTIONS : MCBEE DON, 1 CLIENT-FURNISHED SAMPLES This test hos been performed and report prepared RECEIVED bcsed upon the specific samples) provided to us CITY OF COSTA MESA by above client. We assume no responsibilry for variations in quality (composition, oppeoronce, amance, etc.) or any other feature of similar ,S, p 71995 sur.iect moiler Droduced Imanufactured, fabricated, etc.) by persons or under conditions over which we hove no control, 1n�.a, .fir03.2975 John M. Verro chi , Sr. ALL REPORTS REMAIN THE PROPERTY OF TWINING LABORATORIES OF SOUTHERN CALIFORNIA.INC.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS,OR I EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS,THE PUBLIC AND OURSELVES, • • t 5 -t�,, ;� �� ," : oma,=. c5' k � • 56� -1 • • • ' ld' r5 BUYER(OWENS,. AD RESS CITY RES,PHONE CON RACT ATE ' i MAP BOOK EtAGE-'•` LEGAL DESCRIPTION-LOT TRACT JOB PHONE Owner..and Contiactor'acknowledge that they areresponsibleforriekfailoAnng:,'.. PLAN AUTHORIZATION • f -•-,H. Ci ractar/Owriey ,-- I ,1 1— • _ I r -- i I �?er-! n ' r� Access Fence.RemovO r r • D Access Fence Replacement by . r, 1 =`_. 1i1L �_ # -1_-i,1,-;_., '"TreeRemoval by .. / ,/ tt; ! 1 .1•_' !� _l, ,•.TreeHauKg6y �' t k L" 1 ! L44J;I f . . . ' ( I :irlOFC AiMEsA`p �--1- -I Decwng.by .y: ' L I i I - rwNnlagr. ;_.,- a. j , i t 'Ex ` nJointsby, , /c% . , , : ADDITIONS, OELETIt7NS, OR,CORnECTIONS SHALL ' a ro° t r BE APPROVED BY THE PL;INIIINGDEPAR?(MEN7; SatRepotsby oma : • y_Z1�� .:DA( ! a6 ,DeckDrdlns by. ,� •i. ;/ - i. I . .. . - I OIRCCI00 w 7 I :'SpecIal Ertgineeringty.. _ • _ ./. • -. i • I .. . ( . ase � - -r I Security Gates by - " i • Security Fences by r i .' I ' - . . I i 1 j t1SALESMAN.MUST,fNDICATE•LOCATION , ,,,_'. GATES skt,.1 el 6-t 'Se I c.. •.--C.toi'W . . 2 S•.(_r- .l.A-TQ�+....,_• " h I 1 - r J1 1 ON THIS SCALE DRAWING OF ALL ITEMS. , : `) ' , ' I T--' 11STEO BELOW AND""_THE-,FOLLOWING i I' is-,MUST BE'ACKNOWLEDGEI)BY.OWNER - el) rA CA i M ) Z' Lc 1144-Ph \ ►.131.a L\t.4 prT r'Joi IZ J , ; • I l i. i. IF THERE AREWANK;CHANGES--FROM _ 1 I� i ' 'LOCATIONS-ON.tTHIS-'DRAWING HERE 2 PvlE.ra"I) N't.' 1 t I I .j 1 I I 1• ,rWILLBEAD0RIONALCHARGE , St. a QjITRf-CNrE•'O jpo�� •p SpA RL. CFUI (E� t u' 1 I j j ,_._l I 1 { I ,i S oI.VDOI'_ . E t1 U� p !C 1 e �Cfsw1• '• -Ym.e+t'i-�a l_��.d t3 'cWidM;�Mazimum•. . ',A s)" iTµCY" r'(PSJI4 4f.4\ /Ooa L a. S p0 I it, UOuYa 6M'Rd Jw�"s-,".-f-,_-• 1.1-1 -11-1, 1' •''Width:'Minimum.,. ' .. • , �l • :._ . ^1 l_ ji ice Ma�mm ly CoJ6A W ITIS loc(.�� o!i E �J C C /QRP� t o �oq1' ,, T�i' j . 1 1 I t- , . 'Length•'"Minimum 1k • ' b Ctrl ribs LD•t V IG Nt' 6kN • • • • • -I" IN/ Nary' COT G s • i • .Depth'Maxlmum . _ • ' Ur>c. ,ArktO+a.L .. • I , , 1 1 : ' .I *' 1lnimum . ✓ . • Fi tion.- �. 1 - i • - c4 ladderdoeatlon T . - " ; :_j_l tijOMIIp Board Laatlon :. • z - t xv Sfda7Lacatfm7�roa p rrt{�caW�, �1�1"sl %t•iir Lt (of 1 - - I { - I Heater:Legation- (' l • • I I I I _ r I ,COPm9 t.acatlon 'i\L1Oo •.�ti1N Lt+A\' •' 1 Al ! . �jI. I f ` b • Skimmer,locatbn 1- /� RD St:, Laatbn . . /I20" 7/l. I . . : . :?/V ' • . • I . .I.I i• h �','Shape:ef,Steps •• - W_-. ! / p , AcGeSS Dimensions . / 3 '$1Y.' V C ' bD " �_ • !-L ' .I -I I I P:A- I { - I• • .'.. 1a•, Tops"6;Tges of Slopes : : • .o - i 1 _ l- �- I 1 , . _ , I , , •I X11 t rRetaintrl!Watisr t- .Y. / 'ro --{- r 1 ; ; . ,..,- I- SU Tnkdd(Load Pdok .. '•Lu 1. 1 ' S. 1 - $.?/ milli FIJI .I-' • 'I , �I , I ,- ' 1 _ TALI , y I. _ _. 1:; __ 1_ r,__._, r. {Ii. ., 7%fL�' •�%INISL✓� 1 1. { .{ CeJeted.Patbi� > - s. \' �►, , ' I I , 1 T,d! 1 EbCmC•Boz f - '.• 1 ! • • , I . .L I .i ,_. .y i_{ �, -I 1 •I - . ' 1 . .I { I 'D 6as`MeterP r .�, .o _T • • ' 1 I I j I f i _ _ __ >, .{I f Hose'iBlbtit2,, r r • . •6 I. _i 1 I: -• . __ I - . t-_ _ -� , �! 1 -7-1 . i 1,u ' I I i i t I I Ittla}RNfI <p' , - .. T 1 ,- J t ^F House'8 proop/nes` o 11z"le6(s 'Y " } "' • • �. L: _1_ £' OVerheadiUl0ltV tines t'-. • c I I ' I x 1 'I I"L" �y I ' /S. _. 1 . r i I. t + 1 1 - .... • o,ti Easirnents r r v " I.1 -! . ' 1 -I - ' fi � I L I. - 1.,A '41 _ i 1 l T I I _ _ I - 1 1_ T. �, I , 1I f ., rte Setter fWJya�tV,. w. 74'- _ 1 '.1`n'T r'i�./w. • •- i I `� I 1 Ih Hth-- '7/ f"I 1 I I..el.'�. ! 1 f f.1��1 �I. I• Rt..... .'81idLC'bn'Prdp`.: -^:t ' 1 r 1 '- -r- t . . \1 "'I' -" I " ,'1•',• 'f: ,. , -1_. -1-1—..,••• ; • . .: RECO to,�I . • ., of ACCESS DAMAGE-ORtUNDERGROUND - • �1. I1 i I e r ` I t 1 ","' - i - ! ` ' t . ' - ' ' OBSTRUCTIONS 1' - t L 1. r I t I : 1 ,•.1---1"-• I v I t` _ - cr�f,�v� "_ �'��G-��1 � ''11,, uzPv"T� d M,N ei..2. ✓r`CON FigistOR Vela rpt assume res Ibilk { _ 1._I Lit I ' /', xv' yllor.da*7a a each as,Eama mac curbs, i y' ' I ....Carl!" •• , I .L M774t , (' �1 I '1 ' 1 _ y. I I _ I 1 eldewglksZdnveways'cemant slabs,sewers I , - _ . � �. ..--.14. uT' - ; 10.f_NO�w1 . . f-RJ'M _a \ I tt'"'�ylawnstrees,1shru s,fences, telephone or . ,• lher unl'Imes or rerouting of any overhead .. -k I I--t -I -f i I- ' I - ttvv v++eapundeljrountltlInea: pipes, conduits or, „,/'_ _ r I.t _ �.l I .i G J.WI.] �- , Vt - :- _ r•::•l F s d e nage`Cas omen warrants all locations on p p4 �� • • ® t [ I I L. ' ' A ythle•drewing Is thel9 props lines5 _—n—_ >7 • n'I ---I f vee f.• • 1i C1/{sf;t X]00 '1propn'attest Is made through e neighbors...,owns? -__C _ 'd" f 4 have ry h ei Understood mal you the owner .�. .� i 4 r I • _ _ ! , ihhav°Mel , ghbora permission and assume - •I f 'I fun respoasibdity.No soil,-rocks,debris etc., I • - • • t ,rertaved.or:,brought In except on day of t '�' , 1 ' excavation': r. - 1: r.IL. v A THE CONTRACT PRICE IS BASED ON THE r / trGJ[vv..,16,.J 1 , • S 1 . I ` . FbLLOWING?MUTUAL ASSUMPTION OF Q .permit # 2� ,l �w G I ,',:FACTSI:r`;t.; I I 8.`'.-Thaithesitehasadequatebearingcapaci- MBER MUS AOCOM { :- L_,-,- .,,:.t:/,toconttdns boulders. uncertifiedspo ground,rock ler- Li DY_` d • HIS NU ION R QtJES J ! I • ',.nations;boulders, cesspools, septic tanks, T INSPECT E • 1 1. ;.:,,,underground hat' dutility lines or other Obstructions; - ALL INS Ly thapno undergound or surface water condi- , ' i ! dons We;Interfere with the construction or 1 P .r<, operation of the completed structure;that ex- 1 tt .p .pensive soil exerts less then 45 PCF against • \ , 41 Q N Ip ,'' - I ate. structure;that no blasting or jackham- power •- \ / I • - I ' L- '(i, rk is required:that trucks and power GQ /i - -- - , :.55{{`yyx��'��?lent will have access to the site end that a (j, •.;s Silent is adequate and substantial;that • - -`` f.adequate electriciyand water isavailable en . DIVISION OF BUILDING SAFETY ' - l�i • ,�,-�';.ine properly.Contractor shall not be liable for , CITY OF COSTA MESA ' i E,'flotation of the pool after gunite caused by ex- • . + 1 i .I f tenial water;for any damage caused by frees- ' ' r.- ,, " Ing; for,any injury to owner while owner is , It/ , �P . APPROVED I ' ' . ' :. ' ,.watering gunite,washing decks,or brushing /4 � /��L / p . 1 , plaster.Grading In pool area Is limited to 30 minutes• 'r.`ce.) ''K�• By ��y' �-, lLxm {/ Z) �� • I - • i ' •i unless otherwise iOwner to be �' - j I , ..;. { I- f 'endrespOnSIble for determination of pool elevation � • `Oi^ ,� end drainage beyond. pool decking; torte '',- "-• - Thus set of plans and specifications MUST be kept on this job at all Ulnas ek- • brushinp paster to attempt to obtain a smooth `� and a•-:unlawful to make any changes or alteration on same%aboutratta n "' _ _ - `` i'' 1_F . and stein has surface;for watering gunite 3 erin„s�rn from the Division of Buildingand Safety,Cityof Costa M I times daily for 10 consecutive days;for obtain- t �' Meths I -� 'ing any Homeowner Association approvals;for ' - - :' -.,any wells or grading not specifically stated on 1 The stamping of this plan and specifications SHALL NOT be : n . ,•a 11 17- f ' t. 'contract;for all soil reports unless otherwise I IJ� : I . I s ! • anapproval of the violation of \ pg r^,: 'spxllled;roc all additional costs associet=- C!to be _ , , . • 'with any assumption herein that is in error. ,,t Meta OM'rOnce and/or Slate law. • ' V . 4 . • ` I 1. • Welk;anti decking are not guaranteed againstr ',cracking,'checking, raising, settling or i These L-".:.-.ri r;Armit shall expire bylimitation and become n n a -' i ' �- -'--' discoloration.Plaster is not guaranteed against �Ip p ��, 1 ' • I 1- 1 discoloration,staining,checking or cracking. / 'he b!li!neih 01 'D.t is rot commenced and malt tamed active i I . Such paster defects properly result from local GNr�yV1.�f r „1 days 0f Issuance. \ - t. water conditions,Improper use of chemicals / li_I Y I I or lark or or improper cleaning of.the pool. (r • I Contractors'liability for variance in the pool �l i s e ..•to 15.00Bir. d actions vner delay . any additional s Z s incurred by • a . a result of I Z�r�A'1/,• I , ,•. such deleys --. be paid by o or. '- (. - . , - This pla authorization in conjunction with the contract constitutes the entire agreement "'• ”' '-` ' `- ol the parties. ' _ I • BUYER APPROVES PLAN AND SPECIFICA- �r • /// 1 ''.TIONS AS OUTLINED •EREI •ND AS K J ` 4IItIt;/ - 'RECEIVED A .-•Y0�15 ' f/ ��U UU 'lll • . —mit: ..r i_ ` GNAT R: • O-rt• �'4.'" / /- , jetAlt� O.. . _ ...-_ ....._. SIGNATU E / I Iiii SWAN POOLS • :,.T.Ddde.; w, vk„W pm,.id On Iy DEEP .`SWe'11e^=.1' . ,�-r� U/ END OF SOUTHERN CALIFORNIA `tJ �" f SHALLOW Lic. #440333 ,A.y;'.v-" - .' r �x�\ Decsw ,vsi tu,r ' END Yr•1''4kr$manliR • 4 lY / Dec MOK % � • :'::.'h`C` f�kUYLS: eUtZ. 1 Cao a u.: s — Mtrs�1 • `xG - 91hr 'G/49i • BUYE9/OWNER/S ADDRESS CITY RES,PHONE CO TRACT DATE �' S Al-6_ ' . / 7 .- 2-52-7-- . • . ' MAPBOOK'PAGE • LEGAL DESCRIPTION-LOT TRACT JOB PHONE -Owner and,Contractorlfackiiowtedge'that • :,theyarelesponslMetortthefollowing PLAN AUTHORIZATION .Connector/Owner ---- --I- -- --- - - T i - Access'ence Re 'i al by, -, . I - •_ •_ • `.: l , ' - - 1 . i . - -•-•.-;--- j , Access : - Begirt :ment by . . ' . .• . , i 1 1 ! I i_ Tree Re by : I �Y ` '' /�t • • • ! I L i ! I I 1 ; - 1 Tree Hauling r • • n • 1._ . H Exp' t ..n Joints b j - I I I nen Walls by . . ! -- . - - i I . . LII _t.-J '.Soil Reports by... i - .I ..fi 1- 1- 1 •_.i +.Deck Drains by: •:. ! -- -1 j . 1- I r . ,Special Engineering by : ' . . t ' I • ; .i.-I S.`-Security,Gates by • ! i---(. .4 t". -1...1 Security Fences by ! ' l- I--1-j- 1• SALESMAN1tMUST INDICATE LO •TION - l '- . •-•--1-1---; -r-1� ONTHISSCALE'DRAWING OF ALL •EMS • - - - i -' '-- '-"" •T. LISTED:,RELO • 'l-. -' : 'WING I - I •-�-i •. MUST:BEAC OWLEDGEO BY.OWNER. • I ' , ' 4- T-i, IF'THERE'A•• ANY:CHANGES FROM . ::.:L0CAT10NS,0 THIS DRAWING THERE { , • .'. 1. •4•WILL BE ADDI ONAL CHARGES. ! 1 • ..SWidth• Maximum•Shape of Pool - _ . . . I Irl c Width-Minimum • . I. .4 :. ..] Length-Maximum • , , • .Length-.Minimum . • N - 1 {- - , Dept ...Maximum. . I •,...� wr.tion . . - 1 U t Locatbn, I TT- fir-Ladder Location - w .. .. . . . •. ' - - ft•'.,.DMng:Board Location z - _ •• _ { _ . �Stde:Laatian p • -\QQ G N i • - -r i �•TIricitHeater,Locatio E ud� 11 • • . , t , ,- I • I - i Acoping'LoeaC 1 � ' •"5 , + .. . 1 1 i Skimmer Loral n .o� I _ f I •} ,step Location, _.....,.;&, N1� • - - - d ShapelofrSteDs z j- ,,_ ;' :_ . _ -i -� - - -t _ .. ..d'Access.Dimensic 3 , - — • , .. , 1-- • - I 411 ' '_ ...7�(�.�- V _ 1 flt11tt1tMSr/ - i1 C Electric Box:, 3 ' I r I -_ O r f r f 1 , } Gas'Meterr• o i Heae!Bibc•c < i ` h' { L •i c"�. ' , �� gDi arfe;P,ad trait - -�'' . ,M.-... E I i r House'81Pror1 Unes., . o . E Y • ', f i . _i LL, { ! ; j 7 �Oiedlead;UhhN Lmas o' 1 - 1 I i - PubIic UtIIiry7Easemenfs a i I �4� ' 1 • 1 - _ - 1 >�11.' • i • , _I ExisdtgiSLucture Ora"v*><':a:- f t i ' - I I : i 1 I 1 I C 1 i I , .l..i -.l r-e NG3: -.-I J,ROptisetl srmcL 00'PfOp. .• �' _ ! ,. TACCESS'DAMAGE. OR;UNDERGROUND , 1 }}OBSTRUCTIONS ..- ' ` •' I _ J I {'w, ,CONTA&rORwIll not assumeresponsibik- • I ' 1 ' 'id londameee such-as,.damage to curbs, j • . - . . - `t-sidewalkstdrlvewa s,cement slabs;sewers, I 1 - - sJ-..lawns:-trees, shrubs,.fences, telephone or I - :�'.otherutill;linesor-rerouting of any overhead • • . oriunderground, Innes;. pipes, conduits or 1 .. .. -- I ICS,O I . . ' I - ' Jdralnage.Customer warrants all locations on • __ -. „- \. ._ . . _ _ 6- - - --- ! r this'drawing ere within theirproperly lines •- ' - • I ; When access-Is•made through a neighbor's i 1 4• i 4'ropeny'it-Is Understood that you the owner I I .,, . , - . ' . . { pI °have spo sibili neighbor's rocks, and debris assume , t; , full responsibility.No soil,rocks,debris etc., , 'rremoved;or brought in except on day of , % 1 -iexcavatioe. - 1N. - • '- `•RLE CONTRACT-PRICE IS BASED ON THE - ' . ;'FOLLOWING MUTUAL ASSUMPTION OF - • . I , . t • FACTS: \ / -• hf,;kY•,Tliat the site has adequate bearing oapaci- - , ty;contains no uncertified fill ground,rock for. Imations, boulders, cesspools, septic tanks. • - 3 _ ' underground utility lines or other obstructions; \. . =4lhehno undo'fere or surface water i condi- ,• 11V'C ' �tions will interfere with the construction or I. t ' , - ' pensive soil the rs less structure;45PCF that ex. 1 � /\ • , i ``#. pensive exerts less than 45 PCF against . �L'-9,1:41 structure;that no blasting or jackham. / ; I*.tet a.rk Is required;that trucks and power 1 y�c;:: ,-flan will have access to the site and that .- 1 . i rq:;said access is adequate and substantial;that r I p,e adequate ty.Codty and water is available on 6 I i:,„r-the property.Contractor shall not be liable for ti Z j 1 t tfiotahon of the pool after gunite caused by ex- tk:71e ;al water;for any damage caused by freer- . • r ' • ? iingefor any injury to owner while owner is 1 ` / I ' I'L1watering gunite,washing decks,or brushing • V •`;.plaster. - - . 1,44::2- 'Grading in pool area is limited to 30 minutes, / I.' unless otherwise specified. Owner to be II/V/ • - d`:''responsible for determination of pool elevation • 5�w,{and.drainage beyond pool decking; for - I- \- x)�,wA�--\\'A •_./and•stal plaster urattempt tw gunite smooth I^V y.� ” / +I nd•stein Tree surfaAc;for watering gunite 3 \ r ' ,Ilmes daily for 10 consecutive days;for obtain- /` 65/ Ii or, 7 , , .`Ing any Homeowner not iion approvals;for y I' • ,i any walls or grading not specifically stated on 1 1 GUdM • / I • . - F contract;for all soil reports unless otherwise l7 1-1, 2 . apthany;far all additional costs associated I;`r'..•with end assumption herein that lass s in error. -1cralkrand decking are not guaranteed against /cracking, checking, raising, settling or ._ _ I..',.-4discoloration.Plaster is not guaranteed against • L , I.FPI/discoloration.staining,checking or cracking. ljlV_ F I•-'1Such plaster defects s generally result fromiccal 1. • - - :,>water conditions,Improper use of chemicals • • • or lack of or improper cleaning of the pool. . c <�c1 I .d; ^ m'otto's'itedtlyforvarianceinthepool • } SL >„, shall be limited to E5.00/n'.Should actions 3,,ki,kuner•delay construction any additional t:: s incurred by contractor, as a result ut 1• -such delays,shall be paid by owner. This plan authorization in conjunction with • F ”,i.tha contract constitutes the entire agreement - t, of the parties. - - I • ' I.="BUYER APPROVES PLAN AND SPECIFICA- r TIONS AS OUTLINED HEREIN AND HAS . t ' - ;'- RECEIVED A COPY OF THIS PLAN. 1. SVGNATURE \ - -� r_"\ .T �. ' p _ .` SIGNATURE cook .- t__! // / ,(/ u o to .. . r�- [, ] / — SWAN POOLS ii,45-74e�.J j�a,, rvwm� eww.,,, sm si.,�,m, f Date — GY++(, �. rt,�, /� M.,,, DEEP ; OF SOUI'I•IERN CALIFORNIA Stale Ila°-=1' C$$7 ! 1 '/— SHALLOW Lie x440333 i • e-61.� nx sst Bib ,y,,, ,k,n \ 1 END $ala5rildq T- Meir Most B�4 \ . + __,4 3177 9/17/79 55.65 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 REC BV PERMIT N° 48805 For Applicant to Fill in Completely — Use Ink OnlyBU �y� /� ILDLDINGING ! 6.0 firi , re.S 1� A.P. NO. /�a.� � �/ / 2 OWNER OR c-c If ADDRESS gop •r'/-4v TENANT Cj /` UNIT OR ADDRESS /4 O X P�ini f-.OS.r STPACE NO. LOT BLK. /� V TEL. J/pz� CITY L - , '1 N 10 ( /52i NEW ADD REP IR MOVING DEMOLISH CONSTRULENDERCiION ,*/011 �_ BRANCH //N ,JC` gg OWNER f ADDRESS USEa4. 2 5" R, ?eat vYVAW_ E 93 -* OR EN' 'GI'ENGINEER ga 6 T b, /] NOL• {{JJ //�� (J ADDRESS 4SOj E, /74ate / L,•IDI&4c4 ZONEZONE /�TYPE'� GROUP J APP CONTRACTOR �j-' ��[JJJ/'/ vf/ o�n� ,/ BY DATE ADDRESS /2,3 f '"r ?/Ito TEL t..< rpJ" CITYC�7' . t1 ?Age NO J�.//an • i CITY LIC. NEOd //,� LIC. NO.F. APPRzi7V1 S0 / /' '/� SIZE NO.OF SLOGS. (FRrD-lM/C/L```"`STTTTTTTREE Ca n OW. OF LOT I NOWONLOT FRONT 7 ' F 4/frrf „Q gesX It7 a USE OF ^ [/- / us EXISTING BLDG.?a!'/CL/Y'-f R.SIDF [/�/Gl H FSeparate permits are required for L.SIDE 5'F10 it electric,plumbing and heating work. REARF� Lt1 -C USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q D _ 02 fJ / DATE Q /'f(��Sy%c-{�r/rP j—��( faI / ��1,j APPROVE�Dj QQ>-' "^' l/i/fit '/ l d-Q(•'A — APPnor / ATE / —/t 77 C GLI 0 _ II hereby acknowledge that I have read this application and state n IX that the above Information is correct and agree to comply with O. all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of 2 Sthe State of California. �� (� m to I hereby certify that I am properly licensed as a contractor under SO. FT, N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR co -w Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b go am exempt from the provisions of the Stet: alifornia}B uu/sin�ess VALUATION PERMIT FEE and Professlo title,Divia n 3,Cha— PLAN S v+ . m \ Signature of 'die ie / //�� 00 PLAN CHECK S ��0^ IO�� Permittee - S 23/Slit .�•. TAX /_� ///yyy /] or Gj ''7 t(!/ I , �VUDl/1.�.. Authorized Agent Date //r//�� TOTAL PAID b IL — - -4277. 10/04/78 108.00 TL • COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR-STRUCTURAL PERMIT "' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626yf�'�,^�� For Applicant to Fill in Completely —Use Ink Onlalall y REc 1/ / RP ��SN� BUILDING / Or / � A.P. NO. ADDRESS d �/1")j�Qs BUILDING // GI e'0."t y�� OWNER OR L ADDRESS /6 nit—) TENANT BeC.f-� UNIT OR MAILING ADDRESS /- o0 frin,r-Ose SPACE NO. TR.NO. LOT BLK. TEL. CITY , ML NO.5 653, CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER Na/'/ -e-- BRANCH /pp — OWNER s ADDRESS ' VALUE /�/ ARCHITECT TEL. USE $ /�J • OR ENGINEER NO. ADDRESS ZONE GROUPCONTRACTOR ramI Co. BYPROV ED DATE• ADDRESS `23a ! j%-iL .P (-Oa eYPE LI ff TEL / CITY �•Knit, /4,2•5/4,2•52-� NO.�'Z4,�((y).�,^—// F�y STATE CITY APPROVED SETBACKS C LIC. NO. 2L/`/3/ LIC.NO. SIZE / NO.OF BLOCS. (FROM C/L STREET) PWa OF LOT I NOW ON LOT FRONT FT. Q USE OF vz EXISTING BLDG. Ft-SIDE FT. t/) F Separate permits are required for L.SIDE FT.' electric,plumbing and heating work: G REAR FT. F 'C USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q A 'C APR APPROVED 0f APPROVED ). _BY DATE CC 0. 0 I hereby acknowledge that I have read this application and state n 0 that the above information is correct and agree to comply with O. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of a ILL the State of California. . m I hereby certify thatSO. FT. am properly licensed as a contractor under D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, such licenses are In full force and effect,or I . THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — to am eve .• from e provisions of the State of California Business - /[^^�^^ a VALUATION PERMIT FEE $ I —V and Pr•fessions ode, Divisioh,33,Cj�haa(ter }9. —V LOQ m Sig ature o� ��'E�e Jam' // I// PLAN CHECK $ �' o Per ittee �( � $ TAX $ LL er lO 3 U Authorized Agent Date TOTAL PAID $ DB.0O . D a` , . AUG 7 1959 COSTA MESA BUILDING-SAFETY DEPARTMENT _ r-0 P.O.BOX 317 COSTA MESA. CALIFORNIA - - -. FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING AADDDRESS 1608 Primrose St. COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY Rosslane Land Col I RECEIPT NO. II yE5ILNQy OWNER 'Ve INTI' E AMAIL DDRESS 419 E. 17th St. RECEIVED BY I DA/E RiCE)VED I 1 ULI u Id59 CITY Costa Mesa TEL. LI81159 ADD/REES,SS J�J�jj ((�' !1 ARCHITECT Carlson & LIC. OR ENGINEER Mi r4 rll ah”nalr NO. COSTA MES/A, CALIFORNIA /� ADDRESS Garden Grove FIRE (y ' ZONE TYPE GROUP III /lp// Dike & Colegrove, Inc STATE 167293 APPROVED CONTRACTOR LIC.NO. BY DATE ADDRESS 419 E. 17th St., Costa Mesa ZONING LEGAL I LOT 2822 ZONE //'^// NO.OF USE OF NEW ///)� DESCRIPTION NO. 179BLOCK TRACT /C ! I PLANS QBUILDINGAr1'lr l!� A.P.NO. BYPROVE!!!!D 4../1„,e4:9 � / DATE 0 1�( 7 SIZE 65 x 100 NO.OF BLOGB.none YARDS EVES OF LOT I NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.)��, EXISTING BLDG. FRONT �/ FT. IN. SETBACK LINE FROM 551 25' CENTER of STREET REAR YARD R.SIDE 47 FT. IN. • SIDE YARD ILEFT 9' IRIGHT 6"I L.SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. 1 NEW I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BUNO.OF SIZE DING 1365 ROOMS 6 STORIES 1 EXTERIOR WALL.tu`,CO ROOF COVERING bb COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage. Plan llOC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCMN. �/ /�/D //I VALUATION SIGNATURE OF j7 /� J l J y' / PERMIT FEE $32.GG PERM ITTEE �'��//"^^��-- . % dflgr PLAN CHECK $16.00 $ 13,715 AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $48•00