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Home My WebLink About2945 ELLESMERE AVE - Building Permitsp�4) �5a-5273 • Fax (��4) 75a-a856 • www.ci.costa-mesa.ca.us 77 hAIH UHIVt, IiVJ IA MCSA, GM tlZOZO Jab Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: 2945 ELLESMERE AV 13926102 SATTER, NICK 2228 MEYER PL " COSTA MESA, CA FREEMAN, DANIE� G MECHANICAL PERMIT Address: 2945 ELLESMERE AVE COSTA MESA, CA Contractor: GOLD COAST POOL & SPA Address: 2228 MEYER PL COSTA MESA, CA ISSUED BY: Phone: 949-574-9177 Zip: 92627 Phone: Zip: 92626 Phona: 949-574-9177 Zip: 92627 License:736155 SCOPE OF PERMIT REF: B04-00380. INGROUND SPA, INSTALL 400 K BTU HEATER ISSUE fEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heal Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Re(rig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Insl or Relocale Appl Vent Air Handlers < 10000cfm Air Handlers > t0000cfm Floor Fumace Floor or Suspend Heater $23.50 30.00 $1820 $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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeralion Unit Ventillation System Evaporetive Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absomtlon Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Sta[us: ISSUED Applied: 02/19/2004 Issued: 02/19/2004 Quantiry $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 $0.00 541.70 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•2B, § 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 lhe work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetione end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545826 24a&48 (flN0) WORKERS' COMPENSA710N DECLARA710N: ' I �ere6y eflirtn untler penalry oi perjury one of ihe following tleclarations: ❑ I heve entl will maintain a cenilicate of conseN ro selGlnsure lor warkers' compensation, es providetl tor by section 3700 of the Labor Cotle, tor the peAormance of Ihe work for which Ihis pertnit is Issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for Ihe pedortnance of ihe work for which ihis pertnit is issuetl. My workers' compensation Insurence carrier end policy number are: Cerrier. Policy Number: fT�ls sec(ion neetl nof be comp/eted il the permit is valuetl af one hundred dollars ($100) or less.) �� I certity that in the pertortnance qNfi� ork tor whi hj�pertnit is Issued, I shall not employ any person in eny manner so as to become subject to the workere' compensalion laws ot C bg�ra (d gree thet' s 6uIC became sub�ect to the workers' compensetion provisions ot Sectlon 3700 0l the Lebor COCe, I shall torthwith � comply with these pro s' r(s. J // ApplicantSignaWre: � / Date: �7��` WARNING: FAILURE TO SECUflE WORKERS' COM ATIdJ COVERAGE IS UNUWFUL PND SHALL SUBIEC� rW EMPIOVER TO CRIMINPL PENALTIES Ml� CNIL FlNES UP TOONE HUNDRED TFqUSAND OOLLARE (51 W,000). IN AD�RION T, E CQST OF COMPENSATION, DAM4GE5 AS PROVI�ED FOR IN SECTIqJ 370fi OF THE LPBOR CODE, IfJ�EREST, AND AT70qNEY5 FEES. LICENSED CONTRAC70RS DECLARATION: ereby ettirm that I am lice� e pm ' Rrce entl eNecC Lic. k Contraaors Signature: CONSTRUCTION LENDING AGENCY: 9(commencing with Section 7000) ol Division 3 ot the B� �Cl�ss a Date: Code, end my license is In full ❑ I hereby aRirtn that ihere is a construction lending agency for ihe pertormance of the work for which t�is permit is issued. (Sec. 3097, Civil Code). Lendels Name: Lenders Atldress: Slgna�ure: OWNER-BUILDER DECLARATIONS: Da�e: I hereby eMirm that under penalty ol perjury Ihat I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry which requlres a permit to construct, elter, impmve, demolish, or repeir eny slrucWre, pnor to its issuance, also requires the epplicant for such permit to lila e signetl stetement t�et �e or s�e ISlicensed pursuant to the pravisions oi the Contraaors LJcense Lew (Chapter 9(commendng with Sectlon 7000) of Division 3 of Ihe Business and Pmfessions Code) or Ihet he or she is exempt therelrom and the besis far the ellegetl ezemption. Any vialetion of Section 7037.5 Dy eny epPlicant for a permit sub�ects the applicant to a civil penelty of nat more ihan five huntlred tlollars (5500).): � I, es owner of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and t�e s�ructure Is not intended or otteretl for sale (Sec. 7044, Business antl Professions Cotle: The Con�racbrs License Law does not apply to an owner of property who builds or improves ihereon, end who does such work himself or herself or Ihrough his or her own employees, provided Ihet such improvements are not Intended or oMered for sale. If, however, tha building or improvement is soltl wi�hin one year o� completion, the owner-builder will heve Ihe burden of provinq ihal he or she did not builtl or improve lor purpose of sale.). • ❑ I, as owner of the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the project (Sec. 7044, Business antl Pmfessions Cotle: Tha comractors License Lew tloes not apply to an owner of propeny who builds or Improves thereon, and who conhecis for such project with a con�rector(s) license pursuant to the Conlrectors License laws.). ❑ I em exempt under sac. Signatura: Owner ID verified by drivers Ilcense. ❑ Ves ❑ No Business and Professions Coae for this reeson: Venfication ol Ownership hy (rype of document, i.e. - property lez bill ar deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFIGATION: DnvefsLicense No. Date: Expires: ❑ I hereby ceriify �ha� no excavation flve (5) or more feet in depih into which a person is required Io descen0, will be made in connection with work authonze0 by �his permil, and ihat no builtling sirucWre, scaHolding, falsework, or demolition or dismamling iheraot, will be more than thirty-six (36) feel high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Tilla e, Californie Administretive Cotle). ❑ As owneo-builder, I will not employ enyone to do work which woultl require a parmit from the Division ot Indusinel Setety, es noted above, unless such person hes a permit to do such work from Ihe division. SignaWre: Date: Division ol Industnal Safery Permit Numbar: CERTIFICATE OF COMPLIANCE AND AIfTT10RIZATION OF ENTFiV: I cetlity under penalry of perjury thet I have reatl Ihis application and stete Ihet the iMormation given is correct I agree b comply wlth all stete lews antl ciry ordinences relating to building consimction, and euNonze representetives of ihe Clty of Coste Mesa to enter upon the ebove-descnbed property tor inspection purposes. I egree not to occupy or allow occupency of eny building authorized by Ihis permit until linel inspection. CODE t. 1616 1266 200 201 202 203 Fixetl System Final Fire Prevention Pool Spe Final Finel Re-Root Final Block/Retaining Well Final Facrory Fire Place Finel Sign Applicant Q62E 1N�Ak$ COOE I INSVECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 204 Final Demolition 250 Flnal Builtling/Occupancy Qdg II�AL9 7 ^t+�oy .�� (714) 754-5273 • Fax (714) 754d856 • www.Cl.�pste-rt1058.Ge.uS 77 FAIF DFiNE, GO51 A MESA, GA 91ti2ti Job AddresS: 2945 ELLESMERE AV Suite NO Vicinity: Parcel Nunmber: 13926702 npplicant: SATTER, NICK Addres5: 2228 MEYER PL COSTA MESA. CA owner: FREEMAN, DANIEL G Address 2945 ELLESMERE AVE COSTA MESA, CA Contractor: GOLD COAST POOL 8 SPA Addre55: 2228 MEYER PL COSTA MESA, CA Arch / Eng : Address: ISSUE FEE Backflow irtigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Dreln, Floor Drain, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve PLUMBING PERMIT Phone: 94&574-9177 Zip: 92627 Phone: Zip: 92626 Phone: 94&574-9177 Zip: 92627 License: 736155 Phone: Zip: License: SCOPE OF PERMIT REF: 804-00380. INGROUND SPA AMT $23.50 30.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 30.00 $0.00 50.00 50.00 50.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irtigation 30.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Seplic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/19/2004 Issued: 02119/2004 ISSUED BY: / SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System water Closet (7oileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT 30.00 so.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit Shall comply wlth all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold it work Is not commenced within 180 days, or If work Is suspentled or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authodzetl under this permit to be considered legal, such work must comply wlth all applicable codea, and ell I required Inspeetlons and flnal approval must be obtained. Failure to abtaln inspections and Ilnal approval will result in the expiration of this pertnit. FOR INSPECTION$ CALL: (714) 754-5626 24e&48 (flN0) WORKERS'COMPENSATON DELLARAnON: I hereby effirtn untler penalry oi perjury one of the following dedarations: ❑ I have and will mflintain e cetliticata of consent to self-Insure lor workers' compensetlon, es pmvided tor by sectlon 3700 of the Lebor Cotle, for Ne paAormance ot Ne work for whlch this pertnit Is issued. ❑ I have antl will maintain workers' compensetbn Irtwrance, as required by secUon 37W ol Ne Labor Cotle, lor Ihe perlortnance ol Ihe work tar wNU Nis pertnit is Lssued. My workers' wmpensatlon Insurence carrier antl policy numbar are: Cartier. Policy Number. �(Tri/s secfion need nof be canpletetl i! Ne pertnif Is velued e( one huntlred dollers (3100) or less.) ❑) I cenily that in t�e peAormance the ork I whi " permit is issued, I shall no� employ any person in eny menner so es ta become subject to Ihe workers' / compensetlon laws af Calilo , an agree Ih ' ultl become subject to Ihe workers' compensatlon proWsions ol Sectlon 3700 0l t�e Lebor Code, i shall torthwith /l comply with ihese pr � s ^ � ^ / Applicenl Sipneture: CDate: �1J� WAPNINO: FAILURE TO ERS' ON qAOE IS UMAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENr1LT1ES AND GVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE ( 00,000), IN ADDITION T CQNPENSATIIXJ, DAMnGES AS PROVIDEO FOR IN SECTION 3�OB OF THE IABOF CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CON7RACTORS DECIARATION: iby afllrm ihat I am Ilcensed under pmvislons ol Chepter 9(commencing with Sectlon 7000) of Divislan 3 of�e Business nd P sions Catle, antl my Ilcense is In tull end eHect. Llc. a �Ge�s x_� �� actors SlgnaWre: � � A COete: �i �..!"7� r,( / CONSTRUCTION LENDING AGENCY: ❑ I �ereby eflirtn Ihet �here is e cons�ruaion lending agency for the pedormance ot Ihe woB lor which this permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Nema: Lenders Address: Signature: OWNER-BUILDEF DECLARATIONS: Date: I hereby affirm t�et untler penalry ol perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe Iollowing reeson (Sec. 7031.5, Business end Prafessions Cotle: Any ciry or counry w�ich requlres e pertntl to construct, elter, impmve, tlemdis�, or repair any slrucWra, pdor to its issuance, elso requlres the appliwnt tor such pertnit to file e signad stetement t�ei he or she Is Iicensed pursuent ta ihe provislans at t�e Contrectors lJcense Lew (Chaptor 8(commenGng with Sectlon 7000) of Division 3 of Ihe Business entl Professions Cotle) or Ihet �e or she I5 eaempt iherefrom and the hasis for Ihe alleged exemptlon. Any violation of Sectlon 7037.5 by eny epplicant for a pertnit subjects the epplicent to a civil penelry of not more then five huntlretl tlollars ($500).): ❑ I, as owner ot the praperty, or my employees with weges es their sWe compensation, WILL DO 7HE WORK, en0 the siructure 4s not imentletl ar aHeratl tor sale (Sec. 7044, eusineu end Pmfeuions Cade: The Contractors Licensa Law does not epply to en owner of propeny who 6uiltls or Improves thereon, end who dces such work himself or herselt or through his or her own employees, pwvidad that such improvements ere not intendetl or oflered for sala. If, however, the builtling or improvement is soltl wit�in one year oi completion, the owner-builder will have the burtlen of proving �hat he or she did not build or imD�ove lor purposa of sale.). ' � I, es owner ot lhe property, em E%CLUSIVELV CONTRACTING WITH LICENSEU CONTRACTORS to consWct the prqect (Sec. 7046, Business and Protessions Coae: The contrectors Llcense Lew does not epply to en awner ot property who huiltls or improves Ihereon, entl who contracts for such prolec� wl(h a contractor(s) license pursuent lo the Contrectws License Lews.). ❑ I am exempt untler sec. Business end Professions Code for �his reason: Signawre: Date: Owner ID venfied by tlrivels licensa. ❑ Ves ❑ No Dnvers License No. Verllication oi Ownership Cy (typa ot tlocumenl, i.e. � pmperty tas bill or deed): Eapires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATON: ❑ I hereby canify that no excavetion tive (5) or more feat in depth into which e pereon is requiretl to tlescenq wlll bo metle in connectlon with work euthorizea 6y �his permit, end that no building struciure, scaHolding, lelsework, or demolition or dismantling thereof, will be more Ihen Ihirty-six (36) feet high. (Chap. 32. Grp 2, An 2, Sec. 341, Title B, Celilornia Atlministrative Cotle). ❑ A5 ownerbuiltler, I wlll l employ enyone �o do work which would raquire e permii Irom the Divlslon of Indusldal Salo�y, es noted above, unle55 suth person �a9 9 permil m do such work m the division. Signatura: Date: Divislon of Intlusirial Salety Pertnit Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certity under penalty ot perjury thet I have reatl this application and state that ihe information given is wrrect. I agree to comply with ell state laws end ciry ortlinances releting to builtling constructlon, en0 eNhorize representetives oi the Ciry of Casta Mesa to enter upon the ebove-described properiy for inspection purposes. I egree not to acupy or allow occupency ot any building euthorized by �his permit umil finel inspedion. COUE 1, INSPEC710NTYPE �" Q� L�kS lsie Fined System FInalFire Preventlon 1288 Pad Spe Final 200 Final Re-Rool D te � � —� � ..�.-i e�a COOE� INSVECTONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electdcal 201 Finel BIocWRelaining Well 212 Finel Flre Preventlon 202 Final Factory Flre Place 220 Final Planning Approval 203 Final Sign 222 Flnal Site 20a Final Demolltlon 250 Finel Building/Occupancy � � (714) 754•5273 • Fax (714) 754-a856 • www.ci.wsta-mesa.ca.us 77 FAIH UHIVh, GVJ IA MtJA, GA tlLOZO BUILDING PERMIT ,lob Address: 2945 ELLESMERE AV Suite: Viciniry: Parcel Number: 13926102 Applicane SATTER, NICK Address: Owner: FREEMAN, DANIEL G Address 2945 ELLESMERE AVE COSTA MESA, CA Contractor: GOLD COAST POOL & SPA Address: 2228 MEYER PL COSTA MESA, CA Zip: 92627 Arch : Address: Zip: Phone: License: 2oning: R1 R1 Phone: 949 574-9177 Zip: Phone: Zip: 92626 Phone: 94&574-9177 License: 736155 Eng: Address: ISSUED BY�. Status: ISSUED Applied: 02/19/2004 Issued: 02/19/2004 Phone: License: 220 LF, 5' HIGH BLOCK WALL CONSTRUCTED ON BOTH SIDE PROPERTY LINES AND THE REAR PROPERTY LINE. WALLS WILL BE SETBACK A MINIMUM OF 20' FROM THE FRONT PROPERTY LINE. i FEE SUMMARY Plan Check: $72.31 Calc Valuation: Sa,aoo.o0 Permit: $111.25 Claim Valuation: 3o.00 SMIP Res: $0.50 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $184.06 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Exis6n : 0 l" Rear 0- 0 Rear 0- 0 Reauired: 0 PLANNING & ZONING Left 0. 0 Right 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 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) EXPIRA710N: This permit shatl automatically explre end become void it work Is not commenced within 180 days, or if work is suspended or ebandonetl tor a period of 1 BO days. INSPECTIONS: In order for tha work authorized under this permi� �o be considered legal, such work must comply with all epplicable cotles, and all requlred inapectlona and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALI: (714) 7545626 24l&/B (8/W) WORKERS'COMPENSAnON DECLAppnON: , I hereby attirm untler penelry of perjury ohe ot the following declaretions: ❑ I have and will meintain e certificat� of consent to self�lnsure lor workers' compensatlon, es providetl tor by sectlon 3700 oi the Labor Cotle, for the pertortnance ol the work tor which this permit is Issued, ❑ I have and wlll malntain workers' rnmp¢nse7io� insurance, as required by SecUon 3700 of tha Labor Cotle, tor Ihe peAortnance ot the work for which this pertnit is iswetl. My workers' compensation Insurence cartier end policy number are: Carrier. Palicy Number: (7hls secf�on need not be completed i! rhe permit is velued et one nuneretl dW�ars (3100) or less.) � I certity that in t�e peAormance of the work t r which his pertnit is issuetl, I s�all not employ eny person In any manner so es to become sub�ect to the workers' / compensetion laws ol Celifoyi aq egrea R' ioultl 6ewme sub�ect to the workers' wmpensellon pmvlsions of Section 3700 ot Ihe Lebor Code, I shell torthwlth �compty with these pro 'e rfs. �7 /� �/�-/! plicam Signawre: �� Date: (7` %� % 'L/ / WARNING:FAILURETO R WORf RS'C 1 TI OVERAGEISUMAWFIILANDSWLLLSUBIECTMIEMPLOVERTOCRIMINALPENALTIESANDCMLFlNESUPTOONEMUNDRED THWS4NDDCYL4ilE(St00,000A�NADDRION E iOFCQNPENSAPON,DAhNGESASPROYIDEDFORINSECTION3]C80FTNELAHORCODE,lMERF57,ANDA7TOANEI^SFEES. LICENSED CONTRACTORS DECLARA7ION: I hereby ettirm ��at I am �orce entl eflect. Lic. q_ ConlwctoYs Signature: , CONSTRUCTION LENDING 9(commencing with Section 7000) of Division�ol�he B El�ss q CDete: _ Code, entl my license is in tull ❑ I hereby aMirm Ihat there is e consuuction lendinp apency tor the peAormance of ��e work lor whlch thls pertnil is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lenders Address: SignaNre: OWNER-BUILDER DECLARATIONS: Date: 1 hereby aHirm ihat unEer penalty ot perj4ry Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (SBc. 7031.5, BuSineu entl Professions Cotle: Any ciry or counry which raquires g pertnii to consiruct, alter, imprwe, demdish, or repair any structure, pdor to ics Issuance, also requires the epplicaN tor such permii to (ile e signeA stetement that he or she is licensed pursuant fo ihe provistons of the Conirectors Clcense Lew (Chapier 9(commendng with Sect(on 7000J of O(vls(on 3 0( the Business and Professions Code) or t�a� he or she is exempt t�eretrom and I�e basis for t�e ellegeC ezemption. Any violation of Sectlon 7037.5 by eny epplicent br e pertnit subjects ihe eDP��ant to e civil penalry of not more than five huntlretl tlWlars (5500).1: ❑ I, as owner ot Ihe pmperty, or my emplOy8e5 with weqes a5 Ueir 5018 comp8n5eUon, WILL DO THE WORK, end t�e structura Is not Intentletl or oHeretl tor sele (Sec. 7044, Business end Professions Code: 7Te Contracrors License Law tloes not appty to an owner of property who builds or improves thereon, and who does such woAc himsetl or herselt or thmugh his or her own emplqrees, providetl that such improvemenis are not Intentled or oNeretl tor sale. If, howevar, the building or imprwement is sold within one year ol completioq the ownerbuiltler will have tha burtlen ot proving tha� he or she dia not build or improve for purpose of sale.). ' ❑ I, es owner ot Ihe properry. am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business entl Professions Code: The crontracmrs License law tloes not appty to an ownar of property who builds or Improves thereon, and who comracts br such project wlih e contractw(s) license pursuani to ihe Comractors License Laws.). ❑ I am ezempt untler sec. Signature: Owner ID verified by tlriver's license. ❑ Ves ❑ No Busine55 end Prolessions Code for thi5 rea5on: Vedticetion of Ownership by (rype of doa�mem, i.e. - properry tac bill or deed): DIVISION OF INDUSTRIAL SAFETY PEqMR CERTIFICATION: Orivefs LicenSe No. Date: Expires: ❑ I hereby certity �het no exwvatim tive (5) or more fee� in depth Into which a person is requireC Io tlescend, will be mada In connection with work euthodzed by Ihis permit, end thet no building strucmre, scaflolding, fatsework, or tlemofition or dismantling Ihereof, wilf be mo�e than Mirty-siz (36) feet �igh. (C�ep. 32, G�p 2, Art 2, Sec. 341, Title 8, Califomle Atlminlsiralive CoCe). � As owner-builder, I will not employ enyone to Ao work w�ich would require a permit from c�e Division of Intlustnel Setery, es nated ebove, unless such person hes e permit to tlo such wark trom Ihe divislpn. Signature: Date: Division oi Intlusirial Salery Pertnit Number: CERi1FlCATE OF COMPl1ANCE AND qUfHOfiQA710N OF EMRY: I certity under penalty ol perjury that I have read t�is application end state thet the inlormation given Is correct. I agree to wmply wlth all state lews antl ciry ordlnances relating b building consiruction, end aut�odze representetives of ihe Ciry ol Coste Mese to enter upon tha ebove-descnbed propeny lor Inspection purpoyes. I egree not to occupy or ellow occupency al eny building emhorizetl by Ihis permit until linal inspection. COOE �. INSPECTIONTYPE ! 1616 Fized System Finel Flre Preven�ion 126fi Pool Spe Finel 200 Flnel Re-Rool 201 FIneI8locWRetaining Well 202 Final Fectory Fire Place 203 204 Final Sign Final Demolition PdIE Ii�AL9 '2,� 'O'( � COOE 1 INSPECTION TYPE 208 Final Mechanical 20B Finel Plumbing 210 Finel Eloclrlcal 212 Flnel Fire Preventlon 220 Finel Planning Approval 222 Final Slte 250 FInalBullding/Occupanry PAg ViI�Lfl (714) 754-5273 • Fax (714) 754.4856 • www.ci.costa-mesa.ca.us 7! hAIH UHIVt, GVJ I A MtCiA, GA BLOLb Job Address: Suite No Viciniry: Parcel Nunmber: Applicant Address: 2945 ELLESMERE AV 13926102 SATTER, NICK 2228 MEYER PL COSTA MESA, CA Owner: FREEMAN, DANIEL G Address 2945 ELLESMERE AVE COSTq MESA, CA Contractor: GOLq COAST POOL & SPA Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lightlng Fixls Recepl OuUets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to thp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communicatlon drops Sub panel to 200a Pole Light Pkg Sign Circuits 2228 MEYER PL COSTq MESA, CA REF: 904-00380. INGROUND SPA $23.50 50.00 50.00 $0.00 ao.00 $49.50 $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 Quantiry 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ELECTRICAL PERMIT Phone: 949-574-9177 Zip: 92627 Phone: Zip: 92626 Phone: 94&574-9177 Zip: 92627 License: 736155 SCOPE OF PERMIT FEE SUMMARY Temp Dist System / Lightlng Busway/100ft Standing Secfion 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 Misa Conductor Circus ( gen or ride) , Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigatlon Fee Plan Check Fea Reinspection Fee Status: ISSUED Applied: 02/19/2004 Issued: OZ19/2004 ISSUED BY: Quantity 30.00 0 $0.00 0 50.00 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 NOTICE: The woAc authorized by this permii shall comply with all applicable handicap access requiremenis urMer California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXCIRATION: 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 thg work authorized under this permit to be considered legal, such work must comply with all applicable codes, entl all requlred Inapactions and finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiratlon o1 this permit. FOR INSPECTIONS CALL: (774) 7545826 zaaa�ae leroo) � u WORKEFS' COMPENSATION DECLARATION: I hereby aHirm untler penalry ot perjury one of the following declarations: ❑ I heve end will maintain e catliticata of consent to self-Insure for workers' compensetion, es pmvided for by section 3700 of the Labor Code, for the peAormanca ot iha work for whic� this permit is issued. ❑ I �eve entl will maintain workers' compensetion insurance, as requiretl Dy seclion 3700 of ihe Lahor Code, tor Ihe perfortnance oi the work tor which this pertnit is issued. My workers' compensation Insurence carrier entl policy number ere: Carrier: Policy Number: (fhis section neetl not be comp/efed i! the permit is valued at one hundred dollars (S I00) or Iess.J ,�]' I cenity that in tha pedormance o ne work lor whictdhjF partnit is issued, I shall not employ any person in eny manner so as to become subiect to the workers' compensation laws of CeJi! ntl re tha "�s Q' Id become sub�ect ro the workers' compensetion provlslons ot Section 3700 of the Labor Coda, I shall fotlhwlth Appcomply with these pr 4` �j ��( licentSigneture: � �� oG�(��/ WAPNINO: FAILURE TO U WO ERS' CA ATI 'JVERAGE IS UNLAWFUL AND SHr1LL SUBIECT AN EMttOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE MUNDRED THWSANDDOLLAR 1W,OW),INADDITIdJ ECOS FCOMPENSFTION,DAMAGESASPROVIDEDFORINSECilON3]OBOFTHELABORCOOE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licen,5§{f o r pr � �ce antl ettect. ua s / ComractoYs Signature: � il / � ot Chapter 9(commencing with Section 7000) ot Division of the Busin�Ssand Prelessions Cotle, end my license is in tull Cl�iss a � �.�i S __ ,. _ �Dete: � .i � �.l .1 CONSTRUCTION LENl71NG AGENCV: `�/ - ❑ I hereby aftirm tha� there is a consimction lending egency br ihe pedormence of the work for which this permil is issued. (Sec. 3097, Civil Code). Lender's Neme: Lentlets Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: 1 hereby attirtn that untler penalry ot perjury Ihe� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciy or counry which requires e permit to construa, alter, improve, demolish, or repair any swcture, prior to its issuance, also requires the applicant for such permit to lile a slgnad stetement Ihat he or she Is licensed pursuant to the provislons of the Contractors License Lew (Chaptar 9(commendng wlth Sectlon 7000) ot Division 3 oi the Business and Prolessions Code) or thet he or she is exempt therefram antl the basis for the allegeA e:emption. Any violation of Section 7031.5 by eny applicant tor a pertnit sublects Ihe epplicant to a civil penalry oi not more ihan tive hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and iha structure is not intendetl or otteretl for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not epply to an owner ot property who builds or improves thereon, and who does such work himsell or herself or Ihrough his or her own amployees, pmvided Ihet such improvements ere not intentled or oHered br sale. II, however, the building or improvement is sold within one year of completion, the owner-builder will heve the bwden of proving t�at he or she did not build or improve for purpose of sele.). ' ❑ I, es owner oi ihe pm0erty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS b consiruct the pmiect (Sec. 7044, Business antl Professions Code: The contracrors Llcense Lew does not apply to an owner oi propeny who builds or Improves thereon, entl who coniracts for such proJect with e coNracto�(5) license pursuam to the Contractors License Lews.). ❑ I am ezempt untler sec. Business antl Pmfessions Code for this reason: SignaWre: Date: Owner ID verifiad by drivefs license. ❑ Ves ❑ No Dnver's License No. Venlicatian at Ownership 6y (typa ol tlocumem, i.a. - property tax bill ar tleea): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expire5: ❑ I hereby certify Ihet no excavation five (5) or more feet in tleplh into which e person is requiretl to descen4 will be matle in conneciion with work au�horized by this permit, entl ihet no building sirucWre, scaflolding, talsework, or demolition or dismantling thereof, will be more than thiny-siz (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Celifomla AdminisUative Code). ❑ As owner-builder, I will not empioy anyone to do work which would requi�e e permit irom the Division of Industriel Safety, es noted above, unless such person hes a permit to do such work irom Ihe tlivision. SignaWre: Date: Divisian at Industnal Safery Permit Number. CERTIPICATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I cetlity under penalry of perjury that I heve read ihis application and stete that the information given is correct. I egree to comply wl�h ell siate lews end ciry ortlinances retating to building conswction, end eu�horize represematives ol the Clty of Cosia Mesa to enter upon t�e above-described properry for inspeclion purposes. I aqree not to occupy or allow occupency of eny building authonzed by ihis permi� until final inspection. CODE �. 1616 7266 200 201 202 203 20d ' Fixed System Final Fire Prevention Pool Spa Final Finel Re-Roof Final BIocWRetaining Well Final Factory Fire Place Finel Sign Final Demolition � Date �,i�'ii �-/ D e CODE I INSPECTION TYVE 206 Finel Mechanical 208 Finel Plumting 210 Finel Elecirical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Finel BuildingiOccupancy Pdff. 1I�L5 7-zs-�t- �� (7�4) 754-5273 • Fax (77a) 750-ae56 • www.ci.costa-mesa.ca.us 77 hAIH UMIVt, l:VS1A MtSA, GF tlLtiLb BUILDING PERMIT Job Address: 2945 ELLESMERE AV Suite: Vicinity: Parcel Number: 13926102 Applicant SATTER, NICK Address: Owner: FREEMAN, DANIEL G Address 2g45 ELLESMERE AVE COSTA MESA, CA Convactor: GOLD COAST POOL & SPA Address: 2228 MEVER PL COSTA MESA, CA Zip: 92627 Arch : Address: Phone: Zoning: R1 Rl Phone: 949 574-9177 Zip: Phone: Zip: 92626 Phone: 94&574-9177 License: 736155 Eng: Address: Status: ISSUED Applied: OZ19/2004 Issued: 02/19/2004 ISSUED BY: � � Phone: Zip: License: License: SCOPE OF PERMIT ADDING AN IN-GROUND GUNITE SPA TO AN EXISTING SWIMMING POOL. - Plan Check: $117.81 Permit: $181.25 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $300.06 SETBACKS MAINSTRUCTUR� Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Righl 0- 0 Right 0- 0 5�o,aoo.00 $10,000.00 NOTICE: The work aulhorized by ihis permit shall comply with all applicable handicap access requlrements under California statutes and related regulations. (Ord. No. 92�28, § 1, 12-21-92) EXPIRATION: This parmit shall automatirally expire and become void Ii 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 Inspections and final epproval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8IN00) WORKERS'COMPENSAnON OECLAflATON: � ' I hareby aHirtn untler penelry ol perjury one of Ihe following tleclerations: ❑ I have end will malntein e certificate of consent to sel4lnsure for workers' compensetion, as provided for by section 3700 of the Lebor Code, for ihe pertormance of the work for w�ic� ihis permil is Issuad. ❑ I have antl will mainWin workers' compensaGon insurence, as required by section 3700 of ihe Lebor Cotle, for che perfortnance of the work for which this pertnit is issued. My workers' compensation Insurence carrier end policy num�er are: 3�� Policy Number: section need nof be completed il the pe�mit is velued ef ane hundretl dollars ($100) or Iess.J I cenity Ihat in t�e pertormancey f the work for w i /this permit is issued I shall not employ any person in eny manner so as to become subjaq to ihe workers' compensation laws of C�II�c]iM"!e egree t should become sub�ect to the workers' compensetlon pmvislons of Section 3700 of the Labor Cotle, I shell torihwith � compty with ihese pr�i E6s - � �� ,Applicani Signeture: Dete: WARNING: FAILURE TO S IX1RE WOPo(EPS'C� 1 SATIOI COVEMGE IS UNIAWFUL AND SHALL SU&IECT PN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TIqUSAND DOLLARE (5100,000). IN ADDRIOl��fO THE CQST OF COMPENSATION, DMMGES AS PROVIDED FOfl IN SECfION �W OF THE LABOR WDE, INrEREST, AND ATTORNEI"5 FEES. NSE� CONTRACTORS DECLARATION: by aNirm ihat I am lice nder pr i§ie end eflecL Lic. N --�� ectoYs Signature: ��// ��L CONSTRUCTION LENDING AGENCY: of Chapter 9(commencing with Section 7000) of Division 3 o(.the B �Claes M _ _ _ G6�a: Code, and my license Is In full ❑ I hereby attirm thet there is a constmction lending egency for ihe peAormence of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: Lender'S Address: Signeture: OWNER•BUILDER DECLARATONS: Date: I hereby aHirm Ihet under penalry of perjury Ihat 1 am EXEMP7 FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit to conslrucL alter, improve, tlemolish, or repair any sirucWre, pnor to its issuance, also requlres ihe applicant tor such permit to tile e signed statement that he or she Is licensed pursuent to tha provisions of the Coniradors License Lew (Chepter 9(commencing with Section 7000) ol DlWsion 3 of the Busineu and Professions Code) or Ihet he or she is exempt therefrom and the hasis for ihe elleged exempiion. Any violation oi Sectlon 7031.5 by any epplicant for e pertnil sub�ects the applicent to a civil penalry oi not more ihan live hundred dollars (5500).): ❑ I, es owner of the property, or my employees with wages as iheir sole compensa�ion, WILL DO THE WORK, and the siructure Is no� Intentled or aHered tor sale (Sec. 7044, Business antl Professions Code: The Conirectors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvements ere not intended or oHered to� sale. If, however, the building or improvement is sold within one yeer of completion, the owner-builder will have the burtlen o� proving ihat he or she did not builtl or improve for purposa of sale.). ' ❑ I, as owner of lhe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (SBC. 7044, Business antl Pratesslons Cotle: TTe contractors License Lew tloes not appty m an owner of property who builtls or improves thereon. end who contracts for such prolect with a contrector(5) license pursuant to tha Comractors License Lews.). ❑ I am exempt under sec. Business anA Professions Code lor Ihis reason: Signeture: Date: Ownar ID verified by driver's license. ❑ Ves ❑ No Ddver's License No. Verification oi Ownership by (type of document, i.e. - pmpeny tax bill or deed): E:pire5: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: � I hereby ceriity ihat no excavation five (5) or more feet in tlepth into which e person is required to descend, will be made in connection with work authorizetl by this permit, and that no building structure, scattolding, lalsework, or demoli�ion or tlismantling thereoi, will be mora Ihan ihirry-six (38) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Calilornle Adminlstretive Code). ❑ As owner-builder, I will not employ anyone to do work which would raquire e permit from the Division of Industrial Safery, es noted ebove, unless such person has a permit to tlo suc� work from t�e tlivision. Signature: Date: Division oi Industrial Sefery Pertnit Number: CERTFlCATE OF COMPLIANCE AND AUTMORIZATION OF ENTAY: I certity under penalry of perjury that I have read this applicalion and state that the intormetion given is correct. I agree to comply with ell state laws and ciry ordinances relating to building construction, an0 euthonze representatives of t�e Ciry of Costa Mesa to enter upon Ihe ebove-descnDed propetly for inspection purposes. I agree not to accupy or allaw occupancy oi eny builtling authanzed by this permit until final inspection. COpE I. INSPECTIONTYVE QSIE II�Lfi 1616 Fixad System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Finel Finel Re-Roof Flnal Block/Retelning Wall Final Factory Fire Place Final Sign Final Demolition � �� {�� Vtlltl J � Y Date COOE� INSiECTIOHTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy 7-16�a1 �2.1, 0 Apv�icant to flll in all spaces except those wlthin heavy eortler Itnes ana zi9n all aooropriate tleclarations. ciTY oF coSTA MEsn CONSTRUCTION PERMIT ProjectAddress i945 Filesmete Applicant'sMailingAddress 10422 Trask pve. G.G. 92642 Owner's Name RhiIIehHlt Phone 241-1561 Address 294`�E1183mete C_M_ Arch/Eng. License No. Address Contractor's rvame A-emes PLumbiA&-He8t1i{gone 530-2440 nddresslmai�ing110422 Tresk Ave. G.G. 92642 City L�cense No. 6664 LICENSED CONTRHCTOR DECLARATION I hereby attirm that I am licens nder provis� `oi Charter 9 encin9 with section ]000) of Divisi i 3 ot the Business�tl Pro wn tle ntl my license is in tuli i e an eitect. License Cla{s C-�� icense Z 30 Date 9�1+� Signa WORKERS'COMPENSATION LAR 10 1 hereby aitirm that 1 have a ce ificate o o nt to seli-insure or a certificate of Worke�s' Compensation Insurance, certifietl coOY tne�eof (Section 3800, Lab. C�78832 Republic Indemit Policy No. Company y Cerbfietl coOY is hereby fumishetl. rt' i tl6Q� y is filetl with the city 8{+iltling Divi n. Dat ��+J Applicani A�8mE9 �Yumbinst-HeaCinQ EXEMPTION FROM WORKERS' COMPENSATION DECLHftFTION (Thlssection neetl not b¢ tompletetl if the pe�mit ii for One huntlretl ($300) o� less). I certity that in the performance Of tbe wo�k for which this perm�t is issuetl, I sball no[ employ any person in any manner zo as to become subject to Ihe Workers' Compensation Laws of Calitornia. Date Si9nature 'NOTICE: If, after making this tleclaration, you snoultl become subject to tne Workers' Compensation provisions of the Labor Cotle, you must fortbwith comply with such p�ovision5 or th15 permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereCy affitm tM1at there i5 a mnstruction lentling agency for the perto�mance of [M1e work for which this permit is issuatl (Section 309] Civ. 0.) Lentler'S Name Lentler'S Htltlress OWNERBUILOEH 6ECLARHTION I hereby afflrm that I am exemo� �rom the ConVactor's License Law for the followin9 reason (Section 7031.5 Business antl Protezsional Cotle: Any ci[y or county whith rCqulres a permit t0 cOnst�ucl, dlt¢r, ITprove, tlemOlish o� repalr any slructure, prior to its issuance, also requires the apolicant for such permit to /ile a signatl stalem¢n[ Ihat he/she IS IlcenseC pur5udnt [o [no provi5ion5 of the Contractor's License Law (Chap[er 9(commencin9 �'��n Section 7000) of DiviSiOn 3 of the Bu5ine55 antl Professions Cotl¢) or tha[ be/ShC is exempt :here/rom antl [h¢ Uasis for lh¢ alleged exempHon. Any violation of Section 7031.5 by any applicant fo� a permlt subjecls the applicant t0 a civil �enalty of not mora lhan five nuntlretl tlollars (5500). 1, as owner of the p�o0erty o� my employees with wagos as their zole componsation, will tlo the work, antl the structure is not In[entletl or olferetl tor sale (Section ]044, Business antl Prolessional Cotle: Th¢ Contrattor'S �icense Law tloes not apo�Y to an owner or a prooe.ty who builtl5 OY iTOYOv¢5 thereon, antl who tloes such work nimsel//hersal( or throu9h nis or her own employees, provltletl that sucn improvements are not intentletl or offeretl for sal0. I1, howev2r, lhe builtling or improvemenl i55oltl within one year ot com- pletion, the owner will have the burtlen ot provin9 he/she tlitl not bulltl or im- prove for the purpose oi sale). ❑ I, as own¢r Ot tM1e proper[y, am extlusively mniracting wilh licensetl con- IIdCI01520 COOSINCi LhC pIOj2CI (Section ]044, Business antl Professior�s Cotle: Tne Contractor's License Law does nol appty to an owner of property who builtls or imo�o�es thereon, and who conVacts for su�h projects with a con- tractor(s Ocense pursuant�to the ConVactor's License Law). I am aware that proot o� their Worker's Compensalion insu�ance should be provitleC to me. ❑ I am ¢zempt untler Section B. & P. C. for t�is reason Oate Owner 1 here certify that 1 have ad this ap Iica n antl state that the above infor ation is correcL 1 a9ree t com i �pRy antl county ortlinances an sta[e laws relafine to builtl' a c stru On/adtl herebv auifta'iie iCOIX� or CMF 0865'4�6, rev. �— �� __.._. TVPE OP CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P #, DESCRIPTION OF WORK/USE OF BLOG. S Main Buildin9: E TVPE OF PERMIT GRA�ING FOUNDATION STRVCTURAL T Front ❑ TENANT ❑ EIECTRICAL � PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCRIPTION 50. FT. oCCUParvCv C Right CONSTRUCTIONTVPE VALUATION$ S Left ZONE GRADING CU. VDS. ACRES Ping. Ref. # a°ma'k':Reolace Water HeateBC��iV Cii� IRIOnrnrirtu PlanningNotes: Bar Sink Preventer Irrigation Jrinking Pountains Floor Drains Floor Sinks Gas Service Ouilets I nrerceptors Kitchen Sink Lavatories P—Trap Roof Drains Feinspettion Fee � $15 Boiler Ducc � Under Ground Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 sru O i oo,000 Reinspection Fee White - Goltlenrotl - Assesm� $75 PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wesh Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6100,OOOBTU ❑100,000 System Repair/Alteralion Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole S� Cooking Unit " Dishwasher Dryers �Gas �E Fan F.A,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Genereror 00.5 KN lectric 0�93 9/17/B5 Zone Accessory Building: Parking Req./Pro�ided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel MotorsDO-1 HP�1h-8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Li9ht Range ; Standing Sections 5�15 KW . Trash Compacror ;.oa r� FEES $ 3 I �'— peinspection Fee $15 Issue Fee' $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: . Zoning Approved By Date Building Approved By Date Appliwtion Issued By � / Dat� $ 3 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ S,OO �SSUANCE $ PLAN CHECK 25% 5 ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTALFEE $ S,OO PLAN CHECK 25% $ . z O N I N G R E Q M T S CONSTRUCTION AND PLANNING POO� .Y SPA APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. S[eel Reinforcement 3. ElectricafConduit 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, � Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK 11. 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 75. Rough Electrical-Conduit 66. Solar System-Final . i 6. 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 27. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test , 72. Underground Flush 24. Roof Framing �� 73. Undergrnd. Storage Tank � Gas ❑ Oil i � 25. Roof Sheathing �� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &�Moriocoat 75. Dry Chemical '1' 27. Frame and Flashing -. 76. Dry Standpipe 28. Lathing & Sidinc� � 77. FIXED SYSTEM FINAL 29. Insulation -j:+. 78. FIRE PREV. FINAL 30. Drywall Nailing [';�' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� 79. FINAL INSPECTION 32. Electrical Power Meter-Final" 3 80. FOOD CERTIFICATE ISSUED 33. Final Elecvic Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing ' 2"t�j Gf./� 39. Water Service-Final - 40. Gas Service-Final 41. Solar pomestic-Final ! �! 42. Backflow Preventer � ' 43. Backflow Irrigation • 44. Landscape Irrigation System 45. Sound Attenuation i _. 46. Handicap Regulations . a7. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50.' Gas Release to $outhern California Gas Co 51.� CERTIFICATE OF OCCUPANCY . N0. Date M>111 OI'fIC! 1(.JSWl.$TGAYLORDSI,—!'O BOA.nOPi LGNG BL4C11 10� CALIF7NNI♦ HLMLOCK 5-�.1?] SVRUCE 5�2081 T"wini�a e 0 L•"samin:�lion No. Iho,jeci Sa�nptc from � ,_ BPPNCII OiFICE )]19-0 NONTII HaNPEF $T. 5>NLA PNP, CeLIfOPN1A JEF�Cq50N 1 20�5 JEFiER50Y 1 20aO a, �,zc. n�9�5r �4, i9Go GUNITE RL•:PORT OI' 7'L•"ST CYLINDI:R SC60-25 L. MARTIN RESIDENCH - 2945 Ellesmere, Coata Mesa, Calif. Gunite �wim Poal Archiicci Cnntrxlor Fiesta Pool ,�lix Gunite 11'atcr. �aJ. �sk. cemcnt Afum¢x Size 6 x 12 l�arc cast 7-27-60 D.uc tcstcd 8-3-60 C��lindcr \o. 1 CO\1PHF,SSION "I'h:5"C 7 Days "I'otal luad to dcsu'uction. Ibs. 70,000 Pv��nils per squar'e incl� 2,475 l'ylin�lcr �n:�dc by C�9indcr dcliccred by, C}'lindcr recci�•ed on 8-24-60 2 28 Days FSC. 500 2, 85C Gunite Crew - Van Roy �G C. Cribbs V 7-29-60 - , cc: Costa Mesa Bidg. Dept. � C��.�..` L. Martin Fiesta POOIs T\1'INING LAF30KAT01{ILS OF SOU'CHERN CALIFOHNIA, 1[�C. r.[VC?'S R• 5.{f•.1 i'[v TS 'r1E fO1.F10EM1i�e4 PHOI'tFiV Of CLICNTS. � nHl].4i10rv !OR PUBLICATION OF pUp RCPOflTS, COf�CLvilOrvS. []R FA. �P+C'4 ii7n' nii eiE V+��.-iYG Tl�t w I$ NLSER':La VCtM1'J.'iC. OVH WRIL(EM1 AYP( �•L q5 P MVTVPL PftOT1.Cti01� TO CLICNiS� TME PUbLIC AtiO OVNSELVE$ = �=EE REC�i�lE[� "� ' �-�-?��° C'cc� a - � - � o COSTA MESA BUILDING-SAFETY DEPARTMENT fINA(�CE DEPT. P.O. BOX 317 GOSTA MESA. CALIFORNIA CITY O� COSi�i MESA FOR APPUCIJNT TO F/LL /N COMPCETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING �945 Bllesmere Avenue ADDRE55 COSTA MESA, CALIFORNIA FOR OFf/CE USE OMLY �WNER Ken rof Develo menli liQ RECEIPT NO, pERMIT NO. 'r : �3i� ;v MAII. 1555 Placentia FE<EIVEO BY DATE RECEIV�j D DATE ISSUED ADDRE55 I ��' I�//U I F,Eg � � TEL.[ BUILDING CITY Ne� Qi't Beach NO.O� z pDDRE55 e 'i7ecT ��a COSTA MESA. CALIFORNIA � 1GINEER NO. ADDRESS FIRE q� l ZONE TYPE GROUP • K�W� K011 STATE 1195 APPROVED CONTRAGTOR LIC.NO. BV OATE ACOn L& ZONING ADDRE55 N(;j{j�7Ar} RBaCY LEGFL I LOT 6O I I 3529 ZONE NO. OF USE OF N W � DESCRIPTION NO. � e�ocK TRACT uNa auuo A.P. NO. APPROVED � / BV � O�/ yD�ATE i0 O OF LOT � I ZyOO irreg I rvow oN toi 0 REOU RED AVLLOWED USE OF fCENTER LINE ST.) EXISTING BLDG. NOII FRONT S� Ff. IN. SETB/�CK LINE FROM n CENTEN OF STNEET SO , F2EAR YAR� LO � R. $IDE � FT. IN. SIDE YARD I LEFT S �� I RIGHT S L: SIDE �FT. IN. DESCRIPTION OF WORK- �']� REAR O �/ FT. IN. �� I� II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIDEMOLISH I SZIEDING 1HOO S1 ROOMST.'7 STORIES 1 EXTERIOR WALLCCO ICOVOERIryGOOd Shzkes COVERING J��A USE OF BUILDING qND WORK TO BE PERFORMED Sin Ze-Fami]. A and Attached Garage oZ�C I HENEBY ACKNOWLEOGE THAT I HAVE REqO THIS APPLICqT10N AND STATE THAT p OVE IS CORNECT AND AGREE TO COM� THE AMOUNT BHOWN UNDER VILUATION 18 FOfl THE PLY WITH wtl Y ORUT ANCES GULATING PIIFPOSE OF ESTABLISHING A PEHMIT FEE ONLT. eu�toiNG coN rnuC o. VALUATION SIGNATURE PERMIT FEE $ 3� PERMITTEE %y/I $ / /J �� PLAN GHEGK S �y.� ,� HORIZEDAGENT TOTAL FEE S ��'� `1 =, , ' 12548 C�OSTA MESA BUILDING•SAFETY DEPARTMENT P. G. HCX 917 CABTA MEBA. CALIFORNIA For Applicant fo Fill In Complefely TYPE OR PRINT ADDRE65 �^ / �.J GOSTA MESA. CALIFORNIA nwuco �-. . MA/1Mm "TEGT TEL. •��:(� / i3 0 ucTrEio. ��3 P/6 No: 0 7��2.5 O'F LOT � � D X G� ��o. OF atnae. Now oNyoT U6E OF �� .. � C�" J wx�ariv� n� nr. a1i � 6[TBACN LINe DESCRIPTION OF WORK I � II -• -----.-•. II .--�-•- � � X � � ROOM WA4L I ROOI COVI IILDING AND WORK TO I HCHEBY AGKNOWLlDOE TXAT � HAVE RB�D THIB APPLIGTION MlO BTATB THA� TH¢ ABOVE 19 LORRBCT AND AGPEB TO COM• PLY WITX ALL CIiY OftDINANC88 I�ND 9TATE LAW9 REOULATINO 9UILDINO CONB'�MUCTION. BIGNATURH OP �� G ��(/�� PERMITTEG AUTHORIZED AGENT FEE RECEIVED , /S� J-� ppfl NCE DEPT. '441 4€'��sf�4��M�T BUILDING For Office Use Only RECEIPT NO. PHRMIT NO. RELH,,,�i�'�� I DA/ R/E/ � I•/ �I �f �u�O(/ % � BUILDING ADDRE66 �� COSTA MESA. CALIFORNIA FIRE LZONING 20N@'1' 1 NO.OP ^ / O6E OF NEW �� PI�Ne Y eu�tnlNc { ��a�e,�,�u L �, �� i � 4 (C6NTCR LIN6 eT.) ePPROVED r, . i///l ..._� � .- TX8 AMOUNT eHOWN IIND¢R VALUAT�ON �9 FOP THE PUIPOB¢ OP 28TAOLIBMIN6 A PERMIT F66 ONLY. VALUATION j� � PERMIT FEE S (/ r s � �DD / PUN CHECK $ � TOTAL FEE v —� AOPlieant to fill in all spaces witnin heavy borOer Ilnes ana zign all aoG�aD��ate tleclarations. �'G�fY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. �BLDG. NO. ' CONSTRUCTIONPERMIT �oS3 Z. Project Address S TVPE OF CONSTRUCTION ' OWnef p) � Phone �NEW ❑ADD ❑ALTERATION 3G1;8 8/19/BI . 36oe� Addfe55 y ,�' ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ZQNING REGULATIONS Arch/Eng. License No. ❑ aTHER _ _ DESCRIPTION OF WORK 'e�" A'P' � Add�e55 - ZONE � PLNG. REF. � Contractor L�t S �„� Phone TYPEOFPERMIT - B N TpBUi�p irvG � .'/ � C�• SETBACK C T. �� PROPERTY LINE�� AddreSs ❑ GRADING ❑ FOUNDATION ��`STRUCTURAL i1DE VARD �O/ i l LICENSED CONTRACTOR DECLAftATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA 5EF I bereby aifirm that 1 am licensetl untler provisions of Charter 9(com- . - R� GHTA u . mencinq with settion 7000) of Divislon 3 of the Buslness antl ❑ OTHER ' � Professlons Co e, antl my ❑cense is In fu❑ force n0 effCt[. REHR VARD (TO P/L) � .�P��,�L� PROJECTDESCRIPTION PKG.SPACERE(l. PROVIDED LicenSe Clazs � Licen No.��J� Date ��7—�� Signature SQ. FT. - - WORKERS' COMPENSATION D ARATION OCCUPANCV_CONSTRVCTION TYPE STREET WIDTH PARK FEE $ I hereby af(irm that I have a cer ' icate of mnsent to sel�-insure or a VALUATION1j �yS ZONE ZONING APPROVED BV � DAT certificzte of Workers' Compensation Insurance, or a cerUfietl mpy thereof (Section 3800, Lab. C.). GRAOING CU. VOS. ACRES SPECIAL CONDITIONS: :y No. Company ' .ertifietl copy is hereby furnishetl. REMA0.K5: � Q �L $%F� S � Certlfied copy is filetl with the city Builtling Division. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � (This section neeC not be completetl if the permit is for one huntlretl (E100) or less). � I certi}y that in the performance of the work for which this permi[ is Issuetl, I shall not ¢mploy any pe�s in any manne� o as to become PLUMBING PLHN CHECK ELECTRICAL PLAN CHECK subject to the W rkers' Compensati Law f,Callfor ia. Date�5i9nature � BATHTUBS SHOWERS , NOTICE: Il after making this tlecla tion, you shOultl become subject � TOILETS URINALS GENERATOR 0-1 KW_1-10 KW [o the Workers' Compensation prov ions of the Labor Cotle, you must TRANSFORMER � forthwith comply wi[h such provi5ion5 or tM1is Oermit shall b¢ tleemetl LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50 + KW revoketl. CONSTRUGTION LENDING AGENCV KIT. SINKS DISHWASHERS MOTORS -0-1 HP_1-10 HP I hereby affirm tM1at there is a wnstructlon lentling agency for the per- SERVICE SINKS SUMPS UNC. SOLAR) 30-50 HP_50 + HP formance of the work for whlcn this permit is issuetl (Section 309] Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lentler's Name Lentler's Atltl�ess DRINKING FOVNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt trom th¢ Contractor's License Law for the followinq reason (Section 7031.5 Business antl Professlons Cotle: SWIMMING POOL PTRAP Any clty or county wM1ich requires a permit to construct, alter, POLES METERED SUB improve, tlemoliSM1 o� �epair any structure, prior to it5 issuance, also re- yyqTER $ERV ICE ALTERATION �PANELS MAIN SUB qui�e5 the applicant for suclt pe�mit to file a signetl statement Ihat he Is licensetl pursuant to the provisions of the Contractor'S License Law GAS SERVICE OVTLETS SERVICE AMP (Chapter 9(commencing with Section 7000) of DiviSion 3 of tM1e Business antl Pro/essions Cotle) or that he is exemp[ [herefrom and the WATER HEATERS BTU OUTPUT -is for the allegetl exemption. Any violation of $ection ]031.5 by appliGant fo� a permit subjetts the applicdnt to a tivil penalty SEWERCONNECTIONS - " - ,iat more than fiv¢ huntlretl tlollars (E500). LJ I, as owner of the praperty. or my employees with wa9es as their SOLAR TANK COILECTORS � - So12 compensation, will tlo the work, antl the structuve is not intentletl . or offeretl for sale. (Section ]044, Business and Professions Code: The SOLAR PIPING SVS. ' ISSUE FEE � ContracioYs License Law tloes not apply to an owner of a property - � APPLICATION APPROVE� BV OHTE who builtls o� improves thereon, antl who tloes such work himself o� ISSUE FEE throu9h his own employees, provitletl that sucM1 improvements ate not intentletl or oHeretl ror sale. I(, however, tne builtlin9 or improvement MECHANICAL PLAN CHECK SUMMARV OF FEES y.� Is soltl within onc ycar of completion, Ihe owner will have the buvtlen gU1LDING �� ' �,SV of p�oving he tlitl not builtl or improve for tne purpose ot sale). HEATING SVSTEM 0-100,000 BTU PERMIT $ a� SMIP 5 ❑ I, as owner ot tM1e property, am exclusively contrac[inq with qNDDUCTING 'L� licensetl tOntractors to wnstruct iM1e project (Section ]044, Bu5ine55 100,000+gTU PLANCHECK $1� PERMIT and Professions Cotle: The Contractor's License Law Goes not appty to ISSUANCE $ an owner of property wlto builds ar improves thereon, antl who mn- REFRIGERATION 0-100,000 BTU PLUMBING $ bacts from such projects with a contractor(s) licesnetl pursuant to SVSTEM 100,000+gTU �-'� > PLANCHECK $ GRADING $ the Contractor's License Law�. ❑ I am exempt untler Section B. & P. C. for this BOILERS BTU � ELECTRICA� S E reason PLANCHECK $ MICROFILM S Date Owner ' - SVSTEM REPAIR,ALTERATION MECHANICAL $ TOTALFEE$ I hereby certifythat I have �eatl this appliCation anG state that the above EXHAUST SVSTEM MULTIPLE LES$ AD- Iniormalion is correcL 1 agree to compty with all city antl county PLANCHECK' S VANCEPC g o�tlinances antl s[ate laws relaling to construction, antl hereby authorize - repre5entative5 of this city to enter upon the above mentionetl � si property in ection pur os p��y �/ Signa[ure Date 1L� FINAL FEE $� Drivers' L' ense ISSUE FEE � `F 0865-46 White-Builtling; Gnary-Applican4 Pink-Accounting; Goltlenrotl-Assessor T4 CONSTRUCTION AND pLANNING POOL & SPA . ,� APPROVALS Permit # Date Inspector qppROVALS- Permit # Date Inspector � 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location " � �� •� 2. Soil ipe-Undrgrn - 44. Steel Reinforcement '' ' � � 3. Elecirical Conduit Utility-Undrgrn . 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 2 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings � • g 49. Electrical Conduit-Undr rn � 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ ndr rn � � 10. Structural Floor System � 52. APPROVAI.TO 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 � � � i 6. Rough Heating & Air Conditioning � � Fencing & Access Approval 17. Ducts, in.Structure 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating ' . � _ , ', 79. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing � 21. Roof Sheathin 22. Frame and Flashin NOTES: . . 23. Insulation 24. Lathing & Siding _ 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test � 37. Final Plumbing 32. Water Service-Final ' ' - 33. Gas Service-Final 34. Solar pomestic-Final � ' 35. � Landsca e S rinklin S stem 36. Sound Attenuation � ' 37. Handirap Regulations 36. FINALSTRUCTURE&BUILD�NG '/ 39. Special Requirements Completed 40. Electric Release to Edison � � 41. Gas Release to Southern C,alifornia Gas Co. - 42. CERTIFICATE OF OCCUPANCY � No Date