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Home My WebLink About2885 EUROPA DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Number: ApplicanC 2885 EUROPA DR 13945508 CABUTA,PAVEL MECHANICAL PERMIT Address: 121 SOUTH KELLOG AV FULLERTON,CA owner: HOSS, VERNON CRAIG TR Address: 2885 EUROPA COSTA MESA, CA Contractor. C AND P CONSTRUCTION CO Address: 121 SOUTH KELLOG AV FULLERTON,CA Phone: 714-447-0489 Zip: 92633 Phone: Zip: 92626-3525 Phone: 714-447-4489 Zip: 92633 License: 474124 Status: ISSUED Applied: 11/12/2004 Issued: 11/12/2004 ISSUED BY: SCOPE OF PERMIT REBUILD 440 SF GARAGE DUE TO FIRE DAMAGE. REPAIR AND REBUILD 640 SF PLAYROOM DUE TO FIRE DAMAGE AS WE�L AS LEGALIZE ALTERATIONS TO PLAYROOM. PLAYROOM TO BECOME A GREAT ROOM, GUEST ROOM AND BATHROOM. PLAYROOM LOCATED BEHIND EXISTING ATfACHED GARAGE. CONVERT 19 SF OF EXISTING GARAGE TO HABITABLE SPACE WITHIN DINING ROOM. CONSTRUCT NEW 276 SF DECK AT REAR OF STRUCTURE AND PROVIDE NEW SLIDING DOOR FROM EACH EXISTING REAR BEDROOM ONTO NEW DECK. 1 INST FAU < 100K BTU, 1 VENT FAN/SINGLE DUCT, 1 HOOD W/MECH EXHAUST REF: 604-01'104 ISSUE FEE Inst FAU <100 k BTU Inst FAU »00 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 Venl Air Handlers < 10000cfm AirHandlers> 10000cfm $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.65 $0.00 $7.25 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillatlon System Evaporative Cooler Commerciallncineretor _ Domestic Incinerator Compressors / Absorption Svstems Upto.3hp/100kBTU � 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU . 30 To 50 hp / 1,750 k BTU - Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3Tot5hp 15to30hp 30 to 50 hp Over 50 hp Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ' So.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 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) 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. INSPECTIONS: In ordar for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and final epproval must be obtained. Failure to obtain inspections antl final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaeaaa la�oo> WORKERS'COMPENSATON DECLAHA710N: �� . � I hereby eHirm under penalry ol perjury ona of the following tleclaralions: - �. • � ❑ I have end will maintain�a certiticate of consent to selFlnsure for workers' compensatlon, as provided for 6y section 3700 of the Labor Code, for the pertortnance of the �wark for which this permit is Issued. I have antl will m intain workers' compensation insurance, es requiretl by section 3700 of Ihe Labor Code, for �he perfortnance of the work for which this pertnit Is Issuetl. My wo r c ensatio surance a�rier end policy number are: (; /(� Cerrier: �� LPV%� PolicyNumber. �� 7 (O ��— Z�OL� (fhis section need not 6e completed il fhe permit is velued ef one hundred dollars ($100) or IessJ ❑ I certi(y ihet in the pertormence of the work for which Ihis permit is issueq I shell not employ eny person in any mennar so as to become subject to ihe workers' compensatlon laws ol Celifomia, and agr t�qtq I shoy�Itl become subject ro tha workers' compensation provislons of Saction 3700 of the Labor Cotle, I shall forthwith comply with these p�Qun�� // .-+5�p— � p� ��/ // �� l L'IY Mii ApplicantSignature: q(�,ql/MU Date: WARNING: FAI�URE TO SECURE WORKERS' COMPENSATION CAVEPAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVIL FINES UP TOIXJE HUNDRED THOUSAN� DOI.LARE ($1��)� IN ADDITION TO THE COST OF CAMPENSATIqJ, DAMAGES AS PqOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby aHirm that I a!� licensed undej p ov)'s�ions of Chepter 9(commencing with Seclion 7000) of Division 3 of the Busin�and�Prolessions Code, antl my license is in full force and eHect. Lic. N � Z�/ �!�i � A Class k CONreciofs Signature: Q� Q Daie: ��z '- CONSTRUC710N LEN��NG AGENCY: ❑ I hereby aHirtn that there is a consimction lending agency for Ihe pertormance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Address: Signature: Da�e: OWNER-BUILDER DECLAFiAT10NS: I heraby aHirtn that un0er penalry of perjury that I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or coua�y which requiras a permit to consUuct, aker, improve, tlertwlish, or repair any structure, prior m its issuance, elso requires ihe applicant tor such permit to file e signed statemeN that he or she is licensad pursuant to the pmvisions oi the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of Divislon 3 ot Ihe Business and Protessions Code) or that ha or she is exempt therefrom end ihe besis for ihe alleged ezemption. Any violatian of Section 7031.5 by eny applicent for a permit subjects the applicant �o a civil penelty of not more Ihen tive hundred dollars ($500).): ❑ I, es owner of ih6 property, or my emplayees wi�h weges as �heir sole compensation, WILL DO THE WOqK, and ihe structure is nol intanded or oMered for sele (Sec. 7044, Business end Professions Code: The Coniractors License Law does not appiy to en owner of property who builds or improves ihereon, and who does such work himsetl or herself or ihrough his or her own employees, provided that such improvements are not intended or otteretl �or sale. It, however, ihe building or improvement is sold within one year ol completion, the ownerbuilder will have ihe burtlen of proving that he or she did not build or imDrove for purpose of sale.). ' ❑ I, as owner of thp proparty, em EXCWSIVELY LONTRACTNG WITM LICENSED CONTRACTORS to wnstruct the pmject (Sec. 7044, Business antl Profeuions Code: The conira��ors License Law does not apply lo an owner of propeny who builds or improves thereon, and who coniracts tor such proled with a contractor(s) license pursuant to ihe CoNractors License Laws.). ❑ I am exempt untler sec. _ SigaaWre. Owner ID verified by tlliveYs license. Veritication of Ownersn�p 6y (type of Business and Professions Code for this reason: ves ❑ No i.e. - property tax bill or deed): OIVISION OF INDUS7A�AL SAFETY PERMIT CERTIFICATION: Orivers License No. Date: Expires: ❑ I hereby certify �hat no excavation five (5) or more teet in depth in�o which a person is required to descend, will be made in connection with work authonzed by thls permit, and that no building stmcture, scallolding, talsework, or demolition or dismantling ihereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division of Indusirial Safety, as noted ebove, unless Such person has a permit to do such work from ihe tlivision. Signature: Date: Division of Indusinal Safery Permit Number: CERTFICATE OF COMPLIANCE ANO AUTHORIZA710N OP ENTRY: I certity under penelry of perjury that I have read ihis application end state that the infortnation given is correa. I agree to comply with all state laws and city ortlinances relating to builtling construaion, and authorize representatives ot the Ciry of Gosta Mesa to enter upon the ebove-tlescribed propeRy ior inspectio� puryoses. I agree not to occupy or allow occupancy o( any Guilding authorized 6y this permit until final i�specfion. SI ur 1 Legp Owner(S) � D�(e �� in .O _ t3ZA"� ! Z U ri �—And/Or utho� d Applicanl � Date COOE �. INSPEC710NTYPE PAIE 1616 Fixed System Final Fire Prevention 12fifi 200 201 202 203 Paal Spa Final Finel Re-Roof Final BIocWRe�aining Wall Finel Factory Fire Place Final Siqn 204 Final Demolition um. . � CODE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Sita 250 Finel Building/Occupancy .1111. � .,• � � Y . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 28H5 EUROPA DR Suite: Vicinity: GARAGE AND PLAYROOM BEHIND GARAGE Parcel Number: 13945508 Applicant: PAVEL CABUTA Address: 121 S KELLOG AV FULLERTON,CA Owner: HOSS, VERNON CR,41G TR Address 2885 EUROPA COSTA MESA, CA Contracror. C AND P CONSTRUCTION CO Address: 121 SOUTH KELLOG AV FULLERTON,CA Zip: 92633 Arch : Address: Phone: Zip: License: Zonin9: R1 R1 Phone: 714-606-8977 Zip: 92833 Phane: Zip: 92626-3525 Phone: 714-447-4489 License: 474124 ISSUED BY: Eng: DUC H PHAM Address: 16691 MYTINGER LN Status: ISSUED Applied: 06/15/2004 Issued: 11/12/2004 Phone: 714-846-7824 HUNTINGTON BEACH, CA 92647 License: C33819 SCOPE OF PERMIT REBUILD 440 SF GARAGE DUE TO FIRE DAMAGE. REPAIR AND REBUILD 640 SF PLAYROOM DUE TO FIRE DAMAGE AS WELL AS LEGALIZE ALTERATIONS TO PLAYROOM. PLAYROOM TO BECOME A GREAT ROOM, GUEST ROOM AND BATHROOM. PLAYROOM LOCATED BEHIND EXISTING ATTACHED GARAGE. CONVERT 19 SF OF EXISTING GARAGE TO HABITABLE SPACE WITHIN DINING ROOM. CONSTRUCT NEW 276 SF DECK AT REAR OF STF2UCTURE AND PROVIDE NEW SLIDING DOOR FROM EACH EXISTING REAR BEDROOM ONTO NEW DECK. REF: ZA-04-56 Plan Check: $495.79 Permit: $762.75 SMIP Res: $6.69 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,265.23 SETBACKS MAINSTRUCTURE Front 15-0 Rear 9- 0 FEE SUMMARY PLANNING & ZONING Left 7- 0 Calc Valuation: Claim Valuation: Right 22-0 $66,881.42 $28,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period 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 requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 244fi-46(fi/a0) •r WORKERS' COMPENSA710N DECLARATON: . - I hereby aHirm under penalry oi perjury one ot the tollowing declarations: � ❑ I heve and wlll maintein a cenificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the peAormence of ihe work for which ihis permit is issued. . �, I have antl will maintain workers' compensation insurance, es requiretl by sectlon 3700 oi ihe LeDor Cotle, Por the peAormance of the work for which ihis permit Is Issuetl. My wovrk ensaC surenc carner and policy number are: �7 p /� Cartier. J a✓%� Policy Number: I� l l I7 3`2BO i (Tbis section need nof be c�d i! fhe permit is valued a( one hundretl dollars ($100) or IessJ ❑ I certify ihet in ihe peAormance ot the work fo whi ihis permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensetion laws of Calitorni�n0 agre at i houl ecome subJect to the workers' compensation provislons of Seclion 3700 of he Labor Code, I shell forthwith Comply wi�h �hes�visions. . ,g Applicant Signatura: LV07� IA. Date: l�— �Q. � � L� WARNING FAILUFE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TO ONE HUNORED THOUSAND DOLURE (5100,000). IN ADDITION TO THE COST OF COMPENSATIQV, �AMAGES AS PROVIDED FOR IN SECTION 31W OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOfiS DECLARA710N: I hereby aflirm ihat I em li ense under Pr�ovisions of Chapter 9(commencing with Section 7000) of Division 3 of the Busin and Professions Cotle, and my license is in full force and eflecL Lic. M� / 2 U /1 /i J� Class N' � ConirecmYs Signature: L� (1 Date: r� � �I ^ D � CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat there is a consiruction lending agency for ihe performance of �he work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aftirm ihet undar penalty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe applicant for such permit to file e signed statement ihat he or she is licensed pursuent to the provisions of the Coniractors Llcense Law (Chapter 9(commencing wlih Seclion 7000) oi Division 3 of the Business and Professions Code) or ihat he or she is axempt therefrom and Ihe basis for the elleged exemption. Any violation of Section 7037.5 hy any applicant for a permit subjecis ihe applicant to a civil penalry of not more ihan five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with weges es I�eir sole compensation, WILL DO TME WORK, and ihe sWCWre is not inten0etl or oflered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of properry who builds or improves thereon, and who does such work himselt or herself or ihrough his or her own employees, provitled ihat such improvements are not intendetl or oHeretl for sale. If, however, the building or improvement is sold within one year of comple�ion, �he owner-builder will have ihe 6urden of proving ihaf he or she did not build or improve tor purpose of sala.). • ❑ I, as owner ot ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to consiruct the project (Sec. 7044, Business end Professions Cotle: The contrectors License Law d0es not epply to an owner of property who builds or Improves thereon, end who coniracts for such project wlth e contraclor(s) license pursuant to ihe Contreciors License Laws.). ❑ I am ezemp� under sec. Business antl Professions Code for thi5 reason: SignaNre: Date: Owner ID veritied by tlnver's license. Yes ❑ No Driver's License No. Vedficetian oi Ownership by (type ot tlocu 6 i.e. - propeny tex bill or deedj: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certity that no excavation five (5) or more feet in tlepth into which e person is required to descend, will be mede in connection with work euthorized by Ihis permit, and Ihat no building siructure, scaHoltling, falsework, or demolition or tlismantling ihereot, will be mora then ihirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle B, California Administretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from tha Division of Industriel Satery, as noted ebove, unless such person has a permit to do such work irom the tlivision. SignaWre: Date: Division of Intlustrial Safery Pertnit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cenily under penalty of perjury ihat I have read this application end state that Ihe information given is correct. I agree to comply with ell state laws and ciry ordinances retating to builtling constmction, end euthorize represantatives of the Ciry oi Costa Mesa to enter upon Ihe ebove-tlescn6etl property for inspection puryoses. I a9ree not to wcupy or allow ocapancy of any building authorized by ihis permit un�il finel inspection. " at Of L I Owner(s) Dat L� P � (/� �2 -�I Z-/ And/ r Authorized Applicant Date COpE �. INSPECTIONTYPE 1676 Fized System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIxWRetalning Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition fj�jE IN COOE� INSPECTIONTVPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupency o�*� Iti�.�L4 � . • -"`B' .DING AND SAFETY DIVK � 'N F�AE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) Address: b��J ��' C��' Unit: �� Owner. � d G'ci l�GSS ' 7/' 1 � 61 7 S`/O - Owner's Address (if diHerent from above): � �� - 3IC- JZO -�%9p � S'd �� C Street � Structural permit required. � Repair or replace as necessary. ❑�" Plans required. Comments: � � r'��7 � � r � �IC. v LCC '+i c.4'� A� � ( ��i L lSu., n� 4 �'' � Electrical permit required. � Repair or replace as necessary. Comments: � �`" � �� uLi� - f I�C.'. /� K G��ti l - G G� K (+�j/� ��I ��'H � ,., . '1 f vj City S ' ��`�posy - � L� Ql,j� l,✓�r �''o� �. c. � h l/mt f • t � scace ; < FQ . G "t /'�� c/ liGc c.. � S - � �c• � Plumbing permit required. -� Repair or replace as necessary. / / / Comment�: �� /��,..., h � �t. G' t �` P, �'''f 7_v` / R �u� H a✓�c, - P � Mechanical permit required. � Repair or replace as neces: Comments: �1 � C ct, G� �� ,,. Nr;cl� �..l - o�r � i�l� �� y� S6/ 7 Inspector Date Phone ien�e mW�,cs: o�u�a�.�..: �io.cawmc w�kaw�ama om.m 1' DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Street Bldg. Permit This Permit # AP Number: 1. I(we), (/�/1a�7n7 ��i�71`N� , declare that I am the Owner ot Title of the above referenced real property, and that I(we) hereby authorize: Name: �, r� �ti�T. .�"J F��J� , Telephone Number: �� CT � Street Address: Ciry: ^�ti�/ ��i�� State: � _ Zip: <<�� to obtain permits in my behalf, as owner/builder, for at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediate�y provide Workefs Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State ot California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. . Executed this � day of /l,l� 10 20 Q,�, at Print Name� j��, � / 9 Q5� S �� Signature: _�� / � �n ,� �ZQ� �ate: � �� (/,�- � . o70D � � �—, Note: This author¢ation does not grant authorization to perfortn the woAc as owner, i[ solety provides for limded power of attomey to secure this pertnit in any behaH. 0779-46 (revA 1100) California. October 7, 2004 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR ORNE • CALIFORNIA 92628-7200 DEVELOPMENTSERVICES DEPARTMENT Corrie Kates Foothill Project Management P.O Box 4403 Costa Mesa, CA 92626 RE: MINOR CONDITIONAL USE PERMIT/MINOR DESIGN REVIEW ZA-04-56 2885 EUROPA DRIVE, COSTA MESA Dear Mr. Kates: The minor conditional use permit and minor design review for the above-referenced project has been completed. The application has been approved, based on the following project description and findings, subject to the conditions set forth below: PROJECT DESCRIPTION The subject property contains an existing two-story single-family residence with an attached garage and a detached, one-story 640 square foot structure which was originally permitted and constructed as a playroom. The detached playroom, identified on the submitted plans as a"guest home" contains a living room, bedroom, kitchen, and bathroom with a sink, toilet, and shower. There are no building permits for this construction. Because the detached structure contains a kitchen it is considered a dwelling unit under the Zoning Code. The R1 zone allows only one dwelling unit for the property. The applicant is requesting a minor conditional use permit to legalize the construction as an "incidental residential use". A condition of approval has been incorporated requiring a land use restriction be recorded on the property to intorm future property owners that the incidental residential structure shall not contain a kitchen and shall not be used as a living unit. Additionally, the incidental residential structure shall be served from the same utility meters (electric, gas, and water) as the main dwelling unit on the property. The applicant is also proposing to construct a 276 square foot second-story deck on the rear of the main house. Because the existing second floor is greater than 50 percent of the first floor, a minor design review is required for the deck. No privacy impacts to adjacent properties are anticipated because the second floor deck is set Buil4ing Division (714) 754-5273 • Code Enforcement (714) 754-5623 • Planning Division p14) 754-5245 FAX p14) 754-0856 • TDD p14) 754-5244 • w�vw.ci.costa-mesa.ca.us October 7, 2004 ZA-04-56 Page 2 back more than 30 feet from the south (left side) property line and greater than 40 feet from the north (right side) property line. Additionally, the rear of the property does not abut any residential properties. The deck conforms to all development standards and with the residential design guidelines. FINDINGS A. The information presented substantially complies with Costa Mesa Municipal Code Section 13-291g1(141 with regard to the minor design review in that the project complies with the City of Costa mesa Zoning Code and meets the purpose and intent of the Residential Design Guidelines, which are intended to promote design excellence in new residential construction, with consideration being given to compatibility with the established residential community. The proposed construction complies with the intent of the residential design guidelines because no privacy impacts to adjacent properties are anticipated. The second floor deck is set back more than 30 feet from the south (left side) property line and greater than 40 feet from the north (right side) property line. Additionally, the rear of the property does not abut any residential properties. This minor design review includes site planning, preservation of overall open space, landscaping, appearance, mass and scale of structures, location of windows, varied roof forms and roof plane breaks, and any other applicable design features. B. The minor conditional use permit substantially complies with Costa Mesa Municipal Code Section 13-291g1(2) in that the proposed use is substantially compatible with the existing use. Granting the minor conditional use permit will not be detrimental to the health, safety and general welfare of the public or other properties or improvements within the immediate vicinity. Specifically, the recommended conditions of approval will ensure ihat the use will not be materially detrimental to the health, safety and general welfare of the public or otherwise injurious to property or improvements within the immediate neighborhood. A condition of approval has been incorporated requiring a land use restriction be recorded on the property to inform future property owners that the incidental residential structure shall not contain a kitchen and shall not be used as a living unit. Additionally, the incidental residential structure shall be served from the same utility meters (electric, gas, and water) as the main dweiling unit on the property. The minor conditional use permit will not allow a use, density or intensity which is not in accordance with the general plan designation for the property. C. The proposed project complies with Costa Mesa Municipal Code Section 13- 29(e) because: • The proposed development and use is compatible and harmonious with uses on surrounding properties. . • Safety and compatibility of the design of the buiidings, landscaping, and other site features inciuding functional aspects of the site development October 7, 2004 ZA-04-56 Page 3 such as automobile and pedestrian circulation have been considered. • The project is consistent with the General Plan. • The pianning application is for a project-specific case and does not establish a precedent for future development. D. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA), the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. E. The project is exempt from Chapter XII, Article 3, Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. Street addresses shall be displayed on the fascia adjacent to the main entrance or front door in a manner visible from the public street. Numerais shall be a minimum 6 inches in height with not less than %z- inch stroke and shall contrast sharply with the background. 2. The conditions of approval and ordinance or code provisions and special district requirements of ZA-04-56 shali be blueprinted on the face of the site plan. 3. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. 4. Grading, materials delivery, equipment operation and other construction-related activity shall be limited to between the hours of 7 a.m. and 8 p.m., Monday through Friday, and between the hours of 8 a.m. and 6 p.m., on Saturday. Construction is prohibited on Sundays, and Federal holidays. Exceptions may be made for activities that will not generate noise audibie from off-site, such as painting and other quiet interior work. 5. The wet bar shall be deleted from incidental residential structure. 6. The incidental residential structure shall not be used as a dwelling unit. 7. Any kitchen or kitchenette is prohibited in the detached accessory structure. 8. A land use restriction executed by and between the applicant and the City of Costa Mesa, shail be recorded prior to the issuance of building permits. Applicant shall submit to the Planning Division a copy of the legal description for the property, and either a lot book report or current title report identifying the current legal property owner so that the document may be prepared. 9. The land use restriction shall inform future property owners that the incidental residential structure shali not contain a kitchen and shall not be used as a living unit. � October 7, 2004 ZA-04-56 Page 4 10. The incidental residential structure shall be served from the same utility meters (electric, gas, and water) as the main dweliing unit on the property. 11. The applicant shall contact the Planning Division to arrange for an inspection of the site prior to the release of occupancy. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. Eng. 12. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and remove any spillage from the public right-of-way by sweeping or sprinkling. CODE REQUIREMENTS The fotlowing list of federal, state and local laws applicable to the project has been compiled by staff for the developer's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections, final occupancy and utility releases wiil not be granted until all such licenses have been oblained. 2. Approval of the zoning action is valid for one (1) year and wiil expire at the end of that period unless building permits are obtained and business commences or the applicant applies for and is granted an extension of time. 3. Development shall comply with all requirements of Article 1, Chapter V, of Title 13 of the Costa Mesa Municipal Code refating to development standards for single-family residential projects 4. Any mechanical equipment such as air-conditioning equipment and duct work shall be screened from view in a manner approved by the Planning Division. Bldg. 5. Comply with the requirements of the Uniform Building Code as to design and construction and CCR Title 24 pertaining to "Disabled Access regulations". Eng. 6. At the time of development submit for approval an off-site plan to the Building Division that shows sewer, water, existing parkway improvements and the limits of work on the site, prepared by a civil engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City ot Costa Mesa. Pay off-site plan check fee to the Engineering Division. An approved off-site plan and fee shall be required prior to engineering/utility permits being issued by the City. 7. A construction access permit and deposit of 5350 for street sweeping wiil be required by the Engineering Division prior to the start of any on- or off-site work. � � October 7, 2004 ZA-04-56 Page 5 Fire 8. Provide an approved smoke detector to be installed in accordance with the 2001 Edition of the Uniform Fire Code. SPECIAL DISTRICT REQUIREMENTS The requirement of the following special districts are hereby forwarded to the applicant: Sani. 1. Developer shall contact the Costa Mesa Sanitary District at (949) 631- 1731 for current district requirements. School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. State 3. Comply with the requi[ements of the California Department of Food and Agriculture (CDFA) to determine if red imported fire ants (RIFA) exist on the property prior to any soil movement or excavation. Call CDFA at (714) 708-1910 for information. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved plans is enclosed. The decision will become final at 5 p.m. on October 14, 2004 unless appealed by an affected party or by a member of the Planning Commission or City Council. If you have any questions regarding this letter, please feel free to contact the project planner, Mel Lee, at (714) 754-5611, between 1 p.m. and 5 p.m., Monday through Friday. Sincerely, � ��/� PERRY L. ALANTINE Zoning Administrator Enclosure: Conceptually-approved plans cc: Engineering Fire Protection Analyst Water District Building Division Mr. and Mrs. Hoss .John Bor & Associates 7391 EI Cajon Avenue Yorba Linda, CA 92886 (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 2885 EUROPA DR Suite No Vicinity: Parcel Nunmber: 13945508 Applicant: CABUTA, PAVEL Address: 127 SOUTH KELLOG AV FULLERTON,CA Owner. HOSS, VERNON CRAIG TR Address 2885 EUROPA COSTA MESA, CA Contractor. C AND P CONSTRUCTION CO Address: 721 SOUTH KELLOG AV Arch / Eng : Address: FULLERTON,CA Phone: 714-047-4489 Zip: 92633 Phone: Zip: 9262G3525 Phone: 714-047-4489 Zip: 92633 License: 474124 Phone: Zip: License: . ISSUED BY: Status: ISSUED Applied: 11I12I2004 Issued: 71/72I2004 SCOPE OF PERMIT REBUILD 440 SF GARAGE DUE TO FIRE DAMAGE. REPAIR AND REBUILD 640 SF PLAYROOM DUE TO FIRE DAMAGE AS WELL AS LEGALIZE ALTERATIONS TO PIAYROOM. PIAYROOM TO BECOME A GREAT ROOM, GUEST ROOM AND BATHROOM. PLAYROOM LOCATED BEHIND EXISTING ATTACHED GARAGE. CONVERT 19 SF OF EXISTING GARAGE TO HABITABLE SPACE WITHIN DINING ROOM. CONSTRUCT NEW 276 SF DECK AT REAR OF STRUCTURE AND PROVIDE NEW SLIDING DOOR FROM EACH EXISTING REAR BEDROOM ONTO NEW DECK. -- . � 1 BATHTUB, 1 DISHWASHER, 1 IAUNDRY TUBNJASHER, 1 BAR SINK, 1 KITCHEN SINK, 3 WASH BASINS, 2 WATER CLOSETS, 2 WATER HEATERNENT � REF: 804-01104 . AMT ISSUE FEE 523.50 BackFlow irtigatlon � 50.00 Backflow Preventer 50.00 Bathtub 39.80 Clarifer System $0.00 Connect Qce,Soda,etc) 50.00 FEESUMMARY QTv AMr oTr Laundry Tub I Washer $9.80 1 0 Landscape Irtigation $0.00 0 0 P-Trap � $0.00 0 1 � Pressure Regulator 50.00 0 0� � Process Piping (per 10 ft) $0.00 0 0 - Recepjors 50.00 0 SumpPump Swimming Pool T2p Primer Urinal Vacuum Brkr Bkflow(1�) Vacuum Brkr Bkflow(5+) AMT orv $0.00 0 30.00 0 $0.00 0 $0.00 0 50.00 0 30.00 0 NOTICE: The work authoAzed by lhis permit shal� comply with all applicable handicap access raquirements under Californla statutes and related reguletions. (Ord. No. 92-28, § i, 12-21-92) EXPIRATION: This permit shall automatically ezp�re and become void li work Is nol commenced within 180 days, or It work Is suspended or abandoned for a period of 1 BO days. INSPEC710NS: In order tor the vrork authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all requlred Inepectlons and Iinel approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5628 26a8J8 (8'00) WORKERS'COMPENSAnON DECLARAnON: � ' , , � I hereby etfirm under penelty olOerJury one o� the lollowing tleclaratlons: ❑ I heve entl wlll meintein a cenificate of consent to sell�lnsure tor workers' compensetlon, es providetl tor by section 3700 of the Lebor Code, tor the pedormance of the L work for which thls pertnit Is luued. (_,� I heve end will maintaln workere' compensatlon insurenca, es requlretl by section 3700 0l Ne Lebor Code, tor the pertormance ot Ihe work for xfiich this pertnit Is Lswetl, � My vSej ensatl nsurenc carrier end pollty number are: /QJ `�/ // CarAer. 7 / � � PolicyNumher. IL lI �✓1 ��K" (Thls secflon neetl of be complefed i! (he pe��f Is valued el one hundred dallers ($ f 00) or /ess.) ❑ I cenity thet in Ihe peAormence af l�e work br which lhis per it is issued, I shell not employ eny person in eny menner so as to become subJect to the workers' compensetlon laws ol Calitomia, enA eBree t If I oulA come sub�ect to the workers' compensation provislons oi Section 3700 oi the Lebor Cotle, I shall lorthwl(h comply with these pro�j'� ions. Applicant Signetura: T� � f Dete: _l� ��— �� WARNINO: FAILURE TO SECURE WORKERS' ODMPENSATION COVEMGE IS UNLAW FUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL GENALTIES AND CML FlNES UP TO ONE HUNDRED THOUSAND OOLURE (5100,000). IN ADDITIIXJ TO'�ME COST OF COMPENSqTION, DAMAGES AS PROVIDED FOR IN SECiION 3708OF THE LABOR CODE, IMEREST, AND ATfORNENS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirtn that I am liSe�nse unde ry�9�ons ot Chapter 9(commencing with SecUon 7000) of Division 3 ot Ihe Busine nd Prolassions Code, and my license Is in tull farce entl eHect. LJc. M �( _]� l��'( Class A.,� � Contractors Signature: �(' Dete: � � / — CONSTRUCTON LENDING AGENCV: ❑ I hereby eflirtn that there Is a cansirucilon lending agency lor Ihe pedormance ol Ihe work for whic� ihis pertnit is issuetl. (Sec. 3097, Civil CoCe). Lentler's Name: Lentler's Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I here6y ettirtn Ihat under penelry ot perjury tnei l em EXEMPT FROM THE CONTRACTORS LICENSE LAW lar the tollowing reason (Sec. 7031.5, Business an0 Professions Cotle: Any city or wunry which requires e pe�mit to consiruct, elter, improve, demolish, or repair any structure, prior Io its issuanca, also requires ihe epplicent for such pertnit ta tile e signeA stetement �het he or she is Ilcensetl pursuent ta ihe proWslons of the Contrectors License Lew (Chepter 9(commendng with Sectlon 7000) ot Division 3 0l the Business end Proleuions Code) or that he o� she is exempt therefrom end iha besis tor the alleged exemption. Any viWation ol Seciion 7031.5 by any apPlicant tor e pertnN subjecis the applicant to e civil penelry ot not more than live hundred dollars (5500)J: � 1, es owner ot ttie pmperty, ar my empi0yees with wagas es ihelr sole compensalfon, WILL DO THE WORK, entl ihe siructure 15 not inientled or atteretl tor ule (Sec. 7044, Business and Prafessions Cotle: The Conirectors License Lew tloes not apply to en owner of property who builds or improves �hereon, and who tloes such work himsetl or herselt or through his or her OM'n employees, providad that such improvemenis are not intentletl or ottered tor sale. If, however, the building or improvement is sold within one year ot completion, iha owner-builder will heve �he 6urden ot proving ihat he or she ditl nol build or improve tor purpose of sale.). ' ❑ I, as owner of lhe pro0erry, am EXCLUSIVELY CONTRACTiNG WITM LICENSED CONTRACTORS to construct tha project (Sec. 70a4, Business and Professions Cotle: T�e contrectors Llcense Lew tloes not appy to an owner ot properry who bullds or Improves thereon, end who contrects for such projeci with a wntractor(s) license pursuant to ihe Contrectors License Lews.). ❑ I am exempt under sec. Signature: BuSiness entl Protession5 Code tor this r885on: Date: Owner ID venlied by drivefs license. Yes ❑ No Dnvefs License No. Expires: Venlication ot Owners�ip by (rype of tl t, i.e. - pmperry tea bill or tleetl): DIVISION Of INDUSTRIAL SAFETV PERM(T CERTIFICATION: ❑ I hereby cenity t�at no excave�lon fWe (5) or more feei in Oept� Into which a person is requlred to descentl, wlll Oe mede in connection wlih work auihorizetl by t�is permit, end that no builtling struIXure, staMolding, lalsework, or tlemolition or tlismantling thereol, will be more than �hirry-six (38) leel high. (Chap. 3.2, Gry 2, An 2, Sec. 347, Title 8, Celitomia Atlminisiretive Cale). ❑ As ownerbuilder, I will not empby enyone to do work which woultl reduire a pertnit fmm the DMslon ol Indusidel Sefery, es noted ebove, unless buch person hes e permit to do such work Irom iha division. Signalure: Date: Division ol IndusMel Sefery Permit NumDer: CERTFICATE OF COMVLIANCE AND AUTMORIZ4710N OF ENTRY: I certify untler penalty of perjury thel I heve read this epplication end stete Ihat the information given i9 correct. I egree to comply with ell stete laws anG city orCinances relating to huilding construction, and authodze representatives ol t�e Ciry ol Costa Mesa to enter upon the ebove-descnbed pmperty tor inspectlon purptlses. I agree not to occupy or ellow occupency of eny huilding eutharized by Ihls permi� until Ilnal insDec�ion. Si� aWr Of Legal Owner�s) Date �QV?� /IYlti �%�l%' �� A d/Or Authorized Applicent Date COQE �. INSPECTIONTYVE 1616 Fized SyStem Final Fire Preventlon 1266 Pool SDe Final 200 Finel Re-Roof 201 Finel BIocWReteining Well 202 203 204 Finel Fectory Fire Place Final Sign Final Demolitlon QAg 1t�ELfl COOE 1 INSPECTION TYPE 206 Finel Mechanical 208 Flnel Plumbing 210 Finel Elec�rlCal 272 Flnel Flre Preventlon 220 Final Plenning Appravel 222 Final Site 250 Final Bullding/Occupancy PAIE It�ELS (714) 754-5273 • Fex (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: ELECTRICAL PERMIT 2885 EUROPA DR 13945508 CABUTA,PAVEL 121 SOUTH KELLOG AV FULLERTON,CA HOSS. VERNON CR.41G TR Address 2885 EUROPA COSTA MESA, CA Contractor. C AND P CONSTRUCTION CO Address: 121 SOUTH KELLOG AV ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Oullets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1hp FULLERTON,CA Phone: 714-047-4489 Zip: 92633 Phone: Zip: 9262Cr3525 Phone: 714-447-4489 Zip: 92633 License: 474124 ISSUED BY: Status: ISSUED Applied: 11/12/2004 Issued: 11/12/2004 SCOPE OF PERMIT REBUILD 440 SF GARAGE DUE TO FIRE DAMAGE. REPAtR AND REBUILD 640 SF PLAYROOM DUE TO FIRE DAMAGE AS WELL AS LEGALIZE ALTERATIONS TO PLAYROOM. PLAYROOM TO BECOME A GREAT ROOM, GUEST ROOM AND BATHROOM. PLAYROOM LOCATED BEHIND EXISTING ATTACHED GARAGE. CONVERT 19 SF OF EXISTING GARAGE TO HABITABLE SPACE WITHIN DINING ROOM. CONSTRUCT NEW 276 SF DECK AT REAR OF STRUCTURE AND PROVIDE NEW SLIDING DOOR FROM EACH EXISTING REAR BEDROOM ONTO NEW DECK. 19 LIGHT FIXTURES, 60 OUTLETS, 19 SWITCHES, 1 SERVICE TO 200A REF: B04-01104 $23.50 $0.00 50.00 $0.00 $0.00 $0.00 $20.90 $5120 $20.90 $0.00 $0.00 $30.50 $0.00 $0.00 50.00 Quantity 0 0 0 19 60 19 0 0 1 0 0 0 FEESUMMARY Temp Dist System I Lighting Busway /100 ft Standing Seclion - Misc Electrical Equipment Transfortners up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kvafkw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wirin9 System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lighls) Quantity $0.00 0 $0.00 0 so.00 0 30.00 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 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void ii work is not commenced withln 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and finel epprovel must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , zaaase (a�oo� WORKERS' COMPENSATION �ECLARA710N: � � � I hereby ettirm under panalry of pe�ury one of the following declaretions: � � � ❑ I heve end wlll melntain e cenificate ot wnsent to sel4lnsure tor workers' compensetlon, es D�ovided for by section 3700 of the Labor Cotle, for the peAormance of ihe work tor whlch ihis permit is Issuetl. �I have antl wlll elntain workers' compensation insurance, as reqWred by sectlon 3700 of the Lalwr Code, for the pertottnance of the work for which this pertnit Is Issuea. My wo�ens Insurance carrier and poliry number are: �J/ Carner. � iir/Lf� PolicyNumDer �� '11 �� 2�� (This secfion need nat be completed il fhe permit is ve/uetl a! one huntlred dollars ($100) or less.) ❑ I certiy ihat In tha pertormance of the work for hich t's permit is iuued, I s�all not employ any person in any manner so as to become suCject lo the workers' compensatlon laws of Celifomia, end r e t tl I Id become suDject to Ihe workers' compensatlon pmvislons of Section 3700 of �he Labor Code. I shall forthwith comply with these �sions/.% ApplicenlSignature: `� / Date: �lf'l2` � � WARNINd: FAI�URE TO SECURE WOFKERS' C7�MPENSATION G1�VERAGE IS UNIAWFUT AND SHALL SU8IEGT AN EMPLOYER TO CRIMINAL PENALiIES AND CIVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLAFE (51��I.IN ADOITION TO THE COST OF CAMPENSATIqV, DAAMGES AS PROVIDED WR IN SELTON 3]080F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hareby eHirm thet I am lic nsetl untler r�`'i�ions of Chepter 9(commencing with Section 7000) of Divislon 3 of the Busine� and Pwfessions Code, entl my Ilcense is in tull torce and eflecL LIa k (!7 � i1 Class N �.�i Contractors Signature: �Q,y� Date: ��— % � CONSTRUCTION LEMDING AGENCY: � ❑ I hereby aHirtn that there is a conswction lentling egency br ihe pedortnance of Ihe work br which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lendef9 Neme: Lendets Atltlress: ' Signature: � Date: OWNER-BUILDER DHCLARATIONS: I harehy eNirm ihat undar penfllry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, Busine55 end Professlons Code�. Any ciry or wunry which requires e permit to con5lruct, elter, improve, demolis�, w repair eny structure, prior to its issuance, also reqnires the applicaM tor such permit b file a signetl stetement thet he or she Is licensetl pursuant to ihe provislons of the Comractors Llcense Law (Chapter 9(commencing wlth Sectlon 7000) ot Division 3 of iha Business end Professions Code) or that he or sha is exempt iherelrom and Iha basis for the alleged exemption. Any violation oi Sectlon 7031.5 by eny epplicant for a pertnit subjecis the epplicant to a civil penalry of not more ihan live hundred dollers ($500).): ❑ I, as owner ol the P�aDerry, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe sWcture Is not in�enCetl or otteretl for sale (Sec. 7044, Business e�tl Protessions Cotle: The Contrectors License Lew does noi apply to an owner of property who builds or improves ihereon, and who does such work himselt or herself or ihrough his or her own employees, provitletl �ha� such improvemenis are nat Intende0 or ottered for sale. If, however, the builtling or Improvement is soltl wiihin one year of completion, ihe owner-builder wlll have the burtlen of proving ihat he or she ditl not build or improve for purpose ol sale.). � ❑ I, es owner of the p�operry, am E%CWSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consWct the project (Sec. 7044, Businass and Profassions Cotla: 7Te comre��ors License Law does not epply to an owner oi pmperty who builtls or Improves thereon, antl who comracts tor such project with a Gontractor(s) license pursuent to the Contracbrs License Lews.). ❑ I em ezempt unda� sec. eusiness and Professions Code for t�is reason: SignaWre: Date: Owner ID ven}ied by tlh�er'S liCenSe. Ves ❑ No Drivefs LiCense No. Vedfication of Ownersbip by (type of dwumant, i.e. - propeny tax �ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: Expires: ❑ I hereby certify that no excavetion live (5) or more feet in dep�h Into which e person is requlred to descend, will be mede in connection with work euthonzed by this permit, end thet no builtling siructure, scattoltling, felsework, or demolition or dismantling thereoi, will be more t�an �hirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, CalitOrnia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit Irom ihe Division of IndusMel Safery, as no�ed above, unless such person hes e pertnit to do sucn work irom Ihe divisian. Signature: Date: Division of Intlustnel Se�ery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTRV: I certify under penelty of perjury ihat I have reed ihis application end 5tate thet the information given is correcL I egree to comp�y w�th all state laws end ciry ordinances relating to builCing constructlon, and euthodze represeNatives of Ihe Ciry ol Coste Mesa to enter upon the above-described propeRy far inspectiort purposes. I egaee not to acupy or allow occupancy oi any huUding authorizsd by this perrttit unW linal inspecUan. Si tu al Owner�s) l � f�at' �� o ��a.� ,�— � — �, d/Or Authorized Applicant Date COOE �. INSPECTIONTYPE 1616 Fixetl System Final Fire Preventlon 7266 Pool Spe Final 200 Flnel Re-Raot 201 Final Block/Reiaining Wall 202 Final Factory Gire Place 203 Final Sign 204 Final Demolitia� � It��a�s tOUE I INSPECTION TYPE 206 Flnal Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Final Building�Occupancy QAg ItII�LS •. C V� B�_ _DING AND SAFETY DIVI;...JN FIRE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) Address: 2' h 0 � �L<< C�G Unit: J�� Owner. � v��A f�lr^.SS - 7��! G, b� 7 S 90 � ' � c�ii_ 3lo-7ao _ yqor Owner's Address if different from above : Street � Structural permit required. 0� Repair or replace as necessary. 0" Plans required. C/o�mments: � � %'�-�7 a � r� �/ r IC t/ J/GG `�� G6'� t17 �r��r� - 2 6f�vco� s)- , �o . !i � If Sti �� Yr �u �/� n-e � Electrical permit required. ❑� Repair Or replace as necessary. Comments: �-�/ ��J� �"' � �� '� ��1.! ` T 1(Z.�!_ � H � � Plumbing permit required. -� Repair or replace as necessary. Comments: ��J /� %J��"' �� /n [ dt �i ✓ i L'i -- , � City ^/'1ICC � 1/�% )TG ( f J%t-n Ra l Pga l, u /l !h Sh � !�O(/i�� G 'C �ION i�T Qc! , p ep! �� f � vj a r�t DY�. ti' f � P . �'' �f J ' i ✓� w S, • State �G. 10� Mechanical permit required. �/ Repair or replace pas neces; Comments: . c�'f � C �� w l��OI� G- I- D N Inspector Date 1672-06 Triplica�e: OdgineLOwner, Vellox-Coniretor, Pink-Building Oivision ��i� 7�; L/ - s6 / 7 Phone (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Add�ess: 2885 EUROPA DR Suite: Vicinity: pLAYROOM Parcel Number: 13945508 Applicanr. PAVEL CABUTA Address: 121 S KELLOG AV FULLERTON,CA Owner: HOSS, VERNON CRAIG TR Address 2885 EUROPA COSTA MESA, CA Contractor. C AND P CONSTRUCTION CO Address: 121 SOUTH KELLOG AV FULLERTON,CA Zip: 92633 Arch : Address: Zoning: R1 R1 Phone: 714-606-8977 Zip: 92833 Phone: Zip: 926263525 Phone: 714-047-0489 License: 474124 Eng: Address: Sfatus: ISSUED Applied: 06/15/2004 Issued: O6/15/2004 ISSUED BY: Phone: Phone: Zip:' License: License: SCOPE OF PERMIT , DEMOLISH PLqYR00M AND PORTION OF ATTACHED GARAGE DUE TO FIRE DAMAGE. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING existinq: a NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Lefl 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,800.00 $3,800.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related . regulations. (Ord. No, g2-28, § 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 period of 180 days. INSPECTIONS: In Order for lhe work authorized under this permit to be considered lagal, such work must comply with all applicable codes, and all required inspeetlona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 !dd6d6 (6I00) WORKERS'COMPENSAnON DECLARAnON: I hereby ettirtn under penalry of perjury one ot the lollowing deUarations: �� ❑ I have antl wlll meintain e cert��icate of consent to sell�lnsure for workers' compen5etion, es provided tor by section 3700 0l the Labor Cotle, lor the peAortnance of ihe work tor which Ihis permit is i45uetl. ❑ I have antl will mein}�in workels' compensatlon Insu2nce, es requiretl by sectlon 3700 of the Lehor Code, lor the perfortnance of the work for which this pefmit is issuetl. My worxarg',eo�satlon_1Q¢uren�er end pollcy numbar ere: � �l L� / 83i — Z�U C� Carnar. ) � -(�� l�i Policy Number. � ] (This secf/on need notL§ complefed i� the permrt ls velued et one huntlred dollars ($100) or less.) ❑ I certily that in the peAormance of ihe work for which this rmit is issuetl, I ahell not employ any person In any menner so as to become su6ject to the workers' compansation lews of C'fom�e, end�ee Ihat i ha �eco sub�ec� to tha workers' compensation provislons af Section 3700 ot the Lebor Cotle, I s�ell forthwit� comply with these provi io s. ,y /� � � AppllceN Signeture: A� Dete�. 1L{i— �� —� WARNING: FAIIURE TO SECURE WORKERS' C0IAPENSATION GUVERAGE IS UNLAWFUL AND SHPLL SUBIECT AN EMPLOVER TO CRIMINAL PENALiiES nND CM� FlNES UP TOONE HUNDRED T/10USAN0 DIXIAFE (510p.000), IN ADD�TION TO THE COST OF WMPENSATION, DAhNGES AS VROVIDED FOR IN SECTION 31O60F THE LABOR COOE, INTEREST, AND ATTOIiNEY'S FEES. LICENSED CONTRACTORS DEC4AAATION: I hereby aHirm thai I am torce enC eNect. Uc. A_ Contrectofs Slgnature: Chapter 9(commencing with Seciion 7000) ot Division 3 oi Ihe Busi�s antl Professians Code, anA my license is in tull CI855 M Date: n / �— � G/� CONSTRUCTION LENDING AGENCY: ❑ I hereby aXirm ihat ihere is e Construction lending agency for the performance of Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Adtlress: Signeture: Dete: OWNER-BUILDER DECLARATONS: I hereby aHirm that under penalry oi Perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Busineu end Professions Code: Any ciry or counry whic� reqUires e permit to consiruct, alter, improve, tlemolish, or repair any structure, prior to Its issuence, also requires Ihe epplicant (or such pertnit to tile e signed statemem ihet he or she Is Ilcensed pursuent to Ihe provislons of the Coniractors License Lew (Chepter 9(commencing with Section 7000) ai Division 3 of the Business entl Professions Code) or thet he or she is exempt therefrom and the basis br c�e alleged exemption. Any vloletlon oi Section 7037.5 by any appllcant tor e permit subJects the eppliwm to a civll penalty of not more Ihan live hundretl dollars ($500).): ❑ I, es owner of �he property, or my employees wlth wages as their sole compensatlon, WILL DO THE WORK, antl the siructure Is not infendetl or ofleretl lor sale (Sec. 7044, Business and Professio�s Code: The Contractors Licanse Law tloes not apply lo an owner of properry w�o builds or improves ihereon, and who Coes such work hlmsell or herself or through his or her awn emplayees, provitled that such Impravemenis are not Intendetl or oHered for sale. tl, however, the building or Improvement is soltl within ona year ot comple�ion, the owner-builder will have the �urden ol proving that he or she did not huild or improve for Duryose of sale.). ❑ I, es owner of ihe properry, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 704d, Business entl Professions Code: The contractors Licens� Law tloes not epply to en owner of propeny who builds or improves thereon, antl who contracis for such project with e coniractor(s) license pursuant to the Comracmrs License Lews.). ❑ I am exampt untler sec. Business end Prolessions Coda for this reason: Signawra: Date: Owner ID verified by anvets license. ❑ �es ❑ No Dnvors Litense No. Expires: Veriticetba o/ Ownership by (typa of document, i.e. � property taz hlll or tleetl)�. DIVISION OF INDUSTRIAL SAFEIN PERMIT CERTIFICATION: ❑ I hereby certily that no eacava�ian five (5) or more feet in tlepih into which e person is required to descend, will be mede in connac�ion with work euihodzed by this permit, end thet no building stNcture, scattolding, falsework, or demolition or dismentling thereof, will be more than �hirry�six (38) feet high (Chap. 3.2, Gry 2, Atl 2, Sec. 3a1, Ttle 8, Califomia Adminls«ative Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl require e permil irom the Division ol Industnel Setety, es noted aDove, unless such person has a pertnit to do such work tmm tde dNision. Signature: Date: Division of Intlustnal Safery Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHORVATION OF ENTAY: I cehify un0er penalty oi perjury �hat 1 heve reed this application and state that Ihe informetion given is correct. I agree ro comply wit� all stale laws end ciry ordlnances relating to �uiltling construction, and authodze representatives of the City af Cosla Mesa lo enter upon Ihe ebove-described property for Inspec�ion purposes. I egree noi to occupy or ellow occupancy ot eny buildinq authorizetl by this permit until finel inspection. e �e� �pf �je�galOwner(s) C Daie// �� And/O! Authorized Applicant � /J ' Da� COQE �. INsvecnoNrrve 1616 Fixetl System Final Fire Prd�ention 1266 Pool Spa Final 200 Final Re-Rool 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PdIE IrrtmALS � � CODEA INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupancy QdIE ItIDBLfi B� _DING AND SAFETY DIVIS�ON ' FIRE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) . . , Address: 2 C�% � ��` C�G Unit J�D Owner. �, Y G'�'i HGSS ' 7/'I � 61 7$� �/O Owner's Address (if diHerent from above): � �� ' 3�r - �Z v- �/9� � s,�1 �� C Street � Structural permit required. � Repair or replace as necessary. �" Plans required. Co/�mments: � � r'�A � ' r h - f�L: i �C�� i Q" • F� Y k ,• � �� - = 6�d'��o�. ! - ��, {.� %7fc-r.. �� w � �(54 1 (� yY !n � tl.! � Electrical permit required. � Repair or replace as necessary. Comments: � � �`" � �� f' - � �,-, ti K � Plumbing permit required. � Repair or replace as necessary. Comment�:G ` h /A ✓�'�'-r - �lL� GG�/4 c � - City 0 ;� �- .� Lr ql, w p lf in �� l, ✓oc �• G ,---�- p�G�fOH YrA4,yrp� ti ��f V! � ��!'Dos4 - /•✓�� c.- , y �1mr S, 1 V' A G• R State r �. � Mechanical permit required. � Repair or replace pas necess Comments: ^'� � C (i � l� �; (,�i. l� f; OK L ` � - 0 � Inspector Date ten+B mpkm: Oripi�ubOwnar; NnortCawmr, P�nl.euueinp DiNabn 7 i�l-� �� y- S6 / 7 Phone (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 hAIH UHIVt, GU' I A Mt.7'A, GH 816[ti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to thp Motors to 10hp Motors to SOhp Motors l0 100hp Motors over 100hp Communication drops Sub panel to 200a 2885 EUROPA DR 13945508 CABUTA,PAVEL 121 SOUTH KELLOG AV FULLERTON,CA HOSS, VERNON CRAIG TR 2885EUROPA COSTA MESA, CA C AND P CONSTRUCTION CO 121 SOUTH KELLOG AV FULLERTON,CA Phane: 714-447-4489 Zip: 92633 Phone: Zip: 92626-3525 Phone: 714-447-4489 Zip: 92633 License: 474124 ISSUED BY: Status: ISSUED Applied: 06/09/2004 Issued: O6/09/2004 SCOPE OF PERMIT TEMPORARY POWER POLE DUE TO FIRE DAMAGE TO THE MAIN SERVICE AT THE ATTACHED GARAGE OF AN EXISTING RESIDENCE. $23.50 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 �uantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Seclion Misc ElecMcal Equipment Transformers up to 1 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 Volt Wiring System / Ckt Misc. Conduit Misa Conductor Ciras ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other Eleclrical Fee Investigation Fee Plan Check Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 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 50.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply vrith all applicable codes, and all required inspections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOFi INSPECTIONS CALL: (714) 7545626 24a6d6 (flN0) WORKERS'COMPENSAnON DECLARAnON: I �ereby effirm untler penalty ol perjury one of ihe lollowing tleclarations: � ❑ I heve entl will malntain e cenificate of consent to self-Insure for w rk s' compensetlon, es provided for by section 3700 ot the Lebor Code, for the peAormance ot the �tor which ihls permit Is Issued. heve end will mai� ers' c pens urance, as require b section 3700 of the Lehor Cade, for the perfortnence of the work for which this pefmit is issu . Myworkers'comp s Insuren cerrierentl licynumberare: �� O'� Carrier: Policy Number: 'll (Th/s secfion need nof b mp/e ll the permit is valuetl ne hundre dollars ($/00) or /ess.J ❑ I certify that in the pertormance oi Ihe work tor which t is permil is iuued, I shall not em0loy any person in eny manner so es to become subject to Ihe warkers' compensation lews of Celllornls, an gree try§t II 1 uld bec me subject to ihe workere' compensation provisions ol Section 37�Q ot the Labor Cade, I shall forthwith wmply with these pr v ions. �// �/+ (/� I ` I ApPlicant SlgnaNre: T_� E�iC� �C/ oace: �� l v�` I �-4 WARNING: FAILURE TO SECURE WORKERS' COMPENSATIqJ WVEMGE IS UNLAW FUL AND SMALL SUBIECi AN EMPLOYER TO CRIMINAL F�NALTIE AND CIVIL FlNES UP TO ONE HUNDRED TlIdASM1D Dd1FRE (5f 00,000), IN ADORION TO THE C0.ST OF COMPENSAiION, DFMAGES AS PROVIDED FOfi IN SECfION 3108OF THE LABOR CODE, INiEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLAAATION: I hereby aHirm that I em Ilcensetl untler pro si force antl eHect. Lic. M Contrector'S Signamre: with Seclion 7000) ol Division 3 of Date: entl Professions Cotle, antl my license is in full CONSTRUCTION LENDING AGENCV: ❑ I �ereDy aNirtn ihat ihere is a Constmction lending egency for the peAormance ot the work for which this permlt is issued, (Sec. 3097, Civil Code). Lender's Neme: Signawre: _ OWNER•BUILDER DECLARATONS: Lender's Atldress: Date: I hereby afllrm that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reasOn (Sec. 7037.5, Busineu and Professlons Gode: Any ciry or wunry which requires e pertnit to construc6 alter, improve, damolish, or repair eny structure, prior to its issuance, also requires iha epplicant fo� such permit b tile e signed statament thet he or she is licensed pursuent to the proWsions of the Contrectors License Lew (Chapter 9(cammencing with Section 7000) oi Division 3 ot the Business end Pmfessions Cotle) ar ��et he or she is e:empt therefmm and the basis for tha ellegea exemption. Any Wolatlon of Section 7031.5 by any ap0�icent for e pertnit subjects ihe epplicant to e civil penelty oi not more than five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end the siructure is not iniended or oMeretl for sale (Sec. 7044, Business and Prolessions Cotle: The Con�ractors License Law does not apply to en owner of propehy who builtls or improves thereon, and who tloes such work himself or hereelf or �hrough his or her own employees, provided that such improvemenis ere not In�ended or oMered for sale. It, however, ihe huilding or improvement is soltl within one year ol comple�ion, the owner-builder will have the 6urtlen of proving that he or sha did not build or improve for purpose of sala.). ❑ I, a5 ownar of the property, em E%CLUSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to conslruct tha projact (Sec. 7044, Business and Professions Code: The contractors Licensa �ew tloes not apply to an owner of pm0eny who builtls or Improves thareon, and who comracts tar such project with e comraaor(s) liten5e DurSuan� to �he Con�rBG�ors License Laws.). . ❑ I am e:empt under sec. Signelure: Owner ID veritied by dnvefs license, ❑ Yes ❑ No Business and Pmfessions Coda tor t�is reason: Vedtkailon of Ownerohip by (type ot document, i.e. - pmpeM1y taa bill or deed)�. DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICATION: Dnvers License N0. Data: Expires: ❑ 1 hereby certify ihet no evcavelion ilve (5) or more feat in depih into which e person is reqWretl to dascend, will be mede In connection with work authodzed by this permit, end thai no building slNcture, scalloltling, falsework, or demolition or dismantling Ihereof, wlll be more �han Ihirry-sia (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, 7tle B, Califomia Adminisbative Code). ❑ As owner-builder, I will not ert�p�oy enyone to tlo work which would require e permil Irom the DiNsion ol Industnel Safery, as noted above, unless such parson has a permit to tlo such work from ihe division. Signature: Date: Division of Industnal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I cenify under penelry of perjury Ihat I have read this epplication and stata that the informatlon given is wrrect. I egree to comply with all sta�e laws end city ordinances relating to builtling consWcilon, antl euthorize representetives of the Ciry of Costa Mese to enter upon Ihe ebove-descnbatl property for inspaction purposes. I egree no� �o occupy or allow occupancy ot any builtling euthorized by ihis permit until final inspeqion. ��p gn La Owner(s) (LL�—� And/Or Aut�orized Appliwnt CQOE�, INSPECTIONT'PE 1fi76 Fiaed System Final Fire Pre�enlion 1266 Paol Spe Final 200 Final Re-Roof 201 Final BIocWRetelning Wall 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition �� AL CO�E I INSPECiION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy PAIE I�L9 � m i AJ°1►'. p�a) �sa-5273 • Fax (��4) 754-ae56 • www.ci.costa-mesa.ca.us 77 hAIH UHNt, GU51A MtSA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2885 EUROPA DR REAR OF RESIDENCE 13945508 Appliwnt: BROWN, BARBARA Address: 3601 LENAWEEAV CUWER CITY. CA Owner: HOSS, VERNON CRAIG Address 2885 EUROPA DR COSTA MESA, CA Contrector GEORGE BRAZIL ELECTRIC Address�. 3801 LENAWEE AV ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a ` Service to 1000a �- Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermetl Pole CULVER CITY, CA ONE 50 AMP SUB PANEL.. Quantity 523.50 $0.00 50.00 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 , •-0. 50.00- - 0 , , / $0.00 �\ \ �, 0 � � � 50.00, -; 0.� $0:00,` � -�-0" 50.00 0 $0.00 0 $0.00' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 530.50 7 $0.00 0 $0.00 0 $0.00 0 50.00 0 ISSUED BY: Phone: 310-253-5229 X 611 Zip: 90232 Phone: 2ip: 92626 Phone: 310-253-5229 X 611 Zip: 90232 License: 432734 SCOPE OF PERMIT . " Status: ISSUED Applied: 04I30/2007 Issued: 04/30/2007 FEE SUMMARY _ - � . . _ Quantity , Temp Dist System / Lighting $0.00 0' Busway /100 ft $0.00 0 - Stantling Section - 50.00 0 Misc Electrical Equipment $0.00 �0 Transformers up to 1 kva/kw .50.00 0 ................up to 10 kva/kw $0.00 0 � ..........:......up to 50 kva/kw $0.00 0 ..........:......up to 100 kva/kw 50.00 ,� 0 ..................over 100 kvalkw� .. � 50.00 0 Low Voltage Equipment $0.00 0 , Low Volt Wiring System / Ckt ��$0.00� �- 0 Misc: Conduit - ' $0.00 :� 0� % Misa Conductor - . - $0.00 �0 ' � Circus ( gen or ride) � -� �� 50.00 0 Circus (mech ride or lights) � $0.00 0� Christmas Tree Stand � 50.00 0 Fireworks S[and .$0.00 0 Other Electrical Fee " . $0.00� Investigation Fee ,. � $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply wiih all applicable handicap access requiremenis under Calitornia statutes and related I regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectione and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zanaae�doo� WORKERS' COMPENSATION DECLARATION: ' , I hereby eHirm under penalry of perjury one of t�e following declerations: ❑ I have end will maimein e ceniflcete ol consent to self-Insure tor workers' compensatlon, es provitletl tor by section 3700 of the Labor Cotle, for the peAormance of the rk tor which this permll 15 i55uetl. I have antl will mainWin workers' compensation insurance, as raquired by section 3700 ot ihe Lehor Cotle, for ihe pertortnance of the work tor whic� ihis pertnit is Issuetl. My workers' compensation Insurence carner en0 policy number ere: Carrier: Polity iJumber: (This section neetl no( be comp/eted il the permit is veluetl a! one hundred dollers ($f00) or less.) ❑ I certity that in the pertortnance oi t�e work tor which this pertnit is issueQ I shell not employ eny person in any mennar so es to become subject to the workers' compensatlon laws oi Callfomla, end egree thet $ I should become sub�ect to the workers' compensation provislons of Sectl 3700 of the Labor Cotle, I shall forthwith comptywit�t�esa ions. �1 2 / Applicani5lgneture: � f�(�� nNXJ Date: �� l—�l�( WARNING FAILURE TO SEW RE WORKEFLS' �MPENSATION COVERAGE IS UMAWFUL AND SHALL SUB1ECi AN EMPLOYER TO CRIMINA( PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSAND WLLARE (5100,ODO�.IN ADDITIIXJ TO TNE CQST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3�Ofi OF THE UBOR OOOE, IMEREST, AND ATTORNEI^5 FEES. LICENSED CONTRACTORS OECLARATION: I hereby aNirm �hat I am Iic setl under proWsions o�hapter 9(commencing with Section 7000) ol Division 3 0l the Business and Professions Cotle, and my license is in tull lorce end eHect. Lic. N / J i Class k � Coniractor'sSigneture: %�Pi hL� ei� Date: (Z 7�� ' � CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirtn ihat there is e constructlon lentling agency for ihe DeAormance ot ihe work for whic� ihis permit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: Signeture: Dete: OWNER-BUILDER DECLARA710NS: I hereby eHirm ihat untler penelty of perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the toliowing reason (Sec. 7031.5, eusiness entl Protesslons Cotle: Any ciry or crounty w�ic� requires e permit to consWct, alter, improve, demolish, or repair eny siructure, pnor to its issuence, elso requires the applicant for such pertnit ta tile a signetl stecement t�et he or she ISllcensetl pursuant to the provisions oi ihe Contractars IJcense Law (Chapter 9(cammencing wit� Sectian 7000) oi Division 3 of ihe Business end Prolessions Code) or thet he or she is exempt therefrom an0 the basis for the elleged ezemptlon. Any violation of Section 7031.5 by any applicent tor a permit subjects the applicent to e civil penalry of not more than tive hundred dollars (5500).): ❑ I, as owner of the property, or my employees wlih weges as Iheir sole compensation, WILL DO THE WORK, entl t�e struclure is not intended or aHered for sele (Sec. 70d4, Business antl Professions Code: The Contractors License lew does not apply to an owner of property who builtls or improves thereon, and who tices such work himself or herseN or ihrough his or her own employees, provided ihat such improvements ere not Intended or oNered for sale. If, however, ihe building or improvement is soltl within one year of completion, the owner-builder will have Ihe burden ot proving that he or she did not build or improve for purpase oi sala.). � I, as owner ot the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTAACTORS to construct the pmject (Sec. 7044, Business and Pmfessions Code: Tha coniractors License Law tloes not apply lo an owner of property who huilds or improves thereon, and who contrects for such project with a con(ractor(s) license pursuent to the Coniractors License Lews.). ❑ I am exempt under sec. Business antl Professions Code for Ihis reason: SignaWre: Date: Owner ID venlietl by tlnveYs license. ❑ Ves ❑ No Dnvafs License No. Venfica�ion oi Ownership 6y (type of tlocument, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTiFICATION: Expires: ❑ I hereby certify ihet no ezcavation five (5) or more feet in depth into which a person is requiretl to descend, will 6e matle in connection with work authorized by this pertnit, end thet no building siructure, scaHolding, falsework, or demolition or dismamling thereot, will be more then ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celitomle Administretive Code). ❑ As owner�builder, I will not employ anyone to do work which would require e perml� Irom ihe Division of Intlus�nal Sefety, as noted above, unless such person hes a pe�mit to do such work from ihe tlivision. Signature: Date: Division of Indusidel Safety Permit Number. CERTIFlCATE OF COMPUANCE AND AUTHORIZA710N OF ENTRY: I certity under penalry of perjury Ihat I heve read ihis epplicalion and state �hat �he information given is correct I egree to comply wiih all state laws antl ciry ordinances relating to builtling consiruction, entl euthoriza representatives of ihe Ciry of Costa Mesa to enter upon Ihe ebove-tl�nbed property for inspection puryoses. I agree not to occupy or allow occupency ot any building au�horizetl by ihis permit until final inspection. CO�E I, INSiECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Paol Spa Final 200 Final Re-Roof 201 Final BIocWRetalning Well 202 Final Fectory Fire Place 203 Flnal Sign 204 Final Demolition _ L�AI€ INTITI�LS C/ �D�O� ate COOE 1 INSFECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Flnal Elet�riWl 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy D�jj INTR11L5 , �oone55oFeunonF:, LtlriJ t:UtiVYA UN IX(xc45NAYE1FqlWM: HOSS, VERNON CRAIG �. . AlJId55: HOSS, EILEEN L � 2885 EUROPA DR COSTA MESA,CA 92626662-7590 �vv�. wuuNc �uoness: urcxrtecr ox ux�wae: ARCX.Ofl FNO.'S �D�NE55: _ uwr:_ _.. _ _ . , „ , . ._ __ .._ _.,,_ - „ _ _, . _ CITY OF COSTA MESA - BUILDING PERMIT FLOOD: AE=46� .. _ . . . _ _.. _�..,-....: . _ .. ,.... . . , . _�,.. . PERMIT NO: P, 074722 .,_. PLAN CHECK NO: _ N CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU uc.xo.: JOB DESCRIPTION : C/O DISHWASHER uxT: coNm�crarsw�ue NOCR PLUMHING ( 714 ) 895-1296 carn�croas�aiuic .11610 SEABOARD CIR AUONESS STANTON CA �.�,; 511971 90680 uNr: LICENSE� COMRRCTOH9 DECL�PATION: I Mroby eRirm unAer perwAy of peljury thet I em Icenwd und« pmiione W Cliapi�r 5 (mmmenoiq wiih Section'l000) W Dirision 3 0l ihe Bueinem end Pmleaniona COEe, end my license ia in lull tace eM eXan. cmuc.No.: 050386 uGc.cus�C-36 uc.No.: 511971 EXP: �0)�2./96 oe�e: �� ` L� "� / � connea«: ��PL✓i'G.t_7� /l�_>- OWNEN BUILDEN DECLAflATION: I hereby �rm under penelly o/ perlury thei l em e�emq from �he ConVeqare Licenae Lew for Ue �Mbvmp reevon (Sedion ]0315 Buenasa end Prdeeaions Code: Any cly a oounty xfiich requirea e pamX lo amaWct, ellm, impove, molsh, a repai any ewMure. prbr Io ils iauenoe, e6o requiroe �M epplicanl fw euch pmmil to fib e ep�rod e�emenl Ihe� he a nhe ;imnsaE W�� to �M yanaiana d IM Canveqwa Liranu Lew ICheqer 9(cammendip wil� Sedion lOW) d Oiiebn 3 of Iha ..uaineas enE Grdasioru Cotle� w �Mt ha a she is aaemp Ihnehom end the bea'v In ihe elleped uemqion. My vnletion d Sedion ]031.5 Ey eny epqicanl Ior e parmn wEpUe IM epolicanl �o e i'I penelry oi iwt more ihen liva hunEreE dollen �5500�). � I, ee owner d Iha pmpeny or my ampbyeea wil� wepea m Iheir eole mmpenae�ion, will do i�e vroek, end ihe ewtlura e na intended or ollered/a We (Seclion ]Ota. Buvrea end Proleveiona Cab: The Conireqon Licenee Lew doea not epoW �a e� ownerol properry wM budEe or'vnprwea ihemon, eM who doae euM vrok NmaeH w heneL or Nraph he ar her own employeea. D�� h improvameMc ere rot inieMed a ofie�eC Im ede. M, M1owerer, iM buikiip w'vnprwemeM ia soltl wilhin me yeer M mmpinion. Ne awrwr-0uildm will heva iM WNen d qovi'p M w sM Ek ml Wik or imqow ta tM WP�e d eelal. ❑ I. ea mmer d �he o�M. ��dusrely mntreaiq xi�h IicenxE convectan to conmrua the qaj«f (Sequn 1016. Buairose vM vprass�ooa coae�. tne com�n+a. uo.me �aw eoas nrn woM m en o�ar d m�w�v •no ndn. a �mw«� ��..�� .�e .ro convecie lor wch Orol�s'�h e mnlredor(e) l'rensed pureuent io ihe ConVedon License Lewl. � I em uemq uMer Sxtion: B. 8 P C.. br ihn reewn: Dale: Owner: I Eo Mreby cenity the� I em awere d eM uMeniend tM reQuirmmenb W Celrtamie Heellh eib Sefery Code Sediona 25505. 25533, eM 25536. enE IMI I a e�ry linure buiWi�q oaupent xill / will nd (dreb one) r�aeE to mmpy wnh eeid Ne�e oodm vd tM repuinmanb lar epermn/amnei�uclionormotlifice�ionlromthaAir u�6-Tyl�egemeniDieind.Reeidenlielmnbrudionepplceliareereexemptiromiheae pfpV1810119. ome� Aod' �� W OPKEF'S COMPENSATION DECL�FATION: I Mroby dfirm uMer penelly d parjury ma N �M blbwi�p dadermuro: � I have end xitl mdnten e cenMiceie d mmenl lo eall-inwre la woMas mmpenutbn, u pravidad lor by Saqion 3)00 d Ihs lebor Code, iw ihe pe�lormenu M iM woA for which Ihis parmA ie iaeueE. C7 I �eve end xi/ meintein worken' mmpanee�on ineuruKa, es requiraE by Seeion 3)00 d iha lebor Code. tor the perlormuua d �M 7S won��«wn�mu�nro��e.Mvwa�'+n'G�LDEN� EAGLE'd��m��v� E}CPIRES c�,;.,: PdkyNumbar 0 9/ 0 1/ 9 6 , mia senion need nw be canpbteE! �he paime is bi one hundred ddbm (5100) oi roea.) � � I cenAy thei in the pe�lormence oi �he work la whkh ihie pe�mn ia' ued-1� ell iwl empby en�p mn in eny menner �o m lo become wbl� lo Ihe v.n�yeri compenWi000yyy lewe ol Cdil , 0 4 W�e ihet X I nhouk bero � wbjae to iM worlmn' compenwbn qrmyjWie �f'm �'�id1M Le�jf.Cods, I I lonh ' mpy wiTh tlwae qwii o. L`/ � � � Ome: � ! /.IAGW'renc � Waminp: F�llun ro��cen woibri romp�nuHon rownp� b unbwNl, mtl �NII �ubl�eNn �mplepr ro otlmlvl P�II u• nv�� nru, up ro on. nuner.d rnouxla dou.n lsron,aool, �� .M+��kn ro n. ew� or mrry.rr.non, d.m.o.... povrow ro. �n 4wtlon ]MB ol fhs L�6or COM, Infx�aq entl efromry'� Isw. CONSTPUCTON LENDINO �OENCY: I hereby elfirm uiMer paiuM1y d perjury Uw IMn w e mnnivabn bMiip epoM.y br dw �IBIiOR11BI1M O�1�1B WW�I�Of W�IIf�11hO V01Ri1 9 69Y0'��$ldq11'��. CiN.C�. LENOEF'S NMIE: LENOEP'S ADDRESS: I ceMM �� I heve netl ihis epqiceiion eM stata �hm �ha ebove inlammion ia mrtae. I p�ea lo comply wnh ell ary arM munty oMinvioea end ate�a lewt relel'up to Wib'vp con9rudion vd hereby eNhorrze repreeantUivee W Ihiv My lo enim upon Ihe ebwa-menlune! piopMy m, ��'°'d�' w,°o�". RON N Pnn� N � � o�, �D � � _ Sipnelum d Owner/�OenVApD�✓��eder (5�5�dfi.WP) Whne-Buikirp85a1my:Oreeo-Fle;Genery-ApP��I%nk-Revenue;GoldenroE-Meesmr PERM NO: P 07972 GOVT: N SUPP: N PURPOSE: OTH SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS:,.NO BUILDING PERMIT REFERENCE 1f iFiF iFiFM if it iE �f �k IE 1F iF if iF IF if if iE if Mif if �f if if 1E 1F it iE iE 1F 1E 1F 3F iE M iF�E iF if fE iE 1E iF M�E k iEiF iE 1E itiE iE if if 1E�f if 1E �E fF 1f if �k 1E 1F 1! 1E 7f 1E iE k iE iE 1E iE Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT:.. FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE4• PROV: PARCEL: 13945508 ZNE: REF NO: PLANNING Nf3TES> i fk 1E 1E If IE 1E iE IE iE 1f IE 1El81f� 1E 1E1E 1E 1(� IE 1E iE fE iE 18 iE 1E fh if iE 1t 1E iF iE iE if iE 1E1Eif 1I� if if �14 �lk 1E iE 1E 1E if 1E 1E iE1E iEif 1E If i! 1k II� 1F If ik 1f iE fE fE iE 1F iE iE IE 1t iE 1E 1E 1E 1k D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: lGl/d�� DATE: � iE1E�EiEiEifiEiElElEiEiElEiElEiEiEifiEiElE1E��iFTi�i��if��iF�fTFiF��'ii��3i'�1lIEiEiEiEiE1ElFifiE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 25$ SMIP/NON-RES PLAN ISSUE FEE 20.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS---->. 7.00 20.00 0.00 27.00 27.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: ,00 BLDG PMT...PLUMBING,ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN-CHECK ..2.�.a� 1E1E 1E 1f 1f 1E 1f 1E 1E 1E 1E 1E 1f 1E 1f 1E 1E 1E if 1E 1E 1E 1E IE 1f 1E iE 1E iE1E 1E IE iE iE fE iE 1E 1E 1E 1E i! 7E 1! 1F iE 1E 1E 1E IE iE 1E k 1E 1f Ik 1E 1E 1E If iE iE 1E iE IE IE 1E 16 fE 1E Ik iE fE 1E 1E iE 1E 1E 1(� IE I N D I V Z D U A L F E E B R E A K D O W N TVPE— � QTY�.,,,_ _, D E S_ C R I P T I O N UNIT COST TOTAL COST PLU 1. DISHWASHER _. 7.00 7,00 � �� END OF FEES EXPI�� DR� oa 001924n7–DC191457 �'o�r-� :�%.a�� D'nTE: tni_,i�.; iZhE� ;�:a� �� :, '� CQNSTRUCTION AND PIANNING PAG SPA APBROVALS Permit# Date Inspector,. APPROVALS Permit# Date Inspector a: 1, 7e(nvorary Eiectrical Service or Pole 52. Pool & Equipment Location 2. Sdij Pipe�Undrgrnd. � 53. Steel ReinforcemenT � ;p��l�ctrical Condutj-U�ititY-Undigmd. , 54. Forms � -�'u4�`Hectrical Condui't_tJndrgrnd. 55. Electricai Bonding ' s � 5��3ieei Reinforceri3G�t_, 56. Rough Plumbing & Pressure Test ,� '�T•��lectrical UFEI��nd. 57. APPRflVAL TO COVER.GUNITE ��5� �itings �� ',� 5$. Electrical Conciy''r'$.�-Undrgrnd. "8.� �Foundation �� ^ �v 59. Gas Pipe, O Ui�3lr�rnd., Test , n; �9. Wafer Pipe�Undrg(�d. S � 60. Backwash LinesS, �Trap, 0 Undr9md. 10. Stductural Floor System 61. APPROVAL T'S'ECK ` � 7 t. P��perty Sewer 4�ne_& Hous�Connection 62. Backwash & R�t.�., ptor.Final . 12. Sewer Cap ' j� •• 63. Heater & Vent-Finai 73. Roof Drains � 64. Plumbing System � Final �t�4. Rough Plumbing 65. Electrical-Final 1 • '75. Rough Electricai•Conduit '" 66. Solar SYstem-F�iyi� 16. Rough Electric�iri��T'g �' . 67. Fencing & Access-Approval - `77. Rough Wiring Sign � 6&. APPROVED F�R�PLASTERING �/f Qi L'!. t8. Rough Eiectrica`�T Bar Ceiling 69. POOLlSPA SYSy'EPAS FINAL �� 19. Rough Heating & Air ConditionP g � * � �, F�Erp€PT�?EQUIR*EMENET �, 20.:�ou� F�'to`� � E��aw ' '��' �C7 F O : c� �• G �7 # + ? "'� gh �fi �+ �.� ; <:�.. ...�.' #' = �-y o,y. �� APP�U��F, P mit _K��._ 21. �BuCEs, in_StrtFctufB: < ..-.. -+S '' � � �-+;r '�" i- � � * �:� �. 70. � ndergr'c�,i��d F Jd; o ,� � 22. Ducis. Ventil in `" ' �5 � � Cx c ��i m� Y $f gt)✓ �i x� �^ iJ F� 71. Produe}.,�,,iping as Ix�Oii 23. �6as �ipe�Rough & Test i CCS ! m C a; Ox � 72, Undergrtr`uuhd F,�tk`ii * � 24.�ioo�FrHming' C'; • "� M' �� r,� , 7� Undergrnd.Stqr,��Tan'.��,OGas ❑aii 25. RoofSh�thing ^�x 'G] V L' F�� '+ tnx 74? Overhead Hyd�a,� �; ^� �i ,-• �• k II7 O R: k '"� Y.� G C7 26. 4-Ba��Ceili�g (StfµLfe�ural) &��'cyptoat .* `� �, Cx 7�- Dry Che�.aicai c..� ;g F� 27. j�arge and Flashi�r: ��: � x e� >+ o* 76. Dry Sta��ipeE-�z=- « �� w � i• r r ^�k f�! "7 �c", ..`.. h s: g .. x .y c �. r.-+y � � 28. LaThTng$�Siding� * c7�r O * � 7Xj FIXED��Ti f,�j NF4,�,... � ni •sr„� y 29. Insulatiw�: C;� � S..•. .. '_ 7J FIRE�REV. FIf�F4l a'> ��"' " r 30. Drywall h�ailing F,� y �;, �� '' "'� ��'�ALT�j OEP�'."}itEQ711REMENT I I F S'J�J OSu� S �e: e c ., � 31. Plaster Browrg-Coai:r S i Y+;n �- � 79� FINAL Ca�SI'EC1ifON > v , ; 32. �lectrica�`powEr N7e�r-F�nal , : . �K `�: � 8t1� FO00 CERTIF"�%aTE ��'..IEC,yi , i� c , , . 33. ;.F_ina,C�-,Electric> ;%;._. cr, � x � � �s ' NnnYes: _ �:t*: * , �� . �% 34. �Fina�Heating,'& a�t�on�itiorii�j�' �' � � � S c�� S O .'-�. -1 ^�:.. 'r .`7 l: r !'� E'� 4'. i 35. ,rR,i�al Gas Pip�4Test { p, .. � H I � * " ....o pryi �y � m .n 't � I I-•i'-i �+ % Cl i Ii .E llO r, h" ' 36. �ooiJbr CanoPY ,. n ; a:-t + � t�: To r.. :r n: _ c� x.-. tr c, . � �, . 37. `E�na7.Factory FirePhece ,:t ��;-. c. x� � N ' m 38. FinaTPlumbin � = � � ,v v x' �, H .� 9 <. o * � I:'''h� � c; ,. ' 39. LVater�Service-Final {_ � � " �r a; � ' � '� ' ' �r' - K � � 40. Gas Service-Final �'R �T� 4�"•` S �i M ' ��' `�'� �� "� +� .^1' rn � i � ��X f-� � oi x �C; 41. Solar pomesiic-Pina(' � ;,j " * I I ,:' y� � �k, x c 42. Backflow Preventer x� CJ a � i {# cS tiF r CJ r� nJu � .y x !�l :+7C i :� 43. Backflow Irri�2tion;; � y'� �: � * i� V c� ✓ I [#d. Landscape Ir�Iqatior�SYstema'��' � �k ��' �; G C� N N xC; *~ cii o -� � v'' � ^n t Q �: E E :.; O S k. S F r �, �r �. C!-. ^� *' F x � i �� . •,i . '45. Sound /�Ueneacion , y .. .. x �; M p; s . o, � •; . F• � r _ � �6. Mandicap•Regulatiori6 U � � �* e. m .�-' 00 S * O i � ,. ,4.7. Fw�1 STRUC7UR� & BUILOING * �., � I ` '� j �, �. �. .' ' .- n 48.€IN.4LPLANNING* �E-� *'v I �' ��, -7 � s F� �� n` ¢ 49. '�lactiic Release to �dison i � j ��y � � ,.:, ., " � .� 50. �as Release to Southern Califocrria Gas Co k �-" �'R :• y �. •� r '° =% • r '��.K � ,�9 Cl .i. f� O 51. CERTIFICATE OP �CCUPANCY � • -� `� No. Date / � �� PNOJECT AOUHESS: Z 8 6 S EUROPA DR OWNEN'SNAME:HAI`INA CONSTRUCTION nooness: 1640 MONROVIA ST COSTA MESA, CA 92626 434-9525 AflCH/ENGINEEH: FODPE55: uxir: FLOOD; AE-46 flEG.NO.: UNIT: PENMITTEE: ROSS & HARROWS INC, ( 714 ) 557-7490 aooness: 260 E. ALTON AV --- SANTA ANA CA 92707 LICENSEU LONTBRC70N UECLAPRTION: I Aere6y atlirm t�at I am IicenseU un0er pmvisions ol C�apler 9 �commencinp wit� Section 7000� of Division 3 01 �he Busine55 antl Pmlessi0n5 COde. and my li[ense is in IUII �orte and elleC�. citruc.:�09 4 sTnTeuc.:327gpz cuss:C-39 EXP: 11/95 Daie: � � SiAnaiure: �� WOPREB COM NSpTION OECIAPAtION: I �ere0y allirm t�at I �ave a certifiwte ol consem to ulbinsure or a cenifiwte ol Workers' ComDensa�ion Insurance, or a renilie0 copy Inereol ($¢ciion �800. LaD. G. roucvNo.:606531-94 E%P.DFTE:O�/OSI9S comvnNr:STATE FUND ] Cenifietl coDY �s hereDy fumishea. � Ceniliee copy is liletl vnth Ine city BuilEinA DiWsion. Date / � ADDlicant: �(.� E%EMPTION FROM1 WOBKEflS' COMPENSATION DECLAflRTION: (T�is s¢t�ion n¢etl nDl be tomp@�eC if lAe permil i5 �arone huMreO (5100� Or less�. I certity Ihai in Ihe perlormance ol t�e work for w�ich I�is permit is i55ueA, 1 shall nol employ any DQ«n in any manner so as to �ecome sublec� to t�e Workers' ComOensalion Laws ol Cahbmia. �ate: Sipnamre: NOTICE: II. alter making inis Oeclaratian, you s0ould become SUGlect to ��e Warkers Campensation O�ovisions al ��e Labor Cotle. y0u mUs� Iorthwil� tomply wilh 5ut� Omd5ion5 Or �his p¢rmit Shall Oe OeemeG r¢vokeE. CONSiHUC710N LENOINC AGENCY: I nereby aifirm tnat ihere is a constmction IenainA aAency for tne pedormance ol tAe work lor which thi5 Dermil is issued �Section 3097. Civ. C�. LEN�Efl: AOOHE55: OWNEH BUILOEB oECIABRTION: I hereDy allirm ihat I am eeempt Imm ihe Convacmrs' State License Law br the lollowing reasan �Section 7031.5 Business an0 Prolessional Cotle: Any ciiy ol wunry w�ic� re0uires a permit to con5imcl, alier, im0�m'e, tlemolis4 or reoau any simclure. o�iar to i6 iuuance. also r¢puires ihe apD�iGnt tor sucn permil to file a signetl statement ihat nPlshe 6licenseU Dursuam �a I�e Dmvisions ol I�e Camracmrs S�a�e License Law (C�apier 9(cammencinp vriih Seciion 7000) oi �rivon 3 0l I�e Busine55 ana Pmlessions Coael ar �hat j�e/5he is e�empllAer¢�rom antl ��e OaSis �ar I�e alleped ex¢mpti0n. Any n0laiion ol Sttiion 7031.5 Ey any applicant for a permit sub�ecis ihe apD�icanl to a civil oenalry of not mare ihan live hunaRd dollars �5500). I. as owner oi Ihe pmpehy or my ¢mplayees vnih wape5 a5 lh¢if 5010 COmpen5aii0n. wi0 Ao Ihe work, antl Ihe ❑ sirucmre is not imen0etl oi offeretl far sale (Section 70aa, Business and Pwlessional Code: The Comractars' Stale License Law tloes not apo�Y to an owner of a Dmpeny wM euilds ar improves inereon. anU who aoes sucn vrork IlimSetf/hersell or tnrougn his ai he� own employees. pmvitleE t�at suc� impmvements are not imen0etl or otlereG lar sale. II, taweve� t�e UuilOinq or impmvement is sold wilhin one year o� como�e�ion. I�e owner will have Ihe EurAen of pmvinp �ds�e Gid nat UuilU ar improve lor Ine ourpose of saie�. . I. as owner of ihe propeny, am exclusively contratling with licensetl coniractors to con5imcnhe prolec� (Setlion 7004, Busines5 ❑ ana Pmiessions CaOe: The Contracmrs' Slate License Law Goes no� appty �a an owner oi pmpefry wAa 6mltls or imprwes lhereon and w�o contrac�s for suc� pml��s wil� a contractor�s) license pur5uani Ia Ihe Cantractors' $lai¢ LirenSe Law�. I am awar¢ Iha� prool of ��eir Worker'S Compensalion insurance 5hou10 be provi4eA Io me. � I am eeempt untle� Setlion: 8. 8 P. C. lor IAis reason: �ate: Owner. I tlo nereoy cenity tnat I am aware ol an0 unaerstand �ne requirements ai Calilornia Health anU Safety Cotle Sections 25505, 25533, anU 25534 an0 Inat I or any iWure Euilaing occupant wilVwill not (circle one) neea to compry witn uid state co0es antl ihe requiremenis for a permi� for conslmction ar motlilicalion imm Ihe Air Ouali�y Management DiSiricl. ReSiEenlial Consimc�ion apDlications are exempt Imm th¢5¢ pfovisiDns. Oa�e: ApDlicanl: ` I here�y cerUly I�ai I have feaa thi5 aDPlitati0n antl Siate Ihal Ihe aGo� ordinances an0 siatelaws rela�ingto Cuilding consimction antl OereOy au O�openy l0i mspec/ion p� Oate: � Signaiur�� ori�er's license o� Socml Securiiy .: ma�ioni5 COrretl. I aB�¢e�o tomply wi�� allcily anC touniy re0�esentalives al this cily lo enter u0on Ihe aEave�men�ione0 � �. I / . / 1 t6at�46 Whue—Bmlaing; Green—Cotle Enlo¢emem; Cannry—ApplicanL Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 071001 PERMIT NO; B 071001 PLAN CHECK NO: N GOC'T; N SUPP: rl CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCAIPTION : T/OFF SHEATH S REROOF W/FIHERGLAS SHINGL SQ FT; 8,800 CLAIM VALUE: 8,800.00 CALC—VALUE: 8,800.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC. REROOF 4300SF RESIDENCE it*�t+�«*itr***+r*+rr�r**r+rit**�titjt+�*****it**ia*+tr*�eit+�+t*.t****r�t*�*r� ***��.�.*r�*+r*rr*+Fit Z O N I N G R E Q U Z R E M E N T ��I��' �� S E T B A C K S r: ------------ MAIN BUILDING ---------- --------- ACCESSORY � --- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; �� IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGFIT; FT IN PARKZNG REQ; PROV: PARCEL: 13945508 ZNE: REF NO: PLANNING D70TES> • > it if if M Mififitif jf it �f if 1f itif iF ft af if M ik k iE if M if �f iFif iF if if M iE 1liE ifif 4 it if ifff M if�f iEr if 1f if 7fifiF 1f if if if iE it iFiF �f M N 1f if�M iF if it if+f�f iF tf %�E D E V E L O P M E N T S E R C� I C E S R E Q U I R E M E N T S ZONING APPROVED BY , BUILDING APPROVED BY : DATE: DATE; APPLICATION ISSUED BY: DATE: � � ��i,� ihifMififklflEif�fV%MiFiEiEllfifYifi� ir Y�fi�iFMiFifiFifi! s iFiE iFjf if3f M if M if ifif 1f if if k iEiEif M k if 41E fE if fE k if M sE 4 1f !f if iE if iE�Eif 1t 1E M if i' M1f 1E if if lfif 1f jf�E if af ikiE if if iFiFif ifiF if M M�f if iF if ifitif Mif i! if iF LEGALIZATION:P] F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 108.00 ,8g SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 108,88 0.00 0,00 108.88 108.88 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 108.88 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 108.00 .88 it if iE if iflt if 1F 1E Ifi! If if if if MiF M 1f iR jf iflfiE if if if if if i! iE 1f i! �f if ifM if if iF iE ifif if i! if ifif M�f 1f Y ic # ai 4 ff 1R iE ifatff iF Y it Y if 1F if if 1F� iF +f ifiF ifiL if I N D I V I D U A L F E E H R E A K D O W N TYPE QTY SFR 8800 R D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1.00 8,800.00 �D �. � �' FEB 0 6 1995 �� r�T� �- it�'~I�i :1 JV`� Q CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit # Date i�spector p�ppROVAIS Permit # Date Inspector 7. Temporary Eleccncal Service or Pole 52. Pool & Equipment LocaAon 2, Soi1 Pipe-Undrgrnd. 53. Steel Reiniorcement 3. E�ectrical Conduit UtiiitY-Undr9rnd. � � 54. forms 4. Electricai Conduit-Undrgrnd. 55. Electrical Bonding 5, Steei fteinforcemenc 56. Rough Plum6ing & Pressure Tzst 6:.Electncal UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Elactrical Conduit�Undrgrnd. �'8: Foundation 59. Gas Pipe, O Undrgmd., Test 9. Water P�pe-Undrgrnd, 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structurai Floor SYstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & RecepmrPinal • 12. Sewer Cap . 63. Heater & Vent-Final 13: Roof Drains 64. Plumbing Sysiem - Final 14. flough P�umbing 65. Electrical-Final 15. flough Electricai�Conduit 66. Solar SVstem�Final 16. ftough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rougn Factory Fireplace _. APPROVALS Permit # 21. Ducis, �n Structura 70. Under9round Hydro 22. Duc{s, Vehtilating . 71. Product Piping OGas ❑Oil 23. Gas Piqe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Underqrnd.StorayeTank �Gas ❑Oil 25. Roof Sheathing 2�.�� 1. �' �j�tl�L 74, Overhead Hydro 26. T-Bai Ceiling (Structurall & Monocoat 75.'Dry Chemical 27. �rame and Flashing 76. Dry Standpipe � 28. Lathing & Siding . ' " 77. FIXED SYSTEM F(NAL 29. Insulation � ' 78. FIRE PREV. FINA�I � 30. Drywall Naiiing HEALTH DEPT. REQUIREMENT 37. Piaste� Brown Coat 79. FINAL INSPEC710N � 32. Etzctr�cal Powar MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & AG Conditioning - 35. Fina� Gas Pipe�Test . 36. Hood or CanopY ' . 37. Final Faciory Fi�eplace , 38. Hna! Plumbing , 39. Water Service�Fina� • 40. Gas S2�vice-Final 41. Soiar Oomestic-Final � - 42. Backflow Preventer ' 43. Backflow trri9ation . . 44. �andscape Irrigation SYstern � ' � ' � . "'\C � c-� 45.'Sound Attenuation • � - �-- ' 46. Handicap�Regulations � . • r " G:� ;'. 47. FIN.4L STRUCTURE & BU�LDING �� L(/ � , �. 46. FINAL PLANNING ~ , � . , 49. Elecvic Release to Edison � " "-�- ., -r'., 50. Gas Release to Southern Caiifornia Gas Co �� - _ `e, 51. CER71FICATE OF OCCUPANCY ,,.;.;� No. Oate C �, Pfl0.1ECT A00NES5: Z S 8 S EUROPA DR OWNEfl'SNAME: HOSS, VERNON CRAIG nooaess: HOSS, EILEEN L 2885 EUROPA DR COSTA MESA,CA 92626 FflCNIENCINEEH: AOUflE55: PEHMITTEE: A—AMES PLUMHING & HEATING aooeEss: 10422 TRASR AVENUE GARDEN GROVE CA 9 LICENSEO CONTBACTON UECLAPATION: I hereGy allirm tha� I am licensetl untler pmvi5ion 7000� ol Divisian 3 of Ihe Business and Pmlessions Cotle. an my license is in lull force ar /ciTr�C�0 6/q��'7�-4 �T "� 250307 � C ��Q; �J_P � _ / �$_�_ Signaiure'. —� UNIT: PEG.NO.: UNIT: (714)530-2440 692 fC�apter 9 (commencing with Section ,.WBrtR�flS' COMPENSATION OECUIPATION: I hereby a r that I have a ceniNEate of consent IG9fGmsure or a certilicaie ot Workers' Compensa�ion Insurance, or a cetli6etl coDY �hereol � c' n 3800. La6. C). C/ voucvxo.:PC941099.93 EXP.DATE: O3IOS�94 comraxv: REPDBLIC ,°t� Cenilietl /copY i�s ne)reby fum/is/nea. jC� Certifietl co �ile0 wiih � ciiy Buii ng vision ��tl�/ / / �/ APPlicanL E%EMPTIONFN�MPENSPTIONOECLAPRiIQ (Thi55ectionnee0no� ecomplete0iilh i�isloronehunOred(5100)orless�. I cenily �hat in �he pedormance ol �he work �or w�ich Ihis rmrt is issue4 I s�all nol employ son in any manner so as Io become sublecl to Ihe Workers' Campensalion Laws o� Cahfornia. Oate: Signature: NOTICE: I�. aiter making Ihis declaralion, you should become subleci �o the WorkeK Compensa�ian pmvisions of ��e Labor Code. you musl forthwith comply wilh such pmvisions or �his De�mil shall 6e deemetl revoked. WRSTflUCTION LENOING pGENCY: I hereby al�irm that ihere is a conSVuclion lending agency lor the pedormance al �he work for I which I�is permii is i<sued (Sec�ian 3W7. Civ. C�. LENOEP: A�OflE55: OWNEB BUILDEN UECIABNTION: I here�y aifirm Ihat I am exempt irom �he Contractors' State License Law lor Ihe following reason (Section 7031.5 Business an0 Pmtessional Code: Any ci�y ot caunry which reQuires a Dermit to cons�mct, alter, impmve, demolish, or repau any simcWre, prior to i�s issuance, also requires Ihe applican� lor such permit �o �ile a signe0 slatemen� Iha� he/she is licensed pursuani lo Ihe pmvisions ot Ne ConVaclors' Siale License Law (Chapter 9(commencing wi�h Section 70W) oi Division 3 0l lhe Business and Pmfessions Cotle) or I�ai he/she is e�empl Iherelmm antl the basis for �he allegetl exemption. Nny violation of Sec�ian 7031.5 Oy any aOPlicani for a permit su�lects �he applicani Io a civil penal�y oi no� more Ihan five huntlred tlollars ($500�. I, as owner ol Ne pmperiy or my employees wi�h wages as t�eir sole compensation, will tlo ihe work, antl the ❑ vmcmre is not intenaetl or oHere0lor sale (Seclion 70a4, Business antl Gm�essional Cotle: i�e Conlraclors' Sia�e License Law tloes noi apply �o an owner o� a D�oVeny w�o builOs ar impmves I�ereon, and who Ooes suc� work himsell/Aerse�� or thmugh his or her own employees, pmviAeO ��al such impmvemenis are nol iniendetl or oHered tor sale. I�, however t�e �uilding or impmvemeni is 5010 wi�hin one year of complelion, ihe owner will have ��e burtlen of Dmving he/she OiA not builtl or impmve for Ihe purpose of sale). I, as owner o� the pmperiy, am eacWsively conVac�ing with licensetl canVac�ors ta constmc� �he pmlec� (Sec�ion 7044, Business ❑ and Prolessians Cotle: The Con�raclors' Sla�e license Law does not apply lo an owner a� pmperty who �uiltls or impwves thereon antl who conirac�s �or such pmjecis wilh a cantramor�s)license pursuanl b the CanVacmrs' Sta�e Ucense Law�. I am aware thai pmol oi �heu WOBer's Compensa�ion insurance 5houlA be provitletl to me. i� I am ecempi untler Sec�ion: 8. 8 P. C. Ior IhiS reason: Da�e: Owner I do hereDy ceriify iha� I am aware ol anA undersland Ihe requiremen�s of Califomia Heatlh antl Sa�ery Cotle Seclions 25505, 25533, and 25534 anA I�at I or any future building occupant willlwill no� (circle one) neea lo comply with said staie co0e5 antl the requiremen�s for a permit �or conslmciion ar moditicaiion irom Ihe Air �uah�y Managemenl �i5lrici. Resitlen�ial constmc�ion applicalians are exemp� imm Ihese provisons. Date: Applicant'.. I nere�y cetlilytnat I nave reatl ihis applicalion antl state ordinances antl stale laws relating lo building mnslmc�ion prOpetly lor inSpCt�iOn pufposes� ( � ! _ I —J — � `f �,.�,.,,.el �river's License ar Social Securiry a: 16ai�a6 Wlme—Butltling; Green—Cotle iniorma�ion is correcL I agree �o comply wilh all ciry and caunty yize reD[esyitalive�t this ciry lo en�er upon the above-mentionetl Canary—Applicanl; Pink—Revenue; Goltlenmtl—Hssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 065740 PERMIT NO: P 065740 PLAN CHECK NO: N GOVT: N SOPP; N CONSTROCTION TYPE; PERMIT TYPE; PLU JOB DESCRIPTION ; CHANGE OUT WATER HEATER CLAIM VALQE: CALC—VALUE: PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: WATER CHANGE OUT ONLY «***-�-*x��*x-�r�t-�r+r*+�+r-x��r**x**��+t�-�x-**-��t-�r*�r****�****�-�r�t*-�r**�r«-x��--x�-x�**�x-�c-***�-�-*�t�r*�t�r�x-�r-�r�r+� 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 REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKZNG REQ: PROV: PARCEL; 14152149 ZNE: REF NO; PLANNING NOTES> i ft ih 1k ik 1f !E!E!E 1E it itlf !f if 1E 7f iE iE if iE ft iE 1E if 1Elf if iE 1f iE jf iElf 1E iE 1E 1E 1f 1E 1E 9E if iF �f iF 1f iF iF 1f if 1E iE if 1E 1E iE iE 1E iE �k iF 1F iE M 3E 1E iE iE if *!E iFlf 1E if iE iE jE iE D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �'�� DATE: *it**itit*it**i[�it*iEititiritit�it*itiFiFiFiF3F3F'3FiFiF3F3Fif�F3F 1FiF FiF�F"R'iFiF�iFiF*****i�itiE*�t +t itiEiflfififiEiEifiEifitiflE1k1k1flf�FlfiflEifiEitltiflflfifikitififiF�fititikifiEififiFiElflEitiFiEfE1flFlfiEfEiEiEififlEiEiElEiFfEff ilikitihlEfflfjfiE LEGALIZATION;N F E E �S U M,M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 �� 253 SMIP/NON—AES PLAN - ISSIIE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27,00 27.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: ' 27.00 OVER/SAORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC�. FIRE SMIP/TOT GRADING PLAN—CHECK 2%,�� • �. ' " iE i! itlk iE if iElE 1E iE if !f !E ff f! k i! if i! ik dE �f k jklE if 1f iflf 1E if iE fE if 1f iE iE �f 1k!! fF 1f'IE iE iE ff �E 1f it if iE iE iE �t iElE iF * dE if iElf 1Elflf �f if iE 3E * iE iE 3f if iE �E �E iE iE I N D I V 2 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 PLU 1 WATER HEATER AND/OR VENT ' " END OF FEES . _ � exP�R�� , ,: Inoomplote In.spsctior►t LJ�W � � � • �_ � , 7.00 7,00 Q? �C15383`—�0153&3S T�J �' :3i.�0 aN1F: n+�t�.qs Ttne: i�:az � �'� CONSTRUC710N AND PI.ANiVI,�iG � qpPROVAtS Permit,.t,.r- ' 1. Temporary Electrical Se�v�ceor Pole 2, $oil Pipe-Undrgrnd. 3, gleciricai ConduiT Ui��ity�Und�grntl. 4. Electricai Condu�T•Undrgrnd. 5. Stcef Reintorcement B rt:etincal UFER Grnd 7 Fontings 6. Foundation . �J. tVater F�pa�Undrgmd. i0. 5��'cturai fioor $Vstem �,. 7 i. P�npertY Sewer Line � House i,onn,;ct�on 12. Sewer Cap 13 qoof Ora,ns � a ?4. Po�,gh Piumbing 15. Ro�gh E�ectricai-Condurt 16. Fough Electric Wiring 77, Rocgh tN�nng Siyn 18 Flough E�eciricabT 8ar C=11mg 79. Rough Hzat�ng & A�r Condilicn�,.ig 20. Fough Faaory Fireplace 21, Ducts, in Structu'e - . T I22. DLCTS, �'��(!i �alln'a ?3. (ia� �"'ipe-Ro�ii E T^:st I-_-_ - .....-__ __ 9v RooS Framin9- -- -� i 23 .'�nof Sheadvny �-� � 2E. f�3�rCei'�ngl$.�,��t-��.� �'� • � iu L .l oca �t� ! 27. F�eme and P:ash��.g - � � -- 33. Lathmg & S��rCny . �i9, InsulaUor, ^� �� ;:� i. ':a'; fCall;rg -- - -- ----� I y� ----.- 3ro�•m Cost -----� - - -� i 31. iil��ctrica! Poaver �4e;e��Finat _ I �� , ` i �. 1'��a( ElEtir,r.� �'oy- -- ^ -� - -�� { .,,I,He.2��6 8: F, r i-c^r1i.�e':rt;- �-- -- ----- - � J�.��'�d' CidS PiO.'TeS; 3� Fao�or�Car.oPV . � ---- -- -'I� 37. F•��at Factory F��cp�ace ,� � , '� ~3B. � m3i PlumGing -_ ' .. _ _- , .- -- --- ---�-- --I� 3-. ....t�r Serwce�F��al � I' d0. Gas Service�Finai ----'- _---"�--_.� 4L °.a.ar pomes2ic-F�nal � --- -------� �.%, 3eckflOva Preventer � 43. ��d�Yov� I�-,;�atlo� ' a4. L.ndscaae ir�;qauo�� Svsterr . ��.q� $pund AYtenilaUon - _� __ _'_-. .- _ __ ! 4E I-��^�dicap Reaulatiur; i__ - . � n7.1�1;\��.LSTRIIG'iURE&BUI`DI�VG `-'-- - -- � 48. (IiJFLPLAiQMIi�!G �-� �-- � �9. Electrc Releasa to Edison I I( ��C. Gas Release to Southem Califom�a Gas 51 t. CLP fIFiCATE Or OCCUPAt':Y Date . _ _ � P00: P.4 pate lospector � ppPR�VALS Permit � _ 52. Pool & Equipmen[ Luca[•c� s 53. Steel Reinforce^�rnt 5A. rornr. 55 Elect�icai 6o�d��y --� ' � Date � Inspoctnr � �_.=L _._--� i ' �� 56. RouGh Pl�r.bing &?.�y^urc'est ; � ' __ _ _ _1� _T ' �-57. PpPROVALTOCO\�FF-C,U�'��TE ` ' �� -- 1 ------- - - - ' --- - _ . 58. cleCtnCd�Coruu�t-Und��rr,.�. ' � � 59. Gas Pipe. f� UndrFlr�id.. Tes� -- � j- -� - -i --� ` - - - 60. Badavash Linex,P�':av. r' ��dr_��.tl j � , 67. .4PPROVkL � 0 GECK -- .. _� - ` _... _ , i i i � ti2. 3actcs.as�� & f+tc�;�; ��.��I ----� - � � - �� 63. Heater & VenbFinal' ' 64. ?IumUing SYstem, � F�nzl � � - � 65. �tect�ical-F nal - -- l__ 6fi. Solar SYst2m�Fin�i � I 67. Fencing & Acwss Approoal � -- --l----- i - -, 68.APPFOVEDFOFPLASTERING � i _ _1-----'- -------- � 69. POOL�SPASYSTC-.'.'SF!i.!q� ' � - - i -- - � FIRE DEPT. REOU�RE';:[:JT ' I�APPROVAi.S _-�_Pcrrr-it j= ----_' • - - I70. Under�rounti Hy"� n -�i�_ 1 _'I � {�. �rUGI:C' ]^.�.I1L�.C1; .O�I 1� _ ,-.___�_ _-____- _ ^____ __._ ___-..._ � ' � (2. Urde'r,�a��ci F',:.'� � � � ` ' �. T13. Undcrgmd.Stor;�,ir,. lar,k � Gas U ! T� --,� Ovcnc�aC Hvc � � -----. . .� --� �-i- - �- -!__.r__�--_-__ .�. .___'_-_._. __` -_.-�. . i � �. ' I � '� 7.i. �J-v L�trr„ce� . . i .. -� I �; b. D�; Sta^c-�: E.. .__ ______ _ __ _ ._ _ ; , '. � �_. �-�rJ.0 _ ,�..j ' _ . �^ 77. � FiXED SYi?[� .�^aMAL - . ' I . - - �� 'I � /B.�_�IkC PREV. Fl��p�- -=---. - T � � . �I � I NEAL?'! OEP7. REOU�RG�.�=f��T � -�'---F--- ---- -- - ----. -- � - - -- . - � � 7^. . . ,l i^.��"LC�i,- . ' • � L -_-t 0O. ,OOU CEFTI��'!1 E I`ni,E^ � � -_� � - � -- ---` - -- -�. _ -.-__ -�-- ,-}-- V`` ------- , -- � - ---r�-- - -- -� - - -- -- - - ' - - t ��j-1__i�s-y� _a� �s � � - --�--- ' -l-/-�- � �� . ._ �!/T_�� _ �%- 22.=i � _ _ e?�'i� l 1'Lt:�O � .. �� -�---t----- ---' --. . �_--J�---- --- �� --I - -� i ' J-`� _ � _.- - ;� \ � �_��. . - -- - - --- - - I-- - --- '` COSTA kvESA BUILDING SAFETY DErARTMENT COMPLAINT INVESTIGATION ��. o. eox izoo � COSTA MESA. CALIFORNIA /_ r/" nv Received by / 646-241 Dete: 4 / Made by: �'L�r" Address � `�'� �� Ph. No.S 7O — Against Address � ! �O Jf LG�c?,.-�r! .lf"7� /Off� Direc[ions: Complete: Yes Complainan[ Yes By No Interviewed: No Da[e: Y FOPM BU91-2M-6-E4—CP y _ :--' . ' INSPECTION 8 TESTING ENGINEERS C H 4 M 9 G n L 8 p H Y 5 1 G A t A N n l Y S 1 5 P.O. Bo� 16026 •)310 nirpor� Way �ong BeacM1, Galil. 90806 Q13) Ci6J355 •(1U) 6362386 • �II<� Bt8�6G11 October 19, 1967 $ince 189B I E A p C H i E N V I R O N M E N T A L i E S T I N G R0.0510N ENGINEERING 8 ANALY515 I51�-D N nrih Ha�per S�reet San�a Ana, Galilornia 92103 (]la) 571-11M5 Examination: SC67-5056 G[JNI1B COMPRESSION TE5T5 ON � CYLINDERS 7os. M. Renley 1973 Newport Blvd. Costa Mesa, California 92627 PROJECT 18X36 SWIM POOL FOR GENL' BERGEEtON // �'/� �� ADDRESS z885 Europe Dr. , Costa Dfese r� � SAMPLE FROM 2-9k1 �1. Bottom Center Line: 2-�'1 Cyl. Side Wall at Ski�er: 2-�3 f.jrl. Bond Beam, Deep End. ARCXITECT CONiN�QOR Ribor Ginter Sunset Pools FNOINEEM SUBCONTq�Ci00. Century Guuite SPECIFIED MIX q 2_ 1 STRENGTH 2�000 psi DATE CA57 DATE TESTED Size: CYLINDER NO. COMPRESSION TOTAI LOAD, 1B5. POUNDS PER 5p. IN. COMPIIANCE CYLINDERS 10-11-67 10-18-67 5-3/4"x12n" 7-Daq 1 �3,000 2�810 SLUMP 10-18-67 5-5/8"x13" 7-Day 2 67,500 2,715 7-Day test complies with speeifications. MADE 6� DEIIVENED BY Jos. M. Henley Jos. M. Henley / � n� 10-18-67 5-5/8"x13" 7- DeY 3 83,000 3,340 RFCEIVEO ON 10-12-67 4 "AOLD" 5 "&DLD" 6 "HOLD" DISTRI6UTION: O��j /�i//��j� H �/_T � � �' �'(�� Sunset Pools �qta�; Gunite RECC'i��^� Gene Crosby �' V � Costa Mesa Bldg. Dept. BUILDING SAFETY DE�`I, Jos. M. Aealey OCT 2 p 1°67 �'��,, �yara.�, � rM "a---a--t' l"1�8�''�9r�r$ir � •�� FEPONTS �FE SUBMITTED /.5 TM[ CONf10ENT1�L P90PEqTY O� CIICNTS..�V}MCoi2�}ION �OR PVGLIC�TION O� OUA HEGONTS. CON(.'LUSIONS.IOR,` IJ�� TR�CTS fFOM ON REG�RDING TMEV IS RESEPVED PENOING OVF WRITTEN �PPROV� •S � MVTU�I GROTECTION TO CIICNiS. TMG PU�C .�ND Ol1HSELVES 330 12 : CITY OF COSTA ME5A CALIFORNIA P. O. BOX� 1200 FROM THE OFFICE OF THE PLANNING DEPARTMENT ftovember 20, 1967 Cene Bergeran 2885 Europa Drive Costa 2�sa, California Dear Pool Ownere The Costa Mesa Planning Department has been notified of the completion of your swimming pool, So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9296,9a 1, No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool, 2, No swimming pool shall be constructed under any electric power lines or on any electric power easement, 3, No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence sfx (6) feet in height and has a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area, Sincerely yourso William L, Dunn Director of Planning ' 4 EUGENE O. BERGERON � al� �ortuc�ries 1741 SUPERIOR AVENUE • COSTA MESA, CALIF. 97627 • PHONE b<6-24�4 3520 E. COAST HIGHWAY • CORONA DEL MAR, CALIF. 92625 • PHONE 673-9450 Sept. 20, 1967. Dear Sir: I have just cancelled my contract to construct a swimming pool wlth Fioyal Pool Co. I wish to advise you of this cancellation. Royal Pools will be requesting the 85,� refund of the �22.50 permit charge. 4e�� ours�� / °_`� E�gene 0. Bergeron 2885 �ropa Drive Costa Mesa, Calif. RECEIVED 8UIl01NG SAFfTY DEPT. SEP 21 1957 nh� rM '7i�iHilQ;ilil��•�';,'i3,�,5iG � OWNEfi tsl�,ttlrl�,ttV1V� 1':UciEtVL'�. V. JOB ADDA GEN�RAL An rro139 1 ECTI( SOu Pole llATE �-4'b7- iy�,��r.u�er��cr_Rny llate GROUP 1 TYPE �_� SUBCONTRACTOR PERMIT `�"�� - � 23954 l,� . ` COSTA MESA BUILDING.SAFETY DEPARTMENT P.O. BO%91] C09Yp MEHA, CALIFORNIA ��/ �� For Applicant to FiH In Completely TYPE OR PRINT BUIlDIN6 Q U A�DRE55 [J COSTA MESA. CALIFORNIA Y ARCHITECT 4 ?�.75 NO. OP BLDOB. USE OP EXISTING BLOO. 6ETBACK LINE PROM ! h ' EFT S G' - RIGHT DESCRIPTION OF WORK BUILDIN6 � � SIZE EXTERIOR WALL I HEHEBY ACKNOWLEGOB THAT I HAV6 RHAO TI AND BTATE THAT THE /�BOVE IB CORRECT ANO PLY WITH ALL CITY OpO�liANC88 AND 8TAT6 LI BIIILDIND CON6TFOC� i� � SIGNATURE OF ' PERMITTE AUTHORIZED AGENT FIRE �o� � ur G��TA ME5 MAY 3 1965 APPL�M'W� f�R�MfT �� For Office Use Only R6C[III'NO. I C ZONING NO.O� U86 PIANB OUiI MAIN BUIL�IN6 (FROM GLBfREETI y FR NT � R. SID6 I �Ff. � /� L.SIDB SFT. n .., � ii varz. SC � � 3 ,��L'� �s _ � ya U SMALL BE LE55 THAN �U.B.C.REQUIREMENTI VAROSAPPROVE� ACCESSORYBUILDINO DATE THH AMOUNT BNOWN UNOHN V�LUAT�ON 18 FOp TH8 PUftPOeE OF 88TABLIBHINO p PERMIT FEE ONLY. VALUATION � PERMIT FEE � S7 g�s E �a= � 40 ` TOTAI. FEE S F 4 or Final SUBCONTRACTOR . �LY i J-u'cras,w '� : . ... � .. . 4� . ^ • 2 !.6 � J "22. So COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BO% 917 COSTA M68A� CALIFORNIA nnn�xvyya irrilvn � « <+i JOB ADDRESS Q�5 �yy�Opg DT'1VC BULLDING PERMIT NO. 2°TEi31 GENERAL CONTRACTOR Stimse�t Pnnl.s DESCRiPTTON OF WORK PV't. SW1m POOI R-1 SUBCONTRACTOR ` ` 27631 ��. COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIPORNIA For Applieanf fo Fill In Complefely � TYPE OR PRINT BUILDING ADDRE66 � V P� O COSTA MESA CALIF RNIA � MAIL TEL. 'sae _ h%' 3� �}(• [ b J, �o0�(oj�-NO. OP BIa06. � SeiewcK uNe vwou DESCRIPTION OF WORK BUILDING � CI.CI � NO. OF BIZE 7 1{ ROOM6 STOF EXTHRIOR V✓ALL ROOF COVHRIN� COVERING U9E OF HU�LDING AND WORK TO BE PERFOAMSD � ''' -•-zzso s��i�,t� �':-.=`_. APPLICATION FOR PERMIT BUILDING For Office Use Only HECEIPT NO. �P![ O � !Y I WTE HELHIVED I i'DAL COSTA MESA. APPROVED ZONING ZONE�� I NO. OP � I U98 OF NEW •lI.NB BUtLO1N4 LBOAL • t / i. \ Ln YARD6 APPROVED ccenrew ur+e ar.� APPROVED r — US3�' ° EVES l 1 H[REBY AGNNOWLHD T 1 XAVB RGD iHl9 �P'LIGTION }Hg AMOUM BHOWN UND¢R VALU�TION IB FOR TX¢ AND BTATB THAT TN8 A80 IB COPNCGT AND R8H TO COM- pUIR08! OP EBTA6LIBMING A P¢RMIT FEE ONLY. PLY WITM A�� U�Y PC GE9 AMO 9TA Ii80ULATINO Bu1tDINo �NSTAU 1 . � VALUAiION /� Q p SIGNANRB O PERMIT FEE $ PERMI7TE 7 �j [� • Q A� S�J3�b PLAN CHECK $ �Y AGENT ... -, �°'' 2os4o �COSTA MESA BUIIDING-SAfEfY DEPARTMENT P.O. BO%917 C09TA M68A, CALIFOHNIA For 4pplicant to Fill In Complafely Tr. 4341 TypE OR PRINT LOt �O3 'MAIL AODRE6B� STATE LIC. NO SIZE OF LOT USE OF COSTA MESA, CAL7FORNIA � � DESCRIPTION OF WORK NO. OP AND WORK TO BH I NEREBY ACKNOWLHDOe TXAT 1 MAVC Re/�� TH19 APPL�CATION •NO BTAT¢ T1�AT THE �BOV! IB CORHBCT �NO AOqEH TO COM- PLY WITM ALL CITY OR�INANCGB ANO BTATB lAWB qHOULATiNG BWLOINO CONHJpUCT10 i, � SIGNATURE4F /�� PERMITTE AUTHORIZEq AG NT FEE RECEIVED D�T 1 7 ,9b� FINANCE DEPT. CITY OF COSTA M�A APPIICATION FOR P IT BUILDING Por Ofiice Usa Only er BUI ZONING z No. o� uae or rve �LAns 2 eU�lolna L80AL T �` l O� DH6CRIIf10N 1Nli 1 , Tr. � e un `P BHALL BE LEBS TMAN VARDBAPPROVED I YARDSAPPROVED MAIN BUILDING AGGESSORV BUILDING err. VAR. SF DATH X �l/�50.�. � y�yL�� e T � TNE AMOUNT 9HOWN U DHP VALUM1TION 19 POp TME £ Pl1RP038 OP EBTABLIBXINO p PERMIT FH6 ONLY. � VALUATION //.., PERMIT FEE $ / � � � J /� m $ P'�`J � � A G EC � � � � 4 �„ v.