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Home My WebLink About229 DEL MAR AVE - Building Permits�� s osta. Mesa Buil ing Depar ent `�' '�'APPLICATION FOR PERMIT �""'-_ 111 EAST 20th STREET �..�4 __B U 1 L D.�.G._�_._.__.._'�., 3 � 1 -�'— �COSTA MESA, CALIFORNIA --- — FOR OFF'ICE USE ONLY '. ]FOR APPLICANT TO FILL IN i Receipt No. Permlt.No. ' B�;�d;�9 ; `' 1�� 3��5 i Address 229 E D81 Ma2' Costa Mesa C&I1i017118 Received jby. Date Ree'd. ! Date Iasued � Nearest � � t 2 `=�--9��' S� c�oss s�. F irwa su�ia�ng � � Add�ess , Owner Arlan R. Pentecost ! C t M C lif ` or Ave. Tel. NoLI 8 HOMES Noy ��c 22O Deserptfon I No. lf} I B�ock I Treet127� (Attaeh Metes aad Bounds)f/�- ��a -T (o No. oi Bldgs. Size of Lot '7Q � R15Q �"� Now on Lot I10R8 Useoi I No.oi I No.oi Exfsting Bldg. F�amilies Rooms Setback Line from Rear Vard Center of Strcet 50 � 3ide Yard i 9 ��i�� New 7C � Alteration Repair I I Moving �' Building � No. af _Size � '. � SLi.b't{ipom: Exterlor Wall ( I R Cavering StUCCO C� Use o/ New Demolish I e�...... 1 :I.hereby acknowledge that I have read this Application and state that the above is correr,t and agree to rnmply with all City Ordinances and State Iaws regulating building constr tion. ' Signature o1' � ^"" �1G" Permittee `� Authorized Agt. //(�l � Valu,ation Permit Fee 3 y0 •�' Plan Check S s 7424 ��O Feea� a a� ��_ i�o,�m soa r.- tm tz-ea � os a esa., a orrua � � ' ; , s:. I ! , i ,'J�=- 0 e.I A � _—_'�_"Z > r APPROVAT[ Foundation Location Inspecto Forms, Materials, Under-Pinning Frame: F(re Stops, I :�, Ext. iry Rei Beam Date . . . �,.. , OWNER PFN'ri',��$T� Arlan R. � DAT�—�9-5� JOBADDRES$ 229 E. Del i�far BUILDINGPERMITNO. 3SS GENERALCONTRACTOR Hickor�* Homes VALUE 57��12l1•S� �oT AP# 119-ll0-1�6 BLOCK TRACT Residence GROUP I TVPE V ZONE R'�4 FIRE DISTRICT 1�364 INSPECTIONS D/(T� I SUBGONTRACTOR, I PERMITSISSUED � — / � .I / DATE I NUMBER Fodting Trench /"v Foundation Forms and Grade to Rough Framing z�' Plumbing, Rough ta Slab ! Plumbing, Rough Complete %< Temporary Pole Wiring, Rough Heating, Rough � Heating, Final L Sewer Septic Tank or Cesspool Lathing / �,� � ry.� � Plastering � Plumbing, Final, FixturesComp Piumbing, Final GasTest�s/ Wirina. Final � .Z -1"" I 530 _ � 7o�Id•�f (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 229 DEL MAR AV Suite: Vicinity: Parcel Number: 43918134 npplicant: HOOSHMAND, ARIOU Address: 1539 MONROVIA SUITE 1 NEWPORT BEACH, CA Owner: JEREMIAS, MARKUS Address 229 DEL MAR AVE COSTA MESA, CA Contracror. KIEGGO CONSTRUCTION INC Address: P.O. BOX 10714 COSTA MESA, CA Zip: 92627 Arch : Address: Phane: Zoning: Phone: 949-642-1046 Zip: 92663 Phone: Zip: 92627-1325 Phone: (949) 294-0902 License: 773135 Eng: Address: Status: ISSUED Applied: 02/03/2005 Issued: 02/03/2005 � : %I/// — -- � — Phone: Zip: License: License: SCOPE OF PERMIT- : INTERIOR NON-STRUCTURAL DEMOLITION THROUGFiOUT S.F.D. REF.: 604-01712 NO OTHER WORK AUTHORIZED WITH THIS PERMIT. � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $54.11 $8325 $0.50 $0.00 $0.00 $0.00 $137.86 � SETBACKS MAIN STRUCTURE Fronl 0- 0 ACCESSORY Front 0-0 PARKING Existinp: o _ .._ FEE-SUMMARY - - - Calc Valuation: Claim Valuation: '; ' .., * , `; � : .:,.._ - , Rear 0-0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Right 0- 0 Left 0- 0� � Right �- 0- 0 Proposed: 0 � $3,000.00 33,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 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 1 BO days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inepections 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 , taa�ae (�voo) WORKERS'COMPENSAnON DECLARAnON: ' r— I hereby aHirtn under penelty oi perlury one of the followinq tleclarations: ❑ I have and will malnteln a cenificate of consent to self-Insure tor workers' compensation, as providetl for by section 3700 of the Labor Code, for the peAormance ot the �^'-w+wrk tor which Ihis permit i5 i55uetl. �hheve and will mainiain workers' canpensation insurance, as required by SecUon 3700 ot Ihe Labor Cotle, for Ne peRortnance of the work tor which this pertnit Is Issued. ��.�7.�,t�." dworkers' wmpensation Insurence carrier and policy number are: �y y;aw�er.-- STi�c� �wS� 'PoliiyNumbe� ��1'*'�i 7�O'F I�ZO� 4' (This section need not be complered il the permit is valued et one hundred dollers /8100) or less.) ��.�- ❑ I certity Ihat in Ihe pertormanca ot Ne work for which this pertnit is issued, I shall not employ any person in any manner so as to becoma subject to Ihe workers' compensatlon laws of Celifomia, end eq e that if I sh IC become sub�ect to tha workers' compensation provisions ot Section 3700 of the Labor Code, I shell forthwith comply with these provisions. � p icant SignaNre:'" ��y"' � ,,,rr �-_ .tia[4:'+*7S-ov.�� • � 3• �5 WAA G�. FAILUR�E TO SECURE WORKE 5' COMP SATION CAVERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLflYERT CRIMINAL PENALTIES ANO CIVI� FINES UP TO ONE HUNDRED THOUSAND DOLLAHE (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PFOVI�EO FOR IN SECTfIXJ 31060P THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: ot Chapter 9(commencing with Sectlon 7000) of end Professions Code, and my license Is In tull CONSTRUCTION LENDING AGENCV: ❑ I heraby aHirm that there is e construction lending agency for ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil CoCe). Lendafs Name: Lendefs Address: SignO�ure: _ oeie: OWNER-BUILDER DECLARATIONS: I hareby attirm I�ai under penelry of perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW For Ihe following reeson (Sec. 7031.5, Business entl Professions Cotle: Any city or counry which requires e permit to consWd, alter, improve, demolish, or repair any sWcture, prior to its issuance, elso requires the applicant for such pertnit to tile e signed statement that he or she is Ilcensed purouant to the proNsions oi the Contractors License Lew (Chapter 9(wmmencing with Section 7000) ot Division 3 of the Business and Professions Code) or thet he or she is exempt therefrom and the basls for t�e alleged exemption. Any violation oi Section 7031.5 by any epplicant tor e pertnit subjects Ihe appliwnt to a cNil penelry ot not more than fve hundred dollars ($500).): ❑ I, as owner of the Oroperty, or my employees with wages as iheir sole wmpensailon, WILL DO THE WORK, entl t�e siructure Is not intentled or oHeretl for sale (Sec. 7044, Business antl Profeuions Code: The Contractors License Ww does not apDly to an owner of property who builds or improves thereon, and who tloes such work himsetl or herself or Ihrough his or her own employees, provided �hat such improvemenis are not intended or oMeretl tor sale. It, however, ihe building or improvement is sold within one year ol wmpletion, ihe owner-builder will have the burden ol proving ihat he or sha did not builtl or imD�o�e for purpose of sala.). � ❑ I, as owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Professlons Cotle: The contractors Llcense Lsw tloes not appty to en owner ol pwperry who builds or improves ihereon, antl who conirems tor such pmlect with e contractor(s) licensa pursuant to the Contractors License Laws.). ❑ 1 am exempt under 50c. Business end Prolessions Code tor lhis reason: Signature: Dete: Owner ID venfied 6y dnvers license. ❑ Yes ❑ No Drivefs License No. Veritication of Owners�ip by (type ol document, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certify that no exwvetion five (5) or more teet in depth into which e person Is required to descenq will be mede in connection with work authorized by Ihis permit, and that no building structure, scattolding, talsework, or demolition or tlismantling thereof, vnll be more than ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owneo-builder, I will not employ enyone to do work which woultl require a pertnic from the Division ot IndusMal Safery, es noted abwe, unless such pereon hes a pertnit to da such work trom the division. SignaNre: Data: Division oi Industnal Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENfAY: I cehify under penalty of perjury �hat I have read this application end s�ate Ihat Ihe intortnalion given is correct I agree to comply with all siate laws end ciry ordinances relating to building construction, end authorize represeniatives of the Ciry of Cwia Mesa to enter upon the ebove-described properry for inspection purpases. I agree not to occupy or ellow occupancy of any building authonzed 6y �his permi� until finel inspection. Of Legal CODE �. �NsvecnoNTrve 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QR� INf1TIRL5 � � CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electriwl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency OATE It�LS (714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 229 DEL MAR AV Suite No Vicinity: Parcel Number: 43918134 Applicant: MICK HOLDSWORTH Address: P.O. BOX 10714 COSTA MESA, CA Owner: JEREMIAS, MARKUS Address: 229 DEL MAR AVE COSTA MESA, CA Contrector. Address: MECHANICAL PERMIT KIEGGO CONSTRUCTION INC P.O. BOX 10714 COSTA MESA, CA Phone: (949) 294-0902 Zip: 92627 Phone: Zip: , 92627-1325 Phone: (949)294-0902 Zip: 92627 License: 773135 Status: ISSUED Applied: 02/22/2005 Issued: 02/22/200 ISSUED BV: SCOPE OF PERMIT ADD 1061 SF TO EXISTING TWO-STORY SFD. WORK TO INCLUDE: ADD 783 SF TO 1ST FLOOR BY EXPANDING THE KITCHEN AND DINING AREA AND ADD ONE BEDROOM AND TWO BATHROOMS. DEMOLISH EXISTING FIRE PLACE IN THE FAMILY-ROOM. ADD 278 SF TO 2ND FLOOR BY ADDING A CLOSET AND SITTING AREA AND EXTENDING MASTER BEDROOM. WORK ALSO INCLUDES NEW 136 REAR DECK AT SECOND FLOOR AND SUBSTANTIAL REMODEL OF EXISTING HOUSE, INCLUDING STRUCTURAL ROOF CHANGES AT 1ST FLOOR. REF.: B04-01712 MECHANICAL TO INCLUDE: 1 INST FAU > 100K BTU, 1 REPAIR/ALT COOLING/HEAT, 1 GAS PIPING, 1 HOOD W/MECH EXHAUST, 2 VENT FANS AND.1 COMPRESSOR/ABSORPTION SYSTEM 3 TO 15 HP. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heal Insl / Rep. Recess Wall HV 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 Quantity $23.50 $0.00 . 0 $18.20 1 $1370 1 $0.00 0 $0.00 0 $0.00 0 $6.15 1 $0.00 0 $10.65 b $0.00 0 $14.50 2 $0.00 " 0 $0.00 0 . $0.00 0 FEE SUMMARY �� Repair % Alt Absorbtion Unit ' , , . � Repair/-AIt�RefrigerationUnit � - � Ventillalion�System - . � Evaporative Cooler Commercial Incinerator�- � �, � ' Domestic Incinerator �- � Compressors / AbsorpliodSvstems . - Upto3hp/t00kBTU � - , � . 3To15hp/SOOkBTU , � , - 75 To 30 hpJ,1,000 k BTU' - 30 To 50 hp"/ 1,750 k BTU-',' � . Over 50 hp / Over 1,750 BTU -� Boilers . � . . . ,. Up.to 3 hp. : �.-± �- .. - .. _ 3To15hp , 'Quantity $0.00� 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $27.15 1 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 no� commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi� FOR INSPECTIONS CALL: (714) 754-5626 2446d8 (fl�W) WORKERS'COMPENSAnON DECLARAnON: � I �ereby aHirtn under penalry of perjury one oi the following declaretions: ❑ I have and will maintain a certiticate of wnsent to selbinsure for workers' compensation, as provided for by section 3700 ot the Labor Cotle, for the peAortnance of ihe wark far which this permit is issuetl. �� I have and will maintain workers' compensalion insurance, es required by section 3700 of the Labor Code, tor the peAortnance oi the work tor which this permit is issued. My wor/kers' compensation Insurance carrier end policy number ere: Cartier. tif�-�c"��cR��- U��MA2n PolicyNumber._��5�'O�� -2c>ov (1)r!s section need nof be comp/etetl i/ Me permit is velued et one hundred dWlars ($100) oNess.) ❑ I cetlity that in [he peAortnance of lhe work lor which Nis permit is issued, I shall not employ eny person in any manner so es to become subjed to ihe workers' wmpensation laws ot Califomla, entl egree that if I should become subject to Ihe workers' compensation provislons ol Section 3700 of ihe Labor Cotle, I shell f6rthwith wmply with these Rro,v,isio,n1s�. ---� Applicant Signature: 1" I•�4�1 A'�/ Dete: r'iZ.2 .� ��b e— WARNINO: FAILURE TO SECURE W ENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND OqlARE (5100,000), IN ADDITIpJ TO iHE COST OF CAMPENSATION, DPMAGES AS PROVIDED FOR IN SECiION 3106 OF THE LABOR COOE, INTEREST, AND AiTORNEV'S FEES. LICENSED CON7AACTORS DECLARATION: I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professions Code, end my license is in full force end ettect. Lic. # �� .-l-7.i Class N � i ContrectoYs SignaNre: M. Sl�- Date: `�.--, d i6-.S 2cao � CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn ihat there is a construction lentling agency for the pertormance of Ihe work for which this permit is iuued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, 8usiness end Professions Code: Any ciry or county which requires a Oermit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires Ihe applicant for such permil to tile e signetl statement Ihat he or she is Ilcensetl pursuant to the provisians of the Caniractors License Lew (Chapter 9(commencing wlih Section 7000) of Division 3 of ihe Busineu ana Professions Code) or that he or sha is exempt therefrom and the basis for the alleged exemption. Any violetion af Section 7037.5 by eny applicent for a permit sub�ects the epplicant to a civil penalty of nat more then five hundred dollars ($500).): ❑ I, as ownar ot tha properry, or my employees with weges as Iheir sole compensation, WILL DO THE WORK, and the strucWre Is not iniended or oMered for sele (Sec. 7044, Business and Protessions Code: The Contractors Licensa Law dces not apply to an owner of properry who builds or improves Ihereon, and who tloes such work himsetl or herself or thmugh his or her own employees, provided thet such improvements are not intentled or ottered lor sale. If, however, ihe building or improvement is sold wit�in one year ot completioq Ihe owner-Duilder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of lhe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct �he Drolect (Sec. 7044, Business antl Professions Code: The contractors License Law does not eppty to an owner oi property who huilds or improves ihereon, end who contrecis lor such project with e contractor(s) license pursuant to the Coniractors License Lews.). ❑ I em ezempt under sec. Business and Professions Code for this reeson: Signatura: Date: Owner ID verifietl by dnver's licensa. ❑ Ves � No Drivefs License No. E:pires: Vedfication ol Ownership by (type oi documen6 i.e. - properry ta: bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify ihat no exwvation tive (5) or more feet in depih into which e person is required to descentl, will be meda in connection with work aut�onzed by ihis pertnit, and that no builtling swcWre, scaHolding, falsework, or demolition or dismantling thereot, will 6e more than ihirry-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Atlminisirativa Code). � ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit irom the Division of Industnel Sefary, es noted abwe, unless such person hes e pertnit to do such work trom Ihe division. Signature: Date: Division of IndusMal SafeN Pertnit Number. CER71FlCA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalty of perjury that I have read this application end state thet ihe information given is correct I agrae to comply with all state laws entl ciry ordinances relating to Duilding consWciion, antl authonze representatives ot the City ot Coste Mesa to enter upon the above-described property for inspection puryoses. I agree not to occupy or ellow occupancy of any building authonzed by Ihis permit umil finel inspection. i�l.�ture Oi Legal Owner(s) Date o`Zol..,{ � 20�'� - � u[nonzetl ApPiicam Date COOE I. INSPECTIONTYPE 1818 Fi:ed Sys�em Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Roo1 201 Final Block/Retaining Wall 202 Final Feciory Fira Place 203 Final Sign 204 Final Demolition Q� INTffIALS CODE1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Elecincal 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Sita Final Building/Occupancy 9•3n_ �5 �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 229 DEL MAR AV Suite No Vicinity: Parcel Nunmber: 43918'174 Applicant: MICK HOLDSWORTH Address: P.O. BOX 10714 COSTA MESA, CA Owner: JEREMIAS, MARKUS Address 229 DEL MAR AVE PLUMBING PERMIT Phone: (949) 294-0902 . Zip: 92627 Phone: COSTA MESA, CA Zip: 92627-1325 Contractor: KIEGGO CONSTRUCTION INC . Address: P.O. BOX 10714 � Phone: (949)294-0902 COSTA MESA, CA Zip: 92627 License: 773135 ISSUE FEE BackFlow irrigatlon BackFlow Preventer Balhtub Clanfier System Connect Qce,Soda,etcJ Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Status: ISSUED Applied: 02/22/2005 Issued: 02/22/20 5 ISSUED BV: SCOPE OF PERMIT ADD 1061 SF TO EXISTING TWO-STORY SFD. WORK TO INCLUDE: ADD 783 SF TO 1ST FLOOR BY EXPANDING THE KITCHEN AND DINING AREA AND ADD ONE BEDROOM AND 7W0 BATHROOMS. DEMOLISH EXISTING FIRE PLACE IN THE FAMILY ROOM. ADD 278 SF TO 2ND FLOOR BY ADDING A CLOSET AND SITTING AREA AND EXTENDING MASTER BEDROOM. WORI( ALSO INCLUDES NEW 136 REAR DECK AT SECOND FLOOR AND SUBSTANTIAL REMODEL OF EXISTING HOUSE, INCLUDING STRUCTURAL ROOF CHANGES AT 1ST FLOOR. REF.: B04-01712 , � PLUMBING TO INCLUDE: 2 BATHTUBS, 1 GAS (t-4 OUTLETS), 2 SHOWERS, 1 KITCHEN SINK, 3 WASH BASINS, 2 WATER CLOSETS AND 1 WATER.HEATER. � � � �� AMT $23.50 $0.00 $0.00 $19.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 , 0 2 0 0 0. 0 0 0 0 0 0 � FEE SUMMARY � � � ''' � AMT �.' �QTY �; . ":' . . � , Laundry Tub! Washer $0.00 0 Sump Pump Landscape Irrigatlon $0.00 0 ..�- Swimming Pool P-Trep . $0.00 0 -� . . Trap Primer . . ' Pressure Regulator $0.00 . 0 - . Unnal ; . Process Piping (per-10 ft) $0.00 -- -0� � .� � �Vacuum Brkr Bkflow(1-4) Receptors $0.00 0, � Vacuum Brkr Bkflow(5+) Septic Tank $0.00 `0 �� - Wash Basin. Sewer Cap for Demo � �$0.00 � 0 Wash Basin Set Sewer Connect . - - - $0.00 '0 � - �� Waste and Vent System Sewer Private Line. �. . $0.00 �� 0 : Water Closet (Toilet) Shower $19.60-,' ��2 -%�:-�- � � Water Heater / vent Sink, bar ' - ,_�. $0:00. � 0"� Water Piping (Inst or Rep.) Sink, commercial � $0.00 0 Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.40 $0.00 $0.00 $19.60 $12.30 $0.00 $0.00 QTY 0 0 0 0 0 0 3 0 0 2 1 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In ord�r for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlons ahd final epproval must be obtained. Failure �o obtain inspections and final approval will result in the expiration of this permi� FOR INSPECTIONS CALL: (714) 750-5626 2446-4fi�N00) WORKERS' COMPENSATION DECLARATION: � � I �ereby eftirtn under penalry oi perjury one oi ihe following declaretions: ❑ I heve entl will maintein a certitiwte ot wnsent ta setl-Insure tor workers' compensation, as provitletl for Cy section 3700 of the Labor Code, for the performance of the �''ork tor which tNs pertnit is issuetl. [� 1 have and will mainWin workers' compensation insurance, as required 6y section 3700 of the Labor Code, tw the peAortnance ot the work tor which Ihis pertnit is issuetl, My workers' compensation Insurence wrrier enC policy number are: Cerrier: �N�rh�4� �--Jo�'�P-+A2�c PolicyNumber. ��,��'o�� ^'2004 (This secfion neetl not 6e completed il the permit is va/ued et one hundred dollers (3100) or less.) ❑ I certify thai in the peAormance of Ihe work for which this permit is issued, I shall not employ eny pereon in any manner so as to become subject to ihe workers' compensetion laws ot Califomia, antl egrae Ihat ii I should become subject to the workers' compensation provislons oi Section 3700 ot the Lebor Code, I shell f6rthwith complY with t�ese provisio s. AppllcamSigneture: M•� Dete: _a��-•.� �� ' � WAqNINa: FAILURE TO SECUFE WO IS'G9RIPEIVSATION CAVEiUGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOYER TO CRIM�NAL PENALTIES AND CIVIL FINES UP TOONE HUNORED THOUSAND DOLLARE �5100.0001. IN AODITION TO THE COST OF CAMPENSATIqJ, DPMA6ES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, ANO ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby attirm that I am licensed under provisions oi Chapter 9(commencing with Seciion 7000) of Division 3 ot t�e 8usiness end Professions Code, antl my license Is in full lorce antl effecc Llc. N 3� � Class # 7 Contwctofs Signeture: M- Date: 9.2—; 5'2� � CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn Ihat ihere is a wnswction lending agency for ihe pertormance oi Ihe work For which Ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: LendeYs Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hareby eHlrm thet untler penalty of perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professlons Cotle: Any ciry or counry which requires a permii to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit to tile e slgneC stetement thet he or she is Ilcensetl pursuem to Ihe provisions of the Contractors License Lew (Chapter 9(commencing with Sedion 7000) 01 Divislon 3 of the Business and Professions Code) or that he or she is exempt theretrom end the basis tor the alleged exemption. Any vlolation of Section 703t5 by eny applicent Por e permit subjects t�e applicant to e civil penalry of not more than five hundretl tlollars ($500).): ❑ I, es owner oi the praperry, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure is not intended or ottere0 for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves �hereon, and who tloes such work himsell or herself or through his or her own employees, provitletl that such improvements are not Intentlad or ottered lor sale. If, however, ihe builtling or improvement is sold within one year of completion, the owner-builtler will have the burden ot proving ihat he or sha did not build or improve tor purpose of sale.). ' ❑ I, es owner oi the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business antl Professions Code: The wntrectors License Law tloes not epply to en owner of pmperty who builds or improves Ihereon, end who contracts tor such project with a contrector(s) license pursuant to ihe Contractors License LawsJ. ❑ I em e:empt under sec. Business end Proteuions Code tor this reason: SignaWra: Date: Owner ID varilied by arivers license. ❑ Yes ❑ No Drivers License No. Venflcatlon ol Ownership by (typa ot tlocumeni, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: Eapiras: ❑ I hereby certify �hat no ezcavation five (5) or more feet in Ceplh into which a person is requiretl to tlescentl, wlll be mede in connection with work authonzed by this permit, antl that no building sWCNre, swHolding, falsework, or demolition or dismantling thereoi, will be more Ihen ihirry-sia (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomla Atlministrative Code). � ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industnal Safery, as noted abwe, unless such person hes e permit ta do such work irom the divisian. Signature: Date: Division ot Indusirial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZATION OF ENTRY: I cenify under penalry of perjury ihat I have read this eppliwtion and state Ihet ihe infortnation givan is correct. I egrae to wmply with ell state laws and ciry ordinences relating to building coreWction, and authonze representatives of the Ciry ot Costa Mesa to enter upon the ebove-descnbed property for inspection purposes. I agree not to occupy or ellow occupancy ot any building auihorized by this permit until fnal inspection. M. r�'5� ture Of Legal Owner(s) Date ��.3 a��t ,� �.a.-o� - � oonzea nppiicam Date CQOE I, INSPECTIONTYVE 1616 1266 Fixed System Final Fire PreveNion Pool SDe Final 200 Final Re-Rool 201 Final Blxk/Retaining Wall 202 Flnal Factory Fire Place 203 Final Sign � 204 "Finel Demolition Pdg �MRJi�3 COOEI INSPECTIONTYPE 20fi Final Mechanical 208 Final Plumbing 210 Final Elecincel 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy ` fi i �:l � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 229 DEL MAR AV Suite: Vicinity: Parcel Number: 43918134 Applicant: MICK HOLDSWORTH Address: Owner: JEREMIAS, MARKUS Address 229 DEL MAR AVE COSTA MESA, CA Zoning: Phone: 714-299-9792 Zip: Phone: Zip: 92627-1325 Contractor. KIEGGO CONSTRUCTION INC Address: P.O. BOX 10714 Phone: �(949)294-0902 COSTA MESA, CA Zip: 92627 License:' 773135 � Arch : GARY MAXWELL Eng: Address: 19722 WESTWINDS LN Address: Phone: 949-632-6018 ISSUED BY: Status: ISSUED Applied: 10/06I2004 Issued: 02/22I2005 Phone: HUNTINGTON BEACH, CA Zip: 92646 License: C13785 � license: SCOPE OF PERMIT ADD 1061 SF TO EXISTING TWO-S70RY SFD. WORK TO INCLUDE: ADD 783 SF TO 1ST FLOOR BY EXPANDING THE KITCHEN AND DINING AREA AND ADD ONE BEDROOM AND TWO BATHROOMS. DEMOLISH EXISTING FIRE PLACE IN THE FAMILY ROOM. ADD 278 SF TO 2ND FLOOR BY ADDING A CLOSET AND SITTING AREA AND EXTENDING MASTER BEDROOM. WORK ALSO INCLUDES NEW 136 REAR DECK AT SECOND FLOOR AND SUBSTANTIAL REMODEL OF EXISYING HOUSE, INCLUDING STRUCTURAL ROOF CHANGES AT 1ST FLOOR. FEE SUMMARY. . . Plan Check: $1,009.94 Calc Valuation: Szoo,000.00 Permit: $1,553.75 - Claim Valuation: S2oo,o00.00 SMIP Res: $20.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,583.69 SETBACKS MAIN STRUCTURE Front 45- 0 ACCESSORY Front 0- 0 � � PLANNING & ZONING �. �- Rear 71- 0. , '�Left 0-�0� .� Right ;; 5- 0. - .Rear 0-0 � ��Left-� 0-0 ; �:Right ` 0-0 - . ��:. �- : NOTICE: The work authorized by this pprmit 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: In order tor the work authorized under this permit to be considered legal, such work must comply with al7 applicable codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspactions and tinal approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 �� 2446�48(&00) WORKERS'COMPENSATON DECLARAnON: I hereby atfirtn under penalry of perjury one of the following declarations: � __ , ❑ 1 heve and will mainiain e cenificate oi cansent to self-Insure for workers' compensatlon, es provided for by section 3700 oi ihe Labor Cotle, for the peAortnance ot the work tor which Ihis permit is issued. [�]--�I�have antl will maintain workers' compensatbn insurence, as required by section 3700 oi Ihe LaUor Code, for tha peAormance of ihe work tor which Uis pertnit is issued. $,:��.hly workers' compensation Insurance carner antl policy number are: c.q� („(OoDMA21C �-Foli N_umber.'.��'J��'O�}1-2mp�- comp/eted tl the permlf Is velued et one huntlretl tlollars ($700) or /ess.) �^"' ❑ I certity that in the pertortnance of the work tor which this pertnit is issueQ I shell not employ any person in any manner so es to become subject to ihe workers' compensation laws of Calitomia, end egrea ihat if I shoultl become subject to the workars' compensation provisions ot Section 3700 of Ihe Lebor Cotle, I shall forthwith co ply.with,Nese.pf�vision /� plicanlSpnaWra:.T�=(��✓it�.�� .-..-� r�� 2L�oS� W R�AILURE TO SECURE WOR ENSATIIXJ COVERAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOVER TO CRIMIWIL PENALTIES ANO CIVIL FWES UP TO ONE HONORED TMOUSAND DOLLAFE (5100.000). IN AODITIIXJ TO THE COST OF COMPENSAiiON, OMMGES AS PROVIOED FOR IN SECTION 3/O60F THE LABOR CODE, IMEREST, ANO ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn ihat I am Iicensed under provislons of Chapter 9(commencing with Section 7000) ot Division 3 oj,�b B� usiness and Prolessions Cotle, end my license is in tull M�e�� it�-a...-,..- ��-3/3� (riee�u"�_� i2 CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that there is a consiruction lentling agency for the peAormanca ol iha work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn lhat under penelty of perjury thal I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the epplicant for such pertnit to tile e signed statemant ihat he or she Is Ilcansetl pursuent to the provisions ot the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the Business end Professions Cotle) or thet he or she is eaempt thereirom and the basis for ihe alleged exemption. Any violation of Section 7031.5 by eny appliwnt for a pertnit su6�ects the applicant to a civil penalry of not more ihan five huntlretl dollars ($500).): ❑ I, es owner ot the properry, or my employees with weges as their sole compensation, WILL DO THE WORK, and Ihe siructure Is not Intended or oMered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and w�o does such work himself or hersetl or ihrough his or her own employees, provided that such improvemenis ere not intended or oHered for sele. If, howaver, ihe building or improvement is sold within one year of wmpletion, the ownerbuilder will have ihe burden of proving ihat he or she did not build or improve tor purpose ot sale.). ' � I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Code: The contracmrs License Lew Coes not appry to an owner ot property w�o builds or improves t�ereon, and who comracis for such projact wl�h e comracbr(s) licen5e pursuant to iha Contwttors License Laws.). ❑ I em e:empt untler sec. Business and Professions Code for this reason: Signatura: Data: Owner ID verified by dnver's license. ❑ Ve5 ❑ No DnvefS LicenSe No. Venfiwtion of Ownership by (type oi tlocument, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: � I hereby certify iha� no axcavetion five (5) or more feet in depth inio which a person is required to descend, will be made in connection with work euthonzed 6y ihis permit, and that no building sWCWre, swHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Atlminisiretive Cotle). � � As owner-builder, I will not employ anyone to do work which would require e Dermit fmm the Division of IndusMal Safery, as noted ebove, unless suc� person has e permit to do such work irom the diNsion. Signature: Date: Division of Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTMOR¢ATON OF EMAY: I certify under penalry of perjury ihat I have read ihis applica�ion antl state ihat the infortnation given is correcL I agree to comply with all state laws anC city ordinances relating to builtling construction, antl authorize representatives ot the Ciry of Coste Mesa to enter upon the ebove-described property for inspection purposes. I egree not to occupy or allow occupanty ot any building authonzed by ihis pertnit un�il final inspection. COOEI. INSPECTIONTYPE ' 1616 Fixetl System Final Fire Preven�ion 1266 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Flnal Sign 204 Final Demolition Qdjg INTffIALS COOE1 INSPECTIONNPE 206 Final Mechanical 208 Finel Plumbing 210 Pinal Electncai 212 Final Fire Pravention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy S� ��1\I�I:YIId1S�j NEWPORT-MESA UNIFIED SCHOOL DISTRlCT CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: ( �City of Costa Mesa ( ) City of Newport Beach ( ) Counly of Orange Applicant: Address; -._-.�..-�=��=Z`ii,�'.,... ;i�( _ �a�ht�[. . , �a7=—,=,.—�_-s�.i.._vi ` � N° 5197 DisUict Receipt No. Plan Check No. -� 1 � Telephone Number TracUParceland Lc Loca@on of Project: Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaUlndustrial Projed is: (Check One) _ Warehouse R&D _ Movie Theater _ Mini-storage _ Heavy Industrial Regional Shops _ Light Industrial _ This project is exempt because ��ll I x 51.84 xE.30 _ Motel Bank _ Neighborhood Shops _ Racquet/Heatth _ Hotel Medical Office Office Park Total � � Total Preschool Auto Repair Hospital Large Oifice Office Bidg. Restaurant Fast Food This certifies that the above-named DevelopedApplicant has paid school facidty fees i� comptiance with Government Code sections 53060 and 65995. The Building Pemils for this square footage in this proposed development may now be issued by your jurisdicGon. Checks are to be made payable to NewpoR-Mesa Unified School Dishict. ey: awwrt�w The abave representation as to square footage is We. Appbcant agrees Mat i( it is later determined that such representations are not true, then this certificate shall automaticalN terminate and the appropriate Cit�r/Counly shall be notifled. Date �—�c� �P.� `Za0 S (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 229 DEL MAR AV 43918134 Applicant: MICK HOLDSWORTH Address: P.O. BOX 10714 COSTA MESA, CA Owner: JEREMIAS, MARKUS Address 229 DEl MAR AVE COSTA MESA, CA Contractor. KIEGGO CONSTRUCTION INC Address: P.O. BOX 10714 ISSUE FEE Temp service test Res.a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recepl Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a COSTA MESA, CA Phone: (949)294-0902 Zip 92627 Phone: Zip: 92627-1325 Phone: (949)294-0902 Zip: 92627 � License: 773135 Status: ISSUED Applied: 02/22/2005 Issued: 02/22I2005 ISSUED BY: — "�� SCOPE OF PERMIT ADD 1061 SF TO EXISTING TWO-STORY�SFD. WORK TO INCLUDE: ADD 783 SF TO 1ST FLOOR BY EXPANDING THE KITCHEN AND DINING AREA AND ADD ONE BEDROOM AND TWO BATHROOMS. DEMOLISH EXISTING FIRE PLACE IN THE FAMILY ROOM. ADD 278 SF TO 2ND FLOOR BY ADDING A CLOSET AND SITTING AREA AND EXTENDING MASTER BEDROOM. WORK ALSO INCLUDES NEW 136 REAR DECK AT SECOND FLOOR AND SUBSTANTIAL REMODEL OF EXISTING HOUSE, INCLUDING � STRUCTURAL ROOF CHANGES AT 1ST-FLOOR.-REF.:�B04-01712 - -- � ELECTRICAL TO INCLUDE: 50 LIGHT FIXTURES, 75 OUTLETS, 35 SWITCHES, AND t SERVICE 70 200 AMPS. � - ' REVISED 02/28/05: ADD TEMPORARY POWER POLE. - � ' FEE SUMMARY �:..,, ` $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $43.90 $62.15 $32.95 $0.00 $0.00 $30.50 $0.00 $0.00 Quan6ty � 0 0 0 50 75 35 0 0 � 0 0 � � Temp Dist System / Lighiing Busway /100 fl . Stantling Section . . Misc Electrical Equipment " . Transformers up to 1 kva/kw - - � .....:..........up to 10 kva/kw ' ��. .................up to 50 kva/kw � � .,........,.....up to 100 kva/kw ..................over 100 kva/kw � , . Low Voltage Equipment Cow Voll Wiring System GCkt �- . Misa Conduit ' � � � "Misc. Conductor" � � Circus ( gen or ride) QuanLty $0.00 0 $0.00 0 $0.00 -" 0 50.00 i0 �$0.00 - - 0 � •�"$0.00 �'�0 .' �. $OAO � 0 �0.00 0 : $0.00 0 $0.00 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona 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 2446d8 (fl/00) WORKERS'COMPENSAnON OECLAHAnON: I hereby aHirm under penalry of perjury one of the tollowing tleclarations: ❑ I heve and will maintain a cenificate of consent to selGlnsure for workero' compensation, as provided for by section 3700 of ihe Lebor Code, for the peAortnence of the work tar which IhiS Dermit i5 issued. �j �ave end will maintain workero' compensaGon insurence, as reduired by secfion 3700 oi the Labor Cotle, for the perfortnance of the work for which this pertnit is issued. My workers' compensation Insurance carner and polity number are: ,/ �(J G0TIT6r.—�..��1�MOY'�C4n �.%oo[�%Ma��_ Polfi.yNumber:� �G,S'% O` � — 1007 ('~f�ris se`cf on need nat be completed i! fhe pertnif is velued et one hundred dallars ($100) or less.) ❑ I certify that in the pertormance of ihe work tor which this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' wmpensation lews oi Celitomia, antl agrea ihat il I should become su6�ect to the workers' compensation provislons ot Sectlon 3700 of the Lebor Cotle, I shall forthwith wmpty with these provisions. // �1 / �ca�ntSipnatuie:�'�.:.'.:':r , N'J �_ �O�-z-� ��3F c.f WIIRNINO: FAI�URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHRLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOIXJE HUNDPED TFIOUSAND DOLLARE (5100.000�. IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F iHE L4BOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATON: I hereby aryi�m.that.l.am licensed under provisions of Chapter 9(commencing with Section 7000) of Division Professions Coda, and my license I5 in tull CONSTRUCTON LENDING AGENCV: ❑ I hereby aHirtn that Ihere is a consiruction lentling agency for ihe peAortnance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Coda). Lender's Name: Lender's Adtlress: Signature: OWNER•BUILDER DECLARATONS: Date: I hereby eHirtn that under penelry of perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry which requires a pertnit ro consimct, alter, improve, demolish, or repair any sWcture, prior m its issuance, also requires ihe eppliceN for such permit to lile a signetl statement that he or she is licensed pursuent to the provlsions of the Contractors License Lew (Chepter 9(commencing wit� Sectlon 7000) oi Dlvislon 3 of the Business end Pro1e55ions Cotle) or that ha or she is e:empt therefrom end the basis for the alleged exemption. Any violation oi Section 7031.5 by any epplicent for a pertnii subjects the eOP�icant to a civil penalry ot not more ihan five �undred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages es iheir sole compensation, WILL DO THE WORK, and the structure is noi intended or otteretl lor sele (Sec. 7044, Business antl Professions Code: The Coniractors License Law dces not apply to an owner oF property who builds or improves thereon, end who does such work himself ar herself or through his or her own employees, provided �hat such improvemenis are not intended or oHerad tor sale. If, however, t�e building or improvement is soltl within one year ot wmplation, the ownerbuilder will have the burden ot Droving ihat he or sha did not build or improve for puryose oi sale.). ' � I, as owner ol the pmDerry. am E%CLUSNELV CONTRACTING WITH LICENSED CON7RACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The coNreciors License Lew does not epply to an owner ol property who builds or improves lhereon, and who contracts for such pmject wlt� e contractor(5) license Dursuant to tha Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Cotle For this reason: Signature: Data: Owner ID venfied by dnver's license. ❑ Yes ❑ No Dnver's License No. Venfication oi Ownership by (type ot tlocument, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Eapires: ❑ I hereby certity ihat no excavation five (5) or more feet in tlepth into which a person is required to descend, will be made in connedion with work euthonzed by ihls permit, entl t�a� no building sirudure, scaffolding, talsework, or demolition or dismantling thereof, will be more ihan thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Calilomia Adminlsiralive Cotle). � ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit trom the Division of Indusirial Satery, as notetl above, unless such person has e pertnit to do such work trom the division. Signature: Date: Division ol lndusirial Safety Pertnit Number: CERTIFlCATE OF COMPLJANCE AND AUTNORVJ1710N OF EMRV: I certify untler penalry ot perjury that I have read this application and state ihat the infortnetion given is corred. I agree to compty with all state laws antl ciry ortlinances relating to building construction, antl authorize representatives of the Ciry of Casta Mesa ro anter upon the above-descnDed property tor insDection purposes. I agree not to occupy or allow occupancy of any building authonzed by ihis pertnit until final inspection. � n /� Signature Of Legal Owner(s) CODE �. INSPECTIONTYPE Q�¢. IiIIIIJAL$ 1616 Fixetl System Final Flre Prevention 1266 200 201 202 203 Pool Spa Final Finel Re-Roof Final8locWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition GODE� INSPECTIONTYPE 206 Final Mechanlcal 208 Final Plumbing 210 Final ElecMwl 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy Date p111i1:11�1/1bi A( Q1 -�� (714) 754-5273 • Fa�c (714) 754-4956 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 229 DEL MAR AV 43918134 Applicant: MICK NOLDSWORTH Address: P.O. BOX 10714 COSTA MESA, CA owner: JEREMIAS, MARKUS Address 229 DEL MAR AVE COSTA MESA, CA Contractor: KIEGGO CONSTRUCTION INC Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to thp Molors to tOhp P.O. BOX 10714 COSTA MESA, CA Phone: (949)294-0902 Zip 92627 Phone: Zip: 92627-1325 Phone: (949)294-0902 Zip: 92627 . � License: 773135 Status: ISSUED Applied: 02/22/2005 Issued: 02/22/2005 ISSUED BY: SCOPE OF PERMIT ADD 1061 SF TO EXISTING TWO-STORY-SFD. WORK TO INCLUDE: ADD 783 SF TO 1ST FLOOR BY EXPANDING THE KITCHEN AND DINING AREA AND ADD ONE BEDROOM AND TWO BATHROOMS. DEMOLI$H EXISTING FIRE PLACE IN THE FAMILY ROOM. ADD 278 SF TO 2ND FLOOR BY ADDING A CLOSET AND SITTING AREA AND EXTENDING MASTER BEDROOM. WORK ALSO INCLUDES NEW 736 REAR DECK AT SECOND FLOOR AND SUBSTANTIAL REMODEL OF EXISTING HOUSE, INCLUDING . STRUCTURAL ROOF CHANGES AT-IST-FLOOR.�REF.: 604-01712 - - � ELECTRICAL TO INCLUDE: 50 LIGHT FIXTURES, 75 OUTLETS, 35 SWITCHES, AND 1 SERVICE TO 200 AMPS. � . � � $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $43.90 $62.15 532.95 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY Quantity � �� - � � Temp Dist'System / Lighting "> 0 0 0 . 50 75 35 0 0 1 0 0 0 0 Busway /100 ft � . � , " ' Standing Section�� . � � Misc Electrical Equipment Transformers up to 1 kva/kw � � - ................up to 10 kva/kw . .:..:............up to 50 kva/kw .................up to 100 kva/kw � � ..................over 100 kva/kw Low Voltage Equipment � Low Volt Wiring Syslem / Ckt ' Misa Conduit � � � Misa Conductor ,-..: � . - -CifCtIS ( gC0 Of fld2) . - "� ' Circus�(mech ride or li9hts) Christmas Tree Stand Quantity � $0.00 ' ` 0 $0.00 ' 0 $0.00 0 $0.00 0 $0.00 . � ` 0 ' $0:00 � �', 0 � $0.00� 0- � $0.00 � 0 ' $0.00-�" 0� $0.00- 0 30.00' 0 $0:00 0 50.00 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, 12-21-g2) E%PIRATION: 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 1 BO days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, end all required inapectlona and iinal approval musi be obtained. Failure to obtain inspections and final approval will result in ihe expi�ation of this permif.e FOR INSPECTIONS CALL: (714) 7545626 2466d6 (6�00) WORKERS' COMPENSATION DECLAHATION: I hereby eXlrtn untler penalry oi perjury one of ihe following declarations: ❑ I have entl will maintein a certificate ot consent to self-Insure tor workers' compensatioq es provided for by sedion 3700 of Ihe Labor Code, tor Iha pertormence of Ihe work tor which Ihis permil is i55ued. ' ��V:pave end will mainiain workers' compensation insurance, as required by section 3700 of the Lahor Cotle, for the performance ot the work for which this pertnit is issuetl. ''�tiTy workers' compensation Insurance wrrier antl policy number are: ��MEPncA1,. i.1WOfT92�� PoliCyN� '�'� 04� - Zoo� �sB�fion nesd no! be comp/eted i! the permit is valuetl at one huntlretl dollars (3100J or /essJ ❑ I ceM1ify Ihat in the pertormance of Ne work for which ihis pertnit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensation lews of CalHomia, end agree tha[ if I should become subject to the workers' compensation provislons oi Section 3700 of the Labor Cotle, I shall fonhwith �can�ture:�-� • k�6� o�-� � ��.-,cl �t� 2m Y WAAMPIG: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNUWFUL AND SHALL SU&IEGT AN EM � TO CRIMIWIL PENALTIES AND GVIL FINES UP TOONE MUNDRED hKK15AND DOLLARE (5100,OW). IN FDDITION TO THE WST OF COMPENSAT1qJ, DAlMGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHir� t_I.emJicensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business anC Professions Cotle, and my license is in tull �ome�erfd�,ery� d-. p _"^ . � ? 7 � -... �r—a�,�,�.ss q� °. . � «I�tz or actof��!1HWre`: �{�n:'- � D8I e'..�-�-.-.�I h"zws �'u`.'311M-" - i�^ � . �� CONSTRUC710N LENDING AGENCV: ❑ I hereby eflirm �hat there is a constmction lentling agency for the performance of the work for w�ich ihis permif is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lentler's Atltlress: SignaWre: OWNER-BUILDER DECLARA710NS: Da�e: I hereby eHirm ihat untler penelty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires e permit to consiruct; alter, improve, demolish, or reDair any structure, prior to its issuance, also requires ihe appliwnt for such permit lo tile a signed stetemem thet he or she Is Iicensed pursuant to the provisions ot the Conirectors License Law (Chepter 9(commencing with Sedlon 7000) ot Division 3 of Ihe Business and Professions Code) or that he or she is exempt thereirom and ihe basis for the elleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjecis ihe epplicam ta e clvil penalry oi not more than tive hundred dollare ($500).): ❑ I, as owner ol the properry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, en0 ihe structure is not intended or ofleretl for sale (Sec. 7044, Business and Prolessions Code: The Contractors License Law dces not apply to an owner of proDerty who 6uilds or improves theraon, antl who does such work himself or herself or thmugh his or her own employees, provitled that such improvemenis are not intended or oflered for sale. It, however, Ihe building or improvemeM is sold within one year oi completion, the owneabuiltler will have ihe burden of pmving that he or sha did not build or improva for purpose ot sale.). ' ❑ I, as owner ol the property, em El(CLUSIVELV CON7AACTING W17H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not appty m an owner ot pmperty who builds or improves thereon, antl who coniracts for such pmject with a conirector(s) license pursuam to ihe Contractors License Laws.). ❑ I am e:empt unaer sac. Signeture: Owner ID verified by drivels license. ❑ Yes ❑ No eusiness and Professions Code lor this reason: Veniication of Ownership by (rype of daumeni, i.e. - property tac bill or deedJ: DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFICATION: Dnvers License No. Data: Expires: ❑ I hereby certify ihet no escavation five (5) or more teet in dep�h into which a person is required �o descend, will be mede in connec�ion with work authonzed by ihis permil, antl t�at no building strucWre, swftolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, TM1Ie 8, Califomia Administretive Code). � ❑ As owner-Cuilder, I will not employ anyone to tlo work which would require e Dermit from the Division ot Industrial Sefety, as noted above, unless such person has e permii to do such work trom the division. Signa�ure: Date: Division of Indusirial Setety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: 1 cetlity under penalry ot perjury that I have read this application and state that �he information given is correct I egrae to comply with all state lews entl ciry ordinances relating to building consWction, and authonze representa�ives oi ihe Clty of Costa Mesa to enter upon ihe above-descnbed property for inspection puryoses. I agree not to occupy or allow occupancy of eny building euthorized by this permit until finel inspection. Legal COOE I, INSPECTIONTYPE 1616 Fiaetl Svstem 1266 Pool Sp�Gel 200 Final Re-Rool 201 Final Blxk/Ret�'rt 202 Final Factory Fire 203 Final Slgn 204 Final �emolition Qp� IMRIA Q CQOEt INSPECTIONTYPE 206 Finel Mechanical 2080 Final Plumbing 2 Final EIBpiIcaT� 212 i I Fire Prever 222 Final Site 250 Final Building/Occupancy �TE 1t�Lfi CITY OF COSTA MESA PLANNING DEPARTMENT A.P. No. }�, '—r'r �� Bldg. Permit No. PA10 � ::UG 23-72c�;s,.,G0168?Ro:':**�•40.00 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 779 t��l da+r (w�•nun Owner's Name n �.,.,+,. -�r=�. __E: �b Bachelor or 1- Bedroom Units 2 - Bedroom Units $25.00 = $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total number of Dwelling Units $4i1.00 Total Fee _lanning Department Approval Date „.,., -,:, Park Area No. � � j� ` �By+:i �� n�ry„ Applicant's Signature �i�,��;� -- -' �� CITY OF COSTA MESA PLANNING DEPARTMENT `,UG ?_3-72cnsa001681(iox***40.0� A.P. No. ,,. � Bldg. Permit+No.�• 4J �� PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Yroject Address 9�v ��r•1 aaa� t�van�� Owner's Name ..�., n...,..,..,...,. °''''�" .._�z--- Bachelor or 1- Bedroom Units @ $25.00 = 2 - Bedroom Units @ $40.00 = 1 �4U.i;0 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total number of Dwelling Units Total Fee �anning Department Approval Date r. •o.•� Park Area No.�_ By N_� _p qnn� Applicant's Signature �.lAi� �; ,(X�J-.� �.rS/Pt/) �ju�j�� CITY OF COSTA MESA ✓elopment Services Department - Building L .�n P. O. Box 1200, Costa Mesa, CA 92626 PERMIT EXPIRATION FORM ��' �� To: u- d-� l�✓✓I � "" ""�'�-"� ! / ( �.o-c, �'1r1 oh� �3�Zt. J�ZQCci�� oZ�.2e6 Project Address: L��/�"'�--e' ��n��i�� CITY 0� COSTA hqeSA Bt!!LC�i�!;; D!V,'�;O;V ��r fr1AY 2 "1 i383 "i1i'z:;g�;�ZI1�1�?�1tx f3��5� Date: �/Zd/g3 Permit 1 � ��I a�� 2) Numbers 3) 4) Our records show that the listed permitls) was obtained for property improvement, or alteration, at the above project address and the project was not properly completed. This permit(s1 expired on 6-�/-�/ , Please be on notice that, without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. ' � Please call 7545273, give the permit number�s) and request a"deadwood" inspection within ten days. An inspector will visit the site with the pertinent records and advise you of the necessary steps in correcting this situation. If no work was performed, please sign and�date, and return�to the Building Division. � I here6y certify that no work �was performed. I understand the permit will be cancelled. SIGNATURE DATE 2, ❑ No contact has been made.. An Inspector will make an on-site inspection within ten (10) days of date shown above to verify status of project. 3. ❑ Deputy Building Inspector denied entry onto property for inspection purposes. � Documents will be forwarded to City Attorney's office with request for Inspection Warrant from court to access property tor inspection. � 4. 5. ❑ Request inspection within ten (10) days and verification of Code compliance (see attached sheetl. ❑ Project is completed. Remove or expose areas checked in attachment (No. 4 above) for verification of Code compliance within ten U0) days ofdate above. 6. ❑ Owner refuses to complete project by required inspections and said property is potentially hazardous to any who enter thereon. All documentation has been forwarded to City Attorney's office with request for prosecution for.violation of adopted Code(s�. All further contact shall 6e with that office until such time as resolution is decided by Court. Sincerely, � G:� i RECORDS CLERK - c-i-33 . . 754-5273 CMF 0985-46 (rev. 5/83) White-Permlttee; Canary-BWltling Div. aC��p M�s9 e, � , _ f J •�'^M�n� AP (714) 754-5273 • Fax (714) 754-4856 Job Address: 229 DEL MAR AV Suite: Vicinity: HOUSE Parcel Number: 43918134 npp�icant: VAUGHT, MILTON Address: 8231 FLAXMAN DR. CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT HUNTINGTON BEACH, CA ' Owner: JEREMIAS, MARKUS & MOLLY Address 229 DEL MAR � ' COSTA MESA, CA . Contracror. 'VAUGHT�ROOFING Address: 8231 FLAXMAN DR. , HUNTINGTON BEACH, CA - Zip: 92646 Arch : Address: Zip: Phone: , License: Zoning: Phone: (714)764-0297 Zip: 92646 Phone: (949) 548-1681 Zip: 92627 Phone: (714)764-0297 License: 628955 Eng: Address: PERMIT NUMBER B99-019'24 v 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 Phone: License: � � ` � SCOPE OF PERMIT � REROOF EXISTING SINGLE FAMILY RESIDENCE (18 SQ). TEAR OFF EXISTING WOOD SHINGLES & ADD NEW 1/2 INCH CDX PLYWOOD SHEATHING. INSTALL 15# FELT UNDERLAYMENT & REROOF WITH 25 YEAR DIMENSIONAL FIBERGLASS SHINGLES. � � ' � � - ti Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ' J ? ACCESSORY Front 0- 0 � � PARKING Existin : 0 NOTES: 9 Rear 0- 0 Rear 0- 0 Required: 0 r 9 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $a,000.00 $a,000.00 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 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby aHirtn untler penalry ot perlury one oi ihe tollowing declarations: , ❑ I heve and will maintein a cenifiwie ot consent to self-Insure for workers' compensation, es provided for by sedion 3700 of the Labor Cotle, for Ihe pertormanca of ihe work for whic� this permit is issued. � � ❑ I have and will maintain workers' canpensation insurance, as required by section 3700 ot ihe Labor Code, for �he pedortnance oF Ihe work tor which this perrriit is issued. My workers' compensation Insurance wrtier and policy number are: � Carrier: Policy Number: (This se�art�reed nof be comp/etetl il the peimil is ve/ued et one hundred dollars ($100) or less.) [j� I certify t�at in e perlorm� ce f ihe rk for which ihis permit is iuued, I shall not employ any parson in any manner so as to become sublect to the workere' compensation la C�A�Qtnia nd r t d I sho d become subleq to t�e workers' compansation provisions of Section 3700 of the Le6or Cotle, I shall forthwith comply with ihese pro i IS / Q�j Applicam Signature: Date: ��v�` / WFRNING: FAILURE TO SEWRE WORKERS' COMPEN ION COVERAGE IS UNLAWfUT AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOILFRE (5100.000�. IN ADOITIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDE� FOR IN SECTION 9)O6 OF THE L480R CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm ihat I am lice se u p�ro�vis' �s of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business nd Prot ssions Code, antl my license is In full force antl ettect Lic. x �O �:).'� n / ./ Class u �"� Contractors Signawre: dc... . Data: l'� O% CONS7RUCT10N LENDING AGENCY: ❑ I hereby attirm thai �here is a construction lending agency for ihe peAortnance of ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle). , Lentlers Name: Lenders Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aNirtn that under penalry ot perjury Iha� I em EXEMP7 FROM 7HE CONTRAC70R5 LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires Ihe applican� tor such permit Io file a signed statamem Ihat he or she is licensetl pursuant to the provisions ot the Contractors License Law (Chapter 9(commancing with Section 7000) of Division 3 oi the Business and Pmtessions Code) or that he or she is exempt thereirom antl ihe basis for ihe allegea exemption. Any violation of Seciion 7031.5 by any applicent tor a permit subJects the applicant to a civil penalry of not more than five hundred Collars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intentled or oHered tor sale (Sec. 7044, Business antl Protessions Cotle: The Contractors License Ww does not apply to an owner of property who builtls or improves thereon, entl who tloes such work himself or herself or thmugh his or her own employees, provided that such improvemenis a�e not intended or oHered for sale. If, however, tha building or improvement is soltl wi�hin one year of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Businass antl Protessions Cotle: The coniractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a coniractor(s) license pureuant to Ihe Comractors License LawsJ. ❑ I am ezempt untler sec. SignaNre: Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Business end Professions Code for this reason: Ventication of Ownership by (type ot document, i.e. - property tax bill or deed): Drivefs License No. Data: Expiras: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certiy that no ezcavation tive (5) or more feet in depth into which a person is required to descend, will �e matle in connection with work authorized by this permit, and that no builtling siruqure, scattoltling, falsework, or tlemolition or dismanNing Ihereoi, will be more t�an thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Administretive Code). ❑ As owner-builtler, I will noi employ anyona to do work which would requira a permit from ihe Division of Intlusirial Safery, as noted above, unless such person has a permit to tlo such work from the division. Signature: Data: Division ot Industnal Safery Permit Number: CER7IFICA7E OF COMPLJANCE AND AUTiORIZA710N OF ENTRY: I certify under penalty of perjury that I have read this application antl state that the information given is corred. I agree ro comply with all state laws antl ciry ordinances relating to building consiruction, and authonze represematives of the Ciry ot Costa Mesa to enter upon Ihe above-tlescribed proppny for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this permit until tinal inspection. CODE �, INSPECTIONTYiE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitian 2446-46 �ATE L�IIJA4S �a3 � ��`r. �. : CO�E� INSPECTIONTYPE 206 Final Mechaniwl 208 Final Plum6inq 210 Final Electrical 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy UpTE INTRIALS � , _� Propertv Address Owner Contra� � CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. �' �, ' (� �� - State Contractor License Number Y��O /S� Classification C-.�/ I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certiy that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certi(y that I am: � Owner of sole proprietorship company Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: - � IZ �� -`�t Ini�ial oate 0990�<6 MW9/9] White-Builtling0iv.;Canary-ConVactoqPink-Owner 1�ifri6.�y�" Compeny or Corporete Name1 � pia) �sa-sz�s • Fax (»a� �sa-aess Job Address: 229 DEL MAR AV Suite: Vicinity: � DETACHED GARAGE Parcel Number: 43918134 Applicant: VAUGHT, MILTON Address: 8231 FLAXMAN DR. CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT HUNTINGTON BEACH, CA BUILDING PERMIT Zoning: Phone: (714)764-0297 Zip: 92646 Owner: JEREMIAS, MARKUS & MOLLY Address 229 DEL MAR . � -Phone: "(949)548-1681 - � COSTA MESA, CA - � � � - Zip: 92627 � . _ . , PERMIT NUMBER B99-01925 � 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 Contractor: �VAUGHT ROOFING� � � Address: , 8231. FLAXMAN.DR. . � ' . . � Phone: Q14) 764-0297 . , HUNTINGTON BEACH, CA 2ip: 92646 License: 628955 � Arch : - � � � Eng: , Address: . - � - Address: � �Phone: - ' Phone: . Zip: . , - License: License: , SCOPE OF PERMIT REROOF EXISTING DETACHED GARAGE (5 SQ). TEAR OFF EXISTING WOOD SHINGLES & ADD NEW 1/2 INCH CDX PLYWOOD SHEATHING. INSTALL i-LAYER OF 15# FELT UNDERLAYMENT & REROOF WITH ELK 25 YEAR DIMENSIONAL FIBERGLASS SHINGLES. � ° Plan Check: Permit: r SMIP Res: SMIP Com: Othe�: Inspection: Total: $0.00 $57.05 _ $0.50 $0.00 $0.00 $0.00 $57.55 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY Calc Valuation: , Claim Valuation: . PLANNING & ZONING Lek 0-0 Right Left 0-0 Right PropOsed: 0 si,soo:oa $1,600.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned I for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, and all required Inepeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATON: I hereby attirm under penalry oi perjury one oi ihe following tledarations: ❑ I have antl will meintein a cenitiwta of consent to self-Insure for workers' compensation, as provitletl for by section 3700 of the Lebor Cotle, for Ihe pertormance of the work tor which this permit is issued. � ❑ I have antl will maintain workers' compensation insurance, as requiretl by section 3700 of the labor Cotle, tor Ihe pedormance ol lhe work for which Ihis permit is issuetl. My workers' compensation Insurence carner end policy number are: Carner. Policy Number. (This ction need nof be wmp/etetl i! the permif is va/uetl af one huntlred dollars ($ f00) or less.) 1 ceniTy ihat in Ihe pertorman of he w rk for which this permit is issuetl, I shall not employ eny person in any manner so as to become subleci �o ihe workars' compensation la of Calif a, d a tha t I shoultl ecome subject b the workers' compensation provisions of Section 3700 of the Lahor Code, I shall fotlhwith comply with Ihese _ /�/O� Applicant SignaWre: Date: l� 7 WARNING: FAILURE TO SECURE WOFKERS' COMPENSATI COVEfiAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES FND qVIL FINES UP TO ONE HUNDRED TFIOUSANO OOLLARE (5100.000), IN ADDITIQY TO THE COST OF COMPENSATION, DAMAGE$ AS PROVIDEO FOR IN SECTION 3]Ofi OF THE IABOR CODE, IMEREST, FND ATTORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I �ereby affirm (hat I am force and etfect Lia x Contractors Signawre: of Chapter 9(commencing with Section 7000) of Division 3 of the E Class N Date: _ Code, and my license is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirtn ihai Ihere is a construction lending agency for Ihe pertortnance of ihe work for which this permit is issued. (Sec. 3097, Civii Code). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Pmfessions Code: Any ciry or county which requires a permit �o construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires the applicent for such permit to file a signed statement ihat he or she is licensed pursuan� to the provisions ot the Contractors Licensa Lew (Chapter 9(commencing with Section 7000) ot Division 3 of �he Business antl Professions Cotle) or that he or she is eaempi therefrom and the basis for the alleged exemption. Any violation oi Section 7031.5 by any applicant tor a permit sublecis the applicant to a civil penalry of noi more than five hundretl dollars ($500)J: ❑ I, as owner of ihe property, or my amployees with wages as their sole compensation, WILL DO THE WORK, and the structura is noi intentletl or oNeretl for sale (Sec. 7044, Business antl Professions Code: The Coniractore License Law tloes not apply ro an owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employaes, provided that such improvemenis are not intended or oRered for sale. If, however, the builtling or improvement is soltl within one year of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Protessions Cotle: The coniractors License Law tloes not eppty to an owner of property who 6uilds or improves ihereon, and who conlrects for such project with a coniractor(s) license pursuant to the Contractors License Laws.). � I am eaempt under sec. Business antl Professions Code for this reason: SignaWre: Date: Owner ID venfietl by tlnver's license. ❑ Yes ❑ No Dnver's License No. Venfication of Ownership by (rype ot document, i.e. - propeny tax hill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity ihat no excavation tive (5) or more feet in depih in�o which a person is requiretl �o descend, wiil be made in connection with work authorized by this pertnit, and that no building siructure, scaHolding, lalsework, or demolition or dismaniling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title B, Calitomia Atlministrative Code). ❑ As owner-6uiltler. I will not employ anyone lo do work which would require a pertnit from the Division ot Industrial Safety, as noted above, unless such person has a permit to do such work trom ihe diNsion. Siqnature: Dare: Division of Indusirial Safery Permit Num6er: CERTiFlCATE OF COMPLJANCE AND AUTHORVATION OF EN7RV: I cenity under penalty ot perjury tha� I have read this application and state Ihat tha information given is correct. I agree b comply wi�h all state laws and city ordinances relating to building constmction, and authorize representatives o� Ihe Ciry ot Costa Mesa to entar upon the aDove-descdb�l property foy�nspection puryoses. I agree not to occupy or allow occupancy ot any building authonzed by Ihis permit until final inspection. CO�E �, INSPECTIONTYPE 7676 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2C46-66 Q]j� INTRIALS /ST��- JCS� OEI'� MSPECTIONTYPE 206 Final Mechanical 20B Final Plum6ing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupency IR F INTITIALS � � CITY OF COSTA MESA � � � � BUILDING DIVISION Prapertv Address Owner Contrac ROOF COVERING CERTIFICATION Permit No. �J�� Q� f 2� State Contractor License Number ��o /�� Classification (..: �� I hereby certify that I have installed, or caused to be instailed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certiiy that i am: � Owner of sole proprietorship company Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certiiy that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be bi�di�g o� all successors or assigns of the company or corporation. I shail deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: �+� I Z � � � `� Ini�ial Date � 0990�46MW9/9) W�ita-BuiltlingDiv.:Canary-ConrcacmrPink-Owner l�if�i6r/-,� Company or Corpa2te %L%O/�/ � , l�O� Pnnted or Typed Name ' ,� o M�s9 4 � 0 > _ r J ��`aa,,,�+�' (714) 754-5273 • Fa�c (714) 754-4856 Job Address: 229 DEL MAR AV Suite No CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Vicinity: KITCHEN, BATHROOMS & ATTIC AREA. Parcel Nunmber: 439'18134 Applicant: JEREMIAS, MARKUS & MOLLY. Address: 229 DEL MAR COSTA MESA,CA' Owner: ".."JEREMIAS, MARKUS�& MOLLY Address� �229 DEL MAR � - COSTA MESA, CA Contractor: OWN ER-BU I LD ER Address: i , . N �' � Arch I Eng : ' ` ` Address � Phone: (949)548-1681 Zip: 92627 , Phone: Zip: 92627 Phone: . Zip: License: 0 Phone: Zip: License: PERMIT NUMBER P99-OS1880 �� 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 _ � SCOPE OF PERMIT � ` ' RESEDENTIAL REMODEL, 1 DISHWASHER, 1 SHOWER/TUB, 1 KITCHEN SINK, 1 WASH BASIN & 2 GAS OUTIETS. ' . � ' REF:B99-01923 ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System ' Connect (Ice,Soda,etc) Dental Units - Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 56.15 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT .Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80� Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 COMMENTS I SPECIAL CONDITIONS Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Pipinq (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION � AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 59.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: ' $68.85 QTY 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspendad 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 inspectiona end final approval mus� be obtained. Failure to obtain inspections and final approval will result in �he expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: ' 1 hereby attirtn untler penalry of perjury ona ot the tollowing declarations: � I have antl will maintain a certificate ot consent to self-Insure for workers' compensation, as provitletl for Dy section 3700 oi tha Labor Cotle, for the pertormance of the work for which Ihis permit is issued. � ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of [ha Labor Code, for the peAortnance ot the work for which this pertnit is issuetl. My workers' compensation Insurance cerrier and policy number are: Carrier: Policy Number: (This section need nof be completetl il the permi( is velued et one hundred dollars ($700) or less.) ❑ I certity that in tha peAortnence of Ihe work for which this pertnit is iuued, I shall not employ any person in any menner so as to become subject to the workers' compensation laws of Celifomie, and agree that it I should become subject to ihe workers' compensation provisions of Section 3700 of the Lebor Code, I shell forihwith comply with Ihese prwisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALilES AND GVIL FINES UP TOONE HUNORED TFIOUSAND DOILARE (5100,000�, IN ADORION TO THE COST OF COMPENSATIIXJ, DAM4GE5 AS PROVIOED FOR IN SECTION 3'IO60F THE LABOR CODE, IMEREST, AND NTTOPNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aHirtn Ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of i�e Business antl Professions Coda, antl my license is in tull brce antl eHecL Lic. » Class # Contractors Signature: Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby affirm �hat there is a consWction lending agenty for the pertormance of the work for which t�is pertnii is issued. (Sec. 3097, Civil Code). . Lentler s Name: �endets Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to consWc�, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant for such pertnit to tila a signed statemeM thet he or she is licensed pursuant to ihe pmvisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or that he or she is ezempt theretrom and the basis for the alleged exemption. Any vlolation oi Section 7031.5 6y eny epplicant for e permit 5ub�acts the applicant to e civll panalry oi not more than five hundred dollars ($500).): y� I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the slructure is not intentled or oNeretl for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner of propeny who Duiltls or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provitled that such improvemems are not intended or oHered for sale. If, however, ihe building or improvement is soltl within one year of c1ompletion, the owner-builtler wi0 have ihe burden of proving that he or she did no� build or improve tor purpose of sale.). ❑ I, as owner of�� pro�rty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to cons(mct the project (Sec. 7044, Business and Professions Code: The con c�ors icense Law does not apPly to an owner ot property who builtls or improves thereon, antl who contrects for such project with a contractor(s) license pursua to the omractors License Laws.). ❑ I am e:empi er s SignaNre: Owner ID verified y drivefs Venfication of Ownership by ❑ Ves ❑ No 8usiness and Professions Code tor ihis reason: Expires: of document, i.e. - properry tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certlty thai no ezcavation tive (5) or more feet in dept� into which a person is requiretl to tlescenQ will �a matle in conneciion with work authonzed by ihis permit, and that no building struciure, scattoltling, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) feet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlminisiretive Coda). ❑ As owner-buil0ar, I will noi employ anyone to do work which would require a pertnit from the Division ot Intlustnal Safery, as notetl above, unless such person has a permit to da such work fwm the tlivision. SignaWre: Date: Division of Industrial Satery Permit Number: COOE I. MSPECTIONTYVE 1616 Fized System Final Fire PreveMion 1266 Pool Spa Final 200 201 Final RB-Roof Final BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2466-<6 0� INTRIALS COOE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plum6ing 210 Final Electrical 212 Final Fire Prevantion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy LAffi �NTRIRLS (714) 754-5273 • Fax (714) 754-4856 � CITY OF COSTA MESA BA/ILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 229 DEL MAR AV Suite No Vicinity: ATTIC AREA Parcel Number: 43918� 34 KITCHEN. MECHANICAL PERMIT Applicant: JEREMIAS, MARKUS 8 MOLLY Address: 229 DEL MAR COSTA MESA, CA Owner: JEREMIAS, MARKUS & MOLLY Address: - : 229�DEL MAR � � - ,� _ ' � COSTA MESA, CA - " Contractor: OWN ER-BU I LD ER Address: ArchlEng:- , � Addrese: � ' Phone: (949)548-1681 Zip: 92627 � Phone: Zip: 92627 Phone: Zip: License: 0 r `. . i ' , Phone: Zip: License: NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 ISSUED BY: �� SCOPE OF PERMIT RESEDENTIAL REMODEL, INSTALL NEW FAU IN ATTIC AREA AND 1'HOOD W/MECH EXHAUST IN REF:B99-01923 . . 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 Boz Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater $23.50 $0.00 $18.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 1 0 0 0 0 , 0' 0 1 0 0 0 0 0 0 0 0 0 0 � FEE SUMMARY .' ' Repai� / P,It Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commerciallncinerator � Domestic Incineretor Compressors / Absorption Systems Upto3hp/100kBTU 3Tot5hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Quantity �0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $52.35 NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorized under ihis permit to be consitlered legal, such work must comply with all applicable codes, and all requlred inspections antl (Inal approval must be obtained. Failure to obtain inspections and final approval will result in �he expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 '/ WORKERS'COMPENSAnON UECLARAnON: I hereby ettirm untler penalty of perjury one of the following tleclaretions: � � ❑ I heve end will maintain a cenificate of consent to seli-Insure tor workers' compensetion, as providetl for by section 3700 of the Labor Code, br the pertormance ot the work for which Ihis pertnit is issued. � ❑ I have and will maintain workers' canpensation insurance, as required by sec�ion 3700 of the Labor Cotle, for ihe peAortnance of Ihe work for which ihis permit is issuetl. My workers' compensation Insurance carner end policy number are: Carrier. Policy NumDer: (This section neetl not be comp/e(ed il [he permif is velued et ane hundred dollers ($f 00) or /ess.) ❑ I certiy that in the pertormance of the work for which this permit is issued, I shall not employ any person in eny manner so as to become su6ject to Ihe workers' compensation laws oi Califomia, antl agree thet ii I should become su6jact to the workers' compensation provisions of Saction 3700 of the Labor Coda, I shall forthwith comply with ihese provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKEFS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSPND DOLLARE ($10p,000). IN FD�ITION TO THE COST OF COMPENSATION, �AMAGE$ A$ PROVIDED FOF IN SECTION 31060F THE L480F CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby attirtn that I am licensed untler provisions of Chapter 9(commencing with Sec�ion 7000) of Division 3 of the Business and Professions Cotle, antl my license is in tull foma and eNecL Lic. » Class N Coniractors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hareby aHirm lhat lhere is a conslruction lending agency for ihB pertormante of the work for whiCh this pertnit is issued. (Set. 3097, Civil Code). , Lender's Name: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby ettirm thet untler penalty of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or county which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicant for such permit to file e signetl statement ihat he or she is licensetl pursuant to ihe provisions oi the Coniractors License Law (Chapier 9(commencing with Section 7000) of Division 3 ot Ihe Business antl Professions Code) or Ihat he or she is exempt iherefrom and the basis tor the allegetl exemption. Any violation of Section 7031.5 by any epplicant for e permit s,yu�bjects the applicam to a civil penalry ol not more than tiva hundred dollars (5500).): - p� I, es owner of the properry, or my amployees with wages as iheir sole compensation, WILL DO THE WORK, end the siructure is not intentletl or oHered for sale (Sec. 7044. Business antl Professions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves thereon, antl who does such work himself or hersalf or ihrough his or her own employees, providetl that such improvements are not intentled or oNered for sale. It, however, ihe builtling or improvement is soltl within one year of co lefion, �he ownervbuiltler will have the hurden ot proving that he or she did not bui10 or improve for purpose ot sale.). ❑ I, as owner o� prope , am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The co t ctors Li nse Law does not apply to an owner of proparty who huiltls or improves thereon, and who coniracis for such project with e coniractor(s) license pursu lo the C tractors License Lews.). ❑ lam Signature: Owner ID by drivers li#ense. ❑ Ye5 ❑ No Business and Professions Code for this reason: Venfication ol Ownership by (type of document, i.e. � property ta+c bill or deed): Dnver's License No. �6pate: I Expires: DIVISION OF INDUSTRIAI SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more faet in depih into which a person is required to descenq will be matle in connection with work authonzed by this permit, end that no building siructure, scaffolaing, falsework, or Cemolition or dismantling ihereof, will be more ihan thirry-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 347, Ttle B, Califomia Adminisirative Code). ❑ As owner-builder, I will no� employ anyone to ao work which woultl require a permit from the Division of Industrial Safety, as noted above, unless such person has a permi� to tlo such work fram the division. SignaNre: Date: Division of Intlustnal Safary Pertnit Number. GODE �. INSPECTIONTYYE 1616 Fixetl Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2aa&46 Ij_A� IMfTIRLS CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final PlumDing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy R I S-cao �N �l O �p M 4� p O �> J�� (714) 754-5273 • Fa�t (714) 754-4856 Job Address: 229 DEL MAR AV CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Suite No Vicinity: KITCHEN, BATHROOM AREAS Parcel Nunmber: 43918134 Applicant: Address: Owner: Address Contractor. Address: REF:B99-01923' ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts . Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors l0 1 hp Mators to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT JEREMIAS, MARKUS & MOLLY 229 DEL MAR COSTA MESA, CA Phone: (949)548-1681 Zip: 92627 JEREMIAS, MARKUS & MOLLY 229-DEL MAR � - � „ � � Phone: COSTA MESA, CA Zip: 92627 OWNER-BUILDER Phone: , .. , � ..Zip: � � ' �License: 0 SCOPE OF PERMIT RESEDENTIAL REMODEL, 4 LIGHTS, 8 OUTLETS AND 2 SWITCHES. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $4.40 $8.80 $220 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft � Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit - Misc: Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee PER T NUMBER 99-01168 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 ISSUED BY: ��I� Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.90 COMMENTS / SPECIAL CONDITIONS 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 commencad within 780 days, or if work is suspended or abandoned tor a period of 780 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 Inapecliona and final approval must be obtained. Failure �o obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: , , I hereby aifirtn under penalty of perjury one of the following tleclaretions: � ❑ I heve and will malntain a certiticate of consent to self-Insure tor workars' compensation, as provided for by sectlon 3700 oi the Labor Cotle, for Ihe pertormance ot the work tor which ihis permit is issuetl. � ❑ I have and will mainiain workers' canpensation insurance, as requiretl by section 3700 ot ihe Lebor Code, br �he peAortnanca of the work tor which this permit is issued. My workers' compensation Insurance carner and policy number are: . Carner: Policy NumDer: (Th/s secfion need not be completetl il the permit is valued et one hundretl dollers ($100) ar less.) ❑ I certity that in the pertormance ot the work tor which this permit is issued, I shall not employ any person in any menner so as to becoma subject to ihe workers' compensation laws of California, antl agree that if I should become suhject to ihe workers' cnmpensation provisions of Section 3700 of the Labor Cotle, I shall fonhwith comply with thesa provisions. Applicant SignaWre: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CFIAUNA� PENALTIES ANO CIVII FINES UP TO ONE HUNORE� TFIOUSAND DOLLARE (5100.000). IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOR CODE, INiEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm tha� I am licensed under provisions of Chapter 9(commencing with Sec�ion 7000) of Division 3 of �he Business and Professions Code, antl my license is in full forCe and BflBCL LiG M CI855 M Contractor's SignaNre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat there is a construction lending agency for Ihe peAormance of the work for which this permit is iuuad. (Sec. 3097, Civil Code). , Lender's Name: Lendets Address: Signature: Date: OWNER-BUILDER UECLARATIONS: I hereby attirm t�at under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to cons�rucL alter, improve, demolish, or repair any strucNre, pnor to its issuanca, also requires tha applicant tor such permit to tile a signetl siatement Ihat he or she is licensed pursuant to tha prwisions of �he Contractors License Law (Chapter 9(commencing with Section 7000) of �ivision 3 oi Ihe Busineu antl Professions Code) or that he or s�e is exempt Iheratmm end �he basis tor the alleged exemption. Any violation of Section 7031.5 by any applicaN for e permit s �ects the applicant ro e civil penalry oi not more than five hundred dollars ($500).): I, as ownar oi Ihe propeny, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe structure is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of property who Duiltls or improves thereon, antl who does such work himself or herself or Ihmugh his or her own employees, pmvitled that such improvemenis are not intended or oHered for sale. If, however, tha building or improvement is sold within one year oi com�etion, the owner-builtler will have Ihe burden of proving Ihat he or she did not build or improve tor purpose of sale.). ❑ I, as owner ol ih operty am EXCLUSIVEIV CONTRAC7ING WI7M LICENSED CONTRACTORS to constmct tha project (Sec. 7044, Business antl Protessions Coda: The cont rs Lic se Law does not apply to an owner of properry who builds or improves ihereon, and who contracts for such projeci with e comractor(s) licen5e OurSua Ihe Co iractors LiCense Laws.). ❑ I am e:empi r ec Signature: Owner ID veritied by drivers ❑ ves ❑ No Busines5 and Profe55ion5 Code tor lhis reason: Verification ot Ownership by (type of document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATON: Dnver's License No. qate: �L G' Expires: ❑ I hereby certify that no e:cavation five (5) or more feet in depih into w�ich a person is requiretl to descand, will be made in connection with work authonzed by this permit, an0 ihat no building siructure, scaHoltling, falsework, or demolition or Gismantling thereof, will �e more than thirty-sis (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifornia Administrative Code). ❑ As owner-builder, I will not employ anyone ro do work which woultl require a permit irom the Division of Indusirial5afery, as noted above, unless such person has a permit to tlo such work from ihe division. Signature: Data: Division of Industrial Sefety Permit Number: CO�E �, INSPECTIONTYPE 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall ' 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 244s 46 DATE I T I CODE� INSPECTIONTYPE 206 Final Machanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy OpTE u i (714)754-5273 • Fan(714)754-4856 ' CITY OF COSTA MESA y BDILD/NG DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 229 DEL MAR AV Suite: Vicinity:. KITCHEN,FAMILY RM, BEDROOMS 8 BATHROOMS ParcelNumber: 43918134 Applicant: JEREMIAS, MARKUS & MOLLY Address: 229 DEL MAR COSTA MESA, CA Zoning: Phone: (949)548-1681 Zip: 92627 owner: JEREMIAS, MARKUS & MOLLY Address 229 DEL MAR - Phone: " COSTA MESA, CA '. ' . Zip: 92627 Contracror: 'OWNER-BUItDER Address: ' Phone: Zip: Arch : Address: Zip: � •f � .Phone:�� License: License: 0 Eng: Address: l. �tMIT NUMBER 699-01923 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/6/7999 . Issued: 12/6/1999 ISSUED BY: � . � SCOPE OF PERMIT RESEDENTIAL KITCHEN, BATHROOMS, FAMILY ROOM ALTERATION. CONSTRUCT KITCHEN PASS THRU, ENLARGE WINDOW IN�BATHROOM t, ENLARGE WINDOW IN FAMILY ROOM. FEE SUMMARY Plan Check: " $90.51 , Calc Valuation: Permit: $139.25 - ' Claim Valuation: SMIP Res: r. $0.62 - J .' ; SMIP Com: $0.00 ' Other $0.00 Inspection: $0.00 Total: $230.38 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fmnt 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Right 0- 0 Left 0- 0 Righh 0- 0 Proposed: 0 Phone: License: $6,200.00 ss,2oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requiretl Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 �WOflKERS' COMPENSATION DECLARATION: �� I hereby aHirm under penalty oi perjury one of the following declara�ions: ❑ 1 have and will maintein a certificate of consent to self�lnsure tor workers' compensation, as provitletl for by section 3700 of the Labor Cotle, for ihe pedortnanca of t�e work tor which this permit is issuetl. ' ❑ I have antl will maintain workers' compensation insuranca, as requiretl by section 3700 of ihe Labor Code, for the peAortnance of the work tor which this permit is issued. My workers' compensation Insurance carner and policy number are: Carrier: Policy Number. (This section neetl no( be comp/eted i! fhe permit is valuetl et ane hundred dWlers (3700) ar less.) ❑ I certify Ihal in lhe pertormance of Ihe work for which lhis permii is issuetl, I shall nol employ any person in eny menner so as to become subject to Ihe workers' compensation laws ol Califomia, and agrea that if I should become subject to the workers' crompensation pmvisions of Section 3700 oF the Wbor Code, I shall lorthwith comply with these provision5. Appliwnt Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSAiION COVEFAGE IS UNLAWPUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSAND DOLLARE (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOfl CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARA710N: 1 hereby aHirm that 1 am licensed under provisions of Chapter 9(commencing wi�h Section 7000) of Division 3 of the Business and Protessions Code, antl my license is in full force antl eHect. Lic. a Class # Contractor's Signawre: Date: I CONSTRUCTION LENDING AGENCY: ', ❑ I hereby aHirtn that there is a consiruction lendinq agency for ihe peAortnance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: Signature: Data: OWNER-BUILDER DECLARA710NS: I hereby attirm t�at under penalry of perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions Coda: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires ihe applicant tor such permit b tile a signed statement Ihat he or she is licensed pursuant to t�e provisions ot the Coniractors License Law (Chapter 9(commencing with Section 7000) ot DiNsion 3 of Ihe eusiness and Professions Cotle) or that he or she is exempt �herefwm en0 the basis tor t�e alleged exemption. Any violation of Section 7031.5 by any epplicant for e permit �su �ects the applicant to e civil penalry of not more ihan five hundred tlollars ($500).): I, as owner of the propeny, o� my employees with wages as their sole compensation, WILL DO THE WORK, and ihe stmcture is not intanded or ottered for sele (Sec. 7044, Business antl Prolessions Code: The Contractors License Law does nol apply to an owner oi property who builds or improves ihereon, antl who tloes such work himself or herself or throug111��his or her own employeas, provided ihat such improvements are not intentled or ottered tor sale. If, however, ihe building or improvement is sold within o��r of com�tion, ihe ownerbuilder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner o t propert m EXCLUSIVELV CONTRACTING WITH LILENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions Coda: The c nt ctors Lic e Law does not appty to an owner of propeM who builtls or improves thereon, ana who contreds for such project with a contractor(s) license purs an to Ihe Co t actors License Laws.). ❑ I am exem u er ec SignaNre: Owner ID venfi y drivet5 ❑ Yes ❑ No Business antl Professions Code for this reason: Expires: Venfication of Ownership by (ty{� ot document, i.e. - pmperty �ax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certity �hat no ezcavation tive (5) or more feet in tlepth into which a person is required to descend, will be made in connection with work authorized by ihis permi6 antl ihat no builtling stmcture, scattolding, falsework, or tlemolition or dismamling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, California Administrative Cotle). ❑ As owneo-builder, I wiil not employ anyone to do work which would require a permit from �he Division of Intlustrial Safery, as noted above, unless such person has a permit to do such work irom the tlivisian. Signature: Dare: Division of Industrial Safery Permit Number: CODE 6 INSPECTIONTYPE 1616 ' Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 207 Pinal Block/Retaining wall 202 Final Factory Fira Place 203 Final Sign 204 Final Damolition oaT IMRIALS COpEt INSPECTIONTYPE 206 Final Mechaniwl 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DR1E INTRIpLS . e . L.it�y o� L,oQta ��2eda S'�c�%��uuy Diui�ia�i OWNER—BUILDER VERIFICATION A city or county, which is required ro give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent [o issuing a building permit, require the completton�and'require the�remrn of, an owner-builder verification. Attention Froperty Owner. ' ' ' ' ' An bwner-builder' building permit has been applied for in your name and bearing your signature. ' Please complete and return this information in [he emelope provided at your eazliest opportunity to avoid unnecessary delay in processing and issuing your building pemvt. No buildin�permit will be issued until this verification is received. 1. I personalty plan to provide the major labor and materials for consWction of the proposed property improvemenL � Yes ❑ No 2. I(have/have not) HAI/E signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but 1 have contrac[ed (hired) the following persons to provide the work indicated: Name Address Phone Type of Work HLNu�G 1062<6 �REV.9M13B) �YW �Q�I(.� ; I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of Califomia Health and Safety Code and have completed the above infortna[ion to the bes[ of my personal knowledge, in compli/nce with this S[ate law. Signed: , Date: � ( r Name: A �F.Q�M IA�j (Printed or Typed) C.D.L. # OR S.S. # For more information call City of Costa Mesa Building Division at (714) 754-5273. 16a2�6 (AEV. 8R6) . . . .( . �.. � . . . � 'f � ' . •. ' . 1 . , � . � h .'� ��' qpplieant to ti11 in all soaces within heavy Doraer'lines antl zign all apv�aDriate Oeclarations. ' ' �CITY, QF COSTA MESA '—� ' P MIT NO. /�� TRACT NO:-- LOT}� O,. , - BLDG. NO. --- - - - - - - � - - -- - - -_ _.-� �_ . _ ;CONSTRUCTIONPERMI:T �E" �6rp�� ' ' 2 � `d •� �� •�'1'•"��6980�' 8A31�82 `�� °='• 78.p9 ,TL Pro�ect Address / ' • "" � � I 22. --`JyICl.✓-- GI�<' . TVPE OF CONS CTION '. � _'. „ . �- � ', . . . : . . :�. �^ .' - . . . •. .. . : `OWnCr" ' � � - ' , . - - � Phone ' I• �jSl "O NEW " ADD ❑'ALTERATION' " . _�` .. '. _ . � ^-'.'= - - '--: - .- - - -"' " �'Address `� Q -; ��--� G.✓-� ' � � -- �- -- - -�--a-� REPAIR.D.CONVERSION ❑DEMOLISN. _ . _ ___ _ � � � � . Arch/Eng.- -� �' � - �� rS"" License�No.-�-� ��- . _� OTHER �-' i � --ZONING REGULATIONS' ' �- �,,,-- _ ;"Add�¢55 " . . DESCRIPTION OF, K '• � 1'A.P:'�- '/' - . ....: - ,--'7j" " --- - _ ' -N�SO-1 0.rYuhC4', ' '_�LWi/.:.0_"'.""_. .� . . . . . SON ��ZONE " _ " _'rPCNG:REF.�i`:-'_ _. . � .� �Contractor- yq� - � I� J ((f -Phone��p'3-1 SSI '7VpE'OF PERINIT- - -' - --�-- • -- O rv .__ - _ pgU i�DirvG . t . 1' �/� . SETBACK LST. ROPERTV'LINE: ' jAddfE55" - - -�" -' ","- -'� - -' _ �,GRADING�� /O FOUNDATION -IJFSTRUCTURAL-- - _SIDE-VARD-Z -1� (I-' ' �� - - ' ' ' UCENSED-CONTRACTOR DECI'-ARATION -' "' '•' [Q �' �PLUMBING ❑MECHANICA LEP ", I.hereby atfirm thott l am litensetl untler provislons of Cnarter 9(rom- � ��TENANT� EIECTRICAL� +SIDE VA _ _ .. �_. _ _ _ -O'OSHER �' �� '� i 'RIGHT 'L, t� ' mencing with-section-7000) ot Divislon-3 of �the -Bus�ness �antl'. "'" _ Professions. Cotle, antl my Iicense )5 in iWl force antl etteci - � . -- � ... "REARYARD,T��+) " "' -" -�' Litense Class '�� `� � - �- � ��License No.- - - PROJECT ES RIPTIONI li . _ ' . _ _ _ _ � _ _ ,.J ' "_I "tu� - '_ SC�'F,T.t t�. •��•- `� v�TPKGlSPACEREQ[''." .."PROVIDtD ' ^ Date " "" ' - # Si9nature ' . - - ' ' " ' - - .-- ' iKERS'�COMPENSATION�DELLARATION._ _ _. OCCUPANCV�CONSTRUCTION TVPE '$TREET WIDTH � d", , PARK FEE 5 „ eby affvm that I have a certificale of consent to sel( msure.or�a �iVALUATION ZONE � "ZONINGAPPROVED,BV � -DATE .�- �) �I�te-ot WOrkerS'-Compensat��on- Insu�ance, o�-a-certifletl-copy -.. .._ ..,.,_ _ _ _ _ _� � . ...,ieof (Section 3800, Lab. C.). � � GRADING CU. YD� �� ACRES ' � '�9PEdAL'CONDITIONS '- ' " - " '- '{ PoIicY No: _ __ . _k�'_'�.ComPahY .._ . . _ .. _ _ _ . . . _ _.' •� ' ' ' "` ' � .. . _ _. " ' ' ' - � ❑ C¢�tltietl copy is.hereby tum�shetl.�. __ � - �._ ._ .._ �+G. REMARKS �- 1� � ..� �_��_ _ •' _ _ ___ _ .�_ __ __ __.__ "' � 1 ❑ Certified copy is filetl with ihe uty Builtling Division. � � ` :�,�, q�, �;,r� r.��l.., I EXEMPTION-FROM'WORKERS"COMPENSATION'DEGLARATIOM -"' - - �I^ --- ---�� -- � ^ . _i (.T,his.section neetl_not,be comPlet?d.if the_permit is for one hundreQ �, • •,�nrv��w}tj �' �:� 'f).;pji jr ' , (5100) or less). r . . ,. , .. ' -:�.- , .� . _ . ,,�` _ '�__ " ' ..� _'. ' ' '�. ' " _ _ W . ..�...� ' 1 I.C¢rtlfy thatJn th2(perfo�mance of_t k for�r MtTthiS ermiY I5� .. . 'issuea, I shall not mploy any per5 in'a -i eTiner so s bemme ^PLUMBING� 1. : �j�PIAN CHECK' -^�F- -- �ELECTRICAL '" - - PLAN CHECK� � subjett.to h o ers'.Compensa n p lifo ' ' � , � _ _ ' � � _ , � Date 3' Zsianatu � � BATHTVBS "SHOWERS--" ' �' - ' -�- - � NOTICE: It a er makinq this tlecliration, you snoultl beco e sub�ecb ,-,TOILETS„ ; �� r�_ ��-URINALS- � �-f-' -- �=GENERATOR�-- �O 1 KW- "' 1 30 KW ''� - -�-- ^� to the Workers' Compensatlon provisions of the Labor Cotle, you musY TRANSFORMER —� ,, . p,�. � � i p_ ,-. �� forthwith mmply wifh suth provisions or this permit shall be tleemetl LAVATORIES ' DOUBCE L-AVS�----� � �-� 30-50 KW=50 +.KW- revOk¢d. _ `� j - 'APPL-IANCE-'--'- _ .. . � 1 CONSTRUCTION LENDING AGENCV . ! -' � 'KIT:SINKS -' " -'DISHWASHERS- -. - �MOTORS- ----O-PHP-=1-l0�HP---� �- -- � I hereby a(tirm that there is a con5truction lendin a enc for the er- .-_ . ' _ � ��"' ' 9 9 Y P SERVICESINKS ^'�'%��SUtv1P5"'^ -+-j�=`•--tUNC.,50lAR),_�_10-SOHP 50*_HP.' �r'_��_ �S formante of the work for which this permit is issuetl (Section 3�97 •-• ' - .... . _ Civ:'C:)r"^^.'-"-"--�- - -, ' ^" """'FLOOR'SINKS""""" "FLOOR'DRAINS-" -'�'-�" � ' jFIXTVRES-�-'�'OUTLETS-- - SWITCIiES-��-. --- - - �Lenaer's Name �� _v.__.__.' ""�__ ._._�....._ _ . I � LentleYs Atltlress � '�` " DRINKtNG'FOUNTAINS ^ �r -- "'-j -f^'•�- -- =GAS TUBE-SIGNS- - - - ---- --- _- �- { OWNER'BUICDER'OECLARHTION'-^'----'�------�------- - ' � - ^y. � I hereby affirm that I am exempt frOm.the Contractor's License Law for �NTERCEPTORS-' '-CL'ARIFIERS'-"� ""-' - '.POL-EL-IGHTS-- ------�.- - -- -- -- � th¢'following�reason�(Sectiom-]03L.5-Business-antl-Prote55ion5Cotle:+ -SWIMMING'POOL '--'PTRAP-�,-'- -^�-�-^ � �---� � ` �� ""` � Any, city_or.munry. which requires a permit to construct, alter, �� - ' , ':POLES""'�-" -"METERED-"'SUB' ' "" = ' improve,tlemolizh'orrepairany�structure,-prior�to-itsissuance,-almre-� -yyqTERSERVICE" `"' AL'TERATION"' - -- ,PANEL-S---- ^ MAIN----�SVB-�� -- - --- aires the ap.liCanLfor suGh permi< to tile a signetl statement that he - � -� 'licensetl-pursuant�to•the-provizions of•the-Con[rattor'S-Licenze�Law- -- -- -- - -, - - .,SERVICE-- --- -� ---- - - _ Chapter.9 (commencin9 wi[h Se«ion ]000) of DiviSion 3 of the G'FlSSERVICE -OUTLET$' ��' -AMG. -- - - -� ... : � , � Businessantl-ProfessionsCotle)�or�thabhe�is�exempttherefrom�antl�the�-yyqTER'NEATERS -'^-^BTU'OUTPUT--�--,�-y-= '+•��' �------- _ _ __- __ ' �� -�_. __ .-' basis for tbe allegetl exemption. Any violation of Section 7031.5 by � � -� � �� - any applicant for-a� permit-subjects the applicant-to�a�civil penalty� ' 1 �""'_-_ __ ^'SEWER'CONNECTIONS^^-'Ii J� � �fp Of mOre than five huntlretl tlollars ($500). - - 4 �� t+-^—"'�� '- ' ' "� LJ1, as`owne� o/-t15e propeity', of my employee5 with'waqes'as'their 'SOL'AR TANK� ^-' -COLCECTORS ^--� � � -�- — { ----- ------ -. -__. ' .- __ _ ^_ � _, sole compensation, will,tlo the work, antl [he structure iz not Intentlee ' V�� ' ^^ _ . ,. ' _. . . i or offeretl for sale. (Section 7044, Buiiness antl Professions'Cdtle:'The' 'SOLAR PIPINGSVS.�-`"-';� "'- "' _ "'.'.""'�. .�_ISSUEFEE-..'""'_"'�"" _ . "_ Oci'1 COnt�dctorJs, LiCense Law tloes not_apply to an owne� ot a property _..,,��_ _ ___ ___,_ _ .+qppLICAT� who builtls or improves thereon, anB who tloes such work'himseltbr" '�"ISSUE'FEE�` "' -- �� - � �ON�APPROVED BY..-�_- _ :_DATF� � through_M1is.own employees, provitletl iha[ such improyements are not � ' intentletl or offeretl for sale. If, however, the builtlinq or'improvement MECHANICAL PLAN CHECK � � - �" ' -� is soltl within onc year of complebon, the owner will have the burtlen SUMMARY OF��F�EES �.. -' .`, + of proving ne tlitl not build or improve for the -purpose of'sale).- -- ' - -" ' - - -- -- -� �BUILDING-- -� -. O-I,- as-owner-ob- p p y, � HEATING SVSTEM Od00,000 BTU^ k _ PERMIT $ SMIP $ O�� the..roert�am-exdusivelymnVactin9.with_ '_ -__ ��i <lt-�p -ANDDUCTING-�-- ��--- - _ � Iicensetl conVa<tors to [onstruct the project (Section ]044, Business . 100,000+BTU � �pLAMCHECK $ PERMIT e � antl �Professions Cotle:-The-Coniractor'S License Law�tloes not apply to � _. _._..__ .ISSUANCE�_$�•�� V�� dn Owner ot property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU ' ;P�UMBING $ ^ � � tracts-irom-such projects-wiih.�a��on[ractor(s),Iicesnetl_pursuant_to. _5�'STEM --- �- � _ _ _ . _ _ _ `��GRADING� S�� r- ' the Contractor's License Law). ' . 300,000�+ gTV '�PLAN CHECK $ - T Q�' 'i . � �"I am'exempt untler Section ' ' - -Br&'P: 0.-tor this- � - - -^ -- � - - --- - � E _ _ __ � BOILERS BTV - 'ELECTRICAL '$� - v¢asom' _'_ - - ' _" _ _ _ ' '_ '_. � � � 9 MICROFILM $ [' � - ip1.qN CHECK- -$ - � -- � � SYSTEM REPAIR,ALTERATION ' -- "" ' - ' ��.; 1 Dafe O '- 1 ('" ' 'TOTAL�FEE$_ -MECHANICAL-$-- - - - -�- - - .._ . 1 hereb certif that I have reatl this appliGation antl state that th¢ above EXHAUST SVSTEM MULTIPLE ' � -- � ,„�G] ;�vi '.L•E55 AD- � ' information'is'coirect.-I'agree to' compty'with all cityantl-tounty" � . � - -�PLAN CHECK'.g�` � - --= �VANCE PC-S-- :�- ^-r'-. � o�tlinances�antl stale laws relating to con5truction, antl hereby authorize � � representatives�of this'city'ya-eyter upon' the above• m nbo ed- • � - � - - - ��7��•'+`.�J�+ � '�; �'� �r: ' ' 1 property t rins ctiqn nfpo�o�! p ' �� 7 . I r•��._�T_Date-O �, "__` " ___'"__ _ ._. ..1; .. FINALFEE$J��- � ' - �_ ISSUEFEE_. _ _ . _ �'_ ..__. _ �_ . _ . : .__._ .�_ ". .__""'' "'_ ' " _ ��.-� - -_---. �r_ � � . / _ ,�., <-. . OWNER P$NTECOST, Arlan R• Y DAT�-�9-5�1 JOBADDREB$ 229 E. Del �"�3r � BUILDINGPERMITNO. 3SS GENERALCONTRACTOR HICICOT'Y Homes VAWE 57�42�1•5� LOT AP�119-110-t�b BLOCK rRncT Residence GROUP I TVPE V ZONE �� FIRE DISTRICT d364 INSPECTIONS DAT� I SUBGONTRACTOR I PERMITSISSUED ,. _. � � .I / � DATE I NUMBER Foundation Forms and Grade to Rough Framing Z�� Plumbing, Rough to Slab C- Plumbing, Rough Complete �f Temporary Pole Wiring, Rough Heating, Rough � Heating, Final L Sewer Septic Tank or Cesspool Lathing / �,v � g� Plastering f�� Plumbino, Final, Fixtures Comp .y Plumbing, Final GasTest�� ,�� _fG.,.1� � eeL�� /�i(f I/D �/3-J G,, i-<!� � r/ Wiring.Final .i u- b•�1TI G°a/�� i,[l y0-/.�-J� /�� vo�1�•)r ' � 35228 • "�' COSTA MESA BUILDINGSAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For App/icant to Fill in Completely Gf]f1RF.L.S.A1� nG� ��\'�� W�'-- � OWNER %tl\Lf MAIL C A�DRESS 2-�" CITV �OS'�i) CAN5TRUCTION�� LENDER � BRANCH ADDRESS ARCHITECT _ ADDFESS '� CONTRACTOR ADDRE55 'J�C cirv e,o5{h STATE LIC. NO. �y SI2E OF LOT 7 � USE OF � :L VY1 ¢-S � V1L'w VUU tM�ft R No`S`/o 43 K( TE L. N OL S�� 1 � CITV LIC. NO. �— NO.OF� c NOW ON LOT PA10 t�.G ' �7cns� 0�`116s2,� �x � i:1i8.42 4TION FOR BUILDING PERMIT Y DATE RECF�1lEO n To wcii BUILDING nooRess OWNERG9/=-�A �2 . m��D6 �S� FIRE ZONE 7 APPROV BY t ZON� I NO.OF PLANS ' VAFDS APPROVED MAIN BUILOING �� I PERMIT >/S�r,4va�u� US E O F N E W A.f, p� � � BUILDING ¢�_p�LH_ YARDSAPPROVED ACCESSORV BVILDING EXISfING BLDG. S( h L L f`QM'� , �� • S E F.� Z NIEWBLOG.� �l� NO.OF � -✓ � � ROOMS �1'— STORIES L.SIDE FT. O a EXTERIOR WALL ROOF ` �% COVERING UC,(„Q COVERING S„AKL REAR FT. J USE OF BVIL�ING AND WORK TO BE PERFORMED DISTANCE BET. ' BET. MAIN d pOO:M F MAIN BLDGS. ACCESS. 81 a Q VAR. # � DATE O � C.U.P.3}'- qPPROVEC N,�P o� � S Z �. AL RI VI hereby acknowledga that I have read this aOP��ation antl state �� that the above information is correct antl agree to comply with v � all laws regulating b4iltling consttuction, antl I shall noi employ F any person in violation of the warkman's compensation laws of �/j �the State ot Calitornia, �� zI hereby certify that � am properly licensetl as a contractor vnder SQ. FT. 0' the State ot California Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER Chapter 9, antl at such licenses are in full force antl eftect, or I THE PURP�E OF ESTABLISHING A PE am exempt fro provisions of the State ot Calitornia Business VALUATION antl PrOtession C e. Divizion 3, hapt 9. Permittee " � ` ! � �/(J PERMIT FEE $ Signatura ot . $ /�J/� �(J PLAN CHECK $ UJ(y� (! Auffiorizetl Agent - TOTAL FEE $ FT. & —r�'ii- frneee t�� t�r m 0 IS FOR ONLY: m ¢ .� � N J _ m O LL OWNER PEPFI'ECOST. Arlan GENE � 1� SOIL � GRS WATEF 0.0UGH PLUMBING � PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM - MISCELLANEOUS ROUGH HEATING AND PIR CONDITIONING TEMPORARV SERVICE OR POLE UNOERGROUNO � POWER ❑ ROUGH WIRING TRENCHES FORMS STEEL REINF. FLOOR SVSTEM BOND BEAM � STEEL REINFORCE ❑ SHEATHING o. FRAME AN� FLASHING �I I K PI ^STER, BROWN COAT TURAL, FINAL .NG, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIG. FINAL Oiiii n�ui` FINGI DATE $-23-72 BUILDING PERMIT N0. SUBCONTRACTOR 0 �,.: �~" o � �COS7SA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 917 COSTA MC6A. CALIFORNIA For Applicant fo Fill In Complefely TYPE OR PRINT eui�oiHcs �O�% _�%i � wooResa �i - COSTA MESA, CqLIFORNIA • I� MAIL TEL. ��E RECEIV�`�` � AUG 3 0 1963 ��\ `� FINnANCrE OpEP7.�"" �P:PPLICATIOTV'FOR'P�RMR � . . BUILDING , For Offite Use Only I PCCEIPT NO. I PEXMIT NO. /F1 LVIYIIV{7 �, ADDRESS �GS ' vL' �1. : • qif{KrF . . ZO NO.OF � Ue80FNE � � .�' PI.�Ne BUIL�INB' GONTRA CI''IQCO�^ST�UCiIC � �V �.�.�� 7�.. � � I DfiBCRI'YIO �� • I` � �� ADDRESS / 3 / - �'6' �J , 'i= � � a i � t /' . � ti�r�� ' . c�rr �6 S/7vbr(n' Fz !_.F S.� N`� F� A. P. NO. J � - r , NOTE: NO EAVE OVERHANG SHALL BE L855 THAN STATE 1 C. �7 2� NOL �lJ �— J"�'�- S �O" TO SIDE B REAR P. L. LIC. NO. ( l � • - 77� � I,�v EAVES SIZE �� I rvo. op eLDae. � ALLOWED �[U. B. C. REQUIREMENT: OF LOT NOW ON LAT ' . YARDSAPPROVED YARDSAPPROVED USE OF' � MAIN BUILDIN6 ACCESSORY BUILDING EXISTING BLDG. IV � �-I /i:C ' (FROMWL6lRE l �� —/' ■ EXTERIOR DESCRIPTION OF WORK /� 0 ��_ . (YP11✓ NQI�[JD W ir��, 1 HEREBY ACKNOWLED ANO 9TATE TH�T iXE PLY WITH ALVQTY OF aU1LDIN0 GONSTRUCIiI / SIGNATURE O PERMITTE AUTHORIZED AGENT L � NAVg NPJ.D TXIB APPLICATION COHRECT AND AGREE TO COM. DI87'ANCE BET. MAIN BLOGS. VAR. �L DATE APPRO 4� �� . „ i' : so. Fr. m . THE AMOUNT BHOWN UNOER VAWATION IB FOa TH¢ g PURP09E OF EBTABlI6HIN0 A PEHMIT FEE ONLY, p VALUATION / m . PERMIT FEE $ (� � � i % ,� m $/DOD ANC C ¢ O —� LL TOTAL FEE $ . OWNEA � JOB AD: �GENERt AP No. : �� IN��PEC' \� � � G._ Foxm PENTECOST, ARLAN R. AUC 3 0 1963 ,E ZONE DESCRIPI'ION OF WORK � GROUP I TYPE IV ZONE PERMI'. SUBCONTRACTOA ,,.mr i �� osta� Mesa Buil ing Depar'' �nt "`' �''APPLICATION FOR PERMIT `''-s 111 EAST 20th STREET �4 _ B U_I L D�_G_____.__.._�. ..s �� — COSTA MESA, CALIFORNIA - �— � �. 9POR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY I �' � /Reeeipt No. .Permit No. ' ndnross 22q E Del Mar � �� (��— 3�s ( Costa Mesa, Cfl�IIfOPIIIB Received;iby Date Ree'd. ` Date Iseued i Nearest i i % ` 7-�9��—"S� . Crosast. F 1T'Wa B��a��s ; ! � Add�ess � Owner Arlan R. � Pentecost i Costa Mesa, CaBfornia `; � Mail Address 21 cctr Cos Architect or Contreetor $IC (Attach Metes and Boun Size of Lot 7n � xl Ki New 7C I Alte Repafr I I Movi S ied��9 � S F 9• Exterlo� A City I B�ock ; Treet1C B� f/�l' //D - /�6 � I No. ot Bldgs. 1 -� Nnwon Lot nnnfl t /�11 Addition I Demolish I sa..�.. 1 st. i ,'/� + No.or �f! � Plans� Covering St.11CCO � Covering Shin�9 APPROVAI.S Use of New Building Residenee Foundation Lxation Inspeeto Forms, Materials, Under-Pinning Frame: Fire 8tops, — Brecing, Bolts Lath. Int. ,Lhereby acknowledge that I have read this Application and state that the above is correr.t and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building cons[r hon. /J�� Plaster, Int. Signatureol� _. ww`"`_ " . _ Permittee � _. . Valuation a 7424:so orm eoa— M Pian Check $ 3 -- n Total i1� �_ F Fee $ �` _