The URL can be used to link to this page

Home My WebLink About306 PRINCETON DR - Building PermitsCITY OF COSTA MESA BI/ILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Jobnddress: 306 PRINCETON DR Suite No Vicinity: WATER SERVICE Parcel Nunmber: 14198321 Applicant: Address: Owner: DAVID MONTANO MAROLD, JEANNINE V PLUMBING PERMIT Phone: (714)430-1145 Zip: Address 306 PRINCETON DR Phone: COSTA MESA, CA Zip: 92626 Contractor: GEORGE BRAZIL PLUMBING, HTG. Address: 3801 LENAWEE AV ArchlEng: Address: CUWER CITY, CA Phone: 310-253-5229 Zip: 90232 License: 679898 Phone: Zip: License: SCOPE OF PERMIT REPLACE EXISTING WATER SERVICE FROM METER TO THE HOUSE. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlels) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEESUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, floor $0.00 Sink, kitchen $0.00 Sink, service/mop �$0.00 Spa (private) $0.00� Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PERMIT T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/02/1999 Issued: 08/02/1999 ISSUED BY: � � SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set - Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.75 QTY 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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) 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 Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona end final approval must be obtained. Failure to obtain inspections and final epproval will result in the ezpiration of this parmit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSAnON DECLARATON: � I hereby ettirm under penelry of perjury one oi Ihe tollowing tleclarations: ❑ I have antl will mainiain a catliticate ot consent to setl-Insure for workers' compensation, es provitled for by sectlon 3700 of the Lebor Code, br the pertormence ot Ihe work for which ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 ot lhe Labor Code, tor Ihe peAortnflnce ot Iha work tor which Ihis pertnit is issued. My workers' compensation Insurance cerner end policy number ere: Carrier. Policy Number. (This section nesd nof be cromplefed il fhe permit is velued et one huntlred tlollers ($700J or Iess.J I certity ihat In ihe pertormancqof ihe work lor which Ihis permit is issued, I shall not employ eny person in any manner so es to become subject lo tha workers' compensation laws of C�ali(o t5 antl agre et if I shoultl become subject to the workers' compensation provisions of Secyon 33700 ot the Labor Code, I shall foM1hwith comply with these p�aGisions. / /p � Applicant SignaNre: � "' Date: �'� // WARNING: FAILURE TO ECURE WORKERS' COA9PENSATIIXJ WVERAGE IS UNIAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CfiIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND D011ARE ($100.0OO�.IN ADOITION TOTHE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3'!OB OF THE LABOq CODE, IMEREST, M!D ATTORNEY'S FEES. LICENSED CON7RACTORS DECLARATON: I hereby aNirm that I am torce and eflect Lia �t _ Contraaors Siqnature: wit� Section 7000) oF Division 3 ot �he Business end Professions Code, antl my license is In tull _ Cless x � _ oate: � Z — i CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn ihat ihere is a consiruciion lending agency for tha pertortnance oi �he work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lenders Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe Following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnit to construct, alter, improve, tlemolish, or repeir eny siructure, prior to its Issuanca, elso requires ihe applicent tor such permit to tila a signed statemant Ihat he or she is licensetl pursuant to the provisions of ihe Conlracbrs License Lew (Chapter 9(wmmencing with Section 7000) of DiWsion 3 ot the eusiness and Professions Cotle) or that he or she is exempt Iherefrom and ihe basis lor ihe elleged ezemptlon. Any Wolation oi Sectlon 7037.5 by eny epplicant tor a pertnit subjects the applicant to e civil penalry oi not more then fiva hundreA tlollars ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compenselion, WILL DO THE WORK, antl the slructure is not intended or otteretl for sale (Sec. 7044, Busineu antl Professions Cotle: The Contractors License Law does not epply to en owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employees, D�ovitletl that suc� improvements ere not iniended or ottered for sale. If, however, Ihe building or improvement is sold within one year of completion, ihe ownerbuilder will have the burden of proving that he or she did not builtl or improve for puryose of sale.). ❑ I, as owner of the property, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo construct the proJect (Sec. 7044, Business antl Professlons Code: The coniractors License Law does not epply to an owner of properry who builds or improves thereon, anA who coniracts for such prolect with a coniractor(s) licensa pursuant to the Contractars License Laws.). ❑ I am e:empt under sea Business antl Profeuions Code tor this reason: Signature: Date: Owner ID veritietl by tlrivers license. ❑ Ves ❑ No Drivefs License No. Expires: Venfication ot Ownership by (rype of document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I herehy cehify ihat no excavation tive (5) or more feet in tlep�h into which a person is required to tlescend, will be made In connection with work euthorizetl by Ihis permit, and that no building strucNra, swttolding, falsework, or demolition or dismantling Ihereot, will be more than thirty-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitamia Administretive Cade). ❑ As owner-builder, I will not employ anyone to do work which would require a parmit Irom ihe Division of Industrial Sefety, as noted above, unless such person has a pertnit to do such work from Ihe division. Signature: Date: Division of Intlusinal Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: I certify under penalry of perjury that I have read this applicetion and state that the infortnation givan is correct. I agrea to compl with all state laws antl city ordinances relating to building construction, and authorize representetives of Ihe City of Costa Mesa to enter upon Iha aDove-described proper � for inspection purposes. 1 agree nol to occupy or allow occupency of any builtling authonzed 6y this pertnit until finel inspection. COOE t, INSPECTIONTYVE 1616 Fixetl Syslem Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 FInaI8lock/Retaining Wall 202 Finel Fec�ory Fire Pleca 203 Final Sign 204 Finel Demoli[ion . 2a46<6 E9IE It�A49 CODE� wsvecnoxTrve 206 Final Mechenical 208 Finel Plumbing 210 Finel Electrical 212 Finel Fire Preventlon 220 Final Planning Approvel 222 FInalSite 250 Final Buildin�/Occupanc f� Z 81I% oa�a � AOPlicant to fill In alPspaces emcept thosc witnin heavr bo�eer lines antl slgn all avProD��ate tleclarations. PERMIT TRACT NO. LOT NO. UNIT NU. ' 953I �IIavI:. joL' TL CiTv oF cOS7a MESA CONSTRUCTION PERMIT ��aS Prdject nddress —30fi-prinpetqn ' ' , AppliCanl'S Mailing AdtlreSs ��(�$�j,nCetO*+ . TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Owner'S Narne �dLO� � Phon¢ �51 —�Q1 S � CONVERSION ❑ DEMOLISH ❑ OTHER q.p,.�6 , Zona DESCRIPTION OF WORK/USE OF BLDG. Address '�(1F+ Pri aCetO*+ � S Main Building: Accessory euilding: E Z Arch/Eng. License No. TVPE OF PERMIT GRADING�j - FOUNDATION STRVCTURaL T Front p Addle55 - ❑ TENANT ❑ ELECTRICAL yy PLUMBING ❑ MECHANICAL A qeaf � N Contracror'sNama S2ai's Plum6ln 891-1280 �'�THER � $ Phone C Right N Addresslmailing1�142 Rnlca ii104 H.R: 92649 PROJECTDESCRIPTION ScI.FT. oCCUaANCv K G CONSTRUCTION TVPE VALUATION 5 g �eft R CityLiCenSeNo. OLSH%H ZONE GRADINGCV.YDS. ACRES ` LICENSED CONTRACTOR DECLHRATION ' ' Ping. R¢f. # P3�kin R ./ �¢d E �D I her¢by attirm that I am licensetl untle� provisions of Cbarte� 9(commencing qemarks: Planning Notes: M (� with section ]000) of Division 3 of the Business antl Protessions Code, antl T \my Ilcense is in full (orce antl effect. LJcense Class LI ense 2 5 '� Date 4-16�8 Signamre - . � PWMBING PEES � . ' � \\ WORKERS' COMP,ENSATION DECLA(3ATION 62f SiOk � ShOW2�5 , ELECTRICAL , FEES � I hereDy affirm that 1 have a certilicate ot consent [o self-insure or a cer[Ificate (k oi Workers' Compensation Insurance, or a certitietl copy thereof (Section @ackflowPreventer ServiceSink � Automa[ic Washe� Transformer ❑ 75-50 KW ,O 3800, Lab. CJ : � PolicyNo.��$E{$�$0� Company AartfnrA Backflowlrrigation SewerCa - ❑SO+KW rti(ietl copy is her¢by furnishetl. 1n P COnS[fuctiOn POIe $ub. ertif4 ie1 �oa isyR ei�ea witn tne city BpiEHKJ � YSLUFi6 � NG Bathtubs • Sewer Connection Cooking Unit ' 'Meter ❑up co t00amps Date 25 Applitant� EXEMPT�ON FROM WORKERS' COMPENSATION DECLARATION Cld�ifi¢�5 SOIa� COIIecLOfS Dishwasher- Meter ❑Ov¢� 10� 3Tp5 (Thi55eCtion neetl not be completetl if the pe�mit is (or one huntlretl ($300) or �� less). Dishwasher Solar Piping d Dryers ❑Gas �Eiectric I certi( tha[ in th¢ ¢rformance of [he wo�k tor wNch tbi5 e�m� Sub PdOCI Y P 0 t is i55uetl, 1 shall not employ any person in any manner so as to become subject to the Drinkin9 Fountains Solar Tank ' Fan� �� Motors �0.1 HP �1'h- 8 Workers' Compensation LawS ot California. Date Signature Floor Drains Swimming Pool w/Spa � F.A.U. � IncSolar �9d5 HP �1615+ 'N0T10E: I1, atter making [his tleclaration, you shoultl become subjec[ to the . Wo�kers' ComOensation provision5 ot IhC Labo� CoEe, you must forthwith FIODfSi�kS U�I�dI comply with such provlsions.or .this Oermit shall be tleemetl revoketl. Fixtules' Microwave CONSTRUCTION LENDING AGENCV GaSSCrviCe 'OUtICts WaterCloSCt � ' DeViCeBoxeS PoleLiht I hereby af(Irm that �here is a construction lentling aqenCy fOr (he pGrformance 9 of the work for wnich thls permi[ is issuetl (Sec[ion 3097 Civ. CJ Intercept0�5 "Wate� Heate� � Outlets ' LenGer's Name Range Lentler's Atltlress Kitchen Sink Water Service OWNEP BUIIOEH OECLARATION Swi[Ches gj9� . I hereby a/tirm that I am oxempl from the Contractor'S LicenSe law (or th¢ LavatOri¢5 ' AUtO-WdSh , followin9 reason (Sectlon 7031.5 BuSiness antl Professional Cotle: Any ci[y or Garbage Disposal ; Standing Sections county whlch requires a permit to construc[, alter, improve, tlemolish or repalr P=Trap Laundry Trays Generator 00�5 KW �545 KW Trash Com acmr any StruCtur¢, prior to its issuance, also requires (he applicdnt fOr such permit P to fil¢ a signetl 5talemCnt [hat he/she IS licensetl pu�suant to [ho 0/ovisions of R001 D�ainS � ' - the Contractor'S License Law (Chapter 9(commencing wi[n SecUon 7000) ot . Divislon 3 of the Business antl Professlon5 Cotle� or thal M1¢/sh� i5 e%emOt . ' _ the�efrom antl thC basls for th¢ allegetl Bx¢mptlon. Any violatlOn ot $eclion � � 7031.5 by any applican[ for a permlt subjecls lhe appliwnt to d<ivil �nalty of not more than five huntlretl tlollars (5500). 3 � LJ I, ds owner of Ihc propertY �r my�emplOyCes with wage5 M thpir sole RBinSpeCtiOn Feo �$15 ISSUe FBe � compensation, will tlo Ine work, antl the StrUctu�e is not int¢ntletl or offe�etl RBinspetti00 FBB §75 .IAUB Fee $ 3 for sale (Section 7044, Business antl Professional Cotle: The Contractor's ' MECHANICAL ' PEES LiCenu Law tloe5 n0l apply t0 an ownei o( a prope�ty who builCs Or Imp�ove5 ' � thereon, antl who tloes such work nlm5el(/hetself or ihrou9h his or her own . DEVELOPMENT SERVICE$ REQUIREMENTS: , �A employees, provitletl thac such Improvements are not intentletl or ottered for Boiler � Hood or Type I ❑ sa1o. If, however, tne builtling or improvement iz zoltl wltnin one year ot com- Canopy Type I I ❑ Zo��ng Approvad By Date' bD pletloq tM1e owner wlll bave the burden Ot proving he/She Gitl not bulltl or im- DUCt - Und¢� Grou�d prove for the purpose oi 5ale). Buiftling Approved By Dat i ❑ I, as�owner of the property, am oxUusively coMractlng witn licensetl con- Duct-Structural ' Refrigeration SyStem ' Application ISSued�By Dat Iraclort to cons[ruct the project (Sectlon ]004. Business antl PrOfessions CoOe: ' . , ThC Contractor'S �icense Law does not� apply to an owner of Droperty who Duct - Ventilating ' ❑0�700,000 BTU ❑100,000 BTU bulltls or improves tnereon, ana wno contracts for such projects witn a con- . SU MARV OF FEES tractor(s1 Ilcense pursuant ro the Contracror•s License Law). I am aware that BUIIDING PERMIT $ SMIP $ proof of their Worker's Compensation inmran<e shaultl be providetl to me. Exhaust System ❑ MWtiple ❑ System RepaidAlteretiOn PLAN CHECK $ r PERMIT ❑ I am exempt under Section B. & P. C. for this reason Pirepl/Fact. Blt. ICBO # ' Fire Dampers � PLUMBI NG $�� 7� Ot! ISSUANCE § '�q� Date owner Heating System & Ducting Registers P�AN CHECK 25Yo $ ENEf:GY P.C. 3 i hereby certity that I have read this appiication antl state mat the above ❑0-100,000 BTU �100,OOOBT ELECTRICAL $ GRADING $ intormation is correcL I agree to rompiy with all city an0 munty ortlinances antl state Iaws reiatin9j�o buiiding construction, antl hereby authorize repre- � , ' � PLAN CHECK 50% $ MICROFILM ' S Senlative5 Of this ci[ to ¢n[er upon t abOve-Tentionetl PfoD rty of inspection purposes : y ` MECHANICAL $ TOTAL PEE $ S.00 Signature F Le � Reinspection Fae $15 luue Fee $ 3 PLAN CHECK �25% $ ' Driv¢r5' Li[ense o� 55 $ � � CMF 0865-46, rev. 10/B4 White - Builtling; Canary - Applitanq Pink - ACcounting; Goltlenrotl - Azsesso� CONSTRUCTION AND PLANNING { POOL & SPA � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electriral Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO CbVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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 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 20. Rough Factory Fireplace APPROVALS Permit# -_ 21_-Ducts, in Structure 70. Underground HYdro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoa[ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 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. Final Faaory Fireplace 38, Final Plumbing �j � �'�' (1� 39. Water Service-Final .`�` � �� 40. Gas Service-Final = � i ?'1 41. Solar pomestic-Final � ' , -.. 42. Backflow Preventer : j � 'r i 43. Backflow Irrigation � 44. Landscape Irrigation System � � � iw^�.. 45. Sound Attenuation .,, '�j�' 46. Handicap Regulations '?' 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison - _ 1� , !,� 50. Gas Release to Southem California Gas Co ': ift � �' 51. CERTIFICATE OF OCCUPANCY � �� No. Date Applicant to fill in all ipaces excepl tnose wilhin heavy Oortler lines antl sign all aDOropriate tleclarations. 058E 5/ I G/8�7 � n � CITY OF �OST MESA CONSTRUCTION PERMIT PER N3 3�a� TRACT NO. LOT NO. UNIT NO. , � V Projeci.Address ' � b TYPEOFCONSTRUCTION NEW ADD ERATION REPAIR AppliCanYsMailingAddreSs ` ❑ CONVERSION ❑ DEMOLISH ❑ OTHE q.p,# Zone Owner's Name Phone �� 1 — .3b� � A� y�,_ DESCRIPTION OF WORK/USE OF BLDG. � Address �� llu r� S Main Building: Accessory Building: Z Arch/Eng. License No. TVPE OF PERMIT GRADirv ❑.FOuivDATIOrv ❑ STRUCTURAL T Front p Add�255 � ❑ TENANT ❑ ELECTRICAL�IMBING ❑ MECHANICAL A Rear N Contracmr'sName Ph"�e ❑ OTHER . � , � PROJECT DESCRIPTION 50. FT. - OCCUPANCV C Right N K � AddreSslmailingl �ONSTRUCTIONTVPE � VALUATION$ S Left ' R (!�\ �. City Licenca No �J ZONE GRADIN CU. VDS. ACRES Ping. Ref. # P r in e/ � ed Q LICENSED CONTRACTOR DECLARATION I he�eby atfirm that I am licensetl untlev provisions of Charte� 9(commencing 0.emark5: Planning NOtes: M with section ]OOO) o� Division 3 of the Business antl Professions Code, antl T � my lice�se is in fu orc tl effect. 1 1t�� 5 \Lice Class ic¢ns o�dy1�— pLUMBING FEES Dat Si9nature WOR RS' C MPENSATION DECLARATIO Ba� Sink ShOw¢�5 ELECTRICAL FEES 1 hereby affirm tha[ I have a certi(iCate of consen to self-insure o� a certlflcate \ ot Workers' Compensation Insurance, or a certifie copy t er f(Sec n BackflowPreventer ServiceSink ,��y 3800, tab /r � Automatic Washer Transformer ❑ 15-50 KW \ Policy N Gf � o p9ny Backflowlrrigation SewerCap ConstructionPoleSub. ❑ 50+KW ff etl cop is hereby (urni5 Ce i e cit i Divis' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Dale ' Applican - EXEMPT ON F OM WO OMPENSATION DECLARATION � Cld�ifi2�5 5013� C0112Ct0�5 DiShwash2� Meter' �over 1002mp5 ' (Thissection neetl not be completetl if the permit is for one huntlretl ($300) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the Performance of Ihe work for which this perm�t is issuetl, I shail not employ any person in any manner so as to become subjecl to [he Drinking Fountains Solar Tank Fan Motors �0-7 HP Oi %- 8 Workers' Compensa[ion Laws of Calitornia. Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �16-15+ ' NOTICE: If, afler making this tlecla�ation, you ShoUltl b¢come subjec[ to [ite Wolkels' Compensalion provision5 of th¢ Ldbor Cotle, you must forthwith PIOOI Sinks Urin01 Flxtul25 Mic/Owdv¢ compty with su[h provisions or this pe�mit sttall be tleemetl revoketl. CONSTRUGTION LENDING AGENCV GasService Outl¢t5 Wyt¢�Closet DeviceBoxes PoleLi ht I herety affirm [hat there is a const�uction lentling agency tor the pertOrmance 9 ot the work for which this permit is i55uetl (Section 3097,,.Civ. C.) InlercepLOrS Wat¢r H¢ater Outlet5 ltntler's Name Range Lentler's Atltlress Kitchen Sink Water Service Switches Sign OWNER BUILDER OECLARATION I hereby ai(irm that I am exempt trom the ConVactar's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections followinq reawn (Section ]031.5 Business antl Professional Cotle: Qny ciW or county whicli requires a permit to construct, alteq improve, tlemobsn or repair P—Trap Laundry Trays Generator �0-5 KW �5-15 KW any sVucture, prior to its issuance, also requires the applican[ for such permit Trash Compactor to fiie a signetl statemen[ thdt he/she is licensetl pu�suant to the provisions ot Roof Droins the Contractor's Litense Law (Chapter 9(commencing with Sec[ion 7000) of DiviSion 3 of the Business antl Profesvons Cotle) or that he/she is exemp[ tnerefrom and the basis for Ne allegetl exemption. Any violation o( Sec[ion ]031.5 by any applicant for a permit subjects LM1e applicant to a civil penalty at not more than five huntl�etl t1011a�s ($500). $ 3 ❑ I, as owne� of the Property or my employee5 with wages as Iheir sole ReinSpBction Fee $15 ISSu¢ Fe¢ compensation, will tlo the work, antl [he structure is noi intentletl or offeretl Reinspection Fee $15 Issue Fee $ 3 for sale (Section �044, Business antl Professional' Cotle: The Contractor's MECHANICAL FEES license Law tloes not apply to an owner of a prope�ry who builtls or improve5 thereon, and who tloes such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, pwvitletl that such improvements are noi InrentleG or offeretl for Boiler Hood or Type I ❑ Zoning Approved By Date sale. If, however, the builtlinq or improvement is soltl within one year of com- Canopy Type II ❑ vletion, the owner will have the burtlen of proving he/she tlitl nof buim or im- Duct - Under Ground Building Approved By '� Dat� prove for the purpose of sale). ❑ I, as owner of [he pro0erty, am oxclusivaly contracting ifh licensetl wn- Duct -Strucmral Refrigeration SYstem Application Issued 9y Dat tractorsto construct the O�oject (Section 7044, Busine55 antl Professions Cotle: The ConVactor's license Law tloes not apply ro an owner af oroperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU ' buiids or improves thereon, antl who conVacts for such projects with a con- SUMMARV OF FEES tractor(s) imense pursuant ro the Contractor's License Law). I am aware Ihai ExhaustSystem ❑ Multiple ❑ SystemRepair/Alteration BUILDWG PERMIT $ SMIP $� proot of thev Worker's Compensation insurance Shoultl be Provitletl to me. PLAN CHECK $� PERMIT ❑ I am eaempt untler Section B. & P. C. (or this reason FirepNFacL Blt. ICBO # Fire Dampers � PLUMBING $ ISSUANCE $ v Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ i hereby certity that I have read tnis appiication and state that the above ❑0-100,000 BTU �100,OOOBT • ' ELECTRICAL $ GRADING $ information iz correcL I agree to comply with all city antl county ortlinances antl state laws r ting to builtling construction, antl hereby auth ize repre- PLAN CHECK � 50% $ MICROFILM $._�_ 1L Sentatives of city to'en[er on Ihe above-mentionrtl� p� pe�ty foi � Q:.D inspection pu !� MECHANICAL $ TOTAL FEE $ / Drivers' Lice se or 55 � Reinspection Fee $15 iwue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, rev. 10/84 hite - Builtlin9: Canary - Applicant; Pink - Accounting; Goldenrotl - Assessor TL CONSTRUCTION AND,PLANNING POOL & SPA ' �%� Date Inspector Date Inspector APPROVALSfI? Permit#- APPROVALS Permit# r �i 7. Temporary�;, Iectrical:Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �x} r.-• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms "" '.- .,. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure;Tes.t. 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUIVfi'E 7. Footings � 58. Electrical Conduit�Undrgri�j. _:.• r..,: � 8. Foundation . 59. Gas Pipe, O Undrgmd., Tes� �-, �� 9. Water Pip�= ndrgmd. 60. Backwash Lines, P-Trap, �'Undrgrnd. 1 - 10. Structural Floor System '� 61. APPROVAL TO DECK -�^ �1= .� 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. Electrlcal-Flnal 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Cond�tioning ��FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gat ❑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-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. F.I�FiE PREV. FINAL 30. Drywall Nailing , HEALTH DEPT. REQUIREMENT �� 31. Plaster Brown Coat 79. FINAL INSPECTION _, �.I 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: Final Factory Fireplace 38. Final Plumbing ('/a//� (�� ' 39. Water Service-Final �� .�� 40. Gas Service-Final • � 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation , ' 44'. Landscape Irrigation System � �45. Sound Attenuation ' � - 46. Handicap Regulations ' . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. ElectricReleasetoEdison �� - - � 50. Gas Release to Southern California Gas Co �. , 51�. CERTIFICATEOFOCCUPANCY . No, Date �\... ...'.�; . � � PN0.IFCTRDDNESS: jOS PRINCETON DR owxcasr+amc: MAROLD JEANNINE V nooness: 306 PR�NCETON DR COSTA MESA,CA 92626 751-2915 APCN/ENGINEEN: AOOflESS: NEG.NO.: uxrt: UNIT: PEflMITiEE: TOM BYER ROOFZNG ( 714 ) 847-9332 aooecss: 17662 MET2LER LN B HUNTINGTON BEACH CA 92647 IICEN5E0 CONTBACTOB OECIAqATION: I �¢reCy allirm t�at I am licensetl under provisions ol Cnapter 9(commencinp witA Seclion 7000) ol Orvi9on 3 0l t�e Bu9ness an0 Prolessions Cotle. ana my licen5e is in lull lo¢e an0 ellect. cirruc.: �j14732 srnreuc.:575002 cuss -39 EXP; 04/95 oaie: 1 � �� Sipnamre: _ W08NEN5'LOMPENSpilONOECLANRTION: I�ere�yatiirmt�a�l0aveaceniliwtealw nitose14in5uaoracetlifiwtaofWorker5' Comoensauon i��i�e_p��cen��cYp�.mer�{�iS�ctian 3800. Lao. �.1 / O 1/ 9 S eoucv no.: STAT E FUND E%P. DPTE: COMPANY: �/ ❑ Lenniea copy is �ere�y lumis�ed. L'J Cenifie0 copy is file0 wim me ciry + inq Divi '. Dale: ApDlicanf E%EMPIION FflOM WOPKEBS' fAMPEN5ATI0N OECIAIiATION: (This secibn neeE iwt Ue comWeteO it e permt is tw we nuntlreA (Sf00� or less�. I cetlity �hat in Ihe pedormanc¢ of I�e work br which Ihis permil is i55ueE, I shall not em0loy any person in any manner 50 as �o Decome subiect lo ine workers' CAmoensation Laws ol Lalilomia. Da�e: Sipnawre: NOTICE:Ii. atler makinp ihis declaraiion. you s�oula Uecome SuDleclto l�e WaM1ers' ComDensatian provisians alt�e Labor COOe. you mu5i �orthwil� [omply wit� suc� pmvisions o� ��a permii Stull Oe deemeU revoke0. CONSTflULTION LENDING �G�NCY: I �erfGy ailirm thai I�er¢ is a COnSlfutiion IenGing a0enq lor I�E petlormaMe Oi �he wOrk lor whicn inis oe�mit is issuea ISection 3097, Gv. C1. LENOEfl: nooxEss: REROOF 25005F RESIDENCE OWNEB BUILOEfl OECIAflRTIpN: I h¢reEy allirm iha11 am exempl Imm IAe fAniracmrs' State License Law Por the foltowinp reason ISection 70.3L5 Business anC P�olessional LoOe: A�y city o� counly wnicn repuires a permi� to wnstruct, atrer. imo�a�e. Aemolish, ar �epdie any stmcWre. prior to �tE i55Wnce, al5o RQuires Ine apDlit3nt for such permit to file a AqneU sulement ttut hpJsne is Iicense0 oursuant ta the provisions ol tne Contracmrs' S�ate License law (Chapter 9(commendnq wN SecUon 7000) oi DNision 3 ot tAe Busineu ana Prolessions Caae) o� tl1a1 he/she R exemD� Iherefmm antl ihe Easis �or Ina atleqed eRempti0n. Any vioWtion af Section 7031.5 Uy i n m liv � n r G Oollars 550� . . any applicant for a perrtui suEjects I�e appliwm �o a civil penalty o at ore t�an e u E e ( ) I, as owner of Ihe prop¢rty or my employees with waAes as tAeir sole compen5dtion, will do tha work. anA Ihe ❑ slmcture is no� intenAetl or oflered lor sale (Section 7044, Business anG Pmlessional CoEe: T�e Cantracmrs' State Licanse Law Uoes no� apDty lo an owner o� a proOe�Y w�o Guilds or improves l�ereon, and who tloes SucA woM1 himsel�/hersell or I�r0uptl his or �et OK'� employ¢es. O�oviGea t�al such impmvemenis are not intended or otlereG lor Sale. If, Mwever t�e Cuiltlinp or imOmvemenl is Sd0 vAt�in one year al campletion, t�e Owner will have Ihe Duraen ol proving tle/she Eid not huilU ar impmve lor Ine ourpa5e of SaIG�. I. as ownei ol t�e pmD¢rty. am eAtlusNely wntraclinA ��h Iicense0 cantracmrs m conslmci l�e D��eci �Sectlon 70aa, Business ❑ an0 Pwlessims COUe: 7�e Comractors' State License Law tloes no� apDM �o an mvner of Droperry wtn bWtls or improv¢s thereon anA w�o conlracis lor 5uc� pmlatls w11M1 e roNractor�s) licen5¢ pursuan� to th¢ COntractors $tate Lltenie Law�. I am awaf¢ Ihai O�ooi oi I�eir Worker'S Compensalion insurance s�ould Ue pmvi�eC ro me. � I am eeemo� unaer Se��ion: B. 8 P. C. lar Ihis Rason: Date: O�mer: I ao �ereUy cenity inat 1 am ar�are ol anG unCerstanU t�e rtquiremems oi Calilornu Mealt� an0 Satety Coda Sections 25505, 2553J, anG 2559<ana Inat I or any tuture builaing occuoant willlwill nol (circle one) neetl ta comvN m�� a stale cOEes an0 ine repuiiemenls lor a permil loi cOnstmclion or moadication imm I�e Air �ualily Manapemenl DiSVicL Fevaen�ial fAnslmclion applications am e�empi Imm I�ese orovisions. Dalel ApPlicanl: I �E�¢W tt�idy tlwt I IWVE Rdtl t0i5 dD�liCdtiOn ana S�d�e IAdi t�¢ dbOvO in�0�mdibfl6 LOrtKi. I r!! l0 cOmO�Y �tA all Ciiy antl COuniy o�Emances ana slale lam reWtinp lo Ouilamq canslmclion an0 here0y aulho�¢B r¢presenta iv 11us iry �nter upon Ihe aEwe�menlioned prove�ty br m��ec�wn purpoges. Oa�e � � 3' / Signa�ure: onvers license o� Sociai Securny w: i6and6 WM1ne—BwWhg: 4reen—COEe Enlorcement; Canary—AppliCanl; Pink—Revenue; Gobenrotl—Assesior CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06959 PERMIT NO: B 069590 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT; 3,917 CLAIM VALUE: 3,417,00 CALC—VALUE: 3,417,00 GROUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY,1991 UBC «**rrr**+r**�r�r�r*�r�r*�**�r*+�***rr****�r*+��r*rr�********sr�r**+�*�***�r****rr* Z O N I N GS ERTEB�AUCIKRSE M E N T��,��KE D�� ., ------------ MAIN HUILDING ---------- --------- ACCESSORY Bd�3CIALdJ�6'i��--- FRNT; FT ZN AEAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT ZN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL: 14138321 ZNE: REF NO; PLANNING NOTES> > killlitifM�fil4ikifMiFiflffEilMilikitililifilikfkM�flfifMkifil�lffllfillliFitiFitiFitilfFifil-itiFrififiFiFMiklfiEMifififrMltkiEitiFikitifrititiE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: �� DATE: �D 'Z'� �q� � 1FY1fMMM1k�rtMktflfifltYifikMMlhMit 3it�� 7lMlfiflEM7E7f7liF ifif� it4iFiFltifMiftfitifxkMk4ifitititklfifil4ilMMk44itMkkitifititifitk�lk141k1litMkMlFlfk4ilitMkMififitlFiFlFifMltltifiF4itifitititif4 LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 ,50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63,50 0,00 0,00 63,50 63,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 63.5 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK 63.00 .50 iflEiffffk4ffiEiffl�FitifMifMiFiflfifitMitififikltlFititif7tififlFlE!lM4ififiFifllffMMiliFlFMitifiFitMffikMiFikififfkifiFMifMiElfifiFlfifMltifi! I N D I V I D 0 A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3417 REROOF BY VALUE RESIDENTIAL N020NE 1.00 3,417.00 END OF FEES � 01 QD170335-00170336 7 GT DATE: 10/27/94 T7TIE: 0'�:53 v 6J.`JO CONSTRUCTION AND PLANNING POOI. & SPA APPROVALS Permit # Oate Inspector APPR�VALS Permit �h Date Inspector 1. Temporary Electncal Service or Pole 52. Pool & Equipmenc Locacion 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Etectrical Conduit Util'�ty•Undrgmd. � � 54. Forms 4. Electrical Condu�t-Undrgrnd. 55. Electrica� Bonding - � 5. Steel Reinfarcement 56. Rough Plumbing & Pressure Tesc � ,6. Electrical UFEF Grnd. � 57. APPROVAL TO COVER�GUNITE 7. FooLngs 58. Electrical Conduit�Undrgrnd. - 8. Foundation , � 59. Gas Pipe, O Undrgrnd., Tesc � 9. Water Pipe�Undrgmd. 60. Backwash �ioas. P•Trap, � Undrgrnd. 10. Structurel Floor Svstem � , 67. APPROVAL TO DECK 7 7. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 1Z. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains - G4. Plumbin� System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electriwl-Condu�t 66. Solar SVstem•Final 16� Rough Electric Wiring 67. Fencin9 & Access ApP�oval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 79. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEP,IS F�NAL tg. Rough Heating & Air Condi[ioning FIRE DEP7. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS �•; Permit # . �, . 21. Ducts, in Scructure' � 70. linderground Hydro � 22. Duccs, Ventilanng _ 71. ProducP;Piping O Gas DOi� 23. Gas P�pe-Roogh & Tesi ' 72 Underground FIOsh . . 24.�Roof Freming • � . � 73.-Underyrnc�.StorayeTank OGas �Oil 25. Rooi Sheathing /r_( !��( /�,,.!/ 74. Overhead Hydro - t ► �o^' 4�' 26. T-Bar Geiling (Struccurall & Monocoat . 75. Dry Chemical � 2J. Frame and Flashing • , 76. Dry StandPipe � r 28. Lathing & Siding. - - 77. FIXED SYSTEM FINAC -' 29. insulation �_ � � �, , 7g,�FIRE PREV. P�NAL . .3p. Dry�vall Nailing ' HEALTH DEPT. REQUIREPoIEN7 37. Plaster Brown Coat � �9. �FINAL INSP'ECTION � �- 32. Electncal Power MeterFfnal 80. �FOOD CERTIFLCATE ISSUED 33. Final Electrit � Notes: ��yL�.�� r �K 34. FinBi Heating & Air Cond�tioning 35, Finai Gas Pipe�Tesi . '' � 36, Hood or Canopy � , , �� - 37. Finai Factory Fireplace 38. Final Plumbing � • . - _ 39, Water Service•Final • 40. Gas Sarvice�Final . . . � 41, Soiar pomestic-Final . - , 42, Backflow Preventer � � �. . ' 43. Backflow Irrigation - � �" 44. Landscape irrigation Sysrem ' ,, . �., 45. Sound Attenuation . , � " 46. Handicap,Regulations ' - . �� - , 47. FINAL STAUCTURE.& BOILDING /� 5'(��__ 46. �FIP}qL PIANNfNG� , . � , 49. �Etectric Release to Edison . � . ' 50. Gas Release to Southem California Gas Co _ •. � 51. CEFTIFICATE OFOCCUPANCY • No. Date 1 1 OWNER JOBADDRESS DATE f19Iw7I�LH� �:Lily��A71 GENERAL CONTRACTOR H3TbOT' Construction VALUE $ 1Z��lOO.00 LOT Q;] . BLOCK TRACT 3166 Res. w�dtt. a2T'. GROUP I& J TVP� 0 IONE FIRE DISTRICT �y('%'7 PERMITSISSUED INSPECTION$ DATE SUBCONTRACTOR - , , . DATE I NUMRER Grade to Plumbino. Rou9h to Heating, Rough �12 � 5 �5%yo-rJ ,l/,(eL f�/re,%Ay/��,,.,,� Heafinq, Final �A,ff 5 /r�/S=S�71 � �^ e'ewer, House /QA"L Sewer, St. Septic Tank or Cesspool Lathing, In Out � Plastering Plumbing, Final, Fixtures Comple� Plumbing, Final Gas Test �S Wiring� Final Occupancy G�1 GOFM 110 3M IO�RS ^,7.2 J / —a—s o-s7 � 9-s� :79'.S7 . :�-,' �� s'7 �COSTA MESA BUILDING DEPARTMENT P.o.eox 3i� COSTA MESA„CALIFORNIA FOR APPLICANT TO FILL IN �u�-r:a �eu�a t.�e vra ��i . .- � ADDRE55 � I I O SQ Mq I N S . TEL. CITV SAN TA ANA � CA L I F. No. AftCHITECT LIC. OR ENGINEER NO. AOORE55 LEGI�I oescr+iP•ioN A.P. NO. OF LOT vl USE OF E%ISTING BL�G FEE RECEIVEU ��-�,�q�1`i�� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY COSTA MESA. CALIFORNIA FIRE ZONE �� . ! 62 �o�E � NO. TEL. APPROVED vn BY NO.Oi BLOG6. SETBACH LINE FROM [ I�I� cErvrEe OG SiREET JO REAR YARD �j(J SIDE YARD ftIGHT � IEFi � DESCRIPTION OF WORK NEW X ALTERAT�ON II ADDITION REPAIR MOVING OEMOLISH SIZEDING'C�Z NO.OF � ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW BUILOING RESIDENCE Bc ATTACHED CORRECTIONS $TATE TMAT TNE ABOVE I$ CORRECT .�NO �GREE TO COMPLY WITN �LL CITT ORUINANCES ANO STATE LPWS REGVL/�TING BUILDING CONSTPI)C� iiOrv. VALUATION SIGNATUREOF PqRK NO PERMITTEE _�. g 12,�.}��. AUTHORIZED AGENT �� 0 PERMIT FEE $ PLAN CHECK � TOTAL FEE 5