HomeMy WebLinkAbout2740 DESOTO AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesayd.�CTRICAL PERMIT - �� fAIR DRIVE, COSTA MESA, CA 92626
tL
Job Address:
Sufte No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
Contrador.
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fizts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service l0 200a�.
Service to 1000a
Service over t000a �
Motors to thp �
Motors to tOhp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Ligh� Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
2740 DESOTO AV
MASTER BED REMOD
14164106
ARREDONDO, JUAN GARCIA
2740 DESOTO AVE
COSTA MESA, CA
ARREDONDO, ilUAN GARCIA
2740 DESOTO AVE
COSTA MESA, CA
OWNER-BUILDER
Phone: 714-557-1825
Zip 92626-5606
Phone:
Zip: 92626-5606
Phone:
Zip:
License: 000000
ISSUED BY:
Status: ISSUED
Appiied: OS/262006
Issued: OS/Z6/2006
' SCOPE OF PERMIT
ELECTRICAL PERMIT TO EXPAND THE MASTER SUITE BY 108SF AND REMODEL THE EXISTING
BATHROOM.
REF#:805-02024
WORK TO INCLUDE:4 NEW OUTLETS
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4.40
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
4
0
0
0
0
0
0`,
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
- ; Temp Dist System / Lighting
Busway/100ft
Standing Seclion
Misc Electrical Equipment
Transformers up to.1 kva/kw
................up to 10 kva/kw
, .................up to 50 kva/kw
� .................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Clit
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Chrislmas Tree Stand
Fireworks Stand
Other Elecirical Fee
Investigation Fee
Plan Check Fee
ReinSpection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 ' 0
$0.00 0
$0.00 0
50.00 , 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES §27.90
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California
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�sus{
for a period of 180 days. � - /,✓r/
related
orabandoned
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all�applicable codes, and all
requlred Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 75q-5626 -
2446d6Ifi/00�
WORKERS' COMPENSATION DECLARA710N:
I hereby attirm untler penalry of perjury one of Ihe tollowing tleclaretions .: ._ � � � ,
❑ I have and wlll maintain a certificate of consent to sel4lnsure for workers' compensetlon, es provitletl tor by section 3700 ot ihe Labor Cotle, for the paAormance of Ihe
� work tor which this permit is issued. �
❑ I have and will maintain workars' compensation insurence, es requiretl by section 3700 ot the Lebor Code, lor the performance of Ihe work for which this parmil is issued.
My workers' compensation Insurence carrier and policy numbar are:
Carner: � Policy Number:
(This section need not be comple(ed il the permif is valued et one hundred dollers ($100) or less.)
�—I�certity that in the pedormance of the work for which this permit is issuatl, I shall not employ any person in eny menner so es to become sub�ect to ihe workers'
compensation laws of Califomia, and agree ihat if I shoultl 6ecome subject to iha workers' compensation provislons of Sac�ion 3700 of Ihe Labor Cotle, I shall torthwlih
camply with these prov ns.
Applicant Signature: �-c:_i L- �– _. `(' Data: �— 2. �—��,
WARNING: FAICURE TO SECURE WORKERS' CAMPENSATION NL4WPUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDRED
T}IOUSAND OOLLARE ($100,000�, IN ADORION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3]O60f THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES.
UCENSED CONTRACTORS DECLARATION:
1 hereby aflirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full
force and eHect. Lic. q Cless M
Coniractor's Signature: Date;
CONSTRUCTION LENDING AGENCY: �.
❑ I hereby affirm ihat there is a cons(mdion lending agency for the performance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). �
Lentler's Name: Lender's Atltlress:
Signature: � Dale:
OWNER•BUILDER DECLARATIONS:
I hereby aHirm thet under penelty ot perjury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Professlons
Code: Any city or counry which raquires a permit to consimct, alter, improve, demolish, or repair eny stmcture, prior to its issuance, elso requires the epplican� for such permit
to file a signed statement ihet he or she is licensed pursuent to the provisions of the Contractors License Lew (Chapter 9(commencing wlth Sectlon 7000) oi Divislon 3 of ihe
Business antl Protessions Code) or that he or she is exempt iherefrom end ihe besls for Ihe elleged exemption. Any violation of Section 7031.5 by eny applicent for e permlt
subjecis�the applicent to a civil penalry of not more ihan five hundred dollers ($500).):
�,Itas owner oi �he pmperty, or my amployees with wages es Iheir sole compensation, WILL DO 7HE WORK, end ihe strucWre Is not intended or oHeretl for sale (Sec.
7044, Business and Pmfessions Code: The Coniractors License Law does not apply to an owner ot property who buiids or improves ihereon, end who tloes such work
himseN or hersetl or through his or her own employees, provitled ihet such improvements ere not intended or oHeretl for sale. If, however, the builtling or improvement is
sold within one year oi completion, the ownerbuilder will have the burden ot proving that ha or she did noi build or improve tor purpose of sale.).
❑ I, as owner of the property, am E%CIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the Droject (Sec. 7044, Business entl Protessions
Coae: The contractors License Law does not epply to an owner of property who builds or Improves thereon, antl who coniracts tor such project with e comractor(s) �
license pursuant to ihe Conirectors License Laws.).
❑ I am eze t under sea � Business and Protessions Code for ihis reeson:
Signature: : � C �_c
�ner�D veritied by drivers Iicensy,�Yes ❑ No Drive7s License No.
Venfication of Ownership by (type of daument, i.e. - property tax bill o� dead): �J
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no ezcavation fiva (5) or more teet in depih into which e person is required to tlescend, will be mede in connec�ion with work euthorizetl by this
permit, and Ihat no building simcWre, scaHolding, talsework, or demolition or disman�ling Ihereof, will be more than thirty-six (36) teet �ig�. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Calitomia Adminisirative Code).
❑ As owner-builtler, I will not amploy anyone to tlo work which would require a pertnil imm the Oivision of Industriel Satety, es notetl ebove, unless such person hes e
permit to do such work trom the division.
Signature: Date:
Division of Industrial Safery Permit Number.
CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certify under penalty of perjury that I have reatl this application ana state that the infortnalion given is
correct. I agrea to comply with all state laws end ciry ordinances relating to building construction, and authorize representatives of Ihe City of Costa Mesa to enter upon the
above-descnbed prope r inspection purposes. I agree not to occupy or allow occupancy of any building euthonzed by Ihis Dermit until finel inspection.
�i C �CC� � �% 6 � ��
ISigneture Lega ; e � Date
l
And/Or Aut�orized Applicant Date
CQOE t. � INSPECTION TYPE
�1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
204 .
Pool Spa Final
Final Re-Roof
Fina181ocWRetaining Well
Final Factory Fire Place .
Final Sign
Final Domolition
p�jf, �f�$ � �QQ�� INSVELTIONTYPE
' 206 Final MeChaniCal
208 Final Plumbing
210 Final Electdcal
212 Final Fire Prevention
� 220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
pe¢, INTIiULS
L+–�rI / I v
(714) 754-5273 • Fax (71+1) 754-4856 • www.ci.costa-mesa.�lyLDING PERMIT 77 FAIR DFIVE, COSTA MESA, CA 92626
Job Address: 2740 DESOTO AV
Suite:
Vicinity: BATHROOM AND FOYER
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 14164106 Zoning: R1
npp�icant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE
COSTA MESA, CA
owner: ARREDONDO, JUAN GARCIA
Address 2740 DESOTO AVE
COSTA MESA, CA
Contrector:
Address:
Zip:
Arch :
Address:
Zip:
Phone:
License:
Phone: 714-557-1825
Zip: 92626
Phone: 714-557-1825
-- Zip: .92626-5606
Phone:
License:
Eng: TIE
Address: '
SCOPE OF PERMIT
EXPAND THE MASTER SUITE 8Y 108SF AND REMODEL THE EXISTING BATHROOM.
REF: B06-00344 FOR 111 SQ. FT. FRONT�PORCH.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$117.81
$181.25
$1.00
$0.00
$0.00
$0.00
$300.06
SETBACKS � �; --
MAINSTRUCTURE Fronl' 0-0 �..
_
ACCESSORY , Front � 0- 0 ' .
PARKING xistin : :o - ,
Rear' 0-0
;� Rear� 0•0
Reauired: 0.
FEE SUMMARY
PLANNING & ZONING
� Left 0- 0
Left 0- 0
Pr000sed: 0
Status: ISSUED
Applied: 11/09/2005
Issued: 05/26/2006
ISSUED BY:
IlJ1L�,YJl `1�10�
���`1.7 YI n.��
PER.�-
EXPIRES �� � D`Z-
pA'lE
Calc Valuation:
Claim Valuation:
Right - �0-0
Right 0-0
License: C040889
$9,979.20
So.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and ielated
regulafions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applirable codes, and all
required Inapectlona and }inal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CAL�: (714) 7545626
zaasae �aroo�
WORKERS' COMPENSATION DECLARATION: '
I hereby ettirm untler penalty of perjury ona ot the following daclarations: � .
❑ I have'and will maintain a certificate of consent to self�lnsure for workers' compensetlon,�s prov`ded for 6y section 3700 of the Labor Code, for the peAormence of ihe
work tor which Ihis permit is issued. ,
❑ I have and will maintain workers' compensa�ion insurence, es requiretl by sectiori 3700 of �he Lebor Code, Por Ihe perfortnance of the work torwhich ihis permit is issuetl.
My workers' compensation Insurance carrier and policy number ere: �
Carrier: � Policy Number:
(This section need nat be complefed il the permif is valued et one hundred dollers ($100J or Iess.J
+[j— I cetlity that in the pedormance of Ihe work tor which this permit is issuetl, I s�all not employ any person in any manner so as to become subject to the workers'
_-compensa�ion laws of Califomia, and agree ihat if 1 should Decome subject to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall tort�with
comply with theseProvisions.
`_`_ , /� 2 /
Applicant Signature:, �-� /�.G — �u Date� �� H� � b
WARNING FAILURE TO SECURE WOFIICERS' COMPENSATION CAVERAG UNLAWFUL AND SHALL SUAIECT AN EMPLOVER TO CRIMINAL PENALTES ANO GVI� FINES UP TOONE HUNDRED
THOUSAND OOLLARE (5100,00p). IN ADDITION TO TME COST OF COMPENSATIIXJ, �AMNGES AS PROVIDED FOR IN SECTION 3]O6 pF THE IABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I em licensetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3nf ihe �usiness^nd Professions Code, and my license Is in full
C01�9iRUCTION LENDING AGENCY:
❑ I here6y aHirtn �hat ihere is a construction lentling a9ency for the performance of the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS: .
I hereby aHirm Ihat under penalty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Protesslons
Code: Any ciry or wunty which requires a permit to constmct, elter, improve, demolis�, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a siqned statement that he or she is licensed pursuent to ihe provlslons ot ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Code) or Ihat he or she is eaempt therefrom end ihe basis tor the allegetl exemption. Any violation of Section 7031.5 by any applicant for e permit
syphjscis the applicant m a civil penelty of not more ihan fiva huntlretl dollars ($500).):
�p I, es owner ot ihe properry, or my amployees with wa9es as thelr sole compensation, WIL� DO THE WORK, and ihe strucWre Is not intended or oHeretl for sale (Sec.
7044, Business and Protessions Code: The Contrectors License law does not apply to an owner ot propetly who buiids or improves ihereon, and who tloes such work
himseN or herseN or through his or her own employees, provided that such improvemenis ere not intended or ottered tor sale. If, however, the building or improvemeni is
sold within one year ot completion, ihe owner-builder will heve the burden of proving i�at he or she did not build or improve for purpose ot sale.).
� I, as owner oi ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions
Cotle: The coniractors License Law does not epply ro an owner of propeny who builds or Improves ihereon, and who coniracts for such projact with e comractor(s)
license pursuanllo the�Contractors License Laws.).
� I am e:em��der sec. ' '� Business and Protessions Cotle br this reason: __
�OwnarlD veriti4`tl by anver's license. -❑%S ❑ No Driver's Gcense No.
� _
Verificatlon oi Ownership by (type of document, i.e. - property taa bill or deed): —
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I here6y ceniy that no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in connection with work authonzed by this
permit, and ihat no building strucWre, scaHolding, falsework, or demolition or dismantling thereoi, will be more Ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Titla e, Calitomia Administrative Cade).
❑ As owner-builder, I will not employ anyone to do work which would require a permit Irom the Division ot Industnal Safery, as noted above, unless such person hes a
pertnit to do such work trom the tlivision.
Signawre: Date:
Division of Intlusinal Satety Permit Number:
CERTIFlCATE OF COMPLJANCE AND AUfHORVATON OF ENTRV: I certi(y under Denalry of perjury that I have read ihis application and state thal the intortnation given is
correc�. I agree to comply with all state laws antl ciry ordinances relating to building consiruction, and aulhonze representatives of Ihe Ciry of Costa Mesa to enter upon the
above-descnb � r rty tor inspection purposes. I agree not to occupy or allow acupancy of eny 6uilding authorized by ihis pertnit until tinal inspection.
��/�a ��� 5' ��E � c7.�
Signature Of Leg __ - Date—'-- i�
��_5
� And/Or Authorizetl Applicant Date
COOE �.
1616
12fi6
200
201
202 .
203
Fixed System Final Fire Prevention
Pool Spa Final
Final Re-Roof � �
Final Block/Retaining Wall
Final Factory Fire Place
Final Siqn �
Pinal Domolition .
o�.e ItfrRIRLS
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical �
212 Final Fire Prevention
220 , Final Plenning Approval
222 Final Sita
250 Final Building/Occupency
INTITIRLS
���
• • rwmou�u r�r�ivn i
Job Address: 2%4� DESOTO AV �i ���j1 \�+�� Status: ISSUED
Suite No �� p 1( �� �j� Assaed: 10/24/2006
j'i1 n �
vlciniry:
PER
Parcel Nunmber: 14164106
npplicant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE
COSTA MESA, CA
owner: ARREDONDO, JUAN GARCIA
Address 2740 DESOTO AVE
COSTA MESA, CA
Contrador. . � �
Address �
EXPiRES � �
Phone: 714-412-5264
Zip: 92626-5606
Phone:
Zip: 92626-5606
Phone:
Zip:
License:
.: ` �:;�
-
� ' ��
,
,�
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.j '�i'� t • � ;5..
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SCOPE OF PERMIT
INSTALL NEW WATER HEATER. WATER HEATER WILL BE RELOCATED.
FEE SUMMARY
AMT �, AMT gTY AMT QTY
ISSUE FEE $23.50 Laundry Tub I Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub. $0.00 0 �� Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 - Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bktlow(1-4) $0.00 0
� Connect (Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher � $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line � $0.00 0 Water Closet (Toileq $0.00 0
Drain,Roof - $0.00 0 Shower - $0.00 0 WaterHeater/vent $12.30 1
Drinking Founfain $0.00 0 Sink, bar � $0.00 0 Water Piping (Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 ,. 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas (1-4 outlets) � $0.00 � � 0 .� -� � . Sink, kitchen $0.00 0 ' ' - Water Softener � � $0.00 0
Gas (Over 4 outlets) $0.00 �`"0 � Sink, service/mop �� $0.00 0 OTHER $0.00
Gas Repipe $0.00 �0 .� - Spa (private) - ' $0.00 0 VIOLATION �� $0.00
Gas Service . � ' $0.00� � 0 -. � ,Spa (public) � $0.00 0 PLAN CHECK , $0.00
Interceptors(Grease,0il) $0.00 �0 ' � REWSPECTION $0.00 0
Interceptors (Sand Auto ) � $0.00 - 0 � " -
TOTAL CALCULATED FEES: E35.80
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal,, such work must comply with all applicable codes, and all
required Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 .
2446d8 (fl�00)
WORKERS'COMPENSAnONDECLARA710N:
I hereby affirm under penalty of perjury one of the following declarations: '� . .� . �
❑' I have and will maintain a certificale of consen� �o self-Insure for workers', compensation, as provitled for by saction 3700 ot Ihe Lebor Coda, for ihe pertortnance of ihe
� work for which this permit is issued. �
❑ I have and will maintain workers' compensation insurence, as required by section 3700 oi Ihe Labor Code, for the pedortnance of Ihe woAc for which Ihis pertnit is issued.
My workers' compensation Insurence carrier and policy number are:
Carrier. � PoliCy Number: �
(This tion need not be completed il the permif is velued at one huntlred dollars ($ f 00) or less.)
I certify ihat in the pertormance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as to bacome suDlect to ihe workere'
compensation laws of Cal' rnia, and agree that if I shoultl become subjact to the workers' compensation provisions of Sec[ion 370 of the Labor Code, I shall torihwith
complywiththeseprov' s++G ` �0������
Applicent SigneNra: �-c—a - Date:
WARNING: FAIWRE TO SECUR KERS' CAMPENSATION IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 5 AND CIVIL F- IN 5 UP TO ONE HUNDRED
THOUSANO WLLAFE ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOR CODE, INTEFEST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull
force antl eHact. Lia k Glass #
ContractoYs SignaWre: Da�e:
CONSTRUCTION LENDING AGENCY:'
❑ I hereby attirm Ihat there is a consimction lending agency for �he pedormance of ihe work for which �his permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lentler'S Adtlress:
Signature:
OWNER-BUILDER OECLARATIONS:
Date:
I herehy aNirm Ihat untlar penalty of perjury Ihat I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and ProFessions
Coda: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit
to file a signed statemam that he or she is licensetl pureuant m the provisions of the Comracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot ihe
Business and Professions Code) or ihat he or she is ezempt therefrom and the basis tor the alleged exemption. Any violetion of Section 7031.5 by any applicant for a pertnit
ubjec ihe applicant to a civil penalry ot not more ihan five hundred doliars ($500).):
I, as owner of Ihe property, or my employees wi[h wages as their sole compensation, WILL DO TME WORK, and the stmcture is not intentletl or ofleretl for sale (Sec.
7044, Business and Professions Code: The Contrec�ors License Law does not apply lo an owner ot property who buiids or improves thareoq antl who does such work
himself or harseif or through his or her own employees, providetl that such improvemems are not intended or ottered for sale. If, however, Ihe building or improvament is
sold within one year of comp�etion, the owner-builtler will have Ihe burden of proving that he or she did not build or improve tor purpose oi sale.). �
❑ I, as owner of the property, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTOfiS to consimct the project (Sec. 7044, Business and Professions
Cotle: The coniractors License Law tloes no[ apply to an owner oi propetly who 6uilds or improves ihereon, antl who contrads for such project with a contrector(s)
license pursuant to ihe Contractors Licensa Laws.).
❑ I am exe� nQel s`ec. Business antl Professions Code for ihis reason:
Signature: / 1�_��- n �:i Date:
Owner ID va e by tlriver's lice ❑ No Driver's License No. Expires:
Verification oi Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more taet in depih into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building stmcture, scaflolding, talsework, or demolition or dismantling thereof, will 6e more ihan ihitly-six (3fi) teel high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title B, Calitomia Atlminisirative Code).
❑ As ownervbuilder, I will not empioy anyone to tlo work which would require a permit from the Division of Industrial Safery, as notetl a6ove, unless such person has a
permit to do such work from ihe division.
Signature: Date:
Division of Indusirial Satety Permit Number.
CERTIFICA7E OF COMPLIANCE AN� AUTHORIZA710N OF ENTRY: I certity under penalty ot perjury that I have read ihis application and state ihat the information given is
correct I agree to comply wi� all state laws antl ciry ordinances relating to bui�ding constmction, and authorize representatives of ihe Ciry of Cosla Mesa to enter upon the
above-described property i i pection puryoses. I agree not to occupy or allow occupancy of any 6uilding authorized by t�rs ermit fin I inspection.
�,��A i � /0 / ���� �o
�a�ure Ot Leg�aU a(s —� D e
And/Or Aulhorized Applicant Date
COUE M, �MSPECTIONTYPE �
7616 Fixed System Final Fire Prevention'
1266 Pool Spa Final
200 � Final Re-Root
201 Final 81ock/Retaining Wall
202 .; Final Factory Fire Place, . . _
203 Final Sign
204 Final Domolition
UATE INTITIALS
CODEN INSPECTIONTYVE
206 �� FinalMechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 � Final Planning Approval
222 Final Site
250_, Final Buildin<yOccupancy .
DATE INTRI�LS
(714) 754-5273 • Fax (714) 754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, cA 92626
MECHANICAL PERMIT
JobAddress: 2740 DESOTOAV
Suite No
Vicinity:
Parcel Number: 14164106
npp�icant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE
COSTAMESA}"CA, - �;
owner: ARREDONDO, JUAN GARCIA
Address: , 2740 DESOTO AVE
' COSTA MESA,"CA
Contrador: , ' �
.Address: �
fi
���g�1�� ��"
A � ��� �.�
�-e e .
PER�--� ISSUED BY:
EXPIRES 1 � ' ° �
Phone: 714-012-5264
Zip: 92626-5606
Phone:
Zip: 92626-5606
Phone:
Zip:
License:
Status: ISSUED
Applied: 10/24/2006
Issued: 10/24/2006
_G.1�
/ • � �
�, , �� /�I�
p�r �`" � i
A�� '� -�
� -k i
j �a:....r<,'f, ,
� c tt
�
SCOPE OF PERMIT
� INSTALL NEW FAU IN ATTIC. GAS PIPING FOR FAU. ADD AIR CONDITIONING ALSO.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k B7U
Refrig Sys >100 k BTU ' .
Gas'Piping
Factory Fireplace '
Hood w/Mech Exhaust
VAV Box -
Vent Fan / Single Duct
Appliance .
Fire Dampers
Smoke Dampers �
Insl or Relocate Appl Vent
Air Handlers <;10000c(m
Air Handlers > 10000cfm
Floor Furnace �
Floor or Suspend Heater
Quantiry
$23.50 '
$14.80 " 1
$0.00 0
$0.00 0
$0.00 0
$14.80 1_. �-
$0.00 - , 0
$6.15 1
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 _0
� $0.00' 0 �,' �
$0.00 0
$0.00 , �.0 . _ ,
$0.00 - 0 �- �
FEE SUMMARY
� - Repair/AlfAbsorbtionUnit
Repair % Alt Refrigeration Uni�
Ventillation Syslem
Evaporative Cooler
Commercia l I ncin e rato r
,- __ _ __ Domesticlncineralor �
' , Coinpressors / Absomtion Svstems
�Upto3hp/100kBTU
3 To 15 hp / 500 k BTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
. � � Boilers
Up to 3 hp
3To15hp
" � - 1510 30 hp � � - , �
, 3010 50 hp .
. � Over 50 hp . ,
� Olher Mechanical Fee �
� .. Imestigation Fee -
� .Plan Check Fee �
� - Reinspection Fee
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
�k
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
559.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-20, § 1, 72-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or it work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626 � �
WORKERS' COMPENSA710N DECLARA710N: . . _ � .
1 hereby aflirm under penairy of perjury O�e of ihe followinq declarations: � � � .. '
❑ I have antl will maintain a certificaie of consent to salt-Insure tor workers' compensation, es'provitletl tor by section 3700 of ihe Labor Code, for the pertormance of Ihe
� work for which this permit is issued. -
❑ I hava an0 will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the perfortnance ot ihe work fof which this pertnit is issued.
My workers' compensation Insurance carrier and poiicy number are:
Carrier � Policy Number.
Tbis ion need not be completed il tl�e permit is valued af one hundretl tlollars ($100) or less.)
I certify ihat in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subiect to ihe workers'
compansation laws o� Calitornia, and agree that ii I should become subject to the workers' compensation provisions ot Sec[ion 3700 of the Labor Code, I shall forihwith
comply with these provis' � � OI2 s.� I Dl�
Applicant Signature: ��� — Date: —�
WARNING FAILURE TO SECURE W KEPS' COMFENSATION C� NLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND IVIL FINES UP TOONE HUNDRED
THOUSANO OOLLARE ($t0�,W0), IN A�OITIpN TO THE COST OF WMPENSATION, DAMAGES PS PROVIOE4 FOR IN SECTION 3TOG�F THE LAWR COOE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARAT�ON: ,
I hereby attirm tha� I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full
�, force and attaq. Lia k Class N
�' ContrectorsSignature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm ihat ihere is a conslNction lending agency�for ihe performance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lendeis Atldress:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm ihat untler penalry oi perjury ihat I am EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, eusiness and Protessions
Code: Any city or county which requires e permit to constmct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires ihe applicaM for such permit
b tlla a si ned statemeN that he or she Is Ilcensed pwsuanl to Ihe provisions ot the Coniractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Busine and Professions Code) or thal he or she is eaempt theretrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant tor e permit
ub' s ihe appiicant to a civil penalty o� �ot more ihan tiva hundretl tlollars ($500).):
I, as owner of the property, ot my 9mployees with wages as iheir sole compensation, WILL DO THE WORK, and ihe simcture is no� intendetl or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of propeny who 6uilds or improves thereon, and who tloes such work
himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oHered for sale. fl, however, lhe building or improvemant is
sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). �
�❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct tha project (Sec. 7044, Business and Professions
Cotle: The contracmrs License Law tloes not apply to an owner of propeny who builds or improves ihereon, and who contracis tor such project with a contrector(s)
license pursuant to ihe Coniractors License Laws.).
❑ I am exem r sec. Business and Professions Code for Ihis reason:
`
Signature: �i�_ Date:
Owner ID veri i d y drivers license. No Driver's License No. Expires:
Veritication of Ownership by (type of document, i.e. - properry tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in dep�h into which e person is required to descend, will be made in connaction with work authorized by ihis
permit, and thai no building simcWre, scatFoltling, faisework, or demolition or tllsmaniiing Ihereof, will he more than ihirty-six (36) taet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, California Adminisirative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit irom ihe Division ot Intlustrial Satety, as notetl above, unless such person has e
permit to tlo such work trom ihe diVision.
Signature: Date:
Division of Intlusirial Satety Permit Number.
CERTFICATE OF COMPLIANCE AND A�ORIZATON OF ENTRV: I certify under penalty of perjury Ihat I have read Ihis application and state that ihe infortnation given is
corred. I agres to comply with all state laws and city ordinances relating to building consWction, and authorize representatives of Ihe City of Costa Mesa to enter upon the
above-described property tor in��'].r)urposes. I agree not to occupy or allow wcupancy of any building authorized� ihis� _ it u_ntil ijn in edion.
( � ii�- ^ �v Z` � �
ure 01 Legal�er�"s�'yp�.� LDa�e �
L��
161fi
7266
200
201
202
203
And/Or Authorized Applicant Date
Fixed System Final Fire Prevention
Pool Spa Final
Final Fe-Root
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
OATE INTITIpL
LO�EY INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval „, .
222 Final Site
204 ., Finel Demolition ,. ., , . 250 Final Building/Occupancy
CITY OF COSTA MESA
" BI/ILDING D/VIS/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • ww�v.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:-(714) 754-5626 �
PERMIT NUMBER: M07-00374
PERMIT TYPE MECH STATUS: ISSUED
DATE ISSUED: 06/1112007
` ' T' = I$SUED BY: RMD
� �,. .
7 �
JOB ADDRESS: 2740 DESOTO AV CM '• Suite/Unit
Vicinity: BATHROOM _ ,M _ '
SQ. FT: 0
. .-
SCOPE OF WORK: MECHANICAL TO'ENGLOSE THE ENTRY AND EXPAND AN (E).BATHROOM BY 39 SF, 1 VENT FAN. REF#:
BO6-00344 .�
. ,
. ,. . ; : . - : .
i
OWNER: ARREDONDO, JUAN GARCIA?� �: - -Address:. `� �"" � 2740 DESOTO AVE Uoit: �. -
PHONE: 714-012-5264 "� ,` � � ' Ciry/State/Zip: " �COSTA MESA, CA'. � �.. :
APPLICANT: ARREDONDO, JUAN GARCIA �� Address: 2740 DESOTO AVE Unit. ,
PHONE: 714312-5264 - �� . ' -.; , � , City/State/zZip: COSTAMESA CA.� . ,
.. . . . ...... . ...... ... ..,..- .. , . , .., ,
CONTRACTOR: OWNER-BUILDER License No. 000000 _
Address: Unit:?':, � `�� PHONE: � - � � � � . . - �
City/State: � � � � ZipCode.-� � ' � �.' -CELL: , _ �
, - � � .. : _ ' '?
MECHANICAL PERMIT`FEE SUMMARY
MECH ITEM FEE: 530.75 .., ,: "
PLAN CHECK FEE: "-$0.00 ' . �
INVESTIGATION FEE: ,.'�. 50.00 � ,
REINSPECTION FEE: y0.00 '- ' " '
. �
...� �._ ;.�� - y.r. , : �.e -.:-.. .r. ,.. ::�
. �_.. . . _ _.. -. :.,.
TOTAL FEES: $30.75 �` z :: . F :'� =,'
� . .. •,�
NOTICE: The work authorizetl by this permit shall comply witli all applicable handicap access requirements under Califomia statules and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF�LAST INSPECTION.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and final approval must be obWined. Failure to obtain inspections and final approval will result in the expiration of this permit.
CQOE /, INSPECTONTYPE
1818 Fixed System Final Fire Prevention
1266 Pool Spa Final �
200 Final Re-Roof
on� n+mu� CODE/ ixsrEcnoxrrre
206 Final Mechanical
208 Final Plumbing
210 Final Electnwl
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place � 220 Final Planninq Approval
203 Final Sign 222 Final Sile
r
204- Final Demolition 250 FinalBuildingiOccupancy
o� _`.r.�_"-
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalty Of perjury one o( the (ou...ving declarations:
❑ I have and will maintain a cerli(cate of conseN to selt-Insure for workers'
compensation, as provided (or by section 3700 of the labor Code, for the
pedormance of the vrork for which Ihis permit is issued. - � �
❑ I have and will maintain vrorkers' compensation insurance, as required by
section 3700 of the Labor Code, for the peAormance of the vmrk tor which this
permit is issued. My vrorkers' compensation Insurance carner and policy
number are:
Carrier:
(Tbis secfqn neetl no( �e mmpleted ilfhe permrt is valuetl af one hunpre0 �llars (5100) a less.)
Policy Number:
I certify that in the performance of the work for which this permit is
� sued; I'shall not employ any person in any manner so as lo become subject
to the workers' compensation laws of Califomia, and agree ihat if I should
become subject to the workers' compensation provisions of Section 3700 of
�the L or Code, I shall forthwith comply with these provisions.
� :�,� � - ( C - o �-
Applicant s Sgnatu e� Date
l.�-� � �`_�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
wi[h Section 7000) of Division 3 0/ the Business and Pro�essions Code, and
my license is in full force and effect.
Lic. # ' Class #
Conlradors SignaWre Dale
CONSTRUCTION LENDING AGENCV:
❑ I hereby affrtn ihat there is a construction lending agency for the
perfortnance of the work for which this permit is issued. (Sec. 3097, Civil Code�.
Lender's Name:
lenders Address:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5,
Business antl Professions Cotle: Any city or county which requires a parmit to
consiruct, alter, impmve, demolish, or repair any siructure, pnor to its
issuance, also requires the applicanl for such permit to fle a signed statement
ihat he or she is licensed pursuant to Ihe provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Professions Code) or that he or she is exempt Iherefrom and
the basis tor the allegetl exemption. Any violation o( Section 7031.5 by any
applicant (or a permit subjects Ihe applican� to a civil penally of not more Ihan
fve hundretl dollars ($500).):
�(�-I,_as.ovmer of the property, or my employees with wages as lheir sole
compensation, WILL DO 7HE WORK, and Ihe structure is not intentled or
offered for sale (Sec. 7044, Business and Protessions Code: The Coniractors
License Law does not apply to an owner o( property who huilds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or ofteretl for
sale. If, however, the building or improvemenl is sold within one year of
completioq the ovmer-builder will have the burtlen of proving that he or she
did not build or improve for purpose of sale.). � ''� �
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WI7H
LICENSED CON7RACTORS to conswct Ihe project (Sec. 7044, Business and
Pmfessbns Code: The cont2ctas License Law dces not apply to an owner o�
property who builtls or improves thereon, antl who contracts for, such project wilh
a contracta(s) license pursuant to the Conlractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code tor this reason:
��2,,�C '�— ��� l'n�
'V $igna�ure�„"'•��— �.— .i� . �Data�—r
305]-06 (3I0]) �'��
Owner ID verifed by drive se. Yes ❑ No
Driver s LicenSe:No� �<( ��` Expi�e�-�
' Verification of Ownership by (type of tlocumenl, i.e. - pmperty Wx bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavalion (rve (5) or more feet in depth into which a
person is requiretl lo tlescend, will be made in connection with work auttrorized
by this pertnit, and that no building strucWre, scalfdding, talsework, or demolition
or dismantling thereof, will be more than [hirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Adminisl2tive Code).
� As owner-builder, I will not employ anyone to do work which would
require a permit from the Division o( Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Appllcanl's SignaWre
Division o( Indus�rial Sa(ety Permi[ Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or future builtling occupant neetl to fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Cali(ornia Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will Ihe applicant or present or fu[ure building occupan[ neetl to (le
a registration form tor acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity o( acutely
hazartlous materials equal [o or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at s[andard
temperaWre antl pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certifca[ion antl
filing with the Fire Department of an RMPP by businesses which are required
to regisler acutely hazartlous malerials with the Fire Departmen[.
4. I( an RMPP is presently required, has Section 25534 of the Cali(omia
Health and Sa(ety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the vrork which is the subject of this application a permit for such construction
or motlifcation from the Sou[h Coast Air Quality Management District or from
any olher air pollu�ion conirol distncl or agency? ❑ Ves ❑ No
(Section 658502 of ihe Cal'rfomia Govemment Code requires that the requested
information be fumished on applications far non-residential building permits).
6. Will any part of the faciliry [o be constructetl under Ihis permit be within
1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No
(If'yes", Ihe facility must meet Ihe requirement of Sec�ions 25534 antl 42303
of the California Health and Safe[y Code).
7. If a permil from the South Coast Air Qualiry Management District or other
air pollution conirol tlistrict or agency is requiretl for the work which is the
subject of t�is application, have all of the disclosures prescnbed by Calitomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", atlach certificate of compliance from the appropriate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty_of perjury the
information given above is correcL I agree to comply with all state lavrs and
city ordinances regarding Hazardous Matenals and Emissions. - �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
ceMity under penalty o( perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances rela[ing to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authori � ky this permit until fnal inspec�ion.
�� �" C\ -' ��
. SignatureotLe alOw --�.__..�„ �Da��
��f_ ._ , .w
Antllor AulM1onzetl Applrcanl Da�e
��ia� �5a-sz�3 • Fax (714) 754-4856 • www.c�.cos�a-mesa.�WiLDING PERMIT
Job Add�ess: 274� DESOTO AV
Suite:
Vicinily:
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Consiruction:
Parcel Number: 14164106 Zoning: R1
npplicant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE
COSTA MESA, CA
Owner: ARREDONDO, JUAN GARCIA
Address 2740DESOTOAVE
COSTA MESA, CA
Comractoc OWNER-BUILDER
Address:
Zip:
Amh :
Address: ,
Zip:
Phone:
4
�icense:
Phone: 714-412-5264
Zip: 92626-5606
Phone: 714412-5264
, Zip: 92626-5606
Phone:
"License: 000000
Eng: TIE
Address:
SCOPE OF PERMIT
111 SF FRONT PORCH . ENCLOSE THE ENTRY AND EXPAND THE BATHROOM BY 39SF
" FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
inspection:
Total:
$81.41
$125.25
$0.54
$0.00
$0.00
$0.00
$207.20
SETBACKS
MAINSTRUCTURE Front 28-0 .. Rear 0-0
ACCESSORY� FronY 0-0' �'�� Rear 0-0
PARKING � Existin : � 4'�� � Red'uired: �4
PLANNING & ZONING
LeN 27-4 '
Lek 0- 0
" � � Pr000sed: 4
77 FAIR DRNE, WSTA MESA, GA 92626
�
Status: ISSUED
Applied: 02/28/2006
Issued: O5/31/2006
ISSUED BY:
������ ��
��� `YV l:I�
PER ��
EXPIRES ���'�°7__
T
Calc Valuation:
Claim Valuation:
,Right�- 0-,0
Right 0-0
a
Phone:��. 323-980-9382
License: 40889
$5,392.92
$o.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized undei ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
��
zaas�as (s�oo) v
WORKERS' COMPENSATION DECLARATION:
I hereby aHirm under penalry of perjury one ot t�e following declarations: ,, � , '
❑ I heve end will maintain a certificate of consem to self�lnsure for workers' compensatlon, es provided tor by section 3700 of the Labor Code, for ihe pertormance o� ihe
wark for which IhiS permit is issued. ' -
❑ I have and will maintain workers' compensetion insurance, es raquiretl by sectlon 3700 of the Lebor Code, for tha pertortnance of Ihe work tor which Nis pertnit is issued.
My workers' compensation Insurance carrier end policy numher are:
Carrier: � Policy Number.
(This secfion need nof be completed il the permit is veluetl et ane hundred dollars ($100) or /essJ
(y�� I certify ihat in Ihe pertormance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensation laws oi California, �agree thet Ii I should become subject to the workers' compensation pmvisions of Section 3700 ot ihe Labor Cotle, I shell forthwith
comply with ihese provisio 6'�
Applic�e�nt Sig`natu`r"e:;-� C�G\._ t,,,,�ate� �— � l^'d��
WARNING: FAILURE TO SECURE WORKERS' C/JfdPENSATION 0 NLAWFUL AND SHPLL SUBJECT AN EMPC01'ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND OOLLARE �5100,000), IN ADOITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 39060P THE LABOR CADE, INTEREST, AND ATfORNEV'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby attirm �hat I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 oi ihe Business and Pmfessions Code, antl my license is in full
force antl eflecL Lic. N Class #
Contractofs Signeture: Date:
CONSTRUCTION LENOING AGENCY: �
❑ I hereby aHirtn that Ihere is a consWction lending agency tor ihe peAormance of ihe work for which ihis permi� is issued. (Sec. 3097, Civil Cotle).
Lentlar's Name: Lenders Address: �
Signature: Date: '
OWNER-BUILDER DECLARATIONS:
I hereby aHirm Ihat untler penalry of perjury Ihal I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the foilowing reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or couny which requires a permit to construct, alter, improve, tlemolish, or repair any swcNre, prior to its issuance, also requires Ihe applicant for such pertnit
to file a signetl slatement ihat he or she is licensed pursuant to Ihe provisions of the Contractors License Lew (Chaptar 9(commencing with Section 7000) of Division 3 of Ihe
Business and Professions Code) or that he or s�e is exempt Iherefrom and the basis for the alleged axemption. Any violation of Section 7031.5 by any appliwnt for a pertnit
��sLLubjecis ihe apPlicant to a civil penalry W not more then tive huntlred dollars ($500).):
}�y I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO T1E WORK, and the structure is not intendetl or oNeretl tor sale (Sec.
� 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work
himseN or hereelf or thmugh his or her own employees, pmvided that such impmvemenis are not intendetl or oNeretl tor sale. If, however, ihe builtling or improvement is
sold within one year of completion, lhe owner-builGer will �eve ihe burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS to construct the prqec� (Sec. 7044, Business and Professions
Cotle: The coniractors License Law does not apply to an owner of property who builds or improves Ihereon, ana who contrac�s for such pmject with a contractor(s)
license oursuant to ihe Contradors License Laws.1. .,. _
❑ I am exempt yq�r sec.
Owner ID verified b�T4lrivers license.
Veritiwtion of Ownership hy (type oi
Business and Professions Code for this reason:
s ❑ No
i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
�
Expires:�
❑ I hereby certify thal no excavetion five (5) or more feet in tlepth into which e person is required to descend, will be matle in connection with work authonzetl by this
permit, and that no building siructure, scaXolding, talsework, or demolition or tlismantling Ihereof, will be more than thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
347, Title B, Califomia Adminis�ra�ive Cotle).
❑ As owner-builtler, I will not employ enyone to do work which would require a permit irom ihe Division oi Intlustrial Satery, as noted abw�nless suc� person has e
permit to do such work from the division.
Signature: Date:
Division oi Industrial Safety Permit Numher:
CERTIFlCATE OP COMPLIANCE AND AUTHORIZATON OF EN7AV: I certify under penalry ot perjury that I have read this application and state that the intormation given is
correct. I agree o comply with all state laws end city ordinances relating to building conswction, and authorize representatives ot Ihe Ciry of Costa Mesa to enter upon ihe
above-describ �Q�gCµlo�nsDection purposes. I egree not to occupy or allow occupancy ot any building authorized by this permit until final inspection.
5 - � � - D.�_
� Stgnatuie Ot Le � Date
i. __ _.--„
And/Or Au�horized Applicant Date
CODE t, INSPECTIONTYPE � Q,IE
1676 Fixetl System Final Fire Prevenlion
1266
200
201
202
203
204
Pool Spa Final
Final Re-Roof �
Final Black/Retaining Well
Final Factory Fire Place
Final Sign
Final Domolitian ,
CODE� INSPECTIONTYPE �
20fi Final Mechanical
20B Final Plumbinq
210 Final Eledrical
212 Final Fire Prevention
220, Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�� INf1ilALS
�d
A
�y
I �
. CITY OF COSTA MESA �� � �,�y O
.
' � BIIILDING DIVIS/ON
i � 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us
F
". FOR INSPECTIONS CALL: (714) 754-5626
'� �
PERMIT NUMBER: E07-00574
PERMIT TYPE ELEC STATUS: ISSUED
DATE ISSUED: O6/11I2001RED �
. . ISSUED BY: �
JOB ADDRESS: 2740 DESOTO�AV,CM Suite/Uniti
Vicinity: BATHROOM ADD „ - DAT�
SCOPE OF WORK: ELECTRICAL PERMIT TO ENCLOSE THE ENTRY AND EXPAND THE BATHROOM BY 39 SF, 4 LIGHT FIXTS, 2 OUTLETS
AND 3 SWITCH�S. . , �
REF#: BO6-00344 . -
OWNER:
PHONE:
APPLICANT:
PHONE:
, � , �:g�� .. .
ARREDONDO, JUAN GARCIA . ,
7� aa i 2-52sa
ARREDONDO, JUAN GARCIA
774412-5264 � .
CO NTRACTOR: O W N ER-B U I LDE R
Address: Unit: � � PHONE:
City/State: . , ' 2ipCode:
� �,Address: 2740DESOTOAVE Unft:
- CirylState2ip: COSTA MESA, CA
Address: 2740 DESOTO AVE Unit:
- � CitylState/zZip: COSTA MESA, CA
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00 .
Electricai Permit Fee: $33.40
Reinspection Fee $0.00 �
TOTAL FEES $33.40 '
License No. 000000
CELL:
NO710E: The work authorized by this pertnit shall comply vrith all applicable handicap access requiremenls untler Califomia slatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRA710N: PERMI7 EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPEC710N.
INSPECTIONS; In order for the work authonzed under this permit to be considered legal, such work must wmply with all applicable wdes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CO�E/ INSPECTI HTYPE fj�/jE IN� COpEi INSPECTIONTYPE D� INnnn�s
1616 Fi:ed SyStem Final Fira Preveniion 208 Final Mechanical �
1268 Pool SOa Final - 208 Final Plumbing
200 Final Re-Roof � 210 Final Electncal
201 Final BIoCWRefaining Wall 272 Finat Fire Prevenfion ��
202 Final Factory Fire Placs 220 Pinal Planning Approval �/ ��
203 ' Final Sign ' � 222 Final Sita �/
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirtn untler penalry of perjury one of the fo�w.mng declarations:
❑ I have and will maintain a certificate ot wn5ent to 5elf-InSure for workefs'
compensation, as provided for by section 3700 of ine LaDor Code, for the
peAormance of the work for which Ihis permit is issued. �
❑ I have and will maintain v.orkers' compensation insurance, as required by
section 3700 of ine Labor Cotle, for me peAormance o( me v.ork !w which lhis
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
Carriec
(Th6 sedm nee0 nd be cpr�petetl / Ne perm4 is reN.eC at me n�nOred Oa9ars (St001 a ieu )
Policy Number:
�.I certify tha[ in Ihe peAormance of [he work fOr whith IhiS permit is
issued, Psh`all not employ any person in any manner so as to Decome subject
to the workers' compensa[ion laws of Califomia, and agree that if I should
bewme subject ro the vrorkers' compensation provisions ot Section 3700 of
the Labo Code, I shall (orthwith comply with these provisions.
� �� .�- tl-CL�
Appl'� i�mnl'S'Sig�retur� 0.ite�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 0( the Business and Professions Code, and
my license is in tull (orce and eflect.
Lic. # Class #
Controctor's SignaNre
CONSTRUCTION I.ENDING AGENCY:
❑ I hereby aKrm that there is a constmction lending agency for Ihe
pedortnance of the work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm tha[ under penalty of perjury Ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or the following rea5on (Sec. 7031.5,
Business and Pmfessions Code: Any city or county which requires a permit to
wnsiruct, alter, improve, demolish, or reDair any slrucNre, pnor to its
issuance, also requires the applicant for such permit to file a si9ned statement
that he or she is licensed pursuant to the provisions of the Contractors
License law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Coae) or thal he or she is exempt lherefrom and
Ihe basis for lhe alleged eaemption. Any violation of Section 7037.5 by any
applicant for a pertnit subjects the applicant to a civil penally of not more than
(ve hundretl tlollars ($500).):
�idras�owner of the property, or my employees with wages as their sole
i compensalion, WILL DO THE WORK, and the sWcture is not inlentletl or
oftered for sale (Sec. 7044. Business and Professions Code: The Coniractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who dces such work himself or �erself or Ihrough �is or �er own
employees, provitled that such improvements are not intendetl or oflered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmeo-builder will have the burden of proving that he�or she
did not build or improve (or purpose ol sale.).
❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constn�cl the project (Sec. 7044, Business antl
Professions Code: The contractors License Law dces not appy to an rnmer of
property who builtls or improves thereon, and who cont2cts for such projeG with
a cont2ctor(s) license pursuant tothe Contractors License laws.�.
❑ I am exempt under sec.
Business and Pro(essions Code (or this reason:
Ovmer ID verified by drive �se. � Yes ❑ No
CDriver's.License No. ( ?��� Ex`pues:-
Verification o( Ownership by (type of document, i.e. - property tax bill or deed):
u� , ;. � � -7
/'"i! � `n
—s�am,�--•—:-;-x-.-- -o�r�---s —�,
305]-A6�9I0])
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cert'rfy that no ezcavation frve (5) or more feet in depth into wfiich a
person is required to descend, will be made in conneclion with wnrk authonzed
by ��is pertnit, antl thal n0 building slructure, scaRdding, false�wrk, a demolition
or dismantling thereof, will be more than thitly-s& (36� Feet high. (Chap. 3.2, Grp
2. M 2, Sec. 397, Title 8, Califomia AOministrative Code).
❑ As owner-builder, I will not employ anyone to do wnrk which wnuld
require a permit from the Division of Intlustrial Safe[y, as noted above, unless
such person has a pertnit lo Oo such vrork from the division.
Appliranl'S SignaWre
Division of Industrial Sa(ety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will I�e appliwnt or preseN or future building occupant need to file and
certily a Business Plan for emergency response to release or threatened
release ol a hazardous matenall ❑ Yes ❑ No
(Section 25505 0( the Calitomia Health and Safery Code requires, with some
exceplions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time dunng a reported
year a quantity of hazardous materials equal to or grealer than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
at standard lemperaNre and pressure).
2. Does or vnll the applicant or present or future building occupant need to file
a registration form for awtety hazardous materials? ❑ Yes ❑ No
(Section 25533 of Ihe California Heal[h and Satety Code, with some
exceptions, requires registration wit� the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantity of acutely
hazardous materials equal ro or greater than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard
temperalure and pressure).
3. Does or will the applicant or presenl or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for aculely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparetion, certification and
filing with Ihe Fire Department of an RMPP by businesses whic� are required
ro register aately hazardous materials vrith the Fire Department.
4. If an RMPP is presenty required, has Section 25534 of the Califomia
Health and Safery Code been (ully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or fuWre building occupant require for
the work which is the subject o( Ihis applica[ion a permit for such consWction
or motlification from the South Coast Air Qualiry Management Distric[ or (rom
any ot�er air pollution control districl or agency? � Yes ❑ No
(Seclion 658502 of the Califomia Govemment Code requires that the requestetl
infortnation be fumished on applications for rwn-residential building pertnits).
6. Will any part of the facility to be consWcted untler this permit be within
1000 feet (rom the outer boundaries of a school? ❑ Ves ❑ No
(If yes". Ihe lacility must meet the requirement of Seclions 25534 and 42303
o( the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or o[her
air pollution coMrol disirict or agenq is required for the work which is the
subjecl of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No
8. Qf yes", attach certificate of compliance from the appropnate air pollution
controloKceq. .
CERTIFICATE-OF COMPLIANCE: I certity [hat under penalty of perjury [he
information given above is correcc I agree to comply with all state laws and
ciry ortlinances regarding Hazardous Materials and Emissions. -
Signalure
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry of perjury that I have reatl this application and state that
the information given is conect I agree to comply with all state laws and city
ordinances relating to building conswction, and authonze representatives of
the Ciry of CosW Mesa to enler upon [he above-described pmperty for
inspection purposes. I agree not to occupy or allow occupancy ot any builtling
authori d b this permit until fnal inspec�ion.
�� ��� 6- l l- o`}-
igneWreotLega � �ale _
AnOlo� Nulbonze0 ApO����� Dale
(�14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa . 77 FAIR DRIVE, COSTA MESA, CA 92626
��`CTRICAL PERMIT
Job Address `�. 2740 DESOTO AV - �� g�1 �����
Suite No
Viciniry:
Parcel Nunmber: 14164106
npp�icant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE �
COSTA MESA, CA
owner: ARREDONDO, JUAN GARCIA
Address 2740 DESOTO AVE
� � COSTA MESA, CA �
Contrador: ,
Address:
Status: ISSUED
��'�"c4��� Assaed� 10/24/2006
PER�
EXPIRES �� �
ISSUED BY: �
Phone: 714-412-5264
Zip � 92626-5606
- �itiii
�'
.�.
r
x,
���w� �-'�.:
L�.w
Phone:
Zip:
License:
, SCOPE OF PERMIT
� � � UPGRADE EXISTING ELECTRIC SERVICE TO 200 AMP. IF SERVICE IS TO BE RECOCATED
� APPLICANT WILL VERIFY LOCATION WITH EDISON PRIOR TO RELOCATION. ADD 1 OUTLET AND A
� LIGHT FIXTURE IN ATTIC FOR FAU RELOCATION. .
ISSUE FEE
� Temp service test .
�Res. a/c package ,
New Res (1-2 units)
� New Res (3+units)
Pool / Spa
Lighting Fi#s
Recept Oullets
Switches . �,
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a �
Motors to 1hp
Motors to 10hp �
Motors to 50hp
Motors to 100hp
Molors over 100hp �
Communication drops �
Sub panel to 200a '
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
�uantity
$23.50
$0.00
$0.00
$0.00 . 0
$0.00 0
$0.00 0
$1.10 1
$1.10 1
$1.10 1
$0.00 0
$0.00 0
$30.50 1
so.00 0
$O.00..s"'=0..
' ,$0.00 - ` 0 �
$0.00 0
$0.00 ` 0
.$0.00 .. ' 0�
$0.00 0
$0.00 : 0
so.00 0
$0.00 0
$0.00 ' 0
$0.00 0
30.00 0
FEE SUMMARY
Temp Dist Syslem / Lighting
, Busway /100 ft
� �Standin9 Section
�Misc Eledrical Equipment
� Transformers up l0 1 kva/kw
................up to 10 kva/kw
............'.....up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
� Low Vollage Equipment
Low Voll Wiring System / Ckt
Misa Conduit
Misc. Conductor � -
Circus ( gen or ride) � � ,'
Circus (mech ride or lights)
Christmas Tree Stand ,
Fireworks Stand� �
Other Eledrical Fee. ,"
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
�TOTAL CALCULATED FEES 557.30
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
2aas-as �sroo�
WORKERS' COMPENSATION DECLAHATION: �
I hereby aHirm under penalry oi perjury one oi the tollowing deciarations: ..�.� �� - , � .�. '
❑�J have end will maintain a cenificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for the pertormence of ihe
wark for which this permit is issued. _
❑ I have and will maintain workers' canpensation insurance, as required by section 3700 of ihe Labor Code, fo� the partortnance of ihe work for which this pertnit is issued.
My workers' compensation Insurance carrier and policy number are:
� Policy Number:
:tion neetl not 6e completed i/ the permit is valued at one hundred dollars ($f00) or less.)
�I certity that in the performance of ihe work tor which this permit is issued, I shall not employ any person in any manner so as to become subleci �o ihe workers'
compensation laws oi California, and agree Iha[ if I should become subject to Ihe workers' compensation provisions of Seclio 3700 ot t e Labor Code, I shall torihwilh
comply with these provisior� m O� �[ r 7
Applicant SignaNre: ��d--�n t �P�- �� Date: I �y' ��
WARNIN6: FAILURE TO SECURE RS' COMPENSATION�E IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN AODITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOP IN SECTION 3]O6 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLAPATION:
I hereby affirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot ihe eusiness and Pmfessions Code, and my license is in full
force and eHecL Lic. W Class #
Conirador's Signature: Date:
CONS7RUC710N LENDING AGENCY:
❑ I hereby affirm that there is a constmction lending agency for the pertormance ot the work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
SignaNre:
Date:
OWNER-BUILDER DECLARATIONS:
1 hereby attirm ihet under penalty of perjury Ihat I am EXEMP7 PROM 7HE CONTRAC70RS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl Protessions
Code: Any city or county which requires a permit to constmct, aiter, improve, tlemolish, or repair any stmcture, pnor to its issuance, also requires the applicaN for such parmit
b file a signetl statemem that he or she is licensed pursuant to the provisions of the Comractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Busi ss and Professions Code) or ihat he or she is exempt iherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit
su ' cis ihe applicant to a clvil penalry oi not more than five huntlretl tlollars ($500).):
I, as owner ot the property, or my employees with wa9es as their sola compensation, WILL DO THE WORK, and tha stmcture is not intended or oHered tor sale (Sec.
7044, Business and Professions Code: The CONrectors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or harself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, ihe building or improvement is
sold within one year ot completion, ihe owneo-builder will have the burtlan of proving that he or she tlitl not builtl or improve tor purpose oi sale.). �
❑ I, as owner ot ihe propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (SecJ044, Business and Professions
Code: The contwctors Licensa Law does not apply to an owner of property who builds or Improves ihereon, and who contracis tor such project with a contrector(s)
license pursuant to tha Coniractors License Laws.).
❑ I am exertup under sec. Business and Professions Code tor this reason:
SignaWre:
Owner ID
license. es ❑ No
Verification of Ownership by (type ot tlocumem, i.e. - property tax bill or deed):
Date:
Drivefs License No. Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hereby certify that no excavation tive (5) or more teat in tlepih inm which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building stmcture, scaHolding, talsework, or demolition or dismanHing thereof, will be more ihan ihitly-siz (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title B, Califomia Administretive Cotle). �
❑ As owner-builder, I will not ompioy anyone to do work which would require a permit from tha Division of Intlusirial Safery, as notetl above, unless such person has e
permit to do such work from the division.
SignaNre: Date:
Division of Industnal Satety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUiHORIZATON OF EMRV: I certify under penalry of perjury that I have read this application and state that the information given is
wrrect I ree to comply with all state laws antl city ordinances rela�ing to building constmction, and authonze representatives of ihe Ciry o� Costa Mesa to enter upon the
above-dej�ribed property tor inspoction purposes. I agree not to occupy or allow occupancy of any building authorized by th ��/ye rm(it�u�n I final/ ins,p,ection.
_`�5f�.�/� � (�� !a—� � O � V �i' � 0 �Y
� Signat er(s) Da et
And/Or Authorized Applicant Date
COOE t. INSPECTION TYPE
1616 Fixed System Final Fire Prevention
126fi Pool Spa Final
200 Final Re-Roof
201 Fina1 81ocWRetaining Wall
202 Final Factory fire Place ,
203
204.
Finel Sign
Final Domolition , . , ,
P�
I�Ij18V5 �� INSPECTIONTYPE
'" 206 ' FinalMechanical
20B Final Plumbing
� 210 Final Elecirical
212 Pinal Fire Prevention
220 .Final Pfanning Approval
222 Final Site .. .
250 Finel
�g iHrrtu�s
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2740 DESOTO AV
BATHROOM
Parcel Nunmber: 14164706
Applicant: ARREDONDO, JUAN GARCIA
Address: 2740 DESOTO AVE
COSTA MESA, CA
Owner: ARREDONDO, JUAN GARCIA
Address 2740 DESOTO AVE
COSTA MESA, CA
Contracror. O W N E R-B U I LD E R
Address:
Phone: 714-557-1825
2ip: 92626-5606
Phone:
Zip: 92626-5606
Phone:
Zip:
License: 000000
ISSUED BY:
Status: ISSUED
Applied: OS/26/2006
Issued: OS/26/2006
SCOPE OF PERMIT
PLUMBING PERMIT TO EXPAND THE MASTER SUITE BY 108SF AND REMODEL THE EXISTING
BATHROOM. -
REF#: B175-02024
WORK TO INCLUDE: 1 BATHTUB, 1 SHOWER AND 2 WASH BASINS.
ISSUE FEE
Backflow irrigation
Backflow Preventer
BathWb
Clarifier System
Conned pce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof ' �
Drinking Fountain
Expansion Tank �
Gas Earthquake Valve
Gas (1-0 oullets)
Gas (Over 4 outlets) �
Gas Repipe
Gas Service
Interceptors (Grease, Oip
Interceptoro (Sand Auto )
AMT
$23.50
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
QTr
0
0
1
0
0
0
0
0
0 . -
0
0'
0 � -
0.
0
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 N) $0.00
Receptors � �� $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
SewerConnect $0.00
Sewer Private Line $0.00
Shower $9.80
Sink, bar $0.00
Sink, commercial � $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) - $0.00
�
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkOow(1-0)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
W ater Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
W ater Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$19.60
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E62.70
�
0
D
0
0
0
0
2
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. - �„_
���.
INSPECTIONS: In order for the work authorized under ihis permif fo be considered legal, such work must comply wii�alllepplicable codes, and alf
requlred Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in�� xpiiation of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
264fi-4fi (N00)
WORKERS' COMPENSATION OECLARATION:
I hereby aftirm under penalty of perjury one of the following declarztions: . ' .�
❑ I heve antl will maintein a cenificete ot consent ro self-Insure tor workers' compensation, as provided br by section 3700 of the Labor Code, for ihe pertormance of the
work for which this permit is issueU.
❑ 1 have anC will maintain workers' compensation insurance, as requiretl by section 3700 ot the Labor Code, for the pertormance of the work for which [his permit is issued.
My workars' compensation Insurance carner antl policy number are:
Cartier: � Policy Number:
(This section need not be comp/eted il (he permit is valued af one huntlretl dollars ($100) or less.)
�_I certity,that in the pertortnance of ihe work br which this permii is issued, I shall not employ any person in any manner so es to become subject to the workers'
compansation Wws oi Califomia, antl agree thet if I should become sublect to the workers' compensation provisions ol Saction 3700 of ihe Labor Code, I shall torthwith
--comply with these pro �sions.
ApplicaniSignaNra: " ����! Dete: �il �2G -�'d�,
� -.
WARNWG: FAILURE TO SECUFiE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DNlMGES AS PROVIDED FOR IN SECTION �OB OF THE LABOR COOE, INTEREST, AND ATTORNEV'S FEES.
�, LICENSED CONTRACTORS DECLARATION:
�. I hareby aXirm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my license is in tull
force and eflact. Lic. N Class M
Contrecm(s Si9naNre: Date:
CONSTRUC710N LEN�ING AGENCV:
❑ I hereby attirm that t�ere is a consimction lentling agancy for the peAormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm ihat under penalty of perjury Ihet I em E%EMPT FROM THE CONTRACTORS LICENSE �AW for the tollowing reason (Sec. 7037.5, Business and Pmfessions
Code: Any city or county which reQuires a permit to constmct, aiter, improve, demolish, or repair any sWCNre, prior to its issuance, aiso requires the applicant for such pertnit
to file a signed stetement ihat ha or she Is licensed pursuant to the provisions of Ihe Conirectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Protassions Code) or I�at he or she is exempt therefrom antl t�e basis for the alleged esemption. Any violation ot Section 7031.5 by any applicant for a pertnit
sublacis the applicant to e civil panalty of not more than five hundred dollars ($500).):
�:-�l, asowner of the propeny, or my employees with weges es their sola compensation, WILL DO T1E WORK, and �he siructure is not intended or ottered tor sale (Sec.
--r-�70a4, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of properiy who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided ihat such improvemenis are not intendetl or oNered tor sale. If, however, ihe building or improvemen� is
sold within one year of completion, ihe owner-builder will have ihe burden of proving ihat he or she did not builtl or improve for purpose of sale.).
❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to con5truct ihe prolect (Sec. 7044, Business and Professions
Code: The conlrectors License Law does not apply to en owner ot pmpeny w�o builas or Improves thereon, antl who coNraas for such projact with a contractor(s)
license pursuant b the Contractors License LawsJ.
❑ I am axe untler sec. Business and Pro(essions Code tor Ihis reason: '
Sig`eWrYe.'.' �+—!� � _ Date:" ~ �
Owner.ID veri ied by drivefs licens . Yes ❑ No Drivers Licensa No.
Venfication of Ownership by (rype ot tlaumeni, i.e. - pmpeny tax bill or tleetlj: �— �
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more tee� in depih into which a person is required to tlescend, will be made in connection with work authorized by ihis
pertni�, and �hat no building s�mcNre, scaflolding, talsework, or demolition or tlisman�ling �hereot will be more than thirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calibmla Adminisirative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permil from ihe Division of Indusirial Sefery, as noted above, unless such person has a
permi� �o tlo such work from ihe tlivision.
SignaWre: Date:
Division of Intlusirial Sefety Permit Number.
CERTIFICATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRV: I certity under penalty of perjury that I have read this application and state that the information given is
correct. I egree to comply with ell ste�e laws and city ordinances relating to building constmction, end authorize representatives of Ne City of Costa Mesa to enter upon the
above-descnbed pro y fQ�poction purposes. I agree not to occupy or ellow occupancy oi eny buiitling euthorized by this permit until finel inspection.
� / /
�l ! -\ �� � r' Z �+ �X
�' � Signature Of Leg _ ^� Date -
And/OrAu�honzed Applicant Date
COpE I, INSPECTIONTYPE
1676 Fixetl System Final Fire Prevention
7266 Pool Spa Final
200 Finel Re-Roat
201 Final Blak/Retaining Wall
202 - Final Fectory Fire Place �
203 Final Sign
204 Finel Domolition . . . .
Dr1TE IMRIALS
40DE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecincal
212 Final Fire Prevention
220 Final Planning Approval .
222 Final Site
250 ., Final BuildinyOccupancy
o"rE L�LS
C.+�.Q.i� � \
BUILDING DNISION
COURTESY NOTICE OF PERMIT EXPIRATION
March 21, 2008
Juan Garcia Arredondo
2740 DeSoto Av
Costa Mesa CA 92626-5606
PERMIT NUMBERS: BOS-02024�606-0034�E06-00518��07-0057d, M07-00374
P07-00403; E06-01220�M06-00674, P06-00872�'
FOR: Addition, Upgrade Panel, FAU, Water Heater
PROJEC7 ADDRESS: 2740 DeSoto Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of the last
inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor have
they had an approved final inspection. if you have a signed inspection card showing that an
inspection was made within 180 days, or that the final inspection was approved, please
contact this office so we may correct our records. If you do not have an approved final
inspection, your permits will expire on April 4, 2008. Additional fees will be required to
finalize expired permits.
Requestinq an inspection—If you need to request an inspection, please call our Inspection
Request Line at 714-754-5626.
Requestina an extension—If you wish to request an extension, requests must be made in
writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m, and 4:30 p.m., and a staff member will assist you. The accuracy of records
affecting your property is our goal and we appreciate your working with us to resolve this
matter.
Sincerely,
Mary Jane Weidenkeller
Office Specialist II
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
March 21, 2008
Juan Garcia Arredondo
2740 DeSoto Av
Costa Mesa CA 92626-5606
PERMIT NUMBERS: BOS-02024, 606-00344, E07-00574, M07-00374,Co6-oo5�8
P07-00403, E06-01220, M06-00674, PO6-00872
FOR: Addition, Upgrade Panel, FAU, Water Heater
PROJECT ADDRESS: 2740 DeSoto Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section_ 106.4.4
Expiration, permits are vaiid for 180 days from the date of such permit, or the date of the last
inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor have
they had an approved final inspection. If you have a signed inspection card showing that an
inspection was made within 180 days, or that the final inspection was approved, please
contact this office so we may correct our records. If you do not have an approved final
inspection, your permits will expire on April 4, 2008. Additional fees will be required to
finalize expired permits.
Requestinq an inspection—If you need to request an inspection, please call our Inspection
Request Line at 714-754-5626.
Re4uestina an extension—If you wish to request an extension, requests must be made in
writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will assist you. The accuracy of records
affecting your property is our goal and we appreciate your working with us to resolve this
matter.
Sincerely,
��F��� - ,
Mary Jane Weidenkeller
Office Specialist II
Building Division (714) 754-5273 • Code Enlorcement (714) 754�5623 • Planning �ivision (714) 754-5245
FAX (714) 754-4856 • TDD (714) 754-5244 • ww.v.Ci.ms�a-m¢sa.ra.us
May 18, 2007
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-t200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Juan G Arredondo
2740 De Soto Av
Costa Mesa CA 92626-5606
/
PERMIT NUMBERS: 605-02024, 606-00344, E06-00518, E06-01220
M06-00674, P06-OOS00, P06-00872
FOR: Additions
PROJECT ADDRESS: 2740 DeSoto Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section
106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the
date of your last inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor
have they had an approved final inspection. If you have a signed inspection card
showing that an inspection was made within 180 days, or that the fina� inspection was
approved, please contact this office so we may correct our records. If you do not have
an approved final inspection, your permits will expire on June 4, 2007. Additional fees
will be required to finalize expired permits.
Requestinq an inspection—If you need to request an inspection please call our
Inspection Request Line at 714-754-5626.
Requestinq an extension—If you wish to request an extension, requests must be made
in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-5273,
between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The
accuracy of records affecting your property is our goal and we appreciate your working
with us to resolve this matter.
Sincerely,
�L��1Z""-"' �
Mary ane Weidenkeller
Office Specialist II
Builtlinq Division p14) 754-5273 • Code Enforcement (71d) 754-5623 • Planning Division (714) i54-5245
FAX (714) 754-4856 • TDD (714) 754-5244 • www.ci.costa-mesa ca.us
June 4, 2007
CITY OF COSTA MESA
P.O. BOX 120D � 77 FAIR DRNE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
Juan Garcia
2740 DeSoto Av
Costa Mesa CA 92626-5606
BUILDING DIVISION
EXTENSION NOTIFICATION
PERMIT NUMBERS: B05-02024, E06-00518, P069-00400
606-00344, E06-01220, M06-00674, P06-00872
FOR: Additions, Upgrade Panel, FAU, Water Heater
PROJEC7 ADDRESS: 2740 DeSoto Av., Costa Mesa
This is to advise you that the request for an extension on the above permits has been
approved by Ed Petros, Chief of Inspection. The extension is valid for 180 days. The
new expiration date of the permits is December 1, 2007. You may call 714-754-5626 for
inspection at any time prior to this date or your permits will expire. Additional fees will be
required to finalize expired permits.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will assrst you. We appreciate your working
with us to resolve this matter.
Sincerely� G /ll-�/
�Ij� �-F? �
` .0� K
Mary Jane Weidenkeller
Office Specialist II
Building Division pi4) 754-5273 • Cotle Enforcement (71a) 754-5623 � Plannlog Division (174) 754-52a5
FAX (714) 754�856 • TDD (774) 754-5244 • ww�v.ci.msta-mesa.ca us
InsRect;on Request
• nn„�., r n .
Requested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
BATHROOM AND FOYER
rage
A/P/D Information
Activity: BO5-02024 Type: BLD SUB Sub Type: ADD_RRIP Status: ISSUED
Const Type: V-N Occupancy: 7 Use: Insp Area:
Owner: ARREDONDO, JUAN GARCIA Phone: 714-557-1825
Engineer: TIENKUANG LIU
Pfanner: RR
Desiqner: E C PRECISE DESIGN Phone: 323-980-9382
Plan check: CAC
Dev coor: BJK
Applicant: ARREDONDO, JUAN GARCIA Phone: 714-557-1825
Description: EXPAND THE MASTER SUITE BY 108SF AND REMODEL THE EXISTING BATHROOM. REF: BO6-00344
FOR 911 SQ. FT. FRONT PORCH.
Notice: REQUEST FOR EXTENSION LETTER TO EP. - DIAZ R
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 6/4/07. - WEIDE MJ
Requestedlnspectionls)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: """"""
Action: Time Exp: _
Inspection Historv
Item: 150 MISC
Item: 4 FOOTI�
08/24/06 Inspector. GWH
Comment
ttem: 6 SLAB Approved ""
08/24/06 Inspector. GWH
Comment
Item: 22 INSULATION "Approved"
11/17/06 Inseector: AB
Comment: APF'ROVED INSULTION
Item: 20
Item: 10
Item: 18
Item: 250
Item: 12
Item: 8 S
Item: 14
Item: 16
Item: 24
Item: 26
Requested Time: OS:00 AM
Phone:
Entered By: WEIDE_MJ K
Action: CO Correction(s) Required
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
` App�ro�ved "
r* GWH Action: APAPPROVED
� " Approved "
�ctor: GWH
COAT
" Approved "
Action: AP APPROVED
Actian: AP APPROVED
Action: AP APPROVED
REPT131 Run Id: 5566
3
AIP/D Information
Activity: 806-00344
Const Type:
Owner: ARREDON
Engineer: TIENKUA�
Confractor: OWNER-B
Plan check: CAC
Dev Coor: BJK
Applicant: ARREDON
Description: 111 SF FR
Notice: REQUEST
Notice: 10 DAY NC
Notice: NEEDS ME
Notice: DO NOT I�
Requested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
Type: BLD_SU8 Sub Type: ADD SFR Stalus: ISSUED
Occupancy: 7 Use: — Insp Area:
JUAN GARCIA Phone: 714-412-5264
Phone: 323-980-9382
�ER
JUAN GARCIA Phone: 714-412-5264
PORCH . ENCLOSE THE ENTRY AND EXPAND THE BATHROOM BY 39SF
t EXTENSION LETTER TO EP. - DIAZ R
= SENT. PERMIT WILL EXPIRE 6/4/Q7. - WEIDE MJ
1NICAL PERMIT FOR FAU AND DUCT WORK. - IDIARTI H
: PERMIT UNTIL DESIGNER SIGNS TITLE 24 PG. PLAT�7S AT BACK BONNIE'S DESK.
ASSESSOR'S SET.
HIS MESSAGE WHEN PERMIT ISSUED.
Requestetl Inspection(sl
Item: 3 JOB SITE CONSULT
Requestor:
Assigned To: ""*"*"'*'
Actian: Time Exp:
Inspection Historv
Item: 3 JOB SI'
Item: 4 FOOTIf
Item: 8 SLAB
Item: 10 ROOF
Item: 12 ROOF
Item: 16 SHEA
Item: 18 FRAM
HEIGHT
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
10/24/06 Ins ectar: HM Action: CONT Continued
Comment: NE�DS TO ADD FAU AND DUCT WORK TO SCOPE OF WORK NO MECH PERMIT ON
RECORD.
Item: 20 LATHING & SIDING
Item: 22 INSULATION
Item: 22 INSULATION
Item: 24 DRYWALL NAILING
Item: 26 PLASTER BROWN COAT
Ilem: 35
Item: 250 FINAL BUILDING / OCCUPANCY
REPT131 Run Id: 5566
0
06-04-2007 Inspection Request Re orting Page 5
T27 am Goc� Meca, CA - Ci Of
AIPID Information
Activity: EC
Const Type: V-I
Owner: AF
Contractor: 0�
Applicant: AF
Description: EL
BF
Notice: 10
Requested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
MASTER BED REMOD
Type: ELEC
Occupancy:
GARCIA
Requestedlnspectionfsl
Item: 150 MISCELLANEOUS INSPECTION
Requestor.
Assigned To: ""'
Action: Time Exp: _
Inspection Historv
Item: 1 BLDG F
- Item: 34 TEMP
Item: 36 UFER
Item: 38 ELEC
Item: 40 ELEC
Item: 42 ROUG
Ilem: 44 ROUG
Item: 46
Item: 48
Item: 50
Item: 100
Item: 106
Item: 118
Item: 150
Item: 210
E OR POLE
Sub Type:
Use:
Status: ISSUED
(nsp Area:
THE EXISTING
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
TRICAL-WIRING "Approved"
Inspector: RHB Action: CO Correction(s) Required
NEED WIRING DIAGRAM
Inspector: HM Action: CAN CANCELLED
Inspector: HM Action: AP APPROVED
TRIC CONDUIT
EILING
2 FINAUMETER RELEAS
Inspector: HM Action: CONT Continued
NEEDS TO ADD SERVICE UPGRADE TO SCOPE.
BONDING
.CONDUIT-UNDRGRND
REPT131 Run Id: 5566
A/PID Infortnation
Activity: EC
ConstType: V-
Owner: AF
Owner: O\
Applicant: AF
Description: UF
Notice:
0
Req
Requested Inspect Date: Friday, September 28, 2007
Site Adtlress: 2740 DESOTO AV CM
Type: ELEC
Occupancy:
GARCIA
Requestedlnspection(s)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: "'*""""
Action: Time Exp: _
Inspection Historv
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Item:
Sub Type: RRIP
Use:
6/4/07. - WEIDE MJ
Status: ISSUED
Insp Area:
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
r
REPT131 Run Id: 5566
06-04-2007 Inspection Request Re orting Page 9
7'27 am Gocta Meca, A- Ci Of
f2equested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
A/P/p tnformation
Activily: M06-00674 Type: MECH Sub Type: RRIP Status: ISSUED
Const Type: Occupancy: Use: Insp Area:
Owner: ARREDONDO JUAN GARCIA
Owner: OWNER BUILbER
Applicant: ARREDONDO JUAN GARCIA Phone: 714-412-5264
Description: INSTALL NEW FAU IN ATTIC. GAS PIPING FOR FAU. ADD AIR CONDITIONING ALSO.
Notice: REQUEST FOR EXTENSION LETTER TO EP. - DIAZ R
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 6/4/07. - WEIDE_MJ
Requested Inspectionls)
Item: 750 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: """"""*
Action: Time Exp: _
Inspection Historv
Item: 1 BLDG F
Rem: 63 PREV�
It�m: 64 ROUG
CHECK
11/OS/O6 Inspectc
Comment APPRO'
Item: 66 ROUGH-FACTORY FIF
Item: 68 SEWER SYSTEM
It�m: 70 DUCTS VENTILATING
Item: 72 GAS PIPE - ROUGH
Item: 86 HOOD OR CANOPY
Item: 90 GAS PIPE TEST - FIN/
Item: 108 GAS PIPE/UNDERGF
ItOm: 114 POOL HEATER & VE
Item: 150 MISCELLANEOUS IN
Item: 202
ItE�m: 206 FINAL MECHANICAL
TEST
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
Action: CO Correction s Required
D�CT AR�MS` SHAL�L BE 1 DIAMETER RADIUS FORTERIOR
Action: AP APPROVED
MECHANICAL ONLY FAU.
REPT131 Run Id: 5566
06-04-2007 Ins ection Request Re orting Page 10
�7 am oc a M_caY('A - Ci Of
Requested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
BATHROOM
AIP/D Information
Activity: P06-00400 Type: PLUM Sub Type:
Const Type: V-N Occupancy: Use: I
Owner: ARREDONDO JUAN GARCIA
Contrector: O WNER-BUILbER
Applicant: ARREDONDO JUAN GARCIA Phone: 714-557-1825
Description: PLUMBING P�RMIT TO EXPAND THE MASTER SUITE BY 108SF AND REMODEL
BATHROOM. REF#: BOS-02024 WORK TO INCLUDE: 1 BATHTUB, 1 SHOWER
BASINS.
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 6/4/07. - WEIDE_MJ
Requested Inspection(s)
Item: 150 MISCEILANEOUS INSPECTION
Requestor:
Assigned To: •""•",_"
Action: Time Exp: _
Insoection Historv
Item: 1 BLDG F
�tem: 52 SOIL F
OE
Con
Item: 54 WATE
Item: 56 SEWE
Item: 58 SEWE
Item: 59 MISC
Item: 60 ROOF
Item: 62 ROUG
1C
Con
Item: 72 GAS P
Item: 74 BACKI
Item: 76 BACKI
Item: 78 WATE
Item: 80 WATE
Item: 82 DISHV
Item: 84 LAWN
Item: 88 MISCE
Item: 90 GAS P
Item: 92 WATE
Item: 102 ROUi
Item: 108 GAS
Item: 110 BACM
Item: 116 POOI
Ilem: 120 SOLF
Item: 150 MISC
Item: 208 FINAI
Item: 53 SHOV�
Status: ISSUED
nsp Area:
THE EXISTING
AND 2 WASH
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
"Approved "
Action: AP APPROVED
-UNDERGROUND
CONNECTION
" Approved "
or: HM
fION
10/24/06 Inspedor: HM
Comment
Action: AP APPROVED
TEST
Aclion: CO Correction(s) Required
TO DRAIN.
Action: CAN CANCELLED
Action: AP APPROVED
REPT131 Run Id: 5566
Requested Inspect Date: Friday, September 28, 2007
Site Address: 2740 DESOTO AV CM
A/PID Information
Activity: P06-00872 Type: PLUM Sub Type: RRIP
ConstType: Occupancy: Use:
Owner: ARREDONDO JUAN GARCIA
Owner: OWNER BUIL�ER
Applicant: ARREDONDO JUAN GARCIA Phone: 714-412-5264
Description: INSTALL NEW WATER HEATER. WATER HEATER WILL BE RELOCATED.
Natice: REQUEST FOR EXTENSION LETTER TO EP. - DIAZ R
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 6/4/07. - WEIDE MJ
Reauested Insoectionlsl
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: **'*""'___
Action: Time Exp: _
Inspection Historv
Status: ISSUED
Insp Area:
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5566
June 1, 2007
Ed Petros
City Of Costa Mesa
P.0 Box 1200 77 Fair Drive California 92626
bear Ed Petros,
I live at 2740 De Soto Ave Costa Mesa CA 92626, I'm requesting an extension on the following permits
BOS-02024, 606-00344, �06-01220, M06-00674 and P06-00872. I am getting final Inspections for
E06-00518, P06-00400 on June 4, 200�. Second phase of the project started last week on May 28
(demolition) I'm hoping to call for first inspections on June 8, 2007. I'm trying to have all this work done
by the end of the year, any questions (714) 412-5264. Thank you for your help.
Sincerely,
Juan Garcia
v��'i �1 �.Z S� iz� O1 JL
C�;r�.� U�s�-- , C !� �12[�zCP
..........................
.. R
CITY OF COSTA MESA n
�BUILDING DIVISION b� �\D
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • w�wv.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 �
PERMIT NUMBER P07-00403
PERMIT TYPE PLUM STATUS: ISSUED
DATE ISSUED: 06l1112007
- ", ISSUED BY: RMD
�..
�;'
- i
JOB ADDRESS: 2740 DESOTO:AV CM `.' Suite/Unit:'
Vicinity: BATHROOM ADD ' . , _ � : - � _ � � � �
, r.", _ _ - . . ,
SCOPE OF WORK: PLUMBING PERMIT TO ENCLOSE THE ENTRY AND EXPAND AN (E) BATHROOM BY 39 SF, 1 BATHTUB, 1
SHOWER, 2 WAHS BASINS; 1 WATER CLOSETAND 1 WATER,REPIPE. REF#: BO6-003'44,
OWNER: ARREDONDO, JUAN GARCIA.' 'AdAiess: �` ��. 2740 DESOTO AVE; �._,
PHONE: 714-412-5264� " City/State/Zip: �� COSTA MESA, CA '. � � �
APPUCANT: ARREDONDO, JUAN GARCIA: � . Address: 2740 DESOTO AVE :. � .
PHONE: 714-412-5264 - � ' � ' City/State/zZip: COSTA MESA, CA-� � .
CONTRACTOR: OWNER-BUILDER ! — License No. 000000
Address: ' �.. � � PHONE: - �
City/State: �� +�-:"ZipCode:-� .� � �CELL: � .
PLUMBING PERMIT FEE SUMMARY
�
PLAN CHECK FEE: $0.00 ''. � . �
PERMIT FEE: $82.30 - ,
- � � � .. _ .._- `s.,�. - '. � ,
TOTAL FEES:
$82.30 .
�.,
: :�.
, ....z.. , .
; �.;:
NO710E: The work authonzed by this�permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-g2)
EXPIRATION: PERMIT EXPIRES 180 DAYS PROM DATE OF ISSUE OR DATE OF LAST INSPECTION. -
INSPEC710NS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. FaiWre to obtain inspections and Flnal approval will resWt in the expiration of this permit.
�EO. INSPECTONTYPE DpTF, IN71� COpEt IN§YECTONTYPE DATE IN11ML5
1616 Fized System Final Fire Prevention 208 - Final Mechanical �1
1266 Pool Spa Final � 208 Final Piumbing �/R 'I Q
200 Final Re-Roof 210 Final Electncal �����
201 Final 81ceWRelaining Wall 212 Final Fire Prevention ��
202 Final Factory Fire Place 220 Final Planning Approval v
203 Final Sign
204 Final Demolition
222 Final Site -
250 Final Building/Occupancy
� ..
WORKERS' COMPENSATION DECLARATION:
I hereby affrm untler penalty of perjury one of the te.._.�nng declarations: �
❑ I have and will maintain a certifcate of consent to self-Insure (or vrorkers:
compensation, as provided for by section 3700 0l Ihe Labor Code, for the
pedormance of the vrork for which this permit is issued. �
❑ I have and will maintain workers' compensation insurance. as�required by
section 3700 of the Labor Cotle, for the peAortnance of 1he work for which this
pertnit is issued. My vrorkers' compensalion Insurance carrier and policy
number are:
Carrier
(This setlinn need irof be romplefe0 d fhe pe�mR is valuetl al one huntlretlOWla�s (5100J o� IesSJ
Pol/icy Number:
�bl certify that in ihe peAormance of the work lor which this permit is
Lissu'ed, I shall nol employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and a9ree ihat if I should
become subject to the vrorkers' compensation provisions of Seclion 3700 oF
ihe Labo/r 'Code I shall (orthwith comply with ihese provisions.
�/ D�. �� � �,—��-0�
�..T�icem'sSgnature- �- f Daie^-�
..----- �-
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHA�L SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700,000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, INTEREST, ANO
ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm Ihal I am licensed under provision5 0l Chapter 9(commencing
with Section 7000) of �ivision 3 0l lhe Business and Professions Code, and
my license is in full force and effect.
Lic. # Class #
Comractor's SignaWre Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm lhat thero is a consWctbn lending agency for the
pedormance of the wurk for which ihis pertnit is issued. (Sec. 3097, Gvil Code).
Lender's Name:
Lentler's Address:
Signature Date
OW NER-BUILDER DECLARATIONS:
I hereby affirm Ihat under penalty ol perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business antl Professions Code: Any city or county which requires a permit lo
constmct, alter, improve, demolish, or repair any slructure, prior to i�s
issuance, also requires the applicant for such permit to fle a signed stalement
that he or she is licensetl pursuanl lo the provisions of the Contractors
License Law (Chapter 9(commencing wit� Section 7000) of Division 3 of the
Business antl Professions Code) or that he or s�e is exempt therefrom and
the basis for the alleged exemption. Any violation o! Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty o( not more than
five hundred dollars ($500).):
�-arowner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
ofiered for sale (Sec. 7044, Business anC Professions Code: The Contractors
License Law does nol apply to an ovmer of property who builds or improves
thereon, and who does such work himself or herself or Ihmugh his or her ovm
employees, provitled that such improvements are nol intended or oRered for
sale. If, however, the buildin9 or improvement is sold within one year of
completion, the ovmer-builtler will hava the burtlen of proving lha[ he or she
did not build or improve for purpose o( sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to wnstruct the projecl (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law dces nol-appy co an owner o�
property who builtls or improves thereon, antl who conlracts for such project with
a contracta�s) license pursuant to the Contractas License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
� ,�- \�-O�
3051�A6(3I01)
_Sl �g ..�.!-.,� (�4a�e�,._.,�_' -'�
Owner ID venfied by driw ise. es ❑ No ' y
Driver.'s�License No. � �( ExDRay;.� ,�_�
Verification of Ownership by (rype of tlocument, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: �
❑ I hereby ceAify that no excavation frve (5) or mwe feet in depth inlo wfiich a
person is required to descend. will be made in connection with work authorized
by this pertnit, and that no building s[ructure, scaffdding, falsework, or demolition
or tlismantling thereof, will be more than Ihitly-six (36) feel high. (Chap. 3.2, Grp
2, M 2, Sec. 347, Title 8, Califomia Administrative Code).
� As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Induslrial Safety, as notetl above, unless
such person has a pertnit to tlo such work from Ihe division.
Applicanl's SignaWre
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the appliwnt or present or future builEinq occupant neetl to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the California Health antl Safely CoOe requires, wilh soma
exceptions, that a 8usiness Plan be filed vnth the Costa Mesa Fire
Depanment by every business which has at any one time during a reportetl
year a quantiry of hazardous matenals equal to or greater Ihan a weight ot
500 pounCs, or a volume of 55 gallons, or 200 cubic feel of compressed gas
al standard temperature and pressure�.
2. Does or vrill the applicant or present or future building occupanl need to file
a regisiration fortn (or awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safery Cotle, with some
exceptions, requires registration with ihe Costa Mesa Fire Depanment by
each business which al any one time has on hantl a quantity of acutely
hazardous materials equal lo or greater than a weight ot 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at standartl
tempereture and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazarCous materials)? ❑ Yes ❑ No
(Section 25534 0( the California Health and Satety Code provitles Ihat the
Costa Mesa Fire Deparlment may require the preparalion, cerlification antl
filing vnth the Fire Department of an RMPP by businesses which are requiretl
[o register acutely hazardous materials wilh the Fire Department.
4. If an RMPP is presently required, has Sec[ion 25534 of ihe California
Health and Safery Code been fully complied with'7 ❑ Yes ❑ No
S. Does or will the applicant or present or fuWre buildinq occupanl require !or
the vrork which is the subject of this appliwtion a permit for such construction
or modifcalion trom �he South Coast Air Quality Management Disirict or from
any other air pollu[ion con[rol dislrict or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Cali(omia Govemmenl Code requires that the requested
information be fumished on applications for nornresitlential bvilding pertnits).
6. Will any paA of the facility to be conslructed under this permit be within
1000 feet (rom the outer boundaries of a school? ❑ Yes ❑ No
Qf'yes", the tacility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Cotle).
7. If a permit from the South Coast Air Quality Management Distnct or other
air polWtion control disMct or agency is required !or the vrork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach certi(cate of compliance from the appropnate'air polNtion
coMrol oKceQ. .
CERTIFICAiE OF COMPLIANCE: I.certi(y that under penalty of perjury ihe
infortnation qiven above is conect. I agree lo wmply wilh all state laws and
ciry ordinances regarding Hazardous Materials and Emissions.•
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION .OF ENTRY: 1
certify under penalry of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state'lavrs and city
ordinances relating to building construction, and authorize representatives of
the Ciry ot Costa Mesa ro enter upon the above-descnbed property for
inspection purposes. I agree not to occupy or allav occupancy of any building
authoriz �Lthis permil until (nal inspection.
� � ���1\-C�.�
t5�pnaWreo.. ep Wvmer �--Date�, �
AnC/orAulhonzeUApW��� Da�e
04-09-2008 Inspection Request Re orting Page 14
10'S8 am Goc� Meca, CA - Ci Of
Requested Inspect Date: Wednesday April 30, 2008
Site Address: 2740 DESdtO AV CM
BATHROOM ADD
AIP/D Information
Aclivity: P07-00403 Type: PLUM Sub Type: Status: FINALED
Const Type: V-N Occupancy: Use: Insp Area:
Owner: ARREDONDO JUAN GARCIA Phone: 714-412-5264
Contraclor: OW N ER-BU I ��ER
Applicant: ARREDONDO JUAN GARCIA Phone: 714-412-5264
Descriplion: PLUMBING P�RMIT TO ENCLOSE THE ENTRY AND EXPAND AN (E) BATHROOM BY 39 SF, 1
Nolice: BO DAY N6TICE� ENT. PERMIT W�� INS. t WATER CLOSET AND 1 WATER REPIPE. REF#: B06-00344
Reauestedlnspectianfsl
Item: 208 FINAI PLUMBING
Requestor:
Assigned To:
Action: Time Exp:
Comment:
Insnection Historv
Item: 150 MISC
Item: 52 SOIL f
OE
Cor
Item: 52 SOIL f
COf
Item: 54 WATE
Item: 56 SEWE
Item: 58 SEWE
Item: 60 ROOF
Item: 62 ROUG
Item: 72 GAS F
Item: 74
Item: 76
Item: 78
Item: 80
Item: 82
Item: 84
Item: 88
Item: 90
Item: 92
Item: 102
Item: 108
Item: 110
Item: 116
Item: 120
Item: 208
Item: 53
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
NDERGROUND -"Approved"
Inspector: BN Action: AP APPROVED
NDERGROUND
Inspector: BN Aclion: AP APPROVED
-UNDERGROUND
CONNECTION
5
�BING
OUGH *" Approved *'
Inspector: HM
i(�YTl.il
Action: AP APPROVED
Action: CO Correction(s) Required
_CTLY FOR FAU AND W.H.
EST
RND
Action: AP APPROVED
Action: APAPPROVED
Run Id: 8634
�
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2740 DESOTO AV
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE
Parcel Number: 14164106
npplicant: SETTLES, LAMARTINE M
Address: 2740 DE SOTO AVE
COSTA MESA, CA
Owner: SETTLES, LAMARTINE M
Address 2740 DE SOTO AVE
COSTA MESA, CA
Contractor: OWN ER-BU I LDE R
Address:
Zip:
Arch :
Address:
Phone:
Zoning: R1 R1
Phone: 774-957-8688
Zip: 92626-5606
Phone:
Zip: 92626-5606
Phone:
License: 0 .
Eng:
Address:
Status: ISSUED
Applied: O5/16/2001
Issued: 05/16/2001
1
ISSUED BY:
Phone:
Zip: l.icense: License:
SCOPE OF PERMIT
REROOF: T/O EXISTING WOOD SHAKE, 1/2" OSB SHTG, 15# FELT PER MFGR SPECS, APPLY 30-YEAR DIMENSIONAL
FIBERGLASS SHINGLES. NEW PIPES, VENT & VALLEY FLASHINGS. .
24 SQUARES
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: Ss,000.00
Permit: $125.25 Claim Valuation: Ss,000.00
SMIP Res: $0.60 -
SMIP Com: $0.00 "
Other: $0.00 � � �
Inspection: $0.00 ' �-
Total: $125.85
. ;� ' >> � �� ; .,
. � � 'i��, ;
SETBACKS '
MAIN STRUCTURE Front 0- 0`_ � Rear 0- 0
ACCESSORY Front 0-0 '. �Rear 0-0
PARKING Existing: 0 Re uired: 0
NOTES:
` � ` �" > ;,; ,
NGBZONING"!'�' � �' " '� �
Left 0- 0 Right " 0- 0
Lett 0-0 " Right . 0-0
Proposed: .0 �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 1241-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
!446-08 (6�00)
WORKERS' COMPENSATION DECLARA710N:
I hereby effirm under penalty of porjury one oi the tollowinq declarations:
❑ I have entl will maintain a certificate of consent to seN-Insure tor workers' compensation, as provided tor by section 3700 of ihe LaDor Code, for tha peAortnance of ihe
work for which this pertnit is issue0.
❑ I have and will maintain workers' compensetion insurance, as requiretl by section 3700 of the Labor Code, for Ihe peAormance ot Ihe work tor which this pertnit is issuetl.
My workers' campensation Insurence wrner end policy number ere:
Cartier: Policy NumDer:�_
(This section neetl not be comp/etetl i/ the peimit /s velued ef one hundred dollars (5100) ar less.)
❑ I certity ihat in the perfortnance oi tha work for which this pertnit I5 issued, I shell not employ any person in eny manner so as to become suDiect to the workers'
compensetion laws of Californla, and egree that if I should become sub�act to the workers' compensation provislons of Section 3700 oi the Labor Code, I shall fotlhwith
comply with these provisions.
Applicant Signature: Date:
WARNINO: FAIWRE TO SECURE WORKERS' CAMPENSATION COVERNGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSPND DOLLARE ($100,000�, �N A�DITION TO THE COST OF CAMPENSATION, DAMAGES AS PqOVIDED FOR IN SECTIpJ 3]O60F THE L480F CqDE, IMEREST, AND ATfORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code, and my license is in full
force and eHect Lic. N Class N
ContrectoYs Signawre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby ettirm that ihere is a construction lending agency for the peAormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lenders Address:
Signelure: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eftirtn that under penalry ot perjury that I em EXEMPT FROM TF1E CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, also requires the applicant for such permit
to file a slgnetl statement Ihat he or she Is Ilcensed pursuant to the provislons of the Contrecrors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the
Busine55 end Professions Code) or thet he or 5he i5 exempt Iherefrom end Ihe basis for the alleged e:emption. Any violetion ot Section 7031.5 by eny epplicant for 0 pertnit
�jecis tha applicant to a civil penalry of not more ihan five hundred dollers ($500).):
I, as owner of the pmperty, or my employees with wages as their sole compensation, WILL DO 7HE WORK, antl the siructure is not intended or oHered for sala (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves thereon, and who does such work
himself or hereelf or through his or her own employees, provided ihat such improvemants are not intendetl or oHered �or sale. H, however, the building or improvement is
sold within one year of completion, ihe owner-builder will have ihe burden of proving ihat he or she did not builtl or improve for purpose of sale.).
❑ I, es owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business antl Professions
Code: The contractors License Lew does not apply to an owner of property who builds or improves iheraon, and who contracts tor such project with a contractor(s)
license pursua t to Ihe Comrectors License Laws.).
❑ I e exe t der ec. Eusiness end Profeuions Code for this reason:
Signatur � ,�,� �n Date�.
Owner ID � ietl by �ver's license. ❑ Ves o DriveYs License No. Expires:
Verilication of Ownership by (type ol documem, i.e. - property tax 6iil or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N:
❑ I hereby certify Ihat no excavation five (5) or more feet in dapth into which a person is required to descend, will be made in connection with work euthorized by this
pertnit, end that no building siructure, scattolding, falsework, or demolition or dismantling thereot, will be more than thirty-sia (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title 8, Califomia Atlminislretive Code).
� As owner-builder, I will not employ anyone to tlo work which would require e permit from the Division of Indusirial Safery, as notetl a6ove, unless such person has e
pertnit lo do such work irom Ihe division.
Signature: Date:
Division of Intlustrial Safery Parmit Number.
CERTFICA7E OF COMPLIANCE AND AU7HORIZATION OF ENTAY: I certity under penalty of perjury ihat I have read this application antl state Ihet ihe intormation given is
c t. egrae to comply wi�h all state laws and city ordinances relating to building constmction, antl authorize representatives of the Ciry of Costa Mesa to enter upon the
a6ove- scnhed property to ins{tection pu oses. I�c ree not to occupy or ellow occupancy ot any building authonzed by this permit until final inspection.
�i�a �n �
Signa ure Qi al Owner(s) � Date
And/Or Authorized Applicant
CO�E N, INSPECTIONTYPE
161fi Fizetl Sys�em Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Root
Final Block/Retaining well
Final Factory Fire Place
Final Sign
Final Demolition
BASE INTITIALS
�� 6�
CODEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
�RTE INTRIpLS
L'� � L''odia ��2eQa �u,%�du y 2�iui�
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 1983Q shall attach to such notice, and,
as a condition precedent to issuing a buiiding permi[, require the completion and require the return of, an
owner-builder verifica[ion.
Attention PropeRy Ow�er:
An `owner-builder' building pemut has been applied for in your name and bearing your signawre.
Please complete and rewm this information in the envelope provided a[ your eazliest opportunity [o avoid
unnecessary delay in processing and issuing your building pernut No buildin¢ permit will be issued until this
verification is received.
1. I persona(ly plan to provide the major labor and materials for construction of the proposed
property improvement.� Yes ❑ No
2. h yE�ave no[) signed an application for a building permi[ for
the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Addre
Phone (��1� ) �� a- —`��-� Contractor's Lic. No.
5. I will provide some of the work but I have co�t�acted (hired) the followi�g persons to
provide the work indicated:
Name Address Phone Type of Work
1042-46 (flEV.9/98)
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of Califomia Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance wi[h [his State law.
(Printed or Typed)
�.�.L.#oRs.s.# �
Date: �� � ���
For more information call City of Costa Mesa Building Division at (714) 754-5273.
1042-06 (REV.9/98)
Property Address
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Owner L U/YVI Gl,
Contractor '�
State Contractor License Number
Classification
I hereby certiry that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform
Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of
the manufacturer.
�I further certify that I am the owner of the property. (Owner-Builder permittee only).
❑ I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
By:
,
:c . - �
/ - .. .
0980-96 MW 9/9J Wl�ita - BuiWirg Div.: Ce�ary � Con�iac�o�: Pink -Owne�
compa�y or corporece Nama
.. � l,i../��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CA�-�P���A
For Applieanf fo Fill In Complefely
TYPE OR PRINT
ADDRES9 2740 De SOtO E:VB.
� COSTA MESA. CALIFORNIA
OWNER Mesa Del Mar Development Co
ADDRE55 3800 E. Coast Hwy.
.,an n'r � I�HF. �' . VGa ^ '�.al+vv�
.,aR-6-!'Pncosra,6za eit#&99:00
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. p.
�J
iBY � OAiE RRC81VlO �. DATH IBHOlD
NQ. �, I..ZrZ BUILOING
« ADORH6S
i,io: Or 3422 COSTA MESA. CALIFORNIA
FIRE �//1/�
ZONE TYPE � GROUP �Y. '/ .
ZONING
20N � NO. OF , U8E OR N
�� PLAN9 a 6UILDINO
LHOAL _ _ _ � '
� ov �or 6696 S_F _ ��ow o
LIN6 BT.1
��e�m ��I�I� R�RYARD2�.1�
I LHFT 5� I RIGHT 7� 6�� �
DESCRIPTION OF WORK -
s'aE"'��"61'-6"x51i'-_�I�'om`s 6 STORIES 1
EXTERIOR Wp��WSt�Ccl� ROOFWO� shake & R�
COVERING O ICOVERING
� USE OF BUILDING AND WORK TO BE PERFORMED
: 1896 S
!�
1 HERBBY ACKNOWLED06 TXAT I HAVE READ THI9 APPLIGTION THE AMOUNT BHOWN UNDER VALUATION IB POR THE
AND 9TATE TXAT TNE ABOVE IB LORRECT AND AGRE6 TO COM-
PURPOBE OP EBTAOLIBHIN6 A PERMIT PHe ONLY.
PLY WITH ALL CIiY ORDINANCE9 AND 6TATe UWB R80ULATING
BUILD�Na GON9TRURION. VALUATION //
81GNATURE �F Mesa Del Mar Develooment Co i PERMIT FEE $ �IIQ� [
PERMITTH p
p,���l /j�� � s 20,288.�� PLANCHECK $ �J/
AUTHORIZED AGENT i( �/.Ca�� [(
TOTAL FEE G