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Home My WebLink About969 POST RD - Building PermitsCITY OF COSTA MESA . � BUILDING DIYISION o. = 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754�856 • www.ci.costa-mesa.ca.us �•�e�• FOR INSPECTIONS CALL: (714��754-5626 PERMIT NUMBE E07-00810 PERMIT TYPE ELEC JOB ADDRESS: 969 POST RD CM Vicinity: ATTIC STATUS: ISSUED DATE ISSUED: 09118/2007 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT FOR 1 IIGHT FIXT, 1 OUTLET AND 1 SWITCH TO INSTALL AN NEW FAU, LOCATED IN THE ATTIC SPACE. REF#: M07-00486.: � . � . � � . � OWNER: VALDES, RICHARD V AND VIRGINIA, PHONE: 714-540-9544 APPLICANT: VALDES, VIRGINIA, PHONE: 714-540-9544 CONTRACTOR: OWNER-BUILDER Address: UniC , PHONE: Ciry/State: ZipCode: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $26.80 Reinspection Fee $0.00 TOTAL FEES $26.80 Address: 969 POST RD Unit: City/State/Zip: COSTA MESA, CA Address: 969 POST RD Unit: City/Slate/zZip: COSTA MESA, CA License No. 000000 CELL: n � 1 ^ '<` s �; ;� `�:«.If�s Y. NOTICE: The work authorized by this permit shall comply with all appliwble handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permil. CO�E/ INSPECTIONTYVE DnTE INTIPALS CODEt IN$PEGTIONME D� IN1I11AL5 1618 Pixed System Final Fire Prevention 206 Final Mechanical 12fi6 Pool Spa Final 20B Final Plumbing /./� 200 Final Re-Roof 210 Final Electriral � n l 7�ylY N.N/ � �_�.c� 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 Oemolition 250 Final Builtling/Occupanry �NORKERS' COMPENSATION DECLARATION: ' I hereby affirm untler penalry ot perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sel(-Insure for vrorkers' compensation, as providetl for by section 3700 0l the Labor Code, !or the per(ormance of the work tor which this permit is issued. ❑ I have and will maintain v,arkers' compensation insurance, as required by sectbn 3700 0( the Labor Code, for the peAortnance of the work for which this pertnil is issuetl. My workers' compensation Insurance carrier and policy nUmber are: Carrier. (Th¢ section npe,y lpf 6e mmplele0 dthe perma is valuetl at one hundredW'lars (5f00) a less ) POlj�y Number: G�I certi(y that in the peAormance o! the vrork for v+hich this permit is SSued, I shall not employ any person in any manner so as [o become subjecl to tbe vrorkers' compensa[ion laws of California, antl agree that it I should become subj ct to ihe workers' compensalion provisions of Section 3700 of the Labor Co e I shall forthwith comply with these proy{'sions _ /�7 . f � , %'fl _ — - - b � l.� � Applicanfs Signalure Oale�'�' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND A7TORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl eHect. Lic. # Class # ConVaclor's Signalure oate CONSTRUCTION LENDING AGENCY: Q I hereby aHirtn that lhere is a consWctbn lending agency for Ihe peRortnance of the �+ork fa which tNs pertnit is issued. (Sec. 3097, Civil Code). Lfnder's Name: L�nder's Address: OWNER•BUILDER DECLARATIONS: I hereby aHirm that under penalty ol perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor Ihe following reason (Sec. 7031.5, BUsiness and Pm(essions Code: Any ciry or counry which requires a permit to construct, aller, impmve, tlemolish, or repair any strucWre. prior lo its issuance, also requires lhe applicant (or Such permit to file a signetl statement ihat he or she is licensed pursuanl lo Ihe provisions o( the Contractors License Law (C�apter 9(commencing with Section 7000) of Division 3 of the BUsiness and Pmfessions Code} or that he or she is eaempt therefrom antl the basis for the alteged exemplion. Any violation of Sec[ion 7031.5 by any applicant for a permil subjects the applicant to a civil penalty of not more lhan f e hundretl tlollare (3500).): � � 1,-asJowner o( (be property, or my employees witb wages as their sole pensation, WILL DO TFIE WORK, and the stmcWre is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: The CoNrectors License Law tloes not apply to an ovmer o! property who builds or improves ihereon, and who Coes such work himself or herself or ihrough his or her own employees, provided that such impmvements are not intended or offered for sale. If, hovrever, Ihe buil0ing or improvement is sold within one year of cOmpletion, the ovmer-builder vrill have the burden of proving Ihat he or she ditl not build or improve for purpose of sale.). [] I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to consWct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of p�operty who builds or improves thereon, and who cont2cts for such projecl with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am ex mpt under sec. ' Business a Professions Cotle for this reason: -L -(Qj�' SignaluFe Oa� le�`j 305]�GB�]/0]) �� Ovmer ID venfed 6y tlr�iv(e/�r _ nse. Yes ❑ No 2 Dnve� License No. %.� Expiies: ��/ Verificatiomo( Ovmership by (type of document, i.e. - propeAy tax bill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMI7 CERTIFICA710N: �� ❑ I hereby certdy Ihat no excavation frve (5) or more leet in depth into which a person is required to descend, will be made in connection vnth work autFrorizetl by this pertnit, and Ihat n0 building sWcture, scaffdding, (alsew9rk, a demolilron or dismanUing [hereof, v.ill be more than thirty-six (36) feet high. (Chap. 32. Gry 2. Art 2, Sec. 34t, rtle 8, Califomia AtlministraWe Code}. ❑ As owner-builder, I vrill not employ anyone to do vrork which vrould require a permi[ from lhe �ivision of Industrial Safety, as noted a6ove, unless such person has a permit lo do such vrork from ihe division. Applitanfs Slgnalure pale Division of Indusirial Safety Permit Number HAZARDOUS MA7ERIALS AND EMISSIONS CERTIFfCATION: 1. Will the applicant or present or fuWre building occupant neetl ro(le and certify a Business Plan for emergency response to release or threatened release of a �azardous material7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one time tluring a reportetl year a quantiry of hazartlous 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 slantlard temperaWre and pressure). 2. Does or will the applicant or present or (uNre builtling occupant need to file a registralion form for acutely hazartlous materials? ❑ Yes ❑ No (Sec[ion 25533 0( the Califomia Health and Safery Cotle, wilh some exceptions, requires registration vrith ihe Costa Mesa Fire Departmen� by each business which at any one time has on hand a quantity o( acu[ely hazardous matenals equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard lemperature and pressure). 3. Does or will the applicant or present or luture building occupanl need to prepare an RMPP (Risk Management and Prevention Program lor acutely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Depanment may require the preparation, certifcation and fling with [he Fire Departmenl o( 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 Safe[y Code been fully complied with? ❑ Ves •❑ No 5. Does or vnll lhe applicant or present or Wwre building wcupant require for the vrork which is the suDject of Ihis application a permit for such consWclion or modi6cation from Ihe South Coast Air �uality Management Dislrict or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested information be fumished on applications fa non-resitlential building pertniis�. 6. Wrll any part of the facility to be consWcted under this permit be within 1000 feet from [he outer bountlaries of a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet the requirement of Sections 25534 and 42303 of Ihe California Heallh and Safely Code). 7. If a permit trom the South Coasl Air �uality Management District or olAer air polW[ion contml dislricl or agency is required for the work which is the subject of this application, have all of the disclosures prescnbed by Califomia Health and Safely Code Seclion 42303 been made? ❑ Yes ❑ No 8. (It'yes", attach ceni(cate of compliance from the appropnate air pollution control officer). CERTIFICATE OF COMPLIANCE: I�certify that under penally ol perjury the information given above is correct. I agree to wmply with all state laws and city ordinances regarding Hazardous Materials and Emissions. . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat I have reatl this application and state that the information given is correcL I agree to comply with all state laws and city ordinances lating to building construction, antl authonze representatives of the Ciry o( Costa Mesa lo enter upon the above-Uescribed property for inspection rposes. I agree nol ro occupy or allow occupancy ot any building authorizetl this permit until fnal inspection. �] !r r, rr7 "� ��6 U� C I n e ol Lega Owner(s) Oate L__ Analo� AWhorixe0 AppLtanl OBI¢ � CITY OF COSTA MESA B!/ILD/NG D/YISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER M07-00486 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 0 911 812 0 07 = ISSUED BY: RMD JOB ADDRESS: 969 POST RD CM Suite/Unit: .: Vicinity: ATTIC , � � - � � � � - SQ. FT: 0 . .. . , . . . - . . . . . , � .. g � SCOPE OF WORK: MECHANICAL PERMIT.�EOR THE INSTALLATION OF A<100K BTU FAU TO BE LOCATED IN THE ATTIC SPACE AND 1 GAS PIPING. REF:# E07-00810 a OWNER: VALDES, RICHARD V AND VIRGINIA, PHONE: 714-540-9544 � APPLICANT: VALDES, VIRGINIA, � � � � PHONE: 714-540-9544 � Address: - 969 POST RD Unit' City/State/Zip: . COSTA MESA, CA Address: 969 POST RD � Unit: '" � City/State/zZip: COSTA MESA, CA � CONTRACTOR: OWNER-BUILDER - � � License No. 000000 � Address: Unit: PHONE: - City/State: ZipCode: , . - � , CELL: .. .` _ .. ... R � . . , MECHANICAL PERMIT FEESUMMARY MECH ITEM FEE: � $44.45 . � , . - � �" -_ � � � PLAN CHECK FEE: $0.00 ` � INVESTIGATION FEE: 50.00 REINSPECTION FEE: ' .. $0:00 � � . . . . TOTAL FEES: $44.45 � _. NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia 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 applirable 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. CO�Ef. INSPEC110NTYPE ORTE INTIi1�L5 CODE/ INSPEGTIONTYPE �C�. . pq7E / �N�� // // �' _ /. �. i616 Fixed System Final Fire Prevention 206 Final Mechanical,� p., � ��o y %p/!7/O / T..�,� . �.��.�» 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical �� 201 Final BIocWRetaining Wall 212 Final Fire Prevention �� 202 Final Factory Fire Ptace 220 Final Planning Approval _ �� 203 Final Si n � � 9 222 Final Site 204 Final Demolition 250 Final BuildinyOccupancy . WQRKERS' COMPENSATION DECLARATION: ' ' ' � . � . I hereby aKrm untler penalty of perjury one o! the lollowing declarations: ❑ I have and will maintain a certificate of consent [o self-Insure (or vrorkers' compensation, as provitled for by section 3700 of the Labor Code, fof the peAormance ot the vrork fo� which this permit is issued. ❑ I have and will main[a'rn �wrkers' canpensation 'rnsurance, as requ'ired by section 3700 of the Labor Code, for the pertormance of the wnrk (or which this pertnit is issued. My workers' compensation Insurance carrier antl policy number are: Carrier: (This sedon need nol �e mmple(etl tl fhe pe.mrt is valued af one huntlretl Collars (8100) w less ) P�licy Number: _ I certify that in the performance of Ihe vrork for which ihis permit is is ued, I sh II not employ any person in any manner so as to become subject to Ihe work rs' compensation laws of Califomia, and agree [hat if I should bNcome su 'ect [o the workers' compensation provisions of Section 3700 0( ihe Labor C d I shall forthwith comply with these proy't5;opsn � (/b L % ApplicanfsSignatore_/ Da�e �"'1�— � WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO(J COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL P�NqLTiES AND CIVIL FINES UP TO ONE HUfVDRED THOUS0.ND DOtLARS ($100,000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS P120VIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND A7TORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed untler pmvisions of Chapter 9(commencing wlth Sec[ion 7000) of Division 3 of Ihe Business and Professions Code, and my license is in full force and eHect. Lic. # Class # Contractor's Siqnalure �a�e CONSTRUCTION CENDING AGENCY: ❑ I hereby affirtn [hat there is a conslrucCron lending agency for the performance o� the v.ork ta which this pertnit is issuetl. (Sec. 3097, Civil Code�. Lender's Name: Lentler's Address: OW NER-BUILDER DECLARATIONS: I hereby affirm ihat under penalty of perjury that I am EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit lo cpnstruct, alter, improve, demolish, or repair any slructure, prior to its issuance, also requires the applicant for such permit to file a signed statement �hat he or she is licensed pursuant to the provisions o( Ihe Contrectors License Law (Chapter 9(Commencing with Seclion 7000) of Division 3 of Ihe Business and Professions Code) or that he or she is exempt Iherefrom and Me basis for the alieged exemption. Any violafion of Section 7031.5 by any applicant for a permil subjects the appliwnt to a civil penalty of not more than f hundred dollars ($500).): I, as.ovmer of the property, or my employees vnth wages as their sole c ensatioq WILL DO THE WORK, and the structure is not intended or otfered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an ovmer of property who builds or improves thereon, and who tloes such work himself or herself or through his or her own employees, provided Ihat such improvements are not intended or offered for sale. It, however, the building or improvement is sold within one year, ot completion, ihe ownerbuilder vdll have the burden of proving that he or�she tlid no[ build or improve (or purpose of sale.). � , � [] I, as owner of the property, am�EXCWSIVELY CON7RACTING WI7H LICENSED CON7R4CTORS to construct the projecl (Sec. 7044, Business and Pro(essions Code: 7he contracrors License Law does not apply to an owner of property who builds or improves thereon, and who cont2cis for such projec[ wi�h a contracta(s) license pursuant ro the Contractors License Laws.). ❑ I am ex mpt under sec. - 8usiness and Professions Code for this reason: •`� �� Signalure" li�Dale 305]-46(3/0]) Owner;ID veritied �xpires: / � � `-' � Verifcation of Ownership by (type of document, i.e property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �� ❑ I hereby certAy thal no excavation five (5) or more feet in tlepth inlo wfiich a person is requiretl to descend, will be made in connectbn vnth wnrk autFrorizetl by this pertnit, and Iha� no building strucWre, scaffolding, (alsework, or demolition or dismantling Ihereof, wil( be more Ihan thirty-six (36) leet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Ttle 8, California Administrative Code�. ❑ As owner-builder, I will nol employ anyone to do work which would require a permi[ (rom the Division of Industrial Safety, as no[etl above, unless such person has a permit to do such vrork from the division. Applicanfs SignaWre Division of Indusirial Sa(ety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or preseni or future building occupant neetl to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of �he Califomia Healih and Sa(ety Code requires, with some excep[ions. that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal lo or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at stantlartl temperaWre and pressure). 2. Does or will the applicant or present or future building occupan� need to file a registration form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the California Health and Sa(ery Code, with some excep[ions. requires regis[ration with [he Cosla Mesa Fire Department by each business which at any one time has on hantl a quan[ity of aculely hazardous materials equal to or greater than a weight o( 500 pountls, or a volume o( 55 gallons, or 200 cubic feet o( compressed gas al standartl temperewre and pressure�. 3. Does or will Ihe applicant or present or fuWre building occupant neetl to prepare an RMPP (Risk Mana9ement and Prevention Program for acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provitles that Iha Cos[a Mesa Fire Department may require the preparalion, certifica[ion and filing with the Fire Departmen[ of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 0/ ihe Califomia Heal[h and Safety Code been fully complied with? ❑ Ves ❑ No 5. DOes or will the applicant or present or future building occupant require (or the worK which is the subjecl of [his application a pemlit (or such �onsWctio� or modifcation from the South Coast Air Qualiry Management District or from any other air pollufion control distnct or agency? ❑ Yes ❑ No (Section 658502 of the Cali(omia Govemment Code requires that the requested information be fumishetl on applications fu nomresitlential builtling pertnits). 6. Will any part of the facility to be constmcted untler this permit be within 1000 (eet from the outer boundaries of a school? ❑ Yes � No Q( "yes", the facility must meet the requirement of Sections 25534 and 42303 of the Calitomia Health and Sa(ety Code). 7. If a permit from the Soulh Coasi Air Quality Management Dis�rict or olher air polWtion con�rol district or agency is required for the work which is the subject oi this application, have all of the disclosures prescribed by Califomia Health antl Satety Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropriate air pollution control ofticeq. � ' CERTIFICATE OF COMPLIANCE I certify that under penalry of perjury the information given above is correct I a9ree to comply with all state laws antl city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have reatl this application and state that the informat n given is correcL I agree to comply vdth all s[ate laws and city ordinances lating to building consUuction, antl authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection p rpos s. 1 agree not to occupy or allow occup�,ncy o(a ny builtling auNorized b thi permi[ until final inspeC[ion. /A'=I (;�` �rJ ,-_—_— "� U lJ� 'Si IureofLegalOwner(s) __ - `-Date, - Antllor AplM1onzed Appb W nl Dale �� t �� ,_�Lr- ,� _ � j%.�vu�:�;.. � a V S_�?�� ar 7 � ! ' i - yi • "'� 7 � � � i � ' � =;= : -------i PA''n: ', k..� � , ' -� �A. - . . � �, � . �, i �'y � I 2}� 6 � ' ,f � � . , _�.�__..____�_,.. �� f ; � ,�� ,�t i __ z, � A 6� � I_,, .: ; l�' r�a�, �. . ---•----•� ' + ' 6 _.... � �'y. _ , _t -_,____— ---- - - - te_'h� �'Ux�.F(o 1 ` I�- Y i d �DXb� • j BA RM � i � :.r! :'y I � � \ ` f ' \'��_____`____�.' ___�__l. �x v e.iY,1��. � ) S •:��Av£L./ FLA'L^,�Y v' �, -. _-� —___. � GONGCE'�� :t� '� � �� w a,� I.- -- � LAvr ��I i.—�I ^ •�� i:,��.u� �..5 ��vi �o^r �G- r_.nivf.wAy t� tl J PERMIT TYPE / CITY OF COSTA MESA BUILD/NG DIYISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • v+�v.ci.costa-mesa.ca. � FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER BX07-00029 B_MISC a JOB ADDRESS: 969 POST RD CM Vicinity: LIVING ROOM AND KITCHEN �' . SQ. FT: 0 � STATUS: DATE ISSUED: - � ISSUED BY: Suite/Unit:' Primary'Occ: Valuation: ISSUED 07I20/2007 RMD - Const Type:?? $3,000.00 SCOPE OF WORK: INSTALLATION OF A NEW OPENING FOR A SLIDING GLASS DOOR, REPLACEMENT OF 2(E) SLIDING GLASS DOORS, LIKE FOR �IKE, NO CHANGE IN HEADER. ELECTRICAL WORK � ' IN KITCHEN, 8 LIGHT FIXTS, 5 SWITCHES AND 5 CIRCUITS. - OWNER: VALDES, RICHARO V ' � . � Address: � PHONE: 714-540-9544 � City/Slate2ip: APPLICANT: HUFFMAN, RICK � ' � Address: PHONE: 714397-4707 City/State/zZip: CONTRACTOR: HUFFMAN CONSTRUCTION � Address: - 7787 ATLANTA WYUnit: PHONE: 714.397.4707 City/State: COSTA MESA, CA , ZipCode: 92626 , � ARCHITECT: � � License No. ENGINEER: � ' � � License No. MISCELLANEOUS PERMIT.FEE SUMMARY Building Plan Check: . ' , . . $54.11 Building Permit: . � - $8325 � Electrical Permit: -. . $19.80 . Other Fee: $0.00 � SMIP Residential � - $0.50 � SMIP Commercial . - $0.00 � � � TOTAL FEES $157.66 969 POST�RD � Unit: COSTA MESA, CA Unit: License No. 427295 CELL: PHONE: PHONE: NOTICE: The work authorizeq by this Dermit shall comply with all applicable handicap access requiremenLs under California slatutes 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 obWin inspections and final approval will result in the expiration of this permit. 00 � ixsvecnoHrve o� i� �pp� ixsveenoxTrre q9g xtm i 1616 Fixed System Final Fire PreVention 208 Final Mechanical 1268 Pool Spa Final " 208 Final Plumbing � 200 Final Re-Roof 210 Final Electrical �l=f�-51 201 Final Block/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 103 Final Sign Z22 final Site � i � � 204 Flnal Demolition 250 Final Building/Oaupancy '� WORKERS' COMPENSATION DECLARATION� I hereby aKrm under penally of perjury one of Ih ng declaralions:� � ❑ I have and will maintain a certifcate of consent to selhlnsuie for workers' compensation, as provitletl for by seclion 3700 of the Labor Code, for the pertormance of the work for which Ihis permit is issued. •' ❑ I have and will maintain workers' compensation insu2nca, as requiretl by sectbn 3700 of the Labor Code, for the pedortnance ot Ihe work for which this permit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier. (Ths sectun neetl �rof 6e cnmpeletl Afne permrt is value0 al one hunpieE tlWlars (5100) a IessJ �Polic Number: certify thal in the pedormance o( Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t�e vrorkers' compensation laws of California, and agree that if I should bewme subject to Ihe wnrkers' compensation provisions o! Section 3700 of the L3bor C e, 1 shal orthwith comply with [hese provisions. � C �� '?1'i _0'7 —A rmmS SignaWre `—Date.. � t� � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOILARS (3100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 ofthe Business and Professions Code, and my license is in full force and eftect. Lic. # � i.al 7 �Class #. ^7 �i �_�''�.w _ � 7 -'],J _ D% anlractor'aS�gnaWre Oaie � �/ � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat there is a consWctbn lending agency for the peAormance of the v,ork for which this permit is issueC. (Sec. 3097, Civil CoOe). Lender's Name: Lender's Address: SignaWre Dale OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty o! perjury that I am EXEMPT FROM 7HE CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any cily or couNy which raquira5 a permil to consWct, alter, improve, demolish, or repair any sWcture, prior lo its issuance, also requires the applicant for such permit to file a signed statement Ihat he or she is licensed pursuant lo the provisions o! the Contrectors 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 Ihe basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a pertnit subjects the applicaM to a civil penalty of no1 more than fve hundred tlollars ($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 offere0 for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does nol apply to an owner of property who builds or improves thereon, and who dces such vrork himself or herself or through his or her own employees, provided that such improvements are not intentled or offered for sale. If, hov+ever, the builtling or improvemeM is soltl within one year of wmpletion, the ovmer-builder will have the 6urden.of proving that he or she did nol build or improve for purpose of sale.�. ❑ I, as owner,of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to constmct Ihe project (Sec. 7044. Bu5ine55 and Professbns Code: The contractors License Law dces not appty to an owner of property who builtls or improves Ihereon, antl wfio conlracts lor such project with a contractor(s) license pursuant to the Contractors License Lavrs.). p I am ezempt under sec. Business and Professions Cotle for this reason: Signaiure 705]-66(3/O]) Owner ID verifed by driv� �se. ❑ Yes ❑ No Driver's License No. ' Expires: Verifcation of Ownership by (type of document, i.e. - propeAy tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connection with vrork authonzetl by this permit, and ihat no building structure, scaffdding, falsev.ork, v demolition or dismantling thereof, will be more than [hirty-six (36) (eet high. (Chap. 32, Gry 2. Art 2. Sec. 311, Ttle 8, Califomia Administ2tive Cotle). ❑ As owner-builder, I will no� employ anyone to do work which would require a permit (rom the Division of Industrial Safery, as noled above, unless such person has a permit to do such vrork from Ihe division. Appliwnfs SignaWre Division of Industnal Safe[y Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicaN or present or future building occupant neetl lo fle antl certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Cotle requires, with some eaceptions, that a Business Plan be hled with the Costa Mesa Fire DeDartment by every business which has at any one time tluring a reported year a quantity of hazardous matenals equalto or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cu0ic feet ot compressed gas at standartl temperaWre and pressure). 2. Does or will [he applicant or present or fuWre building occupant need to Ne a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of [he Cali(omia Health and Sa(ety Code, with some exceptions, requires registration with ihe Costa Mesa Fire DepartmeM by each business which a[ any one time has on hand a quantily of awtely hazardous materials equal to or greater than a weight ot 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressetl gas at stantlard temperaWre and pressure). 3. Does or will the applican[ or presen[ or future building occupanl need [o prepare an RMPP (Risk Management and Prevention Progrem (or acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the California Heal[h antl Sa(ety Cotle provides lhat the Costa Mesa Fire Departmenl may require the preparalion, certification and filing vnih 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 presenlly require0, has Section 25534 0l the Califomia Health and Safety Code been fully complietl with7 ❑ Ves ❑ No 5. Does or will the applicant or present or fuWre buildinq occupant require for the vrork which is Ihe subject of Ihis application a permit for such construclion or modifcation from Ihe South Coast Air Qualily Managemenl DisMcl or from any other air polWtion control dislrict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Cotle requires Ihal the requested informa�ion be fumi5hed on applica�ions for non-residential builtling permits). 6. Will any part of the (acility to he consWcted under lhis permit be within 7000 feet trom Ihe outer boundanes of a school? ❑ Yes ❑ No (If'ye5", lhe faCilily mu5t meet Ihe requirement o( $ettion5 25534 antl 42303 of lhe Cali(omia Heallh antl Safety Code). 7. If a permit from the South Coast Air Qualiry Management District or other air pollution control district Or agency i5 required for the work whiCh i5 the suhject of this application, have all of the disclosures prescribed by California Health and Safery Cotle Section 42303 been made7 ❑ Ves ❑ No 8. Qf yes", attach certifcate of wmpliance from the appropriate air pollution control oKcer). � , . CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty,of perjury the informalion given above is correct. I agree to comply with all slate lavrs antl cily ordinances regarding Hazardous Matenals and Emissions. ' � � SignaWre , Dale CER7IFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read Ihis appliwtion and state Ihat [he information 9iven is cortecL I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-dascnbetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by t�is permit until final inspection. SignaWreotL al6wneqs) Oale C� �1�--.�..,��-" --� -'� -��7 AnWorAulhOnzeCAppliWnl,�— - --� �Dale-- �. � ,I ��yg , / � i_ -� » _„p •- � fi r _ � . . . = O -. _ . 4_ . - . � � ♦ - . .. ' - _�---T ��. � - � . �'/�/ O//. 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S�ep�aneP��mea�N'�y�de��'�� 6 --- --i7,6�, � i 5'0., .onN 5 M1Id � , - � a- V�� j � _ ta�v�w,�Y I - �- sZo��' `{��.s � p �.t�.�-�.. - I q�,�' '[�s -� � ; �, �z- �, �.�.� � �, �� ; �c� �:� � �RAvyN BJ R1cK. HUFrniAl�. ' Sc-Aa-�. '%e'��= I�-D'� , ,, � , , , � ;��ur• �, - y�� c ::s::: � ' � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT P MIT NUMBER j ✓ P98-00708 (774) 754-5273 • Fax (714) 75A-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 969 POST RD Suite No Vicinity: Parcel Nunmber: 14� 23124 Applicant: MCKINNISH, FRANK Address: Owner: BROWN, CHRISTINE TR Address 969 PtlST RD ' COSTA MESA,CA Contractor: JK CONSTRUCTION Address: 00915 I.AKE ST HUNTINGTON BEACH CA ArchlEng: Address: PLUMBING PERMIT Phone: Zip: Phone: Zip: 92626 Phone: 714-404-9846 � Zip: 92648 License: 45a297 Phone: Zip: License: Status: ISSUED Applied: 09/18/1998 Issued: 09/18/1998 SCOPE OF PERMIT 1 BATHTU8,1 DISHWASHER, 1 LAUNDRY TUB OR WASHER�,1 SHOWER,1 KITCHEN SINK, 2 TOILETS, t WATER HEATER, 1 WATER REPIPE, REB. 698-7667. ISSUE FEE Backflow irngation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over a outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT szz,00 50.00 $0.00 $8.75 $0.00 $0.00 $0.00 S&75 $0,00 $0.00 so,00 $0.00 g0,00 $0.00 $0,00 50,00 $0,00 $0,00 50.00 $0,00 nrr 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $8.75 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) . $0.00 Receptors $0.00 Septic Tank � $0.00 Sewer Cap for Demo , $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $8.75 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $8.75 Sink, servicelmop $0.00 Spa (private) $0.00 Spa (public) $0.00 nrr 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr BkFlow(1�) Vacuum Brkr BkBow(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 Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $77.50 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 S0.00 50.00 $94.25 Qn 0 . 0 0 0 0 0 0 0 0 2 1 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetione and final approval must be obtained. Failure to obtain inspections and tinal approval will resufl in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSA710N DECLARATION: I hereby elfirm under penelry oF perjury one ol the folrowinq decleretions: . � ❑ I heve end will maintein a certiticate oi consent to selFlnsure for workers' compensetlon, es provided br by section 3700 ot the Lebor Cotle, tor the pertormence of the work lar whic� Ihis permit is issued. I have entl will malntein workers' compensation insurance, es requiretl by section 3700 of the LeDor Cotle, for ihe pedortnance oi �he work tor w�ich ihis pertnit is issuetl. My workers' compensation Insurance cerner end policy number ere: came�: (This secNon need nat be ❑ I certify thet in Ihe co s wi Ihese { ppli naNre: AqNINO: FAILURE hI0U5AND DOLUR 100, LICENSED CONTRACTI I here�b pr m thet I a tort.e edd enect. uc Policy Number. one huntlretl0ollars ($100) orless.J pert mlAnce ot th work f which this parmit is issued, I shall not employ eny person in any manner so es to become sub�ect to the workers' ol I' 6mia, an agree t It I shoultl hecome sub�ect to the workers' compensetion provisions of Section 3700 oi the Lebor Catle, I shell forthwith rovi ' ns. _" r ^ Date: � � R WORKE COMPENSATION COVERAGE IS UNLAWFlIL AND SHALL SUBJECT MPLOVER TO NIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED ]00),INADOIT�ONTOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDFOHINSE �FTHELABOFCODE,IMEREST,ANDATTOFNEYSFEES. ot Chepter 9(commencing with Section 7000) ot Dlvlsion 3 of ihe Bus end Protessions Cotle, end my license is In tull Date: CONSTRUCTION LENDING AGENCV: re y eHirtn that Ihere is a construcuon lending egenty for ihe pertortnance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). endefs Name: Lenders Address: SignaWre: � Oate: OWNER-BUILDER DECLARA710NS: I �ereby eMirtn that under penalry of perjury ihat I am EXEMPT FROM TTIE CON7RAC70q5 LICENSE LAW tor Ihe tollowing reason (Sac. 7031,5, 8usiness and Profeulons Code: Any ciry or counry which requires a permii to consiruct, alter, Improve, tlemolish, or repalr eny sWcture, pnor to its issuance, elso requires t�e applicant for such pertnit to flle a slpned stetament ihet he ar she is Ilcensetl pursuant to the provlslons of the Conirectors Licanse Lew (Chapte� 9(commencing wlih Sectlon 7000) a� Division 3 of tha Business entl Professions Code) or ihat he o� she is exempt therefrom end ihe basis for the alleged exemptlon. Any violation ol Section 7031.5 by eny applicant for a permit subJec4s Ihe apD�icanl to e civil penalry of not more Ihen tive hundred tlollars ($500).): ❑ I, es owner of Ihe properry. or my employees wiN wages es their sole compensatlon, WILI. DO THE WORK, and the simcture is not intentletl or olfered for sale (Sec. 7044, Business and Professions Code: The Conirectors license Ww does not epply to en owner of property who builtls or improves thereon, entl who does such work hlmsell or herself or through his or her own employees, provitled thai such improvemenis are not Intendetl or offeretl for sale. II, however, the bullCing or improvement is sold within one year of completion, Ihe owner-builtler wlll hava the burden of proving the� he or she tlid not build or improve for purposa ot sale.). ❑ I, es owner ol Ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ta construct the project (Sec. 7044, Business end Professions Cotle: The coniractors License Law Goes not appty to an owner of properry who builEs or impmves Ihereon, and who contracis for such project with a contrador(s) liten5e OurSuent to lhe Contratmrs LicenSe Laws.). ❑ I am e:empl under sec. Business antl Professions Cotle for ihis reason: Signature: Date: Ownar ID verified by drivefs license. ❑ Ves ❑ No Drivers License No. Expires: Veriticatlon of Ownership by (rype of document, i.e. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby cenity that no excevation tive (5) or mora feet in tlepth inro which a person Is requlred to descend, will be metle in connection with wark euthodzed by this pertnit, and thet no building siructure, scaflolding, falsawork, or tlemolition or dismentling thereol, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Cellfomie Adminislrative Code). ❑ As owner-builtler, I vnll not employ anyone to tlo work which would require e pertnit Irom the Division of Industnal Safery, as notetl ebove, unless such person has a pertnit to do such work trom the division. SigneWre: Date: Division of Industnal Safery Permit Number: CEHTIFlCATE f�OMPLIANCE AND AUTHORQA710N OF ENTRV: I certiry under penalry of perjury that I have read ihis application antl state ihat ihe information given is correct. I egre to 9omply with all stete laws and ciry ordinances releting to building consiruction, end authonze representatives ot the Ciry ot Coste Mesa to enter upon the aDove-descri d p�bperry tor inspection purposes. I agree nat to occupy or allow occupancy of eny building authorized by this pertnit until final inspection. CODE �, INSPECTIOXTYPE ' PAIE II�ELS 1616 Fiaetl System Finel Fire Prevantion 1286 200 201 202 203 Pool Spe Finel Flnel Re-Roof Final BIocWRetaining Wall Finel Factory Fire Place Final Sign 204 Final Demolition 2A4&48 CODEY INSPECTIONTYPE 206 Final Mechenical 20B Finel Plumbing 270 Final Electricel 212 Finel Fire Preventlon 220 Final Plenning ApOrwal 222 Final Site 250 Finel Building/Occupancy QAIE It�llS • � CITY OF COSTA MESA HOUSING RE:HASILITATION LOAN WORK WRITE-UP Name: Chriatine Brown Addresa: 969 Post Road Coeta Mesa, CA 92626 . . , P FUGF2AM Yhone:(714)545-2083 ALL WORK TO BE DONE PER CITY UF COSTA MESA BUILDING, PLANNING AND PUBLIC WORK3 CODE. IN ORDER TO ESTABLISH STANDARDS OF QUALITY, THfi DETAILED SPECIFICATIONS M.4Y REFER TO A CER1'AIN PRODIICT BY NAME AND/OR FROM A MAJOR MANUFACTURER. THI3 PROCEDURE IS NOT TO BE CONSTRUED AS ELIMINATING FI20M COMPETITION OTHER PRODUCTS OF EQUAL OR SETTER QIIALITY BY OTEiER MA14iJFAC'i'URER3. THE CONTRACTOR SHALL FURNI3H TFiE LIST OF PROPOSED DESIRED SUBSTITUTIONS uRIOR TO SIGNING THS CONTRACT. ALL ITEDd3 LISTED ON TFiE WORK DESCRIPTION, UNLES9 OTHERWISE SP$CIFIED, $HAI,L INCLUDE ALL PATCHING AND FINISH WORR, INCLUDING TRIM, HARDWARE. PA'tCHING AND FINISH PAINTING AND/OR STAINING. PItIOR TO WORK �TART-UP, THE SELECTLD GENERAL CONTRACTOR WILL SUSMIT THIS WORK Wl?ITE-UP TO THE BUILDING llEPARTMENT (2nd FLOOR) FOR T$E PURPOSE OF DRAWING NECESSARY PERMITS. THS CONTRACTOR IS RESPONSISI,E FOR ALL PEI:MITS, FEE3, CITY BUSINESS LICENSE, PLANS, ETC. City of Coata Mesa Standard Rehabilitation Sp�cifications apply to all itams lieted on work dascription. Work Description EXTERIOR 1. REAR FENCING: Provide m.:terial and labor to 3emolish existing fence at rear of property and dispose of off-site. Construct new dog-eared cedar fence of like height. Construct fence uaing galvanized nails or scre� fastenera. Posts �o be of redwood or pressure treated aet a m.aximum of 10' intervuls. Paint with a solid staixi of aimilar c•olor or ae specified by owner. In addition; replace on�� fence post in east =ence outside kitchen to stablize.fence. 2. FRONT WEST FENCING: Pro�•ide material and labor to demolish exiating fence and construct new of same dimensions from sidewalk to rear of garage. Construct Eence using galvanized nails or screw fasteners. Posts to be of redwood or pressure treated set a � maximum of 10''interval�. Paint with a solid stain of similar color or as specified by owner. 3. ROOF: Remove existing roofing, and dispose or off-site. Install new 30'year composition 3hingle roof. Include new felt, drip edge and replacing or painting existing roof jack�. Replace existing rafters, raftertails, starter boards and roo�' sheeting as needed. Updated OS/26/98 � 4. REPLACEMENT WINDOWS; Provide material and labor to remove existing eight(8) sash windows and dispose of off-site. Repair and replace stucco moldings and trim and install vinyl single hung, dual glaze block windows. Windows are to be weather stripped and have appropriate finished interior and exterior trim. Windows are to have grids. 5. Termite: Contractor to order termite inspection report, cure recommendations as indicated and tent building as recommended. 6. EXTERIOR PAINT: Prep exterior trim by removing all peeling paint. Sand, putty, and prime all areas as needed. Prep stucco and wood siding and patch as needed, trench perimeter to 6 inches below grade. Paint with two coats of Vista, Sinclair, or Dunn Edwards paint. Owner to select color. 7. BROKEN WINDOW: Replace broken window pane in living room window. 8. EXTERIOR DOOR: Provide matezial and labor to remove anci dispose of off-site existing storage room door(near chimney) and replace with similar solid core exterior door with weather stripping, door shoe, hardware and threshold. 9. OVERHEAD GARAGE DOOR: Remove existing overhead garage door and dispose of off-site. Provide material and labor to install a new medium quality overhead sectional paneled galvanized steel door complete with all required hardware. Owner to select style and color from samples provided by contractor. Door is, to inciude medium quality y� HP screw drive garage door opener. Price to include providing power source with switches to operate light over laundry and light in middle of garage. 10. REPLACE EXTERIOR LIGHT FIXTURE: Provide material and labor to dispose of old light fixture at kitchen porch and front of house and install new ($25 per fixture). Fixture to be approved by owner. 11. TREE REMOVAL: Remove tree outside kitchen to below grade level and dispose of off-site. Remove adjacent concrete and repour concrete to eliminate tripping hazard. INTERIOR 12. FLOORING; Provide material and labor to install new Congoleum Futura sheet goods in hall bathroom and kitchen (approx $15/ sq yard) . Prep areas needed to remove all imperfections to assure smooth installation surface. 13. COPPER RE-PIPE: Provide material and labor to completely repipe house, water lines not to be visible. Include all required patching due to repipng to match existing interior and exterior textures. 14.CEILING REPAIR: Repair and paint stain in ceiling bedroom. Replace molding around window and caulk and paint as needed. Replace termite eaten case molding near front door, caulk and paint as needed to closely match existing. 15. MASTER and HALL BATH FAUCETS: Provide material and labor to replace sink faucets with Price Pfister faucets with new flex water lines. Owner to select faucet from samples provided by contractor. 16. FRONT AND REAR DOOR DEADBOLT: Provide material and labor to install Kwikset or better deadbolt in front and rear doors. 17. SMOKE DETECTORS: Provide and install smoke detectors to code, Updated 07/15/98 18. Toilets: Provide material and labor to dispose of existing toilets off-site and install new medium quality American Standard toilet complete with all required hardware, new shut off valve, a flexible wire mesh water line, seat and seat cover. Owner to select new toilet from samples pzovided by contractor. 19. 100 AMP Service: Provide material and labor to remove and install new 100 AMP 12 circuit breaker panel and service. Provide required exterior and interior wall repairs to match existing. Contractor is to comply with all applicable Building Department Codes and Southern California Edison Company requirements. 2. G: Provide material and labor to remove and dispose of off-site existin et, pad, and tack strips in living room, dining room, familyroom an . tall new tack strips and medium grade pad and carpeting where removed inc u' losets. Install carpet with minimal splices and properly hot final app1roval on carpet, pad, and color. CAr�¢� Yo �7a\"rt�k o T Cal�-iO�v� i(,� �� IV 3yo Ce�.�-ia roc,k 2ZZ �FI.��, sec.� j� , .J i. 2. 3. 4. 5. 6. 7. 8. 9. l0. 11. 12. 13. 14. 15. 16. 17. 18. 19. �2'� TOTAL CONTINGENCY (City Code requires any inspection beyond 2nd inspection be charged $30.00 per inspection) LOAN DOCS AND NOTICE OF COMPLETION / GRAND TOTAL TOTAL LOAN AMOIINT Updated 07/15/98 BID SUMMARY 7 50; ' SS�.�" N i o e.jQ 2yv'� • J7 I'�p�'� �o 1 �i OJ. :.0 bS. " 1LS.''' 1 IoJ. - 3S. "" 3S�•'` �75.`D I'�oo, �'' i�, �c Ieo , o:, su �c �j . CG 35c.uo � L� . �. � `-'�� ' � I ♦ ' •� �• �'�� °a �, 2�l$,�Q 2S�OOU�O '�,S�eoO ,eo CITY OF COSTA MESA ' B!/ILDING DIVISION > _ � �,y�,, � DEVELOPMENT SERVICES DEPARTMENT �LIo� ° PERMIT PERMI7 rvunnEea �� E98-00993 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 969 POST RD 14123124 MCKINNISH, FRANK owner. BROWN, CNRISTINE TR Address 969 POST RD '� � COSTA MESA,CA Contracror: JK CONSTRUCTION Address: 00915 LAKE ST HUNTINGTON BEACH CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermetl Pole ELECTRICAL PERMIT Phone: Zip: Phone: Zip: 92626 Phone:' 714-404-9&46 � Zip: 92648. . License: 450297 SCOPE OF PERMIT Status: ISSUED Applied: 09/78/1998 Issued: 09/18/1998 .�.; 1 �;gh; 1-�sw�-cc�- \_�,9��{ �6z,�- �3qP- 166� FEESUMMARY $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $27.25 $0.00 $0.00 $0.00 $0.00 Quantity _ 3emp Dist Syslem / Lighting Busway I100 fl ,' Standing Section Misc Electrical Equipment Trensformers up to 1 kvalkw ................up to 10 kva/kw . .................up to 50 kva/kw .� ................up to 100 kva/kw ..:...............over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc.�Conduit Misa Conduclor Circus ( gen or ride) . Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 551.25 COMMENTS I SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � WOflKERS' COMPENSATION DECLARATION: _ , I hereby eRirm under penalty of pe�ury one of lhe tollowing dedarations: ❑ I have antl will maintain a cenificate of consenl to self-Insure for workers' compensetion, es provided tor by sectlon 3700 oi the Lebor Code, for t�e pertortnance oi the work for w�ich ��is permit is issued. ❑ I have and will meinWin woMers' wmpensation insurance, as required by section 3700 of the Labor Code, for the pertortnance oi ihe woB for which this pertnit is issuetl. My workers' compensation Insurance cerrier end policy num6er are: Carner: Policy Number: (Ihis section need nof be cromp/etetl i! the pe�mit is velued at one hundred dollars ($100) or Iess.J ❑ I cenify �hat in iha D o mance e work r which this pertni "� ued, I shell no� employ any pereon in eny manner so es to bewme sub�ect to ihe workers' compensetlon laws C iforry' , end egree ih t Ii I should b e subjec to the workers' compensation provislons of Sectlon 3700 oi ihe Labor CoOe, I shall totlhwith comply with Ihese pr vi ' n. 9 j Q' Applicent Signature: Date: _ ! � /�� "" �V WARNING FAILUFE TO URE VORKERS' GYkAPENSATIIXJ COV RAGE IS UNLAW FUL AND SHP1L SUBJEC( AN EMPLOYER TO CR�MINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDRED THIXISAN�DOLLARE t ,000),INADDRIONTOiNEC0.STOFCOMPENSATION,�AMAGESASPROVIDEDf-0fiINSECTION3�O60FTHELABORCODE,IMEREST,ANDATTOqNE1^SFEES. LICENSED I hereby eHirm Ihet I am lice sed nder pJ6visiar� ot Chepter mmen�ing with Section 7000) oi Division 3 oi the Business end Protessions Code, end my license is in full torce and ettect Lic. p / / � C�ess a Contrectors Signeture: — Date: — � — 8' �� —a .� CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm that there is a construction lending egency for the peAormance ot iha work for which ihis permil is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lende/s Atltlreu: Signature: OWNEH-BUILDER DECLARATIONS: Date: I hereby eHirtn ihat under penalry of pehury that I em E%EMPT FROM T1E CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Buslneu antl Professions Code: Any city or counry which requires a permit to constmct, elter, improve, demollsh, a repalr eny sirucNre, prior lo its Issuance, elso requires ihe applicant Por such permit to flle a signetl statement that he or sha Is Ilcansed pursuant to the provislons ol Ihe Contractors License Lew (Chapter 9(commencing wlth Sectlon 7000) of Divislon 3 of the Business and Professions Code) or ihet he or she is exempt iherefrom and �he basis for ihe ellaged exemption. Any violation of Section 7031.5 by any epplicant tor e permit sub�ecis tha epplicant ro a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, es owner oi Ne proDerty, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe strucWre is no� intended or oMeretl br ule (Sec. 7044, Business antl Professions Code: The Contractors License Lew Does not apply to an owner of property who builds or improves thareon, and who does such work hlmself or hereelf or Ihrough his or har own employees, pmvided Ihat such Impmvemems ere not intended or ofleretl tor sale. tl, however, the building or Improvemem is soltl withln one year of completion, the owner-builder will have ihe burden of proving that he or she did not bulltl or Improva for purpase of sale.). ❑ I, es owner ot the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the praject (Sec. 7044, Business entl Professions Gode: The contrectors License Lew does not apply to en owner of property who builds or improves thereon, entl who conirects for such prqect with e contrador(s) Iicense pursuant ro the Contractors License Laws.). ❑ I am exempt untler sec. Business and Prolessions CoOe tor Ihis reason: SlgnaNre: Date: Owner ID verlfied by dnvers license. ❑ Ves ❑ No Driver's License No. Vetlflcetlon oi Ownership by (rype oi document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: E:pires: ❑ I hereby certify Ihat no excavetion tive (5) or more teet in depth into which e person is requiretl to tlescenC, wlll be matle in connection wiih work euthodzetl by this pertnit, and ihet no building siructure, scattoltling, lelsework, or tlemolition or Eismaniling thereol, will ba more t�en ihirty-six (36) feet high. (Chap. 32. Grp 2, An 2, Sec. 341, Title 8, Celifomia Adminisiretive Cotle). ❑ As owner-builder, I will not employ enyone to tlo work whic� would require e permit from ihe Division of Intlustriel Salery, as noted above, unleu such person has a pertnit to do such work irom t�e division. Signeture: Date: Division of Industrial Safery Permit Numher: CERTIFICATE OF COMPLIANCE AND AUfHORIZA710N OF ENTRV: I certify under penalty of perjury ihat I have read Ihis epplication end state that ihe informetion given is correct. I egree to comp ith all s laws and ciry orUinances relating to building consiruction, end authonze representetives of ihe Ciry ot Costa Mese to enter upon the ebove-describetl prope t r ins ction puryoses. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final Inspection. j9pEJ, INSPECTIONTYPE PAIE 11iI�E6S ime 1676 Fixed System Final Fire PrevenGon 1288 Pool Spe Final 200 Finel Re-Root 201 Final BIocWReWininq Well 202 Finel Fectory Fire Place 203 Final5lgn 204 Fnel Demolitlan 244&de � `/� � a Date O DatB CODEI INSVECTONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Flnel Electrlcel 212 Finel Fire Pravention 220 Final Planning Appravel � 250 Final Site Final Building/Occupancy �. � .��. . ; � ��n Pfl0.1ECTRU0NES3: c)�c3 pOST RD OWNEfl'SN�ME: BROWN nooxess: SAME AS AbOVE 714/545-2083 RflCH/ENGINEEfl: �ooxess: flEG.NO.: uxrt: PFflMITTEE: NOCK PI,UMBING (714 ) 895-1246 ROOflE33: SZE11O SEABOAAD CIRCLE STANTON CA 90680 LICENSED CONTMCTOfl OECUMlION: I hereby affirm Ilwt I am IicenreE unEer pmvisions ol Ctupter 9(commencinp vnth Secuon 70W) of Oivisian 3 of the Business and Professrons CaUe, antl my license is in lull force an0 ettect. crtxuc..:�0/50386 $LTy�r�euc.:511971 �u� C-36� Date: ` � �/�� SipnaWre: � �EIIS' COMPENSRTtON OEClAMT10N: I hereEy alfirm (Aal I have a certifiute af conunt ro selFinsuro Nficate ot Workers' ��. q,mnsation Insurznce or a cenilietl coDY ��e�� (�Cion 3800, Lab. C�. �+� cr xo.: 116'19 9 2— 9 0 E%P. O�TE: O 3/ O I I� 1 ��ornru+r: STATE FUND ❑ Ceriifie0 wpy is hereLy IumisheC. � Certitietl coDY is IileC with t�e ciry BuilAinA DiNsion. Oate: [ ` S`—gi � qpplicam: �� Ni ` IXEMifION FBOM VlOflKERB' COMPENSRTION OECIAMTION: phis sectlon neetl nol be completetl if Na pemtit is for one AunOreO (E10� or lew�, I certiry that in Ihe DeAormance of the work br wAlch this permit Is issued, I s�all not emDloy any Denon in any manner so as to bacome � subject to Itre Warkers' Compensation Laws of Calitomia. ' Dale: SiOnatura: NOtICE: If, aher makinB �hls tleclaratlon, you shoulU Cecome suhject ro tAe Workers' CamOensation pmvisions oi the LaCor Cotle, you must forthvnih compty wit� such proWsions or tNs permit shall be Oeemetl rewke0. CONSTNUC710N LENOING �CENCY: I �ereDy aflirm tAat them is a cansiruqion lendinp apency for tAe Dertormance ot t�e work tor w�ich Ihis permit is i5sue0 (Sec�ion 3W7, Clv. C�. IENDEH: RODflESS: OWNEB BUIIDEB OECIAMTION: I �ere0y allirm ttut 1 am eKempt imm the Contactors' State License Law far t�e Pollowinp reason (Section 7031.5 Business and Prolesslonal CoOe: My ciry of counry whicA requires a permit to constmct, alter, impmve, Oemdis�. or re0air any stmcture, pdor ro IB luuance, also requires I�e apDlicam tor suc� permit ro lile a siAnetl statement Ihai �e/she Is Iicenu0 pursuant to IAe provNons of the Convactars' State Uunse Law (CAapter 9(wmmencinq witli SecGon 70W) of Oivision 3 oi Iha Business an0 Prafesvons COGe) or ttwt tulshe is exempt Neafmm arW I�e Easis for Ne alle0e4 exem0��. /�y �olauon of Section 7031.5 Uy any aDDfi�ant lar a permi� suUiects tAe apD�� ro a civil De��ry of not more ihan iNe hunAreO Uollars (5500). I, as ovmer ol ihe Droperty or my employees with xaqes az Neu sole compenutlon, wiu Ea tAe work. aM Ne ; sVuttura is not interqe0 or otter¢E lor ule (Sec�on 7044, Business anE Prolessional COEe: The Contrapors' State Liceiue Law Ooa not appty to an owner ol a Dmperry wM EmIUs or imDroves �Aereon, and wAo does such work himsetl/�ersell or t�rouph his or her own employea, providea t�at SucA ImD«'emenLs aa not in[enEetl or offereG for ule. Ii, however Ihe huilEinp ar imDmvement a SoIA wiWn one year oi mmple[ion. Ne owner will luve t�e burtlen oi provin9 hrlshe EiA not UuilU or ImDrwe tor t�e Duryosa ol sale). I, as owner of tAe Dmpe�1y, am exclusively coniractin0 �� iicenseE contactors to construc� ��e D�oject (Sec6on 7044, Business ❑ an0 Prolessqns Cotle: The ConVaclqs' Stata lkenu Law Eces rot apply to an owner a/ Drope�ty who ENlds or imD� ��n and wlw coniracts lor suc� Dmjecis wR� a wntranor(s) Gcense Oursuant Io t�e Convactors' State Lkense Law�. I am aware Wt D�� of I�eir WOAer's Compensation insuronce SAONA be D��tleO ro rtre. � 1 am exempt under Seciqn: B. d P. C. for ttns reason: Date: Owner. I Oo �erehy mrtiry WI I am aware ol anE unAerstan0 the repuirem¢nts ot Califorttia Hwlth an0 Safery CoCe Sectians 25505, 25533, and 25531 an0 inat I or any imua EUIlAinO oceu0ant wilUwlll not (circle one) neee ro comON ��h said state coAes antl Ina reQuirements for a permit for consimction or modifiwtlon from tAe tir ualiry ManaOement District. Hesidential canstmction apDlications are exem0� �rom Inese pravisions. Ua�e: pODlicani: I here0y certity tlut I have read this aDDlicalion anC staro t�at tAe aEove iniarmation is carrect. I ortlinances an0 siate laws relatin0 �o Euilainp consWction ana neraGy amh ' a represenWtiues af tl pmpeM �orinsDectlon Ourposes. Dale: — � SiOnature: ^ DriveYs License ar Sociai Security to compty witA all ciry anA caunry IO EII(Cf Op0111118 d00VG�RIB11IlOf12E 16aPs6 WNte—BuiWiip; GroarCaEe Enlorcament; Canery—Applicant: Pink—Ravenue; Goltlanrotl—/waswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 047977 PLAN CHECK NO: N CONSTRUCTION TYFE: PERMIT TYPE: PLU JOH DESCRIPTION ; WATER HEATER REPLACEMENT CLAIM VALUE: CALC—VALDE: PERM NO: P 047977 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: / COMMENTS: * **��r**��r**+�*��**�*�x*x+�***�**x***�r�*+�*x**�r�**x*�r��***�****�*�+�x*�**x*x+��+�**�x Z O N I N G R E Q U I R E M E N T S ' S E T b A C IC S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN PAAKING REQ: PROV: PARCEL: 11910302 ZNE: REF NO: PLANNING NOTES> > if ik it iE if iF iE jE iE �E ik iE it it it iE iF iE jE iE it iE iE it if �f iE if 1E it ik if iE iE if ik k ik if it �f ik iE 1E if iE iE iE it it it iE iE it if it if it iE iF �E iE if if iE iE �E iF if if if �)E!E iE if iE 91lf ik D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY . DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: � DATE: �%/�j�� itikififiEffffitiEikiFiEifitlf3EiEifiE1E1E�(-'iF'�Fx x fE1EiE1l�ikifififi4iF ik �F' iE1F iE iE if if if iE %if it it 1t it iE iE iE iE 1E iE # iE iE iE'lE 3E iE if ik iE �E %if if iE iE it iF iF iE M iE �E if 1E iE iE if 9t it iE if ik iF iE �E iE iE iE 3E iF iF if iF if iE iE iF if 9f if M iF if jE 3f jE iE 9F % IE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBZNG ELECTR•IC MECHANIC FIRE SMIP/RES GRADING PEAMIT 2.00 T 253 • � SMZP/NON—RES PLAN ' � ISSUE FEE 3.00 ' ' BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 !: 0.00 5.00 5.00 ,00 REVENOE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 5.a� • ' iE 1t iE iF it it it it if if iE iE 3E if if'.E if if jE iE iE �)t iE iE iE 1E fE iE i@ iE iE �f ?E iE il�iE iE�! 1E i! i! ik it �k iE �F it iE ik iF iE 1E if iE fE iE ik iE if 1k fE fE if if� iF ik jE if iE iF iE iE iE jE iE iE if ?E if I N D I V I D U A L �F E E B R E A K D O W N TYPE QTY D E S C R I P T I O�N, UNIT COST TOTAL COST .� PLU 1 WATER HEATER AND/OR VENT 2.00 2.00 END'• OF FEES 1' � o� ooasbsr-oaness?a T�+-r s,.� �ATE: r,7/3!/90 TIfiE= 15:03 CONSTRUCTION AND PLANN �JL & SPA APPROVALS Permit# Date Inspector AppqOVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. � 53. S[eel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54.� Forms 4. Elect��cal Conduit-Undrgmd. . 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 17. 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•Fioal 16. fiough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Fough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditloning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts. Ventilating 77. Product Piping � Gas ❑ Oil 23. Gas Pipe�flough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Geili�g (Structurall & 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 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. FinalElectric Notes: (Z-j�(-�{� ��a,yy�1-�- yj�j(„p}Q�j ,4g 34. Final Heating & Air Conditioning P�� Z�� 3 V.�a,G � - L�� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas 5ervice�Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. �andscape IrriCation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . � 48. FINAL PLANNING 49. Elearic Release to Edison . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date i r t CITY OF COSTA MESA ° BUILDING DIVISION ' } � � DEVELOPMENT SEAVICES DEPARTMENT �q� PERMIT PERMIT NUMBER "doxmw `¢ 698-01667 � (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 969 POST RD Suite: Vicinity: Parcel Nunmber: 14123124 Applicant: MCKINNISH, FRANK Address: Owner: BROWN; CHRISTINE TR Address 969 POSL�RD . � � "COSTAMESA;CA - � . . Contractor: � JK�CONSTRUCTION Address: 00915 LAKE ST--' � , - Phone:r.774-404-9846 � ; , � , . HUNTINGTON BEACH CA Zip:; 92648 � -� � ' � �" License:i ,450297 , - - - . � a Arch / Eng : , � ' � � i - , � , , Address: . " � ' � � ' � � .� •� .a ., , � -�"" - ' , . f �, `Phone: _ -_ . � � � . . , Zip: , ' . ' � � License: � ' , SCOPE OF PERMIT .TEAR OFF REAHEATH & REROOF WITH 3000MP.. SHINGLES. REPLACE 8 WIND. 1 EXTERIOR DOOR OVER HEAD GARAGE DOOR "ALL TO BE REPLACED WITH SAME SIZE." REDEVELOPMENT AREA. BUILDING PERMIT Status: ISSUED Applied: 09/18/1998 Issued: 09/18/1998 Zoning: Phone: " " Zip: Phone: . . � .. � Zip: 92626 � � , , � - � Plan Check: Permit: SMIP Res: SMIP Com: Otlier: Inspection: Total: $0.00 $299.75 $2.10 $0.00 $0.00 $0.00 $301.85 . SETBACKS MAIN STRUCTURE Front� 0- 0 ACCESSORY Front 0-�0 PARKING Ezistin : o NOTES: v FEE-SUMMARY ; 1 _ _-, � ^w � / Rear. 0-0 Rear 0-0 Required: 0 Calc Valuation: Claim Valuation: PLANNING'8 ZONING . - - r ' �' 9.� .. . . left 0-0 Right , �0-0 " Left � 0- 0 Right � 0- 0 Pr000sed: 0 4 S2�,000.00 $21,000.00 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 1 BO days. INSPECTIONS� In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all 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) 7545626 � WORKERS' COMPENSA710N DECLARATION: _ I hereby aHirtn untlar penalry ot perjury one of the.. .ing declaretions: ❑ I have entl will maintain a certificete ot consent to self-Insure Por workers' compensetion, as provitled for by section 3700 ot the Labor Cotle, tor the perfortnance ot the work tor which this pertnit is issued. �I have end will meintein workers' compensation insurance, as requiretl by sedion 3700 of the Labor Code, for the peAormance of ihe work for which Ihis pertnit is issued. My workers' compensetion Insurance carrier end policy numGer are: Carner: ' Policy NumDer: (lhis section need nof ompleted i/ he permit is valued et one bundred dollers ($100) or less.) ❑ I cenify that in t�eAor nce o the work for w' it is issued, I shall not employ any person in eny menner so as to become sublect to ihe workers' com eqla � ot C tornie, tl egree t should be me subjact to the workers' compensation provisio 1 Section 3700 of Ihe Lebor Cotle, I shall forthwith ply wi B provi ons //� Appli ignatur � ate: / .Yr ` � � W NING FAI TO EC E ORKERS' MPENSATION fAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EM OVER TO CRI AL PENALTIES AND qVIL FINES UP TOONE HUNDRED LLAFE($00, ),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDf-0RINSECT ELABOFCODE,INTEREST,ANDATTORNEY'SFEES. under pry'iefons of �a and e(tect. Contractor's Si`qi with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in tull Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that thera is a consWciion lentlinq agency for the perfortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Nema: Lender's Address: Signalure: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that untler penalry of perjury ihet 1 em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or crounry which requires a permit to construct, alter, improve, tlemolish, or repair eny siructure, pnor to its issuanca, also raquires ihe applicant for suc� permit to tile a signed statament that he or sha is licensetl pursuani to �he provisions ot ihe Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Proteuions Code) or ihet he or she is axempt therefrom and ihe basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects ihe epplicant to e civil penelry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO 7l1E WORK, antl ihe siructure is not intentletl or ottered for sale (Sec. 7044, eusiness antl Protessions Code: The Contractors License Law does not apply to an owner ot property who builtls or improves ihereon, and who tloes such work himseN or herselt or through �is or her own employees, provitled Ihal such Improvements ara not intendetl or ottered for sale. If, howevar, the building or improvement is sold within one year of completion, the owner-builder will have ihe burden of proving that ha or she did not builtl or improva tor purpose of sale.). ❑ I, es owner of t�e properry, am EXCLUSIVELY CON7RACTING WRN LICENSED GONTRACTORS to construct the project (Sec. 7044, Business and Prafessions Code: The con�rectors License Law tloes not epply to an owner of pwperty who 6uiltls or improves Ihereon, end who contracts tor such project with a coNractor(s) licen5e pursuaM to lhe Con�raCtorSliCenSe LawS.). ❑ I am exempt under sec. Business antl Professions Cotle for Ihis reason: SignaNre: Date: Owner ID venfied by dnvers license. ❑ Yes ❑ Na Dnver's License No. Expires: Vedtication of Ownership by (rype of tlaument, I.e. - properry tex bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: ❑ I here6y certity that no ezcavation five (5) or more feet in depth Into which a person is required to descanQ will he made in connection with work authonzetl hy this permit, and that no building structure, sceffolding, felsework, or demolition or dismanlling thereof, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Californie Atlministretive Cotle). ❑ As owner-builder, I wlll not employ anyone to do work which would require e pertnit from the Division ot Indusirial Safery, es noted above, unless suc� peroon has a pertnit to do such wark fmm the division. Signeture: Date: Division at Industriel Sefety Permil Number: CERTIFlCATE OF CAMPLIANCE AND AUiHORIZATION OF ENfAY: I cenity under penalry of perjury that I have read this application and state that the infortnation given is correct I egree to comply wilh all stete I§ end ci es relating to building construction, and authorize representatives of the City of Casta Mesa to enter upon ihe above-tlescriDetl properry for inspectiory¢u�oses agree not occupy or allow occuDancy of any building authorized by this pertnit until final inspection. COOE �. INSPEC110NTYFE 1616 1266 Fixed Syslem Final Fire Prevention Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Finel Factory Fire Plece 203 Finel Sign 204 Finel Demolition 2416 46 �ff �� LGGE.I INSPELTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Preventlan 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy �9 OWNER �'COME HOMES OATE 5-18-56 JOBADDRESS 969 Post Road BUILDINGPERMITNO. OZS GENERALCONTRACTOR Welcome Homes VAWE $ 9�%O�.Q� LOT 2� BLOCK TRACT 289(� Single Res. W�3tt Egp, TVPE INSPECTIONS Trench �ion Forms and Grade to P � Heating. Final { Sewer, House �'�%'rSewer, St. Septic Tank or C�sspool Lathing,ln OutX � Plastering � Final, Fixtures Fin,al GasTest Occupancy FORM 210 9M 10-55 DATE SUBCONTRACTOR 0 PERMITSISSUED I NUMBER � � Costa Mesa Bnilding Department " ;'"�:, P. O - x 3!7 t COSTA ME_ CALIFORNIA � � FOR APPLICANT TO FII.L IN e��im�s , nddress 9�J Post Road Costa Mesa, California Nearest t�11�T'O Cross St. Owner W81001�H HOIiBS� IIlC. Mail (�28 y{estnd.nster Ave., Address Tel... aty Westminster No,dem. 5i A rch itect or L Ir._ � APPLICATION FOR PERIVIIT 3Q�� iUILDING � FOR OFFICE USE ONLY Receipt No. Permit No. 3aa2� Re�c1eiv,qe�dpy DatQe Rec'd. (�Date IQssued�— - %X�// �� d �S�o I �+ � /0 �J � Address Nearest Cross St 11 �....e . Contreeto'n'olcome Eoaes, Inc. No. Ly2%8 ACdress Cn'28'�lestmi�^,ter Ave., Legal Lot I �escriptlon No. 20 Block I Tract 2� (Attach Metesand Bounds) No. of Bldgs Size of Lot 56X1o5 Now on Lot Npno lJse of I No. of I No. of Existing Bldg. I�Tpne Families Rooma Setback Line from Rear Vard L' � Centerolstrxt •� Ft• Sidnva�a Ft New � X Moving � � Demolish � No. of Rooms 6 Stories 1 Roof C CO CoveHnn �'�nrX� Costa Mesa, California / No. of Type ' I Plans Da CORRECTIONS ti� y% f ',A, � r � M_� .� (_ . _ I L �. - � � ,Y 18 i:"�'� ...vn^;1 � .'fi .I�^A UA r/ii�:l� .... '..1 APPROVALS rundation Lacation Inspecto Forms, Materials, Under-Pinning �ame: Fire Stops, Bracina. Bolts I hereby acknowledqe that I have read this Applicatlon � and state that the above is correM and agree to rnmply Lath. Int. with all City Ordinances and State Laws regulating bullding mnstructi n. �ath. Ext. Signature o Permittee �'�'"`� Plaster, InL Authorized AgL � f/ plaster, Ext Valuatlorin, 7-q+�v. �v Permlt Fee $ d, �� Masonry Reintorced $ �� /) Plan Check $ 1 Bond Beam , �� TOtal Fee � � FINAL vm 10� Io��O o. P. e s, PLOT PLAN Show Iocatlon and tlisYancee trom property Iine and between buildings v,.. �.l]t1C0S_-._e�c. . . .-.. �� .� � .. � . .. . �.. f .. . .. . . . .... .� ; .. J . . . .. . .. J �_�c,� .�Y .�� t ,, ' ' _ . • oa o : . U!:d` c. _1VJ4...`J'i . :i U:.��!a...� . �p�'J^' . G']F,T^, . ::� .; , � `. ...\.� . �.: 1 �', i: . . � � iI . 1 . . . , . . " , OWN�R JOB AD AP No. 141-2 INSPliC'PIONS — in U brown coat 0 LOT TRACT � 5ignature FIRP 7.ONE DATE I GROUP �nT� z-1-63 BUILDING PERMIT NO. VALUE $ 3�•� D�SCRIPTION OF WORK TYPE Trr 7.ONG SURCONTRACTOR �., l i ss�., ' COSTA MESA BUILDING-SAFETY DEPARTMEI�IT � P.O. 90X 91] COSTp MHBA. CALIPORNIA For Appllcant fo Fill In Complefely TYPE OR PRINT ADD EI59 �� O1n�. COSTA MESA, GALIFORNIA � FEE ; :CEIVED� FEB 1 1963 C�Y�O�F ��ESA�� Por Office Use Only RCC[IpT NO. PCRMIT NO. CITY V- ltl - Y. � NO. �� "� - APPROVEp /J //�{ ARCHITEGT +.�� TEL. _� BY DATBf' (YJ ORENGINEER NO. ZONIN(i wooResa 8 NO. OP U8H OP N8 ' r PUN9 � BpILDINO GONTRACTOR I It � V( 1-0 ¢ f �1 LEOAL 1 DEBCRIP�ION a ADDRE59 �'"'� A. P. NO. '� CITY NOTE: NOEAVEOVERHAN68NALLBEL S9THAN STATE - � TEL . 90' TO SIDE @ REAR P. L. LIC. NO. O. ))) EAVES SRB �J Q I NO. OP BLDOB. ( ALLOWED c u. e. c. neomseMeHn OF LOT /\ NOW ON lAT � YARDSAPPROVED YARDSAPPROVED USE OF MAIN BUILDINO ACCE6SORY BUIlDIN6 EXISTING BLD6. � fFROM C/L ), BElBPCK LINE FROM ^, �I FRONT PT. IT. CENTEP OF BTPEET L J• REAR YARD SIDEYARDI LEFT ��, RI6HT �� re. sice� �. Fr. DESCRIPTION OF WORK L. SIOB 3 � Fr. �. `� REAR FT. FT. NEW ALTERAT�ON ADDITION DISTANCE BH'f. BET. MAIN @ REPAIR MOVIN6 DEMOLISH MAIN BLDG3. ACCESS.BLDGH. BUILDIN6 � NO.OP �- ✓ VAR.# DATE SIZE R40MS STORIE9 C. U. P.$C APPROVHD EXTERIOR WALL . ROOF ,� APPROVG � � COVERING � COVERINO BY DATE � USE OF BU ILDIfJG AND WORK TO BH PERFORMED � r :YQ �}�L� �� +IC�P, so. Fr. I HEREBY �CNNOWLEOOB THAT 1 HAVe qBAD TX18 APPLIGTION TH8 AMOUNT BHOWN IlNOBR VALUATION 19 POH TH8 AND BTATE THPT THE �BOVB �9 COqpBCT AND AOH88 TO COM. PUHPo86 OP HBTABLI8XIN0 • PHpMIT PHH ONI.Y. PLY WITH �LL C�TY OqDINANCeH ANO BT�T((( LAWB N80ULATINO yqLUAT10N � ^ DUILDINOCON9THUCTION. � (lL SIONATUREOF� �f �p �- PERMITFEH S PERMITTE . - S"� C' d c c ` AUTHORIZED AGENT `��O 7' o-t'J TOTAL FEE J OWNER� Bfl047N� 67ILI�__�I L. ATE 5�3f64 __. JOB ADDRESS 9 POet R08d EUILUING PERMIT NO. •221�0.. -�� I:f: SUBCONTRACTOA _ . — -- Y-- ----.— ��i�n , = - �� . .�� COSTA Ir1ESA BUILDINCrSAPETY DEPARTMEM P.O. BOX 120Y COSTA MESA� CALIFORNIA 9Z62E For AppllmM fo Flll In ComplNa/y TYPE OR PRINT suu.oina ADDXHY3 COSTA ME6A. CALIFORNIA I� ARCNITEGT 8TATE LIC. Ni BIZE N sere�cK . �-�� • �i�wae►e — Y �� .��^ �. T6L �^ � xo. or ewu�. DESCRIPTION OF WORK 1 M6qGpY ACRNOWL6p4 AN� 9TAT[ TXI�T TM[ � PLY WITX wLL CITY OR'. au��cixo eonarnuma 816NATUpC OR P6RM1TT6 AUTXORIZLD AO[NT FEE RECEIVEI� ;r1AY 1 3 1964 � FINANCE DEPT. ;��r��as�@�R 6UILDIN6 For Offfn Ua� Only ZO No.oP ' Y�[O!H[W;� �-��.` � �LAN{ �YILDINO C . tsaet �GT'�-Q -j-h. �CS (c� D[YCI11►TION / A. P. NO. / �T l "^' � � I �I `f NOTE: NO EAVE OVERHANO SNALL �6 LC88 HAN 90" TO HIDE Q REAR p. L. EAVEB ALLOWHD <U.B.C.REOUIREMHNTI YARDIMPROVEO YARD9APPROVHD MAIN BUILDIN6 AGCfi880RY BUILDIN6 reonur-n Qe�R• . / :.;� VAR.SC C. U. P. A��LIGTON 0.6[ Y'O COY. DAT6 M�e ��, � l) -6 �. owra a w � J m y/ �S eo. rr. � TN8 ANOYNT �HOWN UND6R VALUATION IG POR TXQ � ►URWGi OI fQfAC48HIN0 A P6RMIT P6H ONLY. � VALUATION d p OO PERMIT FE6 � s 1�,Lfq � w �3� � TOTAY.PfiE OWNER BROWN, WI. AM L. JATE JUL t� 196� E 'LONE GROUP SUBCONTttACTOR PERMIT N0. 22595 . • 90GOS ' � 2c ;� FE� RECEIVED � 'COSTA MESA BUILDINGSAFETY DEPARTMEM JUL 14 1964 P.O. BOX 1200 GOSTA MESA, CALIFORNIA 92628 - [�A�nNi�G IiGPT