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Home My WebLink About2840 ELLESMERE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c BUILDING PERMIT �� FAIF DFIVE, GOSTA MESA, GA 82626 JobAddress: 2840 ELLESMEREAV Suile: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcei Number: 13933410 Applicant: COFFEY, BRIAN Address: 2428 NEWPORT BLVD UNIT 5 COSTA MESA,CA Owner: NELSON, DOUGLAS S Address 2840 ELLESMERE AVE COSTA MESA, CA Convactor: THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD UNIT 5 COSTA MESA,CA Zip: 92672 Arch : Address: Phone: Zoning: R1 R1 Phone: (949) 722-8846 Zip: 92672 Phone: Zip: 92626 Phone: (949) 722-8846 License: 734068 Eng: Atldress: ISSUED BY: Status: ISSUED Applied: 07/18/2003 Issuetl: 07/18/2003 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE ROOF, 7/16" OSB SHTG, 1 PlY 30# FELT, APPLY "GAF 40- YEAR COMP SHINGIES" AND ALl RELATED FLASHINGS. 38 SQUARES Plan Check: $0.00 Permit: $16725 SMIP Res: $0.87 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.12 SE76ACKS MAIN S7RUC7URE F�ont 0- 0 ACCESSORY Front 0- 0 PAF2KING Existinq: o Rear 0- 0 Rear 0- 0 FEE SUMMARY Calc Valuation: Se,��O.00 Claim Valuation: Se,�io.o0 PLANNING & ZONING �eft 0- 0 Right Left 0- 0 Right Re uired: 0 Pr000sed: 0 NOTICE: The work aulhorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1B0 days, or if work is suspended or abandoned for a penod of 780 days. INSPECTIONS: In order tor the work authorized under Ihis permit to be considered legal, such work must comply with all appliwble codes, and all required inspectlona end final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSpECTlONS CALL: (714) 7545626 zaas-as �arop� WORKERS'COMPENSATON DECLARAnON: � I hereby aHirm under penelty of perjury ona of the following declarations: ❑ I heve entl will melntain e certiticate oi consent to sel6lnsure tor workers' compensalion, es providetl tor by sectian 3700 of ihe Lebor Cotle, tor �he peAortnence of Ihe work for which Ihis permit is issued. ❑�I �ave and wiil maintain workers' compensation Insurance, as requiretl by section 3700 0l the Lebor Cotle, for the pertormance ot the work for which this pertnit is issued. My workers' co�m enseti n I s� r ca carrier antl policy number are: �� I� Carriar. 7 (Q(U - �N� PolicyNumber. (7his section need nof 6e completetl i/ the permit is velued et one hunOretl dallars ($ f 00) or less.) ❑ I certily thet in the pertormance of ihe work for which this permit is issuetl, I shall not employ eny person in any menner so es to become subject to the workers' compensation laws of Ifomle, and gree thet if I should become suh�ect to the workers' compenselion provisions oi Section 3700 oi Ihe Labor Code, I shall torthwlth complywit�t�ese vi � ns. /� � 2 Applicent SigneWre: Dete: � ? � O"�U �! WARNINO: PAILURE TO SEC E WORKERS' C APENSATION COVERAGE IS UNLAWFUI M!D SHALL SUBIECT AN EMPLOVER TO CPIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T/10USAN� DOLLARE (5100,000), IN ADDITION THE WSTOF COMPENSATION, �AM4GE5 AS PROVIDED FOR IN SECTION 31O60FTHE LABOR CODE, IMEREST, AN� ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: I harehy aHirtn that I em I brce and ettect. Lic. a_ Conirectors Signature: _ CONSTRUCTON LENDING AGENCY: ❑ I hereby eHirtn thet Ihere is a construction Lendefs Name: Signature: OWNER-BUILDER DECLARATIONS: Chapter 9(mmmencing wit� Section 7000) al Division 3 ot Ihe Busines�s a�tljirofessions Code, entl my Ilcense Is In tull Class M) ( `% Date: �—T�A a9enty for the peAortnance of �he work lor which this permit is issued. (Sec. 3097, Civil Code). Lender's Address: Date: I hereby eHlrm thet under penelry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or county which requires a pertnit ro construct, alter, improve, demolish, or repair eny siructure, prior to its issuance, also requires the eOP��<<or such permit to file e signe0 statement thet he or she is licensetl pursuant b tha provisions ol the CoNrectors License Law (Chapier 9(commencing with Section 7000) ol Divisian 3 0l t�e Business end Protessions Cotle) or thet he or she is exempt therefrom and the Uesis for ihe elleged ezemption. Any violetion ot Section 7031.5 by eny epplicant lar e permit sublecis Ihe eDPlicant to e civil penalry ot not more than five huntlred dollars ($S00).): ❑ I, as owner of Ihe propeny, or my employees wi�h wages as their sole compensation, WILL 00 TME WORK, antl Ne structure is not intendetl or oNeretl for sale (Sec. 7044, Buslness and Professions Code: The Contractors License Law does not apply to an owner of pmperty who huilds or improves thereon, and who tloes such work himself or hersell or ihrough his or her own employees, providad ihat such improvements ere not intended o� oHered tor sale. If, however, ihe building or improvement is soltl wit�in one yoar of completion, the owner-builtler will have ihe burden of proving that �e or she did not build or improve for purpose ot sale.). � ❑ I, as owner ol the proporty, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contreaors License Law tloes not epply to en owner ot propeny who builAs or Improves lhereon, end who contrecis lor such prolect with a contrector(s) license pursuant to ihe Coniractors License Lews.). ❑ I em examp� under sec. Business end Prolessions Code tor this reason: Signawre: Date: Owner ID veritied Dy drivers license. ❑ Yes ❑ No Dnve(s License No. Expires: Verificellon oi Ownership by (Iype ot dacumeni, i.e. - property tax bill or tlaetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cehity ihat no excava�ion five (5) or more feet in depih into whic� a person Is required to descend, will be matle in connection wlth work euthoAzed by this permit, and �hat no builtling structure, scattolding, falsework, or demolition or tlisman�ling ihereo�, will be more than thirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tttle B, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which woultl require e Dermi� trom the Division at Intlusirial Safery, as notetl e6ove, unless such person hes e permit to tlo suc� work irom the division. Signature: Data: Division of Industrial Sefety Permit Number: ICERTFICATE OF COMPLIANCE AND AUTHORRATION OF ENfAY: I certify under penalry ot perjury that I have read this applica�ion and state ihat Ihe Informa�lon given is I correcL I egrea to comply with all stete laws end city ordlnances relating to bulltling constmction, and emhonze representa�ives ot the Ciry of Coste Mesa to enter upon the ebove-describetl property tor inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this Dermit until finel inspection. COUE I. 1616 1266 200 201 202 203 Fixed System Final Fire Prevention Pad Spe Final Final Re-Roat Final BIocWRetaining Well Final FaCtory Fire Place Final Sign Owner(s) Appliwnt PAIE INfIf1AL5 � � oate �, ( o -o Date CODE 1 INSPECTION TYPE ZO6 Final Mechanical 208 Finel Plumbing 210 Finel EletlriCal � 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 204 Final Demolition 250 Final Buildinq/Occupancy c� �c � u�, .�a �e�rJc�'�� ; ' � Y� ;�,,��FEE REGEIVEL�/��,. COSTA MESA BUILDING-SAFETY DEPARTMENT � � JUL 311,,01 P. o. aox s,� COBTA MH9A. QA7-�FORNIA FINANCE OEPT. For A lieanf +o Fill In Com lefel CITY OF C�O�jA MESA PP P Y APPLICATION FOR PER TYPE OR PRINT BUILDING BUILDING /J ADDRE66 � L( �L � �i�� COSTA MESA, CAUFORNIA For Offite Use Only HeC81PT NO. APCBMIT.nNqr1 MA'L 1653 Minorca RBCQ/V6D BY I O�^�EIV6O �ATB ADDRE6S v TELKl BUILDING /' CITY Bfl�.bOa NO. ADDRH86 �ecH�recr � ,E�• COSTA MESA. CALIFORNIA CONTRAGTOR Mese Verde ADDRESB 1653 Minorca Costa Mesa cin BTATE 18�69 7 LIC. NO. 1 o�or 7500 Sq.Ft. USE OF EXI6TING BLDG � BHTBAGK LINe FROM �� Ki 9-0395 I NO. OP BIdGE % � LEFT RIGHT DESCRIPTION OF WORK I % II I II $B=IELDING 1750 Sq EXTERIOR WALL S�EIl coveaiNc UBE OF BUILDI AN[ NO_ OF 7 WORK Standard Plan No. 750 C i H8H60Y �CKN L80p6 TNAT 1 HAVB RBAD i AND 8TAT8 TH T THB A VH I8 CO R ANO PLV WITH AL G OR NANCEB 11 T6 L BYILC�NO CO 8 U 10 � 81GNATURB o �n � �AUTNORIZED 30 1 APPROVED ZONING ZONH PUNe � 116E OP NL'./� • � � I I BUILDINO� � ��•� L,�/�r TiP �/�o oesut�rnoH A. P. NO. YAR�B EVES APPROVED ALLOWED (GHMHR LINe BTJ � � g� v . �'age; q• ' • �TION TN8 AMOUNT BXOWN UNDER VALUATION l0 POR TH8 COM• pU1tP08¢ OP eeTABL18HING A vERMIT PE8 ONLY. TINO VALUATION PERMIT FEE $ �i% � �� y3/,oa $ � PLAN CHECK 3 p�Ii OL � \ AVP��ant to fill In all spaces except t�ose wlt�in heavy noreer lines ana sign all apvro0riata Oeclantions. CI7Y'OF COS7A An COLNST UC�TION nPEBMIT Prolect Address v L �L ��= /C�" 9a�a� Applicant's Mailir/y"�y4�ddress �S�_� �/iJ��J(ri(J '�7�� Owner'sName ^^�V� ��P�SOI�� PhnnN.se'/7/� Address Arch/Eng. - �icense Na. Address n �7 Contractor'sName ��m(7� �n vn %d3 Address (mailingl 3- City License Na —�� LICENSED CONTRACTOR DECLARATION 1 he�e0y atfirm that I am licensetl untle� p�ovi5ion5 of Char[e� 9(commencing with seclion 7000) ot Division 3 01 the BuSin¢55 antl Prote55ion5 Cotle, antl my license iz In full ce tl eiteci. �� ,,�/) I.10El1 CI 55 IC fl$ O.�' L�� Date — 99�ature WORKERS' COMPENSATION DECLARATION I hcreDy atiirm Ihat I have a certificate o( <onsent to selt-insure or a cerliticate �t Workers' Gompensation Insurance, or a cert fietl copy thereof (Sectlon 800,Lab.C.)/{/I(i/� Company �%�� PolicY No. U4r7 Y tilietl copy Is hereby fumishetl. Gert" ' d��op� filetl with tM1e city 8 I gP Iv i ///�,y� . Oate�—�.L� APplicant ��•(��s�u""' _ EXEMPTION FROM WORKERS' COMPENSATION DECLAf2ATION (Thissection neetl not be completetl it the permlt is tor one huntlretl ($100) or less). I cerlity lbal in t�e per(ormance oi Ihe work tor which this perm�t is issuetl I sM1all not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Galifornia. Date Si9na[ure NOTICE: If, af[e� making thi5 tlecla�alion, you ShOultl become subject to tlt0 Workers' Compensalion provisions of the Labor Cotle, You must forthwith comply wilh such p�oviziOns o� thi5 plrmil snall be tleemetl �evoketl. CONSTRUCTION LEN�ING AGENCV I nereby atiirm that there is a construction lentling agency (or the performance ol lhe work tor whith thls Oermit IS izsuetl (SeCtiOn 3097 Qv. CJ l.entler's Name L¢ntler's AtltlreSs OWNER BUILDER OECLAFATION I hereby aHirm lhat I am exempt from Ihe ConVacto�'S License Law for th0 �� followin9 reason (Section ']031.5 Buziness antl Pwfessional Cotle: Any city or ��, cpunty whith requi�es a pe�mit to cOnst�uGt, alte�, imp�ove, tlemOlish o� r¢pal� ' any struclure, prior to its issuance, also requires the applicant for such permi[ to file a signetl statement that he/she is Ilcensetl pursuant to [he provisions of lhe Contractor'S License Law (Chapter 9(comm¢ncing with $ectlon �000) o( Division 3 0l lhe Business antl Protessions Cotle) or that he/she is ezempt •refrom and the basis /or the alle9etl exemptlon. Any vlolation o( $ectlon 31.5 by any applicant fo� a pe�mit Subjects the ap0licant to a clvil �ialty of nol more than tive huntlretl tlollars (E500). L..� I, as owner ot the property or my emp�oYees with wages as their sole Compensation, will tlo lhe work, antl the st�ucture Is not intentletl O/ offeretl lor sale (Section ]044, Business antl Pwtessional Cotle: The Conlractor's License law tloes not apply to an owner ot a property who builtls or improves thereon, antl who tloe5 Such work hims¢If/her5¢It o� lhrou9h hi5 or he� own emo�oyeez, provitletl that such improvements are not intentletl or ofteretl for sale. I/, however, the builtlin9 or improvement Is soltl wi[hin ane year of com- pletion, tne owner will have the burtlen of provin9 he/she Aitl not builtl ar im- prom tor tne purpose oi sale). ❑ I, as owner ot the o�operty, am ezclusively contraclin9 with licensetl con- iractors to construct the project (Section 7044, Buziness antl Protessions Cotle: The ConVaclor's License Law tloes mt apply ro an owner of property who Duiltls or improves thereon. antl who coM�actS 1or such oroi¢cts with a r.on- [ractor(5 Lcense pursuan[ [o me ConVactor•5 License Law). I am aware that proof o� their Worker'z Compensation insurance shoula be orovitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Oate I hereby certity tbat Information Is correct antl state laws relatin sentatives of thi cit Inspection Ourp s Signature Drivers' Li<ense or 55 0865-46,rev. 5/88 _ Owner I'have reatl this application antl state that the above I agree to compty with all tlty antl county ortlinances to builtling constructlon, antl hereby aut�orize re0re- � to en�ar u on� ihe above-mentionetl ro er or Date � � � TVPE OF CONSTRUCTION LJ NEW LJ ADD U ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKIUSE OF BLDG. TVPEOFPERMIT GRADING�-� /FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL L`1PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 50. FT. oCCUParvCV CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Bar Sink Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspec[ion Fee � $15 Duc[ - Under Ground Duct - Structural Ouct - Ventilating ExhaustSystem � Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 eru 0 i oo,000 Reinspection Fee � $15 Wnite - Builtlin9: Canary - Appli<anh Pink - A<counting; Goltlenrotl - Assessor PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash laue Fee Hoodor Typel ❑ Canopy Type 11 ❑ Refrigeration System ❑Gi00,0006TU ❑100,000 System Repair/Alteretion Fire Dampers Registers . Issue Fee A.P. # S Main Building: E T Front 6 Rear A C Right SLeft Ping. Ret. # Planning Notes: FEES Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers ❑Gas `�Elec� Fan • F.A.U. Fixture5 Device 8oxes " Outlets 2one Accessary Building: Z O N I N G F Parking Req./Provided E � M T 5. ELECTRICAL Transformer ❑ 15-50 KW ❑ 50 + KW Meter ❑up to 100 amps Meter ❑over 100emps Garba9e Disposal Generator �0�5 KW �5-15 KW Sub Panel Motors�0.1 HP Oi'h-8 Ina Solar �9�15 HP 016-15+ Microwave Pole Light Range $ign Standing Sections Trash Compactor � Reinspection Fee �$75 � � Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By FEES Building Approved By ,�1 $ 3 f7X�9 $ 3 SUMMARV OF FEES BUILDING PEFMIT $ SMIP $ PLAN CHECK $ J'�7'� PERMIT PLUMBING $ .�� UANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ '.�.UD PLAN CHECK 25% $ :6?c,�..� �,..,nyi , ... _.._ 3 -. . v\.: `� '� �� . . . . . ,. . .... .1_ ,_. .. . . , . . f ... _ . CONSTRUCTION AND PLANNING � POOL PA ' APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.� -- 53. Steel Reinforcement 3��EleciricalConduit.Utility-Undrgrnd. - � 54. Forms 4:'Electrical Conduit-Undrgrnd. - � 55. Electrical Bonding �. 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER,Grnd. 57. APPROVAL TO COVER-GUNITE . 7.' Footings �- � ._ �'� 58. Electrical Conduit-Undrgrnd. 8.' Foundation• •,�, . 59. Gas Pipe, O Undrgrnd., Test �� 9: Water'Pipe-Undrgrnd. ' • 60. Backwash Lines, P-Trap, O Undrgmd. 10.•Structural Floor System . , ,. 61. APPROVAL TO DECK i i. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap .. , 63. Heater & Vent-Final ;} . � 13; Roof Drains " 64. Plumbing SYstem - Final 14.- Rough Plumbing, 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �l'7._Rough Wiring Sign 68. APPROVED FOR PLASTERING `1�8F Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �1�9r Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20�,Rough Factory Fireplace ;r - APPROVALS Permit# 21. Ducts, in Strucwre 70. Underground Hydro 22. Ducts, Ventilating �' 71. Product Piping � Gas ❑ Oil J 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing , 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power MeterFinal � 80. ,F�000 CERTIFICATE ISSUED 33. Final Electric Notes:� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Tesi 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ..'Z�..�j� L� 39. Water Service-Final � � •T 40. Gas Service-Final � �� 41. Solar pomestic-Final - 42. Backflow Preventer � � � . r� � 43. Backflow Irrigation �� - � ._ �il 44. Landscape Irrigation System � 45. Sound Attenuation �l� 46. Handicap Regulations � 47. FINALSTRUCTURE&Bl'IILDING 48. Special Requirements Completed 49. Electric Release to Edison ti 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY �1'' ' No. Date �, �