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Home My WebLink About2462 FAIRBROOK WAY - Building PermitsAOV��anl to fiil in all f CITY OF COSTA MESA PERMIT NO. CONSTRUCTION PERMIT N1 — � Address 4 RUCKROARD I N.� RO IN HI Arch/Eng. License No. Address witnin neavy bortler lines ana sign all appropriate aeclarations. TRACT NO. LOT NO. ' BLDG. NO. Cont�actoKIMVEY AIR CONDITIONING Pho�e772-144] Address LICENSED CONTRACTOR OECLARATION ' 1 hereby affirm that I am Iicensetl untler provisions ot Charter 9(com- mencing with section ]000) ot Dlvislon 3 of fho Business and _1 Profe55ion5 Cotl¢, dntl my Iicense is in tull tor e antl effect. `\ Litense Class C-2� icense �0 1 $ 88 (�p Date_%-3�—R� Si9nature �-' '�-'� 1 WORKERS COMPENSATION DECLARATION - - I hereby affirm ihat I have a certifiwte ot consent to selt-insure or a � certlfifzte of Worker5' Comp¢n5ation 'Insurance, or a certlBetl copy 1 thereot�secuon�Ri]149� -FRFM(1NT Policy No. ompany � �Certlfietl <opy is hereby furnishetl. Certifietl copy is tiled with the city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This 5¢ction need nof be <ompletetl if the permit is tor one huntlretl (E100) or less). 1 ce�tify that in the perfo�mance ot the work for whlCh this permit is Issuetl, I snall not employ any person in any manner so as to become subjeGt to the Workers' CompenSatiOn Laws of Gallfornia. . Date Signature NOTICE: If aft¢r makinq this tletlaratiOn, yov ihoultl becOme sublect to the Workers' Compensation provlsions of tne Labor Cotle, you must to�thwith COmply with zuGh provi5ions Or this perrtfit Shall be tleemetl revoketl. � - . CONSTRUGTION LENDING AGENCV I her¢by affirm that th¢re I5 a constructlon lentling aq¢ncy for the perv formance of the work for which this permit is issuetl (Section 3097 Civ. C.). LenGer's Name Lentler's Atltlresz OWNER BUILDER DECLARATION I hereby affirm ihat I am exempt from the Contractor'S License Law for the tollowing reason (Section �031.5 Business antl Professlons Cotle: Any clly or county whith r¢quire5 a permi[ [o con5iruc[, alter, improve, tlemolisb o� �epai� any itructure, prior to its i55uance, also �e- qui�es the applicant for SUCh permit to file a signetl Statem¢nt iha[ M1¢ is IiCensetl purSuanY[o the provi5ion5 of the Contlactols �icense Ldw (Chapler 9(commencing with Se<tion 7000) of Division 3 of the Business and Professions Cotle) or tM1at he is exempt therefrom antl tne basis for [he dlle9etl exemption. Any violation of SeC[ion ]031.5 by any applicant for a permit subjects the applicant to a tivll penalty of not more than five huntlred tlollars ($500). ❑ 1, as owner of the property,'or my employees with wages as their sole compensation, will tlo the work, antl the stru[tur¢ is not intentletl or oHeretl (or sale. (Section 7044, Business antl Aotessions Cotle: The Contractor4 l.icense Law tloes not appry to an owner of a proPerty who builtls or imp�oves thereon, antl who tloes such work himself o� throu9h his own ¢mployees, provitletl that sucM1 imp�ovements a�e not ntentletl or offeretl for sale. If, M1owever, the builtling or improvement Is soltl withln one yea� of completion, the owne� will have the burtlen of proving he tlitl not builtl or improve for [he purpose of sale). ❑ I, as owner ot the p�operty, am exclusively con[racting with licensetl contractors to construct tne project (Section 7044, Business antl Protessions Cotle: The Contractor's �icense Law tloes not appry to an owner oi property who builtls or improves thereon, antl who con- tracls t�om such projeds with a contractor(s) li[esnetl puRuant to the Contractor's License Law). ❑ I am exempt unCer Se<tion B. & P. C. for tM1is reason Date owner I hereby certify that I have r¢atl this appliGa[ion antl State Ihat the above infarmation is correct. I aqree to comply with all ci[y antl ounty o�tlinances antl sfate laws relaling to c n5t�uction, antl hereby tho�i e represeniatives of this city to e i r upon e above ention tl property tor m cti purpose � � '7 3/� Signature�� Q- _ _ _ -� 6ate TVPE OF CONSTRUCTION � NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION� ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK- �1 i TVPE OF PERMIT - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI ❑ OTHER PRO�ECTDESCRIPTION � . SQ. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRAOING CV. VDS. ACRES REMARKS: PLUMBING PLANCHECK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES DOUBLELAVS KIT.SINKS DISHWASHERS SERVICESINKS � SUMPS FLOOR SINKS FLOOft ORAINS DRINKING FOVNTAINS� ' INTERCEPTORS CLARIFIERS WATER SERVICE ALTERATION GASSERVICE OUTLETS WATER HEATERS BTU OUl'P.V � SEWER CONNECTIONS SOLARTANK� COL�ECTORS SOLAR PIPING SVS. ' � ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-100,000 BTU_ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000 + BTU __ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Drivers' License or 55 � ��/ ">� /� � ' ISSUE FEF ' CMF 0865-46 White-Builtling; Cdnary-AppliCant; Pink-A<Countin9; Goltlenrotl-ASsessor 2894 8/06/.81 � . 't A.P. q ZONE REAR YARD (TO P/L) PKG.SPACE REQ. STREET WIDTH ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL REGULA PLNG.REF.� PROVIDED PARK FEE PLAN CHECK GENERATOR Q-1 KW_1-10 KW _ TRANSFORMER APPLIANCE 30-SOKW_50"+KW_ MOTORS p-1 HP_1d0 HP _ '(INC. SOLAR) 30-50 HP 50 + HP _ FIXTURES OUTLETS - SWITCHES GAS TUBE SIGNS ' ' POLE LIGHTS ' PANELS MAIN " ' SUB SERVICE' AMP APPLICATION APPROVED BV DHTE 7000 TL SUMMARV OF FEES BUILDING - ' �-- PERMIT $ SMIP S PLAN CHECK $ PERMIT . j.�{5 I{. O PLUMBING $ �SSUANCE S-•�+'ar � - . GRADING S PLAN CHECK $ ELECTRICAL $ _ $ MICROFILM $ PLAN CHECK $ �y /J MEGHANICAL g _�. � TOTAL FEE $ � PLAN CHECK $ LE55 AD- VANCEPC $_ FINALFEE $ 7'OO CONSTRUCTION AND pLANNING POOL & SPA- . _^,- APPROVALS Permit # �- � 9� Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soi ipe-Undrgrn 44. Stee� Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding tee ein orce 47. Rough Plumbin & Pressure Test 6. ElectricalUFERGrn 48. APPROVA�TOCOVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. - Gas Pipe, ❑ Undr rn, Test 9. Water PiAe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr m 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection ' 54. Heater & Vent-Finai 13. Rough Plumbing - 14. Rough Electric-Conduit �56. Electrical-Final 75. Rough Electric-Wring 57. Solar System-Final 16. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. GasPipe-Rough&Test 60. POOL/SPASYSTEMSFINAL 20. Roof Framing � 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final � " ' 28. Final Electric ' � ' � 29. Final Heating & Air Conditioning �' ' � 30. Final Gas Pipe-Test 31. Final Plumbing � 32. Water Service-Final 33. Gas Service-Final ' 34. Solar pomestic-Final � � 35. Landsca e S rinklin S stem � ' 36. _-So�nd Attenuation � �� 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to.Edison 41 . Gas Release to Southerri �lifornia Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date � Applicant to /III in al1 spaces exceot tnosa within heavy Dortler Iines antl sign all avv�opriata Geclantions. CITYOF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. ��Project Address 2462 Fairbrook Way Applicant's Mailing Address Z462 Fairbrook Way ow�ersName Mcewan, Duncan S. Pno�e �14 545 Address 2462 Fairbrook Way, Costa Mesa, CA 92626 Arch/Eng. License No. Address Cont�actor'sName E.S.T. Phone 898-5113 Addresslmailing) 11600 MOi13TCI1 St.. Garden Grove Cny Licenu No. 32193 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensetl untle� provizions ot Charter 9(commentlng WIIh 52C[I00 i��0) O� ��V�5�00 3 O� LYIC B11510E55 dlld PfOi2551005 COdC� dfltl my Ilcense is in /ull fortg antl effect. ��,�� "'�GAM2RSrG0 M PENS/�TiGM�B'CC lA R AT I O N �reby affirm lhat I have a certifica[e of mnsent to salf-insure or a cartlficate Workers' Compenzation Insurance, or a certifietl copy tnereot (Section .doo, �ab. c.�1042904 State Fund Policy No. Company �Certifietl copy i5 hereby fumi5hetl. Cer[�it�iep capy i filetl e a uiltlin Division. oate_1.LL7�/—R—��--� a� i' � F..S T EXEMPTION FROM WORAERS'LOMPENSATION DECLARATION (This Seclion neetl noi Oe complet¢tl it the permit is (or One huntlretl (E100) or less). I Certity [hal in thC perlo�mance of the wo�k to� whiGh this permR is ISSuetl, I shall not employ any person in any manner so az to become subje<t to tne Workers' Compensation Laws of California. Date Signature NOTICE: It, after making this tleclaration, you xhoultl become subject to tlte Workers' Compensation provisions of the Labor Cotle, you must (orthwitn comply with such p�Ovisions or thiz permit shall be tleem¢tl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby atfirm tnat there is a constru<tion lentling agency tor the performance ot th¢ work for which this Oermit iz i55ue0 ($ection 3097 Clv. C.) L¢ntler's Name Lentler's AdtlreSz OWNER BUILDER DECLARATION 1 hereby aftirm lhat I am exempt from the conVactor's License Law tor the following reason (Sectlon ]031.5 BuSiness antl Profezsional Cotle: Any city or counTy wnicb r¢qui�es a permit lo <onst�uct, alter, imOrove, tlemoli5h O� repair any structure, prlor to its issuan<e, also requires the appiicant tor zuch permit to /ile a sign¢tl statement that he/she i5 litensetl purzuant to th2 Provi5ion5 ot ^ Contractor's License Law (Cbapter 9(commencing with Sectlon ]000) of ision 3 oi the Busines5 antl Professions Cotle) or that he/she is exempt 'efrom antl ihe basis tor the allegetl exemption. Any violatlon ot Sectlon .31.5 by any applican[ for a permit subjects tM1e applicant to a civil �, �erialty o( not more than five nuntlretl tlollars ($500). LJ I, as owner of tne oroperty or my employees with wa9es as thoir sole compen5ation, will tlo the wo�k, antl [Ite structure is not intendetl o� oHer¢tl for sale (Seclion 7044, Business antl Professional Cotle: The Contra<tor's License Law tloes not apv�Y to an owner oi a property who builtls or Improves tpereon, antl who tloes SUCh work himself/herself or thrOugh hii or he� own employees, provitletl thal such improvements are not IntenAetl or offeretl for Shce. If, howeveq tne Dulltling or Imorovement is zoltl within one year ot com- pletion, the owncr will ttave the burtlen ot proving he/Sh¢ tlitl not builtl or IT- n�ove tor the purpose of sale). ❑ I, as owner o/ the pwperty, am ezclusivety con(racting with Iicensetl ton- (ractorsto construct tne project (Sec[ion ]064, Business antl Protesslons Cotle: Tbe Contractor's License Law tloes mt apply to an owner of Oroperty who Ouilas or imorov¢s thereon. antl who conVacts for such oroiects witn a ron- tractor(s) Lcense pursuan[ ro ene ConVactor•5 license Law). I am aware tha[ o�oor of their Worker's Compensation insurance showtl be provitletl to me. ❑ I am ezempt untler Section B. & P. C. for [his reason Date ure Owner � that I nave reatl this application antl state that tne aCova orrecL I a9ree to comply with all city antl county ortlinances elating to builtli construction, antl hereby authorize repre- ii5� Ciry t� �� o epU�(e upon [h¢ abOve-mentionetl Property fo� �A Date 17��7/RQ or SS $ � TVPE OF CONSTRUCTION LI NEW I.� ADD L1 ALTERATION LJ REPAIR 23� CONVERSION ❑ OEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF B�DG. _ TVPEOFPERMIT GRADING FOVNDATION STRUCTURAL ❑ TENANT � ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT. oCCUPANCv ' CONSTRVCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers rinking Fountain5 loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Dutt - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple FirepUFact. Blt. �CBO � Heating System & Ducting ❑ o-i oo,000 aTu O i oo,oao Reinspection Fee � $75 OB65-46, rev. 5/88 White - Bulltling; Canary - APplican[; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service - Auto-W esh Laundry Trays Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigera[ion System ❑0.100,000 BTU ❑100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Bu E T Front B Rear A C Righ[ K - Left S Ping. Ret. # FEES Automatic Washer . Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �65 KW �5�15 $ 3 FEES 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �67 HP � 1 Yh - 8 Inc.Soiar �9-15 HP �76-15+ Microuvave Pole Light Range Standing Sections Trash Compactor � � Reinspection Fea �$15 � � Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: 2oning Approved By BUilding Approvad By . .. .. . . _ 11 FEES $XX SUMMARV OF FEES ` BUILDING PERMIT $ SMIP $ PLAN CHECK $ � PEFMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% 3 ENERGY P.C. S ELECTRICAL $ 26.00 GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ Z6.00 O N I N G R E a M T S. PLAN CHECK 25% $ � $ 3 � o�°�� oi 000ss�is-000ss�ia rar ze.00 � � DATE: 03/08/90' :7IME� 15:3$ .1 �. \ � �.` . . ! CONSTRUCTION AND PLANNING PC : SPA '� APPROVALS Permit# � Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel ReinforCement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System. 61. APPROVAL TO DECK 11. Property Sewzr Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electrical�Conduit 66. Solar System-Final 7�& Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �, 18': Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .� 19; Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. DuCts, in Strucmre 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical '` ' � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final � . ; � 41. Sola� Domestio-Final � �� } i, 42. Backflow Preventer �_� � � � 43. Backflow Irrigation ' �l �"•� e-, 44. Landscape Irrigation Systemf 45. Sound Attenuation c': _J � 3 D 46. Handicap Regulations"' J �- 47. FINAL STRUCTURE & BUI'LDING � 48. Special Requirements Completed 49. Electric Release to Edison ` �;� 50. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY %i . No. Date PNOJECTAOOflE$$: ZQ�Z FAIRHROOK WY OWNEH'SNAME: DUNCAN S. MCEWAN ROOPE55: AS AB OVE 714/545-9223 RflCHIENCINEEB: AOONESS: flEG.NO.: uxir: 0 UNIT: ecnmiTtec: ELECTRICAL SYSTEMS TEST. ( 714 ) 898-5113 nooness: 11600 MONARCH STREET GARDEN GROVE CA 92641 UCENSED CONTflACTOfl DECIABATION: I hereby afiirm Rw� 1 am IicenSed unaer pmvisions ol Chapter 9(cammencing wii� Seclion �000� ol �ivision 3 ol t�e Business an0 Pmiessions Coae. antl my license is in fult lorce antl effect. cirruc.: 032193 sTnreuc.:311709 cuss: C-10 �ate: Signamre: VOflNEPS' COMPENSATION OECLABFTION: I hereey aHirm t0at I naue a Cenificate of consent to sell-insure or a cenilicate of worker5' ;omPensaron t�s�ar�a� q� �c�tuied coor inereoi Isecuon 3soo. �ae. �.7 � O 1/ J O POLICY NO.: E%P. �ATE: comeaxr: STATE FUND,} ❑ Cetlihetl copY is Aere6y lumis�etl. L'J Certilied copy is �iletl vn� Ne ciiy BuilOing OiWsion. Daie: . ADPlicanL E%EMPTIONFBOMW�flHEflS'COM7ENSATIONOECUNATION: �T�i55ectionneetlnolhecompleleOitlhepermili5�orone�uMBE($100�orless�. I cenify ihat in IDe pedormance ol the work tor whic� Ihis Oermit is issuea, I shall not em0loy any person in any manner so as to become sub�ecl Io �he WorkeR' Comp¢nsation Laws ol Calilamia. �a1e: Signa�ure: NOTICE: II, atter making I�is declara�ion. you s�oultl become suGl�� o IAe Workers' Compensaiion pmvisions oi the La�or Cotle. you must fon�wiN comply with such provisions or this permit s�ail be tleemetl revoked. CONSTBUCTION LENOING PGENCY: I hereGy a�lirm I�ai I�ere is a cons�mction �ending agency lor the pedormance o� Ihe work lor which �his Oermit is i55u¢d (Section 3097. Civ. C�. LENDEfl: aooeess: OWNEP BUILUEP OECLANpTION: I �ere�y affirm ihat I am erempt Imm Ihe Coniractors' State License Law for lhe followinA reason (Seciion 7031.5 Business and Professional Cotl¢: Any city ol counly w�ich requires a Dermil lo constmct, alter, impmve. Uemolish, or rev�� ny slmcture. prior lo its issuance, also requires ine avP�icanl for sucn permit to IAe a signed statement inat he/sne is licensed pursuant to I�e pmvi5ion5 0l I�e ConVacbrs' State License Law (Ctupter 9(cammencing wi�� Section 7000� of Uivision 3 0l ��e Business antl Prolessions Cotle) or I�ai �e/s�e is exempl t�erelmm an0 I�e �asis lor Ihe alleAed enem0�ion. Fny violalion of Seciion 7031.5 6y �ny applicanl �or a permil SuDlects ��e aOP�itani to a civil penaliy ol nai more ihan five hun4re0 tlallars (5500). 1, as owner ol �he orooeny or my employees vulh wages as iheir mle wmpensation, will tlo ihe work, anJ ihe ❑ stmclure is not imenUetl ar olleretl far sale �Secuon 7Daa. Business anU Pmiessional Coae: The Conlradors' Sta�e License Law Goes not aD01y �a an awner oi a O�openy wtro builds or improv¢s iherean, antl who Uoes such work Aimsell/hereell or NmuO� Ais or her own employees. O�ovided I�at such improvemenis are not intentled or allered lor Sale. II, however ihe huiltlinA or , I impmvemenl is sold within one year ol complelian, Ihe owner will have ihe DurAen of Dmving Ae/s�e Citl nal Ouild or imDmve lor ihe purpose ol 5ale�. I, as awne� ol Ihe pmperty, am exclusively contratling vnth Iicense0 coniractors to constmci ihe pmlect (Seclion 7044, Business ❑ antl Pmlessions Cotle: The Coniraclars' State License Law Qoes nm aDON �o an owner ol pmDeny wha Uuilas or improves Ihereon antl who comracls for 5uch pmjetts wilh a conlractoqs�license pursuam lo Ne Conlractors' State License Law�. I am aware Ihal D�oof ol ��eir Worker'S Comp¢nsation insurance shoul0 Oe proviaaG m me. � I am e�empt uneer Seciion: B. 8 P. C. lor �his reason: �ale'. OwneC I tlo hereby cerlily Ihal l am aware ol an0 untl¢rstantl Ih¢ requirements o� Calitarnia Heall� ana Sa�ery CoOe Sections 25505, 25533, ana 2553a an� Ihat I or any lulure OuilGing acupanl will/wiil not �tiale one) neeG to comply wit� said state codes antl Ihe reduiremenis br a permil lor conslmqion or modilicalion Iwm �he Air OuaLiy Managemeni DisUici. FeSidential con5lmciion apDlica�ions are exempl lrom �IICSC pfOVISi005. �aie: APDlicanr I here�y cetlilythal I have read Ihis application an0 5taie Ihalihe abovein�ormdiion is correcC I agreeto wm01y wi�h allci�y anJ counly ortlinances antl slalelawsrelatingto �uiltling consimclion ana tlereby auihorize represeniatives o�this city�o enterupon��e a�ove-menlione0 properly br Inspenion pmDoses. Date' Signaiure: Driver's License or Social Seariry p: Ifi4L46 W�iw—Builtlmg; Green—Coae EniorcemenC Canary—ApplicanL Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT , y PERMIT NO: E 046411 PLAN CHECK NO: N t, , , CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOH DESCRIPTION : LOAD MANAGEMENT DEVICE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / COMMENTS; **�r*��r*xx*x�*x*�+t�r*****+t*x**�r***�**x�****�r�**x��**�r**�r*x*�*x�*+�+�*�x�***�*x�***x*x�*** Z O N I N G R E Q U I R E M E N T S sErsAcxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 41914233 ZNE: REF NO: PLANNING Nt5'PES> � i4 iE if iE IE iE iE iE �! if if iE iF iE jE 1E if if if if iE if if iE iF iF if %if iE iE iE iFlF'iEdF iF �f iE 3E 3E 3f IE jE iF �E dE if iF iE �E iE if if iE 3F if if if 3E �E 3f iE iE iE if iE iE iE iE �E 3E IF if iE if 3E if if D E V E L O P M E N T S E.R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUZLDING APPROVED BY : DATE; � APPLICATION ISSUED BY: � DATE: 1f i! iF iF �F if �E iElE 3E �f iE 1E iE if 7E if if 3t iF 1E iF k 7E iEiE if 1E�lE 1f iE iE�'iF'£�iFiE iE �E iF !F 3E iE ±E �E 1E iFiE if 1ElF ft %�E if iF 3f iF iE �ElE !f iE iE IE 1E iF1E if iE �E�fE 1E if �k iE iE iE iE iE iF if iE 3f 3E i41F �f iE 1E �E 1E iE 1E �k iE 1E IE ik 3f IE IE 3f 1E iF iF iF if iE iE iF �E iE if iF iE it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT HLDG PMT PLUMBING ELE11R00 MECHANIC FIRE SMIP/RES GRADZNG �OR SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TO'PALS----> 11.00 15.00 0.00 26.00 26.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 26,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR 26.00 � if if 1E iF iE iE if if �lE iE iE iE iE 1E 7F iE iE 1E !h !E iE if # iE fk iE ik 1f if if 3Elf ik 1f iE iF lE if 1F N��IE if if iE �lE �E �E 1E iE% fE lE iE !E iE if lE iF ik if iE 1E fE iE if iE if !f k 3E �f iF 3F 3E iE dE 3k fE iE I N D I V I D D 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 ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11,00 END OF FEES ��=�^�•�....... .r..+an -i:+vi'u-s� p.� E'��Op� � `.rs.e�w..............:.,�.'?:::_;'��`^4 `_ CONSTRUCTION AND PLANNIrvG OOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electric3l Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtilitV-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE � 7. Pootings 56. E�ectrical Condui[�Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Svstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTEflING 78. fiough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21,. Ducts, in Structure .� . .. ,70. Underground Hydro 22. Ducts, Ventilating - ' ' �' ' 71, product Piping OGas OOiI 23., Ga's Pipe�Rough ffi 7est . . 7z, Undeiground Flush � � 24. Roof Framing � �� 73. Undergrnd. Storage Tank O Gas ❑ Oil • 25. Roof Sheathing ' 74.,Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe ,28. � Lathing & Siding � �+ 77. FIXED SYSTEM FINAL' ', 29. Insulation � "' � � . 78. FIRE PREV. FINAL 30. Drywall Nailing ' � � � HEALTH DEPT. REQUIREMENT i '31. Plaster'8rown Coat ' � � 79. FINAL INSPECTION, ;32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric � . ' "�� Notes: � � 34. Final Heating & Air Conditioning - i � ' . � � 35. Final Gas Pipe�Test . ' I I � i � ; . , 36. Hood or Canopy � � . 37. Final Factory Fireplace - � � � 38. Finai PVumbing � � 39. Water Service-Final � � �-•' ' � I, . 40. Gas Service-Final � I I 41. Solar pomesticFinal • I � ' � i 42. BackflowPreventer � i � � ' - ��J 43. Backflow Irrigation 44. Landscape Irriqation SYstem , . � � 45. Sound Attenuation ' ' � j �46. Handicap Regulations ' � ` ,_.,,_,,._.� �.. 47. FINAL STRUCTURE & BUILDING I I � 48. FINAL PLANNING � � � i : 49. Electric Release to Edison � ' I � i I 50. Gas,Release to Souyhem California GasCo , � � � . 51. CERTIFICATE OF OCCUPANCY No. Date 'STAMESA BUILDING-SAFETY DEPARTMENT CO P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING � � ADDRESS OWNER OR TENANT C� MAI LI NG ADDRE55 r,f� /� /TE L. 2i CITV ��y�tt I:t�� C '7/12.%LL NO. iw�Q.� BRANCH ADDRESS TEL. ADDRESS CONTRACTOR AODRESS � TEL. Z' CITV 2 NO. F STATE CITY i LIC. NO. IIC. NO. a SIZE I NO.OFBLDGS L OF LOT I NOW ON LOT a VSE OF ,�. E%ISfiNG BLDG. � h FSeparate permits are required for � electric, plumbing and heating work. E� USE OF BUILDING AND WORK TO BE PERFORMED � Q G .d a > r a m � �a I hereby acknowledpe Met I have read this appllcation entl staca ihat tho e0ova Intormation la eorract antl aprae to comply wiM 0. all laws .eyweco-,e o�tmt�e �o�::.�«ioo, a�e I shell nat employ ,'Z eny perwn in violation ot Me workman'a compensation laws of W ffie Stata of Califomia. 3 I hereby cenify th I properly Iicenza aa a eontrector untler the State of Calif nia e zl ass antl Pr fes na Cotle, Divialon 3, Chapter 9, antl t at sueh i n s aR fu I(orca nnd eifeet, or I nm exampt }rom the pro n f e a f CalitOrnia B Inesa nntl Professians atle, Diw n te SiBnotura of Permittoe or U Authorizetl ABent ate . iueu uiiaris iuu�e��;,_ APPLICATION FOR STRbCTITRdL PERMIT RECEIVEDBV PERMIT n� ��r,j,�� 49 A.P. NO. l �/ — % // ' BUILDING � ^ /�� AODRE55 (r•-(-(J UNIT OR $PACE NO. TR.NO. LOT 2Z EW ADD Al_TER F OWNER ��/� �se �j W Gfl-k ZONE TYPE APPROVEO BV APPROVEDSET8ACK5 (FROMGLSTREET) � ] PLANNING ACTION T L ' 7/J —. THE AMOUNT SI THE PURPO6E OF VALUATION g� y�- R MOVING DEMOLI .'�7-r�C. �L' /Ar7F5 VALUEs �� G �s 1 � � GROVP s DATE DATE T � � o � � _�/� �� 7 VN UNDER VALUATION IS FOR 0 'ABLISHING A PERMR FEE ONLY: � PERMIT FEE E a m PLAN CHECK E JFO m 0 TAX E 3, /O � u TOTAL PAID E ��III. %JI F � � G Q � y i F G � F Q C .d Q � r .� a � a 0 C a z W 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING /) A� � r� �/��_��/ //1M i� ADDRESS "!�(�J �!'!'tiic{G1��r� llUI7" OWNER OR (� TENANT fJeC / MAILING �� / � � ADDRE55 v\� �j� � TEL. CITV �Liy � IAw� ��tS 9nz�bNO. �� BRANCH ADDRESS ARCHITECT CONTRACTOR ADDRESS CITV STATE IIC. NO. 512E OF lOT USE OF TEL. CITV LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. USE OF BUILDING ANO WORK TO BE PERFOFMED 1 hareby acknowletlBa thot 1 have reatl this application antl state that tha abovo Information is correct and egrea to comply wlth ell laws ragulaiinB builtling consvucNon, antl I shell not employ eny persan in vloletlon ot the workman's compansatlon lewe of tho Smm of Celifomia. I heroby certlty thnt I am proparly Ilcensetl as a cOntrector untler cho Smm of Celifornia Bustness antl Profassiona Cotle, Dlvision 3, Chnpter 9, ontl ot suc� licent � ere in tull force entl affect, or I nm ezampt fr m� provisi ns f t�e Smte ot Celifornle Businesa ond Profasslo e Co e DI sl n, Chepcor 9. Slgnatura of Parmlttee Ol Au[horixatl Apant Date � APPLICATION FbR`�I'R0�'C�'��7IZA�L PERMIT193.00 TL RE PERMIT 'TO � 1V A.P. BUIL ING � �/� �yN�� ADDRE55 �LV�LWV�� UNIT OR SPACE NO. TR.NO. LOT BLK. NEW ADD ALTER REPAIR MOVING DEMOlISH OWNER VALUE USE b ZONE TVPE GROUP APPROVED BV DATE APPROVEDSETBACKS PLANNING ACTION VALUATION S DATE APPROVED � m � : d Y m �FT. � f SHOWN UNDEF VALUATION IS FOR m OF ESTABLISHING A PERMR FEE ONLV: � {� PERMITFEE E �" y �iC\ / m � PLAN CHECK § r.� a TAX E �� f U TOTALPAID S �Q.T��'