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Home My WebLink About2508 DUKE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2508 DUKE PL Status�. ISSUED Suile: Applied: O6lO6/2006 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 06/06/2006 Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construcfion: V-N ��P��D Parcel Number: 14141243 Zoning: ,4pp�icane FAUBERT, BRAD �er�+� Address: 8902 SAILPORT DR P hone: 714-962-2203 I SSU E D HUNTINGTON BEACH, CA Zip: 92646-2664 Owner: FISH, JANICE W TR Address 25D8 DUKE PL C05TA MESA, CA Contractor: STAR COURSE ROOFING COMPANY Address: 8902 SAILPORT DR Arch : Address: Zip: HUNTINGTON BEACH, CA Zip: 92646-2664 Phone: License: Phone: Zip: 92626 Phone: 714-962-2203 License: 532778 Eng: Address: Phone: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/0 EXISTING COMP ROOF, REPAIR/REPLACED SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 30-YEAR COMP SHING�ES. 28 SQUARES Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $125.25 $0.53 go.00 $0.00 $0.00 $125.78 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0-0 PARKING exi tin : 0 Rear 0-0 Rear 0-0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Reauired: 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $5,300.00 $5,300.00 NOTICE: The work authorizetl 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 if work is not commenced within 780 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714� 7545626 � WORKERS'COMPENSAnON DECLARAnON: I hereby ettirm undef panalty of perjury one of the tollowing declarations: ❑ I have end will melntain a certificate of consent to selbinsure tor workers' compensation, es pmvitletl tor by section 3700 ot the Labor Cotle, for the peAormance of Ihe �ork tor which this permit is issued. have and will maintain workers' wmpensation insurance, as requiretl Dy sectian 3700 of ihe Lahor Code, for the pedortnance of the work lor whith this permit is issued. C My woBers' compensatio nsurance wrrier antl policy number are: —7 �� O� ` U/ 'Cam—'ef'T rf/S �yiNn P�o4c',-� y umDe� � / G/ �o (This section ne nof be comple i the permit is �uetl et one hundred dollars (5700) or less.) ❑ I certity ihat in Ihe gerformanc YtN efk for which ihis permit is issued, I shall not employ any person in any manner so as to become subjact to the workers' compensat� I C' mia. 9ree t�at ii I should become su6ject to Ihe workers' compensa�ion Pmvisions of Section 3700 oi the Labor CoCe, I shall forthwith comply wuh se r isi0ns /�� Ap'Ip�'��.ant' ' •D'afe� C% WARNING: FAIL WORNERS' COMPENSATION COVEMGE IS UNLAWFU� AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CMl FlNES UP TOONE MUN�RED TFIOUSAND 00 .000�, IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�O60F THE LABOR CODE, IfJrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS 1 hereby aNirm that 1 am liceas dar rov' ' ter 9(co encing with Saction 7000) ot Division 3 0l the 8usiness antl Protessions Cotle, and my licanse is in tull force antl eNecL Gic. M �� —� d Ca�_trdctols�Slgneture: � � �%n �� CONSTRUCTO EN NCV: ❑ I hereby aRirm ihat ihere is a construction lentling agency for the peAormanco of ihe work Por which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lenders Atlaress: Signature: _ OWNER-BUILDER DECLARATIONS: Date: I here6y eflirtn ihat under penalry of pe7ury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Professions Coda: Any ciry or counry which requires a permit to ronsiruct, alter, impmve, demolish, or repair eny structure, prior to its issuance, also raquires the epplicant for such pertnit to tile a signed stetement Ihat he or she is licensed pursuant to the pmvisions of the Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ol Division 3 ot the Business end Prolessions Coda) or thai he or she is e:empt iheralrom antl the basis for t�e elleged ezemption. Any violation of Section 7031.5 by any epplicant for a permit subjects Ihe applican� to a civil penalry af not more ihan Five hundred dollars (5500�.): ❑ I, as owner ol tPe properly, or my employees with wages as their sole compensation, WILI DO THE WORK, antl Ihe sWdure is not inteMetl o� olfaretl tor sale (Sec. 7044, Business entl Professions Code: The Contraaors License Law dces no1 apply to an ownar of property who builds or impmves thereon, antl who does such work himsell or herself or ihrough �is or her own employees, provitletl that such impwvemenis are not imentled or oflered tor sale. II, however, the builtling or impmvement is sold within one year ol completion, iha owner-builder will have the burden of proving ihat he or she did not build or improve for purpose ol sale.l. ❑ I, a5 ownet oi Na property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha prolect (Sec. 704C, Business entl Prolessions Cotle: The conVactors License Law does not app�y to an owner ot property who Ouilds or Impmves t�ereon, and who contracts lor such prolect with a coniractor(s) license pursuan� to the Coniractors License laws.). ❑ I em exempt under sec. Business antl Professions Cotle for this reason: Siqnature: Date: Owner ID verilied by dnvar's license. ❑ Yes ❑ No Drivor's License No. Expires: Verification of OwnerShip by (rype oi dotument, i.e. - propeny tax bill or daed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERYIfICAT10N: ❑ I hereby cenity thet no excava�ion five (5) or mo�e feet in depih into which a person is required to descen4 will be made in connec�ion with work euthonzed by Ihis permit, end ihal no building strucWre, scallolding, falsework, or demolition or dismamling ihereof, will be more than ihirty-six (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 347, TiUe 8, Calilornia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require e permit from the Division of IntlusMal Safey, as noted abwe, unless such person has a permit to tlo SUCh work irom ihe division. Signatura: Dale: Division of Industnal Satery Pertnit Numher: GERTFICATE OF CtlMPLIAN RI EMRV: I cehify under penalty oi perjury that I have read ihis application end sta(e ihet ihe iniormation given is correct. I egree to com uh all stete laws and city ordina ces relating lo Ouilding consiruclion, entl authorize represematives ot ihe Ciry ol Costa Mesa to enter upon �he ebove-described p erty for inspection purposes. I egree to occupy or ellow occupancy of any building authorized by ihis permit un�il final inspection. GODE I. IN3PF.CLPll➢'PF� 7616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re�Roo� 201 Final BIaWPetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition PdIE INiiT1AL5 / -C� —v la 1r—DateJ CppE� INSPECiIONTYPE 206 Final Machanical 208 Final Plumbing 210 Final EleciriCal 212 Final Fire Prevenilon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy pAiE L�L,45 �r � PflOJECT qD�HESS: 2 S O$ D?JF(C, PL OWNEN'SNAME: FISH, JANICE W TH FOOPESS: '%jOA PUKi PL COSTA MESA,CA 92626 549-3297 PPCM/ENGINEEfl: PEG.NO.: AOONESS: UNIT: 9 UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P U582HE � PERMIT NO; P U58286 PLAh' CHECK NO: N GOVT; N SUPP; N PEFMITTEE: DP PL[JMBING 5 TNSTALL, ( 714 ) 991.-9477 aoosess: 1564 S, ANAAEIM BLVL) A ANAHEIM CA 92R01 IICENSEO CONTBACTOB OECLAflATION: I �ereDy af�irm �hai I am licensed under provisions ol C�apler 9(commencing with Section 7000) o� Div¢mn 3 0l Ihe Business antl Pmiessions Coae. antl my license is in full lorce antl efiect. ciTxuc.:05067�C srareuc.:56379��uss:�36� Date: ��%� �( L' Signamre: � WOHNENS' COMPENSATION �ECLABATION: I �ereby atfir �ha� I �ave a cetlifica�e oi consem to setl�insure o a t ititale oi Workers' Compensafion n5 a c p� ce tifie copy �hereoi (Se on 3800, Lab. eoucrxo.:��1��4g exr.oare: 1/07./94 comrnxv: FARMERS . � Certifietl copy is hereby fumishetl. L� Certified copY �5 �i�eA wi�� Ihe ci�y Buil ' idsi� � ate: � � �" _/ Z' APVlicant: _�7� EI(EMPTIONFPOMWOBNEBS'COMPENSATIONOECIAHRTI�N: T�i55ec�ionneetlnotbecampleteOiflhepermi�i5foronehun4rea�5100�or1e55�. I certify Ihat in I�e petlormance of the work �or which �his rmit is issued I shall no� employ any person in any manner so as to become suble�� o �he Workers' Compensatmn laws ol Calibmia. Oate: SignaWre'. xOiICE: II. alter making this eeclaration. you shoultl become suUiect to ine workers' Compensatian D�ovisions ot ihe Labar Coae. you mus� larthwil� comply wi�h suc� O�ovisions or �his permi� shall be deemed revokeU. LONSTBOCTION LEN�ING AGENCY: I hereby a��irm lhat there is a constmclion lenaing agency tor Ihe pedormance ol ��e woB tor which this permit Is i=sued (Sec�ion 3097. Civ. C�. LENOEP: aooxEss: OWNEB BIIILDER OECLAHATIDN: I hereby aifirm �hat 1 am ezem0� �rom �he ConVaciors' S�ale License Law lor t�e lollowing reason (Sec�ion 7031.5 6usines5 antl Pmlessional Code: Any ciry oi counry w�ich reQuires a permi� to conSlmci, alter, improve, tlemolish, or repair any slmcture. prior to ils issuance. also requires the apDlicant for such permit to file a signed statemenl that helshe is licensed CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURFOSE: OTH JOB DESCkIPTION ; REPIPE G GAS LSiJE SQ FT: CI�AIM VALUE; 5,600,00 CALC—VAI,UE: GROUP OCC: R-3 / COMMENTS; SMOKE DETECTOR RE IJIRED IN THE HOME it� iF 3f iFit it 3f 1E iE ff-# 3F �lf iE i'r 3F # iEif iF iF iE 3E N� x�-lE iE � k j(� i( jF if #FjF iE if ir iE �1(- R�1E �l'r �lE * iF iF iF # ib iE iE x� �7F 3f �1i� �(� 3f 3f 3f ii� i6 if �1F,c ir iE �lE iF 1E 3f �E !!�±F k?E 3E iE 3F Z O N I N G R E Q U I Ft a,y E N T S 5 E T B A C K 5 ------------ ,�iAIN BUILDTNG ---------- ------ — — ACCESSORY BUILDING --------- FR13T; FT 7N REAR; FT' IN FRNT; FT IN REAR; FT IN LErT: FT ZN RGAT: FT IN LEFT; FT IN RGHT: rT IN PARKING RE(� • PROV: PARCEL: 14141243 2NE: REr A70; PLANNING NGTES> i af �E i? If iF ii� }:� jE iF iP lE iF iE if iF 3i� iF jE #E?F ic iF 3E dE iE it IF if �N� iE iF 7P 3F fE Ih i(' 3F 3E ic iE 1f fF if iF iE ii• le �k it� ii 3E if 1i� �!F ��'l6 iF iE 1(� 3F 1f� �lE iF �N� 1'r iF ie• iE if iE �1F 1E 3E i(� it i'r ie lf �(• D E V E L O P M E N T S n R Vc7 C E S R E Q U I R E M n N T S 7.O�ZTG APPROVED BY DATE; HUSiDING APPROVED BY iE �If 1f if iFiF �1F iP i[ 1f iElf iE fE- 3e if i(� �k it iE �If iE je if� i(� 3i� iE 3E 3E i4 �1K �I(�ih � LEGALIZATION:N F E E 0 i�k ii�jE it jf 3f �E if jF * iF Y� S U M M A R Y BLUG PMT PLUMBING ELcCTRIC McCHANIC PERMIT lO�Og DATE; 2— � �t��**�lla x �� *��r�'3�`�� 3E a'r 3E ii� i6 ie iF dF iE IE ik i4 iE 3f f41f if�-1F 3f iF �E iFjhiF R 1F ji� �S� STRUCTURAL SEGN,ENT:N FIRE SMIP/RES GRADING SM T P /A]ON—RES pursuani to the pmvrsions ol the Contractars State L¢ense Law (Chapier 9(commencmg vn�h Section 7000) ol Drvision 3 0� the Business Pi � antl Pmtessions Code) or Ihal he/she is exemp� ��erelmm and Ne basis �or Ihe allege0 ezemplion. Fny violaiion of Sec�ion 70315 �y any appiicam tor a permn subiects me appiicam m a ci�ii penauy o1 not more ihan iive nunaretl eonars (5500�. I SSIJ C. FEE 3, � 0 i, as owner ol ihe ompeny or my empioyees witn waqes as meir soie compensation, wiii do the work, ano ine $UILDING—DIV—> PCRMIT ISSUE PLAN—CHECK TOTAL PAZD DUE ❑ s�mcmre is not intenaeU or onered tor sale (Section 7oaa. susness and Pratessional Cone�. rne Contracmrs' State License Law TOTALS ----> 1 �, � � 3. � � �, � � i 3, � � 1 3. � 0 , � � Ooes nol apDly Io an owner ol a OmDe�Y who builds or improves �hereon, and w�o does such wofk himSelUhersel� or Ihmugh ms or ner own empiayees, pmvideo tnai sucn improvements are no� imenaea or otterea tor sale. u, hawever tne buiitling or RfiVfiNUE DI VSSZ�N TOTALS--> COLLECTED • 1 3. 00 OVER/SHURT • 00 imomvemen� is so�tl witnin one year o� comp�e�ion, me owner wi�l have �he Durtlen o� pmving helshe Aid no� Dui�O or improve �LUG PN('7' PLU�"�iH YNG ELECTRTC tYi$CA%W 1 C r IRE SM1 P/TO'P GR�IDING PiAN—CHECR io� me Purvose oi saiel. 1 3. 0 0 I, as owner o� the pmpetly, am exclusively can�racting wi�h Iicense0 comracmrs m cansimc� ��e pwle�� lSec�ion 7044, Business l� and Pmfessions Code: The Conirac�ors' Sla�e License Law Does nol ap01y lo an owner oi properry w�o bwltls or impmves �hereon and w�o conlracls �ar such pmlec�s wilh a caniractaqs�license pursuan� to ihe Conira[Iors' Slate License Law),I am aware �hal prool o� I�eir Worker s Compensalion insurance 5hou10 be Orovidetl lo me. � I am e�empl untler Sec�ion' B. E P. C. forlhis reason: iE if if 1f'1f'?i- iE If if 1E'7E it iF if 1f iF iE'Y.' jf if if iE iE iF iF ii' 1I' if iE iE iE' iE iF K' i(' iF if iE iF ie ii' if 3E iI� iF #' if ac iE i6'?(' 1I' if iE i'r 1f Y if iF }{("1F iE if if �IE i! ii' if')i' iF ie 3i' i%i'r-k 3E iE' iF I N D I V I D U A L F E E B R£ A K D O W N TYPE QTY ]) E S C R I P T S O N UNZT COST TOTAL CO�T oate: Ownec P L U I do hereDy cenily Ihat I am aware o� anE un0ers�ane �he requiremems o� Cali�omia HeaIN an0 Safe�y CoOe Sec�ions 25505, 25533. antl j�]�(j 2553a an41ha11 or any �umre building occupam wilVwill nm �circle one) need to comply wilh said state codes antl t�e requirements �or a �,1L(j permit for consimc�ion or motliticalion imm the Fu Ouabry Managemen� Oislric�. Re5i0en�ial constmc�ian applicalions are exempi fmm PL� these provisions. PLU �ale: App6canl'. I hereby terlilyihallhave reaA Ihis applitalion an0 Slaiet�atthe abOve inlOrmalianis COrre l I agre¢ ta tOmply vnth all Cily ana Eoun�y ortlinances anA s�ate laws rela�ing Io bmlding constmc�ion ana �ere y au� represen�ati s f I�i�nter upon ihe above-men�ionetl pmperlY �or inspec�ion pur0oses. � Da�e: 7"�'�—�� Signature: oriver's License ar socia� security a: 16<1-06 White—Bmlaing; Green—Gode Enlorcemen�; Canary—ApplicanC Pink—Revenue; GOIGenrotl—Assessor 1 WATER HcATER AND/OR VEI3T 1 WATER SEkVICE 1 GAS PIPING 5Y5 OF 1 TO 4 OUTLET� 4 GAS PIPING SYS 5+ OUTL—PER OUTLET i WATER RE—PIFE END OF FEES 2,00 2,OU 2,00 ,JO 2.00 �� J:i"i _ 'r.' c^ �- r [�,a',G� �r/. '�1. Tr�. �� . 2,00 �.00 2 , � � 2<00 °,00 CONSTRUCTION AND PLANNING POOI F 4 APPROVALS Permit # Date inspector AppROVALS Permit # Date Inspector 1. Temporaty Efectricaf Service or Po1e 52. Pool & Equipment Location 2. Soil Pipe�Undrgrntl. ' 53. Steel Reinforcement 3. Electrical Conduit Utitity-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgmd. 55. Electricai Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE '7. Footings 58. Electrical Conduit-Undrgrnd. B. Founddtion ` .� 59. Gas Pipe, D Undrgrnd., Test . '9. Water Pipe-Undrgrnd. ,- � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Sys.em 61. APPROVAL TO DECK 11, Property Sewer Line & House Connection ' 62. Backwash & Receptor�Finel 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 EVecvic Wiring ' �� 67. Fencing & Access ApProval � 77. Rough Wiring Sign 66. APPflOVED FOR PLASTERING 18. Rough Electrical�T Bar Ceilin9 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, Ventilatin9 77. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing , � 73. Undergrnd.StorageTank OGas OOiI 25. Roof 5heathing 74. Overhead Hydro 26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. �nsulation 78. FIRE PREV. FINAL 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Eleciricai Power Meter�Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Finai Heating & Air Conditioning ..- 35. finai Gas Pipe-Test �] �j L L�'� 36. Hood or Canopy - . " 37. Final Factory Fireplace ~ � 38. Finai Plumbing � 39. Water Service-Final 40. Gas Service�Final 47. Solar pomestic-Finai 42, Backflow Preventer �, 43. Backflow Irrigation 44. Landscape Irriqation SYstem . 45. Sound Attenuation 4fi. HandiCaP Regulations - 47. FINAL STRUCTURE & BUILDING � - 48. FINA4PLANNING . 49. Electric Release to Edison � 50. Gas R¢lease to Southem California Gas Co ,' 51. CERTIRCATE OF OCCUPANCY No. Date � PC�7JECTRDOflE55: zSOA DUHE PL OWNEN'SNAME: FISH, JANICE W T�R nooeess: z508 DUKE PL COSTA MESA,CA 549-8645 PflCN/ENGINEEfl: ADUNESS: UNIT: 92626 flEG.NO.: UNIT: PENMITTEE: $URR ROOFING ( 714 ) 548-2965 nooness: 711 WEELO DR CM92627 CA 92627 UCENSEU CONTHACTON UECIAHATION: I �ereby alfirm I�al I am licensed un0er provisions ol C�apter 9 �commencing wilh Seclion 7000� ol Divivw 3 0l the Busineu anA Pmfessions CoOe. an0 my license is in lun �orce antl euecl. ciTr uc.: 0116 21 STRTE LIC.: 3 O Z 1 S%� A cuss: ,c.� -� q �e: /D-13—�Z� Signature: ��.t�. �� WORNEflS' COMPENSRTION OECUIPATION: I hereUy a�firm Iha� I have a cetlilica�e o� consent Io sel4insure or a certificaie 0� Workers' Compensation Insurance or a certiliea coOY �hereol (Section 3800. Lab. C). aoucrNo.: 1016530-58 E%P.DATE: O�%�OII93 cornrnxr: STATE ❑ C¢rtilieA [opy is Aer¢Dy WmiSAetl. 0 Cenitiea wpy is fileA �yj�� Ihe � ' ing Division. sn V U < ,ate: rV �� Z AODlicanl: zie.w EXEMPTION FflOM WOPREN$' COMPENSATION OECUBATION: Qhis seclion neetl nol0e completcd i� the permil is far one AunOreO (81q1) or 1e55�. I c¢riily Iha� in ihe Oeriormance ol ihe work for whic� Ihis Dermil is issuetl, I shall not employ any Derson in any manner so as �o �ecome su�lec� �o �he Workers' ComDenSaiion Laws o� Calibrnia. � Date: SignaWre: NOTICE: If. after making inis Aeclaration, you shoule �ecome suhiect to Ihe Workers' Comoensalion pmvisions ot ine LaGor fAEe, y0u mus� torihwil� comD�Y �^�� such provisions Or INS Dermit shall Ue Aeemetl revoke0. CONSTNUCTION LENOINC RGENCY: I �ere�y aHirm I�ai ��er¢ is a tOnSlmciion lending agency lOr Ihe peAormante al tlre work lar which ��is permit is i:SueG (Se[tian 3097. Gv. C�. LENDEN: RDOfiE$S: OWNEfl BUILUEB OECIABRTION: I here�y a��irm Ihai I am exempl trom Ihe Cqntractors' State License Law for ihe followinB reason (Sec�ion 7031.5 Business anU Pmfessional Cotle'. Nny ciry of counly which repuires a permil �o consimc4 alter, improve, demolish, or repai� any slmcture, prior lo ils issuance. also requires the aDPlicant for such permit to lile a 5igne0 statement that he/she is IicenseU pur5uan�lolh¢ pmvision5 O��he ConifaCtars' Slaie lic¢n5e law�C�apler9�commenCing vn�A 5¢t�ion 7000�a�0ivi5ion 3 01 Ihe BUsiness anA Prolessons Cotlel orthat ne/she is exempttheretmm an0 the Uasisiorthe allegetl exemption. Any violation oi Section 7031.5 6y any aDDlicanl lor a Dermi� suCletls t�e applicant to a Gvil Denalty al nat more Ihan Irve hunGr¢G daAars (ENq�. ❑ I. as owner of ��e propeny or my employees with wages as iheir sole compen5ation, will Oo itle xrodc, anA the stmcwre is not inten0etl or olleretl for sale (Semm� 70aa, Businea an0 Pmfessional Cotle: T�e Contractors' State License Law tlo¢S no� appty �o an owner ot a D�oOetly who bUilds ar impmv¢S ihereon, an0 wh0 tl0e5 Sut� work himself/hersell or ihwu9h his or her own employees. D�a'^Oe0 itwt such imomvemenis are not intendeA or ofhre0 lar ule. If, tqwever ihe builtlinq or improvemenl is solG wilAin one year ol com0letion, ��e owner vnll have ��e Durden ol D�oving he/s�e Oia no� DuilU or improve �or ��e pur0ose ol sale�. I, as owner of �he pmpeny, am exclusively comrac�inp wil� licensetl camrac�ors m conslmct Ihe D�oleci (Seclion 7044, Business ❑ and Pmfessions CoOe: The Canlrac�ors' S�aie License Law tloes no� apply to an owner 0� pmperty who huilds or impmve5 thereon antl who coNrac�s lor such pmjects vnih a cantrac�or(s� license Dursuant to ��e ConVacfors' State License Law). I am aware ��al D�OoI ol Iheit WOrker'S Compensation insuranCe S�oU10 be pwvitletl t0 me. � I am exempt un0er Setiion: 8. d P. C. br tnis reaion: Oale: Ownec I tlo �ereby cehity I�ai I am awa�e ol antl untlers�ana �he requirements of Cahfomia Heallh anC Salety Code $ections 25505, 25533, antl 2553d ana ihat 1 or any IuWre CuilOing occu0anl will/will nol gircle one) nee0 to comply with sai0 state cotles an0 ihe reQuiremenls for a permi� tOr cons�mtlion or modilitalion Imm IM1e Air �uali�y Manag¢meni OiSiri[L R¢siden�ial ton5tmtii0n aDPlicalions are eMempl Irom ihese provisions. Oale', AODlitani: I he�eUy cetlily �INt I �ave read Nis application and slaie Ihai I�e aCOve inlormali0n 6 correci. I agrP! lo campty wit� all ciiy anC c0unty ottlinances an0 Stalelaw5relatingio buil�ing ton5lmtli0n anG hereDy au it¢re0re5¢n�aiivesa�lhis Ci�yiO ent¢ruponlhe above-menli0ne0 pmDeny lor inspe[Iion pDurpotes. �� '.J � Oate: �a � � 3— 7 �� SignaWre: oriver's �icense or Socia� Securiry a: i64Ln6 Whi�e—BuilOing; Groon—Cotle EniorcemenC Canary—Apphcant�, Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 059963 PERMIT NO; B 059463 PLAN CHECR NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT JOH DESCRIPTION ; T/OFF RESHT, REROOF W/FZHERGLASS SHINGI�E SQ FT; 7,500 CiAIM VALUE: 7,500.00 CALC—VALUE; 7,500,00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR RE�?UIRED IN THE HOME �rx�*��+��rx�r�r�e�rx��r**+t*�r�ex***** �u**�e*+��*�e�xse*�r**�r�r�r��r*�r�r*�*##�eu*��r*uir,rx#***�c�tx**� Z O N i N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUZLDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT ZN FRNT; FT IN FtEAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARICING REO• PROV: PARCEL: 19141243 ZNE; REF NO; , PLANNING N(7TES>" [•� P i! iE if 9f if �F �f iF iE �f it� it iE 3E,9f iE ihlt 1!� if 1f it if if iE iF iE-k iE if �E i(� # if ih'k if it if if iE if # if i! 1f iE iE iE iE iE iF ik iE iE if iE # if if iE iE iE iE it if i61! if.i� iFlE iE±E tbif if 1E iF 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 ZONING APPROVL`}D:BY DATE; BUILDING APPROVED BY ; DATE; '' C APPLICATION ISS.UED BY:� DATE• G�—��/� iE iE iE if if iE iE iE ik if if if iE � iF if if it iF if if3FiF3F7F3tTF iF� a'F z i� iF�F�F iF �� iF� i�F f�f�F x�F3F i�iF3F3F �ft ii x ie �x k iEif iE iE �lE i! iE ik ik�sr i�= z x iE if iF*ifiFifiE�EaE�EifiFlEi(�if1f1E1EifiEiEiF�lE1E�lEiEiElEiEiFiEiFiFifi4iEifiF3fi(�iEfE#iE%1f#iEik#if#1EikiF###iE#1f�IE##iE##ihikif#iEitiFi(�if-IF�Ei(�i! LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI'P/RES GRADING PERMIT 99.00 ,75 PLAN SMI�P'/NON—RES ISSUE FEE � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PP,,ID DUE TOTALS----> 99.75 0,00 0,00 99.75 99",;75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 99,75 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99.00 .75 ,i �lE iF')F iE if 1E �E 7k iE iE iE iE iE iE iFlF if !E iE iF iflf iE iE if !E if iE if iE iE 1E 1flh it iF iE iE 1E iE #!E # 1E-1F if iE if iF iF 3E if 1E iE 7F if iElf �lE if �lE it iE ik �# if iE �E 1F 1E 1E 1E fE �lf # if �k if I N D I V I D U A L F E E B R E A K D O W N p� TYPE QTY D E S C R I P T I O N UNIT COST �� TOTAL COST SFR 7500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 ' 7,500,00 END OF FEES .' i. � / � `,' /^ v � � :�: l�_ - .. .' ' ;L� _ �i_,_ .; CONSTRUCTION AND PLANNWG POOL / 4 � Date Inspector Date inspeetor APPROVALS Permit # APPROVALS Permit � i 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location . 2. Soil Pipe�Undrgrnd. '' 53. Steel Reinforcement 3. Electrical Conduit UtifitY-Undrgrnd. � 54. Forms 4. Electricai Conduit�Undrgrnd. � 55. Electriwl Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings • 58. Electrical ConduiFUndrgmd. 8. Foandation ., _� � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. -� J 60. Backwash Lines, P�Trap, O Undrgrnd. , � 10. Structural Floor System � 61. APPROVAL TO DECK 71. Property Sewer Line & House�TConnectior� � � 62. Backwash & Receptor�Final 12. SOwer Cap � 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Piumbing 65. Electrical�Final 15. Rough Electriwl-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Struaure 70. Underground Hydro 22. OuctS, Ve�tilating � 71 . Product Piping fl Gas ❑ 0�1 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing `0 �,1? �Lv� 74. Overhead Hydro 26. T-Bar Ceiiing (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding i 77. FIXED SYSTEM FINAL 29. Insulation . � � � 78. FIRE PREV. FINAL 30. Drywall Nailing � I__ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 'y� 79. FINAL INSPECTION 32. Elecirical Power Meter-Final � (�' 80. FOOD CERTIPICATE ISSUED 33. Final Electric - �`' Notes: � v: ' 34. Final Heating & Air Conditioning �\y; I 35. final Gas Pipe-Test � 1`\., 36. Hood or Canopy I; I 37. Final Factory Fireplace I i i � I i i - 38. Final Plumbing i 39. Water Service•Final j i 40. Gas Service�Final i i 41. Solar pomestic-Final j I I 42. Backflow Preventer � i � 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation �� .. //J�yl �� _ ,./J e( � Ij � !-� `'' G�Rp -�o�-P� 46. Handicap Regulations � �� A7. FINAL SiRUCTURE & BUILDING /�ZZ R2^ �( U 48. FINAL PLANNING � ; �; � 49. Electric Release to Edison � � ' 50. Gas Release to Southem Califomia Gas Co � �-1 , 51. CERTIFICATE OF OCCUPANCY No. Date , .. - ��s� COSTA MESA BUILDING DEPARTMENT P.O, 60X 3�� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN eui�oiN� m ADDRE55 25� T�ke l�.3Ce COSTA MESA. I�ALIFORNIA OWNER l�esa Hi�lai MAIL 1555 Placeni AODRE55 ' Inc. ��1� Newport Beach, C31 �No MI b— ARCHITECT BaI�IB LIC OR ENGINEER NO. _ ,,:��bi�� ti IS`�� lNAl1LE dEPT. �iTy n� r,f1C'ra. p�zcp APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. pERM�I�Q L .� Ec eo er owre aecEivEo onTc iss � ��/ �r _� s cR e 1�. ADD. $$$B FIRE t v ni ZONE K.'1'�. tl��-1 V�Ll$Y• Ci� CITY LIC. 12 , zorv[ y� CONTRACTOF NO r'� LEGAL N ILOT DESCRIPTIO NO. A.P. NO. SIZE OF LOT irre USE OF E%ISTING BL�G. SETB4CK LINE FROM CENTEF OF STREET $�'� COSTA MESA. CALIFORNIq TEI. APPROVED NO. S�e BY raacr �z9 X� 1W INOW ON LOTS O � REAR VARD � SIDE VARO RIGHT lO LEFT 5 DESCRIPTION OF WORK NEW � ALTERATION I ADOITION REPA, � • MOVING � I DEMOLISH BUILDING / NO.pF SIZE p ROOMS 6 STORIES EXTERIOR WAIL ROOF COVERING 9�iIlCCO COVpRING yjQOCl SF111 L15E OF NEW BUI�DING Residence & att.gara�e Plan 3—AR CORRECTIONS R VAR. NO.iS.►4�.r1i' The Amount es�h.o�Jwn under valuation is for the � HEREBY <CKNOWLEOGE'TMAT I MAVE qEFO THIS GPPLIC/�TION FNO purpose o W Y s mg a permi Q� 0 $T>TE TNAT THE A60VE IS CORRECT AND RGREE TO COMPIV WITH ALL C�TT ORDINANCES ANO $TATE LAWS REGULTTING 6UILOING ONSTRUC- 1wrv. yq�UATION SIGNAiURE OF PERMiT FEE $ OO PERMITTEE 15,747�Q� pLAN CHECK � ��0 � AUTHORIZED GENT TOTAL FEE S 2 0