HomeMy WebLinkAbout2519 DUKE PL - Building Permits(714) 754-5273 • Fex (714) 754-4856 • v+ww.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job address: 2519 DUKE PL
Suite:
Viciniry: ROOF
Parcel Number: 14141239
Applicant: MARTIN ARROSAGRAYS
Address: 2508 60WDOIN PL
COSTA MESA, CA
Owner: DAUB, WILLIAM RICHARD
Address 2519 pUKE PL
2oning:
ISSUED BV:
Phone: 714-556-8867
Zip: 92626
Phone:
COSTA MESA, CA Zip: 92626
Contractor: MAR71N ARROSAGRAYS ALL SEASONS ROOFING
Address: 2508 90WDOIN PL
Phone: 714-556-8867
COSTA MESA, CA
Zip: 92626 License: 622480
Arch : Eng:
Address: - Atldress:
Status: ISSUED
Applietl: 11/18/2004
Issued: 11/18/2004
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 30# FELT, REPAIR/REPLACE SHEATHING AS NEEDED, AND 30 YEAR ASPHALT SHINGLES. 26
S�UARES INCLUDES AT7ACHED GARAGE.
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.65
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.90
SETBACKS
MAIN STRUCTURE Fronl 0- p
ACCESSORY Front 0-0
PARKING Existina: p
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
ss,soo.00
$6,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2)
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 periotl of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepections and Iinel epproval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�
WORKERS' COMPENSATON DECLARATION: _ .
I hereby ettirm undar penelty of perjury one of the following tleclarations: � �� �
❑ 1 have end wiil maintain e cetliticate oi consent to selt-Insure tor workers' compensatlon, as pmvitletl for by section 3700 of ihe Labor Code, tor Ihe peAormance of the
� � work for which thi5 permit is issuetl. .
iintain worke�mpensation insuranca, as reqWretl by section 3700 of Ne Labor Code, for the pedormance of Ne work tor which Nis pertnit is issuetl.
penspmm Insur ce cerrier antl policy number are: /� �S� �� _ 2� �_
-t � r.Pdity Number.
be complefed il fhe permit is velued af one hundred tlollars ($100) ar less.) "" � --�
❑ I certity ihat in the performance of Ihe work for which this permit is issued, I shall not employ eny person in any menner so as to become subject to tna workers'
compensation laws of Calito ia, entl ee that ii I should become subject fo ihe workers' compensation provislons of Section 3700 of Ihe Labor Code, I shall iorthwith
camply wit_ h �hese,pr)�sio . �� � , // /� _D G/
�pliceM�Sfpnature: Ai! rD ta e"+ �
ARNI�'FAILURE TO SEWRE WORKERS' CAMPENSATION CO` RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOY O CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED
THOUSANDOOLLARE(5100,000),INADDRIONTOTHECOSTOFO MPENSATION,DAMAGESASPROVI�EDFORINSECTION3'1O60FTHElABORCOOE,INrEPEST,MlDATTOfiNEY'SFEES.
LICENSED CONTRACTORS DECIAHATION:
I hereby aHirm that I am licens�dkn�erp�oydaiy
CONSTRULTION LENDING AGENCV:
9(commencing with Section 7000) of Division
Cotle, and my license Is in full
❑ I hereby affirm that ihere is a cons�ruction lending agency for Ihe performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I �ereby aHirtn that under penalry of perlury Ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW br the following reason (Sec. 7031.5, Business and Professlons
Code: Any city or county whic� requires a permit to constmct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the epplicant for such permit
m file e signad statement that he or she is Ilcensed pursuem to Ihe provisions of iha Contractors License Law (Chaptar 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Code) or that he or she is exempt therefrom and Ihe basis for t�e allegatl exemption. Any violation of Section 7031.5 by any applicant for e pertnit
subjecis ihe applicam m e civil penalty of not more than five hundred dollers ($500).):
❑ I, as owner ot the propeny, or my employees with wages as t�eir sole compensetion, WILL DO THE WORK, and Ihe sirucWre is not intende0 or ofleretl tor sale (Sec.
7044, eusiness and Professions Cotle: The Coniractors License Law does not epply to an owner ot property who builds or improves thereon, and who does such work
himsetl or herself or ihrough his or her own employees, provitletl that such improvemenis are not intentletl or oHered tor sale. I(, however, the builtlinq o� improvement is
sold within one year of completioq the owner-builtler will have the burden of proving that he or she did not builtl or improve for purpose of sale.). •
❑ I, as owner ot the property, am E%CWSIVELY CONTRACTMG WITH LICENSED CONTRACTORS to constmct ihe projed (Sec. 7044, Business antl Professions
Code: 71�e contractors License Law does not appty to an owner of property who builtls or improves ihereon, and who comracts tor such pmlect with a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I am exempt under sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID verified by tlnveYs license. ❑ Ves ❑ No DnverS License No.
VeriFlcation Of Ownership by (rype of document, i.e. - property tax �ill or tleed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Expires:
❑ I hereby certify Ihat no excavation Ma (5) or more feet in dapih into which a person is required to descend, wiil be made in connection with work authorized by this
permit, and thet no building stmcture, sceHoltling, falsework, or demolilion or dismantling thereoi, will he more ihan Ihirty-six (36) feel high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title 8, Califomia Atlministrative Cotle).
❑ As ownar-builtler, I will not employ anyona to do work which would require a permit from the Division of Indusiriel Sefery, es noted above, unless such person has a
permit to do such wark from the aivision.
SignaWre: Date:
Division of Intlusinal Safety Permit Number:
CERTIPICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certity under penalty of perjury ihat I have read this application and state that ihe intormation given is
correct. I agree to comply with all state laws end ciry ordinances relating to building consWction, end authonze representatives ot ihe Clry of Cos[a Mesa to enter upon Me
above-descri6ed property for inspection puryoses. I egree not to wcupy or allow occupancy ot any builtling au�horized by this permit umil final inspection.
CODE 1. INSPECTION lY➢E
1676 Fiaed System Final Fire Prevention
1266 Poal Spa Final
200 Final Pe-Roof
201 Final Block/Rataining Wall
202
203
204
Final Factory Fire Placa
Final Sign
Final Demolition
� PdIE iKrmn�s
\� �`
//
� '
CODE 1 INSPECTION TYPE
206 Final Mechanical
208 . Final Plumbing
210 Final Electrical
212 Final Pire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
PAg 1ti�LS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
1ob Address: 2519 DUKE PL
Suite No
Vicinity:
Parcel Nunmber: 14141239
Applicant: SZABO, KEVIN
Address:
Owner: DAUB, WILLIAM RICHARD
Address 2519 DUKE PL
COSTA MESA, CA
PLUMBING PERMIT
Phone:
Zip:
Phone:
Zip: 92626
Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
STE D
SANTA ANA, CA
REPLACE WATER HEATER
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
So.00
$0.00
$0.00
so.00
so.00
so.00
$0.00
$0.00
QTY
Phone: (714)241-1414
Zip: 92704
License: 529127
Phane:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY _
AMT
Laundry Tub / Washer $0.00
Landscape Irtigation 50.00
P-Trap 50.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
aTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Appl ied: 03/OS/2003
Issued: 03/OS/2003
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping Qnst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § i, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zaas-ae le�oo�
WORKERS' COMPENSATION DECLARATION: .
I hereby attirm under penalry oi perjury one of the following declarations:
❑ I have and will maintaln a certificate oi consent to self-Insure for workers' compensation, es provided for by section 3700 ot the Lebor Code, for the peAormance of the
work tor wpich ihis permit is issuetl.
-� '� I have and will maintain workers' compensation insurence, as required by section 3700 of the Labor Code, for the pedortnance oi ihe work for which t�is Dertnit is issued.
,_ -My worker4' compensation Insurance carner and policy number are: /� /�
�Carrier: �:����UN� �olicy.Number: �`Uf1723n—�.3
.(This section need nof be com0�ete0 i/!he pe�mit is valued at one hundred dollars ($ f00) or less J �
❑ I cenity tha� in the pedormance of the work for which this permit is issued, I shell not employ eny person in eny manner so as to �ecome subject ro the workers'
compensation laws of Califomia, egree that if I should become sub�ect to Iha workers' compensation provislons of Sectlon 3700 ot the Labor CoOe, I shall forthwith
comply witP lhese pr ions.
�Applice`nt SigneWre: A�/�. � ,�;- -��^' S � �
-WAiiNING FAILURE TO SECUR `ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMFLL SUBJECT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOIXJE HUNDRE�
T/qUSAND DOLLARE (E100,OW). IN ADDITIqJ TO THE COST OF COMPENSATION, DAM4GE5 AS PROVIDED FOq IN SECTION 7/O60F TME LABOR CODE,1lJrEREST, AND ATiORNEY'S FEES.
LICENSED COMAACTORS DECLARATION:
Ifirm ihat I am licensed untlar pmvisbns oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro�essions Code, antl my license is in full
eHect. lic..a� 2 %—j Vlass x C 3do �'� C
's Signature: �` Date: 3"S` 03
�—
CONSTRUCTION LENDING AGENCY:
❑ I hareby aNl� Ihat there is a construction lending agency for ihe pertormance ot Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Nama: Lentler's Address:
Signature: Data:
OWNER-BUILDHA DECLARATIONS:
I hereby ettirtn iha� under penalry of perjury that I am EXEMPT FROM THE CONTHAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions
Code: Any ciry or county which requires a percnit b consWct, alter, improve, demolish, or repair eny stmcwre, prior to its issuance, also requires the applicant tor such permit
to tile a signed statement ihat he or she is licensed pursuant to ihe provisions of ihe Contractors License Lew (Chepter 9(commencing with Section 7000) ot Divislon 3 oi the
Business end Pr0lessions Code) or that ha or she is exempt thereirom and ihe basis for ihe ellegetl exemption. Any violetion of Section 7031.5 by any applicant �or a pertnit
subjects the epplicant to e civil penalry of not more than five hundred dollars (S500).):
❑ I, es ownar of ihe property, or my employeas with waqes as iheir sole compensation, WILL DO THE WORK, and Ihe sirucWre Is not intentletl or oHered for sale (Sec.
7044, Business and Pmfessions Code: The Contrectors License Law does not apply to an owner of propeny who builds or impro�as thereon, and who does such work
himselt or herselt or through his w her own empbyees, provitletl lhat such improvemeMs are not iMentled or oHered tor sale. N, however, tha bufltling or imprwament is
sold within One year ot completion, the owner-builder will have the hurden of proving that he or she did not builtl or improve /or purpose oi sale.). �
❑ I, as owner o� the propehy, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct iha project (Sec. 7044, Business and Professions
Code: The Goniractors License Law does not epply to an owner of property who builds or improvas thereon, antl who contracis tor such project wtlh a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am e:emp� under sec. Business and Protessions Cotle for ihis reason:
Signeture: Dete:
Owner ID veritied by tlriveYs license. ❑ Ves ❑ No Driver's License No. E:pires:
Verification of Ownership by (type of document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAIL SAFETV PERMIT CERTIFICATION:
❑ I hereby cedih/ that no excava�ion tiva (5) or more feat in depih into which a person is required to tlescend, will be matle in connec�ion with work authorized by lhis
permit, and ihat no building simcwre, scaRolding, falsework, or demolition or dismantling ihereof, wiil �e more than Ihirty�six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, California Adminisiretive Code).
❑ As owner-bNilder, I will not employ enyone to tlo work which would require a permit irom the Division of Industnel Safety, as noted ebove, unless such person has a
permit to da such work irom Ihe division.
Signature: Date:
Olvlsio� ot I�tluaMal Satety Permit Num6e�:
CERTFICATE OF COMPLIANCE ANU AUh10AIZA710N OF EN7RV: I certify under penalry of perjury Ihat I have read ihis epplication end stata that �he information given is
correct. I egree to comply with ell state lews and city ordinances relating to building construction, and authorize representatives of ihe Ciry ot Coste Mesa b enter upon ihe
above-descnbed p�opeAy for inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
CODE I. �
1616 Fixetl SyS�em Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIoGk�Retaining Well
202 Final Feclory Fire Place
203 Final Sign
204 Final Demolition
pRTE INTRWLS
Da�e
3 -S-o3
LODE� MSPECiIONTYPE �
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSi�e
250 Final Building/Occupancy
i�9IE INit11RL5
i� � .-�-�a�
�
�I
/
PHOJECTAO�PE55: Z�jS9 DUKE PL
OWNEfl'SNAME:DAUB, WILLIAM ftICHAFiD
aooxess:DAUB, CRERYL L
251y DTJKE PL
, COSTA MESA,CA 92626
AHCMIENGINEEB: AEG.NO.:
aooness:
UNIT:
uNiT:
PEflMITTEE: WILLIAM DAUB ( 714 ) 557-8574
nooxEss: z519 DUKE PL
C,N. CA 92626
IICENSEO CONTBACTOfl OECLAflATION: I here�y allirm �hal I am licensed untler provisions ot Chapter 9(commencing wilh Section
7000) af Drv��sion 3 0l �he Business antl Pmfessians Code, an0 my license is in �ull force an0 e��ect.
CRY LIC.: STATE LIC.: CLASS:
�a�e: SgnaWre:
waHREflS' COMPENSATION oECIABRTION: I hereby affirm inat I have a cenificate of consenl to setl�insure or a cehiticate of workers'
Compensalion Insu�ance. or a cer�ihetl copy thereof (Section 3000. Lab. C).
POLICV NO.: ESP. DATE:
COMPANY:
❑ Ceriilietl copy is here�y tumishe0. ❑ Certilietl copy is file0 with �Ae ciry Building �ivision.
Jale: ApDlicanL
E%EMPTION FHOM WOflNENS' COMPENSpTION OECLAflATION: (This section neetl nol �e complete0 if �Ae permit is lor one huntlretl (81W) or less�.
I ceNly Ihal in Ue periormance ol lhe work for which Ihis per�s isw9tl.�not o any person'n any manner so as lo become
su�lecl lo Ihe Wo �ers' Coi pensaiion Laws of Calilornia. /
Daie. � Signalure:
NOTICE: 1. a�ter m king Ihis tleclaralion. you s�aultl become su lec� lo the Workers' Campensa�ion provisians o� ��e La�or
Cotle. you musl lotlhwith comply wi�h such pmvisions ar �his permit s�all be tleemed revoke0.
CONSTflUCTION LENOING NGENCY: I herehy affirm tha� there is a consimclion IenAing agency �or �he pedormance of I�e work �or
which �his Oermn is issuetl (Section 3W7. Ci¢ C�.
LENOEN:
aooeess:
OWNEH BWLOEfl UECLAPATION: I hereby aflirm �Aat I am exempt �mm Ne Coniracbrs' Slale License Law �or the tollowing reason
(Sec�ion 7031.5 Business antl Pmlessional Code: Any ciry oi couniy which repuires a permi� lo con5imcl. al�er, impmve, tlemolish, ar
repair any s�mcNre, prior Io ils issuance, alsa requires ihe applican� �or such pe�mi� lo file a signed s�a�emeni tha� helshe i5licen5e0
pursuanl�o�he pmvisions ol��e Coniractors' State License Law(Chapter9(commencing wi�h Section 7000) of�ivision 3 o�ihe Business
antl P�o�essions Catle� or �ha� �e/she is exemp� ��er¢Iwm antl Ihe hasi5 tor �he allegea exem0�ion. Any violaiion ol Sec�ion 7037.5 by
any applicanl �ar a permil subjecis ihe applicani lo a civil penalty ol noi more than live hunare0 tlollars �E500�.
I, as owner of ihe pmpeny or my employees wilh wages as ineir sole compensation, will do the work, anA �he
� simc�ureis nolintenUed orol�eretl�orsale�5ection 7044, Business and Pmfessional Cotle: The CanVaciors' Sia�e License Law
does not apply lo an owner oi a pmpetly who builds or impmves Ihereon, anA who does such work himsel�/hersel� or �hmugh
�is or her own employees. D�ovitlea Iha� suc� improvemen�s are nol inl¢nded ar oflered br sale. I�, �owever the huiltling or
impmvemenl is soltl wit�in one year oi completion, �he owner will have the burtlen o� O�oving he/she ditl no� builtl or impmve
lor Ihe purpose ol sale).
I, as owner of Ihe propeny, am excWsively contracling wil� licensed conirac�ors �o conslNct the pmlect (Sec�ion 7044, Business
❑ and Pmfessions CoOe: T�e Conlractors' S�ate License law tloes not appty to an owner oi Oroperty who bwlds or impmves �hereon
and who cantracts for such pmlects wi�h a conVacior(5� license Oursuant�o ��e CanVactors' S�a�e License Law),I am aware
Iha� pmof a� Iheir Worker'S Compensa�ion insurance 5�ou10 be pwvidetl �o me.
� I am exempt under Section: B. 8 P. C.
for Ihis reason: /�
�a�e: � //�n /"/ '3 Ownec
Itla hereby cenily atlam aware ol antl untlersland Ihe requiremen�s of Cali�ornia Health antl Saleiy Code Semions 25505. 25533, and
25534 antl iha� I or any futurt bml�ing occupant will/will nol (cucle one) neetl to comply with said sta�e codes antl �he requirements for a
permil lor canslmcUon or motldica�wn �mm ��e Air Oualiiy Management �isiricl. Fesitlential con5imc�ion apDlicalions are exemp� �mm
�'i Ihese prOvi5i0n5.
�ale: Applicanl:
I hereby cerulythai I have reatl this applica�ion ana sta�e��at Ihe above intormalion is correcl. la ree�o comply wil all ci�y and county
arainances antl state laws relating Io bwlding consimclion antl �ereby authorizeJJJ...���D�esentalives o scil lo enter upa e a�ove�mentionetl
pmpeny lor inspe u� pu oses. ` "/� �
-� ; �
�a�c'. Signamre: � �
Oriver's �icense or Socia� secumy .:
164t�46 W��le—Builtling: Green—Cotle Enlo¢emenC Canary—ApplicanC Pink—Revenue; Goltlemotl—Assessor
' CITY OF COSTA MESA — BUILDING PERM7. PERM NO: E 063067
PERMIT NO; E 063067 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRDCTION 'PYPE: PEkMIT TYP . ELE PURPOSE: OTH
JOB DESCRIPTION : UPGRADE METER S INSTALL AN OUTLET SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCC; /
COMMENTS; NO OTHER WORK AUTHOkIZED BY THIS PERMIT
x�*�*�t�x**�r�r�r�+r*��z�**�rxx*�**x��e�r**x��*x-���*���*���xx ��•��t�r�r�r*���#+t**x-xu�*�r#**�+�**
'L O N I N G k E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY PUILDING ---------
FkNT; FT IN HEAR; FT IN FkNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LErT; FT IN RGHT; FT IN
PARKING REQ • PROV; PARCEL: 14141239 7NE: REF NO:
PLANNING N(SI'ES>
i
��t�tx����*�r*�r«�*x***�*�r**x�r**�r**�t*ar.*�r**��*���*�t*x �e+c�����x-****�#�*��rn�********��**
D E V E L O P M E N T •S _E, R V I C E S R E� U I R E M E N T S
20NZNG APPROVED BY %/ DATE;
HUILDING APPROVED BY ; - DATE:
APPLICATION ISSUEP BY: � �' �— DATE; �� ( % I �I3
1k if 3f� iE i4 iF iE if iE 1ElE iE if iE iE K- 7f iE iE IE 1f iEiF�if7FTF7F�3f3F if'TFiF3F'��F3FiF3F��F3F7F'iF iF3f7F3F3f ii7F �Tt i�7F3F1f if It 1t 1E k if if ib fFi��if fE iF
it iE iE iF ik 1E iE 9E iE if %iF iE i! i! i! iE iE k If iE iE 1f !E if ik iE iE �E ik iF�Fi%iF 1k ik-)f if �F iE iE IF iF 1E fE it iF iE iE �E iE 1f iF iE iE-k i(-iE iE iE tbit if #'�F i't iF iE X� If 1E iE IE iE iE-lE if ih jE
LEGALIZATION:N F' E E S U M M A Tt Y STRUCTURA].� SEG�IEtJT:N
BLDG PMT PLUMHING ELECTRIC NECHANIC FIRE SMIP/RES GRADING
PERMIT 19.25
50� 5MZP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> F'ERMIT ISSUE PLAN—CHECK TOTAL PAID DiJE
TOTALS----> 19,25 15,00 O.UO 74,2; 34,25 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 34,25 OVER/SHORT: ,00
BLDG FyT PLUMBING ELECTRIC ME:CHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
34.25
iE f! 9E-M� If iE iE iF if �E fE iE iE iE iE IE 1F �IF )f if !E iE iE if iF if �1f iE iE ik iE IElE if rt if iElF if # X� iF 3E if iE iElE if iF iE 1f iF iF �3E 1F iF ih %� a�F fF iF �li iF �M� iE iF �E ik iE 3FlF!(� if %iF iE ff iF?E
I N D I V I D U A L F E E B R E A IC D O W N
TYPE QTY D E S C R I P T I O N UNI'I' CO5T TOTAL COST
ELE 1 RECEPT/OUTLET 1 ST 20 EA. 75 75
ELE 1 SERVICES BELOW 600 V& HEL�W 201 AMP 18,50 18;50
END OF FEES
oi aoi43005-001430D5 r�� T
DAiE: �7/t6l43 TIt1E: il_14
� CONS ��ftUCT10N AND PLRNNING
APPROVALS Permit �
1. Tertsporary Elecvicai Sr;rvice or Pole
2. So�! Pipe-Uodrgrnd.
� 3. Electricai Conduii U��IitY-Undrgrnd.
, 4. Fl��uit�U�drymd.
5. Steal Reinforcement
� 6. E:eerles' L'FER Grr.d.
7. FooUngx
B. Foundatmn
9. Water Pipe�Undrgmd.
I
i
I 70. Structura� Ftoor SYstem
1}, Praperb� Sr�,ve� Line & House COnnectio�'�,
� 72. Sewcr Cap ',
�"-- _
F"3. Roo+Drains
, �4. Rough Pl�mbing ��,
I '5 Rou�n Electrical�Condurt �',
�
I 'u. Rough Electrvc`.Ni�ing '�
r- -
; 7. Rough lV�nr.g S:yn
18. Rough Electrical-T 9ar Ceihng _
ri9. Rovyh Heating & A�r Conditioi:��ng
20- Ro�.gh Facmry F�rep�ace
27. D�ucts, in St�utture
22. Oucts, Ventilating
2' 3. Ga, ?ipz�Rough & Test
�
?a. .00f r'ramirig
25. Ro�� Sheath.rg
� 26. T�9a� CeJmg ISVuctu�alf & i4lonocoat
27. Fime ar.o Flash��s
2&. Lathing & Sid�ng�
29. Insuiatron
30. Drywa�! Naihng .
37. Piaste� Bro:.r. Coat __
32 E�ectrca� Powe� YSeter�F�na_
33. Flna� Eiecbic
34. Final Hsatiny � A�r Contlition�n�
35. Pinai Gas Ripe�Test �
3G. Hood or Canopy
37. Fina! Factory F�replace
38. F�na� PtumUing
39. SVater Se.rvice�Final
40. Gas Sereme�Finai
�t. Solar pomesticFina�
42. Backflo�v Prevanter
�3. Backflow Irriqation
44. Landscape Irngation System
45. Sound Attenuetion
46. Handicap Regulations
A7. FI�IAL STRUCTURE & BUILOING
48 FIiVALPLANNING
A9. Eleciric Release to �dison �
50. Ga<. Retzase to Southern California Gas
5L CERTIFICATE OF OCCUPANCY
lo._.. __. _ Date _
Date
A
POOL ?A �
inspector AppROVAL5 Permit m Date "Inspector I
i
52. Pool & Equipment Locatlon '
53. Steel Re�nforcert�ent
54. Forms {
55. Etectrlcal Bond�ng
"t
56. Rough Piumbing & Pressure Test
57. APPF?OVAL TO COVFR�GUNITE ��
58. Electricai ConduibUndrgrnd. �
59. Gas Pipe, � Undrgmd., Test
' 60. Backwash Lines, P-Trap, = Undrgrnd. i
- 61. APPROVAL TO DECi<
62. Backc�a,h & Recep!orF�na4 � --j
63. Heater & Vent�Final � !
64. P�umU�ng System � Final � �
i ��
65. E!ectric2l-Final � _�
66. S��ar System-FMaI �
6J. Fencing & Acccss Approvai (
68. APPROVED FOR PLASTERIf�G � '
G9. POOL/SPA SYSTEPo75 F INAL
FIRE DEPT. REQUINEMEN i I ��
APPROVALS Permit � i �
� �
70. Underg*ound Hyd:o I
71. Product Pipin9 C] Gas ❑ Oii
_ 72. Und�..�rground Fiuzh _ ��
73. Under�rnd. Storaye Tank C1 Gas '. =10I: I I
_ 74. Oe�erhezd Hvdro � _ �
76. Dry Chemic,al �
_ _�
76. Drq Standp�pe '
--- - -a
� 77. FIXED SYSTEh^ FINAL
� 78. FIRE PREV. FINHL
' h1EALTN DEPT. RE�UIREM1:�ENT �
-t- �
� � 79. FINAL INSPECTION I iI -�
1 --------- ^� - ��
� 80. FOOD CERTIPICATE ISSUED �-
�.
� � iVotes: - - --
� 1
a
t -
♦ �
CITY OF COSTA MESA
CALIFORNIA 9262&7200 P.O. BO% 1200
DEVELOPMENT SERVICES DEPARTMENT
September 27, 1994
Dear Costa Mesa Froperty Owner:
In reviewing past permits, we find that work has been done on your
property located at 2519 Duke Place. Permit No. E62906, for an
electrical permit. The permit is valid for 180 days from issuance
or your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have workinq smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me �t (714) 754-5273.
Thank you for your cooperation.
Sincerely,
�� �'�
Y anda xuapaya
it Processing Specialist
77 FAIR DRIVE
Buildinq Division (714) ]54-5273 • Cotle EnforCemeni (714) 75G�Sfi23 • Planning Division (714� 754-5245
FAX pta) 556�7508 • TDD (714) 754�5244
r
-.... i
PFOJECT qDOPESS: 2 S S 9 DUHE PL
OWNEP'SNRME:DAUB, WILLIAM RICHAkD
p00HESS:DAUB, CHERYL L
2519 DUIiE PL
COSTA MESA,CA 92626
AflCHIENGINEEH: XEG.NO.:
AOOflESS:
UNIT:
UNIT:
PENMITfEE: WILLIAM R. DAUB ( 714 ) SS7-8574
aooness: z�G5'1}'n9 DUKFp. PL ��
IICENSED CONTFACTON�6EClAAQi1�El�eieby auirm mat � am �icensee undeCr p�roviso �oYCfipter 9(commencing wi�h Semion
7000� ot Oivision 3 oi �he Business antl Pm�essions CoOe. antl my license is in �ull lorce and'eHect.
CITY LIC.: STATE UC.: ClASS:
Oaie: SignaNre'.
WOflNEflS' COMPENSATION OECIABATION: I Aereby alfirm Ihai I have a cetlilicate ot conseni �o self-insure or a certiti[a�e o� Workers
Compensaiion Insurance. or a cenilie0 copy Ihereo� (Section 3800, lab. C).
POLICV NO.: E%P. OATE:
COMPANY:
7 Cenifietl copy is hereby fumishetl. ❑ Certified copy is filetl with ihe city BuilAing Division.
�ate: Npplicani:
E%EMPTION FflOM WOBREPS' COMPENSRTION DECNNATION: (T�is seciion neea noi be tom I Ie0 i� Ihe permi� is lor one hwdred (5100) or less�.
I cenily �hal in the pertarmance al �he work lor whic� ihis permil is issuetl, I shall emp o any person iry� ny manner sa as �o become
sublect I�he Wor4ers Compensation Laws o� Cali�omia. /��� /
oaie: Signamre: 61 G7Su //�--
NOTIC : If. al er making �his tleclara�ion. you s�ould become su�lec� Io the orkerY Comp nsation pmvisions o� the Labor
Code. y0u mu5� btlhwith tomply wit� such pmvi5ion5 Or thi5 permi� s�all be �eeme0 revOketl.
CONSTflUCTION LENDINC PGENCY: I hereby a��irm Iha� Ihere is a cons�mction lentling agency lor �he performance o� the work for
whiCh Ihis pCrmii is i55ue� (SeCiion 3097. Civ. C).
LENOEP:
RDOflE55:
OWNEfl BIIILOEB OECLABATION: I hereby afhrm tAat I am exemp� imm Ihe Conirac�ors' S�a�e License Law for �he �ollowing reason
�Section 7Q31.5 Business ane Pmfessional Cotle: Any ciry of coun�y which requires a permit to consimct, al�er, impmve, demolish, or
repair any simcNre, prior lo i�s issuance, also requires Ihe applicani lor such permit �o tile a signed Slalemeni that he/she is licensed
pursuanl io Ihe pmvisions of ihe Contracmrs' State License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 ot Ihe Business
. anG Pmlessions Cotle) or Ihai �elshe is exempl ��erefmm ana Ihe 6asi5 for Ne allegetl exemption. Any violation o� Sec�ion 7031.5 by
i any applicanl for a permil suhleqs Ihe applican� to a civil penaliy o� not more than �ive hun4re0 Oollars ($500).
I, as owner o� Ihe pmDe�y or my employees wiih wages as �heir sole compensaiion, will tlo ��e work, and ihe
❑ s�mcmre is nai imentled ar ofteretl br sale (Section 70aa. Business an0 Pmlessional Catle'. The Con�mciors' State License Law
tlo¢s nal apply to an owner o� a pmpehy who builtls or impmves t�ereon, antl who tloes such work him5elf/he�sell o� lhrough
his or hei own employees, pmvided �hal such impmvemen�s are noi intenAed o� oflered lor sale. I�, however �he builtling or
impmvament is soltl wllhin one year o� comple�ion. the owner will have the hurden o� pmving he/she ditl not builtl or impmve
�or �he purDaSe ol 5ale�.
� I, as owner oi ��e propetly. am exdusively conlracting wi�� licensed con�ractors �o cons�mct the pmlect (Sec[ion 7044, Business
antl Pm�e55ions Cotle: The Coniracbrs' Staie License Law OoeS not aDDty Io an owner o� property who 6m105 or improv¢s l�ereon
antl who contracls �ar such pmleds wii� a conirac�or(s) hcense pur5uan� b the Contractors' S�a�e License Law�. I am aware
t�al prool o� their Worker's Compensa�ion insurante shoultl be pmvided �o me.
� I am exempt untler Section: B. 8 P. C.
for Ihis reason: �7 2
Oate:�/7 /`1 / Ownec
I Do nereby cenify I�ai I am aware ol and unaerslantl Ihe reQuiremenis of Califomia Health and Satety Code $eclions 25505, 25533, anA
25534 an� ihal I or any fuWre building occupan� will/will no� (circle one) neetl to comply wi�h said sla�e cotles and I�e reQuirements for a
permn lor conslmciion or modilica�ion �mm the Air Ouahty Management Oistric�. Fesitlenlial conslruction applicalions are exempt �mm
ihese pmvisions.
�aie: Applicanl',
I hereby cetlily Ihal I have reaa Ihis applicatmn antl state thal Ihe above inbrmalion is correc�. I agree �o comply with all ciry antl counry
oremance5antl5la�elaw5relating�o�uiltlingcon5imclionantl�erebyaulhorizerepres i�hiscilytop� IeruponlheaDove-mentionetl
pmperlY �or ms ecl�an urposes. //�� /:/�PP, �� (/[/// �
Date: �� l� Signaiure: ✓� �� •T I��i�C�' Y
�iiver's License or Social Secmi�y x:
i64t�46 WhRe—Bwltlmq: Green-Code EnlorcemenL Canary—Applicant: Pink—Revenue: Goltlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: fi 062906
PEkMIT NO; E 062906 PI,AN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: PERMZT TYPE; ELE PURPOSE: OTH
JOH DESCRIPTION ; PORTABLE SPA (ELECTRICAL PERMZT) SQ FT;
CLAIM VALUE; CALC—VALUE; GkOUP OCC; /
COMMENTS: PORTAHLE SPA
iE �)L��It i!� iE-x� if iE i!� iEie� if iF it iF it x� �k ik iE i! IkiF x� i! iE it ik �lt ic� �x-iE # iE �lE jf if itiF if ih �IFit� 9t i(-ic� �x-iE it itiE it -%�if dE it �1f %�%# 3t# iE if iE iF�IE ic—fE iE # ic� �� �)E lf �( �iL # iF
Z O N I N G R E Q U I R E aH E N T S
S E 1' B A C K S
------------ MAIN BUILUTNG ---------- --------- ACCESSORY BUIL1)ING ---------
FRNT: F'T IN REAR; FT TN FRNT: FT IN REAR: FT IN '�
LEFT: FT IN RGHT: FT IN LEFT; FT ZN RCHT; E"I' IN
'PARKING REQ• PROV: PARCEI�: 14i41239 7,NE: REF NO:
PLANNING NC3TES>
i ,.
*�r*�r*��r�r+r*�*******u**�e**��r����e�*�*+�**�t�r�r**�*�r*x*�*�*x*�*�***�*�r*�*�c�����**�t+r�*�r
D E V E L O P M E N T S E�R V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY ' DATE;
BUILDING APPROVED BY ; �
APPLICATION IS5UED BY; //l�
**�e�r ��t* x *��r�****���r**�. .
ikiFififiElEiEiFiEiE�EifiFiFlEiEiEifiFilikkiEiklE-1EiFlEitikiFikiE�lEililiflFiEiElEiEiEiFitiE 1E
LHGALIZATION;N b' E E S U M M A R
BLDG PMT PLUMHING ELECTRIC MECHANIC
PEkMIT 11.00
5��
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 11,00 15,00 0.00
DATE:
���*D����* ,� 3 *�
ik iE 3tr iF%iklF * IF if 3E iE iE iF iE iE d(-if iE-1E 3E 3klE dE i(� 7F iflE !E �t
Y STRUCTURAL SEGMENT:N
FIRE SMZP/RES GRADING
SMIP/NON—RES
TO'I'AL PAID DUE
26.00 26,00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 26,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
26.00
1E iEiE iF iE 1E 1E if if 1E iE iE if if iE iF iE if iF iE if iE 1f iF iE �E iE 7f 1E 1E iE 1F �iE if iE 9F iE iFik iE iE il� iE 3E!(� iE iE iF jFlE iF # it�E iF iE IE iF �E 3t fE j4 9f� ff 3E iFjF 3E lF�E iE iE % iF if ik iF jf iF
I N D I V I D;J A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST 'POTAL COST
ELE 1 MISC APPARATUS NOT' LISTED REO PERMIT 11,00 11,00
END OF FEES
01 D0142353-001423`3 T C�T 25.00
6ATE� 0?/D7I9s TItIE: OE:18
4
CONSTRUCTION ANDPLANNING POO. SPA
,�
APPROVALS Permit # Date Inspector APPROVAIS Permit # Date tnspector
1. Temporary Electrical Service or Poie 52. Pool & Equipmeni Location
2. Soii Pipe•Undrgmd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgmd. 54. Forms '
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding
5. Szeel Rainforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings 56. Eiectrical Conduit�Undrqrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, L� Und;gmd. ,�
10. Structural Ploor System 61. APPROVAL TO DECK
7 i. Property Sewer Line & House Connection • 62. Backwash & Receptor-Finai ,
� 12. Sewer Cap -,� 63. Heater & Vent-Final • -
13. Roof D�ains � �
64. Plumbing System - Final .
14. Rough Piumbing 65. Electricai-Finai
f 75. Rough Elearicai-Conduit 66. Solar SYstem-Finai
� 16. Rough Electric Wiring 67. Fencing & Access AnProval
j 17. Rough Wiring Siyn 68. APPROVED FOR P�ASTERING
18. Rough Electrical-T Bar Cei�ing 69. POOL/SPA SYSTEMS F WAL
79. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT
20. Rough Factory Firep!ace ; APPROVALS Permit #
21, Ducts,inStruc(ure 70. Underground�Nyd:o
22. Ducts, Ventitating 71. Product Pipin9 OC�as OOiI
23. Gas Pipe�Reugh & Test 72. Underground Flush -
2A, Roof Framing 73. Under9rnd. Storage Tank O Gas ❑ Oil
25. Roof Sheaihing 74, Overhead Hydro
26. T-Bar Ceiling (Structural} & Monocoat 75. Dry Chemical ,
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding i � � 77. FIXED SYSTEh9 FINAL
29. Ir.sulation � � 78. FIRE PREV. FINAL
30. �rywail Nailing � � ' HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat � � 79. PINAL INSPECTION
32. Electrical Power Meter•Final � '�/J�� 80. FOOD CERTIPICATE ISSUED
33. Final Electric /1c�'=,� Notes:
�`�`g�-;-
34. Final Heating & Air Conditioning � r, i
35. Final Gas Pipe�Test � i ,i
36. Hood or Canopy � �.
37. Final Factory Fireplace � '
38. Final Piumbing � � . �----
I
39. Water Service-Final '
i
40. Gas Service-Finai I �
47. Solar pomestic�Final +
i
42. Backflow Preventer � � '
43. Backfiow Irrigation
44. Landscape Irriqation System
45. Sound A[tenuation
` 46. Handicap Regulations ,
47. FiNAt STRUCTURE & BUILDING .
4$. FINAL PLANNING �
49. Electrlc Retease to Edison � �
i'
50. Gas Release to Southern California Gas Co �
51. CERTIPICATE OF OCCU�'ANCY
No. Date
,,
. .. �� ���
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31'!
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
�17 liuice rlace
COSTA MESA. CALIFORNIA
OWNER }! Ij
MAIL 1555 Placentia
ADDRE55
CITY
ARCHITEQ
OR ENGINEER
A�DRE55
TEL.
� NO.
9�� LIC.
NO.
�OR9t. CO ciTv Ni�c: �.�j
LEGAL — —ILOT I
ocscnirno�u �NO. � BLOCN
A.P. NO.
SIZE � X 100
OF lOT
. .,l-�� (C...oJ�...: J .�.�
�- (q �s 5 �
Fi1;,";t;E EPT.
�,n a� ( (1CTA P1CCp�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERy1q��
L)
�Gj�(IVED BV DRTE RECEIVEO D�TE ISSUEO
COSTA MESA. CALIFORNIA
FIRE
ZONE
20NE
7
APPROVED
BY
��
NO.OF BLDGS. O
MOW ON LOT
E%ISTING BIOG.
SETBACN IIrvE FROM G
ccrvreq ov srne[i SQ � REAR YARD �
DESCRIPTION OF WORK
NEW g A�TERATION ADOITION
ftEPA1R � MOVING DEMOLISH
SIZ'EDING 1611 � O ROOMS 6 STORIES 1
EXTERIOR WALL ROOF
COVERING StuCC� COVERING j�00d shakes
�sEOFNEW Residence & att. garage
BUILDING ��
CORRECTIONS
rveveer n- n w o nni i n n n in wr� i nii n rv
ST<TE TNAT TNE A90VE IS CORFECT PNO �GREE TO COMPLV WITM eLL purpose of esiablishing a permit €ee on'y.
C1TY ORDINPNCES < TATE L.�WS EGULTiING BUILOING CONSTRUC�
TiON. VALUPTION
SIGNATURE OF PERMIT FEE $ OO
PERMITTEE C
1J,967��� pLl�N CHECK $ 17�5�
$ 5z.50
AUTHORIZED AGENT TOTAL FEE S
�sMr