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Home My WebLink About3401 DEEDEE DR - Building Permits_ . : . '" ' . (714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.cg�ILDING PERMIT 77 FAIR DAIVE, COSTA MESA, CA 92626 Job Address: 3401 DEEDEE DR Suile: Vicinily: RESIDENCE AND ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type o( Construction: V-N Parcel Number: 41207114 Zoning: R1 npp�icant: SELL, RON Address: 18032 LEMON - �- -�•Phone: . 714-528-1758 ISSUED BY: YORBA LINDA , CA , � Zip 92686�M'. „ � ti`` Owner. MANDELL; MARTY Address 3401 DEEDEE DR • . � - � ..Phone: � ,� � COSTA�MESA, CA � - - Zip:-� 92626 ,. ., Contracror :��SELL �ROOFING COMPANY� �� - �'• '; ' Address 18032 LEMON ; ^;�^, , � -v, , '� :'.�. �. ' Phone: 714-528 1758 �'a4� �` ;...: � � . YORBA LINDA�, CA , ' w �._� Zip: 92686� ' License: 323842 x- z. :- �. : . : ; .,, r.. •Arch :,. ",: ., . .. Eng: - Address: , � Address: � � � � � � � � . . . Phone: ' - � - , - _�: Phone:: � Zip:. 7' . � . License� - " �: .' License: � � - 'r,!yy./� . . . .�}�t _� .. . v4.' . . *T , ; ` SCOPE OF PERMIT � ' � � ��.'!; °a',`. .� ��REROOF RESIDENCE AND ATTACHED GAR4GE: T/O EXISTING WOOD SHAKE ROOF, 7/16" OSB SHTG, 2 LAYER 30t1 FELT,�APPLY "EAGLELITE ",�'��CAPISTRANO TILES" AT 5.7-PSF. iC80 #ER-4660 - � _ � � - 'at. � 2700 SQ FrT . ' . _ � . ' .. ��a . �'� . „ . �; r � �� FEE SUMMARY . �'. -` , ` ' � '�f•" ' , „ Plan Check , "$0 00;°' ` "' "CalcValuahon , •, '• '- $a,soo.00.r --�a Permit �; �$167.25 ,- �; Claim Valuation � y� ' L� Sa,eoo:oo' SMIP Res,_ � � $0.89 � � � - � Ir '�',SMIP Com:'' _' $0:00 e _ � � .:y'� Other"� � $0.00 "�_ _ €�, �_ Inspection $0.00 , � Total:' �' $168.14 � � � -,��, � .r��'� - . '� _ . . �� . PLANNWG & ZONING : �� .'- SETBACKS n MAINSTR�UCTURE �Front 0=0� _ ��Rears 0-0 ' Left � �0-0 � Rlghta,.�;0-0� � e� -.� ..-` .�x, � -^ ACCESSORY-� Front "0-0 -�,< • Rear 0 Oti•.. =Left 0-0 ; Right 0-.0 ., PARKING =' Existina 0 Re uired 0 " Proposed �0` � '"° a � - � �;�, `� �v .�� . . ... . . , : ,_ , � �. �: ,..r:, Status: ISSUED Applied: 09/12/2005 Issued: 09/12/2005 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 7, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR MSPECTIONS CALL: (714) 7545626 - 2d46d6 (N00I. WORKERS' COMPENSATION DECLARA710N: . . , ' I hereby aRirm untler penalry ot perjury one of the tollowing declarations: ❑ I heve and will maintein e certificete of consent ro seli-Insure tor workers' comDensation, as provided for by section 3700 ot Ihe Lebor Code, for the pertortnance of �he work lor which this pertnit is issued. � I have entl will melntain workers' compensatlon insurance, as required Dy section 3700 of the Lebor Cotle, for the peAortnance ot tha work for which this permit is issuetl: My workers' � Ins ance carri ntl poliq num6er ere: / � Cerrier. Policy Numbec / Q� � �.S (This section need nof be completed I! fhe permif /s valued af one hundred dallers ($100) ar /ess.) . ❑ I certiTy that in the perfarmance ot tha worK �o� which this permil is issued, I shall not employ any person in any manner so es to become suDject to Ihe workers' compensation laws ot Celifomia, en red hat if I s'/Q�¢'�yqultl//beco sub�ect ro the workers' compensatlon proNsions ot Section 3700 of e LaDqr Cotle, I shall forthwith wmply with these provislons. !�� // / L/ � Applicant Siqnature: Date: �— � �� WARNINCi: FFILURE TO SECURE WORKERS' COMPENSFTION COVERAGE IS UNLAWFUL AND SHAl1 SU6IEGT AN EMP�OVER TO CRIMIN�L PENALTIES AND GVIL FlNES UP TOIXJE HUNDRED TqUSMID DOLLARE (E100.000�. IN ADDITION TO THE �T OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 37060F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hareby eHirm that I em licensatl torce end eXecL Lic. # � Contraaor's Signamre: _ CONS7RUC710N LENDING AGENCY: (commencing with Sectlon 7000) of Division 3 of the eusiness end Profe�opc Cotle, end my license Is in full �_ Class A / (�- — � Date: �, � ..i/ ❑ I hereby aRirm that there is a construction lending agency for the peAormance of �he work for which this pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: LendeYs AtlCress: Signature: � Date: OWNER-BUILDER DECLAFiAT10NS: I hereby ettirm thet under penelry of perjury that � em EXEMPT FROM THE.CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl ProFessions Code: Any ciry or wunry which repuires e permit to construct, alter, improve, tlemolish, or repair eny strucwre, prior to its issuance, also requires the epplicant for such pertnit to file e slgnetl slatement that he or she Is licen5ed pursuant to the provisions oi the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvlsion 3 01 the Business antl Prolessions Code) or that he or she is eaempt therelrom and tha �asis tor the alleged exemption. Any violation of Section 7031.5 by any epplicant for e pertnit subjects the applicant to e civll penalty of not ma�e than five hundred dollars ($500).): ❑ I, as owner of �he pmperry, or my employees with weges as their sole compensation, WILL DO THE WORK, and ihe sWcture Is not intentled or oHered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law tices no� apply to an owner oi properry who 6uilds or improves thereon, and who does such work himself or hersetl or thmugh his or her own employees, pmvidetl that such impmvements ere not intended or otteretl tor sale. tl, however, the building or improvemant Is soltl within one year ot completion, the ownar6uildar will have the 6u�den oi proving that ha or she tlitl not build or improve tor puryose ot sale.). ' ❑ I, as owner ot the properry, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTpACTORS to conSWct ihe pmject (SecJOd4, Business antl Pmfeuions Cotle: The contraclors License Lew does hot appty to en owner of property who builtls or Improves Ihereon, entl who coniracts for such project with a conlractor(s) license pursuent to ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reeson: Signature: Date: Owner ID veniied by dnvefs license. ❑ Yes ❑ No Dnvers License No. Venfiwtion ot Ownership by (rype ot tlocumeni, I.e. - property ta�c Dill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT GERTIFICATION: Expires: ❑ I hereby certity Ihat no excavatlon tive (5) 0� more feet in depth into which a person is required to descend, will be matle in connection wlih work euthorized by this permit, and ihat no building structure, swNolding, lalsework, or tlemolition or tlismantling thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2. Sec. 341, Ttle B, Celifomla Adminlstretive Code). ❑ As owner-builder, 1 will not employ anyon0 to do work which would require a permit from the Division oi Indusirial Sefery, as noted ebove, unless such person hes e pertnit to do such work Irom ihe division. Signature: Date: Division at Industnal Safery Pertnit Number: �i77�J�IZ6ii�niPlii�79� 1616 1266 Fixed System Final Fire Prevention Pool Spe Final 200 Final Re-Root 207 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PdL IMRULS -L � -g �.lG COOE 1 INSPECTION TYPE 206 Final MeChanical 208 Finel Plum6ing 210 Final Electncal 212 Final Fiia Prevention 220 Finel Planning Approval 222 Final Site 250 Final Builtling/Occupency P�g I�IDELS PF0.IECT AODPESS: 3 Q U I llEED EE DR ~ OWNEH'SNAME: MAND.^^,LL; MARTY � . . nooREss: �u,�:NDELL MARILYN 3401 DE�DES DR � ' CUSTA MESA,CA 92626 354-8700 'APCHIENGINEEB: � flEG.NO.: p�UHESS: uxiT: UNIT: eenmirTee: DURA -- BILT ' l71412'79-79i0 nooeess: i2707.'MAGNOLIA ST 4 RIVERSIDE CA 92503 LICENSEO CONTBACTOP OECLAflFTION: I hereby allirm Ihai I am licensed untler pmvisions o� Chapter 9(commencinA wilh Sec�ion �000) ol Division 3 of I�e Business and Proiessions Code. ane my license is in lull force and efiec�. ciTvuc.:0526p5�6 STATELIC.:LC]OO2S cuss: H �a�e: �1i° � � Signa�ure: �� WOBNEPS' COMPENSRTION OECLRBPTION: I �ereby alfirm that I have a certificate oi consent to self-insure or a certilicate oI Workers' Compensalion lys�apc� o� � 7 ifiep, �ppY �hereo� (Seciion 3800. LaO. C)0 / O 1/ 9 2 POLICY NO.: 1 9 J �� 1 EX7. DATE: 1 camraNv: STATE td ;� Ceriified copy is hereby lumis�etl. l9 Ceriilied cuDY �5 hled - h the ciry Building Division t: IO'w�[i -CI / Ap7lican�'. � /�i�d �-�PD� E%EMPTION FNOM WOBKEBS' COMPENSRTION DECLABRTION: Qhis seciion neetl nm 6e comple�e0 ii �he permi� is �or one hundrea ($100) ar less�. I certity �hai in Ihe petlormance oi �he work for w�ic� Ihis,permi� is issued.d sliall no� employ any person in any manner so as �o Oecome suble�t lo I�e Workers' Compensation LawS of Calilornia.- � l � ' y! - ' �ate. � SiBnature: NOTICE: II. alter makinq ihis tledaration. you shoulA hecome subiect to'Ihe Workers' Compensation pmvisions of tAe Labor Cotle. you musl lorlhwi�h comply with such pmvisions or Ihis permi� shall be Oeemed revokeJ. CONSTPUCTION LENOING AGENLV: I hereDy ailirm ihzt t�ere is a construciion lending agency tor ihe pertormance ol ihe work for whlch Ihis permi� i5 i<5ued (Setlion 3097. Civ. C�. ' LENOEP: aooeess: OWNEfl BUILOEP DECIAXRTION: I hereby aflirm Ihat I am exempt,irom ihe Conlractors' State License Law for ihe following reason (Seciion 7031.5 9usiness antl Protessional Code: Any ci�y o� coun�y which requires a permi� lo consimcl, al�er, improve, tlemolish, or repair any s�mc�ure. Orior �o i�s issuance. also requires Ihe applican� for such permi� Io file a signetl sta�ement that helshe is Iicen5e0 pursuam �o �he provisians a� the Comracmrs' S�aie License Law (Chapter 9(cammencing wilA Seclion 7000) of Oivision 3 of Ihe Business . antl Pralessions Code) or tha� he/she is exemo� lherelrom an0 ihe basis for the alleged exemptian. Any viala�ion o� Seclion 7031.5 by ' any aOVlicanl lor a permil subjec�s ihe applicam m a civil penalty o� not more ihan live hundred dollars (3500). I, as owner oi ine pmpeny or my employees with wages as their sole comDensation, will Oo ihe work, antl tne ❑ slmclure is na� imenaetl or o��eretl �or sale (Setlion 7044, Business antl Pro�e55ional Code: The COn�raC�oR' S�a�e LitenSe Law Ooes nol apply to an owner o� a pmperly wlw Ouilds or impmves �hereon, an0 who tloes such work �imsell/hersell or IAmug� his or �er own emplayees, pwvitle� Nal such impmvemen�s are no� in�entle0 ar o��eretl tor sale. 1�, however Ihe builtling or improvemen� is soltl wi�hin one year ol comple�ion. �he owner will have Ihe bur0en ol pmving he/she tlitl no� �uild or impmve for ihe puroose of sale�. I, as owner of Ihe pmpetly, am exclusively conimc�ing wilh licensetl coniractors to consimct ihe Dmlect (Section 7044, Business �.� � antl Pmfessions Code: The Contracmrs' Siate License Law tloes no� appry to an awner o� pmpetlY who builds or impmves Ihereon ana who coniracis lor such pro�ects wiih a conVaclor(5) license pursuan� �o Ihe Contractars' Sta�e License Law�.l am aware Iha� proof ol Iheir Worker's Compensalian insurance 5hou10 be pmviae0 �o me. � I am eKempl untler Seclion: B. 8 P. G. lor I�is reason: ' oate' Owner I do here�y cenily Ihal l am aware of ana un4erslanA Ihe requiremems ol Calibmia Heallh antl Sa�ery Cotle Sec�ions 25505, 25533, an0 25534 an4 ihat I or any fuWre builtling ocapanl will/will nol (circle one) need lo comply wiih SaiA state coaes antl �he requiremen�s �or a permit lor conslmclion or modilicatian imm Ihe Nu Oualily Management OiStricL Resitlenlial constmc�ion aDDlica�ions are exempl Imm Ihese pmvisions. , Daie'. ' ApplicanC ' - I hereby ceridy Ihat I have reatl �his applicaiion antl s�aie ihatthe aboveinlormaiion is correc�.l agree�o compty wi�h all ci�y anU coun�y ortlinances and stale laws relaling Io builtling consimdion anU hereby au�harize represenlatives o� ��is ciiy lo enter upon the above�menlione0 pmperly lor inspectian purpases. �f/J Oate: �Q � ' �/ Si9naWre ��--r�Gl.�l T.�if?�J'LP-P-P7 orivei's license or Social Securily v: �$( WM1ue-9wltlmg�, Green-Gotle Enlorcemenit Canary-ApPlicanL Pmk-Revenue; Goltlenmtl-Assessor CITY OF COSTA NESA — BUILDING PERNIT PERN, NO: H 05479s PERMTT NO; B 054795 FLAN CHECK NO: 0q112-91 L GOVT: N SUPP; N CONSTRUCTIOt�; TYPH: V—N PERMIT TYPE: STR Pi7RPOSE: ADll JOB DESCRIPTION ; ADll TO 1ST 6 2ND STORY OF SFD. � SQ FT: � 978 CLAIM VALliE: 20,U00,00 CAi,C—VALUE; 32,582.00 GROUP OCC; R-3 / COMMENTS; ADD TO iST 6 2ND STORY OF 5FD dF �lE �k ie iE �1F 3E �% �lE iE �k �f �Yr iE �if ai if 1f iF 3F dF 1F�R �k #'r lF � 3F 3F �� iE iF if iE �Ie 14 �E iE iE aF iE #�iE jE �E lE iF �4 �� 1E 9E �f d( If �)E k�7F iF dE �%�di� dF�X� � df if X�K K�%�� 9E 3F �K �f # iF �f %� 'Z O N T N GS ERTEBQAIJCrFCRSE M E N T S ----------- MAIN H6ILDInG��a�ti1Al--- --------- ACCESSORY HLTILDING --------- FRN1'; FT IN REAR; FT IN rRNT: FT IN REAR: FT ZN LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT; F? ZN PARKING REU• FRUV; PARCEL; 41207114 ZNE: PDR— REF NO- PLANNTNG Ni5TE5> rIRST AND SECOND FLOOR ROOM ADDITION, ONLY, PR�FERTY LOCATED > IN PDR—LD ZONE. �r**�u*x****�**�t�x***�*u�c**��c x*��r�*t��*�****?�*u***�***x**�t*K*�c�r**�u*i��„r�'�r��*��c��x D E V•E:' L U F M E N T S E R V I C E 5 R E Q U I R E M � N''"T'" S _7..... � � .: .. ,f^.: e� ZONING APFRUVED�"BY�% G'-1C' ^-- �T�-- DATc: .:l'U 3O� I BUILllTNG APPROVED Bx : APPLICATION ISSUED.BY: 3E iE 3E>E 14 iE If if iF 3F 3f if # i6 iE iF fE aE iF 3E iE � #� 1f 1E IF k IF iF 1F lf jE iE 3E 3E *!k ii IE !f,.it if iE Y LEGALIZATION:N i� 3PielFiEftMlf3t3f�iEiE3E iE��i�1FjE7E�TiF�3kN�3h1FlfiEiFK�jElfif#it�lEi(�iEifiE�E'w�X;�i`�li'iER1Ek3Eif�iFk-i'r�lE F E E S[7 M, M. A R Y STRUCTUR�; SEG1�:chiT; Y HLDG PMT PLUMBING ELE ?'RZC MECHANIC FIRE SMTP/R�S GRADZNG PERMIT 304,00 3,30 � SNIP/NON—RE5 PLAN 197,60 • ISS[JE FEE BiJZLDING—DIV—> PERMIT ISSUE PLAN—CHECK -' TOTAL PAID llliE T�TAL�----'.• 3U7.:3U C1.OU 137.60 :' SO4.90 504,90 .00 REVENUE DIVISION TOTALS--> COLLECTED: 3U7.30 OVER/SHORT: .OU, HLDG PMT PLUMBIIVG �LECTRIC NtECHANIC ' � FIRr: SMIP/TOT GRADING Pi.AN--CHECK 3U4.00 3.3U If �}: if jF H� #E IE �f 3f iF �k �7f it �%� 1E it iE if�lF �N� iF iP% i4 3E I! 1F �ff ii aE 3E �(� i(� i(� if !E 3F i(� * ii� iF jf 7f 3F j! li� iE �E iF N� 3E 1F iE iE iF N� �E ih 3f i:� 1E i43E 3E 3t� X� K 3f 3(� if 34 if 3'r #^� Y.� 3e !E M:� �lE T N D I V I D U A L F E E• B R E A K D O iJ N IYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST SFR 478 DWE—TYPE V—WOOD FRAME —GOOD END Or FEES 69.00 32,582,00 U1 40i0;123—f'f'1Q2Iio �'4�Y . � dF�11�: 1��??� TlI��: �.i:]- CONSTRUCTIONANDPLANNWG . � POOL'�� APPROVALS Permit # Jate Inspector AppROVALS Permit #k Date Inspector 1. Temporary Electrical SeNice or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement : 3. Electrical Conduit-Ut�lity-Undrgrnd. 54. Forms � • 4. Electrical Conduit•Undrqrnd. . 55. Electrical Bonding ' 5. Steel �Reinforcement �� .S � ��- 56. Rough Plumbing & Pressure Test � � 6. Electrica� UFER Grnd. �•� 57. APPROVAL TO COVER�GUNITE ' � 7. Footings {� �5 �i �� 58. ElectricalConduit�Undrgrnd. . 8. Foundation 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines,.P�Trap, O Undrgrnd. � � 10. Structural Floor System �� ,7 �� 61. 'APPROVAL TO DECK 7 i. Property Sewer Line & House Con�ection 62. Backwash & Receptor-Final 12. Sewer Cap - � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough Electriral�Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 78. Rough Electricai-T 68r Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ' 20. RoUgh Factory Fireplace � - , APPROVALS ' Permit # 21. Ducts, in Structure . , 70. Underground Nydro 22. Ducts, Ventilating - 71. Product Pipinq �Gas OOiI 23. Gas Pipe-Rough & Test 72. Undergrounii Flush 24. Roof Framing 73: Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing : I�� (il � 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Mo�ocoat _ . 75. Dry Chemical . 27.- Frame and Flashing ' (Q� � 76. Ory Standpipe 28. Lathing & Siding _ • 77. FIXED SYSTEM FINAL 29. Insulation �� 78. FIRE PREV. FINAL 30. Drywall Nailing r., ' . `'�j HEALTH'DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�FinaF� , 80. FOOD CERTIFICATE ISSUED 33. Final Electric -- Notes: ' ' -� 34. Final Heating & F.ir Conditioning � - ' 35. Final Gas Pipe-Test . � ' 36. Hood or CanopY � . n ' ,� 37. Final Factory Fireplece � � �/Y.rf .��-----J��%'i�� - V �� 38. Final Plumbing . . 39. Water Service�Final • � - 40. Gas Service-Final � � 41. Solar pomesticFinal • �� ' 42. Backflow Preventer , 43. Backflow Irrigation • - 44. Landscape Irrigation SYstem . " � " 45. Sound Attenuation � : 46. Handicap Re9ulations ' ' 47. FINAL STRUCTURE & BUILDING � ` � � 48. FINAL PLANNING 49. Electric Release to Edison ' 50, Gas Release to SoutNern California Gas Co i ' 51. CERTIFICATE OF pCCUPANCY - No. Date BOJECT POOHESS: � 9 O S D EED EE Dk OWNEH'SNAME: (�R�NDL.LL, MARTY nooeess: MANDELL ,"hA.RILYN 3401 DE�PEE DR COSTA MESA,CA 354-8700 AFCNIENGINEEP: � FDDHESS:� . UNIT: 92626 NEG.NO.: I1NIT: , PEflMITTEE: ULIRA — B1.LT ( 714 )?79-79I0 aooeess; 177U2 MAGNOLTA ST 4 RSVERSIDE CA 92503 . LICENSED CONTPACTOP OECLpXATION: I hereby attirm �hat I am licensetl under provisions of Chapter 9(commencing wilh Sec�ion' ]000) ol �rvision 3 of the Business and Professions Cotle. antl my license is in fullforce anC effecl. ciTvuc.:052656 STATELIC.:PSOO2S ��//J cuss: B r oare: I D��O "'R � SignaWre'. _!/ `fl'7 A.C.CLY � �.�iJ_1�/�S�? Op, WOflREPS' COMPENSATION oECLABATION: I hereby affirm that I have a cenihcate ot consenl to sell-insure or a cenilicate of workers' Compensation I s�{a c �ilie8 py �hereof (Sec�ion 3800. Lab. � POLICYNO.: �"�� J� EXP.DATE: �O�O1I92 comrnr+v: STATE i �] Cenified coOY is nere0y lumishetl. � Cenifie0 capY is hled ith the ciry Buileing Division. e: �O'�0-Cl� APPlicant��.�, o� ��., o1JD � c%EMPTION FBOM WOBREPS' COMPENSRTION OECIANATION: (ihis section neea no� Ce campleteA il tAe pe�ml is �or oice hunOretl (SiW) ar less). I cerlity Ihal in t�e perbrmance of �he work lor which ihis permi� is issuetl. I shall no� employ any person in any manner so as to become su�lec� to lhe WOMers' Compensalion Laws of Califomia. � �aie: Signamre: NOiItE: II, alter making Ihis Oeclamiion, you shoultl become subleci to Ihe Workers' Compensation provi5ions oi the Labor Cotle. you must lotlhwilll comply wi�h suc� pmvisions or this permi� shall be deeme0 revoked. CONSTNUCTION LENOING AGENCY: I hereby aftirm Ihal �here i5 a ton5tmc�ion leneing agenCy �Of Ihe pedormance oi Ihe work �Or which i�is permit is issuetl (Sec�ion 3097, Civ. C�. . LENDEfl: PDOflE55: OWNEfl BUILDEN OECLRNFTION: I hereby al�irm that I am exemp� imm �he Conlrac�ors' State license Law �or Ihe �ollowing reason (Seclion 7031.5 Business and Professional Catle'. Any ci�y ol counry which requires a permi� to cansimci. al�er, impmve, tlemolish, or repair any stmcWre, prior Io iis issuance, alm requires ihe applican� �or such Oe�mi� �o file a signetl s�a�ement �ha� he/she is licensed pursuani lo Ihe provisi0n5 of Ih¢ COmracmrs Slaie License Law (Chapter 9(wmmencing wiN SeC�ion 7000) o� Oivisi0n 3 of �he Bu5ine55 ane Pmfessions Code) or �M1at helshe is exempt therefmm antl ��e basis for �he allege0 exemption. Any viola�ion of Sec�ion 7031.5 by any applican� for a permil 5ubjeci5 ihe applicant �o a civil penalry oi no� more t�an �ive huntlretl dollars (8500). I, as owner ol I�e pmpeny or my employees wi�h wages as �heir.sole compensa�ion, will Ao lhe work, an0 ��e ❑ slmcWre is not in�endetl or ofleretl lor sale (Section 7044. Business antl Proiessional Cotle: The Conlraciors' Staie License Law Ooes noi appty �o an Owner Of a propetly who builtls or imD�oves �hereon, and w�o tloes 5uth wOB �imsel�/hersel� or Ihmugh , his or her own empl0yee5, D�OvideO �hai SUt� impmvement5 are n01 inten0etl Or of�eretl �or Sale. If, howev¢r t�e building or imDmvemenl is SOId wiihin one year of wmpletion. the ownei vnll have Ihe DurOen oi Droving he/5he tlid n0� bUiltl or imprave lor Ihe Durpose ol sale). ' I, as awner ol the pmpeny, am exclusively contrac[ing wilh Iicense0 contracbrs to constmct Ihe pmlec� �Sec�ion 704d, Business .� anU Prolessions CoOe: The Conirac�ors' State License Law Ooes no� apDty �o an owner ol Oropetly who builas or impmves Ihereon antl who tOnlraCis lor Suth prole<�5 wi�h a tontractor(s�licen5e pur5uan� lo Ihe Conlratbrs' S�ate License Law),I am aware Ihal D�oof ol I�eir Worker'S Compen5aiion insurance shoultl �e pmvide0 lo me. � I am e�empl uneer Seclion: 8. 8 P. C. �, br ihis reason: CITY OF COSTA MESA — BUILDING PER�KZT PERM NO: F 05479 PEkMIT NO; P 054798 PLAN CHECK NO: � N GOL'T: N SUPP; N CONSTRUCTION TYPE: V—N PERN,IT TYPE: PLU PJRPOSE: AUD JOB DESCRIPTION : ADD TO 1ST 6 2ND STORY OF SFD SQ rT: CLAZM VALUE: CALC—VALUE: • GROUP OCC; R-3 / COMMENTS: REF B5479� � if iF�If ic iE i( iP �IF �3E �k �lc �1E �7E i( iE if iF �1f� dE iE iF�1E �)f �1E 1E9E if if �IE �N-i� �lE iE dE iF �M iE �if iF ��%�1f iF �(� �7E �%�lE �lf �� iE dE �� jF -%�1E iFlt if dF�IE �E�-)E jF #'-�iE �K �f �lE if �M �% dF M�if if k� �f �If Z O N Z N G R E u U I R E M E N T S S E T B A C K S --=--------- MATN HUILDING ---------- --�------- ACCESs'ORY BOZLDING ---------- FRNT: FT 7N REAR: FT ' IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN Fl�KING RE • PROV; PARCEL: 91207119 ZNE: REF NO: PLANNING N�TES> ? 3(�±f iF )f 3(�iE 3E If i( �k iE ie if iR if 3f iE iE ik iE 1E iE iF 3f If 3E IE iF ih 3E aFlf IF ib iE if 3F 3(� jf iE iE iF 1f fE it #� iE iE if iFlE lE iE iF iE if if 3F ir iE iF 3F if� {. ** iE �k IE j't iF �E k iF if iE if if D E V E L O P M E N T S E R V I C E'S:� R E Q U I R E N E I� 7' S 20NING APPROC�ED BY �'; DATE: HUILD:NG APPROVED BY ; ' � DATE: APFLICATION ISSTJED BY: DATE; 1 O. O I aEiE3F3F3fiFiEiF3E3EiE1t�Ei(�iEiFiEil��E�1f��F* . r ,r � aEiF�EirkiEi%�E1EiE � r 3F�x�jE if�1F3l3fiflFitiElEitiFiFiF3EiF3[�3FIf3f#iFikfE�kkiEli�iFiFlFifiFiEiF�1FiF 3E�IF3EK�iiiFit#iE1e�f�lEiElEiFi4af-i4iflElfiE3ci(�-klPiFklkl'r141f3EifififleififiEiFif� LEGALIZA7'IQN:N F E E S U M M A R Y STRUCTURAL SEGMENT;tJ BLDG PMT PLUMBING ELE_TRIC MECHANIC FSRE SMIP/RE� GRAUING � PfiRMIT 6.00 . 25� SMZP/NON—RES PLAN ISSUE FEE 3,00 . BUILDING—DIV—> PERMi.T ISSUE PLAN—CFiECK TOi;AL PASD DIJE TOTALS----> 6.00 3.00 0,00 9,OU S.00 ,00 REVENliE DIVISION TOTALS--> COLLECTED: 9.00 UVEP,/SHORT: ,OU BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 9.00 ih iE ie iF if 3t i! ie �lf iE if if fE )f if iF if iF 1't iE 1f� if IF k 3i iE iF ii� 1f if 3f iE iE iE lE if ii� iF iE iE ii iE R 1E if il- if ih iE iE iE if iF ii� if ic iE �?f 3(� if 7E iF if %iF if !f iE k ie 3f if ii� N� i'r )f iE iE-0f I N D I V I D U A L = E E B R E A K D O W N TYPE (ZTY D E S C R I P T I O N UNST COST TOTAL COST Daie: Owner: o PLiI 1 BATHTiJB 2. 00 , 00 I tlo here�y cenify Ihat I am aware o� and untlers�and the requiremems o� California Healih anJ Salely Cotle Sec�ions 25505, 25533, and PI.;J ], wj;$H HAS I N 2, 0 U ?, � U 2553a ann ihai � or any �wure ouiming occupant wi�uwi�� nm �circ�e one� neea �o comp�y wi�h saie s�a�e coaes an0 �ne requiremems �or a PLU 1 WATER CLOS ET t TOI L ET ) � 2. 0 0 2, 0 � permil lor conslmmion or matlilicatian imm ihe Au oualiry Managemem �istricl. FesiAential cons�mmion apv�icalions are exempl lmm , END UF F�E.ci �hese provisians. . . Oaie'. Appbcani: I hereby cetlily Ihal I have read ihis applicalion and slale Ihai �he a6ove information is correcL I agree �o comply wilh all cily and counry ' or�inances and state laws relaling to bwl0ing cons�mdion antl hereby aNh ize represenlatives oi �his ci�y to enter upan Ihe above-men�ianed praperly�orinspeclionpuryosc5. rf2 nCI1C7ZS�.3`�4�liilia�,t�i '� �.��' j.,�� Oate:J (/ �\-� "�l Si9naWre: �J�P� ��e�p - . r}%��: ��i.�i�/!�1 Tsi:�: �,�,,.�r . oriver's ticense or Social Secunly a: t64L46 Whi�e—Bu'tlaing; Green—Cotle Enloaement; Canary—Applicanl: Pink—Revenue: GolEenwtl—Assessor � CONSTRUS:TION AND PLANNING' POOL Y '�. ' � APPROVALS Permit # Uate Inspector AppROVALS Permic # Date Inspector %l • 1. Temporary Eiectrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _ _ � 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. '. � � . 55. Electrical Bonding -_ 5. Steel Reinforcement � ' - � 56. Rough Plumbing & Pressure Test 6..Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7.'Footings , � 58. Electrical Conduit�Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Conn.ection 62. �Backwash & Receptor-Final 12. Sewer Cap . . 63. Heater & Vent�Final 13. Roof Drains ' � 64. Plumbing System - Final 14. Rough Plumbtng 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 Electrical-T Bar Ceiling .. 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning �- FIRE DEPT'. REQUIREMENT � 20. Rough Factory Fireplace .. � APPROVALS �- Permit # - 21.�Ducts,in.Structure. . ' - . � '70. UndergroundHydro � 22. Ducts, Ventilating • " - " 71. Product Piping OGas OOiI 23..Gas Pipe-Rough & Test � 72. Underground Flush ' 24. Roof Preming • �� - � 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing :. � . 74: Overhead Hydro 26.�T-Bar Ceiling (Structural) & Monocoat ' � • � 75. Dry Chemical : _ 27.. Frame and Flashing _ . ' 76. Dry Standpipe . � ' 28. Lathing & Siding _ . � � 77. FIXED SYSTEM FINAL ' �29. Insulation � ,�r 7fl. FIRE PREV. FINAL � 30. Drywall Nailing � - � HEALTH DEPT. REQUIREIVIENT � 31. Plaster Brown Coat 79.' FINAL INSPECTION � 32. Electrical Power Meter-Final . � .� 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric ' • ' Notes: � • 34. Final Heating & F,ir Conditioning �" � � . . '- . 35. Final Gas Pipe�Test � � . 36. Hood or Canopv - � . _ � , � � 37. Final Factory Fireplace , 38. FinalPlumbing • �/•� !�2 LE]� . . � 39. Water Service�Final � . � � 40. Gas Service�Final � , 41. Solar pomesticFinal, � • � • - 42. Backflow Preventer ; . � 43. Backflow Irrigation _ � - � - 44. Landscape Irrigation System . _ , _ , � 45.'Sound Attenuation . ' . , • � 46: Handicap Regulations � - ' 47. FINAL STRUCTURE & BUILDING - � 48. FINAL PLANNING ' ', , 49. Electric Release to Edison . ; 50. Gas Release to Southem Calitomia Gas Co � �" , � . � 51. CERTIFICATEOFOCCUPANCY No. Date �i �� _, PPOKLTfL00PE55: 3QOS DEEDEE DR 'OWNEfl'SNAME: fi]{j�DELL,' MARTY nooeess: NANDEii MAt2ILYN 3401 DEr�.DEE DR COSTA MESA,CA 354-870U �FflCN1ENGINEEN: A�OHESS: UNIT: 9267.6 NEG.NO.: UNIT: PEflMITTEE: DLIRA — BjLT ( 714 ) 279--79].0 FD�PESS: 1L %Oi NI�iCNU�I�i 5�� 4 RIVEkSIllE CA 97.503 LICENSEU CONTflACTOfl OECIAHATION: I hereby allirm tAat I am liCenS¢tl under provisions of C�apier 9(COmmenting with $¢Clion 7000) of �iNsion 3 0l t�e Business and Pmiessions Cotle. and my license is in full lorce antl et�ect. cirruc.: 52656 sTaTeuc.:260025 cuss: A Daie: �� Z� �� SignaWre: _�� WONNEBS' COMPENSATION OECIABATION: I hereby aflirm t�al l �ave a cetlilica�e o� consen� to sel4insure or a certi�icaie o� Workers' Compensalion 5�{aac�9. o R i�ie rypy t�e�eof (Seclion 3800. Lab. �) POUCV NO.: �" * 1�"�- � 1 E%P. ORTE: L O I O 1 I y i comvarir: STATE ❑ Cenihetl copy is �ereby �umished. � Certitied coDY is� lile�d wit ci�y Builtling Division. e: / 0 � —G3i noor�a�c �iC�.r��s . �r'—�4� � � �� E%EMPTION FBOM WOBNEBS' WMPENSpTION UECLAPATION: (This section need noi �e comple�ed il�he permit is for one hunAied�3100) or less�. I cerilty I�aI m ihe petlormance oi the work for whith �his permit ls IssueQ I shell not employ any person In any manner so as �o become sublec� Io I�e WaMers' Compensa�ian Laws o� Cali�omia. _ Dale: SlgnaNre'. � � NOTICE IL afier making �his declara�ion, you shoultl become su6ject Io the Workers' Compensation pmvisions o� the Labor Coae. You musl lotlhwilh comply wi�h such provisions or Ihis permi� stlall be Oeemed revoketl. '� CONSTPUCTION LENOING AGENCY: I hereby affirm Ihat there is a cons�mc�ion lentling agency for ihe performadce�oi the work for wAich Ihis permii is i=.suetl (Seclion 3097. Civ. C�. / h LENUEH: ) 1 � aooness: ` , � � ' , `,'-� . �• OWNEfl BUILUEfl DECLl�BRTION: I here�y a�firm Ihat I am exempl Imm Ihe Coniracbrs' State License Law bothe bllowing reason (Seciion 7031.5 Business antl Pmtessional Code:' Any city oi counly w�ich repuires a permii Io cons�mct, alter, impmve, demalis�. o� reDair any simclure. Oriar lo ils issuance. also requires Ihe apPlicant �or such Dermil �o file a 5igne0 stat¢ment �ha� he/she is licensetl pursuanl lo Ihe pmvisions al �he Contracrors' Stare �icense Law �ChaD�er 9(commencing with Section 7000) of Division 3'of ihe Business an0 Prolessions Cotle� or Iha� he/she is ezemp� Ihere�mm antl Ihe hasis for Ihe allegetl exemp�ion. Any violation o� Sec�ion 7031.5 by any apPlicam lor a permi� suble��s tAe applican� to a civil penaliy of no� more �han five huntlree tlollars �$500). � I. as owner o� �Ae pmperty or my employee5 wilh wages as their sole compensa�ion, will do Ne work, anJ �he� ❑ s�mc�ure is no� intended or o��ered far sale (Section 70d4, Business antl Pw�essional Cotle: The ConVac�ors' State License Law Ooes not apply b an owner af a pmpetly who builds or im0�ove5 ihereon, antl who tloes such work himselVherselt or �hmugh his or her own employees O�ovitlea �ha� such impmvement5 are nol in�ended of af�ere0 bf sale. If, however �he builtling or impmvemen� is so10 within one year of completion. �he owner will have �he bur�en of pmving hehhe Oid noi builtl or improve lor Ihe purpose ol sale). - I, as owner o� Ne property, am exclusively conVac�ing wi�h IicenseU conlr5clors �o consVuc� the pmle�� (Section 7044, Business J and Professions Cotle: The Canirac�ors' S�a�e License Law does nol apply Io an owner of pwperty who bwltls or impmves thereon anA who conlrac�s for such pro�ec�s wi�h a canlrac�or(s) license pursuan� �o �he Conlrac�ofs' S�a�e License Law�. I am aware Ihal pmol ol Iheir Worker'S Compensation insurance shaultl be provided to me. � I ani exempi untler Section: B. S P. C. for Ihis reason: � Oa�e: Ownec I tlo Aereby cenily ihat I am aware ot and underslantl �he requiremen�s ol Calilornia Health and Salery Code Sec�ions 25505, 25533. antl 25534 antl Ihal I or any fulure Ouildmg accupant wilVwill no� (circle one) neeA lo comply wi�� saitl s�a�e rodes an0 �he requirement5 �or a permil loi con5imtlion or motlification imm Ihe Air Oualiiy Managemenl Dislrict. Fesitlential cons�mction appliwtians are exemp� irom Inese piovisions. Dale: Applitani: I heieby cenily I�a� I have read Nis aOPlica�ian ana slale ihai Ihe ahove inlorma�ion i5 correci. I agree �o comply wi�h all ci�y an0 counry or0inancesantlslatelawsrelatingtobuildingcons�mctionantl�erebyau r¢ereD�esenlaliveso�ihiscity�oen�erupontheabove-menlione0 plOpEfIY �01 IOSPPLI1011 PIIfPO5P5. Date: �rT �c�0 �C l Signawr D'G-G%-^D� ��J oriver's License or Social Securiiy p: i6�L46 While—ButlOing; Green—Code Enbrcemen�; Canary—Applicanl; Pink—Revenue�, Goltlenmd—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; E 0�479E PERMIT NO: E 059796 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: A1�D JOB DESCRIPTI�N ; ADD TO 1ST' & 2ND STORY OF SFD ` SQ rT: CLAIt✓ VALUE: CALC-VAF,UE; GR(�i7P OCC: R-3 / COMMENTS: REP H54795 if if �ff �E �1F �k if IE iE �3F �k-k 3E�)E dE �%3f 7E # iFY.� 3E dF i(�if �1E � if �7'r �f jF ii �1i 3E iE iF 3F ie 1E #�� ' �lE �K iF �lE if jf �� iE jF jf aE ��-kiF iE iE �� iF-tF �if dF iF �)f 3E iEif dF �lE if �� x� �1E jF �7F �lE �Y-1E 2 O N I N G R E Q U I R E M E N T.S s F T B A c x s ------------ MAIN BUILDING -- ------- --------- ACCESSdRY BUILDING --------- FRNT; FT ZN REAR: FT IN FRNT: FT IN'REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REC7• PROV: PARCEL: 91207114 7.NE: REF A70: PLANNING NfSTES> F � !f !E if �f 3t iE iElf # iE �E jf- iF ib #� 7h if %� !f If i4 iE if !E i(� :k If 7F i!� ih iE iE i6 )E 9l-3f ih 3E iF 36 3E iE 3f iE iE ib i� iE aF iE if i(� �lf �IE iF iE %� fF iF 3f iE if ih-1(� ii� if ?i� if ik 3't �c #i K� k 3E Y.. y..K. D E V E L O P M E N T S E�:R V S C E S R c Q U I R E N E N T S 20NING APPROVED HY � DATE: . BUILDINC. APFROVED HY ; .� DATE; ' APPLICATIO� ISSC7ED 8Y: iE iF iE je if iF � irlf� iF9e iQ� �IF #� 1E 1F i(� �1(� 3E 3F ih iEiF 3(� iP 3f 3f if jF # it iE 9Fi6 3E jE iE ih N- k If )f iF af N� k LEGALIZATION:N BLDG PN.T PLUMBING PERMIT '� T_z _. nAT�.• �� 3 ir iFiF3c3F7F3F4iF iF3e'iCKiFiF3ii�'iFiFiF'3F if iF 3% 7E if #�'lf �k �F 1F'�'x"-�x i{� 36 iE if if'lE � 3h . 3E �?E �k!'t iE it if 1E 3f if iE iE� fF 1E i£ # 3h iE ih iE if ih }# 3F !f iE �Y ib i(� lE9f 3f if 1E 3f IE iF IF ie i(� it-Y.- F E:E S IJ M M A R Y STRUCTURAL SEGMENT:N E CTRIC MECHANIC FIRE SMIP,/RES GRADING 23.25 50� SMIP/NON-RES . PLAN ISSUE FEE 15.00 HUZLDING-D3V-> PERMIT ISSUE PLAN-CiiECK TOTAL PAID DUE TOTALS----> 23,25 15.00 0,00 38,25 3$.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 38,25 OVER/SAORT: .UQ BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAN-CHnC:K ' 38.25 it if iF iF IF iE iF �lE 3F �lt #F le iE �k iE 3t 3't iE !E iE iF R iE # If �i if i(� iQ� �lf� Ik iE i4 �7F ih i4 if ic 1E �lE 3k �lE iE'lE K• 1E if if� k iE+h iE iP iF 3E iE iE �E iF iE iF 363E iF 3f j!� i! if #!t 3E if iF jE if IE !i� ih ii� T N D I V I D U A L E E E B R E A R t� O W N TYPE QTY D E S C R I F T I O N JNIT COST TOTAL C051' ELE 6 FIXTURES LIGHTING 1 �T 20 EA. ./S 4,50 ELE 20 RECEPT/OGTLET i ST 20 EA, ,75 � 15,00 ELE 5 RECEPT/SWZTCH 1 ST 20 EA. ,75 3.75 END OF rEcS QI ti(iiD}l27-QOIU!r''7 3u�'S CR7E: 1L!:�;�! aE`�" 5�.�� `f�;-., . "� ,'� ; - CONSTBUCTION ANDPLANNING � POOLf \ ' APPROVALS Permit # Date Inspector AppROVAIS Perm�t # Date Inspector � i. Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil Pipe-Undryrnd. � � ' � 53. Steel Reinforcement - . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit�Undr9rnd. � 55. Electrical Bonding 5. Steel Reinforcement . - 56. Rough Plumbing & Pressure Test � � 6. Electrical UFER Gmd. �� 57. APPROVAL TO COVER�GUNITE 7.. Footings - 58. Electrical Conduit�Undrgrnd. � 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal - 72. Sewer Cap � 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System � Final 74. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit 6�, ��Iar System-Final 16. Rough Electric Wiring � `�,� � Fen �,& Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & AFr Conditioning � - - - FIRE DEPT. REQUIREMENT 20. Rough Factory F7replace � ' �. �APPROVALS . Permit # 21. Ducts, in Structure . �� 70. Underground Hydro 22. Ducts, Ventilating - '• � 71. Product Piping O Gas OOiI 23. Gas Pipe�Rough & Test 72. Underg�ound Flush ' 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing . . 74: Overhead Hydro� 26. T�Bar Ceiling (Siructur81) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe -. � 28.' 4_aihing & Siding � • 77. FIXED SYSTEM FINAL � 29. Insulation ' -� " 78, FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � 37. Plaster Brown Coat � 79. FINAL INSPECTION �� 32. Electrical Power MeterFinal � � . FOOD CERTIFICATE ISSUED 33. Final Electric � 3!�Z I _es: � �- • 34. Final Heating & F.ir Conditioning � . � 35. Final Gas Pipe-Test � �� - _ 36. Hood or Canopy � . ' 37. Final Factory Fireplace ' , � � 38. Final Plum6ing � . , � ' � 39. Water Service-Final 40. Gas Service�Final . . ' . � 41. Solar pomesticFinal . �� i � • 42. Backflow Preventer � . 43. Backflow Irrigation � � • � 44. Landscape Irrigation SYstem ' � . . 45..Sound Attenuation • � � - - 46. Handican Regulations ' � ` ' � � 47. FINAL STRUCTURE & BUI.LDING � " �', 48. FINALPLANNWG ' - � 49. Electric Release to Edison ' 50. Gas Release to Southem Califomia Gas Co �_ , • 51. CERTIFICATE OF OCCUPANCY ' , - No. pate � PHOJECT AOOPESS: � Q O 1 D EED E E DR OWNEF'SNPME: ��i�7j�ELL, MARTY aoonEss: �pNDELL MARILYN 34Q1 I)E�DEE DR . COS"('A MESA, CA 354-870U �AHCM/ENGINEEfl: AOUXESS: UNIT: 92626 NEG.NO.: UNIT: PEBMITTEE: �[JRA ' BII.,T ( 714 ) 7.79-7910 aooxess: 127U2 MAGNOLIA S'P 4 RIVERSIDE CA 92503 LICENSEU CONTflNCTOH OECLANATION: I hereby af�irm Ihai I am licensetl untler provisions ol Chapter 91�ommencing wiih Seclion ]000� of fJmisinn 3 oi the 8usiness antl Pmfessions Cotle, and my license is in lull brce antl e��ect. cirvuc.: 052656 STRTELIC.:7(UOlS cuss: B Oa�e �d '� � � / Signa�ure: _ _ — ��— WaFNEflS' COMPENSp71�N oECLAPRTION: I hereby affirm Ihal I nave a cenificate of consent to selbinsure or a cerlilicale of workers' Compensation Insurance or a c rtibed copy Ihereot (Section 3800. Lab. C�. roucrNo.:104]3US�--91 exr.oaTe: 10/O1/92 COMPANV: � TATG , ❑ Certi�ietl copy is hereby fumis�ea. � CenifieU copy �is �file0 w �he ciry Building Divis/ion,//. J e: �0'3 O–�l / Pvaiicam:/iC il�--r � o_ z/i �... o//ii cKEMPTION FHOM WOflREflS' COMPENSATION OECUBR710N: (ihi55eclion neeA noi b¢ tampl¢�¢tl i� Ih¢ permil i5 fOr one hunOreO ($100� Of Ie55�, I cenity ihat m �he petlormance ol �he work lor which this permit is issued, I shall no� employ any person in any manner so as �o became subleq to Ihe Workers' Campensaiion Laws ol Califomia. �ate: Signature: - NOTILE: I( alter making ihis tleclaration, you shoul� Oecome sublect to Ihe Workers' Compensation pmvisions ol ihe Labor Cotle. you must �orihwith compty with such pmvisions or ��is permi� shall be deemeA revoked. CONSTPOCTION LENUMG AGENCY: I hereby afiirm �hai there is a consimc�ion IenOing a8ency lor Ihe pedormance of ihe work lor which Ihis permi� i5 issued (Section 3097. Civ. C). LENUEP: AOONESS: OWNEP BWLOEB oECLANR710N: I hereby affirm ihat I am exempt irom ihe Coniractors' State License Law for ihe lollowing reason (Sec�mn 703L5 Business an0 Pmfessional Cotle: Any ciry o� county which requires a De�mil �o canslNct, alier, improve, Eemolish, or repair any Simqure. O�ior �o iis issuance. al5o require5lhe apDlitan( �ot SUch permii Io �ile a Signed Slaiemenl lhat �¢/S�e is litensetl pursuant �o �he pmvisions ol Ihe CaNractoK Sta�e license Law (C�apter 9(commencing wilh Seclion 7000� o� �ivision 3 0l Ihe Business and Pmfessions Code� or thal he/she is exempi �herelmm anA Ihe basis br �he allegetl exemp�ion. Any violaiion o� Seciion 7031.5 Oy any applicani for a permi� sublec�s ihe a0�licani to a civil p¢nal�y ot not more ihan five huntlre0 Aoilars �5500). I. as owner at �he pmOe�Y or my employees wilh wage5 as Iheir 5ole compensa�ion, will tla �he work, an0 Ihe ❑ simcWre is na� intended or aifered lor sale (Section ]Oda. Business anA Pmfessional Cotle: T�e Conirac�ors' SWte License Law tloes not apply to an owner of a D�ope�y who builtls or impmves ihereon, and who Aaes sucA wofk himsell/herself or ihroug� his or �er own employees, pmviAeO ��a� such impmvemems are not intentled or o�fereA lor sale. Ii, however �he builAing or impwvemen� is soitl wi�hin one year oi complelion, Ihe owner vnll have �he �urtlen o� prOving �e/She diA noi Uuild or improve . lo� Ihe purpose o� sale�. I, as owner ol Ihe property. am exclusivety conVac�ing with licensetl tantracmrs lo conslmci Ihe D�ojec� (Sec�ion 7044, Business .� antl Pmlessions Code- The Contracmrs' Stale Licenre law tloes no� aOVly to an owner oi pm0eny who builAs or imDmves tAereon antl who conlra[�s lar such pmjec�s wiih a coniraclor(5) license Du(suan� �o �he Coniractors Sia�¢ Lic¢n5e Law�. I am awafe Ihai pmol o� �heir Worker's Compensaiion in5urance 5AOW4 be pmviUeA Io me. � I am exempi unaer Section: B. 8 P. C. lor ihis reasan: Oa�e: Ownec I Do hereby cenify that I am aware ol antl untlerstand Ihe requiremenls ol Calibmia Healih and Safety Cotle Sedions 25505, 25533, antl 2553A and Ihal I or any lulure �uiltling occu0ant will/will nol (circle one) need to com0ly with saiC state mdes and ihe repuiremenls br a permit for cons�mction or matlilication Imm Ihe Aii �ua6ry Management �i5tricL Resitlen�ial conslmc�ion applicaiions are exempt imm Ihese provisions. oa�e: � FO�liwnt: I here�y cerlity ��a� I Aave reatl �his applicaiion and sla�e ��al �he ahove in�ormalion is correc�. I agree �o comply wilh all ciiy and counry - artlmances an0 slate lavus rela�ing �o building cons�mction ana hereby aN�ori e representalive5 0l Ihis cily Io enier upon Ihe a�ove-mentionetl pmpetly lorinspec�ion purpo5e5. Oaie'. I O' �O '�/ Signamre'. l%"�'��J �� oriver�s �icense or sacia� security n: 1fia1-a6 White—Bwltling', Green—Code Enbrcemenl', Canary—Appllcant: Pink—Revenue; Goltlenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERN NO; M 05979'� PERMIT' NO; M 059797 PLAN CHECK NO; . N GOVT: N SUPP; N CONSTRUCT'ION TYPE: V-N PERMIT TYPE: MEC PURPOSE: ADU JOB DESCRIPTION ; ADD TG 1ST E 2t�tD STORY OF SrD SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: REE BSh795 iE �lt X� )f �� iE 3E �1E �%jF #� Ic if if iF �lf lE df �k 3E �M if �iE ii� �1Q -If �%jE �lE 3F �� %-�1FiE if af iF if dF �k iE �lE 3E �K �lf 3f 1f iE dE ii )f �lf dt Yf ��lE �1f �)c �%�3E �� N� �lE k�k ��lE 34.Y..%..lf dF if �fEiE�# iE iE dE 'L O N I N GS ERTEaQAUCIKRSE M E N T S ------------ MAIN bU.ILDING ---------- FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 41207114 ZiVE; REF NO: PLANNING Nt7T'ES> � !G if if 3f ## iE-!E iE * jF �iF iE jE 1E iP IE iE iF ie iE if aF 3E jf iF iF i4 if iE iE 3E iE iF IE if #'±f� !E i% # iE iE iE aE iE iE M K if 7E iE ie l� lE If �f iE iE iE 3EiF ih 1E �lb if ±E if !� jf if if lf }'. i(� �'t 3F 1E if D E V E L O P M E N T S E R;;V I C E S R E Q U I R E M E N T S ZONING APFROVED BY DATE: BUILDING APPROVED BY : UATE: APPLICATION ISSUED HY: -.. DAT=• 1 030'�1 I fk iE �!f �f } if iE )E 3E �1f� ii� 4 N• if N� fF 34 iF If iF 38 if . . t t�' r e r� 7F?F7�XiFiF�iFTF�� 3r�irTf * iE iE Y� 3f- iF if %� k� ic7FiF'�r'£3�1�F��iF'iF'£# iE 'If'7EifiFiE#iFifiEiEil'ii1FiElfieieiEiEiEIEiFiF3E3EiFifiEiF'1Ficif'iE ifiF'JE3cif7C'iE3'r'lfifi41E1E1F1EiEif3Ei%ifif'k''/FiEK�3PiFiFIFif3I�iFi(-iEiFif'kNi'cN'ii•iei43Pif LEGALIZATION:N F E n S U M M A R Y STRtiCTiIRAL SEGN,ENT:N BLDG PMT PLUMBING LECTRi:C MECHAtiIC :ZRE SMIPIRES GRADING PER.+�rr s.00 25t SNIP/NON-t�ES PI,AN ISSUE FEE 15,00 BUIi.DING-DIV-> PERMIT ISSUc PLAN-CHECiC TOTAL PAID llT7E TOTALS----� 9.00 15,00 0.00 24.U0 24.00 ,00 RtVENUE DIVI5ION TOTALS--> COLLECTED: 24.00 OV�.R/SHORT; ,00 HLDG PMT PLUMB"iNG cLECTRIC.MECHANIC F1RE SN.IP/TOT GRADING PLAN-CHECK Z4,0� iE Y�%ik if * 3E 1ElE #f 3E iF if 3E iF 1F it� jf 3h �1's� iE if !c fF iE iE 1f 3F 1E i(- 3E jf �-1c iF i!-3E if �7E #� if 3E 3f i4 3i� if 1E 3E ii� ff 3e fE i'r iM1 3i� iElf 1f� � if ie �)E �?F if� 3F iP IE iE if if k% 7F lE ii i!� if iF iE I N D I V I D U A L F E t B R E A K D O W N --------- ACCESSURY btiIl�i)TNG -------- FRidT; FT IN RHAR; FT IN LEPT: FT' IN RGcIT; FT IN TYPE QTY D E S C R I P T I O N UNTT COST ?OTAL COST MEC 1 R�:PAIR/ALT HEATING UNIT/SYS W/CNTLS 9,00 9,U0 END OF FEES 01 C014212?-O�IOU?9 � "_� b- .,. QATE: IO/3Lv91 Ti��c' i+:i�S CONSTP.UCTION AND PLANNING POOL F �� Date Inspector Date Inspector, APPROVALS Permit # . APPROVALS Permir # t. Temporary Electrical Service or Pole . , � ' 52. Pool & Epuipment Locati0n 2. Soil Pipe-Undrgrnd. - � �� 53: Steel Reinforcement - • 3. Electrical Conduit Utility-Undrgrnd. . � 54. Forms - 4. Electrical Conduit-Undrgmd.. � 55. Electrical Bonding � 5. Steel Reinforcement- 56. Rough Plumbing & Pressure Test � 6. Elettrical UFER Grnd. . 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrical Conduit�Undrgrnd. 8. Foundation 59.. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � ' 60. Backwash Lines, P�Trap, C7 Undrgrnd. 10. Structural floor Svstem � 61. APPROVALTO DECK 11. Property Sewer Line & House Connection 62. Backwash &�Receptor-Final 12. Sewer Cap , ' 63. Heater & Vent-Final 13. Roof Drains ' • 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electricat-Conduit � � 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access ApProval 17. Reugh Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ce��ing 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Facto.ry Fireplace �� • . � - -APPROVALS Permit # , 21. Dutts,in $tructu�e . � �70. Undergcound Hydro � 22. Ducts, Ventilating , . r71. Product Pipinq O Gas ❑ Oil 23. Gas Pipe-Rough & Test � . 72. Underground Flush , - 24. Roof Framing . '�73. Undergmd�.Stora9eTank�Gas OOiI 25. Roof Sheathing , ' � . ,_ 74,-Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashinq 76. Dry Standpipe � � 28. Lathing & Siding � 77. FIXED SYSTEM FINAL ' 29. Insulation " � 78. FIRE PREV. FINAL � 30. Drywall Nailing ' � � HEALTH DEPT. FEQUIREMENT 31. Plasier B�own Coat� 79. FINAL IN$PECTION � 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33.� Final Electric - � Notes: � 34. Final Heating & Air Conditioning ' J.�3 /Q2 LGL . ! 35. Final Gas Pipe-Test . � ' 36. Hood or Canopy . � - � • 37. Pinal Factory Firepiacc - � . 38. Final Plumbing � � • � 39. Water Service�Final • � 40. GasService�final . � � . � , � . �41. So�ar pomescicFinal � - 42.� Backflow Preventer- 43. Backflow Irrigation � � � ' 44. Landscape Irripation System - ' 45. Sound Attenuation - - ' 46. Handicap Regulations . ' 47. FINAL STRUCTURE & BUILD�NG • 48. FINAL PI.ANNINCa 49. Electric Release to Edison � - � � 50. Gas-Release to Southern Califurnia Gas Co ( . 51. CERTIFICATE OF OCCUPANCY . � No. Date = J =45�14 - . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING 2 Ii /'1� ('�Tr�/lr—� /'�i7 sti lievelopmen OWNER MA�L c�rv Newport Beach BRANCM ADDRESS ARCHITECT ADDRESS CONTRACTOF ADDRESS CITV F STATE i LIC. NO. 0. 0+ OF LOT A1J� a USE OF „�. EXISTING BLDG. y r Frank Span�ler nr,o`5 � 2240 Newport Blvd., TEL. � NO. CITV LIC. NO. [ NO. OF BLDGS. . VO�XHO� NOWONLOT O iiiN i0-77Pa�o00 546" *=*109.78 rrisa APPLICAT[ON FOR STRUCTURAL PERM[T Sr1I�a BUILDING �R,/�/)/ /1/�r-y'1Ct /�� ADORESS �-r�i �cr...�c �C�r TRACT 9H66 � LOT �.O BLOCK rroperzies �vesti llevelopme OWNER Cor;L VALUE Res. Atd. Gar. $61 1 � i FIRE � � ��/� � NO.OF USE OF Nf - PtAKS BUILDING RDSAPPROVED VARDS FSeparate permits are required for �. s E F q elect�c, plumbing and heating work. REAR L„ FT. �.W. USE OF BUI�OING AND WOHK TO BE PERFORMED ��7p�N�E BET Q� MAIN BLDGS. a Construct si le i'amil bedroom CURP� —`� d - � APPR } O — � a � w � I �eleby aeknoWletlge ihat I have re thic applic lon antl stete pf that the abova informetion is correc and a0�ee to comply with ^ �+ ell laws repulatlnp builtlinB'�onstructlon, entl 1 ahell notamploy v�� any person in violatlon of the workman's compeneation laws oi . � Me Stata of CallforNa. . 3 I hereby cartify that I em properly IlcenseG es e cantracior undar SQ. FT. the State of Calitornia Buslnea and Profeuions Cotla, Dlvislon 3, THE AMOUNT S Chapter 9, and thet such Iicenaes are In fuil foree and effect, or I THE PVRPOSE OF am exempt from the provlsions of the State of Celifornia Business VALUATION antl Professiona Cotle, Ivision 3, Cheptar 9. SIO�ature of .- � ��[ �( Permlttee ' � � �_��/ ��2� 3J 1 � 1�� Au[horizetl Agent ,Y��.�l y-�i�� . & 2,295 PERMIT FEE E PLAN CHECIQ'1 S TAX S TOTALPAID S BUILDINO =�t�i� �1 m i m m N IS FOR m ONLV: n a N � m m 0 .28 � ��.�i.S+ilTi�r��..TyZrr.��.��"��a�Si�.��'..i��tv'f+Lr �'�i�s .�.aY.��/�.ef�a.�t��3�v. �---�-- �� ..::ryot�scV\•�]r:u. � . .. . . ' '�.i � 1'- p_i 1y('b!/1:� P �1 _. i _ '"� 1' �"� �I pT.1W1:: y _'.��.__._�_�_t.�__�___�._.`_�..�_ Iq ` . • ; .'..t1:S ^ . ' � {ilL t ::�i!:ia[n:: c� . 1 :. r V ��._.._ - � � bfVV f.HECK i �re.uy i:.iC{r,zz;Upz Coua' pfnr.ial 3' Cu•:'vcci H' . r_.�'_�� cw excmac ew :sm bio�;z�n�•s o� L � l C IN ? t °i ��f: �� I.IG:'1 � bEKP,I�l tEE . � 1� - Je �tn>c n s o�.u�9 � na ur.0 _i_ __ __ ?'q CV+�`ts. ii +:u!7 tP:=x ar,c�e �rtcu2eo �:e ;:l yni: lo�eo _o.'e�te�.<' o: :�� 1H� I�f:d:dx;E G! ?.1.;rCi'12�i;V��'V bE�W41. tEF. ONfA� NS �%1° ::i`�xO 4d C:II{OL'J�9 ��it�ur.xz ouG ytoyr.nt�uz qar.c p(niz�au �• �' 1Ft4 VN:O.^.>I12i10MN (1N'vEy AVf"fIVt10Y. Ig 60li �� I�uc.r,n,: cu�f4J. <Pei l ew G��>u-fA ;;c,r,vr-q .r� ca�:.scloc np4ct . ?!-• . ' � � Gl' � �n t::e gtet'- ot ro14�-�:�' ' • . ' d ?:.1. G�:eou �; n;r.muaa ui Wo mo:gw,u,z comSaonnnu �_aiz ot ' '--- �� :� +�t! Inac: taU�!�af:u9 pru�G'uil.tv��nttnq_iou' euA i rU+�lt uo: cwh��T `) . � ! h' 'N..' al:x apU:, iuFm.wvtyUu �z �:o::ncL nu4 o7�cc t<rco�ub:l, ri.;tV ___ . . i 1 Vo.opA $C�f�'OM16^yA0 :�i•J[ I PPfiO i�j3C S�IIL !i0'y"IIG.'III�j:J vuq vn�c ;. � � :�T"J.:al� �f�il,'�'i::.A_�'iaa'��,::�d�-,.�':f�`r;irt:tii.�:.Y 3�.r'cLJ:� �'��C �. � ;`. `�, '_;�t ; f`z .�t.�, ( ' � _._.__,.—.. ----- � '. -'---_�_..._--I��"_---';_" 1.��. — A. _.�._ �..�-'"._ --�- -+_�__ _ . ` C.�_�� _�� , . �_ � , ;, v ' • { , WLti0AE0 . i--T ; ' �i � �1, ��"'_' ` ^ ' . � . __ '.r_"_�' �; h.bFi�'-2, �•' � �1 'f .. �� GV:.E ; .� , _ _i � `. . "r� Vrtll'�T�&��DC,:.'i --�_ _ VCC�Ii^c'Bf�' Y .' " �'r_'_' f1aF. 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