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HomeMy WebLinkAbout283 ESTHER ST - Building Permitsm a ; ' CITY OF COSTA MESA BUILDING DIYISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: 383 ESTHER ST Suite: Vicinity: AT REAR OF EXISTING HOUSE Parcel Number: 42630309 npp�icant: WILL FESLER Address: Owner: O'NEIL, KEVIN PATRICK Address 383,ESTHER ST � .�. COSTA MESA, CA Contractor: Address: Zip: BUILDING PERMIT Zoning: Phone: (949)851-0688 Zip: Phone: Zip: 92627 Phone: License: Arch : WMF DESIGNS ' Address: 2030YS W BIRCH ST#101� `�� ' � � � Phone: (949)851-0888 I . "� PERMIT NUMBER B00-00185 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/14/2000 Issued: 02/29/2000 ISSUED BV: ` `— Eng: KHAN ENGINEERING - Address:- �.1938 N BATAVIA ST #K ' Phone: (714)974-2222 � NEWPORTBEACH,CA ORANGE,CA . ' , Zip: 92660 � . License: 92865 License: SA Qf� 3 SCOPE OF PERMIT �I����^' .�-�19&SF SINGLE STORY MASTER BEDROOM, MASTER BATHROOM, AND LAUNDRY ROOM WITH BATHROM ADDITION AT REAR OF EXISTING HOUSE . � . � . SEE MINOR MODIFICATION TO CONSTRUCT A WATER HEATER CABINET 1' INTO THE REQUIRED SIDE SETBACK. � ' . ' - . _ � ' .. ' FEESUMMARY, ,Plan Check: $385.94 , Calc Valuation: $as,000.00 Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $593.75 $4.50 $0.00 $0.00 $0.00 $984.79 SETBACKS MAIN STRUCTURE Front 36-10 ACCESSORY Front 0- 0 Rear 100-0 Rear 0- 0 PLANNING & ZONING Left 6- 6 Left 0- 0 Claim Valuation: Sas,000.00 Right 4- 0 Right 0-0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all ' required Inspeetlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit. FOR INSPECTIONS CALL: (714) 7545626 I WORKERS'COMPENSAnON DECLARAnON: • .y I hereby afrirtn untler penalry of perjury one oi the following declarations: ❑ I have and will maintain a certificate ot consent to selbinsure tor workers' compensation, as providetl for by section 3700 oi ihe Labor Code, for �he peAormanca of the work for w�ich this permit is issuatl. � ❑ I have and wiil maintain workers' compensation insurance, as required by section 3700 oi t�e Labor Cotle, for ihe perfortnance of tha work for which this pertni� is issued. My workers' compensation Insurance carriar and policy number ara: Carrier. Policy Number: (This sec(ion neetl not be completed il the permif is valued et one huntlred dollars (5100J or less.) ❑ I certify Ihat in Ihe performance of Ihe work for which this permit is issuetl, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree ihat if I shoultl become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwith comply wit� these provisions. Applican� Signature: Date: WAFNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE$ AND CIVIL FINE$ UP TOONE HUNDRED THOUSAND OOILARE (5100,000�, IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOF COOE, IPtrEREST, AND ATiORNEYS FEES. � LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensetl untler provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Coda, antl my license is in full force and eflect. Lic. # Class a Contractols SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirtn Ihat t�ere is a consiruction lentling agency tor ihe peAormance of the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentler's Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit to construci, alter, improve, demolish, or repair any sirucNre, prior to its issuance, also raquires ihe applican� for such permit b tile a signed statement ihat he or she is licensed pursuant �o �he pmvisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Busine s and Professions Code) or that he or she is exempt iherefrom antl Ihe basis tor ihe alleged exemption. Any violation of Section 7037.5 by any applicant for a permit su cts the applicant to a civil penalry ot not more than five huntlretl dollars ($500).): I, as owner of ihe pmperty, or my employees with wages as lheir sole compensation, WILL DO THE WORK, and the structure is not intended or oHeretl br sale (Sec. 7044, Businass antl Professions Cotle: The Coniractors License Law does not apply to an owner ot properry who builtls or improves thereon, and who does such work himselt or herself or Ihrough his or her own employees, provitled ihat such improvemenis ara noi intended or oHered for sale. If, however, the building or improvement is soltl within one year of completion, the owner-builtler will have ihe burden of proving that he or she did not build or improve for purpose of sale.). �I, as owner of the pwperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct ihe project (Sec. 7044, Business and Protessions Code: The contrectors License Law does not apply to en owner of propeny who builds or improves ihereon, and who coniracis for such project with a coNractor(s) license pursuanyto ihe Contracto cens , Laws.). sec. Awff�r varilied by dnvars licensd Verification of Ownership by (type ot Business and Protessions Cotle tor this reason: �_� No nvefs License ment, i.e. - property ta�c bill or DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: )�xpires: y • 2• 6'1 �J ❑ I hereby canify Ihat no excavation tive (5) or more feet in dept� into which e person is required to descend, will be made in connection wi[h work authorizetl Dy Ihis permit, antl that no building sWCNre, scaHolding, talsework, or tlemolition or dismantling thereof, will be more ihan thirry-sia (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Ttle 8, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Intlustrial Safety, as notetl above, unless such person has a permit to do such work from Ihe division. Signature: Date: Division of Industnal Satety Permit Number: CERTIFICA7E OF COMPLIANCE AND AUh10RIZAiION OF EMAY: I certity under penalty of perjury Ihat I have read ihis application and state ihat ihe iniortnation given is correct I agree to co ply with all stateJa s�Zi ortlinances relating to building constmction, antl authonze representatives of ihe City of Costa Mesa to enter upon ihe above-tlescribetl pr eny tor inspecti 6purposes. I ree not �o occupy or allow occupancy ot any building authorized by Ihis pertnit until final inspection. -2 U Signat wn (s) Date Antl/OrAuthorized Applicant Date COpE Y. INSPECTIONTYPE � I�AL INTITI�LS 1616 Fizetl System Final Fire Prevention 1266 200 201 202 203 204 2a46-as Pool Spa Final Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Finel Sign Final Demo ition COpE;I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OccuOancy �E 1� INiRIRLS � r ao�e`aoosess: 283 ESTHER ST awrve^ s eamc: C. L, MARZ IOLE — � �ooness: 283 ESTHER ST CM CA. 92626 (714) 631-2964 ANCH/ENGINEEH: AOOflE55: NEG.NO.: uxir: UNIT: PEFMITTEE: OLSEN ROOFING CO, , INC. ( 21 3) 634-8470 aooness: 6951 NEWTON AV LONG BEACH CA 90805 LICENSEO CONTHACTOfl OECIABATION: I hereby af�irm that I am IicenseA unaer pmvisions of Chapter 9(cammencing wilh Section 7000) ol Divlsion 3 af ��e Business antl Pmfessions Cotle, and I¢ense is in tull �orce anU eifec�. CITYLIc„03390 �srnTeuc.:25414y� .�/s—sLC �a1e � Signamre. _A e _ WOF8Efl5' COMPENSATION OEClAflR7lON: I hereby afhrm that I have a cenilicale o1 consen to sell-insure or a ceniLcate ol Workers' Campensation I�s�uapcq. oe �cerWieJ coDY thereol (Sec�ion 3800, Lab �� � z 1/ 9 4 POLICV NO.: �� 1 L 7 J E%P. UATE: comrar+v: STATE FUND,�y� ❑ C/e�rlifiea ropY is here�y �umishetl. L'T Cerlifie0 copy i il wiih �Ae ciry Buil .ng �rvisi� Oa�e'. / r� �� FPPlicant: T��1.v� Ci ��✓� E%EMPTION fPOM WOHKENS' COMPENSATION OECIANRTION: (This sec�ion need noI be comple�eU il the permi� is br one hundretl (5100) or less). I ceriify ihat in Ne pedormance o� Ihe work lor whic� �his permi� iSlssue4 I shall not employ any person in any manner so as to become su�jeci e Wor4erY Compensa�ion laws o� Calitomia. Da1e'. � Signamre: NOTICE: II, afler making �his tleclara�ion, you shauld become sublect �o the Workers' Compensation provisions of Ihe Labor Cotle, you musl lorthwil� camply with su[h pmvisions or ��is permii s�all be deemed �evoketl. CONS7PUC710N LENOING RGENCY: I here6y affirm ihat Ihere is a constmction lentling agency for t�e pedormance of ihe work for which ihis permn is issuetl �Seciion 3097. Civ. C�. LENOEH: AOOflESS: OWNEfl BUIIDEfl DECLAflFTION: I hereby alfirm Ihat I am e�empt irom ihe Comracmrs' Siate License Law for [he following reason (Seclion 7031 5 Business antl Pmfessional Catle'. Any ciiy o� coun�y which reQuires a permi� lo cons�mc�. al�er, improve, tlemolish, or repmr any simcture. oriar ta its issuance. also reQuires ihe applicant lor such permi� to file a signetl statement ihat he/she is licensed pursuani lo Ihe pmvisions oi Ihe Contractors' S�ale License Law (Chap�er 9(commencing wiih Seclion 7000) oi Division 3 of the Business ana Professions Code) or �ha� helshe is exempi therefmm and ihe hasis far Ihe allegetl exemplion. Any violation oi Section 7031.5 6y any applicant lor a permil suhlecis Ihe applicani to a civil Denalty of not more ihan five hundretl dollars (5500). I. as owner ol Ihe pmpetly or my employees with wages as Iheir sole compensation, will tlo ihe work, and ine ❑ simcwre is nm intentled or offere0 for sale (Seaion 70aa. Business and Pmfessional Coae: TAe Contractors' State License Law does not appty Io an awner o� a pmperly who builds or impmve5 tne�eon, and who Ooes 5uch work himself/hersel� o� IhmugA his or �er own employees, pmvitled Iha� such impmvemenis are not in�en0ed o� oifered lor 5ale. If, however ihe buil0ing or impmvemen� is soltl within one year al campletion, ihe owner will have Ihe burAen oi proving he/she tli0 no� 6ui10 or impmve br Ihe purpose ol sale). ' I. as owner oi the pmpetly, am exclusively coniracling wiih licensetl conVac�ors �o consimc� �he project ($ec�ion 7044. Business ❑ antl Pmlessians Code: The ConVadors' S�a�e License Law aoes not aDDly lo an owner of proDehY who builds or impmves �hereon and who conlracis br suc� prole��s wi�h a coniractor�s�license pursuan�ia the Contractors' State License Law),I am aware Ihai D�ool o� I�eir Worker's Compensa�ion insurance shoultl be provitletl lo me. � I am exemp� under Sec�ion: B. 8 P. C. br Ihis reason' oaie: ow�e� I �o here�y ceriily Ihai I am aware ol and underslantl Ihe requiremenis of Califomia Healih and Safery Code Sections 25505, 25533. and 25534 anclihat I or anyfuture builtling occupani willlwill nai (circle one) need�o comply wilh said slale cotles antl Ihe requiremen�s�ora permii for con9mction or modifica�ion �mm Ihe Air �ualily Managemen� DislncL ResiUeniial conslmc�ion aDPI¢a�ions are exemp� imm �h25C pf0Vi5i005. Da�e: ApPlicant. I hereby ceruty Iha� I have reatl I�is applicalion and slate �hat Ihe above mlormalion is correcL I agree ta compty wi�h all ci�y antl coun�y ordinances antl sia�e laws relaling Io bwltling cansimction ana �ereq��yyy(( auihorize represen�atives t�rs ciry�o nler upon �he a ve�memioned orooenv � -nspeclian purposes. �� � /7�/�C��/"=L �'� Oa�e: —�`� Signature'. � � � G onvei�s License or Sacia� Seanry a� . �6aLa6 While—ButlUing: Green—Code EntorcemenP, Canary—Applicanf. Pink—Ravenue: Goldenrotl—Assessor CITY OF COSTA MESA — BUILDING PEAMIT ,' PERM NO: B 064099�'— — PERMIT NO: B 064099 PLAN CHECK NO: N� GOVT: N SUPP; N CONSTRUCTION TYPE: S—N PERMIT TYPE: STR � PURPOSE: REP JOB DESCRIPTION : T/O 6 REROOF W/COMPOSITION SHIGLES SQ FT: 245 CLAIM VALUE: 5,245.00 CALC—VALUE: 5,245.00 GROUP OCC• — /M-1 COMMENTS: REROOF 2500SF OF COMPOSITION SAINGLES �r+r*�r*x �*x�****+r*+r*+r�r�r***+r+r*****+r*�r�+r�r�r�+r+r*****�+r+r**�r**�+r�r�rx+r�r�rx x�*****�****�**** Z O N I N GS ERTEB�AUCIKRSE 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 RGFiT: FT IN PARKING REQ: PROV: PARCEL: 4262830.� ZNE: REF NO: PLANNING NOTES> � 1' .3 it i!!F ff 7F iF 7k 1F 1t iE 1E �E iElk iE fE iF ff fFlf �ElE iElFlElk iFlF 1f ik iE 1t 1E fF 1E 1t 7f k!E iF 1F M 1E 1f !f !F 1E k if IF if iF if itlF 1f !f 1E iE if ff fE iE M 1FlE it iE if�IP 1f 1f 1E iE 1E if iF if iE D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N•.T S ZONING APPROVED HY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; DATE: . 2�% ? ififiFIFlElfiffflFKitifiFiFififififlfiEiffE iFiF%iEifififiEiFif iEiE iE 1E 1ElE if k if iE iF 1t iE iE 1! i(� iF 1E iE iE 7E �E iE it iF iF iF it �f if if if * if IE iE iP if 3F �E iF it 1E iF iE iF if ff if if if M iF iE %iF iF iE 1f if K�E �E IE if iE iE iF iF iF fE if if iF iF iE �f IF K iE if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING PERMIT 51.00 Sz' PLAN ISSUE FEE SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK ��TOTAL PAID •' DUE TOTALS----> 81.52 0.00 0.00 81�5'2 81.52 .00 REVENUE DIVISION TOTALS--> COLLECTED: $1.52 OVER/SHORT: , .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING�PLAN—CHECK 81.00 .52 1f �f %%1f M 1F it iE if 3f if if If iE 1f iE iE iE k if iF iF iE iE iE iE fE 1f i! 1F iE iE iF if iE if ik �k IE fE 1E if if if iF if IE iF iF if fE �E iE �f IE IE 1F fF IF iF iE iE 1E if ff iF iF iE iF 1E 1f 1E iElE 9E fF if * 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 5245 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 „ 5,245.00 END OF FEES �'r' �.i �� �PJfOKE DETECTOf� REQUIRED Oi OQ1474Yh—OQ147427 TC�T E1.52 DATE: t79i2?fq3 SIhE: 2D:2.i , � ( ����-�-� CONSTRUCTION AND PLANNING POOL & SPA �'�� APPROVALS Permit# � Date r_ Inspector AppROVAIS Permit# Date Inspector .v � - " t. Temporary Electrical Serv�ce br Pole . � 52. Pool & Equipment Location �� r 2. $oil Pipe-Undr,qmc�. �' , y�; - 53. Steel Feinforcement � ; -3;,�lecuicai Con:�ljuy C3tility�Uncirgrn5�: � . 54. Forms . �� 4%Electr�cal ConcfLtr• rndrgmd. --�'"' 55. Electrical Bondino "�S�y.Steef�Reinforc'e��a,S� �'�;� � 56. Rough Plumbin9 & Pressure Test � "�•� Electrical UF�+�t-E3dhd. " 57. APPROVAI TO COVER�GUNITE a. �l 4 !, �7F'FoottAgs �= " � 58. Electrical Conduit�Undrgrnd. � 8. Foundation :•> ~�' ��. 59. Gas Pipe, � U�drgrnd., Test � G 9. Water Pipe-Und;grod. =' �` 60.' Backwash Lines, P-Trap, O Undrgrnd. _ c. 10. Struct�ral f�oer System '� � . 61. APPROVALTO DECK ,r � , it.PropertySeweF'Lin�e&HOuseConnection' � 62.-Backwash&RCceptorFinal - 12. Sewer Cap _ � . , � S3. Heater & Vent-Finat . ' 13. Roof Orains � � . � ' 64. Plumbing System � Final ~ � � . 14. Rough P{umbin8 ` � 65. Electrical-Final �., 15. Rough Electrieal-Conduit ,�� � � 66. Solar System�Final ( i6. Ro~ ugh Electric;Wiring -' �� 67. Fencing & Access Approval f' r � i7. Rough Wiring rign - 68. APPROVED FOR PLASTERING 18. Rough Electric�6T Bar Ceiiing 69. PQOLlSPA SYSTEPnS FINAL 19. Rough Heacing & Air Conditioning � -� FIftE DEPT. REQUIREMENT - - _�-,:.. . � :�; 2Q_.'%Rdilgh'Facto�yF��.,rePlace ��:r � ,� c - .;�.' APPI�DV1�"���Permit�_�_ T - � 21"�Duct,,i95.ractpi7:. ���.. �a_; S � �` '.70. Undergm�ind N�tlro ' .+ 22,�Duk-2s, S(enf�ti',rnL, .�. � ;')=� + � - �r'� �� � 71. Produc+y�p�ng �,��'as C�OiI -a.. 7' '7 � S: '..n ^ .�.'K a i� i r V ,J, ✓ _ 23;.Gzs,Piqe;Ro±�gh&y�est � ,r,_; �, �i;+� 72. UndergroOndFkiSh:c . -_� "' I 2�`Ro:if Framing ..- � + E.+=- =� *; �', v' J%.t � 7�� Undergrrt . Sto}y�.�+Z9nk"-� Gas ❑O'il .. C'. ,� �1 �, F 7 � '(rJ-=.' .T a 25. Ronf S�eathing '� ;. .: �-Z,J-q? ;(� �a.�; � 7q: � Overhead Hydr��� V ' ;�-=,-'�. . '� 2GF:T-Bar Ceiling (Siructurall &'aUrpr,ocoat '' _ s` =' ='�� � " 7�,�'' ry Chertijcal � � ` " '7 'r -=, �"' _ ' �� "+a: . � � :-�' f � i 27yFre, e and stitiig .- �� m ; r �bj-r.� --�. „< ,� �: ,r, �.. T Fiia + n; �-� a Y StandPipe ;-, ; ;, . -.28. Lathing:&SitlinqTM•.-����::� Q: x_ ..i .� k� 77.� FIXEDS'1'�TE��€INA(' f, " ��~ �-' L- ) �29. �nsulation -: J: `' : � �� :. �,'Y I � � x 7�. FIRE PREV. FIN�sL fi `r i � ' �'30. DrywalF.Nait`mg R T `� I '+"` r+ �ii7ALTF7DEPP.REQUIF�F,MENT - � _ .- �` .F. : : : . . =37. Plascer (tjo�w� Ci�t°; ; , :•�, t � � � ..79.'FINAL I[dk3ECTt�N ' � o -. v. r v r i •._ ._ I �3x'Electrical Puwer'itrletea F��ai; s ro I �s +�.80T�FOOD CERTIFtCATE ISSU,ED ;, - .--_it -n , . _ - 33:.FiQal E(ctr.� ,� '� � �< >'Na�es: :j jCa ..� rc.e � .34;.,FiyjiF�Ln`g&8�in,.Cor�itiorun{�: %� .x� ! � �� .� -. - - �„ �L �. I �t� " } ^�� > i 35^Fifral Ga5 PiP,e-Te.st" .- � ` �`� t:i � �� i�� r.�� • >. �� :,. . . - � t ..� � i ]: v �i � L - --{ c.^,3fi.�Hood or�CanoPY-�w � � � n.�i - � � � _ ii��- y.T I i_�37'�Fih�i F�torv F�[e�`J2c�� __ �' t� 1 �k + r' i t •[•J � `, .. ._ .. ;. it • ' -_-_ -:38. Fir,pl P(umbing ;'�+ � � y- F C, Ci r :�39. Wai'er SaYvice�FinaN y ' " � -� �� = � � ^ � 1 � ,j; s' - 'c i�n40. GasSer,��ce.�nal i n :•�• . I � i p� •�r� -' ' � 47. Solar Oomes"ticFin61" � � •' ' " � ' C � +-� � r� in x rn G) U' =1 1r'42� Backflow Preventer; � :�j � � I .� . .� `1 r. y .. . rs .-, � 43. Backflow Irf�'yatior.� ;� �'� �, �, •: 't L '� _ � `" � �� ., �, � � � 44. LandsyPe Ir,ri9atio,� SVstertt.�r,.; .-.; ..x - :� :�� .x -- ,is o >:45i;•Sound Attecivation "'.� . � � _ " �'^ r' Y" ' r `" �� - ,- in -.� > - -� • r. . .. v `�'.46^Handic�,o Regulatiqns _, � Y "' �� � ���� k �; .i;� .� . � 47�FI�tAL STRI'JCTURE & BUILDING • `p.`.�-�"j �pc'..(['_ ^ S "�� _ /_ �U( { � v �� ` f i ��_.. .,- --�m�c�._ �i `�.is� i48:.F��ALPLANNING j�;_. _. j-": x i T _ ' ;t, - - �� ii _ i49?Elaqtric Release to.Edison � � ♦ '�-�•�� �* .: - -. x I � _:r � , �' - �50.�Gas,Release.�o Sou(hern Calqfornia Gas Co . -.� e � ,.�� �y . � ;� ,� ' . 51. CEYXTIFICATE OF:OCCUPAPTCY , . ;;, -��, „ � 4, �. Oate ; ,I / � �flQlEf*p�OflES8�1 283 ESTHER ST OWNEx'$ NRME: C. L. MAR Z I OL E nooAess: zg3 ESTHER ST CM CA. 92626 (714) 631-2969 ANCH/ENGINEEH: . ADOflESS: flEG.N�.: UNIT: UNIT: PENMITTEE: OLSEN ROOFING CO. , INC. ( 213 ) 639-8470 aooaess: 6951 NEWTON AV LONG BEACH CA 90805 LICENSED CONTBRCTOB OECL4BATION: I here�y allirm tha� I licensed under pmvisians oi Chap�er 9(commencing wi�h Section 7000) of Div�sion 3 of �he Business and Professans Catle. antl license is in full torc a el�ecl. � ciTr ��q��9 7 STATE LIC.: Z S 9 1 4 �—c� C— � oate. G Signamre- WOPNEflS' COMPENSATION OECUIBATION: I hereby a��irm Iha� I �ave a certifitaie Of tOnsent b SeIFinSure or a tertifitaie of Workers' Compensa�ion Insurance, or a wtlified copy Ihereol (Sec�ian 3800. Lab. C�. eoucrna.: 456122-93 E%P.DATE: OiI21/99 comrnxr: STATE FUND ❑ Cenifietl copy is hereby Wmished. � Cenilied copy � 0 wi�� Ihe ciiy Building rvisi n. �� 'J��] `/�/� R 'Y+ Ci �ale:�`/ — /���'"AD,Pfcanl �� <—� - ( E%EMPTION FflOM WOBREPS' COMPENSpT10N OECIABRTION: Qhis Settion nee0 n0� b¢ tOmplete0 if IAe permii is lor one huntlretl (3100) or less). I cetlity Ihal in Ihe peAormance al Ihe work lor which this permi� is issuetl. I shall nol employ any person in any manner so as ta become subjeq Io Ihe Workers Compen5a�ion Laws ol�Calitornia. �ate'. SignaNre: NOTICE: II, ailer making Ihis aeclaration, you shoWd became Subleci to I�e Workers' Comp¢nsation pmvisians o� �he La6or CoDe. you mu5i forihwith comply wiN suc� pmvisions or Ihis permit shall be tleemetl revoketl. CONSTflUCTION LENDING AGENCY: I hereby allirm ��a� �here is a con9mction IenOing agency for the petlormance af �he work for whic� Ihis Oermil is 65ue0 �Section 3097. Civ. C). LENOEP: ADOflESS: :�:8 OWNEfl BUILDEH DECLANATION: I hereby aflirm �hat I am exempt Imm Ihe ConUac�ors' S�ate License Law �or ��e following reason �Seclion 703L5 Business and Pmtessional COAe' Any cily ol couniy w�ic� reQuires a permit �o constmcl. al�er, impmve, Oemolish, or repair any stmciure. prior Io i�s issuance. also reQuires ihe applicant far such Dermil to tile a signetl statemen� �hat �elshe is licensed pursuant�ol�e pmvisians olihe Contractors' Sta�e License Law�Ghapter9(commencing with Seciion 7000)olDivision 3 ofihe Business antl Pmiessions Code) or Ihat helshe is exempt therefmm and the basis lor Ihe ailegea evempiion. Any violation ol Sec�ion 7031.5 by any applicant lor a permit sublecis Ihe applicant lo a civil penalry of noi more than five huntlre0 dollars ($500). I. as owner o� �he pmpetly or.my employees with wages as their 5oie compensation, wiil tlo ihe work, and Ihe ❑ stmcWre is no� intendetl or aflered lar sale (Sec�ion 704a, Business an� Pmfessional CoOe: The Con�rac�ors' S�ate license Law tloes nol appty �o an owner o� a pmperty wha builJs ar impmves �hereon. and who does such work himselllhersell ar thmugh his or her own employees, pwvitled �hat such impmvemenls are no� inlendeA or offeretl lor sale. II, however [he building or imD�ovem¢ni is soltl wiihm one year o� completian. Ihe awner wili have Ihe bm0en ol proving he/s�e tlid not builtl ar impmve for ihe purpose of sale�. I. as owner o� the property. am ezclusively contracting with Iicen5e0 contractors to constmc� �Ae O�olec� (Sec�ion 7044, 8usiness 0 ane Professions Coae: The Coniracmrs' State License Law Ooes nol appq m an owner ol propeM who builds or imD�oves ihereon antl who conimcls lor such prole��s wiih a contraclor�s�license pursuanl�o the ConVacbrs' Sla[e License Law),I am aware Iha� Dmol ol �heir Worker'S ComOensation insurance shauld be pmvitled �o me � I am exempl under Seciion: B. 8 P. C. tor ��is reason: �a1e' Owner I Oo here�y certtly �hat I am aware oi and untlers�antl Ihe reQuiremems ol Califorma Heal�h antl Salery Cotle Sectians 25505, 25533, and 2553A and �hal I or any IUWre buildmg occupant wilVwill no� (circle one) need ro compty wiih 5ai0 state cotles and �he requiremenis lor a permii for consimc�ion or motlihcaiion Imm �he Air Ouahly Managemen� �istricl. Resideniial consimc�ion applicalions are exemp� �mm ihese pmvisions. �a�e: Applicanl: I hereby cenify Ihai I have reatl this applica�ion ana sta�e �hat Ihe above in�ormation is mrrecl. I agree �o comply wilh all cl antl caunty ordinances and sta�elawsrela�ingto buil0ing constmqion anA her author¢e rep�`alives o'his ciiy nteruponthe a e��en�ionetl pmper r ec n paee �� ^ �ale: '�� Signaiure: / , l �river's License or Social Security a: , t6a1 n6 WM1ite—Butleing; Green—Cotle EnlorcemmC Canary—Applicanl'. Plnk—Revenue', Goldenmtl—Assessor CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 064162 PERMIT NO: B 064162 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : INSTALL SKYLIGHT ICBO#2469 SQ FT: 900 CLAIM VALUE: 400.00 CALC—VALUE; 00.00 GROUP OCC: R-3 /M-1 COMMENTS: RE: B64099 *�r**+t*�**x�*****x��t**�r*+t+t*�r***�t�t*�tat+a+r�r+t+t*�**x�*�t*ar**a* x��t***�r�t*�r�r**�rit�r�r+t**�t***-�r�rx� Z O 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAA: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 4262830� ZNE: REF NO: PLANNING NOTES> ,. -;'q 1 �Ci i iF if it if f! f!!t k if k i!!F!k k iflE if 7t %M 1f iF �F f! f! 1f if k iF if %iE iF iF if 1f !E * if k �!!f !f iE iE iE iE 1f 1f 1f it iE iE i! iE ff 1f 1E it if it 1f k%1f if iE iE if iF 1E iF 1f 1E iE if 3ElE iE D E V E L O`P M E N T S E R V I C E S R E g U I R E M E N�T S ZONING APPROVED BY.,' DATE: � BUILDING APPROVED BY ; DATE; .= APPLICATION ISSUED BY; DATE: Z— 3fiEkK�k�f1EiE1EiF1E1E1F�fiF1F1E1f1fkiflE iflf%iElk1E1E1E1FfE 1Eff iE if 1E if it it iE iE 1E 1! 1f fE fElF if !f if If 1E iE 1E iF k 1E 1f !f if 1f iF if it ik if 7E 1E iE 1! fE!!!f 1E i! i! 1f !f !F 1E 1F iE fE fE if fE M fE 1E 1E if if iF 1E 1f iE 1E iF �E ff if�1F if i! if iElElElf !E �E 1E 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 15,00 ,50 • SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15.50 0.00 0,00 15,50 15.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 15,50 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 15.00 ,50 if M iE if 1f k 1f if iF iE if !f i! 1E iE iElf M 1E iklElf 1!!E k 1E 1E iE ih ik 1F if ik i11f iF 1F 1! iElE 1t 1! 3! 1t 1f 1f !f !F 1E If !F iE 1t iE 1E iE if 1P if !f!f !f 1F iF 1f 1E 1f iE iF iE 1k 1k 1E %1F 3E 1f fflE I N D I V I D U A L F E E H 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 400 ALTER HY VALUE RESIDENTIAL NOZONE 1,00 400,00 END OF FEES OI OOt4771'o'—OG147719 T t�T i5,5U rzATE: 09f27/93 T?ilE; ?fi;S4 . ...�:� � CONSTRUCTION AND PLAfVNING � POOL &,.. A . Date Inspector Date Inspector � APPROVALS Permit #_,:,_.- � APPROVALS Permit # , � 1. TemDorary Electrical Servrc,� or Polg . /� � 52. Pool & Equipmeni Location � ��.2. SoilPipe-Undrgmd. ��` • + 53. SteelReinTorcement � 3. Electriral Concjuii tlidity•Urdrgmd;� � � 54. Forms �� � 4. Electrieai Con[toi4-Undrgrnd. =� 55. Electrical Bonding v j -n � "''�;Steg,f,�i'einforcemen� � ' ,� 56. Rough Plumbing & Fressure Test � ! .ti . .,n Electrical UF�R�f�nd. 57. APPROVAL TO COVER-GUNITE �: � 7;�•foociF4§s `. '� � . 58. Electrical Conduit�Undrgmd. -�� r 8. Foundation - " .�� � 59. Gas Pipe, O U�drgrnd., Test '- 9. Water Pipe�Undrymd. �- 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Floor. System " �� 1� 67. APPROVALTO DECK �i 71. Property Sewer tine & HoUse Connection - 62. Backwash & Receptor•Final � . . � 72. Sewer Cap ''.�a �, 63. Heater & VeM-Final '-I - '_, 13. Roof Drains �� i �'; 64. Piumbing System � Ptnal 14. Rough Plumbi'�i,`q � -. - 65. Electrical�Finat 75. Rough Electrica6Conduit `i� t' 66. SolarSystem-Finai �� 16. Rough E�ectrir`Wiring -�i 67. Fencing & Access ApProval �f' 17. Rough 4Viring �i,8� % I 68. APPROVED POR PLASTEflING � 18. Rough Eiectrica'I-T Bar Ceilin4 69. POOL,!SPA SYSTEN�S F INAL 19. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT _ _ -.7 F� . F- 'J 20t Ro��h F'actacy Fifepiace ,%��� =: 7 > _ _ "'- ;pppROVALS� %"Per�it � y -� r. - -r � ... �. ..�;_ ; ,t,,,. �. � i i.. -� .Y.: t. tii '7 :'x � ` � " i•' * r� 1 27 _DuFts, in�Structy'ce� � ,. .. N_; � -� y, �. =7Q, �ndergr.ocdtc(i HY�ro m 22._DuhTs, Venti2tirig� � . - ' � � ;1 .�' ` J1. Produc � ' inc� C7 iias C�TMJit 23"Ga�'iPejiough &'jesi ', � ; `� � � 72. Underg�ovny'. Fl�:sli-.� �f E, .. 24.'�Fio61 Freming � E� ` �•r ° '� �: � • + -73 T`Undergrne': Storad�l"ark � Gas ❑ Cvrl 25. Roo Sheathin � ~` ' � ' h `N �� � r'' ` ', .� 9 . ,.'� v �; - ..74,�Qyerhead HVdro-�'� I 26roT-Bae Celing {Stouaiurat) & Mo^ocoat � ..• -, 'Tt :: 75� Dry Cfiemicat - k " � 4 r� r r+� i -i � 27,�F'rame and Flashj'n9" '� ^ l0=�q 3��¢ 4.� 76:-Ory Stancl�fge ;��, ' �� '-�---'z- ' ` �B.��Latj7ing�& $iding a v _ ' �. � � -• ` 77� FIXED 3Y4�TEGFF'INAC} � • = 29. insu�atio� '. �� �' S�� �� ": j � � 76z_FIRE PREV. FINAj. r r. � � � �� � �� * �� kEALTHDEPT�R-EQWIRBMENT �*30. Drywali Nai6c�g �� � � ' � '_37. Plaster yrow��Coai`. : � n� .• r j � .�+ r79f�FINAL Ifd�B�CTI�SN f- .. I �.S- - . -�32.:Electrical Pov�er MercflK-Final� � r�J � � .. z.. Or�'FOOD CERTIFICATE ISSUED ' 233"�Firr�l Ele�:tric ,� ' � �'`1 ! �; ` �"Noies: - �� x, , , . ' . -4 � ..�- � _. ,, . :- �,., ' = ,; 4.�Fir� Heating{& Air.CopditiQnifl9_. �� f ,e a �; _ : i�- :� _ �� 35.`�inai G� PiF7z•Test= - ", � . ' � r ..`� * . r � • '• _ _ '�-� r .;n -36: Hoqd or'�anopy � . _ , � I F : �: wt�' *1 � ^37�Fina) Faciory FireplaEe,,,, ; �" � . i � ; _ c�� • .., - - �� a: # a3 � 38. Finai Plumbing �, ~ �• � � . � u � S • -� 7 �� - ---- � 39. Wa4er Se�vice-final= � �•' � ' `' �' �' ^ C � � i ^- ( �: : �: • r .. �.-. . , v -:T---- . 40. Gas Service-€inai . - a - � :* - �v -��n� r :41. Solar pomesZicFin6�` " " 1 �` � -"�' (l II• ` T `42. 8ackf�ow Preventer; - � , R �`� - . ' - _ ra : 43. Backflow Irr�ation '-��� � ` . ' ' �� - " -,. i . - - �� ^ � � r - �.. ;� - ,�44, tandscage Ifriqation System.,;±:�_ a; i, " U, ., '' :c,;. .+; � f`y=. ._ =-S«_ '45.�Sound Atien�atior6 �-+�r;" �'" ;: - � : � � .� �- , �7 ^ . +-t rj ;•l '�T ; _ t, � • � s � � .. .. s � � ti ;A6.,Nandicap.Re�ulatians ;; %� � `,` •;; � y� 47.�IP�AL STRUCTUf�E & BUfLDING (Z�6,..C�S G�W� "' �'?=':= a T 48.'�FINA� PLAi�(NINCs .; . ' � '`' y; _49..EIaCric Release to Edison • � � � " c: - + • , m � 50.,Ga�Release% Southern Califo[n.ia Gas Co ', ' . . ` . . ,�; •� ' 57. CEFiTIFICATE OF�OCCUPANGV � : � . _ -. _ � No. Date _ �I• � ,I V L�� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA OWNER MAIL CITY �/7/Lt{ �t�/LC� TNO. ARCHITECT �,�Z� �,^ J'J �.IC. OF ENGINEER / /ti+' •^fC�wO ADDRE55 ��fJI � �Zj�.y1�/iQ �� -/ /'����CITV LIC. CONTRAGTORNL( /l/ZXU/�L NO. ADDRE55 � �`� 4� � �.�/�/iClJ( NO.�/ � / 5 LEGI�L LQT oescaivnoN NO. BLOCK TRACT A.P. NO. '� �3 � OF L'OT � � S�'�%!/� I �o. ov e�ocs. % NOW ON LOT �� 115E OF �' v __� E%ISTING 9LDG �LC��R� SETBACN LINE FFOM � ErvrEA or sTaecr U REAR VARD SIDE VAR� RIGHT �J / LEFT � DESCRIPTION OF WORK NEW ✓ ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING.. �y NO.OF � SIZE /ZiC> Y ROOMS � ,STORIES E%TERIOR WALLi'f��� _ ROOF / COVERING lJ'"6��"��^" coverxiN� / USE OF NEW D - _, � ` i% -�Y� �EE ,RE�EIitED �}�i �• APPLICA'fi�MNFOR �P�ER�M IT BUILDING FOR OFFICE USE ONLY ��-�v�u i f/ ��i —•� � i i�- i i � BUILOING ��^ � `J ADDRE55 T/ . �. � ,t—� �� CO A MESA. CALIFORNIA FIRE ONE ON^c� � PD NS , TYPE GROU` � / , APPROV D � BV DATE CORRECTIONS �' D�S f� C[TY Oi� ST�1 PhESA PLaF��:i ' DcPI'. ' EPT. REG. Rv ` DATE — I XE1iE9Y ACNNOWLEOGE TH4T I NAVE REFp THIS FPP�ICFTION P ST4TE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH /�LL CITY ORDINANCES ANO STFTE LTWS FEGULHTING BUILOING CONSTRUC� TiOrv. /1, VALUATION � � � � PERMIT FEE S 3S � SIGNATURE OF ��` '��(�yyy{� �� ' PERMITTEE ( 4q ` L� J S✓ PLAN CHECK �� 7. �� � � lsi �/ AUTHORIZED AGENT TOTAL FEE $ S�' � V va.xi OWNER MARZIOLE, ROSE � . DATE 11-1%-SB JOB ADDRESS 28j EStheP StTE2t • BUILDING PERI4SIT NO. #79I1�y G' ERAL C NTRACTOR _ r,� � VALUE $ 15,553.00 . o. LOT 18 TRACT %6% FIRE ZONE DESCRIPTION OF WORK Res. W�atb, garap,e �UP T& J TYPE V ZONE R,LI PLAN NO. INSPECTIONS I DATE I SUBCONTRACTOR -I DATE P�RMITSNUMBER