HomeMy WebLinkAbout473 ESTHER ST - Building Permits(714) 754-5273 • Fax (714) 754-4856
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
_ CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
473 ESTHER ST
42632302
App�icant: CLAYTON, CRAIG D
Address: 473 ESTHER ST
COSTA MESA, CA
Owner: CLAYTON, CRAIG D
Address' 473 ESTHER ST
Contractor:
Address:
-1HP., 1 PANEL.
2, REF 899-1641.
ISSUE FEE
Temp service test
Res. a/c package
New Res (7-2 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 1000a
Motars to 1hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 949-7221275
Zip: 92627
Phone:
Zip: 92627
Phone:
Zip:
License:
PERMIT NUMBER
E00-00042
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 01/19/2000
Issued: 01/19/2000
ISSUED BY: �� 1 �
SCOPE OF PERMIT
1 RES. A/C PACKAGE, 32 LIGHTS, 43 OUTLETS, 20 SWITCHES, 1 SERVICE-200AMP, 3 MOTORS
$23.50
$0.00
$54.50
$0.00
$0.00
$0.00
$28.76
$36.79
$22.00
$0.00
$0.00
$30.50
$0.00
$0.00
$1425
$0.00
$0.00
$0.00
$0.00
$0.00
$30.50
4uantity
0
0
0
32
43
20
0
0
1
0
0
3
0
0
0
0
0
1
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section
Misc Electrical Equipment
Transformers up to 7 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low VOIt Wiring System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a pariod of 180 days. �
INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable
requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: -
I hereby aHirm under penalry of perjury one ot the lollowing declarations:
❑ I have antl will maintain a certificata of consent to self-Insure for workers' compensation, as provitletl For by section 3700 ot ihe Labor Cotle, for the pertormance of the
work for which this permit is issued.
❑ I have and wili maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for ihe pedortnance of tha work for which this parmit is issued.
My workers' compensation Insurance carrier and policy number are: �
Carrier: Policy Number.
(This section need not 6e completed il the permit is valued et one hundred dollers ($f 00) or less.)
❑ I certity that in Ihe pedormance of the work for which this permit is issued, I shail not employ eny person in any manner so as to become subject to Ihe workers'
compensation laws of Califomia, and agree that ii I should become subject to the workers' compensetion provisions ot Section 3700 of ihe Labor Cotle, I shall forthwith
camply with Ihese provisions.
Applicant Signawre: Date:
WARNING FAILURE TO SECURE WORKEFS' COMPENSATION ('qVERAGE IS UNLAW FUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVll FlNES UP TO ONE HUNDRED
THOUSAND DOLLARE ($t00,OW), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OG OF TH� LABOR CADE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby aflirm Ihat I am licensed under provisions of Chapter 9(commancing with Section 7000) of Division 3 of the Business and Professions Cotle, antl my license is in full �'
force and eRecL Lic. # Class #
Contractor's Signature: Da[e:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm ihat there is a construction lentling agency for Ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm that under penalry of perlury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor ihe toilowing reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which requires a pertnit �o consiruct, alter, impwve, demolish, or repair any sirucWre, prior to its issuance, also requires the appliwnt for such permit
to file a signed statement Ihat he or she is licensetl pursuant to the pmvisions of the Coniractors License Law (Chapter 9(Commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt iherefrom and the hasis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit
suhjacts tha applicant to e civil penalry of not more than five huntlretl tlollars ($500).):
❑ I, as owner of �he propehy, or my employees wi�h wages as lheir sole compensa�ion, WILL DO THE WORK, antl �he s�ruc�ure is not iniendetl or oHered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himseN or herself or ihrough his or her own employees, provided ihat such impmvements are not intentled or ofleretl for sale. II, however, ihe building or impmvement is
sold within one year of completion, ihe owner-builtler will have tha burden of proving that he or she did not build or impmve for purpose oi sale.).
•„, as owner of the pmperty, am EXCWSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The coniractors Licen Law tloes not epply to an owner of pmperty who builtls or improves ihereon, end who coniracis for such prolect with a contractor(s)
license pursuant tg the Cory�crors License Laws.).
ID v�ed by
Business and Protessions Code for this reason:
' �.Oae� —� —
❑ No Dnver.'s'Cicense N. � � Explie5::; �Z b
Verification of Ownership by (rype of document, i.e. � property taz bill or deed):
DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more leet in depth into which a person is required to descend, will be made in conneciion wi�h work authorizetl by this
permit, and Ihat no builtling simcture, scallolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Celifomia Administretive Codej.
❑ As owner-builder, I will not employ anyone ro tlo work which would require a permit irom the Division of Industrial Safery, as noted above, unless such person has a
permit to do such work fmm the division.
Signature: Date:
Division of Industnal Safety Permic Number:
CERTIFICATE OF COMPLI CE AND AUTH�ZJITON OF ENTRY: I certify under penalty of parjury iha� I have read this application and state that the information given is
correct. I agree to pty t all state lav� antl city ordinances relating to builtling consimction, and authorize representatives of the City of Costa Mesa to enter upon Ihe
aDove-desciibe property t in pection Grpo . I agree not io occu � Ilow occupaocy of any building authonzetl by this permit until final inspection.
naW're�TO�oYLegal Owner(s) �
l -! l -c.�0
And/Or Authorized Applicant Date
C�OF � INSPECTIONTYiE
1616 Fizad System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
24d6-46
Finai Sign
Final Demolition
QiITE INTRIALS
CO�N fNSPEC�IONTYPE
206 Final Mechanical
208 Final Piumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
DAj$ INTIilALS
♦ � � • 1
CITY OF COSTA MESA
BUILDING DIV/SION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fax (714) 754-4856
Job Address: 473 ESTHER ST
Suite:
Vicinity:
Parce� Number: 42632302
a.pplicant: VAN DYKE, BRUCE
Address:
Owner: CLAYTON, CRAIG D
Address 473 ESTHER ST
COSTA MESA, CA
Contractor.
Address:
Zip:
Arth :
Address:
Zip:
BUILDING PERMIT
Zoning:
Phone: 949-650-5025
Zip:
Phone:
Zip: 92627
Phone:
License:
I \
ERMIT NUMBER
699-01641
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 10/11/1999
Issued: 12/9/1999
ISSUED BY: V 1 �
Eng: MICHAEL GABRIEL
Address: 3620 BIRCH ST
Phone: � SUITE 250 Phone:
N.B., CA
License: 92660 License: 52939
SCOPE OF PERMIT
ADD 485SF TO THE 15T FLOOR 1 BEDROOM, BATHROOM AND LAUNDRY AND FAMILY ROOM." REMOVE 280SF AND BUILT
765SF WHICH EQUALLS 480SF" CONSTRUCT 947SF 2ND FLOOR" 2 BEDROOMS AND 2 BATHROOMS"
FEE SUMMARY '
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$827.94
$1, 273.75
$14.94
$0.00
$0.00
$0.00
$2,116.63
SETBACKS
MAIN STRUCTURE Front 42- 0
ACCESSORY Front 0-0
PARKING Existinq: 2
NOTES:
0
Rear 31•4
Rear 0- 0
Re uired: 2
PLANNING & ZONING
LeR 5- 0
LeR 0- 0
Proposed: 2
Calc Valuation: , $ios,s�s.00
Claim Valuation: 50.00
Right 15- 0
Right 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, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a penod of 7 BO days. .,
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final approval must be ob�ained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby aNirm under penalry oi perjury one ol the tollowing declarations: ,
❑ I have antl will maintain a certiticate of consent to selFlnsure for workers' compensation, as providetl tor by section 3700 oi the Labor Cotle, for the pertormeAce ol the
work for which ihis permit is issued.
❑ I have entl will maintain workers' compenution insurance, as required by section 3700 ot the Lebor Cotle, for ihe peAormance oi the work for which this pertnit is issuetl.
My warkars' compenution Insurence carner and polity number are:
Carner: policy Number:
(This sectlon need nof be compleretl i/ the permit Is valued at ane hundred dollars ($100) ar less.)
❑ I certify that In the peAormance of ihe work tor which ihis permit is issued, I shell not employ eny person in any menner so as to become subject to Ihe workers'
compensetion laws of California, end agrea ihat if I shoultl become su6joct to the workers' compensation provisions ol Section 3700 of the Labor Cotle, I shall forthwith
comply with these provisions.
Applican� Slgneiure: Dete:
WARNING: FAILURE TO SECURE WOiiKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CfiIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TMOUSANO DOLLARE ($100,000), IN ADDITIPY TO THE CAST OF CAMPENSATION, DAhWGE$ AS PqOVIDED FOR IN SECTION 3JO60F THE LABOR WDE, INTEREST, AND ATiORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot tha Business antl Professions Code, antl my license is in full
lorce and eHect. Lia b Class #
Contrectors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aHirm that there is a construction lending agency for the pertormence of the work br which this permit is issued. (Sec. 3097, Civil Code).
Lender's Neme: Lender's Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby afllrm ihat under penalry of perjury Iha� I am EXEMPT FROM THE CONTRAC70RS UCENSE LAW for the following reason (SecJ031.5, Business antl Professions
Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair eny siructure, prior ro its issuance, also requires the applicam for such permit
to file a signatl statement Ihat he or she is licensetl pursuant to Ihe provisions o1 the Contractors License Law (Chapter 9(commencing wlih Sec�ion 7000) of Division 3 ot the
Business and Pwlessions Cotle) or that he or s�e is e:empt iherefrom and the basis for the alleqetl e:emption. Any violation ot Section 7031.5 by any applicent tor a permit
sub�acts the epplicant to e civil penalty of not more than five huntlretl dollars ($500).):
❑ I, es owner of the property, or my employees with weges as their sole compen5ation, WILL DO THE WORK, antl the stmtture is not intentletl or ottered for sale (Sec.
7044, Business antl Professions Cotle: 7�e Contradors Licensa Law does noi appty to an owner oi property who builtls or improves thereon, and who does such work
himself or hersel( or ihrough his or har own employees, provitlad that such improvemenis ere not intendetl or ottered for sale. If, howaver, the builtling or improvement is
soltl within one year of completion, the owner�builder will heve the burden oi proving thet he or she did not build or improve for purposa of sale.).
I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70R5 to construct the project (Sec. 7044, Business end Professions
Cotle: The coniractors License Law does not apply to an owner of proporty who builds or improves ihereon, entl who contracis for such project with a conhactor(s)
icense pursuant ro thAConiractors,ticense Lews.).
❑ I empt tler s�c Business and Professions Cotle for this reason: _
ure:
�
Verification of Ownership by (rype of daument, i.e. - property tax bill or dee :
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby cenity that no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connaction with work authorized by Ihis
permit, entl that no builtling siructure, scaHoltling, talsework, or tlemolition or aismantling Ihereof, wlll be more Ihan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calitornia Atlministretive Cotle).
❑ As owner-builder, I will no� employ anyone to do work which would require a permit from the Division ot Intlusirial Safe�y, as noted above, unless such person has a
permit to do such work from ihe tlivision.
SignaWre: Date:
Divislon of Intlustnal Safery Permit NumDer.
CERTIFICATE OF COMPLIANCE �UTHORVATON OF ENTRY: I certity under penalty of perjury that I have reetl this appliwtion entl stata thai the information given is
correc�. I agrea to compl with all s e laws and ciry ordinances relating to builtling construction, antl authorize representatives of the Ciry of Cwta Mesa to enter upon ihe
above-descnb ope f r insp tion purposes. I aqree not to occupy or allow occupancy ol any building authorized by ihis permit until final inspection.
�Z-R-97
Signature f Lagel Owner(s) �ate
Antl/Or uthorized Applicant Date
COOE Y, INSVECTIONTYPE
1616 Fixed System Final Fire Prevemion
1266 Pool Spa Final
200 Finel Ra-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolition
24d64fi
yAjf, NTI RIALS
K- -pl �
50UE♦ 1NSVECTIONTYPE
206 Final Mechanical
20B Final Plumbing
270 final Electncal
212 Final Fire Preventian
220
222
250
Final Planning Approval
Final Site
Final Building/Occupanty
Q(1� INTITIALS
4G�� M� 9
o. �
> _
r
J
�"�a�, e�'
(714) 754-5273 • Fax (714) 754-4856
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
Contractoc
Address:
Arch ! Eng :
Address:
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
473 ESTHER ST
42632302
CLAYTON, CRAIG D
473 ESTHER ST
COSTA MESA, CA
CLAYTON, CRAIG D
473 ESTHER ST
COSTA MESA, CA
PLUMBING PERMIT
Phone: 949-7221275
Zip: 92627
Phone:
Zip: 92627
Phone:
Zip:
License:
Phone:
2ip:
License:
SCOPE OF PERMIT
t
2 BATHTUBS, 1 FLOOR DRAIN, 7 EXPANSION TANK, 1 GAS OUTLET, 1 LAUNDRY, 2 SHOWERS, 1
SERV.. SINK.,3 TOILETS, 1 WATER HEATER, REF 899-1641. �
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect pce,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Ezpansion Tank
Gas Earthquake Valve
AMT
$23.50
50.00
so.00
$19.60
$0.00
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$9.80
$0.00
FEE SUMMARY
Qrr AMT
Laundry Tub / Washer $9.80
0 Landscape Irrigation $0.00
0 P-Trap $0.00
2 Pressure Regulator $0.00
0 Process Piping (per 10 ft) $0.00
0 Receptors $0.00
0 Septic Tank � $0.00
0 SewerCapforDemo $0.00
7 Sewer Connect $0.00
0 Sewer Private Line $0.00
0 Shower $19.60
0 Sink, bar $0.00
1 Sink, commercial $0.00
0 Sink, Floor $0.00
QTY
1
0
0
0
0
0
0
0
0
0
2
0
0
0
PERMIT NUMBER
' P00-00034
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 01/19/2000
Issued: 01/19/2000
ISSUED BY: ��
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29.40
$12.30
50.00
$0.00
50.00
QTY
0
0
0
0
0
0
0
0
0
3
1
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 9248, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 180 days.
INSPECTIONS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inepeetlona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pe�mit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARATION:
I hereby eRirm untler penalty of perjury one oi the lollowing declarations:
❑ 1 heve entl will maintain a certificete of consent to self-Insure for workers' compensation, es provided for by sectlon 3700 of ihe Labor Code, for the peAormence ot the
work for which this permit is issuetl.
❑ I have end will maintain workers' compensatlon insurence, as requiretl by section 3700 of tha LaDor Cotle, for Ne pedortnance ot the work tor which this permil is iuued.
My workers' compensation Insurance cerrier en� policy wmbar are:
Carnec Policy Number.
(This section need no( be completed I! (he permit is veluetl e( one huntlretl tlollars (S100J or /ess.J
❑ I certify that in Ihe pertortnance of che work lor which this pertnit is issueQ I shall not employ any person in any manner so as to become subject to tha workers'
compensation laws of Calitomia, and agree Ihat if I shoultl become subject to the workers' cnmpensation provisions of Section 3700 of the Wbor Code, I shall fort�with
camply with these pravisions.
Applican� SignaNre: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEfiAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUN�RED
THOUSAND OOILARE ($100.000), IN ADOITIOtJ TO THE COST OF CAMPENSATION, DAMAGES AS PFOVIOEO FOR IN SECTIQY 310G OF THE LABOR COOE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, antl my license is In full
brce entl eAecl. Lic. # Class #
Contractofs SignaWre: Date:
CONS7RUCT10N LENDING AGENCY:
❑ I hereby eMirm ihat Ihere is a constmclion lendinq agency for �he peAormence of t�e work tor w�ich this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: Lendets Address:
SigneWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm that under penalty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requires a permit to conswct, alter, improve, demolish, or repair any structura, pnor �o its issuance, also requires the applicaN tor such permit
to file e siqnetl stetement that he or she is licensetl pursuant to the provisions of the Contrecmrs License Law (Chapter 9(commencing with Section 7000) of Divlslon 3 of ihe
Business antl Protessions Cotle) or thei he or she is ezempt therefrom end ihe besis for Ihe allegetl exempiion. Any violation of Section 7031.5 by any aDPlicant for a permit
subjecis ihe epplicant to a civil penelry ol not more than five hundred dollars ($500).):
❑ I, es owner of the property, or my employees with wages as their sole com0ensation, WILL DO TME WORK, antl the siructure is noi intentletl or otteretl for sale (Sec.
7044, Business and Professions Code: 7Te Contracrors License Law tloes not apply to an owner of property who builtls or improves lhereon, end who does such work
himselt or herself or through his or her own employees, provided ihat such improvements are not intentled or oHered for sale. If, however, the building or improvement is
soltl within one year of completion, Ne owner-builder will have the burden ol proving thal he or sha did not build or Improve br purpose of sale.).
I, as owner of the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business anC Professions
Cotle: The contractors License Law does not apply to an owner of property who builds or improves thereon, antl who coniracis for such prolect with a coniractor(s)
license pursuant to ihe Contractors License Laws.).
BuSiness end Profe55i0n5 Code for this reason:
license. �Cs� ❑ No
Venfication of Ownership by (type of documen�, i.e. - propeny tax bill or daed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no e:cavation five (5) or more feet in tlepih inro which a person is repuired to dascend, will ba mede in connection with work authorizetl by this
permit entl that no building simcture, scattoltling, falsework, or demoli�ion or dismantling thereof, will be more than Ihiny�six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7itla 8, Calitomia Atlministretive Cotle).
❑ As owner-builder, I will not employ anyone to tlo work which would require a permii from the Division of Intlusirial Safety, as notetl above, unless such person has a
permit to do such work from the division.
Signaiure: Da�e:
Division of Induslnal Safety Permit Number.
CERTiFICATE OF COMPLIANCE AND AUTH�RIZATION OP ENTRV: I certify under penalty of perjury ihat I have read this application and state ihat the intormation given is
correcl I agree t omply all s�ate lav/ and city ordinances relating to building consiruction, and authodze represematives of the Ciry of Costa Mesa to enter upon the
above-tlescri propeny f r i spectionyGryoses. I agree not to occu .occupancy ot any building authorizetl 6y this pertnit until tinal inspec�ion.
� I -I �1-�'fl—
-- ig re Ot Legel Ow (s) te
And/Or AuNonzetl Applicant Date
COpE �. INSPECTIONTYVE
7616 Fixed System Final Fira Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
24a8 48
Final Sign
Final Demolition
� nrtmn�s
CO�E I INSFECTION TYPE
206 Final Mechanicel
200 Final Plumbinq
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
P� INTRIRLS
.'_�-IY�c�I �
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(714)754-52�3 • Fax(714)754-4856
Job Address:
Suite No
Vicinity:
Parcel Number:
Applicant:
Address:
Owner:
Address:
Contractor.
Address:
Arch / Eng :
Address: ,
CITY OF COSTA MESA
BUILDING DIV/SION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
473 ESTHER ST
42632302
CLAYTON, CRAIG D
473 ESTHER ST
COSTA MESA, CA
CLAYTON, CRAIG D
473 ESTHER ST .
COSTA MESA, CA
t
2 FAU<t00K BTU, 1 A/C UNIT<100K BTU, 4 VENT FANS.
REF 699-1641.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >700 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000cfm
$23.50
$29.60
$0.00
$0.00
$0.00
$14.80
$0.00
$0.00
$0.00
$0.00
$0.00
$29.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
MECHANICAL PERMIT
Phone: 949-7221275
Zip: 92627
Phone:
Zip: 92627
Phone:
Zip:
License:
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
PERMIT NUMBER
M 00-00033
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: O7/19/2000
Issued: 01/19/2000
ISSUED BY:
Repair / Alt Absorbtion Unit
Repaii / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
C om mercia l I nci nerator
Domestic Incinerator
Compressors /Absorption Systems
Upto3hp/100kBTU
3Toi5hp/500kBTU
15To30hp/1,OOOkBTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boiiers
Up to 3 hp
3Toi5hp
15to30hp
30 to 50 hp
Over 50 hp
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�
�
�
NOTICE: The work authorized by this permit shail comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92) -
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under �his permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit.
POfl INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATION DECLARATION:
I hereby aHirm untler penalry of perjury one oi the following declarations:
❑ I have and wiil maintain a certificate of consent to self-Insure for workers' compensation, as provitletl for by seciion 3700 of the Labor Code, for the paAormance of the
work tor which this permit is issued.
❑ I have and will maintain workere' compensation insurence, as required by section 3700 ot the Labor Code, for �he pedortnance of the work tor which Ihis pertnit is issued.
My workers' compensation Insurance carrier end policy number ere:
Carner: PoliCy Number.
(This section neetl not be completetl it the permit is valued at one hundred dollers ($100J or less.)
❑ I certily ihat in Ihe pertormence of the work for which this permit is issued, 1 shall not employ eny person in any manner so as to become subject to the workers'
compensation laws of Califomia, antl agrea ihat if I shoultl become subject to the workers' compensation provisions of Section 3700 of the Lahor Code, I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING: FAIL�RE TO SECURE WOqKERS' COMPENSATION COVEFiAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN� CNIL FMES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31W OF THE LABOR fAOE, IMEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, antl my license is in fuil
force antl eflect. Lic. k Class k
Contrecmr's Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereDy aHirm ihet [here is a construction lending agency tor the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lendets ACdress:
SigneNre: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aHirm that under penalty of perjury ihal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit b consimct, alter, improve, tlemolish, or repair any structure, prior to i�s issuance, also requires the applicant for such permit
to fils a signetl statement ihat he o� she is licensed pursuant to the provisions of the Con�ractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business and Protessions Cotle) or lhat ha or she is exempt Iherefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit
sublects Ihe applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the propetly, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the simcture is not intentlad or otteretl tor sale (Sec.
70d4, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provitled ihat such improvements are not intentletl or oHered for sale. If, however, the building or improvement is
soltl within one year of completion, the owner-buiitler will have ihe burden of proving that he or she did not build or impwve for puryose oi sale.).
E!I, as owner ot ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruci the prolec� (Sec. 7044, Business and Professions
�Code: The contractors License Law tloes not apply to an owner of property who builtls or improves ihereoq antl who coniracts for such project with a coniractor(s)
- license pursuant to�ihe Contr�ctors �icense Laws.).
❑ I am exerygYuntle ec. Business and Professions Code for ihis reason:
�afure: � ,
Owner ID ven ietl by tlriver's license. ��d s ❑ No Driv¢fs�cen��e'�No.
Verification of Ownership by (type of tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cehiTy that no ezcavation tive (5) or more teet in tlapih into which a person is reQuired to descend, will be made in connection with work authonzed by �his
permif, and that no builtling simcture, scaffolding, falsework, or aemolition or dismantling thereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Ttle e, Caiifornia Adminisira�ive Cotle).
❑ As owner-builder. I wiil not employ anyone to do wodc which woultl require a permit trom Ihe Division of Indusirial Safery, as noted above, unless such person has a
permit to do such work irom Ne tlivisian.
Signawre: Date:
Division of Industnal Safery Permit Number:
CER7IFICATE OF COMPLIANC AND A IZATION OF EN7RV: I cenify under penalty of perjury that I have read this application and state �hat ihe information given is
correct. I agree to co ly with II tate la and ciry ordinances relating to building consimction, and amhorize represemetives of iha Ciry of Costa Mesa to enter upon the
a6ove-described p rty for in e tion rposes. I agree not to occupy or aliow occupancy of any huilding authorized hy this permit until finQal insp�ecytio'n�.
i1/I� i ��.,���.��
��ahv f I anal. narf�l 'DetO ----
And/Or Authorized Applicant Date
C�..�, INSGECTIONTYiE OFTE IN TIRL
1616 Fiaed System Final Fire Prevention
7266
200
201
202
203
204
2666-46
Pool Spa Pinal
Final Re-Root
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign .
Final Demolition
CODEY �NSPECTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
D�►yI INTITnIR�LS
0 �(IL
� 1 6-22-ss �'
OWNER PO�LL� ,CECIL R. ' onre
JOBADDRESS 473 F'StheT � BUILDINGPERMITNO. �136
GENERALCONTRACTOR Lloyd C, Howard � VALUE $ ].Iy,6OO.00
� AP//118-294-13 s�ocK TRACT Single Famil,y & Garage
GROUP I TVPE V ZONE p�! FIRE DISTRICT �JJSZ
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� J+.�r. y�' ��✓� 110 S DATE I NUMBER /�
___"_. __.__. / 12� _ i ..�u_77'_ I�—� l.
Foundation Forms and Grade to G
�Rough Framin . / _ /
/ [> n.-
Plum6ing�Ioug�i to Slab
Plumbing, Rough Compl e ai�
Temporary Pole � Z
Wiring, Rough
� Heating, Rough
�Heating, Final
1/Sewer. Hause Sewe�. St.
Septic Tank or C
�L?+hing,ln
F ;ring
Plumbing, Final
Plumbing, Final
Wiring, Final
Occupancy
Fnrm 710 G_c
Out �6�C� �� /jp �
�Complet GL – �–�
/S" l -/ _� ,
�–� .�
—��- /Z-/9•s�
5
.
i
. Costa Mesa Building Department f/ f�APPLIpCATION FOR PERMIT
-, N1 EAST 20th STREET t4SF,,, p U I L D iL N G �
�� � COSTA MESA, CALIFORNIA
�OR APPLdCANT TO I`IIl. IN �OR OFFICE USE ONLY
r _ . Receipt No. Permit No.
e��m��e ,(i 7� ri s%�i e rL- /�3 �
Address
Costa Mesa, California Rec ' ed by, Date Rec'd. Date Issue
Nearest / 6' a�-� � JUN 2 2�g�'`'
Cro55St. S /le/. /eU�x` Buil ing -
Address
Owner ?- Po ��i Costa Mesa, California
Architect or
Engineer
Address
ntreCtor� `•
Address 3 3� o I�. Cou.i� �
Legal Lot ,/
Description I No. �j B
(Attach Metes and Bounds) {}�
Size of Lot �e,s��� �(i
Uu of
Existing Bldg. �
Setback Line from i„ �
I��
���0 -.7
No. ot Bldgs.
Center oi Street ) V Side Vard /n j,
DESCRIPTION OF WORH
New I Alteration I I Addition
Repair I I Moving I I DemolisF
Building No. of
Size �p �� S � Rooms Stories
'�erior Wall Roof
ering rjj�Iw�.�St�CGu Covering ��q��
Use of New_ �, i . i.
ne
Date
CORREC�'IONS
APPROVALS
Foundation Location � Inspector
Forms, Materials, �
Under-Pinning -'
Frame: Fire Stops, �
Brecing, Bolts -o
I hereby acknowtedge that I have mad this Application �a�n. mc. !'_� �
and state that the abwe is crorrect end agree to comply "��
with all City Ordinances and State L.aws regulating Lath. Ext. w
building construction. '
Signatureof Plaster,lnt. pq
Permittee
Plaster, Ext. ?}
Authorized Ag
�� Masonry ReinTorced w
Valuation Permit Fee $ ��C, o o �
Plan Check $ , e O Bond Beam
$� y� G �O 7otal a o
Fee $ 3 � FINAL
Fl1HM 204 [i•N 'J.M fi-fl6
�1
PLOT PLAN
Show locatlon and distances from
property Iine and between buildings
0