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Home My WebLink About2736 DESOTO AVE - Building Permits.l , .lob nddress: 2736 DESOTO AV Suite: Viciniry: ParcelNumber: �4164107 ApplicanC LIMBARING, EDGAR Address: Owner: LIMBARING, EDGAR & ANA Address 2736 DE SOTO AVE COSTA MESA, CA Contractor: OWNER-BUILDER Address: Zip: Arch : Address: Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 714-549-3997 Zip: Phone: 714.549.3997 Zip: 92626-5606 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 08116I2004 Issued: 08l17/2004 ISSUED BY: Phane: Zip: License: License: SCOPE OF PERMIT LEGALIZE 763 SQ.FT. PATIO ENCLOSURE AT THE REAR OF THE RESIDENCE. REAR YARD COVERAGE OK (325 SQ.FT. ALLOWED; 178 PROPOSED). Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $81.41 $125.25 $0.60 $0.00 $0.00 $0.00 $207.26 SETBACKS MAW STRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existin : o Rear 4 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 �� Righ[ 0- 0 Ss,000.00 Ss,000.00 NOTICE: The work authorizad 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) %.� EXPIRA710N: This permit shall eutomatically expire antl become void if work is not commenced within 1B0 days, or If work is suspen��a�d no ed lor a period of 1 BO days. INSpEC710NS: In order (or ihe work auihonzed under thfs permlt to be consfUered legal, such work must comply with all applicable codes, and all requlred inspeotlone end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOq INSPECTIONS CALL: (714) 7545626 «vco �aw7 WORKERS'COMPENSAnONDECLARAnON: I hereby ettirm untler penelry ot per�ury one of the following decleretlons: ❑ I have entl wiil maintein e cenificete of wnsent to selt-Insure tor workers' compensation, es provlded lor by sedlon 3700 at the Lebor Catle, lor Ihe pertortnence oi Ihe wark tor which this pertnit Is Issued. i ❑ I have antl will maintain workers' compensatlon insurance, as required Dy sectlon 3700 oi ihe LaDor Cotle, lor ihe peAortnance ot Ihe work for whlc� ihis pertnit lq Lswetl. My workers' compensetlon Insurence carner enC pollcy number ere: Cerrier: Pollcy Number: (This section need nof be com lefed il the 0��f75 velued et one hundred dallers ($100) or IessJ "��I�ceRify Nat in the peA rmehce ot the work lor which this pertnit is issugd, I shall not employ eny person in any manner so es to bewme subject to t�e workers' ._.lcompensation laws of alit mia, and agree that tl I should become 5�ect to the workers' cnmpensetlon provislons ol Section 3700 0l the Lebor Code, I shal� forthwlth compty with these pro �' s. �� S,a�aw�e _ r.roa�e:� �, � � -, --� � � i �WqpNINO"FAILURE TO SECU WORKERS' COMPENSATI E IS UNUWRIL uJD StNLL SUBIECT AN EMPLOYEP TO CPIMIWIL PENALTIES PND CIVIL FlNES UP TOONr E HUNDREp TFIWSAND DOLLARE (5100, �.IN AODITION TO TNE WST OF ODMP , OAMAGES AS PROVIDED FOR IN SECTION 3]OB OF TNE UBOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I em Ilcensed under provLSions of Chapter 9(commencing with Section 7000) of DlWsion 3 0l ihe Busineu antl Professlons Cotle, end my Ilcense Is in lull force enC BNecL Lic. q Cless N Coniractors Signature: Dete: CONSTRUC710N LENDING AGENCY: � I hereby attirtn that there is a construction lentling agency tor tha pedortnance of the work tor which Ihls pertnit Is issued. (Sec. 3097, Civil Code). Lenders Name: Lendels Address: Slgnature: Date: OWNER-BUILDER DECLARATIONS: I hereby eKrtn Ihet under penalry of per�ury Net I am E%EMVT FROM THE CONTRACTORS LICENSE LAW for t�e tollowing reason (Sec. 7031.5, Business entl Protessiau Cotle: Any ciry or crounty which requires e permit to construct, elter, improve, Aemdish, or repeir eny structure, pdor to Its issuance, elso requlres I�e epplicant tor such permlt to file a signed s[etement t�et �e ar she is Ilcensetl pursuem ro the pmvLsians ot Ihe Cantrectors llcense Lew (Chepter B(cammendng with Sectlon 7000) of Divislon 3 of t�e Business end Prolessions Code) or thet he or she is e:empt iherelrom end Ihe besis for the alleged exemption. Any violetion of Section 7031.5 by any epPlicant tor e permit sub�ects the applicant to e ciWl penalry at not more than IHe hundretl Oollare (5500).): ❑ I, es owner ot Ihe property, or my employaes with wages as thelr sole compensation, WILL DO 7HE WORK, and Iha swcture is not Intendetl or ottered for sela (Sec. 7044, Business antl Professions Code: The Coniractors License Lew does not appty to an owner ot property who Dullds or improves Ihereon, and who tloes such work himself or herself or through his or her own employees, provided Ihel such Improvements ere not intentled or oNered for sele. It, however, the building ar improvement is sold within one year of completion, the ownerbuilder will have the burden ot proving thet he or she did not build or improve for purpose oi sale.). ' ❑ I, es owner of the properry, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTAACTORS to construct ihe pro�ect (Sec. 7044, Business antl Professiau Cotle: The contrectors Licepse Lew tloes noi eppty ta en owner ol property who bulltls ar Impmves �hereon, en0 w�o comrects tor such pro�ect wlth e conirector(s) Ilcense purs t to the Con[ractors License LewsJ. ❑ I am axem t u der sec. /Bu5ine55 end Pr0leulon5 Codo lor Ihis reeson: _ _ Owne'r ID vedfied�fy ddvers Ilcense. ❑ Yes o rD�ers LJcense Vedfication ot Ownership by (rype ot daume , I.e. - prope tea blll or deedr�----- DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICATION: ❑ I hereby canify ihat no excavation tiva (5) or more feet in depih into whlch a person Is requiretl to tlescend, will be mada in cannection wit� work euthorizetl by Ihis pertnii, and that no builtling stn�ture, scaXoltling, falsework, or tlemolition or tlismaniling thereoi, will be more than thlrry-sin (36j teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-buil0er, I will nat employ anyone to do work which would require e pertnil from the Division of Intlustrial Safery, es noted ebove, unless such perwn hes e permit ta do such work fmm the division. Signature: Date: Division ot Industrial Satery Pertnit Number: 2 3 ARDOUS MATERIALS AND EMISSIONS CERTIFICATON: W ill the epP��N or presam w luture buildinp occupent neetl to file en0 certity a Business Plen tor emerpency response to relaase ar threatened releese oi e hazerdous meteriel7 ❑ Ves ❑ No (SecUon 25505 0l the Celitomia Heetlh entl Satery Code requires, with some excepNons, Ihet e Business Plan be tiletl with the Coste Mese Fire Department hy every business which has at eny one time tluring a reported year a quantiry of harartlous materials equel to or greater then a weight oi 500 pountls, or e wlume ai 55 gallons, or 200 cubic leet of compressed gas at standartl temperaWre and pressura). _'...._.__._..._ .........................._....._....."'_"_........................................................_.__.......................__........................................................................................ _......................................................__.............. Does or will the apD��nt or present or future builtling occupant neetl to file e registration lortn for ecutely hazardous materials7 ❑ Yes ❑ No (Sectlon 25533 of Ihe Califomie Health antl Safery Code, wl�h some exceptions, requires repisiretlon with Ihe Cas�a Mesa Flre DepaNnent by each business which et eny one time hes on hentl a quantity of acutey hezerdous matenels equel to or greater then e welght ol 500 pounds, or a voluma oi 55 gellans, or 200 cubic feet ot compressed ge5 et stantlartl Iempereiure anC pressure). ...........___._._ ......................_...__.._...........""'_'_......._'_'.................._"""" _'._._......._.._.—. ._.__..�_................__..—_._. Does or will the ep0�lcant or present or tuture builtling occupant neetl to prepare en RMPP (Risk Manegement and Preventlon Prcgram lor ecutory herertlous matertals)? 25534 0l the Calltomia Health and Sefery Cotle pravides Ihat ihe Coste Meu Fire Department may requlre the preparaUon, certlllcallon end Illing wlih Ihe Fire sm ol an RMPP by Dusinesses which ere raquireU to register eatety heiertlous matedels with Ihe Fire Depanment. 4 II en RMPP Is presenity reqNreO. hes Section 25534 of ine Galtlomle Meelln ena Salery (:aae oeen tully campllea wlml U re9 V no ..................._.........................................................."'__._..................._._.................._..._.."'�............._...........................'_"_'..._....__.._..................._............—'_'..._ 5 Daes or will the epplicant or prasent or future building occupent requlre tor the work which Is Ihe sublect ot t�is e plicetion ep�ermit br such construction or modificetion from Ihe Saulh Coest Alr Oualiry Menagement Distdct or irwn eny other eir polution comrd tllstda or ngenc� � Yes �J No (Secllon 658502 of Ihe Celifomia Govemment Cotle requires Ihat Ihe requested inlormation ba tumishetl on epplicetlons for nomresitlentlel building parmits). .......__ ............................................................................................._.........._....._............................................__._..._...__................__...._................................___".............................................._..........__............... 6 Will any pan of the taciliry to be consWcted under this Dermit 6e within 1000 feet tmm lhe outer bountlaries ol e school7 ❑ Yes ❑ No (If yes', the tacility must meet tha raquirement ot Sections 25534 and 42303 of �he Califomie Healih entl Sefery Codej. .....___._......_....._.__ .........................._.. .__...._.._..__..............._...___...._._.__._..._.._...�..__................................'_—__._....__._...................._._.__......—'_"—' 7 tl a permii from Ihe South Coasi Air Quallry Menagemeni DIS�dci or other eir pdNtion contml dlsirict or egency is required for t�e work whlch is Ihe aub�ett o� lhls epplication, heve ell ot the disclosures prescrlbetl by Celilornie Health and Safery Cade Sectlon 42303 �een meAe7 ❑ Ves ❑ No _"'_—'.........._._._ .................... _ ._............................................_................_.............._....................................................................................................................................._.............._........ 8 Qt'yes", atlech certilicate at compllance Irom the appropriete air polWtion contrd oflicer). CERTIFICATE OF COMPLIANCE: I certily thel untler penalry of perjury the informetion given abova is wrrect. I epree to compy wit� all stete lews entl ciry ortlinences reQardinq Hatertlous Melerials end Emissions. Slgnature: Date: CEHTIFlCATE OF CO L CE AND AU7�tOR¢A710N OF ENTRY: I cenity untler penelry of perjury ihet I have reed ihis epplicetlon entl state thet ihe Infortnation given Is wrrect. I egree lo cortlply � Ith ell stete laws entl ciry ortlinences relating to bullding conswctlon, and authodze representatives of lhe qty ol Coste Mesa to enter upon ihe flbove-descnbed prope r Inspaction purposes. I egree not to occupy or ellow occupancy of eny building emhonzed by is permit until Mal ins ecti . � I �- � (Sianamre ftagar ^ ner s L ete,,._. � COOE I. INSiECTIONTYPE 1618 Fixed Systam Final Fire PrevenNon 1268 Pool Spe Finel 200 Final Re-Rool 201 Final Blak/Retalning Well 202 Final Factory Fire Place 203 204 Final Sign Finel Demolition �]E —�`y �� INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plum6ing 210 Finel Electrical 212 220 222 250 Finel Flre Prevention Final Planning Approval Final Site Final Bullding/Occupency Date .1111. : ��i� lii! i (714) 754-5273 • Fex (77a) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address; Suite No Viciniry; Parcel Nunmber: Applicant: Address: 2736 DESOTO AV 14164107 LIMBARING, EDGAR 2736 DE SOTO AVE COSTA MESA, CA Owner: LIMBARING, EDGAR & ANA Address 2736 DE SOTO AVE COSTA MESA, CA Co n tra ctor: O W N E R-B U I L D E R Address: ISSUE FEE Temp service test Res. a/c packgge New Res (1-2 units) New Res (3+units) Pool I Spa Ligh6ng Fixls Recepl Outlets Switches Non Res Appl ' Res Appl Service to 200a Service lo t000a Service over 1000a Motors to 1 hp MOWrs to 10hp Motors to SOhp Motors to t00hp Motors over 100hp ELECTRICAL PERMIT Status: ISSUED Applied: 08/17/2004 Issued: OS/17/2004 � ISSUED BY: Phone: 714.549.3997 Zip: 926265606 Phone: 714.549.3997 Zip: 926265606 Phone: Zip: License: 000000 SCOPE OF PERMIT LEGALIZE 763 SQ.Ff. PATIO ENCLOSURE AT THE REAR OF THE RESIDENCE. REF.: 804-01449 REAR YARD COVERAGE OK (325 S�.FT. ALLOWED; 178 PROPOSED). ELECTRICAL TO INCLUDE: 2 LIGHT FIXTURES AND 1 SWITCH. $23.50 $0.00 $0.00 50.00 $0.00 50.00 $2.20 $0.00 $1.10 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantity FEESUMMARY Temp Disl System / Lighting Buswayl100 k Standing Section Misc Electrical Equipment _ Transfortners up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring Syslem I Ckt Misa Conduit � Misc. Conductor Circus ( gen or rtde) Circus (mech ride or lighls) Christmas Tree Stand � - Fireworks Stand Other Eleclrical Fee Quantity $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 ao.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 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply wlth 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 1B0 days. INSPECTIONS: Ih order for the work authorized undar this permit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspaetione and linel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �j WORKERS' COMPENSATION DECLARA710N: ' I hereby eHlrtn under penelty of per�ury one of ihe tollowing tladaretlons: ❑ I have entl wlll melnteln e certificete ol wnsent [o self-Insura tor warkers' compensatlon, es proviAed tor by sectlon 3700 of ihe Lebor Code, lor the pertortnence of the work for which t�19 Dertnit 15155ued. ❑ I have entl will meinteln workers' compensetion insurence, as requirea �y sectlon 3700 of ihe Lebor Catle, ior Ne peAortnance ot Ihe work tor which tMs pertnit Is luuetl. My workere' compensetlon Insurance cartier antl pollcy number ere: Cartier: e Policy Number. (This secNon need nof be complefed 1! (he permit is velued af one hundred dollers (5700) or less.) �� I cetllty thet In Ihe pedortn u of Ihe woAc for which ihis permit Is Issuad, I shell not employ eny person In any manner so es to become sub�ect lo the warkers' /compensatlon lews af Celi o a, entl agree that II I s�oultl become su eCl to the workers' compensatlon proNsions o1 Section 3700 of Ihe Lebor Code, I ahall torthwith camply,wllh these proNsio C� � ''j "� � ,App ca Sipnatura;_ �"'Da�1 \1 I 1 � WAPNIN(3: FAILUHE TO SEWRE RKERS' ODMPENSFTION COVR IS UNtAW FUL M'D SIULL SUBJECf rW EMPIOVER TO CRIMINAL PENALTIES AND CML NES UP TO ONE HUNORED TIIOUSANO DOLLARE (5100,000), IN ADDITION TOTHE CQST OF O�MPEN ON, DAMAGES il5 PROVIUED FOR IN SECr10N 3108 OF THE IABOR CODE, INfEREST, AND ATTORNE'/'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHlrtn thal I em Iicensetl untler provisions of Chapter 9(commencing with Section 7000) af DiWslon 3 oi the 8usiness and Protesslons Cotle, entl my license is in full brce enC BNBCI. LIC. N Class M Contrectafs SlgneWre: Date: CONSTAUCTION LENDING AGENCY: ❑ 1 hereby aflirm that there Is e construction lending agency tor the pedormanca ol the work br which �his permit I5 issued. (Sec. 3097, Clvil Code). Lentlefs Neme: Lender's Adtlress: Siqneture: Date: OWNER•BUILDER DECLARA710NS: I hereby eHirm t�et under penelry of per�ury ihat 1 em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the fallowing reason (Sec. 7031.5, Buslness end Professions Cotle: Any ciry or county which requires e permit to consWct, elter, improve, tlemolis�, or repair eny strucWre, priar to its issuanco, elso requires the epplicam lor such permit to tile e signed stetement that �e or she Is Iicensetl pursuem m the pmWslons of Ihe Contrectom Llcense Lew (Cheptar 9(commencinp with Sectlon 7000) 01 DIVISIon 3 at the Business entl Prolessions Code) or Ihet he or she Is exempt iherelrom end iho basis lor the elleped exemption. Any Wolatlon of Sactlon 7031.5 6y eny eppllcant for e pertnit sub�eas the eOPlicant to e cMl penelry of not more than IWe hundreA tlollars (SSW).): ❑ I, es owner of the properry, or my employaes with weges es t�elr sole compensa�on, WILL DO TiE WORK, and the siructure is not Intended or oHered lor sele (Sec, 7044, Business and Professions Code: The Contractors License Lew does not appty to an owner of property who builtls or Improves thereon, and who does such work himsell or herself or through his or her own employeas, proviCetl Nat such Imprwements ere not intentletl or oHered tor ule. If, however, Ihe builtling or improvement Is sold within one year oi completion, the owner-builder will have tho burden of proving ihat �e or she did not build or improve lor purposa at sale.). � ❑ I, as awner of the property am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha proJect (Sec. 7044, Businesa enC Professions Code: The comrectars Llcense Lew does not epP�Y �o en owner al pwpeny w�a bulltls or Improves thereon, antl who wntreas lar such pro�ect with e comractar(s) license pursuer� to 1he Conirectors License Lews.). ❑ I em o:em ntler sec. usl Signeture: �Owner'ID vedf tl by tldvefs Iicense. es ❑ No Venficatlan of Ownership hy (typ of tlocu ent, i.e. - property �ax hlll entl Prolesslans Catle for this reason: License No. � _ � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby certify that no eacavetion five (5) or more feet In depih Into whlch e person Is reqWred to descend, will be mede in connec�lon with work euthorized by this permit, and thet no building sWcture, scaHolding, falsework, or tlemollllon or tlismantling thereol, will be more then thirty�six (36) foet high, (C�ap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomla AtlministratNe Code). ❑ As owner-huilder, I will no� employ enyone to do work whlch would raquire a permit irom the Division ol IntlusMel Sefety, es noted ebove, unleu such person hes e pertnil to tlo such work from the division. SignaNre: Dete: Division of Intlustrial Safery Permit Number: CERTIFICA7E OF COMPLIANCE AN ORIZATON OF EMAY: I certity under penalry of perjury that I have reatl this epplicalion end state that the intortnation given is cortect. I egree to comply with all I te aws antl ciry ordlnances releting to builGing const ction, and authonze representetives of the City of Costa Mesa to enter upon the ebove-descdbetl pmperty for inspe tio u oses. I egrae no� �o accupy or allow occup ol eny building authanzed this permit unlil linel linspe/ctlp1n. ' ___ "� �� V_�--'1 Signaty e Of Legal Owner(s) `-' — l_Date.,.. . CODE I. INSPECTIONTYPE 1616 Fixetl System Final Fira PrevenUon 1266 Pool Spe Finel 200 Final Re-Rool 201 FIne181ocWRetelning Well 202 Finel Fectory Fire Place 203 Finel Sign 204 Flnal Demolillon Qy/jE J((�Q EQp�( INSPECTIONTYPE 206 Final Mechanlcal 208 Flnal Plumbing 210 Final Electncel 212 Flnal Fire Prevenllon 220 222 250 Flnel Planning Approval Final Slte Final Builtling/Oaupancy PAffi It� ADolicant to fill In all spacas excao� those within neavY �oreer Iinas ana sign all aparovriate tleclaratlons. �c oF COS7A MESA CONS`T-RUCTION PERMIT ect Address � %3�G �4�.1I/ f{L i Applicant's Mailing Ad�lreu �1J 1� ! J�/.� �-� �� Owner's Name � ��-' ��- -- — Phone'�"S'�%� Addreu �A"��'-' l� Arch/Eng. License No. 1 Addre55 �.�� q��q � Contrattor's Nam � � � �� hone��/��D � Addresslmeilingl�S�� /% �/�/�.d�.V `Y� Cii� L�cense rvo. S`-3 P LICENSED CONTRACTOR DECLA0.ATION I hereby af/bm tbat I am Ilcensetl untler prp�gions of Charte� 9(commencing with sectlon 7000) oi Division 3 of the BVsiness antl Proiession5 Cotle, antl rny license is in full torj/ and-eJtect. Llcen CI /%"�� I' nsepo� � � oaie- -3-' � 5's t r.� ( .[/ ) /7./�'-hY.A/ � WORKERS'COMPENSATION DECLARAT�ON � � 1 M1e�eby aHi�m Iha[ I have a certificate of copsent lo Selftinsure o� a Cartifitate of Workers' Compe�jn's/at/i�on Inw�ance, or d c`e{rt�ltiatl copy there)ot (Section ' 3800. Lab. C.��/6Y'V //e/i✓P? .1�.s. Poliq NO. �' 7 Compa�y; O❑ Csrlifietl copy is �ereby tumishetl. - C� Cerb tl coyy i�i filetl with the city Bu'Itl��g D vision.// Date ��-1�^ (" ApPlicanl�A�4 ��(,L /� /1Vi/.r-B� EXEMVTION FROM WORKERS' COMPEN$qTION DECLARATION (This 5ection neetl not be tompletetl it the o4rmi[ is for ona huntlretl (5300) or Iess). I cortlfy that in the perfarmance of the work for which this perm�t 75ISSue❑ I shall no[ em0loy any pe�son in any mann@r s0 as to becoma subjeGt to t�e Workers' Compensation �Lawz ot Califomia. Date 99�ature 'NOTICE: It, a/ter making this declaration, you shoultl betome suDject to the Workers' Compensalion provislons ol the I�bor Cotle, you must forthwitb comply with such p�ovl51on5 Or tnis Oermil Shall bo tloematl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there I5 a construction lentlinq agency for lhe performance o/ iha work far which this Oermit is i55ue0 (Section 3097 Civ. CJ Lentlar's• Namo Lentler's AtlCress OWNER BUILpEH UECLARHTION 1 bereby afflrm lhat I am CxemO< <rOm the Contraclor's LICCnsa Law fo� lna tollowing reason (QcNon 7031.5 Busines5 antl Pro1e55ional Cotle: Any city or county whicb requiros a permit to construq, alter, Improve, tlemolisn or repai� uny struclura, prlor to Its Issuance, also requtrez tne applicant tor such purmll to tiie a signatl statemont tbat he/she is Ilcpnsntl purivant to the provisioni af ine Con(racior's Licenze Law (Chapter 9(cOmmencing witn SetUon 7000) of Division 3 0/ lhe Business antl Protessions Cotle) or that ne/she Is examp[ Sit¢rC(rom antl th! basls tor [he allegetl exemplion. Any vlolaNOn of SnGtlon i031.5 Dy any aOPlitanl for a Permit Subjects the dppllcanl lo a civil �¢nalty of not mor¢ than live nuntlretl Collars (E500). I, as owner ol tho prop¢rry or my emo�oYaei with wa9a5 as thoir solo <omponsation, will do the work, antl the structure is nol inlantletl or oHeretl to� Sal¢ (Seclion ]OC4, BuSin¢S5 antl Pm�essional Cotle: Th¢ Cont�att0�'S License Law tloes not appty to an owner ot a proparty who bulltls or Improvas the�eon, antl who tloes such work M1iTS¢If/he�5elf or througM1 hls o� her own employCeS, provitlCtl thal SUGh improvemept5 aro nol IntCntlatl or oflere0 tor saie. ii, nowem., ina buil0ing or ImprOvert�ent IS TOItl wlthln on0 yaa� of com- plelion, lhe owner will �ave [be burtlen ot provin9 na/sho tliG not bulitl or im- �rove lo� lho Ourposo oi Sale). I, as ownar of �ne Property, am exclusivery mnt�aCNng with Iicensetl con- t�actorslo coni[rucl the projec[ ($ection ]Q44, BuSiness antl PrOte55ion5 Cotle: The Con[ractor's License Law dOes nol abPly lo an Owner of prOPa�ty who bulltls or ImProves thareon, antl who con[racts for such O�o)ects with a con- Iratto'(51 Ocensa pursuant�to the Coniraclbr's Llcense Law). I am dwaro tM1at proof o( tM1Cir Worker'S Compensa0on in4urance Shoultl bo provl0atl [o me. ❑ I am exemo� untler Section B. & P. C. for thls reason Date Owner I hereby certi(y that I nave reaa Nis application antl state that the above In/ormatlon is correct. 1 aqree to comO�Y with all tlty antl county ortlinances antl state laws relating to Duiltlm9 construction, antl hereby authoNze repre- zentatives ot tt�,s tlty eo anter u n R!p a0ove-mentlonetl property for inspection p�rp 5�.; �'�� !'-� �,� _r / Si9nature /1� Date s�� rivers' License or 55 � TYPE OFCONSTRUCTION LINEW IJ ADD LJ ALTERATION U REPAIR ❑ GONVERSION ❑ DEMOLISM ❑ OTHER q,p.# DESCRIPTION OF WORK/USE OF BLDG. S Main Building: TVPEOFPERMIT GRADIrvG -FOUrvoATIOrv S7RVCTVRAL T Front ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAI B Rear ❑ OTHER • p' PROJECT DESCRIPTION 54. FT. oCCuaANCv C Right K Left CONSTRUCTIONTVPE VALUATIONS S 20NE GRADING CU. VDS. l�Cfi[5 p�ng. Ref. # Remarks: Planning Notes: Bar Sink � Backflow Preventer Backflow Irri9ation Bathcubs • Clarifiers DiShwasher Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlecs Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fea � $15 Boiler Duct - Under Gruuntl Duct - Structural Duct - Ventila[ing Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL IC80 Hp Heating System & Ducting ❑ 0.100,000 BTU � 7 00,000 BT Reinspection Fee � $15 CMF OB65-46, rev. 10/04 White - BuilEing; Canary � Applicant: Pink - Accounting; Goltlenrotl - Azsessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Clout Water Heater Water Service Auto-Wash Lsundr y Trays laue Fee Hoodor Typel ❑ Cunopy Type II ❑ Refrigeration System ❑aioo,oaaeTu ❑ioa,aoo System Repair/Alteration Fire Dampers � Pegisters Iswe Fee FEES Auromatic Washe� Consttuc[ion Pole Sub. Cooking Unit Dishwasher . Dryers ❑Gas ❑Elecvic Fan F.A.U. ' Fixtures Device Boxes Outlecs Switches Gar6age Disposal Generator �0.5 KW �5�15 1646 3/24/86 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW O 50+KW Meter ❑up ro 100amps Me[er �over700amps Sub Panel MotorsDO1 HPO1:4-8 Inc. Solar �9-15 HP 016-15+ Microwave ' Pole Light ; Standing Sections Trash Compac[or EoG TL FEES $ 3 I � Rainspection Fea $15 Issue Fea �$ 3 FEES �DEVELOPMENT SERVICES REUUIREMENTS: Zoning Approved By Date Buildin8 ApPraved 6y Date �'I�� Appliwtion Issued By DatesyL-r$[/� $ 3 Z O N I N G R E � M T S SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE S PLAN CHECK 2596 $ ENERGY P.C. S ELECTRICAL $ GRADING 5 _ PLANCHECK 50% $ � MICROR�M 5 MECHANICAL 5 TOTAL FEE 3 � PLAN CHECK 25% $ �ONSTRUCTION AND PLANNING � POO�,,. SPA APPROVALS � Permit# Date Inspector qppROVALS Permit# Date InspPctor 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. -Soil Pipe�Undrgrnd. 53. Steel Reinforcemen[ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. ElectriCal Conduit-Undrgmd. 55. Electrical Bonding 5. SteeV Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE . -7. Footings . 58. ElectricalConduit�Undrgrnd. � 8: Foundation 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. PropertY Sewer Line & House Connectiqn 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar Svstem-Final . � 16. Rough Electric Wiring � 67. Fencing & Access Approval 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T��Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace APPROVALS Permit # 27. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe '28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailing � � . HEALTH DEPT. REQUIREMENT 31. Plaster 6rown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final HEating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing '- � /y� 39. Water Service-Final • 40. Gas Service-Finai � 41. Solar pomestic-Final . i' 42. Backflow Preventer c..: 43. Backflow Irrigation - 44. Landsc8pe Irrigation System � .. 45. Sound Attenuation • •• 46. Handicap Re9ulations �� 47. FINAL STRUCTURE & BUILDING 48. Special flequirements Completed 49. Electric Release to Edison 50. Gas Release to Southern Califomia Gas Co ' � 51. CERTIFICATE OF OCCUPANCY No. Date OWNEA MESA DEL, MliR DEVELOPMR�T C0. DATE 3-6-63 JOB ADDRESS p�( � So�o Avenue BUILDING PEAMIT NO. 1£�h GENERAL CONTRACTOR ju]g��p Reg��y Co, VALUE $�;q?S,pp ' AP No. LOT 2 TRACT !{$�$ FIRE ZONE D�SCRIPTION OF WORK �S.W�fitt.gE . "ECTIONS ISignaturel DA'PE GROUP 7R.i TYPE � V ZONE u_l coat OCCUPANCY :nou oun Ren — —�G SUE3CONTRACTOR • � 188� COSTA MESA BUILOING•SAFETY DEPARTMENT P. O. BOX 9f7 C08TA ME9A. CALIPORNIA For Applicanf io Fill In Complefely TYPE OR PRINT BUILDING ___i _ _ � MAIL � 81ZE COSTA MESA CALIFORNIA E 1',. �'i0'dSf. OP SHTBAGK LINe FROM cerma On ern¢er � REAR YARD SIDE YARD I LEFf S� I RIGHT 6� DESCRIPTION OF WORK „�4-6-F`P�cosrc,67E =r*1'1Z.5U APPLICATION FOR.PERMIT BUILDING For Office Use Only aece�rr Ho. � 9�y tit BY I DA�RBC�IVlP�I ��..*Te �y � /�) /c tlIXR COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING 20NH ' I NO. OP I U6E OP N6W �'" PI.ANB � B1111.�INO u LB6AL � . � ... . � YARDS EVES APPROVEO ALLO C (C6MHN LIN6 BTJ ar-� � � �fl FCf1NT J � FT APPROVED r _ S SIZH � w�� —U�� ROOM6 STORIES D� EXTERIOR W��o�Co I COVER NG� Shake & RO COVERING USE OF BUILDING AND WORK TO BE PERFORMED Sinele £amilv res'de t w't Livin Area: 2266 5 F, attached garaoe. Plan �r$00-B Garaee Area: 60 S. F, 1 HeReBY AGKNOWL8D08 THAT I HAV6 NHAD THIB MPLIGTION THE AMOUNT 9HOWN UNDBR VALUATION 16 POR TXe AND BTAT6 THAT THE I�BOVe 18 GORH6GT �NO I1aR88 TO COM- PUiIP088 OR EBTABLI9HING • PBpMIT FE6 ONLY. PLV WITM ALL GITY OIiDINANCE9 AND BTATB L./�WB RBOULATINO OII�LDINO CONBTRUCTION. VALUATION �7{., SIGNATUfiE OF Mesa Del Mar ➢eve nment C PERMIT FEE $ /�l r DO PERMITTE c a /� //,�' s 23, 925 •�� PLAN CHECK $��r J Q AUTNORIZED AGENT��Le�7�J , �l�vy.,pv �^��Q 0 TOTAL FEE 4