Loading...
HomeMy WebLinkAbout1588 REDLANDS PL - Building Permits 4, CITY OF COSTA MESA .O ""s BUILDING DIVISION Fq �l O 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us ,. Aiir ® FOR INSPECTIONS CALL: (714)754-5626 • PERMIT NUMBER: 610-00269 • PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42531166 DATE ISSUED: 09/14/2010 - .ISSUED BY: RMD • JOB ADDRESS: `1'58888'RED}NDS!P.L C : Suite/Unit.. Vicinity: ROOF - Squares: 15 Valuation: ' ' $4,650.00 SCOPE OF WORK: TEAR OFF EXISTING•ROOF MATERIALS, INSTALL NEW HOT MOP CAP SHEET ON AN HOUSE ONLY,APPROX 15 SQUARES. REPAIR AND REPLACE SHEAHTING AS NEEDED. COMPLAINCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.THIS GENERAL CONTRACTOR WILL BE SUBCONTRACTING THIS WORK OUT TO C39 LICENSED ROOFING CONTRACTOR. OWNER: GLEASON;CHARLES L Address: 1588 REDLANDS Unit PHONE: City/State/Zip: COSTA MESA,CA • APPLICANT: FUNKE, KENNETH Address: . Unit: : PHONE: 714.335-7927 - City/State/Zip: .. CONTRACTOR: K AND R CONSTRUCTION - License No. . 348877 Address: 18567 PLUMOSA,STUnit:.. PHONE: 714-964-7171 City/State/Zip: FOUNTAIN VALLEY,CA 92708 • CELL: • ARCHITECT: • License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY . • Reroof Plan Check: $0.00- - Reroof Permit Fee: $111.25 .. Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 - • TOTAL FEES $112.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE t. INSPECTION TYPE DATE IN71TIALS CODEC INSPECTION TYPE DATE IN7111ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �4208 Final Plumbing 200 Final Re-Roof )Zi(�f-N_10 nip 644" 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy • A- • ..„. . WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This secUwt need not be completed A the permit is valued at one hundred dollars(5100)or less.) 2,Art 2Sec 341 Title 8,California Administrative Code). Policy Number: • ❑ As owner-builder, I will not employ anyone to do work which would Q7al certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature y Date th abor Code,I al vi 1 omp y with these provisions. • - 1. - 5... ,4_2.0(0 Division of Industrial Safety Permit Number: ` plicant's Signature Cflatea. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in fullfforce and effect. '({ a registration form for acutely hazardous materials? 0 Yes ❑ No Qtc-�l�"'"J`1-g877 C1�7S5; y (Section 25533 of the California Health and Safety Code, with some s 1Y/ n p exceptions, requires registration with the Costa Mesa Fire Department by 1 -��-. (� each business which at any one time has on hand a quantity of acutely �^ o actors sign lure ,•"- ate hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ICI No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all stale laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and • Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occ y or allow occupancy of any building aut rized by this a Itl4nsp tion. • Signature o Legai Owne(s) Date Signature Dare 9-I Lf--Z0(O J05]-<6(3/0]) VAlidlorAuthoriied'Applidaot'- -" Lem` Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 1 of 5) ;YdeSt 1\,'ame:- Climate'Zone#1 /...." 4 of Stories zi. aGeneral information Site Address: 1 5 0 OeepLA07. �i alal'F,nt'orcernenr Agencyred,f, nr Date:q_ j4..._ Building Type)yngle Family 0 Multi Family Circle the From Orientation:N,E,SOor degrees Project Type: 0 Alterations 0 Envelope 0 Fenestration>;7toof 0 HVAC Conditioned Floor Area(CPA): Replacement or Change Out 0 Duct Replacement 0 Water eater NOTE: This form is not to he used fir Newly Constructed 1luiltlings nr Additions' �`_ :Insulation Values For Opaque Surfaces(far Furring use the Mass and Furring Strips Construction table below) Assembly Alteration 0 Opening of framed cavity alone-Alterations that involve the opening ofthe frrmed cavity ofa wall, ceiling, or floor must install the mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H. 0 Replacement of entire assembly-Replacement of an emirc wall, ceiling, or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A-J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. -A B I C _ D j_ E - F ± G H " - -I - 1 J Proposed Sec Nv" Standard Values From JA4 Table • Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- 3A4 Table Cavity Insulation Assembly Assembly ID' _ or Type' and Size' __ or Other' _ factor' Number' _ R-value' R-Value' Cell Values U-factor9 _ - i • Note:For furred assemblies,accounting for Continuous Insulation 12-value,see Page JA4-3 and Equauar 4-1. For calculatingfumedwalls use the Mass and Furring Cansovction table below. I.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors.Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For Wood,Metal, Metal Buildings,Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between flaming members enter; 16"or 24"OC;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Snow Bale Panel and etc.... 4. Based on the Climate Zone;enter the Standard U factor fr•onr Table I51-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the firming;otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter "0". 8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J 9.The Proposed Assembly V-factor, Column J, must be equal to or less than the Standard U-factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A B C F E F G 1-1 I 3 K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation . Walls From Reference in Furring Space from Reference Joint A eudix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13 tX v -.c i c - U t c-a o a,c LI Assembly - j c 1-. F c (7) I) Final Mass Name a .1A4 Table 5 r ^! = a a o° t o c e° ° r Assembly Thickness' Ty c- Number' < ' w 5 it L 5 2 C e in C U-factor'" Comment 1 Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 • Prescriptive Certificate of Compliance: 1 Iential CF-IR-ALT Residential Alterations (Page 3 of 5) @l,P.ojecl'Name: e'Cu G g- \ Climate Zone t�^ /I ofSt:hies rl N (I . ROOFING PRODUCTS(COOL ROOFS)§151(012 When the area of exterior roof surface to be'replaced exceeds"tore than 50%of the existing ropf area, or more than 1,000 fr', whichever is less,the new roofing area nutst meet the roofing product"Cool Roof'requirements of§151(b)1Hi, 152(b)IHii, or 15201Hilt. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'.requirements. Note:if any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in =§§IJ1--I8(i)are not applicable.Do not fill table below. _ ool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. ool Roofs of Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than Slb/ft2. Alternatives to§152(b)1Hi and §152(b)Hii,Steep-slope roof(pitch>2:12) a❑ Insulation with a thermal resistance of at least 0.85 hr•ftr'°F/Btti or at least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(010;or . ❑ In climate zones 10, 12 and.13,with I_ft'.of free ventilation area of attic ventilation for every 150 ftof attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or . ❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)I11iii,Low-slope roof(pitch 52:12) ❑ Building has no ducts in the attic. Other Exceptions 0 Roofing area covered by building integrated;photovoltaic panels and solar-thermal panels are exempt from the below Cool Roof criteria. .❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftt is exempt from the below Cool Roof criteria. - Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' <_ 2:12 >2:12 < 51b/ft2 > 5lb/ft2 Type , Reflectance3'4 Emittance SRI5 O 0 0 0 ❑4 ❑ ❑ 0 0 ❑4 ❑ 0 ❑ ❑ 04 . O 0 0 0 ❑4 O 0 0 0 ❑4 I. The CRRC Product ID Nunther can be obtainedfnotn the Cool Roof Rating Council's Rated Product Directoty at www.coolroo(r.orgIproducts/.seorclr.php 2. Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof moat roof etc. 3. If the Aged Reflectance is not available in the Coot Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the sante directory and use the equation(0.2+0.7(),,,itiat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check hot i/the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at htt2//www.energece.env/title24/and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF-I R. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other • • Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms • August 2009 Prescriptive Certificate of C pliance: Residential CF-1R-ALT Residential Residential Alterations QQQ (Page 5 of 5 rrrjeCT<. aC oc 6 ` Clin ne-11 t' 'ttiries tt � c�oN HEIS I)FERMI CATION SUMMARY The enforcement agency should par special attention to the HERS Measures specified in this checklist below A completed and signed 01-4R Form for all the measures specified shall be submitted to the building inspector before final inspection, Duct Sealing & Testing HERS verificalion is required jor this measure. 0 YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per(I152(b)1Dii and the newly installed ducts are to be insulated pet §151(1)10. O EXCEPTION: Existing duct systems thin are extended, which are constructed,insulated or scaled with asbestos. ❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the ducts are to be sealed per§152(b)1 Di. ❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced (including the replacement of the an handler, outdoor condensing unit of a split system,cooling or heating coil,01 the furnace heat exchanger)the ducts are to be sealed per§152(b)1E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION:Duct systems with less than 40 Racer Leet in unconditioned space. ❑ EXCEPTION: Existing duct systems constructed.insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required.for this measure. ❑YES 0 NO YES:In Climate Zones 2 and S-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per§152(b)IF. Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of§150(0)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is requiredfor this measure. 0 YES ❑NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced.the airflow and fan watt draw shall be verified per§1.52(b)1C1 to meet the requirements of§151(f17B. Documentation Author's Declaration Statement • I certifye� -.th`at`.th�is-Certificate1of Compliance documentation is accurate and complete. Name: Kea merR 17, rU NF-Fi Sign re: _ ._n rCompany•� ce � t, 1 ,j� Late) A- ddress' If Applicable 0 CEA or O CEPS (8Sb7 ft 0 Its(bC41t -T' (Certification 11): C- ity/Stat / : Phony: `00 0-r-A r r-) \1 tk c_LE`c' I c_A , 42-7'06 c- c_.(7(4) x.74 z1 R- esponsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 candy that the energy features and performance specification.10 the building design Identified on this Certificate of Compliance conform to the requirements of Title 24,Parts I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provider]to document this building design on the other applicable compliance forms, worksheets, calculations,plain and specification:.submitted un the enforcement agenep for approval with this building permit application. Nems. Signature: Company: Date: Address: License: CnvlStatellip: I Phone-: For asri.rtance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-809_772-331/0. • Itegtsit in t4unber Itegisri anon Date/Torre: PIERS Provider: 2001:Residential Compliance Forms August 2001/ Y• ! • ' PF A CITY OF COSTA MESA BUILDING DIVISION > •l ,i : DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER : ; PERMIT E02-01031 ith4 n (714)754-5273a • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1588 REDLANDS PL Status: ISSUED Suite No Applied: 11/18/2002 Vicinity: KITCHEN Issued: 11/18/2002 • Parcel Nunmber: 42531166 _ICL_ Applicant ANDERSON, REED ISSUED BY: Address: 17629 JACQUELYN LN -'' _ _ - ' ' Phone: 714-848-2249 HUNTINGTONBEACH,CA • ' Zip: 92647 - , ' N / Owner. ;.. GLEASON, CHARLES L . 6 NC' Address/�-1 8 REDLANDS " - - C</ti ' ' ')'N � _ Phone: V im\ya �, /;v, - . COSTA MESA,CA Zip: 92627-3258s� t-\--. '.v\ .. ' Contractor:.;' MARTYS REPLACEMENT WINDOWS:INC Address: 17629 JACQUELYN LN . . ! ' %-Pone: 714-848 2249,- , C -HUNTINGTON BEACH,CA' Zi --92647 - - - i _ _ License: 711187 _ s ` ' V ) ` I i / - . / SCOPE OF-PERMIT I�,r r,;�l ','\ - ELECTRICAL TO INCLUDE:RELOCATE 1-OUTLET-IN THE KITCHEN.', ,�,` \ , , • ,.FEE SUMMARY -- • Quantity - - - - - - %/ J1:;'' - Quantity , , r ' ISSUE FEE ' $23.50 ' " - Temp Dist System/Lighting $0.00 0 t,I'�' �' Temp service test $0.00 Busway/100 ft - $0.00 0 //,' ` - _ / ' ' .Res.a/c package - ; $0.00 Standing Section -.$0.00 New Res(1-2 units) $0.00 0 Misc Electrical Equipment New'Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 -0 % ,. , , /,' • Pool/Spay $0.00 0 - up to 10 kva/kw $0.00 „0' c, ."3 ' ', / Lighting Flxts \ , -$0.00 0 ;'.'. .- _ -up to 50 kva/kw $0.00,2"/0 ,/ / Recept Outlets ;';$1.10 1 - up to-100 kva/kw $0.00/f/ 0 i; .r Switches y ' : '10.00 0 - - over-A00 kva/kwa.,_.- $0.00"- 0'. ' Non Res Appl �- $0:00 . I 0 Low Voltage Equipment '$0.00 0i Res Appl . .; //, $0.00;' 0 /' Low,Volt Wiring System/Ckt'-.;$0.00/ 0 /",-/ Service to 200a v _ /, $0.00 -.,0 - • . ' Misc.Conduit = ! '$0.00 7.co, /7/ Service to 1000a -,-, $0.00 - 0 ", Misc.Conductor ..$0.00;,-;-0 .r !, , Service over 1000a- N-' v -$0.00" ' . 0 , . . Circus(gen or ride) $0.00 0/; DECLARATIONS • Cl Cl WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the ork for which this permit is issued. ' - -•Ihave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. '...,----My workers'comp hsation Insurance carrier and policy number are: / 1 -Carrier:'-(1//ffr?-S OvN /1//,-7-70-617-cn $,r/ t-prn C' rPolicy Number tilt.R oc 2G 7 8 L� _(Th/s section need not be completed it the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C.ifomia,and agree that if 'mild bcome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pro -ons. / , ApplicantSlgn�tu_e.-. /i, , /A(/r�i/.002.0-7----7,7Z--?-- Date:_ //—/1"--- - 20 2— WARNING FAILURE TO CURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S103,000),IN ADDITION TOTHE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: Ihl reby affirm that I em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business anft Professions fessions Code,and my license Is in full force and effect.Lic.0 - Class it 1 C- Contr-ctor's�Signature: ,x' G> i Date: F // %ei _ a -1- c- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I.as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.It,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation live(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 �Bor will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ......._...._ ._._. ........._.-_.___T ..............._...._..._........-....-.... 4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (It"yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state taws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ` /v.,//ai atur OfLegal Owner(s) /f Data And/Or AuthorizedsApplicant: ( Date MLA INSPECTION TYPE MI iNIIg9L§ PODEt INSPECPONTYPE PATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 7f 200 Final Re-Roof 210 Final Electrical I '7i (P/'�1, 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 4`, F 9 CITY OF COSTA MESA BUILDING DIVISION F• •,, 4IELGTFIUL . DEVELOPMENT SERVICES DEPARTMENT PER NUMBER t. OPligh PERMIT B02-01884 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDI Job Address: 1588 REDLANDS PL Status: ISSUED Suite: Applied: 11/18/2002 Vicinity: KITCHEN Issued: 11/18/2002 ' Parcel Number: 42531166 Zoning: Applicant: ANDERSON, REED - ISSUED BY: Address: 17629 JACQUELYN LN , - , , : - ' _ - Phone: 714-848-2249 HUNTINGTON BEACH,-CA , Zip: 92647 J \. Owner: GLEASON, CHARLES L - 7'' ; J Address )588 REDLANDS - - Phone: COSTA MESA,CA- Zip: 92627-3258 -;'-'''-‘ ,-,' /'' A\-; ,\ . `ay ,/ Av.:-.` Contractor: MARTYS REPLACEMENT WINDOWS INC N\\N \\ Address: 17629'JACQUELYN LN \ \.vA- .vim , - Phone:- 714-848-2249 HUNTINGTON BEACH,CA Zip: 92647' ' License' 711187 . Arch : ' --' . Eng: . , Address:- - - Address: ' i - ` 3 %" ...%. Phone: - 5. Phone: , � , � ' 1C \ Zip: - License: 'v License: , , - 7 ,,- - - .-r- /.-Th SCOPE OF PERMIT- 7,-, '.y CHANGE OUT 1 WINDOW WITH A VINYL,DOUBLE PANE OLASSiWINDOW'INTHE KITCHEN:(SAME DIMENSIONS,APPROX.6'X4').REPLACE EXISTING EXTERIOR, KITCHEN DOOR(61X6.8')WITH(5'X6.8'). FEE SUMMARY//r.,- �, ;,Plan_ Check: , $0.00 - -- --- --- ,; `—Calc Valuation 1.; ' `$6.500:00 Permit: $139.25 Claim Valuation: ;r/; ; $6,500.06 ,'SMTP--Res: $0.65 : ' 'SMIP Com: $0.00 - ' N Other: ' $0.00 y 4, - I ` Inspecfion:. $0.00 i%/' �' \N .r ;%/Y / Total: ;$139.90. , • _ z z, j?. /�,i/ PLANNING'&ZONING --j//- /," SETBACKS` ,' � . MAIN STRUCTURE Front 0-0 - , Rear 0-0 Left - ' 0-0 Right; 0-0"' /-' '/ N, / ACCESSORY Front'- 0=0 - - Rear 0-0 ,Left - 0=0 Right0,r',-7,,/,C I PARKING Existinq: 0 Required: 0 , Proposed: 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 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, 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. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/001 I\ DECLARATIONS n fl WORKERS'COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following declarations'. ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ;❑�1 have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: ACanier.:G/4 re61inn Nal 10-702 Policy,Number.r 0/ KRO0 2-65-Btu (T%iis section need not be completed A the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree the ould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prowidons. Applicant,Signature:--,f/�/r-//��. e•-r��arlGi /7ti+ cDate:?" /7 ^/fes - 2-o 2- WARN NI G:FAILURE TOS CURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full .force.and effect.:Lic.# 7i//e 7 - Class 9--' cC 6/ Contractor's Signature: / / y _ i/ ac-)C,//- /g - ti_ - /// // • CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. G/�' Sign. . e Si Le..l Owners) Data .Or'hhonzed Applicant CDate CODE I, JNSPECTIONTYPE ME RRLTIA4d CODE( INSPECTION TYPE MEE K012.$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy iZ -10-OZ,_ r ;U.IIMIlir . --_ PRO CjADDRESS: 1588 REDLANDS PL' uxlT: - •CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 059989 •- OWNER'S NAME: MODDELMOG GREG- - - . ADDRESS: 1588--REDLANDS PL PERMIT NO: M 059989 ' PLAN CHECK NO: N • GOVT; N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V-N PERMIT• TYPE: MEC PURPOSE: OTH 646-1032 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL WALL HEATER SQ FT: ADDRESS: UNIT: CLAIM VALUE: 500. 00 CALC-VALUE: GROUP OCC; R-3 / PERMITTEE: GREG MODDELMOG ( 714 )646-1032 • ADDRESS: 1588 REDLANDS PLACE COMMENTS: SMOKE DETECTOR •REQUIRED IN THE HOME COSTA MESA CA 92627 ********4******************iE+E***************************4** BSE*************#**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with SectionZ O N I N G R E Q U I R E M E N T S ' • 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. - SETBACKS • CITY LIC.: STATE LIC.: CLASS: Date: signawre: MAIN BUILDING ACCESSORY BUILDING • Date: S'COMPENSATIONDECLARATION: I hereby affirm that lhave acenilicateofconsent toself-insure pracertificate ofWorkers' FRNT; FT IN REAR: FT IN FRNT: FT • IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: COMPANY: PARKING REQp• PROV: PARCEL: 42531166 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ' > • Ate: Applicant: *************************************.****************************************** ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R�=V I C E S R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become ,t subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: signawre'. BUILDING APPROVED BY. • ,' ' DATE; NOTICE:It after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor r . Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. `• MI-CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY- -- DATE: which this permit is issued(Section 3097.Civ.Ci. ************************ . ****7 0* ************************ ** LENDER: **************************************** - ***********************.************ ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC ' MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 12 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP 1NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN -- and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant bora permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00 • BUILDING-DIV-> PERMIT ISSUE -PLAN-CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 12 .00 15. 00 0. 00 27.00 27. 00 . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED,: 27. 00 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business .{ 2 7•00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ***************** *******************************************************,******* and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A '1i F E E BREAKDOWN • xi I am exempt under Section:B P 70 4 4 B.8 P.C. tor this reson: A WORK BY OWNER - AM, TYPE QTY D E S C R I P T I 'O N - UNIT COST TOTAL COST rifer_ 4_Vs— Owner: MEC 1 INST/RELOC RECESSED WALL HEATER 9 .00 9 . 00 I do hereby certify that I am mar of and understand the requirements of California Hr:Ith and'afety •4e Sec ins 25505,25533.and MEC 1 GAS PIPING SYS 1 =? 4 OUTLETS 3 .00 3. 00 25534 and that I or any future building occupant will/will not(circle one)need to comp! h .',state.,des a the requirements bora :tEND OF FEES permit for construction or modification from the Air Duality Management District.Residential construction ... ations are exempt from these provisions. - Date Applicant: • ' • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • • ' ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned . property for intpec0 n purp142___ es. ' ' • • Date: Signature'. ^r' ... • - , Driver's License or oaa!Security x: - - 1641-46 White—Building,Green—Code Enforcement:Canary—Applicanq Pink—Revenue;Goldenrod—Assessor . . J CONSTRUCTION AND PLANNING POOL. A APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location - . 2. Soil Pipe-Undrernd. ' 53. Steel Reinforcement -- - T.-rr, T r' _�,3" tractr' al Cond"uitrl. ility-Undrgrnd. • 54:•forms • . . ' =c4. Electrical Conduit-QJndrgrnd. • 55. Electrical Bonding j"� tc•-tf.5' eel,5einforcerr� 56. Rough Plumbing & Pressure T€scf-� n ticw_ i v9t6-qE@ctricaI UFE�2 6�Od. 57. APPROVAL TO COVER-GU&'l E p ` ep otings SS 58. Electrical Conduit-Undrgrnd. "' a ' ‘2,.3• %423 du-Foundation "�- 59. Gas Pipe, 0 Undrgrnd.,Test to - j '•" 9. Water Pipe-Undrd. 60. Backwash Lines, P-Trap, 0 Unc rnd. r' Th / 10. Structural Floor System 61. APPROVAL TO DECK •'j'��7 11. Rroperty Sewer Line.& House Connectionco 62. Backwash & Receptor-Final 12. Sewer Cap a. 63. Heater & Vent-Final • l 13. Roof Drains 'c 64. Plumbing System - Final I--. I 14. Rough Plumbing t- 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric&Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electri@es,l-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ' • - .'' Cl , :v-= =J r, t7' -rCD - -S * H 5_': 20�RoCyh Eactaty Elreplace I x!n �-1 x ^ o C'x a J14PPROVAI;S:.)QPerehit# x �. 1"114-. '• K F'x I S cr S cc, i; r-+ 7 x r y CC r::-: .,, r Cr nn x 1 L. - S ?< _ -7* % ,L yy 5:., rr�� 21,.,Duas, ie,Str ctIeref I .. .. HS r - I-:x a -70. IJndergeo. n@ Hyoiro x S'it .1. ✓ _ 22. Dulls, Venttlati x i GIS g 4* x f 71. Producf jping ©bas 9 0i1 23CGayipA'Ro h Si fest 1 x 0 1-n* * F T ' 1 f x 1-- CnS * a7 '7 < C:x a I--72. Underground F. CIC x i- �. o- '..,_ _• ' �- a. .,a -5 ,-, . > -- 24>Ro.� Feaming $:x .I •-i-- '. > 0 z x,73.&Undergrrid.StotatWe Tank*O Gas 0 e - r.- r-x - _a . .S -4* x .+ a 25. Rod S"athing T} Q '.v` rn ` j n x „ 7�Overhead..Hydro°r. x J .. .. . -..a .. 265 -@er Ceiling (Structural) 8:4A`enocoat c.., C rn> * 75,"Dry Chemical _ * +--t�• .- _x ^ + --r x - - _ c c rr 27o'Fr a and Flas h.t ' s K " - r S ti -'J' �, aSn to �,F_ a• m+ x 76. Dry StanA_IPe ,= H -28` Lat#ing Sdin®. r. 7Gx X r 1 ••x x 77 FIXED S�<STEM.EINAI$ - x%- o c- ' '---..¢ fl ..I =Y -_ . r-. c' Trr X 29. Insulat an xx ° � ' ' � I % % 78, FIRE PREY. FINAL * > CS it-30. Drywall Nailing tnx x - s s IHEALTt4 DEPTI.,REQUIREMENT -. f . , y__.. - -y. r .L - ' ' . * . ♦t 231. Plaster$tov1n Comma _ x x " 79:`FINAL INSPECTION +' 7-'1 '- % 1 S I -it x xJ " •:-,'• -32rElectrical Posvert4etcr-Finale x Ct.' _c x ,r.80F.FOOD CERTIFJCATE ISSU- ED ' 33`tiFin I ElEctr r- x tr -'' '' `F' NT[es: v > S: .�: - .c :n I < * Y x 4, //idiot b: _Gc. . • n 4 x r rlC .:.5 `,34nFingl Heating&'.1y.C`ond itiorKng f'I . * x S i;x� s lfal>�43 c CO s 3 • ▪35`Firial Gas PiSe-T€r x xC �0• * T . D36. Hood or Canopl(Cx 1 v' -- 4. x n s: :.c,,. :•.: F +r z[nR- -▪ 37PFial Factory F*Iadez ' ;^ r`' "l f' x drotd r x x LC..-1 * n• ;138. Final Plumbing : -`.J I x :v .* .c s✓_•c,; +J H : in Cr, }. .. ._ ,C 339. Wafer Service-Fina* ! T• x' - lc x no au c * '-C _ I .,c CC F < ~' ...-• -a ✓. x >T -..-. r. cit ,140. Gas Service-Final ., to <:r CD s .;: trt _k x o - ct o - x r X41. Solar Domestic-Finals tn. - •• *0, I* x ccc is "42yBackflow Prevented f.". cd a I t~.^ j^ S 43. Backflow Ir&gatior* c.c.Ss - x A _ ' on,' o� X `W x xx a - _n44. Landscape 1 rigati0n Systerrbrnt; w , x ;:c _ „ 05 * - to al etc, '' X°45�'Sound Atteduation :--1xe- :r * z f' - `et: Cl %- "'I-- xe- x .. . • .ti +r • •' x r9 'n 41* .x(- T 7 S , Fr-C. r46 ,Handica`,* Rcggulatipns ;-4 O .5 tri •• •* 'C IX c s .v._. •-s % ~ .x x .. ' GC > w •47sFl C'do4L STRkJCTURE& BUILDING .z -- x j rq . * % of I Lr t' x Li) CC 7 -•! (•• 48.3FIfAL PLFRVNIN I cif < PJ -k x{^ en C x f- o49 Elecxric Release totEdison % x `_ x I `e r t n <r -Cl lc y50.-Gas-Release to Southern Califpjtua Gas Co .X I w 'x • i " t5▪ 1. CEElTIFICATE OxOCCUPAVCS' x -, x o r r ac No. Date • OWNER KASTORFF, L. D. OCT 2 81958 DATE 12-9-57 _ JOB ADDRESS 1588 Redland Place MAR 2 1959 BUILDING PERMIT NO. 61614 GENEL CONTRACTOR Owner Builder VALUE $ 1,872.00 b1J-03. LOT 23 TRACT 1267 FIRE ZONE DESCRIPTION OF WORK Add. to Dwelling C 'fUP Z TYPE V ZONE R4 PLAN NO. (Service Porch & Bedrlu li__?ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam 6A- 4` 8 Frame and Flashing a.---- ;:c- s -57 Lathing, In Out Plaster, brown coat Underground soil4q//-S W/C P:,.. 'Fiat 4 W_6 O.ij'(J Top Out /730-6t u __ Furnace Gas Vents L_,--.,_S Rough Plumbing J 1,w/ co-20.6 P.,,A„- ,� a-/first¢✓ / -9-33' /-2 4..2/ /41/73 Cesspool Septic Tank Prop. Swi. Line House Con.£.tSt. Swr. -2,®..C4(j ,� ,, (.,�(/„� t g , _rr yc2 / a / Sprinkling System 6-2,04.4424,..e_ 0 Heating Final P' 'ling Fixtures, Final ,r!N/ 3-2.264' I Gas Test Construction Pole .. - 1� C Underground Power y_ r' t - Rough Wiring r�-, - . - r It,. -2-7-3-C 6/2.3"' ,2' 2 Fixtures, Final /.o� T I •OCCUPANCY . ir 6164 Form 21Q-5M=1=67' 'Z 14 6164 FEE RECEIVED ,„i 1a — a - 57 vim- . COSTA MESA BUILDING DEPARTMENT- FINANCE DEPT. P.O. BOX 317 • COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ABUILDING DDRESS /LIR'fS %'�'dAmid"Pil Y? BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE .ONLY 1y (� RECEIPT NO. P RMIT NO. OWNER ,L. /)' ,'moi/ Cli..'/-e- �/ 6 v MAIL /) / RECEIVED BY / DATE RECEIVED�JDATE ISSUED ADDRESS �� F tyre/ 4,��/l (�,}� J�j y� /L�` P/ �2:/��_co_. 7 //a - / -S7 e0"..54. //CSU acii- TNO/1r-�j'/.K // ADDRESS I r� ire'C LY/S$.t may. ' INC CITY OROHdTE CE LIC COSTA MESA. CALIFORNIA A ORC`bJ"ECT I C. FIRE ADL S ZONE ZONE . NO.OF TYPE GROUP 1 TY LIC. PLANS / CONTRACTOR�,��e, Re(,/do�NO. • // /(/meq TEL. AYP`Ot D. (Alh AST DATE / L//J / ADDRESS NO. BY LEGAL LOT / /]/� CORRECTIONS DESCRIPTION NO. r.e+; BLOCK -/3 0 TRA`CTT/26.7 A.P.NO. / I 7 /T •�' © ^.�. T(;/�� �I/�n Thi/* `J■�1� f / NO.OF BLOCS. 'v } y p W . y OF iJ/rj� 1 36APPROVED`I 1 G./ OF LOT �]� X ��X/mol NOw ON LOT / o..: AP ezls�NG BLDG. S/'�////(rj nee CITY OF STA MESA SETBACK LINE FROM ( YLi•-":P, 1 t, L:::.Y f. CENTER OF STREET N REAR YARD J95 SUBJECT TO DG. DEPT. REG. SIDE YARD RIGHT .2/ ( LEFT c9,61 //, DESCRIPTION OF WORK BY !N ila DAT[ a `-7 _ P1 AN TFCHrJ-' 7t NES ALTERATION I ADDITION X REP,. ._ MOVING I DEMOLISH SIZIE DING l_C, ROOMS STORIES// /EXTERIORlJ COVERING WA/`[ w' .�i:Ci(„7 COVVERINGrCITj. /f///1. a... BUILDINGEW .*CI�'6//C�. fr.11 el4 Cit.. / • A/ / 9.J-I ;3r(/Aim C/n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE L INS REGULA TITI BC STRUC- TION. VALUATION SIGNATURE OF PERMIT FEE S ,S) '^ PERMITTEE iiiii....✓///���TT 7 ./ - • / PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $ 707 — ,mfr