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Home My WebLink About975 POST RD - Building Permitsp�a) �sa-s2�3 • Fax (7ia) 75a-aess • www.ci.costa-mesa.��LDING PERMIT �� hAIM UNIVt, GVJIA MhAA, l:A BZtiZti Job Address: 975 POST RD Suite: Vicinity: Primary Occ: R Type of Construction: V-N Parcel Number: 14123123 Zoning: Applicant: PATTISON, MICHAEL GERARD Address: 975 POST ROAD COSTA MESA, CA Owner: PATTISON, MICHAEL G Address 975 POST RD COSTA MESA, CA . Coniraclor: � , Address: D Zip: Phone: 714-318-0021 Zip: 92626 Phone: 714-318-4021 Zip: 92626-03 Phone: License: Slatus: ISSUED Applied: 12/06/2005 Issued: 1228/2005 �: � .t� «.. �. �.�.''r c�: �i' :�k�,;; a nrch : ROGER PETER PORTER Eng: RASHEED, ZOHER Address: 3837 E 7TH ST Address: 641 GALLOPING COLT CI LONG BEACH, CA Zip: 90804 Phone: 562�34-8414 X14 License: C7125 Phone: 626-9123365 WALNUT, CA 91789 License: 58615 SCOPE OF PERMIT ADD 1,337 SF TO EXISTING S.F.D. WORK TO INCLUDE: ADD NEW LAUNDRY ROOM, GREAT ROOM AND EXPAND EXISTING BEDROOMS LOCAI REAR OF THE PROPERTY. MAJOR REMODEL OF (E) SFD AND GARAGE INCLUDING REFRAME ROOF; INSTALI NEW TILE ROOF; RELOCATE KI WINDOWS AND DOORS. ALSO CONSTRUCT 396 SF COVERED PORCH AT REAR. CONVERT 3 BEDROOM, 2 BATH S.F.D. TO A 3 BEDROOM, 3 BATH S.F.D. PLANNING: LOT SIZE = 7,133 SQ. FT. RESIDENCE = 2,393 Sa. FT. � GAR4GE = 388 S�. FT. DRIVEWAY = 450 SQ. FT. LOT COVERAGE = 3,231 SQ. FT. (45%) OPEN SPACE = 3,902 SQ. FT. (55°h) Plan Check: $1,068.18 Permit: $1,643.35 SMIP Res: $21.55 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,733.08 FEE SUMMARY PLANNING & ZONING Calc Valuation: $zi5,sza.ss Claim Valuation: $o.00 SETBACKS MAINSTRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under California statutes and�related regulations. (Ord. No. 92-28, § 1, 12-21-92) / EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. // INSPECTIONS: In order for ihe work authoiized under this pe�mit to be considered legal, such work must comply with at(✓applicable codes, and all requlred Inepeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d48d6 (fl�00) WORKERS' COMPENSATION DECLARATION: . I hereby atfirm under penelty of perjury one ol the following declarations; �,,,,. � ' ❑ I have antl wlll maintain a cartiticate of consent to self-Insure for workers' compensatlon, es provitled for by section 3700 of the Lebor Code, tor,the pertormance of the wark for which this permit is issuetl. . ❑ I have antl will meinlain workers' compensation insurance. as required by sectlon 3700 of Iha labor Code, for the pertortnance of the woM for which this pertnit Is issuetl. My workers' wmpensation Insurance wrner antl policy number ere: . Ca��er: Policy Number'. (T7�is section need nat be comp/eted il the permif is valued af one hundred dWlars ($ I00) or /essJ '[� I cartify.ihat in.the,peAormence ot ihe woAc for which thi5 pertnit is issued, I shall not employ any person in any manner so es to become subject ro the workers' r^compeJr SaSiomlews'ol Califomia and agre t it I shoi �w�n� sublect to Ihe workars' compensation provisions of Section 3700 0l ihe Labor Cotle, I shell forthwith �--comply with Ihese provi;ieps� ,/t2�%?�7']'—� Appticant'Srnatu�a^^--�� i�-P � rpate�_ l a �$"d �` WkRNIN(f.�FAICURE-TO6ECU E WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPW�Eq.TO CNMINAL PENALTIES AND GVI� FINES UP TOONE HUNDRED THOUSrWD OOLLARE (5100,000), IN ADDRION TO THE COST OF COMPENSATIIXJ, OAMAGES AS PHOVIOED WR IN SEGTIOIJ 3]W OF THE IABOR COOE, INTEREST, AND ATiORNEI"S FEES. LIGENSED CONTRACTORS DECLARATON: I ha�aby aHirm Ihat I am licensed under provisio�s of Chapter 9(commencing wit� Section 7000) of DiWsion 3 oi the Business and Professions Code, ana my license is in full forGe antl ettecl Lic. N Class a Coniractor's Slgnatura: Date: CONSTRUCTION LENDING AGENCY: � I hereby eflirm �hat ihere is e construction lending egency br the peAormance ol ihe work lor which ihis permit is issued. (Sec. 3097. Civil Cotle). Lender's Name: Lender's Atldress: Sig�aWra: Date: OWNER-BUILDER DECLARATIONS: 1 heraby aHirtn Ihat under penalty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county w�ich requires a permit to construct, alter, improve, demolish, or repair any sirucNre, pnor ro its issuance, elso requires ihe applicant tor such pertnit �o ��le a signetl statement Ihat �e or she is licensad pursuant to the provislons of the Contrectors llcense Law (Chapter 9(commendng with Sectlon 7000) of Division 3 of the BuSiness end Protessions Code) or thal he or she Is exempt t�eretrom entl the basis for the elleged eaemption. Any violation oi Section 7037.5 by any epplicant for a pertnit su ' e epplicant to a civil penalry ot not more ihan five hundretl dollars ($500).): ❑ es owner of Ihe O�operry, or my employees with wages as their sole compensetion, WILL DO THE WORK, and ihe structure Is not iniended or offeretl for sale (Sec. 1 044, Business antl Protessions Code: The Contractors License Law tloes not apply Io en owner of property who builds or improves thereon, antl who does such work himself ar hereelf or Ihrough his or her own employees, proviaed Ihat such improvemenis ere not intended or oRered for sale. If, however, ihe building or improvement is sold within one year of complation, ihe ownerbuilder will have ihe burtlen of Droving that he or she tlid not builtl or impmve tor purpose oi sale.�. ' � I, as owner o� t�e propeny, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 704d, Business and Professions Code: The con�recrors License Law does not �pply to an owner of pmpeny who builtls or improves Ihereon, and who comracts for such pmjecl wllh a contractor(s) license pursuant to ihe CoNractors License l,9ws.). ❑ I em ezempt under se Business and Prolessions Code for �his reason: sy�ature:-- , c-ea — � , � OwPe�dD veiilietl Dy tlriver's license. Ves ❑ No Dnve`� icaMe No. � Veri�ication of Ownership by (type ot document, i.e. - property tax bill or deetl): DIV�SION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihet no excevation tive (5) or more feet in depth into which e person is required to descantl, wiil be made in connection wi�h work authonzed by t�is permi6 end ihat no builtling s�ructure, scaHoltling, talsework, or Oemolition or tlismantling ihereof, will be more �han ihirty-si: (38) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomla Adminisirative Code). ❑ As owner-builtler, I will nol employ anyone to tlo work which would require a permit irom the Division of Industrial Sefety, as notetl ebove, unless such person has a pertnil to do Such work from ihe division. Signature: Date: Divis�on ol Industrial Safe�y Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMFV: I certify under penalty of perjury that � have read this appliwtion and state that tne information given is correc�. I agree to tomply�yith all st d city ordinances relating to builtling cons�ruction, end authorize representetives oi the Gity ot Coste Mesa to enter upon the ebove-tle prope J 6r inspe es. Q e not to occupy or ellow occupancy of eny building authonzetl by this permit until nal ins ection. J,�� -�,� � Sfgnature Of Legal Owner(s) Date-1w 1 AnNOr Authorizetl ApPlicant Date COOEL INSPELTIONTYPE PAIf. 1[i�86§ 1616 Fized System Final Fire Prevention 1266 Pool Spe Finel 200 Pinal Re-Root 201 FInaI BIocWRetaining Wall 202 Final Fectory Fire Place pp3 Final Sign ppq Final Dem COpE� INSPE�NTYPE 206 Final Methanical 20B Final Plumbing 21D PinalElecirical 212 Final Fire Prevention 220 Final Planning Appro�el 222 Final Site 250 Pinal BuildingiOccupen( �E � NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 781 70: ( �' ) �:'�Y of Costa Mesa ( ) Ciry of Newport Beach ( ) County of Orahge Applicant: I � �U�' �'�'wl �i' (�-t'"r nu' � Address: �7�� "1 ' Telephone Number: ��I I J� v�" u�`�l TracVParcel and Lot Number(s): .�� Locabon of Project: "I /"1 ��fi Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaVlndustrial Projed is: (Check One) Warehouse R&D Movie Theater Mini-storage Heavy IndusVial Regional Shops Light Industrial This projed is exempt because 3 1 x E1.84 z E .30 _ Motel _ 8ank _ Neighborhood Shops _ RacqueVHealth _ Hotel _ Medical0ffice _ Oiflce Park Total N° 5676 District Receipt No. Plan Check No. J�'Q�'f� ��. � _ r �i / v Preschool Auto Repair Hospital Large Ofice o��e ea9. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school fadtity fees in comptlance with Government Code sections 53080 and 65995. The Building PemiLs for this square tootage in this proposed development may now be issued by your ju�sdic6on. Checks are to be made payable to Newport-Mesa Unified School Dishict. ey The above representation as to square footage is We. Appticant agrees fhat ii it is later det�ed that such representadons are not true, then this certificate shall automaticaly terrNnate and the appropriate City/County shall be nodfied. /g� / Date: � 2'l� " � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: 97$ POST RD Suite No Viciniry: Parcel Number: 14123123 Applicant: PATTISON, MICHAEL G Address: 975 POST RD COSTA MESA, CA Owner: PATTISON, MICHAEL G Address: 975 POST RD COSTA MESA, CA Contrador: OWNER-BUILDER Address: MECHANICAL PERMIT Phone: 714-318-4021 Zip: 92626-0329 Phone: Zip: 92626-4329 Phone: Zip: License: 000000 SCOPE OF PERMIT ADD 1,337 SF TO EXISTING S.F.D. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000dm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $13.70 $0.00 $0.00 $0.00 $12.30 $21.30 $10.65 $0.00 $725 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Status: ISSUED Applied: 12Y28/2005 Issued: 1228/2005 ISSUED BY: Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Com me rcial I ncinerator Domeslic Incinerator Comoressors / Absorotion Svstems Upto3hp/100kBTU 3Tot5hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 7510 30 hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspedion Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if x for a period of 180 days. � Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 588.70 and related suspended orabandoned INSPECTIONS: In order tor the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 zaas-as �s�oo� WOAKERS'COMPENSAnON DECLARATON. _ I hB�eby aflirm under penalry of perjury one of ihe following tleclarations: ❑ I have and will maintain a cenificate of consent to selt-Insure for workere' compensation, es providetl for by section 3700 oi the Labor Cotle, for the pertormanca ot the work for which this pertnit is issued. , ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Lebor Cotle, for the perfortnance of the work for which I�is pertnit is �ssuetl. My workers' compensation Insurance wrrier antl policy number are: Calner Policy Number. (This secfion need not be completetl il the permif is valuetl af one huntlred dollers ($ f 00) or less.) Hy�thet�n ihe pertormance oi the work for which Ihis pertnit is issuetl, I shall not employ eny person in eny manner so as to become subject to the workers' iensetion laws of Calitornia, and a hat if b'LI to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall fotlhwith �ly with ihese pro ' '� ��a: �" . �'G �� la- � � m � �� AICHRE TO SECURE WOFKERS' COMPENSATION COVERAGE IS UNIAWFUL ANp SHALL SUBJECT AN E��f� CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDRED DOLL4RE �$100,000J, IN ADDITION TO THE COST OF COMPENSATION, OAMFGES AS PROVIDED FOq IN SECTION 3]OB OF THE LABOR CO�E. IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed under provisions of C�apter 9(commencing with Section 7000) of Division 3 oi ihe Business and Professions Code, antl my license is in full force and eNect Lic. N Cless q Con�ractor's Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is e consimction lending agency for ihe pedormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lentler's Adtlress: Signature: Date: OWNER-BUILUER DECLAPATIONS: I hereby aHirtn Ihat under penalty ot peQury ihat I em E%EMP7 FROM THE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires e permit to conslmcL elter, improve, demolish, or repair eny stmcWre, prior to its issuance, also requires ihe applicant for such permit to fila a signed statement ihat he or sha is lice�sed pursuant to the pmvlsions of the Contractors License Law (Chapter 9(commeaciag with Section 7�00) of Divisioa 3 of the Businass and Professions Code) or that he or she is exempt therefrom end the basis Por the alleged exemption. Any violation oi Section 703L5 by any epplicant for a parmit subjects the applicant to a civil panalty of not more ihan five hundred dollars ($500).): t� asp ner of ihe property, or my employaes with wages es lheir sole compensation, WILL DO THE WORK, and the stmcWra Is not imentled or oHered for sale (Sec. 70A4' usiness and Professions Code: The Con(ractors License Law does not apply �o an owner of propehy who builtls or improves ihereon, and who tloes such work himsaif or herseN or through his or her own employees, provided ihat such improvemenis ere not intendetl or oflered for sale. If, however, the building or improvement is sold within o�e year of completion, the owner-builtler wilf have the burden ot prwing that he or she did not boiltl or impmve for purpose of salaJ. ' ❑ I, as owner of Ihe pro0erty, am EXCLUSIVELY CONTRACTING WITN LICENSED CONTRACTORS to constmct the prolect (SecJ044, Business and Professions Code: The contrectors License Law does not app ro an owner of propetly who bullds or Improves thereon, and w�o contrecis for such project with a comractor(s) license pursuant to the Contractors License L s.). ❑ I am exem t under sec. Business entl Professions Code for this reason: Sign�aturep�� 6 , Date: Owr�6nlD0.ve ied by tlriver's licensa. es ❑ No � vers License' No. Verification of Ownership by (type of tlocumem, i.e. - propeny taz bill or deetl): DIVISION OF INDUSTAIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify that no excavation five (5) or more feet in tlepth into which a person is required to tlescend, will be made in connection with work amhonzed by this pertnit, and ihat no building structure, scattolding, falsework, or tlemolition or tlismantling ihereof, will be more than Ihirty-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Adminisirative Coda). ❑ As owneo-builder, I will not employ anyone b tlo work which woultl wquire a permit irom the Divisio� ot Intlustrial Sefety, as notetl a6ove, unlass such person hes a permit to do such work from the division. Signawre: Date: Division of Industrial Satery Permit Number. CER7IFICATE OF COMPIIANCE AND AUfHORVATION OF ENfRV: I cehify untler penalty of perjury ihat I �ave reatl this ap0�ication and state that ihe information given is correGl. I aqree to comply with ell state laws en ciry ortlinances relatiag to tuiltling wnstruction, and authorize rapresentatives ot Ihe Ciry ot Costa Mesa to enter upon Ihe above-descnbed propeh for in ction pu � ree no�to pr��,,,,,y or allow occupancy of eny building authodzed by this permit until final inspection. �i.c,� ,��.�/ - A , �_ � �,-T.� — �.�...v-� � ° �i ' fLegalOwner(s) �Oate;<'''-r��,:. And/Or Authorizetl Applicant COOEl. INSPECTIONTYPE � PAIE �HTRIALS 1616 Fixetl System Final Fire Prevention 1266 200 201 Pool Spa Final Final Re-Pooi Final BIocWRetaining Wall 2pp Final Factory Fire Place 2p3 Final Sign 204 Final Demolition COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Elecirical 212 Final Fire Praventian 220 FinalPlanning Approval 222 Final Site 250 Final BuildinglOccupancy i: uu . _ � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: Applicant Address: Ownec Address Contracror. Address: ISSUE FEE .Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Molors to 1hp Motors to tOhp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 975 POST RD 14123123 PATTISON, MICHAEL G 975 POST RD COSTA MESA, CA PATTISON, MICHAEL G 975 POST RD COSTA MESA, CA OWNER-BUILDER Phone: 714-318-4021 Zip 92626-4329 Phone: Zip: 92626-4329 Phone: Zip: License: 000000 SCOPE OF PERMIT ELECTRICAL PERMIT TO ADD 1,337 SF TO EXISTING S.F.D. REF#:BOS-02219 Status: ISSUED Applied: 12/282005 Issued: 12/282005 ISSUED BY: WORK TO INCLUDE: 60 LIGHT FIXTS, 42 RECEPT OUTLETS, 25 SWITCHES AND 1 SUB PANEL. $23.50 $0.00 $0.00 $0.00 50.00 $0.00 $5120 538.06 $25.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 �uantity 0 0 0 60 42 25 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Slanding Seclion Misc Electrical Equipment Trensfortners up to 1 kvalkw ................uP to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / CM Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee Invesligation Fee Plan Check Fee Reinspedion Fee Quantity $0.00 0 50.00 0 $0.00 0 30.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 5168.91 rnuuu�rc�cnon�w� nnun�r�n�ic NO710E: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In oider for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and final approval must be obtainetl. Fallure to obtain inspections and final approval will result in the ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 � 2408�98(&00) WORKERS' COMPENSATION DECLARA710P� I hereby aHirtn under panalry of perjury one of the lollowing declerations: ❑ I have end will meintain a certificate ot consent to setl-Insure tor worke�s' compensatlon, as provitled br by section 3700 of the Labor Cotle, for the pertormance of Ihe work fo� which Ihis permit Is issuetl. ❑ I have entl will maintain workers' Gompensation insurance, as requiretl by sectlon 3700 oi the Labor Code, for the pertortnance ol the woB tor which Ihis pertnit is Issued. My woricers' compensatian lasurance wrrier e�tl policy number are: Cerner. Policy Numbec (Th/s secHon need not be comp/efed i! fhe permit is veluetl af one hunUred dollero ($100) or less.) � epUy.lpa6mdhepe�tomunce o� t�e work br which this permit is issuetl, I s�all not amploy any person in any manner so as to become subject to tbe workers' `F pensatlon`faws ot Cafifomla, anC a�e t W ome sub�ect to the workars compansation provisions o1 Section 5700 ot ihe Labor Cotla, 1 shall fodhwlth . comply with �hese prov �/. // /1 / � plican[ S�n�e,ture: ___U�fd� Y l �—�. atS��l� �� r"G � ARM G: FA CORE TO SEC RE WOFKERS' CAMP NSATION CAVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPL �ERTO'CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUMDRED TMOUSAND OOLIARE ($100,000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3]O6 OF THE LABOR CADE, INrEiiEST, AND ATfORNEV'$ FEES. WCENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed untler provisions of Chap�er 9(commencing with Section 7000) of Divlsion 3 of the Business and Pmfessions Code, and my license is in full IOrta end eHect. lic. a Clau k Gantracmrs Si9nature: Date: CONSTqUCTON LENOING AGENLY: ❑ I hereby eRirm that ihere is a construction lentling agency for Ihe pedormanca of the work for which ihis permil is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Adtlress: Signature; Date: OWNER-BUILDER DECLARAT10N5: I hareby eNirm that under penalry of perjury Ihet I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons Code: Any city or counry which requires e permit to constmcL alter, impmve, demolish, or repair any struciure, prior lo its issuance, elso requires Ihe applicant for such permit lo lile a sigaed statament that he or she is licensed pursuant to the pmvistons of the Contrectors License Lew (C�epler 9{comme�i� with Section 7000) ot DiWsbn 3 ot the Business antl Professions Code) or that he or she is exempl Iheretrom antl the basis for the alleged ezemption. Any violation ot Section 7031.5 by any eppliwnt for a pertnit �sUb' cis Ihe apP�iwnt to a civil penalry of not more ihan five hundred dollars (b500).): s owner of Ihe property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the sWcture Is not inte�ded or oflered for sale (Sec. 44, Business and Pmfessions Code: The Comractors License Law does not appty to an owner o� property who builds or improves thereon, and who does such work , himsett or herseH or Nrough his or her own emplo ees, provided that such improvemeMs are not {Mended or offared tor sale. N, howaver, the builtling or improvemem is sold within one year of completion, �he owneo-bm er will have ihe burden of proving that he or s�e did not Duild or improve for purpose oi saleJ. • ❑ I, as owner of Ihe property, am E%CWSIVELV ONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704a, Business antl Protessions Code: TM1e contractors Licanse Law does not pply to an owner ol property who builds or Improves Ihereon, and who coniracts for such pmjecl with a contractor(s) license pursuant to �he Camractors License ews.). � I g;f.¢x er sec. - Business antl Prolessions Code for this reason: Si9J� �fp�eA�uie�'.� �// �lsi .� ! ate: — b n`+ er �D vedfie0 by drivels lice sR e. Ves ❑ No Dc1ro' ef icense —� Exp�i es¢�� V��Ilicetion ol Owne�ship by (type of tlxument, i.e. - property taa bill or tleed): \,� l�� DI�ISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICA710N: ❑ I hereby Certify that no excavation five (5) or more feet in depih into which a person is required to tlescend, will be made in connaction with work euthonzetl 6y ihis pesmit, and that no builtli�g strucWre, scaXOWing, talsework, or demWition or dismantling thereof, wiil he more ihan lhirty-six (36) teet high. (Chap. 32. Gry 2, Art 2, Sec. 341, Title 8, Califomia Aaminlstrative Code). ❑ As ownef-builder, I will nat employ anyone to tlo work which wauld require e permit irom ihe Division of Industriel Sefety, as noted ebove, unless such person has e pertnit to ao such work irom the division. Signature: Da�e: Di�sion of Intlustrial Salery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORVAl10N OP EMAV: I certiy un0er penalty of periury thet I have read ihis epplication end state that the information given is ��wrfect. I egre comply with all s� la ' W' n es relating to builtling wnstruction, and authorize representatives of the Ciry of Casta Mesa to enter upon the abtl�e-tle ed ro erty for inspy �tio pu g to �tI�\y or allow accupancy ol eny building euthonzetl /by this permit uNil final inspedion. �/�li V— —`:?%� \ L � �—� ��^� b '__ '� �`�na)u'�OI�L'egal.Owner(s) �j � Antl/Or Au�horized AppliCant Da�a �QQf,�, INSPECTONTYPE 1616 Fized System Final Fire Prevention 1266 200 201 202 203 204 Pool Spe Final Finel Re-Root Final Block/Retaining Well Final Factory Fire Place Final Sign Final Demolition jlf�¢, �� 4Qp�� INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planninq Approval 222 Final Sice 250 Final Building/Oaupanry PAIE 1t�GLfl Z1 r_ < � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 97$ POST RD Suite No Viciniry: Parcel Nunmber: 14123723 Applicant: Address: Owner: Address Contractor: Address: PATTISON, MICHAEL G 975 POST RD COSTA MESA, CA PATTISON, MICHAEL G 975 POST RD COSTA MESA, CA OWNER-BUILDER Phone: 714318-4021 Zip: 92626-4329 Phone: Zip: 92626-4329 Phone: Zip: License: 000000 SCOPE OF PERMIT PLUMBING PERMIT ADD 1,337 SF TO EXISTING S.F.D. REF#: BOS-02219 Status: ISSUED Applied: 12/282005 Issued: 12f28/2005 }T,^y. . , . � � : �I� i :'� WORK TO INCLUDE: 1 BATHTUB, 1 DISHWASHER, 1 GAS (OVER 4 OUTLETS), 2 LAUNDRY TUB/WASHER, 1 SHOWER, 1 KITCHEN SINK, 2 WAHS BASINS, 1 WATER CLOSET, 1 WATER HEATERNENT, 1 WATER PIPING (INST OR REP), 1 WATER SOFTENER. ISSUE FEE Backflow irrigation 8ackflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $9.80 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT LaundryTub/Washer $0.00 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 SewerCapforDemo $0.00 SewerConnect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foileQ Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.40 $0.00 $0.00 $9.80 $12.30 $9.80 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 5134.90 QTY 0 0 0 0 0 0 3 0 0 1 t 1 0 0 1 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes�and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspe" nded or abandoned for a period ot 180 days. Q INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all requlred inspeetions and finel approval must be obtained. Failure to obtain inspections and final approval will resutl in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2C4&4616100) WORKERS' COMPENSATION DECLARATION�! , �� 1 hereby atfirtn under penalty of pefury one of ihe iollowing declaralions: ❑ I heve end wlll maintain a certi(icate ot consent to setl-Insure tor workere' compenseNon, es provitled for by saction 3700 of the Lebor Code, for the pertortnence ot the work for which this permil is issuetl. ❑ I heve antl will maintain workers' compensation insurance, as required by section 3700 of ihe LaDor Code, for the pedortnance of Ihe work for whiU this pertnii is Issued. My workers' compensation Insurance wrner antl policy number are: CR��er: policy Number: (This secf/on need nof be complefed i! Ne permit is velued a! one hundred OWlers ($100J or less.) p��•"'I certity.thelin ihe peAormance ol the work br which this permit is issueQ I shall not employ eny person in eny manner so as to bacome subject to the workers' �crorF�pensatlon laws of Calitor ia, entl eqre at If I spo � e sub�ect to tha workers' Gompansation provislons of Section 3700 ot the Labor Code, I shell torthwlth compty with ihes6 pmv ' ,.- c� _ ACP� � /'� Det � �� 6 � � WpRNING FAI WRE TO SECURE WORKERS' fAMPENSATION COVEFiAGE IS UNL4WFUI. ANO SHALlSU&IECT AN EMPLOYER TO CRIMINAL GENALTIES AND CIVIL FINES UP TO ONE HUNDPED THOUSANO OOLIARE (E100,00p), IN ADDITIQV TO THE CAST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CqDE, IMEREST, AN� ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm Ihat I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 0l ihe Business and Professions Cotle, and my license �s in tull forca and eNecL Lia N Class M Co�lrector's Signemre: Data: CONSTRUCTION LENDING AGENCY: ❑ I �ereby effirtn t�at ihere is a construGtion lentling agency for the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler'S Name: Lender's Address: signature: oate: OWNER-BUI�DER DECLARATONS: to n by eflirtn that under penalry of perjury ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Set. 7031.5, 8uslness antl Prafessions : Any ciry or counry which requires e permit to consWcL alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the epplicant for such pertnil a signed stetement tha� he or sha is Ilcensed pursuant to the provisions of Ihe Contractors License Ww (Chepter 9(commencing with Section 7000) oi Dlvlsion 3 ot Ihe e�d Prolessions Cotla) or that he or she is exempi therefrom and the 6esis lor the elleged eaemption. Any violation oi Section 7037.5 by any applicaN tor e permit Ihe ap0licant to a civil penalry of not more ihen five hundred dollars ($500).): I, es owner of ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WOqK, antl the structure Is no1 intanded or otteretl for sale (Sec. 7044, Business and Professions Cade: The Contractors License Law does not apply to an owner of properry who builAs or improves Ihereon, and who does such work himself or harsetl or ihrough his or her own employees, provided tha� such improvemenis are no1 Intended or offered fo� sele. If, however, the building or improvement is sold within one year of completion, the owneo-builder will have ihe burden of proving ihat he or she did not build or improve for purpo5e oi sale.). ' I, as owner of the property am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha prolect (Sec. 7046, Business antl Professions Code: The contrectors Ucense Law does not apply lo an owner of propeny who bulltls or Improves thereon, and who contraas br such project with a contrector(s) license pursuent to the Contractors LicenSe�L�ds.). I em exerppFNr�er sec. Business antl Professions Code for ihis reason: SiY—� �� — D2t0',^--._ � ' sr+ ` gnature:� �5 . pw lern D ventiad hy tlrivers licensa. Yes ❑ No �r v1 eIs Licensa No. _, �,� ��_ Expires: ',- Vefilication of Ownership by (rype of dwumen�, i.e. - pmperry t� bill or deed): �- � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby certify ihat no excava�ion five (5) or more feet in depth into w�ich e person is requiretl to Aescend, will 6e made in connection with work authorized by this permit, antl t�at no builtling structure, scattoltling, talsework, or demolition or dismaniling ihe�eof, will be more than ihitly-six (36) leet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, California Administrative Code). ❑ As ownerDuiltler, I will not employ anyone to do work w�ich would require e pertni� from Ihe DiNsion of Industnal Setery, es noted above, unless such person hes e permit to do such work fmm iha tlivision. Signature: Date: Division ot IndusMal Satery Permit Number. CERnFlCA7E OF COMPLIANCE AND AUTHORVA710N OF ENTRY: I cehify untler penalty of perjury �ha� I have rea0 this applicetion and state Ihat ihe intortnalion given is corract. I egree �o comply wit I state udriq ordinances relating to �uiltling cons�ruction, end euthonze representetives ot ihe Cily of Costa Mesglc.enter upon ihe above-d c��perty fo ms ct} os gre ot to occupy or ellow occupancy of eny building authorized by this pertnit until tinal inspection. /,�-�-�-��d�- Signatuie�Ot L_e�Owneqs)— ��/ AnNOr Aul�onzed AOPlican� Date SRPF�. ItlHE€LI19N�P� 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 FInaI8lak/Relaining Well 202 Final Factory Fire Plate 203 Final Sign 204 Final Demolition pgjg NT QQpg� INSPECTIONIYPE 206 Final Mechanical 20B Final Plumbin9 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Apprwal 222 Final Site 250 Final Builtling/Occupancy PAIE ItlSIDALS fF��'Y Ci►� PflOJECT FOUHESS: 9'J S POST RD � u"iT: OWNEfl'SNAME: SHANAHAN, ELIZAHETH E aooaess: g�5 POST RD „ COSTA MESA,CA 92626 �Af.HIFNf,INEEN� S3S-4386 flEG.NO.: ' aooxcss: ua�r: PEflMITTEE: ELIZABETH SHANAHAN ( 714 ) 538-4386 aooRess: g�5 POST RD C.M. CA 92626 LICENSEO CONTBPCTOP OECIANFTION: I �ereUy atlum that I am licensea unaer D�ovisions ot ChaO�er 9(commencinA wilh Section 7040) ol Oivision 3 0l ihe Business antl Pmfessions Cotle, ana my license is in full lora anU eflecL CITY LIC.: STATE LIC.: ClASS: Oa�e: Signamre: WOBREBS' COMPENSATION DECLl�NATION: I �ereby a�firm �hai I �ave a cenifica�e o� consem m 5ell�insure or a ceni�icale of Workers' Campensalion Insurance. ar a cenified copY �hereot �Seciion 3800, Lab. C�. POIICY NO.: EXP. OATE: COMPANY: ^I CeNlied copy is hereby fumis�ed. ❑ Ceriifietl copy is liled with ��e ciiy Builtlinp Oivision. � .,a�e: PpO�icanl: E%EMPiIONFHOMWOflNENS'COMPENSpilONOEtUNATION: (TMsseclionneMno16ewmpletediltAepermlis�orOneAuMre0�900)orless�. I t¢rlily Ihai in t�¢ pedormante ol lh¢ work tar w�iCh lhis permil is i55ued, 15hall noi em010y any person in any mannef 50 as lo OetOme Suble�� 0 Ihe WorkeR' Compensation Laws oi Calitamia. Date: Signature: NOTICE: II, alter making ihis aeciaration. you shoWd Uecome subjeci lo the Workers' Compensation pmvisions of tAe LaUor Cade, you must Ionnvnln campty witn such pmvisions or ihis oermit snall ee deeme0 revoke0. CONSTBOCTION LENOING RCENCY: I Aereby affirm i�a� there is a constmction IenOinp agency Por �he petlormance ol the work lar wnich Nis Dermit is issuetl (Section 3097. Civ. CI. LENOEX: AOOflE55: OWNEB BUILUEP OELLABFTION: I here�y aifirm t�at I am exempUmm ihe Contracmrs' Staie License Law br t�e following reason (Sec�ion 7031.5 Business antl Pmfessional Code: Nny city oi coumy whic� requires a permit to consimct, alter, imOmve, demolish, or re0ai� any SlmcWre. prior�o ils issuance, also re0uires Ihe applicanl for such permi� lo lile a SiAneA 5�a�emeni �ha� �e/5�e is litensetl pursuam lo Ihe pwvisions oi t�e Comracmrs' SIaIe License Law (C�apler 9(commencing wit� Section 7000� oi Oivision 3 ot I�e Business antl Pmlessions Code� or Ihai �e/she is ex¢mpt Iherefmm antl Ihe basis �or ihe allegeU exem0�ion. Any viola�ion of Sec�ion 7031.5 6y any applicant lor a permi� suEiecis ine aDP�icant to a civil penalry ol not mare ihan live hunOrea aallars (35IX1). 1. as awner ol ihe DmDeny or my emoloyees wilh wapes as their sole campensalion, will Jo Ihe work, antl ihe � stmcwre is not imentletl or oilered for sale (Seciion IOa4, Business and Pmlessional Code: T�e Contractors' State License �aw does nol aDPly lo an owner o� a propehy who Ouiltls or impmve5 �hereon, and who Ooes such work �imsel�lherself o� ��mugh his or her own employees, pmviCea Ihai such impmvements are no� inlenAeA or allere0 for ule. II, however Ihe 6uilaing or im0�ovemeni is sold within one year o� compleiion, ��e owner will have Ihe burAen o� pmving he/she tlitl noi Ouild or impmve Ior Ihe Durpose of sale�. I, as owne� ol Ihe pmDerty. am exclusivel9 comrac�ing with IicenseU conlraclors to cons�mtl the pmleci (Sec�ion 7044, Business ❑ anA Proi¢55qn5 Code: The CanVat�ors' SUIe LiCense Law QOes noi aODly la an own¢r o� prop¢ri who OuilAs or impmv¢5lhere0n ana wno conirac�s �or such Omjecis with a conirac�oqs)license pursuanl �o �he Contraclo ' a�e License Law�. I am aware t�al pmol ol Neir Warker'S Compensaiion insurance should Ee pmviAetl to me. � I am e�empt unaer Seciio B. 8 P. C. for Ihis ream Oate: Oxmer. i Uo �ereby cenily th �I a aware ot anA unee �ana Ine reQuiremems ol Cali�a f(i Salery CoOe Sections 2 5533, anA 2553d and Itui l or any luwre buildmg xcuDani vnlVvnll nm �cirUe one) neeG to c said state coUes an0 �he repuirements tor a permn lor cans�mciion or motlilication tmm Ine Air Ouabry Managemenl DisVicl. FesiUenlial cons�mnion aD0lica�ions are ezempt fmm 1�2Se D�ovisions �ate'. ApPI¢ani: I nere�y cenily i�ai 1 have reaa this application antl sta�e t�at ��e above inl tion rreci. I agree Io comply wi�A all ciry anA coun�y ortlinancesandslaielaws elaiingt buildmgconslmctionantl�ere0yauth ¢e p f soilhisciiy�oenleruponlheabove-mentionetl property lor ins ion u�f� s • Oa�e: ��/ �� SignaNrc Oiivefs License or Social Sewnly' +: 16a��a6 Wbite—Bmltling: Green—Cotle Enlorcememt Canary—qpplicanP, Pink—Revenue: GOltlenraC—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 053991 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU JOB DESCRIPTZON ; REPLACE WATER HEATER CLAIM VALUE: CALC—VALUE: PERM NO: P 053991 GOVT: N SUPP; N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: X **�r*�+�*�r�*ar*�*�r�r*��**��*��*�**��t*�r**�r***�r*��**�**�e*�***�*+�*�****�**�****�r*�r*x+r . Z O N I N G R E Q U I R E M E N T S ssTBacxs ------------ MAIN BUILUING ---------- --------- ACCESSORY BUILllING --------- FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ• PROV: PA.RCEL: 14123123 ZNE: REF NO: PLANNING Nt31'ES> % if iE 1E iF iP if iE if IE iE iE if iE iF iF iE IF ib 3E 3E 1F 1F iE iF iF if if �lE iF iF if iF if iF if if 1f if IFiF iE aF 1F iF iE iE 3(;,iF if if iE 1E iE 1f iF �]F iE if iE iE 1E iE iE if iE iF )F iF if �F iF iE 3F if If If )f IF�h D E V E L O P M E N T S E R V I C E S,! R E Q U 2 R E M E N T S i' ZONING APPROVED HY DATE; BUILDING APPROVED BY : � DATE: APPLICATION ISSUED BY; �, � DATE: �1 � �( iE�lEifiEiEiFaf�ElfiE±tlF�ki61(�iFlhifafiEiFifiFiF7f'3F'iF{F'iF"lFifTFifTf7F'if"iFaF7FiFiFiFiF �fiFiFiFififif3F7F7Fif�fifiE�fifikifiFaEiFif iFiF iE �1E iE iF k it it �f 3f if if iE iE if iE if iF iE k iE if iE iF iE if k 1F iE iE iE iE�E k iE iF iP if iF if if iE if IE iF k i! iE 1E 1E iF iE 9E 3Fif iF iF if iE iFiF 3E iF 3E if af 1t if ff IE iE 1E iE If iE if iE if If iF LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N ' BLDG PMT PLUMHING ELECTRIC MECHANIC FTRE SMIP/RES GRADING PERMIT ZZSt SMIP/NON—RES PLAN ISSUE FEE 3,00 BUILDING—llIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0.00 5.00 5,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00� OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PiAN—CHECK S_OQ iE iE 1f �F iF iF 3k ik 1f 1f if if 1E 1F k iE iE !flPiF IE 1f if IE 1F if� iE 1f IE 1f iF iE iF iF if iE lE if iF �f iF If iF 1f IE ik 1! if fE IE iP if �E k IE iE if if iE �E if iE 3f if dE af if iE iE iE �E 3E iE iE iP if 1f iF jE 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 ' )�.�i4i�/�ll.'��UUJ%IJ3/ ��:� �I.i i7ATE� U9/2U'91 Tjiif's ii:.�, COfJ�1;CTION AND PLANNING � POOI 'A APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector r 7. Temporary Electrical �'aervice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3.-Electrical Conduit Utility�Undrgmd. 54. Forms - 4.,Electrical Conduit-Undrgrrid. 55. Electrical Bonding . S:.Sfeel Reinforcement 56. Rough Plumbing & Pressure Test � ��6.LL�1'earical UFER Gmd. 57. APPROVAL TO COVER�GUNITE ' ' � 7. Footings - 58. Eiectrical Conduit�Undrgrnd. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Te:t 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Str�ctural Floor System 61. APPROVAL 70 DECK � 1{. P�operty Sewer Line�.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final c 13. Roof Drains -� 64. Plumbing System - Final � 14. Rough Plumbing � 65. Electrical-Fina� 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � i7. Rough Wiring Sign " 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditio�ing FIRE DEPT. ftEQUfREMEIVT 20 �Rough Factory Fireplace . �" - � � .APPROVALS . _ Permit # - 21.'Ducts,in.Str�ctu�e; � , '� . '70. UndergrpundHydro � �� 22. Ducts, Ventilating . \ �� > 71. Product�Piping O Gas ❑ Oil 23.�GasPipe•Rough & Test - � 72. Underground Flush 24._Roof Framing � . � � � - - - . �� 73.� Undergrnd. Storage Tank O Gas ❑ 0'rl 25. Roof Sheathing '� ` - ' 74.� Overhead Hydro ' 26. T-Bdr Ceiling (Structu�al) & Monocoat �, . 75. Dry Chemical • . : 27. ��Frame and Flashing ' , _ ' 76. Dry Standpipe - � , ' � 28. Lathing'& Siding ;_ i . .. � 77., FIXED SYSTEM FINAL � 29. Insulation - �' � � 78: FIRE PREV. FINAL . �30. Drywall Nailinq . � � , . � � ' HEALTH DEPT. REQUIREMENT r,37. Plaster Brown Coat�- ' ' 79. FIMAL'�fNSPECTIQN �- _ '"32.-ElectricaPPower Mater-Final� ,. °: r$0., FOOD CERTIPIEATE ISSUED ' � � 33�jFirial Electric - � " '' �• ' Notes: - ' _ '34_�.Final He�ating,& P,ir C�nditioning `-' ` ` ' ' , . ' �35.�Final Gas Pipe-Test• � • � " ' � �'� ,36:`Hoq51 or CanoPY � �� . y. . . . . �37.-Final Factory Fireptace � ' •� �•� '. '39. Final Plumbinq ; ' � ' (( �' � - � . � :.Fd � ��39. Water Service�Final• . - - : �. ,�40. GasService-Final . , t., , - � � �=41. Solar pomestioFinal � ' •• � � ' r � � " 42. $ackflow Preventer. " � i; " _ � 43. Backflow �rrigation �i - - � - � _ �.44. �andscape Iriigatio� SYstem'' + ` a � � _ ��G '� ni � � ' � -- . . �.. • � . " �'45.'Sound Atterluation - < z. . � �• � � � ' ' 'n�. . :46: Handicap RegulatioPs - - � ` �� "�R ,�. , . ' , ; � 47> FINAL STRUCTU�RE & BUt�LDING ^ �' ' � .. r 48i:F1NAL PLANNING ` y , �� ,-49.' Eleetric Release to �Edison ' ti� A> ,� . 50. Gas Release to Southem California Gas Co � ' � �� ' �' ` , ' � , , . ''�51. CERTIFICATE OF OCCUPANCY -�, ,_ - _ . No. Date � PFOJECT RO�flESS: (3'�!� ppST RD OWNEfl'SNAME: SHANAHAN, ELIZABETH E aooxEss: r COSTA�MESADCA 92626 . 538-4386 RflCNIENGINEEF: NEC.NO.: RODNESS: UNIT: uxiT: PEflMITTEE: ELIZABE�I�H SHANAHAN ( 714 ) 538-4386 nooness: q�5 POST RD C,M, CA 92626 LICENSEO CONTHPCTOP UECIAPAiION: I �ereby afbrm ihat I am IicenseA uneer pmvisions ot Chapter 9(commencing with Section 7000� ol OirSion 3 al ��e Busness an� Pm�essions CoEe. an0 my license is in lull lorc¢ and eifeci. CITY LIC.: STATE LIC.: CU1S5: �ate: Signaiure: WOBNEflS' COMPENSATION DECNPATION: 1 �ere6y allirm Ihat I �ave a cehilicate ol consent to sell-insure or a cetlilicale ot Workers' Compensaiion Insurance. or a certibeA copy �hereol (Seciion 3800, La�. C�. POLICY NO.: EXP. ORTE: LOMPANY: I� � Cetli�ie0 topy is �ereUy Wmishetl. ❑ CenilieU copy is tilea wiih lhe city Building Oivision. ete: AODlicam: E%EMPiIONFflOMWOflKERS'fAMVEN5ATI0NOEClAflATION: (Thi55et�ionn¢eGnolDetomDleteOifUepermi�iS�woneAunAfe0�51W)Ork55). I certify Ihai in �he petlormanw oi ihe wark lor whic� I�is permi� is issued I shall no� employ any person in any manner so as to �ecome 5u0jecito the Workers' Compensa�ion �aw5 0l Cablamia. Date: Signaiure: NOTICE: II. a�ler making I�is declaration. you s�oultl �ecome SUGlect Io �he Workers' Compensation pmvisions of �he Labor CoOe. yrou must fanhwii� comply with suc� pmvisians or iNs permit shall 6e tleemeG revokeA. CONS7flUCTION �EN�ING AGENCY: i �ereby aHirm I�at ��ere is a con5lmction IenUing agency lor Ihe Oe�o�mance ol �he work �or which I�is oe�mit is issue0 (Section 3097. Civ. C�. LENUEN: aooxess: EXISTING HEADER FOR SLIDE INSTALL A LANDING FOR SLI OWNEB BUILOEH DELNNATION: I �ere�y aHirm Ihat I am eKempl Irom ihe ConVactors' Siale License Law lor Ihe foilovnng rea5on (Section 7031.5 Business ana Pmfessionat Cotle: Any cily ol counry whic� repuiru a permi� lo conilmc�. al�er, impwve, tlemoli5h, or repalr any simtlure, prio� Io ils issuance. also repuires It1e aDDlicanl �or such permit �o file a signeC stalemenl Ihai �eh�e is IiC¢nsed pursuant Io ��e pmvisions oi Ihe Camracmrs' Sla�e License Law (C�apler 9(cammencing wi�A Sec�ion 7000) of Division 3 of Ihe Busineu anG Pmlessions Gatle) or I�at �e/she is exempt there�mm ana Ne basis br t�e allege0 exemplian. Any violaiion ol Seclion 7031.5 by any aODlicani for a permil subje[Is ��e applicant Io a civil penalry ol no� more �tun five hunOretl tlollaR �SSfq�. �I, as owner ai IAe pmpehY or my emyloyees wii� waaes as IA¢ir sole compensation, will do the wark, anA Ihe svucWre a not inten0etl or olferetl lor ule (Section 704d. Buvness antl Pmiessional Cotle: The tontracmrs' Siate License Law tlaes not apoq m an owner of a D�oOerty who builes or improves ihereon, ana who does sucn work Mmseli/Aersell or tAmug� �is or Aer own employees. pmvidea I�a� such �mpmvements are no� intentleE or ollered lor sale. If, twwever Ihe builAing ar impmvemeni is soltl vnl�in one year o� campleiion, t�e mvner vnll twve ��e EurGen o� pmNng �e/she Oi0 no� Ouiltl or impmve lor ine purpose of salel. I. as owner ol �he pmpeny, am exclusively comraciing with IicenseA conVaclors �o conslmct t�e pmiecl (Sec�ion 7044, Business � and Protession5 CoG¢: The Conira[tors' S�aie Lkense Law tices n0i apply Io an owner ai Omperry who huila5 Of impmvu �hereon antl who contracls lor such pmlecls wi�h a conlracloqs)license Oursuan�io I�e Contract 5' State License Law),I am aware Ihat pmo� ol t�eir WorkeYs Compensa�mn insurance shoul0 �e pmvitletl �o me. � 1 am exem0� under Section: B. 8 P. $. / for this reaso � /1 � � U � Oate: — Owner. I tlo �ere�y cetlity Ihat I am ware ol antl untlerstantl the requiremenis o� Cali�omia Healtl antl Sa�ely Code Seeiions 2 , 25593, antl 2553� ana �hat I or any luture �uiltling occupant willAtiil not (circle one) nee0 to compty with 5ai0 slale co0es an0 �ne reQuiremenis lar a permit lor con5�mciion or maddication Imm Ihe Aii Oualiry Managemen� DiSlrici, flesitlential con5lmciion aDDlications are exemp� �mm inese pmhsions. Oate: PpplitanC _ i nereeY �erury ma� i n��e read in�s aoo��w��o� sia�e Ihat orainanres anUYlate lavrs relatiny �a �utlamg t0 tmaion antl � o�ooeny ror �nsoeci�6n,pgpo5�y-� � ( �a�e: � l F � . �river's License o� $ocial SignaWre: is corteci. I agree to comD�Y v^th all nlalive5 0l Ihis ciry to enter upon Ihe 2 �6aLa6 Wnne—Bwltling: Gieen—Cotle Eniorcemem: Canary—Applicanl; Pmk—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: H 05399 PERMIT NO; B 053990 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : REPLACE 7 WINDOWS IN SAME OPENINGS S(� FT; 1,000 CLAIM VALUE: 1,000,00 CALC-VALUE; 1,000,00 GROUP OCC: R-3 / COMMENTS; INSTALL SLIDER IN WINDOW OPENING �****�****� ***��t�tx*+�x-�e***��*�r*�r*�t�*�+t*�r**�******�x**�t*+�***�**x****�t�e+r*�t�**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 K S ------------ MAIN F3UILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARRING REp • PROV: PARCEL: 14123123 ZNE; REF NO: PLANNING N(57'ES> i iF iE if aF if 3F if if it 1E iE iE if 1E if iE 1f iF ff !E if if Ik iE �E iE iF if iF iE iF if ff 1f 1F �E if iFiE if iE 1f iE iE if jE if if if iE if 1E iF iF iF ik iF if iF iE if 1E IE iE iE if if if if if iE aF iF iE if iE jE IF �E 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 20NING APPROVED BY DATE; BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE: � ifiEiEitiElEifiElElFiElfiklEiEif)EiEiEifiEiF itiEikikiEiFififiFlE iElE �f iE Ik ik �k X� if iE 1E iE iE iF lE iF 1E if iE iE 1E iE 3E iE iE If it IE iE �F it iE iF 1k�1E �f if iE �t iE if if ik �f 1f iE iblF i6 if )f IE fE it IF ik 1f if If if if if kiE �E iE if iF 1F iE iE if ik �lf iE iF if �lf �f iE iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES �RADING PERMIT 25.00 • 50 :. PL� SMIP /1VON-RES ISSUE FEE " � . BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID,;''� , DUE TOTALS----> 25,50 0.00 0.00 25.50 '25.50 ._: .00 REVENUE DZVISION TOTALS--> COLLECTED: 25.50 OVER/SHORT; �"� �� .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING.P.LAN-CHECK 25.00 .50 - � if 1F 1E iE iE IE aE iE iF 3E iE ik iF iF iF 1f iE 1E 1FiF 1E if if if 1E iE M� IF iE if 1f if If if iE if IE iE fE iE iE 3f aE 1ElE !E IE 1F 1E M ik if 1F iF iEif 1f if if if ik 1f if aE iF iF iE iF iE iF IE IE IE iE If 3F 1E 1E iE T 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 SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE END OF FEES yr, � UNIT COST 1.00 �= TO�AL COST 1,000.00 EXPIRED /� Incomplete Inspections \ �� l�iC ` � $Ig — - - � �e �JCG��+:]'I'C��:E1'� �'.i-L• OAiF' 0"/'C = 'I ,_ „��., a� ��. CONSTRUCTION ANDPLANNING POOL A Ai'PROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3�'Electrical Conduit.,Uiility-Undrgrnd. 54. Forms ' - ' �45 Electrical Condui{�Undrgrnd. 55, Electrical Bonding � r 5: �St�el Reintorcement :56. Rough Plumbing & Pressure Test� ` � 6. �lectrical UFER Grnd. •b7: APPROVAL TO COVER-GUNITE - � •�7. Footings ' � 58. Eiectrical Conduit•Undrgrnd. � 8: Foundation 59. Gai Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. Structural Floor System �6'�-, APPROVAL TO DECK 7 7. Property Sewer Line� & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final � � , 13. Roof Drains r 64. Plumbing SYstem - Final 14. Rough Plumbing � 65. Electrical�Final 15. Rough Electrical�Conduit 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �z - 20.•�Rovgh Factocy FPreplace r �� S . �r _ � � � �.t#PPROVAL&�+�"Permit # " '- 1 ='Y . 1 1� ! t Q � l 1 21.�DuCts,inStrycture` . , ' - � � �70. Underground;Hydro � - 22. Ducts, Ventilating � .' _ � � 77. Product-Piping Q�as ❑�Qil 23. Gas Pip�Rough & Test ',. � .r , , � ` t 72. Undergroupd Flush= . ' � 24. �Roof Framing : . � • J � > _ � • • �73.�Undergrnd.StorageTank �Gas ❑Oil „_ 25. Roqf Sheathing ��' . �` ' � � �74.."Overhead Hydro- - 26.�T-Bar Ceiling (SVuctural) � Monocoat � • -� �� • �r 75.- Dry Chemical � _ � f 27.= Frame apd Flashirt�j� -; 1. � � , " � 76. Dry Standpipe - , � ' � ' 28`Lathing-& Siding ; �� i � > � � 77.-FIXED SY&TEM=FJNAL • 29. Insulation ' �^ � '- � " � �,� � ' ` 7g�FIRE PREV. FINQ,L � �30.Drywall�Nailing . � � • HEALTH:bEPL.REQUIR�MENT �31. Plaster B�own CoA't' ,. , � '�` �79.'FINAL IN�P.ECTIQN � 32.:Electrical PoWer �rteir,q Final ' F : _ � ,80. �FOOD CERTIFIe9TE ISSUED �--�`� 33.��FinalElectric � � ' ' , _ 'Not�s: - - . ' � '�34.-Final Heating & ar ConditioniFg. ��' �� f' � � ��' _ � . � _ 35.'Final Ga� Pipo-Test '' - ' " ' : ' � • r �u .136. Hoo.d ot..CanoPY� � � f �- . � : . ��,c . - c � 37. -Fina"1 Factory Fireptace , • ' ` ' . � , ' !�� , . � �. ♦ • � . , . . � � .5 �38. Final Plumbing . � , . - • :39. Water Service�Pinal• - t - - n ' � �� - .7 =, ' � , - �,40. Gas Service-Rinal , ., :.: � - . • �� .. � .� i47. Solar pomestio-Final > ' •� - ' - • . � � , n � 42.�Backflow Preventer; .�; � � , , , - � , � ' 43. Backflow Irrigation• ��'� ` � � - . a 4' ,44. Landscape Irrigation Systemr, i �,� l, � r�� ,- . _ - ' . �45.:Sound Attenuation ! •°� - 5 �' * � ' �� 4 �� t' •=46. HandicapRegulatioPs .' '; � � �� . � 1. , � - � � 47. FINA�STRWCTURE&BUILDING I � • '� c' ' �. � �� I IntoRl I i@ InS ior15 48:�FINP,LPLANNINGr ' in� �. . :49. -Electric Release to Edison - � � ?' - 50., Gas-Release to $outhern Califomia Gas Co _ .�� -� i IY �, � - .�._ '�51. CEijTIFICATEOF.00CUPANCY . ,a�' ; .- , - No. Date PROJECTRUGHESS: (37$ POST RD owr+eRsr+ame: SHANAHAN, ELIZABETH E . nooness: 975 AOST RD COSTA MESA,CA 92626 538-9386 � AXLH/ENGINEEfl: HEC.NO.: RODflESS: uxiT: UNIT: PENMITTEE: ELIZABETH SHANAHAN ( 71 4) 538-4386 ADDPE55: �J'] S POST RD C.M. CA 92626 LICENSED CONTBRCTOfl OEClABA710N: I �ereby a��irm that I am licensed waer provisions ol ChaO�er B([ommencinp wi�� Section 7000� ol Oiv�sion 3 al I�e Business anrl Professlons Cotle. antl my license is in lull lorce anA ellec�. LITY LIC.: STATE LIC.: CLASS: �aie: Signalure: WOflNEBS' COMPENSATION OECLqppT1�N: I here0y allirm �hat I have a cenificate of cansent to sell-insure or a cenilicate of Workers' Compensalion Insurance, or a Ceni�ietl copy ther¢oi (Seclion 3800, Lab. C�. POLICY NO.: E%P. UATE: COMPANY: Cer�ilietl copy is �ereby tumishetl, ❑ Cetlilie0 copy i5 �ilea wi�� t�e ciiy Builtling �ivision. ua�e: ApplicanC E%EMPTIONFPOMWOflNEflS'COMPFNSATIONOECUflPTION: �ihisSeclionneeAnolOecompletMil�hepermilbla0nehunOre0�900�Orku�. I t¢riify Ihai la I�e perlormance al �he work �or whlch �his permit is lssuBtl, I shall no� employ any person in any manner so as to become Su0jPt110 1�¢ WO�k¢R' Camp¢nsa�ion Laws ol Califomia. Daie: Signa�ure: NOTICE: II. aller making t�is tleclara�ion, you 5�ou10 be[ome 5ubjeci to ��e Workers' Compensation pwvisions oi ihe Labor Catle. yau mus� Ion�vniA comply vnt� such pmvisions or tNs permit shail be UeemeE revakeA. CONSTRUCTION LENOING pGENCy: 1 hereby aifiim t�at ihere is a consimction IenUing a0ency for tAe pedormance af �he work tor w�ic� this Uermiiis i55ueA (5¢cti0b 3097. Civ. C�. lENOEN: FDOXESS: OWNEfl BUILOEB OECUflATION: I hereby aifirm Ihal I am exemD� <<om �he Contraclors' Siale License Law �or �he �ollowing ryason (Sttlion 7031.5 8usineu and Pmi@ssional Code: Any ciiy ol county whic� requires a permit �o wnsimcl, ali¢�. im0�a�e. 4em01is�, or r¢pair any 9mtiure. prior lo iis i53uance, also repuires lhe applicani �or Suth permi� �o lile a SigneU S�a�emenl I�a� he/S�e is IiCCnsetl pursuam to ine Omvlsions ol Ne Caniracmrs' Slaie License law (Chapter 9 �cammencing x�ih Seclion 7000� o� Oivision 3 0l I�e Business ana Pmlessions CoOe) or Ihal �e/she i5 exemp� I�eretmm and Ihe basis br ihe alleged eMemD�ion. Nny violaiion o� Section 7031.5 by any ap0licant lor a Dermit 5u01ec�5 ihe apPlican� lo a Civil penalty ol noi more Ihan live Auntlretl tlollar5 (8500). I, as owner ol the pmpe�y or my employees wi�h waAes as �heir sole compensation, will do �he work, antl Ihe � slmcmre is noi Inlen�ea or ollereA lor sale (Semion 70ad. Business and Pmlessional Cotle: T�e Coniractors' State License Law tloes nat apply lo dn owner ol a pmpetly who �uilds or impmve5 ihereon, antl who Ooes such work him5elf/hefself or Ihrough �is ar her awn employees. provi�ed iha� such impmvemenls are no� inlen0ea or oflered for sale. I�, however �he buil0ing or imprOvemen� i5 SoIA wilhin one year of Comple�ioq Ue owner will hav¢ Ihe burtlen o� DmvinA he/She ditl nol huild of improue ' ror ine ouroose ol salel. I. as owner of I�e pmpetly, am exclusively canVac[ing wilh licensetl coNraciors Io constmct the Dmlecl (Section 7044, Business ❑ and Prole55ion5 Cotle: T�@ �qntfatlors' Slate �iten5e Law tl0e5 no� apply l0 an owner ol prap¢rty wla Euilds ar improve5 ihereon antl who coniraclsfor such Dmjecis with a conVacta�s�license pursuanl �o IAe ConVaciors' $Iale License Law�. I am aware Ilul Dwol ol �heir Worker's Compensation insurance s�out0 be pwviaeO Io m¢. � I am exempl untler Sec ion; B. 8 P. C. 10� ��i5 rea50n' - Oate: � ' Qwner' / I tlo he�eEy cehify tlul I am aware pl ana unEerslan0 Ihe repuiremen�s oi Caliiomid alih anJ Safeiy Cotle S¢Ctions 255f15. 25533, antl 25534 and ihatloranyluture Guil�inA a��upanivnlllwillnot (circle one) neeeto camply with saia stale coaes antl�heieQuiremenisfora permit fo� consim[tian or moCiliW�ion imm I�e Ai� Ouah�y Managemenl0isiritl. pe5itleniial wnstmc�ion apDlications are eKempl fmm �hese pmvismns. oa�e: Apo��a��. I M1ereOy cerlifyllul Ihavereaa IhiS appli[aiion and sta�e�ha� Ihe ab e inlorm i0 is orreci.lagreeto ca ly vnlh allciry an couniy � ortlinances and stalel wys �mlanJ9�'yg@� butlding cons�mciion an0 �eby au orizere r e alives ofihis ciiy�o ruponlhe a0o e- nlione0 pioPer�Y lor i ¢ct�-1—t—I—/ Canary—AOPlicam; Pink—Revenue; Goltlanrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 053989 PERMIT NO: H 053989 PLAN CHECK NO: 03663-91 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH JOB DESCRIPTION : 56.SLF-6FT HIGH CITY STANDARD BLOCK WALL SQ FT: 57 CLAIM VALUE; 1,200.00 CALC—VALUE: 1,140.00 GROUP OCC: R-3 / COMMENTS• X *��e+e�e*�r*�*�r+��***+t+�***�r*�r�*�r*+�*��e �r*�r*�r***�e�e�+r**r+�x�*+r*+��e��e*�r�e+�*******i***�+��*�** Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARRING REQ• PROV: PARCEL: 14123123 ZNE: Ri REF NO: PLANNING Nf5'I'ES> REQUEST TO CONSTRUCT A HLOCK WALL AT REAR OF EXISTING > RE5. TOTAL LINEAL FOOTAGE TO BE 56.5'. ��*�*�e�r*�r�r+�**+��c�*�*�*�r�trt�r**�t*+t*********r. �e+r***+t*�**�t�t**�t*�**��*x***�**�x��t*�t�*+�** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � CG- DATE: �� BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: � � - DATE• � 3f if 3f iE k iE iE if IE 1f IE iF if if if if If iF iE if iF fE3fiFTf7F3FiFTFiF3F�iF'iF 3F7F7'r�F3f7F3FiF iFiF if if iE if iF �E if k IE iF if iE IE±F it ik 1E iF if if iE ik If �E if It 1E iE iE �E ik 3f if iF ik if iE iF iE iE iE if IE iE If jf k!E iE iE if if 1E if ik iF if k if if if if iP �f iE k iFjf �E �E )f iF jF iB iE iF 3E 1F if iP k iF k 1E iE if 1E iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 29,00 ,50 SMIP/NUN—RES PLAN 18.85 .. ISSUE FEE '"",,; BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID.-- DUE TOTALS----> 29.50 0.00 18.85 46.35 48',3S`�' .00 i.. REVENUE DIVISION TOTALS--> COLLECTED: 98.35 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRFIDING PLAN—CHECK 29.00 ,SO 18.85 iE 1F iE if ik if iF iF If if if k k If If iE iF iF iF if iE iE iF 1E iE If 1E ik iE 1E if !F 1E k iF iE 1E k iE iF iE ik iE iE if iE if 1E iElE i! iE af iE if iE �E iE if iElE 3E iF Ib �E.iE iE 3F if iF k�E if iE If 1E If iE 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 SFR 57 RES—CONCRETE HLOCK WALL / FT. 20.00 1,140,00 END OF FEES � � � EXPIRED Incomplete Inspections ` „�/ \\ /' -. . ' �Yate ._� Sig � ,�+ c:as�, ?.-,_u.,,,;r::� — —. O4'e� t74�"tGrHt �T�.'. .. „ L1 uGG9%�, .rG:;�;'1 � ^_; i}pTf: C9/7�l9� T;iit= 1;:;Z CONS?:;UCTION AND PLANNING p�p� •pA i�PPROVALS Permit�h Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' , 3r Electrical Conduit Utility�Undrgrnd. 54. Forms -� > � 4: Electrical Condui(Undrgrnd. 55. Electrical Bonding � � 9: �Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6.iEle.ctrical UPER Grnd. 57. APPROVALTOCOVER-GUNITE ;; � 7. Footings .. 58. Electrical Conduit-Undrgrnd. � S. Foundation � 59. Ga5 Pipe, O Undrgrnd., Test 9. Water Pipe�Undr.grnd. 60. .Backwash Lines, P-Trap, O Undrgrnd. id. Structural Floor System 61. APPROVAL TO DECK 11'. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing " 65. Electrical-Final 15. Rough Electrica_I-Conduit 66. Solar System•Final � 76. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electricat-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUlREMENT 20..Rough Factory Fireplace , y . . � • - APPROVALS., � �Permit # � _ 21.'DuCts, in.Str�ctuiE ` , ., � "70. Undergr,ound� Hydro '` 22. DuMs, Ventileting �; - � � ' 71. Product•Piping ��Gas ❑ Oil "" � 23.�Gas Pipe+Rough & Test , � � -. r � 72, Underground Flush - _ . 24.�RoafFraming ' • - - • �1� - , ,73.�Undergrnd.StorageTank.�Gas ❑pil a ' 25. Roof She'athing � - ' ' - 74, Overhead Hydro '' . � � r 26.:7�BBr Ceiling (Structural) &'Monocoat • ' �• 75. Dry Chemical ` � _ �x, 27. �Frame and Flashing '� - % • �� ^ ` 76. Dry Standpipe - '. � � ' , f� 28." Lathing & Siding � . � x �; , _ . . 77, FIXED SYSTEM. f�INAL -. '29. Insulation � ' - ' � �` � �� L 78.,-FIRE PREV. FINAL . .i. "30. Drywalb,{Vailtng . -� � r ` � • � HEALTH;DEPT. REQUIR�EMENT .31. Plaster Browo Coat . ' � �' 4 79: �FINAL INSPECTIpN ' _ - „ �32.-Electrical Power MeterFinal� ` � ' • " �,BO.,FOOD CE'RTIFICA�TE ISSU�D 33._'Fin�l Electric r ' ' i ' Notes: - y'� • ' .34;�PinalHeating&F,ir:Conditioning - ' � � . ' � _� ,-j �� 35. final Gas Pipe-Test� ' � - ' - _ • • • 5 _' �� - �36. Hoqd or'Canopy , - , - - : ` � ,, � . 37.�Final Factory Fireplace �'� . , , , e. . � '38._.Findl Plumbinq .. . � � � . �� , .�39.�cWater Service-Final � - • �� 40. Gas Service-Final . , - ` , '� - _ - • ' " � �41. �Solar pomesticFinal+ ' �• ' • • r 42. Backflovp. Preventer_ �� f' � . . �, � , 43. Backflow Irrigatiorn � � - . • - _ " ;44. Landscape I�,rigatiQn SYstem �� ,. '� � '' "'�� , . '�� ' " � %il L ti . � Y '� 45..Sound Atte�uation � :� ;46. Handiwp. Regulations '- ._ � ' � � � �47..FINAL STRUCTURE & BUfLDiNG � , � � : �g 48�P{N'ALPLANNING � `" i. . � ` �49.; Electric Release to�.Edison � ' � � ��i � -50.. Gas Release to South¢m Califomia Gas Cu ' � ' � �' - - ' �� " . , i � - _ . . . . 51. CERTIFICATE OF.00CUPANCY , ' _ • - . � No. Date OWNER WII.COME HOIdES //J JOB ADDHES9-��POSt R08CI DATE 5�18-56 BUILDING PERMIT NO. 3OZ% GENERALCONTRACTOR welcome Homea VALUE $ 9,160.�0 �oT 19 s�oCK Tanc�896 Single Res. w/att gar. GROUP I B[ J TVP@ V ZONE +W FIRE DISTRIC7 30�j� INSPECTIONS Fou Grade to DATE I SUBCONTRACTOR PWmnmg, rcougrt compie�e";y� ,��. _ y �b �/Lrjp�y< Temporary Pole .�3c 5[ �� Wiring, Rough �/J� ��a� s� � Heating, Rough Heating, Final �s � i6��J %� ewer, House Sewer, St. ' /y/� � Septic Tank or Cesspool �� athing, In Out „/ ��• 6 Plastering � < ��t �� vlumbin9. Final, Fixtures Compyle—te- c/�_N��S . (}6�.3" Plumbing, Final GasTest � �� 'itG� a.� �5� Wiring,Final FEB �8 8 1`. Occupancy a,��!-g iORM 210 3M 10�'33 PERMITS ISSUED I NUMBER � rosta Mesa Building Department AYPLICATION FOR PERMIT .'_ _. P.O.Box3�� 3�� BUILDING � COSTA MESA, CALIFORNIA FOR OI'FICE USE ONLY ' FOR APPLICANT TO FILL IN Receipt No. Permit No. e�uai�9 � .� O � nddress Pos � Road Recei ed'by Date Rec'd. Date Isaued Costa Mesa, California s— ��s�� ' /�'"S Nearest Cross&t. Croftdon Building Address Owner i'�blcome Ro�es, Inc. Mall Costa Mesa, California nddress �8 �destrninster 9ve., Nearesc Tel: Cross St. Gty 4Yestc�o.nstor Na ��JBID. rj%11 Zone n; / I No.of I Type �/ Group� Archttector ��, JC y' Plans V Engtneer No. Approved b Date Addresa CORRECI'IONS ContractorWeloone Ho�es, Inc.N�oY ��g nddress �8 ti7estminster Ave. , Legal Lot � Descriptlon I No. 1'i� I Block � rract28�6 (Attach Metes and Bounds) sizeot�ot 56:c1o5 I NowonBLot�!'�o� ExestingBldg. NOIIB I No.of I No.of � . r. ' Familles Rooms � SetbaCk line from Rear Vard F. t' �--- ' i� Genter ot Strxt 55 Ft. Side vard F�'h. f I —� . New I X � A�teration I � Addition I Repair I I Moving I I Demolish I '�' "' �. Buiiding No.oi c ��- d E/n Fi.; 1_ � Size 25�-1� Rooms l Stories 1 " Exterior Wall I Roof Covering $tUC CO Covering YQoO�. ApPROVALS Use of New euiiding Single faniiy residence o.nd FoundationLocation inspecco Forms, Materials, tWo oar �.rage attached. Under-Pinning � Frame: Fire Stops, . Braefng, Bolts I hemby acknowledge that I have read thls Applicatlon and state that the abwe is coirect and agree to rnmply Lath. Int. with all City Ordinances and State Laws regulating bullding construction. Lath. Ext Signatureof �// Permlttee " Plaster, Int Authorized Agt. ` plaster, Ext. ValuatloN'�s+t^�*4 Permit Fee $�� Masonry ReinTorced Plan Check $ � a � Bond Beam g �/l0 G — rotal J Fea J �v FINAL PLOT PLAN Show locatlon and distancea from property Iine antl between bufldings casr : . .�,,,_G<P(1..�.- �3Zy :, ,�."� -� . o , .... . o.- . �.... '- . .. ' .... ... j � . ,. � -t:=_-� n^,. r.:, orf,. ,�.�> �u..�...<:�,�: r.1',::'i ol,i,�• ,']3rfp.:j4 ; 0;�4T^' .::D OJ':f i � ��'.,. i � � �;• i : . �.�..� � '