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Home My WebLink About2199 PUENTE AVE - Building Permits� � � PflOJECT R�OflE55: z 1(.� (j PUENTE AV OWNEN'SNNME: FAIRBARN, KENNETH G --'I�oosess: z199 PUENTE AVE COSTA MESA,CA 92627 ADDflE55: uNir: ', / � CITY OF COSTAyMESA - BUILDING PERMIT PERMIT NO: B 064517 PLAN CIIECK NO: N CONSTRUCTION TYPE; 5-N PERMIT TYPE: STR UNIT: PEflMITTEE: MUNOZ CONSTRUCTION ( 714 ) 967-7753 aooeEss: g550 WARNER AVE 250 FOUNTAIN VALLEY CA 92708 LICENSEO CONTqpCTOH OECLAflATION: I here�v a�hrm �hal I am licensed under provisions of Chap�er 9(cammencing wi�� Section 7000) ot Div��sion 3 of Ihe Business an0 Pmlessions Code, ana my license 'n Nllforce antl eneci. ciTr uc:: D8 q 5 sraTe uc.: S 3 9 9 9 5 � 8�/ Date: � � Sigw�ure: WOflREflS' COMPENSATION DECIABATION: I hereby ailirm �hat I have a ceni�icaie ol c en� to sell-insure or a certificate o� Workers' Compensa�ion Insurance, or a cer�ified copy Iherea� (Sec�ion 3800. Lab. C�. POLICY NO.: E%P. OATE: LOMPRNY: ❑ Certitied capy is hereby Wmis�eQ ❑ Certified copY is lilea wi�h t�e ciry BuilUing Oivision. Oate: Ap0licant. E%EMVTION FBOM WONKEPS'fAMPENSATION OECLABATION: (Thissection nee0 notbe �nDleteOi�Ue permilislarane hunaretl�4100�a�less�. I cetlily ihat in t�e peAormance ol ��e work �or whic� �his Oermit is issueq I s�all n mploy any person in any manner so as �o become sublecl to Ihe lorkers' omp¢nsa�ion Laws o� California. �ale: / � Signa�ure: - NaTI : If. aller making Ihis eeclaration. you snoWd 6ecome suble ta the Workers' Co ensation provisions of Ihe Labor Cotle. you mus� Iorihwilh comply wiih such pmvisions or �his permit shall �e tleemetl revo . CONSTXUCTION LEN�ING AGENCY: I hereby afhrm thai �here is a cons�mclion lentling agency lor Ihe pedarmance of �he work �or wAic� I�is oermii is lssuetl (Sec�ion 3097, Civ. C). LENOEfl: RODflESS: OWNEB BUILOEfl OECLAflRTION: I hereby allirm that I am exemp� trom �he Contracmrs' S�a�e License Law lor ��e followmg reason (Seciion 7031.5 Business an� Professional Cotle: Fny ci�y ol counry which reQuires a permii b constmct, alter, impmve, demolish, or repair any simcture. prior to its issuance, also reauires ihe aoPlicant Ior such permit to lile a signed slalement Ihat ne/she is licensed pursuam m the provisions ot the Con�racmrs' S�ate License Law (Chap�er 9(commencing with Section 7000) af Division 3 0� the Business antl Prolessions Cotle) or 1ha1 he/she is exempl Iherefwm and ihe basis �ar Ihe allegetl exemp�ion. Nny violation ol Seciion 7031.5 �y anY applicant for a Oermit subjects the applicanl to a civil penalry oi not more Ihan five hunUretl tlollars ($500�. I, as owner ot the propeM1Y or my employees wilh wages as Iheir sole compen5alian, will Do lhe work, and Ihe ❑ slmclure is nol imendea or offeretl lor sale (Sec�ion 7044, Business and Pmfessional Code: The Contrac�ors' Sla�e License Law tloes not appry to an owner of a pmpeny who 6uiltls or imDroves �hereon, antl who tloes suc� work himsel�lhersel� or Ihmugh his or her own employees. pmvitletl Ihal such impmvemen�s are no� intentled or offered �or sale. If, however �he huilding or impmvemen� is sold wiNin one year ol completion. Ihe owner will have �he hur0en o� proving he/she tlitl no� 6uild or impmve lor the pUrpose oi Sale�. I, as owner ot the pmDeny, am exclusivety conlrac�ing wilh licensetl conVac�ors to cons�mct Ihe pmleci (Seclion 7044. Business ❑ antl Pm�essions Cotle'. T�e Comrac�ors' Sla�e License Law Ooes not apply to an owner o� pmpeny w�o builtls or impmves �Aereon antl who coniracts �or such O�olects wilh a contracloqs)license Dursuan� to ihe ConUactors' $tate License Law�. I am aware Ihat pwol ol iheir Workefs Compensa�ion insurance shoultl be pmvided Io me. � I am exempl untler Section: B. 8 P. C. for ihis reasan: PERM NO: H 06451 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTI6N—T70-WOOD-SHAKES,-RESHEATH,-RER06f-W/e�iMPO—SQ-F'-T-:--3�50 CLAIM VALUE: 3,150.00 CALC-��ALUE: 3,150.00 GP.OUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER U.B.C. 1991 **�*********x��r*�***x*�*�r***�**�*+�*****�*******+�*�+��cx��c+�*x****��*�**x�+��c**+�u� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 92217216 ZNE: REF NO: PLANNING NOTES> ,�� ..> r ^ �r*��*x**��r�rxx*�x�x�*�*�***�r*�r*x�r�r*�r**�r***u*�*�r�r**��r********+�****************+�*� D E V E� L O P M E N T S E R V I C E S R E Q U I R E M E N 4!'T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE; !' APPLICATION ISSUED BY; �� DATE: ✓ q Qi iti(�iEiFifiEi(�iE�EiE9E1FiEiEj)FifiFifiEiEihi��F�FiF3F�FiF3F3F3F� 3F3F3F�F'�F'�{Ei�TF3FiF�Fi7�'if3Fi�iF�F��%jEjE9EiEifiF9tifif iFiF iE 1!!!!E iE if iF jE 1E ff k!f iE iE if if if if 1E if if if if iE iE iF 1f iF if iE if 1E iE iE iF iP i! 1f iE 1E jE i! iE �E iE 1f if fF 9E iF iF iE iE iE iE ?f if if 1E if �E if if iE if if if �lE if �E if aE iE 1f if �f fE iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/�RES GRADING PERMIT 63.00 ;;50 SMIP/NON-RES PLAN l�'� ISSUE FEE � BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.5;0 .00 REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT:� ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 63.00 .50 ,,,� � � iE iE if �E jf iF if iE 3E �E iE 1! iE iElE iE ff if �E �f if if iE 1E if k if iE iE 1f 1F ik 1ElE 1F �F 1E �lE �)E ff iE iE iF iE fE iE if 1f jF ih iElf if 1f iE jE iE �f if 3E fF 1E 9F iF jE jf 1f�iE �)F iF if if 1E if * i6 3f 3E iE I N D I V I D U A L F E E B R E A K D O W N TY E""""� P T I O N UNIT COST '�!i TOTAL COST Date: Owner. SF ��1 � � I Oo hereby cerlity �ha� I am aware oi antl untlerstantl �he reQuirements ol Cali�amia Heallh ana Salety CoOe Sec�ions 2550.5. 25533, ana I 2553C antl thal I or any WWre builtlmg accupant willlwill noi (circle one� nee0lo compty with said state cotles and Ue requiremenis lor a permit lor consimction or matlilication Imm I�e Fir Oualily Managemeni OisVici. Resitleniial consimc�ion applica�ions are exemp� �mm these orwisians. � Dale: PpplicanL I hereby ceriily Ihal I have reatl Ihis apphca�ion antl s�a�e ��al the abave iniarma�ion is correcL I agree to comply with all ciry ana counry ordinancesantlslatelawsrelalingtobuiltlingcanslmc�ionandherebyaWharizer esenta�ivesol�Msci�y�oenteruponlheabove-men�ioned pmpeny far ms eciion wpo5e5. / ,\ / �ale'. O � SignaWre: r. � �rivefs LicenSe or Social S¢turily M.' 16aba6 White—Builtling; Green—Coae Enlorcemem; Canary—Applicanl: Pink—Revenue; Goltlenrotl—Assessor CAL[ 754-5626 754-5627 ALUE RESIDENTIAL NOZONE END OF FEES 1.00 3,150.00 SMOKE D.�-� EV � �,; ; w��._., RE�UfRED Ol OD14?1�2-OD144;!'u:,;T��T 63.50 UnTE: 10/19i93 TIMG:,IO�s:i CUNSTRUC710N AND PLANNING POOL & SPA 7PPROVALS Permit # Date Inspector AppROVALS Permit # Date i�spector '♦ 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. . 53. Steei Reinforcement 3. Electrical Conduit Ulility�Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. �_ � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFER.Grnd. 57. APPROVALTOCOVER�GUNITE 7. Footings ' 58. Electricai Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. 70. Structural Pioor System_ : 61. APPROVAL TO DECK - 17. Properry Sev✓er Line & House Connection - 62. Backwash & ReceptorFinal 72. Sewer Cap ' 63. Heater & Vent-Final 13. Roof Droins ' 64. Plumbing System � Pinal 14. Rough Plumbing 65. Electricai-Fi�a� 75. Ro�gh Electriwl-Conduit fi6. So�ar SYstem-Final 76. Rough Electric Wiring 67. Fencing & Access ApP�uval 77. flough Wiring Sign, 68. APPROVED FOR PLASTERING 18. Rough Eleatical-T Bar Ceiling 69. POOIlSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioni�g � FIRE DEPT. REQUIREMENT 20. Rough Facto�Y Fitevlac= � APPROVALS Permit # �� 21. .pucts, in Structure . 70. Underground Hydro .. 22. Ducts, Ventilating - ' 71. Product'PiPing GGas ❑ Oil -._:J , 23. Gas Pipe-Rough & Tesc , � 72, Underground Flush • �" 24. ftoof Framing � � � � 73. Undergrnd.StorageTank OGas �� '' �' i nv +� 25. fioof Sheathing �O..�f.� j��` 74. Overhead Hydro ! �•'" x ' V f� 26. T•8ar Ceiling (Structuraq & Monocoat 75.' Dry Chemical ��"`y -� � 1 27. Prame and Flashing 76. Dry Standpipe -- - � r' " � 28. Lathing & Siding 77. FIXED SYSTEM'rINAL � --'. 29. Insulation 78. FIRE PREV. FINAI -. . � 30. DrywailNailing � � HEALTHDEPT.REQUIREMENT -- . .�- -_ 31. Plaster Brown Coat � 79. FINAL INSPECTiON '32. Electrical PoWer Meter-Final ��. . 80. FOOD CERTIFICATE ISSUED � 33. Final Electric � . ' Notes: � 34. Final Heating & Rir,Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final FacYorv Fireplace � � • 38. Final Piumbing 39. Water Service-Final � � � •• 40. Gas Service-Final . . . 41. Solar pomestic-Final � � . ,. 42. Backflow Preventer � � � .,ti , e 43. Backflow Irrigation � _ ;^� �..- z 44. Landscape Irriqaiion System . . '�� 45, Sound Attenuation .. � � r�' s� r_�= ��.� 46. HandicapRegulations " �j�Zd_Ct�,... ,J I 47. FINALSTRUCTURE&BUfLDING f/ Z,.,ct3 �W� . � ��1 ''�.Q_�,�� 4 �� 48. PiNAL PLANNING' � - ^. �--. 49. Electric Release to Edfson . '- 50. Gas Release to Southem California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date J z J � ) INS 3 soii ! cns .��, wnr V Glll li IONS SPqINHLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� RIR CONDITIONING TEMPORAFV SERVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES [� FORMS � STEEL REINF. FLOOF SVSTEM BONo BEAM (J STEEL R SHEATNING FRAME AND FLASNING LiTMINf, _ IN n FINHL AL EIECTRIC,FINAL - BUILDING. FIN4L / CPFf141 GFl1111GGMGI.ITC SUBCONTRACTOR - `' � �aay� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For App/icant fo Fill in Completely � BUILDING n ifilJ O.. /� l/! ...! OWNER MAIL ADORES CITV C BPANCH 0 ADDRES 9� PvL �vr� AV r ADDRESS CONTRACTOR [��.. ADORE55 TEL. CITV NO. STATE CITY LIC. NO. LI0. NO. OF LOT ��O I J� �pO � . INO.OF BLDGo. NOW ON LOT E%IS'TING BLDG. �{ C S J/✓G N GG S12E OF �,aX �/ ROOMS NEW BLOG. EMEflIOR WALL ROOF COVERING COVERI USE OF BUILDING AND WORK TO BE ECn�i�E An� EO paiu IGZ_'74 r�.��0163}�: /-1-� �iy�� TION FOR BUILDING FIRE 20NE APPR N NO.OF PLANS � YARDS APPROV ED MAIN BUILDING VAR. # C.U.P.� // i USE OF BUILDI� YAR BET. MAIN & * 10.50 � I hereby acknowledge that I have reatl this applicetion antl state / I that the above information is correct antl aprae to comply with all lawz regulating builtling consvuction, antl 1 shall not employ any person in violation o� Me workmads compensation laws ot � � the Stata of Celitornie. � m I hereb cartif thai I am SQ, FT. T� � y y p�ope�ly licensed as a conttactOr untle� � the Steta nt Californle Business and Profassions Code, �ivisitn 3, THE AMOUNT SHOWN UNOER VALUATION IS fOF ^ Chapte• 9, and that such licenses are In full torce antl atfect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLv: ¢ am ezempt from Me provisions of the State of Californ(a Businass VALUATION antl Prof ions Cotle, Olvision 3, Chapter 9. ' � � N . / �i PERMIT FEE $ ] Signature t �f ' ^'� m Permlttee � ��j�'"� , n� �/ $ �U (J PLAN CHECK $ I E � Authorized A8a^� / TOTAL FEE $ O� LL �� .. " OWNER xvxxY �xv, co. 1� JOBADDRESS 2199 �ente $t• k GENERALCONTRACTOR : LOT (y$ GROUP I IINSPECTIONS � Footing Trench C Foundation Forms and Grade to Rough Framing _ Plumbing, Rough to Slab Piumbing, Rnugh Complete Temporary Pole Wiring, Rough Heating, Rough Heatina. Final S�awer, House � Sewer Septic Tank or Cesspool Lathing, In Out Plastering Plumbing, Final, FixturesCort Plumbing, Fin,al Gas Test ,�S Wirina. Final � G DATE BUILDING PERMIT NO. VALUE $ TRACT V ZONE R�y FIRE DISTRICT ]. DATE SUBCONTRACTOR PERMITSISSUE DATE I NUM.. CI� ^eta Mesa Building Department ' . �..� 717� EAST 20th STREET . � "' COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN B��d,�a�/99 �l� Address �,[ � �, Costa, Mesa, California ■ Cross St. r:r��j ��r�a7 Attach Lic. Size of Lot �6 d� 1/!1 I Now on Lot (J Use of I No. of I No. of Existing Bidg. � Famllles Room; Setback Linefrom Rear Vard nepair Building Size Exterior 'I hereby and state with all building i Demolish APPLICATION FOR P] �222 BUILD�dNG FOR o�cE usE or � '__- I _ReceiptNo._ I Received by� I Date Rec'd. I U Costa Mesa, California earest CORRECTIONS Rooms St r(es i Roof c � Coverin APPjZOVAI.�S" I � Foundation Loeation Inspeetor Forms, Materials, � 1./� Under-Pinning Frame: Fire Stops, � � +D � Bracing, Bolts � �j�feZ,S'R � - Lath.lnt. i� 3ge that I have read this Application N above is crorreM and agree to comply �ath. Ext. �� inances and State Iaws regulating ._ , Valu,ation " rermic ree $ o[ :�. • � � Plan Check $ .� D Bond B $ � �0' Total Fee $ �� d � FINAL FORM 204 G-H 2M 5-54 � t No. /3 z � � 2 D r