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Home My WebLink About2804 DRAKE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2804 DRAKE AV Suite: Vicinity: KITCHEN AND DINING ROOM Parcel Number: 14130108 ApplicanC ALI, AZAN Address: 2804 DRAKE AVE � ,., i : , COSTA MESA; CA , Owner: ALI, AZAN � Address /2804DRAKE AVE , � � � �',�COSTA MESA, CA'-� '� . � Contracror: OW N ER-B U I LD ER �Address: � � , � Zip: Arch : Address: � . � - � ' " Zoning: R1 R1 � � Phone: 714-545-4105 � 2ip: 92626-5804 � � - -- Phone: � � - ' Zip: 92626-5804 Phone: Status: ISSUED Applied: 04/30/2004 Issued: 08/O6/2004 ISSUED BY: �� License: 000000 � .. _ . .. Eng: Address: , . , , .., ' Phone: � ',, �� 1 Phone: � � �. . � . . . . . . , [ � Zip: � � � License: License: � � , -; -,�. _ _ ., � . , SCOPEOF PERMIT -. - - --� � � � . CONSTRUCT A 212 SF KITCHEN ADDITION AT THE REAR/NORTH SIDE OF AN EXISTING SINGLE-STORY SFD. WORK TO INCLUDE � � EXPANSION OF TH� EXISTING DINING ROOM INTO THE EXISTING AREA OF THE KITCHEN WITH THE CONSTRUCTION OF THE NEW ��KITCHEN. THE ROOF WILL EXTEND TO COVER " �A NEW 40 SF PORCH. _ , � "� � � � ' ' , i . PLNG: _--' -- - . _ ._ � � . "� LOT$IZE=6;377SQ.FT. � "' -� ' ' � ' . _ � ,ADDITION.RESULTS IN 1,540 SQ.FT. RESIDENCE WITH 600 SQ.FT. ATTACHED GARAGE � ` DRIVEWAY=561 SQ.FL ' � � � %� � � '+ . - i,.:.' - . � LOT COVERAGE=�2;701 SQ.Ff. (42%) . � � '- � ; �� OPEN SBACE= 3,676�SQ.FT. (58%) ' �/ � ' . - � . ' . � - � .i �" / f,�' �l . �. �� Plan Check: � $217.91 ` Permit: $335,25 � � SMIP Res: , $2:02 SMIP Com �� $0.00 Other.A ��$0.00�� Inspection: �'��$0.00 Total: $555.18 � � FEE SUMMARY-:- �:� j � ; : ' ' �. � z �' ;F� Calc.Valuation: � . �.$20,233.60 � � � - � � � � Claim:Valuation: ; '� So.00 , �� . ,�; �"� �: �/�: �� ; � ,. � ' .i � v' / �/,; i -,�� . ,A�.� ; i�� - ' ' , ��. � � ��' � , ' _ ,� t %r�/ '�, � 'r� � . _ �' _r- � ,�-" . �;� � _ � �.. i/ / � � _ - _ _P-LANNING 8 ZONING ..�� ' NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. Nb. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply with all applicable codes, and all required inspectione anq final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(6/00) � WORKERS'COMPENSAnON DECLARAnON: � I hereby affirm untler penalry of perjury one oi the follawing decleretions: ❑ I heve end wlll mainteln e certificete of consent to self-Insure for workers' compensation, es provided for by section 3700 of the Lebor Coae, for ihe peAortnance of Ihe wark tor which Ihis pertnit is issued. ❑ I have anG wlll maintain workers' compensation insurance, es required by section 3700 of ihe Lahor Cotle, fa the pertormanca of the work for which Nis peimit is issued. My workers' compensatlon Insurance carder and pollcy numDer ere: Carner. Policy Number: (This sectlon neetl not be comD�eted /1 the permit is valued et one hundred dWlars ($ f 00J or less.) �JI certity that in the peAormance of Ihe work for which this pertnit is issued, I shall not employ any person in any menner so es to become suhlect to the workers' compensatlon laws of Califomle, end agrae lhat Ii I should become subjact to the workers' compensalion provisions of Section 3700 of the Lebor Coda, I shell fort�wlth wmplywiththese�j ovisions. � Applicant Signeture: /A.�7 f✓ ��,' Date: � �� WARNINO: FAILURE TO S E WORKERS' COMPENSATION COVERAOE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED hIOUSAND DOl1ARE (5100.000�. IN ADDRIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WP IN SECiION 3]Ofi OF THE LABOR COOE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby eHirm that I em licensed untler provisions of Chapter 9(wmmencing with Section 7000) of Division 3 ot ihe Business and Professions Cotle, end my license is in full force antl ettect. Lic. x Class N ConirectoYs Signawre: Date: CONSTRUCTION LENDING AGENCV: 0 I hereby attirm that there is a construction lending agency for Ihe pedormance ot Ihe work for w�ich ihis pertnil is issuetl. (Sec. 3097, Civil CoCe). Lender's Neme: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that under penelry of perjury thet I am EXEMP7 FROM 7ME CONTtiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires e permit to consWct, elter, improve, demolish, or repair eny stmcNra, pnor to its issuance, also requires the applicant for such permit b flle e signetl statement ihet he or she Is Ilcensed pursuant to Ihe provislons oi tha Contrectore License Lew (Chapier 9(commencing with Sectlon 7000) of DlWsion 3 01 t�e Business and Professions Code) or thet he or she is exempt therefrom and the basis for Ihe elleged exemption. Any violation of Section 7031.5 by any epplicent for a pertnit subjects the applicem to a cNil penelry of not mare than five hundred dollaw ($500).): ❑'I, es owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure Is not Intended or oHered for sale (Sec. 7044, Business and Protessions Code: Tha Conlractors License Law dces not apply to an owner of properry who builds or improves ihereon, entl who tloes such work himself or herseN or through his or her own amployees, provided that such improvemenis are not intended or otteratl for sale. If, however, the Duilding or improvement is sold within one year of completion, the owner-builder will have Ihe burden of proving ihat he or she did not buiid or improve tor purpose of sele.). � ❑ I, as owner oi the properry, am EXCLUSIVELV CONTHACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Prolessions COCe: The coNrectors lJcense Lew does not apply to an owner ol properry who builds or improves iherean, antl who contracis for such project with e contractor(s) . license pursuant to tha Contractors License Laws.). ❑ I am exemy t under sec. Signature: //z� Owner ID venfietliiy dnvers Ilcense. Vedflcatlon of Ownership by (type ot Business end Proteuions Code tor ihis reason: Date: -O$ O d is ❑ No Driver's License No. � Eapires: - fl• i.e. - property t� bill or aeed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in tlepth into which a person is required to descend, will 6e matle in connection with work euthorized by t�is permit, end that no building siructure, scattoltling, felsework, or demolition or dismantling Ihereof, will ba more than thirly-six (36) teat high. (Chap. 3.2, Grp 2, Atl 2, Sec. 341, Title B, Celifomia Adminisirellve Cotle). ❑ Ps owner-buildar, I will not employ anyone to do work which would require e pertnit from the Division of Intlustrial Sefery, as noted above, unless such person hes e pertnit to tlo such work from iha tlivision. Signature: Date: Divlsion oi Intlustnal Satery Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENiHY: I certity untler penalry of perjury ihat I have read this application end state that the infortnation given is correct. 1 agree to comply wlth ell slate laws and city ordlnances relating to building construction, and authonze representatives of ihe Clty ot Gosta Mese to enter upon ihe above-described property tor inspection pur/pp��es. I agree not to occupy or allow occupancy of eny building authonzed by this permit unlqf/in'a/l y"��,s/pe`ction. '7 l.� / /� � //(/// V `7 " nature Ot egal Owner(s) Dake ,� AnNOr Authorized Appliwnt , Date COUE I, INSPECTIONTYPE 1818 Flzetl System Final Fire Prevention 1286 Pool Spa Final 200 Finel Re-Rool 201 Final BIocW(ietaining Well 202 Final Fectory Fire Place 203 204 Final Sign Final Demolition PdIE �� COpE 1 INSPECTION ttPE 206 Final Mechanical 20B Final Plumbing 210 Final ElettriWl 212 Final Fire Preventlon 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy P�IE 1�L5 (714) 754-5273 • Fax (714) 754-4856 • Www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 2804 DRAK� AV Suite No Vicinity: . Status: ISSUED Ap p I ied: 09/07/2004 Issued: 09/07/2004 _ .. ISSUED BY: Parcel Nunmber: 14130108 . " -, -.,, ,.. . � � . Applicant: ALI, NAFEESA;<' " ' ; Address: 2804DRAKEAVE�-� � � � � , , � �� ' " , ' Phone: � 714-545-4105 � � , � � � � COSTA MESA CA ' �Zlp: 92626 5804 " � / � � . - i / � � . � , , � - - - % � � � �/ . . _ '_� � � � \� i �. - _ � ; , � . � , ,\ � .� ' � ,,� '� ;�� '�� ` \ Owner:' ACI, AZAN AND NAFEESA � �' i��`�� Address 2804 DRAKE AVE� � � - � ` ��' . � -i . -a�.' � ' . ' Phone: '�.� � � - , COSTA�MESA, CA Zip: - 92626-5804 � � ��- ; � a � � � � . � , l _ � V �1 ' ' ' . . _ , ' . . . ' `- Contracto'r: �.OWNER-BUILDER � _ �- � " . �� '� � . Address: � � - _ .. ... � . . . , . . . � �, . , - . - ��.� . . . � . � , . . �._ - Phone: - � �� \ . .� � ' . - �,p_ _ . . " , , , � . License: 000000 � ; � Arch / Eng,: � , _ . � . . .� ,_i: _' _ .�_ . . : , � � �'.':•�; � � - � �. . �� n ' � Address: . � - � ` - - - - ' � ' . -� �� _ . . . . � , � ; . , , � - Phone: , ' ' '._.-'__ - __ZiP�� _'. ... ' - .. , - � , � - �. - ` license: � , . i - , . t � ' SCOPE OF PERMIT � � %i � ' ` • CONSTRUCT A 212 SF KITCHEN ADDITION AT THE REAR/NORTHSIDE OF AN EXISTING ;�;� �i � ! � '•' ` SINGLE-STORY SFD. WORK TO WCLUDE,EXPANSION OF THE EXISTING DINING ROOMJNTO THE �. �r -� � -" EXISTING AREA OF THE KITCHEN WITR THE CONSTRUCTION OF THE NEW KITCHEN.>THE ROOF WILL� �. ', �� ,EXTEND TO COVER A NEW 40 SF PORCH. REF.: B04-00824. -� �;i �' �' ' � - ,. � ' . ;.'�r: i . /.':. �' ` � PWMBING TO INC6UDE: 2 KITCHEN SWKS, 1 WATER PIPING AND��1 GAS (1-4 OUTLETS). •.. � , , . � � � FEE SUMMARY " ' •� . ' � ✓� i ; � � � �i / � � ; AMT- QTY �� ` - � , - � ^ AMT - °-QTY � ; ;, � � � � / AMT QTY ISSUE FEE � � �$23.50 . - Laundry Tub %:Washer�` � $0-00 ' -0 ��-. Sump P_umpi ;'�� $0.00 0 Backflow irrigation �$0.00 0 , �Landscape I«igation $0.00� 0 - � � �\Swimming�Pool/ $0.00 0 Backflow Preventer 50.00 0 - P-Trap^ �, , 50.00 .% 0�� - Trap.Primer,� 50.00 0 Bathtub 50.00� 0, �, � Pressure Reguiator ��Ol00 --0�� - Urinal�.� 50.00 0 Clarifier System $0.00 ,0-- � Process.Piping (per 10 ft) $0.00 �0` �� ' Nacuum Brkr Bkflow(1-4) $0.00 0 GOnnect Qce,Soda,elc) 50.00 0' .� '_ReCeplOrS ''30.00 0-'- J`J Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 �-� Septic�Tank --- _- _ ---50.00",�= 0� �� !� Wash Basin $0.00 0 Dishwasher 50.00 0 Se'wervCap for Demo"� �'' '$0.00. —0 � Wash Basin Set $0.00 0 � Draiq Floor $0.00 0 Sewer Connect '- 50.00 0 Waste and Vent System 50.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: ln order for the work autnorized under this permit to be considered legal, such work musf comply wifh all applicable codes, antl all requlred Inspectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permitr FOR INSPECTIONS CALL: (714) 7545626 2d46-06 (6/00) WORKERS'COMPENSAnON DECLARATON: I hereby aHirm under penalry of perjury one of the following declarations: � I heve end wlll meintain e ceniticate ot consent to selbinsure tor workero' compensallon, as provided for by sadion 3700 of the Lebor Cotle, for ihe peAortnence of the work 1ar which this permit Is ISsueC. ❑ I hava entl will maintain workers' compensa6on insu2nce, es required by section 3700 of Ihe Labor Cotla, for t�e pertoimance of the work tor which this pertnit is Issuetl. My workers' compensatlon Insurance carrier end policy number ere: Carner: Polity Number: (Thfs secUon need not be complefed /l Me permil ls valued et one hundred dollars ($ f 00) or less.) in ihe per m lews at DOLLARE (5100.000). of the work for which this permit is Issuetl, I shall not employ eny person in any manner so as to become sublect to ihe workers' , end egrea that ii I shoultl bewme subject to Ihe workers' compensation provislons of Section 3700 of t�e LeDor Code, I shell torthwlth �-� � Dete: - � `� �� RS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL Sl/BIECT AN EM `{ R�E ?o CPIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED lIXJ TO THE WSi OF COMPENSATION, DAhNGES PS PROVIDED F-0R IN SECTION 31W OF TME LABOR CO�E, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLAPATION: I hereby aXirm thai l em licensed under provisions oi C�apter 9(commencing with Section 7000) ot Division 3 of tha Business and Professions Code, and my license is in tull tarce end eNecL Lic. q Cless # Contrectors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby eflirtn Ihet there is e construction landing agency for the peAortnance of ihe work tor which �his pertnit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: 'I SigneNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry ot perjury that I em EXEMPT FpOM TME CON7RAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business anA Professions Cotle: Any ciry or counry which requires e pertnit to consiruct, alter, improve, demolish, or repair any siructure, prior to its issuance, elso requires the applicant for such pertnit to flle e signed stetement that he or she Is Iicensed pursuant m the provisions oi the Contrecrors License Law (C�apter 9(wmmendng with Sectlon 7000) of Dlvislon 3 of iha Business end Profeuions Code) or ihat he or she is exempt therefrom end the besis tor the alleged exemption. Any vloletion of Section 7031.5 by eny epplicent for a pertnit sub�ects the epplicant to e civil penelry of not more than five hundred dollers ($500).): :�) I, as owner oi the property, or my employees wlth wages as their sole wmpensation, WILL DO THE WORK, antl the structure Is not intended or ofleratl for sele (Sec. 4. f 7044, Business end Professions Cotle: Ttie Contractors License Law tices not apply to an owner of properry who builds or improves theraon, and who tloes such work S himself or herself or ihrough his or her own employees, provided thet such improvements are not imendetl or oHeretl for sale. If, however, the bulltlinq or improvement Is sold wit�in one year of completion, Ihe owner-builder will heve ihe burden of proving ihat he or she did not 6uild or improve for purpose of sale.). ' ❑ I, as owner of the proDerty, em E%CLUSIVELV GONTRACTNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7046, Business entl Professions Cotle: The cantractors LJcensa Lew does not apply to en owner oi property who builds or improves thereon, end who coniracts tor such projeci with e coniractor(s) �licensa pursuant to the Comrectors License Lews.). sec. b.,,�wn�,pfJD:verlffed by tl�j'var's license. Vedficatlon ai Ownerehip by (type ai Business end Profeuions Code tor ihis reason: s ❑ No i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAI SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenify thet no excavation ilve (5) or more feet in tlepih Into which a person is requiretl to tlescend, will be made in connection with work authorizatl by this permit, and that no building sirucNre, scaHdding, falsework, or demolition or tlismantling ihereot, will be more than thirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, 71Ue e, Celifornla Administrative Code). ❑ As owner-Duiltler, I will nat employ enyone to tlo work which would require a Oermi� trom Ihe Division of Indusirial Sefery, as noted ebove, unless such person hes e permil Io do such work from the division. Signeture: Date: Division ot Intlustrial Satery Pertnit Number: CERTIFlCATE OF COMPLI/WCE AND AUTHORVATION OF ENTAY: I cenity under penalry of peryury ihat I �ave read ihis epplication and state that the information given is correct. I agree to comply with all state laws end ciry ordinances relating to building construction, and euthorize representatives ot ihe Giry of Costa Mesa to enter upon Ihe ebove-d�scn ed pr� y I�nSpaction purposes. I egree not m occupy or allow occupancy of any building authorized 6y t�s,per�it until tinal inspection. , IV � � I7 I�� T�� ig WrelQfLegali�'ner(s)a� Date"'�F w�.. � AnNOr Auihonzed Appliwnt Date COOE �, IHSFECTIONTYPE Qd¢ U�L�a 1616 Fi:ed System Final Fira Prevention 1288 Pool Spe Final 200 Finel RB-Raaf 207 Finel Block/Reteining Wall 202 Final Factory Fire Place 203 204 Final Sign Finel Demolitlon CODEt MSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Finel BuildingiOccupancy PdIE It� (714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2804 DRAKE AV Suite No Vicinity: KITCHEN & DINING ROOM Parcel Number: 14130108 Applicant: ALI, NAFEESA Address: 2804 DRAKE AVE COSTA.MESA, CA , ownec ALI, AZAN AND NAFEESA Address: 2804 DRAKE AVE � �ii� -. . ,., COSTA MESA, CA �i - Co ntractor: O W IV E R-B U I LD E R � Address: . � MECHANICAL PERMIT Phone: , 714-545-4105 Zip: 92626-5804 Phone: Zip: 92626-5804 "Phorie: 2ip: License:000000 Status: ISSUED Applied: 04l04/2005 Issued: 04/04/2005 ISSUED BY: �� .��,A - � �. . � � �, . . . . ��, SCOPE OF PERMIT CONSTRUCT A 212 SF KITCHEN ADDITION AT. THE REAR/NORTH SIDE OF AN EXISTING SINGLE-STORY SFD. WORK TO INCWDE�EXPANSION OF THE EXISTING�DINING ROOM INTO . THE EXISTING AREA�OF THE�KITCHEN WITH THE CONSTRUCTION`OF THE NEW KITCHEN. THE ROOF WILL EXTEND TO COVER A NEW 40 SF PORCH. _ 1 REPAIR/ALT COOLING/HEAT, 1�HOOD W/MECH EXHAUST � REF:B04-00824 � - � � --- � ' ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace- , '� Hood w/Mech Exhaust � VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000c(m Floor Furnace c]uantiry $23.50 $0.00 0 $0.00 0 $13.70 1 $0.00 0 ,'. $0.00. 0 � , . � $0.00'"'-�0 '` . . $0.00 0 $0.00 �,�0 . - -,$10.65 -�1 - � - - $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 Quantity Repair/AltAbsorbtionUnit �'�' $0.00 0 , RepaiP/AltRefrigerationUnit - � �$0,00� 0�. - : - �Ventillation System � -i -� ! $0.00 0� � � �EJaporative Cooler � �'$0.00 �0 � - C,ommercial�lncinerator '" $0.00 ', 0.� . Domestic Incirieratoc _,, �„ �" � ' �, . $0.00 � -,0 , � Compre55ofs'/-Absofpti0n Systems' -. � .. Up to 3 hp / 700 k BTU '� � $0.00 %� 0 -. 3To15hp/SOOkBTU-_�-. �'�' � $0.00 0 - , ,15 To 30 hp / 1,000 kBTU � ; '. $0.00 0 - 30 To 50 hp / 1,750 k BTU - � : "' $0.00 0 Over 50 hp / Over 1,750' BTU �. � -' $0.00 0 Boilers . � . � ' ' , Up to 3�hp- � ; 3 To 15�hp - � � � � 15 ta 30 hp .'� - ' . � 30 to 50 hp ' Over 50 hp� � ""- � - Other Mechanical Fee 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapaetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . zaas�as (s�oo� WORKERS'COMPENSAnON DECLARATON: I hereby ettirm under penalry of Perjury one ol the following tleclarations: ❑ I heve end will meintain e certificete ot consent to self-Insure lor workers' compensetlon, as provitletl br by section 3700 of tha Lebor Code, tor the performance ol the wark tar which this permit is Issued. � 1 have end will meintain wo�kers' compensellon insurance, es requlred hy seclion 3700 oi the Labor Code, for the perfortnance of the work for which this pertnit is issued. My workers' compensetion Insurance cerrler end policy numbar are: Certier. Policy NumDer. (ThlS section need nof be completed i! tAe permif is velue0 af one hundred dollers ($f 00J or less.) �� I certity that in the pertortnance of ihe work for which this partnit is issuetl, I shell not employ eny person in any manner so as to becoma subject to the workers' compansetion laws ot Ce' omia, and egree t t If I should 6ecome sub�ect to the workers' compensation provisions of Section 370 of the Labor Code. I shalllorihwith comply vrith these r'si s. p � �a: --"-- �� o� u,I 4� I � � WAR ING� FAILUFE TO SECUPE ORKERS' COMPENSATIqJ COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOVER TO CPIMINAL PE ALTI S AND CIVIL FlNES UP TOONE HUNDRED T110USAND DOLLARE (5100,000), I ADDITION TO THE COST OF COMPENSATION, OAALIGES AS PROVIDED FOR IN SEGTION 31060F iHE L4BOR COpE. INiEREST, AN0 ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensad under provisions ol Chapter 9(commencing with Section 7000) ot Division 3 0l ihe Business and Professions Cotle, and my licanse is in full forCe end eRect. Lic. a Cless a Coniractor's�Signature: Dete: CONSTAUCTON LENDING AGENCV: ❑ I hereby attirm that Ihere i9 a construction lending agency tor the pedormance of the work lor which t�is permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lendar's Addres5: Signature: Deta: OWNER•BUILDER DECLARAY�ONS: I hereby ettirtn that under penelry ol perjury ihet I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professlons Code: Any tlry or wunry whiU fequires a permit m construcl, aller, improve, demdish, or repair any stmcWre, pnor to its issuance, also requires ihe appliwnt for such permit to file a signetl stetement ihat �e ar s�e is Iicensed pursuent to the pmvisions of the Contrectors License Law (Chapter 9(commencing wit� Section 7000) ot Divisio� 3 oi the Business antl Professions Code) or thet he or she is exempt Iherefrom end the besis for t�e alleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjects ihe epplicant to e civil penalry of not more than five hundreA tlollers ($500).): � es owner of the properry. o� my employees with weges es their sole compensation, WILL DO THE WORK, and ihe structure is noi intentled or oHeratl lor sale (Sec. -� 7044, Business entl ProfeSsions Cotle: The Comraciors License Law does not apply lo en owner oi property who builds or improves Ihereon, an0 who eces suct� work himselt or hereell or t�mug� his or �er own employees. provided �hat such impwvements ere not intenaetl or oftered tor sale. If, however, the buildinq or improvement is sold within one year of comPletion, the owner-builtler will �ave the burden ot proving Ihat he or she did not �uild or improve for purpose of sale.). ❑ I, as owner ol the pmperty. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to con5tmct the projeq (Sec. 7044, Business and Professions Cotle: The conirectors Licdnse Lew tloes not epply to en owner ol pwperty who bulltls or Impmves ihereon, and who contracis tor such Oroject with a contractor(s) license pursuant to the Contrectors License Lews.). ❑ I em ezempt ur(Aer sec. Business and Professions Coda lor ihis reason: Ov�'ne�ed b tlriver's licensa. �Ves ❑ No Drivels Licensa No. � � Exp r,e � D� Venfication oi Owne ship by (typa af tlocument, i.e. - properry tex bill or deed): DIVISION OF INDUSTAIAL SAFETV PERMR CERTIFICATION: � I hereby certify Ihat no excevetion five (5) or more teet in Cepih into which a person is required to descend, will be made in connedion with work authonzed by Ihis pertnit antl Ihet no building structure, scaflolding, talsework, or tlemoliiion or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 3a1, Title 8, Calitomia Atlministrative Code). ❑ A5 owner-builtler, I will noi employ anyone to tlo work which would require a pertnit trom the Division of Intlustnal Salery, as noted above, unless such person �as a pertnit to do such work fml� lhe divisian. Signaiure: Date: Division oi Industnal Safery Pertnit Number: CERTIflCATE OF COMPLJANCE AND AUTHORVATON OF ENTRV: I cenify under penalty of perjury ihat I have read this epplication and state �hat Ihe information given is cor�ect. 1 agree to c mply with 011 state laws antl city ordinances releting to bullding construction, end auNonze representa6ves of the Ciry ot Casta Mesa to ente� upo� tha aDove-tlescnba ar pert� y tQ/or`nsPec' r�oses. I agrae not to occupy or ellow occupancy ol any building euthorized Dy this permit un�i al i/r�spe� n. � � / •r I J Signa re Ot'Legel'Owner �" ' �Da And�Or AuthonzeA Applicanl Date COUE �, INSPELTONTYYE 1616 Fizetl System Final Firb Preveniion 1286 Pool Spe Finel 200 Final Fe-Rooi 201 Flnel BIocWReteining Wall 202 Final Factory Fire PIacO 203 Final Sign " 204 Final Demolition OATE �@ �QQ[j INSPECTIONiYPE .. . 206 Pinal Mec�anical 20B Finel Plumhing 210 Finel Electrical 212 Final Flre Prevention 220 final Planning Approval 222 250 Final Si�e Final Builtling/Occupency Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: Owner: Address 2804 DRAKE AV NEW KITCHEN ADDITION 14130108 ALI, AZAN AND NAFEESA 2804 DRAKE AVE COSTA MESA, CA ALI, AZAN AND NAFEESA 2804 DRAKE AVE COSTA MESA, CA ELECTRICAL PERMIT ISSUED BY: Phone: 714-545-4105 Zip 92626-5804 Phone: 714-545-4105 Zip: 92626-5804 Contractor. OW N ER-BU I LDE R Address: , , ' � ' . . .. .. . , '. Phone: Zip: License: 000000 Status: ISSUED Applied: 02/28/2005 Issued: 02/28/2005 SCOPE OF PERMIT ELECTRICAL PERMIT FOR NEW 252 SF KITCHEN ADDITION: INSTALL 24 LIGHT FIXTURES, 12 RECEPTACLE OUTLETS, & 12 SWITCHES. - REF: B04-00824 FEE SUMMARY . - Quantity � Quantity - ISSUE FEE $23.50 Temp Dist System / Lighting $0.00 0 Temp service test $0.00 Busway /]00 ft'_ $0.00 0 . Res. a/c package $0.00 Standing Section � $0.00 - 0 New Res (1-2 uniLs) $0.00 0 , ��'Misc Electrical Equipment �$0.00 ,� A New Res (3+units) $0.00 0 " , Transformers up to 1 kva/kw $0.00, .�, .0 ., ; Pool / Spa $0.00 0 � .............�.r:up to �10 kva/kw $0.00 � 0 ' Lighting FixLs $24.92 _ 24 .....:...........up to 50 kva/kw .. _ $0.00� 0 Recept OutleLs $13.20 � 12 � .................up to 100 kva/kw $0.00 0 Switches $13.20 �12 ..................over 100 kva/kw $0.00 � � 0 Non Res Appl � $0.00 ' � 0 Low Voltage Equipment; .' ;, $0.00 � " � 0 - Res Appl � $0.00 -� ��0- � , ' Low Volt Wiring System / Ckt � $0.00 �. `- 0 ' Service to 200a . $0.00 . 0 . Misc. Conduit - . $0.00 � � 0 , ' Service to 1000a $0.00 0 �- � Misa Conductor � � � $0.00� '0 Service over 1000a $0.00 ' 0 � � Circus ( gen or ride) , � . $0.00, � � 0 � Motors to'Ihp $0.00 " 0 , Circus (mech ride or lights) $0.00 ' 0 Motors to 10hp $0.00 , 0, � - Christmas Tree Sland � ,,$0.00 '� 0 Motors to SOhp $0.00 _ . 0 _ , � Fireworks Stand � � . � $0.00 0 Motors to t00hp $0.00 , 0 � Other Electrical Fee �� G�' �� $0.00 Motors over 100hp $0.00 0 ' - - - --�.i- �" - Communication drops $0.00 0 . "Investlgation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 NOTICE: The work authorized by ihis 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 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 24a6-d6 (W00) WORKERS' COMPENSA710N DECLARA710N: ' I hereby ettirm under penalry ot perjury one ot iha lollowing tleclaretions: ❑ I have end will maintain e certifiwte of wnsent to self-Insure tor workers' compensation, es provitlad for 6y section 3700 ot the Lebor Code, for Ihe peAormence ot ihe work lor which this pertnit is issuetl. ❑ I have end will maintain workere' compensetion insurance, as raquired by section 3700 oi the Lebor Code, for the peRormance of ihe work for w�ich this pertnit is issued. My workers' compensatlon Insurance carrler en0 policy num6er ara: Carrier: not oNess.) Policy Number: Q I.tenily that in iha peAormance ot the work for which this pertnit is issued, I shall not employ eny person in any manner so es to become subject to ihe workers' compensation laws of Celitomia, antl egrae Ihet it I should bewme suD�ect to ihe workers' compensation provisions of Section 3700 of Ihe Lebor Coae, I ahall forthwith comply wilh these p visions. �/ � �.Y—c c � Appl�nl.SgnaWre: ` �etey� WARNINO: FAILURE TO WORKER ' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TOCRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSANDOOLLARE(4100, ),INADDRIIXJTOTHECOSTOFCAMPENSAiION,DAAMGESASPPOVIDEDFOFiINSECTIIXJ37060FTHELABORCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRAC70RS DECLARATION: � I hereby atlirtn Ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Cotle, end my license is in lull torce and aNecL Lic. N Class k CONrectoYs Signeture: Dete: CONSTRUC710N LENDING AGENCY: ❑ I hereby aflirm that there is a consiruction lending agency for the perfortnance ot the woAc for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lendefs Address: SignaNre: Date: OWNER-BUILDER DECLARA710NS: I hereby eltirm Ihat untler penelry of perjury Ihat I em EXEMP7 FROM THE CONTAACTORS LICENSE LAW tor tha following reason (Sec. 7031.5, Busineu end Professions Code: Any ciry or counry which requires a pertnit to coretruct, alter, improve, tlemolish, or repair any strucWre, pnor to its issuance, also requires the appliwnt for such pertnit to file e slgneC stetement Ihat he or she Is Iicensetl pursuant to the provisions of tha Contrectors Licanse Lew (Chapter 9(commencing wl�h Section 7000) of Division 3 ot the Business and Professions Code) or Ihat he or she is exampt therafrom and the basis tor t�e ellegad enemption. Any violation of Section 7031.5 by eny epplicent tor a permit subjecis ihe epplicant to a civll penelty of no� more then tiva hundred dollers ($500).): ❑ I, es owner of ihe property, or my employees wlih wages as ihelr sole compensation, WILL DO 7HE WORK, end the structure Is not Intended or oNered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of proparty who builds or improves Ihareon, antl who does such work himselt or herselt or ihrough his or her own employees, provided thet such improvements ara not imended or oHeretl for sale. If, howeveq the building or improvement is �old within one year of completion, Ihe owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose oi sale.). �' I, as owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sac. 7044, eusiness entl Professions � Cpde: The comractors Llcense Lew tloes not apply to en owner oi property who builds or Improves iheraon, end who coniracts lor such project with a contrector(s) license pursuant to ihe Contractors License Lews.). ❑ I am e mpt unaer s Business and Professions Coda for this reason: 6ignaNre u� � � � i �� . Owner ID ve ' Dy drivar's license. [-Yes ❑ No Drire�en9e,No. / Verification ol Ownership by (type ol documem, i.e. - pmperty tac bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in depth into which a person is requiretl to descend, will be made in connection with work authonzad by this pertnit, and ihai no building structure, scaflolding, falsework, or tlemolition or dismantling ihereoi, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tltle 8, Califomia AdminlsiraWe Code). � ❑ As owner-builder, I will not employ anyona to do work which would require a permil from Ihe Division of Industnel Safery, es notetl above, unless such pereon has e permil to do such work irom ihe division. Signature: Date: Division of Industrial Satery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMRY: I certity under penalry ot perjury ihat I have read this applicaiion entl state Ihat the infortnetion given is correct I agree to compty with all state laws and ciry ordinances relating m building construction, antl authonze representatives ot the Ciry of Casta Mese to enter upon the ebove-tlescribed prope or inspection Du es. I agree not to occupy or ellow occupancy oi eny building authonzed by Ihis pertnit u I final in ection. • � �12�e�5. Signetu�,.w,y�oY�ner(s)�,:•... 6�oat ""�"' And/Or Authorized Applicam Date COpE I, INSPECTIONTYPE � QL1jE �NTIiIqlS 1616 Fixed System Final Fire Prevention 1268 200 207 202 203 Pool Spe Finel Finel Re-Rooi Flnal Block/Retaining Well Final Factory Fire Place Finel Sign 204 Final Demolition CppE1 INSPEGTIONTYPE 206 Final Mechanical 208 Final Plumhing 210 Final Electncal - 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Buildin<yOccupancy Q� 1'TL�S � S�� (714) 754-5273 • Fen (714) 754-4856 CITY OF COSTA MESA BUILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 2804 DRAKE AV Suite: Vicinity: REAR OF PROPERTY Parcel Nunmber: 14130108 Applicant: ALI AZAN & NAFEESA Address: ownec .ALI'AZAN & NAFEESA' Address' ^2804 DRAKE AVE _ �i , , % /I ' � � � � �� ,' COSTA MESA, CA_ � ^, Coritractor: - .. ' ,,. i.� Address: ' " � ., Z�P Arch : ' Address: BUILDING PERMIT Zoning: R1 Phone: Zip: R1 Phone:� (714)545-4105 � Zip: 92626 Phone: License: Eng: Address: Phone: � ? '•�`Zip � .-License: Zip: �� % ` , ,' SCOPE OF PERMIT 65' LONG 6' HIGH BLOCK WALL ALONG REAR PROPERTY LINE (NOT SHARED). � FEE SUMMARY � Plan Check: $27.95 Permit:, $43.00 SMIP Res: $0.00 :SMIP Com: , $0.00 � �� ,Other`. , $0.00 Inspection: $0.00 Total: , $70.95 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 06/10/1999 Issued: O6/10/1999 Phone: License: h ' .• � $1,300.00 $1,300.00 + 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, § 1, 1241-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or i} 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 ell requlred inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: — — � I hereby eXlrm under penelry ol perjury one of the tollowing tleclarations: � ' ❑ I heve antl will maintain a cetlificate of consent to self-Insure for workers' compensation, es provided tor by section 3700 of the Labor Cotle, tor the peAortnance of Ihe work lor which this permii is iuuetl. ❑ I have and wlll maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, for the peAortnance of the work for which Ihis pertnit Is issued. My workers' crompensation Insurance wrrier and policy number are: Carder. • Policy Number: (This secf/on need nof be completed i/ the permlf Is velued ef one hundretl dollers ($100) or less.) ❑ I certify that in ihe pertormanca of the work for which Ihis pertnit is issued, I shall not employ any person in any manner so as to become subject to lhe workers' compensation laws of California, antl egree that if I shoultl become subject to the workers' compensation provisions of Saction 3700 oi �he Lebor Coda, I s�all forthwith comply with ihese provisions. Applicant Signature: Dete: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUeJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDRION TO THE C0.ST OF COMPENSATION, DMMGES AS PFOVIDED FOR IN SECTION 3]O60F THE LABOR fADE, IMEREST, AND ATTORNEV'S FEES. � LICENSED CONTRACTORS DECLARATION: 1 hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full brce antl eflecL Lic. q Cless N Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that lhere is a consiruction lending agency tor ihe pedormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lentlets Name: Lender's Address: Signatura: Date: OWNER-BUILUER DECLARATIONS: I hereby affirm that under penalry ot perjury ihat I am EXEMPT FROM 7ME CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnit to construc�, al�er, improve, tlemolish, or repeir eny siruc�ure, prior �o iis issuance, also requires the applicent tor such permit to Hle a slgnetl s�atemeN thei he or she Is licensed pursuent to ihe provisions ot Ihe Coniractors Llcense Law (Chepter 9(commencing with Sectlon 7000) of Divlslon 3 oi Ihe Business antl Protessions Cotle) or thet �e or she is exempt iherefrom end Ihe basis tor Ihe alleged exemption. Any vlolation ol Section 7031.5 by eny epplicent tor a permit sub�acts the applicant to e civil penalry oi not more than five hundretl dollars ($500).): �� I, as owner of Ihe properry, or my employees with weges as their sole compensation, WILL DO THE WORK, and the structure is not intended or oHeratl for sale (Sec. 7044, Business antl Protessions Coae: The Contractors License Ww does not apply to en owner of properry who builds or improves thereon, entl who does such work himself or herself or through his or her own employees, pmvitletl that such improvements ere not intentled or oHeretl for sale. If, however, the building or impmvemem is sold within one year of completion, Ihe ownarbuilder will have the burden of proving ihat he or she did not build or improve tor purpose oF sale.). ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professlons Code: The contractors License Lew tloes not apply to an owner of properry who builds or improves thereon, and who contracts tor such pmject with a contrecbr(s) license pursuani to the Contraciors License Laws.). ❑ I am ezempt i Signetura: � Owner ID verifietl by Verification of Ownei Business and Professions Code for this reason: �� _ Date: ' � d � license. ❑ Y ❑ No Drivers license No. Ezpires: by (fype of document, i.e. - property tax bill or tleetl): UIVISION OF INDUS7RIAL SAFE7Y PERMIT CEHTIFICATION: . ❑ I herehy certity Ihat no excavation tive (5) or more feet In tlepth into which a person is required to descend, will be made In connection wiih work authonzed 6y ihis permi�, antl Ihet no builtling sWCNre, scaRolding, talsework, or demolition or dismantling thereof, will be more Ihan Ihirty-six (36) teet high. (C�ap. 32, Gry 2, An 2, Sec. 341, Ttle B, Celitarnia Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require e permit irom the Division oF Indusirial Safery, as noted above, unless such pereon has a permit ta do such work from the division. Signature: Date: Division ot Indusirial Sefety Permit Number: CERTIFICATE OF COMPLJANCE AND AUTHORIZA710N OF ENTRY: I certity under penalry oi perjury that I have read this application and state that the information given is corract. I egree to comply wl�h all state laws antl ciry ortlinances relating to building constructlon, and authonze representatives of Iha Ciry ot Gosta Mesa to enter upon Ihe above-desqribe pwperty tor InspectipnyuIDoses. I agree not to occupy or allow occupancy of any builtling authonzed�y�his pertnit n ti�final inspection. i Vcl �T�r� e l o- i Signature Ot L�gel Owner(s) Date And/OrAuthorized Applicant COUE �. INSPECTIONTYVE 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Flnel Block/Reteining Wall 202 203 204 2448ds Final Fectary Fire Place Final Sign Final Demolition, p�g IMIf1AL5 ? L%�PR 'G� COOEI INSVECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupan� PAIE CD � • TWS SKEl�I IS FOR WFORMATIONAL PURP066 • SOLID WALLS/FENCFS BEf WEQJ 2'�6' k 6' PJ }ff7CHT SIiALL ONLY. APPLICANT IS RFSPONSiBLE FOR PROVIDING BE SEI'BAIX AT IFASf 10' FROM FRONT PROPERTY LINE. AN ACCURATE REPR6FNfA7ION OF 7}�IR PROPER7Y � IN USE ii� SHAPE AND SIZE DO NO'I' ODRRESPOND • SOIm WALIS/FFN�S SHALL NOT H7(�D 2' 6' IN F�7GHT /��WCfH TI-IE � ORMA'[70N PROVIDID ON THIS S7-IEE[. WRf�I 1V OF hIE FRONf PROPER'IY IAIE (NOT NRB LWE). /rN`) /' 1'u �� 1 1J� CITY OF COSTA MESA PLANNING DIV. 9JECT TO BLDG. DEPT. REG. RE9DEMCE 1 '. .""'"".... \ �__ RE90EMQ • VER�Y DSfAN� FROM NRB TO PROPERTY LQJE AND SHOW ON P[AN�. VFgR.gQ�p7�GIION F�ROM T�HE{ QIYS � �iTf'�t�UfL� Jtli�i�� y O� c;OSTA MESA AY'�'P.C?4�I:� This se? nf plans and speci(ic�tirns PkC;;T t.f: w:p! on th�s job m..�s��Can a-��;;. c.h�an•:;;�s or � f2ts;ic„ c,, sor: :• .;cw,t Nm,tte� parm�. •�'��w��•.iu•:'�� '� �ha 5,�� g �, �h cf ihe � iolziion ci ThaS: � lans ar.i F vr:d: is :c? �:,rm<. of a^� Cii, oi Cc,t e �;� iimifa:�,a anG i �?S"!�te r�r U8C WC90ENfZ RE90UiQ RE9DENCC :o / � is u� � a}1ul 1; andlor S^?t le.�r. I it tnc bui! �rg cr L'd}'S Ci Fw, lIC". � BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION F. " ' ,. TYRICAL CemeatCopin90puonal � ChannelBbck With 1�3/8� Nori:ontal Top o� all Fences For Fencea 5' or Less �- Ven. Bars 3/8"yS at 4' �0" O.C. � For Fmces Higher.Lhan 5' - -� Vert. Ban 3/B"� at 32" O.C. � Fill Cells Solid With Grou[ WAere Steel Occun Rcinlorcing Strel Shall Conlorm to Sec.A�15�39 A.S.T.M. All Steel to be Lapped 24" or to Code NATURALGRADE ,�.� � � J.�; .,$.!(�: � TWO 7/8"O BARS � CONTINUOUSIOV d BOTTOM HOQ�3-STEEI MUST BE TIED IN PLACE AT TIME OF TRENCH INiPECT10N. , rz z � 1� F u � W Q > Z a i � W O u �- Z w n LL �� n '� ry � n - - D L � �i ��. — K'IOTH SEE CMa BEIOw 6�� CONCRETE BLOCK FENCE GENERAL- NOTES MORTAR: pne Part Plasfic Cement, and Three Parts Sand GROUT: One Parl Cemenf TMee ana One Half Ports S�and COPiNG: pne PaH Cement, Three Ports Sand COVCRETE: Weil M�aed 1:2-I/2:3-I/2 Moti of 7- I/2 Gollens of Water Pe� Sock of Ceme�t GROVT MAV BE POVHED FROM TNE TOV OF TNE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREASOF HOR120NTAL REIN FORCEMENT SHALL BE CLEAR, CLEAN d FREE OF ALL MORTAH DEBRIS, ETC. M CV' C4RTNT(;O1H V! RiE MEiGiH O� �ENCE �BE�IOW BOTTOM OF FOGi�NG SCALE: I/2��= I' FOOTING RE�UIREMENTS CHART WAIL HEIGHT - 6� 5 4� � I WIOTM .. . . . . 14'� . . . . . . .14�� . . . . . . 12�. . . . 12� THICNNESS . . ' .10�� . . . . .10�� . . . 9" 6" DEPiH OF EARTHTOOTH 24" . 20" ..... 16" . 12" SPACING OF EARTHTOOTH 12' 14� . 16' 16' BUILDING DIVISION Applicant lo fill in all spaces witltin �eavy bortle� lines antl si9n all apprap�iate tleclarations. CITY OF COSTA MESA -' PERMIT NO. �-- ^ •TRACT.N - LOT_NO.- � -BLDG. NO. -- - - . . _ __ __ . . _ _ ._ • . CONSTRUCTION PERMIT �-'a f? � �•,�-3��I 25 ' • :� - , , ""r _ .,• ; �ProiectAddress�� ' 2�K� �.�, -� TYPEOFC�O./NSTRUCTION I' ' � "�� -'•' � �1,� �' , , .w�•'��' • � Ownef � ' � CS'� ' ' ' : - Phone � �O�NEW-/�] ADD ❑ AITERATION - = S� �� - � - � - - - - -Add�e� � __._ _ __ � _�. .�.. `�, � FE'B t 11982 ` , . , • . , • � • . . -:. , /� . . ...� � � _ ..._. ' O REPAIR LJ CONVERSION ODEMOlISH_ ___ , _ __ _ _ ' -.� '-Arch/Eng. --- - _ � . �LicenseNo. _ �OTHER , _ _+' �' _ NING•qEGULATIONS . �J DESCRIPTIONOFWORK � � ' �� '� -' - � � - t j-Addlest . '- -� ' _ " '__" ' ,'-.-. ! . �.�. _ :i .. _. � ._ . . � y._.. _ . .. _ « . PLNG�. REF. $ ' _ ' " ' . � Contractor- -• {- - - - ----� �Phone- - 7ypEOFPERMIT- � -�}- --- - -- - - TpBUILDING _ � } -r'� •� t, TA ' SETBACK l. T. � PROPERTV-LINE ''Address,'�- ��-^�--'->•^� - ,- -- .--- ^^ -_ ==--�-=-- -��GRADING � �O-FOUNDATION -O STRUFTURAL . - �SIDE-VARD � �. - � �LICENSE0.CONTRAGTOR DECLARATION ._� �"_" _ ' � ,'�' 'O_TENANT'O?ELECT.RICAL._OPLUMBING.OMECHANICA LgEpE Vq _ I �. � _ - � ' I hereby affirm that I am Iicense0 untler provisions of Charter 9,(mm- • _�� ,,,�� .,�r , i ' RIGHT � ' -- " � �mencing-with -section -1000)_.of 1 Div�sion .3 -of._the_Bus�ness_antl ❑ OT14ER -� ' Protessions Cotle,�antl my lirense is In full force,antl etyect. '' . 1REARVARO(TO'P/C)' �°"-r --.-- �-_ - PROJECT,DESCRIPTION � � 'LlCenseCla55 JJ�- "- --"�"" "-LiGenseNo: "' .�. ' !.•"" "'--" �'- ' PKG-SP C --^ ^ -- .. . ). • - . 1r �' . : 'S4 FT! • �T G ' � ' . A E REQ. ` � PROVIDED � �. �Date" "'"'' " .. .Si9nature� . --.-�" .. ' • . .: " '-- - -�' - '- ' t '. ' STREET-WIOTH-" ' -' : -PP.RK FEE 8.- '_ ' .�.. a �WORKERSLLOMPENSATION.DECLARAT.�ON . � VALUATION CONST�{ �ZOCNE NTVPE _ r _� ' ' ' ; tl M1ereby affirm that Lhave a terbfitate o( cOnsent to self insure or a 'n � C"'"� - "- ��- � ZONINGAPPROVED BV_�� -DATE ij ��i [99 . � �tt/tlfi�te-ot-Worke�s'-Compen5ation_InSuraPce,.o�.a,certi5ietl`copy ,• .,-t„ -iY�'�� __� _ , _� "' " v C7�- jthereof (Settion 3800, Lab. C.). � _ . GRADING'�CU. VDS. � ACRES � � '�SPECIAL^CONDITIONS:- -' - - -� - • - � ( • i .� . . .y r . _ . 1` � . �PoIicYNo"__ '. ""ComPanY' ".-_"'_'__ '.__.'_"'_"""__ . .�.._._._ _. . _..__......�__'...." - .. . _ ,�,Certifieticopylshereby,turnishetl.,^ �;:,�� REMARKS:�•��_`;' '•' ' '_�_'_.�.__"' .�:.'__ _"'._ - : i :� Certlfie0 copy Is filetl with the city Builtling Division. ' � '-._ " 't"'- ' ' . "" "� " - - - ' �- - .-- 'EXEMPTION"FROM' WORKERS"COMPENSAT�ON•DECLARATION -� - - ��=� '"�-.-I'-. __. � � ' �"�' �' '"1.•��` "'i ' ' ..'"" " . �(Thls section n¢etl not be completetl if the p6rmlt i5 to� one hUntlretl �• �.,� _ �� . � p�iy�.��n � _ - ..�. .�-. .. -� ' (5300) or Iessl,.-' �_". _.':" � ^_� ' "_'" ' �.-.: "..� - ' "' . . . - r v�,.._ � ._ _ _ � _ �. �. '_ _ • - _ , 'i� . �n_ 'r I c¢rtity thdt m the performance ot the wo�k fo� whiCh tha p¢rmit is �. . , , i55uetl, I zhall not employ'any'pe�5on"in-dny fndnn¢�'so'as to become PLUMBING'= '�+.: PLAN CHECK�^ --� -� �---- ,- - �� _. subject to the Worker5' Compensation Laws of Gllfornia.V%� h �� • ^ • �w•�� • � �• � "'jELECTRICA6 - ' �PLAN CHECK �� . �Date � � Si9nature i ' " "' " ��-' -BATHTVBS-'---" "'SHOWERS "-" ' -:- -; -^"'-' " . -'-.-=. . =_ -u � �NOTICE: If aRer makin [his tleclaration, ou sM1oultl become-sub'ecl -TOILETS - URINALS- - � �.` � �GENERATOR - - ' `'._ _ �. 9 Y 1 �,. _ . �s`. . ir� ' 't '0-1 KW=1-lO�KW to the Wo�kers' CorYlpensa[ion provisions of [be Labor Cotle, yuu mu5t . TRHNSFORMER � �l �� ,� � _� �- � y 'tor[hwith wmply with such provi5ions or thi5 Permit shall be tleemetl LAVATORIES OOUBLE �AVS- ��- -, --- -- ..- �qppLIANCE -.- �10 SO.KW_50 « KW. ___. revoketl. ..j__"_`"„_,}"____ r_ __ _,_,___'__ _ _ .-'KITr51NK5"`- ^ -- "'DISHWASHERS'--"'"-' - " 1MOTORS_.� _-_.0-1.HP_1dOHPJ•.. .... �...� • � 'CONSTRUCTION LENDING AGENCV -- - ' ^--' " ^ �I hereby affirm that there is a construction lei�tling agency for the per- SERV ICE SINKS -,-,� -�„SUMPS---^- --^��+- -_-- - __. �(INC 90LAR)___1Or50.HP 50 { HP '��'"�''� �"��,` �^•, � tormance oi the work for which tbis permit is issuetl (Section' 3097 - ' - "- �Civ.:C.l�eC".._'._. '..,'.__' .._'_�._-+..- __"_"._ �"' _ '_' _' _,._ _ �Centler's Nafne '•' ' � � � "FL'OOR'SINKS"^��:�-FL•OOR�DRAINS�- ��-� •}FIXTURES- �OUTLETS�-� _ . _ -_ ..r.-...c:-: �..._.:. . ._..._.�. ...._V.. v._'.. _ _ '"'" _ " "' ' _ . SWI4CHE5 � .. ,�entler'S�Atltlress J�� ~ ' �� - �� 'DRINKING"FOUNTAINS -��i:-- - �-�-� - -- . - ;GASTUBE.SIGNS--.--..-� . _ _ � ; �OWNER�BUIL�ER DECCARATION..=•`� -_.L�". = =r--"=E'-"�'�' � : �' ' .' T � ' '"' _ _" „ _ - ' .� `�INTERCEPTORS - ' c,"CLARIFIERS"'�'^- -^? - - ��POLE�LIGHSS•- I h¢reby af(irm [hat I am eKempt f�om.the ConVac[or'S LiCenSe Law•for �� " - ' -� i the-following+Peason=(Section-7031.5.Busines5 antl':Professions'Cotlei: .,SWIMMING�POOL°�-'�' -�PTRAP -. •- - - i. ' ' Any tity or counfy which requires a perrnit to wnstruct, alter, � •. - �POLES' -""' ""METERE�"- SUB ' - improve, tlemolish-or-repair-any structure, pri0� [o�its i55uance,�also re-, yyqTER SERVICE - � -ACTERATION-�-- -� ---- - PANE65 �-- -- MAIN- - -.--=5U8' �� - -. ' quires Ihe ap� li Wpt�tor such permil-lo,file a si9nee statement that he � - -- � is-licensetl pursuadhCo•the-provi5ions�of..the�Cdritracto'r-'s License.Law. --GAS'SERVICE ' ' OVTCETS' ^�"'-� - �-^^ - -�SERVICE�-.- -- -- -.•• .r -- _-._AMP_:��. :C..._ , y � (Ghap[er 9(commencin9 �+ith SeCtiOn ]000) of Division 3 of the • '" ", .Business•antl•Pro(essions-Cotle)�or-thatheisexempLtherefromantl.the. yyqTER-HEHTERS--:--BTUOUTPVT----� - .---- .-- -- - .. - - ��'�" hr � .basis foc [he allegetl exemp[ion. Any violatlon ofi.5ection 7031.5 by '` � �� ' - ^ -� - _" _ �' _ - - any�applicant-for a�permiLsubjects-�the-applitant.to-a+civil:penalty. --SEWER'CONNECTIONS� --- --- - - - - ____�. _. oyyyyf nol more than fiv2 huntivetl,tlollars ($500)� -r ' - ��_ - t ��u I,- as-owne� of'lhe�prop¢rty,'or my employees'with waqEz as [h¢ir - SOL-AR-TANK�--�-- =COL6ECTORS-� - - •-� - - --.�� --- - � - -- ..- -- - _ ... _ ' '_ � 5ble compensation, will Co the work, antl the s�ructure is not intentletl ' ' " � ~� ' or offeretlTor"sale.� Section']044,-Businessantl'Profezsions'Cotle:'The' � '�'-� " ----•- �- .- ......_. _. _... �"""" '._ � � ( SOLAft PIPINGSYS:�' "' ' - -- � - �--ISSUE�FEE ' " ' !' Contrattor's Lic¢nse L•aw tloes not Apply to 9n owner,bt a property �„ ' . ' � �wh0 builtls or�i�mproves"th¢reon; antl Who'doe5"Such'wo�k.hlmselPO� -' ISSVE FEE ""' "" ",� -' � -" -'i- --- - •APPLICATION APPROV.ED.BY._ , . .� .�'.:�'.L DATE -�' ' through his own employees, provitlCtl Ihat such improvements a�e not " �- ' ' - Intentletl or offeretl tor sale: Jf,-however, th¢ tluiltling Or Irt�provement- - - "' "' - - � .�MECHIINICAL'�' �`aCtirvctiecK"" -('- -"i�-- - - -'--"�SUMMARV'OF�F,EES`-"-'�" �� "- -` is soltl within one year ot completion, the ow��er will have the burtlen- � , � � .�,a i of proving he'-Oitl-noC'build-or;improve`(or'th¢'purpoze ot'sale)v' - ' '-- - • - ---�- -r- � - �-BUILDING... �9 _ "��::'�� .! i0 1,_as_owner_.of_.N¢_property,_am_¢xCluSively.contractin9. with, HEATING SVSTEM 0300,000 BTU ;pERMIT §_�� Q•�/�. ��SMIP,� ,,-�$ � _ ' "_' ..AND�UCTING..,.'_ II_""�_. . _ _ �• d•;_:. ..,:. � :w_.I - _ .. , _ . __ ....__ ._ .� q '.� :.�-- . licensetl mntractors to tonstruct the project (Section ]044', Business 100,000+gTU ��-� -�� .�pLAN CHECK 5��....2�. BERMIT_ .��` �- � K antl-Professions Cotle:_The ContractoCs,license l.aw.eoes.noLapply,to_ _ ' � ' ' _ISSUANCE_ S'�'��= �•• an own¢r of property who builtls or Improve4 thereon, antl who con- REFRIGERP.TION OQ00,000 BTU� � - j PLVMBING E� � � -�; Vacts._from SUCh, p�oj¢CIS..WISM1_d�COfll�dCfO[(5),.IICESfI¢tl ,OUf511df1t to_ _ SVSTEM._�.___. _ D „_,__ � "�GRADING'�'y` � the Conitactor's Litense Law). ' , . 300,000��+'BTV" T � �' -.: ,'=',PLAN C£ ECK�.�. ` -' " �� . - -' `- -"' ' _. . . -.___ _...__..-..�..__ -- J I4� �'Pamexemp[untler5ection--��--- � - B:&P.Gforthis�- �� ---- - -•-.-._____._ •�. �. __.,�. � ' ' ' �[ -• � '��5 �� 5.�" - . ` ^' f ' EL'ECTRICAL E'""-" - � � BOILERS BTV . -' ' -- "' " ' " ' reason - _ _ . ' l..• �` �l� :.� g,.��.. .��'_ 'MICROFILM g..�..,p ^ � � SVSTEM REPAIR, ALTERAT.IOIV `� �� -r - "P�-AN�CH�ECK -$ - � -� -_ _ .______. __._. Date, ' Owner 1 � f " "' . �TOTAL FEE $ ��' � -- --- - MECHANICAL $ _. _ _. _ �1 I hereby tertifythal I M1ave reatl this application antl State thai the above� EXHAUST SVSTEM MULTIPLE �' �! 1 ;� �,�� t� LE55'AD-+, .'� ' ' � Intormatlon�is�mrrect.'I aqree to-comply'w�th all city-antl�munty- �,. - - - .PLAN.CHECKJ$' ' -- VANCEPC -g-- - brtlinances antl sta e IawS reiati g to constructiOn, antl hereby autho�ize n � � -' � : representatives -of-tM1is~city- o-e e� �upon -the a0ove �p en'onetl• - � � �� -- - - - � - -- , � �"�'\ � ...t:' : -. , =.?•1'.� _"•.. �_'T, � '+ � property for in ec i es. / Q�f i - '�/ I Q� G�" - "'- -'- "'- �" ' - . rFINAL FEE S Signahr¢ �dt¢ � '!� � �' "' �_ .. ' _ - .. "' " . . "^" - -"" -.. ._ . . _ _ _ _ . - . ' ' CMF 0865-46 Wqite-Builtling; Canary-APPIi<anq Pink-Accountin9: Goltlenrotl-Assessor ' � ' � �: x _ ,� . ._•, . . , , . , .. _ CONSTRUCTION AND PLANN� �� t _.� I:-.�. ' � POOC & SPA � � . ' � , ' ; .. ' : . ` � �.��t._�,bate\ } . Inspector � " - - . � - ' . ' . . �� Date' - -,' Ins ector �. APPROVALS Permit 6 �� APPROVALS�``�� . Permi{.# '� � P � �. 1. Tem orar,y Electrical Service or:Po '�- " 1'1 . - • -- �� - -- _ - , � P ., �- .-•.,'..� � ` �' 7e.,." .,43...Pool&EquipmentLocation"----`-' _. __ - - � . . � --2. $oi..ipe-Undrgrn ._ ';�:.- :' �.:�-'�,_.._.....,._:��. - V`•ti - - ---- _�-._ . 44._ Steel.Reinforcemenf . .._ '-'.'-- ---'�.. .-- - - -- • -- _ _ y +- 3r - Electrical Conduit UtilityUndrgm -_;��"�,�.��'_��. ; � • � •q�.;;;- _ .. - _ _ _ . ` _ 45: � � Forms �'� � �. ' ' �-- � � • �" 4:--Electrical�Conduit-Undrgrn.�.. _._ -' " �' __46. Electricai8onding- '--'."� � -' �" � - `-- •- - � -- --- � . . . . ._.,:- � .. �„ - ---- -- - - � � � ; tee . ein orce ':_. � '� � �� = ., 47.. Rough Piu'mbiri' & Pressure Test ^� - --- � `-�� `�- - �- , }I 6. Electrical.UFER-Grn ..: _.. __ 48'. APPROVALTO COVER-GUNITF --' - � -' -- - - - �� . - -- •-, � �i . _. . . �: :,.� . � .. ... „ .,.. . ;, .7..-F.00tings.�_...._.'__._,_-_ _�.. __�'C ., � 49. ElectricalConduit-Undrrn -�"-" ' -`' ��`� � �� '^ `^• �^ - ' ° - - i .. . �.cu� n � ��8:-- Foundatiom----•=- -•�- - �-� -- --.-- - _ _ ._.:. .r 50. ,t Gas Ripe,;� Undr mj'Tesi ' ` � ' ' � ,-- --9:---Water Pipe-Undrg�n�---•, _. - -- - - .51._.Backwash_Lines P-Tra ❑��nd� rn � '-- " "'"-- '-" "' � '- � 10: - St�uctural Floor..System. , ,4�• � 52. • AP.P.ROVALTO DECK ' � ' - " "' ' " ` ;-11.-•Property-Sewer-Line�&•Mouse-Connection-.---_-• --• - -- � -- �• � � 53:-Backwash&'Rece tor-F.inal'• .`" ' ' .'^•' ' ,_ i'':',� ,� �- 12- - Street Sewer Connection_.r.: _ - _ _ � -. ' y - - �� - 54.- •�H'eater &� Vent Final - 13.- .Rough Plumbing.- '_ " ' ' .. . . . � , -. . .... - . _ _ .�,_. . . . .. . - .' `, " �/ 14. Rough Electrio-Conduit ` �1 � - � - � � :56: Electrical Final �' "� ' ' ' ' ' �+�� F � 15. Rough Electric-Wiring ' "'-" - --" "' ' - ' ' -57. SolarSYstem-Final ,: �,;,;',.,;,, " - ' " ' "" _ � t `16� Rough Heating`&'Air Condiiiomng � _- -_ _ , `- 7' - - -' � °- - '� - - � �encing.&.Access Approval . , ,,, .,,, .. .,, � , . . � , � � � i �17:-. DuctS-in Structure*-� ,s -� - --�- �r�.��*� -�i ; - -! - - -L- - -- _ AP.PROVED �FOR P,LASTERING.; '. � ' �. . .- .; � ' r' . k'.18I�- Ducfs,Ventitating .,-'- -- - -. .. .i---� -=-b . . - - - --- - � - ° - -- -. -. _. �.�,--I_ __.__. . �, . . .� . .__. _ . . > ,^ ' , �. --_ � �60.-POOUSPASYSTEMSFINAL'„ ^,'. �;•;`.<" � .�� .,.�n��' � � 19." Gas Pipe-Rough & Test " � � � - -- � , .Z�,....Roof'Freming--- .•_. -- -- - - t � - - -- - -. __..__ : .._.. .__ . .� . . . , . �fr .-,-., . . , n 21. Roof',Sheathin . � r, �� 3- �- -t- -- -�-- �- -- ----- - . ,�^•'�E :•"'�w,�,r�-:,va , ° - 22. -Frame and-Flashin - - - --- - - ------ - -�" = � _� . . ��.� � , . ,. � • �� •, .. � ',NOTES:' _ `� • k . , 23:- Insulation _. -_ '- _ . - - - � - ' - -'- - - . .. �%e+:-�-- -- ' --d.�-� - '' _� , � 24: Lathin & Sidin ' � � � � , Y . " . ` y "'- ' .'+ - � , . . . _ 9 9 �' ' ' - , '- -�- -- � - - � . -'- ' -' - - -- -- - ' --' --' - „ - � �25'-=�Drywall Nailin9� - - -� -- 'i -r - ,• ---�---- -- -' - - •��: 26:- Plaster Brown Coat �. -- - - - � �- - - •- -- - - - � - -_ � � . , � .. . . . .. • . . �. � t 27� '- Elect�ical Power �MeterFinal - - - � � �-- �� - - - - -- � - � � - - � - � � - � - 28[' Final`Electric� � "' - ---- � - - - -� - � - - � � - - .- - ' ' .� . .• •. • � . ; 29i' Final,Heating &�Air Conditioning� - - - - - ; ---} - -- 1 -- - - " ' G � � ,I, : 30. Final�Gas Pipe-Test- - - --•- ; -t- � - -� � � � . { 31 i Final;Plumbing -- .-. . _ ..- • - .. . . � � _ - • . . ; . . " . � �.32.--�WaterServiceSFinal - - - . "_ . �..-+.. . - --- - - � -- - -- ' .: 4 � .. , 4 ��. ' 33F-=Gas Service-Final-_�.. - ,-. .. �-___ � _ ' ' -- -'. . :_ -� � � .. .. �� .. - � � . , .. t . 34.•� Solar pomestic-Finaf' ' ". " , . : - _ ' _ _ � � � ' � ' . � - �-7 " '35. Landsca e S iinklin S stein _ t � , . � 1 , . -' -. '` ' ,.� � "" ' , � � � ' � ' ' � - ' �i 36. Sound Attenuation - ' �' �'� - �- '�' i j-- . - �'�, .� - . �.-� , . ', � . , �� .� v i 37. HandicaPRegulations ... . ' '� ---._..-- � --°-'-- '�^ - � .�. ,��.� ," . ..'` � � ' � 38. FINAL STRUCTURE & BUILDING , �_- Qa$'j'i.` .. ' ' ' ' ' '"' �= ; 39. -Special•�Requirements Complefeda,�J_ � . . L_ _ � � � � `� - � � '� � � 40. Electric.Release�to Edison ' � `"i��='J•��"` ' �' ^• '� � 41. Gas Release'to Southem California Gas Co.. � ' '�• " • - � - �• � •• � ' ' � • +. �, I; i 42._ CERTIFICATE OF OCCUPANCY - - , "''° � �No: " Date - _ .. - � " ' ' _ AOP��ant to till in all soaees witnin heavY bortler lines and sign all approoriate tleclarations. ' STA�MESA '- ' PERMIT NO. "' � - -'^- . .TRACT NO. -tOT NO.-..- BL-DG. NO. -- - - - - - • � -� . - - ----� . '_. _ . . .. __, UCTION PERMIT f � I (p ' �' � ' � S � �� hp81' 'I /29/82��'�'' "' .23.00 7L 7ect'Address .-n . . ` � .'d-'`, � �.' � +" - ' . � "'... .. _ ' _ �.. j/E r . TVPE OP CONSTRUCTION . . _, 7 � . ;•pi_-, . „ , OwnCf E ' "i - _ � = .. .PhoneS p- ❑ NEW '�'ADD ' O ALTERATION " " . - � . . ' . . ' - ' ' ' "' ' � . . � � . .' . .:. Address= • ' =a`= � � � G� . _ `�.�. _.�.REPAIa �'CONVERSION: �DEMOLISH. _ _ __ . � , ` _ _ . ��Arch/Eng: - - � - - -� � - -License No• - . _ '�'oTHER_'' ' � �' ' �' � ZONING REGULATIONS , � DESCRIPTION OF WORK W A'P' � � ' � � J ' Address _ ' _ � ' ' - ' " ' .' _ __ _ _ _ _ ' _ ' _ ' ` ' ' -� �. .. � .' . '. . .,ZONE � - ' PCNG. REF.,� ., . '--^ . - , � Contractor ''.� -. ' i' N ' - --Phone ' ' • TYPE OF PERMIT,- � � , ' - . -" .' .. - - e o - i � �_�. i � Address �,.'. • � ' � � SETBACK C T. l� � I _ - "� - - - ' ' �! " �" ❑ GRADING ❑' FOUNDATION ❑ STRUCTURAL ---•- ,SIDE VARD - � � �� - -,� - - � LICENSEO:CONTRACTOROECLARATION -� - ""`'!':'' ❑TENANT�IELECTRICAL-�PCUMBING_OMECHAfVICA '�EGHT R 'Y�D�� I hereby aftirm roat I am'1¢epsed untler provivons of Cbar[er 9(com- � - � : � � �, "-' " - ' - � mantln9; with SeCLon' 7000)- oh'DrviSion. 3 of the_.Bu5ine55 :dntl. . � p.THER! -� � �� Profesvons Cotle, 'antl ;,my license is in full force antl effecL ��REAR VAR��(TO P/y '- - - � - f ! s i• + >� � PROJECT DESCRIPTIOM '-` � � ,�icense qass"�- � ' , �� - Ucense No. :-I - � � �i S�A" _'i� " -' ' -" ' " 'aPKG.SPACE"REQ.- - ' P,ROVIDED� _ - . '�.` - Date"'""� "' � Signa[ure'S :. _ ' __ '. ' SQ .FT. ' -�I�' " ' ' -?--- ..- .•STREET WIDTI'I` "" . .PAftK FEE ' WORKERS'.COMPENSATION'OECLARATION �~ V r OCCUPAIVCY"n ' COIVSTRVCTION TYPE `$ -''T ��'` .I hereby„affirm Ihat I bave,a.certitica[e ot consent to selt-insure or a ' ��`� `ZONING APPROVED BY' DATE -N1 � -�icate�ot Workers'-Compensation Insurance, or..a.certifietl.copy � VALUATION•"��'' '"�' ZONE- � � - � -..• , , , �_ L-�� of�(Sectiou 3000,-Lab.�CJ. �� . GRADING CU. VDS.� ACRES � �SPECIAL CONDITIONS:' ' - � - - ' ' '. ' . 'V y _ � Y Nor<.. .. -*_ '" ComPanY ... _'_ ""_ "' - `_ _... "'_'_'.. _.::.- . _ . . _ � . . "' ".. _"_ .. _ _.. .�._ . _ . L'J.Certi(ietl.capy is.hereby.turnishe7. i. REMARKS::.''�� ,'� (� . �+ 1 � 4� �� Certlfietl coPY f5 filetl:with.the'citY Bulltlin9 DiviSiOn. �-- " � - �' ' -" ' ' - .. . �,-.. - - _^-. _. ._ _ _ _.. ._ .. r'- �: ' ...t _. �EXEMPTION'F0.0M'WORKERS•'COMPENSATION DECL'ARATION ' - - ' --ry��- - - (Shis section.neetl.not b¢:completetl it the permit Is for one huntlretl - � � � -� ' (E300) or less). •�,,.�� - a, _" " "_" '_ "_ __-�'-. .---.-"` _ ..:.. 1.T _ �I. ..^.- _ _ __ _ _ _ _ ' _ " ' _� ' 'Ltertif that in the •• •� •. . • ` . ' .. -� . -'... . . - , . . ,. y performance)of the work for which this permrt I5' . . „, �' . , Issuetl, 1"shall noi"em lo'an y ' ' '-�--" '--^' �� --'-- �ECEC7flICAC"'-"""" 'PLAN CHECK - - ' ' " p y y person'in an manner so as to become "PLUM6ING',;,�,t ,.PLAN CHECK � subject to the Workers��Compensation �aws of California. - ' � ' ' � � � '' ' ' '•� ' ' ' ' "" - ' - "" ' -" " -BATHTUBS" ' " ' SHOWERS�� .� . .- - Date Si9nature � - - '- - - � �' ' - - -' " NOTICE: �It a(ter making this tleclaration, you shOultl become�subject =TOILETS �., �.. ,y, �=URINACS'-- - 1- -�---�- .GENERATOR-�--0-1"KW_;1-lO�KW, '" -" �_' to the Workerz' Compeosation,piovisions ot the Labor Code, you must � � -� �� . rTRANSFORMER „ �� r:^.- �� V . torthwith comply witn'such'pravisions or this permit shall be tleemed ,�-AVATORIES DOUBLEL-AVS�-� � j �- -- -.,qppLIANCE" - 30-50 KW_�50+ KW'-- - - �evoketl. • : . ` � ,CONSTRUCTION LENDING AGENCY � • " - ' KIT'SINKS' "- "' --"DISFiWASHERS""- `j•^'-�--- � �MOTORS� : -- �01'FIP^'-"-1-10'HP ' � -� - -' - ' tOmanceaofrhehworkforlwhichnthis�permi[is�issuetl�(Section3097' SERVICESINKS•'..'��y5VMP5'^'�-"�'--��^� - ��(�N0.50LAft)__10-SOHP_SO+.HPi "��" �=� ''_� , �. _ . . ..... .. .__.� CiV. C.) __" _'.'" _' "_.._ _._. . �._'_'_ `"" __ _ _ "_" . . . . .. ... . ... . . .Lender's Name ' �FCOOR SINKS" """ "FCOOR'DRAINS " 'r'-"""- ""'- �FI%TURES-�---•OUT�ETS�- -SWITCHES - - - - Lentler's Atltlress � � � � � ' � DRINKING FOUNTAIN5"' �"' `' -" -' ^ •-�"^��- - --- -�GAS TUBE SIGNS- � -- - -- - - � -. 1 OWNER�BUILDER DECLARATION-•-� `�ryTERCEPTORS---" CLARIFIERS-`-'"� � - �POL'E LIGHTS "---� -- � - •---= I hereby affirm that I am exempt from tM1e Con[ractor'S License Law for 1 the following reason (Sectiom 7031.5-Busine55-antl-Profe55ion5 Cotle: -$WIMMING'POOC"' -'PTftAP�'---^-'- �"1ppLE5 METERED - SUB � �� Any city o� county which require5 a pe�mit to mnstrutt, alter, �� - improve, tlemolish or repair any structuv¢; prior to�its i55uance, also re-� yyqTER SERVICE ALTERATION.� " "l"' '� - ; 'tPANELS ' ' - MAIN ' - 'SUB - ^ - -- � quir¢5 [h¢ ap.liran[ for suth permit to file a signetl stdtemenf that he . h�> � ,��i � is-Iicensetl pursuant to the proviSionYof the Contractor's-l.ic¢nse-Law� _. _.�_.�_ ___ _._ �. _, hapter 9(commencin9 �+�th Section ]000) of Division 3 of the GAS'SERVIC OU CETS" - � ' SERVICE-^�-----�- - -AMP - - - iness:antl Prdessions-Code) ov-that he�is�ezempLtheref�om and�the- - - � �� • �- '�� , WATER'HEAT ' BTV OVTPUT' �^-' ^-t- - -- " � '� .is for Ihe dllegetl exemption. Any violation ot Settion J031.5 by — � ny applit'ant for a �pe�miR subjects the applifant lo-a-clvil-penalty- � SEWER'CON ONS "' - ' � '�- --- - - - --- ^ - - - - o(no[more'thanfivehuntlretltlollars(g500). �,�T-��M - �..� = "`' �I;"as-owner'oPlhe property',br my employees wi[h wa9esas'their � SOI.AR'T K - ' •COLLECTORS '--- '�- � -� � ^'^ �-- - � e [OmpenSation, will tlo the work, antl Ihe Structuie is not intentletl , -- , -- _.__.�. -_ e+ .'� .,_' or-offeretl-for'sale."(Section ]044, Business and Professibns Cotle: T�e" ' SOLAR PIPING�SVS.�" "" ,�. --""' -"j"" - -- "�-��SSUE�FEE--"-' ' "--' �-- - - - - - �' -� Contractor's License Law does not appry to an owner oi a property ' �' �' who builCs or improves tliereon, antl who Eoes sucfi work himself or- .'ISSUE FEE " - � -- " "�' - ' ' -'- APPLICATION /�.PPROVED�BV �-- � - - DATE .- - - thrOugh his own employees, provitletl tha[ such improvements are not � � ` `� �Y " ,� intentletl or ot(eretl for sale. If, howeJer, the builtling or improvement MECHANICAL 'PLAN CHECK � �� 1 ��v- -R -� $UMMARV OF'F,EES i5'soltl wltM1in one year of completion, the owne� will have the burtlen � - . . .. �� ,:_ ;� of��proving he ditl�not'builtl or improve'for the purpose of Sale):" ' - - - - r- - - �BUILDING • � - - - - ,- �- - - HEATING SVSTEM 0-100,000 BTU PERMIT � { ❑.I,.as owner..of the�property,.am..exclusively contractinq_with_ .qND DUCTING - - �--- - - - •- -�- -- - - - - - ' $ .SMIP,.. � 8 . Ilcensetl mntractors to construci Ihe project (Section ]044, Business - 300,000�+ gTU � �PLAN CHECK�S �� ,-PERMIT �' b a�tl�.Professions Gotle: The=ConGactor'S.License Lawdoesnotapply.to s �- / _ `_ ISSVANCE� $'{'��< %f� �{ an owner of property who builtls ar improves thereon, antl who Con- REFRIGERATION 0400,000 BTU � � �PLUMBING �$_lo— ' ' . f � tracts-from�such.projects_with.a..contrac[or(s),Iicesnetl_pursuant_to, SVSTEM -- -- - �� ...�- -�._�-_ __ _ . _..._., . . ' ��GRADING�•'.S�' � � tne Conbacior's License Law). � 300,000�+ gTU PLAIV CHECK 5--� � � � �� . � '� "l�'._' aJ � '-✓is . ❑' I'am exempt'untler Section'- '�"^ - - - B. &'P. G (orthi5' - - -' - -- � - - - - - ^ - --- - i � _/�� --'— _. ._$ ' BOILERS BTV� . , ��EL'ECTRICAL' $ - - ' ' � Jreason --' --' " " - ' � PLANtHECK"E-t;V-f y `' �MICROFILM�y_ _ I � Date. ��Z�+-/� �-�+wner t SYSTEM REPAIR,ALTERATION ��'� � � - �� `,. ! . '� ,�.��_� :TOTAL''FEE�$1":_ �+6 M ECHANICHL'-E ' � I h¢reby certitythat I have reatl this application antl�state that the above EXHAVST SVSTEM MULTIPLE ' ' •�i„• ,- „ LES$ AD- 1 information'is correcL I agree to comply-with all'city an0 munty` .� � �'P�ANCHECK-$--� - --^VANCE'PC'S'_ "'��' - ' ordinances antl st te laws relating to construction, antl hereGy authorize � ^ . � ��;,� . •- �� ' /� repres¢ntatives Sills ciq'to"ent¢r upOn"tM1e above'mentioetl' � � � - ��• � �"`-� .'�' � � V I Prope�ty f i p�{ o ur ose� I' _ Signature K�[ Date �� -� � �' �� ' FINALFEE 5� 1 Drive�i' License a'r 55 $ - - - - ISSUE FEE � -- - -� - -_ . . __ _ _, _ _ � , �,. _ __ _ � CMF 0865-46 W:iite-Builtlin9; Canary-Applicant; Pink-Accountinq; GOldenro0-Assesso� � . . . . 1 i . . . 1 , � CONSTflUCTION AND PLANNI � � FOOL & SPA� ' -� • � a - APPROVA�S Permit#�L� Date Inspecfor ,.ApPROVALS �. � Permit# Date'� >Inspec�,.. 1. Temporary Electrical Service or Pole - �.. \ ' � 43. Pool &�Equipment Location - ' - - � � ' � _ Z ,.2. .Soil .ipe-Un rgrn 44. SteelReinforcemenf ' " - ' "' - 3.- Electrical Conduit Utility-Undr�n � 45. Forms" � - - - - - -�� _ 4._ Electrical_Conduit-.Untlrgm . � . 46. ElectricaLBonding � - - , 1 - tee eim orce .�,: �i � 47. Rough Plumbin & Pressure Test- -�- --- �- Z-'� - - - , 6._ Electrical UFER Grn ,. , 48. APPROVAL TO COVER-@�FE •-- Z- --- - - -_ _ � , . , . -_ _ - �. - _ ],. . Footings,.__ . ... _. . _ _ . _ _ : c �. " " 49. Electrical Conduit-Undr�rn" ' '�� ` '• �� •' • • - " � 8. Fountlation . .. . _ ._. `t ' 50:,;,GasPipe,.�Undr m,'iesi �� ' -�f � ' ' ti� ,. .9._.Water. pipe,Undrgcn.. _ _ T_ __� , : _ . . .< • 51. Back sh Lines P-Tra ��' � nd� rn '` ;_10. . Structural Floor System... z - 52. APPROVALTO.DECK'�- � - -� 2 - ' 1.1.. _:.Property Sewer_Line &.House�Connection , ' � � .53. Backwash &'Rece tor: Final' �. � - ' " - ,, L' -12. Street $ewer Connection . � ' � - � -- � • - -- 54:��- -Heater & Vent-Final � e2 � � �. �'� ' - -�-_. .r_ . . . .13. .Rough.Pluinbing . .. ...- °^-.=-. - _ . .. _ ...._ ._ ... . . . - - - - - ' , . - 1 , 14. Rough ElectricConduit , "'-�' " - � `� � �56r - Electrica6Final • - � � - 7: (',,. � ' 15. RoughElectric-Wiring -" �- '--�� --' - � '57. SolarSystem-Final .+ � � � ' �" ` ' " ' ' r i6:' Rough Heating & Air Conditioning � " • - - � -� � � - • encing�&�Access Approval , � .�0 _g� � • ' ° ' 17. Ducts in Structure� ��' �- ',:. - .-� �: - ' - � -- -' --� - -- .-• - 9• />PPROVED�FOR PL'ASTERING � ",. . .:- , ' v 18.� Ducts, Ventilating �- - -� � -�' - - � '-' - - - . � ... . . _. _ . _ _._ .• , _ . 19. Gas Pipe-Rough & Test � ' - ' - ;- - . - �- �- - .'6U• P.00L/SPA SYSTEMS F INAL' � -� � , . ' , ' � ' � ... . , a�.i� � e _ �: � . �- 20. ...Roof ,Framing . � � ' _'_�,-- .. . . � .. _ - _. _ _� , � . � � - ', . . . � " ' ;i � 21. Roof�Sheatfiin � ---_ -� ._ .- �� - - � -� --- -- ,- � _ ' . ,. _ .. . �. ��3 :.. �.�., - .� ` NOTES: " . '.. � �.� �„ � ;, . 22.-�Frame-and Flashin - -�-- -- - - -- - --- r - - - - - � " ' " � ' ' � 23. � Insulation . : - . : � -.. _. - - - - - - -- .i - - � - - - - - -- � - - _. _. _ .__ ...r. .. 24. Lathing &�Siding -� - - - - " ' "� �"�� ' �' - - --- I. . .. ' ° - -- ' - - - ' ' ` ' _ ' i ! �25. -�rywall Nailing . _. ._ . . . , .. .. . . ... i ' . .. � . . : . . - ' -26. - Plaster Brown Coat � - � � - � ' - � � ' �� ' � -27: Electrical-Power Meter-Final ' � - - _f� - . -�, � _ � � ' ' ' � � ' � � - - �. . . .. _ . . ,..� �, ,. ,, . r� 28:�- Final Electric - - --._ - . ." '- ". ' - • - - - -- -- - _ ... _._ .. � �.._�_ , _ , ` ; 29. =FinaPHeating & Air Conditionin9 - --._ .- - - - -r-'� - -- - , _ . .- - " • . ,. • � � . � 30: �- Final,Gas Pipe-Test - � � .- _ - _ . .._ ' . � ' '- ' .- - " � � � . .,_ . . ... --. .,-_. i� 31. Final plumbing � . l�. ! � � � � " � ' � ' �32�--WaterService-Final - - - � " ' �" � " � � ' ' ' - . .._ . .... . , � � - - � 33. Gas Service-Final---_. - - � -� - - - � � � ' � � � � � � 34. Solar pomestic-Final ,� �' � ' ' •°�' � � � -•' - � " � � � . 35. Landsca eS rinklin S stem � - ' �- � ' �� ' � �� - 36. Sound Attenuation � - � � - • � � • � �' � ' ' ' ;, a, � , 37. Handicap Regulations -� � • ' - � � - - � � � - � - ' " � - 38. FtNqLSTRUCTURE&BUI,LDING '''" '� - - --- ' � �j ' 39. Special Requirements Completed" " ' ' ' ' ' � ` '•' ' ' � �� i 40. Electric Release to Edison - ' -� ' S- � � •� � � � � � 41. Gas Release to Southern California Gas Co. � � '' � 42., CER7IFICATEOFOCCUPANCY � -- -- -- . :� � ', �No: Date , � - - , . . . � 12261 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917. COBTA MEBA. CALIFORNIA For Applieant io Fill In Completely � TYFB OR PRINT CO,STA MESh CALIFORNIA c�rr Corona-del �r iao: �' 34 OR ENG�INEER Ra ond -Levanas NO. Di 3%I e,,,,o«��4a� vta c�orto. Nevoort Beach 3800 E. FEE RECEtVED �� JUN 1� 1960 INANCE DEPM SA A PPLI CATI O��PfJ � FP�S�� Loc �k 25 BUILDIIdG Plan � 2A For Offiee Use Only PECEIPT NO. RECEIVEO BY qA iE NECEIVEO DATE 185UE� �.�. �s � I / � /!!_ i _ I 7 _ iY /_ ,. COSTA MESA. CALIFORNIA� FIRE ZONE APPROVED ZONING ZONE / I NO. OF I U6E OF NEW PLAN9 BOILDIN6 �ecw� � Tract � 3749 oescw�aneu - OF LOT� i1S x 94 I�O. OP 6LDGB.o - . NOW ON LOT A. P. NO. USE OF . YARDS � EXIBTING BLDG APPROVED 6ETBACK LINB FROM 32 tCeNr[a �iHe sr.) cerrrew on arneer 40 REAR YARD FRONT SIDE YARD ILEFT S IRIGHT J R.SIDE _] DESCRIPTION OF WORK �- L.SIDE NEW I X II ALiERATION I II ADDITION I REAR ✓/ e��.,e I. II..�.,.w.r I II.,�..�..�� I APPROVEo iQ, K SO ROOMS E) . STORIES 1 L SCUCCO I ROOF . ' COVERING ROCIC NG AND ORK TO BE PERFORMED c sinele Family Residence with attached garage � Heneev �cnnow�.eeee r � N�� rse�e rH�e ANO 9TATE THAi THE ABO IB CORRECT AND AG PLY WITH ALL CITY ORDIN NCH9///W��''��D BTAT¢ IaW9 BUILDINO GONBTRUCI'ION � / /' /� A/ 61GNATURE OF / i / /'i� / d project Manager AUTHORIZED�AGENT EVES '�"�M: TXE AMOUNT BHOWN UNOER V�LUATION I9 FOR THE �TINO PURPOBE OP EBTABLIBHING A PERMIT FEE ONLY. VALUATION 3'l.00 PERMIT FEE $ $ L3�SLS.00 pLAN CHECK $ LG.00 TOTAL FEE 4H�OO