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Home My WebLink About955 POST RD - Building PermitsQwining Laboratories Ar, oraouiwewx uus February 11, 2002 CLIENT: KE1MA CONSTRUCTION 8182 CENTRAL AVE GARDEN GROVE, CA 92844 PROJECT: RESIDENCE—.SUECRYSEL � _9�5_POST_ROAD__ __ _ _ _ COSTA MESA, CA 92626 WORK PERFORMED: To Whom It May Concem: TES7/NG•/NSPECTlON•ENGINEEAlNG Scrvices I�r Over 700 Years Job No.: 0000300 Attached is the report of Work performed in the field for the above-mentioned project, by the Inspector on the date of: Youssef G. Sobhi Report #016121 Respectfully submitted, January 07, 2002 TWINING LAEORATORIES OF SOUTHERN CALIFORNIA, INC. �d�rrv�yJ� "�r,�.'r,vf-g'r� John M. Verracchi, Sr. Distribution List: KEiMA CONSTRUCTION CITY OF COSTA MESA BLDG & SAFETY SUE CRYSEL 0000300 RG ALL REPORTS REhWN THE PROPERTY' OF i�t'INfh'G L,�0021TORfES OF SOUTf1ERN CeLL(FOILYfA. (NC. AUTHORIZATfON FOR PUBLfCATION OF OUR REPORTS. COFCLUS WNS, OR EYTRqCTS FROAI OR REGAftDI\G (HESi IS RESLRVE� PEN�I\'G OUR WRITTE\ APPROVAL AS A MUNAL PROT[CTIO� TO CLIE\T5. THL PUBLIC, AND OURSELVES "One 7est is Worth a Thousantl Expart Opinions" co.00.ate ox:ce: 3310 Airporf Way, Long Beach, CA 90806 • Phone: (562) 4p63355 • Fax: (562) 426�6424 oran9e Counfy: 5942 Etlinger Ave., Suite 113, P.M.B. 313, Hunlinglon Beach, CA 92649 • Phone: (714) 986-0830 • Fax: (714) 960-0860 San oie9o: 9235 Chesapeako Drive, Suite D, San Diego, CA92t21 • Phona: (858) 974-3750 • Fas: (858) 9�43152 ,��, Twining A �►A Laboratories ,''Ir'/'r1/,1, OF60UTNEFNCILIFOFNII�INC. CONCRETE / MASONRY Testing & Inspection Report J1612� TEST/NG • INSPECT/ON • ENGINEER/NO Services for Over I00 Years "One Test is Worth a Thousand Expert Opinions" Corporate Office: 3310 Airport Way Long Beach, CA. 90806 Ph: (562)426-3355 Fax:(562) 426-6424 www.twininglabs.com REGULAR � Mileage 1.SX HOURS 2X � Expenses TIME IN A 71ME OUT `S;?f�P � Reinforcement �Concrete Placement �Masonry � Prestress Post Ten � Batch Plant _ � Fireproofing ��uality Control �Administration_ �Other `�'� �� G{��%�� b . MI%USED I DESIGNSLUMP I ADMIXTURE �Additional Page (Page #) CM Certification of Compliance I declare under penalty o( perjury ihat all of thp above s�atements are irue, and that of my own personal knowledqe �he work tluring the period covered by ihis report has 6een performed antl installetl in compliance with the approvetl plans, specifications and all applicable codes. `J � � Inspector Name � � 1 � Inspecror's Signature � !� � InspectarlDs ..`•��,$ .. _ . .,.X> s�:s.r,;. r .. _ DESIGN PSI CUBIC YAROS � Contains REPORT hy I J4 Does Not Contain SPECIMENS Non-Compliant Items All inspections based on a minimum of 4 hours and over 4 houB � 8 hours minimum. In addition, any inspection extending past noon wdl be an 8 hour minimum. If inspector is called to a project and no work ��p�rt rmed, a 2 hour minimum charge will be applied. // �� /� J f �J� ( � Approved/Authorized by r� i �,�/� �—'—'--"--�_.._ �oject Superintendent) Submitted by �� 31�L Twining Laboratories of Southern California, Inc. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jab Address: 955 POST RD Suite: Vicinity: Parcel Number: 14123127 Applicant: KEITH DAIGNEAULT Address: - CRYSEL,ROBERTLJR 955 POST RD Owner: Address COSTA MESA; CA Contracror: KEIMA Address: 8782 CENTRAL AV GARDEN GROVE, CA Zip: 92844 Arcn : JUREACK, RUDY Address: Zoning: Phone: 714-237-9773 Zip: Phone: Zip: 92627 � Phone: License: 740196 Phone: 949-833-9330 Eng: Address: Status: ISSUED Applied: O6/27/2001 Issued: 09/10/200t ISSUED BY: � � Phone: Zip: License: License: SCOPE OF PERMIT ADD 605 SF ONE-STORY FAMILY ROOM TO REAR OF EXISTING SFD. REMODEL TO EXIST. KITCHEN. 2,473 SQ.FT. OR 35% COVERAGE PROPOSED -- OK WITH BOTH FAR AND OPEN SPACE REQUIREMENTS. Plan Check: $486.69 Permit: $748.75 SMIP Res: $6.47 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,241.91 SETBACKS MAINSTRUCTURE Front 25-0 ACCESSORY Front 0- 0 Rear 25- 8 Rear 0- 0 FEE SUMMARY PLANNING & ZONING Lek 5- 0 Left 0- 0 Calc Valuation: Claim Valuation: Right 27-0 Right 0-0 PARKING Existinq: 2 Re uired: 2 Proposed: 2 NOTES: MELAD R 06/27/2001 NO PLANS WERE ROUTED TO SD DISTRICT SINCE AS PER APPLICANT NO NEW FIXTURES WERE ADDED ONLY SAME FIXTURES WERE RELOCATED AND NEW ADDITION IS NOT A BEDROOM. $64,727.50 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections end final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaaas �aroo� WORKEHS' COMPENSATION DECLARATION: - 1 hereby effirtn under penalty of perjury one of the following declerations: ❑ I heve end will maintaln a ceniflcate of consent to setl-Insure for workere' compensation, es provided for by section 3700 0l the Labor Code, for ihe peAormance of the work for which Ihis pertnit is issued. ❑ I heve end will maintain workars' compensation insurance, as required 6y sectlon 3700 ot the La6or Code, for Ihe peRortnance of ihe work for which this permit is issued. My workers' com�pensation Insurence carder end poilcy number ere: / Cartier: ii/J�t �� "-'7 � Policy Number: I b 7 7� d 6' O/ (This section need not be completetll! Ne permit is velued at one hundred dollars ($100) or /ess.J ❑ I certity thet in the peAormence ol the work for which ihis pertnit is issued, I shall not employ any person in eny manne� so as to 6ecome subject to the warke�s' compensation laws ot Calitomie, end egree that if 1 shoultl become suD�ect to Ihe workers' compensetion provislons oi Sec[lon 3700 ot t�e Lebor Code, I shall forthwith Comply wlth the58 provisions. � / q Applicant Slgnature: � `� Date: C �8 • O/ � WARNINQ: FAILURE TO SECUFE WORKERS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHP1L SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�RED i110USAND DOLLARE R��.�)� IN ADDRION TO iHE COST OF COMPENSNTION, OAMAGES AS PROVIDED WR IN SECTIqJ 3%O60F THE UBOR CODE, IfJrEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLANATION: I herehy aHirtn that I am licensetl under provisions of Chapter 9(commencing with Section 00) of Divislon 3 ot the Business and Professions Code, and my Iicense is in tull forca end ettect Lia a 7�� / 9� Class s a/ ^� � GontractoYsSignaWre: Date: 7—/D • u CONS7RUC710N LENDING AGENCY: ❑ I hereby alfirtn that there is a construction lentling agency for t�e peAortnanca of tha work for which ihis pertnit is issued. (Sec. 3097, Civil Code). LentleYs Nema: Lender's Address: Signelure: Date: OWNER-BUILDER DECLARATONS: I hereby afllrm Ihet untler penalry oi perjury that I em EXEMPT FFiOM THE CONTAACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, eusiness end Professions Code: Any city or couny which requires a permit ro construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit to file e signed statement thet he or she Is licensed pursuent to the provisions of lhe Contrectors License Law (Chapter 9(commencing with Sedlon 7000) oi Divislon 3 of the Business end Professlons Code) or ihet he or she is exampt t�erefrom and the basis for the allegetl a:emption. Any vlolation o1 Section 7031.5 by any applicant for e pertrv' subJects the apPlicant to e civil peneHy of not more then tive huntlred dollars ($500).): ❑ I, as owner of t�e proparty, or my employees with weges es ihelr sole compensatlon, WILL DO THE WORK, and the structure is not intended or oflered for sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves thereon, entl who does such work himself or herself or through his or her own employees, provided that such improvements are not Intentled or ottered tor sele. If, however, �he building or improvement is soltl wiihin one year ot completioq the owner-builder will have the 6urden of proving t�at he or she tlid not build or improve tor purpose ot sale.�. ❑ I, as awner ot the property. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business antl Profeulons Code: The contrectors License Law does not epply to an ownar of pmperty who builds or Impmves Ihereon, and who conirects for such projact with e conirector(s) license pursuant to Ihe Contractors License Lews.). ❑ I am exempt under sec. Signeture: Owner ID ventied by driver's license. ❑ Yes ❑ No Business and Professions Code tor Ihis reason: Vedfiwtion of Ownership by (rype oi documen�, i.e. - property tax bill ar tlaetl): Drivers License No. Date: E:pires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certiy Ihet no eacavation five (5) or more teet in depth Into which a person is required to descend, will be mede in connection with work authonzed by Ihis parmit, antl that no building siructure, scaftolding, falsework, or tlemolition or Cismantling thereof, will 6e more ihan ihirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Calitomia AdmlNstrative Code). ❑ As owner-builtler, I wlll not employ anyone to do work which woultl require e permit irom the Division ot Intlustriel Sefety, es notetl above, unless such person has e pertnit to tlo suc� work from the division. Signalure: Date: Division ot Industrial Sefery Permit Numbar: ICERTIFlCA7E OF COMPl1ANCE AND AUfHORIZATON OF ENfRY: I certity untler penalry ol perjury that I have read this epplication and state ihat the information given is I correct. I egree to comply with ell state lews end cily ordinances relating to building consimction, antl authorize representatives of Ihe City of Costa Masa to entar upon ihe above-described propeAy for inspection purposes. I egree not to occupy or allow occupency of eny building authorizetl by this permit until final inspection. Signature Of Lagal s) � AnNOr ANhon d Applicant CODE�. INSPECTONTYPE f�F� � �QQ�d INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 1268 Pool Spe Finel 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolition 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Preventian 220 Finel Planning Approval 222 250 Final Site !1. Ci final Building/Occupency PAIF /a(GOZ uw. To: J � 4 NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE Of COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 187 (�[') City of Costa Mesa ( ) City of Newport Beach ( ) Counry of Ora�ge Applicant: K�l'tl-f �� E�Ll L`� Address: TetephonE N° 3948 District Receipt No. Plan Check No. �t?I • OG�Qi � TracUParcel and Lot Number(s): ��i �'�� ' 2� Location of Project: �� Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaVlndustrial Projed is: (Check One) Warehouse R&D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial _ This project is exempt because l� �_x 31.84 x E .30 _ Motel Benk _ Neighborhood Shops _ Racquet/Health _ Hotel Medical Office Oifice Park Total Total ��•`l� Preschool Auto Repair Hospital Large Office Office BWg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school faci6ty fees in comp8ance with Government Code sections 53080 and 65995. The Building Pemits for this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Unified School Dishict. By: Y' Y/� I v M�i�q� AWhori=ad RepreseMaWe The above representation as to square footage is We. AppBcant agrees that i( k is later determined that such representations are not true, then this certificate shall automaticaly terminate and the appropriate Ciry/County shall be notiG€&.18 2881/]:84 PMl4 1113.2e . ^ RCPTq:01-0@83509 I J 11�7i? 9 �a-o Oate: . (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 955 POST RD Suite No Vicinity: Parcel Nunmber: 14�23127 Applicant: CRYSEL, ROBERT L JR Address: 955 POST RD COSTA MESA. CA Owner: CRYSEL, ROBERT L JR Address 955 POST RD COSTA MESA, CA Contractor. OWNER BUILDER Address: Arch / Eng : Address: ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinkinq Fountain Expansion Tank Gas Earthquake Valve NEW SHOWER VALVE. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 PLUMBING PERMIT Phone: 714-850-9829 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: 000000 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 � Pressure Regulator $0.00 0 Process Piping (per 10 R) 50.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 . Sewer Connect $0.00 0 Sewer Private Line $0.00 0 . Shower $9.80 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 7 0 0 0 Status: ISSUED Applied: 09/20/2002 Issued: 09/20/2002 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutas and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24Wa6 (6/00) WORKERS' COMPENSATION D�CLARA710N: _ I hereby affirtn under penalry of pery'ury one of the tollowinq declarations: ❑ I have antl will maintein a ceRificate of consent to self-Insure tor workers' compensation, as provitletl br by section 3700 of Ihe Lebor Code, for [he pertormance of the wark for which this permit is issued. ❑ I have and will maiNain worker5' t�qmpensation Insu ance, e$$$ req ired 6y sectlon 3700 ot ihe Lebor Code, for the pertortnance of ihe work For which this permlt is Issued. My workers' compensatior�surancg t ner and nur�be re: Carrier. �� W Y� � Policy Number: (This section need nof be comp/eted il ihe pertnif is lued at one hundred dollars ($100J or less.) �� I certity ihat in the pertormanGe of Ihe work for which Ihis pe�mit is issuetl, I shall not employ eny peison In any manner so es to become subject to Ihe workers' compensation laws oi Cal�forpia, entl agr 6Jthet if I s uld become subject ro lhe workers' compensation provisions ol Sectlon 3700 oi ihe Labor Cotle, I shall iorthwith compl with Ihese o i, ns. /� ApplicantS'ignature: � /// Dete: � ��'� w WARNING: FAILURE TO SECURE WORKERS' COM NSATI N CAVERAGE IS UNLAWFUL M10 SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HIINDRED TFpUSAND OOLLARE (5100,000), IN ADDITION TO THE COSi OF CAMPENSATIqJ, DAM4GE5 PS PROVIDED FOR IN SECTION 3IO60F THE LABOR CODE, IFIrEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, antl my Ilcense is in full force and eflacL Lic. q Class A Con�rector's Signature: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereDy aMirm that ihere is e consiruction lentling agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lender's Adtlress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm thel under penalry oi perjury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any sirucWre, prior to its issuance, also requires ihe applicaN for such permit to tile a signed statement thel he or she is licensed pursuant to the provisions oi the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 pf the Business and Professions Cotle) or that he or she is exempt therefrom and the basis tor the allegetl exemption. Any violation ot Section 7031.5 by any epplicant for a pertnit su6iecis the apP�icant to a civil penalry of not more ihan five huntlred dollars ($500).): �I, es owner oi ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the StrucWw Is not intendeC or otteretl for sale (Sec. 7044, Business end Professions Code: The Coniractors License Law dces not apply to an owner ot property who builtls or improves thereon, and w�o Coes such work himsetl or herseN or through his or her own employees, provitletl ihat such improvemenis ere not intended or oHered for sale. If, however, the huiltling or improvement is sold within one year ot complelion, ihe owner-6uilder will have the burden ol proving ihat he o� she tlitl no� build or improve tor purpose ot sale.). ❑ I, as owner of Ihe property, eM E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro wnstmct Ihe projecl (Sec. 7044, Business and Professlons Code: The contrectors License Law does not apply to an owner of property who builds or Improves thereon, and who coniracts for such pmject wit� a contrecmr(s) license pursuant to ihe Contrectors Li nse Laws.). ❑ I am ezem n r c. � Business and Professions Code for this reason: Signamre: �i�'✓ Giir.. �ate: � Owner ID v ified by drivers Iicense. ❑ Y s ❑ No Orive/s Licensa No. Expires: Verificatian of Ownership 6y (type 0f tlwumem, i.e. - pwperty lax bill or deed): DIVISION OF INDUSTRIAL SAFE7y pERM1T CERTIFICATION: ❑ I hereby certify that no excavation fiva (5) or more feat in depth into which a person Is required ro tlescend, will be matle in connection wlth work authonzetl by ihis pertnit, and that no builtling s�ructure, scaHoldinq, falsework, or demolition or tlismentling Ihereot, will be more than thirry-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, CaOtornla Administrative Code). ❑ As owner-builder, I will not amploy anyone to do work which would require e permit from the Division ot Industrial Satety, es noted ebove, unless such person hes e permit to do such work irom the division. Signature: Date: Division of Indusinal Safety Permit Num6er: CERTIFICATE OF COMPLIANCE qpr�AllTHORI 3TON OF EMRY: I cenity under penalty of perjury that I have reatl this application end slate iha� the infortnation given is corred. I egree o comply wuh IYs Ie laws en Ity ordinances relating to building consiruction, end euthorize representatives ot ihe Ciry of Cosla Mesa to enter upon the above� s I property for' s cuon puryos �I egree not to occupy or allow occupancy of any building authorized b this permit until final inspac�. �� - � n lJ �� SigngNre t L gel Owner(s) Date And/Or Authorized AppliwN COOE t. INSPECTIONTYPE 7616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Flnal Blxk/Retaining Wgll 202 Final Factory Fire Place 203 FinalSiqn 204 Final Demolition peg INTRIALS COOE 1 INSPECTION TYPE 206 Final Mechanical 20B Finel Plumhing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupency PdIE lt� •� � � v� (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 955 POST RD Suite No Vicinity: Parcel Number: 14723127 Applicant Address: Owner: KEITH DAIGNEAULT CRYSEL,ROBERTLJR Address: 955 POST RD COSTA MESA, CA Contracror. KEIMA Address: 8182 CENTRAL AV GARDEN GROVE; CA MECHANICAL PERMIT Phone: 714-231-9773 Zip: Phone: Zip: 92627 Phone: Zip: 92844 License: 740196 Status: ISSUED Applied: 09/7 0120 01 Issued: 09/10I2001 ISSUED BY: � � SCOPE OF PERMIT INSTALL iFAU, 7 A/C UNIT, 1GAS PIPING, iFACTORY FIREPLACER, iHOOD, 2VENT FANS, 4APPLIANCES FOR RESIDENTIAL ADDITION RE:801-00955. ,� � , ISSUE FEE Inst FAU <100 k BTU Ip�t FAU >700 k BTU /Ftepair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Faciory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct � Appliance fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers � t0000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater 523.50 $14.80 30.00 $0.00 $0.00 514.80 50.00 $6.15 510.65 $10.65 50.00 $14.50 542.60 50.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 Quantiry 1 ' 0 0 0 1 0 1 7 1 0 . Z'. 4 0; 0: 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Com mercia l I ncin e rator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/SOOkBTU 75 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30to50hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 S0.00 $0.00 30.00 TOTAL CALCULATED FEES E137.65 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod 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 requirad Inspeetlona and finel epproval must be obtained. Fail�re to obtain inspections and final approval will result in the ezpiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d48�48(BI00) WORKERS' COMPENSATION DECLARATION: I hereby ettirtn untler penelry oi perjury one o1 Ihe followinq declaratlons: ❑ I heve end will mainteln a certificete ot consent to self-Insure for workers' compensetion, es provitletl for by sectlon 3700 of the Lebor Code, tor the pertormance of the wark tor which this pertnit is issuetl. ❑ I heve antl will maintain workars' compensation insurence, es repuiretl by sectlon 3700 of Lebor Code, for Ne performance of the work for which this permit is Issuetl. My workers' compensatlon Insurence ceMer end policy number ere: / Carder. ST/�f.� f��—.> Policy Number: I` 2 7�0 �- �� (T7Ns section need nof be completetl il the Oermif Is vslued et one huntlred dollers ($7 ) or less.) ❑ I certity t�et in the pertortnance of ihe work lor which this permlt Is issued, I shall not employ any person In eny manner so as to become sub�act to the warkere' compensetlon laws of Celifomie, antl gre i should become sub�ect to the worker/s'cgmp ensetlon pmWsions ot Sectlon 3700 af t�e LeDor Code, I shall fort� camply with these provisions. � / p. AppllcamSigneWre: Dete: / —�0' O / � WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE H 1V'f pR! � TMOUSAND OOLLARE (5100,000), IN AODRION TO THE WST OF COMPENSATION, DAMAGES AS PROVI�EO FOR IN SECiION 31080F THE LABOR CODE, IMEREST, AND ATiORNE1"S FEES. � LICENSED CONTRACTORS DECLAFATION: I hereby eMirtn that I em IicenseC unAer proNsions of Chapter 9(commencing with Sectlon7AQ()) ot Division 3 of the Business and Professions Code, anC my license is In Full tome end enea. uc. x 7 Yo - i 9< < C1859 M /3 / i Conlractors5ignaWre: /i�) �` Deta: �%—/o. pi CONSTRUC710N LENDING AGENCV: ❑ I hereby aflirm ihat ihere is a construction lending egency for ihe peAormance of the work for which this pertnit is issued. (Sea 3097, Civil Code). Lentler's Neme: Lender's Address: Signature: _ Date: OWNER•BUILDER DECLARA710NS: � I hereby eflirm that under penalry ot perjury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or wunry which requires a pertnit to cnnstruct, alter, improve, tlemolish, or repair any structura, pnor to its issuance, also raqWres the applicant for such permit ro file e signetl stetement thet he or she is Ilcensed pursuant ro the provislans ot t�e ConlraMors License Lew (Chepter 9(commencinp with Sectlon 7000) ot Division 3 of the Business end Protessions Code) or thet he or she is exempt t�erefrom and Ihe basis for t�e allegeO axemptlon. Any violetion of Section 7031.5 by eny epplicant for e perm�' sublects the eppllcant to a civil penalry af not more ihan Ova hundretl dollars ($500).): ❑ I, es owner of Ihe properry, ar my employees with weges es �helr sole compensatlon, WILL DO 7HE WORK, and the slrucWre is not IntendeC or otteretl far sale (Sac. 7044, Buslness and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves Ihe�eon, antl who does such work himselt or herself or thwugh his or her own employees, providad ihat such Improvemenis are not INentletl or oflered for sale. If, however, the 6ulitlin9 or improvement Is soltl within one year oi completion, ihe owner-builder will have the burtlen of proving that he or she did not builtl or improve for purpose ot sele.). ❑ I, as awner ot the praperty, em EXCLUSIVELY CONTRACTNG WITH LIGENSED CONTRACTORS to wnstruct the project (Sac. 7044, Business entl Professions Code: The comrectors License Lew does not epply to en owner ol property who bullds or improves thereon, and who contrects for such proiect wlih e comractar(s) license pursuant to Ihe Coniractors License Lews.). ❑ I em exempt under sea Business antl Prolessions Cotle tor this reason: Signeture: Date: Owner ID venfied by drivars license. ❑ Ves ❑ No Drivels License No. Vedticetion o1 Ownership by (type o( tlocument, i.e. - property Ia�c bill or deetl): Ezpires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily Ihat no evcavation five (5) or more feet in depth Imo which a pereon is required to descend, wlll be maae in connectlon wlth work euthorized by Ihis permit, end thet no building structure, scattolding, falsework, or demoll�lon or tlismantling thereoi, will be more �hen ihirty-six (36) fee� high. (Chep. 3.2, Grp 2, Art 2, Sec. 3d1, Tl�le 8, Cellfomia Admini5�re�lv0 Gode). ❑ As owner-builder, I will not amploy enyone to do work which would require e permit from Ihe Division of Intlustriel Sefety, es noted above, unless such person hes e pertnit ta do such work trom ihe division. SignaNre: Date: Divislon ol Indusirial Sefery Permit Number: CERTIFlCATE OF COMPtJANCE AND AUTHORVATON OF EMAV: I certily under penalry of per�ury that I �ave read thls application entl state Iha� i�e informatlon given Is correcL I egree to comply with ell 5tele lews end ciry orGinances relating to bullding construction, and euthodze representativas of Ihe Ciry ot Coste Mesa to enter upon �ha ebove-0escnbed properry lar inspection purposes. I egree not to occupy or ellow occupency ol any building authorized by this pertnit until final inspection. COOE A. INSPECTIONTYPE 1616 Fixed System Finel Fire Preventlon 1268 Pool Spe Finel 200 Finel Re-Roof 201 FInaI Block/Retaining Well 202 Final Fadory Fire Place 203 Finel Sign 204 Final Demolition ¢e� u�s GODE� INSFECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Pinel Electncel Da�b 9 �� - a. 272 Final Pire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 955 POST RD Suile: Vicinity: BEDROOMS 7 AND 2 Parcel Number: 14123127 Appiicant: CRYSEL, SUE Address: Owner: CRYSEL, ROBERT L JR Address . 955 POST RD COSTA MESA, CA Convactor. O W N E R-B U I LD E R Address: . - � Zip: Arch :- Address: Zoning: �Phone: 714-850-9829 Zip: Phone: 714-850-9829 Zip: 92627 Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/08/2002 Issued: OS/10I2002 , Phone: . _ , Phone: Zip: ' - License: License: _ SCOPE OF PERMIT i EXTEND SF TO EXISTING BEDROOMS. BEDROOM #1 ADD 95 SF AND BEDROOM #2 ADD 86 SF. REF: BOt-00981 Plan Check: $172.41 Permit: $265.25 SMIP Res: $1.55 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $439.21 SETBACKS MAIN STRUCTURE Front 0- Q ACCESSORY Front 0-Q PARKING Existin : p NOTES: Rear 0-0 Ftear 0-0 Required: 0 FEE SUMMARY Calc Valuation: Claim Valuation PLANNING & ZONING Left 0- 0 Right � 0- 0 Left 0- 0 Right 0- 0 Prooased: 0 5� s.a�5.5o $o.00 NOTICE: The work authonzad by this permit shall comply vnth all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void ii work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legel, such work must comply with all applicable codes, and all requlred Inepecliona and final approVal must be obtained. Failure to obtain inspections antl final approval will result in the ezpiration oi this permit. FOR INSPECTIONS CALL: (714) 75M5626 / zuaae (eroo) — WORKERS' COMPENSATION DECLARATION: I hereby eNirm under penelry of perjury one of the tollowing tleclarations: ❑ I heve end willr[�aintain e certificate of consent to self�lnsure for workers' compensation, as provitletl for by section 3700 of the Lebor Gotle, tor the pedormence oi the work for which thls permi� Is issuetl. ❑ I heve antl will meintain workers' compensatlon Insurance, es requiretl Dy sectlon 3700 0l Ne Labor Code, br Ihe perfortnance ot ihe work for which ihis pertnit Is lssued. My workers' compensation Insurance carner end policy number ere: Carrier: II Policy Number: (This section need nof be campleted H the pertriit is velued e( wre hundred dollare ($ f00) or less.) ❑ I certify lhat in the peAormance of iha work for which this pertnit is issueQ I s�all not employ any person in any manner so es to become suDject to the workers' compensation laws of Calilomia, and egrae that If I should become suOjecl to Ihe workers' compensation provisions ol Section 3700 of the Labor Code, I shall forihwlth comply with these prOvisions. Applicam Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' C/JMPENSFTION COVERAGE IS UNLAWFUL AND SHPLL SUBIECT Ml EMPLOVER TO CRIMINAL PENqLTIES AND QVIL FINES UP TOONE HUNDPED TNOUSANO OOLL4FE (5100,000�, IN ADDITION TO TME COST OF COMPENSATION, DPMAGES AS PROVIDED FOfi IN SECiION 37060F THE LABOR CODE, IMEREST, ANO ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby ettlrm that I am licensetl untlar provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of the Business and Professions Code, and my licensa is in lull fo�ce entl eflecl. Lic. q Class M Comrector's Signeture: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm �het ihere is a consWction lending agency for the peAormance ol the work tor which Ihis permit is issuetl. (Sec. 3097, CiNI Cotle). Lenders Neme: Lenders Address: Signature: � Date: OWNER-BUILDER DECLARA710NS: I heraby aflirm thet under penalry of perjury that I em EXEMP7 FROM THE CON7RAC70RS LICENSE LAW for �he following reason (Sec. 7037.5, Business antl Professlons Code: Any ciry or counry which requires a permit to construct, alter, impmve, demolish, or repair any simcNre, prior to its Issuance, also repuires the appliwnt for such pertnit to Ille e signed statemem Ihat he or she Is licensad pursuant Io Ihe prodsions of the Contrecmrs License Lew (Chapter 9(cOmmencing with Section 7000) ot DiWsion 3 oi lhe Business end Profasslons Cotle) or that he or she is exempt therefrom end the besis for the allegetl e:emption. Any violation of Sectlon 7031.5 by any epplicant for e permlt subjects the epplicent to e civil penelry of not more then tive hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages es lheir sole compansation, WILL DO THE WORK, antl the struclure Is not intentletl or oNered for sele (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of pmpeny who builtls or improves ihereon, antl who does such work h' self or herseli or ihrough his or her own employees, provided ihet such improvements are not intended or oHeretl for sale. It, however, tha builtling or improvement Is oltl within ono year of completion, the ownervbuilder will have ihe burden of proving t6at he or she did not build or improve tor purpose of sale.). / I, as owner ot Ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ta construct the projact (Sec. 7044, Business antl Professionb � Gode: The conlretiors License Law tloes not apply ro en owner ol propetly who bullds or Improves Ihereon, antl wh0 conlratts for such project with e crontracto�(s) license pursuanl Io the Contractors License Lews.). ❑ I am exempt un er sec. Business end Professions Code for this reason: �Signeture: � ��G� �.�n Owner ID vanfietl by tlrivers licensg� ❑ Yes ❑ No DrFefs License �� VedNcation of Ownershlp by (type of dacument, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby canify that no excavation five (5) or more feet in depth into which a person is required to descenU, will be ma0a In connection with work authorized by Ihis permit, and that no building slrucNre, scaHoltling, falsework, or demolition or tlismantling ihereot, will be more than Ihirty-six (36) icet high. (Chap. 3.2, Gry 2, Atl 2, Sec. 341, 77t1e B, Californie Adminisirative Catle). ❑ As owner-builder, I will not employ anyone to do work which would require a permil Irom ihe Division ol Industrial Selety, es notetl abova, unless such person has e pertnit to do such work irom t�e division. Signeture: Date: Division ol Intlustrial Salery Permit Number: CERTIFlCATE OF COMPLIANCE /WD AIfTT10RIZATION OF ENTRV: I certify under Denalry of perjury that I have reatl this application antl state that Iha iniortnation given Is wrrecl I egree Io comply with ell s;ate laws and ciry ortlinances relating to huiltling construction, and euthonze representetives ot Ihe Ciry of Costa Mesa to enter upon ihe ebove-descri d properry tor inspection puryoses. I egree not to occupy or ellow occupancy oi eny building authorized by this Dermit until finel insDection. �`�/�'�� .� �� C�/ �� g�e01 galOwner(s)� Datel And/Or Authorizetl Applicant Date COOE �. INSPECTIONTYPE 7616 Fixetl System Final Fire Preven�ion 1268 Pool Spe Final 200 Finel Re-Roof 201 FInaI BIwWRetaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolition PAg It�EL9 � COUE 1 INSPECTION TYPE 206 Finel Machanical 208 Final Plumhing 210 Finel Elettrital 272 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250. Final BuiltlingiOccupency Qd�f. �$ OWNER ��COME HOMES JOBADDRESS DATE BUILDING PERMIT NO. GENERALCONTRACTOR j,)�C�e._H��s_ VALUE $ 9�600•OO LOT 23 BLOCK TRncggq6 $ing e�iP_s w�att gar GROUP I Sc J TVPE V ZONE R�� FIRE DISTRICT �(�71 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Rough Framing Plumbing, Rough to Plumbing, Rough C� Grade; o�l' $� SY-�((1''7Z1{!Gf► /.J-/..h �J .7 G� /ali � t �.�, ' '3 � a 7 S.6 � -- �C O. _ G .i.�-L .�Ai� _ i, Final %i7CS �- 1- / T%jit'/O'�$7'LR� �/S .�� .�ln / �. � House � Sewer, St. (� � �//-S6 S3 5� 6— fank or CessDool � Lathing, In Out Plumbing, Fin�al, FixturesComplete {%%(,S '�� -, _ Plumbing. Fin,al Gas Test %S� E S �.-7J's% , /+ ) - � � r � � � �y —�¢-y— Wiring,Final �L,� FEB / OccuPaneY //I � „y// �,"Al�� FONM 210 3M 10�53 jrosta Mesa Bnilding Department " -� P. O. Box 3!7 COSTA MESA, CALIFORNIA FOR APPLICANT TO F'ILL IN Building Addresa Post R�d Costa Mesa, California Nearest �ilbro Cross &t. owner Ne lcotre Ho� s, ZrA. Mail ndaress �28 NJe stmi nster �ve. , city {Yestiro.nster No�.1Vem. 5']ll Arohitect or Lic. con� Eor.es, Znc. NoY "78 28 iYestminster Ave., Lat � No. ?3 Block I Tract Attach Metes and INo. of Bldgs. None Now on Lot No.of No.oT Families Rooma RearYard F Ft. Side Vard F New � X � Alteration � � Addition Building No. of 6ize 2%� Rooms 6 Stories 1 Exterlor Wall I Roof Covering $b.1CC0 Covering WOOd Use of New euiidtna Single family residence and tvro car �era� attaohed. I hereby acknowledge that I have read this Application and state that the abme is correct and agree to comply with all CIty Ordinances and State Iaws regulating building constru�W�C"'F !'�-O'�'� � Signature o Permittee _ APPLICATION FOR PERMIT 3�'i1 BUiLDING � FOR OF'F'ICE USE ONLY Receipt No. Permft No. 3o.3i Rece�v d by Date Rec'd. Date Issued � s-/�-.�G s-��-S6 Address Costa Mesa, California Cross St. No. CORRECI`IONS % ' ` � 1 ,� � _ 4 ' � ' , .� . . � _"`i ` . . - i i.'.'l'/ T R .: .- . , •-_ J APPROVALS �undation Location Inspeetor � Date Forms, Materials, Under-Pinning •ame: Fire Stops, Bracina. Bolts Valuatlon�� Pe�mit Fee $ � � — Maso /�/; Plan Check $ Bond $ / � � Total 7 _ — Fee $ � �' FINI a.. zoa io.ss o. r. e s. Int E�cL PLOT PLAN Show locatlon antl distancea fram property Iine and between buildings. � .`� - J �(t ` �'iC 1. .o� _ ��c.� o P'�1� �...v. � o-_.. �.., �_ '1_ . .. _ �_ ��. _ 1�- � .o � . . �,o I ` ' 7' ' : _ J.... � � - C� . � �� L, I:: � .; O .� . � .f . ; 1 Oii..�'., ;,o.,. ,uo.,� . a'; �.:. 3.' I _ I . .. .,�^,: , �. ,�u � J \ �_ . �. ,'l .,. _ �' , ., ' ', • � � � ,� , .. .,, � , „ � , �, ._.. <<,. 1'�:� . �'•