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Home My WebLink About2306 ELDEN AVE - Building Permits� ! � CITY OF,COSTA MESA � . � BUILDING D/VIS/ON i . � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us : � FOR INSPECTIONS CALL: (7�4) 754-5626 �`°bon�m'd' . PERMIT NUMBER: M07-00504 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 10/11/2007 " . ISSUED BY: SOK JOB ADDRESS: 2306 A ELDEN AV CM ySuite/Un�t '...A vicinity: `� " � � � � � ' SQ. FT: 0 - � �'t - _ SCOPE OF WORK: REPLACE��FURNACE�IN�UNITA LOCATED IN THE EXTERIOR�, REAR'OF�PROPERTY. l_ � � OWNER: CIANO,BENITOTRUST� - �Address: '2306ELDENM1AVE��Unit: -� PHONE: 949-285-7718 : �. �� i ,� ' - ' - �-City/State/Zip: �, COSTA MESA �CA `�!'� - �� '�� APPLICANT: CIANO,BENITO , � � �"�"` . � ��"Address: r��: � �-�� 2306 ELDEN AVE:'-Uniti _, � PHONE: 949-548-7986 City/State/zZip: COSTA?MESA CA �� o � + — � CONTRACTOR: OWNER BUILDER � �� „_ Lice'nse No.�- 000000 ;,�'� �� ' Address: Unit: �� '• - ' .:.. PHONE:. . �.:.�: �... �".. '�.. .. .. - . � � : City/State: �� - - " ZipCode: � � � CELI: � . � ., �_ .. . ^. , , . f _ MECHANICAL PERMIT FEE SUMMARY � °' ' " , MECH ITEM FEE: - � ' $38.30 ... - � - � � � PLAN CHECK FEE: - . � $0.00 . � � . INVESTIGATION FEE: ' .. $0.00„�� " . REINSPECTION FEE: ' � ". $0.00 � . � � � � � �� , TOTAL FEES: $38 30 - 9 NO7ICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sfatutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 lo obtain inspections and f nal approval will result in the expiration of this permit. COUEO. INSPECTIONTYPE DRTE IN7171AL5 COOEp INSPECTIONTVPE ` DS 2�� INTI71�1L5 , 1676 Fized System Final Fire Prevention 206 Final Mechanical l�-�� . �jLfSLY�' 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 207 Final Block/Retaining Wall 212 Pinal Fire PreJention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy ✓ WORKERS' COMPENSATION DECLARATION: � I hereby aKrm under penalty ot perjury one of ihe following declarations: ❑ I have and will maintain a certifcate of consent to sel(-Insure (or workers' compensalion, as provided for by section 3700 of the Labor Cotle, (or Ihe peAormance o( the�work for which Ihis pertnit is issued. ❑ I have antl will maintain vrorkers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My workers' compensation Insurance carrier antl policy number are: Cartier: (inis se[Aon nee0 rpf De mmpetetllthe permAis valued at one hundretl hdlars (EfOJ) w less ) Policy Number: ❑ I ceAify that in the peAormance of the work for which this pertnil is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, antl agree that if I should become subject to the vrorkers' compensa[ion provisions o! Section 3700 0( the Labor Code, I shall forthwith wmply wi[h [hese provisions. Applicanfs SgnaWre WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Pmfessions Code, and my license is in full force and e(fect. Lic. # Class # Convac�or's Signawre oa�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that ihere is a constructbn lending agency for the peRortnance of the work fa wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: OWNER-BUILDER DECLARATIONS: I hereby affrm that under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to construct, alter, improve. tlemolish, or repair any structure, prior lo ics issuance, also requires the apDlicant for such permit to file a signetl statement that he or she is licensed pursuant to the provisions o( the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Pro(essions Code) or Ihat he or she is exempt Iherefrom and ihe basis for Ihe alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty ot not more man five hundred dollars ($500).): ��[ll, as owner of the properry, or my employees with vrages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oRered for sale (Sec. 7044, Business and Pro(essions Code: The Con[ractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or her ovm employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). � �❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pro(essions Code: The contractors License Law dces not appty to an owner of , property who builtls or improves thereon, and who contracts for such projecl vnth � a'contractor(s) license pursuant to the Coniractas License Laws.). �-1�am exempt under sec. � - Business and Professions Code for this reason: O p /6-// D7 SignaWre —� - � -^ ( Date - 305]-46 (3I0]) ' � ,� Owner ID venfed by driv r�e. ❑ Yes ❑ No � Dr'wer':�License.No._� .-% �% �piFes: - �8 •m�0 C��-_.- . _ ._ Verifica[ion of Ownership by (type of document, i.e. - pmperty [ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:. ' ❑ I hereby cert"rfy that no excavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connection with work authorizetl by this pertnit, and that no building strucmre, scaHdding, falsexork, a demolition or dismantling thereof, will be more [han thiAy-six (36) (eet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Adminis[ralive Code). ❑ As ovmer-builder, I will not employ anyone [o do work which vrould require a permit from the Division of Industrial Safety, as noted above. unless such person has a permit to do such work from the division. Applicanfs SignaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need to file and certify a Business Plan for emergency response lo release or Ihreatened release of a hazardous material? ❑ Yes � No (Section 25505 of the Cali(ornia Health and Safety Cotle requires, wi[h some exceptions, that a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one time tluring a reportetl year a quantity o( hazardous matenals equal [o or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic �eet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupanl need ro fle a registration form (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Safery Code, with some exceptions, requires registration with the Costa Mesa Fire DepartmeN by each business which a[ any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stanCard temperalure and pressure). 3. Does or will the applican[ or present or fu[ure building occupant need to prepare an RMPP (Risk Managemen[ antl Prevention Progrem for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provides that [he Costa Mesa Fire Department may require the preparation, certifcation and (iling wilh Ihe Fire Departmen[ of an RMPP 6y businesses which are requiretl to registe� awtely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or (uture building occupanl require for the work which is the subject of this applica[ion a permit for such construction or modification from the South Coast Air �uality Management District or from any other air pollution con[rol disUict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Cali(omia Govemment Code requires Ihat Ihe requested in(ortnation be fumished on applications fa rron-residential building permits). 6. Will any part of the (acility [o be constructed under this permit be within 1000 feet from ihe outer boundanes o( a school? ❑ Yes ❑ No (If 'yes", the facility must meet the requirement of Sections 25534 and 42303 o! Ihe California Heal[h and Safery Code). 7. If a pertnil from the Sou[h Coast Air Qualiry Management District or other air pollution coMrol tlistrict or agency is required for the work which is the subject of lhis applicalion, have all of the disclosures prescribed by CaliFornia Heallh antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certifcate of compliance from the appropriate air polWtion coMrol oKcer). , CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above �is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws antl city ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by [hi�PC rmity9y I fna�l inspeclion. �/�w��"o C_.-C�=wO /0 /� � �% �_9gnaWreoflegalOwner(s) Date __ , AnE/o� Aul�onze0 Applirant Job Address: 2306 ELDEN AV Suite: C Viciniry: Parcel Number: 43926129 Zoning: ApplicanC ONE CALL TAKE CARE OF IT ALL Address: 14707 CARM�NITA RD Phone: 562-404-7444 NORWALK, Cq Zip: 90650 Owner: LUCHESI, JENNIFER Address 2306 ELDEN AVE � Phone: 949-285-1718 COSTA MESA, CA Zip: 92627 Contractor: ONE CALL TAKE CARE OF IT ALL Address: 14707 CARMENITA RD ,,-., Phone: 562-40�4.-7!444'�. � NORWALK, CA „r" " �v� '" '��`� r._ ��.". - . Zip: 90650 License: 614088.; • �� Arch : Address: Zip: / f r DEMOE FIRE .� �TfiD Plan C P� SMIP SMIP � ��.0� ! i $18125 . r � SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existino: D NOTES: 6 �l'' �, '..� • , I Eng�'�� + i � � Ad j ss: j� ;; �3e. � / Rear 0- 0 Rear 0-0 ir o PLANNING & ZONING Left 0- 0 Left 0- 0 Prooased: 0 ISSUED BV: Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 01/27/2004 Issued: 01/27/2004 Phone: License: $s,soo.00 $9,800.00 �, NOTICE: The work au�horized by ihis permit shall comply wi�h all applicable handicap access requirements under California statutes and related � regulations. (Ord. No. 92-28, § 7, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned for a periotl af 180 days. INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all requlred Inspeotions and Ilnal epprovpl must be obtainetl. Failure to obtain inspections and final approval will result in Ihe ezpiration of �his permit. FOR INSPECTIONS CALL: (714) 75h$626 ¢aE<6 laW) WORKERS' COMPENSATION DECLARATION: �� I �ereby ettirm untler penalry ot per�ury one ot I�e following tleclare�ions: ❑ I have entl will maintain a certificate of consent to selbinsure for workers' wmpensation, es provitled lor by seclion 3700 0l the Labor Cotle, for ihe peAormence of ihe work lor w�ich Ihis permil is issuetl. ❑ I heve end will mainiain workers' compensation insurence, as requiretl by sec�ion 3700 of the Wbor Cotle, for the peAortnance ot the work for which t�i5 pertnit is issued. My workers' compensation Insurance carrier and policy number a�e: Carriec Policy Number (This setfion need not be complete0 i/ fhe permit is valued at one hundred dollars (5100) or less.) ❑ I cenity Ihat in Ihe Dertormance of ihe work tor which I�is pertnii is issued, I shall noi employ any person in eny mannar so as to Decome subject to t�e workers' compensalion laws of California, antl agrea Ihat il I s�oula Oecome subject to the workers' compansation provisions o/ Saction 3700 oi Ihe Labor Cotle, I shall fohhwith comply with Ihese provisions. Applicent SignaWre: Date: � WARNING: FAILLIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFIIL AND SHALL SUBJECT AN E�IPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED THOUSAND DOLURE (E100,000�, IN ADOITIIXJ TO THE CqST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I here6y aflirm that I am licensetl untler provisions of Chapter 9(commencing wilh Section 7000) ol Division 3 0l the Business antl Prolessions Code, antl my license is in full . force antl ettecL Lic. M Ciass a Con(ractor's Signature: � Date: CONSTRUCTION LENDING AGENCY: ❑ I hareby aHirm that lhere is a constmction lentling agency tor the pedormance ol ihe work br which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lendels Name: Lenders Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 �ereby aHirm that under penalry of perjury Ihat I am El(EMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason Cotle: Any city or county which requires a permil to consimct, aller, improve, tlemolish, or repair any slmclure, prior �o its issuance, al to lila a signed stelement �hat he or s�e is licensetl pursuent to Ihe pmvisions ol Ihe Contrectors License Law (Chepter 9�aoinmencir Business entl Prolessions Code) or ihat ha or she is axempl therelrom end �he basis for Ihe allegetl exernption. Any ytoleNcfl'pl Sec' sublects the epPlicent to e civil panalry of not more than five hundred tlollars ($500)J: �# �"�y�=� ❑ 1, es owner of Ihe prope�y, or my employees with weges es their sole compensation, WILL DO TlIE�qOpK, entl th0 e4UCtun 7044, Business antl Pmfessions Cotle: The Coniractors License Law dces not appty to an Ow1Wr�a0 propetly Ywho buiYtle a.implp himself or harself or ihrough his or her own employees, provi4e0 �ha� such improvaments'efs'ifGi N�enCBtl w ONered far e�9:,q; so10 within one year of completion, Ihe owner-builtler will have the burden of Droving'Bmt h9 pi M0 tlld n01 OUIW or imprpve }p�-pi ❑ I, as owner ol �he property, am E%CLUSIVEIV CONTRACTING WITH LICENSED COHITiACTOR9 to cm�uct Ihe pm)eii (3i Code: Tha conlrectors License Law does no1 appty to en owner ol pmpeny who Duilib a trnpioves ttiereon, �tl who contractsU licen5e pursuam �o the Comraciors License Wws.). +,.� l�y�� 6-� /+ ❑ I am eMempt untler sec. el�d Pmkssion9 CoE0/� this te wt1; r �-� + Signature: � f 1-z-`-,�� '�.4a..�'Mi� Qi� � Dete � Owner ID verilietl by driver's license. ❑ Ves ❑ ND'' y }�- Ofl�9�'s LicBi19B Np,N'"� ` �� ., a .-, �'''.`� , . 1 h •,� , ,� .;,;- � Veriflcetlon ol Ownership Dy Qype ol�0oomrnent, i.e. - prq7611fteM III or tleBUj:;��`E {`> �!�. �-; DIVISION OF INDUSTRIAL`BAPETY.PEApRCERTIPICA710N: .r...arc�.:.,v_: ».::- r r . �., ❑ I hereby certity ihaf fq YxCevAtbtl Me �(5� or mol6 TeOt 6I depih permit, and that rw Oi�dlrig simclW9C'scaHoldirlp,18108work, or 341, Title B, CalAomW`AQministrative Cade). F._ j�,;�� Ij Business and Professions i applicanl for such permit 7000) o� Division 3 of Ihe any applicent tor a permit entled or oHereG tor sele (Sec. �teon, and who tloes such work ir, ihe building or improvement is ol sala.). � t, Business and Professions pmject wiih a contrac�or(s) Expires: lo deacend, will be made in connection wi�h work euthorized by this of, �vill be more than Ihiny-six (36) feet high. (C�ap. 3.2, Grp 2, An 2, Sec. ❑ As owner-buildef 1 w�jnot employ anyone to qo �pk';�hich wWk�teqi+118 e parriNl �ha Division ol Intlustrial Safery, as notetl above, unless such person has e permit ro tlo such vioh imm the tlivision. r "�+ �...e'' ✓- " • F 4� Signature: � '�-°� a �•"�'f � �'� .: � Date: I fi�� I � N Division of Intlustrial BefBtyPertnit Nu �• 1'A 1`�a�"� t .wA E HAZARDOUS MATERIAL8�AND EMISSIONS CERTIFICATION: 1 W ill the epplicarrt oFpiee,�iM �,fUtUK•builtling occupant need b file and certity a Business Plan br emergency response Io release or Ihreatened release of a hazardous (Sec�ion 25505 oi'1tie,Cefifo,mie'Haelth and Salely Code requires, with soma eKceD�ions, Ihat a Business Plan be filetl with �he Coste Mesa Fire Depanmem by every business which �as abenq'6ne time during e reponetl year a quantity of hazardous materials equel tu or qreeter fhan a weight ol 500 pounds, or a voluma of 55 gallons, or 200 cubic feet oi compressed gas at s�andard IemporaWre and prassure). .................. . . .............._..........................................................................,...................................................................................................................................................................._........................................ ................. ....................................... . 2 Does or will ihe applicant or present or future builaing occupant neetl to file a regisiration brm lor ecutely hazardous materials9 ❑ Ves ❑ No (Section 25533 of t�e Calitornia Health and Satety Coda, with some eaceptions, reQuires reqislretion with the Costa Mesa Fire Dapanment by each business which at any one time has on hend e quanliry of acutely hazardous meterials equal lo or greater Ihen e weight of 500 pounds, or e volume of 55 gallons, or 200 cubic teet of compressed gas at stantlartl temperatura and pressure�. ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will the applicant or present or luture builtling occupant need to prepare an RMPP (Fisk Managemenl and Prevention Program for acutely hazardous materials)? (Seciion 25534 ot t�e Calitomia Heallh and Safery Cotle pmvides Ihat �he Cosie Mesa Fire Depatlmen� may require Ihe prepara�ion, cenitiwtion end tiling with ihe Fire Depariment ol an RMPP �y businesses which are requiretl to re9ister acutely �azartlous materials with t�e Fire Deparimenl. ....................................................................................................................................................................................................................................................:..................................................... ................................................................... 4 II an RMPP is presently requireQ has Section 2553d of Ne Calitomia Health and Salety Code been fully compLad with? ❑ Ves ❑ No ...................._..........................._................_.........................................,................_.................................._...................................................................................__......._....................................._......_........._..................._......................_........... 5 Does or will Iha applicant or ptesant or luWre buildinq occupant require br I�a work which is Ihe suGjea of Ihis a�plicaiion apermit for such constmction or motlificalion imm the South Coast Air Ouality Management Disinct or irom any other air pollution conirol tlislrict or agencyl LJ �es LJ No (Section 658502 of t�e California Govemmenl Cotle requires that the requestetl information De tumishetl on applications for nornresitlential building permits). ...... ...... . .......... ..... . .. ............ ........ ......... ......... ........ . 6 Will any pan ot iha faciliry m be constmctetl untlar ihis permit be wnhin 1000 feat irom �he outer bountlaries at a school? ❑ Ves ❑ No (II "y85", Ihe facilily must meet �he requiremeni ot Sections 25534 and 42303 of Ihe California Healih antl Safery Coda). ....................... _............................................... _............................................................................................................................................................................................,................................................................................... 7 If e permi� hom the Sauth Coes� Air �uatily Manegemen� District or olher air polluiion coNml tlislricl or e9ency is requiretl lor Ihe wark which is ihe sublect oi ihis aoolication. have all of Ihe disclosures prescribad by Celifornia Health antl Safety Code Seclion 4230J been matle? ❑ Yes ❑ No (If'yes", attac� cenilicate ot compliance trom the eppmpriate air pollution control onicer). CERTIFICATE OF COMPLIANCE: I cehiry thal untler penatry of Derjury I�e information given above is correct. I agree to comply with sll sta�e laws an0 ciry ortlinances regarding Hazardous Materials and Emissions. Signawre: Date: CERTFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenity under Denalry ol perjury Ihat I have read I�is application antl state Ihat Ne information given is correct. I agree Io comply wiih all state laws entl ciry ordinances relating to builtling consiruclion, antl aulhorize represenlatives of Ihe Cily ol Costa Mesa to enter upon Ihe above�describetl proparty tor inspection puryoses. I agree nol to occupy or allow occupancy ol any building authonze0 by this permit until final inspeaion. 40pE 6 INSPECTIONTYPE 1616 Fiaetl System Fin� 1266 Pbol'�a�Fh�. `d 200 .. .�F4MI Re-Aoo�� 201 '�:�. FlnBIBIocWRetair ,-w.,,, •I 202 �' " FMeI F9�c7,t,o�ry Fire 203 'Flnel Sipipi?�'�" . . .: _ . r :. i -'�, 204 FinafOe''mafidon•- SignaWra Of Legal Owner(s) AnNOr Aulhorizetl Applicant Prevention Wall �,[f INTRIAL CODE� �y$pECiIONTYPE 206 Final Mechanical �. ;:: Ffiai PArtr�b#i9:y"i.� �,; . , �. 2f0'""rFlnelElectn ��:" �12 � `- Flnel FN� Pre�i%rrtlon '� : � .: a . ...�: . 210.''.;^ ��9��oval � �."�F4�91Si�e 1 i 250_,:Final Building/Occupancy PSIE �NTRI�LS (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2306 ELDENAV Suite: Vicinity: Parcel Number: 43926129 Applicant: BENITO CIANO Address: Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA,CA Contractor. Address: Zip: Arch : Address: Zip: Plan Check: $1,257.46 Permit: $1,934.55 SMIP Res: $26.75 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $3,218.76 SETBACKS ACCESSORY PARKING NOTES: Front 0-0 Front 0-0 Existinq: 0 BUILDING PERMIT Phone: License: Rear 0-0 Rear 0- 0 Required: 0 Zoning: Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: License: Status: ISSUED Applied: 01/24/2000 Issued: 05I78/2000 ISSUED BY: Eng: MOHAMMAD NAMVAR/NAMER & ASSOC Address: Phone: License: C39797 . �.vr_�_vr_r_�rtm I SF iST FLOOR, 1,5 FEE SUMMARY SF 2ND FLOOR AND PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: S2e�,asa.00 Claim Valuation: $o.00 Right 0- 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSNEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeclions and final approval must be obtainad. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 _ � WORKERS' COMPENSATION DECLARATION: I hereby eHirm untler penalty of perjury one ot the following tleclarations: ❑ I have end will maintain a certificate of consent to selt-Insure for workers' compensation, es providetl tor by section 3700 of ihe Labor Cotle, for ihe peAormance of the work for which this permit is issuetl. . ' � ❑ I have antl will main[ain workers' compensation insurance, as required by saction 3700 of ihe Labor Code, for the peRormance ot the work for which this permit is issued. My workers' compensatian Insurance carder end policy numbar ere: Carrier: PoliCy Number: (This section need not be campletetl il the permit is velued ef one hundretl tlallers ($f 00J or less.) ❑ 1 certify tha� in Ihe pertormanca of Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, and egree ihat if I should 6ecoma subjact to the workers' compensation provisions of Section 3700 ol the Wbor Cotle, I shall foRhwith comply with these provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYEfi TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLARE ($100,000), IN ADDITION TO THH �T OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR fAOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of �he Business antl Professions Code, and my license is in full force and effect. Lic. # Class a Conlraciors SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm ihat there is a consimction lending agency tor ihe pedormance oi the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn Iha� untler penalry of perjury ihat � am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requiras a permi� to wnsiruct, alter, improve, demolish, or repair any structura, pnor to its issuance, also requires ihe applicant tor such permi� to file a signed statement ihat he or she is licen5etl pursuant to ihe provisions of the Contractors License Law (C�apter 9(commencing with Section 7000) of Division 3 ot ihe Business and Profeuions Code) or thet he or she is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects ihe applicant to a civil penalry ol not mtlre Ihan five hundretl tlollars ($500).): ❑ I, es ownar of ihe propeny, or my amploy�es with wages as their sole compensation, WILL DO THE WORK, end ihe strucWre is not imentled or ottered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does nol epply to an owner of property who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, providad ihat such improvemenis are not intentled or oflered for sale. It, however, Ihe builtling or improvement is sold within one year ot completlon, the ownervbuiltlar will have ihe burden of proving that he or she did not 6uild or improve tor purpose of sale.). ❑ I, as owner of the propetly, am EXCLUSIVELY CON7RAC71NG WITH LICENSED CON7RACTORS to constmct the project (Sec. 7044, Business antl Protessions Code: 7he coniractors License Lew does not apply to an owner of property who builtls or improves thereon, antl who coniracts tor such project with a contrac�or(s) license pursuant to the Contractors License �aws.). ❑ I am ezempt der sec. Signature: �Qas Owner ID veritietl by tlrivafs licensa. ❑ Ves ❑ No Verification of Ownership by (type of document, i.e. - pmperty taa bill or deed): Pmfessions Code / / ' ��_ E:pires: o�. /,p, oS DIVISION OF INDUSTRIAL SAFETY PERMIT GER7IFICA710N: ' � ❑ I hereby certify Ihat no excevalion five (5) or more teet in depih into which a person is requiretl to tlescend, will 6a made in conneclion with work authorized by ihis permit, and that no building simcture, scaHolding, falsework, or tlemolition or dismantling ihereot, will be more than �hirty-six (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Adminisirative Coda). ❑ As owner�6uiltler, I will not employ anyone �o do work which would require a permit from the Division of Intlustrial Safety, as notetl above, unless such person has a pBrmit to tlo SUCh work from �he tlivision. Signature: Date: Division of Industnal SafeTy Permit Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF EN7RY: I cenity under penalty of perjury that I have read this application and state ihat ihe information given is correct. I agree to comply with all state laws and city ordinances relating to building constmction, antl authorize reprasentatives of tha Ciry of Costa Mesa to anter upon the above-descnbetl property tor i sDec�lon purposes. 1 agree not to acupy or allow occupancy of any building euthorized by this permit until pfinal inspection. �i .r7 — �PJ "' /%� —!/ Signature Ot Legal Owner(s) Date And/Or Authorized P.pplicant COOE N. INSPECTIONTYPE ORTE INTRIRLS 1616 Fizod System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BlocklRelaining W all Final Factory Fire Place Final Sign 204 Final Demolition 2466-46 CODEY INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire PreveMion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DqTE INTRAI .� � � •A (714) 754-5273 • Fax (71a) 754-4856 • www.ci.costa-mesa.ca.us ii rnin unrvt, wa ir mwN, �r awco ELECTRICAL PERMIT Job Address: Suite No Vicinity: ParcelNunmber. Applicant: Address: 2306 ELDEN AV 43926129 BENITO CIANO Owner: CIANO, BENITO Address 2306 ELDEN AVE Contractor Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches . Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole COSTA MESA, CA Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: ` Zip: License: ISSUED BY: SCOPE OF PERMIT NEW (3000SFAND i500SF BASEMENT) SINGLE FAMILY RESIDENCE, IRE:B00-00700. $23.50 $0.00 $0.00 $252.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 4500 0 0 0 0 0 0 i:. � . 0:' 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting '� � ` Busway/t00ft " � Standing Section - Misc Electrical Equipment Transformers up to 1 kva/kw ..........x....up to 10 kva/kw .................up to 50 kva/kw , .................up to 100 kva/kw - .._._..._f..'..over 100 kva/kw Low Voltage Equipment , Low Volt Wiring System / Ckt� Misa Conduit � ' Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) � Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 101t 0/2000 Issued: 10/10/2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 ' 0 _ $0.00 0 $0.00 . 0 $0.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $275.50 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis 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 expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 780 days. ' INSPECTIONS: In order for the work autho�ized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / 2446-4fi (6/00) WORKERS'COMPENSAnON DECLARAnON: I here6y attirm untle� penelty oi perjury one of ihe tollowing declarations: . ❑ I have antl will maintain e certificete of consent b self-Insure for workers' compensation, as provided br by sedion 3700 of ihe Lebor Code, for the peAortnance of the work for whicn Ihis permit is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the perfortnance of the work for which this permit is iuued. My workers' compensation Insurance carrier and policy numher ara: Carner Policy Number. (This secfion need nof be complefed il fhe permif is ✓elued ef one huntlred dollars ($100) or less.) ❑ I certity ihat in the pertormance of ihe work tor which this permit is issued, I shall not employ any person in any manner so es to become subject to ihe workers' compensation laws of Calllornie, antl a9ree Ihat if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shall forihwith comply with thase provisions. Applicant Signature: Dele: WARNING FAILURE TO SECURE WORKEPS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRE� THOUSAND DOLLARE ($100.000�. IN ADDITION TO THE COST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CADE, INTEREST. AN� ATTORNEV'S FEES. �� LICENSED CONTRACTORS DECLARATION: I here6y aNirm that 1 am licansetl under pmvisions ot Chapter 9(commenciag with Section 7W0) ot Division 3 ot the Business and Pmtessions Cotle, antl my license is in tull torce and eflect. Lic. # Class N Contractofs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm thal �here is a construc�ion lending agency for Ihe pertortnance of ihe work br which this permit is issued. (Sec. 3W7, Civil Cotle). Lendefs Name: . _ _ Lender's Address: Signature: OWNER•BUILDER DECLARATONS: Date: I hereby alfirm Ihat Untler penalty ol perjury that I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Busineu end Protessions Code: Any city or counry which requires a permit to constmct, alter, impmve, tlemolish, or repair any siructure, prio� to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensetl pursuant to Ihe provisions of ihe Contractors License Ww (Chaptar 9(commencing with Section 7000) of Division 3 ot ihe Business and PmfeSsions Cotle) or Ihet ha or she is e:empt iherefrom and the basis for the alleged axemption. Any violation ol Section 7031.5 by any epplicant for e Oertnit sublecis the applicaM �o a civil penalty of not more ihan five hundred dollers (3500).): ❑ I, as owner ot �he property, or my employaes wlth wages as Iheir sole compensation, WILL DO THE WORK, and Ihe structure is not intended or oHaretl for sale (Sec. 7044, Busines5 and Professions Code: The Coniractors License Law tloes not apply to an owner of properry who builds or improves thereon, and who tloes such work himself or herself or throu9h his or her own employees, providetl that such improvements are not intentled or ofleretl for sale. If, however, ihe builtling or improvement is sold wilhin one year oi completion, Ihe owner-builder will have the burden of proving that he or sha tlitl not build or improve lor puryose of sale.). ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmject (SecJ044, Business and Protessions Cotle: The con�ractors License Law does not appry to an owner ot propeny who builds or improves ihereon, antl who comracis tor such proled with a contrector(s) Ilcense pursuant to Ihe Contrectors Llcense Lews.). ❑ lam •� Signawra: Owner ID � sec. Business and Professions Cotle tor �his tlrivers license. ❑ Yes ❑ No Drivers License No. Verification of Ownelship by (type oi document, i.a. • proparty tax bill or deetl): DIVISION OF INDU$TRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavetion five (5) or more feat in tlepth into which a person is required to tlescend, will be matle in connection with work euthorized by ihis permit, and tha� no builtling s�mcWre, scattolding, falsework, or demolition or tlismantling thereof, will be more than �hirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title 8, C9lifornia Atlminisiretive Code�. ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from the Division of Industrial Sefety, as notetl ebove, unless such person has a permit to do such work from ihe division. SignaWre: Date: Division ot Industrial Safery Pertni� Number: CERTIFICATE OF COMPLIANCE AND AUiHOR1ZAT10N OF ENTRY: I cenify under penalry of perjury that I have reatl ihis ap0lication and state that the infortnation given is correct. I agree to cpmply with all state laws and ciry ordinances relating to builtling conswction, and authorize represantativas oi the Ciry oi Costa Mesa to enter upon the above-described properry tor inspection purposes. I agree not to occupy or ailow xcupancy of any building euthorized by this permit until tinal inspection. CODE �. INSPECTIONTYPE � QLlE �M�T�A� 1616 Fiaed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa FiPel Final Re-Rooi Final BIocWRetaining Well Final Pactory Fire Place Final Sign Final Demolition % d ' � (��'J� Dale CODE 1 INSPECTIONTIPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Pinel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final euilding/Occupancy PbIE f11�$ l� /�� Y u" l (»a) �54-SD3 • Fax (��4) 75a-4856 • www.ci.costa-mesa.ca.us 77 hAIH UHIVt, GVS I A MtSH, GH eZOZD Job Address: 2306 ELDEN AV Suite No Vicinity: Parcel Nunmber: 43926129 Applicant: BENITO CIANO Address: Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA, CA Contractor: Address: Arch / Eng : AddreSs: PLUMBING PERMIT ISSUED BY: Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: Zip: License: Phone: Zip: License: Status: ISSUED Applied: 10/10/2000 Issued: 70/10/2000 SCOPE OF PERMIT NEW SINGLE FAMILY RESIDENCE, INSTAIL 38ATHTUBS, 1DISHWASHER, 6GAS OUTLETS, iLAUNDRY TUB, iSEWER CONN, 1SHOWER, iKITCHEN SINK, 4WASH BASINS, 4WATER CLOSETS, 1WATER HEATER, RE:B00-00100. ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwater Drein, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $29.40 $0.00 50.00 50.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $2.20 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) � $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $24.65 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) $0.00 QTY 1 0 0 0 0 0 0 0 7 0 1 0 0 0 1 0 0 0 COMMENTS I SPECIAL CONDITIONS Sump Pump Swimming Pool Trap Primer Urinaf Vacuum Brkr Bkflow(i�) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping Qnst or RepJ Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3920 $0.00 $0.00 $3920 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E215.80 QTY 0 0 0 0 0 0 4 0 0 4 1 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / 2a46<fi (8/00) WORKERS' COMPENSATTON DECLARATION: I here6y ettirm under Penalty oi perjury ane of Ihe following declarations: ❑ I have entl will maintaln e certilicate oi consent to selt-Insure tor workers' compensation, es O�o�tleA for by section 3700 of the Labor Code, for the peAortnance of t�e work lor which �his permit is issued. ❑ I have arW will maintain workers' compensation in5urance, es requiretl by section 3700 oi ihe Labor Cotle, lor ihe perfortnance of the work tor whicti t�is pertnit is issuetl. My workers' coinpensation Insurance cartier entl polcy number are: Carrier: " Poliry Number. (This secfion neetl net be comp/eted i/ the pemtit is ve/uetl af one huntlred dollars (5100) or less.) ❑ I cenity ihat in tha peAormanca oi ihe work for which Ihis permit is issuetl, I shall not employ eny person in eny menner so as to become sublect to iha workers' compensation Idws ol Califomia, antl agree that if I s�ould become su6ject b the workers' wmpensation pmvisions of Sedion 3700 ot ihe Labor Coda, I shell forthwith comply with these provisions. ApDlicant Signature: Date: WAFlNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVEfiAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED THOUSAND DOILARE (8100.000). IN ADDITION TO THE COST OF fAMPENSATION, DAMnGES AS PROVIDED FOP IN SECTION 3]060F TNE LABOR CODE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm Ihat 1 am licensed under provisions of Chapter 9(commencing wit� Section 7000) of Division 3 of the Business and Protessions Coda, and my license is in full force and eHect. Lic. N Class p Contractor'S Signatur0: Date: � CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirm that ihere is a construction lentling agency for ihe pedormance of the woM br which this permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lendefs Adtlress: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby ettirm that under penelty of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe toliowing reason (Sec. 7031.5, Business end Professions Cotle: Any city or counry which reQuires a permit to construa, alter, lmprove, tlemolish, or repair eny structure, pnor �o its issuance, elso requires the applicant tor such pertnit to tile e siqnetl stetement thet he or she is licensetl pursuent ro t�e provisions ot Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 oi the Business end Professions Cotle) or that he or she is exempt therefrom and the basis lor t�e alleged exemption. Any violation oi Seciion 7031.5 by eny epplicant lor a permit su6jocts Ihe applicant �o a civil penalry of not more Ihen tive huntlretl dollars (5500).): ❑ I, es owner of ihe property, or my employees with weges as iheir sole compensation, WILL DO 7HE WORK, antl the structure is not in�endetl or offered for sele (Sec. 7044, Business end Professions Code: The Contractors License Law dces not apply to an owner of properry who builtls or improves thareon, antl who tloes such work himsetl or herseli or through his or her own employees, provitled that such improvemenis are not Intentle0 or oHered for sale. II, however, the building or improvement is sold within one year of completion, the owner-builder will have the 6urden ol proving that he or she tlitl not build or improve tor puryose of sale.). ❑ I, as owner of Ihe properry, am E%CLUSIVELV CONTRACTING WITH IICENSED GON7RACTORS to construct the projea (Sec. 704d, Business entl Pmfeuions Catle: The crontrectors License Law does noI appry to en owner ol property who bullds or Improves thereon, antl who contracts tor such pmject with e contreclor(s) license pursuanl to ihe ConiraCtors License Lews.). ❑ I em exempt under sec. Siqnature: �1 Owner ID venfietl by d��ers I Business antl Protessions CoAe lor this reeson: ❑ Ves ❑ No Drivers License No. Verificetion of Ownership by (type af tlacumenL i.e. � property taa bill or deedj: DIVISION OF INDUSYRIAL SAFETV PERMIT CERTIFICATION: !�_(�1.� R (Z_ � '� Expires: !7� � ❑ 1 hareDy certify tpat no axcavation five (5) or more faet in tlepth into which a person is required to descenq will be made in connec�ion with work authodzed by this pertnit, end t�at no building sWcture, scaHOlCing, falsework, or tlemolition or dismantling thereof, will ba more than Ihirry-siz (36) tee� high. (Chep. 32, Gry 2, Ar12, Sec. 341, Title B, Calilornia ACminis�rative Code). ❑ As owner�Duiltler, I will not employ anyone Io do work which woultl require a permit irom the Division ol Intlustrial Sefery, es noted abova, unless such person hes e permit to do such work trom the division. Signalure: Date: Division of Intlustrial Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUTMORIZATON OF ENTAV: I certify under penalty ot perjury Ihel I have rea0 this applica�ion and slale ihat IhB iNortnation given is correci. I agree to wmpty with all state laws and ciry ordinances relating to building consWction, end authorize representatives ot Ne Ciry ot Costa Mesa to enter upon the ebove-descnbed pmpBhy ior'ns ectyio -?urposes. I egree not to occupy or allow occupancy ot any building authorized by this pertnit until finel inspection. ,�o �� _f�/�� n /o /O O d �igna e Of L�gal Own (s) Date � O�� /�6� � ,�� n %�_ % -6-� And/Or ut or ed Appl� nt Date COOE 1, INSPECTIONTYPE � � PA7E �IiIIIISL$ 1676 FIxeG System Final Fire Prevention 1266 200 201 202 203 Pool Spa Fina� Final Re-Roo� Final BIaWRelaining Wall Final Factory Fire Place Final Sign 204 Finel Demolition COOE� INSPELTIONTYPE � 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Oaupancy �F �� z-a l .=1' (��a) 754-52�3 • Fax (��4) 754-ae56 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOS IA MtSA, GA a2ti2ti Job Address: 2306 ELDEN AV Suite No Vicinity: Parcel Number: 43926129 Applicant: BENITO CIANO Address: owner: CIANO, BENITO Address: 2306 ELDEN AVE COSTA MESA, CA Contractor. Address: Arch / Eng : Address: MECHANICAL PERMIT Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: Zip: License: Phone: Zip: License: Status: ISSUED Applied: 10/10/2000 Issued: 10/10/2000 ISSUED BY: �� SCOPE OF PERMIT NEW SINGIE FAMILY RESIDENCE, RE:B00-00100, INSTALL 2FAU, iFACTORY FIREPLACE, 2ABSORPTION SYSTEMS. ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust 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 $29.60 50.00 so.00 so.00 $0.00 $0.00 $0.00 S10.65 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Repair / AIf Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l 1 ncin erator Domestic Incinerator . Compressors / Absomtion Svstems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 7,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Imestigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $29.40 2 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $93.15 COMMENTS I SPECIAL CONDITIONS NOTICE: The work"authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under lhis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections antl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-ae la�oo� WORKERS'COMPENSATION DECLARATON: I hereby aflirm under penalry ot perjury one ot the followinq daclarations: ❑ I heve end will maintain e certilicale oi consent to self-Insure tor workers' compensation, as provitletl for by section 3700 ot Ihe Lebor Cotle, for Ihe pertOrmance of ihe work lor which this permit is issued. ❑ I have and will maintain workers' compensation insurence, as required by section 3700 of the Lebor Cotle, for the peAortnance of Ihe work for which ihis permit is issued. My workers' compensatlon Insurence carrier and policy numher a�e: Cerrier. Policy NumDer: (This secf/on need not be comp/efed il (he permif is valued a( one hundred tlollars ($ f00) or less.) ❑ I certify Ihat in tha peAormance of the work tor which this permit is issued, I shell not employ any person in any manner so es to become subject to the workers' compensatlon laws of Calibmia, End agree that if I should �ecome subject to the workers' compensation provisions of Section 3700 of the Lebor Cotle, I shell iorthwith comply with ihese pmvisions. Applicant SlgnaNre: Date: WARNING: FAILURE TO SECURE WORKER5 ��1PENSATION WVERAGE IS UNLAWFUL AND SHALL SUBJEQ AN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FMES UP TO ONE HUNDPED THOUSAND OOLLARE ISl00,p00), IN ADDITION TOTHE COST OF fAMPEN5AT10N, DAM4GE5 AS PROVIDED FOq IN SECTION 3]O60F THE LABOR CADE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, entl my license Is in full , force nnd eflect. Lic. N qass tl Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aRirm that ihere is a cons�Nction lending agency for ihe peAormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lendar's Neme: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm that under penalty ot per(ury ihat I am EXEMP7 FROM THE CON7RAC70RS LICENSE LAW for fhe following reason (Sec. 7031.5, Business end Professions Cotla: Any ciry or wunry which requires e permit to consiruct, alter, improve, demolish, or repair any sirucWre, prior to its issuance, also reQuires tha applicant tor such permit to file e signetl statement �het he or she is licensed pursuant to Ihe proNsions of ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Businoss antl Professions Code) or that ha or she is ezempt iherefrom antl tha hasis tor iha alleged e:emption. Any violation of Section 703L5 by any epplicant for a pertnit sublec�s the applicant to a civil penalty of not more ihan five hundred dollars (5500).): ❑ I, es owner ot the properry, or my employees with wages es thair sole compensation, WILL DO TME WORK, and Ihe siructure is not intentletl or oflered lor sale (Sec. 7044, Business and Professions Gode: The Coniractors License Ww does not apply to an owner of properry who huilds or improves ihereon, ana who does such work himself or herself or Ihwugh his or her own employees, providetl tha� such improvements are not intendetl or oHaretl for sale. Ii, howeveq lhe builtling or improvement is soltl within one year ot completion, the owner-builder will heve the burden of proving ihat he or she did not build or improve for purpose ot sale.). ❑ I, as owner of Ihe pro0erty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Busine5s entl Profeuions Coae: The contractow License Ww tloes not apply to an owner of property who builds or improves ihereon, and who contracts for such project with e coniractor(s) license pursuant to the Coniractor5 License Laws.). ❑ I am e:empt under sec. SlqnaNre: ��7 ��r Owner ID verified by tlrivels license. Business and Professions Cotle for this reason: No Dnvers Ucense No. Ventication af Ownership hy (rype of doGument, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION: Date: Ezpires: ❑ I hereby certiy that no exwvation ��e (5) or more feet in tlepth into which a person is requiretl to descend, will be made in connedion with work authorized by this permit, and Ihat no builtling sirucWre, scaHoltling, ialsework, or demoll8on or tlismantling ihereof, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomla Administreti�e Code), ❑ As ownar-builder, I will not employ enyone to tlo work which would require e pertnit trom the Division ot Industrial Satery, as noted above, unleu such parson has a pertnit to tlo such work irom Ne tli�sion. Signeture: Da�e: DiviSion ot Industrial Safety Permit NumOer: CERTIFlCATE OF COMPLIANCE AND A�ITNORIZATON OF EMRY: I cenify under penalty ot perjury that I have read ihis application and state Ihat iha infortnation given is correct. I egree to comply with ell state laws antl ciry ordinances relating to building construction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon the abov� 6etl prope t r inspection Puryoses. I agree nol to occupy or allow occuDancy ot any building authonzed by this permit until final inspection. cU��n �� i o— / O_° G / Signetu 0��9 � a+'�er s) Data �F3 � � �'T;, � �� , � � D �O --l9 / AnN r ut onzetl Applicant Date CODE t. INSGELTONTYPE 1616 Fixed System Final Fira Preven�ion 1266 Pool Spa Final 200 Finel Re-Root 201 Finel BIwWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �g �� COOE I INSGECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupanc � 7%m! �..��.�.��.� .� \ � �. . JobAddress: 23OF) ELDENAV Suite: Vicinity: Parcel Nunmber: 43926129 Applicant: BENITO CIANO Address: Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA, CA Contractor: OWNER-BUI LDER Address: GRADING PERMIT Zoning: Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: Zip: License: 0 Eng : MOHAMMAD SAMIEE/SAMPSON & ASSOC. Address: 4689 ROMOLA AV LA VERNE,CA Zip: 91750 Phone: 909-599-6268 License: C46172 SCOPE OF PERMIT CUBIC YARDS PRECISE GR4DING FOR NEW SINGLE FAMILY RESIDENCE. REF:800-00700 & B00-00101 66 Plan Check: $22.00 $0.00 Pe�mit: $37.OU Other: $0.00 $0.00 Inspection: So.00 $o.00 Total NOTES: Sss.00 FEE SUMMARY PLANNING & ZONING Status: ISSUED Applied: Ot/24/2000 Issued: OS/78/2000 ISSUED BY: Calc Valuation: so.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, § 7, 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. INSNECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona entl flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 / WORKERS'COMPENSAnON DECLARATON: I hereby attirm under penalry of perjury one of ihe tollowing tleclarations: ❑ I have and will meintain a certificate 0� �nsent to selt-Insure for workers' cnmpensation, as provitletl for by section 3700 ot the Labor Cotle, for the pertormance of the work for which t�is permit is issued. . ❑ I have ana will maintain workers' rompensation insurance, as required by section 3700 of the Lebor Code, for the pertortnance of ihe work for which Ihis permit is issued. My workars' compensation.lnsurance ��er and policy number are: � Cerrier: Policy Number: (This section neetl nof be comp/etetl i/ the permit is veluetl at ane hundred dollars ($100) ar less.) ❑ I cetlify ihat in the pertortnance of tne work for which ihis permit is issued, I shall not employ eny person in any manner so as to become subject m Ihe workers' compensation laws ol Celifornia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fotlhwit� comply with ihese provisians. Applicant Signatura: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVEFiAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED THOUSAND DOLLARE ($100,000J, IN ADDITIQY TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CADE, INTEREST, AND AT70RNEV'S FEES. LICENSED CONTRACTORS DECLARA7IPN: I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl eHect Lia k Class N Coniractor's Signature: Date: CONS7RUCTION LENDING AGENCV: ❑ I hereby aHirtn ihat there is a conslrudion lending agency for �he peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm that unde� penalry oi perlury lhat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to construd, alter, improve, demolish, or repair eny stmcture, prior to its issuance, also requires the applicant for such permit ro tile a signed statemen� ihat he or she is licensed pursuant to the provislons of Ihe CoNractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi Ihe Business and Professions Code) or thet he or she is exempt �hereirom and ihe basis for ihe alleged ezemption. Any violation of Section 7031.5 by any epplicant tor a permit subjec�s Ihe e001ican� to e clvll penelty of na� more than five huntlretl tlollars ($SOO�.j: ❑ I, es owner of ihe propetly, or my emaloyees with wages as their sole compensation, WILL DO THE WORK, and the simcture is not intanded or oflered for sale (Sec. 7044, 8usiness antl Professions Code� The Coniractors License Law tloes not apply to an owner of propeny who 6uilds or improves Ihereon, and who does such work himself or hersalf or through his or her own employees, provided that such improvemenis are not intended or oHeretl for saie. If, however, ihe building or improvement is sold within one year of completion, the owner�builder will have ihe burden of proving that he or sha did not 6uild or improve tor purpose of sala.). ❑ I, as owner oi lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe projact (Sec. 70d4, Business entl Professions Cotle: The con�rectors License Lew does not apply to en owner of property who builds or improves ihereon, antl who coniracis for such project with e contrector(s) license pursuant to the Coniractors LiGense Laws.). ❑ lem Signature: Owner ID sec. Business end Professions Code for ihis reason: tlnver's license. [7 Yes ❑ No Driver's Licen58 No. Venfication of Ownership by Qype of document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERM�T CER7IFICA710N: Expiras: ❑ I hereby certity thet no excavation fiva (5) or more feet in depth into which a person is requiretl to descend, will be matle in connection with work authorizetl by Ihis permit, and that no �uilaing structure, 9�alloltling, falsework, or demolition or dismantling thereoi, will be more ihan thirty-six (36) feet high. (Ghap. 32, Grp 2, Atl 2, Sac. 341, Trtle 8, Celifomia Administrative Code). ❑ As owner-huiltler, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Safery, as noted above, unless such person has a pertnit to do such work trom ihe divisio�. Signature: Date: Division of Industrial Sefety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I certity undei penelty of perjury �hat I have read this appiication and s�ate �hat Ihe information given is correct. I agree to comply with all state law5 and ciry ordinances relating to buildinq constmction, antl authorize represematives of the City of Costa Mesa to enter upon the above-describad propeny f r inspe,c/tio7n purposes. I agree not to occupy or allow occupancy of any building authorizad by Ihis ppermit until final ins/pe�ction. �4�.-C�/� (vif�fE-' � !7 _'� — �GT (/� Signaiure�%ga nar(s) Date And/Or Authorized Applicant Da�e LOOE �, INSPECTIONTYPE OpTE INTRIAL 7616 Fixod SyStem Finel Fire Prevention 1266 zoo 201 202 203 Pool Spa Final Final Re-Roof Final BIaWRetaining Wall Final Factary Fire Place Final Sign 204 Final Demolition 2446-a6 LO�E♦ INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy �1TE INTITIALS 0 � � (��a) 75a-52�3 • Faz (7�a) �5a-4656 • WN4V.CI.COSIB-ff1852.C2.US 77 hAIFi UHIVt, GVJIA MtJA, l:A'JZtiL6 BUILDING PERMIT ,lob Address: 2306 ELDEN AV Suite: C Vicinity: Parcel Number: 43926129 Applicanr. CIANO, BENITO Address: 2306 ELDEN AVE COSTA MESA,CA Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA, CA Contractor: Address: Zip: Arch : Address: Zoning: Phone: 949-548-7988 Zip: 92627 Phone: Zip: 92627 Phone: License: Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 11/15I2001 Issued: 11/15/2001 Phone: Zip: License: License: SCOPE OF PERMIT CUT 6 FT OFF FRONT OF EXISITNG GARAGE AND ADD 6 FT TO THE BACK AND ATTACH TO AN EXISITNG STORAGE BUILDING. Plan Check: $45.01 Permit: $69.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $114.76 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 s2,000.00 s2,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and ralated regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO 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 requlretl Inspectlona and Iinel epproval must be obtained. Failure to obtain inspections antl final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zusas �eroo� WORKERS'COMPENSAnON DECIARAnON: I hereby eXirtn under penalry oi perjury one oi tha following tlaclere�ions: ❑ I have and will inaintein e cenificete of consenl to self-Insure br workers' cor,mpenseUon; e:�ovided for by saction 3700 of the Lebor Code, for the peAormance of the work lar which �his permit Is issued. . .♦ ❑ I have antl will meintain workers' compensation insurance, as requiretl by secGon 3700 0l the LeDor Code, for the pertormance of the work Por which Ihis pertnit Is issued. My workers' co ens n Insurance car' tl policy numbar ere: ��— Carder. C �� PolicyNumber: .../._ _ _ _., _ _ _ _ _�.. l . . . . . . . I0 I cenify that in the pertormance ol the work for which Ihis pertnit is Issued, I shell not employ eny person in eny manner so as to become subject to ihe workers' (' compensation laws oi Celifomle, end egree that if I shoultl becoma sub�ect to the workers' compensetion provlsions ot Sectlon 3700 oi Ihe Le6or Code, I shell forthwit� comply wit� these provisl/o/f�4) c�/�� Applicant Signature: 1�'P�5 D •/-C V�,I�h =-_�'j Date: WARNIN(3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSAND WLLFRE ($100,000), IN ADDfTION TO THE COST OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 37080F THE LABOP CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aNirm that I am licensetl untler provisions of Chepter 9(commencing with Sectlon 7000) of Dlvision 3 of the Buslness and Protesslons Code, antl my Ilcense Is In full force end aflect. Lic. N Cless q CantracroYs SignaWre: Date: CONSTRUCTON LENDING AGENCY: ❑ I hareby aflirtn that Ihere is a construction lentling egency br ihe peAormance of the work for which this permit is Issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I here�y eflirm that under penelry ot perjury �hat I am EXEMP7 FROM 7ME COMRACTORS LICENSE LAW for the lollowing reason (SecJ031.5, Business end Professions Code: Any ciry or county which requires a pertnit to construct, aller, improve, demolis�, or repair eny siructure, prior to its issuence, elso requires the epplicant for such permit to lile e signed stetement thet he or she Is licensed pursuenl to Ihe provisians af Ihe Cantrectors LicenSe Lew (Chapter 9(commenting with Sedlon 7000) ol Dlvision 3 ot the Business flnd Professions Cotle) or ihet he or she is exempt ��erefrom and Ihe basis for Ihe ellegetl asemptlon. Any vlolation of Sectlon 7031.5 by eny epplicent for a perm�' 'suDJects the ' nt ro a civil penelry of not more Ihan five hunAretl tlollare ($500).�: s owner ot the properry, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, antl the structure Is not intentled or oHeretl for sale (Sec. 7044, Busineu and Protessions Code: The Coniractors License Law tloes not appty to en owner of property who bullds or improves thereon, end who does such work himself or harsetl ar ihraugh hls or her own employees, provided that such impravements ere not Intended o� aflered tor sale. If, however, ihe bulldinp or Improvement is sold within one year oi completion, the owner-builder will have ihe burden ol proving that he or s�e tlitl not build o� improve for purpose ot sale.). ❑ I, as owner of the proparty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe prolect (Sac. 7044, Business entl Protessions Cotle: The contractors License Lew tloes not apply to en owner ot pmpeny who builtls or Impmves thereon, and who contrects lor such project wlth e comrectar(s) license pursuant to ihe Contreciors License Laws.). ❑ lam Signeture: Ownet ID sec. tlriverslicensa. ❑ Ves ❑ No Business end Professions Cotle for this reason: Date: Drivers License No. xpires: Vedlicetion oi Ownership by (type at tlocument, i.e. - property tex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Ihel no excaveiion tive (5) or more teet in depth in�o which a pereon Is require0 to descend, will be mede In connection wi�h work eutharizetl by t�is pertnit, end that no builtling s�ructure, scaffolding, talsework, or demolition or dismantlinp ihereof, will be more ihan ihirty-six (36) feet high. (C�ep. 3.2, Grp 2, Ah 2, Sec. 341, Ttle 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit trom the Division at Intlustrial Selery, es noted ebove, unleu such person has e pefmit to do such work from the division. Signature: Date: Division of Intlustnal Satery Parmit Number: CERTIFlCATE OF COMPLIANCE AND AUT}fORIZATION OF ENTTiY: I certify untler penalry ol perjury that I have read this epplicetion and state that I�e Iniormatlon given is correcl. I egree to comply with ell slate lews end ciry ordinances releting to builUing construction, entl euthonze representatives of the Ciry of Coste Mesa to enter upon the ahove-descnbetl property for inspection py ryoses. ree not to occupy or allow occupency ol eny building euthonzed by ihis permit until tinel inspection. �p� o �� p � i�� j- � l� �� Signature Of Legal Owner�s) —r Date AnNOr Authodzed Applicant Date COOE�, INSPECTIONTYVE PdIE 1�45 tfi16 Fixed System Final Fire Prevention 128fi 200 201 202 203 204 Pool Spa Final Finel Re-Rooi Flnal BIocWRetaining Well Final FaMory Fire Place Final Sign Final Demolition COOE 1 INSPECTION TYPE 208 Finel Mechanical 208 Flnal Plumbing 210 Flnal Elecirlcel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel BuiltlinyOccupancy ceiF u�e�s 7-9-vL G L•.-� (714) 754-5273 • Fax (774) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2306 ELDENAV Suite: GRGE Vicinity: ParcelNumber: 43926129 Applicant: BENITO CIANO Address: Owner: CIANO, BEN170 Address 2306 ELDEN AVE COSTA MESA, CA Contrector: Address: Zoning: Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: ISSUED BY: Status: ISSUED Applied: 01/24/2000 Issued: OS/18/2000 Zip: License: Arch : Eng: MOHAMMAD NAMVAR/NAMER & ASSOC Address: Address: 3302-B W SEPULVEDA BL � Phone: Phone: 310326-0833 TORRANCE,CA Zip: License: 90505 License: C39797 . SCOPE OF PERMIT NEW 220 SF GARAGE AND 220 SF'CARPORT. REF:G00-00003 AND B00-00700 Plan Check: $108.71 Permit: $167.25 SMIP Res: $0.83 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $276.79 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY Calc Valuation: ga,sis.00 Claim Valuation: go.00 PLANNING 8 ZONING LeR 0- 0 Right Left 0- 0 Ri9ht Proposed: 0 ��. 0- 0 NOTICE: The work authorized by this psrmit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: This permit shall automatic211y 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. � INSPEC710NS: In order for the work authorized under ihis�permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlons end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration oF ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby attirm untler penelry ot perjury one of the following tleclarations: ❑ I have and wlll maintein e certlficete of consent to self-Insure for workars' compensation, as provided for by secllon 3700 of iha Labor Cotle, for the peAormance oi Ihe work for which this permit is issued. . r ❑ I have antl wlll maintain workers' compensation insurance, as requiretl by section 3700 ot the Lehor Coda, for Iha pertormance ot the work for which this permit is issuetl. My workers' compensation Insurance carner and policy number are: Cerner: POlity Number: (This section need no( be cromp/eted i/ Ihe permif is veluetl et one hundred dollars (S700J or IessJ ❑ I certify t�et In tha pertormence of ihe work for which this permit is issued, I shell not employ eny person in eny menner so es lo become subject to Ihe workers' compensation lews of Celitomla, and agree ihat il I should become subject to the workers' compensation provislons of Section 3700 ot Ne Wbor Code, I shall forthwith wmply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORNERS' CQMPENSATION COVERAGE IS UMAWFUL AND SHALL SUBJECr AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE HUNORED THOUSAND OOLLARE �5100.000�. IN ADDfTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F-0R IN SEGTION 3�Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS OECLARATION: I hereby attirm �hat I em licensed under provisions of Chapter 9(commencing wi�h Section 7000) ol Division 3 of ihe Business antl Protessions Cotle, and my license is in full force and effecL Lic. a Cless a , Contractofs Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirm ihat there is a constmction lending egancy for the pedormance of ihe work for which this permit Is issued. (Sec. 3097, Civil Code). Lender's Name: Lendar's Address: � Signatura: � Date: OWNER•BUILDER DECLARATIONS: I hereby aMirm thet under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to consiruct, alter, improve, demolish, or repair eny stmcture, pnor to iis issuanca, also requires the applicant tor such permit to file a signed stetement Ihat he or she is licensetl pursuent to Ihe provislons of Ihe COMractors License Law (Chap�er 9(commencing wlth Section 7000) of �ivision 3 of the Business and Protessions Cotle) or that he or she is exempt therefrom and the basis for Ihe allagetl e:emption. Any violation ot Sedlon 7031.5 by any appliwnt tor a permit subJects the applicant to a civil penalry ol not more ihan five huntlretl tlollars ($500).): ❑ I, as owner ol ��e propeM. ar my employees with wages as Iheir sole compensation, WILL DO THE WORK, end the structure is not intentletl or ottered lor sale (Sac. 7044, Business end Professions Cotle: Ttie Contractors License Law tloes not appty to an rnvner ol property who 6uiltls or improves thereon, and who tloes such work himself or herselt or Ihrough his or her own employees, provided ihal such improvements are not intended or oHered for sale. If, howaver, ihe building or improvemen� is sold within one yeer of comD�etion, ihe owner-builder wiil have Ihe burden of proving ihat he or she tlitl not build or improve for purpose of saleJ. ❑ I, as owner ol the properry, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, eusiness and Professions Code: The coNreciors License Lew dces not eppty to an owner of properry who builtls or improves thereon, end who contracts for such project with a coniractor(s) license Oursuant to the Contrectors License WwsJ. ❑ I am ezempt w Signawre: _ Owner ID veniied by Business antl Professions Cotle tor this reason: Yes ❑ No Drivar's License No. Verification of Ownership by (�ype ot document, i.e. - property tax bill or daed): ! Expires: o./. /SF, /o, DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATON: � ❑ I hereby certify ihet no excavation five (5) or more teet in tlepih into which a person Is requlred to descentl, will be made in connection with work authorized by ihis permit, end ihet no building simcture, scaflolding, felsework, or demolition or dismantling ihereof, will be more Men ihirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, 7iUe 8, Celifornia Adminis�retive Code). � ❑ As owner-builtler, I will not employ anyone to do work which would require e permit irom ihe Division of Indusirial Safety, as noted above, unless such person has a permit to do such work irom �he tlivision. Signeture: Division af Industnel Setety Permit Number: Date: CERTFICATE OF COMPLIANCE AND AUTHORIZATON OF ENiAY: I certity under penalty of perjury that I have read t�is application antl state ihat tha information given is correct. I agree to comply with all state laws and ciry ordinances relating to huiltling construction, and euthorize representatives of the Ciry of Costa Mesa to enter upon ihe ebova-descnbed property for insp ction purposes. I agree not ro occupy or ellow occupancy ol any builtling authonzad by this pertnit umil fipnal inspepction. � O�rw�/� �i1..AiJ �� 6 r v � � SigneWre Ot Legal Owne s) Date AnNOr Authorizetl Applicant COpE r. INSiECTIONTYPE QATF INTffIALS 1616 Fixetl Sysiem Final Fire Prevenlion 1266 Pool Spa Final 200 Final Re-Rool 201 Finel8locWRetaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demolilion 244fi d6 COOE 1 INSPECTION TYVE 206 Final Mechanicel 20B Final Plumbing 210 Final Electricel 212 Final Fire Prevenlion 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy 2L I A —9-�OZ a� - (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res.a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Liqhting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to ihp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 2306 ELDEN AV GAR4GE 8 CARPORT 43926129 CIANO, BENITO 2306 ELDEN AVE COSTA MESA, CA CIANO, BENITO 2306 ELDEN AVE COSTA MESA, CA OWNER-BUILDER ELECTRICAL PERMIT Phone: (714) 609-0308 Zip: 92627 Phone: (714)609-4308 Zip: 92627 Phone: Zip: License: 0 Status: I SS U E D Applied: 70/22/2001 Issued: 70/22I2001 ISSUED BY: � SCOPE OF PERMIT ELECTRICAL PERMIT FOR NEW GARAGE & CARPORT. INSTALL 6 LIGHT FIXTURES, i t RECEPTACLE OUTLETS, 8 6 SWITCHES. - REF: B00-00107 b23.50 $0.00 $0.00 $0.00 50.00 $0.00 56.60 $12.10 $6.60 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantity 0 0 0 6 11 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway/100ft 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. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Elecirical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 Sa.ao 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 50.00 $0.00 50.00 TOTAL CALCULATED FEES E46.80 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27•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 tor the work authorized undar this permit to be consideretl legal, such work must comply with all applicable codes, and all required Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-ae la�oo� WORKERS' COMPENSATION DEGLAFlATION: I hereby aHirtn under penalty of perjury ona of Ihe following declaretions: ❑ I have and will maintain a certifiwte oi consent to salf-Insure tor workers' compensation, as provitletl for by section 3700 of the Labor Code, for the pertortnance of the work tor which ihis permit is issuetl. ❑ I have and will maintain workers' compensation Insurance, az requireC by section 3700 of ihe Labor Gode, tor the pedortnance of the work Por which Ihis pertnit is issued. My workere' compensatlon Insurence carner entl policy number are: Carrier. Policy Number: (This section need not be comp/etetl i/ the permit is valued at one huntlretl tlollers ($100) oNess.) ❑ I certify ihat in the peAormenca of the work for which this permit is issue0, 1 shall not employ any pereon in eny manner so as to become subject to ihe workers' compensatlon lews of Galitomia, end egrea that N I should become su6�ect to Ihe workers' compensation provislons ot Section 3700 ot the Labor Code, I shell forthwlth comply with these provisions. Applicent Signeture: Dete: WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION COVEPAGE IS UNLAWFUL AND SHAIL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARE (5100,000). IN ADDITION TO THE CQST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiIIXJ 3]O60F THE LABOq CODE, IMEFEST, AND ATTOiiNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I em licensetl under provisions oi Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Protessions Code, entl my licanse is in full torce entl eNect. Lic. M Class k Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm ihat ihere is a consWction lending agency for ihe performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendar's Name: Lentler's Adtlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hareby eflirtn that under penalty of periury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires e pertnit to consiruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the eppliwnt tor such permit to file e signed stetemant that he or she Is licensed pursuent to the provisions of Ihe Contrectors License Law (Chepter 9(commencing wit� Seclion 7000) of Dlvision 3 oi the Businoss and Prolessions Code) or thet he or sha is exempt tharefrom antl tha besis For ihe elleged ezemption. Any violation of Section 7031.5 by any epplicent for a perrr+' subject he eppllcant to a civil penalry of not more ihan five hundred dollars ($500).): I? es owner ot t�e property, or my employees with wages as their sole compensation, WILL DO THE WORK, end the structure is not intended or ottered tor sale (Sec. 7044, Business and Professions Cotle: The Conirectors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not Intended or otteretl for sale. If, however, the building or improvement is sold within one year of completion, the ownei-bullder will heve tha burden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner of the O�oOerty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 704d, Business and Professions Code: The contradors Llcense Law does not epply to an owner ol property who builtls or improves ihereon, antl who contracts for such project wlih a comractor(s) license pursuent to the Contractors License Laws.). ❑ I em exempt under sec. Business and Protessions Code for this reason: Signature:-�'� Qi�-r,( ��E,t n � Date: " � /`O �-� �i / � �Owner ID venfietl by tlnvers license. ❑ Ves ❑ No Ddvef,s.License Na.__ � �� Expires_ L_�� Verification of Ownership by (type oi tlocument, i.e. - property taz bili or deed): " - DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certtly ihat no excavation five (5) or more teet in tlepth into which a person is required to descentl, wlll be made in conneclion with work authonzed by ihis permiL antl ihat no building siructure, scalloldinq, falsework, or tlemolition or tlismantling ihereot, will 6e more then thirty-siz (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celifomia Atlminisirativa Code). ❑ As owner-builtler, I will not employ enyone to do work which woultl require a permit fmm Ihe Division of Intlustnal Safery, es noretl ebove, unless such person hes a pertnit to do such work from the division. Signeture: Date: Division of Industrial Safety Permit Number: CER'f1FICATE OF COMPLUWCE AND AI7TFIORIZA710N OF ENTRY: I certi(y under penalry of perjury that I have read this application and state ihat the information given is correct. I egree �o comply wilh ell state lews and ciry ordinances releting to builtling construction, end authorize rep�esentatives of the Ci�y of Cos�a Mesa �o en�er upon the above-descnbed propeAy tor �inspe—ction pu ses. I agree not to occupy or allow ocwpancy ot any building euthorized by this pertnit until yfinel inspection. / �,Oir�[i/ �/ O �/i/�liiw./i � � i-2 � / SignaWreOf�LegalOwner(s) � Date�—,l � t--�_ '> And/Or Authonzetl Applicant` Data CODE �. INSYECTONTYPE 7�L INTITIRLS 1616 Fixed System Final Fire Prevention 1266 Poal Spa Finel 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition CQOE1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildincyOccupancy QdiE INTRIALg � "' —v ` 4Fp5 7 MFy�9 o � > _ F J - ��o� � (714) 754-5273 • Fax (714) 754-4856 .lobAddress: 2306 ELDENAV Suile: Vicinity: Parcel Number: 43926129 Applicant: CIANO, BENITO Address: Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA, CA Contractor Adtlress: CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Zoning: Phone: 949-548-7988 Zip: Phone: Zip: 92627 Phone: NUMBER i1959 77 FAIR DRIVE, COSTA MESA, CA 92626 StaWs: ISSUED Applied: 12/14/1999 Issued: 01/13/2000 ISSUED BY: �I ` � Zip: License: nrch : , Eng: MOHAMMAD SAMIEEISAMPSON & ASSOC. Address: � � " ' Address: Phone: Phone: Zip: - License: License: C46172 SCOPE OF PERMIT 271 LIN. FT. BLOCK WALL 6 FEET IN HEIGHT. 95LF-2FT RETAINING WALL ONLT, 176LF-2FT RETAINING AND 6FT WALLABOVE. Plan Check: $136.01 Permit: $209.25 SMIP Res: $1.17 SMIP Cam: $0.00 Other: $0.00 Inspection: $0.00 Total: $346.43 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pro osed: 0 Calc Valuation: Claim Valuation: t 9 Right 0- 0 Right 0- 0 � ��ii1 �� / � �1;s��i� �� r� .- $71,650.00 $ioo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. , . INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapectlone and final approval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � � WORKERS'COMPENSATION DECLARAnON: I hereby attirm under penaity ot perjury one of �he following declarations: . ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, es provitletl for by section 3700 of the Labor Cotle, for the pedormance of the work tor which this permit is issued. ❑ 1 have and will maintain workers' compen5ation in5uranCe, as requiretl by section 3700 of the Lahor Code, for Ihe peAortnance of the work fot which ihis pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy Number. (Triis section need not be completed i! the pe�mit is valued et one huntlretl dollars ($100) or less.) ❑ I certiy that in the pertormance of Ihe work for which this permil is issued, I shall not employ eny person in any manner so as lo becoma su6ject to the workers' compensetion laws of California, and agree that ii I should become subjact to the workers' compensetion provisions of Section 3700 of the La6or Code, I shall Forthwith comply with these pravisions. Applicant SignaWre: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNL4WPUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED T110USAN0 OOLL4FE (5100,000). IN AD�ITION TO THE fAST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTION 3]O6 OF THE LABOR CODE, IMEREST, ANO ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Oivision 3 of ihe Business and Professions Code, antl my license is in full force and eHecL �ic. a Class # Contractofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm ihat ihere is a conslmction lending agency tor ihe pedormance ot ihe work tor which this permit is issued. (Sec. 3097, Givil Code). Lender's Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalry of perlury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Protessions Code: Any city or counry which requires a permit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant for such permit b file a signetl statement ihat he or she is licensed pursuant to the provisions of the Contracbrs License Law (Chapter 9(commencing with Sedion 7000) of Division 3 of the Business antl Professions Code) or Ihat he or she is ezempt thereirom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicam for a permit subjects the applicant to a civil penalry ot not more than five hundred tlollars ($500).): ❑ I, as owner of �he property, or my employees wilh wages as their sole compensation, WILL DO THE WORK, and ihe slructure is not intentletl or oNeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not appiy to an owner of property who builds or improves ihereon, antl who tloes such work himself or herself or ihrough �is or her own employees, provided that such improvements are not intentlad or oftered for sale. Ii, however, the building or improvement is soltl within one year of completioq the owner-builtler will have ihe burden of proving that he or she did not build o� improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Professions Cotle: The contractors License Law does not apply to an owner of property who builds or impmves ihereon, and who coniracis for such project with a contractoqs) license pursuant to the Contractors License Laws.). ❑ I am ezempt tler sec. ' Business antl Professions Cotle for this rea/son: SignaWre: �Cir�/ 6� 6 �p�� ` Date: Owner ID veritietl by driver's license. ❑ Yes ❑ No Driver's License No. �./%� `� {� Verification of Ownership by (type ot tlocument, i.e. - propetly tax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify that no excavation tive (5) or more feet in tlepth into which a person is required to descend, will be made in connection with work authorized by ihis permit, and that no builtling structure, scaflolding, falsework, or tlamolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from Ihe Division of Indusirial Safety, as notetl above, unless such person has a permit to tlo such work from ihe division. Signature: Date: Division of Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury Ihat I have read this application and state that Iha information given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon ihe above-describad property for inspection purposes. I agrae not to acupy or allow occupancy of any huilding authorizetl by this pertnit until finai inspection. � I d/Or Authori CODE L INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final 81ocWRetaining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demolition 20A6-66 ��wneqs� ;,o�,�. � Applicant DATE INTRIALS z-( (L-D( � CODEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy / � � � ' GD Date o� iNrma�s (714J 754-5273 ' F8X (714J 754•4856 • www.ci.costa-rtp�Eeg{�pRESSION PERMIT !� FAIH UHIVE, GU51 A MtJA, GA 8Yti26 ,lobAddress: 2306 ELDEN AV Suite: D Vicinity: HOUSE ONLY Parcel Number: 43926129 Applicant: SHAWN PYLE Addr@ss: 155 ENTERPRISE CT CORONA,CA Owner: CIANO, BENITO Address 2306 ELDEN AVE COSTA MESA, CA Contractor: FIRE SPRINKLER SYSTEMS Address: 155 ENTERPRISE COURT CORONA,CA Zoning: Phone: (909) 265-8269 Zip: 91720 Phone: Zip: 92627 Phone: (800) 9153473 Zip: 91720 License: 6&4600 ISSUED BY: Stalus: ISSUED Applied: OS/03/2000 Issued: 09/19/2000 SCOPE OF PERMIT INSTALL 30 SPRINKLER HEADS FOR NEW 2STORY RESIDENCE W/BASEMENT. RE:B00-00100. FEE SUMMARY Plan Check: $63.21 Permit: $97.25 Other: $0.00 Total: $160.46 Calc Valuation: Sa,�si.00 Claimed Valuation: S3,�stoo NO710E: The work authorized by this permit shall comply with all applirable handicap access requiremenis under California statutes and related regulations. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in �he expiration of this permit, _ l" FOR INSPECTI4NS CALL: (714) 7545626 / saaaaeldao� WORKERS'COMPENSAnON DECLARATON: � , I hereby aHirtn under penalry of perjury one of tha tollowing tleclarations: ❑ I �ave entl wlll maintain a cenifica�e of consent to self-Insure tor workers' compensation, es provided for by sec0on 3700 of the Lebor Coda, for the pedormence of ihe work lor which this permit is issuad. �fheve.and will maintain workers' Compensetion insurence, as requiretl by section 3700 of the lebor Code, Por Ihe peAortnence of Ihe work for which ihis pertnit Is issued. _My.worliers' compensation surgnc�r r end policy number ara: / .Carrier. 's � � ��r'1^�� Po�icy`Numbei: �� /�b 2� (This.secfbn�need not be wmp/eted il the permi( Is velued et one hundred dollers ($100) ar /ess.) �----' ❑ I cetlify thet in Ihe pertortnance o1 the work tor which Ihis pertnit is issuetl, I s�ell not employ any person in eny manner so as Io becoma subject ro the workers' compensation laws ot Califomie, B�e �at If I opld become subjecl to the workers' compensation provislons of Secti�n 3jj700 oi the Labor Cotle, I sha0 forthwith complywiththeseprovisions. �c/ /.� fO� 'ApDlicant Signatu�—� re: �� Date: �/ // WARNING FAILURE TO SECURE WOiU(ER5 COMPENSA VERAGE IS UNLAWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PENALilES AND CML FlNES UP TOONE HUNDRED TlYJUSAND DOLURE {SM100,000), IN ADDRION TO THE WST OF CpAPEN5ATIIXJ, DAMAGES A$ PRWIDED FOR IN SECiION �"/W OF THE LABOA CODE, IMEREST, AND ATTORNEYS FEES. LICENSEO CON7RACTORS DECLAHA710N: I hereby aNirm ihat I am licensetl untlej Provi�s'y�p s of Chapter 9(commencing with Section 7000) of Division 3 ot.�he.Business and Projessions Code, antl my license Is in full torce and enecL�x� [�g:1(oc:7�9.. Lqass�q-7 G�(� ConVactors�Signal_u;e_ _ . - ' , Dale�—"' /�i �.Z7 CONS7RUCTION LENDING AGENCY: ❑ I here6y eNirm ihat there is a conS�Nction lentling egency for the peAormence ot the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Neme: SignaWre: _ OWNEH-BUILDER DECLARATONS: Lenders Address: Date: I hereby ettirm that under penalty of pellury ihat I am E7(EMPT FROM TME CON7RACTORS LICENSE LAW fa the following reason (Sec. 7031.5, Business end Pmtessions Coda: Any city or county which requireS e permit to construct elter, improve, tlemolish, or repair eny simcture, prior to ils issuence, also requires the applicant tor such permit to llle e signad statement that �e or sh6 is licensetl pursuant to ihe provlsions oi the Contrectors License Law (Chapter 9(commencing with Section 7000) ot Divislon 3 of the Busineu end Professions Code) or t�et he or she is exempt tharefrom antl ihe besis for ihe alteged eaemption. Any vloletion of Sectlon 7031.5 by any applicant tor a pertnit subjects the applicent to e civil penelty o� not more than live huntlred tlollars ($500).): 0 I, as owner of Ihe properry, or my employees wlth wages as their sole compensation, WILL DO TME WORK, an0 Ne siructure is not intendetl or oHeretl lor sale (Sec. 7044, Business and Professions Gode: The Contractors License Law does not apply to an owner of propeny who builds or improves t�ereon, and who tloes such work himself or herseN or through his or �er own employees, provitletl ihai such improvements are not intended or oHered for sale. If, howaver, ihe building or Impmvement is sold within one year ot completion, Ihe owner-builder will have the burden of proving thal he or she did not builtl or improve br purpose o� sale.). ❑ I, as owner of the properry, am EXCLUSIVELV CON7RACTING WITH LICENSED CONTRACTOHS to wnstruct the project (Sec. 7044, Business end Prolessions Cotle: 7he coniraciors License Law tloes not apply to en owner oi propeny who hullds or improves ihereon, and who contracts tor such project with a coniractor(s) license pursuent to the Contrectors License Laws.). ❑ I am ezempt untler sec. Signeture: Owner ID veritietl by driver's licanse. ❑ �Bs ❑ No Business antl Professions Code for ihis reason: Vedficetion of Ownership by (type af tlocument, I.e. - propeny tex bill or tleed): Drivef5 LiCense No. Oate: Expires: DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTFICATION: ❑ I hereby cenity that no excavation ��e (5) or more teet in depih into which e person is requiretl to descend, will be matle in wnnectlon with work au�hotlzed by t�is pertnit, end ihat no building sWCW�e, scaffolding, talsework, or demolltion or tllsmantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T�le 8, Celifomia Administrelive Cotle). ❑ As ownar-builder, I will not employ enyone to do work which would require a permit irom Ihe Division ol Intlusiriel Sefery, as notetl above, unless such person has e permit to tlo such work From the di�ision. Signatura: Date: Division of Intlustrial Safety Permit Number: CERTIFlCATE OF COMPLJANCE AND AU7HORVATON OF ENTAY: I cenify under penalty of perjury that I have reed Ihis application antl state that the information given is correct. I agree to comply with all state �aws end ciry ordinances relating to building consiruction, antl authonze representatives of ihe Ciry of Costa Mesa to enter upon Ihe ebove-descnbed pmperty for inspection purpwes. I agree not to occupy or allaw occupancy of eny building authanzed by t�is permit until finel inspection. CODE �. INSPECTONTYPE t61fi - Fi:etl System Final Fire Preventlon 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 203 204 Final Factory Fire Place Final Sign Final Demolition �-1�,_ w� 9, LQOE I INSPELTION TYPE 206 Final Mechanical 20B Final Plumhing 210 Finai ElectriCal 272 Final Fire Prevention 220 222 250 Final Planning Apprwal Final Site Final BuildincyOccupancy �I:11111_1!�j 11-�,-01 � Applicant to fill in a11 svaces CiTY oF COSTa MES�'� /CONST UCTIO�^N PER Projec�Address ��, ` � Address �� '��-L��hL1C --/�� Areh/Eng. e�isa No. Address Contractor's Name Phone Address Imailing) � Gty License No. LICENSED CONTRAC70R DECLqJt ATION 1 hereby aifirm thai I am lice e�ptler provisions of Charter 9(commencipg with seclion 7000) of Djr� on 3 ot the Business antl Professlons Cotle, antl my license is in full t Cantl ettect, License Class License No. Date Si9nature WO ERS' LOMPENSATION DECLARATION =reby aHirm that I have a certifiCate of consent to self-insure or a certificate Workers' Compensation 1 surance, or a ceriifietl copy thereof (Section .00, lab. C.) Policy No. Gompany 8 Certifie py is hereby furni5hptl. Ce ' etl copy is tiletl with the City Builtling Division. D e APPlicapt EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be tompletetl it the pe�mit is fo� one huntlretl ($100) or less). I cartify that in the performance ot the work for which this perm�t is issuetl, I shall not employ any person in ahy ma ner sq� as/�o beco subject to the Workers' � Laws of Calif ia O//A/(e� ��Q�� Date S9natur� {•vL«�� NOTIC . after <ing this tleclaration, you shoultl become subject to the Workers' Compensation provision: of the Labor Cotle, you must forthwith comply with such provisions or this oermit shall be tleemetl revoketl. CONSTRUCTION LENDING-AGENCV ' 1 hereby aftirm that Ihere is a constry ction Ientling agency tor the perTormance ot tbe wOrk for which this.,petlmi� is issuetl (Section 309� Civ. C.) Lentler's Name >> � , Lentler'sAtltlress—�% ' OWNER BUILDER DECLARATI I hereby af(irm lhat 1 am exempt from the Contractor's License Law for the foilowing reason (Section 7031.5 Business antl Protessional Code: Any city or county which �equires a pe�mit to �pnsbuct, alte�, improve, tlemOlish o� repai� any structure, prior to its issuanc@, also requires the applicant tor such permit to file a signetl Statement that he/She I5 IiCensetl pursuant to Ihe p�ovi5ion5 of tne Contractor's �icense Law (Chap�er 9,(commencing with Section �000) of �ivision 3 of the Business antl Professions Cotle) or that he/she is exempt ��erefrom antl tbe basis for the allegetl exemption. Any violation of Section 03L5 by any applicant for a petmit subjects the aOPliCant to d civil �enalty of not more Ihan tive huntlretl tlollars (5500). I, as owner of the property or my employees with wa9es as their sole mmpensatio�, will tlo tne work, 8ntl the SVuctu�e is not intentletl or offe�etl for sale (Section ]044, Business antl Pro(essional Cotle: The Contractor's License Law tloes nol apply to an owner of a properry who builtls or improves thereon, antl who tloes such work M1imSelf/nerself o� th�ough hls o� hEr oWn employees, prOvitletl tM1at sucb improvemen[5 a�e not Intentletl or offered for sale. If, however, the builtling or lmprovement is soltl within ona year o( com- pletion, the owner will have the burtlen of provin9 he/she ditl not bulltl or im- �rove for the purpose of Sale). ❑ I, as owner ot the property, am exclusively contracting witn Ilcensetl con- tractors to consiruct the praject ($ection 7044, Business antl Professlons Code: The ConVactor's License Law tlOes not apply to an owner of property who builtls or improves thereon. antl �vho contracts Tor such oroiects with a com tractor(5) bcense pursuan[ [o cne ConVactor•5 license Law�. I am aware that p( of ot their Worker's Compe }Q rance shoultl be provltletl to me. �1 am exempt under Section �`l� B. & P. C. tor thi5 reason n v� . — Owner I nave reaa I a9ree to � to buiitlin� s city�[orenter upon $ignature !� /] iO�t.Ci!/lA Drivers' License or 55 � � OBfiS-46, rev. 5/88 White - B�iltling�Canary above thos! heavy OorEer Ilnes anE sign all approD��ale Oeelarotions. 10. LOT NO. UNIT NO. P CONSTRUCTION LJ NEW � ADD NVERSION ❑ DEMOLISH ❑ �THER 31PTION OF WORK/USEQF BLDCi. — �� ALTERATION �LREPAIR TYPE OF PERMIT LJ GRA�ING L1 FOUNDATION J!_Y STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT.r,—.— OCCUPANCY � CONSTRUCTIONTYPE � VALUATION$ �.�.�Y�� ZONE GRADINGCU.VDS. ACRES Remarks: � G Bar Sink Backflow Preventer Backflow Irrigation rinking Fountains loor Drains loor Sinks as Service Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Duct- Under Ground Duct - Struc[ural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. �CBO # Heating System & Ducting ❑ ai oo,000 s ru O i oo,000 sr Reinspection Fee ' $15 nt; Pink - AccoUnting; Goltlen�otl - Assesso� Showers Service Sink Sewer Cap �Sewer Connection $O�df C01�2CtOf5 Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closei Water Heater Water Service Auto-Wash Laundry Tra'ys Issue Fae Hood or Typel ❑ Canopy Type I I ❑ �efrigeration System �aiao,000aTu ❑ioo,000eT System Repair/Alteration Fire Dampers Registers luue Fee A. . � S Main Buildi TFront � B Fear (� A C Right SLeft � Ping. Ref. # Planning Notes: � ( � " zone /`�� Accessory Building: Z O N I � N , G R Parking fleq./Provided E � M � T S. FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher f Dryers ❑Gas ❑Elec ric Fan � F.A.U. j Fixtures 1 Device Boxes �` Outlets , Switches '� Garbage Dispoul Generator �0.5 KW �5-15 ELECTRICAL Transtormer ❑ 75�50 KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Mo[ors �0-1 HP Q1'/:-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light .Ean9e c,,., , Standing Section Trash Compactor � Reinspeaion Fae '$15 � � Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: " 2oning Approved By_ 'l FEES Building Approvad By $ 3 FEES $ SUMppA$V OE�EES BUILDING PERMIT $ _��; � 9MIP . $ D. �� PLAN CHECK $ PERMIT . PLUMBING $ ISSUANCE � $� PLAN CHECK 25% $ �� ENERGY P.C. .$ ELECTRICAL $ G! • 'S'c' GRADING $ ' PLAMCHECK 50% $ MICROFILM $ MECHANICAL S TOTA� FEE $ � PLAN CHECK 25% $ �t OR04 �3:f�'`in�:4Z4��? _ _ -r. � ='•;'—" i'%' �:'., ?Ii;�_ ...-,.. � POC SPA CONSTRUC710N AND PLANNING ,"� � PPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Te,mporary Electrical Service or Pole ' 52. Pool & Equipment Location . 2. Soil�Pi'pe-Undrgrnd. � ' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms , '4."Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5., Steel Reinfofcement 56. Rough Plumbing & Pressure Test 6:'Electrical UFER Grnd. , � 57. APP�ROVAL TO COVER-GUNITE 7. iFootings� � 58. Electrical Conduit-Undrgrnd. S-�Fouriciation 59. Gas Pipe, L] Undrgrnd., Test 9.. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System � 67. APPROVAL TO DECK 11: Property Sewer Line & House Connection 62. Backwash & Receptor-Final � � 12' Sewer Cap - 63. Heater & Vent-Final � 73 . Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final '16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough`Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ,_ - APPROVALS Permit # ^�21. Ducts, in Structure - 70. Underground HYdra 22. Ducts, Ventilating , � . � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Te it �'`;: ._ 72, Underground Flush 24. Roof Framing � �. � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe ' 28. Lathing &eSiding "�i �• 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL '�- 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. PlasterBrown Coat , �! 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric "" Notes: 34. Finaf Heating & Air Conditioning � . � 35. Final Gas Pipe-Test . �',� a36. Hood or CanOpY ' � .: r� •" �-`37. Final:Factor,y�Fireplace � -'38. F.inal"Plumbir�g � '- � � '39. Water Service-Final � ; '� 40. Gas Service-Final ' , �' ,41. Solar pomestic-Fina`I �� : ' 42. Backflow Preventer, � , � ;� ' ' , 43. Backflow Irrigation��, � � . .. . . . . � . , ,44. Landscape Irrigation System p �' 45. Sound Attenuation �� Incomplet Inspections 46. Handicap Regulation's ` ' Q � 47. FINALSTRUCTUfiE&BUILDING ' 48. Special Requiremenfs Completed 't t 49. ElectricReleaseto�Edison � d . • i; �i 50. Gas Release to Southem California Gas Co . . '� '� 51. CERTIFICAYE OF OCCUPANCY ' No. Date � ' � %` �"Costa Mesa Building Department ` APPI.ICATION FOR PERMIT _ �' COSTA MESA,OCALIF RNIA d�.r1� B U 1 L D 1 N G ' Show locatlon and distances from. L. � property line and between bulldings. W+ I e w � . .� ' , . - '� - - - - 0 �� - - - _- ' . O. . . -. - . . . . �I . - - - - . . .. , CY - , t _ ` — r_, . _. �� , — -- r . 0 F�+ Ri MW Q ..fn. y 'Y" F O W Q 7 i' J �. W a O a a Z W .7] 3 �� rr o �1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 � 5275 �,� ;„ - 3%20/79 153.20 TL' APPLICATION FOR STRUCTURAL PERMIT For Applicant [o Fill in Completely — Use Ink Only FECEI VED BY � DATE RECEIVED DATE ISSUED BUILDING ,( ADDRESS �3a8 �u� HV�}`jU� . PERMIT NO. OWNER (y('�. B 1 b GI�NC% A.P. NO. MAIL ` BUILDING ADDRE55 �Z3OH �l_p�N HV�%UE- ADDRESSp� �D� CITV C�"�7'/> �'/1j=5Q NOL64.Q,Q6'ZO TRACT LOT BLOCK CANSTFUCiION W AD A R P LENDER N�N� BRANCN -- ' OWNEfl ADDRESS — VALUE ARCHITECT TEL. $ B OR ENGINEER C CtC CAN N FIRE ADDRESS j�jdX g� L� ZONE - TVPE GROUP APPROVED CONTIiACTOR p� BV DATE AODRESS — TEL. Z�NE NO.OF USE OF NEW CITV —+ NO. — PV1NS BUILDING STATE CITV � �'P.FlOSAPPROVED VARDSAPPROVED LIC. NO. '—' LIC. NO. ^ MAIN BUILDING ACCESSORV BUIIDING SIZE � � NO.OF BLDGS. (FROM C/L STREET) OF LOT (�p(O X�' O� NOW ON LOT � qOM FT. FT. USE OF p EXISTING BLDG. M1��1�7Eh1C.E FT Separate permits are required for L. SIDE FT. FT. elec[ric, plumbing and heating work. REAF FT. FT. USE OF BUILOING AND WORK 70 BE PERFORMED DISTANCE BET. BET. MAIN & SiI, � �' C� % MAIN BLDGS. ACCESS. BLOGS. VAR.# DATE �, � �',6 C.U.P.qW APPROVED i/ _ APPROVED /(/ I hereby acknowledge thet I heva reatl this application entl state � � that the above information is corract and agree to comply with � ell laws regulaNng builtlin8 constrUction, antl I shall not employ i eny person in violation of Me wo�kman's compensation laws of m the Stata of Celifornia. I hereby cenify that I am properly Ilcensetl as a contractor �nder SQ. FT. oi ihe State of Celifornia Business end P�ofessions Cotle, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOii m Chapter 9, antl that such Iicenses a�e in full force and effeci, or 1 THE PURPOSE OF ESTAeLISHING A PERMIT FEE ONIV: � am axampt from the provisions of iheS<ate of California Buslness VALUATION a end Professions Cotla, Divislon 3, Cnapter 9 IT FEE § M /� /7�\\ m PLAN CHECK E m slenature ot // / '/ v $ V / 1 ' '. o Permlttea �J/l%/�' W 1 � TAX $ � U AuthorizedApent TOTA�PAID y 3� � COSTA MESA BUILDING-SAFETY DEPARTMENT •� P:O. BOk j200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING � �� J� ,� -! �'/ ADDRESS .L/ /y [� OWNER OR / � � ( TENANT MAILING �� f`�� n� ADDRE55 C` � /J cirr 2 n4TA r/v �� NOLVT��, BRANCH WC ADDRESS ADDRESS TEL./ CITY NO. (��' F STATE CITV � LIC. NO. LIC. NO. L OF LOT (Q(p x' 3DS NOW JN LO S a USE OF .� -I � EXISTING BLOG. «�L�••�. h FSeparate permits are required for 0 electric, plumbing and heating work: F USE OF BUILDING AND WORK TO BE PERFORMED Q i a pZ b r• E.5 � N > �' .d a W a _. i '�uu 14' 7505 17.00 TI� APPLICATIONFa�fRUd'�Ei�taU`,PERM[T 17�00 TL• RECEIVED BY PERMIT � _ _ _ . / �� A.P. NO. BUILDING ADDRESS UNIT OR SPACE NO. TR.NO. LOT 300 NEW ADD LTER REPAIR OWNER i�JEMLTb ��/}I �J V UE '�� USE E �r/ ZONE TVPE I GfiOUP APPROVED Hv DATE I APPROVEDSETBACKS (FROM C/L STREET) �..,.... 4n �_ .� REAR / /� FT. � PLANNING ACTION APPROVED � I hereby acknowledga that I have reatl this application antl state � that the above information is correct and agree to comply with 0+ ell laws ragulating builtling cons[ruction, antl I shall not employ yOLD 2 any person in violation ot the workman's compensetion lews of 5 tha State ot California. O 3 I hereby certify thai I am prope�ly licensed es e contractor untler t�e Stata ot California Business antl Professions Code, Division 3, HE Chapter 9, antl that such licenses are in tull force antl affact, or I H am exempt from the provisions of the Stete of California Businass V antl Professions Code, Division 3, Chapter 9. � Signature of ��. . �'y-� �� / Permittea 't Q $ or (.i / �• � 7 / A�thorized Agent Date j DATE m n FOR SPECiAt. p n m m SQ. FT. ` � AMOVNTSHOWN UNDER VALUATION IS FOR m P POSE OF ABLISHING A PERMIT F E ONLV: � � PERMIT FEE y p 0 � PLAN CHECK § ^ 0 LL TAX E f U TOTALPAID S wJ� F C OW. Q .�. y 7J F � W F a a a' a 7 � � � c�i a � � O. Z 5 3 COSTA MESA BUILDING-SAFETV DEPARTMENT • P:O. 66X 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �] ADOFESS �� "—�Cl � lT /� OWNER OR ,�/ �^ Q,r�T TENANT � � /v l /� �/fj�c. (J MAILING � J/ �� %� ADDRE55 %Z 7 O /+ � L� // L TEI. cirv �:�t"�—A }1.1"LO_e� No. �� BflANCH AODRESS ARCH^TECco C WC 'CONTRACTOR ADOflESS TEL. CITV NO.�p�j � STATE CITV LIC. NO. LIC. NO. SIZE //' x �O� NO.OFBLDGS. OF LOT (O(p NOW ON LOT USE O: %% _ _ � _ / /J� .�. . Separate permits aze required for electric, plumbing and heating work: USE OF BUILDING AND WORK TO BE PERFORMED 3— CA-Q ��FtPoRT I hereby acknowled8e that I have read this appliceiion and state that the ebove information is correct and agree to comply with all laws ragulattng builCing cons[ruction, and I shall not employ any pe�son in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensetl as a controcior untler the SWte of Calitornia eusiness antl Protessions Cotle, Division 3, Chapter 9, antl that such licenus are in tull torce antl etfect, or I am exempt from the provisions of the State ot California Business antl Professions Cotla, Division 3, Chapter 9. e Signature ot i"i�O �,� n Permittea � rA�c�� V or � Authorizatl Agant Date 7507 4%24(�9 54.50 t.7L+ APPLICATION FOR"STROCTCIRAL PERMIT ' . ' RECEIVEDBV PERMIT {'i,4 r) `�,} A.P. NO. TR.NO. �LOT � �HLI 3 00 NE� AITER REPHIR MOVING DEMOLI OWNER Q GIv �O C� A N Q /�/�� VALUE USE �%-�Q/�///r/ E� APPROVED APPROVEDSETBACKS R.SIDE �� FT. 0 L. SIDE �!O FT. O REAR I Q I FT. � PLANfvING ACTION DATE APPROVED /�. `�O I RV L 4JI\ m � � � m ,�� i�l,"'��,�.. ..:'��„� a� �'�n ` .; SQ. FT. �m`+ 7 T E AMOUNT SHOWN UNDER VAIUATION IS FOR ttl THE PURPOSE OF ESiABLISHING A PERMIT FEE ONLY: � VALUATION PERMIT FEE $ N n PLAN CHECK $ o S LL g TAX $ � u TOTALPAID $ _ � ' COSTA pAESA BUILDING-SAFETV DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �, � � h G�/ /1 ADDRESS ��h /T T�ENANT�R f�r.�I a I//iY � MAILING � / AC �/ �/ HODRE55 C (� /r CITV �QS/Q/"//SG.C.A NOL�7'�l7�7 F'� � � 0. a h y S E+ G v� F Q � .7 a > r a a w a O �i a z W 'y' 3 BRANCH ADDRESS Ao�.;.?E�c GWG CONTRACTOR (//�itT4f�C.( ADDRESS TELy�/J�Q CITY NO.(o((D 77� STATE CITV UC. NO. UC. NO. SIZE /� x �Q� NOW ON LO S�7 OF LOT �v USE OF /ri_ . .w /9A _ � �.. Separate perrttits are required foi electric, plumbing and heating work: USE OF BUILDING AND WORK TO BE PERFORMED L I hereby acknowlatlBa that I have read this applicaiion antl rtate that She above intormetion is correct antl aBrae to comply with all laws regulaSinB building constt�ction, and I shell not employ any person in violation of the workman's compensation lews of the Siate of California. I hereby certify ffiat I am properly licensed as e contracior under the Stata ot California Business antl Professions Cotle, Division 3, Chapter 9, antl ffiet such licenses ara in full force antl affect, or I am exempt from th¢ provisions ot the State of California Business antl Professions Code, Division 3, Chaptar 9. Signatura of (�7 /� ' Permittae =.).?.. � � 1 % ��0 f o� j�� 77' Authorized Ageni Date 7506 ,4%,261,79: 29,00 " TL APPLICATION FOR STRUCTURAL PERMIT� " ftECEIVED BV PERMIT . !, _ `D � A.P. NO. � BUIIDING ADDRE55 UNIT OR SPACE NO. TR.NO. 3ac N� OWNER LOT � aLTER�REPAIR MOVI S APPROVEDSETBACKS PLANNING ACTION THE AMOUNTSHOWN UNDER VALUATI THE PURPpSE ESTABLISHING A PERMIT VALUATV PERMIT FEE $ �� PLAN CHECK $ $ TAX $ TOTALPAID $ 7 m C i m m N J m m 0 f U � • COSTA MESA BUILDING-SAFETY DEPARTMENT • ' P.O. 60X 1200 COSTA MESA, CALIFOFNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �O � � ADORESS OWNER OR L� � TENANT L� MAI LI NG ADDRE55 TEL. CITV NO. CAN5TRUCTION LENDER BRANCH ADDRESS ARCHITECT TEL. ADDRESS R APPLICA'I RECEIVED BV — A.P. NO. BUILDING ADDRE55 UNIT OR SPACE NO. NEW I %�DD USE � R - PERMIT 50 7L� � - 50CAT� -931'6 U 4B#� 19 ' A "�"� =051- a � � �� • / LOT BLK. 4LTER REPAIR MOVING DEMOLISH v� I��L��LALUEa � � ITVPE ._J�GF ED DATE AODRESS TEL. CITY NO. F STATE CITV APPROVEDSETBACKS � LIC. NO. LIC. NO. {,y SI2E NO.OF BLOCS. (FROM C/l ST T) G. OF LOT 30 5 X 6 6 NOW ON LOT OM a USE OF ,�. EXISTING BLDG. � FSeparate permits are required for L. SIOE Fr. � electric, plumbing and hea[ing work�. REAA �.�., USE OF BUIL�ING AND WORK TO BE PERFORMED � � PLANNING ON Z � � Q 7 APPFOV } � �. W �� I hareby acknowletlga thet I heve reetl thls epplication and state that the ebova Iniormation is cor�ect and apree to comply with a ell laws reBuletlnp builtlinp conctruction, and I ahell not employ Z any person in violatlon of the workman's compensation laws of � the Stete of Califarnia. 3 1 hereby canify that I em properly licenua as a contractor under SQ.FT. the Stata of Callfornia Businesa antl Profassions Cotle, Dlvision 3, THE AMOUNT SHOI Chepier 9, antl that such licensas ere In tall torce entl affect, or I THE PURPOSE OF ES em exampi from tha provizions of t�e Stete of Celitornia Business V ALUATION entl Professions Code, Division 3, Chapter 9. �/ � SIB^eture Of //� /^ (/�� A�� / �. � Q� Permittae � J ��-r - � / v 5 � �� o� �� .,�/.c.r..P , % %� i .i i AuthoAxed ABeni Date _f, , _ �C � � R�� / i � �� .�I L'Y��-� PERMIT FEE 5 D�AN CHECK S TAX E TOTALPAID S n i m J IS FOR m ONLV: � �4 N n m 0 � LL f V Applicant to (ill in all spaces within heavr boraer Iines ana s(gn all approv/�ate aeclaratians. CITY OF COSTA MESA PERMIT NO. TRACT NO. ' LOT NO. BLDG. NO. CONSTRUCTION PERMIT L3 i 2-� /02. �IS Addres g•.Q h � ��C, ;Arjf /t� ^ < Arch/Eng. License No. �;( Address •— Contractor ��(j Phone 1 Address ' •- 1 hereby aftirm that 1 am IlcenseC untler provisions ot Charter 9(com- mancing with sectlon ]000) ot Divlslon 3 of tM1e Business antl Professlons Cotle, antl my Ilcense is In full force antl effect. Ucense Ciass Licenze No. Date Si9nature WORKERSCOMPENSATIONDECLARATION - I hereby affirm that I have a certificate of consent to xlf-insure or a certificate of Workers' Compenwtion Insurance, or a certifietl copy tnereot (Section 3800, lab. C.). y No. � Company .ertifletl copy is hereby fumishetl. - LJ Certifletl copy is filetl with fhe city Builtling Division. E%EMVTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not �e completetl if the permit is for one huntlretl SSI00� or less). C¢rt ry that In tlte pertormance of the work for whith this permit i5 issuetl, I shall not employ any perion in any manner so as to become sUbje<t to Ihe Worker5' CompenSdtiOn Laws of California. Da[e Si9nature NOTICE: If after making this tleclaratlon, you shoultl become zubjec[ to the Workers' Compensation provisions ot the Labor Cotle, you mus[ fOrthwlth comply with such proviSiOns o� this pe�mit shall be tleemetl revoketl. - .- CONSTRUCTION LENDING AGENCV I hereby aftirm that there is a constructlon lentlinq aqency (or the per- tormance of tne work for which thls permit is issuetl (Section 309] Civ. CJ. Lentler's Name Lentler•s Atltlres5 � ' T,�Y/PE OF C�O/NSTRUCTION L�] NEW LMJ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTIONOFWORK �— TVPE OF PERMIT / ❑GRADING ❑ FOUNDATION �jSTRVGTVRAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA ❑ OTHER � � PROJECT DESCRIPTION SQ. FT. /�' /� OCCUPANCV�CONSTRVCTION TVPE _,� VALUATION Z�OO ZONE GRADING CU. VDS. ACRES REMARKS: PLUMBING BATHTU85 TOILETS LAVATORIES KIT. SINKS SERVICE SINKS, FLOOR SINKS DRINKING FOUN PLAN CHECK SHOWERS URINALS DOUBIE LAVS DISHWASHERS SUMPS FLOOR DRAINS ER BUILDER DECLARATION � - . INTERCEPTORS CLARIFIERS by affirm that I am exempt from [he Contracror'S LiCenSe Law for ollowing reason (Section �031.5 Business antl Profe55ions Cotle: SWIMMING POOL P�TRAP ' tlty o�' county whiGh requir¢s a pe�mit to con5tru[t, alt¢�, ve, tlemolish or repair any structure, prior to its issuance, a15o re-, yypTER SERV ICE �ALTERATION �� th¢ applicvnt (o� Such permit to file a signetl statementthat hC . �.nsetl pursuant to [he provisions of ihe Contractor'SiLi<ense Law GAS SERV ICE OUTLETS rter 9(cOmm¢nGin9 with Se<tlOn 7000) ot DiviSion 3 ot the ess antl Prdessions Cotle) or that he is exempt therefrom antl [he yyq7ER HEATERS BTU OVTPUT for the allegetl exemption. Any violation of. Section 7031.5 by- ipplicant for a permit subj¢Cts the applicant to a civil' p¢nalty SEWER CONNECTIONS t more than five huntlretl tlollars (y500). as owner of tfiB,.property, ^-_'-�• ^^^'^��^� :illdWg^• """' SOLAR,TANK - COLLECTORS � . . \... `, . .. or orreretl ror saie. (Secnon iuuu, eusiness ana vroressims coae: i ne Contratlor's Lic¢nse Law tloes nbt appry io�an owner of a p�operty wh0 builtls o� improves Ihereon, antl who tloes such work himselt or� throu9h his own Bmployees, provitletl lhat such improvements are no[ in[entletl or offeretl tor sale. If, however, [he bulltling or Improvemen[ Is soltl wiihin one year of wmpletion, tne owner will have the burtlen of prOving M1e ditl not builtl o� improve fo� tM1e purpoze of sale). ❑ I, as owner of roe property, am exclusivery con[racting with Ilc¢nsetl cont�actors to mnstruct the project (Section ]044, Business antl Profession5 Cotle: The Contractor's License Ldw tloCs not apply to an owner of property wh0 builtls o� imprOves tM1ereon, antl who con- tracts from sucb' projects with a contratio�(s)' Iicesnetl Oursuant to the Contractor's License Law). � � ❑ I am exempt untlGr Settion B. & P. C. for this reason Date Owner I hereby certity Ihat I have reatl thi5 applica[ion antl State that th¢ above Informalion is correc4 I agree [o mmply with all city antl munty ortlinanws antl state laws relating to construction, antl hereby authorize representatives of this city to enter upon the above mentionetl property for 'nspectlon p ses. . . .. / Signature n.yiTO �(i..��D Oate � Orivers' License or 55 � �/ /� PIPING SVS E FEE I � MECHANICAL PLANCHECK HEATING SVSTEM 0-100,000 BTU ANDDUCTING 100,000+BTU REFRIGERATION 0-100,0008TV SVSTEM 100,000+BTU RS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE ' CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 7932 7/01/81 A.P. q ZONE REAR YARO (TO P/L) PKG. SPACE REQ. STREET WIDTH L SPECIAL CONDITIONS: PLNG. REF. � PROVIDED PARK FEE S ELECTRICAL PLAN CHECK GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER qppL�qry�E 10-SOKW_SO+KW_ MOTORS ' 0-1 HP_1-30 HP _ (INC.SOLAR) 10-50HP 50+HP_ FIXTVRES OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS VANELS MAIN SVB SERVICE AMP APPLICATION APPROVED BV \7 }�. DATE 64002 SUMMARV OF FEES BUILOING �p �,� O � PERMIT E—�iqQ��.i�Q�. SMIP S PLANCHECK $�ti.�IL4 PERMIT - PLUMBING $ ISSUANCE E GRADING S PLAN CHECK S . ELECTRICAL $ S PLANCHECK g ' MICROFII.M E MECHANICAL 5 TOTAL FEE E PLAN CHECK g LE55 AD� VANCEPC $_ . FINAL,FEE S�c`�,oZ CONSTRUCTION AND PLANNING/� � � : ,. POOL & SPA ` APPROVALS Permit #-(�CL_ Date Inspector qppROVALS Permit # ' Date Inspector- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � 2. Soil ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn ' � 45. Forms 4. Electrical Conduit-Undrgrn - - 46. Electrical Bonding .� tee ein orce � 47. Rough Plumbin & Pressure Te'st 6. Electrical UFER Grn ' 48. APPROVALTO COVER-GUNITE � 7. Footings • - .-1 -�S 49. Electrical Conduit-Undr rn 8. Foundation . 50. Gas Pipe, ❑ Undr rn, Test � 9. "Water Pipe-Undrgm -� 57. 8ackwash Lines P-7ra ❑ ndr m - 10. Structural Floor System 52. APPROVALTO DECK 11. �'Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring - � 57. Solar System-Final 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 16. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation �S. . (o - ti 24. Lathing & Siding � 25. Drywall Nailing ' � 26. Plaster Brown Coat 9-Lc'7- ��7 C 27. Electrical Power Meter-Final / � 28. Final Electric 29. Final Heating & Air Conditioning �-�Q- � �$ �. o � 't' •� �' .$( � 30. Final Gas Pipe-Test � 31. Final Plumbing p. � ,� - 32. Water Service-Final •33. ' Gas Service-Final 34. Solar pomestic-Final 35.' Landsca e S rinklin S stem � 36. Sound Attenuation - 37. Handicap Regulations • 38. FINALSTRUCTURE&QUILDWG `J i� (4' 3� S't F7 �C� �E S o ,U 39. Special Requirements Completed k'� � 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY � - �No _ Date - ,