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Home My WebLink About316 RAMONA PL - Building PermitsCITY OF COSTA MESA sun��N� �ms�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT i � .:. .. PE I� 898-01378 (714) 754-5273 • Fax (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 316 RAMONAPL ' Suite: Vicinity: Parcel Nunmber: 42532118 Applicanr. CRANK, JIM Address: Owner: WONG, Address 316 RAM� ;'i{��' t ��Y/ J � ��1 ! �� Arch�/ Eng ` p. Address l�, � \_ � �i ��fi. �' � � BUILDING PERMIT Status: ISSUED Applied: OB/03/1998 issued: 08/03/1998 Zoning: Phone:- .. - - - - . - �,-' ,.'-, Zip: .. . . �.- � ._ . --. ' - i�,;�.'_. - _ . . � � ' � - �. ��% HRISTINE%� � � ', ' ' � � � `' ` - iP,'PL- � A,%'1 , � � i , � ' � ,/�� t J .�� \ l� �� 'j� �-Phone. --� _ ��I__ �� ,�1 : �� iA��; � %� "�-.Zip. 92627 � ..�\�� ?<\\` `\`J\��\ �//%.� -_ . �- ��V �. / � �� ROTHERS ROOFING CO �`�\�� \�; MERCIAL"WY V�'� � ��j A�� '%j Phone: �\�l ��,./ \,�`�. � :� �� iA CA Zip:l.�' 92627 - / � � -� `�"��. � , ,'_ License: 408677 ->�„ - � � `�� . i� r� � . � � � � .� � ' - -. •1 � �' �„r�'�r. � ,`w-,�� t� r � . � \ . 1 rii��- � Ph00B ' " a �i '.I � . 'r; .,;� . i I ,,.•� r � • , l'"�� y' � __`.ZiP. > _' - � `"y< • _ �'� / I:"Y - / . ' . - a ' , l Y _ - License: --- � �;,"� � �R . _- - �„ .� i � �� ' � L. I � � '-�A ':'i �-'; � �/'�� SCOPE OF PERMIT � ` ��. /� , � TEAR OFF & REROOF WITH 30 YEAR�.COMP SHINGLES � -- � / ��/. � ` � y,-, ^ il'^)��.. �...-r �� t� � I�� s: � �� - _ �.i��U��`_; .. ....,_.,. . '. �'�` ' ;' u'. "P�I'an'�CFieck � .$0.00 � � Permd ' �� „$87.25 t SMIP Res �<<,r$0.50 SMIP'Com ��\!$0.00 ��`�� Other. ; �� : $0.00 Inspection ' . �$0 00 ,�.,: � � �� ; ��\i�, �.Total: � $87:75 �� .l- FEESUMMARY " ' �� Calc Valuation: f'� r ' �' � � �{ } f �' � '� '�'_ ; �� =�-Glaim Valuation: -'`__..,_.,- �-.. i: � % '-- . ;� 1 / � � t-...� r `-_ • ' _— - � , . ,,, � �. .,,� ii/ / � ,�p-�. _ ��/ ,� ,; .�, i�, w : _:`�� , . =r: _.'� . ,,: i ,� . � $3,575.00 .. - $3,575.00 ,'. ,�,; � ; ,, v� � J, � , % ��, �� i 1'r ��,' �" "�. � �"„1� , - k;PC`P;NNING'&�ZONING-` , ` "� ; ; �.�� . . �, � �= � � � . � � % / ; i; i� ; i i \ � fr r� � � ;l�� ti" �. < /, !� i �� SETBACKB � � �' � `: K '>�� , �� , �� y ,.<��. / ��- � . . , . �,,� / , MAIN STRUCTURE Front � 0 0 � � � Rear� -0:0: . , � � Left � 0- 0 -�- - � Right � �0=_0,� ,�.'� � -. ACCESSORY Front .0-0 ��;��iRear; 0-0 � Left 0-0 . � Right_`' 0;0";�' � - _: �_ i, . � ; - � - - _. r: � ; . � ��' ` � - � � " PARKING Existm �`0� � - � Reauired. �� 0 � � Proposed:� �0,�� . �: :-i .. , , NOTES: ', ,. •. � �: , EXPIRATION: This pertnit shall automatically expire and become void if work is nW�Commenced within 180�days, or if work is suspended or abandoned for a periotl of 180 days. � INSPECTIONS: In order for the work aWhorized under this pertnit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspectlone and flnal epproval must be obtained. Failure to obtain Inspactions end final approval will result in the e�cpiration of this permtt. FOR INSPECTIONS CALL (714) 7545628 WORKERS' COMPENSATION DECLARATION: _ . . I hereby elTirm under penalry of perjury one of the tollowing tleclarations: , • " ❑ I �eve entl will malnteln e certificeta oi consent to self-Insure for workers' wmpensatlon, es provltled for by sectlon 3700 of ihe Lebor Code, for the pedormence oi the work for which this permit is issued. I have end will meintain workers' compenselion insurence, es required by sec�on 3700 oi the Lebor Code, for �he perfortnence of Me work for which Mis pertnit is issued. My workers' compensetlon Insurance cartlar entl poliq number ere: Cartier: Policy Number. (Ih/s sectlon need not be comp/eted N fhe peimit /s ve/ued at one huntlred Collers ($100J or IesS.J � ❑ I certify ihet in ih ertortnance of the worJNqr whi his pertnit is issued, I shall no� emplay any pereon In eny manner so es to bawme subject to ihe workers' compensetion lews Celifomle, entl eg a4 6t If I s become subJect to ihe workers' com raNsions o�dion 3700 of Ihe Lebor Code, I shell forthwith c ihesepr �sions. ' � � y„ / Iicent e: ` Deta. /J APP� WM I RE SEC E WORI�RS' COMPENSATIIXJ ODVEMGE IS UNUWFUL AND SHALL SU&IECT R TO CRIMINFL PENALTIES AND CML FlNES UP TO ONE HUNDRED TqU$AND E(51 ),INFDDITIONTOTHECOSiOFC/JMPENSATION,DAMAQESASPROVIOEDFORINSECT10N3]OBOFTHELABOfiCODE,IMERE5T,MIDATTOFiNE1"SFEES. LJCENSED CONTBACTORS DECLAR. I hereby,et irm at+emiicen under force t eHect. Lic. R ntrectors SigneWre: CONSTRUCTION L N G AGENCY: 9(commencing with Section 7000) af Class # �ate: and Professions Cotle, end my license is In lull ❑ I hereby atfirtn Net ihere is a construdion lending egency for Ihe peAortnance at tha work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lentlefs Atldress: Slgnature: OWNER-BUILDER DECLARATIONS: Date: I hereby eKrtn ihat under penelty of perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reeson (Sec. 7037.5, Business end Professions Coda: Any ciry or counry which requires e permit to construcl, alter, improve, demolish, or repalr eny structure, pnor to its issuance, also requires ihe epplicant for such permit to flle a slpnetl statement thet he or she is licensetl pursuflnt to Ihe p�ovlslans of ihe Conirectors License Lew (Chepter 9(wmmencing with Sectlon 7000) of Division 3 ot ihe Buslness and Professions Code) or ihat he or she is exempt �heretrom and tha hasis for ihe elleped exemption. Any violetion of Section 7031.5 by any epplicant for a pertnit subJecis Ihe applicant to e civil penal[y of not more Ihan five hundretl dollers ($500).): ❑ I, es owner of the properry, or my employees with wages es their sole compensatlon, WILL DO THE WORK, end the structure is not Intentletl or ottered for sele (Sec. 7044, Business end Professions Code: The Contraclors License Lew does not apply to en owner oi property who builds or improvas thereon, entl who does such work himself or herself or Ihrough his or her own employees, provided thet such Improvements ere nat intendetl or otferetl for sele. If, however, ihe bullding or improvement Is soltl within one year of completion, ihe owner-bulltler will have ihe burden of proving tha� he or she did not builtl or Imprwe for purpose of sale.). ❑ I, as owner of the property, em FJ(CLUSIVELY CONTAACTING WITH LICENSED CONTRACTOHS to construcl the project (Sec. 7044, Business and Protessions Cade: The cnNrectors License Lew tloes not eppty ta en owner oi property who bulltls or Improves thereon, and who contrecls far such projed with a contredor(s) license pursuant to the Contrecrors Licensa Lews.). ❑ I am exempt untler sec. Signeture: Owner ID verified by dnvers license. ❑ Yes ❑ No Business end Professions Code tor this reason: Verificetlon at Ownership by (rype of document, i.e. - proparry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Dnvers License No. Dete: Expires: ❑ I hareby certlTy Iha� no e:cavation five (5) or more feet In tlepth Into which a pereon is reqNrad to descentl, wlll be mede in connedlon wHh work authodzed by ihis permit, and Ihat no bullding struqure, sceROlding, felsework, or demolition or tlismentling thereoi, will be more ihen thirty-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Celifomla Atlminlstretive Cotle). ❑ As owner-huilder, I wlll not employ enyone ta da wark which woultl requlre e pertnit from the Division of Indusirlal Setety, as noted ebove, unless such persan hes a pertnit to do such work irom the divislon. Signature: Date: DiNsion of Intlustrial Sefery Permit Num6er. CERTIFlCATE OF COMPLIANCE AND AUTMORQATION OF EMRV: I certify under penelry ot perjury that I heve reatl ihis application antl state thet [he intortnetion qiven is correct. I egree to comply with all state laws end ciry ordinances releting to building constructlon, end eu[honze representetives ot the Ciry of Coste Mesa to enter upon the above-descnbed property for inspaction purposes. I egree not to occupy or allow occupancy of any building auMonzed by thls permit untll finel inspedion. �jfg�, INSPECTIONME 1616 Fxed Sy51em Finel Fire Prevention 1266 Pool Spe Final � 200 � 'FinelRe-Roof 201 Finel BIocWFetalning Well 202 Final Fectory FIre�Place 203 Final Sign 204 Final Demolitlon 244fi 4fi �g 1�� 1`L</N yQy�y INSPECTIONTYPE 206 Final Mechenirel 20B Final Plumbing 210 Final Elecirical ' 212 Final Fire Preven�ion 220 Finel Plenning Approval 222 FinalSite 250 Fnal Building/Occupancy OAiE . It1�AlS G��J�� Apolicant lo /III in all soaces eace0< <hose within �eavy Oaraer iines anE sign all aoo�ovriate tleelantions. �.ITY OF COSTA N�E$Q ONS� FiU�TION PERMIT P IT NO� g 3 O TRACT NO. LOT NO. UNIT NO. A P�y Zone Project Address (r% �lvit / S Main Building: Accessory Building: ' TYPE OF CONSTRUCT_IO�J NEW ADD ALTERATION REPAIR E 2 Applicant's Mailing Address Front ❑ CONVERSION �DEMOLISH ❑ OTHE T � Owner'sName /_ s �j�� Pryho�ne '�L DESCRIPTIONOF ORK OFBLDG. �-�^'�-� g F A Rear N Address '��G �!4 (J�siTT - (:G�JT/�RT�+� Jw)- Q.- ' �Qda�`5 --P� � G TVPE OF PERMIT GRnDlrvc LJ FOUNoc,TiOrv STaUC7URnL I C Right N Arch/Eng. License No. ._�l�— K G Addreis ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g Left ❑�OTt�ER PIn9. Ref. # Parking Req./Provided R Contractor's Nam Phone E Address (mailing) PRQIECT DESCRIPTION SQ. FT. oCCUGANCv � � CONSTRUCTIONTVPF �-�J VALUATIONS��'� PlanningNotes: M City License No. ZONE GRADING CU. VDS. ACRES S. LICE ED CONT0.ACTOR DECLARATION I �ereby a' t I am licensetl untler " ns ot Charter 9(<ommencing Remarks: �� . � with section 7000) o _-. ^�__� tl P fezsions Cotle, antl my license is in full fo �Hect r� �� _[T ` ELECTRICAL FEES License CI « License No. E oate 5ignaturc. PLUMBING FEES .4utomatic Washer Transformer ❑ 15-50 KW WORKERS' COMPENSATION UECLARATION ConstruCtion Pole$ub. ❑ 50+ KW I hereby atfifm that I hdve a cefll�lcate ot cOnS¢n[ to selfdnsule oI a Certifltdt¢ 88I Sink $hOw¢(5 oi Workers' Compensation Insurance, or a certitietl copy mereof (Sectlon Backflow Preventer ServiceSink Cooking Unit Meter ❑up to 100amps 3800, �ab. C.) Dishwasher Meter aoiicy No. Company Backflow Irrigation Sewer Ca �X�(3T/ ❑o�er 100 amps BCertifietl coOY is hereby furnishetl. Dryers ❑Gas ❑Elect�ic Sub Panel Certifietl copy is filetl with the clty Bulltling Division. Bathtubs Sewe� Connection �/..Q � Date Ap0liCan[ Fen EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar Collectors Motors �0�1 HP �1 h- 8 (Tnissection neetl not be comolaletl If the Oermit is tor one huntlretl ($300) or Dishw&sher Solar Piping F,A.U. Inc. Solar 09-15 HP 076-15+ less). I c¢r[ify thal in the performance of the wo�k tor which this pe�m�t is issuetl I FiXtU�¢5 � shall not emo�oy any person in any man s as to become subject to t�e Drinking Fountains Solar Tank Microwave Workers' C� mp �fat'�o. Lawz of Californi . Date �Z- fT� �C+ Signature Floor D�ains Swimming Pool w/Spa Device Boxes ole Light NOTICE: If, atter making this tleclaration, you shOUIG Eecome subject to the Outlets Range Workers' Compensalion provisions o( the Labor Coae, you muzt torthwltn Floor Sinks U�inal comply wi[n such provislons or thii permlt snall be tleemetl revoketl. CONSTRUCTION LEN�ING AGENCV G2SServiC¢ OU[let5 aterClOset SWltChes $ign 1 hereby affirm t�at there is a con5truction lentling agency for the performante ot [he work tor which tni5 permit is issuetl (Settion 3097 Civ. C.) IntefCeptOrS Water Heater Garbage Dispo501 Stending SeCt1oR5 Lentler'S Name ' " Lentler's atltlress Kitchen Sink Water Service Generator �0.5 KW �5-75 KW Trash Compactor. � OWNER BUILDER OECLARATION , - ' I hereby a/firm lhat I am ¢xampt (rOm [he COn[�actor'S License Law for th¢ Lavatories AutO-Wesh e' followinq reason (Section 7031.5 Buslness antl Pro(essional Cotle: Any ci[y or - . county which requiras a permit to construct, alter, improve, tlemolish or repalr p-Trap Laundry Tra'ys any sVu<[ure, ptlOr IO Ils is5udnce, a150 fequile5lhe ap0��dnt fof SUCh pefmit � to file a signetl 5tatement that ne/she is Iicensetl pursuant to the provisions of ROOf D�ains the Con[ractor's License Law (Chapter 9(tommencing with Section 7000) of Division 3 of the Bu5ine55 antl Prote551on5 Cotle) or tha[ he/sh¢ is exemp[ RBIIISpBCtlOf1 FBB $15 ISSUB FBB $ 3 [heretrom antl [he basls for lhe allegetl exemp[lon. Any violation oi Section 7031.5 Dy a0y appli<ant tor d Permit 5ubject5 tne apP��< <O a tivll . enalty ot not more than tive hunaretl tloliars (5500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: � I, as owner of the property or my employees with wa9es as their sole Reinspection Fee $15 Issue Fee Zoning Approved By Date comp¢nsation, will tl0 the wOrk, antl fhe Structu�e i5 nOt Intentled o� off¢/etl � for sale (Sectlon 7044, Business antl Pro(essional Cotle: The Contractor's MECHANICAL FEES BuildinBAPP�ovefA��i? � • 'Date License Law tloes nol applY to an owner ot a properry who builtls or improves e�� thereon, antl wno tloes such work himself/narselt or through his or her own goiler Hood or Type I ❑ APPliwtion laued By �� ..� -- ��^^ net employees, O�ovitl¢tl [ha[ Such ImprOvement5 are not intentletl o� otte�etl tor - sale. Ii, nowever, tne bulltling o. improvement is soltl within one yea� oi com- Cdnopy Type 11 ❑ SUMMARV OF EES'- .� ' ' plelio� , the owne� wlll have tha bu�tlen of proving he/she tliG not builtl or Im- DuCt - Und2� Ci�OUnd � yq.ve ror the purvose oi sale). BUILDING PEFMIT $ 'LS �B(J SMIP � $ - S d �L7 I, as owner oi'the property, am exclusively tontractln9 with licensetl con- Duc[ -Structural Refrigeration System PLAN CHECK �� tractorsto mnsVuct the project Section 7044, Business antl Professions Cotle: $ PERMIT'-' The Contractor's License Law �oes not apply to an owner ot pro0erty wno Duct - Ventilating ❑0-1 O,OOO BTU ❑100,000 B7U PLUMBING $ ISSUANCE � $ builtls or improves Ihe�eon. antl who con[racts tor such o�oi¢Cts with a r.on- ! tracmr(z1 Lcense pursuant m ene Con[ractors License �aw). I am aware tna[ Exhaust System ❑ MWtiple ❑ stem RepaidAlteration P�N CHECK 25% $ ENERGV P.C. $ ppr�oof of tneir Worker's Compensati Insurance snoWtl be proviaetl to ma. � ELECTRICAL $ GRADING ., $ qy I am exempt untler Section-Z��B. & P. C. tor this reason Firepl/Fact. Blt. ICBO # Fire Dampers �( r PLANCHECK 50% $ MICROFILM, $ �Z - � Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ Z�4 '� ' � OOOBT I nereby certity that 1 nave reaa this application tl state that the above ❑0�100,000 BTU �100, PLAN CHECK 25% $ intO�mation i5 CO/rect. I agr¢e [o comply with all ci y antl county o�tlinances antl Stdte laws r¢Idtin9 to builtlin9 COnsl�uction, dntl h¢rGby authorize �epr¢- Sentatives ol t's tlly t0 en[er upon the a ove- entiOnetl property tor inSpeCllon pw ses. ate� /� � � Signatur Reinspec[ion Fee $15 Issue Fee $ 3 ' Drivers' �icense or ss � O1 000?2373-OQ0�2374 �IDT ?5, )0 OB65-46, rev. 5/88 Wn�te - Bulltling; Canary - APplicant; Pink - Accountin9: Goltlenrotl - Assesior OATE: 12/14/SII TIME� ib:�(1 _ � . ... Q .. , �.-� CONSTRUCTION AND PLANNING � POOL & SPA , .' APPROVALS Permit#� Date �Inspector AppROVALS Permit# /� Datel Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � 'i 2. Soil Pipe-Undrgrnd. - i 53. Steel Reinforcement . _ ' 3. •Electcical Conduit Utility-Undrgrnd. !' 54. Forms - � � 4.'Electrical Conduit-Undrgrnd �( 55. Electrical Bonding - �� ,' 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test -` �r 6:'ElectricelUFER�Grnd. 1 57. APPROVALTOCOVER-GUNITE ` �!� ,3 • ' 7.Footings � '.� , 58.ElectricalConduirUndrgmd. �y' `' • ' -- - � x . 8'.� Foundation .� :. ' 59. Gas Pipe, � Undrgrnd., Test `i ` � 9. Water Pipe-Uniirgrnd. • 60. Backwash Lines, P-Trap, � Undrgrnd. '"I ' r 16. Structural Floor System ,� 61. APPROVAL TO DECK - , � 71. Property,Sewer Line & House Connection /; 62. Backwash & Receptor-Final '� � . 12. Sewer Cap ` '• 63. Heater & Vent-Final • 13. Roof Drains '' 64. Plumbing System - Final � - � 14. Rough Plumbing 65. Electrical-Final �, 15. Rough Electriral-Conduit i 66. Solar System-Final '16.1 Rough Elearic Wiring 67. Fencing & Access Approval I. 77.� Rough Wiring Sign �.� 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling '' 69. POOL/SPA SYSTEMS FINAL 19. Rough FI¢ating & Air Conditipning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace �. ' APPROVALS Permit # 21. Ducts,in Structure -i i 70. Underground Hydro 22. Ducts,"Ventilatin � � "� . � 9 71. Product Piping �Gas ❑Oil 23. Gas Piper.Rough & Te�t •,�� 72. �Underground Flush , 24. Roof Framing ,? i J i3. Undergrnd. Storage Tank O Gas ❑ Oil �� 25. Roof Slieathing !' ,�, - 74: Overhead Hydro ., r. : t 26. T-Bar,�Ceiling (Structural) & Monocoat 9' 75. Dry Chemical . 27. Frame and Flashing i�r , :�� 76. Dry Standpipe 28. Lathing & Siding �,f' ��. ;� •" 77. FIXED SYSTEM FINAL 29. Insulation , �� ' 78. FIRE PREV. FINAL 30. Drywall Nailing ': jj �. �� '; HEALTH DEPT. REQUIREMENT . ; 31. Plaste�Brown Coat �� '� 79. FINAL INSPECTION 32. Electrical Power Meter-Final; ^ 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing j , 39. Water Service-Final 40. Gas Service-Final � .� 41. Solar pomestic-Final ' i '' �i 42. Backflow Preventer / . ' � � 43. Backflow Irrigation � I , _ 44. Landscape Irrigation System '� - 45. Sound Attenuation i �' .Qi✓� 46. Handicap Regulations ` � � 8 �.. �i 47. FINALSTRUCTURE & BUILDING ��" �'- 3 8,j J�' 48. Special Requirements Completed 49. Electric Release to Edison � , � 50. Gas Release to Southern California Gas Co "� i 51. CERTIFICATE OF OCCUPANCY No. Date . APplicant to fill In all spaces except those wttnin neavy bortler Itnes antl sign aIl approvriate tleclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. ciTY oF COS7A MES(q CONSTRUCTION PERMIT 3 68 z a 3 i o �, A'P' # '_ a _ U Z°"° �- Project Address 3�` 1�� E �� S Main Building: Accessory Builtling: AppliCant'S Meiling Addr�e55� TVPE OF CONSTHUCTION NEW DD LTERATION REPAIR E � Z Owner'S Name �% ^�"" �""� PhOne � CONVERSION ❑ DEMOLISH ❑ OTHE ' T Front � DESCRIPT ON OF WORK/USE OF BLDG. ��+'-� % - B Rear � N Address // .��%� n��.,.��.."��..�"�� E / 0."fr G Q 1! ' A � Arch/Eng.L�J/��%��t"�� r ¢e^nseNo. I TYPEOFP RMIT ING UNDATION STRVCTURAL I C Right � N Ad�fe55 �� a�v�nJ' �`s=�4bK%�-� ❑ TENANT ❑ ELECTRICAL ❑ PLV�BING ❑ MECHANICAL . g Left � � G Contractor's Nam �� W�bneYi� ��OTHER S'/ Ping. Ret. if`- Parking Req./Provideda E PROJECT DESCRIPTION Sc�. FT � ' oCCUVANGv �� ' Address (mailing) �� 4 , o Planning Notes: gOLD FOR SPECIAL REQ ' l' ry� CONSTRUCTIONTVPF VAlUAT10N$ I%� % T City Litense No. ZONE GRADING CU. VDS. ACRES LI ENSED CONTRACTOR DECLARATION S' � 1 her ' licensetl untler ' nf�ehChdrtCr 9(tommenUng Remarks: � �Q .� with section ]000� of Divisi uslwastana Protessions Cotle, and my iicense is in i ntl eitect. � S' � f' A^3(p Qa,j ELECTRICAL FEES License ss License No. oate Siqnature PLUMBI FEES P.utomatic Washer Transformer ❑ 15-50 KW WORKERS' COMPENSATION DECLARATION Bar Sink ShOwErS ConslfuttiOn POleSub. � 50+ KW I nereby affirm thdt I have a certificate of con5¢nt to Self-inzure or a certiflcate oi Workers' Compensatlon Insurance, or a certifietl cooY thereot (Section Backflow Preventer Servite Sink Cooking Unit Meter ❑up m 100 amps 3800, Lab. C.) � DishWasher MCter ❑ovef100amp5 � poiicy No. Company Backflow Irrigation Sewer Cap BCertitietl copy is hereby tumisnetl. Dryers ❑Gas ❑Electric Sub Panel Certifietl copy is flletl with the city Builtlin9 Divlsion. Bathtubs Sewer COnnection Dafe Applitant Fan EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifief5 Solaf Collectors Motors 1 HP �1 �- 6 (Thissection noetl not be complaletl if tno permit Is for ona huntlretl ($300) or F.A.U. iess), Dishwasher Solar Piping I. olar �9-75 HP 016-15+ 1 certi(y that In the performance ot the work for which this permi� is issuetl I Fix shall not employ any person in any manner so as to become subject to t�e Drinking Fountains Solar Tank Microwave V.:�rkers'/ omp ens�t n LawS OI Calitorni�/ /7'_ / � l� Date �' /q Signature `�!� 0' %/ "•O�•�f� Floor Drains Swimming Pool w/Spa e e Boxes Pole Light ' NOTICE: If, after making thi5 tloclaratlon, you shoultl become subject to the Outlets � Workers' Compensation prOvislons ot [ne Labo� Cotle, you must torthwith FI00!$i�k5 U�indl Range � compry with Such provlsions or IhiS permit Shall b< tleemed �evokeC. GJNSTRUCTION LENDING AGENCV GasService OUtleti atEfClOset SwitChei Sign I hereby affirm lhat there is a conslruction lentlin9 a9ency for t�e performance of tne work ror wnlcn this permit is issued (Section 3o9� Civ. C.) Interceptors Water Heat Garbage Disposal Standing Sections �enaer's rvame Generator �0.5 KW OS-15 KW Trash Com actor Lentler's Atltlress Kitchen Sink Water rvice P OWNER BUILDER DECLARATION I hereby aftirm lhat 1 am exemp[ from the ConVactor's License Law tor the Lavatories Aut W sh following reason (Section 7031.5 BuSiness antl ProTessional Cotle: Any city or munty which fequire5 a petmlt t0 COnstluct, dlt¢r, ImO�ove, tlemollsh oI repair P—Tfap l.dU fy TldyS any sV ucture, prlor to its fssuance, also requires tbe aOP��an[ tor such permit to file a signetl slatement (hat ne/she i5 Iicensea pursuant [o the provisions of qoOf Dreins the Contractor'S License l.aw (Chapter 9(commencin9 witb Section 7000) ot ' pivision 3 of [he Business antl Professlonz Cotle) or that ne/she is exempt Reinspection Fee $75 Iitue F¢e tner¢IrOm antl Ih¢ basi5 tOr Ihe alleg<� exemptlOn. Any vlolatiOn ot Section $ 3 7031.5 by any appliwnt tor a permit subjects the apP�icant to a civil enalb ot not more than (ive hunared tlouars (ES00). 3 � DEVELOPMENT SERVICES REQUIREMEN S• /' oo � I, as owner ot the ProOerty or my employees with wages as their sole Reinspection Fae $15 Fee - $ , Zoning Approved By �� T�pb compen5ation, will tl0 ihe work, antl the Tt�uctura is not Intentletl O�-ot(eretl DetB for wle �Seclion 7044, Business antl Protessional Cotle: The Contractor's E H A FEES Building APP�oved By Date (Z�N�-%� License Law tloes not applY to an ownar ot a property wno builtls or improves a��. thereon, ana wno tloes such work himself/heRelf or through his or her own goiler od or T e I ❑ %�PPIiCdtion ISSued By_ Date �ir/y �— x)f employ¢es, provltletl lhal SucM1 Improvaments are not intentletl or ofteretl tOr YP sale. II, however, (he builtlin9 or imorovoment is soltl within one Year of tom- Canopy Type II ❑ SUMMARV OF FEES o�etion, tne owner will have the burtlen ot proving he/she tlitl not buila or im- Duct - Under Ground �pr_oyy�orthepurposeolsale). BUILDINGPERMIT $ � SMIP $ � LJ'I, as owner ot tne property, am exclusively contractin9 with 11<ensetl <on- Dutt -Structural Refrigeratfon System PLAN CHECK $ PERMIT Iractors to tonsiruct the O�ojec[ (Section 7044, Buslness antl Profes51on5 Cotle: The ContractorY License Law does not apply to an owner of property who Duct - Ventilating ❑6 ,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builtls or improves lh¢reon. antl who conttacl5 fpr such oroiecl5 witn a con- tractor(s� licente pursuani [o cne Contractor•s License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLNN CHECK 25% $ ENERGY P.C. $ cp�noof o[heir Wo�ker's Compensation insurance shoultl be provltletl to me. ELECTRICAL $ i�iRADIN(�i $ pol am exempt untler Sec[ion�a-�f�-'eS�Y� O� e. & P. C. mr [his reason Firepl/Fact Blt. ICBO # Fire Damp¢rs ! � PLAN CHECK 50% $ MICROFILM $ Date � - Owner (A�� Heating System & Ducting Registers � �. MECHANICAL $ TOTAL FEE $ O � I hareby certity that I have roatl this applicatl antl state that the above ❑0�100,000 BTU �100,0000T PLAN CHECK 25% information Is correct. I agree to comply with a city antl county ortlinances $ antl State laws �elating lo builtling conStruCtlOn, antl hereby authONze r¢pre- sentafives of is clty [o entCr upon e abOve-mentionetl pro0erty /or Inspection Ou 0525. Signature - Date�Z �� 8i�1 Reinspeetion Fee $15 Issue Fee $ 3 e o�i�e�:��ioe�:eorss�. O1 �QD2237..-�00.2375 TOT 9Q9,00 OBfiS-46, rev. 5/88 Whiie - BUlleing; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor flATE: 12/14/E8 TIME: 16�Q/ a , - .. . . .. � .�. CONSTRUCTION AND PL(�NNING . _ POOL & SPA .� ,,• � APPROVALS Permit #' Date Inspector p�ppROVALS Permit # Daie Inspector � �1. Temporary..Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe.Und�grnd. � 53. Steel Reinforcement • '. 3..�Electrica`I Cond�it Utility-Undrgrnd. �.' 54. Forms 4?Electrical'Conduit�Undrgmd. 55. Electrical Bonding 5.;Steel�Reinforcement 56. Raugh Plumbing & Pressure Test i �6.' Electrical UFER Gmd. f- �, 57. APPROVAL TO COVER-GUNITE -. ' 7 �,FootiSigs '�� 58. Electrical Conduit-Undrgrnd. ' 8:�Founda;�on ." : i • 59. Gas Pipe, O Undrgrnd., Test ,_� 9. Water Pi � e-Undr md. °� • ' • �, P 9 . 60. Backwash Lines, P�Trap, 0 Undrgrnd. :, . , tO.,;Structural Floor.Sqstem � 61. APPROVAL TO DECK 17 � Property Se'we�,Line & House Connection ' 62. Backwash & Receptor-Final '� ' . 72.^Sewer Cap!: �.-i �'� 63. Heater & Vent-Final 13:',,Roof Drai s%' �� 64. Plumbing System - Final � 14.;Rough Plumbing 65. Electrical-Final 15.�iough Electrical-Conduit 66. Solar System�Final 16.=•�Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Slgn 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling�• 69. POOL/SPA SYSTEMS FINAL 19.� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Flreplace � APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro i 22. ucts, Ventilating� �I �� 71. Product Piping �Gas QOiI 23. �as Pipe=fiough &�Test `� 72, Underground Flush . � ' 24. Roof Framing _ •�� J3.�Undergrnd.StorageTank OGas ❑Oil , 25. Roof She�thing`��o- ,.` '••� 74. Overhead Hydro � 26. T�Bar Geiling (Structurap &-Monocoat ' 75. Dry Cfiemical . � 27. ��ame�and Flashin • � '' � 9 �:,,� 76. Dry Standpipe 28. Lathing & Siding '-,- � 77. FIXED SYSTEM FINAL �� i�•i 29. Insu(at�on �.,-� 78. FIRE PREV. FINAL 30. Drywall Nailing ' u� , HEALTH DEPT. REQUIREMENT 31. Plaste7Brown Coat_i`�� r, %�ti 79. FINAL INSPECTION 32. Electrical Power Mete,EFinal�.� '. 80. FOOD CERTIFICATE ISSUED 33. Final Electric � £ �� Notes: .. ' 34. Final Heating & Air Conditioning HOLD FOR SPECIAL R�QU��iil5 35. Final Gas Pipe-Test � 36. Hood or Canopy , 37. Final'Factory Fireplace 38. Final Plumbing � 39' WaterService-Final- II 40. Gas Service-Final � ,� 41. Solar pomestic-Final �,j ; � 42. Backflow Preventer � . ; '� j�� 43. Backflow Irrigation ' . : �'"� '• 44. Landscape Irrigation System � 1, �' 45. Sound Attenuation �i.�� 46. Handicap Regulations 'i-� 47. FINAL�STRUCTURE & BUILDING � 48. Special Requirements Completed 49. ElectricReleasetoEdison �� f • 50. Gas Release to Southern California Gas Co �_ �, � '�, 51. CERTIFICATEOFOCCUPANCY ' , ' No. Date •`� „ . . LIMITED STATEMENT OF RESPONSIBILITY TO WHOM IT MAY CONCERN: 3�1� lz�«o��- Pue-��, C�s�rltit�se; C,�: Street Address p�nu ch�� 79(e -- �8 l- Bldg. Permit # �.3� g �-iy d .83C-� 8 .� L`] This Permit # � AP Number I, c�/( S� a/ V• �� , as Owner in Title of the above referenced property, do hereby authorize: Jo�.u„ I.c ti��R�ik�� cruo�a-s Name N. N (��s - � 1 ZD Telephone No. 0 ro obtain permits in my behalf, as ownedbuilder, for 5/MoLi ��-<��-lelS//!ti✓uf f��./3n„tl�i�SS at the above referenced property. Should anv nerson become an amel�ovPP engaged in the improvement of the property, I shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties. Scsa� �/. /�G�.� Printed Name �� Si ture OJ]9-46,rav. 6/Bl /a - iy- � �' Date a :,INATED BY: ial Control ❑ ling �� Clerk ❑ �ce ❑ � ue Services ❑ ning ❑ e � ic Services ❑ : No. 33363 CITY OF COSTA MESA CUSTOMER SERVICE RECEIPT �—� �. DATE 1%.�c. . % -- , 19 � =; , � `� Received from C-�'u. � ct+-� � a� , whose ., n � �i address is ; I U:' `` a v.. �>v. K`1 �• �� v�>� u �-' s u �(� c,+�G '� 7 , the sum of $ � � % -' • "J � for /� f C ✓, '�' �o r' : �� " w �/-�� '� �, .. `'�_ __ _ '^) ��lt ( �� -j `L C� • ��1��'. �i7, G j� �:�c..r. � �.,.�a t V.�-�� ' - � r- � � �. ; � 'z ' - i0 ('n i 4 /+ ' �''`�# ',_:, (; . �; r � r—J BY: ' �'�J�'..�. CASH ❑ CHECK L�I MONEY ORDER ❑ n N'Me � Cuflomer, Pink - Finar¢e: �enary - Deoenmem ACCOUNT NO. ❑ Nol valid unless properly valideled/endorsed. 0 CERTIFICATE OF COMPLIANCE PAYI�iENT OF SCftOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant: Address: % Telephone Number: �/y �YQ �.J � � S Tract/Parcel and Lot Number(s): � f y �lZ. �23�L' ,��GS�4 m� Location of Project: Number of Square Feet of Residential Space Number of Square Feet of Commercial and Industrial Space �� x $1.50 Ox $0.25 Commercial/Indastrial Project is Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial (Check One) Y�-lr .�7.eSq Total a0�9�roTJ— Total (J Motel Bank Neighborhood Shops R & D Hotel Medical Office Office Park _ Preschool _ Auto Repair _ Hospital _ Large Office _ Office Bldg. _ Restaurant Fast Food The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to ort-Mesa Unified School District. .�� ,� nu�iness Manager Newport-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: �02� Iy`8� �• �i��_. Developer/App cant� S�s Q .� �/. �a � � DEC 1 4 �sae OWNER DTKE & COLEGROVE ✓ onTe �.�_ll�r,�� I JOBADDREBS 316 Ramona Place BUILDINGPERMITNO. �i'3R GENERAL CONTRACTOR Owner VALUE $ E3 SOO �JO LOT LL BLOCK TRACT 9'2ll1 C;....1 0�...,, n,.,. INSPECTIONS Footing Trench :Foundation ForMs and Gr Rough Framing Plumbing, Rough to Slab �Plumbing, Rough Compie 7emporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer Septic Tank or CBsspool Lathing g w�so . W 'i Plastering Plumbing, Final, Fixtures Plum6ing, Final Gas Test Wiring, Final OccupanCy F'orm '110 GH lbf 1"0-68 TVPE V DATE �o � � to Garage �__ 6- 5 L4 � r'� � ��— - 3 -. /i�A4 _ 6 _. S � S ZONE HLL FIRE DISTRICT 625 I PERMITS ISSUED SUBCONTRACTOR DATE I NUM61 v � • '�o�ta Mesa Building Department � 111 EAST 20th STREET � " .E;OSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN 6uilding nddreu 316 Ramoria P1ace Costa 1VYesa, California Nearest c�o8ssc. Santa Ana Avenue Owner Dike & Colegrove Mail nddress 419 F. 17th St .� Tel. �It]Q� City L'OSt,8 �729& No. 11 Architector _ . Lic. Address 441 N'. 1SL S�L .. LOII� City Lic. ContractorDike8r.0018HPOVe No. Deseription I No. ¢ I Blocl(j�jni (Attach Metesand Bounds) ` No. of Size of �ot 1$'"jXfjO I Now o. Use of I No. of Existing Bldg. - - - Famili Set6ack Line from � Rear Centerofstreet 55 Side � No. of Rooms � �-�. �� APPLICATION FOR PERMIT 625___ _B�ILDI�NG_ . � FOR OF�+'ICE iISE ONLY • � Receipt NJo Permit a. � I f � �%�J v 7� i �- Received�by Date Rec'd. Date Issued � � - �0•��5�� Building ! y Address � ' Costa 11�esa, California � rest i >s St. i e/"\ 1`� I P aos I Type � i Group roved Date t CORRECTIONS � .__ ' _. ��, . _ . . _ Repair I ! Moving I I Demolish I --- - -- Building No.of Size jjOu�e /iI'eflRooms �j Stories 1 Ex[erior Wall I Roof Cevering S`t',UCCO Covering Compo. ApPRQ`7��` Use of New Foundatton Location Inspecta Building Single Famil�Res. Farms,Materials, " Under-Pinning Frame: Fire Stops, _ Brecing, Bolts Lath.lnt. Z hereby acknowledKe that I have read �his Application and state that the above is cormr,t and agree to compip Lath. Ext. with all City Ordinanccs and State L.aws regulati�g building construction. Signature of Plaster, Int. Permittee � Plaster. Ext. Valuation Permit Fee $ " V Q'�� c�- Plan Check $ Bond Beam $ �l �' Feeal �`, FINAL .,.,.... vne r:_H tM t9_5] Date ' PI:OT PLAN Show Iocation and distances from property;lineland befween�builAings.� .�1_ =, �.� .�• � I a � JU.._ . ._,- . , lJl� n � � �•1 1 f . : .. . I , _' 7 _ ) ,O): , . :3 "_ �.. , _ ..."