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Home My WebLink About990 POST RD - Building Permits� y. .c (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT �� FAIR DRIVE, WSTA MESA, GA 92626 Job Address: 990 POST RD Suite: Viciniry: Parcel Number: 14123210 Applicant MISNER, SCOTT Address: 990 POST RD COSTA MESA, CA Owner: MISNER, SCOTT Address 990 POST RD COSTA MESA, CA Convactor: O W N ER-BU I LD ER Address: Zip: Arch : Address: Phone: Zoning: Phone: 949-633-8770 Zip: 92626 Phone: 949-633-8770 Zip: 92626 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/30/2003 Issued: 07l30/2003 Phone: Zip: License: License: SCOPE OF PERMIT REMOVE AND REPLACE 6 EXIST. WINDOWS WITH SAME SIZE. WINDOWS IN THE BEDROOMS SHALL COMPLY WITH SEC 310.4 OF THE 2001 CBC. Plan Check: $0.00 Permit: $44.85 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0. 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lett 0- 0 Proposetl: 0 Calc Valuation: Claim Valuation: Right 0- 0 Riqht 0- 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California regulations. (Ord. No. g2-28, § 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 sus� for a period of 1 BO days. I INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all apP requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiral FOR INSPECTIONS CALL: (714) 7545626 I 24a6dfi (8�W) $�,zoo.00 si,zoo.00 antl related orabandoned �le codes, and all of this permit. WORKERS'COMPENSAnON DECLARArON: V _' I hereby aflirtn untler penalty ot perjury one ot the following tleclarations: _ , ❑ I have entl will maintaln e certificeta of conseN to sel4lnsure for workers' compensetion, es provitlatl br by section 3700 of lhe Labor Code, for the peAortnance of t�e , work for which this permit is Issued. ❑ I have antl will maintain workors' compensetion insurance, es required by section 3700 of the Lebor Cotle, for Ne pertormance ot Ihe work for which this permit is issuetl. My workers' compensation Insurence carner and policy numbar are: Cerrier: Policy Number. (This seclion need not be camplefed i/ the permif is velued et ane hundred dallars ($100) or /ess.J ❑ I certily that in the peAormence of Ihe work tor which t�is permit is issuetl, I shall not employ eny person in any manner so as to become subject to the workers' wmpensation laws ot Calibmia, entl agree tha� if I should become subject b the workers' compensatlon provisians ol Sectlon 3700 of the Labor Cotle, i shall torthwith comply with thase provisions. Applicam Signature: Date: WqRNINO: FAILURE TO SEWPE WORKERS' COMPENSATIdJ COVERAGE IS UNL4WFUL M!D SHALL SUBJEGT rW EMPLOYER TO CRIMIN�L PENAlTIES AND CML FlNES UP TO IXJE HUNDRED TMOUSAND DOLURE (5100,000), IN ADDf710N TO THE WST OF COMPENSAiION, DPM4GE5 AS PROVI�ED FOF IN SECfION 31060F THE IABOfl COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thel I am licensetl untler provisions of Chapter 9(commencing with Sedion 7000) o� Division 3 oi the Business and Professions Code, end my license is in full brte entl BNett. Lit. u CIe55 M ConlrectoYs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aftirm that Ihere is a constmction lending agency for ihe performance ot Ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: SigneWre: Date: OWNER•BUIIDER DECLARA710NS: I hereby aHirtn thet under penelty ol perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, 8usiness and Professions Cotle: Any ciry or county which requires e pertnit b construct, alter, improve, demolish, or re0eir eny structure, pnor to its issuance, elso requires ihe epplicant tor such pertnil to tile e signed statement �hat he or sha is licensed pursuant to Ihe provisions of Ihe Contrectars LJcense Lew (Chapter 8(cammencing with Section 7000) ol Division 3 of the BuSineu entl Professions CoOa) or that he or she is exempt therefrom and lhe ba5is for the alleged ezemption. Any violatlon oi Section 7031.5 by any flpplicant tor a permit subjects the applicant to a civil panelry af not more than five hundred dollars (3500)J: ❑ I, as owner oi Ihe propeny, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intentletl or otfered tor sale (Sec. 7044, Business and Professions Cotle: Tlie Contractors License Law dces not appty to en owner of property who 6uilds or improves thereon, antl who tloes such work himself or herself or through his or her own employees, provitletl that such improvemenis are not intendetl or offered tor sale. If, however, tha 6uilding or improvement is sold within one year of completlon. the owner-Duilder will have ihe burden of proving that he or she did not build or improva tor purpose oi sale.). � ❑ I, as owner of Iha property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS �o consiruct Ihe project (Sec. 7044, Business entl Protessions Code: �ye contrecbr5 License Law does nol apply to an owner ot propehy who builtls or Improves t�ereon, antl who coNrectS for 5uch projeti wiih e con�racbr(s) �IitBnSe�p�suant to tha Comrectors License Laws.). Business and Professions Coda for Ihis reason: by dnvers Iicense. �p�es ❑ No Vedlication of Ownership by (�ype of document, i.e. - property tex bill or tleetl): DIVISION OF INOUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby cetlity that no excavation flve (5) or more feet in depth into which a person is required to descenq will be matle in connection with work au�honzed by this permit, and �hat no building siructure, scaHolding, falsework, or demolition or dismantling ihereof, will be more than t�iry-siz (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Calibmia Atlmini5iretive Cotle). ❑ As ownar-builder, I will not employ enyone to do work which would raquire e permit from the Division of Industriel Safery, es notetl above, unless such pareon hes a permit to do such work Irom the tlivision. SigneWre: Date: Division of Industnel Safety Permit Number. CERTFlCA OP COMPLIANCE AND AUTHORIZATON OF EN7AY: I certily under penalty of perjury that I �ave reatl this applica�ion and state Ihat t�e information given is correct. I e e to comply with all stete laws entl ciry ordinances releting to building constmction, and euthorize represente�ives ot t�e Ciry of Costa Mesa to enter upon the ebovo-doscr property for in ction purposes. I egree not to occupy or allow occupency of any building authorized by this permit uny� final in� pection: 7�/ 30%3' Signet e OI Legal� wner(s) , Dare � AnNOr Authonzed Applicant Date �ODE �. INSPECTIONTYiE 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Foot 201 Flnel BIocWRelaining Well 202 203 Final Factory Fire Place Final Sign 204 Final Demolition P�g INTffIRLS COOE 1 INSPECTION TYGE 206 Final Mechanical 200 Finel Plumbing 210 Finel Eleclncal 212 Finel Fire Prevention 220 Final Planning Approval 222 250 Final Sita Final Building/Occupflnty PAIE II�S (714) 754-5273 • Fax (714) 754-4856 • wWw.ci.costa-mBSa.C��ILDING PERMIT �� FAIR DRIVE, GOSTA MESA, [:A a2626 Job Address: 990 POST RD Suite: Vicinity: Parcel Number: 14123210 Applicane SCOTT MISNER Address: 990 POST RD COSTA MESA, CA Owner: SCOTT AND JULIE M�SNER Address 990 pOST RD COSTA MESA, CA Contractor. OWN ER-BUILDER Address: 2ip: Arch : Address: Phone: Zoning: Phane: 949-631-7533 Zip: 92626 Phone: 949-631-7533 Zip: 92626 Phone: License: 000000 Enq: Address: ISSUED BY: Status: ISSUED Applied: 08/01/2003 Issued: 08/01/2003 Phone: Zip: License: License: SCOPE OF PERMIT ADD 172 SF TO ENLARGE MASTER BEDRIOOM AND BATHROOM AND 190 SF SOLID ROOF PATIO. Plan Check: $190.61 Permit: $293.25 SMIP Res: $1.75 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $485.61 SETBACKS MAIN STRUCTURE Fronl 20- 0 ACCESSORY Front 0-0 PARKING Exi_stinq: p NOTES: Rear 15- 0 Rear 0- 0 Re uired: 4 FEE SUMMARY PLANNING & ZONING Left 12- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 15- 0 Right 0- 0 517,528.40 so.00 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requiremants under Cali(omia 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 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 cotles, and all requlred Inspectfons and finel epproval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taae�ae (doa� WORKERS' COMPENSATION DECLARATION: �� I hereby attirm under penelty oi perjury one ol ihe following declarations: � � . � ❑ I have and will maintain a ceriiticate of consent to self-Insure for workers' compensa�ion, es provitled tor by section 3700 ot thOLebor Code, for the pertormence of Ihe wark fOr whiCh ihi5 permil is is5ued. ❑ I have entl will maintain workars' compBnsa(ion insurance, es requiretl by Section 3700 0� Ihe Labor Code, for Ihe peAortnance of Ihe work for whic� �his permit is issuetl. My workers' compensation Insurence carrier antl policy number are: � Cerner. Policy Number: (Th/s sectiar need not be camp/eted il fhe permif is velued at one hundred dWlers ($100) or less.) ❑ I certity thet in the padormance ot �he work for which this pertnit is issued, I shell not employ eny person in any manner so as to �ecome subject to Ihe workers' compensatlon laws of Calitomia, end egree that if I should becoma subject to the workers' compensation provisions of Section 3700 ot ��e Labor Cotle, I shell torthwith camply with these provisions. Appllcant Signature: Dete: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNUWFUL ANO SHALL SUBJECT AN EMPLOVER i0 CRIMINAL PENA�TIES AND dVIL FlNES UP TO ONE HUNDRED TVIOUSAND DOILARE ($10p,000), IN ADDITION TO THE COST Of CAMPENSATION, DAMAGES PS PqOVI�ED FOR IN $ECrION 3)OB OF THE LABOR COOE, IMEREST, AND ATTOiUJEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereDy aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business end Protessions Code, end my license Is in full farce ena eHecL Lic. M qass k Contrector's SignaWre: Da�e: CONSTRUCTION LENDING AGENCV: ❑ I hereby aNirm thal Ihere is a consiruction lending agency for the peAormance oi �he work br which this pertnit is issuetl. (Sec. 3097, Civil Cotle). LenAer'S Name: Lentlefs Adtlress: Signemre: Date: OWNER-BUILDER OECLARATIONS: I hereby ettirm Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE lAW tor Ihe following reason (Sec. 7031.5, Buslness and Professions Code: Any city or counly which requires e permit to construct, elter, improve, demolish, or re0eir eny stmcture, prior to its Issuanca, also requires Ihe applicant Por such permil to tile a signetl statemenl that �e or she is Ilcensed pursuant to the provisions of the Coniracbrs LJcense Law (Chapter 9(commencing with Section 7000) of Didsion 3 ot the Business end Profeuions Code) or thet he or she is exempc therefrom antl the besis for ihe elleged ezemption. Any violetlon of Section 7031.5 by any applicant lor a Dermit sub�ects tha applicant to e civil penelty of no� more than five hundred tlollers ($500).): ❑ I, as owner of the property, or my employees wi�h wages es Iheir sole compensation, WILL DO 7HE WORK, and ihe stmcture Is not intentletl or oNeretl for sele (Sec. 7044, Business antl Pmtessions Code: The ConVactore License Lew does not apply to en owner ot pmperry who builds or improves Ihereon, an0 who does such work hlmself or herselt or through his or �er own employees, pmvided that such improvemeNs are not Intended or ottered lar sale. It, however, the building or ImpmvemeN is sold wil�in one year of complotion, tha ownar-builder will have �he Gurtlen oi proving ihat he or she did not build or improve tor purpose oi sale.). � ❑ I, as owner e property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The nt ctors License Law tloes not apply to an owner ol property who builas or Improves lhareon, end who rnniracts for such project with a contractor(s) ��licensa purs nti o the Contrectors License LawSJ. _ Prolessions Cotletorthis tlriveYs licenso. I+ �a'es/ �J No Verlflcetian of Ownership 6y (type ol dacumonl, i.e. - prapeny tez bill or DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I �ereby ceNty that no exwvetion tive (5) or more feat In depth into which a person is required to Oescentl, will be metle in connection with work euthonzed by Ihis permit, entl that no builtling structure, swHolding, lalsework, or demolition or dismamling iheraoL will be more than thirry-six (36) leet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tltle 8, Calitomia Atlminisirative Code). ❑ As owner-6uilder, I will nat employ enyane to tlo work which woultl require e pertnit Irom tha Division of Industnel Setety, es noted ebove, unless such person hes e permit lo do such work from the tlivision. Signature: Dete: Division of Intlustnal Safery Permit Number: CODE �. INSPECTONTYPE ' � PAff. A� ` 1818 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof � 201 FIneI BIocWReteining Well 202 203 204 Final Factory Fira Place Final Sign Final Demolition CODE� INSVEC710NTYPE 206 Flnal MechaniCal 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Apprwal 222 Final Si�e 250 Final Building/Occupflnty P�IE �4 � (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob nddress: 990 POST RD Suite: Vicinity: Parcel Number: 14123210 Applicant: SCOTT MISNER Atldress: 990 POST RD COSTA MESA, CA Owner: SCOTT AND JULIE MISNER Address 990 POST RD COSTA MESA, CA Contrector: O W N ER-BU I LD ER Atldress: Zip: Arch : Address: Phone: Zoning: Phone: 949-631-7533 Zip: 92626 Phone: 949-631-7533 Zip: 92626 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: OB/01/2003 Issued: OB/01/2003 ISSUED BV: [/ /! � ��-" � ,� �/ U� , � Phone: Zip: License: License: SCOPE OF PERMIT ADD 138 SF TO ENLARGE MASTER BEDRIOOM AND BATHROOM AND 190 SF SOLID ROOF PATIO. Plan Check: $163.31 Permit: $251.25 SMIP Res: $1.41 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 7otal: $415.97 SETBqCKS MAIN STRUCTURE Front 0, 0 ACCESSORY Front 0• 0 PARKING Exlsting: o NOTES; Rear 0- 0 Rear 0- 0 Re uired: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 NOTICE: Thp work authorized by this permit shall comply with all applicable handicap access requirements 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, for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considerad legal, such work mus� c� raqulred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will re � FOR INSPEC710NS CALL: (714) 7545626 264646 (N00) sia,�os.so $o.00 statutes and related work is suspended or abandoned with all applicable codes, and all in ihe expiration of ihis permit. WO�KERS'COMPENSAnON DECLARATON: � I hereby ettirm under penalty of perjury one of ihe following declarations: � � �" ' � � ❑ I heve end will maintain a ceniticate oi consent b self-Insure for workers' compensation, es providetl for by section 3700 of the.J_ebor Cotle, for ihe per�rmence ot the work for whiCh this permi� is issued. � ❑ I �ave and wiil maintain woAcers' compensation insurance, as required by section 3700 of ihe Labor Code, for Ihe peAortnance of the work for which this pertnit is issued. My workers' compensation Insurence carrier entl policy number are: , Cartier. Policy Number: (This section need nof be cromplefed il the permit is velued af one hundred dollars ($100) or less.) ❑ I certity that in ihe peAortnance ol ihe work lor which this pertnit is issuetl, I shall not employ any persori in any manner so as to become subject to ihe workers' compensation laws of Califomia, entl egree Ihat if I should become subject to the workars' compensation proNslons ot Section 3700 oi the Labor Catle, I shall forthwith comply wit� these pmNsions. Applicant Signeture: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVEFAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE (E100,000), IN AODITION TO THE COST OF COMPENSATION, DAMAGES AS PFOVIDED FOP IN SECiION 3]O60F THE LABOR CODE, IPfrERESi, AND ATTORNEV'S fEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licansed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Protessions Cotle, and my license is in tull forCe end eflecL Lic. N Class p Contrecrors SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn Ihal there is a construction lentling agency for tha performance ot Ihe work tor which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby efllrm Ihet under penalty of perlury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any cily or coumy which requires a permi� to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires the applicam tor such permit to tile a signetl statement ihat he or she is licensed pursuant to the provisions oi ihe Contractors license Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or that he or she is exempt therefrom and the besis for tha alle9ed ezemption. Any violation of Section 7031.5 by any applicant for e pertnit subjecis ihe epplicent to a civil penalry of not mora than five hundred dollars ($500).): ❑ I, as owner ot Ihe properry, or my employees with wages as iheir sola compensa�ion, WILL DO THE WORK, and Ihe siructure is not intentleG or ottere0 tor sale (Sec. 7044, Business and Protessions Code: The Contractors Licensa Law does not apply to an owner ot pmperry who builds or improves thereon, and who tloes such work himself or herseif or through his ar her own employees, provitled that such improvemenis are not intended or oflered tor sale. If, however, the builtling or Improvement is soltl wit�in one year oi completioq the owner-builder will have ihe burden ot proving that �e or s�e tlitl not build or impmve for purpose of saleJ. � ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: The coniractors License Law tloes not apply to an owner of properly who bulltls or improves thereon, and who contracts for such project with e contrador(5) ll�se pu�ant to the Coniractors License Lews.). underses Owner ID veritied by driver's license. Verificetian of Ownership by (type of Business entl Professions Code for this reason: ' t; oe�a: O3 , , ❑ No Driver's�License No. � �Ezpires: i�/ 0 property taz bill or tleatl): ` —'`� '�� DIVISION OF INDUSTRIAL SAFETV PERMIT CERTiFICATION: ❑ I hereby cartity ihat no excavation five (5) or more teet in depth into which a person is required to descend, will be made in connec�ion with work authonzed by ihis permi�, antl ihat no building sirucNre, swttolding, felsework, or demoli�ion or dismentling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Calitomia Administrative Code). ❑ As ownervbuilder, I will not employ anyone m tlo work which would raquire e permit from the Division of Industrial Safery, es notetl above, unless such person has a permit to do such work irom Ihe division. Signature: Date: Division of Intlustrial Safery Permit Number: CERTIFICA7E O MPLJANCE AND AUiHOHVATION OF ENfAY: I certify untler penalty of parjury that I have read Ihis application and state Ihat the intormation given is correct. I agree co ply with all s laws end ciry ordinances relating Io building construction, and authorize reD�esentatives ot Ihe City of Costa Mesa to enter upon ihe ebove-described rop rty for ins ct s. I egree not to occupy or allow occupency of any building authorized by thi p it u�til Final inspection. �- � � gl �"3 _ �'� SignaturaOFLepalOivneqs) � ��at�T AnNOr Authonzad Applicent Date CODE N' INSPECTIONTYPE � ' ' 1618 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root ' 201 Final BIocWRetaining Well 202 . Final Fadory-Fire Place 203 FinalSign 204 Final Demolition �pL •.� IMRIpLS COUEN INSPECTIONTYVE � 206 Final Mechanical � 20B Final Plumhing 210 Final Eleclricel 212 Final Fire Prevention 220 � Final Planning Approval 222 Final Site 250 Final Building/Occupancy ... PAIE Ui�1,L@ —L� � (71a) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 990 POST RD Suite No Vicinity: Parcel Nunmber: 14123270 Applicant: SCOTT MISNER Address: 990 POST RD COSTA MESA, CA Owner: SCOTf AND JULIE MISNER Address 990 POST RD COSTA MESA, CA Contractor: OWNER-BUILDER Address: Arch / Eng : Address: ISSUE FEE BackFlow irrigation Backtlow Preventer BathWb Clarifier System Connect (Ice,Soda,etc) Dental Unifs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Status: ISSUED Applied: 08/Ot/2003 Issued: 08/01/2003 ISSUED BY: // � / �� (/ // U V Phone: 949-631-7533 Zip: 92626 Phone: 949-631-7533 Zip: 92626 Phone: Zip: License: 000000 Phone: Zip: License: SCOPE OF PERMIT ADD 138 SF TO ENLARGE MASTER BEDRIOOM AND BATHROOM AND 190 SF SOLID ROOF PATIO. REF 803-01312 1 SHOWER, 1 WASH BASIN AND 1 TOILET. AMT $23.50 $0.00 $0.00 $0.00 :. 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irtigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 fl) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $9.80 0 Sink, bar $0.00 aTv 0 0 0 0 0 0 0 0 0 0 1 0 SumpPump Swimming Pool Trap Pnmer Unnal Vacuum Brkr Bktlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California regulations. (Ord. No. g2-2B, § 1, 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is sus{ br a period of 1 BO tlays. // INSPECTIONS: In order for the work authorized under this permit ro be considered legal, such work must comply with all,appl required Inepectbee and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the;ezpiral FOR INSPECTIONS CALL: (714) 754-5628 �:ic:�;�.�i AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 ao.00 $9.80 $0.00 $0.00 QTY 0 0 0 0 0 0 1 0 0 1 0 0 lutes antl related / led or abandoned ile codes, and all of this permit. WORKERS'COMPENSAnON DECLARATON: � - I �ereby ettirtn untler penelty of perjury one ol ihe lollowing daclarations: . ❑ I have and will mainlain a certificate oF consent to seli-Insure for workers' compensation, es providetl for by section 3700 of the Labor Code, tor lhe pertormance ot the work tor which thls permit is issuetl. ❑ I have antl will maintain workers' compenselion insurance, es requiretl by sectlon 3700 oi the Labor Cotle, lor ihe Oertormance oi tha work br which this pertnit is issuetl. My workers' compensallon Insurflnce carrier entl pollcy numbar ere: Carrier: Policy Num�ec (This section need no( be completed i! Ihe permit is valuetl et one hundred dW/ars (S 700) or /ess.) ❑ I certify Ihat in Ihe peAormence of lhe work for which ihis pertnit is issued, I shall not employ eny person in any menner so es to become subject to the workers' compensatlon lews ol Califomia, and agrae that it I should Eecome sub�ect Io the workers' compensation proWsions ol Sectlon 3700 0l Ihe Labor Cotle, I shall torthwith comply with these provisions. Applicam Signeture: Date: WARNINO: FAILURE TO SECUFE WORKERS' C/JAIPENSATION CAVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENAITIES AND qVi� FMES UP TOONE MUNORED TiqUSAND OOLLARE (5100,000), IN ADDITIIXJ TO THE C0.5T Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGiION 3)OB OF THE LABOR COOE, INTEREST, AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I hereDy aNirtn �hat I am licensed under provisions of CheO�er 9(commencing wit� Sectlon 7000) of DiNsion 3 0l the Business antl Professions Code, and my licensa Is In full farce and eflecL Llc. M Cless N ContractoYs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ellirtn thet Ihere is a wnswction lending egenry br Ihe pedormance ot the work tor which Ihis pertnit is issued. (Sec 3097, Civil Code). Lenders Name: LenAer'S AOdress: Signeture: Date: OWNER•BUILDER DECLARATONS: I hereby eNirm thet untler penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business anA Professlons Cotle: Any city or county which requires a permit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant for such permit to ille e signetl stetement Ihet he or she is licen5ed purbuenl to ihe D�ovlsions af Ihe Gontracbrs License Lew (Chapter 9(commencing with Section 7000) at Divislon 3 of the Business antl Professions Code) or thet he or she is axempt therefrom end the basis for the alleged exemption. Any violelion of Section 7031.5 by any appllcant for e pertnit sublects iha applicant to a civil penalry of not more ihan five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages es thelr sole compensation, WILL DO 7ME WORK, antl ihe sWCWre is not intended or ottered for sale (Sec. 7044, Business end Pmfessions Code: 7he Coniractors License Lew does not apply to an owner oi propeny who builds or improves Ihereon, and who does such work himsell or hereall or throu9h �is or her own employees, provided iha� such Improvements are not Inlendetl or oHered for sele. If, however, Ihe building or improvement is sold within one year of completion, the owner-builtler will heve t�e burtlen oi pmving ihat he or she did not build or improve fa purpose of sale.). � ❑ I, e5 ownor Of the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business antl Professions Code: The con ctors License Law tloes not epply to an owner ol property who builds or improves theraon, end who comrects for such project with e contractor(s) �license pursua t o ihe Contractors License LawsJ. I xe 1 u er s. Business antl Professions Cotle for this reason: Signatur � � E�pir�� % / O% VeriliWtion of Ownership by (rype of daument i.e. - properry tax bill or tlae ' DIVISION OF INDUSTRIAL SAFETV 7ERMIT CERTIFICATION: ❑ I hereby ceriify ihat no exwvatlon tive (5) or more feet in tlepth Inlo which e person is required to descend, will be meda in connection with work authorized Dy this pertnit, and Ihat no builtling structure, scaHolding, lalsework, or tlemolilion or dismantlinq thereoi, will be more than �hirry-six (36) feet high. (Chap. 32, Grp 2, AR 2, Sec. 341, Title 8, Celitomia Administretive Code). ❑ As owner�builder, I wiil not employ anyone to tlo work which would require a permi� irom the DiviSion of InduS�riel Sateiy, as noted ebove, unlass such parson he9 8 permit to tlo such work irom Ihe tlivision. SigneWre: Date: Division a� Indusirial Sefety Permit Number: CERTIFlCATE OI MPLIANCE AND AUfHORIZATON OF EMRY: I certity under penalry of perjury that I hava reed �hls apDliwtion antl state Ihat the intortnation given is correct. I agree t co ply with all state laws end ciry ordinances relating to builtling consiruction, end authodze representatives ot ihe Ciry ot Cwta Mesa to enter upon the above-describad p p ny for insp Mn pufpwses. I egree not to occuDY a� allow occupancy of any building authorized by this per R ntil final inspection. , 8-,�o z . Signat eO�Oyu (s) ^�e ` G�� ♦ � Md/Or Authonzed ApPllcant e COOE �' INSPECTIONTYPE � 161fi Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final R8-Root 201 Final BIocWRetainin9 Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition �g �� INTffIALS " f�f� INSPECTONTYYE -206 Final Mechanical 208 Final Plumbing 210 Finel Elecirical 212 Flnel Fire Prevention 220 Final Planning Approval 222 Finel Siie 250 Final Builtlinq/Occupency PAIE I�LS .3-��O`f � (714) 754-5273 • Fax (714) 754�4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, GA 92626 Job Address: 990 POST RD Suite No Vicinity: Parcel Nunmber: 14123210 Applicant: MISN�R, SCOTT Address: 990 POST RD COSTq MESA, CA Owner. MISNER, SCOTT Address 990 POST RD COSTq MESA, CA Contractor: OW N�R-BUILDER Address: Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clanfer System Connecl Qce,Soda,etc) Dental Unils Dishwasher Drain, Floor Drain, Rainwater Drain, Roof PLUMBING PERMIT Status: ISSUED Applied: 07/30/2003 Issued: 07/30/2003 ISSUED BY: C Phone: 949-633-8770 Zip: 92626 Phane: 949-633-8770 Zip: 92626 Phone: Zip: License: 000000 Phone: Zip: License: SCOPE OF PERMIT REMOVE AND REPLACE 6 EXIST. WINDOWS WITH SAME SIZE. WINDOWS IN THE BEDROOMS SHALL COMPLY WITH SEC 310.4 OF THE 2001 CBC. 1 DISHWASHER, 1 GAS OUTLET , 1 KITCHEN SINK, 1 WATER HEATER AND 1 WATER REPIPE AMT $23,50 $0,00 $0,00 $0,00 So,00 $0,00 $0,00 $9,80 $0,00 $0,00 so.00 FEE SUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank 50.00 1� Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 o snowe� $o.00 QTY 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool T2p Pnmer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set waste antl vent System Water Closet (Toileq Water Heater / vent AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 QTY 0 0 0 0 0 0 0 0 0 0 1 NO710E: The work authodzed by fhis permit shall comply with all applicable handicap access requirements under Calitornia'statutes and related regulations. (Ord. No. 9248, § 1, 12-2b92) / EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. ,' ! INSPECTIONS: In order for thp work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetions 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 2dd6-06 (N00) WORKERS' COMPENSATION DECLARATION: � I hereby eHirm under penelty ol perjury one of ihe following declaretions: ❑ I have and will maintain a ceniticale ot cronsent to selt-Insure for workers' compensation, es provitletl tor by section 3700 of the Labor Code, for the peAormance of Ihe work for which this permit is issuetl. ❑ I have an� will maintain workers' compensation insuranca, as required 6y section 3700 of the Labor Code, tor tha pertormance of the work for which this permit is iuuetl. My workers' compensation Insurance carrier end policy number are: Cerrier. Policy Number: (This secfion need not be compleretl il the permit is velued ef one hundred dollars ($100) or IessJ ❑ I cetlity that in the pertormance ol Ihe work for which this pertnit is issuetl, I shall not employ any person in eny manner sa es to become sublect to ihe workars' compensation laws of Calllomla, entl egree Ihat if I should become suDject to the workers' compensation provisions oi SecOon 3700 of the Lebor Code, I shell forthwith comply with Ihesa provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIpJ COVEiU6E IS UNLAWFUL AND SWLLL SUBIECT Ml EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED TFN%15AND OOLLARE (5100.000), IN ADDRION TO THE COST OF COMPENSATION, DMWGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSE� CON7RAC70RS OECLARATION: I hereby eHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code, end my license is in tull larce and aflact. Lic. N Class a Comrectofs Signewre: Oate: CONSTRUCTON LENDING AGENCY: � I �ereby aNirtn that t�ere is e consiruclion lending agenty for Ihe peAormance of Ihe work tor which t�is permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's Atldress: SlgneNre: Date: OWNER-BUILDER DECLARATIONS: I here6y eNirm thet untler penelry ot perjury �hat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Pmfesslons Cotla: Any ciry or county whic� requires e pertnit to cons�ruct, elter, improve, demolish, or repair eny strucWre, pnor �o its Issuance, also requires Ihe applicant tor such permit to tile a signetl stetement thel he ar she Is Ilcensetl pursuent to t�e pmvisions oi the Contrectors license Lew (Chaptar 9(commencing with Section 7000) af Division 3 of the Business and Professions Code) or Ihet he or she is exempt iherefrom end ihe besis lor tha elleged ezemption. Any vlolelion ol Section 7031.5 by eny appllcant for a Dertnit subjects Ihe applicant to e civil penalry of not more than fve hundred tlollars (S`�0).): ❑ I, as owner ot the property, or my employees with wages es their sole compensation, WILL DO TNE WORK, and ihe struc�ure is not intendetl or oHered for sela (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply to en owner of Oroperty who builds or improves thereon, and who does such work himself or herself or Ihrough his w her awn employees, provided that such improvemants ere not Intended or oflered for sele. If, however, the builtling or improvement is soltl within one year ot completion, the owner-builder will heve �he burden of proving that he ar s�e tlitl not �uild or improve for purpose of sale.). ' ❑ I, as own the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: Th co trettors Llcense Lew does noi epp1Y Io an owner ol property who bulltls or Impmves thereon, end who con�racts tor such pmject wilh a conlrectoQs) /license pu u t to the Coniracwrs License Laws.). Business and Professions Code for Ihis reason: Owner ID veliii�d by drivers Ilcense. [3yfes ❑ No Verilication ot Ownership by pype ol document, i.e. - properry tvc bill or deetl): ete % � O Z � �J. E ires: _ �/ ,� L/ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity Ihat no excevation five (5) or more feet in tlepth into which a person Is required to descend, will be mede in connection with work amhorized by this permit, antl �hat no builtling structure, scaffolding, talsework, or demolition or dismamling Ihereof, will be more than thiny-siz (36) taet high. (Chep. 3.2, Grp 2, Atl 2, Sec. 341, Title 8, Celilornia Administrelive Cade). ❑ As owner-builder, I will not employ enyone to do work which would require e permit trom the Division oi Intlustnel Sefety, as noted above, unless such person hes e pertnit to do such work fram ihe division. Signa�ure: Date: Division of Intlustnal Safery Permit Number: CERTIFlCATE O PLIANCE AND AUTHORIZA710N OF ENTAY: I cenify under penelty of perjury ihat I have read ihis epplication and slate ihat Ihe information given is correct. I agree to on ply with all stete lews antl ciry ordinances relating to bullding construc�lon, and authoriza representetives of Ihe Ciry of Costa Mesa to emer upon Ihe above-descri6etl p tly tor ins , e not to oQcupy or allow xcupancy of eny building au�horized by ihis permit until final fispe lion. � 7�03 � gnaWreOlLe a Date Antl/Or Aut�orized Applicant Date CODE �. INSVECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 FInaI8lwWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition UATE INfiTI�LS COOEI INSPECTONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupanq i-5-('��i urv (714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 990 POST RD Suite No Vicinity: Parcel Number: 14123210 Applicant: SCOTT AND JULIE MISNER Address: 990 POST RD COSTA MESA, CA owner: SCOTT AND JULIE MISNER Address: 990 POST RD COSTA MESA, CA Contraclor: Address: OWNER-BUILDER REF 802-01312. 1 BATHROOM FAN ISSUE FEE Inst FAU <100 k BTU Insl FAU >100 k BTU Repair / Alt CoolingiHeat Insl / Rep. Recess Wall Htr Refig Sys <100 k B7U Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood wlMech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Hsater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry ISSUED BY: Phone: 949-631-7533 Zip: 92626 Phone: 949-631-7533 Zip: 92626 Phone: Zip: License: 000000 SCOPE OF PERMIT FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refngeration Unit Ventillatlon System Evaporative Cooler Commercia l I nci nerator Domestic Incineretor Compressors / Absorption Systems Up to 3 hp I 100 k BTU 3To15hp/SOOkBTU 15 TO 30 hp I 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Bailers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTALCALCULATE�FEES NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under regulations. (Ord. No. g2-2B, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if w for a period of 1 BO days. Status: ISSUED Applied: 08/01/2003 Issued: 08/01/2003 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 $30.75 antl related orabandoned INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepections and flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaaeee ��voo� WORKERS'COMPENSAnONOECLARATON: � � I hereby aXirtn under penalty ol perjury one of ihe following declaretions: ' , ❑ I have end will maintain a certificate of consent to sell-Insure tor workers'.compensation, es provided for by seciion 3700 of the Labor CoOe, tor the peAormance oi the work for which ihis permit 15 i55uetl. ❑ I have arW will maintain workers' mmpensatlon Insurence, as requiretl by section 3700 0l the Lebor Cotle, for Ne peAormence ot ihe work for wMch this pertnit is issued. My workers' compensation Insurence carrier and policy number are: Cartier. PWicy Numbec (Th/s secrion need not be completed il the permir is valuetl et one hundretl tlollers ($ I00) ar IessJ ❑ I cenity thai in the peAormence of the work for which this permit is issued, I shell not employ eny person in any menner so as to become subjact to t�e workers' compensation laws oi Califomla, end agree that if I shoultl become sub�ect to the workers' compensation pmdslons ol Section 3700 of the Labor Cotle, I shall forthwlth comply with these provision5. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE NUNDRED TlIOUSAND OOLLAFE (5100.000). IN ADdTICN TO THE COST OF COMPENSATIIXJ, DAMFGES 0.5 PfiOVIOED FOR IN SECTIIXJ 3106 OF THE IABOR C1�OE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACiORS DECLARATON: I hereDy eNirm that 1 am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is In full force end eHact. Lic. # CIa55 N Conirectors Signature: Dete: CONSTRUCTON LENDING AGENCY: � ❑ I hereby attirm that �here is a consiruction lending agency for the pertormance ol Ihe work tor which this permit is issuatl. (Sec. 3097, Civil Code). Lentlefs Name: Lenders Address: Signelure: Date: OWNER•BUILDER DECLARATIONS: I hereby eMirtn that under penalry of perjury ihat I em EXEMPT FROM THE CON7RACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county whic� requires a permit to construct, alter, improve, demolish, or repair eny stmcWre, prior to its Issuance, also requires the epplicant For such permit to tile e signed stetement Ihet he or she is licensetl pursuant to the provisions oi the Contrectors License Law (Chapter 9(commencing wlih Section 7000) ot Divislon 3 ot Ihe Business antl Professions Cotle) or Ihat he or she is exempt therefrom antl the Desis for the elleped ezemption. Any violelion of Section 7031.5 by eny applicant for a parmit subjects Ihe applicant to e civil penalry of nol more Ihan five hundred dollars ($500).): ❑ I, as awner al the praperty, or my employees with weges es t�elr sole wmpensatlon, WILL DO TNE WOHK, antl Ihe structure is not intended or oXered far sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to en owner ol propeny who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, proviUetl ihat such imprwements ara not intendetl or oHered tor sale. If, however, �he building or impmvemem is sold within one year of comptetion, ihe owneo-builtler will heve ihe 6urden oi proving ihat he or she did not build or improva for purpose oi sele.). � ❑ 1, as owner i the property, em E%CLUSIVEI.V CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Professions Code: The iractors License Lew tloes not epply to en owner ol property who bullds or Improves lhereon, and who contracts lor such pro�ect wlih a contracror(5) canse urs nt to the Contractors License Lews.). m ezem t nde � Business entl Pwfessions Cotla tor this reason: S newre: � S� 03 // � � � Owner ID veri ietl by tlriver's license. �Yes ❑ No Dnvefs License No. ��_� \`�Facpires �/� Venficatlon ot Ownership by (type ol document, i.e. - pmperry tez bill or dee . � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excevation five (5) or more leet in tlepth into which a person Is required to descend, will be made in connection with work euthorized by this permlt, and ihat no building stmcNre, scattolding, lelsework, or demolition or dismantling ihereo�, will be more than Ihi�y-sia (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Atlminisiretive Code). ❑ As owner-builder, I will nol employ anyone to do work which would requlre e permit fmm Ihe Division ot Industnel Setety, es noted above, unless such person hes a permit to do such work trom the division. Signature: Date: Division of IndusMal Sete�y Permit Numbar: CEHTFICATE OF LJ/WCE AND AUT}IORVA710N OF ENTRV: I certity under penalry of perjury that I have read this epplication entl state that ihe inlortnalion given is wrrecL I egree to c mp wi�h�� Ia�te laws and ciry ordinences relating to builtling conswccion, end authodze represeniatives ohtha Ciry ol Cosla Mesa to enter upon the ebove-described pro e forf6spxifd�ryoses. I agree not to occupy or ellow xcupancy ot any building authonzed by this per /t u y� I inspection. � 6✓ (LS -� Sionature' nerlsl � � ate And/Or Authorized Applicam COOE �, INSPECTONTYPE 7616 Fixetl System Final Fire Prevention 126fi Pool Spa Final 200 Finel Re-Roof 201 Final Black/Retalning Well 202 Finel Fectory Fire Place 203 FinalSign 204 Final Demolition � �u� . CODE♦ INSFECiIONTYPE -� 206 Final Mechanicel 20B Finel Plumbing 210 Final Electricel ' 212 Final Fire Prevention 220 Final Plenning Approval 222 250 Final Site Final Building/Occupancy 3-S-oy s�.v (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, Gn s2s2s Job Address: 9JO POST RD Suite No Vicinity: Parcel Number: 14123210 Applicant: MISNER, SCOTT Address: 990 POST RD COSTA MESA, CA Owner: MISNER, SCOTT Address: 990 POST RD COSTA MESA, CA Contracror. OWNER-BU ILDER Address: MECHANICAL PERMIT Phone: 949-633-8770 Zip: 92626 Phone: 949-633-8770 Zip: 92626 Phone: 2ip: License: 000000 ISSUED BY: Status: ISSUED Applied: 07/30/2003 Issued: 07/30/2003 SCOPE OF PERMIT REMOVE AND REPLACE 6 EXIST. WINDOWS WITH SAME SIZE. WINDOWS IN THE BEDROOMS SHALL COMPLY WITH SEC 310.4 OF THE 2001 CBC. 1 KITCHEN HOOD AND 2 BATHROOM VENTS FANS. NEW FAU < 700 BTU. FAU TO COMPLY WITH SEC.307.3 AND 306.4 OF THE 2001 CMC. 1-22" X30" ATTIC ACCESS WITHIN 20FT OF FAU UNIT. 2- CONTINUIOUS SOILD WALKWAY AT LEAST 24" WIDE. 3- LIGHT OVER UNIT WITH SWITCH AT ACCESS. ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall HU Refng Sys <100 k BTU Refrig Sys >100 k BTU Gas Pipin9 Factory Fireplace Hood w/Mech Exhaust VAV Bax Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 70000cfm Air Handlers > 10000cfm $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.65 $0.00 $14.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantity 1 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refngeration Unit Ventillation System Evaporalive Cooler Commercial I nci nerator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Upto3hp 3To15hp 15[o30hp 30 to 50 hp Over 50 hp NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is sus� tor a perioA oi 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all app required inapections and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expira� FOR INSPECTIONS CALL: (774) 7545626 {�� 2a664816V0) 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 30.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 and related orabandoned �le codes, and all of lhis permit. WORKERS'COMPENSAnON DECLARAnON: � � I hereby aHirm under penalty of perjury ona of ihe following tleclaretions: ❑ I have end will maintain a certificate oi wnsent to self-Insure for workers' compensation, as providetl for by section 3700 of [he Labor Cotle, for the peAormance oi the work for which this permi� is issued. ❑ I have and will meintain workers' compensation insuranca, as required by section 3700 of the Labor Cotle, for the peAortnance ot ihe work for which this pertnit is issued. My workers' compensation Insurance wrrier end policy number are: Carner: Policy Number: (This section need not be completed i! the permit is valued at one hundred dollars ($100) or Iess.J ❑ I certity that in ihe performance of ihe work for which this pertnit is issuetl, I shall not employ any person in eny manner so as to bacome subject to iha workers' compansation laws of Californla, antl egrae that if I should become sublect lo the workers' compensation pmvisions ot Section 3700 ot Ihe labor Code, 1 shell fonhwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENA�TIES AN� CIVIL FINES UP TOIXJE MUNDRED TFIOUSAND DOLLARE (5100,000), IN AODITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDEO FOR IN SECTION 3]W OF THE 1A80R CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby aHirm that I em licensed under provisions ot Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Pmfessions Code, and my license is in tull torce antl eNect. Lic. N Class n ConirectoYs Signawre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that ihere is a construction lentling agency tor the pertortnanca of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signawre: � Date: OWNER•BUILDER DEClARA710NS: I hereby ettirtn that under penelty of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professlons Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any simcfure, pdor to its issuance, also requires the applicant for such permit to file a signed statement Ihat he or she is licensed pursuent to Ihe pmvisions of Ihe Contractors License Law (Chepter 9(commencing with Seaion 7000) of Division 3 oi the Businass and Professions Code) or that he or she is ezempt therefrom and Ihe basis tor the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the ap0licant to a civil penalty of not more ihan five hundretl dollars ($500).): ❑ I, as owner of ihe property, or my employees wlth wages as their sole compensation, WILL DO THE WORK, and the sirucNre is not intended or ottered for sale (Sec. 7044, Business end ProFessions Code: The Con�ractors License Law tices no� apply to an owner oi property who 6uilds or improves Ihereon, and who does such work himself or herself or through his or her own employees, provitletl Ihei such Improvements are not Intende0 or oflered for sale. If, however, ihe builtling or improvement is sold within one year of completion, ihe ownervbuilder will have the burtlen ot proving that he or sha tlitl not build or impmve for purpose ot sale.). � ❑ I, es owne�ol'Ihe property, am EXCLUSIVELV CONTRACTMG WITH LICENSED CONTRACTORS to constma the project (Sec. 7044, Business antl Professions Code: The\contld�tors license Law does no� epply Io an owner of proparty who bulids or improvas ihareon, and who coniracts lor such pmject wiih a coNractor(s) / license pur�uanf to thaContractors License Lews.). Business and Professions Code lor this reason: Owner ID verifled �y tlnver's license. ❑ No D vers i 5e No. Venfication of Ownership by (type of document, i. .- property tax bill or daed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation fve (5) or more feet in tlepth in�o which a person is requiretl �o Oescend, will be matle in connec�ion with work authorized by this permit, and iha� no builtling structure, scallolding, falsework, or tlemolition or dismantling thereof, will be more than thiny-six (36) teet high. (Chep. 32, Grp 2, Atl 2, Sec. 341, Title e, California Administrative Code). ❑ As ownar-builder, I will not employ enyone to do work which would require a permit irom the Division of IndusMal Satery, as noted e6ove, unless such person hes a parmit to do such work irom the division. Signature: Date: Division of Industnal Safey Permit Number: CODE II, INSPECTIONTYYE 1616 Fixetl System Final Fire Preven�ion /266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRelaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ��7.\� INTRIALS CODEY INSPEC�IONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy �]JL 121111L1b � r \ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us . 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT .lob Address: 990 PQST RD Suite No Vicinity: ParcelNunmber: 14123210 Applicant: SCOTT MISNER Address: 990 POST RD COSTA MESA, CA Owner: SCOTT AND JULIE MISNER Address 990 POST RD COSTA MESA, CA Contrector: 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 t000a Service over 1000a Mo[ors to 1hp Motors to tOhp Motors to SOhp Motors l0 100hp Motors over 100hp Communication drops OWNER-BUILDER Phone: 949-631-7533 Zip: 92626 Phone: 949-631-7533 Zip: 92626 Phone: Zip: . License: 000000 Status: ISSUED Applied: 08/Otl2003 Issued: 08/01/2003 ISSUED B� // � �� r� � �= SCOPE OF PERMIT ADD 138 SF TO ENLARGE MASTER BEDRIOOM AND BATHROOM AND 190 SF SOLID ROOF PATIO. REF B03-01312 2 LIGHTS,6 OUTLETS, 2 SWITCHES 1 BATHROOM FAN. 523.50 $0.00 $0.00 $0.00 $0.00 $0.00 $2.20 �6.60 $2.20 50.00 $4.75 $0.00 $0.00 80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 2 6 2 0 1 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /�00 ft Standing Section Misc Electrical Equipment Transfortners 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 nde) Circus (mech ride ar lights) Christmas Tree Stand Fireworks Stand O[her ElecMcal Fee Investlgatlon Fee 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 $0.00 $0.00 I � i f f NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall aulomatically 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 the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , 2446d6 (N00) WORKERS'COMPENSATIOND�CLARAnON: I hereby eHirm under penal�y of perjury one of ihe following decleretions: �. . ' ❑ I'have and will maintain e certificate of consent to self-Insure for workers'�compensation, as provitletl br 6y section 3700 of the Labor Code, for the pedormance of �he work tor which this permit is issued. ❑ I have and will maintain workers' compansation insurence, as required by section 3700 ot the Wbor Cotle, br the peAortnance of ihe work tor whic� ihis pertnit is issued. My workers' compensation Insurance carrler and policy number are: . � Carner: Policy Number: (This section need not be cromplefed i! Ne permit is velued et ane huntlred tlallers ($100) or Iess.J ❑ I certity ihat in ihe performance of ihe work for which this permit is issuea, I shall not employ any person in eny manner so as to become subject m the workere' compensation laws of California, an� agree that If I should become sublect to Ihe workers' compensation provlslons of Sactlon 3700 ot tha Labor Code, I shall forthwith complY with these provisionA. Applicent Signature: Date: WARNING'. FAILURE TO SECURE WOqKERS' CAMPENSATION COVERA�E IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVEP TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDRED iFK)USAND OOLLAPE (5100.000�, IN AqDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOF CODE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm ihal I am lican5ed 4nder pmvisions of Chapter 9(commencing with Seclion 7000) of Division 3 oi lhe Business and Profession5 Code, end my license is in full torce antl eHect. Lic. # Cless # Contractofs Signawre: Date: CONSTRUCTION LENDING AGQNCY:. ❑ 1 hereby aNirtn that there is d consiruclion lending agency For the pertormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Adtlress: SignaWre: Date: OWNER-BUILDER DECLARA71qNS: I hereby aHirtn ihat under penelty of perjury that I am EXEMP7 FfiOM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires e pertnit to conslruct, alter, improve, demolish, or repair any stmcture, pnor to its issuance, also requires the applicaM for such permit to tile a signed statement that he or she is Ilcensed pursuant ro the provisions of the Conirectors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Business end Professions Cotle) vr that he or she is ezempt therefrom and Ne basis tor the alleged exemption. Any violation of Section 7031.5 by eny applicant for a pertnit subjects Ihe applicent to e civil penalry ot not more than five hundred dollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, and ihe sirucWre is not intendetl or ottereC tor sale (Sec. 7044, Business and Pmtessions Coae: Tha Comractors License law does not apply to an owner of O�operry who 6uilds or improves thereon, antl who doas such work himselF or herself or Ihrough his or her own employees, provitled that such improvements are not intended or oflered tor sale. If, however, the building or impmvement is sold within one year ot complelion, ihe owner-6uilder will have the burden of proving ihat he or she did not huild or improve tor purpose of sale.). ' ❑ I, as own of lhe property, 0m E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the praject (Sec. 7044, 8usiness antl Professions Code: Th nirectors Llcense Law does no� apply �o en owner of pmparly who bulltls or improves thereon, end who cnntracts for such project wl�� a contrector(s) licen5e pu nt %to �e CoNractors License WwS.). ❑/ I err`9xe yr�Ge�,cec(fQ _ .__ Business and Professions Code tor this reason: /� - .� / ID verified by dnvers Iicen58. CQ�Yas- ❑ No (6rivefs�ce' rt�,e No. Venfication ot Ownership by (rype oi documen6 i.e. - properry tax biil ar deed): DIVISION OF INDUSTRIAL SAF�7y pERM1T CERTIFILATION: ❑ 1 hereby certity that no excaVation tive (5) or more feat in depih into which a person is requiretl Io descend, will be made in connedion with work authorized by this permit, and that no building strucWre, scettolding, lalsework, or tlemoli�ion or tlismantling thereot, will be more than �hirry-six (36) taet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitornia Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit from the Division of IntlusMal Safety, as noted above, unless such person has a permit to do such work irom ihe division. SignaWre: Date: Division of Industnal Safery Permi� Number. CER7IFICATE OMPLJANCE qND AUTHORIZA710N OF ENTRY: I cenity under penalry of perjury that I have read Ihis epplication end state that the information given is correct. 1 agree mply with all state laws end ci�y ordinances relating �o building cons�ruction, and authorize representatives ot �he Ciry ot Coste Mesa to enter upon the ebove-tlescribed � pe ins ection purpos e ot to occupy or allow occupency of any buildinq authorized by Ihis pgtmi ntil fin I.ICPection. �L - SipnaWr OtLaaaLO er(s) And/Or Authorized Applicant CO�E 1. INSPECTIONTYPE ifit6 Fixatl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 FinalOemolition j1(�� ' � •" ' yO�F� INSGECTIONTYPE " • � � � 206 Final Mechanical 208 Final Plumbing � 210 • Final Elecinwl 212 Flnal Fire Prevention � 220 Final Planning Approval 222 Final Sita _ 250 Final Buildingij.lEcupen� PAIE Ixim�LS � n R�.� • � = � . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAtR DqIVE, COSTA MESA, GA 92626 ELECTRICAL PERMIT Job nddress: 990 POST RD Suite No Viciniry: Parcel Nunmber: Applicant: Address: 14123210 MISNER, SCOTT 990 POST RD COSTA MESA, CA Owner: MISNER, SCOTT Address 990 POST RD COSTA MESA, CA Contracror: O W N ER-B U I LD ER 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 thp Motors to 10hp Motors to SOhp ISSUED BY: Phone: 949-633-8770 Zip: 92626 Phone: 949-633-8770 Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 07/30/2003 Issued: 07/30/2003 SCOPE OF PERMIT REMOVE AND REPLACE 6 EXIST. WINDOWS WITH SAME SIZE. WINDOWS IN THE BEDROOMS SHALL COMPLY WITH SEC 310.4 OF THE 2001 CBC. 3 LIGHTS, 20 OUTLETS, 10 SWITCHES, 2 BATHROOM MOTOS ANS 1 COMBO SUB PANEL AND SERVICE METER UP TO 200 AMP. 11/25/03: SUPPLEMENTAL PERMIT TO ADD 21 LIGHT FIXTURES, 14 OUTLETS, 10 SWITCHES. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $24.92 $3222 522.00 50.00 $9.50 330.50 50.00 $0.00 $0.00 ao.00 $0.00 Quantity 0 0 0 24 34 20 0 2 7 0 0 0 0 0 FEE SUMMARY , Temp Dist Sys[em / Lighting Busway/t00ft' -. Standing Section Misc Electrical Equipment Trans(ormers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment � Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Quantity $0.00 . 0 So.00 0 50.00 0 $0.00 0 50.00 0 50.00 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 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 dayS. INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona and flnal approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 '.�r:�r;� .'yv ] WORKERS' COMPENSA710N DECLARA710N; I �ereby ettirm under penalry of perjury one of the tollowing declarations: ❑ I heve end will meintain a ceniticate oi consent to seli-Insure for workers' compensetion, as provided for by section 3700 of ihe Le6or Cotle, for the pedormence ot Ihe work for which ihis permit is Issued. ❑ I have end will maintain woAcers' compensaUon Insurance, es required by sectlon 3700 0l the Lebor Cotle, for the peAormence of the work for which this pertnit Is Issuee. My workers' compensation Insurence carrie� antl policy number ere: Cerner: Policy Number: ��`(Th��//��s s---ecfion need no( be completed i/ the permi( is valued af one hundred dollaro (5100) or /ess.) �cenity that in Ihe ped nce of the work �or which this permit is issued, I shall not employ any pereon in any manner so es to become subject to the workere' compensation laws of II mia, a gree Ihel If I should become subject to the workers' compensation provisions ol Sec ion 3700 of he Labor Code, I shall forthwilh comply wit� t�ese provi � � � — Applicant Signeture: Date: �� a� v3 WARNINO: FAILURE TO SECURE WORKERS' COMPENSNTIpJ COVEMGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOVER TO CRIMINAL PENALTI 5 AND QVIL FINES UP TOONE HUNDRED THOUSAND DOLURE (E100,OW), IN ADDITION TO THE �^T OF COMPENSATION, DAMAGES AS PFOVIOED FOR IN SECTION 3]OB OF THE UBOR CA�E, INTEREST, AND AT70RNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code, entl my license is in full torca antl aNect. Lic. a Cless a Conirectors SlgnaWre: Date: CONSTRUCTON LENDING AGENCY: �❑ I hereby aHirm that there is a consiruclion 18nding agency for the pedormance of Ihe work br which Ihis pertnil is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lenaers Atltlress: Signature: Data: OWNER-BUILDER DECLARATIONS: I here6y ettlrm ihat under penelty of perjury thet I em EXEMVT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which reQuires e permil to constmct, alter, imOrove, demolish, or repeir eny stmcWre, prior to its Issuance, elso requiras ihe epplicant for such permit ro flle e 5lgnetl Sfetem8ni (hat he or s�e Is Ilcens9d pursuanl b the pmvislons of the Contrectore License Lew (Chepter 9(commencing wiih Section 7000) of Divislon 3 0� the Busineu entl Professions Code) ar thet ha or she Is exempt Iherefrom end the besls for Ihe elleged exemption. Any violation at Sectlon 7031.5 by any epplicent for e pertnit s,�ub��ects Ihe epPlicant to e civil penelry of nol more than tive �undred dollers ($500).): L7 4 es owner of t�e properry, or my employeas wlth wages es iheir sole compensation, WILL DO THE WORK, end the s�ructure Is not intentled or oHered tor sale (Sec. 7044, Business antl Professions Cotle: The Comractors License Law does noI apply to an owner ot propeny who bui105 or impmves thereon, and who does such wo�k himsell or hereelf or through his or her awn employees, provided �hat such impravements are not intended or oNeretl for sale. If, howaver, �he building or Improvemant Is soltl within one year of completion, the ownd�-builder will have the burtlen oi proving Ihat �e or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, em EXCLUSIVE�Y CONTRACTING W ITH LICENSED CONTRACTORS to construd tha projed (Sec. 7044, Business anC Professions Code: Th ntrectors Licanse Law tloes not epply to an owner of pmDerty who builtls or Improves thereon, antl who contracts tor such project with a contrector(s) licen5e p s nt ta ihe Caniracrors LicenSe �aws.). ❑ I em exem nder c- Business ana Professions Code for this reason: SigneWre: �� Date: U3 , i Owner ID vedlietl by tldveYs license. ❑ Ves ❑ No DnvOrs License No. � � Expires: 7 // O�i Verificetion of Ownership by (typa ol tlocument, i.e. - property tex bill or tleed): DIVISION OF INDUSTRIAL SAFETV PEHMIT CEATIFICATON: ❑ I hereby certity ihat no excavation five (5) of more feel in depih into which a person is required to descend, will be mede in connection with work euthorized by �his pertniL and ihat no building sirudure, sceM0lding, falsework, or demolition or dismantling ihereof, will be more than Ihirry-six (36) feet high. (Chap, 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calilomia Atlministrative Code)� ❑ As owner�builder, I will not employ enyone to do work which woultl require e permlt Irom ihe Division ol Industrial Sefety, es noted above, unless such persan has e pertnit to do such work irom t�e division. SignaWre: Date: Divislon of Industrial Safery Pertnit Numbar: CER7IFlCATE COMVLIANCE AND AUiHORITA710N OF EN7AY: I certity under penalty ot perjury Nat I have read this epplication and state that the intormetlon given is correct. I egre o comply with all state laws en0 �ity orCinances relating to huilding construction, and euthodze representatives ot t a Giry ot ta Mesa to enter upon the ebove-UescriD prope or i pection purposes, � egree Llcoccupy or allow occupanty of any building authorized by t�is permit nttl final i s0ect�on. // '� �d7 Signatura Of Legal CN+ner(s) D e Antl/Or Authorized ApPlicant Date CODE t. INSPECTIONTYPE 1618 Flzetl System Final Fira Prevention 1288 Pool Spa Final 200 Finel Ra-Root 207 Flnal Block/Fletaining Well 202 Final Feciory Fira Place 203 Finel Sign 204 Finel Demolition �$ 4QpF� INSPEC710NTYPE 206 Finel Mechanical 20B Finel PlumDing 210 FinalElectncal 272 Flnal Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy QAg V�ELS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT .lob Address: 990 POST RD Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Atldress Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (7-2 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 7000a Motors to 1 hp Molors to 10hp Motors to SOhp 14123210 MISNER, SCOTT 990 POST RD COSTA MESA, CA MISNER, SCOTT 990 70ST RD COSTA MESA, CA OWNER-BUILDER Phone: 949-633-8770 Zip: 92626 Phone: 949-633-8770 Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 07/30/2003 Issued: 07/30/2003 ISSUED BY: � SCOPE OF PERMIT REMOVE AND REPLACE 6 EXIST. WINDOWS WITH SAME SIZE. WINDOWS IN THE BEDROOMS SHALL COMPLY WITH SEC 310.4 OF THE 2001 CBC. 3 LIGHTS, 20 OUTLETS, 10 SWITCHES, 2 BATHROOM MOTOS ANS 1 COMBO SUB PANEL AND SERVICE METER UP TO 200 AMP. $23.50 50.00 50.00 50.00 50.00 $0.00 $3.30 $22.00 $11.00 $0.00 $9.50 $30.50 $0.00 $0.00 $0.00 50.00 $0.00 Quantity 0 0 0 3 20 10 0 2 1 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway I100 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 kvalkw Low Voltage Equipment Low Volt Winng System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lighls) Christmas Tree Stand Fireworks Stand �uantiry $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 50.00 0 $0.00 0 $0.00 0 $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califoinia 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 oYk is suspended or abandoned for a period of 1 BO days. � i INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetions and linal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24a6d81N00� WORKERS' COMPENSATION DECLARA710N: � I here6y aRirm under penalty of perjury one of ihe tollowing tledaretions: ❑ I heve and will maintain a cenificate of wnsent ro self-Insure for workers' compensation, es provitled for 6y section 3700 of the Lebor Cotle, tor the peAortnance of the work for which this parmit is issued. 0 I have end will maintain workers' compensation Insurance, as required by section 3700 of ihe Labor Code, for Ihe pertormance ot the work for which Nis pertnit is issued. My workers' compensation Insurence carner and policy number are: Carrier: Policy Number: (This secfion need not be cromp/efed il the Oermi! is valuetl et one hundred dollars ($100) or lessJ ❑ I certih/ thet in the pertormance of the work br which this permit is issued, I shall not employ any person in any menner so es to become subject to ihe workers' compensation lews of Californla, and agree that if I should become subject to the workero' compensation provisions of Sectlon 3700 of ihe Labor Cotle, I shall torthwit� comply with these proNsions. Applicent Signeture: Date: WARNING: FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT FN EMPLOVER TO CPIMINAL PENALTIES AN� CIVIL FINES UP TOIXJE HUNDRED THOUSAN� OOLLARE (E100,000), IN ADDITION TO THE COST Oi CAMPENSATION, DAMAGES NS PROVI�ED FOF IN $EGTIpJ 3/O6 OF THE LABOR fADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAqAT10N: . I hereby aHirm Ihat I am licensed under provisions of Chapter 9(wmmencing wiN Section 7000) ot Division 3 of Ihe Business and Protessions Code, and my license is in tull forca antl eHect Lic. q Class a Contracbr's Signature: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHirtn that there is a construction lentling agency for ihe pedormance of ihe work for which �his pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentlefs Atldress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm that under panalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires e permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuanca, also requires the applicant for such pertnit [o tile fl signed statement that he or she is licensed pursuenl to Ihe provisions of the Comracrors License Law (Ghapter 9(commencing with Section 7000) oi Division 3 of ihe Business and Protessions Cotle) or that ha or she is exempt thereirom end ihe basis tor the alleged exemption. Any violation of Sadion 7031.5 by any applicant tor a permit subjects the applicant to a civil penalry of not more Ihan five huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employeas with weges as their sole compensation, WILL DO 7HE WORK, and the stmcwre Is not intentlad or oHered for sele (Sec. 7044, Business and Protessions Code: The Coniractors License Law does not apply �o an owner of property who builds or improves thereon, antl who dces such work himself ar hersetf or through his or her awn employaes, pravided thet such improvements are not intended or ottered for sale. It, however, ihe building or improvement is sold within one year of comptetion, lhe owner-builder will have the burden of provinq ihat he o� she did not build or improve for puryose of sale.). � ❑ 1, as owne ot the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the Oroject (SecJ044, Business and Pmfessions Code: Th nirectors License Ww does not apply to an owner of propetly who builtls or improves thereon, antl who contrac�s for such project with a contractor(s) ' ensa pu nt to the Contractors License Laws.). xem ntle Business and Professions Code lor this reason: nat e: %� o , � Owner ID venfi d by tlriver'S license. �O�es ❑ No D' fs LiC 8 No. Expires: 1[ O� Veritication of Ownership by (type of tlocumem, i.e. - property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby cetlify ihat no excavation tive (5) or more fee� in depih into which e person is required to descen4 will 6e made in connection with work authonzed by Ihis permit, and ihat no building siructure, scaffolding, falsework, or demolition or dismantiing t�ereot wiil be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Califomia Adminisirative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a permit irom ihe Division ol Industrial Sefety, as notetl ebove, unless such person has a permit to do such work from ihe division. Signature: Date: Division of Industrial Satety Permit Number. CERTIFICATE OF CO P ANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury ihat I have read ihis apD�ication and state that the information given is correcL I agree �o co ply with ell stete laws end ciry ordinances relating to 6uilding constmction, and euthonze represemetives ol the City ot Cos�a Mesa �o enter upon the ebove-descnbed prope for" rpases. I agree not to cupancy ot any building authonzed by ihis�rmi ntil fin � pection. Signat Of L er(s) / Da AnNOr Authorized Applicant Dare CODE 6 MSPECTIONTYPE QSjF IN IRL �I INSPECTIONTYPE 1616 Fixetl Sys[em Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 F' al Plumbi 200 Final Re-Roo� � 201 Finel BIocWRe�aining Well Fi ir vention 202 Final Fectory Fire Pla 2z0 Final Planning Appro 1 203 Finel Sign 222 Final Sita 204 Final Demolition 250 Final BuildinglOccupancy OATE INTIfULS �i PPOJECT AOOflESS: 9�j` O POST RD OWNEP'S NpME: LOPGZ � CHP.AIytS JR pooxess: 550 POST RD COSTA MESA,CA 52626 FNCH/ENGINEEfl: IIOUPESS: flEC.NO.: UNIi: UNIT: PEXMITTEE: CY:ARLF'.S I.OY�Z JR, (714)830-8438 aoosEss: gg0 POST RD COSTA MESA CA 92626 LICENSEO WNTNACTOB OECIAHATION: 1 �ereby atilrm Ihat I am Iicense0 unEer pmvisions ol Chapter 9(commencing vn�h Section 7000) o� Div�sion 3 of Ihe Business ana Pm�essions COtle, antl my licen5e is in �uli �orce antl eflecl. CITY UC.: STATE LIC.: CIASS: �a�e'. Signa�ury: WOFNEFS' COMPENSPTION OECLAPATION: I hereby afUrm thai I have a ceni�ica�e of cansenl �o sel4insure or a cenificate of Workers' 'Compensalian Insurance, or a cer(dietl capY ihereot (Seclian 9800. LaO. C). . ?OLICY NO.: E%P. OATE: COMPRNY: ❑ Cenified copy is hereby lumishetl. ❑ Cenitietl copy is liled wi�� the ciiy Buiiding �ivision. Dale: Applican�: E%EMPTION FPOM WOBREBS' COM7ENSpTION OECIAflATION: (This section neeU not be camplete0 if ihe permil is lar one hunOrea (g700) or less�. I cenily ��at in Ihe pedarmance of I�e work lor which this permil is issue0, I s�all no� employ any person in any manner so as �0 6ecome subletl Io Ihe WOBers' Compen5aiion Laws of Califorqia. Da�e'. Signamr¢� NOTICE: If, after making IAis �eclaration, you should become sublecl �o t�e Workers' Compensalion pwvisions o� �he Lahor Code. you must �orthwil� comOry with such pmviSions or this Dermi� shall �e tleemed revoketl. CONSTBUCTION LENOING pGENCY: I hereby affirm �ha� �here is a constmc�ion lending agency �or the DeAormance oi the work �or w�ich ��is permi� is i=.sued (Seclion 3097. Civ. C�. LENOEN: aoonEss: OWNEB BUILDEP OECLABBTION: I hereby aHirm �ha�l am exempl�mm Ihe Coniractors' S�aie License Law �orthe following reason �Seclion 7031.5 Busmess and Pmlessional CoOe'. Fny ciry af counry which requires a permit �o cons�mc�, al�er, impwve, tlemolish, or repair any simc�ure, prior lo ils issuance. also require� t�¢ applicanl for suth permit to tile a 5igneU s�a�ement �ha� he/she is licensed pursuan� to �he provisions o� Ihe Contractors' Siale license Law (Chapler 9(commencing with Seclion 7000) of Oivision 3 0� the Business and Pm�essians Code� or Ihat �e/she is exempt therefrom antl Ihe basis for the alieged ezemp�ion. Any violaiion o� Sec�ion 7031.5 by any applican� lor a permi� sublecls Ihe applicant to a civil penalry al no� more than live �unUred tlollarz (5500). I, as awner o� ��e pmpe�y or my employees with wages as t�eir sole compensalion. will Oo lhe work, antl Ihe ❑ simcWre is no� intended or ofieretl lor sale (Seclion 7044. Business and Pmtessianal Cade: The Con�rac�ors' S�ate License Law �� tloes no� appty �o an owner of a pwpehy who builtls or improves thereon, and who Ooes such wark himself/herself or �hmugh his ar her awn employees, pmvitle0 that such impmvemenls are nal intended or oflered lor sale. I�, howeve� ��e builtling or impwvemeni is soltl within one year ol complHtion. �he owner will have the burden o� provinp he/she did no� builU ot improue lor Ihe purpase o� sale). � � I, as owner of ihe property, am exclusively coniractinA with licensetl coniraclors to conslruct ihe pmject (Section 7p44, Business ❑ and Pmfessions CoOe T�e ConVactors' S�ate License Law Ooes not appty to an ownerof property who builAs or improves �hereon antl who conVac�s for suc� D�olecis wi�h a contracmqs)license pursuant m the Con�ractors' Sta�e License Law),I am aware Ihal pmol of Iheir Worker's CamDensation insurance shoWa Ue O�ovidetl m me. � � am e.empt unoer Section: A P 70 4 4 B. 8 P. C. mrmisreas��: �j0 CONTR`S OR fMPIn'�YF,Fi$� / n� ' Oate: _j� � . /Ow7er • [/ I tlo �ereby cenity that m aware ol antl untlersiantl lhe requiremems of Calitomi ealth J 5' Cotle ian 5505, 25533, an 25534 antl Iha� I or any fuWre builaing occupanl willlwill not (circle one) neetl Io comply wi�h saitl state cotles an0 �he requiremenls for a permil lor conslmciion or modificalian imm �he Air �ualitY Management DisVicl Residen�ial consimction applica�ions ar¢ ezempt imm Inese provisans. oaie: nooi��a��: IhereGy cerlityiha� I havereatlt�is ap01¢ation and sta�e �ha� the a�oveinformationis correci.l agreeto compty wi�� allci�y antl oitlmancesanOSlalelawsrelaling�obuildingconslmclianantlhereGyaulOorirerepresentativeso�t�isaly�oe upont�eahqvcme pmpeily In�nspeclion pur� � ( �ale: � gna�urg�. _ _ _ Oriver's License or Social Securiry a: i6ai�a6 White-0uiltlmg; Green—Cotle Enlorcement; Canary—Applicanl: Pink—Revenue; CITY OF CUST� NESA - BUILDZNG PERMIT PER� NU: 9 05082`_ PERMIT NO: H 050825 PLAN CHECK NO: N GOVT: N SliPP: N CONSTRUCTION 'tYPE; 5-N PERMIT TYPE: STR PURPOSE: AiT JOB DESCR:CPTION ; RESHEATH fi REROOP SFD WI1'H COMP Si3INGLES SQ F'T: 1,40U CLAIN VALUE: 1,400,00 CALC-VAI.L'E: 1,400.00 GROIJP OCC: R-3 /M-1 COMNENTS: SMOKE DETECiOR(S) RE�UIRED IN HONE, %�%3F��ih3fiE�1EiE�%ihihi(�3E34'ii�3EiFi(�k3EielEif7Fitrifi(�IFIE IFkiFjf3hiE7Ei6i(��IfiE3Fifi(�1fX-X�Ifj(�%�f�1F)P3(�Y.-%iE��if3(-3EfF#i'f�1Pi(�#34��iPiFk3FiFififlF# Z O N I N G R E Q U I R E M F. N T S S E T B A C K s" ------------ NAIN Bf.IILDING --------- --------- ACCF.SSORY B[1ILD:IivG --------- FRNT: tT TN REAR: rT IN FRNT: F'i TN REAR; ?T TN LEFT: FT IN RGHT; ' FT IN. LcFT; FT TN RGH'P; FT IN PARKING REQ • PROV; PARCEL: 1417.3?.10 ZNE: REr NU: PLr�iNING NfSTES> � �%�%3f iF iF �le X� d't if i!� iE lE if �F �E 3P iE i(�!F Jf i(� iE 3f �F �IE 3E i( 3(� W 3E �)f 3E iF 3E iE i(�-%-lE 3E df if iE if iE iF # 3h �E-% li-iE iE %�(� �16 iE 1E �IF 3E if� iE �1(� �If ]E 9F i't ie x� if ##- k iE 3i� 3f �IF � iE iE 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 N E N T S ZONING APPROV,ED HY DATE: BUILUING APPROVED BY : DATE: APPLICATION ISS[JED RY: DATE: %- iE�1E3Ei43fiF�7E�l(�IFi(�-IfiE�FiE3FiCiE3E1F3fifiE r-f xrc�- c 3F7t TiF�£� .. . t ..�r � t - FiFi�TiFltn iEiEiF�lEiEififfp%i(� -. . w 3EiE iFif%�%�9E�ltif�lE�%lElFafif%K�If%��)f3h%%!f�%1E3EiE3E3E�ciE3E�7(iEiE�Ei(�N�3FiC�E�N�iflf3'riE�IfiF�E � EiPiFIFif#ifiE�lF1E7E-7ciE)Faf�1F�lE�lE�1FlhiFa4#M�7EN��1'rN�#it LEGAL:IZATION:Y F E E S U M M A R Y STRUCTTJRAL SEGM6NT:Y HLDG FMT' PI,UMBING ELEC1'RI(� MECHANIC FIRF' SM,iP/RES'� GRADING PERMIT G6.00 .,SD�r SMIP/NON-RaS PLAN - ISSiIE FEE BUILDING-DIV-> PcRMIT �SSGc FLAN-CHECK TorALs----> 66.50 0.00 0.00 kEC'ENUE DIVISIUN TOTALS--> CULI.ECTED: 9LDG PN'i' PI,UMBING FLEC'fRIC MECFIAh3IC 66.00 . TOTAL PAZD DUE 66.50 66,50 ' .00 66.50 OVER/SfiORZ'; 00 F'IRE SMIP/7'OT GRADING� PLAN-CHECI{ .50 �1E iF �%#-)F �7E 3(� %iE if iF-k It%if� � lF �]F M� %� iE iE 3h iF N� 3f iFi(� �IF # 3F �F If iE 3F af # i6 3E �k� dF �IE 7( %iE IE lE �1F if'.f ii� 3E iE i(� ih 9E ft ih �E %� �� ie iF %iE�7e jE;f iE iF 3f iE 3F 3Flf iF �%� # 3f I N D I V I D U A L F E E B R E A K D O W N TYFE QTY D E S C R � P T I O N UNIT COST TOTAL C05T SFR 1400 REROOF BY VALUH �ESIDENIAL N07.ONE 1.00 1,400,00 �i END OF FEES M EXPIRED Incomplete Inspections � Sig �\ vate �_ - o �� \ oi onn794�L-oao744+2 ��_a�- �e.s� QA'E: QU29/9i TIt1E: 15i�1; LI . � CONSTRUCTION AND PLANNING � -'� & SPA � APPROVALS 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 Utility-Undrgrnd. 54. Forms �� " 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test r� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �,` 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, d Undrgrnd., Test ' 9. Watsr Pipe�Undrgmd. 60. Backwash Lines, P-Trap, O Undrg nd. 10. Structural FloorSystem 67. APPROVALTO�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 Electrical-Conduit 66. Solar SYstem-Fi�al � 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 J 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating - . 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test � . 72. Underground Flush • . 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Ba� Ceiling {Structurall & M000coat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe ' , - 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � i. 29. Insulation �R..� 78. FIRE PREV. FINAL - ' 30. Drywall Nailing � �J �� HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat . . 79. FINAL INSPECTION 32. Electrical Power Meter-Final ' " 80. FOOD CERTIFICATE ISSUED �� „ ., `, 33. Final Electric � � Notes: � 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test 36. Hood or Canopy ° / 37. Fina� Factory Flreplace �� - 38. Final Plumbing � � i � 39. Wate� Service-Final � � � 40. Gas Service-Final � �. 47. Solaf DomesticFinal ' 42. Backflow Preventer • I 43. Backflow Irrigation � �'+� ti 44. La�dscape Irrigation System .- 45. Sound Attenuation E X P 1 F2 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING Vate -� Slg 48. FINAL PLANNING � ` 49. Electric Release to Edison � ' i;,'� ' 50. Gas Release to Southern California Gas Cu i%r 51. CERTIFICATE OF OCCUPANCY � No. Date OWNER �,�.�i�S H�i`iE'.'S oATe5-�8-5b JOBADDRESS 990 Post Road BUILDINGPERMITNO. 3�73 GENERALCONTRACTOR Welcome Homes VALUE $ 9�%6�,�� or 65 e�ocK TRACT 2896 Single Res. w/att gar GROUP I S. J TVPE V ZONE RL FIREDISTRICT 4i17 INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITSINUUryEBD Foundation FormS and G� Rough Framing Plumbing, Rougi Ia Plumbing. Rough Comple Temporarv Pole Heating, Rough YYGC /�/J/g/$3 „ ' Heating, Final _ � _ , � � � � �� , � /� d -iL -s G- .�� i( � — st. Septic Tank or 6fsspool Lathinq,ln O Plumbing, Final, Fixtures Plumbing, Final Gas Test Wiring, Final Occupancy FORM 310 3M �O�^v5 - Costa Mesa Bnilding Department APPLIGATION FOR PERrIIT _ P.o.eo.a�� 3�.g�3 gUiLDING 7 "' COSTA MESA, CALIFORNIA FOR OF'FICE USE ONLY FOR APPLICANT TO FII.L IN Receipt No. Permlt No. Building I �y D .7 � Address 0 Post R�d 9 Costa, Mesa, California Received by oate rtec•d. oate �ssued Nearest J- �� /�� CrossSt. B9bb Building Address owner ll`elcome Homes, Ino. Mail Costa Mesa, California nddress �28 ti7astminster Ave. , Nearest 7t�. Cross S C(ty �estrunster No,Pem. 5711 Zone ,/ No.of Type Group Architector Lic. "� I P�ans I �y Engineer No. Approved b Date Address CORRECTIONS co�cracto�elooire iIo�s, Ino. N�aYLic.�78 — nadreu �8 ti�ostminster, Ave., ' Legal Lot �r I Description I No. vl I Block I Tract2�6 - � (Attach Metesand Bounds) - � ' No. of Bldgs s�zeot�a 60x102 I rvowon�ot Plone I, o l�se of No. of No. oi ✓ - _ z Existing Bldg. rlpne I Familles I Rooma 7 Setback Line trom Rear Vard . ��' ' � 1 %� ' � � Center oT Street �� Ft• Side Vard Ft. �^_ „ Z n�� D DESCRIP'1'ION OF WORH V�� _ F_ r �r v" _ New I X I Alteretion I I Addition I Repair I I Moving I I Demolish I �� Building No.at size 25�-F% Rooms 6 stories 1 Exterior Wall Roof Coveriny Stucco cover�ny ��ood APPROVALS Use ot New Building S11'lgle family re8idoace arid Foundation Location Inspector � Date Forms, Materials, txo car garage attached. under-Pinniny S Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. ' with all Clty Ordi9� and Sta Laws r gulating building mnstruc�q}j��'""'_ "� � Lath. Ext Signatureof �� Permittee Plaster, Int Authorized Plaster, Ext. Valuatlo `� � Permlt Fea $ O� � Masonry Reinforced $ � � ` � Plan Check $ � Bond Beam ��j Total / Fee �{� � I FINAL Fowm 3oa io.+� o. v, e s. . � �. u c � n 0 � a Street PLOT PLAN Show Iocatlan and distancee irom propeRy Ilne and between huildinga ��sY 1 B•S�i� tE§�o17E.,¢. .. ..� -�F.�O .� � . , • _,� .... „. _. .. � � . o. � co , . , „„ ' „ , _ � � ,. Jl: . � � .�. f �. .j � 1 `': : �^^' n��;; � _ c� ^n. a ' � - � . .I1 • • . - 'J .� _ ��`` Q \•1� � � � \..� -SJ �n��` .\�`\ '\ j\ •.` • `l.~1.'.i��.�l� ,`\ _,��.` . ` .� •� \. \ , � �. ...� . . _. . ^ ., .,��" �' � \ �. 1 \ �.. � . . BUILDING WOI2K SUBCONTitACTOR �"` 26247 OSTA MESA BUILDINGSAPETY DEPARTMENr P.O. BO1C 7Y00 � COSTA MESA, GALIFORNIA Y26Z! for Applican! to Pill In Completofy TYPE OR PRINT eo��o�Ha 99p J AOORES9 COSTA MESA, CALIFORNIA owrrere `Ui 0 S $ MAIL 97 � �� % 1[ %i ennoraa � ?/f /O 30 No:' S�fY J-S Z O X /02 � .ew°�."°°'• un[ rnoe iFT � �—L 'I I RIONT DESCRIPTION O� WORK OCi 13-66 00 572A�*�+�*Z2.50 APPLICATION FOR PERMR BUILDIN(3 For Offlce Use Only NO. ZONING zo xo. or uo[ or niw _ runs `'L, euuoino ��y�Jl �o� ,Cof �.s T - z894 DiICRI'TION A. P. NO. ��/ _ G � � '� �Q NOTl: NO GV[ OV[RHANO SHALL BE L888 TXAN YARDB MPROVCD MAIN BUILOIN6 �tFROMC/ YTR6[T) � r�eonr O rr. G / � R. DID[ / L. YID D PT. � � RiAR - RT. DIYTANCt !R. MAIN BLD Y. � rM. SC e x � Hew¢e� wGRNOWLdO06 TIIAT 1 XAVi p6Ap TNIY ARLIGT�ON ANO BT�TB'lXAT TN[ AOOVB 1� CORRiR�ANO AOp6i TO COM. PLY WITH ALL CITY OROJNANCtl AND �TAT[ LAWY R[GYLATINO BUI{.OINOCONBTpOC� N. SIGNATUqE ON w^,' �, /�,,,� D �� PERMITTH �� L �/✓�-VKA�O'"L AUTHORIZQD AGtNT YARD9APPROVHD ACCEG80RYBUILDINO 5 , d [r ORi �� /"� / owTe j a i P� { ?A/ir � � 2 �. �. � 0 TiC I�MOUNT 6NOWM lINO6R VALYATON IB FOR TX6 j ■YRPo98 OP [BTABLIBNINO A PEPYIT FH8 ONLY. J, VALUATION ��06 � � PERMIT FEE F s � �O� � w TOTAL FEE S ��