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Home My WebLink About2507 DUKE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: 2507 DUKE PL 14141242 PALOMBO. RICHARD PALOMBO, RICHARD Address: 2507 DUKE PL COSTA MESA, CA Contractor: Address: MECHANICAL PERMIT Phone: 714-540-4296 Zip: Phone: Zip: 92626 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 02/23/2001 Issued: O6/05/2002 SCOPE OF PERMIT 67 SQ. Ff STAIRWELL ADDITION TO FIRST FLOOR AND 900 SQ. FT. ADDITON TO THE SECOND FLOOR. SECOND FLOOR ADDITION TO INCLUDE MASTER BEDROOM, MASTER BATH, WALK-IN CLOSET, FIREPLACE AND LOFT. REF: 800-01961: MECHANICAL TO INCLUDE: 1 FAU LESS THAN 100 K BTU, 2 FACTORY FIREPLACES, 1 HOOD WITH EXHAUST. 1 VENT FAN. ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refng Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Boz Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Hantllers > 10000cfm Floor Fumace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21.30 $0.00 $0.00 $725 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 so.00 $0.00 Quantity 1 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorblion Unit Repair / Alt Re(rigeration Unit Ventillalion System Evaporative Cooler Commercial I n cinerator DomesUc Incinerator Compressors / Absomtion SVstems Upto3hp/100kBTU 3 TO 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechaniral Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS 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 50.00 $0.00 $0.00 $66.85 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRA710N: This permit shall automatirally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 , zaaaas �Noo7 WORKERS' COMPENSATION DECLApATON: I hereby attirm under penalry ot perjury one of the following tleclarations: � ❑ I have end wlll maintaln e certllicate of wnsent to self-Insure tor warkers' compensation, es provided for by section 3700 ot the Lebor Cotle, lor Ihe partortnance of the wark tOr whit� I�iS pertnit is issued. . ❑ I have and will maintaln workers' compensation surance, as required by section 3700 of Ihe Labor Code, for the peAortnance of ihe work for which this pertnit is issued. My workers' compensati In ur nce ce�rier e d olicy number ere: �^ Cartier: • policyNumber: �'�� (This s lion need nof be completed il the perm is velued ef one huntlred tlollers ($f 00) or less.) —j—`-� ` I certify ihet in the peAormance ot the tor which thi5 pertnit is issuetl, I shall not employ any person in any menner so es to become SubIBCI Io Ihe workers' compensatlon laws ot Califomie qr t e� il I shoultl become sub�ect to t�e workers' compensation provisions of Sectlon 3700 0l e Lebor Code, I shell forthwith comply with these Orovisions. � �� _, � Applicant Signature: Date: L� WARNINO: FAIWFE TO SECURE WORNERS' COMPENSATIqJ COVERAGE IS UNLAWFU� pND SHALL SUBJECT AN EMPLOYER TO CFIM�NAL PENALTIES D CIV FlNES UP TOONE HUNDRED hKKISAN� Dq1ARE (5100,000), IN ADDITION TO THE COST OF COMPENSAiION, DAMAGES /S PROVI�ED WR IN SECTION 3lOfi OF THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I am licensetl untler provisions oi Chapter 9(crommencing wilh Section 7000) of Divisim 3 ot the Business and Prolessions Catle, and my license is in tull torce antl ettect Lic. q Class # � Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby aNirm i�a� there is a consWction lending agency for tha pedormance of Ihe work for w�ich ihis pertnit is issued. (Sea 3097, Civil Code). Lender's Name: Lender's Atltlress: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I hereby eNlrm Ihat untler penelry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit b construct, elter, improve, demolish, or re0eir eny structure, prior to its issuance, elso requires the applicant for such parmit to file a signed statement thet he or she is Iicensed pursuant to the provisions oi ihe Contractors License Law (Chapter 9(commencing with Sectlan 7000) oi Divislon 3 ot the Business end Prolessions Code) or ihat he or she is exempt therefrom and t�e besis tor the ellegetl evemption. My viWation oi Section 7037.5 by any applicam tor e permit subjects tha apD��ant to a civil panelry of not more than five hundred dollers ($500).): � 1, as owner of the properry, or my employaes wlih wages es thalr sole compensatlon, WILL DO THE WORK, and ihe siructura Is not IntenCetl or otfered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not apply to an owner ot properry who builds or improves t�ereon, and who does such work himself or herselt or t�rough his or har own employees, providetl that such improvemenis are not intended or ottered tor sale. If, however, �he building or improvement is soltl wHhin ane year of completion, the ownerbuilder will have the burtlen of proving that �e or she tlitl not build or impmve for purpose of sale.). ❑ I, as owner ol the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business antl Protessions Code: The contrectors Llcense Law does not epply to an owner ol property who bullds or Improves thareon, antl who contrects for such project with a contractor(s) license pursuam t�he Contractors License Laws.). ❑ lam Signature: Owner ID liCenSe. ❑ Ves ❑ No Business entl Professions Cotle for ihis reason: Date: Onvefs LiCenSe N0. Expires: Venficetian of Ownership by (rype of document, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I hereby cenl�y that no excavetion fiva (5) or more feet in depih into which e person is required to descend, will ba mede in connec�ion with work euthorized by Ihis permit, and Ihat no huilding strucWre, scattolding, falsework, or demoli�ion or dismentling ihereot, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Celifomia Adminisirative Cotle). ❑ As ownerbuilder, I will not employ anyone to tlo work which wouitl require e permit iram the Division of IntlusMel Setely, es noted ebove, unless such person hes a permit to do such work trom the division. SignaNre: Date: Division of Intlustrial Safery Pertnit Number: CERIIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENiHY: I ceniry under penalry of perjury that I hava read this applicetion end state ihat the information given is corract. I agree to com with all state laws end city ordinances releting to bulltling consiruction, and authorize repr sentatives of the City of Costa Mesa to enter upon the ebove-descriDed �y�pec ion puryoses. I agree not to occupy or allow occupency of any building aut onze b Iy h�rmi� ' linel ins0ection. S / r� �.; Signature Of Lagal Owner(s) Date And/OrAulhorized Applicant Data COUE /. INSPECTIONTYPE 1616 Fixed System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Rool 207 Finel Block/Reiaining Well 202 Flnal Fectory Fire Place 203 Finel Sign 204 Finel Demolition p� �$ $�Qpf� INSPEC710NTYPE Q� 206 FinalMechanical i0-1)-da 20B 210 212 Final Plumbing Final Eleclrical Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency (714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 lob Address: 2507 DUKE PL Suite No Vicinity: Parcel Nunmber: �4141242 Applicant: PALOMBO,.RICHARD Address: 2507 DUKE PL� �� COSTA�MESA, CA ' � Owner:- PALOMBO, RICHARD Address 2507 DUKE PL � , � PLUMBING PERMIT Phane: 714-540-4296 �, Zip: - � Phone: 714-540-4296 COSTA MESA, CA Zip: - 92626 Contracto`r: �OWNER-BUILDER � , ° � ✓ .: , Address: - - . � , .. _ - � �� - Phone� Arch / Eng : Address: Zip: � � License: 0 m Status: ISSUED Applied: 02/23/2001 Issued: 03/20/2002 ISSUED BY: �� .J' • . � . ..�. _�� „^ . . Phone . .. , ZIP� , . . . . � . . . _ _ � �Licensei . . . . . � . SCOPE OF PERMIT . PLUMBING TO INCLUDE: 1 BATHTUB, 1 CONNECTION, 1 GAS (t-4 OUTLETS), 6 P-TRAPS,t SEWER CAP FOR DEMO, 1 SEWER CONNECTION, � SHOWER, 1 KITHCHEN SINK, 1 WATER CLOSET, 1 WATER ' HEATER/VENT,ANDIWATERPIPING.r�:�' "� - � � ' , REF: B00-01961. ... � ' - - ` . AMT ISSUE FEE $23.50 BackFlow irrigation . � $0.00 BackFlow Preventer $0.00 Bathtub � $9.80 Clarifier System $0.00 Connect Qce,Soda,etc) $9.60 Dental Units $0.00 Dishwasher $0.00 Drain, Floor $0.00 Drein, Rainwater $O.DO Drain, Roof $0.00 Drinking Fountain $0.00 Ezpansion Tank $O.DO Gas Earthquake Valve $0.�0 Gas (1-4 outlets) $6.15 Gas (Over 4 outlets) $0.�0 Gas Repipe $O.DO Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY 0 , 0 1 .. . 0 1 0 . 0 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer � $0.00 Landscape Irngation � $0.00 P-Trap - $58.80 Pressure Regulator $0.00 Process�Piping (per 10 ft) � $0.00 Receptors $0.00 Septic Tank ' , . $0.00 Sewer Cap for Demo $9.80 Sewer Gonnect - $24.65 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 6 , 0 0 0 0 1 t 0 1 0 0 0 1 0 0 0 AMT Sump Pump � $0.00 Swimming Pool , � $0.00 Trap Primer �� - $0.00 Urinal $0.00 Vacuum Brkr BkFlow(1-4) $0.00 Vacuum Brkr Bkflow(5+) $0.00 Wash Basin $0.00 Wash Basin Set $0.00 Waste and Vent System $0.00 Water Closet (Toilet) $9.80 Water Heater / vent $12.30 Water Piping Qnst or Rep.) $9.80 Water Re-pipe $0.00 Water Service $0.00 Water Softener $0.00 OTHER $0.00 VIOLATION $0.00 PLAN CHECK $0.00 REINSPECTION $0.00 FEES: $194.00 QTY 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 fegUla�ions. (Ofd. No. 92-28, § 1, 12-21-92) I.VIVIIVICIV I S/ SYCGIAL GVNUI I IVNS 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 required inspectfons 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 zaasrs�aoo� WORKERS' COMPENSA710N DECLARA710N: . I hereby affirm under penalty of perjury one of ihe following declarations: ❑ I have and will maintain a certificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Lebor Code, for ihe perfortnance of ihe work br which this permit is issuetl. 5 ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, for the perfortnance of the work for which ihis permit is issuetl. My workere' compensation Insurance carrier antl policy number are: . � Carriej i PolicyNumber: not be completed ii the permit is valued at one �,yl certify Ihat in Ihe perfortna oi Ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to iha workers' compensation laws oi if rni antl agrea that if I should become sublect to the workers' compensation provisions of Section 3700 of ihe La6or Code, I shall fotlhwith cOmply with these pro i o S. �j , _'cant'Signature:`-' (��,4� Data: �— C��O � WARNING FAI WRE TO SEC RE WORKERS' COMPENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFE ($100,000), IN ADDITICN TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE L4BOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: �. I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, antl my license is in tull �' force and eHecL Lic. # Class # Contractor's Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is a constmction lending agency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Addres5: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalry ot perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such permit to file a signed statement ihat he or she is licensed pursuent to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Busine s antl Professions Code) or Ihal he or she is ezempt therefrom and Ihe basis tor the allegetl exemption. Any violation of Section 7031.5 by any applicant for a pertnit subj ts the applicant to a civii pena�ry oi not more ihan five hundred tlollars ($500).): I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end the stmcture is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, antl who does such work himself or herself or thmugh his or her own employeas, providetl �hat such improvemenis are not intended or ottered for sale. If, however, the building or improvement is sold within one year oi completion, the owner-builder will hava the burden ot proving ihat he or she did not bui�d or improve tor purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and Professions Code: The conira rs License Law tloes not apply to an ownar oi property who builds or impmves thereon, and who contrects for such project with a contractor(s) license pur�n o he Coniractore License Laws.). ❑ lam Owner ID verifietl 6y tlnvar's licensa. Verification oi Ownership by (type of Business and Professions Code for Ihis reason: s ❑ No � i.e. - property tax bill or deed): " ��,�� ires:� DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity ihat no excavation tiva (5) or more tee� in depth into which a person is requirad to tlescend, wiil be made in connection with work euthorized by ihis permit, and ihat no building structure, scaHolding, talsework, or demolition or dismantling thereof, will be more ihan thirry-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle 8, Califomia Adminisirative Code). ❑ As ownerbuilder, I will not employ anyone to do work which would require a permit from the Division of Industrial Satery, as noted above, unless such person hes a permit to do such work from the division. Signature: Date: Division of Intlusinal Safety Pertni� NumDer. CER71FlCA7E O COMPLIANCE AND AUTHORIZATION OF ENTRV: I certity under penalry of perjury ihat I have read this application and stata that the infortnation qiven is correct. I�eyr t comply with all state laws and city ordinances relating to builtling constmction, and authorize representatives ot the City ot Costa Mesa to enter upon the above-dA dri ed r etly fo � ection purposes. I agree not to ocwpy or allow occupancy of any building authorized by thi�mit until tinal inspection. IK �, � �;� ri z �L.� � ,gnatu�e:OPLegal�Owner(s)g : Data ..�.z_. And/Or Authorized Applicant Date COOE N. INSPECTIONTYPE ifi16 Fixed Systam Final Fire Preven�ion 1266 Pool Spa Flnal 200 � Final Re-Roof 201 Fina181ocWRetaining Well 202 203 � Final Factory Fire Place Final Sign Final Demolition . D�TE INTRIR CODEY INSPECTIONTYiE 206 Final Mechanical � 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 - Final Planning Approval 222 Final Site 250, Final Building/Occupancy OpTE L�4$ I�-II-Oa �nL � (714) 754-5273 • Fax (714) 75�1-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 2507 DUKE PL 14141242 PALOMBO, RICHARD Owner: PALOMBO, RICHARD Address' 2507 DUKE PL COSTA MESA, CA Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT ISSUED BV: Phone: 714-540-4296 Zip: Phane: Zip: 92626 `Phone: Zip: License: Statos: ISSUED Applied: OZ/23/2001 Issued: 06/OS/2002 SCOPE OF PERMIT 67 S�. FT STAIRWEL� ADDITIOIV TO FIRST FLOOR AND 900�SQ. FT. ADDITON TO THE SECOND FLOOR. SECOND FLOOR�ADDITION TO INCLUDE MASTER BEDROOM, MASTER BATH, WALK-IN CLOSET, FIREPLACE AND LOFT. REF: B00-01961. - ELECTRICAL TO INCLUDE: 20 LIGHT FIXTURES, 25 OUTLETS, 15 SWITCHES, t SERVICE UPGRADE TO 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $22.00 $25.65 $'I6.50 $0.00 $0.00 $30.50 $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 20 25 15 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section 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. Conduil Misa Conductor� Circus ( gen or ride) Circus (mech ride or lights) , Christmas Tree Stand Fireworks Stand . Other ElecMcal Fee Investigation Fee Plan Check Fee Reinspection Fee $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 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $118.15 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS COLLI_KJ 02/23/2001 PLEASE COMPLETE THE DESCRIPTION, FIXTURE COUNT, APPLICANT AND CONTRACTOR rNBTICE: The work authorized 6y 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 if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for th0 Work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 _ 244fid6 (W00) WORKERS' COMPENSATION DECLpppTION: I hereby affirtn undar penalty of perjury one ot ihe following tleclarations: ❑ I heve end will maintain a certif��te of consent to self-Insure for workers' compensation, es pmvided for by section 3700 of ihe Labor Code, tor ihe performance of ihe work for which this permit is issued. . ❑ I have and will maintain workers' compens ion insurance, as required by section 3�00 of the Labor Code, for the pertormance of �he work f which [his pertni� is issuetl. My workers' comp� n�sat/W �n InsVrance c i r olicy number are: Carriec t XJ YJ / Policy Number. � (This section need not be—�d i/ the ermit is velued at ane hundred dollars ($100) or less.) ❑ I certify t�at in the performance of the work tor which this permit is issuetl, I shail not employ any person in any manner so as to 6ecome suhject to ihe workers' compensation laws of C or i antl agr ii I shoultl become subject to the workars' compensation provisions of Section 3 00 of t11yyee Lebor Cotle, I shall torihwith comply with these prov' ' ��./I O� L Applicent Signature: Date: J � WARNING: FAILURE TO SECURE WORK�RS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENAL IES A CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADD1710N TO THE COST OF CAMPENSATION, �AMAGES AS PROVIDED FOR IN SECTION 3]O60F TME LABOF WDE, INTEFEST, AND NTTOFNEY'S FEES. LICENSED CONTRACTORS DECLqRAT10N: I hereby aftirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business and Professions Code, end my license is in full force antl eHacL Lia N Class B Contrador's SignaWre: Da�e: CONS7RUC710N LENDING AGENCY: • ❑ I hereby aflirm that lhere is a cOnsVuction lending agency for Ihe pedormance oi the work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONg; I hereby affirtn that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any stmcture, prior m its issuance, also requires the applicant tor such permit to tile e signetl statement that he or She is licensetl pureuant to the provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot ihe BuSiness antl Protessions Code) or that ha or she is e:empt therairom and the basis for the alleged exemption. Any violation of Seqion 7031.5 by any applicant for a permit su6jects ihe applicant to a civil penaliy ot not more Ihan five hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe s�ructure is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of propeny who 6uilds or improves thareon, and who tloes such work hims or herself or Ihrough hig or her own employees, providad ihat such improvemenis are not intended or oHered for sale. If, however, the building or improvement is s within one year ot completion, the owner-builtler will have the burden of proving that he or she ditl not build or improve for puryose of sale.). as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Protessions Code: The coniractors License �.yw tloes not apply to an owner of property w�o builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to Contractor ' nse Laws.). ❑ I am exempt s �f Business and Professions Code for this reason: Signature: � X,,,('�z Date: _ Owner ID verifietl by drivers license. Yes ❑ No Driver's License No. zpires: Verification of Ownership by (type of document, i.e. - properry taa bill or deetl): DIVISION OF INDUSTRIAL SAFETV pERM1T CERTIFICATION: ❑ I hereby cetlify Ihat no excavatlon tive (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by Ihis pertnit, and ihat no builtling sirUcture, scattolding, falsework, or demolition or tlismantling thereof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Intlustrial Satety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Sefery Permit Numbar: CER7IFICATE OF COMPLIANCE ANO AUTHORIZATION OF ENiAY: 1 certity under penalry of perjury that I have read ihis application and state ihat the intormation given is correct. I agree to compl th ell state I a tl city ordinances relating to building consWction, end authorize representatives of the City of Costa Mesa to enter upon the ebove-described pr f i e urpose I agree not to occupy or allow occupancy of any building authorized by this pemi until f� al ins ction. �, � Q%�,�% � � �ure egalOwner(s) - ate COpEN, INSP£CPONTYPE 1616 1266 200 201 202 203 204 And/Or Aulhonzed Applicant Fixed System Final Fire Pr�ven�ion Pool Spa Final Final Re-Roof Final 81ock�Retaining Wall Final Factory Fire Placa Final Sign Final Demolition WiE irnrtuts COOEN IN6PECTIONTYPE 206 Final Mechanical 20B 210 212 Finel Piumbing Final Elecirical Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy pAg INTRIALS . I � �/ /I' �. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT 1 1 ,lobAddress: 2507 DUK� pL ' Suite: Vicinily: 2ND FLOOR Parcel Number: 14141242 Zoning: Applicant: PALOMBO, RICHARD Address: � � �., Owner: PALOMBO, RICHARD Address 2507 DUKE PL COSTA MESA, CA � � - Contrector. OWNER-BUILDER Address: Arch : Address: Zip: Zip: ' . . �� , Phone: ," . , �License: Phane: 714-540-4296 Zip: Phone: 714-540-4296 Zip: 92626 Phone: ' License:� 0 s�c 67 SQ. FT STAIRWELL ApDITION TO FIRST FLOOR AND FLOOR ADDITION TO INCLUDE MASTER BEDROOM, MASTER BATH, WP FAR - .49 2ND FLOOR %- 46% ' " � � � BLDG. HEIGHT-24'-9" � - - - - - -- -- - - #BEDROOMS-4 "'" � � # GARAGE SPACES - 2 Plan Check: , $577.69 Permit: $888.75 SMIP Res: $8.47 . SMIPCom: ' $0.00�'; ��`�� Other: ; $0.00 �, Inspection: , �'-$0.00�, "=� - � '�_ - . Total: �,$1;474.9,1, , SETBACKS MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0- 0 PARKING Existin : 2 NOTES: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/O5/2000 Issued: 02/15/2002 ISSUED BY: C�/� � _ � Eng. Address: � � . � . . . , Phone: , . �' License: )F PERMIT �. FT. ADDITON TO THE SECOND FLOOR. SECOND CLOSET, FIREPLACE AND LOFT. _ � , FEE SUMMARY Calc Valuation: Claim Valuation %. � �ji� , $84,678.50 $o.00 PLANNING & ZONING . Rear 10- 0 Left 9- 9 Rear 0- 0 Left 0- 0 Required: 2 Proposed: 0 Riqht 5- 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California 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 authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections 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) 7546626 04tl�40 �WW� WORKERS' COMPENSATION DECLARATION: � . I hare�y afFirm under penalry oi perjury one ol the following tleclarations: � ❑ 1 have and will maintein a certiticete of consent ro seli-Insure for workers' compensation, as pmvided for by section 3700 of Ihe Lebor Cotle, tor the pertortnance of the work lor which ihis permit is issuetl. ❑ I have antl will maintain workars' compensation insurance, as required by section 3700 ot ihe Lahor Code, for ihe pertortnance of the work for which this pertnit is issuetl. My workars' compgnsetlon Insurance carner and policy number are: Carrier. � Policy Number (This ecbon neeO nat be completed il the permit is valued et one hundred dollars ($100) or less.) �I certity ihat in the pedormance oi the work for which ihis pertnit is issued, I shall not employ any Oerson in eny manner so as to become subject to the workers' compensation laws of Calif ia d egree that if I should become subiect to iha workers' compensation provisions ot Sectlon 3700 of the Labor Code, I shall forthwith comply with ihese provisi / /�� `ApplicantSignetGre:� � .��A.d.IXr./ Goa�a: a1�5/na WARNINO: FAILURETO'SECCIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (510p,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMhGES AS PROVIDEO FOR IN SECTION 3]O60F THE LABOR COpE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Code, and my license is in full torce end eHecL Lic. N Cless s Contractor's Signeture: Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby affirm ihat there is a construction lendinq aqency for ihe pedormance of the work for which ihis permit is issued. (Sec. 3097, Civii Code). Lenders Name: LentleYs Atltlress: � Signawre: � Date: OWNER-BUILDER DECLARA710N5: I hereby aHirtn that under penalry ot perjury Ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5. Business antl Protessions Code: Any ciry or counry which requires a permit lo construcL alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to file a signed statement that he or she Is licensed pursuant to Ihe provisions of the Comracrore License Lew (Chapter 9(commencing with Sedion 7000) of Division 3 of the Business and Protessians Code) or ihat he or she is enempt Iheretrom and the basis for the allegetl exemption. Any violetion of Section 7031.5 by any applicant for a pertnit subjects ihe epplicant to a civil penalry of not more ihan tive hundred dollars ($500)J: ❑ I, as owner ol ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, and the sWCWre is not imentletl or oHered tor sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law dces not apply to an owner of property who Ouiltls or improves thereon, and who dces such work himself or herself or ihrough his or her own employees, provided that such improvemenis ere not intentletl or oNeretl for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builtler will have ihe burden of proving Ihat he or she ditl not Guild or improve for purpose of sale.). � I, as owner oi ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business antl Protessions Cotle: The cantractors License Law does not apply to en owner of property who builds or improves Ihereon, entl who contrects for such pmject with a conlractor(s) �license pursuant t ihe niractors License Laws.). I am exempt un s c. Business and Professions Code for this reason: Signature:Y� Dete:: � �-/5- �`� Owner ID verifietl by dnver's license. Yes ❑ No � rivers Licensa No! ��_ � zpires: F Venfication of Ownership by (lypa of docu t, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certih/ that no excaveiion five (5) or more feet in depih into which a person is required to descend, will be mede in connection with work authonzad by Ihis permit, and that no building simcWre, scattolding, faisework, or demolition or dismantling thereof, will be more than thirty�six (38) teet high. (Chep. 32, Grp 2, Art 2, Sec. 347, Title B, Calitomia Administrative Code). ❑ As owner-builtler, I will nol employ anyone to do work which would require a pertnit irom the Division of Industrial Sefety, as noted above, unless such person has e permit to do such work trom the division. SignaWra: Date: Division of Indus�rial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury that I have rea0 this application antl state that the information given is correct I agree Io comply with ell st laws and ciry ordinances relating to building consWction, end euthorize representaiives of the City of Costa Mesa to enter upon the above-descnbed property fory'�a e i p� oses�. e not to occupy or aliow occupancy of any building euthorized by this permit until final inspection. ,f' o��Co.�r � 0`2�� Fi-(E�-`-�.-� �rSigna�ie Of Legal�Owner(s) �Date-=J` An[UOr Authonzed Applicant Date LOOE 1. INSPECTIOHTYYE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Finel BIocWRetaining Wall 202 final Factory Fire Place 203 Finel Sign 204 Final Demolition . OATE MIID9LS cooe� ixsvecnoxtrre 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fira Prevention 220 Final Planninq Approval � 222 FinalSite 250 Final Builtling/Occupancy DATE I�-3-OZ nu. 'I PPOJECT AOONESS: z S O% DUKE PL OWNEfl'SNAME:fJALOMHO, k'LCHARU aoosess: pALOMBO CHRISTINA 2507 DU�CE PL COS7'A MESA,CA 9267.6 ABCHIENGINEFfl: FOOHESS: HEG.NO.: UNIT: PEFMITTEE: BELMAN CONSTRIICTION ( 714 ) 650-4474 aooeess:21661 BROOKHURST ST HUNTZNGTON BEACH CA 42646 UCENSEO CONTXACTON OECIAHATION: I hereGy allirm Ihai I am IicenseA unaer pmvisions ol C�apier 9(commencing wil� Sec�ion 7000� ol �ivisian 3 0� Ihe Business antl Pmlessians Code, an0 my license is in full lorce anA efiecl. cirruc.:0584/8'8 ySTATELIC.�]4OOH�%�.�,.�� cu�ss:$ Oaie:_7�io� !� SignaWre:�d"_"nL""` �v_l.4'—� WOPKEHS' COMPENSATION OECLAflR7lON: I nereGy aHirm Inal I have a cenificate ol consent to selbinsure or a cenificate ol Workers' Compensa�ion insurance. or a cenilietl cooY �hereof (Sec�ion 3800, lab. C). POLICY NO.: EXP. URiE: COMPANY: � Cenihee cooy is �ereby �umishetl. ❑ CetlilieU coOY is lil¢C wilh I�e ciry Buildinp Oivision. Daie: ADUlicanl: E%EMPiION FAUM WOPNEPS' COM7ENSpTION OECIAflATION: Qhi55eqion neeA no� be tampl¢IeU il lh¢ permii is lor ane hunOr¢a ($100� or 1e55). I cetli�y thal in Ihe Dedormance ol Ihe work �or whic01�i5 permii is i55ue0, I shall nol em0loy any pCrson in any manner so as lo become subjed to ine workers Comoensation Laws ol Califomia. �.-y Oate: '� � SipnaWre:.!�� J"'.i:.41�1 N ICE: II. atler making IhiS deClaraiion, you S�oWG Getome SUGjet1 Io I�e Warker5' CAmpensa�ion provi5i0n5 al t�¢ Labor Cotle. yrou mus� lo�hm�� comply with su[� pmvisions or I�is permil shall Ce aeemeC revokeE. CONSTBUCTION 1EN01NG AGENCY: 1 hereby allirm Nat ihere is a consimclion lentlinq aAency �or �he pedormance ai Ihe work lor which Ihis permi� is itsuetl (Setlion 3097. Civ. C�. LENOEN: FDOflE55: OWNEfl BWLDEP DECIANRTION: I hereby allirm I�at 1 am exempt Imm I�e ConVaclors' Sta�e License Law lor ��e lollowing reason (Sec�ion 7031.5 Buvness and Pmieuional Cotle: Any ci�y oi counry which re0vire5 a permi� lo wnsimtt, al�er, impmve. aemolis�. or reoair any slmc�ure. priar toits iuuance. als0 teQuires the applicant lor sucn oerrttit la file a signeA statemenl Ihdt npJsne b licensetl pursuanl lo t�e pmvisions ol the Coniractors' SIa1e License Law �ChaD�er 9(commencinq w�t� Section 7000) ol Division 3 oi tne Business antl Pm�essions Ca�e) or Ihal �e/slie is e�empt ��erelmm ana I�e Da5i5 lor I�e alleqe0 eAemp�ion. Any Wolaiion ol S¢[tion 70.31.5 Oy any applicantior a Oermii su0jeci5 Ihe appli[an�to a civil penally oi nol more Ihan live huntlre0 GWlars (f5110). � I, as owner of Ine D�ooehY or my emyloyees wiln waAes as �heir sole compensation, will Uo the work, antl tne 'I ❑ stmctureis notintended orofferetl brsale�5ection 704a. Business antl ProleuionalCode: T�e Canlractors'State License Law Goes not aoC�y to an owner ol a D�openy wtp builCs or impmves inereon, antl w�o tloes sucll xrork Ilimself/Aerself ar Uroug� �is o� �er ovm emDlayees. pmviDeU ihai such impwvements are not imen0e0 ar ofle�eG for sale. II. however the 6uil0ing or impwvemem is so10 mtnin one year ol complelion, Ue owner will have 1�e OurOen ol proving �Us�e Gitl not huiW or impmve lor ihe pur0ose oi sale). I, as owner ol ine pmperty, am excWsively coNracting wilh Iicen5e0 conlraclors lo can5�mci IAe pmleci �Sec�ion 7604, Business ❑ ana Pmtessions Cotle: TAe Comraciors' State License Law noes noi aODly lo an owner ol pmpeny who Uuilds or imD�oves I�ereon and who tontraqs lor 5uch pmjeci5 wil� a tONratim�s) licen5e pursuanl Io I�e Conlratlars' $Iaie LiC¢n5e Law�. I am aware �� O�ool ol Neir Workefs CAmDensation insurance sfwul0 Ue D�ovi0e4 la me. � I am exempi unA¢� 5¢CtiOn: 8. 8 P. C. for ��is reason'. Oate: Owner. I do Aereby ceriily Ihat I am aware al antl unEer51an01�e reduiremenls ol California Healih an0 Safe�y CoGe Stttions 25505. 25533. an0 2553u and i�at I or any futu�e Ouilaing occupani willlwill noi (circle one) neea �o [om01y vni� said stale coaes antl lhe requiremenis �or a permrt for consimc��on or motlilicaiion Irom the Air Ouahty Management Di5Vic1. ReSiAenlial consimction apPlications are eKempt Imm IheS¢ OrOvi5i0n5. ' Daie: Applicam: I �ere0y c¢iliiy I�ai I have reaA I�iS applitali0n antl Slale I�at ��e a�ove in�ormaii0n i5 Wneti. I agree l0 tOmply wii� all ciiy an0 Couniy ortlinances and slalelawsrelatingto Outlemg conslmction ana �ere�y aul�orize represenlalivesollhis ci�yto enier upon�he ahove�men�ione� pmperly for insp�ecJtian pur0ose5, y� . Dale:.�4� _� 3 Signaluie<.'�G�=G�j—�r.LL`J-�—'L �[----------r- oriver's ocense o� sociai Seadiy ..� ''� I6al a6 White—Builtling; Green—Cotle Enlorcamem�, Canary—Appl¢anC Pink—Rovenue: GoleenmE—Assessor ' CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063180 PERMIT NO; B, 063180 PLAN CHECK NO; N GOVT; N SUPP; N CONSTkUCTION TYPE; 5—N PERMIT TYPE: 5TR PUkPOSE: ALT JOH DESCRIPTION ; REROOF WITH 75YR COMPO O/EXZSTING COMPO S� FT: 2,500 CLAIM VALUE; 2,500,00 CALC—VALUE; 2,500.00 GROUP OCC; R-3 /M—i COMMENTS• SMOKE DETECTORS RE�UIRED PER THE 1991 EDI'PIUN OF TH+�E+� U�}B�C y� y� �*�a�*�r**ir��#*�**�+r�rx��*�r#�x #�#**#��x*Q�#xx**��*�+��#**��'IVP\��C�l,Of1 Z O N I N G R E U I R E M E N T S E T R A C K S [� 1' ------------ MAIN BUILDING ---------- --------- ACCESSORY BUI'L'9Pf6'u�� --- FRNT: FT ZN REAR: FT IN FANT; FT IN REAR; FT iN LEFT; FT IN RGHT: FT IN LEFT; FT IN kGH7'; FT IN PARKING REQ• YROV: PARCEL; 147.41242 ZNE; REF NO; PLANNING N6'PES> � iE if if iF �1(-iE iF it iE 3E iE k if ik iE iF 1E iE iE iFiE iE iE iE iE if iE it iE 3t ik ib jf ff fE iE iE i! it �E 1E 3E %� # K�il� ik if ik # if if 1E iF iE �lE iE iE iE * 1E i(� it iEiF if #F jE IE iE �f- !f iF �F 3E if if jE 3E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-T'S ZONZNG APPROVED BY DA'PE : BUILDING APPROVED BY ; DATE; � APPLZCATION ISSUED HY; � DATE; �� ifiEilkltifkififiFiElEjEiEiFiEiFifitffkif - �i4ffiEkiFiEiFlkifi(�:.� F lG3f ififiEiE1ElElfifififiFiEiEiklF�lEifiEiliFikifiFiEiFiFiEiEitifilifififiEiFiEitififikiEif�lf#1k ..�1EiPkiF!liki(��tiFf'tfkltiEiFifiEil�#iEitlE�EiF�1klEifif3hiF3E3E LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y �. HLDG PMT PLUMBING ELECTR3C MECHANIC FIRE SMIP/RES GRADING PERMIT 59.00 ,56'' SMIP/NON—RES PLAN , ZSSUE FEE ' � BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAI, PAID .S DUE TOTALS----> 54.50 0.00 0,00 54.50 54.50 . ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHURT; - 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 , • .50__- ' • ', . ff iE i! iE iF iE 3E iF if iE if i! it iE k iF * 9h k iE 1E iF iE �f iF IE fF iE IflE if iF 1k �F jk iE if 3E iE iEiE iF fF it iF 3f if iE fE it iF 1E # iEiF if 3F iF ik ff �E it it iklF iE it if iE i�iE if iE IE iP 1f iE 3F it I N D I V I D U A L F E E B R E A K D O W N / TYPE QTY D E S C R I P 1' I O N ,i UNIT COST TOTAL COST 5FR 2500 REROOF HY VALUE RESIDENTTAL NOZONE 1,00 2,500,00 END OF FEES /� oi oo1c3502-00143503 TD T 5�.`0 UATE+ 07/yb/q3 TItIE: 11:3g CONSTRUCTION AND PLANNING APPROVALS Permit�_,.,___ 1. Temporary Electrical Service or Aole 2. Sotl Pipe•Undrgrnd. ��r - �� 3. Electrical Conduit Ut�lity�Und�9rnd. 4. Eiectricai Condwc�Undrgmd _� 5. 5tee' Re�nforcement � 6. Elecirical UPEA Gmd 7. Foo2ings �-"--- 8. Foundation � , 9. Water P�pe�Undrgmd. 10. Structurai Fioor SYstem ,� 11. Prooerty Sewer Line & HcusE�nnection 12. Sewer Cap � � A 13. fioof Orains � 14. Rough Piumbing A 15. Rough Electrical-Condu�t {.; . 16. Rough Eiectric Wiring 77: Rough Wiring Sign � 1$. Rough Elecvica6T Bar Ceiling ;, 19. Rough Heating & A�r Condi,�omng �� 20. Rough Factary Firepiace �'I 21. Ducts, in Svucture , 22. Ducts, Ventilating I23. Ges Pipe-Rough & Test ?4. floo4 Framing 25. floof Sheathing 26. T�Bar Ceiling (Structurai! & �+ionocoat 27. Fr2me tnd Flashirg � 28. Laihing & Siding 29. insulaaon 3Q. Dry�vall Nailing 37. Plaster Bro�vn Coai 32. ElectriCdl Power N�ete��Final _ _ 33. Final Eiectnc 34. Pincl Heaimg & Air Cunditio^�:ng 35. Pinat Gas Pipe�Test _ 36. Heod or Canopy 37. r�nal Factory Fi�epiace 38. F�nal Plumbing 39. tiVater Service-Ffnal 40. GasServ�ce�rinal 41. Solar pomestic-Final 42. Backffow Preventer 43. 6ackflow Irrigation I44. Landscaoe trngation Svstem _ ��i 45. Sound Attenuation 46. Hardicap Regulations 47. FINAL S7RUCTURE & BUILDING 48. FINALPLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPA�'CY No. Da:e Date Inspector �A � POUt ,PA � APPROVAIS Permi2 � Date inspector � 52. Pool & Equ�pment LocaUon ' i 53. Steel Reinforcemcnt •-y i 54. Forms ' �� 55. Electrical Bond�rq . ' 56. Rough Pfumbir.g & Pressure Tes. I 57. APPROVAL l"O COVER�GU�:tTE � � 58. Electrica! Conuwt�Undrqintl. _�_ � r 59. Gas P�Re, O Ur��grnd , Tc:t -' �n � 60. Backwash Linec, RTrap, `.' L'rdr��nd. � 67. APPROVAL TO DECK --I _ I �� 62. Badcna>h & Reeepter�F�nal � � - � 63. Heate� & VenbFinai ." � _�� S4. Plumbirg System - Flnal '� , 65. Electrical�Fina; � � 66. Sotar System�Finai �� 67. Fencing & Access AnP�uval ' -i fi8. APPROVED FOR PLASTERING . 69. POOUSPRSVSTEA��SFINAL ~ FIRE DEPT. REQUIREME(JT � � APPROVALS Permit � � - l 70. Undergrountl Hydro 71. Proouc2°�?in9'7Gas :_Oil �' 72. Undcrground Flush � 73. Un7ergrnd.Sta::ucTtcl; �Gas 1G�� i , � 74. Ovrrhead Hytlrn � � i 75. Dry Chemical �- �- y� 76. Dry Stancp:pe ' 77. FIXEp SYSTE?.4 FINAL ; 78. FIRE PREV. FI\AL � _�_ i HEALTH OEPT. REQUIRL"PJIENT �. ?9. PINALINSPECTIO'v ` � � i -- -*- - -' 80. FOODCER �FiCf�TEFKSUED ' � Notes: y �� (�r Car� wt`�'�co�' '�.� --'-- - ---- " t /�O°�-/�9��loc. , a� ! -%r xJ7i` --- i ,(�_/_=d��, --7�z�/Y�------ i � .� Applicant to (ill in all spaces axcept those witnin neavy �ortler lines antl si9� all approoriate Eeclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CiTY oF COS7A MESA CONS!T�R�4C��TION PF7RMIT .3 Op� � � _ a.r. # 4 �— �'L — zooa Project Address Z5b7 1..�.� K� �1 • _ S Main Building: Accessory Building: Applicant'S Mailing A dress O (�,� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E � Z �'�, ��4/� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front � � Owner's Name iiLON1 hone �{,ri1'P DESCRIPTION OF WO�i K/USE OF DG. • � I A Rear N nddress' —�'- 7 /�t/KF PL. l'/�—�i /�LL.: � �/ (� • i � TYPE OF PERMIT � GRADwG �VrvDATiON SraUCTuaA� � C Right -+' � CK, rGcyj G Arch/Eng. License N0. ' K Left .{' R Address ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL $ �� Contrector's Name Phone � OTHER � Ping. Ref. # Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. oCCUvnnCY � .Addresslmailing) 0�, � PlanningNotes: � M CONSTRUCTION TVPE � VALUATION $ J�� T CityLicenSeNo. ZONE GRADINGCV.VDS. ACRES $. LICE SEO CONTRACTOR DECLARAT�ON - I her by ' thal I am licensetl untler provislons o1 Char cinq Remarks: W�p �r� 4 �� • V„� C�� wilh section 7 ' ision 3 0� the B rofe55ions Cotle, antl my Iicense is in iWl force an r $� �(Q ' � i( � ELECTRICAL FEES 1 License Class I nseLp_ No. V � D Signature �� PLUMBING FEES P.utomatic Washer Transformer ❑ 15-50 KW W00.KER5' COMPENSFTION DECLARATION Construction PoleSub. � 50 � KW � �'�ereby attirm l�al I have a certificate Of consent to 5e1fdn5ure Or d Cettl�lcate Bd� $ink ShOw¢f5 Norkers' Compensation Insurance, or a certltietl cooY tnereot (Settion Cooking Unit Meter ❑up ro 100 amps 0, Lab. C.) Backflow Preventer Service Sink aoiicy r�o. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps Certifietl <opy is nereby furnishetl. Dryers ❑Gas ❑Electric Sub Panel Certitietl copy I5 tiletl with the city Builtling Division. 82LhtubS Sewer Connection Date Applicant Fan Momrs �47 HP 01'h � 8 � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifie�s Solar Collectori (Thizsection neetl not De mmpletetl ii the permit is for one huntlre0 (E100) or Dishwasher Solar Pipin9 F.A.U. Inc Solar �9-15 HP �76-15+ Iess). I c¢rtity lhat in the pertormance O� the wo�k or whiCh thiz pe�T�t ISlssuetl, I FixtU�¢5 - shall not e o�oy any person in any ma s as t become subject to the Drinkin9 Fountains Solar Tank Microwave WOrkers' Oe �on Laws of Calitor Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Li9ht NOTICE: ai r making this tleclaration, you shoula come subject to the Outlets Range Workers' Compensation'provisions of the Labor Cotle, you must forthwith FIOorSinks U�inal � comply wilh Suth provisions or this pCrmlt sitall be tleem¢tl revoketl. CONSTRVCTION LENDING AGENCV " (�id5$2�vicE �ULIEtS WdtE�CIOSCt Switch¢S $ig� 1 hereDy atfirm Ihat there is a mnslruction Ien0in9 agency for the performance o/ the work tor which this permit is issuetl (Sectlon 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lentler•s Name Generator �0.5 KW 05�15 KW Trash Compactor LenCer's Atltlress Kitchen Sink Water SCrvice � OWNER BUILDEF DECLARATION � I hereby aftirm lhat I am exempt from the Contractor'S LlcenSe Law for the Lavatories AUtO-WaSh following reason (Seclion ]031.5 Business antl Professional Cotle: Any ciry or counry which requires a permit to tonstruct, alter, imorove, tlemolish or repair P—Trep Laundry Tra'ys any SlruGiure, pNor to its isSuanCe, also �equires the appliGant for SUGh pe�mit � to file a si9netl statement that he/sne is licensetl pursuant to the provisions oi Roof Drains the Contractor'S License Law (CnaOter 9(commencin9 wltn Settion 7000) of r+ivision 3 of tne eusiness antl Professions Cotle) or that ne/she Is ezempt Reinspection Fee $15 luue Fee $ 3 •efrom antl the basis tor Ihe allegetl exemption. Any violation oi Section d.5 �y any applicant fOr a permit 5ubjecl5 the applican[ lo a civil �a�ty ot not more tnan iive nuntlretl tloiiars (5500). a 3 DEVELOPMENT SERVICES RE�UIREMENTS: q b I, as owner ol the property or my employees with wages as their sole Reinspaction Fae $15 Issue Fee 2oning Approved By C Data �� LI ' con��ensation, will tlo the wo�k, antl Lhe structu�e is no[ intentletl O/ otfe�etl tor sale (Section 70a4, Business antl Professional Cotle: The Conlractor's MECHANICAL FEES Buildin9ApprovedB�—�' , Date'6�3'�� Lic¢nse Law tloes n0l app1Y �o an owner ot a property who bulltl5 Or Imp�ove5 �A iherean, antl who does Sucb work bim5elf/herself or thrOuqh hi5 Or he! own AppliWtiOn ISSued By — - A=4�= Date (� �1 ��A `I emDlovees, pmvitled that such improvements are not intentletl or ofteretl for Boiler Hood or Type I ❑ � -----T zalet�lt, however, the builtling or improvement Is sold wilhin one year of com- Oenopy Type II� ❑ G' ple$ �q the owner wi11 have the burtlen of provin9 he/she tlitl not builtl or Im- Duct - Under Ground SUMMARV OF FEES ' J�b qrp ve for the purposc of saie). BUI LDING PERMIT $ Z+s �� SMIP $ IL1.I, as owner of the property, am exclusivety contractin9 with ucensatl con- Duct -Structural Refrigere[fon Sys[em PLAN CHECK $ �b •�-S�� pERM1T fractors to construc[ tne pro�ect (Section �044, Business antl Professlons Cotle: The Contracror's License law tloes not apply to an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 8TU PLUMBING' $ ISSUANCE $ builtls or improves thereon. antl who mntracts to� sucM1 oroiECts with a mn- Vactor(zl license pursuanc to �ne ConVattors license Law). i am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $ prool o( their Worker's Compensatio i surance shoula be provitletl to me. ELECTRICAL $ GRADING $ ❑ 1 am eaempt untler Section B. & P. C. for [his reason Firepl/Fact. BIL ICBO # Fire Damp2�i PLANCHECK 50°6 $ MICROFILM $ Datc owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ y, •7. I hereby certiy [hat I nave reatl [nis application antl state that the above ❑0.100,000 BTU �100,0008T information is correcL I a9ree to comoly with all Nty antl county ortlinances PLAN CHECK 25% $ antl s[ate laws �elatin o builtling consl�uction, antl he�eby duthorize r¢pre- sentatives ot [his .it to enter u on Ihe above-mentionetl pr er[ for inspec[lon purpai Si9nature �.�� Date � _ � Drivers' License or SS � • Reinspection Fee $75 Issue Fee $ 3 ;�' 'i'� ??�•�i�-f' j�y]91; '�(�, : ;�.''r ucT,=� �lF�3VS9 TIfI:: !1-�7 0865-46, rev. 5/88 Wnite - Builtling: Canary - Applitant; Pink - Accounting; Goltlenrotl - qssessor CONSTRUCTION AND PLANNING P�� PA APPROVALS Permit # ' Date Inspector qppROVALS Permit � . s 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE " '' 7. Footings ��7 58. Electrical Condui[-Undrgrnd. ..- ' 8. Foundation � 59. Gas Pipe, O 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 (1'6� Rough Electric Wiring • 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough:Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough'Heating & Air Conditioning FIRE DEPT. REQUIREMENT ` ,' 20. Rough�FactoryFireplace �r �. APPROVALS Permit# 21. Ducts; in Structure `%- - 70. Underground Hydro 22. Ducts, Ventilating '�. �+ �-., -� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test a�,y� ? 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing ' � � 74. Overhead Hydro 26. T�Bar,Ceiling �Structural�'&Monocoat 75. Dry Chemical 27. Freme and Flashing 1. 76. Dry Standpipe 28. LatFiing�&`Siding i' •/ 77. F.I�XED SYSTEM FINAL 29. Insula'tion �.� � 78. FIRE PREV. FINAL 30. Drywall Nailing ^� `' , HEALTH DEPT. REQUIREMENT 31. Plastei Brown Coat�, -; _', 7. FINAL INSPECTION 32. Electrical Power Meter-Final •� 80. FOOD CERTIFICATE ISSUED r. W` � 33. Final Electric . Notes: L U6-L-T 34. Final Heating & Air �Conditioning 35. Final Gas Pipe-Test � ti � L � o� � '36. Hood or Canopy � � � 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final - � �� :40. Gas Service-Final , y 41. Solar pomestic-Final � 42. Backflow Preventer ' � 43. Backflow'Irrigation • . � ' 44. Landscape Irrigation System 45. Sound Attenuation ' , 46. Handicap Regulations � , .i 47. FINAL STRUCTURE & BUILDING n/4 � 48. Special Requirements Completed 49. Electric Release to Edison ` � 50. Gas Release to Southern California Gas Co -: • � 51. CERTIFICATE OF OCCUPANCY �. r : �� No. Date '' �� ' APPROUED City of Costc Mesa Builcling Dept. BY .__�� DATE � 191 THESE PLANS UST BE ON JOB AT �LL TIMES MqKF. NO CHANGES WITHOUT PRIOR AFPROVAL OF DEAT. � THE��SSUAt3Cf GR GRhN11NG Of A PfRMfT OR APFROVAL OF PLAN$ AND SPECIFlCAIIONS SMAIt NOT BE CONSTRUiD TO BE A PERMIT FOR, OR AN MPRO�AL Oi, ANY VIOLATION OF ANY OF TME PROYISIONS Of IH15 CODE. NO PERMIT Pfi:SUMING SO GNE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF THIS CODE SHALI 6E VALID, EXCEPT W 50 fAR A5 THE WORK OR USE _ WH1CH IT AUSHORIZES IS LAWFUI. m TME ISSUANCc OF A PER;AIT BASED UPON PlANS AND SPEQFlCATIONS SHALL NOi PREVEN7 THE BUILDWG OFFICIAI FROM iNEfiEAFTER GEOUIRING TM[ COr2RECTICM O7 EP.RORS IN SAID ?lANS .�Np SPECIFICAilO'�> .^.R FROM PREVENiING BWLDING OPERP.TiC1N5 BEING CARRIEG ON iHCHEUNDER \vHEN iN VIOL�?iON OF TTt15 CGDE'OR GF ANY OiNER ORDINANCE OF iME CITY. � II[i1D[NCE NOTE ADOITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DEPARTMENT Qetmit �'� �J � � O � THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQU'-STS 11GIO�MC[ /[�IDEMC[ STREET e UK� , At��P�9P��VED� ; � G�/ Of COSTA MESP . PUNMNG DEP7. WUlCf TO iIDC. DF9T. 1E0. j 11[t1Y[NC[ .�._DA*� �'2('Sc! a �uu_ —._. e� ►. W � N , Cement Coping Optional — CliannefBlock With 1-3/8�' Horizontal, Top o( all . Fences � For Fences 5' or Less Vert. Bars 3/8"� at 4' -0" O.C. for Fences Higher Than 5' Vert. Bars 3/8"� at 32^ O.C. � Fill Cells Solid With Grout W here Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15•39 A.S.T,M. All Steel to be Lapped 24" or to Code NATURAIGRADE TY�PICAL 6" CONCRETE BLOCK FENCE TWO 3/8"d BARS �� CONTINUOUSTOP I & BOTTOM ' _�_{ /IORfZ.STEEL MU57 BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. a = � �� u > w ¢ x . 7.-- ' n -1.1 on D ' F�—WIDTH p SEE CHt 9 BELOW �.I'e FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: pne part,Plastic Cement, and TAree Paris Sand GROUT; One Part Cement Three qnd One Holf Parts S�and COPING: One Port Cement, Three Parts Sand CONCRETE: Well Mixed 1:2-I/2:3-I/2 Mox. of 7-1/2 Gal�ons of ' Watar.Per Sock df Cement GROUT MAV BE POUREO FROM THE TOP OF THE FENCE IN CELLS WHERE STEE� OCCURS. CELLSAND AREAS OF HORIZON7AL REIN� FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF qLL MOqTAR DEBRIS, ETC. �N OF F4RTHTCOTH i/? Th1E HEIGTH OF FENCE �ELOW BOTTOM OF FOGTING. SCA�E: I/2"= t' WIDTH . . . . . . . . . . . . . . . 14" . . _ 14" . . . 12".., . 12�� THICKNESS . . . . . . 10��. . . . . . . . . . . .10�� . . . . . . . . . . . g". 8.� DEPTH OF EARTHTOOTH . . . 24" . . . . 20�� 16" . . . . 12.� SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . . . . . . . . 16'. . . . . 16� City of Costa Mesa, California Building Department �� . . _. . k?EvlgEp Nov. e� << OWNER I,E41Aid, �0 NYk 2 6 1960 DATE 10-15-59 JOB ADDAESS 2507 Duke P1. BUILDING PERMIT nG. 105%6 GENERAL CONTRACTOR Fiesta Poo�s VAi.UE S 2.800.00 AP. No. LOT LlO TRACT ZOZ9 FIRE ZONli DESCRIPTION OF WORK P�. �im Pool IN 'CTIONS SUBGONTRACTOR Form 210-3M-1-59 ZONE : � � � 1�S`%� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. GALIFORNIA fOR APPUCANT TO f/LL /N COMPLETfLY TYPE OR PRINT BUILDING �� ADDRE55 � COSTA MESA. CALIFORNIA MAIL ADDRE55 TEL. CITV T NO. AR 'CT \ �_/ LIC. OR INEER cl O-'v`--Q.e �1 7� NO. 0 LEGqL � I LOT � i�C I� �� oESCnIPT10N NO. V BLOCK TRAC A.P.NO. ' � _`� . —`-f SIZE � ( � I NO.OF BLOG9. OF LOT \ NOW ON LOT USE OF EXISTING BLDG. / SElB�CK LINE FROM � n/1 y DESCRIPTION OF WORK BUILDING 1 `� NO.OF SIZE ✓ �� vROOMS EXTERIOR WALL IROOF COVERING COVERING USE OF BUILDING AND WORK TO BE F 1. � .- ��-.la:�_�' �" - %�-/�-S �� FINANCE DEPI. V"' ��ry pF r.nsTA A9FSN APPLICATION FOR PERMIT BUILDING FOR OFf/CE 'USE ONLY RELEIyED B1 I qDAT 'RSE E I �TE ISSUED S � / BUILDI ADORE55 � COSTA ME . CALIFORNIA FIRE ZONE TYPE GROUP O APPROVED - D BY DAT� Z�O ING ZONE NO.OF USE OF NEW IPLANS BUILOING _ 3L � // Y�P BVPROV / y' �` OM 1- DATE YARDS EVES REqUiftEO ALLOWED (CENTER LINE ST.) /y � I HEREBY ACKNOWLEOGE THAT I HAVE NEAD THIS APPLICATION AND 9TATE THAT THE ABOVE I6 CORPER AND AGREE TO COM� PLV WITN RLL CITY INANCEB ANO STATE L.yG%�'i ftEG�p BUILDING CONSTRU TI ; ; ; ;� SIGNATURE OF n�a j j% t PERMITTEE c � V �H� ! AUTHORIZED AGENT ` � I�FYI:]� a! n.� THE AMOUNT SHOWN UNDER VALUATION I8 FOR THE PURPOSE OF E6TABLISHING A PERMIT FEE ONLY. VALUATION —Q PERMIT FEE $ /O� $ /) �� LAN CHECK $ J � � ` / � � TOTAL FEE $ � ; ' " � ' 8.-r��L� . t COSTA MESA BUILDING DEPARTMENT P.o.eox 3t� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN "5 2507 Duke Place COSTA MESA. CALIFORNIA Mesa Hi�hlands, Inc. MAIL ADDRE55 aTv N ARCY 'CT OR f IEER IADDRESS BHTIle K. 4l. Koll Const. Co c�rr CONTRAGTOR ADORE55 8�e LEG�1L LOT OESCF�PTION N�. � BLOCK A.P. NO. . .' �_[� �r.�u�a�.a'� ��. `.�- � �i �,S �/ �..✓ . FI�!".�:CE DEPT. �� di i(1CTP P"GC1� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY 3each, V� TNO. � �3�7IqDD EI55 .98TC6 �ic. COSTA MESA. CALIFORNIA NO. FIRE 20NE 20NE I S�e APPROVED BY ,,,.r 2029 OF LOT irreg. 63 x 100 "°. °` °`°`s. 0 Now on wi USE OF E%�STING BLOG. SET6ACK LINE FROM L/1 l l I CENTER OF STREET Ul/ REAR VARD ii SIDE YARD RIGHT / �LEFT lO DESCRIPTION OF WORK NEW g� ALTERATION I ADDITION REPAIR � � I "�MOVING IDEMOLISH 5 Z'E D'�G y / ROOMS {� STORIES 1 E%TERIOR WALL ROOF COVERING $tuC(,'0 COVERING hot—mop USEOFNEW Residence 8 att. oara e BUILDING b g n CORRECTIONS vaR. rio.��A,- The Amount shown under valua`io� is for the I XEflEBV ACRNOWLE�GE TMaT 1 M�VE READ TNIS �PPIIGTION nND purpose o esa is mg a permi ee ony. $TPTE TNnT THE �BOVE IS CORRECT I.NO �GREE TO COMPLY WITN ALL CITV OROINANCES w $T�TE L�W$ REGUL/.TING BUILDING CONSTRUC� iioN. VALUATION SIGNATURE OF PERMiT FEE $ �S�OO PERMITTEE 15,747�G� PLAN CMECK S�7�SO S AUTHORIZED A ENT TOTAL FEE $ Si_ S�i �eMr C_