HomeMy WebLinkAbout979 POST RD - Building PermitsJob Address:
Suite:
Viciniry:
Primary Occ:
Parcel Number:
979 POST RD
R3
14123122
Applicant: WALKER, JANICE
Address: 979 POST ROqD
7ype af Conshucfion: V-N
Zoning:
COSTA MESA, CA -� ,
owner: WALKER, RANDAL A AND JANICE
Address 979 POST RD: :�' - � �
i" � � , •
/�,: `✓
COSTA-MESA, CA � - . �
i� •
Contractor. OWNER-BUILDER' "
Address:� j' � , -
/
. Zip:
�
Arch : �
Address: , � � '
� ' . � _ Phone:
Zip:
License: ' �
Phone: 714-979-7918
�. Zip; , 92626 ISSUED BY:
Phane: 714-979-7 • 8 ` -
,�
Zip: 92626
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 04/OS/2006
Issued:� 01/23/2007
�
Phone:
License:
, ' SCOPE OF PERMIT
' ADD 487SF AND REMODLE SINGLE-STORY SFD. WORK TO INCLUDE: EXTEND (E) STUDY, RELOCATE 1
CREATE A MUSIC ROOM, EXTEND (E) FAMILY ROOM, 1 NEW FIREPLACE IN FAMILY ROOM, EXTEND (E)
REMODLE
INTERIOR SFD�. : ' . _ . "
� ILLEGAL ADDITION TO BE DEMOLISHED.''. ' ' � % , — - �
. .... _, .. _.,�! ..' '.. . '
� EXIS7ING 3 BEDROOM, 2 BAiHROOM SFD TO REMAIN. _
\
' PLANNING: - , ' �
�LOT SIZE = 7,125 S�. FT. - . � � ' '
RESIDENCE = 2,038 SQ. FT. - _� � � � � = -' � . _ � ,
GARAGE = 388 SQ. �PT. - "
DRNEWAY= 1,149 SQ. FT. /
LOT COVERAGE = 3,575 SQ. FT. (50°/ ) , ..
BEARING WALL IN ORC
ORDER TO ADD A TUB
__ FEE.SUMMARY
Plan Check: $614 09 Calc Valuation: $92,ssszo
Permit: �.,$944>75 ', � " Claim Valuation: 30.00
SMIP Res ` - $9.26:;.... ;- "' ' � -
SMIP Com: $0:00 � ��� � ��" `� . � � � �
Other � % $0 00 -, � � i
Inspectiori�� V ��$0 00 � � �: .� � � � `%. / �
� ���� , , i '�? _ . - . . ` -
� � : ,. ,
Total: �, $1,568:10. �; � , � � _ `� , � ,
PLANNING & ZONING
SETBACKS - � � � � � - -
- .. �'„ �., -
MAINSTRUCTURE Front 25-0 �-,��Rear. 32-4 Left 5-0 - -- �' Right 5-0
ry
NOTICE: The work authorized 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) j�
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaas-as (eroo�
WORKEFS'COMPENSArON DECLARAnON:
I hereby aHirtn untler penatry oi perjury one of the following declarations:
❑ I have end will main�aln a certifica�e of consent to seif-Insure for workers' com0ensation, es providetl for by section 3700 of the Lebor Code, for the pertormance of �he
work for whicn this permit is issuetl.
❑ I have end will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Cotle, for Ihe pertortnance oi the work for which Ihis pertnit is issuetl.
My workers' compensation Insurance carner a�d policy number are:
Carrier: Policy Number.
(Thls secfion need not be completed i/ the pertnit is �eluetl at one hundred dollars ($100) or less.)
�] I certity ihat in the pedormance of the work fo� which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers'
compensation laws of Callfomia, antl agree that if I shoultl become sublect to the workere' compensation provisions ot Section 3700 of the Labor Code, I s�all fonhwith
comply with ihese provi5ions.
Applicam Signetur � � P Deta: � �: �—a 7
WARNING: FAILURE O S�P. RE WORKERS' COMPE SATION CqVEPAGE IS UN�AWFUL AND SHNLL SUBIECT AN EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSANDDOLLAR 100.00OI.INADDITIIXJTOTHECQSTOFCOMPENSAi10N,DPM4GE5ASPROVIDEDFORINSECT10N31O60FTHElABORCADE,INTEREST,ANDATTOFNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm that I am licensetl under pmvisions o� Chapter 9(commencing with Saction 7000) of Division 3 0l Ihe Business and Professions Code, and my license is in full
force and e%ecL Lic, a Cless 7f
ContractoYs SignaW�e: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm ihat there is a construction lending agency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: Lender's Atltlress:
Signalure: Date:
OWNER-BUILDER DECLARA710N5:
I here6y aNirm that V�der penairy of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (SecJ031.5, Business and Professions
Coda: Any ciry or counry which requires e pertnit to constmct, elier, improve, demolish, or repair any slructure, prior to its issuance, also requires t�e applicant tor such permit
to tile a signetl statement that �e or she is licensed pursuant to the pwvisions of tha 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 iheretrom and the basis for the alleged exemption. Any violetion of Saction 7037.5 by any applicant for a permit
subjacis the applicaN to a civil penaity of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WOpK, and the simcWre is nol intentled or oflered for sale (Sec.
7044, Business and Professions Cotle: The Contraclors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himseli or herSelf or through his or her own employees, providetl ihat such improvements are not Intendetl or offered for sale. II, however, ihe building or improvement is
sold within one year of completion, ihe owner-builder will have ihe burden of proving that he or she did not build or improve for purposa ol sale.).
� 1, as owner of the property, am EXCLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: Tha con�ractors License Law tloes not apply to en owner oi pmperty who builtls or impmves thereon, and who contracts for such pmject wlth a co�tractor(s)
license pursuant to the Contractors License Laws.j.
❑ arti` mpt uPder sec_
Business end Profassions Code for �his reason:
Owner ld.variTed by drivers �e. ❑ Ves ❑ No
Verification ol Ownership by (type of document i.e. � property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CEflTIfICATION:
Date: �� — Z/ 7 l9�
Driver's License No. ��, ��. Ezpi�es �
❑ I hereby certify that no ezcavation five (5) or mora feet in depih into which a person is required to descen4 will be made in connection with work authonzed by this
permit, and that no building structure, scaHolding, falsewoB, or demolition or dismantling ihereof, will be more than t�irty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, TiUe 9, Ga�itornia Atlministretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which woultl require a permit irom the Division of Industrial Safety, as notetl above, unless such person has a
permit �o tlo s�ch work from the division.
SignaNre: Date:
Division of Intlustrial Safey Permit Numbec
CERTIFICATE OF COMPLIANCE AND AIITHORIZA710N OF ENTFiY: I certify untlei penalry of Derjury ihat I have reatl ihis application and state ihat the informalion given is
correct I agrae to comply with all state laws and city ordinances relating to building constmction, and authonze representatives of �he Ciry of Costa Mesa ro en�er upon ihe
�-a6o�e-described propertY for in-s�pg —Cti'o•n purposes. I gree not to occupy or allow occupancy of any builtling au�horized by ihis permit until final inspection.
� �.c� `i . „ � �. � . \ � � � .Dit��if- l � � 1 �O %
Legal
CODE I. INSPECTIOHTYPE pTE 1NSITIAlS
7616 Fixetl System Final Fire Prevenlion
1266
200
201
Pool Spa Finel
Finel Re-Roa�
Final8lwk/Fetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
CO�Et INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Eledrical
2/2 Final Fire Prevantion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
�yoosds
`
1-23-07
To: Burt Mor�an and Kahn Nguyen
City of Costa Mesa
Prom: Randy and 7anice Walker
979 Post Rd.
Costa Mesa, Ca 92626
Ph. 714-235-4595
Job# OS-18
plcet�#cF—/��i�'1 ��l/� ��r�"'s
We would like to request an extension on the free permits that expired Dec. 15, 2006. We
were not aware of this deadline as our architect did not inform us. We would like to pull
the permits on Tuesday, January 23, 2007 and no later than Thursday, January 25, 2007.
Thank you for your consideration.
Randy Walker
aC�alker
�j� l—a�
7
�
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant
Address:
979 POST RD'
ADDITON
14123122
WALKER, JANICE
, � Phorie: 979-979-7918
�� .
� ;
Owner: WALKER;-RAN�DAL A AND JANICE
Address 979 POST RD �`,�� . '
ContrecWr:
Address:
Status: � ISSUED
Applied: Oi/23/2007
Issued: 01/23/2007
ISSUED BY: {
� .
� �,�' � � � �� �` , , ' � . Phone: 97&979-7918- . - .
' COSTA'MESA, CA�- Zip: 92626 ' -
� � „�. �
�OWNER=6UICDER
i . .
Phone:
ZiP:
. � License:000000
i� ' '
' ` SCOPE OF PERMIT
-� ; ELECTRICAL PERMIT�TO ADD 487SF AND REMODLE SINGLE-STORY SFD. �
' REF:�806-00508 '
��" , A
. WORK TO WCLUDE: 30 LIGHTS 30 OUTLETS 12 SWITCHES AND 1 RES A/C UNIT. �
�--. �: .-.FEESUMMARY.`. '.. _:
� � , Quantiry � quantiry
ISSUE FEE $23.50 �
Temp service test � $0.00 �
Res. a/c packaqe � $54.50 ' - - -" _
New Res (1-2 unils), - �, 50.00 � , 0 - ` - ._
New Res (3+units) � 50.00 0
Pool /,Spa - ' _' S0.00 0
Lighting FixLs . $29.30 � 30
Recept Outlets � " 529.30 30
Swilches � $1320 12
Non Res Appl 50.00 0
Res Appl �,, � �� C �50.00 0 `
Service to 200a �; �� 50.00 0 . �-
Service to 1000a �� $0.00 , � _y -. 0,' � -
Serviceovei•1000a �� ^ $0.00� ��, .- 0', "
Motors to 1hp- ' �� �� ^$0.00; � ` 0
Motors to 10h ���` , l � `�" �� �
p'. -�/, $O:oo . �0_ �_.
Motors to SOhp �� - � � 50.00_ . � `, 0� _ ,>
Motors to 100hp � � �� � ' $0.00 "� � 0 - �
Motors over 100hp , $0.00 ' � - 0.
Communicatlondrops -� �$0.00�,� �� � � 0� `
Sub panel to 200a �" $0.00 "� 0-
Pole Light Pkg $0.00_ � 0 �
Sign Circuits ^�0.00. ` : �.0 �
Temp Pwr Pole $0.00 � ��--�0_ �
Inlermed Pole $0.00 "' 0 �
�
Temp Dist System / Lighting $0.00 0
Busway /100 ft � , , , $0.00 0
Standing,Section, , . ': . $0.00 0 ,
Misc Electrical Equipment $0.00 0 ,
Transforme�s up to 1 kvaAcw 50.00 0��
.............�up to 10 kvaAcw . 50.00 0', '� .
............._:.up to 50 kva/kw $0.00 0
..........:......up to 100 kvaMw $0.00 0 ,
..................over 100 kvaAcw $0.00 ; 0 �
Low Voltage Equipment 50.00 -,- 0
Low Volt Wiring System / Ckt $0.00 �� 0 �
Misc. Conduit ' . $0.00� �� 0 -
Misa Conductor �. ` �;� � � 50.00- 0
Circus ( gen or ride)' -- � - ' $0:00 0 � -
Cirws (mech ride or lights) ��$0.00 � 0 ��
Christrnas Tree Stand % $0.00 � '. 0
Fireworks Stand " � �" $0.00 � 0 � '
Olher Electrical Fee $0.00 . " �
InvestlgationPee � � $0.00 �` ��
Flan Check Fee - $0.00 �' �
Reinspection Fee - $0:00
� �TOTAL CALCULATED�FEES .$149.80
rf1MMFNTR I RDFCIAI C(lIJf11Tl(INC
a,
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)
and related
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or' ,work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244648 (BI00)
WORKEHS'COMPENSAnON DECLARAnON:
I hereby aflirm under penalty of perjury one of ihe following tleclarations:
❑ I heve end will maintein a certificate of consent to seli-Insure br workers' compensation, as providetl tar by section 3700 of the Labor Code, tor tha pedormence ol ihe
work for which lhis permit is issued.
❑ I heve and will meintain workers' compensation insurance, as required by section 3700 of tha Labor Cotle, for ihe pertormance of the work for which Ihis permit is issued.
My workers' compensation Insurance �rrier and policy number ere:
Carrier. Policy Number.
(This secfion need nof be completed i/ tbe Oermif is valuetl a( one hundred dollars ($100) or /ess.)
� t:cartify t�at in t�e performance oi ihe work for which ihis pertnit is issued, I shall not employ eny person in eny menner so es to become subject to the workers'
compensation laws ot Calilornia, and �g�ee that if I should become subject to Ihe workers' compensation provislons ol Seclion 3700 ot the Labor Code, I shell torthwith
comply with these provisions. �_
�
������s;�« �E1.�� f� ��;�-l�/ ��:, (— Z� 3 0-�
WARNING: FAILUPE�TO SEWRE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HONDRED
T}IOUSANO DOLLARE (5100,000), IN ADOITION TO THE COST OF COMPENSATION, DPM4GE5 AS PqOVIDED FOR IN SEGTION 3]O60F iHE LABOR CODE, II�frEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm thet I am licensed undar proVisions of Chaptar 9(commencing with Section 7000) of Division 3 ot the 8usiness and Professions Code, antl my license is in tull
forCe end BHBCL LiC. M CIa55 a
Con�rector'S SignaWre: Date:
CONSTRUC710N LENDING AGENCV: ,
❑ I herehy aHirm that there is a consiruction lentling agency for the pertormance of the work for which �his permit is issued. (Sec. 3097, Civil Code).
Lender's Name: lendeis Address:
SigneWre: Date:
OWNER-BUILDER DECLARATIONS:
I �ere6y eflirtn Ihat undar penalry of perjury that I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, eusiness antl Professions
Code: Any ciry or counry which requires a parmit to consiruct, altar, improve, demolish, or repair any simcture, prior m its iuuance, also requires ihe applicant for such permit
lo lile a signed statement ihat he or she is licensed pursuent Io Ihe provisions of lhe Conirectors Licanse Law (Chepter 9(commencing wi�h Section 7000) of Division 3 ot Ihe
Business antl Professions Code) or that he or she is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit
subjecis the applicent to a civil penalry oi no� more than five hundred tlollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intentletl or oHeretl for sele (Sec.
7044, Business and Professions Code� The Coniractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such work
himsetl or herself or through his or her own employees, provided that such impmvements are not intended or ottered for sale. If, however, the building or impmvement is
, sold within one year of completioq the owner-builder will heve ihe burden oi proving ihat he or she did not build or improve for purpose of sale.).
'�, I?a; o ner of ihe pmpetly, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business antl Professions
-�-'�'CoGe: The comractors Licensa Law tloes not epply to an owner of property who builtls or improves thereon, entl who conhaas for such pmject with a coniractor(s)
license pursuent to �he COn�raCtors LicenSe LawsJ.
❑ SI a�,� e`emp� under sec.
by drivers li�e. ❑ �es ❑ No
Business
by (rype of documont, i.e. - property taz bill or deed):
mis reason:
Date �' Z �
� _-'� ��clres:�"' �%
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenity Ihat no axcavation fiva (5) or more feet in depth in�o which a person is requiretl to descend, will be matle in connection with work au�horizetl by this
permit, end ihat no building sirucNre, scalfolding, falsework, or demolition or tlismantling thereof, will be more ihan ihiny-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tltle 8, California Adminisirative Gode).
❑ As owner-builder, I will not employ anyone to do work which would require a permit fmm the Division of Intlushial Safety, as noted a6ove, unless such person has e
permit to tlo such work trom the divisia�.
Signature: Date:
Division ot Industrial Satety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTFiY: I ceniy under penalty of perjury that I have read this application and state �hat the information given is
correct. I agree to comply with all state laws and city ordinances relating to building consiruction, antl authonze representatives of the City of Cosfa Mesa to enter upon Ihe
'�. ahove-des\cribed propeey for inspection uryoses� agree not/�o Aoccupy or allow occupancy of any building authorized 6y t�is permit until fin/al 7inspection.
�'_7"�i��n _ . Cli �l � — 7i-�J�� /
. J S� ur tLe9al Own�er`s) Date "'�
I�T And/07 Authorised AOPlicant Date
COOE t. INSPECTIONTYPE
1616 Fi:etl System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Qe¢, TIAL � INSPEC90NflPE
206 Final Mec�anical
20B
210
2/2
220
Final �Plumbing
Final Eiectrical
Final Fire Prevention
Final Planning Approval
222 Final Site .
250 . Final Building/Occupancy
QAjE IMRIALS
'2'� �L
! • , �_ o f
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GOSTA MESA, GA 92626
MECHANICAL PERMIT
Job nddress: 979 POST RD
Suite No
Vicinity: ADDITION
Parcel Number: 14123722
Applicant JANICE WALKER
Address: ' ; � �� " � - �
. �. . Phone: 979-979-7918
� ' ,�- ", ' ,- , Zip:
Ownec WALKER, RANDAL A AND JANICE
Address:� ", 979 POST RD ' � � �
� � � ' �� Phone: 979-979-7918
; � � ' COSTA MESA, CA' " � ' Zip: 92626
� /< _
� �� . . .� ,!.
Convactor. OW NER-BIJICDER
Address: '�� ',
Phone:
' Zip:
, � ° License:000000 �
Status: ISSUED
Applied: 01/23/2007
Issued: 01/23/2007
ISSUED BY:
' �
SCOPE OF PERMIT
. MECHANICAL PERMIT�TO ADD 487SF AND REMODLE SINGLE-STORY SFD.
;� REF:.B06,00508 � - �
WORK TQ INCLUDE[ 1 1 INST FAU > 100 K BTU, 1 GAS PIPE, 1 FACTORY FIREPLACE, 1
HOOD W/MECH EXHAUST, 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU AND 1
VENT FAN. . " � � .
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >700 k BThI �
Repair/Alt Cooling/Heat
Inst I Rep. Recess Wall HV
Refrig.Sys <100 k BTU �
Re(rig Sys >100 k BTU
Gas Piping
Factory Fireplace -
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single, Duct
Appliance
Fire Dampers' � �� �
Smoke Dampers �
Insl or Relocate Appl Vent
Air Handlers < 70000c(m �
AirHandlers> 70000cfm
Floor Furnace
Floor or Suspend Heater
\
�.\�:
Duantiry "
523.50
$0.00 0 -
31820 � ' �1- - "
30.00 0
30.00 0
50:00 0
50.00 0
56.15 1
510.65 1
810.65 1
50.00 0
�� : $725-"; � 1 , .
� $0.00 0
,_ $0:00 � �� 0 .
�� 50.00; 0 �
''S0:00 �0� '
S0.00 0
•�50.00� 0 � -
50.00 0
�$0.00 �-0 �.
FEE SUMMARY -
�
Repair / Alt Absorbtion Unit
Repair / Alt RefrigeraGon Unit
Ventlllation System
Evaporafive Cooler
Commercial I nci nerator
DomesGclncinerator ��
Comoressors / Absoro6on Svslems ' �
Upto3hp/100kBTU
3To15hp/SOOkBTU �
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over SO�hp / Over 1,750 BTU
Boilers
Uplo3hp
3To15hp . . .
75 l0 30 hp
30 l0 50 hp
Over 50 hp � �
Other Mechanical Fee ,
Investigation Fee -
Plan Check Fee '
Reinspection Fee �
. - - TOTAL CALCULATED FEES
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$27.15 1
50.00 0
$0.00 0
50.00 . 0
50.00 0
50.00 0
50.00 0
50.00 0
50.00 0
$0.00
$0.00
50.00
$103.55
i'
NOTICE: The work authorized hy this permit shall comply with all applicable handicap access requirements under Calitornia statufes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) ' �
EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 180 days, or if work�is���tled or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlons and tinal approval must be obtained. Failure to oblain Inspections and tinal approval will result in ihe expiration of ihis permil.
FOR INSPECTIONS CALL: (714) 7545626
zaavee �aroo�
-, ►
WORKERS' COMPENSATION DECLARATION:
I herehy affirm under penalry of perjury one ol the tollowing tleclaralions:
❑ I heve end will maintain a certi���e�e af consent ro self-Insure br workers' compensetion, es provitletl far hy seclion 3700 0l Ihe Labor Cotla, for the paAormenca of Ihe
work fOr which Ihis pefmlt IS ISSueC.
❑ I have and will maintain workeis' compensation insurance, es required by section 3700 ot the Lebor Code, for the pedortnance of the work for which Ihis permit is iuuetl.
My workers' compensation Insurence carrier and poiicy number are:
Carrier: Policy Number:
(This section need not be completed �� the permit ls velued e! one hundred dollars ($100) or less.)
'� I Cetlity ihet in the peAormanCe Of lhe work lor which Ihis permil i5 issued, 1 5hell not employ eny per5on in any menner 5o es to become subject to lhe workers'
compensation laws ol Celitom�a, entl egree that If I shoultl become sublect ta Ihe workere' compensation provislons ol SecOon 3700 of the LaDor Cotle, I shall fort�wiih
comply with ihese pravisians. �J I �7 � —7
Applicant Sig a�Hu J .�� 1�P �L��'t Dale: !� L/ Z/ "'� /
WARNING: FAILUR TO RE WORKERS' NSATION COVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FiNES UP TO ONE HUNORED
THOUSANDDOLLA $100,0OO�,INNOOITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIOEDF-0RINSECTION39060FTHElABORfAOE,IMEREST,ANDAiTORNEY'SFEES.
LICENSED CONTRAC70RS DECLAAA710N:
I hereby eHirm that I am Ilcensed under provisions ot Chapter B(commencing with Section 7000) of Dlvision 3 of the Business and Pro/esslons Cotla, and my license is in full
force end eReCL Lia M Cless N
Contrecmrs SignaWre: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm Ihat there is a Gonslmction lending agency br ihe pedormance of ihe work br which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender'S Adtlress:
Signeture: Data:
OWNER•BUILDER DECLARATIONS:
I hereby eNirtn Ihat untler penelry of Peryury thet I am E%EMPT FROM THE CONTBACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business and Pmtessions
Code: Any city or county which reqWres e permit to wnstruct, alter, improve, tlemolish, or repair any simcture, pnor to its issuance, also requires Ihe epplicant for such permit
to lile e signetl statement thet he or she Is IicenseC pursuant to the provisions ot I�e Contractars License Lew (Chapter 9(commencing with Sectlon 7000) ol Division 3 oi the
Business and Profeuions Code) or thet he or s�e is eaempt lherefrom entl tha basis br the ellegetl e:emption. Any violation of Saction 7031.5 by eny apPlicant Por e permit
subjects the applicant ro a civil penelty of not more Ihen live huntlretl tlollers (5500).):
❑ I, as owner of ihe property, or my employees with weges es thelr sole compensetion, WILL DO TME WORK, and lhe stmcture Is not intendetl or ofleratl for sale (Sec.
7044, Business end Professions Code: The Contracbrs License Lew does no� apply lo an owner of property who builtls or improves �hereon, antl who does such work
himself or herseN or through his or her own employees, provided Ihat such improvemems ere not intended or oHered for sele. If, however, the building or improvement is
sold within one year ot comple�ioq the owner-builtler will heve ihe burden of proving ihat ho or she did nol build or improve for purpose of sele.).
� I, es owner of Ihe propetly, err� EXCLUSIVELY LONTRACTING WITH UCENSED CONTRACTORS to cons�mct Ihe project (Sec. 7044, Business end Professions
Code: The coniraciors License Law does not apply to en owner ot property who builtls or Improves Ihereon, and who contrects br such project with a coniractor(s)
license pursuant to ihe Contractore License Lews.).
❑ I em exempt under sec. �^ Business end Professions Codo lor ihis reason:
Owner 15 ve' � by driver5l c�n4�. ❑ Ye5 ❑ No
Veriticatio� ol Qvnarship by (type ot d�ument, i.e. - property tex hill ar tleatl):
DIVISION OF INDUSTRIAL SAFET' PERMIT CERTIFICATION:
� Expires: Q
❑ I hereDy certify that no e:cave0on five (5) or more feet in depih into which e person is raquiretl to descend, will be matle in connection with work authonzetl by this
permit, and ihat no building stNcture, sceflolding, talsework, or tlemolition or dismantling ihereof, will be more �han Ihiny-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TUe 8, California Adminls�r8iive Code).
❑ As owneo-builder, I will not emp�oy enyone to do work which woultl require a permii trom ihe Division ol Intlusldel Safety, es noted above, unless such person has e
permii Io do such work trom �he division.
SignaWre: Da�B:
Division of InduS�rial Safety Permi� Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATION OF ENfAY: I cenity under penalry oi perjury that I have reaG t�is ap0lication and stata that �ha information given is
correct I agree to comply wilh all stete laws end ciry ordinances rela�ing to building consimction, and emhonze represematives ol the Ciry of Costa Mesa to enter upon ihe
� above-descnbed property lor in �+on puryos/� I egree not to occupy or etlow occupency of eny builAing authonzed by lhis permit until tinal inspection.
�,� ����. pf� / - Z. 3 ��
/ i wre LegalOwner(s) � Date
CODE t INSPECTONTYiE
1616 Fixed System Final Fire Pr9�ention
1266 Pool Spa Final
200 Final RB-Roof
201 Final elock/Retaining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
PA� Il�18L5
CODE� IN59ECilONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
2/2 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupanry
> 11LJ�_
�—L'O
0
APP�.�JJV�n
CITY OF COSTA MIiSA
PLANNING DIVISION
SUB7ECT TO BLDG. DL-PT. RLG.
N(�'t'E: ADDITIONS, DELET{ONS,
OR CORRECTIONS SE(AI.I_ R'3
APPROVED BY THE YLANNING DIV.
sY:���,�c61�
�} RD
N
�
Job Address: 979 POST RD
Suite No
Vicinity:
Parcel Nunmber: 14123122
Applicanc WALKER, JANICE
Address: 979 POST RD
� � .-.'� ' Phone:
COSTA MESA, CA"�� ��_ � � _ � Zip:
i �, �
Owner: WALKER,�'RANDALAAND�JANICE
�
,
Address /979,POSTRD , �. �-'_ __. -
' ,' % ; . � �) . � '� Phone:
� /, � �COSTA MESA, CA ; ; % /J� Zip:
. . �. � �i`� ,
, ���!i,.
Convactor. OW NER=801LDER
�Addresa:� ' �
>
Phone:
� Zip:
' � License:
979-979-7918
92626
979-979-79'18
92626
000000
Sfatus: ISSUED
Applied: 01/23/2007
Issued: 01/23/2007
- SCOPE OF PERMIT
�; PL'UMBING�PERMITTOADD487SFANDREMODLESINGLE-STORYSFD.
. ' REF: 806-00508' - ' �
WORKTO INCLUDE: 1 BATHTUB, 1 DISHWASHER,-1 GAS (1-4 OUTLETS), 1 LAUNDRYTUBM/ASHER,
2 SHOWERS, 1 KITCHEN SINK, 3 WASH BASINS,2 WATER CLOSETS AND 1 WATER HEATER. �
FEE SUMMARY
AMT �TY. , , - AMT QTY
ISSUE FEE 823.50 _ LaundryTub / Washer -$9.80 - 1- .
BackFlowirngation $0.00 0 .. �- Landscape.irrigalion - $0.00 0-
BackFlow Preventer � $0.00 0 P-Trap 50.00 � 0
Bathtub �" ��� � $9.80 1 Pressure Regulator : 50.00 0
Clarifier System , 50.00 0-� Process Piping (per 10 ft) . SO.W ;, 0
Connecl (Ice,Soda,etc) � S0.00 0 Receptors �� $0.00 0
Dental Units � 30.00 0 Septic Tank _. _ $0.00 0
Dishwasher ,$9.80 1 Sewer Cap for Demo � $0.00 0
Drein, Floor �$0.00 0 Sewer Connecf -$0.00 0
Draiq Rainwater ;$0.00,` � 0 Sewer Private Line � �$0.00 � 0
Drain,Roof'� � - � $0.00��.� 0 . - .��Shower , $19.60 �2� - ,
DrinkingFountain. 50:00���'�0,.��� ''Sink,bar�� ' $0.00 0`
Expansion Tank .� � !$0.00 � 0 �� `� Sink, commercial , - $0.00 0
Gas Earthquake Valve *�$0.00'� 0��; �; � Sink, Floor ' ' � � $0.00 ' 0
Gas (1-4 outlets) � `� $6.15 ; ". -,1; . -: Sink;.kitchen "' � � $9.80 1 �
Gas (Over4 outleLs) ���,$0.00' % 0�- � Sink, service/mop $0.00 0
Gas Repipe ' $0.00 ; 0 -. Spa (private) - $0.00 0
GasService �'� $0.00� 0�� �= � ��_; Spa(public) ' - �$0.00 0 �
Interceptors (Grease, Oip $0.00: ; �0 , , . , . -
Interceptors (Sand Auto ) 50.00�. 0� � � ' �, � " .
SumpPump
Swimming Pool -
Trap Primer - '
, Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+) �
Wash Basin �.
Wash Basin Set
Waste and Vent System
Waler Closet (Toilel)
Water Heater / vent
Water Piping Qnst or Rep.)
, Water Re-pipe
, Water Service , , -
WaterSoftener - . -
OTHER
VIOLATION� ,
' PLAN CHECK'�
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$29.40
50.00
$0.00
$19.60
$12.30
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
� � - � � � . , � TOTAL CALCULATED FEES: $14975
COMMENTS I SPECIAL,CONDITIONS
�N
0
0
0
0
0
0
3
0
0
2
1
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) /
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO daysj_.sMi work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for �he work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all
requlred Inspectlons and finel epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2448�d6 (6/00)
WORKERS' COMPENSATION DECLARA710N:
I hereby aHirm under penalty of perjury one ot ihe following declarations:
❑ I have and will maintain a certificate of consent to seif-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for lhe pertormance of �he
wark tor which this permit is issued.
❑ I have and will maintain workere' compensation insurance, as required by section 3700 of the Labor Cotle, for tha performance of the work for which this permit is issued.
My workers' compensation Insurance carner antl policy number are:
Carrier: Palicy Number:
(This section need not be completetl i! the permit is valued af one hundred dollars ($100) or /essJ
�1 certity ihat in the pertormance of the work lor which this permit is issued, I shall not employ any person in any manner so as to become subjact to [he workers'
compensation laws of Calitornia, antl agree ihat if I should become sublect to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shail forihwith
comply with ��=these p���rovis�ions. � /J�y� ,p�
Applican� Signa��/(itil�- �/C�GX.yLe ( Date: � .—. "� � � �
�� L/
WARNING FAILURE SE E WOPKEFS' L'fSNIFENSATION CAVERAGE IS UNtAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND QVIL FINES UP TO ONE HUNDRE�
THOUSAND DOLLA�000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOF IN SECTION 3]O6 OP THE IABOR CADE, IMEPEST, ANO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisions of Chap�er 9(commencing with Section 7000) ot Division 3 ot the Business and Professions Code, antl my license is in tull
force antl eHect. Lia k Class #
Coniractor's Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is a cons(mction lending agency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
SignaWre: Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirm that under penalty of perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires a permit to constmct, alter, improve, tlemolish, or repair any simcture, prior to its issuance, also requires ihe applicant for such permit
to file a signed statement ihat he or she is licensetl pureuant to tha provisions ot ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or ihat he or she is exempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the appiicant to a civil penalty of not more ihan five hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the stmcture is not intended or oNered for sale (Sec.
7044. Business and Professions Code: The Contracbrs License Law does no� apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, providad ihat such improvemenis are not intendetl o� oflered for sale. If, however, the building or impmvement is
sold within one year of completion, ihe owner-builder will have the burden of proving that he or sha did no� build or improve tor purpose of sale.).
j� I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmject (Sec. 7044, Business and Professions
Code: The coniractors License Law tloes not apply to an owner of property who builds or improvas ihereon, and who coniracts for such project with a contrector(s)
license pursuanl to ihe Con�ractors License Laws.).
❑ I am exempt under sec. Business antl Pmfessions Code for Ihis reason:
SignaWre� - Date: / _.. ^�° 7
Owner`D veri i by tlriver' nse. ❑ Ves ❑ No Driver's License No. /' � '!� Expires: O 07
Verificalion of Ownarship by (type of dxument, i.e. - property tax bill or deed):
DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certity ihat no eacavation Me (5) or more fee� in dep�h into which a person is required to descend will be made in connection with work aNhorized by ihis
permit, and ihat no building stmcwre, scaffolding, falsawork, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ti�le 8, California Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require a parmit from ihe Division of Indusirial Safery, as notetl above, unless such person has a
permit to do such work from the tlivision.
Signature: Date:
Division of Industrial Satery Permit Num6er:
CER7IFICA7E OF COMPLIANCE 11ND AUTHORIZA710N OF ENTRY: I cenify under penalty ot perjury that I have read this application antl state that ihe intormation given is
correct I agree to comply with all state Iaws end ciry ortlinances relating to building consimction, and authorize representatives of the City of Costa Mesa to enter upon ihe
above-descri6ed propetly fo ' spection purpos s. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspection.
` /-z3 0%
Signature Ot Legal Owner(s) Date
And/Or
COOE N. INSPECTION TYPE
7616 Fixetl System Final Fire Prevention
1266 Pool Spa Finai
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fira Place
203 Final Sign
204 Final Demoli�ion
QRTE INTRIALS C OE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevantion
220 Fina� Planning Approval
222 Final Site
250 Final Building/Occupancy
ppTg INTRIALS
'Z Dg �
bCT 20� 2006 12:06A
oao-000-oa000
FAX
(2) Pages including cover sheet
To: Mr. Burt Morgan City of Costa Mesa
Fram: Michelle Runyan (Scott aand Associates)
562-746-6369
Re: Request for an extension of the plan check
process. Plan Check # B06-00508
�
page 1
CCT 20;2006 12:07A 00�-000-00000 page 2
(ktnher 19, 200h
Hcllu Mr. Morgan,
This letter is regardin�; the msidence at 979 Post Rd. in Costa Mesa. Plan
check # DO6-OU508.
We would like to ask for :m extension in the plun check process. We submitted plans
fnr this pmject and during the first plan cheek, we were informed thnt struetural
engineering would be required. We proceeded to have Lhe engineering done, however
finding an Enbin��x and making thc curra;tions took a substantinl amount �f time. We re-
submitted the plans 2s soon as pnssible, considering the type of corrections nec;ded.
1 met with Charles and he approved the plans for ttus project on October 12`", 2O06,
Thank you for your time and consideration �egarding this mattcr. We look forward to
hearing From you �on.
Miehelle Runyan
Scott and Associates
562-746-6369
Aoplicant to fill In all spaces except tnosa within neavY eoraer linus antl sign all aoDropriatc tleclarations.
CITV�F COSTA MESA NSTR T ON PmERM1IT� PE MIT NO. TRACT NO. LOT NO. UNIT N0.
ProjectAddrCss �y ��s/ �� �Q�� T /7P�?'
Applicant's Mai�l' g� -A`ddress �n�
Owner'sNqam�ep I.L-�11�R���j/��j�( ��^5��� Phon�7 � �S
Address .[.(-l—ro�_/ '"�--1—��-5!/4 Pi�.4
Arch/Eng. NOA.l� License No.
Address
Contractor's Nam Phone
Address (mailingl
City License No.
LICENSED CONTRACTOR DECLARATION
I h¢reby affirm that I am licensetl untle� provl5iOn5 ot Chart¢r 9(comm¢ncing
wllh section ]000) of Divi5lon 3 OI [�e Bu51ne55 antl Profe55ions Cotle, antl
my 1lcense iz in tull torce antl ¢tfect.
'icense Class liten50 No.
ate Slgnature
.JORKERS'COMPENSATION DECLARATION
1 hereby atfirm lhat I have a certifiwte ot conient to selftinsure or a certiflcate
ot Wo�kers' CompenSatiOn InSurance, o� a ce�tl(ietl copy thereot ($ection
3800, 12b. C.)
Policy No. Company
BCer[ifietl copy i5I1¢t¢by fUfOiSb¢tl.
Cmtifietl copy is i e with ihe city Bulltlin9 Division.
Date Applicant
EXEMPTI N FR M WORKERS' COMPENSATION DECLARATION
(This section neetl nol be cample[¢tl if the permit is for one huntlratl (EI00) or
iess).
I certify that In tne oertormance of the work tor which this parm�t is Issuatl, I
shall nol employ any person in any T ne� so as t0 Do<ome zubject to the
Workers'�Cy� pe�n��ws of Califo a. �
Date �/��-{ Si9nature
NOTICE•. It, after making t�Is tlecla�ation, you shoultl become subject to lne
Workers' Compensation provislons of the Labor Cotle, you mus[ fortnwith
comply with Su[h PrOvi5iOn5 Or this permit Shall be tl¢em0tl ravoke0.
CONSTftUCTION LENDING AGENCV
I hereby altirm that tnere Is a construction lenain9 a9ency tor the performance
o� the work for wnicn tbis permit is issuetl (Sectlon 3097 Clv. C.)
Lentler's Name
Lenaer's Atlaress
OWNER BUILDER DECLARATION
I hereby affirm tbaY I am exemp[ from tbe Cont�actor'S LiGanse Ldw fo� tho
followinq reason (Section 7031.5 Business antl Professlonal COUe: Any tlty or
^ounly w�iCh requi/ns a pe�mit lo ConStrutt, al[er, improve, demolish Or rOpalr
�v z�nmture_ orlor to-its issuance. also reoWres ihe aoolicant tor such oormit
ne ConVac�or'z License Law (Chapter 9(commoncing with Soctlon ]000) of
Dlvlslon 3 of the BuSiness antl Prote55lon5 COtle) Or lhat he/ibe ii exompt
lperelrom antl t�e basis tor th¢ allegetl Bxemption. Any vlo�aUOn of Section
�031.5 by any ap0���ant lor a permit subjecls lhe applicant to a civll
�endlty of nOt more lhan tive huntlretl tlolldr5 (E500).
I, as owne� of lh! O�aOerty or my CmpIOyC¢s with wage5 as th¢ir zolo
[ampensation, will Oo Iho work, anC lhn structure Iz not inlGn00tl Or otterotl
for sale (Section ]044, BuSiness antl Professional Cotle: The Contractor's
License �aw tlo¢5 n0l apply to an own¢r Of a property who buil0s or Impmves
thereon, antl who tloes such work nlmsalf/narself ar throuqn n6 or her own
employees, provitletl tnat such improvements are noc Intentlea or oHeretl for
sale. I/, bowaver, the bulltlin9 or Improvement it soltl wlt�in ona year ot com-
pletion, l�e ownCr wlll nave tM1e burtlen OI proving he/she tlitl not Duild or Im-
prOve f0/ tlte pu�po5e of Sal!).
❑ 1, as owner ot the property, am exclusively wntraCtlng wilh IicenS¢tl COn-
Vacto�s t0 conztrutt lhe project ($ectlon 7044, BuSinCss antl Protezsions Cotle:
Tne Contractor's Litanse Law dOes nOt apply to an owner of property who
builtls or improves tnereon, antl wno contracts /or such oroieas wi�n a con-
tracto�(s) bcense pursuant to t�e ConiraGtOr'S Llcense Law). I am awar¢ Ihat
orool o! Iheir Worker'S CompensaHon insutanca ShOultl be prOvitletl lo me.
❑ I am ezempt untler 5¢ction B. 6 P. C. for this r¢ason
�ate � 2U O
I hereby certity inat I �ave reaa this applicaHon ana state that the above
information is correct. I agree to compty with all city antl county ortlinances
antl state IawS r¢la[ing to builtling conSVuctlon, antl h¢r¢Dy duthorize repra-
sentatives of t iz city to enter upon the �bore-mentionetl or perty for
inspection pu� es� � /A . � . _ � � pO
Signature �'OrW�1�-�.� Date % /GO
Driven' License or 55 �
3l 00 ' � �
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION � DEMOLISH ❑ OT�H7ER A p,�y
DESCRIPTION OF WORK/USE OF BLDG 1liH.QiC_T? ��-L
r�ucc i e Roo lr/.VG ! LA <'L 00 S Main Buildi
E
TVPE OF PERMIT GRADING FOVNDATION STRUCTURAL T FrOnt
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear
❑ OTHER A
PROJECT DESCRIPTION 5Q. F OCCUPANCv_ C Right
K Left
CONSTRUCTIONTVPE VALUATION$ � S
ZONE GRADING CU. VDS. ACRES Ping. ReL `/k
Remarks�, ������� � N��� �U�'„ ��Q � PlanningNOtes:
Bar Sink
Preventer
Irrigation
rinking Fountains
loor Drains
loor Sinks
as Service Outlets
Kitchen Sink
Lavatories
Roof Droins
Reinspeetion Fee
FEES
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Pipir)g'
S mming Pool w/Spa
Urinal
W3tCf C1052t
Wa[er Heater
Wnter Service
Auto-Wash
Laundry Trays
$15 Issua Feu S 3
Duct-UnderGround
Duct - Structurel
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL Blt. ICBO #
Heating System & Oucting /
00.100,000 BTU � 7 00,000 BT
Reinspection Fee � $15
CMF 0865-46, rev. 10/8a White - Builtling: Canary - Applicant: Pink - Accountinq; Goltlenrotl - Assessor
Hood or Ty pel ❑
Canopy /fype I I ❑
efr' ration System
t00,000BTU ❑700,000
'rystem Repair/Alteration
Fire Dampers
Registers
Issue Fae � $ 3
Automatic Washer
Canstruction PoleSub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispowl
Generetor �0�5 KW C
Fae
3523 ii2ui����
2one
Parking Req./Provided
ELECTRICAL
Transformer � 15�50 KW
❑ SO+KW
Meter �up to t00amps
Meter �over100amps
Sub Panel ,
�ric �'('. I �
FEES
Motors '6�1HPO7X-8
In olar �9�75 HP �16-15+
Microwave
Pole Light
Range
$i9n
Standing Sections
15 KW Trash Compactor
S15 Issue Fee $ 3
DEVELOPMENTSERVICESREQUIREMENTS:
ZoninB APProved BY
Building Apvrovad By � ��-/��
z
O
N
I
N
G
R
E
Q
M
T
$
SUMMARV OF
BUILDING PERMIT $ 30 . eU
PLAN CHECK 5
PWMBING 5
PLAN CHECK 2596 S
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PV�,N CHECK 25% $ _ _
SMIP $ •.' V
PERM�T
ISSUANCE 5
ENERGV P.C. 5
GRADING 5
MICROFILM 5
TOTALFEE S ?g'�y�
CONSTRUCTION AN� PLANNING . �OL & SPA � �
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.� . 53. Steel Reinforcement
3. Electrical Contluit Utility-Undrgrnd. 54. Forms
4. Electrical Contluit-Undrgrnd. 55. Electricai 8onding .
5. Steel Reinforcement.� 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.' 57. APPROVAL TO COVER�GUNITE
7. Footings • ��� . � 58. Electrical Conduit-Undrgmd.
8. Foundation i� 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
11. Property Sewer Line�& House Connection 62. Backwash & Receptor: Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring`Sign 68. APPROVED FOR PLASTERING ,
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT �� �
20. Rough Factory Fireplace APPROVALS Permit # !
21. Ducts, in Structure 70. Underground Hydro ' �
22. Ducts, Ventildting 71. Product Piping OGas ❑Oil ,
23. Gas Pipe-Rough & Test 72. Underground Flush �,� ' � .'
24. Roof Framing " 73. Undergrnd. Storage Tank��'Gas O Oil . �
.
25. Roof Sheathing �' 74: Overhead Hydro ' �
26. T-Bar Ceiling �Stcuctural) & Monocoat ��75. Dry Chemical `/ ,
27. Frame and Flashinq� j� , 76. Dry Standpipe �. . ' I ��
�. �
28. Lathing&Siding �� 77. FIXEDSYSTEMFINAL �, ., .
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT • ' '�
1.
31. Plaster Brown �oat 79. FINAL INSPECTION � +
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
�
33. Final Elearic Notes: , . .
34. Final Heating & Air Conditioning - , �.
i
35. Final Gas Pipe-Test �
36. Hood or Canopy �
37. Final Factory Fireplace • �..
38. Final Plumbing ' '.
39. Water Service�Pinal ;
40. Gas Service-Final �
; 41. Solar pomestic-Final �
42. Backflow Preventer �
43. Backflow Irrigation . • � ' �
� 44. Landscape Irripation SYstem � �
45. Sound AttenUation .
,�
46. liandicap Regulations � • .
47. FINAL STRUCTURE & BUILDING ' G-, _ .• :
48. Special Requirements Completed ' - ' •
�
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCd' . ;
. �
No. Date y�
44�yi �4Fs9
o, ' �
r
t
J �+
e!�'
(714)754-5273 • Fax(774)754-4856
Job Address: 979 POST RD
Suite No
Vicinity:
Parcel Nunmber:
ApplicanY.
Address:
Owner:
LOCATION.
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
F21GHT SIDE/REAR OF HOUSE
14123122
WALKER, RANDALA
979 POST RD
COSTA MESA, CA
WALKER. RANDAL A
Address 979 POST RD
COSTA MESA, CA
Contractor: OWNER-BUILDER
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to ihp
Motors to 10hp
Motors to 50hp
Motors to 100hp
Mo[ors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
ELECTRICAL PERMIT
Phone: (714)979-7918
Zip: 92626
Phone:
Zip: 92626
Phone:
Zip:
License: 0
PERMIT NUMBER �
E00-00155
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: I SS U E D
Applied: 02/28/2000
Issued: 02/28/2000
ISSUED BY:
SCOPE OF PERMIT
REPLACE EXISTING 60 AMP ELECTRICAL SERVICE AND INSTALL NEW 150 AMP SERVICE IN SAME
$23.50
$0.00
$0.00
$0.00
$0.00
so.00
50.00
$0.00
$0.00
$0.00
$0.00
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section _
Misc Electrical Equipment
Transformers up to 1 kva/kw
................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
Misc.Condudor
Circus ( gen or ride)
Circus (mech nde or lights)
Chnstmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspec[ion Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
so.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
$0.00 0
$0.00 0
so.00 0
$0.00
$0.00
$0.00
$0.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28. § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
ret{ulred Inapectlona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMpENSATION DECLARATION:
I hereby aflirtn untler penalty of perjury one of t�e following declarations:
❑ I have entl will maintain a certilicete at consent to selt-Insure tor workers' compensation, es pravitled for by sectlon 3700 of the Labor Cotle, lor the peAormance ot tha
work for whiGh ihis pertnit is issued.
❑ I hava and will maintain workers' compensation insurence, as required by section 3700 0l Ihe Lebor Cqde, tor Ne pertortnance of (he work for which thls pertnit is issuetl.
My workers' compensalion Insurance carne� and policy number are:
Cerner. Policy Number.
(This section need nat be com0/eted il the permit is velued af one hundred dollars (5/00) or /ess.)
❑ I certify thei in Ihe peAortnance of Ihe work for which this permit is issueQ I shall not employ eny person in eny manner so as to hecome subject to the workers'
compensation laws of Califomie, antl egree that if I shoultl bacome subject to the workers' compensetion provislons ot Sectlon 3700 of the Lebor Code, I shall forthwith
comply with ihese provisions.
Applicam Signeture: Dete:
WAFNING FAILURE TO SECURE WORKERS' CAMPENSATION COVEFiAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINPL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLL4Rp (S10D,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES NS PROVIDED FOR IN $ECTION 3]O60F THE L40pR CODE, INiEREST, AND ATfORNEYS FEES.
LICENSED CONTppCTORS DECLARATION: �
I hereby aNirm ihat I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full
brce antl ettect Lic. # Class a
Contrecrors Siqnature: Date:
CONSTRUCTION LENDING AGENLY:
❑ I hereby aHirtn that there is a construction lending agency for the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lendels Name: Lendets Adtlress:
Signature: Date:
OWNER-BUILDEq DECLARA710NS:
I hereby affirm that untler penalry oi perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (SecJ031.5, Business and Professions
Code: Any ciry or Counry which requires a permit to construct, alter, improve, demolish, or repair any simcture, pnor to its issuance, elso requires iha epplicant for such permit
to tile a signetl statemantylieChe or she is licensed pursuern to ihe provislons of ihe Coniracrors Llcense law (Chepter 9(commencing with Sectlon 7000) of Olvislon 3 oi the
Busin s and Professions Coile) or ihat he or she is eaempt iherelrom entl the basis for the alleged exemption. Any violation of Section 7031.5 by eny applicant for e permit
sub ts the epplicant to a civil penelty of not more than /ive hundrad tlollars ($500).):
lc i, t �, i�.�
I, as owner 6f the property, or myemployees with wages as their sole compensation, WILL DO THE WORK, end the structure is not intended or ottered lor sala (Sac.
7044, BusinOss and Professions Code:�7he Contrecrore License Law does not apply to en owner o! property who buiMs or improves fhereon, entl who does such work
himself or herselt or ihrough his or hei own employees, pmvided that such improvements are not Intended or oHered for sale. If, however, the building or improvement is
sold within one year of completion, ihe owneT-builder will have the burden of pmving that �e or she did not builtl or improve for puryosa of sale.).
❑ I, es owner oi the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to cons�ruct ihe project (Sec. 7044, Busineu end Pmfessions
Cotle: The contractors License Lew does'not appty to an owner of property who builtls or impmves thereon, and who coniracts for such pmjeci with a contracror(s)
license Vant to the Contraciors License Laws.).
❑ I am e m unQ�( sec. Business antl Professions Code for this reason:
Signature: � 1 \.. �— Data: ,�'ZS'�U �
Owner ID verified 6y� � ers license. ❑ Yes ❑ No Driver's License No. Expires:
Venfication of Ownership by (type of tlaument, i.e. � pmperty tax bill or deetl):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION:
❑ I hereDy certity that no ezcavation five (5) or more feet in tlepth into which a person is requlretl �o tlescen4 will 6e made in connection wit� work authorizatl by this
permil, end that no building sWCWre, scaHolding, lelsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chep. 32, Gry 2, An 2, Sec.
341, Ti11e 8, Celifomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permil fmm Ihe Division of Industrial Safety, as notetl a6ove, unless such person has a
permit to tlo such work from ihe division.
Signawre: Date:
Division of Intlustrial Safety Permit Number:
CERTIFIC9fE"Of� COMPLIANCE AND AUTHORIZATION OF ENTSiV: I certify untler penalty of perjury Ihat I have read Ihis application and state that the informa�ion given is
correcL I egree 6 comply with all state laws and ci�y ortlinances relating to building consiruction, and euthorize represematives of �he Ciry ol Costa Mesa to emer upon ihe
ebove-describ prop y fo inspech n purposas. 1 agree no� to occupy or allow occupancy ot any building authorized by this permit until final inspection.
� � /� -f• �.'%-i�'D(�
" ignature Ot Legal Owner(s) Date
And/Or Authorizetl Applicent Date
CODE �, �NsveenoNirve
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re�Roof
201 Final Block/Retaining Wall
202
203
204
2bbbd6
Final FaCtory Fire Place
Final Sign
Final Demolition
PAIE IMIilALS
C�F� INSPECTIONTYPE
20fi Final Mechanical
208 Final Plumbing
210 Final Electdcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
Pa €
IMRIRlS
(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant
Address:
2120 PRESIDENT PL
42244236
JOHN O'BRIAN
Owner: O'BRIEN, JOHN C
Address 2120 PRESIDENT PL
Contractor
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to ihp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
COSTA MESA, CA
Phone: 949-645-1884
Zip:
Phone: 949-933-4561
Zip: 92627
Phone:
Zip:
License:
SCOPE OF PERMIT
RELOCATE AND UPGRADE SERVICE FOR MINOR RESID ALT, RE:B00-01814.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$30.50
$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
Quantity
FEESUMMARY
Temp Dist System / Lighting
Busway /100 k
Standing Section
Misc Electrical Equipmen[
Transformers up to 1 kva/kw
................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 Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 12/01/2000
Issued: 7 2/0 V2000
ISSUED BY: J 97�
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
so.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
$0.00
$54.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
reqWred inapectlons and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiretion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244&O6 (6'00)
WORKERB' COMPE�NSATION OECLARATION: �
I hereby aHirm under penalty ot perjury one of the tollowing declarations:
❑ I heve antl will maintain a cenificete of consent to seN-Insure tor workers' compensetion, as pmvided for by seaion 3700 of the Lebor Code, for the pertormance of Ihe
work for which Ihis permit is issuetl.
❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, for Ihe performence of [he work Por which this permit is issuetl.
My workers' compansation Insurance carrier end policy number are:
Carrier: Poiicy Number:
(TM1is sec(ion need nol be complered it the pertnit is valued ef one hundred dollars ($700) or less.)
❑ I cetlify Ihel in Ihe pertormance of the work foi which ihis permit is issueQ I shall not employ any person in any manner so as to become suDjact to the workers'
compensation laws o� Calitornia, end egree that if I should become subject to Ihe workers' compensation provislons of Section 3700 of the Labor Cotle, 1 shall forthwith
comply with ihese provisions.
Applicam SignaWre: Date:
WARNING FAIWRE TO SEWRE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FWES UP TOONE HUNDRED
T}IOUSANO OOLLARE (5100,000). IN ADOITION TO THE COST OF COMPENSATION, OAht4GE5 A$ PROVIOED FOR IN SECTIIXJ 31W OF THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES.
LICENSED CONTRACTOfiS DECLAHATION:
1 hereby eHirtn Ihat I em licensed under provislons of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, and my license is in full
force entl eflecL Lic. q Class a
Contractols Signature: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hereby aflirm ihat there is e constmction lentling agency for the pedormance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lenders Name: Lender's Atltlress:
Signawra: Date:
OWNER-BUILDER DECLARATIONS:
I hereby a%irtn ihat untler penalty of perlury thet I am EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW for ihe toliowing reason (Sec. 7037.5, Business entl Professions
Cotle: Any ciry or counry which requires a permit to consiruci, alter, improve, tlemolis�, or repair any stmcWre, pnor to its issuance, also requires ihe epplicant for such pertnil
to file a signetl statement that he or she ls licensed pursuent to iha provisions of Ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of the
Business end Professions Code) or thet he or she is exempt therefrom and the basis for the elleged exemption. Any violation of Section 7037.5 by any applicent tor e pertnit
subjects the applicant to a civil penalry of not more Ihan five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with weges as iheir sole compensation, WILL DO 7HE WORK, and the structure is not intentletl or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves thereon, antl who does such work
himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oflered for sale. If, however, the 6uilding or improvement is
soltl within one year _ mD�etioq the ownerbuilder will have ihe burden of proving ihal ha or she tlid not build or improve tor purpose ot sala.).
❑ I, as owner i p pe , em E%CLU V CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: tract rs Li ense Le o ly to an owner of properry who builtls or improves thareon, and who contrects for such project with e contrector(s)
licens ursu to he ntractor Li `\ ew .). � � � I
❑ I am exempt � �
; Signatura:
Owner ID verified
Veritication oi Ow
Protessions Cotleforthis
ir's license. � Yes ❑ No Drivers License No.
by (typa of documen�, i.e. - properry tac bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation tive (5) or more teet in depih into w�ich a person is requiretl to descend, will be made in connection with work authonzed by this
permit, and ihat no building siructure, scattolding, falsework, or demolition or dismantling ihereof, will be more than �hirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from Ihe Division of Industrial Safety, as notetl above, unless such person hes a
permif lo do such work from ihe division.
Signature:
Division ol Indusirial Safety Permit Number:
Date:
1 W ill the applicant or present or fuNre huilding occupant neetl to file and certily a Business Plen for emergency response to release or threatenetl release oi a hazar0ous
ma�erlal? ❑ Ves ❑ No
(Section 25505 of the Califomia Health and Satery Code requires, with soma eaceptions, that a Business Plan be filed with the Cos�a Mesa Fire Depariment by every
business which has at any one time during a reponetl year a quantity of hazerdous materials equal to or greater than a weigh� of 500 pounds, or a volume of 55 gallons,
or 200 abic feet ot compressetl gas at standard tempereWre and pressure).
.........................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will ihe applicant or present or future building occupant nead to file e registration form br acutely hazardous meterials9 ❑ Yes ❑ No
(Section 25533 of lhe Caiifomla Healih entl Safery Cotle, with some exceptions, requires regisiration with ihe Coste Mesa Fire Department by each business which at eny
one time has on hand e quantiry ot awlely hazerdous materials equal to or greeter than e weight of 500 pountls, or a volume oi 55 gellons, or 200 cubic feet oi
compressed gas et stentlard tempereWre end pressure).
.......................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will the applicant or presem or future buildinq occupant need to prepare an RMPP (Risk Management and Prevention Program for acutaly hazartlous materials)7
❑ Yes ❑ No
(Section 25534 ot the Calitomia Health and Safary Cotle provitles that the Costa Mesa Fire Depariment may require the preparation, cetlification and liling with the Fire
Deoartmant of an RMPP bv businesses whic6 ere reduirea to repister ecutely hazardous materials with the Fire Depariment.
a u an Hrnrr is presentry requireo, nas secuon zsssa or me cairtomia neann ana �arery cooe oeem m�y compuea wi
....................................................................................................................................................................................................................................................................
5 Does or will Ihe epplicant or present or future building occupant requlre for ihe work which is the subject of this a p
from �he Souih Coast Air Oualiry Managament Disirict or from any other air poiWtion conirol tlisirict or agancy? �'
(Section 658502 ot Ne California Government Code requires ihat Ihe requested intormation be turnished on applica
...................................................................................................................................................................................................................................................................
6 Will eny part of the faciliry to ba constructetl untler this permit �e wilhin t0001eet imm Ihe ou�er 6ountlanes ot a sc�i
(It'ves", Ihe facillry must meet ihe requirement oi Sections 25534 and d2303 of the Califomia Healih and Safety Cod
....................................................................................................................................................................................................................................................................
7 If a pertnif from ihe South Coast Air Oualiry Management District or other air pollution control tlistrict or agency
eoolication. have all of the disclasures orescribed bv Celibmia Health and Satetv Cotle Section 42303 been made?
B Qf yes", atlech cetliti
CERTIFICATE OF C
regarding Hazartlous
Signeture:
i
\CERTIFICA7E OF COMeI
, correct 1 agree t0.cwtl(�
'a'bove-described property
/ �
or
❑ No
for non-residentiai bi
............................................
❑ Yes ❑ No
�
I certiy that untler penalty of perjury the iniormation given above is correct. I agree to comply with ail state laws and city ordinences
Emissions.
Date: _ . .-- _
CQUE I, INSPECTIONTYPE
7616 Fiaed System Final Fire Prevention
7266 Pool Spa Final
200 Final Re-Rooi
201 Final BIocWRetaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
OF ENTAV: I certify under penaity ot perjury that I have read this application and state ihat the information qiven is
inances relating to building constmction, antl amhorize representatives oEthe Ci(y of Costa Mesa to enter upon Ihe
,pot to acupy or allow occupancy ot eny buitding authorized by this py�mi� uptil fjhal inspadion.
Owner(s)
0
IMRIRlS yg�( INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling�Occupancy
OWNER �COhf� HOMES
7
JOBADDRESS Post Road
GENERAL CONTRACTOR � WII+COi4E HOMES
LOT 18 BLOCK
GROl1P I Rc J TVPE V
INSPECTIONS
Footina Trench
Grade to
Plumbing, Rougl
Plumbing, Rougl
Temporary Pole
Wiring, Rough
Heatinp, Rough
Heating, Final
ySewer, House Sewer, St.
Septic Tank or C spool
Lathing, In Out
Plasterinp r,
Fixtures
DATE
_ �,�1•
�
Wiring, Final � �dl � ���
Occupancy �iyf �i � �• �'
FOflM 210 3M 10�•+5
TRACT 2896
ZONE �
SUBCONTRACTOR
DATE �-lE•-,�6
BUi�DING PERMiT NO. 3026
VALUE $ 9������
Single Res. rr/att gar
FIRE DISTRICT 3066
PERMITS ISSUED
DATE I NUMBEF
Costa Mesa Bailding Department
r�, P. O. Box 3! 7
COSTA MESA, CALIFORNIA •
FOR APPLICANT TO FILL IN
B���d��e
Address Post Road
Costa, Mesa, California
Nearest
Crossst Cro£tdon
owner Welcome Hoire s, Inc.
nddress �28 �restminster Ave.,
Tel,
citv tiYest*ninster Ns.�1em. 5
N o.
contreetorlYelco� Hones, Inc.No'
Addrew 6f�28 Yfestminster Ave.,
Legal Lot
DeseriDtion No. 18 I Block
�lI'PLICATION FOR PERMIT
�Q�� BUILDI: G �
FOR OFFICE USE ONLY
Receipt No. Permit N
3o a a
/� IS�/�-s � 5
Building
Address
Costa 1liesa, Califomia
Nearest
Cross St.
711 ,��a n. i i N�_ „f i T„�. i
Size of Lot 7bxlUj � Now on Lot N0178
Vseof I No.of I No.ot
Ezisting Bldg. IJOrie Families Rooma
Setback �Ine from � Rear Yartl
center oi street 5� Ft'• Side Vard 5 Ft
DESCRIPTION OF WORH
New I X I AlteraUon I I Atldition I
Repair I I Movfng I I Demolish I
Bullding No. ot
size 27� rtooms 6 stories 1
Exterior Wall Roof
CORRECTIONS
�J�
Covering Stuo 0o I Covering ti'7ood APPROVALS
Use ot New •
suud�n9 Sir.Flo fcurilv residenoo and FoundatlonLocation Inspecto
Forms, Materials,
tvio car ra-e 8tt9Ch6d. Under-Plnning
f / Frame: Fire Stops,
�� Bracing, Bolts
I hereby acknowledge that I ave read this ApplicaUon
and state that the abwe is correct and agree to comply Lath. Int.
with all Clty Ordinances and State Laws regulating
building conpst,r�uc�tio �ath. Ext.
Signatureof/A7
Permittee ��v Plaster.lnt
Valuatloti�+w Permit Fee $ o�- �'7
� Pian Check $ / vS '�
$ '7�� Total �h7 /
Fee $ J b �
PLOT PLAN
6how locatlon and disYancea from
property Iine antl between huilding�
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OWNER SOLIZ, E. DATE
E SS
AP Ne.
GAS
W �TER
' �SPRINKLING SVSTEM
MISCELL�NEOUS
{� ROUGH NE�TING �N� �Ip CONDITIONING
�TEMPOAARY SEAVICE OR POLE
UNDERGROUNO � POWEP �
� NOUGM WIRING
TRENCMES FORMS STEEI REINF.
BONO BE�M U
SHEATNING
FPAME �ND FLRSM
LFTHING - IN �
PLASTER. BAOWN (
STNUCTUR1l. FIN�
MEATING. VENT., F
PLUMBING. FINFL
ELECTRIC, FINAL
BUILDING, FINPL
SUBCONTRACTOR
Q
. 43890
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
vr,i,
.,..n%��"�I��:.:Q{i�G�L��i .r::i}i:l�).�U
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/ REC V BV TE EIV D TE I rwlE
BUILOING `%�,i f>j /_�j A � x.
ADORESS � / T // ��
�"�, � /�i'/- Z3/-z2 PE'
OWNER L, -.�(J �_ A.P.NO. .
MAII l� GJ ////+ /� ADDR'E 5��L �S ����
ADDRESS / 1/ ��S /.tlJi/ p/
CITY C I�, NO:)J7��Sa TRACT �e`F LOT �� gLOCK
CANSTRUCTION W ADD ALT P M
IENDEFi �
BRANCH J�
OwNEF / � �n ��-
ADDFESS //�/// � VALUE ///�/'y�
ARCHITECT TEL 5 -f'C�- //I%T/� S/✓✓V
OR ENGINEER
FIRE
ADDRESS ZONE TVPE GROUP
`� �/ APPROVED
CONTRACTOF L/._/ ����S��G,(' CO�S ' BV DATE
ADDRESS /;��j/ ����U`(J/C � //L�C�
✓ ' NO. ��,�Lj% ZONQJ �� PLAN$ � BUIL�ING EW Cr /O
- TE Y.>-> �l
CITV L S' %/✓
STATE 7 / 7 CITV �'ARDS APPROVED VAPDS APPROVED
LIC. NO`l�-�/�.�'f /7 LIC. NO. MAIN BUILDING ACCESSORV BU�LDING
SIZE NO.OF BLDGS. (FROM C//ylSTRCEF�T) � ��,��.7.�NG'.
OF l0T NOW ON LOT FRONT K� FT� FT.
EXI571NG BIOG. ���\/ C7/� �
E '� FT � FT
Sepa�a[e permits are required for L SIDE � Z— FT. t Fr.
eleMric, plumbing and heating work. '3 p
REAF FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
n i il / /� MAIN BLOGS. ACGESS. BIDGS.
j/�%11 �'/� /�II / n.i C✓C..� C.0 P# APPROVED
✓/J
`/ C./('P_��� - 5.�� C� L`, APPROVED L.�_'l., y-� 7�J
.-�'`-�U '
1 hereby acknowletlpe Shac I have reatl this application enG state
thet ffie above Informetion is correct and agree to comply with
all laws reB��eting bulltling construction, and I shall not employ
any petson in violation of Me workman's compensatlon Iews of
the State of Californie.
t hereby cen�fy thai l em proparly Iicensatl as a contractor under SQ. FT.
tha Siaie of Californle Business entl Professions Cotle, Division 3, THE AMOVNTSMOWN UNOER VAIUATION IS FOR
Chepter 9, entl that such licensas are In full force and effect, or I THE PURPO6E OF ES7ABLISHING A PERMIT FEE ONLY:
am exempt from the provisio�s ot the Stete of Californle Business VALUATION PERMIT FEE $
end Professions Catle; Divislon'3, Chaptar 9. � i�
Sipneture of /J�� � �/� P„� 7LAN CHECK S � O
Permltta�� / �� �!. L� f �i�.,i g /�� rnx a e�
/ e(
Authorized ABe�t TOTAL PAI D E �(f'�