HomeMy WebLinkAbout327 RAMONA PL - Building Permitsw
(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA. GA 92626
MECHANICAL PERMIT
.IobAddress: 327 RAMONA PL
Suite No
Vicinity:
Parcel Number; 42532107
Applicant: MARIENTHAL,LEE ANN
Address: 327 RAMONA PL
COSTA MESA, CA
Owner: MARIENTHAL, ERIC ROSS TR
Address: 327 RAMONA PL
COSTA MESA, CA
Contractor: OW N ER-BU ILD ER
Addresg:
Phone: 94364&6312
Zip: 926273765
Phone:
Zip: 92627-3765
Phone:
Zip:
License: 000000
SCOPE OF PERMIT
REF 603-D0823. 1 FACTORY FIRE PLACE. AND 1 GAS CONNECTION.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat
Inst / Rep. Recess Wall HV
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhausl
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < t0000cfm
Air Handlers > t0000cfm
Floor Fumace
Floor or Suspend Heater
523.50
$0.00
50.00
$0.00
50.00
50.00
$0.00
$6. 15
310.65
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
Quantity
- FEE SUMMARY
ISSUED BY:
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Commercial Incinerator
Domestic Incinerator
Compressors / Absorption Svstems
Upto3hp/t00kBTU
3 To 15 hp / 500 k BTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
P7an Check Fee
Reinspection Fee
Status: ISSUED
Applied: 08/14/2003
Issued: 08/14/2003
Quan[ity
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00
$0.00
50.00
TOTAL CALCULATED FEES $40.30
NO710E: The work authorized by this permit shall comply wiih all applicable handicap access requiremenis under Califomia statutes and related
regula[ions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 tlays.
INSPECTIONS: In order for the work auihorized under this permit to be considered legal, such work must comply with all applicable cotles, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOfl INSPECTION$ CALL: (714) 7545626
2448�d61d�1
WORKERS'COMPENSAnONDECLARAnON: � _
1 hereby aHirtn untler penalty of perjury one ot the tollowing Oeclerations:
❑ I have and will maintain a certilicete ol wnsent to seli-Insure tor workers' compensetion, es provided for by section 3700 of iha Labor Code, for ihe pertormence ot tha
work tor which ihis permit is issued.
❑ I have and will maintain workers' compensation Insurance, as requiretl by sec�lon 3700 of Ihe Lebor Cotle, for ihe portortnance of �he work for which ihls parmit Is issued.
My workers' compensation Insurence carner entl policy number ere:
Carrier: Policy Number:
(This section neetl nol be camp/efed i! fhe permit is velue0 ef one hundred dollars ($100) or IessJ
❑ I cenity that in the peAortnance ot the work for which Ihis pertnit is issued, I shall not employ any person in eny manner so as to become subject to Ihe workers'
compensation laws oi Celifomia, antl agree that if I should become sub�ect to tha workers' compensatlon pmvlsions oi Sectlon 3700 of Ihe La�or Code, I shall fort�wlth
comply with these provisions.
ApplicanlSignature: Da�e:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE MUNDRED
TYIOUSAND DIXIARE (5100,OW), IN A�DRION TO THE WST OF ODMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 31O60F THE IABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CON7RAC70RS DECLARATION:
I hereby aHirm that I em licensed unde� provisions of Chepter 9(commencing with Section 7000) of Divislon 3 of the Business entl Profasslons Code, entl my license is in full
force and eHeq. Lia a Cless k
ComractoYs Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm Ihat there is a constmction lending egency tor ihe pedormence ot the work for which ihis permii is issuetl. (Sec. 3097, Civil Cotle).
Lentlefs Name: LenOer's Atldress:
Signature: Date:
OWNER-BUILDER DECLARA710N5:
I hereby aRirtn Ihet under penelty of perjury thet I em E%EMPT FROM THE CON7RACTORS IICENSE LAW for �he following reason (SecJ031.5, Business entl Professions
Code: Any city or counry which requires e permit m constmcL alter, improve, tlemolish, or repeir eny stmcture, prior to its Issuance, elso requires ihe epplicaN for such permit
b tile a signed slatement that he or she is licensetl pursuanl to the provisions of lhe Contractors l.Icense Lew (Chepter 9(commencing wlth Sectlon 7000) oi Division 3 of Ihe
eusiness end Profeuions Coda) or ihet he or she is ecempt Iherefrom end the basis tor the elleged exemption. Any violetlon of Section 7031.5 by any applicenl tor e permlt
subjects the apPlicant to a civil penalry ot not more then tive huntlretl aollers ($500).):
❑ I, as owner ol the pmperty, or my employees with weges es their sole compensation, WILL DO 7HE WORK, and Ihe swcWre is not Intentletl or oflered for sale (Sec.
7044, Business end Professions Cotle: The Contractors Licensa Law does not apply to an owner of property who builds or improves thereon, and who does such work
imsetl or hersetl or thmugh his or her own employees, provitled that such improvemems ere not intended or oHered for sale. II, however, iha building ar improvement is
sold within one year of comple�ion, the ownervbuilder will haveYhe burden ol proving Ihet he or she did not Ouild or improve for purpose oi sale.).
I, as owner of Ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOqS to construct Ihe proiect (Sec. 7044, Business and Professlons
Cotle: The contrectors License Law does not epply to en owner of propeny who bullds or Improves Nereon, end who comracts tor such pmjact with a contrecbr(s)
license pursuenl Io Ihe ConVec�ors License Lews.).
�r ID verifietl Oy tlnvefs license. �S � No
Verifiwtion of Ownership by (type of tlocument, i e �propetl
Business end Prolessions Code br �his reason:
tex bill
No.
DIVISION OF INDUSTRIAL SAFEN PERMI7 CER7IFICA710N:
❑ I hereby certity Ihat no excevation five (5) or more leet in Oepth into which e person is requiretl to Oescentl, will be mada in connection wiih work au�horized by this
permit, and thet no building structure, scattolding, lalsework, or demoli�ion or dismantling Ihereof, will be more ihan t�irry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Titla B, Califomia Admini5irative Code).
❑ As ownervbuiltleq I will not employ anyone to tlo work which would require e permit imm lhe Division of Industrial Sefety, es notetl above, unless such person hes a
pertnil to tlo such work irom the division.
SignaNre: Date:
Division of Indusirial Safery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AIJiHORVA710N OF ENTRV: I cenity under penalry ot Derjury t�at I have read Ihis application entl state t�at I�e information given is
correct. I agree to comply wit all state laws end ciry ordinances relating to �uiltling wnstruction, end authorize representatives of ihe Clry ol Costa Mesa to enter upon the
abov -e_d�ribed p�nspection purpases. I ee not to occupy or ellow occupancy of eny builtling authorized by ihius permit until.(�'pg\I inspection.
(/( �� �/ —'Q� (—�\ 1
. " naWrn Ot LwaaLmrinerfsl D
�OpE �. INSPECTONTYPE ,.J,
1616 Fixetl System Final Fire PravenUon
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Feqory Fire Place
203 Final Sign
204 Final Demolition
PaIE 1t�LS
IE
COOE� INSVECTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Elearical
212 Flnal Fire Preven�ion
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
^ Date
PdIE
1 -4-05 N
� FRCM : Hi1C MRRIENfHF7L:"'IC
FRX N7. : 9A96463812 � 09 200f 01:57PM P1
;yy'� � C17V UF COSTA MESA, BUILOING SAF ITY Di...eON �uf-+L-- ,
' POS7 IN CON3PICUOIJS PLACE ON THE JOB�s>..s
i NOTICE;wipb� kl 5.Z 7 Y i�
7�
SchetlWQ inspectian one vmrkday in ativance. To scheAule inspections, call (714) �754-5826. Pwvitle lhe (allowing infurmatio�:
1) Pemiit number, 2) Job btldress, 3) InspeCtbn item number, 4) Day and date you neetl Ihe inspectnn.
PERMIT6 ¢l(PIRE �BO DAYS (6
ceml ' 5fRUCiURAL om •
d rFooS�ws / . � /
It PralnSpectRoOt
12 Roo(SM1eaNmg
14 T-Bar CeiGng-SUua
16 SAearPanel
18 Fame 8 Flashin8 �,
2U LaThmg & Sitling
22 msutation
2C Drywall NaiJng
26 Flazter Brown Coat
36 � U'erGrountl
38 clecCondWt-Und
Rough Elec-NSrui
Roupn �x. Cmdi
�8 Elec 7-By CeFsg
50 Flec Pwra Final
57 Tnmo Powa FuW
PWMBING d MECHANICAI
52 $oll Fqe • Unde�q(amE
54 WaterPipe-UnderBmund
55 Underground Ges
6 Rough Pplm6iig
64 RouBh MeclianiW
8 Rouph�FedayFirepace
58 SewerSystem
Wa;er SgHoe -Final
ozs.:�r...awia � _ _' ___ _ _ _' '
_ �.r....�1'-^b:`��:aid.._..�.���. ... .... �- .
;-.::�3Ci�]i(L1L][: � . ..............:......::.:v_... .. .
,WbD2xnpem �.
l7Z)�CQ-��<9-r cL.
�
�) FROM ISSUE OR LAST INSPEGTION
kem� � POOL6SPA om erspxw
94 POo18EquipmentLaca�im
96 Sted Re�nimcement '
100 ElacUicalBo�ng �
102 Rough Poumb d Pressore Test
106 ApprovaltoCovar-GUnUu
N2 ApplovalloDttk '
116 Pool Plumbing Syslem'-Final
119 PoolElecUical-Finel
Call Q1
200
nit
fmal - FueO System
P�umbing
Final CMSD
� 75b5215 fi
final Plannii
I 154-S64fi h
Final Site
oat.
Ord ImWcbr
Oate bsRCor
ONe ' ImpeGc�
wa mio«�
om unwna,
mt� m�attw�
0
(714) 754•5273 • Fex (714) 754•4856 • www.ci.cos�a-mesa.c ELECTRICAL PERMIT �� FAIR ORIVE, COSTA MESA, GA 92676
7ob nddress: 327 RAMONA PL
Suite No
Vicinity
Parcel Nunmber: 42532107
Applirant: ROBERT OWEN BUIIDING COMPANY
Address: 2218 LAUREL PL
NEWPORT BEACH, CA
Owner: MARIENTHAL, ERIC ROSS TR
Address 327 RAMONA PL
COSTA MESA, CA
Phone: 949-631-3820
Zip 92663
Phone:
Zip: 926273765
Contractor: ROBERT OW EN BUILDING COMPANY
Address: 2218 LAUREL PL
� Phone: 949-631382(
NEWPORT �EACH, CA Zip: 92663
� License:47175 -',�'�
ISSUE
New
200a
t000a
�er t000a
thp
10hp
1
172SF ADDITION AND RElC4
46 LIGHTS, 32 OUTLE�TS} ti
AND 1 BATHROOM ANt�i�
� .�Y�
$17
$0.00
$0.00
$0.00
$0.00
$30.50
$O.QO
ao.00
so.00
$0.00
�.
r��; ; a
`�.:• 0
T', . 0
0
1
0
0
0
0
Status: ISSUED
Applied: 09/04/2003
Iswed: 09/04/2003
ISSUED BV:
1SUBPANEL
� �"»-.�,"•' Quan[ity l✓
(femp Dist Syste" / Lighting $0.00 0 �
Busw y/t00ft� $0.00 0
iStand�ng Sechon $0.00 0
Misc Flectrical�Eguipment $0.00 0
TransTorrrieis up�to 1 kva/kw $0.00 0
.... r%=�up_to 10 kva/kw $0.00 0
..........f:�..�.up,to�5D kva/kw $0.00 0
..... ��up;to�lp0 kva/kw $0.00 0
.. ... �:::`.over':.190kva/kw $0.00 0
Low Voltage'Eqiupment $0.00 0
Law �{olf Wlitng System / Ckt $0.00 0
Misa Conduit $0.00 0
Misc. Conductor $0.00 0
Circus ( gen or ride) $0.00 0
Circus (mech ride or lights) $0.00 0
Christmas Tree Stand $0.00 0
Fireworks Stand $0.00 0
Other ElecVical Fee $0.00
Investigation Fee $0.00
Plan Check Fee $0.00
Reinspeclion Fee $0.00
TOTAL CALCULATED FEES $'183.34
COMMENTS I SPECIAL CONDITIONS
9
NOTICE: The work authonzed by this permit shall comply wilh all applicable handicap access reQuirements under Calitomla statutes and related
regulations. (Ord. No. 92-28, § 1, 12�21-92)
E%�IRATION: This permit shall automatically ezpire and become void if work is not commenced wilhin 180 tlays, or il work is suspendetl or ebandoned
lor a period of 180 aays. ,
INSPECTIONS: In order for ihe work authorizetl under this permil lo be considered legal, such work must comply with all applicable codes, and all
requi�atl Inepeetlone and flnal epp�oval must be ob�ainetl. Failura to ohtain inspections and final approval will resull in the expiralion of this permit.
FOR INSPECTIONS CALL: (71C) 75L5626
2M696 �6�[IO)
WOPKERS' COMPENSATION OECIARATION: _ �
I �ereby aflirm untler penally o� per�ury one ol Ihe lollowing tleclaretions:
❑ 1 heve entl will mainiain e cenilicate o� consent to self-Insure br workors' compensatian, es pmvitle0 tur Cy seclion 3700 of Ihe Labor CWo, br t�e pertoimanca ol �he
work lor wNcn t�is Uermil is issuetl.
� I nnve anA will maintain workers' tomponsaeon insu�ance, as requiretl by senion 3700 ot Ihe Lebor Cotle. lor Ine Derlormanca ol lne work lor wn¢0 ��is pennil is issued.
My worea�s' com0ensetion Inw�ance car�ie� antl pol�cy numbe� ere�.
Carn�r Pohcy Number:
(7h�5 socf�on nead nof Ge compiefetl d fbe permrt is valued ef one �undrnd tlollars ($100) oi less,)
❑ 1 certity ��at in Ihe portormance ol I�e work tor which Ihis Oermit is issued, I snall not em0loy any person in any manner so as to bacome subjecl to Ihe workers'
compensatia� laws uf Cabiom�a, antl agiee tiiat �I I s�ould tlecOme sub�ect to tnn worhers' compensaunn provisuu�5 ot Section ?7W ol t�e l5bor Cale, i shall lorthwilb
comply wi�n Inas'e pmvisions.
Applicum Signal W o: Datu:
W�qryiNG� PALLIIRE TO SECURE ��ORKERS' UMaPENSATiON COVERAGE b UNIAWFUT AND SNRLL SUBIECT �N EMPI OVER TO f,RiMINAL PEN/J tiES nND CNII FINES UP IOONF HUNDPED
TFqUSAND OOIUPE �5100,fAU�, IN �DqiIUN TO THE GUST OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SEC��ON 9](G OF i11E IABOR GODE, IMEREST, MID AT70HNEY5 FEES.
LICiN5E0 CONTRACTORS DECLARATION: r .,1
I herooy ativm I�e� I am Iicense0 undar pro�isions af C�apter 9(commencing wnh Secuon 7000) of Drvision 3 0l ine Busine���s entl protessions CoUa, entl my litense is in WII
tocce aMf edocl Lu:. • Class + �� '�!
Com�attur's Signemre: Uata: � � ' � � � - '
CONSTRUCIION LENDING AGENCY:
.�T' ..
❑ I Oereby eHinn Rial Ihern is a consuuq�on lending apency �or Ihe pertormance ol lhe wo�k fo� w�ich Nis permil is
!
lentler's Name: Lentler's Atlamss: ' '
Slgnawro: /ti�. ,.%�. .� -'�1�['4
�r .r �..} . ... r.,n.. . .., ,
OWNER-BUILDER DECLARPTIONS:V�j �'l, r �;,
I nerooy atti�m ihat unoer Venairy ot perjury thal I am�E%EMPT FRC
CotlB: Any city or county wh¢d requves a Oarmillo;G�OnSt�t1, aller,
lo tilo a signetl slBlemenl Ihel no or snn is L<ensetl putsuant to ihe
BusiAess antl P�oiessions Code) or Ihal he or sha�i5 eaem0� lherel
suo�9��s Ina eppl¢am to e civil panalty ol not more tnen live huntlr9i
❑ I. as ownar ot the propedy. �or my em0�oyeas wilh wages ei M
�Oa4. Businnss and Pro�essions Cotle: The Contraclors Licen
himsell or �erseli or tbrough his or ner own amployaes;�p,ovitl
So10 wnhin One Vear ot NmpletiOn,1�B rnvnel-builde� wHl hOVB
� I, as owner ni me OropeNy. am E%ClU51VELY CONTRACT!
Coae: Tne cumracio�s License Law aoes not apply lo en owm
ucensa pursuanl to tne Conirecton Li[ense Laws.)! f
� I am e.ompi untler sec. �' � 1 � Bus
SignAWre: �-' � - �' 'F �' r
l
pwq�r ID vantietl Dy tlnv¢r'91IC0008.�' ���Q.V09� Q NO,', �
�
i. _ � .�
�: '
(Sec. 3097. CiWI C
.. ,S, k. y� , ^ � �� 1,`( • �
�. ,, ,.t1,rr:3�`_ . 1 C� •' . f
A THE CONTRACTORS�LICENSE �AW Id Ihe lollowing reaew� (Sec..7031.5. Business and Professions
mprove,�tlemolisn, or rgpaii�eny s�mcWre, pria lo ns issuance; a�eu fequires tne aDV���an� tor sucn permit
royiglonB'Ol lhe ConlrBClon LJcense Law (Chep�er 9 �commenqnp wtlh�Section 7000� n� I)ivivori 3 ot Ihe
im entl 1hB.besis tor t' � alleqed e�emptibn. AnY violaLon ot SeCtion.7031.5 bV eny applicanl tor e pemiil
Edl9n (5500).1: �13� .• ' t �::+, ', .� '1 r�` �
Ir ade mmpenialion, WILL DO,TME WORK, end me slmcwre le not inrenAed or ofleretl lor sale (Sec.
9 Law Coea not epply W an owner of prop9lty who GuilUs or improvee tl�ereon, antl wno dras such work
E Ihellutll h�G�emanb ere fwt NlendeG or oHeretl lur sdle. II, tqwBvOr, InB Euiltlmg or imDrovnmeni is
�e burden d prwinp inal ne or ahe dd �ot bun0 or improvu tor puryoae ol saln.).
i WITII LICENSED CONTRACTOH9 ro ronslruct Ine pmjncl (Sec.'7044. Business antl Pro�esslons
ot propeny who 6unes w imprwea meieon, antl wnu contmae tor such orolect witn a mntractoqsl
�' - I i " -'' , ,'
�
iass antl Pro�eseions CaEo for Inis reason�
� `. .' . . � I', � Daie: '
r'.Driver,s Licenae' No., � � _ Eypires:
VeNi�ation ul Ownership by (lype'ol tlowmenl, Le. - D!WB�Y �a� bill or
OIVIS�ON OF INDUSTRIAL SI�FETY PERMIT CER'
r:� �
❑ I �orehy cntlity ihel�no ezcavalion live (5) or m
p6rmil, antl Iha� n0 bNiltliOg slructufe, SCafloltli
3a 1, l iUe B, Cal�umi; AOministieuve Cotle�_
t � ��
❑ As owner�Duilaer,-bwill not employ enyone �o
oermit Iu tlo sucll�wplk hom Ihe Orvision.
$10��8Iure: � ' 4 f �'�
i� " 1 � : �
Divisinn ol Intluslrial�58}ary PermM1 Num6er. _
n
4
ti
ATION:
t:r.i �;, .°I ( A �'
iefin Cept� inlo which e peison is require
tlsewoik, or tlemdition p dismaml'up the
: `:\ / .'.1 f j`
e
, ,'i:
tlescend, will bo made in conneciion wilh work euthorizetl Oy Ihis
wdl be mora Ihan INrty�si. (36) leet high. (G�ap. 32, (3ry 2, Art 2, Sec.
Ihe Division ol Intlusuinl :telety, as �atetl e�ovo, unless such persnn hes e
Da1e:
ARDOUS MATERIAL9 ANO EMISSIONS CERTIFICATION:
W ill tho epPtiwat or,0�asertt or,hitu�e.buildiag occupant need to lile a�d cenity a Busl�ss Plan to� eme�ge�y response to �elaase or threate�etl �alease of a haxe�Cnus
ina�onal7 ❑ Yea � � [j Nc ' /
c- .
�Seciion 255C5 ot �h0 CalAotnie HBaltl�,and Salety Coae reQuires, wilh some ezcaptions. thal a Business Plan be liletl with Ihe Cosla Mesa Fire Department by evory
�usiness whicn haa at eny o�re fim0 tlU�ing a reponetl year a quanlily ol Oazartlous matenals equal Io or giealei Ihan a weiynl d SUO poun�5, or a volume of 55 gallons,
pr 2G0 cuoic teel 01 cOR10�essBa gaa ei stantlartl lempera�ure and piossure).
.... ....... ....... __.._...._..�"___ _.�... ....... .. ............ ...._......... . ., . . . ..... ...... . ....... . .. .,.... ......... . .. .. . ......._..........
jlces u� wiil fne apD��cen4or.pFesant'o� WW�e building occu9ant neotl b file e reg�stmllon torm to� acu�ely �axa��ous mate�ials7 [} Yes ❑ No
�Serliun 25553 nl me Cal;twnia�Heallh antl Safaiy Cutle, w�m some e�ceptions, reQmres registretion witn tnu Custa Mesa Fre Uepanmenl by eecn �usiness which el Finy
pnn im�e hus ���� �aiiA.a,quenlity ot aculely hazai0ous mulen315 equal io or grea�er Uian a weighi ol 500 pountls. or a voWme ol 55 gallons, or ?/l0 cubic inel ot
�:omp�nssea gas al slenaaro IemperaWre antl pressure�.
..... . . ............ ... ........... ..... ............. . ..........,... . ,........ .,......... . ... ......... .. . .....,..... ......... ... . ........ ..... . ............. .......
poes a will tpe applican� or presenl or tutme budtling occupant neatl to pre0are an RMPP (Risk Management antl Prevention Program for aculoly hazartlnus materialsl7
[„j Vos ❑ Plu �
iSeclinn 255;� ol ��e Caldomia Heal�n antl Sataiy Cotle provides Ihal �he Costa Mosa Fire Deparlmeni may require tha propeielion, certilication and fihng wit� I�e Fire
[ibpanmenl O� nn HMPP Uy bu5messe5 wnir.h are r9pmretl Io rBJi5ler BCUlely �azertl0u5 malenals wi�h Ine Fre DepaNnenl.
. .............._.........._. .................................................... _................................................................................................................................................................................_............,................._..._............_._...................
1� dn fUdPP u p�e58ntly iuQw�eC, M1as SBClion 755$4 0� I�a CahtOmia Heallh antl Sale�y COda beon lully compliod wilh7 ❑ Yos ❑ No
.... .. .............. . . ............._ .. ... ............ ... ... , .........,.. . ........ . . ,....._.. . ................ .. .._....... ...., , ..... .... .. ............ .... . .........., ..._.....
�kws o� will t0e appl�Wn1 0� 9�esunt o� Wture huM1tl�ng occupaN �equire fot Ne wo�k wpich 6 t�e sub�ar.t o1 tp�s eephcation ope�tm�l tor suc� coaStNction o� mOtli�icehon
�rom iM1u Som�� l�uas� Au Uvaliry Menagemanl Disincl o� �rom eny o�M1ur air pollul�on coNrol disbicl or a4ency? [J Ve.+ �J No
�Sec�ion 65H502 0l Iha Calitomia Gove�nmenl Cotle requires that the repuested mtormation be lumisned on appl¢alions for nomresitlentiel Euiltling permns).
.. _ ..................... .... _._._................. ......_......._........_._...._..............._._.,........._....................__.._.............................._....._...._..... ......_.............................
. ......_ .............. ._..................._._......_........_......_.._._.......
Will any pnrt o� �he tactliry �0 6e cons�mctetl untler i0fs permit De wnhin 10001eoi Imm I�e outar Gountlaries af a sc�ouf? ❑ Ves � ❑ No
�II yos', Ibe ta�ab�y must mee� ��ie requuemenl ol S9clions 255:i0 antl <2303 0l t�e Calitomia Healln antl Satety CoEu).
......................._............. ......................................_.._._.___.........._......_..........._...................._._........................._.............................. _..............,...............................................................,.............................................._...........
�I a parmil hvm Inn Soulb Coasl Air �ualuy Manegemenl Districl or olher air pollulion conVol tlislrict or aquncy s requirotl lor Ihe work which is tlie subjer.� of this
�ppl¢auou, �evo all ol Inu tlisclosures D�escri�eo 6y L'alitoinie Healih antl Sately CWe Section <2303 been matle� [� Vus ❑ No
. ........................._.._._ ................................ _........._......_......_.............._...................................................................__. .._......_..........._ _............ ................................ _..,.._.._........._.........._......_................_...........__.........
�It'yes', hltac�� cenihcato ot coinpliance I�om inn appiopnale eir pollution convol oM¢er).
CERII�ICATfi OF COMPLIHNCE: I cenity Ihat untler penalty ol De�jury It�e inbrmalion grven above is wnecl. I agreo to comply wnh all stale laws anA city oroinanr.o5
regawmg Ha�araous Maw«a1s and Emrsswns
yignnlurn' � � Uaio' _
CERi1FICA7E OF COMPLIANCE AND AUTIORIIA710N OP ENTAY: I cenity untler penalty of perjury Ihal I have read this epphcalinn antl staie that ine imarma�ion given is
correuL I agree lo comply wtlh all s1a161aws antl city ortlmances relalmg to buil0ing conslruciion, antl aulnoriee representatrvns ol lne City o� Cosla Masa to anlor upon Ihe
abova�tlescnbetl propeny lor insDeclion purposes. I agree not lo occupy or allow occupancy ol any �uiltling authorizntl by Ihis permil unlil 6nal inspoclion.
G4D�!� 1tliPEL1149TYPk
1616 Fl.etl Sy51em fMel FfrB Pr
�, .. . �
726G � Pad S� d �a�.
280. �' Flnel Ro-Rail �
F �� ` ° 1
pp� ,� F{nef BIa:WHetmni� W ail
t - n' � -�
202 -�oFmel F\clory Fire Plate ,.
203�.4FInUSIp'n �� � �ix
20a FfnslDaniWitlon.��4��.i5
re Of Lngnl OwneqS)
Au1nUt¢etl AOPIiWtlI
p� i •
venuon -+""������-
��
.r �.� .
,.x ,'.Z f�.'� ..
� ,�' J j//
t � '. Y
� �� Y,Yi..�.a'� t 'ri���. 1
CODEi INSVECTIONTYV[
208'""'-iinal Metha�tleaf'�
f � •
208 Final P4undnp\
210 Finai E�ectrical A ,, ��
� _ ! rr ,.d�/
212 . Final�F�n PnwnUon
L.
220� FhW Wennirig ApD�vel
22t ��flnalSite
Y � x " i
250.�. Fu�el BuiltlinypcwDancy
i
•� INIII1ll5
\` .-� H / /
\ „• . �
1 ti
�- i
� �
(714) 754-5273 • fax p14� 754-4856 • wvnv.cl.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92E?6
MECHANICAL PERMIT
lob Address: 327 RAMONA PL
Suite No
Vicinity:
Parcel Number: 42532107
Applicant: MARIENTHAL,LEE ANN
Address: 327 RAMONA PL
COSTA MESA, CA
Owner: MARIENTHAL, ERIC ROSS TR
Address: 327 RAMONA PL
COSTA MESA, CA
ContraRor. O W N E R-B U I LD ER
Address:
REF B03-00823. 1
ISSUE FEE
Inst FAU <100 k
Inst FAU >10 ,k
Repair / AI ,-�a
Inst / R ..Rece
Ducl
ate Appl
< 1000
> 1000
Phone: 949-646-6312
Zip: 92627-3765
Phone:
Zip: 92627-3765
Phone:
Zip:
license:
i
ISSUED 8Y:
Unit
JO k BTU
00 k BTU
1,000 k BTU
1,750 k BTU
)ver 1,750 BTU
3To15hp
15ro30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Invesfigation Pee
Plan Check Fee
Reinspeclian Fee
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
Status: issueD
Applied: 08/14l2003
Issued: 08/14/2003
$0:00 0
� $0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00
$0.00
$0.00
$40.30
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomla statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) ,
EXPIRATION: This permit shall automatically expire and become void il work is not commenced within 1B0 days, or il work Is suspended or abandoned
for a period of 180 tlays.
INSPECTIONS: In ordaf for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
raqulred Inepxtlons end final approval musl be obtainetl. Failu�e to obtain inspeclions antl final approval will resul� In the expiration Of �his permit.
FOR INSPECTIONS CALL: (714) 7545626 , �
!M6a6 (N00)
WORKERS' COMPENSATION DECLARATION: _ '�
I �ereby aHum untler penalty oi per�ury ane o1 Ne tollowing tledar3lions:
� I �ave end will maimain a cehdir.ate ol conseN lo selldnsure lor workors' compensalion, as pmvitletl lur �y seclion 3700 of the Lebor Gode, tor ihe petlurmance ol ttie
work lor wM1icn Ihis Vertni� is issuetl.
❑ I pdve and will maiMam �+orkers' compansaUon insurance. as reqwretl by sec�ion 3700 0l �ha labor Gotle. tor the pertortnance ot Ine wo�k tor wNc� �hi5 pennit i5 i55ued.
My wUrkets' Compensation Insurance tarrier antl policy num�er are:
Carnor. Policy Numb��r;
/T�is secrmn need not De comp�efetl Afhe pemut is velued at one �untlrnd dollais ($100) or less.)
❑ I cerLfy t�el m tne pertormance oi Ne work br whi[h ihis pe�mit is issued, I snall nol empioy any person in any manner so as to become subject �o �he workers'
rompensa�ion laws af Gabiorma, antl egiee Il�a� rt I snoul0 become sub�ecl �o Ihe workars' compensalion provisions ol Seclion 3700 ot Ihe Labor Cotle, i s�all lorlhwith
compry with these pmviswns.
Apphcant Signaiwc: Dam' _
WARNING' fAILUPE TO SECURE'MDRKERS' G(kAPENSATION CAVERAGE IS UNL4W N� AND $HALL SU6IECT AN EMPI.OVER TO CRIMIIJAL PENRI TIES AND CIVIL FlNES UP 1 OONF. HUNDRED
TFIpUS/JID D(XIARF �St00,WU�, IN ADC�IiION TO TME COST OF CAMPENSr1TION, DAM4GE5 AS PROVIpED FOR IN SECI iqJ 9)[G OF TIIE UBOR CApE, INTEPEST, AND ATIOHNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hero0y attirm I�at I am hcensed untler provisions of Chapter 9(cOmmenang w�l� Section 7000) of Drvision 3 0l ine Busine!.5 antl Pi
.
torca antl eMecL Lia � Class • '� 't
Comraclur's Signawra: Uate: .�". '
CONSTRUC710N LENDIIJG AGENCV: � .";i.v
�,�.. '"
❑ I �ereby aHum ma� there is a consvucbon lending apancy lo� Ihe petlormance ol Ihe worM tor wbic� l�is pertnit is issuad. (S�
Lentler's Name: Lentler's Add�ess: �-�''± � � `' '
Signaiuru: �,� �/�`,.= — _ — .m'�' _ >v:i��qi Date_':
OwNER-BUILDER DECLARATioNs / h
I �erooy attirm I�aI untler Venalry ot perjury Ihai I�am,EkEMPT FROM THE CONTRACTO
Coae: Any city or cuunty whiG� requves a ponnil lo consimct, elle�, improvx,.tlemolis�, or
lo iVc a signetl sletnment Iha� �o or sM1e is licensetl pursuan� to Ihe provisione of IOe Conii
Business antl Piotessions COtle) or inat he or she is e.emD� �harefrom end Ihe b6sis br
vuo�ecls Ina apphcant to a ciVil penel�y of noi mora Ihan bve huntlretl tldlere,�SS00J.�:
c,. .:. ,�n�.��n;:r.. �
❑ I, as owner ol �he pmpehy. or my employees wn� wages ef.ttlelt sole compenealion,
�Oaa. Busmass and Pro�essions Cotle: The Coniraaors�License Lew Ooea rwt epply
nimself or herselt or Nrough his or ner own employees{p�oNdBO �hei SuEti imp�G�en
solJ wiinin one year of G�mple�ion, ihe ownerbuilder wiil'heVe ihe bur0en M proving
i_4 ..,a �..
❑ I, as owner nf ihe propeh4. am E%CWSIVELV CONTRACTING WITH IICEN9ED (
Caie- Tne cunlracturs licanse Law.tloes nat apply �o'an owner of pmperty wlio butic
licensa Cwsuanl Io ine LonlraLtorB LkBnqse Laws.)� � j„ / [< <�: �
.�i�k.".a,.� < te.r2'i: �
❑ I am eeempt under sec. . Business and Prolaseions
Signaiure� f' k._n*`.�Yi.'� /:r.�;'���,� ��:'.' �
.,
Ownor ID venhetl oy tlrwei'9 [��8.�, �� Ves Q'No :' � Dm6re Lia
�:E^h..a�' ;a.��n t...:.! �-",1�';',I
Venhcefion ol Ownershlp py.(lype ol document,.Le. - pfoper�y te� bill or deed), t-,>� +'
DIVISION OF INDUS'
❑ I �oreby cenity i
oermii, and Irtal
3d1, Ttlle B, Cal
❑ As owner�buiitli
oermit lo Oo sui
Signnwie: �
Divisinn ol Intluslriaf
I Willihe
9icavabon live (5) or mora leet��in tlept� into
Idinp slmcture, swHolding; falsewoik, or tler
AtlminlsvatweCotle�. � ,,;Ey,, �
is
my Imense is in lull
��'�'_.�' l.. Y�'��a�-�.��
� I Y : :
UCENSE LAW lor.ifa lollowmg reaeon (Set:J031.5, Businoss and Prolessions
9lceny siructure,'prior.lo i1s issuance*Lleo'POquires ibe a0����ant lor sucn permit
wri License Law (Chepier 9(commenqnp �ylth Seclian 7000� ol Diviswri 3 ot I�e
alleped eaemption. AnY violaeon of Sec�ion 7031.5 by any applicant lor e permit
° .i .�.°."_ ', I
,; .�J }��'r��.:�
LL'DO;7ME WOPK,�entl ine stmclure 1� not mtentled or ofleratl tor sale (Sec.
�n owner ot property,w�o builtls or imOroves dfe�eon, and w�o tloes such worh
s Bre iwt InlendBE or oHaretl iur sale. 11, Iqwev9r, the building or im0�ovumenl is
I��Ire m ehe dd noTGuild or impwvn for'�purpose 61 sale.�.
RRACTOR9 to conslmcl Ihe prolnct ISec.'704G, Busmess antl Pro�essions
r implOVe! Vreieon, antl who ��.onlraciv tor such pro�eci wi10 a conVacto��s)
_ -i'r I. ..a�j
doforl0isreason� � `
Uaie: _
i;Na.�� ' _ Fepires:
tlescentl, will De made in connection wil� work aulhorimd by this
will be more than Ihitly-sic (36) leel high. (Chap. 32, Grp 1, Atl 2, Sec.
r`4will not em0loy enyone to tlo wwk w1�icM1 wou10 tepui�e a pormiflrom �he Division ol IndusVial 3elety, as noied aDove, unless sur.h person hes a
i wwk hom t�e tlrvision. � - . f
: i ��� � ` - , � oe�a
' r�..t� � � •; :f � � .a � ;J,J'f!:1J' —
atety Perm�t Numher .' , f � �,J� _,�.. r `� /
S"
IIALS"ANO EMISSIONS CERTIFILATION:
r:::s.,; .
or,pre3eN o�tuture�buAding occupant need to tile entl cenity a Nusiness Plan lor emergenty response lo relense or Ihreatened release ol a hezertlnus
ISecuon 255C5 oi-ihe-Callfomie Heelth�end Satety Code requues, with some oxceptions, ihat a f3usiness Plan De hL�d wi�h I�e Cosla Mesa Fire Departmenl by evory
�usiness wlucn hae�e�'eny aie 4rtie,Euring e reponetl year a quan�iry ol hazardous malenals epual to or g�ealxr Ihan a weight o� SUO pounUs, or a volmne ol 55 galbns,
u� 20U cuu¢ teel Of.comPre55eC gas et standartl temuerature and pressure).
. ... .......... .'"'_...__.�.. .. ......... ._.._..... . _. ......... .. .......... . ........._.. ........ .. . ...... . ....__..........
..... _ ....... .. .. . .......
2 Uces or wiil Ine app�IceM-p!.p�esenf or tulure �mltlinq occupanl neetl lo lile a regislrabon lorm lor ucuiely hazartlous m:tle�ials? ❑ Yes ❑ No
t•
ISection 2553:i o� Ihe CB6twnia�Heallh antl Sala�y Code, wnn some esep�ions, �equves regislration wnn Ine Cos�a Mese Fire Uepanment by each business whir,h et iiny
unx ume has un naii4.A-quuiiliry of acwaly hazaitlous ma�enals equal lo or greater U�an a weighl 01 500 pountls, or e wlume ol 55 gallons, or 700 cubic fbet ol
cnmpressea gas al slanPa�d �emperaWre and pressure).
. ...... . . ............. . ............ .............. . ............. ........... ...... .......... ....., ...... ... .......
....... ... . . .............. . ......_.... ...........
3 Doee or will the appl¢an� �i presenl or tutme builtling occupant neetl to preDare an i1MPP (Risk Management antl Prevemion Program for acmety �azartlous matarialsl7
n �e� n ��,�
ISeclion 7.5554 of Ihe C9hfarnia Healm antl Sata�y Cotle pmvides I�al Oie Costa Mesa Fue Depanmenl may require Ihe prepara�ion, ceni�icalion an0 filing wi�� I�e Fire
Uepatlmeni ol an HMPP by businesses wnich are requuetl �o regisle� ecutely hazardous malenals w�l� Ihe Fre OepaNnenl.
. ... . .....__.. ................ ._.........._ .. ..._ ........ ... ......__.... . .............. .. ............ . . .... . , . ......._ . .......... _ ... .. ._.._... .........
.......... .
4 II an NIdPP is presently leqwretl, has Section 75534 0l Ihe Caldomia Heallh antl Sa�ery Code been lully compliod wilh i ❑ Ves ❑ No
..........._.. ........... ._........ ........... _....._..._.. ................. _............. . ... . . ......._... . . .._............ ... . ,.,,......... .... ... ............. . . . ......._.. .........
5 Uuns or will �ne apolicani or presem or IuWra bwltling occupen� requira lor iha work whiCh is I�B Subler,t o� Ilus ap0lic.+�ion ap_ermit for Such tonslmr.eun or motliticalion
Irom Ihe 5ou0� Gtiasl Atl Uuahly Managamont Drsinct or llom any o1ha� an pollution coM�ol tlisinct o� nyancy? �� Ve> �� Nu
ISection 65BtiQ[ nt �ha Galibrniu Government GotlO �equi�es t�at I�e requesletl mlormation be Wmis�ed on apphca�ions for nomresidential �uilding permits).
......._._ .. .............. ......., . .......... ......... ......... .....__ ............... ............ ................. . ..,,..., .....................
h W JI uny part ol Uie fa:ihry �� ba r.onstmctetl untler Ihis permil be within 10001eet lrom Ihe nuler bountlaries ol a schoul'? ❑ Ves • ❑ No
tl�'yos", it�a iaci�ny must meet me reqwremem ol Sections 255:i4 and 42303 of the Ca6brnla Healih and Safety Code).
............ ......._..... ._ . .. ............ .............._._ . . .......... . ..........._..... ......... .._.......__.. .. . . ......... ............. . .... ........... _ ... ..._......_.......
7 II a permit ban Inn SOV�h Coast Air Oua61y Managemenl DisVicl or other aii pollution conlml tlisVicl or epancy is raqvired lor Ihe work which is Iha sublect of Ihis
uppl¢nuun, I�..vu all o� rox tlisclusures prescnGeu by Calitomie Healih and Satery Cotle Seciion 42303 bean matle? [) V«s ❑ No
.......... .. ............_ .._.._ ........ ..............._. ,................. ....._.......... . ...._........... .........._...... ..,............. ................ ..,.. ........_.. . ... ..........._.....
P pi yes", a�tacn canibcald ut canpliance liom Ine aV��oP�iale eir pollution control o7ticer).
CENi1FICA1fP Of COMPLIANCE: I cetlity Nat under penalty oi perlury the mformation grven above is conacl. I aqreo �o comply wiih all staie laws and city ommancos
regar�ing Hazartlous Ma�unals nnd Emissws.
Siynnture�. Uato:
CERTIFICATE OF COMPLIqNCE ANO AUTHOR12AT10N OF ENTRY: I ceroty untler penalty of perjury ihat I �ava rxaA Ihis epphca�inn and siaie �hat Ine inlormauon given is
mrrecL I agree lo comply wd� all Slale laws end nty ordmances relating to buildmg cons�mction, and aulhori:e represenlabves of Ihe Cny ol Cosla Mesa to entur upon Ihe
a0ovn-aescribed propeny'or inspeciion pur0oses. I agree not 10 occupy or allow occupancy ol any builtling aulhorizetl oy I�is permil until hnal inspeclion.
Signalure O1 Legal Owneqs) Da1n
AnNU� Aulltunxetl ApDliCanl
cooE ,. IHSPECTIOA TYP�
1616 Fixetl SVsiem I
Wall
202 " Fmel Pectory Fire
�', �r j �
203 �FUisl SIyn r'w+�; q*"
�,,:.'�:'vt'+i�' t.ytn
204 FkW Demolidon !
1T INTITIALS
��y'w f�+':.wv'T � '`�.".�+'.,
�±.
; � �. �
�`� �"`C., '
LOOE� IHSPECTIONTVPE
21F TILL45
DEPUTY 1 INSPECTI�,N SERVICE INC.
25121 DE SALLE ST, LAGUNA HILLS, CA 92653
1- S00 - DEPUTY 1� 1- 800 - 337 - 8891
SPECIAL INSPECTION REPORT
Building Permit No. �7 �Qv�23 Job. No.
Jobindentification/Address 1/1�1VF2�cµ7?I� (��
GeneralContractor/Address d��3 c�.�v{c-� �-o
Sub - Contractor / Address
Structural Engineer/Address ' i ��:- �"l
Arch.
DEPT. OF BLDG. & SAFETY
ClTY OF CosT►a- � ✓l�s �4
COUNTY OF
Date �-Z3 -='3
R�INFORCED CONCRETE MASONRY HI-TENSILE BOLTING CHEMICAL ANCHORS
PRESTRESSED CONCRETE WELDING GYPSUM CONCRETE OTHER
All inspections based on a minimum ol 4 hours & over 4 hours • 8 hours
minimum. Any inspection exlending past the noon hour will be bilied es 8
hou� minimum. In edtlition, any inspection extending past en 8 hour pe-
riod, or Seturday inspection will be billed at time and a Aell.
ATrORNEY'S FEES - If any action at law or in equiry is brought to enforce or interupt the terms of this ConKact, the prevailing party
shall be entitled to reasonable attorney's fees, costs and necessary disbursements in addRion to any other relief to which such party maybe
entitled.
SPECIAL INSPECTION REPORT �
Inspector's Name: � ��'Z Inspector's Signature: ° ' ��
I.D. No. �`t �� has ee file n it states that the above work to the best is/her knowl dge complies with the
provisions of the Unifor uil ing od and eets approved plans and specitications.
Respectfully Sub�pitted,
Approved by: By: «�/ �-�
� Project Superintendent Lerry Certer
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
.IobAddress: 327 RAMONA PL
Suite No
Vicinity:
Parcel Number: 42532107
Applicant: ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL �
NEWPORT BEACH, CA
Owner. " MARIENTHAL, ERIC ROSS TR
Address: � 327 RAMONA PL �
COSTA MESA; CA
Phone: 949-6313820
Zip: 92663
Phone:
Zip: 926273765
Contracior. ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL
NEWPORT BEACH, CA
Phone: 949-631-3820
Zip: 92663
License: 471754
SCOPE OF PERMIT
172SF ADDITION AND REMODEL. REF B03-00823.
Status: ISSUED
Applied: 09I04I2003
Issued: 09I042003
�� � , �
ISSUED BY: . / � -� �
_ _ � . .
1 FAU <100 K BTU, 1FACTORY FIRE PLACE, REPIPE , 1 KITCHEN HOOD, AND 1 VENT. FAN
AND 1 GAS PIPING.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat
Inst / Rep. Recess Wall HU
Refrig Sys <100 k BTU .
Refrig Sys >100-k BTU
Gas Piping
Factory Fireplace .
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance .
Fire Dampers �
Smoke Dampers
Inst or Relocate Appi Vent \
Air Handlers < 70000cfm
Air Handlers > 10000c(m
Floor Fumace
Floor or Suspend Heater
$23.50
$1a.80
50.00
$0.00
50.00
30.00
50.00
$6.15
$10.65
310.65
50.00
3715
$0.00
50.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
Quantiry
FEESUMMARY
Repair I Alt Absorbtion Unit
Repair / Alt Refngeration Unil
Ventillation System
Evaporative Cooler
Commercial Incinerator
Domestic Incineretor
Comoressors / Absorptio� Systems
Upto3hp/t00kBTU
3 To-15 hp I 500 k BTU -
15 To 30 hp / 1,000 k BTU
30 To 50 hp I 1,750 k 8TU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15 l0 30 hp
30 l0 50 hp
Over 50 hp '
ONer Mechanical Fee
Investigation Fee�
Plan Check Pee '
Reinspectlon Fee
$0.00
$0.00
$0.00
$0.00
ao.00
$0.00
$0.00
$0.00
$0.00
$0.00
SO.00
ao.00
$0.00
ao.00
ao.00
50.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes end related
regulations. (Ord. No. 92-28, § 1, 12•21-92)
EXPIRA710N: This permit shall automatically expire antl Decome void Ii work Is not commenced withln 180 days, or if work is suspended or abandoned
for a period ot 180 days. - j
INSPEC710NS: In order for the work authorized under t�is permit to ba considered legal, such work must comply with ell applicable codes, end all
requlred Inspeetiona and (inal epproval must be obtained. Fallure to obtain inspections and final approval will resull in the expira�ion of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
2aae�+e �eroo>
WORKERS'COMPENSAnON DECLARATON: _ �
I hereby effirm undar penalty of perjury one af t�e lollowing tleGaretions: �
❑ I heve entl wlll mainteln e certlficate of consent Io sell-Insure tor workers' compensetlon, es proWded for hy section 3700 of the Lebor Coae, lor the peAormence ol ihe
work for which Ihis partnit Is issued.
[]�rheve ehd will maintaln workers' compensatlon Insurance, es reQuiretl by sectlon 3700 of Ne Lebor Code, tor Ne pertortnence of Ne woAc br wNch Ws pqrtnit is issuetl.
My workB�' ensaUan Irtsumnce� r and�Q ky rtumbar are: J j� r n
Cartier. ���� 1 v�'`� �+ PoliryNumber. � 10 v� J �`
�ls sectlon need nof be completed i! the peimit Is valued et one hundretl dol/are ($700) or /ass.) ._
❑ I certlty t�e� �� Ihe peAorm c of 1 work for whlch this pertnil is issueC, I shall not employ any person In eny menner so as to become sub�ect lo Ihe workers'
compen9e��an laws ol Ce o �e, pree that II I should become suD�act ro Ihe workers' compensetlon provlslons o� Ipn 37�ot Ne LeDor Cqde, I shel� forNwith
comply w�th these p � on /� ��
Appllcant SlpneNre: , Dete:
WARNINO: FAILURE TO E RKERS' �.1PENSATION COVEMpE IS UNL4W FUL M'D SNALL &U&IECf Ml EMPLOYER TO CRIMI PNAL�� E TES AND CML FlNES UP TOONE HUNDRED
T/KK15AND DOLVIRE (f100,000), IN ADDfTION TO THE 005T OF �MPENSATON, DAN.AGES AS PROVIDED WR IN SECTIqJ 31080F TME UBOR CODE, IMEPEST, AND �TTORNEYS FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby eflirm Ihe1 I em
lorce end eMec�• L1c. a_
Contrectofs SIBnaNre:
CONS7RUCTION LENDINC AGENCV:
C�apter B(commendng with Sectlon 7000) of DlNsion 3 ot the Buslness ar�QProfesslons Cotle, and my Ilcense Is In full
(, Cless p - i �
Dete:
❑ I hereby dN�rm thet there Is a wnsiruction IerWinp egenty br Ihe peAortnence of the work tor which Ihis pertnit Is IuueA. (Sec. 3097, CMI Cotle).
Lentler's Name: Lentlers Atltlress:
Slgnature: Date:
OWNER-BUILPER DECLARATIONS:
I hereby eHirtn t�el untler penalty ol pehury thet I em E7(EMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness anC Profa55ions
Code: Any ciry or counry which requires e permit lo cansWct, elter, Improve, tlemalish, or repelr eny etrucWre, pdor t01ts issuance, elso requires Ihe epplicant lor such pertnit
to ille a signed atetement ihet he or she L+ Ilcensetl Dursuent to the provisions of the Contrectoro LJcense Lew (Chepter 8(commencing with Sec�lon 7000j of Dlvislon 3 ot the
Business end P�ofessions Code) ar t�at he or she is exempt thereiran entl iha basis lor �he ellegatl ezemption. Any violation of Sectlan 7031.5 by eny epplicant for e pertnit
sub�ects the epplicant to e civil penalry of not more then five hunAreE Adlars ($500).):
❑ I, as owner ol the properry, or my employees with wepes as Iheir sole compensation, W ILL DO THE WORK, end the structure Is not intendetl or ottered for sale (Sec.
7044, Business and PrWessions CoCe: The ContreIXors LJcense Law tloes not eppy to an owner of pmperry who Duilds or imprrnes thereon, end who does such work
himsetl of hersetl or Ihmugh his or her own employees, providetl thet such imprrnements ere not intendetl or oHered for sale. If, however, t�e building or improvement is
sold vritN� one year of comp�elion, Ue owneo-builtler will heve Ihe burden of proving ihat �e ar she CiG not builtl or impmve tor purpose of uleJ. •
❑ I, as owner ot thB property am E%CWSNELV CONTRACTING WITH LICENSED CONTAACTORS to construtt the prqect (Sec. 70C4, Business entl Professions
Catle: The comreaors License law does not eppy to an owner of property who bull0.5 or Improves Ihereon, end who contracts lor such prqect wlt� e contreaaqs)
Iicense pu�suant to t�e Contractors License Laws.).
[] I am exampl u�er sea Business end Protessions Code tor this reason:
Signature: Dete:
Owner ID veAtiad by drlveYs Ilcense. ❑ Yes ❑ No Drivers LJcense No. Expires:
Verlllcation of Ownership by (rype ol tlocumenL I.e. - properry tav b��l or daetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTiFICATON:
❑ I hereby cenity that no excavatlan Ilve (5) or more feet in dept� into which a pereon Is requlretl to Cescand, will be mede in wnnectlon witn work euthoAzetl by this
permit, and thet no builtling siructure, uattdtlinp, falsework, or demditlon ar dismentling Ihereol, will De more than �hirty-sia (38} feet �Iph. (Chap. 32, Grp 2, Art 2, Sec.
341, Tille 8, Calilomia Atlministretive Cotle).
❑ As ownerdullder, 1 wlll not employ enyone to Oo work which would require e pertni� trom the Dlvision ot Industrial Sefery, es noted above, unless auch person hes e
permll lo do such work trom the tli�Asion.
Signature: Date:
DlWsion of Intlusidal Salery Pertnit Number.
CEHfIFlCATE OF COMPLUWCE AND AllTHORVATION OF ENTAY: I cenify under penelry ot pe�ury Nat I heve read this epplicetion and stete Uet Ne intortnatian given is
correct. I egree to compry wlth all state lews arW dry ortlinences relating to building construction, end euthodze reDresentatives ot t�e Clry ol Coste Mese to enier upon Ihe
ebove-describeG D�operry for inspeciion purposes. I egree not to oc�upy or ellow ocwpancy ol eny builtling euthoAzed by this pertnit until Ilnal Inspection.
CO�E I.
1818
1268
Flxetl 5ys�em Final Fire PrevenUon
Pool Spe Final
200 Flnel Re-Rool
201 Finel B��WRelelning Well
202 Finel Fectory Fire Place
203 Finel S�B�
20a Final Demolition
�.j7�i�Cinir,141
COQE� INSPECTONTYPE
208 Flnal Mechaniwl
208 Flnel Plumbing
210 Flnal Electdcel
212 Finel Flre Preve�Uon
220 Finel Planning Approvel
222 Finel Sile
250 Finel Bullding�0aupency
� It�
� 'Q ��
(714) 754-5273 • Fau (714) 754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 327 RAMONA PL
Suite No
v����ny:
Parcel Nunmber: 42532�07
Applicant: ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL�
� Phone: 949-631-3820
NEWPORT BEACH, CA � -Zip: 92663
T
Owner; '' MARIENTHAL, ERIC ROSS TR
Address 327 RAMONA PL "
Contractor:
Address:
Arch / Eng :
Address:
COSTA MESA, CA
Phone:
Zip: 926273765
ROBERT OWEN BUILDING COMPANY
2218 LAUREL PL
NEWPORT BEACH, CA
Phone: 949-6313820
Zip: 92663
License: 471754
Phone:
Zip:
License:
. Status: ISSUED
Applied: 09/04/2003
Issued: 09/04/2003
�
/� � �
ISSUED BY _ � � �
, ,� 1
SCOPE OF PERMIT
, 172SF ADDITION.AND REMODEL. REF B03-00823. " � , . � . ,
� 1 NEW DISHWASHER, 1 GAS 1-4 OUTLETS; 1 GAS REPIPE TO COPPER FOR TYHE WHOLE HOUSE, 1. "
. LAUNDRY TUB/VJASHER, 1 KITCHEN SINK, � _ � - - . � ,
ISSUE FEE
BackFlow irtigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
AMT
$23.50
$0.00
50.00
$0.00
$0:00
$0.00
$0.00
$9.80
$0.00
$0.00
50.00
FEE SUMMARY
QTY AMT QTY
- Laundry Tub / Washer $9.80 1
0 Landscape Irrigalion � $0.00 0
0 P-Trap $0.00 -0
0 Pressure Regulator $0.00 0
0-, Process Piping (per 10 ft) $0.00 0
0_ Receptors $0.00 0
0 Septic Tank $0.00 0
1-. � Sewer Cap for Demo �, $0.00 0
0 - Sewer Connecl $0.00 0
0 Sewer Private Line .50.00 '� 0
0 Shower - $0.00 0
SumpPump �
Swimming Pool , �
Trap Primer ,
Urinal '
Vacuum Brkr.Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
- Wash Basin Set
Waste and Vent System
Water Closet (Toilef)
Water Heater I vent
AMT
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�N
0
0
0
0
0
0
0
0
0
0
0
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: This permit shall automatically expire and become voitl If work is not commenced within 180 days, or it worlc is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be consldered legal, such work must comply with all applicable codes, and all
required inapectlona end final epproval must be obtained. Failure to obtain inspections and final apDroval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�Fb: �:3F:i"1):
WOAKERS'COMPENSAnON DECLARAnON: � �
1 hore6y aNirm under penalry of perjury one of the �ollowing tlecleretions:
❑ I heve end will mainWin e certiticete of consent to selt-Insure tor workers' compensetlon, as proWtletl tor by sectlon 3700 ot Ihe Lebor Code, tor Ihe pertortnence of the
wark tor which ihis pertnit Is issuetl.
j�]/f�ave entl will maintain workers' compensfltion insurence, as requlred by sectlon 3700 oi the Lebor Cotle, lor the pertortnance of the work Por w�ich this permit Is Issue�.
My workera' campensa o suren°�/°°��er en policy num6er ere: / (�/ � �
Ce��ar. �? �� � T U/N � ,Pollcy Num6er.� I tJ 77 r S
(Thls seclion need not Dr�cbmp/efed it t�e permitls velued at one �undred tlollere ($100J or less.) � ��1
� I certity Ihet in ihe peAormQnce of the work for which this permit is Issued, I shall not employ eny person in eny manner so es to become subject to the workera'
compensation lews oF gMto nle n eprae Ihet tl I should become su��ect to Ihe workers' compensation provlslons of Sectlon 700 0l the Lebor Code, 1 shell fort�with
�comptywilhthese gi __��� j��
-qppllcent Signature: � /Date;
i -
WppNINO: FAILURE i0 SE RE WOPKERS' COIAPENSATION COVEMOE IS UNLAWFUL AND SWHL SU&IECT Ml EMPLOYER TO CfiIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED
THpUSAND OOLLRRE (5100.000). IN ADDRIIXJ TO THE 00.ST OF COMPENSqTON, DAAUGES AS PROVIOED FOR IN SECTIIXJ 3)OB OF THE fABOR CO�E, INTEREST, AND FTTORNEY'S FEES.
LICENSED CONTRACTORS DECLABATION:
I hereby aKrm tfiet I am licensetl r—�tl���r rovisl n oi Chapter 9(commencMg w{l� Sectlon 7000) oi DNlsfon 3 W ihe Bu.
forCe end eMect. Lic. M J �L/ �.���1 �, CIe99 k_
Contractofs Sigriatura: . 0 , � Date: _
CONSTAUCTON LENDING AGENCY:
Professlons Cotle, entl my Ilcense Is in fNl
❑ I �ereby aBirtn Nat there Is a canstructlon lending egency Por t�e peAormence oi the work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: LendeYs Address:
Slgnawre:
Dete:
OWNER-BUILDER DECLARATIONS:
I he�eby eXirtn thet under penelry ot perlury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Busine5s and Protesslons
Code: Any ciry or counry which requires e permit to construct, elter, improve, tlemolish, or repair eny strucWre, pnor to its iuuance, also requires the applicant tor such pe�11
to Nle a sipned statement thet he or she is Iicensetl pursuent lo �he proNsions oi the Contractors License Law (Chepter 9(commencing with Section 7000) of Dlvision 3 of the
Bus��ess end Pmfessions Catle) or Ihat he or she is azempt therelrom end Ihe basis for the alleged exemption. Any Wolation of Sectlon 7031.5 by any epplicent for e pertnit
sub�ecls the applicant to a civil penalry of not rtwre tRan tive hundretl dollars ($500)J�.
❑ I, es owner oi �he pmperry, or my employees with weges es Iheir sole compensation, W ILL DO TME WORK, antl the strudure Is not Intendetl or oXered far sale (Sec.
7044, Business and Pmfessions Cade: The Contractors License Lew does not appy to an owner ot Droperry who builds or impmves theraon, and who does such woM
himself or hersett or ihrough his or her own employees, proNtled ihat suc� improvemenis are not Intended or oNered tor sale. If, however, the bullding or Imprwement Ls
sald within one year of wmpletion, the owner-builder will heve �he burden ot proving that he or she Oitl not builtl oi improve for puryose ot sale.). '
❑ I, a9 Owner ol Ihe propar�y, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to fAnstruct ihe project (Sec. 704d, Business and Professlons
Cotle: TTe contwctors Llcense Lew does not eppty to an owner o1 property who builtls or Improves Ihereon, enA who contreqs for such Drolact wiih a coniractor(s)
license pursuant to t�e Contractars License Lews.).
❑ I em exempt under sec. Businass end Professions Code for this reasan:
Signeture: Date:
Owner ID venfied by Crivers Iicense. ❑ Ves ❑ No Drivers License No.
Veriliration of Ownere�ip by (rype o1 tlxument, i.e. - property lae blll ar Aeed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
❑ I hareby certify that no excavation Me (5) or more feet in depth Into which e person is requireA to tlescen0, wlll De made in connection wIN work authorized by t�is
permil, and Ihat no building siructure, scatfo�ding, falsework, or demolition or dlsmaniling Ihereot, wlll De more I�an ihirry-six (36) ieet hip�. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomie Adminisiretive Cade). �
❑ As owner-bullder, I wlil not employ enyone to do work w�ich woultl requlre e pertnit irom the Divislon of Intlustnel Setey, es noteA above, unless such pereon hes e
pertnit to tlo such work Irom Ihe divlsion.
Sgnature: Date�.
DiWs�on ot Industrial Sefery Pertnit Number:
CEMiFlCATE OF COMPLIANCE AND AVTHONf7ATON OF ENfRY: 1 certity under penalry of pa�ury t�at f have read this epplication antl stete that the inlormation given Is I
correct. I agree to comply wlth ell s�ele lews end clry ordinences releting to bull0ing consWctlon, end eulhodze represente�ives of t�e Clly of Coste Mesa to enter upon the
above-described property for Inspection puryoses. I egree not to occupy or allow accupency of any building euthorized by this permit until tinel Inspectlon.
�� . . ' tll�. �l'J�
1818 Fixetl Sysrem Finel Fire Preventlon
1266 Paol Spe Final
200 Finel Re-Roof
201 FIneI BIocWRetelning Well
202 Flnai Faaory Fire Place
203 Final Sign
204 Final Demolition
ir,ir�in��
1�� INSPEGiIONTYPE
206 Flnal Mec�anical
208 Final Plumbing
210 Finel Electrical
212 Finel Fire Prevantion
220 Final Plannin9 ApProval
222 Flnal Site
250 Flnal Bullding�Occupancy
� �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�s �LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
,lob Address: 327 RAMONA PL
Suite:
Vicinity:
Parcel Number: 42532107
Applicant: OWEN, ROBERT
Address:
Owner: MARIENTHAL, ERIC ROSS TR
Address 327 RAMONA PL
COSTA MESA, CA
Zoning:
Phone: 949-6313820
Zip:
Phone:
2ip: 92627-3765
Contractor: ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL
Arch :
Address:
Zip:
Phone: 949-631-3820
NEWPORT BEACH, CA
Zip: 92663 License: 471754
Phone:
License:
Eng:
Address:
Status: ISSUED
Applied: 05/19/2003
Issued: 07/16/2003
/
ISSUED BY:
Phone:
License:
SCOPE OF PERMIT
ADD 172 SQ. FT. FIRST FLOOR ADDITION TO ENLARGE THE KITCHEN AREA AND EXTEND.THE LIVING ROOM.
INCLUpES ADDITION OF 171 SQ. FT. OPEN PATIO WITH PONY WALL. LOCATED REAR OF HOME ADJACENT TO KITCHEN/FAMILY ROOM.
INTERIOR WORK WHICH INCLUDED REMOVAL AND INSTALLATION OF NEW WINDOWS, AND A FRENCH DOOR.
NO ADpITIONAL BEDROOMS OR BATHROOMS.
10' RIGHT SIDE SETBACK MAINTAINED TO ALLOW ACCESS TO THE BACKYARD FOR FUTURE PARKING, IF NEEDED.
Plan Check:
Permit:
SMIP Res:
SMIp Com:
Other:
Inspection:
Total:
$236.11
$363.25
$2.27
$0.00
$0.00
$0.00
$601.63
SETBACKS
MAINSTRUCTURE Front 0-0 Rear 49-0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Calc Valuation:
Claim Valuation
Righf 10- 0
$22,649.32
So.00
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: This permit shall automatically ezpire and become voitl if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit,
FOR INSPECTIONS CALL: (714) 754-5626
2d46-06 (N001
WORKERS' COMPENSATION DECLARATON: �� �
I hereby attirm under penelty of perjury one oi the following tleclarations:
❑ I have and will maintain e certificate of consent to selbinsure lor workers' wmpensatlon, es provitletl Por Dy section 3700 of the Labor Code, tor the peAortnance of ihe
work tor which this permit is issued.
� I have and will mainWin workers' compensatlon insurence, as required by section 3700 of the Labor Cotle, for the peAormance ol the work tor which this pertnit is issued.
My workars' wmpansatlon Insurance canie� antl,policy number ere: � S� �� �
Cartier .S i��TL -f—lJ fJ dJ PolicyNumber: �7
(This section need nof be comp/efed i/ the permit is ve/uetl e! ane hundred dollers ($100J or less.)
❑ I certify that in tha pedormance ol Iha wark for wNch t�is permil is issued, I shall nat employ any person in eny manner so es to bewme suhject to the workers'
compensation laws of C tt mia, end gree Ihat If I should become suD�ect to t�e workers' compensetion proWsions ol Seciion 3700 of Ihe Labor CoUe, I shell lorthwith
complywiihthese �N an . �%�\ ��/ � � O 2
Applicant Signalure: �,l� �' � �J�- Dete:i J �
r
WARNING: FAILURE TO ECUFE WOW(ERS' COMPENSATiON WVEMOE IS UMAWFUL AND SHALL SUBJECT M' EMPLOYER TO CHIMIWIL PENALTIES AND GVIL FlNES UP TOIXJE MUNDRED
hKKl$AND OOLLFRE (5100,000�, IN ADDITION TO THE COST OF ODMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 3�O60F THE LABOR OODE.IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTAACTORS OECLARAiION:
I hereby aNirtn that I am I
force and eHect. Lic. q+
Contractols Signawre: _
at Chapter 9(commendng wlih Section 7000) at DiNsion 3 0l Ihe Business e�n.,tl Professions CoAa, and my license is in tull
Class a �
� Date: 7 ��� 11 3
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm I�at ihere is a conslmction lending egency for the peAormance ol Ihe work lor which this permi� is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Address:
Signature:
OWNER•BUILDER DECLARATIONS:
Date:
I hereDy aflirtn ihat under penalry of perjury thet I em EXEMPT FHOM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu and Professions
Cotle: Any ciry or counry w�ich requires e permit lo wnstmct, elter, improve, tlemolis�, or wpalr eny structure, prior to its Issuance, also requires the epplicant tor such pertnit
to file a signed statement t�at he or she Is Iicensed pursuant to the pmvislons ot t�e Comrectors License Lew (Chapter 9(commencing with Secifon 7000) of Division 3 ot the
Business end Protessions Code) or t�et he or she Is e:empt thereirom end the basis for the ellegetl exemptlon. Any violation of Section 7031.5 by any appliwnt for e permit
subjects the applicant to a civil penalry of not more than five hundretl tlollars (5500).):
❑ I, as owner ot the pmperty, or my employees with wages as their sole compensetion, WILL DO THE WORK, end the structure is not imentletl or oHered tor sale (Sec.
7044, Business antl Professions Code: The Contrectors License Lew tloes not apply �o an owner ot property who builtls or improves thereon, antl who does such work
himseli or hersalt or through his or her own employees, provlded thet such Improvements are not Intended or oHeretl for sale. It, �owever, lha building or improvement is
sold within ona year of completion, Ihe owner-builtler will �ave ihe burden of proving thal he or she tlid not build or improve for purpose of sale.). �
❑ I, as owner ot t�e property, am E%CLUSIVELV CONTRACTINC WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The comrectors License Law doas not epply to an owner ol propeny who bullds or Impmves Ihereon, antl w�o coniracts tor such project with e comractor(s)
licen5e pursuant to tha Contrectors License Laws.).
❑ I am eaempt under sec. Business entl Professions Cotle for this reeson:
Signature: Date:
Owner ID veniietl hy tlnvefs license. � Ves ❑ No Driver's License No. Expires:
Veriticalion oi Ownership by (type ol dxument, I.e. - property tax blll or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certity ihat no excavetion fiva (5) or more fael in tlepih into which e person is required to descend, will be made in connec�ion with work eu�horized by ihis
parmit, antl that no builtling stmcture, sceHoldinq, talsework, or demolition or tlismamling t�ereof, will 6e more than thiey-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Ttlle B, Californle Adminisirative Code).
❑ As owner-builder, I will not employ enyona to do work which would require e permit from the Divislon of Intlustnal Safery, as noted ebove, unless such person has a
permit to tlo such work from the division.
SiqnaWre: Date:
Division ot Industrial Sefety Parmit Number:
CERTIFlCA7E OF COMPLIANCE AND AUiHORIZATION OF ENfAY: I certify untler penalry ol perjury that I �ave reatl t�is epplication and state Ihat the intortnation qiven is
conect. I egree to compty wilh ell stete laws en0 city ortlinances relating to buil0ing consiruction, and euthorize representatives of t�e Ciry of Costa Mesa to enter upon the
ebove-described proDerty tor inspection purpases. I egree not to occupy ar ellow accupancy ot eny 6uilding euthodzed 6y Ihis Dertnit until finel inspection.
SODE �. INSPECTIONTYPE ' PAiE IMRIALg
1616 Fixetl System Final Fire Prevention
1266 Paol Spe Finel
200
201
202
203
204
Final Re-Roof
Finel BIocWReteining Wall
Final Factory Fire Place
Final Sign
Finel Demolition
���o//d 3
Date
CODE� INSPECTIONTYPE
206 Finel Mechanical
200 Finel Plumbing
210 Final EleCtrical
212 Finel Fire Prevenilon
220
222
250
Finel Planning Approval
Final Slte
Final Building/Occupancy
neL limne�s
INSULATION CER_ .t+ICATE
� �Z. �.N ��
County
Subdivision
Lot Number
Description of Installation
1. ROOF �,� �.��o.cr l� �Ad-d�
Material �" ���� ���� �- � � �'�'l�
6p7i�,Uc�"�i 6qj,�3 Brand Name
Thickness (inches) �=' S�� Thermal Resistance (R-Value) �_� 3�c
�
2. CEILING
Batt or Blanket Type f= GY.SS Brand Name �
Thickness (inches) '-( r' Thermal Resis[ance (R-Value) —
Loose Fill Type Brand
Contractor's min installed weighdfr1 _Ib Minimum thickness �iitches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
EXTERIOR WALL ^
Frame Type `�X � w o o tJ
A. Cavity Insulation
Material —�--; erq�oSSl l�G�.�-
Thickness (inches) 3J'2
B . Exterior Foam Sheathing
Material
Thickness (inches)
4. RAISED FLOOR
Material �
Thickness (inches)
5. SLAB FLOOR/PERIMETER
Material xy
Thickness (inches)
Perimeter Insulation Depth (inches)
6. FOUNDATION 1NALL
Material j
Thickness (inches)_
Dectaratiort
Brand Name � W�aN s
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand 1Clame
Thermal Resistance (R-Value)
IG1
1 hereby certify that the above insulation was installed in the building at the above location in conformance with the current
Energy E�ciency Srondords for residential buildings (Tide 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, wt r plic .
� � �O �°� 'U 1.v2ld � ��
Item #s ign. ture, Date � nstall�Subcontrac[or (Co. Nam OR
General Contractor (Co. Name) OR Owner
Item #s
I[em #s
Signa[ure, Date
Signature, Date
[nstalling Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
[nstalling Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Revised March 1, 1996
• � SUBCONTRACTOR LIST
City uf Costa Mesa — Planning Division P. O. Box 1200, Costa Mesa, CA 92628-1200
Builder� Of'� ��!/C/ L�(i11&Yciress ����/ ��%/�-/ �� Phone p�f G3� �8Z d
i �%�, /�/�. J/�
1ob Site ������PJi//�0 ��. (�J`"" ��'�s�/. Date ����,y
Permit # � � / —��O 7/ 3 Valua[ion
TRADE SUBCONTRACTOR ADDRESS
ASPFIAL'f
CA131NETS
CARPI�TS
CAftPLN'l'KY d G,
CEMENT CONT. � � / i
CEMENT TRANSI7'
CLASSIFfED SPEC.
CLEANUP/HAULING ( � / �
DOORS (GARAGE)
DRAPERIFS
DRY WALL � � . �
ELGCTRICAL Ll f . ,� , /
C-LEVATOR
EXCAVATION
FENCING
FIRE EXTINGU[SHER
FLOORING/bECKING
FORMICA
FOUNDATIONS p , � �j
GLAZING
HEATING � , r .
INSULATfON � , / �
LANDSCAPING
LATHING � � < <
LINOLEUM/ASPHALT
TILE/GUNITE
MASONRY
PA I NTI NG
PLASTERING (. i. � •
PLUMBING S � S %G✓ �lS '
POOL
REFRIGERATION
ROOFING �f ,O 3i•6
SANDBLASTING
SEWER
SH6ET METAL
SHOWER DQOR
SOLAR
SPRINKLLRS
STEEL REINFORC.
STEEL STRUCT.
STUCCO m �,� � ,t
TRUSSES/GLU-LAMS
TV ANTENNAS
WALL COVER[NGS
wEAT1iER STRIPPING
OTHERSPECIALTY
NF 0�01�30, rev. y0/85
PHONE
'b
r�
)�-
CITY OF COSTA MESA
DEVELOPMENTSERV[CESDEPARTMENT
PLANNING DIVISION
OWNER BU[LDER CERT[FICATE OF EXEMPTION
1 am fully aware of the responsibilities as owner buildec The persons named below are my
employees and I agree to withliold the following required deduc[ions: Federal and Sta[e [ncome
Taxes, Social Security payments, and Workmen's Compensation Insurance Premiums. My employer's
number is .
Further, 1 hold no objection to a copy o( this certificate being forwarded to any governmental
agency upon their request for same.
Employee's Name , Address Social Security No.
Under penalty of perjury, I declare that the above statemen[ is true and correct to the best of my
knowledge and belief.
Signature Date
e
Address
(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
327 RAMONA PL
42532107
Appiicant: ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL � �
� � Phone: 949-6313820
NEWPORT BEACH; CA Zip: 92663 �
Owne/� � MARIENTHAL, ERIC ROSS TR
Address� ,'327 RQMONA PL' � .
�� , i
i Phone:
� COSTA MESA, CA Zip: 92627-3765
Contractor: ROBERT OWEN BUILDING COMPANY
Address: 2218 LAUREL PL
NEWPORT BEACH, CA
Phone: 949-631-3820
2ip: 92663
License: 471754
Status: ISSUED
Applied: 09/04/2003
Issued: 09/04/2003
�` .
ISSUED BY: ' " �
� ,' �� �.
SCOPE OF PERMIT
172SF ADDITION AND REMODEL. REF 803-00823. �
46 LIGHTS, 32 OUTLETS, 16 SWITCHES, 1 RES. APPL., SERVICE UP TO 100AMP, 1 SUBPANEL
AND 1 BATHROOM FAN. -
ISSUE FEE
Temp service test
Res. a/c package�
New Res (1-2 units)
New Res (3+units) �
Pool / Spa
Lighting Fixts , -
Recept Outlets -
Switches ` �
Non Res Appl
Res Appl
Service to 200a
Service to t000a � �
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to SOhp
MOtors l0 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Quantity
523.50
so.00
$0.00
$0.00 0
$0.00 0
$0.00 0
$40.98 . 46 . .
$30.76 32
$17.60 ` 16
$0.00 0
59.50 2
$30.50 1
$0.00 0
so.00 0
' , $0.00 � 0 �
$0.00 0
$0.00 - 0
$0.00 � 0
$0.00 -�' 0 -
$0.00 0
$30.50 1
FEE SUMMARY
Quantity
Temp Disl System / Lighting $0.00 0
Buswaylt00ft $0.00 0�
Standin9 Sectlon 50.00 "0 �
Misc ElecVical Equipment $0.00 0
Transfortners up to 1 kva/kw $0.00 - 0
..............:.upto'70kva/kw $0.00� �, �0
.................up to 50 kva/kw ,. . $0.00 - 0
.:...............up to 100 kva/kw � $0.00 0
..................over 100 kva/kw $0.00 " 0
Low Voltage Equipment 50.00 0
Low Volt Widng System / Ckt $0.00 �� 0
Misc. Conduit � 50.00 0
Misc. Conductor 50.00- 0
Circus ( gen or ride) 50.00 . 0
CirCuS (mech ride or lights) 30.00 ,� 0
Chrislmas Tree Stand . 50.00. 0
Fireworks Stand $0.00 0
Other Electrical Fee , �% ' % $0.00
investigation Fee $0.00
Plan Check Fee $0.00
i
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia�statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) ��
EXPIRATION: This permtt shall automatically expire and become void if work is not commenced within 1 BO days, or if wo j suspended or abandoned
for a period of 180 days. � /
INSPECTIONS: In order for �he work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2sa66816'W)
WORKERS'COMPENSAnONDECLARATON: � �
I �ereby aHil�n under panalty of per�ury one oi Ihe Following tleclerations:
❑ I have end will maintein e caniflcate of consent to self-Insure tar workers' compensation, es proWtletl tor by sectlon 3700 0l the Lebor Cotle, for the pertormence ot the
�/ work iPr which ��i5 pertnit is �ssuetl.
�y,�, I have a'W will maintain wrnkBrs canpe�alion i�nurance, as requ{retl by sectfon 3700 of the La6or Code, tor Ihe pertormance ot Itie work for which Ihis pertnit 19 luuea.
�-- My wo�kere' compensetl n Insurence� end0µ I,lcy numbei ere: �� ����� 4
Carrier. ���-d� -'�-+ TJ i�1 i^� PolicyNumber.-�
(Tliis section �eed nof be wmpletetl i/ the permif is valued et ane hundred dollers ($f 00) or /ess.) � '
❑ I certily that in t�e pertormance of Ih work for which tNs permit is issued, I shell not employ any pereon in eny manner so es to become subject lo Ihe workers'
compe�setion laws at Caltlor la egr ai It I 5hould become Sub�eci Io the warkera' compensetlon provlsions o� Secllon 3700 of t�e Lebor Catle, I shall fOrihwlih
comply with thesa provl )
Applicent.5igneWre: � � Date: �l rl,�� �
WARNING FA�LURE TO SECURE WORKERS' COMPENSATION WVEMGE IS UNUW FUL AND SHALL &U&IECf rW EMPLOYER TO CRIMIN�AL'-PENALTIES AND CNR FlNES UP TO ONE HUN�RED
TMOUSAN� Dp.LARE ($100,000), IN ADDITION TO TME WST OF COMPENSATION, DAlMGES AS FROVIDEU FIXi IN SECTION 3�08 OF THE LABOR CODE.IMEREST, AND ATTORNENS FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirm Ihat I�am Ilcansetl unde� RrovisiQ�s of Chepter 9(commencing with Sectlon 7000) of Dlvlsion 3 ot lhe Buslness�ntl Protesslons Code, and my license is in full
force entl ettect. Llc. A �i %�- TN�/'� Clas:� p"' [3
Contrector'S Signeture: � A , Dete: �/1 �i
C
CONSTRUCTION LENDING AGENCY: • -�
❑ I �ereby aHirtn that there Is e consiruction lending egency lor the pertormance of t�e woM tor which ihis pertnit is issuetl. (Sec. 30W, Civil Code).
Lender's Neme:
Signeture: �
Lentler's Address:
Date:
OWNER-BUILDER OECLARATIONS: '
I hareby elfirm thet untler panelty of perJury that I em EXEMPT FROM 7HE CONTiiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Prafessions
Code: Any ciy or counry which reQulres e pertnit to construct, elter, Improve, demolish, or repalr any structure, pdor to Its Issuenca, elso requires the epplicant for such permil
to tile e sign0d stetement thet he or she Is Iicensetl purauent to t�e pmvislons of Ihe Contrectors License Lew (Chapter 9(commencing wlth Sectlon 7000) of Divislon 3 oi the
Business an0 Professlons Cotle) o� Ihet ha or she is eaempt therefrom and Ihe basls for the elleged esemption. Any vloletlon o1 Sectlon 7031.5 hy eny a00�icent for e pertn0
sub�ecis Ihe applicant to a civil penelry oi rwt more then Ilve hundretl Collers (5500).):
❑ I, as oWner of the property, or my employees with weges es thelr sole compensatlon, WILL UO THE WORK, end Iha siructure Is not intentled or oHeretl for sale (Sec.
7044, 6usiness antl Professlons Cotle: The Comractors License Lew does not appry to en awner o� Droperry w�o bullds or Impmves thereon, antl who does such work
himselt a� harsa�i or through hls ar her own employees, provWetl that such Improvaments are �rot IntefMed or oHeretl to� sale. N, howaver, tha building or fmprovemenl is
soltl wi�hin one year oi complelion, the owner-builder will heva Ihe burden of proving thet ha or she Aitl not builtl or Improve lor purpwe oi sale.). '
❑ I, as ow�er of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct Ihe pro�ect (Sec. 7044, Business antl Professlons
Code: The wntrecrors License Lew does not apply ro en owner oi properry who bulltls or improves Ihereon, ena who contrects for suc� proJect wllh a conhecror(s)
license 7ursuant to the CoMracbrs License Lews.).
❑ I em exempt undar sec. Busineu end Professlons Code for this reeson:
Signature: Date:
Owner ID veri�ied by drivers Ilcens0. ❑ Ves ❑ Na � Drivets License No. Ezpires:
Verification o� �nership by (rype o� document, I.e. - properry ta�c 6111 or deetl):
DIVISION Oi INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certify thet no excevetlon five (5) o� more feet In depih Into which e peroon Is requlreG lo descend, wlll be mede In connectlon with work authodzed by this
pertnit, entl that no building simcNra, scattolding, lalsework, or demolltlon or disman�ling theraot, will be more ihan thlrty-six (38) teet high. (Chep. 32, Gry 2, Ah 2, Sec.
341, Ttle 8, Celifomla Administrative Code).
❑ As owneabuiltler, I wlll not employ enyone to do work which would require e pertnit irom the Divisian oi IndusMel Satety, es notetl above, unleu such person has a
permlt to do such wark trom �ne Oivision.
Signature: Date:
Divislon of Industrial Sefery Permit Number:
CEHfIFlCATE OF COMPLIANCE IWD AUfHORQATON OF ENfRV: I certity under penelry ol perjury ihat I have read this epplication and slate ihet the Iniortnation given is
correct. I agree to comply with ell slate laws end city oNinances rela�ing to bullding constructlon, end euthodze reDresenlative9 of t�e Gity o1 Costa Mesa to enter upon the
ebove-descri6ed praperty lor inspection purposes. I egree nol lo occupy or allow occupanq ol eny building eutharized by this pertn�t until finel inspection.
COpE t, iu�`ovcnONTYPE _ "
1818 Fi:ed System Finel Fire Prevenlion
1266 Pool Spe Final
200 Final Re-Roof
201 Flnel B�ock/Retelning Wall
202 Final Faclory Fire Placa
203 Finel Sign
204 Final Demolition
PAIE
�¢ �Qp� INSPECTION ME
206 Final Mechanical
20B Finel PIum6ing
210 Final Elecincal
212 Flnal Flre Prevembn
220 Final Plenning Approval
222 Final Site
250 Finfll Building/Occupancy
�/��3
` Date
PAiE 1t�Li
L/E �
' � `'ii
�
�
)
�ooness: 327 RAMONA PL
dewsxame: MpRIENTHAL, ERIC'
aooxess: MARIF..NTHAL, LEE A
327 RAMONA PL
COSTA MESA,CA 92627
646-6312
RXCNIENGINEEfl: flEG.NO.:
RUOXESS:
UNIT:
UNIT:
PEXMITiEE: GARY THOMPSON ROOFING ( 310 ) 429-6816
nooeess: 3494 SHIPWAY AVE
LONG HEACH CA 90808
IILENSEO CONTBACTOP UECtANATION: I here�y aHirm tha� I am IicenseA under pmvisions of (,'Aapter 9(commencing wi�h Section
7000) ol Drvision 3 of Ihe Business and Pm�ession5 Code, and my license is in lull force an0 flCct.
cirruc.:099999 sTnnTeuc.:53678 cuss: C39 /
Dat-��`� � O� SignaWre:
WOflNEBS'COMPENSRTIONOECIAflRTION: I�erebyaff ��allhave nilicateotrons �oseli-insureoraceniliwteoiworkers'
Campensaiion I sy��{c �jA ifiea capy t�ereal 1 i6n 3800. L )
PoLICYNO.: �+v�LJ� E%P.ORT: ���OS 93
COMPRNV: STATE FUND
� CenilieG copy is AereDy fumis�etl. L� Cenifietl copy is IileO vnlh t� city Builaing Uivision.
Oaie:.����^� ADPlitant:
E%EMPTION FBOM WOPREPS' COM7ENSATION OECLAflATION: is uclion ne oi be compl¢�e0 iI �he p l is bron¢ hunAred ($100) oNe55�.
I ceriity I�at in �he performance of �he work lor w�ich ��is mit is issuetl s�all noi ¢mploy any pe on in any manner so as to become
su�lecl lo Ihe WOMers Compen5aiion Laws ol Cali�omi .
Oale: SiAnaWre:
NO710E: II. after making Ihis tleclaration. you s�oultl become sub�ect to IAe Worker5' Compensation pmvisions al the Labor
Coae. y0u musl fonhwith comply wilh sucn Drovisions or this Dermil shall Ue tleemea revokea.
CONS7XOCTION LEN�MG RCENCY: I here�y allirm Ihat there is a constmction lentling agency for Ihe peAormance af Ihe wark for
whicn this uermit is issue0 (Section 3W7. Civ. C�.
LENOEP:
aooeEss:
OWNEH BWlOEfl OECNNATION: I hereby aifirm �hat I am exempt fmm IOe Conl�ac�ors' State license Law ior Ihe following reason
�Section 70.71.5 Business ana Pmfeuional Coae: Any city of caun�y whiCh repuires a Dermit to consiNCL alter, impmve, �emolish, or
rzpair any 5lruclure. prior l0 iis issuance, al5o repUires lhe applicanl lor SUCh petmil IO Iiie a Signed Slatemeni Iha� hpJShe is litensetl
Dursuant m tAe pmvisions of the Conlrac�ors' State License Law (Chapter 9(commencinA �+�h Sectian 7000) ol ONision 3 ot tAe Busineu
ana Pmles9on5 Cotle) ot tliat ne/she is evemD� iherelmm ana ine hasis lor �ne alleq¢E exemptbn. My vioWtion ai S¢ction 7fq1.5 6y
any aODlicant lot a permit suGjects Ihe apDliWnt to a civil penalry ol nat rtwre I�an live AuMreE Odlars (5500�.
I, as oxnet ot the propeny or rtty empl0yees witA wa0� as Iheir Sole wmpensation, will �a ihe xrork, antl Ne
❑ slmcWre is noi intenEeE ar OffereG �or sale (SecOon 7614, BuSin¢55 and Pmieuional CoOe: The COntraciars' $�a�e Licenu law
ooes nol aDVly to an mvner ol a pmpeny wM builtls or improves inereon, and who tloes such wod nimSelMerself or Ihmugh
Ois or Aer own emDloyees. pwvitletl ihat suc� im0�ovemenis are nol intenAeO ar offere0 for Sale. If, �owever ihe huiltling ar
impmvement is so10 vnl�in one year ol completion, ihe owner will �ave ihe UurAen ol proving he/she tliE no� hui10 or imOmve
� lor I�e purpose o� sale�.
I, as awner o1 �he pmpeny, am exclusively contraciing wii� IicenseU conlractors m conslmci Ihe pmjec� (Sec�ion 7044, Business
❑ and Pmiessions Cotle: T�e Coniracmrs' Staie License Law Aoes nol apDly to an owner o� OmpeM who bwltls or improves thereon
antl wAo tontrat�s lot SUth pmje[fs wiih a conlraclar�5) liCense OufSuant lo ��e CanlratlOrs' Slate LiCense Law�. I am aware
��at pmat ol their Woder's Compensaiion insurance shoul0 �e pmviAeO �o me.
� I am eKempl under Section: B. 8 P. C.
lor I�is teason:
�ate: Owner.
I Qo hereby cenify that I am aware ol antl untlersiantl the repuiremems oi Calilomia Health anU Safely CoOe Sections 25505, 25533, ana
2553E an4IM1a1 I or any future building accupan� willlwill not (cimle one) neetl b comply with SaiU Sla�e coAes an0 �he requirements �or a
permit lor conslmclion or moOAicalion Imm Ihe Air �uality Managemenl Oi5lric�. Resitlential consbuc�ion apPlicalions are exemp� from
Ihese pmvisians.
Oale', Applicani:
I nereUy teiiify��a� I �ave read�his apPliCaiion ana sla�e Iha��he aEove in�Ormalion is
OrOinante5 anU SW�e IawS relaiing Ia bViWing COnSIruQian antl herepy auih0�e repr¢SenL
pf0�Gf1`/ �Of IfISpCC�lU11 p11fpO5C5.
'i�a�r�_ _��_ Si9nature: ' ,/�—.
orivei's �icense o� sodai secudiy x:
1Wb<6 Wnne—Builaina:Green—COEeEnbrce ei
lo comply wi�h allciiy an0 coun�y
lo en�eruponlhe above-menlioneA
Pink—Revenue: GoMenrotl—Acsxseor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 058816
PERMIT NO: H 058816 PLAN CHECK NO; N (� ,
CONSTRUCTION 'PYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION : REROOF SFD 6 ATTACHED GARAGE SQ FT; 3,100
CLAIM VALUE; 3,100.00 CALC—VALOE; 3,100,00 GROUP OCC: R-3 /M-1
COMMENTS; SMOKE DETECTOR RE�OIkED IN THE HOME
*�*��r***��t***�r+t*�t�+t�e�r*+t�r�** �x*+t�t*�t*�t*�r**�*�t�r*�r*�t�r�t�r***x�x***�x�****+t�r��**x**�*�*
2 O N I N G R E Q U I R E M E N T S
sETSAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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; 42532107 ZNE; REF NO;
PLANNING Nt51'ES>
% �.
if IE iF k fk iF iFib ikif iF if iF i�if iliE iF iF iE 1E iE iE �E 1F if iF i! iF iE ik i!!k iF k 1E iE if iE ff ik 1E 1f k 1E ik if iEiE 1E it ik fElF1E if iE iE iE iF if if ik fk �f ik k iE k ik k iE iE iE iF if if iF k
D E V E—'L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
20NING APPROV$D BY DATE:
BUILDING APPROVED BY : tJ �''`� L� DATE; ��—SS �L
APPLICATION ISSUED BY; /�• � DATE: � 2.� �Z
iEitiE�tik�riEx�ititiEitititlEitititirititir f3fif�FiF3f3f�'�t'if73fiF3Fii��FiF3f3F�F3F'TFfF3FiFiF3FiEie*ic�fEie*iEitit rt*
iE iF iF if 1t iE if ikiF if if ik 1E iE ik iE fE iE ik if iE if iE iE if if iE iF if iF if iE if ikiE iF 1E if i! if i! ik 3k 1t ff iF if i! iF �ElE if ik �k iE iE iE iE if �E if iE iE �E iF if 1t Ik if iF iE iE 1E iFif it iE iF iF
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC-- MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 ,50
, SMIP/NON—RES
PLAN •
ISSUE FEE " "
BUILDING—DIV—> PERMIT ISSUE PI;AN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0.00 0,00 63,50 63.50 ,00
� �
REVENUBLDGVPMT�PLUMHING ELECTRIC�MECHANI� FIRE3�SMIP�/TOT/SGRADING PLAN—CHECK
63,00 .50
�
iF i! it iE fE it IF iFlk 1E iaik iE iF 1f if IE if ik �E if iliF iE fE �t If ik 1F iE fE iF 1E ik k 1E k iF iE i!!E if iti! �F iF i! ik#� if fE it k IE k k fE it iE it k ik�fE if ft �t �t i! ik i! if iE i4 if 3k if iF if k
Z N D I V I D U A L F;.E E B R E A K D O W N
TYPE QTY D E_S C R I P T I.O N" UNIT COST TOTAL COST
SFR 3100 REROOF BY VALUE RESIDENTIAL N020NE 1.00 3,100.00
END OF, FEES
Y
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CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Eiectrical Service or Pole
2. Soil Pipe-Undrgmd.
3. Electriwl Conduit Utitlty-Undrgmd. '
4. Electrical ConduiYUndrgrnd. -
5. Sieel Reinforcement
6. Electrical UFER Grnd.
7. Footings - � ,
8. Foundation
9. Water Pipe-Undrgr�d.
10. Structural Floor System _- �
11. Property Sewer Line & House Connection
12. Sewer Cap � '
13. Roof Drains '
14. Rough Plumbing
15. Rough Electrical�Conduit
16. Rough Electric Wiring
17. Rough Wiring $ign
18, Rough Electrical�T 8ar Ceiling
19. Rough Heating & Air Contlitioning
20.� Rough Eactocy Fireplace
21.�DuCis, in. Stiuctuce ' `.. �
22. Oucts, Venti�ating �
23.�Gas PiPe�Rough &�j'est ; ,
24. Roa4 Framing � � - •
25. Root SAeathing . ' . .��
26. T-6ar Ceiling (Structurall & Monocoat
27. Frame and Flashiny�
29. Lathing & Siding ..
29. In5ulation _ � �
30. Drywall Naiting - �
31. Plaster Brown Coat
32. Elecvical Power Meter-Final
33. Final Efecvic ,
34. Final Heatinq & Air Conditioning ,
35. Final Gas Pipe-TesY �
36. Hood or Canopy
37. Final Factory Fireplace -
38. Finai Plumbing . ���
39. Water Service�Finai -
-- --
40. Gas Service-Final '
41. So�ar pomestic-Final
42. BaLktlow Preventer '
43. Batkflow Irrigation
44. Landscape Irriqation System -
45. Sound Attenuation
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49, Electric Release to Edison
50. Gas Release to Southem Califomia Gas G
Date
Date � Inspecto
POC. _ .v SPA
� APPROVALS Permit #
52. Pool & Equipment Location
� 53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Piumbing & Pressure Test
57. APPROVAITOCOVER-GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gat Pipe, O Undrgrnd., Test
60. Backwash lines, P�Trap, C Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater & Vent-Finaf
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Fina1
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOLlSPASYSTEMSFIfVAL
FIRE DEPT. REQUIREMENT
� 'APPROVA�S ' Permit # ,
.70. Underground Nytlro
.71. Product Piping O G2s O'Oil
72. Underground Flush , � �
�� �73. - Undergrn�it Storage Tank O Gas ❑ Oil
'74.- Qverhead HYdro .
75. Dry Chemical �
76. Chy Standpipe � � � '
77. FIXED SYSTEM FINAL
78.- FIRE PREV. FINAL
HEALTFi DEPT. REQWREMEIVT
' 79`. FINAL INSP�CTION �
< .80. F000 CERTIFICATE ISSUED
Date �inspector
"O1e5: 8_ f 3�y2 � s d��r�u� �.rzf-
0
.� I
Pfl0.1ECTR0UflE55: 32% RAMONA PL
owxexsxame: MARIENTHAL, ERIC
+ nonncss: h1ARIENTHAL, LEE A
327 RAMONA PL
COSTA MESA,CA 92627
646-6312
ANCH/ENGINEEN: flEG.NO.:
ROOflESS:
UNIT:
UNIT:
PEHMITTEE: LEE ANN MARIENTHAL (714>646-6312
PODPESS: 3i% RAMONA PL
COSTA MESA CA 92627
UCENSED LONTBRC70H OEClABR710N: i hereby alqrm ��at 1 am licensetl unEer provisions af C�apter 9(commenting with Sxtion
7W0) ol Orvison 3 al ��e Busineu an0 PmlMsions Cpp¢, anE my license is in lull forc¢ and elleci.
CITY LIC.: STpTE UC.: CtA55:
Dale: Signaiurp;
WOPNEAS' COMPENSATION QECIABA➢ON: I heieDy a77irm that I nave a cendkale W cansenNo sell-inwre w a ceniliCate ol wOrkers'
ComDenution Insurance. or a cenilieA capy Ihereol ($p�6on 3800. Lae. C�.
POLICY NO.: E%P. ORTE:
^AMPRNY:
i Cenitie0 copY �s Aere�y lurnisnea. ❑ Cetli�ieG topy �s IileO wilh I�e ciry BuilAinp Oivivon.
Oa�e: AOOlicang
EXEMPfION FBOM WOHNEBS' COMPENSATION DECIAflRTIpN: Rhis seclion nttd no16e completeA i� tAe pemii is lor one hunOrea (5100) or less�.
I cenily Inat in Ihe pedormante ol Ine work lor whicn ihis permit is issued, I shall not employ any person in any manner so as to 6ecome
5ubjetl Io ��e Wotkers' Comp¢n5alion Lavrs ol Calilarhia. ��
Date:_�,3/^ 9ii Signature: �•/s � wlw��a-'��C � .�
NOTICE: 1�. aller making Ihis Ueclaration. you s�ou10 become suhle�� �o ��e Worker5' ComDensation provisions of the LabOr
Co0¢, you mus� Ionhwil0 complY wit� 5uc11 Orovisions or Ihis Dermi� shail Ge Ceemed revokeE.
LONSTHUCTION LENUINC RGENCV: I �ereby a�firm iha� lhere is a conslmction lending agency for the pedormance of �he work tor
w�ich Ihis Dermit is issued (Sec�ion 3097. Civ. C�.
LENUEN:
aooeess:
OWNEN BWLOEfl OECIABpTION: I hereby a�lirm Iha� I am exemp� �mm �he ConUaclors' State License Law for t�e �ollowing reason
�Section 7031.5 Business anA Pmlessional Cade: Any ci�y o� c0uniy whic� reQuires a permil �o cons�mct, alier, imD�ove, tlemolish, or
repair any stmctore. O�or ro ifs issuance, aho reQuire, tne appNcant for such perrtnt to Irte a signed statement that he/she is Iicrose0
Oursuanl to 1he D�ovisions aI 1he Comracmrs' Sla�e License Law (C�aD�er 9(commencing wilh Seclion 7000) o� Division 3 of �he Business
ana Pmfessions Coael or Ihal helshe is exempt Inerefrom an0 ihe easis for the allegee exemption. Any violation of Section 7037.5 by
any aDPlitanlior a Dermit suejecis Ihe apo�icant lo a cidl oenatty ol not mare �nan hve hunAretl Oollars (E5001.
I. as owner of Ihe pmDehY or my employ¢¢s with wa0es as Iheir sole compensation, will tlo ihe work, an0 the
❑ sirucwre is not inten0ed or oflereU b� sa�e (SeCtion 7044, Business an0 Pmleuional CoOe: The Coniractors' State License Law
d0es not appty lo an owner ol a pmDe�Y who GuilJs of imD�ov¢5 �her¢on, antl wh0 tloes Sut� work himSell/�¢rsel� Or ��mugh
�is or her own employees, provided Ihal such im0�ovemenl5 are not inlentleU or aifereU lor sale. I�, Aoweve� Ihe builtling or
improvement is sold wit�in one year ot complElion, the owner will �ave ihe �urAen of Dmving he/she aid not hui10 ar improve
for ine ouroose ol 5dIe1.
}p, I, as owner al I�e propeny, am exclusively ton��aciing wi�h licensed cOmracmrs �o constmc� �he pmlec� (Sec�ion 7p44, Business
CJ an0 Proie55ion5 CaU¢: The Cqnlratiors' Slaie �iten5e Law Uaes noi apply IO an ownef 0� properry wh0 Dmlds of impfove5 iherron
ana who contracis lar suc� O�ole��5 vril� a canlractor(S�license Dur5uanl b Ne ConVac�o�s' State license Law),I am aware
that D�ool ol roeir Worker's Campensation insurance s�ou10 Ue providetl to me.
� 1 am ¢xempi un0er Seclian: B. 8 P. C. �
for inis reason: /� /`��-7�
Date: 8^.� �— '�1 Y P�mer[ -�f L(�4(^ J�L��2�
I Oo �er¢Oy cenity I�ai 1 am aware ol ana una¢r5iana Ihe reQuiremen�s ol Cali�omia Meal�h antl $al¢ty CoOe S¢c�ions 25505, 25533, anA
2553A ana ihal I or any INure Euiltlinp oaupan� wilUwi I not (circle one) neeA to comply wiih SdiO s�a�e cotles anA Ille repuiremen�s for a
Dermii �oi conSlmQian ot rtqEilitdlian Irom Ihe Art OYaliiy Manag¢m0ni 05lritl. fleAEeniial ton5imtlion appliwtbht ar2 eaem0t �rom
inese pmvisions.
Uaie: Applicanl:
I hereby certily ��at I �ave reaU Ihis aD0licalion ana sta�e Ihai I�e above inlorma�ion is correcL I agree lo compN ��h all ci�y and counry
ardinaMes anG slatelax5 relalingla bui'Aing con5lmtliq�anE �ereby aullqriie reD�e�nta�ives ol�his cilyio en�a`upon��eabove-mentioneU
O�operiy lorinspetlion purposes.
Ua�e: _(/__ :,�.�5 � Signatw8: L�iib`—�/ s'� 1�'�
Oriver's License or Social Securily r:
164i<6 W�ne—BuiWing: Green—CoEo Enlorc¢mo�i; ��ary—nppliwm: Pink—Ravenoa: Goitlenro0—Asseswr
CITY OF COSTA MESA — BUILDING PERMIT , �
PERMIT NO; B 058851 PLAN CHECK NO; N , ,
CONSTROCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; INSTALL FOUR (4) SKYLIGHTS (ICBO#1084) SQ F7'; 1,090
CLAIM VALUE: 1,090.00 CALC—VALUE: 1,090.00 GROUP OCC: R-3 /M-1.y
COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME, ��fiRli.�IC���� 8��
iEk*irititit*itieit�rx�ititititirx+f*ic*iEx�irftx�it�r kiririrftiritit�ririE*itieiEitifiEieitieit**itetxit '�EdFtRc�len * iF�
Z O N I N GS ERTEB�AUCIxRSE M E N T S ���g ���C�
�� �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT ZN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT SN LEFT: FT IN RGHT: FT IN
PARRING REQ• PROV; PARCEL; 42532107 ZNE; REF NO;
PLANNING N61'ES>
� �
iE ik If iE iF iE ik i! MiE 1E fF iF ft iE 1f if if iE'iE if iE ik 3F if iF if iF iEif ik iE if i! i! �F if If 3F if iFlk 3E iFt� !E 1k if �f iE iE iF fk iE if iE iFiE ik iE�F�E it-0F �EiE if iF ik ib if iE 3f 1k iE If if iF it
D E V E L O^P M E N T S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED HY�� ; DATE;
B[]ILDING APPROVED BY ; DATE;
APPLICATION ISSUED 'E•Y; DATE• �Z_
ikikiFiEiflEiEiliEiElEititifitiFlk�kiE.ifikfk ifklfiEiElfifiF3f1E 3fiE
iFiEiEitifiFlFiEiEikiFifiEifkififlEifiFikiFit3Fikit�ElEiE�lltiliE�k�k3F�E�FiEiElflF�f iPiEiEifiEiFitiEikififitlEiFikiElElEif�EifiElElfikiFitiFiEiE�EitiEiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES, GRADING
PERMIT 27.00 SMIP/NON—RES
PLAN
ISSUE FEE �r
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 27,50 0,00 0.00
REVENUE DIVISION TOTALS--> COL'I:ECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
2%.�0
TOTAL PAID ~y DUE
27,50 27,50 ,00
27.50 OVER/SHORT; ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.SO
1F 1t if 3E iE k if if if iE 1E it if if k 1E k k iF k fF k 1t i! ft it iE iE k ik it ik it itikiFlt it iE ik �f ik �)f iE 3F iE if iEiF iE �E 1E iF k 3E ik k iE 3f k k iE iE iE if iE iE iE iE if 1E if iE 1E iE iE iF 1E �k
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
SFR 1090 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 1,090.00
� END OF FEES
r , ��
EXPIRED,,: � �
�ncompleta Inspections!'
L�h ___ S�g -- �—a.L�
.�
�
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CONSTRUCTION AND PLANN WG , PO(. . SPA
APPROVALS Permit # Date Inspector p�PpROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �
3. Electrical Condpit_Utility-Undrgrnd. 54. Porms
4_ E{ectrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Sieet Reintorcemertf . 56. Rough Plumbing & Pressure Test
- 6. ElecVical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
� 7. PoOtings . 58. Electrical Conduit-Undrgrnd.
�" 8, Fpundation , 59. Gas Pipe, O Undrgrnd., Test
9. LVater Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, Q Undrgrnd.
70. Structurel Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrica�-Fina�
15. Rou9h Electrical-Condu�t 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Elecvical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEFT. REQUIREMENT
20.� Rough Factory Fireplace . APPROVAlS Permit # ,
21. DuCts, in Structure - �' � �70. Underground Hydro
22. Duc.ts, Ventileting � , 71. Product Piping OGas OOiI
23. Gas PiPe�Rough & Test ., � . .. 72. Underground Flusk .
24,cRo0f Framing ' 73. Undergrnd. Storag� Tink O Gas ❑ Oil
25. Roof Sheathing ,_ ' 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat _ ' 75. Dry Chemical - .�
27. Frame and Flashing � y 3-�2 �(,(idL 76. Dry Standpipe � �
28. Lathing & Siding • � 77. FIXED SYSTEM FINAL '
29. Insulation �, '�` � � � 78, FIRE PREV. FINAL
30. Drywall Naiti�g i �� f HEALTH DEPT. REQUIREMENT
-31. Plaster Brown Coat 79. FINAL INSPECTION
32.. Electrical Power MeterFinal. ... 80. fOOD CERTIFICATE ISSUED
33.�Pinal Eleciric - . � I � Notes: L�� 3-q�_ �i �t �%��
� . i -=Y�
- 34. Fiq91 Heating & Air Conditioning; . - �G��
35..Final Gas Pipe•Test ' ' '
,36. Hoad or CanoPY . � _
'37. Finel Factory Fireplace �
38. Final Plumbing �
39. Water $ervice=Final �
_40. Gas Service-Finat , , f I � �
�47. Solar pomestic-Final j �
i i
42. Backflow Preventer - � � , �
43. Batkflow Irrigation � �
44. �andscape Irriqation System ' . � , •�
�45. Sound Attenuation � " � ' ' -
46. Handicaq RequVations X P� R E-�
� 4.Lll.�.�flt6_�i?�`cP�'CtI0Y15
47. FINAL STRUCTURE & BUI'LOING �
48. FINAL PLANNING , � D ����-
49. Electric Re{ease to Ed'+son �� :;
50. Gas Reiease to Southem Cafifomia Gas Co � I ', �r . � _ . `
51. CERTIFICATE OP OCCUPANCY �
No. Date
OWNER DIISE & COLEGROVE v DATE 10-1L�-�j�
JOBADDRE33 32�] Ramona Place BUILDINGPERMITNO. (�[},9
GENERALCONTRACTOR Owner VALUE $ tj� n� On
�or 15 e�ocK TRACT p�i� Single Family Residenc�
GROUP I TVPE V ZONE R�1. FIRE DISTRICT �ir.i
INSPECTIONS I qAiE I SUBCONTRACTOR I DATE P IRMITS �NUUM61
Foundation Forms and G
Plu
Plu
Lathina /A19./f.rT '-
Fixtures
Wirina. Final
Vorm Ll0 G-H lM 12-68 �
Costa bqesa Building Department A LIpCATYON FO�Rp PERMIT
, �.. t 111 EAST 20th STREET 6S� _ D_U I L D �Ii_�\ G. ._. ._.�
. ' COSTA MESA, CALIFORNIA
FOR APPLICANT TO +Y'YLL IN � g'OR OFFICE USE ONLY ,
� , Receipt No. Permft No. �
Building 1 �
nddress 327 R�mp11fl_P18C.� � '' �7� u �O�'r�-" '
Costa Mesa, California Rece�ved'by, oate Aec' . oate Is'gued ;
' ` /D /�l=S� �
Nearesi � • -
c�osssc. Santa Ana A9enue awm�oy �� -
Address �
Owner Dike & Cole�rove . Costa Mesa, California �
Mail
Address 419 E. 17th St. Nearest
Tei. er y c�o55 sc. i ; i
City CiO8t8 �68fl No. A�l 1.riQ Zone �ii I Plans I TYPe v i Group 1i
Arohitect or Lic. �� �
Engineer No. Approved �. . � -
Address 441 E. lst St. , Long Beach by � Date ;
c t �� COdLRECTIONS
ContractorDike&Colegrove NoY c.
' nddress 419 E. 17th St. , COsta M88s
�
Deurgption � No 15 I BlockNOII6, Trect z31
�
i
(Attach Metes and Bounds) � � � � '
IVo, ef Bidgs. �—
Sizeof�otl3`S.05x50 �dowon�ot NOIIC
Useof I No.of I No.of I
Existing Bldg. � F,amilies Rooms
Setback Linefrom r � Rear Yard __
CenterofStreet 55 SideVard �J��
IDESCItIPTION OF' WORK --
New I= I Alteretion I I Adtlition I
Repair I I Moving I I Demolish I
t Building No.of
Size �Ql]ge �eg Rooms 8 Stories 1
Exterior Wall � Roof
- � � � :__ _ �____� µ�JS� " _.- °
�1� A
L1
�Q --TM�SA -- �
Covering�4tllC.C.O I Cavering Compo�__ � APPROVALS
Usc of New Foundation Location InspeMor
Building `��le �fi�� Res � Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
Lath.lnt.
P hereby acknowledge that I have read this Application
and� state that the above is correct and agree to complo Lath. Ext.
with all City Ordinances and State Laws regulating
� building construction.
Plaster, Int.
Signatureoi
Permittee Plaster, Ext.
Authorized Agt.
asonry Reinforced
Valuation � Permit Fee $ -
/,\ � Plan Check $ � Bond Beam
$ � � Total �( �
Fee $X FINAL
b..m� 90d (:.H 1M 12.Rd
i
5.�.•
$:�C6t
• • � �� .
j�d:��'PLOT�Pr:A,N ,
Show location and distances trom
property line and between buildings.