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