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Home My WebLink About3488 QUEENS CT - Building Permits(714) 754-5273 • Fax (774) 754-4856 CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3488 QUEENSCT Suite: Vicinity: ParcelNunmber 41204271 Appliwnt JASON GREER Address: BUILDING PERMIT Zoning: R1 Phone: 2ip: R1 owner: DIVALL, STEPHEN DOUGLAS Address TR COSTA MESA,CA Phone: 714-545-8587 3488 QUEENS CT Zip: 92626 Contractor: ACTION FIRST ROOFING SERV Address: 07472 SIATER AV Arch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Othec inspection: Total: Phone: 842-9122 HUNTINGTING BEACH CA Zip: 92647 license:, 688649 PERMIT � BEfl 77 FAIR DRIVE, COSTA MESA, CA 92626 StaWs: ISSUED Applied: it/30/1998 Issued: 11/30/1998 Phone: 2ip: License: SCOPE OF PERMIT T/OFF AND REROOF 3600SF RESIDENCE NlTYPHOON SHAKE (ICBO#4964), LESS THAN 6PSF WT. $0.00 $249.75 $1.67 $0.00 $0.00 $0.00 $251.42 SETBACKS MAIN STRUCTURE Front 0- 0� ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 $76,740.00 $�s,�ao.00 EXPIRA710N: 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 periotl of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalry of per�ury one of the following tleclarations: ❑ I heve and will maintein e certiticete of consenl to self-Insure for workers' compensation, es provided for by section 3700 of the Labor Code, for Ihe pertormence ot the �work tor which Ihis pertnit is issuetl. I have entl will maintain workers' carnpensation insurance, as required by section 3700 of the Lebor Cotle, for t�e pedortnance of ihe work for which Ihis permit is issued. My worl�ers'��n i� r1,1nsurance cartier end policy number are: � �� Q��Uv� �/ Carrier: L �"� Policy Number: (This section need nof be completed i/!he permit is velued et one hundred dollars ($100J or /ess.) ❑ I certity ihet in ihe pertorma ce ot the work for which ihis permit is issuetl, I shall not employ eny person in eny manner so as to become sublect to the workers' compansetion laws ol Celllor ia, en gree thet H I should become sublect to the workers' compensetion pravisions of Saction 3700 ot the Leyor Code, I shell forthwit comply with these provisions. ��\ �( _�_ ^ n/ Applicent Signeture: `� 1/ ' .� Dete: l U� WARNINCa: FAILURE TO $ECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T/qUSAND OOLLARE (5100.000�, IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F iME L4BOR CADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I I hereby aftirtn thei I am brce and eNect. Lia a_ � Cantractors Signeture: y C�epter 9(commencing with Section 7f100) of Divislon 3 of ihe I � / Class tl U ��S y�(-nN/ Date: Code, and my license is in full I� CONSTRUCTION LENDING AGENCY: � ❑ I herehy ettirm thet Ihare Is a construction lantling agency for ihe peAortnanca af tha work for which Ihis permit is issuetl. (Sec. 3097, Civil Coda). '� Lendefs Name: Lenders Address: SignaNre: Dete: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalty of perjury Ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Code: Any ciry or county w�ich requires a permit to construct, alter, improve, demolish, or repalr any stmcture, pnor Io its issuance, elso requires ihe ap0�icant Por such pertnit to lile e signed stetemant Ihet he or ahe is Ilcensad pursuant to the provisions of Ihe Contractors License Law (C�epter 9(wmmencing with Section 7000) at DiWslon 3 of the Business end Protesslons Cotle) or ihat he or she is azempi therefrom and Ihe basis for the ellegad exemption. Any violation of Section 7031.5 by any epplicant lor e permit subjecis the eD0licant to a ciwl penalry oi not more than tive hundred dollars ($500).): ❑ I, es owner ot Ihe D�operiy, or my employees wlth wages as iheir sole compensatlon, WILL DO TME WORK, end the simcture is not intended or oflered for sale (Sec. 7044, Business end Professions Code: Tha Coniractors License law tloes no� apply to en owner oi Oroperty who builds or improves thereon, antl who does such work himself or hersalf or throuqh his or her own employees, provided Ihet such Improvements are not Intentletl or oHeretl for sale. If, however, the building or improvement Is soltl withln one year 0� completion, the owner-bullaar will have Ihe burtlen of proving Ihet he or she tlltl noI builtl or improve for purposa of sela.). ❑ I, es owner ot ihe property, am El(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Protessions Code: The contractors License Law tloes not epply to en owner of property who bullds or Impwves thereon, and who contrects for such project with a contracior(s) Ilcense pursuant to �he Contractors License Laws.). ❑ I am axempt under sec. Business and Professlons Code for ihls reason: Signawre: Date: Owner ID veritied by tlrivers license. ❑ Ves ❑ No Dnvers License No. Vedficetian of Ownership by (rype ot tlocumeni, i.e. - properry lax bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICA710N: E:pire5: ❑ I hereby certify Ihet no e:cevetlon Hve (5) or more feei in deplh inro which a person Is requlred to descend, will be made in conneclion with work euthadzed by this permit, entl thet no building structure, scallolding, talsework, or demolition or dismentling thareol, wlll 6e more than t�irry-si: (36) Feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomla Adminlstretive Catla). ❑ A5 owner-builder, I wlll not employ enyone to do work which would require e permil Irom the DiWslon of Industrial Satary, as noted abova, unless such person hes a pertnit to tlo such work from Ihe division. SigneWre: Date: DiNsion of Industrial Safery Permit Numbec CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty ot perlury Ihet I heva reed this application end state that the iniormation given is I correct. I agree to comply with all state laws and ciry ordinances rela�ing to buitding consiruction, end authorize representatives ot ihe Ciry ot Costa Mese to enter upon the ebove-described property for inspection puryoses. I agree not to occupy or ellow occupancy ot any building authorized by this pertnit until final Inspection. COOE I. INSPECTONttVE 1616 Fi:ed System Finel Fire Prevention 1266 Pool Spa Final 200 Flnal Re-Rool 207 Finel Black/Retaining Wall 202 203 204 24A6�46 Finel Fectary Fire Place Final Sign Finel Demolition 06B It�llS Z�(�--1� � COUE� INSPECTIONTVPE 206 Final Mec�enical 208 Finel Plumbing 210 Final Electricel 212 Final Fire Preventlon 220 Flnal Plenning Appraval 222 Final Site 250 Final Building/Occupancy :,. PflOJECTR�UHESS: 3488 QUEENS CT owxensxame:DIVALL, STEPHEN DOUGLAS aooRess: TR 3488 QUEENS CT COSTA MESA,CA 92626 ABCHIENGINEEN: A�OPESS: flEG.NO.: UNIT: UNIT: PENMITTEE: SELECT HEATING 6 A/C ( 714 ) 432-1322 noosess: 520 GOET7. AVENUE SANTA ANA CA 92707 LICENSEU CONTPACTOH DECLABATION: I �ere�y aliirm I�al I am licensed under pmvisions of C�ap�er 9(commencing wilh Seclion 7000) al Division 3 0l Ihe Business an0 Pmfeufons Go�e. ana my license is in lull rce and ellect. cirr uc.:0 3 0 719 STATE LIC.;4 4 S 2 O S � l7. 0 — o„e: D— 4—� 3 Signaiure: � . WOflNEBS' COMPENSATION �ECIABATION: I heteby ailir � 1 nave a cenificate ol consent m self-insure or a cenilicate of workers' Compensalion Insurance, or a ceriiliea copy I�ereot (S¢cC n 381q. La�. C�. roucvxo.:P6016904C EXP.OATE:O%IZSI93, COMPANY:CAL INDEMNITY ❑ Ceriilied copy is hereby lumished. F{] C¢tlilietl capY is lilea wi ' y rt�ision. � oate: ?'6 ' � 3 Aovi�cant: E%EMPTION FPOM WOBKEHS' COMPENSRTION UECUBATION: 5 section neeU nai Ue completttl il �he permit is �or one hunOred (5100) or less). I certdy t�a� in Ihe petlormance of t�e work tor which this permit is issue0. I s�all not employ any person in any manner so as lo �ecome su0�ec1 to the Workers' ComOensa�ion Laws af Cafifomia. oate: Signamre: NOTICE: If, aller making Ihis declaratim. you should become suGl�� a �he Workers' CAmpensation pmvisions o� Ihe LaOor Catle, you must fonhwitn comoly with sucn D�ovisions or ihis permit snall Ue tleemetl revokea. CONSTflUCTION 1EN01NG AGENCV: I �ere0y allirm I�at I�ere is a consimtlion lenaing agency for ihe Oerlormance o� Ihe work for which Ihis Oermii is i=.suetl (Section 3097. Civ. C). LENDEfl: AUOPE55: OWNEP BWLOEB OECLABRTION: I hereDy allirm Ihal I am exempl imm I�e Canlrac�ors' State License Law lor Ihe lollowing reason (Seclion 7031.5 Business ana Pmlessional Code: Any city of muniy w�ic� rCQuires a permil Io consimc6 aiter, impmve, demolish, or re0air any S�mcWre, prio� lo ils issuance, a�5a reQuires �he applicanl lor such Oetmit lo lile a SiBneO 5�a�emeni Ihat he/s�e is licensetl pursuanllo ihe pmvisions ot IAe Comracmrs' Slate License Law (C�apter 9(commencinp vnU Section 7000) ol �ivision 3 0l Ine Business ane Prolessions Cotle) or ihat he/sne is exempt iherefrom ana ine Uasis for Ihe allegeE eeemD��on. Any violation of Section 7037.5 by any appliCanl lor a p¢rmii Su�letis Ihe ap011tani �0 a[ivil penaliy oi n0i mor¢ t�an �ive hundre0 Uollars (5500�. I, as owner of ihe O�openy or my employees witA wages as their sole compensa�ion, will Uo t�e work, and I�e ❑ simqure is no� intenGed or oiferetl lor sale (Section 70a4, Buvness an0 Professional Code: The Contractori Slate License Law Uoes not aDDly to an owner oi a pmperty wno builOs or impmves inerean, an0 who Ooes such work himseli/Aersell or thmugh �is or �er own employees, proviEea tllat such imDmvemenis are not inlentleA or ollere0 lor sale. II, however ihe building or improvement is sold mthin one year oi comple�ion, �Ae owner vnll have iAe hurAen oi pmvinp he/s�e Gitl not builA or imDmve lor ihe purpose ot salel. I, as owner of Ihe pmperiy. am exclusively comraclinA'M�h licensetl coNracmrs lo constmcl l�e Orolec� �Section 7044, Business ❑ antl Prolessions Code: ihe Comtaciors' Stale Licence Law aces nat appry to an ovmer oi pmpeny wta bmlAs or imOmves t�ereon and w�o conVacis Iar SUth pmjetis wit� a ton(ratlor�5) litense pursuan� t0 IhE ConVatiors' Slaie LitenSe Law�. I am aware I�a� pmol ol I�eir Worker'S Compensaiion insurance sMu10 Ue D�ovitleC ta m¢. � I am exempt unGer Seciion: B. 8 P. C. for ihis reason'. Oate: O«ner. I tlo �ereby cenily Ihat I am aware o� an0 untler51an01�e reQuiremems ol Calibmia Heall� antl Salety Cotle Seclions 25505. 25533. antl 25534 ana�Aa1 loranyluture �uilding acupantwill/vnllnol (circle one) neetl lo campty vni� said slale coaes antl I�e reQuirements�ora permil for con5imclion or motlificaiion Imm I�e Au Oualily Managemen� Di5lrici. RevAeniul cons�mclion applications are eKemp� imm ihese pmvisions. Oale: AOOlieanl: I here�y tenilyl�allhavereaa Ihis applicaiion antl s�aie I�ailhe a6ove� o ion i 1 agree l0 tompty wilh all ti�y anU Counly or0inanre5antlslatelawsreWlinglobwlEingcons�mctionanaherebya � ve thisci�y�oenleruponiheabove�men�ioned property �or inspeclion purposes. oate: ��6 "y � Signaiure: oriver's Lmense or Social Securiiy �641-a6 White—Builtling. Green—Cotle Eniorcemem; Canary—APPhcam; Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 062916 PERMIT NO: E 062916 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: S—N PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRTPTION ; INSTALLATION OF CODENSING UNIT SQ FT; CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / COMMEN'PS: RE: M62915 x��**�rx��t*+�*x*x*�x�+t�e**�*� x*��t�r�***��c�•*x**+t**�x��t**��***x-z�*x��x�**+��r��**�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT IN FRNT; ET IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV; PARCEI.,; 41204271 2NE; REF NO; PLANNING N 1'ES> > it it it i! it it it fE iE iF it ir it 3t x-k rt iE if iE iF i4 iF iE if x iE i! i! if it iE k�lF ie� i(� k lEiE if it it it IE IE iE %� it x�it iE iF iE it iE # it iF it it it� iFlF ir if x� iF iE iF itit iF �)f i(� �)E if if 3E if D E V E L O P M E N T S E•k V I C E S R E Q U I R E M E N T S ZONING APPROVED HY DATE; HUILDING APPROVED BY : DATE; APPLICATION ISSUED BY: DATE: ��F�� iFiEkiEiFiF�kftitiEififillEiEiEitiEiEiliEiE r � F r i iFiFiE�EiEiEikiEitiF itiE iEifiPiEififilk3EiEikkiElEkifiFlEklfiFifif�lEiElEifk�kifif�k�kiE�k�IFk�EiEiflFiFif� � hK�3hifkiF�%1PlfifN�iPifiEifiFl(��fiEiti[�iFiFi(�lEilif�lif�ikikiklbikif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18.50 SOt SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,50 15,00 . 0,00 33,50 33,50 ,00 REVENUE DIVISION TOT'ALS--> COLLECTED: 33,50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT' GRADING PLAN—CHECH 33,50 �t if if if 3E iE fF if k iE it 1f 3f �F iE 1F IE 1E IF 1f !E 1E i! fE iklE i! ik 1F 1f 1E k iE iE �k iE if dE iE iE iE if ik iF ik itlk iE iE ik if-if 1E 1E 1Faf iE iE if iF ik k 1E *l4141f IF If 1F 1E iE 1E If 3f iE jf iE iE I N D I V I D U A L F E E B k E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 1.1 — 10,0 HP 7,50 7,50 ELE 1 MISC APPARATUS NOT LISTED RE4 PERMIT 11,00 11,00 END OF' FEES 01 00142333-00142333 T LiT 33.50 DATE: 07/07/93 TIME: 10:37 CONS7RUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APpROVAIS Permit # Date Inspector 1, TemDorary Electrical $ervice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Sreel Reinforcement 3. Electrical Conduit UUhry•Undrgmd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rou9h Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Foot�ngs 58. Electrical Conduii•Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Untlrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System ' 67. APPROVAI 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�Fina� 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Elearic Wiring 67. Fencing & Access ApP�oval � 17. Rough Wiring Sign 68. APPROVED FOR PLA57ERING 18. Rough Electrical-T Bar Cei�ing 69. POOUSPA SYSTEAIS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rouqh Factory Fireplace ' APPROVALS Permit # 21. Ducts, �n Structure 70. Underground Hydro 22. Duas, Ventilating 71. Product PiPing aGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergmd. Srorage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical I 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � � 77, FIXED SYSTEM FINAL 29. Insulation ' ! ; 78. FIRE PREV. FINAL � 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 37. Plaster Bro�vn Coat � � � � 79. FINAL INSPECTION 32. Elecvical Power Meter•Final I 80, FOOD CERTIFICATE ISSUEO 33. Final Eleciric �-�� Notes: 34. Final Heating & Air Conditioning ; 35. Final Gas Pipe•Test I ' 36. Hood o� Canopy ' � 37. Final Factory Fireplace � � 38. Final Plumbing � 39. Water $ervice�Pinal 40. Gas Service-Finai � 41. Solar pomestic-Final 42. BackflOw Preventer i 43. Backflow Irrigation 44. LandscaPe Irripation Sysrem 45. Sound Attenuation 46. HandicaP Regulations . 47. F1NAL STRLSCTURE & BUILDING � 4 . 48. FINAL PLANNING , 49. Electric Release co Edisan ' 50. Gas Release to Southern California Gaz Co " 51. CERTIFICATE OF OCCUPANCY No. Date PN0.IELT q00XESS: 3 4 8 8 UEENS C T OWNEfl'SNIIME:DIVALL� STEPHEN DOUGLAS aooness: TR 3488 QUEENS CT COSTA MESA,CA 92626 AflCHIENGINEEN: aooeEss: NEG.NO.: UNIT: uxiT: PEflMITTEE: SELECT HEATING 6 A/C ( 714 ) 437_-132?. nooeess: 520 GOET'I. AVENUL' SANTA ANA CA 97707 IICEN5E0 CONTPACTOfl OEQANATION: I nereDy a�tirm ttul I am lic¢nsetl un0er prmdsi0n5 0l Clwpter 9(commencinp wil� Sec�ion 7000� o� Div.von 3 0l �he Business and Pmlessions CoOe. ana my license is � lull I anE e�hc�. ciTr uc.: n�� 19 STRTE LIC.:q q S Z O S �0 � oa�e: �� Signaiure: WOBNENS' COMPENSATION OECIAflATION: I �er¢�y a�lirm Iha� ve a cenilicate ot consenl to selbinsure ar a ceeilicaie ol workers' Comoansation insurance, or a cendietl copy inereol ISection 3A , La�. C�. eoucrxo.:p60]6909C E%P.DFTE:O%IZS�J LOMPANY:CAL INDEMN�TY O Cenified copy is �ereby lumishea. Cetlilie0 wpy is lilea with ' B'' rvision. Daie: �� APPliwni: E%EMPTION fBOM WONKEBS' COMPENSATION OECIAHATION: QAiS lian neea nol Ge comple�ea il l�e Dermit isiorone hundrea (5100) or less). 1 cetlily Ihal in ihe petlorman[e ol the work lor wAic� I�iS Dermil is i55ueQ I s�all not emDloy any person in any manner so as to �ecame su6lect Io ��e Workers' ComDensatmn Laws of Caiilomia. Oate: Signalure: NOTICE: II. alter making inis eeclaralion, you shoule become suoject to tne workers' CAmpenSation OmN9ons al itie La�or CoOe. you mu5i IortAwith compty with 5uch pmvisions or IAis pe�mit shall be OeemeC revOk¢G. CONSTNUCTION LENOINC AGENCY: I her¢�y a�lirm Ihal there i5 a ton5irutlion IenUing agenty lor �he petlormante ol the work fOr which this permil is issueU (Sectwn 3097, Cia C�. LENOEN: RUOflE55: OWNEN BUILOEP �ECIAflpTION: I hereby allirm �hat I am exempl Imm t�e Contraclors' Slaie License Law br Ihe lallovnng reason �Section 7031.5 Business antl Pro�essional Cotle: Any ci�y ol counly w�ich reQuires a permil b consimct, alier, impmve, tlemolis�, or repau any s�mc�ure. prior to its i55uance, also requires t�e applicant br suc� permi� Io lile a signe0 s�alement t�at �e/s�e is lirensetl pursuanl io �he provisions ol Ihe ComracrorY Slaie License Law (Chapter 9(commencing wilh $ection 7000) o� Division 3 oi Ihe Business ana Pmlessions Cotle) or Ihal he/she is exempl l�erelmm and �he Oasis lor Ihe allegeA ezemp�ion. Any uiola�ion o� Sec�ian 7031.5 by any apPlicani for a permii suble��s ��e applican� to a civil penal�y ol not more lhan live hunUretl tlollars �E500). I. as owner ol Ihe o�openy or my emD�oyees with wages as ineir sole compensation. will tlo ihe work, and tne ❑ simcmre is nm imen0etl or oflered lor sale �Section 704a. Business antl Pmlessional Co�e: The Contractors' S�ate license Law Aoes no� apoN �o an owner ol a prooeriy wno �uittls or im0�oves Ihereon, anU who tloes sucn wark himsell/nerself or inmuAh his or Aer own employees. pmvide0 Ihat such im0�avemenis are not intendetl or olferetl for sale. If, Aowever Ihe 6uilding or impmvement is sold wi��in one year ol comple�ion, Ihe owner wi0 have �he Uurtlen ol pwving �e/she Eitl not huilA or impmve for Ihe purpose of sale�. I, as owner ol Ihe pmpetly, am exclusively coniracting wi�h licensetl conlractors lo cons�mcl lhe Dmleci (Section 7044, Business ❑ antl Pro�essions Cotle: The Conlracbrs' Sla�e License Law Ooes not apply to an owner ol pmpetly who bui105 or impmves Ihereon ana w�o contracls �ar suc� pmlecis wilh a conVactoqs�license Dursuanllo �he Comraclors' State License Law),I am aware Ihal D�OoI of Iheir Workei s Campensali0n in5urante 5hould �e pmvitle0 �o me. � I am exempi under Section: 8. 8 P. C. �or I�is reason'. Date: Owner. I do nereby cenily Ihat I am aware of antl untlerstana Ihe requiremems o� Calilomia Healt� and Salely Code Seclions 255�5. 25533, and 2553d antl iha� I or any IUWre builaing occupanl wilVwill not (circle one� neetl b com0ly wilh SaiA Slaie caUes antl Ihe ieQui�emenis lor a permn lo� con9mciion o� moaificalion Irom Ine Air Ouably Managemenl Ui9rict. flesi0enlial cons�mclion aDPlications are exemp� imm IIICS¢ pfOvi5i0�S. Daie: FO�IicanC I hereby ceni�y Ihat I �ave read Ihis applicalion an0 slale Ihal I�e a0ove inlorma'on i�f agr b comply with all ci�y ana counly oiemances antl slalelaw5relatingio building conslmction an0 here�y aul�orii e5enlai' U hi ,ryio enleruponl�e a0ove�mentioned prapeily lorinspection pu�poses. � Oa�e: 7'�^ �� i Signamre: Unver's License o� Saiai Searity x: 164La6 Whne—Builaing; Green—CoOa Enlorcemenl; Canary—Ap0licant: Pink—Rovonuo: GOltlenroE—Assossor CITY OF COSTA MESA — BUILDING PERMIT PEkM NO: M 062915 PERMIT NO: M 062915 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: MEC PURPOSE: OTH JOH DESCRZPTION : INSTALLATION OF CODENSING UNIT SQ FT: CLAIN VALUE; CALC—VALUE; GROUP OCC: R-3 / COMMENTS: CONDENSING UNIT INSTALI,ATION iE 9E iE iF 1E iF df iE iE iE iE iE if )(-�lE if iE iElkiEih-)E 9F iFiE iF iE ik ik iE iE-IE iEiE )E iE dk ik�1F iE 1E dF iE 3F iFif� iE iE if 9f �K �lE �N� if df i6lF%iE if iEiE iE �%it �%� �%�lt iE �7F if iE iE 3EiE iE �%� 3f �)f Z O N I N G R E Q U I R E M E N T S S E T B A C K 5 ------------ M:SIN BUILDING ---------- --------- ACCESSORY BOILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; F'1' IN LEFT; FT IN RGHT; FT IN PARKING RE • PROV; PARCEL; 41�04271 2NE; REF NO; PLANNING N TES> > iE 1F if ik k it M if 3f iE if iE if if %�lE # ik it k ik if it if iE it 1Elf k it iF ik if if 1F if if.iF iEit if if iF iE ib i! if !E �E if iE iF i! iF iF if ik%if iE iE i! tk iF ik iF iE if 1F ik 1E iE IE it 3k iE iE iE �E 1d' E V E L O P M E N T S E R,V. I C E S R E Q 0 I R E M E N T S 20NING APPROVED BY DATE; HUILDING APPROVED BY ; DATE: *+Pt�******�*******��rB�� r � �x�r�tD**�i�*�x�r ifikfE3FiEiEiEifiE3tifiEiEikjElFfEiFikkifiEiEifkifiErtififiEkikifiEitikltifitiFiEifjEiFlfiE �it�kfFifiEiEiEiFlf3fiEikiFlFiFiFif�lEififikiFiFikifjfiEiEiEit LEGALIZATZON:N F E E �S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT' PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 1825= SMIP/NON—RES PLAN ISSUE FEE 15,00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,00 15,00 0,00 33,00 33,00 ,00 REVENUE DIVI5ION TOTALS--> COLLECTED; 33,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33,00 ik k fk iE iE 3k IE iE iE k if iE fE iE if iP i61E it iP �f if iF �F if iE if iE ib if iE �k k iE iE �%if iE iE 1(� �k i(� iE�%1E iE 1E iE if iE if i! iE iEiE ik iE i(� iF ih if iE iE �%it iE1F iE iE it if iF ft iE 3f iE i4 iE if I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C k I P T I O N UNIT COS'T T'OTAL COST MEC 1 HEPAIk/ALT COOLING UNIT/SYS W/CNTLS 9,00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K HTU/H 9,00 9,00 END OF FEES 01 00142332-00142332 T �7T 33.OQ DATE: 07/07/9? TIITE: 10:37 CONSTRUCTION AND PLANNING � POOL & SPA APPROVALS Permit # Date inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Ey�ipment Location � 2. Soil Pipe-Undrgrnd. 53. Steei Reinforcement 3. Electricai Conduit UtilitY�Undrgrnd. 54. forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � B. Foundation 59. Gas Pipe, Ci Undrgrnd., Test 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Str�ctural Floor System 67. APPROVAL TO OECK � 1 t, Property Sewer l.ine & Nouse Connection $2, Backwash & Recepior-Finai 12. Sewer Cap ' . 63. Heater & Vent-Final 13. Roof Drains 64. Pi�mbing System � Finai 14. Rau�h Plum6ing 65. Electricai-Final 15. Rough ElectricabConduit 66. Solar System-Finai � 76. ftough Electric Wiring 67. Fencing & Access ApP��val 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO VSPA SYSTEMS FiNAL 79, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rou9h Factory Fireplace , � APPROVALS Permit # 21, Ducts, in Structure _ 70. Undere,round Hydro 22. Ducts, Ventilating 77. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tanx � Gas ❑ Oi! 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. ��thint� & Siding � � � 77, FIXED 5YSTEM FINAL 29. insulation I 78. -FIRE PREV. FINAL 30. Drywall Nailing � • HEALTH OEPT. REQUIREMENT 31. Plaster Brown Coat � � � 79. FINAL INSPECTION 32. Electncal Power Mater-Final � � ; 80. FOOD CERTI�ICATE iSSUED i 33. Finai Electric � �_ � Notes; 34. Fina! Heating & Air Conditioning � //��`t/ 35. Final Gas Pipe�Test � i� 36. Hood or Canopy � �- 37. Fina! Factory Fireplace { i � 38. Fina! Pium6ing i � � i 39. Water Service�Finei � � i � 40. Gas Service�Final � i' 47. Salar pomestic-Final ' � 42. Backfiow Preventer � � � , 43. Backflow �rrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Ha�dicap Regulations � 47, fiNAL STRUCTURE & BUILDING � - 48. FINALPLANNING � �' 49. Electric Release to Edison I � i ' i 50. Gas Release to Southern Californ(a Gas Co ' 51. CERTIFICATE OP OCCUPANCY No. Date OWENS-CORNING Fiberglas Blanket Insu The contractor named below certifies that the Owens-Corning Fiberglas Blanket Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code, Title 25, State of California, in the building located at: ��/.Q� �,L[d�/l7�1 ( '.n1a/�.�; �� ,�7� Street Lot Number Tract Number Exterior Walls Owens-Corning Fiberglas Blanket Insulation Ceilings Owens-Corning Fiberglas Blanket Insulation Floors Owens-Coming Fiberglas Blanket Irisulation Foundation Walls Manufacturer General Type 3,� '' // Thickness R-Value � "' /� Thickness R-Value Thickness � R-Value Thickness R-Value _ license No. By Title Date �, r �5'ignaiure� � AX .f1�1� �- �aQ/�7 Insul n �o/n1��y ro�� -� n License No.� By ('��^�'/ Title r /" Date ��/ �Slgnawre) Homeowner Copy (White) . . , .. � ��- � State Copy (Yellow) Builder Copy (Pink) � i OWENS-CORNING.FIBERGLAS CORP. Insulation Operating Division Pub. rvo. i6�BL-6995-A lifho m U S.A., July I W) Fib¢f91a5 TOwef, TOI@tl0, OhiO 43659 'i .. . .. � : .. �� . , . . ' .. ro..^ .;, ,•C. . Y .� '_ ,. ' . , ' . , . COSTA MESA BUILDiNGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL,PERMIT P.O.BOX1200 COSTAMESA,CAIIFORNIA92626 � - � " � - � RECEIVED PERMIT- �5� TIS For Applicant to Fill in Completely — Use Ink Only N� � 4? 7 8 5� � .BVILDING A.P: NO. � %�a (S5 � nooaess 3488 Queens"Court BUILDING T� NANT�R Wimbledon �1SSOC. � %�DORE55. UNIT OR ADDREss 1470 Jamboree Rd SPACENO. � ' TR.NO. LOT - - BIK. c�rv Newport Beach No�fi40-680 NEW ADD ALTER REPAIR MOVING DEMOLISH � L�ENDEF�'�Nimperldl Savings & Loan X BRANCH Pasadena � Wimbledon Assoc.. - _ OWNER ADDRESS - USE PRD� vnwEE��.�cr � ORENGINE a Corbin Yamafu'i NEL.549—•�12 1' ADDRESS 17992 Mitchell .SO. � Irvine ZONE PoR-/.b MPE "�v GROUP —� � APPROVED S CONTRACTORMCLdlIl Development Co. sv DATE 2t7 ADDRESS 1470 Jamboree Rd " � - � c�rv Newport Beach' ' Tn,o�640-6800 ' F STATE � CITV APPROVEDSETBACKS ��c.r,o. 273875 LIC.NO. 1HH%3 � SIZE � NO.OFBLOGS. (FROM'":=--__-' L - 0. OF LOT �- � NOW ON LOT �. RONT D� PT. � � � a USE OF '� EXISfING BL�G. S S y � �- Separate permits are required for . � �. sioe Fr. ' . q electric, plumbing and heating work: REAR �'D✓ T. E,�. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q � PRD — New Construction oare �7 r� � Z� � APPROVED � � / � / gj a > Single-family dwelling APPROVED , � a CtOLD FaR SPECIAL REQ IREMENT; w � I hereby acknowletlBe that I have read this application and state °�' y� that the ebove information is corract antl agree to comply with a all laws ragulating builtlin8 �onsttuction, and I shall not employ _ ~ /� =1 ,'� any person in violation of the workman's compensation laws of W ffie State of Celifornia. ' �/ ��/n % /�, � � V` ��SQ. FT. U/ /� C� a 3 I hereby certify that I am prOperly licensetl as a contractOr under ! ihe Staie of Calitornia Business antl Protesslons Cotla, Division 3, TNE AMOUNT SHpWN UNDEFi VALUATION IS FOR ro � Chapter 9, antl that such licenses ara in full torca antl effect, or I TNE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLY: � am exempt from the provisions of the State ot California Business VALUATION PERMIT FEE N antl Protessions Cotla, ivision 3, ter . $ �• � m � Signature of ' , PLAN CHECK $ o Perm�rttee . � � � $/D �/ � �1� TAX 5 I� V \f Auffiorizatl Agant Date � TOTAL PAIO E Q n� 4F� � �