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Home My WebLink About342 RAMONA PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos[a-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 342 RAMONA PL Suite No Vicinity: REAR Parcel Number: 42532112 Applicant RICHARD JASON SCHEURER Address: 18685-A MAIN STREET • - STE 425 � � � Phone: 714-893-1644 ' HUNTINGTON BEACH, CA . Zip: " 92648� ' - Owner: Address: Contracror: Address: SHANA MAREK 342 RAMONA PL Phone: � COSTA MESA, CA Zip: 92627 SO CAL SCORPION BUILDERS' � : 18685-A MAIN STREET � -- STE 425 � Phone: 714-893-1644 HUNTINGTON BEACH, CA Zip: 92648 License: 786585 - SCOPE OF P MECHANICAL PERMIT FOR THE CONVERSION OF INTO A BONUS ROOM WITH NEW 1/2 BATHROOM: REF #B05-00010 n ISSUED BY: Status: ISSUED Applied: 06/10/2005 Issued: 06/10/2005 DETP,CHED�600 S.F. WORKSHOP WORK TO INCLUDE: 1 INST FAU UP TO 100 K BTU, t REFIG SYS UP TO 700 K BTU, 2 GAS PIPING AND 1 VENT FAN/SWGLE DUCT. , ,� � ISSUE FEE � � � � Inst FAU <100 k BTU , Inst FAU >100 k BTU Repair/Alt Cooling/Heat. '� Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >100 k BTU , - . Gas Piping � � Factory Fireplace . . - Hood w/Mech Exhaust � � � VAVBox ��-'�, Vent Fan / Sin91e Duct \,- :- Appliance . Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Quantity $23.50 $14.80 1 $0.00 0 $0.00 0 '$0.00��0'�� $14.80 1 $0.00 , 0 $6.15 1 $0.00 0 $0.00 , 0 $0.00 0 $725" 1 $0.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 0 FEE SUMMARY � , ,-� Repair / Alt Absorbtion Unit , ,� . Repair/AltRefrigerationUnit , � � Ventillation System , . Evaporative Cooler � , Commercial-Incinerator � - � Domestic Incinerator � � � . Compressors / Absorption Svstems . . Upto3hp/100kBTU - . 3 To�15 hp / 500 k BTU �, � 15To30hpd�1,000kBTU. , ' 30 To 50 hp / 7,750 k BTU - - � Over 50 hp / Over 1,750 BTU , � Boilers . �, , , Up to 3 hp � � 3To15hp " 15to30hp 30 to 50 hp Over 50 hp Quantity $0.00 0 80.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � � � � � � � 1 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, an�� required Inspeetions and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this perP]iE m' FOR INSPECTIONS CALL: (714) 7545626 zaasre (a�oo� WORKERS'COMPENSAnON DECLARAnON: � I hereby atlirtn under penalry of perjury one of the lollowing tleclarations: ❑ I have antl wlll mainteln a cenificete oi consent to sell-Insure tor workers' wmpensetlan, es proWdeA for by seMion 3700 of t�e La6or Code, for the peAormanca ot the _wprk lW�hlch Ihis oBtmit is issued. , �-.� section 37W d^Ihe Lebor Cotle, for Ne perfortnence ol the work for which this pertnit is issued. (lli�cfion need not be coln�00 il M erm/t ir alued et ane huntlretl dollers ($f 00) oi less.) �`"�� `y' � I ce ify that In the pertormance e work t w�ich tNs pertnit is Issued, I shall not employ eny person m an�y mann��er so aSto°bebome subject to the workers' �'e,�, crompensetlon laws oi Califoml , d epree 1 If I shoultl become sub�ect to the workere' compensation provisions ot Sectloppp 3700 0l the Lebor Code, I shall lonhwlth comply with these provisions. � /� ^ �� Applltanf Sfgnatu� Date: � WAii INO'�SECUREWORI(E 'GYkAPEN5ATI0N RAG WFULqNDSHFLLSUBJECfANEMPLO�V �F��TD7ENAlTIESANDGVILFlNESUPTOONEHUNORED TKKISFNDOdl�RE(5100,000),INADDI TOTNECOSTOF�IPENSATION,OAMAGESASPROVIDEDFORINSECTI0�37060FTHEtABONCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DEC ON: I hereby eNirm Ihet I ay m_licensed un r vis � of a�.�jmmmendng with Sectlon 7000) of Divislon 3 aL1�aBusiness and Pmf� Code, and my license Is in full CONSTRUCTION LENDING AGENC�i: ❑ I hereby ettirtn �hat Ihere is e consiruction lending egency for tha pertortnence oi the work for which Ihis pertni� is issuetl. (Sec. 3097, Civil CoOe). Lander's Neme: Lendefs Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: � I hereby eMirtn that under penalry ot perjury �het 1 em E%EMP7 FROM TME CONTFiACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires e pertnit lo canstruct, etler, improve, tlemollsh, or repeir eny struclure, D�or lo its Issuance, elso requires the applicant for such pertnit to lila e signed stetement Ihet he or she is Ilcensed pursuam ro ihe pravisions oi the Conirectors LJcense Lew (Chapter e(commenUng with Sectlon 7000) oi Divlslon 3 of the Business end Professions Code) or that he or she is enempt therefrom end the besis tor the elleged exemptlon. My vidatlon oi Section 7W7.5 by eny epplicant for e pertnit subjeas the applicant to e cMl penalty oi nat mare than Me hundreC dollars (5500).): ❑ I, es owner ot ihe property, or my employees wit� weges es I�elr sole wmpensatlon, WILL DO THE WORK, and Ihe siructure Is not Intentletl or oflered for sale (Sec. 7044, Business and Protessions Code: The Contrectors License Law does not apply to an owner oi property w�o bullds or Impmves thereon, and who tloes such work himsell or hereelf or through his or her awn employees, provitletl �hat such Improvements ere not Intentletl or oHeretl tor sale. If, however, ihe building or Improvement Is sold within one year of completion, ihe ownervbuilder will heve the burden ot provinp ihet he or she did not builtl or improve for purpose at sale.). � ❑ I, es owner ol the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha pro�ect (Sec. 7044, Business and Professions Code: 7Te contrectore License Lew tloes no� epply to en owner ol pmperty who bullds or Improves thereon, and who contrects lar such pro�ect wlth a contractor(s) license pursuent to the Contractors License Lews.). ❑ I em exempt undar sac. Business antl Professions Code tor this reason: Slgnature: Date: Owner ID verlfleA hy Arivefs license. ❑ Yes � No DAvefs Licensa No. Expires: VedTicatlon of Ownership by (type of document, i.e. - properry taa bill or dee�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATON: ❑ I hereby certlty thet no exwvetion five (5) or more feet In depih into which e persan is required to tlescend, will be mede in connectlon with wark authorized by thls permit, entl ihat no Duilding sWcture, scafloltling, falsework, or tlemolition or tlismantling thereof, will he more than thirty-six (36) feet high. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Administrative Coda). ❑ As owner-bulltler, I will not emDloy enyone to tlo work which would require e permit from ihe Division of Indusiriel Sefery, es notetl ebove, unless such person hes e pertnit to do such work from the division. Signeture: Date: Division of Indusinal Satery Permit Number. Will the epDlicant or present or future bullding occupant need to lile and certify e Business Plan tor emergenry response to release ar threatenetl release oi e hazarOous meterlel7 ❑ Yes ❑ No (Sectlon 25505 of the Califomia Healih and Sefery Cotle requires, wii� some e:ceptions, that a Business Plan be tlletl wilh the Coste Mesa Fire Department by every business which hes at any one Ume tluring a reported year a quantiry ot hazardaus materials equal m or greater ihen a wei8ht oi 500 pountls, or a volume ot 55 gallons, oaes or wln Ine apprcant or present or mwre ounamg occupam neea to tne a registreuon rortn ror acutey nezamous metenaist LI res LI rvo (Sectlon 25533 of the Califomle Heallh and Sefery Code, with some exceptlons, reQulres regisiretion wi[h ihe Gasla Mesa Flre Depanment by each business whlc� et eny one time hes on hand e quentlry of ecutely �azertlous meterials equel to or greater than e welght of 500 pounds, or e volume ol 55 gellons, or 200 cuhlc feet of compressetl ges at stendard tempereture end pressure). � .............................................................................................................................................................................................................................................................................................................................................................................. . Doas or will the flppliwnt or Dresent or tuiure building occupant need to prepare an RMPP (Risk Management end Prevention Progrem tor acutely hazeNous metenals)1 (Sectlon 25534 of the Califomle Health and Sefety Code provides that the Costa Mesa Fire Deparlment may require tha preparetioq certificetion end filing with the Fire Depertment ol en RMPP by businesses w�lch ere requlretl to ragister acutety hezerdous materials with ihe Fire Depanment. ........._.._.....__ ................__...._...._...__................................................"__'.......................'_'...................._......_......_........................................ .............._._.__ ..............—_........_._.._._............._ 4 II en RMPP is presently required, has Section 25534 ot the Califomia Heelt� antl Safery Code been fulty complletl with7 ❑ Ves ❑ No ............................_................................................................................................._....................................................................._........................................................................................................_......................._............................................. 5 Does or will t�e epplicant or present or future bulltling accupant require tor the worlc which Is Ihe sublect oi Ihis e plication epe rtnit for such wnstructlon or modificatlon from the South Coast Air �ualiry Manepemenl Disirict or trom any aNer elr polWtlan contrd Cistrict or agenc�? � Ves u No (Sectlon 650502 of �he Califomia Govemment Cotle requires that �he requestetl inlortnation be tumished on epplicatlons for nan-resitlemial Duilding pertnits). .................._................................................................................................................................................................................................................................................................... ...................... ................................................................. 8 W ill eny part oi Ihe faciliry to be constructed under this permit be wlthin 1000 feet Irom the outer bountlaries ol e school? ❑ Yes ❑ No (tl yes', tha fecility must meet the requiremenl ot Sections 25534 and 42303 ot the Califomie Heelt� antl Satery Catle). ......................................................................................................................................._................................................................."'........................_._........................................._.............._.................._................._....................._.."_ 7 If e pertnit irom Ihe South Coast Air �ueliry Menegemanl District or olhar eir pollution conirol dls�nc� ot egency Is requlretl for Ihe work which is Ihe subJec� of Ihls ePplicatlon, heVe ell OI IhB dl5tlo5ure5 pfB5Cf1be0 by Celllornla Health end Sefery Catla Saction 42303 been made7 ❑ Ves ❑ No CERTIFICATE OF COMPLIANCE: I certity iha� untler penalry oi perjury the infortnetion given ebove is correct. I agree to comply wilh all state laws end ciry ordlnances reqerding Hazertlous Metanals end Emisslons. Signeture: Date: CERTIFlCATE OF COMPLUWC IWD OR TON OF EMAY: I cenity under penalry of perjury ihat I have read this flpplication and state Ihat Ne Information given Is correct. I egree to compty wit II stete I s an ciry ortlinances releting to Duiltling conslructlan, and euthorize representatives of the Ciry of Casta Mesa to enter upon Ihe eDovadescdbed properry t spection rpos . I agree not ro occupy or ellow occupenq oi eny building authodzetl by this permit until final inspection. COUE �. INSPECTIONTYPE QAiE IIRIDSLS 161fi Fixed System Final Fire Preven�ion � 7266 200 201 202 203 204 Pad Spe Final Finel Re-Roof Finel BIxWRetelning Well Finel Factory Fire Place Finel Sipn Flnel Demolition COOEt INSVECTIONTYPE q—��"',Q,��,.,'� 206 Finel Mechanical � w�fA] � 208 210 212 zzo 222 250 Final Plumbing Final Electrical Finel Fire Prevenilon Final Planning Approval Final Site Finel Building/Occupency (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 342 RAMONA PL Suite No Vicinity: Parcel Nunmber: 42532112 Applicant: Address: PLUMBING PERMIT RICHARD JASON SCHEURER 18685-A MAIN STREET STE 425 HUNTINGTON BEACH, CA Phone: 714-893-1644 Zip: 92648 Owner: SHANA MAREK Address 342 RAMONA PL Phone: , , �� COSTA MESA, CA 2ip: �92627 Contractor. SO CAL SCORPION BUILDERS Address: 18686A MAIN STREET STE 425 HUNTINGTON BEACH, CA Phone: 714-893-1644 Zip: 92648 License: 786585 ISSUED BY: Status: ISSUED Applied: O6/10/2005 Issued: O6/10/2005 � r� SCOPE OF PERMIT PLUMBING PERMIT FOR THE CONVERSION OF AN EXISTING, DETACHED 600 S.F. WORKSHOP INTO A BONUS ROOM WITH NEW 1l2 BATHROOM. REF #BOS-00010 WORK TO INCLUDE: 1 GAS (104 OUTLETS) 1 P-TRAP, 1 SEWER CONNECT, 1 WASH BASIN, 1 WATER CLOSET (TOILET) AND 1 WATER HEATERNENT. FEE SUMMARY AMT �TY � AMT .�TY AMT QTY ISSUE FEE $23.50 Laundry Tub I Washer $0.00 - 0 Sump Pump $0.00 0 Backtlow irtigatlon 30.00 0. Landscape irrigation $0.00 0 Swimming Pool $0.00 0 BackBow Preventer 50.00 0 P-T2p $9.80 1 Trap Primer $0.00 0 Bathtub .50.00 0 � Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System 50.00 0 Process Piping (per 10 ft) 50.00 0 Vacuum Brkr BkFlow(1-4) $0.00 0 Connect (Ice,Soda,etc) 50.00 0 Receptors 30.00 0 Vacuum Brkr BkBow(5+) 50.00 0 Dental Units �. ' 30.00 , 0 Septic Tank $0.00 0 � Wash Basin $9.80 1 Dishwasher ��$0.00 0 , � Sewer Cap for Demo $0.00 0 Wash Basin Set 50.00 0 Drein, Floor 50.00 �� 0 . Sewer Connect � $24.65 1 Waste and Vent System 50.00 0 Drain, Rainwater 50.00 -�0 Sewer Pnvate Line $0.00 0 " Water qoset (Toileq $9.80 1 Drain, Roof $0.00 0� Showe�' $0.00 0 Water Heater/ vent $72.30 1 Drinking FounWin $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) 50.00 0 Expansion Tank 50.00 0 Sink, commercial . 50.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service 50.00 0 Gas (1-4 outlets) 56.15 � 1 Sink, kitchen $0.00 0 Water Sokener 50.00 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calilomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permlt shall automatically expire and become void if work Is not commenced within 180 days, or il work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for ��e work authorized under this permit to be considered legal, such work mus� comply with all epplicable codes, atW all required Inapectlona and Iinal approval must be obtained. Failure to obtain InsDectlans and final approval will result in lha expiration�pemilt. FOR INSPECTIONS CALL: (714) 7545626 zanaee (eroo) WORKERS'COMPENSAnON DECLAFiATON: I hereby atfrtn under penalry oi periury one of Ihe fdlowing dedarations: ❑ I have anC wlll maintain e ceNficate of wnsent to selt-Insure tor warkers' campensatlon, es praWded for by section 3700 ot the Lebor CaAe, lor t�e peAortnence oi Ihe �w,urk r which Ihis permit i9 issued. u��'�'I`� ��- end will maintain workers' oompensatlon insurence, es requireA by sectlon 3700 of Ihe Lebor Catle, for the pertormance of Ihe vrork tw wMch Ihis pertnit is issueA. ' My workers' compensatlon Inwrance certler entl poliq numGer ere: Garfl`er.. -� �=-.:3.. Polic MumCerL s secfion neetl nof 6e canpleted I e perm/t is elued et one hwMretl tlW/ars ($700) or less.) - � I cenity that In the pertartne ol tha work �i r w�ich Ihis Dertnit is issued, I shall nm emplq eny person in any manner so as lo become suD�ect ro the workers' �Compen5a�lon laws of CeII , end epre lhet II I shoul0 become sub�ec� to ihe workers' compenseilon proWsions oi Sectlo 3700 0� Ne Lebor Code, I shell torNwlN _ �� hasaP� s �_l b� o�-- �: �, nt Signetuie:, pAte:--�� WARNINO: FAILURE TO SECURE W COMPENS�TION COVEMGE IS WFUl. AND SIWL SUBIEGf AN WER�NAL-OEWLLTIE$ AND GNL FlNES UP TOONE HUNDRED T/qUSMID OOLLARE (f100,000), IN ADDff10N TO THE O�ST OF COMPENSATION, DAMAOES P3 PRWIDED FOfi IN SECTION 3%080F THE ll�BOR CODE, INfEREST, AND �TTOfiNEYS FEES. LICENSED CONTRACTORS DECL AT10N: I hereby ettl�lhet i e� Iicensed r provlslons of�epter BScomme�dng wit� Sectlon 7000) ol DMslon �t.Ne.Buslness antl Pryt�ssions Code, end my Iicense Is in lull CONSTRUCTION LENDINO AG�,NCY: ❑ I hereby eHirm that there is e conswdian IenOinp egency tor Ihe performance ot t�e work for which this pertnit is Issued. (Sec. 3097, Civil CoGe). Lendefs Neme: Lendefs Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I he�eby eHlrm thet under penelry at perjury thet I em EXEMPT FROM TNE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Profes5ions Cotle: Any ciry or counry which redulres a permtl to construct, elter, Improva, demolish, or repeir eny strucWre, prior to its Issuence, elso requlres ihe aOPlicaN tor such pertnit ta flle e slgned etetement ihet he or ahe is Ilcensed Dursuant to tha D�oNsions of the Contractors Licensa Lew (Chapter 9(commenGng wlth Sectlan 7000) ol DlNslon 3 ot iha Business entl Professions Cade) or that he or she is exempt therelrom entl tha �esis for the elleged exemption. Any vloletlon ol Section 7037.5 by eny epPlicant far e permit su6jects ihe epplicent to e Gvll penalry af not more then live hundred dollars ($500).): ❑ I, es ownar of ihe properry, or my emplqrees with wages es t�elr sole compensation, WILL DO THE WORK, end ihe structure is nat intentletl or otteratl lor sele (Sec. 7044, Business en0 Professions Cotle: The Contrectors License Law does no� apply to en owner ot proDerty who builtls or imprrnes Ihereon, end who does such work himsetl or herself or Ihrough his or her own employees, providatl Ihat such improvements are not intentletl or oNeretl lor sele. If, however, the bullding or Improvemem is soltl wit�in ane year of completion, Ihe owner-builder will have the burdan ol proving that he or she did not build ar improve for purpose of sele.). � ❑ I, es awner of the property, am E%CLUSIVELY CONTpACT1NG WIiH LICENSED CONTRACTORS �o ConsWd �he pryetl (SeC. 7044, Business end Prolessians Cotle: The contrecrore License Lew tlaes not epply to en awner al pmperry who bulltls or Improves ihereon, end who contrects tor such pro�ect with e contrectoqs) license pureuam to the Contrectors License Lews.), ❑ I em exempt under 5ec. Busine55 an0 Profe55ions Code for this reason: SignaWre: Dete: Owner ID verified by drivers Ilcense. ❑ Ves ❑ No Dnvefs License No. Expires: Verlficetion of Ownership by (type of tlaumen�, i.e. - property tex 6111 or deed): DIVISION OF INDUSTAIAL SAFETV PERMR CERTFlCATON: ❑ I hereby ceNfy Nat no ezcavatlon INe (5) or more tee� in depih imo which e person is required to descend, will be matle in conneciion with work authodzetl by Uis permit, antl �het no builCing sifuciure, sceffoldinp, falsewark, or demolition or dismantling ihereot, will be more than thirry-slx (38) teel hlgh. (Chep. 3.2, Grp 2, An 2, Sec. 341, Title 8, Calilamla AdminlslreWe Code). � As owner-Cuilder, I will not employ enyone to tlo work w�ich woultl require e permit trom the Division at Induslrial Satery, es noted ebove, unless such person hes e pertnit lo tlo wch work irom �ha dMsion. Signature: Date: Division ot Industrial Salery Permit Number: CEH7IFlCATE OF COMPLIANCE AND AUTH QATION OF EMAY: I certiy under penelry of perjury Ihet I heve read Ihia epplicatlon fln0 state t�at Ihe infortnetfon gNen b wnect. I agree to compy/�'�Ih ell s�ete laws rM dry ortlinances ralatlnp to buil0ing construction, end authodze representetives of Ihe Clry of Coste Mesa to enter upon the ebove-described Properly/(or inspectlwi pu es. I agree not ta acwpy w allov.• occupenq ot any Duilding euthorized by this permit until finel inspecUon. COpE t. INSVEC� 1618 Fixed System Final Fire Preventbn 1268 Pool Spe Finel 200 Finel RaRoot 201 FIneI BIxWRetelning Weli 202 Final Fadory Flre Plece 203 Finel Slgn 204 Finel Demolltion Q� �$ �� INSPECTIONTYVE 208 Finel Mechanicel 208 Finel Plumbing 210 Final Electdcal 212 Final Flre Preventlon 220 Final Plenning Approvel 222 Final Site 250 Flnel Bulldinp/Occupenry �'-u.ie- OY- oeg u�s (7i4) 754-5273 • Fex (714) �5a-4656 • www.ci.costa-mesa.ca.us 77 FAIH DHIVt, GO51 A MCJA, GA a[ti[o ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber Applicant: Address: 342 RAMONA PL REAR 42532112 RICHARD JASON SCHEURER '16685-A MAIN STREET STE 425 HUNTINGTON BEACH, CA Phone: 714-893-1644 Zip 92648 Owner SHANA MAREK Address 342 RAMONA PL - Phone: COSTA MESA, CA Zip: 92627 Contractor: SO CAL SCORPION BUILDERS Address: 78685-A MAIN STREET - STE 425 HUNTINGTON BEACH, CA Phone: 7�4-893-1644 Zip: 92648 LicenSe: 786585 Status: ISSUED Applied: 06/10/2005 Issued: 06/10/2005 ISSUED BY: r "" __ SCOPE OF PERMIT. ELECTRICAL PERMIT FOR THE CONVERSTION OF EXISTING, DETACHED 600 S.F. WORKSHOP INTO A BONUS ROOM WITH NEW 1/2 BATHROOM. _. � REF #BOS-00010 - ' . , WORK TO INCLUDE: 8 LIGHTING FIXTS, 20 RECEPT OUTLETS, 10 SWITHCES, UPGRADE AND RELOCATE 1 SERVICE TO 200A, 2 COMMUNICATION OROPS AND 1 SUB PANEL TO 200A. ISSUE FEE , 523.50 Temp service test . � $0.00 Res. a/c package $0.00 New Res (1-2 units) „ $0.00� New Res (3+units)� $0.00 � Pool / Spa - , ; $0.00 - LighUng Fixts ` � _ $8.80 Recept Outlets � $22.00 Switches \ �� . $11�00 ' Non Res Appl ,, � ' $0.00 � Res Appl � $0.00 Service to 200a $30.50� Service to 1000a $0.00. Service over 1000a $0.00 Motors to 1 hp $0.00 Motors to 10hp $0.00 Motors to 50hp $0.00 Motors to 100hp $0.00 Quantity •'0 '0 0 � 8 20 10 0 0 1 0 0 0 0 0 0 FEE SUMMARY - � Temp Dist System / Lighting Busway /100 ft � Standing Section ��.,: ' Misc Electrical Equipment � � � , Transformers up to 1 kva/kw ................up to 10 kva/kw � .................up to 50 kva/kw . ......:..........up to 100 kva/kw � " .. ....... .......over 100 kva/kw � Low Voltage Equipment Low Volt Wiring System / Ckt � �Misa Conduit . ' , Misc. Conductor - � Circus ( gen or ride) - Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other Electrical Fee Quantity 50.00 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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable required Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot FOR INSPECTIONS CALL: (714) 7545626 � 2666d6 (6/00) WORKERS' COMPENSATION DECLARATION; I hereby attirtn under penelry of perjury one of the following decleretions: ❑ I have and will meintain a cenificate oi consent b self-Insure tor workers' compensation, es provided for by section 3700 of the Lebor Code, for the pertortnence of the ork� r which this permit Is Issued. � f��' ntl will meintait�,workers' compen��on insurance as requiretl by section 3700 ot the Labor Code, for tha pertortnance of ihe woAc for which this pertni( is issued. y wo„ ers' o pplisano�i 1 urance carner :pehc n er are: .. �Ceuler= � olic Numbe�:"">` - (Th/s�tion neetl not be comp/eted i� e pe i is valued at one hundretl dollars ($100) or less.) - �"' �• _ rlify ihat in the pertortnan f the tor which ihis pertnit is iuued, I shall not employ any person in eny manner so as to becoma subject to the workers' �i ensetlon lews of Calit nl , end ee thet tl I should become sub�ect to Ihe workers' compensetion provisions ot Section 3700 ot the Labor Code, I shell farthwith comp with Ihese provisi s. D_�� ApplicantSignatur� �� Dete' ' � J WAA I G: FAI�URE TO SECURE WO ERS' CWAPENSATION COVERAOE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOY2R�ip ,WMI LLyB�NALTIES AND CIVIL FI�S UP TO IXJE HUNDRED iHOUSAND OOLLARE (E100,000), IN A DITION TO THE COSi OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3](50F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEC �ATIO ; I hereby attirm ih`a,Ll.em�liceqsad n r prov io is ot Chapter 9 commencin with Section 7000) ot �ivision 3 of Ihe Business and Prol is Code, and my license Is in full j fOrceantleHecl:,L�crqy �GIasS�# � I � Cont�S Slynature!-� - �[a�� e�tei'4,"'`�,.� -> � - CONSTAUCTION LENDING A ENCY: ❑ I hereby aHirm that ihere is a constructian lending agency tor Ihe peAormanca of Ihe work for which Ihis pertnil is issuea. (Sec. 3097, Civil Code). Lentler'S Name: Lender's Adtlress: Signetura: Date: OWNER-BUILDER DECLARATIONS: I hereby aRirm thet untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. �031.5, Business end Professions Cotle: Any city or counry which repuires a permit to constmct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires ihe applican� for such pertnit to fila e signed statement ihat he or she ISIlcensetl pursuant ro the prodslons ot the Contradors License Lew (Chepter 9(commencing wiih Sectlon 7000) W Divlslon 3 of the Business ana Professions Code) or lhat he or she is e:empt theretrom end the basis for the alleged exemption. Any violation of Sectlon 7031.5 by any eppliwnt for e pertnit subjects the applicant to e civil penalry of not more ihan five hundretl dollars ($500).): ❑ I, es owner of ihe properry, or my employees with wages as their sole compensation, WILL DO TME WORK, and ihe sWcture Is �ot i�tended or otteretl for sele (Sec. 7044, Business and ProFessions Code: 7he Contractore License Law does not appty to en owner of properry who 6uilds or improves thereon, and who tloes such work himsetl or herseN or through his or her awn employees, provided ihat such impmvemems are not Intended or oHered br sele. If, hawevar, the builtling or improvement is soltl within one year of completion, the owner-builder will have ihe burden oi proving that he or she tlid not build or improve for purpose oF sele.). ' ❑ I, as owner of the property, em EXCLU$IVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projad (Sac. 7044, Business and Professions Code: The conirectore l.icense Lew tloes not epp1Y to an owner ol properry who builds or Improve5 thereon, end who tontracis for Such pro�ect wilh e coNraclor(s) license pursuent to ihe Contractors License Lews.). ❑ I am exempt under sec. Business end Professions Cotle for this reason: Signature: Dete: Owner ID veriliad by dnvers license. ❑ Ves ❑ No Dnvefs Licensa No. Expires: Verificetion ol Ownership by (type of tlocument, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERM17 CERTIFICATION: ❑ I hereby certify ihet no excavation five ($) or more feet in depth into which e person Is required to descend, will 6e made in connection with work authorized by Ihis permit, antl that no building structura, scaflolding, falsework, or tlemolition or tlismantling ihereof, will be more than thirty-sia (36) faet high. (Chap. 32, Grp 2, Ar12, Sac. 341, Ttle B, Calitornla Administrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division ol Indusirial Sefery, es noted ebove, unless such person hes e pertnit ro do such work irom t�e tlivisian. Signafure: Division of Industnal Safery Pertnit Number. 2 3 Oa�e: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WIII tha epplicant or present or future builtling occupant need to file end certify e Business Plen for emergency response to releese or ihreetenetl release oi a hazardous metenel7 ❑ Yes ❑ No (Section 25505 of the Calitomia Health �nd Safery Cotle requires, with some ezceptions, that a Business Plan be filed with ihe Costa Mesa Fire Deparlment by every business which hes et any ona time during a reportad year a quantiry oi hazardous matenels equal to o� qrealer Ihan a weight of 500 pounds, or a volume o155 gallons, or 200 cu6ic teet of wmpressed gas at standard temperature antl pressure). ........................................................................._.............................................................................................................................._.........................................._._.....__...................... ....................... ........................_..................__.. Does or will the applicent or present or tuture building occupant need to file a registration fortn for ecutely hazardous metenals7 ❑ Yes ❑ No (Section 25533 of the Califomia Heal�h and Safery Code, with some ezceptions, requires registration with �he Costa Mese Fira Depertmant by each business whlch et eny one tima has on hand e quentiry oi ec�tely harardous matenals equal to or greatar then e weigM of 500 pounds, or a volume oi 55 gallons, or 200 cubic feet of compressed gas at standard tempereture end pressure). ......................................................................................................................................................................................................................................................................................................... �................................................................... Does or will the epplicant or present or future builtling occupent need to prepare an RMPP (Risk Management entl Prevention Program fo� ecutely hazardous matenals)1 ❑ Yes ❑ No Section 25534 of the California Health epertment of an RMPP by businessee ................................................................................. en RMPP is presanlly required, has f 25534 of the that the Costa Mesa Fire Deperimem may require ihe preparation, certification end Filing wlih ihe Fire ler ecutely hazerdous materials with lhe Fire Department. Does or will the applicant or present or fUture builtling occupaN require for the work which is the subject of this a�pplication a gertnit tor such construction or modificatlon tram the Sou�h Coest Air Ouellry Managemenl DlsMct or iram eny other air polWtion comrol disinct or egency� LJ Ves �J No (Section 658502 ot Ihe Calitornia Government Code repuires that �he requested Informetion he tumished on applications for non-resitlentiel building permits). Will any part oi ihe faciliry to be constructed untler this pertnll be within 1000 feet from the outar boundanes of e school7 ❑ Ves ❑ No �� (If'yes', Ihe facility must meet the requirement oi Sections 25534 end 42303 oi ihe Calitomia Health and Safey Cotle). .......................................................................... ................................................................................................................................................................................................................................................................................................... If e permit from the South Coest Air O�aliry Menegement Disinct or other eir polWtion conlrol district or egency is required for the woB w�ic� Is [he sub�ect of Ihls epplication, have ell oi ihe disclosures prescribed �y CalHornla Heelth and Sefety Code Section 42303 baen metle? ❑ Ves ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. (If yes", anach certificate ot comD�iance hom ihe eppropriate eir pollution conirol oHicer). CERTIFICATE OF COMPLIANCE: I ceqiry that under penalry oi perjury the information given above is corred. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials end E�sions. Signature: Oate: CERTIFICA7E OF COMP�CE AND � conect. I agree lo compty Ih all state above-tlescnbed property mspection CODE �. INSPECTIONTYVE � 1616 Fixetl System Final Pire Prevention 1268 Paol Spe Final 200 Finel Ra-Root 201 Flnal BIacWRetaining Well 202 Finel Fectary Fire Place 203 Flnel Slpn 204 Flnel Demolltlon ORIZATION OF ENTFiV: I certify under penalry ot perjury �hat I have read ihis application end sta�e Ihat ihe informatlon given is end ciry ortlinances relating to building construciion, end euthodze representatives ot the Ciry of Costa Mesa to enter upon the ises. I agree not to occupy or ellow occupancy ot eny builtling authonzed by this pertnit until final inspection. Owner(s) P1�17 � �j INSPECTIONTYPE 206 Final Mechanical 20B Final Plumhing 210 Final Eledrical 212 220 222 250 Final Fire Prevention Final Planning Approvel Finel Site Flnel Bulidinp/Occupency / ' V� e:.�^ —_? �� PeIE I�ew �� a (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 342 RAMONA PL Suite: Vicinity: REAR OF PROPERTY Primary Occ: R3 Dwellingsl Cong Res <10 Type of ConsWclion: V-N Parcel Number: 42532112 Zoning: Applicant RICHARD JASON SCHEURER Address: 1868SA MAIN STREET STE 425 HUTINGTON BEACH, CA Owner: SHANA MAREK Address 342 RAMONA PL COS7A MESA, CA � contractor. SO CAL SCORPION BUILDERS Address: 18685-A MAIN STREET STE 425 HUNTINGTON BEACH, CA Zip: 92648 _ Arch : Addres5: Phone: Phone: 714-893-1644 Zip: 92648, � Phone: Zip: 92627 Phone: 714-893-1644 License: � 786585 Eng: Address: Status: ISSUED Applied: 07/OS/2005 Issued: O6/10/2005 ISSUED BY: "' "�I/ Phone: Zip: - License: � � License: 11792 SCOPE OF PERMIT CONVERT EXISTING, DETACHED 600 S.F. WORKSHOP INTO A BONUS ROOM�WITH NEW 'I/2 BATHROOM. Plan Check: Permit: SMIp Res: SMIP Com: Other. Inspection: Total: $385.94 $593.75 $4.50 $0.00 $0.00 $0.00 $984.19 FEE SUMMARY PLANNING & ZONING SETBACKS � � � � i � � � � MAIN STRUCTURE � Front � 0- 0 � Rear 0- 0� � Left 0- 0 � . ACCESSORY Front . 0- 0 Rear 0- 0 Left 0- 0 PARKING Existin : 0 Requfred: 0 Proposed: 0 NOTES: DIAZ R 03/O2/2005 NEED LAND USE RESTRICTION Calc Valuation: Claim Valuation Right 0- 0 " Right 0- 0 $45,000.00 $45,000.00 NOTICE: The work authonzed by this parmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , �y EXPIRATION; This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or a nd" oned for a period of 7 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applic�bJ� codes, end all requlred Inspectlons end finel approvel must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiratiorTof this permit. FOR INSPEC710NS CALL: (714) 754-5626 zaaa+e leroo) WORKERS'COMPENSAnON DECLARAnON: I hereby affirtn under penalry of perjury one of the tollowing deGarations: ❑ I heve antl will mflintein e certificate ol consem ro setl-Insura for workers' compensation, fls pravidetl for by section 3700 of the Lebor Catle, tor the pertarmflnce of Ihe wo[k.fo�which Ihis permit is 155uetl. 0 I' ve�nd will m � ers' compensati as requiretl by sect�w�,aZ00 of t�e Lebor Cade, for Ne performance oi Ne work lor w�ich ihis pertnit Is Issuetl. �.... .,.__. __c��3'a�i:�._____ _ � ��5-`__ ___. ihet in ihe peAortnen of a wark isation laws oi Califo a, nd egrea with ihese orovision . "Q` •� ane nundred tlallers (S100J oNeu.) — +,r-�" """ " ' ---- 5 pertnit is Issued, I shall not employ any person in any manner sa es to become subject to the warkera' ilA become su�Ject to the woiicers' compensatlon provisions o1 Sectlo 3700 of ihe Lebor Cotle, 1 shall lohhwlth o�!�a�.r_-�-�v-.. �—Cd—�J iU� AND SHALL SUBJEGT AN EMPLOV�FBSOC.R ENALT7E5 ANO GVIL FlNES UP TOONE HUNURED � TION, DAMAGES AS PfiOVIOED WR IN SEGTON 3%O60F THE lABOli COUE, IMERE5T, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARAT N: I hereby eHirm ihat I em licensed under p v ha te ymmeriEing with Section 7000) ol DlWslon 3 khe�Business antl Pro ns Coae, and my Ilcense Is In full torce.and�,eNe'cP:l.ic„Y> � +,T� ' � ��_ . .les"s:N'. ..� �trec��Detur'""��e�,.-_� l tDai� � C CONSTRUCTION LENDING AGENCY: ❑ I �ereby eNrtn t�ai there is e construction lentling aqency lor the peAartnance oi Ihe work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentlers Atltlress: Signelure: Date: OWNER-BUILDER DECLARATIONS: 1 hereby attirm Ihat under penalry of perjury that I em E%EMPT FROM TME CONTRACTORS LICENSE LAW tor ihe following reasan (Sec. 7031.5, Buslness entl Professians Code: Any ciry or county which requires a permit to construd, alter, Improve, tlemolish, or repair any strucNre, prior to its issuance, also requlres the applicant for such permit to flle e signed stetement thet he or she Is Ilcensed pureuant to the pmNslons ot Ihe Can[reMors llcense Lew (Chepter 9(wmmenGng with Sectlan 7000) of Divislon 3 of the Busineu end Professions Code) or thet he ar s�e is exempt Iheretrom and ihe basls for Ihe elleged axemption. My violatlon oi Sectlon 7031.5 by eny applicant tor e pertnit sub�ects the epplicent to a civil penelry ol not more t�an Ove hundred dollere ($500).): ❑ I, as owner oi the property, or my employees with weges es Ihelr sole compensation, WILL DO THE WORK, and the structure Is not intendetl or oNered for sale (Sac. 7044, Business and Professlons Code: The Contraclore License Lew does not apply to en owner ot properry who builtls or Improves thereon, end who daes such work himself or herself or t�rough hIs or �er own employees, providetl that such Imprwemenis are not Intended or offered �or sale. If, howaver, Ihe building or improvement is soltl within one year oi completion, ihe owner-builder will heve t�e burden ot proving that �e or she did not build or imDrove lor purpose of sale.). ' ❑ I, as owner ot the proDerty, am EXCLUSIVELV CONTRACTNG WI7H UCENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions Code: Tha comrectors License Lew does not epplY to an owner ol property who builds or improvas thereon, antl who contracts for such project with a contractor(s) license pursuam to the Contrectors License Laws.). ❑ I em exempt under sec. Business antl Pmfessions Coda tor t�is reeson: Signeture: Date: Owner ID veniied by dnvers licensa. ❑ Yes ❑ No D�ivels License No. Expires: Verlficatlon af Ownership by (rype ol tlacument, i.e. - properry laac 0111 or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFlCATON: ❑ I hereby certily �hat no excavatlon fNe (5) or more teet in depth into w�ich a person is required to descentl, will be made in connecllon with work authorizetl by this permit, and that no 6uilding sirucNre, scattoltling, falsework, or demolition or Uisman0ing thereoi, will 6a more than �hirry-sia (36) teet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Tule B, Celitomia AdmlNsiretive Code). ❑ As owner-Duiltlar, I wlll not employ anyone to do work whlch would require e permit irom I�e Dlvlsion of Industnal Sete�y, as notetl ebova, unless such person hes e permit to do such work irom the division. Signature: Date: Division ot Indusirial Safery Pertnit Number: Will the epplicant or present or future bulltling occupant need to lile entl certify a eusiness Plen for emergency response to releflse or threatened release of a �azerdous meterlel7 ❑ Yes ❑ No (Sectlon 25505 oi ihe Califomia Health and Sefety Cotle requires, wilh some exceptions, that a Business Plan be filetl with Ihe Coste Mesa Fire Depertment �y every business which has et eny ona time tluring a reporteA year e quentity ot hazerdous materlals equal to or greater than e weight of 500 pounds, or e volume o155 gallons, or 200 cubic leet of compressed ges et standard temDerature end pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will the applicent or present ar future building occupent need to tile e registra�ion fortn tor ecutely hezardous meteriels9 ❑ Yes ❑ No (Section 25533 of the Celifomla Health end Satery Gode, with some axceptlons, requires registratlon with t�e CosW Mesa Fire Depanment �y each business which at eny one tlme �es on hantl e quentiry of ecutely hezerdous meterlals equel to or greater ihen a welght of 500 pound5, or a voluma of 55 gallons, or 200 cu61c feet of compreued gas at stendertl tempereture end Dressure). 3 Does ar will Ihe epplicent or present or futura Duilding occupant neetl to prepare an RMPP (Risk Manegement antl Preve ❑ Ves ❑ No (Section 25534 of the Califomia Health end Safery Code provides that the Cosla Mesa Fire Department may require the Depertment of en RMPP by businesses which ere requireA 10 register ecutely hazardous materials with the Fire Departme _ .................._..__....................................................— ...._...................__._.._................_—_............._.__.......'_'.._.......................... C II en RMPP is presently required, hes Section 25534 of ihe Celilomia Heelih and Sefery Cade been lully wmplietl wit�7 ................................................................................................................................................................................................................................................................................ 5 Does or will Ihe epplicent or pr85en� or fuNre Dullding occupant raquire for the wark whlch is Ihe sub�ed of �his e plicsti from Ihe Sou�h Coast Alr �uulity Manegement Distdct or Irom any other eir pollution cantrol dlstnct or egency! � Yes (Secllon 658502 of the Celifornie Govarnment Code requires t�et Ihe reduested informatlon be lurnishetl on applications ..............................._.................................................._.................._............................................_....................................................................................._.................................. 6 W III eny pen ot the feciliry to be constructetl untler this pertnit be within 1000 teet from Ihe outer bountlatles of e school7 (If yes", lhe facility musl meet t�e requlrement oi Sections 25534 end 42303 of the Califomia Heelth entl Setety Cotle). .._ .................................._..__...................................."""__._................................__.................._.._...._..................'_".......................__._....................... 7 If a pertnit from ihe Soulh Coesl Air Oueliry Menagement DisMct or other eir pollution control distdct or agency is re mollceGon. nave ell ot the disGasures orescribed bv Calitomle Health entl SateN Coda Seaion 42303 been matlel ❑ 8 Qt yes'. attech cenifi CERTIFIGATE OF C regarAing HazarAous SlgnaNra: ntion Progrem tor acutaly hazardous ma�enals)9 preparetioq certification end filing wilh ihe Flre nt. ...................__..... ...__._.........__..........�_.. ❑ Ve9 ❑ No ......................................................................_............................... on e ertnil for such construdion or modiflcatlon 8 No for non-resiCentlal bullding permlts). .............. _ ....................... _ .............................................................. ❑ Ves ❑ No ........................__.................-.._........._-................_........... quired for the work which is the subject o1 ihis Yes ❑ No I cenity ihat under penelry ol perjury Ne information given ebove is correct. I agree to compty with e0 sWte laws and ciry ortllnences Emissions. Oate: CERTiFlCATE OF COMPL CE AUTHOflIZA710N OF EHTAV: I certiy under penalry of perjury that�l heve read ihls application end slate that the infortnation given is correct. I egree to compl Ith ell s lews end clry ordinances releting to bulltlinq constructlon, end euthorize representatives of ihe Clry of Coste Mesa to enter upon t�e eDove-described prope or inspe i purposes. 1 egrea not to accupy ar ellow accupency af eny building authonzed by this permit unlil finel inspection, COOE I. INSPEC770NTYPE 1616 Flxetl System Finel Fire Preventlon 1288 Pool Spe Finel 200 Final Fie-Roat 201 FIna181ocWRetaining Well 202 Flnal Fac�ory Fire Plece 203 Final Slpn 20C Flnel Demolltlon � fQpf,� INSPEC7IONTYPE 206 Final Mechanical 208 Flnel Plumbing 210 Flnal Electrital 2tt Flnal Fire Preventian 220 Final Planning Approval 222 Flnel Site 250 FInalBullding/Occupancy r��o � � ♦ i � l• �J • '� � � NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (' ) City of Costa Mesa ( ) Ciry of Newport Beach ( ) Counry of Oreoge Applicant: ��' d IYGI � Address: I �)LCU�'i–f-� r1' Telephone Number. � TracVParcel and Lot Number(s): Location of Project: � Number of Square Feet of: Residen6al Space Commercial and Industrial Space CommerciaUlndustrial Projed is: (Check One) Warehouse R8p Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial _ This project is exempt because �_x 51.84 x S .30 _ Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical O(fice Oifice Park Total Total �, 4 61 Q �` � r JUN 2 p ?OA� ' J Dist��Fidtt,�,,II ��;�— Plan Check NL'.�;Y/"� W�� I I D�I�� _ Preschool _ Auto Repair _ Hospital _ Large O(fice _ Oifice Bldg. _ Restaurant _ Fast Food This certifies that the above-named DevelopedApplicant has paid school haadty fees in comp4ance with Government Code sections 53080 and 65995. The Building Permi� for this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Unified School Dishict. By: The above representation as W square footage is We. App6cant agrees �t if it is later true, then this certificate shall automatically terminate a�d the appropria City/County Date: `�' � �/ � ied that such representations are not no6fied. September 9, 2004 CITY OF COSTA MESA P.O BO% 1200 • 77 FAIR DRNE • CAIIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT Neal Marek 1048 Irvine Avenue N568 Newport Beach, CA 92660 RE: MINOR CONDITIONAL USE PERMIT ZA-04-4 i 342 RAMONA PLACE, COSTA MESA Dear Mr. Marck: Review of the zoning application for the above-referenced property has been completed. The appiication has been approved, based on the following background, project description, and findings, subject to the conditions set forth below: BACKGROUND The existing residence has an attached 1-car garage at the front of the property and a 600 sq.ft. detached accessory structure at the rear. The applicant stated that the accessory structure was originally a garage but the previous owner had converted it to a hobby shop. There is no vehicle access to the detached accessory structure. PROJECT DESCRIPTION The applicant proposes to Convert the detaChed accessory structure into a recreation room. A minor conditional use permit is required because a powder room containing a toilet and a sink is proposed as a part of the conversion. The applicant would like to have the fixtures installed for convenience purposes when using the recreation room, rather than having to go to the main residence to use the restroom. The powder room is of the minimum size to accommodate the two fixtures. To minimize the possibility of conversion to a separate dwelling unit, a condition has been included prohibiting a bathtub or shower in the accessory building. Additionally, the property owner will be required to record a land use restriction to inform future property owners that the accessory building cannot be used as a dwelling unit. Building Division (71a) 756-5273 � Cotle Enforcemem (71<) 75a-5623 • Planning Division (7td) 754-5245 FAXp�a)75ad856 • TDD(774)754-52aa • www.ci.wsta-mesa.ca.us ZA�04-41 • September 9, 2004 Page 2 FINDINGS A. The information presented complies with Costa Mesa Municipal Code section 13-291g112) in that the proposed improvement is compatible with developments in the same general area. Granting the minor conditional use permit will not be detrimental to the health, safety, and general welfare of the public or other properties or improvements within the immediate vicinity. Specifically, the powder room is of the minimum size to accommodate the toilet and sink. The structure is restricted to having only one toilet and one sink, with no bathtub or shower. A condition has also been included requiring the property owner to record a land use restriction to inform future property owners that the accessory building cannot be used as a dwelling unit. Granting the minor conditional use permit will not allow a use, density, or intensity that is not in accordance with the general plan designation for the property. B. The project has been reviewed for compliance with the California Environmental Quality Act (CEQAI, the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. C. The project is exempt from Chapter XII, Article 3, Transportation System Management, of Title 1 3 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. The detached accessory structure is resiricted to having only one toilet and one sink. A bathtub and/or shower are prohibited. 2. The accessory building shall not be used as a dwelling unit. 3. The detached accessory structure and powder room shall be served from the same utility meters (electric, gas, and water) as the main dwelling unit on the property. 4. A land use restriction shall be recorded prior to the issuance of building permits. This land use restriction shall inform future property owners that ihe detached accessory structure shall not be used and/or sold as a secondary dwelling unit. The applicant shall submit to the Planning Division a copy of the legal description for the property, and either a lot book report or current title report identifying the current legal property owner so that the document may be prepared. F GII ng��i Ynyi av�gtl!l� CQ.^.S?!;.'C?IC!1 Sf'.B�I I�o ar�hitort�irall i r��nrn,atihlg ;niitF� regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. 6. Any new mechanical equipment such as air-conditioning equipment and duct work shall be screened from view in a manner approved by the Planning Division. Roof mounted equipment is prohibited. 7. Construction, grading, material delivery, equipment operation, or other noise-generating activity shall be limited to between the hours of 7 a.m. ZA,�04-41. September 9, 2004 Page 3 and 8 p.m., Monday through Friday, and between the hours of 8 a.m. and 6 p.m. on Saturday. Noise-generating activity shall not be allowed on Sunday or Federal holidays. Exceptions may be made for activities that will not generate noise audible from off site, such as painting and other quiet interior work. 8. The applicant shall contact the Planning Division to arrange for an inspection of the site prior to the release of utilities. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. 9. The minor conditional use permit herein approved shall be valid until revoked, but shali expire upon discontinuance of the activity authorized hereby for a period of 180 days or more. The minor conditional use permit may be referred to the Planning Commission for modification or revocation at any time if the conditions ot approval have not been complied with, if the use is being operated in violation of applicable laws or ordinances, or if, in the opinion of the development services director or his designee, any of the findings upon which the approval was based are no longer applicable. 10. The conditions of approval and ordinance or code provisions and special district requirements of Zoning Application ZA-04-41 shall be blueprinted on the face of the site plan. 11. A copy of the conditions of approval for the zoning application must be kept on the premises and presented to any authorized City official upon request. New property owners shall be notified of conditions of approval upon transfer of ownership of the land. Eng. 12. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and remove any spillage from the public right-of-way by sweeping or sprinkling. CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. Approval of the zoning action is valid for one (1) year and will expire at the end of that period unless building permits are obtained and cn.n.ctriicti�n �nmmanrvc nr tha annlirant annliac fnr an�i ic nrantorl an _� -�-r-..__..' '��"' J.......... extension of time. A written request for an extension of time must be received by Planning staff prior to the expiration of the zoning action. Bldg. 2. Comply with the requirements of the California Code of Regulations, Title 24, aiso known as the California Building Standards Code, as amended by the City of Costa Mesa. Eng. 3. At the time of development submit for approval an off-site plan to the Engineering Division and grading plan to the Building Division that shows ZA'04-41- September 9, 2004 Page 4 sewer, water, existing parkway imprbvements and the limits of work on the site, both prepared by a civil engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City of Costa Mesa. Pay offsite plan check fee to the Engineering Division. An approved offsite plan and fee shall be required prior to engineering/utility permits being issued by the City. This requirement is contingent upon a job evaluation of $10,000.00 or more. 4. A site access permit and deposit of $350.00 for street sweeping will be required by the Engineering Division prior to the start of any on- or off- site work. SPECIAL DISTRICT REQUIREMENTS The requirement of the following special district is hereby forwarded to the applicant: Sani. 1. Appiicant shall pay all current Sanitary District sewer connection charges. Contact Sanitary District at (714) 754-5307 for information. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved plans are enclosed. The decision will become final at 5 p.m. on September 16, 2004, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) or by a member of the Planning Commission or City Council. If you have any questions regarding this letter, please feel free to contact the project planner, Hanh Tran, at (714) 754-5640, between 8 a.m. and 12 noon, Monday through Friday. Sincerely, � �v PERRY L VALANTINE Zoning Administrator Enclosure: Conceptually-approved plans cc: Engineering Fire Protection Analyst Water District Building Division Feb O1 OS 05:03p �u'.��.0 -ni.a REGORDING REQU6STE0 8Y: EQUTY7rtLECOMPANt n�m RnEN IiEcoqpeo Mna TO: �S1gnaMaiK � . 3�2RamoaKClaa_�—/- CAf7�_/ Or�r No.: Of�1769� Escowlb.: NR106ied(P A.P.N.: 4Y5�32t-02 Dick Jantzer, Broker (714) 556-7739 p.l cIl/LVVJ 1L.VV Cf�VL VVLIVVJ l'PA �JO1Y6l PM.tld�J III O(IIGILI NKNW� GON1ly d Ol0lIQ� Ton Oalr. cNno-R�csar OY�Itlll@II81fiE�L1RipIQOn 8.00 2003001484020 00:07p111 1ZN7I03 �ia ax caz: �85.l6 iESi60.00 LL00 200 0.00 0.00 0.00 GRANTIIEED � THE UNDEft31f>NED GRANTOR{5) D£CLARE(3) DOCUMEIYTARY TRANSfER TAX IS S T31.50 CRV TRANSFER TAX IS S '�p' I XXX ] oanputed on rou vatua of propaty cnmreyed. or _ . � Q Pqf11PWWpJQp(t(UIIV2VU8I868VA7tM�NEII$pIElItlMIGfBfICB8fM1Ai11il19811MIBOIl319. Q wincarporaletl area � XX J Ciry d' Costa Mosa M10 M � ��'► FOR A VALUABLE CONSIDERATI�N. rece�l d vAlich�is hrlebY aduwwletlped� �rityn J. Schultz. Sucueasor Trustee of 'ii�e�Sd�ultz 1993�Irrevaca4le Fasily ��y �(� �o Survivors Trust Sh3113P. �arek aad Neai Marek iHfe �cd 9usband as ComuvltT �"OP°�9 the fdbwig desabad real prapeity m the County d Oranga� State d L'eldornia: Lot 7D o� 7rect Na. 2710. M� Me Cfry of Costa Meaa. Courtry o1 aange, SJeYe o6 Calilomla, es per map recoNed in Haok 6Z, Paga(aj ]8, indudve, ot Mlwcllaneous Naps, in the o}flce of the Counry Reeordx of said County_ oaaa: ' Nar�her tY , zoa3 STATE OF CALIFORNI# COUNTY OF `'(�YIIlYt.ZQ� i�+,_,_ � S3 Jll � 1�� a.lYO 3 691me m0 _��I�� o-L a Nomry Publicu� a�d (orsaid Cowdy and Slato. 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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT 77 FAIR DRIVE, GOSTA MESA, GA 92626 ,lob Address: 342 RAMONA PL Suite: Vicinity: BA7HROOM Parcel Number: 42532112 Applicant: JESSICA CALDERON Address: 10614 MARCON RD WALNUT,CA PO BOX 354 Owner: SCHULTZ, CHARLES F TR Address 342 RAMONA PL COSTA MESA, CA Contractor: ARTISAN BUILDERS Address: 70614 MARCON RD WALNUT,CA PO BOX 354 Zip: 91789 Arch : Address: Phone: Zoning: Phone: 909-595-7266 Zip: 91789 Phone: Zip: 92627 Phone: 909-595-7266 License: 754401 Eng: Address: ISSUED BY: Status: ISSUED Applied: 10/17/2003 Issued: 10/17/2003 Phone: Zip: License: License: SCOPE OF PERMIT REPLACE PAN LINER IN SHOWER AND ROTTED WOOD IN SUB AREA. Plan Check: $0.00 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $24.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 S2oo.o0 S2oo.o0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned . for a period of 180 days. INSPECTIONS: In order for �he work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and finel approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 ?446d8 (B/00) WORKEflS' COMPENSATION DECLARA710N: ! 1 hereby elfirtn untler penelty of perjury one of Ihe following tleclaratlons: ❑ I heve antl will maimain e certificate of consem to selt-Insure br workers' wmpensatlon, es provitled for by section 3700 ot tha Labor Gode, tor ihe pertortnence of the work for which this permit Is issued. ❑ I have and will maintain workers' compensation Insurance, as requiretl by section 3700 of Ihe Lebor Code, for Ihe pedortnance of the work for which this permit Is issueG. My workars' compensetlon Insurence carner and policy number ere: � Cerriec � Policy Number: (This secfion need not be complefed ll the permit is velued et one huntlred dollars ($f00) ar less.) �—'I cenify that in ihe performance ot the work for which this permil is issued, I shall not employ any person in any manner so es to become subject to the workers' �compansation laws of Calitomia, antl agrea Ihat it I shoultl become s blect to ihe workers' compensation provisions oi Section 3700 ot the Labor Code, I s�all forthwith comply with ihese p s'onfi. n /� (� ^ � P.�pllcant'SlgnaWre: G�7.'Q��s11 J(GC �( /� lDate: IF /�� I�—� WARNWOrFAILURE TO SE RE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL AND SHFLL SUBJECT AN EMPL'OVER TO CRIMINAL PENAL 17 ES AND CIVIL FlNES UP TOONE HUNDRED TNOUSAND DOILAPE (5100.000�, IN ADDITION TO THE CQST OF COMPENSATIqJ, DAh41GE5 AS PROVIDED FOR IN SECTION 3�W OF THE LABOR CODE, IMEREST, AND ATfORNE1"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eftirm.that I.em licen d under provisio Iorce and ettect Lic. u�� -�`I �4 4 1( CONSTRUCTION LENDING AGENCV: Chapter 9(commencinq with Section 7000) of Division 3 ot Catle, entl my license is in Full ❑ I here6y aRirm that Ihere is a construcfion lantling aqency for ihe perfortnance oi Ne work tor which this permit is issued. (Sec. 3097, Civil Code). Lentlets Name: Lender's Address: Signewre: OWNER•BUILDER DECLARATIONS: Dete: I here6y effirtn that untler penalry of perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Coda: Any ciry or counry which requires e permit to constmct, alter, improve, demolish, or repair any structure, pnor ro its issuance, also requires t�e applicaN for such pertnit to iile e slgnetl statement thet he or she is licensed pursuant to the provisions of the Conirectors License Ww (Chepter 9(commencing with Section 7000) oi Dlvision 3 ot ihe Business and Professions Code) or thet he or she is ezempt tharefrom and the basls tor the elleged exemption. Any violetian of Section 7031.5 by any flpPlicent tor e pertnit subjecis ihe applicent to a civil penelry of not more ihan five hundred dollare ($500).): ❑ I, as owner of ihe properry, or my employees with wages es their sola compensation, WILL DO THE WORK, an0 the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conirectors License Lew does not apply to en owner of properry who builds or improves Ihereon, and who does such work himself or herself or through his or her own employees, provlded ihet such improvemenis are not intendetl or oflered for sele. If, howevar, ihe builtling or Improvement Is sold within one year of completion, the owner-builder will have the burden ot proving ihat he or she did not 6uild or improve for purpose of sale.). ' ❑ I, es owner oi ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professians Cotle: The contrectors License Law does not apply ro en owner oi property who builds or Improves thareon, and who contrects for such project with e comractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID veniied by dnvefs iicense. ❑ Yes ❑ No Drivefs License No. Venlicetion af Ownership by (type ol document, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: E�ires: ❑ I hereby cerlify ihat no excavatlon five (5) or more teet in depih inio which a person is requlred to descentl, wlll be mede In connection with work eNhodzed by this permit, and ihat no building siructure, scaflolding, talsework, o� demolition or dismantling ihereot, will 6e more Ihan ihirty-slx (38) feet high. (Chep. 3.2, Gry 2, Art 2, Sec. 341, Ttle 8, Califomla Atlminlsiretive Cotle). ❑ As owner-builtlar, I will not employ anyone to do work which would require a pertni� from Ihe Division of Industnel Sefery, as noted above, unless such person has e permit to do such work from the division. Signeture: Date: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENiAY: I certiry under penalry of perjury ihat I have read this epplication and state thet the information given is corred. I egree to comply with all state laws and ciry ordinences relating to builtling conswction, end euthonze representatives of the Ciry of Coste Mese to enter upon the ebove-described property tor inspection puryoses. I agree not to occupy or allow occupancy of eny building authorized by this permit until final inspection. COUE t. INSVECTIONTYFE 1616 Fixed System Final Fira Prevention 1266 Paol Spe Final 200 Finel Re-Roof 201 Flnal BIocWRetaining W ell 202 Final Fadory Fire Place 203 Final Sign 204 Final Demolition J�¢, INiITIALS CODE1 INSPECTIONTYPE 206 Finel MechanlCal 208 Finel Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy �.17��Ciiiipc9 12 3y3 � � (714) 754-5273 • Fax (714) 754-4856 • www.Ci.Costa-mesa.Ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: 342 RAMONA PL Suite No Vicinity: Parcel Nunmber: 42532112 Applicant: JESSICA CALDERON Address: 10614 MARCON RD WALNUT, CA PO BOX 354 Owner: SCHULTZ, CHARLES F TR Address 342 RAMONA PL COSTA MESA, CA Contractor: ARTISAN BUILDERS Address: � 10614 MARCON RD WALNUT.CA Arch / Eng : Address: ISSUE FEE Backfiow irrigallon BackHow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental UniLs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve PO BOX 354 PLUMBING PERMIT Phone: 90&5957266 Zip: 91789 Phone: Zip: 92627 Phone: 909-595-7266 Zip: 91789 License: 754401 Phone: Zip: License: SCOPE OF PERMIT REPLACE PAN LINER IN SHOWER AND ROTTED WOOD IN SUB AREA. AMT 523.50 $0.00 so.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer 50.00 0 Landscape Irrigation $0.00 0 P-Trap 50.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap (or Demo $0.00 0 Sewer Connect 30.00 0 Sewer Private Line $0.00 0 Shower $9.80 0 Sink, bar $0.00 0 Sink, commercial 50.00 0 Sink, Floor $0.00 �TY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Status: ISSUED Applied: 10/17/2003 Issued: 10/17/2003 ISSUED BY: SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr BkFlow(1-4) Vacuum Brk� Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foilet) Water Heater / vent Water Piping pnst or Rep J Water Re-pipe Water Service AMT 30.00 50.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorizetl by ihis permit shall comply with all applicable handicap access requiremants under CaliFornia statutes and related regulatlons. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: This pe�mit shall automatically expire and become void iF work is not commenced within 180 days, or if work Is suspended or abandonetl for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considared legal, such work must comply with all applicable codes, and all requlred Inspectlona and final approval must be obtained. Failura to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2d48d8 (8�00) WORKERS'COMPENSAnON DECLARAnON: - � I hereby attirm untler penalry of perjury one oi ihe following tleclarations: ❑ I have end will maintaln a certlficate ot consent lo self�lnsure for workero' wmpensatlon, es proNded far Cy sectlon 3700 ot the Labor Code, for Ihe pertortnance of the woAc for whlch this permll Is IssueC. ❑ I heve entl will maintaln workers' campensa��on insurenca, es requiretl by sectlon 3700 ot I�a Lebor Code, Por I�e pedortnence of ihe work for which Ihis pertnit Is issued. My workers' wmpensatlan Insurance cerder antl policy number are: Cartier. Poliry Number: (Th/s secNon need nof be comp/eted I/ the permlf fs valued at one hundred dallars ($f 00) or less.) "'� I ceniy ihat in the peAormence of Ihe worK br which this permit is issued, I shall noI employ any person in eny manner so as to become subject to the workers' _compensation lews of Celifomia, entl agree Ihet If I s�oultl become ub�ect to the workers' campensetion pravisions o1 Section 37 0l Ihe Lebor Code, I shell forthwiih comply with these ra i o s.n /� / /�n� � ^ //� pilcant Signeture: _�/N.� A1 �1Y� � I AI �f AA/ l l'M �oa�a: _ f� I i 7 0� ANINOc'FAICURE TO SE URE WORKEPS' COMPENSATION COVERA�E IS UNLAWFUL AND SHALL SU8IECT AN EMPLOVER TO CRIMINAL PENALT 5 AND CIVIL FlNES UP TOONE HUNDRED )USAND DOLLARE �51 ), IN ADDITION TO THE �T OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SECiION 3]OB OF THE UBOR CO�E, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I em Ilcen�+d under pravlsions of Chapter 9(commencing with Sectlon 7000) of Divislon 3 4t.the.Business and Professlons Code, entl my Ilcense is in full force entl eHect. Uc. #-7 �J' y4 O � Cle`_s q (� �'"f"1 �. Contractors SlgnaNre: p'ete:—� /1 � �� ?� CONSTRUCTION LENDING AGENCV: ❑ I herehy allirm Ihat Ihere Is a cons�ructlon lending egency br �he pedormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). LentleYs Name: Signature: _ OWNER-BUILDER DECLARA710NS: Lendefs Atltlress: Date: I hereby eftirtn Ihet untler penelry ot perjury thet I em EXEMPT FROM 7HE CONTRACTOHS LICENSE LAW far Ihe following reesan (Sec. 7031.5, Business anG Profassions Code: Any city or county whic� requires e pertnit ta construct, elter, improva, tlemolish, or reDair eny siructure, prior to its issuance, elso requires the epplicant tor such permit ro file a signetl statemeN thet he ar stie Is Ilcensed pursuant to ihe proWsions of ihe Coniractore License Lew (Chepter 9(commenGng with SecUon 70W) of Division 3 of Ne Business and Prafeuions Cotle) or Ihet he or she is ezempt iherelrom end Ihe �asis for the elleged exemption. Any violation af Sectlon 7031.5 by eny epplicent tar a permit suDjects the epplicant to e civil penelry of not more ihen live hundretl Aollars ($500).): ❑ I, es awner of iha property, or my employe05 with wages es their sole compensetion, WILL DO THE WORK, end Ihe strucwre Is not Intended or oMeretl far sale (Sac. 7044, Business antl Prolessions Cotle: ThB Coniractors License Law tloes not apply lo an owner of properry who bui105 or imprwes thereon, antl who does such w0�k himself or hereelt or Ihrough his or her own employees, provided that such improvemenls ere not In�entled or otlered lar sale. If, however, the 6uiltling or Improvement is sold within ane yeai oi completion, the owner-Duilder will have the burden of proving that he or she ditl not hulld or improve tor purpose of sale.). • [] l, as owner ol the property, am EXCLUSIYEIY CONTRAC7ING W ITtI IICENSED COMRAC70RS lo construct the project {Sec. 7044, eusiness antl Protessions Cotle: 7he conlrettor5 License Lew tlaes not epply to an owner of proparty who bullds or improves thereon, end who comrect5 lor SUCh project with a comrectar(s) license pursuant to the Contractors Licensa Lews.). ❑ I am exempt untler sec. Business and Professions Cotle for this reason: Signeture: Date: Owner ID venfieC hy tlrivers Ilcense. ❑ VeS ❑ No Dnvefs License No. Vedlicetlon oi Ownership by (type ot document, i.e. - property tax blll or deetl): DIVISION OF INDUSTFIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby ceriHy ihat no excevation five (5) o� more feet in depth into which e person Is requiretl �o descend, wlll be mede In wnnectlon with work euthodzed by this pe�mit, entl thet no building simcWre, scalloltling, falsework, or demoliilon or tlismentling ihereo�, will be more ihan Ihlrty-slx (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celifornla Atlminisirative Cotle). ❑ As owner-bulltler, I will not employ enyonB to do work which would require a pertnit Irom the Divislon ol Indusirial Salery, es noted ebove, unless such person hes e pertnit to tlo such work Irom the divlslon. SignaNre: Oale: Divislon oi Industnel Safery Pertnit Num�er: CERTIFlCATE OF COMPLIANCE AND AUTHORW1710N OF EMAY: I certify under penelry of perjury that 1 �eve read Ihis epplication and stele lhat the infortnetlon 9iv0� �s correct. I egree to comply with ell stete laws end ciry ordinances relating to building constructlon, end euthodze reDresentetives of Ihe Ciry ot Costa Mesa to enter upon Ihe above-described property for Inspection Durpose4� I egree not to occupy ar allow occupency of eny builtling authorized by this pertnit until finel inspection. COOE �. 1618 1288 200 201 202 203 Fixed System Final Fire Preventlon Pool Spe Finel Pinel Re-Rooi Finel BIocWRetaining Well Flnal Fectory Fire Place Final Sign 20a Final Damolltion PAg � 1ti�119L5 COOE I INSPECTION TYVE 206 Finel Mechanicel 208 Final Plumbing 210 Final Electdcel 212 Finel Flre Preventlon 220 Flnal Planning Approval 222 250 Final Sile Finel Building/Occupancy PAg It�LS t (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-me5a.ca.u5 77 FAIR DRIVE, GOSTA MtSA, (:A 9LtiLti BUILDING PERMIT _ JobAddress: 342 RAMONA PL Suite: Vicinity: Parcel Number: 42532112 Applicant: BURKE,MIKE Address: 1653 SUPERIOR AV COSTA MESA, CA Owner: SCHULTZ, CHARLES F TR Address 342 RAMONA PL Zoning: Phone: (949)642-7222 Zip: 92627 Phone: COSTA MESA, CA Zip: 92627 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 642-7222 License: 349686 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 07/37/2000 Issued: 07/31/2000 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF ROCK ROOF ON HOUSE AND GARAGE, INSTALL PNO iSLBS FELT AND 25 YEAR COMP. SHINGLES. Plan Check: $0.00 Permit: $12525 SMIP Res: $0.53 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.78 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $5,300.00 $5,300.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and relatetl regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 780 days. ` ' �� • INSPECTIONS: In order for �he work au�horized under this permit �o be considered legal, such work must comply with all applicable codes, and all required inspeetlona and final app�oval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi3fi (�W) WORKERS'COMPENSATONOECLARATON: 'I hereby aHirtn untler penalry ot perjury one ol ihB following declarations: ❑ I have end will meintain a certlficete of conSent to sell-Insure for workers' compensation, as provided for by sectlon 3700 of the Labor Code, for the perlormence of the , work for which ihis permit is issuetl. $1 I have end will meintain workero' compensation insurance, es required by sectlon 3700 of the Labor Code, for the pertortnance of ihe work for which ihis pertnit is issued. �M work s�' °m ensation Insurance ner and poli num6er are: Carrier:Y �I/a-TY �Lsa/J�vN� � PolicyNumber. �I.iOD7ryS� (This section need not be comp/efed ' fhe permit is valued et one hundred tlollers (5/00) or IesS.J ❑ I certity ihet in Me peAormance of the w c for which ihis parmit is issued, I shell not employ eny per ' any menner so as to 6ecome subjeq to Iha workers' on laws of CalifoyaI�, g Ihal If I should become sub�ect lo Ihe workere' compensation pr ions o1 Sectlon 3700 ot t�e Lebor Cotle, I 5hall fotlhWllh com wlth eseryre�gjel( . y icant SignaWr . %7 / �— Date: � 7�—O d ARNING: FA1 TO SECURE (ERS' COMPENSATION WVEMGE IS UNLAWFUL AND SHALlSU&IEGT TO CRIMINAL PENALTIES AND GVIL FlNES UP TOIXJE HUNpRED RE($t00,O]0�'A ITIONTOiHECOSTOFCqMPENSATION,OAMAGESASPROVIOEDFORINSECTION3%O60FiHELABORCODE,IMEREST,pNDAiTORNE`fSFEES. kfjCENSED CONTH�RS DECLARATION: ( � fhereby aMirm ihat I am li ensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the torce antl enea. uc. a 7iH9 4 CYG /i . �i„« Date: and Professlons Code, ana my license is in full CONSTRUCTION LENDING AO�NCY: ❑ I herehy eHirm that lhere is a consiruclion I¢ntling agency for ihe pertormance of ihe work for w�ich this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lendefs Atltlress: Signeture: OWNEq-BUILDER DECLARATIONS: Date: I here6y eNirtn Ihat under penalry of perjury thet I em E%EMPT FHOM THE CONTRAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any pry or county which requires a permit to construd, alter, improve, demolish, or repair eny sWdure, pnor to its issuance, also requires the epplicam for such pertnit to lile e signetl statement ihat he or she is Iicensed pursuent to the proWslons ot the Contraciors License Lew (C�apter 9(commencing wlth Sectlon 7000) oi Division 3 of Ihe Busineu antl Professions Code) or that he ar she is exempt therefrom and t�e basls for ihe alleged ezemption. Any violation of Sectian 7031.5 by any applicant for a pertnit sublects the epplicant to a civil penalry of not more than tive hundred dWlers ($500).): ❑ I, es owner of the D�operry, or my employeas with waqes as Iheir sola compensation, WILL DO 7ME WORK, and the structure is not intentletl or oXeretl for sale (Sec. 7044, Business antl Protessions Code: The Contraciors License Law does not appty to an owner of properry who builds or improves thereon, end who does such work himself or herself or Ihrough his or her own employees, provided that such Improvemenis ere not Intended or otteretl for sale. It, however, the builtling or improvement is sold wit�in one year o� completion, ihe owna�-builtler will have the burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, es owner of the pmperty, am EXCLUSIVBLY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projad (Sec. 704d, Business antl Professions Cotle: The cantractors license Lew does not apply ro an owner ol property wha builtls or Improves Ihereon, and who coniracts for such project wit� a contrector(s) license pursuant to ihe Cantrectors License �ws.). ❑ I em exempt under sec. Business and Professions Code for this reason: SlgnaWre: Date: Owner ID verifietl by tlnveYs license. ❑ Ves ❑ No Drivefs License No. Verification ot Ownership by (type ol dxumenl, i.e. - praperty tat hlll or deetl): Expires: DIVISION OF INOUSTRIAL SAFETV PERMIT CERnFICA710N: � I hereby certity iha� no exwvetion five (5) oY more fee� in Oepth into which e person is required to descen4 will be mede in connection with work euthorizetl by this pertnit, antl t�al no builtling siructure, scaHO�ding, talsework, or demolition or dismantling Ihareof, will be more Ihen ihirry-six (36) lee� high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Celitomia Atlministrative Code). ❑ As owner-builder, I will not employ enyane to tlo work which would raquire e pertnit irom Ihe Division ot Industnal Safety, es notetl ebove, unless such person has e pertnit to do such work from iha tlivision. SignaNre: Date: Divislon of Indusirial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORWTON OF ENfAV: I cenity under penalry of perjury ihat I have read Ihis application and state ihat the informetion given is corred. I egree to wmply with all stete lews and ciry ordinences relating to builtling consiruction, antl eui�onze representatives of t�e Ciry ot Costa Mese to enter uDon Ihe above-described property for inspection purposes, I agree not to occupy or ellow occupancy of any building authorized by this pertnit until linal inspection. 1676 Pixetl System Final Fire Preventlon 1266 Pool Spa Final 200 FInaI Re-Roof �-�- O o � 201 Final BIocWRetaining Well 202 203 Final Fadory Fira Place Finel Sign 204 Final Demalitian GOOEI INSGECiIONTYPE ( 206 Finel Mechenical � 208 Flnel Plumbing 210 Final Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Bulltling/Oaupancy Date OWNER DIKE & COLEGROVE DATE ],O—],l��. JOBADDRE$S �,2 Ramona Pl�ce BUILDINGPERMITNO. (�� GENERALCONTRACTOR Ol,Jng'r VAWE $ 8 �Q�OO LOT 1� BLOCK TRACT Z�1Q $ine],8 Fam Residen�e _ GROUP I TVPE V ZONE RII FIRE OISTRICT F.'2l INSPECTIONS Footing 7reneh Foundation Forms and G Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complt � Temporary Pole Wiring, Rough • Meating, Rough Heating, Final Sewer• Seotic Tank or CessDool Piumbing, Final, Fixtures Plumbing, Final Gas Test Wiring, Final OcwpanCy Farm '110 GH liil 12-69 DATE � O �7l : to Garag , �' d.� 7Gri n-2y,, G� / —s-. %G<-/ y .( .S � .IO-� Lfi�/7 � L -'o `J � � v `li�! -� n �ete - 1% � - � �i_ SUBCONTRACTOR — C /O - irTJ 'l' ,ca,✓ -r wJ .a -, cr��-...�../ /LF J '+ +� /O - . li.iei /1-i �,_ �� ; - i _ PERMITSISSUED I NUMBER Costa Mesa Building Department ^ APPLICATION FOR PER1VVgIIT .. � �' 111 E/ 20th STREET ^�7 B U_I L_D,I�_� G_...... I %, � COSTA M_ .�, CALIFORNIA -- - ! �'OR OFFICE US� ONLY FOR APPLICANT TO FILL YN � Receipt No. Permit.tva ; Building I ' �7�ry /�/-i + 4ddress 342 Ramona P1ace � �o SF' - Received by Date Rec'd. Date Issued � Costa Mesa, California ; � i /� 'Vearest � �� /�� _/�s�� ,.assst. Santa Ana Avenue Building ; � Address �wner Pl{CP. SC Cn� P.RTf1VP. � Architect or lic. Engineer Hll�h Glbb9 No. nddress 441 E. lst St. , Long Beach City Lic. Contractor'�1kB&C010�TOV6 No. nddress 419 E. 17th St., COStfl IUIeS3 Le4al Lot DescriDtion � No. IQ I BiookNcne Tract�31� Size of Lot Use of ExiStinp BI New s�=e HOuse Exterior Wall Cavering Usc of New Building .Sl i[tounns) — — — No. of Bidgs. 43x165 Now o� �-oc None No.af No.of — — — I Families Rooms � 55 � Rear Yard 2 Side Yard ,rj � [LiPTION OF WORH I.°.Iteration I I Adtlition I I Moving I I Demolish I No. of rea Rooms �j Storiesl Rooi t,UCCO Covering ('iOfRpO. le Facaily Res. � Costa Mesa, CaLforiva rest ! ' 55 St. f e No. of Type I Group / � �� Plans � � � y �roved ' j � Date . r ' CORRECTIONS , ' I t � ' _ _. ' � ., z: APPROV.�I.S Foundation Location I Inspectar Farms, Materials, T hereby acknowledgv that I have read this ApPlication and state thai the abovc ic cwrect and agree to comply Lath. Ext. with all City Ordinances and Stete Laws regulating building construction. Signature of Plaster, Int. Permittee Plaster, Ext. Authorized Aqt. asonry ReinTorced Valwation / Permit Fee $ !� C� Plan Check $ Bond Beam $ " � Feea' $7 � FINAL ...�..� 20! 1:. { IM 12-S:t � O A � _'....�..�..Z D r d � � d 0 a` 8treet � `- . PLOT PLAN Show location'•and distancer from .,f't.':; •'�'. ' prop'erty line'and hetween buildinga. 0 �• . � � Lu __. ...� , . „ �J00�,� .1. . OWNER SCIiULTZ, CHAS.F. DATE r�_o_57 JOB ADDRESS 942 Ramona Place BUILDING PERLviIT NO. #5026 GE O RACTOR fiickor Homes VAL[lE $ 1,650.00 p, tvo. LOT 10 TRACT 231pFIRE ZONE DESCRtPT[ON OF WORK Det. Gara�e INSPECTIONS ' I DATE I SUBCONTRACTOR I ___ PERMIT8ISSUED coat Final Gas Test � - � v�/�`t COSTA MESA BUILDING DEPARTMENT P.O. BOx 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN "5 31�2 Ramona Place COSTA MESA. CALIFORNIA OWNER �.AS$• i• .yCIitSILZ MAIL 3�2 Ramona Place ADDRE55 QTV I.OSL ARCHITECT OR ENGWEER AODRE55 TEL. NO. LIC. NO. Hickory Homes`�T� ��o: 56 Networt TE`, NO LEGAL LOT qp DESCRIPTtON NO. lO BLOCK TRACTGJI A,P. NO. � � ✓ '� SIZE No.ov o�ocs. 1 OF LOT see plo riow orv �or "SE°F dwellin E%ISTING BLDG. SETBACN L�NE Ffl0 nO+ app 1 ieab�e.� CENTER OF STREET �� VAftD 12� Gper lo�� t � y SIOE VARD � RI HT � LEFT DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIF I �MOviNG I I DEMOLISH SIZIEDING 9O� X 3O� ROOMS STORIES I G EXTEPIOR �YALL' gLL1CCO COVERING I�OCk COVERING R8� BUEIOFNGEW garage �jWi FEE r�ECEIVED '� c�, rl , i i '1 ,�. � . FINA� DEP�. API�IIY�l�Q��A R�R4 PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. GERMIT NO. � � � RECEIVEO BY DITE RECEIVEO nTE ISSVEI 72vJ?� � %— .S 7 . C � 9� COSTA MESA. CALIFORNIA FIRE ZONE 20N`� L APPROVED BV �/ CITY CF COST.4 !.1ESA , . . :i�_ SUBJECT TG DG. GEPT. REG. i Henear ncrcnow�coce mnr � nwve veno �r+is.nPPucnnorv nrvo STI�TE TM4T TXE 4BOVE IS CORRECT wND nGREE TO COMPLV WITX nLl • CITY ORDINRNCE$ L O$T<TE L1W5 REGUL4TING BIIIIUING CONSTRUC- T'°~ Hickorjr� H�m(�i$ VALUATION SIGNATURE OF PERMITTEE s i 650 PERMIT FEE rD (/ � PLAN CHECK $ l TOTAL FEE 8 /v�� "�