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Home My WebLink About3491 QUEENS CT - Building Permits. , . � CITY OF COSTA MESA oS`"'"F= BUILDING DIVISION F , � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754•5626 •,4� �, � ' PERMIT NUMBER: BX10-00033 PERMIT TYPE B MISC STATUS: ISSUED �� APN: 41204260 DATE ISSUED: 03/29/2010 . Zoning: R1; ISSUED BY: f2MD' JOB ADDRESS: 3491 QUEENS CT CM � ;'' -� "Y=-`s Vicinity: ROOF _ Pnmary Occ .i J�.+ SQ. FT: 276 p 1 "'"Valuation 51 i''�y�+` + �; � A . �'� ; SCOPE OF WORK: ,,:'�j;'�? L� ' �, :� �� _ INSTALLATION OF A 328 KW ROOF.MOUNTED+FHOTOVOLTAIC SYS' Z :.: ,r ::��'" DISCONNECT, 1 MISC CONDUIT, 9`MI,SC;EL+EQUIP AND 1 INVERTER. OWNER: VICTOR, RICHARD:E TR�':r Ciry/State: COSTAMESACA``-�f;`,� _ Phone: 714-540-10501 ,, '� � �� .,� f i� �i�' � Yi'. APPLICANT: GLOBERSON LAMB, SONIF City/State: � � � � r Phone: 510-414 6120� p,"` ,, w << , , ,!:i w .._.. Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone JRl11V U'l� V 4NA CA i ,� � "� x h ��a+'�' e 1� . � � `; �� FEE SUMMARY �� Building Plan Chieck Building Permit � Electrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund ite/Unit: .,., Const Type :?? a 6 MODULES FOR A SFD WITH .y� `._„:wi a'h4 ;�� i Adtlress:: 3491 QUEENS CT�� '',t'- �� '��••. Zip Code `92626 1659''. ``.. • • a,.i�arf 't3 �.i .1 d 1'- u��,+, 4 ._£ ..li 5 � �� Y � °:: z ' r ¢ � - - AddressV ''�'s. a* �: -"t <i� �,� � ZipCode � '�t t a}' _ � ' ' s � : ,�'r' £ .: N �r. .`� g_,�z��_�£ { �__License l -.�Eyi �^✓ 1'� �Y ' s . �e..'"' i5��.-�Phone '''7��14-290-9521 ,, ; � =�"'.'License No.> "' License �",:,, �� $136:01,� t�. � �' '$2�925 K �x_ � J - - � '': - �$62.10 4.. ♦ t `�.�.m,:. �-.$1:20' ��_. � %A4 � � t-{4 a "'� � .:;:' r z� ;. , slli� k y;,�` t ��.,. ,, ; `::r�' .;.}zo :; it=' j i(� �: , ' �; _ ^.r5 Unit � Unit: L' . U�ItI HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER GMMC Sec. 73-279 Monday thru Friday - 7:00 am thru 7:00 pm. Satrudays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Dav. Memorial Dav. Indeoendence Dav. labor Dav. Thanksoivino Dav and Christmas Dav 6 NOTICE: The work authonzed by this permit shall comply with all applicable handirap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF �AST INSPECTION. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. LOOEk. INSPEL110NTYPE UAIE INIIilALS COOEp INSPEC710NTYPE OATE INTITIALS 1816 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Relaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition , � + 206 Final Mechanical 208 Final Plumbing 2W FinalElectrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � � :•r WORKERS' COMPENSATION DECLARATION: � � � I hereby affirm under penalty of perjury one of the (ollowing tleclarations:, ❑ I have and will maintain a certifcate of consenl to sel4lnsure (or vrorkers' compensation, as provided for by section 3700 of Ihe Labor Code, for the pertormance o( the work !or which this permit is issued. � I have and will maintain workers' compensation insurance, 25 requiretl by ection 3700 of [he Labor Code, (or lhe performance of the work for which this pertni[ is issued. My workers' compensation Insurence carrier and policy number are: � (Ca�rier�. �L� �v�PI�L'aM (This secfion need rrof be mmple(etl R I/he permR u valuetl at one bundretl dollars (5100) o� less ) Poiicy Number. �b��1� � � ❑ I certify tha[ in the pertormance of Ihe vrork for which �his permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree that i/ I shoultl become subject to the workers' compensa[ion provisions of Section 3700 of the Labor C A� all fo � iWith com lhese provisions. .r- _. ..s7 " = � l O Ap� canl'sSign ur Dd�e, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing wi[h Section 7000) of Division 3 of lhe Business and Professions Code, and my license is in full force and effect. Lic. #, _... . �--Class,#�.. �,,,r .., ' . ( o �. �r 091 actor's re - - �et„r,_,r y-�' �% CONSTRUCTION LENDING AGENCY: ❑ I here6y affrm Ihat there is a consiruction lending agency (or the peAortnance of Ihe �rork fa which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business antl Pro(essions Code: Any cily or county which requires a permit to construct, alter, improve, demolish, or repair any s[ructure, prior �o its issuance, also requires the applicaM for such permit to file a signetl slatement tha[ he or she is licensed pursuan[ [o [he provisions of the ConUactors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom antl the basis�for [he alleged exemption. Any violation of Section 703L5 by any applicant for a pertnil subjec[s the applicant to a civil penalty of not more Ihan five hundred dollars ($500).): � � ❑ I, as ovmer of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl lhe stmcture is not in[ended or offered for sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or throuqh his or her own � employees, provided that such impmvements are not intended or ottered for sale. If, however, the building or improvement is sold within one year o( complelion, 1he ovmer-builder will �ave the bur0en of proving that he or she did not build or improve for purpose of s21e.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessbns Code: The contractors License Law dces not apply to an owner o( property who builds or improves Ihereon, antl who contracts for such pmject with a contractor(s) license pursuant to the Contrectors License Laws.). ❑' I am exempt under sec. Business and Professions Code for this reason: 305]-46(3/D]) Owner IDberified by drive.., iicense. ❑ Yes ❑ No Driver's License No. Expires: Verification o( Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAi(y that no excavation five (5) or more (eet in tleplh into wfiich a person is required to descend, will be made in conneclqn with work authonzed by �his permit, and that no building sWclure, scaffdding, (alsework, or demoli[ion or dismantling thereo�, will be more ihan thiAy-six (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Title 8, Califomia Atlministrative Code�. ❑ As ovmer-builder, I will not employ anyone to tlo work which would require a permit from [he Division of IndusMal Safety, as no[ed above, unless such person has a permit to do such work from the tlivision. AO�I¢anfs SignaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMiSSIONS CERTIFICATION: 1. Will the applicant or presen[ or future building occupant need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Sec[ion 25505 0( the Califomia Heaith and Safety Code requires, with some exceptions, tha[ a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at standard temperature and pressure). Z Does or will the applicant or present or future building occupant neetl b fle a registration fortn for acutely hazardous materials? ❑ Ves ❑ No (Seclion 25533 of the California Health and Safery Code, with some exceplions, requires registration with Ihe Cos[a Mesa Fire DepaRment by � each business which at any one time has on hand a quan[i[y o( acutely �, hazartlous materials equal to or grealer lhan a weighl of 500 pounds, or a� volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure�. 3. Does or will ihe applicant or present or fulure building occupant neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the California Health and Safety Code provides tha[ the Costa Mesa Fire Department may require the preparation, certification antl (ling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safely Code been (ully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fuWre building occupant require tor the work which is the subjecl of this application a permit for such construction or modifcation from the South Coast Air Quality Management District or from any other air polWtion control disMct or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requestetl intormation be fumished on applications for nomresidential building pertnits). 6. Will any part of Ihe tacility to be cons�ructetl under Ihis permit be wi[hin 1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No (If'yes", ihe facilily must meet the requiremenl of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permi[ (rom the South Coas[ Air �uality Management District or other air pollution control district or agency is required for the vrork which is the subject of this applicatioq have all of the disclosures prescribed by Cali(omia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qt "yes", attach certifcate of compliance from Ihe appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify lhat under penalty of perjury ihe information given above is correct I agree to compty with all slate laws and city ordinances regarding Hazardous Materials antl Emissions. Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and stale that ihe information given is correcL I agree to comply with all state laws antl city ordinances relating to building cons[mction, and authorize representatives o( the Ciry of Costa Mesa to enter upon Ihe above-describetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. gnaW of Legal Own Dale Z (D �/ �An�a,�r' eaApplicant .EDat - ,,,,,�,,.•: w'"r3qY"L1`.i'�^`�'ri�i. - � � . CITY OF COSTA MESA `�StNM�cs,9 ' BUILDING DI!/ISION 't�� 77 FAIR DRIVE. COS7A MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us � � � FOR INSPECTIONS CALL: (714) 754-5626 �`O�rowncc `�' . . PERMIT NUMBER: E10-00037 PERMIT TYPE ELEC APN: 41204260 JOB ADDRESS Vicinity: SCOPE OF WORK: 3491 QUEE OWNER: VICTOR, RI( PHONE: 714-540-705 APPLICANT: FLEMMING`,TRF PHONE: 714-002-6920 " c,-, ° - CONTRACTOR: VISION BUILT Address: � 7401-EL PRADC Ciry/State: BUENA PARK, ( .' Electrical Permit Fee: Reinspection Fee TOTAL FEES ;^r STATUS: ISSUED DATE ISSUED: 0310412010 „ " I$SUED BY: RMD , _.i"` ,is.,. , '�- .� -�-'� �_�� l y -::i�,,. CTYCM '` ' '� p ,�' Suite/Unit � ,. s �., , ;, �fi .'�-: ��;. � "�.F .��iY:i-S.�� i . i. � '`'_=t. `�:;.. OR`SREVICE`PANEL UPGRADE TO'200A�SAMELOCATION "rt:s-� . :�r� � � i n'�': �.`� - �. ,-�',�Y 'k,��` �: t � r ^: (,9, :u .Address: 3491 QUEENS�,CT �Unrt `$'�,o _ �>-City/State/Zip: � COSTAMESA;CA--.�,k� �� e .::�, � �� - ; t ,�. Address Umt " � �r';- � a City/State/zZip -.._� a � �` _a� x " License No.J} 892699 y� ` lnit � ?` � '"` '" „ .,"; PHONE: �... 714 736 9831 ZipCode 90820 �� i ' �i �'�� CELL:' �, � � t �-�' � ' � � �V�'� �:',' � ��:.�? �; "_ � +F t� r � _ � '__ _' _ .. . � � : _. s. •J$�.�� ,' 7 i ; i i til '$�J/; �� :r;, �-�{iy �k',l 5, i l; � T1 Q� r F . � ��: iS :�V��Q 14�u. 5 1 ll�._$I ��" 4 QN� �i' �,�.'�, $54 00 � r , y= ' , �).i � . � ��t�. 1 M; � _. 4 h '^. � .. " [; k � h SO': : _-_"- • y r M . �; , . x -� �� q '�� t .:;. � - -� ! . t � ? �- .�„� ��,,.,� -- - - - NOTICE: The work authorized by this permit shall comply with all applicable handiwp access requirements under Califomia slatutes and related regulations. (O�d. No. 92-28, § 1, 12-21-92) . � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiration o� this permit. GODEt. INSPECiIONTYiE Or1TE INi171RL5 GOUE/ INSPELTONTYPE DATE INTI77AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plum6ing / '� � it 1 Z! 200 Final Re-Roof 210 Final EleCtrical � �_ ��_� (L 201 Final Biock/Retaining Wall ' 212 Pinal Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 Final Site 204 Final Demolilion 250 Final Building/Occupancy WORKERS' COMPENSA710N DECLARATION: - �� . I hereby aRrm under penal�y of perjury one of Ihe following tleclarations: _,, ❑ I have aod will maintain a certifcaie of consen[ to self-Insure for workers' compensation, as pmvidetl fOr by section 3700 0( the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pedormance of the vuork for which Ihis pertnit is issued. My vrorkers' compensation Insurance carrier and policy numberare: �� Cartier.� (TNs SeGbn need not be mmplet¢tldlhe pe�mRk valuetl af oiie hundred tlollers /S100J oi lesSJ PdliCy:Number: � I certify Ihat in Ihe pertormance of the work for which this permi[ is issued, I shall nol employ any person in any manner so as to become subject to the vrorkers' compen ation laws of Cali(ornia, and agree [hat if I should become subject to lh orkers' compensation provisions of Section 3700 of the Labor Code, h fo with comply with these provisions. 3-t(- lO A Ifc fs'SignaNre [paie.?. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC710N 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm lhat I am licensed under provisions of Chapter 9(wmmencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license is in full force and e:ffect. ^-� L�w#�' l6�t� (Classt#r. �� _ �I 3-1/-/i) . �.,.+Q ira2lor's Signatpre � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn lhat �here is a consWc�bn lending agency� (or the peAormance of the work for which �his permit is issued, (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: OWNER-BUILDER DECLARATIONS: I hereby affrm that untler pehalty of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LpW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requi�es a permit to construct, alter, improve, demolish, or repair any struc[ure, pnor to its issuance, also requires the applicant for such permit to (le a signed slatement that �he or she is licensed pursuaN to Ihe provisions o( the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Professions Code) or that he or she is exempt lherefrom and the basis for [he alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjectg Ihe applicant to a civil penalty of not more [han fve hundred dollars (5500).): ❑ I, as ovmer of the propCny, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and ihe structure is not intended or oRered for sale (Sec. 7044, Business antl Professions Code: 7he Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such Work himself or herself or through his or her own employees, providetl that such improvements are not imended or offered for sale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have [he burden of proving that he or she did not build or improve for purpose of sale.). . ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law dces not apply to an ovmer of p'operty who builds or improves Ihereon, and who con�rdcts for such project with a conl2ctor(s) license pursuant ro the Cont2ctors License Laws.). ❑' I am exempt under sec. Business and Professions Code for this reason: SlgnaWre 305]-46(3I0�) Owner ID verified by driver a iicense. ❑ Yes ❑ No Driver's License No. Expires: Verificalion of Ownership by (type ot documen[, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connectbn vnth work au[horizetl by this permit, and that no building structure, scaffolding, talsework, a tlemolition or dismantling thereof, will be more than lhirty-six (36) feet high. (Chap. 32. Grp 2, M Z, Sea 341, Ltie 8, Calitornia Administ2tive Codej. ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permit to tlo such vrork from the tlivision. Appl¢anfs SgnaWre Division of Industrial Safety Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applican[ or present or future building occupant need �o file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceplions, that a Business Plan be filed with [be Cos[a Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous materials equal to or greater lhan a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or tuture 6uilding occupant need lo fle a regis[ration form for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department hy each business which a[ any one time has on hand a quantity o( acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at Standard temperature and pressure). 3. Does or will �he applicant or present or fuNre builtling occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes � No (Section 25534 0( the California Health and Safety Code provides Ihat the Cosla Mesa Fire Department may require the preparalion, certifcation and fling with lhe Fire Departmen[ of an RMPP by businesses which are requiretl to register awtely hazardous malerials witti Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Calilornia Health and Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or (uture building occupant require (or lhe wOrk which is [he subject o( lhis application a permit for such construction or modification from the South Coast Air Quality Management Dis�rict or from any other air pollution coMrol district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires Ihat Ihe requestetl infortnation be fumishetl on applications fa non-resitlential buildin9 pertnits�. 6. Will any part of the faciliry to be constructed under this permit be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf "yes", Ihe facility must meet Ihe requirement of Sections 25534 and 42303 o( the Califomia Health and Sa(ery Cotle). 7. If a permi[ from the South Coast Air Quality Management District or other air pollu[ion control disMcl or agency is required (or the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from the appropriate air pollution control offcer). � � CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct I agree to comply with all stale laws and city ordinances regzrding Hazardous Materials and Emissions. Da�e CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correcL I agree to comply with all state laws and city ordinances relaling to building constmction, and authorize representatives o( the City ot Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspection. � Slg Wr LegalOvmer�s) Date , 3r....v-�o Antlld u onzeU..Applicant+'�'�/+**�%��.^"' �O�ale Y � - , • , � CITY OF COSTA MESA � � B{/ILDING DIVIS/ON 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754d856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (7'14) 754-5626 PERMIT TYPE: B COMBO Sub Type: RES_ALT ros AODRess: 3491 QUEENS APN: 41204260 , Vicinity: Const Type: V-B SCOPE OF WORK: INT EXISTING SFD AND Kll THE ILLEGAL KITCHEN REPLACED WITH STUCCO (LEFT SIDE O REF: C09-1734 i" OWNER: VICTOR, RICHARD Phone: �3�•' ` �-� -��4i I� '.. APPLICANT: FLEMING;�TRAVIS Phone: 714-002-6920 � - , �': „ CONTRACTOR: Phone: 71 Cell: ARCHITECT: ENGINEER: Building Fees: "F-= Electrical Fees: � � Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: "Refer to fee receipts for all fees paid for project 1t" i PERMIT NUMBER: BC09-00352 STATUS: ISSUED DATE ISSUED: 0 9/1 512 0 0 9 :"-ISSUED BY: BJK �� Swte%Umt -:�.. ;`_� € f .. r ".., i `} �='n.' '��....`-, .;-.' `--"P P,.�.�-•::==i. �N TO THE EXISTING LOFT 2.5 SF AD LOCATION OF A;KITCHEN WINDOW. ON TO BE RESTORED TO ORIGIN,� L �t,, i � � . .. � .�.. ' _-- r Address: 3491 QUEENS CT " ' -R � � ;'Lia �! - Address: 7401 EL-PRADO V City/State: BUENA�PARK�CA o �s 0 ' i� � , 5 �_..��'.� ... $0.00 $2.00 $849.15 S$-. :�:�,: _.:��:�-�': �r 1 i : :�.'�� ,.t; iation: $29,000.00 y,�� i`r=• O THE �NOOK AREA FROM THE LSO'INCLUDES DEMOLITION OF ON. SIDING REMOVAL TO BE �4 �'�L� $4, AS OUTLET+(1-4), 1 KITCHEN SINK •� �: � - z?: ,- "_ ta : .�� :�r , a , 7, '`zf -?z', '_�'��'Unit: ' I "�'' �'� � � � N ' S�5 f !'e � 4a ��1 �'., n,� UNi: . y ��,:. a µ � r ` i ' ]99 �Y �r: J . w' 3 -w ZipCode 90620 yi,. i . � �� " :��i;r P4HONE: - ^� PHONE: < r:., NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ' INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. GOOEY. INSPELTIONTYPE OATE INTITIpL CODEt INSPELl10NTYPE DRIE IN7171RL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical / 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical � ___�t�— 201 Final Blotk/Retaining Wall 212 Final Fire Preven�ion 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site c oq 204 Final Demolition - 250 Final Buitding/Occupancy � � WORKERS' COMPENSA710N DECLARATIO� , _ . , I hereby affirm,under penalry of perjury one of ihe following dedarations:. � ❑ I have and vrill maintain a certifca[e of conseN to 5elf-Insure for workers' compensation! as provided for by section 3700 of the La6or Code, for the performance of �he work for which this permi[ is issued. ❑ I have and will maintain workers' wmpensation insurance, �as required by section 3700 of the Labor Cotle, for the pedormance of [he work for which lhis pertnil is issuetl. My vrorkers' compensation Insurance carrier and policy numberare: �� , Carrier: (IDis settun neetl �rot �e mmde(ed AMe pertnrt is valued al one h�ndred 411ars (5100) wless ) Policy Number: �� I certi(y,lha[ in the peAormance o� lhe work for which [his permit is issued, I shall not em oy any person in any manner so as to become subject to the workers' co ensation laws o( California, and agree that if I should become subj t t e workers' compensation provisions of Section 3700 ot the Labor C e, all forthwith comply with these rovisions. Q � pp6c fs5ignalure LDate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THELOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES: � LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing � with Section 7000) ot Division 3 of the Business antl Professions Code, and my license is in tull force and effect. f�� CLic..#> 2 ' Class'#' t clor's'Signature �/�� i,�. CONSTRUCTION LENDING AGENCY: ❑ I hereby a(frm iha[ there is a consiruction lending agency for the peAormance of the v.ork for which this permit is issued. (Sec. 3097, Civil CodeJ. Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby af(rm that under penalty of perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior lo its issuance, also requires the applicant for such permit lo fle a signetl slatement tha� he or she is licensetl pursuant to Ihe pmvisions of the Contractors License law (Chapter 9(commencing wifh Section 7000) of Division 3 of lhe Business and Professions Cotle) or that he or she is exempt therefrom and �he basi5 (or the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant ro a civil penalty of not more than five hundred dollars (3500�.): ❑ I, as�owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is nol intended or offeretl for sale (Sec. 7044, Business and Pro(essions Code: The Contractors License Law tloes not apply to an owner ot propeAy who 6uilds or improves lhereon, and who does such work himself or herself or ihmugh his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one. year of completion, the ovmer-builder will have the burden of pmving that he or she did not build or improve for purpose of sale.). . ❑ I, as owner of the property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Professbns Code: The contrectas License Law dces not apply to an owner of property who builtls or improves thereon, and who contracts for such proiect with a contractor�s) license pursuaN to the Contractors License laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: � � .� �• . .Owher ID verifetl by driver s license. ❑ Yes , �.No +,Driver's License No. ' �- Expires: . i Verifcation of Ownership by (type of document, i.e. - property [ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehdy Iha� no excavation (ive (5) or more feet in depth into which a person is required to descentl, will be made in connection with work authorizetl by �his pertnit, and ihat no building slruc�ure, scaffdding, falsework, or demolilion or dismantling thereof, will be more than thirty-six (36) feei high. (Chap. 32, Gry 2, Art 2, Sec 341, Title 8, Califomia Administrative Code). ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Satety, as noted above, unless such person has a permit to do such work from the division. Applicanfs SlgnaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will �he applicant or present or future building occupant need to file antl certify a Business Plan for emergency response .to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be Tiled � wilh the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater ihan a weight of �500 pountls, or a volume of 55 gallons, br 200 cubic feet of compressed gas at`standaid tempereture and pressu}e). . 2. Does or will the applicant or presenl or fuNre building occupanl need to fle a registration (orm !or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0! the California Health an0 Safely Code, with some exceptions, requires registration with the Cos[a Mesa Fire Department by each business which at any one lime has on tiand a quantity of acutely hazardous materials equal to or grealer Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard� temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous materials)? O Yes ❑ No (Section 25534 of the Califomia Health and Safety Code pmvides that the Costa Mesa Fire Department may require �he preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register awtely hazardous materials wi[h the Fire Deparlment. 4. If an RMPP is presentty required, has Section 25534 of the Califomia Health and Safety Cotle been fully complied with? ❑ Ves ❑ No 5. Does or will the applican[ or present or future building occupant require for the vrork which is the subject of this application a permi[ for such consiruc[ion or modifcation from the South Coast Air Quality Management District or from any other air pollution con[rol district or agency7 ❑ Yes ❑ No (Seclion 658502 of [he Cali(omia Govemment Cotle requires thal Ihe requested infortnation be (umished on applications (or nornresidential building pertnits). 6. Will any part of the facility to be constructed under [his permit be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Cali(omia Health and Safety Cotle). 7. If a permit from [he South Coast Air Quality Managemen[ District or other air pollution control distric[ or agency is required for Ihe work which is Ihe subject of ihis application, have all of the disclosures prescribed by Calitomia Heallh and Safety Code Seclion 42303 been made? ❑ Ves ❑ No 8. Qf 'yes", aitach certificate of compliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury lhe intormation qiven above is correcL I agree to comply with all state laws and .ciry ordinances regarding Hazardous Materials and Emissions. SignaWre oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state ihat the information given is correct I agree to compty with all state laws antl city ordinances relating to building consUuction, and authonze represen[atives of the Ciry of Costa Mesa to en[er upon [he above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building au�horized by [his permit until final inspec�ion. � ' Signal eo(Le wner(s) �ale SignaWre Da�e � —'s^� 309-46�3/0]� An /ocAulM1orizeEAppllcaol` �Dale's :� :� � `�im�i��c��n`�il�� S�.utam�cr ;5..009 V!^TOIi, TFRL,SA & RICHARD 3� �1 QIJLENS COUitT C )STA MESA. CA 92G16 R i: WIMBLGDO\ VCLLAGE ASSOCIATION 2CU�IFST FOR AI3C:F-T7TfCTURAL C[•IANGF APPROVAL Dear Homeo�,�ners: r1; Management A�cnt fur the Wirrlbledon Ville�;e Assaciation, 7 have been requested b} the Avahetaoturul Committee/8oard of Directors to conSact ;ou in response ro yuur roquest for ¢,:1eri,r remodeling. As a result of the review and discussion of your resubm'r�A applic�tion, (r,-.turn side wall m original pusition a�id configuration, replace siding witli srucco, e:ctend wa11 at fr int dvor), your reqaest has 6een npprnverl. S`ioi�ld you have any qucstions regarding the above refcreaced informatioii, pfease do not hcsitate tr r.on�aat h5aimgement at (77�) 288•262U. ' S,[il/`i �`1V, r' ; r the Qoard of Directors l��imhledon Villase Associotimi ��' {� Corky Etumett, CCA�I Caimmunity Manager G:?ld Cuast FnterFrises,lnc. C.; BOD File ~ 2001: XalellaAuertae �lhan,��e, CA 928G7 *(71d) 28R,162l� �(i14) 288-26.?I Fnx www.�,00tdcaastrn t. com �tar /��pectio� �ervices /�c. . P. 0. Box 1934 3outh Gate. CA 90280 �ffice: (323) 569-6790 Mnbile: (213) 393-3575 or (714) 318-2562 Faz: (323) 5fi9-fi792 �Daily or Progress Report ❑ Final Report Date Permit Number: G� C09 - o General Contractor: Architect: Type of work �� Concrete � PT Concrete Permit issued b} Struct. Engineer: Sub-Contractor: ❑ Masonry ❑ Epo�cy r H ❑ Welding ` ❑ Other___ �! � = my xn plans, se noted the work described is to the best of All inspections based on a minimum charge equivalent to in sub complian with approved 4 hours. Over 4 hours is considered 8 hours. Any itl s and p visions applicable building Inspec[ion over 8 hours is at l.Sx normal rate. My _ inspecrion extending past noon shall be considered an 8 � hour trtinimum. /..�v:s ,��/6 �/� Print Name: �� Certification Nu ber: Siar Form I 2/20/08 • � _ . _ . ,- _ . � >- �Pfl0.1ECTRODRESS:-�34(3i ,QUEEDIS�v�CT '�� ' � � � ; uxiT:"? ' " � "! . + . r GITY�OF�-COS�TA� MESA�� ;BOILDING PERMIT ; � �PERM NO i� Ej, !04471`4 u � � ' OWNEB'SNRME:DAV�ZU. S�IECK.' � '�- � .l.:•�� tc', ' i . ,� o �-.. `' i-' > � f ; i� - � . .: � � � ' � . � , - . � �� ,• , . . nooxEss: 349�1i ,Q[JEENS.�..CT , ; i PERMIT' ,NO: � 044 714 ' : ' } � � jPLAN 'CHECK NO � } N y''GOVT�:� N 5UPP� ' N + - ` . , � ' a . ¢ � 7 1 � � e. y � t . k � i. � t , : �, - . -• { • ' t � p � \ n • . i :.. � '' � ' i � � � .�- �. � .y ' { ' , t t �' r " . � „ � � S + _ { { 1 - I . � ` E �, � , �� 'r : � , CQNSTRUCTION TY�P� ' • ; PERMIT=TYPE 'ELE� r 3 = ; .� � ' :PURPC�SL'. ;QTH . . ' , S . a � ' � � � -,� � `.i. � 4 •.�HCNIENGINEEB: ' � ', � ! ;�'i ,�' '��'' . ' �flE0N0 ' �-: � � �:JOB �DESCRIRTION , ELECT�FOR# P.ORTABLE� SFA� � �' 2;` . .. � �{ � � }SQ FT:`; �:•'�o,,; �',s "�• i'�� aooeess ' , , � � . � � oxrt � : �. � i ,.. ..� ` � •� '. . _ ' ' r .`-.: : ' CLAIM, VALUE ,< { �' '-CALCF VALUE : n ` ! L r _ � � L �.0 t_ y �� , PEflM1TTEE:' ' . . ; a , . '' Y . y e� - r , . 44 Y ' r { ,,. � 4., .: jGROUP .�iCC : � ' i ' •�,a, � pa ��. � : . - DPVID'•SIECK� � . ' (213�)'496 `5834 � , = -�� c `' t , � v.aooeess:c 3491 ^QUEENS CT � ?'• � � � L 'COMMEN`fS: > t E:' � ' � �. :,,. , �; � . � - - 1 : � � � �,' 4�.s� 3= i +''�' k;, . . ; � C.M. ' i ' � _ �: CA�92626' ' • ' ,.,,��*�+�,��*�**�***��x*��ex��c��'**�*��*�*�r�*{ei�+i**�***��****��+r��.*+��***�*��*xx***x��*�*' . OCENSEO WNTMCTOB OECIAMiION: I hereC'�aflirm ttiat I am IicenseU unAer provisions oi C�a ter 9 commencin vritA Sectmn • i � ' ' �� r v ( e.. +i • 'ZON.I+N�G� R•EQUIRE'M,ENTS. y,, `� �.�r ` ,; � 700U) ot DiviSion 3 ot ��e Buslness antl Pmhssions CaEe, an my lic¢nse is in lull force anU effeci � � -' �I �:: . . , : .-"Sti E�T B A C F( S � '�' �"� ! �' �i ' �'i � � -:; > CITYLIC.:; , � � ST�TE� f. � ) CUSB � . � � 1 . . �.,i :'� .. ' . . ' i t � .� ' ', � � • , t �� '. .. � . � . i a i oSte 2. `� ature: '� �=� � • , ` � ` . ---- ---- '- MAZN: DUILDING -- -- - - --- - 'ACCCSSORY'+BUILDING -- • • �— � FRNT ' F C IN: REAR.. �,` � FT IN� " FRNT;� " �FT+ IN REAR: � FT �. { 1N '; WONKEBS' OMPENS TIONOECUWITION: Iherebyaifirm atlhaveacenihcateoiconsentiosel6insureoracenificateoiWorkers : f ; � , �. - �', ' r' -' Compensatiominsuiance.pracenifieticopytneaoi(Section3800,�a6.C�..+ r r � � ; LEFT: : L•iZ' �� IN��RGHT: .' FT, , 'LN''-� - ,LEFT.: . FT� , IN RCaH�T.: ! r FT,i, SN„-. � { - POLICY NO.: •' I-"': . i , : E%P O�TE: � t ' < <. � . � ` � � V : ' , i . . , . � . � ' . S .. .; i � . � �, � . ; � . , . ' .I tw 1 � : i . t '.f` i i �. ! I Ui , ^OMPRNY: � �' :� • �. , � j ��' ; ; ,. � � . ', PARKING REQOIRED:�_ t PARKING. PROVIDED: ' '� � �^ PARCEli:.4�1204260 :ZONE: ' � .�3: '� � �• Ceniuee copy.is hereby mmisnen' ❑ CennieA copy is tiied with me city Bmloing Drvisian � - , t � PLANN I NG ' NOT ES > . ` � ' � ' ! ; �� , j. � , - � tj ; . � � . _ ; _ . _... . , �_... . r _` ._ _. . ._ . . .t , ,'. _�. _.r . .. � . •: . +�..,_.. `- .-.t.. .. i �......r .�.. � . .,, � : .-.,._��'" �." � _ "�- .._ •_; �-- !'..--w+�.. _. ' . . ._� _� �:.�. }.-.. '._ . 1 ..,.:'_r : _:�_ . Daie: ADDhca�nt I., �j� ;~ ' iFiEitifiEiF3t�EitifikifiEifiFiEititiEiEjPiEifiE9E1E3EiEiE3E�fjE9ElEif�,jEdf�iEifiE3EiEiEiEiEjE�IE_iEitifiEiEiEiEiEiEiEiP9Eit�EikiEiEifiEiEiF3FiEifiEiElEit3FiflE�' ^� � , ; : . : � � ' ; �' D�'E ,V E I�. O�P M E N,T� 'S� E�'R V I;C E 5 tR ` � EXEMP.�ION FNOM WONNFPS' COMPENS6TION OECIAMTION: Rhs sec6an neeA not he camDletM il the perml is for one AunA20 (5100) or less�. � , � , ' i E Q U. I� R E M E N� T� S ;, i' , I ceniTy ihat in the De�ormance ot the wark Por which t�is Der n rs issueC, I shall not emDloy any person in any manner so as ro Decome '' i ��+: ' i �� , { i'j` . ', ��' ' .' -. � ' ' . • '�. su6iectmtn woncers' ampensa�ionlawsa aiilomia. , 'j � . -`. � .�� 3 , ONING,'A PROVED BY�• � I '''�'�'.''- i i =� - �� 'DATE;' t f.' ` � ' ' ` _ � . ,,. . , e . .r� � - ; • P . r _ . . — , . ' Oate: O� . . . . . ' _ i , . SiAnature: � - .. .. -. . ...� .. .. .. _ 4 � � _ _ ... ' _ - ... �� ,�> �... _ .,. . � . . � ' ' ' L ] . ' NOTIC:It,atler iaknothistlecia�anon'youshould6 omesublecimine orkeis'�ComDensationD�avision's6i�ineLabor BUILDING •APPROVED BY _ � �� t ' !e ' f � � � f f DATL . __?� � �' .�4�`•�•'��t � Code, yau must farlhwi�� comply with such O�ovisions or, lhis'�,permit sAall he UeemeA revoke0. { � ; w�' , � .�. � ' � • 4 ' � � ( '�r � j , " � —,r — � ' �• ' . } � � CONSTBUCTIONlFN01NG�GENCY:-b�erebyattirmthattAereisa.consirucbonlend�npapeniytor,theperiormanceui.theworkforf APPliICATION ISSOED�BY�:. t - +' �r't+l. � 's ' ',.i �DATE:�: O-2. (� q �:: y' • '.'' ' i . �'� �F'X�FiFi�` . wllicn inis permit is issuetl (5ecban 3W7 Qv C)'. � . � ; , • : . :.� • j, ' � �6 �E iE If iE d(-�f iE IE iE iE,iE iE iE 1E if �(-iE �)E {E iE'iE . . ' ; if . , � if _ .K..x. lE.� {E {p {F �(. {(..� K. ' i � 'IFNOEN: y� ,i ' 1. .7 ._� ,. - ,4.; . ,�-1.f', ' • ' iEiEifBEiEiEiEdEfEi4il�#kikki(-#lE�1(-iE1E�fF�1EiE�1Ej(-'1EiEitifiEifiEJif�lE�ik.fkjE�lEiEiEiFK��)FiEiFihif�ifiEiPlFiE.+E�7E�lEiE�lEiEitiEiE3E3fiEiF�EifitiE%iFifi:iEit.ikiEjf '. ; - �-- nooness.- �- �� LE.GALIZATION N'_� ""� � � F Ei E r' S U`M'M A;R�`Y E` ''STRUCTURAL' SEGMENT:N", '" . 1�-i.'.. '�. dli."ft-i�itc..'�,'jJ:'.i .4 v',� ,t. �i.�-� . "�.� r .. . _ �i. : �� '.... .� �� .. � . "; .. .. . , ..� ' ! OwNEB�Bu1LOEHDECUH�TiON. IherebyatfirmthatlamexemptirommeContracmrsStateLicenselawlonnalollomnpreason �� BI:DG' PMT 'PLUMB;I�NG ° ELECT�RIC' ,MECHANIC ' `'i FIRE� ,�5MZP/RES� ' GRADING � �',. (Section 7037.S.Busines5 an0 Pmfessional Cotle: My ciry of counry which reqmres a permit to constmct �atter, improve, aemohsh or � P ERM I,T i-'- ��' J'�' j;e � ` 1� 1' ' 0 0 } . � . ' �. - t .apair any structure, O�ior to its issuance, also,requires ihe aOPlicant lor such permit to file a siqne0 statement Ihat he/5( e^ s Iicenu0� � ,. _ � 4, Y, ; � . � { 'a ; �' � r s * "-�� 5 0 $ ` � , ) �k - . ;SM I P GNON-RES `� - f " � � � pursuanitotheprovisionsoitheCantiacrors:SWtaLicenseLaw(CAap[er9(commencinpwithSection7000)'ofDivsion3oteBusness. �PLAN ; ' ' - LL' �>> ��;' � ",i�- ;� � " � � ' � ' �1�.. � �� " �,. anaPmiessions Cotle)'or ihat he/she is'exempt thereirom antl t�e Easis far tAe allepeU exem0uon-Any Nola�iomof Section 7IXitl5 hy � _ - t� ,' �;`� , . � �� 1' � , . i � any apD��nt for a perrtut sublecis the appliwnt to a civil penalry ot no[ more t�an ine hundretl Aallars,(5500�. � ' ! T�� "I S S UE� E'EE ( ' :; '� �� ' i `" . r. . . ' t i 1 S 0 0 � = � . ��' � - . . � ' :� � � i. '. � � � �'. ' �' � " �•' � ' �BUILDSNG-DIV-> PERMZT �ISSUE ' PLAN-CH�CK TOTAL , < < PAID ' '' � iDUE" ' t`. � I as owner"ut the properry;or my employees�wit6 waqes es-Ihelr sole compensabon,•will-0o,t�e'work and Ihe c < c �. t � s �, ��, ,� � � �ID. stmcNra Is not imenAeA or oflereA lor sale (Sectian 7044, Business an0 Pmfessional CaOe " The Coniracrors' Sute Licensa Law � TOTAL S.- =-> - ` 11.. 0�0 �. `1 5. 0-0� - ' % 0.,0 0� � a 6: 0 0� . 2 6. 0 0 ; ? ', 0 0 , Oaes no[ apply to an owner ai a D�oDenY who bui105 or Improves iherean; antl who does such work AimselVherself orihmug� �' '� � *; z!� ` , ' '� ' j ' � � . �� his or her own employees, provineU that wcn impmvements are nat intenoetl or oneree tor sale. IC hawever tne �uiminp or i i REVENU � D I V I S ION � TOTALS �•>, 1; • COLLEC.TCD � �' 2�6 �0 0 � UV ER / SHORT ;� 4" �'' . 0 0.; F : impmvement is so10 wrthin one year of completion; t�e owner will have the Uurtlen oi pmvinB �e/she Aia not �ui10 or'impmve ' ' - . .fartAe�purpou,ofule).`� i-•�,. ��' >� � � � •' BLnG PMT PLUMDING;ELECTRIC�_MECHANIG ' FIRE' SMIP/TOT ;GRADING;PL'AN�CHECK.. '• :, . � :� . - ;.:� �.� r I, as owner oi tAe properry, am exclusiveN contractinA �th licensed contracton to consiruct the pmject �Section 7044,-Business • '�'�: • i � _ � . . � � - .. � 6 . O�O • r „ � , . ' { ,� . � - , , . '❑ - tiantl Professions Cotle: The Cont2ctors' State License Law Aoas not apply to an owner ot pmDerty who bwlEs or impmves thereon � � � r � � - i - �- � ' ' �' . f� - " ' ' ' " j � ' : - � � , anAwhbconlracislorsuchpmjecisvlithacontactor�s�license0ursuanimtheContracrors'�StateLicenseLaw�.lamaware, �*'K-'K-'K-'K-*';�'�#!ElFif.1FM��iflSiEiFifi(jEiElfiE-k�#'iEdfdfiE9F,iFikiE'dEiE,iEiEiFiEiE,�lEitl(�#if'ifiEiFitiE�lE�itlfiElf�3E�f*iPdf1E{E{E{;-�p'jp.x.{p�*{EjEX-.x..x:{F3(-{E . that prooi of Iheir Warker's ComDensation insuranca shoul0 �e provitleE to�me� ' ' - . � t '• � - "�j , y , i . .. ..� . r+ ;., :s,, -'.i� �I N D.I V I:D U A+L '.`F.E E' �,B'R E� A K`D. O W�N' � P" t ; � 1 am exemDt un0er Section: � � ': � 8 � 8 P C -. � . � � � � _ � � �' , . . • : � I � i' . ' " � . • 1 . ! '. . � ' . • t : : , � , '' � forthisre�san: � � '-_� / ." ' � ' ° � f , ' �TYPE. �� QTY' � � ll E S C R °I-.;P T �`I�O'N �. • i � ;, ,tTNITa.COST' TOTAL �COST - � , r] x /. � . :� , , . . . �s.,�.�� sn� .. , . , , , � .. � Oate: : �- Z _ .7 � ' . � . � 1 p�ner� i : ; , . ' �, . ` ` i � � ELE 1. MZSC' 'APPARATUS �OT- IS'lE REQ PERMIT � i•1.00 ' 11�:00' f" I tlo �ereby certi [haI I am a re ol and unUerstanU t�e repuirements of Califorma ealth and Safety Code Sections 25505, 25533, an0 i : • ' ,1 • C �! . �. ,: ' E ND � ' , ; � �� ' !� .. �� ' 25534 and t�at I or any fNure UuitOing accupant will/will not (circle ana) neeG m comDly vnth ui0 state cotles antl the repmrements for a� _ , .,,,. j i•'' ' '. _i' F� F� ES : i� �1 i � i� . � permit far consimction or modifiwtion from Ihe tir Uualiry Manapement Disinc� Fesidential constmction aDPlications are axempt irom � - �� ; 1 . . �� . , { �' ? �� . i ('� . i ' lhesyPmvisi0n5. � . . 4 : , � .. ' : . - . ; ! . . , ` � 1 Y' � � : i � r ' l � ��' . 1 q . t, - ..i .. A �• i . ' � f } i � Datei ' ^ ` � � AGPlicanC � �.. . - , . � ' � . � . . . � ' i , '� � 7 . E i.. � � I �erehy cetliy t�at I have rea0 this aDDlicatioo antl state�that the abave infarmation is coirecL 1 aprte to compq with all cRy an0 caunry , • �� i�. :.., '�.� •`. �' .� j �;.. �� ' j � + � �� , oNinances an0 state Wws relatin0 �o builGinp constmNon and hereby a Mrva reD��ntatives ol Uis ciry to enter uDon ihe above mentioneE ,; ...__ � � ' � .:_ ..� _.' ., ' �„_ �? . : i.� � � �:"� � � , ,i f proDertY. to� in Pection Pu ses. y ' . : . � p�'� i � � { .. i � .. . �:.' ; . . i oate:`. �10 � F� � ` l5ignaWre: �1/ \� , r . , i . ., i .F 'j , ' ' I t . �� . t , � i,�� 3 � � �' '' � , . 01 0��$6�`'dl L�Q��FbG�`l � t71'� � ��"?�i.i��+ , oriver's �icense or Socia� ecurity x: } � . ' �� i �� ) 1 � . 1 . e t ' _ � , � � ' � j � � , t • � � � • , ' �'+�E fCfe�t /i�.9 . � �F4�.(: �i: �.? j ' � _ " , _ ' - z.' ._... _ � � � ._.. s-"- ..; _ .t:_ . . �' . � ., _ . . - � -�' � . • i . . , ;� . . 1641$B' W�ite-Builtlma. Green=COCe Enio¢emant: Canarv-AOPlican�; Pink-Revenue; Goltlenrotl-Assessor - - - , - ' .� --- --- ' - - - � - -• - -�.�.....-.1. ._L ..... _ �' . . . .. � ... . ' ._.. � . � � __ � , ;_ - _... . � - - � .: - �i4�;;,: POC SPA� _ � �� . ,. CONSTRUCTION�AND'PCANNING° « � .- , ' ` . . . � � . � -Date� Inspector � �� ' � Date.: �Inspectors . „� APPROVALS . Permit # p;. � � •- APPROVAIS Permit # _ � - - �' i i.t,.`"Temporary, Electiical Service or'Pole � '• ?�' � , �- � � � 52.%��Pool & Equipment Location '• -�- - _.. �,. � � � . '.. � . ' . . _ � ' . . - "", ' . �;2.-,Soil Pipe-Undrgrndr• . - ._ � � � , �'� � t..�� F � 53.�'Steel�Reinforcemen[ , s �� . �' ' _,r,.'-. `, ��3GElectrical,Cond`uifUtility-UnHrgmd. - %��Y' 54.=Forms•i " � ; .__" I� �'��4.��Electri�cal Conduit-Undrgrnil. . � � .55. Electrical Bonding � � �;:-' �� +�� ! - --= - . . , . . ._.: . : , . . . � . �� y ...�.J ', . - _ . . . '' 'J��S'�Steel+Reinforcement -� , • �� •� . , c - ' 56. RougFi.Plumbing & Pressure Test �` . _ � ' M F.^.I� r ^ - - : Si71' �_ . . . _ _ ., . _ ,'�r,6••,Electrical'UFER_Gmd.��' �'' � ^';, -� •57-.tAPFROVALYOCOVER�G�UNITE '- _ • � � � � �;. � . . ' 7:'Footings � � • .. � _ , � - . - � � ,58:,;EIectPical Conduit-Undrgrnd. - - .,_t _ � "a Si Foundation "" �� - - � -� ' " � ' ' , i t� . �' ' 59: �Gas Pipe, O Undrgmd,:, Test - � • . �� ' .� +�. _. { j �' 9. Water Pipe-Undrgind.:T r `. - � ; ,; , �-z �' 60._Backwash L'ines; P-Trap, O�Undrgrnd. �� "`��.; � ` �10. Structurel Floor Syste'm' f; �� T� � :3[ . � ,• ; . 61. APPROVAL TO DECK ' , . . -^1 ` 11. Property Sewer Line;&`�House�Connection �� . � 62: Backwash &�Receptor-Firial -�j' � I � 12.- Sewer CaP .. . ' - M1 � - - . . , - . 'f . � y _ 63. Heater & Vent-Final . i 13. Roof D'rains . � ; �; � ;, 64.•�Plumbing SYstem - Final �° � �� 14. Rough Plumbing � . �,? ` 65.��Electrical-Firial' ^:� � ' �_ 45. Fough Electricai�Conduit � y " 66.5Solar SYstem-Final ' � . - § $ ' 1�6. �Rough Electric�.Wiring; z-�Y :, Fencing & Access,ApProval ' � � � r �1 � � � I!, e ' E17. Rough Wiring Sign_ �=' � '' �" s � '�68.=APPROVED�FOR PLASTERING� � f � _ � 1 ' t .18. Rough Electricel-T Ba� Ceiling� ^ . �=' - , 69.�POOL/SPA SYSTEMS FINAL � '' � . . �'19"�'Rough`Heating`&-Ai�r Condi[ioning �„�.` �""T�` f" _"��.;�""� _ ' r�.FIRE„DEPT. REQUIREMENTY �� + ' �� -i -� • - 20:zRough Factory Fi�eplace -- ; .� , � �.APPROVAL'S. �z.pecmit # - ' 21�Ducts, in Structure . .. ^.= ": 5 :7 �:r x � .' --�, ^ -- . �. . - . „ '�.,; i � . ,,, ,-:y .� �.70. Underground Hydro� 22-Ducts,Ventilating�� =� ��-i- •-^ � r��'��'�71. Product�PipingOGas �OOiI -23''Gas'Pjpe� Rough & Test `L�� `'" - _, 'c�s, �° '72, Underground Flush� � � '" - . 24.�RoofFiamin � �� _. �. � 9 . ' - � _ .- n �s �• 73i � Undergrnd. Storage Tank-O Gas ❑ Oil . 25�Roof Sheathing *"' ' '�' '!' ' _ � ^' �Y Y 74r`Overhead Hydro'__ . , ; - � 26yT-Bar��Ceiling (Stiuctural) &`Monocoat -, , - � x 75�Dr,y Chemical - � � . � . � � 27�Frame and Fla`shing ' � '� � �, �� Z6. Dry Standpipe _'F� - � � � . �' '�28. Lathing�& Siding , ' =:'�='� �� .-, � � l"'i`, y. 77�=� �FIXED SVSTEMfF,INAL :^ � .r' ' � ' 29. Insulation � � � � ��:�:�. 7g`;: FIRE.PREV. FINA1 . r•. • �:,: _._ 30. Drywall�Nailing �. .�; � '.� � _ � �i ,g :; , ' .:HEALTH;DEPT, REQUIREMENT :�31.� Plaster Binwn Coat� �� "�` '_ . ; ' � ": ^ :.7g,lFINAL INSPECTION' x ��'� � � 'r . ��32rElectrica+l Power Mete'r'_Final, ' ' �;; �" + , � ;�'; � :'FOOD CERTIF�IC�ATE ISSUED�✓q, . "533�Final Ele�ctric "�,:' � ��-� ��-1�q Notes:� ' � "�� ' �� - _ � -: �`,`34!..FinalHeating;&Air.Conditionirig' ,� _ � j � .° .r_ �y:''.. _ . ,_,�;�;-. .. ` _-��`- .. • +.35:`Firial Gas.Pipe-Tesh: C �" ' ,_, . I - (c. ';: � " - -�� : .�'i . . 11T,;.. - •i.y ' r� ;.i ==t V:�36._ Hood.or CanoPv, ,. U - , �`�-� . {, � i. ` = ~ �-, _ r -37.•-Final FactorV.FirePlace:: .=+i-.. . ;.,-: ��; �y... „- _ • ;, �'� � ;.:38. Final Flumbing • �� `' . ` "'� " � � ''� .- -� ' � �, ' t7 I ��.• t Y' � 39.-Water Ser'vice-Final�. --� " ' k ; ' `�'} r �� " �� . _ � � ��T'�,40:�Gas Service-Final '� �� P-fy � � � 'i� ' � � �`'i� r-� - �? =41. Solar pomesticFinal`"' � .; ; + . : .�: ' � -. � � . . . . � 42. Backflow Preventer= � � :,- . r � ' . ` �`� �_ =" '�� ". 4" . . :.� ;��'_ . ::� vi i�:i' �' �' . 43. Backflow�l�rrigatiom - - ' �- • ?� ; � � . - - � -!'� • . �� . � �. - '^44._ Landscape li�igation System?�.,` ' '`,` ;s `.K,� ;, �: ' - � . . ' � , � `.45��Sound��At{enuation �� -K - ,, �� . � �� . , . " ,. - ��46.'�HandicaP Regul9fions, � � ,_ ':�� _' . �+ - �`' .� ' � - . � .. . . :�47.'FINALSTRUCTURE&�BUILDING'�� ,;: � � •`. Y . �� -. . �� ' - r i - 48.-FINALPLANNING� � - " .. . � ,- - .•'' '�' �, r • '. ' .. • � • � �49",Electric Release to�Edison , � , ' : i�:';- � +� , i . , i, _ %50:-Gas Release to Southerrc California Gas Co , = �"�" '� �'�; � - � ..r . .f!�:. _ . . '51. CERTIFICATEOFOCCUPANCY. ' - �� ` • ,� No. ' , Date . , � . . . .. . - --�)- % I PPOJECTA�OflESS: 3q(jl UEENS CT OWNEN'S NAME: FERGUS�N, TERESA R .nooness: 3491 QUEENS CT COSTA MESA,CA 92626 590-1050 pflCHIENGINEEH: AOOflE55: NEG.NO.: UNIT: � 21 UNIT: PERmiT'EE: VILLA MESA DEVELOPMENT ( 909 ) 677-2297 aoosess: Z5060 HANCOCK AV 103— MUARIETA �� CA 92562 LICENSED CONTBACTOP DECLABATION: I �ereby allirm Ih am lic nsed untler pmvisions o� C�apler 9(commencing wiih Settion 7000� of Dirsion 3 0� Ihe Business antl Pm�essions Code tl my lic nse is in ull �orce n0 efie CITY LIpC.:� STATE LIC.: e] O A 5 6 � f � Daie�_/� SignaWr. U WOflKqnS' CO ENSATION OECLAPATION: I herehy a��irm I�a� I have a Ce�i�iCale o� consen �0 5elbinsure or a cetli�iCaie of Worker5' ComOensa�mn Insurance, or a cendied coOY �hereol (Sec�ion 3800. Lab. C�- oOLICY NO.: ' . E%P. DPTE: , COMPANY: .� Cerii�ietl tOpy is herehy lumished. ❑ Ce�ilietl copy is file0 with the ciry Building Division/) Oa�e: Applicant: E%EMPTION FflOM WOPREHS' MPENSATION OECIAflPTION: (Thi c n neetl n c e�eail�he permi�islorone hun4�eU�$11p)orless�. I cerlily Ihai in � petlorm ce of Ihe work �or w�ich Ihis per is i uetl, all employ any person in any manner sa as to become sublec� pIo Ihe larkers' mpensation Laws o� Cali�omia Da�e'. 7 - SignaW : NO : If, er makinq this aeclara�ion, you should beco sublac� �o � orkers' Compensalion pmvisions of the Lahar C e. you usl Iorihwilh compty wilh suc� pmvisions or Ihis permi� shall he Oeemetl revoked. CONSTflUCTI LENDING FGENCY: I here�y alfirm Iha� Ihere is a constmction lending agency �or Ihe pertormance oi �he work for which �his permit is issued (Section 3097, Civ. C�. , LENDEN: ADOPESS: OWNEF BUILOEB OECUIHRTION: I hereby afiirm tAai I am exempt Imm ihe Contracmrs' State License law br the lollowing reason (Section 7031.5 Business ane Pmlessional Code Any ciry oi counry whic� requires a permi� lo cons�mci, alter, impmve, tlemoli5h, ar repair any s�mc�ure. prior ro ils issuance. also requires the aOPlicant for such permit �o file a signetl s�a�emen� �ha� helshe is licensea pursuam Io Ihe Dmvislons o� ��e Coniraaors' State License Law �Chapter 9(commencing with Seclion 7000) ol Division 3 0� the Business antl Prolessions Cotle) or �hat helshe is exempt Iherelwm and Ihe basis lor �he allege0 ezemplion. Nny violation at Seciion 7031.5 by any aOPI¢ant for a Dermil su�lec�s �he apDlican� ta a civil penal�y oi no� more �han tive huntlred tlollars ($500�. I, as owner ol Ihe prop¢tly or my employees with wages as I�eir sole compensation, will do �he work, antl �he ❑ slmciure is nol inlenAeO or of�eretl lor sale (Sec�ian 7044, Business antl Pmtessional CoOe: The Coniracmrs' Slaie License Law , does nol apply to an owne� of a propeny who Ouilds or impmves lhereon, antl who tloes such work himsel�/hersel� or lhmugh' his or her own employees, pmvitled tha� such impwvemen�s are not inlendetl or o��erea �or sale. I( however Ihe building or impmvemen� is soltl within ane year of comple�ion, Ihe owner will have Ihe burtlen oi pmving he/s�e Ai� no� �ui10 or impmve for ��e purpose ol sale). i,'as owner ol Ihe pmpehy, am exclusively conVac�ing wi�h Iicen5e0 conVactors to conslmci �Ae pmjed (Section 7044. Business '❑ ana Professions Cotle'. T�e Conlractors' Siale License Law d0e5 n0� aDDly �o an Ownerot OmOehy wh0 builtl5 or impmve5lAereon , and who tontracis for such proleds with a coNractm�s) license pursuan� lo Ihe Contractors' Sia�e License Law). I am aware ��ai O�ooi ol I�eir Worker'S Compensation insurance shoultl be pmviOeU b me. � I am exempt under Sec�ion: B. 8 P. C. for Ihis reason: Dale'. Ownec I tlo hereby cenity thal I am aware o� antl untlersland �he reQuiremen�s ol Cah�amia Heallh and Sa�ery Catle Semions 25505, 25533, ane 2553a anU I�al l or any INure Guilding ocapant will/will noi (circle one) need to compty with said Slate cotles and Ihe requiremenis �or a permii for conslmciion or motlilica�ion irom Ihe Air Oualily Managemen� Dislrict. flesidenlial ron5lmc�ion applications are exempi �mm inese provisions � �� ' Odl¢I P I hereby cerlilythal I have read t is applicalion o�dmances antl siatelavrs relali to building con pmperry for insp uon pur es. yOaie: � ` ` �river' ¢ense Social Securily p: is correct. I agree m comply wi�h all city anA nta�ives o� �his ciiy �o en�er upon �he�7pue.�re t6Ab<6 While—Boiltling'. Green—Code EnlorcemenL Canary—Appliwnl: Pink—Revenue: Goltlenrod—Assessor CITY OF"COSTA MESA — BUILDING PERMIT PERM NO: B 06406 PERMIT NO: H 064069 PLAN CHECK NO: 02823-93 L GOVT; N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : CONVERT 183SF EXIST ATTIC TO STUDY ROOM SQ FT: 183 CLAIM VALUE; 12,000.00 CALC—VALUE: 13,542.00 GROUP OCC: R-3 / COMMENTS: CONVERT EXISTING ATTIC INTO STUDY ROOM �r�r�r*�r�r*x�x�+r�r�rx�x�x�ex�**+r**�r�r��r*�+r*�r**�r��r+��r��r*�r*x *x**x��r*�r�r�r�*+r*+r*�r�x�r+rxx��r*�r�r*+rx�+r+rx� 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 IN REAR: FT IN FRNT: FT IN REAR; FT.' IN LEFT: FT IN RGHT: FT IN LEFT: 'FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL; 41204260 ZNE; PDR' REF NO; PLANNZNG N(STES> INTERIOR CONVERSION OF AN ATTIC TO'A SECOND STORY STUDY. A W > INDOW TO BE INSTALLED ON EAST ELEVATION. S.E. IS 183-, ��*x�**��*x�*x*x�**x��;�r�r�x�*****x�*�r**x�+�+�*��rx��r�r�r*x��+r�r**+r***�x�***�*****x�**�+��r***��r 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,r'yT.S ZONING APPROVED BY �' : K A- 1� DATE; i �fL9 �• / p�j BUILDING APPROVED B,Yr : 1 V%L}' DATE:;r1�= .3 I� f C' APPLICATION ISSUED,%BY; DATE' � i-� lkififififiErtiFiEiElfiflFfkiEiF1FlF.iFltlEiE iflEififlF3fiElfifif �lFih 1f iF M if M iF 1f iF if if if K 1f iF iE if 1! iF 1F M iE iE iE if 1E iE it 1F k 1E ik if if iF 1f M it IF iE 1F k iE 1f if K iF iE k iE iE 1F if �f iF if M k iE 1F if IF iE iE iE 1f if iE N iF 1U if %IF iF if it �E if 1f LEGALIZATION:N F E E S U MaM A R Y STRUCTURAI;;�SEGMENT:Y !; <'- _ HLDG PMT PLUMBING ELECTR'IC MECHANIC FIRE SMIP/RES GRADING PERMIT 153.00 � r 1.35' � ��/ SMIP/NON—RES PLAN 99.95 n.--�: , ISSUE FEE ' —„. % � BUILDING—DIV—> PERMIT ISSUE PLAIJ—CHECR 6, TOTAL --PAID DUE TOTALS--=—> 154.35 0.00 U,�99.45 `? 253.80 253.80 ,00 REVENUE DIVISION TOTALS--> COLLECTED:��/� 154.35 OVER/SHORT: .00 BLD53P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK � 1; �� ^ 1.35 if i! 1E 3! if 1t ik ft it i! �t fE 1E fk i! if it i! if IE 1f iE iE 1f ff 1k k iF iklk if if !E fE iE fE 1E ik 1E 141f.lE iE.iF 1E i� IE 1f if iF iF iE iE iF 1Elf iF iE 1E iE if IE iE 3k if * if if %%if 1E 1f 1f 1f if iF iE it I N D I V I D U A L�� F,�E'E��; B R E A K D O W N �� . r TYPE QTY D E S C R I P T I O N! � "''� UNIT COST TOTAL COST ' ' i %�1 r . �.,� SFR 183 DWE—TYPE V—WOOD FRAME�� +:�6."�—GOOD 74.00 • 13,542,00 END�,OF F�EES ,':' �%� '�i� . i' f� ,� . � 1 �� j �, � ei oci�rz�i-o�i»�� rnz is;.a: DAT�: G9/2Di93 �hiE: i4:3� . CONSTRUGTION AND.PLANNWG_ t� •- ' � ' . • PUv� & SPA . �� , � � i, - ' -. Date In�gcfor _ Oate Inspectoi � �'APPROVALS Permit # � ' � APPROVALS Permit,# � : � v' - - - - � � i". � ; .x1,'Temporary Electrical Service or�'Poie . ,-: � ": ' 52. Pool & Equipment Locauon ' � �" ' r,,. -2.�Snoii Pupe-Undr md. ; 'S�; :' �, � ' � = 53.'Steel� Reinforr,emert � � � .. ' ,.�:��ctr�alCondw�ility•Undrgrnd. .;` , 54. Forms - - �- !�-- , . '� �i f.�-+:-r--i- �•:rs':. _ , ''+73. Hfictric�l CondctiF�riBrgrnd. . � v .' ' " 55. Electrical Bonding .' -- - �.-x : � r.i �:'�T�'�ei �inforc�i�h5 _ . � . ` �- � _' 56.'.Rough-Plum6ing.& Pressure Test � --� 4 � . �r 6.�_^-.��'p�trical UFECiGrnd.: ^ - ' 57. APPBQI/ALTp�CpVER�GUNITE � /� � � � p� �'�.�tings �;;� �� _ . 58. �Electrical Conduit�Undrgrnd. f i( "` ' _ � � , . . . ; � r �.-a � . -n �-- , ' F�:Q� Foandaiion �:i^ r _ -� r, . V ' t �i �' � - 59 Gas Pipe, O'Undrgrnd .Test / � :i �� ' � 9. VJaterAipe-Unc�cqrntl. - .� � � � 60. �Backwash Lines,P-Trap,�0'Undrgmd.� '; l _,i� �,�� . f 10. Structural F1oq:�Svstem� �� . -°' ., 67. APPROVAL Tn DECK. ; . � �� • �- � �� . _ . . _ . . ' i i. Prpperty Sewer�Line �& No21"se Conneciion ' ''" ' 62.' Backwash & ReeeR;or-Final .o � � 12. S{yver Cap , �� . -. 63.�'Heater & Vent-Eioal � � � + � � 13. Roof D,rains ' � � _ - - �. - � ;, •.r� � 64. Riumbinc� Sv,steh'+ - Final'.� ; � " � - ` - � - 14.`Rou9h Piumhir� � � � 65. Electricai-Final � � � � - _ ,.. , _ ..._ � . 15. Rough Electrical-Conduii - � ` -� � ! � 66. -�la. System-Final r �- 4�Bi Ro�gh Eleccriy��VJiring. � , 67.. Fencing & Access Approo•ai � � � _77. Rough4Liring$`�gp, , � 68,'.APPfiQVEDF,ORPLASTERIhG - t 78. Rough E�ectrical'-7 Bar. Cziling „ 69. POOI/SPA SYSTEMS FI'NAL � 79. ��?ougM �H�eaung & Air Conditioniny � ' - - ' � � � ` FIRE DEPT. REQUIREMEN7 � �- � `. � . � i C' •�.-iiZlF C.^, :i. � r7 i 20.i*Ro(wh �actor7j Ff�.ilace ; �".,' w-'7 * O �; '.:'�{ M i3,PPft(pVA�S::�t?'erGiiit # � '" �^ �." �' � ry t :i b" c.; :� t-i tr # � 15 c�. �u t, �_, � x -Fs- 1- 21 �DuFs, i�Str,�i.etuF@� j�?.y:� � ti -:x .� �50. l�ndergcai.lil�Hyrlr� o�� + �3-� 22 �DuF�s. �T�nt�l�tin§� � i :'�:S ; � � �.. ?� "� `�7. Product�;E'=.�iiig �s C�il i . C �. �� , I J: � H Y: n T �� .` '. �-I r t_ 23..Ga ip• o�ah&��est , i..r rc��;� �, ,� �� 7z Undergror•�clFl4wtr,N .- c., :� 241�Ao0Y Praming� ^�?� --- � ^-� � r � �� '- x. .. �3�} Jndergmr: Stor �7��kT'�J Gas ❑ U`+1 .. � ' � �'- � � �� ^� �• ro -: r•s r c� r�a F �. ,-; .:,c x 25. Ro Sii�ath;n � 9?J* � v�+ G n;r: ,- 74�verlaead�lYdro�� c �-j.- :'�T'- -:rt-.`�-�i",i _i 2. _ _c:-� 26ic7�&,�r Ceiling (StCeczurai} &:hleireoat � .:'r � � �' t�:a� �� 75�.D1y C�;err�ic� "� y. �-' `-7 �? 27.,��"-rame an�i F,t�shi t fi ��, �� f ��. ...,x t ^ cY Sianc�ik^ `� ` � �" � �� ;i� �r .'nj/�'S�t'�f%3�� 76. Dr r, �; "�`-F'-.-.'.i-C,� �'-" .. :?-'';`-----�' " i-28. lathing�tSu�ng:l�r[� `7��' :r;:-+ �:g: •��*.>: 77r'FIXED9,l"STENr?�NAL� .'. -..rc. ,�( : � �-i .-�;4� iV:'�1 � r+ [`. . "29. Iniulati� � �''` :� r= .. .. � a; ;+. r ia � �' :r ' ; � � ^ G; .<�.� S , � i � x 78.i;FIRE PREV. Flty�?:{. .;.,. :� �, - -?-��-�--t.. _. ... ,,. -�+ - t'30. Drywail'Naii�hg + U "--� «�� f'EALTFK�EPT=�R£QU�IRBMENT �.� � t.� c�� s F._� r r lt�.'i f� 'F •. (l 1 Y-�.: i � . t % t.. � � � i" (? �31. Plasier Ht,Owc;;Co�'.;. S � Cr,, � rr,��p. I .c v��.^kINAL IN.�RtCTI ��'7V ;�� V �-,^:-'�-S�'7''.'-f' . .,. . --�-- , -' F32..:Electric�Pouser GTxef:F�nal; N>•�z :: � � °� tBO.t+fpOD CERTIFIDrX?'E IS3UED .-�--3•- ___-i • -.;_V • � I � G x •,^._ =r-, �33�-in� EI ctric� `�'�` t �U �t: r•; �: t_�t �:'� � r� : : � . i � 1 S fi C7 I 4.: j� � : ( . Y. } ol 5: ] '7 [r d' '7 ��i �''-[sn.. {r-'�7�i-t � �'C-'[?.."-.:3" -r- . -`--�•�-r . _- n; 4,� i�inpf He�3tiny 1�Coitditibn�m� �'1;� � E: `�i �i, =4 ^ ., .,:, � � � - r x ::1d� Z--�--q 3 �:G��-�, �-�'�-'�/,� �35�'Fin61Ga Pip7.TEs,ya-~ir �� `,, ' � n / i�ti cnS �tT� / `:) �-(!/G�K� � 'C;�_ � r � �t � v; " + H � I Y� x � �✓'yj.W./ ,`�-� �k._.D Ci (= �'/ ' _ ' ,: T'-*.i fi '� , �$6. Hoqd or�anoPY O� a i['� �-i c." ,: x. cl a S ��i� /�y^/ ^/� ,. ..... � � , �nc a.-.r f � (/ 2 'j � 7�tinEYFac�ory FirCDfa�e, ' S^ ;F• %Y t�7 � I�: 6 �� j t -��. r.:H < i 1 F .�. i� /✓1 �,«jI�Y_3 � -°' - - � .;-�-1. �- .. .. � ,�: .. ti38 �_Ein�t Pii�ynbing r z: t v.Y-� .k � � I.>' r � �r-� � trJ i � �339 -:^IaYet S4r�ice�final* y f ot-- �rn �*�.. .'` ��^ �.r s p t.n �-� RJ K 1 O:':i. T, 1'r. K y� oi r. :K O G' 4• .r. ^ :=: r - � _ �,40. �Gas Ser�ce-F�y�al .. m �= [^n� s�, -.: n jy ,z r;t ��:v _. . 3,y-•„ . . . . . . GI41.�iolar po es4c�Fin�i �: �i^ --[u "=% CY, i 'ix * �^<'� '-+ "' _ o r*7 ['1 S'X R'� * C' "70 G' �?: : � �. `�12. fiackflo��Preventer*E" 'n�j ;�L, � ! ; �- ," �:F, . '�,t+ ,- �- �. - � A3. Backflow Irr4(g'ationr ��= s ~� '* � `} .:: S`""� " O , x >. :.x :R�..ii . fi C; �. � -- ,. �., n,.�y , ., ---;�---->,_ .� ... s,�14�. Landscape Ir,Hgatio� System:<".i�� .,, .;, �; h �; ;_i:;. .;� ti n� � C� � :�: a . ' . _ " .: ._. �ii :ii'.. .. ..� ..� .�. .- .� . � y-�. �r •'. ' ;y �15.Saund Atten:dation'� ..•r;`. �'b: �:i.:.' E ;-, F.•x :r �': i-. �-+ �:+:,.� o'v: �;. ' �l x �-1 .... ^ t:p .h O; i'�' � _• C �. • F�� < ;C � S-t h x =. :. ii] x. � .�__7�'.. . _ ,-06.`,Handicap,RegUlatio,s r{ On7 -,.t /.. .. ...; • ': ^.- .S r_:o - :• _, 4'j.:fit�tAL S7Rk�TURE & BU_-� t61NG :� �(� o/�/�y T � � # �`�'- Nr.:s ^ j � f�' ^'+ � 'X i lT'h� C7 � iT`'/-�-.� hV `u ! -_'.-_�t�-�- - 48.:F1l�lALPLAfQN�NG- � _..(-. t pi� i�c�.`k :Y �: �Ti .,; _ E-. c:i .. ;`'49.cEleeiric Release to �dison i ti": t :,�� _ vw* 'K g� -� i x, �y r.� �.z :� r,� �i •� �t is. � �50.<GastiRelg��se to Southem CaliQo,rn,iaiGas C6 � ,'s.�,.:� �i, ��-; H :.; • i�,:; a p J� _•,___._:z .. .. ' !- .� ,., r s- . r. �51. GER�IFICATE OF,(JCCUPP;Ni.P �, A% :: x; n �:o x fi :-� � I�o. � Data � . �I PNOJECT AOOFESS: 3 q(� 1 QUE ENS CT owxeasxame: FERGUSON TERESA R nooeess: 3491 QUE�NS CT COSTA MESA,CA 92626 540-1050 pflCHIENGINEEH: aooness: PEG.NO.: UNIT: uxir: PEflMITTEE: VILLA MESA DEVELOPM ( 909 ) 677-2297 PDDflESS: zSOSO HANCOCK AV 03— MURRIETA CA 92562 UCENSEO CONTHPCTOB OECUINATION:' I here�y a��irm �hat I license unUer pmvisions ot Cha mencing wiih Seciion 7000) of �rvlslon ol lh Business antl Prolessions Code, an y Ilcen is in full force antl e ciTv uc.: sTaTe uc.: 4 0 4 4 6 cuss: H Oa�e'. �_ ' Signa e: _ _ _ WOBNE CO ENSPTION OECLl�BATION: I h eby allir h ave a certilicate oi sent to Compe alion surance. or a cetlilied copy Ihe o� ion 3800, LaO. C). POLICY NO.: � E%P. OR7E: " COMPPNY: 7 Ceriilied copy is hereby IurnisAetl. ❑ Certifie0 copy is filed wi�h �h Builtlin ivisio Dale: Applicani: E%EMPTION FROM OBREBS' OMPENSATION OECLAXATION: his seqion ne noi be cample�ed if �he I cetlity Ihat in 1 perlor nce ol Ihe work for which t' ermi� is issu . I o� employ an sublecl /I�o ihe Porkers' ompensatmn Laws ot Cal' rnia. Date: �/ i9naNre: NO E If, Ier making ihis tleclara�ion,YwShG�ltl C e, you usl fon�wn� comDty wi�h such pwvis� CON HUCTION LENDING AGENCY: I hereby aifirm ��a� which Ihis permii is issued (Sectian 3097. Civ. C). LENOEH: / ROOHESS: seli�insure or a cetlificaie of Workers' sohuntlretl(311p�arle55�. manner so as Io became Yorkers' Compen5aiion provisions ot�he Labor � �. deemeG revoke0. lending aAency for ihe pedormance of ihe work for OWNEN BOILOEH OECLAflFTION: i her¢�.e�firm thai I am exempt �mm �he ComracrorY S�ate License Law �or lhe lollowing reason (Sec�ian 7031 5 Business and Pm�e55ional Code: Any ciry o� counry which reQuires a permit m conslmc�, alter, impmve, tlemolish, or repair any s�mc�ure. prior �o iis issuance, alsa requires Ihe applican� lor such permi� to file a signetl statemen� �hai he/she is licensetl pursuanuo Ihe pmvisions o� Ihe ConVac�ors' S�ate License Law (Chap�er 9(commencing with Sec�ion 7000) of �ivision 3 o� the Busines5 and Pwlessions Cotle� or Ihat he/s�e is exemp� �hereimm antl �he basis �or the alleged exemp�ian. Any violation ol Sec�ion 7031.5 by any applicanliar a permil subjects ��e appli[an� to a civil penalty o� not more �han five hundred tlollars (5500�. I, as owner oi.ihe property or my employees wi�h wages as Iheir sole compensation. will do Ihe wo�k, antl Ihe ❑ s�mcWre is noi imended or of7ere0 br sale (Section 7044, Business ana Pmlessional Code: The Contracmrs' Slaie License Law Ooes not ap01y to an owner oi a D�openy who builds or impmves thereon, an0 who Ooes suc� wark himselOhersel� or ihmugh �is or her own employees. pmvi0ed Iha� such impmvemen�s are not in�entletl or u��ereA-for sale. If, however ��e building or 'mpmvemen� is soltl within one year ol completion. �he owner will have Ihe buraen oi pmving he/she Oid no� �uila ar impmve �or �he Durpose oi sale�. I, as owne� ol Ihe Ompehy, am exclusively contrac�ing wi�h licensetl conlraclors �o consimct �he pmlec� �Seclion 7044. Business ❑ antl Pro�essions Code: The Conlraciors'.Slate License Law does no� apDty to an owner o� pmpetly who bui105 or impmves lhereon anU who con�racis for such pmjecis with a coniraclor(5) Ilcense pursuan� �o Ihe Contrac[ors' $late License Lew),I em aware Iha� proof ol Iheir Worker's Compensation msurance 5hou10 be pmvided to me. � I am ecempl untler Seclion: 8. 6 P. C. lor Ihis reasnn: • . Date: Owner I tlo here�y cemty Iha� I am aware of an0 untlerstantl Ihe requiremenis o� Califomia,Healih and Satery Code Seciions 25505, 25533, and 2553G and Ihat I or any luture building accupanl willlwill not (circle one) need ta comply with SaiA s�ate cotles antl Ihe requirements lor a permil �or cansimc�ion or modifica�ion fmm �he Air Oualily Managemen� �i5lricL Fesitlential con5�mciion apDlica�ions are exempt �mm inese pmvisions. � . ' ' Date: - ApplicanC _ I hereby ceildythat I �ave reatl�bis aOPI¢ation and sta�elAat ortlinancesanOslaiQlawsretau lobuildingcons�mc�ionand propetly for mspy�lion pur ses. Dale. .!/ / �� Siqnat e: _ iee Io wmply wi�� all ci�y antl counry city �o enter upon Ihe ahove�meniionea 16aL46 Whne—Building, Green—Cotle EnlorcemenL Canary—AOP6cant: Pink—Revenue: GolQenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 064071 PERMIT NO: M 064071 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ADD JOB DESCRIPTION ; RELO.CATE HEAT DUCT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / ��***�*w�r�*�*�***��*****�*�*****�r+ir**��r�**D***��*frx *k��rB+br��*«�x��+r+e��r*x+r*+r�r�r�r*+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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: ET IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 41204260 ZNE; REF NO: PLANNING N6TES> � 1E 1ElE 1f ft iF fk 1k ff 1f 1E iF 1F if ftlk!!!! i! 1E if ff fE �ElklE 1f 1F iflk'!F iE 1f �t f! i! ff if 1! 1flFlk 1k 1F 1f iE 1t 1E If ff 1f 1F 1ElF 1E if !E!! ff M if 1f 1f !F iE 1f 1f 1f ff if fE 1E D E V E L O P M E N T S E R�V, I C E S R E Q U I R E M E N T S ZONING APPAOVED BY BUILDING APPROVED BY DATE; DATE:. �� DATE: Qi I QJIl� ±EifiEififiEiFiFifiFiFififikiklfiFitikitkikiFitMiFifM%ifiEiEifililiElE.iEifififkiEiFif�%lFMififififiEMiF%%1FlfifiEifiEiEiEMiF4iFlfiElE%iElEififiElf ' LEGALIZATION;N F E E� S�U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 ��, 252 SMIP/NON—RES PLAN ISSUE FEE �r� 15.00 BUILDING—DIV—> PERMIT ISSUE PL'AN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 �. 0.00 24,00 24,00 .00 REVENUE DIVISION TOTALS--> COI;LECTED: 24.�00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK � 24.00 !! 3t 1! ft ft �f M fk 1E fElk 1t 1E 1!!f 1F %!t 1t it ff If If M 1k 1ElE iF 1E fE 1f !f if 1k �f-1E 1F iF iE 1f fF iF 1F 1f M 7f i!!� fE 1f It k ff it 1f 1flE 1f !F!E iE 1E 1f 1f M�F ff 1ElE iP M 1f iE M!E %1E 1f �E I N D I V I D U A li' 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 MEC 1 REPAIR/ALT HEATING�� UNIT/SYS W/CNTLS 9.00 9.00 -END OF FEES ' � �/ ,N, ` r Ol QQ14??a9-O�i-7?b9 T!l T ?4,00 �44�: C��/20;49 T1i1E: lti�?6 7 PflOJECT AOOFlESS: 3 4 9 1 QUE ENS CT OWNEP'S NFME: FERGUSON, TEAESA R aooxess: 3491 QUEENS CT COSTA MESA,CA 92626 540-1050 RflCM/ENGINEEfl: RD�NE55: UNIT: NEG.NO.: UNIT: PEflM1TTEE: �T��T ��nOT�VELOPMENT AD�BE55: � $ �,a C F.v MURRIETA CA 925 ❑CENSEO CONTRACTON OECIAHATION: I hereby alfirm that I am ' ense ntler O�avisions 7000� ot Uv��sion 3 I t�e Business anA Pmlessions Cotle. antl m icens 5 in �ull force e��ec cirr uc.: srnre uc.: q 0 4 9 5 6 wss: Date: Signamre: _ _ — _ WOflKE COMPE RT CLANATION: I herehy affir �ave a cetlificaie of conse se Compen lion Ins nce, or a cenitietl copy thereo� �Seciion 3800. LaD. C�. POLICY NO.: E%P. ORTE: COMPpNY: 7 Ceriified copy is �ereUy lumished. ❑ Cetlilied copY is liletl wi1�2��y Builtling Division. t9U9) 71��97 6 ap�er 9 (commencing with Sec�ion ora tertifita�e ofWorkers' �ate: ApDlicanf E%EMPTIONFPOMWOFHEB$'COMPENSl�TIONOECLIHATION: hi55xlio etNnolGecamDleleOil mnisforonehmMre0�5100�orless�. 'I cetlify Ihal in t�e petlormj�ice oi the work �ar which Ihis rmi� is iss tl. I shall no� empl y person in any manner so as to �ecome subiect lo Ihe orkers' bmpensalion Laws of Cali�or `( �� a�e: Signa� re: NOT . If, aft I�is tleclara�ion. you sh ecome suble to the Workers' Compensation pmvisions of thela�or C e. you m � hwith com0ly wi�h such pmvisions ar�his permit shall be deemeA revoketl. CON HUCtION LENUINC pGENCV: I hereby alhrm �hai ��ere is a conSVuction lentling agency for �he pertormance oi the work lor w�ic� �his peimit is issued (Seaion 3097. Civ. C�. ' LENDEP: ' AOOPESS: OWNEB BWLOFfl OECLABATION: 1 hereby afiirm �hat I am eaemp� Imm ihe Contrac�ors' State License Law lor the tollowing reason (Sec�ion 7031.5 Business and Prolessional Cotle: Any cily o� counry which requires a permit �o cons�mci, aller, improve, tlemolish, or repair any s�mciure. prior lo ils issuance. alsa reQuires ��e applicant br sucA permit to tile a signed stalemen� �ha� hGshe is licensed pursuan� �o �he pmvisions of ��e Cantractors' State License Law �Chapter 9(commendng with Seclion 7000) ol Division 3 0� the Business anA Pmlessions Coae) or Ihai he/s�e is e�emp� �hereimm an0 ��e basis �or �he allegetl exemp�ion. Nny viola�ion ol Sedion 7031.5 by any applican�for a permit subjecls Ihe applicani ro a civil penally of no� more �Aan five huntlretl tlollars �5500). I. as owner al Ihe pmDe�Y or my employees wi�� wages as �heir sole compensation, will da �he wark, antl Ihe ❑ s�mclure is not intendea or ollerea �or sale (Section 7044, Business antl Pmfessional Code: The Conirac�ors' S�a�e License Law . tlaes not apOty to an owner of a pmpeny w�o builds or improves thereon, and who Aoes such work himsell/hersel� ar �hrough his or her own employees, pmviOeA Ihat such impmvemen�s are not in�entled or oiferetl for sale. If, however Ihe 6uilding or impmvemen� is soltl wit�in one year ol complelion. t�e owner will have Ihe �urtlen ol pmving Ae/she tlia not build or imOmve lor the purpose of sale). � I, as owner ol Ihe pmpehy, am e�cWsively commc�ing wi�� licensea conVac�ors� o o'ons�mm Ihe Omlec� (Section 7044, Business I� ❑ an0 Pm�essions Code: The Contrac�ors' S�aie License Law does nol aDDly Io an owner of pmpehy who Uuiltls or improves �hereon and who con�racls tor such projecis wi�� a conlracior(5) license pursuanl to ihe Conlrac�ors' S�aie License Law�.l am aware Iha� Dmol ol �Aeir Worker'S Compensa�ion insurance shoultl be pmvitled lo me. � I am exempi un0er Sec�ion'. B. 8 P. C. for ihis reason' �ale Ownec I tlo �ereby <enify Inai I am aware ol ana underslan0 Ihe requiremen�s of Caltlomia Healih and Safery Cotle Sections 25505, 25533, an0 25534 ana �hal I or any Wiure builtling occupan� willlwill nol (circle one) nee0 lo comply wi�h said 5�aie codes and Ihe reQuiremenis for a permil lor conSVuclion ar modilicalion �mm �he Nir Oualily Management DisVic�. Fesitlen�ial cons�mction applicalions are eeempt Imm ' �hese pmvisions. _ Oate. Apvlicant. I hereby ceriity Nal I have rea this appliGation antl siaG or4mancesanAsta}� lawsrei ngtobuildingconsimctio pmpetly �ar i�nsf c�ion p os Oale'. __�� nature I(icense id Social Secumy a: is torret�. I agr¢¢ lo comply wi�h all Ciiy antl c0unry nlaiives o��his ciryta enlerupon�he a0ove�menlione0 t6n1-46 Whi�e—Bulltling�, Green—CODe En�orcemem: Canary—Appbcant: Vink—Revenu'e: GolCenroE—Assessor . �� \...._, CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 064072 PERMIT NO; P 064072 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD JOH DESCRIPTION : RELOCATE GAS PIPE � SQ FT; GLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: CONVERT EXISTING ATTIC INTO STUDY ROOM , RE: B64069 �*****�**+�**�r�r*�r**�r*�r****��**�r*�r**��r*�*��r***+r�***�r**r**+��*�***�r*�x *****+r***�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 IN REAR• FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ • PROV: PARCEL: 91204260 ZNE: REF NO: PLANNING N6'PES> i *x ��*****+�+r�***+r****��r�r**�r*�r�***+r�r**�r�*"*x x *�r**�r�r***��r�r*�+r+r***��*+r*�*�r***+r***x�+�* D E V E L O.P M E N T S E R V�I,C E S R E Q U I R E M E N T S ZONING APPAOVED HY � DATE: BUILDING APPROVED BY ; � .l. DATE: APPLICATION ISSUED HY: '�� DATE; � iFiFitifkifM1f1E1EMitiEifiEMiffklFffifiF ififlflfiflfkMitif iF* itkitiFlfifififitifiFkiflt4lfk%ifiFiFifitlllfitikifkMifkk�iFlflkifitititkiEiflfifilifMkiEitiF%itMlfilMiElFiEiFiEititifiEiFiE ffiEiEifiE�liEili! 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 5.00 25t J' SMIP/NON—RES PLAN � ISSOE FEE 20.00 •r( HUILDING—DIV—> PERMIT ISSUE P.LAN—CHECK TOTAL PAID DUE TOTALS----> 5,00 20.00 �� 0,00 25.00 25.00 ,00 REVENUE DIVISION TOTALS--> BLDG PMT PLUMBING ELEC 2 rJ . � � 25.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK k!k!!!f if if �Elf it if !f 41k 1t 1f fk 1t if !F ik if �E 4 f! f! %iElFlE fflf !k ikl4�lf IE iF It 1E ft fE M if 1f !f !f 1f M 1f 1f !f %1E %%!f 1f M!k if iE 1F 1f 1f 1E ff 1F f! 1f 1F iF %1f If Ik 1f fE �f 1E I N D I V I D U A Li; F E E H R E A K D O W N L TYPE QTY D E S C R I P T I O�N UNIT COST �TOTAL COST PLU 1 GAS PIPING SYS OFr 1 TO 4 OUTLETS END OF FEES �r N/ 0� �� • .� 5.00 5.00 �J1 001472b3—G0147255 T�� 7 2g,UG "vaTE� 09;ZD/93 TIi7E: 14:36 I L. � . CONSTRUCTION ANO PLANNtRfG. � + '' ` APPRQVALS Permit # ` �' - ; x--7-'.-:� . � � -7.'Temporary ElecVicai Service r,Poie t fP 'J ' �2.�SoilPiPe•Undrgrnd. '� r� - r-��. r, r� "' �' : ��t�2ctr�i`alCond`u�:�ti'tilitv�U �iornd. � � ��eel��inforce�j _ ' , - , • `..r � �j 6._,' yctrical UFEI�;Gmd. . . ' ' . N�;�.CRootinys C:C� c - . � 0; (? t:: r�-^ na _'�EFoundation �� '% j � �% � ✓ - � � �� ' ...__ ..�.- .POO cPA .. . ,. _ _ .. �.._� � I i0spgctor v ` � � � � Date inspector��' l� APPROVALS Permit # .� 1� a 52..Pool & Equipment Locatiyn_" � , � �� "� - �� .��' � 53."Steei Reinforcement - - ' �. - rr� r •• ` fl K 54. Forms = r�f �� I' .� - 55. Elec(ricai Bonding , ' ( �- � 56.' Rough P7umbing & Pressu:e Tzst �- . , 57. APhRQVAL TO COVER-GUNITE ' fr. ; Ju � i � " 58. Electrica! ConduiT�Undrgmd. �� r f f - 59. Gai Pipe, CI:`Undrgrnd., Test /�, `' : �! �, � 9. Water Pipe-Und�jrndr,� � �6 . �. y`/� � : 60r Backwash L�nes, P-Trap, p�Undrgrn,d. �� // 10. Structural Floo�jSys�em . �� _ �;' - � I� � ` 61. APPROVALTO DEGK � .� �s� �:' � � ; � 71. P.eoperty Sewer`- in�,& Nrws`e Connection ' i � _ 62. Backtiva�sh &�Receptor•Finat y ' _ ', 12. S,�xer Cap G % ' % � -, 63., Heater & Vent-Final ,i 13. Roof Orains v w� � � / . � - � ,-. a � / ! % ; ,: 64: PlumbinG SYstem'� Finul ' . ;' 14. RoughPlumbir,�g `l' � f = '' � � � 65.'Electr.ical-Final�'" . . ' �'�''�'�. 15. Rouyh clectrical-f onduiii ' `- � � 66. � Solar �System-Final . ; -�� }; � 76. Rough Electri�VJiring - , ' � � � � , ' 67. Fencirip & Access Ap�roviil � '�"� ll. Rough INiring Sigq � " 4� '� - . � 68.rAPPROVED FOR PLAS7ERING � i 18. Rough Electric:,�N'-� Bar Ceiling . ,� �� 69?POOI/SPA SYSTEUIS FINAL . � �... ' 79. Rough`Hea2ing &-Air Coriditioniny � ` � ` ' ' •� � - � PIRE DEPT.�R�QUIREMENT' ! ' ~i '_sj_rp.r._._T ;i+y'_n _ -,. ' _. �.w_. ' b� C' Fi Q7 ; C'. :k � -+ � 20t�tioG�h ,actor.V F;irapiace t r�;a •:;-? r. U '-. �'x ' �APPR9VA�F,.fi..-.^,Pernhit # # '� '� n M r� i .-r �. r! ^.+ X. �'Y G ' RI l-� '� r !. "l 21 ❑Q;fS, if1�SLFliCIICE• '��f-H x:, x ^.:�.:. �.�^� r� �v M �-p • . i � _r � t'� r.:r # 770. �deigmsgr� H�c�ro .r 22� DuCM, �Pint?,"�.tir"r.,�'!� 1 CJS �% � ?lt. Produc'1��p�ngl�'J�yis L7�i7i1 �- �. �' � � •-• � n �n, : -� i y_i Y 23�1ia`i'i r i cr, �� ti � r+!:'# � t* I I Op i. r., � p�io�h &�:�est � �,,, • Y, ,-;; �. ,r p.+ Y �72. Undergrb�i;i Flu{I;� .r F. : ,-T^-i :.:-�---� �: ,•. „�� ,. 'S"-Li T-.,- : -=r � � 24tftoat Fr�«ning O�s : f-+F ••i-� }� O!^ �� * 573� Undergm'c7� StoracjFiTank �� Gas ❑ Ov: c v r� x ^� • z . ♦ 25. Ro�7Stt�2hing:��' ,j �, :r.h �" " ;�y.'.�, '74jOverhead�HYdrqi� � 26:cT�Bar Cailing (St�iaturall S��A.3c,�coat ��: J tn E? n�� a� �75'='Dry Chemical y'ti �� n � <` C-� rl 1�' 'v'� 27;�ramea Flash'�3�. � ` `, ,L ,� •- •. •��:-a nS ch �t� :- u� ��. nn:� r m :� m:. a: 76''Dry Stanc�`Rq> �,or� �, �� _TS ___'Fi"'r:'�`�+, iY"v , �'_ _ ' ....-r- - • ,-�-^ �y28. Lathiny_� Siding�� a, .;`,.:. x r ..a r+ 77r FIXED 9�M£TEiy'��fi1'v7AL� �-{ �.:��i-•s ��--••�- �� .7 z .,i � �� r.i ''29. Insu(a[i� �-.5� O r- .. _. �;. _,; i: ��h a: J �..: d� �a' • � ( i �- 78iFIRE fj�EV. Flfjl;�,j- ,� y S v i:. � �1 .... � � �.. .: '-*---?�-=-.,� ,••30, Dry�`•'ail[hlai!ing Y� � � -=- *-+ �cn �#1EALTH�EPTi:ii�EQUiREA .r� � � �_. •�.-.n r-•n�t+ •; g n1 �'37. Plaster �own Cc�`a _ ' . w I ' �` 79n�kt'AL'�f'''��jS'P.�CTI�''N "� r �+ �� _, i�.' i't .r. cu N r` 1-r :� -T.-•+'F, t ' .. � L7- i�-F-'� p..32r,r£iectric5l Pasterfi1ateG�Finali a' m �'� �i� r-' $0.^FOOU CERTIFI;GRiTE iS5^ED i H�.- l C•' 4 DS � ' ' '. J �,r ` `''�. �L��,'�� "�� 3�ir� EI�:Cri,� S� n : '�'... _� � � �� ;t � �'Nc€{�s: G=./�t!��^1j+Dv*'� �� i`34 �nei He tin_ & �+ o diti �`r,�_w�,.� {'• `�'� ti .•,-: � _ n. �:Yr 'Rl GTJ`.x @ Q !i .� ��x r c'. �' C:x -s 's5.�'Fin�ai Gas Pi�z T�?'[': _cr �-.i G�ly�//c�� pl�y t [';. [-� . . • k � •. � �_<<! �f�: y�6. rHoe�� or CanoPYh k; Q !'n•7 .y. f, I �� ... .,... �A-:-Ct-' , z. C. �7�.Fin�1 Facfory Fi e,p�aC'a, . � = •�' "� �,',' i'� � �,, x f, i-. f- ^ . � � `�-C� � �., ; .. .. ,._ :F � i �38. Fin�; Plumbing �� _n; i u a� �� ' 'y :':(39. �Vati:r Service-FinaK`. � i _ �!� I r � x 't I ? "C: I �6. Gas Service-FinalT.;: n� „�R,i,• s ; ry � � ! `At. Solar pomestic-Fir.siS ry� � •• * Cn � � � `'�12.`8ackflow Preven�'w r` '�� ' { I N 43. Backftow Irr�atio`n: �.'�S ' � , » :�: :-.� � � * ! c:; o: x. 4 Laodscape I�r,iga�ion Systerri.,��,;p� r 4� [^. r.± ei C� t� , ...: sJa5.'.5ound Atteru�atiori'� �+p:F :�' �•z i. F F F+ r.- ? P; iil O1 �. �. � .. .. ' � ' n O �' r IT: ;�76�NandicaH.Regulatio�s H J * . . .. r47.:Fi��AL STR;:�CTUS�E & BUJ.�DING *' F ;',: 48.�I��tL PLA�NIN�� i �F. � �y i' , r"i • c 9 EleoCric Release to.�dison ; :�a I �" r i 1 � �- �°j50.yGas.Release to Soutihem Cati�qc�ia Gas Ca "�' � �:�- �"�i. CE(ijTIPICATE OF�OCCUPi�Ni,Y , � No. � Date �- t R :C _�_�_ : 1 P7`C �k i' � c. O -� x. ['.!-!1 aT� T ;1C7 s m •�� < r,l s # _._'�_,_f._ rs k h: 4:: J K S fS w J 1-� X C' 7�) C � r� v: * �=."_ LC ;? �-. .:' Ci . -� : ^i - .xO v �n • w x v �� n.: ra s.:a x :u co ?'. ' 1 N ri G`N R: Q �t r�+ C+ q. F, r) ��-_ x- .. cC 'S c:!o _ � y^ fj .. t r �" � i a � k (i i . .1-'? J- :; D7 C'1 � ?-� �E-- ;t � T . � Y "] ac , �_'_'_' �_ '_ k " J CI;L Ti� x;. r. C• o t+; �^ � •=�=•� -{� t. S CJ C�;-+ -: .. 'r t ., I � PFOJELT AODNESS: 3q f� S pUEENS CT OWNEN'S NAME: FERGUS6N TERESA R aooaEss: 3491 QUE�NS CT COSTA MESA,CA 92626 540-1050 RFCNIENGINEEF: ' AOONESS: HEG.NO.: UNIT: UNIT: PEp^unEE: VILLA MESA DEVEL E T ( 90 77-2297 �J ADONESS: zSO6O HANCOCK A 103— MUARIETA CA 92 �.; LICENSEO CONTHACTOP OECLABATION: I hereby alhrm I I am licen nAer pmvisio o� apter 9(commencinq�wi�h Section 7000) of orvision ol Ihe Buj�'ess antl Prolessions Code nd my licen s in WII lor and fect /J CITY LIC.: / STATE LIC.: Q Q Q 6 cuss: // t+� !?• /�'� // . 'f Dare; _ i�/ L�'�---�— SignaW : — �// ` _ WOXNEBS' COMPNISATION DECLAHATION: I hereby2tium�N�e11 �ave a cerli�icSleUf6nfen sa Compe/sa�ion Insurance, ar a cer�ified copy I�ereo� (Section 3800, Lab. C�. . .POLICY NO.: E%P. ORTE: COMPPNY: 7 Cenified copy is here0y furnishea. ❑ Certilied copy is tile0�v ith Ihe ciry BuilEing Division. �ate'. ApDlicant: E%EMPTIONFHOM OFNEflS'fAMPEN5ATI0NOEClAflATION: ( issttlio netHnalbecom epermi�i! I certily �hal in �h petlorm ce of the work �ar whic� �his p i� is is e4 I shall n p any person in sublect lo Ne orkeu' mpensatian Laws ol CaliforNa � �ate: Signa�ure - NOT : Ii, al making I�is declara�ion, you should U¢come sub�ect Io the Worker5' Co sa�mn Co , you 5I lorihwit� comply wi�� such provisions or �his permil shall be Aeeme ake CONSTHUCTION LENUING AGENCY: I hereby atiirm Iha� Ihere is a constmc�ion lending ncy for the w�ic� ��is permil is issued (Sec�ion 3097. Civ. C�. LENOEfl: ADUBESS: 0 �—�I or a certinca�e o� rvvrners � %1 r one Auntlre�U (5100) or less�, .µ.�apner so as to become � �! 'OVI510� �' —' �.dormanCe ui Ihe work for OWNEP BWLDEB OECIANATION: I hereby aifirm t�at I am exemp� Imm ihe ConVactors' State License Law for �he �ollowing reason (Secimn 7037.5 BuSiness and Pmiessional Cotle: Pny ciry ol county whic� requires a Oermil Io conSlmci. al�er, improve, aemolish, or repair any Simclure. prior to its issuance, also reQuires �he applicant for such permi� Io file a 5igne0 s�atement t�ai he/she is licensee pursuanl Io Ihe provisons oi the ConVac�ors Siate License Law (Chap�er 9(commencing with Seclion 7000) of �ivision 3 ot �he Bu5ine55 anA Prolessions Coae) or Inat ne/she is e+empl iherefmm ane ihe basis lor ihe alleged exemption. Any violation oi Section 703L5 by any applicani for a permii sublecis �he apP�icanlio a crvil penal�y ol nol more �han live huntlretl tlollars ($500). I, as owner of Ihe pmpetly or my employees wit� wages as �heir sole campensaiion, will Oo ��e woB, and ��e ❑ slmclure is no� imentletl or aHered tor sale (Sec�ion 7044, Business an0 Protessional Code: The Coniraclors' Sta�e License Law aoes nol apDW �o an owner of a pmpeny who 6uiltls or impmves ihereon, and who tloes such wnrk himseli/hersell or throuAh his or ner own employees. pmvitletl �hal suc� impmvemen�s are no� in�en4e0 or offeretl for sale. I�, however Ihe building or impmvement is sold wi�hin one year ol completion, Ihe owner will have Ihe burtlen ol proving he/s�e tlitl not huiltl or impwve lor t�e purpose of sale�. I. as owner of �he pmDetly. am exclusively comrac�ing wiih licensed comracmrs Io consVuc� �he prole�� (Section 704a, Business ❑ ane Protessions CoUe' The Coniraclors' S�aie License Law does not appty ro an owner ol property who builds or impmves Ihereon and w�a comrac�s �or such pmlects wil� a contracmqs)license pursuant m Ihe ConUac�ors' Slale License Law�. I am aware Ihai proof ol ihelr Worker's ComDensa�ion insurince shoul0 be O�oviOetl �o me. � I am exemp� under Seciion: B. 8 P. C. lor IM1is reason- Date: Ownec I'tla hereby cenify �hai I am aware oi antl untlersiand Ne re0uiremems o� Califomia Healih antl Sa�ery Code Sec�ions 25505, 25533, antl 25534 anA t�at I or any �ulure building occupant willlwili not (circle one) neetl �o comply with saitl s�ale cotles antl Ihe requiremenls for a permil far conslmc�ion or motlifica�ion irom Ihe Air Oualiiy Managemenl �i5tricL Residenlial wnSlmciion applications are exempt �mm �hese pmvisions. Oate: Applicant: I �ereby ceriify Iha� I have reatl IhiS application antl slate 1 Ihe a�a information is correcL I a y wi�h all ci�y antl counry ominancesana atelaw relatingtobuildingcanslmqio ndhereb ��orizer senta�iv oenterupon�heabove-mentioned pmpeny �ar' 'pecti purnoses �ale: �� Sign ure: Driver's license or Sociai Secumy �$ rj 164i-a6 Wbite—Bmltling�, Green—CoCe Enlorcement Canary—ApplicanC P' —Revenue: Goltlenrad—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 064070 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PERM NO: E 06407 GOVT: N SUPP: N PURPOSE: ADD JOB DESCRIPTION ; ADD ELECTRICAL FIXTURES TO NEW ROOM SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: CONVERT EXISTING ATTIC INTO STUDY ROOM , RE: B64069 � **+r*��r***�r�r�r�r****�r�c�c***�r�r*�+r*�r�*****�r*��c*�r*x ***�x ****+�+��r*+�*�r***�***�+�***+r*�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: ET IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEET: FT IN RGHT: FT IN � PARKING REQ: PAOV; PARCEL: 41204260 ZNE: REF NO: PLANNING NOTES> >i If fE 1t il' il' il' it il' fh ih ih 1f il' il' if 1f iE 1! i�' i4lElf 1E ik i!!!!E!f i%1f iFlFlFlh 1E ff ff il' i41f fklE 1k ih * 1k 1F if M i! 1("1! i4 il'!f!! 1! iE'7f ih iF fE iF il' il' f! 1h ii' 1f if if 1ElElf if'7f if ff if D E V E L O P M E N T S�E,�R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY � �i' DATE: ri BUILDING APPROVED BY ; /_! DATE; APPLICATION ISSUED BY: �� DATE: ��F�7 ifiFififitffltifitiFiEitikikiEififiEiflfifif if%ikiE1F1ElEiFifik ifif ifiFififMfEltfEitlflfkifllfliflflfifififkikifitllkkklEifiFlfiE1lifititifiEiFlFiflFitiEififiElPikkkiElfif1E1E1f1l1E1ffflflfffffitiEifif iF1liEifkif�f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING PEAMIT 10,50 soi PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 10.50 L5.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 25.5� SMIP/NON—RES TOTAL PAID DUE 25.50 25.50 ,00 25.50 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CAECK iF if k 4 it iF it i! iE %if if if iE if iF if if ft 1f if ik iE iF iF if iF iF 1f if k it if iE 1t if iF i! if i! ik if it iF M if if 1t k k it if iF it 1t it 1f 1E if k iE iF k it iE i! it i! 1F it if it iF iF iF if if if 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 R I P T I O N UNIT COST TOTAL COST ELE 8 FIXTURES LIGHTING 1 ST 20 EA, .75 6,00 ELE 6 RECEPT/OEITLET 1 ST 20 EA. .75 4.50 END OF FEES ''' 01 G014727C1-0014727Q T�] T 25.50 �ATE: �9!ZQ/93 TIflE: 14:37 , : ,, _ } _ � . . � CONSTRUCTION AND PL'ANNtNG 4- �� ' : _ P06 SPA •'.,,, �� + Y� Date ' Inspector - - - "' - Oate Inspector ' APPRQVALS Permit �- =' - APPROVALS Permit # - - ,-r. . ;�. .' �'� . ;" ��b`Temporarg Elecvtcal Service or Pole � �. 52. Pool & Equipment tocation � i'�. � � ..�,� - . r' 2. Soil Pipe-Undryrnd. - ��i' .� � i . 53. Steel Reinforcement � � ��i� -�: .,. „ ., r .- ' " ' . ' � / �: , w[�`� "� " - . a�. a�tgctu`cal Co�cu'%'[�tilitY�Und�grnd. '-� _ �; � � . 54. Forms . �+?:. E+�ctr4sal Conclyici�4idrgrnt3. a � � � � 55. Electrical Bondin� . . � � r' ��*L'el'�eir.force�n,�� -� - , _ � _ � � � 56.. Rough Plumbing & P�essure Test P?6;;E,y�ctricaPUP�it"nmd, o ' , � - . � 57.`APPRpVFl�TOCOVER-GUNITE ��' ' `'��'�.''+.nF �DtinyS � C-,_,�"'^„ _ �'�''�;_ s : � . 5$. Electrical Conduit•Undr.gmd. _ 1 i � [�f��koundation �„d�`�. " i . � 59. Gas Pipe, C,7-Undrgrnd., Test. . ��' , �� 'J 9. lh'ater Pipe-Un�3'r9rnd. . '� �: .- -� / ;� y;� . . 60.-,Backwash �ines, P�TraP, � Undrgrnd.�. ' % ' 1 r i. 10. Svuctural Plo`� Sys�m ' � . �� ' - 6L'APPROVAL�TO DECK' - � - � ' �� 11. P��perty SewewLin�.& Hei�se,Connection �� ' 62. Back�vash &�Rcceptor-Final . J! f � .ti � . { 12. 5 wer Cap ^ 'f` y • „ � - �rt � cu /.�� /i"� . �_ � � - � . 63.. Heater & VenDEinai � � - . f j " � , 73. Roof Drains nY',r` ��1. �« ' � f'1'' 64. PlurPbing Systecn- Firrai ' �. ��. � i%i �'' - i = � r! i .. 14. Rough Plumbi��" � F- �' � , L� j / ' �/� y ' . � � - � 65.:, Electribal-F,inal - � � 75. Rough Electric�I�Condul� � !,� - ij ; � 66. Solai System-Final -��-r � - � :. � . �, / nq,- 1 ' 76. Rough ElectrieWirin� �Y- !j (/I.�p,L� /,(!(�E� 67:.Fencing & Access Approval � ' � f � I �� -�� 77. Rough Wiring Sig� _(�Obu��Q�� 68. APPROVED FOR FLASTERING � s. _ 18. Rough Electri6's1•R Bar Ceiling � i . 69.`�POOLiSPA SYS7Eh�1S FINAL _ '19.� Rough Fleazing & Air Conditioning " ' ` '� "" FIRE DEPT.'fiEQUIREMENT- � '" I -� - - ., .-;T"i-�..M-. .. :� �:. . , C• -,up�F• � .� -7;-7 20!';RoV:h F+ct3EY F?irgPlace i:.'.i�5 �:'- y' G -^'� >'• �PPRUVA'G:U^-�(-Per,ait# "k '1"� a �. S_'� : :'.�_��_ Y � �. rN�. '1 �",:,i�1F-� ',�� ,k r,: .i: �-: s- �! � I c+ r� ^: .:. :t t! 7 J x� ? � J'J e{; .� : .N C': 21 �u�;s, i�t.Str.�,ctu'� �.. .. r�S . :i C� ��s a: ,70. 6T�dei9tM41�J HY_5�"o x '.-',�.---=s-T--t--�'-�- "�--•.`'1- ---Pr! : -�4i-',_� 22. Dut�s, �!'enttletiriq�:t. 1 f?.�7 +� .-`= `i* ;. �71. Producf'11$�ing C.`�(�es O�Oii ' �a' n� i ' r �Y r'+ F�,? r 23:-Gas'`,�i �Roii' h &'�'esc � � ' .. •. "� � ~, • ,; � r '�� r-� .� C'; p� � [*;_. � t: c G�'J�� 'x - 72. Undergrb�nr� Fl�:;k:y i, r, - �'�---r-. 24Y/ioct# Frtami�y p:r � E-'�- "E• �k .� ti^' �yr "�73yUndergrn��e Stor�iFTank � Gas ❑ C�F'� rt- 25. floh-f Si�athin '"`� � . Ci� .;: pl i�i O�V ?' >- U - - 9=7� a, �✓ : l� > ti� a. ��4,�Overhead�ilydrq:,E' x 26.�T-� Ceiting lSV�u¢turelj 8��leiaocoat *� w C �"%� r: 75^Dry Chemical �" � r. '�' R'tr: �. ti r'I'� T r'y'.^E�^i L _..e�,7 .k J: f �J � il u t 27�Framea Flash�' �J'..; ° � ; `' �'� " ^' �.`,� �`k p2� �. + c� �+ �;x . 76. Dry Stan`�.'tfie ;-.c: # ;��a i � v-`r-. r:�, w � a . -`^-•-�r=r-T +,7-�r± . 8`�Lathing,"v Sid;ny�,;x. c-i 7a:: c^, t< r. � 77� FIXED 9"6TE:CJkaNA�x t�F _ ^ ..' ..i t- •Z; y a v .l .r �29. InSUlati�?,� '-c,. p �,�" .• %� t l�i 1 '. * ."J � � ? :u`� :-;� .. t � - 78gFIRE PREV. FIf�JAi e �. .^ -;� � t. .s .� .. .t � ` .. .. u, -:"7�---='� - ;r30. Dryyvail. ailing M x j ' f= x !-+ F'-EALTFkAEPT#:REQUIREfuifN7 � I 4 ' ' " ' �� ^��.L_.L1Z9_�:f._._�._.`-S�i!'__ �31. Plaster �rowa Ccn'"' _ � �� $ 79�'FiNAL IN'Up -CTIE�'��i' �' � `T rJ�� ) +-� t � �`.�� I [+'C^ 'F �_�Y k � Jc.'% • # 'J. � �+. -1..+ t �- �i � 'Y"5 _ 1,::_" �1T!7-t-�-y=i-:-- . i-.32,-,+Electricei Pocyer;'�1et:hFinai� ;�i I � +�. 0�',FO00 CERTIF�;�t;T:i ISfiUED r� _ . . _, .. -, t �--G:��..�a.�L. 33:�fir� El,�rtr� :, � � i c,.+ d! 3 Q3� i ; No�"es: *'a -ix � t� �� ^7 �� t7 i �`-{- ..u' .�-� -; �_•� � - �- [:7 G Fi G :+c - 1 NH .' r•.s � � �'S - - , 34�-Fin,�j Hg�tin�& �Cx oad�ti4Rt.^� Ci t � ' � }t t. .. �n; ��: �i.:: � ., O I i��-«-�- : _ y .� .-. .. .. � _n+ ' ' .1:1L)_I��-+ � r ' _'- --�t 35`�FFir�! G'e�',., Pi{7'-T�'Y` v r' x �. i :! !»>d c�C1 t*1S x;+ p I %': C� F:k [',s il H i i -< 3 ::1G i7H ,1��1(*� ^r ` .- .. c;.p ; x � : x. ,. . ..iT-;:-;5?--;�.r; �._.. t:�6: Hoy:l o;yanoPYl']:i ,^ I Cr"7 •x s!1 I j Y�R "' IlC :�" . .. �.... � . .....- .. F�-. rt! .. nrqri' _'_ '�37 �'Firfl P�Ctory Fi{p,dia'�e � S [^ �n i �T7 � i ['k :C _ �'� �- � _ v •; � ,.. ± :t: � ti F- :.� �i� ; ... � :r � a7 � .. .. .... �.; t ' . �: . ---••-�- ------- e�8. Fi�ij PI�m6ing pt �ny � � :K I ��< S r+. ? t0 . . . ..._�.y_�� Q . �� G89. 4Vatar Setvice-Pinats i u� r ! i r. �a '.. = n; � I 5 n+ ! �:' � x.� .�ii�i [0. Gas Ser� e�Fina �' ' °' '� � ` ' �-��" �± -� s c�f w,;:,•r � m r� � i.. i: O» vcu x .. � �1. Solar D�fiesticFi�nul�. C� � .. ._r. . i ;ru :-� w� ^ -' n+ � rr ::� O' iL f-a2.=8ackfloNr Prevent�rr r` R; �" j ;��. � =.�, : r,' F. �--:-- 43. Backflow�lrr�atkn-�� c;^5 -� x.? � ' � � r-r. t �y - (t,t (1 • [^ •l. G^ t ' � Ci ;.. 'R k . �:J � � : ✓ ' ,�i4. Landscape Ipxipatir.`� SYstemcn'tt.'r Y m o t7 CJa x�r, .5 n� ,'.;�J r� ;.� n:n: .. .. `-`.� .., _ "A5 ��$ound AtteriUetiola rirT,;-� T" X i' i� N F? 7;� '+ r� ��' Ci' �' i �� m � �; . �,: m:�: x c+ a� �, E-:J M ' .. . .. . , . � �-, G S: � [ � � • - 7 .' i �a�.� �46rNar,diczp,Rtdulati�s H � � "Tkr� n� ,.-;� � �: � � ,rr � 47.;fIM.a1'LSTRJCTU�E&BUd',LDING " �� ".t +•> > '° 'r � L � :� � .,,++ i r� 48:''_fIN:?iL PLAtSNINCa � `:��• ' � _ :� '" � " . r- ... � t f-+e-H . Cti + ��^';:"A M t�! '+� E'; .� rt . :49. Elec�ric Relezse to:Edisor. � I �,�Im +<' t �� m ;� •- ' 1_F x �- �� c�.:. Y - `_V`50 aGa�kelease to Sou�hern Cali(Qr{)ia Gas Co ', I � _ � , * ' � Cy . �yrr� .� `Y � ' ;51.CEF7j71FiCATEOF;�OCCUPF�NC�' s r< i�, ma ;r � o0 No._. ..._. _. ._. Da?e .._.. ..... F�y� FG 6�i Q � y F G W F Q c :� > >- .a a a � � a z s 3 �, . _ .' a c.�y' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING 3491 Queens Court � AODRESS OWNEROR Wimbledon ji$SOC. TENANT MAILING 1Q%� Jamboree RCI ADD R E55 Newport Beach TE6.40-68� CITV . ' NO.� CONSTRUCTION LENDER Imperial .SdV117Q5 & Loan BRANCH PaSdCl211d " ADDRE55 61 'S. Lak2 AvP_�. • ARCHITECT.,_ ._ . i.._.__�____ TE4.��-�� ADDRESS 17992 Mitchell .SO.�Irvine coNrRb.cToaMCLdln D2V.'� CO. �� ADDRESS 1470 Jamboree Rd. � c�rv _ Newport Beach No`640-6800 LIC.NO. 273H7S ' LICVNO.1HH%.3 � S12E . ' NO.OF BLDGS., o '� OF LOT ' NOW ON LOT VSE OF • � EXI5TING BLDG. � Separate permits ara required for - ' electric, plumbing-and heating work: . . USE OF'BUILDING AND WORK TO BE PERFORMED PRD — New Construction Single=family dwelling I hareby acknOwledBe ffiaYl have read this application and 5tate ihai the above intarmaiion is correct and agree to comply with all laws'regulating builtling consvuction, entl I shall not employ any person in violation of the workman's compensetion laws of tha State of California. � � I hereby rerHfy that 1 am pro0erly licensetl as a contractor under Ma State ot Californie Business and Professions Cotla, Division 3, Chapter 9, antl that such licenses are in'full force and effect, or I am exempt from the provisions ot the Stata California Businass antl Professions Cotle, Division 3, Qtiap er 9 � , Signat�re of Permittee A 0 � or . � 9 'iY) " . Authorizetl Agent Date �� X� _ ,t .. .Z�a:�;t..; APPLICAT'IONF�I!1��TRiJC�'131�lLPERMI'�32•35 TI.' RECEIVEOBV ' PERMIT Na 47795 A.P. NO. � '�/ o4'i� Ci �Y ��.7:� A�DRE55 3491 Queens COUTt ' UNIT OR SPACE NO. Z�. '• iR.lyO�z,�s ' LOT 21 B 1 NEW ADD ALTER IREPAIR MOVING DEMO OWNER Wimbledon �1SSOC. use PRD VAWE APPROVED APPROVEDSETBACKS � PLANNING ACTION Z�-�R-: �� l__1��]i7 THE AMO THE PURP( VALUATION —�- m � i m y3`f � � H N UNDER VALUATION IS FOR m ESTABLISHING A PERMIT FEE ONLV: e � PERMIT FEE $ � S� q m 7lAN CHECK E ^ 0 TAX S ,8 � TOTALPAID S�i�.��i ,. _ OWENS-CORNING ^--^•^"-I r• +— -�-�-- Fiberglas � Blanket Insulation 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, CaliforniaAdministrative Code, Title 25, State of California, in the building located at: � 9 /di3O.S � / �n�.� n�/ /G'�%v� ` Street '" Lot Number Tract Number Exterior Walls Owens-Corning Fiberqlas Blanket Insulation Ceilings � Owens-Corning Fiberqlas Blanket Insulation Floors Owens-Corning Fiberglas Blanket Insulation Foundation Walls General �L " �1 Thickness R-Value i % �y 7hickness R-Value Thickness F-Value Manufacturer Type Thickness - R-Value �icense No. By Title Date (SignaNre�){ f I�sulati nt�r for ��'��7�':-� �)�� . i11;!'f�-�-��Lice�se No. '/%�l/C.' G By_�-��5�.`—"i/��52,f�,a�'� Title �_�� DateY"/�11�0� / �si4�aw,e� Homeowner Copy (White) � Stale Copy (YelloW) OWENS-COPNING FIBERGLAS CORP. Builder Copy (Pink) Insulation Operating Division Pub. No. 16-BL�6995�A �iMo in U 5 A.. July 19]] Fiberglas Tower, 7oledo, Ohio 43659