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HomeMy WebLinkAbout1139 EL CAMINO DR - Building Permitsi PRObECT, ADDRESS: 1139 EL VETS DR' UNIT: awxER•s�dAME: DEPT OF AFFAIRS OF ADDRESS: STATE OF CAL MORSE, WAYNE A ET AL 1139 EL CAMINO DR COSTA MESA,CA 92626 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: WAYNE MORASS (7'14)546-1'139 PERMITTEE: 1139 EL CAMINO DR ADDRESS: C.M. CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions ofChapter9 (commencing with Section 7000( of Division 3 of the Business and Professions Code. and my license is in full force and eflect.P CITY LIC.: STATE LIC.: CLASS: t 7S Date: Signature: — WORKERSCOMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab, CL POLICY ND.: EXP. DATE: COMPANY: ❑ Certified copy Is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less). I certify that In the performance of the work for which this permit is issued. I shall not employ any person in any manner sit as to become subject to he W/oorrkers' Comp�jens /t n Laws of California — /�/a�� & L3v'�%�/ �/ Signature:— / / NOTICE: If, after making this declaration. you should becompAubject to the Workers' Compensation provisions of the Labor 11111///// Code. 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. Ci, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from 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 tests for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I.as owner of the property or my emPplevees with wages as their sole compensation, will do the work, and the ❑ structu re is not intended or offered for sale(Secturn 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business 13 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware k that proof of their Worker's Com. pegsal on insurance should be provided to me. 13 14 ❑ lam exempt under OyNNER-BUILDER for yAis reasonL/ / ,� - Owner: (/%/�fil�ff_ `F4o hereby tarty that I am aware of and understand the requirements of California,/ 111th 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 slate codes and the requirements for a permit for construction or modificalion from the AirAir Qualify Management District. Residential construction applications are exempt from these provisions. Dale: Aplicant'. I hereby certify that I have read this application and state that the above information is correct. l agree to comply win all city and county ordinances and state laws relating to building construction and here by utharea representatives of this city to enter upon the above-mentioned property ;or inspection purposess.. te: `�' nse Signature' %��'L/ ✓ t is license or Social Security k' 1641-46 White—Building: Green—Code Enlorceri Canary—Applicant: Pink—Revenue: Goldenrod—Assessor JOB DESCRIPTION CONST, 180SF STORAGE SHED SQ FT: 3,000 CLAIM VALUE: 3,000,00 CALC-VALUE; 3,000,00 GROUP OCC; R-3 / COMMENTS: CONSTRUCT 18O9F STORAGE SHED Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; 10 FT IN LEFT; FT IN RGHT; FT IN LEFT; 54 FT IN RGHT; 5 FT IN PARKING REQ: PROV; PARCEL,, 14161.332 ZNE; R1 REF NO; PLANNING N TES> CONSTRUCT 180 SQ FT,, 2 FEET HIGH STORAGE SHED IN THEBACY > OF'EY.ISTING RESIDENCE, 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; J BUILDING APPROVED BY /�/%?� DATE: APPLICATION ISSUED -BY;y`t DATE; lc######4 ### LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54-00 50 SMIP!NON-RPS PLAN CITY OF COSTA MESA - BUILDING PERMIT rnrut nom+: n voyIIf PERMIT NO: B 069177 PLAN CHECK NO: 03674-94 L IN zpurr; IN CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: CON JOB DESCRIPTION CONST, 180SF STORAGE SHED SQ FT: 3,000 CLAIM VALUE: 3,000,00 CALC-VALUE; 3,000,00 GROUP OCC; R-3 / COMMENTS: CONSTRUCT 18O9F STORAGE SHED Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; 10 FT IN LEFT; FT IN RGHT; FT IN LEFT; 54 FT IN RGHT; 5 FT IN PARKING REQ: PROV; PARCEL,, 14161.332 ZNE; R1 REF NO; PLANNING N TES> CONSTRUCT 180 SQ FT,, 2 FEET HIGH STORAGE SHED IN THEBACY > OF'EY.ISTING RESIDENCE, 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; J BUILDING APPROVED BY /�/%?� DATE: APPLICATION ISSUED -BY;y`t DATE; lc######4 ### LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54-00 50 SMIP!NON-RPS PLAN 35.10 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0,00 35,10 89,60 89.60 ,00 REVENUE DIVISION TOTALS--> COLLECTED: X54,50 /VER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 54,00 ,50 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 3000 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 END OF FEES 3,000.00 / 01 t?015513?-GLTic^13' T CAT VATE: 101071/94 TIME: )6:35 l CONSTRUCTION AND PLANNING v' APPROVALS Permit # Date Inspector POOL u SPA APPROVALS Permit#' Date Inspector 0I1. 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. 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, 0 Undrgrnd., Test 9. `Nater Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrod. 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. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping C3 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0011 25. Roof Sheathing 74. Overhead Hydro 26. T.Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:/ Z- Z q 9'C/ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing j 39. Water Service -Final 40. Gas Service -Final 41, Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING / (,IH 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I /O 6'-8° I n-� —� DMSIO� OF COSTAING ME SAFETY APPROVED er r /� lhte 80 dt plans and speci0cadons MUST be kepton this job at all Tones Pmftm aedRisMfrom tomake Idswalteratioonsamelwitlroatyp from dte pi uV and Safety, City of Costa w wr 6ba" Of 8' O" Cr approvalt of the s Plan nvdipspecifications aet of of ian SHALL NOT be held to peril �e 01 datance and/or State law. Y Provisions of any City of Costa . Pft and Permit shall expire by limitation and become null or work is not comme and {CQ w[� 180 nced and maintaineo active per UBC,tsa�i»d ' days of issuance. I �.nw CITY Og COSTA PASA FLANNIM3 L T. suailmr TO =0. OWL m v ®A U--ILI .t2 III S r^ i fl I la o° WAYNEI PROJECT ADDRESS: UNIT: OWNER'S NAME: 1139 EL CAMINO DR ADDRESS: DEPT OF VETS AFFAIRS OF STATE OF CAL %MORSE, WAYNE A ET AL 1139 EL CAMINO DR ARCNIENGINEER: COSTA MESA, CA 9 2 6 2 6 REG.NO.: ADDRESS: UNIT: PERMITTEE: WAYNE MORRIS (714)546-1139 ADDRESS ( 11139 EL CAMINO DR 99 99 LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed untleerr pprrovison?.Mapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: EXP: Date'. Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation Insuranceor a certified copy thereof (Section 3800, Lab. C). POLICY ND.: ' EXP. DATE: COMPANY: 7 Cenified copy Is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: a Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S1DD) or less). I certity that in the performance of the work for which this perm^)J Is sued, I shall not employ any person in any manner so as to become sugicapl.4,the WorkersCompensations of Cnaturnia. /C^ ate'. s, Signature: ICE: If, after making this declaration, you should becom ubleet to the Workers' Compensation provisions of the Labor Gotle, you must fannwiln 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 from the Contractors' State License Law for the fallowing 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 life 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (3500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who 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 safer I, as 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 and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. I am exempt under Section' B. 8 P. C. for this reason: OWNER—BUILDER ate: Owner: hereby certify that am aware of and understand the requirements of California alth and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to c ply with said slate codes and the requirements for a" permit for construction or mail 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 to 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 pro for inspection purposes. le: v Signature: f s License or St i t Security d: 11641 46 White—Building: Green—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 070759 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION : CONST, 180SF STORAGE SHED PERM NO: E 070759 GOVT: N SUPP: N SQ FT: PURPOSE: CON CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-69177 MM MMMMMMBEM MM M M MMMM MMMM M M M MM M M M MM 111111111 MMM M MMMM MM# 11111111 MM MMMM MM MMMM M M MM M MM Z O N I N GS ERT EBQAUCIKRJE 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 RECCD�• PROV: PARCEL: 14161332 ZNE: REF NO: PLANNING NOTES> > 1 1 1 11 1 1 M 1 M 111 1 1 1M 1 1 1 111 11111 111 M iE1 M 11 *MMI 1 1 1 1 1 11 1 1 1 1111 1 1 1 1 11 1 11 1 1 111 1 M 1 1 M 11 1 1 1 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 : _7 DATE: APPLICATION ISSUED BY: / DATE: �C S M 1 11 1 1 M 1 1 M 1 1 11 M UEDM M M M 1 1 1 1 1M 1 1 11 1 1 1 1 111 1 1 11 1 1 1 11 11 1 11 1 1 1111 1 1 1 1 1 1 11 1111 1 1 11 1 11 1 1M 1iE1111 1 1 11111 M 11 1 111 1 1 MM1 1111 1 1 1 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 50% SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---->1 11,00 15,00 0,00 26,00 26,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 26,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 26,00 1 1 1 M1 11 1 1 MM 1 1 1 1 1�l1 Mitt 1 1 1 1 1 1111 1 1 1 1 1 M 1 1 1 M 1 1111 M 1111 1 1 1111 1 M M1 11 1 1 1 1 1 111 1 1 1 1 1111 % 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 ELE ( 1 MISC CONDUIT NOT LISTED REQ PERMIT 11,00 11,00 END OF FEES 1 00173123-00175123 i)it 01/17/95 "ItlE: CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO_ . SPA APPROVALS Permit * Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 1Electric0l Conduit Utility•Undrgrnd. 54. Forms 4., Ele'ctrital Concluit-Undrgrnd �gn 5. Steel Reinforcement / `^ - .% 55. Electrical Bonding'. 56. Rough Plumbing & Pressure Test 6'%:Electrical LIFER Gend. 57. APPROVAL TO COVER-GUNI-TE 7� Fbotidgs '`j 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9, Wafer Pipe-Undrgcad. 60. Backwash Lines, P Tcap, ❑Undrgrnd. 10:•Str-Uctural Floor System 61. APPROVAL TO DECK 11.• Property Sewer Line-& House Connection 62. Backwash & Receptor-Final 12. Sewer Gap 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 Z.t7s ✓ / 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 APPROVALS, :P' rmit # -f 20. Rough Factory: Fireplace _ i; + �, ' ` 21. Ducts, in Structure; r ••._ t7 - - 70. Uhdergroui58�Hyd'ro 22. Ducts; Ventilating..' TT 71. Product e;{iin� ❑'Ga's 0 Oil 23. Gas P4pe-Rough & Test - •r ,'' A . '72• Underground Flush `.. 24. Roof Framing` "" "' •' - - j3. Undergrnd,Storagelank QGas 0Oil 25. Roof Sheathing - n- F 74. Overhead Hydro. 26, T-Bae Ceiling (Structural) & Monocoat 75. Dry Chemical P - -_ k 27. Frame and, Flashing, : , r•• r: •' > ' 76. Dry Standpipe 28. Lathing &.Siding - • ='� -• "� 77. -FIXED SYST-.EM FINAL • _ - 29. Insulation••�• I � 78. FIRE PREV. FINAL - 30. Drywall Nailing l �' -' HEALTH 0EPT.PEQUIREMENT 31. Plaster Brown Coat r ,,• 32. Electrical Powat Meter:Final ,• ` •' ' l: r :` 79. FINAL IN&PECTIOCi - l ,. FOOD CERTIFICATE=ISSUED - 33. Final,Electric,, .� _ n `" � I s I Notes:_, 34. Final Heating & Air Conditioning _ '• - -� - -- 35. Final Gas'Pipe?Test 36. Hood•or Canopy n• 1 •,; 37. Final'.Factory Fireplace `, `, '° l,' -' ," 38. Final•Plumbing • , _ > _ 39. Watee Service-Final _ -� , t: ,• ' 40. Gas Service-Final ,,,•n' '• ��• -.<,i - , 41. Solar Domestic-Final, - -; 42. Backflow Preventer r - 43. Backflow Irrigiiion `', = - ° „� • -' - , 44. Landscape; Irrigation System a.,. - :• - -' {- r' r.' 45. Sound Attenuation 46. Handicap Aeguiations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California.Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS UP BUILDING: 1139 EL CAMINO DR UNIT' a xNERswwElvlaavN: DEPT OF VETS AFFAIRS OF mDREss: STATE OF CAL `SMORSE, WAYNE A ET AL +1139 EL CAMINO DR COSTA MESA,CA 9262 IpPL. MAUNO AWRESS Irl, ANCNITECT OR ENGINEER: ARCH. OR ENG.'S ADDRESS: 7)I /I UC. NO.: UNIT: coNrRAcTowshaw: ATCHLEY & SONS ROOFING (714)871-5741 CONTRACTOR'S MAKING 1945 N COMMONWEALTH ADDRESS: FULLERTON CA uc.fil 549263 92633 DMT: A LICENSED CONTRACTORS DECLARATION: I hereby agim under, ponely of psdury that I sen licensed under provisions of Chapter 9 (commencing •ilh Section ]000) of Division 3 of the Business end Professions Cole, and my Bosses is in full force end Matt. cIT'fDam: c�N�o.:)p97s7�L1 uacuss: C39���' 549263.00; 00 Data: \ ! � ] Com'_--'",�f f�7/ OWNER BUILDER DECLARATION: I hereby affirm under paneEy of wiuq that I am asampr from the Combustors License law for Ma fdlowkg sawn (Section 7031.5 Business end PMessiona Gnde: Arty Cdy or musty xfiii, requires a perms to coesbuc6 ahfo, imprwa. demdlsh, or repair any strmlum. prior to hs issuance, also requires the epplimnt for such permh to file a signed slatement that he or she is limneed pursuant to the provisions of the Commodore License law (Chepter 9 (commending with Section ]000) d Division 3 of the Business and Prdessions Cadet or that he or she is exempt therehonn end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penehy of not more then two hundred ddtsre (SSW(). ❑ I, m owner dthe property or my employees wih wages w their sole mmpess ion, will do the work, and the ebuctum is not intended or offered for see (Section 7046, Business and Professions Code: The Contract. License Lawdoes not appyto an ownwd property who bolds or inpmves thereon. and who dose sod, wort house or heroes or through he or her own em sh gas, pmvUed tial such 'mprevemnms are not Intended or offered for sale. 9, however, the buiUbg or unpmvennem is ecce within one your of completion. Me ownanbuiuer will have the burden of proving he or she did not Wild or improve for the poison, of sale). ❑ 1, as owmr of line praparM, am exclusively mnlred'vg with Iicansed wntrecton to constr«l Me prged (Section 7046. Business and Prdeesiona Coda: The Contractors titaness Law alma sur apply to an owcer of peopeay who builds or bnxroves thereon and who wmnects for melt protects with a c«amdor(s) licemed pmsuam to the Cmtrectore Lxwnse Law). ❑ I an exempt under Section: B. d P C., for this mason: Date: Owner: I do hereby caddy that I am awure of and undersrard the mquiremmis of California Meehh end Safety Code Soothes 25505, 25533, end 25531, end that I or my forum Wilding rampant will / will not (circle won) need to comply wlh said date oodes end the requirements for ammhf«mretu mwmodirralionh«ntMAily iarus2ment Grew. Resdentid wtatrissm appEcetioneammremq from these geVl3bn8. Date: Applkmb WORKER'S COMPENSATION DECLARATION: I hereby e". under p«,ehy of peeper, ver of ice folosing dederetions: ❑ I have fort veil coalman a c of Otis d . y nt to We ie,sure f« noted. ' compensation, es povidnd 1« by Section 3]00 d the Labor coda. ION the pedommnce d Ma oak f«which miss pamm is issued. ❑ I have and nil meimei, workers' ed. My yesdo s' o mors•. es mgnimd by Sedan 3 ncl oo the Labor Code. for the panlonman,ce d the work ION which Mie permit a issued. My workers' wmpansatipn inwranca ismer end pdiry number are: Gannet. Policy Number. (This serxbn need nal ba w comm, d ft gem! rs ION me hundred &slam /SIWI w ION.) ❑ 1 tend her in the pedormame of the work for which this permit is issued, I shell not employ any person in my monster w m to becw,m aubpd ma the wwkees' compensation is e of California, and spree Mat N I shoals become wbled to the ensures' wmponsmidn ixconsions d Section 37W of the labor Cob/. II shell fonnhhheeitthh ^amply with ihoee pnomesom. Dale: /-1� Appl�m�lfi4�-ail 2" Weminp: Fmlure b secure,roA'em'rompuruatlon rovseage le unlawful andshW s ki sir employer to cdrmetsl pmeld. Add civil fle ss W ro won hummed fhousend ddMm (SIOQ000). M edd/tlon to Me roar of rompenurbn, demsps ere proWded for In Sidon 37W of Me Labor Cods, Interest„ and momeyy fees. CONSTRUCTION LENDING AGENCY: I hereby affirm under penelty Of periwy thin More e s Construction fencing agency for the perlormenca d the workW which this pests is ssund (Ssotion 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cantly that I have read this application and state Ihat Me above information is coned. I agree to awnply with all city end county ordinances end stere ewe miming to building wnmrudion end hereby authorize representatives of this day to enter upon the above-mentioned property for inspndion purposes. c H Tc G� Data: Sgnmum of bUCi mtorlAgen IAppicen et or 151514e.WP) Whd"uiMig A Safety; GieemRla: Cerery-41oks m: Rnk-Revenue: Goldemod-Ae. CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 072092 PLAN CHECK NO; N CONSTRUCTION TYPE: V -N PERMIT TYPE; SIR PERM D10: B Q72092 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION T/OFF RESHT REROOF W/COMP SHINGLES SQ FT: 5,800 CLAIM VALUE; 5,800,00 CALC-VALUE; 5,800,00 GROUP OCC; R-3 /M-1 COMMENTS; REROOF 3000SF RESID & GARAGE, SMOKE DETECTORS �REQUIRED PER 91UBC p Z O N I N G R E Q U I R E M E NT7 S E T B ACK S ------------ MAIN BUILDING ___---- --------- ACCESSORY REQUIRED G----- FRNT: FT IN REAR; FT IN FRNT: FT IN PEAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 14161332 ZNE: REF NO; PLANNING NOTES> > if iR �E if -if df 1f iF 1E if- df- if' * iF iF iF if 1F if fi * if dE #E iE if if iy- eF if ]F if iE if bf df if iE if M- iF # df if do iE iF if �F is iF -lf i +iF # iE iE i{ Y;F ♦t if iF if is df df il�iF -1f eF irk 1e iL Ar nE dE jf 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;_ *is Mir df if -0f iF da aF ie iF of 3E iF is of if if Mdl'�+T��i"iF-�TFel iF�it-�+: +�i�-ltif-R vf�C itYMiM1 is iti%+�iF iM1Mik if iF aL Y. iF iF.c iF iF is iE i4 LEGALIZATION;N 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 58 %� SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 81,58 0,00 0,00 81,58 81.58 ,00 REVENUE DIVISION TOTALS—> COLLECTED: 81,58 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 81.00 •58 iE if if ds i(if-itib*+*iE fe df if+44f)Eaf df et �if'N'lf'N'4if if'Y'isil lk iFMMiy iysF{F4uis iF if of if i.•#iF df XaF if iif ih if iE dt-{s {{�s+e YiF'14 if iE df if dl �iE is dE# 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 5800 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5;;800,00 END OF FEES O1 00180931-001,809K T13 T X1.53 DATE: 05/01/95 TINE: 1.4:36 CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector POOL &SPA APPROVALS Permit # Date InspLctor 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- Steel Reinforcement 56. Rough Plumbing & Pressure Test ) 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE i ' 7. Footings 58. Electrical Conduit-Undrgrnd. - > 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test I- 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 yndrgrnd. 10. Structural Floor System 'I 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 .%r 65. Electrical -Final /t - 15. Rough ElectricaI-Conduit • 66. Solar System -Final I 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough ElectricaPT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing SLZ_.�� �(,� 74, Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29, Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ; 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer n!= 1 43. Backflow Irrigation tC� 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING t©_ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. __. _. Date COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 817 - COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 1139 El Ca ming HI'1Ve COSTA MESA. CALIFORNIA W MAIL ADDRESS 13800 E. Coast Highway CONTRACTOR MaCCO Realty -Company ADDREss ' SAME AS -ABOVE. �;C TNO, 207343 -A -SB -1 NOL. OR 3-4220 SIZE 1 1 NO. OF OLDOB.nOR 65 X97 SI 1 f1T NDW ON LOT 6ClawcrtNTEROP HTREEr Lm5 ERolM CESO 1 REAR YARD 35'6" SIDEYARDI LEFT 5'6" I RIGHT 5'6" DESCRIPTION OF WORK ' 'x41'8" N2 -OF 7 - _ 2 e USEOFSU1LDINC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATUREEP OF Mac CO Realty„ Cgmpany PERMITT By: �< AUTHORIZED AGENT FEE RECEIVED RECEIVED -A LICATIOV FOR PERMIT FINANCidib e CITY Fi9f Mflk Y?LeSipnly RHCHIPT NO. 2 R . ✓T YZ3 ILLI' DJD196 ZONING ZONE NO.OP UBEOFNEW PLANH 2 HUILOINONj/ .dli ga. Lot 53, Tract 5023 DESCRIPTION A. P. NO. none NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 80" TO SIDE 3 REAR P. L. # EAVES ALLOWED (U.S. C. REQUIREMENT YARDS APPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING VAR. # DATE THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. _DATION I �Ce..•T ccc c 6 23,925.00 :q ?3747. OSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917. COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT . COSTA MESA, CALIFORNIA 139 Ek.C4rn� 4 Hl CR JL. T flkf; / NO . tip % ,il .Ilc2 nw,.,r�1�9 A ..n' m SETBACK LINE EFT S i' DESCRIPTION OF NO '`/?�-r 329 / NO. OF BLDGe. / NOW ON LOT l � REAR YARD T RIGHT • 30 OF WORK -I ---------Z, 7 I n AUTHORIZED AGE4 � .00 ` - "1� Gf IT M GZTA M WAR 1, 1965 For Office Use Only RECEIPT NO. I HEREBY ACKNOWLEDGE T AT 1 NAVE 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. OAT Ra Ca: D SIGNATUREO • ff �' y Cl Ja ADDRESS3 1. ADDRE11 PERMITTE APPROVED 2 / I n AUTHORIZED AGE4 � .00 ` - "1� Gf IT M GZTA M WAR 1, 1965 For Office Use Only RECEIPT NO. PERMIT NO Z RECEI EY OAT Ra Ca: D DjfT9 ISVfJEb • ff �' y Cl Ja ADDRESS3 1. ADDRE11 FIRE �— ZONE PE GROUP ,} APPROVED 2 / BY ✓ DKl ZONING ZON NO.OF USEOPNEW- PIANe �))- BUILDING ESCRIPTION L77�cl S L.J A. P. NO. NOTE: NO EAVE OVERHANG SHALL_ BE LESS THAN SO" TO SIDE S REAR P. L- EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STR ET) FR NT FT. R. SIDE FT. L. SIDE FT. REAR T. FT.- DISTANCE BET. BET. MAIN 8 MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE C.U.P.///� APPROVED E BYF (!! r DATE -� - O(7 SQ. FT. . THE.AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMITFEE S PLAN CHECK $ $ TOTAL FEE $