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Home My WebLink About2717 DESOTO AVE - Building Permitsr (714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mes��TRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Sulte No Vicinity: Parcel Nunmber: Applitant: Address: Owner: Address Contractor: Address: 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 t000a Service over t000a Motors lo thp Motors lo tOhp Motors to 50hp Motors to 700hp Motore over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 27'17 DESOTO AV REAR YARD 14164211 SUTTON, DANIEL 12 CALLE ALBARDA RANCHO SANTA MARGARITA, CA Phone: 949-888-0344 Zip 92688 PATTEN, W TAYLOR; BLEAKLY KATHRINE 2717 DE SOTO AVE COSTA MESA, Cq SUTTON CONSTRUCTION 12 CALLE ALBARDA RANCHO SANTA MARGARITA, CA Phone: 714-514-8954 Zip: 92626 Phone: 949-888-0344 Zip: 92688 License: 765063 ISSUED BY: SCOPE OF PERMIT UPGRADE SERVICE PANEL TO 100A (SAME LOCATION, REAR YARD) FOR A SFD. WORK TO INCLUDE: SERVICE TO 200A. $23.50 50.00 50.00 $0.00 $D.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 530.50 50.00 50.00 50.00 30.00 50.00 50.00 50.00 50.00 50.00 E0.00 50.00 50.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/100k Standing Section Misc Electriwl Equipment Transforrners up to t 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 Voll Wiring System / Ckt Misc. Conduit Misa Conduclor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Oiher Electrical Fee Invesligation Fee Plan Check Fee Reinspection Fee status: I SS U ED Applied: 04I792007 Issued: 04I79I2007 Quantity 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 so.00 0 $0.00 0 50.00 50.00 $0.00 50.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NO710E: Tha work authorized by this p�rmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work Is not commenced wflhin 1B0 days, or il work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with efl eppiicabfe codes, antl all required Inapectiona end 11na1 epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zmuae caroo) WORKERS'COMPENSAnONDECLAFiArON: I hereby aHirtn under penalry of perjury one of the IWlovring dedaretlons: ❑ t heve end wlll maintain e ceNticata at consent lo self-Insure for workers' compensetlon, as proWded br by secilon 3700 oi Ihe Lebor Cade, for Ihe pertortnence of ihe %`'°rk tor which lhis pertnit is IssueO. B' I have antl will meintain warkers' oompensatlon insufsnce, as required �y secUm 3700 ot Ihe Lebor Code, tw Ne peAortnance of Ihe work for whkh Vtis permit Is issued. �- My workers' compensatlon Insure rder antl policy numDer nre: Cerrier: � � r��.� �.�i Pollcy Number: / � i� % �'T �� ^6�0�� -(Thls sec� need not be completetl ' the perm !s velued ef one hundred dollers (8100) or less.) �---- - ❑ I certity that In the peAo n ol ih for which ihls pertnit Is issued, I shall noi employ eny person In any menner so es ta becwno subJect to Ihe workers' compensetlan laws o elil le, en ee that II I should Eecome sub�act to the warkers' compensetlon provisions o1 Sectlon 3700 at t�e Lebor Catle, I shall Porthwit� complywiththesa ns. / / AppliCant SlgneWre: �Dei9:-" � �f //'C// .N% WARNINO: FNLURE TO SECUPE WORKERS OOMPENSATqN COVEM�E IS UM.AWFUL AND SHALL SUBJECT AN EMPLOVER TO CiiIAUNAL PENALTIES ANO CML FlNES UP TOONE HUNDRED T10USM10 DOLIARE (E100,000�, W AODITION TO THE CQ^iT OF COMPENSATION, DMNGES AS PpOVIDED FOR IN SECTIIXJ 3'1080F THE 1A80R COOE, INlEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: 1 hereDy eHirm thet I em Ilcensed under provislons ot Chepter 9(wmmoncing with Sectlon 7000) ol Divlslon 3 ot Ihe Business en Professions Code, end my license Is in lull toice end ened. uc. a �Claes a�- B�L'—/!'% CONrectoYs Slgneture: Ty Dete: —Y � i9 > CONSTRUCTION LENDING AGENCY: ❑ I hereby eNirtn thet thera (s e canslruciion lendinp egenry for the peAortnance of the work for whlch lhis pertnit is issuetl. (Sec. 3097, CMI Cotle). Lenders Neme: Lentlets Atltlress: Slgnature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm ihet untler penelry of per�ury that I em EXEMPT FROM TME CON7RACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Business entl Proteulons Cotle: Any ciry or county which repuires e Dermit to consiruct, alter, ImDrove, demolish, or repair eny structure, prior to i�s Issuance, elso raquires t�e apDlicant tor such permit lo Ille e signed stetement t�et he or she Is Iicensetl pursuent to the provisions ol the Contractors Llcense Lew (Chapter 9(wmmencing with Secllon 7000) ai DlNslon 3 0l t�e Business enA Pmfessions Code) or thet he or she is exempt therefrom end lha besls for the allegetl exemptlon. Any violetion o� Sectlon 7031.5 by eny appllcant tor e pertnit subJects the epplicant to e ciNi penfllry ot not more than Me �undred ddlers (S500j.): ❑ I, es owner of tha properry, or my employees wi�h wa9es as Uelr sole wmpensation, WILL DO THE WORK, antl the structura Is not iniended or oMeretl tor sale (Sec. 7044, Business antl Professions Cotle: The Contractors Licenso Law tloes not appty Io an owner of propeny who builtls or Improves thereon, and who tloes such work himsetl or herself or Ihmugh his or her own employeas, Drovided that such imprwemen6 ere nat imendetl or ottered tor sale. tl, however, the building or imprwemem is sold within one year oi completion, the owner-6uiltler will have tha burtlen ol proving ihat he or she did not build or improve lar purpose of sale.�. ' ❑ I, es ov.•ner oi tha property, am E%LLUSIVELY CONTAACTNG WITH UGENSED CONTRACTORS to construct tha prolect (Sec. 7044, Busineu end Pwlessions CoAe: Tlie contraaors License Lew Coes not appy to an owner of property who 6uilds or Improves ihereon, entl who contracts lor such project vrith a contractoqs) license pursuant b �he Contrecbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code lor ihis reeson: Signature: Date: Owner ID varifietl by tlnvers liCense. ❑ VB5 ❑ No Driver5 License No. Vedtiwtlon oi Ownership by (rype oi document, i.e. - property tex DIII or tleeA): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFIGATION: ❑ I hereby certify that no excevaUon tive (5) or more feet in depih Into which e parson Is required to descend, will be made in connectlon with work euthoAzetl by Nis permit, entl t�at no 6uilding structure, scalfolding, falsework, or tlemolition or tlismantling Nereot, will be more than thirry-sla (38) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Califomia Atlministretive Catle). ❑ As ownar-builder, I wiil nol employ anyone to do work which would require e permit Irom lhe Divlsion of Industnel Setety, es noteU ebove, unless such person has e permit to tlo suc� work tmm the divlslon. Signature: Date: Dlvision of Industdal Satery Permit Number. CERTIFICATE OF COMPIJANCE AND AIfTHORIZATION OF EMRY: I certify under penelry of perjury that I have read this epplication and state that the infortnetlon gNen is correct. I egree to compy with ell stete lews and ciry ordinances relatinp to building consiructlon, an0 aut�orize representatives ol the Clty of Costa Mesa to enter upon tha ebove-described property tor Inspectlon puryoses. I agree not to acupy or ellow occupancy of eny building eulhorized by this permi� until Ilnel inspectlon. , _ � � Luaie.,.. CODE �. INSPECTIONTYPE PAIE I�LS 1618 Fixed System Final Firo Prevention 1268 Pool Spa Finel 200 Finel Re-Root 201 Flnel BIocWRetelninp Wall 202 Finel FeIXory Flre Place 203 Finel Sign 204 Finel Demolition 40oE� INSPECTIONTVPE 206 Final Mechenical 208 Finel Plumbing 210 Finel Elettdcal 212 Flnel Flre Preventlon 220 Finel Plenning ApDrovel 222 Final Site 250 Finel Building/Occupency Qdg II�LS � T N Q � I � m 0 w ' m � a m ' r t,. .. i • � I � �I 0 � N [ m ❑ a 0 a v 0 � 0 m N L R ¢ ^ .. ...�._ �..,......._. ... I_ ..I ; ; ;� ;i ,�� ,�� !�� i! .•��'° SP n� n9i ; �9 .; � @, �;3 \� .�� ` �RV' �i i,7 '(/ r /� � ��...,\ ) �rvnic�c t,�nrr�tt . ' CrriU✓✓/rT';R,3�;!i0 t� I !:. 1 �. : / �� iii U i b� ,! / � ��5./� r�:l�t/ �;�.- � , �� ;_.�.� " ��': .ai .i_' 3/�i '' %� ( � r � � i ��._ i: ._.. . . �0�-oo3u4 � �4 i ��I/. ` T�A�IIDY ,�UC /� �20�1.� D��/ SUi iay/sUi io��LE�%�1�C S�B��EC i� �RA��,tIG FoR ��El,� C/��/ T �OB �-�DR�sS-' d.7/7 DL�SOiO �l/� ��'RMI l � L07- O03 yy %/�lfil/�' i OU .�,1%YC�U�'�Si /O�S �1��3�' «lL ��'%�3�-��// ��,U�//i ��ti Err-rc trraiN VUATE2 HEAiE�R. CoIO GJATE2 BDUO a7i� oEso�o �v� Co.3 i l� ME3A, �/{. � � I (714) 754-5273 • Fex (714) 754-4856 • www.c�.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2717 DESOTO AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 14164211 Applicant: WOLSKY, BRIAN Address: 17662 METZLER LN HUNTINGTON BEACH, CA_ Owner: PATTEN, W TAYLOR Address ,2717 DE SOTO AVE COSTA MESA, CA - Contractor: TOM BYER ROOFING 'Address: 17662 METZLER LN HUNTINGTON BEACH, CA Zip: 92647 Zoning: Rl Rl Phone: ' (714) 847-9332 . Zip: 92647 � - � Phone: Zip: 92626 Phone: (714)847-9332 License: � 575002 ' ' Status: ISSUED Applied: OS/19/2003 Issued: 08I19/2003 ISSUED BY: \ � , �. � Arch : , ' Eng: . � Address: . � � - Address: � . Phone: � � � Phone: Zip: , License: License: SCOPE OF PERMIT _ REROOF RESIDENCE AND ATTACHED GARAGE: T/0 EXISTING WOOD SHAKE, 7/16" OSB SHTG, 1 LAYER 30# FELT, APPLY "40-YEAR OWENS CORNING COMP SHINGLES' 2900 SQ FT - � FEE SUMMARY - Plan Check: � Permit SMIP Res: SMIP Com: Other: •Inspection: Total: $0.00 $153.25 $0.79 $0.00 $0.00 $0.00 $154.04 . SETBACKS, MAIN STRUCTURE � Front 0- 0 ACCESSORY Front 0-0 PARKING existina: �o Rear 0-0 Rear 0- 0 Reauired: 0 PLANNING& ZONING Left 0- 0 Lek 0- 0 Proposed: 0 i Calc Valuation: S�,aa5.00 Claim Valuation: - 57,eas.0o Right 0- 0 Righl 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ortl. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced withln 180 days, or If work is suspended or abandoned , for a pedod of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taaae �erop) WORKERS' COMPENSA710N DEC�A710N: "'� � I hereby aHirm untler penalry of perjUry ane of the tollowing deGaretions: ❑ 1 heve end will maintain e cenifl��e oi consent to selFlnsure tor workers' compensatlon, es providetl for by section 3700 oi the Lebor Cotle, tor ihe peAormence ot the work for which ihi5 permit is is5ued. � I'have end will meintaln worker5' �pensetion insurance, es requiretl by sectlon 3700 af the Lebor Catle, for the pertortnance oi Ihe work br which this pgrrtiit Is issued, My worke compensation Insu�ance certier entl pollcy number ere: f Cartler: �� :i Policy Number: / ��5� � (fhls sedlon need not be cromp/etetll! the permit is velue� ef one hundred dollars ($100) or /ess.) ❑ I ceniy ihat in the pertormence a� the work for whlch this permit is Issued, I s�all not employ any person In eny manner so as to bewme subjact to Ihe workers' wmpensailon laws ol Celltomi g'T6lhet If I shoultl becama sub�ect to Ihe workers' compensatlon provislons of SectlonI3700 ot the Lebor Cotle, I shall forthwlih comply with ihes vi �// 9 ApDlicant Signature: Dete: ' � WAANIN(i: FPlU1RE TO SECURE WdiK O�APENS E IS UMAWFUI M10 SFVLI SUBJECT M! EMPIOYER TO CRIMINAL PENAl11E5 AND CML RNES UP TO qJE HUNDRED THOUSANDDOLLARE(E100,000),INADDf� EWSTOFCOMPENSATIIXJ,DAMAGESASPROVIDEDWRINSECTION3]OBOFTHEIABORCA�E,IMEREST,AN�ATTORNEVSFEES. LICENSED CONTRACTORS DECLMATION: I hereby aHirtn that I em Ilcensed force an0 eRect LIc. q� Contredofs Slgnatura: CONSTRUC710N LENDING (commendng with Sectlon 7000) ot Division 3 ot the Busineu and Proteulons Cotle, end my licensa Is in full Cless N ` 3 v Date: 8 9 ❑ I hereby eHirtn thet there Is e co�s�ruction Ien0ing agency for the pertortnance ol the work lor which this pertnit is issuetl. (Sec. 3097, Civll Gode). Lenders Nema: Lenders Atldress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eXirm t�at untler penelry at perjury t�at I flm E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the following reeson (SecJ031.5, Buslneu end Pmfesslons Code: Any city or wunry which requifes e permit to conslrucL alter, improve, demolish, or repair eny structure, pnor to ils issuance, elso requires the epplicant for such permit to file a sipned stetement thet he or she Is licensed purouaN to the proNslons ot the Cantrecroro Licensa Lew (C�epter 9(wmmenc��g with Sedion 7000) oi Divlsion 3 ai Ihe Business end Professions Coda) or thet he or she is exampt t�erefrom and the besls for the allegetl exemption. Any Wolatlon o� Section 7031.5 by any epplicanl for e pertnit sub�eds Ihe epplicent to e civil penalry of noi more Ihan five hundretl tlollers ($500).): ❑ I, as owner of the praperry, ar my employees with wages es thelr sole compensetlon. WILL DO THE WORK, end ihe structure Is nat intentled or atleretl tor ule (Sec. 7044, Business antl ProfessionS Cude: TTe ConlraMors License Lew tloes not eppty to an owner of property who Duilds or Impfoves thereon, end who does such work himsetl a �erself or through his or her own employees, providad thet such impmvements ere not Intended or oftered lor sale. tl, �owever, the building or improvement is sold wit�in one year of completion, ihe ownervbuilder will heve the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner oi the property, em E%CWSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct t�e projed (Sec. 70M14, eusiness and Professions Code: The contractars License L.ew does not appty lo an owner of pmperty w�o builtls or Improvas ihereon, and who contrects �or such pmject with e wntractor(s) license pursuant to ihe Coniraclors License Laws.). ❑ I am exempt under sec. Business end Professions Cade for Ihls raeson: SignaNre: Date: Owner ID venfied by dnvefs license. ❑ Yes ❑ No Drivefs License No. Venlication of Ownership by (type ot O�ment, i.e. - property tax blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certiiy t�at no excevatlPn fNe (5) or more feet in tlepth Into which e person is requirad to descentl, wlll be mede in connectlon with work autho�ized by Ihis pertnit, end that no bulitling stm�iure, sceflolding, falsework, or tlemolltion or dismantling thereot, will be more then ihirty-six (36) feet �ig�. (Chep. 32, Grp 2, An 2, Sec. 341, Tille 8, Celifomia Atlminisifetive CoOe). ❑ As owner-builder, I wlll not employ anyone to do work which woultl require e pertnil from the Divislon of Indusiriel Sefety, es noted e�ove, unless such pereon has e permll to tlo such work from the division. � Signeture: Date: Dlvlsion of Industnel Safery Pertnit NUmber. CERTiFICATE OF COMPLI/WCE AND AUTHORQATON OF ENiRY: I certify under penalty of perjury that I heve reatl t�is epplication antl state thet Ihe iniortnetion given is correct. I egree to comply wllh ell ste�e laws entl Gry ortlinences releting to bullding construction, end authorize representeilves of Ihe Clry of Coste Mesa to enter upon the ebove-descnbed property br inspec00� Ourposes. I egree not to ocapy or ellow occupency of eny building euthonzed by this pertnit unlil final insDection. Signeture Of Legal Owner(s) [3T77'��F9J4diF7: �N J7 7618 FIxeC System Flnal Fire PreVentlon 1268 Pool Spa Finel 200 Finel RaRaot 201 Final BIocWRetelning Well 202 Final Feqary Fire Plece 203 Final Sign 204 Final Demolition P67F It�dL6 Dete �r�i lu3 Date j CO�E 1 INSVECTION TYVE 206 Finel Mechanicel 20B Finel Plumbing 270 Finel Elecirical 212 Flnel Fire Preventlon 220 Flnal Planning Approvel 222 Final Slte 250 Final Building�Occupancy Pfl0.1ECT AUDflF33: � � � � DE50T0 AV' OWNEfl'SN�ME: UL''.AN STEWART R�ONESS: 2-�S�I DF.SOTO AV ' COS'TA MGSA CA92626 RNCH/ENGINEEP: �.� � 4) 9 7 y' 4��3 , ROUflES3: UNIT: r . ` • _.--� flEG.NO.: UNR: PEflMITfEE: DI�AN 51'EWART � ( 714 ) 979�-47£13 �uonEss: �79.'% DESOTO AV C�STA MF�SA CA 92f�26 110ENSEO fANTMCTOB ECUIWTION: �ier¢by atlirm that I am IicenuE unaer p�oNsions o Chapter 9(commencinp wilA Section 7000) ol ONaion 3 of the Business an0 Protessions Coae, and my license ls m tull lorce anA ettect. cm uc.: sTe�c uc.: cuss: Oate: � - Siqnalure: WONKE83' LOMPENEATION OECUMTION: I �ere6y affirm tAat I �ave a cetlificate of conseni m self-Insum or a cenliiwte of Workers' mDenuuon Insurance, or a certitieA coDY �hereot �Sedion 3800, La�. C�. , JLICY HO.: E%P. DRTE: COMP�NY: ❑ CertilieC m0Y � hereUy fumishe0. ❑ CertitieE copy Is liled vnth Ihe Gry BuilGinp Division. Oate: ApDlicant EXEMFf10N FAOM WONIIEHS' fAMPENS1T10N OEClAt1ATI0N: (ilvt uc�on r�ee0 rrot be mmplete0 if We cermit is Iw one �uMrea (5100) or less). I ceM1iy (IUI in che pedormance of t�e work for whicA t�is permit is issueE, I shall not employ any De�on in any manner w as ro Decome suGjttt ro tAe WOBers' Compensation �aws of Califomia. , . Oate: Siqnatura: NOTILE: II, atler maMnp this Ceclara[ion,yau should become SuDIEc� to tAe Warkers' Compen5aibn D��sions af Ne La�or CoOe, you must fonhwith com0ly with such pmvisions or tNs permit Sllall EB tleeme0 ravokea. CONSTPUCTION LENDINO �GENCY: I �ereby afiirm t�at ihera is a wnstruction lentlinp apency lor IM Dertormanca af the work for - whic� tAa De�mil is iuue0 (Sectian 3097, Civ. C). � � LENOER: � RODXESS: . � � ��. OWNEB BUIIDEB OELIAIWTI�N: I Aereby affirm that I am exemD� ��om the Canimctors' State License Law br t�e follovrin0 �eason '(Section 7031.5 Business and Pmfessional Cotle: - My ciry of caunry whicn reQuires a permit ta constmct, alter, improve, demolis�, or repair airy structura, O�or to its issuance, alm repuires t�e applicant for such permit ro file a slAnea statement ihat MJshe is licensetl pursuanl to IAe provisians oi t�e Contractors' State License Law (C�apier 9(commencinq wit� Section 7000) ol Division 3 of t�e Business anU Prolessions COEe) or t0at he/she is e�empt t�erafmm antl ihe �asis for Ihe alleped exemptian. Any violation nl Section 7031.5 by airy apPlicant lar a parmlt su�lects Ue applicant Io a cNll penalry af iwt more tlwn iNe hunGreO dWlars (f500). I, as owner o1 the proDerty ar my employeas wIN wa0es as t�eir sole compensatlon, will Ua ihe waB„ antl the J siructure is not intende0 or atlered lor sale (Section 7044, Buvness anA Pmfessional Code: The Coniractors' State License Law does not apD�Y �o an awner ol a DmDerty who builUs or improves IAereon, anA who tices such waB �imsell/herull or IhmupA hls Or h¢r Own employees, pwvitleE ttui Such imDmvemenLs af¢ wt int¢nd¢J Or ofler¢d �af sale. I�, howevet-I�e builtlinp Or : improvement is soltl vntAin one year of comDletion, IAe ovmer vnll �ave I�e EurEen of provinp he/s�e dltl not Uuiltl or impmva for IAe our{wse oi sale): , . � I, as owner of tAe Oroperty am excWSNeIy coniractin8 wiN IicenSeE contracloro to constmc� Ihe project ($eclion 70A0, Business �{ anC Pmfessions Cade: Tha Cont2ctors SWte License Law dces not apON ta an awner of OroperrywAo GmIGs or improves thereon an0 w1w contracts Por sucn prqtt�s vrit� a coniractor(s) license Dursuant m the Coniractors' State License Law). I am aware l�ai D�� ol l�eif Workei 5 Compen5aiion insUfanCe S�ould EB pmviEeE Io me. � � I am exempt un0er Sectlon: B. 8 P. C. , tor inis aason: Daro: !1 ^ $ � � D Owner. -.�� I do �ereEy cenity that I am aware of anG wGersunE t�e repuiremenis of Callomia Healih ana Safery totle Sections 25505, 25533, an0 25534 antl Ihat 1 or any future hulldinA �Pant wilU_II no� (cirtle one) neM ro comply witA saitl state catles aM t�e reQuiremenis for a permit for constmctwn or mo0ifiwtion trom the tir Dualiry Manapement Disirict. qevtlential constmction aOP�ications are exempt iwm t�eu pmvisions. � Date: �� ^ 9 U Applicant:� ,� � I nereby ttnity thdt I Aave reatl tAis applifzlion dn0 state that Ihe above information ¢ corretL I a0�ee �o Camply with all city anC counry aNinances an0 sUie Wws relatinp ro CuilNnp wrtstruction antl hereUy a honm representatives ot this ciry Io enter upon ihe aEove-memionea propeM forinspectmn Ourpases. � �� Dale: � '""' D ` � D Sipnamre: Driver's License or Social Secudry M: ' • 166t-�8 W�ite—BuilEino; Greert—CoEa Enforcement: Canarv=AoO�ican�; Pink—Pevenue: GOIEenrotl—Assessor YERM7T NO: � ('ITY OF CUS1'A MESA BUILllING PERMST 045931 � PLAN'CFIECK-NO: N PERM NO: A 045991 GOVT: N SUPP: N , CONSTRUC7'1:QN TY.PE:' S-N PERMIT TYPE;',57'R� PIIRPOSE: Ai,T JO➢ DESCRIPTION : RE-ROOFW/C1,ASS 'C' MEDIUM SHAKES 5Q FT: 4,200 CLA:LM VALUE; � 4,.?.00.00 CALC-VAI.UE; 4,200.00 GROUP OCC:�R-J / C:OMMENTS : SMOKE DET£•.CTOR ( S) REQiJIliED 'IN FlpME. ' *�r*x-**�t�+��t*�r*�r**�x*+r�:�x*�rrt+�*x��t�-�tx��-.i�x��+r�r*�c��t�rx�***x�xx�**�-K�-*irx-****�t�r�-�-�ei�*�c�+�*****x-�!��t ,'L O N I N G R F. (,> U 1' R F. M E N'P S - S E'T Fl A C K S �-----�------ MIlIN DUILDING --�------ -----�--: - ACCESSORY. FJUILDING ---•------ FRNT: FT IN RF:AR: FT IN FRNT: FT IN REAR: FT ,IN LEFT: FT TN RGI{'P: F.•"T IN LF•.FT: F1' IN RGHT: FT IN � PARK7:NG REQ: PROV: PARCEL: 1416421.1 ZNE: RE:F NO: . PLANNING NOTES> . y ��**�+r*��*�r�*�*�*��e �r**��,r**�+rx�;�x�*x*�**tr��***�r+�*�r*�r+e*�x�rxx��**��*��*�e�� x x��r�+�* D E: V F•. L O P M£•. N T S F. R V I C E S R E Q U P R E M E N' T. fi , ZON7NC APPROVED }3Y ' --------- --- DA'CE: ' ---- E3U]:LDING APPROVED tlY :,— --------- 'DATEi --.�- APPLICATI:ON ISSUED BY: ' �DATfi: 2 �-'g�"<T% if�*�c�EK-x-✓�+6-x�***�t�r�c�E�t�rit��E�-"fFSF"�i�(iF :�..�t -iF�'F'. "kiF iFi�iFiCFR"�-�F��3F3F�t�tx��t��x-*aritiF3F'iF'3F4Tf"�fF�iF3F** iEiEi(�i(��EiEiFiEK�iEiEiF�)EiEiEi4fkikiFik3Elf�Fi��EiEifiElElElkiEiE'kiE�lEikiffEiEik if!'/ �M-fk�7fiEikifiElkiElfifK�iE7EifiEif�iE�EiE1f�iEiEk�ifitikf(�iEit�lE.k LEGAI�IZAT�ION:N r G L; 5 U M D A R Y � STRUCTURAL SP•.GMEN'f:Y � BLDG PMT PI.UMfJING .�ELECTRIC MECHANIC FIRE SMIP/RES ' GRAllING PF.RMTT 72,00 ' ' .SO SMIP/NON-1tES PI,AN . rssor �r• er DUILDING-•DIV-> PERMIT ISSUE PT.AN-CHECK TOTAL PAZD .. DUE TQTALS----> 72..50. 0.00 0.00 72.,50 72.50 •.00 . �. RFVENUF. DIVISION T'OTALS--> COLLfiCTED: 72.50 OVER/SHORT: .00 BLDG PMT PLOMF3.T.NG ELE.CTR'tC MF.CHANIC FIftE SMIP/TOT 'GRADING �'LAN-CHECK �?,OO , _5Q . r: iE if iE k� iE �E:t iF iE k k 7f iE 1f iE k k 3F 1E �lE iE k� if iF fE iF it iF iF iE i4 if 3E i! ik iE it iE dE iE M iE iE k iE iF!(� it iF iE iE iE iF i! �K� iE �� if� iE iE if iE iE it� 1t if iE ik 1E 1E iE iF ik # 3E iE it iE lE I Tl D I V I D U A L F E 1: fl R E A K D O W N , 't 7'YPE �TY D F.. , C R 7 P T I O N UN]:T COST r'TOT'AL COST SL•'I2 4100 �REROOF BY �VALUE RL.SIllti.N7AL N07.UNE . ' END or• Fr•.t:s 1.00 . 4,200.00 T �. � �,� � 01 00053639-OD053640 TC�T UATE: 0?/08/9G TIME: d8:17 0 0 I CONSTRUCTION AND PLANNItv., . JOL & SPA Date Inspector qppROVALS Permit # Date Inspector APPROVALS Permit # ,� � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. forms . - 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test , • 6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test �. ' 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. �. , 10. Structural Floor System 67. APPROVAL TO DECK � 11. Property Sewer Line & HOuse Connection 62. Backwash & Receptor�Final �� r 12. Sev�er Cap 63. Heater & Vent-Final ' � � 13. Roo Drains 64. Plumbing SYstem - Final �^ i' 14. Ro gh Plumbing 65. Electrical-Final ,r� i�' �� 15. Rough Electrical-Conduit 66. Solar System•Final � �� ' ' ��i 16. Rough Electric Wiring 67. Fencing & Access Approval ��! ' � ., `� 17. Rough Wiring Sign 68. APPFOVED FOR PLASTERING• � � � 18. Rough Electriwl-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �- FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . � APPROVALS Permit # 21. Ducts, in Structure ' - . 70. Underground Hydro 22. Ducts, Ventilatirtg -It. Product-Piping �Gas ❑Oil 23. Gas Pipe�Rough & Test � ' -72. Underground Flush 24.'Roof Framing � � 73.�Undergrnd.Stora9eTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing � �� 76. Dry Standpipe 28. Lathing & Siding _ � � 77._ FIXED SYSTEM FINAL 29. Insulation � 78` FIRE PREV. FINAL 30. Orywall Nailing '"� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai ' � 79. FINAL INSPECTION • � 32.,Electrical Power Meier-Final ' 80. FOOD CERTIFICATE ISSUED 33. Final Elecvic � '•"� Notes: � � ' 34. Final Heating & Air Conditioning � . 35.�Final Gas Pipe-Test � , � - � � , � 36. Hood or Canopy . ! li;,� - : 37. Final Factory Fireplace � - - . ,,.�.. � � 38. final Plumbing � '�' ' /� 39. Water Service-Final . '� � - � 7 40. Gas Service�Final � ' . 41. Solar pomestic-Final • - - 42. Backflow Preventer � 43. Backflow Irrigation , ' . � . � . 44. Landscape Irrigation System . . ' . � - ' 45. Sound Attenuation � � � � - � � • 46. Handicap Regulations � :' � 47. FINAL STRUCTURE & BUILDING $ �S � � 48. FINAL PLANNING - � 99. Electric Release to Edison � '� � 50. Gas Release to Southern Galifornia Gas Co ��' ' � 51. CERTIFICATE OF OCCUPANCY � " No. Date PflO.IECTROUXES3: Z']1'] DESOTO AV owxEx�sx�Me:DEAN STEWART �ooness: z'717 DESOTO AC' COSTA MESA CA 92626 (719)979-4383 �PCNIENCINEEH: ��ONES8: IIEO.NO.: UNIT: UNIT: PEflMITTEE:RICK�S HTG. & AIR (714)842-4771 nooeess: 7351 HEIL AVE K HUNTINGTON HEACH CA 92647 i IICENSEO fANTMtiOB DECLAMTION: I hereEy aflirm ttat I am Iicense0 under provisions of Chapter 9(commencinp wit� Sectan 7000) oi Oivlsion 3 of Ihe Business antl Proleuions COAe, antl my licensa is in full torce antl ettect. cinuc.:050239 sTnreuc.:578678 cus - 0 Daie: ��%=� � Sipnalur0: Comppensa$�Ion�syr�cG,ANar,�r[Ai¢pTkopythereai(Se��EXP.DPTFOa1'i'�O1/9Oro elbinsuaoracertitica[eolWorkers' roucr xo.: b.5 i5 V,S 23 y coMraxr: STATE FUND ❑ Certliietl capy is here6y fumished. � CeeifleA capY is titatl with t�e /ciry Builtli p DI 'si n. ' rf �/ � ^ / 0 Mplicani: ,✓� // tlfEMFfION FHOM WOXKFIIS' COMPENSITION DECIAMTION: (Tlus section neeE na� ctYffpkteG i� Ne perml k �a me �unOreG (f100) or lar). I ceniry ttwt in t�a peAormance ol ihe wark lor wAich t�is Derrtut ¢ issue0, I sAall ot employ any person in any manner so az to Uewme su�ject to Ihe Workers Compensatian Laws ol Calilomia. Date: SiOnaNre: NOTICE: Il, atter makinp this tleclaration, you s�aultl Oecome suble�� o ihe Workers' ComDensation Dravisions ol tAe La6or CoAe, y9u must fortMvith camOh wit� SucA provisions ar tNs permit shall be deemeE revake0. CONSfBUCfION IFNDING �GENCY: I here0y affirm t�at there is a constmction IenOinp apency for tAe pertormance al t�a work far wMc� Nis Oe�mit i5 issued (Section 3097, Civ. C�. LENOER: ROOflE33: OWNFP BUILOER DECIAMTION: I �erehy aKrm Ihat I am exem0<<rom t�a Contrectors' State License Law tar Ihe tallowinp reason (Sectian 7031.5 Business and Pralessianal CaCe: My ciry at wunry wNc� repuira a permit to canstruct, atter, improve, Aemalis�, m repair any svuctua, D�or ro Ns issuance. also requires the appfrcant lor suUi permn �o lile a siqnetl slatertcent WI hds�e ¢ Iken5e0 Dursuant ro tAe provisions oi tM Camrzctors' Sute Licenu Law (Clupter 9(commendn0 �+�� tian 700U) ot Diuisian 3 0l t�a Business an0 Prolessions COUe) or t�at hWs�e is exempt thealrom anE t�e hasis tor t�e alleped exem0�ion. My violation of Section 7031.5 by any apDliwnt lor a permit SuEjecis t�e aD011wnt to a ciNl penalry oi nat mom tlwn Ilve hunAreU tlallars (f500�/ / I, u owner oi Ne DmDeM or my em loyeu with waBes as t�eir sole comDensaVan. wJl,do Ihe work, and tAa ❑ svuau�e �s no� �menaea or onerea ro� saie �s�ection 7094, Business an0 Profassional Cotle: t�a ContrAclors' State License Law Aaes not aOVly[o an owner oi a DmDerly who �uilOs orim0�ovestAereon, and who Uaes suc� work himself/hersel� orihrouph ' his ar her own employees, DravlOed IAat suc� Improvements are not intentle0 or olfereA for sale. If, �uwaver tAe huiltlinA or imDmvemenl is soltl witNn one year ol comDletion, I7re owner wi0 have I�e bur0en of pmtinA he/she OiC not Eui10 or ImDmve lar the Durpou ot sale�. ' I, as owner of the property, am exclusively contracting with IicenseG cantracrors ta consimct the D�oject (Seclion 7044, Busineu � anA Protessians CaOe: The CanVaclors Sute liu�e Ww Eces not apDN to an oxner oi vroperty who OmIGs nr imprares Oureon ana wtn coniracfs for suc� pral�� N a wn[acror�s) licenu Dursuant Io �M Contractars' Sute License Law�. I am awarc tlut proof of t�eir Worker's ComOeiaatlon Inwrance slwulA �e DrmaUeO to rtw. � I am exempt untler SecliOn: B. 8 P. C. tor the aason: Data: Owner. I Ga �ereUy certity IAat I am awaa ol anO un0erstan0 the repuirements oi Califomia Heali� and Safery CoOe Sections 25505, 25533, antl 2553d an0 tlwi I or any future buildin0 acupant willlwill not (ciale one) neeU to compty wit� sai0 state coEes anE the rtQuirements lar a permit lor constmclion or mo0ilication imm the ar ualiry Manapement Uisirict HesiEential wnswctian apD�icaqons are exemD� �rom ��ese provisions. Dale: RpPlrcant: 1 nere0y ceNry tlat I have rea0 tha aDD�iwtlon antl sWta tlut tne aEwe informatlon ¢ corrtte I aprea ro camvN ��h all tlry an0 wunry ar0inances anA state Wws reWtinp to EuilEinp can5iruclion anG heaby aulhar¢e representatives ol this ciry to enter upon I�e aDova-mentione0 propefiy �or i�6Detfion purpo5es. _ � / / D / 1/ Data: �'l 6� j � Spnature: � v� Driver's Licensa or Soda� Secunry x: t80L48 White—Builtling; Green—Cotla Entorcement: Canary—Applicent; Plnk—Revenue; GolEenrotl—Avexwr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; EM 048586 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE MEC JOB DESCRIPTION CLAIM VALUE: : CHANGE/OUTHTG. & AIR EQUIPMENT CALC-VALUE: PERM NO: EM 048586 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: REMEMHER: SAFETY FIRST! at x� at �t ar �- �t it �r �t �t �t+t -� at * it it� at * �t * �-at * at -� it+tr �t at * �t �t * �t- at �t+t et -x- ir it it it+t it at � * �t * �e -�+t -�t at � at at et at it at �-at it at * �x-+t �r �t * -� � �t �t * Z O N 2 N G R E Q U T A E M E N T S s E T s A c x s ------------ MAZN BUILDING - FRNT: FT IN REAR: LEFT; FT IN RGHT: PARKING REQ• PROV; PLANNING NfSTES> > iF itlE 7k if if ik 1f if !E 1k �f 1!!f if ik 7k �! ik i!!k it if ff fF k ik fE D E V E L O P M E N T ZONING APPROVED BY , HUILDING APPROVED BY : APPLICATION ISSUED BY: -------- --------- ACCESSORY BUILDING --------- FT IN FRNT: FT IN REAR: FT IN FT IN LEFT; FT IN RGHT: FT IN PARCEL; 14164211 ZNE: REF NO: !t f! if fElf iE 1P if * if iE �t it ik It ik 1k ft-it �f k!F iF iE i! iE iF i! �k f! iE �E iE ik if iE iE fE iE i! fE 1E fE iE 1E i! iE ik if iE S E,R "V. I C E S. R E Q U I R E M E N T 5 ,� � . ' ' DATE: ''i� i,/l�l DATE: 3f %ik iF ik jE iE k jF i! i! i! iE iE �1E iE ik i! ik ik jE �t �)t!f ik iF iE iE ff if iE k if ik ik i!!! it i! i(NE ik LEGALIZATION:N F E E S U M iF—G�i �iF'iF'�t�3F3F�F3Fx��**D***�f�t�ri��'3F** ik i! i! 1f It 1E fF �F IklF if iF iF iF 1t iE 1t M 1E iE iE �f aF IElk iElt ik 1k it 1k ff dk iE A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 11.00 18.00 503 25R SMIP/NON—RES PLAN ISSUE FEE 15.00 15.00 BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 29.00 30.00 0,00 59,00 59,00 ,00 REVENUE DZVISION TOTALS--> COLLECTED; 59.00 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CxECK 26.00 33.00 iF ik iE iF if 1f it it it it df if if iF 1f i! 1k ik iF if iklt iE ik fF �E iF i! iE ik i! it k iE iF iE i! �F �E jt 1E ik i! k 1f iF fE iE iklf 1f ik iF iF it if iE it it it it ik it iE iE it iF iE if iF if ik iF iF iF iE iE if iF I N D Z V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11.00 11.00 MEC 1 INST FORC-AIR/GRAV FURN <= 160 K HTU 9.00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9,00 END OF FEES Ol 4Q067672-�D�d7b73 'Ife�'�' S9.Oi, DATE: 03,�16/90 TIttE: 11:3Q CONSTRUCTION AND PLANNING POOL ts .,P. , AppflOVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _ 2, SOiI Pipe-Undrgrnd.- � . 53. Steel Reinforcement 3. Electrical Conduit Utility�llndrgrnd. 54. Forms 4. EI&ctrical ConduibUndrgrnd � , 55. Electrical Bonding. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Elearicat UFER Grnd. 57. APPROVALTO COVER�GUNITE 7. Faotings 58. Electrical Conduit-Undrgrnd. 8. Faundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. ProPerty Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap . 63, Heater & Vent-Final 13. Roof Dreins 64. Plumbing SYstem � Final 74. Rough Plumbing � 65. Electrical-Final 15. Raugh Electrical-Conduii 66. Solar System-Final 16. Rough Electric Wiring - . 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVEO FOfi PLAS7ERING 18. Rtlugh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof Framing � 73. Undergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead HYdro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ;•4 30. DrYwall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED � 33. Final Eleciric � � Notes: ' , 34. Final Heating & Air Conditioning � b 23 C� �� 35. Final Gas Pipe-Test / , . i . 36. Hood or Canopy � 37. Final Factory Fireplace - : `' 38. Final Plumbing �i7 !�n 39. Warer Service-Final - � 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irriqation System 45. Sound A[tenuation , . 46. Handicap Regulations � 47. FiNAL STRUCTURE & BUILDING 48. FINALPLANNING i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cn �"� 51. CERTIFICATE OF OCCUPANCY No. Date I 888 I , �OSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX Sf7 �BTA MEBA. CALIFORNIA For Applicanf fo Fill In Completely YYPE OR PRINT BUILDING _—_— .. .. . . 1 MAIL COSTA MES/1. CALIFORNIA TEL. OF LOT 6696 S.F. � NO. OF 6LDG$, How oH �or P U6E OP None EXISTING 6LDG 88TBecK une ppoM �� REAR YARDZ � CHNiBP OP BTRHHT SIDE YARD I LEFT ri �—F1�� I RIGFiT �� DESCRIPTION OF WORK s"rse FiI'' -6'�x54 � _Zn PXTHRIOR WALL ��'.11CC0 COVHRING OC OOa U6E OP BUILDING AN� WC TO BH 6 STORIES 1 iai shake & R "�,�l-6-f"?licosra,�9� ,►�*�99.00 APPLICATION FOR PERMIT BUILDING For Office Use Only neceirr no. eEP xecarvao�r COSTA MESA. GALIFORNIA FIRE ZONE TYPE GROUP � APPROVE� BY DATE ZONING ZOI —/ I NO. OP '' LU86 OP N6W - f plANB G/I eUIID�N L80AL � , ., � ,,, . n _ n IC6M[R LIN6 BT.1 =RONT EVES r S,F, I HHRBBY ACKNOWLlDOB THAT I H�VH PCAD T}IIB MPLIGTION AND 6TATH TMAT TXE AOOV¢ I6 COMR6CT �ND AGREe TO COM- THe AMOUM BHOWN UNDHR VALUATION IB FOP TH2 Pllflp098 OP HBTABLIBNINO A PHRM�T FE6 ONLY. PLY WITM ALL CITY OfW�NANC88 AND RATE LAWO RH6ULATIN6 aui�,o�raa CONBrnucilON. VALUATION 81GNATURE OF D M D n 0 Lp PERMIT FEE $ � �RMITTE _ p B,r� SZO�2SV.00 PLANCHECK $ �� J Y A iHORIZED AGENT � c TOTAL FEE rt][: