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Home My WebLink About2879 EL RIO CIR - Building PermitsCITY OF COSTA MESA `�05�°"'F, BI/ILDING D/VISION i��P FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us r � � FOR INSPECTIONS CALL: (714) 754-5626 y�� . PERMIT NUMBER: BX10-00249 PERMIT TYPE B MISC STATUS: ISSUED APN: 14156205 DATE ISSUED: 11/09/2010 Zoning: , ISSUED BY: RMD JOB ADDRESS; �??'28795EL�RIO,�CIfCM� Vicinity: ROqF TOP"°��"� � Primary Occ: �� SQ. FT: 0 Valuation: E8,000.00 SCOPE OF WORK: INSTALLATION OF PHOTOVOLTAIC SYSTEM. 12 MODULES, 1 INVERTER OWNER: STEPHENS, JOHN D City/State: COSTA MESA, CA Phane: � �� - APPLICANT: GLOBERSON-LAMB, SONIA 140 City/State: FOSTER CITY, CA _ Phone: 510-414-8120 �. CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone SOLARCITY CORPORATION 2265 S GRAND AV � SANTA ANA, CA 92705 FEE SUMMARY Building Plan Check; . Building Permit: . - . . - -- Electrical PermiY.'- SMIP Residential SMIP Commercial � � Bldg Std Admin Fund Suite/Unit: . Const Type :?? Address:: 2879 EL-RIO CIR ZipCode:', 92626 Address: 393 VINTAGE PARK DR ��- Unit Unit: STE Zip Code: 94404 - . - License No:� . 888104 � Unit Phone 714-290-9521� Cell: - � � � � License No. � � License No. $99.61 . .-� $153.25 . � � � $62.10- - � . $0.80 $0.00 , .. $7.00 ., TOTAL FEES � $316.76 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Satrudays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav and Christmas Dav NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. Nq. g2-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this percnit to be considered legal, such work must cnmply with all applicable codes, and ail required inspections and final approval must be obtained. Failure to obtain inspeclions and final approval vnll result in the expiration of this permit. COOEN. INSPEC110NTYPE OpTE INT11AL5 GOOEp INSPEGTIONTYPE pATE INT11AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 9 0 200 FinalRe-Roo/ 210 FinalElectric2l � o�—��) /"`�� 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fi�e Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Fina� Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one o( the tollowing declarations: ❑ I have and will maintain 3 cetli(cate of conseN to sel(-Insure for workers' compensation, as pmvidetl �br by section 3700 of the Lzbor CoGe, for the peAormance of the vrork for which this permit is issued. ❑ I have antl will maintain Workers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the perfortnance of the wvrk for which this permit is issued. My vrorkers' wmpensation Insurance carrier and policy number are: CCarrier:-_ `�t�.L� �r4. _ �a'�°>� (This secf.un nee0 raf Oe cnmdeted slne pe�m9 a valued at rne huntlred �Nars (51 W) a less ) r--- �Policy Number: ❑ I ceRi(y that in the perFormance of the work (or which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree [hat if I should become subject to the workers' compensation provisions of Section 3700 ot the Labor h H rthwith co lhese prO isions. �V_q I ��- �AVWi�anfsSi am � GDate WARNING: FAILURE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAL� SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,OW), IN ADDITION TO 7HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9 �commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effecl. �� ' Lic. # Clas��#`�/'I.11"�� B ' o ntraclar'sSig _Dal b' CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a wnstruction lending agency for the pedortnance of ihe �+ork ta v.hich this pertnit is issued. (Sec. 3097. Civil Code). LenAer's Name: Lender's Address: oate OWNER-BUILDER DECIARATIONS: I hereby aKrm tha[ untler penalry of perjury tha� I am EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to tOnstruct, alter, improve. demolish, or repair any strucNre, prior �o ils issuance, also requires the applicant for such permit ro file a signed statemeN that he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapter 9(wnlmencing vnth Section 7000) of Division 3 of the Business and Pmfessions Code) or [ha[ he or she is exempt therefrom and the basis for the alleged exsmption. Any violation of Section 703L5 by any applicant for a permit subject6 the applicant to a civil penalty of not more than five nundred tlonars (55oop): ❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWCNre is not intended or oflered for sale (Sec. 7044, Qusiness antl Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves ihereon, and who does such work himself or herself or throuqh his or her own employees, provided that suCh improvements are not intentled or ottered for sale. If, however, Ihe building or improvement is sold within one year of wmpletion, the owner-builder vrill have the burden of proving that he or she did not build or improve for purpose of sale.). � '� ❑ I, as ovmer of the�property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044. Business antl Pmfessbns Code: The contra,ctas License Law does not apply lo an ovmer of propeny who builds or improvps thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). � I am exempt under sec. Business and Professions Code for this reason: Owner ID verifed by driver's license. ❑ Yes ❑ No Dnver's License No. Expires: Venfcation o( Ovmership by (lype of document, i.e. - property tax Dill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy that no excavation frve (5) or more feet in depth into which a person is requiretl ro tlescend. will be made in connection with wnrk authorized by this permit, and that no building sirucNre, scaHWding, lalse�+ork, ar demolition or dismantling thereo(, will be more than thiriy-six (36) (ee[ high. (Chap. 32, Grp 2, M 2, Sec. 347. Title 8. Calilomia Adminis72tive Code)?. ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the Oivision. Applirant's SignaWre Division of IndusMal Safety Permi[ Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture building occupant need to fle and certiry a Business Plan for emergency response to release or threatened release o( a hazardous material? ❑ Yes ❑ No (Sec[ion 25505 0( the Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filed vrith the �Costa Mesa Fire Department by every business which has at any one time during a reported year a ouantity ot hazardous materials equal lo or greater'than a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or Nture building occupant need to file a regisUation torm for awtely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with me Costa Mesa Fire Department by each business which at any one time has on hand a quantity ot acutely hazardous matenals equal to or greater Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or fWure building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of Ihe Califomia Healih and Safery Code provides that [he Costa Mesa Fire Department may require the preparation, certifcalion and fling with the Fire Department o( an RMPP by businesses which are required to register awtely hazardous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or future builtling occupant require for Ihe work which is the subject of this application a permit for such constmction or modification from lhe South Coast Air Qualiry Management Dislnct or fmm any other air pollution control district or agency? ❑ ves ❑ No (Section 658502 of the Califomia Govemment Code requires thal the requestetl in(ortnation be fumishetl on applications for rron-residen[ial building penni�s). 6. Will any part of Ihe faciliry to be construcled under Ihis permit be within 1000 feet from [he outer boundanes of a school? ❑ Yes ❑ No Qf yes", the facilily must meet [he requirement of Sections 25534 antl 42303 of the Califomia Health and Safety Code). 7. I( a permit fmm the South Coast Air Qualiry Management District or other air pollution control district or agency is required for the work which is the subject of ihis application, have all o! the disclosures prescnbed by Califomia Health and Sa�ety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certifcate of compliance from the appropdate air polWtion control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury �he information given above is cortecl I agree to wmply with all state laws and city ordinances regardinq Hazardous Materials and Emissions. . Signaiure Oa�e CERTIFtCATE OF COMPl1ANCE AND AU7HORIZATION OF EN7RY: 1 certity under penalry of peryury that I have read this application antl state that the information given is correcl I agree to comply with all state laws antl cily ordinances relating [o builtling consWction, antl authonze representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any buildinq authorized by this permit uniil fnal inspection. n o� eqs) oaie Signawre �a�e 0 305]-a6(3/0]� ' - {S^i wAul�on p0lican �D t2 i--�_ . �._ CITY OF COSTA MESA 0�'ipMFq BUILDING DIVISION � �p i�,. .. $ 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us r � � �. FOR INSPECTIONS CALL: (714) 754-5626 *ep*ro.mm �1. PERMIT NUMBER: BX11-00013 PERMIT TYPE B MISC STATUS: ISSUED �^ APN: 13947207 DATE ISSUED: 01/31/2011 Zoning: R1, ISSUED BY: RMD JOB ADDRESS: �1�983aFL�A'MINGO.DR;GMy � Suite/Unit Vicinity: ROOF TOp Primary Occ: _ Const Type :?? So. FT: 0 Valuation: $9,800.00 - SCOPE OF WORK: INSTALLATION OF A 1.58 KW PHOTOVOLTAIC SYSTEM, 7 ROOF MOUNTED PANELS AND 1 INVERTER. 3 FT MINIMUM CLEARANCE PROVIDED. OWNER: MONTGOMERY,THADDEUSL AND CARLA Address:: 1983 FLAMINGO DR Unit City/State: COSTA MESA, CA Zip Code: 92626-4719 Phone: 714-957-1444 APPLICANT: BOYANER, DAVID City/State: Phone: 714-544-$066 CONTRACTOR: STOUT AND BURG ELECTRIC INC. Address: 15052 RED HILL AV � - City/State: TUSTIN, CA Zip Code: 92780 ARCHITECT: Phone ENGINEER: Phone FEE SUMMARY Building Plan Check: Building Permit: EleCtrical PermiC- SMIP Residential SMIP Commercial Bldg Std Admin Fund Address: Zip Code: License No. 826780-. Phone 714-544-5066 Cell: License No. License No. $117.81 $181.25 $62.10 $0.98 $0.00 $1.00 TOTAL FEES 5363.7� HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIV Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. New Years Dav. Memorial Dav. Independence Day, Labor C Unit: Unit SUITE C - PER CMMC Sec. 13-279 hours - Sundays and the following Federal Holidays: �inp Dav and Christmas Dav NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT �XPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF IAST INSPECTION. INSPECTIONS: In order for the work auihorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections antl final approval must be obtained. Failure to obtain inspeclions and fnal approval will result in the expiration of this permit. CODEN. INSPEC110NTYPE OATE INTITIALS LOOEt INSPECPONTYPE �ATE INTI7IAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Elec4ical 201 Final 81ock/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Pla�e 220 Final Planning Approval 203 Final Sign 222 Final Site 2D4 FinalDemolition 250 FinalBuildlnpiOccupancy XT-7—II �� WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one of the following tledarations: ❑ I have and vrill maintain a certifcate of conseni �o self-Insure for workers' compensalion, as provided for by section 3700 of the Labor Code, (or the pe rmance of the work for which �his permit is issued. have and will maintain workers' wmpensation insu2nce, as required by section 3700 of the Labor Code, fa the perfortnance of the work fw vfiich this permit is issued. My wod rs' compensation Insurance carrier and policy number are: Carn:er_7 f (ihissedionneednot�emmpletetl tnepermGitva`lve0alon�huntl�eGdollars(5f00)aless.) Po�y Number ��AJ�J�1 \ � ❑ I certify that in Ihe peAormance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject ro the workers' compensation laws oF Califomia, and agree that if I should become sub�ect to the vrorkers' compensation provisions of Section 3700 of or , I shall forth h comply with these prov io s. �--.%'� I-�37-( � �t'aN'z SignaWre DaieJ ✓ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl untler provisions of Chapter 9(commencing vrith Section 7000) of Division 3 of the Business and Professions Code, and my license jis �in',f�)II /fy_Ice��q d{�'efl)ect. / .Lit�,( ).,L1L� V`� CCIa55�# � L U �'�-n --Y- l'3�-�/ -a`v o ctor wre (,roate' CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a consWctbn lending agency for the performar�ce of the wvrk fa which this pertnit is issued. (Sec. 3097, Civil Cotle). LenGer's Name: Lender's Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalry of perjury that 1 am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to conslruct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapler 9(commencing vrith Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than fve hundretl tlollars (5500).�: ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and ihe structure is not intended or oKered for sale (Sec. 7044. Business and Professions Cotle: 7he Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or Ihrough his or her ovm employees, provided thal such improvements are not intended or oRered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-builder will have Ihe burden of proving that he or she did not builtl or improve (or purpose o( sale.)- ❑ I, as owner o( the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to conslruc[ the project (Sec. 7044, Business and Prolessbns Code: 7he contractps License Law dces not appty to an ovmer of property who builds or improves thereon, and v.fio coniracts for such pmject vrith a cmtraclor�s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Prolessions Code for this reason: 5ignawre oaie 3059-a6(3I0]) Ovmer ID verifed by driver's license. ❑ Yes ❑ No Dnver's License No. Expires: Venfication of Ownership by (lype oi document, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certrfy Ihat no excavation frve (5) or more teet in depth iNo which a person is required to descend, will be made in connection with work authorized by this pertnit, and that no building sWCWre, scaf(dtling, falsework, a demolition or tlismantling thereof, will be more than Nirty-sia (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tiile 8, Califomia Adminisi2tive Code). ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit �o do such work from the division. Applicanfs SignaWre Date Division ot Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will [he applicant or presenl or (uNre building occupant neetl ro file and certi(y a Business Plan for emergency response to�release or threatenetl release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Departmen[ by every business which has at any one time during a reportetl year a quantity of hazardous materials equal to or greater than a weighl of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaNre and pressure). 2. Does or will the appliwnt or present or future building occupaN need to file a registralion fortn for acutely hazartlous materials? ❑ Ves ❑ No (Section 25533 0( the CaliFornia Health and Satety Cotle, with some exceptions, requires registra[ion with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic teet of compressed gas al standartl temperaNre and pressure�. 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Managemen[ and Prevention Pmgram for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of lhe Califomia Health and Safery Code provides that the Costa Mesa Fire Oepartmen[ may require the preparation, certificalion and fling with lhe Fire Department o( an RMPP by Dusinesses which are required [o register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the Cali(ornia Health and Safety Code been fully complied with7 � Yes ❑ No 5. Does or will the appliwni or present or (uWre builtling occupant require for the vmrk which is the subject of this application a pertnit for such construction or mOdifita[ion fmm Ihe South Coast Air Quali�y ManagemeN Dislrict or from any other air pollulion wntrol disMc[ or agency? ❑ Ves ❑ No (Section 658502 of ihe Califomia Govemment Code requires Ihat the requested infortnation be fumished on applitations fa rromresidential builtlinq permits). 6. Will any part of the (aciliry to be constructed under this pertnit be within 1000 feet from Me outer boundaries of a school? ❑ Yes ❑ No Qf yes", the lacility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit trom the South Coast Air �uality Management DisMct or other air polNtion contml disMct or agency is required (or the work which is the subject of this application, have all of the tlisclosures prescnbed by Calitomia Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certifcate of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury 1he information given above is correcL I agree to wmply with all state laws and city ordinances regarding Hazartlous Matenals and Emissions. SignaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAify under penalty of perjury that I have read this application and state that the infortnation given is covecL I agree lo comply with all state laws and city ordinances relating to building consiruction, and authorize represenlatives ol ihe City of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy ot any builtling authorized by this permit until final inspection. Signat •e ol legal Owner(s) Date �.� ��-- � 3 �-(( (�tlior,Autl�wizeJAOp�iranl LoateJ CITY OF COSTA MESA BDILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 ��, PERMIT NUMBER: B10-00275 PERMIT TYPE B_ROOF2 APN: 14156205 JOB ADDRESS: 2879,.EL RI0 Cl C'11A��Y vicinity: - � -- � � .. Squares: 2900 STATUS: DATE ISSUED: ISSUED BY: Suite/Unif: . ' �\ ; � Valuation: ISSUED � 09/20/2010 KJB $8;700.00 0 SCOPE OF WORK: TEAR OFF EXISITNG SHAKE ROOF. REPAIR/REPLACE SHEATHING AS,NECESSARY. INSTALL GERARD METAL SHAKE. ESR 1491. ROOF PITCH IS 5:�2. LESS 7HAN 5 LB PER SQ FT. APPROX 2900 SQ FT. � OWNER: STEPHENS, JOHN D.� - Address: 2879 EL RIO CIR `. -� Unit PHONE: �� City/State/Zip: COSTAMESA,CA �� , APPLICANT: FERGUSON;-LEWIS �� _ Address: 1260 N HANCOCK . . , Unit: :STE 107 PHONE: 714-777-0040 , _„ - City/Stale/Zip: ANAHEIM, CA , CONTRACTOR: MC CORMACK ROOFING AND.WINDOW CO. Address: 1260 N HANCOCKUnit: �� - SUITE 107 City/Slate/Zip: ANAHEIM,�CA � 92807 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund . � � . License No. � � � - . ' License No. $o.00 $16725 ,. . -. $0.00 " . . . -.. _ ,:., .� a�:_.: �. 51.00 , . , License No. 643700 ` . PHONE: . 714-777-4040� - ' \ ' CELL; � 949347-1400 :: . ' . PHONE: �� PHONE: AL FEES $168.25 � � � � � � " � � HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-• PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and lhe following Federal New Years Dav. Memorial Dav. Intleoendence Dav. Labor Dav, Thanksgiving Day and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES'180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. OE/. INSPECTIONTYVE ORTE INIIMLS COOE1 INSPEL710NTYPE UAIE INPTIRL 1616 Fined System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final `, �� 208 Final Plumbing 200 Final Re-Roof �l I—�' � � ��_wv 210 Final EleCtfical 201 Final BIak/Retaining Wail 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Sile 20a Final Demolition ' 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm untler penalry of perjury one of lhe tollowing declarations: ❑ have and will maintain a certifcate o( consent to self-Insure for workers' com ensation, as provided for by section 3700 of the Labor Code, for the e rtnance of [he work for which this permit is issued. I have and will maintain vrorkers' compensation insurance, as requiretl by s bn 3700 of Ihe Labor Code, fa the pedortnance of the work (or which this pertnit is issued. My workers' compensation Insurance cartier and policy number are: Carrier. �L � it`� 5 J �� (Tna sertion nee0 lrp,�10e mnqeretl atne peimR ¢ vaWetl at one nuntlretl oU1ars (St00) orleu) PolicyNumber. i'l��SIP ��%�q—�D ❑ I certify Ihat in the performance of the vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lavrs of California, and agree that if I should become s ,ct ro vrorkers' compensation pmvisions of Section 3700 of the La otle, I� f with wmply with these provision � � �� AGO��'s Signalur Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions o� Chapter 9(commencing with Seclion 7000) of Division 3 of the Business antl Professions Code, and my license is in full force and eRect. Cy Lic. # �Q � � ! « Class # � � / � .�-- 09/2o/i� Conlraclor rgnatur � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn [ha[ there is a construcfan lending agency for the pedortnance of the vrtxk fa vfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Pmfessions Code: Any ciry or counry which requires a permi[ to consWc�, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to file a signed statement thal he or she is licensed pursuant ro the provisions of the Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt Nerefrom and the basis for the alleged exemption. Any violation of Sec[ion 7031.5 by any appliwnt for a permit subjects the applicant ro a civil penalry of not more than fve hunOred dollars (5500�.): ❑ I, as ovmer of the property, or my employees vnth wages as their sole compensation, WILL DO 7HE WORK, and the siructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracrors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or �erself or through his or her ovm employees, provided [hat such improvements are not intended or offered for sale. If. however, the builtling or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she ditl not build or impmve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professbns Code: The cont2ctors License Law dces not apply to an owner of property who builds or improves thereon, and who cont2cts for such project with a cont2ctor(s) license pursuant to the Contractas License Laws.�. ❑ I am exempt under sec. Business antl Professions Code for this reason: SignaWre Dale 305]<6 (3/O]) Owner ID verified by driver's license. ❑ Ves ❑�No � Driver's License No. Expires: Verifwtion o( Ovmership by (ype of document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby cetlAy that no ezcavation frve (5) or more feet in depth into which a person is required to descend, will be made in connection vrith work authonzed by [his pertnit, and that no building strucWre, scaf(dding, falsework, ar demolition or dismantling ihereof, vnll be more than thirty-six (3fi) feet hiqh. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Cali(omia Administrative Code). ❑ As owner-6uilder, I will not employ anyone to tlo vrork which woultl require a permit from the Division of Intlustrial Safery, as noted above, unless such person has a permi� to do such work fmm Ihe division. 'ApP��nfs Signature Da�e Division of Industrial Safety Permit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicani or present or tuture building occupant need to fle antl certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Cali(omia Health and Safery Code requires, with some exceplions, thal a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal to or greater man a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feei of compressetl gas at standard temperature and pressure). 2. Does or vrill the applicant or present or future building occupant need ro(le a regis[ration form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safery Code, wit� some exceptions, requires registration wilh the Costa Mesa Fire Department 6y each business which at any one time has on hand a quantity of awtely hazardous matenals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard IemperaWre and pressure�. 3. Does or will the applicant or presenl or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Code provides Ihat the Costa Mesa Fire Department may require ihe preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials wiN the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require (or the vrork which is the subject of this application a permit for such construction or modification from the South Coast Air ouality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 658502 of ine Califomia Govemment Code requires lhat ihe requested in(ormation be fumished on applications for non-residential builtling pertnits). 6. Will any part of the faciliry to be consWcted under this permit be within 1000 (eet (mm Ihe outer boundaries of a school? ❑ Yes ❑ No p('yes", the faciliry must meet �he requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permil from the South Coast Air Qualiry Management DisUicl or other air pollution control district or agency is required for the vrork which is the subject of this applicatioq have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (It "yes", anach certificate of compliance from the appropnate air pollution control oKcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the intormation given above is correct. I agree to comply vnth all state laws and city ordinances regarding Hazardous Matenals and Emissions. SignaWre Qate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is correct I agree to comply with all state laws and city ordinances relating to building construction, antl authorize representatives ot the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes. 1 agree not to occupy or allow occupancy of any building authorized by this permi� until final inspection. Si ure ot L a wner ) le ��-� `j D Antllor Aul�onze0 AppLw Date Alterations 1'ruject Namc: oT N�ivs � ,� : v �ea-�S— N of ] of'S) Suri'ace B 7ag/ I Assembiy ID' or Tw t6e (urred Material occounling rtioned of Mass Walls see Furring 5trips Construction Table bel D � F G H Standard Values From JA4 Thickness, Framed Continuous Spacing, U- JA4 Table Cavity ]nsulation orOther' factor" Numbers R-value° R-Value' Jiunluliw� R-volue. e'ee Page JA4.3 mrd Eqnoiim� d.l. Far culculaline fuiv�e Assembly use Furring Consln�clion lable belmr. 1. h or Tng/!D indic4ie the identifcmion name diar maiches the building plans. 2. Didico�e (he Assembh� Name or rype: Rooj/Ceilirtg, Walls', Floors, Slobs, Craw! Space, Doors and etc...lndica�e the Frame rype and Size: Far N�ood, Meral, Meial Buildings. Mass, enter ?a9, ?xG, or etc... see JA4 fm� o�her possible f-amc rype assensblies. 3. Enler llie tl�iclnfess fa' mass in inches or' Syacino 6enveen f�'aming members enter; 1 G'or 14 "OC; or Oiher jm� all other assembl�+ descripiian axrch a�� Ca�crete SmrdwicH Panel, Spondrel Panel, Logs, Sn�aw Bale Panel and eta... 4. Based mi ihe CI ima�e Zone; enter the Siandard U facior fi�onr Table 1� l-B, C or D for eacle d fjerenr assembl�� Name or rype. S. Enter the Table number tha� closely resemLles Ihe yroposed assemblr. G. L'n�er the R-nalue dmi is beirtg installetl in lhe wall ca��im or between Ihe fi�nming; olherwise, enier "0 ". 7. L•Ner !he Cnntinuous Lisulaiion R-nalue fm� /he proposed ua�senablp; otherwisc, enier "0". b'. Ltt�er Ihe row and cr�lumn of �he U-factor value Lased mi Column FTable Number and ett�er !he Assenvblp U,-fucior in Colvnm J ). Thc Proposed dn'senrL/v U-fac�or, Colunm J, nvsi be eqiml �o or less ihan the Stoudard U-f�emr in Colunm E io comph�. Fuiring Strips Consvuction Table for Mass Wa]Is Only q B C ll � F G H 1 J K L M Proposed Yruperties uf Masonn� and Cuncretc Added lnterim� or �xterior Insulatiun Walls Trum Reference in Turring Space frum Referenec Juinl A eudix Table 4.3.5. 4.3.G. 4.3.7 .loint A enclia 7'able 43.13 U VG � C L `u 4i G C ` 4� J vr Aescn>bl)� �. j �`c ° F" v c m,`�u <." __ FiPal Muas Numc or JA4 "I�ablc ;} - � I v � 2 F a o 't !� o� �� Asseinbly Th�ekness� 'I' pe Numher �" � i= ui = i; �` � �. C � ry w r U-faC[0��'� ComTilenl 1 � I kegi.sUuiinn Numbei:' Regia'b�u�ion Uu�e/Tirnc: HG/tS Prnvider: 2pOd' Residentiul Convplicmce Frn�m.r �lugus7 2009 ve Prajec� Nome: 5 Residential Climale Z,one # � CF-IR-ALT (Pa e 3 of 5) # of Smries ROOrING PRODUCTS (COOL ROOFS) §157(nl2 N'hen thc nre� aj[xterior rnojsrrrjace tn bc�replaced ezceeds inorc'than 50% ojthe existing roojaren, or mare lltmi 1,000 j�, �vhicheverls less, Uie nein roojerrg aren �nus1 meel (hc roofing producl "CriolRoof'requirements oJ§l51(b)IHi, I52(bJlHii, or 752(bJlHiii. Check appficaL/e a!/ernntive or ceception be(oe� if �he roof aLeintion rs uemp� j�om the roofingproducl "Coal Roof l requirements. No�e: ljany one ojlhe a6erna�ives m' excep�ion below is checked, �he Aged So(ar ReJlectance and Therma! Emivance requirements jor roofing producrs in §1 /8(iJ m�e no� qpplicable. Do no1 fll mb/e below. O Cool Roofs Not Required iu Climate Zones I-t2, 14, and 16 wi[h a Low Sloped. Less or 2: ]2 pitch. ❑Cool Roofs Not Required in Climate Zones I through 9 and 16 wi[h a Steep-Sloped Roofs (pitch greater than 2:12) and product unit weight less Alternatives to §152(b)1Hi and §152(b)Hii, Steep-slope roof (pi�d� > 2:72J � Insulation wid� a thertnal resistance of ai least 0.85 hr�ft ��F/Bhi or ai least a 3/4 inch air-spzce is added to [he roof deck over an anic; 0� ❑ Existing ducu in the attic are insulated and sealed according m§151(fl10; or ❑ In climate zones 10, 12 and 13, with I_ ft'. of free ventilation area of attic ventilation for every 150 ft2 of attic floor eren, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or - . ❑ Building has radiant barrier in [he attic mceting the requirements of §151(�2; or ❑ Building has no ducts in Ihe anic; or ❑ ln climate zones ] 0, 1 l, I3 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low-slope roo( (pitch <1:72) ❑ Building has no duct� in the attic. ❑ Roofing area cavered by building integrated; photovoltaic panels and solar�thertnal panels are ❑ Roof constructions [hat have [hermal mass over the roof inembrane with at least 25 Ib/ft is ex no CRRC-1 label is availabie, this �.k Ihe applicable box below if Exer CRRC Pmduct ID Numbcr� cannot be used, use the Performance RoofSlope ProductWeight Product < 2:12 > 2:12 < Slb/ft� > 516/ftZ Tvoe2 x from the below Cool Roof criteria. iom the below Cool Raof criteria. �proacli to show compliance, otherwise, Aged Solar Thevnal .eflectance�'° Emittance SRJS n^ O" ❑4 ❑4 O" The CRRC Po'oduc! lD Number cmr 6e oGlnined fi'om tlie Cool ItoofRaling Council's Raled Producl DireUorp a! �vw� � coolrook arn/nrt ducl / o'ch nl n Indicale tl�e l�rye oJp�'�ducr ir being useAfor U�e runf iop, i.e. single-plp roof, asphall roof, ineml roof, elc. If �he Aged liepec�ance is noi availaLle in.U�e Cool RoofRoimg Cowicil'a� Rmed Po�oduc! Direc�oq� IGen use 1he Inilial ReJlec�ance valuc fr�om Ihe same direcinry� ond use �he egua�ion (0.7+p.7(P��— 01) io obmin n calcula�ed oged vahie. Where p ir ihr Iniiia( Solor 2eflecmnce. Check Lo.r i(!de Aged /tellec�a�ce is o calndmed vah�e vsing Ilre eqnalian a6ave. Calculo�e Ihc SIU va/ue Lr using U�r SR/- Worksheei al hun:/�w�nu•.enerim.ca.env/�ille24/ond emerlhe maulting vofue in IHe SR/ CoLnnn obave ond o�mch uct Ihe SRl- IVorksheel �� U�e CP-lli. � apply Liquid T'�eld Applied Cuatings, [he coating must be applied across the entire roof surface and meet ihe dry mil thickness or coverage commended by the coa�ings manufacturer and meet minimum performance requirements listed in ¢118(i)4. Select the applicable coating: Aluminum-PigmentedAsphalt RoofCoating Regisu�u�ion Nwnbe�� 2008 Resideniiul Compfiunce Forms � Cement-Based Roof Coating Regis�raion Da�e/Time: Other HEILS Pirooider: Augus� 2009 Residenlirrl ,4 Prulecl 1V:imr. ._ _: Residential Climn�e'Lunc'N � CI -1 R-ALT (Ya�e � u1�i1 �' uf Smries � fIEI:S l'�P.IRICAT10f� SUMI�IAP Y' Thc enforce+nenr ogcncr a�lmu(dpn�� suecial erucivion « � thc HE(fS Adeosm�es specijied in �nis . checic(is� Ge(nw fi co�ayle�eri nnd sioned CF4Ji Form for cdl dic rnvn.nu�e.r specilied shnll Lc rubuvued iu liie buildm�; inspecmr Leim�r J'u��d �uct Sexlino & TeStltip HL'/iS��eri/icniimr ia rcquved for du.i mcnsw�e. � ❑}'�g ❑ NO 1'GS: lu Climate 2ones ' and J-16, if more thaii 40 linear feei of ne�v or replacemeni Aocu eirt ins�tilled in unconditioued space, [l�e ducls a��e to be sealed per �J 52(b)1Dii and the newly iusmUed ducts are io be insulated pei ( I51(1.110. ❑�XC�PTJO�`. Lxistine duct systems thal are estended, �vhicli are cunstructed, insul:�ted ur seale� �vith asbestns. [J 1 L�S ❑ NO ]'iS: ]n CYimaie "Lones 2 and 9-] G, if the eaisting space-conditioning system (HVAC equipmenl and ducting) is replaced, the ducts arc to be sealed pei (152(b)lUi. � Q YES ❑ NO 1'�5: 7n Ciimate Zones � and 9-16, if the eristin� HVHC equipinem is replueed (including tlie replucemem o1 the �ii� handler: outduor coudensing unii of a spli� sysiem, cooling or heating coil, oi the iiirnace lieai exchanger) the ducts are to 6e sealed pei §152(b)lE. � ❑�XC�PTIOn: Duct systems t}i�t are ducumented tu have been previuusl�- sealed confirmed throu�L H�RS � veriSicatiou in accordance witli procedures in the Reference Residential Appendix P.A3. - ❑ L�XC�PT10�: Duct systems with less than 4U Yineor feet in unconditioned space. . . ❑ L�XC�PT10�: Existing duct srstems constructed, insulated m� eealed with asbestos. �tef'rigerant Charge - Split S,ystem NERS veriJicnliar ie' reqvired,for �his nveosure . ❑ YES ❑ NO YLS�. ln Climate Zones 2 and R-15, when the eaisting HV AC equipmeni is replaced (incl�ding the Teplacement of the air handler, outdoor condensing uni� of a splii system A/C or l�eat pump, cooling or heating coil: or the furnace heat exch�neer� a refrieerant charee measuremem shall be verified ner 61;2(hllF. Central Fan Integrated (CFI� Ventilation Spstem and Fan u'att Drah� The ventilauon requirements of §I SD(o) do noi avoly tn existine residential hmnes. vucted Split Systems - Air Conditioners and Heat Pumps: AirfloH� HERS veriiicariwi is regui,�eQ/or ihis measurc. p 1'LS ❑ N 0 YES: ln Climate Zones 1(1 through I 5, when the exisciog space-conditioning sysiem (H VA C equipment and ductingj is reolaced- [he airflow and ian watt draw shall be verified ner §152(b11Ci to meet the reauiraments of & I� 1(f17B. pocumentation Author's I certlfr that this Certi Name: / e ca� Q C� Compa��y: A A C� i •-� on �� and Late: Phone: �%/! c� �.e O CEH or O CEPE �oy� Responsible I3uildine Desi�ner's Declaratioi� Statement 0 1 am eligible under Dlvisimi ? of l6e Culifornfu Business ancl 1'rofessions Code to accept responsibiliry 1'or the building desigin identified on this CertiLcaie of Compliancc. • ] cenif�' [hai the eneigy feaiures and performance specific�Lions foi the building desi�u identiLed on this CeniLrite of Complinnce conform to the iequirements of'Tillc?9, Pan;�. 1 tind G of tlie Culifurnia Codr ofRegulaiions. • Thc building design leawres identiGed on lhi:: Certificn�� of Compliance nre consisiem wilh Lhe intorma�ion prnvided to ducumem thi:: buildiug design on th: oiher �q�plicablc compliuncc lonm , worl:shcets; culculation&, plan; anJ specificaiions subinilicd u� the eniorceineni aeencv Soi� annto��al with ihis buil6uit• nermii aPDhcalion. Ntunc � � e /LG [,LiO--.-J Compan��.� e/+ /�� L-��Cwt 2c K- ..J C� �.�,��5�� /�CcO /()o (��-�eoc� �/U c��:�s��«r��i� . C� `1�Fjo� � �/�-�/tc� C �t�7c� �'�,one �� { >7� `+o�Fc� )�nr aa�a�isumr.e or que.stiorv:. i•eg�uvlino ihe L•�iero.r Sumdard.t�, cnnuacl qic Lneror }lo[linc ur: 1-b'011-;72-.'i3b(l. Icegrsrrannn h'unrber ;.'(IOf' lee;rinen7iul CwnpLuncr Favns I(egisn�auon Lme/Timc: f/E2S l'rrmicimc fiz�gz:s'I 200J CITY OF COSTA MESA B!/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 . , PERMIT NUMBER: E08-00375 PERMIT TYPE ELEC STATUS: ISSUED APN: 14156205 DATE ISSUED: 09/25I2008 ISSUED BY: RMD JOB ADDRESS: 2879 EL RIO CI CM �., Suite/Unit. <=: . Vicinity: - � - SCOPE OF WORK: ELECTRICAL� FOR THE INSTACLATION OF A NEW A/C UNIT (EGRES A/C'P.KG).LOCATED AT SIDE OF PROPERTY FOR A SFD. REF#: M08-00127 -+� � + - ' _ �. . . +' � � ,'„ :,��• `!5. . . OWNER: STEPHENS JOHN D� � k� - �Address: 2879 EL RIO CIR `Unit: '�'� - � � PHONE: 714-549-7118 -�- City/State/Zip: ; COSTA MESA CA --.=" ��-�� - APPLICANT: STEPHENS JOHN D, �� ' �Address: � �2879 EL�RIO CIR Unit' - � � . � � PHONE: 714-549-7118 � - . City/Stale/zZip: COSTA�MESA; CA . � _ , . . , :. . � . ' ' -.- . -_ ,-. , � CONTRACTOR: OWNER;BUILDER �' �' � �� ,� � � �, - � .�License�No:�� 000000 -� �' .-��>� Address: Unit:-� ': , � -PHONE: - . . ' - �- . -' � - City/State: ' � . .�' ZipCode: - CECL: . � . , � � - � �� :'. � . ELECTRICAL PERMIT FEES ` Electrical Plan Check Fee. ': `,. $0.00 �lectrical Permit Fee: $78.00 - ' Reinspection Fee , $0 00 ;, � TOTAL FEES $78.00 -. � ;- _ :;'. . , . NOTICE: 7he work authonzed by this permit shatl wmply with a!t appticabte handirap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , _ , , . EXPIRATION: PERMIT EXPIRES 180 DAY$ FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. - - __ � INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all�applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 0 t. INSYEC710NTYPE DRTE INIIIIALS COUEt INSPECTIONTYPE . � DATE � INT7IALS 7616 Fired System Final Fire Prevention 206 Final Mec�anical , . � 1266 Pool Spa Pinal 208 Final Plumbing - 200 Final Re-Roo( 210 Final Elecirical ' 0' �' �_ r � 201 Final8lock/Relaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 220 Final Fire Prevention Final Planning Approval 222 Final Si�e 250 FinalBuilding/OccuDancy � WORKERS' COMPENSATION DECLARATION: I hereDy aKrm urMer penalty of perjury one of the following declardtions: � ❑ I have and will maintain a certificate of consent to self-Insure for wnrkers' wmpensation, as OroviOed for by section 3700 of the Labor Code,, for the peAormance ol lhe work for which"lhis permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by sectbn 3700 of the Labor Code, for lhe peAormance of the work for which this pertnit is issued. My workers' wmpensation Insurance carrier and policy number are: Carrier (ihis setlm nee0 rwl be mmpetetl4Ne perm4s vaN�eC at ane hunpredOdWrs (5f 00) orleu ) Policy Number: �I,certify Ihat in the pertormance ol the vrork for which this permil is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, antl agree lhat if I should become subject to the vrorkers' compensation provisions of Section 3700 of ihe abor ode, I sha foAhwith comply vnth lhese provisions. s O r� 0� s ignaWre �� ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE �S UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensetl unCer provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full (orce and eHec[. Lic. # Class # Com2c�or's Signawre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a construction lending agency for ihe peAwmance o( lhe v.ork fp wfiich lttis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler s Adtlress: OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7037.5. Business and Pmtessions Cotle: Any city or county which reguires a permit to conswct, alter, improve, tlemolish, or repair any slrucJure,'pnor`to its issuance, also requires ihe applicant for such pertnit lo file a signed statement Ihat he or She i5 licen5etl pursuan[ to the provision5 0( the Con[rac[ors License Law (Chapter 9(commencing with Section 7000) of DiviSion 3 ot [he Business and Pm(essions COtle) or Nat he or she is exempt therefrom antl the basis for lhe alleged exemption. Any violation of Section 7037.5 by any applicant (or a permit subjects the applicant to a civil penalry of not more than five hundreC Collars ($500).): ❑ I, as ovmer of the property, or my employees vrith vlages as meir sole compensation, WILL DO THE WORK, and ihe SWcture is not in[ended or oHered for sale (Sec. 7044, Business antl Professions Cqde: The Contractors License law dces not apply to an ovmer of property vfio builds or improves ihereon, and who does such vrork himself or herself or ihrough his or her ovm employees, provided Nat such improvemenis are not intended or oflered for sale. If, however, the builtling or improvement is sold wilhin one year o! completion, the ovmer-builder will have the burden o( proving that he or she did not builC or improve for purpose of sale.). . � 1, as�ovmer of the propeAy, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractas License Law dces not appty to an owner o( propeAy who builds or improves thereon, and wfio contracts fa such pmjecl vnth a contractor(s) license pursuant to the Contractors License Lavs.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: l�C.�'^" s � Si aWre ^—� ' - ' Dat �._' 5)-06 (3I0)) �'--- 7 Owner ID verified by Ariv ._ ncense. es ❑ No Drivecs Cicense Na. �� % � (6ipires: ��3 Veri�cation of Ownership by (type of documenl, i.e. - property tax bill or deed): DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby certAy that no exwvation frve (5) or more feet m depth into v.hich a person is required to descend, will be matle in connection with wnrk authonzed by this permit, and tha[ no building strucWre, sc�fdding, falsework, or demolition or dismantling thereof, will be more than Ihirty-six (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Ttle 8, Califomia Atlministrative Code). ❑ As owner-builder, I will nol employ anyone lo tlo vrork which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicanl's SignaWre Division of Industrial Safety Permi[ Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will ihe applicant or present or future building occupaN need lo file and certify a Business Plan tor emergency response to release or threatened release of a hazardous material? ❑ Ves ❑ No (Section 25505 of lhe Califomia Health and Satety Code requires, with some exceptions, Ihat a Business Plan be fled with [he Cos[a Mesa Fire Department by every 6usiness which has at any one time dunng a reportetl year a quantity o( hazardous matedals equal ro or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 2. Does or will the applicant or present or fuWre 6uilding occupant need ro file a registration fortn for acutely hazardous ma[enals? ❑ Yes ❑ No (Section 25533 0( the Califomia Heal[h and Safery Code, with some eaceplions, requires regislration with the Costa Mesa Fire DepaNment by each business which a[ any one time has on hand a quantity of acutely hazardous matedals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl remperature and pressure�. 3. Does or will the applicant or present or fuWre builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous ma[edals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Cotle provides that Ihe Cos[a Mesa Fire Department may require the preparation, certifcation antl filing wit� the Fire Department of an RMPP by businesses which are required to register awtely hazardous materials with the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. DoeS or vnll [he applicant or present or future building occupant require for Ihe work which is [he 5ubjec� of lhis appliGd[i0n 8 pefRlll (Of SUCh COnS�NCtiOn or mo0ification fmm lhe South Coast Air �ualily Managemenl Disirict or from any other air pollution control dislrict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemmem Code requires that the requesled information be (umishetl on applications fa rromresitlential building pertnits). 6. Will any part of ihe facility to be constructetl under this permit be wilhin 1000 feet from the outer boundanes o( a school? ❑ Ves ❑ No Qf "yes", the facili[y mus� meet [he requirement of Sections 25534 and 42303 of the Califomia Health and Safety Cotle). 7. If a permit from the South Coast Air �ualily Management DisMct or other air polN[ion control tlisMcl or agency is required /or the work which i5 the subject of this application, have all of the tlisclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", altach certificate of compliance frorti lhe appropriate air pollution comroloKcep. . � � � � • CERTIFICA7E OF COMPCIANCE: I certify ttiat under penalry ot pefury the infortnation given above is correcl. I agree to comply with all state laws and city ordinances regartling Hazardous Materials and Emissions. � �; ' SgnaWre Date " CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correcl. I a9ree to comply vrith all state laws and city ordinances relating to builCing construclion, and authonze represeNatives of ihe City of Costa Mesa to enter upon the above-descnbed proDerty tor inspectio purposes. I agree no[ to occupy or allow occupancy of any �uilding aut riz by t�s-p rtnit u til final inspection. n � . � !1—� � � Sig t re ol egal Ormer(s) .!_Dal ,- ,: MOIw Au��onzea Applicant Dd�¢ CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci wsta-mesa.ca.us . ' FOR INSPEC710NS CALL: (714) 754-5626 � PERMIT NUMBER: M08-00127 PERMIT TYPE MECH STATUS: ISSUED APN: 14'I56205 DATE ISSUED: 09/25/2008 _. .ISSUED BY: RMD � JOB ADDRESS: 2879 EL RIO CI'CM , Suite%Unit _`° Vicinity: ATTIC/SIDE YARD ' ,.... .. . : � :. . , .._�_ . ._ , ._. �;... SQ. FT: 0 - � � . SCOPE OF WpRK: MECHANICAC PERMIT:TO RELOCATE 1 FAU <100K BTU TO ATTIC`AREA, INSTALLATION OF A NEW A/C UNIT LOCA7ED AT SIDE OF,FROPERTY AND ALTER/REPAIR HEATING/COOING (DUCTING) FOR ASFD. REF#: E08-00375 OWNER: STEPHENS; JOHN D��• ��` � _I�Aiidress: � 2879 EL RIO CIR Unih i' PHONE: 714-549-7116 �� Ci4y/Slate2ip:. - COSTAMESA,�CA �-��:- ` . � � . ,. , .. .. ..., APPLICANT: STEPHENS JOHN D'` �� Address: --� � -2879 EC RIO CIR�- UniCc� . PHONE: 714-549-7118 ��. , _- City/State/zZip: � COSTA'MESA�CA�'i ' ��"� . S r.`- CONTRACTOR OWNER BUILDER �� - -•� � -� � , ��_., �� License No.��. 000000: ��!� , Address: Umt..,�+ _ . � PHONE l� � . , , _ , , _ � : , CitylState: - ' ,ZiqCode: - �� - � � - - CELL:. - - _ ; i . � .. . . , .. . . . � . . ' . ;�. ., ..: ' '. ....,.,. . • ..;,{. •- �,.: ;,,-' . . ' � . .- : � .:�.+ MECHANICAL PERIVIIT FEE SUMMARY . MECH ITEM FEE: -� � - - $66.80 . � . . PLAN CHECK FEE: . . �.. � $0.00. ` � ... - - . ' . �... .- INVESTIGA710NFEE: ;��,$0.00 � ,_ - REINSPECTION FEE: ��.,. � �� _� , $0.00,�� -.-� ��- -� ,._�"�; �...�� TOTAL FEES: $66.80 - - - _ � �- � 1 � � NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California sWtutes and related regulations. (Drd. No. 92-28. § 1. 12-21-92) � .. . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. , _� INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work mus4 comply with all applicable codes, and all required inspeetions and final approval musl be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CODE/' INSPECTIOXTYPE OAT INTITIRlS COOE/ INSPECTIONTYVE� , Q�T�-/� IN7IiIR 1616 Fixed System Final Fire Prevention 206 Final Mechanical � , ii O.1 O-Q� � 1268 Pool Spa Final 208 Final Plumbing ' 20o Final Re-Roof 210 Final Electrical � 201 Final �IocWRetaining Wall 212 Final Fire Prevention - 202 Final Factory Fire Place 203 Final Sign 20a Final pemolition 220 222 250 Final Planning Approval FinalSite Final Building/Occupancy WORKERS"COMPENSATION DECLARATION: . . � I hereby aHirm under penalty of perjury one of the following declarations: ❑ I have and vrill maintain a certificate of consent to self-Insure for workers' compensation, as provided tor by, section 3700 of the Labor Code. for the performance ot the work for which this pertnit is issued. ❑ I have and vnll maintain wvrkers' compensation insurance, as required by section 3700 of the Labor Code, for the peAwmance of the vrork (or which this pertnit is issued. My workers' compensation Insurance wrrier and policy number are: Cartier. (Tnis seqpn nee0 nof be oomp'efed/Ne pem�G'a vaWM al one nurbre0W9ars (b1�1 orless.) Policy Number: �� I cerlify that in the peAortnance of the vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of California, and agree ihat if I should bewme subject to Ihe workers' compensation pmvisions of Section 3700 of ih Lab Code, I sh II (orthwi comply with Ihese pmvisions. —S e --O f p� can[s ignalure Oale ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under pmvisions o( Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eRect. Lic. # Class # CONraclor's Signalure Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aRvm that there is a constructbn lending agency fw the peAortnance of lhe v.ark fa wfiich ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Date OW NER•BUILDER DECLARATIONS: I hereby affirm lhat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to wnsWct. alter, improve, demolish, or repair any sWclure, prior to its issuance, also requires �he applicanl for such permit to file a signed slalement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing wilh Section 7000) of Division 3 0( Ihe BuSine55 and Pro(e55ion5 COde) or that he or 5he i5 exempt Iherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by,any applicant for a permi4subjects lhe applicant ro a civil penalry of not more t�an five hundred tlollars ($500).): � ❑ I, as owner of the propeAy, or my employees vrith wages as Iheir sole compensation, WILL DO THE WORK, and the stmcture is not intended or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himself or herself or through his or her ovm 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-builder will have Ihe burden of proving thai he orshe did not build or improve for purpose of sale.�., �� I;�as owner of the property; am EXCLUSIVELY CONTRACTING-WITH LICENSED CONTRACTORS to conslmct lhe project (Sec. 7044, Business and Professbns Code: The cont2ctors License Law dces not apply to an owner of property wfio builds or improves ihereon, and who contracis for such prqect with a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: � .iZ� Se,O-O � igna re._�._,,,` Da 5]<6 (3/0]) � . . Owner ID veri(ied by driv , iicense. - Yes ❑ No / �DriverSLicense,No. �� Expires: ��3 Verification of Ownership by (rype of tlocument, i.e. - properry taz bill o tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � �� ❑ I hereby certify that no excavation frve (5) or more (eet in deplh into wfiich a person is required to Cescentl, will be made in connecl'qn with �wrk authonzed by this pertni[, and that no building struc[ure, scaf(dding, falsework, a demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8, Califomia Atlminist2We Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permil from the Division of Industnal Safety, as notetl above. unless such person has a permi[ to tlo such work from Ihe division. Apvlicanfs SignaWre Division of Industrial Safety Pertnit Number: _ HAZNRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre builtling occupant neetl to fle and certify a Business Plan for emergency response [o release or threatenetl release ot a hazardous matenal? ❑ Yes ❑ No (Section 25505 0( the Califomia Health and Safety Code requires, with some exceptions, lhat a Business Plan be filed vrith lhe Costa Mesa Fire DepaAment by every business which has at any one time during a reponed year a quantity of hazardous matenals equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will ihe applicant or present or (uWre builtling occupant need b file a registration Form for acutely hazardous matedals? ❑ Yes ❑ No (Seclion 25533 of the Califomia Health antl Salety Code, with some exceptions, requires regisUation with l�e Costa Mesa Fire Deparlment by each business which at any one time has on hand a quantily of acutely hazardous materials equal lo or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic teet of compressed gas at standard temperature antl pressure). 3. Does or will the applicant or present or future building ocwpant need ro prepare an RMPP (Risk Managemen[ and Prevention Program for aculely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Calitomia Health and Safery Code provides lhat the Costa Mesa Fire Department may require ihe preparation, cerlification and filing with ihe Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building xcupant require tor tne work which is the subjecl ot this application a permit for such consiNction or modification fmm the Soulh Coast Air Quality Management DiSlrict or from any other air polWtion conhol distnct or agency? ❑ Yes ❑ No (Section 658502 of the Califwnia Govemment Code requires that the reduested infwmation be fumishe0 on applications for rron-resitlential building permits). 6. Will any part of the faciliry to De construc[ed untler this pertnit be wi[hin 1000 feet from Ihe outer boundanes of a school? ❑ Ves ❑ No Qf yes", Ihe facility must meet [he requirement of Sections 25534 antl 42303 of the California Health and Safety Cotle). 7. I( a pertnit from the South Coas[ Air Quality Managemenl Distric[ or other air polWtion control district or agency is required for Ihe work which is the subject of ihis application, have all of lhe disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8.� (It yes", attach certificate�of compliance from the appropriate air pollution wntrol offcer). � � . � . . , CER7IFICA7E OF COMPLIANCE: I certify'tfiat under penaltyof perjury the information given above is covecL I,agree to comply with all siate.laws and city ordinances reqarding Hazartlous Materials. and Emissions: ' �' ' SignaWre ' Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF' ENTRY:' I certify under penalry of perjury that I have reatl this application and state that the information given is correct I agree to compty with all state laws and ciry ordinances relating to building construction, and authorize representatives o( the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection rposes. I agree not to occupy or allow occupancy of any building auth ize this it until Jfn�al�in�sp�ection. �t� SignaWr Le Owneqs) �Dal� -v Andlor Am�onzeE ApO�i�nt Date .:r • '+ /;% C �� , �-- c��, �..�� . .�,�-I,�L``'`'`"''� J � � _�� ' n � t�%�'-_ �v '?,��i..�,�-�2 �`n.�- �C � Je-L� r � ��,--e� �,� ,�� "��-w �,,,��., ��—� c�-r-� -� }�I-t,��__`. —��.- ��-�,;�,,,�� ,�- � X � � � �-r 1;'�v'` �� _ �� C�.!1i�<; -�1 �c. �-,� �' � :`L-ct�--L _.1,��v}��i�`k%--t� Ct/�. C�—��1/Yt-C�:� r . ;. C�t,v�, C�.-k-��k�L��..-�,,�: ,��L�'`� �'2 ��c,� I�'u'�-�-�� - �t/`�L(,��v�. �fti� ✓,f�cv—�.�,_�-- c�c.� /Yl��, . ,�.,�, ,,� -�� ,��,;��.� �:��. --�.� � �- .�� .� ��.--z.�� .-,,�: ��--�=�_�� - U�.`� <<; r�'�v . �� .�1.�,�.c._�;z��,E' c.�n�.t.titi�e,..:i`�.<<� �� ''Z ��-�� -�S_�� z-� � �`-�L� �� 0 C�-��.�� ,� �, �.ti� 500 sq f eet ■■ �. FqU � CLOSET CL�SET CLOSET C�OSET I LLOSET LLOSET I CLOSET /� � � � n�lUcv S � �r r r ( PQtlO SPA APPROVFD CI'1'1' OF COS7'A MF:SA PLANNING DIVISION SUDII:CT TO BLD('i. (�I:PT. REG. OIt �'� HtItECTIONS SHALL DE APPR(►Y1?D F3Y THE PLANNING DIV. BY: ��DATE: Z� �� (�2ovA-c- o� /�--c- LvCA-�v:✓ �-=,ti o r�-� N F/G 1�� ,�t?"�-ufF� 2500 sq -Feet Property Size 142'6" X 61' = 8692 ��1�� i�o�'�r �SS�� b`��1 ��.- �° C.� . , (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT . Job Address: Suite No Vicinity: Parcel Nunmber. 2879 EL RIO CI 14156205 npp�icant: STEPHENS, JOHN D Address: 2879 EL RIO CIR COSTA MESA, CA owner: . STEPI-IENS, JOHN D Address 2879 EL RIO CIR Contractor: Address: �SSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets � Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to ihp Mators to 10hp Motors to SOhp Motors to 700hp Motors over 100hp Communicalion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole COSTA MESA,CA OWNER-BUILDER Phone: (714)549-7118 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 0 ISSUED BY: Staws: I SS U E D Applied: 08/25/2000 Issued: 08/25/2000 SCOPE OF PERMIT REPLACE EXISTING 100 AMP ELECTRICAL SERVICE TO NEW 200 AMP SERVICE, USE EXISTING 100 AMP SERVICE AS SUB-PANEI, INSTALL 1 OUTLET FOR ABOVE GROUND SPA AND 1 CONDUIT. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $o.00 $0.00 so.00 Quantity FEE SUMMARY , _ Quantity Temp Dist System / Lighting $0.00 0 Busway /100 ft $0.00 0 Standing Section $0.00 0 ' Misc Electriwl Equipment $0.00 0 � Transformers up to 1 kva/kw $0.00 .0 ................up to 10 kva/kw $0.00 0 .� ............... up to 50 kva/kw $0.00 0 .................up to 100 kva/kw $0.00 � 0 ..................over 100 kva/kw $0.00 � 0 � LowVOltageEquipmeM..•. '- �, �$0.00.� 0 Low Volt Wiring System / Ckt �$0.00 0 Misa Conduit . $7820 , 1 Misa Conductor ' $0.00 0 Circus ( gen or ride) $0.00 0 Circus (mech ride or lighls) $0.00 , 0 Christmas Tree Stand $0.00 0 Fireworks Stand $0.00 � " 0 Other Electrical Fee $0.00 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES 5703.60 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes antl related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspentled or abandoned for a period of 180 days. " � � ' INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all requlred inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 2446-48(6/00) WORKERS' COMPENSATION DECLARATION: I hereby attirm untler penalry of perjury ona of Ihe following declarations: � I have entl will meintein e certitiwte of consent lo sel4lnsure for workere' compensation, as provided tor 6y section 3700 oi tha Labor Code, for ihe pertortnanca of the wark lar which this permit is issued. ❑ I have antl will maintain workers' compensation Insurence, as required by section 3700 of the Labor Cotle, tor the perfortnance of Ihe work for which this pa�mit is issued. My workers' wmpensation Insurance camer antl policy number are: Carrier: Policy Number: (This section need not be completea il the permit is valued et one buntlred Uallers ($100) or /ess.) ❑ I certity that in the pertormance of Ihe work for which ihis permit is issuetl, I shall not employ any pereon in any manner so as to become subjea to t�e workers' campansation laws of Califomia, end agree [hai ii I shoNU become subject to the workers' wmpensation provisions of Section 3700 of Ihe Labor Cotle, I s�ell forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' Q�AIPENSATION COVEPAGE IS UNLAW FUL PND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES PND GVIL FlNES UP TO ONE HUNDRED TIqUSAND DOLLARE (5100.000�. IN AODITION TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 310G OF THE L400R CADE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm Ihat I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, end my license is In full torce end ettect. Lic. a Class p Caniracto/s SlgnOiure: Date: CONS7RUCTON LENDING AGENCY: ❑ I hereby attirm that there is a consiruction lending agency for Ihe peAormance of the work for which this pertnit is issued. (Sec. 3097, Civil CoCe). Lenders Name: Lenders Adtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirm that under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counly which requires a permit to construIX, alter, improve, Oemolish, or repair any structure, pnor to its issuance, also requires the epplicant for such permit to file e signed stetement ihat he or she is Iicensed pursuent to the provisions of the Contrectoro License Lew (Chapter 9(commencing with Seclion 7000) of Division 3 oi the Business end Professions Code) or thei he or she is exempt therefrom and the basis tor the ellegetl ezemption. Any violation of Section 7031.5 by any epplicent for a permit subjects the epplicaN to a civil penalty of not more Ihen five hundred dollars ($500).): p�I as owner of Ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, antl Iha structure is not intentled or ottered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves t�ereon, and who does such work himselt or herseN or through his or her own employees, provided ihat such improvements are not Intended or oHaretl for sale. If, however, ihe building or improvement is sold within one year ot completion, the owner-builder will have Ihe burden ot proving ihat he or she did not build or improve for purpose oi sale.). ❑ I, as ownar of tha property, em EXCLUSIVELV CONTRACTiNG WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: 7he coNrectors License Lew tloes not apply to an owner ot property w�o bulltls or improves thereon, and who contrects br such project with a wniractoqs) license pursuant to ihe Contractors License LawsJ. ❑ lame m � Signe�ure: Owner ID nfied by Business and Professions Code for this reamn: ❑ Ye5 ❑ No Onvers LiCenSe No. of Ownership by (type ot tlacument, i.e. - property tex bill ar tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation five (5) or more feet in depth into which a person is required to tlescend, will be mada in connection with work authonzed by Ihis permit, antl that no builtling strucWre, scattolding, talsework, or demolition or dismantling thereot, will be more ihan t�irry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Trtle e, Califomia Administretive Gode). ❑ As owner-Duiltler, I will not employ anyone to do work which would require a pertnit irom iha Division of Industrial Sefery, as noted above, unless such person hes a permit to do such work irom Ihe Civision. Signawre: Date: Division of Industnel Safery Permit Number. CERTIFICA7E OF COMPLIANCE AND AUTHORVA710N OF EMAV: I cenity under penalty of perjury Ihat I have read this application anC state Ihat the infortnation given is cortect. I egre to comply with all slate laws entl ciry ordinances relating to buil0ing construciion, antl authonze representaiives ot iha Gity of Costa Mese to enter upon Ihe ebove- scn property f�' specf �AD oses. I agree not to occupy or ellow occupancy of any building auihoriz tl by this permit^u�ntil fi'na/l inspe�ction�.,�.y' �-U-C% i /^ `i o�—� v�/ Signatur Ot galOwner(s) � Date Antl/Or Authonzed Applicant Data GOUE 1, INSPECTIONTYPE QAjF L� ieiB Flzed System Final Fire Prevention 1268 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Finel Slgn 204 Final Demolition CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAiE U�AW" �� .� �r� ., ' CITY OF COSTA MESA � � < ' Building Safefy Department� �� Application for permit for the fabrication and erectio � of awnings, advertising signs or devices. ;��16391 LOCATION � Building SiTe Address '�9 E� Q�� C/��L� ,/� / Name of Leasee N%/�CCa �Q.�pC2R.4 T/OA/ Phone �� O� �/ Contractor�/4�`�'�Q i�l�N ��. State License No. ' address 'Z� � t (�J ��sT City y�-L�L�Q �NA Phone T��77� � 7 � ' rtect or 1 3ineer State License No. � address - City Phone DESCRIPTION Description of awning, adverTising sign, or device: Awnings canvas � metal � Widfh: �ft. '--in. Length: `/ ft. in. Grounil Sign� Projection Sign � Roof Sign � Wall Sign � Metal Letter Sign � Banner � Canvas Sign � Gas Tube Electric Sign (Sub-section 1.44,,Ordinance 313) � Combination Sign � Specidl Device (oTher) � Explain: � iwo copies of plans and specifications shall be submiited with application for permit for each sign. Plot on plan sheeTs proposed location of sign and locations of all other signs at siTe. Minimum size sheets must be 18" by 24" and non-erasable. If within the 10-foot area of front property line, owner is to sign written agreement wiTh The City. of Sign — Thickness � ft. in. Height�ft.'"� in. Length�ft. in. WeighT Ibs. � Height above grade�_ft. ��in. Projection ft. in. The undersigned hereby agrees to fabricate and erect awning or advertising siructure within the intent and meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of the City of Costa Mesa), and all amendments Thereto. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN- SPECTIONS SHALL BE CALLED. Signature o� ` �� p , Permitee �^^�� Aufhorized A9ent cqpT�� +1� rC Racd. Form 214--1M-11-60-5-8 P The amount shown under Valuation is for the purpose ol establishing a permit fee only. VALUATION I Permit Fee $ �` '— �I7� $ Plan Check $ ` � / �6 'Z- � �) Total Fee $ � — F E RECEIVED FEB 8 igg2 • FINANCE DEPT. CITY OF COSTA MESA FOR OFFICE USE ONLY c Date Issued FEB 1 4 t962 permiT No. �� Fire Zone e Group Approved by Date /� I �vnma Zone� Use of Bldgs. �`— A. P. No. i d v �,� i•�•- i�� Bldg. SiTe Address��`� �—Q� Legal Owner ��—=�c0 Address Yards Approved. Large Sign in excess of 8 sq. ft. Setback from r�er lioe of streeT to front property line ��ft. in. � From property line to edge of sign % ft, in. Side Yard SeTbacks: �� i�.��. Left Side '� ✓' ft. in. Right Side �ft.� in. Building Line Setback from center line of street � v ft. in. Area of Sign �/'ft. in. HeighT above Grade �Lft. in. Projection ft. vin. Awning Size—Width ff. in. Length ft. in. Awning Heighf above Grade ft. in. Projection ft. in. // /%C�y � _ � � Lo aPP oved by e( A��X ,L[�yyyl �l��J4 Date 1—��— � �— i � " CITY OF COSTA MES� � ' Building Safety DeparTmente� Application for permit for the fabrication and erection � I� of awnings, advertising signs or devices. � 16392 LOCATION ' (� �� BuildingSiteAddress 2879 �L /Q/O C/iP<L� Name of Leasee M!�/�� %�%��IeQ%/O/J Phone �L � d �6 / Coniractor �CR�TE� y��[� �Q/_�J%��tate License No. address Z7�%- f�f � y'f�%City '(� Phone %�� %%G/ 7 ' ' irecr or /�NTi¢ R/YR aineer State License No. address Phone DESCRIPTION Description of awning, adverfising sign, or device: Awnings canvas � metal � Width: �_fr. ` in. Length: G ft. �in. Ground Sign '� Projecfion Sign � Roof Sign � Wall Sign � Metal Letter Sign � Banner � Canvas Sign � Gas Tube ElecTric Sign (Sub-section 1.44, Ordinance 313) � Combination Sign � Special Device (other) � Explain: Two copies of plans and specificaTions shall be submitted with applicafion for permit for each sign. Plot on plan sheets proposed locaTion of sign and locations of all other signs at site. Minimum size sheets must be 18" by 24" and non-erasable. If within the 10-foot area of front property line, owner is To sign written agreement with The City. of Sign - Thickness ft. in. Heighf_�ft. �— in. Length�ft. s in. Weight Ibs. Height above grade_�a—_ft. in. Projection h. in. The undersigned hereby agrees To fabricate and erect awning or adverfising sTrucTure within the inTent and meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of the Cify of Costa Mesa), and all amendments thereTo. � ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN- SPECTIONS SHALL BE CALLED. Signature of -� �� Permitee�a.23�-�a�� , 4 Authorized Agent �ARj�� SI[.r.t iC]. The amount shown under Valuation is for the purpose of establishing a permit fee only. VALUATION �I Permit Fee $ � —' /�. �� $ ' 0 ` / rlan Check $ -- / � Racd. by � Dcto Total Fee $ � Form 21�IM—il-80—S-B P � FEE RECEIVED ,�/� FEB 8 1962 �� FINANCE DEPT. CITY OF COSTA MESA FOR OFFICE USE ONLY 4 1962 l� �' Date Issued FEB i permit No. ��/ "%� Fire Zone— ype Group Approved Date � ZONING� p-�� Zone� Use of Bldgs.�� '�_= A. P. No. -�`'�' S, i�Z� '� Bldg. Site Address ��7� L� �l ti(�(JZ..c�� Leg a I Ow ner �1��rJ�P--�� Address Phone Yards Approved. Large Sign in excess of 8 sq. ft. Setback from center line of street to front property line -� �-ff. i�. From property line to edge of sign —Lf1. in. Side Yard Setbacks: Left Side _�ft. � in. Right Side �ft. = in. Building Line Setback from center line of sTreet J�ft. in. Area of Sign �`ft. in. Height above Grade �ft. in. Projection ft. d in. Awning Size-Width ft. in. Length ft. in. Awning Height above Grade ft. in. Projection ft. in, (.�� — �-°'—% � Location and size /� c� approved by �� / - Date l -� /-� �� PN0.IECT PODNESB: z$ 7 9 Ej� R j � C j OWNEN'SN1ME: RICHARD & MARY HUGHES � pDONES3: z$79 EL RIO CI � COSTA MESA CA 92626 (714)850-9330 FRCHIENCINEEfl: . '. �OOflE35: • . . UNR: , � NEG.NO.: UNR: PEHMITTEE: RICHARD & MARY AUGHES ( 714 ) 850-9330 , eooeess: zg79 EL RIO CI , COSTA MESA CA 92626 LICENSED CONTMCTOP OECIAMTION: I here6y amrm t�at I am licensetl un0er pmvisians af CAapter 9(commencinA �� ctian 7000) of Division 3'of t�a Business antl Professions CoOe, an0 my license is in full/orce an0 ettect. , CITY L1C:: . S7ATE UC.: CU1S3: . Da�e: ' Siqnature: WOHNEHS' COMYENSRTIDN OFCUM710N: I here�y aflirm that I have a cehiticale ot consem ro sel/-insura or a centticate ot Workers' . Compensation Insurance. or a certifie0 coDY thereoi (Section 3800, Lab. C�. POLICY NO.: EXP. ORTE: 9MPRNY: . Certifie0 coDY is hereby fumishe0. ❑ Certitie0 copy is filed witA the ciry BuilEinp DiNsion. Date: Np0licant: E%EAtPflox FlIOM WORKERs' COMVExSlnox oEC1AtWrlox: (Ihis sec4on neeA not be comoletea ii the oermit is for one nunArea (a1U0) or less�. I certiy ihat in the pertormance of the work tor wAic� this permit is issue0, I shall not employ any person in any manner so as to 6ecome suble�� o t�e Workers' CamDensation Laws oi Califomia. Date:'" ' SignaWre: NOTICE: If, atter maltinq this Oeclaration, you shoNa became su�lect to Ne Warkers' CamDensatian Dravisions ol t�e LaUor CaAe, you mus� fotlhwi�� comply witA 5uch pmvisions or this parmii shall be Oeemetl revake0. CONSTNUCTION LENOING 1GENCY: I here6y aflirm that ihere is a canstmction lentlin0 aAency for the pertormance al Ihe work for which this permit is issued (Section 3W7, Civ. C). . IENUEfl: .. . ROUBESS: ' . , � _ . OWNEB BUILOEN OECIANITION: I here6y attirm that I am exemDt imm Ihe Contractors' State License Law tor ihe followinp reason (Section 7031.5 Business anU Pmfessianal CoEe: .My city ot county w�ic� reQuires a permit to consimct, altar, Impmve, EemWish, or repair any structure, pnar ro ds issuance, alm requires the aDDlicant for suc� De�mit ro file a siAned statement that he/she is licenutl pursuant to t�e D�ovisions af Ihe Can[racrors S�a�e License Law (C�aO�er 9(commencinq with Section 7000) ol Division 3 ot �he Business an0 Pmiessions COAe) or that tre/she is exempt iherefmm an0 ihe �asis tor tAe alleqeA exemption. My Nalatian of Section 7031.5 Uy any aDPlicant tor a Oermit sublects IAe applicani �o a civil p¢nalry ot not mora [han five AundreC Oollars (SSOU). . I, as ownar o� Ihe properry or my employees with wayes as their sole compensation, vnll do th¢ work, anE tAe �� stmcNre is not intentled or oflerad for sale (Section 7044, Busmess antl Pmtessional Cotle: T�e Contrzctors State License Law does not apply ro an owner ol a pmperry who builOs or impmves thereon, antl wno does such work himsellPoerself or �hrouph his or her own empl0yees, O�o'/�Oetl ihat such impmvemenis are not intentled or ofleretl far sale. If, how¢ver Na builUing or improvement is solU within one yeaFaf wmpletion, ihe ownerwill �ave ihe burUen ot pmvinq he/sAe tli0 not bui10 or improve � for IAe PurOose�al ule). ' ' � .I, az owner oi tAe pm0erty, am excluslvely contrectinp wi[h licensed controctars ro consiruct Ihe Drolect (Section 7044, Business ❑ a�M PMessions CoEe: The Contractors' State License Law Ooes not apDH �o an ovmer of pmpeM � 6mI0s or ImDroves thereon an0 who cantracts lor suc� prolects with a contractaqs�license Dursuant to [he Conhactors' State License Law�. I am aware that Dmof af Iheir Warker's Campensation insurance shoul0 �e Orovitled ro me. ' �{j � am exempt unaer section: $ p'7 Q 4 4 e. a v. C. � roneisreason: ALLp WORK BY OWNER n Date:��—��%— ` � Own� �eY.,l��. I Oa �ere�y tertity IAat I am aware af antl untlersWntl I�e repuirements oi Calitomia HeaIIA anE Safery CaGe Section9 25505, 25533, antl 25534 and tAat I ar any /uWre builAlnA ��upant wlNwill not �circle one) neeU to compry vnih saitl state co0es an0 the requiremenis for a permit tor constmction or mo0i/ication Irom [he tir �ualiry Manapement OisiricL FesiOential consimction apDlications are eaempt irom Inese D�ovisians. ^ Oate: -.�—/ O'� �'O MPlica Q.G.J�/[/ � I Aereby certiry IAat I have reaA t�is applicatian antl state Ihat tAe a6ove infarmation is correct I ree to comDN `M�h atl ciry antl counry ordinances an0 state laws relatiny to EuilAinp conrtruction anU here6y au[horize reDresenGtives oi t�is ciry ro ent upon Me ahove-meMioneE pmDeM for inspection purposes. �lI oate: �� (,L Siqnature: �� oriver's �icense or Sociai'Secudry Applicant; Pink—Revenue: Goldenrotl—Asaeswr CZTY OF COSTA MESA - BUILDING PERMIT, PERM NO: B 047256 PERMIT„NO; B. 047256 PLAN CHECK NO: . , N. ' GOVT: N SUPP: N _ . � CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION ; RE-ROOF SFD W/CLASS "C" SHAKES �SQ FT: 5,000 CLAZM VALUE; 5;000.00= CALC-VALUE: 5,000.00 -GROUP OCC: R-3 /. ' COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME, ' �r�*it��r****�+�*��*�**+�ir*�x�*�**ir*+r�r�xrt�r*�e*�it***x��rit*��xit�r******�+�*�***x***xx��xft*rt �Z O N I N G R E Q U I R E M E N T S ' , 5 E T H A C K S � ------------ MAIN BUILDING -=-------- --------- ACCESSORY BUILDING -----=--- FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REp • PROV: PARCEL: 14156205 ZNE: REF NO: PLANNING NdTES> . � iE if ik iF if iF if iF it if iF i! 3E jE if iE iE iF iE iE iF ik 1F if jf iE iE iE iE iE iE iE it jE iF iE �E if iE iE iE �E i6 it it iE it iF iE iE if it it iE if iE iE 1E 3f it it it if it iE iE it it iE iF iF if iE iE iE iE it iE iE D E V E L O P M E N T S E k V I C E S R E Q U Z R E M E N T S ZONING APPROVED BY DATE: HUILDING'APPROVED BY : _______ � __ „ _ _ , DATE; , ��*****�*��r***�*D*B** *+�+��D***�+� �x��r �� lEiE1ElEiEiEiElElEiE�l(�iEiE-IEiE1EiEf(�iEdEjf�ElEfEiElFiEiEitlEjEi(�dFiflEillEiElE�E�IEjFiFif fiflE3EiFif�F3fiE�lElEiEiEiEiEififit*ik3EiEifiE�lEjE1EiE9EfF�EiEiEiE LEGALIZATZON:N F E E S O M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES=' GRADING ! PERMIT 72,00 - -'S0 � ' " � SMIP/NON-RES PLAN ' i .�^"` ISSUE FEE ' ' ' BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID'!�'�� DUE TOTALS----> 72.50 0.00 0.00 72.50 72.50 � .00 ,. � . ,REVENUE DIVISION TOTALS--> COLLECTED; 72.50 OVER/SHORT:':; - .00 BLDG PMT PLUMBING EL'ECTRIC MECHANIC FIRE 'SMIP/TOT GRADING-PLAN-CHECK 72.00 .50 . , y ::a iF iE iF iE it iE if if iE it if �E jE if iE if 1E iE jE iE jf iF 1E iE if if rt iE iE iE iE if iE iE iF iE iE if 1! iE iE iE iE jE iE iE if iE iE iE iE iE iE iE �E iF if if !E it i(� it if if iE 3E * 3F iE 1E iF iF jE iE jf iE jE iE if , '. I N D I V I D U A L F E E B R E A K D O W N �-'.' TYPE SFR QTY D E S C R I P T I O N � 5000 REROOF HY VALUE RESIDENIAL NOZONE END OF FEES 0 0 UNIT COST ��\ t,. O1 OOObU546-��Ob45b7 T O T �ATE� OS/10190 TStlE: 13:14 1.0�0 u � T6TAL COST ,/', U. . ' ."� 5��0�. �� ,j . �� .� V) � 72.5U i , �� CONSTRUC710N AND PLANNING � • ' � PC . SPA � APPROVALS Permit #� ' Date Inspector qppROVALS Permit # . Date Inspector - � 1.-TemOorary Electrical Service or Pole � 52.'Pool & Equipment Location. � � _ 2. Soil Pipe-Undrgrnd: , - 53. Steel Reinforcement . , • 3. Electrical Conduit Utility•Undrgrnd. 54. Forms . �� . ' �' 4. Electrical Condui[-Undrgmd. � 55. Electrica.l Bonding . ` �, . 5. Steel Reinforcement � � 56. Rough Plumbing-& Pressure Test 6. Electrical UFER Grnd. . 57..APPROVAC TO COVER�GUNITE � 7. Footings � 58. Electrical Cond�it�Undrgrnd. � . r 8. Foundation - � � 59. Gas Pipe, O Undrgrnd., TeSt � � � 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, O 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. Eiectrical-Final ''' �! �. 15. Rough Electrical-Conduit . 66. So�ar System-Final • n;=�; - 16. Rough Elearic Wiring. � ' . . 67.'Fencing & Access ApProval - l� � 17. Rough Wiring Sign ' � . � 68.,APPROVED;F,OR PLASTERING 18. Rough Efectrical•T Bar Ceiling � � 69. POOUSPA SYSTEMS FfNAL 19. Rough Heating & P,ir Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . � • • -APPROVALS�. ��Permit # 21. DuCts, in $tructur,e� - ;70. Underground•Hydro 22. Ducfs, Ventilating� � � � - .:71, product Piping O Gas ❑�Oil 23. �Gas Pipe-Rough & Test , -� ' , 7Z, Underground Flush •- � . - 24. Roof Framing - � � . - , ��J3.JUndergrnd.Storage�Tank OGas ❑Oil 25. Roof Sheathing '' , 74. Overhead Hydro _,,. ` 26. T-Bar Ceiling (Structural) & Monocoat . . ,-. 75. Dry Chemical .. 27. Frame and Flashing � ''� a' 76. Dry Standpipe , � 28. Lathing & Siding , � ,. - �� 77. �FIXED SY.STEM•F,INAL. ' 29. Insulation � . �' _ � ' �'`�� - 78�;FIRE PREV. FINAL " ' � ' 30. Drywall Nailing . '_{� � � HEALTHbEPT. REQUIREMENT 37. Plaster BrowrvCoat• ' � , �• 79. FINAL INSPECTION " ' 32. Electrical Po�'er Meter-Final '' ' ,�� '80. FOOD CERTIFICATE ISSUED, , 33. Final Electric � . ' '��'. Notes: �' • � � 34. Final Heating & Air,Conditioning- �� ' � ', ' " � ' - x 35. Final Gas Pipe-Test � � � j - � 36. Hood or CanopY.: � . ' `'.;;i , , - 37. Final FactorV Fireplace � . • � r� • �� ' 38. Final Plumbing � � ��"/` ., _, �y = __ ' f, 39. Water Servke;FinaL ,_ � • � - � - � .. 40. GasService-Final � - �.� � �'-" - , . -,, "�"' �.: ' 41. Solar pome5ticFinal , - � ,- , _ � - � � '. � 42. Backflow Preventer _, - • _ ' ' - ' ' 43. Batkflow Irrigation - - � . 44. Landscape Irrigation SYstem -�' � ; `-',' ` � � � : 45. Sound Attenuation . � �.• -- �- � � , _ -. 46. Handicap Regulations � ' , - 9 " � �fl � 47. FINALSTRUCTURE & BUILDING . , +. 1�� J g C �- 46. FINAL PLANNING• � ' ' . ' �': _ - , 49. Electric Rel¢ase to Edison � ' , � 50. Gas Reiease [o Southem California Gas Co �!. � ', ' • � • .- 51. CERTIFICATE OF OCCUPANCY No. Date � ��o�. ' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 G08TA M66A. CALIRORNIA For Applicanf fo Fill In Complefely � TYPE OR PRINT COSTA MESA. CALIFORNIA OWNER �pin m�PnY MAIL ADDRE65 O C o cirr Corona Del Mar No: AR' iGT TEL. oF. HeeaMacco Realty Co. No.i ADDRE65 3800 East (�.08St �� '1W1 CONTRACTOR M8CC0 Realt Com�an ADDRESS 3800 East�Coast iehw+ cin Corona De1 Mar uc No. 207343-SB1' No: OR3=4; elZe �.ci_nen. �NO.OP B6TBACK LINH PROM CENTER OP eTNHHT � �iS � REAR YARI SIDE YARD I LEFT S� ' I RIGNT DESCRIPTION OF WORK s�ie �' � 50'x56' riooms A srob EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SinQle Familv Residence rt� KtCEIUED nou i s iys� FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only . PECEIPT NO. P��Try{ U� RECEI�IED BY I DA'($ R�C,EIy� 3 I nEC � 12 U1 ��l/ � � � COSTA MESA. CALIFORNIA FIRE ZONE APPROVE� ZO / 1 I Na. oF ! vur+e LEGAL _ . — YARDS APPROVED ' (CENTHR LINB FRONT DATE� y/ � IING , IUBE OP NE BUILDING •� Tract4k420 EVE6 iS ^G PLAN 112 -AR � /,�j 6 (o `'' L�6 p " � 1 HEReBY ACKNOWLL+pGH THAT 1 XAV6 RGD TX16 APPLlGT10N THE AMOUNT BHO UNOeR VALUATION 19 POR THE AND 9TAT! TXAT TH8 ABOVE I6 CORRECi AND AGRBE TO COM- pUIiP08H OF EBTABLI9HING� A PERMIT FEE ONLY. PLY WITH ALL CITY OIiDINANC68 AND 6TAT8 UW9 REOULATINO eu��o�xa cor+e*R�MESA DEL MP,R DEVELOPMENP VALUATION SIGNATURE OF PERMIT FEE $� Y PERMITTE �y • $LG,925.00 PLAN CHECK $ � /� AUTHORIZED AGENT � J � ' � iOTAL FEE . ` _ 26477 � COSfA MESA BUILDINf�SAFETY DEPARTMENi P.O. BOX 72M COSTA MESA, CALIFORNIA 9282E bTAT6 LIC. NO S1ZE OF LOT USE OF Fo� AppllcaM. ro Fl11 In Compleroly TYPE OR PRINT COSTA MESA. CALIFORNIA uni..�.�:.�.a�. ` DESCRIPTION OF WORK WALL II I X8R6pY ACKNOWL�OO[ TXAS.1 XAV[ p�AD YXI! AP�I.IGTION ANO 6TAi6 TMAT T1t AlOV� IB CORRCCY ANO AORR[ YO CAtl• VLY WITN ALL GITY OROINAIiCY� At�D �TATi tAYY� p�OYIATINO em�o�na eoxernumox. o� HIONATUR60P- � N �Z.� � _ AUTXOR12iD A06N7 DEC 22-66 00 795 ��*��3•00 IVPLIG4TION FOR PERMR BUILDIN� FOI OHJN UN OIIIy n:cnrt no. �i � '� ZONING NO.O► UO[ OI� H[W ►tAN/ 2 �YILDINO i "°"` Z�T 3' TiZ 4z c� �' uncmnwx A.P.NO. �� I .S (G�i —�� NOTB: NO EAVB OVERHANO SXALL �8 Ll88 THAN YARDIAPPROVED MAIN BUILDIN6 c�erwHee en. MAIN BLDOB. VAR.7L YARD9 APPROYBD ACC6880RYBUILDII BET. MAIN ACCESS.B GAT6 TN[ ANOYNT �HOWN �ryOCli VALVATON Ie POR iHB �YHPO![ O► iTi'ApYDHINO A PlpMIT P8H ONLY. vwwwnon 3 �,/} � �/v PERMITFE6 : �;�'D - 3 - TOT/tL PEE