The URL can be used to link to this page

Home My WebLink About1091 EL CAMINO DR - Building PermitsADDRESSOPBIRDIl 1091 EL CAMINO DR usm an'NEWSNAIEIFIQQ;A' OSBURN,—HERMENEGILDA — ADDRESS 1091 EL CAMINO DR " CO—7130STA MESA CA 92626 .MPL. N,UUNG ADDRESS: 714-437 --� � '� _ ARCIRTECT OR ENGINEER: I/C. NO.: All OR ENG.'S ADDRESS: UNIT, CONTRACTOR'S NAME: COKIRACTOR'S MAJUNO ADDRESS: UC. NO, UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury that I res licensed under provleions of Chapter 9 (commencing with Section TOGO) of Division 3 of the Business and Professions Coda, mho my license is in full force and effect. CITY LIC. NO.: LIC. cuss: LIC. NO.: EXP: Date: Contractor: OWNER BUILDER DECLARATION: I hereby affirm under penally of perNry'that I sum summer form the ConNaews Liberia law for the r,howi g reason (Section 7031.5 Business and Pmlessions Cade: Any City ce county which requires a permit to eonstmd, Der, improve, nit oUsh. or rapes any sones e, prior to ha issuance, also his wane the seplirant for such permit m fik a signed "must laid he of sM t zxenssel Pursuant to the provisions of the Contractors License Law [Chapter 9 (commands, with Section ]000) d Division 3 d the 'y`ytnwrr and Professions Code] or that M or she is exempt therehere and the basis forthe alleged exemption. My vgklpn of Sedion M31.5 by any applicant for a permit subjects IM supplicant to a oral pdnafy, of not more than five hundred dollars Ii500i). ❑ I, set owner ofthe property or my employees with wages u Ihei ON mmpenmton, will do IM wmrk, and Ne stamors is me intended or Mend for sib (Section 7044. Sucires, and PMessions Code: The Composed. 1-eenea Use does per apply, to an owner of Property who bolds or mprovee rMraon, and who does each work himself ce Mrealf orthrough he or her own employees, provided thin such improvements we not intended or offered for sale. N. however, the bridling or inpmvement is sold within ore year of mmpktion, the ownerbuilder will have her burden of paving he or she did no build or improve for the purpose of wide). I owner the er mn exclusively contracting wish licensed contractors to construct the prejed (Sedion ]044, Business and Publications; nl-d= License law does mel apply to an owner d property who builds or improyar Ihereon and who contracts for jest will a mrerador(e) licensed pursuant to the Contractors Lesions Lew). I am e m sr Sed B. d P.C., M this noon: Owner do hereby ndy am aware ofand understand the requirements d Gallows Health and Safety Cade Sections 25505, 25533, and 5531, end th r any ulure building became wit I will net (circle one) need to empty with raid state ondu and the requirements for enh form olio rmadificetionfrobbsAir ua�egemenl Dimdd.Reeid Mialcandmdlonapplrationaareuemptfmmlheee Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of pa ey pas d the ldlowhp dedaratixn: ❑ I have and will m ratan a ceniticete of consent to ssNinsure M wodran' compeneetifn, as provided lar by Section 37W d the Labor Code, for the pedonname of the wade for which this owner is heard. ❑ I have and will maeen wedrere mrmren.mlon insurance, as refused by Sediin 37DO of the Labor Cede, for IM reno.manc<d the work for which this permit is lasuad. My workers' mrommation insurance osier arrd policy number are: Ceram: Policy Number. .e;-�had ortM deredltM psmra is ler sure hundred ddlare RlDglwbo.l ii ( e rmerwe d tM wwk Icewhich thio Mined is ieeued, I shll not empoy srry person in any manner ee ee to ubj� o the wnrksre' mmpeneation laws d Cafilermia, and agree that B I Mould became subjw to the workers' pars. I Sedim 3]00 0l the labor Code, spell lonhwilh mmpy with those provisions. \ m Applicant: J\ Wavering: Fsllun ne sxun woMxs' mmperwtlon coverage Is moles ( and shall srblecf sn symployx to cNMnel pensltlss and civil fires w N me hundred pioneered dollen ($too,=), In moddoe re Ihs cost of com erruetbn, ebmagse es p surshi ler In Sapdon 37M of Its Labor Cods, Interest, end ellimsyi feu. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury her them is a censtmdion lending agency ler the performance of the work for which the permit is issued (Section 3097, Cw. C). LENDER'S NAME: LENDER'S ADDRESS: I certify bet I have read this application and Mde Thal the shove information is coned. I agree to comply with all city and county adiremer sus new to MiMhpconsmdo Mrebyatnhpaemp* ntOt wdthetlytoeMeruponthae-menlionedpmpmy fermuee Per EDGARDO FAJARDO Print Name Dore: 0 L (5151.446.WP) Wh h-Buildiq 8 Safely, Green -File; Canary-APPlirant: Pink -Revenue; Goldenrod-Asseasor CITY OF COSTA MESA - BUILDING PERMIT ' PERM NO;, E.Q77061 PERMIT NO: E 077064 PLAN CHECK NO: N -GOVT: N SUPP: N CONSTRUCTION TYPE:, 5—N__ PERMIT TYPE: ELE PURPOSE: ALT JOB.,DESCRIPTION :,ALARM SYSTEM- SQ FT: CLAIM VALUE: .,,..... 130.00 CALC—VALUE: -GROUP OCC: R-3 /U-1 COMMENTS:. INSTALL ALARM SYSTEM *****9E iP*0E 9p iE*9E RE RE i6 R6 Rt 0E*ee RE RE**9P 9E*iE iE OE iE*IE iE iE 9E 0E 169E iE 96 Rf RE*Re iE 1E*iE BE 9E 9E****REiEiP RE 1E iE 9E eP �[-aE*aE iE �E iE iE iE iE+E iE i( -it Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- 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 PARKING REQ: PROV: PARCEL: 14162313 ZNE: REF NO: PLANNING NOTES>_ 1E RE*RE 9E 9E RE 9E 9E SE RE SE NE RF 9f Rf SE RE dE 9E4NE it*if dE*if iE lF lE iE iE dE 1E iE RP 9E RE 0E 96 iE 9E RE NE OE dE*iF iE iE 1E RE iE**9E SE 9E iF 9F iF*iF*iERt*0E*iE iE 1E Ne NEk*iE iE D E V E L O P M E N T S E.R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: y DATE: 5E Rio * * 1E eH * �E * fE iE iE * RE BE * BE � 0E iE 9E RF�IF3F * * BE BE iE BE BE * * OEC-`7F�lF��iE LEGALIZATION:N F E'E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 11.00 503 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 0 TOTALS ---- > 11.00 15.00 0.00 26.00 26.0 .00 REVENUE DIVISION TOTALS--> COLLECTED: 26.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 26.00 0E 9F 9E 9E 9E 1E eE RE dE 9F RE RE 9E 1E iE 9E SE RE RE * * 1E * * iE lE BE *!E 1E 1E 1E ik iE i4 iE iF BE BE RE RE RE Rb eE RE 9E * if * 9E 0E RE iE 9E * 1E BF RE RE iE Rf R(' iE *'7L' Sh 9E 5t iE ib 9E dE iE Bp'lE 0E SE 9E I N D I V I D U A L F E E B R E A K D O W N TYPE.,.. .QTY_ ,.- DESCRIPTION UNIT COST TOTAL COST ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11.00 11.00 END OF FEES Olt 00203345-00293845 TOT DATE: 04/005'5 TIDE: 16:35 ONSTRUCTION AND PLANNING • ` - . j -•' • POO :PA i Date APPROVALS Permit # Inspector APPROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole 52 -Pool 8i Equipment Location 2. Soil Pipe-Undrgrnd. -53.-Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrnd. ...,-„�-, 54. Forms -��'• - =I—Electrical Conduit-Undrgrnd. �, 55. Electrical Bonding � 5:'Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. >. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test = .-9. Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, 0 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 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval _ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19, Rough Heating & Air Conditioning FIRE DEPT. rn - i -REQUIREMENT 0VA' Per mit# ` 20. Rough Factory. Fireplace A,,. _ t _; r.•, :'APPf 21. Ducts: in Structure- _ ' '- 70. `Undergrou'nd F{ydro 22. Ducts, Ventilating . _ ;'' 71. Product Piping Nus 6Oil �� 23. Gas Pipe -Rough & Test - •t = 72. Underground Flush P 24, Roof Framing 73; Undergr d. Storage Tank O Gas ❑ Oil , 25. Roof Sheeihing <, v -, .. _ i - .. 74; Overhead Hydr& 26. T -Bar Ceiling (Structural) & Moriocoat 75:. Dry Chemical 27. Frame and Flashing - + 76. Dry StatSHpipe,- 28. Lathing Siding 77„ FIXEDY`-STE[yl-FINAL - 29. Insulation - - r-• 78, FIRE PREY. FINAL f - 30. Drywall Nailing ;' _ !+_ - -HEALTH DEPT. REQUIREMENT 31. Plaster Brown -Coat ,: • 79. FINAL MSPECTION >. 32. Electrical Power Meter -Final t, t' �U ,FOOD CERTIFICATE ISSUED. :- / .i 33. Final Electric _ {"y�.�� y` {i7L ' lir .l Notes: -=+ - _ r - 34. Finat.Heating-& Air Conditionirig- �r i 'zr I c 35. Final -Gas Pipe;Test .: .�, �_ i '� t: r 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final • _- s, • , `t _� c • 40. Gas Service -Final C •- `- - - 41. Solar Domestic -Final M✓ { L' 7 r. Z7 X i r 42. Backflow Preventer Y IT)r] 4 _• 43. Backflow Irrigation - ,. ; e ; } •� J ti 44. Landscape Irriqation System '-r• t•: _ G �r i; t7 v s:t, s =. �- a c t 45. Sound Attenuation 46. Handicap Regulations _ " �= _ Y 47. FINAL STRUCTURE & BUILDING " z J x - 48. FINAL PLANNING - a 49. Electric Release to Edison _ 50. Gas Release to"Southern California Gas Co a r r - s 51. CERTIFICATE OF OCCUPANCY No. Date AgECZ,,n,\IL GUEST -Ho l Og l EL CSM W O pr _.F1FZS i £L.V_QR COSTA MESA CA Cl 2.6 SCALE = 3/.61 2-P 1- 2- HALL WAy `— -- BATH n b , µ � x17c�f1=N_ RIN1Nc,� a- s 2 CAR z IN _ PUt3L.IC WAY Y f P3 PROJECT ADDRESS: 1091 EL CAM I NO DR UNIT: OWNER'S NAME: MAHAIRAS, GEORGE ADDRESS: MAHAIRAS, EVANGELIA 1091 EL CAMINO DR COSTA MESA,CA 92626 437-5912 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE; PERFECT COVER ROOFING (714)434-15661 ADDRESS: 3303 HARBOR BL D-5 COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby atfirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect. CITY LIC.: 0544055 STATE LIc.:622516 CLASS: B EXP: 08/94 Date:---"-_-'.�- Signature: —PM _ WORKERS' COMPENSATION DECLARATION: I hereby affirm that l have a ca ndidate of consent to self. insure or a certificate of orkers' Compensation IrlvuNode3t",lieQ�capy thereof (Section 3800. Lab. 6 7 / 0 1 / 9 5 POLICY ND.: STATE FUND EXP. DATE: COMPANY: ,,��[[ Certified copy is hereby furnished. LJ' Certified copy is filed with the city Building Division. Dale: 1B > 2.q 9+ Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: Ihissection need not be completed if the permit is for one hundred ($100) orless). I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cade. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ_ C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt Irom the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis tar the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). I. as owner at the property or my em Ioyees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7144, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and he does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1. a, owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon s) and who contracts for such projects with a contrac ip license pursuant to the Contractors' State License Law). I am aware that proof of (heir Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section. B. 8 P. C. for this reason: Date: — Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree t0 comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned Properly for inspection purposes. Date ��2 G_s� Signature: ill Driver's License or Social Security q: 1641-46 While—Building; Green—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068585 PERMIT NO: B 068585 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SO FT: 5.896 CLAIM VALUE: 5,896,00 CALL—VALUE: 5,896,00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQRD AS PER 91UBC, REROOF 2350SF RESIDENCE � O **iE iE iE iE iE iE iEfE 1EfF 1E iE iE****rt1E Z aE 0 iE NiE IiE eE iE G iE iER iE iFQ eEU jE IiER eE 9F MiE iE lE NeET if*S*9jE�y.jFrE\'. CFETM R Z O N I N G R E Q U I R E M E N T S V` MV Gam/ ------------ MAIN BUILDING ----- S—E—T B A—C—K—S — ACCESSORY BUIL'I.g U�RED_- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 13928427 ZNE; REF NO: PLANNING N TES> > 1E**k1F fEk It iElFiflE1ElF if iF ik iE iF 1F 1E*iE fE 1F iE 1E 1E 1E IE iF 4 iE iE iElE****lEiE*IE iE iE lE iE iE fE*it iE*iE IE iE iE if iE lE iFk %iE iE %iE 1E*iE iE *lE iE***iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: `� DATE: 2.3 t iEeE1EfE*iEiEiEiE+Eat*aE**iEitiEaEeEiEiEiF�F3F'iF3F3F3S>*TFTF�'iF�E3FiFiFSFiF3f3F3F �EiF3f3F;F+E�EiF3FiEeE+E+EiE*eE�E** eE+E iE 1E * fE fE i(- iE lE fE iE iE iE if iE if iF * 1E iF * RE iF iE lE iE lE iE iE iE iE iE iE iE * iE * * *!E it 1E IE iE iE 4E lF iF 4 iF iF fF fE iE fF iE iE fE iF fE iE iE RE * iE * * * iE iE iE iF iE fE iE iF iE iF iE iE LEGALIZATIl F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81,00 ,59 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 81,59 0,00 0.00 81,59 81.59 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 81,59✓ OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 81,00 ,59 iF iF lE fEfEfF**1E if 1ElEiE*iE*lE 1E iE iEfElEiElE iE k lE it lE lE *lF iE lE iE iE iE iE iF*!f iE*kiE lE iE kiE kfF*iF if iE iE it fElE iE iE iE 1E 1E 1E iE iE ik**1E lE fE4 kiE iE iE iE I N D I V I 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 5896 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5,896.00 END OF FEES EXPIVIgD DATE III 01 00166465-00166469 T CET 31.59 BATE: 08/23/94 TIME: 08:30 CO�RUCTION AND PLANNING POO I PA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. : 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd.- 55, Electrical Bonding 5. Sieel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58, Electrical Conduit Undrgrnd. S.:Foundation _-' 59. Gas Pipe, 0 Undrgrnd., Test 9..Water Pipe-Undrgrnd. ., 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK 11. Property Sewef Line & House Connection 62. Backwash & Receptor -Final ' 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - I 64. Plumbing System - Final 14. Rough Plumbing I 65. Electrical -Final 15. Rough Electrical -Conduit i 66. Solar System -Final 16. Rough Electric.Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT IAPPROVACS _.• Permit - _ 1 20. Rough Factory Fireplace _ 21. Ducts, in Structue• ,.rl ; 70. Unde'rgrouri4 Hydro 22. Ducts, Ventilating - � 71. Produc2;PTping G gas 0 Oil 23. Gas Pipe Rough & Test - • _ 72. Underground Flush 24.,Roof Framing •• - - ; 73-. Undergrnd. Storage'Tank!u Gas 0 Oil _ 25. Roo' Sheathing.74.CO,verheadHydro-.' ,� u E- 26. -T-Bar Ceiling (Structural) & Monocoat 26. 75' Dry Chemjcal- `_ o- .• „' 27. Frame and Flashing -, 76. Dry StandpiRe :- -- _ _28. -Lathing•& Siding: F 77:' FIXED SYSTEM -FINAL 29. Insulation 78._ FIRE PR EV. FINAL -, -• > z^? ��; 30. Drywall Nailing t 37. Plaster Brown Coat;: ( I I •L . HEALTHOEPT. REQUIREMENT - _79. FINAL INS-(;ECTICjN ' 32. Electrical Power Meter -Final l i80, ;FOOD CERTIFICATE ISSUED . 33. Final Electric i �, _ Notes:^ 34. Final Heating& Air Conditioning' IxIt eq oz (O 35: Final Gas Pipe -Test _ CAD -r �C:,l v 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water ServicesFinal 40. Gas Service -Final 41. Solar Domestic -Final 7. -, 42. Backflow Preventer , 43. Backflow Irrigation "t • - 44. Landscape Irrigation stem 45. Sound Attenuatiorv-1 46. Handicap RegulatiolTn '-- 47. FINAL STRUCTUREr&XbILDING -� - 48. FINAL PLANNINIT1 i 49. Electric Release to:Eaisc „t 50. Gas Release to Sou`RerrT a�lifornia Gas Co - - - 51. CERTIFICATE OF. -OCCUPANCY P_. No. -Date , a CITY OF COSTA MESA NOTICE OF PERMIT EXPIRATION TO: GEORGE MAHAIRAS DATE: October 4, 1996 1091 El Camino Dr. Costa Mesa, CA 92626 PERMIT: B 68585 PROJECT ADDRESS: 1091 El Camino Dr., Costa Mesa, CA Our records show that the listed permit(s) were obtained for property improvement or alteration at the above address. According to our records, the permits have not had a final inspection. If you have any information to the contrary, such as a signed off inspection card, please contact this office so that we may correct our records. The permits were obtained by: (X) CONTRACTOR ( ) OWNER Name: PERFECT COVER ROOFING Phone: (714) 434-1566 License Number: 622516 To construct or install: REROOF Permits are valid for 180 days from issuance or your last inspection, per Section 106.4.4 of the 1994 Uniform Building Code. If you do not contact us within 10 days, your permit(s) will expire on October 18, 1996. Additional fees may be required to finalize the permit. If you have any questions, please contact THE BUILDING DIVISION, at (714) 754.5273, between 8:00 a.m. and 4:30 p.m. and staff will be happy to assist you. Tony C' De`Bac: Building Official TCDB:ijh CITY OF COSTA MESA, BUILDING DIVISION, POB 1200, COSTA MESA, CA 92628-1200 PHONE (714) 754-5273 • FAX (714) 754-4856 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA- CONSTRUCTION PERMIT PE IT NO.�j/ d�0� TRACT NO.' `LOT�NO. BLDG. NO. - TYPE OF CONSTRUCTION ! r ❑-NEWEYADD ',ALTERATION - - - ❑REPAIR❑ CONVERSION 13 DEMOLISH,. I -� OTHER DESCRIPTION OF WORK' _ .___ _ _ f _,r J s - - -• - "` ` - " '- 7869 9/17/62: = - - - `:•- •. - - V ZONING REGULATIONS, A P , I _ ._ ' • ZONE •, PLNG. REF..7f,..s. "' 6.20 _ _. _ :Project Address G 1 Owne!" Phone -" Address' y�l��j/f(�2�' "' f -'-""` _-' I Arch/Eng."' " _ _ '"- "- : '" License No. 'AHdre55'— - _____ s( `ConNact -' C"� - -- " -"'Ph ,�•� 7 TYPE OF PERMIT, - -- - --�- - -I - - - GRADING ;,E1 FOUNDATION- `EI'STRUCTURAL` - t ❑TENANT �-ECECTR ICAL LUMBI NG -E) MECHANICALSIDE _ . ^- ❑OTHER - - . -� • PROJECT DESCRIPTION' _- ji-_ -,. _ i "'__ y. I SQ: FT.' _ ft- _-. - __ - SOC CUPANCV_ CONSTRUCTION. TYPE. r i V'AL'UATION ZONE .g aR BUILDING- ' - .SETBACK L ST. O ERTV-L NE •� 'SIDE YARD :LEF VAR - ' f RIGHT -••f' •^ -� l REAR YARD (TO P/L) -. _- .. - -. _ �. ;PKC. SPACE REO. ,PRO V,IDtD ISTREET WIDTH .PARK FEE,$ !ZONING APPROVED BV, I„ r •s DATE r t ' - r _ __ _ _ j Address - '- LICENSED- CONTRACTOR DECLAR ATI - - ---=- ---- - Ja 'I hereby affirm th t' I am licensed under visions of Charter 9'(com- mencing' with -section -7000) -of �Division- 3 -of the Business - and Professions Code, •antl my license ;s in full fort antl f L License Class I nse No L,_.7! WORKERS•C MPENSATION DECLARATION-- - If hereby affirm that I have a certificate of consent to self-fnsure,or a certifiwte-of'Workers'Compensation Insur e; or aaa^^^[[[,rtifietl copy ,thereof (Sectio 0 a . C,) j GRADING CU. VOS. , ACRES SPECIAL CONDITIONS. c f • ' CY NO._ _.-Co rri Pant - '/ __ - 1 _ _ r REMA 5: - - r - erti/ieticopyis-0¢reby furnished. --- - - - -`- - -'S ertifietl copy is filetl with the City Building Division. O EXEMPTION-FROM'WORKERS' COMPENSATION DECLARATION (This -section-need -not. be.completed if,the_permit.is.for one.hundretl ($100) or less). .. r• r I. certify_that.in.the' performance of_the_work,for_which.this,permit,is issued, I shall not employ any person in any manner so as to;become subject the.Worke,rst.Compensation.Laws of California.-_.:._ _ -_ _ __ } _ .. ... _ . __ _ •_-__ r'! %':-••' --'- f' -_ - _v .-„_. ,_ - ., _.. ._- _ _ ----• - PLUMBING - ;-i^, PLAN CHECK I .ELECTRICAL PLAN CH_EC K. "' -- a ;� - __ _ _. BATHTUBS SHOWERSSO, QWt,.. __. _ __ _- __ :,.:-_• _ FT.qtr -' •nl% - __ _ it •- Date 1 Signature NOTICE: If after making this declaration, you should becomefsubject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed !evoked.-_- -, . _L_- _.._. -_ _ j_— __. . _-- _ I ..___ _._- CONSTRUCTION VCTION LENDING AGENCY I hereby affirm that there Is a construction lending is agency for the per- formance of the work' for which this permit is issued (Section 3097 '6URINALS ' "` "t -" _ -^ LAVATORIES DOUBLE-LAVS-"-- `�� 'GENERATOR - `0-1 KW_1=10;KW • �' ,,TRANSFORMER -- - n-''_.••'_ APPLIANCE "30=50 KWr_50 + KW •/ __.—..___ _ _ _ 'KIT. SINK$ _ DISF{W ASHERS�" � j '�' �M OTO R$ - `-- `� 0-1 IiP_1'••30'HP� _, j _ SERVICE SINKS,L; -:b SUMPS-•`-'- " .��.' ?(INC r50 LA R)^--10-50 HP=� 50'+ -HP -- - •C FLOOR SINKS FLOOR DRAINS ) 1FIXT0R ES" OUTLETS" SWITCHES Lender's Name Lender's Address ORINKINO TP.I NS ' (• -'4'-� - FOUN ' --""-""""-`-"'--"' -,GAS TUBE SIGNS - "�•' OWNERBUILDER DECLARATION' -"" "-- '-` _-' - -' I hereby affirm that I am exempt from the Contractor's License Law for _ I INTERCEPTORS CLARIFIERS `POLE -LIGHTS V r {t ` __ T WINO -SWIMMING POOL:__ PRAP -I -"'- • POLES METERED T- SUB 4' - r• a the-following' reason- (Section-7031.5'Business' and'Professlons-Cotle:• construct, alter, Any city or county which requires a permit to Improve; demolish prior to its Issuance, also re- quires the emol aip�hCant for such permit to file a signed statement that re " -- - --'-- '-'-- �"' -' - - WATER SERVICE ALTERATIONS - -- ',PANELS MAIN -',• SUB„ ,y ,�,.1 a.i - -• �." - SSE ' '- _- --- ----' � -------'---•" -!- -•-•- -^' GAS SERVICE OUTLETS s - ]SERVICE - - -' - - - )SE E'- P'";- - - is`Iicensed-Pursuant' to -the "provisions of the"Contractor's'-License-Law- (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS' BTV_OUTPUT-- _ - _AM n 9usines5' and- PrWessio ns Code)-or't hat he Is exempt'therefrom and the' for She allegetl_ exemption. Any violation Of Section 7031.5 by applewnt -/or a- perm it subjects the -apple cant to-a'ci vil penalty" of more than five hundred dollars ($500). �, 'SEWER CONNECTIONS if "" " •` - r' r --" "" t ' as owner of the property, or my employees with wages as they sol¢.Compensation,.will.do.the.work, .antl_the,structure.fs not,intendetl_ or offered for sale. (Section 7044, Business and Professions Code: The property- Cont ractorso License..Law_ereon, and himself who builds owne improves thereon, and who tich-such work himself or does such work own -em pop prohowever, impg.or _ _ __ SOLAR TANK - 'COL'LECTORS, % '.,'L -� „ _ T-!'-`�-' •-' r ' -' - - _ _-_ ___. ___ SOLAR PIPING SVS. ISSUE 'FEE IT __ _ - _ e __ _ _ ISSUE FEE - II _I "' iAPPLiGATIDN'APPRDV ED'B V-_-" -�"' DATE-'" MECHANICAL PLAN CHECK ' r � SUMMARY OF, FEES + - - -"-'"`^"--'-- _ yl� Intendetl th offered for sale. If, however, the ner,. n9.or improvement Intended sale. the bu improvement ofroom hi completion -the o woe wit he did not t purpose of sale). Of proving he tlitl not build or improve for the purpose of sale). �ensed contractors to construct licensed contractors to construct me project (Section 7044; Business proje-exclusively-contracting-tectio7044Busine s antl'Professions Cotle:-The'Contractor 's - License -Law does not -apply to- an owner of property who builds or improves thereon, and who con- tracts -fro m -such -prp'ects-with-a-contractors ilcesned- pursuant to- 1 O P the Contractor's License Law). ❑ am exempt untler Secti6 " - "B-8 P'. -C. for this' I red5on'^'"'"___._ _._ _ -__ --_-. __ . _ -_ _ _. _ - I HEATING SYSTEM 0-100,_000 BTU -AND DUCTING-_`�--` I ' ----'f-` - BTU y - 100,0001t'- REFRIGERATION 0-100,000 BTU —= - --^--' SYSTEM--" - ' I-- -- -'-- ••--- L^--� - 100,0001- BTU } BOILERS BTU i f SYSTEM REPAIR, ALTERATION - _. __.. _. _. _EXHAUST SYSTEM _MULTIPLE _ -- II rr tf I _.U.... -.....-..._ __ `-I SSU E'FEE'- "^ - _ BUILDING /PERMIT _ _ -$ " 1 "-.' 1;SMIP •� -' 7 -" - "-- tP ON rurrK $ (PERMIT IPLUMBIN v $ Jr}lll U..1.0"'� f .• u. + _.-�._ -_._: 'PLAN CHECK $• ef.i ,- --GRADINGS (ELECTRICAL $� •$ a ..�� ''1-MICt9"'v - _ _ ___. _ _ . _. RO FILJvI:$ iPLAN CHECK L t'+� i ._-__ `FEEB MECHANICHL,�$ 1 - r°I 'ESS AD''u "IPL`AN-CHECK`$' -' `-- "' 'MANCE PC f "16j^t'•; : ll^ $. 1 - _._ . l '..v' FINAL FEE. $ 1/(�L ----- - - - - - - -- - - -_-.-. 1` - ,1 i.. .fiP - Date. -_ .Owner__._-. ___ __ _..__ (,hereby certify ,that,I have read this.applitation.antl state that d co cove_ information is correct. I agree to comply with all city antl county d inan<esontl state laws relating to construction, and hereby ,authorize presentatives9 this city -to enter upon the above endo ea operty-for,'6 e, o 'urpo e . Si -- Date _ ___` _ .. LDrive,s'Licenser557P 0865-46 White -Building; Canary-APplicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING pp APPROVALS Permit # 0 Date Inspector POOL & SPA • - "- APPROVALS Permit # Date Inspector 1. ,Temporary Electrical Service or Pole - 43. Pool & Equipment Location - - _2._ _SoilPipe-Undrgrn•. ' - .- 44. Steel Reinforcement- __ 3. Electrical Conduit Utility-Und_rgrn_ 45. Forms• 4. Electrical Conduit-Undrgrn _ _ _ _ 46. Electrical Bonding - - 5. Steel Reinforce,. : 47. Rough Plumbing-& Pressure Test" A. Electrical UFER Grn - 48. APPROVACTO COVER-GUNITE - - - 7. Footings"' a 49. Electrical Conduit-Undr rn +•. - 8. Foundation _ �_'� - _ - , - 50.., Gas Pipe, .F) Undr rn, Test 1 9. Water- Pipe- Undrgrn -' 51. Backwash Lines P-Trap_El Undrorn- - - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. _Street Sewer Connection - - - - 54. Heater &•Vent -Final' 13. Rough Plumbing System_al 14. Rough Electric -Conduit --- - - - 56. Electrical -Final - '- 15- Rough Electric -Wiring - `" ""' 57. Solar System -Final_ 16.= Rough Heating & Air Conditioning- - - _ _ encing &Access Approval 17i_ _ _ ,Ducts-in,Str.ucture - " '- APPROVED FOR PLASTERING - _18!._ 19. ! 20. .Ducts, Ventilating Gas Pipe -Rough '& Test Roof Framing ------ - 60. POOL/SPA SYSTEMS•FINAL 21. � 22:. Roof'Sheathin' "- ' _Frame and Flashing - ""' � - - - -- �_ _ _ _ _ _ .' NOTES: , • .._, ,,.' '�-+•'•�. •„• •: " 23.- Insulation L- ' 24i Lathing & Siding- . 25. - Drywall Nailing 26i Plaster Brown.Coat 27. _ Electrical Power, Meter -Final '' _ ) ''' _+- - -- -- - -28: Final.'Electric. " '' _ '• .i '- 29. _ Final Heating & Air -Conditioning.- e i 30. -Fina1.Gas P.ipe-Test - _ - _ _ s 31, Final!Plumbing-"- - _ - " -r2/-99` '! 32: Water:Service-Final ' 1 _ ! "' _• _ `' _ " " - " ' ! 33. _Gas Service -Final. __ - "+ 34. Solarpomestic=Final'".,.. - •,.✓•..^ - " " - "" - i 35.- Landscape Sprinkling System --36.___Sound Attenuation _ " i 37. Handicap Regulations c.t• ( .,�' - :.,, ? • .r �-.� 1 38.- FINAL STRUCTURE&•BUILDING •. y .. -- - v ••� .' 39. Special, Requirements Completed 40. Electric Release. to Edison - •- ,i 7 41. Gas Release to Southern California Gas Co. +: - 42. i CERTIFICATE OF OCCUPANCY No - Date- - - -- - - - - COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT [ADDRESS NG S 1091 E1 Camino Drive . COSTA MESA, CALIFORNIA Mesa Del Mar Develo ment'Co. .MAIL S 3800-E. Coast Hi hwa Corona de1 Mar Calif.TNEobR3-4220 A' NEER MaCCO Realty Co, T,o0113-4220 same as above r.TnR Macco Realtv Comoanv same as above. SIZE OF LOT 65' x 9 / I NO. OR BLOTS NOW ON LOT hone USE OF none EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 521 REAR YARD 33'6" I " SIDE YARD 51611 LEFT RIGHT - 5''6 DESCRIPTION OF WORK lAh Ix 11.. -1 II - �... 54'x41'611 NO.OF, 7 2 uze OF BUILDINO AND WORK TO qEPERFORMED single family res. w att.gar.. Plan 500-E 1 RMITTEE HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF MaCCO PERealt�Coppany by - AUTHORIZED AGENT F .FqE��E�EiVEO M!PPLICATION FOR PERMIT FA(VPi��B L G for Obice. U�eWo, ly rlTv nG rntfn MF��t ' ' RECEIPT NO. /1Q0j7R1�yI�Nr4(1pq -(i/�,l7ILE//,L1t9tJJllb}IE R�TINGECEIV %2Z ln3 LY IJOJ BUILD ADDRESS FIRE ZONE TYPE " GROU V APPROVED BY DATE ZONING ZONE NO. OP USE OF NEW g,D • I R-1 PUNS EUILDIN LEGAL Lot 62 DESCRIPTION Tract 5023 A. P. NO. none NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 30' TO SIDE a REAR P. L. EAVES ALLOWED (U. S. C. REQUIREMENT) YARDSA'PROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROMC/ TREET) FRONT FT. ' / R. SIDE PT. N FT. L.SIDE .--0 FT. REAR FT. FT. DISTANCE BET. BET. MAIN MAIN SLOGS. ACCESS. SLOGS. VAR.* DATE C. V.P. # APPROVED APPROVED BY DATE dwelling 2266 garage 460 s.k. SQ. FT. .. . THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION'r PERMIT FEE $ 7J — d s 23,925.005 % TOTAL FEE s l/0, S0