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HomeMy WebLinkAbout2520 DUKE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wvrva.cl.coste-mesa.ce.us 77 FAIR ORIVE, GOSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: 2520 DUKE PL Suite No Vicinity: Parcel Nunmber: 14141246 Applicant: JACKSON, TIM Address: 6441 BROWN CIRCLE HUNTINGTON BEACH, CA Owner: LONG, CROFT Address 2320 DUKE PL Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighdng Fixts Recept OutleLs Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to ihp Motors to 10hp Molors to SOhp COSTA MESA, CA QUALITY CONSTRUCTION CO 6441 BROWN CIRCLE Phone: 714-612-8460 Zip: 92647 Phone: Zip: 92626 Phone: 714-612-8460 HUNTINGTON BEACH, CA Zip: 92fi47 License: 569165 ISSUED BY: Status: ISSUED Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT INTERIOR REMODEL TO INCLUDE: REMOVE EXISTING CEILING AND RAISE CEILING, KITCHEN REMODEL, MASTER BATH REMODEL, NEW HVAC IN ATTIC AND RE-WORK DUCT WORK, DEMO EXISTING 2-WAY FIREPLACE AND ADD NEW FIREPLACE IN CORNER OF l(VING ROOM. MISC ELECTRICAL AND PLUMBING WORK. NO ADDITIONAL S�UARE FOOTAGE. REF: 804•00165. ELECTRICAL TO INCLUDE: 26 LIGHT FICTURES, 15 OUTIETS, 6 SWITCHES, 1 200 AMP SERVICE. 523.50 $0.00 $0.00 $0.00 ao.00 $0.00 526.38 $16.50 56.60 50.00 50.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 26 15 6 0 0 1 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. Canduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Sland Quantity $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 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, § i, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codea, and all required Inepeetions end finel epproval must be obtained. Failure to obtain inspections and finel approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (71q) 7545626 2aa&48 (fi/00) WORKERS' COMPENSA710N DECLARATION: � � , I hereby ettirm under penelry at perjury one of the lollowing declerations: ❑ I hava end will maintein a ceniticate of consent to seli-Insure for workers' compensatlon, es provltle0 for by section 3700 of Ihe Lebor Cotle, tor the peAormance of the rk far wNc� this Dermit is issued. I have entl will maintain workers' compensation insurance, es require0 by section 3700 of fhe Lebor Cotle, for Ihe peAortnance of Ihe work tor which �his pertnit is Issuetl. � My workers' compensalion Insurance carrier anA policy num6er are: Carrier. Policy Number. (RMs secf/on need not be camplefed il fhe pemtit is valued ef one hundred dollars (5100) or less.) ❑ I certify I�aI in ihe peAormance of iha work for which this permii I5 issued, I shall not employ any person in eny manner so as to become subjeci to Ihe workers' compensation laws of California, an e thet II I should become su�ject to the workers' compensetion provisions of S ction 3700 of Ihe Lebor Cotle, I shall forihwith comply wit� these pro %'� s. � �� I O� Applicant Signeture: Date: �� WAFNING'. FAILURE TO SEC WORI S' COMPENSATION CAVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINA� PENA�TI 5 AND CIV FlNES UP TOONE HUNORED TFIOUSAND OOLLARE (5100, ), IN AD ITION TO iHE COST OF CAMPENSATION, OAMAGES A$ PROVIDED FOR IN SECTION 3�OB OP THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hareDy aNirm t�at I em Ilcensad under provisions f Chapter 9(commencing with Section 7000) oi Division 3 0l the Business and Profe%�ions Cotle, entl my license is in full forte end ettetl. Lic. M � Class k / Contrectors5igneture: Dete: �% l% f � .A / CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn Ihat there is a wnstruction lending agency lor the peAormance of the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lentlers Atltlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I heraby eNirm Net untler penalty of perlury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW br ihe following reason (Sec. 7031,5, Business end Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repeir eny stmcWre, prior to its issuanca, elso requires Iha epplicant for such permit to file a signed statement Ihat ha or she is Iicensed pursuem ro the provisions oi ihe Contracbrs License Lew (C�epter 9(commencing with Sectlan 7000) of Divislon 3 of the Business entl Professions Cotle) or that he or 5he 19 exempt ihorelrom entl tne basis Por the ellegad eaemption. Any violation of Sectlan 7031.5 by eny epplicant for a pertnit sub�ects the epplicent to e civil panelry of not more then five hundred dollers ($500).): ❑ I, es owner of ihe properry, or my employees wl�h wages es their sole compensation, WILL DO TME WORK, end the structure Is not intentletl or oHeretl for sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who Ooes such work himself or herself or Ihrough his or her own employees, provided ihat such impwvements ere noi Intendetl or oflered lor sale. It, however, the builCing or improvement is sold wilhin one year of completion, the owner�builder will heve the burtlen of proving ihat he or she did not build or improve for purpose of sale.). ' ❑ I, a5 owner of the properry. em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (SecJ044, Business entl Pmteuions Cotla: The contractors License Lew tloes not epply to an owner of property who builtls or Improves thereon, and who con(racts lor such project wilh e wntrector(s) license pursuant ta the Comracrors License Lews.). ❑ I am exempt undar sec. Signature: Owner ID verilietl by tlriver's license. ❑ Ves ❑ No BuSinesS end PrOfeuion5 Code tor this reeson: Verificatlon ol Ownership by (type ot dacument, i.e. - propeny tex �ill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Eapires: ❑ I hereby cartity thet no ezcevation five (5) or more feei in dep�h into which a person is requlred to descend, will be made in connection with work authorizetl by Ihis permiL and that no building structure, scaflolding, falsework, or demolition or tlismantling t�ereol, will be more than ihirry-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Calibmia Adminis�rative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnil Irom ihe Division of Industnal Sefery, as notetl ebove, unless such person has a permit to do such work tmm ihe division. Signatura: Date: Division of Industrial Setery Partnit Numbec CERTIFlCA7E OF COMPLIANCE AND AUfMOR¢AT10N OF ENTAY: I cenify under penalry ol perjury that I heve read this applicetion and stete thet the infortnation given is correcL I agree to comply with all slare laws and ciry ordinances relating to builtling consiruction, antl au�horize representatives of �he Ciry ol Coste Mesa to enter upon t�e ebove-descnbed property for inspeciion purposes. I egree not to occupy or allow occupancy ol eny building authonzed by Ihis pertnit unlil finel inspection. to6e �. INSiELTIONflPE 1616 Fixad System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Flnel BIocWRetaining Wall 202 203 204 Final Fectory Fire Place Finel Sign Final Demolltion ��a�cs, Applicant pL7E �� �� �a,a ate CO�E I INSPECTIONTYGE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Flnel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel Building/Occupancy QE� 1[�!L$ (714) 754-5273 • Fax (714) 754<856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 MECHANICAL PERMIT JobAddress: 2520 DUKEPL Suite No Vicinity: Parcel Number: 14141246 Applicant: JACKSON, TIM Address: 6441 BROWN CIRCLE HUNTINGTON BEACH, CA Owner: LONG, CROFT Address: 2520 DUKE PL COSTA MESA, CA Contrador: QUALITY CONSTRUCTION CO Address: 6441 BRpWN CIRCLE HUNTINGTON BEACH, CA Phone: 714-612-8460 Zip: 92647 Phone: Zip: 92626 Phone: 714-612-8460 2ip: 92647 License: 569165 ISSUED BY: Status: ISSUEO Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT INTERIOR REMODEL TO INCLUDE: REMOVE EXISTING CEILING AND RAISE CEILING, KITCHEN REMODEL, MASTER BATH REMODEL, NEW HVAC IN ATTIC AND RE-WORK DUCT WORK, DEMO EXISTING 2-WAY FIREPLACE AND ADD NEW FIREPLACE IN CORNER OF LIVING ROOM. MISC ELECTRICAL AND PLUMBING WORK. NO ADDITIONAL SQUARE FOOTAGE. REF: 804-00165. MECHANICAL TO INCLUDE: INSTALURELOCATE FAU TO ATTIC, 1 FACTORY FIREPLACE, AND 1 KITCHEN HOOD. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst I Rep. Recess Wall HV Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhausl VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $13.70 50.00 $0.00 $0.00 50.00 $10.65 $10.65 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial Incine rator Domestic Incineretor Comoressors / Absorptlon Systems Uplo3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750,BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 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, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced wlthin 180 days, or if work is suspended or abantloned 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 � requlrBd Inspeations end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a646 (fl�00) WORKERS'COMPENSAnON DECLARAnON: I hereby affirtn untler penalry ot perjury one oi ihe lollowing declarations: 1 heve end will maintein e certifiwte of conseni to self-Insure tor workers' compensation, as provitled for by seMion 3700 0l the Labor Cotle, tor the peAormance ot the wark tor which I�is permit is issuetl. ave and wlll meintain workers' compensation insurance, as required by soction 3700 oi the Lebor Code, lor t�e peAortnance of the work for which Ihis pertnit is issuetl. y workers' compensatlon Insurence cerner end policy number ere: Carrier: Policy Number: (Thls secfion need nof be comp/ered i! the permit is valued et ane hundred dallnrs ($100) or less.) ❑ I cenity that in the pertormence of the work tqtwIpch Ihis permit is issued, I shell not employ eny person in any manner so es�to become subjact ro the workars' compensatlon lews ol California, end agr e'f� 11 shoultl become su6�ect to the workers' compensatlon provisions oi Secti n 3J00 of ihe abor Code, I shell lorthwith comply with these Droyieio� � Applicant Signature: � i� �� Dete: WARNING FAILURE TO SECURE Vj� RKERS' MPENSATION WVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CiiIMINAL P NALTIES ANO C IL PINES P TOONE HUNDRED THOUSANDDOLURE(5100,000),INADOITIONTOTHECOSTOFfAMPENSATION,OAMAGESA$PROVIDEDf-0RINSEC710N3]O60FTMELABORCADE,INiEREST,ANDA ORNEV'SFEES. LICENSED CONTRACTORS �ECLARATION: I hereby aNirm that I am licensetl under pro �'�f forca end ettect. Lic. N_-- J� ContractaYs Signature: CONSTRUCTION LENOING AGENCV: Chapter 9(cammencing with Section 7000) of DiNsion 3 of the Business and Profes ions Cotle, antl my Ilcense is in tull Class # � 1 � Date: __ _�. 1_�. n 1 n ❑ I hereby aXirm that ihere i5 8 con5truttion lending agenty For Ihe perfOrmante ot Ihe work tor which this pertnit is i55ued. (Sec. 3097, Givil Code). Lenders Neme: Lentler's Atldress: Signature: OWNER•BUILDER DECLARATIONS: Date: I herehy eNirm �hat untler penalty of Derjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8usineu entl Protessions Cotle: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repeir eny stmcture, prior to its issuance, also requires ihe applicant for such pertnit to file a signed stetement ihat he or she Is Iicensed pursuant to the provisions of the Contrectors Llcense Lew (Chapter 9(commencing with Sectlon 7000) ol Dlvision 3 oi the Business end Professions Code) or thet he or she is exempt therefrom end the basis lor ihe ellaged exemption. Any violation oi Section 7037.5 by any applicant lar a permlt suhjects the applicent to e civil penalty of not mora then five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensatlon, WILL DO THE WORK, entl the structure is not intentletl or ottered tor sele (Sec. 7044, Business antl Professlons Code: The Contractors License Law does not apply to en owner ot propeny who huilds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not intendetl or oHerea tor sale. If, however, ihe building or improvemam Is sold within ona yeer of comDletion, Ihe owner-builder will have ihe burden of proving thet he or she did not huiltl or improve for purpose ot sale.). ' ❑ I, a5 owner of lhe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Prolessions Cotle: 7Te contrecmrs License Law tloas not apply to en owner ot pmpeny who bullds or Impmves thereon, end who contrects for such project with e contractor(s) licanse pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business antl Professions Cotle for this reason: Signatura: Date: Owner ID ventiatl by tlriver's license. ❑ Yes ❑ No DnveYs License No. Venfication ot Ownership by (type of tlocument, i.e. - property tax bill ar tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hareby cenily thet no excavation five (5) or more feet in depth imo which a person is requiretl Io Oescen0, will be matle in connec�ion with work authorized by Ihis pertnit, end that no building slrucWre, scattolding, lalsework, or demolitlon or dismantling Ihereoi, will be more than thirty-six (36) feet high. (C�ap. 32, Grp 2, Ar12, Sec. 341, Title 8, Califomia AdmlNs(rative Code). ❑ As owner-bulltler, I wlll not employ enyone to do work which would requlre e permit fmm lhe Dlvision ot Industrial Satety, as noted above, unleu such person hes a permit to do such work Irom the division. Signature: Date: Divisian af Industnal Salery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUIHORVA710N OF ENTAY: I cenity under penelty ol perjury that I have read this application and state �hat ihe information given i9 correct I agree to comply wlih ell ste�e laws end city ordinences relating to building consiruc0on, entl euthorize represantetives of Ihe Ci�y ot Cosia Mese lo enter upon Ihe ebove-descnbed property lor inspec�ion purpases. I egree no� �o occupy or ellow occupency of eny building authorized by ihis permii until finel inspection. �/��ture Of Legal Owner(s) And/OrAuthonzed Applicent 7 COpE t. INSPECTIONTYPE Ij9jE IIi�9LS 1616 Fixed System Finel Fire Prevention 1268 Pool Spe Finel 200 Finel Re-ROof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition COOE I INSGECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final eullding/Occupancy �� � (714) 754-5273 • Fax (714) 754-4866 • www.ci.costa-mesa.ca.us 7I hA1H UFINt, GU51A MhJA, l:N tl[tiZ0 PLUMBING PERMIT lob Address: 2520 DUKE PL Suite No Vicinity: Parcel Nunmber: 1414�246 Applicant: JACKSQN, TIM Address: 6441 BROWN qRCLE HUNTING70N BEACH, CA Owner: LONG, CROFT Address 2520 DUKE PL COSTA MESA, CA Contractor: QUALITY CONSTRUCTION CO Address: 6441 BRpWN CIRCLE Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Prevenler Bathtub Clanfier Syslem Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor HUNTINGTON BEACH, CA Phone: 714-612-8460 Zip: 92647 Phone: Zip: 92626 Phone: 714-612-8460 Zip: 92647 License: 569165 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT INTERIOR REMODEL TO INCLUDE: REMOVE EXISTING CEILING AND RAISE CEILING, KITCHEN REMODEL, MASTER BATH REMODEL, NEW HVAC IN ATTIC AND RE-WORK DUCT WORK, DEMO EXISTING 2-WAY FIREPLACE AND ADD NEW FIREPLACE IN CORNER OF LIVING ROOM. MISC ELECTRICAL AND PLUMBING WORK. NO ADDITIONAL SQUARE FOOTAGE.�REF: 804-00165. PLUMBING TO INCLUDE: 1 GAS (1-4 OUTLETS), 1 SHOWER, 1 KITCHEN SINK, 1 WASH BASIN. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEESUMMARY qTY AMT Laundry Tub I Washer 50.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo 50.00 0 Sewer Connect $0.00 QTY 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Sel Waste and Vent System AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 �N 0 0 0 0 0 0 1 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California siatutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or ii work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and ell requlred Inapectlona and Iinal approval must be obtained. Fallure to obtain inspections and final approval will result in the axpiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2a6-48 (fl�W) WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalty ot perjury ona of the following tleclara�lons: ❑ I have entl will meintain e certificate of consent ro sel4lnsure lor workers' Compensetion, es providetl for by saction 3700 of Ihe Labor Cotla, tor the peAormence of the �, /�w,ork for which this permit is issued. �I have antl will meintain workers' compensa[ion insumnce, as requiretl by section 3700 of tha Labor Coda, for Ihe pedortnance of Ihe work for which �his pertnit iSlssuetl. My workere' compensatlon Insurence carrier antl polity number are: Cartier. Policy Number: (lhis section neetl nof Oe comp/eted I! fhe permit is valued a( one hundred dollers ($100) or less.) ❑ I certify Ihat in Ihe peAormance of ihe work for which this permit is issued, I shell nol employ any person in eny manner o as to become subject to lhe workers' compensetion laws of Califomis, and e at it I s�ould Uecome suDjec� to the workers' compensation pmvisions of actlon 37 ot the Wbor Cotle, I shall foMwith wmply with these pr�rieiort . � Appliwm Signawre: � Date: WARNING: FAILURE TO SECUR ORKE COMPENSATIIXJ COVERAGE IS UNL4WFUL AND SW1LL SU6IECT AN EMPLOYER TO CHIMINAL PENALT ES AND L FlNES UP TO ONE HUNDRED THOUSANDOOLLARE�S100, ,INADDI IONTOiHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3l060FTHELABOqCODE,INTEREST,ANDA170RNET"SFEES. LICENSED CONTRACTORS DECLARATION: I herehy aKrm that I am licensed untler pmvisi< brce entl eNecl Lic, a_-----� Contractors Slgne[ure: CONSTRUCTION LENDING AGENCY: (commencing wilh Section 7000) of Division 3 of the Business and Profe�sians Cotle, �ntl my license is in tull Class a � Date: ❑ I herehy affirm that there is a constmction lending agency for Ihe pertormance of the work lor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: Signature: OWNER-BUILDER OECLARATIONS: Date: I hereby attirtn that under penelry ot perjury that I am EXEMP7 FROM 7HE CON7RACTORS LICENSE LAW tor Ihe following reason (Sac. 7031.5, Business entl Professions Code: Any ciry or counry whic� requires a pertnit ro construc6 alter, improve, tlemolish, or repair eny sWCNre, prior to its issuence, elso requires the epplicant tor such permit to file e signed stetement Ihet he or she is licensed pursuant to the Orovislons al the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business end Pmfessians Cotle) ar that he or she is e:empt thereirom and ihe basis for the alleged exemption. Any violetion ol Section 7031.5 by eny applicant for e pertnit subjects the epplicant to a civil penalry of not more ihan Ma hundred Aollars (5500).); ❑ I, es owner of Ihe propeny, or my employees wlth wages as their sole compensetion, WILL DO THE WORK, and ihe sWcture Is not Intentletl or oHared for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apD�Y �o an owner of property who builds or improves Ihereon, end who tloes such woM himsetl or hersetl or t�rough �is or her own employees, providetl thet such Improvements ere not Intended or oHered for sele. If, however, the building or improvement is sold within one yeer oi completion, tha owner-builder will have the burtlen of Omvinp that he or she did no� build or improve for purpose ol sale.). ' ❑ I, es owner of ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl the projact (Sec. 7064, Business antl Profeulons Code: The coniractors Llcense Law does no� apply Io en owner ol propeny who builtls or Improves thereon, antl who contracts tor such pmject with a contractor(s) license Dursuant to the Con�rectors License Lews.). ❑ I em exempt under sec. Business antl Profeuions Code lor this reason: Signature: Date: Owner ID venfiad by drivers license. ❑ Yes ❑ No Drlvers License No. Veritication of Ownership by (type ol dwument, i.e. - pwperty tac blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity thel no excavetion tive (5) or more feet in depih into which e person is required to descend, will be made in connectlon wlih work euthonzed by Ihis permit, antl that no bullding sWcture, scaftolding, talsework, or demolltion or dismantling thereof, will be more than thirty-six (36) feet high. (Ghap. 32, Grp 2, Ar12, Sac. 341, 71I1e 8, Celllomia Admini5irative Code). ❑ As owner�builtlar, I will not employ anyone to do work which would require a Dermil from ihe Oivision of Industnal Safery, as notetl e6ove, unless such pereon has e pertnit to do such wark tram ihe division. Signature: Date: Division ot Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORIZA710N OF EMRV: I cenify under penelty of perjury �hat I have read this epplication and stete Ihel �he information given is correct. I agree to comply wilh all stete laws ena city ordinances rela�ing to bullding consiruction, and authodze represen�atives of the City ol Caste Mesa to enter upon the ebove-descriDed property for inspection puryoses. I egree not to wcupy or ellow occupency of eny building authorized by ihis permit umil linal inspectian. COUE I, INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 726fi Pool Spe Final 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition b7.11� �$ �Qp�( INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 220 Final Fire Prevention final Planning Approval 222 FinalSite 250 Final Building/Occupancy PAg L�ELS _ • �\ ► (714) 754-5273 • Fax (714) 754-4856 • v+ww.ci.costa-mesa. BUILDING PERMIT n FAIR DRIVE, GOSTA MESA, GA 9262s Job Address: 2520 DUKE PL Suite: viciniry: Parcel Number: 14141246 Applicank JACKSON, TIM Address: 6441 9ROWN CI HUNTINGTON BEACH, CA Owner: LONG, CROFT Address 2520 QUKE PL COSTq MESA, CA Contractor. QUAI�ITY CONSTRUCTION CO Address: 644'I BROWN CIRCLE Zoning: Phone: 714-612-6460 Zip: 92647 Phone: Zip: 92626 Phone: 714-612-8460 ISSUED BY: Status: ISSUED Applied: 01/14/2004 Issued: 02/24/2004 HUNTINGTON BEACH, CA Zip: 92647 License: 569165 Arch : Eng: SHUCRI YAGHI Address: Address: 112 E CHAPMAN AV Phone: SUI7E C Phone: 714-7443676 ORANGE,CA Zip: License: 92866 � License: C43205 SCOPE OF PERMIT INTERIOR REMODEL TO INCLUDE: REMOVE EXISTING CEILING AND RAISE CEILING, KITCHEN REMODEL, MASTER BATH REMODEL, NEW HVAC IN ATTIC AND RE-WORK DUCT WORK, DEMO EXISTING 2-WAY FIREPLACE AND ADD NEW FIREPLACE IN CORNER OF LIVING ROOM. MISC ELECTRICAL AND PLUMBING WORK. NO AUDITIONAL SQUARE FOOTAGE. RE-ROOF EXISTING HOUSE, RE-SHEATH AND COVER WITH 30 YEAR COMP. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspectian: Total $509.44 $783.75 $7.00 $0.00 $0.00 $0.00 $1,300.19 SETBACKS MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0- 0 Rear 20-0 Rear 0-0 FEE SUMMARY Calc Valuation: 370,000.00 Claim Valuation: S�o,000.00 PLANNING & ZONING Left S 0 Right Lefl 0- 0 Right SO NOTICE: The woric authorizetl by this permit shali comply with ali applicable handicap access requ'rrements under California statutes and related � regulations. (Ord. No. 92-28, § 1, 12-21-92) i EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7B0 days, or if work is suspended or abandoned II for a period of 180 days. i INSPECTIONS: In order for the work authorized under ihis permN to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end Iinal approval must be obtalned. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&68IW00) WOHKERS' COMPENSA710N DECLARATION: ' I hereby attirm under penelry of perjury one of lhe following tleclara�ions: ❑ I heve end will meintain e certificete of consent to self-Insure for workers' compensation, es pmvidod tor by section 3700 of ihe LaDor Code, for the peAormance of the �work for which this permit Is Issuetl. have end wlll maintain workers' compensation insurance, as requiretl by section .f70Gof Iheiabor Code, for Ihe peAortnance of the work for which this pertnit is issued. My workers' compensetian Insurence carder entl policy number are: Carner. Policy Number: (This section need not be camplefed ll fhe permitls velued ef one hundred dollers ($100) or less.) ❑ I certiry t�at in the pedormence of the work f hich ihis pertnii is issueQ 1 shall not employ eny Derson in eny mannar so as o become subject to the workars' wmpensetlon laws ot Calibmle, antl egr t t If 1 should bacome sub�ect to ihe workers' compensatlon provislons of Secti n 3700 oi t Lebor Cotla, I sha0 torthwlth comply with Ihese provisio . � /.�� Applicant SigneWre: De�e: U WARNING FAILURE TO SECURE KERS' �MPENSAiION COVEfiAGE IS UNLAWFUT AND SFIFLL SUBJECT AN EMPLOVER TO CRIMINAL NALiIES AND CML , NES UP TOONE HUNDRED THOUSAND Oq.L4RE (5100,000), ADDITI� TO THE COST OF CAMPENSNTION, OAMAGES AS PROVI�EO FOR IN SECiION 3]O60F THE LABOP CODE, IMEREST, AND AiTORNEI^S FEES. LICENSEDCONTRAC70R5 I hereby aHirm Ihal I am lic� force entl ettect Lic. a_ Comractofs Signamre: CONSTRUCTION LENDING AGENCV: 9(commencing with Section 7000) of Division 3 0l the Business and Profeuions Code, antl my license is in tull Cless q � 1 ❑ I hereby aflirtn that ihere is e conswction lending agency for Ihe performance ol the work tor which this pertnit is issueQ (Sec. 3097, Civil Codej. Lendels Neme: Lender's Adtlress: Signature: OWNER-BUILDER DECLARA710NS: Date: I here6y aNirm Ihet under penal�y of perjury ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professlons Cotla: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant tor such permit to tile e signetl statement that ha or she Is Ilcensed pursuent to the provisions of ihe Contractors Llcense Law (Chepter 9(wmmencinq with Sectlon 7000) of Divisian 3 ai the Business and Protessions Code) or Ihel he ar she Is exempl iherefrom end the basis for the elleged e:emption. Any violatlon ot Section 7031.5 by any epplicent For e permit subjects the apPlicent to e civil penalry of not more then tive hundred dollers ($500).): ❑ I, as owner ol ihe propeny, or my employees with weges es their sola compensation, WILL DO 7ME WORK, and Ihe siructure is not intendetl or oHeretl for sele (Sec. 7044, Business antl Professions Code: The Contractors License Lew doos nol apply to en owner ot propehy w�o huilds or improves Ihereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not Iniendetl or oHered tor sale. If, however, ihe building or improvement Is sold within one yeer ot completion, the owner-builder will have ihe burden of proving Ihat he or she ditl not builtl or improve for purpose ot sele.). ' ❑ 1, as owner of the property, em EXLLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Protessions Code: The comractors License Law does not epply to en owner of pmpeny who builds or Impmves thereon, entl who contracts for such pro�ect wlih e comremor(s) license pursuent to ihe Contractor5 LiCense Laws.). ❑ I em ezempt under 50t. Business end Professions Code for Ihis reason: Signature: Date: Owner ID venfietl by tlriver'S liten58. ❑ Ves ❑ No Onvers LitenSe No. E:pire5: Verification oi Ownership by (type of documenl, i.e. - pmperry tau bill or deed): OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in depih into which e person is requireC to descend, will be made in connection with work authonzed by Ihis permit, en0 �hat no buildinp sirucWre, swHolding, falsework, or demolition or dismamling thereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, 7tle 8, Celilornia Administrative Code). ❑ As owner-builder, 1 will not employ anyone to do work w�ich would require e permi� trom the DlWsion ot Indusirial Salery, es noted above, unleu such person hes e pertnit to do such work irom the division. Signeture: Da�a: Division of Intlustrial Sefery Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUTHORRATION OF ENTTiY: I certify under penalry of perjury thet I heve reaC this application and state that the information given is correct I agree b comply with all state laws antl ciry ordinances relating to 6uilding consWction, entl eu�honze representatives ot Ihe Ciry of Costa Mesa to enter upon the ebove-descnbetl property for inspection purposes. I agree not to occupy ar allow occupancy of eny building eu�hodzed by this permit until finel inspection. CODE �. 1616 1268 200 201 202 203 Fizetl System Final Flre Preven�ion Paol Spe Finel Finel Re-Roof Flnel BIocWRetaining Wall Final Feciory Fira Place Final Sign 204 Finel Demolilion 7 ,y ��oare �—� � Date CODE 1 INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Elecincal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Builtling/Occupency P.sIE I[�Lfl � , ADDNE55 OFBNLqNO;, OWNEAS IUYE IF IP10WN: wowesx �vx. iumaa �oo�ss: �PCNRECT OH E1M1101NNEFA: NCFL ON ENO: S ADURESS: 20 DUKE PL G, CROFT`- - 0 DUKE PL TA MESA,CA 92626 uc xo: mNmACTws xu�: carm�croxs �uinio �onecss: uc uo.: uxr: /7'"' CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: B 087137 PLAN CHECK NO: 00792-98 S CONSTRUCTION TYPE: PERMIT TYPE: STR UMT: urar: LlCEN4ED COMN�CTOXS OEClAX11TON: I IimeEy ertim uiMs perely d ps�uy tlut I am licemed uMx pwma�e tl Cheqx 9 (mmmmd^0 wGh Section ]OD0) d Oiwion 3 W Ne Busroea ak P�deadms COM. eM mY limnee o in hA lau vd sllm. cmuc.No.: uc.cuss: uc.No.: EXP: IOWNER BUIlOEP OECIARRTON: 1 hereby dfirtn uMer pmNy d perjiry �hm I em a�emp Imm IM CaMredm Lioenee Lew la �he Idlawmp roeaon (Seaion )0�1.5 Bueiwee eM Pmleaeione Cade: Airy ciry a counry Miich raqui,ee a permil �o oonnruct all«, Improva, � demole�, or npei eiry sl�uc�ure, pnor W ila eeueMa, e6o requiree iha epplicent lor euch pamin to fils e aynoE etetemeM ihel M m eM u licemsd Wn�� �o Ihe provitima d Ne CoMrepon Licerue Lew [Chepm 9(oommeia�q wi�h Setlian'lWO) d 0'vuion � d ihe Bueire�e enE holwionn CaEel a Ihet he a+he u eaemq tMralmm end the beau ta Ihe albpaE ewemqion. My vidmion d Saaian )W I.5 by enY eVG��� lor e permn abptlf IM epplicanl lo e dvil perielly d iwl mae �hen Me huM�ed EdWe �5500�. �] I, ea ov,xr d ihe proparlY or my empbyees wih wegee av Ihei wb eanpeneelion, xill Eo Ihe wak, end IM svueiun a ew� intendeE or ollereE br eele (Seciion )0«. Budnaae end Prolesaiona Code: The Comrenon Licensa lew tloea �wt epplylo en oxnerd popeM wM Wida or inpovee IM1erean. eM Wa Eoea �ucM1�w'ak NmeW «Mreell a Nraph he n her oxn empbysu. pandeE IhM tuch impwemenu ue M imeMed aWaeE Iw eeb. tl; howewr, iM b ldi�q «inqwanam u sald wn�in ana yeerW compMion, Ihe owMrbuiNar r.iil Aeve tM OUNm d pmvq he ar ehe Etl M buJd a impwe la IM puepae M ulal. � I. es owiw d �M O�M. � extlueiveF/ contrmip vAh IicmeeE conlrectae m mmbW IM qojetl (Sepun )041. Busi�w+� W Prdeasiane Cade: TM Conlradon Lieenae lew doea �wl xpqy �o en o�mer d popeity w1w WiNe a impavm tAraan eed Ma conlrecb br u h p�qwa wn� s mnlredor�e) Icen.W punuen� to the Canumws Liu�ua Lewl. � I em eremq uMx Sea'vc B. �P.G.. M W I/ �w Uale: �'Z%�.-.Gifr .Ormer: Ia� �/�1' J ti� 1 Eo MreM nMY Nu I em ewere d enE urdastad tln nW'vamaNa d Cellomie IlaaEh ud SNnY COEe Setliom 25505.25SU. ud 255],. W Nel I a eny Mure diMnq moryeni WI / xd mi (ade un) need ro wmWV wiA uid ma mdu ud �M mpuinmam br aoxmalnm�umr�imamoGlTrdionkanNel�i�Y ���tria.RmkevielmnbuaionappiretiwneneiemqhanNne om.: �oa�: WOPKER'SCOMPEN4�TONOECI�P�TION:IMaEydf uMxpmel�ydprjuymedtlrlaWwinpAetivatbm: ❑ I hm eed xil nuNen. eaYfrn. d oanenl to utlarwrs b workae' eamD��. o nw'� la M Smion 3l0o a ilr leEar Cade, ln �M pMmnenca d tlw xM la which thu panN u uvued. ❑ i n..�..�e wa meime:i wo��.� c�c«�mon In.,reMe. m�.a��rea M s«aian aroo a ine �.n« cod.. b m. w�ro,� d m. wpk Iw wliich Ihn paimn e e�ueE. My wakxe' wmpen�ettion inaurar�ca mnir erd pdiry number era: Cema: Polry Numbr: (m;s ssalon new �rol a mmweroe r rn. w�� n �a aro n�naree aarers /s,wl or bss.) � I cMAy Nel in Ihe peAmrerce d the wak la whch ihia peimi� is paueC, I ehell m� employ eny penon in siry menrier �o s� lo becpne eubjea io IM woMrs canpenaeiion kxe d CelGomu, eM epres Nel il I elwuk bxaro wbpd io IM worken' canDa�tion pow'wn ol Swion �100 d iM Lebor Cade. I Jatl tanhrmh mmW wdh IMm p�wiiioro. Deta: Apqicenl: WamMp: Fellun ro��cun wotlrx�'rompxwtlon rov�rnp� b unlewN( antl ahl/ aubHct en wmp/oyn lo ctlM�ul pxuttlu entl mm ��., w ro w�. n�.,e..a rno�nm eou,., lsia4aoaA m.rauw� ro m. �we o� �o�w�..�wn a�.�.. ., c��ea roi m Sxtlon 3106 0l M� LeDoi Cob. Infwsa4 Nd �ttomq i Iw. CONSTNUCTION LENDINO FOENCY: I MmW alfiim uMer penely d parj,ry iMt iMn 4 e mnmrvcion bMirp epency tor Ne peAormeMe d ihe v.oM lor wM1iM Ih4 qrmY n 6eued (Swion 908). CM. C�. LENOEF'S N1W E: LENOEN'S AODFESS: I cenM �� I Iwe raeE Ne appfrmian and qe�a tMl iM ebv+e iMwmmon u canan. l ep�ae to oomply rmh M ay erd ooumy adirwce� ard e�ale lewa reklmp lo dnMvp rnW Wion eM MreEy eNla'¢e iepeeentelnm W Ilip tlly b mter �pon IM aEwe.menlianed popmry �«��'�p�'�"�BRUCE HElfDRICK (- ,�..,�rz—_I:ln�� om,: 2z't—R8� sbw�� a o.�+ .�v�ao��co�vmo, (5151d8.WP) Whae�-Buikip85elery;6reemFb:Ceiwy-APpifaN:Pink-Hevenue:OoWenmd-Nnmr �-b�3DJ PERM NO: B 087137 GOVT: N SDPP: N PURPOSE: OTH JOB DESCRIPTION : 139LF CITY STANDARD HLOCK WALL SQ FT: 139 CLAIM VALUE: 2,700.00 CALC—VALUE: 2,760.00 GROUP OCC: R-3 / COMMENTS: CITY STANDARD BLOCK WALL ***it*it*+r*+r+r�eit*r*�rr*�r+r***+r*itit**it+ritit**�at**��r*�t�kat*�r�*�*at*�e****r*ie*+r*itr�t�t*�ritat*�*+rit Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG -------- FRNT: FT IN REAR: FT IN FANT: 41 FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL; 14141246 ZNE: R1 AEF NO: PLANNING N6TES> CONSTRUCT 139 L.F., 6' HIGH HLOCK WALL DIVIDED OVER THE > TWO SIDES AND REAR PROPERTY LINES. ' if if ik if if if ik iF ik iF iE iF if if ik k!! ik if if if 1f if M if if ik iE 1E K 1f 1f if iF if N k M if if M iF ik 1F 1k ik 1F M K it iE if if iE %M 1k iF if 1f'If i{' 1F iF ik iF±f i! iF 1l� iE M if 1E iF M iF IF it 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 APPROVED BY � IJ�� DATE: �==12-� �R.K BUILDING APPROVED HY : DATE: /.� APPLICATION ISSUED BY: DATE: z'� iFMkikikikkiFifMikiFkkMiflEifiFiFMM MifiEMifKi4iFihit iEM LEGALIZATION;N F E E. S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT_ 74.75 50 SMIP/NON—RES PLAN 48.59 'i ISSUE FEE ' BUILDING—DZV—> PERMIT ISSUE PL'AN—CHECK TOTAL PAID DUE TOTALS----> 75.25 0.00 � 48.59 123,84 123.84 ,00 REVENUE DIVISION TOTALS--> COLI:E�CTED: 123.84 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 74.75 .50 48.59 % % ik ik iE iF ik 1t it af 1E if if iF iE iF if ik ik iF i4 if 1k i4 iE M M M M ik i! ik Ik it iF M ik ik iF ik if 1f ik if'k iF ik 1! ik if iF M if if ik 1E k M it fF'IF 1E M k iF if iE 1E 1F 1F if if ik iF M ik iF ik if ik'14 I N D I V I D U A li/� F E E B R E A K D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST SFA 139 RES—CONCRETE BLOCK WALL / FT. 20.00 2,780.00 END OF FEES ,� �� � ..� FEB 27 1998 �_ GITY QF COSiA MESA � • �- CONSTRUCTION AND PLANNING ~ POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Oate Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steei Fieinforcement `]c.q{1 �,�_�.-.,��3.;;EIecVical Conduit Utility-Undrgrnd. 54. Forms T ' � V'4.�lectricai Conduit-Undrgrnd. 55. Electrical Bonding -T. '-�;��tee1 Reinforcement 56. Rough Plum6ing & Press�re Test � T 6.^-,Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE cJ n. . �.. 7:�ootings ..�//� _ 58. Electrical Conduit-Undrgrnd. � $. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural FIOor System 67. APPROVAL 70 DECK 11 rProperty Sewer Line & House Connection 62. Backwash & ReceptorFinal ,� 12.'.5ewer Cap .� 63. Heater & Vent-Final 73. iioof Drains 64. Plumbing System � Firtal 14. Rough Plumbing � 65. Electricai•Fina� 15. Rough Electrical-Conduit �� 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access AnProval 17. Rough Wirinq Sign 68. APPROVED FOR PLASTERING 18. Rough Elecv(ca��T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.bRoyr�h Fjgatir9 &;-Ai( Condit��tiag m� .� m e'x: �-1 ^ R.f'WL?46PS"SSEQU1Fi£MEP4T c. �� `:N�J ITI .R � �• � J.^" � �c; ::: `S .-1 r. z� c.. t: 20.�;ou�ih f�ct +�/ F�e�lace �F ,.� � M � �* `� AP�O�?�� P�mit #�,= 21: uGt,s, ietr�$tru'ctu�,- s�..+ s .. r+ r�x � 701�Jndergroudd tiydro �k � 22.-'Du4?s, entitetiny�.�• t �� ��J '� � �"'*'° 71. Prodsc','{�Pi� m as #� Oil n �:�- e i a: � �-; #� . i P�}�-' k' � 23. ��ia ia o h est � ?l., x rn r �.� � H. « .: -, �, � � �� � ;*:r !x0 � c� ,; �: . 72. Underground EiusFa. >. 24. floof Freming �^ y "� x ��'-� tt 73�. Undergmd. St0}''^�an ❑ Gas ❑ Oil i .� x � a: m :�; �: � . � � 25.�io6iShE�athing N; �-i v �'7 � '+1 � t �d<Dvechead Hyd�7� 26'a'-Ba� Cei{ing (Str�oturall & MSn6coat O; ,� O >+ '��� 7�F�Drj�Ch ical � � � � � �� 27:`Framea� Fi�shi�g�` �'^°' c� �=� :" `'x l:, r� ' ! �x �[�; � �F U.. >,x 76. Dry StaO�WPeSr-i .� �! N ; � i w . .. � c 28. Lathing�6�S�ingde� t7�F O:�• r I i � �. FIXEI�SS`ST�(M�FINPjL'" i1 ;; :D �r S � F 'J .F u �r n, R .=• : . 29. Insulatiog .a •�.: �, q e S I I jx �$. FIRE PREV. P.Itd:4L � � :-1 30. DrywaIl��Mailing n* �- � x E- � K S a:�qLTFI DERf�EDUIR'EMENT �. � i i� '1 K T � 31. Plaster &ow�a•Coat� S � �',��"., •y. � ' � �" 79. FINAL;�tV§PECi10N ;; �:, -y 32.�Iectrira.CPoS�er hleter�Final � r�' �x u 861 F006CERTIFI�TE ISSt1ED� r,� .. .- . . .- ° m . ti t �_����_�� J • M ^ a �� ' �` t � , 1 '] /' qQ � � � �� � 33:=Pin� EI tri , , �:: (j�ptes: � �". M :n. . .�� Y. %c � �.. /�(p,�G(!;(` �� � � �� � 34.�ina`E He.�tingy� Air.�Condiuoning ;r,-� Y> I � ,�: � � E�r:; i: - �,�,(�� .-y � i +.y ;� c +t � l 35.;�in�l G�Pipt+�Test,�*� ✓K '�i ?# "' � i fr ,.�....,`� bC y �., �" � 36.�}ioo'f� or� nOPY yC` i cCC: �-y ^ t � I �+- '��] :ca+ k!�; i*t :; 37.'Final'Fac�tory FireP�ace:: � F�" `�� � cJ I ,'��' a -L :*� r ��� _ C � r . 38.�ine�Pl�bin9 �. T+�J � �," � I '= ' �: � i.. �, � ti ' 39.�Nater Service=Final�� z. � T '�� � � � '� '�' �: r• c• _a �e c:3 W i I � i�^'f • k;r, . ' 40.;,�GasService- �nal � ' ' � ' �- ` "� e nE•. ;*7 � x � ' ri F• aF i' <C r 41. Solar pomesNcFinai n ' , �= [T' 'y � G' ; �' _+ E� �t x' Zi 'T.O iY. H p.- .. S 42. Backflow Prg�anter� v c,,..,:_ �� � J ' v j-; �p'� �, r.. u �. 43. Backflow Irryation* >'x� i7 �� ��' � i� � ' ::E �J *t? .^. r• n� r. * � n ��� ,.. _ � n, . , �. . _,. ,.. „ . � -04.� Landsca� Irngatioe Systertt,�,�, ..; �c .Z Ct = g g :n p^ r � �- - - w. �. ,. ' ` � . . 45.:Sound Fitte'uation� '7 J •� ^ ! ! �T �T� +T'•x . C' �' '¢ • �^ x �_ '}, x o sm + m �•: � �o •�-, � ;q6.'Handicap'Regulatio�is " .. ' `�' �' ' � � s � ;* �iti� o n !: �47.�INAL STRUCTURE & BUILDING �,%�A%YSI � ^ R � ^y w p � K� � 48.�f, If�{i�L PLANNINGK . . � ' � I p :,; � � �; . , � • -49. �Electric•Aelease to �dison � �� k�� +t •,��a t: -' ' r. .t: _ C O� -� w ^ o � t ,�; ._ . � . . � . �,T.>0.'Gas.�.Rele'dse to Sout{+em Califo�� Gas Co � � 5 = e x ^; .� "51. CERTIFICA7E OF OCCUPANCY No. Date I�OTE ADDITIONS, DELEfiONS, OR CORRECTIOfVS SHALL BE APPBOVED BY THE PLF:�;�'i:'G DiV!3fGN t�' �(�F� F >S _ - -- -- ���e���� ciTv OF COSTA h.4ESA pL1aNM�G DIV. SIiBJECT TQ BLDG. DEPT. RE�. BY`�(N�'" L DATE� ? /3°r�f; 1� ' Gu yJu- ���G� `�� I � N z , � SURVEY OF L T LI�'E MAY BE RE UIRED � W W ¢ � M �dYOL1°� 11[�ID[MC[ 11[tID[MC[ � EDRKiC Z_�2y 1��I�F � STREET 2 5lq DNISION QF B U1LDiNG SAEETY CITY OF COSTA MESA APPROVED By— ��ti p� 2�2Z(�g �sel ot plans aM �Ip�s MUST be k�t on �his job ffi e0 t6n�sand'1 is �lawful to �rMSaf�ety,� �°�samewiUqNwr�tenP�ion6anAfeDhr'simo(&u7d'eig ��orm�p�,�,a�;r�au�swa�nrorn�n�aro �' �� I 3-1 of tha violalion of any provisions of any Cily of Custa Mesa Ordina�iiceory�d�or Sya� w. AJ'l�"1�7f%Rr�N " RFstDE*u€ - b IIp10LMC[ W►.lE� 25z�, Dul�i b ---. �^r�� �y �u�max�n �'�i Cecomy null and �roid i( the buiAing or zM ma�lainc�) a!�, � K.; UEC �303 Id) wnhn 790 days ef issuante. 11[tID[MC[ Z � l-H zScG, DUKt-' TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Oot�onal — Channel8lotk With 1-3/8� Horixontal Top of all Fences For Fences 5' or Less Ven. Bars 3/8"y5 at 4' �0" O.C. ' For Fences Higher Than 5' Vert. Ban 3/8"Q at 32" O.C. � Fill Celis Solid Wi[h Grout Where Steel Oecurs Reinforcing Steel Shall � �; � Conform to Set.A-15-39 ' ' A.S.T..NI. i � �. All Steel to be Lapped 24" or to Code NATURALGRAOE t WO 7/Il"¢ 14A115 � CONTINUOVSTOP 6 BOTTOM HOQIZSTEEL MUST BE TIED IN PLAI'E AT TIME OF TRENCH INSPECTION. f 0 a x � � Y w a = a >Z > — a i � w o U F z w n � � � ��1 A � N D^ F�—� W'IDTH � SEE Cht[ � BELOW D I 'e. FOOTING REQUIREMENTS CHART � GENERAL- NOTES MORTAR; p�e part Plastic Cement, and Three Pa�ts Sand GROUT; One Port Cement Three ana One Half Parts S`and COPIN�: One Part Cemenl, Three Parts Sond CONCFETE: Weil M�xed 1:2-I/2:3-I/2 Max. of 7-I/2 Gol;cns ot Water Pei Sack of Cement GHOUT MAV BE POURED FROM THE 70P OF TNE FENCE IN CELLS WHERE STEEL OCCURS. CELLSANDAREASOF HORIZON7ALPEIN� FORCEMENT SHALL BE C�EAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. N (iF C4FTHTCOIH i/J T�IE HEiGTH OF FENCE �LOW BOTTOM OF FOGT�NG WIOTH t4" . . . . 14�' . . . , 12-��.�. THICKNESS 10��. . . . . . . . 10" . . . . . ,, 9,�'-" . DEPTH OF EARTHTOOTH . . . 24" 20" . . �..'.�':r16'�. -.�., SPACING OF EARTHTOOTH. . 12' 14� . . . . . '. . -. 16� . City of Costa Mesa, California . Building Department �- ��� t� �ati'YSED NOV.82 SCALE: I/2" = I' � , . 12" 8 �. t. i:._ �:`.. 1�2" �� •"�"1• �' 16' . PARTY WALL AGREEMENT � THIS AGREEMENT, made and entered into this �� � � TZU ��, by and between C- lz-�� �� hereinafter referred to as "LANDOWNER;' and �O�IS T��%�S hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 252� c7ut�� Z S �� �-C� ��Ol� rropenies� day of in ihe City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day.and year first above written. LANDOWNER (Signat C��-i Lon1f� Name (Typed or Printed) a52� ����� n��-c�� (Address) S�aCl.r� � G-'� S.; hsu- _ b<.k�- � 1� e-(-�-� Y�"� r'-,.� '� Q.,.'JcK� a� i�� �"� T'�l r�{/,�j iJ —`_ `M � (� �/(�r'\ ' ��l^'Y ,� OV+�J �I, `- 1"-CYii. u1. J 190Fa6 . Q �. : NC ADJACENT PROPER O� � �. (Signature) � �� �� �S A-o �iv� _. Nam Typed or Printed) _ � �������1 (Address) (� * Melissa J. Lippand V Comm. A7022125 �� - ' NOTARY PUBLIC - CALIFORNII ' �(` ' �' ORANGE COUNTV a • n� / Gpmm [xprtes June 28. 1998 Comm. #1022125 �-�- - CAmm. E�pree June 28. 1988 PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 2�� �BT�uM� ��l t D, by and between L�� �N�� hereinafter referred to as "LANDOWNER;' and ��-�C \`�=��C(L hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 2520 Z SZ�E p�tc� in the City of Costa Mesa, County of Orange, State of California, as per map recorded day of in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the.parties have entered into this Agreement the day and year first above written. LANDOWNER (��A�CT"-I" CT� LoNf� Name (Typed or Printed) ADJACENT PROPERTY OWNER _Z_�_�U�-� P �AC C� Z� 2. � (Address) (Address) S� t::� Jj- �•,�n {�rr:, c` �'pyr� �{ QJc>►- 5�,. {o o-�� �.,ioSex=.bcC NOTARIZATION RE�UIRED ie., ��'�C@ .re � J1��SLi ���a l.:P�� � no�-� Py�;` �- �-��.,� a� ��9a �� c����� ��e.� �. �;re, ,9�0.�:� �:� y/�{� , 1 • J�\�� ��.��� � _ �a�.� Metissa J. Lippanc Comm. p1022125 IOTARV PUBUC • CALIFORNI. ORANGE COUN7V Comm. Expirea June 28. t99B �. ���`�n� PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 2 5- � �' 1 � � , by and between � �� ��N� hereinafter referred to as "IANDOWNER;' and ����ar� i��R hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between i��6ter (Address of Ad, day of Z � l � ��v � L� �Cc{}t[ ' — in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WFlEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ` ( gn tu� �;z��� Lc�N/'7 Name (Typed or Printed) ADJACENT PROPERTY OWNER � � i „ -Zd ���:�'� (Signature)�—� � ,��� �-� M+��ua�z �7zQ Name (Typed or Printedj 2S Zv �cllt{� f�CfkC� 2�l � U�E 1=«tc�.. r (Ad_drfess() (Address) 5��2 J`� CW.N�Cn.I� rd" � _ _ �,,� �.� � �`. Meliss3 J. Lipp� a�4 ,�__^�1�f��/ Comm. F1p��25 /;� S'�p,f �'�-L7 `-"'� jv�`OS Cf ` tl'Z `� �`d : NOTApY AUBLfC • CpIIFORNIqW 1p�-�cs� ,-� �,�,� �'QQ(� NOTARIZATION RE�UIRED � � ORANGECpUNTY n ,�o�x� Camm. Expires June 2B. 1998 � �'a.1 C,ro�-i-�,,-� •, �'h;�ht�el 2:�, • _ 1906 46 �/\y��..y/`'��J �� " '�V�\�. DECLARATION OF ; ►UTHORITY , Bldg. Permit # FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit # �-fJ� DVfLC pLhCC� PAtzC�Z. 14l - ill2 -4(� � f� t2 ZoZq BLIC tal'3E ' Street Address AP Number t. I(we), ��� L� �� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: �3�x� �-1-��« ��k s�6 tos7 Name Telephone No. Z52L1 bvKe I�cAt� Street Address C Os�, Y�l City to obtain permits in my behalf, as ownedbuilder, for �WC1L �%1Al.L at the above referenced property. 26Z 2. Should any person become an employee engaged in the improvement of the property, I(we) shall im- mediateiy provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. � Executed this � � � day of �� C2o� �NE, Primed Name 19�, at `�)S`T � ESA, California. Zl��`If� Da e NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. I . � I • � �+l/�! � �`� � I � , 0779-46 (Rev. 2I91) <- �� �3 �3� �COSTA MESA BUILDING DEPARTMENT P.O. BO% 31� . COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA, CALIFORNIA MAIL 1555 Placentia ADDRE55 c�Tv , ort Be ch ARCHITECT SB�e �OR F NEER IADDRE55 Sgme TEL. NO. LIC. NO. Const. Co cirr �ic. 1217 NO. APPROVE� 2029 a� �E�.� �or g6 pESCRIPTION NO. A.P. NO. SIZE �^ x �oo OF LOT Ol/ BLOCK ;,,'. �t.:o�..� �.e._ a�ql��.... FI��;`,P:�E Gc?T. C�l. �,r" ^r�n�rp at�(�i. APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE NO.OF BLDGS. O NOW ON LOT SETBRCtt LINE FROM c �] cervreA oF srR[[r lO REAR YARD 4O ISIDE YAR� RIGHT S �EFT S DESCRIPTION OF WORK NEW X A�TEFATION AODITION REPAIq �MOVING DEMOLISH SIZEDING �Sn� — ROOMS v STORIES 1 ! EXTERIOR WALL ROOF COVERING RtVCCO COVERING WOOd shing USE OF NEW BUILDING Residence & att. garage Flan 3—CR CORRECTIONS The Amount shown under valuaiion is for tice STPTE TNsi THE nBOVE IS <ORRECT wN0 AGREE TO COMPLV WITH iLL r—r o- �-""^ •^ �^•!• CITY ORDIN�NCES • $tATE LAW$ R GUI�TING BUILOING�CONSTRUC� norv. VALUATION q SIGNATURE OF PEFMiT FEE S JS.00 PERMITTEE 15 747�0� 17�SQ � PLAN CHECK $ S AUTHORIZED A NT TOTAL FEE S 52�5C �eir r