HomeMy WebLinkAbout960 DENVER DR - Building Permits� . ,
(714) 754-5?_73 • Fax (714) 754•4856
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 960 bENVERDR
Suite:
Vicinity: WHOIE HOUSE
Parcel Nunmber: 4180811i
P,pplicant: ALAJOKI, JOHN
Address: 21045 LARCHMONT DR
LAKE FOREST, CA
Owner: ALLINDER, JANE C
Address 960 DENVER DR
�� COSTA MESA, CA
Comractor. JA ROOFING
.4ddress: 21045 LARCHMONT DR
LAKE FOREST, CA
Zip: 92630
Arch :
Addre::s:
77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Zoning:
ISSUED BY:
Phone: 949 830-1283
Zip: 92630
Phone:
Zip: 92626
Phone: 949 830-1283
License: 735404
Eng:
Address:
Status: ISSUED
Applied: 06/14/1999
Issued: O6/14/1999
Phone: Chone: �
i:ip License: Zip: License:
SCOPE OF PERMIT
��EAR OFF 8 REPLACE SHEATHING-1/2" OSB. INSTALL 1-LAYER OF 30# FELT 8 25 YR. COMP SHINGLES (22 SQ).
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other.
I nspection:
Total:
$0.00
$87.25
$0.50
50.00
$0.00
$0.00
$87.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
53,800.00
83,800.00
NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-g2)
IEXPIRATION: 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 af 180 days. '
INSPECTIONS: In order for the work au[horized under this permit to be considered legal, such work must comply with all epplicable codes, and all
�, required Inapectlone end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSATONDECLARAnON: - . �
I hereby aflirm under penally o� perjury one oi the tollowing declarations: � �
❑ I have end will mainteln e certificate of consent to self-Insure for workers' compensation, as provided for by sectlon 3700 ot the Labor Code, for the petlormance oi the
�work tor which lhis pertnil is Issued.
I have antl wiil melntain Workers' compensation insurence, as requlred by section 3700 of Ihe LEbor Code, lor the partortnance ol Ihe work for which this pertnit is issuetl.
My workers' compensatl �nsurance cerrier entl policy numbar are: '!s L/
Cerrier. S�� �� �V� PoliCyNumber: � 7 7
(This sectlon need not 6e compleretl i/ the permit Is velued et one hundred tlollers ($100) or less.)
❑ I certify ihat in the
compensation laws
comply wit� thesej
Applican� Slgnetura: �
WARNING:FAILURETO (
ol Ihe work for which Ihis pertnit is issuetl, I shall not employ any person in any menner so as to Oecome subject to Ihe workers'
end egree that if I shoultl 6ecome subject to Ihe workers' compensation provislons of Section 3700 of ihe Lebor Code, I shell forihwith
Daie: /'f��'/�
� COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVEP TO CRIMINAL PENALTIES AND GVIL PINES UP TO ONE HUN�RED
NJ TO iHE COST OF WMPENSATION, DAMHGES A$ PROVIDED FOR IN SEG710N 3706OF THE LABOR CODE, IMEREST, AND ATTOfiNEV'S FEES.
LICENSED CONTAACTORS PECLARATION:
I hereby aRirm �hat I am licensetl untler pwvi ic
force antl ettect. Liu k �
Con�ractors Signature:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aflirtn t�et Ihere �s e cons
Lenders Name:
Signature:
of Chaptar 9(commencing with Sec�ion 7000) of Division 3 of /he Buslness end Professions Code, antl my Ilcense is in full
Class M <.-3%.
— Date: G �/N �3
lending egency for the pertormance of the work tor which this pertnit is luued. (Sec. 3097, Civil Code).
Landars Atldress'.
Data:
OWNER-BUILDER DECLARAnONS:
I hereby aHirtn thet untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reeson (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or counry which requires a pertnit �o construct, alter, impmve, demolish, or repair any sWciure, pnor to its issuance, elso requires the applicent for such pertnit
to file e slgned statement thet ne or she Is licensea pursuant to ihe provisions oi the Comractore Llcanse Law (Chepter 9(commencing with Section 7000) of Didslon 3 of Ihe
Business entl Professlons Code) or thet he or she is esempt iherefrom end the basis for Ihe alleged exemption. Any vloletion ol Sectlon 7037.5 by any apP�icant for a permit
subjects the applicant to e clWl penelry of not more than Ilve hundred dollers ($500).):
❑ I, as owner of ihe property, or my employees with weges as t�eir sole compensation, WILL DO THE WORK, antl the structure is noi intentled or ottered for sale (Sec.
7044, Business antl Profasslons Code: Ttie Contrectors License law tloes not epply to en owner of property who builtls or improves thereon, antl who tloes such wark
himself or herself or throUgh his or her own amployees, pmvided ihat such improvements are not intended oi oNered for sale. If, however, ihe building or impmvement is
soltl within one yeer of completion, the owner-bullder will have the burden oi proving ihat he or she did not buiid or improve for purpose ol sele.).
❑ I, es owner at the proparty, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the profeCt (SeC. 7044, Busines5 end Protessions
Cotla: The contrectors Licensa Lew Ooes not epply to en owner oi properry who builtls or improves thereon, entl w�o contracts tor such project with e contractor(s)
license pursuant to the Comrectors License LewsJ.
❑ I am azempt under sec. Business and Professions Code lor this reason:
Signature: Dete:
Owner ID vedtietl by tlrivers licanse. ❑ Yes ❑ No Driver's License No.
Venfication of Ownership by (tyPe oi document, i.e. - property tae bill or dead):
DIVISION OF INDUSTRIAL SPFE7Y PERMIT CERTIFICA710N:
Expires:
❑ I herehy certtly thet no e%�avetion tive (5) or more leat in tlepth in�o which a person is requlred to descend, will be matle In connection with work euthorizetl by this
permlt, entl thet no huiltling structure, scaflolding, felsework, or tlemolition or dismantling thereoi, wlll be more Ihen thirty-siz (38) feet high. (ChaD� 32, Grp 2, An 2, Sec.
341, Tule B, Calllomia Atlminisirative Coda).
❑ As awneabuiltler, I will no� amploy anyone to do work which woultl require a permit from [he Division of Induslnel Safety, es notetl above, unless such person hes a
permit to do such work irOm ihe division. �
Signawre: Date:
Division at Industnal Sefery Permi� Number:
CERTiFlCATE OF COMPLIANCE AND AIIT}iORVATON OF ENTRY: I certity untler penelry ot peQury Ihet I have read this application and slate that Ne infortnation given is
correct. I egree to comD�Y with all stete ws end city orCinances relating to huilding construction, anC authorize representatives of Ihe Ciry of Casta Mesa to enier upon the
eDove-descnGed properry for Irypection urposes. I agree not to occupy or ellow occupency of any building euthonzed by ihis permit untll final inspection.
Legel
cooe �, msvecnoxTrve p
1616 Fizetl System Finel Fire Preventlon
1266 Pool Spe Final
200 Final Re-Roof
201 Finel BIocWRetelning Wall
202 Final Fecrory Fire Place �
203 Final Sign
204 Finel Demolitian
2d46d6
GAIE It�LS
G / 9q --- ���
6��y ��
Date
COOE� INSVECTIONTYPE
206 Final Mechanicel
208 Flnal Plumbing
210 Final Eledncal
212 Final Flre Preventlon
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupency
�g
,lobAddress: 960 DENVERDR
Suite:
Vicinity: DETACHED DEN
PrimaryOcc. R3
Parcel Number: 41$08117
Applicant: HERNANDEZ, GREGORIO
Address: 960 DENVER DRIVE
COASTA MESA, CA
Owner. 'fl-I��NG�vZ� �"7�1/,r�(�j
Address 960 DENVER DR <T
COSTA MESA, CA
� ,'
Comractor. OWNER-BUILDER
Address: - � -
Zip.' - :..:'3��,...
Arch :
Address:
Type of Construction: V-N
Zoning:
Phone: 714-360-0165
Zip: 92626
' Status: ISSUED
Applied: 11/18/2005
Issued: 11/18/2005
ISSUED BY: Y"�' --�
h n � IN) �7 � �(jlla'ri �
P o e.(7 71g� �
Zip: 92626 ; � -
Phone: " � . .
License: 000000 , . - -
Eng:
Address:
Phone:
- . .. z.`:� ` .
- _Zip: _ . � License: �'- . � . _
' SCOPE OF PERMIT
LEGALIZATION OF�1 WINDOW AND INSTALL INSULLATION.
Q,vlrcos-oieos�F�D��-��6�15�-.... �•�.-_.. �
� �. �� ' � � FEE SUMMARY "��`
Plan Check: ' :' $45.01 ' `
` Permit: ' ' $6925
SMIP Res: ` <$0.50 , •
S,MIP Com. .; $0 00 . „ . �,
`` Other: $0.00
Inspection:. $0.00
Tota L•: , ���� � $114.76
gs
� � �PLA'I
SETBACKS .
MAIN STRUCTURE Front 0..0 � � Rear 0- 0
ACCESSORY �_-�Front 0-0 - �-_Rear-�„EO-0
PARKING Existinq:. o� �, �. Re uired:' o
'i
;�
�� . ,
Phone:
' License: ��
a
Calc Valuation:
Claim Valuation:,
NING�&�ZONING
Lefl. ` 0• 0 Right 0- 0
Left 0- 0 ^�� Right ,'0- 0
���,Proposed: �� OY .
�i. _, � �
�
sz.000 00
s2,aoo.00
NOTICE: The work aNhorized by this permit shall compty with all applirab�e handicap access requirements under Califomia stetu[es an -retated
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if woAc is not commenced withln 780 days, or if work is suspe d or abandoned
for a period of /80 days.
INSPECTIONS: In order for the work authorized under this permit to be cansidered legal, such vrork must comply with all. licable codes, azW all
required Inspectlona antl flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnil.
FOR INSPECTIONS CALL: (714) 754-5626
t44&48 (NW)
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry ot perjury one oF the �ollowing declarations: �
�
❑ I heve end wlll maintaln e certificete ot consent to self-Insure tor workers' compensetion, es provided for by sectlon 3700 of the Lebor Cotle, for the pertormence of the
wark tor which ihis permit is issuetl.
❑ I have and will maintain workers' compensatioo insurence, es required by sectlon 3700 of Ihe Lebor Cotle, for Ihe pedortnance of the work fa which Ihis pertnit Is Issuetl.
My workers' compensation Insurence carner entl pollcy number ere:
Certiec Policy Numbe[
(rhis section need nof be completed ll the permlt �s valued et ane Aundred tlallers ($ f 00) or less.)
��I.�P�ity that in the pertortnanc of the wo(k for which tNs permit is Issued, I shall not employ eny parson in eny menner so es to bacome subject to Ihe workers'
=-�compansatlon lews oi 11 ornla, a 6e ihel If I ahoultl become sub�ect to the workers' compensetion provislons ol Sectlon 3700 oi the Lebor Code, I shell forthwith
comply with these pr isions. �j
AppliwTnt Sign/atur9: _ '"f �Date:—�.�f lQ '.�.5
WAFWNG��FAINFETOSEC E 'C ENSAT1dJWVERAGEISUNUWFUTANDSHALLSUBJECfPNEMPLOVERiOGRM1INALPENALTIESANDqVILFlNESUPTOONEHIINDRED
THOUSANDDOILARE(5100,000�, THEC�TOFCOMPENSATION,DPM4GESASPROVIDEDPoRINSECTIIXJ31080FTHEUBORCOOE,INiEREST,ANDAiTORNEY'SFEES.
LICENSED CONTRACTORS DECLAHATION:
I hereby aflirm ihet I em licensed under provisions o� Chepter 9(commencing with Section 7000) of Division 3 of the Business entl Professions Code, and my Ilcense Is in full
force and ettect Lic. q qass a
ConlrectoYs SigneWre: Dete:
CONS7RUC710N LENDING AGENCY:
❑ I hereby affirm that there is a construction lending egency for the pedormence of the work lor w�ich this permit is issued. (Sec. 3097, Civil Cotle).
Lentlels Name: Lendefs Address:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm thet untler penalry oi perJury ihet I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business ena Protessions
Cotla: Any ciry or counry which requires e permit to conshuct, alter, improve, tlemolish, or repair eny siructure, prior to Its issuance, elso requires the appllcant tor such pertnit
ro file e signed stetement that he or she Is IlcensBtl pursuen� to the pmvislons at t�e Contrectors Ucense Law (Chapter 9(wmmencing wlth Sectlon 7000) ol Dlvlsion 3 of the
Business and Prafeuions Code) ar Ihel he or she is.�zempt Ihereirom and the basis for the alleged e:emption. Any vialation of Section 7031.5 by eny epplicent tor e permit
sublects the epplicent to a civil penalry oi not more than�five.hundred dollare (5500).�:
,� 1-asavner ol ihe properry, or my employee5 wilh weges as iheir sole compensalion, WILL DO THE WORK, antl Ihe structure I5 not intendea or ofleretl for sale (Sec.
�---7044'Business and Professions Cotle: The Conlractors License Lew does not apply to en owner of property who bullds or improves ihereon, antl who does such work
himsetl or herseli or t�rough his or her own employees, provided thet suc� Improvemenis are not intendetl or oHered for sale. Ii, howaver, ihe building or Improvement is
sold within one year ot completioq the own@r-builder will heve ihe burden ol proving that he or s0e did not build or im0�ove for purpose ot saleJ. '
❑ I, as owner of the property, em EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Profeuions
Code: The contractors License Lew does na� apply to en owner oi propeny who builtls or improves thereon, and who contracis for such pmject with e contractor(s)
license pursuan e o or5 LiCenSe L9ws.).
Owner
Business end Prolessions Cotle tor thls reeson:
�Dela_ v r _6
❑ Ves � ❑ No ('Dilvers License No�"".�^ V�-Expires: O/-'/Z-O
Venfication of Ownership by (type ot document, i.e. - property tex bill ���'—
OIVISION OF INDUSTRIAL SAFETY PERMR CERnFICATON:
❑ I hareby cenily that no excavation five (5) or more leet in depth into which e person is reqWreC to descen4 will be mede in connectlon with work authodzetl by Ihis
pertnit, end that no building siructure, scaffolding, lalsawork, or tlemolition or dismantling �hereof, will be more Ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Celifomia AdministraUve Code).
❑ As owner-builder, I will not employ enyone to do wark which wauld require e permi� from the Division of Industnal Safery, es noletl a6ove, unless such person has e
permit to do such wotk from the tlivision.
Signature: Date:
Division of Industrial Sefary Partnit Number.
CERTIFlCATE OF COMPIIANCE AND AUiHORIX�ITON OF ENTRY: I certify under penalry ot perjury Ihat I have read this epplication enC state Ihat the intormation given is
correct. I agree to comply with all st s entl ciry ortlinances relating to huilding conswcUon, end authonze representatives of the Ciry ol Costa Mesa to enter upon the
above-descnbed property for in� cu�on purpas I egree not �o occupy or ellow accupency ot eny building authorized by ihis per/m'it un�t9il tinel inspection.
' "J1l///L� �/��lS_-0 �
� _ e9a�,' ner(s)7. � ,, l�.DatB`�.
And/Or Authonzed Applicam Date
CODE t. INSGECTONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-Roof
201 Final BlocklRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
Jjd]E �$ tOpE 1 INSPECTION TYPE
206 Final Mechenical
208 Final Plumbing
210 Final Elecirical
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
Qeff. It�l,S
�
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 960 DENVERDR
Suite No
Vicinily:
Parcel Number: 41808117
Applicant:
Address:
Owner
Address
�,:
Coniractor:
Address:
w x�
MECHANICAL PERMIT
� ISSUED BY:
HERNANDEZ GREGORIO
960 DENVER DRIVE _ 3��'� '
a¢`` Phone 714 360-0165
� r'" .== � . ,.�,..
COSTA MESA, CA . � Zip: � ,92626
y �
Slatus: ISSUED
Applied: 11/18I2005
Issued: 11/18I2005
'K/Y�fNcc�2 �.C'1(tc-„�tii
960-DENVER DR U 3 - x ='
._ : ._'`�3 �' - Phone���U��;3�2�'-D , � : ��..
� �
COSTA MESA'CA ' Zip: 926 - _�
OWNER BUILDER �
u� � �
. . .. .. : .:� ,
�
�,
1.EXHAUST PAN =
n-�. v V_ ..Ft �i� � G. n 14�
Phone:�•'`
Zip:
..��.License:'000000_ �- ,
SCOPE OF PERMIT.
; - nZnN �; ,
{ ,.
�
�.
� ���!� _; ' FEE SUMMARY _ '�'�� �z�� �`
z' �" �, . ` ' "'•
- �uantity ' .Quantity
ISSUE PEE � ' $23"50 " "" ` � - ,"" - Repaii)AN'Absorbtion Unit -. $D:00 0 `
InstFAU<100kBTUE��,�-` ,��. , , $000 0 �_ � -:Repau/AIt�.Refngeration��Und .^� ��i�f $000 0
Insl FAU >100 k BTU'-,. � � $0_00„�0, �,_ _ ; ,`'�- =Ventillahon,�'9ystem "' - „ $0.00 � `0 '
Repair/Alt-Cooling/Heat, � �$OAO 0 �EvaporetiveGooler �`_�: $000 0, ��"
Inst / Rep. Recess Wall Ht� i �'S0,00 0 �� Commercial Incinerator J s;= $0 00 0
Refrig Sys <100 k BTU � �` $0 00 0 ��" � -Domestic Incinerator . � '`� `° $0 00 0 - �'
Refrig;Sys >700 k 8TU �"� �,$0 00 0 - Coinoressors'/ Absorotion SVslems, - b�'',' '
Gas Piping - ' -$0 00 �0 '� '�''' � - �� -:Up to 3�hp / 100 R BTU- - , , „ ��_ , $0 00 0 ��
Factory Fireplace � �' $0.00 0 3 To 15 hp ! 500 k BTU - � 50,00 0�
Hood w/Mech Ezhaust ���=� � $0.00 0 15,To 30 hp / 1,000 k BTU, ", �$0.00 � 0'
VAV Box . ��•:�, , -$0.00 0 30 To 50 hp / 1,750 k BTU �- , .-,50.00 0
Vent Fan / Smgle Duct �. �$Z:25 1 Over 50 hp % Over 1,750 BTU �� y $0.00 y!0�
Appliance : ," � ..��$0.90 0 c� Boilers -�"'` � ��`'
Pire Dampers� � e `-� � . $0.00 0 .� - � "v.,, Up to 3 hp ' � , . �$0.00; 0
Smoke Dampers . '°�$0.00 0 '; „� z� �.3 To 75 hpd _ , $0.00 � 0
Insl or RelocaEe'Appl Vent'v -; �'$0.00 . 0 ,�f415 to 30�h'p�,, - „�.,, $0��y00� 0
Air Handlers < 10000cfm $0.00 0 �� ;�� 30 to 50 hp ' $0.00 0
AirHantllers> 10000cfm $0,00�'�0�`�^�``- ,�*� "-Over50hp ; e;����� = , ,,��$0'.00 0
Floor Fumace ��}. ;$Q00 0 '. Other Mectianical Fee " �
Floor or Suspend Heatei�', ` $0.00 0 = � � -= , �;Investigation�Fee , p '. � $0.00
-� -- �'�' - � `..PlanCheck:Fee ' �e',-`- - $0.00
�
a �" � %Reinspection Fee . �:' �
�a`:i `.. $0.00
• a - ., . .... ... .,��� ;,�� -
3t ` � �. .,+,
� : � ` `` ' : ' - � - ,_ � .' TOTAL CALCULATED FEES $3075
.:Y :: ro
a< .
— s i �' 1 Y"� • -:: _ _
ti' '✓ '`Sfi� y". `-
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, 72-21-92)
EXPIRATION: This permit shall automatically expira and become void if work is not commenced within 780 days, or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all cable codes, and ell
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the piration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2d4Bd8 (8/00)
WORKERS' COMPENSATION DECLARATION:
I hereby eflirm under penelty of perjury one oi ihe following declarations: - •
❑ I heve entl will melntein e certificate of consent to sall-Insure tor workers' compensetion, es provitletl for by section 3700 oi iha Lebor Code, for iha peAormance of �he
work tor whiCh thi5 permi� i5 i55uetl.
❑ 1 have and will maintain workers' compensation insurance, as requirad by section 3700 oi Ne Lebor Code. for ihe pedortnance of Ihe work for which this pertnit is issued.
My workers' compensatlon Insurence carder end pallcy number ere:
Carner: Policy Number:
(This sectlon need not be completed I! the permif is veluetl et one huntlretl tlollers ($100) ar /ess.)
in the pedormance of the work for which Ihis pertnit Is issued, I shell not employ any person in eny manner so as to Decome subiect ro the workers'
�n laws a i amle, e gree that It I ahould become subf ect to the workers' compensetion prmislons ot Sectlon 3700 ot t�a Labor Cotle, I shell forthwith
Ihese ovlsio .
eq � - ' �Da� %%i � rQ '-0�
70 ' MPENSAiIONCOVEiiAGEISUNIAWFULANDSHALL5UBIEC�ANEMPLOVERTOFRIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRED
E(51 , ),IN ONTOTNECOSTOFCOMPENSATIIXJ,DAhWGESASPROVIDEDFORINSECiiON9108`OFiHELABORCODE,INiEREST,ANDATTORNEI"SPEES.
LICENSED CONTRAC70RS �ECLAtiATION:
I heraby eflirm that I em Ilcensed under provisions ol Chepter 9(commencing with Section 7000) of Divislon 3 ot the Business and Professions Code, and my license is in full
fome and eHect. Lic. q Cless q
ContracioYs Signawre: Date:
CONSTRUCTION LENDING AGENCY: �
❑ I hereby aHirtn that there is a consWction lentling agency tor the pedortnance ol �he work br which this permit is issued. (Sec. 3097, Civil Code).
Lendels Name: Lendefs Address:
SignaWre: �4r Date:
OWNER-BUILDER DECLARATIONS: t;.,
I hereby eflirtn that under penalry ot perjury thet I em EAEMPT FROM+IFIE CONTRACTORS LICENSE LAW br ihe tollowing reason (Sec. 7037.5, Business entl Professions
Code: Any ciry or counry which requiraz e pertnit to conswct, alter,,�nprove, demolish, or repair any siructure, pnor to its issuance, also requires Ihe applicant for such pertnit
ta tile a signed stetement Ihat he or she Is licensed pursuent to Ihe'prodsions ol the Contrecbrs lJcense Law (Chepter 9(cammencing with Section 7000) af Divislon 3 of the
Bu5ine5s enA Profession5 Gode) or thet he or 5he Is exempl therefrom an0 t�e besis for lhe elleged ezempiion. Any violation of Saction 7031.5 hy any appllcant tor e pertnit
subjects the epplicant to e civil penalry of not more then five hundretl tlollars ($500).):
❑ I, es owner of 1he praperty, or my employees with weges es �he compensation, WILL OO THE WORK, entl the siructure Is noi intended or oHered lor sele (Sec.
7044, Business and Professions Code: The Contractors License w does not apply to an owner of properry who builds or impmves theraon, and who does such work
himsalt or harsalf or Ihrough his or har own employees, provitled ih�' "ih impmvemants are not Intended or oNered for sale. It, however, Ihe building or improvement Is
sold within one year of completion, the owner-builder will have the D�en ol proving that he or she did not build or improve for purpose of saleJ. �
❑ I, as owner ot the properry• a %CWSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the pmject (Sac. 7044, Business and Prolessions
Cotle: The conirec Lice Lew does not epply ta en owner at property who bullds or Improves thereon, end who contracts for such pmject with a contracbr(s)
licen58 pur to the aqors License LewS.). p
❑ I am e mpt u ec. Busineu end Pmlessions Cotle tor this reason: �//� /!7 ^d �
�8ignalure� ' �'Date:
'Owner ID v' ddver ' en5e. ❑ VB5 ❑ No Oii`s Lit No. Expiras ��—
Venficetion ol Ownership by (type of document, i.e. � property tac blll or deed): ��
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby certify thet no excevatlon Ilve (5) or more leat In depth Into which e person Is required to tlescend, wlll be made in connection with wark euthorizad by this
permit, end that no building sirucNre, scaHoltling, lalsework, or tlemolition or dismantling ihereot will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Ttle B, Califomia Atlministrative Cotle).
❑ As owner-builder, 1 will not employ enyone to do work which would require e pertnit from the Division of Industrial Satety, es noted ebove, unless such person hes e
permit to do such work irom the division.
Signature: Date:
Division ol Indusirial Salety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cenity under penalry of perjury ihat I hava read this application antl state Ihat the intormatlon given is
correct. I agree b comply with ell s �e12W+'011U�ei ortlinances relating to bulltling consiruction, antl authorize representatives of Ihe Ciry ot Costa Mesa to enier upon the
above-descnbed property for in , c�ion. ryoses. I not to acupy or ellow occupancy of eny building authodzetl by this permii until final inspection.
� `- - l/: ,/_8-4 �
` . _ . Oal.Owne 1" `�-�9ate—"'
AnNOr Authonzed Applicant Date
COOEI, INSPECTIONTYPE
i616 Fixetl System Final Fire Prevention
1266
200
207
202
203
204
Pool Spa Final
Final Re-Roof
Finel BIocWReteining Well
Final Fectory Fire Place
Final Siqn
Final Demolition
PAIE
IMrtULS �QyE! INSPECTIONTVPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel euilding/Occupancy
��� � n��.n� rLKrvll I
JobAddress: 960 DENVERDR
Suite No
Vicinity:
ParcelNunmbec 41$08117
App�icant: HERNANDEZ, GREGORIO
Address: 960 DENVER DRIVE
" rn�n urovt, GOSTA MESA, CA 92628
Status: ISSUED
Applietl: 11 M 8/2005
Issuetl: 11/78/2005
Phone: 714-360-0165 ISSUED 8Y;
COASTA MESA, CA Tip 92626 ._
Owner; HERNANDEZ, GREGORIO��� � � �
Address 960 DENVER,DR � �� �� � �` ---
��-- � � _'� Phone 714-360-0765.:� °:.. . .
COSTA MESA, CA � " �-Zip ' 92626 . ! �
;, .: , ° '.-_ �_� . . ._ �
Contractor OWNER-BUILDER� � � �� ��`�
Address:' . . -: �-� � . .
�',�«
, Phone:
Zip� �
, - license� 000000 •
�r' ` ;i' {`�.: - � - �'..� - � � - � _ _-
r, � ;
� �� ` � � ` ,zSCOPE OF PERMIT `:'� , _ � �"` �"' �
� -12 GGHTING:EfXTS 3`SWITCHES AND 11 OUTLE7S
.Y .r 1..
.. ..: ' ':, ' ... .. _ `-- . . _
A
' �REF#. COS-07806/B05-02095 � '�«4
` � � �
�� »� � ;,- :. ¢a..��*''i .
�_'. � �. -- , .,,pEE SUMMARY •v�-��< �.� r
�t � � i
ISSUE FEE � � � Quanhty �, %°^z, = r; ; : .
52350 - � �- _. - '3 = Quanhry'� `�=
Temp seivice test ., SO OD% -" ` � Temp �isf System-/ �igMmg $0 00 ��
Res� a/c acka e ; -� Busway /100 R �'�� '���"' 0 „' '• ` -
P 9 $0.00'�'� �� StanUing $ecliom`-- ` $0,00" : _ 0 � - � �-
New Res (14 umts) $0 00 �, p � � ' S0 00 "v 0'
Mew Res�(3+units) �$0 00 � � p � - � � ?Misc Elecfrical Equipment „ $0 00 '�,�= p � --�
PooU Spa. � $0 00 :?" � z p��f•.� Transforrners up�to �1 kva/k�w; ��� -$D 00 �'�'.� pf s,= -
.
� �Z --.::.:..r:.uptol0kva/kw' � $000 .�.p ..." ., 4 rt
LighOngFizts - . �'$�320 .. ,� ;•�,
Recept Outlets , � " .-.._..,.",up to 50 kvalkw '' - ' �
Switches "". ..$12.10 ��,... . - . .
� � 7 up to,100 kva/kw $0 00 : 0
SD.OD ' 3 . ... � $0 00 y �`� p =
"�s",,. $3 30 - .
Non Res Appi , p ,::` ....over�.100 kva/kw $D.00 :` p'
Res Appl �� $D 00 --� - p . Low Voltage Equipment $0 00 ,• p ��
Service to 200a'; - �$0.00. � Q r Low.Yolt Wiring System / Ckt $0 00;; .;�� p•, �
Service to 1000a -� $0.00 -- p ,-` Misc.�Conduit
��' . � " Misa�,Conductorv� $���Q �
Service over 1000a� -� $000 p nr�, � - --$0.00 p
Motorstolhp �".,,,8, $000�,'.. Q ^ Grcus�(genorride)� ;'$�,ap 0 �
Motors to 70hp ._ ��, $0.00 " ,, p �' >;� Circusl{mech rirle �r�Lghts) „�gp,pp 0
Motors to 50hp -$� � � z 3� Christmas Tree Sfand ,
Motors to 100hp �Firew`orks Stand �t - ' � ����� �
Motorsovert00hp �•;4� $Q�09��� � ��p �^: •�Othec.ElecfncaPFee'�' ' $Q00 -� 0
. .� p • a _F,� .,' $000 .�,�a�:.:` _
Communicationdrops - - '" -�-- ',. ' .
5000-.r �0 - '��
Sub panel to 200a �' - � � " -� lnvestigation Fee „ `�'Q' -s $406 - � `�'
Pole Light Pkg a$0 00 �=� 0� �'� ` Plan Check Fee � - �
Sign Circuits $� �� � � � �' `"'" Reinspedion Fee �`� � � $0,00� ��...
so ao — .;` �� , � � , $o.00 '
Temp Pwr Pole `=' � , � �,f � ., �'�.
Intermed Pole $0.00 � - -0' � ., -�-� -=,FOTAL CALCULATED FEES��-552.�0
$0.00 p
,�A
COMMENTS I SPECIA� CONDITIONc
NOTICE: The work authorized by ihis permit shall comply with e11 applicable handicap accesa requirements undei Calilornia stalutes and ielatad
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vo'id if work is noi commenced within 180 days, or if work ia sus
for a period oi 1 g0 days.
l���ed•or abandoned
INSPECTIONS: In order tor the work authorized under this ermit to be considered I a�, such work must com I
requlred inapectlone and flnal approval must be obtalned. Failure to obtain ins � ,A
pecCrons and tinal approval will result in the e'xpiFetion o't ihi�permqd elt
FOq INSPECTIONS CALL: (71qj 75M5826
244&48 (fl/Op)
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry of perjury one of iha tollowing tleclarations: -
❑ I have and will maintein e certificate ot consent to self-Insure for workers' compensation, es provitled for by section 3700 of the Lebor Code, tor the pertortnance of the
work tar which this pertnit is issuetl.
❑ I have and will maintain workers' compensation insurence, es raquired by section 3700 of the Lebor Code, Por Ne perfortnanoe of the work Por which this pertnit is issuetl.
My workers' compensation Insurance wrne� end policy number are:
Carriar.
FAILURE TO
i/ the permit is
oNess.)
Policy Number:
for w�ich this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers'
i thet If I should become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Cotla, I shell forthwith
� aca: /�' 2� — � j
ISATION COVERAGE IS UNLAWFUL AND SfULL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES OP TOONE NUN�RED
COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)OB OF THE UBOR CODE, INTEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aHirm Ihat I am IicenseC untler provlsions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, antl my license is in full
fOrce and etteCt. Lic. A Class #
Contrectors Signetura: Da�e:
CONSTRUC710N LENDING AGENCV:
❑ I hereby ettirm that t�ere is a constmction lentling agency for the pedormance of the work tor which ihis permii is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Atldress:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby ettirm ihet under p� _ arjury that I am EXEMPT FROM 7HE CONTHACTORS LICENSE LAW tor the tollowing reason (SecJ031.5, Business and Professlons
Code: Any ciry or counly wh' r es e permit to consiruct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the epplicant tor such pertnil
b file e signetl statemem thaPheior she is I ensed pursuant to the provisions oi the CoMradors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Codep:or ihat h she is exempt therefrom end iha besis for the elleged exemption. Any violelion oi Section 7031.5 by any epplicent for e permit
subjects the epplicant to a civil penalty ofpo ore ihen five hundred dollers ($500).):
��
�as owner ot the property, or my employees ' ges es their sole compensa�ion, WILL DO THE WORK, and the structure Is not intended or oNeretl for sale (Sec.
7044, Business and Pmfessions Cotle: The License Lew does not apply to an owner of property who builds or improves ihereon, and who does such work
himself or hersalf or Ihrough his or her own ` r rovided ihat such improvements are no� Intended or oNeretl tor sele. If, however, Ihe builtling or improvement is
sold within one year of completion, the o ill have the 6urden oi proving ihat he or sha did not build or improve for purpose ol sele.). �
❑ I, as owner of the pmperty, em E%CLUSIVELV � ACTI�UCENSED CONTRACTORS to construct the prolect (Sac. 7044, Business and Profeuions
Code: The coNrectors ' ens Law does not epp'ly to an owner ol rty who builds or improves ihereon, end who coniracts for such project wiN a contrector(s)
licanse pursua e Cont rs License Lews.).
❑ lam
Owner ID v
Veriticetion
1 Business and Professions Cotle tor Ihis reason:
�—� ' %afa�.:l��— �0.$
� ❑ Ves ❑ No rs icens'e ao: xp'�j�/1/rJ. p Q
�.. � .
document, i.e. - properry tex bill or dead). [� /��� /
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihei no excavation tive (5) or more teet in tlepth into whic� a person is required to descend, will be made in connaction with work authonzed by this
pertnit, and that no building siructure, scaflolding, falsework, or demolition or dismamling thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calitornia Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would raquire e permit tmm the Division of Industnal Safaty, as notetl a6ove, unless such person hes e
pertnit to tlo such work fmm the division.
Signature: Dete:
Division of Intlustnal Safety Permit Number:
CER7IFICATE OF COMPLIANCE AND AUTHORVJITON OF EN7AY: I cenify under penalty of perjury that I have read this application and state �hat the information given is
correct. I egree to comply with all state laws end ciry ordinances relating to builGing construction, antl authorize representatives of the Ciry of Costa Mesa to enter upon the
above-described property for inspection puryoses. I gree not to occupy or allow occupancy of eny building authorized by Ihis pertnit until final inspection.
� � /�— -2.r�C—�G�..�i' �
�e.se �%iiei��` —n` �[s}.�r� �Dat ",_,
COOE t, INSPECTIONTYPE
1616 Fi d System Final Fire
126 I Spa Finel
200 Finel Re- ot
201 BI Re '
202 Final Fact i Place
203 Final Sign
204 Final Demolition
PAI€ It�1965 cooe�
206 Final Mech i I
208 Final lum n
27 leciri a
2 Final ire Pr ntio�
i
220 Final Rlanninq Approval
222 Final Site
250 FinalBuilding/Occupancy
Date
QAIE irrtma�s
f
_� �•
,E t.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.��.sCTRICAL PERMIT %� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 960 DENVERDR
Suile No
Vicinity:
Parcel Nunmber: 41808117
npplicant: HERNANDEZ, GREGORIO
Address: 960 DENVER DRIVE
COASTA MESA, CA
Owner: �'�t ffY,tnG��CZ _ I l'1(.tL., �J( I �
Address 960 DENVER DR �
COSTA MESA, CA � �
:� .
Contractor. OW N ER-B U I LD ER
Addressi
ISSUE FEE
Temp service test.
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Pixis .
Recept Outlets
Switches
Non Res Appl ,
Res Appl
Service to 200a
Service to 1000a
Service over t000a
Motors l0 1hp ��
Motors l0 10hp
Motors to SOhp
Molors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuils
Phone: 714360-0165
Zip _ 92626�.
.�;...-', " ...
" Status: ISSUED
Applied: 11/18/2005
Issued: 11/18/2005
ISSUED BY: ��/"�J
Phone�,7l�li.����I�1LJ -
-2ip. : 92626; ' - - _ _." � . , �, .
P
R� �R=. ����
Phone: - `- '
Zip:
License: 000000 - . � �-_ �. --
� . ,. -- . - � �,W
� . , ; � ... .:�= . .
SCOPE OF PERMIT
12 IIGHTING FIXTS, 2 SWITCHES AND 5 OUTLETS �- - -
REF#: 805-02095 (� pg _ pl �D�
z:�
.�. :�. Quanti�y " �
$23.50� � � � �
$0.00
$0.00 ,
� °' S0.00 _ 0,
� $0.00 -0-$:. `
30.00 0
$13.20 12
$6.60 6
` $2.20 2
• � . $0.00 � 0
$0.00 0
50.00 0
. so.00 0
$0.00 � 0 ;�'_ - .
$0.00 -`: -p �i-� "-_ .
. " $0.00 � �� 0
. $0.00 . 0 �� � ,
so.00 o c
. $0.00 , ' � 0 .
• �, 50.00 � - . 0-=_:,.
$0.00 � �0 ` -
$0.00 0
50.00 � � 0 �� �
FEE SUMMARY
•: �.
Temp Dist System /�Lighling
Buswayl100f1 _'
_ . Slanding Seclion
- Misc Electrical Equipmenl
�_� � Trans/ormers up to T kva/kw
� ........:.�..::.up to 70 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
.........: :::....over 100 kva/kw
. , Low Voltage Equipment
. Low Volt Wiring System / Ck
' Misa Conduit
� � Misc,:Conductor �
Circus�( gen or ride),
� ' Circus-(mech ride or lights)
Chrisfmas Tree Stand
. Fireworks Stand - -
Other Electrical.Fee � �.
�� - ". � Irrve§tgafion Fee � . .
Plan Check Fee �� '
. Reinspection Fee :
_ Quanlity ,�`
50.00 0
$0.00 0
$0.00 0
' $0.00 = Oi;.�.s
� 50.00 - 0`�, ,
50.00 0 '
50.00 0
50.00 0
$0.00 ; 0
$0.00, ,<. p .
t $0.00 0
50.00 0
$0.00-� �.0.
;;`-.$0.00 0'
� �.� - $0.00 0 .
50.00 0
50.00 0
$0.00 '
` �.� � $0.00 . .
_ $D.00
50:00
Temp Pwr Pole $0.00 �;-�:0� 1; =-_, "- � TOTAL CALCULATED:FEES $45.50
Intermed Pole $0.00 � 0 --'; - " �
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Califomia �utes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) 'k
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
tor a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the enpiration of lhis permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaeJe �a�m�
WORKEHS' COMPENSATION DECLARATION: ��
I hereby aHirtn under penalty oi perjury one of the following declaretlons:
❑ I heve and will meinteln e certiticate of wnsent to self-Insure br workers' compensatlon, es prodded for by sectlon 3700 of Ihe Labor Code, for Ihe paAormence ot the
work tor which Ihis pertnit is issuetl.
❑ I �eve entl will malntain workere' compensetion insurance, es required by seqion 3700 of tha Lebor Code, tor I�e perfortnance ot ihe work for which Nis pertnit is issued.
My workers' compen5etlon Insurence cerner entl policy numCer ere:
Carner.
Policy Number:
or less.)
�,�,I.ceitify.IFa19n the pertortnance of the work tor whlch this permit Is issuetl, I shall not employ eny person in any menner so es to become subjed to Ihe workers'
compensatlon laws ol C' ' n egree ihet il I s�oulC become subject to the woAcers' compensatlon provislons of Sectlon 3700 of the Lebor Code, I shall forthwlih
comply with these p s. � p �
AppIIC2rrt`9fgneNre>_ Date: f �O —0
WARNIN(3: FAILUHE TO S� ' COMPENSATION COVERAGE IS UNLAWFUL AND SNALL SlIB1ECf PN EMPLOVEiS TOCRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
hKKJ$rW 0 Dq.LARE (5100,000). IN AODRION TO TNE COST OF COMPENSATION, DM44GE5 AS PROVIDED FOR IN SECf10N3]OBOF THE�V�Bpq CpDE, IMEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy ettirm Ihet I em Ilcensetl untler provisions ol C�apter 9(commencing with Section 7000) of DlNsion 3 ot t�e Business antl Professions Code, end my Ilcense Is in tull
Porce end eRect. Lic. H qass q
Cantractals Slgneture: Dete:
CONSTRUC710N LENDING AGENCY:
❑ I hereby eflirtn Ihat lhere is a construction lending agency tor t�e peAormance of the work for which this permit is issued. (Sec. 3097, Civil Coda).
Lenders Neme: Lenders Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn that under penelry at perjury thet I em EXEMPT FROM 7HE CONTRACTOfiS LICENSE LAW far Iha tollowing reeson (Sec. 7031.5, Business end Protesslons
Code: Any city or county which requires a permit to construcl, alter, improve, tlemolish, or repair any structure, D�or to its issuance, elso requires the epplicant for such pertnit
to file e slgneA statement that he or she is Ilcensetl pursuent to the provisions of the Contrectors License Lew (Chepter 9(commencing with Sedlon 7000) of Dlvisian 3 of the
Business e essions Cotle) or that �e or she I5 ecempt Iherefrom and the basis tor the alleged e:emption. Any Wolation af Section 7031.5 by any epplicant for e permN
su6jects. e�nt to e dv�l penalry atpot mora then flve hundretl tlollero ($500)J:
c:.. 1 _..e�: r.
0` as the pmperty, or my,employees with wQ�es�es ihelr sole compensation, WILL DO TME WORK, entl t�e siructure is not intended or oHeretl for sale (Sec.
7044, u� 95s and Piofessions CoCH:, TFie ContraG�or icense Lew does not apply to an owner of pmperty w�o builds or improves ihereon, end who does such work
himself of�'erself or ttil�ough his or;Rier� emDloye �ided Ihat such improvemenis are not Intendetl or oflered lor sale. It, however, the building or improvement is
sold within one year of'completion?the' er-bui�il `�'ve the 6urden oi proving ihat he or sha did not bulld or improve tor purpose of sele.). '
❑ I, as owner ot lhe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business and Prolessions
Cotle: Ttie conireclors License Law does not epply to en owner ol pwperty w�o builtls or Improves Ihereon, antl who contracts for such project with a comractor(s)
license pursuamlp.ipe-G�ntractors License Lews.).
�
Business end Pmfessions Code tor this reason:
. Date: V
❑ Ves ❑ No r—Drivels`Cicense No. yZ f Exoires� L
Verificetian ot Ownership by (rype of daument, i.e. - pmperry terz bill or
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in conneclion with work euthorized by this
permit, end lhat no building siructure, scattolding, telsawork, or demoliiion or tlismantling ihereof, will be more ihan thirty-six (36) icet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia Administrative Code).
❑ As owner-Duiltler, I will not employ anyone to do work which would require a permit from Ihe Division ol Indusirial Safery, as noted ebove, unleu such person has e
permit to tlo such work from the division.
Signature: Date:
Division ot Industnal Safey Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZAl10N OF ENfAY: I certify untler penalry oi perjury thai I heve read Ihis application and state thet ihe inlormation given is
cortect I egree to comply with all state laws end ciry ortllnances relating ro building construction, entl euthorize representatives of the Ciry o1 Costa Mesa to enter upon the
above-descnbed property for ins eP — e . I agree not to occupy or ellow occupancy oi eny building authorized by this permil until final inspection.
ll /�� �
�a_ a Oi Le O�ner(s)_� �� Data �
And/Or ANhorized Applicant Date
CODE �, INSPECTONTYPE
1616 Fixed Sysiem Final Fire Preventlon
1266 Pool Spe Final
200 Finel RB-Roof
201 Final 81ocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
20E Final Demolition
O�TE f(QQ�$
COOE� INSPECTIONTYPE
206 Flnal Mechanical
20 Fin umbing
2 0 Finel lecirlce
12 Finel re Pr ti
220 FI I annl p I
222 Final Site
250 FinalBuiltling/Occupancy
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Whenf ecoroea mail to:
City o't Costa Mesa
Planning Division
P.O. Box 1200
Costa Mesa, CA 92628-1200
RECF' "
MAk 2 `3 20U4
C�DE ENFORCEMENT
OWNER:
EXEN �FROM RECORDING FEE
UNDE�, :iOVERNMENT CODE 6103
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Assistarr4 Dev. Services Director
Fecorded in Official Re:.c;rCs. CounTy �f Orange
Tom Daly, Clerk-Recorder
!Iiliilillil{lllllllllllllllllllillllll!!Iiii�IPiii!iiIllllilllflPJO FEE
20Q400029?12E 03:15pm U3116.j04
115 51 R08 2
0.00 0.00 0.00 0.00 O.OU Q.00 O.GO O.GO
TERMINATION AND RELEASE OF
LAND USE RESTRICTION
JAMES C. ALLINDER AND JANE C. ALLINDER
SUBJECT PROPERTY: 960 DENVER DRIVE, COSTA MESA
LEGAL DESCRIPTION: Lot 17 of Tract 5442, as recorded in Miscellaneous
Maps, Book 210, Pages 19 and 20, Records of Orange
County, California
CITY FILE NUMBER:
With the execution and recordation of this document, the Land Use Restriction
document number 94-0175845, recorded at the County of Orange on March 14,
1994, between the City of Costa Mesa ("City") and James C. Aliinder and Jane C.
Allinder as the property owner ("Applicant"1, for property described above, is
hereby terminated and released due to modification of the wall to conform with
City requirements.
EXECUTED in the County of Orange, State of California on this 2��day of
� : J ut.��� , 2004.
FOR THE CITY OF COSTA MESA
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PERRY L': VALANTINE �
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STATE OF CALIFORNIA
COUNTY OF ORANGE
On � , 2004 before me, Elaine Steinhardt, a Notary
Public, p sonally ppeared Perry Valantine, personally known to me to be
the person whose name is subscribed to the within instrument and
acknowledged to me that he executed the same in his authorized capacity
and that by his signature on the instrument the person or the entity upon
behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
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May 19, 1993
CITY OF COSTA MESA
CALIFORNIA 92628-1200 P.O. BO% 1200
DEVELOPMENT SERVICES DEPARTMENT
Jane C. Allinder
960 DenvPr Drive
Costa Mesa, CA 92626
RE: REVISION OF DEED RESTRICTIONS RELATING TO
FRONT YARD FENCE AND SETBACRS AT
960 DENVER DRIVE, COSTA MESA
Dear Ms. Allinder:
Attached you will find a revised deed restriction incorporating the
chancjes you requested.
if you find the deed restriction acceptable as rewritten, please
make arrangements through Elaine Steinhardt for notarization of the
deed restriction. After the copy is signed and notarized, it must
be recorded with the county recorder's office stipulating that
conveyance of the property cannot take place until the fence is
reconstructed in compliance with the original approval of July
1966, reducing the height to 30" and a setback of 10' from the
property line. A recorded deed restriction stipulation must be
returned to the Building Division for insertion into the property
records within 30 days of receipt of this letter.
The ultimate and best method of obtaining compliance is to seek a
fence height Variance from the Planning Commission. Instructions
can be obtained from Planning Staff on the second floor of City
Hall as how to comply with this requirement.
Your coQperation in this matter is needed in order to ensure that
further legal action is not initiated.
We apologize for not having provided this information to you
sooner. However, your previous letter requesting modifications to
the deed restriction does not appear in our records and somehow did
not get to us for review and action.
BuilOing Division (714) 75a-5273
77 FAIR DRIVE
Cotle Enbrcement p14) 754-5623 • Planning Division pla) 75a�5245
FAX (714) 556-7508 .
;
Jane C. Allinder
Mdy 19, 1993
Page 2
Thank you again for your cooperation and we trust that we can
resolve this matter expeditiously and without further legal action.
If you have any further questions relating to this matter, please
do not hesitate to contact me at (714) 754-5277.
Sincerely,
/f
I�_
TONY C'DE BACA
Asst. Dev. Ser. Dir.
Building/Code Enforcement
TCB/gz
(960DENVR) C-14
When recorded ma' to:
City of Costa Me. .
Planning Division
P.O. Box 1200
Costa Mesa, CA 92628-1200
NOTICE AND DECLAR�TION
OF
LAND USE RESTRICTION
OWNER:
SUBJECT PROPERTY: 960 Denver Drive, Costa Mesa
LEGAL DESCRIPTION: Lot 17 of Tract 5442, as recorded in
M15,^.9�.14P.2Cl�E M2Y.S� $:JO:� iiri� ,^�agea �9 3Lli[ �0�
Records of Orange County, California.
CITY FILE NUMBER:
OWNER declares and says, under penalty of perjury, as follows:
1. OWNER is the true owner of record of that certain real
property described herein and referred to as SUBJECT PROPERTY.
2. OWNER has applied for and requested of the City of Costa Mesa,
a Municipal corporation, the right to retain on SUBJECT
PROPERTX within said City in an R1 zone (Single-family
residential) a 6' high wall on the front property line, which
said wall was not erected by OWNER and which said wall has
existed for approximately 242 years.
3. The Citiy approved said 6' high wall
conditions required that the wall be
reduced to a maximum height of 2' 6" at
property is sold or conveyed in aay way.
but as one of the
removed entirely or
such time that the
4. OWNER therefore covenants,.agrees, and declares that SUBJECT
PROPERTX shall not be used contrary to the above condition,
and he Shall not permit, allow, or condone others to so use
said property including his tenants, heirs, assignees, or
successars in interest.
5. In the event that at the time of any future sale or conveyance
of SUBJECT PROPERTY by OWNER, the subject wall is no longer
subject to a provisional use condition due to a revision of
the restrictions of the code of the City of Costa Mesa, the
Notice 5ha11 become null and void and no longer constitutes a
land use restriction on SUBJECT PROPERTY.
1
6. OWNER hereby grants permission for appropriate City officials
to enter the premises from time to time for the purposes of
determining compliance with the conditions and restrictions
contained herein. Such inspections shall be conducted during
normal working hours and after reasonalbe notice to the owner
or tenant of the premises.
7. In the event that prior to any future sale or conveyance of
SUBJECT PROPERTY, OWNER reduces height of 6' wall to code
requirements of 30", or in the event OWNER, with required
demolition permit and required inspections, tears wall down
completely, upon request by OWNER, the City of Costa Mesa will
file. a Release of Notice and Declaration of Land Use
Restriction.
8, nWI�FR i.ntends khat this ccy�nan*, c�r.3i*ion, and restriction
shall run with the land and be binding upon Owner, his heirs,
assignees, and successors in interest and for the benefit of
the City of Costa Mesa, the adjoining landowners and users and
be a burden on SUBJECT PROPERTY so long as said property
utilizes a 6' high wall not in violation of Costa Mesa
Municipal Code.
9. This covenant, condition, and restriction may be terminated by
recording with the Office of the Orange County Recorder a
Release of Land Use Restriction duly executed on behalf of the
City of Costa Mesa indicating the restriction is no longer
necessary.
10. OWNER further covenants and agrees that he shall execute this
restriction and notify any subsequent purchasers or tenants of
SUBJECT PROPERTY of this restriction and execute all documents
necessary to effectuate the intent hereof. Any use of SUBJECT
PROPERTY inconsistent with this restriction may be enjoined
and abated and the owner of the SUBJECT PROPERTY at the time
of any inconsistent use shall be liable for the expenses to
the City for the enjoining and abating, including reasonable
aY.torney fees.
EXECUTED in the County of Orange, State of California on this
day of 19_
FOR THE CITY OF COSTA MESA OWNER
Antonio C'de Baca
, � �OVED AS TO FCi;:.
Y: al[.�.c s- �S -93 2
,`ITY ATl'ORNEY'S OFFfCE
"ITY OF CQSTA MESA
STATE OF CALIFORNIA )
) ss.
COUNTY OF ORANGE )
On before me,
d. �...n..�....�..d �..�
personnally appeared
._.,.,.....�.�
❑ personally known to me - or -❑ proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are sub-
scribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s) or entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature of Notary
Name (typed or printed)
4
(SEAL)
STATE OF CALIFORNIA)
) ss.
COUNTY OF ORANGE )
On before me, Elaine Steinhardt, Notary
Public personally appeared Antonio C'deBaca, Assistant Development
Services Director, Building and Code Enforcement Division
personally known to me to be the person whose name is subscribed to
the within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the
instrument the person or entity upon behalf of which the person
acted, executed the instrument.
WITNESS my hand and official seal.
Elaine Steinhardt, Notary Public
(NOT&DEC.LUR)
5
(SEAL)
JOB ADDRESS �
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Final
SUBCONTRACTOR
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- COSTA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92l20
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TYpE OR PRINT
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For Applican} fo Fill In Complafely
TYPE OR PRINT
eui�o�na �
ADDRESS � G O -/'- I V-
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OWNERJT ' � S V O{ V' )D
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�EE RECEIVED
JAN 2 7 1965
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Oiiica Use Only
. P[C61P1'NO. TERY
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DESCRIPTION OF WORK
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OIIILDINO CONBTHUCTION.
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PERMITTEF C iv
AUTHORIZfiD AGHNT
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ALLOW6D IU.B.C.REOUIREMfiNTI
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MAIN BUILDIN6 ACCESSORY BUILDING
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V�LUATION 18 POH TH8
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