The URL can be used to link to this page

Home My WebLink About2437 DUKE PL - Building Permits•. � f ' ' � " BUILDING F'tKMI l Jobnddress: 2437 DUKE PL Suile: Vicinity: REAR OF EXISTING DWELLING Parcel Number: 14144133 Applicant: CHAPMAN, JANE Address: Owner: CHAPMAN, JANE SUSAN Address 2437 DUKE PL � % � COSTA MESA, CA' Con4ractor. OWNER-BUILDER . Address: � . Zip: Zoning: Phone: 714-545-9528 Zip: Phone' Zip: 92626-6313 Phone: License:. 000000 " Status: ISSUED Applied: OS/05/2003 . Issued: 08l27/2003 � ISSUED BY: Arch : Eng: EW WEBB ENGINEERING INC. Address: - Address: 1660 CHICAGO AV � � � � Phone: SUITE M9 - Phone: 909-788-2050 � ' RIVERSIDE, CA Zip: License: 92507 , License: 37384 SCOPE OF PERMIT ADD�336 S� FT. FAMILY ROOM TO THE REAR OF AN EXISTING SFR. � � ENCROACHES 280 SF IN REQUIRED REAR YARD; 350 SF MAXIMUM ENCROACFiMENT ALLOWED. STRUCTURE HEIGHT IS 11.5 FEET. �Plan Check: $300.59 Permit: $462.45 ,SMIP Res: $3.11 SMIP Com: '.." $0.00 Other: $0.00 Inspection: ' $0.00 �, . Total: $766.15 SETBACKS�. MAIN STRUCTURE Front 0- 0� ACCESSORY Front ,0-0 PARKING Existin : o ' Rear 10- 0 Rear 0- 0 Re uired: �0 FEE SUMMARY PIANNING & ZONING Left 34- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 8-0� Right 0- 0 $31,046.40 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia �statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void 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 the work authorizetl under this permit to be consitlered legal, such work must comply wilh all applicable codes, and all required Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 754-5828 ' � WOAKERS' COMPENSATION DECLARA710N: � �R I he�eby eflirtn unde� penalry at pe�lury one o1 the fallowing declaretions: ❑ I heve flnd wlll mainteln a ceM1llicate of consem ro sel(-Insure tor warkers' compensatlon, as proWCed for by sectlon 3700 ot Ihe Labor Cotle, br the pedormance of the work for which ihis pertnit is Issued. ❑ I heve entl wlll meintain vro�kBrs' compensetlon insurance, es requiretl by seclion 3700 of ihe Lebor Cotle, for the paRortnence of the work for which Nis pBrtnil Is luuetl. My workars' compensetlon Insurence ceMer entl pollcy number e�e: Car�er. Policy Number. (This secLon need nor 6e oompleretl/l Me permit is ve/ued at one hundrea dollers (5100) or less.) �I certity ihet In t�e peAortnence of t�e work for which Ihis permit Is Issuetl, I shall not employ eny person in any mflnnar so as to become subject to ihe workers' compensetlan lews o1 Califomie, enC epree ihat if I s�ould becoma sub�ect to Ihe workers' compensatlon provisions of Sectlan 3700 of Iha Lebor Cade, I shell forthwit� mmpty with ihe roWslons.(� 1� /� AppllcantSipneWr � � \�iY�s�..x�`i��n' Date: �IZ ll �� WqqNINO: FAI�URE 5 CURE WORKERS' CdAP $ATION COVEMQE IS UNLAWFUL AND SW1LL SUBJECT AN EMPLOVER TO CRIMINAL P NALTIES M1D GVIL FINES UP TOONE HUNDRED TIqUSM10 DOLLARE (E100.000), IN ADDITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOq IN SELTON 3]O60F TME IABOR CODE, IMERESi, AND ATTORNEI"S FEES. LICENSED CONTAACTOpS DECLARATION: ' 1 heraby attirtn that 1 em licensed under proNsfans of C�apler 9(commencing wlih Seciion 7000) ot DlNsion 3 ot ihe Business antl Professions Cotle, end my Iicense Is In full force entl eflecL Llc. M Class M Contredafs SlpnaNre: � Date: CONSTRUCTON LENDING ACiENCY: ❑ I hereby effirtn that t�ere Is e consiruction lending egency for the pertortnence ot the work �or whic� this pertni� is issued. (Sec. 3097, Civil CoGe). Lender's Neme: ' LentleYs Address: Sipnature: Date: OWNER-BUILDER OECLARATONS: I hereby efllrtn that under penelry of parJury t�at I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe fallowing reason (Sec. 7031.5, Business entl Professlons Cotlp: Any Gry or counry which requlres e pertnit ro construd, alter, improve, demolish, or repeir any aWCNre, prior to Its issuance, also requfres Ihe appliwnt tor suc� permit b fll6 e sipned stetement �het he or s�e Is Iicensetl pursuant to the pmNslans at t�e Camrecton Llcense Lew (C�epter 9(commendng wlth Section 7000) of DMsion 3 of ihe Business end Profess�ons Cotle) or t�et he or she is exempt the�efrom entl Ihe besis tor Ihe ellegetl e:emptian. Any violetion ot Section 7031.5 by eny epplicent for e permit su6�dcta the eppflcant to a cNfl penalry N not mora then tive hundratl dollers ($500).): ❑ I, es owner ol �he property, or my employees wlth weges as lhelr sole compensation, WILL DO THE WORK, end the siructure Is nol Intentletl ar aHered for sale (Sec. 7044, Busines9 and Profeuians Code: The Contractars LJcense Lew tloes not apply lo an rnvner ol property who builCs or Improves thereon, flnd who tloes such work himself or herselt or throuph hls or her own employaes, provlded thal such Improvements are no� Intended or oflerad for sele. If, however, Ihe building or Improvement Is aWa wl�hin one year ot completlon, Ihe owner-builder will �e�e the burtlen ol proving that he or she did not builtl or impro�e for purpose of sale.). ' ��I, es owner of the properry, em EXCLUSIVELY CONTRACTING WRH LICENSED CON7FiACTORS to construct the pro(ect (Seu 70a4, Business antl Professiorts CoEe: The cantractors Ucense Lew tloes not eppty 10 an owner ot pmperry who builAs or Impmves thereon, end who contrects tor such projed wlih e contrectar(s) Ilcense pureuant to the Contrecroro LJcense Lews.). ❑ lem SignAture: OwnBr ID � under sec. by tlrivefs license. nership by (type of Business and Professions Code tor Ihis reeson: �� Date: � s ❑ No Drlvefs License No. Expires: I I.e. - properry tax blll or deed): DIVISION OF INDUS7filAL SAFETV PEHMR CERTFICATION: • • ❑ I hereby Certily Nat no excevellon five (5) or more teet in Gepih Into whlch e person is required to Aescend, will be mede in connectlon wlih work euthonzetl by Ihis pertnit, end thet no builGing siruMure, sceHoltling, felsework, or Aemdi�ion or tlismantling Ihereof, will De more then Nirty-sia (36) feat high. (Chap, 32, Carp 2, Art 2, Sec. 341, Tltle B, Cellfomia Atlmini5tietive Cade). � As owner-builder, I will not employ enyone to do work which would require e pertnil trom the Division ot Industrial Sefery, es noted ebove, unlass such person has e pertnit to do suc� work trom the dlWslon. Signatura: Data: DlWsion at Induslrial Sefery Pertnit Number: CERT�FlCATE OF CAMPLUWCE IWD AUIHOR¢ATON OF ENTRV: 1 certliy untler penalry ot perjury t�et 1 �ave read Ihis appiicelfon end stale [hai ihe intormation gNen'�s corteat. I e ee to comply with ell stale lews entl city ortlinances relating to building construction, end euthonze representatives of the Ciry of Casta Mese to enler upon ihe ebove-desc i ed property tor,iqs ection puryoses^ egree not to accupy or allow occupency of eny building euthorized by1�s perrryt until f�l inspectlon. �`. 1N CS t�� SignetUre `LepalOwner(s) -T ate AnNOr Aut�odzed Appllwnt Date 40DE I, INSFECTONTYPE � PAiE 1NImeL$ 1818 Fixed Syslem Finel Flre Prevention 1266 Pod Spe Finel 200 Flnel Re-Roof 201 Flnel BIocWHetaining Well 202 Finel Feclory Fire Place 203 FInalSipn 20d Flnal Demoll�al CODE� INSPELTONTYVE 206 Flnel Mechanical 208 210 212 22D 222 250 Finel Plumbing Final Elec�ricel Finel Fire Prevention Flnat Planning Approvel Flnal Site Final Buildirig/Occupency �' Jane Chapman 2437 Duke Place Costa Mesa, Ca 92626 714-545-9528 home 714-398-5255 cell May 23, 2005 Ed Petros Chief of Inspection City of Costa Mesa P.O. Box 1200 77 Fair Drive Costa Mesa, Ca 92628-1200 Re: Building Permit Number B03-00763 for Addition I would like to request an extension on my building permit. I had no idea that I was going to have to re-grade the back yard and do the patio just to get the permit signed of£ I have finally saved enough money to do the patio that is required. I have been saving for the grading work. I have had a hard time finding someone to do the grading. I hired someone and they bailed on me. I realized that I have accidentally gone past the time and was not sure what to do since the work was not done. Thank you for your consideration. If you have any question please feel free to call me. Sincerely, �� r Jane Chapman May 19, 2005 CITY OF COSTA MESA P.O. 80X 1200 • 77 FAIR DRIVE - CALiFORNlA 926284200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION NOTICE OF PERMIT EXPIRATION Jane Susan Chapman 2437 Duke PI. Costa Mesa, CA 92626-6313 PERMIT NUMBERS: FOR: PROJECT ADDRESS 603-00763 Addition 2437 Duke PI., 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 and additional fees may be required to finalize expired permits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. I 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 do not have an approved final inspection, your permits will expire on June 3, 2005. 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, �'-�'�i � / Mary Jane Weidenkeller Office Specialist II Building Division (714) 754-5273 • Code Enforcemen� (�/4) 75a-5623 • Planning Division Qia) 75d-5245 FAX (714) 754d856 • TOD (714) 7545244 • w+rv+.ci.costa-mesa.ca.us r AIPID Information Activity: B( Const Type: V- Owner, Cf Contractor: O\ Plan check: MI Dev coor: K. Engineer: E\ Applicant: Cf Description: A( 0 Requested Inspect Date: Thursday� June 30, 2005 Site Address: 2437 DUKE PL CM REAR OF EXISTING DWELLING INC. BLD SUB2 Sub Type: ADD_SFR Status: ISSUED 7 — Use: Insp Area: Notice: 10�DAY NOTICE SENT. PERMIT WILL EXPIRE 6/3/O5. - WEIDE MJ Reauested Inspection(sl Item: 150 MISCELLANEOUS INSPECTION Requested Time: 08:00 AM Requestor: Phone; Assigned 70: """""" Entered By: WEIDE_MJ K Action: Time Exp: �Insoection Historv `Item: 4 FOOTIP c Item: 6 SLAB � O£ Item: 10 ROOF Item: 12 ROOF Item: 16 SHEAI Item: 18 FRqM item: 20 LqTHI ii Item: 22 INSUL 11 Item: 24 DRYW 11 Item: 26 PLASI 11 Item: 150 MISC Item: 250 FINA REPT131 09/03/04 Comments: �UND •'Approved" tor: ep tor: ep " Approved " lor: BE " Approved " �or: PT • n........,..a .. Approved " S �P Approved " Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED Actian: AP APPROVED Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED AND GRADING CO Correction(s) Required Run Id: 13817 , , (714) 754-5273 • Fax p�a) �sa-aess • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GU'�A MtSA, GA y2tiYti Job Address: Suite No Viciniry: Parcel Nunmber: 2437 DUKE PL FAMILY ROOM 14144133 Applicant: CHAPMAN, JANE SUSAN Atldress: 2437 DUKE PL COSTA MESA, CA Owner: CHAPMAN, JANE SUSAN Address 2437 DUKE PL COSTA MESA, CA Contractor: O W N E R-B U I LD E R Atldress: ISSUE FEE Temp setvice test Res. a/c package New Res (1-2 units) New Res (3+unils) Pool / Spa Lighting Fixts Recept Outlats Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1hp Motors to tOhp Motors to SOhp Motors to 700hp Motors over 100hp ELECTRICAL PERMIT Phone: 714-545-9528 Zip: 92626-6313 Phone: Zip: 92626-6313 Phone: Zip: License: 000000 SCOPE OF PERMIT ADD 336 SQ Ff. FAMILY ROOM TO THE REAR OF AN EXISTING SFR. 8 LIGHT FIXTURES, 6 OUTLETS. 3 SWITCHES REF: 803-00763 2/18/04: SUPPLEMENTAL ACTIVITY TO ADD 4 LIGHT FIXTURES $23.50 $0.00 so.00 $0.00 $0.00 $0.00 $1320 $6.60 $3.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 12 6 3 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 k Standing Section Misc Electrical Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduil Misc. Conductor Circus ( gen or nde) Circus (mech ride or lights) Cbrisimas Tree Stand Fireworks Stand Other Electrical Fee Status: ISSUED Applietl: 11l07/2003 Issued: 11/07/2003 ISSUED BY: 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 30.00 0 50.00 0 $0.00 0 50.00 0 50.00 I NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92•2B, § 7, 72-27-92) EXPIRATION: This permit shall automatically expire and become void if work fs not commenced within 180 days, or if work fs suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, end all requlred Inspgotlons and final approval must be obtained. Failure to obtain Inspectlons and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 zaas�ac (s�ool WOfiKERS' COMPENSATON DECLAFiATION: I hereby affirm under panalry of perjury one ot the following tleclarations: ❑ I have and will maintein a certificata of consent to self-Insure lor workers' compen5ation, es providetl tor by section 3700 of Ihe Lebor Code, for ihe pertormence of the work tor which this pertnit is Issued. ❑ I have antl will main�ain workere' compensation insurance, es required by section 3700 of Ihe Labor Code, for the peAormance of the work for which ihis pertnit is issued. My workers' wmpensation Insurance carner antl policy number are: Carner. Policy Number. (This section neetl not be comp/eted i! (he pemut is veluetl at ane hundred doflers ($f 00J or less.) �DI I certify that In the peAormance of Ihe work for which l�is pertnit is issuetl, I shell not employ eny person in any menner so as to become subject to the workers' ��' compensetion lawspt Califomle, af�d grea that Ii I should become subject to t�e workers' compensation provisions ol Sectlon 700 0l Ihe Labor Cotle, I s�all forthwith complywithihese r Lisions. 1 V, (�I 1r�, �` r Applicent SignaWre: V Date: �}� I��{t WARNING: FAILUi7E T SEC E WORKERS' COMPENSA �N COVERAOE IS UNLAWFUL AND SHALL SU&IECi AN EMPLOYER i0 CPIMItJGL PE TIES AND pVIL FINES UP TOONE HUNDRED iHOUSPNDDqlAPE( ),INAODITIqJTOTHECOSTOFCQNPENSATION,DAh41GESASPROVIDEDFORINSECilON310fiOFTHEIABORCODE.INTEREST,ANDATTOHNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I herehy aHirm that I em Ilcensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 ot the Business antl Professlons Code, and my license is in full force end ettect. Llc. N Clau M Contractors SigneWre: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn thet Ihera is a construction lending egency lor Ihe pedormence of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentlers Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn thet under penalry of perjury that I am E%EMVT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which reduires e Oermit to conslrucL alter, improve, demolish, or repair any structure, prior to its Issuance, elso requlres the applicant tor such pertnit to file a signetl statement that he or she Is licensed pursuent to the provislons of Ihe Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the Business end Protessions Code) or that he or she is eaempt therefram antl Ihe basis for the alle9etl exemption. Any vlolatlon of Section 7031.5 by any applicant for a permit subjecis the epplicent to e civil penelry ot not mare ihan five hundred dollars ($500).): ❑ I, fls owner ol the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end ihe structure is not Intended or oHered lor sele (Sec. 7044, Business end Professions Code: The Contractors License Law tloes not apply �o an owner ot property who bulltls or improves ihereon, and who does such work �imself or �erself or Ihrough his or her own employees, providetl �het such improvements are not intended or oflered for sale. If, however, the building or improvement is soltl within one yeer o� completion, the owneo-builder will heve the burtlen of proving that he or she did not build or improve for purpose of sele.). ' �I, es owner of the pwperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslrutt the pmjett (SBC. 7044, Business and Professions Code: The contrectors License Law does not epply to an owner ol property who builds or improves ihereon, end who contracis for such prqect with a contrector(s) license pursuant to the Contractors Licanse Laws.). ❑ I em exe unAer sec. Business entl Profeuions Code for this reason: Signature: 4� M.i � hQi �1y � � E:pire5: Venfication ot Ownership hy (rype of document, i.e. - propeny ta: Cill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATON: ❑ I hereby cenify thet no excavetion tive (5) or more feet in depth into which e person is required to descend, will ba metle in connection with work authonzed by this permit, end that no building sirucNre, scaffolding, talsework, or demolition or dismantling �hereol, will be more then ihirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ti�le 8, Celitomia AdmlNsirative Code). ❑ As owner-bWlder, I will not empioy enyane to tlo work which woultl require a permit irom ihe Division of Industriel Sefety, as noted ebove, unless such person hes e permit to do such wark from ihe division. Signature: Dete: Divisian of Industrial Satety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRV: I cenity under penalty ot perjury ihat I have reetl this apDlication end state Ihat ihe Intormation given is correci. I ag to comply with all state laws and ciry ordinences relating to bullding consiruction, and euthonze representatives of Ihe Ciry of Casia Mesa to enter upon the above-tles �d properry tor in ection purposes. I agree not ro occupy or ellow occupancy oi any building authonzed by Ihis p�rmil unll final i`spection. J \ CJ U 1 / Si re gelOwner(s) Date And/Or Authorized Applicant Date GODE t, INSPECTONTYPE 1616 Fi:etl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roaf 201 Final BIocWRelaining Wall 202 Final Factory Fire Place 203 Final Sign 206 Final Demolition aeie u�i COOEI INSPECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Elecincal 212 Final Plre Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �:1 .1111. . �/CJ' S! (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No ViCinity: Parcel Nunmber: 2437 DUKE PL FAMILY ROOM 14144133 Applicant: CHAPMAN, JANE SUSAN Adtlress: 2437 DUKE PL COSTA MESA, CA Owner: CHAPMAN, JANE SUSAN Address 2437 DUKE PL Contractor: Adtlress: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lightlng Fixts Recept OutIeL4 Switches Nan Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors to 1hp Motors to tOhp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a COSTA MESA, CA OWNER-BUILDER Phone: 714-545-9528 Zip: 92626-6313 Phone: Zip: 92626-6313 Phone: Zip: License: 000000 SCOPE OF PERMIT ADD 336 S� FT. FAMILY ROOM TO THE REAR OF AN EXISTING SFR. 8 LIGHT FIXTURES, 6 OUTLETS, 3 SWITCHES REF: B03-00763 523.50 $0.00 $0.00 $0.00 $0.00 $0.00 $8.80 $6.60 $3.30 $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 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing SecGon Misc Electrical Equipment Transformers up to 1 kva/kw ................up to�10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductar . Circus ( gen or nde) Circus (mech nde or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Status: ISSUED Applied: 11/07/2003 Issued: 11/07/2003 ISSUED BY: Quantiry 30.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements untler Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expira and become void if work is not commenced within 180 days, or If work is suspended or abandoned tor a periotl 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 Inepeetiona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in lhe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 znae�ae (wnn) WORKERS' COMPENSATION DECLARATON: � I hereby aHirm under pUnalry of perjury one of the following declarations: ' ❑ I heve end will mBintain e cenificate of consent to sell-Insure for workers' compensation, as provitled Por by section 3700 of the Labor CoEe, lor the peAormance of the work for whlch ihis pertnit is issuetl. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of Ne Lebor Code, for Ne peAortnance of the work for which ihis pertnit is issued. My workers' compensation Insurance carner and policy number ere: Cartier. Policy Number. (This secfion need not tle completetl it the permit is valued af one hundred dollars (5/00) or Iess.J �;I canity that in the pedormance o} the work for which this permit is issued, I shall not employ eny person in any manner so es to become subject to tha workers' compensetlon lew of Calitomia, end egree ihat ii I shoWa become sub�ect to Ihe workers' compansation provisions of Section 3700 of the Lebor Code, I shall forthwith comply wifh thes ovisions. (� i Appllcant Signature� � Date: I I �� WMNING FAIWiiE O SE URE WORKERS' COMPENSA ION CJJVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALiIES AND CIVIL FlNES UP TOONE HUNDRED T110USrWD00LlARE( 0,000),INADDRIONTOiHECOSTOFCOIAPENSATION,DM4IGESASPPOVIOEDFORINSECTION3lO60FTHEUBORCODE,IMEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn thal I em licensetl under provisions of Chepter 9(commencing with Section 7000) of Division 3 of the 8uslness and Prolessions Code, antl my licensa is in full torca antl ettect Lic. a qass q Contractors Signewre: Date: CONSTRUCTION LENPING AGENCV: ❑ I hereby eHirm Ihe� there is a consimction lentling agency lor ihe peAormence of the work for which ihis permil is issuetl. (Sec. 3097, Civil Code). Lendels Nama: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby aNirm thet under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Coda: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, elso requires ihe epplicant tor such permit to tile a signetl statement that he or she I5 licensetl pursuent to the provlslons ol ihe Contractors LJcense Lew (Chepter 9(commencing with Section )000) of Divislan 3 of the Business end Protesslons Code) or thet he or she is axempt theretrom and tha 6esis tor tha ellagad axemption. Any violaYion of Sectfon 703t.5 by any epplicant tor e permit sub�ecls the applicant ta e civil penalty of not more than live hundretl tlollars ($500).): ❑ I, as owner ol Ihe p�operty, or my amployaes with wages as their sole wmpensation, WILL DO THE WORK, end ihe strucWre is not Imendetl or ottered for sale (Sac. 7044, euslness and Professions Code: The Contrectors License Law tloes not epply to an owner oi pmperty who builCs or improves theraon, and who Coes such work himsetl or herself or Ihrouqh his or her own employees, Drovided Ihet such Improvemems ere not intendetl or oNeretl for sele. If, however, ihe builtlinq or improvement is sold within one year ol complation, Ihe owner-builder will heve iha burden ol proving that he or she did not 6uiltl or impmve tor puryose ot sele.). � � I, as owner of the properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct Iha project (Sec. 7044, Business end Professions Cotle: The con[raC�ors License Lew does not apply to an owner of pmperry who builds or Impmves ihereon, and who contracts lor such prolact with e contractor(s) license pursuent to the Contractors License Laws.). ❑ I em e�cgmpt under Owner ❑ Yes ❑ No antl Verification o1 Ownership by (type ot documem, i.e. - property tex bill or tleetl)'. Proteuions Code lor ihis reason: Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I hereby cenlly t�ei no excavetion fiva (5) or more feet In depth into which e person is required to descend, will be metle In connection with work euthonzed by this permit, and thet no building siructure, scattolding, falsework, or demolition or tlismantlinq thereof, will be more fhen thirry-six (36) feat high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title B, Calibinie Atlminisiretive Code). ❑ As ownervbuilder, I will not employ enyone to do work which woultl repuire a permit �rom �he Division of Industriel Sefety, es nated above, unless such parson has e permlt to da such Work from ihe division. Signature: Date: Division at Intlustnel Safery Permit Number: CERTIFICATE OF COM7LIANCE AND AUTHORVA710N OF ENTRY: I certify untler penalry of perjury that I have read this epplication antl state Ihat the infortnation given Is correct. I gree to comply with ell state laws and ciry ortlinances relating to builtling cons�ruction, and authonze representatives ol the City of Cosia Mesa to enter upon Iha ebove-tl nbed property or inspection purpases. I agree not to occupy or ellow occupancy of any building authonzed by ihis permit until final inspection. � il�'1 �(1 � ignatu Ot Legal Owner(s) ' —� Date And/Or Authonzed Applicent Date COOE I, INSYECTIONTYVE PdIE II�L9 7616 FixeG System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Root 201 Flnal 81ocWReta��ng well 202 Final Fectory Fila Place 203 Final Sign 204 Final Demolition CODE� INSPELTIONTViE 206 Final Mechanicel 208 Final Plumbi 210 inal Ele � I 2 Fi Fi reventlan inal Ianning Appr al 222 Final Site 250 Final Building/Occupency QAg II�ELS AOP��ant to (ill in all soaces excao� thosa witnin neavY �orAer Ilnas antl sign all avProo��ate aeclarations. CITY OF COSTA M..S —7CON/S�TRUC ION� ERMIT .PEFytt1T NO. TRACT NO. LOT NO. UNIT NU. ( -Project Ad�'ress � �� / /� �L � � A�Plicant's Mailina Address -! 7�/ � G- �JG� Owner's Name �/EG ' j Pnone 1 , v7 � Address � y � � �� `� (�� Arch/Eng. � License No. d � g Address �Conuacwr's Nam �7 �'�5��'v � L � Phone `��._��, �ddress (ma I"ngl�'( / ' � ' � �'� /�_ Ciry License Nn_ J � � LICENSED CONTRACTOR DECLARNTION I he�eby attirm t�at I am IIC¢nsetl untle� D�ovi51on5 of Chdrte� 9(commencing wiih section �000) of Dlvision 3 ot the Buslness antl Professions Cotle, antl my license is in �u � fo ce a p ettect. � rQ �� License�la� � ? �/��' se-ryg� Oate ��' 5"g t � WORKERS'C MPENSATION DECLARATION � hereby affirm that I bave a certificate of consen[ to self-Insure or a certiflcate Workers' Compensation InSuranGe, or a certifietl Copy thereof (Section .d00, l.ab. CJ ' Policy No. Company Certitietl copy is hereby fumlSM1eG. �Cevt pY B filetl w�[p Ihe city B i g �Ivisio ;ii)ate fAPDlicant ��— ' EXEMPTIO--�RKEf35' COMPENSATION DECLARATION (This settion neetl not be Comple[etl"If Ine p¢rmlt IS tor on¢ huntlretl ($300) or less). 1 certiry that in the pertormance of tho work for which this permk is issued, I shall noS emPl y an p¢rsOn in any manner 50 as to be m subject t0 the Workers' eq sa Laws of Califor r� / �ate � J 51 nature /�/�/� �+r%'�-/�-- 'NOTICE: H, af[er aking tM1 s tleclarati n, you snoultl become subj ct to e Workers' CompCnSatiOn provlsion5 Ot [he Labo� Cotle, you must forthwith comply with such p�ovi5ions or this perml[ shall be tleemetl vevoketl., CONSTRUCTION LENDING AGENCV - ' I hereby affirm thal th¢re I5 a conStruCtiOn lentling agency for the perfo�mance ot �lM1e work for wnich lhis permit is issuetl (Set[ion 3097 Civ. C.) Lentler's Name � Lentler's Atltlress _ OWNE0. BUILDEH bHCLARATIOfJ . ' I hereby affirm that I am exempt from lhe Con[iaclor'S Lic¢nse Law tor the followin9 reason (Section 7031.5 Businass antl Protessional Cotle: Any city or county whicn r¢quires a p¢rmit to con5truct, aller imp�ove, tlemolis� o� repafr any structure, pNor to its Issuance, also requires t{�e applitant tor such permit to file a si9netl statement lhat he/sbe Is IiCensetl pur5uant to tM1e provisions ot .the Cmlractor'S License Law (Chapter 9(commencing with Section �000) of � Division 3 of the Business antl Professions Cotle) or that he/she is exempt '�ere/rom antl the basis tor the alle9etl exemptlon. AnY ��o�ation bt Section 931.5 by any applican[ tor d Pe�mit SUDjectS [he appllcant fO�a civil enalty o( not more than five'huntlretl tlollars (5500). � I, a5 owner bf tM1e properry or my employees with wages as lheir Sole compensation, will tlo the work, antl the structure is not IntenGetl or ofteretl for sale (Section 7044, Business antl Profezslonal Code: The Contractor's License law tloes not applY t0 an ownGr of a properry who bu11tl5 Or ImO�oveS thereon, an0 who tloes such wo�k hlmself/h¢rs¢Ii o� [h�ough hiz o� her own emvloyces, provitlatl Nat zucn imD��vements ara noi intentlea or o(feretl tor sale. Il, howev¢r, the builtling or im0/ovemen[ I5 Soltl wi[hin one y¢ar of com- pleHon, the owner will nave the burtlen of provin9 he/she tlitl not bulltl or im- prove tOr the OurpOse oi Salo). ❑ 1, as Ownet Ot the property, am exclusively contractln9 wlth licensetl con- iractors to cons[�uct th¢ Project ($et[ion 7046, BuSiness and Profession5 Cotle: The Con[ractor'S License Law dOes nOl apply to an owner oi property who bailtls or improves tnereon, ana who contracts tor such orojects wilh a mn-- Iractor(5) license pursuant�ro the Contractor'i I..Icense Law). I am aware that p�oof of Iheir Wo�keYi COmpenSatlon insurance Shoultl be provitled to me. ❑ I am exempt untler Section 8. 3 P. G(or th6 reason Date Owner _ I hereby-c¢rtify [hat I have �eatl lhls intormdlion is corracL I agrec [o COmpl anC state laws relating to builtling cons sentatives ot this city to enjer upon above iances repre- v far l" �� 00 " ' . . � TVPE OFCONSTRUCTION NEW ADD ALTERATION ' REPAIR — ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# O' DESCRIPTION OF WORK/USE OF BLDG. � S � Main Buildin9: TVPE OF PERMIT , GRADING FOUNDATION STRVCTURA� T Front ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL B Rear ❑ �OTHER ' � A PROJEC7 DESCRIPTION Sq. FT. oCCUaArvCv C Right K Left CONSTRUCTIONTVPE VALUATION$ $ , ZONE GRA�ING CU. YDS. ACRES p�ng. Ref. # Remarks: , Planning Notes: Sink Preventer Irrigation Dishwasher Drinking Fountains ' Floor Drains Floor Sinks � GasService Outlets Interceptors Kitchen Sink � Lavatories . - Roof Drains Reinspection Fea, � $15 Boiler Duct - Under Ground Duct-Structural � Duct - Ventilating Exhaust System ❑ Multiple FirepVFacL 81L IC80 # Heating System & Ducting' ❑0.100,000 BTU �100,000 �"y"","" —�i`b�'" -----�r—�' I I Reinspection Pee - I $15 �Orivers' License or 5_ „ CMF 0865-46, rev. 10/84 White - Builtling: Canary - A�Plicant; Pink - Accounting; Goltlenrotl - Assessor BING Service Sink Sewer Cap . Sewer Connection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal . Water Closet Water Heater Water Service Aufo�Wash - Laundry Trays . laue Fee' Hood or Type I ❑ Canopy Type II ❑ Refrigeration System �aioo,000eru ❑ibo,000 System Repair/Alteration Fire Dampers Registers Issua Fee FEES $ 3 FEES $ 3 Aummatic Washer - Consvuciion POIe $ub. Cooking Unit•��— Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fiztures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW 05-' 9450 9/03/�5 Accessory Building: ELEC7RICAL � Trans(ormer ❑ 15-50 KW ❑ 50+ KW Meter �up to 100 amps Mefer �over 100 amps Sub Panel Motors�0-1 HPO1'/:-S Inc. Solar �9-15 HP 016-15+ Microwave Pole Light fiange ; Standing $ections 5 KW Trash Compactor I Reinspection Fee I$15 I � laue Fee DEVELOPMENTSERVICESRE�UIREMENTS: Zonin9 Approved By Building Approved By Applip[ion laUed By 50�'.! ,TL FEES S3 2 O N I, N G R E Q M T S SUMMARY OF FEES BUILDING PERMIT $ SMIP $ . PLAN CHECK $ PERMIT ' PLUMBING $ � ISSUANCE $ � PLAN CHECK 25% $ ENERGY P.C. $' �ELECTRICAL $ GRADING � $ � PLAN CHECK 50% $ MICROFILM $ MECHANICAL` $ TOTAL FEE $ � PLAN CHECK; 25% $ ' . ' , ; CONSTRUCTION AND PLANNING POO iPA . APPf�OVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . '� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Elecirical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. . 8� Foundation , 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. • 10. Structural Floor System , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing �65. Electrical-Final - 15. Rough Electrical�Conduit 66. Solar SYstem-Final 16. ,Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground� Flush � 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil ' 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame a�d Flashing 76. Dry Standpipe 28.. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � M� �. q�0' V,JiU• 34. Final Heating & Air Conditioning -' � � ` 35. Final Gas Pipe-Test � d!r (�� 36. Hood or Gnopy ' . 37. Final Factory Fiieplace ' �, 38. Final Plumbing Lr/ d� L� ' 39. Water Service-Final 40. Gas Service-Final ` 41. Solar pomestic-Final 42. Backflow Preventer. � � - 43. Backflow Irrigation � 44. ,landscape Irrigation System � � 45. Sound Attenuation ' 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING � � ' 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - . , � Applicant to fill in all ipaces ezcept those wilM1in neavy bortler lines antl sign all appropriate tleelarations. Cirv oF cOS7A S CO STR CTI PERMIT Project Address � . r . Applicant's Mailin9 Address � � /� Owner's Name � Phone �_`�/ Addreu ��;�� ArchlEng. License No. Address �Convactor's Nam ' Phone �� 1I Address (m� �'nnl � �� P�e;�/� � � ✓ City License No � � �i LICENSED CONTRACTOR DECLARATION I hereby affirm thal I am licensetl untle� p�ovision5 of Charter 9(commencing with section ]000) of Dlvision 3 of the Business antl Professions Cotle, antl my Ilcense is in /ull or{q ntl effecL � , Licanse ass. » ' enye � Z Date Signature � � WORKERS' COMPENSATION DECLARATION ' 1 hereby affirm that I have a certificate of consent to seli-insure or a certi(icate f Workers' COmpensalion Insurance, o� a certitietl cop the�eof (SeGtion 800, Lab. C /� n )� o /� ��/� �,/� � Policy No. �V,'L,—.T��? �v— Company `�� ^ (JL� /�� ertifietl <o0Y is hereby fumizhetl. / ,/ �/ Cer le ca flletl with the city B tliry$ iya'W/� A ////�' / Date �� n'�� APPlicant ��7� �l/l//// — — v EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissectian neetl not be completetl if [he permit is �ot One huntlred (E300) o� iessl. I certity that in tne performance oi che work for which thiz perm�t is Issuetl, I sM1all not employ any person in any manner so as to become subject co the workers' Compensation Laws of California. �ate Si9na[ure NOTICE: H, after makln9 this tleclaration, you shoultl become subject to the Wo�kers' CompenSallon provision5 of the Labo� CoOe, you must forthwith Comply with Such provisions or �Itis permil shall be tleemetl �evoketl. CONST(3UCTION LENDING AGENCV 1 M1ereby affirm thal fhere is a consVuction lentling agency far the peitormance ot tM1e work for whi<h thi5 P¢rmit is issuetl ($ection 309] Civ. C.) Lentler'S Name Lentler's Adtlress OWNER BUILDEH UECLARATION I hereby aftirm that I am exempt from the Contractor's License Law for the followin9 reason (Soction �031.5 Business antl Professional Code: Any city or county wM1ich requires a pe�mil to construct, alter, improve, tlemoll5h or repal� any structure, prbr to its issuance, also requires the applicant for sucn permit to tile a signetl sta�ement that he/she is licensetl pu�suant [o [he provisions af the Contractor's License Law (Chap[er 9(mmmencing witn Section 7000) o( Oivision 3 ot the Business antl Professions Cotle) or tM1at he/she is ezempl 5erefrom antl the Uasis tor Ihe alleqetl exemption. Any violation o! $ection ]31.5 by any applitant tor a permit subjects [he applicant to a Civll enalty of not more than five buntlretl tlollars ($500). ❑ I, as owner ot lhe p�operty o� my employees with wages as tbai� sole Wmpensation, will tlo the work, antl the structure is not intentle0 or offeretl fo� sale (Section ]044, Busine55 antl Professional Cotle: The Coni�ac[o�'s LicenS¢ Law tloes nol apply to an owner of a property who builtls or improves thereon, antl who tloes such work himseli/herselt or throu9h his or her own emo�oyees, p.ovltlea tnat such imorovements are not intentlea or offeretl (or sal¢. If, hOwevet, lM1e Ouiltling or Improvement is SOItl wi[hin One year ol com- pletion, the owner will have tne burtlen oi provin9 he/sne Gitl not builtl or im- �iove to� the purpOse of sale). U 1, as owner ot the prooerry, am exclusively contracfing witn licensetl con- IfdC�015f0 COOS�1UCl lM1C pfOj2Cl ($CC[I00 ��46. BUSIOE55 dOtl PIOf255�005 COdC: . The ConVactor's License Law tloes not apply to an owner of property who builtls or improves tnereon, antl who contracts for such projects witn a con- tractor(sl iicense purzuant to tne Contractor's �icense Law). I am aware tnat prooi of tbeir Worker'S Compensatlon insurance shoultl be provitletl to me. ❑ I am exempl unaer Seciion 8. & P. C. for Inis reason Date Owner I he�eby certiry lhat I have rea� intormation is cortecL I agree t0 antl slate laws relaling to builtlir Sentalives of this city to� pente//� in5pecllonpurpc}Ses._,_��` T} Signatur¢ _ � ��,� Drivers' LicensboF 5 a date that the above d county ordinances eby authorize reore- ionetl P�operty to� Data�1�� TYPE OF CONSTRUCTION IJ NEW LJ ADD. LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ OEMOLISH ❑ OTHER q.p, # DESCRIPTION OF WORK/USE Of BLDG. S Main Buildi TVPE OF PERMIT GRADi�vG FOUrvDA7iON ❑ STRUCTURAI. T Front ❑ TENANT ❑ ELECTRIGAL � Pl_UMBING ❑ MECHANICAL B R¢d� ❑ OTHER %� C Right PROJECT DESCRIPTION 50. FT. OCCUPANCV K CONSTRUCTION TYPE VA�UATION S S Lef[ ZONE GRADING CV. VDS. ACRES p��g, Ref. # Remarks: Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories � P—Trap Roof Orains Reinspection Fee � $15 Boiler Duct - Under Ground Dutt - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating SYstem & Ducting ❑ 0-100,000 BTU � 100,000 BT Reinspection Fee � $15 CMF OB65-46, rev. 10/84 White Builtlinq; Cana�y - Appliwnt; Pink - Accounting: GOltlenrotl - Assessor Showers Service Sink Sewer Cap $ewer Connectian Solar Collecrors Solar Piping. Solar Tank Swimming Pool w/Spa Urinal Warer Closet Water Heater Water Service AUiO-WdSh Laundry TraYs Issue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑0-700,OOOBTU ❑100,OOOBT SVstem Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 F $ 3 Automatic Washer Construction PoleSi Cooking Unit Dishwasher Dryers ❑Gas ❑E Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KN Fee lecttic 6922 3/17/83 Zone Accessory Building: ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up w 100 amps Meter �over 100amps Sub Panel Motors �0-1 HP �1'h - 8 Inc.Solar �9�15 HP �16-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compacror $15 ISSuO F¢e DEVELOPMEN7SERVICESRE�UIREMENTS: Zoning APProvad BY Building Approved By Aooliwtion Issued Bv � 5,�(� TL FEES $ 3 Z O N I N G R E Q M T S SUMMARY OF FEES BUILDING PERMIT S SMIP. $ PLAN CHECK S �o7�SSUANCE $ � PLUMBING 5 V� PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL S TOTAL FEE $ PLAN CHECK 25% g CONSTRUCTION AND.PLANNING POOL & SPA AFPROVALS Permit�# Date Inspector AppROVALS Permit# Date Inspector �: • i 1..�femporary�Electrical•Serviceor Pole 52. Pool & Equipment Location' • a 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement " 3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ;s. 5. Steel Reinforcement 56. Rough Plumbing & Pressure-Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings :,� 58. Electrical Conduit-Undrgrn�f;' (. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Teit ; v� �� 9. Water Pipe�Undrgrnd. �� 60. Backwash Lines, P-Trap, ��Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System - final 14. Rough Plumbing 65. Electrical�Final 75. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. P,pOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts,in Structure 70. Underground Hydro . ' 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76.� Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �. 31. Plaster Brown Coat 79. FINAL INSPECTION `"� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: � 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 3 Z/ �Y �p • 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed ' � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY � No. Date _ . - � i�� Applieant to fill in all spaces except �hose wilhin heavy DorEe� Iines antl sign all appropriate tleclarations. �Gj �a I PERMITzf�,�,�0� TRACT NO. LOT NO. UNIT NO. � CiTvoF COS7A nnESA CONSTRUCTION PERMIT J l n/;G C A.P.;1� _ - Zane . ProjectAddress a�37- �Uli� P1�}�.G� CY4� '� TVPE OF CONSTRUCTION NEW P.�D ALTERATION REPAI R S Main Building: ACce550ry Building: 'ApplicantiFMailin�gAddress 17�b' W� N£�/1N,E.�• OTZ^1�l� �'�j E 2 THa c�� L � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front � O�wner'slYe� �� HIG Phone �`O%9 DESCRIPTIONOFWORK/USEOFBLDG.G��O -L�JGl-.O�iVf�V=�— 8 � N :2�'37 �UI.fE �L.f�cE - . A Rear � Address �1 J y0� �hT Ar^h/Eng. Licenu No. �� TYPE OP PERMIT ❑ GRaDiNG ❑ F UNDqTIorv STaUCTURAL I K Right Lf.. G Address ❑r/TENANT ELECT ICAL ❑ PLUMBING ❑ MECHANICAL � i S' Left � �� R Contrector's Nam � 6v Phone ��7'�� u'oTHER ` t � � ping. Ref. # Parking Req./Provided E Address (mailing) �788 N.I.�FV11.1.E �iT; O(Zii�1�� Cfa(o�j� PROJECT DESCRIPTION Sq. FT. oGCUPANCv - /� CONSTRUCTIONTYPE VALUATION$ � P�anningNotes: �n��1 M City License No. �� 7 Z^ ZONE GRADING CV. VDS, ACR 5 I Ga/v , s. • r�/cl g LICENSEO CONTRACTOR DECLARATION 1 hereby affirm that I am licensetl untler provisions of Gharter 9(mmmencin9 Remarks: G �- with section 7000) ot Division 3 ot the Business antl Professions Cotle, antl my license is in 1 torce antl ff ct. nA jiC � • ELECTRICAL FEES Licen�sje�G s — G' Licen�y�o.�ryT�� Date:.x.�. ny Si9nature �-sr-��C'�� PLUMBING FEES P.utomatic Washer Transformer ❑ 15-50 KW ' WOftKERS' COMPENSATION DECLARATION Bar Sink ShOw¢f5 Construction PoleSub. � 50+KW , I h¢reby affirm [M1at I have a certifiCd[e of con5¢nt to se f-insure or a certiticate � brkers' Compensation Insurance, or a certitietl mpy mereot (Section Backflow Preventer Service Sink Cookin9 Unit Meter ❑up to 100 amps Lab. C.) aomy No.731�a��b-�b�ompany ��1C1�1N''ifl� Backflowlrrigation SewerCap Dishwasher Meter �over100amps� �Certifietl copy is nereby furnishetl. Dryers �Gas ❑Electric Sub Panel '' � Cert' ietl.�Qpy i tl with the city Bui g Division Bathtubs Sewe� Connection Date -�� +�� APPlicant� "� � EXEMPTION FROM WORKERS' GOMPENSATION CL ATION Clarifiers SOldf C0112Ct0�5 Fdn MOt0�5 0-1 HP OIYa- 8 1 ssjssection neetl noi be completetl if tne permit is tor one h ntlretl (ElOo) or Dishwasher Solar Pipin9 F�A�� I. olar 09-15 HP �76-15+ I certify that in the perto�mance ot th¢ wovk to� whlch thi5 pe�m�t i5 i55uetl I FIXtuI¢5 snall not employ any person in any manner so as to become subject to tf�e Drinking Fountains Solar Tank Microwave f` Workers' Compensation Laws ot California. � Date SSnature Floor Orains wimming Pool w/Spa Device Boxes Pole Light rvOncE: 1�, atrer making mis deciaration, you shoWtl become subject to the OuHets Ran e ,' Workers' Compensation provisions of the Labor Cotle, you must forthwith Ploo� Sinks Urinal 9 comply wi[h such O�o'/�sions or thi5 permit snall be deemetl �evoketl. � CONSTRUCTION LENDING AGENCV . GaSSeNlce Outlets WetelClOset Switches Sign I bereby affirm that there is a consiruction lentling agency for the performance 1 of the work for which this permit is issuetl (Section 309� Civ. CJ �n[erceptors Water Heater Garbage Disposal Standing Sections LRntle�'S' Name � Lenaer's t�aaress Kitchen Sink Water Service rr Generator �0-5 KW �5-15 KW Trash Compactor OWNER BUILDER DEGLARATION I heleby aftirT lhat 1 am ¢xempt frOm the Contractof's Litense Law tor the L2v2tOfl¢5 AutO-W85h followin9 reason (Section 7031.5 BuSinesS antl Professional Cotle: Any tity or county whicn requirez a permit to construct, alter, Improve, tlemolish or repalr P—Trap Laundry Trays any structure, p�ior to its issuance, also �equires the applicant tor SUCM1 pe�mit � to file a si9netl Statement that he/she is licensetl pur5uant to th¢ p�ovision5 of Roof Drains the Contractor'S License Law (Chap[er 9(commencing with Section 7000) of �+� Divisian 3 of the Business antl Profezsions Cotle) or that he/she is exempt ReinspeMion Fee $15 I55ue Fee $ 3 •efrom antl the �asi5 fOr the alleqed exemptiOn. Any violdtlon ot Sectlon 1.5 by any apPlicant tor a permit subjects the applicant to a civil elty of not more than five hunare0 tloiiars (g500). 3 DEVELOPMENT SERVICES RE�UIREMENTS: lJ I, as owne� of the p�operty o� my em0�oye¢s with wage5 a5 their sole Reinspection Fee $15 ISSUB F88 $ Zaning Approved By DetO compensation, will tlo tne work, antl the struciure is not intentled o� otter¢tl ' (or sale (Section 7044, eusiness antl Professional Cotle: The Contractor's MECHANICA FEE$ � Building APP�oved By Date License Law tloes not apply to an owner of a prope�ty who builtls o� improves � thereon, an0 who tloes such wo�k himselt/herself o� through his o� her own HOO O� TypE I ❑ %�PP��tion ISSUBd By � �et � employees, provitletl [bat such improvements are not intentletl or otferetl tor BOiI¢� ule. If, nowever, the builtlin9 0� improvement is soltl within one year ot com- C opy Type II ❑ SU RV OF EES � pletion, the owner will have the burtlen of provinq M1e/she tlitl not builtl or iT- Duct - U�d2� GlOuftd . �ove tor the puroose oi saie). , , BUILDING PERMIT $ • � SMIP '� � $ `i� LJ I, as owner ot the property, am exclusively contractin9 with Ilcensetl con- Duct-S[ructural Refrigeratfon System PLAN CHECK '-3 PERMIT [ractors to <onstruct the prolect (Sec[ion �044, BuSiness antl Professions Cotle: i . $ The Comractor's License Law tloes not apply to an owner oi property who Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU - pLUMBWG $ ISSUANCE $ builqs ot improves thereon. antl�who contracts Tor Suth oroi¢cts with a mn- ' n� tractor(s1 license pursuan� m me Convactor•s License l.aw). I am aware that Exhaust System ❑ Multipl System Repair/Alteretion ' PU1N CHECK 25% $ ENERGY P.C. $ proof of thert Worker's Compensatlon insurance shoultl be provitletl to me. � ELECTRICAL $ GRADING $ ❑� am exempt untler Section B. & P. C. for this reason FirepVFact. BIL ICBO # Fire Dampers . -'� PLAN CHECK 50°,6 $ MICROFILM $ �ate�' Owner Heating System & Ducting Re9isters MECHANICAL ' G I hereby certify that I have reatl this application antl state that the above ❑O�100,0006TU �100,OOOBT $ TOTALFEE $ v� Infonmation is correct. I agree to comply with all tity antl county ortlinances PIAN CHECK 25% $ � j. antl state laws relatinq to builtlm9 construction, and hereby authorize repre- sentatives of this city [o enter upOn the above-mentionetl' prop¢rty for inspection putpose5. ' Signature oate peinspection Fee $15 Issue Fee $ 3 01 �Qa27bS3-OQ027555 �r_:T .:.E:,_,� Drivers' Licenze or 55 9f � . DRTE: 03/Oolu9 TIflF: 1.3ap5 0865-46, rev. 5/Be Wnite - Bulltling; Canary - Applicant; Pink - AccounLng; GolOenroO - HsSessor ,._ . , , .. _ ,..,. . `� CONfiTRUG..IpN AND PLANNING POOL 'PA • APPROVALS -Permit# Date Inspector AppROVALS Permit# , �9te !Inspector, i 1.� Te;^T orary Electrical Service or Pole 52. Pool & Equipment Location � �. '� _ 2. S4il Pipe-Undrgrnd. �Al'. „ 'C 53. Steel Reinforcement '3: Electrical Conduit Utility-Undrgrrid. 54. Forms 4. Electrical Conduit-Undrgmd. � , 55. Electrical Bonding 5�Steel Reinforcemenf�'"� �� r 56. Rough Plumbing & Pressure Test r 6. Electrical UFER Gmd,.�� 57. APPROVAL TO COVER-GUNITE - i 7. Footings �, � 58. Electrical Conduit-Undrgrnd. 8.� Foundation �� . , 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. �� ' 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System ' , 67. APPROVAL TO DECK 11. Property Sewer Line�& House Coi{nection { 62. Backwash & Receptor-Final 12. Sewer Cap „ '' . 63. Heater & Vent-Final 13. Roof Drains -� ' � 64. Plumbing System - Final 14. Rough Plumbing ', 65. Electrical-Final 15. Rbugh Electrical-Conduit 66. Solar System-Final 16.' Rough Electric Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING i18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL .19. Rough Heating & Air Con�tioning FIRE DEPT. REQUIREMENT 20. Rough Factory'Fireplace •,'� '�� APPROVALS Permit # n .- �27. Ducts, in Structure , �� 70. Underground Hydro 22. Ducts, Ventilating �� '� 71_�Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rougtr$� Tesi . ,�72. Underground Flush /� 24. Roof Framing • 73. Undergrnd.StorageTank �Gas ,DOiI 25. Roof Sheathing, •, 74. Overhead Hydro 26. T-Bar Ceiling (Siructural) &.Monocoat 75. Dry Chemical 27�. Frame and Flashing �� ' 76. Dry Standpipe 28:'Lathing&�Siding �' 77. FIXEDSYSTEMFINAL 29. Insulation �� 78. FIRE PREV. FINAL 30. Drywall Nailinq� � -"� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coati�' : � 79. FINAL INSPECTION 32. Electrical Power�Meter-Final 80. FOOD CERTIFICATE ISSUED 33.FinalElectric V� Notes: e �� S'�> S�y(OG� 34. Final Heating & Air Conditioning ��i'�� C 35. Final Gas Pipe-Test 1 � �36. Hood or Canopy � :� 37. Final;Factor.y,Fireplace- .38. Fi�rjal�Plumbing -• � '�' �39. Water Ser.'vice-Final: � 40. Gas Service=Final , �� r �41. Solar pomesticFinal�-'� � � � y,42. Backflow Preventer" `'� / i-'�� ''�',� . . 43. Backflowlrrigation '; �� " 44, Landscape Irrigation SYstem ' ' ' /�i , 45. Sound Attenuation: '. � • 46. Handica,p Regulations �, � ' 47. FINALSTRUCTURE&BUILDING 3 S�fCi 48. Special Requirements Completed 49. Electrie Release to Edisbn � t . �60. Cras Release to Southern California Gas Co ' ,�� 51. CERTIFICATEOFOCCUPANCY . ' � � No. Date i ' � , , � � . �—{ , i � � ; i i I ; �y„�wto� 2 Awi� I+�c� ; � � � , � � ' '.�-js�8� ),1. ►sEvi�� T. ' 1 I � I 4 1 I � 1 1 , � . ,o�'�E '�a�66 � � , , , � . . � , , � . , , . , . ,� � , � { i ; 1 � � : i i � � 't'iN �E►� V+=,cckilo ' • 1 � , . , �3� �va��' P►.. . . � C'a57.� wc��A, ' , ; � � cA�, �, �a�a� ., .... , , , . . . i � , , . . . , ., . . , ; , . , � � � , , , i . , . i I t 5� SUBJECTTO 'DATE' t-31 ToP 15 1'`�� k �9 �C.li � . BY ..-- 0 0 2E G E) ITIALS � � � I I N � � � � + , � , � ��'f R;�T; I I � ; I � � i � � � I �! I I I !' 1,� I 1� �-�`_'t I�f , No. sc,�►.�� I , , I I � , � � i I � i � �� o¢ �ost TIIESE Ah� MU5 NOCWA d'vE5 N;li! iHE�I55U PlCE CR GR� PLAN$AN SuEfiFICA'.0 PERMO i0 . OR P�I:F' iHE PROVI ONS �`F �rr. � AUTMCRIN T4 V:C�P?�E � CO[N.�'SHA L BE \'AL{0. F WHICN !i �TMURIZES � THE IS-UFNCE OF � SPCCIfICAI ONS. SHASL FROM TtIE. Ln'RER 2Ei� SFIC PiAI IS AN9 SF BUIiDING PERATIGNS IN vIU:�.tl N OF THIS � � �1€ Cll'. � � ' � I ( I � � � ,9g9 � i � �� . ; ; , `-! � I i � � � i � � � a r City of Costa Mesa MEASURE "C" EXEMPTION Plan Check # Permit # Address: 2437 Duke Place Applicant: Glamour Awning Inc. — Ken Iyon FACTS: x❑ Residential � Existing Lot Exemption # $9-214 Case # ❑ Commercial/Industrial ❑ Other ❑ Not Part of Larger Project Unit: Project Description:Adding a 221 sq.ft. sunroom to an existinq sinqle family residence No. of Dwelling Units 1 Gross Floor Area NA Square Feet F.A.R._ NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. � 2. Project is a residential project of four dwellings or less on an existing lot. 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. ❑ 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. ❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitais, police, fire and safety facilities, and schools. Exemption ratified by: x❑ Planning Commission ❑ City Council Date Februacy 14, 1989 Date - a�- cosGa ��es :� 0 3 MARCH 8"3 TO WHOM I7 MAY CONCERN: THIS WILL CONFIFM THAT OUR HOME IS E�UIFPED WITH SMOY.E ALARMS WHICH ARE NOW AND WILL BE KEPT IN PROPER WORKING ORDER. PLEAyE LET US f:IVOW IF FURTHER INFORMATION IS REQt)IRED IN ORDER TO O�TAIN APpROVA� FOR OU�i PATIO ENCLOSURE. THANK YOU. �� JOHN .J, DEL VECCHIO �437 DUKE PLACE COSTA MESq, CA 92626 -OWNER )OB ADDRESS AP. No. Beam Coltiunbia Homes, 243Z.Duke P1. tACTOR Dike & TYPE Inc. COlg'T'Ove� 131C. 54 r�xe zoxe V ZONE Rl DATE 5-29-� BUILDING PERMIT NO. VALUE $ 16,168.00 DESCRIPTION OF WORR Res. w�at PLAN NO. DATE I gUBCONTRACTOR I DATE NUMBER . . �7��L> COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] ., COSTA MESA. CALIFORNIA FOR TO FILL IN COSTA MESA. CALIFORNIA MAIL ADDRE55 F � CITV ARCHITECT ��OIZ oRE �EEg ebrook ADDRE55 Garden Grove TEL. NO. LIC. NO. �Re&Y'nVP.� I71C. CITV NO. � E• 17th St• TN� Li• �EGnL ILOT 59 DESCviPTION ry0, A.P. NO. SIZE OF LOT 70 X� 9� USE OF EXISTING BLOG. NO.OF BLOGS. ��ow oN �o, none SETBAGK LINE fROM C CENTEfl OF STPEET lO� REAR YARD �� SIDE VARD RIGHT �I IEFT 5.6� • DESCRIPTION OF WORK NEW X qLTERATION I qODITION REPAIR I �MOVING DEMOLISH SIZEDING 1601 SCl 1tiROOMS 6 STORIES �. EXTEftIOR WALL ROOF COVERING StUCCO COVERING COIIIii• USE OF NEW BUILDING Single family residence \ .ar YJIr�Jm�.lr.. AUG 27 1958 .. .inr , -�-, .�.. .. .. . _. . APPLICATION FOR PERMIT BUILDING FOR OFFICE USB ONLY FECEIPT NO. PERAtIT jj0 r /H a �i . RECEIVEO BY OATE flECEIVED DATE ISSVEO BUILDING ADDRESS COSTA MESA. CALIFORNIA APPROVED BY DATE CORRECTIONS ' Ylan YSull I MEFEBV FCKNOWLEOGE THPT I HAVE RE/.D THIS APPLIChT10N AND STATE TH/T THE wBOVE IS CORRECT ANO iGREE TO COMPLY WITH nLL CITV ORDINPNCES RND ST L1W5 REGUL4TING BVILOING CONSTRVC- ilO�v. VALUATION SIGNATURE OF � � PERMITTEE � '1'-' � 516,168.00 AUTHORIZED AGENT �ne & Colegrove, Zi1C• PERMIT FEE S 3��UQ PLAN CHECK S y��OO TOTAL FEE $ 57w0� Wf