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Home My WebLink About2909 ELLESMERE AVE - Building Permits,, �- ,` .;,� ... (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2909 ELLESMEREAV Suite: Vicinity: Parcel Number: 13926109 Applicant: MENSINGER, STEVE Address: Owner: MENSINGER,STEVE Address 2909 ELLESMERE AVE COSTA MESA, CA Contractoc OWNER-BUILDER Address: Zoning: R1 R1 Phone: 714-557-1761 Zip: Phone: 714-481-5082 Zip: 92626 Phone: ISSUED BY: Status: ISSUED Applied: OS111/2001 Issued: 07/062001 2ip: License: 0 Arch : Eng: MICHAEL GABRIEL Address: Address: 3620 BIRCH ST Phone: SUITE 250 Phone: 949-261-5083 N.B., CA Zip: License: 92660 ' License: 52939 SCOPE OF PERMIT TURN OLD GARAGE INTO A BEDROOM (458SF). CONSTRUCT 468SF FAMILY ROOM AND ENTRY. CONSTRUCT 539SF NEW TWO CAR GARAGE. CHANGE OUT OF EXIT DOORS AND INTERIOR MODIFICATIONS. ; __ FEE SUMMARY Plan Check: $667.78 Permit: $1,027.35 SMIP Res: $10.53 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: s�os,3so.00 Claim Valuation: So.00 Total: $1,705.66 , , ' " � � - � ' �' < � PLANNIN�G�& ZONING '�/ -" �. '�� , SETBACKS � � � _' MAIN STRUCTURE Fronh 0- 0�" � Rear 0- 0 Left 0- 0 , Righf. ; 0- 0-, . ACCESSORY Front 0-0' , �,Rear 0-0 �Left '� 0-0 , � Right .-; 0=0 PARKING Existina: 0��- Reauired: �0- � Pr000sed: o .- NOTES: NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod 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 (inal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 , 2466d6 (8�W) WORKERS'COMPENSATION DECLARAnON: —' I heraby aMirm under penelry oi perjVry one of the tollowing declarations: ❑ I have end will maintein e certit��e�e of consent ta selFlnsure for workers' wmpensation, as provitled tor by section 3700 0l the Lebor Code, for the pertarmance of ihe work lor whic� thi5 permit i5 i55ue4. ❑ I have and will maintain wwker5' comPensetlon insu2nce, az requiretl by section 3700 of Ihe LeDor CoOe, for tha pertortnance of Ihe work for which this pertnit is issued. My workere' compensetlon Insuranca carner end policy number are: Carrier. Policy iJumber. (This section need no! be comp/eted N the permit is velueO et one hundred dollars ($100) or less.) ❑ I certiry t�et in t�e pertortnancU oi the work for which this pertnit is issued, I shall not employ eny pereon in any manner so es ro become subjeq to the workers' compensetion laws oi Califomia, end egree t�at It I should bewme subject to the workere' compensation proNsions of Sactlon 3700 of Ne Lebor Code, I shall forihwith cnmply with Ihese provisions. Applicent SignaWre: Date: WFRNINO: FAILURE TO SEWFE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECf AN EMPLOYER TO CRIMINAL PENALTIES ANO CML FlNES UP TOONE HUNDRED TFKKISAND OOLLARE (5100,000). IN ADDf�ON TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SEGTIIXJ 31O80F THE LABOR CODE, IMEAEST, AND ATTOfiNE1^S FEES. LICENSEU CONTRAC70RS DECLARATION: I hereby eHirm that I em licensed under pmvisions of Chepter 9(commencing with Saction 7000) of Division 3 of the Business end Pmfessions Cotle, and my license is in full force antl eHect. Lic. M Class q Contractor's SlgnaWre: Dete: CONSTRUCTION LENDING AGENCV: � I �ereby eNirm that ihere is e conswction lentling agency for Ne peAormance ol tha work for which ihis permi� is issued. (Sec. 3097, Civil Code). LendeYs Name: Lenders Adtlrass: Signature: Date: OWNER-BUIIDER DECIARATiONS: I heraby aHirtn thet untler penalry oi per�ury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lar ihe following raeso� (Sec. 7031.5, Business and Professions Code: Any ciry or county which requi�es a Oermit to construct, alter, improve, damolish, or repair eny slructure, pnor to its issuance, elso requires �he epplicant For such permit to file e signea statemant thet he or she Is Ilcensetl pursuent to ihe pmvisions of Ihe Contractors License Lew (Chepter 9(commenc�ng with Section 7000) oi Divislon 3 ot ihe Busine end Professions Cotle) or Net he or she is exempt therefrom end the 6asis for the ellegad exemption. Any violation of Section 7031.5 by any applicent for a permi� sub' ts �he epplicant to e civil penalry oi not more than five hundred dollars (5500).): [tj I, es owner o1 the properry, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, antl the structure is not intendetl or oHered tor sflla (Sec. 7044, Business and Professions Code: The Gontractors Licensa Law dces not eppty to an owner of propeny who builds or improves ihereon, anC who does such work himsetl or hersetl or thmugh his or her own employees, provitled that such impmvements are not intendetl or offered for sele. If, however, the building or impmvement is sold wit�in one yeer ol comple0on, the owner-builder will have the �urtlen of proving that he or s�e did not builtl or impwve tor purpose of sale.). ❑ 1, es owner of Ihe proparty, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions Code: The coniractors license L.ew tloes not epply ta en owner of property who builds or Improves thareon, antl who coNrects �or such projec� with a contractor(s) license p i to t�e C G�ors License LawsJ. ❑ I am 5 Business antl Professions Code lor this reeson: Signature� Date: — Owner ID verilied by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Venficatian of Ownership by (type of tlocument, i.a. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATION: ❑ 1 hereby certify thet no ezcavetion flve (5) or more feet in depth into which a person Is required to Descentl, wlll be made in wnnection with work authonzetl by this permit, antl that no builtling siNCWre, scaflolding, lalsework, or demoli�ion or dismantling ihereot, will be more then ihirry-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Tltle B, Califomle AdminlsRetive Cotle). � ❑ As owner-builder, I will not employ enyona to tlo work which would require e permit from tha Division ol Intlustrial Sefety, es noted above, unless such person has e permit to do such work from ih8 division. Signatura: Da�e: Division of Intlustrial Salery Permit NNmCer: CERTIFlCA7E O�OM ,�IANCE D AUTHORIZAiION OF ENTRY: I cenify under penalry of perjury tha� I have reatl this application and state that the information given is correci. I agree wit s �e laws e ciry ortlinances retating to building consiruction, and emhonze represamatives of Ihe Ciry of Costa Mesa ro enter upon the above-descnbe' pro 1 inspect oses. I agree not to occupy or ellow occupancy of eny builtling authorizetl by this per�'ntil tinal�sp� ction. � Antl/Or Authorized ApPlicanl WUE 1. INSPECTIONTYPE PiI& IMRIALS 1616 Fized System Finel Fire Pre�ention 12fifi Pool Spe Final 200 201 202 203 204 Final RB-Rool Finel BIocWReteining Wall Final Fectory Fire Place Final Sign Final Demolition CODE� INSPECTONTYPE 206 Finel Mechaniwl 20B Final Plumbing 210 Final Electncal 2tt Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy D� It�LS r SOUTHWEST INSF'CCTION RND TL�TING INC. 1Q�826 S. Norwalk #R Santa Fe Springs� CA 90670 56�-941-299Q� 714-5;'6-8441 Fax-56c-946-00c6 ----------------------------------------------=--------------------------------- -------------------------------------------------------------------------------- FIELD DRTR ON TEST SGECIMENS --- ASTM C31� C138, C143� C17c, C173, C�.31, C1Q�64 --- CONCRETE: X GRUUT: MDkTAR: SHOTCRETE: CORES: 6UNITE: ADDRESS: , R iH�'�,iA� JOR #: DRTE: 08/�4/�001 JOP NAMEc SiEVE i�I�N�IT+I�ER "--- GERMIT #: P@1-0067� ISSUED RY: ARCHITECT: ENGINEtR: MICHAEL R.GABRIEL CONTRAU'I'OR: OWNER/RUILDER SUP CUNTRRCTOR: FLORtS DESIGN & CUNST.CO. -------------------------------------------------------------------------------- LOCATIUN IN S7'RUCTURE: RFRR FIDDITION FOUNllRTION SLAR -------------------------------------------------------------------------------- CONCRE7C SUF�GLIER: RUPERTSON'S GLANT: SRNTA RNR MIX #: RS450P44 TYH'E OF CEMENT : V ADMIXTURE: TICKET #: 8058925 SLUMF' : 5" WRTER ADDED: 2� GAL AIR TEMF': 80 F CONCRETE TEMF': 9�D F MIXING 71ME: 8� MIN TIME CRST: 2:50 F'M DfaTE CAST: 7/19/cQ�01 SF'LCiMENS MRllE RY: F'HIL OLMQS ----------------------------- �IELD 1llENTIFICATIONI R ----------------------------- LAR IlltNTIFICRTIl7N : OT13343 HGE ll4�YS DRTE TEST SILE —IN. A RER—SGl. I N. CRUSH LOAD—LRS COMF'—STK. —GSI. I H/D CORR FnCTOR CORR. STR. —F�SI TIME T'L-Sl"k�D gR�.AK TYG� C. T. M. USED REMARKS: : 7 : a�i�E : E.0�8X1� . �pA./]��(�J�-/� i 07C�C��I.� : 30E9 : A : FURNEY I R : OT13843 . 28 : maii� : 6Q.006X1c • CO� JJ� : 1�9�00 . �IJJ3 : C : FORNEY FtECEIVCD RT LRP: 7/�3/c001 SF'tCIFIED F'SI: 4500 I C 1 D I E . OT1�843 ; . . '�%8 . . : ¢�eiiE . . • 6[.JS0�J'�yX1.� • • • LO� JY.� • • . 13100� . . . 46c9 . . . , NOTICE:These test resuAs are frorri symptes rast by �nspecrors or , �echnicians not employe0�y qu ��m, Tney weia eithe: tleliveretl to our laboratory or pi�ketl up b}� our diiver. • We wiA axept iro respons;pC;ry �or me inspecfion m�an , . qn the jobslte, results oi these iesis, an�• error or _ A anission on tt�e ppsite Dy �he insper,ur, �uN�ermore we . FORNEY �oport�oNertlianp�es e��ngp�asteueda�iar��rpated �his ASTM C39, C174, C192� C470� C617, C42 COMF�LIES: X DOES NOT C�MPLY: --------------------------------�---------------------------------------------- THIS REPURT SHRLL NOT RE REGRODUCED� EXCEPT IN FULL WITHOUT THE RF'ROVAL OF SITI ----------------------------------------------------- ciRMPLCS CAST PY OTHERS: —•------------------- RESGECTFULLY SUPMITTED SOUTHWEST INSF'ECTION AND TESTINC� RENAN R. Z LAR. MANR, - RSTM C39 L�f:EAK5 R= cone R= cone and split C= cone D=shear E=columnar SOUTHWCST INSPECTI�PJ AND 'CESTING INC. ' 10826 S. Norwalk #A Santa Fe Spr•ings� CA 9N670 562-941-2990 714—ScE-6441 Fax-56c-946-0026 ------------------------------------=------------------------------------------- -------------------------------------------------------------------------------- FIELD DATA ON TEST SF'ECIMENS --- RSTM C31� C138, C143, C17c� C173� Cc31� C1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: G909 ELLESMERE AVE.COSTfa MESF1 JOR #: DRTE: �8/31/cQ��l JOP NAME: STEVL MENSINGER PERMIT #: N�1—@N67a ISSUED 8Y: ARCHITECT: EN6INEER: MICHAEL R.GARRIEL CONTRACT(:1R: OWN�H/RUILDER SUR CONTRRCTOR: FLURES DESI6N & CONST.CO. ------------------------------------------------------------------------------- LOCRTIUN IN STRUCTURE: SLRB ON GRRDE OF LEFT SIDE ADDITION CONCRETE SUF'F'LIEN: GARY RRLE F'LRNT: TY��'E L7F CEMENT : V qDMIXTURE: SLUMP : 4 1/4" WRTER RDD�D: CONCRETE TEMF': '�2 F MIXING TIME: 1JRTE CHS"f: 7/�'7/�0�1 ---------------------------- 5F'ECIIhENS MAllE PY: F'HIL OLMOS IRVINE MIX #: MTG451 TICKET #: 8E441 1� GAL RIR TEMF': 84 F 6� MIN TII+1E CAST: c:15 F'M RECEIVED RT LAP: 7/3�/�0�1 SF'ECIFIED F'SI: 50�0 FIF..LD IDLNTIFlCATIONI A I P I C I D I E -----------------------------------=------------------------------------------- LAR ZllGNTIFICATION : OT1393� : OT139,�2 : OT1393� . . ------------------------------------------------------------------------------- RGE DHYS . 7 . '�8 . '�8 . . DATE TEST : 08/03 : @fl/24 : Q�8/c4 . , SIZ� —IN. : 6.008X1� : E.�NSX1� : 6.a11X1� . . RRER—SGt. I N. . 28. 35 . 28. 32 . 28. 38 . . CRUSH LOAD—LRS : 121000 : 186500 : 184�00 .� . COMF'—STk. —F'SI. : 4268 : 6585 : E483 . . I H/D . . . . . CORR FRCTOR . . • NOTICE:fheseies�resuusareawn'sampiesws�byinspeciorsor CDRR. STR. —GSI . . , tpcnnkians not employed qy our lirm. rhay wera eiihe� tleliveretl ro our laborato or picke0 up by ow Oiivei. T I ME TES7"ED . . • Wa wiU acceDt no respans�iliry lor me nspea�on maae RREAK TYPE : A : C : D q�!�e jobsite, resWis ot these ies�s, any erroi or C. T. M. USED : FORNEY : R I EHLE : k I EHLE Q!^�sion on the jobsite Dy jhe inspector, tunhemore we do not lake responsi6illtylor any mformation on �his repat oNer Ihan Ne sUengm as testetl an0 reponed -----------------=------------------------------------------------------------ REMfaRK:i : COMF'LIES: X RSTM C39� C174, C19�, C470� CE17� C4c DOES NOT COMF'LY: ------------------------------------------------------------------------------ THIS REF'ORT SHALL NOT RE RGGRUDUCED� EXCGF'T IN FULL WITHOUT THE RF'ROVRL �F SITI SHMGLES CA�T EY OTHER�: RESF'ECTFULLY .�,URMITTED SOUTHWEST INSPECTION AIVD TESTING RENAN R. V IZ LRP. MANA(' RSTM C39 BkEFlKS q= cone R= cone and split C= cone D=shear E=columnar .•� " �OUTHWE�T INSRECTION AND TCSTING INC. ;' 10G26 S. Norwalk i�R 5anta h'e Spr-ings, CA 9@670 562-94i—c9E�V� 714-526-8G41 FIE_LD UNl'A ON TI:ST SPECIMENS Fax-5E2-946—��6 ---------------- ---------------- --- A�TM C31� C13ld, C143� C17�� C173� C�31� L1@64 --- CONCRETE: X GftUUT: MGRTAR: SHOTCRCTE: CURES: GUIVITE: AUDR6S8: �9�9 ELLESMERE faVE. C�5'(A MES'R JOP #: DA'I"E: �9/4i7/c0�1 JOR NRM�: ;;'IFVL MENSINCi'L-'k F'FRMIT �: RN1N0670 ISSUED RY: RRCHlTECT: ENGINECR: MICHHEL GARRICL CONTkRCTOk: STEVt MENSIN6ER SUP CONTRACTUR: JUHN FLORES CUNST. -----------•--------------------------------------------------------------------- LOCRTIUN IN S"I'kUCTURH: SLRN ON GkADE — GARRGE FLOOk -----------^--------------------------------------------------------------------- CONCRETE :iUF'F'LIER: RUREkTSON'S GLANT: IftVINE MIX #: 51793 'I'YGE OF CCM�NT : II/V ADMIXTURE: TICKET #: 8071684 SLUMF' : 5" WATER ADDED: 5 CiAL RIR TEMP: 74 F CUIVI::RCTL T[�i'II-': 37 F MlXTNG TIME: 40 MIN 7IME CA�T: 8:15 AM llf� i E CA�'f : 8/ 1/'�0� 1 �PL::CIMEN:3 MAllE RY: F'HIL ULMOS. RECEIVED AT LAA: 8/3/c001 SPECIFSED F'SI: SNO� � t[�LU 1DtNT[FiCN'fIUNI N i R I C I D I E -----------�------------------------------------------------------------------ tsai', I U�{V f i f� S CAT I �liV : tl'f 14iD`;6 : UT 14+2�:;E. : OT 14Q4,6 . . ----------=------------------------------------------------------------------- Hl:i� I)N`/S . 7 , :?8 . '��8 . . DRTE TESI : 0Es/0:S :@E/: y : 0n/29 . . :;IZL —tN. : E.�NEX1'� : 6.�03X12 : 6.��1X1� . . RRER—SGl. 7 N. .�Ef. 3� . ��b. 30 .�8. �8 . . CFtUl:iH LIJHU—�P;� . 13��N0 , 173:iN@ . 1690N0 . . COMF'—STk. —P�I. : 4589 : 6131 : 5'i7E . . � F��ll NGTIC[:Thes6tesucsu8sarei:cinsam�esrasthyi,.spectorsor CORR FRCTUk . . . techncian; not emp4�yed by o�t firm. They were ei!her , delive�ed to our lahora;ory• or ryck�A up by our driver. CU R R. SY R. —F 5I . • • Y!a r�^I accept no rzsponvn_i;iry 1or the inspec�ien matle T I ME TES"I EU . . . on Itm jobsite, resuits o( ih�;e tests, any error or omissj�n on Ne iobsih hy �ho irl5pector, lunh�rmore we RREHK TYF't : H ; C � C do n� take responsibility for �ny In;ormation on ;iiis C. T. M. USED : FOkNEY : FORNEY : FORNEY reporibtherthanmestrsngmas�stedanoraportzd I:i�l'uI.7:7:�'A A:iTM C39� C174� C19�, C470, C617, C4c COMF'LIES: X DUES NOT COMPLY: ------------------------------------------------------------------------------- THTS RLF'GkT SI-IALL NCI'i H� RLFRf�DUCED, EXCEt�'T IN FULL WITHOUT THE pPROVAL OF SITI SRi'M1VLtS CAST N`f OTI-IER�: R�SF'ECTFULLY SUPMI"I'TED SOUTHWEST 1NSF'ECTION AND TESTING RENNIV R. CR � LHR. MANf ^�,. AS"fM C39 RHI-NI;:; H= cone P= cone and split C= cone D=shear E=co1�_imnar � P81L OIMOS' „ Phil�)Imos Inspection SE�`ices �. __> �_ _ . ...;,� __.. and 11239 Stonecress Ave. Testing Laboratory Fountain Valley, CA 92708 (24 Hours) Pager: (714) 320-0702 Ofc:(714)801-7228 Special Inspection Report n77oRNers FEES • If any actlon at law ar In eqWry la Mought W enforoe or Interpret Me txms of Nls coOUsct. Me prevaillnq perty s�811 be entltletl to reasoneble attomeye fees, eoat arW neceaaary dbbursements In adtlltlon to any other rollet to whic� such party may be entltled. � rwe iN nM our ��a.�r� (f�� amuan, +m ey REG� URS O.T. paat roon wlll De en 8 Iqur minlmum. CERTIFICATION OF COMPLIANCE I MENEBY CERTIF1' TIUT I XAVE WSVECTED TO TNE BE9T Of AM W10wLE0GE ALL OF TME ABOVE IiEPO1tTED wORK UMlEOO OTIIENNA9L NOTEO. 1 MAVE FWND TXIS WORK TO COMPLY WITN TXE AW+HOVED PUNS. 9PEGFIGT�ONS, MID APPIIACBIE SECTIONS OF TME GOVERNING BUILDINO UWS. � � _ `..�. .. � 3 ,....,r'�._ Slpnaturo olltpblered In�pec0or n�,�r .�... A��a�!�� \.' '�T<<iC� SoaW�N No. .4pency WFIITE - OFFICE COM, CANARV - ACCOUNTING COPY, PINK • INSPECTOR5 COPY. GOIDENROD • JOB SITE COPY (��a) �54-52�3 • Faz (7�a) 75a-a856 • www.ci.costa-mese.ca.us 77 hA1H UHNh, GU.7I A MtAA, l:A y[tiZti lob nddress: 2909 ELLESMERE AV Suite No Vicinity: BEDROOM, FAMILY RM, ENTRY Parcel Nunmber: 13926109 npplicant: MENSINGER,STEVE Address: 2909 ELLESMERE AVE COSTA MESA, CA � Owner: MENSINGER,STEVE Address 2909 ELLESMERE AVE COSTA MESA,CA Contractor: OWNER-BUI LDER Address: Arch / Eng : Address: PLUMBING PERMIT Status: ISSUED Applied: 07/20/2001 I ssued: 07/20/2001 ISSUED BY: Phone: 714-481-5082 Zip: 92626 � Phone: 714-481-5082 Zip:� 92626 Phone: Zip: License: 0 Phone: Zip: License: SCOPE OF PERMIT CONVERT 458 SF GARAGE INTO A BEDROOM, CONSTRUCT468SF FAMILY ROOM & ENTRY. 1 FLOOR DR41N, 1 GAS OUTLET (1-4), 1 LAUNDRY TUBNJASHER, 1 SHOWER, 1 WASH BASIN, 1 WATER CLOSET.REF:801-00670 " � ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion 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 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 Qn FEE SUMMARY AMT Laundry Tub / Washer $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop 30.00 Spa (private) $0.00 Spa (public) $0.00 QTY 1 0 0 0 0 0 0 0 0 0 t 0 0 0 0 0 0 0 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(i-4) Vacuum 8rkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (ToileQ Water Heater / vent WaterPiping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E76.65 QTY 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 C NOTICE: The work authorized by this permit s a comp y wi ----- equirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectione and finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � � 2d66�48 (fYW) WORKERS'COMPENSATON DECLARAnON: I hereby eNirm under penalty oi perjury one of ihe following declaretlons: ' ❑ I have end will maintain e certiticate ol consent to self-Insure for workers' compensation, as providetl for hy seqion 3700 oi ihe Labor Cotle, for ihe pertormance of the work for which this permit is issued. ❑ I have and will maintain workers' compBnsa�ion insurance, as required by section 3700 of ��e Lebor Cotle, tor IDe pedormance of the work Por which this permit is issued. My workers' compensatlon Insurence carrier and policy number are: Carner: Policy Number: (lhis secfion neetl not be comp/etetl i/ Me pertnif is valued et ane hundred dollais ($f 00) or less.) ❑ I canity that in ihe peAormance oi the work for which this permit is issuetl, I shall not employ any person in any manner so es to become subject to t�e workers' compansation laws of Califomia, antl e8�ee that if I shoultl becoma subject to t�e workers' compensation provisions of Section 3700 01 ihe Labor Code, I shell fort�with comply with ihese pravisions. Applicant Signeture: Date: WARNINQ: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLAFiE ($100,000), IN ADOITIQV TO THE COST OF fAMPENSATION, DAMFGES AS PROVIOED FOR IN SEGTIqJ 3106 OF THE LABpR CODE, IFf�EREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professions Cotle, and my license is in full force ana eNect Lia x Class x Conireclors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirtn ihat Ihere is a constmct�on lending agency for the pertormance of ihe work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: SignaNre: Date: OWNER-BUILDER DECLAfiAT10NS: I hereDy eflirm thet under penalry ol perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry whic� requires a pe�it to construct alter, imOrove, demolis�, or repair any sWcture, pdor to its issuanca, also requires the applicant for such pertnit to file e signed statement that he or she is licensed pursuant to the provisions of the Contrectors Llcense Lew (Chapter 9(commencing with Sec�ion 7000) of Dlvision 3 ot the Business Protessions Code) oi that he or she is exempt therefrom and Ihe basis for the alleged ezemption. Any violetion of Section 7031.5 by eny applicant for a pem+' subje ihe applicant to a civil panelty of noi more than tive hundretl dollars ($500).): 1, as owner ot the property, or my amployees with wages as their sole compensation, W ILL 00 THE WORK, antl the sWCWre Is not intendetl or ottered tor sala (Sec. 7044, Business and Protessions Cotle: The Contractors License Law dces not apply to an owner of propetly who 6uilds or improves thereon, and who does such work himsetl or herealf or through his or her own employees, provided ihat such improvaments are not Intended or oHeretl tor sale. If, however, the builtling or improvement is sold within one year af completion, ihe owner-builder will have ihe burtlen oi proving ihat he or she did not build or improve lor purpose of sale.). ❑ I, as owner of the prope �, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha projed (SecJ044, eusiness and Pmfessions Code: The contractors cense Law tloes not apply to an owner ol property who builds or Improves ihereon, and who comracis for such project wlth a contractor(s) license pu to he ontractors License Laws.). ❑ I am u er ec Business and Professions Cotle for this reason: Signature Da1e: Owner ID veri�ied by dnver's license. ❑ Ves ❑ No Driver's License No. EKpires: Verificetion ot Ownership by (type of document, i.a. - property tax blll or deedj: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby cenify that no excavetion tive (5) or more feet in depth into which a person is required to descentl, will be made in connection with work euthonzetl by Ihis permit, and ihat no building structure, 5�i�olding, falsework, or tlemolition or dismantling thereot, will be more [han thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit Irom ihe Division of Indusirial Safary, es noted abova, unless such person has a permit ro do such work from the division. Signature: " Date: Division of Indusirial Sefety Permit Number: CERTFICATE DP'f.�OMP ICE-MlB-A ORIZATON OF ENTRV: I certify under penalty of perjury ihat I have read ihis epplication and state that the information given is correct. I agF��.t �(h all state I ws end city ordinar�ces relating to building constmction, entl authorize representatives of the City of Costa Mesa to enter upon the e6ove-de h68d$1 r nspection oses. I yaet�t to occupy or allow occupency of eny building authorized by th�.permi u�il finat ir�p ction. � I� % / � �� , ' naWr�eG I Owner(s) Date And/Or Authonied Appllcant CO�E 1. INSPECTION TYPE 1616 Fizetl System Finel Fire Prevention 1266 Pool Spa Final 200 Pinal Re-Root 201 Final BIocWRe�aining Well 202 203 206 Final Factory Fire Place Final Sign Final Demolition Q� IMRIRLS CO�E� INSVECTIONTYPE 206 20B QejF IN11iULS Final Mechanical l� c� Finel Plumbing "7 -11 - nrl 210 Final Electricat 212 Final Fire Preven�ion 220 Final Planning Approvel 222 Final Site 250 Final Buildin<yOccupancy (714) 754-5273 • Fex (714) 75a-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 2909 ELLESMERE AV Suite No Vicinity: FAMILY RM, BEDRM, ATTACHED GARAGE Parcel Nunmber: 13926109 npplicant: MENSINGER,STEVE Address: 2909 ELLESMERE AVE COSTA MESA,CA Owner: MENSINGER,STEVE Address 2909 ELLESMERE AVE COSTA MESA, CA Contractor: OWN ER-BU ILDER Address: ISSUE FEE Temp service test Res. a/c package New Res (7-2 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 [0 10hp Molors to 50hp Molors to 100hp Motors over 700hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ISSUED BY: Phone: 714-481-5082 Zip: 92626 Phone: 714-481-5082 Zip: 92626 Phone: Zip: License: 0 Status: ISSUED Applied: 09/13I2001 Issued: 09/13/2007 SCOPE OF PERMIT ELEC PERMIT FOR NEW BEDROOM, FAMILY ROOM & 2-CAR ATTACHED GARAGE FOR AN EXISTING SFD. 25 LIGHT FIXTURES, 22 OUTLETS, 12 SWITCHES, 1 SERVICE TO 200A, 1 SUB PANEL TO 200 A REF:801-00670 523.50 $0.00 50.00 $0.00 $0.00 so.00 525.65 $23.46 513.20 $0.00 50.00 530.50 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 530.50 50.00 so.00 30.00 50.00 Quantity 0 0 0 25 22 12 0 0 1 0 0 0 0 0 0 0 0 7 0 a 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electriwl Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 700 kva/kw low Vollage Equipmenl Low Volt Wiring Syslem / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantiry 80.00 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 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 $0.00 50.00 TOTAL CALCULATED FEES E146.61 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply wlth all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRA710N: This permit shall autometically expire and become void Ii work is not commenced within 1 BO days, or it 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 wilh ell applicable cales, antl all requlred inapectlone and Iinal epproval must be obtainetl. Fallure to obtain inspections and final approval will result in the ezpiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 754-5626 zaa�ae�aroo� WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm under penalry ot perjury one ol tha tdlowing dedaretions: ❑ I heve entl will melntaln e certificete of consent to sell-Insure tor workers' wmpensation, es proWtlad for by section 3700 0l the Lebor Cade, foi the pertortnence ot the work tor whfch this permit is issuetl. ❑ I heve eritl wlll maintaln workers competssetion inwrance, es �equiretl �y section 3700 oi the Lebor Code, for Ne pertortnance ot the work for whld� fhLs pertnit Lq iswed. My warkere' compen�s4tion Insurance cartier end policy number are: Certier. PWicy Number: (Thls secf/on need not be canpletetl i! the Oertnl(!5 vslued et one hundred dd/ars (5100) or IeSsJ ❑ I cartify Ihat In t�e peAormence of the work for which tNs pertnit is issued, I shall not employ eny person in eny manner so es to become subject to the workero' compensatlan laws at Calllomla, end egrea Ihat It I shoulC become sub�ect to Ihe workars' compensetlon provisions oi Sectlon 3700 of Ihe Lebor Code, I shall forthwlih comply with these D�ovisions. Appllcant Sipneture: De�e: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEM�E IS UNUWFUL M1D SWLLL SUBJECT nN EMPLOVER TO CR�MINAL PENALTIES AND CIVIL FlNES 11P TOONE HUNOHED TIKKISAND DOIURE (E100,OW). IN ADDITION TO THE COST OF COMPENSAiION, DPMAGES AS FROVIDED FOH IN SECTION 3�OB Of THE IABOR CODE, INiEREST, pND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I em licensed untler proWslons of Chapier 9(commendng with Section 7000) at DlWsion 3 of Ihe Business and Prolessions Catle, end my license is In full torce entl ettea. Lic. a Class a , Comrectols Signeture: Date: �, CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn thet there is a constructlon lentling agenty lor iha peAortnence of the work lor which this permit is issued. (Sec. 3097, Civil Cotle). Lentlers Nemo: Lendors Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby etlirtn thet under penalry ol per�ury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Iha following reeson (Sec. 7031.5, Business and Prolesslons Code: Any city or counry which requires e pertnit ro construct, alter, impmve, demolish, or repeir any slrucWre, prior to its iuuance, elso requlres ihe appliwN for such permit to file e signed stetement that he or she is licensed pursuam ro t�e proWslons ot the Contreaors License Law (Chepter 9(cammencing with Secllon 7000) of DMsion 3 0l Ne Business entl Professions Code) or Nat �e or she I5 exempt therefmm and the basis lor t�e alleged exemption. Any violatlon at Sectlon 7031.5 by any epplicent far e pem+1 sub�ects t�e epplicant ta a chril penalry at not more than frve hunCretl tlollars (5500).): ❑ I, es owner ol t�e property, or my employees vrith weges es their sde wmpensetion, W ILL DO TME WORK, end the structure Is not intentletl or oflered tor ule (Sec. 7044, Business end Protessions Code: The Contractors License Law Ooes not appty lo an owner of proDerry who builds or improves Ihereon, end who does such work �i or herself or through his or her own employees, provided that such Improvements are not intendad or oHered for sale. It, however, the building or improvement is old within one year of completion, the owner�builtler will have ihe burden ol proving thet he or she did not build or improve lor purpose of sale.). �j I, a5 owner ot Ihe property, EXCLUSIVELY CONTRACTING WIiH LICENSED �ONTRACTORS to consiruct Ihe Oroject (Sec. 70d4, 8usiness and Profes5ions Cotla: The coniractors L' nse Law does not epply to an owner of property who builtls or Improves Ihereon, entl who conirects lor such pmject with a contractor(s) license pur,5e�pt Io ih ontractors Licanse Lews.). • ❑ I am exe c. Siqneture: Owner ID verifletl by tlriver's license. ❑ Ves ❑ No Business end Pmlessions Coda tor Ihis reason: Date: '� r1 � Dnvers Licensa No. Expires: Vedfitatlon ol Ownership by (type oi tlocument, I.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION: ❑ I �ereGy certlly thet no excevatlon INe (5) or more feet in tlepth into whic� e person is required to descentl, wlll he made In connectlon with work euthorizetl Dy ihls permii, and Ihai no building structure, scefloltling, falsework, or demolition or disman�ling Ihereof, will be more than thlrty-siz (38) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ti11e 8, Celifomia Adminlstretive Code). ❑ As owner-Duilder, I will not employ enyone to do work which woultl require e permit Irom ihe Division ol Industriel Selety, es noted ebove, unless such person �es e pertnit to do such work irom Ne tlidsion. Signaturo: Deta: Divislon ol Industrlel Safety Permit Number: CERTIFlCATE OF COMPUANCE AND AUTHORVATON OF EMAY: I certify untler penalty of perjury that I have read Ihis epplication antl siate lha� the inlormation given is wrrect. I egree to �np tth�atl3£f$le laws end Ury ortlinances relatlng ro buildinp construction, end euthotlza represematNes of the Ciry of Costa Mesa ro enter upon the ebove-describ u� to 'aepe �6on purposes. I agree no� to occupy or ellow occupancy ol eny building authonzetl by ihis permit until tinal inspection. �// �—I�J. Signature OI lepal Owner(s) °Date AnNOr Au�horizetl Applicant COOE �. INSYECTIONTYPE 1618 Flxad System Finel Fire Pravenllon 1288 Pool Spe Finel 200 Finel Re-Rool 201 FInaI BIocWRetaining Well 202 Final Factory Fire Placo 203 Final Sign 204 Finel Demolilion Q�¢, ��$ �( INSPECTION7YPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 Finel Plenning Approvel 222 Final Site 250 Final euilding/Occupancy GAIE � .uu. . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA. GA 92626 ,lobaddress: 2909 ELLESMEREAV Suite No Vicinity: ATTIC OF A SFD Parcel Number: 13926109 Applicant: MENSINGER,STEVE Address: 2909 ELLESMERE AVE COSTA MESA, CA Owner: MENSINGER,STEVE Address: 2909 ELLESMERE AVE COSTA MESA,CA Contractor: O W N E R-B U I L D E R Address: MECHANICAL PERMIT Phone: 714-481-5082 Zip: 92626 Phone: 714-481-5082 Zip: 92626 Phone: Zip: License: 0 A�PiPi�-ion /�e«eo�Q�,(1 �� SF� SCOPE OF PERM�T REF: B01-00670 l c�f=/¢(�( < iD7� �� RTU FEE SUMMARY 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 >700 k BTU Gas Piping Faclory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm Air Hantllers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity ISSUED BY: Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercia l I nci nerator Domestic Incinerator Compressors I Absorption Svstems Up to 3 hp I 100 k BTU 3 To 75 hp / 500 k BTU 15 To 30 hp I 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee " Status: ISSUED Applied: 09/18/2001 Issued: 09/18/2001 Quantiry $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E38.30 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally expire and become void if work Is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and finel epproval must ba obtained. Failure to obtain inspec�ions and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 2ae�ae (eroo) WORKERS'COMPENSAnONDECLARATION: I hareby attirtn under panelry of perj�ry one ot the following tleclaretions: ❑ I have entl will meintain e certificete of consent to setl-Insura tor workers' compensation, es provitletl for 6y section 3700 of the Labor Cade, for the pertormence of the work 1ar w�lch thi5 pertnit is issuetl. ❑ I �ave antl will maintain vrorkers' compensatlon Insurence, as requiretl by section 3700 ot Ihe Labor Cotle, tor the peAortnance oi Ihe work tor which this pertnit is IssueC. My workers' Compansation Insurenca cerriar entl policy number are: Cartier. Policy Number: (Th/s sectlon need not be canp/eted �� the permiNs ve/ued et one hundred dollers ($f 00) or Iess.J ❑ I cenity that In the OeAortnanca oi the work tor which this pertnit is issued, I shell not employ any person in any menner so es Ia become subject to Ihe workera' compensation lews of Calitomia, end egrea t�at Ii I should 6ecome sub�ect to I�e workers' compansation provisions ol Sectlon 3700 oi the Lebor Cotle, I shall fotlhwlih com0ly with Ihase provisions. Applicent Signeture: Date: � WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMOE IS UNIAWiUL ANO SHAIL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDFED T)qU$AND DOILARE ($100,000), IN ADO�T�� TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3'!OB OF THE LABOR CODE, IMEREST, AN� ATTORNEV'S FEES. LICENSED CONTRACTORS DECI�AnON: I hereby atfirm Ihat I em Ilcensad under provislons of Chapter 9(commencing with Sectlon 7000) of Divlsion 3 of Ihe Business antl Profeuions Code, end my Ilcense Is in full force antl eNect. Lic. M Cless tt Contredor's SlgneNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby eflirm that ihere is e construction lenaing agency tor the pedortnance ol the work for which this pertnit is luued. (Sec. 3097, Civil Code). Lender's Neme: Lentler's Adtlress: Signeture: Dete: �WNER-BUIIAER OECLAHATI�NS: 1 hereby aHlrm ihat under penalry ot Per�ury ihet I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business entl Professions Code: My ciry or counry whic� raquires e permrt to construct, elter, improve, demolish, or wpair any structure, pnor to Its issuance, elso requires Ihe appliwN tor suc� pertnit to tile e signetl slatement Ihat he or she is Iicensed pursuent to the pmvisions of the Contrectors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 ai the Business end Professions Code) or that ha or sha is exempt therafrom end the basis lor the allegeA e:emption. Any violetlon ol Section 7031.5 by any epplicent for e perm�' subjects the epplicam to e civil penalb of not more ihen live hundred dollars (5500).): ❑ I, as owner ol the property, or my employees with weges as iheir sole compensetlon, WILL DO THE WORK, and Ihe structure Is not intended o� otteretl for sele (Sec. 7044, Business and Professions Cotle: The Contrectors License Lew does not apply lo en owner ot properry who builds or improves thereon, and who does such wark �him If ar hersetl or Ihrough his or �er own employees, provided thet such improvemenis are not intendetl or oHered for sale. If, howaver, ihe building or improvement Is ithin one year of complelion, the owner-builtler will have the burden of proving t�at he or she did not builtl or impmve for puryose of sale.). �-�1, as owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the prolect (SecJ044, Business end Pwfessions Code: Th ectors License L.ew does not epply to en owner of property w�a builtls or Improves Ihareon, antl who contracts br such praject wlih e contractoi(5) license �t to the ContraC�ors License Lews.). ❑ I art}R�mg(un�ler sec. Owner ID veritied by drivels licensa. ❑ Ves ❑ No Business and Prolessions Cotla tor this reason: Date: � Orivefs License No. Expires: Verificatlon ol Ownership by (type of documeni, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cerlity ihat no excavation tive (5) or more teet in depih into which a person is required to descend, will ba meOe In connection with woB euthodzetl �y thls partnit, and that no building sW�iure, sceflolding, falsework, or demolitlon or tlismantling ihereoi. will be more than thirly-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Calilomia Adminis�re�ive Cade). ❑ As owner-bulltler, I will not employ enyone to do work which would requlra e permit from lhe Division ot Industrial Sefery, es noted a6ove, unless sucn person hes e pertnit to tlo such work irom fhe division. Signeture: Date: Division of Industrial Safety Permit Number: CERTIFlCATE OF COMPIJ E�AA AUIMORVA710N OF ENfAV: I certity under penelty oi perjury that I have reeC �his epplicatlon and state that ihe infortnation given is wrrect. I egree to compty � h ell.stg� laws end dry ordinances relating lo buildinp construction, end authorize representatives ot t�e Ciry of Costa Mesa to enter upon the ebove-described property f� 4 e1�o urposes. I agrea not to occupy or allow acupancy of any building euthorized by Ihis pertnit u il final in ectio . l% ��i� � ( i g i Sa� Of Legal Owner(s) Date And/Or Aulhorizetl Appilcant COOE N. INSVELTON TYPE 1676 Flzed System Final Fire Pre�ention 1268 Pool Spe Final 200 Finel Re-Roof 201 FIneI BIocWRetaining Well 202 Flnal Factory Fire Place 203 Final Sign 204 Final Demolition QdIE INTRIALS COUE� INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Finel Planning Approvel 222 Final Sile 250 Final Bullding/Occupency �.1 .111: � Y! C � ; r (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, GA 92626 BUILDING PERMIT BEHIND. Job Address: 2909 ELLESMERE AV Suite: Vicinity: SIDE PROPERTY LIN Parcel Number: 13926109 Applicant: MENSINGER,STEVE Address: 2909 ELLESMERE AVE COSTA MESA, CA . Owner. MENSINGER;STEVE Address 2909�ELLESMEREAVE COSTA MESA, CA Contractor: OWIV ER-BUI LDER Address: � , � Zip Arch : Address: 2oning: R1 R1 Phone: 714-481-5082 Zip: 92626 Phone: 714-481-5082 Zip: 92626 Phone: License: 0 , , Eng: Address: Status: ISSUED Applied: 07/20/2001 Issued: 07/20/2001 ISSUED BY: � • ' ♦ v;� i� � Phone: . � Phone: . � Zip: License: � License: SCOPE OF PERMIT _ CONSTRUCT 10 LF, 36" HIGH BLOCK WALL'WITHIN 10 FT. OF THE�FRONT PL; 18 LF, 6' HIGH BLOCK WALL Plan Check: $17.26 Permit: $26.55 SMIP Res: $0.00 SMIP Com: �0.00 Other: 50.00 Inspection:, $0.00 Total: $43.81 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin . o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY - Calc Valuation: Claim Valuation PLANNING 8 ZONING Left 0- 0 Right 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 $560.00 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This 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 1 BO 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 requlred inspections antl flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaasre�doo� '✓ WORKERS' COMPENSATION DECLARATION: I hereby effrtn under penelry ot perJury one of t�e following tleGeretions: ❑ I have entl will melntein e certllicete of consent to self-Insure br workers' wmpensatlon, es provided for by section 3700 ot the Labor Code, tor the pertortnence ot the work far w�ich thl5 Dertnit Is Issuatl. ❑ I have end will maintain workers' compen5etion Insurance, es required by sectlon 3700 of the LeOor Code, for the peRortnance of the work for which Nis pertnit is issued. My workers' compensetlon Insurance carder antl policy numEer ere: Cerner: Policy Number: (Thls secNon need no( be cromp/eted I! fhe permit Is veluetl e! one �undred dollars ($100) or less.) ❑ I certity ihet in the pertormance of Ihe work for which this pertnit Is Issued, I shall not employ eny person in any manner so es to become su6�ect to the workers' compensatlon laws of Califomle, entl egree thet II I should become sub�ect to the workers' compensetlon provisions of Sectlon 3700 of Ihe Lebor Cotle, I shall torthwith comply with these proWslons. Applicant Signeture: Date: WARNINO: FAIWRE TO SECURE WOiiKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBIECi AN EMPLOVER TO CqIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED TMOUSAND DOLURE (5100,000), IN ADDfTION TO THE COST OF COMPENSATION, DAMAGES AS PFOVI�ED FOR IN SECTIpJ 3106 OF THE LABOq COOE, INTEREST, AND ATTORNE'fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I am licensed untler provislons of Chepter 9(commencing with Sectlon 7000) of Divislon 3 ot the Business and Professions Cotle, end my license Is In full force end eHect. Lic. q Class q Conirectofs Slgnature: Date: CONSTRUCTION LENDING ACENCY: ❑ I hareby aitirtn that Ihere is a constructlon lending egency for the performance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lendels Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: �i I hereby attirtn Ihet untler penelry of per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE U1W for the following reason (Sec. 7031.5, Business antl Professions Cotle: My ciry occounry which,requires e pertnit to construct, alter, improve, tlemolis�, or repair any sWcture, pdor to its issuance, also raquires t�e epplicent tor such pertnit to file e signetl statement that he or she is Ilcensed pursuant to the proNslons of t�e Conirectors License Law (Chapter 9(commendng with Sectlon 7000) ol DMsion 3 ot the Busineu entl Professlons Cotle) onthat he or she is exempt Iherefrom and the basis for t�e alleged eaemption. Any violetion oi Sectlon 7031.5 by flny eDC��ent far e pertM: suD�ects the epplicant m a clvll penelry:of not more Ihen five huntlred dollers ($500).): � l�- 1, es owner of Ihe property, or my employees with weges as their sole compensatlon, WILL DO THE WORK, antl the struqure Is not intendad or ottered for sale (Sec. 7044, Business and Professions Cotle: The Contracbrs Licensa Lew does noI apply to an owner of property who builds or improves thereon, entl who does such work himself or herself or �hrough his or her own er�pIoyees, provided that such improvemenis ere not Intentletl or oflered tor sale. Ii, however, the bullding or improvement is sold wilhin one year oi completion, the ow -builder will have the 6urden oi proving ihat he or she ditl not build or improve for purpose of sale.). ❑ I, as owner ot Ihe pmpe , am E%CL ELV CONTRACTING WITH LICENSED CON7RACTORS ro consiruct ihe project (Sec.704a, Business end Pmtesslons Code: The contredor nse La oe5 no� epD�Y �a en owner ot pmperty w�o builAs or Improves lhareon, and who contracis br such project wlt� e Contractor(s) license pureuant t C ntrec License Lews.). -❑ I em azempt u ec eusiness and Professions Cade tor this reason: Signature: - �� Y � 'Expires: Vetllicatlon ai Ownership by (type ol tlocument, i.e. - properry tax �III or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excevatlon five (5) or more teet In depth Into which a person is required to descend, will be meGe In connection wiih work eutharizetl Dy thls pertnit, antl that no bullding structure, scaflolding, telsework, or demolition or dismantling thereoi, will be more than thirry-sia (38) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomla Atlminlslrailve Code). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit irom t�e Division of Industnal Safery, es noted abova, unless such pereon has e pertnit to tlo such work Irom t�e Oivision. Signature: Date: Division of Industnal Sefery Permit Number: COUE �. INSPECTIONTYPE 1616 Fixed Sysiem Finel Fire Preventlon 1268 Pool Spe Finel 200 Final Ra-Roof 201 Flnal BIocWRetalning Well 202 203 � Final Factory Fire Place Flnel Sign Final Demoiition QdjF �A�` �( INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy I�1.\1 .1111.. .'j • 7W5 SKETOi 15 FOR INFORMATfONAL PURP<J68 ONLY. APPLICANf LS RFSPONSIBLE FOR PROVIDIIJG AN ACNRATE RFPRESQ�TfA770N OF T}ff�t PROPFRtIf QJ CASE hIE SHAPE AND S7TE DO NOT ODRRESPOND WThi TF� QJFORMA770N PROVIDID ON TF� SFI�E.R'. � pl - D//z.S �� Y J:I� �ITY. OF �TA MESA PI_ANNING DIV. N � N • 50[1D WAUS/FIIJ�S BEIWEEPI2'fi' k 6' QJ }¢�G7�(i SHALL BE SiTBAIX AT IiASf 10' FROM FROM PROPFR7Y 11NE. • 9Dl.m WAl1S/FFN�S SHALI NOI �C� Y 6' W F47GFIT WII}�J ld OF'[tiE FRONf PROPI•R7Y IAiE �IOT CURH [1tJF.j. • VFRffY D6fAN� EROM CVRB 70 PROPEft1Y UNE AND SHOW ON PLAN. VFRFRh7GIlON FROM 71iE QIYS BJGQJEHtING DIV610N 6 REQUIRED. GI�. (714) 751-5343 AOR INPORMAiION. NOT� DELETIONS, OR CORRECTlOMS �oc.a � n►NG SAFETY � � CI OF COS�R Mc � ppROVED � � �_ � ' '1� 6N _., _,_�� oenriosion iln% utd Y Is u d �d hdnlheDivs�� I de�YO �� L�s etd MmiY i M90EMCC } A[4�pGC I N "y,'. ri� ,..... .. CQ � i �� ' i i p�s�„��... �. - • nuandl�r � �y �dy ol Cn ro WnN�1x+n efd anA vdd'A th+ ;m•� • r, s�••,c � H I �:i:�:;�,..,.,.: •li'.v �:'.:p� . � -i i.if. �'M90ili¢ RE90Enfl i i i � i . S?'�!7"""""""""•" """""""""'_• • i - - _ _ �i STREET � BLOCK WALL LAYOUT FOR BUILDING PERMtT PLANNING DIVISION v .� TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping OpGooal — ChannelBbck With 1-3/8� HorieonUl Top ol all Fences For� Fences 5' o. Less Ven. Bars 3/8" yS at 4' �0" O.C. For Fences Mig�er Tha� 5' Vert. Ban 3/8"� at 32" O.C. � Fill Cells Solid Wi�h Grout wnere Steel occurs Rr,inlarcing Su.d $�all Cunlorm to Sec.A�15-39 A.S. T.M. All Steel to 6e Lapped 24" or w Code NATURALGRADE TWOJ/B"d8AR5 � CONTINUOUSTOV 6 BOTTOM HOfi1Z5TEEL MUST 9E TIED IN VLA�E AT TIME OF TRENCH INSPECTION. WIDTH TMICKNE55 . DEPTN OF EARTHTOOTH SPACING OF EARTHTOOTH I 4.. lOn 2 4" i2' a - EN7S��CHART , � .. �y =�.� � . I h� � I O,L � J • � t �n Z Q�, � � - i _, - � 4.- _ BUILDING DIVISION GENERAL- NOTES MORTAR; pna Part Plastic Cemenl, and Three Pwts Sand GROUT: One Po�f Cemenf T1vte an0 One Holf Ports S�and COPING: One Part Cement, Three Parfs Sond CONCFETE: Weil M�aed C2-1/2:3-i/2 Ma+� of 7- I/2 GoCcns of Woter Per Sack of Ceme�1 GROVT MAY BE POUNEO FROM TME TOP OF TNE FENCE IN CELLS WHERE SiEE� OCCURS. CELLS AND AREAS OF HORI20NTAL REIN FORCEMENT SHALL BE CLEAR, CLEAN 6 FREE OF ALL h10PTAR DEBRIS. ETC. UCct�� L� C4RTNTCOTH V7 t��E NE�G7N Of iENCE �IOW BO�TOM OF FaGt�NG 9� 16" 16' SCALE: I/2�� I' 8� 12" i6' � r� � � PflOJECiA00XE5S: 2909 ELLESMERE AV OWNEP'S NAME: BARNES CHARLES A TR aooness: z909 E�,LESMERE AVE COSTA MESA,CA 92626 AHCN/ENGINEEfl: noosess: HEG.NO.: UNIT: uxir: PENMITTEE: BEEMAN CONSTRUCTION ( 714 ) 650-4474 aooness: z1661 BROORHURST ST {7 p CA 92f��6 LICENSEO CONTBRCT�AbEEIABATION: I �ereGy allirm ��al l am licensed unGer D�ovisions o C apter 9 �commencinp wi�h Section 7000) ol Drvision 3 0l t�e Business and Pmlessions Code. and my luense is in Iull lorce anC efiect. cirv u�0 5 8 ST°TE u�.fi 14 0 OL��%'r=�� Oa�e'. _ ��__ SignaNre: _ _ WOHNENS' COMPENSPTION OECLANaTION: I nereoy aflirm inat I have a cenificate of conseni to sell�insure or a cenificate of workers' Compensalion Insurance. or a[etlilied wpy �hereol �Seclian 3800, LaE. C�. POLICY NO.: E%P. OPiE: COMPNNY: ❑ Cerii�retl coOY �s here�y Iumi5he0. ❑ Cerlitie0 copy is IileE with the ciiy Builtling �ivision. �ate: PpplicanL E%EMP710NFPOMWOBRfPS'COMPFNSFTIONOECIAPPTION: (ihBSeciwnneeGiwlOecomplete�iltheperm�isloronehunOre0�5100�or1e55). I cetlity t�a� in Ihe Oetlormance oi tne work br which t�is Oermil is i5sued. I 5hall no� em0�oy any per5on in any manner so as lo become Subleci/lo ihe Warkers Compensation Laws oi Calilornia. Oate' l0 - Z � � � � SignaWre: �o�[� �� -�-� NOTICE: If. a�ter making Ihis declara�ion, yau shoultl become suhjecl to �he Workers ComOensa�ion provisions oi t�e La�or COUe. you must lonhwilh com0ly wit� suc� DmviSions or iNs Dermit shall be Eeemed revaketl. CORSTflUCTION lENOING PGENCY: I hereby aflirm Ihat there is a consiruc(ion Ientling agency tor the pedormance of Ihe work for which Inis permii is i=sued (Seclion 3097, Civ. C�. LENOEfl: AOOPESS: OWNEfl BUILDEN UECLABATION: I �ere0y a�lum t�at I am exemD� �mm ��e Comraciors' Slate License �aw �or ihe lollowing reason �Seclion 7031,5 Business anA Pmlessional Coae: Any city of county which repuires a p¢rmit to constmc6 ai�er, impmve, demolish, or repair any simclure. p�ior to its issuance, also repuires ihe aDVliwnt lor suc� permit to lite a sipnetl statemeni Ihat he/she is licensetl pwsuanl �o �he provisions oi Ihe Contractors' Siate License Law (ChaDter 9 �cammencing with Seclion 7000) ol Division 9 0� ihe Busine5s antl Prolessions Codel or ihal ne/sne is eeempl inerelrom and ihe Easis for the allege0 exemption. Any violalion ol Seclion 7031.5 by any applicanl for a p¢rmil su�lecls ihe applicant lo a civil penally o� not mOre Ihan five �untlred tlollars �E500�. I, as owner of t�e pmDeny or my employees wi�h waAes as their sole comDenution, vnll do the wark, an0 t�e ❑ slmclure is noi intenCeC or 0�l¢reA for sale (Sec�ion 70aa, Busineu an0 Pmlessional Gode: 7he Cantratlor5' State License Law Uoes not apply to an owner ol a pm0eny w�o �viltls or improves ihereon, antl who tloes sucM1 work himselfl�erself or ihmuAh his or her own emDloyees, D�oviOeG that suc� impmvements are not imenUetl or offeretl br sale. Ii, however Ihe huiltling or imomvement is sole within one yeat ol completion, Ihe Owner vnll have tne �uNen ol proving he/she Citl not �uiltl or improve • lor ihe Ourpose ol sale�. I, as Owner 01 Ihe O�Operty, am exClusively tOnlraciinq with Iiten5e0 wnlraciors �o ConSlmCi Ihe pmjeci ($ec�ion 70a4. Busine55 ❑, an0 Pmlessions Code; The Contraclors' S�a�e LicenSe Law OoeS nol aOPN IO an Ovmer o� pmpeRy who �uiltl5 or impmv¢S IM1ereon ana who tonlratis tor Sut� pmle��5 wii� a tonVaCtOr(5) license Oursuani b �he CAntratlOrs' State License Law). I am aware thal proal of t�eir Worker's Compen5diian insurance sM1OWA he D�oviOetl lo me. � I am enempl unaer Seciion: B. 8 P. C. lor Ihis reason: Date: O«ner. I do �ereby cenAy �hal I am aware ol anU un0er5tantl Ine �epuiremenis o� Calilomia Health anC Safery CoOe Seclions 25505, 25533, antl 25534 anA Ihal I or any Iuiure Ouilding occupan� vnlUvnll no� (circle one� need to compty with said slale wdes ana Ihe requiremen�s �or a permit lor conSUuction Or modificalion Imm Ihe Nu Ouab�y Managemeni USlnct. flev0enliai conslmction appliwtions are eaempi Irom Inese D�ovisions. Oaie: pPPlicanL I hereby cer�ily I�al I havereaU Ihis applicalian antl staleltwlihe a0oveinlormatian is corr¢ct. lagree to mmD�Y ��h all ci�y and counry or�mances and stale larrs reWting Io 6uiltling cwstrutlion antl heretry aWtwr¢e repre5enlaiive5 0l Ihis ciry to enter upon ihe above-mentioned pmpeny lor insDection purpos�e-/s y y�yy �ate: G- Z S� / J Signalwi%��.�� „d�,�'� Oriver'S License or Social Security i6aba6 W�ite-Bmlding'. Green-Coae Eniorcemem: Canary-Applicam; Pink-Revenue: Goldenrotl-Assessor CITY OF COSTA MESA — BUILDING PERMZT PERMIT NO: B 062759 PLAN CHECK NO; N CONSTRUCTION TYPE; PERMIT TYPE; STR PERM NO; B 062759 GOVT; N SUPP: N PURPOSE; OTH JOB DESCRIPTION ; T/OFF, REROOF W/COMP SHINGLES SQ FT; 4,500 CLAIM VALUE: 4,500.00 CALC—VALUE; 4,500,00 GROUP OCC; R-3 /M-1 COMMBNTS• LEGALI2E REROOFING RESID s GARAGE WiCOMP SHING S �F *x��r��r��*****�*�r* �**��r**�r�r***x �r*�r�r�r �*�rx �r***��r*�**��f�� Z O N I N G R E Q U I R E M E N T S E T B A �" S REQUIRED ------------ MAIN BOILDING ---------- ------ ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARRING RE PROV; PARCEL; 13926109 2NE; REF NO; PLANNING TES> � iF 1F iFiE iE iE iE 1E 3F iE k if iE i! iE 3f iElF iE iElE iElE if 1E iE iE if iE iE if iE iE if iE iE 1F 3Fif ik if� iE iE iEif �E �E iF if I! 1E iE iEif iE iE it 1F ik iE iE IE iF 1E iE 1E if aF iE iElE iE 1F iFlE �E * iF �)F D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE; BUILDING APPROVED BY ; DATE: � APPLICATION ISSUED BY; DATE; � L, ` 1 1EifiFiFlf�fififiEifiFiEiE1E3EiEifiEiFiEitMiF3f3f�I3IiF3F7F�f'iF7FiF�fiF7FiFifif7F'if�E 7f7iiF7fiFiF'�F'iFiF'IFikiEiPit�fiEifiEiPiE 3E3E if fF if if !k 1E iF 1f !f if if !f if 1f 1E k iE iF 1! if i! if iFlf 1k if !t 1E k!E 1E 1E it aE 1k iE �Elh!! i! �k iF 7flE 1Eil� if iE If iE if it �! fklE i! k iF iE If iF If ik iE iE iE �F iE if iFiE k 1E if it iE ik if iE LEGALIZATION;Y F E E S U M M A R Y STRUCTURAL SEGMENT;Y _ •, — BLDG PMT PLUMBING ELECTR'ICi MECHANIC FIRE SMIP/RES GRADING PERMIT 144,00 • �.•'� SMIP/NON—RES PLAN ISSUE FEE BUZLDING—DIV—> PERMIT ISSUE PLAN�CHECR TOTAL PAID DUE TOTALS----> 144.50 0,00 ;.,. 0,00, 194.50 149,50 ,00 - , , i REVENUE DIVISION TOTALS--> COLLECTED:.;� 149,50 OVER/SHORT: 00 BLD44PM�T� PLUMHING ELECTRIC MECHANIC ,; FIRE SMZP/TOT� GRADING PLAN—CHECK if iE iE 1E iE if 1f k ik 1E lE it ik IE if ik if ik IE iE IE M 1k 1F 1E k if 1E iE 1E IE ik iFikiE 1F �E �Fif ik 1k iE if iF 1E i(� if if Ik if if iF!! iF if ik iF�k if if if iE 1E ik iE 1F ik i! iE ff iE N� iE kiE IE iE 1E 1E I N D I V L D U A L `F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N -� UNIT COST TOTAL COST SFR {9500 RE:ROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,500,00 !� �END'�OF, FEES EXPIRED ^��R�ete Inspections �� V � / • i'. i' � � r' ;� � , , ; , Y � , � . / " I , 01 a�141725—OD14]726 T nT 144.5D DATE� Oti/?5/93 TIt1E: 14:Q4 . . S'_�� CONSTRUCTION AND PLANNING POOI ;PA APPROVAIS Permit # Date Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soi� Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd: 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbiny & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit•Undrgmd. 8. Foundation � , 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgmd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Sysrem �,� 61. APPROVAL TO DECK , 17. Property Sewer Line & HouseConnection 62. Backwash & Receptor�Final . � 12. Sewer Cap _ 63. Heater & Vent-Final , 13. Roof Drains �� 64. Plumbing System - Final 14. Rough Piumbing �, 65. Electrical-Final � 75. Rough Electrical•Condu4t � 66. Solar System�Final � �76. Rou9h Electric 4Viring � 67. Fencing & Access ApProval � 77. Rough Wirin9 Sign 68. APPROVED FOR PIASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL?SPA SYSTEMS FINAL 79, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace . ' APPROVALS Permit # � 21., Ducts, in Structure ' � 70. Underground Hydro � 22. Oucts, Ventilatin4 � i �� 77. Producx Pipiny � Gas ❑ Oil 23. Gas Pipe-Rough & Test � � 72. Underground Flush 24, Roof Framing� � 73. Undergrnd.�StorageTank L1Ga5 ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T•Bar Ceiling (Structurali & Monocoat � 75. Dry Chemical 27. Frame and Fiashing - 76. Dry Standpipe 28. Lathing & Siding i 77. FIXED SYSTEM FINAL � 29. Insulation i � 78. FIRE PREV. FINAL � 30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT _�� 81. Plaster Brown Coat j ! ' 79. FINAL INSPECTION 32. Electrical Power MeterFinal , � 80. FOOD CERTIf-ICATE ISSUED � 33. Final Electric i � Notes: � � 34. Final Heating & AiT Conditioning ; �� - - 35.. Final Gas Pipe�Test � � -1- ��-� 36. Hood or Canopy � � � � � �� i � I y�_ _. 37. Flnal Factory Fireplace � * !. � 38. Final Plumbing I � � ' ' 39. Lt�ater Service-Final I i i � C0. Gas Service-Final � I I 41. Solar pomestic-Final � I � 42. Backflow Preventer � � - � 43. Backflow Irrigation` � 44. Landscape Irripatidc� System - • 45. Sound Attenuation . � 46. Handicap Regulatiar�s • , � I . � 47. FINALSTRUCTURE'&BllILDING F__� 48. FINALPLANNING,- , �! 49. Electric Release to Eqison � ' � 50. Gas Release to Southem California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date � ,_s.; �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. GALIFORNIA fOR APPL/CANT TO F/CL /N COMPLETELY TYPE OR PRINT ADDRE55 2909 fillesmere Avenue COSTA MESA. CALIFORNIA 1555 Placentia ESS Newport Beach �' ITECT L K�W� K011 LCTNTO. ■ LEOAL i EE REG��lEi� � .�-.�_ �a fINA110E DEPT. cirr o� cosTa r�tsa APPLICATION FOR PERMIT BUILDING �oR oFficF usF oNcr IRECEIPT NO. I PERMIT NOF1'. -' PECEIVEO BT I DATF`pE � VED � I �{�? ��EC w. '1 L �w ��. 27 e�:,o°'« SIZE NO.Oi BLDOS. O OF LOT �HX9� Now oN �oi USE OF NOIIe EXISTING BLOG. SETBACK LINE FROM CO� �l CENTER OF 9TREn J ftEAR YARD L• SIDE VARD I LEFT (� I RIGHT 6� DESCRIPTION OF WORK� NFW I X II ALTERATION I II ADDITION ( .OING �QOO S,s� ROOM'. V 1 :RIOR WAL ROOF� 4RING �tUCCO COVER OF BUIbC)ING AND \YORK TO I ana ettached Garage a�� I HEFEBY ACKNO ILEOGE THAT 1 HAVE HEAO THI6 APPLICATION RND 9TATE T ) IE ABO � IS CONNECT AND �GREE TO COM� GLY WITH L TY OP�IN AIC 5 At LAWB REGULATING BUILOING ONS F TION. SIGNATU OF PERMITTE AUTHORIZED AGENT COSTA MESA. CALIFORNIA TYPE GROUPI�-Y � APPROVED ZONING ZONE I NO. OF �1186 OF PL/�N8 BUILDI wvPFiOV ED `/I. . nan � � IGII n,� TNE AMOIINT SHOWN UNOER VRLUATION IB FOR THE PURPOSE OF ESTABLISNING A PENM�T FEE ONLY. VALUATION // PERMIT FEE S �� S /(/J Y'7 �� PLAN CHECK $ � j� TOTAL FEE 5 ��%� �